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State Institutions-Reports to State Board of Health-Isolation or Removal of Communicable Disease Patients-Air Space Per Person. (Reg. Bd. of H., Nov. 8, 1920.)

REG. 58. State institutions.-RULE 1. The regular physician of every State institution where men, women, or children are kept at the expense of the State, as children of industrial schools, dependent children, inmates of institutions for the insane or feeble-minded persons and inmates of penal institutions, must report annually to the State board of health such information as may be required. RULE 2. When any communicable disease appears in any State institution, the patient or patients must be properly isolated and if necessary removed from the institution to a place of safety where they shall have proper medical attention and care until they may be safely returned.

RULE 3. In order that the health and lives of the inmates of any and all of the State institutions may be properly protected it is required that all buildings for State institutions be supplied with fireproof stairways and fire escapes as required by law for other buildings.

RULE 4. Inmates of State institutions must at all times be supplied with a sufficient amount of fresh air. In calculating the cubic-foot air space per person, the height of the room should not be measured beyond 12 feet above the floor.

Since a child in proportion to its weight exhales about twice as much carbon dioxide as an adult, it should generally be provided with as much air space as is required by an adult.

Under ordinary conditions a complete change of air in a room can not be made more often than three times each hour without causing too much draft. Upon the rapidity with which the air is changed will depend the cubic space necessary for each person occupying a room.

On account of varying circumstances it is impossible to specify the definite cubic-foot air space required for each inmate of any institution, but a general idea of the floor area, cubic space, and fresh-air supply per inmate is given in the following table:

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Milk and Cream-Production, Handling, and Sale. (Reg. Bd. of H., Nov. 8,

1920.)

REG. 55. Sanitation of dairies and the sale of milk and cream.-RULE 1. All buildings used for stabling cows for dairy purposes shall be properly constructed, well lighted, well ventilated, and provided with a suitable solid floor of plank, cement, or other impervious material that can be readily cleansed, and laid with proper grades and channels to carry off all drainage.

RULE 2. No water-closet, privy, cesspool, urinal, inhabited room, or workshop shall be located within any building or room for stabling cows, or for the storage of milk or milk products; nor shall any fowl, hog, horse, sheep, goat, or other animal be kept in any room used for milking or for storing milk or milk products.

RULE 3. All rooms and stables in which cows are milked shall be thoroughly cleaned and in good repair, and shall be painted or whitewashed once each year. RULE 4. All manure shall be removed at least once daily from the room or stable in which cows are milked, and shall not be stored where odor from the same will be noticeable at the stable or milk room,

RULE 5. All persons keeping cows for the production of milk for sale shall cause each cow to be kept clean and groomed.

RULE 6. The sale of watered or adultered milk; or milk from cows kept upon garbage, sugar-beet pulp, swill, or other substances in a state of fermentation or putrefaction; or milk from cows kept in connection with a family in which there exists any communicable disease which may be carried by milk, is prohibited.

RULE 7. Every person using any premises for keeping cows shall cause the yard or pasture in connection therewith to be provided with a proper receptacle for drinking water for such cows, and none but fresh, clean, pure water shall be stored in such receptacle: Provided, That this shall not apply in case of a pasture through which runs a stream of pure water.

RULE 8. Any inclosure in which cows are kept shall be graded and drained so as to keep the surface reasonably dry and to prevent the accumulation of water therein, and no garbage, urine, fecal matter, or similar substances shall be placed or allowed to remain in such inclosure, and no open drain shall be allowed to run through it.

RULE. 9 All milk shall be removed, as soon as drawn, from the stable to the milk room. The milk room shall be separate from the stable in which the cows are kept and shall not be used as a living or sleeping room, but shall serve for the handling and keeping of milk and cream exclusively. It shall be sanitary in construction, properly screened, supplied with proper ventilation, light, and pure water, and suitable facilities for straining, cooling, and storing milk or milk products. Ample provision shall be made for washing and sterilizing all utensils and apparatus in which milk is removed, stored, and delivered.

RULE 10. All utensils used for the reception, storage, or delivering of milk or cream shall be made of glass, stoneware, glazed metal, or tin plate free from rust and of sanitary construction.

RULE 11. All cans, pails, strainers, coolers, dippers, separators, bottles, churns, butter workers, and other dairy utensils shall be cleansed from all remnants of milk and scalded with boiling water or live steam after each use.

RULE 12. All milk shall be strained through clean 80-mesh wire strainers, or properly sterilized cloth, and shall be cooled to 60° F. or below within one hour after it is drawn from the cow. It shall be kept at 60° F. or below until it leaves the farm, and if retailed to the consumer, until delivered. Warm milk shall not be mixed with cold, but shall be kept in separate vessels until properly cooled.

RULE 13. All milk or cream cans delivered to creameries or dealers in cities shall be covered with tight-fitting lids, and when conveyed in open wagons shall be covered with clean canvas while being so conveyed.

RULE 14. No person, firm, association, or corporation buying, storing, or receiving milk for the purpose of selling the same for consumption as such, or for manufacturing it into butter, cheese, ice cream, condensed milk, or other human food, shall keep the same in utensils, cans, vessels, or rooms that are

unclean, or have insanitary surroundings, or drainage, or under conditions favorable to unhealthfulness or disease. Milk to be sold for consumption as such, within one hour after it is received, shall be cooled to a temperature not higher than 60° F., and shall be kept at such temperature until delivered.

RULE 15. Every person engaged in the production, storage, transportation, sale, delivery, or distribution of milk, immediately on the occurrence of any case or cases of typhoid fever, scarlet fever, or any other communicable disease which may be carried by milk, either in himself or his family or among his employees or their immediate associates, or within the building or premises where milk is stored, sold, or distributed, shall notify the local health officer.

RULE 16. No person having a communicable disease which may be carried by milk, or having recently been in contact with a person having such disease, shall milk or handle cows, measures, or other vessels used for milk or milk products intended for sale until all danger of communicating such disease to other persons shall have passed, as determined by the local health officer.

RULE 17. No vessels which have been handled by persons suffering from communicable diseases which may be carried by milk shall be used to hold or convey milk until they have been thoroughly sterilized.

RULE 18. No bottle, can, or receptacle used for the reception or storage of milk shall be removed from a private house, apartment, or tenement wherein an infectious disease exists until such bottle, can, or receptacle shall have been properly sterilized under the direction of the local health officer.

Meat, Fish, Fowl, or Game-Protection of, While Being Transported. (Reg. Bd. of H., Nov. 8, 1920.)

REG. 54. Sanitary requirements in the transportation of meats, fish, fowl, and game.-Every dealer in slaughtered fresh meats, fish, fowl, or game for human food, at wholesale or retail, at any established place or as a peddler, in the transportation of such food from place to place to customers shall protect the same from dust, flies, and other vermin or substance which may injuriously affect it by securely covering it while being so transported.

Food and Drugs-Analyses-Standards-Adulteration and Misbranding— Labeling-Organization and Duties of Division of Food and Drugs Under State Board of Health. Water Supplies-Analyses. (Reg. Bd. of H., Nov. 8, 1920.)

REG. 48. Division of Chemistry.-The State chemist will make, free of charge, the following examinations:

1. Chemical analyses of foods and drugs.

2. Sanitary, chemical, and bacteriological analyses of samples of water from the water supply of towns or school districts.

General instructions.-The samples of foods and drugs for analysis must be collected by the food and drug inspectors appointed by the State board of health and supervised by the pure food commissioner, to whom reports of such analyses are made.

Analyses of samples of water from the water supply of towns or school districts will be made "whenever such water supplies are suspected of being contaminated," but such analyses are made only on request of the authorities of the towns or school districts in which said suspected water sources are located. Reports of such analyses will be made to municipal health officers or other authorities concerned. In sending samples of water state definitely to whom the report is to be sent. A copy of all these reports is placed on file in the office of the State board of health.

Samples of water can be sent only in bottle and container supplied with ice, such as are specified by the State chemist. Early attention to the condition of any water would be favored by the purchase by each board of county commissioners in the State of such specified bottle and container, information concerning the cost of which may be had from the State chemist or the State board of health.

Directions accompanying the bottle for water samples.-This bottle has been sterilized. Rinse it in some of the water to be analyzed. Then fill it. Do not let anything touch that part of the stopper that fits into the neck of the bottle. Tie a clean piece of cloth over the stopper. Put ice around the bottle in the container and ship, express prepaid, to the State chemist, Boulder, Colo.

P. S. Do not ship so that the container will arrive in Boulder on a Saturday, Sunday, or holiday.

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REG. 49. Division of food and drugs.-RULE 1. Articles subject to Federal jurisdiction; original packages. The provisions of the Colorado Food and Drugs Act do not apply in the case of articles of food and drugs remaining in original packages and the subject of interstate commerce under the Federal jurisdiction. The term "original package as used in section 1 of the act is the original package, carton, case, can, box, barrel, bottle, vial, or other receptacle put up by the manufacturer or dealer, to which the label is attached, or which may be suitable for the attachment of a label, making one complete package of the food or drug article. The original package contemplated includes both the wholesale and the retail package.

When for any reason an adulterated or misbranded article of food or drug passes beyond the Federal control of interstate commerce within the State, it immediately becomes subject to all the provisions of the Colorado Food and Drug Act, and the shipper or dealer liable to all the penalties imposed thereby. RULE 2. Collection and identification of official samples.-Food and drug inspectors are hereby authorized to collect samples of food and drug products for analysis, as are also the health officers of cities, towns, and counties of the State.

An official sample is one upon which prosecution may be based. The following rules governing the collection and preparation of official samples must be observed:

a. Samples may be purchased in the open market.

b. Collectors shall collect representative samples.

c. If in bulk, the marks, brands or tags, or accompanying printed or written matter shall be noted.

d. Samples taken from food and drug products sold in bulk shall be immediately inclosed in suitable containers and sealed by the inspector collecting such samples.

e. The inspector shall write upon the seal, in ink or indelible pencil, the date of taking sample, his serial number and his name in full, for the purpose of identifying said sample.

f. Inspectors' seals shall be so attached that the sample may be opened by the analyst without destroying the identification marks.

g. Samples sold in sealed packages or other containers shall, for the purpose of identification, be sealed and marked by the collector in the manner above described.

h. In all cases where samples are taken for analysis a like sample sealed and marked for identification, as in the case of the original sample, shall, upon request, be left with the vendor or his agent. In the case of samples taken from bulk, the sample left with the vendor shall be a part or division of the original sample taken for analysis.

i. Whenever a sample is taken for bacteriological examination such sample and a duplicate thereof shall be placed in properly sterilized receptacles furnished by the division of food and drugs.

j. Inspectors shall keep a permanent record of all samples collected, which record shall include identification marks and dates noted upon the seal, together with the name of the person or persons from whom purchased, all material statements appearing upon the label, such as indicate the nature or composition of the drug or food product, and the date and manner of delivery of such sample to the food and drug commissioner.

k. Samples collected for analysis shall be delivered without unnecessary delay to the food and drug commissioner.

RULE 3. Methods of analysis.-Unless otherwise directed by the State board of health, the methods of analysis employed shall be those prescribed by the Association of Official Agricultural Chemists and the United States Pharmacopoeia.

In cases where the food sample under investigation is of a perishable nature, or where the adulteration is due to decomposition or to the presence of filthy, decomposed or putrid animal or vegetable substance, which may readily be disclosed by physical examination, such examination may be made by the food commissioner or food inspectors, and action based thereon.

RULE 4. Hearings.-When the analysis or examination of an official sample shows that an article of food or drug is adulterated or misbranded within the meaning of this act, the food and drug commissioner shall give notice to the party or parties against whom prosecution lies under this act for the manufacture, sale, or shipment of the adulterated or misbranded product, and fix a time and place at which such party or parties may be heard.

Unless otherwise ordered by the State board of health, the food and drug commissioner shall conduct all such hearings, and in all cases wherein it shall appear that the provisions of this act have been violated, shall give notice to the district attorney of the proper judicial district. Said notice to the district attorney shall include all material facts in connection with the case, together with an authenticated copy of the report of the analyst or other officer making the examination, and a transcript of all evidence submitted and all matters considered at such hearing.

Hearings shall be private and confined to questions of fact. The parties interested therein may appear either in person or by attorney, and may submit proper interrogatories to be propounded by the officer conducting the hearing. Such hearing shall not include the right of cross-examination.

The purpose of the hearing herein required is to discover all material facts in connection with each case wherein a violation of the food and drugs act is alleged, and to this end the food and drug commissioner shall permit the widest possible latitude as to the scope of the inquiry and the nature of the evidence submitted.

Employees of this department are not permitted to disclose any of the evidence submitted or matters considered at hearings, except as such may be certified to the district attorney for action.

RULE 5. Publication.—When a judgment of the court shall have been rendered there may be a publication of the findings of the analyst or examiner, together with the decision of the court. These publications may be in the form of circulars, notices of judgment, or bulletins, as the food and drug commissioner may direct, and shall not be made prior to 30 days after judgment. If an appeal be taken from the judgment of the court, notice of appeal must be included in the notice of judgment or other publication.

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