Directions shall be given by the director of public health, or his authorized representative, to the nurse, attendant, head of the family or owner of any premises, apartment or room, as the case may be, in the following diseases, and in each case the party or parties concerned shall comply with the instructions for control as outlined in this section: TYPHOID FEVER, PARATYPHOID FEVER, ASIATIC CHOLERA, DYSENTERY (AMOEBIC, BACILLARY) AND POLIOMYELITIS. Careful search for contacts by the director of public health and nurse; instructions of family and attendant in nature of isolation; screening of room free from flies, with wire screen doors adequate for exclusion of flies; instruction of family in handling of food for household so that no fly or article that has been in contact with patient may come in contact with food, no milk bottle or other vessel for carrying milk shall be taken away from house until case is terminated or upon written release from the director of public health. In typhoid and paratyphoid, the director of public health shall urgently recommend protective inoculation. Cases found in houses not screened shall be protected within six hours by mosquito-bar netting and the room, house or apartment in which patient is confined must be equipped with screen doors within 48 hours.
DIPHTHERIA. Careful search for contacts by director of public health and nurse; instruction of family and attendant in nature of disease; all contacts must be isolated and the director of public health will urge use of diphtheria anti-toxin as a prophylactic. Exposed children, teachers, librarians, food handlers and others whose work brings them in contact with the public must change their address and give one negative culture from nose and throat before returning to school or work. If they do not change their address, they shall be excluded until one negative culture is taken after the case is terminated. The householder shall not allow milk bottles or other containers to be taken from house until termination of case and until same have been thoroughly disinfected by boiling or by immersion for one hour in five per cent carbolic or lysol solution, and upon written release by the director of public health.
SCARLET FEVER, SEPTIC SORE THROAT, STREPTOCOCCAL SORE THROAT, STREPTOCOCCAL NASOPHARYNGITIS. Children in the family shall be allowed to return to school after period of incubation of diseases or upon the certificate of the attending physician, or in the event there is no attending physician, on the certificate of the director of public health or his authorized representative, certifying that such children have received adequate and sufficient prophylaxis to render them free from the presence of the infectious agent.
DENGUE, MALARIAL FEVER AND YELLOW FEVER. Instructions by medical officer in nature of infection, means of transmission and methods to be used for preventing spread. Householder shall be instructed to rid house or premises of all mosquitoes immediately, and to use means for the prevention of development of mosquitoes on his premises, within 24 hours.
SMALLPOX. The director of public health shall vaccinate all known contacts and other persons in residence, house, apartment, building, establishment, factory or other concern where patient was engaged at work. Contacts who have been successfully vaccinated will not be detained, but contacts who have refused vaccination shall be held in absolute isolation until 21 days following removal or recovery of patient and complete disinfection of the room.
INFLUENZA. The health officer will take such steps as he may deem necessary in educating the public in habits of personal cleanliness, danger of association with contacts showing catarrhal symptoms or cough, and, during epidemics, upon the recommendation of the health officer, the city council may issue such instructions as may be deemed necessary for the control of this disease.
WHOOPING COUGH. The head of the family shall keep the child away from other children until the case is terminated.
TYPHUS FEVER. The head of the family must destroy all vermin on body of patients, transfer to vermin-free clothing, and place in a room free from vermin, and all attendants must wear verminproof clothes. The head of the family must take steps to eradicate rats and fleas from premises. All persons exposed to typhus shall be held in quarantine in a vermin-free room until 12 days after last exposure.
At termination of case, head of household shall destroy all lice, together with their eggs, on patient’s body, if not already done, and destroy all vermin and eggs in clothing returned to patient, and free isolation room of all vermin.
Upon appearance of an epidemic, the director of public health shall issue general measures for delousing of persons’ clothing and premises as he may deem necessary and for the eradication of rats and fleas.
CHICKENPOX. Cases diagnosed as chickenpox in persons unvaccinated against smallpox must be seen by the director of public health and/or the city health officer.
MUMPS. Parent, guardian or head of household must exclude children from school or other public gatherings for 21 days after their last exposure to a recognized case. (Code 1941, Art. 49-15; Ord. Nos. 4404; 5869)