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of any person under his professional care who is afflicted with any one of the diseases in the following list, with the name of the disease, within 24 hours after the time it is diagnosed, and it shall be the duty of the manager or managers, superintendents, or persons in charge of every hospital, institution, or dispensary in the city of Louisville to make a similar report to the said health department within the same period relative to any person afflicted with any one of the said diseases, stating in each instance the name of the disease:

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Any other disease or disability contracted as a result of the nature of the person's employment.

SEC. 2. If the disease reported is typhoid fever, scarlet fever, diphtheria or epidemic sore throat, every such report shall also show whether the patient has been, or any member of the household in which the patient resides, is engaged or employed in handling milk, butter, cream, or other dairy products for sale or preliminary to sale.

SEC. 3. Cases of typhus fever, smallpox, or cholera shall be reported immediately to the health office by telephone or messenger, and not later than 24 hours thereafter a written report shall be made to the health officer, giving, in addition to the name of the disease, the name of the patient, age, residence, and other necessary information.

SEC. 4. Any person or persons violating or assisting in the violation of any part or parts of this ordinance shall, upon conviction, be fined not less than $10 or more than $50, and each day's continuance of the violation shall constitute a separate offense.

Typhoid Fever-Bacteriological Examination of Feces and Urine of Convalescent Cases. (Ord. 12, Oct. 6, 1917.)

SECTION 1. Every physician attending a case of typhoid fever shall at least 10 days after the patient's temperature becomes normal submit specimens of the patient's urine and feces to the health department for bacteriological examination.

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SEC. 2. If, in any case, typhoid bacilli are found to be present in such urine or feces the convalescent from whom the specimens were obtained shall not resume his or her occupation without the permission of the health department.

SEC. 3. Any person violating or assisting in the violation of any part or parts of this ordinance shall, upon conviction, be fined not less than $5 nor more than $50, and each day's continuance of the violation shall constitute a separate offense.

MCKEESPORT, PA.

Influenza-Measures for Prevention of Spread. (Reg. Dept. of H., Oct. 11, 1918.)

RULE 1. Restaurants.-Proprietors or persons in charge of public eating places are hereby forbidden to use drinking vessels, dishes, spoons, knives, forks, finger bowls, or any other utensils which have not been thoroughly cleansed and boiled after each individual use; and they are also forbidden to furnish, or permit others to furnish or keep, any common drinking vessel for use of their patrons or employees. They are also forbidden to furnish any towels unless said towels be laundered or destroyed or discarded after each individual use. Public or roller towels are forbidden. No person shall be employed or in charge of any public eating house who is suffering from any contagious or communicable disease, including influenza, or who may show any evidence or symptoms of a catarrhal condition such as to cause any discharge from the nose or throat. Proprietors or managers of said public eating places shall keep his or their places in clean and sanitary condition, including the kitchen, furniture, utensils, storerooms, ice boxes, and all appurtenances. They shall prohibit any loitering, loafing, or overcrowding, and shall see that neither patrons nor employees expectorate or spit upon any floors or other exposed surfaces in or about said places of business.

RULE 2. Ice cream and soft drinks.-Ice cream and soft drink dispensers are forbidden to serve any ice cream, ices, or soft drinks of any kind unless the same be served in individual containers that shall be destroyed after each service. All spoons or other utensils used in the serving of any of the above shall, after being thoroughly cleansed, be boiled.

RULE 3. Street cars.-Overcrowding of street cars is considered to be one of the greatest contributory causes of the spread of influenza. It shall, therefore, be unlawful to permit any street car or other public conveyance to be overcrowded. When the number of persons permitted to ride in any street car or other public conveyance is in excess of 50 per cent of the seating capacity, said street car or other public conveyance shall be considered as being overcrowded and in violation of this rule. The superintendent of said street car or other public conveyance shall post, or cause to be posted, in each said street car or other public conveyance, a placard or other device stating the seating capacity of said street car or other public conveyance, which said seating capacity shall be determined by the department of health of the city of McKeesport, and said placard or other device shall be posted in a conspicuous place in said cars or

conveyances for inspection by officers of the health department of the city of McKeesport.

RULE 4. Department stores, etc.-That managers of retail or wholesale stores, banking houses, or barber shops shall not at any time permit the gathering in their places of business to be a greater number than twice the available clerks or help employed at this time. Said managers shall place, or cause to be placed, a card or other device in a conspicuous place in the various departments of said stores, banking houses, etc., stating the number of available clerks or help in said department, which said cards shall be placed for convenient inspection by officers of the board of health of the city of McKeesport. RULE 5. Coughing and sneezing.—The most dangerous form of personal contact in the epidemic of influenza is that of coughing and sneezing. Coughing or sneezing, except behind a handkerchief, is as great a sanitary offense as promiscuous spitting, and it shall, therefore, be considered unlawful for any person or persons to cough or sneeze except he or she completely cover the mouth and nose with a handkerchief.

RULE 6. Ventilation.-Ventilation plays a nrost important part in the spread or control of influenza; therefore, to have a uniform ventilation of all sleeping rooms, persons in charge of homes, boarding or rooming houses, within the limits of the city of McKeesport, shall have, or cause to have, opened all windows to the full extent in each and every room used for sleeping purposes for 3 hours in each 24 hours.

RULE 7. Elevators.-Elevators shall not be permitted to carry a number of persons that shall cause inconvenience or crowding. The department of health of the city of McKeesport at any time has the right to determine the safe and healthful capacity of any elevator and to prevent the carrying of any greater number of passengers than the capacity so determined. The operator shall be held responsible for the observance of this rule.

RULE 8. Housing conditions.-The housing conditions of the city are such as to make it necessary for a strict and systematic inspection of many boarding houses. It is recommended that the keeper or proprietor of each and every rooming or boarding house where four or more persons are housed shall file with the clerk of the board of health of the city of McKeesport, upon the approval of these rules, and upon the first day of each and every month thereafter, a list of the names, nationality, age, and occupation of each and every occupant of said boarding or rooming house.

These rules are hereby made part of the rules and regulations of the health department of the city of McKeesport, and for violation thereof the offender shall be fined before the mayor, police magistrate, or any alderman of the city of McKeesport a fine of from $2 to $100, and in default thereof be committed to the Allegheny County Jail for a period not to exceed 30 days.

MACON, GA.

Whooping Cough-Infected Children Under 10 to Wear Yellow Arm Band. (Reg. Bd. of H., Feb. 14, 1917.)

It shall be unlawful for the parent or guardian of any child under 10 years of age, who is suffering from the disease commonly known as whooping cough, to permit any such child to appear in the streets or any other public place, within the corporate limits of the city of Macon, unless such child shall wear, or expose, upon the arm a band of yellow material bearing upon it the words "Macon Health Department, Whooping Cough;" said band to be in a form to be prescribed and supplied by the said board of health, and shall be worn

for a period beginning with the earliest recognition of the disease, and continue until danger of infection is over, but in no event for a less period than six weeks.

That no parent or guardian of any child, under the age of 10 years, suffering from whooping cough, shall permit any such child to board any street car, or other public conveyance, or visit any house other than the house in which such child resides, or any store, school, Sunday school, or building of public assembly.

MARINETTE, WIS.

Influenza Placarding-Quarantine and Isolation-Preventive Measures. (Reg. Bd. of H., Dec. 16, 1918.)

1. Theaters. All theaters, moving-picture houses, and similar amusement places shall be closed and kept closed.

2. Public gatherings.-The holding of dances, public meetings, gatherings, and celebrations and sessions of lodges, societies, or similar organizations is prohibited.

3. Schools. The public schools having been, by order of the board of education, closed until January 6, 1919, the same, together with continuation, industrial, parochial and all other schools, shall be and remain closed until further notice by the undersigned.

4. Churches. The holding of church bazaars, sociables, public exercises, and similar gatherings, as well as Sunday school classes, shall be suspended; regular Sunday and Christmas services are permitted, but attendants thereat shall occupy alternate pews under the direction and supervision of the respective pastors; where one service follows another closely, side exits shall be used; all such services shall be limited in time to as short a period as possible consistent, in the discretion of the pastor, with the established rules and customs of the particular church affected and the peculiar needs of the service concerned; and all such attendants shall proceed to and from church directly and at no time gather in groups.

5. Restaurants, etc.-All hotels, restaurants, soda fountains, and other places furnishing food or drink shall thoroughly clean and scald all dishes or glasses in boiling water before permitting their use by patrons.

6. Saloons and pool rooms.-In saloons, public clubs, or pool rooms no loitering, lounging, congregating, music, card playing, or other entertainment shall be permitted; in all such places all chairs shall be removed and other seating accommodations for patrons barred from use; only such persons shall be permitted to remain in pool or billiard rooms as are actually engaged in such games or are necessarily attending in keeping such places; in all such places serving drinks, no glass shall be furnished for use by a patron unless it has been thoroughly cleaned and scalded in boiling water; the proprietor or manager of any such place shall strictly prevent any crowd from gathering or remaining in his said place of business, either as patrons or as onlookers; the conduct of such places will be under special inspection.

7. Stores.-Proprietors and managers of stores and other places of business shall prevent unnecessary congregating, loitering, or crowding therein; patrons in such places shall transact their business therein with all reasonable dispatch and move along without unnecessary visiting or delay; proprietors and managers of such places shall so instruct their clerks and direct their patrons as to prevent the gathering of crowds or groups, thus avoiding contact tending to exposure to contagion.

8. Street cars, etc.-The traction company has arranged to provide such service at all times as will render crowding unnecessary; the use of street cars will be limited to one-half of their regular seating capacity, plus one passenger in the front vestibule and three passengers in the rear vestibule; no passenger will be permitted to stand, except in vestibules as above provided; passengers seated will keep a clear space of 2 feet between them; cars filled to capacity, as herein limited, will display signs indicating that fact, and waiting passengers will cooperate with the traction employees by cheerfully waiting for the next

car.

Taxicabs and other public vehicles will not carry passnegers in excess of one-half of their regular seating capacity.

9. Children.-Crowding, loitering, or lounging upon or about the streets or any public places of the city is forbidden; children must not gather in groups and must remain within their own homes or upon their own premises, except when sent upon necessary errands by their parents or guardians; no child under 12 years of age will be permitted on the streets or public places of the city after 7 o'clock in the evening unless actually accompanied by an adult person. 10. Placarding.—The city will cause all houses and buildings containing a case of influenza to be placarded; the patient shall be segregated from other members of the household and no person attending such patient shall leave the premises until the case shall be discharged by the attending physician; and no person except the wage earner in a home afflicted with influenza, or one engaged upon a strictly necessary business mission, shall leave the household during the continuance of such case therein and until the same shall be discharged by the attending physician, and in no case before the expiration of four days after the fever shall have subsided. Persons convalescing from influenza or its complications will not return to their work or business for 10 days after the fever shall have subsided, unless sooner discharged by written certificate of the attending physician.

Violation of any of these regulations will subject the offender and the household concerned to the stringent quarantine measures provided by the State laws.

11. General.-Every one will keep regular hours, stay away from crowds, get plenty of sleep, breathe fresh air day and night, stay home if he has any indication of a cold, allow no one to cough or sneeze in hs face, oibserve these rules faithfully, and cooperate with the authorities in insisting that all others do likewise.

MEMPHIS, TENN.

Pellagra-Notification of Cases and Deaths-Embraced Under Term "Contagious Disease "-Preventive Measures Same as for Typhoid Fever. (Ord. Apr. 10, 1917.)

SECTION 1. That hereafter the phrase "contagious disease" as used in the ordinances and regulations of the city governing the board of health, its officers, practicing physicians, and other persons shall be held to include the disease known as pellagra.

SEC. 2. That every physician shall immediately report to the board of health, in person or in writing, any person he may attend or be called to see (within the city limits or 1 mile outside thereof) sick with, or who he has reason to suspect has, pellagra, giving his or her name, color, age, and place of residence. In the absence of a physician, the parent, guardian, employer, or head of the houses where such patient is sick shall make such report. It shall also be the duty of each and every practicing physician in the city to report, in writing, to

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