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That the terms of the present members of the State board of health and the secretary thereof as such, and in connection with all other departments connected with the office of said State board of health, shall terminate upon the taking effect of this act. SEC. 2. Appropriation—Expenses-Under supervision executive council.—That all appropriations or provisions hereafter to be made or which have been made for the State board of health for public health purposes, of whatever nature or character, shall be expended under the immediate supervision and direction of the executive council of the State, composed of the governor, secretary of state, auditor of state, and treasurer of state, all of whom shall be members ex officio, to serve without compensation, of the State board of health, and no bill for contingent or miscellaneous expenses, or expenses of any kind, of said State board of health shall be allowed or paid unless it is properly itemized, verified and certified to, and audited by the executive council of the State.

SEC. 3. Acts in conflict repealed.-That all laws and parts of laws in conflict with any of the provisions of this act are hereby repealed.

State Board of Health-To Improve Sanitary Conditions When Complaint is Made. (Chap. 208, Act Apr. 19, 1913.)

SECTION 1. Petition-Complaint-Enforcement.—In any case where five or more citizens in any locality in this State present a petition to the State board of health, signed by such citizens, setting forth complaint regarding sanitary conditions in their locality, it is hereby made the duty of the State board of health to use all means at its command to make special effort to improve the sanitation and health conditions and precautions in such localities of this State. If the local board of health should fail to carry out the directions of the State board of health, the State board of health may employ the necessary assistants to carry out the provisions of this act. The sum of $2,000 or so much thereof as may be necessary was appropriated for the purpose of carrying out the provisions of the above act. (Chap. 332, act Apr. 19, 1913.)

Railway Stations-Closets or Privies Required. (Act Apr. 10, 1913.) SECTION 1. That at all railway stations in this State, where a depot and waiting rooms for passengers are maintained, there shall be within the same or connected therewith sanitary closets, including separate closets for women, which in cities or towns having a system of sewerage, so located that the same can be reasonably used by the railroad property, shall be thoroughly drained, constructed, and plumbed according to approved sanitary principles and said depots and closets shall be kept in a clean and sanitary condition, free from any offensive odors. Depots in cities or towns not provided with a sewerage system shall be provided with privies or closets properly screened and separated for the use of males and females, which shall be cleaned and disinfected as often as necessary to keep and maintain them in an approved sanitary condition.

SEC. 2. It shall be the duty of the hotel inspector and his deputies to see that the provisions of the act are fully complied with and on complaint being filed by an employee or patron of the railway company shall by himself or deputy personally inspect the same.

SEC. 3. It shall be the duty of the inspector upon ascertaining, by inspection or otherwise, that any railroad company has not complied with the provisions of this act at any of its depots, to notify the station agent of such depot, in writing, stating in what respect it is delinquent and requiring it in a reasonable time, to be fixed by the inspector, to do or cause to be done the things necessary to make it comply with the law.

SEC. 4. Any railroad company, which after receiving said notice fails to comply, within the time fixed, with the provisions of this act, shall be guilty of a misdemeanor and upon conviction shall be fined not exceeding $100 for each offense and the inspector shall file information in such a case.

SEC. 5. Such railroad companies shall pay a fee of $5 to the person making the inspection. If there is no cause of complaint, the person complaining shall be liable for such fee. All fees shall forthwith be paid over to the State treasurer to be kept in the hotel inspection fund.

SEC. 6. The inspector shall be allowed his necessary expenses while engaged in the actual work of inspection, to be audited and paid out of the hotel inspection fund as provided in section 13 thereof.

KANSAS.

Morbidity Reports. (Reg. Bd. of H., Dec. 13, 1913.)

Be it resolved, By the State board of health of Kansas, that the following be and is hereby adopted as a part of the rules and regulations of said board:

SECTION 1. The following-named diseases and disabilities are hereby made notifiable, and the occurrence of cases shall be reported as herein provided.

Actinomycosis.
Anthrax.

Chicken-pox.

GROUP I.-INFECTIOUS DISEASES.

Cholera, Asiatic (also cholera nostras when Asiatic cholera is present or its importation threatened).

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Tuberculosis (all forms; the organ or part affected in each case to be specified).

Typhoid fever.

Typhus fever.
Whooping cough.

Yellow fever.

GROUP II.-OCCUPATIONAL DISEASES AND INJURIES.

Arsenic poisoning.

Brass poisoning.

Carbon-monoxide poisoning.

Lead poisoning.

Mercury poisoning.

Natural-gas poisoning.

Phosphorus poisoning.

Wood-alcohol poisoning.

Naphtha poisoning.

Bisulphide of carbon poisoning.

Dinitrobenzine poisoning.

Caisson disease (compressed-air illness).

Any other disease or disability contracted as a result of the nature of the person's employment.

Gonococcus infection.

Syphilis.

Pellagra.

Cancer.

GROUP III. VENEREAL DISEASES.

GROUP IV. DISEASES OF UNKNOWN ORIGIN.

SEC. 2. Hereafter each and every physician practicing in the State of Kansas who treats or examines any person suffering from or afflicted with, or suspected to be suffering from or afflicted with, any one of the notifiable diseases shall immediately report such case of notifiable disease in writing to the local health authority having jurisdiction. Said report shall be forwarded either by mail or by special messenger and shall give the following information:

1. The date when the report is made.

2. The name of the disease or suspected disease.

3. The name, age, sex, color, nativity, occupation, address, and school attended or place of employment of patient.

4. Number of adults and of children in the household.

5. Source or probable source of infection or the origin or probable origin of the disease.

6. Name and address of the reporting physician.

Provided, That if the disease is, or is suspected to be, smallpox, the report shall, in addition, show whether the disease is of the mild or virulent type and whether the patient has ever been successfully vaccinated, and if the patient has been successfully vaccinated, the number of times and dates or approximate dates of such vaccination; and if the disease is, or is suspected to be, cholera, diphtheria, plague, scarlet fever, smallpox, or yellow fever, the physician shall, in addition to the written report, give immediate notice of the case to the local health authority in the most expeditious manner available; and if the disease is, or is suspected to be, typhoid fever, scarlet fever, diphtheria, or septic sore throat, the report shall also show whether the patient has been, or any member of the household in which the patient resides is, engaged or employed in the handling of milk for sale or preliminary to sale: And provided further, That in the reports of cases of the venereal diseases the name and address of the patient need not be given, and that all such reports of venereal disease shall be made direct to the State board of health on special blank.

SEC. 3. The requirements of the preceding section shall be applicable to physicians attending patients ill with any of the notifiable diseases in hospitals, asylums, or other institutions, public or private, provided that the superintendent or other person in charge of any such hospital, asylum, or other institution in which the sick are

cared for, may, with the written consent of the local health officer (or board of health) having jurisdiction, report in the place of the attending physician or physicians the cases of notifiable diseases and disabilities occurring in or admitted to said hospital, asylum, or other institution in the same manner as that prescribed for physicians.

SEC. 4. Whenever a person is known or is suspected to be afflicted with a notifiable disease, or whenever the eyes of an infant under two weeks of age become reddened, inflamed or swollen, or contain an unnatural discharge, and no physician is in attendance, an immediate report of the existence of the case shall be made to the local health officer by the midwife, nurse, attendant, householder, or other person in charge of the patient.

SEC. 5. Teachers or other persons employed in, or in charge of, public or private schools, including Sunday schools, should report immediately to the local health officer each and every known or suspected case of a notifiable disease in persons attending or employed in their respective schools.

SEC. 6. The written reports of cases of the notifiable diseases required by this act of physicians shall be made upon blanks supplied for the purpose, through the local health authorities, by the State board of health. These blanks shall conform to that adopted and approved by the State and Territorial health authorities in conference with the United States Public Health Service.

SEC. 7. Local health officers or boards of health shall within seven days after the receipt by them of reports of cases of the notifiable diseases forward by mail to the State board of health the original written reports made by physicians, after first having transcribed the information given in the respective reports in a book or other form of record for the permanent files of the local health officer. On each report thus forwarded the local health officer shall state whether the case to which the report pertains was visited or otherwise investigated by a representative of the local health officer and whether measures were taken to prevent the spread of the disease or the occurrence of additional cases.

SEC. 8. Local health officers or boards of health shall, in addition to the provisions of section 7, make such other reports as may be provided for by regulations promulgated by the State board of health.

SEC. 9. Whenever there occurs within the jurisdiction of a local health officer or board of health an epidemic of a notifiable disease, the local health officer or board of health shall, within 30 days after the epidemic shall have subsided, make a report to the State board of health of the number of cases occurring in the epidemic, and the number of cases terminating fatally, the origin of the epidemic, and the means by which the disease was spread; provided, that whenever the State board of health has taken charge of the control and suppression or undertaken the investigation of the epidemic, the local health authority having jurisdiction need not make the report otherwise required.

Communicable Diseases-Notification of Cases-Placarding—Quarantine. (Reg. Bd. of H., Dec. 11, 1913.)

Resolved, That after January 1, 1914, all cases of pertussis or whooping cough, varicella or chicken pox, and epidemic parotitis or mumps, be included in the list of diseases required to be reported by the attending physician.

Be it further resolved, That in the belief that in all cases of communicable disease the public is entitled to such notice of same that individuals may be enabled to avoid exposure to infection, all premises, on or in which cases of typhoid fever, infantile paralysis or mumps occur, shall be placarded as are other diseases mentioned in the quarantine law. Any person afflicted with any of these diseases is prohibited from attending school, or other places of public assemblage.

Be it still further declared, That three weeks or 21 days shall be held to constitute the minimum limit of quarantine in cases of infantile paralysis, or such longer period as may in the judgment of the health officer be deemed necessary.

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