(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 board of health may permit under rule 11.

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

Observation.-Observation is defined to mean and include:

(a) The inspection from time to time by the officers or agents of the local board of health of a person suffering from or affected with an infectious or contagious disease, or a disease which may be notifiable under the rules and regulations of the State board 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 health officer or local board of health 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: Chicken pox, influenza, mumps, ophthalmia neonatorum, pellagra, rabies, tetanus, trachoma, and whooping cough.

In all cases of questionable diagnosis between chicken pox and smallpox, full quarantine shall be enforced until diagnosis of chicken pox is confirmed. When a person or a house, building or place, has been put under full quarantine, modified quarantine, or observation by a local board of health, no person quarantined or persons within the quarantined area shall leave it, and no person outside shall enter it, 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 or regulations of the local board of health or the health officer in accordance with rule 11. RULE 9. Contacts and suspects.-Persons who have been exposed to an infectious or contagious 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 8 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 board of health or the health officer.

RULE 10. Children.-When the well children, who remain in the same house with those who are sick under quarantine or under observation, are permitted by the local board of health 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 such 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

RULE XIII. Quarantine of doubtful cases.—In all in nosis, as, for instance, where the physician or health tinguish positively between chicken pox or smallpox or tonsilitis, it is ruled that the public shall be given and quarantine or isolation restrictions which will p the most serious of the diseases suspected shall be im

RULE XIV. Laboratory of State board of health shal ters of quarantine or isolation or release from quaranti upon bacteriological findings and in which difference or doubt shall arise, the findings of the hygienic labor of health shall for interpretation or enforcement of sidered as final.

RULE XV. Removal to isolation hospital permissib tined or isolated persons to an isolation or detention ho of a health officer is permissible.

RULE XVI. Sale of milk prohibited.—(a) The sale milk or dairy products from premises where smallpox throat, scarlet fever, epidemic cerebrospinal meningit myelitis, typhoid fever, or paratyphoid fever is know bidden unless the milk is handled, milk utensils sterili and product transported by persons entirely disassocia or diseased family, or the house in which such persons (b) The sale, distribution, or use of milk or dair where tuberculosis is known to exist is strictly forb permit from the local or county health officer in wh distribution, or use of milk is contemplated. Before health officer shall satisfy himself by personal investi dairy product is being produced or sold under conditio the health of the consumer and shall make to the Stat

(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 health officer.

RULE 17. Milkmen, etc.-When milkmen deliver milk to persons, houses, or premises which are under full or modified 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 has been released from quarantine and disinfected and the articles taken have been sterilized in accordance with the instructions of the local health officer.

RULE 18. Library books infection.-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 board of health any book or magazine which has been in a home when an infectious or contagious disease has been present therein; and until permission is given by the local board of health, librarians or owners shall allow nothing to be taken to or returned from the places in which such disease exists.

RULE 19. 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 infectious 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 20. The duty of the teacher.-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 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 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 [pupils] from houses in which there is, or recently has been, a contagious or infectious disease until a certificate for readmission is received from the local health department or health officer.

RULE 21. The physician to arrange for precautionary measures.—It shall be the duty of any physician, immediately upon discovering a case of contagious or infectious 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 board of health, and all persons in a family, house, or place where an infectious 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 health officer.

posed to any infectious, contagious, or communicable send the pupil home and any pupil so excluded shall n enter school until such pupil shall present a certificate health officer having jurisdiction, or from a legally qu by authority or consent of the health officer, stating infected with or suffering from any infectious, conta disease.

(b) Within the meaning of paragraph (a) principals infection or contagion in, and shall exclude from sch from or exhibiting any of the following symptoms: (1 (2) sore throat or tonsillitis, (3) any catarrhal syn fever, or fever alone, (4) any eruption of the skin, or r (c) In addition to the diseases elsewhere declared to or isolation, any child shall be excluded from any publ school who is afflicted with any of the following dis junctivitis (pink-eye), impetigo contagiosa, ringworm,

(d) No person afflicted with a venereal disease chancroid) in an infectious stage shall be permitted otherwise employed in any private, parochial, or publi

(e) School teachers, school nurses, school physicians make any necessary examination of children attending required to determine the presence of infectious or co riers of infectious or contagious diseases.

(f) Pupils exposed to infectious, contagious, or co residing in any house wherein has existed any infecti municable disease, shall not be permitted to attend permission of the health officer having jurisdiction, or physician acting by authority or consent of the healt shall state the conditions under which the pupil may 43163-23-15

close the schools because of the prevalence of any contagious or infectious disease or diseases, he or they shall serve written notice upon the board of school directors or the responsible officials of any private, parochial, public, or Sunday school in the same district in which such disease or diseases prevail, directing them to close all schools immediately, nor shall any such schools be reopened until ordered by the proper health official.

RULE 4. Exclusion from school for special diseases. In addition to the diseases elsewhere declared by these rules to be subject to quarantine, any child shall be excluded from any private, parochial, or public school by the health officer who is afflicted with the following diseases:

Contagious conjunctivitis. impetigo contagiosa, mumps, pediculosis (lice), ringworm, scabies (itch), or any suppurative disease of a foul or offensive nature: Provided, That in case of ringworm or scabies or pediculosis, the child may be allowed to continue school attendance at the discretion of the health officer if proper treatment be immediately instituted.

RULE 5. Exclusion from school for tuberculosis.—No child, teacher, or janitor suffering from tuberculosis shall be allowed to attend or work in any public, private, or parochial school.

County Health Officers-Duties. School Buildings and Grounds in Counties— Annual Inspection of and Report on. (Reg. Bd. of H., Jan. 14, 1920.)

Duties of the county health officer.-The county health officer shall be responsible for the enforcement in his county of the regulations prescribed by the State board of health outside of incorporated cities in which an effective city board of health is carrying out the minimum requirements of the State board of health. Upon failure of a city board of health to comply with these regulations, or when deemed advisable by the State board of health, the county commissioner of health shall assume jurisdiction.

It shall be a further duty of the county commissioner of health to make at least once each year a personal inspection of each school building and grounds within his county and to make a written report thereon to the State board of health at Jefferson City, between the opening and close of each school year upon blanks furnished for that purpose, copy of which report is to be presented to the board of education under whose supervision the school is operated, together with recommendations for such improvements as are necessary to maintain the school in a sanitary condition, and to insure the welfare of its attendants, taking into consideration the buildings, the arrangement of the school rooms, lighting and heating facilities, drinking water supplies, toilets, and adjacent environment.

Food Products—Preparation or Manufacture of, in Places Where Insanitary Conditions Exist Prohibited. (Reg. Bd. of H., Jan. 14, 1920.)

[CH. 2.] RULE 2. Manufacture of food products to be protected.-No person. firm, or corporation shall continue in any manner the preparation or manufacture of any food product in a place or building where there exists an insanitary toilet or other insanitary condition which may be detrimental to the health of the employees engaged in such manufacture or preparation or to the consumer of such product.

Polluted Water Supplies-Maintenance of, Prohibited. (Reg. Bd. of H., Jan. 14, 1920.)

[CH. 5.] RULE 2. Polluted water supply. No person or private or municipal corporation shall maintain any well, or other supply of water used for drinking