CONTROL OF THE PUBLIC MILK SUPPLY 421 



90. Before any person shall come on the premises to live and remain as an 

 employee, such person, before being engaged in milking or the handling of milk, 

 shall be subjected to a complete physical examination by the attending physician. 

 No person shall be employed who has not been vaccinated recently or who upon 

 examination is found to have a sore throat, or to be suffering from any form of 

 tuberculosis, venereal disease, conjunctivitis, diarrhea, dysentery, or who has re- 

 cently had typhoid fever or is proved to be a typhoid carrier, or who has any 

 inflammatory disease of the respiratory tract, or any suppurative process or in- 

 fectious skin eruption, or any disease of an infectious or contagious nature, or 

 who has recently been associated with children sick with contagious disease. 



91. In addition to ordinary habits of personal cleanliness all milkers shall have 

 well-trimmed hair, wear close-fitting caps, and have clean-shaven faces. 



92. When the milkers live upon the premises their dormitories shall be con- 

 structed and operated according to plans approved by the commission. A sepa- 

 rate bed shall be provided for each milker and each bed shall be kept supplied, 

 with clean bedclothes. Proper bathing facilities shall be provided for all employ- 

 ees on the dairy premises, preferably a shower bath, and frequent bathing shall 

 be enjoined. 



93. In case the employees live on the dairy premises a suitable building shall 

 be provided to be used for the isolation and quarantine of persons under suspicion 

 of having a contagious disease. 



The following plan of construction is recommended : 



The quarantine building and hospital should be one story high and contain at least 

 two rooms, each with a capacity of about 6,000 cu. ft. and containing not more 

 than three beds each, the rooms to be separated by a closed partition. The doors 

 opening into the rooms should be on opposite sides of the building and provided with 

 locks. The windows should be barred and the sash should be at least 5 ft. from the 

 ground and constructed for proper ventilation. The walls should be of a material 

 which will allow proper disinfection. The floor should be of painted or washable 

 wood, preferably of concrete, and so constructed that the floor may be flushed and 

 properly disinfected. Proper heating, lighting, and ventilating facilities should be 

 provided. 



94. In the event of any illness of a suspicious nature the attending physician 

 shall immediately quarantine the suspect, notify the health authorities and the 

 secretary of the commission, and examine each member of the dairy force, and 

 in every inflammatory affection of the nose or throat occurring among the employ- 

 ees of the dairy, in addition to carrying out the above-mentioned program, the 

 attending physician shall take a culture and have it examined at once by a com- 

 petent bacteriologist approved by the commission. Pending such examination, 

 the affected employee or employees shall be quarantined. 



95. It shall be the duty of the secretary, on receiving notice of any suspicious 

 or contagious disease at the dairy, at once to notify the committee having in 

 charge the medical supervision of employees of the dairy farm upon which such 

 disease has developed. On receipt of the notice this committee shall assume 

 charge of the matter, and shall have power to act for the commission as its judg- 

 ment dictates. As soon as possible thereafter, the committee shall notify the 

 commission, through its secretary, that a special meeting may be called for ulti- 

 mate consideration and action. 



