Rensselaer Republican, Volume 27, Number 33, Rensselaer, Jasper County, 23 April 1896 — Rules and Regulations of the State Board of Health. Of Indiana. [ARTICLE]

Rules and Regulations of the State Board of Health. Of Indiana.

OFFICE OF STATE BOARD OF HEALTH ,■ OF INDIANA. Indianafot.lß, December 18,1898. Bales and Reflations for the Government of Town, City and County Boards of Health adopted by the Indiana State Board of Health, December 12,1895. SCHOOLS. Rule 1. No person affected with any communicable disease dangerous to tbe public health shall be admitted into any public, private or parochial school. Rule 3. No person shall be admitted Into any public, private or parochial school from any house or building infected with any communicable disease dangerous to the public health, or who may recently have been affected with yellow fever, smallpox, cholera, diphtheria, membraneous croup, scarlet fever, whooping cough,measles or typhus fever/ until first presenting a certificate signed by a/ reputable physician stating that ail d&ngei of communicating such disease is past, ant said certificate is approved and endorsed hfl the Health Officer in whose jurisdiction tjfJ persou may reside. / Rule 8. UDon proper notifications Tow City and County Boards of Health shall ey'“' else especial supervision over the locatg’®£' drainage, water supply, heating, ventilaf I™’ 1 ™’ plumbing (and disposal of excreta) of' 1 5i“’ schools, school houses and all public If lpgs within their jurisdiction, and wher/'“ 1 i < i' hygienic faults exist It shall be the dJ e * n f said Board of Health, upon notiflcafj'y proper authorities, to immediately ei I '*®?. the same and advise such changes as suit in a correction of any existing r ®' Diseases Dangerous to Pnbile tt ea ith.

Rule 4. Whenever any parent, gif _ other person having charge of the sf .Erin hi. or her family or having charge <■?„„„ ““ residing temporarily therein, shalf suspect that such persons or per#* J}' fee ted with cholera, typhus fer®2 fever, small-pox, diphtheria, croup, scarlet fever, measles municable diseases dangerous * health, the person having supedßt.„ ® iJPrr® sick shall immediately giveSß.,®® ®* Health Offcer within whose t l® t £® or she may reside. «Hia«Hetfon he Rule 5. When any physlcia# __ suspect that any person wh^E® I *®} 1 upon to visit has cholera, ty-f/® he hi caiiea , low fever, diphtheria, f® ?ei jJmn? scarlet fever, measles or croup, cable diseases dangerous such phyßician shall (together with the locality# ll the case) to the Board ot jurisdiction he may residKea ltll within wl ‘ oße Rules. No parent, guA. son having control of ajfcrdian shall allow or permit aiJoy child of^£“ I *2,?f{ 1 ren to go from any horary sueh child on. with cholera, typhus feme or building UrSj„Xr therla, membraneous me r, yellow fever ’JzJL,.' measles or other #croup, scarlet rt !®J®' dangerous to the pubWommunlcable church, Sunday-schoJuc health, to *t£®SP a “* or to travel in any st»l, or public gatb‘°£.“iM’ ,® r vessel or steamer, oifreet car or publV® T®“I C {®' any highway or stref to travel or to/ a permit from the ifet without first!, per officer. Board of Health 0B i j 8 P r °- Rule 7. It shall f to enter or leave tbe unlawful £, e E 8 i° n footed with oholey any house o/ *£i n " er, small-pox, fa, typhus fev/j- y®£ low fevcroup,scarlet; fe>{diphtheria, ease dangero&s ; /er or any «»■£?, any church, pul to the public iWealt'D, to attend ment, or to tray&lic meeting of P lace of vehicle, vessel vel on any ca^’ or public on any public i or steamer, of tra T®*® r a PP® a E making a corfstreet or higlw Wtt y first procuring a j/aplete changjr 3 clothing And exercising j iXennit from thP® Board of Health Rule 8 hefiriactiction. 7, . , .

cently, affeolJ person whqf, l *' or haa been reyellow fevitea with typhus fever, braneous #sr, small poqf'-' diphtheria, memmunloabl#roup, searie# fever, or any cornhealth, shl disease dar/b ,orous to the public on the puAll he permit#**! to travel or appear In any pirbiic streets o# highway, or to appear in any r/tbllo place om gathering, or to travel cate is Subtle vehicle! or vessel until a certiflBoard .iade bn th- ajßtendlng physician to the thecasipf Health vjlthin whose Jurisdiction contagP occurs, stiJtlog that all danger from and sulon by reasq#n ot such disease is passed, by sajtch certifloal# e I s approved and endorsed Eul/d Board of ■Health Its p;* 9. Whenever the Board of Health or exlsVoper oftb-ef shall know or suspect the geroenca of an# communicable disease danphy>us to the upubllc health and there be no sic/ slolan in a»teodance, or should any phyinian, while Iff > attendance, fail or refuse to HAaratiiaiftiv #leport such case to the Board of tirTJpl 06 the duty of said Board of WMith’nr ts deputy, to examine such case iwleged communicable disease dan!fue public health, ar.d act asreFrinoJS? ivJ J l " 6 rules governing said Board of [ Health la / Buch 08868 ot communicable dls-

In alt cases where thoro has been . “"!°/X/ure or a suspected exposure to small nnTAtoPy person, It shall be the duty of the P 1 Itealth under whose jurisdiction >S™F 9011 ma Y he tempororlly or perman-™ti-Jrf e8 ‘ dID B to quarantine for fourteen days Person as may-have been exposed, or btia, tod of being exposed, to small-pox, and tr> oVt/ vlße a vaccination or revaccination of on J ho may t'ave been thus exposed. It SJ.3I * the iniperative duty of the Board of Ti“3r nto enforce this rule, and In case of reor neglect by said Board of Health to ‘U'wnjly with the requirements of this rule, It “JjlaU be the duty of the Secretary of the State Tofo.rd of Health to assume charge, and eltner rfd person or by bis deputy entorce the forejjgolng rule. All vaccinations shall be made awith uon-humanized virus, the only excep- | tlon being that during an epidemic of smallpox, should a sufficient quantity of bovine virus not be obtainable humanized virus may be used when sanctioned by the Board of Health under whose jurisdiction said anidem. may occur. Buie 11. Whenever a physician Is called upon to attend a case of cbolera, typhus fever, yellow fever, small-pox, diphtheria, membraneouii croup or scarlet fever (If such case be outside of the corporate limits of any city or town and where there Is no organized Board of Health), it shall be his duty to placard the house in which such disease prevails by placing a flag or card not less than 1* inches square in a conspicuous place on said house; the card or flag to be procured from the County Health Officer on application. When the disease has subsided and the house la disinfected the physician in ch*rge shall

cause the flag or card to be removed. When the above named diseases occur within the corporate limits of a city or town where there Is an organized Board of Health, the Health Officer when duly notified shall canse said cards or flags to be properly placed and removed. The card or nag for cholera shall be black, with the name of the disease printed In white letters. The card or flag for small-pox shall be red, and have the name of the disease printed thereon. The card or flag for diphtheria, membraneous croup and scarlet fever shaU be yellow, with the name of the disease printed thereon. No person shall remove or cause to be removed (except ss already provided) any such card or flag, until a certificate Is made by tbe attending physician satisfactory tf> the Healili Officer In authority, that the disease h s subsided and all dangei of contagion by reason of snoh disease Is passed, and the proper disinfection satlsfac tory to the Health Officer has been accomplished. Any person causing the removal (except as provided) or mutilation of said card or flag before a proper certificate has been placed in the hands of the Health Officer In authority, upon conviction, shall besubjeot to the penalties provided In section 9 of an act passed Feb. 19, 1891. In cities and towns nags or cards shall be provided by city or town authorities, and outside the corporate limits of cities or towns by county authorities. Every physician attending a case of smallpox, diphtheria, membraneous croup, scarlet fever, or other communicable disease dangerous to tbe public health, shall use every reasonable precaution to prevent communicating the disease toothers. Buie 12. It Is hereby made tbe doty of any person having charge of the remains done who has died of small-pox to cause the body to be Interred witniu twelve hours after death, and It shall be tbe duty of any person having charge of the remalus of those who died of. cholera, typhus fever,yeltaw fgvdr. small-pox, scarlet fever, diphtheria end membraneous croup, to eause said remains to be Immediately wrapped In a sheet saturated with a solution of bi-ohloride d mercury In the proportion of one onnee of the bl-chlorkl e of merenry to the gallon of water, and placed in aooffln

aefunS^sh^ anoSoarletfafyer lie or church •nn rwJpmWf'Afl SDtJkll D 6 llfilu, (KT BDV pci - themmainTSJ® enter the bouse contsdning aasisSfitsun! IC ® pt th ® undertaker aad, his oTHeKltb? W Permission of thmßbaTd aS’of'eoS 1 ® f°° wWc sl- Aeirh jiibew* hea?l a S‘°’J 3 . disease dangerofiato the fnii^ h .must he immedlatrtto dislnihe recovery ot%e sick or the rumSval of the remains, as allows, towuSa’soKs®B B bould he thorous/ly washed strenelh 1 d t l° n of corrosive snbUmate of the The walli of 1 PFf 1 111 bO OO Parts of water. “/. “ lam window ledges and other places 11 may have settled, and to thoroughly cieaus„ orgyfces and out-of-tbe-way places. Rils application of the disinfecting solud an interval of twenty-four hours or for free ventilation, the floors and wood hould be well scrubbed with soap and er, and this should be followed by a and more prolonged exposure to fresh mltted through open doors and wlnSJSvs. School books or books from a circulating library shall not be taken into or removed pjorn any house during the prevalence Of ally fbntagious dLease daugerous to the public wealth, and if such books havb been In such /houses during the prevalence Of said diseases, /they must ue destroyed by the owner or libaory authorities, on be properly disinfected before being returned to schools or put in circulation. ■. , ■ J Marriage, and Death Reports. Bale 15. (pi ty and Town Health Officers shall Record in a record book all births, (heaths and contagious or infections /diseases, and they shall monthly toirn over to the County Health Officer the original returns. It shall \je the duty of the County Health Officer to make a like record of said returns in a record book and as sooiy as practicable return the original reports to the Health Officer from/whom received. Rule 16. All phy»cians, accouchbiirf and widwives in this state are hereby reqnired to report to the secretary of the board of health of the town, citjr or county in which they

may occur (within five days thereafter) all births and deaths which may oCcur in their practice. Whenever a physician’s supply of the necessity blanks on which to make a return is exhausted he shall at once make a requisition for the same on a health officer within whose jurisdiction he may reside, and said health officer is hereby required to immediately supply the demand. Bale 17. It is hereby ordered that each county health officer in this state shall, on or before the 30th day Of the month following the close of each quarter, make his quarterly returns of all marriages, births and diseases dangerous to the public health to the secretary of the state board of health on blanks prescribed and furnished by the state board of health. Buie 18. Whenever any birth or death occurs with no physician, ac-

coucheur or midwife in attendance, then such birth or death shall be reported ‘to the town, city or county health officer by the householder or other person under whose observation such death or birth may occur. All such reports to be made within five days. In all cases of death where a coroner has held an inquest and the death has not been reported by a physician, the t«hl coroner is hereby instructed to m ik<; such report to the proper health officer as soon as practicable after holding snch inquest. Rule 19. All persons authorized in this state to solemnize marriages are hereby are required to make a report of all marriages solemnized by them to the clerk of the circnit court by whom the marriage license was issued in blanks furnished by suoh clerk within five days after the marriage is solemnized. Rule 20. Secretaries of county

boards of health are hereby directed to cause all physicians in their respective counties to report to them all deaths, births and diseases dangerous to the public health on snch blanks as are furnished by the state board of health and distributed on application by said county health officer. Rule 21. In case any person feels aggrieved at any act of a health offioer, appeal may be made to the state board in session or its executive officer, bat pending such appeal the act of such health officer shall remain in force. Rale 22. : All town and county boards of health shall cause to be made 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 each survey stagnant ponds, imperflbt drainage, sewerage, cess-pools and water closets. The construction, beating, ventilation, plumbing and disposal of excreta of all public mldings, lary hast..u and such nuisances a might prove dangerous to the publi i. Ith. Rtu, 23. It shall be the dntv of all I i authorities, officers < i

instituik s, police sheriffs, constable and ail officers and employes of the state, or any county, city or town thereof, to assist in enforcing the foregoing orders, rales and regulations. Quarantine. Rule 24. No common Harrier or other person shall bring into the state of Indiana any person sick or suspected of being sick with Asiatic cholera, small pox, yellow fever, typhus fever, diphtheria, membraneous croup and scarier fever, or way other muoicabje disease dangerous to tbe public health. Rule 25. When any railway car, steamboat, vessel or other convey- 1

ance coming from a plhcfe or locality declared by the state boatd of health having jurisdiction as being infected with cholera,imair-pdk J typhus feVer, dr yellow fevet, or haying on board any person or persons affected with any of the above mentioned diseases, enters any part or place in the state of Indiana, snch railway car, steamioat, vessel or other conveyance and the crew, officers, passengers, baggage, merchandise and freight shall >e subject to snch inspection and infection as may be ordered by the state board of health. Rule 26: If any person is found on any railway car, steamboat, vessel or other conveyance, who is sick with cholera, small-pox, typhus fever or yellow fever, he or she shall be im<mediately removed bv the health authorities within whose jurisdiction snch person is found, and isolated and properly cared for until the termination of the disease, and the necessary expense of snch 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. Bale 27. In case of small-pox, or persons reasonably suspected of having been exposed thereto, shall be removed from snch 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-one (21) days from the

last exposure. Incase of cholera 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, 4 steam boat, vessel or other conveyance on which there is any, person sick with cholera, small-pox, typhfu fever or yellow fever, and reasonably suspected of having been infected, shall be at once disinfected or destroyed, and such railway car, steamboat, vessel or other conveyance shall also be disinfected as required by the Board of Health having jurisdiction. Bale 28. 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 coming into the State of Indiana, and used for the transportation of passengers, shall b-i provided with means satisfactory or said Board of Health for disinfect: ing the excreta of passengers am crews.

Rale 29. It shall the duty of the cond actor of any railway uai», and the master of any steamboat or vessel, W immediately notify by telegram the Secretary of the State Board ot Health, at Indianapolis, o* any case or suspectid case of o! o!era, small pox, yellow fever or typhus fever occuriug on board such train, boat or vessel within the limits of the State of Indiana Rule 30. It shall be the duty of the Board of Health or other health authority of any town, city or county, to at once famish the State Board of Health with a true copy of any quarantine orders, or regulations adopted by said Board of Health authority, as against any foreign State or any mnnicipality or township within the State of Indiana. PENALTIES. Role 31. ,= Any person or persons failing to comply with either or any of the foregoing rules, shall be subject to the penalties provided in section 9, of an act establishing a State Board of Health, passed February 19, 1891.

ADDITIONAL RULES GOVERNING THE TRANSPORTATION OP DEAD BODIES. Rule 9. Shipment shall not be granted in the case of any one dying of membraneous croup. Rule 10. Permit of shipment shall not be granted up <n lti« <» r ificate of “heart failure"’ Hut in every case the cause of said “heart failure” must be*stated. All rules and parts of rules conflicting with these rules are hereby repealed. Douglas C. Ramsey, M. D., President. J. N. Hubtit, M. D , Se'rotary. / ULEB AND REGULATIONS POR THE OARE AND MANAGEMENT OP DAIRIES IN THE STATE OP INDIANA ADOPTED BY THE STATE BOARD OP HEALTH MARCH 12 18961. No building shall be used for stabling cows for dairy purposes which Is not well lighted, ventilated, drained and constructed. 2. No building shall be used for stabling cows for dairy purposes which is not provided with a suitable floor, laid with proper grades and channels to carry off all drainage; If a public sewer abuts the premises upon which such buildings are situated they shall be connected therewith and furnished with proper sanitary traps. 3. No building shall boused for stabling cows for dairy punxwes which Is not provided with good and sufficient feeding troughs or boxes, and with a covered water-Hght receptacle outside tho building for the reception of dung or other refuse. 4: No water etosetr, privy. nrlnnl. Inhabited room or workshop shall be located within any building or shed used for stabllug Cows for dairy purposes, or for ihe storage of milk or cream; nor shall any fowl, hog, horse, sheep or goat be kept In any room used for such purpose.

5. So apace In bandings or sited* used for sfff.Aswstt therefor shall not Be less than four (4) "eeftn width, ~ 6. It shall be the doty of each person using ahy premises for keeping cows for dairy purposes to ’keep such premises thoroughly clean and In good repair and well painted or whitewashed at all times. 7. It shall be the duty of each pehoo using any premises for keeping cows for dairy purposes to cause tbe building In which cows are kept to he thoroughly cleaned and to remove all the premises so as to prevent Its accumulation In great quantities. 8. Every person Seeping cows for the production of milk for sale shall cause every cow to be cleaned every day and to be properly fed and watered. 9. Every person using any premises for keepIhg cows shall cause the yard used in connection therewith to be provided with a proper receptacle for drinkingjvaterfor such cows; none but fresh, clean water to be used In sueh receptacle. zr~:zr-~-. 10. Any enclosure in which cows are kept shall be graded and drained so as to keep the sursace reasonably dry and to prevent the accumulation of water therein, except as way bo permitted for.the purpose of supplying drinking water; no garb Age, ujin, fecal matter, qr similar substances, shall Be placed or allowed to rental:) in such enclosure, and no ppen drain shall be allowed to run through it. 11. Any person using any premises for keeping cows for dairy purposes shall provide and use a sufficient number of receptacles, made of non-absorbent materials, for the reception of storage and delivery of milk, and shall cause all milk to be removed without delay from the room In which lhe cows are kept. 13. No milk shall be kept in ice boxes or refrigerators which are In any way connected with sewers or cesspools, nor shall any milk be kept in the same compartment of any lee box or refrigerator In which meats or other articles of food are kept.

13. All cans, measures and other receptacles for milk shall be scalded with boiling water or live steam daily; they must not be rinsed in cold water before using, for the water may not be pure and some of it remaining In the vessels may contaminate the milk. All milk cans coming from th e dairies to dealers must be properly cleaned as above before returning to producer, thoroughly aired and kept turned upside down In a cool place. . „ . 14. All milk shall be strained through wire cloth strainers and shall be cooled to 88 degrees within forty-five (45) minutes after it is drawn from the cow. In winter weather said cooler should be guarded against freezing. The milk shall not exceed 6b degrees when delivered to the consumer or dealer. 15. All milk cans delivered to creameries bt dealers In the city shall be Co vered With airtight, lids, and *hen conveyed In open wagons shall bb covered with canvas while being so conveyed, said canvas to be kept clean by frequent washing.

16. All stripping, as well as first part of milk, shall be delivered. The night's and morning’s milk shall not be mixed. No milk shall be delivered that is taken from a cow that has calved within twelve (12) days, or from a cow that will come in or calve inside of sixty (60) days. 17. Cows shall not be fed on feed which will impart a disagreeable flavor to milk, or upon any food which will not produce milk ot a standard richness, or any sour, damaged feed or ensilage: 18. tt shall be the duty of any person having charge or control of any premises npon which cows are kept to notify the Secretary of the Board of Health of the existence of any contagions or infectious disease among such cows immediately upon the discovery thereof, and to thoroughly isolate any cow affected, and to exercise snch other precautions as may be directed, in writing, by the said Secretary. 19. It shall be the duty of any person owning or having control of cows used for the production of milk for sale or exchange to submit said cows to th® tuberculin test for tuberculosU, on the written order of the Secretary of tbe,Board of Health.

Contagions Diseases. 20. It shall be the duty of any person having charge or control of any premises upon which milk or cream is produced, handled, stored or distributed, to notify the Secretary of the Board of Health immediately upon the discovery of any case of Asiatic cholera, croup, diptheria, measles, membranous croup, scarlet fever, small pox, typhoid fever, typhus fever, or any other contagious or infectious diseases upon such premises' No milk or cream shall be sold, exchanged, given away, or in any other manner distributed from such infections premises until all danger of spread of disease shall be removed and the Secretary certifies to that effect. No person who attends cows or milks them, or who has the care or handling of vessels for the sale, storage or distribution of milk or cream, shall enter any place or premises wherein txiats any of the diseases mentioned herein, nor shall any snch have any communication, direct or indirect, with any person who resides in or is an occupant of such infected place. Strict cleanliness of the bands and person of milkers and those engaged in the handling of milk or cream, and of the bodies of cows, especially of the adders and teats, most be enforced at all times, to the end that no imparity or foreign substance may be added to the milk or cream, such addition being declared adulteration by the statute. 21. No person shall add water or any other foreign substances to milk

cream offered or intended for sale exchange. Milk offered for sale whole milk or sold ss such, which contains more than eighty-seven (87) per cent, of watery fluid, or less than thirteen (IS) per cent, of milk solids including three and seven-tenths (3 7) per cent, of batter fat, is prima facie watered, and such wateriog is declared an adulteration by the State Statutes, the punishment for which is a flue of not iess than twenty-five dollars (125.00) for each and every of- f sense. D. C. Ramsey. M. D., Pres. J. N. Hubty, M. D., Sec.