The San Francisco call., 1898-04-13
ARTICLE x.
DEPARTMENT OF PUBLIC
 HEALTH.

HEALTH.
 SECTION l. There shall be a De- partment of Public Health under the management of a Board of Health The Board shall consist of seven members, five of whom shall be appointed by the Mayor. and who shall be regularly cer- tifcated physicians of the City and County at the time of their appoint ment, and who must have been such for at least five years next preceding their appointment The Chief of Police and the President of the Board of Pub lie Works shall be members of the Board by virtue of their office.
 The members of the Board shall serve without compensation. They shall elect one of their number President, and adopt such rules and regulations as may be necessary for the govern ment of the Board.
 Sec. 2. The appointive members Of the Board shall hold office for four years. Those first appointed under. this Charter shall so classify themselves by lot that one of them shall go out or of- fee at the end of one year, one at the end of two years, one at the end of three years, and two at the end or four years.
 Sec. 3. The Board shall have the management and control of the City and County Hospitals, Almshouses, Ambulance Service, Municipal Hospi- tals, Receiving Hospitals, and of all matters pertaining to the preservation, promotion and protection Of the lives and health of the inhabitants of the City and County; and it may determine the nature and character of nuisances and provide for their abatement.
 It shall have the sanitary supervision of the municipal institutions of the City and County including jails, school houses and all public buildings; of the disposition of the dead; of the dispost- tion of garbage, offal and other often sive substances.
 Except as provided in Article II, Chapter III. of this Charter, it shall have exclusive control and disposition of all expenditures necessary in the in stitutions under it's immediate control.
 Sec 4. The Board shall enforce all ordinances, rules and regulations which may be adopted by the Supervisors for the carrying out and enforcement of 9 good sanitary condition in the City and County; for the protection of the public health; for determining the nature and character of nuiSanceS and for their abatement; and for securing the proper registration of births, deaths and other statistical information. It shall from time to time submit to the Supervisors a draft of such ordinances, rules and regulations as it may deem necessary to promote the objects mentioned in this section.
 Sec. 5. The Board may appoint such officers, agents and employees as may be necessary for the proper and ef- f1cient carrying out and enforcement of the purposes and duties of the Board, and may fix their salaries and prescribe their duties. All appointments in the Department shall be made under the provisions of Article XIII of this Char ter. and no person so appointed by the Board shall be removed without cause.
 Sec. g. The Board may appoint Resident Physician of the City and County Hospital, who must be a regu- larly certifcated physician and who must have been a resident of the City and County for at least five years next preceding his appointment. He shall devote his time exclusively to the du- ties of his office.
 Sec. '. The Board shall appoint for the City and County Hospital at least two visiting physicians and at least two visiting surgeons, who shall receive no compensation for their services, but who shall have the privilege of teach ing students in their hospital wards. Any student who Is actively engaged in the study of medicine shall have the benefit of clinical instructionsin any of the hospital wards.
 Sec S. The Board may set aside one
 
 for the treatment of confirmed inebri- ates.
 Sec. g. The Board may appoint such undergraduates and other internes to the City and County Hospital as it may deem necessary. They shall be ap- pointed after a competitive examination by the Beard in any or all branches of medicine and surgery, and shall receive board and lodging free for their ser vices. They shall be under the control and direction of the Resident Physi- elan. who may remove any of them for neglect of duty, or for other good and sufficient cause, subject to an appeal to. and final decision by, said Board
 Sec. 10. The Board shall fix annually the salaries of all officers and en- ployees of the Board. Such compensa- tion shall not exceed salaries paid for similar services in private institutions of like character
 Sec. H. The ratio of employees to in- mates of any institution under the care of the Board shall not exceed that maintained by private institutions of like character