Industrial diseases, and those marked with a star in the above list, must be reported direct to the State department of health, using the special report blanks which are supplied by the department for that purpose.

RULE 3. Physicians to report cases.-When any physician knows or has reason to believe that any person whom he has called to visit, or who visits or consults him, is infected with any of the diseases in rule 2, such physician shall forthwith give notice thereof to the local health officer of the town in which such person lives (except in those cases of disease noted in rule 2 to be reported direct to the State department of health under special regulations). Such report shall be in writing and by telephone when practicable, and shall include the full name, age, and address of the person afflicted, together with the name of the disease.

RULE 4. Householders to report cases.-Whenever any householder knows or has reason to believe that any person within his family or household has any of the diseases listed in rule 2, he shall within 24 hours give notice thereof to the local health officer of the town in which he resides (except those cases to be reported direct to State department) and such report shall be by telephone, when practicable, and shall also be made in writing.

RULE 5. Reports to State department of health.-Every local health officer shall report promptly to the State department of health upon blanks furnished by the department of health for that purpose, and at such times and in such manner as is provided by those blanks, all cases and outbreaks of the diseases which are enumerated in rule 2, as reportable to them.

RULE 6. Quarantine.―The following degrees of quarantine, or control, shall be carried out in all cases of communicable diseases which the State department of health has declared or may declare notifiable or quarantinable: Full quarantine, modified quarantine, and observation.

Full quarantine.-Full quarantine is defined to mean and include:

(a) Strict isolation of the person sick and of those attendant upon him in a room or rooms screened against flies and mosquitoes in the months when those insects are active.

(b) Absolute prohibition of entrance to, or exit from, the building, or in case of buildings of proper construction, from the isolated apartment, in which the sick person is confined except the attending physician, health authority, or any person or persons specially authorized by the health officer to enter or to leave the building.

(c) Persons affected with any of the following diseases shall be placed under full quarantine: Cholera (Asiatic), plague, smallpox, and typhus fever. Modified quarantine.-Modified quarantine is defined to mean and include: (a) Complete separation of the person sick and of those attendant upon him from all other persons in the building or on the premises, in a room screened when practicable against flies and mosquitoes during those months in which those insects are active.

(b) Prohibition of entrance into, or exit from, the building in which the sick person is confined except as the local health officer may permit under rule 9.

(c) Persons affected with any of the following diseases shall be placed under modified quarantine: Anthrax, cerebrospinal meningitis, diphtheria (membranous croup), dysentery, epidemic or septic sore throat, glanders, leprosy, measles, paratyphoid fever, pneumonia, poliomyelitis, scarlet fever, typhoid fever, and influenza (grippe).

Observation.-Observation is defined to mean and include:

(a) The inspection from time to time by the local health officer or his agents of a person suffering from or affected with a communicable disease or a disease which may be notifiable under the rules and regulations of the State depart

ment of health and not subject to the regulations for full quarantine or modified quarantine.

(b) The supplying of information and advice, printed or otherwise, to such persons relative to the measures for the care of the sick and the prevention of the spread of infection. The local health officer shall exercise such a degree of supervision and control over such persons as may be deemed necessary to prevent their becoming dangerous to the public.

(c) Persons affected with any of the following diseases shall be placed under observation: Actinomycosis, chicken pox, conjunctivitis (acute infectious), dengue, favus, hookworm disease, malaria, German measles, mumps, ophthalmia neonatorum, paragonimiasis, pellagra, rabies, spotted fever, tetanus, trachoma, trichinosis, tuberculosis (all forms), whooping cough, and yellow fever.

When a person or a house, building, or place has beeen put under full or modified quarantine by the local health officer, no person quarantined or persons within the quarantined area shall leave it, and no person outside shall enter it (except under provisions of rule 9), nor shall they do anything which is in violation of the definition of that degree of quarantine which may be in force in the given place or area, nor shall they do anything in disobedience of the orders of the local health officer or regulations of the State department of health.

RULE 7. Periods of quarantine and exclusion from school.-Persons who have been exposed to an infectious or contágious disease, or who are suspected of having an infectious or contagious disease or of being infectious or the carriers of infection, may be placed under quarantine or observation as is provided in rule 6 until the period of incubation has elapsed or until the nature of the disease has been determined or the period of infectiousness and danger to the public has ended; and said persons shall obey all orders and shall be guided by the instructions which may be given by the local health officer.

RULE 8. Children.-When the well children who remain in the same home with those who are sick under quarantine or under observation are permitted by the local health officer to play in their own yard, they shall be kept off the streets and from all places outside of their premises, and it shall be the duty of their parents, guardians, or other persons under whose charge they are to keep said children within their own yards or on their own premises. Parents, teachers, or other guardians of children in other homes or other places shall not allow the children under their charge to enter houses, premises, or yards which are held under quarantine or observation, nor to play with children or families which are placed under quarantine or observation.

RULE 9. Adults need not always be quarantined.—When a person affected with a communicable disease is properly isolated on the premises (except in cases of smallpox, plague, typhus fever, or Asiatic cholera), the adult members of the family or household, particularly the wage earners, who do not come in contact with the patient or with his secretions or excretions, unless forbidden by the local health officer, may continue their usual vocations, provided their vocations do not bring them in close contact or association with children: And provided further that they do not go into other people's homes or attend any public entertainments, clubs, lodges, church services, etc., without permission from the local health officer.

RULE 10. Quarantine in certain emergencies.—When any case of diphtheria, cerebrospinal meningitis, poliomyelitis (infantile paralysis), measles, or scarlet fever is not or can not be properly isolated on the premises and can not be removed to a suitable hospital, it shall be the duty of the local health officer to forbid any member of the household from leaving the premises, except under such conditions as he may specify.

RULE 11. Disregard of quarantine rules.—In case any of the general provisions for modified quarantine or observation, or any of the orders or regulations of the local or State health officials relating thereto are violated or disobeyed, the local health officer may enforce full quarantine or modified quarantine when in the opinion of the said officer the public safety requires such action.

RULE 12. Milkmen, grocery men, etc.-When milkmen deliver milk to persons, houses, or premises which are under quarantine, they shall empty the milk into covered containers placed outside the door of said house or premises, or shall deliver the milk in containers which shall not be used again, but shall be burned as soon as they are emptied. They shall not enter such premises nor remove milk bottles, nor take anything else therefrom until the house or premises have been released from quarantine and disinfected and the bottles have been sterilized by boiling. If bottles have been delivered, they shall not be taken from the house until the quarantine has been raised and the bottles have been sterilized in accordance with the instructions of the local health officer.

Grocery men and other persons delivering merchandise are forbidden to enter such premises or remove package or other articles therefrom until such articles have first been boiled or otherwise sterilized under the instructions of the local health officer.

RULE 13. Infectious books, and reports to librarians and superintendents of schools. The local health officer of each town and city in which there is a public or circulating library shall promptly report to the librarian or owner of said library the names and places of residence of all families in which cases of communicable diseases have appeared, and it shall furthermore be the duty of the local health officer of every town and city to report the same facts to the superintendent of schools or to the teacher of the school in whose district the families belong. No person shall carry any book or magazine from any public or circulating library to a house or home where there is an infectious or contagious disease, and no person shall return to such library without the permission of the local health officer any book or magazine which has been in a home where an infectious or contagious disease has been present therein; and until permission is given by the local health officer, librarians or owners shall allow nothing to be taken to or returned from the places in which such disease exists.

RULE 14. The duty of teachers.—It shall be the duty of teachers and of principals of schools to note the condition or the symptoms of their pupils which are suggestive of the onset of a contagious or an infectious disease, and this particularly when a disease of this kind is prevalent or present in the community. Among the symptoms which should excite suspicion are those of a common cold or a cough when measles or whooping cough are around; tonsilitis or sore throat which may mean diphtheria or scarlet fever; or a rash at any time. The teacher or principal shall immediately report to the local health officer the condition of any pupil which is suggestive of a contagious or infectious disease and shall exclude such pupil from the schoolroom until he has been seen by the health officer or a physician. The teacher shall furthermore exclude from the schoolroom children from houses in which there is, or recently has been, a contagious or infectious disease until a certificate of readmission is received from the local health officer.

RULE 15. The physician to arrange for precautionary measures.-It shall be the duty of any physician, immediately upon discovering a case of communicable disease, to secure such isolation of the patient or to take such other action as may be required by the rules and regulations or printed instructions which may from time to time be issued by the State department of health; and all persons in a family, house, or place where a communicable disease is found or who

have been dwelling or staying therein shall act in compliance with the advice or instructions which may be received from the physician until it is modified or annulled by the local health officer.

RULE 16. The physician to instruct as to the disinfection of excreta in certain diseases. It shall be the duty of the physician in attendance on any case suspected by him to be typhoid fever, paratyphoid fever, dysentery, or Asiatic cholera to give detailed instructions to the nurse or other person in attendance in regard to the disinfection and disposal of excreta. Such instructions shall be given on the first visit and shall conform to the rules and regulations or printed instructions of the State department of health. It shall be the duty of the nurse or person in attendance to carry out the disinfection in detail until its modification or discontinuance is permitted by the local health officer.

RULE 17. Physicians shall report cases on dairy farms.-When a case of typhoid fever, paratyphoid fever, scarlet fever, diphtheria, epidemic or septic sore throat, smallpox, poliomyelitis (infantile paralysis), cerebrospinal meningitis, tuberculosis, or Asiatic cholera exists on any farm or in any dairy producing milk, cream, butter, or other dairy products for sale, or when it is learned that any person who is employed or has lately been employed or engaged in handling milk or dairy products, or that any of the members of the family of said person is [affected with] or has recently had any of said diseases, it shall be the duty of the physician in attendance, or who has learned such facts or received such information, to report immediately in writing, and by telephone when practicable, to the local health officer the existence on such farm or dairy of such disease, and said report shall state the nature of the disease, the name of the person who is or has been ill with the disease, the location of the place where such person is or has been ill, and the name of the owner or manager of said dairy premises.

RULE 18. The duty of the owners or persons in charge of dairy farms.-When no physician is in attendance it shall be the duty of the owner or persons in charge of any farm or dairy producing milk, cream, butter, cheese, or other food products likely to be consumed raw to report forthwith to the local health officer the name and address and all facts relating to the illness and physical condition of any person who is affected with any disease presumably infectious or contagious, and who is employed or resides on or in such farm or dairy or comes in contact in any way therewith or with its products.

RULE 19. Special reports to the State department of health.-It shall be the duty of the local health officer to report immediately to the State department of health the existence of any of the diseases enumerated in rule 17, on any farm or in any dairy producing milk, cream, butter, or other dairy products for sale, together with all facts as to the isolation of such cases, and giving the names of the localities to which such dairy products are delivered.

RULE 20. Danger of infecting foods. When a case of diphtheria, typhoid fever, or paratyphoid fever, or a person who is a carrier of either of these diseases, or when a case of epidemic or septic sore throat, dysentery, cerebrospinal meningitis, poliomyelitis, tuberculosis, scarlet fever, or smallpox exists on any farm or in any dairy producing or handling milk, cream, ice cream, butter, cheese, or other foods likely to be consumed raw, or exists in any home or other place where such foods are produced, handled, or sold, no such foods shall be sold or delivered from such farm, dairy, or other place, except under the following conditions:

(a) That such foods are not brought into the house where such case exists: (b) That all persons coming in contact with such foods, eat, sleep, and work wholly outside such house;

(c) That such persons do not come in contact in any way with such house or its inmates or contents;

(d) That said inmates are properly isolated and separated from all other parts of said farm or dairy, and efficiently cared for; and

(e) That a permit be issued by the local health officer.

RULE 21. Household pets.-Householders and those who have the care of the sick shall not allow a cat or a dog in a room where there is a person affected with any communicable disease, and when any of said diseases are present in a house or tenement, these animals shall not be allowed to visit other homes. It shall be the duty of the local health officer to enforce this rule.

RULE 22. Disinfection.-After death, removal, or recovery of a person who has been sick with diphtheria, scarlet fever, typhoid fever, tuberculosis, poliomyelitis, cerebrospinal meningitis, smallpox, or any of the diseases for which full quarantine is required, the rooms which have been occupied by the persons infected with these diseases shall, together with their contents, be thoroughly cleansed and disinfected. All persons, nurses, attendants and others who have occupied such apartments during the period of full or modified quarantine shall have their clothing disinfected and shall take a disinfecting bath before they are released. All disinfection prescribed in this rule shall be done under the supervision of the local health officer and in accordance with the directions for such work which may be given from time to time by the State department of health.

RULE 23. Funerals.-No public funeral shall be held over the remains of any person who has died of diphtheria, scarlet fever, poliomyelitis, cerebrospinal meningitis, or smallpox, or any of the other diseases for which full quarantine is required; nor shall the bodies of such persons be taken into any church, chapel, or any other public place. The funerals of persons dying of these diseases shall be strictly private, and any persons whose presence is not necessary shall not be present, and no person shall invite unnecessary persons to attend such funerals; and it shall be the duty of undertakers to warn families in cases of death from an infectious disease against a public funeral, and no undertaker shall conduct a funeral in violation of the terms of this rule.

RULE 24. Duty of local health officers.—It shall be the duty of local health officers to require that all State health laws, rules, and regulations of the State department of health, and local health ordinances, be strictly enforced in their respective communities, subject to the direction and supervision of the State department of health.

RULE 25. Periods of quarantine, and disinfection for acute communicable dis

eases.

Quarantine. The strict quarantine of the patient should be maintained until complete recovery, and, even in the abortive type of the disease, the period of isolation should never be less than two weeks from date of onset.

Wage earners may continue their usual vocations, provided the local health officer can have their faithful and intelligent cooperation in following instruetions to keep away from places which they should not visit, and in complying with the provisions of rule 20 if the character of their work requires it.

All children should remain upon their own premises during the period of quarantine and care should be taken that no other children come near them.

In the sick room extra care should be taken to receive upon pieces of cloth or paper toweling all of the discharges from the nasal cavities, which are the principal sources of infection in cerebrospinal meningitis, the pieces then to be promptly burned.