8
officer acting under his control ; [in any case of doubt or dispute the
Government will have the right to have the value of the work done
estimated "by the Public Works Department.]
(6) that the arrangements for sanitation and the supply of food
meet with the approval of the Collector ;
(c) that such hospitals remain under the general supervision of
Government officials and all instructions that may be given by the
Director of Public Health or the Surgeon-General are observed ; and
(d) that the sale-proceeds of such hospitals, when they are
dismantled, are divided proportionately between the Government and
the committee or individuals concerned.
The amounts will be paid monthly in arrears to the manager or
managers approved by the Collector.
Action to be
taken by
local officers
on the out-
break of
plague.
8. It is most important that early information should be received
of the appearance of infection in any place, both in order that remedial
measures may be adopted in that place and in order that it may not be
allowed to become a focas for the spread of infection. If the rats in a
town or village are infected, they may spread infection to other places
before any case of human plague occurs; and if a case of indigenous
human plague occurs, it may be regarded as certain that the loca] rats
have been infected for some time. It is the duty of heads of villages
and all other local authorities to watch the residences of persons
arriving from infected areas and to report at once any mortality of rats
or any human case of plague. [Regulation 9 lays upon every house-
holder and medical practitioner the duty of informing the local
authority of rat mortality or of any illness with the appearance of
plague which comes to his notice ; but in towns or villages which have
been, or are likely to be infected, the local authorities must themselves
be vigilant. If the local authority becomes aware of rat falls or of a
human case in a place not already declared infected, he should report
the fact at once to the chairman in the case of a municipality, and
to the tahsildar and the Health Inspector in the case of any other
town or village, and also to the plague inspector of the circle if
there is one. Pending the arrival of one of those officers or a medical
officer, he should, if any human being has been attacked, arrange as far
as he can for proper attendance on the patient. Thereafter he should,
on any day on which a seizure or death takes place, report the number
of seizures and deaths to the chairman or tahsildar as the case may be,
9. On receipt of information of rat mortality or human infection,
the municipal chairman or the tahsildar, as the case may be, should
report the "fact to the Revenue Divisional Officer, the District
Medical Officer or the District Health Officer and the Collector by the
quickest possible means, and should proceed at once to the spot, if
possible with a medical officer, and verify the facts. If he finds the
information to be correct and a detailed report has not already been
submitted by the plague inspector to the Collector, he should see that
such a report is submitted with at delay and make arrangements for
the care of the patient or patients, if any, and for the protection, so far
as may be possible of the population generally. He should keep the
Collector and the tahsildars or deputy tahsildars of all the surrounding
taluks or divisions, not only of his own district but of adjoining districts
also informed from day to day of the number of seizures and deaths