On International Health Regulations

Original Language Title: Par Starptautiskajiem veselības aizsardzības noteikumiem

Read the untranslated law here: https://www.vestnesis.lv/ta/id/159643

Cabinet of Ministers Regulations No. 417 in Riga in 2007 (26 June. No 37 § 2) on international health regulations Issued in accordance with the Cabinet of Ministers of 14 law equipment of the first paragraph of article 3, paragraph 1., the World Health Assembly on 23 May 2005, adopted by the international health regulations in these terms are accepted and approved. 2. in accordance with the international health regulations article 4 national international health rules contact point in Latvia is a State Agency "public health agency". Prime Minister a. Halloween Health-Welfare Minister Minister d. Staķ project is accepted and approved by the Cabinet of Ministers of 26 June 2007 the Regulation No 416 international health regulations part I-definitions, purpose and scope, principles and responsible authorities article 1. 1. The definition of the international health regulations (IHR-rules-or) used the term "affected" is an infectious person, as well as baggage, cargo, containers, vehicles, goods, postal parcels or human remains that are infected or contaminated or is public health-threatening infection or pollution sources; "affected areas" means a specific geographical location to which the who under these regulations has recommended public health measures; "aircraft" means an aircraft which performs international flight; "airport" means an airport in which or from which the exit international flights; "the arrival" of the vehicle is: (a)) in the case of a ship or a specific arrival port of mooring place, b) in the case of the aircraft's arrival at the airport, (c) an international voyage) inland navigation vessels in the case of arrival at the place of arrival, d) train or road vehicle, in case of arrival at the place of arrival; "baggage" means the personal effects of travellers; "cargo" means a vehicle or container of goods being transported; "competent authority" means the authority responsible for the health of the implementation and application of the measures in accordance with these rules; "container" means equipment subject to: (a)) usable and durable enough that it can be reused, b) specially designed to facilitate the carriage of goods, by one or more modes of transport without handling of the goods in question, c) fitted with devices so easy handling, particularly its transfer from one mode of transport to another, and d) is specially designed to be easy to fill and empty; "the loading of the container" means the place or equipment for use in international traffic of containers; "pollution" means the public health-threatening infectious or toxic agents or substances on the human or animal body surface, prepare the product for consumption or on it, or on other objects, including vehicles; "vehicle" means an aircraft, ship, train, road vehicle or other international flights in the vehicle; "carrier" is responsible for the shipment of a natural or legal person or its representative; "team" is the occupants except for passengers; ' decontamination ' means the procedure whereby health measures taken to eliminate public health-threatening infectious or toxic agents or substances on the human or animal body surface, prepare the product for consumption or on it, or on other objects, including vehicles; "check out" to persons, baggage, vehicles or goods are leaving the territory; "pest extermination" is the procedure whereby health measures taken to control or eradicate the vectors of human disease in rodents, which are points of entry into the baggage, cargo, containers, vehicles, equipment, goods and postal parcels; "Director General" means the Director General of the World Health Organization; "disease" is a disease or medical condition that causes or may cause significant damage to people, irrespective of the origin or source; "disinfection" means the procedure whereby, directly subjected to chemical or physical agents, carries out health measures to control or destroy on human or animal skin surface or in baggage, cargo, containers, vehicles, goods and postal parcels, or existing infectious agents; "pest control" is the procedure whereby health measures taken to control or destroy human vector insects, contained in baggage, cargo, containers, vehicles, equipment, goods and postal parcels; "appropriate" is the manifestation of the disease or illness occurs, which causes the disease origin; "free practice" [free pratique] have permission to enter the port, ship passengers climb up to it or from it, unload or load cargo or items, permit the aircraft after landing the passengers to get out of it or get it, unload or load cargo or items, and permission to land the passengers of the vehicle after its arrival to get out of it or get it, unload or load cargo or items; "goods" means tangible objects, including animals and plants carried in international flights, including the vehicle used; "the land border crossing point" means a point of entry to the ground, including the Member State a point, used for road vehicles and trains; "road vehicle" means a motorised flight in the international road vehicle, including trains, passenger buses, trucks and cars; "health" is the procedure used to prevent the spread of disease or contamination; health protection measures not included in the law enforcement or security measures; "sick person" means an individual who is not physically fit or have the disease, which may present a risk to public health; "infection" is public health-threatening infection agent of or breeding and development of the human or animal body; "verification" is the place, luggage, container, vehicle, equipment, goods or postal parcels for inspection by the competent authority or under its supervision takes place, including relevant data and documentation to determine whether there is a public health risk; "international traffic" means persons, baggage, cargo, containers, vehicles, goods or postal parcels move across international borders, including between the folksy trade; "international voyage" means: (a) in the case of flight) between points of entry into the territory of more than one State or between points of entry into the service of one and the same national territory or in the territory where the vehicle is in contact with the flight of any other country, but only for that contact, b) in the case of travellers journey associated with entry into the national territory, which is not the territory of the State in which the traveler begins his journey; "cumbersome" is one that can cause discomfort in the middle or intimate contact or izvaicāšan; "invasive" is a skin or incision or slashed or foreign matter entering the body, or the body cavity. These rules-ear, nose, and mouth medical examinations, temperature measurement via ear, mouth or skin, or termoattēl taking the thermometer; medical examination; auscultation; external palpation; retinoskopij; urine, feces or saliva sample to an external collection; blood pressure measurement of external and electrocardiography are considered non-invasive; "isolation" is a sick or infectious persons or affected baggage, containers, vehicles, goods or postal parcels from other separation so as to prevent the spread of infection or contamination; "medical examination" is a person's primary medical examination by an authorized medical employee or other officer under direct supervision by the competent authority to determine the State of health of the person and the potential public health risk to others, and it can include health scrutiny of documents and physical inspection, if justified by individual circumstances of the case; "the national IHR focal point" is designated by each Member State, a National Center that under these provisions have continuous communication with the who IHR Contact points; "organisation" or the who's World Health Organization; "habitual residence" has the meaning set out in the national law of the Member State concerned; "personal data" means any information relating to an identified or identifiable natural person; "points of entry" is the passage of travellers, baggage, cargo, containers, vehicles, goods and postal parcels for entry or departure of international as well as agencies and areas providing services to them on entry or exit; "port" is the port of the sea or internal waters of a port, which arrives at the ship or the international voyage; "postal" is addressed to the product or package that is transported internationally via postal or courier service; "exceptional international importance to public health" is an exceptional case for which in accordance with these rules is found in: (i)) that it causes public health in other countries, the disease progresses, and in between the folksy, ii) that in this case, you may require a coordinated international response; "public health surveillance" means the traveler's health monitoring in a specific time period, in order to determine the risk of disease transmission; "public health risk" is the probability of the event that may adversely affect the health of the human population, stressing that can spread internationally or may cause particularly harmful and direct threats; "quarantine" is possible in the ill person, with no visible signs of disease, the limitation of actions and/or separation from others, or reasonably suspicious luggage; container, vehicle or separation in such a manner as to avoid any possible infection or contamination; "recommendation" and "recommended" refers to temporary or standing recommendations issued under these rules; "the source of infection" is animal, plant or substance in which breeds of infectious agents and the presence of which may endanger public health; "road vehicle" means a motor vehicle that is not a train; "scientific evidence" means information that provides you with a designed and accepted scientific methods of evidence based; "scientific principles" is the accepted fundamental laws of nature and the fact that is discovered by scientific methods; "vessel" means an international voyage by sea or inland waterway navigation vessel; "the constant suggestion" is about a specific ongoing public health threats in the who issued a non-binding advice pursuant to article 16, for the regular or periodic health applicable to measures to prevent or reduce the international spread of the disease and minimize the disruption to international traffic; "surveillance" is the systematic ongoing collection, collation and analysis of public health protection and public health information timely distribution of its evaluation and, where necessary, action aimed at the protection of public health; "reasonably suspicious" suspected of suffering persons, baggage, cargo, containers, vehicles, goods or postal parcels considered by the Member State to subject or potentially exposed to public health and that could be a possible source of the spread of the disease; "draft recommendation" are not binding on the who issued advice pursuant to article 15 as regards the time limit for the application of the specific threats in response to exceptional international importance to public health, to prevent or reduce the international spread of the disease and minimize the disruption to international traffic; "temporary residence" has meaning as determined in the national law of the Member State concerned; "Traveler" is a person who gives the international trip; "vector" means an insect or other animal that is usually carried by public health-threatening infectious agents; "verification" means a Member State of the provision of information to the who, with the approval of appropriate status in the territory of that Member State or in the territory; "The who IHR Contact point" is the who unit that is continuously available for communication with the national IHR focal point. 2. If the context is not provided or provided otherwise, a reference to those provisions included in the attachments. 2. article. Purpose and scope the purpose of these provisions and scope is to prevent and control the disease spread international protect against them and to ensure their action against public health in ways that are equitable and appropriate public health and which do not unnecessarily interfere with international traffic and trade. 3. article. 1. These principles are implemented in full respect of persons is respected, human rights and fundamental freedoms. 2. These provisions are being implemented in accordance with the Charter of the United Nations and the World Health Organization Constitution. 3. These rules are implemented in accordance with their purpose-universal application of all of humanity against the international spread of disease. 4. Countries in accordance with the Charter of the United Nations and international law, the sovereign legislative power, as well as the right to implement international legislation under its health policy. For this purpose, they should support this aim. 4. article. 1. the competent authorities each Member State shall, in accordance with these rules shall designate or establish a national IHR focal point and the jurisdiction of the authorities responsible for the implementation of health protection. 2. National IHR focal points have continuous communication with paragraph 3 of this article are laid down in the who IHR Contact points. The national IHR focal point functions are the following: a) urgent sending notifications to the who IHR Contact points in the Member States concerned on the implementation of these provisions, especially under 6 to 12), and (b) dissemination of information by the Member State concerned to the relevant sectors of the Administration and the consolidation of the investment including the sectors responsible for monitoring and reporting, points of entry, public health departments, clinics and hospitals, as well as other national regulatory authorities. 3. The who IHR Contact points, designated to have continuous communication with national IHR focal points. The who IHR Contact points with regard to the implementation of these provisions, especially under 6 to 12, sent urgent messages to the Member States concerned to the national IHR focal points. The who IHR Contact point can be selected at the Organization of the who or regional level. 4. Member States shall provide to the who for their contact information national IHR focal points, and who provides the contact information for their Member States who IHR Contact points. This contact information is constantly updated and approved annually. The national IHR Contact information who receives pursuant to this article, it shall communicate to all Member States. Part II-information and public health RESPONSE actions in article 5. 1. Supervision as soon as possible, but not later than five years after the entry into force of these provisions in that Member State, each Member State shall develop, strengthen and maintain the capacity to detect, assess and warn about the cases and report on them in accordance with these provisions, as specified in annex 1. 2. in part A of annex 1 of the assessment specified in paragraph 2, the Member State may provide a report to the who, on the basis of justified needs and implementation plan and, in so doing, obtain an extension of two years in which to execute this article the obligation referred to in paragraph 1. In exceptional circumstances, as well as on the basis of a new implementation plan, a Member State may request the Director-General, who shall decide, further extension, not exceeding two years, taking into account the corresponding article 50 to create committees (hereinafter the Review Committee) technical advice. By paragraph 1 of this article, the period referred to in the Member State which has obtained an extension shall report annually to the who on progress made towards full implementation. 3. At the request of Member States who helps them develop, strengthen and maintain this article referred to in paragraph 1. 4. The who with their monitoring activities through collecting information on appropriate occasions, to assess their potential to cause international disease spread and possible disturbance of international traffic. Information received by who under this point, used respectively according to articles 11 and 45. 6. article. Notification 1. each Member State shall assess the findings in its own territory, using 2. decisions referred to in the annex. Each Member State with the most effective available means of communication, through the national IHR focal point and 24 hours after the health information, notify the who assessment for all cases, which can lead to exceptional international importance to public health in its territory, in accordance with the instructions of the decision-making, as well as all the health measures implemented in response to the relevant cases. If the who received the statement refers to the International Atomic Energy Agency (IAEA) competency, who shall immediately notify the International Atomic Energy Agency. 2. After notification, a Member State continues to distribute the who timely, accurate and sufficiently detailed public health information available to it concerning the notified cases, including, where necessary, case detection, laboratory results, source and type of risks, illnesses and deaths, conditions affecting the spread of the disease and the health measures used and, where appropriate, it shall advise on the difficulties encountered and the necessary support in response to the possible exceptional international importance to public health. 7. article. Dissemination of unexpected or unusual public health event within its territory if a Member State irrespective of the origin or source There is evidence of an unexpected or unusual public health event affecting that can lead to exceptional international importance to public health, it gives the who all relevant public health information. In that case, fully apply the provisions of article 6. 8. article. Advice is found in the territory of a Member State in the cases which are not reported, as provided for in article 6, in particular those cases for which there is not enough available information to populate the decision-making steps, a Member State may, however, for them to continually report the who IHR Contact point with national and consult with who on appropriate health protection measures. In the case of such notice proceed according to article 11 paragraph 2 through 4. The Member State in whose territory the event is found, you can ask the who to assess the findings of the epidemiological evidence. 9. article. Other reports 1. Who can take into account reports from sources other than notifications or consultations in assessing those reports in accordance with the established principles of epidemiology, and then disseminating information about the case to the Member State in whose territory the event may be found. With such reports before making reasonable efforts, who consults with the Member State in whose territory the event may be found, and according to the procedure laid down in article 10 to try to get out of its verification. For this purpose, who shall make the information received available to the Member States, and only if it is sufficient to justify the who can save the source confidentiality. The information is used in accordance with the procedure laid down in article 11. 2. Member States shall, as far as practicable, notify the who within 24 hours of receipt of evidence for public health threats outside their territory that may cause international disease spread in the form of: (a) imported or exported human cases); b) vectors, which carry infection or contamination or c) goods that are contaminated. 10. article. 1. Verification of the who, according to article 9 requires the Member State to verify reports from sources other than notifications or consultations on cases, which may lead to exceptional international importance to public health and which may be found in the national territory. In such cases, who shall inform the Member State concerned by reports which it requires to verify. 2. In accordance with the preceding paragraph and in accordance with article 9, each Member State shall, if the who requests it: (a) verify and provide an initial response to the who) request or approval within 24 hours; (b)) the health information available on the who request, the status of the event referred to in 24 hours and c) information to the World Health Organization in the context of the assessment pursuant to article 6, including the information described in the article. 3. If the who receives information on cases that may cause exceptional international importance to public health, it offers to cooperate with the Member State concerned to assess the international spread of disease, a potential disruption of international traffic and compliance with control measures. Such activities may include collaboration with other standard setters and organisations offer to mobilize international assistance to support national authorities and the coordination of the assessment of the situation on the ground. If a Member State so requests, who provide information to support this offer. 4. If a Member State does not accept the offer of cooperation, who may, if justified by public health, disseminate the information available to the other Member States, while urging the Member States concerned to adopt the who cooperation offer, taking into account the views of the Member State concerned. 11. article. Provision of information by who 1. According to paragraph 2 of this article who shall, as soon as possible and by the most effective means available confidentially to all Member States and, where appropriate, to relevant intergovernmental organizations, the health information it has received pursuant to article 5 to 10 inclusive and what is needed to enable Member States to respond to public health threats. Who shall notify the other Member States the information that could help them to prevent similar cases. 2. in accordance with article 6 and 8 and paragraph 2 of article 9 of the information who uses verification, assessment and assistance purposes under these rules and, if not otherwise in the relevant provisions of the agreement with those Member States, such information does not generally available to the other Member States until such time as: (a)) States that the case caused exceptional international importance to public health under article 12, or (b)) who, in accordance with the established principles of epidemiology has confirmed information confirming the infection or contamination or spread of international c) is evidence that: (i)) the international proliferation control measures are not expected to contribute to pollution, the nature of the pathogen, vector, or the nature of the source of infection or (ii)) the Member State shall not be sufficient resources to carry out the further spreading of disease prevention measures required, or (d)) of travellers, baggage, cargo, containers, vehicles, goods or postal parcels international movement type and scope that can affect the infection or contamination requires the immediate international control measures. 3. Who shall consult with the Member State in whose territory the event is found on its intent to make information available under this article. 4. If the information is received by the who, according to paragraph 2 of this article, is made available to the Member States in accordance with these regulations, who may do so also available to the public if other information about the same event has already become available to the public and there is a need to disseminate authoritative and independent information. 12. article. International importance in public health emergency situations 1. determination on the basis of the information received, in particular from the Member State in whose territory the event is found, the Director-General shall determine whether the case is an exceptional international importance to public health situation in accordance with the criteria specified in these rules and procedures. 2. If the Director-General, on the basis of an evaluation in accordance with these provisions, it is considered that is the result of an exceptional international importance to public health, the Director-General on this preliminary determination shall consult with the Member State in whose territory the event is found. If the Director-General and the Member States that are agreed to, the Director-General under the procedure laid down in article 49 shall be required according to article 48 created the Committee (hereinafter referred to as the Emergency Committee) views on appropriate temporary recommendations. 3. If, after paragraph 2 of this article in consultation by the Director General and the Member State in whose territory the accident found 48 hours does not achieve consensus on whether the case will cause the international importance of the public health emergency, the determination is carried out according to the procedure set out in article 49. 4. in determining whether the case caused between folksy meaning extreme danger to public health, the Director-General shall take into account: (a) the information provided by the Member State); (b) in annex 2) existing decision-making guidelines; c) Emergency Committee's advice; d) scientific principles as well as the available scientific evidence and other relevant information and e) human health hazard, the risk of spreading the disease to international and international traffic interference risks. 5. If the Director-General after consultation with the Member State on whose territory the international importance of public health emergency has occurred, believes that the international importance of public health emergency has expired, he shall decide according to the procedure set out in article 49. 13. article. The public health response actions 1. each Member State shall as soon as possible, but not later than five years after the entry into force of these regulations in respect of that State, shall develop, strengthen and maintain the resources to immediately and respond effectively to public health threats and international importance of emergency public health situations, as indicated in annex 1. The who, in consultation with the Member States, publish guidelines to support Member States in public health response capacity improvement. 2. in accordance with Annex 1, part A, point 2 of the assessment, Member States may provide a report to the who, on the basis of a justified need and an implementation plan and, in so doing, obtain an extension of two years in which to execute this article the obligation referred to in paragraph 1. In exceptional circumstances, as well as on the basis of the new implementation plan, a Member State may request the Director-General, who shall decide, further extension, not exceeding two years, taking into account the Review Committee technical consulting. By paragraph 1 of this article, the period referred to in the Member State which obtained the extension, report annually to the who on progress made towards full implementation. 3. At the request of a Member State in the who cooperation, taking measures to prevent public health threats and other cases, providing technical guidelines and assessing the effectiveness of control measures in place, including where appropriate the mobilisation of international expert team assistance. 4. If the who, in consultation with the Member States concerned, as provided for in article 12, determines that there are exceptional international importance to public health, in addition to paragraph 3 of this article, the aid can offer further assistance to the Member State, including the international gravity and risk control measures for conformity assessment. Such cooperation may include the offer to mobilize international assistance to support national authorities in its assessment and coordination on the ground. If a Member State so requests, who provide information to support this offer. 5. If the who requests the Member States to the extent possible, to provide support for response activities coordinated by who. 6. The who, upon request, provide appropriate guidance and assistance to other Member States, affected or threatened by an exceptional international importance to public health. 14. article. The who cooperation with intergovernmental organizations and international bodies who collaborate 1 and, where appropriate, coordinate its activities with other intergovernmental organizations or international bodies in the implementation of these provisions, including agreements and other similar agreements conclusion. 2. In cases where notification of the case or its verification or response to it is mainly other intergovernmental organizations or international bodies, who coordinate their actions with such organisations or bodies to ensure adequate public health measures. 3. Notwithstanding the above, these provisions do not preclude or restrict it to the who to provide advice, support, or technical or other assistance for public health protection. Part III-recommendations article 15. Draft recommendation 1. If, according to article 12, States that there are exceptional international importance to public health, the Director-General to issue temporary recommendations in accordance with the procedure specified in article 49. Such temporary recommendations may be amended or extended, including after certain exceptional international importance to public health, may issue other temporary recommendations to prevent the introduction or immediately determine its recurrence. 2. Temporary recommendations may include health measures to be applied in the Member State in which there are exceptional international importance to public health, or other Member States in respect of persons, baggage, cargo, containers, vehicles, goods and/or postal parcels to prevent or reduce the international spread of disease and avoid unnecessary interference in international traffic. 3. Temporary recommendations may be terminated according to the procedure set out in article 49 at any time, and they automatically expire three months after they are issued. It may be amended or extended by an additional period of up to three months. Temporary recommendations may not be applied for longer than the second World Health Assembly of the les after certain international importance of the public health emergency situation, to which they relate. 16. article. Standing recommendations who can provide permanent advice of appropriate health measures to regular or periodic application pursuant to article 53. Such measures, Member States may take in respect of persons, baggage, cargo, containers, vehicles, goods and/or postal parcels to specific, ongoing public health risks, to prevent or reduce the international spread of disease and avoid unnecessary interference in international traffic. The who, according to article 53 may amend or terminate these suggestions. Article 17. Recommendation criteria for issuing, amending or terminating temporary or standing recommendations, the Director-General shall take into account: (a) the Member States directly concerned); b) Emergency Committee or the Review Committee advice depending on the case; c) scientific principles as well as the available scientific evidence and information; d) health measures that, on the basis of appropriate risk assessment, less restrict international traffic and trade and is less cumbersome than the persons reasonably available alternatives to achieve the appropriate level of health protection; e) relevant international standards and legislation; f) actions undertaken by the other relevant intergovernmental organizations and international bodies, and g) other relevant and specific information related to the case. With regard to the recommendations of the Director-General of the provisional consideration of e) and (f) of this article) can be a matter of urgent circumstances impose restrictions. 18. article. Recommendations for persons, baggage, cargo, containers, vehicles, goods or postal parcels 1. recommendations by the who recommends to the Member States in respect of persons can be the following:-the specific health protection measures are not recommended; -the journey of history review in affected areas; -medical examination and laboratory analysis of evidence review; -medical examination requirement; -proof of vaccination or other prophylaxis review; -vaccination or other preventive action; -ill person's State of health; -ill person implementation of quarantine or other health measures; -isolation of affected persons and treatment where appropriate; -sick persons affected or contact tracking; -the refusal of entry and slim as possible affected persons; -the refusal of leave to affected persons not in affected areas and security checks and/-or the limitation of the implementation of the persons in the case of departure from the affected areas. 2. recommendations issued by who Member States in respect of baggage, cargo, containers, vehicles, goods or postal parcels may be the following:-the specific health protection measures are not recommended; -cargo route and review; -implementation of the inspections; -a review of evidence of the measures taken, or pollution prevention of the infection, leaving or travelling in transit; -baggage, cargo, containers, vehicles, goods, postal parcels or human remains processing to eliminate infection or contamination, including vectors and sources of infection; -Special health measures to ensure the safe disposal of the human remains and their safe transport; -isolation or quarantine; -infected or contaminated or reasonably suspicious baggage, cargo, containers, vehicles, goods or postal parcels, seizing and destruction under controlled conditions, if the treatment or process available for other reasons would not be successful, and-departure or refusal of entry. Part IV-leave article 19 places. General requirements for each Member State, in addition to other obligations laid down in these provisions: (a) ensure that the designated) entering the site resources that are listed in the annex, develop the article 5, paragraph 1, and article 13, paragraph 1, the time limit laid down; (b)), the competent authorities in each of the designated points of entry into its territory, and (c)) If, in response to the possible question of public health, who so request, as far as practicable, provide the appropriate information about the infection or pollution sources likely to cause the disease spread, including international vector for infection sources and their points of entry. 20. article. Airports and ports 1. Member States shall designate the airports and ports that shall develop 1. resources provided for in the annex. 2. Member States shall ensure that the vessels sanitary treatment control exemption certificates and ship sanitation control certificates of treatment issued according to the requirements of article 39 and annex 3 of the specimen. 3. Each Member State shall send a list of ports in the who, empowered to offer the following services: (a) sanitary processing) control the issuing of certificates and 1 and 3 the provision of services referred to in annex a or b) only sanitary treatment control exemption certificate issuance and c) sanitary treatment control exemption certificate extension for one month until the arrival of the ship in port, where you can get a certificate. Each Member State shall inform who of any changes that may affect the status of the port. Who publishes received pursuant to this paragraph. 4. The who at the request of the Member State concerned and relevant research can agree on its airports or in the territory of the port certificate that complies with paragraph 1 and in paragraph 3. Who can regularly review these certificates consultation with the Member State. 5. Who, in collaboration with the competent intergovernmental organizations and international bodies under this article shall draw up and publish in the airport and port of certification guidelines. The who also publish certified airports and ports. 21. article. Land border crossing points 1. Based on the considerations of public health, the Member State or the designated land border crossing points that develop the resources laid down in the annex, taking into account: (a)) various types of international traffic volume and frequency compared to the other points of entry into a Member State of the IAEA ground at border crossing points, which could be designated, and (b)) public health threats that exist in places where international traffic originating in or through which the traffic moving before the arrival of a specific land border crossing points. 2. Member States that have common borders should consider: (a) the) bilateral or multilateral agreements or arrangements concluded in relation to the international spread of disease prevention or control land border crossing points according to article 57 (b)) and the adjacent land border crossing point with respect to the common designation of annex 1 shows the resources according to paragraph 1 of this article. 22. article. The role of the competent authorities the competent authorities 1: a) is responsible for the baggage, cargo, containers, vehicles, goods, postal parcels and human remains or the arrival of the affected areas in such a condition, maintaining that they would not be a source of infection or contamination, including vectors and source of infection; (b)) provide, as far as practicable, to the amenities that travelers use the points of entry, maintain medical-sanitary State and that they would not be a source of infection or contamination, including vectors and source of infection; (c)) are responsible for the pest extermination, disinfection, pest control or elimination of pollution surveillance of baggage, cargo, containers, vehicles, goods, postal parcels and human remains or medico-sanitary measures in respect of persons in accordance with these rules; (d)) as long as possible inform the carrier of its intention to carry the vehicle control measures and provide written information, if available, on the methods to be used; e) are responsible for the contaminated water or food, human or animal faeces, sewage and other contaminated material removal from the vehicle, and their safe disposal; f) take all steps according to some these regulations to monitor and control their waste water, refuse, ballast water and other potentially disease-causing material that could contaminate the port, River, Canal, Strait, Lake or other international waterway the waters, dumping from ships; (g)) is responsible for the supervision of service providers for services relating to travellers, baggage, cargo, containers, vehicles, goods, postal parcels and human remains of points of entry, including, where necessary, tests and medical examination; h) they have effective contingency measures to deal with unexpected threats to public and i) contact the IHR national focal point for relevant public health measures undertaken in accordance with these rules. 2. the health measures recommended by who for travellers, baggage, cargo, containers, vehicles, goods, postal parcels and human remains arriving from affected areas, you can do it again after arrival, if there are verifiable references that, leaving the affected area, the measures taken have not been successful. 3. Pest control, pest extermination, disinfection, the Elimination of pollution and other medico-sanitary procedures shall be carried out in a way that, as far as possible, avoid harm and inconvenience to the persons or the creation of environmental damage in a way that affects the public health or damage to the luggage, cargo, containers, vehicles, goods and postal parcels. Part v-public health measures chapter I-General provisions article 23. Health protection measures on entry and departure from 1. In accordance with applicable international agreements and the relevant articles of these rules in the Member States for public health protection when entering or exiting the country may require: (a) for travellers): (i) information on the traveller's destination), so to be able to communicate with travellers, (ii) information on travellers ' route), to ensure that the trip had been in the affected area or its vicinity, or had other possible contacts with infection or contamination prior to arrival as well as the traveller's health documents if they are required in accordance with these rules, (iii)) non-invasive medical examination which is the least burdensome inspection, in order to achieve the public health objective; b) baggage, freight, container, vehicle, goods, postal parcels and human remains. 2. on the basis of public health evidence produced by paragraph 1 of this article, the measures laid down in or by other means, Member States may take additional health measures under these regulations, especially in relation to potentially sick or affected travelers, depending on the case in the least burdensome and invasive medical examination, in order to achieve the public health objective of preventing the international spread of disease. 3. a medical examination, vaccination or other preventive health measures under these regulations do not make travelers without their or their parents ' or guardians ' prior informed consent, with the exception of article 31 (2), provided for and carried out in accordance with national legislation and international obligations. 4. Travellers to be vaccinated or should offer prevention in accordance with these provisions, or their parents or guardians shall be informed about the risks associated with vaccination or abandonment of vaccination, as well as with the prevention or rejection of them in accordance with national legislation and international obligations. Member States shall inform the medical personal about these requirements under the law of a Member State. 5. any medical examination, medical procedure, vaccination or other prophylaxis which involves the risk of disease transmission, conduct or means a traveller in accordance with established national or international guidelines and standards to reduce this risk to a minimum. Chapter II-specific provisions in respect of transport and operators article 24. Carriers 1. Member States shall take all these provisions appropriate reasonable measures to ensure that: (a) the carrier) meets the health measures recommended by who and adopted by the Member State; (b) inform the traveller about) health measures recommended by who and adopted by the Member State, and (c)) provides for the vehicles for which they are responsible should not be infection or contamination, including vectors and source of infection. If you have found the appropriate evidence, may require a source of contamination or infection control measures. 2. Special provisions for carriage and carriers pursuant to this article are specified in annex 4. Special measures applicable to the services and carriers with respect to vector-borne diseases are specified in annex 5. 25. article. The existing transit ships and aircraft, according to article 27 and 43 or unless applicable international agreements, Member States shall not make the health measures in the following cases: (a) the vessel does not enter) from the affected area and crossing the sea channel or waterway in the territory of that Member State, heading to port in the territory of another State. Each such ship under the supervision of the competent authority permission to pick up fuel, water, food and supplies; (b)), which crosses the ship in waters within its jurisdiction without calls at the port or the beach, and (c)) transiting aircraft in airports under its jurisdiction, unless the aircraft is not restricted to a particular area of the airport without boarding and disembarking or loading and unloading. However, each such aircraft shall be authorised by the competent authority to pick up fuel, water, food and supplies. 26. article. The existing civil transit trucks, trains and long distance buses according to article 27 and 43 or unless applicable international agreements, health measures don't carry civilian cargo truck, train or long-distance bus that does not come from the affected areas and crossing the area without passengers being picked up or set down or loading or unloading. 27. article. The affected vehicles 1. If occupants occupants have found clinical signs of disease or symptoms, and have received information, based on the public health threats the fact or evidence, including infections and pollution sources, in the opinion of the competent authority of the affected vehicles and can take the following measures: (a)) where appropriate to make a vehicle decontamination, disinfection, pest control or pest extermination, or cause these measures to take custody of and (b)), in each case to decide what method to use, to ensure the public health of the appropriate level of control, as provided for in these regulations. Where is the who recommended methods or materials, they must be used, unless the competent authority determines as safe and reliable alternative methods. The competent authority may implement additional health measures, including where appropriate the vehicle insulation, to prevent the spread of the disease. Such additional measures should be reported to the national IHR focal point. 2. when entering the site, the competent authority is unable to perform under this article, the control measures provided for the vehicle concerned may, however, permit the departure in accordance with the following conditions: (a)), the competent authority shall inform to departure the next known points of entry to the competent authority for the type of information specified under (b), and (b))) in the case of a ship-were in evidence and the necessary control measures recorded in the ship's certificate of sanitary processing control. For each such vehicle shall be authorised by the competent authority to pick up fuel, water, food and supplies. 3. A vehicle which has been considered as affected shall be considered as if the competent authority is satisfied that: (a)) paragraph 1 of this article has not made effective and (b) the vehicle is not a prerequisite), which can cause hazard to public health. 28. article. Vessels and aircraft entering sites 1. According to article 43 or as provided in applicable international agreements, a ship or an aircraft public health reasons prevent the entry points of entry. However, if the entry point is equipped health measures under these regulations, a ship or an aircraft may order at your own risk to go to the nearest available the appropriate points of entry, unless the vessel or the aircraft is not a problem that the diversion would make unsafe. 2. Pursuant to article 43 or as provided in applicable international agreements, Member States ships or aircraft for public health reasons prevent the free practice, in particular, does not prevent them from boarding or disembarking from them, or inventory, or loading or unloading fuel, water, food and supplies. Member States may grant free practice depending on the results of the inspection and, if the vessel or aircraft is established infection or contamination from disinfection, decontamination made, pest control or pest extermination, or other measures necessary for infection or contamination. 3. where practicable and in accordance with the preceding paragraph of the aforesaid article, the Member State shall be authorised to grant the free practice of the vessel or aircraft by radio or other means, where, on the basis of the information received from it prior to its arrival, the Member State considers that a ship or an aircraft arrival not apart or spread disease. 4. commanding officers of ships or aircraft, the masters or their representatives as soon as possible before their arrival at the port or airport of arrival shall notify the port or airport of destination management for cases that point to infectious diseases or public health evidence or on the plane, as soon as such diseases or public health risks are communicated to the above officer or captain. This information must be transmitted immediately to the port or airport authority. In urgent cases, the commanding officers of ships or aircraft captains such information should be communicated directly to the appropriate port or airport authority. 5. If reasonably suspicious or affected aircraft or ship, for reasons that do not conform to the aircraft captain or commanding officer of the ship control, alight elsewhere than at the airport where the aircraft was supposed to alight, or elsewhere, rather than alongside the port where the ship had to make, subject to the following guidelines: a) the aircraft captain or commanding officer of the vessel or other responsible person shall make every effort to immediately contact the nearest competent authority; (b)) just the competent authority is informed of the arrival, it can take the measures recommended by the who or other health laid down in these provisions safeguard measures; c) unless it is necessary for operational action or interaction with the competent authority, for the aircraft or ship, existing travellers does not leave its surroundings and not move the cargo from the neighborhood where it is authorised by the competent authority, and (d)) If you have completed all required by the competent authority, the health measures the aircraft or ship may, so far as it concerns that health protection measures, to go to the airport or port where it was supposed to land or dock, or, if not, for technical reasons, it can do so on the appropriate airport or port in place. 6. Notwithstanding the provisions of this article, the commanding officer of the vessel or the aircraft captain may take such urgent measures as may be necessary for the vessel or aircraft in the travelers ' health and safety. He shall, as soon as possible inform the competent authority of the measures taken pursuant to this paragraph. 29. article. Civilian trucks, trains and long distance buses to points of entry into the who, in consultation with Member States, develop health measures, carried out by trucks, trains and long-distance buses entering and leaving via the land crossing points. Chapter III-specific provisions for travellers article 30. Travellers under public health observation according to article 43 or as provided in applicable international agreements, a possible ill health which travellers on arrival subject to health monitoring, can continue if the international journey the traveler does not pose an imminent danger to public health and the Member State shall inform the entry of the destination site, if known, the competent authority of the traveller's expected arrival. Upon arrival, the traveler reported that authority. 31. article. Health protection measures in respect of the entry of travellers 1. Invasive medical examination, vaccination or other prophylaxis is not a necessary condition of entry to the territory of a Member State of travellers, unless under 32, 42 and 45 to the article these provisions do not prevent Member States to request a medical examination, vaccination or other prophylaxis in the following cases: (a)) If you want to determine whether there is a public health risk; (b) as a condition for the entry of travellers), requesting the temporary or permanent residence; (c) as a condition for the entry of travellers) in accordance with article 43 or annexes 6 and 7 or, d) which may be carried out pursuant to article 23. 2. If a traveller whose medical examination, vaccination or other prophylaxis may require the Member State pursuant to paragraph 1 of this article, does not agree to any of the above actions or be refused under article 23, paragraph 1 (a)) that information or document, the Member State concerned may accordingly 42.32, and article 45 concerned to deny entry to travellers. If there is evidence of imminent danger to public health, the Member State may, in accordance with their national law, as well as risk control, to the extent necessary to request or suggest traveller traveller pursuant to paragraph 3 of article 23 to do: a) the least invasive and intrusive medical examinations to achieve the public health objective; b) vaccination or other preventive or c) in addition to the specific health measures to prevent or control the spread of the disease, including isolation, quarantine or traveller's health surveillance for public health protection. 32. article. Treatment of travellers in implementing health measures under these regulations, the Member States ' attitude toward such travellers have to respect their dignity, human rights and fundamental freedoms and to reduce to the minimum the following measures related inconvenience or distress, thus ensuring: (a) the kindness and dignity) treatment for all travellers; (b)), travellers, socio-cultural, ethnic, or religious belief, and, (c)) provides an appropriate or arranged for supply of food and water, adequate housing and clothing, luggage and other property, the appropriate treatment, the necessary means of communication, if possible, they understand language and other appropriate assistance for travelers who are in quarantine, isolation or subject to medical examinations or other procedures for public health protection. Chapter IV-Special rules concerning goods, containers and container loading areas, article 33. Goods in transit pursuant to article 43 or the provisions of the applicable international agreements on transit goods, other than live animals, without transhipment, not apply health measures under these regulations or hold for public health protection. 34. article. Containers and container loading areas 1. Member States shall ensure, as far as practicable, to the container shippers use international traffic containers that do not contain the infection or contamination, including vectors and sources of infection, particularly in the packaging process. 2. Member States shall ensure, as far as practicable, to the container loading areas would not be infection or contamination, including vectors and source of infection. 3. If after the opinion of the Member State of the international container traffic volume is large enough, the competent authorities shall take all practical measures enforceable in accordance with these rules, including checks to assess a container loading areas and sanitary conditions of containers to ensure these rules the enforcement of existing commitments. 4. The device for inspection of containers and ISO would, as far as practicable, be available container loading areas. 5. the recipient and sender of containers are doing everything possible to avoid cross-contamination when using multiple use container loading. Part vi-health care documents, article 35. As a general rule in international traffic does not require any other health care documents, not intended under these regulations or recommendations issued by the who, but provided that this article shall not apply to travellers seeking temporary or permanent residence, and does not apply to requests for documents in international trade of goods or cargo public health status in accordance with applicable international agreements. The competent authority may require that travellers fill in the information form and a questionnaire about your health according to article 23 of the specified requirements. 36. article. The vaccination or other prophylaxis certificate 1. Vaccination and prevention travelers, which means in accordance with these rules or recommendations and certificates relating to them, comply with the provisions of annex 6 and the provisions of annex 7 for specific diseases. 2. A traveller, having the vaccination or other prophylaxis certificate, issued in accordance with annex 6 and the annex 7, does not prevent the disease from coming in, to which the certificate refers, even if it comes from the affected area, unless the competent authority is not verifiable indications and or evidence that the vaccination or other prophylaxis has not been effective. 37. article. Maritime Declaration of health 1. Captain prior to arrival at the first port of call in the territory of a Member State of health and, except where the Member State so requires, the captain of the vessel arrival or before it, if the vessel is equipped and the Member State requires a previous delivery, complete and deliver the appropriate port authority marine sanitation declaration with signatures approved by the ship's doctor, if the ship is. 2. The master or ship's doctor, if the vessel is to supply all the information requested by the competent authority for health craft international flight. 3. Maritime Declaration of health conform to the model set out in annex 8. 4. a Member State may decide to: (a)) not to require from all ships due to be submitted to the maritime Declaration of health, or (b)) to request a sea sanitary declaration submitted in compliance with a recommendation concerning ships arriving from affected areas or to require it from ships that may be infections or contamination source for other reasons. Member State these requirements shall inform shipping operators or their representatives. 38. article. Aircraft ģenerāldeklarācij health section 1. air master or his representative during the flight or after landing at the airport in the territory of a Member State as soon as possible, except where the Member State so requires, shall be completed and delivered to the appropriate Airport Authority air ģenerāldeklarācij health section that meets specified in annex 9 to the yeast. 2. air vessel or his representative shall provide all the information requested by the Member State concerning the health conditions in the aircraft during the flight and international health protection measures applied to the aircraft. 3. a Member State may decide to: (a)) does not require all incoming aircraft by aircraft ģenerāldeklarācij health section, or b) require aircraft ģenerāldeklarācij health section submitted in compliance with the recommendation concerning aircraft arriving from affected areas or to require it from aircraft that may be infections or contamination source for other reasons. The Member State shall be informed about these requirements air operators or their representatives. 39. article. Ship sanitation certificate of treatment 1. sanitary treatment control exemption certificates and ship sanitation control certificates of treatment is valid for a period of up to six months. That period may be extended by one month if the port is unable to complete the necessary inspections or control measures. 2. If it is not presented a valid ship's sanitary treatment control exemption certificate or sanitary treatment control certificate, or the vessel is found on the public health evidence, a Member State may take action as provided for in article 27 (1). 3. the licence referred to in this article shall comply with the model set out in annex 3. 4. If possible, control measures shall be carried out when the ship and holds are empty. If the vessel is to take those measures, the ballast must be carried out before loading. 5. If the control measures are necessary and they are successfully completed, the competent authority shall issue a ship sanitation control certificate of processing, which recorded the evidence found and the control measures taken. 6. the competent authority may issue a ship sanitation control in processing exemption certificate at any port specified in accordance with article 20, if the vessel does not correspond to that infection and contamination, including vectors and source of infection. Such certificates are usually issued only if it is made in the ship and cargo space is empty, or if they contain only ballast or any kind or arranged material that it provides an opportunity to examine closely the cargo area. 7. If the conditions which adequately carry out control measures, is that under the port as the opinion of the competent authority, satisfactory results can be reached, the competent authority shall register the ship sanitation control certificate of processing. Part VII – charges article 40. Charges for health measures regarding travellers 1. If this does not apply to travellers seeking temporary or permanent residence, and according to paragraph 2 of this article in accordance with the rules of the Member State shall not impose charges for the following public health activities: (a)) laid down in these provisions the medical inspections or to additional inspections by the Member State concerned may require, to ascertain the State of health of the traveller examined; (b) vaccination or other prophylaxis) for the traveller on arrival and not published requirement or is such a requirement, which published earlier than 10 days prior to vaccination or other preventive measures; (c) appropriate isolation of travellers) or quarantine requirements; d) traveller to certificates issued indicating the measures taken and their payment date, or e) traveller's luggage for health protection measures. 2. Member States may impose charges for health measures other than those referred to in paragraph 1 of this article, including those that are primarily for the benefit of travellers. 3. where imposed on payments for travellers following the application of health protection in accordance with these provisions, each Member State has only one such fare payment and each payment: (a)) correspond to the tariff; (b)) shall not exceed the actual price of the service provided and in c) are not sorted by the traveller's nationality, domicile or residence. 4. the tariffs and amendments thereto shall be published at least 10 days before any corresponding duties. 5. These provisions shall not prevent the Member States require to pay the expenses incurred in providing in paragraph 1 of this article, these health measures: (a)) of the carriers or holders for their employees; (b)) of the relevant insurance sources. 6. under no circumstances shall not prevent travellers or carriers to leave the territory of a Member State before 1 or 2 of this article. the payment referred to in paragraph 1 has been paid. 41. article. Charges for baggage, cargo, containers, vehicles, goods or postal parcels 1. If the payments under those provisions impose on health measures with respect to baggage, cargo, containers, vehicles, goods or postal parcels, each Member State has only one such fare payment and each payment: (a)) correspond to the tariff; (b)) shall not exceed the actual price of the service provided and in c) are not sorted by nationality, the flag, the baggage, cargo, containers, vehicles, goods or postal parcels in the registry or the home. There is no special distinction between national and foreign baggage, cargo, containers, vehicles, goods or postal parcels. 2. the tariffs and amendments thereto shall be published at least 10 days before any corresponding the imposition of duties. Part VIII – General provisions article 42. Health measures health measures undertaken in accordance with these rules, started and completed immediately and apply transparent and non-discriminatory manner. 43. article. Additional health measures 1. These provisions shall not prevent Member States, in accordance with their respective legislation and obligations under international law, in response to a specific threat to public health or the international importance of the public health emergency situations, to implement the health measures that: (a)) reached the same level of health protection as the who recommendations or exceeds; (b)) which would otherwise prohibited pursuant to article 25, article 26, article 28 1 and 2, article 30, article 31, paragraph 1 (c)) the bottom point and article 33, provided that such measures are otherwise compatible with these rules. Such measures are less restricted and international traffic is between and less invasive or burdensome persons than reasonably available alternatives to achieve the appropriate level of health protection. 2. in determining whether the need to implement paragraph 1 of this article, those in the medical and sanitary measures or additional measures in accordance with article 23, paragraph 2 of article 27, paragraph 1 of article 28, paragraph 2, and article 31, paragraph 2 (c)), Member States shall in their decisions is based on: (a) the) scientific principles; (b)) available scientific evidence of risk to human health or, if such evidence is insufficient, on the available information, including information from who and other relevant intergovernmental organizations and international bodies; (c) all available in particular) the who guidelines or advice. 3. when implementing paragraph 1 of this article, these additional health measures that significantly interfere with international traffic, the Member State shall provide the who public health rationale and relevant scientific information about them. Who distributes the information to the other Member States and disseminate information on implementing health protection measures. This article significant interference generally means refusal of entry or exit for international travellers, baggage, cargo, containers, vehicles, goods and the like, or their delay longer than 24 hours. 4. In accordance with article 3 and 5 point information and other relevant information for the assessment of who may request that the Member State concerned shall review the application of the measures again. 5. the Member State effecting the additional health measures that significantly interfere with international traffic, 48 hours, starting implementation, inform the who of such measures and their motives, unless they are subject to temporary or permanent recommendation. 6. the Member State effecting the additional health measures pursuant to paragraph 1 or paragraph 2, within three months of reporting such measures, taking into account the who advice and in paragraph 2 of this article the said criteria. 7. Without prejudice to the right of Member States under article 56, to any Member State affected according to paragraph 1 or paragraph 2 made to measure, may request the Member State to implement such a measure, with their advice. The consultation aims to clarify the measures based on existing scientific knowledge and public health themes and find a mutually acceptable solution. 8. the provisions of this article may apply measures concerning travellers taking part in mass gatherings. 44. article. 1. Cooperation and assistance Member States undertake, to the extent possible to interoperate: a) the case detection, assessment and response to them, as provided for in these regulations; b) technical assistance and logistical support or promotion, especially public health resource development, strengthening and maintenance in accordance with these rules; (c) mobilization of financial resources) in order to facilitate the fulfilment of the obligations under these terms, and (d)), the proposed legislation and administrative provisions for the implementation of these provisions in the formulation. 2. to the extent possible by the who at the request of Member States, cooperate with them: a) the public health resource audit and evaluation, in order to facilitate the effective implementation of these provisions; (b) technical cooperation and material) for the provision of technical support to Member States in the promotion and or c) mobilization of financial resources to support developing countries in annex 1 of that resource in the process of development and maintenance. 3. Cooperation under this article may be implemented through multilateral channels, including bilateral, as well as through the regional networks and the who regional offices, intergovernmental organizations and international bodies is vanity. 45. article. The processing of personal data 1. Health information collected or received by a Member State in accordance with these terms or from another Member State of the who and relating to an identified or identifiable person, kept confidential and processed anonymously, as provided for by national law. 2. Without prejudice to paragraph 1, Member States can detect and process personal data, if this is a significant public health risk assessment and management, and the Member States in accordance with national legislation, and who must ensure that the personal data should be: (a) fairly and lawfully processed) and should not be further processed for purposes incompatible with the above; b) adequate, for that purpose, and not excessive in relation to it; c) accurate and where necessary up to date; You must take all reasonable steps to ensure the fact that incorrect or incomplete data would be deleted or corrected, and (d)) would not be retained for longer than necessary. 3. at the request of the individual who, as far as practicable, give him this article, personal data referred to in a clear manner without undue delay or expense, and where appropriate to make an adjustment. 46. article. Biological substances, reagents and materials transportation, diagnosis and action with the Member States in accordance with national law, as well as taking into account relevant international guidance, facilitates biological substances and diagnostic specimens, reagents, and other diagnostic material transport, import, export and processing checks and public health response purposes, as well as their elimination in accordance with these rules. Part IX-list of experts, IHR Emergency Committee and a Review Committee chapter I — IHR list of experts article 47. Composition the Director General establish a list consisting of all of the relevant expertise of industry experts (hereinafter referred to as the IHR expert list). The Director General shall designate IHR expert list members who, in accordance with the rules on expert advisory groups and committees (hereinafter referred to as the who rules on advisory groups) where these rules provide otherwise. In addition, the Director-General shall appoint one Member for each Member State, and if necessary, the experts proposed by relevant intergovernmental and regional economic integration organizations. The Member States concerned shall notify the Director-General of each of the experts, they offer membership, qualifications and expertise in the industry. The Director-General shall regularly inform the Member States and the relevant intergovernmental and regional economic integration organisations on the IHR roster composition. Chapter II-the Emergency Committee article 48. Competence and composition 1. the Director General shall establish the Emergency Committee that after the request of the Director-General their opinion about it: a) or causes of exceptional international importance to public health; (b)) on the international importance of emergency public health situations and c) on the issue of temporary recommendations proposed, amendment, extension or termination. 2. Emergency Committee composed of experts chosen by the Director-General of the IHR expert and, where appropriate, the list of the Organization's other expert advisory groups. The Director-General shall determine the duration of the membership to ensure its continuity and its consequences, as appropriate. The Director-General shall designate the emergency situation the members of the Committee, on the basis of the expertise and experience needed in a given session, and with due regard for equitable geographical representation. At least one emergency Committee member must be an expert nominated by the Member State in whose territory the event arises. 3. The Director-General on his own initiative or at the request of the Emergency Committee may appoint one or more technical experts to advise the Committee. 49. article. 1. The Director-General shall convene the procedure for emergency meetings of the Committee, choosing more experts from article 48 paragraph 2 above in accordance with the sectors of expertise and experience that best fit the observed case. In this article the Emergency Committee meetings may include teleconferences, videoconferencing or electronic communication. 2. the Director-General shall determine the The Emergency Committee agenda and provides relevant information about the case, including information provided by Parties of the Member States, as well as temporary recommendations proposed by the Director-General to issue. 3. The Emergency Committee shall elect a Chairman and, after each meeting, prepare a short summary report on progress and consultation, including consultation on the recommendations. 4. the Director-General shall invite the Member State in whose territory the incident occurred, to provide emergency Committee his views. In the end, the Director-General shall communicate to it the Emergency Committee meeting dates and agenda for so long in advance, as is required. The Member State concerned may not, however, request the Emergency Committee meeting postponement, to give their views on it. 5. Emergency Committee's views to the Director-General sent for review. The Director-General on the issues concerned shall take a final decision. 6. the Director-General shall notify the Member States of the international importance of emergency public health situations and its termination, the Member State concerned undertaken health measures interim recommendations and following the recommendation of amendment, extension and termination of the emergency at the Committee's views. The Director-General with the parties and the Member States of the relevant international agencies shall inform the carrier of such temporary recommendations, including their modification, extension or termination. The Director-General then such information and recommendations are communicated to the general public. 7. Member States in whose territories the case is found, may propose to the Director-General of the international importance of emergency public health situations and/or temporary cessation of the recommendation and may speak to this end in the Emergency Committee. Chapter III-Review Committee in article 50. Competence and composition 1. the Director General shall establish a Review Committee that performs the following functions: (a) provide technical recommendations to the Director-General) for the amendment of these provisions; (b)) provides technical advice to the Director-General with regard to the recommendations and their permanent modification or termination; (c) providing technical advice to the Director-General), by the Director-General on this transferred the operation of the provisions. 2. the Committee considered the Review Committee of experts, and subject to the provisions of the who advisory groups, except as provided for in this article. 3. review the members of the Committee shall be designated by the Director-General of the IHR expert list of persons and, where appropriate, from the Organization's other expert advisory groups. 4. the Director-General shall establish a Review Committee to invite a number of the members, shall determine the date and duration of the meeting and shall convene the Committee. 5. the Director-General shall appoint the members of the Review Committee only to session time. 6. The Director-General shall appoint the members of the Review Committee on the basis of equitable geographical representation, gender balance, equal representation of experts from developed and developing countries, different representations of scientific considered approaches and practical experience in various countries of the world and the appropriate balance of interdisciplinary principles. 51. article. 1. Review the performance of the tasks of the Committee shall be taken by members present and voting in the majority. 2. the Director-General shall invite Member States, the United Nations and its specialized agencies and other relevant intergovernmental organizations or official relations with who, the existing non-governmental organizations to designate representatives to the Committee session attendance. Such representatives may submit memoranda and, with the consent of the Chairperson (s) to provide notification of a debatable issue. They do not have the right to vote. 52. article. 1. Every message session Review Committee shall prepare a report setting out the Committee's views and recommendations. That report was approved by the Review Committee before the end of the session. The views and suggestions submitted to the organisation, but the formula as a recommendation to the Director-General. The text of the message may not be altered without the consent of the Committee. 2. If the Review Committee is not unanimous in its findings, any Member shall be entitled to express their views without the assent of professional individual or group reports indicating a different point of view, the reasons of preservation and that is part of the Committee's report. 3. the report of the Committee of the review be submitted to the Director-General that its views and recommendations reported to the World Health Assembly or the Board for consideration and action. 53. article. Standing recommendation procedures Where the Director General considers that the specific public health needs and are continuously proposing, requesting the Director-General the views of the Review Committee. In addition, article 50 to 52 points concerned, the following provisions shall apply: (a) the proposals of the recommendations), amendments or termination of the Review Committee may submit to the Director-General or the Director-General between the Member States with the vanity; (b)) any Member State may submit relevant information for consideration by the Review Committee; (c) the Director-General) may require any Member State, intergovernmental organization or non-governmental organization which has official relations with the who, put the Review Committee of the information in its possession relating to the proposed standing recommendation identified by the Review Committee; (d) the Director-General after the Review Committee) request or on his own initiative, may appoint one or more technical experts to advise the Review Committee. They do not have the right to vote; e) all messages containing the Review Committee's views and advice on the recommendations forwarded to the standing, the Director-General for consideration and decision. The Director-General shall review the Committee's views and advice to communicate to the World Health Assembly; (f) the Director-General to Member States) shall communicate all standing recommendations, as well as any amendments or termination recommendations, together with the views of the Review Committee; (g) the Director-General shall submit to the Standing) recommendations the next World Health Assembly for consideration. Part x – final provisions article 54. Reporting and review 1. Member States and the Director-General reported to the World Health Assembly on the implementation of these provisions, as decided by the World Health Assembly. 2. The World Health Assembly regularly review these provisions. In the end it with the Director-General may request the advice of the Review Committee. The first such review shall take place no later than five years after the entry into force of these regulations. 3. Who regularly carry out studies annex 2 for review and performance evaluation. The first such review shall take place no later than one year after the entry into force of these regulations. The results of such a review, submit the case to the World Health Assembly for consideration. 55. article. Amendments amendments to these rules 1 may propose any Member State or by the Director General. These proposals for amendments shall be submitted to the World Health Assembly for consideration. 2. The text of any proposed amendment to the Director-General shall communicate to all Member States at least four months before the World Health Assembly, in which it is proposed to examine it. 3. the amendments made to these provisions pursuant to this article shall be adopted by the World Health Assembly, shall enter into force in all the Member States under the same conditions and subject to the same rights and obligations as provided for in article 22 of the Constitution of who, and this provision to article 59.64. 56. article. 1. The settlement of disputes in the event of a dispute between two or more parties about the interpretation of these rules, the Member States concerned must first endeavour to settle the dispute through negotiation or any other peaceful means of their own choice, including good offices, mediation or conciliation. If it fails to reach an agreement, does not release the parties to the dispute from the responsibility of continuing to seek a solution to the dispute. 2. If the dispute is not resolved by paragraph 1 of this article describes features, the Member States concerned may agree to refer the dispute to the Director-General on the matter, which is doing everything possible for the resolution of it. 3. a Member State may at any time notify the Director General that it accepts arbitration as compulsory in relation to any dispute concerning this provision, which party it is interpretation or application, or for any dispute in relation to any other State accepting the same obligation. In the case of arbitration in accordance with arbitration optional rules of international organizations and countries in disputes that are applicable at the time when the request for arbitration proceedings. Member States, which agreed to accept arbitration as compulsory, accepts the arbitration award as binding and final. The Director-General shall, where appropriate, the following activities shall inform the World Health Assembly. 4. These provisions shall not affect Member States ' rights of the parties under international agreements, which The parties may be, use another Intergovernmental Organization dispute resolution mechanisms or under international agreements to set up dispute settlement mechanisms. 5. In the event of a dispute between who and one or more Member States on the interpretation or application of these provisions, the question shall be submitted to the World Health Assembly. 57. article. Relationship with other international agreements 1. Members recognize that the IHR and other relevant international agreements should be interpreted so as to be compatible. IHR provisions shall not affect the Member States ' rights and obligations of the parties arising from other international agreements. 2. According to paragraph 1 of this article, these provisions do not prevent the Member States that have a common interest in their health, geographical, social or economic conditions, conclude special agreements or arrangements, in order to facilitate the application of these rules and in particular with regard to: (a)) and health information exchange between the various national adjacent areas; (b)) the health-protection measures applicable to international coastal traffic and traffic the waters within their jurisdiction; (c)) the health-protection measures applicable to the various country adjacent areas near their common border; d) agreements on the affected persons or affected the transport of mortal remains with this objective especially suitable vehicles and pest extermination, disinfection of an e), pest control, decontamination or other processing of the goods intended for the release of pathogens. 3. Without prejudice to their obligations under these provisions, the Member States, which is a regional economic integration organisation, in their mutual relations, apply the relevant regional economic integration organizations in the existing common rules. 58. article. International medical and sanitary agreements and regulations of these rules 1 countries, these rules are binding, and in those countries and the who, according to article 62, and the exemptions have been replaced following international medical sanitary agreements and regulations: (a) international medical-sanitary) Convention, signed in Paris, 21 June 1926; (b) medico-sanitary) the international air navigation Convention, signed in the Hague, 12 April 1933; c) international agreement on release from quarantine certificates, signed in Paris, 22 December 1934; d) international agreement on exemption from consular visas to quarantine certificates, signed in Paris, 22 December 1934; e) Convention, amending 21 June 1926 the international medical-sanitary Convention, signed in Paris, 31 October 1938; (f) international sanitary Convention), 1944, amending 21 June 1926 between folksy medical-sanitary Convention, opened for signature in Washington, 15 December 1944; (g)), the international aeronautical medico-sanitary Convention, 1944, amending 12 April 1933 the international medical-sanitary Convention, opened for signature in Washington,,1944 on 15 December; h) 23 April 1946 the Protocol extending the international medical-sanitary Convention, 1944, signed in Washington; I) 23 April 1946 the Protocol extending the international medical-sanitary Convention, 1944, air navigation, signed in Washington; j) international medical-sanitary regulations, 1951, and 1955, 1956, 1960, 1963 and 1965 supplementary provisions and k) international health regulations, 1969, and 1973 and 1981. 2. Panamerik medical-sanitary code, signed in Havana in 1924 November 14, remain in force, except 2, 9, 10, 11, 16 to article 53, 61 and 62, inclusive, relating to the subject of paragraph 1 of this article, the relevant portion. 59. article. Entry into force: the period of refusal or reservations 1. Article 22 of the Constitution of who the intended period of these rules or the rejection of the amendment or disclaimer is 18 months from the date on which the Director-General announced that these rules or their amendments, adopted by the World Health Assembly. Any refusal or reservations, which the Director General received after the specified time period, is not the end of the track. 2. These regulations shall enter into force 24 months after the paragraph 1 of this article, the date of notification referred to, except: (a) the requesting State is refused) in these rules or their amendments according to article 61; (b)) is a State made a reservation and that these regulations shall enter into force, as provided for in article 62; (c)), which becomes a member of the who, after the paragraph 1 of this article, since that date, the Director-General's statement and not yet party to these regulations, in respect of which these regulations shall enter into force, as provided for in article 60, and d) a country which is not a who Member, and which accepts the provisions in respect of which these regulations shall enter into force pursuant to paragraph 1 of article 64. 3. If the State in paragraph 2 of this article in the specified time frame these rules completely unable to adapt its domestic legislation and administrative arrangements documents that State in paragraph 1 of this article within the period specified shall be submitted to the Director-General a declaration does not comply with and adaptations to comply no later than 12 months after the entry into force of these regulations in respect of that Member State. 60. article. The new Member States of the who any State which becomes a member after the who article 59, paragraph 1 of the statement of the Director-General's day and which are not yet party to these rules can make known their rejection or reservations to these provisions the twelve month period from the day when it receives notification from the Director-General of the who, after becoming a member. If these rules are not rejected, they shall enter into force for that State in accordance with article 62 and 63 after a specified period of time. In any case, these provisions do not take effect in respect of that country earlier than 24 months after the article 59 (1) of the said notification. 61. article. Rejection if the State notifies the Director-General for this rule or the rejection of the amendments to article 59 paragraph 1 during the period provided for in these rules, the amendment shall not enter into force with respect to that country. Any international medical-sanitary agreement or regulations listed in article 58 and a half already, shall remain in force for the country. 62. article. Reservations 1. States may make reservations to these provisions pursuant to this article. The reservations are compatible with the objectives and purpose of these rules. 2. This provision shall notify the Director-General of the reservation in accordance with paragraph 1 of article 59 and article 60, paragraph 1 of article 63 or 64 paragraph 1 point depending on the case. State that is not a member of the who, any reservation shall notify the Director-General in his statement of acceptance of these rules. Countries, the formulation of reservations, the Director-General should be provided with information about the reservation. 3. partial rejection of these rules shall be considered as a reservation. 4. The Director-General pursuant to article 65 shall issue a notice of each according to paragraph 2 of this article received a reservation. Director-General requests: a) if reservation is made before the entry into force of these provisions, those Member States which do not have rejected these terms, his six months to notify objections to reservations or b) if reservation is made after the entry into force of this provision, Member States to him six months communicate the objection to the reservation. States objecting to a reservation, the Director-General should be provided with information about the reasons for the objection. 5. After this period, the Director-General shall notify all the Member States, which he has received in relation to reservations. If one until six months after the end of paragraph 4 of this article, the date of notification referred to in the reservation objected to one third country referred to in paragraph 4, the reservation shall be deemed to be accepted and these rules regarding reservation done country enter into force according to the statement. 6. If at least one third of the countries referred to in paragraph 4 to six months the end of the period after paragraph 4 of this article, the date of notification referred to in the opposition to the reservation, the Director-General shall inform the reservation done by country, to consider withdrawal of its reservation within three months from the date of notification by the Director-General. 7. the reservation made in the State continue to perform object matching the disclaimer, which is accepted by the State in accordance with any of the listed in article 58 international medical sanitary agreement or regulations. 8. If a State made a reservation three months after the Director-General referred to in paragraph 6, the date of notification by the Director-General concluded, called reservation requests a Review Committee, if requested by the State made a reservation. Review Committee as soon as possible and in accordance with article 50 provides advice to the Director-General on the practical impact of the reservation to this provision. 9. The Director-General submitted to the World Health Assembly of the reservation and, as appropriate, the views of the Review Committee for review. If the World Health Assembly with the majority opposing reservation, on the grounds that it is incompatible with the objective and purpose of these rules, disclaimers are not accepted, and these provisions shall enter into force with respect to the reservation done country only after it withdrew the reservation according to article 63. If The World Health Assembly accepts the reservation, these provisions shall enter into force with respect to the reservation so the country in accordance with the reservation. 63. article. Rejection and withdrawal of reservations 1. State may at any time withdraw a rejection in accordance with article 61, by sending notice to the Director-General. In such cases, these provisions shall enter into force for that country after the Director-General has received the notification, if one country does not make a reservation that it references the rejection, in any case these provisions enter into force, as provided for in article 62. In any case, these provisions do not take effect in respect of that country earlier than 24 months after the article 59 (1) of the said notification. 2. the Member State concerned may, at any time, revoke all or part of the reservation, notifying the Director-General. In such cases, the withdrawal shall take effect from the date on which the Director General has received the notification. 64. article. States that are not members of the who 1. any State which is not a member of the who and what is what is mentioned in article 58 international medical-sanitary agreement or regulations or for which the party has stated that the Director General of the World Health Assembly has accepted these provisions, may become a member of it, "the Director-General of its acceptance, and according to article 62, the following acceptance shall enter into force on the date of entry into force of the provisions or If such consent is notified after this date, three months after the date on which the Director-General has received the notification of acceptance. 2. any State which is not a member of the who and which has become a party to these regulations, these regulations of participation may be withdrawn at any time by notification addressed to the Director-General, which shall enter into force six months after it has been received by the Director General. State which has committed a cancellation after that date referred to in article 58 resume the international medical-sanitary agreement or the application of the rules, which the party has it been above. 65. article. The Director-General's statements 1. The Director-General shall inform all States who members and associate members, as well as the other listed in article 58 international medical-sanitary agreement or regulations of the parties, that the World Health Assembly has adopted these rules. 2. the Director-General shall also notify those countries, as well as all other countries that have become the rule or amendment of these rules, any communication to the parties by the who respectively received according to article 60 to 64, as well as any decision that the World Health Assembly adopted according to article 62. 66. article. 1. Authentic texts this provision in the Arabic, Chinese, English, French, Russian and Spanish languages being equally authentic. The original text of these regulations shall be deposited with the who. 2. The Director-General with article 59, paragraph 1, shall send the notification provided for in this regulation certified copies to all members and associate members and other listed in article 58 international medical-sanitary agreement or regulations of the parties. 3. with the entry into force of these regulations, the Director-General shall send certified copies thereof to the Secretary-General of the United Nations for registration in accordance with the United Nations Charter, article 102.

1. in annex a. KEY RESOURCE for surveillance and response requirements 1. Member States shall use existing national structures and resources to meet the fundamental requirements under these regulations, including: (a) their surveillance, reporting), information, verification, response and collaboration activities and (b)) its activities concerning designated airports, ports and land border crossing points. 2. each Member State shall, within two years after these rules in relation to that Member State have entered into force, evaluate existing national structures and resources in conformity with those described in annex minimum requirements. This evaluation, Member States shall draw up and implement action plans to ensure that those women exist and function throughout their territory, as specified in paragraph 1 of article 5 and paragraph 1 of article 13. 3. Member States and the who support assessment, planning and implementation processes in accordance with this annex. 4. Local community level and/or primary public health response level develops the following resources: a) to discover the disease or death related cases which exceed the specific time and location, all areas expected to be in the territory of a Member State, and (b)) immediately to report all available essential information for the relevant health care response level. Report to the community level, local community health care institutions or the appropriate medical personnel. The primary health care level, reported interim or national level depending on the response the organisational structures. In this annex, the relevant information is as follows: the description of the clinical picture, laboratory results, source and type of exposure, disease and human deaths, conditions affecting the spread of the disease, and the health protection measures, and c) promptly implement initial control measures. 5. interim public health response levels develops the following resources: (a) confirm the reported cases) and to support or implement additional control measures, and (b)) to assess immediately notified cases and, if found urgent, to report all relevant information to the national authorities. Urgent cases in this annex, the criteria include specific harmful effects on public health and/or abnormal or unexpected nature with high potential for spread. 6. The national level. Assessment and notification. Developed the following resources: a) appreciate all reports of urgent events 48 hours and, (b)) if the assessment shows that the case has to be notified under paragraph 1 of article 6 and annex 2 of the national IHR focal point, immediately notify the who and to inform the who, as required pursuant to article 7 and article 9, paragraph 2. The public health response actions. Developed the following resources: a) urgent to establish the necessary control measures to prevent the spread of domestic and international; (b)) to provide support with specialized personnel, laboratory sample (using a domestic or collaborating centre), and material support (e.g., equipment, supplies and transport); (c)) to provide assistance on the spot as needed to supplement local research; (d) provide direct operational) affiliation with the oldest health and other officials to urgently approve and implement containment and control measures; e) provide direct cooperation with other relevant government ministries; f) with the most effective available means of communication to ensure a connection with hospitals, clinics, airports, ports, land border crossing points, laboratories and other key operational sites to disseminate information received from who and recommendations related to the occurrence of the same Member State's territory and the territories of other Member States; g) to create, manage, and maintain a national public health action plan, including the interdisciplinary/multidisciplinary team creation, to respond to the events that may cause between the folksy meaning extreme danger to public health, and (h)) to provide the above within 24 hours. B. consumption of requirements DESIGNATED airports, ports and land border crossing points 1. At all times be ensured in the following resources: a) to provide access to: (i) adequate medical service), including diagnostic equipment arranged to allow urgent to assess and treat the affected travelers, and ii) appropriate staff, equipment and premises; (b)) to provide access to equipment and personnel conveyance of travellers suffering to the appropriate medical authority; (c) to provide trained personnel) vehicle inspection; (d)) to provide a safe environment for travellers using the points of entry facilities, including potable water, catering establishments, flight catering facilities, public toilets, appropriate solid and liquid waste disposal services, as well as other potential risk areas, through the programme of checks, and, e) as far as practicable, to provide program and trained personnel sickness and contamination source vector control points of entry and close them. 2. in response to the cases that can lead to exceptional international importance to public health, must be covered for the following resources: a) to ensure the appropriate action in emergency public health cases, developing and maintaining the plan for unexpected public health situation, including the designation of a coordinator and contact points for the relevant points of entry, public health and other agencies and services; (b)) provide the affected travellers or animal health monitoring and care, creating agreements with local medical and veterinary authorities about their isolation, treatment and other support measures as may be necessary; (c) to provide appropriate space), separated from the other travelers, interviews with potentially diseased or affected persons; (d)) to ensure the ill traveller health surveillance and quarantine where appropriate, preferably in facilities remote from the place of arrival; (e)) where appropriate, the use of the recommended measures, baggage, freight, containers, vehicles, goods or postal parcels to pest control, pest extermination, disinfection, decontamination or other treatment for that purpose specifically designated and equipped areas; f) use entry or exit control of inwards and both travellers and g) to provide access to the selected equipment and trained personnel with the right individual protective equipment, to move the travellers that may be infections or contamination vectors. Annex 2 annex 3 ship sanitary treatment control exemption certificate/ship SANITATION control certificate of processing sample port: _____ ____ ____ ____ date: ____ ____ ____ _____ this certificate and registered 1) exemption from control or 2) control measures taken. Ship or inland navigation vessels name: _____ flag: ___ ___ ___ ___ ___ ___ _____ registration/IMO No: _____ _____ _____ _____ during an inspection of the hold was not loaded/loaded with ____ ____ ____ ____ ____ _ _ tons _ _____ _____ _____ _____. Checking the officer's name and address: _____ _____ _____ _____ _____ _____ _____ _____ _____ the ship's sanitary treatment control exemption certificate in the vessel's sanitary certificate of Check processing area, [the system and services] pierādījumi1 sample found European Commission2 Check documents control measures taken by the new inspection date remarks about conditions in the galley found medical log container store log-in other loading space of the Vault (s)/krava the cabin:-team-captain-passenger-deck drinking water wastewater solid ballast tank and medical waste in standing water Engine medical objects in Other areas-see. Select area in the annex, which is not applicable, N/P with proof has not been found. Ship/vessel is exempt from control measures.               The following control measures are taken following the date. The issuing officer's name and title: _____ _____ _____ _____ _____ the signature and seal: _____ _____ _____ _____ date: _____ ____ ___ _____ 1 (a)) infection or contamination of evidence, including: vectors in all growth stages; vector animal sources of infection; rodents and other species that may be human disease vectors, human health, chemical and other microbiological hazards; inadequate medical-sanitary measures; b) information relating to the human case (to be included in the marine sanitary Declaration). 2 results from samples taken on board. The results of the analysis must be submitted immediately to the master and, if the new test is necessary, the next appropriate ports of call that coincides with this licence contains the new inspection date. Sanitary control exemption certificate, and sanitary control of the licence is valid for a maximum period of six months, but may be extended by one month if the port inspection cannot be done and there is no evidence of infection or contamination.
Annex 4 technical requirements relating to the transport and carriers A section. The carriers. 1. the carrier shall facilitate: (a) cargo, container and the) vehicle inspections; (b)) vehicles in the medical examination; c) other health measures under these regulations, and (d) the Member State requested) public health information. 2. the carrier to the competent authority a valid ship's sanitary control of a certificate of exemption or a certificate of sanitary control or sea sanitary declaration or ģenerāldeklarācij aircraft health section, as provided for under these rules. (B) section. Vehicles. 1. the control measures carried out by baggage, cargo, containers, vehicles and goods in accordance with these terms, shall be carried out in a way that, as far as possible, avoid potential harm or inconvenience to the people, as well as baggage, cargo, containers, vehicle and product damage. Whenever possible and appropriate, control measures shall be carried out when the vehicle and cargo spaces are empty. 2. Member States shall indicate the measures taken to cargo, containers or vehicles, processed parts, used techniques and their application. This information shall be provided in writing on the person in charge, and the case record of the ship's sanitary control certificate. For the rest of the cargo, containers or vehicles, Member States shall issue such information in writing to consignors, consignees, carriers, the person responsible for the shipment, or their respective representatives. Annex 5 specific measures for vector-borne diseases 1. Who regularly publishes a list of the areas from which the arrival, vehicles are recommended for pest control or other vector control measures. The establishment of areas in accordance with the relevant recommendation of the temporary or permanent procedures. 2. Every vehicle that leaves the place of arrival, situated in an area which is recommended for vector control, pest control, are to be made to destroy vectors. If there are organizations recommend methods and materials for these procedures, they should be used. The presence of disease vectors and the eradication of the trans portlīdzekļo for control measures include: (a)) in case the aircraft-aircraft ģenerāldeklarācij health section, where one section of the arrival airport is not annulled by the competent authority; (b) in the case of a ship-Board) the sanitary control certificates and c) in the case of all other vehicles-the written proof of treatment issued to the consignor, the consignee, the carrier, the person responsible for the shipment, or their representative. 3. Member States must accept the pest control, pest extermination, and other traffic control measures taken by other countries, if you used the suggested methods of organization and materials. 4. Member States shall establish programmes in order to control disease vectors, which can carry public health-threatening infectious agents that cause threats to public health for at least 400 metres from those points of entry into the zones used in operations involving travellers, vehicles, containers, cargo and postal parcels; minimum distance increases, if found in a wider range of disease vectors. 5. If you need a follow-up inspection to determine whether the vector control measures have been used successfully, on the need for the competent authority, which recommended screening, inform its next ports of call, or the competent authority of the airport, which has the resources to carry out such checks. In the case of the vessel recorded in the ship's sanitary control certificate. 6. the vehicle must be considered reasonably suspicious and should be checked for disease vectors and sources of infection if: (a) the potential infection) at the source of the illness caused by; (b) the possible source of infection) diseases in the case have been found between the folksy during flight or c) it has left the affected area during the period when the occupants are disease vectors can still be infectious. 7. If you have applied article 3 of this annex, or in the organization otherwise the proposed control measures, the Member State shall not be prohibited the landing of aircraft or berthing of the ship on its own territory. You can, however, request that aircraft or vessels arriving from the affected area, alight at airports or going to another port, which a Member State has designated for that purpose. 8. a Member State may make the vector control measures the vehicle arriving from vector-borne diseases in the affected area if the above vectors are found in its territory. Annex 6 vaccination, prophylaxis and RELATED certificates 1. Vaccine or other means of prevention specified in annex 7 or recommended in accordance with these terms, is appropriate; the vaccine is approved and the means of prevention, recognized by the who. At the request of a Member State who provides the evidence for the vaccine and prevention, which in accordance with these terms of use in its territory. 2. the persons who carried out the vaccination or other prophylaxis under these the rules, issued by the international certificate of vaccination or prophylaxis (hereinafter certificate), a model of which is specified in this annex. From this sample of the certificate specified in annex a do not indent. 3. This annex the appropriate certificates shall be valid only if the vaccine or prophylaxis used has been approved by the who. 4. The certificates directly signed by a clinician who is a medical person or other authorized medical staff who monitor the vaccination or prophylaxis. The certificate must also be approved by the official stamp of the vaccination Center, which, however, does not replace the signature. 5. Certificate fully completed in English or French. They can also be filled in another language in addition to English or French. 6. the certificate is invalid if it contains corrections or deletions, or not filled any part. 7. Certificates are individual and may under no circumstances be used collectively. Children issued separate certificates. 8. If the child does not know how to write, a certificate signed by one parent or guardian. Rakstītnepratēj's signature indicates the usual way with people and marking the other person indicates that it is a mark of the person concerned. 9. If the Central clinicians recognize that vaccination or prophylaxis is contraindicated for medical reasons, the central issue of the clinician person written information in English or French, for these reasons and, as the case may be, in addition to English or French in another language written information that is based on the opinion that after the arrival of the person to be taken into account by the competent authorities. The clinician and the central competent authority pursuant to paragraph 4 of article 23 of the person to be informed of the risks associated with the abandonment of vaccination and prevention. 10. An equivalent document, issued by the armed forces that force the active participant, accept international certificates where the specimen shown in the annex, if: (a) it contains essentially the same) medical information requested in a specified sample, and (b)) it contains a statement in English or French and where appropriate in another language in addition to English or French in which the vaccination or prophylaxis is registered and the date, and that for this purpose it is issued in accordance with this paragraph.
Annex 7 requirements for specific disease vaccination or prophylaxis 1. in addition to the recommendations concerning vaccination or prophylaxis under these provisions are further specified the following specific diseases to which may require vaccination of travellers or prevention as a condition of entry to a Member State: vaccination against yellow fever. 2. recommendations and requirements for vaccination against yellow fever: a) of this Annex: (i) yellow fever) incubation period is six days, (ii)) who confirmed yellow fever vaccine provides protection against infection starting 10 days after the vaccine is administered, (ii) the effect of protection) lasts for 10 years and, (iv) a certificate of vaccination against) yellow fever is valid for 10 years, starting from the day of vaccination 10 date or, in the case of a booster vaccination 10 years after the date of the relevant the revaccination (booster); b) vaccination against yellow fever may require every traveler who left the area for which the Organization has determined that there exists a risk of transmission of yellow fever; (c) If a traveller's vaccinations) certificate against yellow fever, which, however, is not valid, the traveller should be allowed to leave, but paragraph 2 of this annex h) rules can be applied on arrival; d) travellers with a valid certificate of vaccination against yellow fever shall not be considered as a possible sick, even if he comes out of the area for which the Organization has determined that there exists a risk of transmission of yellow fever; (e)) in accordance with annex 6, paragraph 1, of the yellow fever vaccine used must be approved by the Organization; f) Member States shall designate in their territories a particular vaccination against yellow fever centres, to ensure that the procedure used and the material quality and safety; g) each person who is employed in the area of entry points for which the Organization has determined that there exists a risk of transmission of yellow fever, and each such points of entry into the vehicle using a team member must have a valid certificate of vaccination against yellow fever; h) the Member State within the territory of which is found in yellow fever vectors, you can require the traveller who does not produce a valid certificate of vaccination against yellow fever and arriving from an area for which the Organization has determined that there exists in yellow fever transmission risk, be placed in quarantine until the licence becomes invalid, or for a period of not more than six days, calculated from the last date of potential contamination, depending on that deadline occurs earlier; I) travellers is the authorized practitioner or authorized medical staff signed the exemption from vaccination against yellow fever, however, can allow to enter, if compliance with the provisions of the preceding paragraph, and they provide information on protection of yellow fever vectors. If travelers do not need to be quarantined, may require them to notify the competent authority of a fever or other symptoms, so they shall be subject to a medical. 8. Annex 9. INTERNATIONAL HEALTH regulations (2005) for the I-DEFINITION, purpose AND scope, principles AND of the RESPONSIBLE authorities article 1 Definition 1. For the purpose of the International Health Regulations (hereinafter the "IHR" or "regulations"): "affected" means persons, cargo, container, baggag, conveyanc, good, postal parcel or human remains that are infected or contaminated, or carry sources of infection or contamination, so as a public health risk the constitut; "affected area" means (a) a location for which the health measure specifically of the locations have been recommended by the who under these regulations; "aircraft" means an aircraft making an international voyage; ' airport ' means any airport where international flights arrive or depart; "the arrival" of a conveyanc» means: (a) in the case of a seagoing vessel, arrival or anchoring in the defined area of a port; (b) in the case of an aircraft, arrival at an airport; (c) in the case of an inland navigation vessel on an international voyage, arrival at a point ofentry; (d) in the case of a train or road vehicle, arrival at a point of entry; "baggag" means the personal effects of a traveller; "cargo" means goods carried on a conveyanc or in a container; "competent authority" means an authority responsible for the implementation and application of health measure's under these regulations; "container" means an article of transport equipment: (a) of a permanent character and accordingly strong enough to be suitabl for repeated use; (b) specially designed to facilitat the carriage of goods by one or more modes of transport, without intermediate reloading; (c) fitted with devices permitting its ready handling, particularly its transfer from one mode of transport to another; and (d) specially designed as to be easy to fill and empty; "container loading area" means a place or facility set aside for containers used in international traffic; "contamination" means the presence of an infectious or toxic agent or matter on a human or animal body surface, in or on a product prepared for consumption or on other objects, including the conveyanc inanimat, that a public health risk constitut Maya; "conveyanc" means an aircraft, ship, train, road vehicle or other means of transport on an international voyage; "conveyanc-operator" means a natural or legal person in charge of a conveyanc or their agent; "the crew" means a person on board a conveyanc who are not passenger; ' decontamination ' means a procedure whereby health measure taken by it to eliminat an infectious or toxic agent or matter on a human or animal body surface, in or on a product prepared for consumption or on other objects, including the conveyanc inanimat, that a public health risk constitut Maya; "departure" means, for a person, cargo, conveyanc, baggag or good, the Act of leaving a territory; "deratting" means the procedure whereby health measure taken by the control or kill roden vector of human disease present in cargo, container, baggag, conveyanc, facilities, goods and postal parcel at the point of entry; "Director-General" means the Director-General of the World Health Organization; "disease" means an illness or medical condition, irrespectiv of origin or source, that presents or could present significant harm to humans; "wastewater" means the procedure whereby health measure taken to control or to kill infectious agents on a human or animal body surface or in or on, cargo, container baggag, conveyanc, goods and postal parcel by direct exposure to chemical or physical agents; "disinsection" means the procedure whereby health measure taken by the control or kill the insec vector of human diseases present in the cargo, container baggag, conveyanc, goods and postal parcel; "event" means (a) a manifestation of disease or an occurrence that create a potential for disease; "free pratique" means permission to enter a port for a ship to embark or disembark, discharge, or load cargo or stores; permission for an aircraft, after landing, to embark or disembark, discharge or load cargo or stores; and permission for a ground transport vehicle, upon arrival, to embark or disembark, discharge or load cargo or stores; "good" mean tangibl products, including animals and plants, transported on an international voyage, including for utilization on board (a) conveyanc; "ground crossing" means a point of land entry in a State Party, including the one utilized by road vehicles and trains; "ground transport vehicle" means a motorized conveyanc for overland transport on an international voyage, including trains, coaches, lorries and automobiles; "health measure" means procedures applied to prevent the spread of disease or contamination; a health measure does not include law enforcement or security measure; "ill person" means an individual suffering from or affected with a physical ailment that may pose a public health risk; "infection" means the entry and development or multiplication of an infectious agent in the body of humans and animals that may constitut a public health risk; "inspection" means the examination, by the competent authority or under its supervision, of area, container, conveyanc, baggag, facilities, goods or postal parcel, including relevant data and documentation, to determin if a public health risk exists; "international traffic" means the movement of persons, cargo, container, baggag, conveyanc, goods or postal parcel across an international border, including international trade; "international voyage" means: (a) in the case of a conveyanc, a voyage between points of entry in the territories of more than one State, or a voyage between points of entry in the territory or territories of the same State if the conveyanc has contacts with the territory of any other State on its voyage but only as regards those contacts; (b) in the case of a traveller, a voyage involving entry into the territory of a State of the territory of the thanth the other State in which that traveller commenc the voyage; the "intrusive" means possibly provoking discomfor through close or intimate contact orquestioning; "inventory" means the incisions or punctures of the skin or insertion of an instrument or foreign material into the body or the examination of a body cavity. For the purpose of these regulations, the medical examination of the ears, nose and mouth, temperature assessment using an ear thermometer, oral or, or thermal imaging of cutaneo; medical inspection; auscultation; external palpations; retinoscopy; external collection of urin, faec or saliv a sample; external measurement of blood pressure; and electrocardiography shall be considered to be non-inventory; "isolation" means separation of ill or contaminated or affected persons, container, conveyanc baggag, goods or postal parcel from others in such a manner as to prevent the spread of infection or contamination; "medical examination" means the preliminary assessment of a person by an authorized health worker or by a person under the direct supervision of the competent authority, to determin the person's health status and potential public health risk to others, and may include the scrutiny of health documents, and a physical examination when justified by the Council of the individual cas circumstanc; "The National IHR Focal point" means the national centre, designated by each State Party, which shall be accessible at all times for communications with who IHR Contact points under these regulations; "Organization" or "who" means the World Health Organization; "permanent residence" has the meaning as determined in the national law of the State Party concerned; "personal data" means any information relating to an identified natural person or identifiabl; "point of entry" means a passage for international entry or exit of travellers, cargo, container, baggag, conveyanc, goods and postal parcel as well as agencies and areas providing services to them on entry or exit; "port" means a seaport or a port on an inland body of water where ships on an international voyage arrive or depart; "postal parcel" means an article or addressed package carried internationally by the postal or courier services; "public health emergency of international concern" means an extraordinary event which is determined, as provided in these regulations: (i) a public health risk the constitut to other States through the international spread of disease and (ii) to potentially require a coordinated international response; "public health observation" means the monitoring of the health status of a traveler over time for the purpose of determining the risk of disease transmission; "public health risk" means (a) the likelihood of an event that may be adversely affec the health of human population, with an emphasis on one which may spread internationally or may present a serious and direct danger; "quarantine" means the restriction of activities and/or separation from others of suspect persons who are not ill or of suspect baggag, container, conveyanc or good in such a manner as to prevent the possible spread of infection or contamination; "recommendations" and "recommended" refer to temporary or standing recommendations issued under these regulations; "reservoir" means an animal, plant or substance in which an infectious agent normally lives and whose presence may constitut a public health risk; "road vehicle" means (a) the ground of trans port vehicle other than a train; "scientific evidence" means information level of a furnishings proof based on the established and accepted methods of science; "scientific principles" means the accepted fundamental laws and facts of nature known through the methods of science; "ship" means a seagoing or inland navigation vessel on an international voyage; "standing recommendations" means non-binding advice issued by the who for specific ongoing public health risk to article 16 regarding pursuan appropriate health measure for routin or periodic applications needed to prevent or reduce the international spread of disease and minimize interference with international traffic; "surveillance" means the systematic ongoing collection, collation and analysis of data for the purpose of public health and the timely dissemination of public health information for assessment and public health response as not cessary; "suspect" means those persons, cargo, container baggag, conveyanc, goods or postal parcel considered by a State Party as having been exposed, or possibly exposed, to a public health risk and that could be a possible source of the spread of disease; "the temporary recommendations" means non-binding advice issued by who to their article 15 pursuan for applications on a time-limited, risk-specific basis, in response to a public health emergency of international concern, so as to prevent or reduce the international spread of disease and minimize interference with international traffic; "temporary residence" has the meaning as determined in the national law of the State Party concerned; "traveller" means (a) a natural person undertaking an international voyage; "vector" means an animal which normally insec or others transport an infectious agent that (a) the public health risk of the constitut; "verification" means the provision of information by a State Party to the who confirming the status of an event within the territory or territories of that State Party; "The who IHR Contact point" means the unit within who which shall be accessible at all times for communications with the National IHR Focal point. 2. Unless otherwise specified in or determined by the context, reference to these regulations includes the annex's theret. Article 2 purpose and scope the purpose and scope of these regulations with the prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurat with restricted to public health risks and, and avoid unnecessary interference with international which traffic and trade. Article 3 principles 1. The implementation of these regulations shall be with full respect for the dignity, human rights and fundamental freedom of persons. 2. The implementation of these regulations shall be guided by the Charter of the United Nations and the Constitution of the World Health Organization. 3. The implementation of these regulations shall be guided by the goal of their universal application for the protection of all people of the world from the international spread of disease. 4. States have, in accordanc with the Charter of the United Nations and the principles of international law, the sovereign right to the legislat and implementations that legislation in pursuanc of their health policies. In doing so they should uphold the purpose of these regulations. Article 4 Responsible authorities 1 Each of State Party shall establish a National or designat IHR Focal point and the authorities responsible within its jurisdiction by the respectiv for the implementation of the health measure's under these regulations. 2. National IHR Focal points shall be accessible at all times for communications with the who IHR Contact points provided for in paragraph 3 of this article. The functions of National IHR Focal points shall include: (a) sending it to who IHR Contact points, on behalf of the State Party concerned, urgent communications concerning the implementation of these regulations, in particular under articles 6 to 12; and (b) disseminating information to, and consolidating input from, relevant sectors of the administration of the State Party concerned, including those responsible for surveillance and reporting, points of entry, public health services, clinic and hospital and other government departments. 3. The who IHR Contact Points shall designat-, which shall be accessible at all times for communications with National IHR Focal points. The who IHR Contact points shall send urgent communications concerning the implementation of these regulations, in particular under articles 6 to 12, to the National IHR Focal point of the States parties concerned. The who IHR Contact points may be designated by the who at the headquarters or at the regional level of the Organization. 4. States parties shall provide the who with contact details of their National IHR Focal point and who shall provide the States parties with the contact details of the who IHR Contact points. These contact details shall be continuously updated and annually confirmed. Who shall make available to all States parties the contact details of National IHR Focal points it receive them this pursuan of article. Part II-INFORMATION AND PUBLIC HEALTH response article 5 surveillance 1. Each State Party shall develop, strengthen and maintain, as soon as possible but from later than five years from the entry into force of these regulations for that State Party, the capacity to detect, assess, notify and report events in accordanc with these regulations, as specified in Annex 1.2. Following the assessment referred to in paragraph 2 For A of Annex 1, a State Party may report to who on the basis of a justified need and an implementation plan and, in so doing, obtain an extension of two years in which to fulfil the obligation in paragraph 1 of this article. In exceptional circumstanc, and supported by a new implementation plan, the State Party may request a further extension not exceeding two years from the Director-General, who shall make the decision, taking into account the technical advice of the Committee established under article 50 (hereinafter the "Review Committee"). After the period mentioned in paragraph 1 of this article, the State Party that has obtained an extension shall report annually to the who on progress made towards the full implementation. 3. Who shall assist States parties, upon request, to develop, strengthen and maintain the capacities referred to in paragraph 1 to of this article. 4. Who shall collect information regarding events through its surveillance activities and assess their potential to cause international disease spread and possible interference with international traffic. Information received by who under this paragraph shall be handled in accordanc with articles 11 and 45 where appropriate. Article 6 Notification 1. Each State Party shall assess events occurring within its territory by using the decision instrument in Annex 2. Each State Party shall notify who, by the most efficient means of communication available, by way of the National IHR Focal point, and within 24 hours of assessment of public health information, of all events which may constitut a public health emergency of international concern within its territory in accordanc with the decision instrument , as well as any health measure implemented in response to those events. If the notification received by who the involv competency of the International Atomic Energy Agency (IAEA), who shall immediately notify the IAEA. 2. Following a notification, a State Party shall continue to communicate to who timely, accurate and sufficiently detailed public health information available to it on the notified event, where possible including case definition, laboratory results, source and type of the risk, number of cases and death, conditions the regimes by spread of the disease and the health of the self-employed "; and report, when not, the difficult to cessary faced and support needed in responding to the potential public health emergency of international concern. Article 7 Information-sharing during unexpected or unusual public health events If a State Party has evidence of an unexpected or unusual public health event within its territory, irrespectiv of origin or source, which may constitut a public health emergency of international concern, it shall provide to who all relevant public health information. In such a case, the provision of article 6 shall apply in full. Article 8 Consultation In the case of events occurring within its territory not requiring notification as provided in article 6, in particular those events for which there is insufficient information available to complete the decision instrument, a State Party may not vertheles keep who advised thereof through the National IHR Focal point and consult with the who on appropriate health ". Such communications shall be treated in accordanc with paragraphs 2 to 4 of article 11. The State Party in whose territory the event has occurred may request the who assistance to assess any epidemiological evidence obtained by that State Party. Article 9 Other reports 1. Who may take into account reports from sources other than notifications or consultation and shall assess these reports according to established epidemiological principles and then communicate information on the event to the State Party in whose territory the event is allegedly occurring. Before taking any action based on such reports, who shall consult with and obtain the verification attempt from the State Party in whose territory the event is allegedly occurring in accordanc with the procedure set forth in article 10 To this end, who shall make the information received available to the States parties and only where it is duly justified may who maintains the confidentiality of the source. This information will be used in accordanc with the procedure set forth in article 11.2. States parties shall, as far as practicabl, notify the who within 24 hours of receipt of evidence of a public health risk identified outside their territory that may cause international disease spread, as manifested by exported or imported: (a) human cases; (b) the vector in which carry infection or contamination; or (c) goods that are contaminated. Article 10 Verification 1. Who shall request, in accordanc with article 9, verification from a State Party of reports from sources other than notifications or Google Street view of events which may constitut a public health emergency of international concern allegedly occurring in the State's territory. In such cases, who shall inform the State Party concerned regarding the reports it is seeking to verify. 2. to the foregoing paragraph Pursuan and to article 9, each State Party, when requested by the who, shall verify and provide: (a) within 24 hours, an initial reply to, or acknowledgement of the request from the who; (b) within 24 hours, available public health information on the status of events referred to in the who's request; and (c) information to the who in the context of an assessment under article 7, including relevant information as described in that article. 3. When the who receive the information of an event that may constitut a public health emergency of international concern, it shall offer the collaborat with the State Party concerned in assessing the potential for international disease spread, possible interference with international traffic and the adequacy of control measure. Such activities may include collaboration with other standard-setting organizations and the offer it mobilizes international assistance in order to support the national authorities in conducting and coordinating on-site assessments. When requested by the State Party, who shall provide information supporting such an offer. 4. If the State Party does not accept the offer of collaboration, who may, when justified by the magnitud of the public health risk, share with other States parties the information available to it, whilst the encouraging the State Party to accept the offer of collaboration by who, taking into account the views of the State Party concerned. Article 11 Provision of information by who 1. Subject to paragraph 2 of this article, who shall send to all States parties and, as appropriate, to relevant intergovernmental organizations, as soon as possible and by the most efficient means available, in confidence, such public health information which it has received under articles 5 to 10 inclusive and which is not to enable cessary States parties it responds to a public health risk. Who should communicate information to other States parties that might help them in preventing the occurrence of similar incidents. 2. Who shall use information received under articles 6 and 8 and paragraph 2 of article 9 for verification, assessment and assistance for the purpose under these regulations and, unless otherwise is agreed with the States parties referred to in those provision, shall not make this information generally available to other States parties, until such time as: (a) the event is determined to a public health emergency of constitut international concern in accordanc with article 12; or (b) information evidencing the international spread of the infection or contamination has been confirmed by the who in accordanc with established epidemiological principles; or (c) there is evidence that: (i) control measure against the international spread of the unlikely to succeed because of the nature of the contamination, disease agent, vector or reservoir; or (ii) the State Party lack sufficient operational capacity to carry out the it does not measure to prevent cessary further spread of disease; or (d) the nature and scope of the international movement of travellers, baggag, cargo, container, conveyanc, goods or postal parcel that may be affected by the infection or contamination requires the immediate application of international control measure. 3. Who shall consult with the State Party in whose territory the event is occurring as to its intent to make information available under this article. 4. When information received by who under paragraph 2 of this article is made available to States parties in accordanc with these regulations, who may also make it available to the public if other information about the same event has already become publicly available and there is a need for the dissemination of independent information and authoritativ. Article 12 Determination of a public health emergency of international concern 1. The Director-General shall determin, on the basis of the information received, in particular from the State Party within whose territory an event is occurring, whethers an event of a public health emergency of constitut international concern in accordanc with the criteria and the procedure set out in these regulations. 2. If the Director-General to consider, based on an assessment under these Regulations, that a public health emergency of international concern is occurring, the Director-General shall consult with the State Party in whose territory the event «arise regarding this preliminary determination of. If the Director-General and the State Party are in agreement regarding this determination, the Director-General shall, in accordanc with the procedure set forth in article 49, seek the views of the Committee established under article 48 (hereinafter the "Emergency Committee") on appropriate temporary recommendations. 3. If, following the consultation in paragraph 2 above, the Director-General and the State Party in whose territory the event of «arise do not come to a consensus within 48 hours on whethers the event of a public health emergency of constitut international concern, a determination shall be made in accordanc with the procedure set forth in article 49.4. In determining an event constitut a whethers public health emergency of international concern, the Director-General shall consider: (a) the information provided by the State Party; (b) the decision instrument in Annex 2 led; (c) the advice of the Emergency Committee; (d) scientific principles as well as the available scientific evidence and other relevant information; and (e) an assessment of the risk to human health, of the risk of international spread of disease and of the risk of interference with international traffic. 5. If the Director-General, following consultation with the State Party within whose territory the public health emergency of international concern has occurred, consider that a public health emergency of international concern has ended, the Director-General shall take a decision in accordanc with the procedure set out in article 49. Article 13 Public health response 1. Each State Party shall develop, strengthen and maintain as soon as possible but from later than five years from the entry into force of these regulations for that State Party, the capacity it responds promptly and effectively to public health risks and public health emergencies of international concern as set out in Annex 1 shall publish, in the who consultation with Member States, guidelines to support States parties in the development of public health response capacities. 2. Following the assessment referred to in paragraph 2 (A) of Annex 1, part, a State Party may report to who on the basis of a justified need and an implementation plan and, in so doing, obtain an extension of two years in which to fulfil the obligation in paragraph 1 of this article. In exceptional and circumstanc supported by a new implementation plan, the State Party may request a further extension not exceeding two years from the Director-General, who shall make the decision, taking into account the technical advice of the Review Committee. After the period mentioned in paragraph 1 of this article, the State Party that has obtained an extension shall report annually to the who on progress made towards the full implementation. 3. At the request of a State Party, who shall collaborat in the response to public health risks and others events by providing technical guidance and assistance and by assessing the effectiveness of the control measure in place, including the mobilizations of the international teams of experts for on-site assistance, when not cessary. 4. If who, in consultation with the States parties concerned as provided in article 12, that a public health of determin the emergency of international concern is occurring, it may offer, in addition to the support indicated in paragraph 3 of this article, further assistance to the State Party, including an assessment of the severity of the international risk and the adequacy of control measure. Such collaboration may include the offer it mobilizes international assistance in order to support the national authorities in conducting and coordinating on-site assessments. When requested by the State Party, who shall provide information supporting such an offer. 5. When requested by the who, States parties should provide, to the exten to possible, support the who-coordinated response activities. 6. When requested, who shall provide appropriate guidance and assistance to other States parties affected or threatened by the public health emergency of international concern. Article 14 Cooperation of who with intergovernmental organizations and international bodies 1. Who shall cooperate and line it in the activities, as appropriate, with other competent intergovernmental organizations or to international bodies in the implementation of these regulations, including through the conclusion of agreements and other similar arrangements. 2. In cases in which notification or verification of, or response to, an event is primarily within the competence of other intergovernmental organizations or international bodies, who shall it be line activities with such organizations or bodies in order to ensur the application of a measure of adequat for the protection of public health. 3. Notwithstanding the foregoing, nothing in these regulations shall preclud or limit the provision by who of advice, support, or technical or other assistance for public health purpose. Part III-recommendations article 15 Temporary recommendations 1. If it has been determined in accordanc with article 12 that a public health emergency of international concern is occurring, the Director-General shall issue temporary recommendations in accordanc with the procedure set out in article 49. Such temporary recommendations may be modified or extended, as appropriate, including after it has been determined that a public health emergency of international concern has ended , at which time other temporary recommendations may be issued as non cessary for the purpose of preventing or promptly detecting its recurrence. 2. Temporary recommendations may include health measure to be implemented by the State Party experiencing the public health emergency of international concern, or by other States parties, regarding persons, cargo, container baggag, conveyanc, good and/or postal parcel to prevent or reduce the international spread of disease and avoid unnecessary interference with international traffic. 3. Temporary recommendations may be terminated in accordanc with the procedure set out in article 49 at any time and shall automatically expires three months after their issuance. They may be modified or extended for additional periods of up to three months. Temporary recommendations may not continue beyond the second World Health Assembly after the determination of the public health emergency of international concern to which they relate. Article 16 Standing recommendations who may make standing recommendations of appropriate health measure in accordanc with article 53 for routin or periodic application. Such measure may be applied for by States parties regarding persons, cargo, container, baggag, conveyanc, good and/or postal parcel for specific, ongoing public health risk in order to prevent or reduce the international spread of disease and avoid unnecessary interference with international traffic. Who may, in accordanc with article 53, modify or terminate such recommendations, as appropriate. Article 17 criteria for recommendations When issuing, modifying or terminating temporary or standing recommendations, the Director-General shall consider: (a) the views of the States parties directly concerned; (b) the advice of the Emergency Committee or the Review Committee, as the case may be; (c) scientific principles as well as available scientific evidence and information; (d) the health measure of that, on the basis of a risk assessment appropriate to the circumstanc, are not more restrictive of international traffic and trade and are not more intrusive to persons than reasonably available alternatives that would achieve the appropriate level of health protection; (e) relevant international standards and instruments; (f) activities undertaken by other relevant intergovernmental organizations and international bodies; and (g) other appropriate and specific information relevant to the event. With respect to temporary recommendations, the considerations by the Director-General of subparagraph (e) and (f) of this article may be subject to limitations imposed by urgent circumstanc. Article 18 recommendations with respect to the persons, cargo, container baggag, conveyanc, good and postal parcel 1. Recommendations issued by who to States parties with respect to persons may include the following advice:-from specific health measure with is advised; -review the travel history in the affected area; -review of medical examination and any laboratory proof analysis; -require medical examination; -proof of vaccination or other prophylax reviews; -require vaccination or other prophylax; -place suspect persons under public health observation; -quarantine or other health implementations that measure for suspect persons; -isolation and implementations that treatment of affected individuals where no cessary; -tracing of contacts of implementations that suspect or affected persons; -entry of refus suspect and affected persons; -entry of unaffected persons refus to affected areas; and-implementations that exit screening and/or restriction on persons from the affected area. 2. Recommendations issued by who to States parties with respect to the cargo, container baggag, conveyanc, good and postal parcel may include the following advice:-from specific health measure with is advised; -review manifest and routing; -implementations that inspection; -review of measure taken on departure of the proof or in transit to eliminat the infection or contamination; -treatment of the implementations that baggag, cargo, container, conveyanc, good, postal parcel or human remains to remove infection or contamination, including vector and reservoir; -the use of specific health measure to ensur the safe handling and transport of human remains; -isolation or quarantine implementations; -the chicken pox vaccine and and destruction of infected or contaminated or suspect baggag, cargo, container, conveyanc, goods or postal parcel under controlled conditions if from available treatment or process will otherwise be successful; and-the departure or entry refus. Part IV-points OF ENTRY article 19 General obligation of Each State Party shall, in addition to the other obligations provided for under these regulations: (a) ensur that the capacities to set forth in Annex 1 for designated points of entry are developed within the timeframe provided in paragraph 1 of article 5 and paragraph 1 of article 13; (b) identify the competent authorities to be at each designated point of entry in its territory; and (c) furnish to the who, as far as practicabl, when requested in response to a specific potential public health risks, relevant data concerning sources of infection or contamination, including vector and reservoir, at its points of entry, which could result in international disease spread. Article 20 airports and ports 1. States parties shall designat the airports and ports that shall develop the capacities provided in Annex 1 to 2. States parties shall ensur that Ship Sanitation Control Exemption Certificates and Ship Sanitation Control certificates are issued in accordanc with the requirements in article 39 and the model provided in Annex 3. Each State Party shall 3 send to who a list of ports authorized to offer : (a) the issuance of Ship Sanitation Control certificates and the provision of the services referred to in Annex 1 and 3; or (b) the issuance of Ship Sanitation Control Exemption certificates only; and (c) the extension of the Ship Sanitation Control Exemption Certificate for a period of one month until the arrival of the ship in the port at which the certificate may be received. Each State Party shall inform who of any changes which may occure to the status of the listed ports. Who shall publish the information received under this paragraph. 4. Who may, at the request of the State Party concerned, to certify, after an arrang appropriate investigation, that an airport or port in its territory meets the requirements referred to in paragraphs 1and 3 of this article. These certifications may be subject to periodic review by who, in consultation with the State Party. 5. Who, in collaboration with the competent intergovernmental organizations and international bodies, shall develop and publish the certification guidelines for airports and ports under this article. Who shall also publish a list of certified airports and ports. Article 21 Ground crossing 1. Where justified for public health reasons, a State Party may designat ground crossing that shall develop the capacities provided in Annex 1, to taking into considerations: (a) the volume and frequency of the various types of international traffic, as compared to other points of entry, at a State Party's ground crossing of which might be designated; and (b) the public health risks existing in the areas in which the international traffic of, or through which it originat passu, prior to arrival at a particular ground crossing. 2. the States parties sharing common borders should consider: (a) entering into bilateral agreements or arrangements in the multilaterals or concerning prevention or control of international transmission of disease at ground crossing in accordanc with article 57; and (b) the designation of the adjacent joint ground crossing for the capacities in Annex 1 in accordanc with paragraph 1 of this article. Article 22 role of the competent authorities 1. The competent authorities shall be: (a) be responsible for the monitoring, cargo, container baggag, conveyanc, good, postal parcel and human remains departing and arriving from affected areas, so that they are maintained in such a condition that they are free of sources of infection or contamination, including vector and reservoir; (b) as far as ensur, practicabl, that facilities used by travellers at points of entry are maintained in a sanitary condition and the CEAS free of sources of infection or contamination, including vector and reservoir; (c) be responsible for the supervision of any deratting, disinsection or decontamination of wastewater, baggag, cargo, container, conveyanc, good, postal parcel and human remains or sanitary measure for a person, as appropriate under these regulations; (d) advise the operator of conveyanc, as far in advance as possible, of their intent to apply control measure to a conveyanc, and shall provide, where available, written information concerning the methods to be employed; (e) be responsible for the supervision of the removal and safe disposal of any contaminated water or food, human or animal, and any others deject wastewater contaminated matter from a conveyanc; (f) take all the measure of practicabl consistent with these regulations to monitor and control the discharge by ships of sewag, refus, ballast water and other potentially disease-causing matter which might contaminat the waters of a port, river, canal, Strait, Lake or other international waterway; (g) be responsible for supervision of service providers for services concerning travellers, baggag, cargo, container, conveyanc, good, postal parcel and human remains at points of entry, including the conduct of inspection and medical examination as no cessary; (h) have effective contingency arrangements to deal with an unexpected public health event; and (i) communicate with the National IHR Focal point on the relevant public health measure taken by the these regulations pursuan. 2. the Health measure's recommended by who for the traveller, cargo, container, baggag, conveyanc, good, postal parcel and human remains arriving from an affected area may be reapplied on arrival, if there is indication verifiabl and/or evidence that the measure's applied on departure from the affected area were unsuccessful. Disinsection, deratting, 3, wastewater decontamination procedures shall be sanitary and others carried out so as to avoid injury and as far as possible, persons or discomfor damage to the environment in a way which impacts on public health, or damage to, cargo, container baggag, conveyanc, goods and postal parcel. Part V-PUBLIC HEALTH MEASURE in Chapter I-General provision Article 23 Health measure on arrival and departure 1. Subject to applicable international agreements and relevant articles of these regulations, (a) a State Party may require for public health purpose, on arrival or departure: (a) with regard to traveller: (i) information concerning the traveller's destination so that the traveller may be contacted; (ii) information concerning the traveller's itinerary to ascertain if there was any travel in or near an affected area or other possible contacts with infection or contamination prior to arrival, as well as review of the traveller's health documents if they are required under these regulations; and/or (iii) a non-inventory medical examination which is the least intrusive examination that would achieve the public health objective; (b) the inspection of cargo, container, baggag, conveyanc, good, postal parcel and human remains. 2. On the basis of evidence of a public health risk obtained through the measure provided for in paragraph 1 of this article, or through other means, States parties may apply additional health measure, in accordanc with these regulations, in particular, with regard to a suspect or affected traveller, on a case-by-case basis, the least intrusive and a medical examination that inventory would achieve the public health objective of preventing the international spread of disease. 3. From the medical examination, vaccination, or the health measure prophylax under these regulations shall be carried out on travellers without their prior informed consent or Express is that of their parents or guardian, except as provided in paragraph 2 of article 31, and in accordanc with the law and international obligations of the State Party. 4. the Traveller to be vaccinated or offered by these pursuan to prophylax regulations, or their parents or guardian, shall be informed of any risk associated with vaccination or with non-vaccination and with the use or non-use of a in accordanc prophylax with the law and international obligations of the State Party. States parties shall inform the medical practitioner of these requirements in accordanc with the law of the State Party. 5. Any medical examination, medical procedure, vaccination or others have a risk of prophylax which involv of disease transmission shall only be performed on, or administered to, a traveller in accordanc with established national or international safety guidelines and standards so as to minimize such a risk. Chapter II-the Special provision for conveyanc and conveyanc operators article 24 Conveyanc of the operator 1. States parties shall take all the measure of practicabl consistent with these regulations to ensur that conveyanc of the operator: (a) comply with the health measure's recommended by who and adopted by the State Party; (b) inform the traveller of the health measure's recommended by who and adopted by the State Party for applications on board; and (c) permanently keep conveyanc for which they are responsible free of sources of infection or contamination, including vector and reservoir. The application of measure to control source of infection or contamination may be required if evidence is found. 2. Specific provision pertaining to conveyanc and conveyanc to the operator under this article are provided in Annex 4. Specific measure applicable to the conveyanc and the conveyanc operator with regards to vector-borne diseases are provided in Annex 5. Article 25 ships and aircraft in transit subject to articles 27 and 43 or unless authorized by applicable international agreements, from the health measure shall be applied by a State Party to : (a) a ship not coming from an affected area which the maritime canal through a clear, or waterway in the territory of that State Party on its way to a port in the territory of another State. Any such ship shall be permitted to take on, under the supervision of the competent authority, fuel, water, food and supplies; (b) a ship which was clear through the waters within its jurisdiction without calling at a port or on the coast; and (c) an aircraft in transit at an airport within its jurisdiction, except the that the aircraft may be restricted to a particular area of the airport with no embarking and disembarking or loading and discharging. However, any such aircraft shall be permitted to take on, under the supervision of the competent authority, fuel, water, food and supplies. Article 26 Civilian lorries, trains and coaches in transit subject to articles 27 and 43 or unless authorized by applicable international agreements, from the health measure shall be applied to a civilian train or coach, not British coming from an affected area through a territory of Passi which without embarking, disembarking, loading or discharging. Article 27 Affected conveyanc 1. If clinical signs or symptom and information based on fact or evidence of a public health risk, including sources of infection and contamination, found on board with a conveyanc, the competent authority shall consider the conveyanc as affected and may: (a), decontaminat, disinsec disinfec or fits the conveyanc, as are appropriate, or cause it to be carried by "these out under its supervision; and (b) decide in each case the technique employed to secure an adequat level of control of the public health risk as provided in these regulations. Where there are methods or materials advised by the who for these procedures, these should be employed, unless the competent authority of that other determin method with as safe and reliable. The competent authority may be additional health measure, implementations including isolation of the conveyanc, as it does not prevent the cessary, the spread of disease. Such additional measure should be reported to the National IHR Focal Point to the. 2. If the competent authority for the point of entry is not able to carry out the control measure of required under this article, the affected conveyanc of vertheles not be allowed the Maya depart, subject to the following conditions: (a) the competent authority shall, at the time of departure, inform the competent authority for the next known point of entry of the type of information referred to under subparagraph (b); and (b) in the case of a ship, the evidence found and the control measure of required shall be noted in the Ship Sanitation Control certificate. Any such Office shall be permitted to take conveyanc on, under the supervision of the competent authority, fuel, water, food and supplies. 3. (A) the conveyanc that has been considered as affected shall cease to be regarded as such when the competent authority is satisfied that: (a) the measure provided for in paragraph 1 of this article have been effectively carried out; and (b) there are no conditions on board that could constitut a public health risk. Article 28 ships and aircraft at points of entry 1. Subject to article 43 or as provided in applicable international agreements, a ship or an aircraft shall not be prevented for public health reasons from calling at any point of entry. However, if the point of entry is not equipped for applying health measure's under these regulations, the ship or aircraft may be ordered to proceed at its own risk to the ares not suitabl to point of entry available to it, unless the ship or aircraft has an operational problem which would make this diversion unsafe. 2. Subject to article 43 or as provided in applicable international agreements, ships or aircraft shall not be refused free pratique by States parties for public health reasons; in particular they shall not be prevented from embarking or disembarking, discharging or loading cargo or stores, or taking on fuel, water, food and supplies. States parties may subject the granting of free pratique to inspection and, if a source of infection or contamination is found on board, the carrying out of wastewater, decontamination, disinsection cessary not or, or others not "deratting cessary to prevent the spread of the infection or contamination. 3. Whenever practicabl and subject to the previous paragraph, a State Party shall authoriz the granting of free pratique by radio or other communications means to a ship or an aircraft when, on the basis of information received from it prior to its arrival, the State Party is of the opinion that the arrival of the ship or aircraft will not result in the introduction or spread of disease. 4. the Officer in command of a ship or pilot in command of the aircraft, or their agents, shall make known to the port or airport control as early as possible before arrival at the port or airport of destination any cases of illness indicativ of a disease of an infectious nature or evidence of a public health risk on board as soon as such illness or public health risks are made known to the officer or pilot. This information must be relayed immediately to the competent authority for the port or airport. In urgent circumstanc, such information should be communicated directly by the officers or pilots to the relevant port or airport authority. 5. The following shall apply if a suspect or affected aircraft or ship, for reasons beyond the control of the pilot in command of the aircraft or the officer in command of the ship, lands elsewher than at the airport at which the aircraft was due to land or berth for elsewher than at the port at which the ship was due to berth : (a) the pilot in command of the aircraft or the officer in command of the ship or other person in charge shall make every effort to communicate without delay with the ares not a competent authority; (b) as soon as the competent authority has been informed of the landing it may apply health measure's recommended by who or other health measure provided for in these regulations; (c) unless required for emergency purpose or for communications with the competent authority, of the traveller on board the aircraft or ship shall leave its vicinity and no cargo shall be removed from that vicinity, unless authorized by the competent authority; and (d) when all the health measure's required by the competent authority have been completed, the aircraft or ship may, so far as such health measure with a concerned, proceed either to the airport or port at which it was due to land or berth, or, if for technical reasons it cannot do so, to a conveniently situated airport or port. 6. Notwithstanding the provision of led in this article, the officer in command of a ship or pilot in command of an aircraft may take such emergency measure may not be the axis of the cessary for the health and safety of travellers on board. He or she shall inform the competent authority as early as possible concerning any measure taken by it to this paragraph pursuan. Article 29 Civilian lorries, trains and coaches at points of entry who, in consultation with States parties, shall develop guiding principles for applying health measure of their civilian lorries, trains and coaches at points of entry and passing through ground crossing. Chapter III-Special provision for travelers article 30 travellers under public health observation subject to article 43 or as authorized in applicable international agreements, a suspect traveller who on arrival is placed under public health observation may continue an international voyage, if the traveller does not pose a public health risk to UN imminen and the State Party shall notify the competent authority of the point of entry at destination , if known, of the traveller's expected arrival. On arrival, the traveller shall report to that authority. Article 31 Health measure relating to the entry of travelers 1. medical examination, vaccination or Inventory others shall not be required by prophylax as a condition of entry of any traveller to the territory of a State Party, except to that, subject to articles 32, 42 and 45, these regulations do not preclud status of parties from requiring a medical examination, vaccination or other States or proof of vaccination or prophylax others by prophylax : (a) when it is determin whethers cessary not a public health risk exists; (b) as a condition of entry for any travellers seeking temporary or permanent residence; (c) as a condition of entry for any travellers pursuan to article 43 or Annex 6 and 7; or (d) which may be carried out to their article 23 pursuan. 2. If a traveller for whom a State Party may require a medical examination, vaccination or other States under paragraph 1 of the prophylax article file their consent to any such measure, or they provide refus the information or documents referred to in the paragraph 1 (a) of article 23, the State Party concerned may , subject to articles 32, 42 and 45, deny entry to that traveller. If there is evidence of an imminen a public health risk, the State Party may, in accordanc with its national law and to the exten the cessary to control such a risk not to compel the traveller to advise the underg or the traveller, pursuan to paragraph 3 of article 23, it shall: (a) underg the least inventory and intrusive medical examination that would achieve the public health objective; (b) vaccination or other prophylax; or (c) additional established health measure's that prevent or control the spread of the disease, including isolation, quarantine or placing the traveller under public health observation. Article 32 treatment of travelers In implementing health measure's under these regulations, States parties shall treat travelers with respect for their dignity, human rights and fundamental freedom and minimize any discomfor or distress associated with such measure, including by: (a) treating all travellers with courtesy and respect; (b) taking into considerations the gender, sociocultural, ethnic or religious concerns of travellers; and (c) providing or arranging for food and water, adequat appropriate accommodation and clothing, protection for a possession, and others baggag appropriate medical treatment, means of communication not cessary if possible in a language they can understand and that other appropriate assistance for travellers who are quarantined, isolated or subject to medical examination or other procedures for public health purpose. Chapter IV-Special provision for goods, container and container loading areas article 33 goods in transit subject to article 43 or unless authorized by applicable international agreements, goods, other than live animals, the in transit shall not be transshipmen without the subject of the health measure under these regulations or detained for public health purpose. Article 34 Container and container loading areas 1. States parties shall, as far as practicabl ensur, that container shippers use international traffic containers that the CEAS free from sources of infection or contamination, including vector and reservoir, particularly during the course of packing. 2. States parties shall, as far as ensur practicabl, the container loading areas are you kep free from sources of infection or contamination, including vector and reservoir. 3. Whenever, in the opinion of a State Party, the volume of international container traffic is sufficiently large, the competent authorities shall take all the practicabl of a measure consistent with these regulations, including carrying out inspection, to assess the sanitary condition of container loading areas and container in order to ensur that the obligation is led in these regulations are implemented. 4. Facilities for the inspection and isolation of containers shall, as far as practicabl, be available at container loading area. 5. the consignor shall consigne of Container and make every effort to avoid cross-contamination when multiple-use loading of containers is employed. On the VI-HEALTH documents article 35 General rule Of health documents, other than those provided for under these regulations or in the recommendations issued by the who, shall be required in international traffic, provided however that this article shall not apply to travellers seeking temporary or permanent residence, nor shall it apply to document requirements concerning the public health status of goods or cargo in international trade to applicable international agreements pursuan. The competent authority may request travellers to complete contact information forms and questionnaires on the health of travellers, provided that they meet the requirements set out in article 23, article 36 certificates of vaccination or other prophylax 1. Vaccines for travellers administered by Andean prophylax pursuan to these regulations, or to recommendations and certificates relating to the shall conform to theret, the provision of Annex 6 and , when applicable, Annex 7 with regard to specific diseases. 2. A traveller in possession of a certificate of vaccination or others have issued in conformity with Annex prophylax for 6 and, when applicable, Annex 7, shall not be denied entry as a consequences of the disease to which the certificate refer, even if coming from an affected area, unless the competent authority has an indication verifiabl and/or evidence that the vaccination or others was not effective prophylax. Article 37 maritime Declaration of Health 1. The master of a ship, before arrival at its first port of call in the territory of a State Party, shall ascertain the State of health on board, and, except when that State Party does not require it, the master shall, on arrival, or in advance of the vessel's arrival if the vessel is so equipped and the State Party requires such advance delivery , complete and deliver to the competent authority for that port a maritime Declaration of Health which shall be countersigned by the ship's surgeon, if one is carried. 2. The master of a ship, or the ship's surgeon if one is carried, shall supply any information required by the competent authority as their health conditions on board during an international voyage. 3. A Maritime Declaration of Health shall conform to the model provided in Annex 8.4. A State Party may decide: (a) with the submission the dispens of the maritime Declaration of Health by all arriving ships; or (b) to require the submission of the maritime Declaration of Health under a recommendations concerning ships arriving from affected areas or to require it from ships which might otherwise carry infection or contamination. The State Party shall inform shipping operators or their agents of these requirements. Article 38 Health part of the aircraft General Declaration 1. The pilot in command of an aircraft or the pilot's agent, in flight or upon landing at the first airport in the territory of a State Party, shall, to the best of his or her ability, except when that State Party does not require it, complete and deliver to the competent authority for that airport the Health part of the aircraft General Declaration which shall conform to the model specified in Annex 9. The pilot in command of an aircraft or the pilot's agent shall supply any information required by the State Party as their health conditions on board during an international voyage and any health measure applied to the aircraft. 3. A State Party may decide: (a) with the submission the dispens of the Health part of the aircraft General Declaration by all arriving aircraft; or (b) to require the submission of the Health part of the aircraft General Declaration under (a) the recommendations concerning aircraft arriving from affected areas or to require it from aircraft which might otherwise carry infection or contamination. The State Party shall inform aircraft operators or their agents of these requirements. Article 39 Ship sanitation certificates Ship Sanitation Control Exemption Certificate 1 and Ship Sanitation Control certificates shall be valid for a maximum period of six months. This period may be extended by one month if the inspection or control measure of required cannot be accomplished at the port. 2. If a valid Ship Sanitation Control Exemption Certificate or Ship Sanitation Control certificate is not produced or evidence of a public health risk is found on board a ship, the State Party may proceed as provided in paragraph 1 of article 27 3. The certificates referred to in this article shall conform to the model in Annex 3 Whenever possible, 4 control measure shall be carried out for when the ship and holds are empty. In the case of a ship in ballast, they shall be carried out before loading. 5. When the control measure with the required and have been satisfactorily completed, the competent authority shall issue a Ship Sanitation Control certificate, noting the evidence found and the control of the measure taken. 6. The competent authority may issue a Ship Sanitation Control Exemption Certificate at any port specified under article 20 if it is satisfied that the ship is free of infection and contamination, including vector and reservoir. Such a certificate shall normally be issued only if the inspection of the ship has been carried out when the ship and holds are empty or when they contain only ballast or other material, of such a nature or so disposed as to make a thorough inspection of the holds possible. 7. If the conditions under which the control measure is carried out with a such that, in the opinion of the competent authority for the port where the operation was performed, a satisfactory result cannot be obtained, the competent authority shall make a note to that effect on the Ship Sanitation Control certificate. Part VII – charges article 40 charges for health measure regarding the travelers Except 1 for travellers seeking temporary or permanent residence, and subject to paragraph 2 of this article, from the charge shall be made by a State Party to these pursuan regulations for the following measure for the protection of public health: (a) any medical examination provided for in these regulations, or any supplementary examination which may be required by that State Party to ascertain the health status of the traveller examined; (b) any vaccination or other States provided to a traveller on prophylax arrival that is not a published requirement or is a requirement published less than 10 days prior to provision of the vaccination or other prophylax; (c) appropriate isolation or quarantine requirements of travellers; (d) any certificate issued to the traveller specifying the measure applied and of the date of application; or (e) any health measure applied by the accompanying the traveller baggag it. 2. State parties may charge for health measure's other than those referred to in paragraph 1 of this article, including those primarily for the benefit of the traveller. 3. Where charges are made for applying such health measure of their traveller under these regulations, there shall be in each State Party only one tariff for such charges and every charge shall: (a) conform to this tariff; (b) Note 12 the actual cost of the service rendered; and (c) be levied without distinction as to the nationality, domicile or residence of the traveller concerned. 4. The tariff, and any amendment shall be published, theret at least 10 days in advance of any levy thereunder. 5. Nothing in these regulations shall preclud of the States parties from seeking the expense incurred in reimbursemen for providing the health measure in paragraph 1 of this article: (a) from the owner or operator of the conveyanc with regards to their employees; or (b) from the applicable insurance sources. 6. Under the traveller from IR conveyanc circumstanc or operators be denied the ability to depart from the territory of a State Party pending payment of the charges referred to in paragraph 1 or 2 of this article. Article 41 charges for baggag, cargo, container, conveyanc, goods or postal parcel 1. Where charges are made for applying health measure it, cargo, container baggag, conveyanc, goods or postal parcel under these regulations, there shall be in each State Party only one tariff for such charges and every charge shall: (a) conform to This tariff; (b) Note 12 the actual cost of the service rendered; and (c) be levied without distinction as to the nationality, flag, registry or ownership of the cargo, container, baggag, conveyanc, good or postal parcel is concerned. In particular, there shall be a distinction made between national and from foreign baggag, cargo, container, conveyanc, goods or postal parcel. 2. The tariff, and any amendment shall be published, theret at least 10 days in advance of any levy thereunder. Part VIII-the GENERAL PROVISION of article 42 Implementation of the Health of the health measure measure taken to pursuan these regulations shall be initiated and completed without delay, and applied in a non-transparent and discriminatory manner. Article 43 Additional health measure 1. These regulations shall not preclud status of parties from implementing health measure, in accordanc with their relevant national law and obligations under international law, in response to specific public health risks or public health emergencies of international concern, which: (a) achieve the same or greater level of health protection than who recommendations; or (b) is otherwise prohibited under article 25, article 26, paragraphs 1 and 2 of article 28, article 30, paragraph 1 (c) of article 31 and article 33, provided such measure to the otherwise consistent with these regulations. Such measure shall not be of the more restrictive of international traffic and not more inventory or intrusive person than reasonably available alternatives that would achieve the appropriate level of health protection. 2. In determining whethers it implementations that the health measure referred to in paragraph 1 of this article or of additional health measure's under paragraph 2 of article 23, paragraph 1 of article 27, paragraph 2 of article 28 and paragraph 2 (c) of article 31, States parties shall base their determination upon: (a) scientific principles; (b) available scientific evidence of a risk to human health, or where such evidence is insufficient, the available information including from who and other relevant intergovernmental organizations and international bodies; and (c) any available specific guidance or advice from the who. 3. A State Party implementing additional health measure referred to in the paragraph 1 of this article which significantly interfer with international traffic shall provide to who the public health, rational and relevant scientific information for it. Who shall share this information with other States parties and shall share information regarding the health measure implemented in the. For the purpose of this article, significant interference generally means refusal of entry or departure of international travellers, cargo, container, baggag, conveyanc, good, and the like, or their delay, for more than 24 hours. 4. After assessing information provided to it in paragraph 3 and 5 pursuan of this article and other relevant information, who may request that the State Party concerned reconsider the application of the measure. 5. A State Party implementing additional health measure referred to in the paragraphs 1 and 2 of this article that significantly interfer with international traffic shall be notified within 48 hours of the who, of the implementation of such measure and their health unless these with the rational will is covered by a temporary or standing recommendations. 6. A State Party implementing a health measure pursuan to paragraph 1 or 2 of this article shall within three months review such a measure taking into account the advice of the who and the criteria in paragraph 2 of this article. 7. Without prejudice to its rights under article 56, any State Party impacted by a measure taken to paragraph 1 or 2 pursuan of this article may request the State Party implementing such a measure to consult with it. The purpose of such consultation is to clarify the scientific information and public health rational underlying the measure and to find a mutually acceptabl solutions. 8. The provision of this article may apply to implementation of the measure concerning travelers taking part in mass congregations. Article 44 Collaboration and assistance 1. States parties shall undertak to collaborat with each other, to the exten the possible, in the: (a) the detection and assessment of, and response to, events as provided under these regulations; (b) the provision or facilitation of technical cooperation and logistical support, particularly in the development, strengthening and maintenance of the public health capacities required under these regulations to; (c) the mobilizations of financial resources to the implementation of their obligations to facilitat under these regulations; and (d) the formulation of proposed laws and other legal and administrative provision for the implementation of these regulations. 2. Who shall collaborat with States parties, upon request, to the exten the possible, in the: (a) the evaluation and assessment of their public health capacities in order to facilitat the effective implementation of these regulations; (b) the provision or facilitation of technical cooperation and logistical support to States parties; and (c) the mobilizations of financial resources to support developing countries in building, strengthening and maintaining the capacities provided for in Annex 1 to 3 Collaboration under this article may be implemented through multiple channels, including bilaterally, through regional networks and the who regional offices, and through intergovernmental organizations and international bodies. Article 45 treatment of personal data in the Health information collected or received 1 by (a) a State Party to these regulations pursuan from another State Party or from who which refer to an identifiabl person shall be identified or to confidential and processed anonymously CEAS as required by national law. 2. Notwithstanding paragraph 1, the States parties may process personal data disclos and where essential for the purpose of assessing and managing a public health risk, but the State parties, in accordanc with national law, and who must ensur that the personal data are: (a) processed fairly and lawfully, and not further processed in a way incompatibl with that purpose; (b) relevant and not adequat, excessiv in relations to that purpose; (c) accurate and, where not, kep up the cessary data; every reasonable step must be taken to ensur that data which are incomplete or are the inaccurat erased or rectified; and (d) not be longer than not cessary CEAS. 3. Upon request, who shall as far as practicabl is an individual with his or provide personal data referred to in here to this article in an intelligibl form, without the delay or expense and undu, when not, allow for correction cessary. Article 46 transport and handling of biological substances, diagnostic reagent and materials for the purpose of the States parties shall, subject to national law and taking into account relevant international guidelines, facilitat the transport, entry, exit, processing and disposal of biological substances and diagnostic reagent, specimen and other diagnostic materials for verification and public health response under these regulations for the purpose. Part IX-the IHR ROSTER OF experts, the EMERGENCY Committee AND the REVIEW Committee Chapter I-the IHR Roster of experts article 47 Composition the Director-General shall establish a roster composed of experts in all relevant fields of expertise (hereinafter the "IHR Expert Roster"). The Director-General shall be appoin-the members of the IHR Expert Roster in accordanc with the who regulations for expert Advisory panels and committees (hereinafter the "the who Advisory Panel regulations"), unless otherwise provided for in these regulations. In addition, the Director-General shall be appoin one member at the request of each State Party and, where appropriate, experts proposed by relevant intergovernmental and regional economic integration organizations. Interested States parties shall notify the Director-General of the qualifications and field of expertise of each of the experts they proposes for membership. The Director-General shall periodically inform the States parties, and relevant intergovernmental and regional economic integration organizations, of the composition of the IHR Expert Roster. Chapter II-the Emergency Committee article 48 terms of reference and composition 1. The Director-General shall establish an Emergency Committee that at the request of the Director-General shall provide its views on: (a) in the event of a UN whethers constitut public health emergency of international concern; (b) the termination of a public health emergency of international concern; and (c) the proposed issuance, modification, extension or termination of temporary recommendations. 2. The Emergency Committee shall be composed of experts selected by the Director-General from the IHR Expert Roster and, when appropriate, other expert advisory panels of the Organization. The Director-General shall determin the duration of membership with a view to ensuring its continuity in the considerations of a specific event and its consequences. The Director-General shall select the members of the Emergency Committee on the basis of the expertise and experience required for any particular session and with due regard to the principles of equitable representation location. At least one member of the Emergency Committee should be an expert nominated by a State Party within whose territory the event «arise. 3. The Director-General may, on his or her own initiative or at the request of the Emergency Committee, one or more appoin technical experts to advise the Committee. Article 49 procedure 1. The Director-General shall conven-meetings of the Emergency Committee by selecting a number of experts from among those referred to in paragraph 2 of article 48, according to the fields of expertise and experience most relevant to the specific event that is occurring. For the purpose of this article, "meetings" of the Emergency Committee may include teleconferenc, videoconferenc or electronic communications. 2. The Director-General shall provide the Emergency Committee with the agenda and any relevant information concerning the event, including information provided by the States parties, as well as any temporary recommendations that the Director-General proposes for issuance. 3. The Emergency Committee shall elect its Chairperson and prepare following each meeting a brief summary report of its proceedings and deliberation, including any advice on recommendations. 4. The Director-General shall invite the State Party in whose territory the event «arise to present its views to the Emergency Committee. To that effect, the Director-General shall notify to it the dates and the agenda of the meeting of the Emergency Committee with as much advance notice as not cessary. The State Party concerned, however, may not seek a postponemen of the meeting of the Emergency Committee for the purpose of presenting its views theret. 5. The views of the Emergency Committee shall be forwarded to the Director-General for considerations. The Director-General shall make the final determination on these matters. 6. The Director-General shall communicate to States parties the determination and the termination of a public health emergency of international concern, any health measure taken by the State Party concerned, any temporary recommendations, and the modification, extension and termination of such recommendations, together with the views of the Emergency Committee. The Director-General shall inform the operator of conveyanc through the States parties and the relevant international agencies of such temporary recommendations, including their modification, extension or termination. The Director-General shall subsequently make such information and recommendations available to the general public. 7. States parties in whose territories the event has occurred the Director proposes to Maya-General the termination of a public health emergency of international concern and/or the temporary recommendations, and may make a presentation to that effect to the Emergency Committee. Chapter III-the Review Committee article 50 terms of reference and composition 1. The Director-General shall establish a Review Committee, which shall carry out the following functions: (a) make technical recommendations to the Director-General regarding amendments to these regulations; (b) provide technical advice to the Director-General with respect to standing recommendations, and any modification or termination thereof; (c) provide technical advice to the Director-General on any matter referred to it by the Director-General regarding the functioning of these regulations. 2. The Review Committee shall be considered an Expert Committee and shall be subject to the who Advisory Panel regulations, unless otherwise provided for in this article. 3. The members of the Review Committee shall be selected and appointed by the Director-General from among the persons serving on the IHR Expert Roster and, when appropriate, other expert advisory panels of the Organization. 4. The Director-General shall establish the number of members to be invited to a meeting of the Review Committee, it is determin date and duration, and conven the Committee. 5. The Director-General shall be appoin members to the Review Committee for the duration of the works of a session only. 6. The Director-General shall select the members of the Review Committee on the basis of the principles of equitable representation, gender balance, location (a) balance of experts from developed and developing countries, representation of a diversity of scientific opinion, approaches and practical experience in various parts of the world, and an appropriate interdisciplinary balance. Article 51 conduct of business 1. Decision of the Review Committee shall be taken by a majority of the members present and voting. 2. The Director-General shall invite Member States, the United Nations and its specialized agencies and other relevant intergovernmental organizations or nongovernmental organizations in official relations with who their representative to attend designat the Committee sessions. Such representatives may submit memoranda and, with the consent of the Chairperson, make statements on the subjects under discussion. They shall not have the right to vote. Article 52 reports 1. For each session, the Review Committee shall draw up a report setting forth the Committee's views and advice. This report shall be approved by the Review Committee before the end of the session. Its views and advice shall not commit the Organization and shall be formulated as advice to the Director-General. The text of the report may not be modified without the Committee's consent. 2. If the Review Committee is not unanimous in its finding of any member shall be entitled, to express his or her dissenting professional views in an individual or group report, which shall state the reasons why the opinion is held and a divergen shall form part of the Committee's report. 3. The Review Committee's report shall be submitted to the Director-General, who shall communicate its views and advice to the Health Assembly or the Executive Board for their considerations and actions. Article 53 procedures for standing recommendations When the Director-General consider that a standing recommendations is not appropriate for a specific cessary and public health risk, the Director-General shall seek the views of the Review Committee. In addition to the relevant paragraphs of articles 50 to 52, the following provision shall apply to: (a) proposals for standing recommendations, their modification or termination may be submitted to the Review Committee by the Director-General or by States parties through the Director-General; (b) any State Party may submit relevant information for considerations by the Review Committee; (c) the Director-General may request any State Party, intergovernmental organizations or nongovernmental organizations in official relations with who to place at the disposal of the Review Committee information in its possession concerning the subject of the proposed standing recommendations as specified by the Review Committee; (d) the Director-General may, at the request of the Review Committee or on the Director-General's own initiative, to one or more appoin technical experts to advise the Review Committee. They shall not have the right to vote; (e) any report containing the views and advice of the Review Committee regarding standing recommendations shall be forwarded to the Director-General for considerations and decision. The Director-General shall communicate the Review Committee's views and advice to the Health Assembly; (f) the Director-General shall communicate to States parties any standing recommendations, as well as the modification or termination of such recommendations, together with the views of the Review Committee; (g) standing recommendations shall be submitted by the Director-General to the subsequent Health Assembly for its considerations. On the X-FINAL PROVISION article 54 Reporting and review 1. States parties and the Director-General shall report to the Health Assembly on the implementation of these regulations as decided by the Health Assembly. 2. The Health Assembly shall periodically review the functioning of these regulations. To that end it may request the advice of the Review Committee, through the Director-General. The first such review shall take place no later than five years after the entry into force of these regulations. 3. Who shall periodically conduct studies to review and evaluate the functioning of Annex 2. The first such review shall no later than commenc one year after the entry into force of these regulations. The results of such reviews shall be submitted to the Health Assembly for its considerations, as appropriate. Article 55 Amendments 1 Amendments to these regulations may be proposed by any State Party or by the Director-General. Such proposals shall be submitted for the amendments to the Health Assembly for its considerations. 2. The text of any proposed amendment shall be communicated to all States parties by the Director-General at least four months before the Health Assembly at which it is proposed for considerations. 3. Amendments to these regulations adopted by the Health Assembly pursuan to this article shall come into force for all States parties on the same terms, and subject to the same rights and obligations, as provided for in article 22 of the Constitution of who and articles 59 to 64 of these regulations. Article 56 settlement of dispute 1. In the event of a dispute between two or more States parties concerning the interpretation or application of these regulations, the States parties concerned shall seek in the first instance to settle the dispute through negotiation or any other peaceful means of their own choice, including good offices, mediation or Acas. Failure to reach agreement shall not absolve the parties to the dispute from the responsibility of continuing to seek to resolve it. In the event that the dispute is not settled by the means described under paragraph 1 of this article, the States parties concerned may agree to refer the dispute to the Director-General, who shall make every effort to settle it A 3 State Party may at any time declare in writing to the Director-General that it will accept arbitration as compulsory with regards to all of the dispute concerning the interpretation or application of these regulations to which it is a party or with regards to a specific dispute in relations to any other State Party accepting the same obligation. The arbitration shall be conducted in accordanc with the Permanent Court of Arbitration Optional Rules for Arbitrating the Dispute between two States applicable at the time a request for arbitration is made. The States parties that have agreed to accept arbitration as compulsory shall accept the CAs award as binding and final. The Director-General shall inform the Health Assembly regarding such action as appropriate. 4. Nothing in these regulations shall impair the rights of States parties under any international agreement to which they may be parties to resort to the dispute settlement mechanisms of other intergovernmental organizations or established under any international agreement. 5. In the event of a dispute between the who and one or more States parties concerning the interpretation or application of these regulations, the matter shall be submitted to the Health Assembly. Article 57 Relationship with other international agreements 1. States parties recognize that the IHR and other relevant international agreements should be interpreted so as to be compatible. The provision of the IHR shall not be affec the rights and obligations of any Party deriving from other international State agreements. 2. Subject to paragraph 1 of this article, nothing in these regulations shall prevent States parties having certain interests in common, their health, their location Owings social or economic conditions, from concluding special treats to order their subject or in the application of facilitat these regulations, and in particular with regard to: (a) the direct and rapid exchange of public health information between neighbouring territories of different States; (b) the health measure's to be applied to international coastal traffic and to international traffic in waters within their jurisdiction; (c) the health measure shall be applied in the territories of different contiguo States at their common frontier; (d) arrangements for carrying affected persons or affected human remains by means of transport specially adapted for the purpose; and (e) deratting, disinsection or decontamination, wastewater, other treatment designed to render goods free of disease-causing agents. 3. Without prejudice to their obligations under these regulations, States parties that are members of a regional economic integration organization shall apply in their mutual relations the common rules in force in that regional economic integration organization. Article 58 International sanitary agreements and regulations these regulations 1, subject to the provision of article 62 and the exception is hereinafter provided, shall replace as between the States bound by these regulations and as between these States and the who, the provision of the following international sanitary agreements and regulations: (a) International Sanitary Convention signed in Paris, 21 June 1926; (b) International Sanitary Convention for Aerial Navigation, signed at the Hague, 12 April 1933; (c) International Agreement for dispensing with bills of Health, signed in Paris, 22 December 1934; (d) International Agreement for dispensing with Consular All on Bill of Health, signed in Paris, 22 December 1934; (e) Convention modifying the International Sanitary Convention of 21 June 1926, signed in Paris, 31 October 1938; (f) International Sanitary Convention, 1944, modifying the International Sanitary Convention of 21 June 1926, opened for signature in Washington, 15 December 1944; (g) International Sanitary Convention for Aerial Navigation, 1944, modifying the International Sanitary Convention of 12 April 1933, opened for signature in Washington, 15 December 1944; (h) the Protocol of 23 April 1946 to prolong the International Sanitary Convention, 1944, signed in Washington; (i) the Protocol of 23 April 1946 to prolong the International Sanitary Convention for Aerial Navigation, 1944, signed in Washington; (j) International Sanitary Regulations, 1951, and the Additional regulations of 1955, 1956, 1960, 1963 and 1965; and (k) the International Health Regulations of 1969 and the amendments of 1973 and 1981 2. The Pan American Sanitary code, signed at Havana, 14 November 1924, shall remain in force with the exception of articles 2, 9, 10, 11, 16, and their 61 62 53 inclusive, to which the relevant part of paragraph 1 of this article shall apply. Article 59 Entry into force; period for rejection or reservations 1. The period provided in execution of article 22 of the Constitution of the who for their rejection of, or reservation, these regulations or an amendment shall be theret, 18 months from the date of the notification by the Director-General of the adoption of these regulations or of an amendment to these regulations by the Health Assembly. Any rejection or reservations received by the Director-General after the expiry of that period shall have no effect. 2. These regulations shall enter into force 24 months after the date of notification referred to in paragraph 1 of this article, except for: (a) a State that has rejected for an these regulations or an amendment in accordanc theret with article 61; (b) a State that has made a reservation, for which these regulations shall enter into force as provided in article 62; (c) a State that become a Member of who after the date of the notification by the Director-General referred to in paragraph 1 of this article, and which is not already a party to these regulations, for which these regulations shall enter into force as provided in article 60; and (d) a State not a Member of the who that will accept these regulations, for which they shall enter into force in accordanc with paragraph 1 of article 64.3. If a State is not able to adjust its domestic legislative and administrative arrangements to fully with these regulations within the period set out in paragraph 2 of this article, that State shall submit within the period specified in paragraph 1 of this article a declaration to the Director-General regarding the outstanding adjustments and achieve them from later than 12 months after the entry into force of these regulations for that State Party. Article 60 the New Member States of the who Any State which become a Member of who after the date of the notification by the Director-General referred to in paragraph 1 of article 59, and which is not already a party to these regulations, may communicate its rejection of, or any reservation to, these regulations within a period of twelve months from the date of the notification to it by the Director-General after becoming a Member of the who. Unless, these regulations is rejected for an shall enter into force with respect to that State, subject to the provision of articles 62 and 63, upon expiry of that period. In the case of these regulations shall enter into force in respect to that State earlier than 24 months after the date of notification referred to in paragraph 1 of article 59 article 61 If a Rejection. State the Director-General to the notifu of its rejection of these regulations or of an amendment within the period of theret provided in paragraph 1 of article 59 , these regulations or the amendment concerned shall not enter into force with respect to that State. Any international sanitary agreement or regulations listed in article 58 to which such State is already a party shall remain in force as far as such State is concerned. Article 62 reservations 1. States may make reservations to these regulations in accordanc with this article. Such reservations shall not be incompatibl with the object and purpose of these regulations. 2. the reservations to these regulations shall be notified to the Director-General in accordanc with paragraph 1 of article 59 and article 60, paragraph 1 of article 63 or paragraph 1 of article 64, as the case may be. A State not a Member of the who shall notify the Director-General of any reservation with its notification of acceptance of these regulations. States formulating reservations should provide the Director-General with reasons for the reservations. 3. A rejection in part of these regulations shall be considered as a reservation. 4. The Director-General shall, in accordanc with paragraph 2 of article 65, issue notification of each reservation received pursuan to paragraph 2 of this article. The Director-General shall: (a) if the reservation was made before the entry into force of these regulations, request those Member States that have not rejected for an these regulations to notify him or her within six months of any objection to the reservation, or (b) if the reservation was made after the entry into force of these regulations, request States parties to notify him or her within six months of any objection to the reservation. States objecting to a reservation should provide the Director-General with reasons for the objection. 5. After this period, the Director-General shall notify all States parties of the objection he or she has received with regard to reservations. Unless by the end of six months from the date of the notification referred to in paragraph 4 of this article a reservation has been objected to by one-third of the States referred to in paragraph 4 of this article, it shall be deemed to be accepted and these regulations shall enter into force for the reserving State, subject to the reservations. 6. If at least one-third of the States referred to in paragraph 4 of this article object to the reservation by the end of six months from the date of the notification referred to in paragraph 4 of this article, the Director-General shall notify the reserving State with a view to its considering withdrawing the reservation within three months from the date of the notification by the Director-General. 7. The reserving State to fulfil any obligation shall continue in òàæó to the subject matter of the reservation, which the State has accepted under any of the international sanitary agreements or regulations listed in article 58.8. If the reserving State does not withdraw the reservation within three months from the date of the notification by the Director-General referred to in paragraph 6 of this article , the Director-General shall seek the views of the Review Committee if the reserving State so requests. The Review Committee shall advise the Director-General as soon as possible and in accordanc with article 50 on the practical impact of the reservation on the operation of these regulations. 9. The Director-General shall submit the reservation, and the views of the Review Committee if applicable, to the Health Assembly for its considerations. If the Health Assembly, by a majority vote, objects to the reservation on the ground that it is incompatibl with the object and purpose of these regulations, the reservation shall not be accepted and these regulations shall enter into force for the reserving State only after it withdraw its reservation to the article 63 pursuan. If the Health Assembly will accept the reservation , these regulations shall enter into force for the reserving State, subject to its reservation. Article 63 Withdrawals of rejection and reservation 1. A rejection made under article 61 may at any time be withdrawn by a State by notifying the Director-General. In such cases, these regulations shall enter into force with regards to that State upon receipt by the Director-General of the notification, except where the State makes a reservation when withdrawing its rejection, in which case these regulations shall enter into force as provided in article 62. In the case of these regulations shall enter into force in respect to that State earlier than 24 months after the date of notification referred to in paragraph 1 of article 59.2. The whole or part of any reservation may at any time be withdrawn by the State Party concerned by notifying the Director-General. In such cases, the withdrawals will be effective from the date of receipt by the Director-General of the notification. Article 64 States not members of the who 1. Any State not a Member of the who, which is a party to any international sanitary agreement or regulations listed in article 58 or to which the Director-General has notified the adoption of these regulations by the World Health Assembly, may become a party by notifying it of the heret acceptance to the Director-General and, subject to the provision of article 62 , such acceptance shall become effective upon the date of entry into force of these regulations, or, if such acceptance is notified after that date, three months after the date of receipt by the Director-General of the notification of acceptance. 2. Any State not a Member of the who which has become a party to these regulations may at any time withdraw from participation in these regulations, by means of a notification addressed to the Director-General which shall take effect six months after the Director-General has received it. The State which has withdrawn shall, as from that date, resume application of the provision of any international sanitary agreement or regulations listed in article 58 to which it was previously a party. Article 65 notifications by the Director-General 1. The Director-General shall notify all States members and associate members of the who, and also other parties to any international sanitary agreement or regulations listed in article 58, of the adoption by the Health Assembly of these regulations. 2. The Director-General shall also notify these States, as well as any other State which has become a party to these regulations or to any amendment to these regulations, of any notification received by who under articles 60 to 64 respectively, as well as of any decision taken by the Health Assembly under article 62. Article 66 Authentic texts 1. The Arabic, Chinese, English, French, Russian and Spanish texts of these regulations shall be equally authentic. The original texts of these regulations shall be deposited with the who. 2. The Director-General shall send, with the notification provided in paragraph 1 of article 59, certified to the cop of these regulations to all members and associate members, and also the others parties to any of the international sanitary agreements or regulations listed in article 58 3. Upon the entry into force of these regulations, the Director-General shall deliver the certified to the Secretary of the cop to thereof-General of the United Nations for registration in accordanc with article 102 of the Charter of the United Nations.
Annex 1 a. core CAPACITY requirements FOR surveillance AND response 1. States parties shall utilizes existing national structures and resources to meet their core capacity requirements under these regulations, including with regard to: (a) their surveillance, reporting, notification, verification, response and collaboration activities; and (b) their activities concerning designated airports, ports and ground crossing. 2. Each State Party shall assess, within two years following the entry into force of these regulations for that State Party, the ability of existing national structures and resources to meet the minimum requirements described in this Annex. As a result of such assessment, States parties shall develop and plan of action it implementations that ensur that these core capacities with the present and functioning throughout the their territories as set out in paragraph 1 of article 5 and paragraph 1 of article 13.3. States parties and who shall support assessments, planning and implementation processes under this Annex. 4. At the local community level and/or primary public health response level the capacities: (a) to detect events involving disease or death above expected levels for the particular time and place in all areas within the territory of the State Party; and (b) to report all available essential information immediately to the appropriate level of healthcare response. At the community level, reporting shall be it local community health-care institutions or the appropriate health personnel. At the primary public health response level, reporting shall be to the intermediate or national response level, depending on organizational structures. For the purpose of this Annex, essential information includes the following: clinical descriptions, laboratory results, source and type of the risk, number of human cases and death, conditions the regimes by spread of the disease and the health of the self-employed "; and (c) of the preliminary control implementations that measure immediately. 5. At the intermediate public health response level the capacities to: (a) to confirm the status of reported events and to support or additional control measure implementations; and (b) to assess reported events immediately and, if found urgent, to report all essential information to the national level. For the purpose of this Annex, the criteria for urgent events include serious public health impact and/or unusual or unexpected nature with high potential for spread. 6. At the national level assessment and notification. The capacities to: (a) to assess all reports of urgent events within 48 hours; and (b) to notify who immediately through the National IHR Focal point when the assessment indicates the event is notifiabl to paragraph 1 of the pursuan article 6 and Annex 2 and notified to the who as required pursuan article 7 and paragraph 2 of article 9. Public health response. The capacities to: (a) it is determin the control measure of required rapidly to prevent domestic and international spread; (b) provide support through specialized staff, laboratory analysis of a sample (domestically or through collaborating centres) and logistical assistance (e.g. equipment, supplies and transport); (c) to provide on-site assistance as required to supplement local investigations; (d) to provide a direct operational link with senior health officials and others to approve rapidly and the implementations and control measure of containmen; (e) to provide direct liason with other relevant government ministries; (f) to provide, by the most efficient means of communication available, links with hospitals, clinics, airports, ports, ground crossing, laboratories and other key operational areas for the dissemination of information and recommendations received from the who regarding events in the State Party's own territory and in the territories of other States parties; (g) to establish, operate and maintain a national public health emergency response plan, including the creation of multidisciplinary teams to responds to s/events that may constitut a public health emergency of international concern; and (h) to provide the foregoing on a 24-hour basis. B. core CAPACITY requirements FOR DESIGNATED airports, ports AND GROUND CROSSING 1. At all times the capacities to: (a) to provide access to (i) an appropriate medical service including diagnostic facilities located so as to allow the prompt assessment and care of ill travellers, and (ii) an adequat staff, equipment and premises; (b) to provide access to equipment and personnel for the transport of ill travellers to an appropriate medical facility; (c) to provide trained personnel for the inspection of conveyanc; (d) to ensur a safe environment for travellers using point of entry facilities, including potabl water supplies, eating establishment, flight catering facilities, public washroom, appropriate solid and liquid waste disposal services and other potential risk areas, by conducting inspection Pro, as gramm appropriate; and (e) to provide as far as practicabl a program and trained personnel for the control of vector and reservoir in and near points of entry. 2. For responding to events that may constitut a public health emergency of international concern the capacities to: (a) it provides appropriate public health emergency response by establishing and maintaining a public health emergency contingency plans, including the nomination of a coordinator and contact points for relevant point of entry, public health and other agencies and services; (b) to provide assessment of and care for affected travellers or animals by establishing arrangements with local medical and veterinary facilities for their isolation, treatment and other support services that may be required; (c) to provide appropriate space, separate from other travellers, to interview suspect or affected persons; (d) to provide for the assessment and, if required, quarantine of suspect travellers, preferably in facilities away from the point of entry; (e) to apply the recommended measure to disinsec, der, decontaminat or disinfec, otherwise treat baggag, cargo, container, conveyanc, good or postal parcel will including, when appropriate, at locations specially designated and equipped for this purpose; (f) to apply entry or exit control for arriving and departing travellers; and (g) to provide access to specially designated equipment, and trained it personnel with appropriate personal protection, for the transfer of travellers who may carry infection or contamination. Annex 2 Annex 3 MODEL SHIP SANITATION CONTROL EXEMPTION certificate/SHIP SANITATION CONTROL certificate port of ____ ____ ____ _____ date: _____ ____ ____ ____ this certificate records the inspection and exemption from control) 1 or 2) control measure applied by the name of ship or inland navigation vessel _____ _____ _____ Flag _____ _____ _____ Registration/IMO No. _____ _____ _____ At the time of inspection the holds were unladen/laden with tons of _____ _____ _____ _____ cargo name and address of inspecting officer _____ _____ _____ ___ Sanitation Control Exemption Certificate Ship Ship Sanitation Control Certificate Area, [systems, and services] inspected evidence found1 sample documents reviewed results2 Control measure applied for Re-inspection date comments regarding condition found Medical Ship's Galley Pantry window window stores Others Hold (s)/cargo quarters :-crew-officers-passenger-deck the Potabl water-Ballast tanks Sewag Solid and medical waste water engine room Standing Medical facilities in Other areas specified-see attached note areas not applicable, by marking N/A.      
       
From evidence found. Ship/vessel is exempted from control measure.                        Control measure of indicated were applied on the date below. Name and designation of issuing officer ____ ____ ____ ____ ____ ____ ____ signature and seal ___ ____ ____ ____ ____ ____ date _____ _____ _____ 1 (a) evidence of infection or contamination, including: vector in all stage of growth; animal reservoir for vector; or other rodent species that could carry human disease, microbiological, chemical and other risks to human health; signs of a sanitary measure inadequat. (b) Information concerning any human cases (to be included in the maritime Declaration of Health). 2 results from sample taken on the board. Analysis to be provided to the ship's master by most to mean and, if expedien re-inspection is required, to the next appropriate port of call coinciding with the re-inspection date specified in this certificate. Sanitation Control Exemption Certificates and Sanitation Control certificates are valid for a maximum of six months, but the validity period may be extended by one month if inspection cannot be carried out at the port and there is no evidence of infection or contamination.
Annex 4 TECHNICAL requirements PERTAINING TO CONVEYANC AND CONVEYANC A Conveyanc a Section of the OPERATOR the operator the operator shall Conveyanc 1 facilitat: (a) inspection of the cargo, container and conveyanc; (b) the medical examination of persons on board; (c) the application of others health measure's under these regulations; and (d) provision of relevant public health information requested by the State Party. 2. the Conveyanc operator shall provide to the competent authority a valid Ship Sanitation Control Exemption Certificate or a Ship Sanitation Control certificate or a maritime Declaration of Health, or the Health of an aircraft For a General Declaration, as required under these regulations. (B) section Conveyanc of the Control measure applied to 1, cargo, container baggag, conveyanc and goods under these regulations shall be carried out so as to avoid as far as possible injury or damage to persons or discomfor to the cargo, container, baggag, conveyanc and good. Whenever possible and appropriate, control shall be applied when the "the conveyanc and holds the empty. 2. States parties shall indicates in writing the measure applied to the cargo, container or conveyanc, the parts treated, the methods employed, and the reasons for their application. This information shall be provided in writing to the person in charge of an aircraft and, in the case of a ship, on the Ship Sanitation Control certificate. For other cargo, container or conveyanc, States parties shall issue such information in writing, the consignor, carrier, consigne the person in charge of the conveyanc or their respectiv of agents. Annex 5 SPECIFIC MEASURE FOR VECTOR-borne diseases 1. Who shall publish, on a regular basis, a list of areas where disinsection or other vector control measure with the recommended for conveyanc of arriving from these areas. Determination of such areas shall be made pursuan to the procedures regarding temporary or standing recommendations, as appropriate. 2. Every conveyanc is leaving a point of entry situated in an area where vector control is recommended should be disinsected and skipper free of vector. When there are methods and materials advised by the Organization for these procedures, these should be employed. The presence of vector on board conveyanc and the control measure used to eradicat of them shall be included: (a) in the case of aircraft, in the Health part of the aircraft General Declaration, unless this part of the Declaration is waived by the competent authority at the airport of arrival; (b) in the case of ships, Ship Sanitation Control Certificate on the; and (c) in the case of other conveyanc, on a written proof of treatment issued to the consignor, the carrier, the consigne, person in charge of the conveyanc or their agent, respectively. 3. States parties should accept disinsecting, deratting and others control measure for the conveyanc applied by other States if methods and materials advised by the Organization have been applied. 4. States parties shall establish programmes to control vector that may transport an infectious agent that a public health risk of the constitut a minimum distance of 400 metres from those areas of point of entry facilities that are used for operations involving travellers, conveyanc, container, cargo and postal parcel, with extensions of the minimum distance vector with (a) if the greater range at present. 5. If a follow-up inspection is required to determin the success of the vector control measure applied for, the competent authorities for the the next known port or airport of call with a capacity to make such an inspection shall be informed of this requirement in advance by the competent authority advising such follow-up. In the case of ships, this shall be noted on the Ship Sanitation Control certificate. 6. (A) the conveyanc may be regarded as suspect and should be inspected for vector and reservoir if: (a) it has a possible case of vector-borne disease on board; (b) a possible case of vector-borne disease has occurred on board during an international voyage; or (c) it has left an affected area within a period of time where the on-board will still carry the disease vector could. 7. (A) the State Party should note the prohibi landing of an aircraft or berthing of a ship in its territory if the control provided for in paragraph 3 of the measure of this Annex or otherwise recommended by the Organization with the applied. However, aircraft or ships coming from an affected area may be required to land at airports or diver to another port specified by the State Party for that purpose. 8. A State Party may apply vector control measure to a conveyanc is arriving from an area affected by a vector-borne disease if the vector for the foregoing disease are present in its territory. Annex 6 VACCINATION, AND the RELATED certificates 1 PROPHYLAX. Vaccines or others specified in Annex 7 or by prophylax recommended under these regulations shall be of suitabl quality; those vaccines and a designated by who prophylax shall be subject to its approval. Upon request, the State Party shall provide to who appropriate evidence of the suitability of vaccines administered within its prophylax States and territory under these regulations. 2. Persons undergoing vaccination or others under these regulations by prophylax shall be provided with an international certificate of vaccination or prophylax (hereinafter the "certificate") in the form specified in this Annex. Of departure shall be made from the model of the certificate specified in this Annex. 3. the certificates under this Annex are valid only if the vaccine or have used has been approved by prophylax who. 4. Certificates must be signed in the hands of the clinician, who shall be a medical practitioner or other authorized health worker, supervising the administration of the vaccine or prophylax. The certificate must also bear the official stamp of the administering Centre; However, this shall not be an accepted substitute for the signature. 5. Certificates shall be fully completed in English or in French. They may also be completed in another language, in addition to either English or French. 6. Any amendment of this certificate, or erasure, or failure to complete any part of it, may render it invalid. 7. Certificates are individual and shall be used in the from of circumstanc collectively. Separate certificates shall be issued for children. 8. (A) the parent or guardian shall sign the certificate when the child is unable to write. The signature of an authority shall be illiterat indicated in the usual manner by the person's mark and the indication by another that this is the mark of the person concerned. 9. If the supervising clinician is of the opinion that the vaccination or prophylax is contraindicated on medical grounds, the supervising clinician shall provide the person with reasons, written in English or French, and where appropriate in another language in addition to English or French, underlying that opinion, which the competent authorities on arrival should be take into account. The supervising clinician and competent authorities shall inform the person of any such risk associated with non-vaccination and with the non-use of a in accordanc prophylax with paragraph 4 of article 23.10. An equivalent document issued by the Armed forces to an active members of those forces shall be accepted in lieu of an international certificate in the form shown in this Annex if: (a) it to medical information substantially embod the same as that required by such form; and (b) it contains a statement in English or in French and where appropriate in another language in addition to English or French recording the nature and date of the vaccination or been to the prophylax and the effect that it is issued in accordanc with this paragraph.
Annex 7 requirements CONCERNING VACCINATION OR FOR SPECIFIC diseases by PROPHYLAX 1. In addition to any recommendations concerning vaccination or prophylax, the following diseases are those specifically designated under these regulations for which proof of vaccination or a may be required for prophylax travellers as a condition of entry to a State Party: Vaccination against yellow fever. 2. Recommendations and requirements for vaccination against yellow fever: (a) For the purpose of this Annex: (i) the incubation period of yellow fever is six days; (ii) yellow fever vaccines approved by who provide protection against infection starting 10 days following the administration of the vaccine; (iii) this protection continue for 10 years; and (iv) the validity of a certificate of vaccination against yellow fever shall extend for a period of 10 years, beginning 10 days after the date of vaccination or, in the case of a revaccination within such period of 10 years from the date of that revaccination. (b) Vaccination against yellow fever may be required of any traveller leaving an area where the Organization has determined that a risk of yellow fever transmission is present. (c) If a traveller is in possession of a certificate of vaccination against yellow fever which is not yet valid, the traveller may be permitted to depart, but the provision of paragraph 2 (h) of this Annex may be applied on arrival. (d) A traveller in possession of a valid certificate of vaccination against yellow fever shall not be treated as suspect, even if coming from an area where the Organization has determined that a risk of yellow fever transmission is present. (e) In accordanc with paragraph 1 of Annex 6 the yellow fever vaccine used must be approved by the Organization. (f) States parties shall a specific yellow fever vaccination centres designat within their territories in order to ensur the quality and safety of the procedures and materials employed. (g) Every self-employed person at a point of entry in an area where the Organization has determined that a risk of yellow fever transmission is present, and every member of the crew of a conveyanc of using any such point of entry, shall be in possession of a valid certificate of vaccination against yellow fever. (h) A State Party in whose territory the yellow fever with a vector of present, may require a traveller from an area where the Organization has determined that a risk of yellow fever transmission is present, who is unable to produce a valid certificate of vaccination against yellow fever, to be quarantined until the certificate of valid, or until (a) become a period of not more than six days , reckoned from the date of last possible exposure to infection, whichever will occure, has elapsed first. (i) a Traveller who posses an exemption from yellow fever vaccination, signed by an authorized medical officer or an authorized health worker, not vertheles may be allowed entry, subject to the provision of the foregoing paragraph of this Annex and to being provided with information regarding protection from yellow fever vector. Should the traveller will not be quarantined, they may be required to report any feverish or others symptom to the competent authority and be placed under surveillance. Annex 8 Annex 9