Casper Daily Tribune Newspaper, October 9, 1923, Page 8

PAGE EIGHT. RULES AND REGULATIONS | tended, if any, place of employ-| Governing the Reporting and Con- le trol of Communi In accordance with the_provi- sions of Section 3609, Chapter 160, Session Laws of Wyoming, 1921, the following rules and reg- ulations were established by the Wyoming State Board of Health at their annual meeting held in Cheyenne, Wyoming on June 18th, 1923. Rule 1. The following named diseases and disabilities are here- by declared to be dangerous to|Parochial, or other institutions, public health and made notifiable, 's shall and the occurrence of cases sha! | holds And: peoprisaiy And keepiete be reported as herein provided: GROUP 1. COMMUNICABLE DISEASES. Actinomycosis. Anthrax, Botulism. Chancroid. Chickenpox. Cholera, Asiatic. Conjunctivitis ous.) Dengue. Diphtheria. 3 Dysentary, amoebic. Dysentary, bacillary. Erysipelas. Favus. Filariasis. ‘ Foot and Mouth Disease, German Measles. Glanders. Gonorrhoea. | Hookworm disease. Impetigo. Influe: Lepros: “a Lethargic Encephalitis. Malaria. Malta Fever. Measles. Meningitis (Epidemic cerebros- pinal). Mumps. Paratyphold Fever. Plague. | Pneumoria. Poliomyelitis (acute infecti- (acute infecti- Rabies Rocky Mountain spotted or tick} fever. Scarlet fever. Septic sore throat. Smallpox. Syphilis. Tetanus. =, ‘Trachoma. Trichinosis. Tuberculosis (the organ or part affected in each case to be speci- fied.) 3 *Dulaeremia. Typhoid fever. Typhus fever. Vincents angina, Whooping cough. “Yellow fever. GROUP 2. OCCUPATIONAL DISEASES AND INJURIES. Arsenic poisoning. . Bisulphide of carbon poisoning. Brass poisoning. Carbon monoxide poisoning. Caisson disease (compressed air | Miness). Dinitrobenzine poisoning. Lead poisoning. | Mercury poisoning. Natural gas poisoning. Naptha poisoning. Phosphorus poisoning. Wood alcohol poisoning. Any other disease or disability contracted as a result of the na- ture of the person’s employment. | GROUP 3. MISCELLANEOUS DISEASES. Beriberi. Cancer. Continued fever lasting seven! lays. ‘bra addictions or habits. Food poisoning. Pelagra. Puerperal Septicemia. Provided, that the State Health Officer may from time to time, in| his discretion, declare additional, diseases notifiable and subject to| rovisions of these regulations. ‘TAIN WORDS AND TERMS DEFINED: Contact shall mean and include any person who has been suffi- ciently near to an infected person the CE! to make probable transmission of | the infectious disease to him. Carrier shall mean and include ® person who harbors the infecti-| ous agent of a communicable dis-| ease, but who at the time is ap- parently in good health. Infectious Agent shall mean and include a virus or organism capable, under favorable condi tions, of producing disease. Immune shall be held to mean and include a person who is not! susceptible to the infectious agent) of a particular disease. Isolation. the separating of persons suffer- ing from a communicable disease or carriers of the infecting organ- ism from other persons in such| _ places and under such conditions| discharges from lesions, and of ar-| as will prevent direct or indirect conveyance of the infectious agent to other persons. Quarantine. meant the restriction of move ment of persons or animals who have been exposed to communi- cable diseases for a period of time | equal to the incubation period of the disease to which they have been exposed. Communicable Disease shall | mean and include a disease which may be transmitted direct or in- direct to other persons or animals. It shall embrace the terms infec- tious and contagious disease. Disinfection. By this is meant the destroying of the vitality of disease-producing micro organisms by chemical or physical means. Concurrent Disinfection or destruction of body discharges and the immediate disinfection or destruction of all infected, or pre- sumably infected, material. Terminal Disinfection shall mean the process of rendering the personal clothing and immediate physical environment of the pa tient free from the possibility of conveying infection to others at the time that the patient is no longer t shall |treating or having knowledge of | quired to report such disease com- jing under their observation when} }making a diagnosis or suspecting| jthe disease to be one required to | be reported, upon blank forms fur- jlice Health for this purpose, un-| json which anyone remove, mutilate or deface this placard, without permission from the health officer. Approved by State | white white paper of a size not than Da establishment where milk or products handled for sale shall be known disease, no food shall be sold, de- shall refuse completely other person or persons who may products. of all teachers, principals, super- | intendents charge of any public, parochial school to exclude from such school any pupil suffering from a communicable disease, or a carrier of a communicable dis- ease until such person furnishes a certificate from a licensed phy- sician stdting that such infected menace to the public health. the Diseases. perscribed for the guidance of lo- cal health officers and other per- sons in the control of communi- cers and other persons in the con- trol of each disease, together with the regulations. By isolation is meant| erly carried out; otherwise, he |shall be isolated’ until all ‘dis-| charges have ceased 3. Quarantine. None. 4. Immunization. None. By quarantine is| janimals, carcas: |the conjunctival discharges, and shall| mean the immediate disinfection|forcement of regulations | the ician in | }ment, name of employer, number jof adults and children in the household, number exposed, | source of infection, probable orig- in, and name of attending physi-} cian; provided, that in cases of venereal diseases the name and} address of the patient shall be} omitted, then the special form re- quired for this class of. diseases must be used in reporting. Rule 8, Reporting When No Physician Is in Attendance. Sup- erintendents or persons in charge of hospitals, sanitariums, dispen- saries, schools, public, private or! nurses, midwives, teachers, dairy managers, heads of private house- of hospitals, boarding houses, res- taurants, lodging houses, or any other person or persons either a reportable disease shall be re- no physician is in attendance. Rule 4.How They Shall Report. All reports of notifiable diseases | shall be made immediately after| nished by the Department of Pub- less the disease is, or suspected to} be cholera, diptheria, plague, smallpox, scarlet fever, yellow fe- i ie i ; then, person making the report shall, in addition to the written report, give immediate notice of} the case to the local health of- ficer in whose jurisdiction the case occurs in the most expeditious manner available, Rule 5. If the disease reported is one requiring a placard it shall} be the duty of the local health} officer to post a notice in some} conspicuous place upon the prem- ises occupied by the infected per- all bear the follow- m ing inscrip' “WARNING! 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 Signed “of Board Health. G. M. Anderson, M. D., State Health Officer.” Said notice shall be printed on cardboard or substantiai i less 12x18 inches. Rule 6. Cases or Carriers in When a person living on a farm, dairy or in any other| its are or other foods or suspected to be infected with or a carrier of a communicable livered or distributed from such farm, dairy or other establish- ment unless authorized in writing the health officer having jur- diction; and said health officer such authorization unless said case or carrier be un- der efficient supervision and iso- lated in such manner as to be separated from any be handling such foods or dairy Rule 7. It shall be the duty or other persons in rivate or person or carrier is no longer a Rule 8. Special Measures for Control of Communicable The following rules are cable diseases, and they shall, in general, govern said health offi- rovisions of the preceeding ACTINOMYCOSIS Methods of Control 1. No placard. 2. Isolation. None, provided that the patient is under adequate contro! and instructions are prop- 5. Concurrent Disinfection of ticles soiled therewith. 6. Terminal Disinfection by! thorough cleansing. | 7. General Measures. Report) by local health officer of infected | s or parts of car-) e veterinarian. INFECTIOUS CON- JUNCTIVITIS Methods of Control No placard. casses to the ACUTE Isolation. Exclusion from until discharges have Quarantine. None. Immunization, None ». Concurrent disinfection of} of articles soiled therewith 6. Terminal disinfection—by thorough cleansing, 7. General measures. (1) En- forbid- ding the use of common towels nd toilet articles. (2) Use of; ver nitrate or argyrol in the s of the newborn. ANTHRAX | 1, No placard. 2. Isolation of the infected in-| dividual until the lesions have 1. Quarantine. None. 4. Immunization, None, 5. Concurrent Disinfection of discharges from the lesions, and of articles soiled therewith 6. Terminal Disinfection thor- he: . ANGINA VINCENTS Methods of Control fhe Casper Daily Cribune the bowel ischecnee nd of ticles solled there in at 1. No placard. 6. Terminal Disinfection — *2. Isolation of the infected| thorough cleansing. % BS person until lesions are healed, ts enera! Measures, (a) In- .. Immunization. None. struction of the public as to the 4. Quarantine. None. necessity of boiling Ghee © wa- 5. Concurrent disinfection of|ter if not properly protected, and dis s from lesions and ar-|in the danger of handling of foods, ticles soiled by discharges. for persons, other than patient 6. Terminal disinfection —| by the attendant. thorough cleansing. ; _(b) Supervision and control BOTULISM jot water and food supplies and, of Msthods of Control. sewage disposal. 1. No placard. DYSENTERY (BACILLARY) 2. Isolation. None. Met! of Control 3. Quarantine. None. 1. No placard. 4. Immunization in exposed] 2. Isolation of the infected cases by large doses of Polyvalent Botulism antitoxin used intraven- ously. . 5. General measures, Greater care in preserving and handling ni- trogenous food stuffs. Heat must be sufficient and must penetrate throughout the mass; also the cooking must be recent for the spores develop well in cooked food. CHANCROID 1. No placard. Only when necessary, when patient is refus- ing treatment and violating in- structions of attendant or health officer, 2. Isolation. None. 3. Quarantine. None. 4. Immunization. None. 5. Concurrent Disinfection. The patient shall be instructed by his physician in the measures nec- essary to protect the public, 6. Terminal Disinfection. None. 7. General Measures. The lo- cal health officer shall furnish every physician reporting a case of chancroid with a copy of the writ- ten instructions provided by the State Department of Health which shall be given by the physician to the infected person. Physicians should be instructed to refer all cases not able to afford the ex- pense of a complete cure to the nearest free venereal disease clinic or to the county health officer or county physician. CEREBROSPINAL MENINGITIS (EPIDEMIC) Methods of Control 1, Placard required. 2. Isolation of the infected person or carrier until the naso- pharynx is free from the infec- tious agent as demonstrated by laboratory test, where such facili- ties are available, or for two weeks from date of onset, or un- til the temperature has been nor- mal for one week. 3. Quarantine of contacts un- til demonstrated not to be carriers, where laboratory facilities are available, or for ten days from date of last exposure. 4. Immunization. None, 5. Concurrent Disinfection of discharges from the nose and mouth, and of articles soiled therewith. 6. Terminal. Disinfection —thorough cleansing. 7. General Measures. (a) Search for carriers among families und associates of recognized cases, by bacteriological examination of posterior nares of all contacts. (b) Education of the public as to personal cleanliness, the neces- sity of avoiding overcrowding in living quarters, public convey- ances, working establishments and places of public assembly, and as to the necessity of adequate venti- lation. CHICKENPOX Method of Control 1. Placard required. 2. Isolation. Exclusion of the infected person from school and prevention of contact with non- immune persons. 8. Quarantine of nonimmune minors for fourteen days from date of last exposure. 4. Immunization. None, 5, Concurrent Disinfection of discharges from the nose, throat and lesions, and the articles soiled therewith. 6. Terminal Disinfection — thorough cleansing. 7. General Measures. Every adult case of chickenpox shall be investigated as to the history of successful vaccination against smallpox. DIPHTHERIA Methods of Control 1, Placard required. Recognition of the disease —By clinical symptoms with con- firmation by bacteriological exam- ination of discharges. 3. Isolation. Until two cul- tures from the throat and two from the nose, taken not less than 24 hours apart, fail to show the presence of diptheria bacilli. Iso- lation may be terminated if per- sistent diphtheria bacilli prove avi- rulent. Where termination by cul- ture is impracticable cases may be terminated with fair safety as a rule 21 days after onset of the disease, 4. Immunization. Exposed sus- ceptibles to be promply immun- ized by antitoxin. (By suscepti- bles is meant such individuals as are found to be nonimmune by the Schick test, i. e., those who give a positive reaction). 5. Quarantine. All exposed persons until shown by bacteriol- ogical examination not to be car- riers. 6. Concurrent disinfection of. all articles which have been in contact with the patient and all articles soiled by discharges from the patient. 7. Terminal disinfection. At the end of the illness, thorough airing and sunning of the sick room, with cleaning or renovation. 8. General measures— (a). Pasteurization of milk supply. i ; (b). Application of the Schick test to all contacts, and immuni- zation of all susceptibles. (c). Application of the Schick test to all children. (d). Immunization b; antitoxin inoculation of all tibles. (e). Determination of pres ence or absence of carriers among contacts, and so far as practicabie in the community at large. DYSENTERY (AMOEBIC) Methods of Control 1. No placard. 2. Isolation. None, provided that the infected person is under toxin- suscep- adequate medical supervision. Quarantine, None. 4.. Immunization. None I 5. Concurrent Disinfection of person or carrier in a screened room as long as the infectious or- ganism is found in-the stools. Pro- vided, that, where laboratory fa- cilities are not available the pa- tient shall be isloated for not less than fifteen days from the date of onset. 3. Quarantine. None. 4. Immunization. Vaccination may be offered. ‘ 5. Concurrent Disinfection of the bowel discharges, and of ar- ticles soiled therewith. 6. Terminal Disinfection Thorough cleansing. General Measures. (a) In- struction of attendants in rigid personal cleanliness and prohibi- tion of the handling of food, for persons other than the patient, by the attendant. (b) Supervision and control of water, milk and food supplies. (c) Proper sewage disposal and destruction of flies. ENCEPHALITIS LETHARGIC Methods of Control 1, No placard. 2. Isolation until termination ofdisease. 3. Immunization. None. 4. Quarantine. None. 5. Infective agent held to be a filterable virus existing in the spinal fluid and naso-pharyngeal secretions. 6. Source of infection. and throat secretions. ERYSIPELAS Methods of Control 1. No placard. 2 Nose ended. 3. Se None. 4. Quarantine. one. 5. Concurrent disipfection. All contaminated articles must be Isolation until the process is| 4! 5. Concurrent Disinfection of thi aa hg fied TO: and 0: les soile therewith. 6. Terminal Disinfection. Thorough airing and cleansing. 7. General Measures. (a) Ed- ucation of the public as to the dangers of exposing children to those exhibiting catarrhal symp- toms of any kind. (b) Daily examination of schoo! children, when disease is prevalent, and exclusion of any child ee a rise of temper- ature of 0.5 degrees Centigrade, or suspicious catarrhal symptoms, or any eruption on the palate or buccal membranes. (c) The Board of Health is of the opinion that after the appear- ance of the rash all the damage of spreading measles has been done and if fessional attend- ants and health officers would ai- vise ond perform routine nhysical examination of contacts at about ten days after exposures, and where examination shows that the catarrhal symptoms are beginning, then such contacts could be iso- lated prior to eruption. MUMPS Methods of Control 1. Placard required. 2. Isolation of the infected person from children, and exclu- sion of the patient. from school and from other public places, un- til the partoid and submaxillary glands are free from inflammation and the temperature is normal, 3. Quarantine. Exclusion of non-immune contacts from school, from public gatherings, and from contact with children, for twenty one days from date of last ex- posure. 4. Immunization. None. 5. Concurrent disinfection of the discharges from the nose and mouth and of articles soiled there- with. 6. Terminal Disinfection. Thorough cleansing. 7. General Measures. None. PNEUMONIA, ACUTE LOBAR Methiods of Control . Placard required, - Isolation of the infected in- dual during the clinical course f the disease. 8. Quarantine. None. 4. Immunization. None. _5. Concurrent Disinfection of discharges from nose and 1 2, ivi boiled or disinfected. 6. Terminal disinfection. Thor- ough cleansing and airing of room and its contents. 7. General measures. Physi- cians in attendance ars a case of erysipelas should abstain from obstetrical service. GERMAN MEASLES Methods of Control 1. Placard required. 2. Isolation. Exclusion of the infected person from school and from other public places and from contact with non-immune persons, for eight days from date of on- set. 8. Quarantine of non-immune minor contacts for twenty-one days from date of last exposure. 4. Immunization. None. 5. Concurrent disinfection of the discharges from the nose, and throat, and of articles soiled there- with. 6. Terminal disinfection. Air- ing and cleaning. Note—The reason for attempt- ing to control this disease is tl it may be confused with scarlet fever during its early stages; each person having symptoms of the disease should therefore be placed under the care of a physician and the case should be reported to the local department of health. GONOCOCCUS INFECTION Methods of Control 1. No placard, except when pa- tient violates directions of health officer and professional attendant. 2. Isolation. None. 8. Quarantine. None. 4. Immunization. _None. 5. Concurrent Disinfection. The patient shall be instructed by his physician in the measures nec- essary to protect the public. 6. Terminal Disinfection. None, 7. General Measures. The lo- cal health officer shall furnish every physician reporting a case of gonococcus infection with a copy of the written instructions provided by the State Department of Health, which shall be given by the physician to the infected per- son. Physicians should be in- structed to refer all cases not able to afford the expense of a com- plete cure to the nearest free ven- ereal disease clinic or to county health officer. IMPETIGO Methods of Control 1. No placard. 2. Isolation. Separation of the patient from other children and exclusion of the patient from school and public places. 3. Quarantine, None. 4. Terminal Disinfection, None. INFLUENZA Methods of Control 1. Placard required. 2. Isolation of the infected person during the acute catarrhal stage or a complication pneu: monia, until the temperature has ed normal for five days. Quarantine of the exposed members of the household for four days from date of last exposure. 4. Immunization. None, 5. Concurrent Disinfection of discharges from the nose, throat and bowels, and of articles soiled therewith. 6. Terminal! Disinfection. Thorough cleansin, 7. General Measures. Educa- tion of the pub! in personal cleanliness; in the dangers of over- crowding in public gatherings, on conveyances and at home; as to the dangers of using common cups, spoons and forks; and in the nec- essity of avoiding contact with persons having coughs and colds. Methods of Control 1, Placard required, 2, Isolation of the infected person for seven days from the date of onset. 3. Quarantine. Exclusion of non-immane contacts from school, idays from public gatherings, and from contact with children, for fifteen from the date of last ex. ure. 4, Immunization. None, the throat, and of articles soiled there- with. 6. Terminal Disinfection. Thorough cleaning and airing. 7. General Measures, Educa- tion of the public in the need of avoiding overcrowding, Ht; in living quarters, and for ing up the general resistance of the body by good feeding, temper. ance in the use of alcoholic bever- ages, avoiding unnecessary expos- ure and practicing other hygienic measures. RABIES Methods of Control 1. No placard. 2. Isolation. None if patient is under adequate supervision, and the immediate attendants are warned of possibility of inocula- tion by human virus, . Quarantine. None. 4. Immunization. ‘The Pas- teur preventive treatment should be administered in either actual or suspected cases. 5. Concurrent disinfection of t| the saliva of the infected person, and of articles soiled therewith. 6. Terminal Disinfection. Thorough cleansing. 7. General measures. (a) Muzzling of dogs when on public streets, or in places to which the public has access. _ (b)_ Detention and examina- tion of dogs suspected of having rabies. (c) Immediate antirabic treat- ment of people bitten by dogs or by other animals suspected or known to have rabies, unless the animal is proved, by subsequent observation or by microscopic ex- amination of the brain and cord not to be rabid. ROCKY MOUNTAIN SPOTTED FEVER Methods of Control 1. No placard. 2, Isolation. None, other than care exercised to protect patients from tick bites when in endemic area. 38. Quarantine. None. 4. Immunization. None. 5.. Concurrent Disinfection. Destruction of ticks upon the in- fected person or upon clothing worn by him. 6, Terminal Disinfection. Shoe cleansing. 7. General Measures— 1. Personal prophylaxis of per- sons entering the infected zones during the season of ticks, by wearing tick-proof clothing, and careful daily search of the body for ticks which may have attach- ed themselves. 2, The destruction of ticks by cleari: and burning vegetation on the land in infected zones. 3. The destruction of ticks on domestic animals by dipping, and the pasturing of sheep on tick-in- fested areas where the disease is prevalent, with the object of di- minishing the number of ticks. 4. e destruction of small mammalian hosts squirrels, chipmunks, etc. SC. ‘T FEVER Methods of Control 1, Placard required. 2. Period of communicability. Four weeks from the onset of the disease, or until all abnormal dis- charges have ceased, and all open e healed. . Isolation. In home or hos- pital, maintained in each case un- til the end of the period of in- Gia 4. Immunization. None. 5. Quarantin. from school of all children from the same household, except as |hereinafter provided. Children who have been exposed to scarlet fever, but who are supposedly im- mune by reason of a previous at- tack of the disease, may be re- moved, by permission of the local health officer, to an uninfected house in which there are no chil- dren, and there isolated for one week. If within this time the dis- ease does not develop, after thor- ough disinfection of person and clothing, they may be released and be permitted to return to school Heads of families and adult teachers all articles which have be ticles as ground! wage-earners may be permitted, | of articles soiled therewith. nen disinfection, po srwene a 6. Terminal disinfection. ASC hy oh eee ent ria Yo this ec be masa ia 7. Gen am s) the case of postal employees, in public or private schools, those employed in con- nection with dairies and the sale of foodstuffs, and all others, the nature of whose occupation would render them especially liable to convey the infection. 6. Concurrent Disinfection of en in contact with a patient and all ar- contaminated with dis- charges from the patient, - Terminal Disinfection. Thorough cleansing. 8. Genera! Measures— (a) Daily examination of ex- osed children and of other possi- Bly exposed persons for a week after last exposure. (b) Schools should not be closed where daily observation of the children by a physician or nurse can be provided for. (c) Education as to special danger of exposing young chil- dren to those exhibiting acute ca- tarrhal symptoms of any kind. (d) Pasteurization of milk supply. ote: Desquamation is not to be regarded as a criterion of in- fectivity. In the light of present knowledge it is believed that the scales resulting from desquama- tion of the skin are dangerous only by becoming infected from con- tact with secretions and discharges mentioned above. Attention is called to the fact that some of the most extensive epidemics known have been caused by the dissemi- nation of the infection through dairies. Many mild cases become non-infective in a much less time than four weeks, and when this condition is reached they may be released. SEPTIC SORE THROAT Methods of Control 1. Placard requred. 2. Isolation. During the clini- cal course of the disease and con- valescence, and rticuliarly ex- clusion of the Fe jient from parti- cipation in the production or handling of milk or milk products. 3. Immunization. None. 4. Quarantine. None. 5, Concurrent disinfection. Articles soiled with discharges from the nose and throat of the patient. 6. Terminal disinfection, Thorough cleansing. 7. Methods of control. 1. Exclusion of suspected milk supply from public sale or use, until pasteurized. The exclusion of the milk of an infected cow or cows in small herds is possible when based on bacteriological ex- amination of the milk from each cow, and preferably the milk from each quarter of the udder at fre- quent intervals, 2. Pasteurization of all milk. 8. Education in the principles of personal hygiene and avoidance of the use of common towel, drink- ing and eating utensils. SMALLPOX Methods of Control 1. Placard required. 2. Isolation of the infected person on his premises until de- squamation is complete. 8. Quarantine of contacts for twenty-one days from date of last exposure or until protected by suc- cessful vaccination. 4. Immunization. External in- oculation with cowpox virus shall be offered to all contacts. 5. Concurrent disinfection of all discharges, and of articles soiled therewith. 6. Terminal disinfection. Thor- ough cleaning and airing. 7. General Measures. General vaccination in infancy; re-vacci- nation of children when entering school and of the entire popula- tion when the disease is prevalent. Encouragement of every city pass- ing an ordinance requiring vacci- nation of school children before they may be permitted to attend school, SYPHILIS Methods of Control 1. No placard, except where patient violates rules and regula- tions of board of health. 2. Isolation. None. 8. Quarantine. None, except when refuses abide by instructions of attendant or health officer. 4. Immunization. None. 5. Concurrent Disinfectant. The patient shall be instructed by his physician in the measures nec- essary to protect the public, 6. Terminal Disinfection. None. 7. General Measures. The lo- cal health officer shall ‘furnish every physician Gil ail Ba case of syphilis with a copy of the written instructions provided by the State Department of Health, which shall be given by the physician to the infected person. Physicians should be instructed to refer all cases not able to afford the ex- pense of a complete cure to the nearest free venereal disease clin- ic, or to county health officer or county physician, TETANUS Methods of Control 1. No placard. 2. Isolation. None. 3. Immunization. By antitox- in given early in single or repeat- ed doses. 4. Quarantine. None. 5. Concurrent disinfection. None. 6 Terminal! disinfection. None, 7. General measures. 1, Educational propaganda such as “Safe and Sane Fourth of July” campaign. 2. Prophylactic use of tetanus Exclusion | antitoxin when wounds have been acquired in regions where the soil is known to be heavily contaminat- ed, and in all cases when wounds are ragged or penetrating. «8. Removal of all foreign mat- ters as early as possible from all wounds, TRACHOMA Methods of Control 1. No placard. 2. Isolation. Exclusion of the infected person from school as long as the lesions persist, 2. Quarantine. None. Immunization. None. Concurrent Disinfection of the conjunctival discharges, and 4 for cases by examination of school children and the fam- ilies and associates of recognized cases. (b) Enforcement of regula- pips Fyeoln aia common towels ic in laces. te) \ducation of the public in personal cleanliness, TUBERCULOSIS Methods of Control 1. No placard. 2. polaron of sect zopent cases as do not properly carry o the laws and regulations. 8. Quarantine. None. 4. Immunization. None. 5. Concurrent ion of sputum and articles soiled with it. Particular attention should be paid to prompt or = fection of sputum itself, of hand- kerchiefs, cloths, or paper soiled therewith, and of eating utensils used are patient. 6. erminal. disinfection. Thorough cleansing, airing and bar aan: 78 7. neral measures. (a) Education of the public pees to the dangers of tu- losis and the methods of con- trol with especial stress upon the danger of ure and infection in early childhood. (b) Provision, as far as pos- sible, for dispensaries and _visit- ing nurse service for early discov- ery and proper supervision of home cases. of ad- (c) Hospitalization vanced » as far as possible. (d) Advocation of open-air schools ‘and preventoria for pre- tuberculosis children. e) Improvement of housing and working conditions by inspec- tion and educational ene, (f) Education of the public in personal cleanliness and in the need for better living conditions. {g) Prohibition of any person while affected with open tubercu- losis from teaching in any college, university, seminary or in any public, parochial or other private school building; or in a dairy; or as a cook or otherwise in any ho- tel, restaurant, hospital, sanitor- ium or other institution, where in or other institution, where in the the formance of his duties he handles, or comes in contact with food or drink for others. Pro- hibition of any person affected with open tube: josis from serv- as janitor, sexton, or care- er, in whole or in part, of any church, hall, lodge, or club rooms, auditorium or any public building; or any other place used for pub- lic assembles or meetings of any character whatsoever. TYPHOID FEVER Methods of Control 1. Placard required. 2. Isolation of the infected person in a screened room, or hospital if nursing care and ade- quate sanitai environment can not be secured in the home, during the course of the disease. vid- ed, however, that no on shall be released from isolation until stool and -urine specimens have been submitted to an approved laboratory for examination. And in the event that either of the said specimens shall show the presence of typhoid bacilli, the hall be released from iso- shal Fe the state health officer as bein; necessary for the protection o: the public. Such terms and condi- tions shall remain in full force and effect until three successive negative cultures of both the stools and urine of the case have been secured, specimens for said cul- tures to be taken not less than fifteen days apart. 8. Quarantine. None. 4. Immunization. Vaccination of all susceptibles shall be offered. . Concurrent Disinfection of the bowel and urinary discharges and of articles soiled therewith. 6. Terminal! Disinfection. Thorough cleansing, airing and sunning. 7. General Measures. (a) Su- pervision and control of public milk and water supplies. (b) Supervision and control of disposal of human excreta. (c) Search for carriers among exposed persons by examinations of stools and urine. (d) Extension of imumniza- tion by vaccination. (e) Institution of measures for the eradication of flies and in- struction of the public in the need of screening places where foods are fprerasee or eaten. (f) Prohibition of any person infected with or living in a family where there exists typhoid fever, from engaging in any occupation in connection with a dairy; or with the handling of milk, cream, ice cream or other food products; or from serving as cook, waiter or otherwise in any hotel, restaurant or boarding house; or in any hos- pital, sanitarium or other institu- tion where in the performance of his duties he ever handles or comes in contact with food or drink for others. TYPHUS FEVER 1, Placard required. 2. Isolation of the infected person in a vermin free room dur- ing the clinical course of the dis- ease, 8. Quarantine of contacts’ for twelve days from date of last ex- josure and until free from lice. hen typhus fever is present in a community, persons or premises infested with lice shall quar- antined until thoroughly deloused. Immunization. None. 5. Concurrent Disinfection. Destruction of lice and on the body of the patient and in the room occupied by the infected in- dividual, 6, Terminal Disinfection. Destruction of all lice and eggs on clothing and in the room occu- pied by the infected individual. 7. General Measures. (a) Eradication of lice on persons and clothing and in premises, during epidemics. (b) Education of the public in the need for improvement in gen: eral living conditions and for the eradication of lice, TUESDAY, OCTOBER 9, 1923 WHOOPING COUGH Methods of Control 1. Placard required. : 2. Isolation. Separation of the patient from peacapeans chil- dren, and exclusion of the patient from school and public places, for the period of four weeks from the ‘ing of acute catarrhal aye toms. Permission of the ‘ild to have the freedom of the premises, provided that one sleeve of the outer garment is encircled above the elbow by an renee col- ored band two inches in width, and further that the patient loes not come in contact with other Gatch ue Beet . Quarantine of expose: dren for fourteen days from date of last exposure. 4. Immunization. Vaccination of contracts may be offered. Concurrent disinfection of 's from nose and of articles soiled Terminal Disinfection. Thorough cleansing, airing and sunning. 7. General measures. 1. Edu- cation of the public in personal cleanliness and in the necessity of avoiding association or contact with those showing catarrhal symp- toms with cough. 2. Exclusion from school of children with coughs, when the disease is present. CONSTRUCTION CAMP REGU- LATIONS Promulgated by the State Board ae th of Wyoming, June 18, 3. ie a eee vu] -_ For the purpose of these regulations Eton yor oth. er construction camps shall be con- sidered to include all camps and similar places of temporary abode, incldding those on wheels, estab- lished by or for the care of work- ing forces engaged in the con- arte feet repair, ice, alternation railway properties or parts thereof. Provided, that camps which are occupied by less than five people or camps which are established to meet emergency longer than five days, shall not be conditions and are not occupied included except that rule 8 of these regulation shall apply to them. General. Rule 2. All camps shall be so located and so maintained as to be conducive to the health of their occupants and not to endan; the health of the public; and al tents, houses stables, or other structures therein shall be kept in a reason- ably clean and sanitary condition at all times. Scavenger. Rule 8. In all camps where there are 100 men or more there shall be one employee whose duty shall be to act as scavenger and garbage collector, Toilets, Rule 4. Every camp shall have an adequate number of latrines and urinals, so constructed and maintained as to prevent fly breeding and the polleition of wa- eal} and the use of such latrines and urinals by the inhabitants of the camp shall be made obliga- tory. Latrines and urinals may consist of deep trenches covered with houses adequately screened against flies, or of any other ap- roved by the State Board of! ealth. They shall not be located within less than 200 feet of an spring, Korean, ute or reservo' orming a part of a public or priv- ate water supply. i aia Food Containers. Rule 65. Refrigerators, boxes, food or other receptacles for the storing of fresh food in cam shall emptied and thoroughly washed with soap and hot water at least once in each seven days that they are in use. ‘ Examination of Food Handlers. Rule 6. No rerson shall serve &s a cook or waiter, or in any oth- er capacity in the preparation or serving of food in any camp who is known or suspected to have any dangerous communicable disease. Sick Persons. Rule 7. When an occupant of @ camp becomes sick with a dan- gerous communicable disease he shall be immediately isolated, and the health officer within whose gurtediction Bie Samp is located 5] e immediately notified, aieedoned Castee.| ection 8. When any camp is to be abandoned, all sbage, Fab. bish, and manure shail be collected and burned, the latrine trenches filled, and the grounds and build. ings shall be left in a clean and sanitary condition, Duty to Enforce Regulations. Section 9. It shall be the duty of the superintendent, foreman, or other person in charge of a camp to see that all regulations pertaining thereto are faithfully vated with. ARD RAILWAY SANI TARY CODE Promulgated by oe State Board Ty aie of Wyoming, June 18, Transportation of Persons Having Communicable Diseases. Persons Not Allowed to Travel. Rule'1. No person knowing or snapecting himself to be afflicted with plague, cholera, smallpox, ty- phus fever, or yellow fever shall apply for, procure, or accept transportation in any railway trains, car, or other conveyance of a common carrier, nor shall any person apply for, procure, or ac- cept such transportation for any minor, ward, patient, or other per- son under his charge if known or suspected to be so afflicted. ‘ule 2. Common carries shal not accepted for transportation in any railway train, car, or other conveyance any person kno them to be afflicted with say bd the diseases enumerated in rule 1, Persons Not Accepted for Travel. Rule 8. Common carriers shall not accept for transportation in a. railway train, car or other iveyance any person kno: them to be afflicted with diphthes, ia, measles, scarlet fever, epidemic cerebrospinal meningitis, anterior 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