Colorado 
State Division of Public Health 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER 
Limited Edition 
Save This Copy 
THE BRADF0RD-R03INS0N PTQ. CO., DENVER Colorado 
State division of Public Health 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER 
Limited Edition 
Save This Copy CONTENTS 
Page 
Chapter I. A. By-Laws of the Colorado State Board of Health. 
B. Principal Colorado State Laws Relating to Public 
Health (page 4) 1 
Chapter II. Communicable Disease Control 35 
Chapter III. Tuberculosis Control 99 
Chapter IV. Venereal Disease Control 107 
Chapter V. Industrial Hygiene 123 
Chapter VI. Sanitary Engineering 129 
Chapter VII. Vital Statistics 165 
Chapter VIII. Plumbing 189 
Chapter IX. Food and Drugs 229 
Chapter X. Hospitals, Maternity and Convalescent Homes 283 
Chapter XI. Mattresses and Bedding 303 
Index 315 BY-LAWS 
of the 
COLORADO STATE BOARD OF HEALTH 
Adopted at a Regular Meeting of the Board, April 3, 1941. 
Article I 
OFFICERS OF THE BOARD 
Section 1. The officers of the Board shall be President, Yice-Presi 
dent and Secretary. 
Sec. 2. All elections shall be by ballot. 
Article II 
DUTIES OF OFFICERS 
Section 1. The President shall preside at all meetings of the Board, 
appoint committees, be ex-officio a member of all committees and perform 
such other duties as parliamentary custom requires. 
Sec. 2. The Vice-President shall act in the absence of the President. 
Sec. 3. The Secretary of the Boai’d shall be a physician licensed to 
practice medicine in the State of Colorado and is experienced in public 
health work. He shall keep the records and conduct the correspondence 
of the Board, and shall be the custodian of all books, documents, furniture, 
and other property belonging to the Board or to the Division of Public 
Health. He shall give proper and timely notice in writing of every regular 
and special meeting to each member of the Board, and shall, as executive 
officer, perform such other duties as are assigned by the public health 
laws of Colorado, or by these By-laws, and such other duties as the Board 
may from time to time direct. The Secretary of the Board shall be the 
chief executive officer of the Division of Public Health, and through the 
heads of the various divisions, shall have general supervision over it. 
Article III 
Section 1. The Board shall meet regularly each month between the 
first and sixth day of each calendar month, the place, date and hour of 
meeting to be set by the Secretary. 
Sec. 2. Special meetings may be called by the President or Secretary 
at such time and place as shall be designated, and shall be called whenever 
requested in writing by three members of the Board. COLORADO STATE BOARD OF HEALTH 
Article IV 
ORDER OF BUSINESS 
Section 1. The order of business at all meetings, except by unanimous 
consent or majority vote, shall be as follows: 
1. Roll call. 
2. Reading minutes of last regular or special meeting. 
3. Report of Secretary. 
4. Reports of committees. 
5. Unfinished business. 
6. New and miscellaneous business, 
7. Elections. 
8. Adjournment. 
Article V 
ANNUAL REPORT 
Section 1. Biennially on the first day of January, or as soon there- 
after as practicable, the Secretary shall file in the office of the Governor 
a report of the activities of the Board and the executive officer during the 
biennium, including also such recommendations as may seem necessary 
and proper. Prior to filing the said report and recommendations, they 
shall, at a regular or special meeting, be submitted to the Board for 
approval. 
Article VI 
Section 1. The Board recognizes fourteen divisions in the Division of 
Public Health as follows: 
1. Division of Administration 
2. Division of Epidemiology and Local Health Work 
3. Division of Venereal Disease Control 
4. Division of Tuberculosis Control 
5. Division of Sanitary Engineering 
6. Division of Industrial Hygiene 
7. Division of Food and Drugs and Restaurant Inspection 
8. Division of Laboratory 
9. Division of Vital Statistics 
10. Division of Plumbing Inspection 
11. Division of Maternal and Child Health 
12. Division of Dental Health 
13. Division of Crippled Children 
14. Division of Public Health Nursing LAWS. RULES AND REGULATIONS 
Article VII 
Section 1. The parliamentary procedure of the Board when in session 
shall be governed so far as practicable by Roberts Rules of Order. 
RULES OF ORDER 
Article VIII 
EMERGENCIES 
Section 1. Under the powers of the act creating this Board, each 
member thereof shall be a deputy of the Board and shall have and exer- 
cise all the powers that are conferred upon this Board, when it shall be 
necessary for him to act for the purpose of meeting extraordinary emer- 
gencies. 
Sec. 2. It shall be the duty of each member of the Board to exer- 
cise the authority given to him in Sections 2 and 4, Chapter 78, 1935 Colo- 
rado Statutes Annotated, and thus augment the usefulness of the Board 
by reporting his investigations, inspections, observations and opinions 
relating to any matters affecting the lives and health of the people. 
Article IX 
Section 1. These By-Laws may be amended at any regular meeting 
of the Board, by a two-thirds vote of the members of the Board, providing 
the amendment was submitted to the Board in writing and read at a pre- 
vious regular meeting, after notice in writing to all of the members of the 
Board. 
Sec. 2. All By-Laws of the Board in existence prior to this date, all 
motions or resolutions in conflict with these By-Laws are hereby repealed. 4 
COLORADO STATE BOARD OF HEALTH 
COLORADO STATE LAWS 
RELATING TO PUBLIC HEALTH 
Administrative Code of 1941—An Act relating to the reorganization of 
State Government as enacted by the Thirty-Third General Assem- 
bly of the State of Colorado. 
The Division of Public Health. The Governor shall be the head 
of the Division of Public Health and, subject to his supervision, the 
State Board of Health as now organized and existing shall be in imme- 
diate controf of said division. The Secretary of the said Board shall 
be the chief executive officer of this subdivision and shall be a physi- 
cian licensed to practice medicine in the State of Colorado who is 
experienced in public health work. Except as herein expressly 
amended or as necessarily modified, the public health laws of the 
State as now and heretofore existing shall remain in full force and 
effect; provided, that the Secretary of the said Board shall not, with- 
out the approval of said Board, order a quarantine covering or em- 
bracing a district larger than a city or town as to any epidemic 
disease. 
The Division of Public Health shall 
1. Exercise all the rights and powers and perform all the duties 
now and heretofore vested in or imposed by law upon the State Board 
of Health, its officers, assistants and employes; 
2. Exercise all the rights and powers and perform all the duties 
heretofore vested in or imposed by law upon the Meat and Slaughter 
Plant Inspector, his deputies and employes; 
3. Exercise all the rights and powers and perform all the duties 
heretofore vested or imposed by law upon the State Chemist and his 
employes; 
4. Have and exercise all the rights and powers and perform all 
the duties now and heretofore vested in or imposed by law upon the 
State Board of Barber Examiners, insofar as rules of sanitation, public 
health and sanitary conditions of barber shops and implements are 
concerned; 
5. Have and exercise all the rights and powers and perform all 
the duties now and heretofore vested in or imposed by law upon the 
State Board of Cosmetologists, insofar as rules of sanitation, public 
health and sanitary condition of beauty shops and other working 
places are concerned; 
6. Have and exercise all the rights and powers and perform all 
the duties now and heretofore vested in or imposed by law upon the 
State Board of Embalming Examiners relative to sanitation and the LAWS, RULES AND REGULATIONS 
disinfection of bodies of deceased persons and of the bedding, clothing 
and dwelling places in case of death by infectious or contagious 
disease. 
Specifically and by way of extension and not of limitation, the 
Division of Public Health shall have power: 
1. To supervise and protect the health of the people of the State 
and in connection therewith, by way of extension and not of limita- 
tion, to make or approve standard serological tests, prepare and dis- 
tribute forms of certificates relative thereto, upon request make said 
tests, and do all other things relative to the control of venereal dis- 
ease now required or permitted by law; 
2. To act in an advisory capacity relative to public water supply, 
water purification works, sewerage systems, sewerage treatment 
works, and to exercise supervision over nuisances growing out of the 
operation of such water and sewerage works, and to make, promulgate 
and enforce rules and regulations relating to such nuisances; 
3. To make such sanitary investigations as may from time to 
time be deemed necessary for the preservation and improvement of 
public health; 
4. To make investigations and inquiries with respect to the causes 
of disease, especially epidemics; to investigate the causes of mortality, 
and the effect of localities and other conditions on public health; and to 
make such other sanitary investigations as may be deemed necessary for 
the preservation and improvement of the public health: 
5. To keep informed of the work of the local health officers and agen- 
cies throughout the State; 
6. To promote the information of the general public in all matters 
pertaining to public health; 
7. To make sanitary, sewerage, health, and other inspections and 
examinations for the charitable and penal institutions and other State 
institutions: 
8. To inspect from time to time all hospitals and sanitaria and other 
institutions conducted by county, city or town authorities, and to report 
as to the sanitary conditions and interests of such hospitals, sanitaria, 
and institutions to the official authority having jurisdiction over them; 
9. To license and inspect restaurants and establish sanitary condi- 
tions therein, as required by law. 
(a) The Division of Public Health shall have power and authority, 
within the limits of appropriations made by the General Assembly or other 
revenues belonging to such divisions, to print, publish and distribute 
documents, reports, bulletins, certificates and other material relating to 
the prevention of disease and the health and sanitary conditions of the 
State. COLORADO STATE BOARD OF HEALTH 
(b) The Division of Public Health shall have no revenue or license 
collecting functions, and all such functions of any board, bureau or agency 
the powers and duties of which are transferred by this Act to the Division 
of Public Health, are hereby transferred to and vested in the Department 
of Revenue. Nothing herein contained shall be construed to repeal, alter 
or impair the right and duty of the Division of Public Health under the 
provisions of this Act or existing law, to fix and determine the amount of 
any tax or license fee in conformity with law, but when any such tax or 
license fee is thus fixed and determined, the same shall be certified by the 
appropriate office or officer to the Department of Revenue for collection. I.AWS, RULES AND REGULATIONS 
HEALTH 
Chapter 78, Colorado Statutes Annotated, 1935 
Article 1. State Board of Health. 
Section 
1. Members—T erm—Vacancies—Officers. 
2. Powers and duties. 
3. Meetings of board—Fill offices vacant. 
4. Secretary—Office—Duties. 
5. Vital statistics. 
6. Physicians and local boards to report to state board. 
7. Information furnished to state board. 
8. Board to make by-laws—Member subject to removal for disobe- 
dience. 
9. Appropriation for protection against contagious diseases. 
10. Secretary of state to provide office and supplies. 
11. Expenditure of funds. 
12. Treasurer to keep account of moneys—Report. 
13. Local health officers—Appointment. 
14. State Board to act when local board refuses—Prosecution of local 
board for refusal. 
15. Disinfection of dangerous material—Importation of infected ma- 
terial. 
16. Systems of inspection to prevent introduction of cholera, etc. 
17. Railroad official to notify health officer of contagious disease. 
18. Cholera or smallpox on train—Duty of conductor. 
19. Rules of inspection—Penalty for violation. 
20. Complaint filed with justice of peace. 
21. Penalty for disobedience of order of health board. 
Article 2. Division of Sanitary Engineering. (See Sanitary Engineering 
Section) 
22. Creation of division. 
23. State Board of Health to make rules governing division—Director 
and employes. 
24. Personnel of division—Qualifications of director and employes. 
25. Examination of water, sewage, etc.—Method of analysis. 
Article 3. Local Boards of Health. 
26. County board of health. 
27. Municipal board of health. 
28. Board to appoint health officers—Term—Salary. 
29. Health regulations—Violations. 
30. Dead animals burned or buried—Penalty for violation. 
31. Board may remove nuisances, filth and causes of sickness. 
32. Regulations as to privies and water closets. 8 
COLORADO STATE BOARD OF HEALTH 
Section 
33. Board to cause unhealthy premises to be cleaned—Unsafe struc- 
tures removed. 
34. Board to recover expense for abating nuisance. 
35. Owner or occupant of private property to remove nuisance—Pen- 
alty for failure. 
36. Board to remove when owner fails. 
37. Upon conviction, court to order nuisance to be abated. 
38. Stay warrant of conviction upon security. 
39. Expense of abating—Execution—Sale—Proceeds. 
40. Board refused admittance to premises—Complaint made to justice 
of the peace. 
41. Justice to issue warrant—Contents. 
42. Warrant to remove contagious disease. 
43. Quarantine of baggage, clothing and suspected goods. 
44. Same—Removal of goods for safe keeping. 
45. Officer may break building to secure goods—Call aid. 
46. County, city or town to pay expense—Jurisdiction of police magis- 
trate. 
47. Nurses and attendants employed entitled to compensation. 
48. Appoint persons to examine passengers or restrain from coming 
into state. 
49. Regulations concerning imported articles. 
50. Quarantine ground. 
51. Joint quarantine ground. 
52. Quarantine regulations. 
53. Expenses of quarantine. 
54. Board to direct removal of diseased person from county jail. 
55. Order of removal returned to clerk of court. 
56. Removal of persons from poor house or hospital infected with 
contagious disease. 
57. Permit for removal of infected article or person. 
58. Care of persons infected with contagious disease. 
59. When person cannot be moved. 
60. Inhabitants may establish hospitals for care of contagious diseases. 
61. Regulations governing hospitals for contagious diseases. 
62. Attendants subject to regulations. 
63. Hospitals for care of epidemic of contagious diseases. 
64. Prevention of spread of contagious disease. 
65. Physician or other person violating regulations—Penalty. 
66. Householder to give notice of contagious disease. 
67. Inoculation. 
68. Physician to give notice of contagious disease—Penalty for failure 
to give notice. 
69. Investigation and disposition of contagious disease by health offi- 
cer—Notify Board of Health. 
70. Compensation of health officer. 
71. Registry of births and deaths by attendants. 
72. Report of antitoxin products sold. LAWS, RULES AND REGULATIONS 
9 
Section 
73. Violation of two preceding sections. 
74. Monthly reports of local boards of health. 
75. Secretary to provide blanks for reports. 
76. Board may assign location for business detrimental to public 
health. 
77. Revocation of assignment by district court. 
78. Damages occasioned by nuisance—Action. 
79. Board may order removal of cemetery. 
80. Notice of health regulations given by publication. 
81. Jurisdiction of courts over nuisances. 
82. Domestic animals affected with contagious or infectious disease. 
83. Selling, shipping or allowing diseased animals to run at large— 
Penalty. 
84. Penalty for bringing diseased animal into state. 
85. Sale of diseased meat—Penalty. 
86. Sale of adulterated food or drink—Penalty. 
87. Adulteration of drugs and medicines. 
88. Mix, color, stain or powder articles of food with injurious ingre- 
dient. 
89. Mix, color, stain or powder any drug or medicine. 
90. Mix, color, stain or powder any food, drink or medicine without 
labeling—Penalty. 
91. Adulterated foods must be marked. 
92. Violation of sections—Penalty. 
93. District attorneys to prosecute. 
94. Unlawful to sell impure or adulterated milk. 
95. Violation of preceding section—Penalty. 
96. Milk inspector—Compensation—Duties. 
97. Selling skimmed milk—Penalty. 
98. Sale of poison without marking—Penalty. 
99. Unlawful to sell or advertise substance to procure abortion. 
100. Drug or medicine producing abortion sold only on prescription— 
Registered. 
101. Penalty for violation of three preceding sections. 
102. Advertisement of substances to cure private diseases, prevent con- 
ception or procure abortion unlawful—Penalty. 
103. Puerperal fever—Suspension of physician. 
Article 4. Vital Statistics. (See Vital Statistics Section) 
104. Board of Health to supervise registration of births and deaths. 
105. Board of vital statistics—Registrar. 
106. Registration districts established. 
107. Local registrar—Duties—Deputy—Subregistrars. 
108. Burial permit—Removal permit. 
109. "Still birth," how registered. 
110. Contents of certificate of death. 
111. Death without medical attendance—Investigation—Disposition of 
body—Burial certificate. 10 
COLORADO STATE BOARD OF HEALTH 
Section 
112. Undertaker’s duty to file certificate of death. 
113. Contents of burial permit. 
114. No interment without permit—-Sexton’s duty. 
115. All births shall be registered. 
116. Certificate of birth to be filed. 
117. Contents of certificate of birth. 
118. Adopting parent may have certificate of identification issued. 
119. Judge to issue certificates of identification—Fee. 
120. Form of certificate. 
121. Board to furnish birth certificates of illegitimate children. 
122. Supplemental report. 
123. Physicians, midwives and undertakers shall register. 
124. Report of hospital superintendents. 
125. Registrar to furnish blanks—Records preserved. 
126. Duties of local registrar. 
127. Fees of local registrar. 
128. Certified copy of certificate. 
129. Penalties for failure to comply with requirements of article. 
130. Registrars to enforce article—Violations reported to district at- 
torney. 
131. Death resulting from accident reported to coroner. 
132. Penalty for violation of article. 
Article 5. Hospitals, Lying-in Hospitals and Maternity Homes. (See Hos- 
pital Section) 
Subdivision 1. Private Hospitals—Dispensaries. 
133. Hospitals—Maternity homes—Licensed. 
134. License—Application—Issuance. 
135. Same—Refusal—Revocation—Notice. 
136. Quarterly report. 
137. Disposal of children. 
138. License—Fee—Revoked for cause—Penalty. 
Subdivision 2. Lying-in Hospitals—Maternity Homes. 
139. Maternity homes and hospitals—License. 
140. License—Application—Issuance. 
141. Same—Refusal—Revocation—Protests—Hearings. 
142. Disposition of children. 
143. Licensees' reports—Penalties. 
144. Maternity hospital defined. 
145. Colorado State Board of Health to direct and enforce regulations. 
146. Adoption of children. 
147. Name of patient reported to Colorado State Board of Health. 
148. Records not public. 
149. Not to operate hospital without license—State Board of Health to 
make rules—Violation of sections—License revoked. LAWS, RULES AND REGULATIONS 
11 
Section 
150. Liberal construction in order to safeguard interests of illegitimate 
children—Known fathers to pay expenses. 
151. Violation of sections—Penalty. 
Subdivision 3. Detention Home for Women. 
152. Women suffering with venereal diseases. 
153. State Board of Health to provide home and treatment. 
154. Women committed to home—May demand trial. 
155. Jurisdiction of courts—Jury. 
156. Duration of commitment. 
157. Records of patients kept—Not public. 
158. Conveyance to home. 
159. Voluntary admission. 
160. Matron and employes. 
161. Salaries. 
162. Vouchers for supplies. 
Subdivision 4. Venereal Diseases. (See Venereal Control Section) 
163. Venereal diseases declared dangerous to public health. 
164. Department of venereal diseases—Director—Assistance. 
165. Venereal cases must be reported to authorities—When name of 
patient to be reported. 
166. Medicine, etc., sold only on written prescription. 
167. Health officers to examine suspected cases—Quarantine—Treat- 
ment. 
168. Examination and treatment of persons confined or imprisoned— 
Isolation. 
169. Rules and regulations have effect of law. 
170. Violation of subdivision—Penalty. 
Subdivision 5. Tuberculosis. (See Tuberculosis Control Section) 
171. Tuberculosis reported to health officer. 
172. Report blanks—Diagnosis—Open cases. 
173. Examination of sputum, 
174. Register of reports and examinations. 
175. Disinfection of apartments vacated by tubercular. 
176. Same—Expense. 
177. Failure to disinfect—Premises placarded. 
178. Tubercular nuisance—Complaint—Abatement—Failure—Penalty, 
179. Physician to provide for safety of other inmates. 
180. Circular of precautionary information. 
181. Failure to report—False statement—Penalty. 
182. Report of recovery of patient. 
183. Violation of subdivision—Penalty. 
184. Jurisdiction—Justice of the peace and police magistrate. 
Subdivision 6. Mattresses and Bedding. (See Mattress and Bedding Sec- 
tion) 12 
COLORADO STATE BOARD OF HEALTH 
STATE BOARD OF HEALTH* 
Article I 
Section 1. Members—Term—Vacancies—Officers. A board of health 
is hereby established, which shall be known under the name and style of 
the State Board of Health. It shall consist of nine members, who shall be 
appointed by the governor; and the members first appointed shall be so 
designated by the governor that the term of office of three shall expire 
every two years, on the last day of January. Thereafter the governor, 
with the consent of the senate, shall biennially appoint three members to 
hold their offices for six years, ending January 31st. Any vacancy in the 
said board may be filled, until the next regular session of the general 
assembly by the governor. Every two years the board shall elect from its 
own members, persons to fill the offices of president, secretary and treas- 
urer, and for the purposes of this election, and for organization, the board 
shall convene at the call of the president so soon after the meeting of the 
general assembly as may be convenient. (L. ’93, p. 397, sec. 1; R. S. ’08, 
sec. 5009; C. L., sec. 870.) 
The state board of health was made a division of the executive department 
by the Administrative Code. See Ch. 3, § 10. 
Should the auditor refuse to audit and allow claims arising under this act, 
the courts are open to the aggrieved parties to have such action reviewed in a 
proper proceeding. In re Priority of Legislative Appropriations, 19 Colo. 58, 
62, 34, § 277. 
Sec. 2. Powers and duties. The State Board of Health shall have 
general supervision of the interests of health and life of the citizens of 
this state. They shall especially study the vital statistics of the state and 
endeavor to make intelligent and profitable use of the collected records of 
death and sickness among the people. They shall carefully study the 
influence of the climate upon disease and health in different localities in 
the state for the benefit of the citizens thereof, as well as for the large 
number of invalids who seek relief in Colorado. They shall make sanitary 
investigations and inquiries respecting the causes of disease, and espe- 
cially epidemics, the causes of mortality; and the effect of localities, em- 
ployment, conditions, ingesta, habits and circumstances on the health of 
the people. They shall, when required, or when they deem it best, advise 
with the officers of the government, or other state boards, in regard to the 
location, drainage, water supply, disposal of excreta, heating and ventila- 
tion of any public structure or building. They shall, from time to time, 
recommend standard works on the subject of hygiene for the use of schools 
of the state. (L. ’93, p, 398, sec. 2; R. S. ’08, sec. 5010; C. L., sec. 871.) 
The state board of health has charge of the detention home for women. 
See § 153 of this chapter. As to duty of the state board of health to supervise 
the registration of births and deaths, see § 104 of this chapter. As to duty of 
state board of health to prescribe rules and regulations under pure food act, 
see Ch. 69, § 2. 
Sec. 3. Meetings of board—Fill offices vacant. The board shall meet 
semi-annually at Denver, and at such other places and times as they may 
♦The state board of health is authorized to license restaurants and enforce 
the provisions of the act providing for the preparation and sale of food by 
restaurants. See Ch. 81, pp. 16 and 17. As to the power of state board of 
health to make rules and regulations governing plumbing, drainage and sewer- 
age of buildings, see ch. 126, § 1 et seq. As to sanitary regulations applicable 
to factories and other buildings, see Ch. 97, § 52 et seq. LAWS, RULES AND REGULATIONS 
13 
deem expedient. A majority shall be a quorum for the transaction of 
business. Should the office of president or secretary become vacant, by 
death or otherwise, the board may fill said office from their number at the 
next regular meeting. (L. ’93, p. 398, sec. 3; R. S. ’08, sec. 5011; C. L., 
sec. 872.) 
Sec. 4. Secretary—Office—Duties. The secretary shall keep his of- 
fice at Denver, and shall perform the duties prescribed by this article or 
required by the board. He shall keep a record of the transactions of the 
board; shall have custody of all books, papers, documents and other prop- 
erty belonging to the board which may be deposited in the office; shall, 
so far as practicable, communicate with other state boards of health, and 
with local boards of health within the state; he shall keep and file all 
reports received from such boards; and all correspondence of the office 
appertaining to the business of the board. He shall, so far as possible, 
aid in obtaining contributions to the library and museum of the board. 
He shall prepare blank forms of returns and such instructions as may be 
necessary, and forward them to the clerks of the several boards of health 
throughout the state. He shall collect information, with the assistance of 
each member of the board, concerning vital statistics, knowledge respect- 
ing disease, and all useful information on the subject of hygiene and 
through an annual report and otherwise, as the board may direct, shall 
disseminate such information among the people. It shall be his duty to 
act as correspondent in answering all inquiries made by non-resident 
physicians and invalids who are at liberty to call upon him for special 
information as to the sanative influence of the climate. (L. ’93, p. 398, 
sec. 4; R. S. ’08, sec. 5012; C. L., sec. 873.) 
The secretary is the state registrar of vital statistics. See § 105 of this 
chapter. 
Sec. 5. Vital statistics. The State Board of Health shall have the 
general direction and control of the system of vital statistics of the state, 
in so far as the editorial work and statistical plans of the same are con- 
cerned. (L. ’93, p. 399, sec. 5; R. S. ’08, sec. 5013; C. L., sec. 874.) 
See § 104 et seq. of this chapter. 
Sec. 6. Physicians and local boards to report to state board. It shall 
be the duty of all health physicians and also of the clerks of local boards 
of health of each town, village and city, and the regular physician of each 
public institution in the state, at least once in each year, to report to the 
State Board of Health their proceedings and such other facts as may be 
required by said state board. (L. ’93, p. 399, sec. 6; R. S. ’08, sec. 5014; 
C. L„ sec. 875.) 
As to duty of local health officer to notify state board of health of con- 
tagious diseases, see § 69 of this chapter. As to duty of local boards of health 
to report births and deaths to state board of health, see § 74 of this chapter. 
Sec. 7. Information furnished to state board. In order to afford the 
board better advantages for obtaining knowledge important to be incorpo- 
rated with that collected through special investigation, and from other 
sources, it shall be the duty of all officers of the state, the clerks and 
physicians to all municipal boards of health, the physicians to all mining 
or other incorporated companies, or the president or agent of any company 14 
COLORADO STATE BOARD OF HEALTH 
chartered, organized or transacting business under the laws of this state, 
so far as is practicable, to forward to the State Board of Health any infor- 
mation which they possess bearing upon public health which may be 
requested by said board for the purpose of enabling it better to perform 
its duties of collecting and distributing useful knowledge on the subject. 
(L. ’93, p. 399, sec. 7; R. S. ’08, sec. 5015; C. L., sec. 876.) 
Sec. 8. Board to make by-laws—Member subject to removal for diso- 
bedience. The board of health shall have power to make by-laws and all 
needful rules and regulations for its own government; and any member 
failing to obey said by-laws, or to comply with the said rules and regula- 
tions, shall be subject to removal, upon a vote of the majority of the mem- 
bers of said board, and upon certification of the same to the governor of 
the state by the secretary of the board, the governor shall declare the 
office vacant, and immediately fill the vacancy by the appointment of 
some other person. (L. ’93, p. 400, sec. 8; R. S. ’08, sec. 5016; C. L., sec. 
877.) 
Sec. 9. Appropriation for protection against contagious diseases. 
Whenever in the opinion of the governor it may be deemed necessary to 
draw from the general fund, on the warrant of the auditor, not to exceed 
the sum of five thousand dollars, which sum is hereby appropriated out of 
any funds in the treasury not otherwise appropriated, to be used by the 
State Board of Health, to prevent the introduction or spread, in this state, 
of cholera or other communicable diseases dangerous to public health, 
such warrant or warrants may be drawn for such amounts as may be 
deemed necessary for said purpose. (L. ’93, p. 400, sec. 11; R. S. ’08, sec. 
5017; C. L., sec. 878.) 
Sec. 10. Secretary of state to provide office and supplies. The secre- 
tary of state shall provide a suitable room for the meetings of the board 
at Denver, and office room for its secretary. The secretary of state shall 
furnish such stationery and printing as may be required for the official 
work of the board. (L. ’93, p. 400, sec. 11; R. S. ’08, sec. 5018; C. L., sec. 
879.) 
Sec. 11. Expenditure of funds. All moneys received by the board from 
the state shall be expended in the manner deemed best by the board for 
carrying out the objects for which it was created. (L. ’93, p. 401, sec. 12; 
R. S. ’08, sec. 5019; C. L„ sec. 880.) 
Sec. 12. Treasurer to keep account of moneys—Report. The treas- 
urer of the board shall keep careful account of all moneys received and 
disbursed by the board, taking vouchers and receipts therefor and annually 
make report of the same to the governor. (L. ’93, p. 401, sec'. 13; R. S. ’08, 
sec. 5020; C. L., sec. 881.) 
Sec. 13. Local health officers—Appointment. The State Board of 
Health, or the secretary of the board, may call upon the board of county 
commissioners of any county or on the mayor, or other chief executive 
of any city, town or village of Colorado to appoint some person to serve 
as local health officer for his respective jurisdiction, or to name the per- 
son already legally appointed; the said officer to act in cooperation with LAWS, RULES AND REGULATIONS 
15 
and under the advice of the State Board of Health. (L. ’93, p. 401, sec. 14; 
R. S. ’08, sec. 5021; C. L., sec. 882.) 
Sec. 14. State board to act when local board refuses—Prosecution of 
local board for refusal. In the event of the local board of health of any 
community being unable or unwilling to efficiently or promptly abate a 
nuisance, or to prevent the introduction or spread of any contagious or 
infectious disease, the State Board of Health shall have full power to take 
such measures as will insure the abatement of the nuisance, or prevent 
the introduction or spread of disease. The State Board of Health may, 
for this purpose, assume all the powers conferred by law on the local 
board of health; or the State Board of Health may, at its discretion, bring 
suit against or prosecute any local board of health for a wilful failure to 
enforce the laws of this state in regard to health, and the expense of 
carrying out such orders shall be borne by the local board of health so 
failing to enforce the law. (L. ’93, p. 401, sec. 15; R. S. ’08, sec. 5022; C. L., 
sec. 883.) 
Sec. 15. Disinfection of dangerous material—Importation of infected 
material. Hereafter no rags or other dangerous material shall be sold or 
manufactured into articles to be sold, for personal use, unless such rags 
or material shall have been previously so thoroughly disinfected as to de- 
stroy all germs of disease in a manner satisfactory to the board of health. 
Rags or clothing which may be suspected of being infected, imported into 
the State of Colorado, for the purpose of manufacture, shall be kept 
closely baled and not opened until they can be immediately submitted to 
thorough disinfection as before described. Provided, that the State Board 
of Health may, at any time, for the protection of the public health, com- 
pletely prohibit the importation of such rags or clothing into the state. 
(L. ’93, p. 401, sec. 16; R. S. ’08, sec. 5023; C. L., sec. 884.) 
Sec. 16. Systems of inspection to prevent introduction of cholera, etc. 
At such points or places or on such lines, of travel as there may be danger 
of the introduction into this state of cholera or other dangerous communi- 
cable diseases, the State Board of Health shall have power to establish 
such systems of inspections as may be practicable and needful to ascertain 
the presence of the infection of cholera or other dangerous communicable 
diseases in the persons of immigrants or travelers, in wearing apparel, 
baggage or freight; to question on oath, without cost to the state or person 
so questioned, which oath a duly appointed inspector of the State Board of 
Health is hereby authorized to administer to the immigrant, traveler or 
other person, as to the place from which the suspected person, baggage or 
freight came, the time elapsed since his or its exposure to cholera or other 
dangerous disease, and on other subjects on which information is needed; 
and the State Board of Health shall have power to order such disinfection 
of baggage or other aritcles which are infected or liable to be infected, 
and to cause such isolation of persons or things infected or liable to be 
infected, as may be necessary for the public safety, by placing it or them 
in the care of the local board of health, or by other practical methods, to 
the end that the objects of this article, expressed by its title, shall be 
fulfilled. (L. ’93, p. 402, sec. 17; R. S. ’08, sec. 5024; C. L., sec. 885.) 16 
COLORADO STATE BOARD OF HEALTH 
Sec. 17. Railroad official to notify health officer of contagious dis- 
ease. If a conductor of any railroad discovers on his train a person suf- 
fering from cholera, smallpox, diphtheria, scarlet fever or any other con- 
tagious disease, he shall at once communicate, either by telegraph or 
telephone, with a local railroad official located nearest the point at which 
the case is discovered, giving the number of his train, the number of the 
car, the name of the patient and the nature of the disease suspected. The 
railroad official so informed must at once give the same intelligence to 
the nearest member of the State Board of Health, or to the local health 
officer of his own town or city. (L. ’93, p. 402, sec. 18; R. S. ’08, sec. 5025; 
C. L., sec. 886.) 
Sec. 18. Cholera or smallpox on train—Duty of conductor. When a 
case of either cholera or smallpox is suspected to exist on any train, the 
conductor must see that the case is detained and left under surveillance 
at the nearest station, until the local member of the board of health, or 
other officer working in cooperation with him, arrives and takes charge of 
the case; provided, that the State Board of Health or its deputy may, 
when the danger of epidemic disease is imminent, order the detention of 
any train or car thereof for such time as may be necessary for the purpose 
of medical inspection. (L. ’93, p. 403, sec. 19; R. S. ’08, sec. 5026; C. L., 
sec. 887.) 
Sec. 19. Rules of inspection—Penalty for violation. It shall be the 
duty of the State Board of Health to frame and publish rules for the con- 
duct of inspection under this article. Whoever shall wilfully violate the 
rules of the State Board of Health, made in pursuance of this article, shall 
on conviction be punished as provided in the next two succeeding sections. 
(L. ’93, p. 403, sec. 20; R. S. ’08, sec. 5027; C. L., sec. 888.) 
Sec. 20. Complaint filed with justice of peace. The State Board of 
Health may cause a complaint to be filed before any justice of the peace 
or county court in the county where such offense is committed and such 
courts shall have jurisdiction to try any cause arising under the provisions 
of this article. (L. ’93, p. 408, sec. 21; R. S. ’08, sec. 5028; C. L., sec. 889.) 
Sec. 21. Penalty for disobedience of order of health board. Any per- 
son neglecting or refusing to obey an order of the State Board of Health, 
made under authority of this article, shall, upon conviction, be fined in a 
sum of not less than twenty-five nor more than three hundred dollars for 
every offense. (L. ’93, p. 403, sec. 22; R. S. ’08, sec. 5029; C. L., sec. 890.) 
Article III 
Sec. 26. County board of health. The board of county commissioners 
of each county shall be a board of health for their respective counties, and 
the county clerk shall be the clerk of said board, and shall keep a record 
of their proceedings, in a book to be provided for that purpose at the 
expense of the county. Provided, that the board of health of any city, 
LOCAL BOARDS OF HEALTH LAWS, RULES AND REGULATIONS 
17 
town or village shall have exclusive and independent control within its 
own jurisdiction. (L. ’93, p. 376, sec. 1; R. S. ’08, sec. 5030; C. L., sec. 891.) 
(Applied in County of Saguache v. Decker, 10 Colo. 149, 152, 14 P. 123.) 
Sec. 27. Municipal board of health. The mayor and council, or trus- 
tees of each incorporated town or city, whether incorporated under general 
statutes or special charter in this state, respecting which no other provi- 
sion is or shall be made by law, shall have and exercise all the powers and 
perform all the duties of a board of health as provided in this article, 
within the limits of the cities or towns respectively of which they are such 
officers, and in all parts and portions of each and every county not repre- 
sented by town or city organization, the board of health shall consist of 
the county commissioners and the clerk of the county. (L. ’93, p. 376, 
sec. 2; R. S. ’08, sec. 5031; C. L., sec. 892.) 
Sec. 28. Board to appoint health officers—Term—Salary. Every 
board of health shall appoint one or more physicians to the board, who 
shall be the health officer or officers of the county, city or town for which 
he is appointed, and shall hold his office during its pleasure, and it shall 
establish his salary or other compensation, and it shall regulate all fees 
and charges of every person employed by it in the execution of the health 
laws and its own regulations. Provided, that in counties, towns, or villages 
where it is not practicable to secure the services of a well educated and 
suitable physician, the board may appoint some other person as such 
health officer. (L. ’93, p. 377, sec. 3; R. S. ’08, sec. 5032; C. L., sec. 893.) 
Cross references.—See § 70 of this chapter. As to power of state board of 
health to require appointment of local officers, see § 13 of this chapter. 
Absence of appointed physician, who employed another physician to attend 
to county patients, is no defense in action to recover on contract.—In an action 
by a physician upon a contract made with a county whereby he for a considera- 
tion agreed to furnish medicines and surgical appliances and attend, take care 
of and give all proper medical attention to all poor persons who might be a 
charge upon the county, the fact that he was absent from the county part of 
the time on account of sickness of himself and wife was no defense to the action, 
where he employed another competent physician to attend to the county patients 
during his absence. The employment was not one which called for personal 
services wherein he could not substitute another for himself. All that it 
required was proper medical attention, medicines, etc. Board of County Com- 
missioners v. Bedell, 13 Colo. App. 261, 57 P. 187, cited in note, 31 A. L. R. 1091. 
Since it would be unreasonable to hold he could not substitute another 
physician while absent.—Where a physician contracted with a county for a 
consideration to furnish all proper medicines and medical attention to all poor 
persons who might be a charge upon the county, it would be unreasonable to 
hold that he could not sustitute another reputable physician in his stead during 
sickness or temporary absence, even if the contract was one that called for 
personal service. Board of County Com’rs v. Bedell, 13 Colo. App. 261, 57 P. 
187, cited in note, 31 A. L. R. 1091. 
Especially where the county commissioners use services of the substitute. 
—Where a county physician during his temporary absence employed another 
physician in his stead and a member of the board of county commissioners on 
several occasions, during the time, called upon the substituted physician to 
attend the county poor which he did, it was a recognition by the county of the 
employment of the substitute. Board of County Com’rs v. Bedell, 13 Colo. App. 
261, 57 P. 187, cited in note, 31 A. L. R. 1091. 
The fact that the county employed another physician is likewise no defense. 
—In an action by a county physician against a county upon a contract of 
employment for a certain period, evidence that during part of the time the 
county employed another physician was properly excluded, where the only 
defense set up in the answer was that plaintiff had failed to comply with the 
terms of his contract. If plaintiff had fulfilled the obligations of his contract 
the fact that the county employed anoher physician was no defense to his 
action. Board of County Com’rs v. Bedell, 13 Colo. App. 261, 57 P. 187, cited 
in note, 31 A. L. R. 1091. 
Records inadmissible as evidence.—In an action by a county physician for 
compensation for his services, the record of the county poor kept in the clerk’s 18 
COLORADO STATE BOARD OF HEALTH 
office and made upon after the expiration of the quarter for services during 
which the action was brought was properly excluded. Board of County Com’rs 
v. Bedell, 13 Colo. App. 261, 57 P. 187, cited in note, 31 A. L. B. 1091. 
Sec. 29. Health regulations—Violations. The board of health shall 
make such regulations respecting nuisances, sources of filth and causes 
of sickness within its respective limits, and on board of any car, or train 
of cars, as it shall judge necessary for the public health and safety; and 
if any person shall violate any such regulations he shall upon conviction 
be fined in a sum not exceeding one hundred dollars. (L. ’93, p. 377, sec. 4; 
R. S. ’08, sec. 5033; C. L„ sec. 894.) 
Sec. 30. Dead animals burned or buried—Penalty for violation. If 
any person or persons shall put any dead animal or part of the carcass of 
any dead animal, into any lake, river, creek, pond, road, street, alley, lane, 
lot, field or meadow or common, or in any place within one mile of the 
residence of any person or persons, except the same and every part thereof 
be burned or buried at least two feet under ground, and if the owner or 
owners thereof shall knowingly permit the same to remain in any of the 
aforesaid places, to the injury of the health, or to the annoyance of the 
citizens of the state, or any of them, every person so offending shall be 
deemed guilty of a misdemeanor, and upon conviction thereof shall forfeit 
and pay a sum not less than five dollars nor more than fifty dollars, to- 
gether with the costs of prosecution, and in default of the payment thereof 
shall be imprisoned in the county jail of the county in which such convic- 
tion may be had, not exceeding ten days, to be imposed by any court of 
competent jurisdiction, and every twenty-four hours said owner may permit 
the same to remain after such conviction shall be deemed an additional 
offense against the pi'ovisions of this article, and upon conviction thereof 
he shall forfeit and pay a further sum of not less than ten dollars and 
not more than thirty dollars, together with the costs of prosecution, to be 
recovered as aforesaid, and in default of the payment thereof be impris- 
oned as aforesaid not more than thirty days, or be punished by both such 
fine and imprisonment in the discretion of the court. (L. ’93, p. 377, sec. 
5; R. S. ’08, sec. 5034; C. L., sec. 895.) 
Sec. 31. Board may remove nuisances, filth and causes of sickness. 
The board of health shall examine into all nuisances, sources of filth and 
causes of sickness, that may in its opinion be injurious to the health of the 
inhabitants, within its town, city or county, or in any car or train of cars 
within said town, city or county, and the same shall destroy, remove or 
prevent as the case may require. (L. ’93, p. 378, sec. 6; R. S. ’08, sec. 5035; 
C. L., sec. 89G.) 
Sec. 32. Regulations as to privies and water closets. Boards of health 
in counties, cities, towns and villages are hereby empowered to make such 
rules and regulations in relation to the care and cleaning of privies and 
water closets, within such counties, cities, towns or villages as it may 
deem desirable for the preservation of the health of any of the inhabitants 
thereof, or such boards may declare any such privy or water closet a LAWS, RULES AND REGULATIONS 
19 
nuisance and the abatement thereof be by them ordered and enforced. 
(L. ’93, p. 378, sec. 7; R. S. '08, sec. 5036; C. L., sec. 897.) 
Nothing In this section confers power upon a city to compel the owner of 
a lot on which is standing an unused privy, with no other building or structure, 
to connect such privy with the public sewer. Gault v. Fort Collins, 57 Colo. 
324, 142 P. 171, Ann. Cas. 1916B, 718, cited in notes, L. R. A. 1918C, 261, Ann. 
Cas. 1916D, 213. 
An ordinance provided that “Every privy belonging to any resident, etc., 
located upon any lot abutting upon or near any street or alley through which 
is a sanitary sewer shall be connected by the owner, etc., with such sewer.” 
In a prosecution to recover the penalty prescribed for a violation of this ordi- 
nance the court will not consider the regulations of the board of health, nor 
those for the abatement of nuisances. Id. 
Sec. 33. Board to cause unhealthy premises to be cleaned—Unsafe 
structures removed. If any cellar, vault, lot, sewer, drain, place or prem- 
ises within any city shall be damp, unwholesome, offensive or filthy, or be 
covered any portion of the year with stagnant or impure water, or shall 
be in such condition as to produce unwholesome or offensive exhalations, 
the board of health may cause the same to be drained, filled up, cleaned, 
amended or purified; or may require the owner or occupant or person in 
charge of such lot, premises or place to perform such duty; and may 
require the owner or occupant of any building, fence or structure, which 
may be ruinous, or liable to fall and injure persons or property, to pull 
down or remove the same; or the board of health may cause the same to 
be done by the proper officers of the city. (L. ’93, p. 378, sec. 8; R. S. ’08, 
sec. 5037; C. L., sec. 898.) 
Sec. 43. Board to recover expense for abating nuisance. If any per- 
son, corporation or company shall neglect to remove or abate any nuisance, 
or to perform any requirement made by or in accordance with any ordi- 
nance or resolution of the board of health, for the protection of the health 
of the inhabitants, and if any expense shall be incurred by the board in 
removing or abating such nuisance, or in causing such duty or require- 
ment to be performed, such expense may be recovered by the board in an 
action of debt or assumpsit against such person, corporation or company. 
And in all cases where the board shall incur any expense for draining, 
filling, cleaning or purifying any lot, place or premises, or for removing 
any unsafe building or structure, or for removing or abating any nuisance 
found upon such lot or premises, the board may, in addition to all other 
remedies, provide for the recovery of such expense, charge the same or 
such part thereof as they shall deem proper upon the lot or premises, upon 
or on account of which such expense was incurred, or from which such 
nuisance was removed or abated and cause the same to be assessed upon 
such lot or premises and collected as a special assessment. (L. ’93, p. 
379, sec. 9; R. S. ’08, sec. 5038; C. L., sec. 899.) 
Sec. 35. Owner or occupant of private property to remove nuisance— 
Penalty for failure. Whenever any such nuisance, source of filth, or cause 
of sickness shall be found on private property, the board of health shall 
order the owner or occupant, or such person or persons who shall have 
caused or permitted such nuisance, at his own expense to remove the 
same within twenty-four hours, and in default thereof he, she, or they 
shall forfeit a sum not exceeding one hundred dollars at the suit of the 
county commissioners of the proper county, or the board of proper city, 20 
COLORADO STATE BOARD OF HEALTH 
town or village, and for the use of the board of health (if one exists) of 
the city or town w’here the nuisance is found. (L. ’93, p. 379, sec. 10; R. S. 
’08, sec. 5039; C. L., sec. 900.) 
Sec. 36. Board to remove when owner fails. If the owner or occupant 
shall not comply with such order of the board of health, such board may 
cause the said nuisance, source of filth, or cause of sickness to be removed, 
and all expense incurred thereby shall be paid by the said owner or occu- 
pant or by such other person who shall have caused or permitted the 
same. (L. ’93, p. 379, sec. 11; R. S. ’08, sec. 5040; C. L., sec. 901.) 
Sec. 37. Upon conviction, court to order nuisance to be abated. 
Whenever any person shall be convicted of maintaining a nuisance that 
may be injurious to the public health and safety, the court may in its dis- 
cretion order it to be abated, removed or destroyed, at the expense of the 
defendant under the direction of the board of health of the towrn, city or 
county where the nuisance is found, and the form of the warrant to the 
sheriff or other officer may be varied accordingly. (L. ’93, p. 380, sec. 12; 
R. S. ’08, sec. 5041; C. L., sec. 902.) 
Sec. 38. Stay warrant of conviction upon security. The court may, 
on the application of the defendant, order a stay of such warrant for such 
time as may be necessary, not exceeding six months, to give him an oppor- 
tunity to remove the nuisance upon his giving satisfactory security to do 
so within the time specified in the order. (L. ’93, p. 380, sec. 13; R. S, ’08, 
sec. 5042; C. L., sec. 903.) 
Sec. 39. Expense of abating—Execution—Sale—Proceeds. The ex- 
pense of abating and removing the nuisance pursuant to such warrant 
shall be collected by the officer in the same manner as damages and costs 
are collected upon execution excepting that the materials of any buildings, 
fences or other things, that may be removed as a nuisance, may be sold 
by the officer, in like manner as goods are sold on execution for the pay- 
ment of debts; and the officer may apply the proceeds of such sale to 
defray the expenses of the removal, and shall pay over the balance thereof, 
if any, to the defendant upon demand, and if the proceeds of the sale are 
not sufficient to defray the said expenses, he shall collect the residue 
thereof as before provided. (L. ’93, p. 380, sec. 14; R. S. ’08, sec. 5043; C. 
L., sec. 904.) 
Sec. 40. Board refused admittance to premises—Complaint made to 
justice of the peace. Whenever the board of health shall think it necessary 
for the preservation of the lives or health of the inhabitants to enter any 
building, car or train of cars, in their town, city or county for the purpose 
of examining into and abating, removing or preventing any nuisance, 
source of filth or cause of sickness, or danger to life or limb, and shall be 
refused such entry, any member of the board may make complaint under 
oath to any justice of the peace of his county, whether such justice be a 
member of the board of health or not, stating the facts of the case as far 
as he has knowledge thereof. (L. ’93, p. 380. sec. 15; R. S. ’08, sec. 5044; 
C. L., sec. 905.) LAWS, RULES AND REGULATIONS 
21 
Sec. 41. Justice to issue warrant—Contents. Such justice may there- 
upon issue a warrant, directed to the sheriff or any constable in the county, 
commanding him to take sufficient aid, and being accompanied by any 
two or more members of said board of health, between the hours of sunrise 
and sunset, to repair to the place where such nuisance, source of filth, 
cause of sickness or danger to life or limb, complained of may be, and 
destroy, remove or prevent the same under the direction of such members 
of the board of health. (L. ’93, p. 381, sec. 16; R. S. ’08, sec. 5045; C. L., 
sec. 906.) 
Sec. 42. Warrant to remove contagious disease. Any justice of the 
peace may make out a warrant under his hand, directed to any sheriff or 
any constable of the county in and for which he is justice of the peace 
requiring him, under the direction of the board of health, to remove any 
person infected with contagious sickness, or take possession of convenient 
houses and lodging and provide nurses, attendants and other necessaries 
for the accommodation, safety and relief of the sick. (L. ’93, p. 381, sec. 
17; R. S. ’08, sec. 5046; C. L., sec. 907.) 
There was no repeal of the instant section and § 59 of this chapter, by ch. 
163, § 10. The two adjust and stand together. County of Saguache v. Decker, 
10 Colo. 149, 153, 14 P. 123, cited in notes, 10 Am. St. Rep. 53, 4 D. R. A. 309. 
By this section and § 59 of this chapter, the whole of the county may be 
required to pay the charges incurred in staying the spread of contagious diseases 
therein, instead of that portion thereof constituting the certain community 
wherein the disease is first discovered. Id. 
Sec. 43. Quarantine of baggage, clothing and suspected goods. When- 
ever, on application of the board of health or any member thereof it shall 
be made to appear to any justice of the peace that there is just cause to 
suspect that any baggage, clothing or goods of any kind found within the 
town, city or county arc infected with any disease which may be dangerous 
to the public health, such justice of the peace shall, by warrant, under his 
hand, directed to the sheriff or any constable of the county, require him to 
take with him as many men as the said justice shall deem necessary to 
secure such baggage, clothing or other goods, and to post said men as a 
guard over the house or place where such baggage, clothing or other goods 
shall be lodged, which guard shall take effectual care to prevent any per- 
son removing or coming near to such baggage, clothing or other goods, 
until due inquiry be made into the circumstances thereof, and they shall 
be discharged therefrom. (L. ’93, p. 381, sec. 18; R. S. ’08, sec. 5047; C. L., 
sec. 908.) 
Sec. 44. Same—Removal of goods for safe keeping. The said justice 
may also by the same warrant, if it shall appear to him necessary, require 
the said officer under the direction of the board of health, to impress or 
take convenient houses or stores for the safe keeping of such baggage, 
clothing or goods; and the board of health may cause them to be removed 
to such houses or stores, or be otherwise detained until they shall in the 
opinion of the board of health be free from infection. (L. ’93, p. 381, sec. 
19; R. S. ’08, sec. 5048; C. L„ sec. 909.) 
Sec. 45. Officer may break building to secure goods—Call aid. Such 
officer in the execution of such warrant, shall if need be in the daytime, 
break open any house, shop or other place mentioned in said warrant, 22 
COLORADO STATE BOARD OF HEALTH 
where such baggage, clothing or other goods may be, and he may require 
such aid as may be necessary to effect the execution of the warrant, and 
all persons shall at the command of any such officer, under a penalty not 
exceeding ten dollars, assist in the execution of the warrant, if able to do 
so. (L. ’93, p. 382, sec. 20; R. S. ’08, sec. 5049; C. L„ sec. 910.) 
Sec. 46. County, city or town to pay expense—Jurisdiction of police 
magistrate. The reasonable charges of securing such baggage, clothing or 
other goods, and of transporting and purifying the same shall be paid by 
the county, city or town whose board of health is exercising jurisdiction 
in the premises; in all cities or incorporated towns all actions provided 
for herein may be instituted before the police magistrate, who shall have 
jurisdiction thereof, and police officers and marshals in such cities and 
towns shall have equal authority with sheriffs and constables in executing 
the provisions of this article. (L. ’93, p. 382, sec. 21; R. S. ’08, sec. 5050; 
C. L., sec. 911.) 
Sec. 47. Nurses and attendants employed entitled to compensation. 
Whenever the sheriff or other officer shall take possession of houses, 
stores, lodgings or other necessaries, or shall employ any nurse or attend- 
ants, as provided in this article, the several parties interested shall be 
entitled to a just compensation therefor, to be paid by the county, city, or 
town in which such person or property shall have been so employed or 
taken possession of. (L. ’93, p. 382, sec. 22; R. S. ’08, sec. 5051; C. L., 
sec. 912.) 
Sec. 48. Appoint persons to examine passengers or restrain from 
coming into state. The board of health of any town, city or county, near 
to or bordering upon either of the neighboring states or territories, may 
appoint by writing, under their hands, suitable persons to attend any 
places by which travelers may pass into this state from infected places in 
other states; and the persons so appointed may examine such passengers 
as they may suspect of bringing with them any infection which may be 
dangerous to public health, and if need be, restrain them from traveling 
until licensed thereto by the board of health of the town, city or county 
to which such person may come; and any person coming from such in- 
fected place, who shall, without license as aforesaid, travel within the 
state, unless it be to travel by the most direct way to the state from 
whence he came, after he shall be cautioned to depart by the persons 
appointed as aforesaid, shall forfeit a sum not exceeding one hundred 
dollars. (L. ’93, p. 382, sec. 23; R. S. ’08, sec. 5052; C. L„ sec. 913.) 
Sec. 49. Regulations concerning imported articles. The said board 
shall also make such regulations as they may deem necessary for the 
public health and safety respecting any articles which are capable of con- 
taining or conveying any infection or contagion, or creating any sickness, 
when such article shall be brought into or conveyed from their town, city 
or county, or into or from any car or train of cars; and if any person shall 
violate such regulations he shall forfeit a sum not exceeding one hundred 
dollars. (L. ’93, p. 383, sec. 24; R. S. ’08, sec. 5053; C. L., sec. 914.) 
See also § 15 of this chapter. LAWS, RULES AND REGULATIONS 
Sec. 50. Quarantine ground. Any county may establish a quarantine 
ground in a suitable place either within or without its own limits: pro- 
vided, that if such place be without its limits, the consent of the county 
within whose limits it may be established shall first be obtained therefor. 
(L. ’93, p. 383, sec. 25; R. S. ’08, sec.'5054; C. L„ sec. 915.) 
Sec. 51. Joint quarantine ground. Any two or more counties may, at 
their joint expense, establish a quarantine ground for their joint use, 
either within or without their own limits; provided, that if such place be 
without their limits they shall first obtain the assent of the county in 
whose limits the same may be. (L. ’93, p. 383, sec. 26; R. S. ’08, sec. 5055; 
C. L„ sec. 916.) 
Sec. 52. Quarantine regulations. The said quarantine regulations, 
al ter notice shall have been given, shall be observed and complied with by 
all persons; and any person who shall violate any such regulations shall 
forfeit a sum not less than five dollars and not more than five hundred 
dollars. (L. ’93, p. 383, sec. 27; R. S. ’08, sec. 5056; C. L„ sec. 917.) 
Sec. 53. Expenses of quarantine. All expenses incurred on account 
of any person or goods, under any quarantine regulations shall be paid by 
such person or by the owner of such goods respectively. (L. ’93, p. 383, 
sec. 28; R. S. ’08, sec. 5057; C. L., sec. 918.) 
Sec. 54. Board to direct removal of diseased person from county jail. 
Whenever any person confined in any common jail shall be attacked with 
any disease which, in the opinion of the physicians of the board of health, 
or such other physicians as they may consult, shall be considered danger- 
ous to the safety and health of the other prisoners, or of the inhabitants of 
the town, city or county in which such jail is situated, the board of health 
may, by their order in writing, direct the removal of such person to some 
hospital or other place of safety, there to be provided for and securely 
kept, so as to prevent his escape until their further orders; and if such 
prisoner shall recover from the disease, he shall be returned to such jail. 
(L. ’93, p. 384, sec. 29; R. S. ’08, sec. 5058; C. L., sec. 919.) 
Sec. 55. Order of removal returned to clerk of court. If the person 
so removed shall have been committed by order of any court, or under any 
judicial process, the order for his removal, or a copy thereof, attested by 
the presiding member of said board of health, shall be returned by him, 
with the doing thereon, into the office of the clerk of the district court 
of the county; and no prisoner removed as aforesaid shall be considered 
as thereby having committed an escape. (L. ’93, p. 384, sec. 30; R. S. ’08, 
sec. 5059; C. L., sec. 920.) 
Sec. 56. Removal of persons from poor house or hospital infected with 
contagious disease. Whenever any pestilence or contagious disease shall 
break out in any poor house or hospital in this state, or in the vicinity 
thereof, and the physicians of such poor house or hospital, or such other 
physicians as the superintendents may consult, shall certify that such 
pestilence or disease is likely to endanger the health of the persons sup- 
ported at such poor house or hospital, the superintendents or person in 24 
COLORADO STATE BOARD OF HEALTH 
charge of such poor house or hospital shall cause the persons there sup- 
ported, or any of them, to be removed to some other suitable place in the 
same county, city or town and there to be maintained and provided for at 
the expense of the county with all necessary medical attendance and care, 
until they can safely be returned to such poor house or hospital, or other- 
wise discharged. (L. ’93, p. 384, sec. 31; R. S. ’08, sec. 5060; C. L., sec. 921.) 
Sec. 57. Permit for removal of infected article or person. The board 
of health may grant permits for the removal of any infected article or sick 
person, within the limits of their town, city or county, when they shall 
think it safe and proper to do so. (L. ’93, p. 384, sec. 32; R. S. ’08, sec. 
5061; C. Li., sec. 922.) 
Sec. 58. Care of persons infected with contagious disease. When any 
person coming from abroad, or residing within any town, city or county 
within this state shall be infected or shall lately before have been in- 
fected with the smallpox, or other sickness dangerous to the public health, 
the board of health of the town, city or county where such persons may 
be shall make effectual provisions in the same manner in which they shall 
judge best for the safety of the inhabitants by removing such sick or 
infected person to a separate house, if it can be done without danger to 
his health and by providing nurses and other assistance necessary, which 
shall be at the charge of the county, city or town, as the case may be, to 
which he belongs. (L. ’93, p. 385, sec. 33; R. S. ’08, sec. 5062; C. L., sec. 
923.) 
Sec. 59. When person cannot be removed. If any such infected per- 
son cannot be removed without danger to his health, the board of health 
shall make provision for him as in the preceding section, in the house in 
which he may be, and in such case they may cause the persons in the 
neighborhood to be removed, and may take such other measures in respect 
to the same as they may deem necessary for the safety of the inhabitants. 
(L. ’93, p. 385, sec. 34; R. S. ’08, sec. 5063; C. L., sec. 924.) 
Sec, 60. Inhabitants may establish hospitals for care of contagious 
diseases. The inhabitants of any town, city or county may establish in 
such locality as the board of health may deem best and be constantly pro- 
vided with one or more hospitals for the reception of persons having the 
smallpox or other disease which may be dangerous to the public health. 
And the board of county commissioners of any county in this state having 
a population of more than ten thousand inhabitants according to the last 
preceding decennial federal census may establish, erect, acquire, equip 
and maintain a hospital for the care and treatment of indigent persons 
residing in such county, and also for the care and treatment, for pay, of 
other residents of such county; and such board may accept donations of 
money or other property for the use or benefit of such hospital. Any 
such boai’d shall have power to acquire by purchase or gift such lands as 
may be necessary for the site of such hospital. (L. ’93, p. 385, sec. 35; 
R. S. ’08, sec. 5064; C. L., sec. 925; L. ’25, p. 410, sec. 1.) 
A physician in Colorado has no constitutional or statutory right to practice 
his profession in a county hospital. Newton v. Board of County Com’rs, 86 
Colo. 446, 282 P. 1068, 
Cited in County of Saguache v. Decker, 10 Colo. 149, 153, 14 P. 128. LAWS, RULES AND REGULATIONS 
The county board has complete supervision and control of county hospitals 
In Colorado, and a regulation excluding from the right to practice in such a 
hospital the devotees of some of the numerous systems or methods authorized 
to practice the profession, e.g., osteopaths, is neither unreasonable nor arbitrary, 
nor contrary to any provision of the federal or state constitutions. Id. 
Sec. 61. Regulations governing hospitals for contagious diseases. 
All such hospitals shall be subject to the rules and regulations of the 
board of health or a committee appointed by such board for that purpose; 
but no such hospitals shall be established within one hundred yards of 
any inhabited house situated in an adjoining county without the consent 
of such adjoining county. (L. ’93, p. 385, sec. 36; R. S. ’08, sec. 5065; C. L., 
sec. 926.) 
Sec. 62. Attendants subject to regulations. When any hospital shall 
be so established the physician attending the same, the persons sick 
therein, the nurses, attendants and all persons who shall approach or come 
within the limits of the same, and all such furniture and other articles as 
shall be brought there, shall be subject to such regulations as shall be 
made by the board of health, or of the committee appointed for that pur- 
pose. (L. ’93, p. 385, sec. 37; R. S. ’08, sec. 5066; C. L„ sec. 927.) 
Sec. 63. Hospitals for care of epidemic of contagious diseases. When 
smallpox or other disease dangerous to the public health shall break out 
in any town, city or county, the board of health shall immediately provide, 
furnish and maintain a suitable and comfortable hospital building and 
place of reception for the sick and infected, and shall provide a good and 
sufficient number of efficient nurses and attendants therefor (and when 
especially requested to do so, permit such nurses and such medical care 
as the family or near friends of the patient may desire) as they shall judge 
to be adequate and sufficient for the due care and accommodation of the 
said sick and infected persons, and for the safety of the inhabitants; the 
said hospitals shall be subject to the regulations of the board of health in 
the same manner as hereinbefore provided for established hospitals. (L. 
’93, p. 386, sec. 38; R. S. ’08, sec. 5067; C. L„ sec. 928.) 
Sec. 64. Prevention of spread of contagious disease. When the small- 
pox or other disease dangerous to the public health is found to exist in 
any town, city or county, the board of health shall use all possible care to 
prevent the spreading of the infection and to give public notice of infected 
places to travelers, by such means as in their judgment shall be most 
effectual for the common safety. (L. ’93, p. 386, sec. 39; R. S. ’08, sec. 
5068; C. L., sec. 929.) 
Sec. 65. Physician or other person violating regulations—Penalty. 
If any physician or other person in any of the hospitals or places of recep- 
tion before mentioned or who shall attend, approach, or be concerned with 
the same, shall violate any of the regulations lawfully made in relation 
thereto, either with respect to himself, or to his or any other person’s 
property, the person so offending shall, for each offense upon conviction 
be fined in a sum not less than ten nor more than one hundred dollars. 
(L. ’93, p. 386, sec. 40; R. S. ’08, sec. 5069; C. L., sec. 930.) COLORADO STATE BOARD OF HEALTH 
Sec. 66. Householder to give notice of contagious disease. Whenever 
any householder shall know that any person within his family is taken 
sick with smallpox or any other disease dangerous to the public health, 
he shall immediately give notice thereof to the board of health, or health 
officer of the town, city or county in which he resides; and if he shall 
refuse or neglect to give such notice he shall upon conviction be fined in 
a sum not exceeding one hundred dollars. (L. ’93, p. 386, sec. 41; R. S. ’08, 
sec. 5070; C. L., sec. 931.) 
Sec. 67. Inoculation. Every board of health of any town, city or 
county may make suitable provisions, at any meeting for the inoculation 
of the inhabitants with cow-pox under the direction of the local board of 
health or health officer. (L. ’93, p. 387, sec. 42; R. S. ’08, sec. 5071; C. L., 
sec. 932.) 
Sec. 68. Physician to give notice of contagious disease—Penalty for 
failure to give notice. Whenever any physician shall know that any pei- 
son whom he is called to visit, or who is bi’ought to him for examination, is 
infected with smallpox, cholera, diphthei’ia, scarlet fever, or any other 
disease dangerous to public health, he shall immediately give notice 
thereof to the health officer, the president or the clerk of the board of 
health of the county, town or village in which the sick person may be; 
and to the householder, hotel keeper, keeper of a boarding house, or tenant 
within whose house or looms the sick person may be. The notice to the 
officer of the board of health shall state the name of the disease, the 
name, age, and sex of the person sick; also the name of the physician 
giving the notice; and shall by street and number or otherwise, sufficiently 
designate the house or room in which said sick person may be; and every 
physician and person acting as a physician, who shall refuse or neglect, 
immediately to give such notice, shall for each offense upon conviction be 
fined in a sum not less than five nor more than one hundred dollars; px;o- 
vided, that this penalty shall not be enforced against a physician if another 
physician in attendance has given to the health officer, hereinbefore men- 
tioned, an immediate notice of such sick person and the true name of the 
disease in accoi’dance with the requirements of this section. (L. ’93, p. 
387, sec. 43; R. S. ’08, sec. 5072; C. L„ sec. 933.) 
, Sec. 69. Investigation and disposition of contagious disease by health 
officer—Notify board of health. Whenever the health officer of any 
county, city or village in this state shall receive reliable notice, or shall 
otherwise have good reason to believe that there is within the county, city 
or village of which he is the health officer, a case of smallpox, diphtheria, 
scarlet fever or other communicable disease dangerous to the public 
health, it shall be the duty of the health officer, unless he is or shall have 
been insti’ucted by the board of health, of which he is an executive officer, 
to do otherwise, to immediately investigate the subject, and in behalf of 
the board of health, of which he is an executive officer, to order the pi'ompt 
and thorough isolation of those sick or infected with such disease, so long 
as there is danger of their communicating the disease to other persons; 
to order the prompt isolation or vaccination of persons who have been 
exposed to smallpox; to see that no person suffers for lack of nurses or LAWS, RULES AND REGULATIONS 
other necessaries because of isolation for the public good; to give public 
notice of infected places by placard on the premises, and otherwise if 
necessary; to promptly notify teachers or superintendents of schools con- 
cerning families in which are contagious diseases; to supervise funerals 
of persons dead from scarlet fever, diphtheria, smallpox or other com- 
municable disease which endangers the public health, to disinfect rooms, 
clothing and premises, and all articles likely to be infected, before allow- 
ing their use by persons other than those in isolation; to keep the presi- 
dent of his own board of health, and the secretary of the State Board of 
Health constantly informed respecting every outbreak of a disease dan- 
gerous to the public health, and of the facts so far as the same shall come 
to his knowledge, respecting sources of danger of any such diseased per- 
son or infected article being brought into or taken out of the county, city 
or village of which he is the health officer. (L. ’93, p. 387, sec. 44; R. S. ’08, 
sec. 5073; C. L„ sec. 934.) 
Sec. 70. Compensation of health officer. In the fulfillment of the 
requirements of this article, the health officer, unless other provisions 
shall have been made in accordance with law, shall be entitled to receive 
from the county, city or village of which he is the health officer, compen- 
sation at the rate of not less than two (2) dollars per day, while in the 
discharge of his duties. (L. ’93, p. 388, sec. 45; R. S. ’08, sec. 5074; C. L., 
sec. 935.) 
Sec. 71. Registry of births and deaths by attendants. It shall be the 
duty of all physicians, surgeons and midwives to keep a registry of all 
births and deaths at which they have professionally attended, showing in 
case of birth, the time and place of birth, name of the father, maiden name 
of the mother, residence, sex, color of child, whether it be born alive or 
dead, and shall make report of such birth to the local board of health 
within one week of the date of birth; provided, that when two or more 
surgeons, physicians or midwives may have attended professionally at 
any birth, the surgeon, physician or midwife who is oldest in attendance 
shall make the report. (L. ’05, p. 297, sec. 1; amending L, ’93, p. 388, sec. 
46; R. S. ’08, sec. 5075; C. L., sec. 936.) 
See § 115 of this chapter. As to duty of physicians to file birth certificate, 
see § 116 of this chapter. 
Sec. 72. Report of antitoxin products sold. It shall be the duty of all 
those engaged in selling, handling or manufacture of drugs, sera, anti- 
toxin, vaccines, or other pharmaceutical products to make a report to the 
local board of health of all antitoxin sold by them, stating to whom such 
antitoxin was sold and the date on which it was sold; if purchased upon 
a prescription of a physician,, the name of the purchaser as well as the 
name of the physician ordering the antitoxin. Such reports shall be made 
within twelve (12) hours of the date of sale. (L. ’05, p. 298, sec. 2; amend- 
ing L. ’93, p. 389, sec. 47; R. S. ’08, sec. 5076; C. L., sec. 937.) 
Sec. 73. Violation of two preceding sections. Any person failing to 
discharge and perform any of the acts and duties imposed by the two 
preceding sections shall, for every such failure be deemed guilty of a mis- 
demeanor, and upon conviction thereof be fined in a sum of not less than 28 
COLORADO STATE BOARD OF HEALTH 
five nor more than twenty dollars. (L. ’93, p. 389, sec. 48; R. S. ’08, sec. 
5077; C. L., sec. 938.) 
Sec, 74. Monthly reports of local boards of health. All boards of 
health which exist now, or may be established by the provisions of this 
article, shall report to the State Board of Health on the fifth (5) day of 
each month all marriages, births, deaths and other information required 
by the State Board of Health, occurring in their respective districts. (L. 
’05, p. 298, sec. 3; amending L. ’93, p. 389, sec. 49; R. S. ’08, sec. 5078; C. L., 
sec. 939.) 
Sec. 75. Secretary to provide blanks for reports. The secretary of 
the State Board of Health shall cause to be provided suitable blanks with 
separate columns for each of the items of information required, and shall 
send a sufficient number of said blanks to the clerk of each county for 
distribution. (L. ’93, p. 389, sec. 50; R. S. ’08, sec. 5079; C. L., sec. 940.) 
Sec. 76. Board may assign location for business detrimental to public 
health. The board of health of any town, city or county, respectively, 
when they shall judge it necessary, shall from time to time assign certain 
places for the exercise of any trade or employment dangerous to the public 
health; and they shall forbid the exercise thereof in places not so as- 
signed; and all such assignments shall be entered in the records of the 
town, city or county, and they may be revoked when the board of health 
making such assignment shall think proper. (L. ’93, p. 389, sec. 51; R. S. 
’08, sec. 5080; C. L., sec. 941.) 
Sec. 77. Revocation of assignment by district court. When any place 
or building so assigned shall become dangerous to the neighborhood or to 
travelers, and the same shall be made to appear on a trial, or on the 
admission of the person exercising such trade or employment before the 
district court of the county, upon a complaint made by the board of health, 
or by any other person, the said court may revoke such assignment, and 
prohibit the further use of such place or building for the exercise of either 
of the aforesaid trades or employments, and may cause such nuisance to 
be removed or abated. (L. ’93, p. 390, sec. 52; R. S. ’08, sec. 5081; C. L., 
sec. 942.) 
Sec. 78. Damages occasioned by nuisance—Action. Any person in- 
jured either in his comfort or in the enjoyment of his estate by any such 
nuisance may have an action on the case for damages sustained thereby, 
in which action the defendants may plead the general issue and give any 
special matter in evidence. (L. ’93, p. 390, sec. 53; R. S, ’08, sec. 5082; 
C. L„ sec. 943.) 
Sec. 79. Board may order removal of cemetery. Whenever the trus- 
tees of any incorporated town or village or the board of health of any city 
shall by resolution adopted by them determine that the dead bodies buried 
in any public cemetery located in any such city, town or village should 
be removed therefrom, for the reason that such cemetery shall have be- 
come commons, or shall impede the growth of any such city, town or vil- 
lage, or shall endanger the health of the people living in the immediate LAWS, RULES AND REGULATIONS 
29 
vicinity thereof, the county court of the county in which such cemetery is 
located is hereby authorized to vacate the same, or any part thereof, on 
petition made to such court by the board of health. (L. ’93, p. 390, sec. 
54; R. S. ’08, sec. 5083; C. L.. sec. 944.) 
Sec. 80. Notice of health regulations given by publication. Notice 
shall be given by the board of health of all regulations made by them, by 
publishing the same in some newspaper of the county, town or village, if 
there be one published therein, and if not, then by posting them up in five 
public places in such county, town or village, and such notice of such 
regulations shall be deemed legal notice to all persons. (L. ’93, p. 390, 
sec. 55; R. S. ’08, sec. 5084; C. L„ sec. 945.) 
Sec. 81. Jurisdiction of courts over nuisances. The county court for 
any county or any justice of the peace in such county, and police magis- 
trates in cities and towns shall have jurisdiction in all matters concerning 
nuisances under this article and the punishment therefor. (L. ’93, p. 390, 
sec. 56; R. S. ’08, sec. 5085; C. L., sec. 946.) 
Sec. 82. Domestic animals affected with contagious or infectious dis- 
ease. It shall be the duty of any person who discovers, suspects, or has 
reason to believe that any domestic animal belonging to him or in his 
charge, or that may come under his observation, belonging to other par- 
ties, is affected with any disease, if it be a contagious or infectious disease, 
to immediately report such fact, belief or suspicion to the local board of 
health or some member thereof, and if, on examination, it is found that 
the animal is diseased and unfit for food, such animal may be ordered to 
be killed and buried by any officer of the board of health, at the expense 
of the owner. (L. ’93, p. 391, sec. 57; R. S. ’08, sec. 5086; C. L., sec. 947.) 
Sec. 83. Selling, shipping or allowing diseased animals to run at large 
—Penalty. Any person who shall have in his possession any domestic 
animal affected with any contagious or infectious disease, knowing such 
animal to be so affected, or after having received notice that such animal 
is so affected who shall permit such animal to run at large, or who shall 
keep such animal where other domestic animals not affected by or previ- 
ously exposed to such disease may be exposed to its contagion or infec- 
tion, or who shall sell, ship, drive, trade or give away such diseased animal 
or animals, which have been exposed to such contagion or infection, or 
who shall move or drive any domestic animal in violation of any direc- 
tion, rule or regulation or order establishing or regulating quarantine, 
shall be deemed guilty of a misdemeanor, and upon conviction thereof 
shall be fined in any sum nor less than five dollars nor more than one 
hundred dollars, or be imprisoned in the county jail not less than ten nor 
more than ninety days, or both such fine and imprisonment in the dis- 
cretion of the court, for each of such diseased or exposed domestic animals, 
which he shall permit to run at large, or keep, sell, ship, drive, trade or 
give away in violation of the provisions of this article. (L. ’93, p. 391, sec. 
58; R. S. ’08, sec. 5087; C. L., sec. 948.) 
Sec. 84. Penalty for bringing diseased animal into state. Any person 
who shall knowingly bring into this state any domestic animal which is COLORADO STATE BOARD OF HEALTH 
affected with any contagious or infectious disease, or any animal which 
has been exposed to any infectious or contagious disease, shall he deemed 
guilty of a misdemeanor, and on conviction thereof shall be fined in a 
sum not less than one hundred dollars nor more than five thousand dollars 
or be imprisoned in the county jail not to exceed one year or both such 
fine and imprisonment in the discretion of the court. (L. ’93, p. 391, sec. 
59; R. S. ’08, sec. 5088; C. L., sec. 949.) 
Sec. 85. Sale of diseased meat—Penalty. If any person shall know- 
ingly sell any kind of diseased, corrupted or unwholesome provisions, 
whether for meat or drink, without making the same fully known to the 
buyer, he shall upon conviction be punished by imprisonment in the county 
jail not more than six mnoths, or by fine not exceeding two hundred dol- 
lars. (L. ’93, p. 392, sec. 60; R. S. ’08, sec. 5089; C. L., sec. 950.) 
This section is apparently superseded by § 49 of ch. 69.—Ed. note. 
Sec. 86. Sale of adulterated food or drink—Penalty. If any person 
shall fraudulently adulterate, for the purpose of sale, any substance in- 
tended for food, or any wine, spirits, malt liquor, or other liquor intended 
for drinking, he shall upon conviction be punished by imprisonment in the 
county jail not more than one year, or by fine not exceeding three hundred 
dollars, and the article so adulterated shall he forfeited and destroyed. 
(L. ’93, p. 392, sec. 61: R. S. ’08, sec. 5090; C. L., sec. 951.) 
This section is apparently superseded by § 2 of ch. 69.—Ed. note. 
Sec. 87. Adulteration of drugs and medicines. If any person shall 
fraudulently adulterate, for the purpose of sale, any drug or medicine in 
such manner as to render the same injurious to the health, he shall be 
punished by imprisonment in the county jail not more than one year, or 
by fine not exceeding four hundred dollars, and such adulterated drugs and 
medicines shall be forfeited and destroyed. (L. ’93, p. 392, sec. 62; R. S. 
’08, sec. 5091; C. L., sec. 952.) 
This section is apparently superseded by § 2 et seq. of ch. 69.—Ed. note. 
Sec. 88. Mix, color, stain or powder articles of food with injurious 
ingredient. No person shall mix, color, stain, or powder, or order or per- 
mit any other person to mix, color, stain or powder any article of food 
with any ingredient or material so as to render the article injurious to 
health, with the intent that the same may he sold; and no person shall 
knowingly sell or offer for sale any article so mixed, colored, stained or 
powdered. (L. ’93. p. 392, sec. 63; R. S. ’08, sec. 5092; C. L., sec. 953.) 
This section is apparently superseded by § 2 et seq. of ch. 69.—Ed. note. 
Sec. 89. Mix, color, stain or .powder any drug or medicine. No person 
shall, except for the purpose of compounding in the necessary preparation 
of medicine, mix, color, stain or powder, order or permit any other person 
to mix, color, stain or powder any drug or medicine with any ingredient 
or materials so as to affect injuriously the quality or potency of such drug 
or medicine with intent' to sell the same, or shall sell or offer for sale any 
such drug or medicine so mixed, colored, stained or powdered. (L. ’93, p. 
392, sec. 64: R. S. ’08, sec. 5093; C. L., sec. 954.) 
This section is apparently superseded by § 2 et seq. of ch. 69.—Ed. note. LAWS, RULES AND REGULATIONS 
31 
Sec. 90. Mix, color, stain or powder any food, drink or medicine 
without labeling—Penalty. No person shall mix, color, stain or powder 
any article of food, drink, or medicine, or any article which enters into 
the composition of food, drink or medicine with any other ingredient or 
material, whether too injurious to health or not, for the purpose of gain 
or profit, or sell or offer the same tor sale or order or permit any other 
person to sell or offer for sale any article so mixed, colored, stained, or 
powdered unless the same be so manufactured, used or sold, or offered for 
sale under its true and appropriate name, and notice that the same is 
mixed or impure is marked, printed or stamped upon each package, roll, 
parcel or vessel containing the same, so as to be and remain at all times 
readily visible, or unless the person purchasing the same is fully informed 
by the seller of the true name and ingredients (if other than such as are 
known by the common name thereof) of such article of food, drink, or 
medicine at the lime of making sale thereof or offering to sell the same. 
(L. ’93, p. 393, sec. 65; R. S. ’08, sec. 5094; C. L„ sec. 955.) 
See also § 15 of ch. 69. As to misbranding of articles, see § 8 of ch. 69. 
Sec. 91. Adulterated foods must be marked. No person shall mix any 
glucose or grape sugar with syrup, honey or sugar intended for human 
food, or any oleomargarine, suine, beef fat, lard or any other foreign sub- 
stance with any butter or cheese intended for human food, or shall mix or 
mingle any glucose or grape sugar or oleomargarine with any article of 
food without distinctly marking, stamping or labeling the article or the 
package containing the same with the true and appropriate name of such 
article and the percentage in which glucose or grape sugar, oleomargarine 
or suine enter into its composition; nor shall any person sell or offer for 
sale, or order or permit to be sold or offered for sale, any such food into 
the composition of which glucose or grape sugar or oleomargarine or suine 
has entered, without at the same time informing the buyer of the fact, and 
the proportions in which such glucose or grape sugar or oleomargarine or 
suine has entered into its composition. (L. ’93, p. 393, sec. 66; R. S. ’08, 
sec. 5095; C. L., sec. 956.) 
See also § 15 and § 16 of ch. 69. 
Sec. 92. Violation of sections—Penalty. Any person convicted of 
violating any provision of any of the foregoing sections of this article shall 
be fined not more than fifty dollars or imprisoned in the county jail not 
exceeding three months. (L. ’93, p. 393, sec. 67; R. S. ’08, sec. 5096; C. L., 
sec. 957.) 
Sec. 93. District attorneys to prosecute. It is hereby made the duty 
of the district attorneys of this state to appear for the people and attend 
to the prosecution of all complaints under this article in all the courts in 
their respective counties. (L. ’93, p. 394, sec. 68; R. S. ’08, sec. 5097; C. L., 
sec. 958.) 
Sec. 94. Unlawful to sell impure or adulterated milk. It shall be 
unlawful for any person, either by himself or agent, to sell or expose for 
sale within the State of Colorado any unwholesome, watered or adulterated 
or impure milk, or swill milk or colostrum, or milk from cows kept upon 
garbage, swill or any substance in a state of fermentation or putrefaction, 32 
COLORADO STATE BOARD OF HEALTH 
or other deleterious substances, or from cows £ept in connection with any 
family in which there are infectious diseases. The addition of water or ice 
to milk is hereby declared an adulteration. (L. ’93, p. 394, sec. 69; R. S. ’08, 
sec. 5098; C. L., sec. 959.) 
This section is apparently superseded by § 4 et seq. of ch. 49.—Ed. note. 
An action for milk delivered under a contract, where the defense was that 
the milk was watered, does not involve a constitutional question so as to give 
the supreme court jurisdiction to review a judgment therein, on the ground 
that but for this section plaintiff would have had a right to recover even though 
the milk delivered was watered, and that said act is therefore in violation of 
the constitution as impairing the obligations of contracts. Neither does it 
involve a debatable constitutional question on the ground that said act embraces 
more than one subject. Hecht v. Wright, 31 Colo. 117, 72 P. 48. 
Sec. 95. Violation of preceding section—Penalty. Any person who 
shall violate any of the provisions of the preceding section shall, upon 
conviction, be punished by a fine not to exceed one hundred dollars, or 
by imprisonment not to exceed three months; or by both such fine and 
imprisonment, in the discretion of the court. (L. ’93, p. 394, sec. 70; R. S. 
’08, sec. 5099; C. L„ sec. 960.) 
Sec. 96. Milk inspector—Compensation—Duties. Authority is hereby 
given the board of health of any county, city or town to appoint an inspec- 
tor of milk in any such city or village, and to fix their compensation, and 
when appointed, said inspectors shall perform all the duties required of 
inspectors as provided herein, and such other powers and duties as may 
be conferred or imposed by the ordinances of said cities or villages. (L». 
’93, p. 394, sec. 71; R. S. ’08, sec. 5100; C. L., sec. 961.) 
As to dairy commissioner and inspector, see ch. 49, § 1 et seq. 
Sec. 97. Selling skimmed milk—Penalty. Any dealer in milk who 
shall by himself, or by his servant, or agent, sell, exchange or deliver, or 
have in his custody or possession with intent to sell or exchange the same, 
or exposes or offers for sale as pure milk any skimmed milk, from which 
the cream or part thereof has been removed, shall be guilty of a misde- 
meanor and shall for such offense be punished by the penalty provided in 
the preceding section. (L. ’93, p. 394, sec. 72; R. S. ’08, sec. 5101; C. L., 
sec. 962.) 
As to standards of milk, see ch. 49, § 8 et sen. 
Sec. 98. Sale of poison without marking—Penalty. Every apothecary, 
druggist or other person who shall sell and deliver at retail any arsenic, 
corrosive sublimate, prussic acid or any other substance or liquid usually 
denominated poisonous without having the word “poison” and the true 
name thereof and the name of some simple antidote, if any is known, 
written or printed upon the label attached to the vial, box or parcel con- 
taining the same, shall be punished by a fine, not exceeding one hundred 
dollars. (L. ’93, p. 395, sec. 74: R. S. ’08, sec, 5103; C. L., sec. 964.) 
Sec. 99. Unlawful to sell or advertise substance to procure abortion. 
No person shall in any manner except as hereinafter provided, advertise, 
publish, sell, or publicly expose for sale any pills, powders, drugs or combi- 
nation of drugs, designed expressly for the use of females for the purpose 
of procuring an abortion. (L. ’9?., p. 396, sec. 75; R. S. ’08, sec. 5104; C. L,., 
sec. 965.) 
See also ch. 48, § 220. LAWS, RULES AND REGULATIONS 
Sec. 100. Drug or medicine producing abortion sold only on prescrip- 
tion—Registered. Any drug or medicine known to be designed and ex- 
pressly prepared for producing abortion shall be sold only upon the written 
prescription of an established practicing physician of the city, village or 
county in which the sale is made, and the druggist or dealer selling the 
same, shall, in a book provided for that purpose register the name of the 
purchaser, the date of the sale, the kind and quantity of the medicine sold 
and the name and residence of the physician prescribing the same. (L. 
’93, p. 396, sec. 76; R. S. ’08, sec. 5105; C. L„ sec. 966.) 
Sec. 101. Penalty for violation of three preceding sections. Any per- 
son violating any of the provisions of the three preceding sections shall, 
upon conviction thereof, be punished by a fine of not less than twenty-five 
(25) dollars, nor more than one hundred dollars at the discretion of the 
court. (L. ’93, p. 396, sec. 77; R. S. ’08, sec. 5106; C. L., sec. 967.) 
Sec. 102. Advertisement of substances to cure private diseases, pre- 
vent conception or procure abortion unlawful—Penalty. The publication, 
circulation or sale within this state of any circular, newspaper, pamphlet, 
or other book, containing receipts or prescriptions, immoral in tendency, 
for the cure of chronic female complaints or private diseases, or recipes 
or prescriptions for drops, pills, tinctures, or other compounds designed 
to prevent inceptions [conceptions], or tending to produce miscarriage or 
abortion, is hereby prohibited; and the publisher, circulator and seller 
thereof shall each be deemed guilty of a misdemeanor and shall upon 
conviction be liable to a fine of not less than ten or more than one hundred 
dollars for each offense. (L. ’93, p. 396, sec. 78; R. S. ’08, sec. 5107; C. L., 
sec. 968.) 
See also ch. 48, §’220. 
As to such advertising being grounds for the revocation of a physician’s 
license, see ch. 109, § 13. 
The word “conceptions,” appearing in brackets, was supplied by the editor. 
It is believed that this word should be substituted for the word “inceptions.” 
—Ed. note. 
Sec. 103. Puerperal fever—Suspension of physician. Whenever it 
shall appear that in the practice of a physician or a midwife, there occur 
an unusual number of cases of puerperal fever, the board of health may 
require such physician or midwife to suspend his or her vocation for such 
a time as may seem necessary. (L. ’93, p. 396. sec. 79; R. S. ’08, sec. 5108; 
C. L., sec. 969.) COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
COMMUNICABLE DISEASE 
CONTROL 
LAWS, RULES AND REGULATIONS 
( Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
COMMUNICABLE DISEASE CONTROL 
Laws, Rules and Regulations Relating to the Control of Communicable 
and Other Diseases Dangerous to the Public Health. 
LAWS 
(Colorado State Laws Relating to the Control of Communicable and Other 
Diseases Dangerous to the Public Health. From Chapter 78, Health 
—Colorado Statutes Annotated, 1935) 
Section 
13. Local Health Officers—Appointment. 
14. State board to act when local board refuses—Prosecution of local 
board for refusal. 
27. Municipal board of health. 
28. Board to appoint health officers—Term—Salary. 
29. Health regulations—Violations. 
64. Prevention of spread of contagious disease. 
66. Householder to give notice of contagious disease. 
67. Inoculation. 
68. Physician to give notice of contagious disease—Penalty for failure 
to give notice. 
69. Investigation and disposition of contagious disease by health offi- 
cer—Notify board of health. 
70. Compensation of Health Officer. 
178. Tubercular nuisance—Complaint—Abatement—Failure—Penalty. 
182. Report of recovery of patient. 
Sec. 13. Local health officers—Appointment. The State Board of 
Health, or the secretary of the board, may call upon the board of county 
commissioners of any county or on the mayor, or other chief executive 
of any city, town or village of Colorado to appoint some person to serve 
as local health officers for their respective jurisdiction, or to name the 
person already legally appointed; the said officer to act in cooperation 
with and under advice of the State Board of Health. (L. ’93, p. 401, sec. 
14; R. S. ’08, sec. 5021; C. L„ sec. 882.) 
Sec. 14. State board to act when local board refuses—Prosecution of 
local board for refusal. In the event of the local board of health of any 
community being unable or unwilling to efficiently or promptly abate a 
nuisance, or to prevent the introduction or spread of any contagious or 
infectious disease, the State Board of Health shall have full power to take 
such measures as will insure the abatement of the nuisance, or prevent 
the introduction or spread of disease. The State Board of Health may, 
for this purpose, assume all the powers conferred by law on the local 
board of health; or the State Board of Health may. at its discretion, bring 38 
COLORADO STATE BOARD OF HEALTH 
suit against or prosecute any local board of health for a willful failure to 
enforce the laws of this state in regard to health, and the expense of carry- 
ing out such orders shall be borne by the local board of health so failing 
to enforce the law. (L. ’93, p. 401, sec. 15; R. S. ’08, sec. 5022; C. L., sec. 
883.) 
Sec. 27. Municipal board of health. The mayor and council, or trus- 
tees of each incorporated town or city, whether incorporated under general 
statutes or special charter in this state, respecting which no other provi- 
sion is or shall be made by law, shall have and exercise all the powers and 
perform all the duties of a board of health as provided in this article, 
within the limits of the cities or towns respectively of which they are 
such officers, and in all parts and portions of each and every county not 
represented by town or city organization, the board of health shall consist 
of the county commissioners and the clerk of the county. (L. ’93, p. 376, 
sec. 2; R. S. ’08, sec. 5031; C. L„ sec. 892.) 
Sec. 28. Board to appoint health officers—Term—Salary. Every 
board of health shall appoint one or more physicians to the board, who 
shall be the health officer or officers of the county, city or town for which 
he is appointed, and shall hold his office during its pleasure, and it shall 
establish his salary or other compensation, and it shall regulate all fees 
and charges of every person employed by it in the execution of the health 
laws and its own regulations. Provided, that in counties, towns, or vil- 
lages where it is not practicable to secure the services of a well educated 
and suitable physician, the board may appoint some other person as such 
health officer. (E. ’93, p. 377, sec. 3; R. S. ’08, sec. 5032; C. L„ sec. 893.) 
Cross references.—See § 70 of this chapter. As to power of state hoard of 
health to require appointment of local officers, see § 13 of this chapter. 
Absence of appointed physician, who employed another physician to attend 
to county patients, is no defense in action to recover on contract.—In an action 
by a physician upon a contract made with a county whereby he for a considera- 
tion agreed to furnish medicines and surgical appliances and attend, take care 
of and give all proper medical attention to all poor persons who might lie a 
charge upon the county, the fact that he was absent from the county part of the 
time on account of sickness of himself and wife was no defense to the action, 
where he employed another competent physician to attend to the county patients 
during his absence. The employment was not one which called for personal 
services wherein he could not substitute another for himself. All that it re- 
quired was proper medical attention, medicines, etc. Board of County Commis- 
sioners v. Bedell, 13 Colo. App. 261, 57 P. 187, cited in note, 31 A. L. R. 1091. 
Since it would be unreasonable to hold he could not substitute another 
physician while absent.—Where a physician contracted with a county for a 
consideration to furnish all proper medicines and medical attention to all poor 
persons who might be a charge upon the county, it would be unreasonable. to 
hold that he could not substitute another reputable physician in his stead during 
sickness or temporary absence, even if the contract was one that called for 
personal service. Board of County Com’rs v. Bedell, 13 Colo. App. 261, 57 P. 
187, cited in note, 31 A. E. R. 1091. 
Especially where the county commissioners use services of the substitute.— 
Where a county physician during his temporary absence employed another physi- 
cian in his stead and a member of the board of county commissioners on several 
occasions, during the time, called upon the substituted physician to attend the 
county poor, which he did, it was a recognition by the county of the employment 
of the substitute. Board of County Com'rs y. Bedell, 13 Colo. App. 261, 57 P. 
187, cited in note, 31 A. L. R. 1091. 
The fact that the county employed another physician is likewise no de- 
fense.—In an action by a county physician against a county upon a contract of 
employment for a certain period, evidence that during part of the time the county 
employed another physician was properly excluded, where the only defense set 
up in the answer was that plaintiff had failed to comply with the terms of his 
contract. If plaintiff had fulfilled the obligations of his contract the fact that 
the county employed another physician was no defense to his action. Board of 
County Com’rs v. Bedell, 13 Colo. App. 261, 57 P. 187, cited in note, 31 A. L. R. 
1091. LAWS, RULES AND REGULATIONS 
Records inadmissible as evidence.—In an action by a county physician for 
compensation for his services, the record of the county poor kept in the clerk’s 
office and made upon after the expiration of the quarter for services during 
which the action was brought was properly excluded. Board of County Com'rs 
v. Bedell, 13 Colo. App. 261, 57 P. 187, cited in note, 31 A. L. R. 1091. 
Sec. 29. Health regulations—Violations. The board of health shall 
make such regulations respecting nuisances, sources of filth and causes 
of sickness within its respective limits, and on board of any car, or train 
of cars, as it shall judge necessary for the public health and safety; and 
if any person shall violate any such regulations he shall upon conviction 
be fined in a sum not exceeding one hundred dollars. (L. ’93, p. 377, sec. 
4; R. S. ’08, sec. 5033; C. L„ sec. 894.) 
Sec. 64. Prevention of spread of contagious disease. When the small- 
pox or other disease dangerous to the public health is found to exist in 
any town, city or county, the board of health shall use all possible care to 
prevent the spreading of the infection and to give public notice of infected 
places to travelers, by such means as in their judgment shall be most 
effectual for the common safety. (L. ’93, p. 386, sec. 39; R. S. ’08, sec. 
5068; C. L., sec 929.) 
Sec. 66. Householder to give notice of contagious disease. Whenever 
any householder shall know that any person within his family is taken sick 
with smallpox or any other disease dangerous to the public health, he 
shall immediately give notice thereof to the board of health, or health 
officer of the town, city or county in which he resides; and if he shall 
refuse or neglect to give such notice he shall upon conviction be fined in 
a sum not exceeding one hundred dollars. (L. ’93, p. 386, sec. 41; R. S. ’08, 
sec. 5070; C. L., sec. 931.) 
Sec. 67. Inoculation. Every board of health of any town, city or 
county may make suitable provisions, at any meeting, for the inoculation 
of the inhabitants with cow-pox under the direction of the local board of 
health or health officer. (L. ’93, p. 387, sec. 42; R. S. ’08, sec. 5071; C. L., 
sec. 932.) 
Sec. 68. Physician to give notice of contagious disease—Penalty for 
failure to give notice. Whenever any physician shall know that any person 
whom he is called to visit, or who is brought to him for examination, is 
infected with smallpox, cholera, diphtheria, scarlet fever, or any other 
disease dangerous to public health, he shall immediately give notice 
thereof to the health officer, the president or the clerk of the board of 
health of the county, town or village in which the sick person may be; 
and to the householder, hotel keeper, keeper of a boarding house, or tenant 
within whose house or rooms the sick person may be. The notice to the 
officer of the board of health shall state the name of the disease, the name, 
age, and sex of the person sick; also the name of the physician giving the 
notice; and shall by street and number, or otherwise sufficiently designate 
the house or room in which said sick person may be; and every physician 
and person acting as a physician, who shall refuse or neglect, immediately 
to give such notice, shall for each offense upon conviction be fined in a 
sum not less than five nor more than one hundred dollars; provided, that 
this penalty shall not be enforced against a physician if another physician COLORADO STATE BOARD OF HEALTH 
in attendance has given to the health officer, hereinbefore mentioned, an 
immediate notice of such sick person and the true name of the disease in 
accordance with the requirements of this section. (L. ’93, p. 387, sec. 43: 
R. S. ’08, sec. 5072; C. L., sec. 933.) 
Sec. 69. Investigation and disposition of contagious disease by health 
officer—Notify board of health. Whenever the health officer of any county, 
city or village in this state shall receive reliable notice, or shall otherwise 
have good reason to believe that there is within the county, city or village 
of which he is the health officer, a case of smallpox, diphtheria, scarlet 
fever or other communicable disease dangerous to the public health, it 
shall be the duty of the health officer, unless he is or shall have been 
instructed by the board of health, of which he is an executive officer, to do 
otherwise, to immediately investigate the subject, and in behalf of the 
board of health, of which he is an executive officer, to order the prompt 
and thorough isolation of those sick or infected with such disease, so long 
as there is danger of their communicating the disease to other persons; 
to order the prompt isolation or vaccination of persons who have been 
exposed to small pox; to see that no person suffers for lack of nurses or 
other necessaries because of isolation for the public good; to give public 
notice of infected places by placard on the premises, and otherwise if 
necessary; to promptly notify teachers or superintendents of schools con- 
cerning families in which are contagious diseases; to supervise funerals 
of persons dead from scarlet fever, diphtheria, smallpox or other com- 
municable disease which endangers the public health; to disinfect rooms, 
clothing and premises, and all articles likely to be infected, before allowing 
their use by persons other than those in isolation; to keep the president 
of his own board of health, and the secretary of the State Board of Health 
constantly informed respectiing every outbreak of a disease dangerous to 
the public health, and of the facts so far as the same shall come to his 
knowledge, respecting sources of danger of any such diseased person or 
infected article being brought into or taken out of the county, city or 
village of which he is the health officer. (L. ’93, p. 387, sec. 44; R. S. ’08. 
sec. 5073; C. L„ sec. 934.) 
Sec. 70. Compensation of health officer. In the fulfillment of the 
requirements of this article, the health officer, unless other provisions 
shall have been made in accordance with law, shall be entitled to receive 
from the county, city or village of which he is the health officer, compen 
sation at the rate of not less than two (2) dollars per day, while in the 
discharge of his duties. (L. ’93, p. 388, sec. 45; R. S. ’08, sec. 5074; C. L., 
see. 935.) 
Sec. 178. Tubercular nuisance — Complaint — Abatement—Failure — 
Penalty. Any person having tuberculosis who shall dispose of his sputum, 
saliva, or other bodily secretion or excretion so as to cause offense or 
danger to any person or persons occupying the same room or apartment, 
house, part of house or premises or adjoining premises, shall on complaint 
of any person or persons subjected to such offense or danger, be deemed 
guilty of committing a nuisance, and any person subjected to such a 
nuisance may make complaint in person or writing to the health officer LAWS, RULES AND REGULATIONS 
41 
of any county, town, village or city where the nuisance complained of is 
committed. The local health officer receiving such complaint shall inves- 
tigate, and, if it appear that the nuisance complained of is such as to 
cause offense or danger to any person occupying the same room, apart- 
ment, house, or part of a house or premises, or adjoining premises, he 
shall serve notice upon the person so complained of, reciting the alleged 
cause of offense or danger and requiring him to dispose of his sputum, 
saliva, or other bodily secretion or excretion in such a manner as to 
remove all reasonable cause of offense or danger. Any person failing or 
refusing to comply with orders or regulations of local health officer of 
any county, town, village or city requiring him to cease to commit such 
nuisance shall be deemed guilty of a misdemeanor and, on conviction 
thereof shall be punished as hereinafter provided. (L. ’13, p. 460, sec. 8; 
C. L„ sec. 1091.) 
Sec. 182. Report of recovery of patient. Upon the recovery of any 
person having tuberculosis, the attending physician shall make report 
of this fact to the local health officer, who shall record the same in the 
records of his office and shall relieve said person from further liability 
or duty imposed by this subdivision. (L. T3, p. 461, sec. 12; C. L., sec. 
1095.) 
REGULATIONS 
Regulation 1 
NOTIFIABLE DISEASES 
The following named diseases and poisonings are declared reportable 
and shall be reported in accordance with the provisions of these regula- 
tions. 
Diseases listed in Class I should be reported immediately (within 24 
hours) by telephone, in person, or by writing to the local health officer 
of the municipality or county in which such diseases exist, giving the name 
of the disease, the full name, age, sex, race and address of the person 
apparently affected. These diseases should also be reported to the State 
Board of Health at the end of each week on the weekly report card. In 
addition to the above, the reports of occupational diseases should give the 
place of employment or the place where the condition was contracted, if 
different from the regular place of employment. 
Class I 
(Reportable within 24 hours) 
Botulism Leprosy Septic Sore Throat 
Ancylostomiasis * Meningococcus Men- * Scarlet Fever 
*Cholera ingitis *Smallpox 
*Poliomyelitis Typhoid and Para- 
Encephalitis *Plague typhoid 
Gonorrheal Ophthal- Rabies 
mia 
■"Placard required. 42 
COLORADO STATE BOARD OF HEALTH 
Occupational Diseases 
Diseases 
Anthrax 
Analine Poisoning 
Benzine Poisoning (Petroleum ether) 
Benzol (Benzene) Poisoning 
Cadmium Poisoning 
Carbon Disulphide (Bisulphide) 
Poisoning 
Carbon Monoxide Asphyxiation 
Carbon Tetrachloride Poisoning 
Chromic Acid Poisoning 
Gasoline Poisoning 
Lead Poisoning 
Manganese Poisoning 
Mercury Poisoning 
Metal Fume Fever (Brass) 
Methyl (Wood) Alcohol Poisoning 
Naphtha Poisoning 
•(•Silicosis 
tSilico-Tuberculosis 
Tetra Ethyl Lead Poisoning 
Toluene Poisoning 
Turpentine Poisoning 
(Reportable within one week) 
Class II 
Actinomycosis 
Ancylostomiasis 
Anthrax 
Chickenpox 
Colorado Tick Fever 
Dengue 
Dysentery, Amebic 
Dysentery, Bacillary 
Erysipelas 
Favus 
Food Infection and Poisoning 
Glanders 
Gonorrhea 
Impetigo Contagiosa 
Influenza 
Malaria 
Measles 
Mumps 
Pneumonia 
Psittacosis 
Puerperal Infection 
Rocky Mountain Spotted Fever 
Scabies 
Syphilis 
Tetanus 
Trachoma 
Trichinosis 
Tuberculosis (Pulmonary) 
Tuberculosis (Other than pulmo- 
nary) 
Tularemia 
Typhoid Carriers 
Typhus Fever 
Undulant Fever 
Whooping Cough 
Yellow Fever 
At the discretion of the State Division of Public Health, weekly noti- 
fication of the above diseases may not be required from physicians in 
those muncipalities or counties where local, city, or county departments 
of health adopt plans for reporting such diseases from the locality as a 
whole. 
Regulation 2 
REPORTING WHEN NO PHYSICIAN IS IN ATTENDANCE. DISEASES 
AMONG ANIMALS 
Superintendents or persons in charge of hospitals, sanitoria, dispen- 
saries or other institutions, nurses, midwives, teachers, dairy managers, 
heads of private households and proprietors and keepers of hotels, board- 
fReportable within one week. LAWS, RULES AND REGULATIONS 
ing houses or lodging houses, or other persons either treating or having 
knowledge of a reportable disease shall be required to report such disease 
coming under their observation Avhen no physician is in attendance. 
All cases of Anthrax, Foot and Mouth Disease and Rabies (Hydropho- 
bia) among animals must be promptly reported by anyone knowing the 
facts to the local health officer, who will, Avithout delay, report to the 
State Board of Health. 
Regulation 3 
FOOD HANDLING FROM INFECTED PREMISES 
No food or food products (which term shall include milk or milk prod- 
ucts) likely to be consumed raw shall be offered for sale, given or deliAr- 
ered to any individual, creamery, butter factory, store, shop, market or 
other establishment from a house where a case of amebic or bacillary 
dysentery, diphtheria, meningococcus meningitis, poliomyelitis, scarlet 
fever, septic sore throat, smallpox, typhoid or paratyphoid exists nor shall 
any person residing in such house handle in any capacity such food or 
food products Avhich are offered for sale, given or delivered. 
On farm premises Avhere any of the above mentioned diseases exist 
the sale of such food or food products is prohibited except under the fol- 
loAving provisions: 
1. That such food or food products offered for sale shall not be 
brought into the house Avhere such case exists. 
2. That all persons coming in contact with such foods or food prod- 
ucts shall eat, sleep and work Avholly outside of such house and shall not 
come in contact in any manner whatsoever with such house or its inmates 
or any of its contents. 
3. That all inmates of the house where such disease exists shall he 
properly isolated from all parts of said farm or dairy where such food or 
food products are handled. 
4. That the owner or proprietor of the premises on Avhich a case of 
any of the above mentioned diseases is found and on which such food or 
food products are handled as above mentioned shall secure a permit from 
the local health officer to continue the handling of such food or food prod- 
ucts in accordance with the regulations and not otherwise; and the local 
health officer shall have authority to inspect such premises and insure the 
enforcement of these regulations. 
DEFINITIONS OF TERMS 
1. Carrier. A person who, Avithout symptoms of a communicable dis- 
ease, harbors and disseminates the specific microorganisms. As distinct 
from a carrier, the term “infected person” is used to mean a person in 
whose tissues the etiological agent of a communicable disease is lodged 
and produces symptoms. 
2. Cleaning. This term signifies the removal by scrubbing and wash- 
ing, as with hot Avater, soap and Avashing soda, of organic matter on which 44 
COLORADO STATE BOARD OF HEALTH 
and in which bacteria may find favorable conditions for prolonging life 
and virulence; also the removal by the same means of bacteria adherent 
to surfaces. 
3. Contact. A “contact” is any person or animal known to have been 
sufficiently near to an infected person or animal to have been presumably 
exposed to transfer of infectious material directly, or by articles freshly 
soiled with such material. 
4. Delousing. By delousing is meant the process by which a person 
and his personal apparel are treated so that neither the adults nor the 
eggs of Pediculus corporis or Pediculus captis survive. 
5. Disinfection. By this is meant the destroying of the vitality of 
pathogenic microorganisms by chemical or physical means. 
When the word “concurrent” is used as qualifying disinfection, it 
indicates the application of disinfection immediately after the discharge 
of infectious material from the body of an infected person, or after the 
soiling of articles with such infectious discharges, all personal contacts 
with such discharges or articles being prevented prior to their disinfection. 
When the word “terminal” is used as qualifying disinfection, it indi- 
cates the process of rendering the personal clothing and immediate physi- 
cal environment of the patient free from the possibility of conveying the 
infection to others, at the time when the patient is no longer a source of 
infection. 
6. Disinfesting. By disinfesting is meant any process, such as the 
use of dry or moist heat, gaseous agents, poisoned food, trapping, etc., by 
which insects and animals known to be capable of carrying or transmitting 
infection may be destroyed. 
7. Education in Personal Cleanliness. This phrase is intended to 
include all the various means available to impress upon all members of 
the community, young and old, and especially when communicable disease 
is prevalent or during epidemics, by spoken and printed word, and by 
illustration and suggestion, the necessity of: 
(1) Keeping the body clean by sufficiently frequent soap and water 
baths. 
(2) Washing hands in soap and water after voiding bowels or bladder 
and always before eating. 
(3) Keeping hands and unclean articles, or articles which have been 
used for toilet purposes by others, away from mouth, nose, eyes, ears, and 
genitalia. 
(4) Avoiding the use of common or unclean eating, drinking, or toilet 
articles of any kind, such as towels, handkerchiefs, hair brushes, drinking 
cups, pipes, etc. 
(5) Avoiding close exposure of persons to spray from the nose and 
mouth, as in coughing, sneezing, laughing, or talking. 
8. Fumigation. By fumigation is meant a process by which the de- 
struction of insects, as mosquitoes and body lice, and animals, as rats, is 
accomplished by the employment of gaseous agents. LAWS, RULES AND REGULATIONS 
45 
9. Isolation.* By isolation is meant the separating of persons suf- 
fering from a communicable disease, or carriers of the infecting organism, 
from other persons, in such places and under such conditions as will pre- 
vent the direct or indirect conveyance of the infectious agent to suscepti- 
ble persons. 
10. Quarantine.* By quarantine is meant the limitation of freedom 
of movement of persons or animals who have been exposed to communi- 
cable disease for a period of time equal to the longest usual incubation 
period of the disease to which they have been exposed. 
11. Renovation. By renovation is meant, in addition to cleansing, 
such treatment of the walls, floors and ceilings of rooms or houses as may 
be necessary to place the premises in a satisfactory sanitary condition. 
12. Report of a Disease. By report of a disease is meant the notifi- 
cation to the health authorities, and, in the case of communicable disease 
in animals, also to the respective Departments of Agriculture which have 
immediate jurisdiction, that a case of communicable disease exists in a 
specified person or animal at a given address. 
13. Susceptibles. A “susceptible” is a person or animal Mho is not 
known to have become immune to the particular communicable disease in 
question by natural or artificial process. 
14. Virus, Filterable. The term “filterable virus” as defining the 
etiological agent of certain diseases is used in the sense of a causal agent 
differentiated from other kinds of infectious agents such as bacteria, pro- 
tozoa, etc. Many of these filterable viruses can be grown in vitro in the 
presence of living suscpetible cells, and such cultures will produce regu- 
larly typical diseases in animals and in man. The term “filterable virus” 
has a significance comparable to that of bacterium, spirochete, or proto- 
zoon. The term “filterable virus” is as definite a description of an etio- 
logical agent as is the statement that the typhoid bacillus causes typhoid 
fever. The idea conveyed by the statement that a filterable virus is the 
etiological agent is that the cause of this disease is known, even though 
present knowledge does not permit further precision in distinguishing 
among filterable viruses except by reference to the name of the disease 
produced by each. 
COMMUNICABLE AND OTHER DISEASES DANGEROUS TO THE 
PUBLIC HEALTH 
Regulations: 
Actinomycosis 
PLACARD. None. 
ISOLATION. None provided patient is under adequate medical care. 
CONCURRENT DISINFECTION of discharges from lesions and arti- 
cles soiled therewith. 
TERMINAL DISINFECTION. By thorough cleaning. 
*In view of the various ambiguous and inaccurate uses to which the words 
isolation and quarantine are not infrequently put, it has seemed best to adopt 
arbitrarily the word isolation as describing the limitation put upon the movements 
of the known sick or “carrier” individual or animal, and the word quarantine as 
describing the limitations put upon exposed or “contact” individuals. 46 
COLORADO STATE BOARD OF HEALTH 
SALE OF MILK from infected animals prohibited. 
ANIMAL SOURCES OF INFECTION. Destruction of known animal 
sources of infection. 
Information: 
RECOGNITION OF THE DISEASE. A local or general, acute or 
chronic suppurative process combined with growth of connective 
tissue, and characterized by the presence in the lesions of vege- 
tations or colonies of the specific microorganism, identifiable by 
microscopic examination of discharges from the lesions. It may 
be confused with pulmonary or generalized tuberculosis. 
ETIOLOGICAL AGENT. Actinomyces Bovis. 
SOURCE OF INFECTION. Unknown. Probably nasal and bowel 
discharges and infected material from lesions in animals and man. 
Uncooked meat from infected animals. 
MODE OF TRANSMISSION. Contact with discharges or articles 
freshly soiled with discharges from animal and human cases, espe- 
cially grains, grasses and other cattle fodder. 
INCUBATION PERIOD. Undetermined and variable. 
PERIOD OF COMMUNICABILITY. As long as open lesions remain, 
as proved by the presence of the infectious agent on microscopic 
or cultural tests. 
IMMUNIZATION. None. 
Ancylostomiasis (Hookworm Disease) 
Regulations: 
PLACARD. None. 
ISOLATION: None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Sanitary disposal of bowel dis- 
charges. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. The symptomatology varies 
greatly in accordance with the degree of infection and other fac- 
tors. The presence of only a few worms may give rise to no 
symptoms. Moderate to severe infections may be characterized 
by abdominal pain, indigestion, flatulence, abnormal or depraved 
appetite, and distended abdomen. Some cases show severe diar- 
rhea; others may have alternate constipation and diarrhea. The 
skin is sallow, dry, and harsh. The patient is depressed and list- 
less, and the features expressionless. Children may show marked 
physical and mental retardation. Severe secondary anemia may 
he present and there is usually an eosinophilia. In severe cases 
there is frequently edema in various parts of the body, particu- LAWS, RULES AND REGULATIONS 
47 
larly in the dependent portions. Dermatitis or so-called “ground- 
itch” may be present on the feet or other parts of the body coming 
in contact with contaminated soil. Systemic symptoms are 
usually more pronounced in patients on an inadequate or unbal- 
anced diet and those suffering concomitantly from malaria and 
other debilitating conditions. Diagnosis is established by finding 
hookworm ova in the stools. 
ETIOLOGICAL AGENT. Necator americanus, rarely Ancylostoma 
duodenale. 
SOURCES OF INFESTATION. Feces of infected persons. Infesta- 
tion generally takes place through the skin, occasionally by the 
mouth. 
MODE OF TRANSMISSION. Larval forms pierce the skin, usually 
of the foot. By drinking water containing larvae; by eating soiled 
food; by hand-to-mouth transmission of eggs or larvae from ob- 
jects soiled with infested discharges. The chief reservoir of in- 
fectious material is contaminated soil. 
INCUBATION PERIOD. Two or three weeks in massive infestations 
(commonly 7 to 10 weeks). 
PERIOD OF COMMUNICABILITY. As long as parasite or its ova 
are found in bowel discharges. Contaminated soil may remain 
infective 5 months in the absence of freezing. As long as mature 
female worms are in the intestine. Eggs, if deposited in the feces 
in warm, moist soil, become sources of infestation, especially in 
sandy soil. 
IMMUNIZATION. None. 
Recommendations: 
EDUCATION of dangers of soil pollution and methods of prevention. 
PREVENTION OF SOIL POLLUTION by installation of sanitary dis- 
posal system for human discharges, especially sanitary privies in 
rural areas. 
PERSONAL PROPHYLAXIS by cleanliness and wearing of shoes. 
Anthrax 
Regulations: 
PLACARD. None. 
ISOLATION. Until lesions have healed. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from lesions and arti- 
cles soiled therewith. 
(Note: Spores can be killed only by special measures such as steam 
under pressure or burning.) 
TERMINAL DISINFECTION. Thorough cleaning. 
SALE OF MILK, MEAT, HIDES AND HAIR from infected animals 
prohibited. 48 
COLORADO STATE BOARD OF HEALTH 
Information: 
RECOGNITION OF THE DISEASE. Two forms occur—external due 
to direct inoculation through a cut or abrasion, and internal 
caused by ingestion or inhalation of the bacilli or their spores. 
Following the initial papule and vesicle at the external site of 
inoculation, an eschar develops and then hard edematous swelling 
of deeper and adjacent tissues. Freedom from pain is usual. 
Constitutional symptoms do not parallel the gravity of the lesions. 
Confirmation by microscopic examination of the lesions and dis- 
charges for B. anthracis. Internal anthrax resembles intestinal 
poisoning, toxic pneumonia, or meningitis; the recovery of the 
bacilli from the blood or spinal fluid confirms the diagnosis. 
ETIOLOGICAL AGENT. Anthrax Bacillus. 
SOURCE OF INFECTION. Hair, hides, flesh and feces of infected 
animals. Discharges from open lesions of human and animal 
cases. 
MODE OF TRANSMISSION. Inoculation as by accidental wound or 
scratch, inhalation of spores of infectious agent, ingestion of in- 
sufficiently cooked meat, and mechanically by flies and mosqui- 
toes. 
INCUBATION PERIOD. Within 7 days. 
PERIOD OF COMMUNICABILITY. During febrile stage of the dis- 
ease and until lesions have ceased discharging. Infected hair 
and hides of infected animals may communicate the disease many 
months after slaughter of the animal and after curing of hide, fur, 
or hair, unless disinfected. 
Recommendations: 
ANIMALS ILL WITH DISEASE PRESUMABLY ANTHRAX should 
be isolated immediately in care of veterinarian. Animals with 
proven disease should be killed and destroyed by incineration. 
IMMUNIZATION OF EXPOSED ANIMALS by Federal or State De- 
partment of Agriculture. 
CONTROL AND DISINFECTION OF EFFLUENTS AND TRADE 
WASTES AND OF AREAS OF LAND polluted by such effluents 
and wastes from factories or premises where spore infected hides 
or hair products are known to have been manufactured. 
Every person handling raw hides, hair, or bristles who has an abrasion 
of the skin should immediately report to a physician. 
SPECIAL INSTRUCTIONS in personal cleanliness should be given 
all employes handling raw hides. 
PROPER VENTILATION of tanneries and woolen mills to remove 
dust. 
DISINFECTION of hair, wool or bristles of animals originating in 
known infected centers before they are used or sorted. LAWS, RULES AND REGULATIONS 
49 
Regulations: 
Botulism 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. None. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. A disease of intoxication, the 
symptoms of which develop suddenly with gastrointestinal pain, 
diarrhea or constipation, prostration, and a variety of central 
nervous system paralyses, the first of which is likely to be an 
oculo-motor paralysis, all due to the toxin of the particular sap- 
rophytic organism. Biological and toxicological tests with lab- 
oratory animals may confirm presence of toxin of the botulinus 
bacillus in the food. 
ETIOLOGICAL AGENT. Toxin produced by botulinus bacillus in 
foods improperly processed. 
SOURCE OF INFECTION. Food usually taken uncooked from cans 
or jars not subjected to adequate heat of sufficient duration or 
steam under sufficient pressure during processing. 
MODE OF TRANSMISSION. Eating food containing botulinus toxin. 
INCUBATION PERIOD. Term doesn’t apply. Symptoms appear 
usually in 24 hours after taking the particular food product. 
PERIOD OF COMMUNICABILITY. Not communicable. 
IMMUNIZATION. In exposed cases by large doses of polyvalent bot- 
ulism antitoxin used intravenously. 
Recommendations: 
Education of housewives and others concerned with home canning of 
foods in essentials of safe processing, as to time, pressure, and 
temperature factors. 
Education of the value of heating with a small amount of soda, canned 
green and leafy vegetables before serving, and thorough cooking 
of sausage and other meats and fish products held for later con- 
sumption. 
Regulations: 
Chancroid 
PLACARD. None, provided patient is under adequate medical treat- 
ment and not exposing others to infection. 
ISOLATION. None, provided patient is under adequate medical treat- 
ment and not exposing others to infection. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of all discharges from lesions and 
articles soiled therewith. 
TERMINAL DISINFECTION. None. 50 
COLORADO STATE BOARD OF HEALTH 
I nformation: 
INFECTIOUS AGENT. Probably bacillus Ducrey. 
SOURCE OF INFECTION. Discharges from lesions and articles 
freshly soiled therewith. 
MODE OP TRANSMISSION. Direct personal contact with infected 
person. Indirectly by contact with discharges from lesions. 
INCUBATION PERIOD. One to five days. 
PERIOD OF COMMUNICABILITY. As long as lesions are open. 
Recommendations: 
Clinical symptoms should be confirmed by microscopic examination of 
discharges. 
Sex hygiene education should be given. 
Regulations: 
Chicken Pox 
PLACARD. None, provided regulations are observed. 
ISOLATION. For ten days after eruption of first vesicles. 
QUARANTINE. None. Susceptible children under 16 in the infected 
household may be allowed to continue in school, but must be sent 
home at first sign of illness. No restrictions of immune children 
or adults. 
CONCURRENT DISINFECTION of articles soiled by discharges from 
lesions. 
TERMINAL DISINFECTION. Thorough cleaning. 
I nformation: 
RECOGNITION OF THE DISEASE. Clinical picture is of an acute 
disease with a slight fever, mild constitutional symptoms, and an 
eruption, maculopapular for a few hours, often not observed, 
vesicular lasting 3 to 4 days, leaving a granular scab. Vesicles 
tend to be more abundant on the covered than on the exposed 
parts of the body, and frequently appear in different stages on 
the same region of the body. The vesicles may be so few as to 
escape observation. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. The infectious agent is presumably pres- 
ent in lesions of the skin and mucous membranes; the latter 
appearing early and rupturing as soon as they appear, render the 
disease communicable early, that is, before the exanthem is in 
evidence. 
MODE OF TRANSMISSION. Directly from person to person; indi- 
rectly through articles freshly soiled by discharges from an in- 
fected person. 
INCUBATION PERIOD. Two to three weeks. LAWS, RULES AND REGULATIONS 
51 
PERIOD OF COMMUNICABILITY. Probably not more than six days 
after appearance of first crop of vesicles and certainly not more 
than 10 days. 
IMMUNIZATION. None. 
Recommendations: 
A differential diagnosis of this disease from Smallpox is important in 
persons over 15 years of age. During an epidemic of Smallpox, 
all reported cases of Chicken Pox should be investigated. 
Cholera 
Regulations: 
PLACARD. Yes. 
ISOLATION of patient in hospital or screened room during communi- 
cable period. 
QUARANTINE of contacts for five days from last exposure, or longer 
if stools are found to contain cholera vibrio. (Quarantine carriers 
until free from infective agent.) 
CONCURRENT DISINFECTION. Prompt and thorough disinfection 
of stools and vomited matter. Articles used by and in connection 
with the patient must be disinfected. Food left by the patient 
must be burned. 
TERMINAL DISINFECTION. Bodies of those dying from cholera 
should be cremated if practicable, otherwise wrapped in a sheet 
wet with disinfectant solution and placed in water-tight caskets. 
The room in which sick person was isolated must be thoroughly 
cleaned and disinfected and rest of premises must be thoroughly 
cleaned. 
Information : 
RECOGNITION OF THE DISEASE. In a few mild cases, diarrhea 
may be the chief or only symptom. In the typical case, rice-water 
stools, vomiting, and general symptoms of dehydration occur with 
thirst, pain, and coma. The cholera vibrios are found in the stools. 
ETIOLOGICAL AGENT. Cholera vibrio, Vibrio Comma. 
SOURCE OF INFECTION. Bowel discharges and vomitus of infected 
persons and feces of convalescent or healthy carriers. Ten per 
cent of contacts may be found to be carriers. 
MODE OF TRANSMISSION. By food and water polluted by infec- 
tious agent; by contact with infected persons, carriers, or articles 
freshly soiled by their discharges; by flies. 
INCUBATION PERIOD. One to five, usually three days, occasionally 
longer if the healthy carrier stage, before development of symp- 
toms, is included. 
PERIOD OF COMMUNICABILITYY, Usually 7 to 14 days or longer 
and until the infectious agent is absent from bowel discharges. 
IMMUNIZATION. Cholera vaccination. 52 
COLORADO STATE BOARD OF HEALTH 
Recommendations: 
Rigid personal prophylaxis of attendants by scrupulous cleanliness, 
disinfection of the hands each time after handling patient or 
touching articles contaminated by dejecta, the avoidance of eating 
or drinking anything in the room of the patient, and the prohibi- 
tion of those attendant on the sick from entering the kitchen. 
Bacteriological examination of stools of all contacts to determine car- 
riers. Isolation of carriers. 
Water should be boiled, if used for drinking or toilet purposes, or if 
used in washing dishes or food containers, unless the water supply 
is adequately protected against contamination or is so treated, as 
by chlorination, that the cholera vibrio cannot survive in it. 
Careful supervision of food and drink. Where cholera is prevalent, 
only cooked foods should be used. Food and drink after cooking 
and boiling should be protected against contamination, as by flies 
and human handling. 
EPIDEMIC MEASURES. Inspection service for early detection of 
cases; examination of persons exposed in infected centers for 
detection of carriers, with isolation or control of carriers; disin- 
fection of l ooms occupied by the sick, and the detention, in suit- 
able camps for five days of those desirous of leaving for another 
locality. Those so detained should be examined for detection of 
carriers. 
Colorado Tick Fever (Mountain Fever, Tick Fever, Mountain 
Tick Fever, American Mountain Tick Fever) 
Regulations: Report only 
I nformation 
RECOGNITION OF THE DISEASE. A rather mild febrile illness with 
no reported fatalities. The onset is sudden with fever, headache, 
chills, muscle pains and photophobia. The febrile curve remains 
elevated for 2 to 3 days, following which there is usually one 
remission of 2 to 3 days followed by a relapse of like duration. 
There -is usually a rather marked leucopenia. No rash occurs. 
ETIOLOGICAL AGENT. Unknown. 
SOURCE OF INFECTION. The wood tick, D. andersoni. 
INCUBATION PERIOD. Usually 4 to 5 days. 
PREVALENCE. The Rocky Mountain states, during the wood tick 
season (March to July). 
Dengue 
Regulations: 
PLACARD. None. 
ISOLATION. Patient must be kept in screened room. 
QUARANTINE. None. LAWS. RULES AND REGULATIONS 
53 
CONCURRENT DISINFECTION. None. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. An acute febrile infection of 
sharp onset with two paroxysms, of short duration. Intense head- 
ache, joint and muscle pains, and irregular eruption are usual. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Blood of infected persons during first 3 
days of disease. 
MODE OF TRANSMISSION. Bite of infected mosquito aedes Aegypti. 
INCUBATION PERIOD. Three to ten days. 
PERIOD OF COMMUNICABILITY. P'rom day before onset to fifth 
day of disease. 
Recommendations: 
Measures directed toward elimination of mosquitoes. Screening of 
rooms. 
Regulations: 
Diphtheria 
PLACARD. Yes. 
ISOLATION. Until two cultures from the throat and two from the 
nose, taken not less than 24 hours apart after 14 days from the 
onset of the disease, fail to show the presence of diphtheria bacilli. 
Isolation may be terminated if the microorganism reported as 
morphologically “positive,” persistently present, proves to be an 
avirulent form. 
QUARANTINE. No restrictions of adults if patient is properly iso- 
lated, or has been hospitalized, or adults leave home and provided 
that two consecutive negative nose and throat cultures are ob- 
tained at least 24 hours apart. Food handlers and school teachers 
shall be subject to the same restrictions as school children. (See 
special food handlers regulation No. 3, page 4.) 
Children under 16 shown to be immune by a Schick test or on the 
basis of a previous attack of the disease, may return to school 
provided they live away from home or case is hospitalized, and 
if two consecutive negative nose and throat cultures taken at an 
interval of not less than 24 hours have been obtained. 
Non-immune children under 16 may return to school after a quaran- 
tine period of one week has elapsed from date of last exposure 
and provided that they have lived away from home, or case has 
been hospitalized and two consecutive nose and throat cultures 
taken at least 24 hours apart are both negative. 
Children under 16 in constant contact with the infected patient shall 
be quarantined for 2 weeks from date of onset of last case and 
until two negative nose and throat cultures are obtained at least 
24 hours apart. 54 
COLORADO STATE BOARD OF HEALTH 
CONCURRENT DISINFECTION of all articles which have been in 
contact with the patient, and all articles soiled by discharge of 
the patient. 
TERMINAL DISINFECTION. Thorough cleaning. 
I nformation: 
RECOGNITION OF THE DISEASE. An acute febrile infection, gen- 
erally of the air passages, especially of tonsils, throat, and nose, 
marked by a patch or patches of dirty white and grayish mem- 
brane, from which cultures of the diphtheria bacillus may be ob- 
tained. Cases of diphtheritic infection in infants and of nasal 
diphtheria at all ages are often missed because of the lack of 
definite local symptoms. 
ETIOLOGICAL AGENT. Diphtheria bacillus, Coryne-bacterium diph- 
theria, the Klebs-Loeffler bacillus. 
SOURCES OF INFECTION. Discharges from diphtheritic lesions of 
nose, throat, conjunctive, vagina and wound surfaces. Secretions 
from the nose and throat of carriers of the bacillus. 
MODE OF TRANSMISSION. Directly by personal contact, indirectly 
by articles freshly soiled with discharges or through infected milk 
or milk products. 
INCUBATION PERIOD. Usually two to five days, occasionally longer 
if a healthy carrier stage precedes development of clinical symp- 
toms. 
PERIOD OF COMMUNICABILITY. Until virulent bacilli have disap- 
peared from secretions and lesions. 
IMMUNIZATION: Passive; with diphtheria antitoxin; active; with 
toxoid. 
Recommendations: 
ACTIVE IMMUNIZATION of all children by the end of the first year 
without prior Schick testing. This same procedure should be 
repeated on all children at or below 6 years of age before entrance 
into school. 
EXPOSED SUSCEPTIBLES who cannot be kept under daily observa- 
tion by a physician or nurse should be promptly immunized by 
antitoxin. 
Pasteurization of milk supplies. 
Educational measures to inform the public, and particularly the par- 
ents of little children, of the advantages of toxoid immunization 
in infancy. 
In treatment of a case it is recommended that two hundred units of 
antitoxin per pound of the patient’s weight be considered a mini- 
mum dose. LAWS, RULES AND REGULATIONS 
Regulations: 
Dysentery, Amebic (Amebiasis) 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of bowel discharges. 
TERMINAL DISINFECTION. Thorough cleaning. 
INFECTED PERSONS AND CARRIERS prohibited from handling 
milk or other foods. (See Special Regulation No. 3, page 4.) 
Information: 
RECOGNITION OF THE DISEASE. Insidious and undetermined 
onset characterizes mild acute cases, with digestive disturbance, 
anorexia, diarrhea or constipation, and usually little abdominal 
discomfort. Severe acute cases following massive infection may 
simulate acute appendicitis, or other acute surgical abdominal 
condition with high temperature and severe prostration. The sub- 
acute and chronic forms of the disease vary widely in the extent 
of local and constitutional symptoms. There may or may not be 
diarrhea or constipation; or these may alternate in the same 
patient. 
ETIOLOGICAL AGENT. Endamoeba Histolytica. 
SOURCE OF INFECTION: Bowel discharges of infected persons. 
MODE OF TRANSMISSION. Drinking contaminated water or milk 
and eating infected foods, especially those served cold and moist; 
hand to mouth transfer of infected material; from moist objects 
soiled with discharges of an infected individual; by flies. 
INCUBATION PERIOD. Commonly 3 to 4 weeks. 
PERIOD OF COMMUNICABILITY. During course of disease and 
until repeated microscopic examinations of stools show absence 
of the Endamoeba Histolytica (either trophozoites or cysts). 
IMMUNIZATION. None. 
Recommendations: 
Sanitary disposal of human excreta. Protection of water supplies 
against fecal contamination and supervision of all foods eaten raw. 
Boil drinking water unless known to be free from contamination. 
Location and supervision of carriers. 
Regulations: 
Dysentery, Bacillary 
PLACARD. None. 
ISOLATION. Until bowel discharges are free from dysentery bacilli. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of bowel discharges. 
TERMINAL DISINFECTION. Thorough cleaning. 56 
COLORADO STATE BOARD OF HEALTH 
SALE OF MILK OR FOOD from premises occupied by the patient is 
prohibited unless the persons engaged therein occupy quarters 
separate from the house where the patient is sick, and all utensils 
used are cleaned and kept in a separate building and under a 
permit from the health officer. (See Special Regulations No. 3, 
page 4.) 
Information: 
RECOGNITION OF THE DISEASE. The disease exhibits an acute 
onset with diarrhea, in severe cases causing fever, tenesmus, and 
frequent stools containing blood and mucus. The milder cases 
are difficult to recognize clinically because of variability of 
symptoms. By adequate laboratory examination the infecting 
organism can usually be identified. 
ETIOLOGICAL AGENT. Dysentery bacilli. 
SOURCE OF INFECTION; Bowel discharges of infected persons. 
MODE OF TRANSMISSION. Eating infected foods and by hand to 
mouth transfer of infected material; from objects soiled with dis- 
charges of an infected individual or carrier; by drinking contami- 
nated water; by flies. 
INCUBATION PERIOD. Two to 7 days. 
PERIOD OF COMMUNICABILITY. During febrile period of the dis- 
ease and until the organism is absent from bowel discharges. 
IMMUNIZATION. Vaccines may give some immunity. Owing to se- 
vere reactions, their use is not recommended, nor should vaccina- 
tion be made compulsory except under extreme emergency. 
Recommendations: 
Supervision of public water supplies and pasteurization of public milk 
supplies; use of boiled milk for infant feeding. 
Rigid personal prophylaxis of attendants. Search for and control of 
carriers. Sanitary disposal of human excreta. Protection of pa- 
tient and discharges against flies. 
Regulations: 
Encephalitis, Infectious, Lethargic and Nonlethargic 
PLACARD. None. 
ISOLATION. For one week after onset. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from nose and throat 
and articles soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. Largely clinical. At least four 
forms occur in the United States: the Vienna type (originally 
called lethargic von Economo. later called type A), the St. Louis LAWS, RULES AND REGULATIONS 
type, the Eastern equine type, and the Western equine type. The 
last three resemble each other and the Japanese type B (which 
is not known to occur in the United States) more than any of 
them resemble the Vienna type. The Vienna type is the most 
chronic and variable in course, often with a mild febrile onset, 
later with symptoms of brain or nerve involvement, such as 
slight meningeal irritation, somnolence, diplopia or evident 
paralysis of eye muscles, insomnia, restlessness, twitching, myo- 
clonia. catatonia, with or without fever; and still later at times, 
slow, semirigid movements, coarse tremor, masklike expression 
or other disturbances of motility, psychic or behavior disturb- 
ances. often with exacerbations and remissions over several 
years. Though an individual case of the St. Louis type may be 
indistinguishable from the Vienna type, in the St. Louis type 
the onset is usually more abrupt as to fever and headache, with 
drowsiness rather than deep sleep, disorientation, motor disturb- 
ances, but very infrequent paralysis of the eye muscles, meningeal 
irritation with an increase of cells in the spinal fluid more uni- 
formly than in the Vienna type, and usually complete and fairly 
prompt recovery in the nonfatal cases. All ages are attacked in 
all four types, children and young adults more frequently in the 
Vienna and Western equine types, the older ages in the St. Ixniis 
(and Japanese B) types, very young children in the Eastern 
equine type. The Western equine type is somewhat similar 
clinically to the St. Louis type, while the Eastern equine type 
has been a more severe and fatal disease in humans and is likely 
to leave nervous and mental sequellae in the patients who sur- 
vive. These forms of encephalitis are to be distinguished from 
post- or para-infectious encephalitis which follows or accompanies 
such infections as measles, vaccinia, and chicken pox, by the his- 
tory of the other infection immediately preceding. 
ETIOLOGICAL AGENT. Probably a virus for type A; a specific filter- 
able virus for type B. 
SOURCE OF INFECTION. Probably discharges from the nose and 
throat of carriers or infected persons, or articles freshly soiled 
therewith. 
MODE OF TRANSMISSION. Probably by direct contact with a car- 
rier or an infected person, or by contact with articles freshly 
soiled with discharges of the nose and throat of such persons. 
INCUBATION PERIOD. Four to 21 days. 
PERIOD OF COMMUNICABILITY. Unknown; cases rarely traceable 
to any previous case. Presumably at a maximum during acute 
febrile stage of the disease. 
IMMUNIZATION. None. 
Recommendations: 
Microscopic and chemical examination of spinal fluid if lumbar punc- 
ture is performed, especially in type B. 58 
COLORADO STATE BOARD OF HEALTH 
Search for prior cases in the community and for unreported cases 
among the associates of the patient may develop useful epidemio- 
logical information, but so far is of no practical value in control 
of the disease. 
Isolation of suspected febrile cases pending diagnosis. 
Regulations: 
Erysipelas 
PLACARD. None. 
ISOLATION. Until complete recovery. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from lesions and arti 
cles soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. This is an acute infectious dis- 
ease of the skin caused by hemolytic streptococci. The strepto- 
cocci occur chiefly in the lymph spaces in the corium, rarely in 
the subcutaneous tissue. The skin becomes red, swollen, edema- 
tous and often covered with small or large vesicles. The rash 
spreads peripherally with the advance of the organisms in the 
tissue spaces. 
ETIOLOGICAL AGENT. Streptococcus haemolyticus. 
SOURCE OF INFECTION. Infected persons or carriers or articles 
freshly soiled with discharges from a case. 
MODE OF TRANSMISSION. Direct contact with a patient or articles 
soiled by discharges from a patient. Contact with a carrier. 
INCUBATION PERIOD. Two lo 7 days. 
PERIOD OF COMMUNICABILITY. Until complete recovery of the 
patient and lesions have healed. 
IMMUNIZATION. “Passive” immunization by use of anti-erysipelas 
serum. No active immunization. 
Recommendations: 
In hospitals (especially maternity) the isolation should be especially 
strict. 
Favus 
Regulations: 
PLACARD. None. 
ISOLATION. Until lesions have healed. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from lesions and arti- 
cles soiled therewith; especially toilet articles. 
TERMINAL DISINFECTION. None. LAWS, RULES AND REGULATIONS 
Information: 
RECOGNITION OF THE DISEASE. A parasitic fungus disease of the 
skin, usually on the scalp, marked by cup-shaped yellowish crusts 
covering the hair follicles. 
ETIOLOGICAL AGENT. Achorion schoenleinii. 
SOURCE OF INFECTION. Discharges from lesions. 
MODE OF TRANSMISSION. Direct contact with patient; indirectly 
through contaminated articles, especially toilet articles. 
INCUBATION PERIOD. Unknown. 
PERIOD OP” COMMUNICABILITY. Until all lesions are healed as 
shown by absence of scaling and erythema, to be confirmed by 
microscopic examination, culture and absence of fluorescence 
under a suitable ultra-violet light. 
IMMUNIZATION. None. 
Recommendations: 
Elimination of common towels, hair brushes and combs 
Food Infections and Poisonings 
(See Special Regulations for Botulism) 
Regulations: 
Report only 
I nformation: 
ETIOLOGICAL AGENT. A variety of organisms, most frequently of 
the interiditis or salmonella or staphylococcus groups. A variety 
of organic and inorganic poisons. 
SOURCE OF INFECTION. Food recently ingested. 
MODE OF TRANSMISSION. In the case of bacterial poisonings, by 
the transfer of the particular etiological agent by food handlers 
to the food ingested. Hands unwashed after use of toilet, or 
hands or arms with furuncles, boils, or other sores are usual 
means of contamination of foods. Ingestion of foods to which 
some poisonous substance was accidentally or intentionally added, 
or in which a natural but poisonous substance occurs. 
INCUBATION PERIOD. Bacterial infections, one to twenty-four 
hours. Non-bacterial, immediately to several hours. 
PERIOD OF COMMUNICABILITY. This term does not apply to these 
conditions. 
Recommendations: 
Specimens of foods suspected should be secured and used for labora- 
tory examination. 
Feces and vomitus of patients should be collected for bacteriological 
and chemical examination. COLORADO STATE BOARD OF HEALTH 
Persons concerned with the preparation and serving of foods should 
be brought under observation for medical and bacteriological ex- 
amination to determine the possible origin, whether from bowel 
discharges or infections of the skin. 
Epidemiological inquiries should include particular study of water, 
food and milk used by persons affected. 
German Measles (Rubella) 
Regulations: 
PLACARD. None. 
ISOLATION. Separation of the patient from non-immune children 
and exclusion of the patient from school and public places for the 
period of presumed infectivity (which is usually considered to be 
7 days). 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from nose and throat 
and articles soiled therewith. 
TERMINAL DISINFECTTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. A febrile infection occurring 
frequently in epidemics, characterized by a polymorphous rash, 
sometimes resembling that of measles, sometimes that of scarlet 
fever, and sometimes of both at the same time; few or no consti- 
tutional symptoms but almost always enlargement of post-auricu- 
lar, sub occipital and cervical, and occasionally of other lymph 
nodes. Usually absence of. leukocytosis. 
ETIOLOGICAL AGENT. Unknown. 
SOURCE OF INFECTION. Secretions of mouth and nose. 
MODE OF TRANSMISSION. By direct contact with the patient or 
with articles freshly soiled with discharges from the nose or 
throat of the patient. 
INCUBATION PERIOD. Fourteen to 21 days. 
PERIOD OF COMMUNICABILITY. From onset of catarrhal symp- 
toms for at least four days but not more than seven. Highly com- 
municable. 
IMMUNIZATION. None. 
Recommendations: 
Careful differential diagnosis should be made between this disease 
and scarlet fever. 
Regulations: 
Glanders 
PLACARD. None. 
ISOLATION. Human cases at home or hospital until lesions have 
healed. Infected horses should be destroyed. LAWS, RULES AND REGULATIONS 
61 
QUARANTINE. None for humans. Quarantine of all horses in an 
infected stable until all have been tested by specific reaction, and 
the removal of infected horses and terminal disinfection of stables 
have been accomplished. 
CONCURRENT DISINFECTION of discharges from human cases and 
articles soiled therewith. 
TERMINAL DISINFECTION, Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. Occurs in two forms, one external 
affecting the skin and known as “farcy,” and an internal form 
known as “glanders.” It may appear as an acute or chronic dis- 
ease, with widely variable symptoms, the diagnosis being estab- 
lished by one or other of the following biological reactions: The 
complement fixation test, the mallein test, the agglutination test, 
or by nonspecific reactions, such as the Straus reaction, if con- 
firmed by culture, or by identification of the Malleomyces mallei, 
or by autopsy where diagnosis has been uncertain at time of 
death. 
ETIOLOGICAL AGENT. Glanders bacillus, Pfeifferella mallei. 
SOURCE OF INFECTION. Discharges from open lesions of mucous 
membranes, or of the skin of human or equine cases of the disease 
(i. e., pus and mucus from the nose, throat and bowel discharges 
from infected man and horse). 
MODE OF TRANSMISSION. Contact with a case or with articles 
freshly soiled by discharges from a human or equine case. 
INCUBATION PERIOD. Usually one to five days. 
PERIOD OF COMMUNICABILITY. Until bacilli disappear from dis- 
charges or until lesions have healed. 
Recommendations: 
Confirm diagnosis by laboratory tests. 
Skin contact with the lesions in the living or dead body is to be 
scrupulously avoided. 
Abolition of the common drinking trough for horses. 
Sanitary supervision of stables. 
Semi-annual testing of all horses by a specific reaction where the dis- 
ease is common. 
Regulations: 
Gonorrhea 
(See further laws and regulations noted under Sections of Division of 
Social Hygiene Laws and Regulations.) 
PLACARD. None, provided regulations are observed. Violations shall 
be placarded. 
QUARANTINE AND ISOLATION. (Refer to Regulation Rule 12b of 
the Division of Social Hygiene Laws and Regulations.) 62 
COLORADO STATE BOARD OF HEALTH 
CONCURRENT DISINFECTION of discharges from lesions and arti 
cles soiled therewith. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. Occurring initially as an infec- 
tion of one of the mucous membranes, most frequently of the geni- 
tal tract, urethra in both sexes, the vaginal or uterine mucosa in 
the female, the disease develops as an acute or chronic process in 
adjacent or remote tissues, among the latter especially as ar- 
thritis and endocarditis. Relapsing and chronic inflammatory 
discharging conditions at the site of original attack are common. 
Demonstration of the etiological agent in the lesions or dis- 
charges is the best and only certain diagnostic procedure. 
ETIOLOGICAL AGENT. Gonococcus. 
SOURCE OF INFECTION. Discharges from lesions of inflamed mu- 
cous membranes and glands of infected persons and articles soiled 
therewith. 
MODE OF TRANSMISSION. Direct contact with infected persons, 
and indirectly by contact with articles freshly soiled with the dis- 
charges of such persons. In adults by sexual intercourse; in chil- 
dren by other personal and indirect contact with discharges. 
INCUBATION PERIOD. One to eight days. 
PERIOD OF COMMUNICABILITY. As long as the gonococcus per- 
sists in any of the discharges. 
IMMUNIZATION. None. 
Recommendations: 
See Special Regulations in the Section of the Laws and Regulations of 
the Division of Social Hygiene. 
Education of the public in matters of sexual hygiene. 
Regulations: 
Gonorrheal Ophthalmia 
PLACARD. None. 
ISOLATION. None, provided patient is under adequate medical su- 
pervision. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Disinfection of conjunctival dis- 
charges and articles soiled,therewith. 
Recommendations: 
TERMINAL DISINFECTION. Thorough cleaning. 
PROPHYLAXIS. Silver Nitrate solution (1%) or its equivalent in 
eyes of newborn. 
(Note: See Senate Bill No. 97—An Act for the Prevention of Blind- 
ness in the Newly Born.) LAWS, RULES AND REGULATIONS 
Information: 
RECOGNITION OF THE DISEASE. Acute redness and swelling of 
the conjunctiva of one eye or of both eyes, with muco-pui'ulent 
and purulent discharge in which the infecting microorganism is 
identifiable by microscopic and cultural methods. 
ETIOLOGICAL AGENT. The gonococcus. 
SOURCE OF INFECTION. Discharges from conjunctivae or adnexa 
or genital mucous membranes of infected persons. 
MODE OF TRANSMISSION. Contact with infected persons or arti- 
cles freshly soiled with discharges of such persons. 
INCUBATION PERIOD. Usually 36 to 48 hours. 
PERIOD OP COMMUNICABILITY. Until discharges of infected mu- 
cous membranes have ceased. 
Recommendations: 
Carry out measures indicated in methods for control of gonorrhea 
Regulations: 
Impetigo Contagiosa 
PLACARD. None. 
ISOLATION. Until lesions are healed. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from lesions and arti 
cles soiled therewith. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. A purulent dermatitis occurring 
sporadically and in small epidemics and characterized by vesicu- 
lar lesions turning to crusting seropurulent plaques, commonly 
on the face and often on the hands, sometimes widely scattered 
over the body. Bacteriological determination of the infecting 
micro-organism is of no importance. 
ETIOLOGICAL AGENT. A variety of cocci, commonly streptococci 
and staphylococci. 
SOURCE OF INFECTION. Lesions on the skin of an infected person. 
MODE OF TRANSMISSION. By direct contact with an infected per- 
son and indirectly by contact with articles recently soiled by dis- 
charges from skin lesions of infected persons. The infection is 
easily inoculable from place to place on the patient’s body by 
scratching. 
INCUBATION PERIOD. Two to 5 days. 
PERIOD OP COMMUNICABILITY. Until lesions are healed. 
IMMUNIZATION. None. 64 
COLORADO STATE BOARD OF HEALTH 
Recommendations: 
Avoid use of common toilet articles among children. Prompt treat- 
ment to prevent extension to new sites and shorten period of 
communicability. 
Regulations: 
Influenza 
PLACARD. None. 
ISOLATION. During the acute stage of the disease. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from nose and throat 
of the infected person. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. Whether occurring in a pan- 
demic, in endemic-epidemic incidence, or as sporadic cases this 
disease is characterized in its typical form by sudden onset, fever 
of 1 to 7 days’ duration, accompanied by excessive prostration, 
aches and pains in back and limbs, coryza and bronchitis, and 
not uncommonly by pneumonia as a complication. During epi- 
demics when such cases occur in large numbers and over a wide 
area, other cases of less distinctive type are found to be epidem- 
iologically related to typical cases, and in these the diagnosis 
would not be made without such obvious association. The clini- 
cal criteria of influenza are quite indefinite, particularly in ab- 
sence of widespread prevalence of the disease. Microscopic or 
other laboratory procedures are of no practical value in deter- 
mining or excluding the diagnosis of influenza. 
ETIOLOGICAL AGENT. A filterable virus, associated often with 
various types of bacteria as secondary invaders. 
SOURCE OF INFECTION. Probably discharges from throat and nose 
of infected persons and articles freshly soiled by such discharges. 
MODE OF TRANSMISSION. Believed to be by direct contact, by 
droplet infection, or by articles freshly soiled with discharges of 
the nose and throat of infected persons. 
INCUBATION PERIOD. Usually 24 to 72 hours. 
PERIOD OF COMMUNICABILITY. Undetermined. 
IMMUNIZATION. None. 
Recommendations; 
During epidemics efforts should be made to reduce opportunities for 
direct contact infection, as in crowded halls, stores and street 
cars. Kissing, the use of common towels, glasses, eating utensils, 
or toilet articles should be avoided. In isolated towns and institu- 
tions infections have been delayed and sometimes avoided by 
strict exclusion of visitors from already infected communities. LAWS, RULES AND REGULATIONS 
The closing of public, parochial and private schools has not been 
effective in checking the spread of infection. The judicious use 
of masks by nurses and other attendants may prove of value in 
preventing infection in hospitals. Scrupulous cleanliness of dishes 
and utensils used in preparing and serving food in public eating 
places should be required, including the subjection of such articles 
to disinfection in hot soap suds. In groups which can be brought 
under daily professional inspection, the isolation of early and sus- 
picious cases of respiratory tract inflammation, particularly when 
accompanied by a rise in temperature, may delay the spread of 
the disease. To minimize the severity of the disease, and to pro- 
tect the patient from secondary infections and thus reduce mor- 
tality, patients should go to bed at the beginning of an attack, and 
not return to work without the approval of their physician. 
Crowding of beds in hospitals and institutions to accommodate 
increased numbers of patients and other inmates is to be espe- 
cially avoided. Increased spacing between beds in wards and 
dormitories should be carried out to reduce the risk of attack, 
and of the occurrence of pneumonia. 
Regulations: 
Leprosy 
PLACARD. None. 
ISOLATION of bacteriologically positive cases occurring in endemic 
form in national lepersarium until a condition of apparent arrest 
has been present for at least six months, as determined by clinical 
observation and by absence of acid-fast bacilli on repeated exam- 
inations. Paroled and other negative lepers shoud be reexamined 
periodically every six months. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. Thorough cleaning of living premises. 
Information: 
RECOGNITION OF THE DISEASE. The disease is to be identified 
by lesions of the skin and mucous membranes and by neurological 
manifestations. Confirmation by microscopic examination is 
usually possible in cutaneous and mixed types of the disease 
but may be difficult or impossible in maculo-anesthetic and neural 
cases, 
ETIOLOGICAL AGENT. Leprosy bacillus. Mycobacterium leprae. 
SOURCE OF INFECTION. Discharges from lesions. 
MODE OF TRANSMISSION. Intimate and prolonged contact with 
infected individuals and some other as yet undetermined factors 
are apparently necessary. 
INCUBATION PERIOD. Probably from one to several years. COLORADO STATE BOARD OF HEALTH 
PERIOD OF COMMUNICABILITY. Commences when lesions become 
open and continues until healing. Patients with demonstrable 
acid-fast bacilli in smears from skin or mucous membranes are 
potentially “open” cases even if demonstrable ulceration is not 
present. 
IMMUNIZATION. None. 
Recommendations: 
As a temporary expedient, lepers may be properly cared for in local 
hospitals, or if conditions of the patient and his environment war- 
rant, he may be allowed to remain on his own premises under 
suitable regulations. 
Malaria 
Regulations: 
PLACARD. None. 
ISOLATION. None, except protection of patient from approach of 
mosquitoes by screening bedroom or house until blood is rendered 
free from malaria parasites through treatment. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. None. Destruction of anopheles 
mosquitoes in the sick room. 
TERMINAL DISINFECTION. None. Destruction of anopheles mos- 
quitoes in the sick room. 
Information: 
RECOGNITION OF THE DISEASE. A group of specific infectious 
fevers due to invasion of the red blood cells by one of at least 
three types of Sporozoa of the genus Plasmodium. These fevers 
occur endemically or epidemically and are associated with a 
symptom complex fairly characteristic of each variety, marked 
particularly by periodicity of fever and symptoms due to the 
growth and development of the organism. Enlargement of the 
spleen, secondary anemia, and the characteristic recurrence of 
chills and fever as clinical findings are confirmed by observing 
presence of the malaria parasites in blood film on microscopic 
examination. Mosquitoes of anopheline family are the only 
known vectors. 
ETIOLOGICAL AGENT. Plasmodium vivax (tertian); plasmodium 
malariae (quartan); plasmodium falciparum (aestivo-autumnal). 
SOURCE OF INFECTION. The blood of an infected individual. 
MODE OF TRANSMISSION. By bite of an infected anopheles mos- 
quito. 
INCUBATION PERIOD. Varies with type of species of infecting 
organism and the amount of infection. 
PERIOD OF COMMUNICABILITY. As long as the sexual form of the 
malaria micro organism exists in the circulating blood in suffi- 
cient quantities to infect mosquitoes. 
IMMUNIZATION. None. LAWS, RULES AND REGULATIONS 
Recommendations: 
Mosquito abatement 
Measles 
Regulations: 
PLACARD. None. 
ISOLATION, A minimum period of 9 days from onset and until cessa- 
tion of abnormal mucous secretions or for 7 days from appearance 
of the rash. 
QUARANTINE. When the disease is very prevalent and in large 
communities, quarantine of exposed susceptible children is im- 
practicable and of no value. Exclusion of exposed susceptible 
school children and teachers from school until 14 days from last 
exposure may be justifiable under sparsely settled rural condi- 
tions. This applies to exposure in the household. Exclusion of 
exposed susceptible children from all public gatherings under the 
same conditions for the same period. If the date of only exposure 
is reasonably certain, an exposed susceptible "child of school age 
may be allowed to attend school for the first 7 days of the incu- 
bation period. of institutions of young children 
and of wards or dormitories where exposure is suspected is of 
value. Strict quarantine wards of infants if a case occurs in an 
institution is important. 
CONCURRENT DISINFECTION of ail articles soiled with secretions 
of the nose and throat. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. Clinical characteristics are 
fever, catarrhal symptoms in eyes and nose and throat in the 
prodromal stage, as well as at the height of the disease, an early 
eruption in the mouth, Koplik spots, later an exanthem and enau- 
them, and a branny desquamation during convalescence. When 
the disease is prevalent, or a susceptible child has been exposed 
to a case of measles, the diagnosis should be suspected on ap- 
pearance of the fever and catarrhal symptoms, without waiting 
for confirmatory eruptions, and isolation precautions should be 
instituted at once. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Mouth and nose secretions of infected 
individual. 
MODE OF TRANSMISSION. Directly from person to person; indi- 
rectly through articles freshly soiled with nose and mouth dis- 
charges of an infected person. The most easily transmitted of 
all communicable diseases. 
INCUBATION PERIOD. About 8 to 10 days from date of exposure to 
onset of fever; 12 to 14 days to appearance of rash. 68 
COLORADO STATE BOARD OF HEALTH 
PERIOD OF COMMUNICABILITY. During the period of catarrhal 
symptoms and until cessation of abnormal mucous membrane se- 
cretions—minimum period of 9 days; from 4 days before to 5 days 
after appearance of the rash. 
IMMUNIZATION by use of serum or whole blood of convalescent pa- 
tients, or of healthy adults who have had measles, given within 5 
days after exposure to a known case of measles, the attack in the 
exposed person may be averted in a high percentage of instances; 
if not averted the disease is modified. Given latex’, but at a time 
pi’ior to clinical onset of the disease, convalescent sex-um usually 
modifies the severity of the attack and the patient pi’obably ac- 
quires the usual lasting immunity to the disease. 
Recommendations: 
Daily examination of exposed children and of other possibly exposed 
persons. This examination should include record of body tem- 
perature. A non-immune exposed individual exhibiting a rise of 
temperature of 0.5 degrees C. or more should be promptly isolated 
pending diagnosis. 
Schools should not be closed or classes discontinued where daily ob- 
servation of children by a nurse or physician is provided. 
Education as to special danger of exposing young children to those 
exhibiting acute catarrhal symptoms of any kind. 
In institutional outbreaks, immunization with convalescent serum of 
all minor inmates who have not had measles is of value in check- 
ing the spread of infection and reducing mortality. 
The immunization of infants and children under 3 years of age with 
convalescent serum or whole adult blood in families where cases 
of measles occur in older children or adults should be encouraged. 
Regulations: 
Meningococcus Meningitis 
PLACARD. Yes. 
ISOLATION of infected persons until 14 days after onset of the dis- 
ease. 
QUARANTINE. Children under 16 in infected household shall be con- 
fined to premises for 10 days. No restrictions of adults if patient 
is properly isolated or if adults live away from home. School 
teachers and food handlers subject to same restrictions as school 
children. Food handlers and others whose occupation brings 
them in contact with children have no restrictions if they live 
away from home. Children under 16 may be released (a) 10 days 
from date of removal of patient to hospital or (b) 10 days from 
date that the contacts leave the home. (See Special Regulations 
for food handlers, Reg. No. 3, page 4.) 
CONCURRENT DISINFECTION of discharges from nose and throat 
and articles soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. LAWS, RULES AND REGULATIONS 
69 
Information: 
RECOGNITION OF THE DISEASE. An acute infectious disease with 
sudden onset, fever, headache, nausea, rigidity of neck, and in 
epidemics not infrequently petechial spots on the skin. The 
specific micro-organism in one of its several types may in some 
cases be found in the early stages by blood culture, and usually 
during the course of the disease in the spinal fluid, and in the 
discharges of the retronasal surfaces. The disease occurs in 
epidemic and sporadic manner. 
ETIOLOGICAL AGENT. Meningococcus. 
SOURCE OF INFECTION. Discharges from the nose and throat of 
infected persons and carriers. 
MODE OF TRANSMISSION. Direct contact with infected persons and 
carriers; indirectly by contact with articles freshly soiled with 
nasal and mouth discharges of such persons. 
INCUBATION PERIOD. Two to 10 days, commonly 7. 
PERIOD OF COMMUNICABILITY. Until meningococci are no longer 
present in nasopharynx. 
IMMUNIZATION. None. 
Recommendations: 
Prevention of overcrowding in living quarters, transportation convey- 
ances, working places, and especially in barracks, camps and 
ships. 
Epidemic measures. Increase the separation of individuals and the 
ventilation in living and sleeping quarters. Chilling, bodily fa- 
tigue, and strain should be minimized for those especially exposed 
to infection. 
Regulations: 
Mumps 
PLACARD: None. 
ISOLATION. Until the parotid gland has returned to normal size. 
QUARANTINE. None. Exposed susceptible persons should be regu- 
larly inspected for the onset of initial symptoms for 3 weeks from 
date of last exposure. 
CONCURRENT DISINFECTION. All articles soiled with the dis- 
charges of nose and throat of the patient. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. An acute specific infection 
characterized by fever, swelling, and tenderness of the salivary 
glands usually of the parotid, sometimes of the sublingual or sub- 
maxillary glands. Involvement of ovaries and testicles is most 
frequent in persons over puberty; rarely, involvement of the 
central nervous system is encountered early or later in the course 
of the disease. 70 
COLORADO STATE BOARD OF HEALTH 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Secretions of mouth and possibly the nose. 
MODE OF TRANSMISSION. By direct contact with an infected per- 
son or with articles freshly soiled with discharges from mouth and 
nose of infected persons, 
INCUBATION PERIOD. From 12 to 26 days. 
PERIOD OF COMMUNICABILITY. Unknown, but assumed to persist 
until parotid gland has returned to normal size. 
IMMUNIZATION. None. 
Plague 
Regulations: 
PLACARD. Yes. 
ISOLATION. In a screened room which is free from vermin until con- 
valescence is Avell established. (Note: In plague pneumonia, 
personal prophylaxis to avoid droplet infection must be carried 
out by persons coming in contact with the sick. Masks with 
closely woven cloth with mica windows should be worn over the 
head and to the shoulders. A long gown and rubber gloves drawn 
over the sleeves of the gown should be provided. These articles 
should not be removed from the sick room until disinfected.) 
QUARANTINE. Contacts of pneumonia cases for 7 days. 
CONCURRENT DISINFECTION of all discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. Thorough cleaning followed by fumiga- 
tion to destroy rats and fleas. 
Information: 
RECOGNITION OF THE DISEASE. An acute infection running a 
rapid, severe course, often terminating fatally, and characterized 
by extreme weakness, high fever, buboes, severe general symp- 
toms, and often accompanied by subcutaneous hemorrhage and 
pustules. The infecting micro-organism is regularly found in 
the buboes and skin lesions, and in the pneumonic type of the 
disease in the sputum. Pneumonic plague gives the picture of a 
virulent septic pneumonia. 
ETIOLOGICAL AGENT. Plague bacillus, Pasteurella Pestis. 
SOURCE OF INFECTION. Blood of infected rodents, and in pneu- 
monic form, sputum of human cases. 
MODE OF TRANSMISSION. Direct in pneumonic form. In other 
forms the disease is generally transmitted by the bites of fleas, 
by which the disease is carried from rats to man, also by fleas 
from other rodents. Accidental, by inoculation. 
INCUBATION PERIOD. Commonly 3 to 7 days; occasionally pro 
longed to 8 or even 14 days. LAWS, RULES AND REGULATIONS 
71 
PERIOD OF COMMUNICABILITY. Pneumonia type intensely com 
municable during acute symptoms. Bubonic type not communi 
cable from person to person. 
IMMUNIZATION. Ordinarily not practicable. 
Recommendations: 
Extermination of rats and other rodents. 
Rat-proofing buildings and elimination of breeding places. 
Investigation of all deaths during epidemics with autopsy and labora 
tory examination. 
Supervision of dead during epidemics. 
Pneumonia, Acute Lobar 
Regulations: 
PLACARD. None. 
ISOLATION of the patient during clinical course of the disease. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of all discharges from nose and 
throat of the patient. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. An acute infection character- 
ized by sudden onset with chill followed by fever, often pain in 
the chest, usually cough and dyspnea. In many cases in children, 
vomiting and convulsions occur at the onset. Recognition of 
the infecting micro-organism by microscopic and cultural exam- 
ination is valuable. The X-Ray may disclose pulmonary lesions 
prior to other evidence of pulmonary consolidation. 
ETIOLOGICAL AGENT. Various pathogenic bacteria commonly 
found in the nose, throat, and mouth such as the pneumococcus, 
the bacillus of Friedlander, the influenza bacillus, the hemolytic 
streptococcus, etc. 
SOURCE OF INFECTION. Probably discharges from the mouth and 
nose of infected persons or carriers and articles freshly soiled 
therewith. 
MODE OF TRANSMISSION. By direct contact with infected persons 
or carriers, or with articles freshly soiled with discharges from the 
nose and throat of such persons; possibly from infected dust of 
rooms occupied by infected persons. 
INCUBATION PERIOD. Not well determined but probably 1 to 3 
days. 
PERIOD OF COMMUNICABILITY. Unknown; presumably until dis- 
charges from mouth and nose no longer carry infectious agent in 
abundant or virulent form. 72 
COLORADO STATE BOARD OF HEALTH 
Recommendations: 
SPECIFIC INFECTING ORGANISMS should be determined by Neu- 
feld rapid typing method early in the course of the disease as a 
basis for adequate specific serum therapy. 
In institutions and camps crowding in living and sleeping quarters 
should be avoided. 
Poliomyelitis 
Regulations: 
PLACARD. Yes. 
ISOLATION for 2 weeks from febrile onset. 
QUARANTINE of exposed children of the household and of adults of 
household whose vocation brings them into contact with children, 
or who are food handlers, for 14 days from last exposure to a 
recognized case. (See Special Food Handlers Regulation, page 4.) 
CONCURRENT DISINFECTION of nose and throat discharges and 
articles freshly soiled therewith. 
TERMINAL DISINFECTION. Cleaning. 
Information: 
RECOGNITION OF THE DISEASE. An acute infection with moder- 
ate initial fever, usually headache and gastro-intestinal symp- 
toms such as vomiting and constipation, drowsiness alternating 
with irritability, hyperesthesia, stiffness of neck and spine, 
usually accompanied by an increase in pressure and in the num- 
ber of cells in the spinal fluid, tremor, and exaggeration of the 
muscular reflexes. Later, local diminution of reflexes and local 
motor weakness (paralytic). Any of these symptoms may be 
absent, but the diagnosis of the cases which are not at some time 
paralytic is so frequently uncertain that only paralytic cases 
should be counted officially as poliomyelitis, due precautions 
being taken in the others. Paralysis may be sudden and cause 
death within a few hours of onset by cessation of respiration 
without clear-cut symptoms. There is a marked tendency for 
the paralysis to improve after it has reached its height. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Unknown. Probable sources: droplet 
infection, or bowel discharges and urine of infected individuals. 
Healthy carriers are thought to be common. 
MODE OF TRANSMISSION. Unknown. Presumably from an active 
recognized case, abortive unrecognized case or a healthy carrier, 
or insect vector, contaminated water, milk or food. 
INCUBATION PERIOD. Commonly 7 to 14 days. 
PERIOD OF COMMUNICABILITY. Not definitely known, but appar- 
ently covered by the latter part of the incubation period and the 
first week or two of the disease—possibly much longer in a very 
few cases, but cases as a rule are not directly traceable to any 
previous case. 
IMMUNIZATION. None. LAWS, RULES AND REGULATIONS 
Recommendations: 
General measures during epidemics: 
General warning to physicians and laity of the prevalence or increase 
of incidence of the disease, description of usual characteristics of 
onset, and necessity for diagnosis and medical care, particularly 
for bed rest of patients and protection of their muscles. 
All children with fever should be isolated pending diagnosis. 
Education in technique of bedside nursing to prevent distribution of 
infected discharges to others from cases isolated at home. 
Avoidance of unnecessary physical strain in children during an epi- 
demic. 
Regulations: 
Psittacosis 
PLACARD. None. 
ISOLATION during the febrile and acute clinical stage of the disease. 
When handling patients nurses should wear gauze masks. 
QUARANTINE. Buildings which housed birds should be quarantined 
until thoroughly cleaned and disinfected. 
CONCURRENT DISINFECTION of all discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. Thorough cleaning of premises where 
patient resided. Incriminated birds should be killed and car- 
casses burned. 
IMPORTATION OF PARROTS, PARAKEETS, AND OTHER BIRDS 
OF THE PSITTACINE FAMILY. 
No person, firm, or corporation shall import into Colorado, and no 
common carrier shall accept for shipment into Colorado, any 
parrot, parakeet, love bird, macaw, cockatoo, lory, lorikeet, or 
any other bird of the parrot or psittacine family, unless an ac- 
companying certificate has been obtained from the state health 
authority of the state from which shipment is made, to the effect 
that to the best of their knowledge and belief, such bird as may 
be offered for shipment has originated from an aviary or other 
distributing establishment free from psittacosis infection, as 
determined by inspection of birds and the environment in which 
they have been reared and housed, the history of such establish- 
ment as regards psittacosis infection, supplemented by such lab- 
oratory examination of birds, selected by a representative of the 
certifying authority, as may be deemed necessary to enable the 
certifying authority to determine that the birds offered for ship- 
ment are free from psittacosis infection; provided, that no bird 
of the species above mentioned that is under eight months of 
age or that has been under observation for less than six months 
shall be offered or accepted for importation into Colorado. 
Certificates accompanying shipment of psittacine birds into Colorado, 
as provided in the above in accordance with the United States 74 
COLORADO STATE BOARD OF HEALTH 
Public Health Service Interstate Quarantine Regulations, shall 
be surrendered by the common carriers to the health authorities 
at the destination of the shipment, and a copy of such certificate 
forwarded to the Colorado State Division of Public Health at 
Denver. Passed by the Colorado State Board of Health, March 3, 
1942, to become effective March 16, 1942. 
Information: 
RECOGNITION OF THE DISEASE. The clinical criteria are an on- 
set with chilly sensations, fever, headache; early pneumonic 
involvement; cough absent or usually nonproductive at first, 
later usually present and productive; sputum light yellow and 
characterized by extreme viscosity; tongue, white coat; anorexia 
extreme; constipation the rule; pulse usually slow in relation to 
temperature; great prostration; delirium common; albuminuria 
almost constant; relapses not uncommon. The white blood count 
is normal or slightly increased early, with leucopenia later. The 
disease may be transmitted to healthy susceptible birds or mice 
by inoculating blood drawn during first week of illness; the diag- 
nostic criteria are the characteristic pathological changes in mice 
with the presence of elementary bodies (Leventhal-Coles-Lillie) 
in impression smears from the spleens of mice; the sputum, if 
obtainable, is more uniformly infectious than the blood; repeated 
trials are necessary. Blood serum of recovered cases contains 
complement-fixing antibodies. 
ETIOLOGICAL AGENT, A specific filterable virus. 
SOURCE OP INFECTION. Infected parrots, parakeets, lovebirds or 
canaries. Apparently healthy birds may occasionally transmit 
the infection. 
MODE OF TRANSMISSION. Contact with infected birds or their 
recent surroundings. Occasionally through a human case. 
INCUBATION PERIOD. In human cases 6 to 15 days. 
IMMUNIZATION. None. 
Recommendations: 
Education of the community of the danger of making house pets of 
birds of parrot family, particularly when birds have been recently 
imported. 
Regulations: 
Puerperal Infection 
PLACARD. None. 
ISOLATION of patient during clinical course. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges, especially in hospitals 
and maternity homes. 
TERMINAL DISINFECTION. Thorough cleaning, especially in hos- 
pitals and maternity homes. LAWS, RULES AND REGULATIONS 
Information: 
RECOGNITION OF THE DISEASE. Rise of temperature and local 
and general symptoms of bacterial invasion of the genital tract 
of the postpartum patient. Bacteriological examination of dis- 
charges and surfaces of the vagino-uterine tract may identify the 
infecting organism. Blood culture is advisable to identify the 
organism definitely when invasion of the blood stream has oc- 
curred, because of the availability of chemotherapy against cer- 
tain bacteria. 
ETIOLOGICAL AGENT. Usually a hemolytic streptococcus. 
INCUBATION PERIOD. Usually 1 to 3 days. 
PERIOD OF COMMUNICABILITY. Not communicable among par- 
turient or postpartum cases except through intermediate trans 
mission of infection by attendants. 
IMMUNIZATION. None. 
Recommendations: 
Education of women about hazards of self interruption of pregnancy. 
Superlative antiseptic technic on the part of physicians, nurses 
and midwives when engaged in obstetrical practice. 
Rabies 
Regulations 
PLACARD. None. 
ISOLATION. None if patient is under adequate medical supervision 
and immediate attendants are warned of possibility of inoculation 
by human virus. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of saliva of the patient and articles 
soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
ANIMALS SUSPECTED OF HAVING RABIES should Not Be Killed, 
but should be kept under observation, if possible in the care of a 
veterinarian. If the animal shows no symptoms for a week after 
the bite, danger of rabies may be excluded. (Symptoms: rest- 
lessness, unwillingness to play, loss of appetite, photophobia, and 
consequent crawling away in a dark corner.) If a dog has rabies 
it will die in fourteen days. If the Dog Does Not Die in Fourteen 
Days It Does Not Have Rabies, and there should be no fear of 
rabies concerning persons who have been bitteh. 
If the animal dies the head should be cut off immediately, packed in 
a can or pail with plenty of cracked ice and newspapers or saw- 
dust, and sent or brought to the Laboratory of the Colorado State 
Division of Public Health, 430 State Office Building, Denver, 
Colorado. 76 
COLORADO STATE BOARD OF HEALTH 
Information: 
RECOGNITION OF THE DISEASE. In the human being this acute, 
specific, rapidly fatal infection may not be recognized until a 
spasm of deglutition appears, unless the earlier and mild consti- 
tional symptoms such as an expression of anxiety, paresthesias 
especially in or near the wound, and some paralysis have been 
looked for after the bite of a rabid animal. In the dog or other 
animal, recognizable symptoms are any unexplained change in 
behavior followed by excitability or paralysis, and death within 
10 days of onset of symptoms. Verification of cause of death may 
be established by discovery of Negri bodies in nerve cells of brain 
or cord, or by animal inoculation. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Saliva of infected animals, chiefly dogs. 
MODE OP TRANSMISSION. Inoculation of denuded tissue with 
saliva of infected animals, almost always by bites. 
INCUBATION PERIOD. Usually 2 to 6 weeks. May be prolonged to 
6 months or longer. Duration depends on virulence of saliva and 
on site of wound in relation to richness of nerve supply and 
directness of nerve path to brain. 
PERIOD OF COMMUNICABILITY. For 15 days in the dog before 
onset of clinical symptoms and throughout clinical course of the 
disease. Only slightly communicable in man. 
IMMUNIZATION. Preventive inoculation after exposure to infection. 
Recommendations: 
Immediate antirabic treatment of people bitten by dogs or by other 
animals suspected or known to have rabies, unless the animal is 
proved not to be rabid by subsequent observation or by micro- 
scopic examination of the brain and cord. 
The wound caused by any bite of a rabid animal should be treated at 
once to the depths with fuming nitric acid, with complete protec- 
tion of the eye in case of face bites. 
Search for rabid animal and for animals bitten by it. 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. All ticks on the patient should be 
destroyed. 
TERMINAL DISINFECTION. None. 
Rocky Mountain Spotted Fever 
I nformation: 
RECOGNITION OF THE DISEASE. Sudden onset with fever, head- 
ache, photophobia, muscle and joint pains, and chills. Appear- 
ance of the characteristic maculo-papular rash, usually first on LAWS, RULES AND REGULATIONS 
the extremities (third or fourth day of fever) and rapidly spread- 
ing to involve most of the body. History of either a tick bite or 
exposure to ticks. A week of illness is a valuable confirmatory 
aid, though the reaction is not positive in all cases. 
ETIOLOGICAL AGENT. Rickettsia, rickettsi. A gram-negative, in- 
tracellular micro-organism which has not been cultivated or fil- 
tered (Dermacentroxenus rickettsi Wolbach). 
SOURCE OF INFECTION. Ticks. 
MODE OF TRANSMISSION. Bite of infected tick or mashing infected 
tick on skin. 
INCUBATION PERIOD. From 3 to about 10 days. 
PERIOD OF COMMUNICABILITY. Not communicable from man. 
IMMUNIZATION. By Spencer-Parker vaccine 
Recommendations: 
Personal prophylaxis of persons entering infected tick zones during 
tick season by wearing tick-proof clothing, and careful search of 
body for ticks which may have attached themselves. 
Destruction of ticks by clearing and burning vegetation on lands in 
infected zones. 
Destruction of ticks on domestic animals by dipping. 
Destruction of small mammalian hosts of ticks, such as ground squir- 
rels, chipmunks and meadow mice. 
Scabies (The Itch) 
Regulations: 
PLACARD. None. 
ISOLATION. Children should be excluded from school until disin- 
fected. Persons shall be denied common recreation and bathing 
facilities while infected. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Care of body clothing and bedding 
until free from infestation. 
TERMINAL DISINFESTATION. Underclothing and bed covering to 
be treated by dry heat or washing to destroy the mite and eggs. 
I nformation: 
RECOGNITION OF THE DISEASE. Observation of the character- 
istic burrows of the itch mite. Its identification under a lens, or 
of the eggs scraped from the burrows, may be positive in skilled 
hands. 
ETIOLOGICAL AGENT. Acarus scabiei, the itch mite. 
SOURCE OF INFESTATION. Persons harboring itch mite. 
MODE OF TRANSMISSION. Direct contact with infested persons; 
indirectly by use of underclothing, gloves, bedding, etc., of such 
persons. 78 
COLORADO STATE BOARD OF HEALTH 
INCUBATION PERIOD. None, as parasite starts to burrow under 
skin at once. 
PERIOD OF COMMUNICABILITY. Until itch mite and eggs are de- 
stroyed. 
IMMUNIZATION. None. 
Regulations: 
Scarlet Fever 
PLACARD. Yes. 
ISOLATION. In home or hospital, maintained in each case until the 
end of the period of communicability as determined by the attend- 
ing physician or health officer If medical inspection is not avail- 
able, isolation for 21 days from onset for uncomplicated cases. 
QUARANTINE. Adults and children over 16 whose occupation does 
not bring them in contact with children or with the handling of 
milk or food, may be granted a provisional permit to enter and 
leave the premises. Children under 16 may be removed to and 
quarantined in another household where there are no children 
for a period of 7 days and then released to return to school if no 
symptoms have developed. All children under 16 who remain in 
the house with a case must stay in quarantine until placard is 
removed. (See Special Regulations of food handlers—Reg. No. 
3, page 4.) 
CONCURRENT DISINFECTION of the discharges and of all articles 
which have been in contact with a patient. 
TERMINAL DISINFECTION. Thorough cleaning. 
SALE OF MILK AND FOOD. See Regulation No. 3, page 4. 
Information: 
RECOGNITION OF THE DISEASE. Sudden onset with nausea, vom- 
iting, fever, and sore throat; rash (bright red spots on subcuticu- 
lar flush) on second or third day. Cases occur without eruption, 
when provisional diagnosis may be made on sore throat, fever, 
vomiting, and history of exposure. The Schultz-Charlton blanch- 
ing phenomenon may be used when rash has recently appeared: 
one-tenth to one-half cc. convalescent serum or scarlet fever 
antitoxin is injected into skin where rash exists, which causes 
local blanching in 6 to 36 hours if rash is scarletinal; absence of 
blanching, however, does not rule out scarlet fever. 
ETIOLOGICAL AGENT. A hemolytic streptococcus. 
SOURCE OF INFECTION. Discharges from nose, throat, ears, ab- 
scesses, or wound surfaces of sick or convalescent patients, and 
articles freshly soiled therewith. Carriers. 
MODE OF TRANSMISSION. Directly by contact with an infected 
person, indirectly by articles freshly soiled with discharges of 
an infected person, or through contaminated milk or milk prod- 
ucts. Not by skin desquamation. LAWS, RULES AND REGULATIONS 
79 
INCUBATION PERIOD. Two to 7 days, usually 3 or 4. 
PERIOD OF COMMUNICABILITY. Until 3 weeks from onset of dis- 
ease without regard to stage or extent of desquamation; but until 
all abnormal discharges have ceased and all open sores or wounds 
have healed. Infectious agent is more likely to be transmitted in 
colder seasons of the year. 
IMMUNIZATION. Exposed susceptibles, as determined by the Dick 
test, may be passively immunized by convalescent scarlet fever 
serum or scarlet fever antitoxin, under special circumstances. 
Active immunization with scarlet fever toxin. 
Recommendations: 
Daily examination of exposed children and of other possibly exposed 
persons for a week after last exposure. Encourage removal of 
young susceptible contacts in the family to homes of adult friends 
for duration of communicable stage in the patient. 
Schools should not be closed where daily observation of children by a 
physician or nurse can be provided. 
Pasteurization of milk supply. 
Regulations: 
Septic Sore Throat 
PLACARD. None. 
ISOLATION. During clinical course of the disease and convalescence 
and particularly exclusion of patients or carriers from participat- 
ing in the production of or handling of milk or milk products. 
( See Special Regulations No. 3 as regards food handlers.) 
QUARANTINE. None except for Special Food Handlers—Reg. No. 3, 
page 4. 
CONCURRENT DISINFECTION. Articles soiled with discharges 
from the nose and throat of the patient. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. Acute sore throat appearing in 
epidemic outbreaks, often of a highly virulent character, and ac- 
companied by various general septicemic manifestations. The 
onset is likely to be abrupt with chill, high temperature, and 
vomiting. 
ETIOLOGICAL AGENT. Streptococcus (Hemolytic type). 
SOURCE OF INFECTION. The human naso-pharynx, usually the 
tonsils, any case of acute streptococcus inflammation of these 
structures being a potential source of infection, including the 
period of convalescence of such cases. The udder of a cow in- 
fected by a milker is a common source of infection. In such 
udders physical signs of mastitis may be absent. Bovine mastitis 
of staphylococcus origin may lead to epidemic outbreaks of gastro- 80 
COLORADO STATE BOARD OF HEALTH 
intestinal disturbances in those who drink unpasteurized milk. 
The bovine type of streptococcus is not a cause of septic sore 
throat in human beings. 
MODE OF TRANSMISSION. Direct or indirect human contact; con- 
sumption of raw milk contaminated by a case or carrier or from 
an infected udder. 
INCUBATION PERIOD. One to 3 days. 
PERIOD OF COMMUNICABILITY. In man, presumably during con- 
tinuance of clinical symptoms; in the cow, during continuance of 
discharge of streptococci in the milk. The carrier stage may fol- 
low convalescence and persist for some time. 
IMMUNIZATION. None. 
Recommendations: 
Pasteurization of all milk. The milk of any cow with evidence of 
mastitis should be excluded from sale or use as a protection in 
addition to pasteurization. 
Regulations: 
Smallpox 
PLACARD. Yes. 
ISOLATION. During period of communicability, preferably in a hos- 
pital. Patient shall be isolated until disappearance of all scabs 
and crusts. 
QUARANTINE of all contacts until three weeks have elapsed from 
date of last exposure. Contacts may be released to take up resi- 
dence elsewhere (a) if immunized by a previous attack; (b) when 
showing immunity reaction after being vaccinated with virus of 
full potency; (c) if vaccinated within 24 hours after first exposure, 
when vaccinia reaches height. (See Special Food Handlers Reg. 
No. 3, page 4.) 
CONCURRENT DISINFECTION of all discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
FOOD HANDLERS. See Regulation No. 3, page 4. 
Information: 
RECOGNITION OF THE DISEASE. One to five days of febrile 
symptoms before the eruption, which is papular for 1 to 4 days, 
vesicular for 1 to 4 days, and pustular for 2 to 6 days, forming 
crusts which fall off 10 to 40 days after the first sign of the le- 
sions, and leave pink scars which fade gradually. Unless scanty, 
the eruption is symmetrical and general, more profuse on promi- 
nences, extensor surfaces, and surfaces exposed to irritation, 
than on protected surfaces, flexures, and depressions. Most 
abundant and earliest on the face, next on forearms, wrists, and 
hands, favoring the limbs, especially distally, more than the trunk. 
More abundant on shoulders and chest than on loins or abdomen, LAWS, RULES AND REGULATIONS 
81 
but the lesions may be so few as to be overlooked. The individual 
lesions are deep-seated and have an infiltrated base, except when 
modified naturally or by previous vaccination. Any case of pur- 
pura or hemorrhage into the skin with fever should be treated 
with smallpox precautions until another diagnosis is clear. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Lesions of mucous membranes and skin 
of infected persons. 
MODE OF TRANSMISSION. Contact with persons sick with the dis- 
ease and articles soiled with discharges from lesions. Virus may 
be present in feces and urine for a brief time. 
INCUBATION PERIOD. Eight to 16 days. Occasionally 21 days. 
PERIOD OF COMMUNICABILITY. From first symptoms to disap- 
pearance of all scabs and crusts. 
IMMUNIZATION. Vaccination. 
Recommendations: 
General vaccination in early infancy, revaccination of children on 
entering school, and of the entire population when the disease 
appears in severe form. 
Provisions for free vaccinations in time of epidemic. 
In order to avoid possible complications or secondary and subsequent 
infections at the site of vaccination, it is important that the vac- 
cination insertion be as small and superficial as practicable, not 
over one-eighth inch in any direction, and that the site be kept 
dry and cool. The use of shields and other dressings is to be 
condemned. The multiply pressure method is recommended. 
Primary vaccination as soon after 1 week of age as possible is 
desirable. The time of vaccination should be adjusted to avoid 
skin lesions elsewhere on the body, and in older children to avoid 
warmer months. Particular care should be used in primary vac- 
cinations beyond the age of infancy. 
Regulations: 
Syphilis 
(See further laws arid regulations noted under section of Division of 
Social Hygiene Laws and Regulations.) 
PLACARD. None, provided regulations are observed. Violations 
shall be placarded. 
ISOLATION of non-cooperative patients at least until surface lesions 
have healed. Sexual intercourse shall be warned against and so 
far as possible prevented until declared to be free from infection 
by the physician responsible for treatment of the patient. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. None. 82 
COLORADO STATE BOARD OF HEALTH 
Information: 
RECOGNITION OF THE DISEASE. A disease acquired by intimate 
personal contact or by transmission in utero, running a chronic 
course with local and constitutional manifestations, usually in a 
definite sequence although of infinite variety. Confirmation of 
diagnosis is practicable and should be established in every in- 
stance by finding the spirochete in the lesions or discharges or 
by positive serological findings. 
ETIOLOGICAL AGENT. Treponema pallidum (Spirochaeta pallida). 
SOURCE OF INFECTION. Discharges from lesions of the skin and 
mucous membranes, the blood of infected persons, and articles 
freshly soiled with such discharges or blood in which the Trepo- 
nema pallidum is present. 
MODE OF TRANSMISSION. By direct personal contact with infected 
persons and indirectly by contact with recent discharges from 
lesions or with the blood of such persons, by sexual intercourse 
chiefly, by kissing, by dental or other surgical or technical acci- 
dents, congenitally from syphilitic mothers through the placenta. 
INCUBATION PERIOD. About 3 weeks, minimum 10 days, occasion- 
ally 6 weeks. 
PERIOD OF COMMUNICABILITY. As long as lesions are open upon 
the mucous membranes or but practically limited to the first 
2 years. 
Recommendations: 
Each case, particularly those cases of presumably recent origin, as 
the congenital form in infants, the first- and second-stage cases of 
the acquired disease, should he traced to the probable source of 
infection, appropriate control and treatment of this spreader of 
disease instituted, and further exposed contacts examined for 
unsuspected or unreported cases. 
Provisions for accurate and early diagnosis and careful treatment of 
infected persons, with due consideration for privacy of record 
consistent with effective control of the patient, search for source 
of infection, and provisions for following cases until cured, with 
special attention to prompt detection of infected persons and 
their treatment to prevent open lesions during the first 2 years 
following their initial infection. 
Treatment should be started early and should be continuous for from 
18 months to 2 years. It is recommended that the “Scheme for 
Treatment of Early Syphilis,” as outlined in the “Standard Treat- 
ment Procedure in Early Syphilis,” published by the U. S. Public 
Health Service, be followed. These pamphlets may be obtained 
from the State Board of Health, Denver, Colorado. 
Blood tests as well as clinical examinations for syphilis should be part 
of the routine prenatal supervision of the expectant mother, and if 
she is found to be infected, should be begun if possible before the LAWS, RULES AND REGULATIONS 
83 
fifth month of pregnancy. If treatment is started before the fifth 
month of pregnancy a normal baby can be expected in 90% of 
the cases. 
Routine blood tests on all patients will discover many unsuspected 
cases. 
Education of the public in matters of sexual hygiene. 
Repression of commercial prostitution. 
Personal prophylaxis should be advised to those who expose them- 
selves to infection. 
Regulations: 
Tetanus 
Report only. 
Information: 
RECOGNITION OF THE DISEASE. An acute infectious disease 
caused by the toxin of the tetanus bacillus; characterized by 
painful muscular contractions, first and principally of the mas- 
seter and neck muscles, and secondly those of the trunk; rarely 
the rigidity is confined to the region of the injury. A history 
and usually physical evidence of a wound of entry for infection is 
found. Bacteriological examination and mouse inoculation may 
be useful in confirmation of diagnosis. 
ETIOLOGICAL AGENT. Tetanus bacillus, Clostridium tetani. 
SOURCE OF INFECTION. Animal manure, human, flies, soil, and 
street dust. 
MODE OF TRANSMISSION. Wound infection.. 
INCUBATION PERIOD. Commonly 4 days to 3 weeks, dependent 
somewhat upon the character, extent, and location of the wound. 
Longer periods of incubation have been noted. Subsequent oper- 
ative interference or local tissue changes may initiate the activity 
of quiescent bacilli, at even lengthy intervals after original wound 
infection. 
PERIOD OF COMMUNICABILITY. Patient not infectious, except in 
rare instances where wound discharges are infectious. 
IMMUNIZATION. Ordinarily a subcutaneous injection of tetanus an- 
titoxin (1,500 units) given on the day of the wound. A second 
injection within 10 days may be desirable in certain instances. 
Artificial passive immunity for about 10 days’ duration can be 
relied upon. Active immunity by tetanus toxoid. 
Recommendations: 
Prophylactic use of tetanus antitoxin where wounds have been ac- 
quired in regions where tetanus is prevalent, and in all cases 
where contaminated material may be embedded in the wound. 
Removal of all foreign matter as early as possible from all wounds. COLORADO STATE BOARD OF HEALTH 
Regulations 
T rachoma 
PLACARD. None. 
ISOLATION. Exclusion of patient from school classes. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges and articles soiled 
therewith. 
TERMINAL DISINFECTION. None. 
I nformation: 
RECOGNITION OF THE DISEASE. A specific destructive chronic 
inflammation of the conjunctiva, characterized by formation of 
granulations, either papillary or follicular, leading ultimately to 
formation of scar tissue and deformity of the eyelids. Micro- 
scopic examination of the conjunctival discharges and scrapings 
cannot he relied upon as an aid to diagnosis, but may exclude 
other infections, 
ETIOLOGICAL AGENT. Undetermined. 
SOURCE OF INFECTION. Secretions and purulent discharges from 
the conjunctiva and adnexed mucous membranes of infected per- 
sons. 
MODE OF TRANSMISSION. By direct contact with infected persons; 
indirectly by contact with articles freshly soiled therewith. 
INCUBATION PERIOD. Undetermined. 
PERIOD OP COMMUNICABILITY. During persistence of lesions of 
the conjunctiva and adnexed mucous membranes or of discharges 
from such lesions. 
IMMUNIZATION. None. 
Recommendations: 
Search for cases by examination of school children or immigrants, and 
among families and associates of recognized cases. 
Elimination of common towels and toilet articles from public places. 
Routine examinations of eyes of children admitted to institutions or 
camps where the disease is prevalent. 
Regulations: 
T richinosis 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Sanitary disposal of the feces of 
the patient. 
TERMINAL DISINFECTION. None. 85 
LAWS, RULES AND REGULATIONS 
Information: 
RECOGNITION OF THE DISEASE. In human beings confined to 
persons who have eaten raw or insufficiently cooked pork and 
pork products, or occasionally bear meat, containing viable 
trichinae. Characterized by onset of variable intensity accord- 
ind to the amount of infected meat eaten and the abundance of 
trichinae in the meat. Nausea, vomiting, or diarrhea may be 
present. Muscle soreness or pain, edema of face and eyelids, 
laryngitis, subcutaneous hemorrhages, cough, pain in the chest, 
difficulty in swallowing, and labored breathing may occur, even 
pneumonia or involvement of the central nervous system in some 
cases. An intermittent fever is usual. Eosinophilia is usually 
marked. It may occasionally be absent in overwhelming infec- 
tions and in individuals sufferinig from concomitant bacterial or 
virus infections. The symptoms are extremely variable. Intra- 
dermal and precipitin tests should be employed as aids in diag- 
nosis. Direct microscopic examination of a biopsied sample of 
deltoid or gastrocnemius muscle, pressed, or digested in artificial 
gastric juice, may detect larvae after the 21st day of infection. 
Occasionally, larvae may be found in the blood or spinal fluid. 
ETIOLOGICAL AGENT. Trichinella spiralis. 
SOURCE OF INFECTION. Uncooked or insufficiently cooked pork or 
pork products, rarely meat of other animals. 
MODE OF TRANSMISSION. Direct from meat to man through con- 
sumption of raw or undercooked infected pork or pork products. 
INCUBATION PERIOD. Variable; usually about 1 week. 
PERIOD OF COMMUNICABILITY. Disease is not transmitted by 
human host to man. 
IMMUNIZATION. None. 
Recommendations: 
Inspection of slaughtered hogs rarely discovers the disease unless 
muscles are heavily infected. This should not be relied on. 
Thorough cooking of all pork and pork products at a temperature of 
160 degrees F. or over. 
Refrigeration of pork at 5 degrees F. for 20 days. 
Extermination of rats, especially around meat shops, slaughter houses, 
and pig pens. 
Cooking swill and offal which is to be fed to hogs. 
Regulations: 
Tuberculosis (Pulmonary) 
PLACARD. None. 
ISOLATION of such “open” infectious cases that do not observe pre- 
cautions necessary to prevent spread of the disease. 
QUARANTINE. None. 86 
COLORADO STATE BOARD OF HEALTH 
CONCURRENT DISINFECTION of sputum and articles soiled there- 
with. Particular attention shall be paid to sputum, handkerchiefs, 
cloths, soiled papers, eating utensils and all other articles soiled 
by the patient. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE: 
A. Primary or first infection type: Characterized by hilum gland 
enlargement or discrete parenchymal shadows in chest X ray, 
usually with positive tuberculin test, sometimes accompanied by 
vague constitutional symptoms and rarely by erythema nodosum, 
all of which regress spontaneously except in occasional cases 
which develop meningitis or other progressive tuberculous dis- 
ease. Recognition by history of contact and X-ray findings and 
confirmed by staining, culture, and animal inoculation of stomach 
washings. 
B. Adult or reinfection type: Characterized by insidious onset with 
parenchymal pulmonary infiltration, usually in the upper lobes, 
recognizable by chest X-ray for a variable period of time before 
constitutional symptoms or physical signs appear. Pleurisy with 
effusion and unexplained hemoptysis are almost specific first 
symptoms: cough, fever, fatigue, and weight loss accompany 
advanced disease, which is recognizable by X-ray and by physical 
signs of dullness and rales, and confirmed by staining, culture, 
and animal inoculation of sputum, or of stomach washings where 
sputum is absent or negative. Tuberculin test usually positive. 
Failure to find organisms on microscopic examination of sputum 
does not rule out tuberculosis: repeated examinations of con- 
centrated sputum and of stomach washings by culture and animal 
inoculation will eventually demonstrate tubercle bacilli in the 
majority of active cases. 
ETIOLOGICAL AGENT. Tubercle bacillus (human) Mycobacterium 
tuberculosis (hominis). Tubercle bacilli of bovine type have been 
isolated from pulmonary lesions in man. 
SOURCE OF INFECTION. The discharges or articles freshly soiled 
therewith, from any open tuberculous lesions, the most important 
discharge being sputum. Of less importance are discharges from 
intestinal and genito-urinary tracts, or from lesions of lymph- 
nodes, bone, and skin. 
MODE OF TRANSMISSION. Usually through discharges of the res- 
spiratory tract, by direct or indirect contact with infected persons, 
by means of coughing, sneezing, or other droplet infection, by 
kissing, by contamination due to flies and dust. Infection rarely 
occurs from casual contact, but usually results from the continued 
type of exposure characteristic of family relationships. 
INCUBATION PERIOD. Variable and dependent on dosage and type 
of disease. LAWS, RULES AND REGULATIONS 
87 
PERIOD OF COMMUNICABILITY. As long as the specific micro- 
organism is eliminated by the host." Commences when a lesion 
becomes an open one, i. e., discharging tubercle bacilli, and con- 
tinues until it heals. The degree of communicability varies with 
the number and virulence of the bacilli discharged, the frequency 
of exposure, and susceptibility of person exposed. 
IMMUNIZATION. None. 
Recommendations: 
Investigation of source of infection. In spite of the length and uncer- 
tainty of the incubation period and the numerous possible sources 
of infection, a systematic effort should be made to discover the 
probable source in each case and to identify other cases of the 
same origin, by appropriate tuberculin tests of family and other 
contacts and X-rays of positive reactors. 
Education of the public in regard to the danger of tuberculosis, the 
mode of spread and methods of control, with especial stress upon 
the danger of exposure and infection in early childhood. 
Provision of clinics and Public Health nursing service for follow-up 
of early cases and supervision of homes. 
Provision of adequate sanitorium facilities for isolation and treatment 
of active cases. Two beds per annual tuberculosis death in the 
community is an adequate ratio. 
Improvement of housing conditions and nutrition of the poor. 
Elimination of silica dust in certain industries. 
Improvement of habits of personal hygiene and better living condi- 
tions among the underprivileged. 
Separation of babies from tuberculous mothers at birth. 
Pasteurization of milk supplies. 
Eradication of tuberculosis in cattle. 
Regulations: 
Tuberculosis (Other than Pulmonary) 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges and articles freshly 
soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. By local manifestations, by con- 
stitutional reactions, by specific reactions, and by identification 
of the tubercle bacillus in the lesions or their discharges through 
microscopic examination, culture, or animal inoculation. 
ETIOLOGICAL AGENT. Tubercle bacillus (Human and bovine). COLORADO STATE BOARD OF HEALTH 
88 
SOURCE OF INFECTION. Discharges from mouth, nose, bowels and 
genito-urinary tract of infected human begins; the discharging 
lesions of bones, joints, and lymph glands; articles freshly soiled 
with such discharges, milk from tuberculous cattle. 
MODE OF TRANSMISSION. Direct contact with infected persons, 
contaminated food, and possibly by articles freshly soiled with 
discharges of infected persons. 
INCUBATION PERIOD. Unknown. 
PERIOD OF COMMUNICABILITY. Until discharging lesions are 
healed. 
IMMUNIZATION. None. 
Recommendations: 
Search for source of infection. 
Pasteurization of milk and inspection of meats. 
Eradication of tuberculosis in dairy cattle. 
Patients with open lesions should be prohibited from handling foods 
T ularemia 
Regulations: 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of discharges from the ulcer, lymph 
glands, or conjunctival sac. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. Whether the disease is acquired 
by the bite of the blood-sucking horse fly or the wood tick or 
from an infected abrasion or skin trauma or infected conjunctiva, 
or by ingestion of insufficiently cooked meat of infected rabbits, 
the onset is sudden, with pains and fever, and the patient is 
usually prostrated and confined to bed. If the disease follows a 
, bite or a conjunctival infection or an infection through the skin, 
the lymph glands draining the area become swollen and tender 
and suppurate in about half the cases. The fever is of 3 to 4 
weeks’ duration, and the convalescence slow. The clinical diag- 
nosis may be confirmed by animal inoculation, isolation of cul- 
tures, and agglutination reactions. Less reliable is the skin 
reaction. 
ETIOLOGICAL AGENT. Bacterium tularense (Pasteurella Tula- 
rensis). 
SOURCE OF INFECTION. Wild rabbits and hares, deer fly, wood 
tick (Dermacentor andersoni and Dermacentor variabilis), wood- 
chuck, coyote, muskrat, opossum, tree squirrel, quail, skunk, 
water-rat of Europe, cat, deer, dog, fox, hog, sage hen, and bull 
snqke. LAWS, RULES AND REGULATIONS 
89 
MODE OF TRANSMISSION. By bites of infected flies and infected 
animals, skinning, dressing or performing necropsies, or by fluids 
from infected flies, ticks, rabbits, etc. Ingestion of insufficiently 
cooked rabbit meat. Crushing infected insects between fingers. 
Rarely from bites of infected cats, dogs, coyotes, etc., where the 
meat of the animal is contaminated from eating infected rabbits. 
PERIOD OF INCUBATION. From 24 hours to 10 days. 
PERIOD OF COMMUNICABILITY. There is no authentic record of 
transfer of the disease from man to man. 
IMMUNIZATION. None. 
Recommendations: 
Avoidance of the bites of, or handling of, flies and ticks when working 
in infected zones during seasonal incidence of blood-sucking flies 
and ticks. 
Use of rubber gloves by persons engaged in dressing wild rabbits or 
when performing necropsies on infected laboratory animals. 
Avoid injuries due to jagged bones. 
Thorough cooking of meat of wild rabbits. 
Regulations: 
Typhoid Fever Group 
PLACARD. Yes. 
ISOLATION. In fly-proof room, preferably under hospital conditions 
of such cases as cannot command adequate sanitary environment 
and nursing care in the home. Release from isolation should be 
determined by three successive negative cultures of stool and 
urine specimens not less than 24 hours apart. 
QUARANTINE. None except for Special Food Handlers—Reg. No. 
3, page 4. 
CONCURRENT DISINFECTION of all bowel and urinary discharges 
and articles soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
HANDLERS OF FOODS OR FOOD PRODUCTS. See Regulation No. 
3, page 4. 
Information: 
RECOGNITION OF THE DISEASE. A general infection with the 
typhoid bacillus, characterized by a continued fever, and by in- 
volvement of the lymphoid tissues especially with enlargement 
and often ulceration of Peyer’s patches, enlargement of the 
spleen, usually rose spots on the trunk, diarrheal disturbance, 
and a variety of severe constitutional disturbances accompanying 
parenchymatous involvement of various viscera. The infecting 
micro organism can be found in the blood, the feces, and the 
urine. COLORADO STATE BOARD OF HEALTH 
ETIOLOGICAL AGENT. Typhoid Fever; Typhoid bacillus (Eber- 
thella typhi. Para-typhoid Fever; bacillus paratyphosus A, B and 
C; Salmonella para-typhi; Salmonelli schottmulleri). 
SOURCE OF INFECTION. Bowel discharges and urine of infected 
individuals. Healthy carriers are common. 
MODE OF TRANSMISSION, Conveyance of the specific micro-organ- 
isms by direct or indirect contact with a source of infection. 
Among indirect means are contaminated water, milk, food and pos- 
sibly flies. Contaminated hands probably play the greatest role 
in conveying the germ to foods, milk, etc. 
INCUBATION PERIOD. Three to 38 days, usually 7 to 14 days. 
PERIOD OF COMMUNICABILITY. From the appearance of prodro- 
mal symptoms, throughout the illness and relapses during con- 
valescence, and until repeated bacteriological examinations of the 
discharges show continuous absence of the infecting organisms. 
IMMUNIZATION of susceptibles in the family or household of the 
patient who have been exposed or who may be exposed during 
the course of the disease. 
Recommendations: 
Careful epidemiological search for the cause of all cases. 
Protection and purification of public water supplies. 
Pasteurization of public milk supplies. 
Sanitary disposal of human excreta. 
Supervision of food supplies and food handlers. 
Prevention of fly breeding. 
Extension of immunization by vaccination to persons subject to un- 
usual exposure by reason of occupation or travel, to those living 
in areas of high endemic incidence of typhoid fever and to military 
forces, camps, and institutional populations. 
Exclusion of suspected milk supplies on epidemiological evidence 
pending discovery and elimination of the cause of contamination 
of the milk. 
Exclusion of suspected water supply, until adequate protection or 
purification is provided unless all water used for toilet, cooking 
and drinking is boiled before use. 
Education of the general public and particularly of food handlers, con- 
cerning sources of infection, and modes of transmission of the 
disease. 
Regulations: 
Typhoid Carriers 
DEFINITIONS. An incubatory Typhoid Carrier is one who excretes 
typhoid organisms previous to the onset of typhoid fever. 
A Contact Typhoid Carrier is one who excretes typhoid organisms 
without having clinically recognizable typhoid fever and whose LAWS, RULES AND REGULATIONS 
91 
history indicates that exposure occurred less than one year pre- 
vious to the date of discovery. 
A Convalescent Typhoid Carrier is one who excretes typhoid organ- 
isms during the period from the date of becoming afebrile to one 
year from the date of onset. 
A Chronic Typhoid Carrier is one who continues to excrete typhoid 
organisms for more than one year after the onset of typhoid fever 
or for more than one year after a non-clinical infection. 
CHANGE OF ADDRESS. A typhoid carrier shall not make a change 
of residence without notifying the Colorado State Board of Health 
and the local health officer at least five days previous to making 
such change. No visit shall be made to another state or county 
unless the Colorado State Board of Health has been notified as to 
the itinerary and destination. 
SUBMISSION OF SPECIMENS. Typhoid carriers and carrier sus- 
pects shall submit for examination such specimens as may be re- 
quired by the Colorado State Board of Health. 
AUTHENTICITY AND ACCEPTABILITY OF SPECIMENS. The 
Colorado State Board of Health may take such steps as may be 
necessary to assure themselves of the authenticity of specimens. 
CARRIER RELEASE. A chronic typhoid carrier shall be uncondi- 
tionally released one year following a date fixed by the Colorado 
State Board of Health if twelve consecutive fecal specimens sub- 
mitted at approximately monthly intervals and two consecutive 
bile specimens are negative. 
A typhoid carrier may submit specimens at any time for the purpose 
of obtaining unconditional release. 
Upon fulfilling the requirements, the former carrier shall receive a 
statement of his unconditional release from the Colorado State 
Board of Health. 
Two months following cholecystectomy a typhoid carrier may be per- 
mitted to handle food for public consumption, provided six con- 
secutive fecal specimens obtained at intervals of not less than 24 
hours and one bile specimen are negative, and provided that the 
typhoid carrier continues to submit specimens to obtain final 
release. 
OCCUPATIONAL RESTRICTIONS. Typhoid carriers shall not han 
die for public consumption milk, cream, cheese, ice cream and 
other dairy products, or fruits and vegetables unless such fruits 
and vegetables are commonly cooked before being eaten. 
No typhoid carrier shall reside on premises where milk or milk prod- 
ucts are being handled for public consumption unless such milk 
or milk products are delivered to a condensary or evaporating 
plant under circumstances satisfactory to the condensary or evap- 
orating plant and to the Colorado State Board of Health. 92 
COLORADO STATE BOARD OF HEALTH 
No typhoid carriei* shall work in any capacity in a restaurant or other 
establishment in which food is sold unless in the opinion of the 
Colorado State Board of Health the possibility of infecting others 
is remote. 
EXCRETA DISPOSAL,. The excreta of a typhoid carrier shall be 
disposed of in a manner satisfactory to the Colorado State Board 
of Health. 
CARE OF CLOTHING. No typhoid carrier shall send personal cloth- 
ing or bed linen to a public laundry unless such is first disinfected 
in a manner satisfactory to the Colorado State Board of Health. 
COOPERATION BETWEEN CARRIER AND LOCAL AND STATE 
HEALTH OFFICIALS. The premises of any typhoid carrier, or 
of any person suspected of being a typhoid carrier, may be pla- 
carded if such person refuses to comply with the rules and regu- 
lations of the Colorado State Board of Health. 
DISPOSITION OF SUSPECTED CARRIERS. In addition to those 
persons reported as typhoid suspects, the Colorado State Board of 
Health shall, in the absence of more definite information, consider 
as a case or carrier suspect any person from whom a positive 
Widal, blood, feces, urine, bile, saliva, pus or transudate has been 
obtained. Disposition of such cases shall be made as follows: 
POSITIVE WIDAL. A statement shall be obtained from the at- 
tending physician or local health officer that the suspect has 
typhoid fever, may have typhoid fever, or definitely does not 
have typhoid fever. If the attending physician is unwilling 
to make a definite diagnosis, it shall be the duty of the lock! 
health officer or a representative of the Colorado State Board 
of Health to determine the most probable diagnosis based 
upon clinical, epidemiologic, and bacteriological evidence. 
POSITIVE BLOOD CULTURE. A positive blood culture shall be 
considered prima facie evidence that the suspect has typhoid 
fever. 
POSITIVE FECES, URINE, OR BILE. A positive feces, urine, or 
bile shall be considered prima facie evidence that the suspect 
is a case or a carrier. In the absence of a case report, the 
Colorado State Board of Health and the local health officer 
shall require such specimens as will determine the status of 
the person. 
ISOLATION AND RELEASE OF CASES AND CONVALESCENT 
CARRIERS. Cases not professional food handlers shall be iso- 
lated until afebrile for 48 hours and thereafter until three consec- 
utive fecal specimens obtained from bowel movements not less 
than 24 hours apart have been found negative in an approved 
laboratory: or until one satisfactory bile specimen has been found 
negative in an approved laboratory. 
The local health officer shall report the date of the case becoming 
afebrile to the Colorado State Board of Health. LAWS, RULES AND REGULATIONS 
93 
If more than three months have elapsed since the date of onset, a 
case or convalescent carrier may be released if one satisfactory 
bile specimen is negative or if consecutive fecal specimens are 
negative in the ratio of one for each month elapsed since the date 
of onset. 
Professional food handlers shall be released as above except that four 
consecutive negative feces specimens shall be considered minimal 
for release. 
Hospitalized cases may be released in the same manner as cases and 
convalescent carriers isolated at home. Hospitalized cases may 
be discharged to continue isolation at home, provided hospital 
authorities notify the local health officer and the Colorado State 
Board of Health previous to discharge and furnish bacteriologic 
reports up to the time of discharge. 
Convalescent carriers who remain positive two weeks after becoming 
ambulatory may be conditionally released to live under the re 
strictions for chronic typhoid carriers, provided consent is ob- 
tained from the local health officer or from the Colorado State 
Board of Health. 
Typhus Fever 
Regulations: 
PLACARD. Yes. 
ISOLATION. In a vermin-free room. 
QUARANTINE. In the presence of lice, exposed susceptibles shall 
be quarantined for 14 days after last exposure. 
CONCURRENT DISINFECTION. Destroy all lice and louse eggs on 
the clothing or in the hair of the patient. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. Whether in the classical and 
severe epidemic form of the louse-transmitted disease or in the 
mild flea-borne and sporadic type, the onset is variable, often 
being sudden and marked by headache, chills, fever, and general 
pains, and a macular eruption on the fifth or sixth day, toxemia, 
and a quite definite course terminating in rapid lysis after about 
two weeks of fever. A positive Weil-Felix reaction is valuable 
as confirmation of the diagnosis. 
ETIOLOGICAL AGENT. Rickettsia Prowazeki. 
SOURCE OF INFECTION. The blood of infected persons or infected 
rats. 
MODE OF TRANSMISSION. The infectious agent is transmitted 
from man to man by lice (Pediculus Corporis) and from rat to rat 
or man by fleas (Xenopsylla Cheopis). 
INCUBATION PERIOD. From 5 to 20 days. Most often 12 days. COLORADO STATE BOARD OF HEALTH 
PERIOD OF COMMUNICABILITY. In the presence of lice, highly 
communicable until 36 hours have elapsed after the temperature 
reaches normal. 
IMMUNIZATION. Methods not yet available for general application. 
Recommendations: 
Elimination of rats. 
Delousing of persons, clothing and premises. 
Undulant Fever (Brucellosis) 
Regulations: 
PLACARD. None. 
ISOLATION. None. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Unnecessary in presence of ordi- 
nary sanitary precautions. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. A general infection with gradual 
or insidious onset and characterized by irregular fever of uncer- 
tain but often prolonged duration, profuse sweating, chills (or 
chilliness), pain in joints and muscles. Agglutination test and 
identification of the infecting micro-organism in the blood, tis- 
sues, or discharges of the patient are valuable aids in diagnosis. 
A mild, obscure form of the disease, diagnosed only with diffi- 
culty, may last for years. 
ETIOLOGICAL AGENT. Brucella melitensis, Brucella abortus, Bru- 
cella suis. 
SOURCE OF INFECTION, The tissues, blood, milk and urine of 
infected animals, especially goats, cattle and swine. 
MODE OF TRANSMISSION, Drinking milk from infected animals 
and by direct contact with infected animals or animal products. 
INCUBATION PERIOD. Six to 30 days or more. 
PERIOD OF COMMUNICABILITY. Practically not communicable 
from person to pej’son. 
IMMUNIZATION. None. 
Recommendations 
Pasteurization of milk whether from goats or cows. 
Search for infection among livestock hy agglutination reaction and 
elimination of infected animals from the herd by segregation or 
slaughter. LAWS, RULES AND REGULATIONS 
95 
Regulations: 
Vincent’s Infection (Angina, Stomatitis) 
PLACARD. None. 
ISOLATION. Exclusion from school or common eating facilities 
unless under active treatment. 
QUARANTINE. None. 
CONCURRENT DISINFECTION of all discharges from mouth and 
nose. 
TERMINAL DISINFECTION. None. 
Information: 
RECOGNITION OF THE DISEASE. Lesions occurring on either the 
tonsils or pharynx (angina), or the oral mucosa (stomatitis) are 
characterized by necrosis, pseudomembranous formation, saliva- 
tion, and a fetid odor. In Angina and the more acute forms of 
stomatitis there is marked pain on swallowing, enlarged tender 
cervidal nodes, and slight fever. Acute type of Vincents infection 
is characterized by a rapid onset. The affected gums become 
acutely inflamed, the interdental papillae edmatous with a soft, 
slick appearance, bleeding easily and exquisitely painful. Ne- 
crosis of the interdental papillae occurs with subsequent devel- 
opment of characteristic grayish-white pseudomembrane which 
is easily removed, leaving a raw, profusely bleeding surface. 
Ulcerations may coalesce and progress to adjoining alveolar, 
palatal, and buccal mucosa, spread toward the buccal sulcus 
being the more common. A distinctive mixed bacterial flora 
including spirochetes, fusiform bacilli, and other organisms char- 
acterize this group of diseases. Differential diagnosis should 
exclude: suppurative periodontitis, diphtheria, mucous patches 
of syphilis, agranulocytic angina, scurvy, and sprue. 
ETIOLOGICAL AGENT. Bacillus Fusiformis. 
SOURCE OF INFECTION. Discharges from lesions of infected per- 
sons or carriers. 
MODE OF TRANSMISSION. Direct contact with infected persons or 
carriers and probably by articles freshly soiled therewith. 
INCUBATION PERIOD. Variable and undetermined. 
PERIOD OF COMMUNICABILITY. As long as the infecting organ- 
ism is found in the mouth. 
IMMUNIZATION. None. 
Recommendations: 
Encouragement of oral hygiene; correction of abnormal or diseased 
conditions of teeth. 
Facilities for preventive oral treatment of children. 
Sterilization of eating and drinking utensils, especially in public 
places. 96 
COLORADO STATE BOARD OF HEALTH 
Regulations: 
Whooping Cough 
PLACARD. None. 
ISOLATION. Separation of the patient from susceptible children and 
exclusion from school and public places for three weeks from the 
beginning of spasmodic cough or longer if deemed necessary by 
the health officer. 
QUARANTINE. Limited to exclusion of non-immune children from 
school and public gatherings for 10 days from the date of last 
exposure. Immune children may be released by the health officer 
to attend school. No limitation of adults. 
CONCURRENT DISINFECTION of discharges of nose and throat of 
the patient and articles soiled therewith. 
TERMINAL DISINFECTION. Thorough cleaning. 
Information: 
RECOGNITION OF THE DISEASE. An acute infection involving 
the trachea and bronchi and characterized by a typical cough 
usually lasting from 1 to 2 months. The initial catarrh usually 
has an insidious onset manifested by an irritating cough. The 
cough gradually becomes paroxysmal, usually within 1 to 2 
weeks. The paroxysms are characterized by a repeated series 
of violent coughs, each series consisting of many coughs without 
intervening inhalation and often followed by the characteristic 
sonorous, inspiratory whoop. Paroxysms frequently end with 
vomiting of clear, tenacious mucus. The etiological agent has 
been recovered by use of special culture plates exposed before 
the patient’s mouth during a cough in the catarrhal and early 
paroxysmal stage of the disease. A definite lymphocytosis is 
usually present. 
ETIOLOGICAL AGENT. Hemophilus pertussis. 
SOURCE OF INFECTION. Discharges from the laryngeal and bron- 
chial mucous membranes of infected persons. 
MODE OF TRANSMISSION. Contact with an infected person or with 
articles freshly soiled therewith. 
INCUBATION PERIOD. Seven to 10 days and not exceeding 16 days. 
PERIOD OF COMMUNICABILITY. Particularly communicable in the 
early catarrhal stage before the characteristic whoop makes a 
clinical diagnosis possible. The catarrhal stage occupies from 7 
to 14 days. After the characteristic whoop has appeared, the 
communicable period continues certainly for three weeks. Even 
if the spasmodic cough with whoop persists longer than this it is 
most unlikely that the infecting organism can be isolated from 
the discharges. The communicable stage must be considered to 
extend from 7 days after exposure to 3 weeks after the develop- 
ment of the characteristic whoop. 
IMMUNIZATION, Use of prophylactic vaccination is recommended 
by some observers, but is still considered to be of doubtful value. LAWS, RULES AND REGULATIONS 
Recommendations: 
Education as to the dangerous nature of this disease, especially in the 
younger age groups under 3 years of age. 
Regulations: 
Yellow Fever 
PLACARD. Yes. 
ISOLATION from mosquitoes in a thoroughly screened room. Isola- 
tion necessary only for first 4 days of the fever. 
QUARANTINE. None. 
CONCURRENT DISINFECTION. Destruction of mosquitoes. 
TERMINAL DISINFECTION. None except destruction of mosquitoes 
by gaseous fumigation. 
Information: 
RECOGNITION OF THE DISEASE. Clinical diagnosis usually rests 
upon sudden onset, fever, prostration, slow pulse in relation to 
body temperature, severe headache and backache, congestion of 
mucous membranes, bleeding gums, black vomit-in severe cases, 
and late jaundice, with brief duration of illness. Pronounced 
albuminuria and leukopenia are characteristic. A history of 
possible bites of infected mosquitoes is corroborative but absence 
of such or even failure to find Aedes aegypti mosquitoes in the 
vicinity does not necessarily exclude the diagnosis. Almost 
symptomless and certainly unrecognizable cases of this infection 
occur among Negro races in Africa, and among very young chil- 
dren in tropical America. 
ETIOLOGICAL AGENT. A specific filterable virus. 
SOURCE OF INFECTION. Blood of infected persons. 
MODE OP TRANSMISSION. Bite of Aides Egypti mosquitoes. 
INCUBATION PERIOD. Three to 6 days. 
PERIOD OF COMMUNICABILITY. First 3 days of fever. 
IMMUNIZATION. Modified living virus and human immune serum. 
Recommendations: 
Mosquito eradication COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
TUBERCULOSIS CONTROL 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
TUBERCULOSIS CONTROL 
LAWS 
(Laws Pertaining to Tuberculosis, from Chapter 78, Health—Colorado 
Statutes Annotated, 1935) 
Section 
42. Warrant to remove contagious disease. 
171. Tuberculosis reported to health officer. 
172. Report blanks—Diagnosis—Open cases. 
173. Examination of sputum. 
174. Register of reports and examinations. 
175. Disinfection of apartments vacated by tubercular. 
176. Same—Expense. 
177. Failure to disinfect—Premises placarded. 
178. Tubercular nuisance—Complaint—Abatement—Failure—Penalty. 
179. Physician to provide for safety of other inmates. 
180. Circular of precautionary information. 
181. Failure to report—False statement—Penalty. 
182. Report of recovery of patient. 
183. Violation of subdivision—Penalty. 
184. Jurisdiction—Justice of the peace and police magistrate. 
TUBERCULOSIS 
Sec. 42. Warrant to remove contagious disease. Any justice of the 
peace may make out a warrant under his hand, directed to any sheriff 
or any constable of the county in and for which he is justice of the peace 
requiring him, under the direction of the board of health, to remove any 
person infected with contagious sickness, or take possession of convenient 
houses and lodging and provide nurses, attendants and other necessaries 
for the accommodation, safety and relief of the sick. (L. ’93, p. 381, sec. 
17; R. S. ’08, sec. 5046; C. L., sec. 907.) 
Sec. 171. Tuberculosis reported to health officer. For the purposes 
of this subdivision, tuberculosis is hereby declared to be an infectious and 
communicable disease. Every attending physician or person practicing 
as a physician in the State of Colorado shall report in writing on a form 
to be furnished as hereinafter provided, the name, nativity, age, sex, color, 
occupation, place where last employed, if known, and address of every 
person known by said physician or person practicing as a physician to 
have tuberculosis, to the health officer of the county, town, village or city 
in which said person resides, within twenty-four hours after such fact 
comes to the knowledge of said physician or person practicing as a physi- 102 
COLORADO STATE BOARD OF HEALTH 
cian. The chief officer having charge for the time being of any hospital, 
dispensary, asylum or other similar private or public institution in said 
State of Colorado shall report in like manner the name, nativity, age, sex, 
color, occupation, place where last employed, if known, and previous ad- 
dress of every patient having tuberculosis who comes into his care or 
under his observation, within twenty-four hours thereafter. The chief 
officer in charge of a regular incorporated sanatorium or other institution 
solely for the care of persons having tuberculosis shall make the report 
required in this section. (L. ’13, p. 457, sec. 1; C. L., sec. 1084.) 
Sec. 172. Report blanks—Diagnosis—Open cases. Such report shall 
be upon a blank form to be furnished by the State Board of Healtn, and 
such blank in addition to the name, color, age, sex, nativity, occupation, 
place where last employed and present address, as stated above, shall give 
also the evidence upon which the diagnosis of tuberculosis has been made, 
the part of the body affected and the stage of the disease. All cases in 
which the sputum, urine, feces, pus, or any other bodily discharge, secre- 
tion or excretion shall contain the tubercle baccilus shall be regarded as 
open cases of tuberculosis, and the rules given herein providing for disin- 
fection of premises occupied by cases of tuberculosis shall apply only to 
such open cases. (L. ’13, p. 458, sec. 2; C. L., sec. 1085.) 
Sec. 173. Examination of sputum. Any health officer of a county, 
town, village or city, when so requested by any physician or person prac- 
ticing as a physician, or by authorities of any hospital or dispensary, shall 
make or cause to be made a microscopical examination of the sputum or 
other bodily excretion or discharge forwarded to him as that of a person 
having symptoms of tuberculosis, which shall be forwarded to such officer 
in a package supplied by the State Board of Health, accompanied by a 
blank giving name, nativity, age, sex, color, occupation, place where last 
employed, if known, and address of the person whose sputum it is. Said 
health officer shall promptly make a report of the result of such examina- 
tion free of charge to the physician or person upon whose application the 
same is made. Provided, that the examination provided for in this section 
shall be by the State Board of Health. (L. ’13, p. 458, sec. 3; C. L., sec. 
1086.) 
Sec. 174. Register of reports and examinations. Every health officer 
of a county, town, village, or city shall cause all reports made in accord- 
ance with the provisions of Section 171 of this chapter, and also all results 
of examinations showing the presence of the bacilli of tuberculosis made 
in accordance with the provisions of the last preceding section, to be re- 
corded in a register to be furnished by the State Board of Health, of which 
he shall be the custodian, and a copy of which he shall transmit quarterly 
to the State Board of Health. Such register shall not be open to inspec- 
tion by any person other than the health authorities of the state and of 
the said county, town, village or city, and said health authorities shall 
not permit any such report or record to be divulged so as to disclose the 
identity of the person to whom it relates, except as may be necessary to 
carry into effect the provisions of this subdivision. All blanks, vouchers. 1.AWS, RULES AND REGULATIONS 
103 
registers, and receptacles by this subdivision required, shall be furnished 
by the State Board of Health. (L. T3, p. 458, sec. 4; C. L„ sec. 1087.) 
Sec. 175. Disinfection of apartments vacated by tubercular. In case 
of the vacating of any apartment or premises by the death or removal 
therefrom of a person having open tuberculosis, the attending physician, 
or, if there be no such physician, or if such physician be absent, the owner, 
lessee, occupant or other person having charge of the said apartments or 
premises, if he knows or has been notified that such deceased person or 
persons who have been removed therefrom had open tuberculosis, shall 
notify the health officer of said county, town, village or city of said death 
or removal within twenty-four hours thereafter, and such apartments or 
premises so vacated shall not again be occupied until duly disinfected, 
cleaned or renovated by the local board of health, in accordance with the 
methods endorsed and recommended by the State Board of Health. (L. T3, 
p. 459, sec. 5; C. L., sec. 1088.) 
Sec. 176. Same—Expense. When notified of the vacating of any 
apartment or premises as provided in the last preceding section, the local 
health officer or one of his assistants or deputies shall within twenty-four 
hours thereafter visit said apartments or premises and shall order and 
direct that, except for purposes of cleansing or disinfection, no infected 
article shall be removed therefrom until properly and suitably cleansed or 
disinfected; and said health officer shall determine the manner in which 
such apartments or premises shall be disinfected, cleansed, or renovated 
in order that they may be rendered safe and suitable for occupancy. If 
the health authorities determine that disinfection is sufficient to render 
them safe and suitable for occupancy, such apartments or premises, to- 
gether with all infected articles therein, shall immediately be disinfected 
by the health authorities at public expense, or, if the owner prefers, at the 
owner’s expense to the satisfaction of the health authorities; provided, 
however, that in any locality which, in the judgment of the State Board of 
Health, may be considered a resort for persons having tuberculosis, such 
disinfection may, in the discretion of the health authorities, be done by 
such health authorities at the expense of the owner of the premises. 
Should the health authorities determine that such apartments or premises 
are in need of thorough cleansing and renovation, a notice in writing to 
that effect shall be served upon the owner or agent of said apartments 
or premises, and said owner or agent shall thereupon proceed to the 
cleansing or renovating of such apartments or premises in accordance 
with the instruction of the health authorities, and such cleansing and 
renovation shall be done at the expense of the said owner or agent. (L. 
T3, p. 459, sec. 6; C. L., sec. 1089.) 
Sec. 177. Failure to disinfect—Premises placarded. In case the or- 
ders or directions of the local health officer requiring the disinfection, 
cleansing or renovation of any apartments or premises or any articles 
therein as hereinbefore provided, shall not be complied with within sev- 
enty-two hours after such orders or directions shall be given, the health 
officer shall cause a placard in words and form substantially as follows to 
be placed upon the door of the infected apartments or premises: ‘‘Tuber- 104 
COLORADO STATE BOARD OF HEALTH 
culosis is a communicable disease. These apartments have been occupied 
by a consumptive and may be infected. They must not be occupied until 
the order of the health officer directing their disinfection or renovation 
has been complied with. This notice must not be removed under penalty 
of the law except by the health officer or other duly authorized official.” 
(L. T3, p. 460, sec. 7; C. L., sec. 1090.) 
Sec. 178. Tubercular nuisance — Complaint—Abatement—Failure — 
Penalty. Any person having tuberculosis who shall dispose of his sputum, 
saliva, or other bodily secretion or excretion so as to cause offense or 
danger to any person or persons occupying the same room or apartment, 
house, part of house or premises or adjoining premises, shall on complaint 
of any person or persons subjected to such offense or danger, be deemed 
guilty of committing a nuisance, and any person subjected to such a nui- 
sance may make complaint in person or writing to the health officer of 
any county, town, village or city where the nuisance complained of is 
committed. The local health officer receiving such complaint shall investi- 
gate, and if it appear that the nuisance complained of is such as to cause 
offense or danger to any person occupying the same room, apartment, 
house, or part of a house or premises, or adjoining premises, he shall serve 
notice upon the person so complained of, reciting the alleged cause of 
offense or danger and requiring him to dispose of his sputum, saliva, or 
other bodily secretion or excretion in such a manner as to remove all 
reasonable cause of offense or danger. Any person failing or refusing to 
comply with orders or regulations of local health officer of any county, 
town, village or city requiring him to cease to commit such nuisance shall 
be deemed guilty of a misdemeanor and, on conviction thereof shall be 
punished as hereinafter provided. (L. ’13, p. 460, sec. 8; C. L., sec. 1091.) 
Sec. 179. Physician to provide for safety of other inmates. A physi- 
cian attending a patient having tuberculosis shall take all proper precau- 
tions and give proper instructions to provide for the safety of all individ- 
uals occupying the same house or apartment, and, if no physician be at- 
tending such patient, this duty shall devolve upon the local health officer, 
and all duties imposed upon physicians by any section of this subdivision 
shall be performed by the local health officer in all cases of tuberculosis 
not attended by a physician. (L. T3, p. 461, sec, 9; C. L., sec. 1092.) 
Sec, 180. Circular of precautionary information. Every local health 
officer shall transmit to every physician or person practicing as a physi- 
cian, reporting any case of tuberculosis, or to the person reported as 
suffering from this disease, provided the latter has no attending physician, 
a circular of information provided by the State Board of Health. This 
circular of information shall inform the consumptive of the precautions 
necessary to avoid transmitting the disease to others. (L. ’13, p. 461, sec. 
10; C. L., sec. 1093.) 
Sec. 181. Failure to report—False statement—Penalty. Any physi- 
cian or person practicing as a physician who shall fail to report any case 
of tuberculosis, or any person who shall report as affected with tuberculo- 
sis any person who is not so affected, or who shall wilfully make any false IjAWS, rules and regulations 
105 
statement concerning the name, nativity, age, sex, color, occupation, place 
where last employed, if known, or address of any person reported as 
affected with tuberculosis, or who shall certify falsely as to any of the 
precautions taken to prevent the spread of infection, shall be deemed 
guilty of a misdemeanor, and, on conviction thereof, shall be subject to a 
fine of not more than one hundred dollars. (L. ’13, p. 461, sec. 11; C. L., 
sec. 1094.) 
Sec. 182. Report of recovery of patient. Upon the recovery of any 
person having tuberculosis the attending physician shall make report of 
this fact to the local health officer, who shall record the same in the rec- 
ords of his office and shall relieve said person from further liability or 
duty imposed by this subdivision. (L. T3, p. 461, sec. 12; C. L., sec. 1095.) 
Sec. 183. Violation of subdivision—Penalty. Any person violating 
any of the provisions of this subdivision shall be deemed guilty of a mis- 
demeanor and upon conviction thereof shall be punished by a fine of not 
less than five dollars nor more than one hundred dollars. (L. T3, p. 462, 
sec. 13; C. L., sec. 1096.) 
Sec. 184. Jurisdiction—Justice of the peace and police magistrate. 
Justices of the peace in their respective jurisdictions, and police magis- 
trates in cities and towns shall have jurisdiction of offenses under this 
subdivision. (L. ’13, p. 462. sec. 14; C. L., sec. 1097.) 
RECOMMENDATIONS OF THE DIVISION OF TUBERCULOSIS 
CONTROL 
(Adopted by the Colorado State Board of Health November 5, 1941) 
All persons who have been in close contact with an individual with 
tuberculosis should be examined for tuberculosis. This particularly ap- 
plies to members of the tuberculous individual’s immediate family and 
other close associates. The examination of these contacts should include 
a tuberculin test, and if this test is positive, the contact should also have 
an X-ray examination of the lungs. In those instances where the individ- 
ual cannot afford an examination, including X-ray, by a private physician, 
efforts should be made to secure the examination at the local medical or 
tuberculosis clinic or at one of the periodic tuberculosis clinics conducted 
by the Colorado State Division of Public Health in cooperation with the 
Colorado State Medical Society and the Colorado Tuberculosis Association. 
Practically all persons with active tuberculosis (any person with tu- 
bercle bacilli in his sputum is classified as active) should receive sana- 
torium treatment. Sanatorium treatment is necessary both for the bene- 
fit of the individual and for the protection of his family and members of 
his community. When a person is financially unable to secure sanatorium 
treatment, state aid should be sought by making application for hospital- 
ization to the local department of public welfare. 
When an individual with tuberculosis remains at home he should ob- 
serve all precautions necessary to prevent infection of members of his 
family and of others with whom he comes in contact. These precautions COLORADO STATE BOARD OF HEALTH 
include proper collection and disposal of the sputum, covering of the 
mouth with a paper napkin when coughing or sneezing, the use of separate 
dishes and eating utensils and proper sterilization of them after each 
use, and the sterilization of any articles of clothing or of toilet articles 
which may become contaminated by the sputum. The patient should sleep 
in a separate room and should keep away from children and young adults. 
For more detailed information regarding tuberculosis and the precautions 
which should be observed when the treatment of this disease is under- 
taken in the home, the State Division of Public Health has made available 
a pamphlet entitled “Tuberculosis of the Lungs — A Booklet for the 
Patient.” 
It is the policy of the State Division of Public Health to notify the 
public health nurse (and the patient’s family physician when known) of 
every reported case or death from tuberculosis that occurs in her district. 
It is the duty of the nurse, representing the board of health, to call on the 
private physician and discuss with him the advisability of visiting the 
home of these individuals and instructing the family of the infectious 
nature of tuberculosis, the necessity for examination of all members of 
the family for disease, and the precautions which should be taken to pre- 
vent further spread of tuberculosis. In all instances the family physician’s 
wishes regarding the amount of nursing supervision required by the pa- 
tient or his family should be strictly followed by the public health nurse. 
In instances where the family physician is not known, the nurse should 
call on the patient or his family and should ascertain the name of the 
family physician. Following this, she should consult with the family 
physician regarding future calls on the patient and follow the same pro- 
cedure outlined above. After a conference with the family physician, the 
nurse should aid the patient and his family in securing the necessary 
examinations by the private physician. When the family cannot afford 
an examination, including X-ray of the chest, by a private physician, she 
should help arrange for such examinations by a public agency. In in- 
stances where state aid in hospitalization is required, the nurse will also 
assist the patient is securing such aid. 
Following the first visit to a family, the nurse shall return periodically 
(at least every six months) to determine whether the patient and his 
family are satisfactorily carrying out her instructions or whether any 
new measures are needed to prevent spread of the disease. If the patient 
has moved to another town or state, the Colorado Division of Public Health 
should be notified. 
It is recommended that no person who has or who has had tubercle 
bacilli in his sputum should be allowed to engage in teaching, nursing, 
dairying, occupations involving food handling, or the care of children, until 
he has received a medical certificate, approved by the board of health, 
stating that his employment would not be dangerous to the public health. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
VENEREAL DISEASE CONTROL 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGUT. AT IONS 
109 
Division of Venereal Diseases 
LAWS 
STATE OF COLORADO 
LAWS PERTAINING TO VENEREAL DISEASE CONTROL FROM 
COLORADO STATUTES ANNOTATED 1935 
From Chapter 48 
Section 
220. Unlawful to advertise cures for sexual disease—Except. 
221. Same—Penalty—Agent. 
From Chapter 78 
102. Advertisement of substances to cure private diseases, prevent con- 
ception or procure abortion unlawful—Penalty. 
152. Women suffering with venereal diseases. 
153. State Board of Health to provide home and treatment. 
154. Women committed to home—May demand trial. 
155. Jurisdiction of courts—Jury. 
156. Duration of commitment. 
157. Records of patients kept—Not public. 
158. Conveyance to home. 
159. Voluntary admission. 
160. Matron and employes. 
161. Salaries. 
162. Vouchers for supplies. 
163. Venereal diseases declared dangerous to public health. 
164. Department of venereal diseases—Director—Assistance. 
165. Venereal cases must be reported to authorities—When name of 
patient to be reported. 
166. Medicine, etc., sold only on written prescription. 
167. Health officers to examine suspected cases—Quarantine—Treat- 
ment. 
168. Examination and treatment of persons confined or imprisoned— 
Isolation. 
169. Rules and regulations have effect of law. 
170. Violation of subdivision—Penalty. 
From Chapter 69 "’’’I1 
28. Work by diseased persons forbidden. 
SESSION LAWS OF COLORADO 1937 
Chapter 163 Blindness in Newly Born 110 
COLORADO STATE BOARD OF HEALTH 
SESSION LAWS OF COLORADO 1939 
Chapter 113 Prenatal Law 
Chapter 128 Premarital Law 
Volume 2, Chapter 48 
Sec. 220. Unlawful to advertise cures for sexual disease—Except. It 
shall be unlawful for any person, association, society, partnership or cor- 
poration to circulate, disseminate, spread, print, publish, or cause the cir- 
culation, dissemination, spreading, printing or publication of, any public 
advertisement, announcement, publication, notice or information of the 
treatment, alleviation, palliation, cure or prevention of any sexual or men- 
strual disease, weakness or condition; or to display, or expose to the public 
view, on any public street, alley or road, any instrument, device or thing 
designed or intended or sold for the treatment, cure, alleviation, palliation 
or prevention of any sexual or menstrual disease, weakness or condition. 
But this section and the following section shall not prevent such publica- 
tion and dissemination of any such advertisement in exclusively medical 
publications and publications designed and cii’culated among dealers as 
trade journals, not for public inspection. (L. ’07, p. 354, Sec. 1; R. S. ’08, 
Sec. 1781; C. L., Sec. 6854.) 
Sec. 221. Same—Penalty—Agent. Any person, association, society, 
partnership, or corporation who, or which, shall violate any provisions of 
this section and the preceding section shall be deemed guilty of a misde- 
meanor, and, upon conviction thereof, shall be fined not less than twenty- 
five dollars, nor more than three hundred dollars, and, in the discretion 
of the court, may be punished by imprisonment, either accompanied or 
unaccompanied by a fine, for a period not less than ten days nor more 
than six months. In construing and enforcing this section and the pre- 
ceding section, the act of any officer, agent, employe, or servant, acting 
within the scope of his employment, shall in every case be deemed to be 
the act of such person, association, society, partnership or corporation. 
(L. ’07, p. 355, Sec. 2; R. S. ’08, Sec. 1782; C. L., Sec. 6855.) 
Sec. 102. Advertisement of substances to cure private diseases, pre- 
vent conception or procure abortion unlawful—Penalty. The publication, 
circulation or sale within this state of any circular, newspaper, pamphlet, 
or other book, containing receipts or prescriptions, immoral in tendency, 
for the cure of chronic female complaints or private diseases, or recipes 
or prescriptions for drops, pills, tinctures, or other compounds, designed 
to prevent inception (conceptions), or tending to produce miscarriage or 
abortion, is hereby prohibited; and the publisher, circulator and seller 
thereof shall each be deemed guilty of a misdemeanor and shall upon 
conviction be liable to a fine of not less than ten or more than one hundred 
dollars for each offense. (L. ’93, p. 396, Sec. 78; R. S. ’08, Sec. 5107; 
C. L„ Sec. 968.) 
Volume 3, Chapter 78 
Sec. 152. Women suffering with venereal diseases. There shall be 
established in this state an institution for the confinement and free treat- LAWS, RULES AND REGULATIONS 
ment of women suffering with venereal diseases, under the name and 
style of the “State Detention Home for Women.” (L. ’19, p. 259, Sec. 1; 
C. L., Sec. 1064.) 
Sec. 153. State Board of Health to provide home and treatment. The 
state Board of Health is to have charge and control of said detention 
home, and is hereby empowered to lease a suitable building or buildings in 
which to confine and treat women suffering with venereal diseases; and 
said Board is authorized to provide and furnish such medical treatment 
for the women so confined as it may determine. (L. T9, p. 259, Sec. 2; 
0. L., Sec. 1065.) 
Sec. 154. Women committed to home—May demand trial. When 
any female is found by the inspector or agent of the State Board of Health 
to be suffering with venereal disease, or any woman is reported to the 
State Board of Health to be suffering with said disease by any licensed 
physician or licensed pharmacist, and in the opinion of the State Board of 
Health or its secretary, such woman is dangerous to the public health, 
the inspector or agent of said State Board of Health shall cause such 
woman to be committed to said detention home for women for hospital 
treatment; Provided, however, That the woman found to be so suffering 
with such disease may demand a trial before the district or county court 
having jurisdiction in the county from which she is committed. (L. T9, p. 
260, Sec. 3; C. L„ Sec. 1066.) 
Sec. 155. Jurisdiction of courts—Jury. The distinct and county 
courts, and the judges thereof, in their respective counties, shall have 
exclusive original jurisdiction to try all cases arising under the provisions 
of this subdivision whenever a female alleged to be suffering with a 
venereal disease demands a trial. All such cases shall be summarily tried 
before the court, or the judge thereof, and without the intervention of 
a jury unless a jury be demanded. (L. T9, p. 260, Sec. 4; C. L., Sec. 1067.) 
Sec. 156. Duration of commitment. All commitments to the State 
Detention Home for Women shall be for such time as determined by the 
State Board of Health to be necessary to effect a permanent cure. (L. T9, 
p. 260, Sec. 5; C. L., Sec. 1068.) 
Sec. 157. Records of patients kept—Not public. A record shall be 
kept of each person committed to said home, setting forth her name, age, 
nativity, nationality, date of admission, the disease with which she is 
afflicted, likewise any further facts which may be required by the State 
Board of Health; Provided, however, That such record shall not be open 
to the public. (L. T9, p. 260, Sec. 6; C. L., Sec. 1069.) 
Sec. 158. Conveyance to home. It shall be the duty of the inspector 
or agent of the State Board of Health to convey any person committed 
under the provisions of this subdivision to said detention home. (L. T9, 
p. 260, Sec. 7; C. L„ Sec. 1070.) 
Sec. 159. Voluntary admission. Any female knowing or believing 
that she is affected with any venereal disease may apply for admission to 
the State Detention Home for Women for examination and treatment, and COLORADO STATE BOARD OF HEALTH 
112 
if found to be so diseased, shall receive treatment therein. (L. ’19, p. 261, 
Sec. 8; C. L., Sec. 1071.) 
Sec. 160. Matron and employes. The State Board of Health shall 
appoint a matron for said detention home, who shall have general super- 
vision thereof, and the said State Board of Health shall appoint such other 
employes as may be necessary to properly conduct said home, and any 
and all such employes as well as the matron of said home may be removed 
whenever said Board of Health shall so determine. (L. T9, p. 261, Sec. 9; 
C. L., Sec. 1072.) 
Sec. 161. Salaries. The matron and employes of such home shall be 
paid such salaries monthly as shall be agreed upon between them and the 
State Board of Health. (L. T9, p. 261, Sec. 10; C. L., Sec. 1073.) 
Sec. 162. Vouchers fcr supplies. All vouchers for the purchase of 
supplies or other indebtedness for the State Detention Home for Women 
shall be approved by the president and secretary of the State Board of 
Health, and upon presentation to the Auditor of State, he shall draw a 
warrant upon the State Treasurer in favor of the claimant, out of any 
moneys appropriated for the care and support of the said home. (L. T9, 
p. 261, Sec. 11; C. L., Sec. 1074.) 
Sec. 163. Venereal diseases declared dangerous to public health. 
Syphilis, gonorrhea and chancroid, hereinafter designated as venereal 
diseases, are hereby declared to be contagious, infectious, communicable 
and dangerous to the public health. It shall be unlawful for anyone 
infected with those diseases or any of them to expose another person to 
infection. (L. T9, p. 247, Sec. 1; C. L„ Sec. 1075.) 
Sec. 164. Department of venereal diseases — Director—Assistance. 
There is hereby created in the State Board of Health a division or depart- 
ment relating to venereal diseases, and the State Board of Health shall 
have power to appoint a competent director to direct the duties of said 
division as determined by the State Board of Health. The said Board of 
Health shall provide necessary inspectional, bacteriological, pathological, 
clerical and stenographic assistance needed by the said director, and the 
director and his assistants shall receive such salaries as may be fixed by 
the State Board of Health, and all necessary expenses in performance of 
their duties. (L. T9, p. 247, Sec. 2; C. L., Sec. 1076.) 
Sec. 165. Venereal cases must be reported to authorities—When 
name of patient to be reported. Any physician, interne or other person 
who makes a diagnosis in, prescribes for or treats a case of venereal 
disease, and any superintendent or manager of a state, county or city 
hospital, dispensary, sanitarium, or charitable or penal institution, in 
which there is a case of venereal disease, shall make a report of such case 
to the health authorities, according to such form, manner and time as the 
State Board of Health shall direct. 
On or before the 10th day of each month, such physician, interne, or 
other person who makes a diagnosis in, prescribes or treats a case of 
venereal disease, and any superintendent or manager of a state, county LAWS, RULES AND REGULATIONS 
113 
or city hospital, sanitarium, dispensary or penal institution in which there 
is a case of venereal disease, shall report to the local health officer the 
total number of new infections of venereal disease treated by them or 
appearing in said institutions during the preceding calendar month. 
Nothing in this subdivision shall be construed to require the reporting 
of the name or address of persons afflicted with venereal disease, provid- 
ing that the municipality or health district in which the patient resides 
shall be named in the report; and Provided further, That when by reason 
of known circumstances, conditions and habits of a particular person, he 
or she is a menace to the health of any other person or persons, the name 
of the patient may be given by the physician reporting the case, to a 
duly authorized health officer, for the purpose of investigation and enforce- 
ment of the law. (L. T9, p. 248, Sec. 3; C. L., Sec. 1077; L. ’25, p. 420, 
Sec. 1.) 
Sec. 166. Medicine, etc., sold only on written prescription. No medi- 
cine, remedy or preparation of any kind for the relief or cure of any of 
said venereal -diseases shall be sold by anyone within the State of Colo- 
rado, except upon the original written prescription of a licensed, practicing 
physician in Colorado, which prescription shall bear the name and address 
of the prescribing physician and the name of the municipality or health 
district in which the patient resides. 
The said prescription shall not be refilled nor copy given, except to 
the proper health officer or on his order, shall be subjected to inspection 
by authorized health officers and kept on file for at least two years. 
No prescription shall be made out or professional services rendered 
by any physician or other person in case of venereal disease, unless the 
name, address and occupation of the patient is known. Any person apply- 
ing to any physician, pharmacist, hospital or sanitarium for treatment, 
medicine or hospital care in case of venereal disease, who shall falsely 
report to any physician, pharmacist, hospital or sanitarium the name, 
address or occupation of the person having such disease or the person 
for whom the prescription or remedy is intended, shall be deemed to have 
violated the provisions of this subdivision. (L. T9, p. 248, Sec. 4; C. L., 
Sec. 1078; L. ’25, p. 421, Sec. 2.) 
Sec. 167. Health officers to examine suspected cases—Quarantine— 
Treatment. State, county and municipal health officers, or their author- 
ized assistants or deputies, within their respective jurisdictions are hereby 
directed and empowered, when in their judgment it is necessary to protect 
the public health, to make examinations of persons reasonably suspected 
of being infected with venereal disease, and to detain such persons until 
the results of such examinations are known, to require persons infected 
with venereal disease to report for treatment to a reputable physician and 
continue treatment until cured or to submit to treatment provided at pub- 
lic expense until cured, and, also, when in their judgment it is necessary 
to protect the public health, to isolate or quarantine persons infected with 
venereal disease. It shall be the duty of all local and state health officers 
to investigate sources of infection of venereal disease, to cooperate with 114 
COLORADO STATE BOARD OF HEALTH 
the proper officials whose duty it is to enforce laws directed against prosti- 
tution, and otherwise to use every proper means for the repression of 
prostitution. (L. ’19, p. 249, Sec. 5; C. L., Sec. 1079.) 
Sec. 168. Examination and treatment of persons confined or impris- 
oned—isolation. All persons who shall be confined, detained or impris- 
oned in any state, county or city hospital for insane, institution for feeble 
minded, industrial school for boys or girls, home for dependent children, 
reformatory or prison or any private or charitable institution where any 
person may be confined, detained or imprisoned by order of court in this 
state, shall be examined for, and, if infected, treated for venereal diseases 
by the health authorities having jurisdiction. The managing authorities 
of any institution above named are directed to make available to the 
health authorities such portion of any hospital for insane, institution for 
feeble minded, industrial school for boys or girls, home for dependent 
children, reformatory or prison or any such private or charitable institu- 
tion as may be necessary for a clinic or hospital, wherein all persons who 
may be confined or detained or imprisoned in any such institution and who 
are infected with venereal diseases may be treated in a manner as pre- 
scribed by the director of the division of venereal diseases of the State 
Board of Health. All persons who are suffering with venereal disease at 
the time of the expiration of their terms of imprisonment or confinement 
and other persons who may be isolated, quarantined, or treated under the 
provisions of the last preceding section shall be isolated and treated at 
public expense, until cured, or, in lieu of such isolation, any of such per- 
sons may, in the discretion of the State Board of Health, be required to 
report for treatment to a licensed pnysician. or submit to treatment pro- 
vided at public expense as provided in the last preceding section. The 
Director of the Division of Venereal Diseases of the State Board of Health 
is hereby authorized and empowered to arrange for hospitalization, and 
to provide and furnish such medical treatment as may be determined to 
be necessary. Nothing herein contained shall be construed to interfere 
with the service of any sentence imposed by a court as a punishment for 
the commission of crime. (L. ’21, p. 657, Sec. 1; amending L. ’19, p. 250, 
Sec. 6; C. L„ Sec. 1080.) 
Sec. 169. Rules and regulations have effect of law. The State Board 
of Health is hereby empowered and directed to make such rules and regu- 
lations as shall in its judgment be necessary for the carrying out of the 
provisions of this subdivision, including rules and regulations providing 
lor the control and treatment of persons isolated or quarantined under the 
provisions of section 167 of this chapter, and such other rules and regu- 
lations, not in conflict with provisions of this subdivision, concerning the 
control of venereal disease, and concerning the care, treatment and quar- 
antine of persons infected therewith, as it may from time to time deem 
advisable. All such rules and regulations so made shall be of force and 
binding upon all county and municipal health officers and other persons 
affected by this subdivision, and shall have the force and effect of law'. 
(L. ’19, p. 250, Sec. 7; C. L., Sec. 1081.) LAWS, RULES AND REGULATIONS 
115 
Sec. 170. Violation of subdivision—Penalty. Any persons, firm or 
corporation violating any of the provisions of this subdivision or any 
lawful rule or regulation made by the State Board of Health pursuant to 
the authority herein granted, or who shall fail or refuse to obey any lawful 
order issued by any state, county, or municipal health officer, pursuant to 
the authority granted in this subdivision, shall, upon conviction, be fined 
in a sum not to exceed three hundred dollars or imprisonment not exceed- 
ing ninety days or both fine and imprisonment at the discretion of the 
court. (L. ’19, p. 251, Sec. 8; C. L.. Sec. 1082.) 
(Colorado Statutes Annotated 1935, Volume 3, Chapter 69) 
FOOD HANDLERS LAW 
Sec. 28. Work by diseased persons forbidden. It shall be unlawful 
for any employer to require, suffer or permit any person who is affected 
with any contagious, infectious or venereal disease to work, or for any 
person so affected to work in a building, room, basement, inclosure, or 
premises or vehicle occupied or used for the production, preparation, man- 
ufacture, packing, storage, sale, distribution or transportation of food. 
(L. ’13, p. 512, Sec. 8; C. L„ Sec. 1022.) 
LAW RELATING TO BLINDNESS IN THE NEWLY BORN 
(Session Laws of Colorado 1937, Chapter 163) 
AN ACT 
FOR THE PREVENTION OF BLINDNESS IN THE NEWLY BORN 
Section 1. That any inflammation, swelling, or unusual redness in 
either one or both eyes of any infant, either apart from or together, with 
any unnatural discharge from the eyes or eye of such infant, independent 
of the nature of the infection, if any, occurring at any time within two 
weeks after the birth of such infant, shall be known as “inflammation of 
the eyes of the newly born” (ophthalmia neonatorum). 
Sec. 2. It shall be the duty of the State Board of Health; 
(a) To officially name and approve a prophylaxis to be used in treat- 
ing the eyes of newly born infants, which may be a solution of nitrate of 
silver or such other prophylaxis as the board shall from time to time 
approve; 
(b) To enforce the provisions of this act; 
(c) To promulgate such rules and regulations as shall under this act 
be necessary for the purpose of this act, and such as the State Board of 
Health may deem necessary for the further and proper guidance of local 
health officers; 
(d) To provide for the gratuitous distribution of one per cent solu- 
tion of silver nitrate outfits, or such other prophylaxis as the board may 
select, together with proper directions for the use and administration 
thereof, to all physicians and mid wives as may be engaged in the practice 
of obstetrics, or assisting at childbirth; COLORADO STATE BOARD OF HEALTH 
(e) To furnish copies of this law to all physicians and midwives as 
may be engaged in the practice of obstetrics, or assisting at childbirth. 
Sec. 3. It shall be the duty of any physician, nurse, midwife, or other 
person, who shall assist and be in charge at the birth of any infant, or 
have care of the same after birth, to treat the eyes of the infant with a 
prophylaxis approved by the State Board of Health. Such treatment shall 
be given as soon as practicable after the birth of the infant ahd always 
within one hour; and if any redness, swelling, inflammation or gathering 
of pus shall appear in the eyes of such infant, or upon the lids or about 
the eyes, within two weeks after birth, then any nurse, midwife, or other 
person having care of the infant shall report the same to some competent 
practicing physician within six hours of its discovery. 
Sec. 4. It shall be the duty of the local health officer: 
(a) To investigate or have investigated each case as filed with him 
in pursuance of the law, and any other cases as may come to his attention. 
(b) To conform to such other rules and regulations as the State 
Board of Health shall promulgate for his further guidance; 
(c) Provided, however, that nothing in the two preceding sections 
shall be construed to require medical treatment for the minor child of any 
person who is a member of a well recognized church or religious denomina- 
tion and whose religious convictions in accordance with the tenets or 
principles of his church or religious denomination are against medical 
treatment for disease. 
Sec. 5. Whoever being a physician, surgeon, midwife, obsteti’ician, 
nurse, manager or person in charge of a maternity home or hospital, par- 
ent, relative, or person attending upon or assisting at the birth of an in- 
fant, violates any of the provisions of this act, shall be deemed guilty of 
a misdemeanor, and upon conviction thereof shall be fined a sum of not 
less than ten (10) nor more than fifty (50) dollars, or serve a term of im- 
prisonment in the county jail of not to exceed fifty (50) days. 
Sec. 6. The general assembly hereby finds, determines and declares 
this act necessary for the immediate preservation of the public peace, 
health and safety. 
Sec. 7. In the opinion of the general assembly an emergency exists: 
therefore, this act shall take effect and be in force from and after its 
passage. 
PRENATAL LAW 
House Bill No. 470. By Representatives Smith, Cheever, Douglas, and 
Bailey; and Senators Briscoe, Aspinall and Glenn 
(by request). 
(Session Laws of Colorado 1939, Chapter 113) 
Requiring serological blood tests; providing for its administration; 
and prescribing penalties for violation thereof. 
AN ACT LAWS. RULES AND REGULATIONS 
117 
Be It Enacted by the General Assembly of the State of Colorado: 
Sec. 1. Every physician licensed to practice medicine attending a 
pregnant woman in the state for conditions relating to her pregnancy 
during the period of gestation or at delivery shall, in the case of every 
woman so attended, take or cause to be taken a sample of blood of such 
woman at the time of first professional visit or within ten days thereafter. 
The blood specimen thus obtained shall be submitted to an approved lab- 
oratory for a standard serological test for syphilis. Every other person 
permitted by law to attend pregnant women in the state but not permitted 
by law to take blood samples, shall cause a sample of blood of such preg- 
nant women to be taken by a physician duly licensed to practice medicine 
and surgery and have such sample submitted to an approved laboratory 
for a standard serological test for syphilis. 
Sec. 2. For the purposes of this Act, a standard serological test shall 
be a test for syphilis approved by the State Board of Health of Colorado, 
and shall be made at a laboratory approved to make such tests. Such 
laboratory tests as are required by this Act may be made on request with- 
out charge at the Colorado State Board of Health Laboratory. 
Sec. 3. In reporting every birth and stillbirth, physicians and others 
required to make such reports shall state on the certificate whether a 
blood test for syphilis has been made upon a specimen of blood taken 
from the woman who bore the child for which a birth or stillbirth certifi- 
cate is filed, and the approximate date when the specimen was taken. In 
no event shall the birth certificate state the result of the test. 
Sec. 4. Any licensed physician and surgeon, or other person, engaged 
in attendance upon a pregnant woman during the period of gestation and 
or at delivery, or any representative of a laboratory who violates the 
provisions of this Act shall be guilty of a misdemeanor, and upon convic- 
tion thereof shall be fined not to exceed three hundred dollars ($300.00); 
Provided, however, every licensed physician and surgeon or other person 
engaged in attendance upon a pregnant woman during the period of gesta- 
tion or at delivery, who requests such specimen in accordance with the 
provisions of section 1, and whose request is refused, shall not be guilty 
of a misdemeanor. 
Sec. 5. The district attorneys in the several districts in the state 
shall prosecute for violation of this Act as for other crimes and misde- 
meanors. 
Sec. 6. All Acts or parts of Acts inconsistent or in conflict herewith 
are hereby repealed. 
Sec. 7. The general assembly hereby declares that this Act is neces- 
sary for the immediate preservation of the public peace, health and safety. 
Sec. 8. In the opinion of the general assembly, an emergency exists; 
therefore, this Act shall take effect and be in force from and after its 
passage. 
Approved; April 10, 1939. 118 
COLORADO STATE BOARD OF HEALTH 
PREMARITAL LAW 
(Session Laws of Colorado 1939, Chapter 128) 
House Bill No. 466. By representatives Smith, Cheever, Bailey, and Doug- 
las (by request). 
AN ACT 
To amend Sections 5 and 10, Chapter 107, 1935 Colorado Statutes An- 
notated, relating to marriage; providing for examinations and serological 
tests of applicants for a marriage license, and effectual duration of license. 
Section 5. 
(d) Premarital Examination: 
(1) Before any person, who now is or may hereafter be authorized 
by law to issue marriage licenses, shall issue any such license, each appli- 
cant therefor shall file with him a certificate from a physician licensed to 
practice medicine, which certificate shall state that the applicant has been 
given such examination, including a standard serological test for syphilis, 
made not more than thirty days (30) prior to the date of issuance of such 
license, and that in the opinion of such physician, this person either is not 
infected with syphilis, and other venereal diseases, or is not in a stage of 
that disease which may become communicable. 
(2) The above mentioned physician certificate shall be accompanied 
by a statement from the person in charge of the laboratory making the 
test, or from some other person authorized to make such reports, setting 
forth the name of the test, the date it Avas made, the name and address of 
the physician to whom the report Avas sent, and the name and address of 
the person whose blood was tested, but not stating the result of the tes't. 
(3) The above mentioned certificate of physician and statement of 
person authorized to make reports for the laboratory shall be on a form 
to be provided and distributed by the Colorado State Board of Health to 
all officers authorized to issue marriage licenses, and to approve labora- 
tories in the state. 
(4) For the purpose of this Act, a standard serological test shall be 
a test for syphilis and other venereal diseases approved by the State 
Board of Health of Colorado, and shall be made at a laboratory approved 
to make such tests. 
Such laboratory tests as are required by this Act may be made on 
request without charge at the Colorado State Board of Health Laboratory. 
(5) Before the licensing officer issues any marriage license, he shall 
attach thereto the above mentioned certificate form of each applicant. No 
minister or other person authorized to perform marriage ceremonies in 
Colorado shall perform any such ceremony unless the certificate form of 
each party is attached to the marriage license, and they shall remain so 
attached until the marriage certificate is filed. LAWS, RULES AND REGULATIONS 
Sec. 2. Section 10, Chapter 107, 1935 Colorado Statutes Annotated 
is hereby amended to read as follows: 
Section 10. 
Judge of court of record may order license to marry to be 
issued. In the event that any county clerk and recorder shall refuse to 
issue a license to marry, or in case of circumstances arising which, in the 
opinion of a judge of any court of record within the county within which 
application for a license is made, would necessitate the waiver of any one 
or more of the requirements of sections 5 to 14 of this chapter excluding 
premarital examination and serological tests, either applicant for such 
license may apply to any such judge for the issuance of a license without 
compliance with any one or more of the provisions of sections 5 to 14 of 
this chapter. If the judge shall be of the opinion that it is advisable that 
such license be issued, or that such circumstances exist that it is proper 
that any one or more of the requirements of sections 5 to 14 of this chapter 
excluding premarital examination and serological tests be waived, such 
judge may consent in writing to the issuance of such license; and upon 
such consent of such judge in writing being filed with the county clerk 
and recorder, such clerk shall thereupon issue such license at the time 
specified in said written consent. No fee or court costs shall be charged 
or taxed by any judge for the consent herein provided for. 
Sec. 3. The State Board of Health may order license to marry to be 
issued: In the event that any county clerk and recorder shall refuse to 
issue a license to marry, in case of circumstances arising which would 
necessitate the temporary waiver of premarital examination and sero- 
logical tests, both applicants for such license may apply to the State Board 
of Health for the issuance of a certificate to enable a license to he issued. 
If the State Board of Health shall be of the opinion that it is advisable 
that such license be issued, or that such circumstances exist that it is 
proper and known to both applicants that any one or more of the require- 
ments of this Act be temporarily waived during treatment period, then the 
Board of Health may consent in writing to the issuance of such license; 
and upon such consent of the State Board of Health in writing being filed 
with the county clerk and recorder, such clerk shall thereupon issue such 
license at the time specified in said wait ten consent. No fee shall he 
charged or taxed by the State Board of .Health for the consent herein pro- 
vided for. 
Sec. 4. The general assembly hereby finds, determines and declares 
that this Act is necessary for the Immediate preservation of the public 
peace, health and safety. 
Sec. 5. This Act shall take effect and be in force from and after six 
months (6) after its passage. 
Approved: April 10, 1939. 120 
COLORADO STATE BOARD OF HEALTH 
REGULATIONS OF THE DIVISION OF VENEREAL DISEASE 
ADOPTED BY THE COLORADO STATE BOARD OF 
HEALTH, NOVEMBER 3, 1941 
The Colorado State Board of Health, at a meeting held in the State 
Office Building, November 3, 1941, pursuant to an Act of the General 
Assembly, approved by the Governor March 19, 1919, creating a depart- 
ment or division of venereal diseases, had under consideration the matter 
of venereal disease in the State of Colorado, and by a unanimous vote 
adopted the following rules and regulations as required by lawr. 
These regulations as declared by statute have the full force and effect 
of law and any person, firm or corporation violating them is subject to a 
fine not exceeding three hundred dollars or imprisonment not exceeding 
ninety days, or both fine and imprisonment. 
When these regulations were adopted all prior rules, regulations or 
parts of regulations relating to venereal disease were repealed. 
Regulation 1 
VENEREAL DISEASE TO BE REPORTED 
All persons required by law to report venereal disease shall report to 
the local health officer or to the State Board of Health on forms supplied 
by the Division of Venereal Disease. Reports shall be made when cases 
are diagnosed or treated regardless of previous report by another person 
or institution. 
Regulation 2 
The patient may be reported by name, number or symbol. If identi- 
fication other than name is used for a report, the physician shall keep an 
office record identifiable by the number or symbol. 
IDENTIFICATION OF PATIENT 
Regulation 3 
The Director of Venereal Disease shall arrange through the facilities 
of the State Board of Health for the furnishing of mailing containers to 
physicians and clinics for venereal disease specimens, and the examination 
of such specimens by the State Board of Health Laboratory. Reports on 
the result of examination of venereal disease specimens shall be reported 
to clinics and physicians licensed in Colorado on any medically needy 
patient. 
Facilities for the following examinations shall be made available. 
1. Culture and microscope for gonorrhea. 
2. Serological tests for syphilis. 
3. Spinal fluid tests for syphilis. 
4. Other tests as directed by the Board. 
LABORATORY SERVICE LAWS, RULES AND REGULATIONS 
121 
Regulation 4 
The Director of Venereal Disease shall distribute free on request of 
Colorado physicians or clinics, the necessary drugs for the treatment of 
venereal disease in medically needy persons. Such drugs shall be supplied 
only after receipt of a case report and the physician or clinic shall identify 
the person or persons for whom the drugs are intended. The Division of 
Venereal Disease shall make available for distribution the following drugs: 
1. Arsenical drugs for syphilis. 
2. Bismuth drugs for syphilis. 
3. Sulfonamide drugs for gonorrhea. 
4. Other drugs as directed by the Board. 
DRUG DISTRIBUTION 
Regulation 5 
PREMARITAL BLOOD TESTS 
The following laboratories are approved for the performance of sero- 
logical tests under the Colorado Premarital Law (1939): 
1. The laboratory of the Colorado State Board of Health. 
2. The laboratories of all other State and Territorial Health 
Departments, appraised and approved by the United States 
Public Health Service. 
3. Laboratories of the United States Army, Navy, and Public 
Health Service. 
4. Other laboratories as approved from time to time by the 
Board. 
Regulation 6 
FOOD HANDLERS 
All persons engaged in the handling and preparation of food shall ob- 
tain a permit card from the State Board of Health. Application for a 
permit card shall be made on a form furnished by the Board and shall 
include a report from a licensed physician stating that the applicant has 
been examined and found free of communicable disease. Examination 
shall include a blood test and other laboratory reports as indicated. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
INDUSTRIAL HYGIENE 
LAWS. RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
125 
REGULATIONS 
OCCUPATIONAL DISEASES REPORTABLE IN 
COLORADO 
(To be reported within 24 hours) 
The occupational diseases listed below are reportable immediately 
(within 24 hours), by telephone, in person, or by writing to the local 
health officer of the municipality or county in which such diseases exist, 
giving the name of the disease, the full name, age, sex, race and address 
of the person apparently affected. In addition, these reports should give 
the place of employment or the place where the condition was contracted, 
if different from the regular place of employment. These diseases should 
also be reported to the State Board of Health at the end of each week on 
the weekly report card. 
Anthrax 
Analine Poisoning 
Benzine Poisoning (Petroleum ether) 
Benzol (Benzene) Poisoning 
Cadmium Poisoning 
Carbon Disulphide (Bisulphide) 
Poisoning 
Carbon Monoxide Asphyxiation 
Carbon Tetrachloride Poisoning 
Chromic Acid Poisoning 
Gasoline Poisoning 
Lead Poisoning 
Manganese Poisoning 
Mercury Poisoning 
Metal Fume Fever (Brass) 
Methyl (Wood) Alcohol Poisoning 
Naphtha Poisoning 
tSilicosis 
fSilico-Tuberculosis 
Tetra Ethyl Lead Poisoning 
Toluene Poisoning 
Turpentine Poisoning 
The following codes and regulations, adopted by the industrial hygi- 
ene division of the Colorado State Division of Public Health, were ap- 
proved by the State Board of Health, September 18, 1941: 
REGULATION 1. General. No person, firm, corporation or other 
employer shall use or permit to be used in the conduct of his business, 
manufacturing establishment or other place of employment, any process, 
material or method of working known to have an adverse effect on health, 
unless arrangements have been made to maintain the occupational envir- 
onment in such a manner that injury to health shall not result. 
REGULATION 2. Concentration limits. Exposures to dusts, fumes, 
mists, vapors, gases, or any materials that may affect health shall be 
kept below concentration limits, as established in Regulation 3. 
(Reportable within one week. COLORADO STATE BOARD OF HEALTH 
REGULATION 3. 
SUGGESTED MAXIMUM PERMISSIBLE CONCENTRATIONS 
(Toxic Thresholds) 
Substance 
Unit of 
Dusts: 
Measurement 
Limit 
Asbestos 
foot. 
5 
(0.5 to 10.0 microns) 
Cement 
foot. 
15 
Oi’ganic 
foot. 
50 
(0.5 to 5.0 microns) 
Pottery 
foot. 
4 
*Silica (25-35% SiO.) 
foot. 
10 
(0.5 to 5.0 microns) 
Silica (over 35% SiO.,) 
. . . . Million particles per cubic 
foot. 
5 
(0.5 to 5.0 microns) 
Slate 
foot. 
15 
Talc 
foot. 
15 
Unit of 
Substance 
Measurement 
Limit 
Gases and Vapors: 
200 
Ammonia 
. 100 
Amyl Acetate 
. 400 
Aniline 
5 
Arsine 
1 
Benzol 
100 
Butanol 
. 100 
Butyl Acetate 
. 400 
Carbon Bisulfide 
15 
Carbon Dioxide 
. 5,550 
Carbon Monoxide 
. 100 
Carbon Tetrachloride 
. 100 
Chlorine 
1 
Chloroform 
. 100 
Dichlor Benzene 
75 
Dichlor Ethyl Ether 
15 
Ether (Ethyl) 
. 400 
Ethyl Alcohol 
. 250 
Ethyl Bromide 
. 1,700 
Ethyl Chloride 
.20,000 
Ethylene Dichloride 
. 100 
Formaldehyde 
20 
Gasoline 
. 1,000 
Hydrogen Cyanide 
20 
*Dusts of other mineralogical composition shall be kept below concentrations 
which will be stipulated depending- 
on the nature of the dust. 
*Dust count (million particles per cubic foot of air) multiplied bv percent- 
age ot tree silica (silicon dioxide), 
should be less than 5. LAWS, RULES AND REGULATIONS 
127 
Substance 
Unit of 
Gases and Vapors Continued: 
Measurement 
Limit 
Hydrochloric Acid 
10 
Hydrogen Fluoride 
3 
Hydrogen Sulfide 
20 
Methanol 
100 
Methyl Bromide 
50 
Methyl Chloride 
500 
Monochlor Benzene 
75 
Naphtha 
5,000 
Nitrobenzene 
1 
Nitrogen Oxides 
10 
Ozone 
1 
Phosgene 
1 
Phosphine 
2 
Phosphorus Trichloride.... 
0.7 
Sulfur Dioxide 
10 
Tetrachlor Ethane 
10 
Tetrachlor Ethylene 
200 
Toluol 
100 
Trichlor Ethylene 
200 
Turpentine 
700 
Xylol and Coal Tar Naphtha... .Parts per million 
100 
Metallic Dusts and Fumes: 
Milligrams 
Cadmium 
0.1 
Chromic Acid 
0.1 
Dead 
0.15 
Manganese 
50 
Mercury 
0.1 to 0.2 
Zinc Oxide 
15 
Chiorodiphenyl 
1.0 
Pentachlornaphthalene ... 
0.5 
Trichlornaphthalene 
5.0 
LOWER EXPLOSIVE LIMITS OF INFLAMMABLE 
VAPORS 
% by 
%of 
Gas or Vapor 
Vol. Gas or Vapor 
Vol. 
Acetone 
. 2.2 Ethane 
3.2 
Acetylene 
. 2.3 Ether (Ethyl) 
1.7 
Ammonia 
.16.0 Ethyl Acetate 
2.3 
Amylene 
. 1.6 Ethyl Alcohol 
3.5 
Amyl Chloride 
. 1.4 Ethyl Bromide 
7.0 
Benzol 
. 1.4 Ethyl Chloride 
4.0 
Butane 
. 1.6 Ethyl Formate 
3.5 
Butyl Acetate 
. 1.7 Ethyl Nitrate 
3.0 
Butyl Alcohol 
. 1.7 Ethylene 
3.0 
Carbon Bisulfide 
. 1.0 Ethylene Dichloride. 
6.2 
Carbon Monoxide 
.12.5 Ethylene Oxide 
3.0 COLORADO STATE BOARD OF HEALTH 
% by 
% of 
Gas or Vapor 
Vol. 
Gas or Vapor 
Vol. 
Furfural 
2.0 
Methyl Ethyl Ketone. . . 
2.0 
Gasoline 
1.4 
Methyl Formate 
6.0 
Heptane 
1.1 
Natural Gas 
4.8 
Hexane 
1.2 
Pentane 
1.4 
Hydrogen 
4.1 
Propane 
2.5 
Illuminating gas 
5.3 
Propyl Acetate 
2.0 
Methane 
5.0 
Propyl Alcohol 
2.5 
Methanol 
6.1 
Pyridine 
1.8 
Methyl Acetate 
4.1 
Toluol 
1.2 
Methyl Bromide 
13.5 
Vinyl Chloride 
4.0 
Methyl Chloride 
8.0 
Water Gas 
. . .6.0 to 9.0 
Methyl Cyclohexane 
1.2 
It is not implied that observance of these figures is a guarantee 
against possible ill health of workers exposed, or that medical control can 
be neglected. Revision of any such table from time to time may be neces- 
sary at the discretion of the Division of Industrial Hygiene. 
REGULATIONS OF THE COLORADO DIVISION OF INDUSTRIAL 
HYGIENE GOVERNING THE USE OF HATTERS' 
MERCURIAL CARROTING SOLUTIONS 
Section 1. 
REGULATION 4 
Definitions: For the purpose of carrying out the provisions of these 
regulations the following terms are defined: 
Hatters' fur is any animal fiber or other substance used in the manu- 
facture of hats, which is treated or otherwise prepared by the process of, 
or in a manner similar to, that of of carroting. 
Carrot!ng is the process of treating hatters’ fur with mercury nitrate 
or any other solution or material for the purpose of rendering the hatters’ 
fur suitable for the manufacture of hats. 
Mercurial carrot is any solution or material containing mercury or its 
compounds in combination with nitric acid or other materials and used in 
the carroting or preparation of hatters’ fur. 
Effective December 1, 1941, the use of mercurial carrot in the prepa- 
ration of hatters’ fur, or the use of mercurial carroted hatters’ fur in the 
manufacture of hats, is prohibited: 
Provided, That any hat manufacturer or fur cutter having mercurial 
carroted hatters’ fur on hand December 1, 1941, may use said fur until it 
is consumed. 
Section 2. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
SANITARY ENGINEERING 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
131 
SANITARY ENGINEERING 
LAWS RELATING TO SANITARY ENGINEERING 
(Colorado Statutes Annotated 1935) 
Section 
From Chapter 78 
22. Creation of division. 
23. State Board of Health to make rules governing division—Director 
and employes, 
24. Personnel of division—Qualifications of director and employes. 
25. Laboratory examinations. 
From Chapter 163 
10. Powers of city council and board of trustees. 
11. Council may dispose of water works, etc. 
22. Supply water to outside consumers. 
69. City council—Powers. 
85. Sewers—Petition for construction—Construction by council. 
86. Assessments not paid, how collected. 
375. Control park grounds outside limits. 
89. Powers of council and board of trustees. 
110. Construction of water mains by citizens. 
111. Petition to construct mains, etc. 
From Chapter 136. 
65. Power of city to make local improvements. 
66. What improvements can be made—Conditions. 
67. Construction of sidewalks, water mains, or sewers. 
73. City or town may establish sewer districts. 
74. Establishment of district sanitary sewers—Contracts—Contiguous 
towns may unite in construction. 
75. Private sewers—How constructed. 
76. Cost assessed in proportion to area. 
79. Sub-districts—May be ordered in sewer districts. 
From Chapter 174 
1. Domestic water works districts. 
From Chapter 61. 
2. Petition to assess, compensation—Contents—Parties. 
From Chapter 163 
140. Eminent domain beyond limits for sewage disposal works, etc. 
From Chapter 48 
257. Highway—Obstructing—Polluting water course, lake, sewer—Pen- 
alty. 
258. Polluting streams—Penalty. 
259. Unlawful to flow oil into stream—Penalty. 132 
COLORADO STATE BOARD OF HEALTH 
Section 
From Chapter 53 
4. Unlawful to defile waters of Platte river and Bear creek. 
5. City of Denver given jurisdiction over streams. 
9. Obstructions or pollutions. 
(Colorado Statutes Annotated 1935, Chapter 78, Health) 
Sec. 22. Creation of division. That there is hereby created in 
the State Board of Health, a division of sanitary engineering, the powers 
and duties of which shall be as follows: (a) To act in advisory capacity 
relative to public water supplies, water purification plants, sewerage sys- 
tems and sewage treatment plants, and to exercise supervision over 
nuisances growing out of the operation of such water and sewage works; 
(b) to make investigations and inquiries with respect to causes of disease, 
especially epidemics, and to make such other sanitary investigations as 
may be deemed necessary for the protection and promotion of the public 
health; (c) to maintain chemical, bacteriological and biological labora- 
tories and to make examinations of water, sewage, wastes, and such other 
substances as may be deemed necessary, for the protection of the public 
health. 
Sec. 23. State Board of Health to make rules governing division— 
Director and employes. The State Board of Health is empowered to 
make such rules and regulations, which shall have the force and effect of 
law, as may be necessary to provide for the effective operation of the 
division of sanitary engineering in performing these duties; and said 
Board is hereby authorized and empowered to employ a Director and Bac 
teriologist and such assistants and employes as shall be necessary to 
properly carry out the intent and purpose of this Act, and to fix and pay 
their compensation and salaries, and to provide for their duties, and the 
terms of their employment, subject to the laws relating to the Classified 
Civil Service. 
Sec. 24. Personnel of division Qualifications of director and em- 
ployes. The personnel of the division of sanitary engineering shall com- 
prise a director, a bacteriologist, and such assistants as may from time 
to time be necessary to carry on the work of the division. The director 
of this division shall be a sanitary engineer, who shall be appointed by 
the State Board of Health, and shall hold office as long as his services 
are satisfactory. He shall be a graduate civil or sanitary engineer from 
a recognized university or technical institution, shall show a record of 
experience in sanitary engineering and public health work indicating 
that he is fully qualified to direct the work of this division, and he shall 
hold a Colorado Engineer’s license. The bacteriologist shall be a graduate 
in bacteriology or sanitary chemistry from a recognized university or 
technical institution and shall show a record of training and experience 
indicating that he is fully qualified to perform the ordinary bacteriological, 
chemical and biological tests on water and sewage. 
Sec. 25. Laboratory examinations. Bacteriological, chemical and bio- 
logical examinations of samples of water, sewage and trade wastes which LAWS, RULES AND REGULATIONS 
133 
affect or tend to affect the public health shall be made by this division in 
the laboratory of the State Board of Health in Denver. Any equipment 
and supplies required in addition to that required for the other work of 
the laboratory is to be provided by the division of sanitary engineering. 
EXTRACTS FROM LAWS RELATING TO POWERS OF INCORPO- 
RATED CITIES AND TOWNS 
(Colorado Statutes Annotated 1935, Chapter 163) 
I. ALL CITIES AND TOWNS 
Sec. 10. Powers of city council and board of trustees. (Part.) The 
city council and board of trustees in towns shall have the following- 
powers : 
(Streets and alleys, etc.) 
Seventh—(Referring to streets, alleys, avenues, sidewalks, parks and 
public grounds.—Part.) (6) To provide for the cleansing of the same. 
(9) To regulate and prevent the throwing or depositing of ashes, garbage 
or any offensive matter in, and to prevent any injury to any street, avenue, 
alley or public ground. 
(Railroads.) 
Eighth—To compel and require railroad companies to make and keep 
open, and to keep in repair, ditches, drains, sewers and culverts along and 
under their railroad tracks, so that filthy or stagnant pools of water can- 
not stand on their grounds or right of way, and so that the natural drain- 
age of adjacent property shall not be impeded. 
(Construct and keep in repair culverts, drains, etc.) 
Tenth—To construct and keep in repair culverts, drains, sewers and 
cesspools, and to regulate their use; and all cities and incorporated towns 
are authorized to assess either in whole or part except as hereinafter 
otherwise provided, the cost of the construction of sewers and drains upon 
the lot or lots, or lands adjacent to and opposite such improvement, in 
proportion to the frontage of such lot or lots, or lands, abutting upon the 
street or alley wherein such sewer or drain is to be laid; Provided, That 
the cost of such sewer or drain at street intersections or crossings shall 
be wholly paid for by such city or town; and, Provided, further, That 
the benefit to the public generally, if any, shall be assessed against such 
city or town, and the balance shall be assessed against the lot or lots or 
lands and the owners thereof, according to frontage as aforesaid, said 
benefits to be determined as may be provided by ordinance. 
(Water courses.) 
Eleventh—To deepen, widen, dock, cover, wall, alter or change the 
channel of water courses. 134 
COLORADO STATE BOARD OF HEALTH 
(Water courses on private property.) 
Twelfth—To provide for the cleansing and purification of waters, 
water courses and canals, and the draining or filling of ponds on private 
property, whenever necessary to prevent or abate nuisances. 
(Vaults, sewers, gutters, cisterns, etc.) 
Twenty-seventh—To regulate the construction, repairs, and use of 
vaults, cisterns, areas, hydrants, pumps, sewers and gutters. 
(Nuisance.) 
Forty-fifth—To declare what shall be a nuisance and to abate the 
same and to impose fines upon parties who may create, continue or suffer 
nuisances to exist. 
(Board of health.) 
Forty-sixth—To appoint a board of health and prescribe its powers 
and duties. 
(Public health.) 
Forty-eighth—To do all acts and make all regulations which may be 
necessary or expedient for the promotion of health or the suppression of 
disease. 
(Slaughter houses.) 
Fifty-first—To direct the location and regulate the management and 
construction of slaughter houses, packing houses, renderies, tallow can- 
dleries, bone factories, soap factories, tanneries and dairies, within the 
limits of the city or town, or within the distance of one mile without the 
city or town limits. 
(Livery stable, etc.) 
Fifty-second—To direct the location and regulate the use and con- 
struction of breweries, distilleries, livery stables, blacksmith shops and 
foundries, within the limits of the city or town. 
(Offensive business.) 
Fifty-third—To prohibit within, or within one mile beyond the outer 
limits of the city or town any offensive or unwholesome business or estab- 
lishment and also to prohibit the carrying on of any business or establish- 
ment in an offensive and unwholesome manner, within or within one mile 
beyond the outer limits of the city or town. 
(Unwholesome places.) 
Fifty-fourth—To compel the owner of any grocery, cellar, soap or 
tallow candlery, tannery, stable, pig sty, privy or sewer, or other unwhole- 
some or nauseous house or place to cleanse, abate or remove the same, 
and to regulate the location thereof. 
(Water works, etc.) 
Sixty-seventh—The city council of cities and board of trustees of 
towns shall have power to purchase or erect water works, gas works or LAWS, IILILES AND REGULATIONS 
135 
electric light works; or to authorize the erection of the same by others; but 
no such works shall be erected or authorized until a majority of the voters 
of the city or town who are taxpayers under the law voting on the question 
at a general or special election, by vote approve the same. All such works 
hereafter so authorized by any city or town to be erected by others or the 
franchise of which shall be extended or renewed, shall be authorized, 
extended or renewed upon the express condition that such municipality 
shall at any time have the right and power to purchase or condemn any 
such works at its actual cash value, and at a price excluding all value of 
the franchise or right of way through the streets, and also excluding any 
value by virtue of any contract for hydrant or private rental or otherwise 
entered into with the municipality in excess of the actual value of the 
works; Provided, That nothing herein shall authorize the condemnation 
of any such works within twenty years after their original erection or 
construction, except at periods of ten and fifteen years after granting the 
franchise therefor. 
(Water works outside limits.) 
Sixty-eighth—They shall have power to construct or authorize the con- 
struction of such water works, without their limits, and for the purpose of 
maintaining and protecting the same from injury and the water from 
pollution, their jurisdiction shall extend over the territory occupied by 
such works, and all reservoirs, streams, trenches, pipes and drains, used 
in and necessary for the construction, maintenance and operation of the 
same, and over the stream or source from which the water is taken, for 
five miles above the point from which it is taken; and to enact all ordi- 
nances and regulations necessary to carry the power herein conferred into 
effect. 
Note; This section has been upheld by the Supreme Court in the case 
of Durango v. Chapman, 47 Colo. 149. The defendant, Chapman, had a 
slaughter house and pig sty at some place within five miles above the point 
where the water supply of the city was diverted. He was prosecuted for 
the violation of an ordinance of the City of Durango which made it a mis- 
demeanor to keep or maintain any pig sty along the banks of the Animas 
River within five miles of the diversion dam. He attacked the jurisdiction 
of the city for the reason that another city also diverted its water in the 
same district, and he urged that both cities could not have jurisdiction 
over the same territory. The Supreme Court held that the City of Durango 
did have jurisdiction and could pass an ordinance protecting its water 
supply, and that, had the other city a similar ordinance, he could be prose- 
cuted by both cities. 
(Private water works, etc.) 
Sixty-ninth—When the right to build and operate such water, gas or 
electric light works is granted to private individuals or incorporated com- 
panies by said cities and towns, they may make such grant to inure for a 
term of not more than twenty-five (25) years, and authorize such individ- 
uals or company to charge and collect from each person supplied by them 
with water or gas or electric lights such water or gas or electric light rent 136 
COLORADO STATE BOARD OF HEALTH 
as may be agreed upon between said person or corporation so building 
said works and said city or town; and such cities or towns are authorized 
and empowered to enter into a contract with the individual or company 
constructing said works to supply said city or town with water for fire 
purposes, and for such other purposes as may be necessary for the health 
and safety thereof; and also with gas and electric light, and to pay there- 
for such sum or sums as may be agreed upon between said contracting 
parties. 
(Condemn private property for water works, etc.) 
Seventieth—Said cities or towns are hereby authorized to condemn 
and appropriate so much private property as shall be necessary for the 
construction and operation of said water, gas or electric light works in 
such manner as may be prescribed by law. Said cities or towns shall also 
have the power to condemn and appropriate any water, gas or electric 
light works not owned by such city or town, in such manner as is or may 
be prescribed by law for the condemnation of real estate. 
(Assessment for water, etc.) 
Seventy-first—All cities and incorporated towns constructing such 
water, gas or electric light works are authorized to assess from time to 
time, in such manner as they shall deem equitable upon each tenement or 
other place supplied with water, gas or electric light such water, gas or 
electric light rent as may be agreed upon by the council or trustees; and 
gas should be charged for by the foot and electric light by the k.w.h. and 
then only to such as use them; and at the regular time of levying taxes 
in each year, said city or town is hereby empowered to levy and cause to 
be collected in addition to the other taxes authorized to be levied a special 
tax on taxable property in said city or town; which tax with the water or 
gas or electric light rents hereby authorized, shall be sufficient to pay the 
expenses of running, repairing and operating such works, and if the right 
to build, maintain and operate such works is granted to private individuals 
or incorporated companies by such cities or towns, and said cities or 
towns shall contract with said individuals or companies for the supply of 
water, gas or electric light for any purpose, such city or town shall levy 
each year and cause to be collected a special tax as provided for above, 
sufficient to pay off such water or gas or electric light rents so agreed to 
be paid to said individuals or company constructing said works; Provided, 
however, That said last mentioned tax shall not exceed the sum of three 
(3) mills on the dollar for any one year. 
(Public wells, etc.) 
Seventy-second—They shall have power to construct public wells, 
cisterns and reservoirs in the streets and other public and private places 
within the city or town, or beyond the limits thereof, for the purpose of 
supplying the same with water: to provide proper pumps and conducting 
pipes or ditches; to regulate the distribution of water for irrigating and 
other purposes, and to levy an equitable and just tax upon all consumers 
of water for the purpose of defraying the expense of such improvements. LAWS, RULES AND REGULATIONS 
137 
(May take water, eminent domain, etc.) 
Seventy-third—They shall have the right and privilege of taking water 
in sufficient quantity, for the purpose hereinbefore mentioned, from any 
stream, creek, gulch or spring in the state; Provided, That if the taking 
of such water in such quantity shall materially interfere with or impair 
the vested right of any person or persons or corporation, heretofore ac- 
quired, residing upon such creek, gulch or stream, or doing any milling or 
manufacturing business thereon, they shall first obtain the consent of such 
person or persons or corporation, or acquire the right of domain, by con- 
demnation, as prescribed by the constitution and laws upon that subject, 
and make full compensation or satisfaction for all the damages thereby 
occasioned to such person or persons or corporation. 
(Taking private property.) 
Seventy-fourth—When it shall be deemed necessary by any municipal 
corporation to enter upon or take private property for any of the above 
uses, the same shall be examined, appraised and the damages thereon 
assessed, and the proceedings in connection therewith shall be in all 
respects the same as is now or may hereafter be provided by general law 
for the taking of private property for public or private use. 
Sec. 11. Council may dispose of water works, etc. The city council of 
cities, and the board of trustees in towns, shall have the following addi- 
tional powers, by ordinance; 
First—To sell and dispose of water works, ditches, gas works, public 
buildings, and other real property owned by the municipality; Provided, 
That the question of said sale, and the price to be paid for said property 
and other terms thereof, shall first be submitted to and ratified by a two- 
thirds vote of the qualified property electors of the city or town, as shall, 
in the year next preceding, have paid a property tax therein, which vote 
shall be by ballot deposited in a separate ballot box, at a regular election 
of officers for the city or town, or at a special election to be called in the 
manner provided by law for the purpose of submitting such question. 
Sec. 22. Supply water to outside consumers. The incorporated towns 
and cities of the State of Colorado are hereby empowered to supply water 
from their water systems to consumers outside of the corporate limits of 
the said cities and towns; and to collect therefor such charges and upon 
such conditions and limitations as said towns and cities may impose by 
ordinance. 
II. CITIES OF THE FIRST CLASS 
(Population 15,000 or More) 
Sec. 69. City council—Powers. (Part.) That the city council in 
cities of the first class shall have the following additional powers, to-wit: 
(System of sewerage.) 
Sixth—To establish a system of sewerage, and for that purpose to 
divide the city into districts and to impose a special tax upon private 
property in such district to defray the cost of constructing district sewers, 
to wit: sewers, connecting with the public sewer or some natural drainage; 138 
COLORADO STATE BOARD OF HEALTH 
also to compel the owners of any or all houses to connect the same with 
such district sewer. 
III. CITIES OF THE SECOND CLASS 
Sec. 85. Sewers—Petition for construction—Construction by council. 
Whenever the owners of the majority of the frontage of the lots or lands 
adjacent to or abutting upon any street or alley or designated portion 
thereof shall petition the city council in writing to construct a sewer in 
said street or alley, or require sidewalks to be constructed along said 
street, or to grade or gravel or otherwise surface said street or alley or 
designated portion thereof, it shall be the duty of said city council to order 
said improvement to be made and to assess the cost of said improvement 
against the lots or lands adjacent to or abutting upon said street or alley 
so improved, and to collect the same, as herein provided. 
And whenever the city council deems it necessary that any sewer 
should be constructed, it shall construct the same and assess the costs 
thereof against the adjacent property, and collect the same as herein 
provided, and whenever the city council deems it necessary that any 
portion of a sidewalk, curb and gutter be constructed or repaired, it may, 
on its own motion, order the same to be done, and if not constructed by 
the owner upon notice the city may construct or repair the same and 
assess the costs thereof against the adjacent property owner and collect 
the same as herein provided. 
Sec. 86. Assessments not paid, how collected. When the cost of any 
improvement herein provided for shall be assessed against the owner or 
owners of adjacent or abutting property, and the same shall not be paid 
within thirty days, the city clerk shall certify said assessment to the 
treasurer of the county, who shall extend said assessment upon his tax 
roll and collect the same in the same manner as other taxes assessed upon 
said property. 
IV. CITIES OF FIRST AND SECOND CLASSES 
Sec, 375. Control park grounds outside limits. (Part.) Such city 
or city and county shall also have like power and jurisdiction to prevent 
from pollution the water in all reservoirs, streams and pipes which may 
be included within any such park, parkways, boulevards or roads, and over 
the stream or source from which such water is taken as far as ten miles 
above the point from which it is diverted. 
V. CITIES OF THE SECOND CLASS AND INCORPORATED TOWNS 
Sec. 89. Powers of council and board of trustees. (Part.) That the 
city council in cities of the second class, and towns and boards of trustees 
of towns, shall have the following additional powers, to-wit: 
(System of sewerage.) 
Seventh—To establish a system of sewerage, and for that purpose to 
divide the city into districts, and to impose a special assessment or tax to 
defray the expense of constructing such sewers upon private property LAWS. RULES AND REGULATIONS 
139 
within such district, or upon the lot or lots or lands adjacent to or abutting 
upon the street or alley where said sewer is laid; and to compel the owner 
or owners of any and all buildings located in said district, and on blocks 
abutting on any established sewer, to connect with such sewer, and to 
prohibit the keeping or maintaining of any vault, closet, privy or cesspool 
within said district or within four hundred feet of any established sewer; 
also to regulate the construction, maintenance and use of all vaults, clos- 
ets, privies and cesspools within the city limits and not within said pro- 
hibited districts or proximity to an established sewer. 
(Regulate water supply.) 
Tenth—To regulate the water supply used in said city for domestic 
or household purposes, and to prohibit and condemn the use of any and 
all surface wells, and the waters thereof, for domestic or household pur- 
poses, whenever the same shall be found injurious to the health of said 
city or of the inhabitants thereof. 
VI. INCORPORATED TOWNS 
Sec. 110. Construction of water mains by citizens. That whenever 
any incorporated town in the State of Colorado shall be the owner of a 
municipal water plant with water mains and in operation throughout the 
greater portion of said town and shall feel themselves at the time being 
unable to extend the same so as to cover the entire area contained within 
the corporate limits of said town, the citizens and resident taxpayers of 
any area containing four blocks or over situated in said incorporated town 
not having water mains therein may agree among themselves or a majority 
of the owners of the lots therein for the construction of the same and upon 
application to the board of trustees of said town by a majority of such 
owners the board of trustees shall have authority to enter into a contract 
with said citizens the owner or owners of said four blocks or over or with 
the majority thereof, to allow them to construct such water mains in such 
territory and to connect the same with the supply of water of said town; 
and the said town board shall have authority to enter into a contract with 
such citizens to allow all the proceeds derived from water rentals going 
to such addition through such water mains and collected as rental therefor 
to be applied to the payment of such water pipes, the cost thereof to be 
limited by the town to not to exceed the actual cost thereof upon any 
basis which the town itself could secure the construction of the same. 
Said payments to be made without interest and upon such terms not 
exceeding ten years as may be agreed upon by contract between the 
parties thereto. 
Sec, 111 Petition to construct mains, etc. (Part.) That for the pur- 
pose of carrying the provisions of this act into effect the owner or owners 
of four blocks or over, situated in any incorporated town in this state, 
owning its own municipal water plant, which has not been supplied with 
water mains shall present a petition to the board of trustees of the town 
offering therein to construct such water mains and pipes in the streets 
and alleys of said town in such manner and at such places and of such 
sizes as the said town board may require, and at a cost to said town as 
lowr as the same could be constructed by said incorporated town. 140 
COLORADO STATE BOARD OF HEALTH 
EXTRACTS FROM ACT RELATING TO LOCAL IMPROVEMENTS IN 
CITIES AND TOWNS 
(Colorado‘Statutes Annotated 1935, Chapter 138) 
Sec. 65. Power of city to make local improvements. It shall be law- 
ful for any city of any class in this state, whether organized under general 
laws or operating under a special charter, and any incorporated town, to 
construct any of the local improvements hereinafter mentioned and to 
assess the cost thereof, wholly or in part, upon the property especially 
benefited by such improvements, as hereinafter provided. The improve- 
ments shall be authorized by ordinance duly adopted and shall be con- 
structed under the direction of the city or town engineer or other officer 
having similar duties, or under the direction of the city council or board 
of trustees, in accordance with plans and specifications adopted by the city 
council or board of trustees of such city or town. The city council in cities 
and the board of trustees in towns, are hereinafter referred to and desig- 
nated as the ordering authority unless the context otherwise requires. 
Sec. 66. What improvements can be made—Conditions. The im- 
provements hereby authorized may consist of grading, paving, curbing, 
guttering, parking or otherwise improving the whole or any part or parts 
of any street or streets, alley or alleys, or streets and alleys in such city 
or incorporated town, or any one or more of said improvements, including 
the reconstruction, replacement, renewal or extension of the same; and 
in case of grading only, or grading and curbing only, the improvements 
may include the necessary cross walks; and thereafter, under the condi- 
tions herein prescribed, such further grading may be done as may be 
necessary in paving, repaving or otherwise improving the same area. Said 
improvements may also consist of any local improvement (and renewals 
or extensions thereof) which benefits the land abutting on such improve- 
ments, such as sidewalks, water mains or the necessary construction and 
appliances for the installation of a system of artificial lighting. Said im- 
provements may also consist of the construction of sewers, sewage dis- 
posal works and renewals or extensions thereof, and such other public 
works as may be considered necessary and authorized by the city council 
or board of trustees; provided: 
First—No improvement, except sidewalks, water mains, sewers and 
sewage disposal works and their appurtenances, shall be ordered under 
this act, unless a petition for the same is first presented, subscribed by the 
owners of a majority of the frontage directly abutting on that portion of 
the street to be improved, and except as specified herein, nothing in this 
Act shall restrict the right of such majority from securing any particular 
kind or variety of improvements petitioned for. In any case where a pro- 
posed improvement district includes two or more non-contiguous parts or 
sections, the owners of a majority of the property in each non-contiguous 
section shall petition as specified in this Act. 
Fourth—The ordering authority shall encourage competition, by ad- 
vertising for and receiving bids for such construction as hereinafter pro- 
vided, and shall, so far as possible within the limits of the petition, de- 
scribe all materials by standard or quality in the specifications. 
Fifth—Before contracting for or ordering any work to be constructed, LAWS, RULES AND REGULATIONS 
141 
a preliminary order shall be made by the ordering authority, adopting full 
details and specifications in conformity with petition for the same, defi- 
nitely describing the materials to be used, or stating that one of several 
specified materials shall he chosen, determining the number of install- 
ments and time in which the cost of the improvement shall be payable, 
the rate of interest to be paid on unpaid and deferred installments, and 
the property to be assessed for the same, as in this Act provided, and 
requiring an estimate of the cost to he made by the city or town engineer 
or any similar officer or employe, together with a map of the district in 
which the improvement is to be made, and a schedule showing the approxi- 
mate amounts to be assessed upon the several lots or parcels of property 
within the district; and no contracts shall be let for any amounts exceed- 
ing the estimate so made, except that the cost of collection, inspection, 
incidentals and interest may be added thereto as hereinafter provided. 
Sixth—The city or town clerk shall, by advertisement once a week 
for three consecutive weeks in a newspaper of general circulation in such 
city or town, give notice to the owners of the property to be assessed, (1) 
of the kind of improvements proposed, (2) the number of installments, 
(3) the time in which the cost will be payable, (4) the rate of interest to 
be paid on unpaid and deferred installments, (5) the extent of the district 
to be improved, (6) the probable cost per front foot, or in case of sewers, 
per square foot of district area, as shown by the estimates of the engineer, 
(7) the time, not less than twenty days after the first publication, when 
an ordinance authorizing the improvements will be considered, (8) that 
said map and estimate and schedule showing the approximate amounts to 
be assessed, and all resolutions and proceedings are on file and can be 
seen and examined by any person interested at the office of the city or 
town clerk, or other designated place, at any time within said period of 
twenty days, and (9) that all complaints and objections that may be made 
in writing concerning the proposed improvement by the owner or owners 
of any real estate to be assessed, will be heard and determined by the 
ordering authority before final action thereon. 
Seventh—The finding by ordinance or resolution of the city council 
or board of trustees that said improvements were duly ordered after notice 
duly given, and after hearing duly held, and that such petition was pre- 
sented, as above provided, and that said petition was subscribed by the 
required number of owners aforesaid, shall be conclusive of the facts so 
stated, in every court or other tribunal. 
Eighth—Any resolution or order in the premises may be modified, con- 
firmed or rescinded at any time prior to the passage of the ordinance 
authorizing the improvements. 
Tenth—If before any such improvements are made, any piece of real 
estate or any railway company to be assessed already has an improvement 
conforming to the general plan, or satisfactory to the ordering authority, 
an allowance therefor may be made to the owner and such allowance may 
be deducted from the owner’s assessment and from the contract price. 
Sec. 67. Construction of sidewalks, water mains, or sewers. In order- 
ing the construction of sidewalks, water mains or sewers, the proceeding 
shall be as required in the fourth, fifth, sixth, seventh, eighth and tenth 142 
COLORADO STATE BOARD OF HEALTH 
provisos of the last preceding section, but shall not be subject to the first, 
second, third and ninth provisos of said section. 
Sec. 73. City or town may establish sewer districts. Any city or 
incorporated town may establish and maintain sewer systems and sewage 
disposal plants for sanitary or storm drainage. 
Sec. 74. Establishment of district sanitary sewers—Contracts—Con- 
tiguous towns may unite in construction. Whenever the ordering authority 
shall declare the same as necessary for sanitary reasons, it may order the 
construction of district sanitary sewers in districts to be prescribed by 
ordinance, so as to connect with any public or distinct sewer, or with some 
natural drainage or disposal plant; and such districts may by like author- 
ity be divided into sub-districts or enlarged, diminished or otherwise al- 
tered by ordinance at any time, in accordance with the provisions of this 
Act. The contract for district sewers may include all necessary manholes, 
inlets and appurtenances, and such mains of such reasonable extent out- 
side the district as may be necessary to connect the district with a public 
sewer or some natural drainage or disposal plant. Any contiguous towns 
or cities may unite in the construction of a common sewer or sewers or 
cooperate in such construction or extend to each other the right to use any 
sewer constructed or to be constructed, when such use may he deemed 
necessary to either for the discharge of its sewage, and such cooperation, 
common construction or use shall be upon such terms as regards the 
apportionment of cost as may be agreed upon between the councils or 
board of trustees of such contiguous municipalities. 
Sec. 75. Private sewers—How constructed. Private sanitary sewers 
connecting with public or district sanitary sewers may be constructed 
under such restrictions and subject to such regulations as may be pre- 
scribed by ordinance; but no expense shall be incurred by the city or 
town in constructing or maintaining private sewers; and the owner of 
any premises in any sewer district may be compelled by ordinance to 
connect the same with the district sewer at his own expense. 
Sec. 76. Cost assessed in proportion to area. The cost of any district 
sanitary sewer, including inlets, manholes, connecting mains and appur- 
tenances, with interest, as hereinafter provided, may be assessed by ordi- 
nance upon all the real estate in the district, in proportion as the area of 
each piece of real estate is to the area of all real estate in the district, 
exclusive of public highways. 
Sec. 79. Sub-districts—May be ordered in sewer districts. At the time 
of ordering the construction of district sanitai-y or storm sewers, or at any 
time or times thereafter, the construction may, in like manner, be ordered 
in sub-districts in such manner as to connect the sub districts or such part 
or parts thereof, with the district sanitary or storm sewer for the purpose 
of sanitary or storm drainage. The cost of sub-district sanitary or storm 
sewers in each sub-district or part thereof, with the appurtenances, may 
be assessed upon all the land in the sub-district or in the part improved, 
in proportion as the area of each piece of land in the sub-district, or in 
part improved, is to the area of all the land in the sub-district, or in the 
part improved, exclusive of public highways. Combined sewers for sani- 
tary and storm drainage may be authorized and constructed in the same LAWS, RULES AND REGULATIONS 
143 
manner as hereinabove provided for the construction for sanitary or storm 
sewers, and the cost thereof assessed in the same manner and pi’oportion. 
EXTRACT FROM LAWS RELATING TO DOMESTIC WATER WORKS 
DISTRICTS 
(Colorado Statutes Annotated 1935, Chapter 174) 
Section 1. Domestic water works districts. Whenever a majority of 
the resident freeholders owning lands in any district, outside of incorpo- 
rated towns and cities, desire to provide for a domestic water supply, and 
water works, they may propose the organization of a domestic water works 
district outside of incorporated towns or cities under the provisions of 
this Act, and when so organized, each district shall have the powers con- 
ferred or that may hereafter be conferred by law upon such domestic 
water works district. 
EXTRACTS FROM LAWS RELATING TO EMINENT DOMAIN 
(Colorado Statutes Annotated 1935, Chapter 61) 
Sec. 2. Petition to assess, compensation—Contents—Parties. (Part.) 
Under the provisions of this Act, private property may be taken for private 
use, for private ways of necessity, for reservoirs, drains, flumes or ditches, 
on or across the lands of others for agricultural, mining, milling, domestic 
or sanitary purposes. 
(Colorado Statutes Annotated 1935, Chapter 163) 
Sec. 140. Eminent domain beyond limits for sewage disposal works, 
etc. Cities and towns are hereby granted the power of eminent domain 
both within and beyond their corporate limits, for the purpose of construct- 
ing or installing storm or sanitary sewers, septic tanks or disposal works, 
such power to be exercised in the manner prescribed by law; Provided, 
however. That nothing contained hei-ein shall authorize the pollution or 
contamination of any public river, stream or water. 
LAWS RELATING TO STREAM POLLUTION 
(Colorado Statutes Annotated 1935, Chapter 48) 
Sec. 257. Highway—Obstructing—Polluting water course, lake, sewer 
-—Penalty. If any person shall obstruct or injure or cause or procure to 
be obstructed or injured, any public road or highway or common street or 
alley of any town or village, or any public bridge or causeway, or public 
river or stream, declared navigable by law, or shall continue such obstruc- 
tion so as to render the same inconvenient or dangerous to pass, or shall 
erect or establish any offensive trade or manufacture or business, or con- 
tinue the same after it has been erected or established, or shall in any 
wise pollute or obstruct any water course, lake, pond, marsh or common 
sewer, or continue such obstruction or pollution, so as to render the same 
offensive or unwholesome to the county, town, village or neighborhood 
thereabouts; every person so offending shall, upon conviction thereof, be 
fined not exceeding three hundred dollars; and every such nuisance may, 
by order of the district court before whom the conviction may take place, 
be removed and abated by the sheriff of the proper county, and any inquest 
and judgment thereon had under the provisions of any law authorizing a 
writ of ad quod damnum shall be no bar to a prosecution under this section. 144 
COLORADO STATE BOARD OF HEALTH 
Sec. 258. Polluting streams—Penalty, If any person or persons shall 
hereafter throw or discharge into any stream of running water, or into any 
ditch or flume in this state, any obnoxious substance, such as refuse matter 
from slaughter house or privy, or slops from eating houses or saloons, or 
any other fleshy or vegetable matter which is subject to decay in the 
water, such person or persons shall upon conviction thereof, be punished 
by a fine not less than one hundred dollars nor more than five hundred 
dollars for each and every offense so committed. 
Sec. 259. Unlawful to flow oil into stream—Penalty. If any person 
or persons, corporation or corporations shall hereafter empty or cause to 
be emptied, or allow the emptying or flowing of oil, petroleum or other 
oleaginous substance into any of the waters of this state, or deposit or 
cause the same to be deposited at such distance that the same may be 
carried into such waters by natural causes, such person or persons, cor- 
poration or corporations, so offending shall be deemed guilty of a misde- 
meanor, and, upon conviction thereof, shall be punished by a fine not 
exceeding one thousand dollars, or imprisonment in the county jail not 
exceeding six months, or both such fine and imprisonment for each such 
offense. 
Sec. 4. Unlawful to defile waters of Platte river and Bear creek. It 
shall be unlawful for any person to deposit into the channels of the South 
Platte river or Bear creek, or any of their tributaries above the mouth of 
Clear creek, or between or upon the banks of said streams, any unwhole- 
some matter or substance whatever tending to the defilement or pollution 
of the water of said streams, or to allow the drainage from any sewer, 
drain or cesspool to drain into or percolate into said streams, or their trib- 
utaries, or any of them, or to permit any dead animal or decaying vegetable 
matter to be placed or left within a distance of three hundred (300) feet of 
the banks of any said streams, or their tributaries, or to do any other 
act or thing whereby the water of said streams might become polluted or 
unfit or unwholesome for human consumption; Provided, That the dis- 
turbances of water by placer mining or tailings from ore reduction mills 
flowing into any of said streams or tributaries shall not be construed as 
defilement or pollution of the water thereof. 
(Colorado Statutes Annotated 1935, Chapter 53) 
Sec. 5. City of Denver given jurisdiction over streams. The city and 
county of Denver is hereby given jurisdiction over said streams to protect 
their purity under Section 1 of this Act, and is hereby authorized to pro- 
vide by ordinance for the patrol of said streams and for the punishment 
of offenders against the provisions of this Act. 
Sec. 9. Obstructions or pollutions. The city council of the city and 
county of Denver may, and said council is hereby empowered, to enact 
and adopt ordinances for the purpose of preventing and removing obstruc- 
tions in said channel (8. Platte river within the city and county of Denver), 
or encroachments upon the same or polluting the waters thereof, and to 
in every manner control, regulate and protect said property, when im- 
proved in whole or in part as herein provided for, and provide for a pen- 
alty for the violation of any or all of said ordinances. LAWS, RULES AND REGULATIONS 
145 
REGULATIONS 
REGULATIONS RELATING TO SANITARY ENGINEERING 
PUBLIC WATER SUPPLIES, WATER PURIFICATION PLANTS, 
SEWER SYSTEMS AND SEWAGE TREATMENT PLANTS 
Rule 1. Definitions. For the purposes of rules 1 to 13 inclusive, the 
terms used are defined as follows: 
“Water supply”—all sources and their surroundings from which water 
is derived for drinking or domestic use by the public, also all structures, 
conduits and appurtenances by means of which water for such use is 
stored or delivered to consumers, except service pipes from street mains 
to buildings and plumbing within or in connection with buildings served. 
“Water purification plants”—all plants for treating water for drinking 
or domestic use by the public, by means of sedimentation, coagulation, 
filtration, sterilization or any other process or combination of such proc- 
esses. 
“Sewage”—the water-carried waste products or discharges from hu- 
man beings or animals, or chemicals or other wastes from residences, 
public or private buildings, swimming pools or industrial establishments. 
“Sewer systems”—all structures, conduits and pipe lines by which 
sewage is collected, transported and discharged except plumbing within 
and in connection with buildings and service pipes from buildings to street 
sewers, 
“Sewage treatment plants”—all plants which treat or were designed 
to treat sewage, by changing the nature of or removing any of its con- 
stituents, before final disposal into any of the waters, or upon any of the 
lands of the state. 
“Waters of the state”—all lakes, rivers, streams, ponds, springs, wells 
and other bodies of surface or ground water, natural or artificial, within 
the state or its jurisdiction. 
“Owner”—the state, county, city, town, village, coi'poration, firm, com- 
pany, institution, person or persons owning any water supply, wrater purifi- 
cation plant, sewer system or sewage treatment plant. 
Rule 2. Quality of water. No water shall be furnished to the public 
for domestic use containing or likely to contain bacteriological, biological, 
chemical or physical impurities which have an injurious effect upon health. 
The source, treatment, distribution and quality of the water shall be satis- 
factory to the State Board of Health according to sanitation surveys and 
laboratory examinations. 
Rule 3. Disposal of sewage. No sewage shall be placed or discharged 
or permitted to flow into any of the waters or upon any of the lands of 
the state in any manner determined by the Board to be unreasonably and 
injuriously affecting a public water supply or causing a nuisance, or con- 
sidered by the Board likely to have an unreasonable and injurious effect 
upon a public water supply or to cause a nuisance. 146 
COLORADO STATE BOARD OF HEALTH 
Rule 4. Descriptions of existing water and sewage works. At the 
request of the Board, every owner of an existing public water supply, water 
purification plant, sewer system or sewage treatment plant shall submit 
an accurate description of such water or sewage works, including such 
information as is specified in the request. 
Rule 5. Plans and specifications for new water or sewage works, 
extensions, alterations. No municipality, district, corporation, company, 
institution, person or persons shall install or enter into contract for install- 
ing a water supply, water purification plant, sewer system or sewage 
treatment plant to serve more than 25 persons until complete plans and 
specifications fully describing such water or sewage works have been 
submitted to and have received the written approval of the State Board 
of Health and thereafter such plans and specifications must be substan- 
tially adhered to unless deviations are submitted to and receive the written 
approval of the State Board of Health. 
No municipality, district, corporation, company, institution, person or 
persons shall make or enter into contract for making any additions to, or 
changes or alterations in, any existing water supply or water purification 
plant serving more than 25 persons, when such additions, changes or 
alterations involve the source of supply or means for collecting, storing 
or treating the water, or any changes in or additions to any sewer system 
or sewage treatment plant serving more than 25 persons, until complete 
plans and specifications fully describing such proposed additions, changes 
or alterations have been submitted to and have received the written ap- 
proval of the State Board of Health, and thereafter such plans and speci- 
fications must be substantially adhered to unless deviations are submitted 
to and receive the written approval of the State Board of Health. 
Upon application, accompanied by an outline of any proposed new 
water supply, water purification plant, sewer system or sewage treatment 
plant, or any change in any such existing water or sewage works, the 
general requirements which will meet the approval of the Board will be 
outlined. Preliminary or incomplete plans may be submitted for approval 
and recommendations, if accompanied by a statement outlining omitted 
portion, detail plans for which shall be submitted before final approval. 
All plans and specifications shall be submitted in duplicate, one copy 
to be retained on file by the Board and one returned to the owner. Plans 
shall be approved as to structural, mechanical and electrical features by 
registered engineers before being submitted for approval by the Board. 
The plans and specifications shall include an engineer’s report, gen- 
eral plans, detailed plans and specifications. 
The engineer’s report and the specifications shall either be typewritten 
on letter or legal size sheets or printed in convenient pamphlets, and shall 
be neatly bound in either case. 
Plans shall be drawn to suitable scales and shall mot be larger than 
can be conveniently handled. They shall consist of sketches or prints 
upon a medium or light-weight, high-grade paper that will neither crack 
when folded nor tear with reasonable usage, or upon cloth, unless other- 
wise requested by the Board. The scale in feet to which the plans are 
drawn, the north point, the date and the names of the designer and owner LAWS, RULES AND REGULATIONS 
147 
shall in all cases be indicated. All plans shall be made by persons skilled 
in drafting. 
Plans for modifications or extensions to existing systems or plants 
shall indicate clearly the connection or relation thereto, and, if not already 
on file with the Board, submittal of plans of the existing system or plant 
also may be required. 
The engineer’s report for water works shall cover the following: 
(a) Water Consumption: State the present and estimated population 
twenty-five years hence for municipalities; for institutions the present 
and estimated ultimate capacity. Any special conditions that might affect 
the growth of the municipality or institution; also any industrial activities 
that may affect the requirements of the water supply should be discussed. 
Give estimate of the daily total and per capita consumption, both for pres- 
ent and future population. 
(b) The Source of Supply: If samples of the water can be obtained, 
results of chemical and bacteriological analyses shall be included, other- 
wise the probable character of the water shall be discussed, basing con- 
clusions on analyses or other available information regarding water from 
similar sources. 
If a surface supply, the area, population, and a description of the 
tributary watershed shall be given. All possible sources of pollution, topo- 
graphical and geographical features of the watershed, and other condi- 
tions that might in any way affect the quality or quantity of the supply 
shall be discussed in detail. 
If the source is ground water, give details regarding the numbex,( 
depth and character of the wells, springs, infiltration galleries, etc., and 
definite information regarding the various strata. State whether the 
source is ever subject to flooding and describe methods of protecting 
against contamination. 
. (c) Purification: State reasons for adopting the method of purifica- 
tion outlined, specifying any experimental work done. Describe com- 
pletely any special appliances. 
(d) Pumping Equipment: The number, type, size and capacity of the 
pumps to be installed and type of power shall be given. Discuss clearly 
any special features and method of connecting the pumps with the wells, 
suction lines and other parts of the system. 
(e) Distribution System: State the class, weight and amount of the 
various sizes of pipe and describe any special features. 
(f) Storage: Give amount and location of the storage available, both 
before and after purification, together with details regarding its effect 
upon the quality of the water. 
(g) Fire Protection; Discuss adequacy of fire protection with regard 
to capacity and pressure. 
(h) Cost: Give estimated cost of integral parts of the system, both 
for complete design and original installation. 
The engineer’s report for sewage works shall cover the following: 
(a) Sewage Flow: State the present and estimated population for 
municipalities twenty-five years hence, and for institutions the present 
and ultimate capacity. Estimate the amount of domestic sewage, ground 148 
COLORADO STATE BOARD OF HEALTH 
water, industrial waste, etc., that the system or various parts thereof may 
have to care for, both for present and future needs. 
(b) Source of Water Supply: Give location of intake or wells, etc., 
also approximate maximum, minimum and average daily water consump- 
tion if public supply is already in use. 
(c) Extent of System: State extent to which plans provide sewerage 
facilities, both for initial installation and future development. 
(d) Industrial Waste: Give character of industrial wastes inasmuch 
as they may affect the sewerage system. 
(e) Special Features: Discuss low grades, special devices, etc. 
(f) Type of Purification: Discuss type both for present and future 
needs, and reasons for adopting the proposed method. 
(g) Soil: State probable character of soil or strata through which 
the sewers are to be laid and portion of the system that will be below 
normal ground water level. 
(h) Cost: Give estimated cost of integral parts of system, both for 
the complete design and original installation. 
(i) Outfall: Describe the stream or body of water into which the 
final effluent is to discharge. If a stream, give width, depth and estimated 
minimum flow. State what its water is used for below the outlet, and 
whether there are any special conditions, such as a dam, that will affect 
the flow. If a lake, give approximate area, also depth in vicinity of the 
outfall. 
The general and detailed plans and specifications shall clearly, com- 
pletely and definitely indicate and specify all features of the proposed 
water or sewage works in sufficient detail to permit proper construction. 
Rule 6. General requirements for design of sewage works. In gen- 
eral, in the design and construction of water and sewage works, approved 
modern practice shall be followed. In case new appliances or methods 
are adopted, sufficient data based upon practical application, experimental 
or otherwise, shall be submitted to show that satisfactory results can be 
secured. 
Water and sewage works shall be designed to provide amply for the 
probable population at least twenty-five years hence, except in considering 
parts of systems that can be readily increased in capacity. Similar con- 
sideration shall be given to the ultimate capacity of institutions. 
All materials of construction shall be of approved quality, quantity 
and proportion. A registered engineer shall be responsible for the design 
of all water and sewage works construction. 
General Comments: 
SEWAGE TREATMENT WORKS 
(a) Degree of Treatment. The discharge, character, and usage of 
the outlet stream will govern the degree of treatment required for each 
specific problem. In general, complete treatment will be necessary, with 
effluent chlorination in some cases, to afford additional protection in 
streams used for recreation. Primary treatment will be considered in a 
very few instances on the larger streams where the usage is such that LAWS, RULES AND REGULATIONS 
149 
rigid pollution requirements are not necessary at this time. A provisional 
permit will be granted for such installations. 
Delay and misunderstanding will be avoided if the engineer will con- 
tact this office relative to the degree of treatment required for any specific 
location before commencing a design. 
(b) Type of Treatment. The importance of careful studies upon 
which to base the choice of treatment units cannot be overemphasized. 
Topography, industrial wastes, power costs, plant location, and probable 
character of operation supervision are some of the important factors to 
be given consideration in choosing the type of treatment units. In the 
past, unwise selection of the type of treatment has resulted in the installa- 
tion of plants requiring operation expenditures beyond the financing ability 
of some small municipalities. 
(c) Tests of completed plants to determine the operating efficiency 
will be supervised by the Division of Sanitary Engineering at the request 
of the engineer and municipality and, in some cases, the collection of 
samples and tests will be conducted by the personnel of that division. The 
manufacturer of the equipment should be required to supervise operation 
of the plant during the test period and to instruct the operating personnel 
in the maintenance and proper use of the equipment. 
(d) Cross Connections. No piping or other connections should exist 
in any part of the treatment works which under any conditions might 
cause the contamination of a drinking water supply. 
(e) Sewage Flow Measurement. Equipment for measuring and re- 
cording the volume of sewage coming to the treatment works is essential 
for the intelligent and economical operation of the plant and for the main- 
tenance of complete records. 
(f) By-passes. Properly located and arranged by-pass structures are 
essential to the intelligent operation of any sewage treatment works. It 
should be possible to by-pass any major plant unit while maintaining other 
units in service. 
Overflow by-passes are usually necessary ahead of: 
(1) The first treatment unit; (2) pumps; (3) the secondary treatment 
units, especially where secondary treatment is by activated sludge. Raw 
sewage by-pass should preferably take place after screening. 
(g) Drains. It should be possible to completely drain each unit 
(except Imhoff tanks, and sludge digestion tanks in some cases) by gravity 
or pumping. 
(h) Fences, Railings, Walkways. Enclosure of the plant by a suit- 
able fence will afford protection against vandalism, and accident or loss 
of life to trespassers. Handrails should be provided around all open tanks 
where there is possibility of accidents to plant personnel or visitors. 
Conveniently located walkways of adequate width will encourage 
proper maintenance of units requiring frequent skimming or similar at- 
tention. 
(i) Construction Materials, Paints. Nearly all parts of sewage treat- 
ment structures are subjected to unusual corrosive action due to the 
presence of hydrogen sulfide, gases, and similar corrosive agents. Ac- 150 
COLORADO STATE BOARD OF HEALTH 
cordingly, judgment is required in the selection of construction materials 
and development of paint specifications. 
(j) Laboratory Equipment. A suitably equipped laboratory is a 
requisite to efficient operation control and adequate records at sewage 
works. Obviously, the laboratory facilities needed depend upon the type 
and size of the plant and itemized lists of equipment for various classes of 
plants are available upon request. 
Sewage Pumps: 
(a) Sewage pumps should always be protected against screenable ob- 
jects by means of bar or basket screens, shredding devices, or piping 
arrangements permitting by-pass of large objects around the pump. Where 
screens are located in deep pits, the arrangement for handling screenings 
should not require such unpleasant and arduous manual labor that proper 
attention by maintenance personnel will be discouraged. Provision shall 
be made for grit removal. 
Imhoff Tanks; 
(a) Settling Channels. Based on the average design flow, the reten- 
tion period when secondary treatment is by sand or trickling filters should 
be at least 2 hours. When preceding activated sludge units, a retention 
period of 1.5 hours is adequate. 
Inlets and outlets should be arranged to effectively develop the full 
area of channels. Flow distribution baffles at inlets and scum baffles at 
outlets should be adjustable. Provision for reversal of flow is necessary 
in long tanks. Walkways should be provided so that the operator may 
safely and conveniently carry on skimming and scum control operations. 
The walls converging to the slot should have a minimum slope of 1 
vertical to 1 horizontal and the slot opening should be about 8 inches with 
an overlap of 6 inches. 
(b) Sludge Digestion Compartment. The sludge volume shall be 
computed 18 inches below the uppermost point at which the full overlap 
at the slot is effective. 
At least 3 cubic feet per capita of sludge storage capacity shall be 
provided for the design population. Secondary treatment is by trickling 
or intermittent sand filters. 
Sludge hopper floors should be sloped at least 1.5 horizontal to 1 ver- 
tical. With proper slopes here, flushing rings are not considered necessary 
and may result in water supply contamination through back-siphonage. 
(c) Gas Vents. These openings should be at least 24 inches in width 
and should have an area at least 20 per cent of gross area of sludge diges- 
tion compartment. 
(d) Sludge Piping. Where sludge withdrawal is by gravity, the net, 
static head on the pipe must be at least 5 feet. Such piping should be 8 
inches in diameter and arranged for rodding and draining. Repairs will 
be facilitated if valves are located outside the tank. 
Bends in sludge piping should be minimized insofar as possible and 
cleanout openings provided for correcting clogging. LAWS, RULES AND REGULATIONS 
151 
(e) Sludge Digestion Units. The practice of basing sludge digestion, 
storage and drying requirements on dependable analyses of the volatile 
and ash content of the sludge to be handled, is encouraged. Where defi- 
nite data on the amount and character of sludge is not available, plans are 
checked on the basis of the following per capita volumes with some modi- 
fication for large installations: 
Heated Tanks 
Unheated Tanks 
(Cu. ft. per Cap.) 
(Cu. ft. per Cap.) 
Primary Sludge only 
2.5 
3.0 
Primary Sludge plus trickling 
filter humus 
2.5 
4.0 
Primary Sludge plus waste 
activated sludge 
3.5 
6.0 
Any sludge digestion or storage unit must be afforded insulation, by 
an earth embankment or other approved methods, to the overflow eleva- 
tion. These structures should be located above the ground water level to 
avoid excessive loss of heat. 
Flexible facilities for handling supernatant liquor are essential to 
good digester operation. Piping should permit withdrawal of supernatant 
at several levels with a trapped overflow to prevent the discharge of scum. 
It should also be possible for the operator to inspect the supernatant at 
several levels in order to determine the best point of withdrawal. Sampling 
piping furnished for this purpose should be at least V/z inches in diameter. 
Supernatant piping should permit optional discharge to the raw sewage 
sludge drying beds, lagoons, or to secondary treatment influent. Where 
separate digesters are used to augment Imhoff tanks, supernatant liquor 
may be discharged to the gas vents of the latter. 
The raw sludge feed pipe should discharge to the digester at a vertical 
distance not less than the radius of the tank from the point of supernatant 
removal. 
Trickling Filters: 
(a) Conventional Type. It is deemed best that trickling filter sizes 
be based on the organic matter content of the applied sewage, loadings up 
to 400 pounds of 5-day B.O.D. per acre foot per day being considered 
satisfactory. Where representative, dependable analyses are not available 
for such computations, the filter volume may be based on a design popula- 
tion loading of 3,500 persons per acre foot for strictly domestic sewage. 
Additional volume is necessary if industrial wastes of consequence are to 
be received for treatment. 
The depth of stone should be not less than 5.5 feet nor greater than 7 
feet, unless a greater depth is justified by an exceptionally strong applied 
sewage. 
Filter media must be clean, hard, sound, crushed rock or gravel, free 
of porous spots and sufficiently durable to withstand 20 cycles of the 
sodium sulfate soundness test, in accordance with the sampling and lab- 
oratory procedures set forth in Manual of Engineering Practice No. 13, 
American Society of Civil Engineers. The material should be reasonably COLORADO STATE BOARD OF HEALTH 
152 
uniform in all dimensions. It is believed that lxk to 21/£-inch stone will 
give effective treatment with a minimum of surface clogging. Specifica- 
tions should provide that not more than 5% shall pass a 1-inch circular 
opening. Oversize material may be used to an elevation of not more than 
6 inches above the top of the underdrains. 
Adequate underdrains of an approved type designed for this usage 
should be specified, with provision made for ample ventilation throughout 
the bed. 
Fixed spray nozzles, revolving distributors, or other established meth- 
ods of distribution of sewage over the filter surface, will be considered 
satisfactory. 
(b) High Rate Type. The rate of primary treated sewage effluent on 
bio-filters shall not exceed 2 y2 pounds of B.O.D. per day per cubic yard 
of stone. The depth of stone shall not be less than three (3) feet. 
Chemical Precipitations: 
(a) Adaptability. It is considered that certain outlet stream condi- 
tions justify the seasonal use of chemical precipitants to increase effi- 
ciency of primary treatment units. Such chemical precipitants may also 
be effective in augmenting overloaded treatment units and in preliminary 
treatment of certain industrial wastes. 
(b) Chemicals. The plans and specifications should state the chemi- 
cal or combination of chemicals which are proposed to be used. 
Chemical feed devices should provide for a wide range of dosages to 
meet variable conditions. Ample chemical storage space, located and 
arranged for convenient handling of chemicals, should be made available. 
(c) Tank Capacities. Provision should be made for rapid mixing of 
chemicals and sewage at the points of application, followed by gentle agi- 
tation or flocculation, the total mixing and flocculation period being at 
least 2 hours and a surface settling rate of less than 1,000 gallons per day 
per square foot of surface area, based on the average design flow. 
Velocities of flocculated sewage through pipes, channels, and ports 
should not exceed 0.5 foot per second. 
Sludge digestion, storage, and drying requirements will be greater 
than for primary sludge alone, depending on the period of operation with 
chemicals. Sufficient data must be submitted by the engineer to indicate 
the basis for his design consumptions. 
Chlorination: 
When the effluent from a sewage treatment plant is deposited into an 
irrigation ditch, or into a stream, from which irrigation water is used to 
irrigate vegetables, the following chlorination is required: 
The final effluent from any treatment plant may be dis- 
charged into a chamber which will have a minimum detention 
period of 20 minutes during maximum daily flows. A residual 
chlorine of 0.5 p.p.m. must be maintained in this tank at all 
times. LAWS, RULES AND REGULATIONS 
153 
Rule 7. General requirements for design of water works. A suitable 
intake properly screened and located shall be provided for surface sup- 
plies. Wells, springs, etc., shall be adequately protected from all surface 
wash. Ground water sources shall be so located that there will be no 
danger of pollution from insanitary surroundings such as cesspools, priv- 
ies, sewers, etc., or the water shall be properly sterilized, and if necessary 
adequate additional treatment. ' 
The pumping equipment shall be divided into two or more units except 
where ample storage is available to permit necessary repairs without inter- 
rupting the service. The capacity shall be ample for fire protection and 
domestic consumption. 
Some modern method of purification, applicable to the needs of the 
municipality or institution, and adaptable to the water to be treated, shall 
be provided in connection with all surface supplies. Apparatus for direct, 
positive and accurate application of chemicals, also adequate mixing de- 
vices and sedimentation basins, shall be provided in connection with all 
mechanical gravity or pressure filters. In each case a careful study should 
be made of the character of the water and experimental work done, if 
necessary, to determine the type of purification or treatment adaptable. 
Sand shall be practically pure quartz or silica free from dirt or foreign 
material. The following average rates of filtration shall not be exceeded: 
Slow sand filters, 4,000,000 gallons per acre per day. 
Purification plants shall be divided into a sufficient number of units 
to allow for necessary repairs and alterations without interrupting the 
service or impairing the quality of the water delivered. 
Auxiliary intakes, by-passes, or cross connections whereby polluted 
water may be pumped or allowed to flow into the distribution system of 
any public supply under any conditions will be prohibited except under 
the following special conditions: 
(a) An existing auxiliary intake or by-pass may be maintained, pro- 
viding a section of the pipe is removed to be reinserted only in case of 
emergency. Before reinserting the pipe the consumers shall be notified to 
boil all water and the Board shall be notified by wire. 
(b) In new supplies, auxiliary intakes or by-passes may be permitted 
by special approval of the Board if satisfactory reasons are set forth as 
to the necessity therefor, and installation made in accordance with (a) 
above. 
(c) Any existing cross connection may be continued if protected by 
double check valves equipped with suitable gages, valves, etc., for testing, 
and on condition that monthly inspections of such equipment are made by 
the owner of the public supply and results thereof reported to the Board. 
The Board, however, reserves the right to require the elimination of any 
cross connection if inspections are not regularly made or if the connection 
is found faulty. New cross connections are prohibited. 
The distribution system shall be constructed of suitable material and 
provided with sufficient shutoff valves to facilitate operation and repairs. 
Where practical, dead ends shall be connected so as to provide adequate 154 
COLORADO STATE BOARD OF HEALTH 
circulation of the water. Pipe smaller than 4 inches in diameter shall not 
be used in municipal systems except for isolated service connections. 
The pumping equipment, storage facilities, distribution system and 
location of hydrants shall be such as will furnish adequate fire protection. 
Rule 8. General requirements for design of sewage works. All new 
sewer systems should be designed as sanitary sewers or on the “separate” 
plan. In existing systems constructed on the “combined” plan, adequate 
storm water overflows shall be provided in connection with treatment. 
Furthermore, future developments and extensions should be constructed 
as “separate” rather than “combined” systems when practicable. No 
storm water from streets, roofs, etc., shall be allowed to discharge into 
sanitary sewers. 
All sewers shall be laid to a grade not less than that indicated in the 
following table, except when necessary because of special conditions, in 
which case definite reasons therefor shall be given. 
Fall in feet per 
Size of pipe 
100 feet of sewer 
6 inches 
0.50 
8 inches 
0.40 
10 inches 
0.28 
12 inches 
0.20 
15 inches 
0.15 
18 inches 
0.11 
20 inches 
0.10 
24 inches 
0.09 
Manholes shall be installed at all changes in grade or direction and at 
distances not greater than 400 feet apart. Lampholes may be used only 
for special conditions and shall not be substituted for manholes nor in- 
stalled at the end of laterals greater than 250 feet in length. All sewers 
shall be laid in true alignment between manholes. 
Treatment shall be provided in connection with all new installations, 
the extent of which will depend upon local conditions. In connection with 
developing or modifying existing systems where no treatment is now pro- 
vided, efforts shall be made to so reconstruct the system as to bring the 
sewage together at points suitable for treatment, which shall be provided 
as soon as practicable. 
Plans for sewage treatment plants will be approved only when the 
following rates of operation are not exceeded except where special condi- 
tions exist, when the Board may permit higher rates and modifications: 
Septic Tanks. A detention period of eight hours. 
Imhoff or Similar Tanks, (a) In the flowing through or settling cham- 
ber, a detention period of not less than 2 hours, (b) In the sludge diges 
tion compartment, a capacity of not less than 1.5 cubic feet per capita com- 
puted below a horizontal plane 18 inches below the slot, (c) Gas vent area 
not less than 10 per cent of total surface area of tank and width not less 
than 2 feet. 
Intermittent Sand Filters. 1,000 persons per acre of area, the filter to 
have a minimum depth of 3 feet above the under drains. LAWS, RULES AND REGULATIONS 
155 
Treatment plants shall be divided into such a number of units that 
necessary repairs or alterations can be made without impairing the char- 
acter of the effluent. 
Adequate provision shall be made for the disposal of sludge or screen- 
ings in connection with all treatment plants, and in no case will the dis- 
charge of sludge or screenings into a stream or watercourse be permitted. 
Sludge bed areas shall not be less than % square foot per capita for Imhoff 
or other digestion tanks. 
No definite requirements are made for the activated sludge, trickling 
filters, separate sludge digestion or other special processes. Each installa- 
tion of this character will be considered separately. 
Plants shall be of adequate capacity and all by-passes shall be 
equipped with lock and key. 
Rule 9. General requirements for operation of water and sewage 
works. Because of various local conditions which it is impossible to 
anticipate, it is impracticable to set forth other than general rules gov- 
erning the operation of water and sewage works. Every owner, however, 
will be required to so operate these works as to obtain a reasonably high 
degree of efficiency at all times. Specific instructions based upon investi- 
gations will be given from time to time regarding the operation of indi- 
vidual plants. 
A competent person shall be in charge of the operation of every water 
and sewage works, who shall study the various controlling factors in order 
that maximum efficiency may be obtained at all times. In case of incompe- 
tent supervision or inefficient operation, the Board, after due notice, may 
require the owner to make such changes as may be considered necessary 
to obtain proper results. 
When chemicals are used in connection with any purification or treat- 
ment process, a sufficient quantity of high-grade material shall be kept on 
hand all times to insure against ineffective operations due to delays in 
securing these materials. 
Suitable analyses shall be made and records kept upon approved forms 
in connection with the operation of all municipal water purification and 
sewage treatment plants. Certified reports upon approved forms regard- 
ing the operation of all water purification and sewage treatment plants 
shall be submitted to the Board wrhen requested. 
Where existing plants are so constructed that satisfactory results 
cannot be secured, such alterations may be required as are necessary to 
secure proper results. 
Rule 10. General requirements for operation of water works. All in- 
takes, pumping equipment and distribution system shall be maintained 
in a proper operating condition at all times. The mains shall be regularly 
flushed at sufficiently frequent intervals to prevent accumulation of sedi- 
ment or of stagnant water. All newly installed or repaired water mains 
shall be thoroughly flushed with water of good quality before any water 
from them is permitted to reach any consumer, and all mains four inches 
in diameter or larger shall, following this flushing and before being placed 
in service, be sterilized by the following or an equivalent method: The 
main shall be filled completely with w'ater containing at least five parts 156 
COLORADO STATE BOARD OF HEALTH 
per million (41.5 lbs. per million gallons) of chlorine, and after 30 minutes 
or more of contact with this chlorine water the main shall be drained and 
again thoroughly flushed with water of good quality. 
All sedimentation and storage reservoirs shall be cleaned at suffi- 
ciently frequent intervals to prevent such accumulation of sediment as 
will interfere with the efficient operation of the water works. 
Slow sand filters shall be cleaned at such times as may be necessary 
to secure efficient operation. In general, the “loss of head” should not 
exceed 5 feet before cleaning. When sand has been removed from the fil- 
ter so that the remaining depth is less than feet, the filter bed shall be 
brought up to its original depth by adding clean sand of a proper size and 
grade. 
In connection with all mechanical filters the water shall receive pre- 
liminary treatment consisting of coagulation with or without sedimenta- 
tion. A sufficient amount of the coagulant shall be applied at all times 
to secure a satisfactory floe. Before the “loss of head” has reached 10 
feet, the filters shall be washed with filtered water until the effluent wash 
water is reasonably clear. Subsequent to washing, the first filtrate shall 
be wasted for a sufficient period of time to place the filter again in effec 
tive operating condition. Sudden changes in the rate of filtration shall be 
avoided. 
Care must be exercised to prevent caking or cementing of the sand in 
the filter beds and should this occur, the sand shall be removed and re- 
placed by new sand or the old sand may be screened and returned to the 
beds. 
Where any process of sterilization is used as a method of purification, 
the plant shall be so operated as to secure effective results at all times. 
Extra parts or duplicate apparatus shall be kept on hand to avoid unnec- 
essary delays in making repairs. Ortho-tolidine or other effective tests 
shall be made at regular and frequent intervals to determine residual 
chlorine, and the results used in governing the chlorine dosage. 
Rule 11. General requirements for operation of sewage works. The 
sewer system shall be kept free from obstructions at all times by the use 
of flushing or cleaning devices where necessary. It shall otherwise be 
maintained in a proper condition. 
All sewage pumping equipment shall be maintained in an efficient 
operating condition in order to prevent backing up of the sewage into the 
collecting system or bringing into play overflows or by-passes which may 
result in the discharge of untreated sewage. 
. All sewage screens shall be frequently cleaned so as to prevent stop- 
page and the screenings shall be properly disposed of. 
In all methods of tank treatment, the sludge shall be removed and 
properly disposed of at such intervals as not to interfere with the effec- 
tive operation of the plant. In general, part of the sludge from Imhoff or 
similar tanks should be removed every three months, except that by 
removing the sludge late in the fall the tank may be allowed to run 
through the winter without subsequent removal, providing the sludge stor- LAWS, RULES AND REGULATIONS 
157 
age capacity is sufficient. Tanks should have adequate supervision to 
guard against stoppages which might result in backing up the sewage into 
the collecting system or in bringing into play overflows which would 
result in the discharge of untreated sewage. 
The dosing devices in connection with intermittent sand filters shall 
fie maintained in an efficient operating condition at all times to assure 
proper dosing of the various beds. The doses should be of sufficient quan- 
tity to provide uniform distribution over the bed (about 3 inches in depth), 
be so arranged as to allow lor a proper rest period, and not exceed 3 per 
day. In case the filter becomes “foul,” it should be put out of service for 
sufficient time to recuperate. It is recommended that slow sand filters be 
covered in the winter in order to obtain satisfactory operating results. 
If not covered, they should be furrowed or otherwise prepared for winter 
operation. The filters should be cleaned late in the fall in preparation for 
winter operation and should also be cleaned as early in the spring as 
possible. When the depth of the filter sand has been reduced to 1% feet, 
it shall be brought to its original depth by adding clean sand of a proper 
size and quality. 
The dosing devices for sprinkling filters shall be carefully maintained 
to secure proper operation at all times. The distribution system shall be 
arranged so as to provide as uniform distribution of the sewage as possible 
and the spraying nozzles be kept free from obstructions. If not covered, 
the cycle of operation and dose shall be arranged so as to prevent freezing 
and assure continuous operation of the plant. 
All dosing devices of contact beds shall be properly maintained in 
order to assure maintenance of a cycle of operation that will produce satis- 
factory results. The standing full period should not be less than 45 min- 
utes nor more than 2 hours. The rest period should be at least four hours. 
The number ot fillings daily should not exceed three. 
No specific instructions are given for activated sludge plants, but 
such plants shall be so operated as to secure effective results at all times. 
The method of sludge disposal shall be carefully maintained at all 
times and in no case shall 4he sludge from any treatment tank be dis- 
charged into any stream or watercourse, or so disposed of as to create a 
nuisance. 
Where any process of sterilization is used as a method of sewage 
treatment, the plant shall be so operated as to secure effective results at 
all times. Extra parts or duplicate apparatus shall be kept on hand to 
avoid unnecessary delays in making repairs. Ortho-tolidine or other effec- 
tive tests shall be made at regular and frequent intervals to determine 
residual chlorine, and the results used in governing the chlorine dosage. 
Rule 12. Approval of municipal water supplies. At the request of 
any municipality in the state, an investigation of its public water supply 
system will be made by the Division of Sanitary Engineering. If the sup- 
ply is found to be satisfactory from a sanitary standpoint, it will be ap- 
proved, and the municipality will be given permission to place signs on 
the highways entering it, bearing the inscription: 158 
COLORADO STATE BOARD OF HEALTH 
PUBLIC WATER SUPPLY 
APPROVED 
COLORADO STATE BOARD OF HEALTH 
(Name of Municipality) 
Municipalities whose water supply systems upon investigation are 
found unsatisfactory, will be advised as to the improvements necessary 
for approval. Upon completion of these improvements and at the request 
of the municipality, another investigation will be made, and, if the system 
is then found to be satisfactory, approval will be given. 
The specifications pertaining to this service are: 
(a) To be considered satisfactory the water supply system shall con- 
form to the “Drinking Water Standards” of the U. S. Treasury Department. 
(Adopted June 20, 1925, for water supplies used for drinking and culinary 
purposes or interstate common carriers.) 
(b) The municipality shall assist in the investigation by furnishing 
as completely as possible all information requested regarding the water 
supply system. 
(c) Samples of water for bacteriological examination shall be sub- 
mitted by the municipality, according to the procedure of the State Board 
of Health, at intervals of one month for surface water supplies, and three 
months for deep well supplies, or more often upon request. 
(d) The signs used for this purpose shall be of a standard design 
approved by the State Board of Health. With uniformity and economy in 
view, an arrangement has been made whereby the municipalities can 
purchase them at cost through the Rocky Mountain Motorists, Inc., Foster 
Building, Denver. They are made of baked enamel on heavy steel plate, 
and are priced at about $2.50 each. They shall be erected by the munici- 
pality on metal posts, at the corporate limits, in accordance with the 
specifications of the State Highway Department. 
(e) If at any time after approval it is found by a sanitary survey or 
by bacteriological examinations that the water supply system has become 
unsatisfactory, the municipality will be notified and advised as to the 
improvements necessary. If these or other equally effective improvements 
are not made within a reasonable time, the municipality shall remove the 
signs immediately upon notice from the State Board of Health, and they 
shall not be replaced until the system is again approved. 
Rule 13. Approval of tourist and other public camps and resorts 
CLASS “A” REQUIREMENTS 
1. Water supply. All public and private camps shall have an ade- 
quate supply of “safe” water for drinking and culinary purposes. Cross 
connections between a “safe” and “unsafe” water supply will not be 
permitted. 
2. Flush toilets in each cottage. 
3. Water piped to each cottage with sink accommodations. LAWS, RULES AND REGULATIONS 
159 
4. Sewerage system. All public and private camps shall be provided 
with adequate sewerage facilities. The sewage shall be disposed of in 
properly constructed septic tank and cesspool, or septic tank with sub- 
surface seepage system in an approved location, or discharged into a city 
or town sewerage system. 
5. Shower bath provided for each sex. 
6. Garbage. Each cottage shall have a metal garbage can with tight 
cover and the collection of garbage made daily and disposed of in a sani- 
tary manner so as not to contaminate any water course or cause a nui- 
sance. The fly menace shall be effectively controlled. 
7. Cottage windows and doors shall be properly screened. 
8. Rubbish. Grounds shall be kept free from rubbish, and receptacles 
provided for disposal. 
9. Proper laundry facilities shall be provided. 
CLASS “B” REQUIREMENTS 
1. Same as Class “A” except sections 2 and 3. 
2. Drinking water shall be piped to a centrally located place with 
sanitary cups provided, or an approved type of sanitary drinking fountain. 
3. A sufficient number of flush toilets shall be provided for both sexes 
in a centrally located building. 
Approved by the State Board of Health, if Nos. 1 and 2 under Class 
“B” requirements are complied with, and privies constructed according to 
our “approved” design. 
Camps approved as Class “A” or “B” will be permitted to display 
classification signs and certificates. 
CLASS “C” 
Rule 14. Garbage collection. All municipalities shall provide for the 
collection of garbage at regular and frequent intervals, and between col- 
lections all garbage shall be kept in fly-tight containers. 
MUNICIPAL GARBAGE COLLECTION AND DISPOSAL 
Rule 15. Garbage disposal. All municipalities shall provide a sanitary 
and inoffensive method for the disposal of garbage. If incineration or re- 
duction or any other such method is used, the plants shall be operated so 
that no odor nuisance is caused at any time. 
Rule 16. Septic tanks. Septic tanks shall be constructed of good 
quality concrete or other impervious and durable material. Their working 
capacity should not be less than 100 gallons per person served, and the 
minimum size tank, for two persons, should not be smaller than 500 
gallons. 
Larger tanks operate more efficiently and require less frequent clean- 
ing. The depth below the Water line should not be less than 4 feet, and 
the length should be at least twice the width. Baffles should be provided 
to prevent currents directly through the tank and the outlet should be COLORADO STATE BOARD OF HEALTH 
arranged to prevent scum at the top or sludge at the bottom from passing 
out. 
The liquid coming from septic tanks is not purified; it merely has most 
of the solid particles of the sewage removed. Consequently this liquid 
must not be permitted to enter any stream, lake, well or spring used for 
a domestic water supply; it must be disposed of by letting it seep into the 
ground through cesspools, or through subsurface disposal fields composed 
of tile pipes laid with open joints, on a flat grade, about a foot below the 
ground surface. 
Septic tanks and all parts of their seepage systems should be located 
at least 50 feet from any mountain stream, lake, or dry gulch, 200 feet 
from any well and 300 feet from any spring. There should be no possi- 
bility for sewage or septic tank effluent to flow over the ground or enter 
any such watercourse. 
Septic tanks should be cleaned about once a year by removing the 
scum from the top and the sludge from the bottom. These substances, if 
left in the tank, reduce its capacity and its efficiency. The contents 
removed should be buried under a foot of ground at the distances from 
watercourses specified for earth pit privies in Rule 18. 
(NOTE: Plans for a rural sewerage system, including house sewer, 
grease trap, septic tank and subsurface disposal system, may be obtained 
from the State Board of Health.) 
Rule 17. Cesspools. Cesspools can be used to dispose of untreated 
sewage only where the soil is composed of coarse gravel. They should not 
be located less than 100 feet from any mountain stream, lake or dry gulch, 
and 300 feet from a well or spring. There should be no possibility for 
sewage to flow over the ground surface or to enter any such watercourses. 
Provision should be made for preventing any surface runoff from entering 
any cesspool. 
Rule 18. Privies. Privies should not be tolerated where water flush 
toilets can be provided. 
There are three types of privies in common use, those having earth 
pits, those having water-tight concrete vaults, and those having removable 
pails. The same type of building will serve for each type, and it should be 
well constructed, well ventilated and fly-tight. The vault, pit or pail should 
be as dark as possible to discourage the entrance of flies. The seat should 
have a hinged cover which will automatically fall into place after each use. 
Earth-pit privies should not be located less than 50 feet from any 
mountain stream, lake or dry gulch, 100 feet from any well, and 200 feet 
from any spring. Water-tight concrete vault privies should not be located 
less than 15 feet from any such watercourse. There should be no possi- 
bility of surface runoff entering privy vaults. Removable pail-type privies 
should not be used, since through careless emptying of the pails, contam- 
ination of streams and other watercourses, or a fly menace, would be likely 
to result. 
The privy recommended by this department is the earth-pit, with con- 
crete footers and slabs, with screened vents, etc. A design, showing all LAWS, RULES AND REGULATIONS 
161 
details, will be furnished upon request. To date (July, 1938) 15,600 of 
these fly-tight sanitary privies have been built in Colorado with WPA 
labor, under the supervision of the State Board of Health. 
Rule 19. Scope of rules. These rules apply to all bodies of water 
sufficiently deep for complete immersion of the body and used collectively 
by numbers of persons for swimming or recreative bathing, together with 
the shores, buildings, equipment and appurtenances pertaining to such 
bathing places. They do not apply to public or semi-public baths where 
the main object is the cleansing of the body or the practice of the healing 
art unless such baths contain or utilize pools or tanks used collectively by 
a number of individuals. 
SWIMMING POOLS AND OTHER PUBLIC BATHING PLACES 
CLASS “A” BATHING PLACES 
A bathing place Avhich conforms to the following specificatinos (A-l) 
to (A-12), inclusive, will be entitled to the rating 
SAFE—NO REASONABLE DANGER OF INFECTION 
CLASS “A” BATHING PLACE 
(A-l) The water used for Ailing the pool and the water in all parts 
of the pool shall at all times when the pool is in use be of such quality 
that (a) not more than 10 per cent of the samples covering any consider- 
able period will show more than 100 bacteria per cubic centimeter when 
plated on standard agar media and incubated at 37.5° C. for 24 hours, and 
no single sample will show more than 200 bacteria per c.c. ;< (b) not more 
than two out of five samples collected on the same day and not more than 
three out of any ten consecutive samples collected on different dates will 
show a positive partially confirmed test for organisms of the coli-aerogenes 
group in 10 c.c.; (c) all samples will show an alkaline reaction; (d) no 
sample will show less than 0.3 or more than 0.6 parts per million of residual 
chlorine when tested with ortho-tolidine; (e) a black disk 6 inches in diam- 
eter when placed on the bottom of the pool in the deepest place shall be 
clearly visible from the side walks at all distances up to 10 yards measured 
in a line across the pool through said disk. The testing for (a), (b), (c) 
and (d) shall be made in accordance with the latest “Standard Methods 
of Water Analysis of the American Public Health Association.” The alka- 
linity must be carefully controlled by maintaining a pH of 7.6 to 7.8 of 
the water. The temperature should range from 72° F. to 78° F. of the 
water. 
(A-2) An efficient and dependable circulation and purification system 
shall be provided, consisting of circulation pumps and piping arranged for 
optimum circulation in the pool, a rapid or pressure sand filter with usual 
appurtenances, a chlorinator and a suction cleaner. This system shall be 
operated at all times when the pool is in use so as to admit into the pool 
water conforming to the requirements of (A-l) in amount equal to at least 
1,000 gallons per hour for each 20 persons using the pool during that hour. 
The walls and floor of the pool shall be kept clean at all times by vacuum COLORADO STATE BOARD OF HEALTH 
cleaning. The capacities of the circulating pumps, filter and chlorinator 
shall be such that the entire contents of the pool may be withdrawn, 
filtered, sterilized, and returned to the pool at least once in eight hours, 
and the filter capacity shall be based on a rate not greater than 3 gallons 
of water per square foot of sand surface per minute. 
(A-3) The tank or pool shall be of concrete or other impervious mate- 
rial, having inside surfaces smooth, w'hite, and easily cleaned. 
(A-4) An overflow gutter shall be provided extending completely 
around the pool to effectively remove the accumulation of floating matter 
from the water. The gutter shall drain quickly and the bottom shall be 
sufficiently inaccessible that the fingers or arms of bathers cannot come 
in contact with sputum and other foul deposits remaining in it. 
(A-5) Dressing rooms, hallways, toilet rooms, shower rooms, and all 
other places to which patrons and bathers have access, shall be kept clean, 
well ventilated and w'ell lighted at all times when the pool is in use and 
shall be of first-class construction. All walks and floors used by bathers 
shall be of concrete or other impervious material, of first-class construc- 
tion, properly drained, and roughened sufficiently to prevent slipping. The 
walks around the pool shall not drain into it. 
(A-6) Adequate show'er bath facilities with hot and cold water and 
soap shall be provided for each sex, the minimum number of showrers to 
be one for each thirty bathers expected at times of maximum use, and all 
bathers shall be required to take a cleansing bath before entering the pool. 
(A-7) Adequate water-flush toilets shall be provided for each sex, so 
arranged that contamination of the pool water from them or their use 
will be impossible. The minimum number shall be one toilet for each 
thirty and one toilet and one urinal for each 60 men expected at 
times of maximum use. 
(A-8) Provisions shall be made for effectively preventing any person 
carrying germs of venereal disease or of any other infectious disease from 
using the pool. 
(A-9) Bathing suits and tow-els should be clean and free from exces- 
sive bacterial contamination. They shall be in a condition equal to that 
produced by commercial laundries. No common towrels, combs, brushes 
or drinking cups shall be permitted. 
(A-10) Indiscriminate spitting about the pool shall be prevented. 
(A-ll) There shall be one or more competent attendants on duty at 
all times when the pool is in use. 
(A-12) A foot-bath must be provided and kept filled with a strong 
solution of chlorine, and all bathers required to submerge both feet in 
this bath before entering pool. 
CLASS “B” BATHING PLACES 
A bathing place which does not conform to specifications (A-l) to 
(A-12) inclusive, but which conforms to the following specifications (B-l) 
to (B-ll) inclusive, will be entitled to the rating LAWS, RULES AND REGULATIONS 
163 
CLASS “B” BATHING PLACE 
(B-l) The water used for filling the pool and the water in all parts 
of the pool shall, at all times when the pool is in use, be of such quality 
that (a) samples plated on standard agar media and incubated at 37° C. 
for 24 hours will not show more than 2,000 bacteria per c.c.; (b) not more 
than 50 per cent of the samples covering any considerable period will 
show a positive presumptive test for organisms of the coli-aerogenes group 
in 1 c.c.; (c) all samples will show an alkaline reaction; (d) a black disk 
0 inches in diameter when placed in the deepest part of the pool shall be 
clearly visible from above the water surface over it. The testing for (a), 
(b) and (c) shall be in accordance with the latest “Standard Methods of 
Water Analysis” of the American Public Health Association. 
(B-2) The walls and floor of the pool shall be effectively cleaned at 
least once a week, or oftener if necessary to keep them clean in appear- 
ance. Either new, fresh water conforming to the bacteriological require- 
ments of specification (A-l), Rule 24, shall be added to the pool regularly 
at the rate of 1,000 gallons per hour for each 20 persons using the pool 
during that hour, or the entire water in the pool shall be sterilized at such 
intervals that not more than 7 persons per 1,000 gallons pool capacity 
will use the pool before it is sterilized. This sterilization shall be accom- 
plished by the addition of a filtered solution of sodium hypochlorite or 
other chlorine liberating compound in amount representing one pound of 
available chlorine per 100,000 gallons of pool water. (Sodium hypochlorite 
usually contains 30 per cent available chlorine, so that a solution contain- 
ing about 3 pounds of this would be sufficient to sterilize 100,000 gallons 
of pool water. The solution should be evenly distributed throughout the 
pool water, viz., if pool capacity is 50,000 gallons, 50X7, or 350 persons 
can use pool before it is resterilized. To sterilize a pool of this capacity, 
use solution containing 1y2 pounds of sodium hypochlorite.) 
(B-3) Same as A-3. 
(B-4 to B-ll) Same as A-5 to A-12. 
REASONABLY SAFE—DANGER OF INFECTION SLIGHT 
CLASS “C” BATHING PLACES 
A bathing place which does not conform to the specifications of either 
Class “A” or Class “B” bathing places will be rated 
CLASS “C” BATHING PLACE 
UNSAFE—SERIOUS DANGER OF INFECTION 
The owner or operator of any Class “C” bathing place shall, imme- 
diately upon notification by the State Board of Health, close said bathing 
place to the public and prevent any bathing therein until it has been im- 
proved so as to conform to the specifications for either Class “A” or Class 
“B” bathing places. COLORADO STATE BOARD OF HEALTH 
Rule 20. Irrigation with sewage or sewage-laden water. No domestic 
sewage nor water containing domestic sewage in amount and condition 
such that bacteria of the coli-aerogenes group are present in quantities 
of ten or more per cubic centimeter, shall be used to irrigate or be per- 
mitted to overflow any fruits or vegetables for human consumption, the 
edible portions of which grow in the ground or above it within one foot of 
the surface, except with the written permission of the State Board of 
Health obtained as hereinafter provided. For the purposes of this rule, 
the coli-aerogenes group is defined as in the latest edition of the Standard 
Methods of Water Analysis of the American Public Health and American 
Water Works Associations, and the procedures for demonstration of these 
bacteria shall conform to those of the completed test as therein specified. 
The standard sample for this test shall consist of one each of the fol- 
lowing portions; 
1st. Ten cubic centimeters (10 c.c.). 
2nd. One cubic centimeter (1 c.c.). 
3rd. One-tenth cubic centimeter (0.1 c.c.). 
4th. One-hundredth cubic centimeter (0.01 c.c.). 
Positive completed tests in the 1st, 2nd and 3rd, the 1st, 2nd and 4th 
or the 1st, 3rd and 4th portions shall be positive evidence of the presence 
of bacteria of the coli-aerogenes group in quantities of ten or more per c.c. 
Upon receipt of a request, in writing, for permission to use sewage or 
sewage-laden water contrary to the above stipulations, claiming that the 
conditions of the particular case are such as to prevent any reasonable 
possibility of impairing the public health and stating full details upon 
which this claim is based, the State Board of Health will make an investi- 
gation and determine whether or not such use should be permitted, follow- 
ing which its approval will be given or denied. 
IRRIGATION WITH SEWAGE 
Rule 21. Sanitation of railway cars, stations and camps. The sanita- 
tion of railway cars, stations and camps shall conform to the “Standard 
Railway Sanitary Code,” the same being Regulation 62 of the Colorado 
State Board of Health. 
RAILWAY SANITATION 
MILK 
The United States Public Health Service, “Milk Ordinance and Code”, 
1939 edition, was adopted by the Colorado State Board of Health at a 
special meeting held on July 15, 1942. For the provisions of this Milk 
Ordinance and Code, see U. S. Public Health Bulletin, No. 220, (1939 
edition). Copies of this Bulletin are for sale by the Superintendent of 
Documents, Washington, D. C. Price 35 cents. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
VITAL STATISTICS 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
167 
VITAL STATISTICS 
LAWS, RULES AND REGULATIONS 
1942 
LAWS 
(From Chapter 78, Colorado Statutes Annotated, 1935) 
Section 
104. Board of health to supervise registration of births and deaths. 
105. Board of vital statistics—Registrar. 
106. Registration districts established. 
107. Local Registrar—Duties—Deputy—Subregistrars. 
108. Burial permit—Removal permit. 
109. “Still birth," how registered. 
110. Contents of certificate of death. 
111. Death without medical attendance—Investigation—Disposition of 
Body—Burial certificate. 
112. Undertaker’s duty to file certificate of death. 
113. Contents of burial permit. 
114. No interment without permit—Sexton’s duty. 
115. All births shall be registered. 
116. Certificate of birth to be filed. 
117. Contents of certificate of birth. 
118. Adopting parent may have certificate of identification issued. 
119. Judge to issue certificates of identification—Fee. 
120. Form of certificate. 
121. Board to furnish birth certificates of illegitimate children. 
122. Supplemental report. 
123. Physicians, midwives and undertakers shall register. 
124. Report of hospital superintendents. 
125. Registrar to furnish blanks—Records preserved. 
126. Duties of local registrar. 
127. Fees of local registrar. 
128. Certified copy of certificate. 
129. Penalties for failure to comply with requirements of article. 
130. Registrars to enforce article—Violations reported to district at- 
torney. 
131. Death resulting from accident reported to coroner. 
132. Penalty for violation of article. 
Sec. 5. Vital statistics. The State Board of Health shall have the 
general direction and control of the system of vital statistics of the state, 
in so far as the editorial work and statistical plans of the same are con- 
cerned. (L. ’93, p. 399, sec. 5.) 168 
COLORADO STATE BOARD OF HEALTH 
ARTICLE IV. VITAL STATISTICS. 
Sec. 104. Board of health to supervise registration of births and 
deaths. It shall be the duty of the State Board of Health to have charge 
of the state system of registration of births and deaths; to prepare the 
necessary methods, forms and blanks for obtaining and preserving such 
records and to insure the faithful registration of the same in the incor- 
porated towns, cities and counties, and in the central bureau of vital 
statistics. (L. ’07, p. 238, sec. 1; R. S. ’08, sec. 371; C. L., sec. 970.) 
This statute is a valid exercise of the police power of the state, and it oper- 
ates in all parts of the state including- Denver and other home rule cities. People 
v. McNichols, 91 Colo. 141, 13 P. (2d) 266. 
Its purpose was to place the state system of registration of births and deaths 
in charge of the State Board of Health with power to appoint local registrars, it 
being provided that registrars, officiating under local ordinances at the time the 
act went into effect should continue as such, subject to the provisions of the act, 
but that they ceased to be municipal officers. McNichols v. People, 92 Colo. 469, 
22 P. (2d) 131. 
Hence, so far as local registrars of vital statistics are concerned, municipal 
ordinances are superseded by this statute, under which a local registrar’s term 
of office is two years, and the power to appoint succeeding local officials is 
lodged in the State Board of Health. McNichols v. People, 92 Colo. 469, 22 P. 
(2d) 131. 
Sec. 105. Board of vital statistics—Registrar. The secretary of the 
State Board of Health shall be state registrar of vital statistics and shall 
have general supervision over the central bureau of vital statistics, which 
is hereby authorized to be established by said board. Suitable apartments 
shall be provided by the board of capitol managers for the central bureau 
of vital statistics in the state capitol, which shall be properly equipped 
with fireproof vault and filing cases for the safe and permanent preser- 
vation of all official records made and returned under the provisions of 
this article, and the State Board of Health shall carry the provisions of 
this article into effect. (L. ’07, p. 238, sec. 2; R. S. ’08, sec. 372; C. L., 
sec. 971.) 
As to secretary of State Board of Health, see §4 of this chapter. 
Sec. 106. Registration districts established. For the purposes of this 
article, the state shall be divided into registration districts as follows: 
Each city, incorporated town, and county, exclusive of such cities or incor- 
porated towns as may be situated within its boundaries, shall constitute a 
Trimary registration district. (L. ’07, p. 238, sec. 3; R. S. ’08, sec. 373; 
C. L., sec. 972.) 
Sec. 107. Local registrar—Duties—Deputy—Subregistrars. Within 
ninety days after the taking effect of this article, or as soon thereafter 
as possible, the State Board of Health shall appoint a local registrar of 
vital statistics for each registration district in this state. The term of 
office of local registrars, appointed by said board shall be two years, 
beginning with the first day of January, 1908, and the successors shall be 
appointed at least ten days before the expiration of their terms of office. 
Any local registrar appointed by said board, who fails or neglects to effi- 
ciently discharge the duties of his office as laid down in this article, or 
who fails to make prompt and complete returns of births and deaths, as 
required hereby, shall be forthwith removed from his office by the State 
Board of Health, and his successor appointed, in addition to any other LAWS, RULES AND REGULATIONS 
penalties that may be imposed, under other sections of this article, for 
failure or neglect to perform his duty. 
Each local registrar, appointed by said board, shall, immediately upon 
his acceptance of appointment as such, appoint a deputy, whose duty it 
shall be to act in his stead in case of absence, illness or disability, and 
who shall accept such an appointment in writing, and who shall be sub- 
ject to all rules and regulations governing the actions of local registrars; 
provided, that in cities, incorporated towns, or counties where health offi- 
cers, or secretaries of local boards of health, or other officials, at the date 
of this article, are officiating as registrars of births and deaths under local 
ordinances, which officers shall be continued as registrars in and for such 
cities, incorporated towns, or counties, but shall be subject to the rules 
and regulations of the state registrar, and to all the provisions of this 
article. And when it may appear necessary for the convenience of the 
people in any county, the local registrar is hereby authorized, with the 
approval of the state registrar, to appoint one or more suitable and proper 
persons to act as subregistrars, who shall be authorized to receive certifi- 
cates, and to issue burial or removal permits, in and for such portions of 
the county as may be designated; and each subregistrar shall note, over 
his signature, the date on which each certificate was filed and forward all 
certificates to the registrar of the county within ten days, and in all cases 
before the third day of the following month; provided, that all subregis- 
trars shall be subject to the supervision and control of the state registrar, 
and may be by him removed for neglect or failure to perform their duties 
in accordance with the provisions of this article or the rules and regula- 
tions of the state registrar, and they shall be liable to the same penalties 
for neglect of duties as the local registrar. (I.. ’07, p. 239, sec. 4; R. S. ’08, 
sec. 374; C. L., sec. 973.) 
As to the State Board of Health, see §1, et seq. of this chapter. 
Failure of the State Board of Health to appoint a local registrar of vital 
statistics for Denver for a number of years did not deprive it of its statutory 
power to appoint, nor relieve it of the necessity of performing a plain statutory 
duty. McNichols v. People, 92 Colo. 4B9, 22 P. (2d) 131. 
Sec. 108. Burial permit—Removal permit. The body of any person 
whose death occurs in the state shall not be interred, deposited in a vault 
or tomb, cremated, or otherwise disposed of, or removed from or into any 
registration district, until a permit for burial, removal, or other disposition 
shall have been properly issued by the registrar of the registration district 
in which the death occurs. And no such burial or removal permit shall be 
issued by any registrar until a complete and satisfactory certificate and 
return of the death has been filed with him as hereinafter provided; pro- 
vided, that a transit permit issued in accordance with the law and health 
regulations of the place where the death occurred, whether in Colorado 
or outside of the state, may be accepted by the local registrar of the dis- 
trict where the body is to be interred or otherwise finally disposed of, as 
a basis upon which he shall issue a local burial permit, in the same way 
as if the death occurred in his district, but shall plainly enter on the face 
of the copy of the record which he shall make for return to the state reg- 
istrar the fact that it was a body shipped in for interment, and give the 
actual place of death. But when a body is removed from a district in 170 
COLORADO STATE BOARD OF HEALTH 
Colorado to an adjacent or nearby district for interment, not requiring 
the use of a common carrier or the issue of a transit permit, then the 
registrar’s removal permit from the district where death occurred may 
be accepted as authority for burial. (L. ’07, p. 240, sec. 5; R. S. ’08, sec. 
375; C. L., sec. 974.) 
As to penalty for undertaker acting without permit, see §129 of this chapter. 
Sec. 109. “Still birth,” how registered. Still born children or those 
dead at birth shall be registered as births and also as deaths, and a cer- 
tificate of both the birth and the death shall be filed with the local regis- 
trar, in the usual form and manner, the certificate to contain, in place of 
the name of the child, the words “still birth.” The medical certificate of 
the cause of death shall be signed by the attending physician, if any; and 
shall state the cause of death, as “still born,” with the cause of the still 
birth, if known, whether a premature birth; and, if born prematurely, the 
period of uterogestation, in months, if known; and a burial or removal 
permit in usual form shall be required. Midwives shall not sign certifi- 
cates of death for still born children; but such cases, and still births oc- 
curring without attendance of either physician or midwife, shall be treated 
as deaths without medical attendance, as provided for in section 111 of 
this chapter. (L. ’07, p. 240, sec. 6; R. S. ’08, sec. 376; C. L., sec. 975.) 
Note: Under ruling of the attorney general, the standard certificate 
of still birth, prescribed by the U. S. Bureau of the Census, shall be used 
for reporting still births. (See page 4 of Physicians’ Handbook on Birth 
and Death Registration, Bureau of Census, 1939.) 
Sec. 110. Contents of certificate of death. The certificate of death 
shall contain the following items: 
1. Place of death, including state, county, town or city. If in a town 
or city, the ward, street and house number. If in a hospital or other 
institution, the name of the same to be given instead of the street and 
house number. If in a county, the range and township. 
2. Full name of decedent. If an unnamed child, the surname pre- 
ceded by “unnamed.” 
3. Sex. 
4. Color of race: as white, black (negro or negro descent), Indian, 
Chinese, Japanese or other. 
5. Conjugal condition: as single, married, widowed or divorced. 
6. Date of birth, including the year, month and day. 
7. Age in years, months and days. 
8. Place of birth, state or foreign country. 
9. Name of father. 
10. Birthplace of father, state or foreign country. 
11. Maiden name of mother. 
12. Birthplace of mother, state or foreign country. 
13. Occupation: the occupation to be reported of any person who had 
any remunerative employment, women as well as men. 
14. Signature and address of informant. LAWS, RULES AND REGULATIONS 
171 
15. Date of death, including the year, month and day. 
16. Statement of medical attendance on decedent, fact and time of 
death, including the time last seen alive. 
17. Cause of death, including the primary and immediate causes, and 
contributory causes or complications, if any, and duration of each. 
18. Signature and address of physician or official making the medical 
certificate. 
19. Special information concerning deaths in hospitals and institu- 
tions, and of persons dying away from home, including the former or usual 
residence; length of time, and place of death, and place where the disease 
was contracted. 
20. Place of burial or removal. 
21. Date of burial or removal. 
22. Signature and address of undertaker. 
23. Official signature of registrar, with date of when certificate was 
filed, and registered number. 
The personal and statistical particulars (items 1 to 13) shall be au- 
thenticated by the signature of the informant, who may be any competent 
person acquainted with the facts. 
The statement of facts relating to the disposition of the body shall be 
signed by the undertaker or person acting as such. 
The medical certificate shall be made and signed by the physician, if 
any, last in attendance on the deceased, who shall specify the time in 
attendance, the time he last saw deceased alive, and the hour of the day 
at which death occurred. And he shall further state the cause of death, 
so as to show the course of disease or sequence of causes resulting in 
death, giving the primary and immediate causes, and also the contributory 
causes, if any, and the duration of each. Indefinite and unsatisfactory 
returns, indicating only symptoms of disease or conditions resulting from 
disease, will not be held sufficient for issuing a burial or removal permit; 
and any certificate containing only such terms as defined by the state 
registrar shall be returned to the physician for correction and definition. 
Causes of death, which may be the result of either disease or violence, 
shall be carefully defined; and, if from violence, its nature shall be stated, 
and whether (probably) accidental, suicidal, or homicidal. And in cases 
of deaths in hospitals, institutions, or away from home, the physician shall 
furnish the information required under his head (item 19), and shall state 
where, in his opinion, the disease was contracted. (L. ’07, p. 241, sec. 7; 
R. S. ’08, sec. 377; C. L„ sec. 976.) 
As to penalty for failure to comply with the provisions of this section, see 
§129 of this chapter. 
Sec. 111. Death without medical attendance—Investigation—Dispo- 
sition of body—Burial certificate. In case of any death occurring without 
medical attendance, it shall be the duty of the undertaker to notify the 
registrar of such death, who, when so notified, shall then notify the chief 
health officer, and refer the case to the health officer or coroner for investi- 
gation and certification. It shall be the duty of the coroner to immediately 172 
COLORADO STATE BOARD OF HEALTH 
hold an investigation, or inquest, on the body of any deceased person who 
shall have died a violent death or whose death shall be sudden if suspi- 
cious circumstances shall render the same necessary. Upon the conclu- 
sion of the examination of the body, without unnecessarily delaying the 
burial until the conclusion of the inquest, it shall be the duty of the coro- 
ner to at once surrender the possession of the remains to the personal 
representative, relatives or friends of the deceased for burial. And any 
coroner whose duty it is to hold an inquest on the body of any deceased 
person, and to make the certificate of death required for a burial permit, 
shall state in his certificate the nature of the disease, or the manner of 
death; and, if from external causes of violence, whether (probably) acci 
dental, suicidal, homicidal, as determined by the inquest or investigation; 
and shall, in either case, furnish such information as may be required by 
the state registrar to properly classify the death. (L. ’ll, p. 651, sec. 1; 
amending R. S. ’08, sec. 378; C. L., sec. 977.) 
As to coroner’s inquest, see ch. 45; §122. 
Sec. 112. Undertaker’s duty to file certificate of death. The under- 
taker, or person acting as undertaker, shall be responsible for obtaining 
and filing the certificate of death with the registrar, and securing a burial 
or removal permit, prior to any disposition of the body. He shall obtain 
the personal and statistical particulars required from the person best 
qualified to supply them, over the signature and address of his informant. 
He shall then present the certificate to the attending physician, if any, or 
to the health officer or coroner, as directed by the registrar, for the medi- 
cal certificate of the cause of death and other particulars necessary to 
complete the record, as specified in the last preceding section. And he 
shall then state the facts required relative to the date and place of burial, 
over his signature and with his address, and present the completed cer- 
tificate to the registrar, within the time limit, if any, designated by the 
local board of health for the issuance of a burial or removal permit. The 
undertaker shall deliver the burial permit to the sexton or person in 
charge of the place of burial, before interring the body; or shall attach 
the transit permit containing the registrar’s removal permit to the box 
containing the corpse, when shipped by any transportation company; said 
permit to accompany the corpse to its destination, where, if within the 
state of Colorado, it shall be taken up by the local registrar of the district 
in which interment is made, who shall issue a burial permit thereon. (L. 
’07, p. 243, sec. 9; R. S. ’08, sec. 379; C. L., sec. 978.) 
Sec. 113. Contents of burial permit. If the interment, or other dispo- 
sition of the body, is to be made within this state, the wording of the 
burial permit may be limited to a statement by the registrar, and over his 
signature, that a satisfactory certificate of death having been filed with 
him, as required by law, permission is granted to inter, remove, or other- 
wise dispose of the deceased; stating the name, age, sex, cause of death, 
and other necessary details upon the form prescribed by the state regis- 
trar. (L. ’07, p. 244, sec. 10; R. S. ’08, sec. 380; C. L., sec. 979.) 
Sec. 114. No interment without permit—Sexton’s duty. That no 
sexton, or person in charge of any premises in which interments are made, LAWS, RULES AND REGULATIONS 
173 
shall inter, or permit the interment or other disposition of any body, unless 
it is accompanied by a burial, removal or transit permit, as herein pro- 
vided. And each sexton, or person in charge of any burial ground, shall 
endorse upon the permit the date of interment, the name of the cemetery, 
and the lot, block and section number in which interment was made over 
his signature, and shall return all permits so endorsed to the local regis- 
trar of his district, within ten days from the date of interment. He 
shall also keep a record of all interments made in the premises under his 
charge, stating the name of the deceased person, place of death, date of 
burial, and name and address of the undertaker; which record shall at all 
times be open to public inspection. The local registrar shall be charged 
with the duty of filing all permits returned to him endorsed by the sexton, 
with the county clerk of the county in which burial takes place, not later 
than the first day of January and July, respectively, of each calendar year. 
The county clerk of the county in which the interment is made shall pro- 
vide suitable binders for the permanent filing of such records. (Session 
Laws of 1941.) 
As to penalty for sexton acting without permit, see §129 of this chapter. 
Sec. 115. All births shall be registered. All births that occur in the 
state shall be immediately registered in the district in which they occur, 
as hereinafter provided. (L. ’07, p. 244, sec. 12; R. S. ’08, sec. 382; C. L., 
sec. 981.) 
As to duty of physicians to keep a registry of births, see §71 of this chapter. 
Sec. 116. Certificate of birth to be filed. It shall be the duty of the 
attending physician or midwife to file a certificate of birth, properly and 
completely filled out, giving all the particulars required by this article, 
with the local registrar of the district in which the birth occurred, within 
ten days after the date of birth. And if there be no attending physician 
or midwife, then it shall be the duty of the father or mother of the child, 
householder or owner of the premises, manager or superintendent of public 
or private institution in which the birth occurred, to notify the local regis- 
trar, within ten days after the birth, of the fact of such a birth having 
occurred. It shall then, in such case, be the duty of the local registrar to 
secure the necessary information and signature to make a proper certifi- 
cate of birth. (L. '07, p. 244, sec. 13; R. S. ’08, sec. 383; C. L., sec. 982.) 
A certificate of identification may be accepted in, lieu of a birth certificate. 
See §118 of this chapter. As to penalty for failure to file certificate, see §129 of 
this chapter. 
Sec. 117. Contents of certificate of birth. The certificate of birth 
shall contain the following items: 
1. Place of birth, including state, county, township or town, village 
or city. If in a city, the ward, street, and house number; if in a hospital 
or other institution, the name of the same to be given, instead of the street 
and house number. 
2. Full name of child. If the child dies without a name, before the 
certificate is filed enter the words, “Died unnamed.” If the living child 
has not been named at the date of filing certificate of birth, the space for 
“Full name of child” is to be left blank, to be filled out subsequently by a 
supplemental report, as hereinafter provided. 174 
COLORADO STATE BOARD OF HEALTH 
3. Sex of child. 
4. Whether a twin, triplet or other plural birth. A separate cer- 
tificate shall be required for each child in case of plural birth, giving 
number of child in order of birth. 
5. Whether legitimate or illegitimate. 
(1. Full name of father. 
7. Residence of father. 
8. Color or race of father. 
9. Birthplace of father. 
10. Age of father at last birthday, in years. 
11. Occupation of father. 
12. Maiden name of mother, in full. 
13. Residence of mother. 
14. Color or race of mother. 
15. Birthplace of mother. 
16. Age of mother at last birthday, in years. 
17. Occupation of mother. 
18. Number of child of this mother, and number of children of this 
mother now living. 
19. Certificate of the attending physician or midwife as to attendance 
at birth, including statement of year, month, day and hour of birth, and 
whether the child was alive or dead at birth. This certificate shall be 
signed by the attending physician or midwife, with the date of signature 
and address; if there is no physician or-midwife in attendance, then the 
father or mother of the child, householder or owner of the premises, or 
manager or superintendent of public or private institution, or other com- 
petent person, whose duty it shall become to notify the local registrar of 
such a birth, as required by the last preceding section. 
20. Exact date of filing in office of local registrar, attested by his 
official signature, and registered number of birth, as hereinafter provided. 
All certificates, either of birth or death, shall be written legibly, in 
unfading ink, and no certificate shall be held to be complete and correct 
that does not supply all of the items of information called for herein, or 
satisfactorily account for their omission. (L. ’07, p. 244; sec. 14; R. S. ’08, 
sec. 384; C. L., sec. 983.) 
Sec. 118. Adopting parent may have certificate or identification issued. 
At the time of adoption, or at any time thereafter, the adopting parent or 
parents of any child, under the age of sixteen (16) years, may have a cer- 
tificate of identification issued and signed by the judge of the court decree- 
ing the adoption, which certificate shall be accepted by all school districts 
and school authorities in this state in lieu of a birth certificate and without 
further evidence of such birth certificate. (L. ’35, p. 286, sec. 1.) 
Sec. 119. Judge to issue certificates of identification—Fee. All judges 
of the juvenile court, where such court exists, or if no juvenile court 
exists, then the county or district courts, are hereby authorized to issue LAWS, RULES AND REGULATIONS 
175 
such certificates of identification, upon satisfactory proof of the matters 
contained in such certificate, and upon application made by the adopting 
parent and parents. The fee for the issuance of said certificate shall be 
fifty cents (50c). (L. ’35, p. 286, sec. 2.) 
Sec. 120. Form of certificate. The certificate of identification herein 
provided shall be in the following form: 
This is to certify that is the legal 
child of and his wife 
and that . .he was born at 
on , 19 
Judge. 
CERTIFICATE OF IDENTIFICATION 
County | 
Juvenile! 
• Court of County 
Dated at 
Colorado IS 
(L. ’35, p. 287, sec. 3.) 
Sec. 121. Board to furnish birth certificates of illegitimate children. 
Upon written request, made by the superintendent or other official of the 
Colorado state home for dependent and neglected children, the State 
Board of Health shall furnish, without cost, certified copies of birth cer- 
tificates of all illegitimate children who have been legally committed to 
said home. (L. ’35, p. 287, sec. 4.) 
Sec. 122. Supplemental report. When any certificate of birth of a 
living child is presented without statement of the given name, then the 
local registrar shall make out and deliver to the informant a special blank 
for the supplemental report of the given name of the child, which shall be 
filled out as directed and returned to the registrar as soon as the child 
shall be named. The original certificate of birth shall not be considered 
complete until the supplemental report is filed or the blank returned with 
the statement, “Died unnamed.” (L. ’07, p. 246, sec. 15; R. S. ’08, sec. 385; 
C. L„ sec. 984.) 
Sec. 123. Physicians, midwives and undertakers shall register. 
Every practicing physician, midwife, and undertaker shall, without delay, 
register his or her name, address, and occupation with the local registrar 
of the district in which he or she resides or may hereafter establish a 
residence; and shall thereupon be supplied by the local registrar with a 
copy of this article, together with such rules and regulations as may be 
prepared by the state registrar relative to its enforcement. Within thirty 
days after the close of each calendar year each local registrar shall make 
a return to the state registrar of all physicians and midwives who have 
been registered in his district during the whole or any part of the preced- 
ing calendar year; provided, that no fee or other compensation shall be 
charged by local registrars to physicians, midwives, or undertakers, for 176 
COLORADO STATE BOARD OF HEALTH 
registering their names under this section or making return thereof to the 
state registrar. (L. ’07, p, 246, sec. 16; R. S. ’08, sec. 386; C. L., sec. 985.) 
Sec. 124. Report of hospital superintendents. All superintendents or 
managers, or other persons in charge of hospitals, alms houses, lying-in 
or other institutions, public or private, to which persons resort for treat- 
ment of disease, confinement, or are committed by process of law are 
hereby required to make a record of all of the personal and statistical 
particulars relative to the inmates in their institutions, at the date of 
approval of this article, that are required in the form of the certificate 
provided for by this article, as directed by the state registrar; and there- 
after such record shall be by them made for all future inmates at the time 
of their admission. And in case of persons admitted or committed for med- 
ical treatment of disease, the physician in charge shall specify, for entry 
in the record, the nature of the disease, and where, in his opinion, it was 
contracted. The personal particulars and information required by this 
section shall be obtained from the individual himself, if it is practicable 
to do so; and when they cannot so be obtained, they shall be secured in 
as complete manner as possible from the relatives, friends, or other per- 
sons acquainted with the facts. (L. ’07, p. 246, sec. 17; R. S. ’08, sec. 387; 
C. L., sec. 986.) 
As to duty of hospitals to make quarterly reports to State Board of Health, 
see §136 of this chapter. 
Sec. 125. Registrar to furnish blanks—Records preserved. The state 
registrar of vital statistics shall prepare, print, and supply to all registrars 
all blanks and forms used in registering, recording and preserving the 
returns, or in otherwise carrying out the purposes of this article; and shall 
prepare and issue such detailed instructions as may be required to secure 
the uniform observance of its provisions and the maintenance of a perfect 
system of registration. And no other blanks shall be used than those 
supplied by the state registrar. He shall carefully examine the certificates 
received monthly from the local registrars, and if any such are incomplete 
or unsatisfactory he shall require such further information to be furnished 
as may be necessary to make the record complete and satisfactory. And 
all physicians, midwives, informants, or undertakers, connected with any 
case, and all other persons having knowledge of the facts, are hereby- 
required to furnish such information as they may possess regarding any 
birth or death upon demand of the state registrar in person, by mail', or 
through the local registrar. He shall, further, arrange, bind, and perma- 
nently preserve the certificates in a systematic manner, and shall prepare 
and maintain a comprehensive and continuous card index of all births and 
deaths registered: the cards to show the name of child or deceased, place 
and date of birth or death, number of certificate, and the volume in which 
it is contained. He shall inform all registrars what diseases are to be 
considered as inlectious, contagious, or communicable or dangerous to the 
public health, as decided by the State Board of Health, in order that when 
deaths occur from such diseases, proper precautions may be taken to 
prevent the spreading of dangerous diseases. (L. ’07, p. 247, sec. 18; R. S 
’08, sec. 388; C. L., sec. 987.) LAWS, RULES AND REGULATIONS 
177 
Sec. 126. Duties of local registrar. It shall be the duty of the local 
registrar to supply blank forms of certificates to such persons as require 
them. And he shall carefully examine each certificate of birth or death 
when presented for record, to see that it has been made out in accordance 
with the provisions of this article and the instructions of the state regis- 
trar; and if any certificate of death is incomplete or unsatisfactory, it shall 
be his duty to call attention to the defects in the return, and to withhold 
issuing the burial or removal permit urUil they are corrected. If the cer- 
tificate of death is properly executed and complete, he shall then issue a 
burial or removal permit to the undertaker; provided, that in case the 
death occurred from some disease that is held by the State Board of Health 
to be infectious, contagious, or communicable and dangerous to the public 
health, no permit for the removal or other disposition of the body shall be 
granted by the registrar, except under such conditions as may be pre- 
scribed by the state and local boards of health. If a certificate of birth is 
incomplete, he shall immediately notify the informant, and require him to 
supply the missing items if they can be obtained. He shall then number 
consecutively the certificates of birth and of death, in two separate series, 
beginning with “No. one,” for the first birth and the first death in each 
calendar year, and sign his name as registrar in attest of the date of filing 
in his office. He shall also make a complete and accurate copy of each 
birth and death certificate registered by him, upon a form identical with 
the original certificate, to be filed and permanently preserved in his office 
as the local record of such death in such manner as directed by the state 
registrar. And he shall, on the fifth day of each month, transmit to the 
state registrar all original certificates registered by him during the pre- 
ceding month. And if no births or deaths occurred in any month he shall 
on the fifth day of the following month report that fact to the state reg- 
istrar, on a card provided for this purpose. (L. ’07, p. 248, sec. 19; R. S. 
'08, sec. 389; C. L., sec. 988.) 
Sec. 127. Fees of local registrar. Each local registrar shall be en- 
titled to be paid the sum of twenty-five cents for each birth and each death 
certificate properly and completely made out and registered with him, and 
correctly copied and duly returned by him to the state registrar, as re- 
quired by this article; provided, that in cities, incorporated towns or coun- 
ties, in which the clerk, health officer, or other official acting as registrar, 
receives a fixed salary, in lieu of fees, no further compensation shall be 
paid for the duties required by this article. And in case no births or no 
deaths were registered, during any month, the local registrar shall be 
entitled to be paid the sum of twenty-five cents for each report to that 
effect, promptly made in accordance with this article. All amounts pay- 
able to registrars or subregistrars under the provisions of this section 
shall be paid by the treasurer of the incorporated town, city or county in 
which the registration district is situated upon certification of the state 
registrar of vital statistics, and after approval of the proper auditing offi- 
cials of such incorporated town, city or county. And the state registrar 
shall quarterly certify to the treasurers of the several towns, cities or 
counties the number of births and deaths registered, with the names of 178 
COLORADO STATE BOARD OF HEALTH 
the local registrars, and the amounts due each at the rates fixed herein. 
(L. ’07, p. 248, sec. 20; R. S. ’08, sec. 390; C. L„ sec. 989.) 
The legislature has power to impose upon the city and county of Denver a 
liability to pay the compensation of a local registrar of vital statistics, and the 
city cannot avoid the expense by failing to have such an officer of its own selec- 
tion appointed. People v. McNichols, 91 Colo. 141, 13 P. (2d) 266. 
Sec. 128. Certified copy of certificate. The state registrar shall, upon 
request, furnish any applicant a certified copy of the record of any birth or 
death, registered under provisions of this article, for the making and cer- 
tification of which he shall be entitled to a fee of one dollar, to be paid by 
the applicant. And any such copy of the record of a birth or death, when 
properly certified by the state registrar to be a true copy thereof, shall be 
prima facie evidence in all courts and places of the facts therein stated. 
For any search of the files and records when no certified copy is made 
the state registrar shall be entitled to a fee of fifty cents for each hour or 
fractional hour of time of search, to be paid by the applicant. And the 
state registrar shall keep a true and correct account of all fees by him 
received under these provisions, and turn the same over to the state treas- 
urer. (L. ’07. p. 249, sec. 21; R. S. ’08, sec. 391; C. L., sec. 990.) 
Sec. 129. Penalties for failure to comply with requirements of article. 
If any physician who was in medical attendance upon any deceased person 
at the time of death shall neglect or refuse to make out and deliver to the 
undertaker, sexton or other person in charge of the interment, removal, or 
other disposition of the body, upon request, the medical certificate of 
cause of death, hereinbefore provided for, he shall be deemed guilty of a 
misdemeanor, and, upon conviction thereof, shall be fined not less than 
five dollars nor more than fifty dollars. And if any physician shall know- 
ingly make false certification of the cause of death, in any case, he shall 
be deemed guilty of a misdemeanor, and upon conviction thereof, shall be 
fined not less than fifty dollars nor more than two hundred dollars. 
And any physician or midwife in attendance upon a case of confine- 
ment, or any other person charged with responsibility for reporting births, 
in the order named in Section 116 of this chapter who shall neglect or 
refuse to file a proper certificate of birth with the local registrar within 
the time required by this article, shall be deemed guilty of a misdemeanor, 
and upon conviction thereof, shall be fined not less than five dollars nor 
more than fifty dollars. 
And if any undertaker, sexton, or other person acting as undertaker 
shall inter, remove, or otherwise dispose of the body of any deceased per- 
son, without having received a burial or removal permit, as herein pro- 
vided, he shall be deemed guilty of a misdemeanor, and upon conviction 
thereof, shall be fined not less than twenty dollars nor more than one 
hundred dollars. 
And any registrar, deputy registrar, or subregistrar who shall neglect 
or fail to enforce the provisions of this article in his .district, or who shall 
neglect or refuse to perform any of the duties imposed upon him by this 
article or by the instructions and directions of the state registrar shall be 
deemed guilty of a misdemeanor, and upon conviction thereof shall be 
fined not less than ten dollars nor more than one hundred dollars. LAWS, RULES AND REGULATIONS 
179 
And any person who shall wilfully alter any certificate of birth, or 
death, or the copy of any certificate of birth or death, on file in the office 
of the local registrar, shall be deemed guilty of a misdemeanor, and, upon 
conviction thereof, shall be fined not less than ten dollars nor more than 
one hundred dollars, or be imprisoned in the county jail not exceeding 
sixty days, or suffer both fine and imprisonment, in the discretion of the 
court. 
And any other person or persons who shall violate any of the provi- 
sions of this article, or shall wilfully neglect or refuse to perform any 
duties imposed upon them by the provisions of this article, or shall fur- 
nish false information to a physician, undertaker, midwife or informant, 
for the purpose of making incorrect certification of births or deaths shall 
be deemed guilty of a misdemeanor, and, upon conviction thereof, shall be 
fined not less than five dollars nor more than one hundred dollars. 
And any transportation company or common carrier transporting or 
carrying, or accepting through its agents or employees for transportation 
or carriage, the body of any deceased person without an accompanying 
permit issued in accordance with the provisions of this article shall be 
deemed guilty of a misdemeanor, and, upon conviction thereof, shall be 
fined not less than fifty dollars nor more than two hundred dollars; pro 
vided, that in case the death occurred outside of the state and the body is 
accompanied by a certificate of death, burial or removal or transit permit 
issued in accordance with the law or board of health regulations in force 
where the death occurred, such death certificate, burial or removal permit 
may be held to authorize the transportation or carriage of the body into 
or through the state. (L. ’07, p. 249, sec. 22; R. S. ’08, sec. 392; C. L., sec. 
991.) 
See also §132 of this chapter. 
Sec. 130. Registrars to enforce article—Violations reported to dis- 
trict attorney. The local registrars are hereby charged with the strict and 
thorough enforcement of the provisions of this article in their districts, 
under the supervision and direction of the state registrar. And they shall 
make an immediate report to the state registrar of any violations of this 
law coming to their notice by observation or upon complaint of any person 
or otherwise. The state registrar is hereby charged with the thorough 
and efficient execution of the provisions of this article in every part of the 
state and with supervisory power over local registrars to the end that all 
the requirements shall be uniformly complied with. He shall have author- 
ity to investigate cases of irregularity or violation of law, personally or 
by accredited representative, and all registrars shall aid him, upon request, 
in such investigations. When he shall deem it necessary, he shall report 
cases of violation of any of the provisions of this article to the district 
attorney of the proper county, with a statement of the facts and circum- 
stances; and when any such case is reported to them by the state regis- 
trar, all district attorneys shall forthwith initiate and promptly follow up 
the necessary court proceedings against the parties responsible for the 
alleged violations of law. And upon request of the state registrar, the 
attorney general shall likewise assist in the enforcement of the provisions 
of this article. (L. ’07, p. 251, sec. 23; R. S. ’08, sec. 393; C. L., sec. 992.) COLORADO STATE BOARD OF HEALTH 
Sec. 131. Death resulting from accident reported to coroner. In all 
cases where death shall result from accident within three months from 
and after the date of said accident the coroner of the county in which said 
death shall occur shall be notified before the deceased shall be prepared 
for burial or removed from the place where death occurs; and it shall be 
the duty of all doctors in attendance on deceased, and of any undertaker 
called to prepare deceased for burial, or any other person who has knowl- 
edge of the fact of any death, to give such notification. (L. ’07, p. 252, 
sec. 24; R. S. ’08, sec. 394; C. L., sec. 993.) 
Sec. 132. Penalty for violation of article. Any violation of this article 
shall be punishable by a fine of not less than $100.00 and not more than 
$500.00, or by confinement in the county jail for not less than thirty days 
and not more than ninety days, or by both such fine and imprisonment. 
(Li. ’07, p. 252, sec. 25; R. S. ’08, sec. 395; C. L., sec. 994.) 
As to penalties for failure to comply with requirements, see §129 of this 
chapter. 
CHAPTER 142, SESSION LAWS OF COLORADO, 1941 
AN ACT 
Relating to Vital Statistics 
Be It Enacted by the General Assembly of the State of Colorado: 
Section 1. Any citizen of the State of Colorado wishing to file the 
record of any birth or death, not previously recorded, or to make any 
changes in a certificate previously registered that are necessary to provide 
a correct registration of the birth or death, may submit to the county court 
in the county where the birth or death occurred, a record of that birth or 
death written on the adopted forms of birth and death certificates, to- 
gether with a court fee of $1.50 to cover the costs of handling. The cer- 
tificate shall be substantiated by the affidavit of the medical attendant 
present at the time of the birth, or in the case of death, the affidavit of 
the physician last in attendance upon the deceased, or the undertaker who 
buried the body. When the affidavit of the medical attendant or under- 
taker cannot be secured, the certificate shall be supported by the affidavit 
of some person who was acquainted with the facts surrounding the birth 
or death, at the time the birth or death occurred, with a second affidavit 
of some person who is also acquainted with the fact surrounding the birth 
or death, and who is not related to the individual by blood or marriage. 
The county court shall require such other information or evidence as may 
be deemed necessary to establish the citizenship of the individual filing 
the certificate, and the truthfulness of the statements made in that record. 
Sec. 2. The clerk of said court shall forward the certificate to the 
State Board of Health with an order from the court to the State Registrar 
of Vital Statistics that the record be, or be not, accepted. 
Sec. 3. The State Registrar of Vital Statistics is authorized to accept 
the certificate when verified in the above manner, and if accepted shall 
issue certified copies of such records as now provided for in Section 128, LAWS, RULES AND REGULATIONS 
181 
Chapter 78, 1935 Colorado Statutes Annotated. Such certified copies shall 
be prima facie evidence in all courts and places of the facts stated thereon. 
The State Board of Health shall furnish the forms upon which such rec- 
ords are filed, as now provided in Section 125, Chapter 78, 1935 Colorado 
Statutes Annotated, and no other form shall be used for that purpose. 
Sec. 4. The general assembly hereby finds, determines and declares 
that this act is necessary for the immediate preservation of the public 
peace, health and safety. 
Sec. 5. In the opinion of the general assembly an emergency exists: 
therefore, this act shall take effect and be in force from and after its 
passage. 
Approved February 24, 1941, at 10:12 A. M. 
REGULATIONS 
RULES AND REGULATIONS RELATING TO VITAL STATISTICS 
Rule 1. The State Board of Health is authorized by law to make 
such rules as are necessary “to insure the faithful registration” of all 
births and deaths in the incorporated towns, cities and counties, and in 
the Central Bureau of Vital Statistics. 
Rule 2. The secretary of the State Board of Health is ex-officio State 
Registrar of Vital Statistics and has general supervision over all local 
registrars and the Central Bureau of Vital Statistics. The State Board 
of Capitol Managers is required by law to provide suitable apartments 
for the said bureau, including a properly equipped fireproof vault and 
filing cases. 
Rule 3. Each city, each incorporated town and each county exclusive 
of such cities and towns constitutes a registration district. 
Rule 4. Any local registrar who fails or neglects to discharge effi- 
ciently the duties of his office or who fails to make prompt and complete 
returns of births and deaths to the State Registrar will be promptly 
removed from his office. 
Each local registrar must appoint a deputy who shall serve in case 
of absence, serious illness or other disability of the registrar. In case 
of removal or disability of the deputy, the registrar must immediately 
name a new deputy and report the name to the State Registrar. Regis- 
trars must likewise send to the State Registrar name and address of every 
subregistrar appointed. 
Rule 5. A burial or removal permit must be obtained from the local 
registrar of the registration district where the death occurred before 
the body of such person shall be interred, deposited in a vault or tomb, 
cremated or removed into any other registration district. The local 
registrar must not issue a permit for the burial, cremation, removal or 
shipment of the dead body until there has been filed with him a complete 
and satisfactory death certificate; Provided, That a lawful transit permit 182 
COLORADO STATE BOARD OF HEALTH 
issued at the place where the death occurred, whether in this or in 
another state, may be accepted by the local registrar in lieu of a death 
certificate as a basis upon which to issue a local permit. The local 
registrar shall not at any time sign in blank a permit of any character 
whatsoever. When a transit permit is the basis upon which a burial 
permit is issued, that fact and place of death must be written on the 
face of the permit and a copy forwarded to the State Registrar. When 
a dead body is removed from one registration district to an adjacent or 
nearby district for burial, not requiring a common carrier or issuance of 
a transit permit, then the removal permit of the registrar where the death 
occurred may be accepted as authority for burial. 
Rule 6. Under ruling of the Attorney General, the U. S. Standard 
Certificate of Stillbirth should be used for reporting all stillbirths. (See 
page 4 of Physicians’ Handbook on Birth and Death Registration, Bureau 
of Census, 1939.) 
Rule 7. All death certificates must be made on blank forms fur- 
nished by the State Registrar, clearly indicating the numerous points of 
information to be furnished as required by law. Valuable instructions 
are printed on the back of each blank for death certificate. When death 
is caused by accident the nature of the accident must be stated. If there 
is a contributory cause it must be stated in addition to the immediate 
cause of death. The duration of the disease and where contracted, 
whether direct or contributory cause, must be stated. It is also impor- 
tant that each certificate contain the registration or district number as 
well as the registered number, beginning a new series always with the 
first day of January. Reasonable effort must be made to have every 
item of information supplied in the certificate, and all incomplete certifi- 
cates will be returned by the State Registrar to the local registrar unless 
it is clearly shown that the omitted information could not be obtained. 
Rule 8. When any death occurs without medical attendance, the 
undertaker must immediately notify the local registrar of the registra- 
tion district in which the death occurred. The local registrar must imme- 
diately notify the local health officer and the coroner. The body should 
not be removed from the place where it is found without permission of 
the coroner. The body of a person who has died without medical attend- 
ance must not be embalmed without consent of the coroner. The coro- 
ner must immediately make an investigation and must hold an inquest 
when necessary to determine the facts required by law. A certificate of 
death occurring without medical attendance must be signed by the coroner 
who shall furnish such information as may be required by the State 
Registrar properly to classify the death. 
When a death results from an injury or accident within three months 
following date of such injury or accident, the coroner of the county where 
the death occurs must be notified before the body of the deceased is moved 
or prepared for burial. 
Rule 9. The undertaker, or person acting as undertaker or person 
or firm furnishing the box, coffin or casket in which to bury a human LAWS, RULES AND REGULATIONS 
183 
body shall be held responsible for obtaining and filing the certificate of 
death with the local registrar, and securing a burial or removal permit, 
prior to any disposition of the body. In case of death of any person 
whose identity is uncertain or whose name cannot be learned prior to 
burial or other disposition of the body, the undertaker must file with the 
death certificate a detailed description of the deceased, including approxi- 
mate weight, height, age, sex, race, color of hair and eyes, clothing and 
any scars, deformity or other distinguishing marks which might aid in a 
later identification. If possible, the undertaker must also file with the 
death certificate of an unidentified person, a photograph, preferably taken 
of the deceased before death. 
The local registrar shall refuse to issue a burial or removal permit 
when the death certificate does not contain the essential information 
required by law or when he believes the case should be investigated by 
the coroner. 
The undertaker must deliver the burial permit to the sexton or per- 
son in charge of the place of burial before interring the body; or shall 
attach the transit permit containing the removal permit to the box con- 
taining the corpse, when shipped by a transportation company. If the 
destination is within the State of Colorado, the local registrar where 
interment is to be made shall take up the transit and removal permit and 
issue a burial permit. 
Rule 10. If the interment or other disposition of the body is to be 
made within this state, the wording of the burial permit may be limited 
to a very brief statement by the local registrar as detailed upon the form 
prescribed by the State Registrar. 
Rule 11. No person in charge where interments are made shall per- 
mit burial or other disposition of any body, unless accompanied by a 
burial, removal or transit permit. 
The person in charge of the burial ground shall write upon the permit 
the date of burial and within ten days forward it to the local registrar. 
The sexton must keep a record showing name of the deceased person, 
place of death, date of burial and name and address of the undertaker. 
Violation of these provisions is a misdemeanor under the law. 
Rule 12. All births must be immediately registered in the district 
where they occur. 
Rule 13. Within ten days after date of birth the attending physician 
or midwife must file with the local registrar for the registration district 
in which the birth occurred a birth certificate completely filled out as 
required by the State Registrar. 
If there was no attending physician or midwife, then the father, 
mother, nurse, owner of premises, superintendent of the institution in 
which the birth occurred or other person knowing that a birth has 
occurred and believing that it may not have been reported, must report 
the birth to the local registrar, who shall immediately secure the neces- 
sary information and signatures to make a proper certificate of birth. 184 
COLORADO STATE BOARD OP’1 HEALTH 
Rule 14. All birth certificates must be completely filled out in detail 
as indicated by the blank forms furnished by the State Registrar to all 
local registrars. When the birth did not occur in a city or town, the 
direction and distanc e from the nearest postoffice must be stated. 
It shall be the duty of all local registrars to require all physicians, 
midwives, coroners and undertakers to write legibly and with pen and 
ink when filling out or signing birth and death certificates. 
A certificate illegibly written or written with any kind of a pencil 
is in violation of the law and will not be approved by the State Registrar. 
Rule 15. When the “given name” of a living child does not appear in 
the birth certificate, the local registrar must deliver to the proper person 
a blank upon which a supplemental report may later be made, giving 
the full name of the child. 
Rule 16. Every practicing physician, midwife and undertaker must 
register his name, address and occupation in the registration district in 
which he lives with the local registrar, who shall supply each with a 
copy of the lawr relating to registration of vital statistics, “together with 
the rules prepared by the State Registrar” relative to its enforcement. 
Within thirty days after the close of each calendar year each local 
registrar is required by law to report to the State Registrar the name 
and address of every practicing physician and midwife registered and 
resident in his registration district during all or any part of the preceding 
calendar year. 
Rule 17. All superintendents, managers or other persons in charge of 
state, county, city, public or private hospitals, sanitariums, alms houses, 
lying-in institutions, places for care of the insane, or any institutions to 
which persons resort for treatment of disease or injury or confinement, 
or to which persons are committed by process of law, must keep a record 
of “personal and statistical particulars relative to the inmates of their 
institutions” in a form as directed by the State Registrar. 
Rule 18. All physicians, midwives, informants, undertakers, and all 
other persons having knowledge of the facts are “required to furnish 
such information as they may possess regarding any birth or death upon 
demand of the State Registrar, in person, by mail or through the local 
registrar.” 
Rule 19. In case of death from a communicable disease or when 
death has occurred without medical attendance, the local registrar must 
not issue a burial or removal permit until he is satisfied that there has 
been strict compliance with all laws and regulations covering such 
matters. 
Each birth and death cex’tificate must show the date of filing with 
the local registrar and its registered number, beginning with the first 
day of each calendar year. Birth and death certificates must be kept in 
two separate series. Each registrar must make a complete copy of every 
birth and death certificate upon a form identical with the original certifi- 
cate to be preserved as a permanent local record. LAWS, RULES AND REGULATIONS 
185 
On the fifth of each month the local registrar must forward to the 
State Registrar the original birth and death certificates for the preced- 
ing month, along with a monthly report card showing the number of birth 
and death certificates recorded. Should no births or deaths occur during 
any month the local registrar must forward to the State Registrar the 
regular monthly report card showing that fact. 
Rule 20. The attending physician at time of death of any person 
must deliver to the proper person the required death certificate or be 
guilty of a misdemeanor. 
Rule 21. Any physician or midwife in attendance upon a case of con- 
finement or any person charged with responsibility for reporting births, 
who shall neglect or refuse to report as explained in Rule 13, will be 
guilty of a misdemeanor. 
Rule 22. Any undertaker, person or firm furnishing a box, casket 
or coffin in which to bury a human body, or any person in any manner 
acting as an undertaker, who violates the requirements as stated in Rule 
9, will be guilty of a misdemeanor. 
Rule 23. Any registrar, deputy registrar, or subregistrar who shall 
refuse, fail or neglect to enforce the registration law and rules in his 
district, “or who shall neglect or refuse to perform any of the duties 
required by the law” or by the instructions and directions of the State 
Registrar, shall be deemed guilty of a misdemeanor. 
Rule 24. “Any person who shall wilfully alter any certificate of 
birth or death, on file in the office of the local registrar, shall be deemed 
guilty of a misdemeanor.” 
Rule 25. Any person who shall violate any of the provisions of the 
registration law, or shall wilfully neglect or refuse to perform any duties 
imposed upon him by the registration law, or who shall furnish false 
information to a physician, midwife, undertaker or informant, for pur- 
pose of making incorrect certification of births or deaths, will be guilty 
of a misdemeanor. 
Rule 26. Any transportation company or common carrier transport- 
ing or accepting through its agents or employes for transportation the 
body of a deceased person without an accompanying permit is guilty of 
a misdemeanor, provided, that in case the death occurred outside of this 
state and the body is accompanied by a certificate of death, or a burial 
or removal or transit permit issued according to law where the death 
occurred, such certificate or permit will authorize the transportation of 
the body into or through this state. 
In case of the death of any person while upon a railway train within 
this state, the transportation company, without special permission from 
the State Registrar, must deliver the body of the deceased to an under- 
taker in the first town or city where an undertaker is available, and if 
there be no physician in attendance upon the train at the time of the 
death, notify immediately the coroner of the county in which the death 
occurred. COLORADO STATE BOARD OF HEALTH 
Rule 27. Local registrars must make immediate report of any viola- 
tions of the law and rules. All registrars, when requested by the State 
Registrar, are required by law to aid in the investigation of any irregu- 
larities. 
The Attorney General and all district attorneys on request of the 
State Registrar are required under the law to aid in enforcing the law by 
whatever legal means may be necessary. 
TRANSPORTATION RULES 
for 
TRANSPORTATION OF THE DEAD 
As Adopted by 
Colorado State Board of Funeral Directors and Embalmers 
1940 
(Printed here merely for convenient reference) 
Rule 1. The documentary authority required by the Colorado State 
Board of Health for transportation of a dead human body by common car- 
rier shall consist of a transit permit duly issued upon a Burial-Transit 
Permit blank form furnished by the State Registrar of Vital Statistics, 
which shall be completely filled out. Such transit permit shall be attached 
to the shipping case in a strong envelope and shall accompany the remains 
to their destination. 
Rule 2. In all cases in which embalming is required by law or by 
regulation, the body shall be embalmed by an embalmer duly licensed by 
the Colorado State Board of Funeral Directors and Embalmers. 
Rule 3. Any body to be shipped by common carrier shall be em- 
balmed if its condition permits. If embalming is not possible, or if the 
body is in a state of decomposition, it shall be shipped only after enclosure 
in a strong, tightly hermetically sealed case, which will prevent leakage 
or escape of odors. 
Rule 4. No interred body, dead from any disease or cause, shall be 
disinterred without a permit duly issued upon the form prescribed by the 
State Registrar of Vital Statistics, which shall be completely filled out. 
For shipment of such disinterred body, the same documentary authority 
shall be issued as required in Rule No. 1 and the body shall be shipped 
only after enclosure in a strong, tightly hermetically sealed outer case 
which will prevent leakage or escape of odors. 
Rule 5. Dead bodies in a receiving vault, when prepared by a licensed 
embalmer, if removed within fifteen days, shall not be regarded as disin- 
terred bodies. LAWS, RULES AND REGULATIONS 
187 
Rule 6. The outer case may be omitted in all instances when the 
casket is transported in hearse or funeral director’s car. 
REGULATION 72 
a. In preparation of bodies for burial or transportation, the follow- 
ing precautions shall be taken by the embalmer when death has resulted 
from any communicable disease: 
In case of death caused by a communicable disease, the body must be 
properly embalmed. The embalmer, before commencing the preparation 
of said body, shall don outer garments of rubber or cloth completely cov- 
ering the body, rubber gloves and a cap to cover the hair. Upon leaving 
the room, these shall be removed and be placed in a bag wrapped in a 
sheet or other covering, all of which shall be disinfected by boiling in 
water as soon thereafter as possible. He shall also, before leaving, thor- 
oughly disinfect his hands, giving especial attention to the fingernails. 
b. All knives, trocars, needles, syringes and other instruments, and 
all vessels, sponges, gloves, cooling boards or other things taken into the 
room or used in embalming or otherwise in preparation of such dead 
bodies, shall be thoroughly disinfected immediately after being used. 
c. All fluids or other matter removed from such bodies in the process 
of embalming shall be mixed with an equal quantity of a five per cent 
solution of either formalin or cresol compound for purpose of disinfection. 
d. All bodies kept over 24 hours must be embalmed or properly 
refrigerated. 
Funerals. No public funeral shall be permitted in case of death 
caused by cholera, diphtheria, leprosy, epidemic cerebrospinal meningitis 
(meningococcus meningitis, scarlet fever, plague, septic sore throat, small- 
pox and poliomyelitis. 
The family of the deceased shall in all such cases limit the attendance 
to as few adults as possible, always excluding children, and shall take all 
necessary steps to prevent the exposure of other persons to contagion 
or infection. The body of any person who dies of any disease named in 
this regulation must be properly embalmed and placed in a closed casket. 
A glass or cellophane cover may be used to permit those in attendance to 
view the body. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
PLUMBING 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
191 
PLUMBING LAWS 
Colorado Statutes Annotated 1935 
CHAPTER 126. PLUMBERS 
Section 
1. State Board of Health make rules governing plumbing, etc. 
2. Employes—Plumbing Inspector and Deputies—Terms—Salaries— 
Expenses. 
3. Licenses and permits. 
4. Examining Board of Plumbers. 
5. Compensation of Board. 
6. Board may authorize one member to conduct examinations. 
7. License—Issuance. 
8. License—Revocation—Hearing. 
9. Plumber must have license. 
10. Installation work in charge of master plumber. 
11. Existent plumbers licensed without examination. 
12. Temporary permits. 
13. Apprentice—Temporary permit to act as journeyman. 
14. Licensees from other states. 
15. Expiration of license. 
16. Master plumber to have privilege of journeyman. 
17. Renewal of license. 
18. Fees. 
19. Disposition of fees. 
20. Cities of the first class—Municipal inspectors. 
21. Municipal rules and regulations. 
22. Definitions. 
23. Violation of act—Penalty, 
Section 1. State Board of Health make rules governing plumbing, 
etc. The State Board of Health, in pursuance of its general power of 
supervision over the interests of the health and life of the citizens of this 
state, and of the sanitary conditions under which they live, is hereby 
authorized and empowered to make, prescribe, enforce, amend and repeal 
rules and regulations governing the plumbing, drainage, sewerage, and 
plumbing ventilation of all buildings in this state, and thereby to establish 
and maintain minimum standards, which shall be uniform throughout the 
state, which rules and regulations shall have the force and effect of law. 
when not in conflict with the statutes of the State of Colorado, provided, 
however, that this act shall not be construed to deny any municipality the 
right to adopt and enforce such rules and regulations in the premises, as 
are not inconsistent with the laws of the state. [L. ’17, p. 405, sec. 1. 
Sec. 2. Employes—Plumbing Inspector and Deputies—Terms—Sal- 
aries—Expenses. The State Board of Health is hereby authorized and 
empowered to employ, promote and discharge such assistants and em- 
ployes as it may deem necessary to properly carry out the intent and pur- 192 
COLORADO STATE BOARD OF HEALTH 
pose of this act, and to fix and pay their compensation and salaries and 
to provide for their duties and the terms of their employment; provided, 
however, that the Governor of the State of Colorado shall appoint, with 
power of removal, one Chief Plumbing Inspector and such Deputy Plumb- 
ing Inspectors as the said board of health may deem necessary, each of 
whom shall be qualified from practical experience as a plumber, to make 
such inspections as may be necessary under this act, or as shall be pro- 
vided for by the I’ules and regulations of the State Board of Health, and 
who shall hold office for the term of two years from the date of his appoint- 
ment and until his successor has been appointed and qualified. The Chief 
Plumbing Inspector shall receive a salary of Twenty-four Hundred ($2400) 
Dollars per annum, payable in monthly installments of Two Hundred 
($200) Dollars per month. The said Deputy Plumbing Inspectors shall 
receive such salary, not exceeding the sum of Fifteen Hundred ($1500) 
Dollars per annum, as the State Board of Health in its rules and regula- 
tions may provide. The said inspectors and each of them shall be em- 
ployes of the State Board of Health and subject to its rules and regula- 
tions. Each plumbing inspector shall be reimbursed for his actual travel- 
ing expenses by the State Board of Health. All compensation and salaries 
thus authorized and contracted for, and all expenses incurred by the State 
Board of Health in the operation of this act shall be provided for and paid 
out of the general fund of the state treasury and charged against the 
appropriation account of the State Board of Health set aside for the en- 
forcement of this act. [L. ’17, p. 406, sec. 2. 
Sec. 3. Licenses and permits. The State Board of Health is hereby 
authorized and empowered to grant and issue licenses and permits to per- 
sons desiring or intending to engage in the trade, business or calling of 
journeyman plumber or master plumber, in the manner and upon the 
terms and conditions hereinafter provided. [L. ’17, p. 406, sec. 3. 
Sec. 4. Examining Board of Plumbers. The State Board of Health is 
hereby authorized, empowered and directed to prescribe, amend and en- 
force rules and regulations consistent with this act for the examination 
and licensing of journeymen plumbers and master plumbers, and said 
board shall for this purpose, within sixty days after this act becomes a 
law, appoint, with the power of removal, three plumbing examiners, of 
which one shall be a journeyman plumber, one a master plumber, one a 
member or employe of the State Board of Health to be known as “The 
Examining Board of Plumbers” whose duties shall be to examine, as to 
their fitness and qualifications, all persons applying to the State Board of 
Health for licenses to engage in the business, trade or calling of a journey- 
man plumber or a master plumber, and to promptly certify the results 
thereof to the said board of health. [L. ’17, p. 407, sec. 4. 
Sec. 5. Compensation of Board. Each member of said Board of 
Examiners, except a paid officer, member or employe of the State Board 
of Health, shall receive compensation of ten dollars per day and expenses 
for each day in which such member is actually engaged in attendance 
upon the meetings of the board, to be audited and paid out of the general LAWS, RULES AND REGULATIONS 
193 
fund of the state treasury and charged against the appropriation account 
of the State Board of Health, set aside for carrying into effect the provi- 
sions of this act. [L. ’17, p. 407, sec. 5. 
Sec. 6. Board may authorize one member to conduct examinations. 
The State Board of Health may, if it deems it necessary so to do, authorize 
and empower one member only of said examining board of plumbers to 
hold and conduct a certain specific examination, and report the result 
thereof as herein provided for. [L. T7, p. 407, sec. 6. 
Sec. 7. License—Issuance. The State Board of Health shall issue 
licenses to such persons as have by said examination shown themselves 
fit, competent and qualified to engage in the business, trade or calling of a 
journeyman plumber or master plumber, as the case may be. [L. ’17, p. 
407, sec. 7. 
Sec. 8. License—Revocation—Hearing. The State Board of Health 
shall have power to revoke any journeyman or master plumber’s license 
if the same was obtained through error or fraud, or if the recipient thereof 
is shown to be grossly incompetent or has a second time wilfully violated 
any of the rules or regulations prescribed by said board; provided, that 
before any license shall be revoked, the holder thereof shall have written 
notice enumerating the charges against him, and shall be given a hearing 
by said board, and have an opportunity to produce testimony in his behalf, 
at a time and place specified in said notice, which time shall not be less 
than five days after the service thereof. The State Board of Health shall 
have power to appoint, by an order in writing, its secretary or any compe- 
tent person to take testimony, who shall have power to administer oaths, 
issue subpoenas and compel the attendance of witnesses, and the decision 
of the State Board of Health shall be based upon its examination of the 
testimony taken and the records produced. Any person whose license has 
been revoked may, after the expiration of one year from the date of such 
revocation, but not before, apply for a new license. [L. T7, p. 408, sec. 8. 
Sec. 9. Plumber must have license. No person shall hereafter engage 
in or work at the business, trade or calling of a journeyman plumber or of 
a master plumber in this state, until he shall have received from the State 
Board of Health a license either as a journeyman plumber or as a master 
plumber, as the case may be. [L. ’17, p. 408, sec. 9. 
Sec. 10. Installation work in charge of master plumber. Any person, 
firm or corporation desiring to engage in or work at the business of install- 
ing plumbing, or who shall install plumbing in connection with the dealing 
in or selling of plumbing material and supplies, shall be required to have a 
master plumber in charge at all times, who shall be responsible for the 
proper installation of such plumbing, and no such plumbing shall be in- 
stalled in any building throughout the state, excepting in cities of the 
first class, without a permit first being secured from the State Board of 
Health; provided, that any person, firm or corporation selling or dealing 
in plumbing materials or supplies, but not engaged in the installation, 
alteration, repairing or removal of plumbing, shall not be required to 
employ or have a licensed Master Plumber in charge, as in this section 194 
COLORADO STATE BOARD OF HEALTH 
provided; provided, however, that the provisions of this act shall not 
apply to any person or persons doing plumbing on his or their property; 
provided, further, that such person or persons perform such plumbing in 
accordance with the rules and regulations otherwise of the State Plumbing 
Code. [L. ’29, p. 504, sec. 1, amending L. ’17, p. 408, sec. 10. 
Sec. 11. Existent plumbers licensed without examination. All jour- 
neymen plumbers and master plumbers actually engaged in business as 
such at the time this act goes into effect may, within sixty days thereafter, 
procure a license as a journeyman plumber or master plumber, as the case 
may be, without examination, upon payment of the license fee herein 
required. All persons applying after the expiration of said sixty days for 
a license, shall be required to take the examination herein provided for, 
and satisfy the State Board of Health of their fitness and qualifications, 
except as herein otherwise provided. [L. ’17, p. 409, sec. 11. 
Sec. 12. Temporary permits. The State Board of Health may issue 
temporary permits to engage in the work of a master plumber or a jour- 
neyman plumber on payment of the fees prescribed in this act for licenses 
in such case, and such permits may be revoked by the State Board of 
Health at any time, and if thereafter, upon examination, a license is 
granted, the fee paid for the permit shall apply on the license, which will 
run from the date of said permit. For the purpose of assisting in its 
work of issuing such temporary permits, the said board of health may 
appoint agents without compensation. [L. ’17, p. 409, sec. 12. 
Sec. 13. Apprentice—Temporary permit to act as journeyman. Any 
person who has worked as an apprentice at the business, trade or calling 
of plumbing for such a length of time as the State Board of Health may 
prescribe in its rules and regulations, and who desires to take an examina- 
tion to entitle him to a license as a journeyman plumber, may file his 
application for such examination with the State Board of Health, as herein 
provided, and said board may thereupon grant the applicant a permit to 
pursue said work in the capacity of a journeyman plumber until such time 
as the examining board shall have an opportunity to examine him. [L. ’17, 
p. 409, sec. 13. 
Sec. 14. Licensees from other states. The said boai'd of health may 
license without examination, upon the payment of the required fee, appli- 
cants who ai’e duly licensed under the laws of other states having requii’e- 
ments for the licensing and regulating of plumbing, deemed by the suid 
board of health to be equivalent to the requirements of the state in the 
matter. [L. ’17, p. 410, sec. 14. 
Sec. 15. Expiration of licenses. All licenses issued during any year 
unless sooner revoked, shall expire on December 31st of that year. [L. ’17 
p. 410, sec. 15. 
Sec. 16. Master plumber to have privilege of journeyman. A master 
plumber’s license shall entitle the owner thex-eof to all the rights and 
privileges of a jouimeyman plumber. [L. ’17, p. 410, sec. 16. 
Sec. 17. Renewal of license. A license once issued under this act 
may be renewed at any time during the month of Januai’y in the year LAWS, RULES AND REGULATIONS 
195 
following its issuance on the payment of the renewal fee herein specified, 
and such a license may be renewed at any time during the month of Feb- 
ruary in the year following its issuance by the payment of the revival fee 
herein specified. [L. ’17, p. 410, sec. 17. 
Sec. 18. Fees. The following shall be the fees charged in this act 
by the State Board of Health, to wit; 
Master Plumber’s License $15.00 
Renewal of Master Plumber’s License 10.00 
Journeyman Plumber’s License or Permit 5.00 
Renewal of Journeyman Plumber’s License 1.00 
Revival License Fee for Master Plumber 20.00 
Revival License Fee for Journeyman Plumber 5.00 
Examination Fee for Master Plumber 15.00 
Special Examination Fee for Master Plumber 25.00 
Examination Fee for Journeyman Plumber 5.00 
Installation Permit up to Five Fixtures 2.00 
Installation Permit for Each Additional Fixture 25 
[L. ’29, p. 505, sec. 2, amending L. ’17, p. 410, sec. 18, 
Sec. 19. Disposition of fees. All moneys received by the State Board 
of Health under the terms and provisions of this act shall be paid within 
one week of their receipt into the general fund of the state treasury, and 
all such moneys are hereby set aside and appropriated to the State Board 
of Health, to carry into effect the provisions of this act. [L. ’17, p. 410, 
sec. 19. 
Sec. 20. Cities of the first class—Municipal inspectors. The board 
of health in each city of the first class of this state shall appoint, with the 
power of removal, one or more inspectors of plumbing, who shall be prac- 
tical plumbers, duly licensed under this act, who shall not have been 
engaged in the occupation of a master plumber for at least three months 
prior to their appointment. The compensation of such inspectors shall 
be determined by the board appointing them and shall be paid from the 
city or town treasury; they shall inspect all plumbing work in the city 
for which appointed, whether such work shall be new or consist of altera- 
tions and repairs, and shall report to the board appointing them all viola- 
tions of any law, ordinance, by-law or the rules and regulations of the 
State Board of Health, relating to such work, and shall perform such other 
appropriate duties as may be required. [L. T7, p. 411, sec. 20. 
Sec. 21. Municipal rules and regulations. Each city of the first class 
shall, and any city or town of this state may, by ordinance or by-laws, 
prescribe rules and regulations for the materials, construction, alteration 
and inspection of all pipes, faucets, tanks, valves and other fixtures by 
and through wTiich supply or waste water or sewage is used or is carried, 
and provide that they shall not be placed in any building therein except 
in accordance with plans w'hich shall be approved by the board of public 
works, where such board exists, or the board of health of such city or 
town, or such person or persons as either of said boards may designate; 
and shall further provide that no plumbing shall be done, except in case of 196 
COLORADO STATE BOARD OF HEALTH 
repairing of leaks, without a permit being first issued therefor upon such 
terms and conditions as such city or town shall prescribe; provided, that 
no such ordinance, by-law, rule or regulation prescribed by any such city 
or town shall be inconsistent with this act or any rule or regulation 
adopted or prescribed by the State Board of Health. [L. T7, p. 411, sec. 21. 
Sec. 22. Definitions. Fox* the purpose of this act the words and 
phi’ases used in this act and in this section set forth, are defined to have 
the following meaning, to-wit: 
A “Journeyman Plumber’’ is hereby defined to be any person other 
than a master plumber who engages in or works at the actual installation, 
alteration, repair and renovating of plumbing. 
A “Master Plumber” is hereby defined to be any person skilled in the 
planning, superintending and practical installation of plumbing and is 
familiar with the laws, rules and regulations governing the same, who is 
engaged in this business as owner or supervisor. 
A “Plumber’s Apprentice” is hereby defined to be any person other 
than a journeyman or master plumber who, as his principal occupation, is 
engaged in learning and assisting in the installation of plumbing. 
“Plumbing” is hereby defined to be the installing, alteration and re- 
pairing of all plumbing fixtures and fixtux-e traps and/or the soil, waste 
and vent pipes with their devices, appurtenances and connections, through 
which waste, sewage and air are carried within or adjacent to the building. 
[L. ’29, p. 506, sec. 3, amending L. ’17, p. 412, sec. 22. 
Sec. 23. Violation of act—Penalty. Any person who shall engage in 
the trade, business or calling of a master plumber or of a journeyman 
plumber, without a permit or a license, as provided for by this act, or who 
shall violate any of the provisions of this act, or the rules and regulations 
of the State Board of Health herein provided for, or who shall refuse to 
perform any duty lawfully enjoined upon him by the State Board of Health, 
within the prescribed time, or who shall fail, neglect or refuse to obey any 
lawful order given or made by the State Board of Health, or a decree or 
judgment of court in the matter, shall be guilty of a misdemeanor and shall 
be subject to a fine of not less than $10.00 or more than $50.00, or to im- 
prisonment in the county jail not exceeding thirty days, for each and every 
violation thereof. Each day of such violation shall constitute a separate 
offense. The Justices of the Peace in the several counties of the state are 
hereby given jurisdiction in the premises. [L. ’17, p. 412, sec. 24. LAWS, RULES AND REGULATIONS 
197 
THE STATE PLUMBING CODE 
As Approved by the Colorado State Board of Health March 30, 1937. 
Amended August 5, 1941. 
(All previous rules and regulations are hereby repealed.) 
Article I 
DEFINITIONS 
Section 1. Fox* the purpose of this Code the woi'ds and phrases used 
in this Code are defined to have the following meaning, to-wit: 
1. Plumbing. Plumbing is the art of installing, altering, remodeling, 
changing and/or repairing all plumbing fixtures and fixture traps and/or 
the soil, waste, vent pipes, water distributing pipes and hot and cold 
water storage tanks, with their devices, appurtenances and connections, 
all within or adjacent to the building; and all other work contributing to 
the sanitai’y operation of a plumbing system. 
2. Plumbing Inspector. When the words “Plumbing Inspector” are 
used they mean any person charged with the enforcement of the provisions 
of this Code. 
3. Plumbing System. The plumbing system of a building includes' 
the water distributing pipes, fixtures and fixture traps, soil, waste and 
vent pipes, house di’ain and house sewei’, and storm water drainage, with 
their devices, appux-tenances and connections all within or adjacent to 
the building. 
4. Plumbing Fixtures. Plumbing fixtures are receptacles intended 
to receive and discharge water, liquid or water-carried wastes into a drain- 
age system with which they are connected. 
5. Sanitary Plumbing. Sanitax-y plumbing is understood in this Code 
to denote plumbing so designed and installed that it can be kept clean, is 
free from defects in construction and conforms in every particular to the 
provisions of this Code. 
6. Water Service Pipe. The water sexwice pipe is the pipe fi’om the 
water main to the building served. 
7. Storm Water Drain. The storm water di’ain is any pipe or drain 
which receives the dischax-ge of rain water from buildings or premises, 
and may include the discharge of seepage or ground water and convey the 
same to any public sewer, building sewer or watercourse. 
8. Water Distribution Pipes. The water distribution pipes are those 
which convey water from the seiwice pipe to the plumbing fixtures. 
9. Vent Pipe. A vent pipe is any pipe provided to ventilate a building 
drainage system and to prevent trap siphonage and back pressure. 
10. Continuous Vent. A continuous vent is a pipe extending ver- 
tically above the soil or waste branch. 
11. Circuit Vent. A circuit vent is a pipe which vents a series of 
fixtui’e tx-aps on the same soil or waste branch and which is continued 198 
COLORADO STATE BOARD OF HEALTH 
through the roof or reconnected into a vent stack above all fixture trap 
branches. 
12. Unit Vent. A unit vent is one which denotes an installation so 
arranged that one pipe will serve two traps. 
13. Return Vent. A return vent is an inverted emergency vent ex- 
tended above the water line of the fixture and returned back to a point of 
connection with the horizontal run of the wraste pipe from the fixture 
served on the sewer side of the branch waste from the fixture. 
14. Soil Vent. A soil vent is that part of a stack which extends 
above the highest installed water closet. 
15. Waste Vent. A waste vent is that part of a stack which extends 
above the highest installed fixture trap other than a water closet. • 
16. Stack Vent. A stack vent is a pipe connecting to the side inlet 
of a fitting venting a water closet. 
17. Wet Vent. A wet vent is a pipe used to vent a trap which is also 
used as a waste pipe from another trap. 
18. Revent. A revent, or back vent, is that part of a vent pipe line 
which connects directly with an individual trap, underneath or back of 
the fixture, and extends either to the main or branch vent pipe. 
19. Local Ventilating Pipe. A local ventilating pipe is a pipe through 
which foul air is removed from a room or the house side of a fixture. 
20. Sewage. Sewage is any liquid -waste containing animal and vege- 
table wastes in suspension or solution, and may include liquids from lab- 
oratories or industrial institutions containing minerals in solution. 
21. House Sewer. The house sewer is that part of the horizontal 
piping of a drainage system extending from the house drain to its connec- 
tion with the main sewer, sewage treatment tank, leaching well or cess- 
pool. 
22. Cross-Connections. A cross-connection is any connection be- 
tween a SAFE water supply and UNSAFE water source or waste pipes 
of a plumbing system through which it is possible to contaminate a SAFE 
water supply. 
23. Septic or Sewage Treatment Tank. A septic or sewage treatment 
tank is a water-tight receptacle so constructed as to promote the separa- 
tion and decomposition of raw sewage which, by bacterial action and sedi- 
mentation, effects a process of clarification but does not purify the 
effluent. 
24. Leaching Well or Cesspool. A leaching well or cesspool is any 
pit or receptacle having porous walls which permit seepage into the 
ground. 
25. Building. An architectural structure covered by one roof having 
enclosing walls with doors and windows therein. 
26. Private Dwelling. A private dwelling is understood in this Code 
to be any building used only for living purposes and occupied by not more 
than one family. LAWS, RULES AND REGULATIONS 
199 
27. Rural or Isolated Residences. Rural or isolated residences are 
understood in this Code to be those situated at such a distance from a 
public sewer system that their drainage systems cannot become tributary 
thereto. 
28. Trap. A fixture trap is a fitting or device so constructed as to 
prevent the passage of air or gas through it without materially affecting 
the flow of sewage or waste water through it. 
29. Trap Seal. The trap seal is the vertical distance between the 
crown weir and the depth of the trap. 
30. Durham System. The Durham System of plumbing is an installa- 
tion of waste and soil pipes constructed of brass, galvanized wrought iron, 
galvanized steel or cast iron pipes joined together by means of threaded 
drainage fittings. 
31. Fireproof Walls. Fireproof walls are those made of masonry, 
brick, concrete or other non-infiammable material. Wood studs covered 
with metal lath, plaster board or similar material are not classed as fire- 
proof. 
32. Lead and Soil System. A lead and soil system of plumbing is an 
installation of soil and waste pipes constructed of lead and cast iron soil 
pipes joined together by means of wiped and calked joints. 
33. Subsoil Drain. The subsoil drain is that part of a drainage sys- 
tem which conveys the subsoil, ground or seepage water from the foot of 
walls or from below the cellar bottom under buildings to the building drain, 
storm water drain or building sewer. 
34. Subhouse Drain. The subhouse drain is that portion of a sanitary 
drainage system which cannot drain by gravity into the house drain. 
35. Waste Pipe and Special Waste. A waste pipe is any pipe which 
receives the discharge from any fixture, except water closets or similar 
fixtures, and conveys the same to the house drain, soil or waste stacks. 
When such pipe does not connect directly with a house drain or soil stack 
it is termed a special waste. 
36. Soil Pipe. A soil pipe is any pipe which conveys the discharge 
of water closets with or without the discharges from other fixtures. 
37. House Drain. The house drain is that part of the lowest hori- 
zontal piping of a house drainage system which receives the discharge 
from soil, waste and other drainage pipes inside the walls of any building 
and conveys the same to the house sewer beginning three feet outside the 
outer face of the building wall. 
38. Main. The main is any system of horizontal, vertical or continu- 
ous piping which receives the wastes, vents or revents from fixture outlets 
or traps directly or through branch pipes. 
39. Branch. The branch of any system of piping is that part of the 
system which extends horizontally at a slight grade, with or without lat- 
eral or vertical extensions or vertical arms, from the house drain to re- 
ceive fixture outlets not directly connected to the house drain. 
40. Stack. Stack is a general term for any vertical line of soil, waste 
or vent piping. 200 
COLORADO STATE BOARD OF HEALTH 
41. Conductors. Conductors, or roof leaders, are pipes which carry 
the storm or rain water from the roof of buildings to the building sewrer 
or storm water drain. Down spout is a term which is frequently used to 
denote the vertical portion of conductors, or roof leaders. 
42. Dead Ends. A dead end is a branch leading from a soil, waste, 
vent, building drain or building sewer which is terminated at a developed 
distance of two (2) feet or more by means of a cap, plug or other fitting 
not used for admitting water to the pipe. 
43. Size and Length. The given caliber or size of pipe is for a nomi- 
nal internal diameter. The developed length of a pipe is its length along 
the center line of pipe and fittings. 
44. Wiping a Joint. Wiping a joint is a method of joining together 
two pieces of metal, to which the solder is applied on the joint to a uniform 
heat sufficient to attain a smooth, neatly-wiped finish, and having a thick- 
ness of solder over that part of the joint where the metals join of not less 
than one-fourth inch. 
45. Roughing-in. Roughing-in is the placing of all that part of a 
drainage or vent system which can be completed before the plumbing fix- 
tures are installed. 
46. Shall, Should, May. The word “shall” when used in the Plumbing 
Code is mandatory; “should” is not mandatory but expresses the recom- 
mendation of the Board of Health; “may” implies neither compulsion nor 
recommendation, only permission. 
Article II 
GENERAL REGULATIONS 
Sec. 2. Grades and Supports of Horizontal Piping. All horizontal 
piping shall be run at a uniform grade of not less than one eighth (%) of 
an inch per foot, and shall be supported or anchored at intervals not to 
exceed ten (10) feet. All stacks shall be supported at their base and all 
pipes shall be permanently secure. 
Sec. 3. Change in Direction. All changes in direction shall be made 
by the appropriate use of forty-five (45) degree wyes, half wyes, long 
sweep quarter bends, sixth, eighth or sixteenth bends, sanitary tees, side 
opening sanitary tees and quarter bends. A sanitary cross shall be used 
on vertical stacks not less than four (4) inches in diameter for floor outlet 
fixtures only. Short quarter bends may be used only where the change of 
direction of flow is from the horizontal to the vertical and in lieu of closet 
bends by means of lead or soil stubs. Tees, crosses and quarter bends 
may be used in vent pipes. 
Sec. 4. Prohibited Fittings. No double hub, tee, double tee or quarter 
bend with heel inlet shall be used on soil or waste lines. Permission shall 
be secured for the use of twin ells. The drilling and tapping of house 
drains, main, soil or waste pipes and the use of saddle hubs and bands for 
waste and vent pipe connections, Raymond ferrules, drive ferrules or simi- 
lar ferrules are strictly prohibited. LAWS, RULES AND REGULATIONS 
201 
Sec. 5. Dead Ends. In the installation of any drainage system, dead 
ends shall be avoided. 
Sec. 6. Workmanship—Record of Sales. Workmanship shall be of a 
character to secure the results sought to be obtained in all sections of 
this Code and when any plumbing fixtures requiring a proper connection 
to the waste and vent lines, as provided for in this Code, are sold to other 
than licensed master plumbers, a report of the date of sale, number of 
fixtures and point where shipped shall be made to the State Plumbing 
Inspector. 
Sec. 7. Installation of Plumbing by Owner. All plumbing installed 
by the owner shall comply with the requirements of this Code and in such 
event the word “owner” shall be substituted for the word “plumber” 
throughout this Code. 
Sec. 8. Installation of Durham System. The Durham System of 
Plumbing shall be installed only in the following instances; In buildings 
of reenfoi’ced concrete construction; in fireproof floors and walls; when 
exposed on already existing finished walls or ceiling above the first floor; 
provided, however, that cast iron closet bends may be used in concrete 
floors in other types of construction. 
Sec. 9. Drain Pipes Not Less than Three Feet from Wall. Drainage 
pipes used for house drain or house sewer, when constructed of tile or any 
other material allowing leakage, shall be situated not less than three (3) 
feet from the wall of any inhabited building when laid parallel with or in 
the same direction of said wall. If less distance is unavoidable, cast iron 
soil pipe shall be used. 
Sec. 10. Drain Pipes Under Building. No pipes other than cast iron 
shall be installed under the ground when used for soil, waste or vent. 
Sec. 11. Subsoil Drains. Where subsoil drains are used the same 
shall be equipped with backwater trap before entering the house drain or 
house sewer. 
Sec. 12. Dwellings, etc. Number of Water Closets and Privies. How 
Connected. Every person who shall be the owner, lessee, keeper or mana- 
ger of any tenement house, boarding house, lodging house, workshop, 
manufactory, dance hall, restaurant or amusement park, shall provide or 
cause to be provided for the accommodation thereof and for the use of 
the tenants, lodgers, boarders, workers or patrons thereof, adequate toilet 
rooms with water closets or approved privies; said toilet rooms and privies 
shall be adequately ventilated and shall be at all times kept in such cleanly 
and wholesome condition as not to be offensive, dangerous or detrimental 
to health; and no offensive smell of gasses from or through any outlet or 
sewer, or through any such water closets or privy, shall be allowed by any 
person aforesaid to exist on such premises or any part thereof. In all 
places of employment where men and women are employed, sufficient 
water closets or approved privies shall be provided. Water closets for 
men shall be plainly marked “Men’s Toilet,” and water closets for women 
shall be plainly marked “Women’s Toilet.” Wherever provided, water 
closets and urinals shall be installed for every twenty males or less num- 202 
COLORADO STATE BOARD OF HEALTH 
her, and one water closet shall be installed for every fifteen females or less 
number. Such water closet facilities shall be furnished upon at least 
every second floor or other approved location. 
Article III 
QUALITY AND WEIGHTS OF MATERIALS 
Sec. 13. All materials used in any drainage or plumbing system shall 
be free from defects which would cause insanitary conditions. 
Sec. 14. Cast Iron Pipe, etc. All cast iron soil pipe and fittings shall 
be standard or extra heavy. When used underground, shall be coated 
with asphaltum or coal tar pitch. 
Sec. 15. Wrought Iron and Mild Steel Pipe. All wrought iron and 
all steel pipe shall be galvanized. The use of conduit, black iron or black 
steel pipe is prohibited. 
Sec. 16. Lead Pipe. All lead drain pipe shall be of best quality and 
of not less weight per linear foot than 
1" —2 lbs., 8 oz. 
IV4," —3 lbs., 0 oz. 
iy2" —4 lbs., 4 oz. 
2" —6 lbs., 0 oz. 
Lead Bends —8 lbs., 0 oz. 
Drum Traps—8 lbs., 0 oz. 
Sec. 17. Threaded Fittings. 
(a) Plain screwed vent fittings shall be of cast iron, malleable iron, 
brass of standard weight and dimensions. 
(b) Drainage fittings shall be cast iron with smooth interior water- 
way and threads tapped out of solid metal. 
(c) All cast iron fittings used for water supply distribution shall be 
galvanized. 
(d) All malleable fittings shall be galvanized. 
Sec. 18. Calking Ferrules. Brass ferrules shall be of the best quality 
red cast brass not less than four and one-half inches long and two 
and one-quarter (21/4), three and one-half (3L&) and four and one-half 
(4%) inches in diameter. 
Sec. 19. Soldering Nippies, Vent Couplings and Bushings. Soldering 
nipples shall be of heavy cast brass or brass pipe of iron pipe size. Vent 
couplings shall be heavy ground-faced cast brass. 
Sec. 20. Floor Flanges for Water Closets, Slop Sinks and Urinals. 
They shall be not less than three-sixteenths (y’V) of an inch thick for cast 
iron and not less than one-eighth (%) of an inch thick for brass. 
Sec. 21. New Materials. Any other material than that specified in 
this Code, which the State Plumbing Inspector approves as being equally 
efficient, may be permitted. LAWS, RULES AND REGULATIONS 
203 
Article IV 
JOINTS—CONNECTIONS 
Sec. 22. Water and Air-Tight Joints. All joints and connections men- 
tioned in this Code shall be made permanently gas and water-tight. 
Sec. 23. Vitrified Pipe. All joints in vitrified clay or concrete or 
between vitrified clay pipes, concrete pipe or metal pipe, shall be made 
of mortar composed of one part Portland cement and two parts clean, 
sharp sand and troweled smooth. No surplus mortar or other foreign 
material shall project into the pipe from the joint. 
Sec. 24. Calked Joints. All calked joints shall be firmly packed with 
oakum or hemp and shall be secured only with molten lead, not less than 
one inch deep, well calked, and no paint, varnish or putty will he permitted 
until after the joint is tested. 
Sec. 25. Screw Joints. All screw joints shall be American screw 
joints and all burs or cuttings shall be removed. 
Sec. 26. Cast Iron. Cast iron joints may be either calked or screw 
joints made in the approved manner. 
Sec. 27. Wrought Iron, Steel or Brass to Cast Iron. The joints may 
be either screwed or calked joints made in the approved manner. 
Sec. 28. Lead Pipe. Joints in lead pipe or between lead pipe and 
brass, calking ferrules, soldering nipples, soldering bushings, ground-faced 
vent couplings and traps shall be full wiped joints. Also, the joint be- 
tween traps and soldering bushings shall be a wiped joint. 
Sec. 29. Lead to Cast Iron, Steel or Wrought Iron. Connections be- 
tween lead and cast iron shall be made by means of brass calking ferrule. 
Brass soldering nipples and brass ground-faced vent couplings shall be 
used in connecting lead to galvanized iron vents. 
Sec. 30. Slip Joints and Unions. Slip joints shall be permitted only 
in trap seals or on the inlet sides of the trap. The use of unions is pro- 
hibited on waste pipes and below the water level of the fixture on vent 
pipes. 
Sec. 31. Long Screws. Long screws shall be installed only when 
given a water test. 
Sec. 32. Roof Joints. The joint at the roof shall be made tight by 
means of copper, galvanized iron or lead flashing. 
Sec. 33. Floor Connections for Water Closets, Pedestal Urinals, Floor 
Outlet Sinks and Similar Fixtures. When set on a wooden floor a lead 
connection shall be installed between the fixture and the soil pipe or main. 
When set on concrete floor an iron flange calked to cast iron pipe, an iron 
flange calked or screwed to wrought iron pipe and the floor connection of 
the fixture bolted to the floor flange, may be used. A metal to earthen- 
ware, metal to metal union, lead gasket, asbestos washer, or equivalent, 
shall be used to make a gas and water-tight joint. 
Sec. 34. Increasers and Reducers. Where different sizes of pipes and 
fittings are to be connected, proper size increasers or reducers shall be 
used. 204 
COLORADO STATE BOARD OF HEALTH 
Sec. 35. Prohibited Joints and Connections. Any fitting or connection 
which has a chamber or recess with a ledge shoulder or reduction of the 
pipe area in the direction of the flow, which would obstruct or retard the 
flow on the outlet or drain side of any trap, is prohibited. 
Sec. 36. Expansion Bolts. Connections of wall hangers, pipe supports 
or fixture settings with masonry, stone or concrete, shall be made with 
expansion bolts without the use of wooden plugs. 
Article V 
TRAPS AND CLEANOUTS 
Sec. 37. Traps for lavatories, sinks and similar fixtures shall be lead, 
brass or cast iron P or S pattern. Traps for bath tubs and laundry trays 
shall be drum traps and may be of lead, brass or cast iron except that 
brass or cast iron drum traps may be used only where the trap is embedded 
in concrete or where the Durham System is installed. Shower traps or 
floor drains may be used for shower baths. 
The minimum size (nominal inside diameter) of trap and waste branch 
for a given fixture shall not be less than shown in the following table: 
Kind of Fixture 
Size of Trap 
Size of 
Branch Waste 
Bath Tub 
iy2" 
Bath Shower Stall 
rH 
Bath Sitz 
11/2" 
Bath Foot 
IV2" 
Drinking Fountains 
.. .. 1%" 
11/4" 
Dental Cuspidors 
1%" 
Floor Drains 
2" 
2" 
Laundry Trays 
IV2" 
Sinks, Kitchen, Residence 
....iy2" 
iy2" 
Sink, Hotel or Public 
2" 
2" 
Sink, Small Pantry 
....11,4" 
11/4" 
Soda Fountains, Bar 
iy2" 
Sink, Slop with trap combined.. .. 
2" 
2" 
Sink, Slop, Ordinary 
....i y2" 
IV/' 
Urinal Lip 
11/2" 
Urinal Trough 
....11/2" 
iy2" 
Urinal Pedestal 
.... 3" 
3" ■ 
Urinal Stall 
2" 
2" 
Wash Basin 
....11,4" 
1%" 
Water Closet 
....3" 
3" 
(Exception) When two bath tubs back-to-back are connected to one 
common waste the waste shall be increased to two (2) inches in diameter 
at the point where the connection is made from the trap nearest the soil 
or waste stack. 
A combination fixture consisting of sink and one laundry tray may be 
connected to one 4"x8" drum trap only in cases of remodeling or replace- 
ment. LAWS, RULES AND REGULATIONS 
205 
Sec. 38. Traps Prohibited. No form of trap, which depends for its 
seal upon the action of movable parts, concealed interior parts or made 
of fittings, shall be used for fixtures. The use of bell traps is strictly 
prohibited. 
Sec. 39. Traps Where Required. Each fixture shall be separately 
trapped by a water seal trap placed not more than twenty-four (24) inches 
from the fixture outlet opening, and when so placed the waste pipe on the 
house side of the trap shall be so arranged that it will completely drain. 
In no case shall the waste from a fixture discharge into a water closet 
trap except where there is danger of freezing. No fixture shall be double- 
trapped. 
Sec. 40. Water Seal. Each fixture trap shall have a water seal of not 
less than one and one-half (1%) inches and not more than four (4) inches. 
Sec. 41. Trap Cleanouts. Each trap, except those in combination 
with fixtures in which the trap seal is plainly visible and accessible, shall 
be provided with an accessible brass trap screw of ample size, protected 
on the sewer side by the water seal. Drum traps, when made of lead, shall 
have the trap screw ring wiped to the body of the trap. The accessible 
trap return bend, when connected by union joints, will be considered the 
equivalent of a trap screw. 
Sec. 42. Trap Levels and Protection. All traps shall be set true with 
respect to their water seal and protected from freezing and evaporation. 
Sec. 43. Pipe Cleanouts. Pipe cleanouts may be installed at the op- 
tion of the owner or architect and, when so installed, the bodies of cleanout 
ferrules shall be the nominal size as the pipe up to and including four (4) 
inches in diameter, and shall conform in thickness to that required for 
pipe and fittings of the same metal and extend not less than one-quarter 
(%) of an inch above the hub. The cleanout cap or plug shall be of heavy 
brass or cast iron not less than one-eighth (%) inch thick and be provided 
with raised nut or recessed socket for removal. 
Sec. 44. Underground Traps. No traps shall be installed under- 
ground, except where there is danger of freezing. 
Sec. 45. Grease Traps Required. The installation of grease traps in 
connection with municipal sewerage systems is recommended by the State 
Board of Health but their installation shall be governed by local ordi- 
nances or provisions. 
All waste containing grease, when served by private septic tank or 
cesspool, shall be intercepted by a grease trap before entering the house 
drain, house sewer or final disposal. 
Inside grease traps shall be used only when it is impractical to install 
an outside trap. They shall be of ample capacity and design with a mini- 
mum grease capacity of not less than six (6) pounds. 
Outside grease traps shall be of not less than fifty-five (55) gallon 
capacity—made of impervious material and water-tight. They shall be 
located outside the foundation wall of the building and as close as possible 
to the fixture they serve. COLORADO STATE BOARD OF HEALTH 
Connections from the fixtures to outside grease traps shall be made 
of either lead or cast iron. The flow pipe from the trap shall be not less 
than three (3) inches in diameter. (Exception) Single mountain cabins, 
summer homes and tourist camp cottages which are not occupied to exceed 
120 days in each year, will not be required to install grease traps unless 
the waste is connected to a municipal sewerage system wherein they are 
required. 
Sec. 46. Sand Traps. Sand traps shall be installed in all garages and 
other establishments equipped with washracks, and shall be of a design as 
recommended by the Colorado State Board of Health. 
Sec. 47. Floor Drains. Floor drains shall connect into a trap so con- 
structed that they can be readily cleaned and of a size to efficiently serve 
the purpose for which they are intended, and, when subject to evaporation, 
shall be equipped with an automatic trap seal valve. When placed more 
than ten (10) feet from the stack, house drain or branch waste which is 
vented, they shall be vented with not less than two (2) inch pipe when 
run horizontally and may be reduced to one and one-fourth (1^4) inch pipe 
when vertical. The drain inlet shall be so located as to be in full view. 
When subject to backflow or backpressure it shall be provided with an 
adequate backwater valve. 
Sec. 48. Backwater Valves. Backwater valves shall have all bearing 
parts or balls of noncorrodible material and be so constructed as to insure 
a positive seal. 
Article VI 
WATER SUPPLY AND DISTRIBUTION 
Sec. 49. Quality of Water. The quality of water shall meet accepted 
standards of purity. 
Sec. 50. Distribution. The water supply for drinking or domestic 
purposes shall be distributed through a piping system entirely independent 
of any piping system conveying another water supply which is not ap- 
proved for drinking purposes. 
Sec. 51. Water Supplies to Fixtures—Cross-Connections. All plumb- 
ing fixtures shall be provided with a sufficient supply of water to keep 
them in a sanitary condition. Every water closet, pedestal urinal or simi- 
lar fixture shall be flushed by means of an approved tank or flush valve 
(Flushometer) of at least five (5) gallons capacity for water closets and at 
least two (2) gallons for urinals, and the water from said tank or flush 
valve shall be used for no other purpose. 
No water closet, urinal or similar fixture shall be supplied from a 
water system through a flushometer or similar device unless the same is 
equipped with an approved vacuum breaker placed not less than four (4) 
inches above the rim of the fixture which it serves and be supplied with a 
stop valve on the house side of the supply to the same. LAWS, RULES AND REGULATIONS 
207 
Cross-Connections Prohibited. No cross-connection between a SAFE 
water supply and a house drain or house sewer, plumbing fixture or any 
appurtenances thereto, shall be installed. 
Sec, 52. Water Supply Pipes and Fittings, Material. No pipe or fit- 
tings, which have been used for other purposes, shall be used for distrib- 
uting water used for drinking or domestic purposes. 
Sec. 53. Relief Valves. Wherever a check valve or meter is installed 
on the cold water house supply to an automatic or side arm gas water 
heater, there shall be a substantial relief valve installed on the water line 
where practical. 
Sec. 54. Well Water Pumps and Hydrants. All pumps and hydrants, 
together with their piping and connections, shall be installed so as to 
prevent the possibility of the entrance of surface water or any other means 
of contamination. 
Article VII 
PLUMBING FIXTURES 
Sec. 55. Materials. All receptacles used as water closets, toilets, 
urinals or otherwise for the disposal of human waste, shall be of vitrified 
earthenware or cast iron porcelain enameled on the inside. 
Sec. 56. How Installed. All plumbing fixtures shall be installed in a 
manner to afford access for cleaning. When practical, all pipes from 
fixtures shall be run to the wall. 
Sec. 57. Water Closet Bowls. Water closet bowls shall be made in 
one piece of vitreous china and of such form as to hold a sufficient quan- 
tity of water when filled to the trap overflow to prevent fouling of surfaces, 
and shall be provided with an integral flushing rim constructed so as to 
flush the entire interior of the bowl. 
Sec. 58. Prohibited Fixtures. No dry or chemical closet shall be in- 
stalled in a building used for domestic, educational, amusement, manufac- 
turing or serving and storage of food. 
Wooden or concrete sinks. 
New or second-hand copper-lined bath tubs or other fixtures which 
may create an insanitary condition or a possible cross-connection. 
Frostproof or Hopper closets, porcelain enameled cast iron water 
closets and galvanized iron trough urinals are strictly prohibited in all 
instances. 
Sec. 59. Water Closet Seats. All seats of water closets provided for 
public use shall be of the open front type. Public use shall include all 
tourist camps, public rest rooms, restaurants and schools. 
Sec. 61. Fixture Strainers. All fixtures, other than water closets and 
pedestal urinals, shall be provided with fixed metal strainers. 
Sec. 60. Shower Drains. A shower drain shall be considered a fixture. 208 
COLORADO STATE BOARD OF HEALTH 
Sec. 62. Fixture Outlets. The overflow pipe from a fixture shall be 
connected on the house or inlet side of the trap. 
Sec. 63. Utility Openings. A utility opening for inspection and repairs 
shall be provided where the waste, trap and supplies are concealed on 
built-in bathtubs and similar fixtures. 
Article VIII 
VENTILATION OF ROOMS AND FIXTURES 
Sec. 64. Location of Fixtures. No trapped plumbing fixtures, except 
bedroom lavatories, shall be located in a room or apartment which does 
not contain a window placed in the external wall, or otherwise provided 
with local ventilation. The minimum size of the local ventilation opening 
shall be not less than forty-eight (48) square inches and the connecting 
duct thereto shall have an area not less than twenty-four (24) square 
inches. When the local ventilation duct is used for more than one room 
it shall be increased in size at least one-third (%) for each room. 
Sec. 65. Ventilating Pipe—How Connected. Local ventilating pipes 
from fixtures or rooms shall be separate and distinct and have no connec- 
tion whatever with the other ventilating ducts or pipes in the building. 
Sec. 66. Gas Water Heaters—Vents. No gas or oil water heaters 
shall be installed or, if installed, be permitted to remain in any bath room, 
toilet room or shower room. 
All gas, oil and electrical appliances which have a water connection 
shall be installed under the supervision of a licensed Master Plumber. 
Every enclosed gas or oil water heater shall be connected by a proper 
vent not less than three (3) inches in diameter to the outside air or an 
effective flue, and such vent pipe shall have no damper or other attachment 
which will in any way interfere with a free draft. 
Article IX 
SOIL, WASTE AND VENT PIPES 
Sec. 67. Material. All main and branch soil, waste and vent pipes 
within a building and three (3) feet outside, shall be of cast iron, gal- 
vanized steel, galvanized wrought iron, lead or brass, except as provided 
for in Art. 2, Sec. 8. 
Sec. 68. Soil and Waste Stacks. Every building in which plumbing 
fixtures are installed shall have a soil, waste or vent stack, or stacks, 
extending full size through the roof. Stacks shall be run as direct as 
possible. The required size of a soil or waste stack shall be determined 
by the distribution and total of all fixtures connected to the stack in 
accordance with the following table. 
Sec. 69. Size of Soil and Waste Pipe Per Fixture or Group of Fixtures. 
The following table shall be used to determine the minimum size of soil 
and waste pipes required for any one fixture or group of fixtures: LAWS. RULES AND REGULATIONS 
209 
Kind of Fixture 
No. of 
Fixtures 
Sizes of 
Soil and 
Waste Pipes 
Required 
1- 2 
3" 
3- 11 
4" 
12 
4" 
13- 50 
5" 
51-100 
6" 
- 
101 or more 
8" 
r 
1- 2 
2" 
3- 6 
3" 
Slop Sink with Trap Combined 
7- 15 
4" 
16- 36 
5" 
- 
37- 64 
6" 
Sink, Bath Tubs 
• 
1- 4 
iy2" 
Laundry Trays 
5- 8 
2" 
Ordinary Slop Sinks 
9- 18 
2 V2" 
Small Single 
19- 25 
3" 
Urinals and 
26- 30 
3 Vs" 
Shower Baths 
• 
31-100 
4" 
Drinking Fountains 
1- 4 
11/4" 
Wash Basins 
5- 8 
IV2" 
Bubblers 
9- 25 
2" 
Refrigerators 
- 
26 or more 
3" 
r 
1 
2" 
Floor Drains 
2- 4 
3" 
5- 8 
4" 
- 
9- 36 
6" 
Soda Fountains 
( 
IV2" 
Bar Connections, etc 
1 
to 3" 
r 
1 
IV2" 
Long Trough Pedestal, Combined 
2- 4 
2" 
Trap and Porcelain Stall Urinals. . 
5- 10 
3" 
11- 25 
4" 
26 or more 
5" 210 
COLORADO STATE BOARD OF HEALTH 
Sec. 70. House Drain and Main. Beginning three (3) feet outside the 
foundation wall, extra heavy soil pipe shall be used under the ground and 
up to the highest waste connection. 
Three (3) inch soil pipe may be used for house drains and mains pro- 
vided that not more than two (2) water closets, with accompanying 
fixtures, are connected to the same. 
Sec. 71. Changing Soil and Vent Pipes. In existing buildings where 
the soil, waste and vent pipes are of sheet metal, vitrified tile, concrete or 
black iron and not extended undiminished through or above the roof and 
ti aps are unvented, the same shall be changed to meet the requirements 
of this Code whenever a fixture is changed in style or location or replaced, 
also whenever connections are made from cesspool or septic tank to a 
sanitary sewer system. 
Sec. 72. Prohibited Connections. Not more than one fixture shall be 
connected to a soil vent, the waste pipe of which shall not exceed one and 
one-half (1%) inches in diameter. No waste or vent pipe shall be con- 
nected to a lead bend. Lead bend connections from water closets and 
similar fixtures to house drain or main shall be not less than four (4) 
inches in diameter. 
Sec. 73. Soil and Waste Pipe Protected. No soil, waste or vent pipes 
shall be placed on the outside wall of any new building, but vent pipes may 
be placed on the outside of an old building; provided, it is impractical to 
install them on the inside. 
Sec. 74. Roof Extensions. All roof extensions of soil, waste or vent 
stacks on new work shall run full size and inside the building to within 
two (2) feet of the highest point of the main roof and extend at least one 
(1) foot above the same or the fire wall where the roof is flat. 
This provision shall apply in all instances where the premise is located 
less than one hundred (100) feet from the adjoining property line. 
In case of reconstruction, alteration or repair, vents may be run 
straight through the roof. 
Sec. 75. Roof Terminals. The roof terminal of any stack or vent, if 
within ten (10) feet of any door, window, scuttle or air shaft, shall extend 
at least five (5) feet above the same. When the roof is used for other 
purposes than weather protection, the stack or vents shall terminate not 
less than six (6) feet above the roof. No stack or vent pipe shall terminate 
under the eaves, cornice or other overhang of the building. 
Sec. 76. Terminals Adjoining Other Buildings. No new building shall 
be built adjacent to an existing building in which the windows of the same 
are located within ten (10) feet of any existing vent stack or where the 
vent stack of any new building terminates within ten (10) feet of any 
existing window, unless the owner of the new building, with the consent 
of the owner of the existing building, shall make such alterations to the 
existing stacks or extensions of the new vent stack as will meet the re- 
quirements of Section 75. 
Sec. 77. Traps Protected by Vents. Every fixture trap shall be pro- 
tected against siphonage and back pressure and a circulation of air LAWS, RULES AND REGULATIONS 
211 
assured by means of a soil, waste, continuous, stack, loop, circuit, unit or 
return vent. 
Sec. 78. Distance of Vent from Trap Seal. Trap vents shall be con- 
tinuous where possible. Where the vent pipes are continuous and venti- 
lated through the waste fittings, the center of the outlet of such fitting or 
lead branch shall not be set lower than the dip of the trap, and the dis- 
tance measured along the central line of the waste from the weir of the 
trap to the vent opening shall not be more than the following distance; 
l\i" trap 15 inches 
IVz" trap 18 inches 
2" trap 24 inches 
3" trap 30 inches 
4" trap 36 inches 
(Exception) All water closet bends shall be vented with not less than 
a two (2) inch vent when over six (6) feet from the soil stack or house 
drain, and when located twenty (20) or more feet from the soil stack or 
house drain the soil pipe shall be continued undiminished through the roof. 
Sec. 79. Main Vents to Connect at Base, Roof Terminal. All main 
vents or vent stacks shall connect full size at their base to main soil or 
waste pipe at or below the lowest fixture branch, and shall extend undi- 
minished in size above the roof in buildings of three stories or more. They 
may be reconnected to the main soil or waste stack above the highest 
fixture in buildings of less height. 
Sec. 80. Size of Vent Pipe Per Fixture or Group of Fixtures. The fol- 
lowing table shall be used to determine the minimum size of vent pipes 
required for any one fixture or group of fixtures; 
No. of 
Sizes of Back 
Kind of Fixture 
Fixtures 
Vents Required 
1- 2 
2" 
3- 5 
2V2" 
Closets 
6- 7 
3" 
8- 11 
3V2" 
12- 17 
4" 
18 or more 
6" 
r i 
i y2" 
2- 6 
2" 
Slop Sink with Trap Combined 
7- 10 
2y2" 
11- 20 
3" 
21 or more 
3 Vz " 
Sink, Bath Tubs 
1- 4 
iy2" 
5- 8 
2" 
Ordinary Slop Sinks 
9- 18 
2y2" 
Small Single 
19- 25 
3" 
Urinals and 
26- 50 
3y2" 
Shower Baths 
51-100 
4" 212 
COLORADO STATE BOARD OF HEALTH 
No. of 
Sizes of Back 
Kind of Fixture 
Fixtures 
Vents Required 
Wash Basins 
1- 4 
VA" 
Cuspidors 
4- 8 
1V2" 
Bubblers 
9- 25 
2" 
Refrigerators 
26 or more 
3" 
1 
2" Flat 1*4" Vertical 
Floor Drains 4 
2- 4 
2" ” 
iy2" 
5- 8 
3" ” 
2" 
9- 36 
4" ” 
3" 
Bar Connections, Soda Fountains, etc.. 
iy2" to 2" 
Long Trough Pedestal, Combined 
' 1- 4 
iy2" 
Trap and Porcelain Stall Urinals.. . 
5- 12 
2" 
13- 30 
31 or more 
3" 
4" 
Sec. 81. Vent Pipe Grades and Connections. All vent and branch 
vent pipes shall be free from drops or sags and be so graded and connected 
as to drip back to the soil or waste pipe by gravity. 
Where vents connect to a horizontal soil or waste pipe or serve as 
crown vents the vent branch shall be taken off the top of the pipe and 
raised vertically as far as possible toward the water line of the fixture 
before offsetting horizontally or connecting to the branch waste or soil 
vent. 
Sec. 82. Wet Vents and By-Pass. No fixture Hap shall be wet vented 
except those connected to a loop or circuit vent and all vents shall be 
constructed so as to eliminate all possibility of their becoming a waste 
pipe or forming a by-pass. 
Sec. 83. Circuit and Loop Vents. A branch soil or waste pipe to which 
two (2) or more water closets, urinal stalls, pedestal urinals, shower stalls, 
laboratory tables or floor drains ai’e connected in a series, may be vented 
by a circuit or loop vent which shall be taken off in front of the last fixture 
connection, provided that a relief vent of not less than three (3) inches 
shall be installed every fifty (50) feet. 
Sec. 84. Unit Vents. Where bathtubs, water closets or other fixtures 
are located on opposite sides of a wall or partition or directly adjacent to 
each other within the prescribed distance, such fixtures may have a 
common vent. 
Sec. 85. Return Vent, Where a building already constructed is of 
more than one story in height and no vent pipe is available for connection, 
a fixture may be vented by a return vent to the waste line, provided said 
vent shall be returned from a point not less than six (6) inches above the 
rim of said fixture and connected to the horizontal waste at a distance not LAWS, RULES AND REGULATIONS 
less than six (6) inches from the vertical waste. The size of the waste 
and vent pipes shall be not less than two (2) inches in diameter. 
Sec. 86. Vents Not Required. No vents will be required on a down 
spout or rain leader trap, backwater trap, subsoil catch basin trap or floor 
drain trap when the same are connected to the storm water sewer. 
Article X 
BUILDING DRAINS AND HOUSE SEWERS 
Sec. 87. Independent System. Tho plumbing and drainage system of 
each new building and of new work installed in an existing building shall 
be separate from and independent of that of any other building, and every 
building shall have an independent connection with a public or private 
sewer when available, except as herein provided for in this section. 
(Exception) A house sewer may be installed to be used in common 
by two or more parties for buildings located in the rear of each other on 
the same property; if on different properties, a correctly executed article 
of agreement for the establishment and maintenance of such common 
sewer shall be entered into by the contracting parties and placed on record 
in the office of the County Clerk and Recorder, a copy of which shall be 
submitted with the application for plumbing permit as part thereof, in 
which event the whole will be considered as one house sewer, subject, 
however, to local ordinances to the contrary. 
Sec. 88. Old House Sewers and Drains, Old house sewers and house 
drains may be used in connection with new buildings or new plumbing 
only when they are found, upon examination or test, to conform in all 
respects to the requirements governing new sewers or drains, as prescribed 
in this Code. 
Sec. 89. Material. The house sewer, beginning three (3) feet outside 
the face of a building foundation wall, shall be of cast iron, vitrified tile 
or concrete pipes with water-tight joints. 
Sec. 90. Size of Drains and Sewers. The size of house sewer shall 
not be less than the house drain which it serves. 
Sec. 91. House Sewer in Made Ground. The house sewei’, when laid 
in made or filled-in ground, shall be of vitrified tile pipe, concrete pipe or 
cast iron pipe laid on a bed of approved grillage or concrete. 
Sec. 92. Drainage Below Sewer Level. In all buildings in which the 
whole or part of the house drainage and plumbing system thereof lies 
below the ground level of the house sewer, the same shall discharge into 
an air-tight sump or receiving tank properly vented and so located as to 
receive the sewage by gravity, from which sump or receiving tank the 
sewage shall be lifted and discharged into the house sewer or house drain 
by pumps, ejectors or any equally sufficient method; and there shall be 
installed on the waste line to the house drain or house sewer from said 
pump, ejector or other device, a check valve or backwater valve. The soil 
or waste pipe from the fixtures to the sump may be connected in a manner 
so as to serve as a vent to the sump. 214 
COLORADO STATE BOARD OF HEALTH 
Sec. 93. Ejectors for Subsoil Drainage. When subsoil catch basins 
are installed below the sewer level automatic ejectors should be used. 
Such ejectors, or any device raising subsoil water, shall discharge into a 
properly trapped fixture, storm water drain or upon the outside land sur- 
face, and in no instance shall be connected directly to the house drain or 
house sewer. Such catch basins need not be vented and shall not receive 
the waste from any plumbing fixture. 
Article XI 
STORM WATER DRAINS 
Sec. 94. General Provisions. No rain water leaders, area, yard or 
court drains shall be connected to a sewer used for sewage only, except 
when expressly authorized by the City Engineer or City Manager. 
Sec. 95. Area, Yard and Court Drains. When permitted to connect to 
the house drain, house sewer or sanitary sewer, they shall discharge into 
a sand trap before connecting to the same and so located as to be readily 
accessible for cleaning and protected from frost and, when necessary, with 
a backwater valve, subject to plans and specifications approved by the 
State Plumbing Inspector. 
Sec. 96. Rain Water Leaders. Rain water leaders, when placed 
within a building, shall be constructed of cast iron, galvanized wrought 
iron, copper or brass pipe. When connected to the house drain or house 
sewer they shall be designed and constructed as are other drainage pipes, 
and shall be effectively trapped before entering the same. (Provided that 
no galvanized iron pipe shall be used underground.) 
Sec. 97. Vent Connections with Conductors or Rain Leaders Prohib- 
ited. Rain water conductors or leaders shall not be used as soil, waste or 
vent pipes; nor shall any soil, waste or vent pipes be used as rain water 
conductors or leaders. 
Sec. 98. Overflows. Overflow pipes from cisterns, supply tanks, ex- 
pansion tanks, drip pans and air conditioning systems shall not be con- 
nected directly with any house drain, house sewer, soil, waste or vent pipe. 
Sec. 99. Subsoil, Foundation, ClearWater and Absorption Tile Drains. 
Where subsoil drains are placed under a cellar floor or used to encircle the 
outer walls of a building, the same shall be made of open-jointed drain tile, 
vitrified clay or concrete pipe, and if connected to the house drain or house 
sewer shall, before entering the same, be protected against back pressure 
by an automatic back pressure valve accessibly located; or they may dis- 
charge into a cellar drain provided with a backwater valve, subject to 
plans and specifications approved by the State Plumbing Inspector. 
Article XII 
REFRIGERATOR—SAFE AND SPECIAL WASTES AND VENTS 
Sec. 100. Fixture Prohibited to Connect. No waste pipe from a re- 
frigerator or ice box or any other receptacle, where food is stored, shall 
connect directly with any house drain, main, house sewer, soil, waste or LAWS. RULES AND REGULATIONS 
215 
vent pipe. Such waste pipe shall, in all cases, empty into an open fixture 
which is pi-operly trapped and vented and supplied with water, or may 
discharge into a cellar drain, but the end must be left open to the air. 
Sec. 101. Refrigerator Wastes. Refrigerator waste pipes shall be not 
less than one (1) inch for one opening, one and one-quarter (I1/!) inches 
for two to three openings, and one and one-half (1%) inches for four to 
twelve openings. Such waste pipes shall be continued not less than full 
size through the roof, except where such fixtures are located in the base- 
ment or first floor. 
Sec. 102. Overflow Pipes and Motor Exhaust. Overflow pipes from 
a water supply tank or exhaust from a water lift shall not be directly 
connected with any house drain, soil, waste or vent pipe. Such pipes shall 
discharge upon the roof, ground surface or into an open fixture. 
Sec. 103. Wastes from Laundries and Similar Establishments. Waste 
pipes in dye houses, breweries, bottling works, creameries, laundries and 
similar establishments, where much water is used, may discharge directly 
on to a non-absorbent floor provided with an adequate number of floor 
drains. Said drains shall be connected to the house sewer with cast iron 
pipe. 
Sec. 104. Drinking Fountains. Drinking fountains shall be connected 
to the house drain or main the same as other fixtures and shall be 
equipped with an appi’oved head. 
Sec. 105. Soda Fountain and Sink Wastes. Bars, soda fountains, dish 
washing sinks and similar fixtures where glasses, dishes and/or other 
receptacles are used for the purpose of serving foods, drinks or beverages 
to the public, shall be adequately supplied with hot wrater at all times 
during business hours and supplied with sink facilities, as required by 
the Restaurant Sanitation Division. All bars, soda fountains, sinks and 
similar fixtures mentioned in this section shall be properly connected to 
sewers, septic tanks or other sewage disposal plants, as required by regu- 
lations of this Code. 
Sec. 106. Exhaust, Blow-offs and Drip Pipe Connections. The ex- 
haust, blow-off, sediment or drip pipe from a steam boiler shall not connect 
directly with any sewer, house drain, soil or waste pipe. Such pipe shall 
discharge into the top and above the line of discharge of a suitable closed 
tank or condenser made of wrought or cast iron and provided with a relief 
pipe of at least two (2) inches in diameter, extending independently of 
any other pipe to the outer air above the xoof. The waste from said tank 
or condenser shall be taken from the bottom in such a manner as to form 
a trap seal of not less than eighteen (18) inches and be connected wherever 
possible to the house sewer, and be at least one size larger than the inlet. 
Sec. 107. Inflammable Waste. All liquid wastes containing gasoline, 
benzine, naphtha or other inflammable oils or compounds shall be inter- 
cepted before entering the sewer by a suitable catch basin or grease trap 
pi’operly vented. 
Sec. 108. Waste Water Containing Acids. No raw acid waste shall 
discharge into any soil, waste or house drain. Pipes conveying such waste COLORADO STATE BOARD OF HEALTH 
shall be of first-class salt glazed vitreous tile pipe and may be connected 
into the house sewer as the first connection after passing through a sump 
properly trapped. All joints shall be calked with at least one (1) inch of 
shredded lead and troweled smooth with mortar composed of one part of 
Portland cement and two parts good, clean, sharp sand. All waste pipes 
carrying acids in suspension may be of extra heavy cast iron soil, lead 
or duro iron. 
Article XIII 
REPAIRS, ALTERATIONS, REMODELING AND ADDITIONS 
Sec. 109. Old Materials Used. All fixtures, soil, waste and vent pipes 
removed from an old building, if found to be in good condition, may be 
used again; provided, the owner of the building in which they are installed 
gives his consent. 
Sec. 110. Old House Drains. Existing house drains may be used in 
connection with new building or new plumbing only when they are found, 
upon examination or test, to conform to the requirements of this Code gov- 
erning new drains and sewers. 
Sec. 111. Remodeling. When an old or defective plumbing fixture is 
removed to be replaced by a new one and the waste and vents to same 
remodeled, additional fixtures installed or the present ones moved to a new 
position, a connection made to a sanitary sewer in lieu of a septic tank or 
cesspool, the same shall conform to this Code. All other existing plumbing 
shall reasonably conform to this Code. The Durham System may be used 
subject to the provision of Sec. 8. 
Sec. 112. Repairs. All repairs to plumbing shall be done in a sub- 
stantial, sanitary and workmanlike manner. 
Article XIV 
SEWAGE DISPOSAL 
Sec. 113. Septic Tanks, Leaching Cesspools, Location. No septic 
tank, cesspool, grease trap or other system of sewage disposal shall be 
located under any building, and the construction and location of any dis- 
posal system shall conform with the regulations of the Sanitary Engineer- 
ing Division of the Colorado State Board of Health. 
Article XV 
SCHOOL HOUSES, THEATRES AND ASSEMBLY HALLS 
Sec. 114. Sanitation. The minimum sanitary equipment for schools, 
theatres and assembly halls, where water supply and sewage disposal are 
possible, shall be as follows; 
Sec. 115. Schools. In the superstructure of the building—one slop 
sink, one lavatory for each five (5) water closets or less; one additional 
lavatory for each additional five (5) water closets or less; one water closet 
for each fifteen (15) females or less; one water closet for each twenty-five LAWS, RULES AND REGULATIONS 
217 
(25) males or less; one urinal for each fifteen (15) males or less; one 
drinking fountain on each floor equipped with slanting jet head. 
Juvenile or short water closets should be used for primary and gram- 
mar schools. 
Each water closet shall be separated by means of a stall or partition 
with at least eight (8) inches between the floor and bottom of the stall. 
Buildings more than three stories in height shall be provided with 
toilet rooms in each story and in these shall be installed water closets, 
lavatories and urinals in the above required ratio in proportion to the 
number of persons to be accommodated in the various stories. 
Wherever a pressure water supply is possible no tin cups, tumblers or 
pails used in common for drinking water shall be allowed in or about any 
school building. 
Sec. 116. Theatres and Assembly Halls, Sanitary Equipment. The- 
atres and assembly halls shall be provided with sanitary equipment as 
follows: One drinking fountain in the auditorium equipped with slanting 
jet, separate toilet rooms in connection with the auditorium for males and 
females in which shall be installed one water closet for each 200 females 
or fraction, one water closet and one urinal for each 300 males or fraction 
—assuming the audience to be equally divided between males and females, 
and one water closet in connection with each motion picture machine 
booth; except that in dance halls there shall be provided two water closets 
for each 100 females or fraction, one urinal for each 150 males or fraction, 
and one water closet for each 150 males or fraction. 
Article XVI 
INSPECTION AND TESTS 
Sec. 117. Inspection. All plumbing within the state as defined by 
this Code is subject to inspection by the Chief State Plumbing Inspector, 
or Deputy State Plumbing Inspector, in order to ascertain if the require- 
ments of this Code have been or are being complied with. Applications 
for permits will be furnished upon request. All permits shall be kept on 
file by the person to whom issued, and be accessible to the Chief State 
Plumbing Inspector or Deputy State Plumbing Inspector. 
Sec. 118. Right of Entry. The Chief State Plumbing Inspector, or 
Deputy State Plumbing Inspector, shall have the right to enter upon any 
premise containing plumbing between the hours of 9 A. M. and 5 P. M. for 
the purpose of inspecting the plumbing installed therein and ascertaining 
whether the provisions of this Code have been or are being complied with. 
Sec. 119. Material and Labor for Test. Equipment, material and la- 
bor necessary for inspection and test shall be furnished by the plumber. 
Sec. 120. Method of Testing. All parts of a plumbing system con- 
veying sewage or water and known as the “roughing-in,” which are to be 
covered or permanently concealed from view, shall be tested in the rough 
by the plumber by means of a water, peppermint or air test, and all joints 
made tight. 218 
COLORADO STATE BOARD OF HEALTH 
If the State Plumbing Inspector, or Deputy, cannot be present for 
the test, an affidavit as to the test shall be made by the plumber, architect, 
contractor or owner. 
In cases where the roughing-in is not concealed and an inspection is 
not feasible within thirty-six (36) hours following request for same, the 
plumber may proceed with the work. 
If upon inspection the character of the work is such as to cause a 
reasonable doubt as to its tightness, it shall be subjected to a test upon 
the direction of the State Plumbing Inspector, or Deputy. 
Sec. 121. Uncovering Work. If the State Plumbing Inspector has 
cause to believe, or information to the effect that any part of a plumbing 
installation, which does not meet the requirements of this Code, has been 
covered, it shall be uncovered for inspection upon his direction. 
Sec. 122. Defective Work. If inspection or test of plumbing shows 
improper installation or defects in material, such defective material or 
improper installation shall be replaced, altered or repaired not later than 
a date specified in writing by the State Plumbing Inspector. 
Sec. 123. Certificate of Approval. Upon the satisfactory completion 
and final inspection of the plumbing a tag or sticker of approval shall be 
attached to the system in a conspicuous place and, upon request, a certifi- 
cate of approval will be issued by the Chief State Plumbing Inspector to 
the owner. 
Sec. 124. Inspection and Tests Not Required. No test or inspection 
shall be required where a plumbing system, or part thereof, is set up for 
exhibition purposes and not used for toilet purposes and not directly con- 
nected to a sewerage system, nor the repairing or replacing of an old 
fixture with a new one to be used for the same purpose. 
ADMINISTRATION 
Article XVII 
Sec. 125. A “Journeyman Plumber” is hereby defined to be any person 
other than a Master Plumber who engages in or works at the actual instal- 
lation, alteration, repair and renovating of plumbing. 
LICENSES, CERTIFICATES, PERMITS AND REGISTRATION 
Sec. 126. A “Master Plumber” is hereby defined to be any person 
skilled in the planning, superintending and practical installation of plumb- 
ing and is familiar with the laws, rules and regulations governing the 
same, who is engaged in this business as owner or supervisor. 
Sec. 127. A “Plumber’s Apprentice” is hereby defined to be any per- 
son other than a Journeyman or Master Plumber who, as his principal 
occupation, is engaged in learning and assisting in the installation of 
plumbing. 
Sec. 128. Remittance of Fees. Remittance fees for license, permit or 
examination shall be paid in cash or by means of postoffice or express 
money order, bank draft, certified or personal check drawn in favor of the 
Colorado State Treasurer. LAWS, RULES AND REGULATIONS 
219 
Sec. 129. Renewals. All licenses must be renewed on or before Janu- 
ary 31st of each year for which the license is issued. Renewal fee, in full, 
must be received at the office of the State Plumbing Inspector not later 
than January 31st of each year. 
Sec. 130. Failure to Renew License. Any person who fails or neglects 
to renew his license before February 1st of each year may have said 
license revived upon payment of the revival fee any time during the month 
of February of that year. Failure to renew or revive a license before 
March 1st of each year cancels such license for nonpayment of fees, and 
any Master or Journeyman Plumber whose license has been cancelled for 
nonpayment of fees can obtain a new license only upon such terms as the 
State Board of Health may require upon investigation. 
Sec. 131. Revocation of License. The State Board of Health may 
revoke any license according to the provisions set forth in Chapter 126, 
Section 8, of the Annotated Statutes of Colorado, 1935. 
Sec. 132. License Where Required. No person shall engage in or 
work at the business, trade or calling of plumbing anywhere in this State 
until he shall have received a license from the State Board of Health. 
[Chapter 126, Section 9, Annotated Statutes, 1935. 
Owners Exempt. Owners are not required to have a license to install 
plumbing when confined to their own property. (Subject to provisions as 
set forth in Section 7.) 
When a person, firm or corporation engages in the plumbing business 
in connection with the dealing in and installing of plumbing and the per- 
son or any member of the firm or corporation does not have a license he, 
or they, shall have a licensed Master Plumber in charge at all times who 
shall be responsible for the proper installation of all plumbing; and such 
person, firm or corporation shall notify the State Plumbing Inspector 
within twenty-four hours of such person’s employment or dismissal. 
Sec. 133. No Master Plumber, person, firm or corporation shall em- 
ploy a nonlicensed person in the capacity of a Journeyman Plumber. 
Sec. 134. Certificate of Registration When Required. Every person 
engaged in learning and assisting in the installation of plumbing in this 
State shall have a certificate of registration from the Division of Public 
Health as an apprentice. This certificate entitles such apprentice to work 
at the installation of plumbing without a license only when he is at all 
times physically accompanied on such work by a licensed Master or Jour- 
neyman Plumber. 
Any person claiming to be an apprentice, who shall engage in the in- 
stallation of plumbing without a certificate, shall be classed as a Journey- 
man and be subject to penalties provided for working without a Journey- 
man’s license. 
No person shall be registered as an apprentice who is not engaged, as 
his principal occupation, in learning and assisting in the installation of 
plumbing. Said apprentice shall be at least eighteen, and no Master 
Plumber shall employ more than two apprentices at any one time. 220 
COLORADO STATE BOARD OF HEALTH 
Article XVIII 
RULES GOVERNING THE EXAMINATION OF PLUMBERS 
Sec. 135. Time of Examinations. Regular examinations for the licens- 
ing of Master and Journeymen plumbers will be held during the months of 
May and November. Special examinations for Master Plumbers will be 
held on twenty-four hours’ notice by applicant, excepting Sundays, legal 
holidays and Saturdays. 
Sec. 136. Duties of Examiners. They shall conduct all examinations 
for persons wishing to engage in the business, trade or calling of a Master 
or Journeyman Plumber in an unbiased manner, grade all papers, charts, 
lead work, etc., notify applicants of results of examinations and place a 
record of such examinations on file in the office of the State Plumbing 
Inspector. 
Sec. 137. Notification of Examination. Notification of the time and 
place of examinations wall be sent at least two weeks prior to date of such 
examinations, to all those wrho have applications on file in the office of the 
Plumbing Division of the State Board of Health. 
Sec. 138. Licenses shall be issued only to persons who have passed 
with a grade of 85% for Masters and 75% for Journeymen. 
Sec. 139. Character of Examinations. Examinations for licenses for 
Master and Journeymen Plumbers shall consist of written questions, 
charts, practical lead wiping and estimating and shall cover the theory, 
interpretation of charts, blue prints, the practice of plumbing and may, in 
part, be oral. 
Sec. 140. Materials Used in Examinations. All applicants shall fur- 
nish the necessary tools for a practical lead bending and wiping test. All 
materials will be furnished for the waping test but applicants are privi- 
leged to bring their own if they so desire. 
Sec. 141. Reexamination. Upon the failure of any Master or Journey- 
man applicant to pass examination, said applicant may again appear at 
the expiration of six months for reexamination upon the payment of 
another examination fee. (Exception) Any person failing in a special 
examination may reappear during following regular examination period. 
Any Master or Journeyman Plumber, whose license has been cancelled 
for three years or longer prior to application for revival of same, shall be 
required to take an examination. 
Article XIX 
QUALIFICATIONS AND DUTIES OF MASTER PLUMBER AND 
JOURNEYMAN PLUMBER 
Sec. 142. Master Plumber Qualifications. All applicants for Master 
Plumber’s license must be citizens of the United States, have reached the 
age of twenty-one years, have had at least three years of experience as a 
licensed Journeyman or Master Plumber and be able to read and write the 
English language. LAWS, RULES AND REGULATIONS 
221 
Journeyman Plumber Qualifications. All applicants for Journeyman 
Plumber’s license must be citizens of the United States, have reached the 
age of twenty-one years and have had at least five years of experience as 
an apprentice. 
Any deviation from the provisions of Sections 141 and 142 shall be 
made only with the unanimous consent of the Board of Plumbing Exam- 
iners. 
Sec. 143. Duties of a Master Plumber. The duties of a Master 
Plumber are; 
1. Renew his license at the end of each calendar year and place it in 
a conspicuous location in his place of business. 
2. Take out the proper permits before starting work. 
3. Install work according to all plumbing regulations, laws or ordi- 
nances before notifying the Plumbing Inspector to make inspection or test. 
4. Cooperate with the plumbing inspectors by reporting and filing 
complaint with the district attorney, or any of his deputies in the various 
districts, of all violations of the Plumbing Law or State Plumbing Code, 
and render all possible aid in the prosecution of cases. 
5. Employ only licensed Journeymen Plumbers to install plumbing. 
6. Insist on his Journeymen Plumbers obeying all plumbing laws and 
ordinances. 
7. Submit to the office of the Chief State Plumbing Inspector, for 
indenture, the names and addresses of all persons employed as appren- 
tices within thirty days of the date of their employment. 
Sec. 144. Duties of a Journeyman Plumber. The duties of a Journey- 
man Plumber are: 
1. Shall renew his license at the end of each calendar year and carry 
his identification card whenever he is installing any plumbing work. 
2. Cooperate with the plumbing inspectors. 
3. Cooperate with and assist any health officer or plumbing inspector 
when called upon to furnish information and evidence which they should 
desire to correctly and properly enforce all plumbing laws and ordinances. 
4. Install work according to all plumbing laws, regulations or ordi- 
nances before notifying the plumbing inspector to make inspection or test. 
5. Familiarize himself with all plumbing codes, rules and regulations 
governing plumbing. 
6. Work at his trade as directed or employed by a licensed Master 
Plumber. 
PLUMBING INSTALLATION PERMITS 
Article XX 
Sec. 145. Installation Permits. No person, firm, corporation or owner 
shall construct, install or alter any plumbing or drainage in any building 
in this State, except in cities of the first class, without securing from the 
Division of plumbing an installation permit for such work before starting 
the same. 222 
COLORADO STATE BOARD OF HEALTH 
Sec, 146. To Whom Installation Permits Are to Be Issued. Installa- 
tion permits are to be issued only to licensed Master Plumbers or owners 
to construct or install any plumbing, and when a permit is issued to an 
owner it applies to his own premises only and said owner is prohibited 
from hiring any person to install said plumbing unless the work is done 
under the supervision of a licensed Master Plumber. 
Sec. 147. Charges for installation Permits. The fee for a plumbing 
installation permit shall be $2.00 for the first five fixtures, or any fraction 
thereof, and 25c for each additional fixture thereafter. Fixtures are de- 
fined as follows: water closet, bath tub, lavatory, kitchen sink, laundry 
tray, sink, shower trap, drinking fountain, lip, stall, pedestal, wall or 
trough urinal, slop sink, counter sink—bar and soda fountain, domestic or 
range boiler, dental chair, floor drain, dish-washing machine, sand trap. 
Sec. 148. Plumber Allowing Name to Be Used. No person, firm or 
corporation carrying on a plumbing business shall allow his name, or their 
name to be used by any other person, firm or corporation, directly or indi- 
rectly, to obtain an installation permit. 
QUALIFICATIONS AND DUTIES OF PLUMBING INSPECTOR 
Sec. 149. State Plumbing inspector. He shall be a citizen of the 
United States, at least twenty-one years of age and qualified from practical 
experience as a plumber. 
Sec. 150. Duties of the Chief State Plumbing Inspector. The duties 
of the Chief State Plumbing Inspector shall include; 
1. The inspection and/or reinspection of plumbing and drainage in- 
stallations. 
2. Witnessing tests as required hei'ein. 
3. The issuance of certificates of inspection and approval. 
4. Keeping a record of all violations and making complaints to proper 
prosecuting authorities. 
5. The proper enforcement of this Code. 
6. Keeping a record of all inspections made and complaints received 
and investigated. 
7. Investigating all complaints regarding insanitary plumbing. 
8. Assisting impartially in the examination of plumbers. 
9. Making a comprehensive study of what constitutes safe, efficient 
and economical plumbing and drainage installations, 
10. Keeping all office records and reporting to the State Board of 
Health on his work, as required. 
11. Issuing new licenses, renewing and reviving licenses now in force 
and issuing installation permits. 
12. Keeping a record of all moneys received and depositing the same 
with the State Treasurer as per law. 
Sec. 151. Control and Supervision. The Plumbing Inspector shall 
have reasonable control and supervision of the methods and materials 
used in any part of a plumbing or drainage system, as prescribed herein. LAWS, RULES AND REGULATIONS 
223 
Sec. 152. Investigation of Complaints. The Plumbing Inspector shall 
examine all premises about which a complaint of the plumbing or drainage 
is made in writing, and he shall, upon evidence of the insanitary condition 
thereof, report same and notify the owner or agent of such premises by 
registered mail or personal service, to arrange the plumbing or drainage 
therein according to the requirements of this Code. Any person or per- 
sons failing within reasonable time to place the plumbing of such building 
or premises in accordance with this Code, shall be subject to prosecution. 
Sec. 153. Approval of Plans. The Plumbing Inspector shall promptly 
examine all plans and specifications filed in his office and notify the person 
submitting such plans and specifications of his approval or rejection. 
Sec. 154. Duties of the Deputy State Plumbing Inspector. The duties 
of the Deputy State Plumbing Inspector shall be the same as those of the 
State Plumbing Inspector, with the exception of Section 153, and Articles 
8, 10, 11 and 12 of Section 150. 
Sec. 155. Discretionary Powers. When for specific reason it may be 
impractical to make an installation so as to comply strictly with the pro- 
visions of this Code as it pertains to plumbing and drainage designs, mate- 
rials, construction and appliances, the Chief Plumbing Inspector shall have 
discretionary power to permit such modifications as are not inconsistent 
with the spirit and substance thereof. All such modifications must be 
reported in writing to the State Board of Health and filed as official public 
record. 
TABLES AND RULES FOR CALCULATIONS 
Commercial Weights 
16 drams or 437.5 grains = 1 ounce 
16 ounces or 7000 grains = 1 pound 
2000 pounds = 1 ton 
Liquid Measure 
4 gills =1 pint 
2 pints =1 quart 
4 quarts = 1 gallon 
Square Measure 
144 sq. inches =1 sq. foot 
9 sq. feet =1 sq. yard 
43,560 sq. feet —1 acre 
Cubic Measure 
1,728 cu. inches =1 cu. foot 
27 cu. feet =1 cu. yard 224 
COLORADO STATE BOARD OF HEALTH 
Water Equivalents 
1 gallon water contains 231 cu. inches 
weighs 8.33 pounds (use 8% lbs. in calculations) 
equals .13368 cu. feet 
1 cu. foot water contains 3728 cu. inches 
weighs 62.425 pounds (use 62.5 lbs. in calculations) 
equals 7.48 gallons (use 7.5 gals, in calculations) 
1 cu. inch water weighs .0361 pounds. 
1 foot head of waterz=0.4335 pounds per sq. inch. 
1 pound per sq. inch = 2.3068 feet head of water. 
To find the circumference of a circle multiply the diameter by 3.1416. 
To find the area of a circle multiply the square of the diameter by 
6.7854, or multiply the square of the radius by 3.1416. 
To find the pressure in pounds per square inch exerted by a column of 
water at its base, multiply the head in feet by 0.434. Thus in a pipe 50 ft. 
in height filled with water the pressure at its base will be 50X0.434 — 21.7 
pounds. 
For every pound pressure at the base of a column of water a height of 
27.7 inches is required. 
To find the head in feet, the pressure being known, multiply the pres- 
sure in pounds per square inch by 2.31. In computing the height water 
will rise in a building due allowance must be made for variation in pres- 
sure, size of piping, friction, location and number of fixtures to be served 
and other conditions in connection therewith. 
To find the contents of square or rectangular tanks or cisterns in cubic 
feet, multiply the length, breadth and height in feet together. To reduce 
this to gallons multiply by 7.5. 
To find the contents in cubic inches, multiply the length, breadth and 
height in inches together. To reduce this to gallons, divide by 231. 
To find the contents of circular tanks or cisterns find the square of 
the diameter in feet, multiply this by 0.7854 and by the height in feet. 
This is the volume in cubic feet. To reduce this to gallons multiply by 7.5. 
To find the contents of pipes find the square of the diameter in inches, 
multiply by 0.7854 and by the length in inches. This gives the contents in 
cubic inches. To reduce this to gallons divide by 231, or (second method) 
multiply the square of the diameter in inches by the length in feet and 
divide by 24.5. LAWS, RULES AND REGULATIONS 
225 
Diameter, Circumference and Area of Circles and Volume of Pipes 
Per Foot of Length 
Diameter 
in Inches 
Circumference 
in Inches 
Area in 
Square Inches 
Volume in 
Cubic Inches 
Volume in 
Gallons 
% 
1.571 
0.1963 
2.355 
0.0102 
% 
2.356 
0.4418 
5.302 
0.023 
1 
3.141 
0.7854 
9.425 
0.041 
3.927 
1.227 
14.724 
0.064 
m 
4.712 
1.767 
21.204 
0.092 
1% 
5.497 
2.405 
29.96 
0.125 
2 
6.28 
3.14 
37.68 
0.163 
2% 
7.85 
4.91 
58.92 
0.255 
3 
9.42 
7.07 
84.84 
0.367 
4 
12.56 
12.56 
150.79 
0.65 
5 
15.70 
19.63 
235.62 
1.02 
r. 
18.84 
28.27 
339.29 
1.47 
8 
25.13 
50.26 
603.19 
2.61 
10 
31.41 
78.54 
942.48 
4.08 
12 
37.69 
113.09 
1357.15 
5.87 
To compute the approximate amount of calking lead required for soil 
pipe joints, allow one pound for each joint one inch in diameter: Thus, 
2-inch joint—2 lbs.; 4-inch joint—4 lbs.; etc. Joints must have a uniform 
depth of not less than 1 inch of lead. 
Where concrete is used for outdoor grease traps and yard catch basins, 
cisterns, cesspools and septic tanks, use one part Portland cement, 2 parts 
sand and four parts broken stone and clean gravel; or 4 sacks of Portland 
cement, 2 barrels of clean, sharp sand and 4 barrels of broken stone or 
clean gravel. 
It is very important that water be added in such quantity that the 
concrete will flow readily but the ingredients will not separate. 
For mortar for average masonry of rough stone, estimate about one 
barrel of Portland cement and 2 to 3 barrels of sand to the cubic yard, 
depending on the character of the stone. 
1 barrel Portland cement equals 4 cubic feet 
1 cu, foot Portland cement weighs 96 pounds 
A rainfall of one inch in depth on an area of 100 sqare feet will give a 
runoff of 62 gallons. 
Galvanized Range Boilers 
Diameter 
Length of 
Capacity 
Diameter 
Length of 
Capacity 
Inside of Shell 
Shell 
Gallons 
Inside of Shell 
Shell 
Gallons 
Inches 
Inches 
Approx. 
Inches 
Inches 
Approx. 
12 
36 
18 
16 
60 
52 
12 
48 
24 
18 _ 
60 
66 
12 
60 
30 
20 ___ 
60 
82 
22 - - 
60 
100 
14 _ -- - -- 
48 
32 
24 . 
60 
120 
14 - _ 
60 
40 
24. - 
72 
144 
16 
48 
42 
24 - 
96 
192 COLORADO STATE BOARD OF HEALTH 
Fall, Per 100 Feet 
Size of 
1 
2 
3 
6 
9 
1 
2 
3 
Sewer, 
Inch 
Inch 
Inch 
Inch 
Inch 
Foot 
Foot 
Foot 
Inches 
Fall 
Fall 
Fall 
Fall 
Fall 
Fall 
Fall 
Fall 
4,.. . 
20 
28 
35 
50 
62 
71 
101 
124 
6 , 
63 
89 
111 
156 
194 
224 
317 
389 
8 _ 
140 
198 
246 
348 
432 
499 
706 
864 
1(1 - 
261 
369 
457 
648 
803 
928 
1,310 
1,610 
12— 
432 
612 
758 
1,070 
1,330 
1.530 
2,170 
2,660 
Gallons Discharged Per Minute by Sewer Pipe 
Water Pressure for Varying Heads 
Head 
in 
Feet 
| Pressure 
1 Lbs. Per 
Sq. In. 
Head 
in 
Feet 
Pressure 
Lbs. Per 
Sq. In. 
Head 
in 
Feet 
Pressure 
Lbs. Per 
Sq. In. 
Head 
in 
Feet 
Pressure 
Lbs. Per 
Sq. In. 
1 
0.43 
26 
11.26 
51 
22.09 
76 
32.91 
2 
0.86 
27 
11.69 
52 
22.52 
77 
33.34 
3 
1.30 
28 
12.12 
53 
22.95 
78 
33.78 
4 
1.73 
29 
12.56 
54 
23.38 
79 
34.21 
5 
2.16 
30 
12.99 
55 
23.82 
80 
34.64 
6 
2.60 
31 
13.42 
56 
24.25 
81 
35.08 
7 
3.03 
32 
13.86 
57 
24.68 
82 
35.51 
8 
3.46 
33 
14.29 
58 
25.12 
83 
35.94 
9 
3.90 
34 
14.72 
59 
25.55 
84 
36.37 
10 
4.33 
35 
15.16 
60 
25.98 
85 
36.81 
11 
4.76 
36 
15.59 
61 
26.41 
86 
37.24 
12 
5.20 
37 
16.02 
62 
26.85 
87 
37.67 
13 
5.63 
38 
16.45 
63 
27.28 
88 
38.10 
14 
6.06 
39 
16.89 
64 
27.71 
89 
38.54 
15 
6.49 
40 
17.32 
65 
28.15 
90 
38.97 
16 
6.93 
41 
17.75 
66 
28.58 
91 
39.40 
17 
7.36 
42 
18.19 
67 
29.01 
92 
39.84 
18 
7.79 
43 
18.62 
68 
29.45 
93 
40.27 
19 
8.23 
44 
19.05 
69 
29.88 
94 
40.70 
20 
8.66 
45 
19.49 
70 
80.31 
95 
41.14 
21 
9.09 
46 
19.92 
71 
30.74 
96 
41.67 
22 
9.53 
47 
20.35 
72 
31.18 
97 
42.00 
23 
9.96 
48 
20.78 
73 
31.61 
98 
42.44 
24 
10.39 
49 
21.22 
74 
32.04 
99 
42.87 
25 
10.82 
50 
21.65 
75 
32.48 
100 
43.30 
l/2 
% 
% 
1 
1H 
m 
2 
2 
3 
4 
6 
8 
10 
1 
%— 
1.7 
1 
- 
2.9 
1.7 
1 
1 
6.2 
3.5 
2.1 
1 
10.9 
6.2 
3.7 
1.8 
1 
1%—- 
17.4 
10.0 
6.0 
2.8 
1.6 
i 
__ 
2 
37.8 
21.7 
13.0 
6.1 
3.5 
2.1 
1 
2%-— 
65.5 
37.5 
23.1 
10.7 
6.1 
3.8 
1.8 
1 
3 
110.5 
63.2 
38.0 
17.9 
10.1 
6.3 
2.9 
1.6 
1 
4 
189.0 
108.3 
65.0 
30.6 
17.3 
10.8 
5.0 
2.8 
1.7 
1 
___ 
6 
527.0 
802.0 
186.0 
87.0 
49.0 
30.5 
14.2 
8.0 
4.8 
2.8 
1 
8 
650.0 
418.0 
195.5 
108.6 
67.2 
31.6 
17.9 
11.2 
6.0 
2.1 
1 
Relative Discharging Capacities of New Smooth Pipes LAWS, RULES AND REGULATIONS 
The figures in the foregoing table give the number of pipes of a given 
diameter that are equal to one pipe of a larger diameter. 
This table is based on conditions similar to those at a residence or 
other small building. For power plant or other similar conditions the table 
is only approximate. 
Example: How many Vz inch pipes are equal to one % inch pipe? 
Under column marked Vz inch at top of table follow down the column 
to figures opposite % inch and read 2.9; that is to say, a % inch pipe has a 
carrying capacity equal to about three Vz inch pipes. 
Example: What diameter of pipe will be required to supply three Vz 
inch pipes, one % inch and one % inch pipe? 
Solution: Reduce all of the pipes to equivalent of Vz inch pipes. 
Three Vz inch pipes =3.0 
One % inch pipe =1.7 
One % inch pipe =2.9 
The combination =7.6 one-half inch pipes 
From the table we see that a one-inch pipe equals 6.2 one-half inch 
pipes and a one and one-fourth inch pipe equals 10.9 one-half inch pipes. 
As we require the equivalent of 7.6 one-half inch pipes, it would be neces- 
sary to use a one and one-fourth inch pipe to supply the above combination. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
FOOD AND DRUGS 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
231 
FOOD AND DRUGS 
LAWS PERTAINING TO FOOD AND DRUGS 
(From Colorado Statutes Annotated, 1935) 
Chapter 69—Food and Food Products 
Article I—Adulterations 
Section 
1. Division of food and drugs—Food and drug commissioner. 
2. Penalty for manufacturing, selling or misbranding adulterated 
food or drugs, 
3. Uniform rules and regulations. 
4. Examination of specimens. 
5. District attorney to enforce provisions of sections. 
6. Definitions of terms. 
7. Articles deemed to be adulterated. 
8. Misbranded defined—Articles deemed misbranded. 
9. Guaranty of manufacturer relieves dealer from prosecution. 
10. Adulterated or misbranded article subject to seizure. 
11. Person defined—Construction of agent’s acts. 
12. Penalty for selling diseased meat or adulterated food. 
13. Penalty for selling adulterated milk. 
14. Poisonous adulterations—Felony. 
15. Adulterated articles to be marked—Failure—Penalty. 
16. Penalty for selling imitations without marking. 
Article III—Pure Food 
21. Premises kept in sanitary condition—Food defined. 
22. Sanitary regulations—Places, processes, containers—Implements 
of manufacture. 
23. Construction of sidewalls, floors, ceilings. 
24. Protection from flies, dust and dirt. 
25. Toilet rooms and lavatories. 
26. Nuisances—Misdemeanor. 
27. Rooms not used for sleeping purposes. 
28. Work by diseased persons forbidden. 
29. Powers of food commissioner and inspectors—Order to abate con- 
ditions—Hearings—Prosecutions. 
30. Prosecutions—Disposition of fines. 
31. Violation of article—Penalty. 
Article VIII—Regulation of Meat and Slaughter Plants 
49. Unlawful to sell any stale or diseased meat—Killing diseased ani- 
mal—Inspection of suspected diseased animal. 
50. Unlawful to sell meat containing artificial coloring, etc. 
51. Rules governing packing plants—Unlawful to sell meat labeled to 
deceive. 
52. Inspection of slaughtering plants. 
53. Inspector of meat and slaughter plants. 232 
COLORADO STATE BOARD OF HEALTH 
Section 
55. Possession of diseased meat prima facie evidence of violation of 
article. 
56. Diseased meat declared unfit food and destroyed. 
57. Inspector’s right to enter plants for inspection. 
58. Violation of article—Penalty. 
59. Article not to interfere with U. S. inspection. 
Chapter 78 
90. Mix, color, stain or powder any food, drink or medicine without 
labeling—Penalty. 
91. Adulterated foods must be marked. 
92. Violations of sections—Penalty. 
98. Sale of poison without marking—Penalty. 
99. Unlawful to sell or advertise substance to procure abortion. 
100. Drug or medicine producing abortion sold only on prescription. 
101. Penalty for violation of three preceding sections. 
102. Advertisement of substances to cure private diseases, prevent con- 
ception or procure abortion unlawful—Penalty. 
Chapter 48 
288. Public drinking vessels prohibited unless sterilized. 
289. Violation of section—Penalty. 
290. Jurisdiction—Justice of the peace. 
317. Misrepresentations to effect sale—Misdemeanor. 
318. Violation of section—Penalty. 
Chapter 58—Sections 28 to 49, inclusive—Narcotic Act, 1935 
Chapter 58—Article 4, Colorado Caustic Alkali Law, 1925— 
Sections 61 to 70, inclusive 
Chapter 81—Article 2, Restaurant Law of 1935—Sections 13 
to 24, inclusive 
Rules and Regulations—Restaurant Act 
Rules and Regulations—Food and Drugs 
Section 1. Division of food and drugs—Food and drug commissioner: 
For the purpose of enforcing the provisions of sections 2 to 11 of this 
chapter, and all other laws pertaining to the purity of foods and drugs 
and the sanitation of places wherein they are manufactured and sold, 
there is hereby created a division of the State Board of Health to be 
known as the division of food and drugs; and there is hereby created the 
office of food and drug commissioner. (L. ’21, p. 335; C. L., sec. 995.) 
FOOD AND DRUGS 
Sec. 2. Penalty for manufacturing, selling or misbranding adulterated 
food or drugs. It shall be unlawful for any person to manufacture, or sell, 
or expose for sale, or deliver, or give away, or ship, or offer for shipment, 
within this state, any article of food, or drug, which is adulterated, or mis- LAWS, RULES AND REGULATIONS 
233 
branded, within the meaning of this act, except as such article may be in 
the original package and the subject of interstate commerce under the 
federal jurisdiction; and any person who shall violate any of the provi- 
sions of this section shall be guilty of a misdemeanor, and for each offense 
shall, upon conviction thereof, be punished by a fine of not exceeding five 
hundred dollars, or by imprisonment of not exceeding one year, or by both 
such fine and imprisonment, in the discretion of the court, and for each 
subsequent offense and conviction thereof shall be punished by a fine of 
not more than one thousand dollars, or by imprisonment for one year, or 
by both such fine and imprisonment in the discretion of the court. But 
no article shall be deemed misbranded or adulterated within the provisions 
of this act when intended for export to any foreign country and prepared, 
or packed, according to the specifications or directions of the foreign 
purchaser, when no substance is used in the preparation or packing 
thereof in conflict with the laws of such foreign country to which said 
article is intended to be shipped; but if said article shall be in fact sold 
or exposed for sale, or delivered, or given away, or shipped or offered for 
shipment, for use or consumption within this state, then this provision 
shall not exempt said article from the operation of any of the provisions 
of this act. (L. ’21, p. 14, sec. 1.) 
Sec. 3. Uniform rules and regulations. The State Board of Health 
shall make uniform rules and regulations for carrying out the provisions 
of this act, including the collection and examination of specimens of all 
foods and drugs manufactured or sold, or exposed for sale, or delivered, or 
given away, or shipped, or offered for shipment, within this state, or 
which may be submitted for examination by any health officers of any 
town, city or county in this state. But such rules and regulations shall 
not be more stringent than, nor conflict with, the rules and regulations 
adopted, or which may hereafter be adopted, for the enforcement of the 
food and drugs act of the United States, approved June 30, 1906, regulating 
the misbranding or adulteration of drug or food products for interstate 
commerce. (L. ’07, p. 24, sec. 2.) 
Sec. 4. Examination of specimens. The examinations of specimens 
of foods and drugs shall be made by, or under the direction and supervi- 
sion of, the State Board of Health for the purpose of determining from 
such examinations whether such articles are adulterated, or misbranded, 
within the meaning of this act; and if it shall appear from any such exam- 
inations that any of such specimens is adulterated, or misbranded, within 
the meaning of this act, the State Board of Health shall cause notice 
thereof to be given to the person from whom such sample was obtained. 
Any person so notified shall be given an opportunity to be heard, under 
such rules and regulations as shall be prescribed as aforesaid, and if it 
shall appear that any of the provisions of this act have been violated by 
such person, then the State Board of Health shall at once certify the facts 
to the proper district attorney, with a copy of the results of the analysis, 
or other examination, of such article, duly authenticated by the analyst, 
or officer, making such examination, under the oath of such analyst or 
officer. After judgment of the court, notice shall be given by publication 234 
COLORADO STATE BOARD OF HEALTH 
in such manner as may be prescribed by the rules and regulations afore 
said. (L. ’07, p. 24, sec. 3.) 
Sec. 5. District attorney to enforce provisions of act. It shall be the 
duty of each district attorney to whom the State Board of Health shall 
report any violation of this act, to cause appropriate proceedings to be 
commenced and prosecuted in the proper courts of this state, without 
delay, for the enforcement of the penalties as in such case herein pro- 
vided. (L. ’07, p. 24, sec 4.) 
Sec. 6. Definition of terms. The term "drug,” as used in this act, 
shall include all medicines and preparations recognized in the United 
States pharmacopoeia or national formulary for internal or external use, 
and any substance, or compound, or mixture of substances, intended to 
be used for the cure, mitigation or prevention of disease of either man or 
other animals. The term "food,” as used in this act, shall include all arti- 
cles used for food, drink, confectionery, or condiment by man or other 
animals, whether simple, mixed or compound. (L. ’07, p. 25, sec. 5.) 
Sec. 7. Articles deemed to be adulterated. For the purpose of this 
act an article shall be deemed to be adulterated: 
In case of drugs: 
First—If, when a drug is sold under or by a name recognized in the 
United States pharmacopoeia or national formulary, it differs from the 
standard strength, quality, or purity, as determined by the tests laid down 
in the United States pharmacopoeia or national formulary official at the 
time of investigation. 
Second—If its strength or purity shall fall below the professed stand- 
ard, or quality, under which it is sold. 
In case of confectionery: 
If it contains terra alba, barytes, talc, chrome yellow, or any mineral 
substance used for the purpose of adulterations, or poisonous color, or 
flavor, or other ingredient deleterious to health, or any vinous malt or 
spirituous liquor, or compound, or narcotic drug. 
In case of food: 
First—If any substance has been mixed, or packed, with it so as to 
reduce or lower, or injuriously affect its quality or strength. 
Second—If any substance has been' substituted wholly or in part for 
the article. 
Third—-If any valuable constituent of the article has been wholly, or 
in part, abstracted. 
Fourth—If it be mixed, colored, powdered, coated, or stained in a 
manner whereby damage or inferiority is concealed. 
Fifth—If it contains formaldehyde or other harmful preservative or 
any added poisonous, or other added deleterious ingredient which may 
render such article injurious to health. But when in the preparation of 
food products for shipment they are preserved by an external application 
applied in such manner that the preservative is necessarily removed me- 
chanically, or by maceration in water, or otherwise, and directions for the LAWS, RULES AND REGULATIONS 
235 
removal of said preservative are printed on the covering, or the package, 
the provisions of this act shall be construed as applying only when said 
products are ready for consumption. 
Sixth—If it consist in whole or in part of a filthy, decomposed, or 
putrid animal, or vegetable substance, or any portion of an animal unfit 
for food whether manufactured or not, or if it is the product of a diseased 
animal or one that has died otherwise than by slaughter. (L. ’07, p. 25, 
sec. 6.) 
Sec. 8. Misbranded defined—Articles deemed misbranded. The term 
“misbranded,” as used herein, shall apply to all drugs or articles of food, 
or articles which enter into the composition of food, the package, or label 
of which shall bear any statement, word, design or device regarding such 
article, or the ingredients or substances contained therein, which shall be 
false or misleading in any particular, and to any food or drug product 
which is falsely branded as to the state, territory, city, town, place, or 
country in which it is manufactured, produced or found. 
For the purposes of this act an article shall also be deemed to be 
misbranded: 
In case of drugs: 
First—If it be an imitation of or offered for sale under the name of 
another article. 
Second—If the contents of the package as originally put up, or the 
contents of the box, bottle, can, or other container, sold, or exposed for 
sale, or delivered, or given awray, or shipped, or offered for shipment, shall 
have been removed, in whole or in part, and other contents shall have 
been placed in such package, or in such box, bottle, can, or other con- 
tainer, or if such package, or such box, bottle, can, or other container, 
as aforesaid, fails to bear a statement on its label of any quantity or 
proportion of any alcohol, morphine, opium, cocaine, heroin, alpha or 
beta eucaine, chloroform, cannabis indica, chloral hydrate, acetanilide, 
or any hannful coal tar derivative or preparation, or any such substances, 
contained therein. But no such statement shall be required to be placed 
on such label if the drug is sold upon the prescription of a duly licensed 
physician, dental surgeon, or veterinary surgeon, which said prescription 
shall be kept on file by the dispensing pharmacist, or under the name 
of any article defined in the United States pharmacopoeia or national 
formulary, or, in the case of alcohol, or official preparations containing 
alcohol, when used in the manufacture of other preparations which are 
official in the United States pharmacopoeia or national formulary. 
In case of food: 
First—If it be an imitation of, or offered for sale under, the distinctive 
name of another article. 
Second—If it be labeled, or branded, so as to deceive, or mislead, the 
purchaser, or purport to be a foreign product when not so, or if the con- 
tents of the package, as originally put up, or of the box, bottle, can, or 
other container, sold, or exposed for sale or delivered, or given away or 
shipped or offered for shipment, shall have been removed in whole or in 236 
COLORADO STATE BOARD OF HEALTH 
part and other contents shall have been placed in such package, or in 
such box, bottle, can, or other container, or it shall fail to bear a state- 
ment on its label of the quantity, or the proportion of any morphine, 
opium, cocaine, heroin, alpha or beta eucaine, chloroform, cannabis indica, 
chloral hydrate, acetanilide, or any harmful coal tar derivative, or prepa- 
ration or any such substances contained therein. 
Third—If in package form and the contents are stated in terms of 
weight or measure, they are not plainly and correctly stated on the outside 
of the package. (L. ’07, p. 27, sec. 7.) 
If the package or label of any food or drug, article or preparation 
manufactured or sold within the State of Colorado shall bear or contain 
any statement, design or device regarding the curative or therapeutic 
effect of such article, or any of the ingredients or substance contained 
therein, which is false and fraudulent. (L». ’21, p. 15, sec. 2.) 
Fourth—If the package containing it, or the box, bottle, can, or other 
container, or its label, shall bear any statement, word, design, or device 
regarding the ingredients or the substances contained therein, which 
statement, word, design, or device shall be false or misleading in any 
particular. But an article of food which does not contain any added 
poisonous ingredients, or ingredients deleterious to health, shall not be 
deemed to be adulterated, or misbranded, in the following cases: 
First—In the case of mixtures, or compounds, which may be now, or 
from time to time hereafter, known as articles of food, under their own 
distinctive names, and not an imitation of, or offered for sale under, the 
distinctive name of another article, if the name be accompanied on the 
same label, or brand, with a statement of the place where said article has 
been manufactured or produced. 
Second—In the case of articles labeled, branded, or tagged, so as 
plainly to indicate that they ai'e compounds, imitations or blends, and the 
word “compound,” “imitation,” or “blend,” as the case may be, is plainly 
stated on the package, box, bottle, can, or other container, in which it is 
offered for sale. But the term “blend,” as used herein, shall be construed 
to mean a mixture of like substances, not excluding harmless coloring, or 
flavoring ingredients used for the purpose of coloring and flavoring only; 
and nothing in this act shall be construed as requiring or compelling 
proprietors, or manufacturers of proprietary foods, which contain no un- 
wholesome added ingredient to disclose their trade formulas, except in so 
far as the provisions of this act may require to secure freedom from adul- 
teration or misbranding. (L. ’07, p. 27, sec. 7.) 
Sec. 9. Guaranty of manufacturer relieves dealer from prosecution. 
No dealer shall be prosecuted under the provisions of this act when he 
can establish a guaranty signed by the wholesaler, jobber, manufacturer, 
or other person residing in this state, from whom he purchased any arti- 
cle in question, to the effect that the same is not adulterated or mis- 
branded. Such guaranty, to afford protection, shall contain the name 
and address of the person making the sale of such article to such dealer, 
and in such case said person shall be amenable io the prosecutions, fines LAWS, RULES AND REGULATIONS 
237 
and other penalties which would attach, in due course, to the dealer under 
the provisions of this act. (L. ’07, p. 28, sec. 8.) 
Sec. 10. Adulterated or misbranded article subject to seizure. Any 
article of food, drug, or liquor that is adulterated, or misbranded, Avithiri 
the meaning of this act, that is manufactured, or sold, or exposed for sale, 
or delivered, or given away, or shipped, or offered for shipment, within 
this state, together with its box, bottle, can, or other container, except as 
such article may be in the original package and the subject of interstate 
commerce under the federal jurisdiction, is hereby declared to be a nui- 
sance, and shall be abated upon a complaint, hearing and judgment, or 
order, of court in a proceeding in the district court, of the district where 
such article of food, drug, or liquor is found, by seizure and confiscation 
for destruction or sale. If such article is condemned as being adulterated, 
or misbranded, or as being of a poisonous, or deleterious character, within 
the meaning of this act, it shall be disposed of under the proper order of 
court by destruction, or by sale in the manner provided for the sale of 
chattels under execution, in the discretion of the court; and the proceeds 
thereof, if it be sold, less the legal cost and charges, shall be paid to the 
state treasurer, but such article of food, or drug, shall not be sold in any 
jurisdiction contrary to the law thereof. (L. ’07, p. 28, sec. 9.) 
Sec. 11. Person defined—Construction of agent’s acts. The word 
“person,” as used in this act, shall be construed to import both the plural 
and singular, as the case demands, and shall include corporations, com- 
panies, partnerships, societies and associations. When construing and 
enforcing the provisions of this act, the act, omission, or failure of any 
officer, agent, or other person, acting for or employed by any corpora- 
tion, company, partnership, society, or association, within the scope of 
his employment, or office, shall in every case also be deemed to be the 
act, omission, or failure of such corporation, company, partnership, society 
or association, as well as that of the person. (L. ’07, p. 29, sec. 10.) 
Sec. 12. Penalty for selling diseased meat or adulterated food. If 
any person or persons shall knowingly sell, or offer for sale, or permit 
to be sold, any flesh of any diseased animal, or of any animal being in 
good health, which shall not have been butchered or killed for the pur- 
poses of sale, or if any person or persons shall knowingly offer for sale, 
sell, or permit to be sold, any diseased, or decayed, or partially diseased 
or decayed fish, flesh or game, or other unwholesome provisions, or any 
article of food or drink which shall be adulterated with anything injurious 
to health, the person or persons so offending shall be deemed guilty of a 
felony, and on conviction thereof, shall be punished by imprisonment in 
the penitentiary for not more than two years, or by a fine of not more 
than one thousand dollars, or by both such fine and imprisonment. (L. 
’87, p. 15, sec. 1.) 
See §§950, 1026. 
Sec. 13. Penalty for selling adulterated milk. Whoever shall, for the 
purpose of sale for human food, adulterate milk with water, or any foreign 
substance, or whoever shall knowingly sell for human food, milk from 
which cream has been taken without the purchaser thereof being informed, 238 
COLORADO STATE BOARD OP HEALTH 
or knowing the fact, or whoever shall knowingly sell for human food, milk 
from which what is commonly called “strippings” has been withheld, 
without the purchaser thereof being informed or knowing the fact, or 
whoever shall knowingly sell for human food, milk drawn from a diseased 
cow, knowing her to be so diseased as to render her milk unwholesome, or 
whoever shall knowingly sell for human food, milk so tainted or corrupted 
as to be unwholesome; or whoever shall knowingly supply, or bring to be 
manufactured into any substance for human food, to any cheese or butter 
factory or creamery, without all interested therein knowing or being in- 
formed of the fact, milk which is adulterated with water or any foreign 
substance, or milk from which cream has been taken, or milk from which 
what is commonly called “strippings” has been withheld; or milk drawn 
from a diseased cow, knowing her to be so diseased as to injure her milk, 
or milk so tainted or corrupted as to be unwholesome; or whoever shall 
knowingly add any foreign substance to the milk or cream, whereby it or 
the products thereof shall become unwholesome for human food, shall be 
guilty of an offense, and on conviction thereof, shall be punished by a 
fine not exceeding five hundred dollars, or by imprisonment in the peni- 
tentiary not exceeding one year, or by both such fine and imprisonment. 
(L. '87, p. 15, sec. 2.) 
Sec. 14. Poisonous adulterations—Felony, If any person or persons 
shall knowingly sell, offer for sale, or permit to be sold any article of food 
or drink adulterated with any substance poisonous or injurious to health, 
and sickness or death should result from the use of such article, the per- 
son or persons so selling or offering for sale, or permitting such article to 
be sold shall be guilty of felony, and on conviction thereof shall be pun- 
ished by imprisonment at hard labor in the penitentiary for not more than 
five years. (L. '87, p. 16, sec. 3.) 
Sec. 15. Adulterated articles to be marked—Failure—Penalty. If any 
person or persons shall knowingly sell or offer to sell, or permit to be sold 
as pure and unadulterated, any article of food or drink which shall be 
adulterated with any other substance, without marking or branding the 
same, or in some other manner notifying the purchaser, or prospective 
purchaser of the article sold, offered for sale, or permitted to be sold, that 
the same is adulterated, the person or persons so offending shall be guilty 
of a misdemeanor, and on conviction thereof shall be punished by a fine 
of not more than five hundred dollars, or by imprisonment in the county 
jail not exceeding six months, or by both such fine and imprisonment. 
(L. ’87, p. 16, sec. 4.) 
See §§956, 996, 1001, 1002, 1010. 
Sec. 16. Penalty for selling imitations without marking. If any per- 
son or persons shall knowingly sell, or offer for sale, or permit to be sold, 
any article made in the semblance of, or purporting to be any other article 
of food or drink, without marking or branding the same, or otherwise 
notifying the purchaser, or prospective purchaser, of the real character 
or the actual composition of the article so sold, offered for sale or per- 
mitted to be sold, the person or persons so offending shall be guilty of a LAWS, RULES AND REGULATIONS 
239 
misdemeanor, and on conviction thereof shall be punished by a fine of 
not more than five hundred dollars. (L. ’87, p. 17, sec. 5.) 
Sec. 21. Premises kept in sanitary condition—Food defined. That 
every building, room, basement, inclosure or premises, occupied, used or 
maintained as a bakery, confectionery, cannery, packing house, slaughter 
house, creamery, cheese factory, restaurant, hotel, grocery, meat market, 
or as a factory, shop, warehouse, or any public place or manufacturing 
place used for the preparation, manufacture, packing, storage, sale or 
distribution of any food as defined by statute, which is intended for sale, 
shall be properly and adequately lighted, drained, plumbed and ventilated, 
and shall be conducted with strict regard to the influence of such condi- 
tions upon the health of operatives, employes, clerks or other persons 
therein employed, and the purity and wholesomeness of the food therein 
produced, prepared, manufactured, packed, stored, sold or distributed, 
and for the purposes of this act, the term “food” as used herein shall 
include all articles used for food, drink, confectionery or condiment, 
whether simple, mixed or compound, and all substances or ingredients 
used in the preparation thereof. (L. T3, p. 510, sec. 1.) 
Another statutory definition of food is found at §1000. 
For regulations concerning slaughtering plants, see §§1026 to 1036. 
Chapter 69, Article Ml—Pure Food 
Sec. 22. Sanitary regulations—Places, processes, containers—Imple- 
ments of manufacture. The floors, sidewalls, ceilings, furniture, recepta- 
cles, utensils, dishes, implements and machinery of every restaurant, hotel 
kitchen and every such establishment or place where such food intended 
for sale is produced, prepared, manufactured, packed, stored, sold or dis- 
tributed, and all cars, trucks and vehicles used in the transportation of 
such food products, shall at no time be kept or permitted to remain in an 
unclean, unhealthful or insanitary condition; and for the purpose of this 
act, unclean, unhealthful and insanitary conditions shall be deemed to 
exist if food in the process of production, preparation, manufacture, pack- 
ing, storage, sale, distribution or transportation is not securely protected 
from flies, dust, dirt, and from all other foreign or injurious contamination, 
as far as may be necessary by all reasonable means; or if the refuse, dirt 
or waste products incident to the manufacture, preparation, packing, sell- 
ing, distribution or transportation of such food are not removed daily, or 
if all trucks, trays, boxes, buckets or other receptacles, or the chutes, 
platforms, racks, tables, shelves, and knives, saws, cleavers, or other uten- 
sils, or the machinery used in moving, handling, cutting, chopping, mixing, 
canning or other processes are not thoroughly cleaned daily; or if the 
clothing of operatives, employes, clerks or other persons therein employed 
is unclean; or if all dishes, cups, glasses, knives, forks and spoons are not 
thoroughly washed in hot or running water and rinsed after each usage; 
or if dishes, cups or glasses are used which are so cracked, chipped or 
broken as to be detrimental to health; or if all ice cream cones and straws 
are not securely covered. (L. ’21, p. 675, sec. 1; amending L. ’13, p. 511, 
sec. 2.) 240 
COLORADO STATE BOARD OF HEALTH 
Sec. 23. Construction of sidewalls, floors, ceilings. The sidewalls, 
floors and ceilings of every bakery, confectionery, creamery, cheese fac- 
tory, and hotel or restaurant kitchen and every building, room, basement 
or inclosure occupied or used for the preparation, manufacture, packing, 
storage, sale or distribution of food shall be so constructed that they can 
easily be kept clean. (L. ’13, p. 511, sec. 3.) 
Sec. 24. Protection from flies, dust and dirt. All such factories, 
buildings, and other places containing food, shall be so provided with 
proper doors and screens necessary and adequate to protect against the 
contamination of the product from flies, dust or dirt. (L. ’21, p. 676, sec. 2, 
amending L. ’13, p. 511, sec. 4.) 
Sec. 25. Toilet rooms and lavatories. Every such building, room, 
basement, inclosure, or premises occupied, used or maintained for the 
production, preparation, manufacture, canning, packing, storage, sale or 
distribution of such food shall have adequate and convenient toilet rooms, 
lavatory or lavatories. The toilet rooms shall be separated and apart from 
the room or rooms where the process of production, preparation, manu- 
facture, packing, storing, canning, selling and distributing is conducted. 
The floors of such toilet rooms shall be cement, tile, wood, brick or other 
non-absorbent material, and shall be washed and scoured daily. Such 
toilet or toilets shall be furnished with separate ventilating flues and pipes 
discharging into soil pipes or shall be on the outside of and well removed 
from the building. Lavatories and wash rooms shall be maintained in a 
sanitary condition. (L. ’13, p. 511, sec. 5.) 
Sec. 26. Nuisances—Misdemeanor. If any such building, room, base- 
ment, inclosure, or premises occupied, used or maintained for the purposes 
aforesaid, or if the floors, sidewalls, ceilings, furniture, receptacles, uten- 
sils, implements, appliances or machinery of any such establishment shall 
be constructed, kept, maintained or permitted to remain in a condition 
contrary to any of the requirements or provisions of the preceding five 
(5) sections of this act, the same is hereby declared a nuisance, and any 
toilet, toilet room, lavatory or wash room, as aforesaid, which shall be 
constructed, kept, maintained or permitted to remain in a condition con- 
trary to the requirements or provisions of section five (5) of this act, is 
hereby declared a nuisance; and any car, truck or vehicle used in the 
moving or transportation of any food product as aforesaid, which shall be 
kept or permitted to remain in an unclean, unhealthful or insanitary con- 
dition is hereby declared a nuisance. Whoever unlawfully maintains or 
allows or permits to exist a nuisance as herein defined shall be guilty of 
a misdemeanor, and on conviction thereof, shall be punished as herein 
provided. (L. ’21, p. 677, sec. 3; amending L. ’13, p. 512, sec. 6.) 
Sec. 27. Rooms not used for sleeping purposes. It shall be unlawful 
for any person to sleep, or to allow or permit any person to sleep in any 
work room of a bake shop, kitchen, dining room, confectionery, creamery, 
cheese factory, or any place where food is prepared for sale, served or 
sold, unless all foods therein handled are at all times in hermetically 
sealed packages. (L. ’13, p. 512, sec, 7.) LAWS. RULES AND REGULATIONS 
241 
Sec. 28. Work by diseased persons forbidden. It shall be unlawful 
for any employer to require, suffer or permit any person who is affected 
with any contagious, infectious or venereal disease to work, or for any 
person so affected to work in a building, room, basement, inclosure, or 
premises or vehicle occupied or used for the production, preparation, man- 
ufacture, packing, storage, sale, distribution or transportation of food. 
(L. ’13, p. 512, sec. 8.) 
Sec. 29. Powers of food commissioner and inspectors—Order to abate 
conditions—Hearing—Prosecutions. It shall be the duty of the state food 
commissioner and food and drug inspectors to enforce this act, and for 
that purpose the state food commissioner and food and drug inspectors 
shall have full power at all times to enter every such building, room, base- 
ment, inclosure or premises occupied or used or suspected of being occu- 
pied or used for the production, preparation, or manufacture for sale, or 
the storage, sale, distribution or transportation of such food, to inspect 
the premises and all utensils, fixtures, furniture and machinery used as 
aforesaid; and any refusal to permit such inspection shall be deemed a 
violation of this act; and if upon inspection any such food producing or 
distributing establishment, conveyance, or any employer, employe, clerk, 
driver or other person is found to be violating any of the provisions of 
this act, or if the production, preparation, manufacture, packing, storage, 
sale, distribution or transportation of such food is being conducted in a 
manner detrimental to the health of the employes and operatives, or to 
the character or quality of the food therein produced, prepared, manufac- 
tured, packed, stored, sold, distributed or conveyed, the state food com- 
missioner or food and drug inspectors shall issue a written order to the 
person, firm or corporation responsible for the violation or condition afore- 
said to abate such condition or violation or to make such changes or im- 
provements as may be necessary to abate them, within such reasonable 
time as may be required in which to abate them. Notice of such order may 
be served by delivering a copy thereof to said person, firm or corporation, 
or by sending a copy thereof by registered mail, and the receipt thereof 
through the postoffice shall be prima facie evidence that notice of said 
order has been received. Such person, firm or corporation shall have the 
right to appear in person or by attorney before the state food commis- 
sioner, or the person appointed by him for such purpose, within the time 
limited in the order, and shall be given an opportunity to be heard and to 
show why such order or instructions should not be obeyed. Such hearing 
shall be under such rules and regulations as may be prescribed by the 
state food commissioner. If after such hearing it shall appear that 
the provisions or requirements of this act have not been violated, said 
order shall be rescinded. If it shall appear that the requirements or 
provisions of this act are being violated, and that the person, firm or 
corporation notified as aforesaid is responsible therefor, said previous 
order shall be confirmed or amended, as the facts shall warrant, and shall 
thereupon be final, but such additional time as is necessary may be 
granted within which to comply with said final order. If such person, 
firm or corporation is not present or represented when such final order 242 
COLORADO STATE BOARD OF HEALTH 
is made, notice thereof shall be given as above provided. On failure of 
the party or parties to comply with the first order of the state food com- 
missioner or food and drug inspector within the time prescribed, when no 
hearing is demanded or upon failure to comply with the final order within 
the time specified, the state food commissioner or food and drug inspector 
shall certify the facts to the district attorney of the county in which such 
violation occurred, and such district attorney shall proceed against the 
party or parties for the fines and penalties provided by this act, and also 
for the abatement of the nuisance; Provided, that the proceedings herein 
prescribed for the abatement of nuisance as defined in this act shall not 
in any manner relieve the violator from prosecution in the first instance 
for any such violation, nor from the penalties for such violation prescribed 
by section 11 of this act. (L. ’21, p. 677, sec. 4; amending L. ’13, p. 513, 
sec. 9.) 
Section 11 referred to is §1025. 
Sec. 30. Prosecutions—Disposition of fines. All fines collected under 
the provisions of this act shall be paid into the county treasurer of the 
county in which the prosecution is brought, and it shall be the duty of the 
district attorneys in the respective counties to prosecute all persons vio- 
lating or refusing to obey the provisions of this act. (L. ’13, p. 514, sec. 10.) 
Sec. 31. Violation of act—Penalty. Whoever violates any of the pro- 
visions of this act, or refuses to comply with any lawful order or require- 
ment of the state food commissioner or food and drug inspector, duly made 
in writing as provided in section 9 of this act, shall be guilty of a misde- 
meanor and on conviction shall be punished for the first offense by a fine 
of not more than two hundred dollars ($200.00), and for the second and 
subsequent offense by a fine of not more than two hundred dollars 
($200.00) or by imprisonment in the county jail for not more than ninety 
days, or both, in the discretion of the court; and each day after the expi- 
ration of the time limit for abating insanitary conditions and completing 
improvements to abate such conditions, as ordered by the state food com- 
missioner or food and drug inspector, as aforesaid, shall constitute a 
distinct and separate offense. (L. ’21, p. 679, sec. 5; amending L. ’13, p. 
514, sec. 11.) 
Article VIII—Regulation of Meat and Slaughter Plants 
Sec. 49. Unlawful to sell any stale or diseased meat—Killing diseased 
animal—Inspection of suspected diseased animal. It shall be unlawful 
for any person, association, firm or corporation to sell, expose for sale, 
give away for use as human food, or to can or pack for the purpose of 
transportation to and sale in any market or place in this state, any un- 
wholesome, unhealthy, stale, emaciated, blown, tainted, putrid, or measly 
meat, or the flesh of any diseased animal not slaughtered for the purpose 
of food, knowing, or having good reason to believe that such meat is as 
above described, or that such flesh is the flesh of a diseased animal or of 
an animal not slaughtered for such purpose, and no person, association, 
firm or corporation, owning or operating any slaughter house or packing 
establishment in this state shall receive for the purpose of killing, or kill, LAWS, RULES AND REGULATIONS 
243 
for human food, any diseased animal, or offer for sale the flesh of any 
animal found to be diseased after slaughter, or render the carcass of any 
animal that shall die by disease or by consequence of exposure or that 
shall not have been slaughtered for food, knowing or having good reason 
to believe that such animal was diseased, or had died from disease or in 
consequence of exposure, or had not been slaughtered for food. Provided, 
however, That where such animals have been inspected by a duly qualified 
inspector of the United States department of agriculture, such animals 
may be handled according to the rules and regulations of said department 
under the supervision of said duly qualified inspector, but not otherwise. 
Whenever any inspector of the United States department of agriculture 
shall suspect any animal intended for slaughter for food as suspicious, and 
shall tag the same as a suspected animal, such animal shall be slaughtered 
only under the supervision and inspection of the state veterinary surgeon, 
or someone appointed by him for this duty, according to such regulations 
as may be made by the said state veterinary surgeon, except where such 
animals are slaughtered under the inspection of the United States depart- 
ment of agriculture. (L. ’07, p. 139, sec. 1.) 
Sale of diseased meat prohibited, §§950 and 1006. 
Sec. 50. Unlawful to sell meat containing artificial coloring, etc. No 
person by himself or his agent shall offer or expose for sale, take orders 
for, or sell, or have in his possession with intent to sell for use or con- 
sumption, within this state, any sausage or chopped meat compound 
containing any artificial coloring, chemical preservative or antiseptic, ex- 
cept such as are or may be allowed by the rules and regulations adopted 
by the United States department of agriculture. (L, ’07, p. 140, sec. 2.) 
Adulteration of food products, §1001. 
Sec, 51. Rules governing packing plants—Unlawful to sell meat 
labeled to deceive. The state veterinary surgeon is authorized and in- 
structed to adopt the rules and regulations of the United States depart- 
ment of agriculture as they relate to the inspection of live animals and 
the manufacture, labeling and marketing of meat food products from 
slaughtering, canning and packing establishments, in so far as they can 
be applied to the meat food and meat food products manufactured and 
offered for sale in this state, and it shall be unlawful for any person 
to sell or offer for sale any meat or meat food products labeled or 
marked in a manner calculated to deceive the buyer as to what such 
products are or contain, and any person offering for sale or selling any 
meat food or meat food product, so prepared and offered for sale as to 
appear different from what it really is or which contains ingredients not 
permitted by the regulations of the United States department of agricul- 
ture, or which is misrepresented in any way with intention to deceive the 
buyer, shall be guilty of a misdemeanor under this act. (L. ’07, p. 140, 
sec. 3.) 
Misbranding, §1002. 
Sec. 52. Inspection of slaughtering plants by state veterinary surgeon. 
It is hereby made the duty of the state veterinary surgeon to maintain, or 
cause to be maintained, an inspection of all slaughtering, meat canning, 244 
COLORADO STATE BOARD OF HEALTH 
salting, packing, rendering or similar establishments in this state, in which 
cattle, sheep, swine, goats, fish or poultry are slaughtered and the meat or 
meat products thereof prepared and offered for sale as food, and the said 
state veterinary surgeon shall make, or cause to be made, such inspection 
of said slaughtering plants and similar establishments where cattle, sheep, 
swine, goats, fish or poultry are slaughtered and prepared for food, as may 
be necessary to inform himself concerning the sanitary conditions of the 
same, and he shall prescribe such rules and regulations of sanitation under 
which such establishments shall be maintained. Whenever the state vet- 
erinary surgeon shall find the conditions of any such establishment of a 
nature that the meat or food products prepared therein are rendered un- 
clean, unsound, unhealthful, unwholesome or otherwise unfit for human 
food, he shall immediately condemn and close such establishment and 
shall prohibit its further use for such purpose until the same shall have 
been put in a sanitary condition satisfactory to the state veterinary sur- 
geon. (L. ’07, p. 141, sec. 4.) 
Sec. 53. Inspector of meat and slaughter plants—Salary—Expenses. 
The state veterinary surgeon is hereby authorized to appoint, with the 
approval of the governor, a competent man as meat and slaughter plant 
inspector, who shall act under the direction of the state veterinary surgeon 
and shall devote all of his time to the inspection of all slaughtering plants 
and packing establishments, stores, shops, etc., as provided herein, except 
such as are operating under United States government inspection. Said 
meat and slaughter plant inspector shall receive a salary of fifteen hun- 
dred dollars per annum, to be paid in monthly installments, and such 
traveling expenses as may be necessary in the actual and necessary per- 
formance of his duties, all bills to be approved by the state veterinary 
surgeon. (L. ’19, p. 511, sec. 1.) 
Sec. 55. Possession of diseased meat prima facie evidence of viola- 
tion of act. Whenever the state veterinary surgeon or the state meat and 
slaughtering plant inspector shall find any diseased, putrid, unwholesome 
or unhealthy meat or product of any animal known to be diseased, un- 
healthy, unwholesome, or not slaughtered for food in any slaughtering, 
packing, canning or rendering establishment, or in any store, shop, cooler, 
vendor’s wagon or other place, where same may be offered for sale for 
food, or if any such diseased or unwholesome or unfit meat or meat prod- 
ucts shall be found in the possession of anyone under conditions that make 
it reasonably certain that it is the intention of such person to offer the 
same for food, it shall be pi’ima facie evidence of a violation of this act, 
and any such person or the owner or owners or employes of any such place 
shall be deemed guilty of a misdemeanor and subject to the penalty pro- 
vided herein. (L. ’07, p. 142, sec. 7.) 
Sec. 56. Diseased meat declared unfit food and destroyed. Whenever 
the state veterinary surgeon or the state meat and slaughterixxg plant 
inspector shall find any such putrid, tainted, diseased, unwholesome, un- 
healthy meat or meat product, he shall declare the same unfit for huxxxan 
food and immediately take possession of the same for the state and LAWS, RULES AND REGULATIONS 
245 
destroy the same by the cheapest and most practical manner. (L. ’07, p 
142, sec. 8.) 
Sec. 57. Inspector’s right to enter plants for inspection. The state 
veterinary surgeon or the state meat and slaughtering plant inspector 
shall have the right to enter and inspect any and all slaughtering, meat 
canning, salting, packing, rendering or similar establishment in this state, 
in which cattle, sheep, swine, goats, fish or poultry are slaughtered or pre- 
pared for human food, and they shall have the right to enter any store, 
shop or other place where such meat or meat products are offered for sale 
for human food and to inspect the same, and to inspect any wagon, cart or 
other vehicle used by a vendor of meat or meat products, and any opposi- 
tion or interference with such inspection shall be a misdemeanor under 
the provisions of this act. (L. ’07, p. 142, sec. 9.) 
Sec. 58. Violation of act—Penalty. Any violation of any provision of 
this act shall be deemed a misdemeanor and upon conviction, the violator 
shall be fined not less than $50 nor more than $1,000 or may be imprisoned 
in the county jail not less than 30 days nor more than six months, or by 
both such fine and imprisonment. (L. ’07, p. 143, sec. 10.) 
Sec. 59. Act not to interfere with U. S. inspection. Nothing in this 
act shall be construed to interfere or apply in any way to those plants in 
this state where the United States department of agriculture maintains 
regular inspection. (L. ’07, p. 143, sec. 12.) 
Chapter 78 
Sec. 90. Mix, color, stain or powder any food, drink or medicine with- 
out labeling—Penalty. No person shall mix, color, stain or powder any 
article of food, drink or medicine, or any article which enters into the 
composition of food, drink or medicine, with any other ingredient or 
material, whether too injurious to health or not, for the purpose of gain 
or profit, or sell or offer the same for sale or order or permit any other 
person to sell or offer for sale any article so mixed, colored, stained, or 
powdered, unless the same be so manufactured, used or sold, or offered 
for sale under its true and appropriate name, and notice that the same 
is mixed or impure is marked, printed or stamped upon each package, 
roll, parcel or vessel, containing the same, so as to be and remain at all 
times readily visible, or unless the person purchasing the same is fully 
informed by the seller of the true name and ingredients (if other than 
such as are known by the common name thereof) of such article of food, 
drink or medicine at the time of making sale thereof or offering to sell 
the same. (L. ’93, p. 393, sec. 65.) 
Sec. 91. Adulterated foods must be marked. No person shall mix 
any glucose or grape sugar with syrup, honey or sugar intended for human 
food, or any oleomargarine, suine, beef fat, lard or any other foreign sub- 
stance with any butter or cheese intended for human food, or shall mix 
or mingle any glucose or grape sugar or oleomargarine with any article 
of food without distinctly marking, stamping, or labeling the article or the 
package containing the same with the true and appropriate name of such 246 
COLORADO STATE BOARD OF HEALTH 
article and the percentage in which glucose or grape sugar, oleomargarine 
or suine enter into its composition; nor shall any person sell or offer for 
sale, or order or permit to be sold or offered for sale, any such food into 
the composition of which glucose or grape sugar or oleomargarine or suine 
has entered, without at the same time informing the buyer of the fact, 
and the proportions in which such glucose or grape sugar or oleomargarine 
or suine has entered into its composition. (L. ’93, p. 393, sec. 66.) 
Sec. 92. Violation of act—Penalty. Any person convicted of violating 
any provision of any of the foregoing sections of this act shall be fined 
not more than fifty dollars or imprisoned in the county jail not exceeding 
three months. (L. ’93, p. 393, sec. 67.) 
Sec. 98. Sale of poison without marking—Penalty. Every apothecary, 
druggist or other person who shall sell and deliver at retail any arsenic, 
corrosive sublimate, prussic acid or any other substance or liquid usually 
denominated poisonous without having the word “Poison” and the true 
name thereof and the name of some simple antidote, if any is known, writ- 
ten or printed upon the label attached to the vial, box or parcel containing 
the same shall be punished by a fine, not exceeding one hundred dollars. 
(L. ’93, p. 395, sec. 74.) 
Sec. 99. Unlawful to sell or advertise substance to procure abortion. 
No person shall in any manner except as hereinafter provided, advertise, 
publish, sell, or publicly expose for sale any pills, powder, drugs or com- 
bination of drugs, designed expressly for the use of females for the pur- 
pose of procuring an abortion. (L. ’93, p. 396, sec. 75.) 
Sec. 100. Drug or medicine producing abortion sold only on prescrip- 
tion—Registered. Any drug or medicine known to be designed and ex- 
pressly prepared for producing abortion shall be sold only upon the writ- 
ten prescription of an established practicing physician of the city, village 
or county in which the sale is made, and the druggist or dealer selling the 
same shall, in a book provided for that purpose, register the name of the 
purchaser, the date of the sale, the kind and quantity of the medicine sold 
and the name and residence of the physician prescribing the same. (L. 
’93, p. 396, sec. 76.) 
Sec. 101. Penalty for violation of three preceding sections. Any per- 
son violating any of the provisions of sections seventy-four, seventy-five 
or seventy-six of this act shall, upon conviction thereof, be punished by a 
fine of not less than twenty-five (25) dollars, nor more than one hundred 
dollars at the discretion of the court. (L. ’93, p. 396, sec. 77.) 
Sec. 102, Advertisement of substances to cure private diseases, pre- 
vent conception or procure abortion unlawful—Penalty. The publication, 
circulation or sale within this state of any circular, newspaper, pamphlet, 
or other book, containing receipts or prescriptions, immoral in tendency, 
for the cure of chronic female complaints or private diseases, or recipes 
or prescriptions for drops, pills, tinctures, or other compounds, designed 
to prevent inceptions, or tending to procure miscarriage or abortion, is 
hereby prohibited; and the publisher, circulator and seller thereof shall 
each be deemed guilty of a misdemeanor and shall upon conviction be LAWS, RULES AND REGULATIONS 
247 
liable to a fine of not less than ten or more than one hundred dollars 
for each offense. (L. ’93, p. 396, sec. 78.) 
Chapter 48 
Sec. 288. Public drinking vessels prohibited unless sterilized. It shall 
be unlawful after August 1, 1911, for any person, board of managers or 
trustees, company or corporation, having charge or control of any hotel, 
restaurant, theatre, store, hall, schoolhouse, church, station, railroad train, 
steam or electric car, or other institution or conveyance frequented by the 
public, or which may be used for the purpose of a public assembly, or as 
a place of employment, to furnish any cup, vessel, or other receptacle to 
be used promiscuously as a common drinking cup, or permit any cup, ves- 
sels, or other receptacle to remain in any public place to which more than 
one person may have access, for the common, indiscriminate, or promis- 
cuous use or purpose of drinking therefrom: Provided, That nothing in 
this act shall prohibit the use of a common drinking vessel, in case proper 
and adequate provision be furnished for sterilizing the same, and such cup 
be thoroughly sterilized after each use thereof. 
Sec. 289. Violation of act—Penalty. Any person, board of managers 
or trustees, company or corporation having charge or control of any hotel, 
restaurant, theatre, store, hall, schoolhouse, church, station, railroad train, 
steam or electric car, or other institution or conveyance frequented by the 
public, or which may be used for the purpose of a public assembly, or as a 
place of employment, who shall violate the provisions of this act shall be 
guilty of a misdemeanor, and upon conviction, shall be punished by a fine 
of not less than $5.00, nor more than $200.00. 
Sec. 290. Jurisdiction—Justice of the peace. Justices of the peace in 
their respective jurisdiction, and police magistrates in cities and towns 
shall have jurisdiction of offenses under this act. 
Sec. 317. Misrepresentations to effect sales—Misdemeanor. Any per- 
son, firm, corporation or association who, with intent to sell or in any wise 
dispose of merchandise, securities, service, or anything offered by such 
person, firm, corporation, or association, directly or indirectly, to the pub- 
lic for sale or distribution, or with intent to increase the consumption 
thereof, or to induce the public in any manner to enter into any obligation 
relating thereto, or to acquire title thereto, or an interest therein, makes, 
publishes, disseminates, circulates, or places before the public, or causes, 
directly or indirectly, to be made, published, disseminated, circulated, or 
placed before the public, in this state, in a newspaper or other publication, 
or in the form of a book, notice, hand-bill, poster, bill, circular, pamphlet 
or letter, or in any other way, an advertisement of any sort regarding 
merchandise, securities, service, or anything so offered to the public, 
which advertisement contains any assertion, representation or statement 
which is untrue, deceptive, or misleading shall be guilty of a misdemeanor. 
Sec. 318. Violation of section—Penalty. On conviction of each and 
every offense, as hereinabove set forth, the violator shall be punished by a 
fine of not less than ten dollars, nor more than three hundred dollars, or by 248 
COLORADO STATE BOARD OF HEALTH 
imprisonment in the county jail for a term not exceeding thirty days, or 
by both such fine and imprisonment. 
Chapter 58—Narcotic Act 
Sec. 28. Definitions. The following words and phrases, as used in 
this act, shall have the following meanings, unless the context otherwise 
requires: 
(1) “Person” includes any corporation, association, co-partnership, 
or one or more individuals. 
(2) “Physician” means a person authorized by law to practice medi- 
cine in this state and any other person authorized by law to treat sick 
and injured human beings in this state and to use narcotic drugs in con- 
nection with such treatment. 
(3) “Dentist” means a person authorized by law to practice den- 
tistry in this state. 
(4) “Veterinarian” means a person authorized by law to practice 
veterinary medicine in this state. 
(5) “Manufacturer” means a person who by compounding, mixing, 
cultivating, growing, or other process, produces or prepares narcotic drugs, 
but does not include an apothecary who compounds narcotic drugs to be 
sold or dispensed on prescriptions. 
(6) “Wholesaler” means a person who supplies narcotic drugs that 
he himself has not produced nor prepared, on official written orders, but 
not on prescriptions. 
(7) “Apothecary” means a licensed pharmacist as defined by the 
laws of this state and, where the context so requires, the owner of a 
store or other place of business where narcotic drugs are compounded or 
dispensed by a licensed pharmacist; but nothing in this act shall be 
construed as conferring on a person who is not registered nor licensed 
as a pharmacist any authority, right, or privilege that is not granted to 
him by the pharmacy laws of this state. 
(8) “Hospital” means an institution for the care and treatment of 
the sick and injured, approved by the State Board of Health as proper to 
be entrusted with the custody of narcotic drugs and the professional use 
of narcotic drugs under the direction of a physician, dentist, or veter- 
inarian. 
(9) “Laboratory” means a laboratory approved by the State Board 
of Health as proper to be entrusted with the custody of narcotic drugs 
and the use of narcotic drugs for scientific and medical purposes and for 
purposes of instruction. 
(10) “Sale” includes barter, exchange, or gift, or offer therefor, 
and each such transaction made by any person, whether as principal, 
proprietor, agent, servant, or employe. 
(11) “Coca Leaves” includes cocaine and any compound, manufac- 
ture, salt, derivative, mixture, or preparation of coca leaves, except deriv- 
atives of coca leaves which do not contain cocaine, ecgonine, or sub- 
stances from which cocaine or ecgonine may be synthesized or made. 249 
LAWS, RULES AND REGULATIONS 
(12) “Opium” includes morphine, codeine, and heroin, and any com- 
pound, manufacture, salt, derivative, mixture, of preparation of opium, 
but does not include apomorphine or any of its salts. 
(13) “Cannabis” includes the following substances under whatever 
names they may be designated: (a) The dried flowering or fruiting tops 
of the pistillate plant Cannabis Sativa L., from which the resin has not 
been extracted, (b) the resin extracted from such tops, and (c) every 
compound, manufacture, salt, derivative, mixture, or preparation of such 
resin, or of such tops from which the resin has not been extracted. 
(14) “Narcotic drugs” means coca leaves, opium, cannabis, and every 
substance neither chemically nor physically distinguishable from them. 
(15) “Federal narcotic laws” means the laws of the United States 
relating to opium, coca leaves, and other narcotic drugs. 
(16) “Official written order” means an order written on a form pro- 
vided for that purpose by the United States Commissioner of Narcotics, 
under any laws of the United States making provision therefor, if such 
order forms are authorized and required by federal law, and if no such 
order form is provided, then on an official form provided for that purpose 
by the State Board of Health. 
(17) “Dispense” includes distribute, leave with, give away, dispose 
of, or deliver. 
(18) “Registry number” means the number assigned to each person 
registered under the Federal Narcotic Uaws. 
Sec. 29. Acts prohibited. It shall be unlawful for any person to man- 
ufacture, possess, have under his control, sell, prescribe, administer, dis- 
pense, or compound any narcotic drug, except as authorized in this act. 
Sec. 30. Manufacturers and Wholesalers. No person shall manufac 
ture, compound, mix, cultivate, grow, or by any other process produce or 
prepare narcotic drugs, and no person as a wholesaler shall supply the 
same, without having first obtained a license so to do from the State 
Board of Health. 
Sec. 31. Qualification for Licenses. No license shall be issued under 
the foregoing section unless and until the applicant therefor has furnished 
proof satisfactory to the State Board of Health: 
(a) That the applicant is of good moral character or, if the appli- 
cant be an association or corporation, that the managing officers are of 
good moral character. 
(b) That the applicant is equipped as to land, buildings, and para- 
phernalia properly to carry on the business described in his application. 
No license shall be granted to any person who has within five years 
been convicted of a willful violation of any law of the United States, or 
of any state, relating to opium, coca leaves, or other narcotic drugs, or to 
any person who is a narcotic drug addict. 
The State Board of Health may suspend or revoke any license for 
cause. 250 
COLORADO STATE BOARD OF HEALTH 
(1) A duly licensed manufacturer or wholesaler may sell and dis- 
pense narcotic drugs to any of the following persons, but only on official 
written orders: 
(a) To a manufacturer, wholesaler, or apothecary. 
(b) To a physician, dentist, or veterinarian. 
(c) To a person in charge of a hospital, but only for use by or in 
that hospital. 
(d) To a person in charge of a laboratory, but only for use in that 
laboratory for scientific and medical purposes. 
(2) A duly licensed manufacturer or wholesaler may sell narcotic 
drugs to any of the following persons: 
(a) On a special written order accompanied by a certificate of ex- 
emption, as required by the Federal Narcotic Laws to a person in the 
employ of the United States government or of any state, territorial, dis- 
trict, county, municipal, or insular government, purchasing, receiving, 
possessing, or dispensing narcotic drugs by reason of his official duties. 
(b) To a master of a ship or a person in charge of any aircraft upon 
which no physician is regularly employed for the actual medical needs 
of persons on board such ship or aii-craft, when not in port. Provided, 
such narcotic drugs shall be sold to the master of such ship or person 
in charge of such aircraft only in pursuance of a special order form 
approved by a commissioned medical officer or acting assistant surgeon 
of the United States Public Health Service. 
(c) To a person in a foreign country if the provisions of the Federal 
Narcotic Laws are complied with. 
(3) Use of Official Written Orders. An official written order for 
any narcotic drug shall be signed in duplicate by the person giving said 
order or by his duly authorized agent. The original shall be presented 
to the person who sells or dispenses the narcotic drug or drugs named 
therein. In event of the acceptance of such order by said person, each 
party to the transaction shall preserve his copy of such order for a 
period of two years in such a way as to be readily accessible for inspec- 
tion by any public officer or employe engaged in the enforcement of this 
act. It shall be deemed a compliance with this sub-section if the parties 
to the transaction have complied with the Federal Narcotic Laws respect- 
ing the requirements governing the use of order forms. 
(4) Possession Lawful. Possession of or control of narcotic drugs 
obtained as authorized by this section shall be lawful if in the regular 
course of business, occupation, profession, employment, or duty of the 
possessor. 
(5) A person in charge of a hospital or of a laboratory, or in the 
employ of this state or of any other state, or of any political subdivision 
thereof, and a master or other proper officer of a ship or aircraft, who 
obtains narcotic drugs under the provisions of this section, or otherwise, 
shall not administer, nor dispense, nor otherwise use such drugs, within 
Sec. 32. Sale on written orders. LAWS, RULES AND REGULATIONS 
251 
this state, except within the scope of his employment or official duty, and 
then only for scientific or medicinal purposes and subject to the provisions 
of this act. 
Sec. 33. Sales by apothecaries 
(1) An apothecary, in good faith, may sell and dispense narcotic 
drugs to any person upon a written prescription of a physician, dentist, 
or veterinarian, dated and signed by the person prescribing on the day 
when issued and bearing the full name and address of the patient for 
whom, or of the owner of the animal for which, the drug is dispensed, 
and the full name, address and registry number under the Federal Nar- 
cotic Laws of the person prescribing, if he is required by those laws to be 
so registered. If the prescription be for an animal, it shall state the 
species of animal for which the drug is prescribed. The person filling 
the prescription shall write the date of filling and his own signature on 
the face of the prescription. The prescription shall be retained on file 
by the proprietor of the pharmacy in which it is filled for a period of 
two years, so as to be readily accessible for inspection by any public 
officer or employe engaged in the enforcement of this act. The prescrip- 
tion shall not be refilled. 
(2) The legal owner of any stock of narcotic drugs in a pharmacy, 
upon discontinuance of dealing in said drugs, may sell said stock to a 
manufacturer, wholesaler, or apothecary, but only on an official written 
order. 
(3) An apothecary, only upon an official written order, may sell to 
a physician, dentist, or veterinarian, in quantities not exceeding one ounce 
at any one time, aqueous or oleaginous solutions of which the content of 
narcotic drugs does not exceed a proportion greater than twenty per cent 
of the complete solution, to be used for medical purposes. 
(1) Physicians and Dentists. A physician or a dentist, in good faith 
and in the course of his professional practice only, may prescribe, admin- 
ister, and dispense narcotic drugs, or he may cause the same to be admin- 
istered by a nurse or interne under his direction and supervision. 
(2) Veterinarians. A veterinarian, in good faith and in the course 
of his professional practice only, and not for use by a human being, may 
prescribe, administer, and dispense narcotic drugs, and he may cause 
them to be administered by an assistant or orderly under his direction 
and supervision. 
(3) Return of Unused Drugs. Any person who has obtained from 
a physician, dentist, or veterinarian any narcotic drug for administration 
to a patient during the absence of such physician, dentist, or veterinarian, 
shall return to such physician, dentist, or veterinarian any unused portion 
of such drug, when it is no longer required by the patient. 
Sec. 34. Professional use of narcotic drugs. 
Sec. 35. Preparations exempted. Except as otherwise in this act 
specifically provided, this act shall not apply to the following cases; 
(1) Prescribing, administering, dispensing, or selling at retail of 252 
COLORADO STATE BOARD OF HEALTH 
any medicinal preparation that contains in one fluid ounce, or if a solid 
or semi-solid preparation, in one avoirdupois ounce, (a) no more than two 
grains of opium, (h) not more than one-quarter of a grain of morphine 
or of any of its salts, (c) not more than one grain of codeine or of any 
of its salts, (d) not more than one-eighth of a grain of heroin or any of 
its salts, (e) not more than one-half of a grain of extract of cannabis nor 
more than one-half of a grain of any more potent derivative or preparation 
of cannabis, (f) and not more than one of the drugs named above in 
clauses (a), (b), (c), (d), and (e). 
(2) Prescribing, administering, dispensing, or selling at retail of 
liniments, ointments, and other preparations that are susceptible of ex- 
ternal use only and that contain narcotic drugs in such combinations as 
prevent their being readily extracted from such liniment, ointments, or 
preparations, except that this act shall apply to all liniments, ointments, 
and other preparations, that contain coca leaves in any quantity or com- 
bination. 
The exemptions authorized by this section shall be subject to the 
following conditions: 
(a) No person shall prescribe, administer, 'dispense, or sell under 
the exemptions of this section, to any one person, or for the use of any 
one person or animal, any preparation or preparations included within 
this section, when he knows, or can by reasonable diligence ascertain, 
that such prescribing, administering, dispensing, or selling will provide 
the person to whom, or for whose use, or the owner of the animal for 
the use of which such preparation is prescribed, administered, dispensed, 
or sold, within any forty-eight consecutive hours, with more than four 
grains of opium, or more than one-half grain of morphine or any of its 
salts, or more than two grains of codeine or of any of its salts, or more 
than one-quarter of a grain of heroin or of any of its salts, or more than 
one grain of extract of cannabis or one grain of any more potent deriva- 
tive or preparation of cannabis, or wall provide such person or the owner 
of such animal, within forty-eight consecutive hours, with more than one 
preparation exempted by this section from the operation of this act. 
(b) The medicinal preparation or the liniment, ointment, or other 
preparation susceptible of external use only, prescribed, administered, 
dispensed, or sold, shall contain in addition to the narcotic drug in it, 
some drug or drugs conferring upon it medicinal qualities other than 
those possessed by the narcotic drug alone. Such preparation shall be 
prescribed, administered, dispensed, and sold in good faith as a medicine, 
and not for the purpose of evading the provisions of this act. 
Nothing in this section shall be construed to limit the kind and qual- 
ity of any narcotic drug that may be prescribed, administered, dispensed, 
or sold to any person or for the use of any person or animal, when it is 
prescribed, administered, dispensed, or sold, in compliance with the gen- 
eral provisions of this act. 
(1) Physicians, dentists, veterinarians, and other authorized per- 
sons. Every physician, dentist, veterinarian, or other person who is 
Sec. 36. Record to be kept. LAWS, RULES AND REGULATIONS 
253 
authorized to administer or professionally use narcotic drugs, shall keep 
a record of such drugs received by him, and a record of all such drugs 
administered, dispensed, or professionally used by him otherwise than 
by prescription. It shall, however, be deemed a sufficient compliance 
with this sub-section if any such person using small quantities of solu- 
tions or other preparations of such drugs for local application, shall 
keep a record of the quantity, character, and potency of such solutions 
or other preparations purchased or made up by him, and of the dates when 
purchased or made up, without keeping a record of the amount of such 
solution or other preparation applied by him to individual patients. 
Provided, That no record need be kept of narcotic drugs administered, 
dispensed, or professionally used in the treatment of any one patient, 
when the amount administered, dispensed, or professionally used for 
that purpose does not exceed in any forty-eight consecutive hours, (a) four 
grains of opium, or (b) one-half of a grain of morphine or of any of its 
salts, or (c) two grains of codeine or of any of its salts, or (d) one-fourth 
of a grain of heroin or of any of its salts, or (e) one grain of extract of 
cannabis or one grain of any more potent derivative or preparation of 
cannabis, or (f) a quantity of any other narcotic drug or any combination 
of narcotic drugs that does not exceed in pharmacologic potency any one 
of the drugs named above in the quantity stated. 
(2) Manufacturers and wholesalers. Manufacturers and wholesal- 
ers shall keep records of all narcotic drugs compounded, mixed, culti- 
vated, grown, or by any other process produced or prepared, and of all 
narcotic drugs received and disposed of by them, in accordance with the 
provisions of sub-section 5 of this section. 
(3) Apothecaries. Apothecaries shall keep records of all narcotic 
drugs received and disposed of by them, in accordance with the provi- 
sions of sub-section 5 of this section, 
(4) Vendors of exempted preparations. Every person who purchases 
for resale, or who sells narcotic drug preparations exempted by section 8 
of this act, shall keep a record showing the quantities and kinds thereof 
received and sold, or disposed of otherwise, in accordance with the pro- 
visions of sub-section 5 of this section. 
(5) Form and preservation of records. The form of records shall 
be prescribed by the State Board of Health. The record of narcotic drugs 
received shall in every case show the date of receipt, the name and 
address of the person from whom received, and the kind and quantity 
of drugs received; the kind and quantity of narcotic drugs produced or 
removed from process of manufacture, and the date of such production 
or removal from process of manufacture; and the record shall in every 
case show the proportion of morphine, cocaine, or ecgonine contained in 
or producible from crude opium or coca leaves received or produced, and 
the proportion of resin contained in or producible from the dried flower- 
ing or fruiting tops of the pistillate plant Cannabis Sativa L., from which 
the resin has not been extracted, received or produced. The record of 
all narcotic drugs sold, administered, dispensed, or otherwise disposed of, 
shall show the date of selling, administering, or dispensing, the name 254 
COLORADO STATE BOARD OF HEALTH 
and address of the person to whom, or for whose use, or the owner ana 
species of animal for which the drugs were sold, administered or dis- 
pensed, and the kind and quantity of drugs. Every such record shall be 
kept for a period of two years from the date of the transaction recorded. 
The keeping of a record required by or under the Federal Narcotic Laws, 
containing substantially the same information as is specified above, shall 
constitute compliance with this section, except that every such record 
shall contain a detailed list of narcotic drugs lost, destroyed, or stolen, 
if any, the kind and quantity of such drugs, and the date of the discovery 
of such loss, destruction, or theft. 
Sec. 37. Labels. 
(1) Whenever a manufacturer sells or dispenses a narcotic drug, 
and whenever a wholesaler sells or dispenses a narcotic drug in a pack- 
age prepared by him, he shall securely affix to each package in which 
that drug is contained a label showing in legible English the name and 
address of the vendor and the quantity, kind, and form of narcotic drug 
contained therein. No person, except an apothecary for the purpose of 
filling a prescription under this act, shall alter, deface or remove any 
label so affixed. 
(2) Whenever an apothecary sells or dispenses any narcotic drug 
on a prescription issued by a physician, dentist, or veterinarian, he shall 
affix to the container in which such drug is sold or dispensed, a label 
showing his own name, address, and registry number, or the name, 
address, and registry number of the apothecary for whom he is lawfully 
acting; the name and address of the patient or, if the patient is an 
animal, the name and address of the owner of the animal and the species 
of the animal, the name, address and registry number of the physician, 
dentist, or veterinarian by whom the prescription was written; and such 
directions as may be stated on the prescription. No person shall alter, 
deface, or remove any label so affixed. 
Sec. 38. Authorized possession of narcotic drugs by individuals. A 
person to whom or for whose use any narcotic drug has been prescribed, 
sold, or dispensed by a physician, dentist, apothecary, or other person 
authorized under the provisions of section 5 of this act, and the owner of 
any animal for which any such drug has been prescribed, sold, or dis- 
pensed by a veterinarian, may lawfully possess it only in the container in 
which it was delivered to him by the person selling or dispensing the same. 
Any sheriff, deputy sheriff, constable, health officer, or any municipal 
officer designated by ordinance, acting within his jurisdiction, having 
personal knowledge or reasonable information that any of the drugs men- 
tioned in this act are kept in violation of law or on any person or in 
any place, shall search such suspected person or place without a warrant 
and without any affidavit being filed, and if such officer find upon the 
person or the premises such drugs, he shall seize the same and arrest 
any person or persons in charge of such places or on whom such drugs 
are found, and shall take such person or persons with such drugs so 
seized forthwith, or as soon as convenient, before a justice of the peace or LAWS, RULES AND REGULATIONS 
255 
judge of any court in the county in which such seizure is made having 
jurisdiction as herein provided to try cases for violation of this act, 
and such officer shall without delay make and file a complaint for such 
violation of law as the evidence justifies. It shall be lawful for officers 
in executing the duties imposed upon them by this section to break open 
doors or other enclosures for the purpose of obtaining possession of any 
such drugs, vessels, implements and furniture, and to use such reasonable 
force as may be necessary to search any such suspected person. 
If any person make an affidavit before any justice of the peace, or 
judge of any county or district court, stating that he has reason to and 
does believe that any person has in his possession or under his control 
any of the drugs mentioned in this act, within the jurisdiction of such 
justice or court, and described in such affidavit the person, premises, 
wagon, automobile, vehicle, contrivance, thing or device to be searched, 
then such justice, or the judge of such court, shall issue a warrant to any 
officer which the complaint may designate having power to serve original 
process, commanding such officer to search the person, premises, wagon, 
automobile, vehicle, contrivance, thing or device described in such affi- 
davit. Such warrant shall be substantially as follows: 
STATE OF COLORADO, 
COUNTY OF 
.ss. 
The People of the State of Colorado to Greeting: 
Whereas there has been filed with the undersigned an affidavit of 
which the following is a copy (here copy the affidavit): 
Therefore, you are hereby commanded, in the name of the people of 
the State of Colorado, forthwith, together with the necessary and proper 
assistance, to search 
(here describe the person, place or thing mentioned in the affidavit) of 
the said situate or being in the 
of in the county of aforesaid, 
and there diligently search for the said drugs, and that you bring the 
same, or any part thereof, found in such search, together with such ves- 
sels in which such drugs are found, and the implements and furniture 
used in connection therewith, forthwith before me to be disposed of and 
dealt with according to law. 
Given under my hand and seal this day of 
A. D. 19 
Judge of the Court 
or 
Justice of the Peace. 
The officer charged with the execution of said warrant may, when 
necessary to obtain entrance, or when entrance has been refused, break 
open any premises, wagon, automobile, vehicle, contrivance, thing or 
device which by said warrant he is directed to search; and such officer 256 
COLORADO STATE BOARD OF HEALTH 
shall have the right to use such reasonable force as may be necessary to 
search any person whom by said warrant he is directed to search. 
Sec. 39. Persons and corporations exempted. The provisions of this 
act restricting the possession and having control of narcotic drugs shall 
not apply to common carriers or to warehousemen, while engaged in 
lawfully transporting or storing such drugs, or to any employe of the 
same acting within the scope of his employment; or to public officers or 
their employes in the performance of their official duties requiring posses- 
sion or control of narcotic drugs; or to temporary incidental possession 
by employes or agents of persons lawfully entitled to possession, or by 
persons whose possession is for the purpose of aiding public officers in 
performing their official duties. 
Sec. 40. Common nuisances. Any store, shop, warehouse, dwelling 
house, building, vehicle, boat, aircraft, or any place whatever, which is 
resorted to by narcotic drug addicts for the purpose of using narcotic 
drugs or which is used for the illegal keeping or selling of the same, shall 
be deemed a common nuisance. No person shall keep or maintain such 
a common nuisance. 
Sec. 41. Narcotic drugs to be delivered to state official, etc. All 
narcotic drugs, the lawful possession of which is not established or the 
title to which cannot be ascertained, which have come into the custody of 
a peace officer, shall be forfeited, and disposed of as follows: 
(a) Except as in this section otherwise provided, the court or magis- 
trate having jurisdiction shall order such narcotic drugs forfeited and 
destroyed. A record of the place where said dnigs were seized, of the 
kinds and quantities of drugs so destroyed, and of the time, place, and 
manner of destruction, shall be kept, and a return under oath, reporting 
said destruction, shall be made to the court or magistrate and to the 
United States Commissioner of Narcotics, by the officer who destroys 
them. 
(b) Upon written application by the State Board of Health, the 
court or magistrate by whom the forfeiture of narcotic drugs has been 
decreed may order the delivery of any of them, except heroin and its 
salts and derivatives, to said State Board of Health, for distribution or 
destruction, as hereinafter provided. 
(c) Upon application by any hospital within this state, not operated 
for private gain, the State Board of Health may in its discretion deliver 
any narcotic drugs that have come into their custody by authority of 
this section to the applicant for medicinal use. The State Board of 
Health may from time to time deliver excess stocks of such narcotic drugs 
to the United States Commissioner of Narcotics, or may destroy the same. 
(d) The State Board of Health shall keep a full and complete record 
of all drugs received and of all drugs disposed of, showing the exact kinds, 
quantities, and forms of such drugs; the persons from whom received 
and to whom delivered; by whose authority received, delivered, and 
destroyed, and the dates of the receipt, disposal or destruction, which LAWS, RULES AND REGULATIONS 
257 
record shall be open to inspection by all federal or state officers charged 
with the enforcement of federal and state narcotic laws. 
Sec. 42. Notice of conviction to be sent to licensing board. On the 
conviction of any person of the violation of any provision of this act, a 
copy of the judgment and sentence, and of the opinion of the court or 
magistrate, if any opinion be filed, shall be sent by the clerk of the court, 
or by the magistrate, to the board or officer, if any, by whom the con- 
victed defendant has been licensed or registered to practice his profession 
or to carry on his business. On the conviction of any such person, the 
court may, in its discretion, suspend or revoke the license or registration 
of the convicted defendant to practice his profession or to carry on his 
business. On the application of any person whose license or registration 
has been suspended or revoked, and upon proper showing and for good 
cause, said board or officer may reinstate such license or registration. 
Sec. 43. Records, confidential. Prescriptions, orders, and records, 
required by this act, and stocks and narcotic drugs, shall be open for in- 
spection only to federal, state, county, and municipal officers, whose duty 
it is to enforce the laws of this state or of the United States relating to 
narcotic drugs. No officer having knowledge by virtue of his office of any 
such prescription, order, or record shall divulge such knowledge, except 
in connection with a prosecution or proceeding in court or before a 
licensing or registration board or officer, to which prosecution or proceed- 
ing the person to whom such prescriptions, orders, or records relate is a 
party. 
Sec. 44. Fraud or deceit. 
(1) No person shall obtain or attempt to obtain a narcotic drug, or 
procure or attempt to procure the administration of a narcotic drug, (a) 
by fraud, deceit, misrepresentation, or subterfuge; or (b) by the forgery 
or alteration of a prescription or of any written order; or (c) by the 
concealment of a material fact; or (d) by the use of a false name or the 
giving of a false address. 
(2) Information communicated to a physician in an effort unlawfully 
to procure a narcotic drug, or unlawfully to procure the administration 
of any such drug, shall not be deemed a privileged communication. 
(3) No person shall wilfully make a false statement in any prescrip- 
tion, order, report, or record required by this act. 
(4) No person shall, for the purpose of obtaining a narcotic drug, 
falsely assume the title of, or represent himself to be, a manufacturer, 
wholesaler, apothecary, physician, dentist, veterinarian, or other author- 
ized person. 
(5) No person shall make or utter any false or forged prescription 
or false or forged written order. 
(6) No person shall affix any false or forged label to a package ox- 
receptacle containing narcotic dx-ugs. 
(7) The px-ovisions of this section shall apply to all transactions 
relating to xxarcotic drugs under the px-ovisions of section 8 of this act, 
in the same way as they apply to transactions under all other sections. 258 
COLORADO STATE BOARD OF HEALTH 
See. 45. Exceptions and exemptions not required to be negatived. 
In any complaint, information, or indictment, and in any action or pro- 
ceeding brought for the enforcement of any provision of this act, it 
shall not be necessary to negative any exception, excuse, proviso, or ex- 
emption contained in this act, and the burden of proof of any such excep- 
tion, excuse, proviso, or exemption shall be upon the defendant. 
Sec. 46. Enforcement and cooperation. It is hereby made the duty 
of the State Board of Health, its officers, agents, inspectors, and repre- 
sentatives, and of all peace officers within the state, and of all district 
attorneys, to enforce all provisions of this act, except those specifically 
delegated, and to cooperate with all agencies charged with the enforce- 
ment of the laws of the United States, of this state and of all other states, 
relating to narcotic drugs. 
Sec. 47. Penalties. Any person violating any provision of this act 
shall upon conviction be punished, for the first offense, by a fine not 
exceeding three hundred dollars ($300.00), or by imprisonment in the 
county jail for not exceeding six months, or by both such fine and impris- 
onment, and for any subsequent offense, by a fine not exceeding five 
hundred dollars ($500.00), or by imprisonment in the state penitentiary 
for not exceeding three years, or by both such fine and imprisonment. 
Sec. 48. Effect of acquittal or conviction under federal narcotic laws. 
No person shall be prosecuted for a violation of any provision of this act 
if such person has been acquitted or convicted under the Federal Narcotic 
Laws of the same act or omission which, it is alleged, constitutes a viola- 
tion of this act. 
Sec. 49. Interpretation. This act shall be so interpreted and con- 
strued as to effectuate its general purpose, to make uniform the laws of 
those states which enact it. 
Article IV, Chapter 58—Colorado Caustic Alkali Law, 1925 
Sec. 61. Dangerous caustic or corrosive substances defined. For the 
purpose of this act the term “dangerous caustic or corrosive substances” 
means each and all of the acids, alkalies and substances below. 
(a) Potassium hydroxide and any preparation containing free or 
chemically unneutralized potassium hydroxide (KOH), including caustic 
potash and Vienna paste, in a concentration of ten per centum or more. 
(b) Sodium hydroxide and any preparation containing free or chemi- 
cally unneutralized sodium hydroxide (NaOH), including caustic soda and 
lye, in a concentration of ten per centum or more. 
Sec. 62. Require conspicuous label on retail package. Any retail 
parcel, package or container of any dangerous caustic or corrosive sub- 
stance shall be and is hereby declared to be a misbranded parcel, package 
or container, unless containing a conspicuous, easily legible label or 
sticker containing 
(a) The name of the article; LAWS, RULES AND REGULATIONS 
259 
(b) The name and place of business of the manufacturer, packer, 
seller, or distributor; 
(c) The word “POISON,” running parallel with the main body of 
reading matter on said label or sticker, on a clear, plain background of 
a distinctly contrasting color, in uncondensed gothic capital letters, the 
letters to be not less than 24 point size, unless there is on said label no 
other type so large, in which event the type shall be not smaller than the 
largest type on the label, and 
(d) Direction for treatment in case of accidental personal injury by 
any dangerous caustic or corrosive substance. 
Sec. 63. Sending misbranded package out of the state—Prohibited. 
No person shall, for sale, barter, or exchange, send or carry, or pack or 
hold with intent to send or carry, from the State of Colorado, into any 
other state, or into any territory, the District of Columbia, or any other 
place under the exclusive jurisdiction of the United States, any dangerous 
caustic or corrosive substance in a misbranded parcel, package, or 
container. 
Provided, that this section shall not apply to any regularly established 
common carrier in the ordinary course of its business; nor to the packing, 
holding for export, or exporting to a foreign country, of any dangerous 
caustic or corrosive substance in parcels, packages or containers, branded 
in accordance with the specifications of the foreign purchaser, when not 
in conflict with the laws of said foreign country. 
Sec. 64. Bringing misbranded package into state—Prohibited. No 
person shall, for sale, barter or exchange, receive in the State of Colorado 
from any other state, or from any territory, the District of Columbia, or 
any other place under the exclusive jurisdiction of the United States, any 
dangerous caustic or corrosive substance in a misbranded parcel, package 
or container. 
Provided, that this section shall not apply to any regularly established 
common carrier in the ordinary course of its business; nor to any broker 
receiving such substance in the ordinary course of his business, for export 
to a foreign country, in parcels, packages, or containers labeled in accord- 
ance with the specifications of the foreign purchaser, when not in conflict 
with the laws of the said foreign country. 
Sec. 65. Dealing in misbranded package in state—Prohibited. No 
person shall sell, barter, or exchange, or receive, hold, pack, display, or 
offer for sale, barter, or exchange, in the State of Colorado, any dangerous 
caustic or corrosive substance in a misbranded parcel, package, or con- 
tainer, said parcel, package or container. 
Sec. 66. Dangerous substance in misbranded package proceeded 
against wherever found. Any dangerous caustic or coi’rosive substance in 
a misbranded parcel, package, or container that is being sold, bartered, 
or exchanged, or held, displayed or offered for sale, barter or exchange, 
or for shipment or carriage to a foreign country, or to any other state, or 
to any territory, the District of Columbia, or any other place under the 
exclusive jurisdiction of the United States shall be liable to be proceeded 260 
COLORADO STATE BOARD OF HEALTH 
against in any district court within the jurisdiction of which the same is 
found and seized for confiscation by a process of libel; and if such sub- 
stance is condemned as misbranded by said court, it shall be disposed of 
by destruction or sale, as the court may direct; and if sold, the proceeds 
less the actual costs and charges shall be paid over to the general fund 
of this state; but such substance shall not be sold contrary to the pro- 
visions of the laws of the state; Provided, however, that upon the pay- 
ment of the costs of such proceedings and the execution and delivery of a 
good and sufficient bond to the effect that such substance will not be un- 
lawfully sold or otherwise disposed of, the court may by order direct that 
such substance be delivered to the owner thereof. 
Sec. 67. Violation of act. Any person violating the provisions of 
this act shall upon conviction thereof be punished by a fine of not more 
than two hundred ($200.00) dollars, or by imprisonment for not more than 
ninety days, or by both such fine and imprisonment, in the discretion of 
the court. 
Sec. 68. Enforcement by food and drug division. Any health officer 
or inspector of the food and drug division shall enforce the provisions 
of this act, and he is hereby authorized and empowered to approve and 
register such brands and labels intended for use under the provisions of 
this act as may be submitted to him for that purpose and as may, in his 
judgment, conform to the requirements of this statute; Provided, how- 
ever, that in any prosecution under this act the fact that any brand or 
label involved in said prosecution has not been submitted to said health 
officer or inspector for approval, or if submitted, has not been approved 
by him, shall be immaterial. 
Sec. 69, District attorney prosecute. Every district attorney to whom 
there is presented, or who in any way procured satisfactory evidence of 
any violation of the provisions of this act shall cause appropriate pro- 
ceedings to be commenced and prosecuted in the proper courts, without 
delay, for the enforcement of the penalties as in such cases herein 
provided. 
Sec. 70. Act—How cited. This act may be cited as the “Colorado 
Caustic Alkali Act, 1925.” 
Chapter 81—Restaurant Law, 1935 
Sec. 13. Purpose. The control and regulation of premises or places 
wherein food is prepared and sold or served for consumption on such 
premises; the establishment of standards of purity for foods; and the 
enforcement of sanitary safeguards imposed upon food handlers, being 
necessary, this act shall be deemed an exercise of the police powers of 
the state for the protection of the social welfare and the health of the 
people of the State of Colorado. 
Sec. 14. Definitions. As used in tins act, 
(a) “Person” shall mean natural person, partnership, copartnership, 
association, company, corporation, organization, or manager, agent, serv- 
ant, officer or employe of any of them. LAWS, RULES AND REGULATIONS 
261 
(b) “Food” shall mean any substance used, or intended to be used, 
for human consumption, when the same is prepared for consumption to 
be consumed upon the premises where sold, which, among other things, 
shall include all meat, fish, vegetables, bread and condiments, whether 
simple, mixed or compounded, but shall not include soft drinks, ice cream 
or ices, and confections. 
(c) “Restaurant” shall mean an establishment provided with special 
space and accommodations wherein, in consideration of payment, meals 
are habitually furnished to guests, or a place where food is prepared for 
human consumption to be consumed upon the premises, and whose prin- 
cipal business is the sale of meals, and in which room nothing is sold 
excepting meals, food, drink and tobaccos. Any establishment connected 
with any business whatsoever, excepting the hotel business and railway 
dining cars or any room in any place whatsoever, wherein any business is 
conducted excepting the sale of meals, foods, drinks and tobaccos, or hotel 
business, is hereby declared not to be a restaurant. 
(d) “Board” shall mean “State Board of Health” and its authorized 
inspectors, agents and employes. 
(e) “License” shall mean a grant to a licensee to conduct a “restau- 
rant” as defined in this act. 
Sec. 15. Unlawful acts. From and after a period of thirty (30) days 
after the effective date of this act, it shall he unlawful: 
(a) For any person to conduct a “restaurant” without having ob- 
tained a license so to do from the State Board of Health and in accordance 
with the provisions of this act. 
(b) To sell or serve to any person or to the public any “food” except 
the same shall be sold or served in a licensed “restaurant.” as defined in 
this act; Provided, however, that nothing in Section 3 of this act shall 
prohibit or limit the operation of private boarding houses, or the serving 
of food by individuals, organizations, or charitable institutions, engaging 
only in the occasional sale or serving of food. 
(c) For any person to violate any of the provisions of this act, or 
the sanitary rules and regulations made hereunder, or to violate any of 
the rules and regulations of the State Board of Health made pursuant to 
the provisions of this act. 
Sec. 16. State Board of Health licensing and inspection agency. For 
the purpose of regulating and controlling “restaurants,” establishing of 
sanitary conditions therein and the enforcement and administration of 
this act, the State Board of Health is hereby designated, empowered, and 
authorized as the state licensing and inspection agency. 
Sec. 17. Powers and duties of State Board of Health. The duties 
and authority of the State Board of Health shall be as follows: 
(a) To grant, refuse, suspend or revoke licenses provided by this act. 
(b) To establish a uniform code of sanitary rules and regulations 
for the preparation, sale and serving of “food”; to make such other 
rules and regulations for the effective administration and enforcement of 
this act not inconsistent with the provisions of this act. 262 
COLORADO STATE BOARD OF HEALTH 
(c) To hear and determine all complaints against licensees, and to 
administer oaths, and issue subpoenas to require the presence of person 
or persons necessary to the determination of any hearing so held. 
(d) To keep in its office a complete record of all the acts and transac- 
tions of the Board, which record shall be open to inspection by the public. 
(e) To enforce the provisions of this act and the code of sanitary 
rules and regulations, and other rules and regulations made hereunder. 
(f) To cause to be inspected all places licensed by it, at any or all 
reasonable times. 
Sec. 18. Licenses. Any person owning and/or operating a “restau- 
rant” within this state shall, within thirty (30) days after the effective date 
hereof, make application to the State Board of Health for a license as 
herein provided. Any other person desiring to own and/or operate a 
“restaurant” in this state shall, before undertaking such business, make 
application to the State Board of Health, as herein provided. Application 
for licenses under the provisions of this act shall be made to the State 
Board of Health, on forms prepared and furnished by the Board, and shall 
set forth such information as the director may require, including the name 
and address of the applicant, together with all the other information 
deemed necessary by the Board. Before granting any license for which 
application has been made, the Board may visit and inspect the “restau- 
rant” or property in which the applicant conducts or proposes to conduct 
his business. The Board may refuse a license for failure to comply with 
the sanitary code, or other rules and regulations, or if, in its opinion, the 
premises on which the applicant conducts or proposes to conduct his busi- 
ness do not meet the requirements of this act. Upon written demand by 
an applicant who has been refused a license, the Board shall state in 
writing its reasons for such refusal. The refusal of the Board to grant a 
license according to the provisions of this act may be reviewed upon appli 
cation for writ of mandamus or otherwise by any court of general jurisdic- 
tion having jurisdiction of the place for which the application for license 
was made, and if such court shall determine that such action was without 
good cause, it shall order the Board to issue such license. 
Sec. 19. Duration of license. Licenses herein provided shall be 
granted for a period of one calendar year, or portion thereof, remaining 
at the time of making application for said license, but where application 
is made for a portion of such calendar year there shall be no reduction of 
the license fees provided herein because of such fact. All licenses shall 
expire December 31st of the year for which issued, and application for the 
renewal of licenses shall be made during the month of December of each 
year. Once a license has been granted under the provisions of this act, 
the Board may refuse to renew the same only for violation of this act or 
the sanitary code or other rules and regulations established hereunder, 
unless otherwise provided by law. 
Sec. 20. Contents of license—Fee. Licenses herein provided for shall 
specify the date of issuance, the period which is covered, the name of the 
licensee, and the place licensed. Such licenses shall be conspicuously LAWS, RULES AND REGULATIONS 
263 
displayed at all times in the place thereby licensed, and all constables, 
sheriffs and police officers shall see to it that every person selling foods 
and conducting a “restaurant” within his jurisdiction has procured a 
license so to do. The fee for such license shall be Ten Dollars ($10.00) 
for restaurants located in cities of the first and second class, and Five 
Dollars ($5.00) for restaurants located in towns and other political subdi- 
visions. 
Sec. 21. Board may suspend or revoke license—Review. In addition 
to any other penalties prescribed by this act, the Board shall have power 
on its own motion or on complaint, after investigation and hearing, at 
which the licensee shall be afforded an opportunity to be heard, to suspend 
and/or revoke any license for any violation of the provisions of this act, 
or of any sanitary or other rule or regulation adopted by the Board, or of 
any of the terms, conditions or provisions of the license by the licensee or 
any of the agents, servants or employes of such licensee. Notice of sus- 
pension or revocation, as well as any required notice of hearing, shall be 
given by mailing the same in writing to the licensee at the address con- 
tained in the license. No suspension shall be for a longer period than 
six (6) months. Whenever a license is suspended or revoked, no part of 
the fees paid therefor shall be returned to the holder. Suspension or 
revocation of licenses may be reviewed, upon application for writ of man- 
damus, or otherwise, by any court of general jurisdiction having jurisdic- 
tion of the place for which the application for license was made, and if 
such court shall determine that such action was without good cause, it 
shall order the Board to reinstate such license. 
Sec. 22. Sanitary rules and regulations. The code of sanitary rules 
and regulations, hereinbefore provided, shall include provisions for the 
initial and periodic examination by the Board, or other competent medical 
authority, of all employes engaged in the handling of “foods,” and shall 
also include provision specifying and regulating the matter of places and 
the conditions under which “food” shall be prepared for consumption, and 
such other sanitary rules as the Board shall deem necessary. Such rules 
may be modified and changed from time to time. It shall be the duty of 
every licensee under the provisions of this act to see that the code of 
sanitary rules and regulations is enforced in the place for which the 
license is granted. A licensee failing to enforce such rules and regulations 
shall be deemed guilty of a misdemeanor and punishable as hereinafter 
provided in this act. 
Sec. 23. Violation of article—Penalty. Any person violating any of 
the provisions of this act or any of the provisions of the sanitary code 
hereby established shall be deemed guilty of a misdemeanor, and upon 
conviction thereof shall be punished by a fine of not to exceed Five Hun- 
dred Dollars ($500.00) or imprisonment in the county jail for not more 
than ninety (90) days, or both such fine and imprisonment. It shall be the 
duty of district attorneys of the several districts of this state to prosecute 
for violations of this act as for other crimes and misdemeanors. 
Sec. 24. Funds paid to state treasurer daily—Disposition of funds. 
All funds and money collected under the provisions of this act shall be 264 
COLORADO STATE BOARD OF HEALTH 
paid .over daily by the Board to the state treasurer, and said state treas- 
urer shall place 10 per centum (10%) of the money so received in the 
general fund, and the balance credited by him to the “State Restaurant 
Fund.” Out of the funds and moneys so received, the state treasurer shall 
pay the salaries and expenses of the deputies, inspectors and employes, 
necessary for the administration of this act, which expenses, including 
salaries and otherwise, shall in no event exceed the amount collected. The 
balance of such fund, not necessary for salaries and expenses of the Board, 
remaining in the hands of the state treasurer at the end of any biennial 
period, shall be credited by him to the general fund of the state. The 
payment of salaries and expenses as herein provided shall be upon vouch- 
ers authoxuzed by the Board and signed by the auditor of state. 
RESTAURANT ACT—RULES AND REGULATIONS 
Colorado State Board of Health 
IN CONFORMITY WITH THE STATE RESTAURANT SANITATION 
RAW THE FOLLOWING RULES AND REGULATIONS WERE 
ADOPTED AT A REGULAR MEETING OF THE BOARD HELD 
DECEMBER 1, 1936. 
“Restaurant” shall mean an establishment provided with special 
space and accommodations wherein, in consideration of payment, meals 
are habitually furnished to guests, or a place where food is prepared 
for human consumption to be consumed upon the premises, and whose 
principal business is the sale of meals, and in which room nothing is sold 
except meals, food, drink and tobaccos. Any establishment connected 
with any business whatsoever, excepting the hotel business and railway 
dining cars or any room in any place whatsoever wherein any business is 
conducted excepting the sale of meals, foods, drinks and tobaccos, or hotel 
business, is hereby declared not to be a restaurant. (Quoted from Colo- 
rado Restaurant Law, Section 2, Paragraph “c”.) 
Every restaurant not operated in connection with a railway dining 
car or hotel shall be required to be completely partitioned or separated 
from any other business, and equipped with substantial doors at entrances 
and exits. For the purpose of these Regulations, the term “restaurant” 
shall include the kitchen, if an adjoining kitchen is maintained, and any 
and all storage or other rooms appurtenant to the dining room or kitchen. 
Every restaurant shall be housed in a weather-proof building of ap- 
proved construction, and provided with ample space consistent with the 
number of its employes and the number of guests served at maximum 
capacity. 
All walls, ceilings, tables and their coverings, floors, etc., shall be kept 
in a clean and sanitary condition. 
Every room, basement or cellar occupied or used in connection with 
any restaurant for the preparation, storage, sale or distribution of food 
or food products shall have a dry floor made of concrete or of approved 
impervious material. 
All plumbing shall conform with the Colorado State Plumbing Code. LAWS, RULES AND REGULATIONS 
265 
The aprons, smocks, or other outer clothing of employes who handle 
food products shall be of a material that is readily cleansed and made 
sanitary. Employes who handle food products shall be required to keep 
their hands, uniforms and persons clean at all times. 
Every restaurant shall be properly lighted and ventilated. 
Precautions must be taken to prevent insects, vermin, rats or mice 
from entering the kitchen, pantries or store-rooms, and all other places 
where provisions are kept. 
All toilet-rooms, urinals and dressing-rooms shall be entirely sepa- 
rated from compartments in which food products are stored, handled or 
prepared. They shall be sufficient in number, ample in size, and fitted 
with modern lavatory accommodations, including toilet paper, soap, run- 
ning water, sanitary paper towels, etc. They shall be properly lighted, 
suitably ventilated, and kept in a sanitary condition. 
The rooms or compartments in which food products are prepared, 
stored, or otherwise handled shall be lighted and ventilated in a manner 
acceptable to the State Board of Health, and shall be so located that odors 
from toilet-rooms, catch-basins, etc., do not permeate them. 
Employers and employes of all restaurants engaged in the handling 
or preparation of food shall obtain a permit card as required by the state 
law. The permit card shall be kept on file in the restaurant at all times, 
and shall be renewed every six months. 
Every restaurant shall have an adequate supply of “SAFE” water, and 
all drinking fountains shall be of an “approved” sanitary type. Common 
drinking cups will not be permitted. 
All kitchen utensils, dishes, trays, glassware, silverware, etc., must 
be kept clean and sanitary at all times. No dishes or glassware, cracked 
or chipped on the top surface or inside, may be used or kept in the 
kitchen or dining room of any restaurant. 
The water from which dishes, glasses, cutlery or cooking utensils 
are removed from final rinsing or washing must be suitable for drinking 
purposes with reference to the bacteriological analysis, and the total 
bacterial count at 37° C. shall not exceed 100 per c.c. For this purpose, 
all utensils shall be immersed in an approved chlorine solution, which 
must contain at least 50 parts per million of available chlorine (C. L. 
1921, Rule 51). 
Canned goods, when opened, or prepared foods, shall not be stored in 
tin or zinc containers. 
Each sink shall have available hot and cold water at all times. 
Fly-tight metal garbage cans with tight-fitting covers must be used. 
Adequate provision must be made for the collection and removal of all 
garbage at least once each day, and disposed of in a sanitary and approved 
manner. 
Dogs shall not be allowed in restaurants at any time (except the 
“Seeing Eye Dogs” that are leading blind persons), and cats shall not 
be allowed where food is cooked or served. COLORADO STATE BOARD OF HEALTH 
“SECTION 11. Any person violating any of the provisions of this 
act or any of the provisions of the Sanitary Code hereby established, shall 
be deemed guilty of a misdemeanor, and upon conviction thereof shall 
be punished by a fine of not to exceed Five Hundred Dollars ($500.00) or 
imprisonment in the county jail for not more than ninety days, or both 
such fine and imprisonment. It shall be the duty of the district attorneys 
of the several districts of this state to prosecute for violations of this act 
as for other crimes and misdemeanors,” (Colorado Restaurant Law, 
Section 11.) 
REGULATIONS 
PERTAINING TO FOOD AND DRUGS 
Rule 1. Articles subject to federal jurisdiction—Original packages. 
The provisions of the Colorado Food and Drugs Act do not apply in the 
case of articles of food and drugs remaining in original packages and 
the subject of interstate commerce under the federal jurisdiction. The 
term “original package” as used in Section 1 of the act is the original 
package, carton, case, can, box, barrel, bottle, vial, or other receptacle 
put up by the manufacturer or dealer, to which the label is attached, or 
which may be suitable for the attachment of a label, making one com- 
plete package of the food or drug article. The original package contem- 
plated includes both the wholesale and the retail package. 
When for any reason an adulterated or misbranded article of food 
or drug passes beyond the federal control of interstate commerce within 
the state, it immediately becomes subject to all the provisions of the 
Colorado Food and Drugs Act, and the shipper or dealer liable to all the 
penalties imposed thereby. 
Rule 2. Collection and identification of official samples. Food and 
drug inspectors are hereby authorized to collect samples of food and 
drug products for analysis, as are also the health officers of cities, towns 
and counties of the state. 
An official sample is one upon which prosecution may be based. The 
following rules governing the collection and preparation of official samples 
must be observed: 
a. Samples may be purchased in the open market. 
b. Collectors shall collect representative samples. 
c. If in bulk, the marks, brands or tags or accompanying printed or 
written matter shall be noted. 
d. Samples taken from food and drug products sold in bulk shall be 
immediately enclosed in suitable containers and sealed by the inspector 
collecting such samples. 
e. The inspector shall write upon the seal, in ink or indelible pencil, 
the date of taking sample, his serial number and his name in full, for the 
purpose of identifying said sample. LAWS, RULES AND REGULATIONS 
267 
f. Inspectors’ seals shall be so attached that the sample may be 
opened by the analyst without destroying the identification marks. 
g. Samples sold in sealed packages or other containers shall, for the 
purpose of identification, be sealed and marked by the collector in the 
manner above described. 
h. In all cases where samples are taken for analysis a like sample 
sealed and marked for identification, as in the case of the original sample, 
shall, upon request, be left with the vendor or his agent. In the case of 
samples taken from bulk, the sample left with the vendor shall be a part 
or division of the original sample taken for analysis. 
i. Whenever a sample is taken for bacteriological examination such 
sample and a duplicate thereof shall be placed in properly sterilized recep- 
tacles furnished by the Division of Food and Drugs. 
j. Inspectors shall keep a permanent record of all samples collected, 
which record shall include identification marks and dates noted upon the 
seal, together with the name of the person or persons from whom pur- 
chased, all material statements appearing upon the label, such as indicate 
the nature or composition of the drug or food product, and the date and 
manner of delivery of such sample to the Food and Drug Commissioner. 
k. Samples collected for analysis shall be delivered without unneces- 
sary delay to the Food and Drug Commissioner. 
Rule 3. Methods of analysis. Unless otherwise directed by the State 
board of Health, the methods of analysis employed shall be those pre- 
scribed by the Association of Official Agricultural Chemists and the United 
States Pharmacopoeia. 
In cases where the food sample under investigation is of a perish- 
able nature, or where the adulteration is due to decomposition or to the 
presence of filthy, decomposed or putrid animal or vegetable substance, 
which may readily be disclosed by physical examination, such examina- 
tion may be made by the Food Commissioner or Food Inspectors, and 
action based thereon. 
Rule 4. Hearings. When the analysis or examination of an official 
sample shows that an article of food or drug is adulterated or mis- 
branded within the meaning of this act, the Food and Drug Commissioner 
shall give notice to the party or parties against whom prosecution lies 
under this act for the manufacture, sale or shipment of the adulterated 
or misbranded product, and fix a time and place at which said party or 
parties may be heard. 
Unless otherwise ordered by the State Board of Health, the Food 
and Drug Commissioner shall conduct all such hearings, and in all cases 
wherein it shall appear that the provisions of this act have been violated, 
shall give notice to the district attorney of the proper judicial district. 
Said notice to the district attorney shall include all material facts in 
connection with the case, together with an authenticated copy of the 
report of the analyst or other officer making the examination, and a 
transcript of all evidence submitted and all matters considered at such 
hearing. 268 
COLORADO STATE BOARD OF HEALTH 
Hearings shall be private and confined to questions of fact. The 
parties interested therein may appear either in person or by attorney, 
and may submit proper interrogatories to be propounded by the officer 
conducting the hearing. Such hearing shall not include the right of cross- 
examination. 
The purpose of the hearing herein required is to discover all mate- 
rial facts in connection with each case wherein a violation of the Food 
and Drugs Act is alleged, and to this end the Food and Drug Commis- 
sioner shall permit the widest possible latitude as to the scope of the 
inquiry and the nature of the evidence submitted. 
Employes of this department are not permitted to disclose any of the 
evidence submitted or matters considered at hearings except as such may 
be certified to the district attorney for action. 
Rule 5. Publication. When a judgment of the court shall have been 
rendered there may be a publication of the findings of the analyst or 
examiner, together with the decision of the court. These publications 
may be in the form of circulars, notices of judgment or bulletins as the 
Food and Drug Commissioner may direct, and shall not be made prior 
to thirty days after judgment. If an appeal be taken from the judgment 
of the court, notice of appeal must be included in the notice of judgment 
or other publication. 
Nothing in this regulation shall be construed as prohibiting the pub- 
lication of the annual or biennial report of the Division of Food and Drugs, 
containing the records of condemnation of food and drug products. 
Rule 6. Standards for drugs. A drug beai’ing a name recognized in 
the United States Pharmacopoeia or National Formulary, without any 
further statement respecting its character, shall be required to conform 
in strength, quality and purity to the standards prescribed or indicated 
for a drug of the same name recognized in the United States Pharmaco- 
poeia or National Formulary, official at the time. 
Rule 7. Standards for foods. Except as specific standards for foods 
may be established by the laws of the State of Colorado, or by the Colo- 
rado State Board of Health, the Division of Food and Drugs will recognize 
as official the standards which have been or may hereafter be adopted by 
the Department of Agriculture of the U. S. Government. In the enforce- 
ment of this regulation, reasonable tolerance will be allowed for variations 
in chemical composition due to differing climatic and soil conditions. 
Standards officially adopted will from time to time be published in 
bulletins issued by the department. 
Rule 8. Guaranty. Section 8 of the Food and Drugs Act transfers 
from the dealers criminal liability for sale or shipment within the state 
of adulterated or misbranded foods or drugs provided such dealer is able 
to establish a guaranty from the jobber or manufacturer from whom the 
goods were purchased. 
In such cases the guarantor is subject to the penalties prescribed by 
the act. LAWS, RULES AND REGULATIONS 
269 
Such adulterated or misbranded foods or drugs are not thereby 
exempt from action for seizure and confiscation. 
The form of guaranty to be used is immaterial except in that it must 
be dated, must identify the particular goods covered, and must be signed 
by a responsible person residing within the jurisdiction of the state courts. 
It is preferable that a guaranty attach to the bill of lading or other 
invoice of goods covered. 
The Division of Foods and Drugs will recognize, as fulfilling the 
requirements of the state act, a general or blanket guaranty, complying 
with the provisions as to form set forth herein, by which all goods bearing 
a manufacturer’s name or sold under his brands are guaranteed to comply 
with the requirements of the State Food and Drugs Act, provided such 
general guaranty has been accepted and relied upon in good faith by the 
dealer. 
The use of any legend or design upon the label of a package of food 
or drug, which in any manner indicates that the said food or drug product 
has been examined and approved or guaranteed by the Division of Food 
and Drugs of the State Board of Health, will be deemed a misbranding. 
RULES RELATING TO ADULTERATIONS 
Rule 9. Coloring matter in foods and confectionery. Harmful or 
poisonous dyes, whether of mineral or vegetable origin, which may render 
a food injurious to health, may not be added to a food product. 
The use of any dye, harmless or otherwise to color or stain a food 
in a manner whereby damage or inferiority is concealed is specifically 
prohibited by law. 
No objection will be made to the use in food products and confec- 
tionery of the following named dyes and blends thereof, when certified 
to the U. S. Secretary of Agriculture in the manner provided by the 
federal rules and regulations, provided such dyes are not used in a manner 
contrary to the Food and Drugs Act and to these regulations. 
Dyes listed in A. C. Green’s 1904 edition of the Schultz Julius Sys- 
tematic Survey of the Organic Coloring Matters: 
Red Shades— 
107 Amaranth. 
56 Ponceau 3R. 
517 Erythrosin. 
Green Shade— 
435 Light Green S. F. Yellowish. 
Orange Shade— 
85 Orange 1. 
Yellow Shades— 
94 Tartrazine. 
4 Napthol Yellow Shade. 
Blue Shade— 
692 Indigo disulfoacid. 270 
COLORADO STATE BOARD OF HEALTH 
Rule 10. Adulteration of confectionery. Terra alba, barytes, talc and 
chrome yellow are specifically prohibited in confectionery, as are harmful 
or poisonous colors and flavors or mineral substances, or other ingre- 
dient deleterious to health. Vinous, malt or spirituous liquors or narcotic 
drugs are not permitted. 
The term “narcotic drugs” includes all drugs mentioned in Section 7 
of the Food and Drugs Act relating to foods, their derivatives and 
preparations, and all other drugs of a narcotic nature. 
No objection will be offered to the use of certified colors, when such 
colors ai’e used for coloring purposes only. 
No objection will be offered to the use for flavoring purposes of ex- 
tracts, etc., containing alcohol. 
Rule 11. Substances mixed and packed with foods—Non-food sub- 
stances—Substitutions. No substance may be mixed or packed with a 
food product which will reduce or lower its quality or strength. Not ex- 
cluded under this provision are substances properly used in the prepa- 
ration of food products for clarification or refining, and eliminated in the 
further process of manufacture. Under this regulation it is forbidden to 
add non-food substances to a food product for the purpose of increasing 
its weight or bulk or of reducing the cost of such product. 
Rule 12. Coloring, powdering, coating and staining. 
a. The use of harmful coloring matter in food products is prohibited. 
Coloring matter may properly be used in compounds, imitations and 
blends. Its use in natural food products will be regarded as evidence of 
concealment of damage or inferiority. 
b. The reduction of a substance to a powder to conceal inferiority in 
character is prohibited. 
c. The term “powdered” means the application of any powdered 
substance to the exterior portion of articles of food, or the reduction of 
a substance to a powder. 
d. The term “coated” means the application of any substance to the 
exterior portion of a food product. 
e. The term “stain” includes any change produced by the addition 
of any substance to the exterior portion of foods which in any way alters 
their natural tint. 
Rule 13. Natural poisonous or deleterious ingredients. Any food 
product which contains naturally a poisonous or deleterious ingredient 
does not come within the provisions of the Food and Drugs Act, except 
when the presence of such ingredient is due to filth, putrescence, or 
decomposition. 
Rule 14. Preservatives. The Division of Food and Drugs of the State 
Board of Health will regard as adulterated under Section 6, Paragraph 5 
of the act, any food article which contains formaldehyde in any quan- 
tity whatever, or which contains other harmful preservative, or other 
added poisonous or deleterious ingredient which may render such article 
injurious to health. LAWS, RULES AND REGULATIONS 
271 
Prohibited substances. Formaldehyde, salicylic acid or sodium sali- 
cylate, boric acid or borax are prohibited. 
Sulphur compounds. The federal ruling with regard to sulphur diox- 
ide is hereby adopted, to-wit: No prosecution will be instituted in the 
case of the application for bleaching purposes of the fumes of burning 
sulphur to those food products which contain acetaldehydes, sugars, etc., 
with which sulphurous acid may combine, if the total amount of sulphur 
dioxide in the finished product does not exceed 350 milligrams per liter 
in wines or 350 milligrams per kilogram in other food products, of which 
not over 70 milligrams is in a free state. 
Sodium benzoate. No objection will be offered to the use of sodium 
benzoate in foods provided the containers of such foods are plainly labeled 
to show the presence and amount of such preservative used. 
Copper salts. Food products colored with copper salts will hereafter 
be regarded as adulterated. 
Saccharin. The use of saccharin in foods will hereafter be regarded 
as an adulteration. 
Preservatives in meat products. There may be added to meat or meat 
food products common salt, sugar, woodsmoke, vinegar, pure spices and 
saltpeter. Benzoate of soda may be added to meat or meat food products 
which are placed in containers or packages with proper labels, plainly 
showing the presence and amount of such preservative. The use of all 
other preservatives in meat or meat food products is prohibited. 
Rule 15. General rules and definitions—Label. 
RULES RELATING TO MISBRANDING 
a. The term “label” as used in Section 7 of the Food and Drugs Act 
refers to any printed, pictorial or other matter upon or attached to any 
package of food or drug product, or any container thereof, subject to the 
provisions of this act. 
b. The principal label shall contain all information specifically re- 
quired by the Food and Drugs Act, without intervening descriptive or 
explanatory matter. All required information shall be in the English 
language, and where printed, in not smaller than 8 point (brevier) capitals, 
except that smaller type will be permitted in case the size of the package 
will not permit the use of 8 point type. 
Statements of weight, measure or numerical count, or of artificial 
coloring, or of imitation flavoring, or of the use of chemical preservatives, 
where required, shall also appear upon the principal label. 
c. Descriptive matter upon the label shall be free from any state- 
ment, design or device regarding the article or the ingredients or sub- 
stances contained therein, or quality thereof, or place of origin, which is 
false or misleading in any particular. 
The term “design” or “device” applies to pictorial matter of every 
description and to abbreviations, characters, or signs for weights, meas- 
ures, or names of substances. COLORADO STATE BOARD OF HEALTH 
272 
Rule 16. Articles without a label. Except where specific informa- 
tion is required by the law to appear upon the label, the sale or trans- 
portation of food and drug articles in unlabeled packages is not prohibited. 
A food or drug product which is an imitation of, or offered for sale 
under the name of another article must be labeled in such a manner as to 
distinguish it clearly from the article simulated. 
A food or drug article which is incompletely labeled as to the names 
and quantities of ingredients required to be declared, or in any other 
particular, will be deemed misbranded. 
The law of misbranding applies equally in the case of foods sold from 
bulk quantities in retail or counter packages, or in restaurants, hotels, or 
in mercantile establishments, for immediate consumption, as in the case 
of foods sold in package form. 
It shall be the duty of the Food and Drug Commissioner, by such 
means as may be found practical and efficacious, to prevent deception 
and fraud in the sale of food and drugs, and to require that the most 
complete information as to the nature and composition of food and drug 
articles be given to the consumer, in all particulars wherein specific infor- 
mation is required by the Food and Drugs Act. 
Rule 17. Character of name. No food or drug product shall be sold 
or offered for sale under a false or deceptive name. 
A simple or unmixed food product shall be designated by its common 
name in the English language. 
In case of drugs, whether simple, mixed or compound, the nomen- 
clature employed by the official editions of the United States Pharmaco- 
poeia and the National Formulary shall obtain. 
An article containing more than one food product or active medicinal 
agent is misbranded if named after a single constituent, or if the name 
be fashioned in such a manner as to mislead or deceive the purchaser as 
to the true nature or composition of the article. 
The use of a geographical name in connection with a food or drug 
article not actually produced or manufactured in that place, will be 
deemed a misbranding, except when by reason of long usage such geo- 
graphical name has come to represent a generic term and is used to 
indicate a style, type or brand. In all cases where such generic term is 
used, the name of the place of manufacture or production of the article 
must appear upon the principal label. 
Rule 18. Name and address of manufacturer. The name of the man- 
ufacturer or producer is not required to appear upon the label. If any 
name be given, it must be the true name. The words “Packed for” or 
“Distributed by” shall be added in case the name which appears upon 
the label be not that of the actual manufacturer or producer. All state- 
ments with regard to the name of the manufacturer or producer must be 
true and correct in every particular. 
The name of the place where manufactured or produced need not be 
given except in case of mixtures or compounds sold under distinctive LAWS, RULES AND REGULATIONS 
273 
names, or of food or drug articles sold under generic names of geographi- 
cal significance. 
Rule 19. Distinctive names. A distinctive name is a trade, arbitrary 
or fancy name which clearly distinguishes a food product, mixture or 
compound from any other food product, mixture, or compound. 
A food mixture or compound, which contains no added poisonous 
ingredient, or ingredient deleterious to health, will not be deemed mis- 
branded if sold under its own distinctive name; Provided, however, that 
it be labeled to indicate the name of the place where such article was 
manufactured or produced. 
Such distinctive name must not represent any one simple constituent 
of the mixture or compound; nor give false indication of character, origin, 
or place of manufacture; nor lead the purchaser to suppose that it is any 
other food product. 
Food mixtures or compounds sold under distinctive names shall not 
be imitations of other articles, whether simple, mixed, or compound, nor 
be offered for sale under the name of other articles. 
The terms “mixture” and “compound” are interchangeable and indi- 
cate the result of putting together two or more food products. 
Rule 20. Compounds, imitations or blends without distinctive names. 
The term “blend” applies to mixtures of like substances, not excluding 
harmless coloring or flavoring matter. 
The term “imitation” applies to any counterfeit or fraudulent simula- 
tion of an article of food or drug. 
A food compound or mixture which does not contain added poisonous 
or deleterious ingredient will not be deemed misbranded if plainly labeled 
to show that it is a compound, imitation or blend, with the word “com- 
pound,” “imitation” or “blend,” as the case may be, plainly stated upon 
the principal label of the package in which it is sold. 
Rule 21. Labeling of compounds, imitations or blends. Food com- 
pounds, or mixtures, whether sold under distinctive names, or labeled to 
indicate that they are compounds, imitations or blends, are not exempt 
from the general provisions of the Food and Drugs Act, and of these 
regulations, relating to the labeling of food products. 
All statements required to appear upon the label, and all things pro- 
hibited, apply equally in the case of such food mixtures or compounds as 
in the case of other food products. 
Rule 22. Trade formulae. Manufacturers of proprietary foods are 
not required to disclose trade formulae except as may be compelled by 
special acts of legislation relating to food products, or in so far as it 
may be found necessary to secure freedom from adulteration or misbrand- 
ing. If any statement with regard to ingredients or the proportion thereof 
be made, it must be a true and correct statement. 
Rule 23. Waste materials. An article made up wholly or In part 
from refuse materials, fragments, or trimmings shall be deemed mis- 
branded, if using the name of the material from which such substances 274 
COLORADO STATE BOARD OF HEALTH 
are derived, without such qualification as will clearly show the nature of 
the raw material used in the preparation of the article. 
Rule 24. Substitution. 
a. When a substance of a recognized quality commonly used in the 
preparation of a food or drug product is replaced by another substance 
not injurious or deleterious to health, the name of the substituted sub- 
stance shall appear upon the label. 
b. When any substance which does not reduce, lower or injuriously 
affect its quality or strength is added to a food or drug product, other 
than that necessary to its manufacture or refining, the label shall bear a 
statement to that effect. 
a. The term “alcohol” is defined to mean common or ethyl alcohol. 
No other kind of alcohol is permissible in the manufacture of drugs except 
as specified in the United States Pharmacopoeia or National Formulary. 
h. The words alcohol, morphine, opium, etc., and the quantities and 
proportions thereof, shall be printed in letters corresponding in size with 
those prescribed in Rule 15, paragraph b. 
c. A drug product, or a food product except in respect to alcohol, is 
misbranded in case it fails to bear a statement on the label of the quan- 
tity or proportion of any alcohol, morphine, opium, heroin, cocaine, alpha 
or beta eucaine, chloi’oform, cannabi sindica, chloral hydrate, acetanilide, 
or any harmful coal tar product, or any derivative or preparation of any 
such substances contained therein. 
d. A statement of the maximum quantity or proportion of any such 
substances present will meet the requirements, provided the maximum 
stated does not vary materially from the average quantity or proportion. 
e. In case the actual quantity or proportion is stated it shall be the 
average quantity or proportion. 
f. The following are the principal derivatives and preparations made 
from the articles which are required to be named upon the label: 
Alcohol, Ethyl (Cologne spirits, grain alcohol, Rectified spirits, Spirits 
and Spirits of Wine): 
Derivatives—Aldehyde, Ether, Ethyl acetate, Ethyl nitrate, and 
Paraldehyde. 
Preparations containing alcohol—Bitters, Brandies, Cordials, Elixirs. 
Essences, Fluid extracts, Spirits, Sirups, Tinctures, Tonics, Whiskies and 
Wines. 
Morphine Alkaloid: 
Derivatives—Apomorphine, Dionine, Peronine. Morphine acetate, 
Hydrochloride, Sulphate and other salts of morphine. 
Preparations containing morphine or derivatives of morphine: 
Boughird, Catarrh snuff, Chlorodyne, Compound powder of morphine, 
Crayons, Elixirs, Granules, Pills, Solutions, Syrups, Suppositories, Tablets, 
Triturates and Troches. 
Rule 25. Substances named in drugs or food. LAWS, RULES AND REGULATIONS 
275 
Opium Gum: 
Preparations of opium—-Extracts Denarcotized opium, Granulated 
opium and Powdered opium, Bougies, Brown mixture, Carminative mix- 
tures, Crayons, Dover’s powder, Elixirs, Liniments, Ointments, Paregoric, 
Pills, Plasters, Sirups, Suppositories, Tablets, Tinctures, Troches, Vine- 
gars and Wines. 
Derivatives—Codeine, Alkaloid, Hydrochloride, Phosphate, Sulphate, 
and other salts of codeine. 
Preparations containing codeine or its salts—Elixirs, Pills, Sirups and 
Tablets. 
Cocaine, Alkaloid: 
Derivatives—Cocaine, hydrochloride, Oleate, and other salts. 
Preparations containing cocaine or salts of cocaine—Cocoa leaves, 
Catarrh powders, Elixirs, Extract, Infusion of cocoa, Ointments, Paste, 
Pencils, Pills, Solutions, Syrups, Tablets, Tinctures, Troches and Wines. 
Heroin: 
Preparations containing heroin—Sirups, Elixirs, Pills and Tablets. 
Alpha and Beta Eucaine: 
Preparations containing Alpha and Beta Eucaine—Mixtures, Oint- 
ments, Powders and Solutions. 
Chloroform: 
Preparations containing chloroform—Chloranodyne, Elixirs, Emul- 
sions, Liniments, Mixtures, Spirits and Sirups. 
Cannabis Indica: 
Preparations of cannabis indica—Corn remedies, Extracts, Mixtures, 
Pills, Powders, Tablets, and Tinctures. 
Chloral Hydrate (Chloral U. S. Pharmacopoeia, 1890): 
Derivatives—Chloral acetophenonoxium, Chloral alcoholate, Chlorala- 
mide, Chloralimide, Chloral orthoform, Chloralose, Dermio, Hypnal, and 
Uraline. 
Preparations containing chloral hydrate or its derivatives—Chloral 
camphorate, Elixirs, Liniments, Mixtures, Ointments, Suppositories, Sirups 
and Tablets. 
Acetanilide (Antifebrine, Phenylacetamide): 
Derivatives—Acetyhenetidine, Citrophen, Diacetanilide, Lactophenin, 
Methoxy-acetanilide, Methylacetanilide, Para-Iodacentanilide, and Phen- 
cetine. 
Preparations containing acetanilide or derivatives—Analgesics, Anti- 
neuralgics, Antirheumatics, Cachets, Capsules, Cold remedies, Elixirs, 
Granular effervescing salts. Headache powders, Mixtures, Pain remedies, 
Pills and Tablets. 
g. In declaring the quantity or proportion of any of the specified 
substances the names by which they are designated in the act shall be 
used, and in declaring the quantity or proportion of derivatives of any 
of the specified substances, in addition to the trade name of the deriva- COLORADO STATE BOARD OF HEALTH 
tive, the name of the specified substances shall also be stated, so as to 
indicate clearly that the product is a derivative of the particular specified 
substance. 
h. In the case of alcohol the expression “quantity” or “proportion” 
shall mean the average percentage by volume in the finished product. In 
the case of the other ingredients required to be named upon the label the 
expression “quantity” or “proportion” shall mean grains or minims per 
ounce or fluid ounce, and also, if desired, the metric equivalents therefor, 
as milligrams per gram or per cubic centimeter, or grams or cubic cen- 
timeters per kilogram or per liter; provided, that these articles shall 
not be deemed misbranded if the maximum quantity or proportion be 
stated. 
Rule 26. Premises subject to inspection. All buildings or premises, 
occupied, used or maintained for the manufacture, storage, sale or dis- 
tribution of food or drug products shall be open at all reasonable times to 
inspection by the State Board of Health or authorized employes, agents, 
inspectors or other officials thereof. 
All cars, trucks or vehicles used by common carriers in interstate 
commerce shall in like manner be open to inspection. 
Authorized agents, inspectors, or other officials of the State Board of 
Health shall at all reasonable times have access to the records of express, 
freight and transportation companies or others engaged in the business 
of common carriers, in all matters relating to the sale or transportation 
within the state of foods or drugs. 
Rule 27. Organization of the division of foods and drugs. The Divi- 
sion of Food and Drugs shall consist of a food and drug commissioner and 
such food and drug inspectors, clerks, stenographers and other employes 
as may be required to carry out the purposes of the Food and Drugs Act. 
All such employes shall be appointed by the State Board of Health 
under the provisions of existing laws. 
All official orders shall be issued in the name of the State Board of 
Health. 
All actions at law instituted by the Division of Food and Drugs shall 
be maintained under the authority of the State Board of Health. 
The Division of Food and Drugs shall enforce the Food and Drugs 
Act of 1907; the Pure Food and Sanitary Inspection law of 1913; the 
State Narcotic Drugs Act, and all other acts or parts of acts remaining 
unrepealed upon the statute books which relate to the adulteration or 
misbranding of foods or drugs, except where statutory provision has been 
made for the enforcement of such acts by other departments. 
The Food and Drug Commissioner shall be the official head of the 
division, and under the authority of the State Board of Health, shall do 
and perform all acts and things necessary to the enforcement of the 
laws hereinbefore mentioned. He shall provide for the adequate inspec- 
tion, supervision and control of the production, manufacture, sale and 
distribution of food and drug products within the state, and shall cause 
to be kept full and complete records of such inspection. TaAWS, rules and regulations 
277 
Rule 28. Articles intended for technical or scientific purposes or to 
be used in the mechanical arts. Wherever goods ordinarily used as food 
articles for human consumption are manufactured, transported or sold 
within the state, the presumption will arise that such goods are so manu- 
factured, transported or sold for food purposes, unless they are labeled in 
a manner which will clearly indicate that they are for technical or scien- 
tific purposes or for use in the mechanical arts. 
Whenever necessary to the protection of the public health, the Food 
and Drug Commissioner shall require that such products be denatured in 
such a manner as to preclude their use for food purposes. 
Rule 29. Foods prepared for export and for interstate commerce. 
Food and drug articles prepared for export to foreign countries do not 
come within the provisions of the State Food and Drugs Act, provided 
such articles are not prepared or packed in violation of the laws of such 
foreign country. 
Food and drug products intended for export shall be fully labeled to 
indicate that they are to be exported. 
If such products shall at any time be sold or offered for sale, or given 
away within the state they immediately become subject to the provisions 
of the State Food and Drugs Act. 
Food and drug products intended for interstate commerce are not ex- 
empt from the provisions of the state act, until such time as they have 
actually entered interstate commerce. 
Rule 30. Statement of weight or measure. If any statement of weight 
or measure appears upon the label of a package of food it must be true 
and correct statement in terms of minimum weight or minimum measure, 
and is required to appear upon the principal label. Reasonable tolerance 
for discrepancies due to different atmospheric conditions will be allowed. 
Rule 40. Sanitation of foods and drugs. The floors, side walls, ceil- 
ings, furniture, receptacles, implements, and machinery of every estab- 
lishment or place where foods, drugs or beverages are manufactured, 
stored, sold, offered for sale, or distributed, and all cars, trucks and 
vehicles used in the transportation of food products, shall at no time be 
kept in an unclean, unhealthful and insanitary condition. For the pur- 
pose of this regulation, unclean, unhealthful and insanitary conditions 
shall be decreed to exist if foods or drugs in the process of manufacture, 
preparation, packing, storing, sale, distribution or transportation are not 
securely protected from flies, dust, dirt, and as far as may be necessary, 
by all reasonable means from all other foreign or injurious contamination; 
and if the refuse, dirt, and the waste products subject to decomposition 
and fermentation incident to the manufacture, preparation, packing, stor- 
ing, selling, distributing and transporting of food are not removed daily; 
and if all trucks, trays, boxes, baskets, and all knives, saws, cleavers and 
other utensils and machinery used in moving, handling, cutting, chopping, 
mixing, canning and all other processes are not thoroughly cleaned daily; 
and if the clothing or hands of operatives, employes, clerks or other per- 
sons therein employed are unclean. 278 
COLORADO STATE BOARD OF HEALTH 
Rule 41. The side walls and ceilings of every bakery, confectionery, 
hotel and restaurant kitchen shall be well plastered, wainscotted or ceiled 
with metal or lumber, and shall be oil-painted, or kept well lime-washed; 
and all interior woodwork in every bakery, confectionery, hotel and res- 
taurant kitchen shall be kept well oiled or painted with oil paints and be 
kept washed clean with soap and water. Every building, room, basement 
or cellar occupied or used for the preparation, manufacture, packing, stor- 
age, sale or distribution of food susceptible to contamination or damage 
shall have an impermeable floor made of cement or tile laid in cement, 
brick, oiled wood, or other suitable material, which can be flushed and 
washed clean with water. 
Rule 42. The doors, windows and other openings of every food or 
drug producing or distributing establishment shall be fitted during the fly 
season with self-closing screen doors and wire window-screens not coarser 
than 12-mesh wire gauze. 
Rule 43. Every building, room, basement, or cellar occupied or used 
for the preparation, manufacture, packing, canning, sale or distribution of 
foods, drugs, or beverages where the px-ocess of production, manufacture, 
packing, canning, selling or distribution is conducted shall have con- 
venient toilet-room or rooms. The floor of such toilet-rooms shall be of 
cement, tile, oiled wood, brick or other suitable material, and shall be 
washed and scoured daily. Such toilets shall be furnished with ventilat- 
ing-flue or pipe, and with discharge into soil pipes leading from the build- 
ing in which they are situated. Each toilet-room shall be properly ven- 
tilated by a window or ventilating-flue. Lavatories or wash-rooms shall 
be provided adjacent to toilet-rooms, and shall be supplied with soap, run- 
ning water and clean towels—excluding roller towels—and shall be main- 
tained in a sanitary condition. Operatives, employes, clerks and all per- 
sons who handle the material from which foods or drugs are prepared, 
or the finished product, before beginning work or after visiting toilet shall 
wash their hands and arms thoroughly in clean water. 
Rule 44. Cuspidors for the use of operatives, employes, clerks or 
other persons shall be provided whenever necessary, and each cuspidor 
shall be thoroughly emptied and washed out daily with a disinfectant 
solution, and about five ounces of such a solution shall be left in each 
cuspidor while it, is in use. No operative, employe or other person shall 
expectorate on the floor or side walls of any building, room, basement or 
cellar where the production, manufacture, packing, storing, preparation or 
sale of any food or drug is conducted. 
Rule 45. No person or persons shall be allowed to occupy as a sleep- 
ing or dwelling place any room used for a bakeshop, kitchen, dining-room, 
confectionery, creamery, cheese factory, or place where food is prepared, 
served or sold. 
Rule 46. No employer shall require or permit any person who is af- 
fected with open tuberculosis, venereal or other communicable disease 
to work; nor shall any person who has any of these diseases work in a 
building, room, basement, cellar or vehicle occupied or used for the pro- LAWS, RULES AND REGULATIONS 
279 
duction, preparation, manufacture, packing, storage, sale, distribution, or 
transportation of foods, drugs or beverages. 
Rule 47. Every person or corporation in charge of, or in control of, 
or in authority over any of the places mentioned by and described in these 
regulations, shall be responsible for the condition thereof, and it shall 
be his or its duty to see that the provisions of these regulations with 
reference to the condition, arrangement and conduct of such places are 
carried out. 
Rule 48. The sidewalk display of food products is prohibited unless 
such products are enclosed in a showcase or similar device which will 
protect them from flies, dust, or other contamination. Food products that 
necessarily have to be peeled, pared or cooked before they are fit for 
consumption may be displayed on the sidewalk without cover, provided, 
that in such display the bottom of the container be at least eighteen 
inches above the surface of the sidewalk. The sidewalk display of meat 
or meat products is prohibited. 
Rule 49. Confectionery, dates, figs, dried fruits, berries, butter, cheese 
and bakery products while on sale or display are required to be properly 
covered to protect them effectively from contamination or damage by 
flies, dust or vermin. 
Rule 50. Eggs. All eggs and poultry sold in the State of Colorado 
under a trade name shall conform to the requirements of Chapter 128, 
Colorado Statutes Annotated, 1935. 
Rule 51. Sanitation of hospitals, sanitariums, state institutions, res- 
taurants, hotel kitchens, soda fountains and similar places. All dishes 
(cracked dishes not allowed), cups, glasses, eating utensils and similar 
articles used in or about hospitals, sanitariums, state institutions, restau- 
rants, hotels, ice cream or soft drink parlors, lunch counter, hot tamale 
stands, popcorn stands, root beer stands, chili parlors, soda fountains or 
similar places, must be handled by persons free from communicable dis- 
ease and with clean hands and kept absolutely sanitary and safe for use 
of patrons, inmates and employes. In order to do this the various arti- 
cles must after each usage be thoroughly washed by free use of hot or 
running water and soap or other cleansing material to remove the gross 
contamination. This should be followed by thorough rinsing with clean 
water and immersion in a chlorine solution as follows: 
1 ounce chlorinated soda to 2 gallons of water. 
This makes a solution containing approximately one hundred parts 
per million of available chlorine. It should not be allowed to drop below 
thirty-five parts per million of available chlorine. After the immersion 
of articles in this chlorine solution they should be permitted to dry and 
then be wiped with a sterile, fresh laundered towel or napkin. Only in 
case of an emergency should the articles be wiped before they are dry. 
In lieu of the above requirements, steaming or boiling for thirty min- 
utes will be sufficient. 280 
COLORADO STATE BOARD OF HEALTH 
To test the strength of the solution recommended in this rule use 
formula as follows: 
Ortho-toludin 1 gram. 
Hydrochloric acid C. P. 100 c.c. 
Water 1 liter. 
A few drops of this mixture added to the solution of chlorinated soda 
causes a characteristic color. To test the sterility of the utensil a sterile 
swab moistened with distilled water may be rubbed on the article, placed 
in a sterile tube and taken to the laboratory for examination. 
Rule 52. Drinking vessels. The use of the common drinking cup is 
prohibited. See statute, Section 6922, page 199. 
Rule 53. Bakeshops and bakery goods. Rooms in which the dough 
is mixed and the pastry prepared for baking must be well ventilated and 
lighted. Walls, ceilings, floors, proof-boxes, pans, kneading-troughs and 
machines must be kept clean. Toilets and lavatories must not be directly 
connected with the working-rooms, and sewerage pipes must not be led 
through them. 
Rule 54. Before beginning the work and before preparing and mixing 
the ingredients, the persons engaged in the work must wash their hands 
and arms thoroughly in clean water. For this purpose sufficient wash- 
basins, together with soap and clean towels, excluding roller towels, must 
be provided. 
Rule 55. Persons having open tuberculosis, venereal or other com- 
municable disease must not be employed in bakeries. 
Rule 56. All windows and doors must be properly screened during 
the fly season. 
Rule 57. The supply of flour must be stored in dry places, where it is 
protected from all contamination. Water used to coat the bread must be 
pure, unpolluted and provided fresh every day. The bread and pastry 
must not be laid on the bare floor. 
Rule 58. It is sti’ictly forbidden to sit or lie on any of the tables or 
shelves which are intended for use for the dough or baked articles. Chairs 
and benches in sufficient number must be provided. 
Rule 59. The working-rooms must be furnished with cuspidors, at 
least one in each room, which must be emptied and washed out daily 
with a disinfectant solution and about five ounces of such a solution shall 
be left in each cuspidor while it is in use. Spitting on the floor is for- 
bidden. Smoking, snuffing, chewing of tobacco or gum is forbidden in the 
working-rooms while work is in progress or while dough or baked articles 
are exposed. 
Rule 60. The working-rooms must not be used tor any purpose other 
than strictly connected with the preparing and baking of foods; especially 
must they not be used as washing, sleeping or living-rooms. LAWS, RULES AND REGULATIONS 
281 
Rule 61. Domestic animals must not be kept in or be permitted to 
enter bakeshops. 
Rule 62. All barrels, boxes, tubs, pails, casks, kneading-troughs, 
machines or other receptacles containing food preparations must be kept 
covered. 
Rule 63. Before bread is taken from the bakeshop, each loaf or 
double loaf should be placed in a suitable paper bag or be securely 
wrapped with clean glazed paper. The public is warned against using 
bread which has been taken from the bakeshop unwrapped. 
Rule 64. All bakery goods, such as bread, pies, cakes, rolls, muffins 
and similar food products, whether in bakeshops, hotels, restaurants, or 
other places where food is served to the public, must at all times be 
thoroughly protected from possible contamination by flies or other insects, 
dust or other means. 
Rule 65. Slaughter houses. Every person owning, leasing or occu- 
pying any place, room, or building wherein cattle, sheep, swine or poultry 
are killed or dressed, or any market, public or private, shall cause such 
place, room, building or market to be kept at all times thoroughly 
cleansed and purified, and all offal, blood, fat, garbage, manure or other 
unwholesome or offensive refuse shall be removed therefrom at least 
once every twenty-four hours, if used continuously, or if only used occa- 
sionally, within twenty-four hours after using, and such building, place or 
premises shall have a suitable floor, made of cement or tile laid in ce- 
ment, brick or other material, which can be flushed and washed clean with 
water, and which shall be approved by the State Board of Health. No 
cesspool or pit for refuse or offensive matter of any kind shall be per- 
mitted in the room or building; nor shall swine be kept or fed within 
150 feet of the slaughter house. Doors and windows must be screened 
to exclude flies and side walls and woodwork must be painted or white- 
washed. When all meats and poultry within slaughter houses are kept in 
screened rooms or refrigerated rooms, from which all flies are excluded, 
screen doors and windows may not be necessary. 
Rule 66. Slaughter houses are required to be kept in a sanitary con- 
dition, and they are declared to be insanitary when the slaughter house 
is dilapidated and in a state of decay; when the floors or side walls 
are soaked with decaying blood or other animal matter; when cobwebs 
or other evidence of filth or neglect are present; when the drainage of 
the slaughter house or yard is not efficient; when filthy pools or hog- 
wallows exist in the slaughter house yard or under the slaughter house, 
when storage hides kept in slaughter house lie in pools of filth, or are 
infested with maggots, or give out vile odors; when the water supply 
used in connection with the cleansing or preparing is not pure and un- 
polluted; when the bones or refuse are not burned or buried; when car- 
casses are transported from place to place without being covered with 
clean, white cloths, or if kept in unclean, bad-smelling ice-boxes, refriger- 
ators or storage rooms. 282 
COLORADO STATE BOARD OF HEALTH 
Rule 67. Hogs and poultry shall not be fed any uncooked slaughter 
house offal or the uncooked flesh of animals. 
Rule 68. Sale of meat of diseased animals or poultry or veal of calves 
less than four weeks old is prohibited. 
Rule 69. Sanitary requirements in the transportation of meats, fish, 
fowl and game. Every dealer in slaughtered fresh meats, fish, fowl, or 
game, for human food, at wholesale or retail, at any established place, or 
as a peddler, in the transportation of such food from place to place to 
customers shall protect the same from dust, flies and other vermin or 
substance which may injuriously affect it, be securely covering it while 
being so transported. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
HOSPITALS, MATERNITY AND 
CONVALESCENT HOMES 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
LAWS, RULES AND REGULATIONS 
Relating to 
HOSPITALS, MATERNITY AND CONVALESCENT 
HOMES 
LAWS 
Section 
(From Chapter 78, Health—Colorado Statutes Annotated, 1935) 
61. Regulations governing hospitals for contagious diseases. 
124. Report of hospital superintendents. 
133. Hospitals—Maternity homes—Licensed. 
134. Same—Application—Issuance. 
135. Licenses—Refusal—Revocation—Notice. 
136. Quarterly reports. 
137. Disposal of children. 
138. License—Fee—Revoked for cause—Penalty. 
139. Maternity homes—Hospitals—Licenses. 
140. License—Application—Issuance. 
141. Same—Refusal—Revocation—Protests—Hearings. 
142. Disposition of children. 
143. Licensees’ reports—Penalties. 
144. Maternity hospital defined. 
145. Colorado State Board of Health to direct and enforce regulations. 
146. Adoption of children. 
147. Name of patient reported to the State Board of Health. 
148. Records not public. 
149. Not to operate a hospital without a license—State Board of Health 
to make rules—Violations of sections—License revoked. 
150. Liberal constructions in order to safeguard interests of illegitimate 
children—Known fathers to pay expenses. 
151. Violations of sections—Penalty. 
Sec. 61. Regulations governing hospitals for contagious diseases. All 
such hospitals shall be subject to the rules and regulations of the board of 
health or a committee appointed by such board for that purpose; but no 
such hospitals shall be established within one hundred yards of any inhab- 
ited house situated in an adjoining county without the consent of such 
adjoining county. (L. ’93, p. 385, sec. 36; R. S. ’08, sec. 5065; C. L., sec. 
926.) 
Sec. 124. Report of hospital superintendents. All superintendents or 
managers, or other persons in charge of hospitals, alms houses, lying-in or 
other institutions, public or private, to which persons resort for treatments 286 
COLORADO STATE BOARD OF HEALTH 
of diseases, confinement, or are committed, by process of law are hereby 
required to make a record of all personal and statistical particulars rela- 
tive to the inmates in their institution, at the date of approval of this 
article, that are required in the form of the certificate provided for by this 
article, as directed by the state registrar; and thereafter such records 
shall be by them made for all future inmates at the time of their admission, 
and in the case of persons admitted or committed for medical treatment 
of disease, the physician in charge shall specify, for entry in the record, 
the nature of the disease and where in his opinion it was contracted. The 
personal particulars and information required by this section shall be 
obtained from the individual himself, if it is practicable to do so; and 
when they cannot be obtained, they shall be secured in as complete man- 
ner as possible from the relatives, friends or other persons acquainted 
with the facts. (L. ’07, p. 246, sec. 17; R. S. ’08, sec. 387; C. L., sec. 986.) 
Article V 
HOSPITALS, LYING-IN HOSPITALS AND MATERNITY HOMES 
Subdivision 1. Private Hospitals—Dispensaries* 
Sec. 133. Hospitals—Maternity homes—Licensed. It shall be unlaw- 
ful for any person, persons, partnership, association, company or corpora- 
tion to open, conduct or maintain any hospital, dispensary or other insti- 
tution for the treatment or care of the sick or injured, or to engage in, 
carry on or conduct the business of receiving or caring for girls or women 
approaching or during childbirth, or to advertise or hold out to the public 
the carrying on of such a business or the providing of a place for carrying 
on of such a business without first having obtained a license therefor from 
the State Board of Health of Colorado. (L. ’09, p. 411, sec. 1; C. L., sec. 
1053.) 
For definition of a maternity hospital, see § 144 of this chapter. 
Sec. 134. License—Application—Issuance. An application for such 
license shall be made to the secretary of the board of health, upon such 
form and in such manner as shall be adopted and prescribed by such 
board. The said board shall have authority to administer oaths, to sub- 
poena witnesses and to take testimony in all matters relating to issuing, 
refusing or revoking such license. The said board shall issue licenses to 
such applicants furnishing satisfactory evidence of fitness to conduct and 
maintain such institution in accordance with the provisions of this sub- 
division and the rules and regulations adopted by such board; and such 
license shall be signed by the president and attested by the secretary of 
said board and have the seal thereof affixed thereto. (L. ’09. p. 412, sec. 2; 
C. L., sec. 1054.) 
Sec. 135. Same—Refusal—Revocation—Notice. Licenses may be re- 
fused to applicants not complying or meeting with the requirements of this 
subdivision and of the rules and regulations of the board. The licenses 
may be revoked for like reasons; provided, that such applicants shall be 
*This subdivision is superseded by §§ 139-143 of this chapter in so far as 
it applies to maternity homes. See also §§ 144-151 of this chapter.—-Ed. note. Laws, rules and regulations 
287 
notified of the time and place at which hearing shall be held hy the board 
in relation to the granting and refusing or revoking of licenses, and in 
case a protest or complaint is made against the issuing or retaining of a 
license already issued, to or by any applicant or applicants, such applicant 
or applicants shall be furnished with a copy of such protest or complaint, 
and shall be notified of the time and place of the hearing in connection 
therewith. (L. ’09, p. 412, sec. 3; C. L., sec. 1055.) 
Sec. 136. Quarterly report. Any person, persons, partnership, asso- 
ciation, company or corporation maintaining any hospital, dispensary or 
other institutions for the treatment or care of the sick or injured shall 
quarterly on the first day of January, April, July and October make a 
report to the State Board of Health, of the number and names of the 
people in charge or employed in such institution, and if physicians, the 
number of their licenses to practice medicine in this state, with such other 
information as may be required by the rules and regulations of said board, 
and said board shall have power to investigate and have free access to 
such institutions at any time. (U. ’09, p. 412, sec. 4; C. L., sec. 1056.) 
Sec. 137. Disposal of children. No child shall be sold or disposed 
of for any valuable consideration by any of the persons or organizations 
subject to the provisions of this subdivision, and no child shall be given 
away or otherwise disposed of by them or any of them, except by legal 
adoption in a court of record, without first obtaining a permit from the 
state bureau of child and animal protection, which may issue such permit 
alter due investigation into the fitness of the applicant for such child. 
(L. ’09, p. 413, sec. 5; C. L., sec. 1057.) 
Sec. 138. License—Fee—Revoked for cause—Penalty. All licenses 
shall be issued upon the payment of a fee of one dollar ($1.00), and may 
be revoked at any time by said board for any of the causes set forth in 
Section 135 of this chapter, or for the failure of the holders thereof to 
comply with any of the rules and regulations of said board, or to make the 
reports as herein provided for; and any person, persons, partnership, 
association, company or corporation opening, conducting or maintaining 
any institution, as herein defined, for the treatment and care of the sick 
or injured, without first having obtained a license therefor, shall be 
deemed guilty of a misdemeanor, and upon conviction shall be fined in a 
sum of not less than fifty dollars ($50.00) nor more than five hundred 
dollars ($500.00). (L. ’09, p. 413, sec. 6; C. L., sec. 1058.) 
Subdivision 2. Lying-In Hospitals—Maternity Homes 
Sec. 139. Maternity homes and hospitals—License. It shall be un- 
lawful for any person, persons, firm, corporation, society, association or 
company to engage in, carry on or conduct the business of receiving, or 
caring for girls or women approaching or during child-birth, or to adver- 
tise or hold himself out to the public as carrying on such business or 
providing a place for carrying on such a business without first obtaining 
a license from the State Board of Health and a license from the state 288 
COLORADO STATE BOARD OF HEALTH 
bureau of child and animal protection. (L. ’ll, p. 503, sec. 1; C. L., sec. 
1059.) 
For definition of a maternity hospital, see § 144 of this chapter. 
Sections 144 to 151 of this chapter provide for the regulation of maternity 
hospitals receiving unmarried women and apparently supersede §§ 139 to 143 
of this chapter in so far as they relate to maternity hospitals receiving unmarried 
women.—Ed. note. 
Sec. 140. License—Application—Issuance. Applications for licenses 
shall be made to the secretary of the board of health and to the secretary 
of the bureau of child and animal protection upon such forms and in such 
manner as shall be prescribed by the respective boards. The said board 
and the said bureau shall have authority respectively to administer oaths, 
to subpoena witnesses and to take testimony in all matters relating to 
issuing, refusing and revoking said licenses. The said board and the said 
bureau shall issue licenses to such applicants as furnish satisfactory evi- 
dence to them respectively of their fitness to conduct and maintain such a 
business and such a place in accordance with the provisions of Sections 
139 to 143 of this chapter and the rules and regulations adopted by said 
board and said bureau. Such licenses shall be signed by the president 
and attested by the secretary of the said board and bureau respectively 
and have the respective seals thereof affixed thereto. (L. ’ll, p. 503, sec. 
2; C. L„ sec. 1060.) 
Sec. 141. Same—Refusal—Revocation—Protests—Hearings. Licenses 
may be refused to applicants not complying with the requirements of 
Sections 139 to 143 of this chapter and of the rules and regulations of the 
said board and bureau respectively. Licenses may be revoked for like 
reasons; provided, that applicants and licensees shall be notified of the 
time and place at which hearings will be had by the board and bureau 
respectively in relation to the issuing, refusing or revoking of licenses. 
In case a protest is made against the issuing or retaining of any license 
the applicant or licensee respectively shall be furnished with a copy of 
such protest or complaint and shall be notified of the time and place of 
the hearing in connection therewith. (L. ’ll, p. 504, sec. 3; C. L., sec. 
10G1.) 
Sec. 142. Disposition of children. No child shall be sold or otherwise 
disposed of for any valuable consideration by any of the persons subject 
to the provisions of Sections 139 to 143 of this chapter. No child shall be 
given away or otherwise disposed of, except by legal adoption in a court 
of record, without first obtaining a permit for such disposition in each 
case from the state bureau of child and animal protection, which may 
issue such permit after due investigation into the fitness of the applicant 
for such child. (L. ’ll, p. 504, sec. 4; C. L., sec. 1062.) 
Sec. 143. Licensees’ reports—Penalties. Licensees shall at any time 
make such reports and furnish such information as may be required by 
the said board and the said bureau respectively. Licenses may be revoked 
at any time for failure to comply with the rules and regulations of the 
said board and bureau respectively or for failure, refusal or neglect to 
furnish reports such as are herein provided for or for any violations of the 
provisions of Sections 139 to 143 of this chapter. Any person violating LAWS, RULES AND REGULATIONS 
289 
any of the provisions of Sections 139 to 143 of this chapter shall be guilty 
of a misdemeanor and upon conviction shall be punished by a fine of not 
less than one hundred dollars nor more than five hundred dollars or by 
imprisonment for not more than one year in the county jail, or by both 
such fine and imprisonment. (L. ’ll, p. 504, sec. 5; C. L., sec. 1063.) 
Sec. 144. Maternity hospital defined. Any place into which women 
are received to be cared for, before, during or while recovering from 
parturition shall be considered a maternity hospital. A “maternity hos- 
pital’’ is further defined as any place where more than three maternity 
cases are cared for during one calendar year. This definition shall be 
construed as to include (a) maternity hospitals operated exclusively for 
maternity cases; (b) a department, ward or section for maternity cases; 
(c) a private home or other place making a business of receiving mater- 
nity cases, including institutions commonly known as maternity or lying-in 
hospitals and homes. (L. ’25, p. 348, sec. 1.) 
Sec. 145. Colorado State Board of Health to direct and enforce regu- 
lations. The Colorado State Board of Health shall have the power to 
direct and enforce regulations concerning maternity hospitals in the 
State of Colorado as above described, receiving unmarried women for 
confinement; and maternity hospitals before accepting such prospective 
mothers for confinement shall inform them that they will be required to 
nurse the child during the period of confinement in said maternity homes, 
if physically able to do so. Exception to this rule will be made only on 
the certification of the attending physician that the mother is physically 
unable to nurse her baby. (L. ’25, p. 348, sec. 2.) 
Sec. 146. Adoption of children. No person licensed by the Colorado 
State Board of Health to maintain a maternity hospital shall advertise, or 
undertake or promise that he will adopt any child or children received 
or born in any such hospital, nor shall he hold out any promise, reward 
or inducement to any parent to part with any such child or children. Nor 
shall any such child be given away by any parent or parents or in any 
manner given out for adoption except through the agency and with the 
consent of the board of control of the state home 'for dependent and 
neglected children; and it shall be the duty of said board of control to 
take care that the welfare and interests of such .child are safeguarded and 
protected. (L. ’25, p. 349, sec. 3.) 
Sec. 147. Name of patient reported to Colorado State Board of Health. 
Whenever an unmarried woman who, within ten days after delivery of a 
child, or a woman who is pregnant is received for care in a maternity 
hospital, the licensee of such maternity hospital or the officer in charge 
of such hospital shall report the name of said woman to the Colorado 
State Board of Health, immediately upon receiving into the maternity 
hospital said maternity patient as heretofore described. (L. ’25, p. 349, 
sec. 4.) 
Sec. 148. Records not public. No officer, member or agent of the 
Colorado State Board of Health or of any local board of health, where any 
such licensed home or hospital is located, nor any keeper of such house or 290 
COLORADO STATE BOARD OF HEALTH 
hospital shall divulge or disclose any of the contents of its records relating 
to illegitimate children born therein or brought thereto as inmates, except 
as shall be required by a court, or for the information of the Colorado 
State Board of Health or of the local board of health where said house or 
hospital is located. (L. ’25, p. 350, sec. 5.) 
Sec. 149. Not to operate hospital without license—State Board of 
Health to make rules—Violation of sections—License revoked. No person, 
firm, association, or corporation shall conduct a maternity hospital that 
receives unmarried women for confinement without a license so to do 
from the State Board of Health. And said board is empowered to prescribe 
and enforce reasonable regulations for the granting, refusing, revoking or 
suspending of any such license; provided, that any violation of Sections 
144 to 151 of this chapter by a licensee shall be ground for the revocation 
of any such license, and any such license may be revoked in any instance 
where, in the opinion of the State Board of Health, the public welfare 
requires such action. (L. ’25, p. 850, sec. 6.) 
Sec. 150. Liberal construction in order to safeguard interests of 
illegitimate children—Known fathers to pay expenses. Sections 144 to 
151 of this chapter shall be liberally construed with a view to effecting 
their purpose, which is primarily to safeguard the intei’ests of illegitimate 
children, and those of undetermined legitimacy born in maternity hospitals 
as herein defined, and secure for them the nearest possible approximation 
to the care, support and education that they would be entitled to receive 
if born of lawful marriage, which purpose is hereby acknowledged and 
declared to be the duty of the state, and also to secure from the fathers, 
when known, of such children, the payment of moneys necessarily ex- 
pended in connection with their birth. No maternity hospital shall re- 
ceive a child without its mother, except in cases of emergency. (L. ’25, 
p. 350, sec. 7.) 
Sec. 151. Violation of sections—Penalty. Any person, association of 
persons, or corporation violating any provisions of Sections 144 to 151 
of this chapter shall be fined not more than three hundred dollars and not 
less than one hundred dollars, and his license shall be revoked. (L. ’25, 
p. 351, sec. 8.) 
REGULATIONS 
Regulation 1. 
The State Board of Health is authorized by law to make such regula- 
tions as are necessary “to insure the licensing” of any institution which 
receives and cares for sick or injured persons, or which is operated for the 
purpose of receiving and caring for sick or injured persons, or which 
receives or cares for or shelters any woman or girl who may be approach- 
ing childbirth, or during childbirth, or after childbirth or which receives 
or cares for aged or disabled persons. 
Regulation 2. Application for License. 
No corporation, association, society, company, partnership, persons or 
person shall open any institution as defined in Regulation 1, or accept and LAWS, RULES AND REGULATIONS 
291 
receive for care any person who may be sick or injured, or any woman 
or girl for shelter or care who is approaching childbirth, in labor, or who 
is recovering after childbirth, or care for or shelter aged or disabled per- 
sons, until such corporation, association, partnership, company, society, 
person or persons shall have made application to the secretary of the 
State Board of Health for a license therefor, and until such institution 
shall have been inspected by the Hospital Inspector or Maternity Home 
Adviser of the State Board of Health and a license or provisional permit 
granted for the operation thereof. 
All applications for an original license shall be made on forms fur- 
nished by the State Board of Health upon request and shall be accom- 
panied by the sum of $1.00 in cash, which will not be refunded whether 
the license is granted or refused. 
Regulation 3. Provisional Permit. 
Upon such application to the secretary an inspection of the proposed 
institution shall be made forthwith by a Hospital Inspector or Maternity 
Home Advisor of the State Board of Health, and if the said inspector 
shall approve the application for a license, said inspector may issue a 
provisional permit for temporary operation of the institution for a period 
not to exceed six months or until such time as the State Board of Health 
may grant or refuse the issuance of the license applied for. Such provi- 
sional temporary permit shall become ineffective and void immediately 
when and if the State Board of Health refuses to grant the applicant the 
said license as provided hereafter. 
Regulation 4. Method of Procedure Upon Application. 
Favorable action will be taken on such applications by the State 
Board of Health if and when it has been determined by inspection and 
investigation, and in discretion of the board it appears; 
1. That the applicant is of good moral character, capable, trust- 
worthy, and free from infectious diseases. 
2. That, the proposed institution is a suitable place for conducting 
the business proposed, and that the equipment and personnel to be em- 
ployed therein conform to the minimum standards required by the statutes 
and these regulations. 
3. That the inspector has consulted the local health officer in an 
incorporated city or town, or the local health board elsewhere, and his 
or their opinion has been weighed; Provided, however, that in isolated 
communities, where no health officer or board of health can be consulted, 
the inspector shall consult with and consider the opinions of the licensed 
physicians resident in the community in making recommendations to the 
board. 
4. That the applicant and the institution conform to the requirements 
of the statutes of the State of Colorado and the regulations of the State 
Board of Health, and that the public interest and the public health will be 
safeguarded and promoted by the issuance of such license. 
5. That no material protest or protests have been made by any 
persons interested against the issuance of such license. 292 
COLORADO STATE BOARD OF HEALTH 
6. That the home or institution is located within the correct zoning 
district and that the location and operation of such institution may he 
approved by the city manager of the town or city in which it is located. 
Regulation 5. Licenses, Reissue of. 
Any such license, when issued and approved by the State Board of 
Health, shall be for a period of only one year from the date of said 
approval, and shall be subject to revocation as provided by statute and 
the regulations. 
At least two months before the expiration date of any such license 
the licensee shall make application upon a form to be provided by the 
State Board of Health for renewal thereof, and if upon inspection the 
inspector of the State Board of Health shall approve the institution oper- 
ated by the licensee, a renewal license for a like period shall be issued. 
Failure to make application for renewal of license when due shall be 
cause for revocation of the license and for such action against the licensee 
as may be provided by statutes and regulations of the State Board of 
Health. No fee will be charged for the issuance of a renewal license. 
Regulation 6. License Refusal. 
In event that in the discretion of the State Board of Health the appli- 
cant or institution does not comply with or meet the requirements of the 
statutes, or of these rules and regulations of the State Board of Health, 
then the applicant shall be notified of the time and place at which the 
State Board of Health will conduct a hearing upon his application, at 
which the applicant will be given a full opportunity to show cause why 
the license should be issued, and at which time and place the applicant 
may be present and present any or all witnesses upon his behalf. Notice 
of such hearing shall also be given to any and all persons who may have 
protested against or objected to the issuance of such license, and these 
persons will also be granted a full hearing and will be allowed to present 
any and all witnesses who may desire to show cause why such license 
should be issued. 
If any protest or protests shall be made by any person or persons 
against the issuance of such license, the board shall require such protests 
to be made in writing and to be signed by the protester, or protesters, and 
copies of such written protest or complaint shall be furnished to the appli- 
cant in ample time for said applicant to prepare an answer and defense 
thereto before such time as may be set for a hearing to be conducted by 
the State Board of Health. 
Regulation 7. License Revocation. 
Any such license issued may be revoked by the State Board of Health, 
after due hearing as provided herein, when it shall have cause to believe 
that any of the statutes of the state or any of these regulations are being 
violated by the licensee. Before such revocations shall be effective, notice 
of the time and place at which a hearing will be conducted by the State 
Board of Health upon the question of the revocation of such license will 
be given to the licensee, and in the said notice the licensee shall also be LAWS, RULES AND REGULATIONS 
293 
informed of the reason why it is alleged that such license should be re- 
voked. 
If any demand for the revocation of a license shall be made by any 
person or persons against the holder of a license, the board may require 
such complaint to be made in writing and signed by the protester or 
protesters and a copy of such written complaints shall be furnished to the 
licensee in ample time for said licensee to prepare an answer thereto 
before the time which may be set for a hearing to be conducted by the 
State Board of Health. 
Regulation 8. License Transfer Prohibited. 
No license issued for any institution as defined herein shall be trans- 
ferable. If any such institution defined herein shall be transferred in any 
manner to the ownership or management of others than the original 
licensee, or shall change the residence or name of said institution, appli- 
cation for a new license must be made immediately to the State Board of 
Health as required by staUite and Regulation 2 of these Regulations. 
Licenses which are not in use should be returned to the State Board of 
Health and will be kept on file there. 
Regulation 9. Posting of License or Permit. 
The license shall be posted in a conspicuous place in the office of 
such institution, where it may be easily seen by the public. 
Regulation 10. Penalty. 
No corporation, association, society, company, partnership, persons 
or person operating, conducting or maintaining any institution, as herein 
defined, for the treatment or care of the sick or injured, without first 
having obtained a license therefor, shall be deemed guilty of a misde- 
meanor, and upon conviction shall be fined a sum of not less than fifty 
dollars ($50.00) nor more than five hundred dollars ($500.00). 
Regulation 11. Quarterly Reports. 
Quarterly reports of all patients treated shall be submitted to the 
State Board of Health on January 1st, April 1st, July 1st and October 1st, 
respectively, of each and every year. Quarterly reports of all employes 
shall be submitted simultaneously; forms for such reports shall be pro- 
vided by the State Board of Health. Failure to submit these forms shall 
be grounds for revocation of license. 
Regulation 12. Inspection of Institution. 
Any institution to which these regulations apply (see Regulation 1) 
shall be subject to visitation or inspection at any time by the Hospital 
Inspector or Maternity Home Advisor of the State Board of Health. The 
proprietor or person in charge of the home and hospital shall give the 
inspector or advisor of the State Board of Health all information re- 
quired, and shall afford him every facility for examining the records, 
inspecting the premises, and seeing the inmates thereof. 294 
COLORADO STATE BOARD OF HEALTH 
DEFINITIONS 
(a) “Registered Graduate Supervision’' means that a Colorado registered 
graduate nurse is in charge and that registered graduate or practical 
nursing service is available. 
(b) “Isolation” means that facilities shall be available and used for the 
isolation of infected patients. All necessary precautions shall be 
taken to prevent the spread of infection to other persons. 
(c) “Laboratory Facilities in the Hospital” means a competent patholo- 
gist is in charge, who shall be a physician licensed by the State Board 
of Medical Examiners, with full or part-time technician in the labora- 
tory; the laboratory shall be equipped for urinalysis, blood examina- 
tion, tissue examinations, bacteriology, serology, etc. 
(d) “Laboratory Facilities Available” shall mean that an accredited lab- 
oratory is available to examine specimens as indicated in “Laboratory 
Facilities”; that a competent technician is available or on call. 
(e) “Nursing Staff” for class A and B hospitals shall mean that a Colo- 
rado registered graduate nurse is in charge, and that all nurses em- 
ployed in the hospital are Colorado registered graduate nurses or 
student nurses. 
(f) “Record System” means that records are kept of admissions, diagno- 
sis, laboratory, X-ray reports, examinations, progress, treatment, con- 
dition on discharge, cause of death, operative records, and newborn 
records. The record system shall include records required by Sec. 
124, Chap. 78, 1935 Colorado Statutes Annotated pertaining to records 
for vital statistics purposes. 
(g) “Satisfactory Food Arrangement.” 
1. Satisfactory arrangements must be made for the serving of well- 
cooked, well-planned, and adequate meals. 
2. All milk used, other than powdered or evaporated, must be Grade 
“A” pasteurized or Grade “A” raw, if it is commercially available. 
3. Kitchen facilities should include refrigeration and adequate sink 
space. There should be provision for sanitary disposal of garbage and 
waste. 
4. That there is an adequate amount of hot ■water at all times for dish 
washing. 
• 5. That all food handlers must have up-to-date health cards required 
for food handlers by the State Board of Health. 
6. Formulae in maternity hospitals and homes should be px-epared 
with sterile precautions in a manner to meet the approval of the inspector. 
(h) “Staff.” A “Designated Staff” may be either closed or open to physi- 
cians licensed by the State Board of Medical Examiners only, and 
who hold cards to the hospital. 
(i) “Sterilization” shall mean that where the practice of surgery or ob- 
stetrics is contemplated, there must be approved autoclave steriliza- 
tion of all supplies; that oven sterilization is not permitted, except 
where otherwise provided, as in the case of maternity homes; that LAWS, RULES AND REGULATIONS 
295 
satisfactory water and instrument sterilization is maintained and that 
there is hot and cold running water in the delivery or operating rooms 
or adjacent thereto. 
(j) “X-ray Available” shall mean that a physician licensed by the State 
Board of Medical Examiners is on call to provide portable X-ray for 
diagnosis, or that an accredited X-ray laboratory is available for 
service. 
(k) “X-ray in Hospital” shall mean that X-ray equipment for diagnosis 
is maintained in the hospital, with a physician licensed by the State 
Board of Medical Examiners in full or part-time charge of same; and 
that a registered technician is in residence. 
GENERAL REQUIREMENTS 
A. General Facilities 
1. The buildings to be used to house institutions to which these rules 
and regulations apply (see Rule 1) shall be in good repair and suitably 
located. There shall be no fire hazards. 
2. The plumbing and drainage, or other arrangements for the disposal 
of excreta and infectious discharges and household wastes, shall be in 
accordance with the best sanitary practice, and the regulations of the 
State Board of Health. 
3. All outside doors, windows and other outside openings, shall be 
screened against flies and mosquitoes, and adequate protection furnished 
against vermin. 
4. Floors and walls shall be in good condition and of a character to 
permit frequent washing. 
5. The rooms and wards shall be of sufficient size, and arranged for 
adequate nursing care. Rooms shall be outside rooms, well lighted, heated 
and ventilated. 
6. Each patient shall have and occupy a separate bed located in a 
room or ward which allows for at least three feet of space between beds. 
The window space shall be one-fifth of the floor space, a minimum of 750 
cubic feet of air space per adult patient. A separate room is desirable for 
each patient but two or more patients may be placed in the same room 
when adequate space and screens between beds are provided. 
7. Provision shall be made for the isolation of febrile and contagious 
diseases. 
8. An adequate supply of clean bedding, bed linen and towels shall 
be kept on hand at all times. After discharge of any patient, the bed, 
bedside furniture and rubber sheet used by the discharged patient shall 
be washed with hot water and soap. All bedside equipment shall be 
properly sterilized, and mattress and pillows properly aired and the bed 
remade with fresh linens. 
9. All equipment which is not individual shall be properly sterilized 
after being used by any patient. 
10. Adequate facilities shall be provided for the sterilization of in- 
struments, water and supplies as needed. 296 
COLORADO STATE BOARD OF HEALTH 
11. There shall be an adequate and safe supply of hot and cold run- 
ning water in the building. 
12. There shall be a sufficient supply of dishes, cooking utensils, and 
bedside equipment. 
13. All drugs and solutions shall be correctly and distinctly labeled 
and kept in a cupboard for that purpose only. All narcotics must be kept 
locked. 
14. A permanent book form of records should be kept by hospitals 
that receive and dispense narcotic drugs. This form should be a record 
of the dispensing of narcotics for at least a period of two years. It should 
clearly state: (1) Source of supply; (2) Date; (3) Amount and (4) Kinds 
of drugs received. The central dispensing records should include to 
which floor or ward of hospital—what and how much dispensed, giving the 
specific date. The receiving records of the floor or ward should check 
against the dispensing record. It should include accurate records of the 
amount, naming the kind of narcotic, the patient, the date and physician. 
These records should be checked daily. 
In cases where the institution does not purchase its own narcotic 
supply, but patients have prescriptions filled from local drug stores, if the 
institution receives the prescription for the patient and administers the 
prescribed doses, any left-over narcotics at time patient leaves institution 
should be given to the patient, if the physician desires them to be, or kept 
in the institution and surrendered to the Federal Narcotic Bureau. 
GENERAL 
The hospitals’ rules regulating visitors, patients and employes and 
the general conduct of the institution shall be such as to insure the pre- 
vention and spread of disease. Such institutions shall conform with such 
regulations and instructions of local health authorities and of the State 
Board of Health as may be issued from time to time which pertain to the 
sanitation and health regulations of these establishments. 
CLASSIFICATIONS OF HOSPITALS 
Hospitals and homes shall be classified as follows: General Hospital 
“A”, General Hospital “B”, Limited Hospitals, Maternity Hospitals, Ma- 
ternity Homes, Nursing and Convalescent Homes, Home for the Aged 
and Disabled, Contagious Disease Hospitals, Tuberculosis Hospitals or 
Sanitaria and Tuberculosis Convalescent Homes. 
MINIMUM REQUIREMENTS FOR 
A. General Hospital “A” License. 
1. Minimum standards as defined by American College of Surgeons, 
the American Medical Association, or the American Osteopathic Associa- 
tion. Must be approved by the American Hospital Association or the 
American Osteopathic Association for membership. LAWS, RULES AND REGULATIONS 
297 
If not acceptable to the above, the hospital must have; 
1. A designated staff. 
2. A record system. 
3. Laboi’atory and X-ray facilities; in hospital or provided. 
4. A Colorado registered graduate nursing staff. 
5. A satisfactory food arrangement. 
6. Adequate sterilization facilities and equipment. 
7. Adequate operating room, surgical facilities, and equipment. 
8. Adequate maternity facilities equal to those required for ma- 
ternity hospitals and homes. 
9. Adequate isolation facilities. 
B. General Hospital "B” License—To secure a General Hospital “B” 
Incense, the institution must meet the following requirements: 
1. A staff—not organized. 
2. Colorado registered graduate nurse in charge of nursing. 
3. Provision for laboratory and X-ray needs. 
4. Adequate sterilization equipment. 
5. Adequate operating room, surgical facilities and equipment. 
6. Adequate maternity facilities. 
7. Adequate isolation facilities. 
8. Satisfactory food arrangements. 
C. General Limited Hospital License—To secure a limited hospital li- 
cense, the institution must have the following requirements: 
1. A registered graduate nurse or a licensed physician in charge 
of nursing. 
2. Adequate sterilization equipment. 
3. Suitable operating room equipment to meet special needs (as 
obstetrical). 
4. Only emergency major surgery—allows all minor surgery and 
obstetrics. 
5. A record system. 
6. No contagious diseases. 
7. Laboratory and X-ray facilities available. 
8. A satisfactory food arrangement. 
D. Hospitals “A”, “B” and General Limited must have the following 
facilities for Maternal and Infant care: 
1. A registered graduate nurse in charge of nursing. 
2. Adequate sterilization. 
3. Laboratory facilities and X-ray facilities available. 
4. A suitable nursery and delivery room. 
5. Provided isolation facilities for mothers and infants. 
6. Only maternity cases. 
7. Delivery table or bed which is equipped for operation deliveries 
and the treatment of obstetrical shock. 
8. Incubator suitable for premature infants, keep oxygen avail- 
able for use. 
9. Standard sterile uterine pack in the delivery room at all times. 298 
COLORADO STATE BOARD OF HEALTH 
10. Equipment for venoclysis (glucose and normal saline) and for 
transfusion of blood must be provided for in, or immediately 
adjacent to, the delivery room. 
11. An instrument for determining the blood pressure. 
12. A heated bed for the newborn infant. 
13. All instruments commonly accepted as needed for delivery, 
repair of perineal lacerations, and other procedures necessary 
for the adequate care of mothers and infants must be provided 
and maintained. 
14. A simple method of aspirating mucous from the throats of the 
newborn must be provided for. 
E. Maternity Home License—To secure a Maternity Home License, the 
institution must have: 
1. Not more than three maternity patients at one time. 
2. A telephone in the building. 
3. An autoclave or some other approved method of sterilizing 
dressings and supplies. 
4. The minimum equipment requirements for maternity homes. 
5. Only maternity patients for care. 
(NOTE: In extreme rural areas with populations of 2,000 or less, a home 
of central location, which is both clean and orderly, may be passed upon by the 
inspector as a suitable place for the physician or physicians in that community 
to attend deliveries. 
These homes must, before being licensed, reach the minimum requirements 
of a maternity home. Quarterly reports of the patients attended must-be kept 
for the inspector and mailed to her April 1, July 1, October 1, and January 1.) 
THE FOLLOWING SHALL APPLY TO BOTH MATERNITY 
HOSPITALS AND HOMES: 
1. The number of maternity cases and infants to receive care in a 
home or hospital shall appear on a license, and no greater number shall 
be cared for on the premises at any time. The place for caring for the 
women and infants shall appear on the license, and no other building or 
place shall be used for such case. 
2. Such license shall also show the name of the maternity hospital 
or home, the name of the owner, the name of the person in charge, and 
such other matter as the board may prescribe. 
3. In a maternity hospital with a capacity of more than three mater- 
nity patients, a delivery room which shall be used for no other purpose 
shall be provided and maintained, separate and distinct from the bed- 
rooms. This room shall provide or have adjacent to it hot and cold run- 
ning water. 
4. Licenses for maternity homes will not be issued if there are small 
children in the house, who might bring in infectious or contagious dis- 
eases, nor if the house is not suitably arranged for hospitalization of the 
patients. 
5. Roomers, boarders, or overnight tourists shall not be lodged or 
boarded where maternity cases are cared for. 
6. Every maternity patient shall be attended during confinement, and 
supervised during the puerperium by a licensed physician or registered 
midwife. LAWS, RULES AND REGULATIONS 
299 
7. A chart shall be kept for each maternity patient and a separate 
chart for each newborn infant. 
8. There shall be a clean newborn nursery. (.See Nursery.) 
9. Obstetrical patienis shall not be kept in the same room with other 
patients. 
10. A definite number of beds shall be designated obstetrical beds. 
When required, other beds may be used for obstetrical patients, provided 
the metal parts are thoroughly scrubbed, the mattresses aired, and clean 
linens provided following their use by other patients. 
THE FOLLOWING SHALL BE PROVIDED IN BOTH MATERNITY 
HOSPITALS AND HOMES: 
For Delivery Care 
1. Washable walls and floors in rooms where patients are delivered. 
2. Facilities for hand scrubbing—sterile brushes and green soap 
should be provided. 
3. Adequate light for day and night deliveries and for suture work. 
4. Windows protected from observation. 
5. Delivery table or bed. 
6. Table for supplies. 
7. Covered container for waste. 
8. Two sterile basins. 
9. Facilities for anesthesia. 
10. Facilities for resuscitation. 
11. Identification for infants. 
12. Receiving blankets warmed. 
13. Facilities for isolation and care of premature infants. 
Sterile Supplies: 
Sufficient amount of linens, dressings and packings. 
Minimum sterile linen for each delivery; 
3 sheets 12 perineal pads 
6 towels 2 gowns 
2 cord ties 12 dressings or squares 
2 stockings 
Maternal Care 
For each patient there shall be the following minimum equipment: 
One bed, hospital type preferred, with springs and mattresses in good 
condition. Matti’ess should be protected with rubber sheeting. 
Bed blocks if low bed is used. 
One bedside table, one chair. 
Linen and Bedding 
1 pillow 3 pillow cases 
1 spread—light weight 6 hand towels 
3 blankets 4 bath towels 
4 sheets, 72"xl08" 4 wash cloths 
1 mattress pad 2 bed pan covers 
1 rubber drawsheet 2 hot water bag covers 300 
COLORADO STATE BOARD OF HEALTH 
Smali Equipment for Each Patient 
1 bath basin 1 enema outfit for each 10 
1 small basin patients 
1 medicine glass 1 bed pan for each patient 
1 thermometer 1 hot water bottle 
1 small pitcher 1 drinking tube 
1 washable tray with dishes 
and silvei- 
For Infant Care 
Each infant shall be provided with a crib or bassinet with rubber- 
covered mattress, sheets and blankets and removable, washable lining. 
Nursery Supplies 
1 bathing table— Cotton 
freshly draped Adhesive 
1 scale Cupboard for supplies 
Sufficient supply of shirts, Covered container for soiled 
bands, gowns, diapers, etc. diapers 
1 rectal thermometer Nursing bottles and nipples 
1 bath basin Container for boiled nipples 
Receptacle for waste Alcohol 
Sterile cord dressings 1 rectal syringe 
Olive or mineral oil 
NURSERY; 
1. In a maternity hospital or home a separate nursery which shall 
be used for no other purpose, shall be maintained. 
2. There shall be a separate crib for each infant. Each crib shall be 
separated from any other crib by a width of at least one (1) foot, allowing 
250 cubic feet of air space per infant. 
3. Hot or cold running water shall be provided in or adjacent to the 
nursery. 
4. The nursery shall be clean, well heated, and well ventilated. It is 
recommended that a wall thermometer be provided to be sure that an 
even temperature is maintained. 
5. Bottles and nipples shall be sterilized after each use, by boiling. 
6. Equipment of the nursery shall be limited to furnishings and sup- 
plies necessary for the care of infants. 
7. An adequate supply of linen must be supplied for the nursery. 
This should include a sufficient supply of shirts, bands, gowns, diapers, etc. 
8. No person shall enter the nursery except those immediately con- 
cerned with the care of the newborn. 
9. The eyes of all newborn infants shall be treated immediately after 
delivery with a freshly prepared and approved silver solution. 
10. It is recommended that an incubator be available in all hospitals 
or homes where maternity patients are cared for. LAWS, RULES AND REGULATIONS 
301 
11. A means of identification shall be attached to each newborn 
infant before he is taken from the delivery room, and such means of iden- 
tification shall not be removed until discharged from the home. 
12. Any deformity of an infant born in a maternity home or hospital 
shall be reported to the Maternity Home Inspector of the State Board of 
Health within ten days. 
13. There shall be isolation of all infants showing suspicious rash or 
symptoms of infections or contagious diseases. 
14. Nursing notes should be kept. This shall include temperature 
four times a day. The infant’s record shall include a physical examination 
with special reference to deformities or abnormalities, temperature, taken 
morning and evening, a record of the number and character of stools daily, 
a record of the condition of the skin, and any bleeding from the umbilical 
cord or any mucous membrane, and any marked jaundice. 
F. Contagious Disease Hospital—To secure a license for a contagious 
disease hospital which does not admit tuberculosis patients, the insti- 
tution must meet the following requirements: 
1. Must have the same classifications standards as those for a 
General Hospital “A”. 
2. Must show supervision by the local health department or health 
officer. 
3. Must have sterilization facilities as approved by the State 
Board of Health Inspector. 
4. Must provide adequate sterilization facilities for dishes and 
utensils and properly sterilize all dishes used for each meal. 
5. Must have an incinerator. 
G. Tuberculosis Hospital or Sanatorium—To secure a license for a Tuber- 
culosis Hospital or Sanatorium, the institution must meet the same 
requirements as provided for the issuance of a license for a contagious 
disease hospital. (See additional below.) 
H. Tuberculosis Convalescent Home—To secure a license for a Tuber- 
culosis Convalescent Home, the institution must meet the require- 
ments as to building, space, equipment and supplies which pertain to 
all institutions to which these regulations apply. (See above.) 
In addition both a Tuberculosis Hospital or Sanatorium and a Tuber- 
culosis Convalescent Home must meet the following requirements: 
1. Provide adequate sterilization facilities for dishes and utensils, 
and properly sterilize all dishes used for each meal. 
2. Provide rooms or compartments in which food products are pre- 
pared, stored or otherwise handled, which are well lighted or ventilated 
and in which such food products are protected from contamination against 
flies, other insects and vermin, and against odors, in a manner acceptable 
to the State Board of Health and persons shall not be handlers of food 
who are a menace or offensive to others because of their physical con- 
dition. 302 
COLORADO STATE BOARD OF HEALTH 
3. Regulate the collection and disposal of sputum and other infec- 
tious materials in a manner to insure the prevention of the spread of 
disease. Sputum must be immediately deposited in a burnable receiver, 
which must be kept covered and which will protect the sputum from flies 
and other vermin. Contaminated receptacles must be disposed of by 
burning in an adequate incinerator within twenty-four hours of first use. 
4. Articles or premises soiled with infectious materials must be 
promptly disinfected. 
5. Have graduate or practical nurse in charge. 
6. “Quiet periods” should be observed between 1:00 P. M. and 3:00 
P. M. for the benefit of those in need of rest. 
I. Convalescent Home License—To secure a convalescent home license, 
the institution must meet the following requirements: 
1. Must admit convalescent cases only. 
2. Must admit no contagious or infectious cases. 
3. Must admit no tuberculosis. 
4. Must have graduate or practical nurse in charge. 
5. Must admit major surgical cases 10 days post operation only, 
and minor surgical cases 24 hours post operation. 
6. Must admit maternity cases only 7 days post partum. 
7. Must admit no pus cases at any time. 
8. Must meet the minimum requirements as to the building for 
Limited Hospitals. 
9. Must have satisfactory food arrangements. 
J. Convalescent Home for Care of Aged and Disabled-—To secure a Con- 
valescent Home license, the institution must meet the following re- 
quirements : 
1. Must admit aged and disabled only. 
2. Must have nursing service. 
3. Must admit no contagious or infectious diseases. 
4. Must admit no tuberculosis. COLORADO 
STATE DIVISION OF PUBLIC HEALTH 
MATTRESSES am. BEDDING 
LAWS, RULES AND REGULATIONS 
(Revised 1942) 
Issued by the 
COLORADO STATE BOARD OF HEALTH 
424 State Office Building 
DENVER LAWS, RULES AND REGULATIONS 
305 
MATTRESSES AND BEDDING 
LAWS 
(From Chapter 205, Session Laws of Colorado, 1941) 
AN ACT RELATING TO THE MANUFACTURE AND SALE OF MAT- 
TRESSES AND BEDDING AND TO PROVIDE A PENALTY FOR 
THE VIOLATION THEREOF AND TO REPEAL ACTS AND PARTS 
OF ACTS IN CONFLICT THEREWITH. 
Be It Enacted by the General Assembly of the State of Colorado: 
Section 1. Definitions as used in this Act 
(a) The word “bedding” means and includes any quilted pad, packing 
pad, mattress pad, hammock pad, mattress, comforter, bunk quilt, sleeping 
bag, box spring, studio couch, pillow, cushion, or any bag or container 
made of leather, cloth or any other material, or any other device that is 
stuffed or filled in whole or in part with concealed material in addition to 
the structural units and filling material used therein and its container, all 
of which can be used by any human being for sleeping or reclining pur- 
poses. “Bedding” includes pillows which are hereby defined as a bag or 
case of cloth filled or stuffed with feathers, down, kapok, cotton, hair, 
wool, or other sanitary filling not prohibited by this Act to be used as a 
rest or support for the head in reclining or sleeping. 
(b) The word “person” means any individual, corporation, partner- 
ship, or association. 
(c) The term “new material” means any material which has not been 
formerly used in the manufacture of another article or used for any other 
purpose. 
(d) The term “previously used material” means any material which 
has been used in the manufacture of another article, or previously used 
for any other purpose. 
(e) The term “second-hand” means any article of bedding which has 
been previously used but not remade before it is offered for resale. 
(f) The words “sell” or “sold” shall, in the corresponding tense, in- 
clude: Sell, offer to sell, or deliver or consign in sale, or possess with 
intent to sell, deliver or consign in sale, including bedding stored in ware- 
houses for ultimate purpose of sale. 
All words shall include plural and singular, masculine and feminine, 
as the case demands. 
Sec. 2. Infected Materials. No person shall knowingly use in manu- 
facturing or remaking bedding any material that has been used by a per- 
son having an infectious or contagious disease, or which has formed a part 
of bedding so used. 
Sec. 3. No person shall knowingly sell bedding that has been used by 
a person having an infectious or contagious disease. COLORADO STATE BOARD OF HEALTH 
Sec. 4. Sterilization. No person shall be manufacturing, remaking or 
renovating bedding for another person, or in manufacturing bedding for 
sale, use any previously used material which since last used is not steril- 
ized by the following process, or its equivalent, to-wit: Bedding materials 
shall be placed in an enclosed chamber which shall be heated to a temper- 
ature of two hundred degrees (200°) Fahrenheit, which temperature shall 
be maintained for a period of two (2) hours. The heat may be generated 
by electric units or any other satisfactory method of heating approved by 
the State Board of Health. 
No person shall knowingly sell any bedding manufactured in whole 
or in part from previously used material, or second-hand bedding, unless 
sterilized since last used by the process herein provided. 
No person shall engage in the business of sterilizing bedding as pro- 
vided in this Act without first obtaining a license from the State Board 
of Health, for which there shall be charged a license fee of five dollars 
($5.00) per calendar year, or any portion thereof; and such person shall 
apply for a license and set forth the place where the sterilizing apparatus 
will be located, the type and kind of equipment to be used, the names and 
addresses of true owners of said sterilizing business, and such other data 
as the State Board of Health may require from time to time. The State 
Board of Health shall cause an investigation to be made, and if it is satis- 
fied that the apparatus will comply with the requirements set forth for 
sterilization, pursuant to this Act, the said license shall be issued. Inspec- 
tion shall be made from time to time to determine whether the said 
licensee is fully and faithfully complying with all of the provisions and 
regulations promulgated as to sterilization. 
Sec. 5. Any person who receives bedding to be remade or renovated 
shall attach thereto at the time of receiving said bedding a tag on which 
is legibly written the date of receipt and the name and address of the 
owner or an identification number and keep a record thereof. 
Sec. 6. Tagging. No person shall sell bedding to which is not se- 
curely sewed by at least one edge, a cloth or clothbacked tag at least two 
inches by three inches in size, to which has been affixed the adhesive 
stamp provided in Section 8 hereof. 
Upon said tag shall be legibly stamped or printed in English in letters 
at least one-eighth inch high: 
(a) If the materials used in the manufacture of the article of bedding 
to which the label or brand is to be attached are entirely new, the brand 
or label shall be as follows: “The materials used in the manufacture of 
this mattress (or other article of bedding) are entirely new.” 
(b) If the materials used in the manufacture of the article to which 
the label or brand is to be attached are partially or wholly previously used 
materials, the brand or label shall be as follows: “The materials used in 
the manufacture of this mattress (or other article of bedding) are pre- 
viously used materials and have been sterilized,” with a specific statement 
of the kind and character of the previously used materials Uked. 
(c) If the ai’ticle to which the label or brand is to be attached is 
second-handed, the brand or label shall consist of the following, to-wit; LAWS, RULES AND REGULATIONS 
307 
“This mattress (or other article of bedding) is second-handed and has 
been sterilized.” 
(d) In addition to the foregoing every label shall bear the name and 
address of the manufacturer or vendor of the article of bedding to which 
it is attached and the name of material or materials used to fill such 
article of bedding. 
Nothing likely to mislead shall appear on said tag, and it shall contain 
all statements required by this Act and it shall be sewed to the outside 
covering of every article of bedding sold, manufactured or remade. 
The name “felt” shall not be used unless the material has been carded 
in layers by a Garnett machine. 
Sec. 7. No person, other than a purchaser for his own use, shall 
remove from any article of bedding or deface or alter the tag or stamp 
required by this Act. 
Sec. 8. The State Board of Health is hereby charged with the admin- 
istration and enforcement of this Act and it shall provide specially de- 
signed adhesive stamps for use under Section 6 of this Act. Upon request 
it shall furnish no less than one thousand (1,000) of said stamps to any 
person paying in advance $20.00 per thousand stamps. 
Sec. 9. License. No person, except for his own use, shall manufac- 
ture, remake or renovate any article of bedding until he has secured an 
annual license from the State Board of Health, for which he shall pay to 
said State Board of Health the sum of twenty-five dollars ($25.00) for any 
calendar year, or part thereof, for each place of business conducted by 
such person. The State Board of Health may revoke and void any license 
so issued to any person guilty of violating this Act, and such person shall 
not manufacture, remake, renovate or sell any article of bedding until he 
has shown a proper compliance with the Act and has paid another license 
fee, whereupon the said State Board of Health shall issue a new license 
to said person: provided, however, individuals making seventy-five or less 
quilts per annum or individuals making ten or less mattresses per annum, 
charitable organizations engaged in philanthropic enterprises, and manu- 
facturers of caskets and burial receptacles shall be exempt from the pro- 
visions of this Act. 
Sec. 10. All funds paid to the said State Board of Health pursuant to 
this Act shall be deposited by said State Board of Health with the state 
treasurer for the State of Colorado. 
Sec. 11. There shall be appropriated to the State Board of Health out 
of any fund available in the state treasury a sum equivalent to the revenue 
derived from the sale of stamps and license fees, herein provided, for the 
purpose of employing inspectors to enforce this Act and to defray any 
other expense incurred in the enforcement thereof. 
Sec. 12, Any license required pursuant to the terms of this Act shall 
be publicly posted upon the premises of the licensee. 
Sec. 13. Enforcement. The State Board of Health shall employ a 
bedding law inspector, or inspectors, whose sole duty shall be to enforce 308 
COLORADO STATE BOARD OF HEALTH 
this Act. Such inspector, or inspectors, shall, as often as practicable, 
inspect every place where bedding is made, remade, renovated, sterilized 
or sold, or where previously used material and second-hand bedding is 
sterilized under this Act. Any inspector so employed to enforce this Act, 
who has reason to believe that any article of bedding is not tagged as 
required by this Act, shall have the authority to open the same and exam- 
ine the materials therein to determine if said filling is of the kind stated 
on said tag, provided that in opening such bedding he shall use reasonable 
means not to damage the same, or destroy the value thereof. Said inspec- 
tor shall also have power to examine any purchase records necessary to 
determine definitely the kind of material used in said bedding, and he 
shall have power to seize and hold for evidence any article or material 
therein possessed or offered for sale contrary to this Act. Such inspectors 
shall promptly report any violations of this Act to the State Board of 
Health, which in turn shall report the same to the district attorney of the 
county wherein the violation has been committed for the purpose of 
prosecution. 
Sec. 14. Any person who fails to comply with any provision of this 
Act, or who counterfeits the stamps provided for in Section 8, shall be 
guilty of a violation of this Act. Every stamp so counterfeited and every 
article of bedding manufactured, remade, renovated, sold or sterilized 
contrary to this Act shall be a separate offense. 
Sec. 15. Penalty for Violation of This Act. Any person guilty of 
violating this Act, or any section thereof, shall be guilty of a misdemeanor 
and shall be punished by imprisonment for not more than six (6) months, 
or by a fine of not more than three hundred dollars ($300.00), or both, 
within the discretion of the court. 
Sec. 16. The State Board of Health shall have the right to promulgate 
rules and regulations deemed necessary for the proper enforcement of this 
Act and not inconsistent therewith. 
Sec. 17. If any section, sentence, clause or phrase of this Act is for 
any reason held to be unconstitutional, such decision shall not affect the 
validity of the remaining portions of this Act. The legislature hereby 
declares that it would have passed this Act, and each section, sentence, 
clause or phrase thereof, irrespective of the fact that any one or more 
other sections, sentences, clauses or phrases be declared unconstitutional. 
RULES, REGULATIONS AND ADVICE CONCERNING THE 
BEDDING LAW 
Approved April 18, 1941 
These rules and regulations are supplemental to the requirements of 
this Act, and, where applicable, must be complied with as they have the 
force and effect of law. 
The pin’pose of these rules and regulations is to assist manufacturers 
and merchants to properly comply with the law. It includes opinions of 
the attorney general, rulings and interpretations by the State Board of 
Health. LAWS, RULES AND REGULATIONS 
309 
intent of this Act. The intent of this Act is to protect, so far as pos- 
sible, consumers, dealers, manufacturers, reraakers and renovators of 
articles of bedding against disease, damage or economic loss due to in- 
ferior, filthy or contaminated materials being used in the manufacture 
thereof. 
Registration. Every individual, corporation, partnership, or associa- 
tion engaged in the manufacturing, remaking, renovating or selling mat- 
tresses or any other article of bedding in the State of Colorado come 
under this Act and must register with the State Board of Health. 
Regulation 1. Definitions as used in this Act: 
(a) The word “bedding” means and includes any quilted pad, packing 
pad, mattress pad, hammock pad, mattress, comforter, bunk quilt, sleeping 
bag, box spring, studio couch, pillow, cushion, or any bag or container 
made of leather, cloth or any other material, or any other device that is 
stuffed or filled in whole or in part with concealed material in addition 
to the structural units and filling material used therein and its container, 
all of which can be used by any human being for sleeping or reclining 
purposes. “Bedding” includes pillows which are hereby defined as a bag 
or case of cloth filled or stuffed with feathers, down, kapok, cotton, hair, 
wool, or other sanitary filling not prohibited by this Act to be used as a 
rest or support for the head in reclining or sleeping. 
(b) The word “person” means any individual, corporation, partner- 
ship or association. 
(c) The term “new material” means any material which has not been 
formerly used in the manufacture of another article or used for any other 
purpose. 
(d) The term “previously used material” means any material which 
has been used in the manufacture of another article, or previously used 
for any other purpose, which is to be renovated or remade for any indi- 
vidual. corporation, partnership or association. 
(e) The term “second-hand” means any article of bedding which has 
been previously used but not remade before it is offered for resale. 
(f) The words “sell” or “sold” shall, in the corresponding tense, in- 
clude; Sell, offer to sell, or deliver or consign in sale, or possess with 
intent to sell, deliver or consign in sale, including bedding stored in ware- 
houses or in retail stores, for ultimate sale. 
All words shall include plural and singular, masculine and feminine, 
as the case demands. 
Regulation 2. Infected Materials. No person shall use in manufactur- 
ing or remaking bedding any material that has been used by a person 
having an infectious or contagious disease, or which has formed a part of 
bedding so used. 
Regulation 3, No person shall sell bedding that has been used by a 
person having an infectious or contagious disease. 
Regulation 4. Sterilization. No person shall be manufacturing, re- 
making or renovating bedding for another person, or in manufacturing 310 
COLORADO STATE BOARD OF HEALTH 
bedding for sale, use any previously used material which since last used 
is not sterilized by the following process, to-wit: Bedding materials shall 
be placed in an enclosed chamber which shall be heated to a temperature 
of two hundred degrees (200) Fahrenheit, which temperature shall be 
maintained for a period of two (2) hours. The heat may be generated by 
electric heating units or any other satisfactory method of heating approved 
by the State Board of Health. Sterilizing chamber must be equipped with 
a recording thermometer. Charts shall be kept on record for inspection at 
all times. 
No person shall sell, remake or renovate any bedding manufactured 
in whole or in part from previously used material, or second-hand bedding, 
unless sterilized since last used by the process herein provided. 
No person shall engage in the business of sterilizing bedding as pro- 
vided in this Act without first obtaining a license from the State Board of 
Health, for which there shall be charged a license fee of five dollars ($5.00) 
per calendar year, or any portion thereof; and such person shall apply for 
a license and set forth the place where the sterilizing apparatus will be 
located, the type and kind of equipment to be used, the name and addresses 
of true owners of said sterilizing business, and such other data as the State 
Board of Health may require from time to time. The State Board of 
Health shall cause an investigation to be made, and if it is satisfied that 
the apparatus will comply with the requirements set forth for sterilization, 
pursuant to this Act, the said license shall be issued. Inspection shall be 
made from time to time to determine whether the said licensee is fully and 
faithfully complying with all of the provisions and regulations promul- 
gated as to sterilization. 
This process may be used for sterilizing material which is not com- 
pressed to a degree in excess of the customary compression of cotton felt. 
Completed articles shall be so spaced as to allow free circulation of hot 
air; not less than four inches on all sides. 
All unsterilized second-hand articles or materials shall be separately 
stored and completely segregated from new or clean articles or materials. 
All second-hand material must be sterilized before going through a 
picker or a garnetting machine. 
The steam pressure process for sterilizing, cleaning and curling feath- 
ers, down, hair, wool or any other material derived from an animal or 
fowl, may be used when approved by the State Board of Health. 
The following process is recommended: Material subjected to treat- 
ment by live steam for thirty minutes at a pressure of fifteen pounds, or 
for twenty minutes at a pressure of twenty pounds. Chamber must be 
steam tight, sufficiently strong to stand the pressure applied, be equipped 
with a visible steam gauge and necessary valves. 
Any process for sterilization, when approved by the State Board of 
Health, shall be subject to periodic tests and changes recommended from 
time to time. 
It is not mandatory that each establishment have its own sterilizer. It 
is permissive to have material sterilized by any concern having a certifi- LAWS, RULES AND REGULATIONS 
311 
cate of approval for a sterilizing process. In every case the permit number 
of the approved process used must be on the tag. 
Regulation 5. Any person who receives bedding to be remade or reno- 
vated shall attach thereto at the time of receiving said bedding, a tag on 
which is legibly written the date of receipt and the name and address of 
the owner or an identification number and keep a record thereof. Records 
shall be open for inspection at all times. 
Regulation 6. Tagging. No person shall sell, remake or renovate 
bedding to which is not securely sewed by at least one edge, a cloth or 
clothbacked tag at least two and one-half inches by four and one-quarter 
inches in size, on the face of which is a space for affixing the adhesive 
stamp provided in Section 8 hereof. 
Upon said tag shall be legibly stamped or printed in English in letters 
at least one-eighth inch high; 
(a) If the materials used in the manufacture of the article of bedding 
to which the label or bi-and is to be attached are entirely new, the brand 
or label shall be made of white material, with black lettering reading as 
follows: “The materials used in the manufacture of this mattress (or 
other article of bedding) are entirely new, consisting of * * *” (naming 
materials). 
(b) If the materials used in the manufacture of the article to which 
the label or band is to be attached are wholly previously used materials, 
the brand or label shall be made of yellow material with black lettering 
reading as follows: “The materials used in the manufacture of this mat- 
tress (or other article of bedding) are previously used materials and have 
been sterilized,” with a specific statement of the kind and character of the 
previously used materials used. 
If the article to which the label or brand is to be attached is a remake 
for an individual or company, the brand or label shall be made of green 
material with black lettering reading as follows: “This article has been 
sterilized, renovated, and remade and contains the same material received 
from owner to which has been added (specifically state the kind and char- 
acter of material added.)” 
(c) If the article to which the label or brand is to be attached is 
second-hand, the brand or label shall be made of red material with black 
lettering, reading as follows: “This mattress (or other article of bedding) 
is second-hand and has been sterilized.” 
(d) In addition to the foregoing every label shall bear the name and 
address and registry number of the manufacturer or vendor of the article 
of bedding to which it is attached and the name of material or materials 
used to fill such article of bedding. Every tag should have printed at the 
top, “DO NOT REMOVE THIS TAG—UNDER PENALTY OF LAW.” 
Nothing likely to mislead shall appear on said tag, and it shall contain 
all statements required by this Act and it shall be sewed to the outside 
covering of every article of bedding sold, manufactured, remade or reno- 
vated. 312 
COLORADO STATE BOARD OF HEALTH 
The name “felt” shall not be used unless the material has been carded 
in layers by a Garnett machine. 
Regulation 7. No person, other than a purchaser for his own use, 
shall remove from any article of bedding or deface or alter the tag or 
stamp required by this Act. 
Regulation 8. The State Board of Health is hereby charged with the 
administration and enforcement of this Act and it shall provide specially 
designed adhesive stamps for use under Section 6 of this Act. Upon 
request, it shall furnish in quantities of one thousand (1,000) or multiples 
thereof of said stamps to any person paying in advance twenty dollars 
($20.00) per thousand stamps. Stamps should be ordered at least two 
weeks in advance of requirement. These stamps are not interchangeable 
and must be used only by the firm to which they are issued. 
Regulation 9. License. No person, except for his own use, shall man- 
ufacture, remake or renovate any article of bedding until he has secured 
an annual license from the State Board of Health, for which he shall pay 
to said State Board of Health the sum of twenty-five dollars ($25.00) for 
any calendar year, or part thereof, for each place of business conducted 
by such person. The State Board of Health may revoke and void any 
license so issued to any person guilty of violating this Act, and such 
person shall not manufacture, remake, renovate or sell any article of bed- 
ding until he has shown a proper compliance with the Act and has paid 
another license fee, whereupon the said State Board of Health shall issue 
a new license to said person. 
Regulation 10. All funds paid to the said State Board of Health pur- 
suant to this Act shall be deposited by said State Board of Health with the 
Revenue Department of the State of Colorado. 
Regulation 11. There shall be appropriated to the State Board of 
Health out of any fund available in the state treasury a sum equivalent to 
the revenue derived from the sale of stamps and license fees, herein 
provided, for the purpose of employing inspectors to enforce this Act and 
to defray any other expenses incurred in the enforcement thereof. 
Regulation 12. Any license required pursuant to the terms of this Act 
shall be publicly posted upon the premises of the licensee. 
Regulation 13. Enforcement. The State Board of Health shall employ 
a bedding inspector, or inspectors, whose sole duty shall be to enforce this 
Act. Such inspector, or inspectors, shall, as often as practicable, inspect 
every place where bedding is made, remade, renovated, sterilized or sold, 
or where previously used material and second-hand bedding is sterilized 
under this Act. Any inspector so employed to enforce this Act, who has 
reason to believe that any article of bedding is not tagged as required by 
this Act, shall have the authority to open the same and examine the mate- 
rials therein to determine if said filling is of the kind stated on said tag, 
provided that in opening such bedding he shall use reasonable means not 
to damage the same, or destroy the value thereof. Said inspector shall also 
have power to examine any purchase records necessary to determine defi- LAWS, RULES AND REGULATIONS 
313 
niteiy the kind of material used in said bedding; he shall have the power 
to seize and hold for evidence any article or material therein possessed 
or offered for sale contrary to this Act. Such inspectors shall promptly 
report any violations of this Act to the State Board of Health, which in 
turn shall report the same to the district attorney of the county wherein 
the violation has been committed for the purpose of prosecution. 
Regulation 14. Any person who fails to comply with any provision of 
this Act, or who counterfeits the stamps provided for in Section 8, shall be 
guilty of a violation of this Act. Every stamp so counterfeited and every 
article of bedding manufactured, remade, or renovated, sold or sterilized 
contrary to this Act shall be guilty of a separate offense. 
Regulation 15. Penalty for Violation of This Act. Any person guilty 
of violating this Act, or any section thereof, shall be guilty of a misde- 
meanor and shall be punished by imprisonment for not more than six 
(6) months, or by a fine of not more than three hundred dollars ($300.00), 
or both, within the discretion of the court. INDEX 
A 
Abortions, drugs sold on prescription 
only, 33 
unlawful to sell or advertise drugs, 
32, 110 
Accident, resulting death, ISO 
Actinomycosis, 45 
Administrative Code, 4-6 
Adoption, certificate or identification, 
174 
Advertising cures, unlawful, 110 
Adulterations, 231-234, 237, 238, 243- 
246 
coloring matter, powdering and 
staining, 269, 270 
confectionery, adulteration of, 270 
copper salts, 271 
ingredients, natural, poisonous, del- 
eterious, 270 
preservatives, 270 
in meat products. 271 
rules, relating to adulterations, 269- 
271 
saccharin, 271 
sodium benzoate, 271 
substances, mixed and packed with 
foods, 270 
non-food, 270 
prohibited, 271 
substitutions, 270 
Analine poisoning. 125 
Ancylostomiasis, (hookworm), 46 
Angina stomatitis, 95 
Animals, dead, IS 
diseases among, 42 
domestic, 29 
Anthrax, 47, 125 
Anti-toxin, products, 27 
Apothecaries, 251 
Applications, hospital, 291 
B 
Baggage, quarantine, 21 
Bake shops and bakery goods, 280. 
281 
Bathing places, danger of Infection, 
161-163 
Bedding, mattresses, 11, 303-313 
Benzine poisoning, 125 
Benzol poisoning, 125 
Births, certificate of, 173 
certified copy, 178 
confinement, 185 
illegitimate, 175 
registration of, 168, 173, 183 
supplemental reports, 175 
Blindness, prevention of in newborn, 
115 
Blood tests, approved laboratories, 
121 
Boards of Health, by-laws, 14 
county, 16 
local, 7-9, 16-23, 37 
municipal, 17, 38 
reports. 28 
state, 7, 12-16 
Botulism, 49 
Brucellosis, 94 
Burial, permit, 169, 172, 181 
Business, detrimental location, 28 
By-laws, 1-3, 14 
C 
Cadmium poisoning, 125 
Camps, approval of tourist and other, 
158, 159 
requirements, class “A”, 158, 159 
requirements, class “B”, 159 
requirements, class “C”, 159 
Carbon disulphide poisoning, 125 
Carbon monoxide asphyxiation, 125 
Carbon tetrachloride poisoning, 125 
Carrier, definition of, 43 
Carroting solutions, 128 
Caustic alkali law, 258-260 
Cemetery, removal of, 28 
Certificate, (adoption, 174), 170-184; 
birth. 173, 178, 184 
burial, 171, (181-183) 
death, 170, 172, 182, 185 
delayed, 180 
identification of. 174 
illegitimate, 175 
undertaker, filing certificate of, 172, 
182 183 
U. S. Standard of still birth, 182 
Cesspools, 160 
Chanchroid, 49 
Chicken pox, 50 
Children, adoption of, 289 
disposal of, 287, 288 
safeguarding interests of, 290 
Cholera, 15-16 
Chromic acid poisoning, 125 
Cleaning, definition of, 43 
Cleanliness, definition of, 44 
Clothing, quarantine, 21 
Colorado tick fever, 52 
Commissioners, food and drug, 232 
powers, 241, 242 
Communicable diseases, animals, dis- 
eases among, 42 
alphabetical list, communicable and 
other diseases dangerous to pub- 
lic health, 45-97 
alphabetical list, notifiable dis- 
eases, 41, 42 
control, 45-99 
food handling from infected prem- 
ises, 43 
health officers, appointment, term, 
salary, 37, 38, 40 
health regulations, violations, 39 
inoculation, 26, 39 
investigation and disposition of 
contagious diseases by health 
officer, 40 
laws, 37-41 
municipal board of health, composi- 
tion and responsibilities of, 38 
notifiable diseases, alphabetical list 
of, 41, 42 
terms, definition of, 43-45 
prevention of spread of contagious 
diseases, 39 
regulations, 41-97 
state board, responsibilities of, 37, 
38 
tuberculosis, abatement, complaint, 
failure, penalty, reporting of re- 
covery, 40, 41 316 
INDEX 
Compensation of health officers, 27 
of milk inspector, 32 
of nurses and attendants, 22 
Complaints, filing with justice of 
peace, 16 
Concentrations, industrial hygiene, 
126 
Conception, advertisement to prevent, 
unlawful, 246, 247 
substances to prevent, 33 
Contact, definition of, 44 
Contagious disease, appropriation for 
protection, 14 
care of, 24 
domestic animals, 29 
hospital, 23-25, 285, 301 
investigation and disposition, 26, 40 
notice of, 26, 39 
prevention of, 25, 39 
railroad, 16 
removal, 21, 23, 101 
Convalescent home, aged and dis- 
abled. 302 
license, 302 
tuberculosis, 301, 302 
Cowpox, inoculation, 26 
D 
Damages, through nuisance, 28 
Deaths, accident, 180 
certificate, 170, 172, 184 
certified copy, 178 
common carrier, transporting de- 
ceased person, 185, 186 
disinterred body, 186 
disposition of body, 171 
investigation, 171 
without medical attention, 171, 182, 
184 
Definitions of terms, 43-45 
Delousing, definition of, 4 4 
Dengue, 52 
Detention homes, 11, 110 
Diphtheria, 53 
Diseased persons, removal from 
county jail, 23 
work with food forbidden, 241 
Diseases, alphabetical lists, 41-97 
occupational, 125 
communicable diseases, 45-97 
Disinfection, dangerous material, 15 
definition of, 44 
Disinfesting, definition of, 44 
Divisions, listed, 2 
tuberculosis control, recommenda- 
tions of, 105 
Domestic water works districts, Den- 
ver jurisdiction of, over streams, 
144 
laws relating to, 143 
obstructions or pollutions, 144 
Drink, adulterated, 30 
Drinking vessels, 247, 280 
Drugs, abortion producing, unlawful 
sale, 33 
adulteration of, 30 
definition, 234 
mixed, color, stain, powder, 30 
narcotic drugs, 254-258 
Dusts, industrial hygiene, 126 
Dysentery, amebic, bacillary, 55 
E 
Eggs. 279 
Embalming, 186, 187 
Eminent domain, laws relating to, 
137, 143 
Encephalitis, 56-58 
Epidemics, hospital care of, 25 
Erysipelas, 58 
F 
Favus, 58 
Fever, puerperal, 33 
Food, adulterated, 30, 31 
factories, 240 
food and drug act, enforcement of, 
234 258 
food handlers’ law, 115, 121 
handling, 43 
infections and poisonings, 59 
Food and Drugs, 229-283 
abortion, advertisement of sub- 
stance unlawful, 246 
adulterations, 231-234, 237, 238, 243- 
246 
rules relating to, 269-271 
analyses, 267 
apothecaries, 251 
articles for technical or scientific 
purposes or mechanical acts, 277 
bake shops and bakery goods, 280 
board, state, 256, 261 
commissioner, 232 
powers of, 241 
conception, advertisement to pre- 
vent, unlawful, 246 
definitions, narcotic act, 248 
diseased persons, work with food 
forbidden, 241 
division of, 229-282 
drinking vessels, 280 
public, sterilization of, 247 
drug, definition of, 234 
dust and dirt, protection, 240 
examination, specimens, 233 
export and interstate commerce, 277 
fines, 242 
funds. 263 
guarantee, 268 
hearings, 267 
hospitals, 279 
implements, manufacture of, 239 
inspection, diseased animals, 242 
premises, 276 
slaughtering plants, by state vet- 
erinary surgeon, 243 
inspector, rights of, 245 
salary, expense. 244 
labeling, 245, 254, 258, 271-273 
poison, 246 
laws, 231, 232, 258 
caustic alkali, 258 
narcotics, 248 
restaurant, 260-266 
licenses, 249, 262 
manufacturing, 232, 236, 239, 249 
meat, diseased, 30, 237, 242 
possession of, 244 
slaughter plants, 242, 243 
misbranding, 235, 237, 259, 271-277 
narcotic act, 248-251 
narcotic drugs, 254-258 
nuisances, 240 
organization of, 276 
packing plants, rules and regula- 
tions, 243 
poison, labeling, 246 
prosecutions, 242 
publications, 268 
pure food, 231, 239 
records, 253-257 INDEX 
317 
Food and Drugs (continued) 
regulations, 263, 266-269 
restaurant law, 260-266 
rooms, regulations regarding sleep- 
ing, 240 
sales, misrepresentation to effect, 
247 
sanitary regulations, 239, 240, 277- 
280 
selling, 232, 237, 238, 247, 250, 251 
slaughter houses, 242-245, 281, 282 
solutions, 279 
specimens, 233 
standards, 268 
substances, named, (274-276) 
transportation, meat, fish, fowl, 
game, sanitary requirements, 282 
Fumigation, definition, 44 
G 
Garbage, collection and disposal, mu- 
nicipal, 159 
Gases, industrial hygiene, 126 
Gasoline poisoning, 125 
German measles, 60 
Glanders, 60 
Gonorrhea, 61 
Gonorrheal ophthalmia, 62 
H 
Hatters’ Mercurial Carroting Solu- 
tions, 128 
Homes, convalescent, aged and dis- 
abled, 302 
detention for women, 11 
maternity, 298-302 
tuberculosis, 301, 302 
Hospitals, maternity and convales- 
cent homes, 10, 283-302 
classifications, 296-302 
laws, 284, 290 
regulations, 290-293 
requirements, 295, 298 
I 
Illegitimate children, birth certifi- 
cate, 175, 290 
Impetigo contagiosa, 63 
Implements, manufacture of, 239 
Importation, infected and diseased 
animals, 15, 29 
regulations concerning articles, 22 
Incorporated cities and towns, powers 
of, 133-143 
Industrial hygiene, concentrates, 126 
dusts, 126 
gases and vapors, 126 
reportable occupational diseases, 
125 
rules and regulations, 123-129 
Infections, domestic animals, 29 
persons, articles, 24 
Influenza, 64 
Inoculation, 26, 39 
Inspection, 15, 16, 242, 245, 276 
diseased animals, 242 
Inspector, food and drug, 276 
milk, 32 
Interment, permit for, 172 
Isolation, venereal disease, 114 
J 
Jurisdiction, of courts, 29 
justice of peace, 247 
police magistrate, 22 
L 
Labeling, adulteration, 245 
alkali, 258 
caustic or corrosive, 258 
food and drug, 271-274 
narcotics, 254 
Laboratory service for venereal dis- 
ease, 120 
Laws, 4-33 
incorporated cities, towns, 133-143 
Lead poisoning, 125 
Leprosy, 65 
Licenses, bedding, 307 
convalescent homes, '302 
embalming. 186 
hospital, 286-292, 296-298 
narcotic, 249 
plumbing, 192-195, 219 
restaurant, 261, 262 
Local registrars, vital statistics, 184 
Lying-in hospitals, 287 
M . 
Malaria, 66 
Manganese poisoning, 125 
Maternity, hospitals, and homes, 10, 
287, 289, 298, 301 
Mattresses and bedding, laws, 303-308 
regulations, 308, 313 
Measles, 67 
Meat, diseased, 30, 237, 242 
possession of, 244 
Medicines, adulterations. 30 
producing abortion, 33 
for venereal diseases, 113 
Meningococcus meningitis. 68 
Mercury poisoning, 125 
Metal fume fever, 125 
Methyl alcohol poisoning, 125 
Midwives, register births, 175, 184 
Milk, impure or adulterated, 31 
inspector, 32 
skimmed, 32 
ordinance and code, 164 
Mumps, 69 
N 
Naphtha poisoning, 125 
Narcotic act, 248 
Narcotic drugs, 254-258 
Notifiable diseases, alphabetical list 
of, 41-45 
Nuisances, 18-21, 28, 29 
food and drug, 240 
tubercular, 40 
Nurses, compensation, 22 
O 
Occupational disease, 125 
Officers, 1, 12 
appointment, term, salary, 17, 38 
compensation of health officers, 27 
local health, 14, 15 
reports of, 28 
secretary, 13 
Ophthalmia neonatorum, 115 318 
INDEX 
P 
Packing plants, rules and regula-. 
tions, 243 
Passengers, examination of, 22 
Permits, burial, 169 
hospital, 291 
interment, 172 
plumbing, 193-195 
removal, 169 
Plague, 70 
Plumbing, Division of, 188-228 
board, examining, 192 
building drains and house sewers, 
213 
calculations, 223-227 
certificates, 218 
code, 197-200 
definitions, 196, 197-200, 218 
drains, 201, 213, 214 
employees, 191 
examination, qualifications, duties 
of master and journeyman, 192, 
220 
fees, disposition of, 195 
remittance of, 218 
fittings, prohibited, 200 
fixtures, 207 
general regulations, 200, 202 
inspection and tests, 195, 217 
inspector, 222 
installation, 201, 221 
joints and connections, 203 
licenses and permits, 192-195, 219 
materials, quality and weight, 202 
municipal rules and regulations, 
195 
permits, 218 
installation, 221 
piping, 200, 201 
refrigerator, safe and special 
wastes and vents, 214, 216 
registration, certificate of, 219 
repairs, alterations, remodeling and 
additions, 216 
roofs, 210 
rules, 191 
schools, theatres and assembly 
halls. 216 
sewage disposal, 216 
sewers, 213 
soil, waste and vent pipes, 208, 210- 
212, 213 
tables and rules for calculations, 
223-227 
tests, 217 
traps and cleanouts, 204-206, 210 
vents, 212, 214 
ventilation of rooms and fixtures, 
208 
wastes, 215 
water supply and distribution, 206- 
207 
Pneumonia, acute lobar, 71 
Poison, sale without marking, 32 
Poisoning, 125 
Police magistrate, 22 
Poliomyelitis, (infantile paralysis), 
72 
Poor house, removal from, 23 
Premarital law, 118 
Premises, unhealthy, 19, 43 
Prenatal law, 116 
Privies, regulations of, 18, 160, 201 
Psittacosis, 73 
Publications, notice of health regula- 
tions, 29 
food and drugs, 268 
Puerperal fever, 33 
infection, 74 
Pure food act, 231, 239 
Q 
Quarantine, baggage, clothing and 
suspected goods, 21 
definition of, 45 
regulations expense, 23 
venereal disease, 113 
R 
Rabies, 75 
Railroads, contagious disease, 16 
sanitation, 164 
Records, food and drug, 253-257 
Registrars, local, 184 
Registration, births and deaths, 27, 
168, 173, 181, 183 
districts established, vital statis- 
tics, 168 
Removal, from cemetery, 28 
diseased persons from county jail 
23 
of goods, 21 
infected person or article, 24 
Renovation, definition of, 45 
Reports, annual, 2 
anti-toxin sold, 27 
definition of, 45 
hospital superintendent, 176 
local boards, 13, 28 
physicians, 13 
tuberculosis, 101-105 
venereal disease, 112, 120 
Restaurant, laws, 260-266 
licenses, 261, 262 
Rocky Mountain spotted fever, 76 
Rubella, (german measles), 60 
S 
Sanitary Engineering, Division of, 7 
120-164 
bathing places, 161 
camps, 158 
cesspools, 160 
cities and towns, powers of, 133-137 
first class, 137 
second class, 138 
incorporated towns, 139 
Denver jurisdiction over streams 
144 
eminent domain, 143 
garbage, 159 
highway, obstruction of, 143 
improvements, 140-143 
privies, 18, 160 
railway sanitation, 164 
regulations of, 145-165 
sewage, disposal of, 143, 145 
irrigation with, 164 
treatment works, 148-155 
septic tanks, 159 
sewers, 141-143 
sidewalks, 141 
stream pollution, 143 
jurisdiction, 144 
swimming pools, 161-164 
water and sewer works, 137, 143 
146-158 
water, mains, 139, 141 
quality of, 145 
Scabies (the itch), 77 
Scarlet fever, 78 
Secretary, duties of, 13, 14 
Selling, shipping diseased animals, 2f INDEX 
319 
Septic sore throat, 7 9 
Silicosis, 125 
Silico-tuberculosis, 125 
Smallpox, 80 
on train, 16 
Statutes Annotated, 1935, 7-1 1 
Stillbirth, registration of, 170 
Susceptibles, definition of, 4 5 
Swimming pools, 161-164 
Syphilis, 81-83 
T 
Titanus, 83 
Tetra ethyl lead poisoning, 125 
Toluene poisoning, 125 
Trachoma, 84 
Trichinosis, 84 
Tuberculosis control, 11, 85-88, 99- 
107 
apartments, vacated by tubercular, 
103 
contagious disease, warrant to re- 
move, 101 
disinfection of, expense, failure to 
disinfect, 103 
health officer, responsibilities for 
precautionary information, 104 
hospital or sanatorium, 301 
nuisance, complaint, abatement, 
failure, penalty, 40, 104 
physicians, responsibilities to other 
inmates, 104 
pulmonary tuberculosis, 85 
other than pulmonary, 87 
recommendations, 105 
reports and examinations, 101-105 
blanks, diagnosis, open cases, 101 
failure to report, 104 
false report, 105 
recovery of patient, 41, 105 
registration of, 102 
sputum, examination of, 102 
Tularemia, 88 
Turpentine poisoning, 125 
Typhoid fever group, 89 
Typhoid carriers, 90 
Typhus fever, 93 
U 
Undulant fever (Brucellosis), 94 
V 
Vaccine, 27 
Vapors, industrial hygiene, 126 
Venereal disease control, 11, 107-122 
advertising of cures, unlawful, 110 
blindness, prevention in newly born, 
115 
blood tests, premarital, 118 
prenatal, 116 
detention home for women, 111, 112 
drugs, distributed by Venereal Dis- 
ease Division, 121 
jurisdiction of courts, 111 
laboratory service, 120 
laws, Colorado Statutes Annotated, 
1935, 109, 110-115 
Venereal disease (continued) 
laws (continued) 
Colorado Session, 109, 110, 115- 
119 
advertising of cures, unlawful, 
110 
blindness in newly born, 115 
food handlers, 115, 121 
premarital law, 118 
prenatal, 116 
medicines, on prescription only, 113 
patients, identification of, 112, 120 
isolation of, 114 
personnel, assistant director, 112 
premarital law, 118 
prenatal law, 116 
reports, confidential records, 111 
name of patient, 112 
to state board, 120 
rules and regulations, 114, 120-122 
treatment, provided by state board, 
111 
persons confined or imprisoned, 
114 
suspected cases, 113 
women, suffering with, 110 
Vincents infection (Angina stomati- 
tis), 95 
Virus, filterable, definition of, 45 
Vital Statistics, Board of, 9, 13, 165- 
189 
births, 27 
certificate of, 173, 184 
certified copy, 178 
confinement of, 185 
delayed, 180 
illegitimate children, 175 
registration of, 168, 173, 183 
stillbirths, 170 
supplemental reports, 175 
burial permit, 169, 172, 181 
certificates, adoption, 174 
birth, 173, 184 
burial, 171, 182, 183 
death, 170, 172, 180, 182, 185 
identification, 174 
illegitimate children. 175 
children, adoption, 174 
illegitimate, 175 
control, 13 
deaths, 27 
accident, 180 
certificate of, 170-172 
certified copy, 178 
delayed, 180 
disinterred body, 186 
disposition of body, 171 
investigation, 171 
transporting deceased persons, 
185, 186 
without medical attention, 171, 
182, 184 
delayed certificates, 180 
embalming, 186, 187 
fees of registrars, 177 
interment permit, 172 
laws, Colorado Statutes Annotated 
1935, 167-180 
Colorado Session, 180 
permits, burial, 169, 172, 182 
disinterred, 186 
interment, 172, 182 
recorded, 183 
removal, 169, 181 
physicians, 175, 185 
register, physicians, midwives, un- 
dertakers, 175 
registration, births and deaths, 27, 
168, 170, 173, 181, 183, 185 
stillbirths, 170 320 
INDEX 
Vital statistics (continued) 
registrars, duties, 168, 176, 181, 183, 
185 
enforcement, 179 
fees, 177 
records, 176 
report to district attorney, 179 
reports, accident, 180 
hospital superintendent, 176, 184 
registrar to district attorney, 179 
supplemental births, 175 
rules and regulations, 181-187 
Vital statistics (continued) 
undertaker, certificate of death, 172 
181-184 
register, 175 
W 
Water closets, regulation, 18, 201 
Whooping cough, 96 
Y 
Yellow fever, 97