sick room to persons outside his home, otherwise there should be a rigid isolation of the whole household and particularly of the children through the period of the quarantine of the patient. Children should not be allowed outside of the yards of their own households, nor should they be allowed to come in contact with other children.

Schools. While the modified quarantine of the household may be raised in 30 days, if there appears to be no reasons for prolonging it, the patient should not be permitted to attend school within two weeks after the raising of the quarantine. The well children of the family should not be permitted to attend school during the period of quarantine.

Disinfection.-There should be extreme care to receive on pieces of cloth or paper all of the discharges from the nose or throat, and these should be promptly burned. Care should also be taken to have the sick room screened against the entrance of flies. A complete and very careful disinfection of rooms and clothing should be done at the end of the period of quarantine.

SCARLET FEVER.

Quarantine. The minimum isolation should be 30 days after the development of the disease, and it should be continued until desquamation and all discharges from the nose, throat, and ears or suppurating glands have ceased. Quarantine is necessary for all adults living in the family with, or in any way exposed to, the patient while the house remains quarantined, unless such adults will stay in some other house and away from chances of infection, or unless the sick one is strictly isolated with the attendant.

If scarlet fever appears in a home where milk or other dairy products or other foods which are to be eaten without cooking are produced or prepared for sale, persons who have anything to do with the production, preparation, or handling of such products shall be freed from the chance of carrying infection, and then stay outside of the infected house or stop work. (See rule 20.)

Schools. The patient should not be readmitted to school until seven days after release from quarantine, and then, before the child goes back to school, a second examination shall show that desquamation has ceased and that the nose, throat, and ears are still in a normal condition.

Immune children, those who have had scarlet fever, may be excluded only until arrangements can be made for changing their domicile and they can be given a bath and clean clothes. Arrangements should, however, be made which shall insure that there may be no possibility of their return to their home so that they may become the bearers of infection. Teachers must change their residence from an infected home or stay away from the schoolroom and from other pupils.

Children who have never had scarlet fever should be excluded from school for seven days after the disinfection of the house or seven days after their disinfection and removal from the infected house, with no return to their home for seven days after it has been disinfected.

Disinfection. During the course of the disease all discharges from the patient should be carefully disinfected, and special care should be taken that all discharges from the mouth and nose be received upon pieces of cloth or paper and burned immediately, and care should also be taken that the bedding and other things around the patient become soiled as little as possible.

At the time when the quarantine is raised there should be a very careful cleansing and disinfection of the dwelling, and particularly of the rooms which have been occupied or visited by the patient, and their disinfection should include all of the bedding and clothing used by the patient and all of the things which were in the room during his illness.

SMALLPOX.

Quarantine.—The patient should be kept under a rigid quarantine until all crusts or scales have fallen.

Wage earners who have been successfully vaccinated may be revaccinated, be disinfected, and, residing elsewhere, may continue their work if they are permanent residents of the place and there appears to the health officer to be no reason to do otherwise with them.

Other exposed persons, including transients, who have been successfully vaccinated may be revaccinated, disinfected, and kept under observation 16 days; but these two classes should be required to report so that they may be seen every day, so that there may be an assurance that they remain well.

Persons who have never had a successful vaccination should be vaccinated. If the vaccination is successful and if the vaccination was done within three days after first exposure, they may attend to their work, but remaining under observation for 16 days from their last exposure. If the vaccination was done later than three days after their first exposure, they should remain isolated 16 days from their last exposure.

Schools. Children from infected households should be barred from school for two weeks after the family has been released from quarantine or two weeks after a successful vaccination.

Disinfection.—Cleaning and disinfection should be thorough.

TYPHOID FEVER.

Quarantine. There need be no absolute quarantine of the household, but unnecessary visiting in such infected houses should be prohibited and the patient and the room in which he is cared for should be carefully isolated and persons not intrusted with the care of the patient should be excluded from the sick room. The danger of finger-borne infection should always be kept in mind. "Typhoid rooms should be securely screened against flies, and all flies which have gained entrance to the room should be killed as soon as possible.

During convalescence and after the isolation imposed by the local health officer has been removed the patient should be instructed that typhoid-fever convalescents are very frequently temporary carriers of the infection and that there is urgent need of the proper care and disposal of the intestinal and urinary excretions.

Members of the household who remain free from symptoms which suggest the onset of typhoid fever may attend to their usual duties; but if in their work they have anything to do with the handling of food products, they and the local health officers shall be guided by the provisions of rules 18 and 20.

Schools. Before pupils who have had typhoid fever are readmitted to the schools there should be care to insure their complete recovery, bearing in mind that for a while after convalescence they may be the carriers of infection.

Children from infected houses should not attend school if they have diarrheal disorders or any symptoms indicating the possibility of the onset of typhold fever or of its existence in an atypical form.

Disinfection. There should be a very careful disinfection of all discharges from the patient through the whole period of illness and convalescence, and it is desirable to have this work begun at as early a period as possible, for the reason that the intestinal discharges are very often infectious in the earliest days when it is impossible for the physician to make a definite diagnosis, but while the prodromal symptoms may indicate the probable onset of typhoid fever.

There should be a careful terminal disinfection of the room, bedding, clothing, and other things which have been occupied by the patient or used by him. (See rule 22.)

Special. The protective inoculation against typhoid fever is of the greatest value, particularly to nurses, travelers, and other persons who are likely to be exposed to the danger from infected foods and drinks, and should be recommended by all health officers.

WHOOPING COUGH.

Quarantine.-There should be a careful isolation of the patient for the whole period during which the spasmodic cough continues; and particularly when whooping cough is rife the isolation should begin with the first symptoms of a cold or cough which indicate the possibility of the onset of whooping cough. There is no need of interference with the usual duties of the wage earners of the family.

Schools. Children who have whooping cough should be excluded from the schools for a period corresponding to that of the isolation or observation of the household.

Children who have had whooping cough may continue to attend school if they keep away from the sick; but the children of the same family who have never had whooping cough and who remain exposed should be excluded for 14 days after the release of the patient.

Disinfection.-Fumigation is not required, but the household should be instructed that it is desirable to have the clothing and other things used by the patient disinfected by washing in soapsuds or by boiling and by exposure to direct sunshine.

Ophthalmia Neonatorum-Designation of Prophylactic to be Used in Prevention of. (Reg. Dept. of H., June 29, 1920.)

In complying with the above law [the law for the prevention of blindness in the new born] a 1 per cent solution of silver nitrate shall be used, as put up in individual wax capsules by various commercial houses.

Plumbing Regulations. (Reg. Dept. of H., June 29, 1920.)

SECTION 1. All houses and other buildings on premises abutting on a street in which there is a public sewer shall be connected with the sewer by the owner or agent of the premises in the most direct manner possible and, if feasible, with a separate connection for each house or building.

SEC. 2. The drain from the sewer or cesspool to the house-drain junction must be of hard salt-glazed, cylindrical earthenware, cement, or iron pipe free from defects and not less than 5 inches in diameter. It must be laid upon a smooth bottom and in perfect line, both laterally and vertically, with a fall of at least one-fourth of an inch to the foot, and more if practicable. All joints in earthenware or cement pipes must be uniformly and completely filled with best hydraulic cement, none of which must be forced into the pipe to obstruct its caliber and in iron pipe either calked with lead or have screw joints.

SEC. 3. The house drain from a point at least 10 feet outside the cellar wall shall be of extra heavy cast-iron pipe, at least 4 inches in diameter and of uniform thickness, free from holes and cracks and with tight calked leaded joints (unless wrought-iron pipe with screw joints is used); this pipe shall not be subjected to pressure when passing through the wall and shall extend by the most direct course to receive the fittings to at least 2 feet above the room of the

SECTION 1. That section 153 of article 43 of the A title "Health," subtitle "Adulteration of food and hereby, repealed and reenacted so as to read as fo

SEC. 153. Whenever the said board of health, o satisfied that any article of food, condiment, or or is otherwise unsound or unwholesome, the said shall forbid the sale or disposal of such article fo to be destroyed or disposed of so as to prevent it or used for the food of man; and the person or belongs or did belong at the time of exposure for or on whose premises the same was found, refus or otherwise dispose of such unsound or unwholes be liable to the penalty imposed under the provisi

Whenever the State board of health, or its pro that any article of food, condiment, or drink has

SEC. 10. The test shall be applied by the plumber closing all openings in soil, drain, waste, and vent pipes and filling the system with water to its top in the presence of the health officer or his duly accredited inspector, and all connections are made and water admitted to fill the traps. If any leaky pipe is found, it must be properly repaired or replaced by new, and any leaky joints must be made tight.

SEC. 11. All connections of lead with iron pipes must be made with a brass sleeve or ferrule of the same size as the lead pipe and securely fastened to it by a wiped or overcast joint and to the iron by a lead-calked joint. All connections of lead waste pipes and vent pipes shall be made by means of wiped joints or union screw ferrules of approved pattern.

Where local vents are used they shall connect with a heated flue when possible and must be not less than 2 inches for each fixture. Connections to flue shall be made by wrought or cast iron pipe at least 1 foot long; other piping may be galvanized iron.

SEC. 12. Waste pipe from refrigerators must be double-trapped; first trap to be close to the outlet, second trap to be at some convenient point with a break in pipe between the two to prevent siphoning off. Rain-water leaders must not be used as soil, waste, or vent pipes. No steam exhaust or blow-off from steam boilers should go direct into the sewer, but should be exhausted into a tank and trapped into the sewer.

SEC. 13. No waste pipe from bowl or bathtub shall be connected with a watercloset trap, nor shall any bathtub waste pipe be connected with a waste pipe from a washbowl or sink.

SEC. 14. Every urinal shall have a slate base laid flush with the floor with suitable drain outlet and trapped, with hot or cold water for flushing.

SEC. 15. All local plumbing inspectors shall be approved by the State commissioner of health.

SEC. 16. These regulations shall be considered as minimum requirements and may be added to by local boards of health.

Railway Sanitary Code. (Reg. Dept. of H., Aug. 26, 1920.)

[On August 26, 1920, the State Department of Health of Maine adopted the Standard Railway Sanitary Code. This code has been published by the Public Health Service as Reprint 604 from the Public Health Reports.]