SANITARY LEGISLATION.

STATE LAWS AND REGULATIONS PERTAINING TO PUBLIC HEALTH.

ARIZONA.

Control of Communicable Diseases-Duties of County and City Health OfficersSanitation of Dairies and Schools. (Regulations Territorial Board of Health, approved Aug. 1, 1911.)

AUTHORITY FOR REGULATIONS.

Under authority of section 4, paragraphs 3 and 8, chapter 65, of the Session Laws of the Twenty-second Legislative Assembly of the Territory of Arizona, and section 1, chapter 76, of the Session Laws of the Twenty-fifth Legislative Assembly of the Territory of Arizona, the following regulations for the control of communicable diseases; further defining the duties of county superintendents of public health and city health officers, and of local and county registrars of vital statistics; requiring additional information as to the places where diseases causing death have been contracted, or injuries resulting in death received; regulating the sanitation of dairies and of schools and the construction of school buildings, are hereby adopted, and the regulations adopted by the Territorial board of health on April 22, 1903, are hereby repealed:

CHAPTER I.

CONTROL OF COMMUNICABLE DISEASES.

SECTION 1. The following diseases are hereby declared to be communicable and dangerous to the public health, viz: Bubonic plague, chicken pox, cholera (Asiatic or epidemic), dengue, diphtheria (diphtheritic croup, diphtheritic sore throat), German measles, hydrophobia (rabies), leprosy, malarial fever, measles, relapsing fever, scarlet fever (scarletina, scarlet rash), smallpox (variola, varioloid), typhoid fever, typhus fever, whooping cough, and yellow fever, and shall be understood to be included in the following regulations, unless certain of them only are specified.

SEC. 2, PAR. 1. Every physician who shall know or suspect that any person, requiring his or her services professionally, is suffering from any of the diseases named in section 1, shall forthwith make report in writing to the local board of health, upon blanks to be furnished for that purpose by the local board of health. The report shall be personally signed by the physician and shall contain such items of information as are indicated on the blanks aforesaid. Cases merely suspected shall be reported as suspicious, or suspected cases, and the local board of health shall be notified promptly upon a definite decision being made as to the nature of the disease.

PAR. 2. In case of Asiatic cholera, bubonic plague, smallpox, and yellow fever, in addition to the card report, the local board of health shall be immediately notified, by the most expeditious method (telephone, telegraph, messenger) and the executive officer thereof shall, except for smallpox, immediately notify the secretary of the Territorial board of health by telephone or telegraph. Like immediate notice, in

addition to the card report, shall also be given to the local board of health of primary cases in a community, of any of the following diseases, viz: Chicken pox, diphtheria, measles, scarlet fever, and whooping cough.

SEC. 3. Every keeper of any private house, boarding house, lodging house, inn, or hotel, who shall know or suspect that any person, boarder, lodger, guest, tenant, or other occupant of premises owned, conducted, managed or supervised by him or her, or any member of his or her family, is suffering from any of the diseases named in section 1, shall forthwith make report in writing to the local board of health: Provided, That where a physician or other person has professionally attended such a person, the responsibility of such report shall devolve solely upon the physician or person so attending.

SEC. 4. Every health officer and every county superintendent of public health shall, upon receiving a report of any case of any disease named in section 1, forth with make such inspection and examination as may be necessary and make report in writing to the secretary of the Territorial board of health upon blanks to be furnished for that purpose. Said report shall contain such items of information as are indicated on the blanks provided for report in such disease. Such health officer or county superintendent of public health shall notify immediately the school authorities of the existence of each case of any of the diseases mentioned in sections 9 and 10 of these regulations.

SEC. 5, PAR. 1. The term "absolute quarantine" as used in these regulations shall be construed to mean and include, first, absolute prohibition of entrance to or exit from a building or conveyance except by officers or attendants authorized by the health authorities, and the placing of guards, if necessary, to enforce this prohibition;" second, the posting of a warning placard, stating the name of the disease, in a conspicuous place or places on the outside of the building or conveyance; third, the prohibition of the passing out of any object or material from the quarantined house or conveyance; fourth, provision for conveying the necessaries of life, under certain restrictions, to those in quarantine.

The following diseases shall be placed under absolute quarantine: Bubonic plague, cholera, smallpox, and yellow fever, and the quarantine shall be continued until raised by an authorized agent of the board of health.

PAR. 2. The term “modified quarantine" as used in these regulations shall be construed to mean and include, first, prohibition of entrance and exit, as in absolute quarantine, except against certain members of the family authorized by the health authorities to pass in and out under certain definite restrictions; second, the placing of a placard or placards as under absolute quarantine; third, isolation of the patient and attendants. The wage earner is allowed, under modified quarantine, to continue work provided he at no time comes in contact with the patient, and that he has and uses facilities for thoroughly cleansing his hands immediately before leaving the premises. In permitting householders and wage earners to continue work when their premises are under modified quarantine, it shall be understood that such persons shall not be employed in an establishment maintaining the production, sale, or manufacture of candy or food products, including milk and ice cream; nor shall such person be employed as a teacher of children nor in any other capacity that brings them in intimate contact with children.

The following diseases shall be placed under modified quarantine: Diphtheria, measles, and scarlet fever: Provided, That where, in the judgment of the city health officer or the county superintendent of public health, the health of the community will be endangered by permitting the liberties of modified quarantine, he may, his discretion, institute absolute quarantine.

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PAR. 3. The following diseases in addition to those requiring absolute and modified quarantine shall be placarded and dated: Chicken pox, German measles, mumps, whooping cough, typhoid fever, and leprosy.

PAR. 4. All the diseases named in this section shall be subject to such special instructions as may be provided by the secretary of the Territorial board of health and the placards used shall conform to those described below and be known as placard Forms 1, 2, and 3, respectively. Houses from which cases of variola or varioloid are reported shall be placarded as smallpox. Houses from which cases of membranous croup or diphtheritic croup are reported shall be placarded as diphtheria.

Form 1 shall be not less than 6 inches wide, 94 inches long, and shall bear the name of the disease in letters not less than 1 inch high. The wording shall be as follows: "Until this placard is legally removed, all persons not occupants of these premises are forbidden to enter. No person may leave this house or remove any article therefrom except by permission of an authorized agent of the county (or city) board of health."

It shall bear the name of the local board of health or of its executive officer as such. Form 1 shall be used for smallpox, scarlet fever, measles, diphtheria, Asiatic cholera, bubonic plague, typhus fever, and yellow fever.

Form 2 shall be of the same size and bear the name of the disease in letters of the same height as Form 1. It shall be worded as follows:

"All persons are notified of the presence of this disease and on account of its contagious character are warned against visiting or coming in contact with those sick with it."

It shall bear the name of the local board of health or of its executive officer as such. Form 2 shall be used for chicken pox, German measles, mumps, and whooping cough. Form 3 shall be not less than 5 inches wide and 8 inches long and shall bear the name of the disease in letters not less than three-fourths of an inch high. It shall be worded as follows:

"All persons are notified of the presence of this disease and are warned of the danger of coming in contact with the infection."

It shall bear the name of the local board of health o. of its executive officer as such. Form 3 shall be used for typhoid fever and leprosy.

SEC. 6. No case of any of the contagious diseases subject to absolute or modified quarantine shall be released from such quarantine prior to complete recovery, and in case of scarlet fever, a minimum period of quarantine of 30 days shall be observed; and in diphtheria a minimum period of 14 days from the disappearance of the membrane.

SEC. 7. Persons permitted access to and exit from households under modified quarantine shall abstain from attending places of amusement, worship, or education, and, as far as possible, from visiting other private houses.

SEC. 8. No child or other person infected with any of the following diseases belonging to or residing with the family, or any person residing in the same house in which any person may be located who is infected with any of the following diseases, namely: Cholera, smallpox (variola, varioloid), scarlet fever, typhus fever, yellow fever, diphtheria (diphtheritic croup, membranous croup), measles, or whooping cough shall be permitted to attend any public, private, parochial, Sunday, or other school in this territory, and all principals, Sunday school superintendents, or other persons in charge of such schools are hereby required to exclude any and all such children and persons from such schools, such exclusion to continue for a period of 12 days following the discharge by recovery or death of the person last afflicted in said house or family, or his or her removal to a hospital, and a thorough cleansing of the premises; and all such children or persons as aforesaid, before being permitted to attend or return to school shall furnish to said principal or other person in charge of said schools a certificate signed by the medical attendant of said children or persons or by a physician to be designated by the health authorities of such locality, setting forth that the 12 days mentioned in this section have fully expired: Provided, however,

That the health authorities may provide by rules and regulations that such certificate shall be given only by a person to be designated by such authorities, and in such case no other certificate shall be recognized.

SEC. 9, PAR. 1. No child or other person who is suffering from German measles, mumps, or chicken pox shall be permitted to attend any public, private, parochial, Sunday, or other school; and all principals, Sunday school superintendents, or other persons in charge of such schools are hereby required to exclude any and all such children and persons from said schools prior to the receipt of a certificate of recovery issued by the health officer, or his accredited agent, following the receipt of the physician's certificate of recovery.

PAR. 2. Other persons living in households where the diseases mentioned in this section exist may be readmitted to school at the end of 12 days from the date of onset of the disease, if well, and if they have not been exposed to the sick for that length of time, provided they present a permit issued in accordance with the provisions of this paragraph by the health officer.

SEC. 10. Pupils actually affected with the following diseases shall be excluded from school during the existence of the disease and shall be readmitted upon the physician's certificate attesting to the recovery of the patient, viz: Tonsilitis, scabies (itch), pediculosus capitis (head lice), pediculosus corporis (body lice), tinia circinata (ringworm), impetigo contagiosa, favus, acute contagious conjunctivitis, trachoma, and erysipelas.

SEC. 11, PAR. 1. During the presence of measles in a community (school district), pupils affected with acute coryza or "cold in the head," or with acute bronchitis or "cold on the chest," and during the presence of scarlet fever or diphtheria, pupils affected with any form of inflammation or soreness of the throat shall be deemed to be in the prodromal stage of such disease as may be present or prevalent and subject to all the restrictions applying thereto.

PAR. 2. Principals and teachers shall take particular note of pupils at such times, and the exclusion of those found suffering from "colds" must be immediate and continue until either the pupil be found not to be suffering from a disease mentioned in section 8 or until the regular period of exclusion as provided by these regulations shall have elapsed.

SEC. 12. The minimum periods of school exclusion, calculated from date of onset, shall be as follows: For smallpox, 30 days: scarlet fever, 2 months; diphtheria, 21 days.

SEC. 13. School-teachers boarding or residing with a family in which any disease subject to quarantine is known or suspected to exist, shall immediately remove to premises not so infected, and provided they have not been actually exposed to diphtheria, scarlet fever, or smallpox, may be allowed to continue their attendance at school.

SEC. 14. The head of a family occupying any house, apartment, or premises, or the proprietor of any hotel, boarding, lodging, or tenement house upon or near which a placard or placards are placed, shall not remove, deface, cover up, or destroy such placard or placards, nor shall other persons unauthorized by the local boards of health remove, deface, cover up, or destroy such placard or placards, and if through accident, atmospheric conditions, or otherwise, said placard or placards shall be destroyed, removed, or defaced, the householder or proprietor shall at once notify the health authorities of that fact.

SEC. 15. No person shall let or hire any house, or room in a house, in which a communicable disease required to be placarded has recently existed, until the room or house and premises connected therewith have been cleaned to the satisfaction of the local board of health; and for the purpose of this section the keeper of a hotel, inn, or other house for the reception of lodgers shall be deemed to let or hire part of a house to any person admitted as a guest into such hotel, inn, or house.