Rensselaer Republican, Volume 27, Number 34, Rensselaer, Jasper County, 30 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. Indianapolis, December 12,1895. Rules and Regulations 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 com: municable disease dangerous to the public health shall be admitted into any public, private or parochial school. Rule 2. 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 vellow 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 all danger of communicating such disease is past, and said certificate is approved and endorsed by the Health Officer in whose jurisdiction the persou may reside Rules. Boon proper notification. Town, City and County Boards of Health shall exercise especial supervision over the location, drainage, water supply, heating, ventilation, plumbing (apd disposal of excreta) of the schools, school houses and all public buildings within their jurisdiction, and where any hygienic faults exist It shall be the duty of said Board of Health, upon notification of proper authorities, to immediately examine the same aud advise such changes as will result in a correction of any existing defects. Diseases Dangerous to Public Health. Rule 4. Whenever any parent, guardian or other person having charge of the sick In his or her family pr having charge of any one residing temporarily therein, shall know or suspect that such persons or person are effected with cholera, typhus fever, yellow fever, small-pox, diphtheria, membraneous croup, scarlet fever, measles or other communicable diseases dangerous to the public health, the person having supervision of the sick shall immediately give notice to the Health Offcer within whose jurisdiction he or she may reside.'

Rule 5. When any physician shall know or suspect that any person whom he is called upon to visit has cholera, typhus, fever, yellow fever, diphtheria, membraneous croup, scarlet fever, measles or any other communicable diseases dangerous to the public health, such physician shall immediately give notice (together with the locality and description of the case) to the Board ot Health within whose jurisdiction he may reside. Rule 6. No parent, guardian or other person having control of any child or children shall allow or permit any such child or children to go from any house or building infected with cholera, typhus fever, yellow fever, diphtheria, membraneous croup, scarlet fever, measles or other communicable disease dangerous to the public health, to attend any church, Sunday-school, or public gathering, or or to travel in any street car or public vehicle, vessel or steamer, or to travel or to appear on any highway or street without first procuring a permit from the Board of Health or its proper officer. Rule 7. It shall be unlawful for any person to enter or leave any house or building infected with cholera, typhus fever, yellow fever, small-pox, diphtheria, membraneous croup, scarlet fever or any communicable disease dangerous to thfe 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 making a complete change of clothing and procuring a permit from the Board of Health exercising jurisdiction. Rule 8 No person who Is, or has been recently, affected with cholera, typhus fever, yellow fever, small-pox, diphtheria, membraneous croup, scarlet fever, or any communicable disease dangerous to the public health, shall be permitted to travel or appear on the public streets or highway, or to appear in any public place or gathering, or to travel In any public vehicle or vessel until a certificate is made be the attending physician to the Board, of Health within whose jurisdiction the case occurs, stating that all danger from contagion by reason of such disease is passed, and such certificate is approved and endorsed by said Board of Hoaltli Rule 9. Whenever the Board of Health or

its proper officer aliall know or suspect the existence of any communicable disease dangerous to the public health and there be no physician in attendance, or sbould any physician , while in attendance, fall or refuse to immediately report such case to the Board of Health, it shall De the duty of said Board of Health, or its deputy, to examine such case or cases of alleged communicable disease dangerous to the public health, and act as required by the rules governing said Board of Health in such cases of communicable dis6ft S6S, Buie 10. In all cases where there has been an exposure or a suspected exposure to small pox of any person, it shall be the duty of the Board es Health under whose jurisdiction said person may be tempororily or permanently residing to quarantine for fourteen days such person as may have been exposed, or suspected of being exposed, to small-pox, and to advise a vaccination or revaccinatiou of ail who may have been thus exposed. It shall he the imperative duty of the Board of Health to enforce this rule, and in case of refusal or neglect by said Board of Health to comply with the requirements of this rule. It shall be the duty of the Secretary of the State Board of Health to assume charge, and either in person or by his deputy entorce the foregoing rule. Ail vaccinations shall be made with non-humanized virus, the only exception 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 epidemic of small-pox may occur. Buie 11. Whenever a physician is called upon to attend a case of cholera, typhus fevcr, yellow fever, small-pox, diphtheria, membraneous croup or scarlet fever <tf 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 plac. ard the house in which such disease prevails by plpcjpy.a flag or card not loss than if inches square In a conspicuous place on house; the card or flag to be procured from the County Health Officer on application. When the disease has subsided and the house is disiniected the physician in charge shall cause the flag or card to be removed. When the above Darned 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 cause said cards or flags to be properly placed anil removed. The card or flag for cholera shall be black, witb the u&rae of the disease printed |u white letters. The card or flag for small-pox shall be red, and have the name of the disease primed thereon. The card or flag tor diphtheria, membraneous croup and scarlet fever shall be yellow, with the name of the disease printed thereon. No person shall remove or cause to be removed (except as already provided) any such card or flag, until a certificate Is made by the attending physician satisfactory to the Health Officer in authority, that the disease li s subsided and all dangei of contagion by reason of such disease Is pas Bed and the proper disinfection satisfactory to the Health Officer has been accomplished. Any person causing the removal (except as provided) or tn.utilaTlon.of said card or flag lieforo a proper ' certificate has been placed in the lianas of the Health Officer in authority, upon conviction, sbali be subject to the penalties provided in section ts of an act paseed I'eb. 10, lsoi. I a cities and towns flags or cards shall be provided by city or town authorities, and outside the corporate limits of cities nr towns by counity authorities. Every physician attending a case of smallpox, diphtheria, membraneous croup, scarlet (ever, or other communicgb.l.e disease dangerous to the public health, shay pse every reasonable precaution to prevent communicating the disease toothers.

Buie 12. It is hereby made the duty of any ( person having char ge of the remains of one who has died of small-pox to cause the body to be Interred witnlu twelve hours after death, and it shall be the duty of any person having charge of the remains of those who died of cholera, typhus fever, yellow fever, smali-pox scarlet fever, diphtheria and membraneous croup, to cause said remains to be Immediately wrapped In a sheet saturated with a solution of bi-chloride of mercury in the proportion of one ounce of the bl-chloride 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 Rule 18. In all cases of death from cholera, typhus fever, yellow fever, small-pox, diphtheria. membraneous croup and Scarlet fever the funeral shall be etricily private. No public or church funeral shall be held, or any per. son permitted to enter the house containing the remains except the undertaker and bis assistants unless by permission of the Board of Health. Buie 14. The room in which there nas been a case of contagious disease dangerous to the public health must be Immediately disinfected following the recovery of the sick or the reinoval of the remains, as follojrs, toSH.lt: *** All surfaces sbould be thoroughly washed with a solution of corrosive sublimate of the strength of l part in lfipo parts of wafiqr.

The walls and celling, If plastered. Should be brushed over with this solution, after which they should be Whitewashed with a time wash." Especial care must be taken to wash away all dust from window ledges and Other places where It may have settled, ar.d to thoroughly cleanse crevices and ottt-or the wny places. After this application of the disinfecting solution and an interval of twenty-four hoursinlonger for free ventilation, the lloors and wood, work should be well scrubbed with soap and hot water, and this .should bo followed by a second and more prolonged exposure to f resh atr, admitted through open doors and windows. Schoolbooks or books from acirculating library shall not be taken Into or removed from any house durfng th£ prevalence of an v contagious dicease dangerous to the public' health, and if such books have been In such houses during th j prevalence o ! f said diseases, they must t* destroyed by (lie owner of lib jory authorities, or lie properly disinfected before being returned to schools or put in circulation. Marriage, Birth and Death Reports. Rule 15. City and Town Health Offlcters Shalt record in a record book all births, deaths and contagious or infectious diseases, and they shall monthly turn ovec. to the County Health Officer the original returns. It shall be the duty of the County Health Officer to make a like record of said returns in a record book ahd as soon as practicable return the original reports to the Health Officer from whom received. , w Rule 16. All physicians, accoucheurs and widwives in this state are hereby required to report to the secretary of the board of health of the town, city or county in. which they may occur (within live days thereafter) all births and deaths which may occur in their practice. Whenever a physician’s supply of the necessary 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. Rule 17. It is hereby ordered that each county health officer in this state shall, on or before the 30th day of the month the close of pach 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.'

Rule 18. Whenever any birth, or death occurs with no physician, accoucheur 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 said coroner is hereby instructed to make such report to the proper health officer as soon as practicable after holding such inquest. Rule 19. All persons authorized in this state to solemnize marriages are hereby are required to make a report o,f 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 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 such blanks as are fumished by the State hoard of health aqd distributed on application said county health officer, Rule 21. 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, hut pending such appeal the act of such health officer shall remain in force. Rule 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 such survey stagnant ponds, imperfect drainage, sewerage, cess-pools and water closets. The construction, heating, ventilation, plumbing and disposal of excreta of all public uildings, pri*'” . lospitals, eleemostary insti.ut.ons and such nuisances a might provq dangerous to the publii i.< Ith. - Rui 23. It shall be the dut,v nf all 1 eai u authorities, officers c institutii ns, police officers, sect itia, 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.

Quarantine. Bute 24. No common carrier oc other person shall bring into the state •il Indiana any person sick or suspect ed of beiDg sick with Asiatic cholera, small-pox, yellow fever, typhus fever, diphtheria, membraneous croup and scarlet fever, or any other communicable disease dangerous to the public health. JJuJe 25. When any railway car, steamboat, yessel or other conveyance coming from a place or locality declared by the state bawd of health having jurisdiction as being infecled with cholera, small-pox, typhus fever, or yellow fever, or haviDg on board any person or persons affected with any of the above mentioned diseases, enters any part or place in the state of Indiana, such railway .ear, steamboat, vessel or otjjgr conveyance apd the crew, officers, passengers, baggage, merchandise and freight shall be subject to. such inspection and infection as may be ordered by the state board of health. Rule 26. If' any person is found ou 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 immediately removed bv the health authorities within whose jurisdiction such person is found, and isolated and properly cared for until the tertnjnqtion of the disease, and the ne-

care (if the person so removed is jmcessary expense of such isolation and able to pay the same) shall be it valid claim against and be refunded bj the owners, agents or assigns of tab railway car, steamboat, vessel or other conveyance from which suet person or persons were removed. Rule 27. In base of small- pox, or persons reasonably suspected of haw ing been exposed thereto, shall be removed from such railway car, steamboat, vessel or other conveyance and. he isolated for fourteen (14) days from the last expqsure. In case of typhus fever, all persons reasonably suspected of having Been exposed thereto be removed and isolated for twenty-one (21) days from the last exposure. In case 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 auy railway, steamboat, vessel or other conveyance on which there is aoy. person sick with cholera, small pox, typhus 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 disinfecU das required by the Board of Health having jurisdiction l . '... .. — Rule 28. When, deemed necessary by the State Board of Health to prevent the spread of cholera, and after ten (10) days’ notice e ich and every* railway car, steam! oat, vessel in or coming Into the State < f Indiana, and used for the transportation cf passengers, shall be provided with means satisfactory Dr said Board of Health for disinfecting the excreta of passeng' ra and crews. i , Rule 29. It shall be the duty of tbe cond actor of any railway train, and the master of any steamboat or vessel, to immediately notify by telegram t.hw Secretary of the State Board ot Health, at Indianapolis, o‘ any ckse or suspected case of cLo!era, small-pox, yellow fever or typhus fever occuring on board such train, boat or vessel within the limits of the State of Indiana. Rule 30. It shall be the duty of the Boar(J of Health or other heattlf authority of any town, city or county, to at once furnish the Slate Board of Health with a true copy of any quarantine orders, or regulations adopted 'by said Board of Health authority, as against ary foreign State or any municipality or township within the Sta'e of Indiana. Penalties.

Rule 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 & State Board of Health, passed February 19, 1891. ADDITIONAL RULES GOVERNING THE TRANSPORTATION OF DEAD BODIES. Rule 9. Shipment shall not be granted in the case pf any one dying of membraneouß croup Rule 10. Permit of shipment shall not be granted upon the certificate of "heart failure’’ alone, hut in every case the cause of said "heart failure” must be stated. All rules and parts of rules conflicting with these rubs are hereby repealed. Douglas C. Ramsey. M. I)., President. J. N> Hpbtt, M. t) , | Secretary. JiULES AND REGULATIONS FOR THE CARE AND MANAGEMENT OF DAIRIES IN THE STATE OF INDIANA ADOPTED BY THE STATE BQARD OF HEALTH MARCH 12 18961. No building shall be used for stabling cows, for dairy purposes which is pot 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 Itnor, 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 bo conneoted thor*)YJlb.,and furnished with proper sanitary tr fV building shall be used for stabling cows for dairy purposes which Is not provided with good and sufficient feeding troughs or boxes, and with a covered water-tight receptacle outside the building for the reception of dung or other refuse. 4. No water closet, privy, cess-pool, urinal. Inhabited room or workshop shall bo located within any building or shed used for stabling cows for dairy purposes, or for the storage of milk or cream; nor shall any fowl, hog, horse, sheep <?r goat be kept in auy room used for sueh purpose.

6. No space in buildings or sheds Jused for stabling cow's shall be leas than five hundred (500) cubic feet for each cov/. aiid the stalls therefor shall not be less than four (4) loet In width. 6. It shall be the duty of each person using any premises for keeping cows for fiairfi purposes to keep such premises thoroughly clean apd ju good repair fipd well paifited Of whitewashed at all times. 7. It shall be the <)i)ty of each persQp us)pg any premises for kac ping cows for dairy purposes to cause the building la which cows flip kept to ho thoroughly cleaned ai|d to remove all dung Jrom the premises so as to prevent Its accumulation In great quantities. 8. Every pets'.n keeping cows for the production of milk for sale shall cause every cow to he cleaned every day and to be properly fed and watered. 9. Every person using any premises for keeping cows shall cause the yard used In connection therewith to be provided with a proper receptacle for drinking water for such cows; none but fresh, clean water to be used In such recepfaefo. if). 4ny enclosure in which cows are kept shall be'graded and drained so as to keep the sursace reasonably dry fled to prevent the accumulation of water thereto, ejifedptfls may bo permitted for the purpose of supplying dyinglng water ; no garbage, urln, fecal matter, or siitiflar substances, shall be placed or allowed to re--main in sucli enclosure, ami no open drain shall he allowed to run through It. 11. Any person using any premises for keep. Ing 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 uillg.and shall cause all Dillkto lie removed without iiplfiy, (roil) tl)e room In which the cows are kept. 12. No milk shall be kept m Ice boxes or refrigerators which are in any way oopnected with sewers or cesspools, nor s)fal| any nitlk he kept in the same compartuientof any Ice box or refrigerator in which meats or other articles of aril _ 13. All cans, measures and oilier receptacles for milk shall lie scalded with lioUlng water or live steam dailv: they must not he rinsed In oold water before using, for the water may not bo pure and some of it remaining in the vessels may contaminate the milk. All milk cans coming from th o 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 he strained through wire cloth strainers and shall be cooled to S 3 degrees within fortv-llve 145) minutes after It Is drawn

from the cow. In winter weather said cooler should In- guarded against freezing. The milk Biiattmxt exeeeit Wo degiees wbetrdeHvered to the consumeror dealer. 15. All milk cans delivered to creameries or dealers in ihe city shad he covered with air-tight, lids, ami when conveyed jh open wagons shad 6e covered with canvas wtttlß.heing so cm; vey edy said canvas to he kept clean by frequent Washing. 16. All stripping, as well as first part of milk, shall bi delivered.; The flight's aud morning’s milk shall not be mixed. No milk sh ill be delivered that is taken Iron) a cow that has calved wjthin twelve (12) days, or from a cow that will come in or calve inside of sixty (60) days. 17. Cows shall not he fed on feed which will.iuipart a disagreeable flavor to milk, or upon any food which will not produce milk of a standard richness, or any sour, damaged t feed or ensilage. 18. It shall be the duty of tiny person having charge or control of any premises upon which cows are kept lo notify ihe Secretary of the Hoard <>f Health of the ixicteucr of any contagious Or infecti* us d.'seane anting such cows immediately upon the diacovf ry thereof, and to llioronghly isolits auy cow affected, and to exercise such other precautions*as may he directed, in writing, by the said Secretary. 19. It shall bo the duty of any person owning or having control of cows used for the production of milk tor s tie or exchange to stibmit said cows t» Hr* tuberculin test for tubercuios.i. on 1 lie written order of the St cretary of the Board of Health. Contagious Diseases. 20 Itthalt be the duty of any person having charge or ai v premises upon which milk or cifc;Vfn is produced, handled, stored or disiributefl. to notify the Secretary of tiie Board of Health immediately upo.i the discovery of any case of Asiatic cholera, croup, diptheria, measles', membranous croup, scarlet fever, small-pox, typhoid fever, typh-* us fever, or any other co itagious or infectious disiases upon such premises* No milk or cream shall be sold, exchanged, given away, or in any oiber maimer distributed fiom such infectious premises until all danger of spread of disease shall be removed and the Secretary certifies tb that effect. No person who attends cows or milks tin m, or who has the care or handling i.f vessels for the sale, storage or distribution of milk or cream, shall cuter any place or, premises wherein <xists any of the diseases mentioned herein, nor shall any such have any communication, direct or indirect, with any person who resides in or is an occupant of such infected place. Strict cleanliness of the hands and person of milkers and those engaged iu the h .ndling of milk or cream, and < f the bodies of cows, especially of tin* udders and teats, must he enforced at all times, to the end that no impurity or foreigu substance may be added to the milkpr cream, such addition being declared adulteration by the statute. 21. Nd. peiS"ii s' all add water or any other foreign substances to milk or cream offered or intended for sale or exchange. Mik offered for sale as whole milk or sold,, as such, which contains more than eighty-seven (87) per cent, of watery fluid, or less than thirteen (13) per cent, of milk solids (Deluding three and seven-tenths (3 7) per cent, of butter fat, is prim a facie watered, and such watering is declared an adulteration by the State Statutes, the puui-hment for which is a fine of not less than twenty-five dolUr* ($23 00 1 for each aud every of--f ense. D C. Ramsey, M. D., Pres. J. N. Hurty, M. D., Sec. Ferguson & Wilson prepare abstract quickly, carefully, and as reasonably as any one.