8

44. The clothes and baggage will be disinfected by moist steam under pressure. 45. All articles requiring to be subjected to moist steam shall remain in the steam chamber at a continuous temperature of 212 to 220 degrees Fahrenheit for thirty minutes.

*46. Articles not amenable to this treatment shall be disinfected as hereinafter provided.

47. The persons will then be placed in the Department of the Disinfected. 48. They shall be inspected daily.

49. Upon the appearance of any tendency or symptoms whatever of yellow fever, they shall at once be placed in a suitable isolated locality.

50. If they develop a case, they shall be placed in the Hospital of the Station. 51. The persons will remain at the Station ten days.

52. Persons thus detained will be given a certificate to the effect that disinfection has been practised and detention of ten days enforced, signed by the Resident Officer of the United States Marine Hospital Service.

53. Well authenticated immunes will not be detained, but will be disinfected. 54. Then the persons should be received everywhere and by everybody as being incapable of conveying infection.

55.

Regulations Governing Freight.

56. Articles should not be shipped from dwellings, nor from places contiguous to dwellings, without being disinfected.

*57. All articles shall be new, clean and dry.

*58a. SPECIAL CONDITIONS OF INFECTION.

*58b. (a) When fever exists in a sporadic form.

*59.

Merchandise under the above conditions can be shipped. (b) When fever is more than sporadic, but not general.

Merchandise of the above character may be shipped from the wholesale district of a city, except such as from its liability to infection would be especially apt to conserve it, such as fruit, vegetables in open crates, straw, sawdust, excelsior and similar articles used for packing.

These articles can be shipped only if they have been preserved from possible exposure to infection or have been disinfected.

CLASS I.

The following articles should be admitted without disinfection or restrictions of any sort:

(a) All new and dry material, unpacked, such as lumber, machinery, brick, tiling, bar and sheet iron, tin, steel, agricultural implements-no part of which is textile; iron ties, stoves, saddlery, not upholstered; rubber belting, rubber hose, linoleum, wagons, new trunks, hardware without packing, lime, ice and salt in bulk, turpentine, rosin, stone, gravel, coal, coke, cement, grain in carloads, cooperage, oysters and fish packed in ice, and other articles packed in ice properly refrigerated.

(b) Original packages in clean and smooth wooden or metallic containers not broken or packed in an infected locality.

(c) Articles in such containers, put up and handled exclusively in the wholesale district, which from their nature or mode of packing are incapable of carry

9

ing infection, such as roasted coffee, refined sugar, coal oil, creosote, acids, beans, peas, rice, salted meats and articles of similar character.

(d) Fruits, sound, and taken directly in good condition from clean vessels, which have complied with all quarantine requirements, or cars and transferred at wharves or railroad depots not infected and in good sanitary condition, immediately to the disinfected cars or vessels for shipment.

(e) Fruit, vegetables and Western produce in barrels or boxes directly transferred as above.

(f) Freight in good sanitary condition, taken directly from clean vessels or cars to cars or vessels at a wharf or railroad siding, not infected and in good sanitary condition.

The following articles will require only superficial disinfection—i. e., outside of containers:

(a) All goods in original wooden or metallic packages, not broken or packed in an infected locality, when not included in Class I, such as boots and shoes, dry goods, leather goods, drugs and chemicals, patent medicines, oiled and rubber clothing, sugar, canned fruits, canned vegetables, canned meats, canned oysters, canned fish, condensed milk, stone ware, tinware, tobacco, cigars, snuff, wines, tonics, liquors, cheese, flour, meal, grits, wooden ware, butter, tea, candles, soap, lard, starch, axle grease, iron roofing, saddletrees, raisins, matches, salted fish, molasses; rice, coffee, beans and peas in barrels; nuts, dried fruit, pickles, vinegar, olive oil, sauces, baking bowder, soda, preserves.

(b) Articles which from their nature and mode of packing are incaple of receiving infection, and which sterilize the inside of the container, such as roasted coffee, refined sugar, molasses, coal oil, creosote, acids and articles of a similar character, when not included in Class I.

(c) Goods in textile material, not broken or packed in an infected locality and kept perfectly dry. This includes coffee, grain and spice in sacks; cured hams in canvas, osnaburgs and other cotton goods in solid bales with close covering.

(d) Chemicals, patent medicines, drugs and druggists' sundries, not put up in an infected locality, when enclosed in glass, wood or metal, also hardware, when these articles are packed with sterilized excelsior.

Articles not in classes I and II may be shipped after disinfection.

(a) This refers to all classes of merchandise not in classes I and II, which are kept in stock for distribution at wholesale stores not exposed to any recognized infection.

(b) Articles that can be kept in excelsior in crates so as to render the excelsior and contents capable of disinfection belong to this class.

(c) Methods of disinfection are treated in a separate section of these regulations 62.

CLASS IV.

No. bedding or household effects shall be received for shipment under any conditions.

*63. Inspectors shall not certify to any of the above classes if not satisfled that the articles will not convey infection.

10

*64. Regulations Governing the Repacking and Disinfection of Goods Taken from Original Packages.

a. Each establishment packing or repacking will provide a disinfecting chamber under the supervision of an inspector.

b. The workmen, on arrival, will disinfect their hands and faces. They will then change their outer clothing for sterilized clothing and remain in the work rooms during working hours.

c. The work rooms and all the premises shall be kept clean.

d. The outer clothing worn by the workmen during working hours shall be disinfected daily.

e. The same precautions are required of the inspectors.

f. If the goods to be packed are taken from previously opened packages they must be disinfected.

g. Work of this kind shall be done only in the wholesale districts.

*65. Provided that this method meets with the approval of the various State Boards of Health and State health officers where these goods are to be shipped.

*66.

Regulations Governing Workmen in Factories. 67. The same regulations referring to workmen and premises of wholesale stores shall apply to factories.

68. In addition, the goods manufactured, if liable to convey infection, must be disinfected.

69. Regulations Governing the Disinfecting of Freight on Cars and Steamboats.

70. All freight in cars and the cars themselves, and all freight on or in boats and such parts of the boats themselves shall in all cases be disinfected by the United States Marine Hospital Service whenever and wherever that service may deem the same necessary.

71. Regulations Governing Railroad Traffic from an Infected Town to Points South.

72. A passenger train to an infectable locality shall not stop in an infected town, nor shall the windows or doors be allowed to be open therein, and no communication shall be allowed between the passengers or train crew and the

town.

73. Freight traffic through such a town should be without stopping. 74. In cases where stopping in town is absolutely necessary for freight traffic, and also when the town is large, and the infection general, a special crew shall take the train through the town. The relay stations where these changes are made shall be under sanitary supervision.

75. Sanitary inspectors should also be stationed in town.

76. Regulations Governing Freight Traffic from an Infected Town to Points South.

77. Empties must not stay in an infected town or be parked in an infected locality.

78. Flat cars to be swept clean.

79. Box cars shall be made mechanically clean and dry, and sent open to the relay station, where they are to be inspected for tramps.

11

80. From the relay station they should be sent on under seal.

81. All fruit cars to be disinfected.

82. Cars should be removed from an infected locality as soon as empty.

83. If not, they should be disinfected when they leave.

84a. If not disinfected, the cars should be sent with windows and doors open.

846. The cars must be fully inspected at the relays for tramps.

*85. All disinfected cars must be placarded and way-bills certified to by proper sanitary officers.

86. Regulations Governing the Mails from an Infected Locality to Points South.

*87. Letter mail needs no disinfection except in a marked epidemic.

88. Newspapers must be disinfected.

89. Parcel mail is excluded altogether.

90. Regulations Governing Relays of Trains from an Infected Locality to Points South.

91. All train crews from an infected town must be changed and not be allowed to have direct communication with certainly clean territory.

92. This should be done at a non-infected place as isolated as possible; a siding. rather than a station, and certainly not in a town.

93. Every man, mail agent, expressman and train butcher must make that relay.

94. If we know that he is going North, not to return to points South, in this case he is like a through passenger.

95. Pullman crew to be relayed.

96. None of the merchandise of the train butcher must pass the relay,

97. Disinfected newspapers will be excepted.

98. No possible fomites must pass the relay to the crew bound North, and as little communication as possible, none save such as is necessary for the run of the train, is allowed.

99. The relay must be under the supervision of a sanitary officer or officers (two are generally required), whose position is one of great responsibility. 100. At these stations a very careful search for tramps must be instituted. 101. The camps for the north and south crews should be at a considerable distance from each other.

102. The run of trains should be arranged so as to have the crews in camp as little as possible.

103. For passenger trains there need be no delay.

104. For freight trains generally there must be, and their crews must go in camp.

105. Occasions may arise where it is necessary to guard the southern relay camp by a number of guards, as if it were a camp of detention.

106. It must never be allowed to become infected.

107. If it does the camp must be moved.

108. Regulations Governing Railroad Traffic from an Infected

Town to Points North.

109. Through traffic-i. e., to points incapable of receiving yellow fever infection, to be designated hereafter as "points North."

110. Freight in sealed cars can go without hindrance to destination.

12

111. Regulations Governing the Mails to Points North. 112. Through mail not distributed South needs no restrictions, except disinfection of bags.

113. Regulations Governing Passenger Traffic to Points North. 114. Passenger Traffic to points North can be allowed by preventing all chance of such passengers conveying infection en route, either by themselves leaving the train en route or by returning to points South, or by fomites, mainly their clothing.

115. This traffic should be on special cars reserved for these passengers, and preferably on a special train.

116. A Sanitary Inspector must accompany them through the quarantine territory, under whose absolute sanitary charge the train is.

117. The coaches which carry these passengers must be disinfected before the return South,

118. Laundry of Pullman cars must not be done in an infected place.

119.

Regulations Governing Duties of Inspectors.

120. Train inspectors must be properly relayed.

121. Those running from the infected town should be immune. 122. If they sleep in clean territory they must be immune.

*123.

Regulations Governing Steamboat Communications.

They may be carried on

124. By supervision of the landing of freight and loading of the same, so as to prevent communication between the people ashore and the boat.

125.

Regulations Governing Yellow Fever Localities.

*126. Localities infected with yellow fever, and localities contiguous thereto, may be depopulated as rapidly as possible, so far as the same can be safely done. 127. Persons from non-infected localities, and who have not been exposed to

infection, being allowed to leave without detention, and on leaving such place shall be provided with health certificate of the following form by the legally constituted health authorities of the place:

OFFICE OF BOARD OF HEALTH.

Health Officer:.

TO WHOM IT MAY CONCERN:

189...

This is to certify that Mr.

he has been in

has given satisfactory evidence to me that not less than ten days, and, to the best of my knowledge and belief, he has not been exposed to the infection of Yellow Fever, and has not been in any infected or suspected locality for ten days.

128. When deemed necessary affidavit shall be required by the Health Officer. 129. The certificate shall be issued without fee.