CIHM 
 
 Microfiche 
 
 Series 
 
 ({Monographs) 
 
 ICMH 
 
 Collection de 
 
 microfiches 
 
 (monographles) 
 
 Canadian Inatituta for Hiatorical MicforapriMlMctioiia / Inatitiit eanatfan tfa micforapfoductiona fitetoriquaa 
 
Technical and Bibliographic Notes / Notes techniques et bibliographiques 
 
 The Institute has attempted to obtain th« btst original 
 copy available for filming. Features of this copy which 
 may be bibliographicatly unique, which may alter any of 
 the images in the reproduction, or which may 
 significantly change the usual method of filming ar« 
 checlced below. 
 
 □ 
 
 Coloured covers / 
 Couverture de couleur 
 
 □ Covers damaged / 
 Couverture endommag^e 
 
 □ Covers restored and/or laminated / 
 Couverture restaurde et/ou pelliculie 
 
 I Cover title missing / Le titre de couvertuiv man^w 
 Coloured maps / Cartes gtegraphiques en couleur 
 
 □ Coloured ink (i.e. other than blue or blaci() / 
 Encre cte couleur (l.e. autre que bleue ou noi 
 
 j j Coloured plates and/or illustrations / 
 I I Bound with other material / 
 
 (l.e. autre que bleue ou noire) 
 
 [rations / 
 
 Planches et/ou illustrations en couleur 
 
 Bound with other material / 
 ReM avec d'autres doct«nents 
 
 □ 
 
 □ 
 
 □ 
 
 □ 
 
 Only edition available / 
 SeuleMitiondisponible 
 
 Tight binding may cause shadows or distortion along 
 interior margin / La reliure serr^e peut causer de 
 I'ombre ou de la distorsion le long (te la marge 
 
 intdrieure. 
 
 BlanK leaves added during restorations may appear 
 within the text. Whenever possible, these have been 
 omitted from filming / II se peut que Mrtalnes pages 
 blanches ajout^es lors d'une restauration 
 apparaissent dans le texte, mais, lorsque cela £tait 
 possible, ces pages n'ont pas «ti film«es. 
 
 Additional comments / 
 Conmsntaires 8uppMn)entairet: 
 
 L'Institut a microfiimt le meRleur exemplaire qu'il lui a 
 M possible de se procurer. Les details de cet exem- 
 plaire qui sont peut-6tre uniques du point de vue bibii- 
 ograpMque, qui pauv*nt modular una image reproduite, 
 ou qui peuvent exiger une modification dans la mitho* 
 de normale de f iimage sont indiqute ctKiessous. 
 
 □ 
 
 □ 
 
 □ 
 
 Coloursd pages / Pagta da couiaur 
 
 Pages damaged / Pages endommagtes 
 
 Pages restored and/or laminated / 
 Pages rsataurfes et/bu pellicuMes 
 
 Pages discoloured, stained or foxed / 
 Pagaa cMcolortes, tachet^ ou piqu^es 
 
 [yf Pages detached / Pages ddtach^es 
 
 |v/| SwwtNough/Transparanea 
 
 Quality of print varies / 
 Qualil* Mgala de rimpression 
 
 Includes supplementary material / 
 Con^rand Ou mattriat supplimentalra 
 
 Pages wholly or partially obscured by errata ?;l>:;s, 
 tissues, etc., have been refilmed to ensure the best 
 possible image / Les pages totalement ou 
 partiellement obscurcies par un feuillet d'errata. une 
 pelure, etc., ont 6i6 film^es k nouveau da (a^ k 
 obtenir la meilleure inruige possible. 
 
 Opposing pages with varying colouration or 
 discolourations are filmed twice to ensure the best 
 possible image / Les pages s'opposant ayant des 
 colorations variables ou des decolorations sont 
 fibntes deux tois afin d'obtenir la meiileura bnaga 
 possl>la. 
 
 □ 
 □ 
 □ 
 
 □ 
 
 This ittmtoWnwd at ttw rtAMtfon 
 
 ratiechtelwdbtlow/ 
 
 10x 
 
 14x 
 
 18x 
 
 12x 
 
 16X 
 
 TTTi 
 
 22x 
 
 26x 
 
 20x 
 
 24x 
 
 y 30x 
 
 '^r I I I I I 
 
 2tX 32x 
 
Th« copy filmed here has been reproduced thanks 
 to ih« gcntrotity of: 
 
 Legislative Library 
 Vicioria 
 
 Tho imagM appearing hara ara tha bast quality 
 peasibia considering the condition and legibility 
 of tha original copy and in keeping with the 
 filming contract apocificationa. 
 
 Original copies in printed paper covers are filmed 
 beginning with the front cover and ending on 
 tha last page with a printed or Illustrated impres- 
 sion. or tha back cover when appropriate. All 
 other original copies are filmed beginning on the 
 first page with a printed or illustrated impres- 
 sion, and ending on the last page with a printed 
 or illustrated imprasaion. 
 
 Tha last recorded frame on each microfiche 
 shall contain the symbol — (meaning "CON- 
 TINUED"), or tha symbol V (meaning "END"i, 
 whichever applies. 
 
 Maps, plates, charts, etc., may be filmed at 
 different reduction ratios. Those too large to be 
 entirely included in one exposure are filmed 
 beginning in the upper left hand corner, left to 
 right and top to bottom, as many frames as 
 required. The following diagrams illustrate the 
 method: 
 
 L'axamplaira filmA fut reproduit grica i la 
 ginArotit* da: 
 
 Ltgiilative Library 
 Victoria 
 
 Lea Images suivantes ont txi reproduites avec la 
 plus grand soin, compte tenu de la condition at 
 da la nettet* da I'exemplaira film*, at an 
 conformity avae laa conditiorta du eontrat rfa 
 fiimaga. 
 
 Les exemplaires originaux dont la couvartura en 
 papier est imprimia sont film^a an commanfant 
 par la premier plat at an terminsnt soit par la 
 dernidre page qui comporte une empreinte 
 d'impression ou d'illustration, soit par la second 
 plat, seion le cas. Tous laa autraa axomplairaa 
 originaux sont fitm^s en commen^ant par la 
 premiere page qui comporte une empreinta 
 d'impression ou d'illustration et en terminant par 
 la derniAra page qui comporte una taila 
 amprainta. 
 
 Un des symbotes suivants apparaltra sur la 
 darni^re image de cheque microfiche, salon la 
 cas: le symbole — ^ signif ia "A SUIVRE", lo 
 symbola ▼ signifia "FIN". 
 
 Laa cartes, planches, tableaux, etc.. pauvant itra 
 
 filmis i des taux da reduction diffirents. 
 Lorsque le document est trop grand pour §tre 
 reproduit en un seul cliche, il est film* A partir 
 de Tangle sup^rieur gaucha, da gaucho i droita. 
 et de haut en baa. an pranant la nombro 
 d'Imagaa n4caasaira. Laa diagrammaa suivants 
 litustrant la m<thodo. 
 
 1 
 
 2 
 
 3 
 
 4 
 
 5 
 
 6 
 
TUBERCULOSIS. 
 
 t •? 
 
 INSTRUCTIONS AND SUGGESTIONS 
 
 --I»SI KI> l-MlKII AITIIORITV OK THB - 
 
 PROVINCIAL BOAKI) OP HEAJiTH 
 
 —op — 
 
 BKITISH COLUMBIA. 
 
 TTCTOWA, B. C : 
 
 PliaM VI Imuu Wwfww, Priiitn to Mm %iat% yu* Humu 
 
I 
 
TUBERCULOSIS. 
 
 That InrilHow iHib«iic which wp call coiuamption, phthUU or tulwrculosiii of the lungi, is 
 tlw HMMt terriM* Jwtltijmi of livm with which civtliHation hM to contend. Within th<- last 
 few TCMK ncience h«H iihown the nature of the diHeane and lias clearly demonstrated its catwe, 
 Iww it flouri»he« and Mpreadis how it declines and disappeara. It seems to me then, the time 
 haK now arrivc<l when it beconies the duty of all sanitary autliorities to asuume a more a ^pjrea- 
 •ive attitude. It was this feeling that influenced me to put forward the R«g«la(icM ktMjr 
 adopted by this IVmnl for the prevention of the spread of tuberculosis. 
 
 It may not lie nniiss, in order to bring out more forcibly the immediate necessity of adopt- 
 ing these Uegulatioiis, U» recount some of the known and now generally-accepted facts regarding 
 the nature of this disease. The disease known as tuberculosis may attack any organ or tiiMM 
 in the liody. When it aflfects the lungs it is called pulmonary tuberculoau, or coniumptioo. 
 In this form it causes about one-sixth of all the deaths occurring in the klun n nm, aai ooiit- 
 ting the deaths anwnig children up to flfteen years and adttlto after '» •■^ '* y* 
 
 about a <iuarter of all deaths, so that its ravagaa BiMt dmMj • ptrwd v m tlw life « 
 an individual is must useful. The death nJI from tabtmikMi* in Oudbha cm 
 thousand every year for the past thrw or fa«r ymn. hk Hm Vnitod SMm H Mi 
 one hundred thousand, truly a terrible ihowing, when one knowa, m wo now know, thnt oo»- 
 MUBptiMi eea be prevented. , l i. ■ i. 
 
 It has been prove«l beyond doabt tiwt a living germ called the tubercle bacillus is the 
 cause, an(? the only cause, of tuberookMis. When the*- genua find their way into the body 
 they multiply there ; if conditions are favourable for their growth, they produce new growths 
 or nodnlaa <»abercles) which tend to soften. Tlie discharges from the softened tubercles, oon- 
 taining '"dtMi .erms, are thrown off from the body in various ways. In pulmonary tuber- 
 culosis V .e • ' '^ion discharges contain the germs, often in enormous numbers. It has 
 been pn ' ' He eoMTie of twenty-fonr hours, many millions of tubercle bacilli may be 
 
 dischar . -rtain conditions by one person suffering from tuberculosis. The germs thus 
 
 thrown oft I ow outside the liC iiifj Ixnly except under artificial conditions, but they may 
 
 and oftt 'i do reuiin their vitality and virulence for long periods. As tuberculosis can only 
 result from the action of these germs, it follows, from what has been said, that when the disease 
 is acquired it must be acquired from receiving into the body the living germs that have come 
 from some other liunmn being or animal affected with the disease, in other words, it cannot 
 occur except bv tiirtrl ftmtmuHu-atinn from some other individual or animal sniferiag from 
 tulienulosis. Sv'hile the meat and milk of tubercuUr cattle may he imporUat MNUoea ol 
 danger, yet the disease im a rule is acquired through its communication direct from man to man. 
 
 The' expectoration of tulx-rcular persons frequently Mum in plaeH wbare it afterwarda 
 dries, as on handkerchiefs, clothing, carpnte, floors, sidewaHta or vdndea. After drying, it la 
 very apt in one way or anothor to beeome pnlveriMNl, and than, by means of wind, tnlltBg 
 skirts or other causes, it floats in Uie air aa dmt ,..<.. 
 
 Palmoaary tnbeionkiMS is naaally produced by breathing air in which the hving germs 
 M« nusTrmdrd a« doat or attadied to dost ; such dust may retain for weeks, or even months, 
 or longBr, ita powwr of caMfatf the diaeaae. It should be distinctly understood that the 
 dement of danger is the dried and pvlvetked qmtuni, and not the breath of tabocnkr 
 patfents or the moist sputum received into proper cups. The breath and moist spntom are 
 nwtioi^ free from danger, because the germs are not dislodged from the moist surface. 
 Tim aet of oooghing or speaking may expel particlea containing infectiTe natter. If all dis- 
 (AargMwetadrntroyedatthetimedl tbeires^byfer at( ■ ** ' 
 *a to man wonhl be removed. 
 
4 
 
 h in a well known furt that nonio |i<>r>Mi«ii>, nml i>ii|ii<ciully thv mrmlipni of nonte faunitin^ 
 nri- j«rliiuljnl\ lialile to tulien'ulimiH. M., iiiiirki-<l iw<\ «». fn-<|uciil i« thi- .IcM-lupnM-nt iif thi> 
 ilixfuNf ill (.'crtjiiii fiiiiiilie» timt ttii- iitl'iK lion Iihi loiik' ■ ii omniilfird lii-ii'ilitHn-. Wr now 
 know tliut till- •liwHi*' ilwlf i» not lirnilitiirv, l>iil llmt tln ir i>. inlii'rit<-<l i')Ttiiin lonxtitulionnl 
 winkneMWH wliii'li iimkIit tlit- inili\ iiluul it iiion' i-a»\ |iitv Io ihf «iTni^, oniT tlit-y linvi- Kuiniil 
 Ml mtrmiu'c. 
 
 Wherr tlif iHm-nts iii-c iitlW'tcd with lul>ert'uliMis, thf i-liililn'n. from the i-iirlifxt nionii-nt 
 of life, are (*X|MMt^l to tin- ilincoxf umli-r thf iiiomI faxoiirnlilc l onilitionH tor its tnumuuHNiiin : 
 {urnnt only i» thv (lu»| u( till- IrnuM* likely to mntaiti the iNuilli, but tlio n-Utiun betwtimi 
 pMfnts uiiil rliilclrfti, orawMlly fartwn'n iimHIht aiiiI iliihi, u( tittt clow mi lullillilll 
 mtuiv «'«ii.-< iiilly fitvijumble for tnuHmiiwMHi by iliiwct itmtM t. 
 
 The fre<|upnt .Kiuri*nce cf wveml cww al «MMnR|itiun ia • family in, thm, not to he 
 expUined on the >.u|>|N>Hitian that the diaMMW itMlf bM lieen inherited, bat tUt it hw heen 
 pruduvtHi uft<>r liirtli by tranxniiaiun diruct from aome other iadividML 
 
 It followN. fiHiiii what hoH hmt naid, that tnberealoiii* i» • tvmmunkmUt Akmn mni, 
 further, that it is /,r. rmhM^. If it is |iri'\vnriil>Ii-, tlx- natural qumtion to Mk b: WInr b it 
 not |.rt.vi-nt."l / It is not jircvintcl Utmisi- of tin- irMliflttrenue of the pnUic. It b iUMH 
 to KKit out olil ic|<'ik.s, nml it is still nion> didiuult tu get a vew/fi* to ailopt prpfautions aninat 
 an .vil whiuh, «lf IioukIi so fatal in its ultimate rnralta. Aom not atrikf the public mindwith 
 the startling sudili-iiness i-irwtoil by tli.- npi»-arnncc of ihol. ra, Ninnll-pox or diphtlifrin. If 
 our fashionabli- (laini-s, hfniU of families, insliiutioiiH and iiKlustrial c«init>ms, together with 
 the iKior eoiisuiiiplive, would all do their duty to their neigliUmni, the apectre of tttfaeroukaia 
 wtMld gradually ilisa]i|H'ar, and with it niuoli sutVering and inirMtry. 
 
 To sum up, then, we tind the following at avcepteil faebi 
 
 1. Consumption is cMued mUg by a germ which eomea from the living, ajbeted with 
 
 cimNumptioti. 
 
 2. ('olisuniptioii is |>re\entalile, iH'eause, for priu'ticnl purpones, the great soi ree of infec- 
 tion — the »pit —can In- easily clisinfis ted or ilestroyed. Iteniove the xpit or Hputum a» a source 
 td infection, and conMUiuption must go far towards diHiippearing. 
 
 a. Conxumption i» not hereditary, nor in it easily fontiai ted if reasonable care be taken. 
 
 4. The OM«le« oooMimptive patient ia a focus u( infection and a 4aamm to aU wmaam 
 who eome maeh in prwciaritjr to Urn or *iait tbo plaeea be frequents. 
 
 Ib«toarpHMlM4BP«tiaaairiik^tfatrietfyfcll^^ 
 ing oat eonannption. 
 
 Sanitoria. 
 
 The upen-air treatment of consumptives and those who are threatened with tuberculous 
 iliaeaae haa given mach better renults than any other. The earlier the treatment is begun the 
 more likely ia tliere to be a favouratile reault. Open-air treatment, excellent though it may 
 be, is not enonoh; the exerciae and the food are necessary atljuncts and eadi mMt be udir 
 expert superviidon. Therefore, aanitorium treatment is almuat a necessity. 
 
 8anitoria, like ordinary hoiqiitaia, althoagh th^ may be endowed by the Qovemment, 
 must principally look to the pnUic for attf^Mrt. I am oooTinoed we have in British Columbia 
 a climate aa fevoarabie to the aneeeM^ni treatment ol eommnrntioB aa any in the werid, attt 
 we are withoat a aanitoriam. I hope thia will aoon be mae^ed. 
 
 IU-LE.S FOR PAnnrr. 
 Two facts should encourage the 'uitient : — 
 
 I. That there is always an intr isic tendency to recovery in tlie eai&r itagiw of the 
 diseatte, and that, under ni<Hiern treatment, a large pmentaoc of caaea do Ncover. 
 
 That there is no reason for any peraon to think m»t he i« doomed by beivdiU, M 
 
 mutter what his family history may be. 
 
 DinjHiMil iif Sjiutttm : — 
 
 (o.) Pressed paper spit cups, costing bat little, are on die maritet (Hendenon Braa., 
 Victoria and Vancouver). One or several can be naed daily, and after it haa been uaed, each 
 
 cup with cover and contents can be burned. 
 
 (It.) Paper cups held in a metal frame may l)e used. 
 
 (.-.) Metal or porcelain spit cups or spittoons, eaih containing a small quantity of dUn- 
 f«;ting solution, 1, 2 or .'l, may lie useil. 
 
 It must be remembered tliat the disinfecting fluid cannot thonMu^y disinfect, hoMUM it 
 cannot raodi idl parte of the qmtnm. 
 
s 
 
 Tlio Aiml iliHpuMl uf th<> iputam mny kt t — 
 
 I. Ity rrfiiMtiuii wlien prnwililr. 
 
 PiiuriiiK down witti-r cltiw't wlwii Hewnr <'onn«vtion ul>l«inpt. 
 
 :t. Kill Kpit(< N>n f>r t'up with tmitiut/ wut4>r( covor aii<l let hUuhI till t'*itA. 
 
 t. Hy wttiiiK I'up iir ipitttmii mtiile, pr<>fi-rably in « warm pUG<>, m> Umt the dwinfMMit 
 iiwy iM t fight iir twelve hourx l<in«er In «ueh" eaite th«< <|iwntity ol dUinfeuUiiK mlatian 
 HliKuld lie in ex<e-,s uf tliikt of the Hputuin ; then hury or othi^rwiw diii|iuM< uf it «o that Hiwi or 
 any doininiii- liiiinmls cimnot reach it. Wanh cup or xpittoun in hMntf water, and thni with 
 wnip and waU-r, or, preferalily, put into water ind Uiil for witne tiiiw (lioilinK wat^r will kill 
 (iniMuniptive Kcriiw alinoNt immediately, hut it would U- nafer to boil for ten minutp>, mi tliat 
 Nputum may U- dininteKntteil and ex|>iMe<l to tiie he*t). The patient ahuttld iMVa two mt 
 cu|M for alternate use. A cover nIiouUI exvlud* ttM. OIlHlfa^ aM Iw doM wUk WMMIg 
 wHla and iMtilint; water, or Mup and hot water. 
 
 fi. When a»iiy froin hi« home, the (lutient may Hpit into Ja[Niiii •■ |«|M'r napkiuH or pajier 
 luUMikenihiefii (KenderMin Broit. have Nupply). After one une it must lie ;iut in ruhlier tobacco 
 peseh until it can be bamad, or, iireferalily', liui'ne<l at once. 
 
 6. M|)ittill{t into handkerohieb ahould'he avoidetl. If fiirced u> do this tlie luinilkerchief 
 ahnald be boUad Mora the mtmi iriem. Handkerehiefr upon whieh the Hputum w allowed 
 to dry HttmMad tbe wmt mti Vrn friemh with infeotion, infuct the poeket and everything ek« 
 they toMh, and leaan the fMtiA'a chances of rwoverteg (it MMt be borae km ariad tiMt mi 
 htfccled penoa can be rMnfrrteil man^ time<t, and m harten the end). 
 
 After coughing or Hpittin^, the Ii|m iihould not be wiped with the hmnftMuhirf wmi for 
 ^th4 ttam. The ltp« Hhould be wi|ied with |>a|ier napkins, to be faamed at oaee or folded mp, to 
 that the contact Hide ia within, and treated aa if it contained the aputum. 
 
 lieprom cough aa much aa pumible ; cough gently with UMHith cloaed aa much a* powibie, 
 or hold paper napkin before mouth and then treat it an infected. Never awallow the aputum ; 
 Iqr lo <loing you favour the extenxion of the diiieaw> to tlu) intestinal tract. 
 
 Do not noil i« r«onal or lied clothing with the nputum, nor the handa when avoidable ; 
 tHdnfect at once when such ovcunt in aclution I, "J or 3. 
 
 Male patientM who wear a mouatache or beard nhould keep it closely clipped, and should 
 dUnfect with solution immediately on soiling ; wash hands and lips frequently. 
 
 Do not infect immediate surroundings of home, or spit upon grass or hay, or anj'where 
 •1m where sputum can be eaten by cattle or other animals or chickens. 
 
 Finally, let tbe patient ever remember that ftlth, foul air and darknea an the (rienda ol 
 the ganM, that aMUght, feeah air and eieaaUaaaa ai« their w«ita* lanwin. 
 
 RULCS rOB ATTINDANTa. 
 
 The floors, woodwork and furniture of rooms in which consumptive patients stay should 
 be wiped with a damp cloth, not dusted or swept in the dry way. 
 
 Clothing may be disinfected by boiling. Rooms may lie diainfeolttl with formaldehyde 
 fmraatfam (buve doaea), aun>leinented with the washing of tloor and woodwork with solution 
 6. Thia abonklbe done every few weeks when practicable, while the rooms ai« occupied by 
 the patiaMt. If the ioor or other surfacea are aooidentaliy aoiled vith mtwo, the mm 
 Aaui be wet and mbbed thoroagbly with aotntioiia 5 or 1. 2 or 3. 
 
 Rooma for consumptivea dioaM not have fixed earpeta. A law mga may rephwe tha«; 
 Uieae ahouM be frequently carried to the open air and emaed to Uie action of direct wtMut 
 for several hours at a time. For thorongh diitoieetion of thraa, atean ia the Is-st. Tha tabln 
 ware of the patient, the knife, fork, cup, and particniariy apoona, ahoold be kept separata aad 
 washed by themselves iu scalding water. 
 
 In addition to the danger from infectious dust, if it is allowed to be diflbaed thnwdi the 
 air, there are other piwsible ways of communicating the infection : it may be carried mneffy 
 to the mouth by the lingers, or indirectly by handling articles of foisl. After soiling tha handa, 
 cleanae them carefully and diainfect in aolntkm 1, 2 or 3. Ooard ogainat inoculatiM oata or 
 afanaiona with qpataa. 
 
 Rdum voa EvntTBODT. 
 
 (o.) Anything tending Ui lower the tone of the general health may act as a predisposing 
 cause— insufficient nourishment, overwork, loss of sl«>ep, worry, close ami dusty air. Avoid 
 theae. Give aleeping rooms a prolonged airing and sunning during the day, and as much 
 nii^t ventiktion aa ia praetieahle. The dwiffiay^aee aboald He tfaj aataadfy or aadt aa 
 
ai • .ri. u.lly If it i» llmuulil lliat iIh'Iv ii h fi'iiiily liriHliKiNwiii.rti tii I'mmuiiiptioii. '»» "Ut-Haur 
 .» ! u|.iii|.iii -lioiil'l U' I litxi n in (111- iiir imtl •.iiti..liiiii' iim iiiiU'Ii ;ih (HmHililtv 
 
 ,'. , K>'i\ !!• « 4-n~i- „i liil>iTi iil"~i-< •.«iin'« hum .■mil' i-mlii i i ««■. TIm' (JiTIIk nf lliin 
 .li^ u- 1. i.ii.i II \il ilit\ .iiiil llii-ir iiififlimy u loiii: lim- uikU v fitMiiirnlili- iiimlil i<>ii«. 
 
 Tti'-f-i'M' .1 1 l.iiiiu iii'ii N"ui liiioiw flotliiiiK f.Hiiifilv U'Mil liy iMiiisuin|iti»i'«, il 
 
 «H fi il.i I'lii^jlilv 'li'iiil>" ii'<l . il>' not ullim yirtir *im". iiihI lUuKlilfrt In rixk iiit'iH-tinic >i>iir 
 iiirtiM .lr.-,k.'^ ilmt luiv 11(1 llif '«ii|. »;ilk>.. IhiiHrt iih»vi' into iiii infi-clMl h<>u>M* *ir 
 
 r,».iii- uriri! tilt ilii.ioin[liii."<« •>( till' ili'<inft'i tioii Id uiiiiuniiiiMiAlilf ; <l" iMit |>ul lo y«mr lip* or 
 
 iii.Mi'li. I'V"-' in-iriin I", iiu'wy, <>r MiytbiiiK rim that Imw hewi ■m er bjr 
 
 1.. It'll ii| t not liiiv Itn-twl. niilk tir »nMe» M food not ta ha caokad, tnm 
 
 .i.fii4ijiM|ii Ki«ing. partk-olrtrly lip to lip, ill If <>iii» |>»rty b ltrt««w«J^^ 
 
 if i,o« aU liaiiijer infM-txin m«y •» .ivihlnl 
 
 l»l«IMt».< IISi. S.l|t THlMi. 
 SiJulum I. 
 
 r«H».ii<- . .i (|mr.' li.|uirt«l) 7 oiim-wi. 
 
 \V«t«T I KIllllMI. 
 
 Mix. 
 
 Thi» i> nimui « titf |*>r ivni. ntluiittn. 
 
 SiJtitiiiii J, 
 
 l,\mi\ •"' outice* 
 
 W»t.T . . . I K»lk»D. 
 
 Mis. 
 
 Many iiilMur^ are l iinniniii liy llii" Dilution. 
 
 HolaUii (itrtrxil in an ekvtoMi til wntivin orwautr) h fint. 
 
 Water 2 gallons. 
 
 Mis. 
 
 ItiiK i» a very etfivient diainfrvtiuit ftir excreta, tubervuioui '•|iuluiii, etc. 
 
 SiJul'um 4- 
 
 Forinttliii «> ournt--. 
 
 Water I gallon. 
 
 Mix. 
 
 Thin mixture cuntainn a little k>Mi than two per t-ent at fannaUehjnfe. 
 
 ituMinMte 60 jjraiiiH. 
 
 WiittT I KuUon. 
 
 .Mix. 
 
 I.iiIh'1 "|)oisoii," Till- is iilniiil om- in ii tlioii-umil solution; ulioultl only In- useil fiir wmul 
 
 work ; ilc stioys tal iiii.l !.'ilili!ii> ; iiiii-t In- k.-|il ill wikkI, uliiss or laitlii'iiwarc. Tliin iH almut 
 
 fhf Ih'sI of nil ■lisiiifiM taiils. lull is uiisiiitalili- for IuUmi uIous sputum ii.h it ciNiKulttteM allium- 
 ilious iiiattrr. 
 
 It is u gool (ilaii to ilissolvi- four or livi- tJililfM|ioimfulM of coiiiinun salt in each <)uart «rf 
 solution 1 and 2, thereljy inereaiung uoiiiwleraliiy the diaiiifeeting power «rf the milatiua. 
 
 Sfftlht : - 
 
 l^ti-ani (lisinffi tion ciiii Im' l airiiil out on a siiiall si-iilc in tlif i-oiiiuioii tin wash lioiier, l»y 
 supiurtintf a false iMittoin or HiHir of latlis or thin tmiinlN aUive the water with two lirirku, or 
 otherwiiie. One hoar Rteaming in nevcanry. 
 
 Notb.— The Att4»rney-0eiierttl direct* me to announce that tlie tiovernim iit Hacterioloi^iial 
 Labiiratury in at the ilis|ioHiil of all -ufRwrw. Thfrefore. ]iersons susi»>ct«sl to Im suffr.iiiK 
 from tuberculosis can have their sputuin exaniinisl at the lalioratory fr»-e of charge. The early 
 muniinK sputum shoiilil lie sent in small, wiili- infkisl, ch-aii, dry iMittlen, ami well oorkMI, 
 Uiffether with a full hiittury of tlw- ua«e. ^ it is preferable Ui act through your doctor. 
 
 Chakuw J. Faoas, 
 
PROVINCIAL BOARD 0^ MALTU, RRITIHU COLUMRIA. 
 
 RE TUBERCULOSIS. 
 
 ■apdlAklM of tlM Provindal Bo«rd of Health, awimvd by Hia Honour 
 tlw UtiHwiwili thtmum to OPaMi, <toM Honaibtr im, 1001. 
 
 o 
 
 W lwrn w tabOTMimb is mtw piovid to bt iaiKliMM» mmI in m tlw hmcM tbm niiUif 
 in BMH15 pwtoof th* Plwrimw, tlw PkwriiwM Bcwrd of RnMh Mweto tlw hlbwli^ Nyd*- 
 
 tioM :— 
 
 1. Wienevpr nny ph-niciiin kiiowH or MUMpw't* timt any jientiin whmn ho i» vnllnl upon to 
 vkit M iii(tvt«ii with or luw liini ii( tulien-ulusia, htt Mhall ininieiliatf ty noUfy the Medical 
 Ifarith Qgcar, and give an wiemmt d the cooditiow d ptiwrt — d itto iHwt pwwiiwM tn 
 hiia§ ttlun to pwvent iaieetiaa. 
 
 2. Wheneirer aajr boonboider knowi oe Mnecta that mt nannn witUn hia CamilT or 
 h fW MhnM hoatriwnwInri^healwIliwwedHiit^l^iw^ 
 
 3. Wbeiwrer »nj teacher in any Kbooi baa raaaon to ■■■poet tlw» My pvafl k Mifl^ : 
 Aran tabercnloriN, he ihall notify the MedioU Health OOeer iwi— dirtely, aad mj |mv 
 the attendance of iiach pupil until nwdieal evidence in prodnoed (hot nwh fVfO i* DOtMrf 
 falg from tulwrcuUmiii, or any form likelT to he infBctioua. 
 
 i. Whenever any Huperintenilent, or pemon in char|{e of any hoapital — ptti;Uo or private 
 — aMyluin, gaol, orphana|{e, "home," convent, or private Nchool, k:iowa or Mw^w-rtn that any 
 inmate of aoch haapital, aaylum, gaol, onihaiMg^ "bome," oo ivt. t, or priv» ? M-boo!, w 
 Kuflering fiKM mb e nM b w h to amy farm, km ahdl i iii H w dhitol y : tr.r tbv IfMir^ Hwllli 
 Officer. 
 
 5. In MunieipalitieH oi' DistriotH where no Medical Health Officer Iimh been ff'Tltrt. 
 notification ■bookl be aent to the Secretary of the Provincial Board of Health. 
 
 MiDicAL Health OmcKit. 
 
 " Medical Health Officer" xhall mean and include the Medical Health Officer ai^Mintod 
 under the proviHionH of the " Health Act," to act within the limits of the jurisdiction of any 
 Local Rtmrd or Health Dintrirt. 
 
 7. The Medical Health Officer shall, within forty-eight hours, give notice in writing to 
 the Secretary of the Provincial Board tif Health of every cane of tuberculosis reported to 
 him, and shall state as nearly as possible the condition of patient, and what precautions are 
 being taken to prevent infection. 
 
 H. In case the Medical Health Officer is not satisfied with the report of the physician in 
 charge, he may demand a fuller report, and in the event of his still being dissaMsfled be itaU 
 visit the patient and satisfy himself that all necessary precautions are being can ied out 
 
 9. In ease wbw* the Medical Health Officer and attending physician disagree as to pre- 
 eMtioanfy ■i m mm , Uw mntter ahall be referred to the Provincial Board of Health for final 
 
8 
 
 10. Whenever a o«»e is re]H)rt«Ml oh m>t »ieing under the char|p of a pliwiciaiithe Medic al 
 Health Officer shall f..rth» itli visit such ca* and instrtiet the p«tlent »• to noeeiiMry prma- 
 tioiw ainunHt (P'ni'iiil luvl self infection. 
 
 11 Whenever tli.- Mtwlical Health Offi.iT or tli.- plivsirian in . harfjc .-misulcrs tlmi ii 
 h.mse or any p.1 of a hoUHC U infecte.1 with tul)civul.*i>s he .shall onlcr said lioumj <.rj«irt ot 
 house u> he diainfected, in accord»nce with inatmctionii iwMd by the Pronnctal Board at 
 
 '^"''l'-' In all . a«cs t.f .l.-nth from tvilion uloMis the rcKinis or house occupied by deceased «Jjall 
 U- ,iisinf.-<te.l to tlH> s..tista, tioM of the M.slical ll.'.ilth (Wicer, or the 8ec:t!tary irf the PW>. 
 vilieiai ll 'ai'l I'f Health .>r hi- il. iaity. .i 
 
 ):l \Vhene\er a .a.e ut taU n ulosis is rei».itc<l inmi a h.itfll iw l>.jardin(^hou«e, tlie 
 M.-lieii H. altli tMhrer shall ^ isii the jwtient while re!«<ling in Haid Iwitel w Wrding-h«m«e 
 once H we<'k, or often as I he S.Hrctary of the Provim-ial Hoard of Health n»y direct. 
 
 SpiTTIitfi I* Pl'BI.IC. 
 
 U -luasmm-h .IS spittini; is pmvlv a matt-i- of hal.it. ati.l is offensive to many, and in 
 oftet. ^^^v harmful an-l .a fruitful nieails of carrviii;! .lisease, it is hereliy .l.vla.-,.«l unlawful to 
 -pit iM iiaii, .ais. railway .ais. or other public i-onveyances, .iron sidewalks, or <m flooru mhI 
 other parts .>f puhlie Imihlinss. 
 
 Ti'BKHfi'LODH Milk. 
 
 l.j Inasmuch as tuU'ivulous milk in anioHt fruitful s..uiee of eonsuniption. it is herel.y 
 .leolarcfl unlawful for anv ,H.is,on to *11 milk unless he has a ee, tifieate, of a (late not later 
 
 than six months, fnMii Uie Provincial Vctoriimry Surv-eon that the eows fi which such imlk 
 
 crnies are fn-e from tul)er.-ul.«is. Such certificaU- may !).■ .iemaiMle.1 l.y any eustoiiier ..r 
 Mclical Health Offic-r, HaniUry InsiHcto, , S<-. retary of tlie I'rovuicml I!.mnl of Health or hw 
 lieputv. 
 
 I >l.s|NFKrT10S. 
 
 Ki When. it api^ ais Me, e,sai v .i.lxisable to the M«lie»l Health Officer to liave 
 ,nnv hous.- hotel. I„,ai-,linuh..use. hall, tlieativ, cur, railway ear or irther puMic «m\-ey»m-ea 
 (liKiiifeitc<i, he may oilier s,ii,„. to U- .lone and at the cxjicns.- of the owners. 
 
 Pes.\ltii». 
 
 17 Viiv |HTs„n who violates anv |.iovisi„n of tli.s,. it-iilalions shall 1)C liahle, upon SUBI- 
 ,„ai v ron'vi. ii.'i, U'toiv anv I'oli. e or'.S ii»'inliarv .Magistrate, or U.fon- any twro Justices of the 
 Pe ii e f..r . w i V s|i, h otr. n'ec., t.. a tine not execilitif; one liuii<lre*l doltars, with or without coats, 
 or to imprisonment, with ..r v»ilhout hard lals.ur, for a term mit exceeding six nnrntJus or to 
 botb fine and impris»mnH>nt in the discretion trf the convicting Court. 
 
 CHARLES J. FAOAN, 
 
 VICTOKIA, 11. c ; 
 
 t'riM<4h> kKHUB WuMimPM, I'rinli r l.i the Klll«'» Ho* K»cril«l M^Hl). 
 
 4