Hotels and Restaurants-Sanitary Regulation-Inspection-Health Certificates Required of Employees. (Act 470, Mar. 6, 1920.) SECTION 1. That a hotel within the meaning of this act is an inn or public lodging house of more than 10 bedrooms where transient guests are fed or lodged for pay in this State. The term "restaurant" as used in this act shall include lunch counters and cafés. The term " transient guests," within the meaning of this act, shall mean one who puts up for less than one week at such hotel. * * * * SEC. 7. In all cities, towns, or villages where a system of waterworks and sewerage is maintained for public use every hotel therein accessible to water main and sewer main shall be equipped, within six months after the passage of this act, with suitable water-closets for the accommodations [sic] of its guests, which water-closets shall be connected and trapped by proper plumbing with such water and sewerage systems, and there shall be some adequate means of flushing said water-closets with the water in such manner as to prevent sewer gas from arising therefrom. The wash bowls in the main washroom of such hotel must be connected and trapped and equipped in similar manner, both as to method and time, all such equipment to be paid for by the owner. SEC. 8.2 In all towns and villages not having a system of waterworks in cases where the water is derived from some public water supply, shall be in the preceding section provided, shall have properly constructed privies as approved by the State board of health, the same to be kept in sanitary condition at all times. SEC. 9. The proprietor of every hotel shall keep all cisterns, tanks, and other receptacles containing standing water screened or otherwise so covered as to prevent the entrance of flies, mosquitoes, and other disease-carrying insects. The term standing water as used in this act shall mean water that remains for 10 days or more in a cistern, tank, or other receptacle. 66 SEC. 10. A sample of water used in every hotel and restaurant except in cases where the water is derived from some such public water supply shall be sent by the proprietor to the State board of health for analysis twice each year, with a certificate that it is the water used in such hotel or restaurant, and if the sample is found by such analysis to be unfit for the use that is made of the water in the hotel or restaurant the further use of such water shall be discontinued until permission is granted by the said State board of health to resume the use of such water. SEC. 11. The proprietor or keeper of every hotel or restaurant shall at all times keep screened the outside doors, windows, and all openings of the kitchen and dining room with suitable mesh wire gauze. Every hotel must have all bedroom windows screened for protection against flies, mosquitoes, and other insects, and it shall be the duty of the proprietor or keeper of every hotel and restaurant to use such other means as fly paper, fly traps, etc., as may be necessary to keep their restaurant, kitchen, and dining rooms reasonably free from flies. SEC. 12. All hotels shall hereafter provide each bed, bunk, cot, or other sleeping place for the use of guests with pillow slips, under and top sheets to be of sufficient width to cover the mattress thereof and to be at least 90 inches long. All pillow slips and sheets after being used by one guest must be washed and ironed before being used by another guest, a clean set being furnished each succeeding guest. 2 This section reads the same as in the session laws. SEC. 13. All beds, bed clothing, mattresses, and pillows shall always be kept clean and free of vermin. SEC. 14. Every room after being occupied by any one known or suspected to be suffering from tuberculosis, diphtheria, or other contagious disease must be thoroughly disinfected as prescribed by the State board of health before further occupancy, and every room after being occupied by anyone known or suspected to be suffering from measles or whooping cough must be thoroughly aired for 24 hours before subsequent occupancy. SEC. 15. All hotels shall furnish each guest with a clean towel and individual soap, and the use of the roller or other towels used in common is hereby prohibited in all hotels and restaurants. SEC. 16. The refrigerator, ice boxes, and cold-storage rooms of all hotels or restaurants must be kept free from foul and unpleasant odors, mold, and slime. The kitchen must be well lighted and ventilated, the floor clean, and the side walls and ceilings free from cobwebs and accumulated dirt. SEC. 17. All dishes, tableware, and kitchen utensils must be thoroughly washed and rinsed with clean water after using; food served to customers when part of same has been used must not again be served to customers. SEC. 18. All garbage must be kept covered and protected from flies, in barrels or galvanized iron cans, and removed at least twice a week. SEC. 19. Every lodging house and every part thereof shall at all times be kept free from filth and rubbish in or on the premises belonging to or connected with the same. All water-closets, wash basins, bath [sic], windows, fixtures, fittings, and painted surface shall at all times be kept clean and in good repair. The floors, walls, and ceilings of all rooms, passages, and stairways must at all times be cleaned [sic] and in good repair. SEC. 20. For the purpose of carrying out the provisions of this act the State board of health is authorized and required to have inspected, through its inspectors to be by it designated therefor, all hotels and restaurants in the State at least once a year. If upon inspection of any hotel or restaurant it shall be found that this law has been fully complied with, the secretary of the State board of health shall issue a certificate to that effect to the person operating the same, and such certificate shall be kept posted in plain view in some conspicuous place in said hotel or restaurant: Provided, That for the purpose of carrying out the provisions of this act a fee for inspection shall be collected from each hotel, lodging house, or restaurant according to the following schedule: For each hotel or public lodging house of 10 to 20 rooms, $3; for 20 to 30 rooms, $5; for 30 to 40 rooms, $10; for 40 to 60 rooms, $15; for 60 to 100 rooms, $20; for 100 rooms and above, $25. For each restaurant, $10. SEC. 21. The official representative or inspector of the State board of health shall, after inspection, make a report of the condition of the hotel inspected upon blanks to be provided by the State board of health, showing in detail the condition of the hotel with reference to compliance with this law, which report shall be filed in the office of the commission. SEC. 22. The inspectors or representatives of the State board of health are hereby empowered and authorized to enter any hotel at all reasonable hours to make such inspection; and it is hereby made the duty of every person in the management or control of such hotel to afford free access to every part of the hotel and to render all aid and assistance necessary to enable the inspector to make a full, thorough, and complete examination thereof; but no inspector shall violate the privacy of any guest without his or her consent. SEC. 23. The representative or inspector of the State board of health herein required to be appointed by it shall adopt the score-card system; after each inspection of the State board of health, or inspector, shall issue to each hotel, lodging house, or restaurant an inspection score card showing the per cent or degree of compliance with the provisions of this act. SEC. 24. Before any owner or manager of any hotel, lodging house, or restaurant shall receive in its employ any cook, waiter, or other employee they shall require a health card showing that such employee has stood a physical examination by some reputable physician and that they are free from all infectious and contagious diseases and are in sound health. SEC. 25. It shall be the duty of the inspector, upon ascertaining, by inspection or otherwise, that any hotel is being carried on contrary to any of the provisions of this act, to notify the manager or proprietor in what respect it fails to comply with the law, requiring such persons within a reasonable time to do or cause to be done the things necessary to make it comply with the law, whereupon such proprietor or manager shall forthwith comply with such requirements. SEC. 26. Any owner or manager, agent, or person in charge of a hotel or restaurant, or any other person who shall willfully obstruct, hinder, or interfere with any inspector in the proper discharge of his duty, or who shall willfully fail or neglect to comply with any of the provisions of this act after notice from the inspector or any other person in authority, shall be guilty of a misdemeanor and, upon conviction thereof, be fined not less than $25 nor more than $100 for each offense, and each day of failure to comply with the provisions of this act shall be a separate and distinct offense. SEC. 27. It shall be the duty of the inspector, in case he shall have knowledge of any violation of this act, to swear out a warrant against the person offending. SOUTH DAKOTA. Influenza-Reports of Cases-Placarding-Isolation-Disinfection—Attendance at Gatherings-Quarantine-Restriction of Visiting at Hospitals— Duty of Attending Physician-Removal of Cases-Spitting in Public Places Prohibited-Funerals. (Reg. Bd. of H., Jan. 7, 1920.) REGULATION No. 239. The State board of health hereby declares influenza to be a contagious, infectious, and communicable disease and dangerous to public health. REG. NO. 240. Influenza to be reported-by whom.-Every physician, nurse, or other attendant, druggist, principal directing officer of any hospital, school, jail, or other similar institution, parent, householder, or other person having knowledge of a known or suspected case of influenza shall, within 12 hours of such knowledge of such known or suspected case coming to his notice, report the same in writing or by telephone to the superintendent of the county board of health, of the county where such case may exist. All such reports as are made by telephone shall be followed by a written report within 12 hours. Upon receipt of such report the superintendent of the county board of health shall immediately forward copy of same to the superintendent of the State board of health. REG. NO. 241. Contents of report.-Such report shall state the name, address, age, occupation, name and address of employer of such diseased person, the date of onset of the disease, school attended, if any, precautions taken to prevent the spread of the infection, and the name and address of the person making the report. REG. NO. 242. Placarding.-Whenever a case of influenza is reported to the superintendent of the county board of health, he shall affix in a conspicuous place at each outside entrance of the building, house, or flat, as the case may be, a red warning card, not less than 10 by 14 inches in size, on which will be printed in black, with bold-face type, the following: "Influenza" in type not less than 3 inches in height, and " Keep out" in similar type not less than 2 inches in height. Defacement of such placards or removal by any person other than the superintendent of the county board of health or a duly authorized representative of the State or county board of health is strictly prohibited. REG. NO. 243. Isolation of patient and other necessary precautions.—Any person having influenza together with the necessary nursing attendant shall be confined to a large, well-ventilated room of proper temperature, as remote from other occupants of the premises as is practicable and necessary to avoid contact. The period of isolation shall continue during the course of the disease and until all clinical manifestations of the disease have disappeared and the temperature has been normal for five successive days. None other than the necessary medical and nursing attendants shall enter the sick room or come in contact with the patient. Visiting on premises on which a known or suspected case of influenza exists is strictly prohibited. All discharges from the respiratory tract, mouth, throat, and nose of the patient shall be received on cloths which shall be burned immediately after using, or [placed] in vessels containing an approved disinfecting solution. Soiled body and bed clothing shall be disinfected by boiling or by immersion in an approved disinfecting solution such as a 5 per cent compound cresol solution. Any article used by the patient or attendants such as knives, forks, spoons, glasses, cups, plates, etc., must be disinfected before leaving the sick room. Floors, furniture, and woodwork should be wiped up daily with an approved disinfecting solution. When the foregoing precautions are properly observed, other occupants of the premises who show no evidence of illness need not be confined to the premises. It is required, however, that persons residing on premises on which a case of influenza exists should refrain from attending public gatherings and avoid unnecessary contact with other persons. It shall be the duty of the superintendent of the county board of health to determine if the foregoing precautions are being observed and whenever it is discovered that proper observance is not exercised, he shall at once place the premises and all inmates thereof under strict quarantine, prohibiting inmates from leaving the premises and others from entering the premises, except the necessary medical attendant. REG. NO. 244. Regulating admittance to hospitals.-Whenever influenza is epidemic or threatens to become epidemic in the community, visitors shall be excluded from hospitals, except in case of actual emergency such as impending death, and shall be admitted then only when every precaution is taken to protect the patient, attendants and other inmates, the visitor, and the public. REG. NO. 245. Instruction-duty of physician.—It shall be the duty of every physician attending a case of influenza to see that the patient and the attendant are properly isolated in accordance with these rules, to advise the patient, the members of the family and household, and the attendant as to the nature of the disease, the means whereby the infection may be avoided, and the provisions of these rules. REG. NO. 246. Removals.-No case of influenza shall be removed from the premises on which it is found unless consent to such removal be first obtained from the county board of health or from the State board of health. No case of influenza shall be removed from any city, village, township, or county in which it is found unless consent to such removal be first obtained from the county health authorities of the jurisdiction from which and to which removal is contemplated. REG. NO. 247. Terminal disinfection.-Upon the termination of the case, the premises occupied by the patient shall be given a thorough cleansing, airing, and sunning. REG. NO. 248. Spitting in public places.-Inasmuch as the infective organism of influenza is harbored in the respiratory tract, mouth, nose, and throat, discharges from same shall not be cast in public places during an outbreak or threatened outbreak of the disease. All such discharges should be received in handkerchiefs, or cloths which shall be burned or disinfected by boiling or immersion in any approved disinfectant after using. REG. NO. 249. Funerals.--Public funerals in deaths from influenza are prohibited. Only the inmates of the premises on which the death occurred and the immediate relatives of the family may attend. Church funerals are prohibited. Public Health Nursing-Regulations Governing. (Reg. Bd. of H., Apr. 13, 1920.) REGULATION No. 250. General qualifications.-All nurses employed in publichealth nursing in the State of South Dakota shall possess all of the qualifications now or hereafter required by law for professional regularly graduated and registered trained nurses in this State. In addition they shall have the |