International Health Regulations Act, 1974
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STAATSKOERANT VAN. DIE REPUBLIEK VAN SUID-AFRIKA
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. . REPUBLIC OF. SOUTH AFRICA
GOVERNMENT.: GAZETTE A.! 'n Nuusblad hi die Poskantoor Geregistreer · Regisier'eJ at the Post Office as a Newspaper
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. ' Prys ~ 20c Price
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KAAPSTAD, 15 MAART 1974
CAPE TOWN, 15 MARCH 1974 [No. 4219
DEPARTEMENT VAN DIE EERSTE MINISTER DEPARTMENT OF THE PRIME MINISTER
No. 377. 15 March 1974.
It is hereby notified that the State President has assented to the following Act which is hereby published for general information:- ·
Hierby word bekend gemaak dat die Staatspresident sy goedkeuring geheg het aan die onderstaande Wet wat hierby jer algemene inligting gepubliseer word:- · .
~o. 28 van 1974: Wet op die lnternasionale Gesond- heidsregulasies, 1974.
No. 28 of 1974: ·International Health Regulations Act, 1974.
: GOVERNMENT GAZETTE; 1S MARCH 1974 'No. 4219 ;3
INTERNATIONAL HEALTH REGULATIONS ACT, 1974. ACf No. 28, 1974 ' I j ~ j • I
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ACT·· .... ,•. . ! . . . To apply the Intemational Health . Regnlations, adopted. by the
· · · · World Health Assembly, In the Repnblle, and to provide for Incidental matters. ·
.:. ' v' ,,, •(Afrikaans text.Signed by the" State President.)' I: .'.' (Assented to 1 March 1974.) .·.·•·!.'·r;•,,.,_;.,~;
BE IT ENACTED by the State President, the Senate and the House of Assembly of the Republic of South Africa, as
follows:-
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1. In this Act. unless the context otherwise indicates- Definitions. "Republic" includes the :territory of South. West •Africa; "the International Health Regulations" mean the Inter-
national Health Regulations adopted by the World Health Assembly at Boston on 2S·July 1969, and set out in the Schedule.
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2. The International Health Regulations shall, subject to the Applica~ion or provisions of this Act. apply in the Republic. . . . . . . , . InternatiOnal .
. · . · · · · · . - Health Regulations · ' ". In Republic. '·.
· ·: 3. (I) The State. President may by proclamation in the Promulgation or Gazette- . . . . . · . . . . proclamatl~ns
. . . . . · . · · , and regulations by (a) designate any part in the Republic which shall, for the State President.
purposes of Article 17, of the International Health.·:.. · Regulations, be deemed to be an approved port;' .. ' ' I ' ' .•
(b) designate any airport in the Republic which shall, for:.· '. • the purposes of. the International Health Regulations, • . ,
· · · 'be deemed to be a sanitary airport;. ·. · · (c) apply in the Republic, without any modification or, · ·
with such modifications as he may deem fit, any regu- · . -lation. adopted. by the World Health Assembly, after · . ~ the commencement of this Act. to amend or supplement ·
· the International Health Regulations.· ' . " · . · · (2) The State President may make regulations- . . . . · · · ·
·· (a)· to· give effect to ariy provision of the International , , . Health Regulations as applicable in the Republic; ,
(b) prescribing fees, and providing for the recovery of any ' .' expenditure incurred, in connection with'the applica- ·
· · tio!l in the Republic of the International Health Regu- · ':. · lations. , . , . . -·, . . . : .. , .. · ..
(3) Any regulation made under subsection (2) may prescribe · · '· ' ' penalties for any contravention thereof or failure to comply :. · . ,
. ' . therewith; but no such penalty shall exceed a fine of five hundred.' '·' · rand or imprisonment for a period of six months. . · · .. · ·: , ·. ·
(4) Any proclamation made under subsection (1) and any· ...... : regulation· made under subsection (2) . shall· be laid upon the · Tables of both Houses of Parliament within fourteen days after ' ··: · .
. promulgation thereof if Parliament is in ordinary session or~ if.. . . , .: ~ .. . • Parliament is not in ordinary session, within fourteen days after . : ..
the commencement ofits next ensuing ordinary session. · · • ··· "· •:.
GOVERNMENT GAZETI'E, IS MARCH 1974 No:4219' S·
INTERNATIONAL HEAL Til REGULATIONS,Acr, 1974. Act No. 28,1974··'
(5) ·Any proclamation or regulation referred to in subsection (4) or any provision thereof may by resolution passed by both Houses of Parliament during the session in which such procla· mation or regulation has been laid upon the Tables, be disap-
. proved of and thereupon the provisions of section 12 (2) of the . Interpretation Act, 1957 (Act No. 33 of 1957), shall apply as if such resolution were a law repealing such proclamation, regu· lation or provision.
4. Any offence contemplated in section 3 (3) shall for the Jurisdiction. . purposes of jurisdiction be deemed to have been committed in · any place where the accused happens to be.
· 5. This Act and any amendment thereof shall apply also in Application or the territory of South West Africa, including the Eastern Capri vi Awct ltnM.S~uth Zipfel. es nca.
6. The International Sanitary Regulations Act, 1952, is hereby Repeal or repealed. . . · Act 38 or 19S_2.
7. This Act shall be called the International Health Regula- Short title. tions Act, 1974.
Scbednle.
INTERNATIONAL HEALTII REGULATIONS
PART I
DEFINmONS
Article I
For the purposes or these Regulations- · "Aedes aegyptl index" meaM the ratio, expressed as a percentage, between the number or
houses m a limited well-defined area on the premises or which actual brccdingplaccs of Aedes aegypt/ are found, and the total number or houses examined in that area;
"aerosol dispenser" means a dispenser holding a pressurized formulation which produces · an insecticidal aerosol when the valve is opened; ·
''aircraft" meaM an aircraft making an international voyage;· "airport" meaM an airPort designated by the State in whose territory It is situated as an air-
,POrt of entry or departure for international air traffic; · "arnval" of a ship, an aircraft, a train or a road vehicle means-
(a} in the case of a seagoing vessel, arrival at a port; (b in the case or an aircraft, arrival at an airport; (c in the case of an inland navigation vessel, arrival either at a port or at a frontier post,
as geographical conditions and treaties or arrangements among the States concerned, under Article 98 or under the taws and regulations in force in the territory of entry,
. . may determine; . · (d) in the case of a train or road vehicle, arrival at a frontier post;
"baggage" means the personal effects of a traveller or of a member of the crew; "container (freight container)" means an article of transport equipment-
(a) or a permanent character and accordingly strong enough to be suitable for repeated . use;
(b) speeiallr designed to facilitate the carriage or goods, by one or more modes of trans- port, wtthout intermediate reloading;
(c) fitted with devices permitting its ready handling, particularly its transfer from one mode of transport to another;
(d) so designed as to be easy to fill and empty. The term "container (freight container)" does not include vehicles or conventional packing; "crew" means the personnel of a ship, an aircraft, a train, a road vehicle or other meaM of
transport who are employed for duties on board; "day" means an interval of twenty-four hours; "direct transit area" means a spectal area established in connection with an airport, approved
br the health authority concerned and under its direct supervision, for accommodating direct transit traffic and, in particular, for accommodating, in segregation, passengers and crews breaking their air voyage without leaving the airport;
"Director-General" meaM the Director-General of the Organization; "diseases subject to the Regulations" (quarantinable diseases) meaM cholera, including
cholera due to the eltor vibrio, plague, smallpox, including variola minor (alastrim), and yellow fever; .
"disensectlng" means the operation in which measures are taken to kill the insect vectors of~ human disease present in ships, aircraft, trains, road vehicles, other means of transport, . and containers; ·
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INTERNATIONAL HEALnt REGULATIONS ·Acr, 1974. ,\ j •
"epidemic" means an extension oCa disease subject to the Regulations by a multiplication of cases in an area; . • . • _ . . . . . . .
"free pratique" means pemussion for a sh1p to enter a port, disembark and commence opera- tion, or for an aircraft, after landing, to disembark and commence operation; ..
"health administration" means the governmental authority responsible over the whole of a · territorY to which these Regulations apply for the implementation of the health measures
· provided herein; · · · "health authority" means the authority immediately responsible in its jurisdiction for the ·
appropriate health measures permitted or prescribed by these Regulations; "imported case" means an infected ~ISOn arriving on an international vorage; "infected area" is defined on epideuuological principles by the health administration reporting
the disease in its countrY and need not correspond to administrative boundaries. It is that part of its territOrY which, because of population characteristics, density and mobility and/or vector and animal reservoir potential, could support transmission of the reported disease. · · · · -
"infected person" means a person who is suffering from a disease subject to the Regulations or who is subsequently shown to have been incubating such a disease;
"in flight" means the time elapsing between the closing of the doors of the aircraft before take-off and their opening on arrival;
' ''in quarantine" means that state or condition during which measures arc applied by a health authority to a ship, an aircraft, a train, road vehicle, other means of transport or con- tainer, to prevent the spread of disease, reservoirs of disease or vectors of disease from the object or quarantine; . -
••international voyage" mean~· . · . · . : ' · · (a) in the case of a ship or an aircraft, a voyage between ports or airports in the territo-
. · · ries of more than one State, or a voyage between ports or airports in the territorY. or territories of the same State if the ship or aircraft has relations with the territOrY of any other State on its voyage but only as regards those relations; · _ .
(b) In the case of a person, a voyage involvmg entrY into the territo~ of a State other than the territorY of the State in which that person commences his voyage;
"isolation", when applied to a person or group of persons, means the separation of that person or group of persons from other persons, except the health stafl' on duty, in such a manner as to prevent the spread of infection; . - · . . . - ·
-"medical ellllmination" includes visit to and inspection of a ship, an aircraft, a train1 road ' _, _ . vehicle, other means of transport, and container, and the preliminBrY examination of . persons, including scrutiny of vaccination certificates, but does not include the periodical ·
Inspection of a ship, to ascertain the need for deratting; - - "Organization" means the World Health Organization; ''port" means a seaport or an inland port; . ' ' - "ship" means a seagoing or an inland navigation vessel making an international voyage; "sus~" means a person who is considered by the health authority as having been exposed to . mfection by diSease subject to the Regulations and is considered capable of spreading
that disease; - - · "transferred case" means an infected person whose infection originated in another area under
-·- the jurisdiction of the same health administration; "valid certificate", when applied to vaccination, means a certificate conforming with the rules
and the model laid down in Appendix 2, 3 or 4. · · . .
PARTII -
NOTIFICATIONS AND El'IDEMIOLOOICAL INFORMATION
Article 2
For the application of these Regulations, each State recognizes the right of the Organization to communicate directly with the health administration of its territorY or territories. Any notification or Information sent by the Organization to the health administration shall be considered as having been sent to the State, and any notification or information sent by the health administration to the - Organization shall be considered as having been sent by the State.
Artlcle3
1. Each health administration shall notify the Organization by telegram or telex within twenty- four hours of its being informed that the first case of a disease subject to the Regulations, that is neither an imported case nor a transferred case, has occurred in its territorY, and, within the subsequent twenty-four hours, notify the infected area.
2. In addition each health administration shall notify the Organization by telegram or telex within twenty-four hours of its being informed;
(a) that one or more cases of a disease subject to the Regulations has been imported or trans- ferred into a non-infected area-the notification to include all information available on the origin or infection:
(b) !hilt a ship or aircraft has arrived with one or more cases ora disease subject to the Regu- lations on board-the notification to include the name of the ship or the flight number of the aircraft, its previous and subsequent ports of call, and the health measures, if any, taken with respect to the ship or aircraft.
3; The existence of the disease so notified on the establishment of a reasonably certain clinical diagnosis shall be confirmed as soon as possible by laboratorY methods, as far as resources permit, and the result shall be sent immediately to the Organization by telegram or telex.
GOVERNMENT GAZETI'E, IS MARCH 1974 ·No. 4219 9
INTERNATIONAL HEALl1I REGULATIONS ACI', 1974. Act No. 28, 1974 '• . . . '' ·~ . 'Article4
: 1. Each health administration shall notify the Organization immediately of evidence of the pr=nce of the virus of yellow fever, including the virus found in mosquitos or in vertebrates other than man, or the plague bacillus, in any part of its territory, and shall report the extent of the area Involved. · · · . , .
2. Health administrations, when making a notification of rodent plague, shall distinguish wild rodent plague from domestic rodent plague and, in the case of the former, describe the epidemio- logical circumstances and the area involved. ·
ArticleS
. Any notification required Under paragraph 1 of Article 3 shall be Promptly supplemented by Information as to the source and type of the disease, the number of cases and deaths, the conditions affecting the spread of the disease, and the prophylactic measures taken.
Article 6
: ·1. During an epidemic the notifications and Information required under Article 3 and Article S shall be followed by subsequent communications sent at regular intervals to the Organization.
2. These communications shall be as frequent and as detailed as possible. The number of cases and deaths shall be communicated at least once a week. The precautions taken to prevent the spread of the disease, in particular the measures which are being applied to prevent the spread of the disease to other territories by ships, aircraft, trains, road vehicles, other means of transport, and containers leaving the Infected area shall be stated. In the case of plague, the measures taken against rodents shall be specified. In the case of the diseases subject to the Regulations which are transmitted by insect vecton, the measures taken against such vecton shall also be specified.
Artlck1
1. The health administration for a territory in which an Infected area has'been defined and notified shall notify the Oragnization when that area is free from Infection.
2. An Infected area may be considered as free from Infection when all measures of prophylaxis have been taken and mamtained to prevent the recurrence of the disease or its ~pread to other areas, and when: · .
(a) in the case of plague, cholera or smallpox, a period of time equal to at least twice the in- cubation period of the disease, as hereinafter provided, has elapsed since the last case identified has died, recovered or been isolated, and there is no epidemiological evidence of spread of that disease to any contiguous area;
(b) (i) tn the case of yellow fever not transmitted by Aedes aegyptl, three months have elapsed without evidence of activity of the yellow-fever virus;
(ii) in the case of yellow fever transmitted by Aedes aegyptl, three months have elapsed since the occurrence of the last human case, or one month since that occurrence if
. if the Aedes aegyptl index has been continuously maintained below one per cent; (c) (i) in the case of plague in domestic rodents, one month has elapsed since the last Infected
animal was found or trapped; . . (ii) in the case of plague in wild rodents, three months have elapsed without evidence of
. the disease in sufficient proximity to ports and airports to be a threat to international traffic..
Article 8
1: Each health administration shall notify the Organization of: (a) the measures which it has decided to apply to arrivals from an infected area and the
withdrawal of any such measures, indicating the date of application or withdrawal; (b) any change in its requirements as to vaccination for any international voyage.
2. Any such notification shall be sent by telegram or telex, and whenever possible in advance of any such change or of the application or withdrawal of any such measure..
3. Each health administration shall send to the Organization once a year, at a date to be fixed by the Organization, a recapitulation of its requirements as to vaccination for any international voyage.
4. Each health administration shall take steps to Inform prospective travellen, through the co-operation of, as appropriate, travel agencies, shipping firms, aircraft operaton or by other means, or its requirements and of any modifications thereto. ·
Artie/~ 9
In addition to the notifications and Information required under Articles 3 to 8 inclusive, each health administration shall send to the Organization weekly:
(a) a report by telegram or telex ofthe number of cases ofthe diseases subject to the Regula- tions and deaths therefrom during the previous week in each of its towns and cities adjacent to a port or an airport, including any imported or transferred cases;
(b) a report by atrmail of the absence or such cases during the periods referred to In sub- paragraplu (a), (b) and (c) of paragraph 2 of Article 7.
Article 10
. Any notification and Information req~ under Articles 3 to 9 inclusive shall also be sent by the health administration, on request, to any diplomatic mission or consulate established in the territory for which it is responsible. ·
GOVERNMENT GAZElTE, IS MARCH 1974 No. 4219 ·n
INTERNATIONAL HEALTH REGULATIONS ACT, 1974. Act No. 28, 1974
Article II
I. The Organization shall send to all health administrations, as soon a5 possible and by the means appropriate to the circumstances, all epidemiological and other information which it has received under Articles 3 to 8 inclusive and paragraph (a) of Article 9 as well as information as to the absence of any returns required by Article 9. Communications of an urgent nature shall be sent by telegram, telex or telephone.
2. Any additional epidemiological data and other lnfonnation available to the Organization through its surveillance programme shall be made available, when appropriate, to all health admi· nistrations. . · · 3. The Organization niay, with the consent of the govemnient concerned, investigate an out· break of a disease subject to the Regulations which constitutes a serious threat to neighbouring countries or to international health. Such investigation shall be directed to assist governments to organize appropriate control measures and may include on-the-spot studies by a team.
Article 12 : '• '
Any telegram or telex sent, or telephone call made, for the purposes of Articles 3 to 8 inclusive and Article II shall be given the priority appropriate to the circumstances; in any case of excep. tiona] urgency, where there is risk of the spread of a disease subject to the Regulations, the priority shall be the highest available under international telecommunication agreements.
Article 13
I. Each State shall forward annually to the Organization, in accordance with Article 62 of the Constitution of the Organization, information concerning the occurrence of any case of a disease subject to the Regulations due to or carried by international traffic, as well as on the action taken under these Regulations or bearing upon their application.
2. The Organization shall, on the basis of the information required by paragraph I of this Article, of the notifications and reports required by these Regulattons, and of any other official information, prepare an annual report on the functioning of these Regulations and on their effect on international traffic. · · : 3. The Organization shall review the epidemiological trends of the diseases subject to the Regu· lations and shall publish such data, not less than once a year, illustrated with maps showing in· fected and free areas of the world, and any other relevant infonnation obtained from the surveil· lance programme of the Organization. . • . . _ . . . .
.. , . PARTlli
HEALm OROANJZATJON
Artl~le 14
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1. Each health administration shall ensure that ports and airports in its territory shall have at their disposal an organization and equipment adequate for the application of the measures pro- vided for in these Regulations. , . . · ·
2. Every port and airport shall be provided With pure drinking-Water and wholesome food supplied from sources approved bf the health administration for public use and consumption on the premises or on board ships or aircraft. The drinking-water and food shall be stored and handled in such a manner as to ensure their protection against contamination. The health authority shall conduct periodic inspections of equipment, installations and premises, and shall collect samJ?les of· water and food for laboratory examinations to verify the observance of this Article. For this pur· pose and for other sanitary measures; the principles and recommendations set forth in the guides on these subjects published by the Organization shall be applied as far as practicable in fulfilling the reqnirements of these Regulations. · . '
· 3. Every port and airport shall also be provided with an effective system for the removal and safe disposal of excrement, refuse, waste water, condemned food, and other matter dangerous to health.
Article IS
There shall be available to as many of the ports and airports in a territory as practicable an organized medical and health service with adequate staff, equipment and prenuses, and in particu· lar facilities for the prom{lt isolation and care of infected persons. for disinfection, disinsecting and deratting, for bacteriolog~cal investigation, for the collectton and examination of rodents for plague infections, for collection of water and food samples and their dispatch to a laboratory for examina· tion, and for other appropriate measures provided for by these Regulations.
Article 16
The health authority for each port and airport shall: (a) take all practicable measures to keep port and airport installations free of rodents; (b) make every effort to extend rat-proofing to the port and airport installations.
Article 17
1. Each health administration shall ensure that a sufficient number of ports in its territory shall have at their disposal adequate personnel competent to inspect ships for the issue of the Deratting Exemption Certificates referred to in Article S4, and the health administration shaD approve such ports for that purpose.
GOVERNMENT OAZE'ITE, 1S MARCH 1974 13
INTERNATIONAL HEALTH REGULATIONS Acr, 1974. Act No. 28, 1974 · • ' "
2. The health administration sruiJJ designaie a ntimtier of these approved ports, depending upon the volume and incidence or its international traffic, as having at their disposal the equipment and personnel necessary to derat ships for the Issue or the Deratting Certificates referred to in Article S4.
3. Each health administration which so' desiioatei ports shall ensure that Deratting Certificates and Deratting Exemption Certificates are issued in accordance with the requirements or the Regulations. · .
Af.ticle 18
Each heatth administration shall designate. those airpOrts which. possess a direct trmsit area .as. defined In Article 1. . , . • . . . , . . · · , . · ..
Article 19
.1. Depending upon the volume or its international traffic, each health administration shall designate as sanitary airports a number of the airports in its territory, provided they meet the con· ditions laid down in paragraph 2 or this Article, and the provisions or Article 14.
2. Every sanitary airport shall have at its disposal: . (a) an organized medical service with adequate staff, equipment and premises; (b) facilities for the transport, isolation, and care or infected persons or suspects; . 1 (c) facilities for efficient disinfection and disinseeting, for the control of vectors and rodents,
and for any other appropriate measure provided for by these Regulations; · '(d) a bacteriological laboratory, or facilities for dispatching suspected material to such a
laboratory; · _ · · (e) facilities within the airport for vaccination against smallpox, and facilities within the
airport or available to it for vaccination against cholera and yellow rever. 1
Artic/e20
1. Every port and the area within the perimeter of every airport shall be kept free from Aetfe.r aegyptl in its immature and adult stages and the mosquito vectors or malaria and other diseases of epidemiological significance in international traffic. For this purpose active anti-mosquito measures shall be maintained within a protective area extending for a distance of at least 400 metres around the perimeter. . · . .
2. Within a direct transit area provided at any airport situated In or adjacent to an area where the vectors referred to in paragraph 1 or this Article exist, any building used as accommodation for persons or animals shall be kept mosquito-proof. · ·
3. For the purposes of this Article, the perimeter or an airport means a line enclosing the area containing the airport buildings and any land or water used or intended to be used for the parking or aircraft. · ·
4. Each health administration shall furnish data to the Organization once a year on the extent to which its ports and airports arc kept free from vectors of epidemiological significance in inter- national traffic.. · · · · ·
Article 21
. 1. Each health administration shall scitd to the Organization: · · · · (a) a list of the ports In its territory approved under Article 17 for the Issue of:
(i) Derailing Exemption Certificates only; and · (ii) Deratting Certificates and Deratting Exemption Certificates;
(b) a list of the airports and sanitary airports In its territory; (c) a list of the airports in Its territory provided with direct transit areas. ·.. .
: 2. The health administration shall notify the Organization of any change which may occur from time to time in the lists required by paragraph 1 of this Article. · . . . · · ..
· 3. The Organization shall send promptly to all health administrations the Information received in accordance with this Article.
Article 22
1. The Organization shall, at the request ·or the health administration concerned, arrange to certify, after any appropriate investigation, that a sanitary airport. in its territory fulfils the con· ditions required by the Regulations. ' · • · · · . - · .
2. The Organization shall, at the request of the health administration concerned, and after appropriate investigation, certify that a direct transit area at an airport in a yellow-fever infected area in its territory fulfils the conditions required by the Regulations.
3. These certifications shall be subject to periodic review b¥ the Organization, in co-operation with the health administration concerned, to ensure that the required conditions arc fulfilled.
4. In the list which the Organization-is required to publish under Article 21, It shall indicate those airports certified under the provision_s of this !Jtid~.
" Article.23.
1. Wherever the volume of international traffic Is sufficiently important and whenever epidemiological conditions so require, facilities for the application of the measures provided for in these Regulations shall be made available at frontier posts, on railway lines, on roads, and where sanitary control over inland navigation is carried out at the frontier, on inland waterways.. ' .
2. Each health administration shall notify the Organization when and where such facilities arc provided •. ·· · '" , . ·' --. - · ... · · ·. · .. , .. • . · · · ·'·
3. The Orlianization shall send promptly to all health administrations the information received in accordance with this Article. "," ": . .. , . ·, .. ·., :"" '"· ~ , .. , .. ·, ..... · ...
GOVERNMENT GAZETI"E; IS MARCH 1974 No;4219 IS
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INTERNATIONAL HEAL Til REGULATIONS Acr, 1974.
.PART IV
HEALm MEASURES AND PltOCEDURf
CHAPTER I
. ' GENERAL PROVISIONS
· Artlcte 24 ·
Act No. lB. .1974
Tbc health measures ~tted by these Regulations arc the maximum measures applicable to international traffic, which a State may require for the protection of its territozy against the di· seases subject to the Regulations... . 1 .• , • , .• :. , , "·" .... 1 ~ _., , ,
Article zs . H~~ 11?-easures shall be initiated forthwith, completed without delay, and applied without
dtscrumnauon. . .. , . . · . . .•... , .. . . . .. ' . : · . : .
Article 26
I. Disinfection, disinsecting, deratting, and other sanital)' operations shall be carried out so as: · (a) not to cause undue discomfort to any person, or injuzy to his health; · · · ·
(b) not to produce any deleterious effect on the structure of a ship, an aircraft, or a vehicle, · . or on its operating equipment; · . . . · ' (c) to avoid all risk of fire~ ·
2. In carrying out such operations on cargo, goods, baggage, containers and other articles, evezy precaution shall be taken to avoid any damage. . 3. Where there arc procedures or methods recommended by the Organization they.should be ~ployed. , · . ',. _. ·. · .. , , : · . .. , . . . . .. : , , . .·. . .
" A~tlcli! 27 I. A health authority shall, when so requested, iSsue free of charge to the carrier a certificate
specifying the measures applied to a ship, aircraft, train, road vehicle, other means of transport, or con tamer, the parts thereof treated, the methods employed, and the reasons why the measures have been applied. In the case of an aircraft this information shall, on request, be entered instead In the Health Part of the Aircraft General Declaration. · 2. Sinu1arly, a health authority shall, when so reQuested, issue free of charge: . . ·. .
•. . (a) to any traveller a certificate specifying the date of his arrival or departure and the mea· sures applied to him and his baggage; . · . . . .,
(b) to the consignor, the consignee, and the carrier; or their respective agents, a certificate specifying the measures applied to any goods •
. Article 28 · · .. , ' 1, A person under surveillance shan not be isolated and shall be permitted to move about freely. Tbe health authority may require him to report to it, if necessazy, at specified intervals during the period of surveillance. Except as limited by the provisions of Article 71, the health authority may also subject such a person to medical investigation and make any Inquiries which are necessazy for ascertaining his state of health.
2. When a person under surveillance doparts for another place, within or without the same terri- tozy; he shall infonn the health authority, which shall immediately notify the health authority for the place to which the person is proceeding. On arrival the person shall report to that health authority which may apply the measure provided for in paragraph I of this article. ·
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Article 29 • \': . J j I. ':·. r~, I • • •
Except in case of an emergency constttutmg a grave danger to pubhc health, a ship or an rurcraft, which is not infected or suspected of being infected with a disease subject to the Regulations, shall not on account of any other epidemic disease be refused free pratique by the health authority for a port or an airport; in particular it shall not be prevented from discharging or loading cargo or stores, or taking on fuel or water. · ·
I/
A. health authority may take 'au J,raciicable measures. to control the discharge from any ship of sewage and refuse which might contaminate the waters of a port, river or canal.
. ~ ' CHAPTER II .. ' ! : .... : .' I
HEAL Til MEASiiREs ON DEPARTURE
Article 31 . ·
1. Tbe h~lth auihorlty for a ix>rt or an airport or for the area in which a frontier post is situated shall take all practicable measures: . . .
(a) to prevent the departure of any infected Pei'son or suspect; · . ·(b) -to prevent the Introduction on board a ship, an aircraft, a train, a road vehicle, other . . . means of transport, or container, of possible agents of infection or vectors of a disease
subject to the Regulations.
GOVERNMENTOAZETI'B, IS MARCH 1974 No.42t9 17
INTERNATIONAL HEAL Tit REGULATIONS ACT, 1974. Act No. 28, 1974 • ..
2. The health authority in an infected area may require a valid vaecination certificate from departing travellers.
3. The health authority referred to in paragraph 1 of this Article may, when it considm it necessary; medically examine any person before his departure on an International voyage. The time and place of this examination shall be arranged to take Into account any other formalities,· so as to facilitate his departure and to avoid delay. . ·
4. Notwithstanding the provisions of subparagraph (a) of paragraph 1 of this Article, a person on an international voyage who on arrival is placed under surveillance may be allowed to continue his voyage. The health authority shall, in accordance with Article 28, notify by the most expeditious means the health authority for the place to which he is proceeding.
CHAPTER ill
Hrum MEASURES APruCABLE BETWON PoRn oR Al~PORn OP DEPARTtJRB AND ARRIVAL
Article 32
No matter capable of causing any epidemic disease shall be thrown or allowed to fall from an aircraft when It is in flight; · ·
Article 33
I. No health measure shall be applied by a State to any ship which passes through waters within its jurisdiction without calling at a port or on the coast.
2. U Cor any reason such a call is made, the Jaws and regulations in force in the territory may be applied without exceeding, however, the provisions of these Regulations.
Article 34
1. No health measure, other than medical examination, shall be applied to a healthy ship, as specified in Part V, which passes through a maritime canal or waterway in the territory of a State on its way to a port in the territory of another State, unless such ship comes from an infected area or has on board any person coming from an Infected area, within the Incubation period of the disease with which the area is Infected.
2. The only measure which may be applied to such a ship coming from such an area or having such a person on board is the stationing on board, if necessary, of a sanitary guard to prevent all unauthorized contact between the ship and the shore, and to supervise the application of Article 30.
3. A health authority shall permit any such ship to take dn, under its control, fuel, water and stores.
4. An infected or suspected ship which passes through a maritime canal or waterway may be treated as if it were calling at a port in the same territory •.
Article 3S
Notwithstanding any provision to the contrary in these Regulations except Article 76, no health measure, other than medical examination, shall be applied to:
(a) passengers and crew on board a healthy ship from which they do not disembark; · (b) passengers and crew from a healthy aircraft who are in transit through a territory and who
remain in a direct transit area of an airport of that territory, or, if the airport is not yet provided with such an area, who submit to the measures for segregation prescribed by the health authority in order to prevent the spread of disease; if such persons are obliged to leave the airport at which they disembark solely in order to continue their voyage from another airport in the vicinity of the first airport, no such measure shall be applied to them if the transfer is made under the control of the health authority or authorities.
CHAPTER IV
REALm MEASURES OM ARRrYAL
Artide 36 . .
Whenever practicable States shall authorize granting of free pratique by radio to a ship or an aircraft when, on the basis of information received from it prior to its arrival, the health authority for the intended port or airport of arrival is of the opinion that Its arrival will not result in the introducti~n or spread of a disease subject to the Regulations. ·
Article 31
I. The health authority for a port, an airport, or a frontier station may subject to medical exa· mination on arrival any ship, aircraft, train, road vehicle, other means of transport, or container, as well as any person arriving on an international voyage.
2. The further health measures which may be applied to the ship, aircraft, train, road vehicle, other means of transport, and container shall be determined by the conditions which existed on board during the voyage or which exist at the time of the medical examination, without prejudice, however, to the measures which are permitted by these Regulations to be applied to the ship, aircraft, train, road vehicle, other means of transport, and container if it arrives from an infected area. . . ' 3,. Where a health administration has special problems which could constitute a grave danger
to public health, it may require a person on an international voyage to give on arrival a destinatiOtt addres, in writing. · ·
GOVERNMENT GAZETTE; IS MARCH 1974 No. 4219 19
INTERNATIONAL HEALm REGULATIONS ACT, 1974. Ad No. 28, 1974 .. Artide 38
The application of the measures provided for in Part V which depend on arrival from an infected area as notified by the health administration concerned shall be limited to the ship, aircraft, train, road vehicle, or other means of transport, person, container or article as the case may be, arriving from such an area, provided that the health authority for the infected area is taking all measures nccessaJY for checking the spread of the disease and is applying the measures provided for in paragraph 1 of Article 31. :· .. -·
Artic/1!39.
On arrival of a ship1 an aircraft, a train, a road vehicle, or other means of transport, an infected person on board may DC removed and isolated by the health authority. Such removal by the health authority shall be compulsoty if it is required by the person in charge of the means of transport.
,., ' .~ ' ' · • i 1 ' ' ' < I 1 • ' , • ' ; · ' ', • \ (
Article 40
.!.,Apart from the provisions of. Part V, a health authority may place under surveillance any suspect on an international voyage arriviitg by whatever means from an infected area. Such sur- veillance may be continued until the cod of the appropriate period of incubation specified in Part ~ . . .
2. Except where specifically provided for in these Regulations, isolation shall not bC substituted for surveillance unless the health authority considers the risk of transmission of the infection by the suspect to be exceptionally serious. '
·Article 41 "
Any health measure, other than medical examill3tion, which has bcco applied at a previous port or airport shall not be repeated at a subsequent port or airport, unless:
(a) after the departure of a ship or an aircraft from the port or airport where the measures were applied an incident of epidemiological significance calling for a further application of any such measure has occurred either in that port or airport or on board the ship or aircraft; .•. . . : . . ' .
(b) the health authority for the subsequent port or airport has ascertained on the basis or definite evidence that the individual measure so applied was not substantially effective.
·' 'Artlcie 42 Subject to Article 80, a ship or an aircraft shall not be prevented for health reasons from calling
at any port or airport •. lf the port or airport is not equipped for applying the health measures which arc permitted by these Regulations and which m the opinion of the health authority for the port or airport arc required, such ship or aircraft may be ordered to proceed at its own risk to the nearest suitable port or airport convenient to the ship or aircraft. · · -' · ·
> ,. . Article 43 · . . .
An aircraft shall not be considered as having come from an infected area if it has landed only in such an area at any sanltaty airport which is not itself an infected area.
·.' Article 44 ·
Any person on board a healthy aircraft which has landed iii an infected arc~;'and the p~gen and crew of which have complied with the conditions laid down in Article 35, shall not be consi· dered as having come from such an area.
i . ::,;
Article4S .. ·.·, 1 , •••. ,, •. 1 :'i "" ·u .... :: ·: ., .· . ·:
1. Except as provided in paragraph 2 of this Article any ship or aircraft, which is unwilling to submit to the measures required by the health authority for the port or airport in accordance with these Regulations, shall be allowed to depart forthwith, but it shall not during its voyage call at any other port or airport in the same territoty. Such a ship or an aircraft shall nevertheless be permitted, while in quarantine, to take on fuel, water and stores. If, on medical examination, such a ship is found to be healthy, it shall not lose the benefit of Article 34.
2. A ship or an aircraft arriving at a port or an airport situated in an area where the vector of yellow fever is present shall not, In the following circumstances, be allowed to depart and shall be subject to the measures required by the health authority in accordance with these Regulations:
(a) if the aircraft is infected with yellow fever; · .• , (b). if the ship is infected with yellow fever, and Aedes aegyptl have bcco round on board, and
the medical examination· shows that any infected person has not been Isolated in good time.
Article 46 . 1; ir, ror'~ons bC:yond the cO~troi of the pilot in co~nd, an aircraft lands elsewhere tb3n at an airport, or at an airport other than the airport at which the aircraft was due to land, the pilot in command or other person in charge shall make evety effort to communicate without delay with. the nearest health authority or any other public authority. , , , , , . . .. , .: : 2. As soon as the health authority has bcco informed of the landing it may take such action as is
appropriate but in no case shall it exceed the measures permitted by these Regulations. , . " . ~
GOVERNMENT GAZE'ITE, IS MARCH 1974 No. 4219 21
INTERNATIONAL HEAL Til REGULATIONS Acr, 1974. Act No. 28, 1974
3. Subject to paragraph S of this Article, and except for the purpose of communicating with any such health or public authority or with the penrussion of any such authority, no person on board the aircraft shaU leave its vicinity and no cargo shaU be removed from that viciruty. •
4. Wben any measure required by the health authority has been completed, the ain:ran may, so far as health measures are concerned, proceed either to the airport at which it was due to land, or, if for technical reasons it cannot do so, to a conveniently situated airport.
S. The pilot in command or other person in charge may take such emergency measures BS may be necessary for the health and safety of passengers and crew.
CHAPTER Y
MEASURES CoNCEitNINO THE INTERNATIONAL 'TRANsPoRT OP CA!too, GOODS, BAOOAOE, AND MAIL
Artlcle41
1. Cargo and goods shall be submitted to the health measures provided for In these Regulations only when coming from Infected areas and when the health authority has reason to believe that the cargo and goods may have become contaminated by the agent of a disease subject to the Regulations or may serve as a vehicle for the spread of any such disease. ·
2. Apart from the measures provided for In Article 70, goods, other than live animals, in transit without transhipment shall not be subject to health measures or detained at any port, airport, or frontier.
3. The issue of a certificate of disinfection of merchandise which is the subject of trade between two countries may be governed by bilateral agreements between the exporting and the importing countries. .
Article 48
Except In the case of an Infected person or suspect, baggage may be disinfected or disinsected only in the case of a person carrying infectious material or Insect vectors of a disease subject to the Regulations.
Artiele49
1. Mail, newspapers, books, and other printed matter shall not be subject to any health mea· sures. '
2. Postal parcels may be subject to health measures only if they contain: (a) any of the foods referred to In paragraph 1 of Article 70 which the health authority has
reason to believe comes from a cholera-infected area; (b) linen, wearing apparel, or bedding, which has been used or soiled and to which the pro-
• visions of Part Y. are applicable; . . · · (c) Infectious material; or '. · · · • (d) living Insects and other animals capable of being a vector of human disease if Introduced
or established.
Article SO
A health administration shall ensure as far as practicable that containers ·~sed In International trafllc by rail, road, sea or air shall, in packing, be kept free of Infectious material, vectors or rodents. .
PARTY
SPECIAL PROVISIONS RELATING TO EACH OP T1JE DisEAsEs SlJBJECI' TO THE RE0UU.l10NS,
CHAPTER I
Pu.GUE
Article Sl
For the purposes of these Regulations the incubation period of plague is six days.
Article S2
Vaccination against plague shall not be required as a condition of admission of any person to a territoty. .
Article S3
1. Each State shall employ all means In its power to diminish the danger from the spread of plague by rodents and their ectoparasites. Its health administration shall keep itself constantly informed by systematic collection and regular examination of rodents and thelt ectoparasites of the conditions in any area, especially any port or airport, Infected or suspected of bemg Infected by rodent plague. · ·
2. During the stay of a ship or an aircraft In a port or an airport Infected by plague, special c:ale shall be taken to prevent the Introduction of rodents on board. . · ·
GOVERNMENT GAZETIE, IS MARCH 1974 No.4219
INTERNATIONAL HEAL Til REGULATIONS ACT, 1974. Act No. 28, 1974
Article 54
I. Every ship shall be either: (a) permanently kept in such a condition that it is free of rodents and the plague vector; or (b) periodically deratted. '
·. i A Deratting Certificate or a Deratting Exemption Certificate shall be issued only by the health authority for a port approved for that purpose under Article 17. Every such certificate shall be valid for six months, but this period may be extended by one month for a ship proceeding to such a port if the deratting or inspection, as the case may be, would be facilitated by the opera- tions due to take place there. . · . . . . . ·.; .. . , . : · 3. Deratting Certificates and Deratting Exemption Certificates shall conform with the model specified in Appendix I.
4. If a valid certificate is not produced, the health authority for a port approved under Article I 7, after inquiry and inspection, may proceed in the following manner:
(a) If the port has been designated under paragraph 2 of Article 17, the health authority may . derat the ship or cause the deratting to be done under its direction and control. It shall
· decide in each case the technique which should be employed to secure the extermination of rodents on the ship. Deratting shall be carried out so as to avoid as far as possible damage to the ship and to any cargo and shall not take longer than is absolutely neces- sary. Wherever possible deratting shall be done when the holds are empty. In the case of a ship in ballast, it shall be done before loading. When deratting has been satisfac- torily completed, the health authority shall issue a Deratting Certificate.
(b) At any port approved under Article 17, the health authority may issue a Deratting Ex· emption Certificate if it is satisfied that the shi~::ree of rodents. Such a certificate shall be issued only if the inspection of tbe ship has carried out when the holds are empty or when they contain only ballast or other material, unattractive to rodents, of such a nature or so disposed as to make a thorough inspection of the holds possible. A Derat· ting Exemption Certificate may be issued for an oil tanker with full holds. . .
5. If the conditions under which a deratting is carried out are such that, in the opinion of the health authority for the port where the operation was performed, a satisfactory result cannot be obtained, the health authority shall make a note to that effect on the existing Derailing Certificate.
Article 5S
In exceptional circumstances of an epidemiological nature, when the presence of rodents is suspected on board, an aircraft may be dislnsected and deratted. · . · .
Article 56
Before departure on an international voyage from an area where there is an epidemic of pul- monary plague, every suspect shall be placed in isolation by the health authority for a period of six days, reckoned from the date of the last exposure to Infection.
Article 51
1. A ship or an aircraft on arrival shall be regarded as infected if: (a) it has a case of human plague on bciard; : (b) a plaguo-infected rodent is found on board.
A ship shall also be regarded as infected if a ease of human plague has occurred on board more than six days after embarkation. .. . . . . . .. . · .
2. A ship on amval shall be regarded as suspected if: (a) it has no case of human plague on board, but such a case has ocCurred on board within the
first six days after embarkation; · · (b) there is evidence of an abnormal mortaJity among rodents on board of which the cause
is not yet known· · · · · · (e) it has a per5on o~ board who has been exposed to pulmonary plague and has not met tho
requirements of Article 56. · 3. Even when coming from an infected area or having on board a p:rson coming from an in·
fected area, a ship or an aircraft on arrival shall be regarded as healthy if, on medical examination, tho health authority is satisfied that the conditions specified in paragraphs 1 and 2 of this Article do not exist.
Article 58
1. On arrival of an infected or suspected ship or an infected aircraft, tho following measures may be applied by tho health authority:
(a) disinsecting of any suspect and surveillance for a period of not more than six days reckoned from tho date of arrival;
. (b) disinsccting and, if necessary, disinfection of: (i) any baggage of any infected person or suspect; and (ii) any other article such as used bedding or linen, and any part of the ship or aircraft,
which is considered to be contaminated. 2. On arrival of a ship, an aircraft, a train, road vehicle or other means of transport having on
board a person suffering from pulmonary plague, or if there has been a case of pulmonary plague on board a ship within the period of six days before its arrival, the health authority may, in addition to the measures required by paragraph 1 of this Article, place tho passengers and crew of tho ship, aircraft, train; road vehicle or other means of transport in isolation for a period of six days. =kODCd from the date or tho last exposure to infection. ' ' . . .
GOVERNMENT GAZE'ITE, IS MARCH 1973 No. 4219 2S.
INTERNATIONAL HEALm REGULATIONS ACT, 1974. Act No, 28, 1974
3. U there is rodent plague on board a ship, or in its containers, it shall be disinsccted and dcrat- tcd, if necessary in quarantine, in tho manner provided for in Article S4 subject to tho following provisions: ·
(a) the dcratting shall be carried out as soon as the holds have been emptied; (b) one or more preliminary dcrattings of a ship with the cargo in situ, or during its unloading.
may be earned out to prevent the escape of infected rodents; (c) if the complete destruction of rodents cannot be secured because only part of the cargo
is due to be unloaded, a ship shall not be prevented from unloading that part, but the health authority may apply any measures, includin' placing the ship in quarantine, which it considers necessary to prevent tho escape or infected rodents.
4. U a rodent infected with plague is found on board an aircraft, the aircraft shall be disinsected and dcratted, if necessary in quarantine.
Article 59
A ship shall cease to be regarded as infected or suspected, or an aircraft shall cease to be regarded as Infected when the measures required by the health authority in accordance with Articles 39 and 58 have been effectively carried out, or when the health authority is satisfied that the abnormal mortality among rodents is not duo to plague. The ship or aircraft shall thereupon be given free pratique.
Article 60
On arrival, a healthy ship or aircraft shall be given free pratique, but, if it has come from an infected area, the health authority may:
(a) place under surveillance any suspect who disembarks, for a period of not more than six days, reckoned from the date on which the ship or aircraft left the infected area; ·
(b) require the destruction of rodents on board a ship and disinsccting in exceptional cases and for well-founded reasons which shall be communicated in writing to the master.
Article 61
If, on arrival of a train or a road vehicle, a case of human plague is discovered, the measures provided for in Article 39 and in paragraphs 1 and 2 of Article 58 may be applied by the health authority, disinsccting and, if necessary, disinfection being applied to any part of the train or road vehicle which is considered to be contaminated.
CHAPTER II
CHOLERA
Article 62
For the purposes of these Regulations the incubation period of cholera is five days. Article 63 -
1, The possession of a valid certificate of vaccination against cholera shaJI bO taken into con- sideration by a health authority in applying the measures provided for in these Regulations.
2. Anti-cholera vaccine used for vaccination for international travellers shall meet the require- ments laid down by the Organization.
3. A health authority may apply the following measures to a person on an international voyage who has come from an infected area within the incubation pcnod:
(a) if he is In possession of a valid certificate of vaccination against cholera, he may be placed under surveillance for a period of not more than five days, reckoned from the date of his departure from the infected area;
(b) if he is not in possession of such a certificate, he may be placed in Isolation for a like period.
4. Any health administration may apply the measures provided for in this Article, whether cholera Infection is present in its territory or not. ·
Article 64
1. A ship shall be regarded as infected if, on arrival it has a case of cholera on board, or if a case of cholera has occurred on board during a period of five days before arrival.
2. A ship shall be regarded as suspected if a case of cholera has occurred on board during the voyage, but a fresh case has not occurred during a period or five days before arrival.
3. An aircraft shall be regarded as infected if, on arrival, it has a case of cholera on board. It shall be regarded as suspected if a case of cholera has oc:currcd on board during the voyage but the case has previously been disembarked.
4. Even when coming from an infected area or having on board a P!'rson coming from an in- fected area, a ship or an aircraft on arrival shall be regarded as healthy tf, on medical examination, the bcalth authority is satisfied that no case of cholera has occurred on board during the voyage,
GOVERNMENT GAZETI'E; 15 MARCH I974 No. 42I9- 27 ~
INTERNATIONAL HEAL Til REGULATIONS ACT, I974. Act No. 28, 1974
Artie!~ 65
I. On arrival of an infected ship or aircraft, the following measures may be applied by the health authority:
(a) for a period of not more than five days, reckoned from tho date of disembarkation, surveillance of any passenger or member of the crew who produces a valid certificate of vaccination against cholera, and isolation of all others who disembark:
(b) disinfection of: : . (i) any baggage of any infected person or suspect; and
(ii) any other articles such as used bedding or linen, and any part ofthe ship or aircraft which is considered to be contaminated; · ·
(c) disinfection and removal of any water carried on boai-d which is considered to be con- taminated, and disinfection or the water tanks.
2. Human dejecta, waste water including bilge-water, waste matter, and any matter 'which is considered to be contaminated shall not be discharged or unloaded without previous disinfection. Their safe disposal shall be the responsibility of the health authority.
Artie!~ 66
1. On arrival of a suspected ship or aircraft, the measures provided for in sub-paragraphs (b) and (c) or paragraph 1 and in paragraph 2 of Article 65 may be applied by tho health authority.
2. In addition, but without prejudice to the measures provided for in subparagraph (b) of paragraph 3 of Article 63, any passenger or member of the crew who disembarks may be plaoed under surveillance for a period of not more than five days, reckoned from the date of arrival.
Artie/~ 61
A ship or an aircraf't shall cease to be ~gardtd a5 infected or suspected when the measures · required by the health authority in accordance with Article 39 and with Articles 65 and 66 re- spectively have been effectively carried out. The ship or aircraft shall thereupon be given free . pratique.
Artie!~ 68
On arrival, a healthy ship or aircraft shall be given free pratique but, if it has como from an infected area, tho health authority may apply to any passenger or member of the crew who dis- embarks the measures provided for in Article 63.
Artie/~ 69 I . . .
If, on arrival of a train, road vehicle or other means of transport, a case of cholera is diScovered, tho following measures may be applied by tho health authority: ·
(a) for a period or not more than fi~ days, reckoned from tho date or arrival, surveillance of any passenger or member of the crew who produces a valid certificate of vaccination against cholera, and isolation or all others who disembark;
(b) disinfection of: (i) any baggage of tho infected person and, if necessary, that of any suspect; and
(ii) any other article such as used bedding or linen, and any part of the train, road vehicle or other means or transport, which is considered to be contaminated. .
Artie/~ 70
I. On arrival of an infected or suspected ship or aircraft, of a train, road vehicle or other means of transport in which a case of cholera has been discovered, or a ship, an aircraf't, a train, road · vehicle or other means of transport coming from an infected area, the health authority may take samples or food, including fish, shellfish, fruit, vegetables or beverages, for culture examination, unless such food and beverages are in sealed packages, and the health authority has no reason to believe that they are contaminated: and may prohibit the unloading, or may remove, any of these articles found to be contaminated. If any such food or beverage is removed, arrangements shall be made for its safe disposal. · · · ·
2. If any such foOd or beverage intended for unloading forms part of the cargo in a hold of a ship or freight compartment of an aircraft, or a container, only the health authority for the port or air- port at which such food or beverage is to be unloaded may exercise the power to remove it. . -
3. The pilot in command or an aircrait and tho master or a ship have tho right to require tho· removal or any such food or beverage.
Artie!~ 71
I, No person shall be required to submit to rectal swabbing,
2. A person on an international voyage, who has come from an infected area within the in- cubation period or cholera and who has symptoms indicative of cholera, may be required to submit to stool examination. ·
. GOVERNMENT GAZETTE, IS MARCH 1974 No.4219 · 29
INTERNATIONAL HEALTII REGULATIONS Acr, 1974. Ad No. 28, 1974 '
CHAPTER ill
Yru.ow FEvER
Article 72
For the purposes ~f these' RegulationS ihe incubation period of yellow fever is six days.
... Atricle 73
· ' 1. Vaccination againSt yellow feVer ~Y be rciQuired of any person leavilig an Infected area on an international voyage. · ·
2. If such a person is in possession of a certificate of vaccination against yellow fever which Is not yet valid, he may nevertheless be permitted to depart, but the provisions of Article 75 may be applied to him on arrival. · . . . · .. · , . · ·
1 • 1 • • •
3. A person in possession of a valid certificate of vaccination against yellow fever shall not be treated as a suspect, even if he has come from an infected~ . . 4.· The yellow fever vaccine used must be approved by the Organization, and the vaccinating
centre must have been designated by the health administration for the territory in which it is situated. The Organization shall be assured that the vaccines used for this purpose continue to be of suitable quality.
. . . Article 74
1. E~ pe~n ~ployed at a port or an airport sitUated In an infected area, and every member of the crew of a ship or an aircraft using any such port or airport, shall be in possession of a valid certificate of vaccination against yellow fever.
1 ,
2. Every aircraft leaving an airport situated in an infected area shall be disinSccted in accofdancc with Article 26, using methods recommended by the Organization, and details of the disinsccting shall be included In the Health Part of the Aircraft General Declaration, unless this part of the Aircraft General Declaration is waived by the health authority of the airport of arrival. States
• concerned shall accept disinsccting of aircraft by the approved vapour disinsecting system carried out in flight. ..
3. Every ship leaving a port in an area where Aedes aetf)'ptl still exists and bound for an area where Aedes aetf)'ptl has been eradicated shall be kept free of Aedes aetfYPti in its ilnmature and adult stages. . .
4. An aircraft leaving an airport where Aedes aetf)'ptl exists and bound for an area where Aedes aegyptl has been eradicated shall be disinsccted in accordance with Article 26, using methods recommended by the Organization.
· Article 75
A health authority in an area where the veCtor of yellow fever is present may requii-e a person on an international voyage, who has come from an infected area and is unable to produce a valid certificate of vaccination against yellow fever, to be Isolated until his certificate becomes valid, or until a period of not more than six days reckoned from the date of last possible exposure to infection has elapsed, whichever occurs first. · ·
Article 76
1. A person coming from an infected area who is unable to produce a valid certificate of vac- cination against yellow fever and who is due to proceed on an international voyage to an airport in an area where the vector of yellow fever Is present and at which the means for securing sep-egation
. provided for in Article 35 do not yet exist, may, by arrangement between the health administrations for the territories in which the airports concerned are situated be prevented from proceeding from an airport at which such means are available, during the period provided for in Article 75.
2.. The health administrations concerned shall inform the Organization of any such arrange- ment, and of its termination. The Organization shall immediately send this information to all health
. administrations.
Article77
1. On arrival, a ship shall be regarded as infected if it has a case of yellow fever on board, or if a case has occurred on board during the voyage. It shall be regarded as suspected if it has left an Infected area less than six days before arrival, or, if arriving within thirty days of leaving such an area, the health authority finds Aedes aeg)'Pti or other vectors of yellow fever on board. Any
·other ship shall be regarded as healthy. . · . · 2. On arrival, an aircraft shall be regarded as infected if it has a case or yellow fever on board.
It shall be regarded as suspected if the health authority is not satisfied with a disinsecting carried out in accordance with paragraph 2 of Anicle 74 and it finds live mosquitos on board the aircraft. Any other aircraft shall be regarded as healthy. •
Artie/~ 78
1. On arrival of an infected or wspected ship or aircraft, the following measures may be applied by the health authority: . ·
(a) in an area where the vector of yellow fever is present, the measures provided for in Article 75 to any passenger or member or the crew who disembarks and is not in possession of a valid certificate of vaccination against yellow fever;
· GOVERNMENT GAZETTE; IS MARCH 1974 •: No. 4219 : 31
INTERNATIONAL HEALTH REGULATIONS ACT, 1974. Act No. :ZS. 1974 · • '. ; '.; -' 1 ~ . ' ! • / I
(b) inspection of the ship or aircraf't and destruction of any Aedes aqyptl or other vectors of yellow fever on board; in an area where the vector Df)'ellow fever is present. the ship may, un!Il such measures have been carried out, be required to keeP at least 400 metres from land. :, · · · , . . · .. . . . , . · .
. 2. The ship or aircraft shall cease to be regarded as infected or suspected when the measures . required by the health authority in accordance with Article 39 and with paragraph l of this Article . have been effectively carried out, and it shall .t~e~pon be given free pratique..
Article 19 '
On arrival of a healthy ship or aircraft coming from an Infected area, the measures provided ' for In subparagraph (b) of paragraph 1 of Article 78 may be applied. The ship or aircraf't shall
thereupon be given free pratique. ·
Article 80
' ·A State shall not prohibit the landing of an aircraft at any sanitaty airport in its territory if the measures provided for in paragraph 2 of Article 74 are applied, but. man area where the vector or
, ~~~ ~~~~ ~o~~;=t c;o~ng ~~.an inf~ed area ~~Ian~ only ~.t:~rts. s~ifi~
Article 81
On arrival of a train, a road vehicle, or other means of transport in an area where the vector or yellow fever is present, the following measures may be applied by the health authority:
(a) isolation, as provided for in Article 7S, of any person coming from an infected area. who is unable to produce a valid certificate of vaccination against yellow fever;
(b) disinsecting of the train, road vehicle or other means of transport if it has come from an infected area. ·· · · ·
,J ' .• d .··, · ,,_ ··•:. ·., . ·Artlcle82 ... ,•·: f..,' ~ "-,. ' I . ,; ... .'
In an area where the vector of yellow fever is present the isolation provided for in Article 39 a lid In this Chapter shall be in mosquito-proof accommodation •
. CHAPTER' IV· . ''
.. ' SMALLI'OX : .
· · . A~ticle 83
For the purposes_ of these Regulations the incubation period of smallpox is_ fourteen days.
Article 84 .
. . ' 1. A health admlriistr.ition .may .require any person on an inie.inatiomil voyage who does not show sufficient evidence of protection by a previous attack of smallpox to possess; on arrival, a
.. valid certificate of vaccination against smallpox. Any such person who does not produce such a certificate may be vaocinated or, if he refuses vaccination, be may be placed under surveillance for not more than fourteen days, reckoned from the date of his departure from the last territory visited before arrival.
2. A person on an international voyage, who during a period of fourteen days before his arrival has visited an infected area and who, in the opinion of the health authority, is not sufficiently
·. protected by vaccination ot by a previous attack of smallpox, may be required to be vaccinated, or · may be planed under surveillance, or may be vaccinated and then placed under surveillance; if he
refuses to be vaccinated. he may be isolated. The period of surveillance or isolation shall not be · more than fourteen days, reckoned from the date of his deParture from the infected area. A valid
oertificatc of vaccination against smallpox shall be considered as evidence of sufficient protection. 3. Any health administration may apply the measures provided for in this Article, whethersinall-
pox infection is present in its territory or not. ' ,, . I Article 85 · J •• ' ' ' '.'
· 'l. A ship or an aircraft shall be regarded as infected if, on arrival, it has a case of smallpox on . board, or if such a case has occurred on board during the voyage. · . .. . ·:
2. Any other ship or aircraft shall be regarded as healthy, even though there may be suspect$ on board, but any suspect may on disembarking be subjected to the measures provided for in Article 86. · · '
,-: ·.' ,;;• l I 1 ,,,-- .·. Artlcle86 : .£ .. •. · ,,,./ ,, • , 'j. d I .o 0 ':.: .
1. On arrival of an infected ship or aircraft, the health authority:"' · ·.; · ... :- . · : .: . . . ' ·.(a)· shall offer vacclnation to any'Pef5on on board who~ in its opinion; Is n~t sUfficiently pro-
. · · · · tected against smallpox: · .. · .. · , ·. · · · · · · (b) may, for a period of not more' than fourteen' days,' reckoned from the last exposure to
· infection, isolate or place under surveillance any person disembarking, but the health authority shall take into aooount the previous vaocinations of the person and the possi-
.. , · bility of his having been exposed to infection in determining the period of such isolation or surveillance: ., ·. : · ·
GOVERNMENT GAZETTE, IS MARCH 1974 No. 4219 33
INTERNATIONAL HEALm REGULATIONS ACT, 1974. Act No. 21, 1974
(c) shall disinfect: (i) any baggage of any infected penon; and (ii) any other baggage or article such as used bedding or linen, and any part or the ship
or aircraft, which is considered to be contaminated.
2. A ship or an airc:raft shall continue to be regarded as infoc:ted until every infoc:ted person bas bec:n removed and until tho measures required by tho health authority in aoc:ordanc:e.with para- graph I of this Artic:lo have been effectively c:arried out. Tho ship or airc:ra1l shall thereupon be given rroe pratique.
Article 87
On arrival, a healthy ship or aircraft, even when it bas come from an infected area, sball be given free pratique. · . . '
Article 88 . - ' I' • . I , . . ,
If1 on arrival of a train, road \-ehic:le or other means of transport, a case of smallpox is disc:o\-c:red, tho Infected person shall be removed and the provisions of paragraph 1 of Artic:le 86 sba1l apply, any period of surveiUanc:e or isolation being reckoned from tho date of arrival and disinfoc:tion being applied .to any part of tho train, road vehicle or other means of transport which is considered to be contaminated. · . · . . · , . · . . ,
PART VI
I . 'I
HEALnt 0ocuMENrs
Article 89 .·
Bills of health, with or without consular visa, or any certificate, however designated, concerning health conditions of a port or an airport, shall not be required from any ship or airc:rafl.
' Artlcle90
I. Tho master or • -~:H vessel making an international voyage, before arrival at its tint port of c:all in a tc:rritory, asc:ertain tho state of health on board, and, except when a health iulministration does not require it, he shall, on arrival, complete and deliver to tho health authority for that port a Maritime Dedarat1on or Health which shall be countersigned by tho ship's surgeon if one is carried.
2. Tho master, and tho ship's surgeon if one is carried, shall supply any information required by tho health authority as to health conditions on board during tho voyage.
3. A Maritime Declaration of Health shall conform with the model specified In Appendix s. 4. A health administration may decide:
(11) either to dispense _with tho submission or the Maritime Declaration of Health by all arriving ships; or
(b) to require it only if tho ship arri\'CS from certain stated areas, or if there is posith-e in- formation to report. ·
In either c:ase, tho health administration shall inform shipping operators.
Article 91
1. Tho pilot in command of an airc:ra1l, on landing at tho tint airport in a tc:rritory, or his authorized aFOt, shall complete and deli\'er to tho health authority for that airport tho Health Part of tho Aircraft General Declaration which shall conform with the model specified in Appendix 6, except when a health administration does not require it.
2. The pilot in command of an airc:raft. or his authorized agent, shall supply any information required by tho health authority as to health conditions on board during the voyage.
3. A health administration may doclde: (11) either to dispc:nse with tho submission of tho Health Part of tho Ain:ran Gc:neral Dec:lara·
tion by aU arriving airc:raft; or (b) to require it only if tho aircraft arri\'CS from certain stated areas, or if there is positive
information to report. In either ease, tho health administration shall inform airc:raft operators.
Article 92
1. The c:crtifieates specified in Appendices 1, 2, 3 and 4 shall bC printed in English and in French. An ofliclallanguage of tho territory of issue may be added.
2. Tho certificates referred to in paragraph 1 of this Artic:lo shall be completed in English or in Frc:nc:h. Completion in another language in addition is not excluded. .
· 3. International c:crtificates of vac:c:ination must be signed by a medical practitioner in his own hand; his official stamp is not an aoc:cpted substitute for tho Signature.
4. International certificates of vaccination are individual certificates and shall in no circum· stances be used collectively. Separate certificates shall be issued for children.
S. No departure shall be made from the models of the c:crtific:ates specified in Appc:ndic:cs 2, 3 and 4, nnd no photo~raph shall be inc:ludcd.
GOVERNMENT GAZETIE, 15 MARCH 1974 No. 4219 35
INTERNATIONAL HEAL Til REGULATIONS ACT, 1974. Act No. 28, 1974 . .' ' ' ' . I : '' ,
6. A parent or guardian shall sign the international certificate of vaccination when the child is unable to \\Tile. The signature of an illiterate shall be indicated in the usual manner by his mark and the indication by another that this is the mark of the person concerned. · · o '
7. If a vaccin'ator Is of the' opinion' that vaccination is conira~indieated on medical irounds hi: shall provide the person· with reasons, written in English or French, underlying that opinion, which health authorities should take mto account. : : ·. . , ·, 0 , • • •
. '. .. '"I . .. ~; Article 93
· t, • , l , , , ' · I ~ ~ o ,, I , • ' I , , ·• I · , • ,. •, I ' • _ ( -,
''' ·,'•· ' .'.• ' • I 0
' ' I ,' 0 ' • • • r I j - f ~- • •
A vaccination document issued by the Arined Forces to an active member orthose Forces shall be accepted in lieu of an international certificate in the form shown in Appendix 2, 3 or 4 if:
(a) it embodies medical information substantially the same as that required by such form; and
(b) • it contains a statement in English or' in French recording the nature and date of the. vaccination· and to the·effect that it is issued in accordance with this Article.·-·. · ·'
, Article 94.
' · No health doeument ·other than those provided for in these Regulations; shall be required in international traffic. ·" · : • ··' • · : · ' · · ·. : ·· · .. · • ... · ·' .. · .....
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. '; . • -,'If. I: , .. '· •: ·• •
. PART VII'
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