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Smallpox-Free Vaccination for Indigent Persons-School Attendance When Smallpox Exists in a Community. (Reg. Bd. of H., Feb. 7, 1920.)

SECTION 25. (f)1 If smallpox exists in a community, the county or city boards of health shall provide free vaccination for persons who have no funds to procure vaccination from other sources. When smallpox exists in a community no child, teacher, or janitor shall be permitted to attend school, or teach or labor therein, without presenting satisfactory evidence of having been successfully vaccinated within seven years from the date of the commencement of the school term: Provided, That should any city or county health officer, having jurisdiction over any school district in which there is a case of smallpox, be of the opinion that any pupil, teacher, or janitor, as mentioned herein, should not be vaccinated because of some physical defect or some active or latent disease, then such health officer shall refer the matter to a board of three competent, licensed, and practicing physicians, actually living within the jurisdiction of such health officer, such board to be appointed by the board of health having jurisdiction over such health officer; should a majority of such board of physicians, after a careful personal examination, be of the opinion that any such pupil, teacher, or janitor is not in condition to submit to vaccination and that such vaccination would prove harmful to such pupil, teacher, or janitor, then such health officer shall issue a certificate to that effect and such pupil, teacher, or janitor shall not thereafter be required to submit to such vaccination during the time specified by such board of physicians: Provided, That should action be referred to a board of physicians, as provided herein, then such pupil, teacher, or janitor shall be prohibited from attending, teaching, or laboring in or around such school until the matter is finally determined by such board of physicians.

Embalmers-Licenses. Boxes Used for Shipping Dead Human BodiesConstruction. (Reg. Bd. of H., Jan. 24, 1920.)

SECTION 76. (a) In addition to qualifications provided in section 144,2 chapter 264, of the general laws of Oregon for 1919, applicants must have had at least a high school education, five years' experience with a licensed embalmer who himself is a graduate of an approved school of embalming or must be a graduate of some approved school of embalming. Such applicant must be 21 years of age and at the time of filing application for taking such examination for embalmer's license must present recommendations of three licensed embalmers within the State of Oregon to the effect that such applicant has had the necessary experience as herein set forth and is of good moral character.

(b) Any person now holding a license to embalm dead human bodies in the State of Oregon, who did not renew such license pursuant to the provisions of section 145,2 chapter 264, of the general laws of Oregon for 1919, and who fails to renew such license on or before the 1st day of January, 1921, shall be declared delinquent, and such person in order to obtain another embalmer's license in the State of Oregon shall be compelled to take another examination as provided in section (a) of these rules and regulations. Any person holding a license to embalm dead human bodies within the State of Oregon shall renew his license on or before the 1st day of January of each year, and any person who fails to renew his license during any period covering two years shall be deemed to have forfeited his license and shall be compelled to take an embalmer's examination to secure another license in the State of Oregon.

'Supplement 42 to Public Health Reports, p. 689.

2 Id., p. 759.

(c) No person shall embalm dead human bodies in the State of Oregon for shipment or for burial unless he has obtained a license, as provided herein, to practice the art of embalming. No person shall hold out to the public or advertise that he is capable of embalming dead human bodies unless such person shall have procured his license as provided herein and has passed an examination as provided by law and by these rules and regulations.

(d) No person shall engage in the business of burying or shipping dead human bodies in any city or village in the State of Oregon of over 500 inhabitants who does not hold a license to embalm dead human bodies.

(e) Provisional licenses may be issued by the State board of health to persons engaged in the burial of the dead in villages of less than 500 inhabitants: Provided, however, That such provisional license does not entitle the holder thereof to embalm dead human bodies or to advertise or to hold out to the public that he is licensed or qualified as an embalmer.

(f) Any person who holds a license to embalm dead human bodies bearing the date of the year in which application is made to the State board of health, such license having been issued by the State of Washington or the State of Idaho, shall be granted a reciprocal license to embalm dead human bodies within the State of Oregon upon the payment of $10 to the State registrar of the State of Oregon, provided that such application shall be accompanied by the recommendation of two regularly licensed embalmers holding licenses to embalm dead human bodies within the State of Oregon.

(g) All shipping boxes in which dead human bodies are shipped from the State of Oregon or from one point to another within the State of Oregon upon any common carrier doing business within this State shall be made of material not less than thirteen-sixteenths of an inch in thickness, and such shipping boxes shall be provided with at least six handles which are to be placed two on each side of such shipping box and one on each end, and such handles shall be securely fastened to such shipping box by the use of stove bolts.

Homeless, Neglected, and Abused Children, and Foundlings and Indigent Orphans-State Aid to Benevolent or Charitable Institutions Caring for. (Ch. 45, Act Jan. 20, 1920.)

SECTION 1. That section 733 [of chapter 264] of the general laws of the State of Oregon for the year 1919 be, and the same is hereby, amended to read as follows:

SEC. 73. Each institution which has received from the State board of health the certificate provided for in section 71 of this act shall be entitled to receive from and out of the appropriations made by section 70 of this act State aid at the rate of $16 per month for each child of any of said classes over 5 years of age, and at the rate of $20 per month for each child of any of said classes not over 5 years of age. All sums to which any such institution becomes entitled under this act shall be paid quarter yearly, to wit: For the quarters ending on the last days of March and June and September and December of each year. Each institution shall present to the secretary of state an itemized statement showing the names and ages of the different children kept and maintained by it during the quarter and the length of time each child was so kept and maintained and the amount to which it is entitled for each year [quarter?] for such child and the gross amount it is entitled to for the quarter, but before being presented to the secretary of state said statement must have been presented to and approved by the secretary of the State board of health. Upon receipt of said statement so approved the secretary of state shall issue a warrant upon the State treasurer in favor of said Supplement 42 to Public Health Reports, p. 721.

institution for the amount to which it is entitled for the quarter covered by said statement.

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SEC. 2. That section 74 [of chapter 264] of the general laws of the State of Oregon for the year 1919 be, and the same is hereby, amended to read as follows:

SEC. 74. No institution which receives from the State of Oregon any direct and specific appropriation of money shall be entitled to receive any State aid under this act for any period covered by such appropriation; and no institution shall be entitled to any State aid under this act for any period covered by such appropriation; and no institution shall be entitled to any State aid under this act until it has had an actual bona fide existence of at least six months; and no institution which has less than 10 bona fide inmates of either or all of the classes mentioned in section 70 of this act shall be entitled to any State aid under this act; and in case any institution receives any sum from any person whatever for the specific support of any homeless, neglected, or abused child, foundling, or orphan, such sum so received shall be deducted from the amount paid by the State of Oregon to such institution for the support of such child.

* Supplement 42 to Public Health Reports, p. 721.

PENNSYLVANIA.

Quarantinable Diseases in Certain Hospitals, Asylums, and Educational Institutions-Reports of Cases by Person in Charge-Isolation and Other Measures to Prevent Spread. (Reg. Dept. of H., May 17, 1920.)

From and after the adoption and promulgation of this regulation the president, superintendent, or other person in charge of any hospital, house, or asylum, or educational institution in which students live, with the exception of such institutions as may be in cities of the first class, shall notify by telephone or telegraph the county medical director, or the commissioner of health, at Harrisburg, of the appearance of a case of quarantinable disease in such institution. The patient shall be immediately isolated in a hospital or in a room as remote as possible from other persons, and such other measures shall be taken to prevent transmission of the disease as shall be approved by the commissioner of health.

This regulation shall not be interpreted in any way to relieve physicians from their duty to report forthwith in writing cases which they may treat or examine in any such institution in the manner and form required by law. Cases Presenting Swelling Suggesting Mumps-Reports of, by Householders or Proprietors of Hotels or Lodging Houses. (Reg. Dept. of H., May 17, 1920.)

From and after the passage and promulgation of this regulation every householder or proprietor of a hotel or lodging house, having on his premises any person for whom no physician has been called and who shows swelling of the face or neck suggesting mumps, shall report this fact immediately to the health officer of the city, borough, or township, giving the name of the person and the location of said premises.

Poliomyelitis-Quarantine. (Reg. Dept. of H., May 17, 1920.)

From and after the passage and promulgation of this regulation the quarantine period of acute anterior poliomyelitis shall be a minimum period of 21 days from the date of onset or until the death or removal of patient. Pupils or Other Persons Afflicted with Certain Communicable Diseases or Infested with Lice-Exclusion from School. (Reg. Dept. of H., May 17, 1920.)

From and after the passage and promulgation of this regulation no child or other person suffering from acute contagious conjunctivitis (pink eye), impetigo contagiosa, pediculosis capitis, pediculosis corporis, scabies, tinea circinata, tonsillitis, or trachoma, shall be permitted to attend any public, private, parochial, Sunday, or other school; the teachers of public schools and the principals, superintendents, teachers, or other persons in charge of private, parochial, Sunday, or other similar schools are hereby required to exclude any such persons from said schools, such exclusions to continue until the case has recovered or become nontransmissible.

No child or other person excluded from any school by the provisions of this regulation shall be readmitted thereto until medically attested to in writing as being incapable of transmitting the disease or condition because of medical

treatment or as being recovered. Such attestation may be made by the attending physician, school physician, or the local board of health.

Every person who violates any order of the commissioner of health made in accordance with this regulation, or fails or neglects or refuses to comply with such order of the commissioner, shall be deemed guilty of a violation of the act approved the 27th day of April, A. D. 1905, P. L. 312, by the provision of which this regulation is passed and promulgated.

Pupils Admission to School Following Vaccination-Temporary Certificates of Vaccination. (Reg. Dept. of H., May 17, 1920.)

1. The department of health will countenance the admission to school of a child during the 8 to 15 day period which must elapse between the time of vaccination and the issuance of a certificate of successful vaccination.

If, at the expiration of this period, the child fails to submit a certificate of successful vaccination, said child must be excluded immediately from school: Provided, That, if a second vaccination is made at once, the pupil may remain in school until a second period of from 8 to 15 days has expired, whereupon exclusion will be enforced unless a certificate of successful vaccination is submitted to the school authorities or unless a temporary certificate of vaccination is submitted to the school authorities.

2. When a temporary certificate of vaccination has become invalid by virtue of the expiration of the current school year, the school child holding said certificate must again be vaccinated, free of charge, by or in the presence of the county medical director, his authorized deputy, or the medical officer of a board of health. Said officer shall then issue a new temporary certificate (Form 75-A) good for the following current school year only. The certificate may be countersigned by the attending physician.

Night Soil-Treatment of, When Used on Ground Where Vegetables Which Are Eaten Uncooked Are Grown. (Reg. Dept. of H., May 17, 1920.) Whereas an act1 of assembly approved the 20th day of May, 1913, provides that night soil used on ground on which vegetables are grown which are eaten uncooked shall be treated by a process approved by the commissioner of health, therefore the following regulations are hereby adopted and set forth the methods which may be approved for such treatment, it not, however, being the purpose of these regulations to exclude any other process which may be submitted and which in the opinion of the commissioner of health may be equally satisfactory:

1. Kiln drying.-Night soil which has been treated by the process of drying in kilns constructed and adapted for that purpose, and which has in such kiln been subjected to a temperature of not less than 180° Fahrenheit for a period of not less than two hours, may be used as a fertilizer or otherwise on ground whereon vegetables are grown which are eaten uncooked.

2. Treatment with quicklime in pits.-Night soil which has been deposited in pits specially constructed for that purpose which are practically waterproof, and the tops of which extend far enough above the surface of the surrounding ground to protect them from surface water, may be subsequently used as a fertilizer or otherwise on ground where vegetables are grown which are eaten uncooked under the following conditions:

(a) At the time of each deposit of night soil in a pit a quantity of quick lime shall be added in the ratio of 1 cubic foot of quicklime for each 3 cubic feet of night soil.

1 Reprint 264 from Public Health Reports, p. 399.

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