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institution, hotel, theater, factory, department or other store, public hall or public school, or in any railway station in this City and County, or the furnishing of such common drinking cup or common receptacle for use of any such place, as herein mentioned is hereby prohibited.

Section 2. Any person, firm or corporation violating any of the provisions of this Ordinance shall be deemed guilty of a misdemeanor and, upon conviction thereof, shall be punishable by a fine of not exceeding fifty (50) dollars, or by imprisonment in the County Jail not to exceed thirty (30) days, or by both such fine and imprisonment.

Section 3. This Ordinance shall take effect immediately.

ORDINANCE NO. 975 (New Series).

In Effect December 18, 1909.

Providing Methods for the Prevention of the Spread of Tuberculosis. Be it Ordained by the People of the City and County of San Francisco as

Section 1.

follows:

Reports by Physicians and Others.

Tuberculosis is hereby declared to be a communicable

disease, dangerous to the public health.

It shall be the duty of every physician practicing in the City and County of San Francisco, and of every person in charge of any hospital, dispensary or other private or public institution in said City and County, to report in writing to the Board of Health the name, age, sex, color, occupation, address and place where last employed, of every person having tuberculosis which comes under his care or observation. Said report shall be made in writing on a form furnished as hereinafter provided, and shall be forwarded to said Department of Public Health, within twenty-four (24) hours after knowledge of the case comes to said physician or person.

Examination of Sputum.

Section 2. It shall be the duty of the Health Officer when so requested by any physician or by authorities of any hospital or dispensary to make or cause to be made a microscopical examination of the sputum sent him as that of a person having symptoms of tuberculosis, accompanied by a blank giving name, age, sex, color, occupation, place where last employed, if known, and address of the person whose sputum it is. It shall be the duty of the Health Officer to promptly make a report of the results of such examinations free of charge to the physician or person upon whose application the same is made.

Protection of Records.

Section 3. It shall be the duty of the Health Officer to cause all reports and all results of examinations showing the presence of the bacilli of tuberculosis made in accordance with the provisions of Sections 1 and 2 respectively of this Ordinance to be recorded in a register of which he shall be the custodian. Such register shall not be open to inspection by any person other than the health authorities of the State and of the said City and County, and said health authorities shall not permit any such report or record to be divulged so as to disclose the identity of the person to whom it relates, except as may be necessary to carry into effect the provisions of this Ordinance.

Disinfection of Premises.

Section 4. In case of vacation of any apartment or premises by the death or removal therefrom of a person having tuberculosis, it shall be the duty of the attending physician, or if there be no such physician, or if such physician be absent, of the owner, lessee, occupant or other person

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having charge of said apartment or premises, to notify the Department of
Public Health of said death or removal within twenty-four (24) hours
thereafter; and such apartment or premises so vacated shall not be occupied
until duly disinfected, cleaned, or renovated, as hereinafter provided. Fur-
ther, it shall be unlawful for any person suffering from tuberculosis to
change his or her residence or to be removed therefrom until the Depart-
ment of Public Health has been notified so that the vacated apartment or
premises may be disinfected, cleaned, or renovated.

Health Officer to Direct Disinfection, Cleaning or Renovating.
Section 5. When notified of the vacation of any apartment or premises

as provided in Section 4 thereof, the Health Officer or one of his deputies

shall thereafter visit said apartment or premises and shall order and direct

that except for purposes of cleaning or disinfection no infected article shall

be removed therefrom until properly and suitably cleansed or disinfected,

and said Health Officer or deputy shall determine the manner in which said

apartment or premises shall be disinfected, cleansed or renovated in order

that they may be rendered safe and suitable for occupancy. After the health

authorities determine that disinfection is sufficient to render them safe and

suitable for occupancy, said apartment or premises, together with all

infected articles therein, shall be immediately disinfected by the Department

of Public Health; or if the owner prefers, by the owner at his expense to

the satisfaction of the Health Officer. Should the Health Officer deter-

mine that such apartment or premises are in need of thorough cleaning or

renovating, a notice to this effect shall be served upon the owner or agent

of said premises, and said owner or agent shall proceed to the cleansing or

renovating of said apartment or premises in accordance with the instruc-

tions of the Health Officer, and such cleansing and renovating shall be

done at the expense of said owner or agent. Such articles that cannot be

disinfected or renovated to the satisfaction of the Health Officer shall be

destroyed.

Prohibiting Occupancy Until Order of Health Officer is Complied With.

Section 6. In case the orders or directions of the Health Officer

requiring the disinfecting, cleansing or renovating of any apartment or

premises or any article therein as hereinbefore provided shall not be com-

plied with within forty-eight (48) hours after said orders or directions shall

be given, the Health Officer may cause a placard in words and form sub-

stantially as follows, to be placed on the door of the infected apartment or

premises:

"Tuberculosis is a communicable disease. These apartments have been

ocupied by a consumptive and may be infected. They must not be occupied
until the order of the Health Officer directing the disinfection or renovation
has been complied with. This notice must not be removed under the penalty
of the law except by the Health Officer or other duly authorized official."

Prohibiting Carelessness of a Person Having Tuberculosis.

Section 7. Any person having tuberculosis who shall dispose of his
sputum, saliva or other bodily secretion or excretion so as to cause offense
or danger to any person or persons occupying the same room or apartment,
house or part of house, shall on complaint of any person subject to such
offense or danger, be deemed guilty of a nuisance; and any person subject
to such a nuisance may make complaint in writing to the Health Officer, and
it shall be the duty of the Health Officer receiving such complaint to inves-
tigate, and if it appears that the nuisance complained of is such as to cause
offense or danger to any person occupying the same room, apartment, house
or part of a house, he shall serve a notice on the person so complained of,
reciting the alleged cause of offense or danger and requiring him to dispose
of his sputum, saliva or other bodily secretion or excretion in such a man-
ner as to remove all reasonable cause of offense or danger.

Protection of Patient's Family.

Section 8. It shall be the duty of a physician attending a patient for
tuberculosis to take all proper precautions and to give proper instructions
to provide for the safety of all individuals occupying the same house or
apartment.

Forcible Removal.

Section 9. Whenever a person having tuberculosis is unable for finan-
cial reasons, or from any other cause, to comply with the rules of the
Board of Health providing the precautions to be observed to prevent the
spread of infection, or when such person wilfully refuses to comply with
said rules and in all cases where children are unavoidably exposed to infec-
tion, the Board of Health may, on presentation to it of proof that such
person is a sufferer from tuberculosis, order his immediate removal to a
hospital or other institution for the care of sufferers from tuberculosis.
Such person shall not be permitted to leave such hospital or other institu-
tion until the danger of infection has been removed or he is able and willing
to comply with the precautions and rules herein referred to.-As amended
by Ordinance No. 1040 (New Series), approved January 6, 1910.

Printed Precautions to be Furnished by Health Officer.

Section 10. It shall be the duty of the Health Officer to transmit to a
physician reporting a case of tuberculosis as provided in Section 1 of this
Ordinance a printed statement and report naming such procedure and pre-
cautions as are necessary or desirable to be taken on the premises of a
tubercular patient. Upon receipt of such statement or report the physician
shall either carry into effect all such procedures and precautions as are
therein prescribed, and shall thereupon sign and date the same, and return
to the Health Officer without delay; or if such attending physician be
unwilling or unable to carry into effect the procedure and precautions so
specified, he shall so state on this report, and immediately return the same
to the Health Officer and the duties therein prescribed shall thereupon
devolve upon said Health Officer. Upon the receipt of this statement and
report, the Health Officer shall examine the same and satisfy himself that
the attending physician has taken all necessary and desirable precautions to
insure the safety of all persons living in the apartment or premises occupied
by the person having tuberculosis. If the precautions taken or instructions
given by the attending physician are, in the opinion of the Health Officer,
not such as will remove all reasonable danger or probability of danger
to the persons occupying the same house or apartment or premises, the
Health Officer shall return to the attending physician the report with a
letter specifying the additional precautions or instructions which the Health
Officer shall require him to make or give; and the said attending physician
shall immediately take the additional precautions and give the additional
instructions specified and shall record and return the same on the original
report to the Health Officer. It shall be the duty of the Health Officer to
transmit to every person reporting any case of tuberculosis, or if there be no
attending physician, to the person reported as suffering from this disease,
a circular of information which shall inform the consumptive of the pre-
cautions necessary to avoid transmitting the disease to others.

Penalty for False Statement.

Section 11. It shall be unlawful for any physician or person practicing
as a physician to report knowingly as affected with tuberculosis any person
who is not so affected or wilfully make any false statement concerning the
name, sex, color, occupation, place where last employed, if known, or
address of any person reported as affected with tuberculosis, or certify
falsely as to any precautions taken to prevent the spread of infection.

School Attendance.

Providing Sanitary Regulations for the Protection of the Public Health

in the City and County of San Francisco, and Particularly to

Prevent the Propagation and Spread of the Bubonic Plague

Through the Medium of Rats.

Be it Ordained by the People of the City and County of San Francisco as

follows:

Section 1. This Ordinance is designed to be and is enacted as a police
and sanitary regulation for the protection of the public health, and particu-
larly to prevent the propagation and spread of bubonic plague through the
medium of rats.

Section 2. The Health Officer of the City and County of San Fran-
cisco, or any agent or inspector appointed by him or by the Board of Health,
for the purpose, shall have authority, after announcing the purpose of his
visit, and shall be permitted to enter any building or premises, or any part
thereof, in the City and County, between the hours of nine o'clock in the
forenoon and five o'clock in the afternoon of any day, for the purpose of
inspecting the same, and to ascertain whether the provisions of this Ordi-
nance have been complied with by the owner and occupant thereof.

Section 3. All building and basement walls of all storerooms, ware-
houses, residences or other buildings within the City and County, all chicken
yards or pens, chicken coops or houses, and all barns and stables, shall be
so constructed or repaired as to prevent rats from being harbored under-
neath the same or within the walls thereof, and all food products or other
products, goods, wares and merchandise liable to attract or to become
infested or infected with rats, whether kept for sale or for any other pur-
pose, shall be so protected as to prevent rats from gaining access thereto or
coming in contact therewith. All storerooms, warehouses, residences or
other buildings in said City and County shall be provided by the house-
holder or his agent with one or more traps of a pattern approved by the
Health Officer, which traps shall be freshly baited at least twice each week
by the householder or his agent, and shall be inspected daily by the house-
holder or his agent, and any rat or rats caught therein shall be killed and
delivered to the Health Department, or its duly authorized deputy, or killed

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and then destroyed by burning, and such trap or traps thoroughly smoked
and reset and rebaited by said householder or his agent.

Section 4. All public and private docks and wharves in the City and
County, wherever located, shall be so protected as to prevent rats from
gaining entrance to such docks or wharves, at either high or low tide,
from vessels anchored or moored alongside of such docks or wharves, or
from other sources, and all food products stored in docks or wharves shall
be so kept and stored as to prevent rats from gaining access thereto or
coming in contact therewith. All docks and wharves shall be provided with
two or more traps of a pattern approved by the Health Officer; traps shall
be freshly baited at least twice each week, and shall be inspected daily, and
all rats caught therein shall be killed and delivered to the Health Depart-
ment, or its duly authorized deputy, or killed and then destroyed by burning,
and such trap or traps shall be thoroughly smoked and reset and rebaited.

Section 5. All slaughterhouses of every kind and nature and wherever
located in the City and County shall be so protected as to prevent rats
from gaining access to the building or buildings thereof, and all holes and
openings in the building or basement walls shall be thoroughly stopped with
cement or other material approved by the Board of Health, and all food
products stored in slaughterhouses shall be so kept as to prevent rats from
coming in contact therewith.

All slaughterhouses shall have at least two traps, or as many more
traps as may be required by the Board of Health of pattern approved by
said Board, which traps shall be baited with fresh bait at least twice a
week, and such traps shall be inspected daily by the owners, lessees or
agents thereof, and all rats caught therein shall be killed and delivered to
the Health Department, or its duly authorized deputy, or killed and then
destroyed by burning, and the trap or traps thoroughly smoked and reset
and rebaited by said owners, lessees or their agents.

Section 6. All buildings, places and premises whatsoever in the City
and County shall at once be placed, and shall continuously be kept, by the
owner or the occupant thereof in a clean and sanitary condition, and free
from rats.

Section 7. No person, firm or corporation shall have or permit upon
any premises owned, occupied or controlled by him or it, any nuisance
detrimental to health, or any accumulation of filth, garbage, decaying animal
or vegetable matter, or any animal or human excrement; and it shall be
the duty of the Health Officer of the City and County to cause any such
person, firm or corporation to be notified to abolish, abate and remove such
nuisance, and in case such person, firm or corporation shall fail, neglect or
refuse to remove the same within one (1) day after receiving such notice,
such nuisance may be removed and abated under and by order of the Health
Officer, and the person, firm or corporation whose duty it was to abate or
remove such nuisance, in addition to incurring penalties in this Ordinance
provided, shall become indebted to the City and County for the costs and
charges incurred by the City and County by reason of the existence and
removal of such nuisance.

Section 8. No person, firm or corporation shall dump or place upon
any land, or in any water or waterway, within the City and County, any
dead animal, butchers' offal, fish or parts of fish, or any waste vegetable
or animal matter whatever.

Section 9. No person, firm or corporation whether the owner, lessee,
Ocupant or agent of any premises, shall keep or permit to be kept in any
building, area way, or upon any premises, or in any alley, street or public
place adjacent to any premises, any waste animal or vegetable matter, dead
animals, butchers' offal, fish or parts of fish, swill or any refuse matter from
any restaurant, eating place, residence, place of business or other building,

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