STATE OF ILLINOIS 
DWIGHT H. GREEN, Governor 
RULES. REGULATIONS AND 
SUPPLEMENTARY INFORMATION FOR THE 
CONTROL OF VENEREAL DISEASES 
Revised and In Force Throughout Illinois 
JANUARY 1, 1945 
Issued by 
THE DEPARTMENT OF PUBLIC HEALTH 
ROLAND R. CROSS, M.D., Director 
Compiled by the Division of Venereal Disease Control 
(Printed by Authority of the State of Illinois) STATE OF ILLINOIS 
DWIGHT H. GREEN, Governor 
RULES, REGULATIONS AND 
SUPPLEMENTARY INFORMATION FOR THE 
CONTROL OF VENEREAL DISEASES 
Revised and In Force Throughout Illinois 
JANUARY 1, 1945 
Issued by 
THE DEPARTMENT OF PUBLIC HEALTH 
ROLAND R. CROSS, M.D., Director 
Compiled by the Division of Venereal Disease Control 
(Printed by Authority of the State of Illinois) (73422) CONTENTS 
I Rules and Regulations for the Control of Venereal Diseases 4 
II Statutes Directly or Indirectly Affecting Venereal 
Disease Control 17 
III Decisions of the Supreme Court and Opinions of the 
Attorney General 23 
IV Division of Venereal Disease Control Administration 26 I. RULES AND REGULATIONS FOR THE CONTROL 
OF VENEREAL DISEASES 
OFFICIAL NOTICE 
In accordance with authority vested by law in the State Depart- 
ment of Public Health, I, Roland R. Cross, Director of the State 
Department of Public Health, do hereby promulgate the rules and 
regulations for the control of venereal diseases, and all previous rules 
and regulations in conflict with the following rules and regulations 
are hereby annulled. These rules shall be in force and effect on and 
after January 1, 1945. 
IN WITNESS WHEREOF I have here- 
unto set my hand and caused the Seal of 
the Department of Public Health to be 
affixed. 
DONE at the CITY OF SPRING- 
FIELD, this first day of January, in the 
Year of our Lord, Nineteen Hundred and 
Forty-five. 
‘P??- , 
ILLINOIS DIRECTOR OF PUBLIC HEALTH 5 
RULE 
I—DEFINITION OF VENEREAL DISEASES 
Definition 
Syphilis, gonorrhea, chancroid, lymphogranuloma 
venereum and granuloma inguinale, hereinafter desig- 
nated venereal diseases, are hereby recognized and de- 
clared to be infectious, communicable and dangerous 
to the public and are declared reportable. 
RULE II—REPORTING OF VENEREAL DISEASES 
A. By Whom and To Whom 
Reporting of 
Venereal 
Diseases 
(1) It shall be the duty of every physician, drug- 
less healer, nurse, attendant, druggist or pharmacist, 
laboratory worker, dentist, police official, superintend- 
ent or principal directing officer of a hospital, jail, 
house of correction, asylum, home or similar institu- 
tion, or other person having knowledge of a known or 
suspected case of venereal disease, to promptly report 
such case to the local health authorities. 
(2) In counties and cities having a full time health 
officer, such reports shall be made to that officer. In 
all other areas such reports shall be made directly to 
the Illinois Department of Public Health at Spring- 
field. 
(3) Upon receipt of a report of venereal disease, 
the local health authority shall within twenty-four 
hours forward the same to the Illinois Department of 
Public Health, Springfield, except in cities having a 
population of 500,000 or over. The Director of the 
Illinois Department of Public Health may agree to 
accept daily tabulated reports and monthly and an- 
nual statistical reports from such cities, 
(4) Information identifying specific persons as in- 
fected with venereal diseases shall be confidential and 
shall be inaccessible to the public. No names, ad- 
dresses or other information concerning a patient 
shall be divulged except upon order of a court of 
record in a legal proceeding pending therein, upon 
request from other official health agencies, or by au- 
thorization of the patient. 
(5) Cases of venereal disease shall be reported 
on special forms furnished by the Illinois Department 
of Public Health to the physicians, or in cities having 
a population of 500,000 or over, the reports will be 
made on similar forms furnished by the city health 
department. 
(6) All venereal disease reports shall state either 
the name or the key or code number, address, age, sex, 6 
color, marital status, number of children, and occu- 
pation of the patient, name and address of employer 
of the patient, as well as the diagnosis, laboratory 
findings, name and address of the contacts of the in- 
fected individual; also if solicitation occurred, the 
name and address of the person soliciting and place 
of solicitation whenever it is obtainable. 
B. Reporting of Laboratory Results 
Public and private diagnostic laboratories shall re- 
port within twenty-four hours to the Illinois Depart- 
ment of Public Health or its duly authorized agent 
all positive results obtained in the examination of 
specimens submitted from cases of syphilis, gonor- 
rhea, chancroid, lymphogranuloma venereum and 
granuloma inguinale. These reports shall state the 
name, key, or code number of the person examined, 
the name and address of the physician or other person 
submitting the specimen, the laboratory result, the 
method employed and the date. They will also sub- 
mit a monthly report on forms furnished by the Illi- 
nois Department of Public Health giving the follow- 
ing information: 
(1) Total number of tests done for the differ- 
ent venereal diseases. 
(2) The number found positive. 
(3) The names and addresses of the physicians 
who submitted the positive specimens. 
In cities with a population of over 500,000 such re- 
ports will be sent directly to the City Health Depart- 
ment. 
C. Reporting of Termination of Case 
Upon termination of treatment of a case of venereal 
disease, which has been reported by name, code or 
key number, the attending physician shall report the 
fact to the Illinois Department of Public Health or 
to the health authority, to whom the original report 
was made, giving name, (code or key number), the 
date upon which the case was terminated and upon 
what grounds the case was terminated (i.e., “Cured”, 
transferred to another physician, lapsed treatment, 
etc.). If the diseased person discontinues treatment 
and is still in an infectious or potentially infectious 
condition (Rule III), the physician shall advise 
such diseased person that further treatment is neces- 
sary. If no notification of transfer to another phy- 
sician has been received by him after lapse of ten 
days, the name and address of such patient shall be 7 
reported to the Illinois Department of Public Health 
or to the health authority to whom the original report 
was made. The Illinois Department of Public Health 
or its representative will then take the necessary steps 
to bring the infectious patient again under control, 
making every effort to return the patient to the phy- 
sician originally reporting the case. 
RULE III—STANDARDS FOR THE DIAGNOSIS AND THE 
RELEASE OF VENEREAL DISEASE CASES 
standards0 
Acute emd Chronic Gonorrhea 
1. Diagnosis 
A diagnosis of infectious gonorrhea will be 
established when a person has either clinical 
signs, symptoms and history of acute gonor- 
rhea or is found to have positive laboratory 
findings, such as: 
a. Typical culture of gonococcus. 
b. A positive smear of gram negative intra- 
cellular diplococci typical of gonococcus 
in form and arrangement. 
2. Minimum Period of Control (Males) 
The period of control after the completion of 
treatment in all cases of gonorrhea in 
MALES shall be based on the following mini- 
mum criteria: 
a. Freedom from discharge. 
b. Clear urine (two-glass test). 
c. Three successive negative gonorrheal cul- 
tures on urethral specimens taken at in- 
tervals of at least 24 hours, 
or 
Three negative urethral smears (stained 
by Gram method) on three examinations 
at intervals of not less than 24 hours. 
d. Sounds should not be used. 
3. Minimum Period of Control (Females) 
The period of control after completion of 
treatment in all cases of gonorrhea in 
FEMALES shall be based on the following 
minimum criteria: 
a. Absence of any clinical findings of active 
gonorrheal infection. 
b. Three successive negative gonorrheal cul- 
tures on urethral and cervical specimens, 
and also from secretions of Skene’s and 
Bartholin’s glands, if any, taken at inter- 
vals of at least 48 hours, 
or 
cont°roiof(Males) 
Period of 
Control 
(Females) 8 
Two successive negative gonorrheal smears 
on urethral and cervical specimens, and 
also from secretions of Skene’s and Bar- 
tholin’s glands, if any discharge, taken at 
intervals of at least 48 hours and repeated 
for two successive weeks. 
The smears and cultures, as outlined above, 
shall be taken according to techniques recom- 
mended by the American Neisserian Medical 
Society. 
B. Syphilis 
1. Diagnostic Classification 
a. Primary syphilis (chancre present). 
The diagnosis of primary syphilis will be 
established when Treponema pallidum can 
be demonstrated in a lesion or in an adja- 
cent lymph node. 
b. Secondary syphilis. 
The diagnosis of secondary syphilis will 
be established in the presence of charac- 
teristic lesions of skin or mucous mem- 
branes, with or without lymphadenopathy, 
and with a positive blood test for 
syphilis. 
c. Asymptomatic syphilis of 4 years or less 
duration. 
This diagnosis will be established in a 
person with a known history of syphilis 
of 4 years duration or less and in whom 
no skin or mucous membrane lesions can 
be demonstrated. 
d. *Syphilis in pregnant women. 
e. Asymptomatic syphilis of more than 4 
years duration. 
Persons with a known history of syphilis 
of more than 4 years duration and with 
no evidence of other forms of late syphilis 
will be diagnosed as asymptomatic syp- 
hilis of more than 4 years duration. 
Other forms of late syphilis (see f, g, & h) 
will be established in conformance with 
appropriate clinical and laboratory find- 
ings. 
f. Cardiovascular syphilis (see under e). 
Uncomplicated aortitis 
Aortic regurgitation 
Aneurysm 
Other or undetermined 
Infectious 
Syphilis 
Potentially 
Infectious 
Syphilis 
Probably 
Non-infectious 
Syphilis 
• See under Minimum Period of Control. 9 
g. Neurosyphilis (see under e). 
Asymptomatic (spinal fluid changes 
only) 
Tabes dorsalis 
Paresis 
Other or undetermined 
h. Late syphilis other than above (see un- 
der e). 
Skin 
Bone 
Liver 
Other visceral 
i. ##Prenatal (congenital—infected before 
birth). 
The diagnosis of prenatal syphilis will 
be established when: 
1. There is a known diagnosis of 
syphilis in the mother, 
and 
2. Characteristic clinical findings as- 
sociated with a positive blood test 
are present in an infant under 8 
weeks of age 
or 
3. Repeatedly positive blood tests are 
found in an infant over eight weeks 
of age with or without clinical 
findings. 
Interstitial keratitis 
Other or undetermined 
Period of 
Control 
Minimum Period of Control 
To prevent the spread of infection all cases of 
infectious and potentially infectious syphilis shall 
remain under continuous medical care until all 
syphilitic lesions have healed and a minimum of 
20 injections of an arsenical and 20 injections 
of a heavy metal or its equivalent has been 
administered. To insure maximum benefit from 
treatment and guard against the occurrence of 
complications which may later incapacitate the 
patient, additional treatment is advised. 
The object of treatment in syphilis in pregnancy 
is to protect the unborn child. Treatment be- 
ginning and ending with an arsenical should ap- 
proximate as nearly as possible that for infectious 
syphilis, but will depend upon the condition of 
the patient and the time available. 
C. Chancroid 
1. Diagnosis 
** Syphilitic infants 
as such. 
After the exclusion of early syphilis by re- 
with florid eruptions are infectious and should be handled 10 
peated darkfield examinations and blood 
tests, the diagnosis of chancroid will be estab- 
tablished in the presence of clinical findings 
associated with a positive specific skin test or 
a smear or culture in which the Ducrey ba- 
cilli can be demonstrated. 
2. Minimum Period of Control 
Cases of chancroid shall be kept under obser- 
vation and treatment until all ulcers and dis- 
charging buboes are fully healed. 
D. Lymphogranuloma Venereum 
1. Diagnosis 
After exclusion of early syphilis and chan- 
croid, a diagnosis of lymphogranuloma vene- 
reum will be established in the presence of 
typical clinical findings associated with a 
positive specific skin test. 
2. Minimum Period of Control 
Cases of lymphogranuloma venereum shall be 
kept under observation and treatment until 
all acute inflammatory lesions have healed. 
E. Granuloma Inguinale 
1. Diagnosis 
After the exclusion of early syphilis and 
chancroid, a diagnosis of granuloma inguinale 
will be established in the presence of clinical 
findings associated with the laboratory dem- 
onstration of Donovan bodies. 
2. Minimum Period of Control 
Cases of granuloma inguinale shall be kept 
under observation and treatment until all 
skin lesions are fully healed. 
RULE IV—INFORMATION AND ADVICE 
Information 
and Advice 
It shall be the duty of every physician who treats 
venereal diseases to give to the patient or to a re- 
sponsible member of his family or to his guardian a 
circular of information and advice concerning ve- 
nereal diseases. These may be obtained from the 
Illinois Department of Public Health. 
RULE V—CHANGE OF PHYSICIAN 
Change of 
Physician 
A physician, whenever visited by a person for the 
treatment of a venereal disease, shall ascertain the 
name and address of any other doctor who previously 
may have diagnosed or treated the venereal infection. 
He shall then report the change of physician to the 
Department of Public Health, the former physician, 
or both. 11 
RULE VI—CONTROL OF SUSPECTED CASES OF 
VENEREAL DISEASE 
Examination 
of Suspected 
Cases 
All state, county, city and other health officers shall 
use every available means to ascertain the existence of, 
and to investigate all cases of syphilis, gonorrhea, 
chancroid, lymphogranuloma venereum and granu- 
loma inguinale within their several territorial juris- 
dictions for the purpose of obtaining the names of 
contacts of infectious cases and causing such contacts 
to be examined. Whenever a health officer shall have 
reasonable grounds to believe that any person within 
his jurisdiction is suffering from, or is infected with, 
any infectious venereal disease and is likely to infect 
any other person, said health officer shall cause a 
medical examination to be made of the suspected per- 
son in order to determine whether or not such person 
is in fact suffering from or is infected with an in- 
fectious venereal disease. Such persons may be de- 
tained in a hospital or other suitable place in accord- 
ance with Rule VII until the results of the necessary 
examinations are known, provided that the required 
examinations shall be made by the health officer, or 
at the option of the person to be examined by a 
licensed physician who, in the opinion of the health 
officer, is qualified for this work and is approved by 
him. Such examination shall be in accordance with 
standards set forth in Rule III and the results of the 
examinations, if performed by a licensed physician, 
shall be reported to the health officer. No certificate 
of freedom from venereal disease shall be issued to 
or for the person examined. 
Whenever a person reasonably believed to be in- 
fected with an infectious venereal disease refuses to 
submit to clinical and laboratory examinations or re- 
fuses to permit such specimens of blood or bodily 
discharges to be taken for laboratory examinations as 
may be necessary to establish the presence or absence 
of venereal disease, it shall be the duty of the health 
officer to place such person under quarantine in ac- 
cordance with Rule VII until such time as the neces- 
sary examinations are made. 
A suspected venereally infected person is a person 
who has been in direct or indirect intimate contact 
with a case of venereal disease or an infective carrier. 
The existence of reasonable grounds to believe that 
a person may have a venereal disease and is thereby 
a suspected case includes cases where an infected 
person names or identifies another person as having 
been in intimate contact with him or her. 
Persons 
Refusing 
Examination 
Suspected 
Persons 
Defined 12 
RULE VII—ISOLATION AND QUARANTINE 
Isolation and 
Quarantine 
Defined 
By isolation is meant the separation of a person 
suffering from a communicable disease, a carrier of 
the infecting organism, or a person suspected of hav- 
ing such a disease or of being a carrier, from other 
persons to such places and under such conditions as 
will prevent the direct or indirect conveyance of the 
infectious agent to non-immune persons. 
By quarantine is meant the limitation of freedom 
of movement of any person infected with a communi- 
cable disease, or who has been exposed to a commu- 
nicable disease and is capable of spreading infection, 
for the definite period of time stated in these rules as 
they pertain to venereal diseases. 
Quarantine being preventive, it is not necessary 
that persons quarantined or isolated be actually sick 
with the disease. 
Cases of suspected venereal diseases and those so 
diagnosed, if in an infective stage are, in the discre- 
tion of the Department of Public Health or its au- 
thorized agent, subject to the following regulations 
governing isolation: 
(a) Whenever possible, cases of venereal dis- 
ease subject to isolation and quarantine, 
should be cared for in hospitals. 
(b) Any person so quarantined and detained 
may at the patient’s request be cared for at 
the patient’s expense by the patient’s physi- 
cian in any hospital or institution approved 
by the State Department of Public Health 
or its authorized agent, but may not be re- 
leased from quarantine until final examina- 
tion is made by the State Department of 
Public Health or its authorized agent. 
(c) No patient under treatment by a physician, 
who has assumed responsibility that the 
patient will observe proper precaution to 
prevent the spread of the disease, shall be 
pronounced cured or released from control 
or quarantine until he has been pronounced 
non-infectious after applying standard clin- 
ical and laboratory tests and a terminal 
examination is made by the State Depart- 
ment of Public Health or its authorized 
agent. 
Definition: 13 
RULE VIII—PERSONS AIDING IN VIOLATION OF QUARANTINE 
Quarantine1 
It is unlawful for any person to aid or abet another 
person in violating quarantine or isolation after it 
has been established. It is a misdemeanor and sub- 
ject to the penalties provided in Chapter lll1 Para- 
graph 24, Illinois Revised Statutes (Smith-Hurd). 
RULE IX—EXPOSURE OF OTHERS TO INFECTION PROHIRITED 
Exposure of 
Others to 
Infection 
Prohibited 
(1) No person knowing himself or herself to be 
venereally infected, shall inoculate any other person 
with any venereal disease, or perform or commit any 
act which exposes any other person to inoculation of, 
or infection with, any of said diseases. 
(2) Such persons as are found to be diseased 
whether confined in a given area or allowed to cir- 
culate at will, shall not engage in any occupation, the 
nature of which is such that there is likelihood that 
the disease may be imparted to others in the course 
of the occupation. 
(3) Any school child who is suffering from infec- 
tious venereal disease shall be excluded from school; 
he shall be re-admitted only after a statement, that 
he is no longer infectious, has been received from his 
physician by the authorized health authority and a 
terminal examination has been made by this authority. 
Occupations 
School 
Children 
Responsibility 
for Minors 
RULE 
X—RESPONSIBILITY FOR MINORS 
When any minor has acquired a venereal disease, 
his or her parents or guardians shall be responsible 
for the compliance of such minors with the require- 
ments of the rules and regulations pertaining to 
venereal diseases. 
Placards 
RULE 
XI—PLACARDS 
When a health department determines it necessary 
to protect the public health, premises shall be pla- 
carded in the following manner: A red card of 
dimensions not less than 6 by 10 inches, bearing at 
least the inscription, “Venereal Disease”, printed in 
black with bold face type not less than iy2 inches in 
height and “Keep Out”, printed in black with bold 
type not less than one inch in height, shall be affixed 
in a conspicuous place at each outside entrance of the 
building, house or flat as the case may be. 
Defacement or concealment of such placards or 
their removal by any person other than the local or 
State authorities is strictly prohibited. The local 
health authority shall remove the placard when the 
case or carrier has been removed or is cured or is no 
longer infectious. (See Rule III). 
Removal 14 
The following premises may be placarded by or on 
order of the local health authority: 
(a) Premises used for immoral purposes, when 
such premises are known to harbor a person 
afflicted with an infective venereal disease, 
or a person reasonably believed to be in- 
fected with an infective venereal disease as 
described in Rule VI. 
(b) Premises in which the person infected with 
a venereal disease cannot be isolated or con- 
trolled otherwise. 
(c) Premises which infected persons are known 
to frequent for making contacts for immoral 
purposes. 
(d) Premises that have been placarded shall be 
regarded as under quarantine and no person 
shall enter such quarantined premises except 
attending physicians, ministers of the gospel, 
local and state health authorities and their 
authorized representatives and visiting 
nurses properly trained in the control of 
communicable diseases. Wage earners, under 
special restrictions, may enter and leave 
quarantined premises in the performance of 
their duties. 
Premises 
to be 
Placarded 
RULE XII—CERTIFICATE OF FREEDOM FROM 
VENEREAL DISEASE 
Health 
Certificates 
No physician, local health authority or other per- 
son shall issue certificates of freedom from venereal 
diseases to or for any person, except as designated by 
law or by these rules and regulations. 
RULE XIII—REMOVAL FROM ONE HEALTH IURISDICTION 
TO ANOTHER 
Removal from 
One Health 
J urisdiction 
To Another 
No person having or suspected of having a venereal 
disease in an infectious stage shall move or be re- 
moved from one health jurisdiction to another, with- 
out first securing permission to do so from the local 
> authority of the place from which removal is to be 
made, or from the Illinois Department of Public 
Health. Such permission may be granted under the 
following conditions: 
(a) That the object of the proposed removal 
shall be deemed by the issuing health officer 
as urgent and legitimate and not for the 
purpose of relieving one community of an 
undesirable burden at the expense of an- 
other; or 
(b) That removal is necessitated in order to 
utilize the facilities of a medical institution 
for treatment, isolation and quarantine; and 15 
(c) That removal will be made without endan- 
gering the health of others, either in transit 
or at destination; and 
(d) That the patient, requesting permission to 
move, agrees to report in person to the local 
health authority immediately upon arrival at 
destination, or agrees to place himself or her- 
self under the care of a reputable physician 
(to be named in the removal permit) on ar- 
rival at destination, and attending physician 
assumes responsibility for fulfillment of this 
agreement; the address of patient or his new 
place of employment after removal shall be 
known and stated; and removal shall not be 
made within twenty-four hours after notice 
of removal has been forwarded by first-class 
mail to the health officer at proposed destina- 
tion of the venereally infected person, which 
notice shall be made out and signed by the 
health authority granting permission for re- 
moval. 
If a patient fails to report to the local health officer 
or to the physician named in the removal permit, the 
local health officer shall make a determined effort to 
locate said patient at the new address or place of em- 
ployment and take necessary control measures. 
RULE XIV—EXAMINATION OF INMATES OF TAILS. 
MEDICAL INSTITUTIONS. ETC. 
Examination 
of Inmates 
of Jails, Medical 
Institutions, 
etc. 
Any person apprehended and/or committed to or 
confined in any lock-up jail, house of correction or 
other penal or correctional institution, detention hos- 
pital, or any State, county or city charitable institu- 
tution, shall be given a thorough medical examination 
at the time of admission to determine the existence of 
any venereal disease. If a person is found to be in- 
fected with any venereal disease in an infectious stage, 
he shall be removed promptly to quarters where 
proper treatment and control can be maintained and 
there held in quarantine for such time as is necessary 
to render the patient non-infectious. 
A report of any such case found shall be made by 
the superintendent or other administrator of the in- 
stitution or by the attending physician to the local 
health authority within twenty-four hours after the 
facts are known. All institutions of the kind named 
shall keep proper records readily available in which 
are shown the dates, diagnosis, name, date of report, 
number of the case and the signature of the reporting 
person. 16 
No superintendent or other administrative officer 
shall discharge any prisoner, who is suffering from 
a venereal disease in an infectious or potentially in- 
fectious stage or who is a carrier of a venereal dis- 
ease, without first reporting to the state or local health 
authorities at the point of destination, the name and 
street address of such person, the disease and the date 
of intended discharge. Such person shall be referred 
to the local health authority at the point of destina- 
tion where appropriate plans for isolation and quar- 
antine shall be made. If he does not report within 
three days from the date of discharge, the health au- 
thority shall notify the Illinois Department of Public 
Health. 
False 
Information 
RULE 
XV—GIVING FALSE INFORMATION 
It is a violation of these rules for any diseased per- 
son or for any physician, drugless healer, pharmacist, 
dentist, hospital superintendent, laboratory worker, 
attendant, nurse, or other person of whom informa- 
tion is required by these rules, knowingly to give an 
incorrect name and address or to impart false infor- 
mation regarding a venerally infected person. 
RULE XVI—PROSTITUTION AS IT PERTAINS TO VENEREAL 
DISEASE CONTROL 
Prostitution 
As it Pertains 
to Venereal 
Disease 
The repression of prostitution is hereby declared to 
be a legal and police measure. In view of the fact that 
venereal diseases are spread substantially by prosti- 
tutes and promiscuous girls, all local health officers 
shall give full support to the police department in its 
efforts to repress prostitution. 
Whenever local health authorities have reason to 
believe that certain locations are breeding places of 
venereal disease, they should immediately report the 
addresses to the police authorities for their appro- 
priate investigation and action on their findings. 17 
II. STATUTES DIRECTLY OR INDIRECTLY AFFECT- 
1NG VENEREAL DISEASE CONTROL 
Power of State 
Department of 
Health 
An Act in relation to public health. (Par. 22-24, 
Chapter Illinois Revised Statutes 1943. 
22. Power op department.] Sec. 2. The State 
Department of Public Health has general supervision 
of the interests of the health and lives of the people 
of the State. It has supreme authority in matters of 
quarantine, and may declare and enforce quarantine 
when none exists, and may modify or relax quaran- 
tine when it has been established. The Department 
may make such rules and regulations and such sani- 
tary investigations as it may from time to time deem 
necessary for the preservation and improvement of 
the public health, and may regulate the transportation 
of the remains of deceased persons. All local boards 
of health, health authorities and officers, police offi- 
cers, sheriffs, constables and all other officers and 
employees of the state or any county, village, city 
or township thereof, shall enforce the rules and regu- 
lations so adopted. 
The Department of Public Health shall investigate 
the causes of dangerously contagious or infectious 
diseases, especially when existing in epidemic form, 
and take means to restrict and suppress the same, and 
whenever such disease becomes, or threatens to be- 
come epidemic, in any village or city, and the local 
board of health or local authorities neglect or refuse 
to enforce efficient measures for its restriction or sup- 
pression or to act with sufficient promptness or effi- 
ciency, or whenever the local board of health or local 
authorities neglect or refuse to promptly enforce effi- 
cient measures for the restriction or suppression of 
dangerously contagious or infectious diseases, the De- 
partment of Public Health may enforce such measures 
as it deems necessary to protect the public health, and 
all necessary expenses so incurred shall be paid by 
the city or village for which services are rendered. 
The Department of Public Health may establish 
and maintain a chemical and bacteriologic laboratory 
for the examination of public water supplies, and for 
the diagnosis of diphtheria, typhoid fever, tubercu- 
losis, malarial fever and such other diseases as it 
deems necessary for the protection of the public 
health. 
24. Penalties—How disposed op.] Sec. 7. Who- 
ever violates or refuses to obey any rule or regulation 
of the Department of Public Health shall be liable to 
a fine not to exceed $200 for each offense or imprison- 
Penalties 
for Violations 18 
merit in the county jail not exceeding six months, or 
both, in the discretion of the court. All prosecutions 
and proceedings instituted by the Department of 
Public Health for violation of its rules and regula- 
tions shall be instituted by the Director thereof, and 
each State’s Attorney shall prosecute all persons in 
his county violating or refusing to obey the rules and 
regulations of the Department of Public Health. All 
fines or judgments collected or received shall be paid 
to the State Treasurer. 
An Act concerning blood tests for pregnant women 
for the purpose of preventing prenatal syphilis. 
Par. 113a-113c, Chapter 91, Illinois Revised 
Statutes 1943. 
113a. Blood tests for pregnant women, as to 
syphilis.] Sec. 1. Every physician, or other person, 
attending in a professional capacity a pregnant 
woman in Illinois, shall take or cause to be taken a 
sample of blood of such woman at the time of the first 
examination. Said blood specimen shall be submitted 
to a laboratory approved by the State Department of 
Public Health for a serological test for syphilis ap- 
proved by the State Department of Public Health. 
In the event that any such blood test shall show a 
positive or doubtful result a second test shall be made. 
Such serological test or tests shall, upon request of 
any physician in the State, be made free of charge by 
the State Department of Public Health or the Health 
Departments of cities, villages and incorporated towns 
maintaining Health Departments. 
113b. Birth certificates, statements as to such 
blood tests.] Sec. 2. In reporting every birth or 
stillbirth, physicians and others required to make such 
reports shall state on the birth certificate or stillbirth 
certificate, as the case may be, 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 certificate is filed, together with 
the date when the blood specimen was taken and the 
name of the laboratory making the test. In no event 
shall the birth or stillbirth certificate state the result 
of the test. 
113c. State Department of Health to admin- 
ister ACT CONCERNING BLOOD TESTS FOR PREGNANT 
women.] Sec. 3. This act shall be administered by 
the State Denartment of Public Health. 
Prenatal 
Health Law 
An Act to revise the law in relation to marriages, 
Par 6a, Chapter 89, Illinois Revised Statutes 1943. 19 
Premarital 
Health Law 
Examination for venereal disease—Certificate 
OF NEGATIVE FINDINGS—FILING LABORATORY TESTS 
Issuance of marriage licenses irrespective of lab- 
oratory TESTS AND CLINICAL EXAMINATION PENALT- 
ties—License void after 30 days.] Sec. 6a. All per- 
sons making application for a license to marry shall at 
any time within fifteen (15) days prior to such appli- 
cation be examined by a duly licensed physician as to 
the existence of or freedom from any venereal disease, 
and, except as otherwise herein provided, it shall be 
unlawful for the county clerk of any county to issue a 
license to marry to any person who fails to present 
for filing with such county clerk a certificate signed 
by such physician setting forth that such person to 
the proposed marriage is free from venereal diseases 
as nearly as can be determined by a thorough physical 
examination and such standard microscopic and sero- 
logical tests as are necessary for the discovery of 
venereal diseases. If, on the basis of negative labor- 
atory and clinical findings the physician in attendance 
finds no evidence of venereal diseases, he shall issue 
a certificate to that effect to the examinee, which cer- 
tificate shall read as follows, to-wit: 
I, (Name of Physician) being a 
physician, legally licensed to practice in the State of 
(my credentials being filed in the 
office of in the City of 
County of State of ) 
do certify that I did on the day of 
19. . . . make a thorough examination of 
and considered the result of a microscopical examina- 
tion for gonococci and an approved serological test 
for syphilis, which was made at my request, and be- 
lieve to be free from all venereal 
diseases. 
Examination of 
Applicants for 
License to 
Marry 
Signature of Physician. 
Signature of Person Examined. 
Such certificate of negative findings as to each of 
the parties to a proposed marriage to which laboratory 
reports of microscopical examinations of smears from 
the genitalia for the gonococcus of gonorrhea and 
serologic tests for syphilis are attached, shall be filed 
with the county clerk of the county wherein the mar- 
riage is to be solemnized at the time application is 
made for a license to marry. Laboratory tests for 
venereal diseases required hereunder shall be tests 
approved by the State Department of Public Health 20 
and shall be made by laboratories of said Department 
or by such other laboratories as are approved by said 
Department. Such tests as may be made by the health 
departments of cities, villages and incorporated 
towns maintaining laboratories shall be free of charge. 
The results of all laboratory tests shall be reported 
on standard forms prescribed by the State Depart- 
ment of Public Health. 
Whenever any such physician’s certificate is re- 
quired by the provisions of this section, the person 
whose name is set forth therein as the person who was 
examined by such physician shall sign such certifi- 
cate in the presence of such physician before such cer- 
tificate is filed in the office of the county clerk. 
Irrespective of the results of laboratory tests and 
clinical examination, the clerks of the respective 
counties shall issue a marriage license to parties to a 
proposed marriage (a) when the woman is pregnant 
at the time of such application, and (b) when the 
woman has, prior to the time of application, given 
birth to an illegitimate child which is living at the 
time of such application and the man making such 
application makes affidavit that he is the father of 
such illegitimate child. The county clerk shall, in 
lieu of the health certificate required hereunder, ac- 
cept, as the case may be, either an affidavit on a form 
prescribed by the State Department of Public Health, 
signed by a physician duly licensed in this State, stat- 
ing that the woman is pregnant, or a copy of the 
birth record of the illegitimate child, if one is avail- 
able in this State, or if such birth record is not avail- 
able, an affidavit signed by the woman that she is the 
mother of such child. 
Also irrespective of the results of laboratory tests 
and clinical examination, the clerks of the respective 
counties shall issue a marriage license to parties to a 
proposed marriage when, after investigation, the 
Director of the State Department of Public Health, 
or his duly authorized representative, issues or causes 
to be issued a certificate that such marriage may be 
consummated without serious danger to the health 
of either party to the proposed marriage, or to any 
issue of such marriage. 
Any county clerk who unlawfully issues a license 
to marry to any person who fails to present for filing 
the certificate provided for in this Act or who refuses 
to issue a license to marry to any person legally en- 
titled thereto under this Act, or any physician who 
knowingly and wilfully makes any false statement in 
the certificate or permits any person to sign such 
certificate as the person examined other than the per- 
Pregnancy 
Special 
Certificate 21 
son named by the physician in such certificate as the 
person examined, or any party or parties having 
knowledge of any matter relating or pertaining to the 
examination of any applicant for license to marry, 
who discloses the same, or any portion thereof, except 
as may be required by law, shall upon proof thereof, 
be punished by a fine of not less than $100.00 nor 
more than $500.00 for each and every offense. 
Any person who obtains any license to marry con- 
trary to the provisions of this section shall, upon 
conviction thereof, be punished by a fine of not less 
than $100.00 or by imprisonment in the county jail 
for not less than three (3) months or by both such 
fine and imprisonment. 
Any license to marry issued hereunder, is void 
thirty (30) days after the date thereof. 
Segregation and 
Treatment of 
Diseased 
Persons 
An Act to enable counties or cities to segregate and 
treat persons suffering from certain communicable 
diseases. Par. 389-392, Chapter 23, Illinois Revised 
Statutes 1943. 
389. County or city authorized to segregate 
and treat diseased persons.] Sec. 1. Be it enacted 
by the People of the State of Illinois, represented in 
the General Assembly: That any county or city may 
by ordinance or order provide for the segregation 
and treatment of persons suffering from communica- 
ble venereal diseases. 
390. Hospitals.] Sec. 2. Such counties or cities 
may provide for the procurement and maintenance of 
hospitals, sanitaria or clinics or for the segregation 
or treatment in hospitals, sanitaria or clinics already 
established and pay the cost and expenses thereof 
from the public funds of such county or city. 
391. Who to admit.] Sec. 3. Any person suffer- 
ing from any communicable venereal disease may ap- 
ply to the county or city clerk, the clerk of any 
County or City Court or to any peace officer for ad- 
mission to treatment in such county or city hospital, 
sanitarium or clinic and it shall be the duty of such 
officer to refer such applicants to the director or per- 
son in charge of such institution to treat such appli- 
cant as the case may require. 
392. Persons charged with crime to be 
treated.] Sec. 4. When it appears to any judge or 
justice of the peace from the evidence or otherwise 
that any person coming before him on any criminal 
charge may be suffering from any communicable 
venereal disease, it shall be the duty of such judge or 
justice of the peace to refer such person to the director 22 
of such hospital, sanitarium or clinic, or to such other 
officer as shall be selected or appointed, for the pur- 
pose of examining the accused person, and if such 
person be found to be suffering from any communi- 
cable venereal disease, he or she may by order of the 
court be sent for treatment to a hospital, sanitarium 
or clinic if any be available and if necessary to be 
segregated for such term as the court may impose at 
such hospital, sanitarium or clinic. 23 
111. DECISIONS OF THE SUPREME COURT AND 
OPINIONS OF THE ATTORNEY GENERAL 
Power 
to Detain 
Suspected 
Cases 
Excerpts from—People v. Strautz, 386 Illinois 360: 
“The power to detain a person who is suspected of 
having a contagious disease rests in the police power 
of the State. When a state employs its police power 
to safeguard the public health it may act in a sum- 
mary manner even though the result is to deprive a 
citizen of his liberty. Such powers were recognized 
and approved in People ex rel. Barmore v. Robertson, 
102 111. 422, at page 427, where we hold; 'Among 
all the objects sought to be secured by governmental 
laws none is more important than the preservation of 
public health. The duty to preserve the public health 
finds ample support in the police power, which is 
inherent in the State and which the State cannot sur- 
render. Every state has acknowledged power to pass 
and enforce quarantine health and inspection laws 
to prevent the introduction of disease, pestilence and 
unwholesome food, and such laws must be submitted 
to by individuals for the good of the public. The 
constitutional guarantees that no person shall be de- 
prived of life, liberty or property without due process 
of law, and that no state shall deny to any person 
within its jurisdiction the equal protection of the 
laws, were not intended to limit the subjects upon 
which the police power of a state may lawfully be 
asserted in this any more than in any other connec- 
tion’,” 
‘ ‘ It may be pointed out that a venereal disease most 
often exists within the veil of secrecy. Certainly one 
who is charged with soliciting to prostitution and one 
of lewd and lascivious character is one who may first 
be suspected of carrying such dreadful affliction. It 
is most reasonable to suspect that both of the peti- 
tioners, if carrying on the practice of prostitution, are 
indiscriminate and promiscuous in their bodily con- 
tacts and are natural subjects and carriers of venereal 
disease. In the instant case it was therefore logical 
and natural that suspicion immediately be cast upon 
them and necessity dictate a physical examination of 
their persons. The citizens of East St. Louis, the 
war workers and soldiers in its vicinity are entitled 
to protection against social diseases. Petitioners fur- 
thermore have agreed, for the purpose of this suit, 
that their arrest was legal and proper, that the com- 24 
plaints later filed and the warrants issued likewise 
are legal and proper. Such being the case, their de- 
tention for examination by the clinic as suspects car- 
rying venereal diseases is likewise reasonable and 
proper. . . 
“Section 4 violates no part of the Criminal Code 
since it is based upon the police power of the State 
and does not fall within the provisions of the Criminal 
Code. This likewise answers the contention that the 
petitioners were held without bail, since quarantine 
under the police provisions naturally implies such a 
detention and demands it.” 
Rules and 
Regulations 
Have the 
Force of Law 
The Supreme Court, in the case of People vs. 
Robertson, 302 Illinois 427, held that the State De- 
partment of Public Health has authority to determine 
what is a contagious or infectious disease and to iso- 
late persons infected therewith or who are carriers 
thereof. 
It was further held that the State Department of 
Public Health has authority to make and promulgate 
Rules and Regulations necessary to the exercise of its 
powers and that such Rules and Regulations have 
the force of law. 
ILLINOIS ATTORNEY GENERAL'S REPORT AND OPINIONS 
Opinion No. 120 (March 16, 1942) (Excerpts) 
H E ALT H—QUARANTINE. 
“The Department of Public Health has the power 
to make and enforce reasonable rules and regulations 
to prevent the spread of contagious and infectious 
diseases; this includes the power to impose quaran- 
tine restrictions. 
“Typhoid fever carriers may be quarantined. 
“If the Department of Public Health has reason- 
able grounds to believe that an individual is a typhoid 
carrier, he may be quarantined. 
“In a proper exercise of its powers the Department 
of Public Health may require an examination of a 
person who it has reasonable grounds to believe is a 
typhoid carrier, and if he refuses to submit to such 
examination for the purpose of determining whether 
he is a typhoid carrier, he may be quarantined. 
‘ ‘ Quarantine is not the only alternative if a person 
suspected of being a typhoid carrier refuses to submit 
to an examination; in a proper case such person may 
be subjected to a fine or imprisonment under Section 
24, Chapter Illinois Revised Statutes 1941.” 
Regarding the 
Power of 
Quarantine 25 
Quarantine 
in Relation to 
Venereal 
Disease 
Control 
APPLICATION OF OPINION NO. 120 TO 
VENEREAL DISEASE CONTROL (Ex- 
cerpt from letter from Attorney General to 
Director of Department of Public Health). 
“In reply to your communication of December 29, 
1943, your attention is directed to Opinion No. 120, 
addressed to you under date of March 16, 1942, con- 
cerning the examination or isolation of typhoid con- 
tacts. What was said in that opinion with respect 
to typhoid is, in my opinion, equally applicable to 
venereal disease.” 26 
IV. DIVISION OF VENEREAL DISEASE CONTROL- 
ADMINISTRATION 
The Division of Venereal Disease Control is one 
of the fifteen divisions set up by the Director of the 
Department of Public Health. It is administered by 
the Chief of this Division, who also serves as venereal 
disease control officer for the State of Illinois. The 
administrative responsibility for all local venereal 
disease activities, including venereal disease clinic 
management is assumed by the full time city, county, 
or district health officers. They perform the duties of 
the venereal disease control officer in the localities 
under their jurisdiction. All venereal disease control 
programs are carried on with the approval and co- 
operation of the local county medical societies. 
The venereal disease control program of the State 
of Illinois is based on the well-known public health 
principles. The objectives of this program are: 
1. To diagnose as early as possible every case of 
venereal disease. (Case Finding) 
2. To institute competent medical care as soon 
as diagnosis is made. (Treatment Provision) 
Isolation of suspected sources and quarantine 
of infectious cases. (Prevention of Spread) 
3. To keep infectious cases under medical care 
until they are no longer a menace to society 
or to themselves. (Case Holding) 
4. To prevent new infections by medical, educa- 
tional and legal measures. (Prevention) 
Free laboratory services for all physicians in the 
State of Illinois include smears and cultures for gon- 
orrhea, blood serology, darkfield and spinal fluid ex- 
aminations for syphilis. Kahn verification tests are 
done only at the Chicago Branch Laboratory at 1800 
West Fillmore Street. 
Free drugs are furnished for all reported cases of 
gonorrhea and syphilis. These include sulfathiazole, 
neoarsphenamine, arsenoxide, sulpharsphenamine, try- 
parsamide, acetarsone, bismuth, mercury, sodium 
thiosulphate and calcium gluconate. 
The establishment of venereal disease clinics is 
recommended only in those communities where little 
or no provision is made for the treatment of indigent 
syphilis and gonorrhea patients. The policy is to 
establish these clinics with the cooperation of the 
Administration 
Objectives 
Laboratory 
Services 
Drug 
Distribution 
Venereal 
Disease 
Clinics 27 
local county medical society, which recommends the 
clinician in charge, as well as the public health clinic 
nurse. The full-time city, county or district health 
officer is responsible for the administrative control of 
the venereal disease clinic in his jurisdiction. The 
township or county supervisors are responsible for 
the provision and maintenance of suitable quarters. 
The State Department of Public Health furnishes all 
the necessary equipment, drugs, and laboratory 
services, and provides for the salary of the clincian 
in charge and of the public health clinic nurse. There 
are thirty-five clinics located in downstate Illinois. 
City and County Address 
Alton, Madison Krug Building 
Aurora, Kane Lincoln Building 
Berwyn, Cook 6600 West 26th Street 
Belleville, St. Clair Commercial Building 
Bloomington, McLean Eddy Building 
Cairo, Alexander Marine Hospital 
Calumet City, Cook 138 Pulaski Road 
Canton, Fulton..First State Bank and Trust Building 
Centralia, Marion 122 E. Broadway 
Champaign-Urbana, Champaign. . 505 S. Fifth Street 
Chicago Heights, Cook St. James Hospital 
Decatur, Macon.... Decatur-Macon County Hospital 
East St. Louis, St. Clair 112 North Fifth Street 
Evanston, Cook 1806 Maple Avenue 
Galesburg, Knox Bank of Galesburg Building 
Granite City, Madison Darner Building 
Harvey, Cook 15430 Parle Avenue 
Herrin, Williamson 110 Cherry Street 
Jacksonville, Morgan Passavant Hospital 
Joliet, Will 21 East Van Buren Street 
La Salle, La Salle Hygienic Institute 
Macomb, McDonough 1241/2 N. Lafayette Street 
Marion, Williamson City Hall 
Mattoon, Coles 16321/2 Broadway 
Maywood-Melrose Park, Cook 
154 Broadway, Melrose Park 
Metropolis, Massac. . County Court House—2nd Floor 
Moline, Rock Island 1530 Second Avenue 
Peoria, Peoria 508 Main Street 
Quincy, Adams Majestic Building 
Rockford, Winnebago Mead Building 
Robbins, Cook 3421 West 137th Street 
Salem, Marion James Building 
Shawneetown, Gallatin Court House 
Springfield, Sangamon St. John’s Hospital 
Waukegan, Lake 20 S. Utica Street 28 
Consultation 
Services 
Consultation services are furnished free of charge, 
at the request of the attending physician, by the 
venereal disease control officer or consultant syphilolo- 
gist, as well as by all state clinicians in charge of the 
venereal disease clinics. 
Professional educational materials available to 
physicians include publications on various phases of 
gonorrhea and syphilis; motion pictures; and pre- 
scheduled treatment outlines based upon the princi- 
ples of treatment recommended by the Cooperative 
Clinical Group. Refresher or post graduate courses 
are given periodically at the Chicago Municipal So- 
cial Hygiene Clinic. All physicians are invited to 
attend, without charge. 
The success of the control of syphilis and gonorrhea 
depends very largely upon the careful tracing of every 
infection to its original source and the investigation 
of every person whom the patient might have exposed. 
All venereal disease investigations must be made with 
the permission and cooperation of the physician re- 
porting and treating the case. Routine epidemiologi- 
cal investigations are made in all cases of primary and 
secondary syphilis, gonorrhea and certain other types 
of venereal diseases needing special investigation; and 
in all cases when there are reasonable grounds to be- 
lieve a person may be suffering from a venereal dis- 
ease or may have been exposed to a venereal disease. 
Epidemiological investigations are made by city, 
county or district health officers, communicable dis- 
ease investigators, nurses, deputized quarantine offi- 
cers and other staff investigators. 
Follow-up services for patients who have discon- 
tinued or interrupted their courses of treatment with 
private physicians are undertaken by the above- 
mentioned investigators. Every effort is made to re- 
turn infectious cases for further treatment to the 
physician who originally reported the case. 
Epidemiology 
Investigation 
Staff 
Follow-Up 
Procedure 
HOSPITAL FACILITIES IN DOWNSTATE ILLINOIS 
In accordance with authority vested by law (Sec- 
tion 55, Paragraph 1, of the Civil Administrative 
Code and Section 22, Paragraph 2, State Board of 
Health Act), in the State Department of Public 
Health, the Director of the State Department of Pub- 
lic Health has designated and declared the Alton, 
Chicago, East Moline, Kankakee and Peoria State 
Hospitals as quarantine detention hospitals for the 
purpose of accepting and retaining under quarantine, 
until such time as they may be released without dan- 
ger of spreading to others, any patient suffering from 29 
any communicable venereal disease who may be 
brought to such hospital or institution by State or 
local health officials for the purpose of quarantine and 
treatment. 
Under the same authority cited above, the Director 
appointed the Managing Officers of the above men- 
tioned state hospitals as Quarantine Officers of the 
State Department of Public Health in said hospitals. 
The quarantine detention hospitals are: 
Alton State Hospital 
Chicago State Hospital 
East Moline State Hospital 
Kankakee State Hospital 
Peoria State Hospital 
Arrangements should be made through the city, 
county or district health officers. 
Through the cooperation of the Department of Pub- 
lic Welfare facilities have been provided in the state 
hospitals listed below for the administration of fever 
therapy to cases diagnosed as asymptomatic cerebro- 
spinal syphilis, based upon a positive spinal fluid ex- 
amination. These patients are regarded as voluntary 
or guest admissions. 
Alton State Hospital 
Anna State Hospital 
East Moline State Hospital 
Peoria State Hospital 
Jacksonville State Hospital 
Kankakee State Hospital 
Chicago State Hospital 
Elgin State Hospital 
Manteno State Hospital 
Arrangements should be made through the city, 
county or district health officers. 
The Department of Public Health will pay private 
physicians at an established fee rate for the treatment 
of indigent cases of infectious venereal diseases in 
those cities where no venereal disease clinic exists and 
also in areas which are too far distant from any estab- 
lished venereal disease clinic. Authorization for 
treatment by private physicians is issued only by 
the Chief of the Division of Venereal Disease Control. 
Arrangements should be made by the city, county 
and district health officers. 
Quarantine 
Hospitals 
Method of 
Admission 
Fever 
Therapy 
Method of 
Admission 
T reatment 
of Indigents 
by Private 
Physicians 
Method of 
Authorization