Jasper County Democrat, Volume 2, Number 45, Rensselaer, Jasper County, 10 February 1900 — INDIANA STATE BOARD OF HEALTH. [ARTICLE]

INDIANA STATE BOARD OF HEALTH.

W—ltfc tta» brihM State Board as Hus It*, Accetatta* to Chapter XVI. Acaa of 18Ml toFrettesat Oatbreaks sad the Spread < COte*a<4oaa, Inthctin— sad Other Dieeaaea, aad Flor the Goveraaarat oT Subordinate Boards of Health aad AU Health Odem- Ffctaed la jßegalar Hrsarioa, October 13, 1033 Bales For the Gowromeil oT County. City aad Town HeMth OBcew. Role L The. commtmleabte diseases taaaerous to the public healm. and whicx shall be Immediately reported to the near* eat health officer, are hereby dec-arod to be yellow fever, smallpox, cholera, diphtheria, membranous croop, scarlet fever, measles, whooping cough, typhus fever. . cerebro-spinal meningitis, typhoid fever, bubonic plague, leprosy and pulmonary tuberculosis. Pulmonary tuberculosis and typhoid fever shall not be-ouarantinad. but shall be immediately reported. Rule H It shall be unlawful for any School teacher or other school officer to admit to any public, private or parochial school, whether as a pupil, or otherwise, any person affected with any communicable . disease dangerous to the public Rule X It shall be unlatfrul for any parent, guardian or other person having control of any child affected by any contagious or infectious disease dangerous to (be public health, to permit said child to attend any public, private or paro.hial school, or. be present in any public piece. Rule 4. It shall be unlawful for any school teacher or other school officer to admit to any public, private or parochial school, whether as a pupil or otherwise, person who has come from. or who resides in any bouse or building affected with any communicable disease dangerous to the public health, or who has recently been affected with any communicable disease dangerous to the public health, unless such person shall first present. a certificate signed by a reputable physician stating that all danger of com municating such disease Is past, and certificate has been approved and in- • < *® rsed by the health officer in whose Jurisdiction such person may reside. Rule 5, County, city and town Boards of Health shall. at all times, exercise supervision over the location, drainage. Water supply, heating, veatilation, plumbing and disposal of excreta of all school houses and all public buildmgs within their jurisdiction. No sewer or other drain through which it is contemplated to dispose of sewage stall be constructed by any public officer or person or corporation until the plans for such sewer shall have been submitted to and approved b> the local Board of Health tossessmg jur- . isdiction of the territory in which such 1 tower or drain is proposed to be construe- , ed. No school house or other public building shall be erected until the i therefor shall have bwn submitted to. and the provisions for drainage water supply, heating, ventilation, plumbing and disposal of excreta shad have been approved by the local Board of Health within whose jurisdiction such school house or other public baking in proposed to be erected. Upon notification by any person it stall be the duty of the local Board of Health to examine into the location, drainage, water supply. ventilation, plumbing and tLsposal of excreta of any school house or other public building within its •’hsdfct oE. If in the judgment of such lx±r d of Health, th. location, drainage, water supplv. beatl-g ventilation, plumbtng or disposal of excrota of any such scheo! house or pabU building shall be. so defective as to be detrimental to public health, it shall be tho duty of the local Board of Health immodiately to notify the proper officer having charge aac control of such school house or public building of the nature of the existing defect, and of what should be done to correct the same, and it shaii thereupon be the duty of the person or persons having charge and control ot said school house or public building forthwith to cause such changes in the location. ?£ dna T ! ’ y* ter « u PPIy- beating, ventilation, plumbing or disposal of excreta as have been recommended by the local Board of Health to be made, and it shall be unlawful tor such person or persons ; having authority over such school house ' or public building to permit the same to Continue without making the change or by the local Board of Health for a longer period than ten days from the time of the receipt by such Person or persons of the order of the 4>cal Board of Health recommending such change or changes. An appeal may be token in case of disagreement to the State Board of Health, and. pending such appeal. the order of the local board shall stand. .. Rn ‘ e *• «'•«s of sickness, it shall be the duty of every person who shall know or suspect that the person taken sick is affected with any communkabie dangerous to the public health, toSS immediate notice to the Health Officer within whose jurisdiction such sick person may be found. Rule 7. Every physician who shall know or suspect that any person whom he is called upon to visit. or about whom be is consulted, has any communicable dancer ' lu " to the public health, shall immediately give notice, together with the locality ard description of t~e case, to the Health Officer within whose jurisdiction such sick perron rosy be found. J

Rule 8. - It shall be unlawful tor any person having control of any child or children to go from any hous-- or bailing infected with any disease dangerous to the public health .omittlng tuberculosis and typhoid fever* to attend any public, private or parochial school or Sunday school, or any churvh. theater, opera house. mu<r ha!? n>ace of public entertainment, or any picnic or pubUc gathering, or to travel in any street car or public vehicle. veas»L steamer, train, or to travel or be on any public ~ nigii way, street* aliey. public square er •rounds, or In any park, without first procuring a permit from the county or ' local Health Officer, and they shall obey - fully all official sanitary directions found 1 in the health rules or which may be civen by the Health Officer. i Rule S. It shall be unlawful for any ' person to enter or leave any house or ■ building infected with any communicable disease dangerous to the public health to ' attend any church, public meeting* or place of amusement, or to travel on any street car or public vehicle, vessel or steamer, or travel or appear on any public street or highway, without first procuring a. permit from the Health Officer exercising jurisdiction, and obeying absolutely his directions as to all sanitarv precautions which shall be observed. Rule 10. It shall be unlawful for any ’ Person who is, or has been recently, affected with any communicable disease 1 dangerous to the public health tom tting pulmonary tuberculosis!, to travel or anpear upon the public streets or or to appear in any public place or gathering. or to travel in any public vehicle or vessel, until a certificate is made by the attending physician to the Health Officer within whose jurisdiction the cw occurs, stating that aji danger from infection or contagion by reason of such disease is passed, and such certiorate is approved and indorsed by said Health Officer.

Rulell, Whenever * Health Officer »hali hnow or suspect or be informed of the existence of any comm-.,r dlsxase dangerous to the public health, and there be no physician In attendance. or should any physician white in attendance fail dr refuse to imnsrxl t e'y report such case-to the Health Officer, it snail be the duty of said Health Officer, or deputy tc examine such- case or cases ofalleged dargerous to the aßd £* “ by the t?** 8 governing such cases of rif link able diseases. Rule 12. In an cases where there has Deen an exposure to smallpox of any per°rJ‘t'sons ’ »t shall be the duty of thHMlth Officer under whose Jurisdiction Mid person or persons may be temporarily or permanently residing, to quarantine for fourteen days such person or persons be exposed or suspected 5f havmg been exposed to smallpox, and to advise vaccination or re-vaddnaiian of al! who may have been thus exposed. It . t »» er y t>T » duty of the Health Officer to enforce this rule, and tn case of refusal or neglect by said to , fflowly the reguirea* !“Vs* y o<h«r rule*, it shall *o U*? Secretary of Um State jiHMMLra oc HMilta to MRM *nd

I.’ . I •Ether to person or by his deputy enforce the foregoing rules. All vaccinations stall be made with non-humantzed virus, the only exception being that, during an epidemic of smallpox, should a sufficient quantity of bovine virus not be obtainable. humanised virus may be used when aanetiar.cd by the Foard of Health under whose j Tfcdiction said epidemic may occur. Rule J?_ Whenever a physician is called I upon to attend a case of communicable | disease Ct ngerous to the public health, it j I Stall be his duty to immediately report | such c.-e to the local Health Officer under whr » jurisdiction such case may oc- | • cur. art then n shall be the duty of such Health Officer to establish quarantine im- , mediately by placarding the house and ! officially informing the householder, com-1 ‘ mandirg the numbers thereof not to leave the premises except by permission under the sanitary directions of the Health Of- , ficer. The card used for placarding shall ■ Ximxjd asroefp sqt jo • stnsu eqt qtjM i r not be less than twe.re inches square. ! printed tbereon. and said card to be post-1 ed in a conspicuous location. The card or flag for cholera shall be black, with Uje name ait the disease printed in white i letters. The card or flag for smallpox shall be red. and have the name of the i diwsse printed thereon. The card or flag i for diphtheria, membranous croup, scar- [ let fever, measles, whooping cough, ty- ■ phus fever and cerebro-spinal meningitis ! shall be yellow, with the name of the dls--1 ease printed thereon. No person shall re- , move or cause to be removed (except as ; already provided) any such card or flag, j ■nd the quarantine shall not be raised I until a certificate is made by the attending physician satisfactory to the Health , Officer in authority that the disease has I subsided and all danger of contagion or I infection by reason of such disease is I pursed, and that proper disinfection sat- > isfactory to the Health Officer has been , accomplished. Any person violating the ! ' quarantine or causing the removal (ex- • eept as provided) or mutilation of said i card or flag before a proper certificate t has been placed in the hands of the ■ Health Officer in authority, upon convic- ' ' tion. shall be subjected to the penalties • provided in section 13 of an act approved ■ t February 7. 18S9. In cities and towns, I ! flags or cards shall be provided by city or i town Boards of Health, and outside the > corporate limits of cities or towns, by county Boards of Health. Every physician attending a case of smallpox, diphtheria. membranous croup, scarlet fever, or other communicable disease dangerous to the public health, shall use every rea- i suitable precaution to prevent communi- | • eating the disease to others. Rule 14. It is hereby made the duty of ; a ®J" person having charge of the remains . of one who has died of smallpox to cause the body to be interred within twelve hours after death, and It shall be the duty I of any person having charge of the remains of those who died of cholera, ty- 1 Phus fever, yellow fever, smallpox or bu- ' ' tonic plague to cause said remains to be ' immediately wrapped In a sheet saturated ; i with a solution of bichloride of mercury ■ In the proportion of one ounce of the bii chlodire of mercury to the gallon of water, and placed in a coffin, which shall be securely closed, and the coffin not to be again opened. K Rale 15_ Ia a,! caßes ot death from cholera, bubonic plague, leprosv, typhus f'rver. yellow fever, smallpox, diphtheria, monbranous croup, scarlet fever and cerebro-spinal meningitis, the funeral shaH be strictly private. No public or c —urch funerals shall be held, or any person permitted to enter the house containing the remains, excepting the undertaker and his assistants, unless by permission of the Health Officer. Rule 14. The room In which there has -a a case of contagious disease dangers to the public health shall be Immedi- ) <eiy disinfected following the recovery ‘ * the sitk or the removal of the remains. 1 es follows, to-wit: All surfaces should be thoroughly washed with a solution of corrosive sub•imate of the strength of one part in one thousand parts of water. The walls and ceiling, if plastered, should be brushed over with this solution, after which they should be whitewashes with a lime wash. , Especial care must be taken to wash away an dust from window ledges and other places where it may have settled. ' and to thoroughly cleanse crevices and oiri-of-the-way places. After this application of the disinfecting solution and an mtevtai of twenty-four hours or longer ‘ for free ventilation, the floors and woodshould be well scrubbed with soap and hot water, and this should be fol- j lowed by a second more prolonged expos- I ure to fresh air admitted through open , doot* and windows. School books or books from a circulating library shall not | be taken. Into or removed from any house during the prevalence of any contagious : disease dangerous to the public health, and If such books have been in such ' houses during the prevalence of said dis- I eases, they must be destroyed by such owner or library authorities or be properiy disinfected before being returned to ; schools or put In circulation. Formaldehyde disinfection mav be substituted for the above method of disinfection as follows: Clothing (as here described or as below under sick room). —Into a trunk or box having a cover, place the garments one at a rime, sprinkling each one with one I or two tablespoonfuls of 40 per cent, forw’'*.dehyde, mixed with an equal amount of water. Allow the trunk or box to remain dosed for five hours, then open and rang the garments In th» open air. If the 'onmahlehyde odor persists, sprinkle the s-TTnents lightly with diluted aqua, amULonia. '

Bed Clothes and Bed Furnishings.Sheets, pillow cases and blankets should be boiled in water for at least thirty minutes. Comforts way be treated as described for clothing. or submitted to the action of formaldehyde gas in the sick room. Straw tick®. »>u®V and cotton mattresses should be burned, as they are too Irexpepsive to trouble with. .Hair mattresses and feather beds should first be subjected tn the sick room to the action of formaldehyde gas and afterward sent to be steamed and renovated. Pillows should be treated as described for mattresses and feather beds. All bed clothes, except bed linen, may also be treated in th- sick room as described beivw. Sick Room.—Make as air-tight as possible. open closet doors, drawers and all 1 closed receptacles: scatter their contents . about the room; suspend clothing and bed clothes upon lines stretched across the room, or spread out on chairs dr other objects; books must be opened and the leaves spread—ln short, the room and its contents so disposed as to secure free access of gas to all parts as freely as possible. Now for each b.(M» cubic feet of space take eight ounces of 40 per cent. formaMehyde. mix with one pint of water and with a small sprinkling pot having a very fine sprinkler-a child's toy sprinkling pot is satisfactory—sprinkle the disinfectant over carpet, clothes mattresses, stuffed furniture and sides of the room. Before sprinkling place a damp towel over mouth and nose, dose the room and allow it to remain so for not less than five hours, but ten if possible, then open, remove all articles to the open air and clean the room thoroughly. MARRIAGE. BIRTH AND DEATH REPORTS. Rule 17. City and town Health Officers s'xall record hi a record book all births «’»'* deaths and contagious or Infectious d ases named in Rule 1. and they shall before the 15th of each month for the month preceding, send to the county Health Officer the original returns of b'rtha and contagious disease, but the original certificates and records of death received shall, after record lt» the local books, be sent direct to the State Board «?• Health by the fifth of each month for V»e month preceding. It shall be the duty of the county Health Officer to make a r- ord of returns of births, contagious dis- axes and marriages, in a record book. Ail record books shall be of the form and character prescribed by the State Board of Health. Rule 18. All physicians, accoucheurs and midwives in this State are hereby required to report to the Secretary of the Board of Health of the town, city or county tn which they may occur (within firteen day* thereafter), all births which may occur in their practice. Whenever a physician** supply of the necessary blanks on which to make returns is nearly exhausted he shall at once make a requisition for the same on the Health Officer within whose jurisdiction he may rtsMil. and said Health Officer 1* hereby required tn immediately supply the d<Bnln Alt is ordered that each county VS SS‘VSSfV b« the dose of each quarter, make hie

quarterly returns of all marriages, blrtta and diseases dangerous to the public health to the Secretary of the State Boar* of Health, on blanks prescribed and furnished by the State Board of Health. Rule 20. Whenever any birth occurs With no physician, accoucheur or midwife In attendance, then such birth shall be reported to the town, city or county Health Officer by the householder or other person under whose observation such birth may occur. All such reports to be made within fifteen days. Rule a. All persons authorized In this State to solemnize marriages are ordered to make a report of all marriages solemnized by them to the Clerk of the Circuit Court by whom the marriage license was issued, in blanks furnished by such Clerk, within seven days after the marriage is solemnized. Rule 22. In case any person feels aggrieved at any act of a Health Officer, appeal may be made to the State Board in session or its executive officer, but pending such appeal the act of such Health Officer shall remain in force. Rule 23. All city and town Health Officers shall make, at least once in each year, a sanitary survey of their respective jurisdictions, for the purpose of ascertaining the existence of conditions detrimental to the public health. Including in such survey stagnant ponds, imperfect drainage, sewerage, pigsties, cesspools and water closets, and all Unsanitary conditions. and- the construction, heating, ventilation, plumbing and disposal of excreta of all public buildings, prisons, hospitals and eleemosynary institutions, and shall make written report of their surveys with recommendations, if any, to their respective Boards, and county officers shall send a copy of their reports to the State Board. Rule 24. It shall be the duty of all health authorities, officers of State Institutions, police officers, sheriffs, constables and all officers and employes of the State, or any county, city or town thereof, to assist in enforcing the foregoing orders, rules and regulations. RAILWAYS AND STEAMBOATS, AND

ALL COMMON CARRIERS. , Rule 25. No common carrier or any i person shall bring into the State of Indii ana any sick or suspected of being sick i with Asiatic cholera, smallpox, yellow fever, typhus fever, diphtheria, membranous croup and scarlet fever, bubonic plague, leprosy, or any other communicable disease dangerous to the public health. ! Rule 26. When any railway car, steam- ' boat, vessel or conveyance coming from a place or locality declared by the State Board of Health having jurisdiction as being infected with cholera, smallpox, typhus fever, bubonic plague, leprosy or , yellow fever, or having on board any person or persons affected with any of the i above-named diseases enters any port or j place in the State of Indiana, such rall- ■ way car, steamboat, vessel or other coni veyance and the crew, officers, passeni gers, baggage, merchandise and freight shall be subject to such inspection and disinfection as may be ordered by the State Boat'd of Health. Rule 27. If any person Is found on any , railway car, steamboat, vessel or other conveyance, who is sick, or reasonably supposed to be sick, with cholera, smallpox. typhus fever, bubonic plague, leprosy or yellow fever, he or she shall be immei diately removed by the health authorities within whose jurisdiction such person is found end isolated and properly cared for until the termination of the disease, and the necessary expense of such isolation and care (if the person So removed is unable to pay the same) shall be a valid claim against and be refunded by the owners, agents or assigns of the railway car. steamboat, vessel or other conveyance from which such person or persons were removed. Rule 28. In case of smallpox all persons reasonably suspected of having been exposed thereto shall be removed from such railway car, steamboat, vessel or other conveyance and be isolated for fourteen (14) days from the last exposure. In case of typhus fever, all persons reasonably suspected of having been exposed thereto shall be removed and isolated for twenty-pne (21) days from the last exposure. In case of cholera, bubonic plague or yellow fever, all persons reasonably suspected of having been exposed thereto shall be removed and isolated for five (5) days from last exposure. The clothing of persons so removed and all baggage, luggage, freight or merchandise found on any railway, steamboat, vessel j or other conveyance, on which there is any person sick with cholera, smallpox, typhus fever. >bubonlc plague or yellow | fever, and reasonably suspected of having been Infected, shall be at once disln- ; fected or destroyed, and such railway car, steamboat, vessel or other conveyance Shall also be disinfected as required by the Board of Health having jurisdiction. Rule 29. When deemed necessary by the State Board of Health to prevent the spread of cholera and after ten (10) days’ notice, each and every railway car, steamboat, vessel in or coining into the State of Indiana, and used for the transportation of passengers, shall be provided with means satisfactory to said Board of Health for disinfecting the excreta of passengers and crews. Rule 30. It shall be the duty of the conductor of any railway train and the master of any steapiboat or vessel to immediately notify by telegram the Secretary of the State Board of Health, at Indianapolis, of any case or suspected case of cholera. smallpox, yellow fever, diphtheria, bubonic plague or typhus fever occurring on board such train, boat or vessel within the limits of the State of Indiana. Rule 31. It shall be the duty of the Board of Health of any town, city or county to at once furnish the State Board of Health with a true copy of any quarantine orders or regulations adopted by said Board of Health as against any foreign State or any municipality or township within th£ State of Indiana. Rule 32. Any person or persons failing or refusing to comply with either or any of the foregoing rules shall be subject to the penalties provided In section 14 of an act establishing a State Board of Health, approved February 7, 1)99. By order State Board Health. T. HENRY DAVIS, M. D., President, Richmond, Ind. E. D. LAUGHLIN. M. D., Vlce-Pres.; Orleans, Ind. J. H. FORREST. M. D., Marion, Ind. H. JAMESON, M. D„ Indianapolis, Ind. J. N. HURTY, M. D„ Phar. D„ Sec y., Indianapolis, Ind.