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SEC. 7. That the sum of $500,000, or so much thereof as may be necessary, is hereby appropriated, out of any money in the Treasury not otherwise appropriated, for the purpose of carrying into effect the provisions of this act, as well as for the purpose generally of preventing the importation of yellow fever and other quarantinable diseases into the United States, and for the further purposes, in cooperation with State or municipal health authorities, of eradicating them should they be imported, or preventing their spread from one State into another State, and of destroying their causes. (Act June 19, 1906, ch. 3433, 34 Stat. 299.)

SEC. 2. *

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Provided, That a person to be eligible for appointment as a cadet of the line [in the Revenue-Cutter Service] shall pass a satisfactory physical examination by a board of officers of the Public Health and Marine Hospital Service, examinations to be conducted under such regulations as shall be prescribed by the Secretary of the Treas ury: * (Act June 23, 1906, ch. 3520, 34 Stat. 452.)

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That the provisions of section 7 of the act of March 3, 1905, as to compensation shall apply to said officers while engaged in investigations of leprosy at Kalihi and other places in Hawaii. (Sundry civil appropriation act Mar. 4, 1911, ch. 285, 36 Stat. 1394.)

An act to change the name of the Public Health and Marine-Hospital Service to the Public Health Service, to increase the pay of officers of said service, and for other purposes.

That the Public Health and Marine-Hospital Service of the United States shall hereafter be known and designated as the Public Health Service, and all laws pertaining to the Public Health and Marine-Hospital Service of the United States shall hereafter apply to the Public Health Service, and all regulations now in force, made in accordance with law for the Public Health and Marine-Hospital Service of the United States, shall apply to and remain in force as regulations of and for the Public Health Service until changed or rescinded. The Public Health Service may study and investigate the diseases of man and conditions influencing the propagation and spread thereof, including sanitation and sewage and the pollution either directly or indirectly of the navigable streams and lakes of the United States, and it may from time to time issue information in the form of publications for the use of the public. SEC. 2. That beginning with the 1st day of October next after the passage of this act the salaries of the commissioned medical officers of the Public Health Service shall be at the following rates per annum: Surgeon General, $6,000; Assistant Surgeon General, $4,000; senior surgeon, of which there shall be 10 in number, on active duty, $3,500; surgeon, $3,000; passed assistant surgeon, $2,400; assistant surgeon, $2,000; and the said officers, excepting the Surgeon General, shall receive an additional compensation of 10 per centum of the annual salary as above set forth for each five years' service, but not to exceed in all 40 per centum: Provided, That the total salary, including the longevity increase, shall not exceed the following rates: Assistant Surgeon General, $5,000; senior surgeon, $4,500; surgeon, $4,000: Provided further, That there may be employed in the Public Health Service such help as may be provided for from time to time by Congress. (Act Aug. 14, 1912, ch. 288, 37 Stat. 309.)

* That the sum of $10,000, or so much thereof as may be necessary, is hereby appropriated, out of any money in the Treasury not otherwise appropriated, to enable the Public Health and Marine-Hospital Service to make a thorough examination as to the prevalence of tuberculosis, trachoma, smallpox, and other contagious and infectious diseases among the Indians of the United States, full report to be made to Congress not later than February 1, 1913. with such recommendations as may be deemed advisable. (Act Aug. 24, 1912, ch. 388, 37 Stat. 519.)

* That hereafter the director of the hygienic laboratory shall receive the pay and allowances of a senior surgeon. (Deficiency appropriation act Mar. 4, 1913, ch. 149, 37 Stat. 915.)

* That hereafter commissioned officers and pharmacists, and those employees of the service devoting all their time to field work, shall be entitled to hospital relief when taken sick or injured in line of duty. (Sundry civil appropriation act June 23, 1913, ch. 3, 38 Stat. 24.)

* Field investigations of public-health matters: For investigations of diseases of man and conditions influencing the propagation and spread thereof, including sanitation and sewage, and the pollution of navigable streams and lakes of the United States, including personal service, $200,000, of which the sum of $40,000 shall be immediately available. (Sundry civil appropriation act June 23, 1913, ch. 3, 38 Stat. 25.)

[Appropriations for the same purpose have been made in subsequent years.]

Interstate quarantine service: For cooperation with State and municipal health authorities in the prevention of the spread of contagious and infectious diseases in interstate traffic, $15,000. (Sundry civil appropriation act June 23, 1913, ch. 3, 38 Stat. 25.)

[Appropriations for the same purpose have been made in subsequent years.]

Study of pellagra: For rental, equipment, and maintenance of a temporary field hospital and laboratory, including pay of personnel, for special studies of pellagra, $47,000, to continue available during the fiscal year 1915. (Urgent deficiency appropriation act Apr. 6, 1914, ch. 52, 38 Stat. 315.) [Appropriations for the same purpose have been made in subsequent years.]

That, in the discretion of the Secretary of the Treasury, any of the revenue cutters provided for in this act, or any other revenue cutter now or hereafter in commission, may be used to extend medical and surgical aid to the crews of American vessels engaged in the deep-sea fisheries, under such regulations as the Secretary of the Treasury may from time to time prescribe, and the said secretary is hereby authorized to detail for duty on revenue cutters such surgeons and other persons of the Public Health Service as he may deem necessary. (Act June 24, 1914, ch. 124, 38 Stat. 387.)

Joint resolution authorizing the President to designate two officers connected with the Public Health Service to represent the United States at the Sixth International Sanitary Conference of American States to be held at Montevideo, Uruguay, in December, 1914, and making an appropriation to pay the expenses of said representatives, and for other purposes.

That the President be, and he is hereby, authorized to appoint or designate two officers of the United States connected with the Public Health Service to represent the United States in the Sixth International Sanitary Conference of American States to be held at the city of Montevideo, Uruguay, in December, 1914, and to pay the necessary expenses of said representatives in attending said conference, including the expenses of assembling the necessary data and of the preparation of a report, the sum of $2,000, or so much thereof as may be necessary, is hereby appropriated out of any money in the Treasury not otherwise appropriated. (Res. Sept. 23, 1914, No. 44, 38 Stat. 779.)

[In the so-called Harrison narcotic drug act it is specifically provided that some of its provisions shall not apply to officers of the Public Health Service. (Act Dec. 17, 1914, ch. 1, 38 Stat. 785.)]

That forecastles shall be fumigated at such intervals as may be provided by regulations to be issued by the Surgeon General of the Public Health Service, with the approval of the Department of Commerce, and shall have at least two exits, one of which may be used in emergencies. 1915, ch. 153, 38 Stat. 1166.)

(Act Mar. 4,

SEC. 4. That the President is further authorized, by and with the advice and consent of the Senate, to appoint such officers of the Public Health Service as were detailed for duty with the Isthmian Canal Commission on the Isthmus of Panama for more than three years to the grade next above that at present held by such officers.

SEC. 5. That the numbers in such grades provided for in sections 2 and 4 of this act, except where vacancies occurring in any grade by the provisions of this act can be filled by such officers in a lower grade as are entitled to the benefits of this act, shall be temporarily increased during the time such offices may be held: * * Provided further, That nothing in this act shall operate to interfere with or retard the promotion to which any officer would be entitled under existing law: And provided further, That the officers advanced to higher grades under this act shall be junior to the officers who now rank them under existing law when these officers have reached the same grade. (Act Mar. 4, 1915, ch. 167, 38 Stat. 1191.)

* For special studies of and demonstration work in rural sanitation, including personal service, $25,000, or so much thereof as may be necessary. (Urgent deficiency appropriation act February 28, 1916, ch. 37, 39 Stat. 21.) [Appropriations relative to rural sanitation have been made in subsequent

years.]

Biologic products: To regulate the propagation and sale of viruses, serums, toxins, and analogous products, including personal service, $10,000. (Sundry civil appropriation act July 1, 1916, ch. 209, 39 Stat. 279.)

[Appropriations relative to biologic products have been made in subsequent

years.]

SEC. 5. That hereafter light keepers and assistant light keepers of the Lighthouse Service shall be entitled to medical relief without charge at hospitals and other stations of the Public Health Service under the rules and regulations governing the care of seamen of the merchant marine: Provided, That this benefit shall not apply to any keeper or assistant keeper who receives an original appointment after the passage of this act, unless the applicant passes a physical examination in accordance with rules approved by the Secretary of Commerce and the Secretary of the Treasury. (Act August 28, 1916, ch. 414, 39 Stat. 538.)

SEC. 9. That immediately after an injury sustained by an employee [of the United States] while in the performance of his duty, whether or not disability has arisen, and for a reasonable time thereafter, the United States shall furnish to such employee reasonable medical, surgical, and hospital services and supplies, unless he refuses to accept them. Such services and supplies shall be furnished by United States medical officers and hospitals, but where this is not practicable shall be furnished by private physicians and hospitals designated or approved by the commission and paid for from the employees' compensation fund. If necessary for the securing of proper medical, surgical, and hospital treatment, the employee, in the discretion of the commission, may be furnished transportation at the expense of the employees' compensation fund. SEC. 21. That after the injury the employee shall, as frequently and at such times and places as may be reasonably required, submit himself to examination by a medical officer of the United States or by a duly qualified physician designated or approved by the commission. The employee may have a duly qualified physician designated and paid by him present to participate in such examination. For all examinations after the first the employee shall, in the discretion of the commission, be paid his reasonable traveling and other expenses and loss of wages incurred in order to submit to such examination. If the employee refuses to submit himself for or in any way obstructs any examination, his right to claim compensation under this act shall be suspended until such refusal or obstruction ceases. No compensation shall be payable while such refusal or obstruction continues, and the period of such refusal or obstruction shall be deducted from the period for which compensation is payable to him. SEC. 22. That in case of any disagreement between the physician making an examination on the part of the United States and the employee's physician the commission shall appoint a third physician, duly qualified, who shall make an examination. (Act September 7, 1916, ch. 458, 39 Stat. 743, 747.)

An act to provide for the care and treatment of persons afflicted with leprosy and to prevent the spread of leprosy in the United States.

That for the purpose of carrying out the provisions of this act the Secretary of the Treasury is authorized to select and obtain, by purchase or otherwise, a site suitable for the establishment of a home for the care and treatment of persons afflicted with leprosy, to be administered by the United States Public Health Service; and either the Secretary of War, the Secretary of the Navy, the Secretary of the Interior, or the Secretary of Agriculture is authorized to transfer to the Secretary of the Treasury any abandoned military, naval, or other reservation suitable for the purpose, or as much thereof as may be necessary, with all buildings and improvements thereon, to be used for the purpose of said home.

SEC. 2. That there shall be received into said home, under regulations prepared by the Surgeon General of the Public Health Service, with the approval of the Secretary of the Treasury, any person afflicted with leprosy who presents himself or herself for care, detention, and treatment, or who may be apprehended under authority of the United States quarantine acts, or any person afflicted with leprosy duly consigned to said home by the proper health authorities of any State, Territory, or the District of Columbia. The Surgeon General of the Public Health Service is authorized, upon request of said authorities, to send for any person afflicted with leprosy within their respective jurisdictions, and to convey said person to such home for detention and treatment; and when the transportation of any such person is undertaken for the protection of the public health, the expense of such removal shall be paid from funds set aside for the maintenance of said home.

SEC. 3. That regulations shall be prepared by the Surgeon General of the Public Health Service, with the approval of the Secretary of the Treasury, for the government and administration of said home and for the apprehension, detention, treatment, and release of all persons who are inmates thereof.

SEC. 4. That the Secretary of the Treasury be, and he is hereby, authorized to cause the erection upon such site of suitable and necessary buildings for the purposes of this act at a cost not to exceed the sum herein appropriated for such purpose.

SEC. 5. That when any commissioned or other officer of the Public Health Service is detailed for duty at the home herein provided for he shall receive, in addition to the pay and allowances of his grade, one-half the pay of said grade and such allowances as may be provided by the Surgeon General of the Public Health Service, with the approval of the Secretary of the Treasury.

SEC. 6. That for the purposes of carrying out the provisions of this act there is hereby appropriated, from any money in the Treasury not otherwise appropriated, the sum of $250,000, or as much thereof as may be necessary, for the preparation of said home, including the erection of necessary buildings, the maintenance of the patients, pay and maintenance of necessary officers and employees, until June 30, 1917. (Act Feb. 3, 1917, ch. 26, 39 Stat. 872.)

SEC. 16. That the physical and mental examination of all arriving aliens shall be made by medical officers of the United States Public Health Service, who shall have had at least two years' experience in the practice of their profession since receiving the degree of doctor of medicine, and who shall conduct all medical examinations and shall certify, for the information of the immigration officers and the boards of special inquiry hereinafter provided for, any and all physical and mental defects or diseases observed by said medical officers in any such alien; or, should medical officers of the United States Public Health Service be not available, civil surgeons of not less than four years' professional experience may be employed in such emergency for such service upon such terms as may be prescribed by the Commissioner General of Immigration, under the direction or with the approval of the Secretary of Labor. All aliens arriving at ports of the United States shall be examined by not less than two such medical officers at the discretion of the Secretary of Labor, and under such administrative regulations as he may prescribe and under medical regulations prepared by the Surgeon General of the United States Public Health Service. Medical officers of the United States Public Health Service who have had especial training in the diagnosis of insanity and mental defects shall be

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