COLUMBIA LIBRARIES OFFSITE HEALTH SCIENCES STANDARD HX64077357 RA44.B9 F66 1921 Sanitary code, Statu iaiaiail5l!gllSL«liajLH|l«liHliaiiHl ia!l_«iitt,ftiu. .a. ^..Hjia ■ ^^£, JAN II T94t) OCUWE5VTS Dp RECAP rlorida State Board of Health SANITARY CODE Statutes, Rules, Regulations and Instructions Revised to February 8th, 1921 Please Preserve this Copy— Edition Limited jMiiiBiagiiagiiaiiaiaHiiaiiiE THE DREW PRESS, JACKSONVILLE 37700S CoUegc of S^ffpsitians antj ^urgeonsi Hitirarp Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/sanitarycodestatOOflor Florida State Board of Health Headquarters and General Offices Jacksonville Hon. Joe L. Earman, President . . West Palm Beach Hon. Ed. M. Earnest Palatka Hon. J. E. Graves Quincy Ralph N. Greene, M. D., State Health Officer Bureaus Directors Engineering George W. Simons, Jr., S. B. Diagnostic Laboratories . . B. L. Arms, M. D. Vital Statistics Stewart G. Thompson, D. P. H. Auditor Samuel F. Flood Child Welfare WiUiam B. Keating, M. D. Venereal Diseases .... George A. Dame, M. D. District Health Officers A. C. Hamblin, M. D., . . . Tampa F. L. Tatom, M. D., . . . DeFuniak Springs T. A. Blinn, M. D., . . . . Fort Pierce Orthopedic Service J. Knox Simpson, M. D. STATUTES OF FLORIDA Relating to PUBLIC HEALTH And the Powers and Duties of the STATE BOARD OF HEALTH EXTRACTS FROM GENERAL STATUTES OF FLORIDA, 1920 AND STATUTES OF 1919 Sections 1986, 1989, 1990, 1991, 1993, 1996, 2007, 2015, 5544, 5546, 5547, 5549, were adopted in 1889 by a special session of the legisla- ture, called by the Governor for the purpose of establishing a State Board of Health and defining its duties. STATUTES OF 1919 LAWS OF FLORIDA CHAPTER 7817— (No. 35). AN ACT Providing for the Acceptance and Disbursement of Money Received from the United States Which Was Appropriated By An Act of Congress Entitled "An Act Making Appropriations for the Support of the Army for the Fiscal Year Ending June 30th, 1919," As An Allotment Out of the Sum of One Million Dollars Set Apart By the Said Act for the Prevention, Control, and Treatment of Venereal Diseases. Whereas, Under the provisions of An Act of Congress approved July 9th, 1918, entitled An Act making appropriations for the sup- port of the army for the fiscal year ending June 30th, 1919, which provided for the allotment and distribution of the sum of One Million Dollars among the different States of the United States according to the last preceding United States census the sum of Eight Thousand One Hundred and Eighty-three Dollars and Eleven Cents was paid into the Treasury of the State of Florida on February 11th, 1919, which said sum by the terms of the Act is to •be used in the prevention, control and treatment of venereal dis- eases, therefore. Be It Enacted by the Legislature of the State of Florida: Section 1. That the State of Florida accept the money paid over to the State Treasurer under the Act of Congress of July 9th, 1918, entitled "An Act making appropriations for the support of the army for the fiscal year ending June 30th, 1919," to be used and expended by the State Board of Health in the prevention, control and treatment of venereal diseases in accordance with the rules and regulations prescribed by the Secretary of the Treasury and the rules and regulations promulgated or to be promulgated by the Inter-departmental Social Hygiene Board for the expenditure of the One Million Dollars civilian quarantine and isolation fund under control of the Secretary of War and Secretary of the Navy, which said latter rules and regulations shall be given consideration by the State Board of Health representatives in order that the funds from the two sources may be correlated. Sec. 2. That all vouchers for expenditures made under this Act shall be itemized and approved by the State Board of Health and by the State Treasurer, and all expenditures shall be distributed and limited in proportion for the different purposes as follows : (a) For treatment of infected persons in hospitals, clinics and other institutions, including arsphenamine and other drugs, 50 per cent of the allotment. (b) In carrying out educational measures, 20 per cent. (c) In carrying out repressive measures, 20 per cent. (d) In general administration and other activities of venereal disease control work, 10 per cent. Provided, that the provisional distribution above set forth shall be subject to modification after conference and agreement between each State and the United States Public Health Service the best needs of the particular State. Sec. 3. That the sum of Eight Thousand One Hundred Eighty- three and 11/100 Dollars and such other money as may be paid into the State Treasury for the same purpose by the United States Gov- ernment be and the same is hereby appropriated for the uses and purposes set forth in this Act, and the Comptroller is authorized to draw warrants on the State Treasurer in payment of properly ap- proved vouchers for all expenses incurred relating to this Act. Sec. 4. That this Act shall take effect immediately upon its becoming a law. Approved May 5, 1919. CHAPTER 7822— (No. 40). AN ACT Amending Section 1, of Chapter 6895, Laws of Florida, Acts of 1915, Entitled "An Act Making it a Misdemeanor to ^'Keep or Maintain Surface Closets or Privies Used for the Deposit of Human Excreta, Within Incorporated Towns, Which Are Not Fly-Proof in Construction and Are Not in Conformity With Plans Recommended and Approved by the State Board of Health, and Prescribing a Penalty for the Violation of the Pro- visions of this Act." Be It Enacted by the Legislature of the State of Florida: Section 1. That Section 1 of Chapter 6895, Laws of Florida, Acts of 1915, be amended as follows : Section 1. That any person, firm or corporation keeping or maintaining surface closets and privies used for the deposit of human excreta within incorporated limits, unincorporated towns, suburbs and thickly settled communities which are not fly-proof in construction and are not in conformity with plans recommended or approved by the State Board of Health, shall be guilty of a misde- meanor and upon conviction thereof shall be punished by a fine not exceeding ten dollars ($10.00). Sec. 2. All laws or parts of laws in conflict with the provisions of this Act are hereby repealed. Sec. 3. This Act shall take effect upon its passage and approval by the Governor or upon its becoming a law without such approval. Approved May 5, 1919. CHAPTER 7823— (No. 41). AN ACT to Amend Section 1122 of the General Statutes of Florida Relating to the Making of Rules and Regulations by the State Board of Health. Be It Enacted by the Legislature of the State of Florida: Section 1. That Section 1122 of the General Statutes of Florida be amended to read as follows : Section 1122. Board to Make and Publish Rules. — It shall be the duty of the State Board of Health to formulate such rules and regulations for the preservation of the public health as, in their judgment, they may deem necessary, and to meet at any time they 8 may deem necessary to formulate such additional rules and regula- tions for the preservation of the public health, as their experience may suggest, and they shall have the same published in such place and in such manner as they may deem best to give greatest pub- licity to the same. Sec. 2. This Act shall take effect upon its passage and approval by the Governor. Approved May 5, 1919. CHAPTER 7824— (No. 42). AN ACT to Repeal Section 1128 of the General Statutes of Florida, relating to Assistant State Health Officer. Be It Enacted by the Legislature of the State of Florida: Section 1. That Section 1128 of the General Statutes of Florida, relating to xA^ssistant State Health Officer be and the same is hereby repealed. Sec. 2. This Act shall take effect upon its passage and ap- proval by the Governor. Approved May 7, 1919. CHAPTER 7825— (No. 43). AN ACT Providing for the Sanitation, Healthfulness and Cleanli- ness of Swimming Pools, Public Bath Houses, Swimming and Bathing Places ; Regulating and Granting and Revocation of Permits Therefor from the State Board of Health, Providing for the Inspection of Such Places; Declaring Places and Things in Violation of This Act to Be Nuisances, Dangerous to Health and Providing for the Abatement of the Same ; Making Viola- tions of This Act Misdemeanors ; and Providing for the Punish- ment of the Same. Be It Enacted by the Legislature of the State of Florida: Section 1. The State Board of Health shall have supervision over the sanitation, healthfulness and cleanliness of swimming pools, bath houses, public swimming and bathing places and all related appurtenances and is hereby empowered to make and en- force such rules and regulations pertaining thereto as it shall deem proper. Sec. 2. It shall be unlawful for any person, persons, firm, corporation, institution, municipality or county to construct or to add to or modify, or to operate or to continue to operate any swimming pool, public bath house, bathing or swimming place, or any structure intended to be used for swimming or bathing pur- poses without an unrevoked permit so to do from the State Board of Health. This permit shall be obtained in the following manner : any person, persons, firm, corporation, institution, municipality or county desiring to construct, add to or modify, or to operate and maintain any swimming pool, bath house, bathing or swimming places or structures intended to be used for swimming or bathing purposes within the State of Florida shall file application for per- mission so to do with the State Board of Health, which application shall be accompanied by detailed maps, drawings, specifications and descriptions of the structure, its appurtenances and operation, description of the source or sources of water supply, amount and quality of water available and intended to be used, method and manner of water purification, treatment, disinfection, heating, regulating and cleaning; measures to insure personal cleanliness of bathers ; method and manner of washing, disinfecting, drying and storing bathing apparel and towels, and all other information and statistics that may be required by the State Board of Health ; where- upon, the State Board of Health shall cause an investigation to be made of the proposed or existing pool or public bathing places and if it shall determine as a fact that the same is or may reasonably be expected to become unclean or unsanitary or may constitute a menace to public health, it shall deny the application for permit; if it shall determine as a fact that the same is or may reasonably be expected to be conducted continuously in a clean and sanitary man- ner and will not constitute a menace to public health, it shall grant the application for permit under such restrictions as it shall deem proper. Sec. 3. For the purpose of this Act the State Board of Health or its inspectors shall at any and all reasonable times have full power and authority to, and shall be permitted to enter upon any and all parts of the premises of such bathing and swimming places to make examination and investigation to determine the sanitary condition of such places and whether the provisions of this Act or rules and regulations of the State Board of Health pertaining there- 10 to are being violated. The State Board of Health may from time to time at its discretion publish the reports of such inspections in its monthly bulletin. Sec. 4. Any permit granted by the State Board of Health as provided in this Act shall be revocable or subject to suspension at any time, if it shall determine as a fact that the swimming or bath- ing place or places are being conducted in a manner unsanitary, un- clean or dangerous to public health. Sec. 5. Any swimming pool, public swimming or bathing place or places, constructed, operated or maintained contrary to the pro- visions of this Act are hereby declared to be public nuisances, dangerous to health. Such nuisances may be abated or enjoined in an action brought by the local or State Board of Health. Sec. 6. Any person, firm or corporation, whether as principal or agent, employer or employee, who violates any of the provisions of this Act shall be guilty of a misdemeanor, and each day that con- ditions or actions, in violation of this Act shall continue, shall be deemed to be a separate and distinct offense, and for each offense, upon conviction, he shall be punished by a fine of not less than twenty-five dollars nor more than five hundred dollars, or shall be imprisoned in the county jail for a term of not exceeding six months, or by both such fine and imprisonment. Approved May 29, 1919. CHAPTER 7826— (No. 44) AN ACT Designating the Headquarters of the State Board of Health, and Fixing the Place of Residence of the State Health Officer. Be It Enacted by the Legislature of the State of Florida: Section 1. The headquarters of the State Board of Health shall be in the City of Jacksonville, Florida, and the State Health Officer shall reside in the City where the headquarters of the State Board of Health is located. Sec. 2. This Act shall take effect on July 1, 1919. Approved June 2, 1919. 11 CHAPTER 7827.— (No. 45) AN ACT Authorizing the State Board of Health to Sell Any Prop- erty Acquired Under the Provisions of Chapter 6894, Laws of Florida, Acts of 1915, Not Necessary in the Carrying on of the Work of Said Board. Be It Enacted by the Legislature of the State of Florida: Section 1. The State Board of Health is hereby authorized to sell any property that it mky have acquired under the provisions of Chapter 6894, Laws of Florida, Acts of 1915, which may in its judg- ment be not necessary to be used further in connection with the work of the State Board of Health, and all proceeds derived from the sale of any such property shall be transmitted to the State Treasury to be credited to the State Board of Health Fund. Sec. 2. This Act shall take effect immediately upon its becom- ing a law. Approved June 9, 1919. CHAPTER 7829— (No. 47) AN ACT Defining Venereal Diseases, Regulating and Suppressing Such Diseases, Requiring the Separating of Cases Thereof; Authorizing the Examination, Treatment and Isolation of per- sons Infected Therewith ; Giving Health Authorities Certain Power Over Jails and Prisons in Connection Therewith; Authorizing the State Board of Health to Promulgate Rules and Regulations Relating Thereto and Providing a Penalty for the Violation of this Act or Any Rule or Regulations Passed or Promulgated by the State Board of Health Under the Authority of This Act; Authorizing Towns, Cities or Counties to Make Donations to Assist in the Enforcement of This Act. Be It Enacted by the Legislature of the State of Florida: Section 1. That Syphilis, Gonorrhea and Chancroid are hereby designated as venereal diseases and are declared to be contagious infections, communicable and dangerous to the public health. It shall be unlawful for any one infected with either of these diseases to expose another to infection. Sec. 2. It shall be unlawful for any female afflicted with any venereal disease, who knowing of such condition, to have sexual 12 intercourse with any male person, or for any male person afflicted with any venereal disease, who knowing of such condition, to have sexual intercourse with any female. Sec. 3. Any person who shall violate any of the provisions of Sections one and two of this Act, shall be guilty of a misdemeanor and on conviction shall be punished as for a misdemeanor. Sec. 4. Any person suspected of being afflicted with any in- fectious venereal disease shall be subject to physical examination and inspection by any representative of the State Board of Healtli, and for failure or refusal to allow such inspection or examination, they shall be guilty of a misdemeanor and shall be punished as for a misdemeanor. Provided, the suspected person shall not be appre- hended, inspected or examined against his will, except upon the sworn testimony of the person or persons accusing; and upon the presentation of the warrant duly authorized by the Justice of the Peace, or some Court Officer charged with the execution of this law. Sec. 5. Any person wilfully violating any rule or regulation promulgated by the State Board of Health under the authority of this Act, shall be deemed guilty of a misdemeanor and may be punished as for a misdemeanor. Sec. 6. Any physician or other person who makes a diagnosis in or treats a case of venereal disease, or any superintendent or manager of a hospital, dispensary or charitable or penal institution in which there is a case of venereal disease shall make a report of such case to the Health Authorities according to such form and manner as the State Board of Health shall direct. Sec. 7. State, County and Municipal Health Officers, or their authorized deputies, within their respective jurisdictions, are here- by directed and empowered, when in their judgment it is necessary to protect the Public Health, to make examination of persons being, or suspected of being infected with a venereal disease, to require persons infected with a venereal disease to report for treat- ment to a reputable physician and continue treatment until cured, or to submit to treatment provided at Public Expense, and to isolate persons infected with a venereal disease. Provided, the suspected person shall not be apprehended, inspected or examined against his will, except upon the sworn testimony of the person or persons accusing; and upon the presentation of the warrant duly authorized 13 by the Justice of the Peace or some court officer charged with the execution of this law. Sec. 8. All persons who shall be confined or imprisoned in any- state, county or city prison of this State, may be examined and treated for venereal diseases by the Health Authorities or their deputies. The State, County and Municipal Boards of Health shall have authority to take over such portions of any State, County or City Prison as may be necessary for a Board of Health Hospital, wherein all persons who shall have been confined or imprisoned and who are suffering with a venereal disease at the time of the expiration of their terms of imprisonment, shall be isolated and treated at public expense until cured, or, in lieu of such isolation, such person may, in the discretion of the Board of Health, be re- quired to report to a licensed physician or submit to treatment at public expense as provided in Section seven of this Act. Sec. 9. The State Board of Health is hereby empowered and directed to make such rules and regulations as shall in its judg- ment be necessary for the carrying out of the purposes of this Act, including rules and regulations providing for such labor on the part of the isolated persons as may be necessary to provide in whole or in part for their subsistence and to safeguard their general health, and such other rules and regulations concerning venereal diseases as it may from time to time deem advisable. All such rules and regulations so made shall be of force and binding upon all county and municipal Health Officers and other persons affected by this Act. Sec. 10. All reports of cases of venereal disease shall be filed in a safe or some place of safe keeping in the office of the State Board of Health, and shall not be subject to Public Inspection. That no clerk or officer of the State Board of Health shall give out any personal information as to such reported cases, except upon the demand of the judge of a court empowered to deal with the operation of this law ; nor shall the reports of cases of venereal disease be made to the State Board of Health, or any City or County Board of Health, except in a sealed, stamped envelope, which shall be furnished the physicians of the State without cost to them by the State Board of Health. Sec. 11. Any town, city or county, is hereby authorized to 14 make donations to the State Board of Health to assist in the enforce- ment of this Act. Sec. 12. This Act shall become a law upon its passage and ap- proval by the Governor. Approved June 7, 1919. CHAPTER 7830— (No. 48) AN ACT Making it the Duty of the State Board of Health to Make Certain Analyses, and Providing for Expert Testimony. Be It Enacted by the Legislature of the State of Florida: Section 1. That the State Board of Health shall make or have made analysis of any part of the contents of the human body sub- mitted to it by any regular practicing physician licensed to practice in this State, or any State Attorney or Solicitor of any Criminal Court or Court of Record, or Sheriff in this State, for the purpose of determining whether or not it contains any foreign matter or drugs poisonous to the human system, and upon the completion of such analysis furnished to the person submitting the same, a certifi- cate under oath of the result of such analysis. Sec. 2. The State Board of Health shall make or have made analysis of any part of the contents of the carcass of any domestic animal submitted to it by any duly authorized agent of the Live Stock Sanitary Board, or County Demonstration Agent, or Sheriff, for the purpose of determining whether or not it contains any foreign matter or drugs poisonous to the life of such animal, and upon the completion of such analysis the said Board shall furnish to the person submitting same a certificate under oath giving the result of such analysis ; provided that in all such cases when the agent of the Live Stock Sanitary Board, County Demonstration Agent or Agent submits any specimen to the State Board of Health for analysis' he shall at the same time forward to the Secretary of the Board a fee of Five Dollars to be applied to the expense incident to such analysis, and the said fee shall become a part of the State Board of Health Funds and forwarded to the State Treasurer. Sec. 3. Any person who is required under process of court to give expert testimony under either Section 1 or 2 of this Act shall be paid all expenses going to and from the place where such testi- mony is to be given. 15 Sec. 4. This Act shall take effect immediately upon its becom- ing a law. Approved June 9, 1919. CHAPTER 7920— (Xo. 138) AN ACT to Provide for the Assistance of Poor Mothers or Other Poor Women Having Children Dependent Upon Them for Sup- port and Care Under the Age of Sixteen Years and to Provide the Necessary Means of Carrying This Law Into Effect. Whereas, Section 3 of Article XHI of the Constitution of this State ordains that "the respective counties of the State shall pro- vide in the manner prescribed by law for those of the inhabitants that by reason of age, infirmity or misfortune may have claims upon the aid and sympathy of society;" and Whereas, It has been found by those engaged in social welfare work among the poorer people of the State that there are numbers of Mothers and other women who have children depending solely upon them for food, clothing and education, and in many instances deprived almost wholly of all of these necessities ; and Whereas, It has been demonstrated that a Republic is as strong as its citizenship, and the citizen is useful accordingly as to his intellect and environments and training; therefore Be It Enacted by the Legislature of the State of Florida: Section 1. General Duties of Officers. — The County Commis- sioners of the several Counties of the State of Florida are em- powered and authorized to provide in the annual budget of the Gen- eral Revenue Fund an appropriation sufficient to meet the purposes of this Law for the support of women who have dependent upon them for food, raiment and education an orphan or orphans or half orphan children under sixteen years of age, including any woman whose husband is dead or an inmate of some State Institution, or whose husband has been prosecuted for desertion or non-support and has been adjudicated by the Court when prosecuted to be wholly unable to support his wife and children ; whose support and the support of the children depend wholly or partially upon her labor, shall be entitled to the assistance as provided for in this Act, for the support of herself and for her children. Sec. 2. Allowance Authorized. — The allowance for the aid of 16 such women shall not exceed twenty-five dollars a month when she has but one child under sixteen years of age. If she has more than one child under the age of sixteen years it shall not exceed twenty-five dollars for the first child, and eight dollars a month for each of the other children. Sec. 3. Condition of Allowance. — That the County Commis- sioners of their respective counties shall levy a Tax of not more, than Yi of one mill on all taxable property of their respective Counties for the purpose of supplying funds to carry this Bill into effect, and provide means for the same, provided the condition of allowance of said allotment shall be made by the County Commissioners upon the recommendation of the School Board in the County in which such Mothers reside, and only upon the following conditions : First. The child or children for whose benefit the allowance is made, must be living with the mother of such child or children. Second. The Mother must in the judgment of the County Com- missioners of such County, which body shall finally pass upon all applications for aid under this Act, be a proper person morally, physically and mentally for the bringing up of her children. Third. Said allowance shall, in the judgment of the County Commissioners, be necessary to save the child or children from neglect. Fourth. No person shall receive the benefit of this Act who shall not have been a resident of the State for at least four years and a resident of the County in which the allowance is given, for at least one year next before the making of the application for aid in such County. Sec. 4. When Allowances Shall Cease. — Whenever any child shall reach the age of sixteen years, or the mother shall remarry the allowance to the mother or the children shall cease : Provided, however, that if it is made to appear to the Board of County Com- missioners, after an investigation and recommendation by the County School Board, that there exists some special reason that it is for the best interest of any child, as well as for society, to con- tinue said allowance for a longer period of time such allowance may be continued for such time as the justice of the case may de- mand. In all cases, however, when the mother remarries all allowances shall cease. 17 Sec. 5. Female Relative. — The provisions of this Act shall also be extended for the benefit of orphan children who are depend- ent on some female relative unable to support them, or to any such child or children under guardianship who are dependents or paupers and have no means of support. Sec. 6. How Carried Into Effect. — In order to carry the pro- visions of this Act into effect, it shall be the duty of the County School Attendance Officer, or like officer by whatever name called, to have direct supervision of the investigation of all cases, and he shall have the assistance of the Bureau of Education and Child Welfare of the State Board of Health to cooperate with the Board of Public Instruction or social workers of each county in the State in investigating all persons entitled to the provisions of this Act in the gathering of data and the history, and making a report on each case, and to this end the necessary blanks will be provided, and it shall be the duty of the Board of Child Welfare and Education of the State Board of Health to provide uniform blanks to be printed and paid for by the counties to be used in gathering and recording the history of each case. Sec. 7. History of Each Case. — The history of each case when investigated by the Board of Public Instruction, School Attend- ance Officer, or the nurse or social worker of the county, or a com- mittee hereinafter provided to be appointed, shall be made up in triplicate, the original to be filed with the Board of County Com- missioners of the county, which shall include the recommendation of the Board of Public Instruction of the county, and one copy shall be retained by the Board of Public Instruction, and one copy for- warded to and filed with the Bureau of Child Welfare and Educa- tion of the State Board of Health. Sec. 8. How Families Are to be Investigated. — It shall be the duty of the Board of Public Instruction of each county to require each nurse or social worker employed by said County Board of Public Instruction or School Attendance Officer to carefully and speedily investigate the condition of any and all poor mothers' children, orphan and half orphan children, whose needs may be brought to their attention, and after having gathered the history of eacTi case and recorded such history upon the blanks as herein- before required to be provided, to immediately place such report of such case before the Board of Public Instruction of such county 18 for its immediate action, and said Board of Public Instruction shall examine such report and immediately transmit such application together with its recommendations to the Board of County Com- missioners of the county for final action. The Board of County Commissioners shall immediately take up such application and grant or reject such application as that Board in its judgment shall find the applicant entitled in this Act. Sec. 9. Other Persons May be Appointed to Carry Law Into Effect. — In absence of a social worker or nurse, as provided for in Section 8, in any county of the State, it shall become the duty of the Board of Public Instruction, upon this Act becoming a law, to immediately recommend for appointment three capable women, residents of such county, who will be willing to accept such ap- pointment and serve without compensation, to investigate and report the cases of poor mothers, orphans and half orphan children entitled to the provisions of this Act, and who shall serve until a nurse or social worker or School Attendance Officer is employed, and such persons so appointed shall individually or collectively make their investigation of poor mothers, orphans and half orphans in the same manner as nurses and social workers as is provided for in Section 8 of this Act. Sec. 10. Where Child May Reside.— The child or children to whom the allowance is made under this Act must be living with the mother, or other female guardian of such child or children unless special privilege of separation is authorized by the Board of County Commissioners, upon the recommendation of the Board of Public Instruction for the sake of the child's education. Sec. 11. Construed Liberally.— The provisions of this Act shall be construed liberally to the ends that the best interest of all de- pendent children shall be conserved. Sec. 12. Require Attendance at School. — All children receiving aid under the provisions of this Act shall be required to attend the schools of the County during the whole term or terms of such schools, and upon failure of such children to attend schools for the whole term or terms thereof, the aid herein provided for such mothers and child or children shall cease without notice. Sec. 13. Penalty for Fraud. — Any person procuring an allow- ance under the provisions of this Act for a person or persons not 19 entitled thereto shall be guilty of a misdemeanor and on conviction shall be punished by a fine of not more than One Hundred Dollars ($100.00) or by imprisonment for a period of not more than six months or by both such fine and imprisonment at the discretion of the trial Judge. Sec. 14. All laws or parts of laws in conflict with the provisions of this Act are hereby repealed. Sec. 15. This Law shall become efifective upon its becoming a law. Approved May 31, 1919. GENERAL STATUTES-1920 FROM CONSTITUTION OF THE STATE OF FLORIDA 1885 CHAPTER XV. PUBLIC HEALTH Section L The legislature shall establish a State Board of Health and also county boards of health in alt counties where it may be necessary. Sec. 2. The State Board of Health shall have supervision of all matters relating- to public health, with such duties, powers, and responsibilities as may be prescribed by law. Sec. 2 of article 15 of the Constitution of 1885, conferring "supervision" of matters of public health upon the State board, subject to legislative control, has no application when it is shown the board declines to interfere with a municipal ordinance. Logan v. Childs, 51 Fla. 233, 41 So. 197. Sec. 3. The county boards of health shall have such powers and be under the supervision of the State Board to such extent as the legislature may prescribe. Acts^i9i5 ^^^' S^^'^ool closets; separate compartments for each Sec. 1. sex. — That all school buildings, public or private, in this State shall be provided with adequate facilities for nature's conveniences, by either water carriage or sur- face closets, with separate compartments for each sex. lb Sec 2 ^^^- School closets in rural districts. — That in rural districts where sewerage systems do not exist, all sur- face closets used in connection with such schools shall be of fly-proof construction and in conformity with plans recommended or approved by the State Board of Health, with separate compartments for each sex. (Penalty for failure to provide school buildings vi^ith closets, see Sec. 5872). Ch. 7336, 1817. Tuberculosis hospitals: how established; elec- Acts 1917, '^ ' Sec. 1. tion; notice; places of election; form of ballot. — When- ever a petition signed by not less than twenty-five per cent of the qualified voters of any county shall be pre- sented to the county commissioners of such county, ask- ing that a tax be levied annually for the establishment and maintenance of a county tuberculosis hospital in such county, said county commissioners shall order that 21 an election shall be held to determine whether such tax shall be levied. The county commissioners shall appoint a day for the holding of said election and shall publish notice of such election in a newspaper published in said county once a week for four consecutive weeks prior to the date of such election. Such election shall be held at the several places where the last general election was held in said county, unless the county commissioners shall otherwise order. The form of the ballot for such election shall be "For the Levy of a Tax for County Tuberculosis Hospital," or "Against the Levy of a Tax for County Tuberculosis Hospital," and at such election every qualified elector may vote. 1818. Conduct of election and canvass of votes; if election afBrmative county to levy tax; amount of tax; requisition and budget. — Such elections shall be con- ducted and the canvass of the votes certified to and re- turned and the returns canvassed in the manner and within the time prescribed for general elections, except as otherwise provided herein, and except that the returns shall be delivered to the chairman and clerk of the board of county commissioners who shall canvass the returns and declare the result and cause the same to be recorded in their minutes. If the majority of votes cast at such elec- tion shall be for the levy of a tax for a county tuberculosis hospital, the board of county commissioners shall be authorized and required to levy annually such tax upon the taxable property within the limits of said county, not to exceed two mills on the dollar, as may be necessary to pay the liabilities and necessary expenses of said county tuberculosis hospital, except that in counties having an assessed valuation of twenty million dollars or over such tax shall not exceed one mill on the dollar, the amount to be raised by such levy to be fixed by requi- sition of the board of tuberculosis commissioners here- inafter provided for. Said tax shall be collected in the same manner as other taxes. The requisition herein re- quired shall be in writing and shall be accompanied by a budget in which shall be set forth clearly on a form to be lb. 22 prescribed by the State Comptroller the several items of expenditure to be made during the ensuing year and the amounts to be employed for each purpose. lb., Sec. 2. 1819. Tuberculosis commissioners; appointment; term of office; vacancies; no compensation; expenses. — When in any county a levy for a tax for a county tubercu- losis hospital has been authorized, the Governor shall proceed to appoint a board of three tuberculosis com- missioners upon the recommendation of the local medical society or assocition, one at least of said tuberculosis . commissioners shall be a physician, all residents of the county. Said commissioners shall hold office for four years. Vacancies on the board of tuberculosis commis- sioners shall be filled in like manner as original appoint- ments. Said commissioners shall serve without compen- . sation, but shall be allowed out of the funds created by this chapter all necessary expenses incurred by them in the performance of their official duties. lb.. Sec. 3. 1820. Organization of commissioners; by-laws; regulations for government of hospitals; receive and pay out moneys; bond. — The said tuberculosis commission- ers shall annually elect their own chairman and secre- tary. They shall make and adopt such by-laws, rules and regulations for their own guidance and for the gov- ernment of the hospitals and the activities connected therewith as may be expedient. They shall control and pay out all moneys collected or received for the credit of the tuberculosis hospital and of the construction of any hospital building, and shall supervise, inspect and care for the grounds and buildings constructed or set apart for that purpose, and shall appoint all officers and employees of said hospital and fix their compensation. All moneys collected under this tax shall be deposited to the credit of the board of tuberculosis commissioners and shall be withdrawn and paid out by said board of tuberculosis commissioners in like manner as provided by law for the deposit and withdrawal of county funds by the board of county commissioners. Each of said 2Z tuberculosis commissioners shall give bond in the sum of five thousand dollars with good and sufficient sureties, conditioned for the faithful performance of his duties to the Governor of the State of Florida, and his successors in office, such bond to be approved by the board of^ county commissioners. 1821. Powers and duties of commissioners. — The ib., Sec. 4. board of tuberculosis commissioners shall have the power to purchase or lease lands within the limits of such county for the location of such hospital, and to lease or erect appropriate buildings for the use of said tuberculosis hospital : Provided, however. That no such tuberculosis hospital shall be built on the grounds of a county insti- tution for the care of paupers. It shall be the duty of said board to submit the proposed sites and buildings to the State Health officer and request his advice and recom- mendation thereon. 1822. Hospital used for benefit of inhabitants of ib., Sec s. county suffering from tuberculosis ; patients ; indigent patients ; other powers of commissioners. — Every hospital established under this chapter shall be for the use and benefit of the inhabitants of such county suffering from tuberculosis who shall have resided in such county con- tinuously for not less than one year next preceding ap- plication for admission or treatment. Such residents shall be admitted to said hospital and be entitled to oc- cupancy, nursing, care, medicine and attendance, subject to the rules and regulations prescribed by said board of tuberculosis commissioners. Said tuberculosis hospital shall care for and treat without charge indigent patients, but may collect from patients financially able such charges as the tuberculosis commissioners may from time to time establish. Said board of tuberculosis commission- ers shall have the power to extend the benefits and privi- leges of such hospital and treatment to the homes of persons suffering from tuberculosis and to furnish nurses, instruction, medicines and attendance and all other things necessary to effect a cure and to stamp out tuberculosis 24 in such county. Said board of tuberculosis commis- sioners may extend the privileges and use of the hospitals to persons afiflicted with tuberculosis, who are non-resi- dents of such county, upon such terms and conditions as said tuberculosis commissioners may from time to time by its rules and regulations prescribe. lb., Sec. 6. 1823. Annual reports to Governor and State Board of Health. — The board of tuberculosis commissioners shall make to the Governor and to the State Board of Health an annual report showing the number of patients, the condition of the tuberculosis hosiptal, the various sums received from taxes and other sources, and how such moneys have been expended and for what purpose. lb., Sec. 7. 1824. Board of tuberculosis commissioners given corporate powers. — Each board of tuberculosis commis- sioners created and existing under the provisions of this chapter, shall be a corporation, with power to adopt a seal, to sue and contract, and to acquire and dispose of property, both real and personal, and to do every other act and thing necessary to the proper discharge of its duties and functions as a board of tuberculosis com- missioners. Ch. 3839, 1986. (1109.) Governor to appoint. — The Governor Acts 1889 Sec. 1. ' shall appoint three discreet citizens of the State of Florida, who shall be confirmed by the Senate, and who shall, after taking and subscribing an oath before some person competent to administer oaths, faithfully to per- form the duties of their offices, constitute the State Board of Health. i Ch. 4345, 1987. (1110.) Regular meeting, times of. — The regu-^ Secfi. ' lar meeting of the State Board of Health shall be on the second Tuesday of February of each year. 1988. (1111.) Governor may convene board. — It shall be the duty of the members of said board to convene upon the call of the Governor, at such time and place as he may direct. 25 1989. (1112.) Board to elect president and health Sis^f^^^ officer, — It shall be the duty of the said board, at their ^ec 2. first meeting, to elect one of their number as president of said board. At the same meeting it shall be the duty of said board to designate and employ a physician, who shall be an expert in diagnosis of yellow fever, smallpox, cholera and other infectious diseases, and who must be a person of recognized ability and skilled in hygiene and sanitary science, and a graduate physician of a recognized and reputable medical college, which said person shall be known as the State Health Officer. The State Health Oificer shall be the executive officer of the board and secretary of the same, and shall hold the office for the term hereinafter specified, unless removed by the board for just cause. 1990. (1113.) Terms of office.— The term of office of ib., See 3. each member of the board of health shall be four years from the date of his appointment, or until his successor is appointed and qualified, and the term of employment of State Health Officer shall be for four years from the date of his appointment, or until his successor is ap- pointed and qualified : Provided, That should any mem- ber of the said board be and remain absent from the State for ten days after any disease has been declared epi- demic, the Governor may declare his office vacant, and proceed to fill the same by appointment; and should the health officer be and remain absent from the State for five days after his attention has been called to the presence of any disease in the State, the board of health may declare the office vacant and proceed to fill the same by designation and employment of a suitable person to perform the duties thereof. 1991. (1114.) Physicians to make certain reports. — It ib., Sec. 4. shall be the duty of every practicing or licensed physi- cian in the State of Florida to report immediately to the president of the board of health, by telegram or in the most expeditious manner, every case of yellow fever, smallpox or cholera that comes within his practice, such 26 telegram to be paid for out of the funds provided for the expenses of said board of health. 1992. (1115.) IJuties of president and health officers concerning investigation and quarantine. — It shall be the duty of the president of the board of health, immediately upon the receipt of information that there is any case of yellow fever, smallpox, cholera or hydrophobia in any portion of this State, to order the State Health Officer by telegram, if he is not at hand, to proceed immediately to said place, and there to investigate the said reported case or cases of yellow fever, smallpox, cholera or hydro- phobia and to report to the said president b} telegram the result of his said investigation : Provided, That in cases of hydrophobia, the State Health Officer may be represented by any authorized agent or agents of the State Board of Health, and said State Health Officer shall have power, and it shall be his duty, to declare said in- fected point and animal or animals to be in quarantine, and to place any and all such restrictions upon ingress and egress of animals or persons thereat as, in his judg- ment, shall be necessary to prevent a spread of the dis- ease from the infected locality or animal or animals ; and it shall be the duty of the State Health Officer, when he shall have declared any city, town or other place, or animals to be in quarantine, to so control the population or animals of said city, town or other place, and make such disposition of the same as shall in his judgment ap- pear best to protect that population and at the same time prevent a spread of the infection, or running at large of animals infected with rabies, among the same. The sheriff and constables of the several counties of this State, and the police officers of the cities and towns of this State, shall be under the control of the said State Health Officer to enforce and carry out any and all quarantine regulations that he may prescribe, which said regulations shall be immediately published in the most practicable manner in the several counties, cities, towns or other places where quarantine may be established; and said State Health Officer shall make immediate report of his 27 actions and doings in the premises to the president of the board of health, and from time to time, so long as quarantine shall continue. 1993. (1116.J Duty of Governor to furnish means of ch. 3839, Acts 1889 enforcing quarantine. — It shall be the duty of the Gover- sec. lo. ' nor of this State, whenever called upon by the State Health Officer so to do, to furnish the said officer with all requisite means to enforce whatever quarantine regula- tions it may be necessary in his judgment to prescribe, including such armed force from the militia of the State as, in the judgment of the Governor, may be required, upon information furnished by said officer. 1994. (1117.) Duties of State Health Officer.— The ch.4345. State Health Officer, under the direction of the State sec. 2. ' Board of Health, shall have the general administrative and executive control of all the maritime and domestic quarantine systems of the State. He shall have the power to make arrests without warrants for any viola- tion of the quarantine rules and regulations of the State Board of Health after they have been duly promulgated. He shall have power to deputize sanitary agents for that purpose. In all such cases the person or persons arrested for violating the quarantine and sanitary rules aforesaid shall be surrendered without delay to the custody of the nearest sheriff and formal complaint made against him, her or them, in accordance with law. 1995. (1118.) Quarantine, etc. — No quarantine regu- ib., Sec. 3. lations of commerce or travel (sea coast or inland) shall be instituted or operated by any port, place or county of this State against any oth^r port, place or county in this or any other State or any foreign country, except by authority of the State Board of Health. Neither the statute of 1885, nor the statute of 1879, establishes of itself a quarantine at any place or in any county, but they leave it to the board of health to establish the same when, in their judgment, it is expedient for the public welfare to do so. Ex parte O'Donovan, 24 Fla. 281, 4 So 789. 1996. (1119.) Regulations concerning railways and ch. 3839, vessels. — The board of health shall have power, and il sec!ii. ' shall be their duty at all times, to impose upon all rail- 28 way and navig-ation companies, and upon all individuals who may own or operate steamships or other vessels plying between any of the West Indian, South American, or any other foreign ports and the ports of the State of Florida, such restrictions and regulations as to inspec- tion, quarantine and sanitary rules as, in their judgment, may be necessary to protect the health of the people of this State, and which may not be in conflict with the acts of Congress already passed, or that may hereafter be passed, and do not amount to an absolute interruption of ^commerce with said foreign ports : Provided, That whenever any case of yellow fever, smallpox, cholera or other infectious disease shall appear or be developed among the passengers, officers or crew of any such steamship or other vessel, said steamship or other vessel shall be ordered in quarantine for such time and under such regulations as may be prescribed by said board of health : Provided further, That should said board of health at any time be convinced that yellow fever, small- pox, cholera or other infectious disease exists in any foreign port, in such form that the landing of any steam- ship or other vessel hailing from said infected foreign port, at any of the ports of Florida, will put in peril the health of the people of said State, it shall be the duty of said board to put all and any such steamships or vessels, their crew, passengers and cargo, in quarantine for such time and under such rules and regulations as may be prescribed by said board of health : Provided further. That said board of health shall charge and receive from such vessels undergoing inspection or sanitation, as pro- vided in this section, such fee or fees as said board may prescribe. In authorizing a county board of health to establish quarantine and to appoint a port inspector, the act of 1885 means quarantine as defined and authorized by the act of 1879, and a port inspector with the powers and duties prescribed by the latter act. Ex parte O'Donovan, 24 Fla. 281, 4 So. 789. The regulation of the board of health of Escambia County, involved in this case, held to be invalid for the reason that as presented by the record it purports to be operated notwithstanding the absence of the establishment of quarantine by such board. lb. The quarantine act of 1885 does not, by virtue of the general powers it confers on county boards of health, authorize charges to be made against a vessel for quarantine purposes. Ferrari v Board of Health Escambia County, 24 Fla. 390, S So. 1. A reasonable charge according to tonnage of the material for the use of 29 a. crib erected by the board for receiving ballast, is proper where the discharge of the ballast is for the purpose of disinfection, but it is not proper to base any charge on the tonnage of the vessel. lb. Under the act of 1879, as amended in 1883, county boards of health have no authority to collect from vessels coming into the jurisdiction of said boards fees for fumigation or disinfection, unless said vessels are subject to and have been put in quarantine. Forbes v Board of Health Escambia County, 28 Fla. 26, 9 So. 862. County boards of health have no authority without any examination or in- spection to require vessels upon entering ports within the jurisdiction of said boards to deviate from their course six miles and go to a quarantine station for inspection. lb. 1997. (1120.) General powers of board.— The State ^^ ^^^^ Board of Health shall have the general supervision of the '^H^l^^^' public health of the State of Florida, and shall have l^eni^^g ^ ' Sec. 772, power to make, promulgate and enforce such rules and f^J- s*^^^- regulations as may be necessary for the preservation of the same; and to prevent the importation or spread of hydrophobia. 1998. Dissemination of information concerning com- q^^_ ^394 municable disease. — The State Board of Health is hereby sec^i.^^^' authorized to disseminate information concerning the cause, nature, extent and prevention of communicable disease, and shall arrange for free lectures and health exhibits, and shall cause to be printed and distributed, free of cost to the people, bulletins, pamphlets, circulars, leaflets, cards and other printed matter containing useful information for the protection of the individual and the public health. 1999. Public health exhibits in railway car author- ib. ized. — Said board is further authorized to send a public health exhibit in a railway car or cars over the lines of railroads in this State, and shall cause the exhibit to be displayed in the cities and towns and other places in its discretion on such railway lines. With the display of the exhibit there may be given free lectures and talks, to the people, illustrated, where possible, with stereopti- con and moving pictures, and printed matter containing useful information pertaining to the protection of health and prevention of disease shall be distributed. The de- tails of the work shall be planned by the said board, and the State Health Officer may employ assistants to carry on the work, for such periods of time as may be neces- 30 I sary, and shall fix their salaries. Necessary expenses of such employes shall be paid in the same manner that ex- penses of other employes of the State Board of Health are paid. lb.. Sec. 2. 2000. Railway companies may transport cars free. — It shall be lawful for any railroad company to furnish and transport, free of charge, a car or cars for the display of the public health exhibit, and to furnish free trans- portation to any such car or cars owned or used by said board, and to persons actually engaged in the work in connection with the display of the public health exhibit. lb.. Sec. 3. 2001. Governing body of any county or city may con- tribute to public health exhibits. — It shall be lawful for any county, city or town, or the governing body of any county, city or town, to contribute to the local expense of the display of the public health exhibit. lb.. Sec. 4. 2002. State health officer may accept contributions for health exhibits. — It shall be lawful for the State Health Officer to accept donations and contributions to the expense of the display of the public health exhibit. lb.. Sec. 5. 2003. Expenses of exhibits to be paid out of State Board of Health fund. — That all expenses incident to or necessar}^ in the execution of any of the powers of Sec- tions 1998 and 1999, vested in said State Board of Health or State Health Officer, or their employes or agents, shall be paid by said board out of the funds for the mainten- ance and support of said State Board of Health. Ch. S931, 2004. Sanitation of public places; isolation of per- Acts 1909 • • • Sec. 1. ' sons having communicable diseases; general sanitation; rules, etc. — That the State Board of Health shall have the power to make, adopt, promulgate and enforce rules and regulations from time to time, requiring and pro- viding for the thorough sanitation and disinfection of all passenger cars, sleeping cars, steamboats and other vehicles of transportation in this State, and also of all convict camps, penitentiaries, jails, factories, hotels, schools and other places used by or open to the public; I 31 to provide for the treatment, segregation and disinfection of animals having communicably contagious or infectious diseases ; to provide for the care, segregation and isola- tion of persons having, or suspected of having, any com- municable, contagious or infectious disease; to regulate the method of disposition of garbage or sewage and any other refuse matter in or near any incorporated city or town or unincorporated town or village of this State ; to provide for the thorough investigation and study of the causes of all diseases, epidemics and otherwise, in this State, and the means for prevention of contagion and disease, and the publication and distribution of such in- formation as may contribute to the preservation of the public health and the prevention of disease ; to super- vise and regulate municipal and county sanitation; and to make separate orders and rules to meet any emergency not provided for by general rules and regulations for the purpose of suppressing nuisances and com- municable, contagious and infectious diseases and other dangers to the public life and health : Provided, however, That nothing herein contained shall be con- strued as in any wise preventing or restricting any per- son so segregated or isolated from choosing his own method of treatment, or in any wise limiting any diseased person in his right to choose or select whatever method or mode of treatment he may believe to be the most efficacious in the cure of his ailment : Provided, how- ever, That nothing herein contained shall be construed as in anywise limiting any duty, power or powers now possessed by or heretofore granted to the said State Board of Health by the statutes of this State, or as affect- ing, modifying or repealing any rule or regulation here- tofore adopted by said board. (Penalty for violation of rules made by State Board of Health, see Sec. SS480 2005. Sanitary engineer. — That the State Board of ch. eiee. Health of Florida be, and is hereby, authorized to employ se^c.^i\^2.^ or engage the services of a sanitary engineer, whose ex- pert knowledge on the subject shall be determined by 32 the State Health Officer whenever, in the opinion of the State Health Officer, the necessities of sanitation in and about the State may require an expert opinion and de- cision in regard to construction of sewer, drainage of a sanitary character, the disposal of sewage and domestic waste, or the institution of potable water supply for any of the cities or towns of the State of Florida. That the sanitary engineer, as provided for by this section, shall only be employed at such times and such periods as, in the judgment of the State Health Officer, his expert services may be required. 2006. Compensation of sanitary engineer. — That the compensation for services of the sanitary engineer pro- vided for in Section 2CX)5 shall be fixed by the State Health Officer, with the approval of the president of the State Board of Health. 2007. (1121.) Visits by health officer and condemna- tion of certain property. — It shall be the duty of the State Health Officer, between the first of November and the first of May of each and every year, and oftener, if deemed necessary by the board, to visit all the cities and towns, or other points where two or more railroads meet, in the State of Florida, which, in the judgment of the board, it may be necessary for him to inspect, and to thoroughly investigate the sanitary conditions of said cities or towns ; and he shall have the power, and it shall be his duty, to condemn in any of said cities or towns any sidewalks, pavements, buildings, wharves or other things that in his judgment shall be likely to pro- duce or cause the spread of epidemic diseases ; and he shall give notice to the mayor and council of such city or town, or other authority, to repair, remove, cleanse or remedy the same within thirty-six hours, and if the same shall not be done, as so required, it shall be his duty to have the same done himself, and the expense thereof shall be paid out of the health fund hereinafter provided, and be afterward assessed as a tax upon the assessable property of said city or town, to be assessed by the 33 county assessor upon the notification by the health officers of the amount, and collected by the county col- lector at the next annual a!ssessment and collection there- after, said amount so realized to be replaced in the health fund of the State by the proper authorities: Provided, . A list and memorandum of property to be condemned shall be made and valuation placed upon the same by three disinterested freeholders, one to be selected by said health officer, one to be selected by the owner of the property or his agent, and the third to be selected by the two freeholders already selected, before being- con- demned or destroyed ; and the value of any private prop- erty that may be condemned and ordered to be destroyed by the health officer shall be paid to the owner thereof out of any funds provided and appropriated for the ex- penses of the State Board of Health, upon the certificate of said health officer that said property was destroyed, approved by the board of health and endorsed by the president of the board. 2009. (1123.) Health officer to act as secretary. — It ch. 3839, shall be the duty of the State Health Officer to attend sea u.^^ all meetings of said board of health, and act as secretary of the same. 2010. (1124.) President may call meetings.— The j^j^ president of said board of health shall have power to call meetings of said board at any time and at such place as he may designate, to take measures for the public safety. 2011. (1125.) Board may abrogate quarantine. — The j^j^ State Board of Health shall have the power, after close See. i4. personal inspection, to modify or abrogate any and all quarantine regulations after they may be established by said State Health Officer. 2012. (1126.) With consent of Governor, may call upon general government. — The State Board of Health shall have the power, by and with the consent of the Governor, when the occasion demands it, to call upon the general government for such aid as the necessities aris- ing out of any epidemic may require. Ibid. 34 |bid.^^ 2013. (1127.) Compensation of members of board and health officer. — The State Health Officer shall receive a salary of three thousand dollars a year, to be paid quarterly, upon his requisition, approved by the president of the board of health, out of the fund hereinafter pro- vided, together A^ith his actual traveling expenses while engaged in the discharge of his duties as State Health Officer. The members of the State Board of Health shall receive a per diem of six dollars for each day of actual session, with a mileage to and from their homes to the place of meeting, by the nearest and most practicable route, at the rate of ten cents per mile. Ibid. 2014.(1129). Oath and bond of State Health Officer. Sec 18. The State Health Officer, before entering upon his duties, shall take before some person competent to ad- minister oaths, an oath to faithfully perform the duties of his office, and enter into a bond, with good and sufficient sureties, in the sum of ten thousand dollars, payable to the president of the board of health, said bond to be approved by said president, conditioned for the faithful discharge of his duties. Said bond to be prosecuted by the Attorney-General for any neglect of duty or abuse of power herein conferred, and if said bond should be forfeited, all amounts collected from such prosecution shall be placed to the credit of the before- named health fund, by said president of the board. lb., 2015. (1130). President to certify expenses and re- port to Governor. — All expenditures of the board of health shall be certified by the president of the board, and he shall make an annual report to the Governor of all such expenditures, in a clear and concise statement, to- gether with any special observations, and recommenda- tions of fact that he may present that would be conducive to the health and sanitary condition of the State ; and such annual statements shall finally be submitted by the Governor to the State Legislature, when in regular ses- sion convened, and shall be published like other reports of State officers, and the president of said board shall; Ch. 4693, 35 hold for inspection properly certified vouchers for such expenditures, a copy of which shall be furnished the Comptroller, who shall not draw his warrant on the Treasurer without the proper certificates and vouchers. 2016. (1131.) One-half mill tax for State Board of ^^ ^^^^ Health.— There shall be levied and collected annually t|%^^^^- upon the assessable property of the State a tax of one- half of one mill to create a special fund for the mainte- nance and support of the State Board of Health other than for maintenance, quarantine or maritime sanitation. .,n„^^f^*'°'' 1^ of Chapter 4516 of the laws of 1897, providing for the levy upon the real and personal property of three and one-half mills upon the dol- lar tor the current expenses of the State for each of the years 1897 and 1898, Demg a part of a general law providing for levyin'g taxes in those years, does not take away the power conferred by section 784 of the revised statutes of levying a special tax of not more than one-half miU for public health purposes in addition to the three and one-half mills provided for in section 1 of chapter 4516, section 784 being a special law. Nor is it necessary to make a levy legal under the latter section that there should be a further act of appropriation of the money raised thereunder. State v Southern L. & T. Co., 45 Fla. 374, 33 oo. yyy. ' 2017. (1132.) Comptroller to audit account and draw ibid. warrant.— Upon the presentation to the Comptroller of ^^''■^■ any accounts duly approved by the State Board of Health, accompanied by such itemized vouchers as shall be required by him, the Comptroller is hereby authorized to audit the same and draw a warrant on the State Treasurer for the amount for which the account is audited, np-upKIp a^^^■ of +>>^ t^^„o-c. ^^^^,-,,„^ 4^^^^ ^-1,^ port to the State Board of Health. ^ M^^^ioi.id.1 , ana to all ot trie provrsiuns T:m.mo -^-^^^j- ter. Any vacancy occurring- in the office of local registrar of vital statistics shall be filled for the unexpired term by the State Registrar. At least ten days before the expiration of the term of office of any such local registrar, his successor shall be appointed by the State Registrar. Any local registrar who, in the judgment of the State Registrar, fails or neglects to discharge efficiently the duties of his office as set forth in this Chapter, or to make prompt and complete returns of births and deaths as re- quired thereby, shall be forthwith removed by the State Registrar, and such other penalties may be imposed as are provided under Section 5550. 36 and the Comptroller shall audit the accounts and vouch- ers, and draw his warrants upon the treasury for the amount due, and shall pay over to the Treasurer such warrant and any amount returned by the State Board of Health, as provided for in this section, taken up by the requisition of the State Board of Health given to the Treasurer. Ch. 6167, 2019. Authorized to establish plant for distribution Sec. 1. ' of hog cholera serum. — The State Board of Health is hereby authorized and empowered to establish, maintain and operate a plant for the protection and distribution of hog cholera serum for the purpose of distribution to the farmers of this State upon application therefor. No cost shall be charged by the State Board of Health for the hog cholera serum so distributed. (Act designating headquarters of state board of health, see Ch. 7826, Acts 1919.) (Act authorizing state board of health to sell certain property, see Ch. 7827, Acts of 1919.) (Act making it the duty of state board of health to make certain analyses, see Ch. 7830, Acts of 1919.) CHAPTER II MEDICAL INSPECTION OF SCHOOL CHILDREN named health fund, by said president of the board. lb., 2015. (1130). President to certify expenses and re- port to Governor. — All expenditures of the board of health shall be certified by the president of the board, and he shall make an annual report to the Governor of all such expenditures, in a clear and concise statement, to- gether with any special observations, and recommenda- tions of fact that he may present that would be conducive to the health and sanitary condition of the State; and such annual statements shall finally be submitted by the Governor to the State Legislature, when in regular ses- sion convened, and shall be published like other reports of State officers, and the president of said board shall 39 2070. Registration districts established. — That for ibid., the purposes of this Chapter the State shall be aividea into registration districts as follows : Each city and each incorporated town shall constitute a primary registra- tion district ; and for that portion of each county outside of the cities and incorporated towns therein the State Registrar shall define and designate the boundaries of a sufficient number of rural registration districts, which districts he may change, divide or combine from time to time as may be necessary to insure the convenience and completeness of registration. Ibid., Sec. 4. 2071. Appointment of local registrars; term of office; vacancies; penalty. — That the State Registrar shall ap- point a local registrar of vital statistics for each registra- tion district in the State. The term of office of each local registrar so appointed shall be four years, and until his successor has be en a ppointed and has qualified, unless 2023. Cities already having medical inspection not ibid., affected. — The provisions of this chapter shall not affect cities of over five thousand inhabitants, where medical inspection of school children has already been established under the jurisdiction of the city board of health, pro- vided that the city board of health adopt the forms pre- scribed by the State Board of Health, and make full re- port to the State Board of Health. ^ ^vv^gisLid,!, ana to all ot tne provisiuns \ji un. ter. Any vacancy occurring in the office of local registrar of vital statistics shall be filled for the unexpired term by the State Registrar. At least ten days before the expiration of the term of office of any such local registrar, his successor shall be appointed by the State Registrar. Any local registrar who, in the judgment of the State Registrar, fails or neglects to discharge efficiently the duties of his office as set forth in this Chapter, or to make prompt and complete returns of births and deaths as re- ■ quired thereby, shall be forthwith removed by the State Registrar, and such other penalties may be imposed as are provided under Section 5550. 36 and the Comptroller shall audit the accounts and vouch- ers, and draw his warrants upon the treasury for the amount due, and shall pay over to the Treasurer such warrant and any amount returned by the State Board of Health, as provided for in this section, taken up by the requisition of the State Board of Health given to the Treasurer. Ch. 6167, 2019. Authorized to establish plant for distribution Acts 1911 Sec. 1. ' of hog cholera serum. — The State Board of Health is hereby authorized and empowered to establish, maintain and operate a plant for the protection and distribution of hog cholera serum for the purpose of distribution to the farmers of this State upon application therefor. No cost shall be charged by the State Board of Health for the hog cholera serum so distributed. (Act designating headquarters of jtate board of health, see Ch. 7826, registration district as constituted in Section 2070, and in the central bureau of vital statistics at the office of the State Board of Health. The said board shall be charged with the uniform and thorough enforcement of the law throughout the State, and shall from time to time recom- mend any additional legislation that may be necessary for this purpose. Ibid.. 206_Q._--Cont»n?.\ 'Qy-sarci- pfes'iacnT'ohtPM'^etxxamoensa.- ib., 2015. (1130). President to certify expenses and re- Sec. 19. _ J i. port to Governor. — All expenditures of the board of health shall be certified by the president of the board, and he shall make an annual report to the Governor of all such expenditures, in a clear and concise statement, to- gether with any special observations, and recommenda- tions of fact that he may present that would be conducive to the health and sanitary condition of the State; and such annual statements shall finally be submitted by the Governor to the State Legislature, when in regular ses- sion convened, and shall be published like other reports of State officers, and the president of said board shall' 39 2070. Registration districts established. — That for ibid., the purposes of this Chapter the State shall be divided into registration districts as follows : Each city and each incorporated town shall constitute a primary registra- tion district; and for that portion of each county outside of the cities and incorporated towns therein the State Registrar shall define and designate the boundaries of a sufficient number of rural registration districts, which districts he may change, divide or combine from time to time as may be necessary to insure the convenience and completeness of registration. 2071. Appointment of local registrars; term of office; vacancies; penalty. — That the State Registrar shall ap- point a local registrar of vital statistics for each registra- tion district in the State. The term of office of each local registrar so appointed shall be four years, and until his successor has been appointed and has qualified, unless such office shall sooner become vacant by death, dis- qualification, operation of law, or other causes : Provided, That in incorporated towns or cities where health officers or other officials are, in the judgment of the State Regis- trar, conducting effective registration of births and deaths under local ordinances, such officials may be appointed as registrars in and for such incorporated towns or cities, and shall be subject to the instructions of the State Registrar, and to all of the provisions of this Chap- ter. Any vacancy occurring in the office of local registrar of vital statistics shall be filled for the unexpired term by the State Registrar. At least ten days before the expiration of the term of office of any such local registrar, his successor shall be appointed by the State Registrar. Any local registrar who, in the judgment of the State Registrar, fails or neglects to discharge efficiently the duties of his office as set forth in this Chapter, or to make prompt and complete returns of births and deaths as re- quired thereby, shall be forthwith removed by the State Registrar, and such other penalties may be imposed as are provided under Section 5550. Ibid., Sec. 4. 40 II'- 2072. Deputy registrars; sub-registrars. — Each local registrar shall, immediately upon his acceptance of ap- pointment as such, appoint a deputy, whose duty it shall be to act in his stead in case of his absence or disability; and such deputy shall in writing accept such appointment, and be subject to all instructions governing local regis- trars. And when it appears necessary for the con- venience of the people, in any district, the State Registrar is hereby authorized, to appoint one or more suitable per- sons to act as sub-registrars, who shall be authorized to receive certificates, to issue burial, removal, or other per- mits in and for such portions of the district as may be designated ; and each sub-registrar shall note, on each certificate, over his signature, the date of filing, and shall forward all certificates to the local registrar of the dis- trict within ten days, and in all cases before the third day of the following month : Provided, That such sub- registrar shall be subject to the supervision and control of the State Registrar, and may be by him removed for neglect or failure to perform his duty in accordance with the provisions of this Chapter or the instructions of the State Registrar, and shall be subject to the same penal- ties for neglect of duty as the local registrar. ibid.,^ 2073. Burial permit; removal permit. — That the body of any person whose death occurs in this State, or which shall be found dead therein, shall not be interred, deposited in a vault or tomb, cremated or otherwise dis- posed of, or removed from or into any registration dis- trict, or be temporarily held pending further disposition more than seventy-two hours after death, unless a per- mit for burial, removal, or other disposition thereof shall have been properly issued by the local registrar of the registration district in which the death occurred or the body was found. And no such burial or removal permit shall be issued by any registrar until, wherever practi- cable, a complete and satisfactory certificate of death has been filed with him as hereinafter provided : Pro- vided, That when a dead body is transported from out- side the State into a registration district in Florida for Sec. 5. 41 burial, the transit or removal permit, issued in accord- ance with the law and health regulations of the place where the death occurred, shall be accepted by the local registrar of the district into which the body has been transported for burial or other disposition, as a basis upon which he may issue a local burial permit; he shall note upon the face of the burial permit the fact that it was a body shipped in for interment, and give the actual place of death ; and no local registrar shall receive any fee for the issuance of burial or removal permits under this Chapter other than the compensation provided in Section 2090. 2074. "Stillborn" child to be registered.— That a j^ stillborn child shall be registered as a birth and also as a s^<=- ^■ death, and separate certificates of both the birth and death shall be filed with the local registrar, in the usual form and manner, the certificate of birth to contain in place of the- name of the child, the word "stillbirth;" Provided, That a certificate of birth and a certificate of death shall not be required for a child that has not ad- vanced to the fifth month of uterogestation. The medi- cal certificate of the cause of death be signed by the at- tending physician, if any, and shall state the cause of death as "stillborn," with the cause of the stillbirth, if known, whether a premature birth, and, if born prema- turely, the period of uterogestation, in months, if known ; and a burial or removal permit of the prescribed form shall be required. Midwives shall not sign certificates of death for stillborn children ; but such cases, and still- births occurring without attendance of a physician, shall be treated as deaths without medical attendance, as pro- vided for in Section 2077. 2075. Death certificate. — That the certificate of death shall be on the standard form approved by the United States Bureau of the Census, all of the items of which are hereby declared necessary for the legal, social, and sanitary purposes subserved by registration records. The personal and statistical particulars shall be authenti- Ib.. Sec. 7. 42 cated by the signature of the informant, who may be any competent person acquainted with the facts. The statement of facts relating to the disposition of the body shall be signed by the undertaker or person acting as such. ^^- 2076. Medical certificate. — The medical certificate shall be made and signed by the physician, if any, last in attendance on the deceased, who shall specify the time in attendance, the time he last saw the deceased alive and the hour of the day at which death occurred. And he shall further state the cause of death, so as to show the course of disease or sequence of causes result- ing in the death, giving first the name of the disease causing death (primary cause), and the contributory (secondary) cause, if any, and the duration of each. Indefinite and unsatisfactory terms, denoting only symp- toms of disease or conditions resulting from disease, will not be held sufficient for the issuance of a burial or re- moval permit ; and any certificate containing only such terms, as defined by the State Registrar, shall be returned to the physician or person making the medical certificate for correction and more definite statement. Causes of death which may be the result of either disease or violence shall be carefully defined; and if from violence, the means of injury shall be stated, and whether (probably) accidental, suicidal, or homicidal. And for deaths in hospitals, institutions, or of non-residents, transients, or recent residents, the physician shall supply the informa- tion required under this head, if he is able to do so, and may state where, in his opinion, the disease was con- tracted. p- „ 2077. Where death occurs without medical at- Sec. 8. tendance. — That in case of any death occurring without medical attendance, it shall be the duty of the under- taker, or other person to whose knowledge the death may come, to notify the local registrar of such death, and when so notified the registrar shall, prior to the issuance of the permit, inform the local health officer and refer the 43 case to him for immediate investigation and certification ; Provided, That when the local health officer is not a phy- sician, or when there is no such official, and in such cases only, the registrar is authorized to make the certificate and return from the statement of relatives or other per- sons having adequate knowledge of the facts ; Provided, further, That if the undertaker, or person acting as such, or the registrar, has reason to believe that the death may have been due to unlawful act or neglect, the registrar shall then refer the case to the coroner or other proper officer for his investigation and certification. And the coroner or other proper officer whose duty it is to hold an inquest on the body of any deceased person, and to make the certificate of death required for a burial per- mit, shall state in his certificate the name of the disease causing death, or if from external causes, (1) the means of death ; and (2) whether (probably) accidental, suicidal, or homicidal; and shall, in any case, furnish such infor- mation as may be required by the State Registrar in order properly to classify the death. 2078. Duty of undertaker. — That the undertaker or ib., person acting as undertaker, shall file the certificate of death with the local registrar of the district in which the death occurred and obtain a burial, removal, or other permit prior to any disposition of the body. He shall obtain the required personal and statistical particulars- from the person best qualified to supply them, over the signature and address of his informant. He shall then present the certificate of the attending physician, if any, or to the health officer or coroner, as directed by the local registrar, for the medical certificate of the cause of death and other particulars necessary to complete the record, as specified in Sections 2075, 2076 and 2077. And he shall then state the facts required relative to the date and place of burial, other disposition, or removal, over his signature and with his address, and present the complete certificate to the local registrar in order to ob- tain a permit for burial, removal or other disposition of the body. The undertaker shall deliver the burial per- Sec. 9. 44 mit to the person in charge of the place of burial, before interring or otherwise disposing of the body ; or shall attach the removal and transit permit to the box contain- ing the corpse, when shipped by any transportation com- pany ; said permit to accompany the corpse to its destina- tion, where, if within the State of Florida, the removal permit shall be delivered to the person in charge of the place of burial. lb. 2079. Casket dealers to make monthly reports. — Every person, firm or corporation selling a casket shall keep a record showing the name of the purchaser, pur- chaser's post office address, name of deceased, date of death, place of death, and color or race of deceased, which record shall be open to inspection of the State Registrar at all times. On the first day of each month the person, firm or corporation selling caskets shall re- port to the State Registrar each sale for the preceding month, on a blank provided for that purpose : Provided, however. That no person, firm or corporation selling caskets to dealers or undertakers only shall be required to keep such record, nor shall such report be required from undertakers when they have direct charge of the disposition of a dead body. Every person, firm, or corporation selling a casket at retail, and not having charge of the disposition of the body, shall inclose within the casket a notice furnished by the State Registrar calling attention to the require- ments of the law, and a blank certificate of death. lb., 2080. Burial or removal permit; certificate of death. That if the interment, or other disposition of the body is to be made within the State, the wording of the burial or removal permit may be limited to a statement by the registrar, and over his signature, that a satisfactory cer- tificate of death having been filed with him, as required by law, permission is granted to inter, remove, or dispose otherwise of the body, upon the form prescribed by the State Registrar. Sec. 10. 45 2081. Interment prohibited unless body accompanied ^^^' ^^ by burial permit; keepers of burial places to keep rec- ords; form. — That no person in charge of any premises on which interments, or other dispositions are made shall inter or permit the interment or other disposition of any body unless it is accompanied by a burial, other dispo- sition, or removal permit as herein provided. Any such person shall endorse upon the permit the date of inter- ment, or other disposition, over his signature, and shall return all permits so endorsed to the local registrar of his district within ten days from the date of interment or other disposition. He shall keep a record of all bodies interred or otherwise disposed of on the premises under his charge in each case stating the name and color or race of each deceased person, place of death, date of burial or disposal, and name and address of the undertaker; which record shall at all times be open to official inspec- tion : Provided : That the undertaker or person acting as such, when burying a body in a cemetery or burial grounds having no person in charge, shall sign the burial or removal permit, giving the date of burial, and shall write across the face of the permit the words "No person in charge," and file the burial or removal permit within ten days with the registrar of the district in which the cemetery is located. 2082. All births to be registered. — That the birth of u,., each and every child born in this State shall be regis- ^^''- ^^• tered as hereinafter provided. 2083. Certificate of birth. — That within ten days after ib., the date of each birth there shall be filed with the local registrar of the district in which the birth occurred a cer- tificate of such birth, as provided in Section 2084. In each case where a physician, midwife or person acting as midwife, was in attendance upon the birth, it shall be the duty of such physician, midwife or person acting as midwife, to file in accordance herewith the certificate herein contemplated. In each case where there was no physician, midwife 46 or person acting as midwife, in attendance upon the birth, it shall be the duty of the father or mother of the child, the householder or owner of the premises where the birth occurred, or the manager or superintendent of the public or private institution where the birth occurred, each in the order named, within ten days after the date of such birth, to report to the local registrar the fact of such birth. In such case and in case the physician, mid- wife, or person acting as midwife, in attendance upon the birth is unable, by diligent inquiry, to obtain any item or items of information on the certificate of birth, it shall then be the duty of the local registrar to secure from the person so reporting, or from any other person having acquired knowledge, such information as will enable him to prepare the certificate of birth herein contem- plated, and it shall be the duty of the person reporting the birth or who may be interrogated in relation thereto to answer correctly and to the best of his knowledge all questions put to him by the local registrar which may be calculated to elicit any information needed to make the complete record of the birth as contemplated, and it shall be the duty of the informant as to any statement made in accordance herewith to verify such statement by his signature. 2084. Certificate of birth to be of standard form. — Sec. 14. That the certificate of birth shall be on the standard form approved by the United States Bureau of the Census, all of the items of which are hereby declared necessary for the legal, social, and sanitary purposes subserved by registration records. lb., 2085. Certificate of birth to show given name of Sec. 15. child. — That when any certificate of birth of a living child is presented without the statement of the given name, then the local registrar shall make out and deliver to the parents of the child a special blank for supplemental re- port of the given name of the child, which shall be filled out as directed, and returned to the local registrar as soon as the child shall have been named. lb., 47 2086. Physicians, midwives, sextons, retail casket |^-^ ^g dealers, and undertakers must register ; local registrars to make annual reports. — That every physician, midwife, sexton, retail casket dealer, and undertaker shall, with- out delay, register his or her name, address and occupa- tion and color or race, with the local registrar of the dis- trict in which he or she resides or may hereafter estab- lish a residence, and shall thereupon be supplied by the local registrar with a copy of this chapter, together with such instructions as may be prepared by the State Regis- trar relative to its enforcement. Within thirty days after the close of each calendar year each local registrar shall make a return to the State Registrar of all physicians, midwives, sextons retail casket dealers, or undertakers who have registered in his district during the whole or any part of the preceding calendar year : Provided, That no fee or other compensation shall be charged by local registrars to physicians, midwives, sextons, retail casket dealers, or undertakers for registering their names under this Section or making returns thereof to the State Registrar. 2087. Hospitals and almshouses required to keep u,., certain records. — That all superintendents or managers, ^^'^' ^'^' or other persons in charge of hospitals, almshouses, lying in or other institutions, public or private, to which per- sons resort for treatment of diseases, confinement, or are committed by process of law, shall make a record of all the personal and statistical particulars relative to the inmates in their institutions at the date of the ap- proval of this Act, which are required in the forms of the certificates provided for by this chapter, as directed by the State Registrar; and thereafter such record shall be, by them made for all future inmates at the time of their admittance. And in case of persons admitted or com- mitted for treatment of disease, the physician in charge shall specify for entry in the record, the nature of the disease, and where, in his opinion, it was contracted, or if injured the nature and cause thereof. The personal 48 particulars and information required by this Section shall be obtained from the individual himself if it is practicable to do so ; and when they can not be so obtained, they shall be obtained in as complete a manner as possible from relatives, friends, or other persons acquainted with the facts. lb., 2088. State Registrar to supply all blanks and forms; duties. — That the State Registrar shall prepare, print and supply to all registrars all blanks and forms used in registering, recording and preserving the returns, or in otherwise carrying out the purposes of this chapter; and shall prepare and issue such detailed instructions as may be required to procure the uniform observance of its pro- visions and the maintenance of a perfect system of regis- tration ; and no other blanks shall be used than those sup- plied by the State Registrar. He shall carefully examine the certificates received monthly from the local registrars, and if any such are incomplete or unsatisfactory he shall require such further information to be supplied as may be necessary to make the record complete and satisfac- tory. And all physicians, midwives, informants, or undertakers, and all other persons having knowledge of the facts, are hereby required to supply, upon a form provided by the State Registrar or upon the original cer- tificate, such information as they may possess regarding any birth or death, upon demand of the State Registrar, in person, by mail or through the local registrar. The State Registrar shall further arrange, bind and perma- nently preserve the certificates in a systematic manner, and shall prepare and maintain a comprehensive and continuous card index of all births and deaths registered;, said index to be arranged alphabetically, in the case of deaths, by the names of the decedents, and in the case of births, by the names of fathers and mothers. He shall inform all registrars what diseases are to be considered infectious, contagious or communicable and dangerous to the public health, as decided by the State board of health, in order that when deaths occur from such dis- 49 eases proper precautions may be taken to prevent their spread. 2089. Duties of local registrar. — That each local ib.. Sec. 19. registrar shall supply blank forms to such persons as re- quire them. Each local registrar shall carefully examine each certificate of birth or death when presented for record, in order to ascertain whether or not it has been made out in accordance with the provisions of this chap- ter and the instructions of the State Registrar; and if any certificate of death is incomplete or unsatisfactory it shall be his duty to call attention to the defect in the re- turn, and to withhold the burial, removal or other permit until such defects are corrected. All certificates, either of birth or death, shall be written legibly in durable black ink, and no certificate shall be held to be complete and correct that does not supply all of the items of informa- tion called for therein, or satisfactorily account for their omission. If the certificate of death is properly executed and complete he shall then issue a burial, removal or other permit to the undertaker or the person acting as such : Provided, That in case the death occurred from some disease which is held by the State board of health to be infectious, contagious or communicable and danger- ous to the public health, no permit for the removal or other disposition of the body shall be issued by the regis- trar, except under such conditions as may be prescribed by the State board of health. If a certificate of birth is incomplete the local registrar shall immediately notify the informant, and require him or her to supply the miss- ing items of information if they can be obtained. ~ He shall number consecutively the certificates of birth and death, in two separate series, beginning with number one for the first birth and the first death in each calendar year, and sign his name as registrar in attest of the date of filing in his office. He shall also make a complete and accurate copy of each birth and each death certificate registered by him in a record book supplied by the State Registrar, to be preserved as the local record, in such manner as directed by the State Registrar. And he shall, 50 on the tenth day of each month, transmit to the State Registrar all original certificates registered by him for the preceding month. And if no births or no deaths oc- curred in any month he shall, on the tenth day of the following month, report that fact to the State Registrar, on a card provided for such purpose. lb., 2090. Fees of local registrar. — That each local regis- trar shall be paid the sum of twenty-five cents for each birth certificate and each death certificate properly and completely made out and registered with him, and cor- rectly recorded and promptly returned by him to the State Registrar as required by this chapter. And in case no births or no deaths were registered during any month, the local registrar shall be entitled to be paid the sum of twenty-five cents for each report to that effect, but only if such report be made promptly as required by this chapter. All amounts payable to a local registrar under the provisions of this Section shall be from the funds of the State board of health upon certification by the State Registrar. And the State Registrar shall annually cer- tify to the treasurers of the several counties the number of births and deaths properly registered, with the names of the local registrars and the amounts due each at the rates fixed herein. lb., 2091. State Registrar, on request, to furnish certified copy of record; fee; certified records prima facie evi- dence. — That the State Registrar shall, upon request, supply to any applicant a certified copy of the record of any birth or death registered under provisions of this chapter, for the making and certification of which he shall be entitled to a fee of fifty cents, to be paid by the applicant. And any copy of the record of a birth or death, when properly certified by the State Registrar, shall be prima facie evidence in all courts and cases of the facts therein stated. For any search of the files and records when no certified copy is made, the State Registrar shall be entitled to a fee of fifty cents for each hour or frac- tional part of an hour of time of search, said fee to be lb., Sec. 23. 51 paid by the applicant: Provided, That the State board of Health may waive any or all of the fees required under this Section. And the State Registrar shall keep a true and correct account of all fees by him received under these provisions, and turn the same over to the State Treasurer. 2092. Local registrar charged with enforcement of law; must report all violations. — That each local regis- trar is hereby charged with the strict and thorough en- forcement of the provisions of this chapter in his regis- tration district, under the supervision and direction of the State Registrar. And he shall make an immediate report to the State Registrar of any violation of this law coming to his knowledge, by observation or upon complaint of any person, or otherwise. 2093. State Registrar charged with execution of law; ib., duty of attorneys for the State— The State Registrar is hereby charged with the thorough and efficient execution of the provisions of this Chapter in every part of the State, and is hereby granted supervisory power over local registrars, deputy registrars, and sub-registrars, to the end that all of its requirements shall be uniformly complied with. The State Registrar, either personally or by an accredited representative, shall have authority to investigate cases of irregularity or violation of law, and all registrars shall aid him, upon request, in such investigations. When he shall deem it necessary, he shall report cases of violations of any of the provisions of this Chapter to the State's Attorney, county solicitor or county attorney or other prosecuting officer having charge of the prosecution of misdemeanors in the regis- tration district in which such violation shall occur, with a statement of the facts and circumstances; and when any such case is reported to him by the State Registrar, the said prosecuting officer shall forthwith initiate and promptly follow up the necessary court proceedings against the person or corporation responsible for the alleged violation of law. And upon request of the State 52 Registrar, the Attorney-General shall assist in the en- forcement of the provisions of this Chapter, j,3 2094. State Board of Health given power to adopt Sec. 24. gjjjjj enforce rules. — That the State Board of Health shall have the power to adopt, promulgate and enforce rules and regulations requiring the notification of all cases of sickness necessary for the preservation and protection of the public health, and for the collection of statistics of marriages and divorces. (Penalty for violations as to vital statistics, see Sec. 5550.) CHAPTER IX CASES OF CONTAGIOUS OR INFECTIOUS DISEASES Ch. 4695, 2095. (1146.) Physicians to report suspicious cases Acts 1899 . Sec. 1. ' of diseases. — Whenever a physician or other person shall report a suspicious case of disease to the State Board of Health as required by the provisions of Section 5544 of the Revised General Statutes of Florida, he shall also im- mediately give notice thereof to the city health officer, if there be any health officer, and if not to the mayor of the incorporated city or town in which the sick person may be, or if the sick person resides or be found outside the limits of a city or town, to the county health phy- sician or his representative if there be any, and if not to the chairman of the county commissioners of the county within which the sick person may be. jb^ 2096. (1147.) Duty of health officer.— It shall be the Sec. 2. duty of the city or county health officer, or the mayor, or the chairman of the board of county commissioners, to whom a suspicious case of disease is reported in ac- cordance with the provisions of the preceding section, to take immediate measures to examine the case reported, to furnish medical attention, food, clothing, and what- 53 ever may be necessary to care for, segregate and guard such suspicious reported case, in accordance with the rules and regulations of the State Board of Health for the protection of the public health, now in force, or hereafter adopted, and shall manage and control such case or cases until the arrival of the State health officer or his agent. 2097. (1148.) Physician to assume control in certain ib., cases. — Whenever the State health officer shall investi- gate any suspicious case or cases of diseases, in accord- ance with the provisions of Section 2096 of these Revised General Statutes, and shall determine that such disease is contagious or infectious and a menace to the public health of the citizens of the State, then he or his agent shall assume charge and management of all and every such case of contagious land infectious disease. All necessary and legitimate expenses attendant upon such case or cases of diseases, after the State health officer or his agent shall have investigated and determined the same and assumed management and control, shall be paid out of the public health fund of the State on vouch- ers approved by the president of the State Board of Health as now provided by law. (For ofTenses against health and quarantine laws, see Sees. 5544-5548.) CHAPTER X TUBERCULOSIS SANATORIUM. 2098. State Board of Health authorized to create; Ch. 5932, certain patients required to pay charges fixed by board. Acts n That the State Board of Health is hereby authorized to establish, conduct and maintain a sanatorium for the treatment of persons suffering from tuberculosis, and for that purpose to receive, hold and use gifts of land, money and other kinds of property. That the said State Sec. 1. 54 Board of Health is hereby authorized to care for and treat without charge indigent persons suffering from tuberculosis. That patients financially able shall be re- quired to pay such charges as said board may from time to time establish for treatment in such sanatorium. ji,.^ 2099. Board of Health to make rules for manage- ^^'^•^' ment; appointment of employees. — That said State Board of Health shall make, promulgate and enforce rules governing the management and conduct of such sana- torium, and the care and control of inmates thereof, violations of which rules shall be punishable in like man- ner as violations of other rules of said board are now punishable by law. That said board may appoint phy- sicians, nurses and other employees necessary for the maintenance, control and proper administration of said sanatorium. lb., 2100. Cost paid from funds of State Board of Health. Sec. 3. That the cost and expenses of establishing and maintain- ing said sanatorium shall be paid out of the funds of the said State Board of Health, now provided for by law, and from such funds as may accrue from patients finan- cially able to pay, as provided for in this Chapter. CHAPTER Xn HOTELS, RESTAURANTS, AND BOARDING HOUSES. Article I Sanitary Inspection of Hotels and Boarding Houses. ^^■^^tL 2120. (1149.) Examination of buildings, etc.— Tne Acts 1899, Sec. 1. State Board of Health shall cause, as often as may be necessary, upon information or complaint of any person, or at the request of any town or city council, or health officer, an examination to be made of any building or 55 buildings, and the premises connected therewith, used for board and lodging of visitors or other persons, con- taining ten or more rooms, such examination to be made by or under the supervision of the State Board of Health, or by persons under its appointment, as soon as possible after such application or complaint shall have been made. 2121. (1150.) Purpose of examination. — It shall be ib., See. 2. the purpose in making such examination, to ascertain the source and sufficiency of the water supply, the quality of the water, the methods of removal of waste water, slops, excreta, house refuse, garbage, and all other putrescible matter of any kind, the ventilation available, and all other conditions relating to the health, sanitary conditions and safety of said buildings and premises. That for each inspection so made the owner or managing occupant of the premises so inspected shall pay to the State Board of Health the sum of two dollars, if premises are found to be in unsanitary condition, which amount shall be used by said board in defraying the expense of such inspection, and issuing the certificates hereinafter provided for. 2122. (1151.) State health officer to issue certificate, ib., Sec. 3. Upon the completion of such inspection, the said State Board of Health shall authorize the State health officer to issue a certificate, reciting the details of the sanitary and other conditions of the examined premises, in accord- ance with the facts ascertained by such examination, and said certificate shall forthwith be posted by the owner or managing occupant of such premises in a safe and con- spicuous place, where it may be easily seen and read by all persons, guests or other occupants of said premises ; and if the said certificate shall become defaced or de- stroyed, said managing occupant shall immediately pro- cure a copy of the same, which shall be placed in a like conspicuous position, for which copy the State Board of Health shall not be entitled to receive any fee. 2123. (1152.) Duty of State Board of Health as to ib., sec s. certain buildings. — Whenever, upon an examination of 56 any premises, the inspection of which is required by this Article, it shall be found by said State Board of Health that the premises and building so inspected are in an un- sanitary condition, such as to constitute a menace to the health and safety of the occupants thereof, it shall then be the duty of the said State Board of Health to cause to be posted upon some conspicuous place on said premi- ses, a written or printed notice, requiring the owner or managing occupant of said premises, or both, to make such changes or to perform or refrain from the perform- ance of such acts as may be necessary to place said premises in a sanitary and safe condition for the occu- pants thereof, within a reasonable time to be fixed by said notice. (Penalty for failure to place premises in sanitary condition after notice, see Sec. 5638.) Ch. 6953, 2153. Kitchens of hotels and restaurants to be Acts 1915 Sec. 1. ' screened. — It shall be unlawful for any person, firm or corporation to operate any hotel, boarding house, restau- rant or lunch counter within this State without keeping all doors, windows and other similar openings in or to dining rooms, kitchens, or any other place where food is prepared or stored, and passage ways between the same, and hallways leading thereto, screened with wire netting, with mesh sufficiently close to prevent the admission of flies. lb.. Sec. 2. 2154. Food exposed for sale to be screened. — It shall be unlawful for any person, firm or corporation to sell or offer for sale food for consumption in the raw state, or which may be consumed without further cooking, at any meat shop, butcher shop, market, grocery store, fruit stand, or any other places where food is exposed for sale, without having such food securely screened by wire net- ting with mesh sufficiently close to prevent the admis- sion of flies. lb.. Sec. 3. 2155. Dining and buffet cars to be screened. — It shall likewise be unlawful for any person, firm or corporation to operate any dining or buffet car within this State, lb., Sec. 4. 57 without having all doors, windows and other similar openings to the same securely screened with wire netting with mesh sufficiently close to prevent the admission of flies. 2156. Duty of owners, tenants and operators to keep flies out. — It shall be the duty of the owner, tenant, opera- tor or person in charge of any of the foregoing described hotels, boarding houses, restaurants, lunch counters, meat shops, butcher shops, grocery stores, fruit stands, dining rooms, kitchens, dining or buffet cars, lunch counters and other places, to keep all flies out of the said places so far as may be possible. (Penalty for violation of regulations as to screening hotels, places where food is exposed, and dining cars, see Sec. 5642.) CHAPTER XIII NUISANCES INJURIOUS TO HEALTH. 2157. (1153.) What constitutes a sanitary nuisance. A sanitary nuisance is hereby declared to be the commis- sea i.^^^' sion of any act, by an individual, municipality, organiza- tion or corporation, or the keeping, maintaining, propaga- tion, existence or permission of anything, by an indivi- dual, municipality, organization or corporation, by which the health or life of an individual, or the health or lives of individuals, may be threatened or impaired, or by which or through which, directly or indirectly, disease may be caused. Inferential and consequential damage to private property arising out of health laws does not violate the Federal Constitution. Logan v. Childs, 51 Fla. 233, 41 So. 197. Ch. 4346, 2158. (1154.) Duty of State Health Officer.— It shall be the duty of the State Health Officer, upon request of the proper authorities, or of any three responsible resi- dent citizens, or whenever it may seem necessary to the president of the State Board of Health, or to the State Health Officer himself, to investigate the sanitary con- Ib., Sec. 11. Sec. 12. 58 dition of any city, town or place in the State of Florida ; and if, upon examination, the State Health Officer shall ascertain the existence of any sanitary nuisance as herein defined, it shall be his duty to serve notice upon the proper party or parties to remove or abate the said nuisance or if necessary to proceed to remove or abate the said nuisance in the manner provided in Section 5624. lb., 2159.(1155.) Ibid.— It shall be the duty of the State Health Officer, upon receiving information or obtaining knowledge of the existence of anything or things herein declared to be nuisances by law, to notify the person or persons committing, creating, keeping or maintaining the same, to remove or cause to be removed, the same, with- in twenty-four hours, or such other reasonable time as may be determined by the State Board of Health, after such notice be duly given ; and if the same is not removed by such person or persons within the time prescribed in said notice, it shall be the duty of the State Health Officer to remove, or cause to be removed, such nuisance or nuisances, and the cost or expenses of such removal shall be paid by the person or persons committing, creating, keeping or maintaining such nuisances ; and if the said costs and expenses thus accruing shall not be paid within ten days after such removal, the same shall be collected from the person or persons committing, creating, keep- ing or maintaining such nuisances, by suit at law. (Penalties concerning nuisances, see Sees. 5624-5639.) CHAPTER XIV UNDERGROUND WATERS OF THE STATE 2160. The term "underground waters o£ the State" Acts 1913, defined. — That the term "underground waters of the State," when used in this chapter, shall include all under- ground streams and springs and underground waters within the borders of the State of Florida, whether flow- Ch. 6443, 59 ing in underground channels or passing through the pores of the rocks. 2161. Draining surface water or sewerage, without ib., See. 2. permit, in underground waters of the State prohibited. — No municipal corporation, private corporation, person or persons within the State shall use any cavity, sink, driven or drilled well now in existence, or sink any new well within the corporate limits, or within five miles of the corporate limits, of any incorporated city or town, or within any unincorporated city, town or village, or with- in five miles thereof, for the purpose of draining any sur- face water or discharging any sewerage into the under- ground waters of the State, without first obtaining a written permit from the State Board of Health. 2162. Revocation of permits; permits to be filed with ib., See. 3. clerk. — Every such permit for the discharge of sewerage, or surface water, shall be revocable or subject to modification or change by the State Board of Health, on due notice, after an investigation and hearing, and an opportunity for all interests and persons interested there- in to be heard thereon ; said notice or notices being served on the person or persons owning, maintaining or using the well, cavity or sink, and by publication for two weeks in a newspaper published in the county in which said well, cavity or sink is located. The length of time after the receipt of the notice within which it shall be discontinued may be stated in the permit. All such per- mits, before becoming operative, shall be filed in the office of the clerk of the circuit court of the county in which such permit has been granted. 2163. The term "sewerage" defined. — For the pur- ib., Sec. 4. pose of this chapter, sewerage shall be defined as any substance that contains any of the waste products or excrementitious or other discharge from the bodies of human beings or animals. 2164. Sewerage or surface drainage in underground ib- Sec. s. waters to be discontinued. — Every individual, municipal Ch. 6891, Acts 1915, Sec. 1. 60 corporation, private corporation or company shall dis- continue the discharge within the corporate limits or within five miles of the corporate limits of any incorpo- rated city or town, or within any unincorporated city, town or village or within five miles thereof, of sewerage or surface drainage into any of the underground waters of the State within ten days after having been so ordered by the State Board of Health. (Penalty for discharging sewerage in underground waters see Sec. 5525.) CHAPTER XV DISPENSING AND SALE OF HABIT FORMING DRUGS. 2165. Unlawful to sell certain drugs except on authorized prescription; form of prescription. — It shall be unlawful for any pharmacist, druggist, apothecary or other person, firm or corporation doing business in which drugs, medicines or poisons are retailed or physicians' prescriptions are compounded or dispensed, to sell at re- tail any opium or coca leaves or any compound, manu- facture, salt derivative or preparation thereof, except upon the written prescription of a duly licensed phy- sician or of a dentist or a -veterinary surgeon, and except as hereinafter provided. Such prescription shall con- tain the name and address of the person for whom it is written, the exact amount of any of the above named drugs or substances to be given, and the signature of the physician writing it. No pharmacist, druggist, apothe- cary or other person, firm or corporation shall sell, dis- pense or otherwise furnish more or less of any of the be- fore mentioned drugs, compounds or mixtures than the amount set forth in such prescription. Every such pre- scription shall contain the date upon which it shall have been filled, and a serial number. Such prescription shall be filled but once, and no copy shall be given to any 61 person, except that a copy may be taken by any officer or agent of the State Board of Health, the local board of health or of the law. 2166. Preparations, not included, as prohibited. — ib., Sec. 2. That the provisions of this chapter shall not be construed to apply to the sale, distribution, giving away, dispensing or possession of preparations and remedies which do not contain more than two grains of opium, or more than one-fourth grain of morphine, or more than one-eighth grain of heroin, or more than one grain of codeine, or any salt or derivative of any of them in one fluid ounce, or, if a solid or semi-solid preparation, in one avoirdupois ounce; or to liniments, ointments or other preparations which are prepared for external use only, except lini- ments, ointments and other preparations which contain cocaine or any of its salts, or alpha or beta- cocaine or any of their salts or any synthetic substitute for them : Provided, That such remedies and preparations are sold, distributed, given away, dispensed or possessed as medi- cines and not for the purpose of evading the intentions and provisions of this chapter. The provisions of this chapter shall not apply to decocanized coca leaves or preparations made therefrom or to other preparations of coca leaves which do not contain cocaine. . 2167. Physicians, dentists, veterinary surgeons may ib., Sec :. administer such drugs under certain regulations, — Any duly licensed physician, a dentist or veterinary surgeon, may prescribe, dispense or administer any of the before- mentioned drugs or preparations or their derivatives for the treatment or cure of diseases in the course of their professional practice : Provided, That such physician, dentist or veterinary surgeon shall not prescribe, dispense or furnish any of the before mentioned drugs to any per- sons who may be addicted to the habitual use of these drugs or any of their derivatives or preparations, ex- cept that a duly licensed physician may, for the cure of such habit or addiction, prescribe or administer these drugs in reducing doses to an habitual user while per- 62 sonally supervising' and controlling such habitual user and treating him or her for the habit or addiction afore- said. In the event that any such case of habitual user of any of the drugs mentioned in Section 2165 shall prove refractory or unusually difficult of treatment, it shall be the duty of the physician treating such case to report the fact to the State Board of Health, the local board of health or to the county judge. It shall also be the duty of any physician treating any such case of drug addiction to report such case to the State Board of Health, the local board of health or to the county judge in the event that such patient shall not pursue his treatment in good faith until final cure : Provided, That nothing in this section shall prevent the prescribing, by a duly licensed physician, of opium or any of its derivatives or prepara- tions for such habitual users or addicts as may be de- clared incurable after investigation by the county judge and an agent of the State Board of Health, or of a munici- pal health officer, in and after consultation with the phy- sician in attendance. lb., Sec. 4. 2168. Refractory cases; duty of prosecuting officers. and 5. In the event that such refractory or difficult or uncured case be brought to the attention of the authorities men- tioned in Section 2167, it shall be the duty of said authori- ties to bring such case to the official attention of the prose- cuting officer of the county. It shall be the duty of the prosecuting officers of each county to prosecute each offender against this chapter w^hen duly brought to his notice. (Penalty for unlawful sale of habit-forming drugs, see Sec. 5533.) CHAPTER XXVII EMBALMERS. 2257. State board of embalming; how constituted. — Acts ^1917, j^ board is hereby created and established, which shall Ch. 7395, 63 be known under the name of the State Board of Em- balmmg. 2258. Appointment of board; by whom composed, ib., Sec. 2. and how appointed. — The board shall consist of the State Health officer and four members to be appointed by the Governor. Provided, no person shall be eligible to ap- pointment as a member of said board of embalming who has not been engaged in the business of, and practiced em- balming in this State for a period of at least five years preceding said appointment. 2259. Term of office. — The term of office of each ib., Sec. 3. member of said board shall be four years, except the members of the first board to be appointed under this chapter, who shall serve one, two, three and four years, respectively, and until his successor is appointed and qualified. 2260. Oath o£ office. — Each member of said board ib., See. 4. shall, before entering upon his duties take before some person competent to administer oaths, an oath to faith- fully perform the duties of his office, and that he is legally qualified to become a member of said board, under the provisions of this chapter. 2261. Organization. — The said board of embalming ib., See 3. shall within thirty days after having been appointed and qualified, meet at Jacksonville and organize, by electing from its number a president, and secretary and treasurer thereof and it shall meet from time to time thereafter at such place and as often as may be found to be neces- sary. 2262. Time and place of meeting. — The president of ib., Sec. 6. said State Board of Embalming shall have the power to call a meeting of said board at any time, and at such place as he may designate. 2263. Quorum. — A majority of said board shall at ib., sec 7. all times constitute a quorum. lb., Sec. 10 Sec. 11. 64 lb.. Sec. 8. 2264. Seal. — Said board shall provide itself with a suitable seal. lb., Sec. 9. 2265. Preservation of records. — The records of said board shall be kept at the office of the secretary and treas- urer, who shall give such bond as the board shall deem necessary. 2266. Board to make and publish rules. — It shall be the duty of said board of embalming" to formulate and adopt rules, regulations and by-laws, not inconsistent with the law of this State or the United States whereby the duties of said board can be performed and the prac- tice of embalming dead human bodies regulated. lb., 2267. Licenses and so forth. — Every person desiring to engage in the practice of embalming dead human bodies, within the State of Florida shall make a written application to the secretary of the State Board of Em- balming for a license, accompanying same with a license fee of an amount not exceeding twenty-five dol- lars, whereupon the applicant as aforesaid shall present himself or herself before said board at a time and place to be fixed by said board, and if the said board shall find upon due examination that the applicant is of good moral character, and not addicted to the excessive use of alcoholic or narcotic drugs, possessed of the skill and knowledge of said science of embalming and the care and disposition of the dead, and has a reasonable knowledge of sanitation and the disinfection of bodies of deceased persons and the apartments, clothing and bedding, in case of death from infectious, contagious or other com- municable disease, shall issue to said applicant a license to practice embalming and shall register such applicant as a duly licensed embalmer. Such license shall be signed by the majority of the board and attested by its seal, and all persons receiving a license under the pro- visions of this chapter shall register the fact at the office of the clerk of the court in each and every county in which he may thereafter locate, and with the local dis- trict registrar in whose district he may practice his pro- 65 fession : Provided, further, That no embalmer shall be considered eligible for licensure who had not had at least two years' experience under a licensed embalmer, 2268. Certificates of former practitioners. — All practi- ib., tioners who have been engaged in the practice of embalm- ing in this State prior to the 21st day of May, 1917, under a license issued by the State board of health, shall be granted by the State Board of Embalming a certificate of licensure without further examination and expense. 2269. Renewal of Registration. — Every registered ib., embalmer who desires to continue the practice of his profession, shall annually thereafter during the time he shall continue in such practice, on such dates as said board may determine, pay to the secretary of said board a fee of two dollars for the renewal of registration. 2270. Compensation of members of board and other ib., ^ Sec. 14. expenses. — All expenses, salary and per diem of mem- bers of said board shall be defrayed from fees received under the provision of this chapter, and shall in no man- ner be an expense to the State. 2271. Limitations of Act. — Nothing in this chap- ib., ter shall apply to or in any manner interfere with the duties of any officers of local or State institution, or shall this chapter apply to any person engaged simply in the furnishing of burial receptacles for the dead and burying of the dead and not embalming. 2272. Revocation of license. — Any embalmer who se'c. i7. shall violate the provisions of this chapter may have his license revoked at the discretion of this board. 5543 (Penalty for practicing embalming without complying with law, see Sec. Ch. 6133, 66 CHAPTER XXIX HOSPITAL FOR INDIGENT CRIPPLED CHIL- DREN. 2292. State Board of Health authorized to establish Sec^L^^^' hospital for indigent crippled children. — That the State Board of Health be, and it is hereby authorized and di- ■ rected to establish at some suitable and convenient loca- tion in this State a hospital for the treatment of indigent crippled children of this State. In such hospital indigent crippled children of this State shall be received and treated free of charge. lb., Sec. 2. 2293. Authorized to purchase site and erect build- ings; purchase of equipment; appropriation from Board of Health fund. — That for the purposes of Section 2292 hereof the State Board of Health is hereby authorized to purchase a plot of ground and erect thereon a building suitable for such purpose, or to purchase a plot of ground with building already erected, in its discretion. For such purchase and for the purchase of suitable instru- ments, apparatus, furniture, fixtures and other articles necessary for such an institution, the sum of twenty thousand dollars, or so much thereof as may be found necessary, is hereby appropriated, payable from the State Board of Health fund. lb., Sec. 3. 2294. State Board of Health authorized to arrange with private hospital for care of crippled children. — That until the number of indigent crippled children, citizens of the State of Florida, shall be sufficient in number to warrant the State Board of Health to erect and maintain an institution of this character and nature, that the State Board of Health is authorized to arrange with any sani- tarium or hospital in Florida to care for and treat the indigent crippled and deformed children of the State and to pay for such treatment out of the funds of the State Board of Health, not in excess of the amount appropri- ated by this Act. 67 Article 19. ABATEMENT OF NUISANCES 3223. Bill maintained in name of State ; parties de- ch. ii(>i, ^cts 1917 fendant. — Whenever any nuisance as defined in Section sec. 2. ' 5639 is kept, maintained or exists the State's Attorney, county solicitor, county prosecutor, or any citizen of the county through any attorney he may select, may main- tain his action by bill in chancery in the proper court in the name of the State of Florida upon the relation of such attorneys or citizen to enjoin said nuisance, the person, or persons conducting or maintaining the same and the owner or agent of the building or ground upon which said nuisance exists. 3224. Temporary injunction. — In such action the j^, court, judge or court commissioner before whom the bill may be brought may upon proper proof being made, allow a temporary writ of injunction without bond, if it shall appear to the satisfaction of the court or judge or commissioner by evidence or by affidavit that a tem- porary injunction shall issue. At least three days' notice in writing shall be given defendant or defendants of the time and place of application for said temporary injunc- tion. 3225. Answer or demurrer; evidence; rule of evi- ib., Sec. 3. dence; costs in certain cases. — The defendant shall file his answer or demurrer to said bill of complaint within twenty days after service of process and the said cause shall thereafter proceed as the court may order; and it shall be the duty of the court to hear the evidence in open court or by an examiner as it shall deem most ex- pedient for a prompt hearing or disposition of the cause. In such actions evidence of the general reputation of the alleged nuisance and place shall be admissible for the purpose of proving the existence of said nuisance. No bill of complaint when filed by any citizen shall be dis- missed except upon a sworn statement made by said citizen and submitted to the court and unless the court lb., Sec. 4. shall be satisfied that said cause shall be dismissed, the said bill shall not be dismissed but shall continue and the State Attorney or county solicitor notified to pro- ceed with said cause. If said action is brought by any citizen and the court shall find that there was no reason- able ground for said action the costs of said action shall be taxed against said citizen and execution may issue therefor on order of the court. 3226. On final hearing court may issue perpetual injunction; costs. — Upon final hearing of said cause the court shall if the allegations of said bill are proved and the existence of a nuisance is shown shall issue a per- petual injunction in said cause and shall order the costs of said proceeding to be paid by the persons responsible for establishing or maintaining said nuisance and shall adjudge that said costs shall become a lien upon all personal property found in the house or place of the nuisance and upon the failure of said property and fix- tures to bring enough to pay said costs, then upon the real estate and buildings occupied by said nuisance, pro- vided no lien shall attach to the real estate and build- ings of any other than the occupant unless five days' written notice shall have been given to the owner or his agent who shall fail to abate said nuisance within said five days. If the owner or claimant pays said costs of proceedings said property, personal and real, shall by court order be released from the lien for costs upon the owner or claimant giving bond with proper surety for payment of costs and that said property shall no longer constitute a nuisance or be used in furtherance of any similar nuisance for one year from the date of said decree. lb., Sec. 5. 3227. Order and decrees; enforcement by contempt proceedings. — The courts of chancery in this State shall upon proper proof make such orders and decrees as will suppress and abate any and all nuisances mentioned in Section 5639 and shall have the authority to enforce in- junctions and decrees by proper contempt proceedings, but the jurisdiction hereby granted to said courts of chan- 69 eery shall not be construed to repeal or alter Section 5624, or Section 5497. CHAPTER VIII OFFENSES AGAINST MORALITY AND DECENCY ARTICLE I Adultery and Fornication 5406. (3518.) Living in open adultery. — Whoever ch. i986, lives in an open state of adultery shall be punished by ActsV874. imprisonment in the State prison not exceeding two years, or in the county jail not exceeding one year, or by fine not exceeding five hundred dollars. Where either of the parties living in an open state of adultery is mar- ried, both parties so living shall be deemed to be guilty of the offense provided for in this section. As to evidence of acts anterior to time laid. Brevaldo v State, 21 Fla. 789. Where there was no evidence of a living in an open state of adultery within the limited period charged, the single act of intercourse between the parties anterior to such time is not admissible to convict of an offense committed between such periods. Woodson v State, 62 Fla. 106, 57 So. 174. An information under this section is fatally defective where it does not allege that the defendants lived in an open state of adultery. Teston v State, 66 Fla. 244, 63 So. 433. 5407. (3519.) Lewd and lascivious behavior. — If any ch. i637, man and woman, not being married to each other, lewdly Sec 6, ' and lasciviously associate and cohabit together, or if any man or woman, married or unmarried, is guilty of open and gross lewdness and lascivious behavior, they shall be punished by imprisonment in the State prison not ex- ceeding two years, or in the county jail not exceeding one year, or by fine not exceeding three hundred dollars. Purpose of section stated. What necessary to constitute the crime. Luster v State, 23 Fla. 339, 2 So. 690. In order to convict under this section the evidence must show that the defendants were not married to each other, and that they lived together as husband and wife. Pinson v State, 28 Fla. 735, 9 So. 706. In the offense of lewd and lascivious association and cohabitation, there is included both lewd and lascivious intercourse and a living or dwelling to- gether as if the conjugal relation existed between the parties. Pinson v State, 28 Fla. 735, 9 So. 706; Thomas v State, 39 Fla. 437, 22 So. 725; Penton v State, 42 Fla. 560, 28 So. 774; Whitehead v State, 48 Fla. 64, 37 So. 302. In order to convict of the offense and of lewdly and lasciviously asso- ciating and cohabiting together, the evidence must show a dwelling or living Acts 1868. 70 Ibid. lb., Sec. 8. Ch. 4965, Acts 1901, Sec. 1, amended by Ch. 6974, Acts 1915, Sec. 1, as amended by Ch. 7732, Acts 1918, Sec. 1. Ch. 5909, June 7, 1909. Sec. 1. together by the parties as if the conjugal relation existed. A single or mere occasional acts of incontinency are insufficient to sustain, the charge. Penton V State, 42 Fla 560, 28 So. 774 To convict of the crime of lewd and lascivious cohabitation, under this section, there must be proved both lewd and lascivious intercourse, and a living or dwelling together openly as husband and wife. Whitehead v State, 48 Fla. 64, Zl So. 302; Cloud v State, 64 Fla. 237, 60 So. 180. When the evidence shows a lewd and lascivious intercourse, but does not show that the parties associated and cohabited together as man and wife, a conviction should not be sustained. Cloud v State, 64 Fla. 237, 60 So. 180. In a prosecution based under this section the open lewdness and lascivi- ous behavior must be such conduct as would bring upon a husband and wife the penalty of the statute. Pitchford v State, 65 Fla. 146, 61 So. 243. 5408. (3520.) Fornication. — If any man commits fornication with a woman, each of them shall be punished by imprisonment not exceeding three months, or by fine not exceeding thirty dollars. 5409. (3521.) Carnal intercourse with unmarried female under eighteen years. — That any male person who has unlawful carnal intercourse with any unmarried female person of previous chaste character, who is at the time of such intercourse, under the age of eighteen years, shall be punished by imprisonment in the State penitentiary not more than ten years, or by fine not ex- ceeding two thousand dollars. See Hogan v State, 50 Fla. 86, 39 So. 464; Walden v State, 50 Fla. 151, 39 So. 151. The mother of one whose age is a material fact in a criminal prosecution who knows her age independently of any record thereof, may be permitted to testify to her age. Carter v State, 68 Fla. 143, 66 So. 1000. In a prosecution under this section, no error is committed in permitting the prosecuting witness to testify, over objections upon the sole ground that such witness held an infant child upon her lap or in her arms. lb. In a prosecution under this section for an offense committed prior to the enactment of chapter 6974, acts of 1915, it is not error to charge the jury that the previous chaste character of the prosecuting witness is not in issue. Gorey v State, 71 Fla. 195, 71 So. 328. In a prosecution for the statutory offense of having carnal intercourse with an unmarried female under the age of eighteen, proo'f that the female was unmarried is essential to a conviction. Watson v State, 72 Fla. 16, 72 So. 370. In a criminal prosecution for carnal intercourse with an unmarried female under the age of eighteen years the following charge is not erroneous: "To constitute carnal intercourse there must have been actual contact of the male organ with the female organ resulting in penetration of the female by the male organ to some extent, but not necessarily to the extent of puncturing the hymen. It is also unnecessary for the State to prove emission of seed." Harris v State, 72 Fla. 128, 72 So. 520. 5410. Carnal intercourse with unmarried female idiot. — That any male person who has carnal intercourse with an unmarried female, with or without her consent, who is at the time an idiot, lunatic or imbecile, shall be deemed guilty of a felony, and, on conviction, shall be punished by imprisonment in the State prison at hard Ch. 1637, 71 labor for not exceeding ten years, in the discretion of the court. ARTICLE 2. Enticing Away Unmarried Women. 5411. (3522.) Enticing away for clandestine mar- riage. — Whoever fraudulently and deceitfully entices lec.'ij'^' ^' away an unmarried female, under the age of sixteen ^^^^ ^^^^• years, from her father's house, or wherever else she may be found, without the consent of the parent, guardian or master, if any, under whose care and custody she is living, for the purpose of effecting a clandestine mar- riage of such female without such consent, shall be punished by imprisonment in the State prison not exceed- ing one year, or by fine not exceeding one thousand dollars. The inducing of an unmarried female under the age of sixteen years to leave her home, without the consent of her parents, for the purpose of effect- ing a marriage, so long as no deceit or fraud is practiced upon her, does not constitute the offense set forth in this section. Hay v State, 68 Fla. 458, 67 So. 107. 5412. (3523.) Enticing away for prostitution. — Who- ever fraudulently and deceitfully entices or takes away ib., See 2. an unmarried woman, of a chaste life and conversation, from her father's house, or wherever else she may be found, for the purpose of prostitution at a house of ill- fame, assignation or elsewhere, and whoever aids and assists in such abduction for such purpose, shall be punished by imprisonment in the State prison not ex- ceeding three years, or in the county jail not exceeding one year, or by fine not exceeding one thousand dollars. 5413. Enticing female to come into State or to leave ch. 6225, . May 17, her home for immoral purposes. — Whoever shall induce, 1911, See. entice or procure to come into this State or to leave her home or other place where she may be residing in this State, any woman or girl for the purpose of prostitution or concubinage or for other immoral purposes, or to enter any house of prostitution in this State, shall upon 1. Sees. 2. 4, Acts 1881. 72 conviction be imprisoned in the State penitentiary for a period of not more than five years, or be fined not exceed- ing one thousand dollars, or shall be both so fined or imprisoned. 5422. (3532.) White persons and negroes living in adultery. — If any white person and negro, or mulatto, shall live in adultery or fornication with each other, each shall be punished by imprisonment not exceeding twelve months, or by fine not exceeding one thousand dollars. Every person who shall have one-eighth negro blood shall be deemed and held a mulatto. Ch. 3282, 5423. (3533.) Negro man and white woman or white man and negro woman occupying same room. — Any negro man and white woman, or any white man and negro woman, who are not married to each other, who shall habitually live in and occupy in the night time the same room shall each be punished by imprisonment not exceeding twelve months, or by fine not exceeding five hundred dollars. ARTICLE 19 Vagrants and Tramps. Ch. 1637, 5497. (3570.) Who are vagrants. — Rogues and vaga- Acts 1868?' bonds, idle or dissolute persons who go about begging, Ch?'54i'9, common gamblers, persons who use juggling, or unlaw- s^^h^^' ^^^ games or plays, common pipers and fiddlers, com- bv a^^*^ mon drunkards, common night walkers, thieves, pilferers, 3^1907^"^ traders in stolen property, lewd, wanton and lascivious persons, keepers of gambling places, common railers and brawlers, persons who neglect their calling or employ- ment, or are without reasonably continuous employment or regular income and who have not sufficient property to sustain them, and misspend what they earn without providing for themselves or the support of their families, persons wandering or strolling around from place to place Sec. 1. without any lawful purpose or object, habitual loafers, idle and disorderly persons, persons neglecting all law- ful business and habitually spending their time by fre- quenting houses of ill fame, gaming houses or tippling shops, persons able to work but habitually living upon the earnings of their wives or minor children, and all able bodied male persons over the age of eighteen years who are without means of support and remain in idleness, shall be deemed vagrants, and upon conviction shall be subject to the penalty provided in Section 5498. 5524. Depositing deleterious substance in waters of Ch. 5954, lakes, rivers, etc. — Any person or persons, firm, com- 1909! ' pany, corporation or association in this State, or the ^^^'^' managing agent of any person or persons, firm, company, corporation or association in this State, or any duly elected, appointed or lawfully created State officer of this State, or any duly elected, appointed or lawfully created officer of any county, city, town, municipality, or munici- pal government in this State, who shall deposit, or who shall permit or allow any person or persons in their em- ploy or under their control, management or direction to deposit in any of the waters of the lakes, rivers, streams and ditches in this State, any rubbish, filth, or poisonous, or deleterious substance or substances, liable to afifect the health of persons, fish, or live stock, or place or deposit any such deleterious substance or substances in any place where the same may be washed or infiltered into any of the waters herein named, shall be deemed guilty of a misdemeanor, and, upon conviction thereof in any court of competent jurisdiction, shall be fined in a sum not more than five hundred dollars; "Provided, further. That the carrying into effect of the provisions of this Section shall be under the supervision of the State Board of Health." 5525. Discharging sewerage, etc., in underground 9^- ^443, June 7, waters. — Any municipal corporation, private corporation, i9i3, See. person or persons that shall discharge sewerage or sur- face drainage, or permit the same to flow into the under- 74 ground waters of the State, contrary to the provisions of Chapter 14, Title 11 First Division of these Revised General Statutes, shall be deemed guilty of a misde- meanor, and shall upon conviction be punished by a fine of twenty-five dollars for each offense, and the doing of the prohibited Act for each day shall constitute a separate offense, or by imprisonment not exceeding one month, or both, at the discretion of the court. Ch. 7395, 5543. Practicing embalming without complying with Sec. 16. ' law. — Any person who shall practice or be known as practicing embalming without complying with the pro- visions of Chapter 27, Title 11, First Division of these Revised General Statutes, shall be guilty of a misde- meanor and upon conviction thereof before a court of competent jurisdiction shall be sentenced to pay a fine of not less than twenty-five dollars or more than one hundred dollars for each and every offense. All fines assessed for the violation of any of the provisions of this section shall be paid to the Treasurer of the State to ap- ply to the public school fund. ARTICLE 5. Health and Quarantine Laws. Ch. 3839, 5544. (3619.) Physicians to report certain diseases. Sees. 4, 5, Acts 1889. Whoever, being a licensed or practicing physician, fails to report immediately to the president of the State Board of Health by telegram (to be paid for out of the funds to be provided for the expenses of the said Board of Health), or in the most expeditious manner, every case of yellow fever, smallpox or cholera that comes within his practice, shall be punished by imprisonment not ex- ceeding six months, or by fine not exceeding one thou- sand dollars. 75 5545. (3620.) Suspicious cases of contagious or in- ^^-Jflh factious diseases. — Any physician, city health officer, Sec 4. mayor, county health physician, or chairman of the board of county commissioners, who shall neg'lect or fail to comply with the provisions of Sections 2095 to 2097, shall, upon conviction, be liable to a fine of one hundred dollars or imprisonment for thirty days. 5546. (3621.) Disseminating rumors of disease. — Ch. 3839, Whoever falsely or maliciously disseminates or spreads Acts 1889. rumors or reports concerning the existence of any infec- tious or contagious disease shall be punished by imprison- ment not exceeding six months, or by fine not exceeding one thousand dollars. 5547. (3622.) Disobeying quarantine regulations. — ib., Whoever violates, disobeys, omits, neglects or refuses to comply with any quarantine regulations which may be established by the State Health Officer or any of the rules and regulations which may be duly promulgated by said State Health Officer or said State Board of Health, shall be punished by imprisonment not exceed- ing six months, or by fine not exceeding one thousand dollars. Ch. 5931, 5548. Violation of rules made by State Board of Health. — ^That any person who shall violate, disobey, sec2.^°'' refuse, omit or neglect to comply with any rule of the State Board of Health made by it in pursuance of Sec- tion 2004 of these Revised General Statutes shall be guilty of a misdemeanor, and, upon conviction thereof, shall be punished in the manner provided by law for violation of the rules of said board. 5549. (3623.) Obstructing officer. — Whoever inter- ch. 3859. feres with, hinders or opposes any agent, officer or mem- Acts i889. ber of the State Board of Health in the discharge of his duty as such, shall be punished by imprisonment not ex- ceeding six months, or by fine not exceeding one thou- sand dollars. Nothing in this section shall prevent a member or any officer of the State Board of Health from 76 exercising" or performing any of the requirements of law. relative to the State Board of Health, or any of the rules and regulations of said State board. Ch. 6892, 5550. Violation of regulations as to vital statistics. — Acts 191S, ° Sec. 22. That any person, who for himself or as an officer, agent or employee of any other person, or of any corporation or partnership, shall refuse or neglect to perform any of the duties required by Chapter 8, Title 11, First Division of these Revised General Statutes, instructions and direc- tions of the State Registrar, or rules and regulations of the State Board of Health, or who shall violate any of the provisions of said chapter, shall be deemed guilty of a misdemeanor, and upon conviction thereof, shall be punished by a fine of not less than five dollars nor more than one hundred dollars. Ch. 5195, 5551. (3625.) Water companies to clean tanks and Acts 1903. ,■ ■' . , , flush mams. — All water companies, whether owned and controlled by individuals, corporations or municipalities, who sell, rent or supply to private individuals water for drinking purposes, are hereby required to clean all tanks and receptacles for holding water used for drinking pur- poses, and flush their water mains in such a manner as to get rid of all sediment, rust, etc., that may have col- lected therein, not less than twice in each calendar year; such cleaning and flushing to be done within ten days immediately preceding the first day of May and first day of November, respectively, of each year. Violations of this section shall be punished by fine of not less than one hundred dollars, nor more than five hundred dollars for each offense. ARTICLE 12 Nuisances. Feb. 10, 5624. (3680.) Indictment and removal. — All nuisan- Sec.47. ces which tend to annoy the community or injure the health of the citizens in general, or to corrupt the public morals, shall be indictable and punishable by a fine not 77 exceeding two hundred dollars, at the discretion of the court; and any nuisance which tends to the immediate annoyance of the citizens in general, or is manifestly in- jurious to the public health and safety, or tends greatly to corrupt the manners and morals of the people, may be removed and suppressed by the order of the justice of the peace of the district, founded upon the verdict of twelve householders of the same, who shall be sum- moned, sworn and impaneled for that purpose, which order shall be directed to and executed by any sheriff or constable of the county; and an indictment shall lie for the same. Judgment must be adapted to nature of nuisance. P. & I. R. Ry. Co. v State, 23 Fla. 546, 3 So. 158. See J. T. & K. W. Ry. Co. v Thompson, 34 Fla. 346, 16 So. 282. 5627. (3683.) Nuisances injurious to health. — Filth, ch. 4346, the contents of cesspools, offal, garbage, foul water, dye- sec^i.^^^' water, refuse from manufactories, urine, stable manure, decayed animal or vegetable matter, or other offensive substance detrimental to health, thrown, placed or allowed to remain in or upon any private premises, street, avenue, alley, sidewalk, gutter, public reservation or open lot within any incorporated city or unincorporated town or village of the State of Florida, are hereby de- clared nuisances injurious to health; and any person who shall commit, create or maintain the aforesaid nuisances, or either of them, shall upon conviction be fined not less than five nor more than twenty-five dollars for every such offense. See Logan v Childs, 51 Fla. 233, 41 So. 197. '5628. (3684.) Noisome odors or noxious gases aris- ib., Sec 3. ing from certain causes. — The filling, leveling or raising the surface of any ground or lot, within any incorporated city or unincorporated town or village of the State of Florida, with animal or vegetable substances, filth gath- ered in cleaning yards or streets, waste material from mills or factories, or the removal of the surface of any ground or lot within said cities, towns or villages, filled with such offensive matter or substance, in such man- lb., Sec. 4. 78 ner as to cause noisome odors or noxious gases to arise, are hereby declared nuisances injurious to health; and any person who shall cause, commit, create or maintain such nuisance shall be fined not less than five nor more than twenty dollars for every such offense. 5629. (3685.) Water closets. — All water closets and privies connected with any house, building or premises, within any incorporated city or unincorporated town or village of the State of Florida, in or upon which people live, or where they congregate or assemble, or any kind of business is done, kept in a filthy and offensive con- dition, or from which noisome odors and noxious gases arise, and all water closets located within and being a part of any such house or building, not provided with proper sewer traps, so as to prevent the return and es- cape of noxious gases and offensive odors from any public or private sewer connected therewith, are hereby declared nuisances injurious to health, and any person creating, keeping or maintaining such nuisance shall be fined not less than five nor more than twenty-five dollars. lb., Sec. s. 5530^ (3686.) Privies to be inspected.— Fecal mat- ter, not thoroughly deodorized and disinfected, remaining in privies in any incorporated city or unincorporated town or village of the State of Florida, is hereby declared a nuisance injurious to health; and the State Health Officer shall, upon receipt of complaint in writing, cause any privy to be inspected, and, if necessary, cleaned by the person authorized for said purpose ; and any person owning or occupying premises on which any privy is situated, which shall be inspected and cleaned at the times designated by the said State Health Officer, or whenever necessary, shall, upon conviction, be fined not less than five nor more than twenty dollars for every such offense. lb.. Sec. 6. 5631. (3687.) Contents of privies. — It shall be un- lawful for any person to deposit the contents of any privy in any other place than such as may be approved by the State Health Officer, the health authorities of any in- 79 corporated city or by the inspector of the State Board of Health, if in an unincorporated town, in the State of Florida; and any person so offending shall be fined not less than five nor more than fifty dollars for every such oft'ense. 5632. Violation of regulations as to surface closets. — Ch. 6895, Acts 1915, That an\' person, firm or corporation keepinsf or main- See i as '■ JT o amended taining- surface closets and privies used for the deposit byCh. ° , , ^ ^ 7822, Acts of human excreta within incorporated limits, unincorpo- i5i9. rated towns, suburbs and thickly settled communities which are not fly-proof in construction and are not in conformity with plans recommended or approved by the State Board of Health, shall be guilty of a misdemeanor and upon conviction thereof shall be punished by a fine not exceeding ten dollars. 5633. (3688.) Keeping hogs in pen. — The keeping, ch. 4346, herding and feeding of hogs in pens or otherivise within sec^;.^^' any incorporated city or unincorporated town of the State of Florida of over two thousand inhabitants, is hereby declared a nuisance injurious to health; and any person creating or maintaining such nuisance who shall fail, after due notice from the State Health Officer to abate the same, shall be fined not less than five nor more than twenty-five dollars for every such offense. lb., Sec. 8. 5634. r3689.) Glanders and other contagious diseases. Any animal affected by glanders or other contagious or pestilential disease kept in any part of the State of Florida, is hereby declared a nuisance injurious to health; and any person keeping or maintaining such nuisance, who shall fail, after due notice from the State Health Officer, to abate the same, shall be fined not less than five nor more than twenty-five dollars for every such offense. 5635, ('3690.) Certain acts declared to be nuisances, ib., Sec. 9. The boiling of offal, swill, bones, fat, tallow or lard, the crushing, grinding or burning of bones or shells, clean- ing guts, making glue from any dead animal or part thereof, making- or boiling varnish or oil, making lamp black, turpentine or tar, distilling ardent, alcoholic or fermented spirits, storing or keeping fat scraps, grease or other offensive animal matter, rendering or trying out dead, undressed and unslaughtered animals, or any other business or trade whereby noisome stenches and odors and noxious gases arise or are generated, within any in- corporated or unincorporated city or town of the State of Florida of over two hundred inhabitants, are hereby declared nuisances injurious to health; and any person who shall cause, erect, create, maintain or continue any such nuisance, and who shall fail, after due notice from the State Health Officer, to abate the same, shall be fined one hundred dollars. lb., 5636. (3691.) Slaughter houses. — Unclean and filthy slaughter houses, rooms, buildings or places where sheep, hogs, cattle or other animals are slaughtered within any incorporated city or town or any unincorporated town or village of the State of Florida are hereby declared nuisances injurious to health; and any person creating, keeping or maintaining such nuisances, who shall fail, after due notice from the State Health officer, to abate the same, shall be fined not more than fifty dollars. Ch. 4351, 5637. (3692.) Diseased animals. — It shall be unlaw- Acts 1895 Sec. 1. ' ful for any person to bring into this State or to offer for sale therein any horses, mules, cattle, hogs or other do- mestic animals, knowing at the time of such introduction or offering for sale of any such animals that they are suffering from disease known as glanders, farcy, cholera, Texas fever or other virulent, contagious or infectious diseases ; and any person convicted of such offense shall be punished by imprisonment not more than four years in the State prison, or by fine of not more than one thousand dollars. Ch.4696, 5638. (3693.) Sanitary inspection of buildings. — If Sec. 5. ' the owner or managing occupant, or both, who shall be required by notice from the State Board of Health to remedy such unsanitary conditions, as provided against 81 by law, shall fail to comply therewith within the time mentioned, he shall be punished by fine not exceeding one hundred dollars, or imprisonment not exceeding thirty days. 5639. Places declared a nuisance; may be abated and ch. 7367, enjoined.— Whoever shall erect, establish, continue, or secfi"^^' maintain, own or lease any building, booth, tent or place which tends to annoy the community or injure the health of the community, or become manifestly injurious to the morals or manners of the people as described in Sec- tion 5624, or shall be frequented by the class of persons mentioned in Section 5497, or any house or place of prostitution, assignation, lewdness or place or building where games of chance are engaged in in violation of law or any place where any law of the State of Florida is violated, shall be deemed guilty of a nuisance, and the building, erection, place, tent or booth and the furniture, fixtures and contents are also declared a nuisance, and all such persons, places, shall be abated and enjoined as pro- vided in Article 19, Chapter 10, Title 3, Second Division of these Revised General Statutes. Ch. 69S3, Acts 1915, ec. 5. 5642. Violation of regulations as to screening hotels, etc. places where food is exposed, and dining cars. — Any s person, firm or corporation found guilty of violating any of the provisions of Sections 2153 to 2156, inclusive, shall be deemed guilty of a misdemeanor, and, upon conviction, fined not exceeding fifty dollars or punished by imprison- ment not exceeding three months. Each day's business conducted in violation of the provisions of this Act shall constitute a separate offense. 5672. Violation of regulations as to employment ch. 6Si9, bonds. — Any person, company, corporation, association i9"|,sec. or firm who shall violate any of the provisions of Article 4, Chapter 5, Title 2, Fourth Division of these Revised General Statutes, shall be guilty of a misdemeanor and be punished by a fine of not less than one hundred dollars nor more than one thousand dollars, and by imprison- 4. Ch. 6836, 82 ment in the county jail for a period of not less than thirty days, nor more than one year. 5872. Failure to provide school building with closets. Acts 1915, 'p^^^ ^j^y public school board or any person, firm or corporation conducting" any private school, who shall have charge of the erection, repair or maintenance of any school building, who shall fail to provide said build- ings with the facilities required by Section 473, or who shall fail to provide surface closets as required by Sec- tion 474, shall be guilty of a misdemeanor, and upon con- viction thereof shall be fined not exceeding fifty dollars. 83 RULES, REGULATIONS AND INSTRUCTIONS The Florida State Board of Health promulg-ates the following Rules, Regulations and Instructions for the preservation of the public health of the State of Florida; made pursuant to authority by law in said board vested. Rule No. 1. (33.) Warning Cards. Any County or Municipal Health Officer or accredited representative of the State Board of Health, having knowledge of or having reason to suspect the existence of a case of smallpox, diphtheria, bubonic plague, measles, scarlet fever, typhus fever, epidemic cerebrospinal meningitis, Asiatic cholera, acute anterior poliomyelitis or whooping cough, shall investigate and at once place upon any house or other place of residence where such diseases exist, a sign or warning card setting forth the facts. Such signs or warning cards shall not be removed by any person until authorized by a county or municipal Health Officer or accredited representative of the State Board of Health, upon the termination of infection. Rule No. 2. (34.) Specifications of Warning Cards. The State Health Officer shall, upon request, furnish to attending physicians, local health officers and to local representatives of the State Board of Health, such warning or isolation cards as are required by Rule No. 1, to be placed when necessary or required upon infected or isolated premises, which cards shall be of such size and color and shall contain thereon such written or printed warning and such designation of the disease as the State Health Officer may consider reasonable and proper for the protection of the public. Rule No. 3. (35.) Destroying or Defacing Warning Cards. No person or persons shall alter, deface, remove, destroy or, tear down any warning card posted by a local health officer or repre- sentative of the State Board of Health. The occupant or persons having possession or control of a building upon which a warning card has been placed shall within twenty-four (24) hours after the destruction or removal of such notice by other than the proper sanitary officials, notify the local health officer or representative of the State Board of Health of such destruction or removal. 84 Rule No. 4. (4.) Definition of Isolation. Isolation is defined to be tPie complete separation of the person infected with a com- municable disease and those attendant upon him, from all other persons upon the premises. Rule No. 5. (3.) Isolation of Persons Infected With Com- municable Diseases. When any person is found infected with any communicable disease, dangerous to public health, the State Health Officer or his accredited representative is empowered and authorized to remove such infected person to a safe, suitable and proper place, and there provide medical treatment for such per- son, provided same can be done without danger to the life of such person. If, in the opinion of the State Health Officer or his representa- tive, complete isolation of such infected person can be had in the house where he or she is found, such person may be permitted to remain there, in which event a complete isolation of the room or rooms of the house in which such infected person is, shall be estab- lished, and the physician, nurse, attendant and persons sick therein, and all persons approaching or coming within the limits thereof, and all furniture and other articles used or brought there, shall be subject to such restrictions as the State Health Officer or his ac- credited representative may prescribe. Rule No, 6. Defining Period of Isolation. The period during which isolation shall be in force shall date from the onset of the disease and shall be as follows : For: Smallpox 14 days, Scarlet fever 30 days, and until all discharges have disappeared. Measles 10 days. Whooping cough 50 days, Chickenpox 14 days. Mumps 14 days. Epidemic cerebrospinal meningitis must be isolated from the onset of the disease until bacteriological disappearance of the meningococcus. Acute Anterior Poliomyelitis must be isolated 85 from the onset of the disease until three weeks after recovery from all acute symptoms. Rule 7.( 30.) Isolation of Leprosy. All persons affected with leprosy shall be continually confined upon their home premises and kept off the public thoroughfares and out of public vehicles of transportation, or confined in such places as shall be designated by the State Health Officer. Rule No. 8. Diphtheria, How Released From Isolation. No case of diphtheria shall be released from isolation, nor shall the placard or warning sign on a place where such case is isolated be removed, until t\70 successive sets of swabs taken from nose and throat of such patient, not less than twenty-four hours apart, shall show negative reports. No swabs for such release from isolation shall be taken from such patients less than four hours from the time of the last local treatment, nor shall cultures from such swabs be made in any other than a State Board of Health laboratory or other laboratory approved by the State Health Officer. Rule No. 9. (10, 15, 17, 36.) Disinfection of Premises. The apartments, rooms, boat or any other domicile or the contents there- of occupied by a person infected with any communicable disease, shall be disinfected when made vacant by death, removal or recov- ery of the patient. All persons having occupied such apartments or other domicile during the period of isolation must have their clothing disinfected and take a disinfecting bath before being re- leased from isolation. No person shall let for hire, or cause or permit anyone to oc- cupy such apartments or other domicile until said apartments or other domicile shall have been disinfected. (See Rule No. 39, Method of Disinfection.) Rule No. 10. Protecting Schools Against Commimicable Disease. No person infected with a communicable disease shall be permitted to attend, teach or be otherwise employed in any private, parochial or public school, or any college or university. 86 Rule No. 11, (32.) Trachoma Excluded From Schools, Persons afflicted with trachoma are prohibited from attending public, private or parochial schools, colleges or universities. Rule No, 12. (81.) A rule forbidding individuals to teach in the public schools of Florida without having a health certificate from a reputable physician showing that they are not affected with or are not carriers of communicable diseases. Section No. 1. All teachers or instructors in any public school operating within the State of Florida or in any private school operating in the State of Florida, shall be required to file with the State Board of Health of Florida annually before the beginning of each school year a certificate obtained from a reputable physician who is licensed to practice in the State of Florida certifying that said teacher or instructor has been duly and carefully examined and is free from communicable diseases and is believed to be a non- carrier thereof. Rule No. 13. Children's Certificate for Admission to School, All children on entering school in Florida must present a certificate from a reputable physician, stating that they are free from all com- municable diseases, and are not carriers of any. Rule No. 14. Prohibiting Certain Occupations. No person infected with any communicable disease shall engage in the occupa- tion of nurse, nurse-maid, domestic servant, barber, hairdresser, manicurist, chiropodist, bath attendant, masseur; or any occupa- tion which involves the preparation, handling, serving or dispens- ing, by the infected person, of foods, drugs or beverages intended for the use of others. Rule No. 15. (28.) Muzzling, If it shall appear to the State Health Officer that the life and health of any settlement, village, town or city is endangered by the prevalence of rabies, then the State Health Officer shall require all dogs kept in such settlement, village, town or city to be effectively muzzled and for such a length of time as shall be necessary and proper. It shall be the duty of the mayor and police authorities of any settlement, village, town 87 or city, when such an order is promulgated by the State Health Officer, to enforce its provisions. Rule No. 16. (25.) Suspected Rabid Animals to be Confined. When an animal suspected of having rabies has bitten a human being, the person so bitten or his or her legal representative shall secure or cause to be secured, such animal alive and without injury if possible. The animal shall be confined in a safe, quiet, roomy and comfortable place, and a report giving full particulars concern- ing the action taken sent to the State Health Officer at Jackson- ville, Florida. This report shall include the name of the locality in which the biting occurred, the date the bite was inflicted, the nami;, residence and address of the owner of the animal ; the full name or names of the person or persons bitten, together with their place of residence, age, sex, race, and information as to location and extent of bite or bites ; the names, addresses and residences of all owners of animals which have been bitten by the animal in question, to- gether with a list and description of the animals bitten and the disposition made of same. Such supposedly rabid animal must be kept under careful observation for at least ten days, when, if rabid, clinical evidence of rabies will manifest itself, and death will shortly ensue. Rule No. 17. (26.) Laboratory Examination in Rabies. When such suspected animal dies, the head and several inches of the neck must be cut off and sent to the nearest bacteriological laboratory of the State Board of Health of Florida for microscopical examination. Care must be taken not to injure the brain or the spinal cord. The head and neck of the animal must be carefully packed in a tin container, surrounded with sufficient ice and saw- dust to preserve it from decomposition while in transit, and so pre- pared for shipment that its contents will not become a nuisance to the transportation company handling the shipment, the expense of preparation and of transportation all to be borne by the shipper. Rule No. 18. (76.) A rule to better protect public health and particularly to prevent the egress of rats and rodents from vessels and wharves, docks and landings, within the State of Florida. Section 1. No vessel shall come into any port or landing in 88 Florida, to land or to moor at any wharf or dock, unless said ves- sel shall be fended away from the landing place, wharf or dock for a distance of at least four (4) feet, and every hawser, line, rope and other means of staying said vessel at such landing, wharf or dock shall be provided with a rat shield or a guard properly at- tached to such hawser or rope which shield shall be of the pattern approved by the United States Public Health Service, and so de- signed and constructed and used as to effectually prevent the egress of rats and rodents from such vessels to such landing, wharf or dock. Sec. 2. No gangplank, staging, ladder, skids or other device whatsoever whereby rats and rodents may find egress from a vessel to such wharf, dock or landing shall be ever allowed to extend from any vessel in communication with such wharf, landing or dock except only during such times as such vessel is actually engaged in discharging or receiving cargo and at the time of loading or dis- charging cargo only when the master, owner or agent, of said ves- sel shall have stationed at every gangplank, and within five (5) feet of same, a person whose duty it shall be to prevent rats and rodents from reaching the wharf, dock or landing from said ves- sel, while not actually in use all such staging, gangplanks, and other devices and means of egress for rats and rodents from ves- sels to shore shall be removed so as to positively cut off all com- munication from said vessel to the dock, landing or wharf. Sec. 3. No freight so packed or crated as to allow the harbor- ing of rats and rodents shall be removed from any vessel until the same shall have been examined and inspected so as to insure the absence of rats and rodents from such freight. Sec. 4. The following definitions of words used in this Rule are hereby adopted: "Vessel" is meant any boat engaged in traffic or carrying freight. "Wharf" "dock" or "landing" mean and shall embrace any place where a vessel may land, discharge or take on a cargo or freight, receive or disembark passengers, whether the same be the 89 natural shore of the bay or a structure of any kind that may be used for any such purpose. Sec. 5. That the owner, master or agent of any vessel, or their servants or employees, or any person whomsoever who shall violate any provision of this Rule shall, upon conviction, be punished as by law. Sec. 6. All rules and parts of rules in conflict herewith be and the same are hereby repealed. Ins. No. 19. Smallpox. In the presence of a case of small- pox, or of an epidemic of such, it is recommended : 1. See the case and personally make a diagnosis. Where a diagnosis is difhcult as between smallpox and some other less dangerous infection, it is best to temporarily assume, for the pur- pose of safeguarding the public health, that the case is one of small- pox and to be governed accordingly. 2. Isolate the patient. Contacts, or persons who have been exposed to a case of smallpox but as yet have not developed any symptoms of the infection, can not be isolated. (The term "quaran- tine" has been abandoned for the terms "isolate" and "isolation.") 3. Placard house, apartment, hotel room, tent, boat or other domicile wherein patient is found. Proper placards will be fur- nished by the State Health Officer upon application. 4. Urge immediate vaccination of all other occupants of the premises and all persons who have been exposed. It is also proper to urge the vaccination of children in schools. It is not proper nor desirable to close schools on account of the presence of smallpox in the community. 5. It must be borne in mind that vaccination is not, under any circumstances, compulsory in Florida. 6. It should be impressed upon the public that vaccination is the only way to prevent smallpox and the only proper way to pre- vent spread of the disease, and that all other measures are more or less ineffective in its control and likely to create a false sense of security in the minds of persons unknowingly exposed. 7. Vaccine will be furnished free by the State Board of Health. 90 (See list of laboratories and distributors of State Board of Health biologies.) Ins. No. 20. Diphtheria. 1. In handling an infection the clinical evidence of which is sufficient to indicate diphtheria, it is recommended that swabs be immediately taken from both nose and throat and forwarded to a State Board of Health laboratory. 2. Antitoxin should be given such cases at once, in a liberal dose (5,000 to 10,000 units or more) and repeated as indicated, not waiting for a laboratory report. The toxin of diphtheria pro- duces its injurious effect immediately; antitoxin is less effective with each day's delay and is of doubtful effect after the fourth day. 3. If first culture reports are negative, and if case is clinically diphtheria, continue to treat it as such until diphtheria can be posi- tively excluded. 4. Cases known or suspected to be diphtheria should be isola- ted, placarded and reported as required by the Rules and Regula- tions and finally should be released when and as prescribed by Rule No. 8. 5. On the appearance of a case of diphtheria in a school, it is proper to make swabs both from nose and throat of all children and teachers to determine if there be a carrier. By most physicians the nose swab is considered to be more important than that from the throat. 6. Diphtheria carriers are classed as cases of diphtheria and are subject to the same Rules and Regulations as are active cases. 7. The State Board of Health does not recommend the use of immunizing doses of antitoxin. More than fifty per cent of all per- sons are immune to diphtheria. In giving immunizing doses the patient is frequently sensitized and as a consequence, when if found necessary, later curative doses of antitoxin be given, untoward results may be obtained through anaphylaxis. 8. It is recommended in the case of contacts, as better pro- cedure, to isolate such patients, secure nose and throat cultures and if found infected to proceed as in the case of an ordinary car- rier; in carrier cases only local treatment is recommended. Where contacts do not clear up in a reasonable length of time, the State Laboratory will determine the virulence of the organisms pre- 91 sent, by animal inoculation. Upon the appearance of clinical evi- dence of diphtheria, in such contacts under observation, proceed as indicated in active cases; giving liberal doses of antitoxin. 9, It is recommended that schools be not closed upon the ap- pearance of diphtheria. Ins. No. 21, Scarlet Fever. 1, In the presence of an out- break of scarlet fever, isolate cases of suspicious sore throat pend- ing a diagnosis. If diagnosis is in doubt, take all necessary pre- cautions necessary for scarlet fever until diagnosis is definitely de- termined. 2. Cases of scarlet fever should be isolated, placarded and re- ported as required by the Rules and Regulations of the State Board of Health. 3. It is recommended that care should be taken to see that all excretions, secretions, pus and all discharges from cases of scarlet fever, are burned or thoroughly disinfected. 4. Serious consideration should be given to the matter of isola- ting patients until disappearance of all discharges. Ins. No. 22. Typhoid Fever. Organism typhoid bacillus, pre- sent in the intestinal discharges and urine, frequently found in the excreta from the skin and bronchial secretions. The infection invariably comes from a case or carrier either through direct contact or through contaminated food or drink, or through the hands of a second person as the nurse or attendant. Flies can carry the infection for considerable distance, a half mile or more. Success in the management of typhoid fever depends on an early diagnosis. When a case of typhoid fever is diagnosed the patient should preferably be placed in a hospital or isolated m a well ventilated room containing as little furnishings as possible. The room should be thoroughly screened to prevent the access of flies, in the absence of screens the patient should be protected by mosquito net. No dusting or dry sweeping should be done in the room. The case should be promptly reported to the State Board of Health. 92 An effort should be made to determine the source of the in- fection. All food, milk and water used by the patient during a period of thirty days immediately preceding the illness should be investi- gated and its source determined. Inquiries should be instituted to determine possible contact with a case or carrier, keeping in mind the possible transmission by flies from cases or carrier in the community. Success in the prevention of the spread of the infection depends on the scrupulous cleanliness of the person of the patient and at- tendant. The physician in attendance upon a case of typhoid fever should give to the nurse or other attendant, definite and minute instruction relative to the care of the patient and the precautions necessary to be taken both with the patient and by the attendant to prevent the spread of the disease to others. The disinfection of the stools, urine and other excreta is of the first importance and should be carried out with great care. For the disinfection of the urine sufficient bichloride to make a 1 to 1000 solution, carbolic acid two and a half (2.5) per cent, of formalin ten (10) per cent, may be used. The urine should be allowed to stand for one hour before discarding. Stools may be disinfected by a bleaching powder, three (3) per cent, milk of lime (1-8), cresole one (1) per cent, carbolic acid five (5) per cent, formalin ten (10) per cent, or quick lime and hot water. The discharges should be received in glass or porcelain enameled vessels containing some of the germicidal solution, then sufficient of the solution added to make twice the volume of the excreta to be disinfected. Disintegrate the mass thoroughly and let stand one or two hours protected from flies before emptying. Masses are so difficult to penetrate that they must be broken up thoroughly with a stick or paddle. It takes twelve hours for strong carbolic solution to penetrate a small fecal mass, larger masses are impenetrable to most germicidals. Bichloride of mercury in ordinary strength is worthless as a disinfectant for typhoid stools. The patient should have his own dishes, cups, spoons, glasses, etc., which should be scalded after using. They should not be washed in common with dishes used by others. 93 Remnants of food should not be eaten by others ; such remnants should be burned or boiled before discarding. Those who nurse typhoid should not prepare food for others ; it is particularly dangerous for them to have anything to do with the handling of milk used by other members of the family. Towels, sheets, night gowns and all fabrics used about the patient should be changed daily or as often as. they become soiled and should be disinfected by boiling or emersed in a disinfecting solution for one hour. 1-1000 bichloride solution, 2 point 5 carbolic acid 2.5 cresol, or Liq. cresolis compositus one per cent solution. The water used to bathe the patient should be disinfected before it is emptied ; this may be done by adding sufficient carbolic acid to make two and a half (2.5) per cent solution or three (3) per cent bleaching powder, the latter is cheaper and most practical. The nurse should disinfect her hands by washing with soap and water or emerse them in a bichloride solution each time after attending to the patient. Ins. No. 23. Tuberculosis. 1. It is recommended that phy- sicians treating cases of tuberculosis, instruct other persons com- ing in contact with such infected persons as to the various means of personal prophylaxis, such as : Lviving a clean, normal and temperate life. Avoiding close or prolonged association with persons known to have tuberculosis ; such as living or working in the same room. Refusing to drink from common drinking cups. Refusing to drink milk that does not come from tuberculin-tested cattle. Strengthening his resist- ance by getting a sufficient amount of rest, fresh air, good food and sunshine. Avoiding recurrent colds and continuous fatigue and a condition of anaemia and underweight. 2. As tuberculous sputum is the principal source of infection, it should be disinfected or disposed of so that it will be harmless to others. Perhaps the best way is to receive the expectorated mat- ter into cloths, which may be burned, or the material may be re- ceived into one of the various forms of sputum cups and finally burned or disinfected. Persons with pulmonary tuberculosis should be warned against the possible danger to others of coughing without holding the handkerchief before the mouth and nose ; under no circumstances should they spit upon the floor. 94 3. Rooms occupied by tuberculosis patients should be kept clean and disinfected from time to time. Open cases of tubercu- losis should not be cared for in the home except when not other- wise avoidable. 4. It is urged that all physicians and others be diligent in searching out and reporting all cases of tuberculosis in the early stages of the disease in order that the patient may have the benefit of care and treatment at a time when his case has not become hope- less and in order that members of his family and other persons coming in contact with him may observe proper precautions against infection, 5. It should be borne in mind that it is the concensus of opinion of a majority of authorities, that tuberculosis is essentially a disease of childhood. Treatment of Indigent Crippled Children. Ins. No. 24. The State Board of Health, under the provisions of Chapter No. 6133 of the Laws of 1911, is authorized to treat indi- gent crippled children, of Florida. This service has been called the Orthopedic Service of the State Board of Health. The Orthopedic Service, of the State Board of Health, is under the direction of Doctor J. Knox Simpson, Surgeon in Charge. Arrangements have been perfected with St. Luke's Hospital, Jacksonville, Florida, in which institution the cases are given the necessary care and attention. It is requested, by the State Board of Health, that, before cases are sent to St. Luke's Hospital for treatment, authority be obtained from the State Health Officer who will, upon application, forward certain blanks which must be properly filled out before authority will be given for receiving the case. Under all conditions, it is required that transportation to and from Jacksonville be paid by relatives or friends of the patient as there is no legal authority for payment of transportation charges for crippled children from the funds of the State Board of Health of Florida. 95 Treatment of Indigent Cancer Cases. Ins. No. 25. The State Board of Health has been desirous of offering free treatment for indigent cancer cases. It was developed that the expenditure of State Board of Health funds for this purpose is illegal. Arrangements have been perfected with Doctor Gerry R. Holden, Jacksonville, Florida, who has kindly consented to treat with radium a limited number of female, inoperable cancer cases without expense to the State Board of Health. Only women who are regarded as having inoperable cancer are offered this free radium treatment. The profession is earnestly requested to not send any cancer cases to Jacksonville for treatment except upon specific authority from the State Health Officer who will, upon application, send certain forms which must be properly filled out before authority for receiving the case is given. Rule No. 26. (69.) Regulating the Manufacture, Importation and Bottling of Waters. Sec. 1. It shall be the duty of every manufacturer, importer, bottler or other person,, firm or corpora- tion, manufacturing, bottling or importing in the State of Florida, any artificial or natural mineral, spring or other water for drinking purposes to file, on or before each January tenth, under oath, with the State Board of Health, the name of such water and the exact location from which it is obtained, together with the bacteriological examination thereof. Sec. 2. No person, persons, firm or corporation shall manu- facture or bottle mineral, carbonated, spring or natural waters in the State of Florida without a permit from the State Board of Health. No permit shall be required, however, where the city water supply is conducted through closed pipes and connected with a carbonated apparatus, from which it is dispensed directly to the consumer, without coming in contact with the air and not handled in any way. The State Board of Health, however, reserves the right to revoke any permit or permits at any time when, after a thorough investigation and examination the domestic use of the 96 water of any person, persons, firm or corporation shall appear to it to be a menace to the public health. Sec. 3. It shall further be the duty of every manufacturer, bottler, importer or other person, firm or corporation manufactur- ing, bottling or importing in the State of Florida any artificial, natural mineral, spring or other water for drinking purposes, to provide the State Board of Health with two bottled samples, as prepared for sale on the market, at frequent intervals for labora- tory examination as to purity. Sec. 4. Any person, persons, firm or corporation violating any of the provisions of the above sections shall be deemed guilty of a misdemeanor and upon conviction thereof forfeit his or its permit or pay a penalty not to exceed two hundred dollars or both at the discretion of the court. Sec. 5. All regulations or rules in conflict herewith are re- pealed. Rule No. 27. (71.) Providing for sanitation of markets, gro- cery stores, drug stores, fruit stands, hotels, restaurants or any other place where foods, fruits, drinks or ice cream are prepared, kept or offered for sale and providing a penalty for the violation of the same. Be it ordained that: Section 1. All places preparing, keeping, dispensing or offering for sale foods, fruits, ice creams, soft drinks or other substances in- tended for human consumption except those in sealed bottles or other sealed containers, shall have all doors, windows or other openings thoroughly screened with wire netting of such a mesh as to prevent the access of flies. Sec. 2. The District Health Officer or any other duly author- ized authority of the State Board of Health may or shall, follow- ing due notification, post a placard on any insanitary market, gro- cery store, drug store, fruit stand, hotel, restaurant or any other place where foods, fruits, drinks or ice cream are prepared, kept or offered for sale. Sec. 3. That any person who shall violate, disobey, refuse, omit or neglect to comply with this rule of the State Board of Health made by it in pursuance of Chapter 5931 (No. 62) Laws of 97 Florida, shall be guilty of a misdemeanor and upon conviction thereof, shall be punished by imprisonment not exceeding thirty days or a fine not exceeding fifty dollars. Rule No. 28. (72.) Governing the preparation, sale and vending of foods in the State of Florida and providing a penalty for the violation of the same. Be it ordained that: Section 1. All foods offered for sale in the State of Florida shall be prepared in such a manner as to meet the approval of a duly authorized inspector of the State Board of Health. Sec. 2. All premises surrounding places where foods are kept, prepared or offered for sale shall be approved by a duly authorized inspector of the State Board of Health. Sec. 3. All foods for sale shall be kept in and oft'ered to the public only in such a manner as may be prescribed by a duly authorized authority of the State Board of Health. Sec. 4. That any person who shall violate, disobey, refuse, omit or neglect to comply with this rule of the State Board of Health, made by it in pursuance of Chapter 5931 (No. 62), Laws of Florida, shall be guilty of a misdemeanor and upon conviction thereof, shall be punished by imprisonment not exceeding thirty days or by a fine not exceeding fifty dollars. Rule No. 29. (7Z.) Controlling Water and Sewage Treatment Plants. Sec. 1. The Superintendent, owner or operator of all water supply and sewage treatment plants, either privately or municipally owned or controlled where water for human consump- tion or sewage is treated in any manner by filtration, chlorination or the addition of chemicals shall submit weekly to the State Board of Health, or as often as may be deemed necessary by the State Health Officer, daily records of treatment plant operation. These data will include daily amount of chlorine or other chemicals used, the daily quantity of water or sewage treated, the daily pumpage, the rate of filtration, daily loss of head, and any other data as may be required on forms furnished to water and sewage plant opera- tors by the State Board of Health. Sec. 2. Any responsible person as noted above failing to sub- mit records as prescribed in Section 1 shall be deemed guilty of a 98 misdemeanor and upon conviction thereof pay a penalty not to exceed $100.00 or suffer imprisonment or both at the discretion of the court. Sec. 3. All regulations or rules in conflict herewith are re- pealed. Rule No. 30. (74.) For Sewage Plant Operators. 1. Annually, during the month of January, the city clerk of every incorporated city or town wherein a sewage treatment plant is located shall submit to the Bureau of Engineering of the State Board of Health, on a form furnished by it, the name of the individual responsible for the proper operation of the sewage treatment plant. Upon occur- rence of a vacancy, or change of responsibility, the city clerk shall promptly notify the State Board of Health of such a change. 2. Sewage treatment plants in the scope of this rule include any and all devices for the receiving, storing, screening and modify- ing of sewage. Rule No. 31. (75.) For the Control of Sanitation and Cleanli- ness of Camps in Incorporated Towns Within the State of Florida. Section 1. All camp sites shall be dry and well drained. Sec. 2. An adequate supply of potable drinking water shall be provided on camp grounds. Water from wells other than a public supply shall not be used until it has been approved by the State Board of Health. Sec. 3. Waste liquids and slops shall be disposed of in a man- ner approved by the State Board of Health, so as not to create a nuisance, attract or breed flies. Sec. 4. Sewer connected, water supplied, properly flushed water closets shall be provided where sewer connections are possible. Sec. 5. Where sewer connections are not possible, sanitary fly- proof privies approved by the State Board of Health or specified by the ordinance of the city wherein the camp is located shall be provided. Sec. 6. All garbage and refuse shall be stored in metal cans with tight covers and ishall be removed from the premises and dis- posed of daily. 99 Sec. 7. Garbage and refuse shall be disposed of by incinera- tion or burial. Any camper violating any of these above sections shall be deemed guilty of a misdemeanor and upon conviction, be fined no less than ten dollars ($10.00). Each and every violation shall be considered a separate offense punishable by fine. Rule No. 32. (80). For the Control of Sanitation and Cleanli- ness of Camps Within the State of Florida. Sec. 1. Campers shall select sites which are dry and well drained. Sec. 2. Campers shall not use for drinking purposes water from pools, ponds, lakes, ditches, dug wells or other surface sources without first filtering and boiling same thoroughly. Water from deep wells should be used in preference to other waters. Sec. 3. All campers shall provide a straddle pit for the dis- posal of human discharges and other wastes. When leaving a camp site all straddle and refuse pits shall be filled with earth. Sec. 4. All camp sites must be kept clean and free from all accumulations of refuse. All refuse shall be collected at a suit- able point for disposal by burning or burial. All tin cans shall be crushed and buried. Any camper violating any of these above sections shall be deemed guilty of a misdemeanor and upon conviction be fined no less than ten dollars ($10.00). Each and every violation shall be considered a separate offense punishable by fine. Rule No. 33. (78.) Common Drinking Cups Prohibited in Public Places. Section 1. The use of the common drinking cup or common receptacle for drinking water in any public place, park, or square, or in any public institution, hotel, theater, factory, depart- ment or other store, public hall, or public school, or in any railway station in the State of Florida or the furnishing of such common drinking cup or common receptacle for use of any such place as herein mentioned is hereby prohibited. Sec. 2. Any person, firm, or corporation violating any of the provisions of this ordinance shall be deemed guilty of a misde- meanor and upon conviction thereof shall be punishable by a fine of not exceeding $50 or by imprisonment in the county jail not to exceed 30 days, or by both such fine and imprisonment. 100 Rule No. 34. (79.) Common Towels Prohibited in Public Places. Section 1. That no person, firm or corporation in the State of Florida shall hang or place, or cause or permit to be hung or placed, any towel, or other material which could be used for the purpose of a towel, in any place in any store, building, hotel, restaurant, church, hall, factory, theater, or other public place where more than one person could use the same for said purposes. Pro- vided, That this ordinance shall not apply to paper towels which are to be discarded after use by one individual, or towels of such size that they can properly be used but once, and if placed in sufficient quantity to accommodate all persons who may make use of them. Sec. 2. Any violation of this ordinance shall be punished by a fine not exceeding $50. Rule No. 35. (76.) For Sanitation and Cleanliness of Barbet Shops. Section 1. Each barber shall at all times be supplied with hot and cold water. If a heating or storage tank is used the open- ing at the top of the tank must not exceed two inches in diameter. The dipping of towels, mugs, tools or utensils of any kind in hot or cold water tank is prohibited. Sec. 2. All cups, lather brushes, and tools must be thoroughly cleansed in hot water in each instance before using. Sec. 3. Hair brushes and all other brushes must be kept in a clean and thoroughly sanitary condition at all times. Sec. 4. Nothing but fresh laundered towels, including dry towels, steam towels, or wash cloths shall be used for each patron. The head rest must be covered with a fresh paper before using for each patron. In cutting the hair of any person a newly laundered towel shall be placed about the neck so as to prevent the hair cloth touching the skin. Sec. 5. All razors, shears, clippers or other instruments used in cutting the hair, shaving the face or neck of a person sufifering from any eruption must be thoroughly sterilized immediately after use with hypochlorite solution or other disinfectants of similar strength and germicidal power. All tweezers, needles, massage applicators and other instruments of this kind must be thoroughly sterilized both before and after use. 101 Sec. 6. The use of styptic pencils, finger bowls, powder puffs, and sponges is positively forbidden. The use of styptic powder and individual applicators is permitted. Sec. 7. No barber having a communicable disease, including open tuberculosis, syphilis in its infectious stage or granulated eye lids shall be permitted to work in a barber shop. Sec. 8. Every barber shop shall be provided with cuspidors made of impervious material and such cuspidors shall be kept in a clean, sanitary condition. Sec. 9. No barber shop shall be used as a sleeping room or dormitory. Sec. 10. All tools, instruments, or appliances shall be thoroughly sterilized immediately after their use upon any sick person. Sec. 11. No barber shop shall use any comb, brush, tool or other article on the living that has been employed in the care of a dead body. Sec. 12. A copy of these regulations shall be posted in a con- spicuous place in each barber shop. N Rule No. 36. Sanitation of Schools — Air Space and Ventilation. Section 1. Every school room shall have not less than 15 square feet of floor space, and not less than 200 cubic feet of air space per pupil. In auditoriums at least 7 square feet of floor area per person shall be provided. Sec. 2. In every school room the total light area shall equal at least 20 per cent of the floor space, and the light shall not be ad- mitted thereto from the front of seated pupils. Sec. 3. Every school room must be provided with ample means of ventilation. All windows shall admit of ready adjust- ment at both top and bottom. Every school room shall be equipped with a thermometer. Sec. 4. The air in any school room shall be kept at all times in a wholesome condition. At least 30 cubic feet per person per minute shall be provided in class rooms and 15 cubic feet in audi- toriums. Sec. 5. Toilets shall be provided in buildings in accordance with the following plan : 102 Elementary School High School Boys toilet seats 1 for each 25 boys 1 for each 33 boys Boys urinals 1 for each 15 boys 1 for each 20 boys Girls toilet seats 1 for each 15 girls 1 for each 20 girls Window area in toilet rooms shall be equal to 20 per cent of the floor area. Sec. 6. Where bubbling fountains are used, only those of an approved type shall be used. One fountain shall be provided for every 80 children. Sec. 7. Every school, public or private, shall be furnished at all times when in use with an adequate supply of pure, fresh drink- ing water. This shall be running water wherever such water is available. If running water is not available, a tank or cooler shall be supplied, furnished with a spigot or bubbler. Sec. 8. If no satisfactory bubbling fountain be provided at the school, every pupil in attendance shall be required to have and to use an individual cup which shall be for his own exclusive use. The use of the common drinking cup at any school is hereby for- bidden under all circumstances. Sec. 9, The well, spring or cistern from which water is drawn for drinking purposes at the school must be safely protected against pollution. Rule No. 37. Sanitation of Public Buildings. Section 1. Every church, hall, theater or other building used for public meetings shall be kept at all times in a clean and sanitary condition. Every such building shall be provided with proper means for maintain- ing the purity of the atmosphere while in use and such means must be employed at all times. Sec. 2. All buildings used for public meetings shall be cleaned after each meeting held in them, such cleaning to consist of thorough sweeping of floors and wiping of woodwork, together with the opening of all windows and doors to permit the entrance of fresTi air and sunshine. No such building or room shall be swept without first sprinkling the floor with water or throwing on it damp sawdust or other absorbent material to prevent dust. Woodwork shall be wiped down with a damp cloth, and dry dust- 103 ing with feathers or dry cloths shall not be practiced. In con- struing this rule all meetings held during the course of a single day shall be l^egarded as one meeting. Sec. 3. An ample number of spittoons or cuspidors shall be furnished, which shall contain sufficient water to stand one-half inch deep on the bottom. They shall be emptied, washed and disinfected with an approved disinfectant after each day's use. Rule No. 38. Governing the Specifications for Septic Tanks and Absorption Beds for the Treatment of Sewage at Residences. Sec- tion 1. Septic tanks for residential use installed in Florida shall conform to the following specifications : (a) The tank shall be constructed of durable, non-corrosive material, absolutely impervious to water and resistant to decay. (b) Concrete tanks shall be thoroughly waterproofed on the inside, or constructed of cement mixed with a standard water- proofing element. No concrete shall be used having a weaker texture or consistency than 1 :2 :4, that is, one part by volume of cement, two parts by volume of sand and four parts by volume of stone. Commercial concerns shall file a sworn statement with the State Board of Health of the concrete consistency. (c) In the construction of concrete tanks standard methods and specifications shall be followed as regards materials, tools and mixing procedure. (d) Commercial tanks (shall be fully guaranteed not to leak when laid down at the point of installation, and shall be tested for leakage before installation. (e) Tanks shall consist of two or more chambers connected by a bafifled weir, overflow pipe and orifice properly located. Two or more tanks may be connected together in series by means of overflow elbows and pipe. (f) No tank shall be placed less than 50 feet, if possible, from a well, spring, or other source of domestic water supply. (g) The minimum effective capacities of tanks shall be 50 gal- lons of sewage per person per 24 hours. The length of tank shall be about twice its width and the minimum effective depth about three feet. No tank shall have an effective sewage capacity of less th-an 200 gallons. 104 Sec, 2. The drainage or absorption bed from the septic tank shall conform to the following: (a) Drains shall be of cement or agricultural tile, laid with loose abutting joints. Joints shall be covered with sections of tar paper previous to refilling of the pipe trench. (b) To insure distribution and absorption, in clay and other non-porous soils, the drains shall be laid on a bed of coarse gravel or cinders, 6 inches in depth, to the full width of the trench. Where drains are laid in coarse, deep and porous sand the gravel or cinder bed may be omitted. (c) Drains shall be of 4 inch diameter or greater. ' (d) Absorption drain lines shall be laid not less than 6 feet apart, and laid with inverts not less than 12 inches deep in the soil. (e) The minimum grade for drain lines shall be 2 inches per 100 feet. (f) In sandy porous soil not less than 10 feet of tile per person shall be laid. In clay and non-porous soil not less than 25 feet of tile per person shall be laid. Sec. 3. Concerns engaged in the business of promoting and selling sewage disposal units in Florida shall file with the State Board of Health at the end of each month in which sales are made, the names and addresses of all persons purchasing and installing their equipment. (This is to enable the Board to keep a check on various tank operations and accomplishments). Suggestion : At places where considerable grease is produced, the tanks should be preceded by an approved grease trap. Note : Sewage septic tanks for use at schools and other public buildings should not have the same unit capacity as given in the foregoing rule. Roughly it may be stated that tanks for such public places should be designed on a unit basis of 10-15 gallons per capita per 24 hours. In case of doubt at any time, consult the State Board of Health. Rule No. 39. Governing the Production and Handling of Milk and the Management of Dairies in the State of Florida and Provid- ing for the Enforcement of Same. Sec. 1. A dairy as used in this regulation is any place where milk or cream is handled, offered for sale or given away. Sec. 2. All dairies shall be provided with a pure water supply frequently examined and approved by the State Board of Health. Sec. 3. Every dairy shall be provided with a sanitary system 105 of sewage or excreta disposal, either a sanitary privy or septic tank of such design as is approved by the State Board of Health. Sec. 4. Every dairy shall be provided with a milk house which shall be a separate building located away from any source of con- tamination and for a single cow dairy, shall have a minimum floor plan dimensions of six by eight feet and at least ten by ten feet for dairies having more than one cow. The milk house shall have a cement floor, shall be properly screened and have a screen door opening outward provided with a suitable spring to keep it closed at all times. Interior construction shall be of smooth finish. There shall be racks for cans and bottles, so built that when these utensils are inverted on them, their mouths shall be open to the air. All milk rooms shall be washed out frequently with water containing chloride of lime. Sec. 5. The dairy barn shall be reasonably clean, well venti- lated and shall preferably have a cement floor. All newly con- structed dairy barns shall be provided with cement floors. Sec. 6. Following each milking, all manure shall be removed from the cow barn to a point at least 200 feet distant and these accumulations shall be removed often enough to prevent fly breeding. Sec. 7. All cows shall be healthy and free from disease; they shall be tuberculin tested. They shall be kept clean ; the udders and teats shall be washed, and dried with a clean cloth before milking. Sec. 8. All milking shall be done with clean, dry hands into a fishmouth milk pail having an opening not to exceed eight by three- fourths inches. No other types are approved. Sec. 9. Since dairy utensils are a highly important source of bacterial contamination of milk, it is required that they be washed and sterilized promptly after using them, for otherwise bacteria multiply in them in such numbers as to make it almost impossible for the dairyman to sterilize them with the methods he ordinarily has at his disposal. All metal dairy utensils shall be in first class condition and the seams filled flush with solder. Previous to use, all utensils shall be rinsed in lukewarm or cold water, they shall then be washed in hot water containing an alkaline wash powder, after which they shall be sterilized either with live steam or boil- 106 ing water. Strainer cloths shall always be boiled before use and dried quickly. When not in use all utensils shall be kept inverted and they, together with strainer cloths, shall be protected from flies and dust. Sec. 10. All pasteurizing shall be done between 142 and 145 degrees F., for not less than 30 minutes not more than 45, and a recording thermometer shall always be used on the pasteurizing machine. Temperature charts shall be kept for at least six weeks. Sec. 11. All milk shall be delivered iwithin two hours from the time it is drawn from the cow or it shall be cooled and held at a temperature not above 50 degrees F. until delivered. No milk shall be delivered from uncovered vehicles unless the packages of milk are covered with a tarpaulin. Sec. 12. Every case of communicable disease occurring in a dairy or in the family of any person handling milk shall be im- mediately reported to the nearest City Health Officer or to the State Board of Health, giving details. Sec. 13. In case of infectious disease occurring on a dairy farm the State Health Officer shall have authority to prohibit the sale of milk or milk products from such a dairy, if, in his judgment, it may be a carrier of infection and until such time as he may direct. Sec. 14. Any duly authorized representative of a city health department or of the State Board of Health shall be permitted at any time to enter any dairy to see that the provisions of this regu- lation are carried out. Sec. 15. Any person, firm or corporation failing to comply with the foregoing provisions shall be deemed guilty of a misde- meanor and when convicted shall be fined in the sum of not less than $5.00 or more than $50.00, or, shall be suspended from opera- tion of the dairy, and each time that such person, persons, firm or corporation neglects, fails or refuses to comply with any of the pro- visions of this regulation, shall be deemed a separate ofifense and punished as herein provided. Rule 40. {77 .) Standard Railway Sanitary Code. I, Transpor- tation of Persons Having Communicable Diseases. Section 1. Persons Not Allowed to Travel. No person knowing or suspecting himself to be afflicted with plague, cholera, smallpox, typhus fever, 107 or yellow fever shall apply for, procure, or accept transportation in any railway train, car, or other conveyance of a common car- rier; nor shall any person apply for, procure, or accept such trans- portation for any minor, ward, patient, or other person under his charge if known or suspected to be so afflicted. Sec. 2. Persons Not Accepted for Travel. Common carriers shall not accept for transportation in any railway train, car, or other conveyance any person known by them to be afflicted with any of the diseases enumerated in section 1. Sec. 3. Restricted Travel. Common carriers shall not accept for transportation on any railway train, car, or other conveyance any person known by them to be afflicted with diphtheria, measles^, scarlet fever, epidemic cerebrospinal meningitis, anterior poliomye- litis, mumps, whooping cough, influenza, pneumonia, epidemic encephalitis, septic sore throat, rubella, or chickenpox, or any person known to be a carrier of these diseases, unless such person is placed in a compartment separate 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 so comply with the following regulations : (a) Communication with the compartment within which the patient is traveling shall be restricted to the minimum consistent with the proper care and safety of the patient. (b) All dishes and utensils used by the patient shall be placed in a 5 per cent solution of carbolic acid or other fluid of equivalent disinfecting value for at least one hour after they have been used and before being allowed to leave the compartment. (c) All sputum and nasal discharges 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 patient, 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. Sec. 4. Typhoid and Dysentery. Common carriers shall not accept for transportation on any railway train, car, or other convey- ance any person known by them to be afflicted with typhoid fever, 108 para-typhoid fever, or dysentery, unless said person is placed in a compartment separate from other passengers, is accompanied by a properly qualified nurse or other attendant, and unless said nurse or attendant shall agree to comply and does so comply with the following regulations : (a) Communication with the compartment in which the patient is traveling shall be limited to the minimum consistent with the proper care and safety of the patient. (b) All dishes and utensils used by the patient shall be placed in a 5 per cent solution of carbolic acid or other fluid of equivalent disinfecting value for at least one hour after they have been used and before being allowed to leave the compartment. (c) All urine and feces of the patient shall be received into a 5 per cent solution of carbolic acid or other fluid of equivalent disinfecting value, placed in a covered vessel, thoroughly mixed, and allowed to stand for at least two hours after the last addition thereto before being emptied. (d) A sheet of rubber or other impervious material shall be carried and shall be spread between the sheet and the mattress of any bed that may be used by the patient while in transit. (e) Said nurse or attendant shall use all necessary precautions to prevent the access of flies to the patient or his discharges, and after performing any service to the patient shall at once cleanse the hands by washing them in a 2 per cent solution of carbolic acid or other fluid of equivalent disinfecting value. (f) Provided, That if a person with typhoid or dysentery is presented at a railway station in ignorance of these regulations and his transportation is necessary as a life-saving or safeguarding measure, an emergency may be declared and the patient may be carried a reasonable distance in a baggage car if accompanied by an attendant responsible for his care and removal : Provided also. That regulations (a), (b), (c), (d) and (e) of this section shall be complied with in so far as the circumstances will allow, and that all bedding, clothing, rags, or cloths used by the patient shall be re- moved with him : And provided further, That any parts of the car which have become contaminated by any discharges of the patient shall be disinfected as soon as practicable, but not later than the end of the run, by washing with a 5 per cent solution of carbolic acid or other fluid of equivalent disinfecting value. 109 Sec. 5. Restricted Application for Transportation. No person knowing or suspecting himself to be afflicted with any of the diseases mentioned in Sections 3 and 4 shall apply for, procure, or accept transportation in any railway train, car, or other convey- ance of a common carrier, nor shall any person apply for, procure, or accept such transportation for any minor, ward, patient, or other person under his charge if known or suspected to be so afflicted unless he shall have agreed to and made all necessary arrange- ments for complying, and does so comply, with the regulations set forth in said Sections 3 and 4. Sec. 6. Suspected Cases. If a conductor or other person in charge of a railway train, car, or other conveyance of a common carrier, or an agent or other person in charge of a railway station, shall have any reason to suspect that a passenger or a person con- templating passage is afflicted with any of the diseases enumerated in Sections 1, 3 and 4, he shall notify the nearest health officer, or company physician if the health officer is not available, by the quickest and most practicable means possible, of his suspicion ; and said health officer or physician shall immediately proceed to the train, car, or other conveyance at the nearest possible point, or to the railway station, to determine whether such disease exists. Sec. 7. Disposition. If the health officer or physician, as pro- vided for in Section 6, shall find any such person to be afflicted with any of the diseases enumerated in Sections 1, 3 and 4, he shall remove such person from the station or conveyance, or shall isolate him and arrange for his removal at the nearest convenient point; shall treat the car or other conveyance as infected premises, allow- ing it to proceed to a convenient place for proper treatment if in his judgment consistent with the public welfare, in such case notify- ing the health officer in whose jurisdiction the place is located; and shall take such other measures as will protect the public health ; Provided, That if not prohibited in Sections 1 and 2 of these regu- lations the afflicted person so found may be allowed to continue his travel if arrangements are made to comply, and he does so com- ply, with the requirements of the section of these regulations per- taining to the disease with which he is afflicted. no Sec. 8. Leprosy. Common carriers shall not accept for trans- portation nor transport in any railway train, car, or other convey- ance any person known by them to be afflicted with leprosy, unless such person presents permits from the Surgeon General of the United States Public Health Service or his accredited representa- tive, and from the State Board of Health of the States from which and to which he is traveling, stating that such person may be re- ceived under such restrictions as will prevent the spread of the disease, and said restrictions shall be specified in each instance; and no person knowing or suspecting himself to be afflicted with leprosy, nor any person acting for him, shall apply for, procure, or accept transportation from any common carrier unless such per- mits have been received and are presented, and unless the person so afflicted agrees to comply and does so comply with the restric- tions ordered. If any agent of a common carrier shall suspect that any person in a train, car, or other conveyance, or at a railway station, is afflicted with leprosy, he shall proceed as directed in the case of other suspected diseases in Sections 6 and 7 of these regula- tions. Sec. 9. Pulmonary Tuberculosis. Common carriers shall not accept for transportation any person known by them to be afflicted with pulmonary tuberculosis in a communicable stage unless said person is provided with (a) a sputum cup made of impervious material and so constructed as to admit of being tightly closed when not in use, (b) a sufficient supply of gauze, papers, or similar articles of the proper size to cover the mouth and nose while cough- ing or sneezing, (c) a heavy paper bag or other tight container for receiving the soiled gauze, paper, or similar articles ; and unless such person shall obligate himself to use the articles provided for in the manner intended, and to destroy said articles by burning or to disinfect them by immersing for at least one hour in a 5 per cent solution of carbolic acid or other solution of equivalent disinfecting value; nor shall any person knowing himself to be so afflicted apply for, procure, or accept transportation unless he shall have agreed to and made all necessary arrangements for complying and does so comply with the regulations as set forth in this section. Sec. 10. Conveyances Vacated by Infected Persons, Im- Ill mediately after vacation by a person having any of the diseases mentioned in Sections 1, 3, 4 and 8, any berth, compartment, or stateroom should be closed and not again occupied until properly cleaned and disinfected, and all bedding, blankets, and linen in any such space should be laundered or otherwise thoroughly cleaned and disinfected before being again used. II. WATER AND ICE SUPPLIES. Sec. 11. Water to be Certified Water provided by common carriers for drinking or culinary purposes in railway trains, cars, or other conveyances or in railway stations shall be taken from supplies certified by the United States Public Health Service as meeting the required standards of purity and safety prescribed by the Interstate Quarantine Regulations of the United States. Sec. 12. Ice. Ice used for cooling water provided as in Section 11 shall be clear natural ice, ice made from distilled water, or ice made from water certified as aforesaid ; and before the ice is put into the water it shall be washed with water of known safety and handled in such manner as to prevent its becoming contaminated by the organisms of infectious diseases : Provided, That the fore- going shall not apply to ice that does not come in contact with the water to be cooled. Sec. 13. Water Containers. Water containers in newly con- structed cars and those newly installed in stations shall be so con- structed that ice for cooling does not com_e in contact with the water to be cooled: Provided, That after July 1, 1922, all water containers in cars and stations shall be so constructed that ice does not come in contact with the water. Sec. 14. Care of Water Containers. All water containers where water and ice are put into the same compartment shall be thoroughly cleansed at least once in each week that they are in use. All water containers and water storage tanks shall be thoroughly drained and flushed at intervals of not more than one month. 112 Sec. 15. Filling Water Containers. Portable hose or tubing that is used for filling drinking-water containers, or car storage tanks from which such containers are filled, shall have smoo'th metal nozzles, which shall be protected from dirt and contamina- tion, and before the free end or nozzle of said hose or tubing is put into the water container or car storage tank it shall be flushed and washed by a plentiful stream of water. III. CLEANING AND DISINFECTION OF CARS. Sec. 16. General. All railway passenger cars or other public conveyances shall be kept in a reasonably clean and sanitary con- dition at all times when they are in service, to be insured by me- chanical cleaning at terminals and lay-over points. Sec. 17. Cleaning. All day coaches, parlor cars, buffet cars, dining cars, and sleeping cars shall be brushed, 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. Sec. 18. Thorough Cleaning. Thorough cleaning shall con- sist of scrubbing the exposed floors with soap and water; similarly scrubbing the toilets and toilet-room floors ; wiping down the wood- work with moist or oiled cloths ; thorough dusting of upholstery and carpets by beating and brushing, or by means of the vacuum process or compressed air; washing or otherwise cleaning windows; and the thorough airing of the car and its contents. Sec. 19. Odors in Cars. When offensive odors appear in toilets or other parts of the car which are not obliterated and re- moved by cleaning as in Section 18, said toilets or other parts of the car shall be treated with a 1 per cent solution of formaldehyde or other odor-destroying substance. Sec. 20. Vermin in Cars. — Whenever a car is known to have become infested with bedbugs, lice, fleas, or mosquitoes, such car shall be so treated as to effectively destroy such insects, and it- shall not be used in service until such treatment has been given. 113 IV. CARS IN SERVICE. Sec. 21. Cleaning. The cleaning of cars while occupied shall be limited 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 passengers. Sec. 22. Sweeping. Dry sweeping of the interior of a car in transit with an ordinary broom is prohibited. Bee. 23. Dusting. Dry dusting of the interior of a car in tran- sit is prohibited. Sec, 24. Brushing. The brushing of passengers' clothing in the body of the car in transit is prohibited. Sec. 25. Drinking Cups. Individual drinking cups in sufficient number shall be supplied in all cars, and the use of common drink- ing cups is prohibited. Sec. 26. Towels. The supplying of roller towels or other towels for common use in cars is prohibited. Sec. 27. Comb and Brush. The supplying of combs and brushes for common use in cars is prohibited. Sec. 28. Spitting. Spitting on the floors, carpets, walls, or other parts of cars by passengers or other occupants of them is prohibited. Sec. 29. Cuspidors. An adequate supply of cuspidors shall be provided in all sleeping cars, smoking cars, and smoking compart- ments of cars while in service. Said cuspidors shall be cleaned at the end of each trip, and oftener if their condition requires. Sec. 30. Brushing of Teeth. Spitting or blowing the nose into or brushing the teeth over wash basins in cars is prohibited. Sepa- rate basins for brushing the teeth shall be provided in the wash rooms of sleeping cars. 114 Sec. 31. Drinking Water and Ice. Drinking water and ice on railway cars shall be supplied in accordance with the conditions set forth in Sections 11, 12, 13, 14 and 15 of these regulations. Sec. 32. Ventilation and Heating. All cars when in service shall be provided with an adequate supply of fresh air, and in cold weather shall be heated so as to maintain comfort. When artificial heat is necessary, the temperature should not exceed 70° F., and in sleeping cars at night after passengers have retired it should not exceed 60° F. Sec. 33. Toilets in Cars, A proper toilet room and lavatory shall be provided in all railway passenger cars, express cars, mail cars, and baggage cars for the use of their occupants. Such toilets shall be supplied with toilet paper, soap, and free or pay clean towels, and shall be kept in a clean and sanitary condition. Sec. 34. Toilets to be Locked. The toilet rooms in all railway cars shall be locked or otherwise protected from use while trains are standing at stations, passing through cities, or passing over watersheds draining into reservoirs furnishing domestic water supplies, unless adequate water-tight containers are securely placed under the discharge pipe. The State health authority having juris- diction shall designate the area of watersheds that may be affected by pollution from railroads and shall notify the managing officers of railroads as to the points between which all toilets shall be locked. Sec. 35. Toilets in Dining Cars. A proper toilet room and lavatory shall be provided in all dining cars for the use of dining- car employees, and the same shall be supplied with toilet paper, soap, and clean towels, and shall be kept in a clean and sanitary condition. Such toilet room shall have no direct connection with the kitchen, pantry, or other place where food is prepared. The word "dining car" as used in these regulations shall be held to in- clude all cars in which food is prepared and (served. Sec. 36. Dining Cars to be Screened. Dining cars shall be screened against the entrance of flies and other insects, and it shall 115 be the duty of dining:-car employees to destroy flies or other insects that may gain entrance. Sec. Z7. Dining-car Employees to Cleanse Hands. Dining-car employees shall thoroughly cleanse their hands by washing with soap and water after using a toilet or urinal and immediately before beginning service. Sec. 38. Care of Tableware. All cooking, table and kitchen utensils, drinking glasses, and crockery used in the preparation or serving of food or drink in dining cars shall be thoroughly washed in boiling water and suitable cleansing material after each time they are used. Sec. 39. Food Containers. Refrigerators, food boxes, or other receptacles for the storing of fresh food in dining and buffet cars shall be emptied and thoroughly washed with soap and hot water at least once in each seven days that they are in use. Sec. 40. Food and Milk. No spoiled or tainted food, Avhether cooked or uncooked, shall be served in any dining car; and no milk or milk products shall be served unless the milk has been pasteurized or boiled. Sec. 41. Garbage. Garbage cans in sufficient number and with suitable tight-fitting covers shall be provided in dining cars to care for all refuse food and other wastes, and such wastes shall not be thrown from the car along the right of way. Sec. 42. Dining-car Inspection. The person in charge of the dining car shall be responsible for compliance with all dining-car regulations, and he shall make an inspection of the car each day for the purpose of maintaining a rigorous cleanliness in all por- tions thereof. Sec. 43. Examination of Food Handlers. No person shall serve as a cook, waiter, or in any other capacity in the prepara- tion or serving of food in a dining car who is known or suspected to have any dangerous communicable disease. All persons em- ployed for such service shall undergo a physical examination by a competent physician before being assigned to service, and before 116 returning to work after any disabling illness, and at such other times during their service as may be necessary to determine their freedom from such diseases, and shall be immediately relieved from service if found to be so afflicted. V. RAILWAY STATIONS. Sec. 44. General. 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 mechanical cleaning at regular intervals. Sec. 45. Cleaning, All waiting rooms and other rooms used by the public shall be swept and dusted daily; and at intervals of not more than seven days the floor shall be scrubbed with soap and water, and the seats, benches, counters, and other woodwork shall be similarly scrubbed, or shall be rubbed down with a cloth moistened with oil. ^ Sec. 46. Sweeping. If sweeping is done while rooms are oc- cupied or open to occupancy by patrons, the floor shall be first sprinkled with wet sawdust or other dust-absorbing material. Sec. 47. Dusting. If dusting is done while rooms are occu- pied or open to occupancy by patrons, it shall be done only with cloths moistened with water, oil, or other dust-absorbing material. Sec. 48. Spitting. Spitting on the floors, walls, seats, or plat- forms of railway stations is prohibited. Sec. 49. Cuspidors. In all waiting rooms where smoking is permitted an adequate supply of cuspidors shall be provided; such cuspidors shall be cleaned daily, and oftener if their condition re- quires. Sec. 50. Common Cups. Individual drinking cups in sufficient number shall be supplied in all stations, and the use of common drinking cups is prohibited. 117 Sec. 51. Common Towels. The supplying of roller towels or other towels for common use in railway stations is prohibited. Sec. 52. Combs and Brushes. The supplying of combs and brushes for common use in railway stations is prohibited. Sec. 53. Toilet Facilities. All railway stations where tickets are sold shall provide adequate toilet facilities, of a design approved by the State Board of Health, for the use of patrons and employees; and there shall be separate toilets for each of the two sexes. Sec. 54. Station Toilets. If a railway station is located within 300 feet of a public sewer, water-flushing toilets shall be installed and permanently connected with such sewer, and a wash basin or basins shall be located near the toilet and similarly connected ; and such toilets and lavatories shall be kept in repair and in good work- ing order at all times. Sec. 55. Care of Toilets. All toilets installed as set forth in Section 54 shall be cleaned daily by scrubbing the floors, bowls, and seats with soap and water. Sec. 56. Odors in Toilets. When offensive odors appear in toilets which are not obliterated and removed by cleaning as in Section 55, said toilets shall be treated with a 2 per cent solution of formaldehyde or other odor-destroying substance. Sec. 57. Toilet Supplies. Toilets and wash rooms installed as set forth in Section 54 shall be constantly furnished with an ade- quate supply of toilet paper, soap, and free or pay clean towels. Sec. 58. Privies. If no sewer connection is available as set forth in Section 54, a sanitary privy of a design approved by the State Board of Health shall be maintained within a reasonable dis- tance from the station. Such privy shall be adequately protected against the entrance of flies, shall be kept supplied with toilet paper, the seats shall be kept clean, and the vaults shall be treated with sodium hydrate or other approved disinfectant at least once in each week and shall be cleaned out and emptied at such intervals as will avoid the development of a nuisance. 118 Sec. 59. Drinking Water and Ice. Drinking water and ice in railway stations shall be supplied in accordance with Sections 11, 12, 13, 14 and 15 of these regulations. Sec. 60. Water Not Usable for Drinking. If water which does not conform to the standards set forth in Section 11 of these regula- tions 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 prominent letters, "Not fit for drinking." Sec. 61. Drinking Fountains. If drinking fountains of the bubbling type are provided in any railway station, they shall be so made that the drinking is from a free jet projected at an angle to the vertical and not from a jet that is projected vertically or that flows through a filled cup or bowl. Sec. 62. Refuse Cans. At all railway stations where there is an agent there shall be provided and maintained an adequate supply of open or automatically closing receptacles for the deposition of refuse and rubbish, and such receptacles shall be emptied daily and kept reasonably clean and free from odor. Sec. 63. Cisterns, Cesspools, Etc, All cisterns, water-storage tanks, and cesspools in or about railway stations shall be ade- quately screened against the entrance of mosquitoes, and all col- lections of surface water on station property shall be drained or oiled during the season of mosquito flight, to prevent the breeding of mosquitoes. Sec. 64. Restaurants to be Screened. All restaurants and lunch rooms, or other places where food is prepared or served in a railway station, shall have doors and windows adequately screened against the entrance of flies during the season of flight of these insects ; and all food on display or storage racks shall be adequately covered. Sec. 65. Lavatories for Restaurants. A lavatory of easy and convenient access shall be provided for the use of employees in every restaurant or lunch room in any railway station, and it shall 119 be provided with an adequate supply of water, soap, and clean towels. Sec. 66. Restaurant Employees. Restaurant employees who are engaged in the preparing or serving of food shall thoroughly cleanse their hands by washing with soap and water after using a toilet or urinal and immediately before beginning service. Sec. 67. Kitchen and Table Utensils, All cooking, table, and kitchen utensils, drinking glasses, and crockery used in the prepara- tion or serving of food or drink in railway restaurants or lunch rooms shall be thoroughly washed in boiling water and suitable cleaning material after each time they are used. Sec. 68. Food containers. Refrigerators, food boxes, or other receptacles for the storing of fresh food in railway restaurants or lunch rooms shall be emptied and thoroughly washed with soap and hot water at least once in each seven days that they are in use. Sec. 69. Garbage. Garbage cans in sufficient number and with suitable tight-fitting covers shall be provided in all restaurants and lunch rooms to care for all refuse food and other wastes, and such cans shall be emptied daily in an approved place and kept in a clean and sanitary condition. Sec. 70. Restaurant Inspection. The manager, chief, or other person in charge of any railway restaurant or lunch room shall be responsible for compliance with all regulations pertaining thereto, and he shall make an inspection of the premises daily for the pur- pose of maintaining a rigorous cleanliness in all parts thereof. Sec. 71. Station Inspection. The agent, manager, or other person in charge of any railway station shall be responsible for compliance with all regulations pertaining thereto, and he shall make, or have made by a responsible person reporting to him, fre- quent inspections of the premises for the purpose of maintaining a rigorous compliance with all such regulations. Sec. 72. Examination of Food Handlers. No person shall 120 serve as a cook, waiter, or in any other capacity in the preparation or serving of food in a railway restaurant or lunch room who is known or suspected to have any dangerous communicable disease. All persons employed for such service shall undergo a physical examination by a competent physician before being assigned to service, and before returning to work after any disabling illness, and at such other times during their service as may be necessary to determine their freedom from such diseases, and shall be immedi- ately relieved from service if found to be so afflicted. VI. CONSTRUCTION CAMPS. Sec. 73. Definition. For the purposes of these regulations rail- way construction camps shall be considered to include all camps and similar places of temporary abode, including those on wheels, established by or for the care of working forces engaged in the con- struction, repair, or alteration of railway properties or parts there- of: Provided, that camps which are occupied by less than five peo- ple, or camps which are established to meet emergency conditions and are not occupied longer than five days, shall not be included except that Section 90 of these regulations shall apply to them. Sec. 74. General. All camps shall be so located and so main- tained as to be conducive to the health of their occupants and not to endanger the health of the public ; and all tents, houses, stables, or other structures therein shall be kept in a reasonably clean and sanitary condition at all times. Sec. 75. Location. Camps, except those on wheels, should be located on high, well-drained ground ; any natural sink holes, pools, or other surface collections of water in the immediate vicinity should be drained and filled when the camp is first established ; and all such water not subject to complete drainage should have the surface oiled at intervals of not more than seven days during the season of mosquito flight. , Sec. 76. Arrangement. The general scheme of relations of the structures of a camp should be as follows : The kitchen should be located at one end of the camp ; next to this should be the eating 121 quarters, then the sleeping quarters, then the toilets for the men, then the stable, thus bringing the kitchen and the stable at opposite ends of the camp, which should be as far apart as is consistent with the natural topography and the necessity for convenient access. Sec. 77 . Water Supplies. All water supplies for camps shall be properly chlorinated, unless obtained from a source which had been approved by the State Board of Health. Sec. 78. Water Containers. All drinking-water containers in camps shall be securely closed and so arranged that water can be drawn only from a tap, and said containers shall be kept clean and free from contamination. Sec. 79. Garbage and Refuse. All garbage, kitchen wastes, and other rubbish in camps shall be deposited in suitably covered receptacles the contents of which shall be emptied and burned each day; and manure from the stables shall be likewise collected and burned each day, or disposed of in some other manner ap- proved by the State Board of Health. Sec. 80. Scavenger. 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. Sec. 81. Toilets. Every camp shall have an adequate num- ber of latrines and urinals, so constructed and maintained as to pre- vent fly breeding and the pollution of water, and the use of such latrines and urinals by the inhabitants of the camp shall be made obligatory. Latrines and urinals may consist of deep trenches covered with houses adequately screened against flies, or of any other type approved by the State Board of Health. They shall not be located within less than 200 feet of any spring, stream, lake, or reservoir forming part of a public or private water supply. Sec. 82. Washing Facilities. There shall be provided in all camps adequate washing facilities for the use of the occupants thereof. Sec. 83. Screening. The kitchen, eating houses, and bunk 122 houses of all camps shall be effectively screened against the entrance of flies and mosquitoes during the seasons of flight of these insects. Sec. 84. Care of Tableware. All cooking, table, and kitchen utensils, drinking glasses, and crockery used in the preparation or serving of food or drink in camps shall be thoroughly washed in boiling water and suitable cleansing material after each time they are used. Sec. 85. Food Containers. Refrigerators, food boxes, or other receptacles for the storing of fresh food in camps shall be emptied and thoroughly washed with soap and hot water at least once in each seven days that they are in use. Sec. 86. Food and Milk. No soiled or tainted food, whether cooked or uncooked, shall be served in any camp, and no milk or milk products shall be served unless the^milk has been pasteurized or boiled. Sec. 87. Examination of Food Handlers. No person shall serve as a cook, waiter, or in any other capacity in the preparation or serving of food in any camp who is known or suspected to have any dangerous communicable disease. All persons employed for such service shall undergo a physical examination by a competent phy- sician before being assigned to service, and before returning to work after any disabling illness, and at such other times during their service as may be necessary to determine their freedom from such diseases, and shall be immediately relieved from service if found to be so afflicted. Sec. 88. Sick Persons. When an occupant of a camp becomes sick with a dangerous communicalble disease he shall be immedi- ately isolated, and the health officer within whose jurisdiction the camp is located shall be immediately notified. Sec. 89. Vermin. It shall be the duty of some one appointed as caretaker of the camp to make regular weekly inspections of the occupants and premises in order to ascertain the presence of lice 123 or other vermin. Persons found to be infested shall be required to bathe, and their clothing shall be boiled ; and premises found to be infested shall be fumigated with sulphur or treated by some other effective vermin-destroying method. Sec. 90. Abandoned Camps. When any camp is to be aban- doned, all garbage, rubbish, and manure shall be collected and burned, the latrine trenches filled, and the grounds and buildings shall be left in a clean and sanitary condition. Sec. 91. Duty to Enforce Regulations. 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 com- plied with. Rule No. 41. Disinfection and Disinfectants. Section 1. In disinfecting premises following death, recovery or removal of a patient affected with any communicable disease, the health officer in charge of disinfection shall not depend wholly upon fumigation for cleansing the premises, as a gaseous disinfectant, even when the room is tightly sealed, often kills only the germs upon the surface and does not penetrate deeply. Sec. 2. Scrubbing with soap and water, wiping all floors and woodwork with disinfectant solution, boiling all material that may properly be boiled and sunning and airing all bedding which can- not be boiled shall be included in disinfection. Sec. 3. Fumigation shall consist in liberating sulphur dioxide gas in a room tightly sealed with gummed paper or with cotton batting and so remaining for at least six hours. Sec. 4. In fumigating with sulphur, three pounds of sulphur must be used for every 1,000 cubic feet of room space. The room so fumigated must remain closed for 24 hours. (When fumigating with sulphur it should be remembered that the fumes will take the color from dyed fabrics and may tarnish highly-polished metals. Sulphur fumigation, however, is especially recommended after smallpox, infantile paralysis and typhus fever, or where it is de- sired to kill insects.) Sec. 5. For a strong solution used in disinfecting stools and 124 badly infected vessels, fabrics, etc., the following should be used: Carbolic acid 50 parts Mix and add fresh water 900 parts Any proprietary disinfectant which (1) has a carbolic co- efficient of two or more as determined by the Standard of the United States Hygienic Laboratory and which (2) is used as di- rected on the container. WEAKER APPROVED SOLUTION Sec. 6. For any ordinary purposes the following weaker solution may be used : Carbolic acid 25 parts Fresh water 1000 parts DISINFECTION OF MATERIALS Sec. 7. Materials shall be disinfected as follows : Sheets, towels, linens and white goods shall be disinfected by boiling for at least 10 minutes. Bedding or woolen goods which cannot be boiled should be disinfected by fumigation or soaked for two hours in one of the above disinfectant solutions. China, glass and crockery shall be disinfected by boiling for at least ten minutes. Furniture and woodwork shall be disinfected by wiping with a standard disinfectant solution. Mattresses used by smallpox cases should be burned. Handkerchiefs, rags and other materials of small value, soiled with discharges from diphtheria, scarlet fever or smallpox, shall be burned. Rule No. 42. In accordance with provisions of Chapter 7825, No. 43, Laws of Florida, the following regulations governing the construction and operation of public swimming pools have been adopted by the State Board of Health : Section 1. The water in the pool and that applied to it shall 125 at all times have a sanitary quality acceptable to the State Board of Health. (New water shall preferably flow through the pool continuously during its operation period at a minimum quantity of 400 gallons per person per day considered on a basis of the average daily attendance). Fill and draw pools shall be emptied and thoroughly cleaned at least once weekly and at any other time the weekly bathing load of such pool exceeds 20. Such pools shall also be disinfected by an approved method daily between cleaning periods, and if deemed necessary by a duly constituted authority of the State Board of Health, at more frequent intervals. (Disinfec- tion shall be governed largely by number of pool users). Sec. 2. The weekly bathing load of fill and draw pools shall not exceed 20. (To ascertain the weekly bathing load of a pool divide the total weekly attendance by the pool capacity in thou- sands of gallons). Sec. 3. Pool water shall at all times be clean, free from sus- pended matters, practically colorless and so clear that markings on the bottom of the pool can be distinctly seen at all times. The water shall be kept as free as possible from floating objects, scum and sputum. Sec. 4. Pool walls shall preferably be vertical ; walls and floors shall be constructed of a material impervious to water, surfaced with white tile, light colored, cement or other light colored water- proofed material. Pool surfaces (walls and floor) should be smooth and even to permit easily of cleaning. Pool floors shall not have slopes more than one (1) foot in 15 feet where the depth of water is less than 6 feet. Depth opposite diving stands and spring boards shall not be less than 7 feet. Sec. 5. The pool walls and bottom shall be plainly marked with transverse black lines at least three inches wide. These mark- ings shall be spaced at intervals not less than 20 feet. The color of pool walls and floor and the lighting of the pool room shall be such that the black lines on the bottom can be distinctly seen at all times. Sec. 6. The depths of the water shall be plainly and distinctly shown at frequent intervals along the side and end walls. Sec. 7. The entire pool shall be surrounded by a raised con- crete curb at least 2 inches high and 12 inches wide, serving as a 126 clean space, also as a check against floor drainage flushing into the pool. Sec. 8. All walks and areaways surrounding the pool shall be at least five feet wide and slope to properly located drains. Floors of areaways shall be of such a material and so constructed that they will be easily cleaned. Sec. 9. Scum or overflow gutters of an approved type shall bd provided on all pools. These gutters shall be arranged along the pool walls on all sides, of such size and design as to enable a ready cleaning and flushing. Scum gutters shall be provided with a suiiicient number of drains so spaced as to permit a prompt re^ moval of water into a sewer. No gutters shall be permitted along the top of the wall or curb. Sec. 10, Rooms or compartments which house indoor pools shall be well ventilated and lighted. Pools shall not be located in dark basements. A plentiful supply of outside air and, if possible, direct sun rays shall have access to the pool room. Sec. 11. Dressing rooms shall be commodious, well lighted, well ventilated and clean. Floors of dressing rooms should be con- structed in a manner to permit a quick washing, drainage and dry- ing. Concrete or tile floors shall be constructed to slope to prop- erly located drains. Dressing rooms should be so located as to be easily accessible to showers and pool. Sec. 12. All dressing rooms should be so arranged that the line of travel from the natatorium entrance to pool water is pro- gressive, enabling the bather to eliminate retracing steps. Sec. 13. The arrangements of dressing rooms, pool, spectators' gallery and other appurtenances should be so regulated that no person but bathers are allowed on the areaway surrounding the pool, at all times. Sec. 14. Before entering or using the pool water all persons shall take a shower bath, using soap. Sec. 15. Entrances to the pool should be only via a foot pool (where provided) and shower room. (Where possible, showers should operate automatically as bather passes through shower compartment). Sec. 16. All pools shall be equipped with shower compart- ments — one shower head and soap for every 40 dressing rooms. 1 127 (Shower rooms shall be located in direct line of travel from dress- ing room to pool). The floors of shower compartments shall properly slope to enable a quick removal of waste water. Sec, 17. The foot pools preceding the shower compartments, with running water, shall be provided where possible and prac- ticable. Sec. 18. Toilets shall be conveniently located near dressing rooms and showers. There shall be one stool for every 40 rooms. Ample provisions must be made for urinals. Sec. 19. Urinals shall be of a type to prevent splash of urine upon the floor or feet of the bathers. Toilet floor shall be of material impervious to water and easily cleaned. Where water carriage toilets are impossible sanitary privies built in accordance with plans of the State Board of Health shall be constructed. All toilets and urinals shall be plainly marked. Sec. 20. Where drinking fountains are provided they shall be of a type approved by the State Board of Health. Sec. 21. All bathing suits and towels shall be thoroughly washed with warm water and soap after each use. The washing shall be followed by a clean water rinse to remove soap, then wringing. After laundering, all suits and towels shall be completely dried before re-using. Chemical disinfection is not a substitute for cleanliness and when used should precede rinsing. Disinfectants must be soluble in water in concentrations necessary for effective work. Those disinfectants injurious to fabrics should not be used in strengths too great. Non-colored cotton suits are preferable, but if colored suits are used, colors should be fast. Sec. 22. No common combs or brushes shall be permitted in dressing rooms or pool areaways. Sec. 23. No person having a communicable disease, skin abrasions or eruptions, eye, ear, nose or throat infections, shall be permitted the use of any swimming pool. Sec. 24. The State Board of Health recommends and approves a type of poster which the pool management shall post in every dressing compartment and in several conspicuous places about the premises^ These posters printed in legible type on heavy white cards 10 inches by 12 inches in size, shall show the pool regulations 128 and rules of conduct. (Write the State Board of Health for a specimen poster.) Sec. 25. All pool managements shall file monthly with the State Board of Health on blanks provided by it a record of daily attendance and other operations as prescribed herein. Such records shall be submitted to the Bureau of Engineering of the State Board o'f Health monthly. Ins. No. 43. Recommending Certain Types of Sewage Disposal. Whereas Chapter 6836 (No. 30) and 7822 (No. 40) of the laws of Florida specify that privies shall be constructed in conformity with plans recommended or approved by the State Board of Health and. Whereas there are available for use many types of devices patented and otherwise, good, bad or inefificient for the disposal of human excreta, and Whereas standard plans of privies are necessary for the estab- lishment of uniform practice in rural communities and munici- palities; Be It Hereby Resolved by the Florida State Board of Health assembled this the ninth day of October, nineteen hundred and twenty, (Oct. 9, 1920), that the following types of privies are recommended and approved for use in Florida. (1) The Florida Tank privy constructed of (a) Waterproofed concrete and detailed in Bulletin prepared by the State Board of Health. (b) Hard brick^ well plastered inside with neat cement. This privy is available for the use under all Florida conditions and is preferred to any of following. Recommended especially for schools, public buildings, etc. (2) Septic Tank privies of approved designs, manufactured by commercial corporations. These privies are made of either con- crete or iron. (3) Can or Receptacle Type for use only where regular syste- matic and efficient collection service is available. The compart- ment retaining the fecal matter must be absolutely fly-tight, when- ever this type is used, as outlined in the U. S. Health Bulletin No. 89. Cans so constructed, that top rim of can fits tightly and 129 fastens to bottom of seat, meet last requirement. Can type is not recommended for use at schools, rural communities, small towns or districts not having consistent collection service. Scavenger service is a prerequisite to a can system of privies. (4) The Pit Types : (a) Shallow pits in earth, sides lined with wood, brick or con- crete with earthen bottoms. Such pits are not to be used where wiater supply is derived from dug or shallow driven wells, nor to be used in clay, marl, coquina or porous rock — ^shall only be used in sandy soil. No such privies should be placed less than 50 feet from a driven well supply. (b) Shallow pits of concrete with water tight-sides and bot- toms. All that has been included under No. 2 above holds true in this case. Not to be widely advocated, because frequent cleaning is necessary. (5) Chemical Toilets : A chemical toilet is one depending for its efficiency and useful- ness upon the faithful, timely application or addition of a chemical substance for the destruction of discharge organisms. Only those chemical toilets manufactured by reliable companies are recom- mended, and then only when the manufacturing company or their representatives assure the State Board of Health that service will be continually given to the purchaser by the manufacturing com- pany or its agents. By service is meant the maintenance of the chemical supply and a satisfactory operation. A privy or closet should always be looked upon as a machine — a mechanism. It demands attention and care for its successful operation. The success or satisfaction of any toilet system will be proportionate (1) to the care with which it is constructed and (2) the attention it receives. Abuse leads to imperfect operation and dissatisfaction. There are many types of toilets exploited on the market. Every manufacturer proclaims the merits of his toilet above all others. No manufactured toilet should be purchased by an individual of municipality unless it conforms to the provisions laid down in the accompanying resolution. In case of doubt write the State Board of Health, Jacksonville, and secure the proper information. Cost is an item of importance. Carefully weigh the merits of 130 the several toilet types and then select the type productive of the best results at the lowest cost. Pit toilets are widely used in Florida. These types should be used only where advised by a representative of the State Board of Health, and then should be constructed as instructed by him. Ins. No. 44. Suggestions to the Bottlers of Water. The sale and consumption of bottled waters is almost wholly dependent upon the belief in the purity and wholesomeness of the water. Bottled waters may show dangerous pollution originating from : (1) Contaminated wells or springs; (2) Dirty or unclean bottles; (3) Insanitary handling of the product. Standard brands of bottled waters recently examined in our laboratory indicate that bacterial counts of such waters are some- times excessively high following the bottling process due mainly to the preliminary washing process and insufficient rinsing. To keep a check on the bottled water industry of Florida and promote greater cleanliness and care in bottling establishments Rule 26 (69) of the State Board of Health was promulgated requir- ing all bottlers of water to secure from the State Board of Health a permit to bottle and sell water in Florida and further providing for the repulsion of such permits where deemed advisable. Frequent inspections of bottling establishments over the state, strict observance of methods and practice employed and the study of modern practice throughout the country has placed at your dis- posal a fund of useful information. From time to time informa- tion sheets will be issued to you extending the benefits of our col- lected data. It is our desire to assist the water bottlers in every possible manner and to that end we shall strive. Following are listed a number of advisory suggestions which may be familiar to you already, but nevertheless READ THEM. DIGEST THEM AND PRESERVE THIS PAPER. One reads on a great many water bottle labels captions as the following, "Purest water in the world;" "Pure, sparkling water;" "Pure and Palatable," etc., we ask -you to maintain such standards about your establishments that will insure a water such as quoted above. 131 GENERAL. 1. Cleanliness is next to Godliness. All establishments bot- tling PURE water should be clean and neatly arranged and no con- ditions suggestive or conducive to filth, dust or dirt should be tolerated. This not only applies to the immediate bottling room or rooms but to the surrounding grounds. 2. Doors and windows should all be screened. 3. The bottling room or rooms should be of ample size to avoid congestion and unnecessary accumulations. The room or rooms should be well lighted and ventilated. 4. The interior furnishings should be free from hangings or any other collectors of dust. 5. The interior walls should preferably be tinted with a light colored paint giving a washable surface. 6. All floors should preferably be of a smooth finish cement, properly drained to prevent the collection of standing water. Floors must be kept clean at all times. 7. All crates or bottles of water prepared and ready for the market should preferably be stored or kept on a false bottom, ele- vated about six inches from the floor. 8. Sanitary water closets or toilets should be available at all bottling works with ample facilities for washing. No toilet shall open directly to bottling or storage room. 9. Employees should be clean and neat at all times and careful in their habits. Bottle Washing Facilities : 1. Before filling, every bottle should be subjected to a thorough washing in water, preferably hot. Badly soiled bottles should be boiled and thoroughly cleaned separately from other bottles. Soap and washing powders should be used on all preliminary washings. 2. Mechanical or haiid brushes should be used during the first wash. 3. Following the first wash, all bottles should be well rinsed in a tank of clean water (about 150 gallons) containing one quarter pound chloride of lime and three tablespoonsful of acqua ammonia. Chloride of lime should be rubbed to a paste with water in a small 132 container, after which add more water (about 2 quarts), mixing- well. Allow to stand several hours until all non-solvent matter settles. Pour off clear liquid into wash water with 3 tablespoonsful of ammonia. All bottles should remain in this tank at least 15 minutes. 4. If steam sterilization is used the chloride of lime and am- monia may be omitted. 5. Spraying of bottles on inside will assist the rinsing. Spray- ing water should be of an unquestionable quality. 6. All bottles should be thoroughly drained in a place pro- tected from dust and dirt. 7. All bottles previous to filling should be rinsed with water of the same quality as subsequently sold. Corks and Caps : 1. All corks, caps, papers, etc., should be kept in a dust and dirt protected receptacle. 2. No corks should be used a second time. Source of Supply: 1. The source of supply should be of an unquestionable purity. Frequent bacteriological examinations by the State Board of Health would determine this. 2. All spring supplies should be protected against contamina- tion in a manner approved by the State Board of Health. No spring water subject to even slight or suspected contamination can be sold. Ins. No. 45. An Ordinance Providing for the Disposal of. Human Excreta Within the City Limits of the City of and Declaring Open Privies to Be a Nuisance, and Providing for the Abatement of Such Nuisances. Article I. Providing for the Sanitary Method of Disposing of Human Excreta of Occupants and the Owners of Premises. Section 1. That every residence and building in which human beings reside, are employed or congregated, shall be required to have a sanitary method of disposing of human excreta, namely: either a sanitary water closet that is connected with the city sewer, or an approved type of septic tank or a sanitary privy. 133 Sec. 2. It shall be unlawful to dispose of any human excreta with'in the corporate limits of the city of except in a sanitary water closet or a sanitary privy. Sec, 3. It shall be unlawful for any person, persons, firm or corporation owning or leasing any premises in the city of to permit the disposal of any human excreta on any property, leased or rented by any such person, persons, firm or corporation or the agent of any such, except in a sanitary water closet or a sani- tary privy, and it shall be unlawful to permit the disposal of any material in a sanitary privy other than human excreta and paper. Sec. 4. That no septic tank other than those approved by the State Board of Health shall be constructed within the corporate limits of Article II. Operation of Ordinance. Section 1. The city of shall provide suitable plans and specifications for every privy to be installed and such other information that may be necessary to construct a sanitary privy. Sec. 2. The cost of installing a sanitary privy for the disposal of human excreta shall be borne by the owner of the property upon which the sanitary privy is to be located. Article III. Declaring all Open Privies to be a Nuisance and Providing for the Abatement of all such Nuisances. Section 1. That all privies within the corporate limits of not constructed or maintained in conformity with plans on file with the city clerk of shall be and they are declared a nuisance dangerous to the public health of the inhabitants of said city and shall be condemned and forthwith abated in accordance with the law or ordinance of said city. Sec. 2. The city shall have the further right to cause to be made such alterations and constructions to such privies as are nuisances as will render them sanitary or any cost of such work shall be charged against the person creating or maintaining the same. Article IV. Definition of Terms. Section 1. "Human Excreta." That the term human excreta 134 as used in this ordinance shall be construed to mean the bowel and kidney discharges of human beings. Sec. 2. "Septic Tank," That the term septic tank as used in this ordinance shall be construed to mean an underground cavity with water tight walls into which flows the effluent of sanitary water closets and from which the effluent does not come to the sur- face of the ground. Sec. 3. "Sanitary Water Closet." That the term sanitary water closet as used in this ordinance shall be construed to mean any flush tight toilet which is properly connected with the said city sewer or a septic tank of approved construction. Sec. 4. "Sanitary Privy." That the term sanitary privy as used in this ordinance shall be construed to mean any privy which is so built, rebuilt or constructed as to conform with plans and specifications promulgated and recommended for the City of by the State Board of Health and which plans and specifications are adopted by resolution of the City Coun- cil of the City of on the day of. 19.... Article V. Section 1. That any person, persons, firm or cor- poration or the agent of any person, persons, firm or corporation who neglects, fails or refuses to comply with the provisions of this ordinance shall be deemed guilty of a misdemeanor and when con- victed shall be fined in the sum of not less than $5.00 or more than $50.00 and each time that such person, persons, firm or corpora- tion neglects, fails or refuses to comply with any of the provisions of this ordinance shall be deemed a separate offense and punished as herein provided. Passed in regular session this the day of . . . A. D. 19 President. I hereby certify that the above and foregoing ordinance was duly and regularly passed by the City Council of this the day of 19 .... , and as re- quired by law is hereby certified to the Mayor for his signature. 135 Witness my hand and official seal this the. day of 19.... City Clerk. The foregoing ordinance received by me this the day of 19. . . . and by me approved the same day. Witness my hand and seal at Florida, this the day of 19 ... . Mayor. Ins. No. 46. An Ordinance Regulating the Protection of Foodstuffs and Drink for Sale and Providing for the Inspection of Places Where Food and Drink Are Sold. Section 1. Places where food is exposed sliall be kept in a sani- tary condition. Every person, firm or corporation keeping, main- taining, or being in charge of any factory, public or private market, stall, stand, shop, store, warehouse, cold storage, cart, wagon or other vehicle in or from which any meat, meat products, fish, oys- ters or other seafood, game, foul, fruit, berries, vegetables, bread or bakery products, ice cream, soft drinks, candies or any other articles or substances, intended for human consumption, are manufactured, held, kept, stored, exposed or offered for sale or distribution, shall, keep the same in a clean and sanitary condition. Sec. 2. Protection from flies and insects. No person, firm or corporation shall at any time, place, keep or expose, offer or pre- pare for sale, or store pending sale, any article or substance of human food or drink in any business, premises or place in the city of where such article or substance is not, at such times, so screened as to prevent flying insects from having access to such article or substance. No person, firm or corporation, shall at any time bring into the city for sale, or carry or convey or cause to be carried or conveyed upon, along, or over any street or alley way in the city any article or substance of human food or drink for the purpose of offering or storing for sale, or which at such time in course of delivery after sale, unless such article or substance of food or drink, at such times be covered, screened or otherwise protected in such manner as not to be accessible to flying insects : Provided, however, That no provision of this section shall 136 apply to or affect any article or substance of human food or drink which shall, at such times, be in unbroken packages, or containers tightly closed : Provided further : That the following foodstuffs shall not be deemed subject to contamination from flying insects, and shall not be required to be screened, to-wit : Watermelons or other melons, oranges or lemons where unsliced or unpeeled, and potatoes, collards, carrots, turnips, parsnips, onions, squash and pumpkins. Sec. 3. Dining rooms of public places, bakeries, markets and other places shall be screened. The dining rooms of all eating houses, hotels, boarding houses, restaurants, lunch rooms, and the kitchens thereof; all bakeries, confectioneries, candy factories, ice cream parlors and factories, soft drink stands, places using soda fountains, delicatessens, meat markets, and places where milk is bottled and prepared for sale, shall have all windows, doors and openings therein properly screened so as to exclude flies from such places. Sec. 4. Inspection of places handling foodstuffs. Notice of insanitary conditions ; refusal to comply with, violates this ordi- nance. It shall be the duty of the sanitary officers, the health officers, and the agents of the department of health, to visit at frequent intervals, each private and public market, stall, stand, shop, warehouse, cold storage, canning factory, hotel, boarding house, restaurant, lunch room, soft drink stand, bakery, ice cream factory or other place of business regulated by this chapter, in the city of and to inspect each, and also all other wagons and vehicles used therewith, or vendors or street hawkers in or about which any of the foodstuffs or other articles embraced in this chapter are kept, made, prepared, or held, prepared, or car- ried for sale or distribution. Notice shall be given where such premises, places, or vehicles are found to be in an unclean, un- wholesome condition, to remedy the same; and any person, firm or corporation neglecting or refusing to put such premises, place or vehicle in a clean wholesome, sanitary condition within 24 hours from the time notice is given in writing by the health officer of the city so to do shall be deemed guilty of a violation of this ordinance, and each day that the said notice is not complied with shall con- stitute a separate violation thereof. Sec. 5. Each day's failure to comply with any notice author- 137 ized by this chapter constitutes a separate violation. Where any notice shall be given under the provisions of this chapter to remedy sanitary conditions, and such notice is disregarded or neglected, after 24 hours from the time notice is given, unless a different period of time is expressly provided, each day thereafter such unsanitary conditions are willfully permitted to remain shall constitute a sepa- rate violation of the ordinance. Note: If the city has no City Health Officer or Board of Health, the above ordinance can be modified so as to place the specified duties upon the marshal or other responsible official. Have the city attorney carefully examine above ordinance and so modify it to conform with the city's charter provisions. Ins. No. 47. An Ordinance to Prevent the Breeding of Mosqui- toes in City of Section 1. It shall be unlawful for any person to have, keep, maintain, cause, or permit within the corporate limits of any collection of standing or flowing water in which mosquitoes breed or are likely to breed, unless such collection of water is treated so as effectually to prevent such breeding. Sec. 2. Collections of water in which mosquitoes breed or are likely to breed are those contained in ditches, ponds, pools, excava- tions, holes, depressions, open cesspools, privy vaults, fountains, cisterns, tanks, shallow wells, barrels, troughs (except horse troughs in frequent use), urns, cans, boxes, bottles, tubs, buckets, defective house roof gutters, tanks of flush closets, or other simi- lar water containers. Sec. 3. The natural presence of mosquito larvae in standing or running water shall be evidence that mosquitoes are breeding there. Sec. 4. Collections of water in which mosquitoes breed or are likely to breed shall be treated by such one or more of the follow- ing methods as shall be approved by the health officer. (a) Screening with wire netting of at least 16 meshes to the inch each way, or any other material which will effectually pre- vent the ingress or egress of mosquitoes. (b) Complete emptying every seven days of unscreened con- tainers, together with their thorough drying or cleaning. 138 (c) Using a larvicide approved and applied under the direction of the health officer. (d) Covering completely the surface of the water with kero- sene, petroleum, or paraffin oil once every seven days. (e) Cleaning and keeping sufficiently free of vegetable growth and other obstructions, and stocking with mosquito-destroying fish. (f) Filling or draining to the satisfaction of the health officer, (g) Proper disposal, by removal or destruction, of tin cans, tin boxes, broken or empty bottles, and similar articles likely to hold water. Sec. 5. In case the person responsible for the condition of premises on which mosquitoes breed or are likely to breed fails or refuses to take necessary measures to prevent their breeding within three days after notice in writing has been given him by the health officer, or within such longer time after such notice as may be specified in the notice, the said person responsible shall be deemed guilty of a violation of this ordinance; and for each day after the expiration of three days from the day on which such notice is given him, or for each day after the expination of the time specified in the notice, as the case may be, that the person responsible fails or re- fuses to take such measures, the said person responsible shall be deemed guilty of a separate violation of this ordinance, and in case of such failure or refusal of the person responsible the health officer is authorized to take necessary measures to prevent' the breeding of mosquitoes, and all necessary costs incurred by the health officer for that purpose shall be a charge against the person responsible. Sec. 6. For the purpose of this ordinance the person respon- sible for the condition of any premises is the person using or occu- pying the same; or, in case no person is using or occupying the premises, the person who by law is entitled to the immediate pos- session of the same; or, in case the premises are used or occupied by two or more tenants of a common landlord, or form grounds ap- purtenant to a house occupied by two or more tenants of a com- mon landlord, then the landlord ; each tenant, however, is responsi- ble for that part of the premises which he occupies to the exclusion of the other tenants : Provided, that, in case the premises are oc- 139 cupied by a tenant under a yearly or monthly tenancy, or under a lease for not more than a year, or under any lease whereby the lessor is expressly or impliedly obligated to keep the premises in repair, and the collection of standing or flowing water in which mosquitoes breed or are likely to breed is owing to the disrepair of the building or buildings, or to any natural quality of the premi- ses, or to any condition that existed at the time when the tenant entered into possession, or to anything done on the premises by the landlord during the existence of the tenancy or lease, then, and in such case, the landlord is the person responsible : Provided fur- ther. That any person who has caused to exist on any premises of which he is not the owner, landlord, occupant, or tenant any col- lection of water in which mosquitoes breed or are likely to breed is responsible, as well as the owner, landlord, tenant, or occupant, as the case may be. Sec. 7. For the purpose of enforcing the provisions of this ordinance, the health officer, or his lawful subordinate, may at all reasonable times enter in and upon any premises within his juris- diction. Sec. 8. Any person found guilty of a violation of this ordi- nance, as described in Section 5 hereof, shall be punished by a fine of not less than one dollar ($1) and not more than twenty-five dollars ($25). Sec. 9. This ordinance shall be in full force and effect on and after the day from the day on which it is approved. Ins. No. 48. Garbage and Refuse — Care of — Receptacles. Section 1. That all housekeepers and boarding house keepers, hotel keepers, butchers, or storekeepers, or any other person or persons in the city keeping or offering garbage for collection shall provide for the storage of all kitchen and table refuse, offal, swill, and every accumulation of animal and vegetable matter that at- tend the preparation, decay, dealing in, or storage of fish, meats, ■fowl, game, or vegetables a water-tight metal receptacle provided with proper handles and a tight fitting cover and to hold not less than 12 quarts. Said cans shall be kept in a place easily accessible to the garbage collector, but never upon any street or sidewalk, alley or public place; and such receptacle shall be thoroughly 140 cleaned by the owner after it has been emptied by the garbage col- lector; and shall provide for the storage of all general combustible waste, as paper and rags, pasteboard, boxes, berry boxes, whole bottles, broken glass and empty tin, fruit or vegetable cans, a sepa- rate receptacle, which shall be kept in a place easily accessible to the garbage collector, but never upon any street or sidewalk, alley, or other public place. Sec. 2. "Garbage" as used in this ordinance shall be held to include all kitchen and table refuse, offal, all general combustible waste, as paper and rags, pasteboard boxes, berry boxes, swill, and every accumulation of animal and vegetable and vegetable matter that attend the preparation, decay, dealing or storage of meats, fish, fowl, game, or vegetables ; also whole bottles, broken glass, and empty tin, fruit, or vegetable cans. Sec. 3. If any person or persons, firm or corporation shall per- mit his, her, or its garbage to be so stored or kept in an exposed manner as to render the air or soil impure or unwholesome, such person or persons responsible shall, upon conviction before the burgess of the said city or any justice of the peace of the said city, be sentenced to pay a fine of not less than $1 nor more than $25 or undergo an imprisonment in the city jail for a period not to exceed 48 hours. Ins. No. 49. An Ordinance Requiring Sewer Connections in the City of Be it Ordained by the City of that : Section 1. Where in any street or section of street there is now constructed a public sewer, or where hereafter in any street or section of street there may be constructed any public sewer for the purpose of carrying off the sewage, the owner or owners of property abutting on, adjacent to, along the line of any or within 200 feet of any such sewer so constructed or to be constructed shall, within 30 days after being notified by the city clerk of the city of connect the house and buildings on such property with such public sewer in a proper manner. Sec. 2. Any person refusing or neglecting to make such con- nections, or to comply with the provisions of this article and said notice, shall pay a fine of $25 and an additional fine of $10 for each 141 and every day after the aforesaid notice of 30 days shall have ex- pired, and during which time the provisions of this ordinance and said notice have not been complied with. Ins. No. 50. Instructions on Biologies. Section 1. The State Board of Health furnishes free to all citi- zens the following biological products under conditions that are detailed below: Sec. 2. Diphtheria antitoxin, vaccine virus, preventive treat- ment for typhoid, antimeningococcus serum, and antirabic treat- ments. Sec. 3. The Central Laboratory is the main distributing point and requests for any large amounts of any of the biological pro- ducts listed above should be directed to the "State Laboratory, Jacksonville, Florida." Sec. 4. All requests for antirabic treatments should be made to the "State Laboratory, Jacksonville, Florida," where the first three days' treatments are kept, the remainder being ordered by wire immediately on receipt of the request, which should always give the age of the patient, and the location and severity of the bites. The age of the patient is important, and the lack of this may mean delay in receiving the treatment. Sec. 5. Diphtheria antitoxin is stocked in two sizes, 10000 and 5000 units, for therapeutic use only. Sec. 6. The immunizing doses of diphtheria antitoxin are no longer furnished, and the Board strongly advises against the prac- tice, but urges that swabs be taken from both nose and throat of all contacts. The Schick test has shown that such a large propor- tion of the population is immune to diphtheria that contacts should always be examined as they are a tremendous factor in the spread of the disease. As it is important that antitoxin be used at the earliest possible moment when a diagnosis of diphtheria is made, antitoxin stations have been established at drug stores over the state, so located that there should be but little delay in obtaining a supply. A list of these stations is appended. Sec. 7. Tetanus antitoxin is obtained only from the labora- tories. This is furnished in two sizes, 1500 units for prophylactic, and 5000 units for therapeutic use. 142 Sec. 8. Vaccine virus is obtained only from the laboratories. Sec. 9. Antimeningococcus serum in 30cc cylinders is ob- tained only from the laboratories. Sec. 10. Typhoid prophylactic treatment, the triple vaccine, is stocked at the laboratories, and in small quantities at the antitoxin stations. Antitoxin Distributing Stations City 1 Station Apalachicola Wm. W. Pooser Drug Co. Arcadia Arcadia Drug Co. Avon Park Avon Park Drug Co. Blountstown Leonard Drug Co. Bradentown Balis Drug Co. Century Century Pharmacy Chipley Mitchell Drug Co. Clearwater Clearwater Pharmacy Cocoa Hughlett Drug Co. Dade City Griffin Drug Co. Daytona Hankins Drug Co. DeFuniak Springs P. H. Cannady Fernandina Horsey's Drug Store Ft. Meade Langford Drug Co. Ft. Myers Pixon & Schultz Drug Co. Ft. Pierce Silver Palace Drug Co. Gainesville J. S. Bodiford Drug Co. Inverness Inverness Drug Co. Jacksonville State Laboratory Key West Porter Drug Co. Kissimmee Conner Drug Co. Lake City ." Columbia Pharmacy Live Oak Suwanee Drug Co. Miami , State Laboratory Ocala Anti-monopoly Drug Co. Okeechobee Park Pharmacy Orlando Evans Rex Drug Co. Palatka City Drug Store Panama City Sims Drug Co. 143 Plant City\ 1 Plant City Drug Co. Pensacola . \ State Laboratory Quincy \ F. P. May Drug Co. Sanford Mobley's Drug Store Starke \ Mitchell Drug Co. Tallahassee. J- P- Bruns Drug Co. Tampa State Laboratory Wauchula Beson Bros. West Palm Beach Speers Pharmacy Winter Haven S. H. Woods Central Laboratory, Jacksonville, Fla. Branch Laboratories : Tampa, Pensacola, Miami, Tallahassee, *West Palm Beach, ^Orlando. * — These laboratories will be opened by July 1, 1921. Ins. No. 51. Instructions on Specimens for Laboratory Exami- nations. Section 1. The laboratories of the State Board of Health make free examination of material for the diagnosis of any disease or con- dition of a bacteriologic or parasitic nature dangerous to the pub- lic health. Outfits may be obtained from any of the laboratories for submitting specimens for diagnosis, and directions for secur- ing specimens are sent with each outfit. It is requested that the outfits furnished be used, and directions carefully followed. Re- quests for containers for water examinations should be made to the "Bureau of Engineering, State Board of Health, Jacksonville, Florida." Sec. 2. If an animal is suspected of having rabies, the animal should be confined if possible, and if it is a case, death will follow within a very few days, in most instances in from 24 to 72 hours. Sec. 3. Never kill an animal suspected of being rabid if it is possible to confine him, as by so doing it may make a diagnosis impossible, and the very best negative diagnosis is to know that the animal is alive and perfectly normal ten days after he has bit- ten a person or animal. Sec. 4. In submitting a head for examination it should be cut, leaving a portion of the neck also. Pack this in a container that has a tight cover, put in a wooden box with ice and sawdust and send by express prepaid. It is always best to send a letter at the 144 same time, giving a history of the case, including the age of any patients that may have been bitten, and the locations of the bites. Sec. 5. Tissue for pathological examination should be sent in a fixative solution, either 50 per cent alcohol or 10 per cent formalin. Rule No. 52. Governing Morbidity Reports. vSection 1. It being the duty of the State Board of Health to keep currently informed of the occurrence, geographic distribution and prevalence of the preventable diseases throughout the State, and to prevent the spread of these diseases, and for that purpose the following Rules are adopted in accordance with power con- ferred on the State Board of Health, as provided by Chapter 6892 (No. 86), Laws of 1915. Sec. 2. The following named diseases and disabilities are here- by declared to be dangerous to the public health and made notifi- able, and the occurrence of cases shall be reported as herein provided : Group 1, Communicable Diseases — Anthrax, Chancroid, Chickenpox, Cholera, Asiatic (also cholera nostras when Asiatic Cholera is present or its importation threatened) ; Dengue, Diph- theria, Dysentery, (a) Amoebic, (b) Bacillary ; Favus, German Measles, Glanders, Gonococcus Infection, Hookworm Disease, In- fluenza, Leprosy, Malaria, Meningitis, (a) Epidemic Cerebro-spinal, (b) Tuberculous ; Measles, Mumps, Opthalmia Neonatorum (con- junctivitis of new-born infants) ; Paratyphoid fever. Plague, Pneu- monia, Poliomyelitis (Acute infectious) ; Rabies, Scarlet Fever, Smallpox, Syphilis, Tetanus, Trachoma, Trichinosis, Tuberculosis (all forms, the organ or part affected in each case to be stated) ; Typhoid Fever, Typhus Fever, Whooping Cough, Yellow Fever. Group 2, Miscellaneous Diseases — Beriberi, Cancer, Pellagra. Sec. 3. Every person who in the State of Florida treats or ex- amines for the purpose of diagnosis or treatment any person suffer- ing from or afflicted with, or who suspects that any person treated or examined by him, is suffering from or afflicted with, any of the diseases made notifiable by the preceding section, shall report such case to the State Board of Health, Bureau of Vital Statistics, within six hours after making a diagnosis or suspecting the disease 145 to be one required to be reported, provided, That in municipalities or counties where satisfactory arrangements have been made to secure weekly reports from the local health officer, physicians may report notifiable diseases, occurring within such municipalities or counties, direct to the local health officer, who will forward the information to the State Board of Health, Bureau of Vital Statis- tics once each week. Said report shall give the following informa- tion which is necessary for the protection of the public health and welfare. (a) Date when the report is made. (b) The name of the disease or suspected disease. (c) The name, sex, color or race, and the county and munici- pality or voting percinct-in which the patient is located at the time the diagnosis is made. (d) Age, occupation, school attended, and place of employ- • ment of the patient. (e) Number of adults and of children in the household. (f) Source or probable source of infection or the origin or probable origin of the disease. (g) Name and address of the person making the report. (h) If the disease is, or is suspected to be, smallpox, the report shall, in addition, show whether the disease is of the mild or viru- lent type and whether the patient has ever been successfully vacci- nated, and if the patient has been successfully vaccinated, the num- ber of times and dates or approximate dates of such vaccination. (i) If the disease is, or is suspected to be, typhoid fever, scarlet fever or diphtheria, the report shall show whether the patient has been, or any member of the household in which the patient resides is engaged or employed in the handling of milk for sale or prelimin- ary to sale. (j) Date of onset of disease. Provided, That if the person making the report is unable to secure any item or items of information mentioned in paragraphs d, e, f, i and j without independent inquiry he shall state that fact on the report, by writing the word "Unknown" after each item for which the information cannot be obtained. Sec. 4. Employees of the State Board of Health shall be per- mitted to make an investigation of the case and secure the informa- tion ; and it shall be the duty of any person interrogated in relation 146 thereto to answer correctly and to the best of his or her knowl- edge all questions put to him or her by any such employee whfch may be calculated to elicit any information needed to verify or com- plete any report of a case of a known or suspected notifiable disease or to enable measures to be taken to prevent the spread of any such disease. Sec. 5. If the disease is, or is suspected to be, Asiatic Cholera, Bubonic Plague or Yellow Fever, the person required to make the report shall immediately wire the State Health Officer, collect, giving name and place of person, and the disease from which he suffers, or is afflicted with, or is suspected to be suffering from, or afflicted with. Sec. 6. The requirements of the preceding section shall be applicable to persons attending patients ill with any of the notifiable diseases in hospitals, asylums, or other institutions, public or private ; Provided, That the executive officer of any institution, public or private, may designate in writing an officer or employee of such hospital, asylum, or other institution to report in place of the attending physician or other person treating or examining the patient in cases of notifiable diseases occurring in or admitted to said hospital, asylum, or other institution in the same manner as that prescribed for persons treating or examining patients. When designation has been made as above provided, it shall be the duty of such designated officer to report all cases of notifiable diseases oc- curring in or admitted to such hospital, asylum, or other institu- tion in same manner as that prescribed for persons treating or ex- amining patients. Sec. 7. Whenever a person is known, or suspected, to be afflicted with a notifiable disease, or whenever the eyes of any in- fant under two weeks of age become reddened, inflamed, swollen, or contain an unnatural discharge, and no physician is in attend- ance, an immediate report of the existence of the case shall be made to the State Board of Health, Bureau of Vital Statistics, by the midwife ; if no midwife is in attendance, said report shall be made by the father, mother, or other person in charge of the patient, each in the order named. Sec. 8. Every teacher and every person in charge of any public or private school, including Sunday Schools, shall report im- mediately to the State Board of Health, Bureau of Vital Statis- 147 tics, each and every case which he or she knows or suspects to be a case of a notifiable disease in persons attending or employed in his or her school. Sec. 9. All diseases that are made notifiable shall be reported within six (6) hours to the State Board of Health, Bureau of Vital Statistics, on postal card (Form V. S. No. 124), which is sup- plied for that purpose, and all the information requested thereon must be given. This section amended by the State Board of Health at their meeting held February 10th, 1920, by adding the following: "When reporting Syphilis, Chancroid or Gonorrhoea, the report card (Form V. S. No. 124) must be enclosed in a sealed envelope which is also supplied by the State Board of Health." Sec. 10. If the age cannot be ascertained, be sure to state the approximate age. Give the county in which the case is located and in stating the place within the county, strike out the words "City," "Town" or "Voting Precinct" that do not apply. If the case is located within the corporate limits of a city or town, strike out the words "Voting Precinct," and if the case should be located in the voting precinct, even though it is just outside of the corpo- rate limits, strike out the words "City" and "Town." It is im- portant that great care be used in stating the geographical location of the case. This information is necessary first, that the case may be located without loss of time by health officers of the State Board of Health, and second, that a municipality will not be credited with more sickness than actually occurred within the city or town. Sec. 11. The name of the SCHOOL ATTENDED should be given only in cases when the person having the disease is an at- tendant at school. If the case is in a rural district, the name of the school should be given. If attending school in a city or town, in which there are two or more schools, the name of the school should be given and also the grade attended. Sec. 12. In giving the PLACE OF EMPLOYMENT, also designate the service or work at which the person is employed; e. g., Jones' Meat Market, "Meat cutter ;" Wilson Dry Goods Store, "Clerk;" Havana Cigar Factory, "Cigar wrapper;" Smith's Dairy, "Driver," etc. Sec. 13. In reporting SMALLPOX or TYPHOID FEVER be sure to state the number of times vaccinated and the dates of 148 each vaccination as accurately as possible ; if not able to give exact dates, give approximate dates. Sec. 14. When reporting a case of TYPHOID FEVER, SCARLET FEVER or DIPHTHERIA, and any person living in the house in which the case is located is engaged in the handling of milk for sale, or preliminary to sale, state it as "Yes" or "No." If answered "Yes," state the place and kind of employment : For instance, Jones' Milk Station, "Salesman" or "Saleswoman," Smith's Dairy, "Driver," etc. Sec. 15. When reporting a case of TUBERCULOSIS, be sure to state the organ or part affected by the disease ; that is, "'Pul- monary tuberculosis," "Acute miliary tuberculosis," "Tuberculous meningitis," "Tuberculosis of spine," etc. Sec. 16. The ordinary diarrhoeas shall not be reported as DYSENTERY. The term "Dysentery" is made notifiable only for amoebic and bacillary types. Be sure to state whether amoebic or bacillary. Sec. 17. When reporting a case of CANCER always state the organ or part affected by the cancer. The term "Cancer" as used in the rules and regulations governing morbidity reports in- cludes all malignant growths and should be stated in the follow- ing manner: "Cancer of tongue," "Cancer of breast," "Cancer of uterus," "Cancer of stomach," "Cancer of rectum," etc. Sec. 18. The person reporting a case must not fail to SIGN THE REPORT and give postofifice address. If a physician, follow the name with the letters "M. D." Since other persons are re- quired to report cases, it is very important that the State Board of Health know the cases that are reported by physicians so that as- surance may be had that the case will be properly handled. Sec. 19. Any person who shall fail, neglect, or refuse to com- ply with or who shall violate any of the provisions of these Rules and Regulations shall be deemed guilty of a misdemeanor and upon conviction thereof, shall be punished by a fine of not less than Five ($5.00) Dollars, nor more than One Hundred ($100.00) Dol- lars, as provided in Section 22 of Chapter 6892 (No. 86) Laws of 1915, under which authority all Rules and Regulations governing morbidity reports were adopted. Sec. 20. These Rules and Regulations shall take effect im- mediately and all rules and regulations or parts of rules and regu- 149 lations inconsistent with the provisions of these Rules and Regula- tions are hereby repealed. No provision of these Rules and Regu- lation shall be construed as an attempt to appeal or amend any statute, or part thereof, requiring the reporting of diseases. Ins. No. 53. Instructions. Reports of Notifiable Diseases. 1. Physicians shall report notifiable diseases within six hours. 2. Every person who treats or examines any person afflicted with diseases made notifiable shall report within six hours. 3. All reports shall be made to State Board of Health, Bureau of Vital Statistics. 4. Envelopes and cards requiring no postage are furnished free. These are addressed Collaborating Epidemiologist and will reach the State Health Officer through the Bureau of Vital Statistics. 5. Venereal diseases shall be reported by enclosing the card in a sealed envelope. 6. Asiatic Cholera, Bubonic Plague, Yellow Fever and Small- pox shall be reported by telegraph, collect. 7. Do not send telegrams to the State Board of Health Col- lect, except for the four diseases mentioned. NOTICE — Charges will be reversed if you do. 8. This is only a brief outline. If you have any questions on the Morbidity Rules, that are not answered, please write to the Bureau of Vital Statistics. Rule No. 54. Governing the Transportation of Dead Bodies. Transportation and Disinterment of Dead Bodies. Section 1. A transit and Removal Permit issued by the Local Registrar, his Deputy or Sub-Registrar of the registration district in which the death occurred, or the body was found, must occompany each dead body transported by a common carrier. (a) The transit and removal permits must state the place of death, name of deceased, sex, color or race, age, cause of death, and the date and hour of death. (b) The transit permit shall also state the date and route of shipment, the point of shipment and destination, the method of preparation of the body, and shall bear the signature and title of the Registrar who issued the transit permit. 150 (c) That portion of the transit permit designated as the label shall be tacked (not pasted) to the outer box or case. (d) The transit permit shall bear the signature of the em- balmer preparing the body for shipment and show the number of his license issued by th'e Florida State Board of Embalmers. Sec. 2, The transportation of a dead body due to smallpox, bubonic plague, Asiatic cholera, diphtheria (membranous croup) (diphtheria sore throat), scarlet fever (scarlet rash, scarletina), erysipelas, glanders, anthrax or leprosy shall not be accepted for transportation unless prepared in the following manner: (a) Arterial and cavity injection with an approved disinfect- ing fluid ; (b) Disinfection and stopping of all orifices with absorbent cotton ; (c) Washing the body with a disinfectant. (d) The body shall be enveloped in a sheet or blanket satu- rated in a 1-1000 solution of corrosive sublimate; (e) The body after being prepared in the above manner shall be encased in an air-tight zinc, tin, copper or lead lined coffin or casket, all joints and seams hermetically sealed, and all encased in a strong wooden box; or, the body placed in a strong coffin or casket and encased in an air-tight zinc, tin, copper or lead lined outer box. Sec. 3. The transportation of a body dead from typhoid fever, puerperal fever, tuberculosis, or measles shall be prepared for transportation as provided in Section 2, except paragraphs (d) and (e). Sec. 4. The bodies of those dead from any cause not specified in Sections 2 and 3 shall be accepted for transportation, when en- cased in a sound cofiin or casket and enclosed in a strong outside wooden box ; provided, that the body will reach its destination within twenty-four (24) hours from the time of death. If the body cannot reach its destination within twenty-four (24) hours from the time of death then the body must be prepared as provided by Section 3. Sec. 5. In the shipment of bodies dead from any of the diseases named in Section 2, such body shall not be accompanied by per- sons or articles which have been exposed to the infection of the dis- ease, unless certified by the local or State Health Officer as having 151 been properly disinfected. The transit permit shall specifically state who is authorized to accompany the body. Sec. 6. No dead body shall be disinterred for transportation without the written consent of the State Health Officer. All disinterred remains shall be enclosed in metal or metal-lined boxes and hermetically sealed before being- offered for transporta- tion. Sec. 7. The outside case may be omitted in all instances when the coffin or casket is transported in hearse or undertaker's wagon. Sec. 8. Every outside case holding a dead body offered for transportation by common carrier shall bear at least four handles, and when over 5 feet 6 inches in length shall bear six handles. Sec. 9. When dead bodies are to be shipped by express all of the preceding rules shall apply except the transit and removal permit shall be attached to and accompany the waybill. Sec. 10. Bodies deposited in receiving vaults shall not be treated or considered the same as buried bodies when originally prepared by a licensed embalmer, as defined in Sections 2 and 3 (according to the disease causing death) : TProvided, shipment takes place within thirty f30) days after death. Sec. 11. When a body has been held thirty (30; days from date of death, it shall be prepared in accordance with Section 2 and permission of the State Health Officer must be obtained before the body is offered for transportation. Ins. No. 55. Instructions for Local Registrars, Physicians, Undertakers, Casket Dealers and Midwives. 1. Required to Register. "That every physician, midwife, sexton, retail casket dealer and undertaker shall, without delay, register his or her name, address and occupation and color or race, with the local registrar of the district in which he or she resides, or may hereafter establish a residence. Xo fee or other compensation shall be charged by local registrars to physicians, midwives, sex- tons, retail casket dealers, or undertakers for registering their names under this section." 2. Lists showing the names and addresses of Local Registrars with the boundary of their districts will be furnished on request for any County or Counties in the State. 152 3. When Deputies Shall Serve. Local Registrars must not delegate to their deputies the performance o'f any of their duties, except in the absence or disability of themselves. 4. Compensation of Deputies. The compensation of Deputy Registrars must be arranged for and agreed upon between the said Deputy and the Local Registrar. All payments under the pro- visions of the act will be made to the Local Registrar. 5. Penalties. Local Registrars shall be charged with fhe en- forcement of all the provisions of the Vital Statistics Law within their respective districts. (For violation of Vital Statistics Law, see Section 22). 6. Return of All Original Certificates. The Local Registrar shall on the 10th day of each month transmit to the Bureau of Vital Statistics all original certificates received and registered by him for births and deaths which have occurred in any previous month. 7. Report of No Births and No Deaths. When no births or deaths have been reported during the previous month, the Local Regstrar shall, on the 10th day of the month, report the fact on a postal card (Form V. S. No, 15) provided for that purpose. 8. Monthly Return Card. The Local Registrar shall forward with each monthly return of birth or death certificates a Monthly Statement Card (Form V. S. No. 7) showing the exact number of certificates enclosed. Care in observing this rule will aid in the payment of fees to Local Registrars. 9. Supply of Blanks. Local Registrars must keep constantly on hand a sufficient quantity of the proper blanks for distribution to persons authorized to receive them and to conduct the business of their offices. 10. Requisition for Blanks. Requisitions for additional sup- plies should be made when necessary upon Form V. S. No. 24, and forwarded with monthly report. 11. All Certificates to be Plainly Written in Ink. All birth and death certificates must be plainly written with durable black ink. If the writing should be so poor as to be unintelligible to the Local Registrar, it will be equally so to the employees of the Bureau of Vital Statistics. 12. Compensation of Local Registrars. Each Local Registrar 153 shall be entitled to receive the sum of twenty-five cents for each death and birth certificate, properly and completely made out, registered, correctly copied and duly returned to the Bureau of Vital Statistics within the time specified by the Vital Statistics Act (Section 20). 13. How Payments Are Made to Registrars. Payment of fees due Local Registrars for the registration of births and deaths will be made annually. Upon receipt of the December report which is made to this office on the tenth of January, the Bureau will make out a statement of the number of births and deaths and the number of reports of no births and deaths which will be mailed immediately to the Ivocal Registrar. This statement will serve as an approval blank which, when signed by the Local Registrar, approves the amounts credited by the Bureau for the registration work. These blanks in reality are bills against the State Board of Health for services as Registrars. When such bills are approved by the Local Registrars, they will, upon their receipt by the Bureau be vouch- ered and immediately sent to the Comptroller, who will in due time mail a State Warrant payable from the funds of the State Board of Health. 14. Definition of Terms Used in the Law and Instructions, Physicians. The term "Physician" as used in the Act and Instruc- tions of the State Registrar, refers to any person granted a license to practice medicine within the State of Florida. 15. Midwife. The term "Midwife" applies to any woman that makes it a business of attending women during confinement (child- birth). Midwives are not licensed by the State of Florida, except in some of the cities. In those cities licensing midwives the prac- tice of midwifery is limited to those who are licensed for that purpose. 16. Undertaker. An "Undertaker" is any person that makes a business of burying dead bodies. The term "person acting as such" (undertaker) refers to any person having charge of the burial or other disposition of a dead body. In most instances, the persons acting as an undertaker is a relative or neighbor. The term "undertaker" must not be confused with the term "Em- balmer." Any person can be an undertaker and bury the dead, but an embalmer must be licensed. An embalmer is required to pre- 154 pare certain bodies for shipment by railway or boat. (See em- balmer). 17. Embalmer. The term "embalmer" applies only to those persons licensed. All bodies dead from certain diseases or that can- not reach their destination within a specified time, must be pre- pared for shipment by a licensed embalmer before such bodies can be accepted for transportation by a common carrier. 18. Sexton. The term "sexton" applies to any person havmg charge of a public cemetery or graveyard. In case of private ceme- teries the landowner, if residing upon the premises, will be con- sidered the sexton. But in case the place is occupied by a tenant, the said tenant would, within the meaning of the Act and instruc- tions be regarded as the sexton. 19. Registration District. The term "Registration District" applies to the area within the jurisdiction of a Local Registrar. A Registration district may be only a municipality, or a voting pre- cinct, or a municipality and one or more voting precincts combined. The term "Registration District" is provided for in the Act and is only used in connection with the registration of births and deaths. 20. Common Carrier. As used in the Instructions and Rules and Regulations, refers to Railroads (Steam or Electric) and Steamboats or Sailing Vessels. 21. Statistical Definition of Stillbirths. Children born alive and living for any time whatever, no matter how brief, after birth, should not be classed as stillbirths, even though reported by the attending physician. For registration purposes, stillbirths should include all children born who do not live any time whatever, no matter how brief, after birth. Birth (completion of birth) is the instant of complete separation of the entire body (not the body in the restricted sense of trunk, but the entire organism, including the head, trunk and limbs) of the child from the body of the mother. The umbilical cord need not be cut or the placenta de- tached in order to constitute complete birth for registration pur- poses. A child dead or dying a moment before the instant of birth is a stillbirth, and one living a moment, no matter how brief, after birth, was a living child and should not be registered as a still- birth. No child that shows any evidence of life after birth should be registered as a stillbirth. 155 22. Persons Responsible for Birth Reports. The responsibility for reporting all births which may occur within the State is placed upon the physician or, midwife in attendance at the time of birth. If there should be no physician or midwife in attendance, then the responsibility for reporting the birth shall rest in the order in which they are named, upon the father, mother, householder, or owner of the premises, or upon the manager or superintendent of any public or private institution in which the birth occurs. 23. Date of Reports. The report of any birth must be made within ten days of the date of birth. 24. Numbering of Certificates. Upon the receipt by the Local Registrar of a certificate in which all of the items, according to his opinion, are fully and correctly answered, he shall number the cer- tificate, beginning with number ''1" for the first birth and "1" for the first death in each calendar year and number the certificates consecutively. He shall fill in the information required as to the city, town, or voting precinct and county, if it has been omitted by the person making the certificate, and state the number of the registration and primary registration district. 25. Signing and Dating Certificates. He shall then sign his name as Local Registrar in attest of the date of the filing of the certificate in his ofiice. 26. Birth Certificates for Unnamed Children. If a certificate of birth is presented to the Local Registrar without any given name, he shall make out and deliver to the informant the special blank for supplying the given name, which form (V. S. No. 16) shall be filled out and returned to him as soon as the child shall be named. 27. Twins, Triplets or Other Plural Births. In case of birth of twins, triplets or other plural births, the Local Registrar should require the physician, or person making the report, to file a cer- tificate for each child born, giving the number of each child in its order of birth. 28. Burial or Removal Permits Required in All Cases of Death. The body of any person whose death occurs within the State shall not be interred, deposited in a vault or tomb, cremated or other- wise disposed of, or removed from or into any registration district until a permit for burial, removal or other disposition shall have been properly issued by the Local Registrar of the registration dis- 156 trict in which the death occurred or the body was found, and no such burial or removal permit shall be issued by any Local Registrar until a complete and satisfactory certificate for the death has been filed with him. This requirement, an absolutely essential one, forms the foundation for all subsequent work in the collection of mortality statistics. 29. Undertaker Responsible for Filing Death Certificate. The undertaker or person acting as undertaker is required to file a death certificate with the Local Registrar and secure a burial or removal permit before moving a body. (V. S. Law, Section 9). 30. Medical Certificate of Death. The physician is not held re- sponsible for the reporting of a death. His only duty in connec- tion with the reporting of a death is to make out the portion of the death certificate, over his signature, which is designated as the Medical Certificate of Death. 31. Refusal of Permit for Lack of Information. If upon ex- amination the answer to any question is indefinite and unsatis- factory, and the circumstances of the case would make it appear that this item could be more fully and definitely answered, it shall be the duty of the Local Registrar to refuse to grant a burial or removal permit, until the missing information has been properly supplied. A plain statement of the exact cause of death by the medical attendant is imperative. 32. Burial Permit When Interment is to Take Place in District in Which Death Occurred. If the interment, or other disposition of the body is to be made within his registration district, he shall issue a burial permit for the same upon Form V. S. No. 6, supplied for this purpose and make an entry of the items specified upon the stubs attached to each form, to be retained in his ofifice. The per- mit shall then be delivered to the undertaker or person in charge of the body. 33. Return of Burial or Removal Permit. Burial or removal permits shall be deliver-ed by the undertaker to the sexton, or the person in charge of the burial grounds and be by him returned to the Local Registrar of the district in which the interment was made, within ten days from the date of interment. When no sexton or other person is in charge of a cemetery (public or private), the undertaker, or person acting as such, shall sign the burial or re- 157 moval permit as sexton and write across the face of the permit the words "No Person in Charge," and file the permit within ten days with the Local Registrar of the registration district in which the cemetery is located. 34. Shipment of Dead Bodies by Common Carrier. In case it is necessary to ship the body by common carrier, it shall be the duty of the Local Registrar, in addition to issuing a removal per- mit to comply with the Rules of the State Board of Health of Florida for Transportation of the Dead. (See Rule No. 54). 35. Disinterred Bodies Not to be Shipped Until Disinterment is Approved by State Health Officer. No Local Registrar will issue a burial or removal and transit permit for a disinterred body until the disinterment has been approved by the State Health Officer. The approval of the State Health Officer for the disinterment of a dead body can be obtained only by making application on Form V. S. No. 25 which is provided for that purpose. Local Regis- trars are required to have one or two of these blanks on hand at all times in order that no delay may be caused those that may de- sire to disinter a dead body. No Local Registrar will issue any permit for such bodies until he is presented with the State Health Officer's approval. The State Health Officer's approval will be granted on Form V. S. No. 116, which form is to be retained by the Local Registrar and serves as his authority for issuing per- mits for disinterred bodies. 36. Local Registrar's Copy of Death Certificate. Having re- ceived, properly numbered and signed a death certificate, the Local Registrar shall make a complete and accurate copy of each cer- tificate, in a record book provided for that purpose (Form V. S. No. 5), which shall be permanently preserved in his office in such a manner as to be accessible for reference at all times. (See Sec- tion 19 of the Vital Statistics Law). Z7 . Death Without Medical Attendant. In case of any death occurring without medical attendance, which may be brought to the notice of the Local Registrar, he shall inform the local health officer of the fact and refer the case to him for immediate investiga- tion and certification. If the Local Health Officer is not a qualified physician, or if there be no such official, then, and in such case only, the Local Registrar is authorized to make the medical certificate 158 and return, from the statement of the relatives or other persons hav- ing adequate knowledge of the facts, provided, that if the circum- stances of the case render it probable that the death was caused by unlawful or suspicious means, the Local Registrar shall then refer the case to the coroner for his investigation and certification. 38. Coroner's Certificate. Any death certificate supplied by a coroner shall contain the specified items of information as re- quired in all other cases and the medical statement shall be specific as to the nature of the disease or the manner of death, and if from external causes or violence, whether (probably) accidental, suici- dal or homicidal as determined by the inquest. 39. When Transit Permits Are Not Required. Transit per- mits will not be required when bodies are removed from one regis- tration district to another nearby district by hearse or undertaker's wagon. The removal permit of the Local Registrar of the district in which the death occurred will in such case be sufficient authority to permit the removal and burial without any further permit from the Local Registrar of the district in which the body is buried. 40. Bodies Received By Common Carrier. WHen bodies are received into any registration district by common carrier, if from points without the State of Florida, they must be accompanied by a transit and removal permit, issued in conformity with the law and health regulations of the place where the death occurred. This permit must be delivered to the Local Registrar of the district in which the interment is to be made, who shall issue a local burial permit in the same way as if the death occurred in his district, and enter upon the face of the permit the fact that it was a body shipped in for interment. No Local Registrar, shall, as such, re- quire from undertakers or persons acting as undertakers any fee for the privilege of burying a dead body. 41. Stillbirths Registered as Both Births and Deaths. Still- born children or those dead at birth, shall be registered as births and also as deaths and a certificate of both the birth and death shall be filed with the Local Registrar in the usual form and man- ner, the certificate of birth to contain, in place of the name of the child, the word "stillbirth." CSee Section 6, Vital Statistics Law). The cause of death in the medical certificate shall be given as "stillborn" and if the cause of the stillbirth is known, it shall be stated. 159 42. Burial or Removal Permits Requirdti for Stillborn Children. Burial or removal permits shall be issued for stillborn children in the same manner as if death occurred from other causes, and a certificate of death shall be required in all such cases which have passed the fifth month of uterogestation. (See Section 6, Vital Statistics Law). 43. Midwives Must Not Sign Death Certificates. Certificates of death for stillborn children or other deaths, must not be accepted from midwives. Such cases and stillbirths occurring without the attention of either physician or midwife shall be treated in the same manner as other deaths occurring without medical attendance. 44. Retail Casket Dealer. The term "Retail Casket Dealer" means any person, firm or corporation selling coffins or caskets at retail. The second paragraph of Section 9, of the Vital Statistics Law (the law requiring the registration of births and deaths) re- quires every person, firm or corporation selling caskets or coffins at retail to keep a record of each sale. This requirement applies to the undertaker or embalmer who sells a coffin or casket when the undertaker or embalmer does not have direct charge of the disposal of the body. 45. Casket Dealers Monthly Report. Casket dealers must make a report on the first day of each month to the Bureau of Vital Statistics on Form V. S. No. 10. Such report to cover the sale of each coffin or casket during the previous month. 46. This is' only a brief outline. If you have any questions on the Vital Statistics Law that are not answered, please write to the Bureau of Vital Statistics. Rule No. 56. Venereal Disease Control. Section 1. Reporting Venereal Diseases. All cases of venereal diseases shall be reported, as provided in Section 6, Chapter 7829 (47), Laws of Florida, and in accordance with Rules and Regulations of the State Board of Health. All cases of venereal disease shall be reported on a card. Form V. S. 124 and inclosed and sealed in a stamped or franked envelope provided by the State Board of Health. All cases of venereal disease must be so reported within forty-eight hours after first diagnosis or treatment. Sec. 2. Instructions and Information to be Given Patients. 160 It shall be the duty o£' every physician and of every other person who examines or treats a person infected v^ith syphilis, gonorrhea or chancroid, to instruct such person in measures for preventing the spread of such diseases, and to inform such person of the neces- sity for treatment until cured, and to hand such person a copy of the circular of information obtainable for this purpose from the State Board of Health. Sec. 3. Providing for a Proper Follow-up System of Cases. When a person applies to a physician or other person for the diagnosis or treatment of syphilis, gonorrhea or chancroid, it shall be the duty of the physician or person so consulted to inquire of and ascertain from the person seeking such diagnosis or treat- ment whether such person has heretofore consulted with or has been treated by any other physician or person and, if so, to ascer- tain the name and address of the physician or person last con- sulted. It shall be the duty of the applicant for diagnosis or treat- ment to furnish this information, and a refusal to do so or a falsifi- cation of the name and address of such physician or presons con- sulted by such applicant shall be deemed a violation of these Rules and Regulations. It shall be the duty of the the physician or other person whom the applicant consults to notify the physician or other person last consulted of a change of advisers. Should the physi- cian or person previously consulted fail to receive such notice within ten days after the last date upon which the patient was instructed by him to appear, it shall be the duty of such physician or person to report to the State Health OfiEicer, the name and ad- dress of such venereally diseased person, setting forth the essen- tial facts in the case. If an attending physician or other person knows or has good reason to suspect that a person having syphilis, gonorrhea or chan- croid is so conducting himself or herself as to expose other persons to infection, or is about so to conduct himself or herself, he shall notify the State Health Officer of the name and address of the diseased person and the essential facts in the case. Sec. 4. Health Officers Shall Protect Public. Whenever infor- mation shall reach any Municipal or County Health Officer or any duly accredited representative of the State Health Officer concern- ing the existence of a case of venereal disease which may necessi- tate action on the part of said health officer under the provisions 161 of Section 7, Chapter 7829 (47), Laws of Florida, Session 1919, said Municipal or County Health Officer or representative of tne State Health Officer is hereby directed to investigate such informa- tion received and to take appropriate action in each case to pro- tect the public health. Sec. 5. Providing for Treatment and Discipline. Whenever it shall be necessary to confine cases of venereal disease for treat- ment the following regulations shall be in force: 1. The surgeon in charge is authorized and directed to pre- scribe proper treatment for the person in isolation, such treatment to include suitable work in sufficient amount to maintain the physi- cal well-being of the person so detained under isolation. 2. The authorities in charge of a place used for detention and isolation of such persons are authorized to take such disciplinary measures as may be necessary to maintain order, secure obedience to the rules and regulations of the institution and to carry out the; purposes for which isolation is maintained. Sec. 6. Prostitution to be Repressed. Prostitution is hereby declared to be a prolific source of syphilis, gonorrhea and chan- croid, and the repression of prostitution is declared to be a public health measure. All Municipal and County Health Officers and duly accredited representatives of the State Board of Health are therefore authorized and directed to cooperate with the proper officials whose duty it is to enforce laws directed against prostitu- tion and otherwise to use every proper means for the repression of prostitution. Sec. 7. Protection of Others From Infection by Venereally Diseased Persons. Upon receipt of a report of a case of venereal disease the State Health Officer or his duly accredited representa- tive shall have power to institute measures for the protection of other persons from infection by such venereally diseased person. 1. The State Health Officer or his duly accredited representa- tive is authorized and directed to isolate persons who have syphilis, gonorrhea or chancroid, whenever, in the opinion of the State Health Officer or his duly accredited representative, isolation is necessary for the protection of the public health. If any person suspected of being infected with syphilis, gonorrhea or chancroid should refuse to voluntarily submit to examination, the health officer shall in that event follow the procedure set forth in Sections 162 4 and 7 of. Chapter 7829 (47). In establishing isolation the health officer shall designate and define the limits of the area in which the person known to have syphilis, gonorrhea or chancroid and his immediate attendant are to be isolated and no persons other than the attending physician shall enter or leave the area of quarantine without the permission of the State Health Officer or his duly accredited representative. No one but the State Health Officer or his duly accredited representative shall terminate said isolation and this shall not be done until the diseased person has become noninfectious, as de- termined by the State Health Officer or his duly accredited repre- sentative through clinical examination and all necessary labora- tory tests, or for other sufficient reason the State Health Officer or his duly accredited representative shall deem it proper to sooner terminate said isolation. 2. The State Health Officer or his duly accredited representa- tive shall inform all persons who are about to be released from isolation for venereal disease, in case they are not cured, what further treatment should be taken to complete their cure. Any person not cured before release from isolation shall be required to sign the following statement after the blank spaces have been filled to the satisfaction of the health officer : I, residing at , hereby acknowledge the fact that I am at this time infected with , and agree to place myself under the medical care of • , Name of physician or clinic , within Address hours, and that I will remain under treatment of said physician or clinic until released by the State Health Officer or his duly ac- credited representative, or until my case is transferred with the ap- proval of said health officer to another regularly licensed physician or an approved clinic. I hereby agree to report to the State Health Officer within four days after beginning treatment as above agreed, and will send to said health officer a statement from the above physician or clinic of the medical treatment applied in my case, and thereafter ■will report as often as may be demanded of me by the health officer. 163 I agree, further, that I will take all precautions recommended by the said health officer to prevent the spread of the above disease to other persons, and that I will not perform any act which would expose other persons to the above disease. I agree, until finally released by the health officer, to notify him of any changes of address and to obtain his consent before moving my abode outside an area designated by the health officer. Signature Date All persons signing the above agreement shall observe its pro- visions, and any failure so to do shall be a violation of these Rules and Regulations. All such agreements shall be filed with the State Health Officer and kept inaccessible to the public. Sec. 8. To Prevent Spread of Venereal Diseases by Itinerant Prostitutes in Rural Communities and in Rural Industrial Plants. 1. No person infected with syphilis, gonococcus infection or chancroid shall enter the State of Florida or take up residence within the state except upon permit in writing issued by the State Health Officer or his duly accredited representative. The permit shall state that, in the opinion of the issuing officer, the proposed travel or change of residence is not dangerous to the public health. Such permits granted to residents of other states shall be trans- mitted through the State or local health officer having jurisdic- tion at the place of residence, or when this is impracticable, copies shall be mailed to the said State or local health officer. 2. No person infected with syphilis, gonococcus infection or chancroid shall travel from one county to another within the state, or from one community to another within the same county except upon a permit granted by the local health officer under whose juris- diction such person resides or by the State Health Officer or his duly accredited representative. The permit shall state that, in the opinion of the health officer, the proposed travel is not dangerous to public health. 3. No person infected with syphilis, gonococcus infection or chancroid shall change residence from one county to another with- in the state or from one community to another within the same 164 county except upon a permit in writing from the local health officer of the jurisdiction from which such person proposes to move or from the State Health Officer or his duly accredited rep- resentative. An applicant for a permit to change such residence shall inform the health officer to whom application is made as to the intended place of residence, and shall agree in writing to report in person to the proper health officer one week after arrival at the new place of residence. It shall be the duty of the health officer who issues a permit for change of residence to another jurisdiction to promptly notify the health officer under whose jurisdiction the infected person proposes to enter, that such a permit has been issued. This notice shall contain the name and address of the infected person. Upon receiving such notice any health officer shall ascertain and report the arrival of such infected person to the health officer who issued the permit for change of residence, and shall also notify the State Board of Health that such change of residence has taken place^ t 4. Each application for a permit to travel or change residence must contain an agreement signed by 'the applicant to continue treatment under the direction of a legally licensed physician until permission to discontinue treatment has been received from the health officer. No health officer shall permit the discontinuance of treatment under such conditions until the infected person has be- come non-infectious according to the standards fixed by the State Board of Health. Sec. 9. For Proper Protection of Schools. No person infected with a venereal disease (gonorrhea, syphilis or chancroid) shall be permitted to attend, teach or be otherwise employed in any private, parochial or public school or any college or university. Sec. 10. Certain Occupations and Services Prohibited. 1. No person infected with syphilis, gonococcus infection or chancroid shall apply for service, be served or employed in a public bath room or swimming pool and no person infected with syphilis in a communicable form shall apply for service or be served in any barber shop, nor shall any person infected with syphilis, gono- coccus infection or chancroid be employed or permitted to perform any service in any barber shop. 165 2. No person infected with syphilis, gonococcus Infection or chancroid shall engage in the occupation of nurse, nurse-maid, do- mestic servant, barber, hairdresser, manicurist, chiropodist, bath attendant, masseur or any other occupation in which syphilis or gonococcus infection may be transmitted to others. 3. No person infected with syphilis, gonococcus infection or chancroid shall engage in any occupation which involves intimate contact with children. 4. No person infected with syphilis, gonococcus infection or chancroid shall engage in any occupation which involves the preparation, handling, serving or dispensing, by the infected per- son, of foods, drugs or beverages intended for the use of others. Sec. 11. Providing for Punishment for Violations. Any per- son wilfully violating any of the foregoing Rules and Regulations promulgated by the State Board of Health under the authority of the Laws of Florida, shall be guilty of a misdemeanor and may be punished as for a misdemeanor. Ins. No. 57. Instructions as to Proper Procedure for Control of Venereal Diseases. 1. When the names and addresses of persons infected with venereal diseases are reported by physicians, the procedure should be such as will extend every proper courtesy to the physician mak- ing the report, duly respect the confidential nature of the informa- tion, and adequately protect the public health. Should the report be made direct to the local health officer, it is advisable to see the physician personally, if practicable, and get all the information possible as to the character of such infected person and the likeli- hood that the patient's conduct may be such as likely to spread the disease to others. 2. After a conference with the attending physician, if it is deemed necessary, a private interview should be sought with the patient at the earliest opportunity. The purpose of the interview should be disclosed to no one except the patient. The provisions of the State Rules and Regulations and local ordinances, if any have been passed, should be carefully explained so that the patient may fully appreciate the powers which the health officer may exercise under such Rules, Regulations or Ordinances. It is probable that a plain talk of this kind, in which the patient is given to understand 166 that he must follow instructions or he may be placed in isolation by the health officer, will be sufficient to deter him from exposing others. If not, in order to protect the public health, it is the duty of the health officer to institute isolation without delay. 3. When the persons whose names are reported are known to be prostitutes or pimps, or to be engaged in any way in com- mercialized vice, it may be assumed that such persons cannot be trusted to protect others from exposure to infection, and it is the duty of the health officer to take immediate steps to isolate them without waiting to interview either the physician or the patient. In all other cases where isolation is instituted, the health officer will wish to satisfy himself as to the accuracy of the diagnosis. 4. Before deciding to isolate a person infected with venereal disease, the health officer should study the facts in the case to de- termine the best method of handling the individual case. It is not desirable to place the expense of maintaining and treating such persons for considerable periods upon the public unless such step is necessary to protect the public health. On the other hand, it is highly desirable that every person infected with venereal dis- ease who is a menace to the public health while at liberty should be placed in isolation. 5. The Health Officer should examine promptly and thoroughly by both clinical and laboratory methods, all persons referred by peace officers as suspected of having venereal disease, and take ap- propriate action to protect the public health in all cases found to be infected. 6. Information concerning the presence of venereal disease may often reach the health officer through channels other than official. Private citizens or representatives of certain societies or civic organizations may report cases, and it is the duty of the health officer to carefully investigate all cases so reported. Should the investigation furnish evidence of infection that seems sufficient, the health officer should either persuade the suspected persons to submit to an examination or secure a warrant to be served by a peace officer. All cases should be dealt with in a manner that will best safeguard the public health. 7. When there is reason to believe that a person is a menace to the public health and such person does not voluntarily submit to detention, examination, isolation or treatment, such case shall 167 be handled as provided for in Section 7, of Chapter 7829 of the Laws of Florida. 8. When it shall become necessary that a person be placed in isolation for venereal disease, after apprehension by a proper officer, the actual transfer to place of isolation should be done by said officer. Such infected person shall then remain in isolation and under treatment until released as non-infectious. 9. All reports of venereal diseases are required to be confi- dential, and all administrative measures for the control of venereal diseases should be carried out with as liftle publicity as possible. Publicity may be most embarassing to innocent members of the family. 10. It is sometimes necessary to deal with young girls or boys who are infected with venereal diseases. These cases are usually such as need training in the Industrial School for Girls at Ocala or the Industrial School for Boys at Marianna. It is deemed ad- visable to have such cases sentenced to the Industrial School by the Judge of the Probate Court. Or, if upon a proper mental test being made they are found to be feeble-minded, they should be sentenced to the Florida Farm Colony for Feeble Minded and Epileptics at Gainesville. 169 INDEX Law Rule page page A Abatement and injunction of certain places or buildings 81 • Abatement of nuisances 67 Absorption Beds for treatment of sewage at residences; govern- ing the specifications for 103 Acceptance and disbursement of money received from the United States for Venereal Disease Control 5 Admission to schools ; Children's certificates for 86 Adultery and fornication 69 Adultery; White persons and negroes living in 72 Annual report to Governor 34 Antirabic treatment 141 Antitoxin distributing stations 142 Assistant State Health Officer ; Law repealed • 8 Attorney's duty; State Vital Statistics law 51 Authorizing sale of property 11 B Barber shops ; Sanitation and cleanliness of 100 Barber shops ; Services in, prohibited in certain diseases 164 Barbers; Occupation prohibited to persons infected with venereal diseases 164 Bath houses, swimming and bathing places 8 Biologies explained 141 Birth certificate ; Certified copy 50 Birth certificate ; Form 46 Births to be registered 45 Blanks and forms furnished to physicians, midwives and undertakers 48 Board authorized to make and publish Rule? 7 Board may call on General Government for aid during epidemics 33 Board Members compensation 34 Board of Embalmers 62 Board of Health appointed by Governor 20 Board to elect President and employ Health Officer 25 Boarding houses, hotels and restaurants inspected... 54 Bond and oath of State Health Officer 25 Bottlers of water ; Suggestions to 130 Bottling of water ; Regulating the manufacture, inspection and 95 Breeding of mosquitoes; Ordinance to prevent 137 Burial and removal permits 40 Burial permit ; Form 44 C Camps ; Control of in incorporated towns 98 Camps ; Control of sanitation and cleanliness of 99 Cancer ; Treatment of indigent cases of 95 Carnal intercourse with unmarried female idiot 70 Carnal intercourse with unmarried female under eighteen years 70 Casket dealer's monthly report _. 44 Casket dealers must register with local Registrars 47 Casket dealer's instructions 151 170 Law Rule page page Cemetery records 45 Cemetery sexton's instructions 154 Certified copies of birth and death certificates 50 Chancroid. See Venereal Diseases. Charitable institutions ; Superintendents of, to make reports of venereal disease 12 Children ; Certificate for admission to schools. 86 Clandestine marriage; Enticing away unmarried women for.. 71 Cleanliness of barber shops 100 Cleanliness of camps ; Control of 99 Qeanliness of camps; Control of, in incorporated towns 98 Closets or privies must be fly-proof 7 Closets; school. . .i 20 Code ; Sanitary Railway 106 Common drinking cups prohibited in public places 99 Common towels prohibited in public places 100 Communicable disease reportable 144 Compensation of Board Members and Health Officer 34 Compensation of Sanitary Engineer 32 Comptroller to audit accounts and draw warrant 35 Construction and operation of public swimming pools 124 Contributions for health exhibits may be accepted 30 Control of sanitation and cleanliness of camps 99 Control of sanitation and cleanliness of camps in incorporated towns 98 Control of venereal diseases 159 Controlling water and sewage treatment plants 97 County tuberculosis hospitals 20 Crippled children's hospitals 66 Crippled children treated 94 Current expenses 35 D Dairies ; Alanagement of 104 Death certificate ; Certified copy of 50 Death certificate ; Form of 41 Death certificate to be filed by undertaker 43 Death occurring without medical attendance 42 Deaths to be registered 43 Decency and morality ; Offences against 69 Defining periods of isolation 84 Definition of isolation 84 Definition of sewage 59 Definition of Venereal diseases 11 Dependent children to receive support 15 Deputy Registrars 40 Designating headquarters of the State Board of Health 10 Destroying or defacing warning cards 83 Dining and buffet cars to be screened 56 Diphtheria antitoxin 141 Diphtheria ; Instructions concerning 90 Diphtheria ; Isolation of • . ■ 85 Disbursement of money received from the United States for Venereal Disease Control 5 Discharging rubbish, filth, etc., in lakes and rivers 73 Discharging sewage in underground waters 73 Disease ; Disseminating rumors of 75 171 Law Rule page page Diseased animals 80 Diseases to be reported 144 Diseases to be reported by telegram 25 Diseases, Venereal, to be reported 12 Disinfectants and disinfection 123 Disinfection of premises 85 Disinterment of dead bodies 151 Disobeying quarantine regulations 75 Dispensaries, Superintendents of, to report cases of venereal disease 12 Disposal of human excreta; Ordinance providing for 132 Disseminating rumors of disease 75 Dissemination of information concerning communicable disease 29 Distributing Stations ; Antitoxin 142 Districts established to file birth and death certificates 39 Distribution of biologies 141 Docks, landings and wharves protected 87 Doctors to file birth certificates 45 Doctors to report certain diseases 144 Doctors to report venereal diseases 12 Doctors to give instructions in venereal disease cases 159 Donations by towns, cities or counties authorized for venereal disease control 11 ■ Drinking cups, common, prohibited in public places 99. Drugs administered under certain regulations 61 Drugs ; Sale of habit forming 60 Duties of Local Registrar : 49 Duty of Attorneys ; Vital statistics law 51 Duty of Health Officer when morbidity is reported 52 E Embalmer's license 64- Embalmer's license revoked 65 Embalming without complying with the law 74 Engineer ; Sanitary, employed 31 Enticing away for prostitution 71 Enticing away unmarried women for clandestine marriage. ... 71 Enticing female to come into State or to leave her home for immoral purposes 71 Establishing plant for distribution of hog cholera serum 36 Examination and inspection for venereal disease 12 Exhibit expenses to be paid from State Board of Health funds 30 Exhibits in railway car authorized 29 Expenses certified by President 34 F Fees of Local Registrar 50 Fixing residence of State Health Officer 10 Follow-up system of cases of venereal disease 160 Food exposed for sale to be screened 56 Foods and drinks for sale ; Ordinance regulating 135 Foods, drugs or drinks ; Prohibiting persons infected with venereal disease from preparing, handling, serving or dispensing 165 Form of birth certificate 46 Form of burial permit 44 Form of death certificate 41 172 Law Rule page page Forms, blank, for release from isolation, venereally infected persons 162 Fornication and adultery 70 G Garbage and Refuse, care of, receptacles ; Ordinance governing 139 Glanders and other contagious diseases in animals 79 Gonorrhea. See Venereal Diseases. Governing construction and operation of public swimming pools 124 Governing specifications for septic tanks and absorption beds for treatment of sewage at residences 103 Governing the preparation, sale and vending of foods; Pro- viding penalty 97 Governing the production and handling of milk and management ci dairies: Providing for enforcement 104 Governing transportation of dead bodies 149 Governing venereal disease control 159 Governor may convene Board 24 Governor to appoint Board of Health 24 Governor to furnish means of enforcing quarantine 27 H Habit forming drugs 60 Headquarters, State Board of Health 10 Health and Quarantine laws 74 Health Officer employed by Board 25 Health, State Board of, authorized to make and publish Rules 7 Hog cholera serum for distribution 36 Hogs, keeping in pens 79 Hospital for crippled children 66 Hospitals and alms houses to keep records 47 Hospitals, Superintendents of, to make reports of cases of venereal disease 12 Hospitals ; Tuberculosis 20 Hotels, restaurants and boarding houses inspected 54 Hotels, restaurants, etc.; Providing for sanitation of 96 I Indigent crippled children's hospital 66 Information and Instructions to be given patients infected with venereal diseases 159 Inspection and botthng of water; regulating the manufacture.. 95 Inspection of hotels, restaurants and boarding houses 54 Inspection of school children 36 Instructions and Information to be given patients infected with venereal diseases 159 Instructions for Local Registrars, physicians, undertakers, cas- ket dealers and midwives 151 Instructions on biologies 141 Instructions on reporting communicable diseases 144 Instructions; Reports of notifiable diseases 149 Instructions ; Venereal disease control. 165 Investigation of sanitary conditions of cities 57 Investigation; Quarantine duties of President and Health Officer 26 Investigations of reported cases of venereal disease; Duty of health officers to make ■■ 12 Isolating venereal disease 12 161 Isolation defined 84 173 Law Rule _ page page Keepers of burial places 45 Kitchens to be screened 56 L Leprosy ; Isolation of 85 Lewd and lascivious behavior 69 License to embalmers , 64 Local Registrar to enforce law 51 Local Registrar's duties 49 Local Registrar's fees 50 Local Registrar's instructions ' 151 Local Registrar's term of office and appointment 39 M Managers of hospitals, dispensaries, or charitable or penal institutions to make reports of cases of venereal disease. ... 12 Manufacture, importation and bottling of water; Regulating... 95 Markets, stores, hotels, restaurants, etc. ; Providing for sanita- tion of 96 Medical certificate of death 42 Medical inspection of school children 36 Meetings may be called by President 33 Members of Embalming Board 63 Members of Board of Health appointed by Governor 20 Midwives' instructions 151 Midwives to file birth certificates 45 Midwives must register with Local Registrar 47 Milk; The handling of 104 Money received from the United States for venereal disease control 5 Monthly current expenses authorized 35 Morality and decency ; Offences against 69 Morbidity reports 52 144 Morbidity reports required 12 144 Mosquitoes ; Ordinance to prevent breeding of 137 Mothers, poor, having dependent children 15 Muzzling 86 N Negro and white occupying same room 72 Notifiable diseases 12 144 Nuisance ; Declaring open privies to be 132 Nuisances ; Penalties 77 Nuisance ; Sanitary, defined 57 Nuisances ; Abatement of 67 Nuisances; Abatement and injunction of certain places or buildings 81 Nuisances ; Certain acts declared to be 79 O Oath and bond of State Health Officer 34 Obstructing officer 75 Occupations prohibited to persons infected with venereal disease 164-165 O'ffences against morality and decency 69 Officer obstructed 75 Open privies ; Declaring same to be nuisance 132 174 Law page Operation of public swimming pools; Governing the construc- tion and 124 Operators ; Sewage plants 97 Orthopedic service 94 Penal institutions, Superintendents of, to make report of cases of venereal disease 12 Penalty for disobeying quarantine regulations 75 Penalty for embalming without complying with the law 74 Penalty for not keeping water tanks and mains clean 76 Penalty for not reporting yellow fever, smallpox and cholera.. 74 Penalty for nuisances 11 Penalty for violating Rule governing the preparation, sale and vending of foods 97 Penalty for violating vital statistics Law 76 Penalty for violation of Law for control of venereal disease.. 12 Penalty for violation of State Board of Health Rules 75 Penalty for violation of venereal disease Rules 165 Penalty if water closets are not kept clean 78 Permit for burial or removal • 4 Permit for release from isolation; Venereal disease control.... 162 Permit to discharge sewage 59 Permit to ship dead bodies 149 Permit to travel or change residence; Venereal disease control. . 164 Physicians to assume control in certain cases 53 Physicians' instructions on vital statistics Law 151 Physicians must register with Local Registrar 47 Physicians required to file birth certificates 45 Physicians required to report notifiable diseases 12 144 Physicians required to report venereal diseases 12 159 Physicians required to wire certain reports 25 Place of residence ; State Health Officer 10 Pools, swimming; Sanitation, healthfulness, etc. of 8 Poor mothers or women having dependent children 15 Powers of State Board _ 29 Preparation, sale and vending of foods; Providing penalty.... 97 President elected by Board 25 President may call meetings 33 Privies or surface closets must be fly proof _. ._ 7 Production and handling of milk; Management of dairies, etc.. 104 Prohibited; Common drinking cups in public places 99 Prohibited ; Common towels in public places 100 Prohibited ; Serving, handling or preparing of foods, drugs of drinks by venereally infected persons 165 Prostitution ; Enticing away for 71 Prostitution to be repressed 161 Protection of wharves, docks and landings . . ._ 87 Public bath houses, swimming pools and bathing places 8 Public buildings ; Sanitation of 102 Q Quarantine and health Laws 74 Quarantine ; Duties of President and Health Officer 26 Quarantine may be modified by Board 33 Quarantine of railways and vessels 27 175 Law Rule page page R Rabid animals to be confined , 26 Rabies ; Laboratory examination 87 Railway companies may transport cars free 30 Railway Sanitary Code 106 Recommending types of sewage disposal 128 Refuse ; Care of and receptacles for 139 Regular meeting of Board designated 24 Regulating manufacture, importation and bottling of waters... 95 Removal and burial permits , 40 Reportable diseases 12 144 Reporting venereal diseases 12 159 Reports of cases of venereal disease to be made by Superintend- ents or Managers of hospitals, dispensaries, and charitable and penal, institutions 12 Requiring sewer connections 140 Residence State Health Officer designated 10 Restaurants, etc. ; Providing for sanitation of 96 Restaurants, hotels and boarding houses inspected 54 Revocation of embalmers license 65 S Sale and vending of foods ; Providing penalty 97 Sale of habit forming drugs 60 Sanitary condition of cities to be investigated 57 Sanitary. Enginer to be employed 31 Sanitary Engineer's compensation 32 Sanitary inspection of hotels, restaurants and boarding houses 54 Sanitary nuisance defined 57 Sanitary railway code 106 Sanitation and cleanliness of barber shops 100 Sanitation and cleanliness of camps ; Control of 99 Sanitation and cleanliness of camps; Control of, in incorporated towns 98 Sanitation of markets, stores, hotels, restaurants, etc 96 Sanitation of public buildings 102 Sanitation of public places 30 Sanitation of schools ; Air space and ventilation 101 Sanatorium ; Tuberculosis 53 Scarlet Fever ; Instructions concerning 91 School children ; Medical inspection of 36 School closets 20 Schools, Colleges or Universities ; Preventing persons infected with venereal diseases, teaching, attending or being em- ployed in 164 School teachers required to report notifiable diseases 146 Schools ; Air space, sanitation and ventilation of 101 Septic tanks and absorption beds for treatment of sewage at residences ; Governing specifications for 103 Serum Antimeningococcus 141 Service ; Orthopedic 94 Sewage disposal ; Recommending types of 128 Sewage plant operators 97 Sewage treatment plants ; Controlling 97 Sewer connections ; Law requiring 140 Sewage defined 59 Sewage discharged in underground waters 73 176 Law page Sextons to register with Local Registrars 47 Sextons' instructions Sexual intercourse prohibited; Persons venereally infected.... 11 Slaughter houses 80 Smallpox instructions Specifications for septic tanks and absorption beds for treat- ment of sewage at residences Specifications for warning cards Specimens for laboratory ; Instructions on State Board authorized to make and publish Rules 7 State Board of Embalmersi 62 State Board of Health headquarters 10 State Health Officer employed by Board 25 State Health Officer to act as Secretary. 33 State Health Officer to condemn certain property 32 State Health Officer to control quarantine 27 State Health Officer's compensation , 34j State Health Officer's oath and bond 34 Still births to be registered 41 Stores, hotels, restaurants, etc.; Providing for sanitation of.... Sub-registrars 40 Suggestions to bottlers of water Superintendents of hospitals, dispensaries, or charitable or penal institutions to make reports of cases of venereal disease.. 12 Support of dependent children 15 Surface closets or privies must be fly-proof 7 Surface closets; Violation of Regulations 79 Supressing venereal diseases 11 Swimming pools ; Construction and operation of Swimming pools ; Sanitation, healthfulness, etc. of 8 Syphilis. See Venereal Diseases. T Tax levied for Board ; One-half mill 35 Teachers infected with Communicable disease Teachers required to report notifiable disease Telegraphic reports of certain diseases 25 Terms of office for Members of Board and State Health Officer 25 Time of regular meeting of State Board of Health 24 Towels prohibited in public places Towns and cities to be visited by State Health Officer Trachoma excluded from schools Transportation of dead bodies Traveling of venereally infected persons restricted Treatment of crippled children Treatment of indigent cancer cases Treatment of sewage at residences Treatment of venereal disease provided for 12 Tuberculosis hospital 20 Tuberculosis ; Instructions concerning Tuberculosis sanatorium 53 Types of sewage disposal ; Recommending Typhoid ; Preventative treatment for Typhoid Fever ; Instructions concerning 154 89 103 83 143 96 130 124 85 146 100 32 86 149 165 94 95 103 161 93 128 141 91 177 Law Rule page page U Underground waters defined 58 Undertaker to file death certificate 43 Undertakers' instructions 151 Unmarried women enticed away 71 Vaccine virus 141 Vagrants 72 Vending of foods ; Providing a penalty 97 Venereal disease control 159 Venereal diseases ; Reporting 12 159 Venereal diseases ; Regulating and suppressing 11 Ventilation of school buildings 101 Violations after sanitary inspection of buildings 80 Violation; Failure to provide school buildings with closets.... 82 Violation; Not keeping water tanks and mains clean 75 Violation of Regulations as to employment bonds 81 Violation of Regulations as to surface closets 79 Violation of Regulations as to screening hotels 81 Violation of Rules made by State Board of Health 75 Violation of vital statistics Law 76 Violation ; Venereal disease Law 12 Violation ; Venereal disease Rules 165 Vital statistics Law 38 Vital statistics Law ; Penalties 76 W Warning cards 83 Water and sewage treatment plants : Controlling 97 Water ; Bottlers of _ 130 Water closets ; Penalty if not kept clean 78 Water; Regulating the manufacture, importation and bottling of 95 Waters ; Underground, defined ' 58 Wharves, docks and landings protected 87 Women ; Unmarried, enticed away 71 COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the expiration of a definite period after the date of borrowing, as provided by the rules of the Library or by special arrange- ment with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE C2a(l14l)M100 COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the f expiration of a definite period after the date of borrowing, as provided by the library rules or by special arrangement with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE i j j C28(3-B2)IOOM 1 EA44.B9 Florida. Laws, statutes, etc. Sanitary code. F66 1921 T t ^ ': -J, '..-J V 1^ \1U