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order or direct, shall be at once provided by the person or persons who shall own or have charge of or be responsible for the premises described in the order or direction of the board of health. Any person violating the provisions of this section or refusing or failing to abate such nuisance after being notified so to do shall be subject to a penalty of $10 for each offense.

SEC. 17. Every person who shall willfully violate or refuse to obey any order or regulation made and published by the said board of health shall, upon conviction, be subject to a penalty of $10 or imprisoned 10 days. And in case of noncompliance with any order or regulation which shall have been served or posted, the board of health or its servants or employees may lawfully enter upon any premises to which such order or regulation relates and suppress or remove the nuisance or other things in the judgment of said board detrimental to the public health, mentioned in such order or regulation, and any other nuisance or thing of the description aforesaid found there existing; and the expense thereof shall be paid by the occupants or any or all of the occupants of said premises or by the person or persons who have caused or maintained the nuisance or other thing of the description aforesaid.

SEC. 18. Every person who shall create, cause, or contribute to whatever is dangerous to life or health, or shall maintain any building, erection, or cellar that is overcrowded or not provided with adequate means of ingress or egress, or is not sufficiently supported, ventilated, sewered, drained, cleaned, or lighted, and who shall keep or permit anything that renders the air or food and water unwholesome shall, upon conviction thereof, be subject to a penalty of $50.

Nuisances-Decayed or Offensive Matter, Hides, Stagnant Water, Dead Animals, etc. (Chap. XX, Ord. July 19, 1912.)

SEC. 19. No house offal, dead animals, or refuse of any kind shall be thrown upon the streets or left exposed by any person; and no butcher, fishmonger, huckster, or vender of merchandise of any kind shall leave any refuse upon the streets or uncovered by earth upon the lots of this city; and all putrid or decaying animal or vegetable matter must be removed from all cellars and outbuildings at least once in every 48 hours during the months of May, June, July, August, and September, and at least once in each week during the other months of the year. Whoever shall violate any of the provisions of this section shall, upon conviction before the police justice, be subject to a penalty of $20 for each offense.

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SEC. 39. Any owner or occupant of any lot who shall suffer to remain on his or her any decayed flesh, vegetables, grass, or weeds, or any other thing which may annoy his or her neighbors or tend to affect injuriously the health of any citizen, shall be required to remove or remedy the same within 6 hours, and on failure to so remove or remedy the same within 6 hours, if it can be done, on conviction, shall be subject to a penalty of $10 per day for every day the same shall so remain, or be imprisoned for 30 days; and if it be adjudged by the board of health to be a nuisance, the sanitary inspector shall abate the same, and the offender shall pay the cost of such abatement.

SEC. 40. No persons shall keep hides, dried or green, filthy rags, bones, or guano, or anything else that may be adjudged a nt isance, to the annoyance of any citizen or the detriment of the public health, within 300 yards of the dwelling or business house of any ritizen of the city; and any person violating the provisions of this ordinance shall, on conviction, be subject to a penalty of $10: Provided, however, that dry hides, thoroughly red and odorless, may be kept for sale in the city adjoining business houses; and that green hides, after being thoroughly salted outside the city limits, may also be kept, if art offensive, in the city for sale and in houses adjoining business houses. during the months of November, December, January, February, and March. Any person or persous who shall throw or place on any street, alley, or on the lot of another any

decayed flesh or vegetables, or other offensive matter calculated to annoy the citizens of the neighborhood or endanger their health, shall, on conviction, be subject to a penalty of $10.

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SEC. 44. No person shall be allowed to erect or maintain any drain from his or her premises for the purpose of conveying or to carry off any water that has been used, or other fluids or soapsuds or dyestuffs or liquid manures, whether from privies or otherwise, into any sidewalk, street, or gutter or lot within the limits of the city of Raleigh, Any person conveying or allowing to be conveyed any such fluids contrary to the provisions of this ordinance shall, on conviction, be subject to a penalty of $10.

SEC. 45. That no person or corporation shall be allowed to erect, dig, maintain, or use any cesspool, dry well, cistern, or other receptacle, by whatever name called, to receive human excrement, whether from a sewer or otherwise, in the city, or within one-half mile thereof. Nor shall any person or persons or corporation be suffered to convey or to have conveyed from his, her, or their premises into any gutter, road, or ground within one-half mile of the city limits any urine or human excrement. Any person, persons, or corporation violating any of the provisions of this section shall be subject to a penalty of $50 for each offense.

SEC. 46. No tanyard or slaughterhouse shall be established within the limits of the city or within 1 mile thereof. Any person violating the provisions of this section shall be subject to a penalty of $50.

SEC. 47. Stagnant water in cellars and other places shall be removed on notice from the sanitary inspector to the person so offending. Every person who fails to comply with the provisions of this section shall be subject to a penalty of $5 for every such offense.

SEC. 48. That it shall be the duty of every occupant of a lot in the city or the owner of any cattle or stock in said city to remove from the city limits any dead animals of other nuisances belonging to the owner or upon his premises, at least one-half mile from the bounds thereof and 200 yards from any public road, and to bury same under the direction of the sanitary inspector of said city, at his or her own expense. That it shall be the duty of every occupant of a lot in the city, or owner of any cattle or stock in said city to report to the sanitary inspector any dead animal or other nuisance belonging to the owner and upon his premises and to obtain a permit from the said sanitary inspector for the removal and burial of same. For the failure to comply with these ordinances he shall be subject to a penalty of $25.

Foodstuffs-Disposal of Unwholesome-Meat, Milk and Milk Products, Fish, etc. (Chap. XX, Ord. July 19, 1912.)

SEC. 20. It shall be the duty of the sanitary inspector to condemn and require to be sent out of the city by the owner or party in possession thereof, under the direction of the mayor, as garbage, all decayed or stale melons, fruits, and vegetables, and all unsound, tainted, offensive, or unwholesome meats, fish, poultry, game, or other articles of food kept or stored in any box or refrigerator, held or offered for sale at any of the fruit stands, stores, or markets in said city, or offered for sale from any car on any of the railroad tracks in said city. That any merchant, trader, dealer, or other person who shall refuse to allow the inspector aforesaid opportunity to inspect their stocks of melons, fruits, vegetables, and meats, fish, poultry, game, or foodstuffs of any kind; or who shall, when any of said stock is condemned, refuse to move it from the city as garbage, shall, on conviction in the police justice's court, be subject to a penalty of $25. Any merchant, marketman, fruit-stand keeper, or other trader or dealer who shall sell or offer for sale as food any stale or decayed melons, fruits, or vegetables, or who shall sell or offer for sale as food any spoiled or decayed meats or fish or other article of food, shall be punished, on conviction in the police justice's court, by a penalty of $25.

SEC. 21. No animals that died by disease or accident, no carcass of any calf, pig, or lamb which, at the time of being killed, was less than 6 weeks old, and no meat therefrom, nor any animal, nor meat therefrom, killed while feverish, bruised, disabled, injured with broken limbs or otherwise, heavy with young, jaded or fatigued from long driving or shipping, or killed or kept in same building or in so close proximity with fumes or gas of diseased or other spoilt meats or dead carcasses as to be contaminated therefrom or rendered unwholesome or unhealthy thereby, or hauled in same vehicle or manipulated with tools used on diseased or other dead carcasses as aforesaid, or dressed or kept in any building wherein animals or parts of animals dead from injury or disease are stored, kept, or rendered, or wherein decomposed, putrid, or offensive meats of any kind are kept, or within 100 feet of any building wherein animals dead as aforesaid, or other unsound meats, are stored, kept, or rendered or dressed, or kept 12 any house or upon premises which are not clean and which are not maintained in a pare and wholesome condition by necessary disinfection, flushing, washing, scalding, and lime-washing, and removal therefrom of all accumulations of filth and of all decomposing and offensive matters, shall be brought into the city, or sold in the city, or held or offered for sale as food therein. Any person violating the provisions of this section shall, on conviction, be subject to a penalty of $25.

SEC. 22. It shall be unlawful for any person to sell or offer for sale within the limits f the city any impure, adulterated, or unwholesome milk, buttermilk, skimmed milk or cream, or to sell or offer for sale as pure milk, buttermilk, skimmed milk or cream, any milk, buttermilk, skimmed milk or cream to which water or any other substance shall have been added which in effect injures its quality or lessens its value; or to sell or offer for sale the milk, buttermilk, skimmed milk or cream from any cow that may be sick, diseased, or suffering from any bodily condition or disorder liable to render her milk, buttermilk, skimmed milk or cream unfit or unsafe to be used as food; or the milk, buttermilk, skimmed milk or cream obtained from a cow kept in a filthy or unventilated stable or building, or in an offensive, filthy lot, pen or shed, or that may be fed upon food or allowed to drink any liquid which may so affect the milk, buttermilk, skimmed milk or cream that consumers would be exposed to the risk of sickness or disease therefrom. Any person who shall violate any of the provisions of this section shall, upon conviction in the police justice's court, be subject to a penalty of $25. SEC. 23. No person or corporation shall sell or offer for sale fresh fish within the its of the city of Raleigh, except under the following rules and regulations:

1) Every such person or corporation shall register in a book provided for that purpose by the clerk of board of health of the city, giving name and place of business, due notice of any change of which shall be given to said clerk.

2) They shall obtain a license to conduct such business, to be issued by the city clerk, and they shall display at their place of business or office, in a conspicuous place, a sign with the registered name and the words, "Registered and licensed fish dealer." 3 They shall operate such business in a cleanly manner, and shall have a zinced ice-box and counter, the counter and ice-box to have drain pipe connected with the city sewer, which shall be approved by the inspector of plumbing and sewers. Any person violating this ordinance shall be subject to a penalty of $25.

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PUBLIC HEALTH REPORTS

VOL. XXVIII.

SEPTEMBER 19, 1913.

CONFERENCE ON INFANT MORTALITY.

No. 38.

A REPORT ON THE ENGLISH-SPEAKING CONFERENCE ON INFANT MORTALITY HELD AT LONDON, ENGLAND, AUGUST 4-5, 1913.

By J. W. KERR, Assistant Surgeon General, United States Public Health Service.

At the instance of the British National Association for the Prevention of Infant Mortality and for the Welfare of Infants, and under the patronage of the King and Queen, there was held an English-speaking conference on infant mortality in London August 4-5, 1913.

Practically every English-speaking country was represented by delegates and members, no less than 50 being present from the United States alone, the Federal Government of which was represented by Asst. Surg. Gen. J. W. Kerr, of the United States Public Health Service. The conference was organized by a British committee, assisted by an American committee, of which latter Dr. H. L. Coit, of Newark, N. J., was president, and Dr. Philip Van Ingen, of New York, secretary.

The president of the conference was the Right Hon. John Burns, president of the local government board. He presided at the opening session, welcomed the visiting delegates, and presented an address on the subject of infant mortality.

During this address the importance of cooperation of Englishspeaking peoples in conserving health was emphasized, because 300,000 persons who left the British Isles last year were destined mostly to America, Australia, and New Zealand, and because, on account of similarity of life, language, aims, and ideals, Englishspeaking peoples were all called to the common duty of seeing that their stock was good, that their children were clean and healthy, that their women were strong, and that their men were enduring. The advantages of the country over the city as a place to rear children were commented upon, in urban communities children. being denied the quiet, the rest, and the conditions essential for (1941)

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