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SEC. 21. Expectorating in any part of any establishment in which food is prepared or served is hereby prohibited.

SEC. 22. No manager or proprietor of any establishment above named shall require or permit any person infected with typhoid fever, tuberculosis, diphtheria, scarlet fever, smallpox, chicken pox, whooping cough, measles, mumps, venereal disease, or any other contagious or infectious disease to work in that establishment; and no person so affected shall engage in the preparation or service of food. No person who has recently recovered from any of the abovenamed diseases shall be employed in the preparation or service of food until, in the opinion of the county health officer or quarantine officer, it is safe to do so.

SEC. 23. No restaurant or other food-serving establishment shall be permitted to continue in operation if any one of the following conditions exists or is permitted to exist:

(a) A water-flush toilet opening directly into the kitchen;

(b) A surface privy in close proximity to the establishment;.

(c) The operation of a kitchen or the serving of food in a room in which another busniess (other than the preparation of food) is conducted, or which is used for domestic purposes, or which opens directly into a room so used;

(d) The accumulation on the premises of unnecessary rubbish, litter, cobwebs, etc., or material not germane to the preparation of food;

(e) The keeping of live fowls, pigs, goats, or other animals in the kitchen, cellar, or any part of the building occupied by the establishment, not removed at least 20 feet therefrom.

SEC. 24. No restaurant, café, lunchstand, booth, or other establishment in which food is prepared or served shall be permitted to open for business until the provisions of these regulations concerning equipment have been complied with to the satisfaction of the county health officer, the county board of health, the State health officer, or his representative. Direct violations of any provision of these regulations, after a reasonable period (not to exceed 30 days) has been allowed for compliance, shall be considered sufficient reason for closure by the county health officer, county board of health, the State health officer, or his representative. In case of closure, the procedure prescribed in section 723 of the code of 1907, as amended, shall be followed.

SEC. 25. These regulations shall be in effect on and after April 1, 1920. Ice Cream-Manufacture and Sale-Sanitary Regulation of Establishments. (Reg. Bd. of H., Effective Apr. 1, 1920.)

SECTION 1. Ice cream is hereby defined as a frozen compound, of which milk, cream, or a substitute is the principal ingredient, other ingredients being varied as to kind and proportion, within Imts establshed by custom and usage.

SEC. 2. The manufacture, sale, offerng for sale, or advertising for sale of ice cream made from milk, cream, or other dairy products or ingredients which have not been freshly pasteurized at a temperature of 145 degrees Fahrenheit for 25 minutes, or at 150 degrees for 20 minutes, by intermittent or holding process of pasteurization, is hereby prohibited.

SEC. 3. Ice cream shall be deemed to be adulterated under either one of the following conditions:

(a) If it contains any added poisonous or deleterious ingredients which may render it injurious to health;

(b) If it contains any rancid or renovated or process butter fats.

SEC. 4. The manufacture, sale, offering for sale, or advertising for sale of ice cream which is adulterated, as defined in section 3 of these regulations, is hereby prohibited.

SEC. 5. The sale, offering for sale, or advertising for sale of ice cream as the product of one manufacturer, when in reality it is the product of another manufacturer, is hereby prohibited.

SEC. 6. No ice cream shall be manufactured except in a building—

(a) Having whole, sound, and smooth floor, walls, and ceiling;

(b) The floor of which is constructed of wood, concrete, or similar material which may be flushed and scrubbed, and which is well drained;

(c) Provided with window space sufficient to give necessary natural light during the daylight hours; and

(d) Of proportions and dimensions ample for the equipment and processes employed.

SEC. 7. The building in which the manufacture of ice cream is undertaken shall be supplied with running water and equipped with sewer-connected sinks and drains and hose connections, making the flushing of any and all parts of the premises possible. All water used in the processes employed shall be clean and unpolluted, according to standards of the State board of health.

SEC. 8. The packing, selling, or shipping of ice cream in containers which have not been washed and sterilized since last used is hereby prohibited. Sterilized containers shall not be inverted on the floor to drain.

SEC. 9. The entire portion of the establishment in which any of the processes of the manufacture of ice cream are carried on shall be effectively screened or free from flies at all times.

SEC. 10. When the natural light is inadequate (measured by the requirements necessary for purposes of inspection) artificial lighting facilities, ample for all needs, shall be installed.

SEC. 11. All equipment, such as pasteurizers, homogenizers, freezers, etc., shall be sterilized between uses.

SEC. 12. The premises shall be kept free from rats, mice, other vermin, and domestic animals.

SEC. 13. The wearing of street clothing by employees engaged in the manufacture of ice cream, except when covered by aprons or other garments, is hereby prohibited. Sufficient locker space for the street clothing of employees shall be provided on the premises; but such lockers shall not be located in the mixing or freezing rooms.

SEC. 14. The boiler room of the establishment, if a boiler is included in the equipment, shall be entirely separated from the space in which any process of the manufacture of ice cream is undertaken.

SEC. 15. Expectorating in any part of the establishment is hereby prohibited. SEC. 16. Ice cream in the process of hardening shall be covered.

SEC. 17. No manager or proprietor of an ice cream manufacturing plant shall require or permit any person infected with typhoid fever, tuberculosis, diphtheria, scarlet fever, smallpox, chicken pox, whooping cough, measles, mumps, venereal disease, or any other contagious or infectious disease to work in that establishment; and no person so affected shall take part in the manufacture of ice cream. No person who has recently recovered from any of the abovenamed diseases shall be employed in the manufacture of ice cream until, in the opinion of the county health officer or quarantine officer, it is safe to do so. SEC. 18. The labeling, branding, tagging, sale, offering for sale, or advertising for sale of ice cream with any false statement concerning the sanitary conditions under which it was manufactured is hereby prohibited.

SEC. 19. No ice cream manufacturing plant shall be permitted to operate or continue in operation if any one of the following conditions exists or is perImitted to exist:

(a) A water-flush toilet opening directly into a room in which any part of the process of manufacture is undertaken;

(b) A surface privy in close proximity to the establishment;

(c) The mixing or freezing of ice cream in a room in which another business (other than the preparation of food) is conducted, or which is used for storage or domestic purposes, or which opens directly into a room so used;

(d) The accumulation of unnecessary rubbish, litter, etc., or material not germane to the manufacture of ice cream.

SEC. 20. No ice cream manufacturing plant shall be permitted to open for business until equipped to fulfill the sanitary requirements of these regulations, to the satisfaction of the county health officer, the county board of health, the State health officer, or his representative. Direct violation of any provision of these regulations, after a reasonable period (not to exceed 30 days) has been allowed for compliance, shall be considered sufficient reason for closure by the county health officer, the county board of health, the State health officer, or his representative. In case of closure, the procedure prescribed in section 702 or 703 of the code of 1907, as amended, shall be followed.

SEC. 21. These regulations shall be in effect on and after April 1, 1920. Soda Fountains-Sanitary Regulation. (Reg. Bd. of H., Effective Apr. 1, 1920.)

SECTION 1. A soda fountain is hereby defined, for the purpose of enforcing these regulations, as a place where drinks are prepared and sold from storage in bulk.

Provided, That places where bottled drinks only are sold shall not come under the provisions of these regulations, except when drinks are poured from bottles before being served.

SEC. 2. Every soda fountain shall be kept in a clean condition as regards floor, counter, back bar, and sirup containers.

SEC. 3. In communities which maintain a system of public water supply and sewerage, every soda fountain situated within practicable reach of such water supply or sewer line shall be supplied with running water and connected with the sewer.

SEC. 4. In communities not having a system of public water supply, arrangements for supplying running water and discharging wastes shall be installed. The water supply used shall meet the approval of the State board of health as to purity.

SEC. 5. In communities in which regular inspection and supervision of soda fountains is not maintained, no mixed, compounded, prepared, or tapped cold drink shall be served at any soda fountain except in an individual cup. The presence of glasses on the fountain in such communities shall be considered prima facie evidence of their use.

SEC. 6. In communities in which the local health authorities maintain satisfactory supervision over the methods employed in soda fountains, no mixed, compounded, prepared, or tapped cold drinks shall be served in any soda fountain except in glasses which have been sterilized since last used. The presence of soiled or unsterilized glasses among those which have been sterilized shall be prima facie evidence of their prospective use in that condition.

SEC. 7. No patron or customer shall be supplied with a spoon for the consumption of a drink or a confection except it has been sterilized since last used, or has never been used.

SEC. 8. All straws shall be protected from dust, flies, and unnecessary handling.

SEC. 9. Sirups, preserves, whipped cream, marshmallow, or other garnishments or flavors, and ice-cream cones, etc., shall be protected from dust, flies, and other contamination.

SEC. 10. Milk, when served at the fount, shall be kept at a temperature of 50° Fahrenheit, or less. Milk, when not poured from the original container nor pumped, shall be dipped only with a dipper having a spout or a specially shaped lip. When poured from the original container, the latter shall be protected at all times from dust, flies, and other contamination.

SEC. 11. Ice cream, sherbet, and other similar confections shall be covered at all times except while being served. Utensils for serving ice cream, sherbet, and similar confections shall not be kept in the confection container between uses, but shall be kept in clean water or rinsed before each use.

SEC. 12. All sirup or flavors shall be made or mixed in clean vessels, in a building having a solid floor of wood, concrete, or similar material, and smooth walls and ceiling, which is clean, well lighted, and free from dust, mold, flies, and cobwebs. Ice for use in drinks shall be washed before crushing, and shall be crushed or chipped in a container used for that purpose only, and thoroughly cleansed before each use.

SEC. 13. Expectorating in or about a soda fountain is hereby prohibited. SEC. 14. No manager or proprietor of a soda fountain shall require or permit any person infected with typhoid fever, tuberculosis, diphtheria, scarlet fever, smallpox, chicken pox, whooping cough, measles, mumps, venereal disease, or any other contagious or infectious disease to work in that establish. ment; and no person so affected shall engage in the preparation of confections or drinks. No person who has recently recovered from any of the above-named diseases shall be employed in the preparation or service of confections or drinks until, in the opinion of the county health officer or quarantine officer, it is safe to do so.

SEC. 15. No soda fountain shall be permitted to open for business or continue in operation if any one of the following conditions exists or is permitted to exist:

(a) A water-flush toilet opening into the room in which sirups and flavors are prepared;

(b) A surface privy in close proximity to the establishment; or (c) The undue prevalence of flies.

SEC. 16. No soda fountain or other establishment in which confections and drinks are prepared for sale shall be permitted to open for business until equipped to fulfill the sanitary requirements of these regulations, to the satisfaction of the county health officer, the county board of health, the State health officer, or his representative. Direct violation of any provision of these regulations, after a reasonable period (not to exceed 30 days) has been allowed for compliance, shall be considered sufficient reason for closure by the county health officer, county board of health, the State health officer, or his representative. In case of closure, the procedure prescribed in section 723 of the code of 1907, as amended, shall be followed.

SEC. 17. These regulations shall be in effect on and after April 1, 1920. Veterinary Biologic Products and the Disposal of Dead Carcasses and Infectious and Toxic Meats and Feeds-Live Stock Sanitary Board Authorized to Make Regulations Governing. (Act 103, Oct. 5, 1920.)

That the Live Stock Sanitary Board of Alabama shall have power to make rules and regulations governing the manufacture, sale, distribution, handling, and keeping and use of all veterinary biological products and serums, and also the disposal of dead carcasses, infectious and toxic meats and feeds.

ARIZONA.

Communicable Diseases-Quarantine-Isolation-Disinfection. (Reg. Bd. of H., May 1, 1920.)

Absolute quarantine includes

First. Absolute prohibition of entrance to or exit from a building or conveyance except by officers or attendants authorized by the health authorities, and the placing of guards, if necessary, to enforce this prohibition;

Second. The posting of warning placards stating the name of the disease in a conspicuous place or places on the outside of the building or conveyance; Third. The prohibition of the passing out of any object or material from the quarantined house or conveyance;

Fourth. Provision for conveying the necessaries of life, under certain restrictions, to those in quarantine.

Modified quarantine includes

First. Prohibition of entrance and exit, as in absolute quarantine, except against certain members of the family authorized by the health authorities to pass in and out under certain definite restrictions;

Second. The placing of placards as under absolute quarantine; Third. Isolation of the patients and attendants. The wagę earner is allowed, under modified quarantine, to continue work, provided he at no time comes in contact with the patient, and that he has and uses facilities for thoroughly cleansing his hands immediately before leaving the premises. The privilege of continuing work is not extended to wage earners employed in the production, sale, or manufacture of sandy or food products, including milk and ice cream; nor to teachers or others whose work brings them in intimate contact with children.

Technical quarantine.-In cases of venereal diseases, includes regular reporting to a physician for treatment till discharged and refraining from acts that would tend to infect others.

Disinfection may be either complete or partial.

Complete disinfection.-Means disinfection during illness, under direction of attending physicians of patient's body, of all secretions, of all discharges of patient, and of all articles of clothing and utensils used by patient; and after recovery, death, or removal, the disinfection of walls, woodwork, furniture, bedding, etc.

Partial disinfection.-Means disinfection of discharges or excretions of patients and their clothing and the room or rooms occupied by the patient during illness.

Midwifery-Regulation of Practice of. (Reg. Bd. of H., Apr. 1, 1920.)

RULE 1. A midwife, before attending a woman in confinement, must wash her hands and arms with warm water and soap (preferably an approved antiseptic soap); and afterwards, if she has not used antiseptic soap, wash in a quart of warm water containing a teaspoonful of lysol, or carbolic acid, or other antiseptic.

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