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Tuberculosis is hereby declared to be a communicable disease, dangerous to the public health.
(a) Report of Physicians and Others. 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 Director of Public 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 reports shall be made in writing on a form furnished as hereinafter provided and shall be forwarded to said Director of Public Health within 24 hours after knowledge of the case comes to said physician or person.
(b) Sputum Examination. It shall be the duty of the Director of Public Health 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 Director of Public Health 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.
(c) Registration of Reports, Etc. It shall be the duty of the Director of Public Health to cause all reports and all results of examinations showing the presence of the bacilli of tuberculosis made in accordance with provisions of this Section 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 Section.
(d) Notice of Vacation of Premises by Tubercular Patient. 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 having charge of said apartment or premises, to notify the Director of Public Health of said death or removal within 24 hours thereafter; and such apartment or premises so vacated shall not be occupied until duly disinfected, cleaned, or renovated, as hereinafter provided.
Further, it shall be unlawful for any person suffering from tuberculosis to change his or her residence or to be removed therefrom until the Director of Public Health has been notified so that the vacated apartment or premises may be disinfected, cleaned, or renovated.
(e) Disinfection of Premises. When notified of the vacation of any apartment or premises as provided in this Section, the Director of Public Health 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 property is suitably cleansed or disinfected, and said Director of Public Health or his 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 Director of Public Health; or if the owner prefers, by the owner at his expense to the satisfaction of the Director of Public Health. Should the Director of Public Health determine that such apartment or premises are in need of thorough cleansing of 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 of renovating of said apartment or premises in accordance with the instructions of the Director of Public Health 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 Director of Public Health shall be destroyed.
(f) Posting of Notice. In case the orders or directions of the Director of Public Health requiring the disinfecting, cleansing or renovating of any apartment or premises or any article therein as hereinbefore provided shall not be complied with within 48 hours after said orders or directions shall be given, the Director of Public Health may cause a placard, in words and form substantially as follows, to be placed on the door of the infected apartment or premises:
"Tuberculosis is a communicable disease. These apartments have been occupied by a consumptive person and may be infected. They must not be occupied until the order of the Director of Public Health directing the disinfection or renovation has been complied with. This notice must not be removed under the penalty of the law except by the Director of Public Health or other duly authorized official."
(g) Safe Disposal of Sputum, Etc. 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 Director of Public Health, and it shall be the duty of the Director of Public Health receiving such complaint to investigate 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 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 manner as to remove all reasonable cause of offense or danger.
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.
(h) Removal of Patient, Etc. Whenever a person having tuberculosis is unable for financial reasons, or from any other cause, to comply with the rules of the Director of Public Health providing for the precautions to be observed to prevent the spread of infection, or when such person willfully refuses to comply with said rules and in all cases where children are unavoidably exposed to infection, the Director of Public 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 institution until the danger of infection has been removed or he is able and willing to comply with the precautions and rules herein referred to.
(i) Procedure and Precautions to Be Taken. It shall be the duty of the Director of Public Health to transmit to a physician reporting a case of tuberculosis as provided in this Section a printed statement and report naming such procedure and precautions 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 carry into effect all such procedures and precautions as are therein prescribed, and shall thereupon sign and date the same, and return to the Director of Public Health 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 Director of Public Health and the duties therein prescribed shall thereupon devolve upon said Director of Public Health. Upon the receipt of this statement and report, the Director of Public Health 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 Director of Public Health, not such as will remove all reasonable danger or probability of danger to the persons occupying the same house or apartment or premises, the Director of Public Health shall return to the attending physician the report with a letter specifying the additional precautions or instructions which the Director of Public Health 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 Director of Public Health. It shall be the duty of the Director of Public Health 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 precautions necessary to avoid transmitting the disease to others.
(j) Violations. 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 willfully 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 of the precautions taken to prevent the spread of infection.
(k) Children of School Age. No instructor, teacher, pupil or child affected with pulmonary tuberculosis shall be permitted by any superintendent, principal or teacher of any public, private or parochial school, to attend school except by written permission of the Director of Public Health.
(l) Recovery Reports. Upon the recovery of any person having tuberculosis, it shall be the duty of the attending physician to make a report of this fact to the Director of Public Health, who shall record the same in the records of his office and shall relieve said person of further liability to any requirements imposed by this Section.