Public Health Methods, London, Canada. 



January, 1916, Published by the Institute of Public Health, Lond 



Public Heatth ReguUtioiu ue nude for the good of the Public. They ue as lenient as possible, 

 coasistent with the ptcTentlan of disease. They are not made to interfere with the individual's freedom, 

 except as It may be dangerous to others. 



L— HOnSEBOLDER'S KJESPONSIBILITY TO THE BOARD OF HEALTH: 

 1. — Infectioua Diseaaes: 



It is required that whenever any householder knows or has reason to suspect that any member of the 

 household has any communicable disease, he shall within twelve hours notify the Health Department. 



ZTote: — ^The Medical Officer of Health has the right to enter any house, etc., in which he knows or has 

 reason to suspect the presence of any communicable disease. 



2.— Biriha:- 



It is required that every birth (including still births) shall be registered by the parent or guardian, in the 

 prescribed form, within thirty days after the date of birth. 



3.— Deaths: 



It is required that every death (including still births) shall be registered by a member of the household 

 in .whids the death occurs in the prescribed form, before a burial permit is issued. 



II.— PHTSICIAIPS RESPONSIBILITT TO THE BOARD OF HEALTH: 



1. — ^lalectiona Dlaeaaes: 



It ia required that whenever any physician knows or has reason to suspect that anyone whom he is called 

 upon to visit in infected with any communicable disease, he shall within twelve hours notify the Health De- 

 portment. 



2.— Births: 



It ia required that every birUi (mcluding still births) be registered by the physician in attendance'in the 

 prescribed form, within fliirfy dayr after the date of the birth. 



Note: — Further it should be the duty of every physician to see that every birth (including still births) 

 at whicb he is in attendance, is properly legisteivd by the parents or guardian. - 



3.— DeaOs: 



It is required by lajr that every death (including still births) be registered, by the physician last in at- 

 tendance, on- the prescribed form, before a burial permit is issued. 



Rote:— Further it should be the duty of the physician to sute the cause of death clearly and in accordance 

 with the " International List o( Clauses of Death." 



III.— PENALTIEB: 



l.^Any person (honireholder or ^ysidan) whose responsibility it is, by the Statutes of Ontario, to re- 

 port a case of any communicable disease, and who neglects to do so, may incur a penalty not less than $25.00 

 nor exceeding $100.00. 



2.^Any person required by the Statutes of Ontario to register a birth or death, and who neglects to do 

 so, may incur a penalty not exceeding (10.00. 



3.— Any person who wilfully makes or causes to be made a false statement toucUfng any of the partic- 

 ulars required in registering a birth or death may incur a penalty of S50.00. 



FREE DIPHTHERU ANTITOXIIT, ETC., ON 



IV.— LIST OF COMMUmCABLE DISEASES WHICH MUST BE REP 



Smallpox 

 Leprosy 

 Scarlet Fever 

 Diphtheria 

 Bubonic Plague 

 Asiatic Cholera 

 Measles 



Anterio Poliomyelitis 

 (Infantile Paralysis) 

 Cerebro-spinal Meningitis 

 Typhoid Fever 

 Chickenpox 

 Whooping Cough 

 Mumps 



Germa 

 Glandi 

 Anthn 

 Tuben 

 Rabies 

 Eiysip 

 Anyo^ 



v.— PERMITS TO LEAVE QUARANTIHE, Etc 



1. — ^The immune contacts and others, who, under the schedule, may be alloi 

 etc., despite quarantine on other members of the household, MUST HAVE WI 

 M. O.' H. so to do. Recovered patients cannot return to school or business o 

 without such permits. 



2. — ^The attending physician, while legally bound torepottail infectious dise 

 release quarantine. No one but the M. O. H. can legally impose or release 



VI.— METHODS OF HANDLING THE INFECTIOUS DISEASES -LONDON 



1.— Tubercidosis: 



All cases in all stages are reportable within twelve hours of discovery, to t 

 legally rcBponsible for the prevention of spread of the disease. 



In all non-infectious stages, this supervision is restricted to watching, thi 

 if there be one, the progress of the case in order to detect the development (if 



There are no restrictions other than the above on the patient during non-i 



In all infectious stages, definite arrangements must be made to pi^vent 

 through the attending physician, if there be one; otherwise directly with the relat 



There are no restrictions on the associates of the patient. Therefore pi: 

 measures are not necessarily imposed. Disinfection, by Board of Health, is 



2,— Epidamic Anterior PoltomyeUtis (Infantile Paralysis): 



All cases are reportable in the acute stage. The patient must be isolated d 

 and the usual precautions relating to disinfection of discharges must be carried 



3, — ^Epidemic Cerebro-spinal MeningitU: 



As in polio-myelitis with the addition that nurses, etc., shall wear respira 

 intimate personal services to the patient. 



4.— Rabies: 



Persons bitten by dogs suspected of Rabies should receive the Pasteui 

 M. O. H. through the Provincial Board of Health. Dogs who have bitten pi 

 should be securely confined for observation. If surviving a week the diagno 



5.— The Other, Rarer, Infectious Diseases, which are reportable: 



(Anthrax, Asiatic Cholera, Bubonic Plague, Glanders, Leprosy, Erysipela 

 arise according to the cireumstances of the case. 



(r— The More Common InfectiouB Diseases: 



(Smallpox, Scarlet Fever, Measles, Diphtheria, Typhoid Fever, Chickeni 

 and German Measles) are handled according to the schedule on other Side. 



(See over) 



APPLICATION TO VICTORIA HOSPITAL. 



