XLII. The funeral of any person who has died of small-pox, diphtheria, scarlet fever, or Asiatic cholera, shall be private; and no person having the care or custody of the body of any person who has died of the above diseases shall do, or knowingly or wilfully permit to be done any unnecessary act by which spread of disease from such dead body may be caused or promoted.

XLIII. Any person who shall violate any provision of the next preceding rule shall upon conviction thereof pay a fine of not more than twenty dollars or be imprisoned not exceeding ten days, and any undertaker who shall violate any provision of said rule, upon conviction thereof, shall, in addition to the above penalty, be thereupon and thereby removed from the office of undertaker.

XLIV. That every physician, midwife and other person who may profession. ally assist or advise at any birth, shall make and keep a registry of every such birth, and therein enter the time and place of such birth and the sex and color of every child born, and the names and residence of each of the parents (so far as the foregoing facts can be ascertained) and report the same to the Health Officer within the first week of each month following the birth.

XLV. That no new burying ground, cemetery, tomb or vault for dead human bodies, shall be established, nor shall the remains of any dead body be placed in any existing burying ground, vault, tomb or cemetery, without a written permit from the Council.

XLVI. That no person shall retain, expose, or allow to be retained or exposed, the dead body of any human being to the peril or prejudice of the life or health of any person.

REMOVALS OF SICK PERSONS.

XLVII. That no person shall, within this district, without a permit from the Health Officer, carry, remove, or cause or permit to be carried or removed, any person sick with small-pox or other contagious disease, or remove, or cause to be removed, any such person from any building or vessel to any other building or vessel, or to the shore, or to or from any vehicle in any part of the district. Nor shall any person by any exposure of any individual sick of any contagious disease, or of the body of such person, or by any negligent act connected therewith, or in any respect of the care or custody thereof, or by a needless exposure of himself cause or contribute to or promote the spread of disease from any such person or from any dead body.

XLVIII. That no person shall bring into this district from any infected place or land, or taken therein from any vessel lately from any infected port, or from any vessel or building in which had lately been any person sick of a contagious disease, any article or person whatsoever, nor shall any person land or come into said district without a permit of the Health Officer.

XLIX.

COMPULSORY VACCINATION.

Every parent or guardian, or person having the care, custody or control of any minor or other individual shall (to the extent of any means, power and authority of said parent, guardian or other person, that could properly be

used or exerted for such purpose,) cause such minor or individual to be properly vaccinated, unless satisfactory evidence is shown that within five years such minor or individual has been successfully vaccinated.

DISINFECTANTS.

The infectious character of the dejections of patients suffering from cholera, and from typhoid fever is well established-and this in that of mild cases and of the earliest stages of these diseases, as well as of severe and fatal cases. It is probable that epidemic dysentery, tuberculosis, and perhaps diphtheria, yellow fever, scarlet fever, and typhus fever may also be transmitted by means of the alvine discharges of the sick. It is therefore of the first importance that these should be disinfected. In cholera, diphtheria, yellow fever and scarlet fever, all vomited material should be looked upon as infectious, and in tuberculosis, diphtheria, scarlet fever and infectious pneumonia, the sputa of the sick should be disinfected or destroyed by fire.

It seems advisable also to treat the urine of patients sick with an infectious disease with one of the disinfecting solutions below recommended.

Chloride of lime, or bleaching powder, is, perhaps, entitled to the first place for disinfecting excreta, on account of the rapidity of its action. The following standard solution is recommended:

STANDARD SOLUTION, NO. 1.

Dissolve Chloride of Lime of the best quality in soft water, in the proportion of four ounces to the gallon.

Use one pint of this solution for the disinfection of each discharge in cholera, typhoid fever, etc. Mix well and leave in vessel for at least ten minutes before throwing into privy vault or water-closet. The same directions apply for the disinfection of vomited matters. Infected sputum should be discharged directly into a cup half full of the solution.

STANDARD SOLUTION, NO. 2.

Dissolve Corrosive Sublimate and Permanganate of Potash in soft water, in the proportion of two drams of each salt to the gallon.

This is to be used for the same purposes and in the same way as Standard Solution, No. 1. It is equally effective, but it is necessary to leave it for a longer time in contact with the material to be disinfected-at least an hour. The only advantage which this solution has over the chloride of lime solution consists in the fact that it is odorless; while the odor of chlorine in the sick room is considered by some objectionable. The cost is about the same. It must be remembered that this solution is highly pois nous. It is proper, also, to call attention to the fact that it will injure lead pipes if passed through them in considerable quantities.

STANDARD SOLUTION, NO. 3.

To one part of Labarraque's Solution (liquor soda chlorinate), add five parts of soft water.

This solution is more expensive than the solution of chloride of lime, and has

no special advantages for the purposes mentioned. It may, however, be used in the same manner as recommended for Standard Solution, No. 1.

The following powder is also recommended for the disinfection of excreta in the sick room and of privy-vaults, etc.:

DISINFECTING AND ANTISEPTIC POWDER.

One pound of Chloride of Lime; one ounce of Corrosive Sublimate; nine pounds of Plaster of Paris. Pulverize the Corrosive Sublimate and mix thoroughly with the Plaster of Paris. Then add the Chloride of Lime and mix well. Pack in pasteboard boxes or in wooden casks. Keep dry.

As an antiseptic and deodorizer this powder is to be sprinkled upon the surface of excreta, etc.

To disinfect excreta in the sick room, cover the entire surface with a thin layer of the powder-one-fourth inch in thickness-and if the material is not liquid pour on sufficient water to cover it.

DISINFECTION OF THE PERSON.

The surface of the body of a sick person, or of his attendants, when soiled with infectious discharges should be at once cleaned with a suitable disinfecting agent. For this purpose Standard Solution, No. 3, may be used.

In diseases like small-pox and scarlet fever, in which the infectious agent is given off from the entire surface of the body, occasional ablutions with Labarraque's Solution, diluted with twenty parts of water, will be more suitable than the stronger solution above recommended.

In all infectious diseases the surface of the body of the dead should be thoroughly washed with one of the standard solutions above recommended, and then enveloped in a sheet saturated with the same.

DISINFECTION OF CLOTHING.

Boiling for half an hour will destroy the vitality of all known disease germs, and there is no better way of disinfecting clothing or bedding which can be washed than to put it through the ordinary operations of the laundry. No delay should occur, however, between the time of removing soiled clothing from the person or bed of the sick and its immersion in boiling water, or in one of the following solutions; and no article should be permitted to leave the room until so treated.

STANDARD SOLUTION, NO. 4.

Dissolce Corrosive Sublimate in water* in the proportion of four ounces to the gallon, and add one drachm of Permanganate of Potash to each gallon to give color to the solution.

One fluid ounce of this standard solution to the gallon of water will make a suitable solution for the disinfection of clothing.

The articles to be disinfected must be thoroughly soaked with the disinfecting solution and left in it for at least two hours, after which they may be wrung out and sent to the wash.

* Mercuric chloride (corrosive sublimate) is soluble in cold water in the proportion of one part in sixteen. Solution is greatly facilitated by heat.

N. B.-Solution of Corrosive Sublimate should not be placed in metal receptacles. A wooden tub or earthern crock is a suitable receptacle.

Clothing may also be disinfected by immersion for two hours in a solution made by diluting Standard Solution, No. 1, with 9 parts water-one gallon in ten.

This solution is preferable to the poisonous solution made from Standard Solution, No. 4.

Clothing and bedding which cannot be washed may be disinfected by exposure to dry heat, in a properly constructed disinfecting chamber for three or four hours. A temperature of 23° Fah. should be maintained and the clothing must be freely exposed.

AGENTS THAT MAY BE USED FOR DISINFECTION.

Heat.-Destruction by burning.

66

Steam under pressure (230° Fah.) ten minutes.

46

Boiling in water not less than one-half hour.

Dry heat, oven or furnace, (230° Fah.) two hours.

Chloride of Lime, 1 part to from 4 to 9 of Plaster of Paris.

Chloride of Lime, Solution, 1 oz. to quart of water.

Corrosive Sublimate, Solution, 1 drachm to the gallon of water.

For very

strong, 4 oz. to the gallon. See Standard Solutions, Nos. 2 and 4, and remarks.

STANDARD SOLUTION, NO. 5.

(Or Blue Solution.)

Dissolve four ounces of Corrosive Sublimate and one pound of Blue Vitrol in a gallon of hot water.

One-half pint of this solution to one gallon of water when used for disin. fecting excreta in the sick room. Preferable in some cases to chlorides of lime

or soda because odorless.

Chloride of Zinc, Sol. 5 to 10 per cent. More costly and no more valuable than chloride of lime. Has no odor.

FOR CLOTHING, BEDDING, &C.

(a) Soiled underclothing, bed linen, &c., (1) destruction by fire, if of little value; (2) boiling for at least half an hour; (3) immersion in a solution of mercuric chloride (corrosive sublimate), of the strength of 1: 2,000 (1 drachm to 1 gallon of water) for four hours; (4) immersion in a 2 per cent. solution of carbolic acid for four hours.

(b) Outer garments of wool or silk, and similar articles, which would be injured by immersion in boiling water or in a disinfecting solution, (1) exposure to dry heat at a temperature of 110° C. (230° Fah.) for 2 hours; (2) fumigation with sulphurous acid gas* for at least twelve hours, the clothing being freely exposed.

(c) Mattresses and blankets soiled by the discharges of the sick, (1) destruction by fire; (2) exposure to super-heated steam-25 pounds pressure-for one

*Fumes or vapor of burning sulphur.

hour (mattresses to have the cover removed or freely opened); (3) immersion in boiling water for one hour; (4) immersion in the blue solution (mercuric chloride and sulphate of copper), two fluid ounces to the gallon of water.

Furniture and articles of wood, leather and porcelain.*-Washing, several times repeated, with: (1) Solution of mercuric chloride, 1: 1,000 (the blue solution, 4 ounces to the gallon of water, may be used); (2) solution of chloride of lime, 1 per cent.; (3) solution of carbolic acid, 2 per cent.

For the person -The hands and general surface of the body of attendants, of the sick, and of convalescents at the time of their discharge (1) Solution of chlorinated soda diluted with nine parts of water (1. 10); (2) carbolic acid, 2 per cent. solution; (3) mercuric chloride, 1: 1,000 (1 drachm to 2 gallons of water)— recommended only for the hands, or for washing away infectious material from a limited area, not as a bath for the entire surface of the body.

:

For the dead-Envelope the body in a sheet thoroughly saturated with: (1) Chloride of lime in solution, 4 per cent.; (2) mercuric chloride in solution, 1 500 (1 drachm to 1 quart of water); (3) carbolic acid in solution, 5 per cent. For the sick room and hospital wards.-(a) While occupied, wash all surfaces with (1) Mercuric chloride in solution, 1: 1,000 (the blue solution, containing sulphate of copper, may be used); (2) chloride of lime in solution, 1 per cent.; (3) carbolic acid in solution, 2 per cent.

(b) When vacated fumigate with sulphur dioxide t t fumes of burning sulphur for 12 hours, burning 3 pounds of sulphur-for every 1,000 cubic feet of air space in the room-then wash all surfaces with one of the above mentioned disinfecting solutions, and afterward with soap and hot water; finally throw open doors and windows and ventilate freely.

NORTH KINGSTOWN.

1. No work for the promotion of public health especially.

2. No introduction or extension of water for general use.

3. No public sewerage.

4. No new ordinances for any sanitary purposes. Town health ordinances published in last State Board of Health Report, 1888.

5. Board of health, the town council.

6. Health Officer, Thomas W. Peirce.

7. No gratuitous vaccination provided during the past year.

8. Undertakers have not promptly sent in their returns of death.

GEORGE T. CRANSTON, Town Clerk.

SOUTH KINGSTOWN.

1. Water works completed. System of sewers contemplated.

2. Wakefield Water Works Company. Supplies Wakefield, Peacedale and Narragansett Pier. See letter of Superintendent appended.

* For metallic utensils use Standard Solution, No. 3.