States, and all such proceedings shall be conducted in accordance with the The Board of Health shall make such rules and regulations as are authorized by the laws of the United States and necessary to be observed by vessels at the port of departure and on the voyage where such vessels sail from any foreign port or place at which contagious or infectious disease exists, to any port or place in the United States, to secure the best sanitary condition of such vessel, her cargo, passengers, and crew, and when said rules and regulations have been approved by the President they shall be published and communicated to, and enforced by, the consular officers of the United States: Provided, That none of the penalties herein imposed shall attach to any vessel or any owner or officer thereof, till the act and the rules and regulations made in pursuance thereof shall have been officially promulgated for at least ten days in the port from which said vessel sailed. SEC. 4. It shall be the duty of the National Board of Health to obtain information of the sanitary condition of foreign ports and places from which contagious and infectious diseases are or may be imported into the United States, and to this end the consular officers of the United States at such ports and places as shall be designated by the National Board of Health shall make to said Board of Health weekly reports of the sanitary condition of the ports and places at which they are respectively stationed, according to such forms as said Board of Health may prescribe; and the Board of Health shall also obtain, through all sources accessible, including State and municipal sanitary authorities throughout the United States, weekly reports of the sanitary condition of ports and places within the United States; and shall prepare, publish, and transmit to the medical officers of the Marine Hospital Service, to collectors of customs, and to State and municipal health officers and authorities, weekly abstracts of the consular sanitary reports and other pertinent information received by said board; and shall also, as far as it may be able, by means of the voluntary co-operation of State and municipal authorities, of public associations, and private persons, procure information relating to the climatic and other conditions affecting the public health; and shall make to the Secretary of the Treasury an annual report of its operations, for transmission to Congress, with such recommendations as it may deem important to the public interests; and said report, if ordered to be printed by Congress, shall be done under the direction of the board. SEC. 5. That the National Board of Health shall from time to time issue to the consular officers of the United States, and to the medical officers serving at any foreign port, and otherwise make publicly known, the rules and regulations made by it, and approved by the President, to be used and complied with by vessels in foreign ports for securing the best sanitary condition of such vessels, their cargoes, passengers, and crews, before their departure, for any port in the United States, and in the course of the voyage; and all such other rules and regulations as shall be observed in the inspection of the same on the arrival thereof at any quarantine station at the port of destination, and for the disinfection and isolation of the same, and the treatment of cargo and persons on board, so as to prevent the introduction of cholera, yellow fever, or other contagious or infectious diseases; and it shall not be lawful for any vessel to enter said port to discharge its cargo or land its passengers except upon a certificate of the health officer at such quarantine station, certifying that said rules and regulations have in all respects been observed and complied with, as well on his part as on the part of the said vessel and its master, in respect to the same and to its cargo, passengers, and crew; and the master of every such vessel shall produce and deliver to the collector of customs at said port of entry, together with the other papers of the vessel, the said certificates required to be obtained at the port of departure, and the certificate herein required to be obtained from the health officer at the port of entry. SEC. 6. That to pay the necessary expenses of placing vessels in proper sanitary condition, to be incurred under the provisions of this act, the Secretary of the Treasury be, and he hereby is, authorized and required to make the necessary rules and regulations fixing the amount of fees to be paid by vessels for such service, and the manner of collecting the same. SEC. 7. That the President is authorized, when requested by the National Board of Health, and when the same can be done without prejudice to the public service, to detail officers from the several departments of the Government, for temporary duty, to act under the direction of said board, to carry out the provisions of this act; and such officers shall receive no additional compensation except for actual and necessary expenses incurred in the performance of such duties. SEC. 8. That to meet the expenses to be incurred in carrying out the provisions of this act, the sum of five hundred thousand dollars, or so much thereof as may be necessary, is hereby appropriated, to be disbursed under the direction of the Secretary of the Treasury on estimates to be made by the National Board of Health, and to be approved by him. Said National Board of Health shall as often as quarterly make a full statement of its operations and expenditures under this act to the Secretary of the Treasury, who shall report the same to Congress. SEC. 9. That so much of the act entitled "An act to prevent the introduction of contagious or infectious diseases into the United States, approved April twenty-ninth, eighteen hundred and seventy-eight, as requires consular officers or other representatives of the United States at foreign ports to report the sanitary condition of and the departure of vessels from such ports to the Supervising Surgeon-General of the Marine Hospital Service; and so much of said act as requires the Surgeon-General of the Marine Hospital Service to frame rules and regulations, and to execute said act, and to give notice to Federal and State officers of the approach of infected vessels, and furnish said officers with weekly abstracts of consular sanitary reports, and all other acts and parts of acts inconsistent with the provisions of this act be, and the same are hereby, repealed. SEC. 10. This act shall not continue in force for a longer period than four years from the date of its approval. Act to provide office rooms for the National Board of Health, and for the publication of its reports and papers, and for other purposes. Approved July 2, 1879. Be it enacted, &c., That the National Board of Health is hereby authorized and empowered to procure suitable and sufficient offices in the city of Washington for the transaction of its business, at a rental not to exceed the sum of $1,800 per annum. And said Board is also authorized to pay the sum of $225 for the rent of building No. 1405 G street, northwest, in the city of Washington, used by the National Board of Health for offices from the 3d day of April, 1879, to the 3d day of July, 1879. SEC. 2. That the necessary printing of the National Board of Health be done at the Government Printing Office, upon the requisition of the secretary of the Board, in the same manner and subject to the same provisions as other public printing for the several Departments of the Government: Provided, That the cost of said printing shall not exceed the sum of $10,000 per annum. SEC. 3. That the National Board of Health is hereby authorized and empowered to have printed and bound 10,000 copies of the report of the board of medical experts created by former act of Congress, which report shall include the report of Drs. Bemiss and Cochran and Engineer Hardee upon the yellow-fever epidemic of 1878; 6,000 copies of the same to be furnished to the House of Representatives, 2,000 copies to the Senate, and the residue to the National Board of Health: Provided, That the cost of publication and binding said report shall not exceed the sum of $7,500. And the said Board is hereby authorized to pay Drs. Bemiss and Cochran and Engineer Hardee $10 per day for the preparation of their said report, for the period of two months: Provided, That the same shall be completed and submitted to the Board within that time. SEC. 4. That the National Board of Health is hereby authorized and directed to pay Frank J. Taylor, for services as stenographer to the board of medical experts in reporting evidence of medical men and others touching the causes, introduction, and spread of epidemic diseases within the United States, and for preparing the same for publication, the sum of $540, said sum being the amount allowed him by the Committee on Epidemic Diseases. SEC. 5. The chief clerk of the National Board of Health shall act as dis- . bursing agent for the Board, and shall give bond, conformably to section 176 of the Revised Statutes, for the faithful performance of that duty, and for such services shall receive $300 per annum in addition to his salary as chief clerk; and the Board of Health may, with the approval of the Secretary of the Treasury, pay to its secretary such sum, in addition to his pay as a member of the Board, as it may deem proper, not exceeding $100 per month. SEC. 6. That section 3 of the act approved June 2, 1879, entitled “An act to prevent the introduction of contagious or infectious diseases within the United States," be amended as follows: At the end thereof insert: And the Board of Health shall have power, when they may deem it necessary, with the consent and approval of the Secretary of the Treasury, as a means of preventing the importation of contagious or infectious diseases into the United States, or into one State from another, to erect temporary quarantine buildings and to acquire on behalf of the United States titles to real estate for that purpose, or to rent houses, if there be any suitable, at such points and places as are named in such section. SEC. 7. That all the money hereinbefore authorized to be expended and all contracts made and liabilities incurred by the National Board of Health shall be paid out of the appropriation of $500,000 made in the act of Congress entitled An act to prevent the introduction of contagious and infectious diseases into the United States," approved June 2, 1879. RULES AND REGULATIONS For Securing the best Sanitary Condition of Vessels, including their Cargoes, Passengers, and Crews, coming to the United States from any Foreign Port where any Contagious or Infectious Disease exists. EXPLANATIONS. 10. Merchandise or articles known to be infected shall not be received or taken on board. 11. In case the port is infected, the certifying authority may require that the officers, crew, and passengers, shall be examined by a medical officer or physician selected for that purpose, and the result of such examination reported to him not more than twenty-four hours before certifying to the bill of health. 12. Bills of health can be considered valid only when delivered within the twenty-four hours last preceding departure. If the departure is delayed beyond this period the bill must be vised by the authority delivering it, stating whatever changes have taken place in the sanitary condition of the port, vessel, officers, crew, or passengers. 13. When the port of departure or its vicinity is infected, that fact shall be noted in the bill of health; and when the sanitary or other local authority of the port declares the existence of such infection, the bill of health shall give the date of the declaration. 14. The existence of contagious or infectious disease in the quarantine establishment of a port shall not be considered cause for a foul bill of health. 15. Physicians attached to sea-going vessels shall be specially charged with the duty of watching their sanitary condition and the health of their officers, crew, and passengers. On arrival of the vessel they shall report to the health officer of the port the sanitary history of the voyage. 16. In case of the occurrence at sea of Asiatic cholera, yellow fever, plague, small-pox, or typhus fever, the wearing apparel and bedding used by those 17. Captains, owners, or agents of vessels shall, at the port of departure, 1. The object of the following rules and regulations is to prevent the introduction into the affected with such disease shall be burnt or sunk. United States of "contagious or infectious diseases." for the pur 2. The following diseases are recognized as "contagious or infectious diseases poses of these rules and regulations, viz: Asiatic cholera, yellow fever, plague, small-pox, and typhus fever. 3. An "infected" port or place in the sense of these rules is a port or place at which either Asiatic cholera, yellow fever, or plague exists, or at which either small-pox or typhus fever exists as an epidemic. 4. To secure the "best sanitary condition" of a vessel the following points should be observed by the owners, agents, or master of such vessel : A. Exclusion from the vessel, as far as possible, of persons or things known or suspected to be infected. B. Cleanliness of the ship, both preliminary to loading and during the voyage. C. Ventilation preliminary to loading, and during the voyage when possible. D. Disinfection; that is, the destruction or removal of the causes of disease-which includes measures of cleanliness, ventilation, fumigation, etc. RULES AND REGULATIONS. 1. All merchant ships and vessels sailing from a foreign port where contagious or infectious disease exists, for any port in the United States, must obtain from the Consul, Vice-Consul, or other Consular Officer of the United States, at the port of departure, or from the Medical Officer-where such officer has been detailed by the President for that purpose-a bill of health in duplicate, which shall be a clean bill or a foul bill, and which shall set forth the sanitary history of said vessel, and that it has in all respects complied with these rules and regulations. A clean bill of health shall be given when neither Asiatic cholera, yellow fever, nor plague exists, and neither smallpox nor typhus fever exists as an epidemic at the port of departure, and the condition of the vessel is satisfactory: and in such case it shall be certified that the vessel leaves the port in "free pratique." A foul bill of health shall be given when either Asiatic cholera, yellow fever, or plague exists, and when small-pox or typhus fever exists as an epidemic at the port of departure, or where the sanitary condition of the vessel is unsatisfactory, and in such case it shall be certified that the vessel leaves the port in " quarantine." 2. In all cases of doubt as to whether the port is infected, or as to the sanitary condition of the vessel, the bill shall be foul. 3. No vessel shall have more than one bill of health; but if she touches at other ports on the passage, that fact and the condition of those ports as to the existence of contagious or infectious disease shall be endorsed upon the original bill of health by the consul, vice-consul, consular officer, or medical officer. 4. The bill of health shall be in the form appended. [Form A.]* 5. Each consul, vice-consul, consular officer, or medical officer of the United States in a foreign port shall keep himself thoroughly acquainted with the sanitary condition of the port and its vicinity, especially with regard to the existence of contagious or infectious diseases, and shall, upon request of the owner, agent, or master, make, or cause to be made, an inspection of every ship or vessel bound for any port in the United States, and give the certificate or bill of health required by these regulations. Vessels carrying a foreign flag shall be inspected, when practicable, in company with the consul or consular agent of the nation to which the vessel belongs. 6. The fee for such inspection shall be such as may be fixed by the Secretary of the Treasury in accordance with law. 7. The certifying officer at the port of departure shall certify whether vessels carrying passengers are provided with the means necessary for preserving good ventilation and cleanliness, in accordance with sections 4257 and 4263 of the Revised Statutes. 8. Every vessel before taking on cargo or passengers shall be clean and dry, and the certifying officer may at his discretion require that it shall be thoroughly disinfected if last from an infected port, or if the port of departure be itself infected. The examination of the vessel as to cleanliness shall be made before the cargo is taken on, and shall extend to all accessible parts, especial care being taken to note upon the bill of health the presence of decayed wood. 9. The ballast shall be of such material and from such localities as may be approved by the certifying authorities, but earth and porous stone shall not be used for ballast if avoidable.. Port of cargo BILL OF HEALTH. , do hereby state that the 1. Sanitary condition of vessel (before and after reception of cargo, with note of 2. Sanitary condition No. , (Consul, 5. Steerage. Sanitary history of the vessel..... passengers. clothing, food, water, air-space and ventilation, (to be in b. Number of cases of and deaths from Yellow Fever, Asiatic Cholera, Plague, Small-pox, or Typhus Fever during the week preceding. 7. Any circumstances affecting the public health existing in the port of departure to 6. Sanitary condition of port and adjacent country- quantity as required by Rev. Stats.) I certify that I have personally inspected the said vessel, and that the above statements are correct; that good health is enjoyed [Consul-General, Consul, Commercial Agent, Sanitary Officer, et al.] I certify that I have personally inspected the said vessel, and that the above statements are correct, and that she leaves this port In witness whereof, I have hereunto set my hand and the seal of office, at the port of, this day of, 18-, - o'clock -. U. S. of A., in quarantine. [SEAL.] bound for 1st Cabin.. be required to answer, under oath, to the consuls or sanitary officers, all questions as to the sanitary condition of the vessel, etc. 18. The crew shall not be allowed liberty on shore after nightfall in suspected localities. They shall not be allowed to sleep on deck except under awnings. The forecastle shall be well ventilated and kept dry. Both in port and at sea the bilge shall be pumped out each morning and evening, or more frequently if necessary. The utmost cleanliness shall be observed at sea as well as in port. Each seaman should have two suits of underclothing. The clothing and bedding should be aired every clear day. In tropical climates the men should be required to wash their persons and change their underclothing every evening after work while in port, and each working suit should be washed, dried, and aired after a day's use. These regulations as to clothing, airing of bedding, and ventilation, should, as far as possible, be observed at sea as well as in port. 19. Whenever any vessel shall leave an infected foreign port, or having on board goods or passengers coming from any place or district infected with Asiatic cholera, yellow fever, or plague, shall leave any foreign port, bound for any port in the United States, the consul, consular officer, or other representative of the United States, at or near such port, shall immediately give information thereof by telegraph to the National Board of Health at Washington, D. C., reporting the name, date of departure, and port of destination of such vessel. The cost of such telegrams will be paid by the National Board of Health. 20. All merchant ships or vessels from any foreign port, where any contagious or infectious disease exists, and bound for any port of the United States, must present to the health officer at the quarantine station of such port evidence that these rules and regulations have been complied with in order that such vessel may enter such port, discharge its cargo, and land its passengers. The within rules and regulations are true copies made this 26th day of June, 1879. J. L. CABELL, President National Board of Health. Secretary of National Board of Health. The foregoing regulations are approved. JUNE 26, 1879. THOS. J. TURNER. R. B. HAYES. Circular to State and Municipal Health Authorities. The National Board of Health is charged with the important duty of cooperating with and aiding State and municipal Boards of Health in the execution and enforcement of the rules and regulations of such boards to prevent the introduction of contagious or infectious diseases into the United States from foreign countries, and into one State from another. One of the first things to be done to secure efficient co-operation is that the several State and municipal Boards of Health shall make their rules and regulations uniform as far as possible, and to avoid delay in obtaining this extremely desirable end, the National Board of Health suggests the following rules and regulations for adoption by State and municipal Boards. Inasmuch as the immediate danger is from yellow fever, these rules have reference to that disease only. They are divided into five sections: 1st. Rules and regulations to be adopted and observed at all ports in the United States which are or may be designated as quarantine stations. 2d. Rules and regulations to be adopted and observed for securing the best sanitary condition of steamboats and other vessels, including their cargoes, passengers, and crews, going from any port of the United States where yellow fever exists to any other port or ports in the United States. 3d. Rules and regulations recommended to be adopted and observed for securing the best sanitary conditions of railroads, including their stationhouses and road-beds, and their cars of all descriptions, freights, passengers, and employés coming from any point where yellow fever exists. 4th. Rules and regulations to be observed and enforced by the health au thorities of a place free from infection having communication with a place dangerously infected with yellow fever. 5th. Rules and regulations recommended to be adopted and observed when yellow fever is reported or suspected to exist in any town or place in the United States. EXPLANATIONS. 1st. Dangerous infection of localities and communities does not necessarily ensue from the introduction of a case of yellow fever. 2d. When such dangerous infection does occur it is usually not until after an interval of several days from the occurrence of the first case, and during this period, if proper rules be observed, in most instances persons may leave the infected place without the slightest danger of infecting places or communities to which they may go or through which they may pass. 3d. Upon the distinct recognition of this interval, and upon making a proper use of it depends the possibility of limiting the spread of the disease in the infected locality; of preserving communications between such locality and other communities without danger to such other communities, and of preventing much of the suffering which usually attends an epidemic. It is because the first cases are either not recognized, or not reported, that the disease seems to become epidemic almost at once. RULES AND REGULATIONS Recommended to be adopted and observed at all Ports in the United States which are or may be designated as Quarantine Stations. EXPLANATIONS. 1. The object of the following rules and regulations is to prevent the introduction into, and the spread within the United States, of “contagious or infectious diseases.” 2. The following diseases are recognized as "contagious or infectious diseases," for the purposes of these rules and regulations, viz: cholera, yellow fever, plague, small-pox, and typ.us fever. 3. An infected port or place, in the sense of these rules, is a port or place at which either cholera, yellow fever, or plague exists, or at which either small-pox or typhus fever exists as an epidemic. 4. The word " quarantine" is used to mean the administration employed to determine the presence or absence of the causes of contagious or infectious diseases in vessels arriving at a port, and the securing, if present, the removal or destruction of such causes, and does not imply detention for any specified time, nor for more time than is necessary for the above purpose. 1. The quarantine station shall include: 1st, a location for the boarding and detention of vessels; 2d, quarters for the detention of passengers not sick; 3d, hospital accommodations for the sick; 4th, lighters, wharves, and warehouses for receiving and storing cargo; 5th, a chief medical officer and such other officers or agents as may be necessary for securing the examination, cleansing, and disinfection of the vessel and its cargo, passengers, and crew; 6th, boats, apparatus, &c., necessary for administration; 7th, quarters for officers and men; 8th, burial ground. 2. The quarantine shall be at a point sufficiently remote from the centres of population to secure immunity from diseases likely to be communicated; where vessels may safely remain at anchorage; where hospitals, quarters for passengers, and warehouses can be conveniently located, and where the sanitary condition is favorable. 3. The quarters for detention of passengers not sick shall be at such point within the quarantine limits as to secure, so far as possible, isolation from the accommodations for the sick or other sources of infection. 4. Separate hospitals shall be provided for (a) diseases not infectious or contagious; (b) yellow fever; 14. If so, what?. 15. During the course of your cruise or passage, what cases of disease have occurred on board?. 16. At what dates ? 17. Has any death taken place on board your vessel since you left the last port?... 18. If so, at what date and from what cause, to the best of your knowledge?.. 19. Has yellow fever ever existed on the ship; if so, when?. 23. 1st cabin?. 2d cabin? Steerage?... Have you any reason to think that yellow fever, cholera, or plague existed in the vicinity of the port from whence you sailed, or near any others at which you have touched, or on any vessel with which you have communicated during the present cruise or voyage ? 24. What is your cargo?. during the voyage, the health officer may give free pratique, and the vessel may proceed to the wharf or usual anchorage. 7. In case yellow fever, cholera, or plague existed, or small-pox or typhus fever prevailed in epidemic form, at the port from which she sailed, or at any port at which she has touched during the voyage, or on any vessel with which she has come in contact during the voyage, she shall be subject to the following rules and regulations: a. The time of detention and mode of procedure for a vessel arriving d. The clothing of the sick shall be disinfected at the quarantine station. 8. The sick shall be detained in hospital until recovery, and for such a time afterwards as will insure that they will not communicate or transport the causes of disease. 9. Passengers under observation for yellow fever shall be detained for at least five days from the time of the last exposure. In case of other contagious or infectious diseases, they shall be detained until, in the judgment of the quarantine officer, they may be safely permitted to go on shore. In case of smallpox occurring on board a ship arriving at any port, the sick shall be sent to hospital, and all not sick shall be immediately vaccinated, or re-vaccinated. The ship shall be returned to service after the thorough cleansing and disinfection above required, but only upon the certificate of the quarantine officer. Passengers shall be detained no longer than the period of incubation of the disease or diseases for which the ship is quarantined. In case, however, that yellow fever, cholera, plague, small-pox, or typhus fever occur among the passengers so detained, the quarantine officer shall send the person or persons affected with such disease to hospital, and the other passengers shall be detained until he shall be satisfied of their freedom from infection. 10. Persons employed at quarantine stations, who have been brought in contact with infected vessels, shall not be permitted to leave such station until their clothing has been washed and disinfected, nor until after an interval of five days since their last exposure to infection. 11. It shall be the duty of the quarantine officer to take the responsibility of applying such additional measures as he may deem indispensable for the protection of the public health. 12. These rules and regulations shall apply to all vessels arriving from an infected port of the United States at any other port of the United States; but in such case a certificate of health, of the form appended, shall be required: I hereby certify that I have personally examined the vessel named herein, and find that the sanitary condition of the vessel, cargo, crew, and passengers is... that ......[number of] passengers, officers, or crew have fever; and that the rules and regulations prescribed by the National Board of Health have..... ..been complied with. Quarantine Officer. RULES AND REGULATIONS Recommended to be adopted and observed for securing the best Sanitary Condition of Steamboats and other Vessels, including their Cargoes, Passengers, and Crews, going from any Port of the United States, where Yellow Fever exists, to any other Port or Ports in the United States. EXPLANATIONS AND GENERAL RULES AND REGULATIONS. 1. The object of the following rules and regulations is to prevent the spread within the United States of contagious or infectious diseases. 3. It is recommended that these rules and regulations be adopted and enforced by State and local boards of health. 4. Every captain or commanding officer shall keep in a book or permanent record the sanitary history of the steamboat, or vessel, under his charge. 5. The captain or commanding officer shall enter upon his record daily all facts relating to the health of the passengers and crew, and the amount and kind of sanitary cleansing during the passage. 6. A port shall be considered infected when yellow fever exists there, or in its vicinity. 7. A port shall be considered dangerously infected when so declared by the National Board of Health. RULES AND REGULATIONS To be Observed at the Port of Departure when Yellow Fever exists there or in the Vicinity. 1. When a port is infected, a sanitary inspector or health officer shall be appointed or detailed to enforce the rules and regulations relating to vessels engaged in domestic commerce or intercourse, to make a thorough inspection of every steamboat or vessel bound for any port of the United States, and to give the certificates required by these regulations. 2. All steamboats and vessels sailing from an infected port must obtain from the sanitary inspector or health officer, appointed or detailed for that purpose, a certificate of health, such certificate being necessary to obtain permission to land cargo or passengers at other ports. 3. The said health officer shall obtain full and satisfactory information respecting the various points set forth in the blank forms for certificates of health hereto appended, and shall fill out these blanks in duplicate; a blank of Form 1 shall be given to the master of the steamboat or vessel to serve as his bill of health, and constitute a part of the record he is herein required to keep; one of Form 2 shall be given to each passenger. The duplicates of these forms shall constitute a part of the report of the health officer. For the purpose of being qualified to perform these duties, he should have power to administer oaths. 4. Every steamboat or vessel, before taking on cargo or passengers, shall be clean and dry, and, if last from an infected port, or if the port of departure be declared dangerously infected, thoroughly disinfected. The examination of the vessel as to cleanliness shall extend to all accessible parts, and especial care shall be taken to note the presence of decaying wood. 5. The ballast shall be of such material and from such localities as may be approved by the certifying authorities, but earth and porous stone shall not be used for balast if avoidable. 6. In no case shall the cargo be taken on until this inspection has been made, and the hygienic condition of the vessel has been found satisfactory. In case of violation of this rule the inspector may order the discharge of the cargo until it has been complied with. 7. After the cargo has been taken on, a second inspection shall be made when, in the opinion of the certifying officer, there is any doubt as to the hygienic condition of the vessel, passengers, cargo, or crew. 8. Whenever a steamboat or other vessel is known or suspected to be infected it shall proceed to the nearest quarantine station or to some isolated location, there to be cleansed and disinfected. 9. In the event that no quarantine station or suitable location is near at hand, or should the master or captain of the vessel refuse to submit to these rules and regulations, or avoid compliance with them, the inspecting officer shall telegraph to the health authorities of the ports at which the boat or vessel may touch, who shall order her to be detained, cleansed, and disinfected. 10. Goods or articles known or suspected to be infected shall not be received as cargo. 11. The crew shall be carefully examined by the health officer, and no one having fever shall be suffered to remain on board. 12. Careful inquiry shall be made as to the history of the crew for the previous five days, and if it shall be found that any one has been affected with, or has been exposed to infection of, yellow fever, or has brought articles suspected of being infected, such member of the crew and such articles shall be removed from the vessel, the suspected articles disinfected, and the person kept under observation for a period not less than five days. 13. The attention of the captain or master shall be directed to the personal cleanliness of the crew, their food, and drinking water. If any of them fall sick their immediate removal to a hospital is important. 14. None of the crew shall be permitted to sleep on deck at night; and this shall be guarded against especially while the boat is touching at malarious or sickly places. 15. If, from the situation of the vessel, immediate removal is impossible, the sick shall be kept separate from the well, and medical attention secured as early as possible. 16. These rules shall relate to passengers, so far as applicable. have been taken, and the danger to be apprehended from cargo, passengers, 17. The health officer shall certify on the bill of health the precautions that and crew. 18. The foregoing rules and regulations shall also apply to tugs, tows, barges, and canal boats. 19. When the National Board of Health declares a port to be dangerously infected, steamboats or vessels shall be required to be disinfected within 2. For the purpose of accomplishing this result the following points should, in all cases, be twelve hours before departure, and also to transfer cargo and passengers at a point to be indicated in the special instructions issued to meet emergencies. 20. Steamboats and vessels which have certificates showing that they have complied with these rules and regulations shall not be detained by other attended to: A. Exclusion, as far as possible, from the steamboat or vessel, of persons or things known or suspected to be infected. B. Cleanliness of the steamboat or vessel, both preliminary to loading and during the health authorities unless for sufficient cause. voyage. C. Ventilation in port, and during the voyage as far as practicable. 21. Physicians attached to steamboats or other vessels herein referred to shall be considered as their health officers, and shall be specially charged with the duty of watching their sanitary condition and the health of their crew and offensive matter, and shall be kept disinfected by the use of saturated solupassengers. tions of the sulphates or chlorides of iron or zinc in sufficient quantity to remove all offensive odors. [FORM 1.] Port of THE UNITED STATES OF AMERICA. NATIONAL BOARD OF HEALTH. No. ......... " BILL OF HEALTH. do hereby certify that the vessel hereinafter named clears from this Port under the If recently alongside sea-going ship or a harbor tug, give name of ship or tug and Sanitary condition of every part of the vessel (before and after reception of cargo, Sanitary condition of cargo; if reshipped from other vessels, give names and If recently near quarantine grounds............. dates....... clothing, food, water, air-space, and ventilation. b. Number of cases of Yellow Fever during the week preceding. Any circumstances affecting the public health existing in the port of departure to be here stated.. Sanitary condition of port and adjacent country- I certify that I have personally examined the steamboat or vessel named herein, and find that the sanitary condition of the vessel, cargo, crew, and passengers is, and, that none of the passengers, officers, or crew have fever; that the Rules and Regulations prescribed by the National Board of Health have complied with, and that the [name of the vessel] leaves this port bound for State of In witness whereof, I have hereunto set my hand and seal, at the port of , this day of, 18-. Total number of crew [FORM NO. 2.] Date, . passenger on [SEAL.] and find that he is not now affected with fever; and inasmuch as he or she] has complied with all the rules and regulations relating to the departure of passengers from towns and places infected with yellow fever, he [or she] is permitted to proceed. M. D., Health Officer. RULES AND REGULATIONS Recommended to be adopted and observed for securing the best Sanitary condition of Railroads, including Station-Houses, Road-Beds, their Cars of all descriptions, Freights, Passengers, and Employés coming from any point where Yellow Fever exists. GENERAL RECOMMENDATIONS. 1. It is recommended that these rules and regulations be adopted and enforced by the State and local boards of health. 2. At all seasons of the year, the depots and surroundings shall be kept clean, the grounds well drained and free from stagnant water and decomposing organic matter; the water-closets and privies shall be kept thoroughly clean in every part, and free from offensive odors; the vaults of privies shall be emptied often enough to prevent any large accumulation of excrement or 3. The road-beds and tracks of railroads shall be kept free from filth and impurities. It is especially enjoined that this rule be observed in respect to all sidings near stations or towns. 4. The upholstered seats of passenger and sleeping-cars, and the mattresses, pillows, blankets, curtains, and carpets of sleeping-cars, shall be thoroughly whipped or beaten, (in the open air so far as practicable,) and brushed free from all dust, and thoroughly aired and sunned at the end of each trip. 5. All railroad cars should be as well ventilated as possible, at all times. 6. Whenever any city, town, or other place having railroad connections, is infected by yellow fever, the following rules should be enforced by State or municipal authorities: RULES AND REGULATIONS To be Enforced during the existence of Yellow Fever. 1. Every train leaving an infected city, town, or other place, shall be inspected by a competent medical man, who shall give to the conductor of said train a certificate of the results of his inspection, in accordance with Form No. 1, appended hereto. 2. It shall also be his duty to furnish certificates to each passenger, in accordance with Form No. 2, appended hereto; and no passenger shall be permitted to leave an infected place without such certificate. No person having fever shall be allowed to take passage on such train. 3. All cars leaving such place shall be thoroughly cleansed and fumigated with sulphurous acid gas, by burning 18 ounces of sulphur for every 1,000 cubic feet of space, closing up the car tight for six hours prior to date of leaving. 4. No upholstered car shall be allowed to leave a dangerously infected place. 5. All baggage shall be thoroughly disinfected at the station before leaving. 6. At a point not less than five (5) miles, and as near this distance as possible, from the point of departure from a dangerously infected place, there shall be an entire transfer of passengers and baggage to other cars, which cars shall never enter an infected district. 7. This transfer shall be made in the open air under the supervision of a medical officer, and as far from a habitation as possible; and no person with fever shall be allowed to proceed, but shall return to the point of departure, or be treated in hospital at or near the place of transfer. 8. The medical officer at the transfer station shall carefully examine the conductor's certificates and the certificate of each passenger, and fill the blanks appended to them to accord with the results of his examination. 9. No sleeping-car shall be allowed to leave a dangerously infected place, nor shall any sleeping-car approach nearer such place than the point of transfer. Any passenger-car leaving such infected place shall be thoroughly ventilated during its passage to the place of transfer, by having the windows of the cars open during such passage. 10. In case of suspected infection of a passenger-car, or of a sleeping-car, such car, including all the upholstery, cushions, curtains, mattresses, &c., shall be thoroughly disinfected, under the supervision of a medical officer, and shall be exposed to the open air for at least twenty days before being again used. 11. All freight shall be transferred at a point not exceeding fifty (50) miles from the point of departure, and the cars from which such freight has been transferred shall not proceed further on the road, but shall be returned to the point of departure. The freight-cars, after unloading, shall be thoroughly cleansed by scrubbing, fumigation, disinfection, and ventilation. 12. Mail matter and mail bags should be heated to a temperature of two hundred and fifty degrees Fahrenheit, or should be otherwise disinfected before they are sent from infected places. 13. At some point not less than fifty miles from the first transfer station, a second complete transfer of passengers and baggage is desirable, and should be provided for by the authorities of the States through which the lines run. 14. If yellow fever infect a place situated upon a line of railroad, trains of all kinds may be permitted to pass through without stopping, and at a speed of not less than ten miles an hour, provided the National Board of Health has not declared it dangerous to do so, and published through the local health authorities a special rule forbidding it. But they shall not take on passengers within one mile of such infected place, and all persons taken on shall first obtain the certificate from the local officer set forth herein. 15. No train having a certificate of such inspection, and no passenger having a proper certificate that he was free from disease, and that his baggage. &c., was properly disinfected, shall be interfered with by any municipal or other local systems of quarantine. 16. All persons leaving infected places by other modes of travel than those provided for in these rules and regulations shall be required to obtain certificates according to blank Form No. 3, appended hereto. |