Page images
PDF
EPUB

subject to the supervising control of the commissioner of health, to do and perform all the things mentioned in section 3, subdivisions 1, 2, 3, and 4 of this act. (2) They shall have supervision over the local boards of health in their respective divisions. (3) They shall forward to the commissioner of health monthly reports of the communicable diseases occurring in their respective divisions as reported to them by physicians and others in accordance with section 12 of this act.

SEC. 5. Local boards of health.-Every school district outside of incorporated towns in the Territory shall, for the purpose of the act, become a health district, and in every such health district there shall be a board of health composed of the president of the school board and two citizens of said district, to be selected by the school board: Provided, That at least one member of the health board to be thus elected shall, wherever practicable, be a licensed physician.

2. The foregoing paragraph of this section shall apply and be in effect in each incorporated town in the Territory unless such town shall otherwise provide for the establishment and maintenance of a local board of health or a proper health officer.

3. That in any native village or community composed largely of natives, where the formation of a board of health, as above defined, is impracticable, any representative of the United States Bureau of Education shall have the authority and power granted to the local boards of health.

4. That the local boards of health outside of incorporated towns and any representative of the United States Bureau of Education acting in the capacity of health officer, as provided in the third paragraph of this section, shall be subordinate to a..d under the supervision of the assistant commissioner of health of their respective divisions, and shall, within their respective health districts, have all the powers mentioned in subdivisions 1, 2, 3, and 4 of section 3 of this act.

Communicable Diseases—Notification, Quarantine, Placarding, Etc. (Chap. 42, Act Apr. 28, 1913.)

SEC. 6. Communicable diseases defined.-For the purpose of this act persons or articles that have been infected with or exposed to the contagion or infection of plague, cholera, smallpox, yellow fever, typhus fever, leprosy, typhoid fever, scarlet fever, measles, diphtheria, infantile paralysis, cerebrospinal meningitis, erysipelas, whooping cough, glanders, and mumps shall be considered as capable of conveying contagious or infectious disease, and shall be subject to this act as hereinafter provided. All cases of pulmonary tuberculosis and trachoma, where the usual precautions to prevent the spread of the disease to others are willfully neglected and where other persons are liable to become infected on account of this negligence shall also be considered as capable of conveying contagious or infectious diseases.

SEC. 7. Communicable diseases, notification of.-Whenever any physician or nurse is called to treat any person suffering with any of the diseases mentioned in section 6 of this act, he or she shall isolate the case and immediately notify the local board of health.

SEC. 8. Notification by the laity.-Whenever any person knows or has reason to believe that any member of his family or household (boarder, roomer, or visitor) has any disease mentioned in section 6 of this act, he shall within 24 hours, if no physician is available, give notice thereof to the local board of health in the health district in which he resides. Such notice shall be given either verbally to one of the members of said board, or by a communication addressed to the board of health and duly mailed within the time specified.

SEC. 9. Quarantine. The board of health upon receipt of the report of the existence of any of the diseases mentioned in section 6 of this act shall immediately investigate the case and if such disease shall isolate the patient, and if necessary, shall quarantine the house, rooms, or premises and take any other precautions needed to prevent the spread of the disease.

SEC. 10. Placarding.-Whenever a house, apartment, room, or premises are placed under quarantine, a placard shall be posted in a conspicuous place, giving the name of the disease and also containing the following quarantine order: “All persons are strictly forbidden to enter or leave these premises or to remove this notice without permission or orders from the board of health."

SEC. 11. Disinfection.—Upon the death, recovery, or removal of the person sick with any disease mentioned in section six of this act, the room in which said person was confined and such rooms as, in the opinion of the board of health, have been contaminated shall be cleansed and disinfected under the supervision of the board of health, the placard removed, and the quarantine released. The isolation, disinfection, and other preventive measures shall be performed as nearly as practicable according to methods indorsed and practiced by the United States Public Health Service as described in Public Health Bulletin No. 42, entitled, "Disinfectants, their use and application in the revention of communicable diseases."

SEC. 12. Diseases to be recorded.-Every physician in the Territory of Alaska who shall prescribe for, or attend any person having smallpox, plague, yellow fever, cholera, typhus fever, leprosy, typhoid fever, scarlet fever, measles, chicken pox, diphtheria, infantile paralysis, cerebrospinal meningitis, erysipelas, whooping cough, glanders, mumps, tuberculosis in any form, or trachoma, shall, within 24 hours after first discovering the existence of such disease, make a report thereon in writing, to the assistant commissioner of health of the division in which the case appears, upon a blank form to be furnished by the commissioner of health in accordance with subdivision 6, of section 3 of this act; which report shall give the name, age, nativity, residence, date of attack, color, and the sex of the person having such disease, together with the character of the disease.

SEC. 13. Communicable diseases in schools, etc.-No child or person infected with any of the diseases in section 6, or any person residing in the same house in which any person may be located who is infected with any of the aforesaid diseases unless permitted by the health officer, shall be permitted to attend any public, private, parochial, Sunday or other school, church, factory, or any other place of assembly in the Territory; and health officers and persons in charge of such schools, etc., are hereby required to exclude any and all children and persons from such places; such exclusion shall continue until complete recovery of the person afflicted or until the health officer decides that the danger of infecting others no longer exists.

SEC. 14. Penalty-Any person who interferes with a health officer in the performance of his duties, or any person who breaks quarantine or removes any placard without the permission of the board of health, and any person who knowingly violates any of the provisions of this act or any regulations or orders established or made by authority of this act unless it can be demonstrated to the satisfaction of the board of health that such compliance was an impossibility, shall upon conviction thereof be punished for each offense by a fine of not more than $100, or by imprisonment not more than 50 days, or by both fine and imprisonment, and it is hereby made the duty of all United States marshals and their deputies as ex officio constables to assist in the enforcement of this act.

SEC. 15. Expenses.--Any necessary expenses incurred by any health officer or local board of health in the enforcement of this act outside of incorporated towns shall be paid, upon approval by the district judge, from funds derived from fines and forfeitures in the Territory of Alaska.

Nuisances -Pollution of Waters, Disposal of Refuse. (Act Apr. 30, 1913.) SECTION 1. That section 160, chapter 10, of the act of Congress approved March 3, 1899, entitled "An act to define and punish crimes in the District of Alaska and to provide a penalty therefor," be amended to read as follows:

"SEC. 160. That any person, firm, or corporation who puts any dead-animal carcass, or part thereof, excrement, putrid, nauseous, noisome, decaying, deleterious, or

offensive substance into, or in any other manner not herein named, befouls, pollutes. or impairs the quality of any spring, brook, creek, branch, well, or pond of water which is or may be used for domestic purposes, and any person, firm, or corporation who shall place or deposit upon any lot, street, beach, premises, or public highway any garbage, offal, dead animals, or any other matter or things, which would be obnoxious, or cause the spread of disease or in any way endanger the health of the community; and any person, firm, or corporation who shall allow to be placed or deposited upon any premises owned by or under his or its control any garbage, offal, dead animals, or any other matter or thing which would be obnoxious or offensive to the public or which would produce, aggravate, or cause the spread of disease or in any way endanger the health of the community shall be considered as creating or maintaining a nuisance; and any person, firm, or corporation who shall neglect or refuse to abate such nuisance upon order of any health officer shall be guilty of a misdemeanor and punished as provided in section 161 of this chapter, and in addition to such punishment the court or justice shall assess judgment against the defendant for the expenses of abating such nuisance, which judgment shall be enforced in the same manner as an execution in a civil action."

WASHINGTON.

Hotels Sanitary Regulation of. (Reg. St. Bd. of H., Jan. 20, 1913.)

1. Plumbing. The plumbing of every hotel shall conform to the plumbing ordinances of the city wherein the hotel may be located, provided, that if this city has no plumbing ordinance, then the plumbing shall conform to the ordinances of the nearest city having ordinances governing plumbing.

2. Toilets. Every hotel shall provide at least one public toilet to every 30 rooms or fraction thereof, and shall provide at least one public urinal for every three toilets. All toilets must be properly plumbed and be connected with the sewer, wherever there is a public sewer. In cities and towns having no sewerage system, open-earth toilets or privies will be allowed, but must be disinfected with dry lime daily and emptied twice each week and thoroughly screened from flies. Open toilets must be located not less than 40 feet away from all kitchens and dining rooms and pantry openings. No privy vaults shall be allowed except those of a sanitary type approved by the State commissioner of health.

3. Cesspools. In cities and towns having no sewage system, hotels with plumbing and sewage waste must be provided with a suitable disposal of the sewage, which disposal must be approved by the local health officer. Cesspools will not be allowed except upon recommendation of the local health officer, approved by the State commissioner of health.

4. Refuse.-All garbage and kitchen refuse must be kept in tight metal cans with a metal cover encircling the top of the can and must be removed once daily.

5. Screening. All dining rooms, kitchens, and pantries must be thoroughly screened from flies.

6. Ventilation. All outside sleeping rooms must have at least 500 cubic feet of air space for each individual, with sufficient openings so that a minimum of 3,000 cubic feet of air per hour can be obtained. Inside sleeping rooms must contain 1,000 cubic feet of air space for each individual and have sufficient openings connected with rooms or halls having outside openings so that a minimum of 3,000 cubic feet of air per hour can be obtained.

7. Room disinfection. Whenever a room has been occupied by a guest sick with or exposed to any communicable disease, it shall be thoroughly fumigated in accordance with the directions of the local health officer before being occupied by another guest. 8. Common drinking cup.-The common drinking cup is prohibited in all hotel lobbies and in public toilets connected therewith.

9. Sleeping rooms.-No buildings shall hereafter be constructed or remodeled for hotel purposes that contain any sleeping rooms that do not open directly into the open air.

Communicable Diseases-Prevention of the Spread of by Common Carriers. (Reg. St. Bd. of H., Jan. 20, 1913.)

REGULATION 1. No person having reason to believe that he or she is suffering from cholera, diphtheria (or membranous croup), plague, scarlet fever, smallpox, yellow fever, chicken pox, or measles shall enter, nor shall any person permit anyone under his or her care so infected to enter any public conveyance or common carrier.

REG. 2. All conductors of railroad trains and street cars and captains of boats, if they have any reason to suspect any passenger to be suffering from any disease enumerated in regulation 1 shall immediately notify the nearest health officer or company physician (when the health officer is not available) located on their route, by the most direct and speedy means possible, of their belief, and such health officer or company physician must meet such railroad train at the station or such street car or boat at the nearest possible point and make a thorough examination of such person and determine whether or not such disease exists.

REG. 3. When the health officer or physician notified as provided in regulation 2 shall find any person in a car, boat, or other public conveyance to be afflicted with smallpox, diphtheria, scarlet fever, or other quarantinable disease, the car, boat, or other public conveyance shall be turned over to the health officer or physician, who shall treat such conveyance as infected premises. When in the judgment of the health officer or physician the case is in such early stage of development that other passengers are not affected, the patient shall be removed from the conveyance and it shall be allowed to proceed. If the health officer or physician shall deem that the exposure is such as to have infected other passengers, he shall call upon the person in charge to remove infected conveyance from service at the first place where suitable accommodations can be secured, and such health officer or physician shall notify the health officer in whose jurisdiction the infected conveyance is left.

REG. 4. No person shall spit on the floor, furnishings, or equipment of any public conveyance, eating room, depot, depot platform, waiting room, deck, or wharf. Each common carrier is hereby required to post or display in each day coach, smoking car, or boat a notice in form or substance as follows:

For cars: "Spitting and throwing of refuse on the floor, furnishings, or vestibules of this car are prohibited by law."

For waiting rooms, eating rooms, toilets: "Spitting and throwing of refuse on the floor or furnishings of this room are prohibited by law."

For boats: "Spitting and throwing of refuse on the deck, floors, or furnishings or in toilet rooms of this boat are prohibited by law."

REG. 5. Each sleeping car shall be furnished with one spittoon for each section or compartment. Each smoking compartment in day coaches, chair, parlor, and sleeping cars shall be furnished with at least two spittoons. Each smoking car shall be provided with at least 12 spittoons. Each combination smoking car shall be provided with at least six spittoons. Each boat carrying passengers shall provide one spittoon or more for each stateroom and general smoking saloon.

REG. 6. The drinking water and ice supply used in stations and on public conveyances shall contain no ingredients deleterious to health. In the construction of new equipment all receptacles for drinking water should be so constructed that they can not be opened readily by anyone except those having charge of them. Nothing but ice and water shall be placed in the receptacles used for the storage of drinking The receptacle for drinking water shall be kept thoroughly clean at all times and shall be drained and flushed at car-cleaning terminals.

water.

When a water-borne disease has developed in epidemic form in a municipality, water from such place for car tanks shall not be used without the approval of the State board of health.

REG. 7. The use of the common or public drinking cup is prohibited on all public conveyances and in waiting rooms.

REG. 8. All public conveyances, including toilet rooms therein, shall be kept in a reasonably clean condition at all times. Dry sweeping and dusting of occupied conveyances is strictly prohibited.

REG. 9. At cleaning terminals all passenger equipment shall be thoroughly cleaned and aired, and after such cleaning the hoppers, urinals, and toilet floors shall be mopped with a 1 to 2 per cent solution of official formaldehyde.

REG. 10. Upon arrival at cleaning terminals sleeping cars shall be cleaned as follows:

The windows, doors, and ventilators shall be opened; the upper berths let down; the seat bottoms and backs lifted out; the mattresses, blankets, pillows, curtains, etc., loosely arranged for airing. If the weather permits, the removable articles mentioned above shall be taken out of the car, dusted and aired in the open, and exposed to the sunlight for a time. The rest of the cleaning of the car shall be carried out as directed for day coaches under regulation 9.

REG. 11. Sleeping cars shall be fumigated at least once every two months and after the car is known to have carried any infectious disease. Fumigation shall be carried out before the carpets have been removed or the cleaning of the car begun, and record shall be posted in the car showing where and when the fumigation was done. Preparation for fumigation shall be as follows:

Close all outside doors, windows, deck sash, and ventilators. Arrange one window or more on each side of the car so that it can be opened from the outside to avoid the necessity of entering the car while the formaldehyde fumes are strong. Open all interior doors. Pull the seats forward and loosen the pillows in the pillow boxes. Open the upper berths and lay the headboards across the seats so that one corner will rest upon the seat arm. Lay lower mattresses on the headboards with the middle arched upward, the ends being pushed together. Raise the curtain poles and hang the curtains near the end by a single hook. Throw the blankets over the curtain poles, making as few folds or thicknesses of the blanket as possible. Arch the upper mattresses in the upper berths.

Fumigation shall be carried out along the lines approved by the State board of health. After the car has been fumigated it shall remain closed for a period of at least three hours, after which time the doors and windows shall be opened as soon as possible. On rainy or damp days the car need not be kept closed after fumigation: for a longer period than one hour.

REG. 12. In all public conveyances the food boxes, refrigerators, lockers, drawers, and cupboards shall be kept thoroughly sweet and clean at all times.

REG. 13. The common roller towel shall be abolished on all common carriers and

in waiting rooms.

REG. 14. That all toilets, urinals, and toilet appliances in railroad stations in the State of Washington be made to comply with the same sanitary requirements as other buildings in the same town.

« PreviousContinue »