Casper Daily Tribune Newspaper, April 25, 1922, Page 8

PAGE EIGHT be Casper Daily Cribune RULES AND REGULATIONS OF THE OF PUBLIC HEALTH STATE BOARD Promuglated by the State| fry fares ot ee Board of Health of Wyo- ming. June 8, 1921. RULES AND REGULATIONS FOR CONTROL OF VENEREAL DISEASES in accordance with the provisions of Section 3609, Chapter 160, Ses- sion Laws of Wyoming, 1521, the following rules and regulations were established by the Wyoming State Board of Health, at their an- nual meeting held at Cheyenne, Wyoming, June 8, 1921. They sup- ersede all previous rules and regula- tions and have the force and effect of law. GENERAL RULES, DEFINI- TIONS AND STANDARDS Rule 1. Any person reported by a legally qualified physician as re- fusing or discontinuing treatment before becoming non-infectious and who refuses or fails to return for treatment after notice from the health officers. having jurisdiction shall be consdered a proper subject for examination in accordance with the provisions of Section 24, Chap ter 160, Session Laws of Wyoming, 1921. Rule 3. No health officer, physi- cian or other person shali issue a certificate of freedom from a vener- eal disease in such a form that it may be used for purpor=- of soici- tation. Rule 4, The word “isolate” as used in Section 24, Chapter 160, Session Laws of Wyoming, 1921, is held to mean restriction of the in- fected person to the home or prem- ises where such person is usually domiciled and the exclusion from such home or premises of all per- sons except nursing attendants and members of the immediate family of the isolated person. . Rule 5. The word “quarantine” as used in Section 24, Chapter 160, Session Laws of Wyoming, 1921, is held to mean detention of any in- fected person in a place other than such person’s usual home or dom- icile. Rale 6. The standards of enfore ed treatment, jsolation and quar- antine are designated for the protec- tion of public health and are, there- fore, applicable only to cases cap- able of transmitting infection to others. The criterion for determin- ing the necessity of treatment or es- tablishing isolation or quarantine shall be as follows: (a) In the case of syphili, a diag- nosis of syphilis when open lesion of skin or mucuous membrane. The Wassenman test alone is not consid- ered a sufficient warrant for re- garding a person as infectious or non-infectious. (b) In the case of gonorthea, a diagnosis of ea based ‘on other clinical findings or the dem- * o1 d presence of an intro-cel- Jalar or gram negative diplococci in secretions from the genito-urinary tract or of both clinical and labora- tary evidence. (c) In the case of chancroid, a diagnosis of chancroid with open le- sion of skin or mucuovs membrane. Rule 7. The standards for dis- charge from enforced treatment, | b isolation or quarantine as non-in- fectious shall be as follows: (a) In the case of syphilis, com- plete healing of all lesions of skin or mucuous me! ne. (b) In the case of gonorrhea, | kn, the absence of discharge or other clinical signs and the absence of gram negative diplococci in secre- tions from the genito-urinary tract on three separate days when smears are made and examined by a labora- tory approved by the State Board of Health, or by reputable physician properly equipped and trained in this procedure. (c) In the case of chancroid, complete healing of all lesions of skin or mucuous membrane. RULES FOR PATIENTS. Rule 1. Every person who Knows or has reasonable grounds to suspect that he or she is infected with a venereal disease (syphilis, gonorrhea, or chancroid in ar. infec- fectious stage) shall forthwith place himself or herself under the care zud treatment of a legally qualified practitioner of medicine, or shall re- wort to the county or municipal health officer for examination to determine whether or not such in- fection exists. Rule 2. Each and every person under treatment for venereal dis- ease shall continue treatment until non-infection according to standards for the discharge of carriers fixed by these rules and regulations. (These standards are given under General Rules.) e Rule 4. (a) No person infected with syphilis in communicable form shall engage in the occupation of nurse, nurse-maid, domestic servant, parber, hair-dresser, chiropodist, manicure, bath attendant, masseur physician, dentist, baker or any other occupation in which syphilitic infection may be transmitted to others. No person infected with syphilis in communicable form or gonorrhea shall engage in any occu- pation which involves intimate con- tact with children. RULES FOR PHYSICIANS. Rule 1. All reports of cases of venereal diseare required by Sec- tion 2 and 3, Chapter 160, Session Laws of 1921, shall be made in writ- ing within forty-eight hours after diagnosis, on blanks prepared by and obtainable from the Wyoming State Board of Health, and all in- formation called for in said blank shall be furnished in each case. Rule 3. Whenever any legally qualified physician is willing to as- sume responsibility for such conduct on the part of venereal disease pa- tient as will not expose others to in- fection, such physician shall have the privilege of reporting such case by number without disclosure of name. In all cases where such re- sponsibility is not assumed by a le- | hor the name nd ad patient shall be given in the report. Any physician who elects to report a case of ve- nereal disease Ly number shal! keep in his office = record of the case un-|_ | _Rule 3. In carrying out the pro- visions of Section 3. Chapter. 208, Session Laws of 1921, each locai health officer or his authorized dep- uty shall promptly investigate all cases of suspected venereal disease about which information is obtained from the © patient, the physician, the | police authorities, the State Board| of Health, or other reliable | Such investigation shall include in- quiry concerning the presence of venereal disease in communicable form, the habits and occupation of the patient and such other matters as may be necessary to determine what steps are required to protect _ Rule 4. Whenever such inves- tigation reveals the presence of ve- nereal disease in communicable form the health officer or his dep- uty shall issue a written order for carrying out one of the following three procedures: _ (a) Treatment until tious by a private public expense whil non-infec- Physician or at je at Yibert: (b) Isciation with placard: use. {c) Detention under quarantine. The issuing officer shall keep a copy of each order issued for use an court in case it should become ecessary to prosecute for - it & the ender ag ule 5. In requiri: treatment the order shall be faaned to the in- fected person, or to the parent or guarjian in case of a child under sixteen years of age, and shall spect that the infected person shall: (a) Report to a legally qualified physician of the patient’s own choos- ing or to a physician provided at public expense for treatment. (b) Continue treatment until non-infectious. (c) Not e: any oth son to infection %; ried _ (a) Not move away from the jurisdiction of the health officer issuing the order without giving twenty-four hours’ notice of intent B merase Se 4 health officer intende lace of reside: be notified. F eis Upon _ Teceiving notice from such patient of intent tc move a| health officer shail immediately | mail a notice to the health officer at intended place of residence, or! to the State Board of Health, if such officer is unknown. , Rule 6. In establishing isola- tion the order shall be issued to the person isolated, or to the par- ent or guardian in case the person isolated is a child under sixteen years of age. Each building or apartment where isolation is estab- lished and maintained shall be pla- carded with a card, as provided for such purposes. _ Rule 7. In establishing quaran- tine the order of quarantine shall be issued to the sheriff or other person in charge of the jail or other institution where quarantine is to e maintained. Likewise a deten- tion order shall be issued to the per- son in charge of the institution where the person suspected of being infected is held under detention till the results of an examination are own. Rule 10. Sheriffs or other offi- cers in charge of prisoners shall not discharge a prisoner who is un- det treatment for a venereal dis- ease until he has notified the county health officer and secured his per- mission to do so. Government Standards for Cure and Rae ares of Carriers. . S. ic Health Repo: vol. 33, No. 29, July 19, Toi” Pp. 1189 1190; also adopted by Wyo- ming State Board of Health). iS sn SyBhilis. person infected with the Tr. nema pallidum may be earuitered) from a public health point of view, to be free from danger of transmit. ting the infeetion when a complete} clinical examination, in which spe- cial emphasis is laid on the thorough exploration of the skin and mucuous membranes of the respiratory, gas- tro-intestinal, and genito-urinary tracts, shows the absence of any area from which infectious matter can be disseminated. Gonorrhea (Clap). Males— 1. Freedom from disc! . 2. Clear urine; no eee The pus expressed from the y: jing of 8. urethra by prostatic massage must be negative for gonococci on four successive examinations at intervals of one week. 4. After dilation of the urethra by passage of a full-sized sound, the resulting inflammatory discharge must be negative for gonccocci. Females— 1. No urethral or vaginal dis- charge. 2. Two successive negative ex- aminations for gonococci of secre- tions of the urethra, vagini and the cervix, with an interval of 48 hours and repeated on 4 successive weeks. What Constitutes Proper Examina- tion for Marriage Certificates. Rule 4. Physicians are not re- quired by statutory law to have made any specific laboratory test; but the presumption of the State Board of Health is that they are required to use commonly accept- ed methods of medical science to arrive at their conclusions. (Explanatory note.) Commonly accepted methods of medical sci-| ence would indicate that no phy-' sician could definitely extinis’ chronic venereal diseases in any ap-| plicant for marriage license in the absence of a thorough and compre- hensive physical examination with; the applicant. stripped and supple-' mented by any indicated laboratory findings. certificates o! nent records, Duties of Clerks. Rule 5. County clerks will file f ‘marriage as perma- together with copies of laboratory findings where made, and shall forward to State Board of Health a Monthly report of all mar- riages contracted in their special counties. Such reports shall inclade the names of contracting together with a record of exact ages, birth-plece, race and residence; also the name and address of physicians issuing certificates, together with laboratory findings if in his posses- sion. Rule 6. County clerks shall not issue certificates of marriage unless physitians’ certificates have been made by physicians duly licensed! and residing within the state of Wyoming. RULES GO’ THE RE- PORTING OF NOTIFIABLE DISEASES. Promulgated by the State Board of Health cf Wyoming, June 8, 1921. Revised to July 1, 1921. Section 1. The following nam: diseases and disabilities are hereby declared to be lic health and made notifiable, and the occurrence of cases shall be re- ported as herein provided: Group L-—Communicable Diseases Actinomycosis, Anthrax. Chick- enpox. Cholera, Asiatic. Conjunc- tivitis (acute infectious). Chan- croid. Diphtheria. Favus. Germen measles. Glanders. Gonorrhes. Influenza. Measles. cerebro-spinal) Meningitis (Epidemic Mumps. Typhus fever. Pneumonia (all forms). Poliomyelitis (acute infectious). Rabies. Rocky Mountain spotted or tick fever. Scarlet fever. Septic sore throat. Smallpox. Syphilis. Tetanus. Trechoma. Tuberculosis (the organ or part affected in each euse to be specified). Typhoid fever. Typhus fever. Whooping cough. Lethargic Encephalitis. Group 2—Occupational Diseases and Injuries. Carbon monoxide poisoning. Mer- cury poisoning. Natural-gas poison- ing. Wood alcohol poisoning. Group 3—Miscellaneous Diseases. Cancer. Food poisoning. Contin- ued fever lasting 7 days Puerperal iticemia. rovided, the State Health Of- ficer may from time to time, in his discretion, declare addition dis- eases notifiable and subject to the, provisions of these regulations. _ Section 2. Every person who is in the state of Wyoming treats or examines for the purpose of diag- nosis or treatment any person suf- fering from or afflicted with, or who suspects that any person treat- ed or examined by him is suffering from or afflicted with, any one of the diseases made notifiable by the preceding section, shall report such case to the local health officer or his agent, within whose jurisdiction the case occurs, within 24 hours after making a diagnosis or sus- pecting the disease to be one requir- ed to be reported. Said report shall be transmitted either by telephone or in writing. If made in writing, the report shall be on the blank form required by section 6 of these regulations and may be forwarded by mail or special messenger or de- livered in person at the office of the local health officer. If trans- mitted by telephone, the report shall be recorded by said local tealth of- ficer, or his agent, at the time of receipt, on one of the blank forms ovided by section 6 of these regu- tions, said report, whether in writing or by telephone, shall give the following information which is necessary for the protection of the public health and welfare. © Section 4. Whenever a person is known, or is suspected, to be af- flicted with a notifiable disease, and no physician is in attendance, an immediate report of the exist- ence of the case shall be made to the local health officer within whose jurisdiction the case occurs, by the midwife, nurse, father, mother, or ether person in charge of the pa- tient, each in the order named. Section 5. Every teacher and every person in charge of any pub- lic or private school, including Sun- day schools, shall report immediate- ly to the local health officer within whose jurisidiction the case occurs each and every case which he or she knows or suspects to be a case of a notifiable disease in any persen at- tending or employed in his or ber school. Section 6. The written report of cases of notifiable diseases required by these rules, of persons treating or examining persons afflicted with such diseases, shall be made upon blanks supplied for the purpose by the State Health Officer through the local health officers. Certain Words and Terms Defined. Section 2. Certain words and terms, as used in these regulations, shall be held to have the following meanings: 1. Professional Attendant shall mean and include any person reg- ularly licensed to practice medi- cine or surgery, any person engag- ed in the practice of midwifery, or any other person who nmkes a busi- ness of giving aid or advice to others for the purpose of alleviating physical or mental distress. 2, Householder shall be held to mean and include the parents, guar- dians, caretakers, or other person who have charge of children or mi- nors, or of the household or of a group or number of persons who dwell together or have their lodging or board together. 14. Terminal Disinfection shall mean the disinfection or destruc- tion of infective, or presumably infective, materials after the re- moval of a person sick of communi- cable disease, or when such person is no longer a source of infection. (a) articles used by the patient shall be treated as in concurrent disinfec- tion. (b) _ The floors of the room, and the bed, occupied by the. patient shall be thoroughly cleansed and the room aired.” 15. Fumigation shall mean the use of a gaseous agent for the de- struction of vermin. 16. Cleansing shall be held to mean the removal of infective ma- terial by scrubbing and washing. (2) If the disease is hereinafter ed | isdiction, it shall be the duty of the us to the pub-' .| household, and Bedding, clothing and other! |required to be placarded, post couee, ta some conspicuous ue upon premises occupied by the infected person, which shall bear the following inscription (where foreign population is such that the jhealth officer deems necessary 2 }notice may also be printed in pre- | RNING! vailing language). | WA ING! | COMMUNICABLE DISEASE | WITHIN | _No person, other than the health | officer, his agent, or the profes- |sional attendant, shall enter or | leave these premises, nor shall any- jone remove, mutilate or deface this placard, without permission from the health officer. Bigesd’ 00 | Soe Health ‘icer. Albert 'B. Tonkin, State Health Officer. Dutics of Teachers. Section 5. Whenever in posses- sion of knowleuge of any case, sus-| pected case, or carrier, of commun-; icable disease, occurs in their jur- principal or teacher of any public, | private or parochial school, upon; such information if the infected person, carrier, any member of his household or a non-immune contact, is in attendance upon said school, immediately to institute the follow-j ing measures for the protection of the public health: Exclude from school the infect- ed person, carrier, members of bis| non-immune con- | tacts, who are in attendance upon| said school, until written permis- jsion for their retdrn is received) |from:the health officer or his agent Duties of Dairymen and Tradesmen. Section 7, Whenever)a case, sus- pected case, or carrier of commun- icable disease shall occur in this state, it shall be the duty of any duiryman or tradesman supplying! milk or other food to the ‘hpuse- hold in which the casc exists im- mediately to institute the follow- ing measures for the protection of the public health: (a) Discontinue the removal of food containers of any kind from such premises as may be placarded, in accordance with these regula-! |tions, until the placard is removed | or until permission for removal of said containers is received*in_writ- ing from the local health officer. Provided, That in the case of hotels, lodging houses, tenement houses, and apartment houses, this shall apply only to that portion oceupied by the infected person. (b) Disinfect all food contain- ers taken from said premises, at the time that the placurd is remov- ed, by immersion in boiling water for ten minutes, cr exposure to steam under fifteen pounds pres- sure for not less than five minutes. Cases or Carriers in Dairies, Ete. Section 8. When any person, living on a farm, dairy or in any other establishment, where milk or its products, or other foods, are hanaled for sale, shall be known or suspected to be affected with, or a carrier of, any communicable dis- ease, no such food shall be sold, de- livered or distributed from such farm, dairy or other establishment, unless authorized in writing by the health officer having jurisdiction or his agent; and said health offi- cer may refuse such authorization unless such case or carrier be un- der efficient supervision and isolat- ed in such manner as to be com- pletely separated fron® other per- sons ,who may be handling such foods and from the premises where such tome are being handled. jeedless Exposure. Section 11. No parent, guard- {ian, or other person, shall permit a minor to be needlessly exposed to a case or carrier of communi- cable dit . Special ures for the Control of Communicable a Section 13. The following rules are prescribed for the guidance of local health officers and other per- sons in control of communicable diseases and they shall in general !govern said health officers and other persons in the control of each disease in accordance with the pro- visions of the preceding regula- | | | ' tions. Actinomycosis. 1. No placard. E 2. Isolation. None, provided that the patient is under adequate ‘control and instructions are prop- erly carried out; otherwise, he shall be isolated until all discharges have ceased. Hy Acute Infectious Conjunctivitis. 1. No placard. 2. Isolation. Exclusion from school until discharges have ceased; otherwise. none, provided that the patient is. under adequate control and instructions are properly car- ried out, if not under adequate con- trol or if instructions are not prop- erly carried out, isolate until dis- charges have ceased. 3. Quarantine. None. Chancroid. 1. No placard. Only when nec- essary, when patient is refusing treatment and violating instructions of attendant or health officer. 2. Isolation. None. 3. Quarantine. None, except as No. 1 | Cerebrospinal Meningitis (Epidemic). 1. Placard required. son or carrier until the nasophar- ynx is free from the infectious |agent as demonstrated by labora- tory test where such facilities are available, or for two weeks from ithe date of onset or until the tem- perature has been normal for one week. ‘ 8. Quarantine of contacts until demonstrated not to be carriers, 2. Isolation of the infected per-| logical examinations of the, secretions from the nose and throat, taken not less than twenty-four hours apart and not less than twelve hours after the use of a disinfectant in the nose or throat, fail to show the pres- ence of bacilli, except that isolation may be the nose or throst is persistent diphtheria bacilli ' to be aviru- lent. Provided, where labora- tory facilities are not available, case or carrier shall be isolated for, not less than thirty 3. Quarantine . cf ‘i all contacts found now-immune the Schick test who refuse to be im- munized, for five days from the date of !ast exposure. Provided that, where laboratory facilities are) not available, all contacts shall be quarantined for not less than ten days, No placard. Isolation. Exclusion of the infected person from school and} from other public places and from contact with non-immune for seven days Zrom date of onset. 8. Quarantine of non-immune minor contacts for twenty-one days from date of last exposure. Glanders. No placard. 2. Isolation of the infected per- son during the clinical course of the Hels until discharges have ceased. 1. 2 ' 1. 3.. Immunization. None. 4. Quarantine. None. Gonococcus Infection. 1. No placard except when tient violates directions of heal officer's professional attendant. 2. Isolation. None, except as No. 1. 3. Quarantine. None. Influenza. 1. Placard required. 2. Isolation of the infected per- son during the acute catarrhal stage of a Sel idan) Pacey ry until the temperature remained normal for five days. 3. tine of the d members of the household for four, days from date of last exposure. Malaria. 1. No placard. * 2. Isolation. Exclusion of the infected ion from the epyrces of merquitoes until his blood is free from ihe malarial parasites. 3. Quarantine, None. Measles. ee 1. Piacard required. 2. Isolation of the infected per- son for five days from the date of, onset. , 3. Quarantine. Exclusion of non-immune contacts from school, from public gatherings, and from contact with children for fifteen days from the date of last expos- ure. Mumps. 1, No placard. 2. Isolation of the infected per- son from children and exclusion from school and from other pub- lic places until the partoid and sub- maxillary glands are free from in- flammation and the temperature is nm 5 3. Quarantine. Should exciude non-immune contacts from school, from public gatherings, and from contact with children, for twenty- five days from date of last expos- ure. Plague. Placard required. b 2. dividual in a hospital if practicable, during the clinical course of ceased. 3. Quarantine of those in con- tact with pneumonic cases for seven days from date of last 5 Poliomyelitis, Acute Infectious (infantile Paralysis). 1. Placard required. 2. Isolation of the infected per- son, in a screened room, during! the course of the disease and dur- ing convalescence. 3. Quarantine of child- ren, and of exposed adults whose occupations bring them inte con-} tact with children or who are food handlers tor fourteen days from the date of last exposure. Rabies. 1. No placard. 2. Isolation. None, if the in- fected person is under adequate! medical supervision; otherwise isola- tion required. 3. Quarantine. None. (b) Detention and examination of all dogs suspected of having rabies. Suspected animals should not be killed unless definite symp-) toms appear, If the animal dies or is killed, the head must then be sent to the office of the State Depart- ment of Health for examination. Pack same properly in ice and tele- graph this office, if close to Chey- enne, and we will send car for dog or head. Pneumonia (All Forms). 1. No placard. 2... Isolation of the infected in dividual during the clinical course of the disease. 8. Quarantine. None. Racky Mountain Spotted Fever. 1. No placard. 2. Isolation of the infected per- son in such manner as to prevent tick bites during the clinical course of, and convalescence from: the dis- Fed 1. 2 Quarantine. None. Scarlet Fever. Placard required. Isolation of the infected per- where laboratory “ facilities are | available, or for ten days from date of last exposure. Ke 1, Placard required. | 2. Ysolation. Exclusion of the infected persons from school and complete. 8. Quarantine of non-immune minors for fourteen days from date of last exposure. Diphtheria. 1. Placard required. 2. Isolation of the infected per-'cence. son or carrier until three bacterio- prevention of contact with non-im-’ mune persons until desquamation is handlers, for seven days from the son for not less tl two weeks and until all discharges from the ears or open sores have ceased dis- quamnation. 8. Quarantine of exposed chil- dren, and of exposed adults whose eccupations bring them into con- tact with children, or who are food date of last exposure. Septic Sore Throat. 1. Placard required. 2. Isolation of the infected in- dividual during the clinical course meeting the required standards of in: of the disease and during convales- 3. Quara ntine. None. linterstate quarantine re; 1. No except where vio- lates rules and regulations of board of health. 2. Isolation. None. 3. ine. None, except when refuses to abide by instruc- tions of attendant or health officer. Trachoma. 1. No placard. 2. Isolation. eases as do not properly carry out the laws and regulations. 3. Quarantine. None. Typhoid Fores and Paratyphoid ‘ever. 1. Placard required. 2.. Isolation of the infected per- son in a screened room or hospital, if nursing care and adequate sani- tary environment can not be in the home, during the course of the disease. Provided. however. that no person shall be released from isolation until stool and urine} specimens have been submitted to an approved laboratory for exam- ination. And in the either of the said specimens shall show the presence of typhoid bacilli, the case shall be released from iso- lation only on such terms and con- ditions as shall be prescribed by the state health officer as being nec- ‘essary for the protection of the pub- Ge lic. Such terms and conditions shall remain in full force and ef- fect until three successive negative cultures of both the stools and urine of the case have been secured, ‘specimens for said cultures to he! taken not less than fifteen days apart. 8. Quarantine. None. Typhus Fever. 1. Placard required. 2. Isolation of the infected per- son in a vermin-free room during the clinical course of the disease. 3. Quarantine of contacts for twelve days from date of last ex- posure and until free from lice. When typhus fever is present in a community, persons or premises infested with lice shall be quaran- tined until thoroughly deloused. Whooping Cough. 1. Placard required. 2. Isolation of the infected per- son from children and_ exclusion from school and other public places, from commencement of symptoms and for at least three weeks after the commencement of the spasmodic 8. Quarantine of exposed child- ren for fourteen days from date of last exposure. STANDARD RAILWAY SANI- TARY CODE. Prot ited by the State Board of Health of Wyoming, June 8, 1921. \ 1. Transportation of Persons Having Communicable Diseases. Persons Not Allowed to Travel. Rule 1. No person knowing or suspecting himself to be afflicted with plague, cholera, smallpox, ty- phus fever, or yellow fever shall apply for, procure, or accept trans- portation in any railway trains, Isolation of the infected in-|C8%, 0T other conveyance of a com- C¢, mon carrier, nor any person the|#pply for, procure, or accept such cyspidors shall be provi: disease and until-all discharges have |‘Tansportation for any minor, ward, sleeping cars smoking cars and patient, or other person under his charge if known or suspected to be so afflicted. Persons Not Accepted For Travel. Rule 2. Common carriers shali not accept for transportation in any railway train, car, or other con- veyance any person known by them to be afflicted with any of the dis- eases enumerated in section: 1. Restricted Travel. Rule 3.—Common carriers shall not accept for transportation on any railway train, car, or other conveyance any person known by them to be afflicted with diphther- ia, measles, scarlet fever, epidem- ice cerebrospinal meningitis, anter- ior poliomyelitis, mumps, whooping cough, influenza, pneumonia, epi- demic encephalitis, septic sore throat, rubella, or chicken pox, or any person known to be a carrier of these diseases, unless such per- son is placed in a compartment sep- arate from other passengers, is ac- companied by a properly qualified nurse or other attendant, and unless such nurse or attendant shall agree to comply and does comply with th: following regulations: (a) Communication with the compartment within which the pa- tient is traveling shall be restricted to the minimum consistent with the prope: rr care and safety of the pa- tient. E (b)- AT dishes and utensils used by the patient shall be placed in a 5 per cent solution of carbolic acid or other fluid of equivalent disin-| >! fecting value for at least one hour after they have been allowed to leave the compartment. (c) All sputum and nasal dis- charges from the patient shall be received in gauze or paper, which shall be deposited in a paper bag or in a closed vessel, and shall be destroyed by burning. (d) Said nurse or attendant shall, after performing any service to the {are at once cleanse the hands by washing them in a 2- per cent solution of carbolic acid; or other fluid of equivalent disin- fecting value. IL WATER AND ICE SUPPLIES. Water to Be Certified. Rule 11. Water provided by common carriers for ing or culinary in railways trains, cars or other conveyances or in rail- way stations shall be taken from supplies: certified by the United States Public Health Service as purity and safety prescribed by the United States. event that! infectious diseases: the foregoing shall not apply , that does not come in contact | the water te be cooled. Water Containers. | Rule 13, Water containers \mewly constructed cars ‘newly installed in stations |so constructed that ice dees not come in contact ; Exclusion of the water to be cooled: Provided. That of these regulations shall Approved by State Board of Health. aminations not be carriers and of infected person from apply thoroughly cleansed at least once in each week that they are in use.' All water contains Se water storage tanks roughly drained and flushed at intervals of not poe than acd Nerang Filling Water ers. 4 Rule 15. Portable hose or tub- ing that is used for filling drink- ingwater containers, or car stor. age tanks from which such contain- ers are filled, shall have smooth metal nozzles, which shall be pro- tected from dirt and contamination. and before the free end or nozzle of the said hose or tubing is put in- to the water container, or car stor- of neral. Rule 16. All railway passenger cars or other public conveyances ‘shall be kept in a reasonably clean and sanitary condition at all times when they are in service, to be in- sured by mechanical cleaning at terminals and lay-over points. | Cleaning. Rule 17. All day coaches, parlor cars, buffet cars, dining cars, and sleeping cars shall be ed, swept and dusted at the end of each round trip. or at least once in each day they are in service, and shall be thoroughly cleaned at intervals of not more than seven days. Iv. CARS IN SERVICE. Cleaning. ‘ Rule 21. The clean of cars while occupied shall be ‘ited to the minimum consistent with the maintenance of cleanly conditions and shall be carried out so as to cause the least possible raising of dust or other annoyance to passen- Sweopi weeping. Rule 22. Dry sweeping of. the interior of a car in transit. with an ordinary broom is prohibited. Dusting. ‘ Rule 23. Dry dusting of the in- terior of a car in transit is pro- hibited. hing. 5 Rule 24. The brushing of pas- sengers’ clothing in the body of the |car in transit is prohibited. Drinking Cups. Rule 2. Individual drinking cups in sufficient number shall be supplied in all cars, and the use of common drinking cups is prohibited. Spitting. Rule 28. Spitting on the floors, carpets, walls or other parts of cars by passengers or other occupants of them is prol rs. Ruie 29. An adequate ply of cles ded hn all smoking compartments of cars while in sone: Said cuspidors shall be! cleaned at the end of each trip, and oftener if their condition requires. | | bage collector. {urinals, so constructed and mai; TUESDAY, APRIL 25, 1922, by the State Board Wyoming, June 3) ( Promulgated atone of school as long after July 1, 1922, all water con- them. by as the lesions unless receiv-| tainers in cars and stations shall be ing constant and adequate medical/so constructed that ice does mot; Rule 74. All camps shall attention. |come in contact with the water. |located and so maintained as Quarantine.' None. Care of Water Containers. conducive to the health o: — Tebers: ulosis. ae 14 Bhs ate contaihers cupants and not to en h a lo pla . water an are put int : Re Sea Ro fe : ts health of the public; = alt ten in houses, stables, or oth e therein shall be kept in a reasonab) clean and sanitary condition at 2§™ fi Seay: 4 Rule 80. In all camps there are 100 men or more the: be one employee whose dut: shall be to act as scavenger and a E Toilets. -3¢ Every cam> shall hav§® an adequate number of latrines an | c tains as to prevent fly breeding an the pollution of water, and the of such latrines and urinals by inhabitants of the camp shall )P* made obligatory. Latrines and w io nals may consist of deep trencha covered with houses adequate! screened against flies or of angT poe areas by the State Boarg** of Health. They shall not be igs: cated within less than 200 feet q— any spring stream, OF reset voir forming a part of a public q private water supply. Rule 85. boxes, or other yeceptacles for storing of fresh food in camps sh be emptied and thoroughly washq | with soap and hot water at | w once in each seven days that thq°< are in use. ‘ Examination of Food Handlers. fre. Rule 87. No person shall as a cook or waiter, or in any oth capacity in the preparation or ser{LP ing of food in any op wre known 0+ suspected to have aq dangerous communicable disease. fc) Sick Persons. ev Rule 88. When anh occupa! a camp becomes sick with a d ous communicable disease he 4 ‘be immediately isolated, and_ health officer within whose jut tion the camp is lccated shall immediately notified. Abandoned Section 90. When any camp to be abandoned, all u bish, and manure shall be colle and burned, the latrine trench filled and the grounds and buildi shall be left in a clean and sanita§*;, condition. Duty to Enforce Regulations. FT! Section 91. It shall be the du of the superintendent, foreman. fi other person in charge of a cam, to see that all regulations pertal ing thereto are faithfully compliffe | with. REGULATIONS GOVERNING WATER SUPPLIES AND fRen SEWAGE DISPOSALS. 1 Promulgated by the State Board ‘Health of Wyoming, June § x 1921, 14 Revised to July 1, 1921. WATER SUPPLY REGULATIO! : Section 7. No person, firm, ¢@ ba poration, public utility, city, to village or other public body or stitution shall furnish or supply Examination of Food Handlers. Rule 43. No person shall serve as a cook, eyes or 3 any other | capacity in the preparation or sery-, ing of food in a dining car who is known or suspected to have any dangerous communicable disease. V. RAILWAY STATIONS. General. : Rule 44. All railway stations, including their waiting rooms, lunch rooms, restaurants, wash rooms, and toilets, shall be kept in| a clean and sanitary condition at all times, to be insured by me- chanical cleaning at regular inter- vi Me Cleaning. Rule 45. All waiting rooms and other rooms used by the pubiic shall be swept and dusted daily;| jand at intervals of not more than: | seven days the floors shall be serub- |bed with soap‘’and water, and the | seats, benches, counters, and other woodwork shall be similarly scrub- ibed, or shall be rubbed down with a cloth moistened with oil. Sweeping. ae. Rule 46. If sweeping is done while rooms are occupied or open to occupancy by patrons, the flcor shall be first led with wet sawdust or er © dust-absorbizg material. pitting. Rule 48. Spitting on the floors, walls, seats or platform of rail- way stations is prohibited. Toilet Facilities. Rule 53. All railway stations where tickets are sold ll pro- vide adequate toilet or privy facili- \ties of a design approved by the State Board of Health for the use! of patrons and employes; and there shall be separate toilets or privies for each of the two sexes. Water Not Usable for Drinking. Rule 60. If water which does not conform to the standards set forth in rule 11 of these regulations is available at any tap or hydrant or in a railway station, a notice shall be maintained on each such tap or hydrant which shall state in prom- inent letters, “Not fit for drinking.” Construction Camp Regulations. Rule 72. No person shall serve as a cook, waiter, or in any other, capacity in the preparation or sery- i of food in a railway restaurant ,by the or lunch room who is known or sus- health officer or an examiner gulations of pected to have any dangerows com- pointed by ‘hin for the purpose. municable disease, ter used or intended to be used human consumption or for dom tic uses or purposes, which is ils. pure, wu) olesome, unpotable, P Tuted or dangerous to health, to a S| person in any county, city vi district, community, hotel, tem = rary or permanent resort, insti tion or ind camp. Section 2. Whenever any pet firm, corporation, public utility, 4 pu nicipal or other public body or #., stitution shall desire to furnish i 1 supply or to continue to furnish supply water for domestic use sy purposes to any person in any ¢o ty, city, community, hotel. temg 3, rary or permanent resort, insti tion or industrial camp, or shall GPR \sire to install, add to, modify or ter any of the plant, works, sy or sourc@’ of supply, it or he s file with the State Department #Ar Health, as herein provided, a pqe-5 tion for permission so to do Hic gether with complete plans ic: specifications and a statement 7 taining a general description history of the existing or prop? ; water supply or system. or propo - changes: therein, showing the ay graphical location thereof with lation to the source of the bu supply, and all the sanitary coMffed tions surrounding and affecting supply and the works, system plant; such plans, specifications general statement to be in s#- form and to cover such matters—NS the state health officer shall 1B scribe. Thereupon a thorough vestigation of the proposed or & 1 ing works, system, plant, ¥% supply and all other circumsta"iirm and conditions by him deemed fhert be material shall be made by 9Pho state health officers; PROVIDHET HOWEVER, that no person, fi} ics, or corporation supplying water 24 domestic pirposs id ‘use on ber! = its privai ‘ope’ upon WE. there is no industrial camp, hol whe or permanent resort using water, or supplying less than fiz oa service connections, shull be 7 quired to apply for a permit uni the provisions of this section ex‘§rmr upon formal complaint filed "farm the State Department of Health §® « As a part of such investigatii yy and after ten days’ notice by "§han; to the petitioner, a hearing or 4 ings may be had before the spy (Cintinued on Pago Nine)