1. Enforce any and all needful rules and regulations made by the State board of health for the prevention and cure, and to prevent the spread of any contagious or infectious disease among persons or domestic animals. 2. Establish quarantine and isolate any person affected with contagious or infectious disease. 3. Isolate, kill, or remove any animal affected with contagious or infectious disease. 4. Remove or cause to be removed any dead, decaying, or putrid body, or any decayed, putrid, or other substance that may endanger the health of persons or domestic animals. 5. Condemn and cause to be destroyed any impure or diseased article of food that may be offered for sale. All expenses actually and necessarily paid and incurred by the county board of health in carrying out the provisions of this article shall be audited by such board and certified to the county commissioners of the county where such expenses are incurred and shall be paid the same as other county expenses. SEC. 251. The superintendent of the county board of health shall have charge of and superintend, subject to the approval of the board of which he is a member, and the supervisory control of the State board of health, all the matters and things in subdivisions 1, 2, 3, 4, and 5 of section 250 within his county, and in case of immediate danger to the health of persons he may act as in his judgment he may deem proper without consultation with the county board of health, for the prevention of such danger, and shall immediately report such action to the president of the county board of health, and to the superintendent of the State board of health. SEC. 252. The president of the county board of health shall receive no other compensation than that which is provided for. He shall receive 5 cents for every mile actually and necessarily traveled in the performance of his duties as a member of said board. The superintendent of the county board of health shall receive 20 cents per mile for every mile actually and necessarily traveled by the nearest route in the performance of his duties, which mileage shall be in lieu of all compensation of traveling expenses that said superintendent shall receive, and the superintendent, or the vice president of the county board of health if he performs the duties of the superintendent, shall receive such other sums as the board of county commissioners may allow: Provided, That for each investigation, visit, or examination necessarily made where an infectious, contagious, or communicable disease may exist or be reasonably suspected of existing, the superintendent, or the vice president of the county board of health if he performs the duties of the superintendent, shall also receive the sum of $5 for each investigation, visit, or examination actually and necessarily made where but one person is examined in one building and $1 for each additional person examined. The superintendent shall also receive the sum of 50 cents for each monthly report to the superintendent of the State board of health of the health conditions of the county, and he, or the vice president if he performs the duties of the superintendent, shall further receive such other sum or sums as he may pay or become liable to pay for medicine, chemicals, drugs, or appliances in carrying out and performing the various duties imposed upon him under the provisions of this article, which, together with other expenses, shall be audited by the board of county commissioners and paid as other county expenses. SEC. 253. All members, officers, and employees of the State and local boards of health shall have the right to enter any building, conveyance, or place where contagious, infection, filth, or other source or cause of preventable disease exists or is reasonably suspected to exist, and all county boards of health, and health officers shall make such investigation and reports, and obey such directions concerning communicable diseases, as the State board of health may require or give, and under the general supervision of the State board of health they shall cause all laws and regulations relating to public health and sanitary matters to be obeyed and enforced, and every member or officer refusing or neglecting to perform any duty imposed upon him by or pursuant to this chapter or by any statute, ordinance, by-law or rule and regulation relating to public health and sanitary measures shall be guilty of a misdemeanor. And any person who shall violate any of the provisions of this chapter, or any of the rules and regulations made by the State board of health to carry out the provisions thereof, or who shall willfully oppose or obstruct any health officer in performing his duty shall be guilty of a misdemeanor. * State Board of Health-Appropriation. (Chap. 23, Act Mar. 8, 1913.) SEC. 12. State board of health. Necessary expenses for public health and medical examiners per annum: Morbidity Reports. (Reg. Bd. of H., July 25, 1913.) Physicians to report all cases of certain infectious and contagious diseases to the health authorities. Every physician practicing in the State of South Dakota who shall treat or examine any person suffering from, or afflicted with, actinomycosis, anthrax, bubonic plague, cerebrospinal meningitis (epidemic), (cerebrospinal fever, spotted fever), chicken pox, Asiatic cholera, diphtheria, (diphtheritic croup, membranous croup, putrid sore throat), epidemic dysentery, erysipelas, German measles, pneumonia, glanders (farcy), rabies (hydrophobia), leprosy, malarial fever, measles, puerperal fever, relapsing fever, scarlet fever (scarlatina, scarlet 1ash), smallpox (variola, varioloid), tetanus, trachoma, trichiniasis, tuberculosis in any form, typhoid fever, whooping cough, or yellow fever, shall forthwith make a report in writing to the superintendent of the county board of health upon blanks supplied for that purpose, in which report he shall, over his or her signature, state the name of the disease, and the name, age, sex, color, nativity, and occupation, if any, of the person suffering therefrom, together with the street and house number of the premises in which said person may be located, or otherwise sufficiently designate the same, the date of the onset of the disease, the name and occupation of the householder in whose family the disease may have occurred, the number of children in said household attending school, and the name or names of the school or schools so attended, together with such other information relating to such case as may be required by said health authorities and the State department of health. Regulations-Definitions of Terms Used. (Reg. Bd. of H., July 25, 1913.) The term "local health officer" as it appears in the following rules and regulations shall be so construed to mean any health officer appointed by the State board of health and medical examiners or any municipal town or township health officer otherwise appointed and whose appointment has been approved by the superintendent of the State board of health and medical examiners. The term "State board of health" as it appears in the following rules and regulations shall be so construed to mean the State board of public health and medical examiners. Communicable Diseases-Quarantine-Placarding-Disinfection. (Reg. Bd. of H. July 25, 1913.) 1. The control of communicable diseases.—The local health officer shall forbid, by notice posted upon the entrance to premises where a patient is sick with scarlet fever or diphtheria, any person except the attending physician, health officer, sanitary inspector, or in case of a death, a licensed embalmer, from going into or leaving such premises without his permission, or the carrying off or causing to be carried off any material whatever, until after the disease has abated and the premises, dwelling, and clothing have been rendered free from danger by means of such disinfection and cleansing as the State board of health may direct. A quarantine card must give the name of the disease and the regulations set forth above. 2. The other members of a household where a patient is under isolation for diphtheria or scarlet fever shall be under quarantine also, except as follows: If the patient be entirely isolated in a portion of the house used for no other purpose, and under the charge of a reliable attendant, the local health officer shall make a statement in writing to that effect and furnish copies thereof to such members of the household as may be employed at gainful occupations, other than teaching or such work as may bring them into contact with children. On receipt of such signed statement in writing, any person may pursue their ordinary vocations, provided they shall furnish a signed statement to said health officer and to their employer, declaring that they will not come in contact with the patient, the patient's room, or anything or any person which is in contact with the patient or the patient's room. School children, teachers, or others having to do with children shall be excluded from day school, Sunday school, or any public or private gathering whatever for two weeks of observation after the last exposure to any case of scarlet fever or diphtheria within the household, except that in the case of exposure to diphtheria two consecutive negative cultures from both the nose and throat, secured at any time in accordance with regulation No. 26 after last exposure, shall free the person presenting them of all restraint. Residence in the household where diphtheria or scarlet fever exists shall constitute exposure. A nurse or other person under quarantine with a patient ill with a communicable disease other than diphtheria, who wishes to be released before the quarantine period has expired, must be carefully examined by the health officer, and, if found to be free from the disease and not liable to develop the same, may be released from the quarantine after having had a full bath and a thorough disinfection of all the clothing worn or taken from the quarantined house. 3. No person or persons shall alter, deface, remove, destroy, or tear down any card posted by a local health officer. The occupant or persons having possession or control of a building upon which a quarantine notice has been posted shall within 24 hours after the destruction or removal of such notice by other than the local health officer, notify the local health officer of such destruction or removal. 4. Any person who is infected with smallpox, scarlet fever, or diphtheria and who is residing in a common lodging house or hotel, shall be removed therefrom under the supervision of the local health officer to a suitable hospital or place of quarantine. If an infected person can not be removed without danger to his health or for other sufficient cause, the local board of health shall make provision for the care of such individual in the house where he may be found, and may cause, if necessary, other persons in the house to be removed therefrom after having been submitted to the necessary disinfection. 5. Whenever a local health officer is informed or has reason to suspect that there is a case of smallpox, scarlet fever, diphtheria, epidemic cerebrospinal meningitis, anterio poliomyelitis, measles, typhoid fever, or tuberculosis within the territory over which he has jurisdiction, he shall immediately examine into the facts of the case and shall adopt the quarantine or employ the sanitary measures directed by the State board of health in dealing with such case or cases, and shall immediately notify the superintendent of said board of health of the appearance of such disease and the measures taken in relation thereto. A report of each case as it occurs shall be made to the aforesaid superintendent by the local health officer. 6. The local health officer shall see that the cleansing and disinfection of any house, building, car, vessel, or vehicle, or any part thereof, and of any articles therein likely to retain infection, is carried out before the same are released from quarantine. 7. When furniture, bedding, clothing, carpets, or other articles that have been exposed to infection through contact with infected persons or articles can not be disinfected, the same must be destroyed when so ordered by the local board of health. 8. No person shall let for hire, or cause or permit anyone to occupy, apartments previously occupied by a person ill with smallpox, scarlet fever, diphtheria, epidemic cerebrospinal meningitis, anterior poliomyelitis, measles, typhoid fever, or tuberculosis until such apartments have been disinfected under the supervision of the local health officer according to the instructions of the State board of health. 9. Whenever the order or direction of the local health officer requiring the disinfection of articles, premises, or apartments shall not be complied with the local health officer shall forthwith cause a placard, in word and form as follows, to be placed upon the door of the apartment or premises: NOTICE S. Dak. is a communicable disease. These apartments have been occupied by a patient and have become infected. They must not again be occupied until my orders directing the renovation and disinfection of same have been complied with. This notice must not be removed, under penalty of the law, except by an authorized official. Dated 191.. Local Health Officer. 10. No person engaged in handling actual food or food products for sale, no salesman or clerk in grocery or butcher shops, in candy shops or bakeries, or other places where food is sold, and no waiter, waitress, cook or other employee of a hotel, restaurant, boarding house or other place where food is served shall handle actual food or food products for sale or consumption in any manner whatever, while infected with scarlet fever, diphtheria, smallpox, chicken pox, typhoid fever or measles; and any person shall be deemed infected if residing, boarding, or lodging in a household where any one or more of the diseases exist. No milk, butter, or other food or food products to be eaten raw shall be sold or given to any party or delivered to any creamery or butter factory, store, shop, or market from a house where a case of scarlet fever, diphtheria, smallpox, chicken pox, typhoid fever or measles exist; nor shall any member of such household handle milk or milk products for sale in any manner whatever. The sale of such food or food products is forbidden from farm premises where any of the specified diseases exist, except under the following conditions: Complete separation of the farm work from the household concerned shall be made so that the household shall be quarantined against the rest of the farm, and no communication whatever shall continue. Those having to do with the food products shall eat, sleep, and work wholly outside the affected house and shall in no way handle anything or person whatever coming from the affected house or connected with it, nor shall those quarantined in the house handle any person or anything connected with the food or food products or those working with the food or food products in any manner whatever. 11. Smallpox.-The local health officer having knowledge of or having reason to suspect the existence of smallpox shall at once investigate and quarantine any building where the disease may exist. 12. The building or isolated apartments occupied by a smallpox patient shall be deemed infected and when vacated by death or removal of the patient shall, together with their contents, be thoroughly disinfected under the supervision of the local health officer. 13. Every physician shall immediately report, in writing, to the superintendent of the county board of health, the name of each smallpox patient under his care. A report must be made for each case as it appears in a family or household. 14. Every physician shall report, in writing, to the superintendent of the county board of health the death of any smallpox patient within 12 hours thereafter. 15. Vaccination.-Following an exposure of smallpox every individual must be vaccinated (within three days of the first exposure) or placed under the same isolated restrictions as the smallpox patients. If smallpox prevails in a community, or if the disease appears in a school, all unvaccinated teachers and pupils must be excluded from school for a period of three weeks unless vaccinated within three days of the first exposure. Failing to comply with this requirement, the school must be closed for a period of three weeks. 16. Smallpox disinfection regulations.-All persons having been ill with smallpox must have their clothing disinfected and take a disinfecting bath before being released from quarantine. 17. Epidemic cerebrospinal meningitis and epidemic anterior poliomyelitis.-Every case of epidemic cerebrospinal meningitis shall be reported to the local health officer at once. The patient shall be isolated for a period of at least two weeks from the onset of the symptoms. The discharges from the nose, throat, and mouth of the patient must be received on cloths and burned at once. After death or recovery of the patient all personal clothing and bedding, together with the contents of the room and the room itself, must be thoroughly disinfected under the supervision of the local health officer. In case of death a public funeral or reviewing of the remains of the deceased is forbidden. Every doubtful case of cerebrospinal meningitis must be classed as of epidemic type and cared for accordingly until proven otherwise. 18. Every case of epidemic anterior poliomyelitis shall be reported to the local health officer at once. The patient shall be isolated for a period of two weeks from the onset of the symptoms. All other children, teachers, or others having to do with children residing in the affected household shall be kept under observation for a period of three weeks from the date of the last exposure within the household. They shall not attend during the period day school, Sunday school, or any public or private gathering whatever. Residence, boarding, or lodging in a household during isolation therein of a patient suffering from anterior poliomyelitis shall constitute exposure. The discharges from the nose, throat, and mouth of the patient must be received on cloths and burned at once. After death or termination of isolation all personal clothing and bedding of the patient, together with the contents of the room and the room itself, must be thoroughly disinfected under the supervision of the local health officer. In case of death a public funeral or reviewing of the remains of the deceased is forbidden. Every doubtful case of anterior poliomyelitis shall be classed as of epidemic type and cared for accordingly until proved otherwise. 19. Scarlet fever, scarlatina, scarlet rash.-The local health officer having knowledge of or having reason to suspect the existence of scarlet fever shall investigate, if necessary, and shall at once place under quarantine all persons afflicted with scarlet fever and those having the care of and coming in contact with such patients, except the attending physician, health officer, sanitary inspector, or in case of death a licensed embalmer. The quarantine period for scarlet fever shall never be less than three weeks and may be longer. Quarantine must not be released until the health officer has satisfied himself |