Copyright
Saint Louis (Mo.).

Laws and ordinances for the government of the Health Department of the city of St. Louis, 1879 .. online

. (page 1 of 8)
Online LibrarySaint Louis (Mo.)Laws and ordinances for the government of the Health Department of the city of St. Louis, 1879 .. → online text (page 1 of 8)
Font size
QR-code for this ebook


R A

98

&3 A4

1879

Public

Health



^RKEIEY IIBRARY



UC-NRLF




$B bME 2D2




>:::iS::^i:^«^:ri^^<>^^



LAWS AND ORDINANCES

FOR THE GOVERNMENT OP THE

HEALTH DEPARTMENT

OF THE

City of St. Louis.

1879.



MEMBERS OF THE BOARD OF HEALTH:

Hon. henry OVEllSTOLZ, Maj^or and Presiding Officer.

CHAKLES W. FRANCIS, ■ LESLIE A. MOFFETT,

Health Commissioner. From Board of Police Commissioners .

W. B. CONERY, M. D. JOS. SPIEGELHALTER, M. D.

JOHN H. LIGHTNER, *"

From City Council.

CLERK OF HEALTH COMMISSIONER AND BOARD OF HEALTH:

ROBERT LUEDEIQNG, M. D.

DISPENSARY PHYSICIAN: ASSISTANT DISPENSARY PHYSICIAN:

A. C. ROBINSON, M. D. G. W. CARSON, M. D.

ASSISTANT CLERK: RECORD CLERK:

JNO. J. FITZWILLL\M. MORRIS JACKS.

SANITARY OFFICERS:

FIRST SANITARY OFFICER:
GEORGE HOMAN, M. D.

ASSISTANT SANITARY OFFICERS:

R. H. O'BRIEN, M. D. J. H. MOORE, M. D.

HENRY REMNITZ.

SUPERINTENDENT CITY HOSPITAL:^ ^ SUPERINTENDENT FEMALE HOSPITAL.

D. V. DEAN. M. D. // , , ^, ^^^Jl'' '- JP. V. SCHENCK, M. D.

II UNlVLR? ' lj

O '-" /

SUPERINTENDENT INSANE ASYLUM :>^C^ j^ SUPERINTENDENT POOR HOUSE:

N. DEV. HOWARD, M. D. ^-^i;i_>^ — ^ g tAYON.



Times Printing House.






# -^



9




ARTICLE XII



OF THE CHARTER OF THE CITY OF ST. LOUIS RELAT-
ING TO THE HEALTH DEPARTMENT.

HEALTH DEPARTMENT.



SKCTION.

1. Health Commissioner; his official

term and bond.

2. Board of Health; meetings, quo-

rum, etc.

3. Duties of Commissioner ; appoint-

ment of employes ; may examine
premises; shall obey orders of
Board, and report annually to
Mayor.

4. Nuisances to be reported to Com-

missioner ; births, marriages and
deaths to be registered; Com-
missioner to have charge of
hospitals, asylums, etc.

5. Superintendents of hospitals and

employes, how appointed.

6. Abatement or removal of nuisances ;

notification to owners: cost of



SECTION.

abatement to be assessed as a
special tax.

7. Contracts for the abatement of

nuisances.

8. Proclamation by Mayor in time of

epidemics; authority of Com-
missioner and Board of Health
in such cases, etc.

9. Commissioner's record and ac-

counts.

10. Duties of physicians in reference

to burial certificates.

11. Weekly report of interments to be

made to Health Commissioner.

12. Penalty in case of burial without

certificate.

13. Penalty for failure to make weekly

report of interments.

14. Record of proceedings of Board.



1^^ wb

L



Section 1. There is hereby created a Health Department of
the City of St. Louis, which shall be managed, directed and con-
trolled as provided by this Charter and by ordinances of the City
of St.. Louis, by a Board of Health as hereinafter provided, and
by an officer who shall be denominated the Health Commissioner.
He shall be appointed by the Mayor, by and with the approval of
the Council, and shall perform such duties as may be provided by
this Charter and by ordinance. He shall hold his office for the
the term of four years, and until his successor is duly qualified,
be subject to removal by the Mayor as other officers, and shall
possess the same qualifications as the Mayor, and shall give bond
in such sum as shall be ordained by the Assembly, with at least
two sufficient sureties, for the faithful performance of his duties.

Sec. 2. There is also hereby created a Board of Health, which
shall consist of the Mayor (who shall be its presiding officer), the
presiding officer of the Council, a Commissioner of Police, to be
designated by the Mayor, and two regular practicing physicians,
who shall possess the same qualifications as the Mayor. The



OftO^^n



4 Laws and Ordinances

Health Commissioner shall be a member of said Board, and, m
the absence of the Mayor, the presiding officer. The Board shall
meet twice in each week during the year. They may be convened
in special session at any time by the Mayor, Health Commissioner,
or by any two members of the Board, upon written iiotitication
served iwelve hours before the date of said meeting. Three
members of the Board shall constitute a quorum for the transac-
tion of business, and it shall have power to adopt rules and regu-
lations for its government.

Sec. 3. The Health Commissioner shall have general super-
vision over the public health of said city, and see that its regula-
tions, and the laws and ordinances of said city in relation thereto,
are enforced and observed, and for that purpose he is authorized
and empowered to make such rules and regulations, with the
approval of the Board, not inconsistent with this Charter or any
city ordinance or law of this State, as will tend to preserve and
promote the health of said city ; to appoint such employes, with
the approval of the Board of Health, as may be necessary for the
execution of his orders ; to enter into or authorize and require
any employe or police officer to enter into and examine, in the
day time, all buildings, lots and places of every description
within the city, and to ascertain and report to him the condition
thereof, so far as the public health may be affected by it; to
declare and abate nuisances in such manner as may be provided
herein, or by ordinance; but all condemnations must first be
approved by the Board of Health, whose action thereon shall be
final. He shall obey all orders not inconsistent with this Charter
and city ordinances, emanating from the Board of Health, and
shall annually report to the Mayor the general operations of his
department during the year then ended, with such suggestions
for the improvement of the same as he shall consider expedient.
Sec. 4. It is made the duty of all police officers to observe
the sanitary condition of their districts, and through the Chief of
Police to" report to the Health Commissioner promptly any nuis-
ance or accumulated filth found to exist in any portion of .the
city. The Health Commissioner shall provide for the registration
of all births, deaths and marriages occurring within the city ;
shall have charge of all city hospitals, quarantine, insane asylums,
morgue and city dispensary, and with the advice and counsel of
said Board of Health make all necessary rules for the government
thereof.

Sec. 5. There shall be a Superintendent of the City Hospital,
a Superintendent of the Female Hospital, a Superintendent of
the Insane Asylum, and a Superintendent of Quarantine when
necessary, who shall perform their duties under the general super-
visiou of the Health Commissioner, and shall be appointed by the



Governing the Health Departinent. 5

Mayor, with the approval of the Board of Health; but all other
employes shall be appointed by the Health Commissioner, and
approved \yy the Board of Health, except such as may be tempo-
rarily in the employ of the Health Commissioner,

Sec. 6. In order to effect the abatement of nuisances or
removal of accumulated filth, the Health Commissioner shall have
power, whenever in his opinion such nuisance or tilth exists, and
after officially so declared of record by the Board of Health, to
notify the owner or owners thereof, or his or their agents, to abate
or remove the same, either by filling up, draining, cleaning, puri-
fying or removing same, as the case may be, which notice shall
be served upon the owner or agent having charge of said property,
in the same manner as writs of summons are required to be served
in civil cases. If the owner, who shall have been so served
with such notice, shall fail within the time indicated in such
notice, which shall be discretionary with said Health Commis-
sioner, to comply with such order, or fail to show good cause
to said Health Commissioner why he cannot or ought not to
comply with such order, for which purpose he shall be entitled
to be heard before said Health Commissioner and Board of Health,
if he so request it, he shall be deemed guilty of a misdemeanor,
and on conviction, shall be fined not exceeding five hundred
dollars ; and the nuisance shall be abated, and special tax bills
rendered against the property in same manner as against non-
residents, except that notice by advertisement shall not be nec-
essary. If such service cannot be made for the reason that the
owner, agents, or other persons having charge of the property
upon which the nuisance may exist, cannot be found in the city,
of which fact the return upon such notice of the officer serving
the same shall be conclusive evidence, then the Health Com-
missioner shall cause such notice to be published in the newspapers
doing the city printing, for two consecutive days (Sundays
excepted). And if within two days after the service of such
notice, or after its publication as aforesaid, such nuisance shall
not be abated, or the order observed by the owner, then the
Health Commissioner may order the same to be done as hereinafter
directed; and the cost of the same, when fully completed^ shall
be ascertained under the direction of the President of the Board
of Public Improvements, in the same manner as special tax bills
for street improvements : and the amount thereof shall be assessed
as a special tax against the property so improved, or upon which
such work has been done, in the name of the owners thereof, of
which the books of the Assessor shall be proof, and the certified
bills of such assessment shall describe therein the property upon
which the work was done. Said bills shall be recorded and shall
be collected and paid as provided in this Charter in relation to



6 Laws and Ordinances

the collection of other special tax bills, and shall be a lien on said
property, and the Heath Commissioner shall keep a record of his
proceedings in all cases of abatements ordered by him.

Sec. 7. All contracts for work contemplated by this section
on which special tax bills are to be issued, shall be entered into
by the President of the Board of Public Improvements, in the
name of the city, based on the estimates of the cost by the Presi-
dent of the Board of Public Improvements, accompanied by
reports of surveys and profiles, in cases requiring the same in the
judgment of such President, and shall be approved by the Mayor
and registered in the office of the Comptroller.

Sec. 8. Whenever it shall come to the knowledge of the
Mayor that any malignant, infectious or contagious disease or
epidemic is prevalent in the city, or will probably become so, he
may make proclamation of such fact to the inhabitants ; and after
such proclamation the Health Commissioner, with the approval
of the Board of Health, may have power, by order, to take all
steps and use all measures necessary to avoid, suppress or miti-
gate such disease, without the intervention of the Assembly, in
the same manner and as effectually as the Assembly could itself
do by ordinance ; and may employ such officers, agents, servants
and assistants, establish temporary hospitals, provide necessary
furniture, medical attendance and nurses, as in the opinion of the
said Commissioner, with the advice and counsel of said Board of
Health, may be necessary and advisable; Pr^ovided, That the
amount expended shall not exceed the appropriation for Health
Department. The Health Commissioner shall have and exercise
such power until he shall declare, or until the Mayor shall pro-
claim, that the epidemic or disease, in view of which the procla-
mation was made, is no longer imminent or prevalent, whereupon
the said power shall cease.

Sec. 9. Said Health Commissioner shall keep a record of his
acts and orders ; shall file all petitions, documents and papers be-
longing to the office, and shall keep a correct account in full of
all receipts and expenditures, and shall make rules and regula-
tions for the government of his subordinates, copies of such
records, documents, rules and regulations, when authenticated by
his clerk, shall be presumptive evidence in any court of justice
of the facts therein contained ; Provided, such rules and regula-
tions are not inconsistent with this Charter or ordinances.

Sec. 10. For the purpose of carrying the provisions of this
article into effect, every physician who may practice medicine in
the City of St. Louis shall, when a patient dies under his care,
make out two certificates, stating the name, age, sex, color and
place of birth, and place and date of death, together with the
name of the disease of which said person died, one of which he



Governing the Health Department, 7

shall, without delay, deposit in the office of said Health Commis-
sioner, and the other he shall give to the undertaker of the
funeral, to be delivered by him to the person who has control of the
graveyard in which the body is buried. And if any physician or
undertaker refuse or omit to do as aforesaid, he shall forfeit and
pay five dollars to the use of the City of St. Louis, to be re-
covered as provided for in section twelve of this article.

Sec. 11. All overseers, sextons, or other persons who may
have control over public graveyards in the City of St. Louis,
shall make a weekly report to the Health Commissioner of all
interments during the week in the graveyard whereof they are
such overseer or sexton respectively. Said report shall specify
the names and ages of the persons interred, sex, color and place
of birth, and place and date of death, and also the disease of
which said persons died.

Sec. 12. If any overseer, sexton, or other person having
control of a graveyard, shall permit any person to be interred in
said graveyard without a certificate stating the name, age, sex,
color, place of birth, place and date of death, together with the
disease of which said person died, signed by the physician who
attended said person, he shall forfeit and pay a sum not less
than five nor more than twenty dollars, to be recovered as in
other cases of misdemeanor, before any court or officer having
competent jurisdiction.

Sec. 13. If any overseer, sexton, or other person charged
with the performance of such duty, fail or neglect to make to the
Health Commissioner such report of weekly interments, he shall
forfeit and pay not less than twenty dollars for every such failure,
to be recovered in like manner as provided in the last preceding
section.

Sec. 14. The Board of Health shall keep a full and correct
record of its proceedings and acts, and the clerk of said Health
Commissioner shall act as the clerk of the said Board.

[10,311.]

AN ORDINANCE establishing and regulating the office of
Health Commissioner, defining his duties and powers, and fixing
his salary and bond.

Whereas, an emergency has arisen, there being, no ordinance
in existence establishing and regulating the office of Health Com-
missioner, defining his duties and powers, and fixing his salary
and bond, and.

Whereas, the Charter of the City of St. Louis provides that
the Municipal Assembly shall prescribe the duties and fix the
bonds of all officers ; therefore this ordinance shall take efiect and
be in full force from and after its approval by the Mayor.'



[■|be i

L



8 Laws and Ordinances

Be it ordained hy the Municipal Assembly of the City of St, Louis,
as follows :

Section 1. There is hereby created the office of Health Com-
missioner. Said Health Commissioner shall be appointed b}^ the
Mayor, with the approval of the Council ; he shall perform such
duties as may be provided by the Charter and ordinances of the
City of St. Louis. He shall hold his office for the term of four
years, and until his successor is duly qualified, and be subject to
removal by the Mayor or Council, as other city officers, and shall
possess the same qualifications as the Mayor.

Sec. 2. The Health Commissioner shall have general super-
vision over the public health of the city, and see that its regula-
tions, and the laws and ordinances of said city in relation thereto
are enforced and observed, and for that purpose is authorized and
empowered to make such rules and regulations, with the approval
of the Board of Health, not inconsistent with the Charter, or any
city ordinance or law of the state, as will tend to preserve and
promote the health of said city, and to appoint such employes,
with the approval of the Board of Health, as may be necessary^
for the execution of his orders ; to enter into or authorize and
require any employe or police officer to enter into and examine, in
the day-time, all buildings, lots, and places of every description,
within the city, and to ascertain and report to him the condition
thereof, so far as the public health may be afiected by it ; to de-
clare and abate nuisances in such manner as may be provided by
the Charter, or by the ordinances of the city ; but all such con-
demnation must first be approved by the Board of Health, whose
action theron shall be final, and shall provide for the registration
of all births, deaths and marriages within the city, shall have
charge of all City Hospitals, Quarantine, Insane Asylum, Morgue,
and City Dispensary, and with the advice and counsel of the Board
of Health, make all necessary rules for the government thereof.
He shall obey all orders not inconsistent with the Charter and
city ordinances emanating from the Board of Health, and shall
annually report to the Mayor the general operations of his de-
partment during the year then ended, with such suggestions for
the improvement of the same, as he shall consider expedient.

Sec. 3 The Health Commissioner shall keep a record of all his
acts and orders, and shall file all petitions, documents and papers
belonging to his office, and shall keep a correct account in full of
all receipts and expenditures, and shall make rules and regula-
tions for the government of his subordinates. Copies of such
records, documents, rules and regulations, when authenticated by
his clerk, shall be presumptive evidence before any court of
justice of the facts therein contained ; Provided, such rules and



Governing the Health Department, 9

regulations are not inconsistent with the Charter or ordinances of
the city.

Sec. 4. The Health Commissioner shall receive a salary of
three thousand dollars a year, payable monthly, and shall, before
entering upon the duties of his office give a good and suf-
ficient bond in the sum often thousand dollars, conditioned as the
bonds of other city officers, and to be approved by the Mayor.

Sec. 5. The Health Commissioner shall devote his entire time
to the duties of his office.

Sec. 6. All employes appointed by said Health Commissioner
shall be citizens of the United States, and shall have been resi-
dents of the City of St. Louis for at least two years next pre-
ceding their appointment.

Approved May 29, 1877.

[10,330.]

AN ORDINANCE creating and establishing the Health De-
partment and Board of Health of the City of St. Louis, defining
the powers and duties of the Board and their compensation, pro-
viding for the clerk of the Health Commissioner and Board of
Health, prescribing his duties, fixing his bond and salary, provid-
ing for the fixing of the wages of employes, to establish a Dispen-
sary, providing for the appointment of Dispensary physician,
and an apothecary, and to repeal article 1, chapter 12 of the Re-
vised Ordinances of the City of St. Louis, approved March 31,
1871.

Whereas, An emergency has arisen, there being no ordinance
in existance establishing and regulating the Health Department of
the City of St. Louis, and defining its powers and duties, and

Whereas, the Charter of the City of St. Louis prescribes that
such a department shall be created, and that the Municipal Assem-
bly shall by ordinance prescribe the powers and duties ; therefore,
this ordinance shall take effect and be in full force from and after
its passage.

Be it ordained hy the Municipal Assembly of the City of 8t, Louis,
as follows:

Section 1. There is hereby created a Health Department for
the City of St. Louis, which shall be managed, directed and con-
trolled as provided for by the Charter and ordinances of the City
of St. Louis by a Board of Health and by a Health Commissioner.

Sec. 2. The Board of Health, as hereby constituted, shall
consist of the Mayor, who shall be its presiding officer, the pre-
siding officer of the Council, a Commissioner of Police, to be



10 Laws and Ordinances

designated by the Mayor, and two regular practicing physicians,
who shall possess the same qualifications as the Mayor, and who
shall be appointed by the Mayor and confirmed by the Council.
The Health Commissioner shall be a member of the Board, and,
in the absence of the Mayor, the presiding officer. The Board
shall meet twice in each week during the year. They may be
convened in special session at any time by the Mayor, Health
Commissioner, or by any two members of the Board, upon a
written notification, served twelve hours before the date of said
meeting. Three members of the Board shall constitute a quorum
for the transaction of business. The Board shall have power to
adopt rules and regulations for its government. In case of the
absence of both the presiding officers of the Board, as established
by this ordinance, and also the Health Commissioner, from any
regular or special meeting, the other members are hereby empow-
ered and authorized to organize the Board, and conduct their
business by electing a presiding officer ^?'o tempore.

Sec. 3. The members of the Board of Health shall hold their
office for the term of four years and until their successors are duly
elected or appointed and qualified ; Provided, however, that the
first appointments under this ordinance shall hold their office until
the first Tuesday in April, 1879, only. They shall, except the
Mayor, Health Commissioner, President of the Council and Police
Commissioner, receive a salary of five hundred dollars each, per
annum, payable monthly.

Sec. 4. The Board of Health shall cause to be kept in suitable
books, a full and correct record of its proceedings and acts. They
shall also cause to be kept a full and correct account of all
expenses incurred by their authority, specifying the amounts,
why, and when, and how incurred, for what purpose applied, and
also a correct account of moneys received by them from whatever
source. They shall also cause to be kept a book for the registra-
tion of all physicians who have complied with all ordinances
governing physicians and shall furnish a copy of the same to any
druggist or apothecary applying therefor. Before any money is
paid out, the accounts therefor shall be examined and approved by
a majority of the Board, and signed and approved by the Presi-
dent or Health Commissioner, and attested by the clerk, and such
accounts if so certified, shall be audited by the Auditor in the same
way other accounts are audited and he shall draw his warrants on
the Treasurer for such amounts according to law ; but all articles
of every kind and description that may be required in any and
all of the institutions and departments under the charge of the
Board of Health shall be purchased as may be provided for by
the Charter and ordinances.



Governing the Health Department. 11

Sec. 5. The Health Commissioner shall appoint some fit and
competent person, who shall possess the qualifications as pre-
scribed by section 10, article 4 of the Charter, as clerk of the
Health Commissioner, and such appointment shall be subject to
the approval of the Board of Health. The Clerk of the Health
Commissioner shall act as the clerk of the Board of Health. Said
clerk shall receive a salary of eighteen hundred dollars per year,
I payable monthly, and shall, before entering upon the duties of his
office, give a good and sufficient bond in the sum of five thousand
dollars, conditioned as the bond of other city officers, and be* ap-
proved by the Mayor and Council. It shall be the duty of the
Clerk to attend at the office of the Board of Health and of the
Health Commissioner, attend all meetings of the Board, record
its proceedings in suitable books, issue its orders, sign all notices
and attest all copies of papers and proceedings, and to do and
perform all such duties iis may be required of him by the Board
of Health and the Health Commissioner. He shall also keep a
record of all acts and orders of the Health Commissioner, shall
file all petitions, documents and papers belonging to the office of
Health Conynissioner and Board of Health, and shall keep a cor-
rect account in full of all receipts and expenditures in said offices
and a strict account of all moneys and effects that may come into
his possession, and he shall devote his time to the duties of his
office.

Sec. 8. Article 1, chapter 12, of the Eevised Ordinances of


1 3 4 5 6 7 8

Online LibrarySaint Louis (Mo.)Laws and ordinances for the government of the Health Department of the city of St. Louis, 1879 .. → online text (page 1 of 8)