NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
14
[Part I—Regulation 3.
shall also in the same manner forthwith report the arrival at
the house, hotel, chuttram or other place, of any person from
any area which has been declared by the Governor in Council
or the Collector to be infected or which has been notified by
the Governor in Council for the purposes of the preceding
regulation 1.
Inspection
of railway
passengers.
3. (1) At or near any railway station appointed by notifi-
cation in the Fort St. George Gazette as an inspection station,
any medical officer appointed in this behalf may detain any
train and require every person travelling therein to alight and
submit himself to medical examination as the medical officer
may direct, and may for this purpose, with the assistance,
if necessary, of the police, using such reasonable force as may
be required, detain such passenger either on the railway pre-
mises or in some other suitable place which the Collector shall
provide for the purpose.
(2) Such person shall be bound to submit himself to
such examination and shall furnish the information referred
to in clause (9) of No. 1 of these regulations and any other
particulars which the medical officer or any person acting
under his orders may demand. Any person refusing to comply
with this rule may be detained for such period as may be
necessary, in addition to his being subjected to the penalty
prescribed in No. 54 of these regulations.
(5) After examination, all persons shall be allowed to
proceed to their destination except—
(a) those suffering from, or suspected of, plague or
those who have so recently suffered from plague
as to be in a possibly infectious state ;
(6) pilgrims or persons belonging to any other class who
appear for any reasons to be specially dangerous
whether travelling singly or in numbers, or
persons who cannot be depended upon to present
themselves daily for medical examination for ten
days on arrival at their destination, or to give
information should plague occur among them.
(4) Persons coming under class (a) shall be detained
until they are cored or as long as the infection or suspicion
of plague remains. Information of such cases shall be sent
urgently to the Collector and the district medical and sanitary
officer of the district. All contacts shall also be detained for
a period of ten days from the occurrence of the last case of
plague among them.
(5) Persons coming under class (b) may be detained at
the discretion of the medical officer till the full period of
15
Part I—Regulation 4.]
incubation (i.e., ten days) has elapsed since they left the
infected area, or if that date is not known, for ton days.
(6) Any person arriving at, or passing through, an
inspection station may, at the discretion of the inspecting
medical officer, be compelled to obtain a, passport in accord-
ance with clause (1) of No. 1 of these regulations and
undergo surveillance for ten day.
(7) The inspecting medical officer may also require any
passenger to deliver up his ticket, in order that some mark
indicative of his having arrived from, a plague-infected locality
or an area, notified under the preceding regulation 1, and
therefore of his being liable to obtain a passport at the station
of destination may be impressed thereon ; and such passenger
shall be bound to deliver it up accordingly.
Attempts
to evade
inspection
by breaking
journey at an
intermediate
station.
4. If a passenger from, a plague-infected or notified area
appears to be attempting to evade inspection at an inspection
station by alighting at a station short of that- for which his
ticket has been taken, the station master or railway official in
charge or an officer specially authorized by the Collector in
this behalf, shall insist on his continuing his journey as far as
the inspection station, either by the same or the next following
train, and may, with the assistance of the police, take all such
steps as may be necessary to compel him to do so.
Attempts to
evade inspec-
tion, by book-
ing to a
station sliorb
of the inspec-
tion station
or by arriving
otherwise
than by train
at or beyond
an inspection
station»
5, Any such passenger alighting at a railway station short
of, or arriving otherwise than by train at or beyond, an
inspection station, who from his being unable to show any
business at the place of alighting or arrival appears to have
so alighted or arrived for the purpose of evading examination
at such inspection station, may be detained by the station-
master or railway official in charge or an. officer specially
authorized by the Collector in this behalf at the railway
station at which he has alighted or arrived and be handed
over to the medical officer in charge of the inspection station,
or forwarded or returned, as the case may be, to the inspection
station by the same or next train proceeding thereto. The
railway fare of the person so detained and forwarded to the
inspection, station shall be paid by the passenger and, if not
paid, shall be recovered from him by the railway authorities
as excess fare.
Disinfection
of railway
carriages
from infected
areas,
6. When any carriage from an infected area is detached
from a train at any railway station in the Madras presidency,
it shall be disinfected and ventilated by the railway author-
ities in the following manner as soon as possible and before it
is again, brought into use, and if such carriage is detached at
a As amended by notification No. 619, Fort St. George Gazette, dated 30th July 1901,
part I-A, page 420.
16
[Part I—Regulation 7,
an inspection station appointed under the preceding regula-
tion 3, such disinfection and ventilation shall be effected to
the satisfaction of the inspecting medical officer :—
(i) Third and intermediate class carriages—
The interior wood-work of the carriages, especially
the floors and seats, shall be thoroughly washed with a solution
of perchloride of mercury (1 in 1,000) and oí: hydrochloric-
acid (2 in 1,000) ; the doors and windows shall be opened, and
the vehicle exposed to the air ; the sweepings shall be carefully
collected and be burnt.
(ii) First and second class carriages—
The floors and wood-work shall be treated as above,
the cushions being also brushed and thoroughly cleansed and
exposed to the sun for not loss than four hours.
Disinfection
of railway
carriages in
which plaguo
patients liavo
travelled.
7. (1) Any railway carriage from which a passenger who is
suffering from the plague has been removed shall be detached
at the nearest convenient station, and shall be disinfected
by the railway authorities as follows, and if that station is an
inspection station, such disinfection shall be effected to the
satisfaction of the inspecting medical officer :—
(i) The carriages, after being detached from the train,
should be thoroughly washed with soft soap. After an interval
of two to three hours, this should be washed off with plain
water, and then the following disinfecting solution should
be thoroughly sprayed all over the interior as well as the
exterior of the carriages by means of a s.yringe :—
Corrosive sublimate
llydroohloric acid
Water
» • •
. . .
...
3 gallons.
This solution should be allowed to dry on the car-
riages. Special care must be taken to direct the solution
into all the cracks and crevices and jilmills.
(ii) After disinfection, the carriage should be kept out
in the open Cor 48 hours. They can then be brought into
use again.
(iii) In the case of first and second class carriages,
which afford greater facilities than third-class compartments
for the harbouring of plague germs, it will be necessary, if
the carriages are contaminated, to burn the cushions and to
disinfect the wood-work in the manner indicated above, and
repaint the interior.
(2) If a compartment has been used by a suspicious
case of plague, it shall be treated as directed in the preceding
regulation 6. If of the third or intermediate class, its use
may be permitted as soon as it is thoroughly dry ; but if it
17
Part I—Regulation 8.]
be of the first or second class, it shall, after such disinfection,
be kept locked and unused until the nature of the case be
definitely ascertained, when the question as to whether or
Dot the cushions be destroyed and further disinfection be
effected, shall be decided in accordance with the preceding
clause (1) (iii) of this regulation,
Power to
enter any
building or
place for the
'purpose oi'
inspecting
plague cases
and taking
necessary
measures.
8. The Collector or any officer authorized by him for
this purpose may at any time enter any building or place in
which plague is reputed or suspected to exist, and inspect
and, if necessary, detain or remove and isolate any person
suffering or suspected to be suffering from plague, or to have
so lately suffered from plague as to be in an infectious state,
or likely from recent contact with plague cases to have been
infected or to be in an infectious state, or believed to have
recently arrived from an infected or notified area.
Bringing of
susceptible
articles from
infected areas
prohibited.
9. The bringing, taking, sending, or consigning, by sea
I or land, of soiled linen and used bedding (except when carried
the personal baggage of travellers), rags, and waste paper
from a plague-infected place in India into or through any
| other part of India to which the Epidemic Diseases Act,
I 1897 (III of 1897) applies, having been prohibited by the
Government of India, the Collector shall take due steps to
make the prohibition known and to enforce it. Articles
brought in contravention of this prohibition shall be de-
stroyed, and no person shall be entitled to claim compensation
on account of such destruction.
Destruction
of rutR.
10. The Collector shall arrange for the frequent inspec-
tion of consignments of grain arriving from plague-infected
areas and of landing places, railway goods-sheds, and grain
bazaars, and for the killing and subsequent destruction by
burning of all rats found therein. When any place is
infected, steps shall be taken to destroy rats in it and in
the surrounding area within a radius of ten miles.
Fart II.—Measures to be adopted in places imminently
threatened with Plague.
Declaring a
district to be
under obser-
vation and
authorizing
the Collector
to adopt cer-
tain measures.
11, Should it appear that plague imminently threatens to
attack any district, Government may declare such district
or part of it to be under observation and may authorize
the Collector to establish frontier inspection stations, to
arrange observation circles, to organise sanitary and ambu-
lance staffs, to provide plague hospitals and camps, and to
strengthen and train the district establishments.
c
18
[Part II—Regulation 12.
Rogd and
railway
inspection
stations.
12, Frontier inspection stations shall be established as
near as may be to the frontier on roads and at railway stations.
The inspection stations on roads shall be located only at
places where they can be efficiently worked, i.e., at places where
the nature of the country forces traffic to converge between
narrow lines and not where the country is flat and open and
where consequently they can be easily evaded. In special cases,
and when the country is unfavourable for such inspection,
patrols may be substituted for stations.
Accommoda-
tion and
equipment of
inspection
stations.
Mode of
inspect.ion.
13. At each frontier inspection station shall be erected a
sufficient number of sheds for hospital and observation pur-
poses ; and disinfectants and stores shall be maintained.
14. All passengers shall be examined and dealt with at
these inspection stations in accordance with the provisions of
No. 3 of these regulations, and those by road shall also be
provided with passports under No. 1 of these regulations,
Observation
circles.
15. (1) For the talugs necessary in his opinion to be
watched, the Collector may appoint the requisite number of
plague inspectors, who should be given a range with a radius
not usually exceeding 5 miles. For non-municipal towns,
assistant plague inspectors may be appointed.
(2) Every municipality to which the regulations
contained in this part apply shall be divided into circles,
which should, as far as possible, follow ward divisions so that
they may be readily comprehended. In municipalities where
there are wards containing less than 1,200 houses and a
population of less than 5,000 persons each, two or more wards
may be comprised in one circle. Three circles shall ordinarily
form a division.
(3) The Collector may also appoint plague supervisors
to check the work of inspectors and assistant inspectors.
When available such plague inspectors and assistant plague
inspectors shall be certificated sanitary inspectors, or such
as have received a special training for dealing with plague to
the satisfaction of the Sanitary Commissioner.
Duties of the
observation
staff.
16. (I) This observation staff shall work in municipalities
under the municipal chairman and in other places under the
district medical and sanitary officer or other officer appointed
by Government or the Collector for the purpose. Its duty
will be to constantly and systematically patrol the circles in
order to gain the earliest possible information of a case of
plague, so that immediate action may be taken, and to remove
with the aid of the ordinary conservancy establishment all
defects in sanitation which would favour the propagation of
Pa,rt II—Regulation 17.]
19
plague, such, as accumulations of cowdung, manure or stagnant
sewage, absence of perflation oí groups of buildings, &c. It
should also check the possession of passports or passes in the
case of persons arriving from an infected locality. Should
any person so arrive without a passport or pass, or having
broken its conditions, any member of the observation staff
may detain him and cause him to be dealt with in accordance
with these regulations.
(2) Inspectors and assistant inspectors shall keep a
record of all persons suffering from continuous fever for more
than twelve hours, and shall arrange with the village headman
to have such persons inspected twice daily. If a member of
the observation staff shall discover a case of plague, he shall
| act as is laid down in No. 21 et seq, of these regulations.
Provision of
accommoda-
tion for
plague
purposes.
17. On the requisition of the Collector, and to the extent to
which he may determine, a municipal council or a district
board, if it has not already made the provision, shall provide
and maintain in such localities, which, in the case of a munici-
pality, may be within or without the municipal limits, as in
the opinion of the district medical and sanitary officer, or a
medical officer deputed by him, may be proper for the purpose,
suitable and sufficient accommodation to the satisfaction of
such medical officer, for the following purposes :—
(a) an hospital camp for the isolation and treatment
of persons suffering or suspected to be suffering
from plague ;
(b) a suspect camp for the detention of contacts ;
(c) a health camp for the occupation of persons who
may be required to vacate any building or ground
under these regulations and who may be unable
to procure necessary accommodation for
themselves.
In the places so provided, the municipal council or the
district board, as the case may be, shall furnish such hospital
establishments, equipment and supplies as the district Col-
lector may determine, and shall also make arrangements for
feeding persons detained under any of these regulado as on
payment by them of the cost; but in the case of indigent
persons, the municipal council or the district board, as the
case may be, shall supply them with food free of charge :
provided that any person so detained shall have full liberty
to cater for himself subject to such rules and conditions as
the medical officer in charge may prescribe.
120
[Part II—Regulation 18.
Acquisition
of lands or
buildings
required
for plague
purpose».
18. Any building or place which, is required for and is, in
the opinion of the district medical and sanitary officer or the
medical officer deputed by him in this behalf, suitable for the
purpose of the accommodation to be provided under the last
preceding regulation, may be entered upon and occupied
without having recourse to the Land Acquisition Act, 1894
(I of 1894) by the municipal council or the president of the
district board, as the case may be, or a person deputed by
him in this behalf (if unoccupied without any notice what-
soever, and if occupied after twenty-four hours' notice in
writing conspicuously posted on such house or building) and
may be used for the purposes of the accommodation under
the last preceding regulation ; and the owner or the lessee
of such building or place shall not be entitled to anything
beyond a reasonable rent as fixed by the Collector for the
period during which the ground or building may remain in
the occupation of the municipal council or the Collector and
president of the district board, as the case may be: provided
that the municipal council or the Collector and president of
the district board, as the case may be, shall be bound at the
cost of the municipality or the district board, as the case may
be, thoroughly to cleanse and disinfect the ground and, if a
building, to cleanse, disinfect and, if desired by the owner,
Avhitewash it internally and externally after vacating it.
Conveyances
for the
carriage of
the sick and
of infected
articles.
19. The municipal council or the Collector and president
of the district board, as the case may be, shall provide
suitable conveyances for the free carriage to a place provided
under No. 17 of these regulations, or other place, of persons
suffering, or suspected to be suffering, from the plague, and
for the transport of any clothing, bedding or other articles
which have been exposed to infection.
Training
the establish-
ment.
20, He shall see that the whole district establishment
knows its duties, both while the district is under observation
and also on the outbreak of plague. He shall especially
bring Nos. 1, 2, 9 and 21 of these regulations to the notice
of village officers and the inhabitants.
Part III.—Measures to be adopted on the Occurrence
of Plague,
Report by
local officers
of occurrence
of plague and
isolation of
patient and
contacts.
21. On the occurrence of a suspected or actual case of
plague in a village or town whether in a district declared to
be under observation or not, it shall be the duty of the
village headman or other local officer to send intelligence by
"As amended by notification No. 1019, published at page 586 of part I-A. of the Fort
SI- Gcoryo Gazette, dated 3rd December 1901.
Part. Ill—Regulation 22.]
21
express to the tahsildar or the municipal chairman and if
plague inspectors have been appointed to the nearest plague
inspector; and meanwhile to isolate the patient and all who
have been or suspected to have been in attendance upon him
or in contact with, him, in a place provided under No. 17 of
these regulations, or in their own houses provided they are
not plague-infected or some other suitable places if they can
there be segregated with no greater risk of spreading the
infection, or in a hut or shed to be immediately constructed
remote from inhabited houses.
Report by
plague
inspector and
talisildar or
municipal
chairman.
22. The plague inspector and the talisildar or the muni-
cipal chairman shall inform, all superior officers up to the
Collector by the quickest possible means, and shall go at once
to the infected locality. The tahsildar or the municipal
chairman shall arrange to be accompanied or followed by the
nearest medical officer with a supply of medicines and dis-
infectants and by a staff of constables and peons.
Action to be
taken by
plague
inspector and
tahsildar or
municipal
chairman.
23. (1) On arrival at the infected place, the plague
inspector (or medical officer if there is no plague inspector)
shall supervise the isolation of the patient and the disinfection
of his residence, clothing and excreta, and the clothing, and
at his discretion, the person of his contacts, and shall
continue such supervision until relieved under the orders of a
plague officer and sent back to other duty.
(2) The tahsildar or the municipal chairman shall act
as follows :—
(a) If the plague patient be a traveller who has newly
arrived at the village, or a resident who has newly returned
to it, from an infected locality, and has been with his contacts
put into complete isolation from the beginning of his sick-
ness, the tahsildar or the municipal chairman may content
himself with continuing such isolation, with providing the
patient with medical attendance if required by him or by
those in charge of him, and with thorough disinfection as
above,
(6) But if he thinks it necessary, or is so ordered
by superior authority, and provided the attack shall have
been declared by a medical officer to be probably plague,
after first completely isolating the patient and his contacts
and posting a guard over them, he shall construct if accom-
modation has not already been provided under No. 17 of these
regulations—
a hospital into which he shall remove the patient
and which he shall provide with a guard ;
22
[Part III—Regulation 24,
n suspect camp, where he shall remove, disinfect
and detain all persons who have been, or sus-
pected to have been in attendance on, or in
contact with, the patient, and which he shall
also provide with a guard ; and
a staff camp, to house the ambulance staff on its
arrival.
Action to be
taken by
plague officer.
24. (1) On receiving information of a case of plague, the
duties of a plague officer (denned below, regulation 43) shall
be as follows :—
(2) He shall send telegraphic information to the
Collector and the district medical and sanitary officer.
(3) He shall then go to the scene of outbreak, and shall
enforce the measures mentioned above.
(4) He shall see that the hospital, the suspect camp
and the health camp are properly organized and cordoned.
(5) He shall see that the patrols and guards round the
infected area completely isolate it, or such part of it as he
deems fit, so as to prevent the return of the inhabitants
without his written permission.
(6) He may also, when authorized by the Collector,
direct the evacuation of the village or town or any part of it,
and the removal of the inhabitants to a health camp, provided
sufficient shelter is available, and their detention there for a
period not exceeding ten days from the date of the occurrence
of the last case of plague among them.
(7) On the evacuation of houses, he shall cause them
to be surrounded by a cordon with the object of preventing
the return of the inhabitants without his written permission,
and to be thoroughly disinfected.
(8) He may also cause the village to be disinfected.
Report by
Collector and
the action to
be taken by
him.
25. (1) The Collector, on receiving information, shall tele-
graph to Government, the Surgeon-General and the Sanitary
Commissioner, and despatch the ambulance staff with its
equipment to the village under the district medical and
sanitary officer, or his assistant.
(2) He may notify by tom-tom (the notification to be
as soon as possible published in the District Ga/ette) that any
town or village, or part of a town or village, or group of
villages, is infected, whereupon the regulations contained in
Part II shall come into force in the district if they have not
been put in force by Government already.