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or the rules and regulations of the State board thereto, shall be deemed guilty of a misdemeanor shall be fined not exceeding $25 and costs for each

Births and Deaths-Registration. Dead Bodie

and Transportation. (Ch. 317, Act

SECTION 1. That sections 9, 13, 14, 15, and 19 o Code of Maryland, title " Health," subtitle "State (section 9 having been repealed and reenacted b 1916) are hereby repealed and reenacted, with a follows:

SEC. 9. Each election district, city, and incorpor registration district: Provided, The State registra registration districts in any county into one regis registrar shall, with the advice and consent of the nate a competent person in each registration dis registrar, and shall within the district for which certificates and issue burial or removal permits birth certificates and perform such other services direct, [Provided,] that when, in the judgment of statistics, it is necessary to appoint more than any registration district, the State registrar shall registrar of vital statistics to designate and appc petent persons to act as deputy local registrars as necessary. The mayor of any incorporated town shall, with the advice and consent of the State appoint a competent person to act as local registr the local registrar is not appointed within one vacancy is created, the State registrar of vital sta

Quarantine.-By quarantine is meant the limitation of freedom of movement of persons or animals who have been exposed to communicable disease.

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Isolation. By isolation is meant the separation of persons suffering from a communicable disease, or carriers" of the infecting organism, from other persons, in such places and under such conditions as will prevent the direct or indirect conveyance of the infectious agent.

Disinfection.—Disinfection is the process of destroying disease producing organisms by physical or chemical means.

"Concurrent" disinfection.-Concurrent disinfection signifies the immediate disinfection or destruction of all infected or presumably infected materials as discharged from the individual.

“Terminal' disinfection.--Terminal disinfection signifies the precautions taken to destroy infectious material after the removal of the patient or the termination of isolation, at the time when the patient is no longer a source of infection.

Cleansing. This term signifies the removal, by scrubbing and washing, of material on which or in which infectious agents may find favorable conditions for survival.

Renovation.-By renovation is meant, in addition to cleansing, such treatment of walls, floors, and ceilings of rooms or houses as may be necessary to place the premises in a satisfactory sanitary condition.

C. D. REG. 10. The following diseases are notifiable in Maryland:

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C. D. REG. 11. Diseases not enumerated.-Communicable diseases not specifically enumerated in the preceding section shall be reported and controlled in accordance with special instructions from the State department of health, or, in the absence of such instructions, in accordance with orders and directions of the local health officer.

local registrar.

In the event of an alteration of any certificate shall be properly certified to the State registrar a his signature.

SEC. 19. Any physician who was in medical atte person at the time of death, who shall neglect or re deliver to the undertaker, sexton, or other person removal, or other disposition of the body, the certif provided for, shall be deemed guilty of a misdeme thereof shall be fined not less than $5 nor more th cian shall knowingly make a false certification of case, he shall be deemed guilty of a misdemeanor, a shall be fined not less than $5 nor more than $200.

And any physician or midwife in attendance up or any other person charged with responsibility f order named in sections 14 and 15 of this article, to file a proper certificate of birth with the local within the time required by this article, shall be meanor, and upon conviction thereof shall be fined than $50.

And any undertaker, sexton, or other person a shall inter, remove, or otherwise dispose of the bo without having received a burial or removal pern shall be deemed guilty of a misdemeanor, and upon fined not less than $20 nor more than $100.

And any county registrar, local registrar, or deput neglect or fail to enforce the provisions of this subt neglect or refuse to perform any of the duties imp title, or by the rules and regulations of the State

C. D. REG. 17. Suspected communicable disease on dairy farms, etc., to be reported. The owner or person in charge of every dairy, farm, or other establishment producing or handling milk, cream, or ice cream for sale or distribution shall immediately report to the local health officer any knowledge he may have regarding any person visiting or located on, in, or about such dairy, farm, or other establishment who has or who is suspected of having a communicable disease.

C. D. REG. 18. Incubation period declared.-For the purpose of these rules and regulations, the accepted periods of incubation of certain communicable diseases are hereby declared to be as follows (see note 1), and shall be observed by health officers in controlling contacts and cases of suspected communicable diseases, except where otherwise specified:

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Note 1.-The incubation period is prolonged in certain cases. Note 2.- Contacts with diphtheria cases should be released from observation only after cultures from both nose and throat are negative when tested for the specific organism. Note 3.-Smallpox contacts must be held under close observation for the full period of incubation unless there is good evidence and history of successful vaccination within five years. Contacts vaccinated subsequent to exposure shall be held under observation until a successful vaccination is obtained, or until the expiration of the incubation period. Suspicious cases should be held under strict isolation until a diagnosis is made.

Note 4.-Suspicious cases of typhoid fever should be held under observation and treated as such until the diagnosis is determined by clinical symptoms and by blood culture during the first week or by Widal test after the tenth day.

(Attention is called to the fact that persons recently immunized with antityphoid vaccine will give a positive Widal.)

Note 5.-German measles may be confused with scarlet fever during its earlier stages. C. D. REG. 19. Minimum periods of isolation.-For the purpose of these rules and regulations the minimum periods of isolation of certain diseases are hereby declared to be as follows, and shall be observed by health officers in controlling cases of communicable diseases:

Cerebrospinal meningitis: During the clinical course and until two weeks after the temperature has returned to normal.

Chicken pox: Until primary scabs have disappeared.

Diphtheria: Until the diphtheria bacilli have disappeared from nose, throat, and lesions as shown by laboratory examinations (note 1).

Dysentery (acute bacillary or amebic): During the clinical course of the disease (note 2).

German measles: Seven days from the onset of the disease.

Measles: Seven days from the onset of the disease or longer if fever is still present.

Mumps: Until all swelling and hardness of the glands have disappeared.

untrue, deceptive, or misleading, and which is kno corporation, or association, or which by the exercise be known by such person, firm, or corporation to be leading, shall be guilty of a misdemeanor.

SEC. 160 B. Any person, firm, or association viola of this act shall, upon conviction thereof, be punis than $1,000, or by imprisonment of not more than and imprisonment, in the discretion of the court. any offense under the provisions of this act shal $1,000, and its president, or such other officials as conduct and management thereof, shall be imprison in the discretion of the court.

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