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health officer to post upon such house, or apartment, or room, or rooms, in which such case is isolated, near the entrance thereof, a placard stating the existence therein of a communicable disease. Regulation 19. Interference with placards. No person shall interfere with or obstruct the posting of any placard by any official of this board in or on any place or premises, nor shall any person conceal, mutilate, or tear down any such placard, except by permission of the health officer.

In the event of such placard being concealed, mutilated, or torn down, it shall be the duty of every occupant of the premises concerned immediately to notify the health officer.

Regulation 20. Preventing the spread of communicable diseases in institutions. It shall be the duty of the superintendent or person in charge of any hospital, or other institution, or dispensary, in which there is a person affected with any communicable disease, to take such steps as will, so far as practicable, prevent the spread of infection and trace its original source.

Regulation 21. Exposure of persons affected with communicable disease. No person shall permit any child, minor, or other person under his charge, affected with diphtheria, measles, poliomyelitis, acute anterior (infantile paralysis), scarlet fever, smallpox, or typhus fever, to associate with others than his attendants.

No person affected with any of said diseases shall expose himself in such manner as to cause or contribute to, promote or render liable their spread.

Regulation 22. Needless exposure to communicable disease forbidden. No person shall expose or permit the visiting, association, or contact of any child, minor, or other person under his charge, with any person affected with diphtheria, measles, scarlet fever, smallpox, typhus fever, or whooping cough, or with discharges of any kind from the person of a patient affected with any of said diseases.

No person shall needlessly expose himself, or visit, or associate, or come in contact with, a case of any of said diseases, or the discharges therefrom, or in any manner cause or contribute to, promote or render liable, the spread thereof.

Regulation 23. Exclusion from school of cases of disease presumably communicable. It shall be the duty of the principal or

other person in charge of any public, private, or Sunday school to exclude therefrom any child or other person affected with a disease presumably communicable until such child or other person shall have presented a certificate issued by the health officer or medical inspector or by the attending physician and countersigned by the health officer or by the medical inspector, stating that such child or other person is not liable to convey infective material.

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Regulation 24. Exclusion from schools and gatherings of cases of certain communicable diseases. No person affected with chickenpox, diphtheria, epidemic cerebrospinal meningitis, epidemic or septic sore throat, German measles, measles, mumps, poliomyelitis (infantile paralysis), scarlet fever, smallpox, trachoma, or whooping cough, shall attend or be permitted to attend any public, private, or Sunday school, or any public or private gathering. Such exclusion shall be for such time and under such conditions as may be prescribed by the health officer, not inconsistent with the provisions of the sanitary code, these regulations or the special rules and regulations of the state department of health.

Regulation 25. Exclusion from schools and gatherings of

children of households where certain communicable diseases exist. Every child who is an inmate of a household in which there is, or has been within fifteen days, a case of chickenpox, diphtheria, epidemic cerebrospinal meningitis, German measles, measles, mumps, poliomyelitis (infantile paralysis), scarlet fever, smallpox, or whooping cough, shall be excluded from every public, private, or Sunday school and from every public or private gathering of children for such time and under such conditions as may be prescribed by the health officer, not inconsistent with the provisions of the sanitary code, these regulations or the special rules and regulations of the state department of health.

Regulation 26. Precautions to be observed in chickenpox, German measles, mumps, and whooping cough. No person affected with chickenpox, German measles, mumps, or whooping cough shall be permitted to come in contact with or to visit any child who has not had such disease or any child in attendance at school.

Regulation 26-a. Chancroid, gonorrhoea and syphilis. Chancroid, gonorrhoea and syphilis are hereby declared to be infectious and communicable diseases highly dangerous to the public health.

It shall be the duty of every physician when first attending a person affected with chancroid, gonorrhoea or syphilis to furnish said person with a circular of information issued or approved by the state commissioner of health and to instruct such person as to the precautions to be taken in order to prevent the communication of the disease to others.

Regulation 26-b. Records of venereal diseases not to be divulged. The records of the health officer in reference to cases of chancroid, gonorrhoea and syphilis shall not be divulged or made public so as to disclose the identity of the persons to whom they relate by any person, except insofar as may be authorized by the public health council.

Regulation 27. Isolation or removal in smallpox. It shall be the duty of the health officer whenever a case of smallpox occurs in his jurisdiction, if a suitable hospital is available, to remove or cause to be removed such case promptly thereto. Every inmate of the household where such case occurs, and every person who has had contact with such case, or with his secretions or excretions, shall be either vaccinated within three days of his first exposure to the disease or placed under quarantine and, when vaccinated, the name and address of such inmate or other person shall be taken and such inmate or other person shall be kept under daily observation. Such observation shall continue until successful vaccination results, or for at least twenty days. If such inmate or other person refuses to be vaccinated, he shall be quarantined until discharged by the health officer.

If there is no hospital available, the patient shall be isolated and every inmate of the household shall be vaccinated or strictly quarantined until discharged by the health officer.

Whenever a case of smallpox occurs in his jurisdiction, it shall be the duty of the health officer to use all diligence in securing the names and addresses of all persons who have had contact with such case, and in causing such persons to be either vaccinated or placed under quarantine.

Regulation 28. Removal to hospital or isolation and restriction of visiting in certain cases. It shall be the duty of the health

officer to remove, or cause to be removed, every case of diphtheria, measles, scarlet fever, or poliomyelitis, acute anterior (infantile paralysis), promptly to a suitable hospital, or to see that such case is properly isolated. Such isolation shall be maintained

until its discontiuance is permitted by the health officer.

No person, except the physician and the nurse or other person in attendance, shall be permitted to come in contact with or to visit a case of diphtheria, measles, scarlet fever, or poliomyelitis, acute anterior (infantile paralysis), except by permission of the health officer.

Regulation 29. Removal to hospital or isolation, and provision for persons who cannot be removed. It shall be the duty of the health officer, whenever a case of diphtheria, scarlet fever, or typhus fever occurs in a lodging house, hotel, or boarding house, if suitable hospital facilities are available, to remove or cause to be removed such case promptly thereto, unless in the judgment of such officer, the case can be safely isolated.

Regulation 30. Quarantine in certain emergencies. When any case of diphtheria, epidemic cerebrospinal meningitis, measles, scarlet fever, smallpox, poliomyelitis, acute anterior (infantile paralysis), or typhus fever is not or cannot be properly isolated on the premises and cannot be removed to a suitable hospital, it shall be the duty of the health officer to forbid any member of the household from leaving the premises, except under such conditions as he may specify and except as provided by regulation eleven of this chapter.

Regulation 31. Maximum period of incubation. For the purpose of these regulations, the maximum period of incubation (that is, between the date of the exposure to disease and the date of its development), of the following communicable diseases is hereby declared to be as follows:

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Regulation 32. Minimum period of isolation. The minimum period of isolation, within the meaning of these regulations, shall be as follows:

Chickenpox, until twelve days after the appearance of the eruption and until the crusts have fallen and the scars are completely healed.

Diphtheria (membranous croup), until two successive negative cultures have been obtained from the nose and throat at intervals of not less than twenty-four hours, the first of such cultures being taken not less than nine days from the day of the onset of the disease.

Measles, until seven days after the appearance of the rash and until all discharges from the nose, ears and throat have disappeared and until the cough has ceased.

Mumps, until two weeks after the appearance of the disease and one week after the disappearance of the swelling.

Poliomyelitis, acute anterior (infantile paralysis), until three weeks from the day of the onset of the disease.

Scarlet fever, until thirty days after the development of the disease and until all discharges from the nose, ears and throat, or suppurating glands have ceased.

Smallpox, until fourteen days after the development of the disease and until scabs have all separated and the scars completely healed.

Whooping cough, until eight weeks after the development of the disease or until one week after the last characteristic cough.

Regulation 33. Sale of foods forbidden in certain cases. When a case of diphtheria, epidemic or septic sore throat, amoebic or bacillary dysentery, epidemic cerebrospinal meningitis, scarlet fever, smallpox, poliomyelitis, acute anterior (infantile paralysis), or typhoid fever exists on any farm or dairy producing milk, cream, butter, cheese, or other foods likely to be consumed raw, no such foods shall be sold or delivered from such farm or dairy, except under the following conditions:

(a) That such foods are not brought into the house where such case exists;

(b) That all persons coming in contact with such foods eat, sleep and work wholly outside such house;

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