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NEW HAMPSHIRE.

[Acts of 1911, chap. 121.]

SECTION 1. The State board of health is hereby vested with power and authority to publish such information and instruction and to make such rules, regulations and ordinances as it may deem expedient to prevent the development of inflammation of the eyes of the newborn babe, or so-called ophthalmia neonatorum, in public hospitals or institutions in which midwifery is practiced, either wholly or in part, and in connection with the practice of legally licensed midwives.

SEC. 2. Said State board of health is authorized to enforce its rules, regulations and ordinances through its inspectors, or through the local boards of health.

SEC. 3. Any person violating [any rule, regulation or ordinance of said State board of health regarding the prevention of ophthalmia neonatorum shall be guilty of a inisdemeanor.

NEW JERSEY.

[General statutes, 1895, p. 1676.]

SECTION 1. Should one or both eyes of an infant become inflamed, swollen, or reddened, or show any unnatural discharge at any time within two weeks after its birth, and no legally-qualified practitioner of medicine be in attendance upon the infant at the time, it shall be the duty of the midwife, nurse, attendant, or relative having charge of such infant to report the fact in writing, within six hours, to the local board of health of the city, township, or other municipality in which the parents of the infant reside.

SEC. 2. The said local board of health shall direct the parents or person having charge of such infant suffering from such inflammation, swelling, redness, or unnatural discharge of the eyes to immediately place it in charge of a legally-qualified practitioner of medicine, or in charge of the physician of the city, township, or other municipality if unable to pay for medical services.

SEC. 3. (As amended by chap. 147, acts of 1910.) Every local board of health in the State of New Jersey shall furnish a copy of this act to every legally-qualified practioner of medicine, and to each person who is known to act as a midwife or nurse in the city, township, or other municipality for which such board of health is appointed; and the board of health of the State of New Jersey shall cause a sufficient number of copies of this act to be printed and supply the same to each local board of health of this State for distribution.

SEC. 4. (As amended by chap. 147, acts of 1910.) Any person violating any of the provisions of this act shall be liable to a penalty of $50, to be recovered in an action of debt by the local board of health of the municipality in which the violation occurs.

[Acts of 1911, chap. 96.]

SECTION 1. The State board of health shall furnish, free of cost, to physicians and midwives, registered under the laws of this State, such prophylactic remedies as it may deem best for the prevention of ophthalmia neonatorum, together with such instructions as it may deem necessary for the proper administration of the same. SEC. 2. The sum of $2,000 is hereby appropriated for the purpose of carrying out the provisions of this act when included in the annual or supplemental appropriation bill.

NEW YORK.

(Consolidated Laws, 1909, chap. 40.)

SEC. 482. A person who:

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3. Being a midwife, nurse or other person having the care of an infant within the age of two weeks neglects or omits to report immediately to the health officer or to a legally qualified practitioner of medicine of the city, town or place where such child is being cared for, the fact that one or both

eyes of such infant are inflamed or reddened, whenever such shall be the case, or who applies any remedy therefor without the advice, or except by the direction of such officer or physician; * is guilty of a misdemeanor.

(Acts of 1910, chapter 513.)

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to the persons, and for the purposes

SEC. 1. The treasurer shall pay indicated in this act, the amount named or so much thereof as shall be sufficient to accomplish, in full, the purposes designated by the appropriations (p. 1141).

(Health department.)

For the control and prevention of ophthalmia neonatorum and the prevention of blindness, five thousand dollars ($5,000), or as much thereof as may be necessary.

State department of health, Public Health Manual (p. 129).

Every physician is required by law to report at once all cases of communicable disease in his care to the health officer, and if no physician is in attendance, the duty is imposed on the householder where the case occurs.

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The diseases to be so reported have, under the law, been designated by the State commissioner of health as * * * ophthalmia neonatorum The occurrence of these disesases should be reported immediately to the State department of health by the health officer

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NORTH DAKOTA.

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(Acts of 1911, chap. 188.)

SECTION 1. Whenever a child is born, the physician, midwife or any other person who is present and engaged as professional attendant, shall report said birth on a blank supplied by the State board of health to the health officer having jurisdiction, within 36 hours after such birth occurs. Said birth certificate in addition to other data ordered by the State board of health shall have upon it this question: "Were precautions taken against ophthalmia neonatorum?" And it shall be a violation of this act for any physician or midwife in professional attendance at a birth to fail to report same as herein commanded or to omit answering the said question, "Were precautions taken against ophthalmia neonatorum?" All bills or charges for professional services rendered at a birth shall be unlawful if report is not made as herein commanded.

SEC. 2. It shall be the duty of all physicians or midwives in professional attendance upon a birth to always carefully examine the eyes of the infant, and if there is the least reason for suspecting of disease of the eyes then said physician or midwife in professional attendance shall apply such prophylactic treatment as may be recognized as efficient in medical science.

SEC. 3. Should one or both eyes of an infant become inflamed, swollen or reddened, or show any unnatural discharge or secretion at any time within two weeks after its birth, and no legally qualified physician is in attendance upon the infant at that time, it shall be the duty of its parents or, in their absence, whoever is caring for said infant to report the fact in writing within six hours after discovery to the health officer having jurisdiction. Provided, Said report to said health officer need not be made from recognized hospitals.

SEC. 4. Upon receipt of a report as set forth in section 3 of this act, health officers shall direct the parents or whoever has charge of such infant suffering from such inflammation, swelling, redness or unnatural secretion or discharge of the eyes, to immediately place it in charge of a legally qualified physician, or in charge of the city or township physician if unable to pay for medical services.

SEC. 5. Any violation of the provisions of this act shall be punished by a fine of not less than ten dollars nor more than fifty dollars.

OHIO.

(General Code, 1910.)

SEC. 12787. Failure to report infant with diseased eyes.-Whoever, being a midwife, nurse or relative in charge of an infant less than 10 days old, fails within six hours after the appearance thereof to report in writing to the physician in attendance upon the family, or if there be no such physician, to a health officer of the city, village or township in which such infant is living, or, in case there be no such officer, to a practitioner of medicine legally qualified to practice, that such infant's eye is inflamed or swollen or shows an unnatural discharge, if that be the fact, shall be fined not less than five dollars nor more than one hundred dollars or imprisoned not less than thirty days nor more than six months, or both.

OREGON.

(Rules and regulations, State board of health, 1911.)

Rule 1. It shall be the duty of every practicing physician in the State of Oregon to report to the county health officer, or to the health officer of the municipal corporation, within 24 hours, by the quickest means of communication, all cases of * * * ophthalmia neonatorum

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* within his jurisdiction. Rule 3. It shall be the duty of the superintendent of any State institution, and of the superintendent of any children's home or any other institution of public nature, to report to the secretary of the State board of health any of the diseases named in rule 1 * * *

PENNSYLVANIA.

(Purdon's Digest, 13th edition, p. 1886.)

SEC. 78. Should one or both eyes of an infant become inflamed or swollen or reddened at any time within two weeks after birth, it shall be the duty of the midwife or nurse, or other person having the care of such infant, to report in writing, within six hours after the discovery thereof, to the health officer or legally qualified practitioner of the city, town or district in which the mother of the child resides, the fact that such inflammation or swelling or redness exists.

SEC. 79. It shall be the duty of said health officer, immediately upon receipt of said written report, to notify the parents or the person having charge of said infant, of the danger to the eye or eyes of said infant by reason of said condition from neglect of proper treatment of the same, and he shall also inclose to them directions for the proper treatment thereof.

SEC. 80. Every health officer shall furnish a copy of this act to each person who is known to him to act as midwife or nurse in the city or town for which such health officer is appointed, and the secretary of state shall cause a sufficient number of copies of this act to be printed and supply the same to such health officers on application. SEC 81. Any failure to comply with the provisions of this act shall be punishable by fine not to exceed two hundred dollars or imprisonment not to exceed thirty days, or both.

(Acts of 1911, page 931.)

SEC. 10. If at any time within two weeks after the birth of an infant, one or both of its eyes or the eyelids be reddened, inflamed, swollen, or discharging pus, the midwife, nurse, or person, other than a legally qualified physician, in charge of such infant, shall refrain from the application of any remedy for the same, and shall immediately report such condition to the local health authorities, and, at the same time, to some legally qualified physician in the city, town, or county wherein the infant is cared for. Any person or persons violating the provisions of this section shall, on conviction, be punished by a fine not to exceed one hundred dollars, or by imprisonment in jail not to exceed six months, or by both fine and imprisonment, in the discretion of the court, alderman, magistrate, or justice of the peace.

PORTO RICO.

(General Order No. 170, 1899.)1

SEC. 51. Thirty per cent or more of existing blindness has been shown to be due to infection of the eyes at or shortly after birth. This infection being readily amenable to treatment, it is ordered that whenever in any city, district or place in this island any nurse, midwife, or other person, not a legally qualified practitioner of medicine, shall notice any inflammation of the eyes or redness of the lids in a newborn child under his or her care, it shall be the duty of such person to report the same to some legally qualified practitioner of medicine within twelve hours of the time the disease is first noticed.

SEC. 52. It shall be the duty of every legally qualified practitioner of medicine to treat all cases of "ophthalmia neonatorum" by the Credé method, which is as follows:

SEC. 53. Gently open the lids and wash out the eyes with pure lukewarm water, which has been boiled, using a clean soft piece of old linen or muslin or a pledget of absorbent cotton, but do not use a sponge.

SEC. 54. Then immediately drop in each eye one or two drops of a 1 per cent solution of nitrate of silver, and continue its use so long as it may be necessary.

SEC. 55. Half an hour after each application of the silver solution, wash the eyes with warm salt and water (a teaspoonful of table salt to a pint of boiled water) or with a solution of boric acid (10 grains to 2 tablespoonfuls of boiled water) and continue this last application every hour or two until the eyes are well, gradually lengthening the time.

SEC. 56. This disease is very contagious, even to grown persons, therefore burn or boil all cloths that have touched the eyes, avoid kissing the child, wash the hands after bathing the child's eyes, and allow no one else to use the same basin in which the child is bathed.

SEC. 57. Any person guilty of violation of any of the provisions of this order shall, upon conviction thereof, be punished by a fine of not less than ten dollars ($10) nor more than two hundred dollars ($200), or imprisonment for not less than ten (10) nor more than ninety (90) days, or by both such fine and imprisonment, at the discretion of the court.

RHODE ISLAND.

(General laws of 1909. Chapter 343.)

SEC. 25. Should any midwife or nurse, or person acting as nurse, having charge of an infant in this State, notice that one or both eyes of such infant are inflamed or reddened at any time within two weeks after its birth, it shall be the duty of such midwife or nurse, or person acting as nurse, so having charge of such infant, to report the fact in writing within six hours to the health officer or some qualified practitioner of medicine, of the city or town in which the parents of the infant reside.

SEC. 26. Every health officer shall furnish a copy of sections 25, 26, and 27, of this chapter to each person who is known to him to act as midwife or nurse in the city or town for which such health officer is appointed, and the secretary of state shall cause a sufficient number of copies of said sections to be printed, and supply the same to such health officers on application.

SEC. 27. Every person who shall fail to comply with the provisions of the two sections next preceding shall be fined not exceeding one hundred dollars, or imprisoned not exceeding six months, or both.

1 Given force of law by sec. 8, p. 79, 31 Stats. L.

SOUTH CAROLINA.

(Criminal Code, 1902.)

SEC. 331. Should one or both eyes of an infant become reddened or inflamed at any time after birth, it shall be the duty of the midwife or nurse or person having charge of said infant to report the condition of the eyes at once to the local board of health of the city or town in which the parents of the infant reside.

Any failure to comply with the provisions of this section shall be punishable by a fine not to exceed twenty-five dollars, or imprisonment not to exceed one month, or both.

This section shall not apply to towns or cities of less than one thousand inhabitants.

TENNESSEE.

(Ch. 10, acts of 1911.)

SEC. 1. A person who, being a midwife, nurse, or other person having the care of an infant within the age of two weeks, neglects or omits to report immediately to the health officers or to a legally qualified practitioner of medicine of the city, town, or place where such child is being cared for, the fact that one or both eyes of such infant are inflamed or reddened whenever such shall be the case, or who applies any remedy therefor without the advice or except by the directions of such officer or physician, or neglects, refuses, or omits to comply with the above requirements shall be guilty of a misdemeanor.

TEXAS.

(Acts of 1909, ch. 30.)

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Rule 22. Whenever any

SEC. 10 (as amended by ch. 95, acts of 1911). * nurse, midwife, or other person not a legally qualified practitioner of medicine shall notice inflammation of the eyes or redness of the lids in a new-born child under his or her care, it shall be the duty of such person to report the same to the local health authority, or in his absence any reputable physician, within twelve hours of the time the disease is first noticed. * *

Any person who shall violate any of the rules, regulations, or provisions of the sanitary code of Texas, as herein set forth, shall be deemed guilty of a misdemeanor and upon conviction shall be fined in any sum not less than ten dollars and not more than one hundred dollars.

UTAH.

(Acts of 1911, ch. 61.)

SEC. 1. It shall be the duty of every physician and every midwife attending a case of childbirth to report to the local board of health every case where the newly born child has inflammation of the eyes attended by a discharge therefrom. Such report to be made within six hours after the appearance of such disease. It shall be the duty of such physician or midwife to treat the eyes of the child so afflicted in accordance with the rules of the State board of health. Every physician and midwife failing to comply with the provisions of this act shall be guilty of a misdemeanor.

(Rules, State board of health.)

Rule 1. No midwife shall treat any case of ophthalmia neonatorum or inflammation of the eyes of a newly born infant unless it is impossible to secure the services of a physician, provided that in case the services of a physician shall be secured, a'midwife may begin and carry out treatment until his arrival.

Rule. 2. In the event that the services of a physician can not be secured, midwives are authorized to use and apply the following treatment:

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