Copyright
Saint Louis (Mo.).

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

. (page 2 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 2 of 8)
Font size
QR-code for this ebook


the City of St. Louis, approved March 31, 1871, is hereby re-
pealed.

Approved July 17, 1877.

[11,061.]

AN OKDINACE providing for the government and manage-
ment of the Hospitals and Dispensary and Insane Asylum, and
to repeal ordinance No. 10,366, entitled <«An ordinance providing
for the government and management of the Hospitals and Morgue
of the City of St. Louis, the appointment of the Superintendents
and assistants, fixing their salaries and prescribing their duties, and
to repeal article five, chapter twelve, of the Revised Ordinances of
the City of St. Louis, approved March thirty-tirst, eighteen hun-
dred and seventy-one, and to repeal ordinance number eight
thousand nine hundred and ten, entitled "An ordinance to authorize
the establishment of a City Hospital for Females," approved June
seventeen, eighteen hundred and seventy-four." Also to repeal
ordinance number ten thousand three hundred and twenty-eight,
entitled "An ordinance establishing and regulating the office of
Superintendent of the Insane Asylum," approved July seventeenth,



12 Laws and Ordinances

eighteen hundred and seventy-seven, and to repeal sections six and
seven of ordinance number ten thousand three hundred and thirty,
entitled "An ordinance creating the Health Department and Board
of Health," approved July seventeenth, eighteen hundred and
seventy-seven, and to repeal ordinance number ten thousand three
hundred and thirty-four, entitled and '*An ordinance establishing
and regulating the management of the Insane Asylum," approved
July thirty-first, eighteen hundred seventy-seven, and to repeal
article five, chapter twelve of the Revised Ordinances of the City
of St. Louis, approved March thirty-first, eighteen hundred and
seventy-one, and to repeal ordinance eight thousand nine hundred
and ten, entitled "An ordinance to authorize the establishment of
a City Hospital for Females," approved June seventeenth, eighteen
hundred and seventy-four.

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

Section 1. The Health Commissioner shall have general super-
intendence and management over all the City Hospitals, Dispen-
saries and Insane Asylum that now are, or hereafter may be,
established.

Sec. 2. All requisitions for supplies or repairs for the Hospi-
tals, Dispensary and Insane Asylum shall be approved by the
Health Commissioner, and all accounts against said Hospitals,
Dispensary and Insane Asylum, when signed by the Health Com-
missioner, shall be examined, approved and signed by a majority
of the Board of Health, and certified to by the president or Health
Commissioner and attested by the clerk, whereupon the Auditor
shall draw his warrant upon the Treasurer therefor. If the Board
of Health find any articles have been purchased (or repairs made)
on requisitions signed by the Health Commissioner which thej^ do
not deem necessary, they shall, if a majority of the Board so
decide, refer the whole matter to the Mayor, who shall take such
action as he shall think proper.

Sec. 3. The Health Commissioner, with the advice and approval
of the Board of Health, shall prescribe the condition of admission
to, and make all necessary rules for the government of, the
Hospitals, Dispensaries and Insane Asylum.

Sec. 4. There shall be a Superintendent of the City Hospital,
a Superintendent of the Female Hospital, a Superintendent of the
Insane Asylum, and, when necessary, a Superintendent of Quar-
antine ; said superintendents shall be appointed by the Mayor,
with the approval of the Board of Health, and subject to con-
firmation by the Council, and shall perform their duties under the
general supervision of the Health Commissioner, and shall hold



Governing the Health Department, 13

their offices for the term of four years, from the first Tuesday of
April, eighteen hundred and seventy-nine, and until their succes-
sors are appointed and qualified. Said superintendents shall each
give a bond to the city in the sum of five thousand dollars, con-
ditioned upon the faithful discharge of their duties and accounting
for all property to the city which comes into their possession or
under their control. Said bond shall be secured by two or more
securities, who shall beholders of unincumbered real estate in the
City of St. Louis, and shall be approved by the Mayor and
Council.

Sec. 5. The Superintendents shall be physicians in good
standing, and of recognized professional knowledge and ^kill, and
graduates of some reputable medical school. The Superintend-
ents shall have supervision of the management of the institutions
under their respective charge, and shall have control of the officers
and employes in said institutions, and shall have power to dis-
charge any of said employes, or to suspend any of the assistant
physicians or other officers engaged at said institutions for neglect
of dnty or gross violation of the rules. When the Superintend-
ents shall find it necessary to discharge any employe, or suspend
any assistant physician or other officer, they shall report the fact
of such discharge or suspension, and the cause of such action to
the Health Commissioner. If the Health Commissioner does not
approve of the action of the Superintendents in the discharge or
suspension of any officer or employe, he shall refer the whole
matter to the Board of Health, which shall take such action as it
shall deem proper. The Superintendents shall have entire con-
trol of the patients in their respective institutions, and shall be
responsible for their welfare and the care taken of them, subject
to the rules prescribed by the Health Commissioner. The Super-
intendents shall live in the institutions and shall devote the whole
of their time to the services of the institutions. The Superin-
tendents and their wives and children shall receive boarding and
washing at the institutions, and may, with the approval of the
Health Commissioner, keep a horse of their own, and the Super-
intendents are alone authorized to discharge patients from the
institutions.

Sec. 6. The Health Commissioner, with the approval of the
Board of Health, may appoint one or more assistants to the
Superintendents of the hospitals and Insane Asylum to serve for
one year, unless sooner removed by the Health Commissioner ;
said assistants shall be graduates of some regular medical school,
and shall perform such duties as may be required of them; they
shall receive boarding and washing at the hospital, but no salary
shall be allowed said assistants. One of said assistants shall
speak the German and English languages fluently.



14 Laws and Ordinances

Sec. 7. Students of medicine, when accompanied by a pro-
fessor of any of the medical colieires in this city, all of whose
faculty are registered physicians, as provided by ordinance num-
ber ten thousand three hundred and eighty-six, may be admitted
to the wards and lecture rooms in the hospital at such hours and
days of the week as may be designated by the Health Commis-
sioner ; but no lecture shall be held in the presence of the
patients in said hospitals. The Health Commissioner shall desig-
nate to the respective medical schools visiting said hospital, the
days and hours they will be respectively allowed to visit said
hospital. The Health Commissioner shall have power to suspend
the exercise of the privilege herein granted to medical schools,
for any violation of established rules, or for any failure to comply
with the provisions of this ordinance.

Sec. 8. No surgical operation shall be performed in any of
the hospitals belonging to the City of St. Louis without the con-
sent and indorsement of the Superintendent thereof, nor shall
any capital operation be performed in such hospital without the con-
sent and indorsement of the Superintendent, and upon consulta-
tion with one of the consulting physicians or one of the medical
members of the Board of Health, except in cases of emergencies.

Sec. 9. No clinical lectures shall be delivered at the bedside
of the patients, or in any ward set apart for and occupied by them.

Sec. 10. Convalescent patients may be required to perform
such labor about the hospitals as may be demanded of them ; pro-
vided the Superintendent is satisfied that such labor will not
retard recovery.

Sec. 11. No male patient shall be received in the Female
Hospital under any circumstances.

Sec. 12. The Female Hospital shall be used exclusively for
the reception of females, and all the inmates committed to said
hospital may be employed at such needle work or other useful
industry as they may be able to perform, and any convalescent
inmate so desiring may, with the permission of the Health Com-
missioner, remain a sufficient length of time to enable her to pro-
cure employment, or until she can be placed in communication
with her friends.

Sec. 13. The institution heretofore known as the *« Social
Evil Hospital and House of Industry," shall be hereafter known
and designated as the Female Hospital.

Sec. 14. Whenever it shall be necessary to send to any of
the hospitals any child under ten years of age, the Health Com-
missioner shall have the power, if he thinks proper, to allow the
parent to go to the hospital and remain and nurse said child.

Sec. 15. The Superintendent of the City Hospital shall have
charge and care of the convicts iu the Workhouse, and shall re-



Governing the Health Department, 15

ceive a salary of twenty -two hundred dollars per annum, payable
monthly. The Superintendent of the Female Hospital shall have
medical charge of the health of the inmates of the City Poor
House, and shall receive a salary of twenty-two hundred dollars
per annum, payable monthly. Should the Board of Health at
any time find it necessary to appoint a Superintendent of Quar-
antine, they shall report their action to the Municipal Assembly,
who thereupon shall fix his compensation. The Superintendent
of the Insane Asylum shall receive a salary of two thousand dol-
lars per annum, payable monthly.

Sec. 16. The Health Commissioner may, with the approval of
the Board of Health, establish a dispensary at his office and else-
where, for the purpose of dispensing medical advice and medicines
to such applicants as are sick and indigent. The Health Com-
missioner shall appoint two competent persons as dispensary physi-
cians and two competent persons to serve as apothecaries. Said
appointments shall be subject to the approval of the Board of
Health. The salary of the dispensary physician shall be twelve
hundred dollars per annum, and that of his assistant nine hundred
dollars per annum, payable monthly. The salaries of the apothe-
caries shall be eight hundred dollars per annum, payable monthly.
The Dispensary physician shall have charge and care of the health
of the inmates of the Jail, and the medicine for such patients
shall be furnished from the Dispensary.

Sec. 17. The building on Arsenal street heretofore know as
the *' County Insane Asylum," and acquired by the City of St.
Louis by the ratification of the Scheme and Charter, is hereby
established and shall be known as the Insane Asylum of the City
of St. Louis. /

Sec. 18. All insane persons who may be found within the
City of St. Louis, and who may become a charge upon the city
for care and support, shall not be kept or confined in any of the
city hospitals, but shall be sent to the Insane Asylum, and be kept
there until it can be determined by the Board of Health what dis-
position to make of said person, but no person shall be admitted
to the Insane Asylum under the provisions of this section unless
they have been first examined by a physician of the Health De-
partment and found fit subjects for treatment in the Insane
Asylum.

Sec. 19. Before any citizen or other person shall secure the
admission of any indigent insane person to the Insane Asylum,
they shall first make oath before the Board of Health, which oath
shall be duly attested by the presiding officer and clerk of the
Board, and made of record in the proceedings of said Board.
Said oath shall specifically set forth that the person for whom ad-
mission is sought to the asylum is entirely destitute of any



16 Laws and Ordinances

financial means to compensate the city for his or her keeping in
the Insane Asylum, and if a minor, that his or her parents or
guardians are unable and destitute of the financial means to com-
pensate the city for his or her keeping in the Insane Asylum of
the City of St. Louis.

Sec. 20. Ordinance number 10,366, entitled <'An ordinance
providing for the government and management of the hospitals
and Morgue of the City of St. Louis, the appointment of the
superintendents and assistants, fixing their salaries and prescrib-
ing their duties, and to repeal article 5, chapter 12, of the Kevised
Ordinances of the City of St. Louis, approved March 31, 1871 ;
and to repeal ordinance number 8,910, entitled *«An ordinance to
authorize the establishment of a City Hospital for Females,"
approved June 17, 1874; ordinance number 10,328, entitled '*An
ordinance establishing and regulating the office of Superintendent
of the Insane Asylum, approved July 17, 1877 ; ordinance num-
ber 10,334, entitled "An ordinance regulating the management
of the Insane Asylum of the City of St. Louis," approved July
31, 1877 ; and sections six and seven of ordinance number
10,330, entitled **An ordinance creating and establishing the
Health Department and Board of Health, defining the powers
and duties of the Board and their compensation, providing" for
the clerk of the Health Commissioner and Board of Health, pre-
scribing his duties, fixing his bond and salary, providing for the
fixing of the wages of employes, to establish a dispensary, pro-
viding for the appointment of dispensary physicians and apothe-
cary, and to repeal article one, chapter 12, of the Revised Ordi-
nances of the City of St. Louis, approved March 31, 1871, are
hereby repealed.

Approved April 5, 1879.

[10,978.]

AN ORDINANCE establishing quarantine station and author-
izing and defining quarantine regulations for the City of St. Louis,
and to repeal article six of chaptei twelve of the Revised Ordin-
ances of the City of St. Louis, approved March thirty-first,
eighteen hundred and seventy-one.

Whereas, clause six of section twenty-six of article three of
the Charter of the City of St. Louis empowers the Municipal
Assembly to establish and enforce quarantine laws and regulations
to prevent the introduction and spread of contagious diseases ;
therefore,

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

Section 1. The Health Commissioner, by and with the appro-
val of the Board of Health, is hereby authorized and empowered



Governing the Health Department. 17

to establish and enforce special or general quarantine regulations
within the limits of the City of St. Louis, whenever in his judg-
ment the sanitary interest of the city demand the same.

Sec. 2. Quarantine regulations are hereby defined to apply as
follows : First, to all passengers and their baggage. Second, to
passengers or baggage respectively. Third, to freight of any one
kind or character, or different varieties of freight differing in
kind, (character, substance or material ; the extent of the inhibi-
tion or prohibition upon passengers or freight coming from any
part of the United States into the City of St. Louis, shall be de-
termined by the Health Commissioner and approved by the Board
of Health, and when so determined and approved it shall be made
of record in the proceedings of the Board.

Sec. 3. Whenever the Health Commissioner shall be in pos-
session of reliable and satisfactory information that any malignant,
infectious or contagious disease is epidemic in any portion of the
country with which the City of St. Louis has communication, he
may estjiblish and enforce quarantine regulations against such
portion of the country, and he may determine and regulate to
what extent, in what manner and by whom any communication or
business transactions may be had with such portion, either by the
citizens of such portion of the country or of the City of St.
Louis, and he shall establish such stringent and necessary rules
and regulations as may be required to prevent the introduction or
spread of such disease ; and to that end he is hereby authorized
to employ such person as he may deem necessary and all the ac-
tions of the Health Commissioner under the provisions of this
section must be approved by and recorded in the proceedings of
the Board of Health, otherwise the Health Commissioner shall
have no power to act in the premises.

Sec. 4. Whenever the Health Commissioner shall declare
that any malignant, infectious or contagious disease is prevalent
in an epidemical form in any portion of the country, and the same
is approved by the Board of Health, he shall immediately, or as
soon thereafter as possible, notify in writing every express com-
pany, transfer company, teamster, steamboat company, or water
craft and railroad coippany doing business at the wharf, or in the
City of St. Louis, and engaged in the transportation of freight
and passengers to or from the City of St. Louis to any portion of
such country through their representatives or principal officers, or
masters, owners, managers, conductors, teamsters, or directors,
that quarantine regulations have been established and will be
rigidly enforced against such portion of the country, stating the
method and the conditions by and upon which they may transmit
or carry passengers or freight to or from the City of St. Louis ;
and also the kind or character of freight that is prohibited from

3



18 ' Laws and Ordinances

entering the city, and all other regulations that may have been
established by the Health Commissioner and approved by the
Board of Health in relation to the subject matter. Every officer,
master, manager, owner, director, conductor or teamster of any
express company, transfer company, team, steamboat company or
other water craft and railroad company after having received such
notice, failing or refusing in whole or in part to comply with the
restrictions and conditions of the quarantine regulations as estab-
lished by the Health Commissioner and approved by the Board of
Health, shall be deemed guilty of a misdemeanor, and upon con-
viction thereof before either of the Police Justices of the City of
St. Louis, shall be fined in a sum not less than fifty nor more than
^\e hundred dollars, to be collected and paid as other fines and
penalties for misdemeanors are now provided for by law.

Sec, 5. No steamboat or other water-craft, or railroad train,
consisting of locomotive and one car or more, coming from any
portion of the country infected with any malignant, infectious or
contagious disease in an epidemical form, and bound for the City
of St. Louis, shall land at the wharf or discharge its freight or
passengers within the limits of the City of St. Louis without first
having obtained a permit to do so from the Health Commissioner,
or some other officer designated by him ; and any captain, owner
or master or conductor of any steamboat or other water-craft or
railroad train landing at the wharf or discharging freight or pas-
sengers within the City of St. Louis without first having obtained
a permit as heretofore designated, shall be deemed guilty of a
misdemeanor, and upon conviction thereof before either of the
Police Justices of the City of St. Louis, shall be fined in a sum
not less than fifty nor more than ^yq hundred dollars, to be col-
lected and paid as all other fines for misdemeanors are now pro-
vided for by law.

Sec. 6. All emigrants, passengers or others recently from
shipboard or elsewhere, and all sick, diseased or unclean persons,
with their baggage and stores, may, on their arrival in the City
of St. Louis, be sent to the quarantine station provided by the
city for such purposes, whenever in the opinion of the Health
Commissioner the same is deemed necessaij^by him, and approved
by the Board of Health.

Sec. 7. Whenever an order of the Health Commissioner in
relation to the quarantine regulations of the City of St. Louis is
approved by the Board of Health, a cojjy of the same shall be
made out and attested by the clerk and presiding officer thereof,
and transmitted to the Board of Police Commissioners, who shall
enter the same of record upon the minutes of the Board, and shall
cause a copy of the same to be transmitted to the commanding
officer of each police district and sub-district, and such command-



Governing the Health JDej^artmeni, 19

ing officer shall cause said order to be read at least twice to the
officers and patrolmen of the force at each district , and the
Board of Police Commissioners are further directed to instruct the
officers of the force to aid and assist the Health Commissioner, or
any officer or employe designated by him in the enforcement of
the quarantine regulations whenever requested to do so.

Sec. 8. Any person or persons failing or refusing to comply
with the quarantine regulations of the City of St. Louis, as
established by the Health Commissioner and approved by the
Board of Health, or any person or persons resisting by force or
otherwise the enforcement of the quarantine regulations in the
City of St. Louis, established and approved as aforesaid, shall be
deemed guilty of a misdemeanor, and upon conviction thereof,
before either of the Police Justices of the City of St. Louis, shall
be fined in a sum not less than ten nor more than ^nq hundred
dollars for each oifense.

Sec. 9. The grounds purchased by the City of St. Louis from
Augustus Langkopt by deed bearing date July seventh, eighteen
hundred and fifty-four, are hereby established as a permanent
quarantine station for the City of St. Louis, and there shall be
established and maintained at said station a permanent hospital
for the reception and accommodation of such persons, emigrants
or others as may be placed therein by proper authority.

Sec. 10. Article six of chap tar twelve of the lievised Ordin-
ances of the City of St. Louis, approved March 31, 1871, is
hereby repealed.

Approved January 30, 1879.

[10,998.]

AN ORDINANCE in relation to the Health Department,
authorizing the Health Commissioner to remove all malignant, in-
fectious or contagious cases of disease from all hotels, boarding-
houses, tenement houses, and in certain cases from private resi-
dences.

Whereas^ clause six of section twenty-six of article three of the
Charter provides that the Mayor and Assembly shall have power
to establish and enforce quarantine law and regulations to prevent
the introduction and spread of contagious diseases, to establish
and regulate hospitals, and to secure the general health of the in-
habitants by any measures necessary; therefore.

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

Section 1. Whenever the Health Commissioner shall become
apprised or" informed that any person or persons residing in any



20 Laws and Ordinances

hotel, boarding-house, or tenement house within the limits of the
City of St. Louis are suffering from any malignant, infectious or
contagious disease which in his opinion or the opinion of any med-
ical officer of the Health Department may endanger the lives of the
citizens, it shall be his duty to make or cause to be made an ex-
amination of the said person or persons, and the disease they are
suffering from or afflicted with, and from and after such examina-
tion, if he shall deem the same necessary, he shall cause said per-
son or persons to be removed from the said hotel, boarding-house,
or tenement house to the hospital provided by the city for the
treatment of all such diseases.

Sec. 2. Whenever the Health Commissioner shall become ap-
prised or informed that any person or persons residing in any
private residence, house or dwelling within the limits of the City
of St, Louis are suffering from any malignant, infectious or con-
tageous disease, which in his opinion, or the opinion of any medi-
cal officer of the Health Department may endanger the lives of
citizens, and which from the surroundings of the premises, the size
of the house, and the number of persons residing therein, would
make it impossible to isolate the said person or persons so afflicted
from all connection or contact with other persons residing in the
same house (except the nurses) it shall be his duty to make or
cause to be made, an examination of the premises and the surround-
ings, and also an examination by a medical officer of the Health


2 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 2 of 8)