and the same is hereby appropriated, which shall constitute a "contingent fund," any part of which may, from time to time, be used for preventing the introduction of cholera or yellow fever, into this State, or for the suppression thereof if introduced. No part of the ten thousand dollars shall be used for any other purpose than that expressed in this section, nor shall any part thereof be used except at such time or times as in the judg ment of the Governor of this Commonwealth necessity therefor exists; but whenever in the judgment of the Governor, it shall be necessary to take action to prevent the introduction or spread of either of said diseases, he is authorized and directed, from time to time, to draw his written order for so much of the ten thousand dollars as may be necessary in favor of the State Board of Health, and on receipt of such order the auditor shall draw his warrant on the treasurer for the amount of such orders of the Governor, and said sum so received by thre State Board of Health, or so much thereof as may be necessary, shall be expended by said board in the work of protecting the people of this State against the introduction or spread of these diseases.

2. The State Board of Health shall keep a full and separate account of all moneys expended out of said ten thousand dollars appropriation, and shall report an itemized statement thereof to the General Assembly.

SMALLPOX.

CHAPTER 119, KENTUCKY STATUTES.

Section 4607. Penalty for Importing into State.-If any person shall wilfully or designedly import or bring the smallpox or any variolous or infected matter of said disease into this Commonwealth from any other country or place whatsoever, or shall cause the same to be done, he shall forfeit and pay the sum of one thousand dollars.

Section 4608. Adults to be Vaccinated. All persons of the age of twenty-one years and over, who have not been vaccinated, or, if vaccinated, uot successfully, shall, within three months after this revision takes effect, procure their own vaccination or revaccination, as the case may be.

Section 4609. Minors and Infants-Vaccination. All parents, guardians and other persons having the care, custody or control of any child or children, or who may have in their employ any minor or minors, shall have the same vaccinated; and every parent, guardian and person that may have the care, custody or control of any child born hereafter, shall have soid child vaccinated within twelve months after its birth, or after it comes under his or her care, custody or control.

Section 4610. City Council May Require Persons to be Vaccinated.All persons coming into this State to abide or become citizens, who have not been vaccinated, or who may have children under their care or control that have not been vaccinated, shall procure the vaccination of themselves and said children within six months after coming into the State.

Section 4611. City Council May Require Persons to be Vaccinated.The city council of every city, and the board of trustees of every town in the State, are invested with full power and authority to make such ordinances, rules and regulations, with fines and penalties attached, as will secure the vaccination of all the inhabitants of said cities and towns, and to provide the necessary means to pay for the vaccination of all paupers and destitute persons in same.

Section 4612. Inmates of Charitable Institutions and Penitentiary to be Vaccinated.-The superintendents of the charitable institutions of the State shall have the inmates of said institutions vaccinated. The keeper of the penitentiary shall have all the convicts in same vaccinated.

Section 4613. Pure Vaccine Matter to be Used.-All vaccination performed under this article shall be with pure vaccine matter.

Section 4614. County Court May Appoint Physician to VaccinateFees. That it shall be the duty of the county judge of the county court of each county, whenever, in his opinion, the necessity for such action exists, to call his court together, and said court shall have power to give to some practicing physician or physicians of the county written authority to vacci nate all persons in the county who are unable to procure vaccination. The physicians so appointed shali furnish to the judge of said court a true list, under oath, of the persons vaccinated by him, with the charges thereof, which shall not exceed twenty-five cents for each successful vaccination; and the judge shall report the same to the court of claims for his county, and the court shall order the charges to be paid out of the county levy.

Section 4615. Patients Having Smallpox-Care to be Taken of.Every person superintending a hospital or other place where a patient having smallpox is confined, shall prohibit all intercourse therewith of persons not having had the disease, and shall, before discharging a patient or suffering him to be removed, take due care that his person is thoroughly cleansed, and his clothes, such as have not been infected with the disease, under the penalty of ten dollars.

Section 4616. Persons Going Where Smallpox is May be Confined.— If any person who has never had smallpox shall go into a house where the disease is, or associate with a person who is afflicted therewith, any justice of the peace, on due proof of the fact, may cause such person to be conveyed to some house or place in the county where the disease will not spread, there to remain until he shall have gone through the disease, or until a physician shall certify that he will not take same. If such person

be not able to pay the expense of his nursing the county shall pay the

same.

Section 4617. Penalty for Wilfully Spreading. If any person shall wilfully endeavor to spread or propagate the smallpox he shall be subject to be indicted and fined the sum of five hundred dollars, or to be imprisoned for six months.

Section 4618. Penalty for Persons Having Smallpox Going in Public Places. Any person who, having reason at the time to believe himself af flicted with the disease of smallpox, shall voluntarily go upon any public highway or street, or to any place at which people are accustomed to col lect or assemble, or who shall enter or go on board any steamboat, railroad car or other public conveyance, and all persons who shall knowingly aid or assist anyone thus to offend, shall be guilty of a misdemeanor, and, upon conviction, shall be fined not less than one hundred nor more than one thousand dollars.

THE VITAL STATISTICS LAW.

AN ACT to establish a Bureau of Vital Statistics and to provide for the immediate registration of all births and deaths throughout the State of Kentucky by means of certificates of births and deaths, and burial or removal permits; requiring prompt returns to the Bureau of Vital Statistics, as required to be established by the State Board of Health; to provide for the reporting of morbidity statistics; and to insure the thorough organization and efficiency of the registration of vital statistics throughout the State, and providing certain penalties.

Be it enacted by the General Assembly of the Commonwealth of Kentucky:

Act of 1910. 1. That it shall be the duty of the State Board of Health to have charge of the State system of registration of births and deaths; to prepare the necessary methods, forms and blanks for obtaining and preserving such records and to insure the faithful registration of the same, in towns, cities, counties, and in the Bureau of Vital Statistics. The said board shall be charged with the uniform and thorough enforcement of the law throughout the State, and shall, from time to time, recommend any additional forms and amendments that may be necessary for this purpose.

That the State Board of Health shall have general supervision over the Bureau of Vital Statistics, which is hereby authorized to be established by said board, and which shall be under the immediate direction of the State Registrar of Vital Statistics, whom the State Board of Health shall appoint within thirty days after the taking effect of this law, and who shall be a competent vital statistician. The term of appointment of State Registrar of Vital Statistics shall be four years, beginning with the first day of January of the year in which this act shall take effect, and any vacancy occurring in the office of State Registrar of Vital Statistics shall be filled by appointment of the State Board of Health. The State Registrar of Vital Statistics shall receive an annual salary not to exceed twenty-five hundred dollars, which sum shall be paid by the State Board of Health out of the annual allowance made to it by the State. The State Board of Health shall provide for such clerical and other assistance as may be necessary for the purposes of this act, and may fix the compensation of persons thus employed, within the amount appropriated for said board by the Legislature. Suitable apartments shall be provided for the State Bureau of Vital Statistics which shall be properly equipped with fire-proof vault and filing cases for the permanent and safe preservation of all official records made and returned under this act. The State registrar shall file duplicates of all returns made to him from each county with the county clerk thereof upon notice that a fire-proof vault and filing cases for their permanent preservation have been provided by the fiscal officials of such county.

That for the purposes of this act the State shall be divided into regis tration districts as follows: Each city and incorporated town shall constitute a primary registration district; and for that portion of each county outside of the cities and incorporated towns therein, the State Board of Health shall define and designate the boundaries of a sufficient number of rural registration districts, which it may change from time to time as may be necessary for convenience and completeness of registration.

Section 4. That within ninety days after the taking effect of this act, or as soon thereafter as possible, the State Board of Health shall appoint a local registrar, deputy registrar, or both, of vital statistics for each registration district in the State, excepting such cities or towns or registra tion districts as are otherwise provided for.

The said board may, at its discretion, appoint as local registrar or deputy registrar, any registration official under this act, undertaker or person or persons who furnish coffins, who shall serve for the district or districts as designated by said board, any county or city official who shall serve ex-officio, as the local or deputy registrar of the registration district or districts for which he is appointed.

The term of office of local and deputy registrars, appointed by said board shall be for four years beginning with the first day in January of the year in which this act shall take effect, and their successors shall be appointed at least ten days before the expiration of their term of office.

Any local or deputy registrar, appointed by said board, who fails or neglects to efficiently discharge the duties of his office as laid down in this act or who fails to make prompt and complete returns of births and deaths as required hereby, shall be forthwith removed from his office by the State Board of Health and his successor appointed, in addition to any other penalties that may be imposed, under other sections of this act, for failure or neglect to perform his duty.

Each local registrar, appointed by said board, shall immediately appoint one or more deputies whose duty it shall be to act in his stead in case of absence, illness or disability, and who shall accept such appointment in writing, which shall be filed in the office of the State Registrar and who shall be subject to all rules and regulations governing the action of local registrars; provided, that in cities or towns where health officers, or secretaries of local boards of health, or other officials, at the date of this act, are officiating as registrars of births and deaths under local ordinances to the satisfaction of the State registrar, such officers shall be continued as registrars in and for such cities and towns, but shall be subject to the rules and regulations of the State Board of Health, and to all the provisions of this act.

That it shall be the duty of any deputy registrar appointed under the provisions of this act to report promptly any certificates of births or deaths, to the local registrar of the district in which the birth or death occurred; and that it shall be unlawful for any local or deputy registrar, sexton, physician or undertaker to charge a fee to any member of a family in which a death has occurred, for complying with any of the provisions of this act.

Section 2. Amend section 5 of said act by striking out all of said section and inserting in lieu thereof the following words so that said section when so amended shall read as follows:

Section 5. That the body of any person whose death occurs in the State shall not be interred, deposited in a vault or tomb, cremated or otherwise disposed of, or removed from or into any registration district until a permit for burial, removal or other disposition shall have been promptly issued by the registrar of the registration district in which the death occurs. And no such burial or removal permit shall be issued by any regis. trar until a complete and satisfactory certificate and return of the death has been filed with him as hereinafter provided: Provided, That a transit permit issued in accordance with the law and health regulations of the place where the death occurred, whether in Kentucky or outside of the State, may be accepted by the local registrar of the district where the body is to be interred or otherwise finally disposed of, as a basis upon which he shall issue a local burial permit, in the same way as if the death occurred in his district, but shall plainly enter on the face of the copy of the record which he shall make for the return to the State Registrar the fact that it was a body shipped in for interment and give the actual place of death. But when a body is removed from a district in Kentucky to another district, the registrar's burial or removal permit from the district where the death occurred may be accepted as authority for burial at the point of destination. Provided, however, that in the event that the death of a person occurs outside of the cities and incorporated towns, nothing in this act shall be construed to delay, beyond a reasonable time, the interment or other disposition of a body unless the services of the coroner or the health officer are required, as prescribed by law, or the State Board of Health shall deem it necessary for the protection of the public health. And it shall be the duty of the undertaker or person acting as such to file with the local registrar or deputy registrar, prior to the interment, a provisional certificate of death which shall contain the name, date and place of death

of the deceased and an agreement to furnish within five days a complete and satisfactory certificate of death and it shall be the duty of the undertaker or person acting as such to secure a complete and satisfactory certificate of death as provided in section 9 of the act and return it within five days from the date of burial to the local registrar of the district in which the death occurred. And if there be no undertaker, or person who acts as such, then it shall be the duty of the head of the family in which the death occurred to notify, within five days of date of death, the local registrar of the district in which it occurred of the fact of the death. It shall then be the duty of the local registrar to procure, promptly, said certificate of death. 6. That stillborn children, or those dead at birth shall be registered as births and also as deaths, and a certificate of both the birth and the death shall be filed with the local rergistrar, in the usual form and manner, the certificate of birth to contain, in place of the name of the child, the word, "stillbirth." The medical certificate of the cause of death shall be signed by the attending 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 prematurely, the period of uterogestation, in months if known; and a burial or removal permit in usual form shall be required.

7. That the certificate of death shall be the standard form adopted by the United States Census Bureau for the collection of mortality statistics.

The personal and statistical particulars shall be authenticated 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.

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 resulting in death, giving the primary cause, and also the contributory causes, if any, and the duration of each. Indefinite and unsatisfactory terms indicating only symptoms of disease or conditions resulting from disease, will not be held sufficient for issuing a burial or removal permit; and any certificate not containing such terms as defined by the State Registrar shall be returned to the physician for correction and definition. Causes of death, which may be the result of either disease or violence, shall be carefully defined; and, if from violence, its nature shall be stated and whether (probably) accidental, suicidal, or homicidal. And in case of deaths in hospitals, institutions, or away from home, the physician shall furnish the information required under this head, and shall state where, in his opinion, the disease was contracted.

8. That in case of any death occurring without a physician in attendance, it shall be the duty of the undertaker to notify the registrar of such death, and when so notified the registrar shall inform the local health offi. cer, and refer the case to him for immediate investigation and certification, prior to issuing the permit: Provided, That if the circumstances of the case render it probable that the death was caused by unlawful or suspicious means, the registrar shall then refer the case to the coroner for his investigation and certification. And any coroner whose duty it is to hold an inquest on the body of any deceased person, and to make the certifi cates of death required for a burial permit, shall state in his certificate the nature of the disease, or the manner of death; and, if from external