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Rule 17. The room and, if necessary, the entire house in which there has been a case of any contagious disease listed in Rule 12, shall be immediately disinfected following recovery of the sick or the removal of the remains as follows, to wit:
All surfaces shall be thoroughly washed with a solution of corrosive sublimate of the strength of one part in 1,000 parts of water. The walls and ceiling, if plastered, shall be brushed over with this solution, after which they should be whitewashed with a lime wash. Especial care must be taken to wash away all dust from window ledges and other places where it may have settled, and to thoroughly cleanse crevices and out-of-the-way places. After this application of the disinfecting solution and an interval of twentyfour hours or longer for free ventilation, the floors and woodwork should be well scrubbed with soap and hot water, and this should be followed by a second more prolonged exposure to fresh air admitted through open doors and windows. School books or books from a circulating library shall not be removed from any house during the prevalence of any contagious disease dangerous to the public health, and if such books have been in such houses during the prevalence of said diseases, they shall be destroyed by the owner or library authorities or be properly disinfected before being returned to schools or put in circulation.
Formaldehyde disinfection may be substituted for the above method as follows:
Sick Room.—Make as air-tight as possible, open closet doors, drawers, and all closed receptacles; scatter their contents about the room, suspend clothing and bed clothes upon lines stretched across the room, or spread out on chairs or other objects; books must be opened and the leaves spread-in short, the room and its contents so disposed as to secure free access of gas to all parts as freely as possible. Now, for each 1,000 cubic feet of room space take 10 fluid ounces of 40 per cent. formaldehyde and by means of a formaldehyde generator or other approved apparatus, evolve the gas and introduce it into the room, or pure solidified formaldehyde may be volatilized in amount not less than one ounce for each 1,000 cubic feet. After introducing the gas, the room should remain closed for at least six hours, but better ten hours.
Clothing.–As here described or as above under Sick Room. Into a trunk, wash boiler or other suitable receptacle, having a cover, place the garments one at a time, covering each one with a towel, pillow slip, sheet or any like cloth, then sprinkle each garment with two tablespoonfulls of 40 per cent. formaldehyde, mixed with an equal amount of water. Allow the receptacle to remain closed for five hours, then open and hang the garments in the open air. If the formaldeliyde odor persists, sprinkle the garments lightly with diluted aqua ammonia.
Bed Clothes and Bed Furnishings.—Sheets, pillow cases and blankets should be boiled in water for at least thirty minutes. Comforts may be treated as described for clothing, or submitted to the action of formaldehyde gas in the sick room. Straw-ticks,
, husk and cotton mattresses, should be burned, as they are too inexpensive to trouble with. Hair mattresses and feather beds should first be subjected in the sick room to the action of formaldehyde gas and afterward sent to be steamed and renovated. Pillows should be treated as described for mattresses and feather beds. All bedclothes, except bed linen, may also be treated in the sick room as described above.
Rule 18. It shall be unlawful for any teacher or other person having jurisdiction to permit the entrance into any private, parochial or public school of any pupil affected with any disease listed in Rule 12, including whooping-cough, and the teachers in all schools shall, without delay, send home any pupil who is sick, and said teacher shall inform the local health officer as speedily as possible, and said health officer shall examine into the case and act as is required by the law and the rules.
Rule. 19. It shall be unlawful for any parent, guardian or other person having control of any child affected by any disease listed in Rule 12, including whooping-cough, to permit said child to attend any public, private or parochial school, or be present in any public place.
Rule 20. It shall be unlawful for any school teacher or other school officer to admit to any public, private or parochial school, whether as a pupil or otherwise, any person who has come from, or who resides in any house or building affected with any disease listed in Rule 12, or who has recently been affected with any such disease, unless such person shall first present a certificate signed by a reputable physician, stating that all danger of communicating such disease is past, and said certificate has been approved and endorsed by the health officer in whose jurisdiction such person
Rule 21. All schoolhouses before school opens in the autumn shall be cleaned and disinfected. The cleaning shall consist in sweeping and scrubbing the floors, washing all woodwork, including the wooden parts of seats and desks, and the disinfecting shall be done by burning in each room for each 1,000 cubic feet of space, at least two pounds of sulphur or introducing for the same space the formaldehyde gas which is in eight fluid ounces of 40 per cent. formaldehyde solution. Health officers shall see to it that school authorities enforce this rule.
RAILWAYS, STEAMBOATS, AND ALL COMMON CARRIERS.
Rule 22. No common carrier or any person shall bring into the State of Indiana any person sick or suspected of being ck with Asiatic cholera, smallpox, yellow fever, typhus fever, diphtheria, membranous croup and scarlet fever, bubonic plague, leprosy or other communicable disease dangerous to the public health.
Rule 23. When any railway car, steamboat, vessel or conveyance coming from a place or locality declared by the State Board of Health having jurisdiction as being infected with cholera, smallpox, typhus fever, bubonic plague, leprosy or yellow fever, or having on board any person or persons affected with any of the above named diseases enters any port or place in the State of Indiana, such railway car, steamboat, vessel or other conveyance and the crew, officers, passengers, baggage, merchandise and freight shall be subject to such inspection and disinfection as may be ordered by the State Board of Health.
Rule 24. If any person is found on any railway car, steamboat, or other conveyance, who is sick, or reasonably supposed to be sick, with cholera, sinallpox, typhus fever, bubonic plague, leprosy or yellow fever, he or she shall be immediately removed by the health authorities within whose jurisdiction such person is found, and isolated and properly cared for until the termination of the disease, and the necessary expense of such isolation and care (if the person
so removed is unable to pay the same) shall be a valid claim against and be refunded by the owners, agents or assigns of the railway car, steamboat, vessel, or other conveyance from which such person or persons were removed.
Rule 25. In case of smallpox, all persons reasonably suspected of having been exposed thereto shall be removed from such railway car, steamboat, vessel or other conveyance and be isolated for fourteen (14) days from the last exposure. In case of typhus fever, all persons reasonably suspected of having been exposed thereto shall be removed and isolated for twenty-one (21) days from the last exposure. In case of cholera, bubonic plague or yellow fever, all persons reasonably suspected of having been exposed thereto shall be removed and isolated for five (5) days from last exposure. The clothing of persons so removed and all baggage, luggage, freight or merchandise found on any railway, steamboat, vessel or other conveyance, on which there is any person sick, with cholera, smallpox, typhus fever, bubonic plague or yellow fever, and reasonably suspected of having been infected, shall be at once disinfected or destroyed, and such railway car, steamboat, vessel or other conveyance shall also be disinfected as required by the Board of Health having jurisdiction.
Rule 26. When deemed necessary by the State Board of Health to prevent the spread of cholera, and after ten (10) days' notice, each and every railway car, steamboat, vessel in or coming into the State of Indiana, and used for the transportation of passengers, shall be provided with means satisfactory to said Board of Health for disinfecting the excreta of passengers and crews.
Rule 27. It shall be the duty of the conductor of any railway train and the master of any steamboat or vessel to immediately notify by telegram the Secretary of the State Board of Health, at Indianapolis, of any case or suspected case of cholera, smallpox, yellow fever, diphtheria, bubonic plague, or typhus fever occurring on board such train, boat or vessel within the limits of the State of Indiana.
Rule 28. It shall be the duty of the Board of Health of any town, city or county to at once furnish the State Board of Health with a true copy of any quarantine orders or regulations adopted by said Board of Health as against any foreign State or any municipality or township within the State of Indiana,
Rule 29. Any person or persons, or corporation failing or refusing to comply with either or any of the foregoing rules, except as especially provided, shall be subject to the penalties provided in the health statutes, wherein these rules are authorized.
Rule 30. In case any person feels aggrieved at any act or decision of a health officer, appeal may be made to the State Board of Health in session or to its Secretary, but pending such appeal the act or decision of said health officer shall stand.
Rule 31. Any person who violates any rules or regulations of the State Board of Health shall be prosecuted for such violation according to the law.
Rule 32. All rules or parts of rules in conflict with these rules are hereby repealed. The following by-laws were passed.
Each rule was separately considered and approved, as follows:
BY-LAWS OF THE INDIANA STATE BOARD OF
[Adopted September 1, 1903.)
COUNTY BOARDS OF HEALTH.
1. The County Commissioners of each county constitute exofficio a Board of Health for each county, whose duty it shall be - to protect the public health by the removal of causes of disease well known, and in all cases to take prompt action to arrest the spread of contagious and infectious diseases, to abate and remove nuisances dangerous to the public health as directed or approved by the State Board of Health, and perform such other duties as may from time to time be required of them by the State Board of Health pertaining to the health of the people.
2. Each county shall elect a Secretary who shall be the County Health Officer and the executive officer of the Board, and he shall be a graduate of a reputable medical college recognized by the State Board of Medical Registration and Examination. He shall serve for four years, the first term of office of this length having begun, according to the law of 1899, on January 1, 1898. The election shall take place every four years in December, commencing December, 1898, the term of office beginning the first of