immediately make a report thereof in writing, with all particulars, to the Auditor.

SEC. 4. Said Board may, by a unanimous vote relieve from service at fires or retire from all service in the Fire Department, any officer or member thereof who shall, upon an examination by a physician designated by said Board, be found to be disqualified, physically or mentally, for the performance of his duties; and said officer or member so retired from service, shall receive from said Fund as hereinafter provided, an annual allowance as pension in case of total disqualification for service or as compensation for limited service in case of partial disability. Said pension or allowance shall be in lieu of such salary as he may have previously received. The amount of such pension or allowance shall be determined as follows: In case of total permanent disability, caused in or induced by the actual performance of his duties, or which may occur after ten years' actual and continuous service in said Department, the amount of annual pension to be allowed shall not be more than one-third of the annual salary received by such officer or member at the date of his retirement from service, or such less sum in proportion to the number of persons in receipt of an allowance from said Fund as its conditions shall warrant, the same to be determined, and increased or diminished from time to time by said Board. In case of partial permanent disability caused in or induced by the actual performance of the duties of his position, or which may occur after five years' active and continuous service in said Department, the officer or member so disabled may be relieved from active service at fires, but shall remain an employee of the Department, subject to the rules governing the same, and to the performance of such duties as the physician designated by the said Board may certify that he is qualified to perform; and the annual compensation to be paid to such officer or member shall not be more than one-third in amount of the annual salary received by him at the date of his being relieved from active service, or such less sum in proportion to the number of persons receiving an allowance from said Fund as its condition will warrant, the same to be determined, and increased or diminished from time to time by said Board. If any officer or member, or retired officer or member, shall die

while in the service of the same or while so retired, and shall leave a widow, or if no widow, a child or children under the age of sixteen years, a sum not exceeding six hundred dollars a year, or such less sum as in the opinion of said Board the circumstances require, or the condition of the Fund warrant, shall be paid to such widow so long as she remains unmarried, or to such child or children until they respectively attain the age of sixteen years. In every such case said Board shall determine the circumstances thereof and order payment of the annuity to be made in such proportion to the parties entitled thereto, in case there be more than one, as they may deem just; but nothing herein contained shall render any payment of said annuity obligatory or chargeable as matter of legal right, and said Board may at any time order said annuity to be reduced or to cease. SEC. 5. In case such Fund shall not be sufficient to pay the demands on it, such demands shall be audited and registered and paid in their order out of the Fund, as received. Said city and county shall never be liable for any deficiency in said Fund.

ARTICLE X.

Health Department.

CHAPTER I.

OF THE BOARD OF HEALTH.

SECTION 1. The Board of Health shall consist of three physicians in good and regular standing, who must be residents of said city and county for at least eight years next preceding their appointment.

They shall be appointed by the Mayor, and their term of office shall be for two years, commencing on the first Tuesday after the first day of January next succeeding their appointment. They shall serve without compen

sation.

CHAPTER II.

POWERS OF THE BOARD.

SECTION 1. Said Board shall have power to act in regard to all matters pertaining to public health, including the City and County Hospital,

County Jail, Alms House, Industrial School, Quarantine, and all public health institutions; the removal and disposal of the dead; the maintenance and operating of an ambulance service for the speedy removal of sick and needy persons; the registration of births, marriages and deaths; the registration of vital statistics in the said city and county, and to make such rules and regulations and such appointment of officers and employees as they may deem necessary for the proper carrying out and enforcement of all laws, ordinances and codes that may be prescribed for the government of said department, for the protection of the public health, and for the proper care and registration of such statistics.

SEC. 2. The said Board is hereby authorized and directed to prepare such rules and regulations as it shall deem to be required for the protection of the public health, for quarantine or other protection, and for securing the proper registration of births, marriages and deaths, and such other statistical information necessary for the efficient working of the department, with penalties for their violation, which rules and regulations shall be by them submitted to the Supervisors, and when approved by said Supervisors shall have and possess the same power and effect as other ordinances of said city and county, and shall be carried out and executed by said Board.

SEC. 3. The said Board of Health may appoint a Quarantine Officer, who must be a physician in good standing, and whose duties shall be defined by said Board; a superintendent and assistant superintendent of the City and County Hospital, who must have been residents of said city and county for at least five years, and must have been physicians in good standing for at least eight years next preceding their appointment. The superintendent or assistant superintendent must be on duty at the hospital at all hours of the day and night.

two or

SEC. 4. The Board of Health shall also appoint two or more visiting physicians in good standing and visiting surgeons in good standing, whose qualifications shall be the same as above, to the City and County Hospital, two of whom shall be nominated by the Faculty of the Medical

Department of the University of California, and two by the Faculty of the Cooper Medical College of this city. One-third of the wards of said Hospital, to be not less. than five, shall be set apart for the use of the Medical Department of the University of California, and onethird, to be not less than five, shall be set apart for the use of the Cooper Medical College. Two wards of those remaining shall be set apart for the use of the Hahnemann Hospital College of San Francisco, and two for the California Medical College. Said four wards may be attended by physicians and surgeons nominated by their respective faculties. But no patient shall be assigned, against his or her wish, into a ward where he or she will not receive treatment from the school of medicine he or she prefers.

Provided, that the visiting physicians and surgeons so nominated shall not receive any pay for their services except the privilege of teaching students in the hospital wards, nor shall any visiting physician or surgeon appointed under this Charter receive any compensation for such services other than the privilege to teach students in the wards of the hospital; and

Provided, further, that all students matriculated at any legally chartered school of medicine in San Francisco shall have the privilege of attending upon all lectures and of witnessing all operations and shall have all other public privileges and advantages which may accrue to any student from the permission given to any physician or surgeon to practice, operate or lecture in the City and County Hospital aforesaid; and

Provided, further, that any regularly licensed physician or surgeon of the City and County of San Francisco, who may agree to render such free service, may be appointed if the members of the Faculties should refuse to nominate, or in case additional medical and surgical services should be required; and

Provided, further, that any regularly licensed physician may, upon proper permit given by the Mayor, attend any patient in the City and County Hospital who, upon admission to said Hospital, may request his services, and whom he is willing to serve without remuneration from city or patient. A special ward may be set aside for such cases.

SEC. 5. The Board of Health may appoint such in

ternes to the City and County Hospital, not to exceed two for each ward thereof, as they may deem necessary. Said internes shall be appointed after a competitive examination by the Board of Health in any or all branches of medicine and surgery, Theory and Practice alone excepted. Such internes shall receive board and lodging free for their services. They shall be under the control and direction of the Superintendent of the Hospital, or in his absence, of the Assistant Superintendent, either of whom shall have power to remove any such interne for gross neglect of duty, or other good and sufficient cause, subject, however, to an appeal to, and final decision by, the Board of Health.

SEC. 6.

The Board of Health shall also appoint one Steward, one Matron, one Apothecary, and one Engineer for the City and County Hospital, and such other employees as may be necessary.

SEC. 7. The visiting surgeons to the City and County Hospital shall have a general supervision over the City Receiving Hospital.

SEC. 8. The Board of Health shall also appoint a Resident Physician, and a Matron, and such other employees as may be necessary for the Alms House of said City and County.

They shall also appoint and prescribe the duties of one City Physician, and two or more Assistant City Physicians.

SEC. 9. They shall also appoint such other employees, health inspectors and medical attendants as may be deemed necessary in the Health Department, and in all the various institutions which are by law. placed under their supervision. All appointments in the Health Department shall be made after a public competitive examination and no appointee shall be removed except for dishonesty, incompetency, neglect of duty, or other good and sufficient cause.

SECTION 10. The Assistant City Physicians shall be designated as Police Surgeons, and it shall be their duty to take charge of the Receiving Hospital of said City and County of San Francisco, and to make all autopsies required, together with such other duties as may be assigned them by the Board of Health.

SEC. 11. The Board of Health may appoint a Superintendent, who shall also be the Resident Physician