Rs 0.818.103 International Health Regulations (2005) (With Annexes) On May 23, 2005

Original Language Title: RS 0.818.103 Règlement sanitaire international (2005) du 23 mai 2005 (avec annexes)

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0.818.103 text original international health regulations (2005) adopted by the 58th World Assembly of health on May 23, 2005, entered into force for Switzerland on 15 June 2007 (State August 11, 2015) the fifty-eighth World Health Assembly, having considered the draft revised; international health regulations
whereas the art. 2 k), 21 (a) and 22 of the Constitution of who;
Recalling that has been the need to review and update the international health regulations in resolutions WHA48.7 on the revision and update of the international health regulations, WHA54.14 on global health security: alert and action in case of an epidemic, WHA55.16 on the natural presence, the accidental release or the deliberate use of chemical material biological or radio-nuclear health: the action of international public health, WHA56.28 on revision of the international health regulations, and WHA56.29 on the acute respiratory syndrome severe (SARS), in order to meet the need to ensure global public health;
Welcoming resolution 58/3 of the General Assembly of the United Nations on the intensification of the capacity building in the sector of public health around the world, which underlines the importance of the international health regulations and asks urged to give priority to its review;
Affirming the continued importance to Don the role of who in alert outbreak and response to events of public health at the global level, in accordance with its mandate;
the importance that continues to be the international health regulations as a global instrument of fundamental for the protection against the international spread of disease;
Welcoming the success of the work of the Intergovernmental Working Group on the revision of the international health regulations;
1. adopts the revised international health regulations, now referred to as of "international health regulations (2005)", attached to the present resolution;
2. Invites Member States and the Director-general to implement fully the international health regulations (2005), in accordance with the purpose and scope set out in art. 2 and to the principles defined in art. 3;
3. Decides for the purposes of the by. 1 of art. 54 of the international health regulations (2005) that the States Parties and the Director general will submit their first report to the sixty-first World Health Assembly and that on this occasion the Health Assembly will consider the timetable for submission of subsequent reports and the first review of the operation of the regulation according to the by. 2 of art. 54;
4. Decides also that for the purposes of the by. 1 of art. 14 of the international health regulations (2005), other intergovernmental organizations and international bodies with which who is called to cooperate and coordinate its activities, as the case may be, are including the following: the United Nations, international organization of the work of the United Nations for food and Agriculture, International Atomic Energy Agency, International Civil Aviation Organization, international maritime organization International Committee of the Red Cross, International Federation of Red Cross and Red Crescent, the Air Transport Association international, International Federation of the shipowners, and international Office of Epizootics;
5. Urges Member States: 1) to develop, strengthen and maintain the capacities required under the international health regulations (2005) and to mobilize the necessary resources to that end, 2) to collaborate actively with each other and with who in accordance with the relevant provisions of the international health regulations (2005) so as to ensure the effective implementation, 3) to provide support to developing countries and countries with economies in transition that apply for for acquisition, strengthening and maintaining public health capacities required under the international health regulations (2005), 4) to take all appropriate measures, pending the entry into force of the international health regulations (2005), to promote the purpose and implementation, including the acquisition of the required public health capacity and the development of the legal and administrative provisions that are necessary , and in particular to begin the process to introduce the use of the decision instrument which is the subject of annex 2.

6. Requests the Director general: 1) to quickly notify the adoption of the international health regulations (2005), according to the by. 1 of art. 65 of the regulation, 2) to inform other intergovernmental organizations or international bodies of the adoption of the international health regulations (2005) and, if so, to cooperate with them to update their standards, and to coordinate with them the activities of who in the title of the international health regulations (2005), in order to ensure the application of appropriate measures for the protection of public health and the strengthening of the global public health against the international spread of diseases (, 3) to transmit to the Organization of International Civil Aviation (ICAO) recommended changes to the part relating to health issues of the General Declaration of aircraft and, when ICAO completes its review of the aircraft General Declaration, to inform the Health Assembly and insert in annex 9 of the international health regulations (2005) the part relating to health issues of the such aircraft General Declaration as revised by ICAO (4) acquire and build capacity of who to execute fully and effectively the functions entrusted to the title of the international health regulations (2005), particularly through strategic health operations who support to countries for screening and assessment of public health emergencies and for action to deal with ((5) to collaborate with States Parties to the health regulations international, (2005) if it is necessary, especially by providing or facilitating technical cooperation and logistical support, 6) to collaborate with States Parties to the extent possible to the mobilization of financial resources to provide support to developing countries for the acquisition and strengthening of peacekeeping capacities required under the international health regulations (2005) (, 7) to develop, in consultation with Member States, guidelines for the application of health measures at the land border, in accordance with art. 29 of the international health regulations (2005), 8) to create the Committee of review of the international health regulations (2005) pursuant to art. 50 of that regulation, 9) to take immediate measures for the development of guidelines for the implementation and evaluation of the decision instrument contained in the international health regulations (2005), including the development of a procedure for the review of its operation, which will be submitted to the Health Assembly review according to the by. 3 of art. 54 of that regulation, 10) take measures to establish a list of experts of the IHR and soliciting applications, in accordance with art. 47 of the international health regulations (2005).

Title I Definitions, purpose and scope, principles and authorities art. 1 definitions 1. For the purposes of the international health regulations (hereinafter referred to as 'IHR' or the 'regulation'): 'aircraft' means an aircraft performing an international journey; 'airport' means an airport arrival and departure of international flights;
"affected" means persons, baggage, cargo, containers, means of transport, goods, postal parcels or stay human who are infected or contaminated, or carry sources of infection or contamination, and making a public health risk;
(((("arrival" of a means of transport means: a) in the case of a ship of sea, arrival or anchorage within the defined area of a port; b) in the case of an aircraft, arrival at an airport; c) in the case of an inland waterway craft making an international trip, arrival at a point of entry; d) in the case of a train or road vehicle , arrival at a point of entry;

'competent authority' means an authority responsible for the implementation and application of health measures under these regulations;
'luggage' means personal belongings of a passenger;
"cargo" means goods carried in a means of transport or in a container; "parcel" means an article or package with an address and transported by postal services or international mail;
"contamination" means the presence of an agent or infectious or toxic material on the surface of the body of a person or an animal, in or on a product intended for consumption or other inanimate objects, including means of transport, which could constitute a risk to public health;
'container' means a transport unit:

((a) of a permanent nature and being, therefore, sufficiently resistant to allow its use repeated; b) specially designed to facilitate the carriage of goods, without transshipment, by one or more modes of transport; c) fitted with devices that facilitate handling, particularly during its transshipment from one means of transport to another; ETD) specially designed to be easy to fill and empty;

'decontamination' means a procedure that involves taking sanitary measures to eliminate an agent or an infectious or toxic material on the surface of the body of a person or an animal, in or on a product intended for consumption or other inanimate objects, including means of transport, which could constitute a risk to public health;
'start' means, for a person, baggage, cargo, a means of transport or goods, in the Act of leaving a territory;
"ratting" refers to the procedure of taking health measures to control or eliminate rodent vectors of human diseases present in baggage, cargo, containers, transportation, services, goods and parcel post entry.
"disinfection" means the procedure of taking health measures to control or eradicate infectious agents present on the surface of the body of a person or animal in or on baggage, cargo, containers, transportation, goods and postal parcels by direct exposure to chemical or physical agents;
"pest control" refers to the procedure of taking health measures to control or eliminate insect vectors of human diseases present in baggage, cargo, containers, means of transport, goods and postal parcels;
"Director general" means the Director General of the World Health Organization;
"personal data" means any information relating to an identified or identifiable natural person;
"scientific evidence evidence" means information providing a piece of evidence based on established and accepted scientific methods;
"crew" refers to persons on board a conveyance except passengers;
"event" means a pathological manifestation or a fact that is creating a risk of disease;
"medical examination" means the preliminary examination of a person practiced by an authorized health officer or by a person acting under the direct supervision of the competent authority, in order to determine if the State of health of this person presents a potential risk to public health; It may include verification of health documents and a clinical examination if the circumstances in the present case;
"operator of a means of transport" means the person responsible person of a means of transport, or his representative;
'infection' refers to the penetration and development or multiplication of an infectious agent in the body of people or animals that could pose a risk to public health;
"inspection" means the examination, by the competent authority or under its supervision, areas, luggage, containers, transportation, facilities, goods or postal parcels, as well as the information and documents, in order to determine if there is a risk to public health;
'intrusive' means the gene caused by a close or intimate contact or a tight interrogation;
"invasive" means the break-in or the skin incision or the introduction of an instrument or a foreign body in the body or the review of a cavity. For the purposes of the present regulation, the examination of the ear, nose or mouth, taking the temperature using an ear thermometer, oral or dermal contact, or through thermal imaging devices, inspection, auscultation, palpation external, retinoscopy, the collection of external samples of urine, stool or saliva, the external blood pressure measurement and electrocardiogram are not considered invasive in nature;
"isolation" means the development away from patients or those infected or luggage, containers, means of transport, goods or postal parcels affected so as to prevent the spread of infection or contamination;
'free practice' means, for a vessel, the permission to enter a port, to proceed to boarding or landing, unloading or loading cargo or stores; for an aircraft, of permission, after landing, to the boarding or landing, unloading or loading cargo or stores; and, for a means of land transport, authorization, on arrival, to the boarding or landing, unloading or loading cargo or stores;
"patient" means a person suffering or damage of a physical disorder that is likely to pose a risk to public health;
'disease' means a pathology human or disease, regardless of the origin or source, having or likely to have harmful effects for humans;
"goods" means tangible products, including animals and plants, transported on a trip international, including for use on board a conveyance;
"health measure" means means used to prevent the spread of disease or contamination; a sanitary measure does not include security or law enforcement;
'means of transport' means an aircraft, a ship, a train, a road vehicle or other means of transport used for international travel;
'ship' means a ship sea or an inland waterway craft that makes international travel;
"observation for public health purposes" means the monitoring of the State of health of a traveller in time to determine the risk of transmitting a disease;
"Organization" or "Who" refers to the World Health Organization;
"point of contact IHR at who" means the service which, at who, must at any time be able to communicate with the focal point national IHR;
"point of entry" means a crossing point for the entry or the exit of international travellers, baggage, cargo, containers, means of transport, goods and postal parcels as well as agencies and areas providing services to the entry or exit;
'point focal national IHR' means the national centre, designated by each State party, which must at any time be able to communicate with the IHR contact points to who for the purposes of this regulation;
'port' means a port from sea or an inland port where arrive or where to leave ships engaged on an international voyage;
"border crossing" means a land port of entry in a State party, including a point used by road vehicles and trains.
"scientific principles" includes fundamental laws and accepted and known facts through scientific methods.
'quarantine' means the restriction of activities and/or the setting aside suspicious people who aren't sick or suspect, to prevent the possible spread of infection or contamination luggage, containers, means of transport or goods;
'recommendation' and 'recommended' refer to the temporary recommendations or permanent issued under these regulations;
'permanent recommendation' means the non-binding opinion issued by who under art. 16 application systematic or periodic sanitary measures in the face of persistent public health risks, to prevent or reduce the international spread of disease by creating a minimum of barriers to international traffic;
'temporary recommendation' means the non-binding opinion issued by who under art. 15 for the purpose of limited application in time and according to the risk to deal with a health emergency of international concern, so as to prevent or reduce the international spread of disease by creating a minimum of barriers to international traffic;
"tank" means an animal, a plant or a substance that normally hosts an infectious agent and whose presence may constitute a risk to public health;
'permanent residence' means in the direction determined by the internal law of the State party concerned;
"temporary residence" means in the direction determined by the internal law of the State party concerned;
"public health risk" means the likelihood of an event that may adversely affect the health of human populations, especially of an event which may spread internationally or present a serious and direct danger;
'surveillance' means the collection, compilation and systematic and continuous data analysis for purposes of public health and the dissemination of public health information in time for evaluation purposes and for the purposes of public health action, as required;

'suspects' means people, baggage, cargo, containers, means of transport, goods or postal parcels a State party considers as having been exposed or who have been exposed to a health risk to the public and likely to be a source of spread of diseases;
"international traffic" means of the movement of persons, baggage, cargo, containers, means of transport, goods or parcel post who cross an international border, including international trade;
"international public health emergency" means an extraordinary event which is determined, as specified in this regulation, i) that he is a risk for public health in other States due to the risk of international spread of disease; II) that it may require a coordinated international;

"vector" means an insect or any animal which normally conveys an infectious agent constituting a risk to public health;
"land transport vehicle" means a means of motorized transport for land transport on an international trip, which includes trains, buses, trucks and automobiles.
"road vehicle" means a vehicle other than a train ground transportation;
'verification' refers to the supply to the who by a State party of information confirming an event on the territory of that State party;
(('international voyage' means: a) in the case of a means of transportation, a trip between ports of entry located on the territories of more than one State, or a trip between ports of entry located on the territory of the same State if, during his trip, the means of transport is in contact with the territory of any other State, but only for these contacts; b) in the case of a traveller , a trip with the entrance in the territory of one State other than the territory of the State from the traveller;

'Traveller' means a natural person who performs international travel;
"affected area" refers to a specific geographical location to which sanitary measures were recommended by the who under this regulation;
"container loading area" means a place or facility reserved for containers used in international traffic.
2. unless otherwise or unless the context requires, any reference in this regulation also refers to the annexes are related.

Art. 2 purpose and scope the purpose and scope of these regulations are to prevent the international spread of diseases, protect against, control and respond by a public health response proportionate and limited to the risks it presents to the public health, without creating unnecessary obstacles to traffic and to international trade.

Art. 3 principles 1. This regulation is implemented by respecting fully the dignity of the people, the human rights and fundamental freedoms.
2. the implementation of this regulation is guided by the Charter of the United Nations and the Constitution of the World Health Organization.
3. the implementation of this regulation is guided by the desire of its universal application to protect the whole of the world from the international spread of disease.
4. in accordance with the Charter of the United Nations and the principles of international law, States have the sovereign right to legislate and to promulgate legislation for the implementation of their health policies. In doing so, they promote the purposes of this regulation.

RS 0.120 art. 4 responsible authorities 1. Each State party implements or designated a national focal point RSI and the responsible authorities, in its own jurisdiction, of the implementation of the measures provided for in this regulation.
2. the national IHR focal points must at any time be able to contact target who IHR contact points to the by. 3 of this article. The national IHR focal points will have duties: has) to points of contact IHR at who, on behalf of the State party concerned, urgent communications relating to the application of this regulation, including those covered by the art. 6 to 12; ETB) to disseminate information from the competent administration of the State party concerned sectors, and particularly the areas responsible for monitoring and reporting, points of entry, public health services, clinics and hospitals and other public departments, and to gather information from these sectors.

3. who shall designate IHR contact points that must be at any time able to communicate with the national IHR focal points. To who IHR contact points addressed urgent communications on the application of this regulation, in particular of the provisions of the art. 6 to 12, to the national focal points RSI of the States Parties concerned. WHO may designate IHR contact points at the headquarters of the organization or at the regional level.
4. the States Parties communicate to who the coordinates of their national IHR focal points and who shall communicate to States Parties the details of its IHR contact points. These coordinates are constantly updated and confirmed annually. WHO shall communicate the details of national IHR focal points communicated pursuant to this article to all States Parties.

Title II Information and public health action art. 5 surveillance 1. Each State party acquires, strengthens and maintains, as soon as possible but at the latest within five years following the entry into force of these regulations for that State party, the ability to detect, assess, notify and report events in application of this regulation, as indicated in annex 1.
2. as A result of the evaluation referred to the by. 2 of part A of annex 1, a State party may report to who on the grounds a justified need and an action plan and, in so doing, obtain an extension of two years to fulfill the obligation which is responsible under the terms of the by. 1 of the present article. In exceptional circumstances and by asserting a new action plan, the State party may ask for the deadline to be extended by two years up to the Director general, which expresses itself in taking into account the technical opinion of the Committee established under art. 50 (hereinafter the "Review Committee"). After the period provided for in the by. 1 of the present article, the State party who has obtained an extension shall report annually to who of progress in the full implementation.
3. who help States Parties, at their request, to develop, strengthen and maintain targeted capabilities to the by. 1 of the present article.
4. who collects information about events as part of its monitoring activities, and it assesses the risk of international spread of diseases involved and barriers to international traffic they create. The information received by who under this subsection are processed in accordance with the provisions of the art. 11 and 45 where applicable.

Art. 6 notification 1. Each State party evaluates events occurring in its territory using the decision instrument in Appendix 2. Each State party shall notify who, by means of communication the most effective it has, through the national IHR focal point and within 24 hours of assessment of public health information, any event that occurred in its territory may constitute a public health emergency of international under the decision instrument, as well as any health measure taken to make in the face of these events. If the notification received by who affects the jurisdiction of the International Agency for Atomic Energy (IAEA), who immediately informs the IAEA.
2. after notification, the State party continues to communicate in due time to who information accurate and sufficiently detailed public health there, if possible including the case definition, laboratory results, source and type of risk, the number of cases and deaths, the factors affecting the spread of the disease and the health measures used; and indicate, if necessary, the difficulties encountered and assistance he needs to deal with the potential public health emergency of international concern.

Art. 7 provision of information in the event of unexpected or unusual if a State party has evidence of the occurrence of an unexpected or unusual event on its territory, regardless of the origin or source, which may constitute a public health emergency of international in scope, it provides who all health information relevant public. In this case, the provisions of art. 6 apply in full.

Art. 8 consultation


In the event that occur on its territory events not requiring the notification provided for in art. 6, in particular the events for which it does not have a sufficient information to use the instrument of decision, a State party may nevertheless keep who informed through the national IHR focal point, and consult the who about health to take measures. These communications are governed by the provisions of by. 2 to 4 of art. 11. the State party on whose territory the event occurred may request who help check the epidemiological information he could get.

Art. 9. other reports 1. WHO can take into account reports from sources other than notifications or consultations and evaluates these reports in accordance with established epidemiological principles; It then communicates information about the event in question to the State party on whose territory the event is supposed to happen. Before taking any action whatsoever on the basis of these reports, who consults with the State party in the territory of which the event is supposed to happen and strives to verify this information from him in accordance with the verification procedures set out in art. 10A that end, who put the information received available to the States Parties, knowing that only in cases where this is duly justified, who can preserve the confidentiality of the source. This information is used in accordance with the procedure laid down in art. 11 2. The States Parties, to the extent possible, inform the who within 24 hours of receipt of evidence of the existence, outside their territory, to an identified risk to public health that may be at the origin of the international spread of diseases, attested by the export or import: a) human cases; b) vectors of infection or contamination; OUC) of contaminated goods.

Art. 10 verification 1. WHO, in application of art. 9, request the State party to check the reports from other sources that the notifications or consultations, according to which events may constitute an international public health emergency occur on its territory. In such cases, who shall inform the State party concerned about reports it seeks to verify.
2. pursuant to the provisions of paragraph preceding and art. 9, each State party, at the request of the who, do the necessary investigations and: a) provides an initial response or an acknowledgement of receipt of the request of the who within 24 hours; b) provide within 24 hours of public health information on targeted events in the application of the who; etc) communicates information to the who in the context of the assessment on the basis of art. 6, including the information described in this article.

3. when who is informed of an event which may constitute an international public health emergency, she proposes to collaborate with the State party concerned the assessment of the risk of international spread of diseases, the interference with international traffic that could be created and the adequacy of control measures. These activities may include collaboration with other standard-setting organizations and the offer to mobilize international assistance to help national authorities to lead and coordinate the assessments on the spot. At the request of the State party, who communicates information to support this offer.
4. If the State party does not accept the offer of collaboration, who can, when justified by the magnitude of the risk to public health, the information available to it, while urging the State party to accept the offer of who collaboration, taking into account the views of the State party concerned to other States Parties.

Art. 11 provision of information by the who 1. Subject to the provisions of the by. 2 of this article, who shall communicate to all States Parties and, as needed, to relevant intergovernmental organizations, as soon as possible and by means available the most effective, on a confidential basis, the public health information that it has received in accordance with the art. 5 to 10 and are necessary to allow States Parties to deal with a public health risk. WHO should communicate to other States Parties information that can help to prevent the occurrence of similar incidents.
2. who uses information received in application of art. 6 and 8 and by. 2 of art. 9 for the purposes of audit, evaluation and assistance under these regulations and, except if it is otherwise agreed with States Parties referred to in those provisions, it does not usually this information to other States Parties before that: has) it is determined that the event constitutes a public health emergency of of international having regard to art. 12; or (b) attesting to the international spread of infection or contamination have been confirmed by who in accordance with established epidemiological principles; ((VHF) it is established that: i) measures against the international spread have little chance of success because of the nature of the contamination, the pathogen, vector or tank, or queii) the State party lacks sufficient operational capacity to implement the necessary measures to prevent a spread wider of the disease; or d) the nature and scope of the international movement of travellers, baggage, cargo, containers, means of transport, goods or postal parcels that may be affected by the infection or contamination requires the immediate international control measures implementation.

3. who consults with the State party on whose territory the event about his intention to provide information to the title of this article.
4. when communicating to States Parties, in accordance with this regulation, information received in application of the by. 2 of this article, who may also make public such information if other information about the same event have already been published and if reliable and independent information dissemination is needed.

Art. 12 determination of the existence of an international public health emergency 1. Executive Director determines, on the basis of the information received, in particular from the State party on whose territory an event occurs, whether an event constitutes a public health emergency of international concern in the light of the criteria and the procedure set out in this regulation.
2 If the Director general considers, on the basis of an assessment under this regulation, that there is an international public health emergency, consult with the State party on whose territory the event occurs on this preliminary conclusion. If the Director-general and the State party agree to this conclusion, the Director-general, following the procedure set out in art. 49, seeks the views of the Committee set up pursuant to art. 48 (hereinafter the "Emergency Committee") on appropriate temporary recommendations.
3. If, following the planned consultation to the by. 2 above, the Director-general and the State party on whose territory the event agree not within 48 hours on the question of whether the event is a health emergency of international concern, a decision is taken in accordance with the procedure set out in art. 49 4. To determine whether an event constitutes a health emergency of international concern, the Director-general take into account: a) information provided by the State party; b) of the decision instrument for Annex 2; c) in the opinion of the Committee on emergencies; d) scientific principles, as well as available scientific evidence and other relevant information; summer) an assessment of the risk to human health, the risk of international spread of disease and the risk of interference with international traffic.

5. If the Director-general, after consultation with the State party in the territory of which the international public health emergency has occurred, considers that the international public health emergency has ended, he takes a decision in accordance with the procedure set out in art. 49. art. 13 public health action 1. Each State party acquires, builds, and maintains, as soon as possible but at the latest within five years following the entry into force of these regulations for that State party, the ability to react quickly and effectively in the event of risk to public health and public health emergency of international concern in accordance with Annex 1. WHO publishes, in consultation with Member States, guidelines to help States Parties to acquire the capabilities of public health action.

2. as A result of the evaluation referred to the by. 2 of part A of annex 1, a State party may report to who on the grounds a justified need and an action plan and, in so doing, obtain an extension of two years to fulfill the obligation which is responsible under the terms of the by. 1 of the present article. In exceptional circumstances and by asserting a new action plan, the State party may ask for the deadline to be extended for two years up to the Director general, who makes the decision taking into account the technical review Committee reviews. After the period provided for in the by. 1 of the present article, the State party who has obtained an extension shall report annually to who of progress in the full implementation.
3. at the request of a State party, who works at the action in the event of risk to public health and other events by providing technical advice and assistance and by evaluating the effectiveness of the measures implemented, including, as appropriate, by mobilizing international teams of experts to provide assistance on the spot.
4. If who, in consultation with the States Parties concerned in accordance with art. 12, establishes that there is an international public health emergency, she can offer, in addition to the indicated support to the by. 3 of this article, additional assistance to the State party, including an assessment of the severity of the international risk and the adequacy of control measures. As part of this collaboration, it can offer to mobilize international assistance to help national authorities to lead and coordinate the assessments on the spot. At the request of the State party, who communicates information to support this offer.
5. at the request of the who, States Parties support, to the extent possible, the action coordinated by who.
6. at their request, who offers to provide advice and assistance to other States Parties affected or threatened by the urgency of international public health.

Art. 14 cooperation of who with intergovernmental organizations and international bodies 1. WHO cooperate and, as appropriate, coordinates its activities with other intergovernmental organizations and international bodies for the implementation of this regulation, including agreements and similar arrangements.
2. in the event that the notification or verification of an event, or the action taken to deal with it, falls mainly within the competence of other intergovernmental organizations or international bodies, who is coordinating its activities with such organizations or agencies for the purposes of the application of measures to protect public health.
3. Notwithstanding the foregoing, no provision of this regulation doesn't stop or limit the provision by who of advice, support or technical assistance or other public health purposes.

Title III recommendations art. 15 temporary recommendations 1. If it has been established, in accordance with art. 12, there is an international public health emergency, the Director-general publishes temporary recommendations in accordance with the procedure set out in art. 49. these temporary recommendations may be modified or extended, as the case may be, especially once it has been established that an international public health emergency has ceased, after which other temporary recommendations may be published, as required, in order to prevent or quickly detect the resurgence.
2. the temporary recommendations may affect the health measures to be implemented by the State party following the health emergency of international concern, or by other States Parties, regarding persons, baggage, cargo, containers, means of transport, goods and/or parcel post to prevent or reduce the international spread of disease and avoid unnecessary interference in international traffic.
3. the temporary recommendations may at any time be cancelled in accordance with the procedure laid down in art. 49 and automatically expire three months after their publication. They can be modified or extended for additional periods of three months. The temporary recommendations cannot be maintained beyond the second World Health Assembly following the decision on the urgency of international public health to which they relate.

Art. 16 standing recommendations who may make standing recommendations for applying systematic or periodic health measures, in accordance with art. 53. such measures may be applied by States Parties regarding people, baggage, cargo, containers, means of transport, goods and/or parcel post in the event of persistent specific risks for public health for the purposes to prevent or reduce the international spread of disease and avoid unnecessary obstacles to international trade. WHO can, under art. 53, amend these recommendations or cancel, as appropriate.

Art. 17 criteria for recommendations when it formulates, amends or cancels temporary recommendations or permanent, the Director-general to take into account: a) points of view of States Parties directly concerned; b) in the opinion of the Committee of emergency or the Review Committee, as the case may be; c) scientific principles as well as evidence and available scientific information; d) health measures which (on the basis of an assessment risk adapted to the situation, do not interfere with international traffic and trade and are not more intrusive to persons than reasonably available alternatives that would ensure the health protection required; e) standards and international instruments relevant; e) of activities carried out by other intergovernmental organizations and international bodies; ETG) other specific and appropriate information about the event.

Regarding the temporary recommendations, the urgency of the situation may limit taking into consideration by the Director general of the elements referred to in paras. ((e) and (f) of this section.

Art. 18 recommendations relating to persons, baggage, cargo, containers, means of transport, goods and postal parcels 1. Recommendations by who to States Parties with regard to persons may include the following: - no specific health measures is recommended; - examine the history of travel in affected areas; - review the evidence that a medical examination and laboratory tests were performed; - require medical examinations; - the evidence of vaccinations or other prophylactic measures; - require a vaccination or a prophylactic measure; - put the suspects under observation for public health purposes; quarantine suspicious people or apply other health measures; - isolate and treat if necessary affected people; - find contacts of suspect or affected persons; - refuse the entry of persons affected and suspicious; - refuse entry of unassigned people in affected areas; and - submit to a screening people from affected areas or apply restrictions of output.

2. the recommendations made by who to States Parties with respect to baggage, cargo, containers, means of transport, goods and postal parcels may include the following: - no specific health measures is recommended; - review the manifest and the route - inspections; - the evidence of the measures taken at the beginning or during transit to eliminate infection or contamination; - perform baggage processing cargo, containers, means of transport, goods, parcel post or remains human to eliminate infection or contamination, including vectors and reservoirs; - specific health measures to ensure the security of handling and transport of human remains-isolate or quarantine; - require, in the absence of treatment or process effective, the seizure and destruction under control of luggage cargo, containers, means of transport, goods or postal parcels infected, contaminated or suspect; and - refuse departure or entry.

Title IV Entry Points art. 19 General obligations in addition to the other obligations this regulation puts his dependants, each State party: has) ensures that the abilities set out in annex 1 concerning the designated entry points are acquired as scheduled to the by. 1 of art. 5 and to the by. 1 of art. 13; b) specifies which are the competent authorities at each port of entry designated in its territory; etc) provides the who, to the extent possible when requested to deal with a potential risk to public health, of relevant data concerning sources of infection or contamination, including the vectors and reservoirs, at its entry points, which are likely to cause international disease spread.

Art. 20 airports and ports 1. The States Parties shall designate the airports and ports that shall develop and maintain the capacities provided in annex 1.

2. States Parties shall ensure that certificates of exemption of health control of ship and sanitary control of ship certificates be issued in accordance with the prescriptions of art. 39 and the model in annex 3.
(3 each State party shall communicate to the who list of ports authorized to offer: a) the issue of certificates of sanitary control of ship and the provision of the services referred to in annexes 1 and 3; or (b) only the issue of certificates of exemption of health control of ship; etc) the extension of the exemption certificate of sanitary control of ship for a period of one month until the arrival of the ship in the port to which the certificate may be received.

Each State party shall inform who of any change in status of the ports on the list. WHO publishes the information received pursuant to this paragraph.
4. who may, at the request of the concerned State party, do the necessary to certify, after an appropriate investigation, that an airport or port situated in the territory of that State party fulfils the conditions set out in the by. 1 and 3 of this article. WHO can periodically review these certifications, in consultation with the State party.
5. who, in collaboration with intergovernmental organizations and international bodies, develops and publishes guidelines for the certification of airports and ports referred to in this article. WHO also publishes a list of certified ports and airports.

Art. 21 border - 1. When this is justified in the light of public health, a State party designated border positions that will gain the capabilities provided in Appendix 1, taking into account: has) the volume and frequency of the various types of international traffic at the border which could be nominated by a State party, compared to other points of entry. ETB) risks to health present in source of international traffic, or areas through which it passes, before arriving at a particular border.

(2. States Parties with common borders should consider: has) to enter into agreements or bilateral or multilateral arrangements concerning prevention or control of international transmission of disease at the border in accordance with art. 57; ETB) to jointly appoint the adjacent border posts for the abilities described in annex 1, in accordance with the by. 1 of the present article.

Art. 22 role of competent authorities 1. Competent authorities: a) shall ensure that baggage, cargo, containers, means of transport, goods and postal parcels and the remains initially and from affected areas be maintained in a State such that they are free of sources of infection or contamination, including vectors and reservoirs; b) ensure, insofar as possible, that the facilities used by travellers at ports of entry are maintained in good conditions of hygiene and remain free of sources of infection or contamination, including vectors and reservoirs; c) oversee the rat extermination, disinfection, the disinsection or decontamination of baggage, cargo, containers, means of transport, goods, postal parcels, and human remains or sanitary measures applied to persons, this regulation; d) warn operators of means of transport, as far in advance as possible ((, of their intention to apply measures to a means of transport, and provide, as appropriate, of the information written on the methods to be used; e) supervise the removal and disposal hygienic water or contaminated food, as well as human or animal feces, wastewater and any other material contaminated on board a means of transport; f) take all possible measures consistent with these regulations to monitor and prevent the rejection by ships of sewage, waste, ballast water and other potentially pathogenic materials that could contaminate the water of a port, river or channel, a strait, Lake or other international waterway; g) are responsible for the supervision of service providers regarding travellers, baggage, cargo, containers, means of transport, goods and postal parcels and remains at the ports of entry (, including the conduct of inspections and medical examinations as required; h) provide effective emergency provisions to deal with an unforeseen event affecting public health. ETI) communicate with the national IHR focal point about the public health measures relevant taken in application of this regulation.

2. the health measures recommended by who for travellers, baggage, cargo, containers, conveyances, goods, postal parcels and human from an affected area remains can be applied again to the arrival if there are verifiable indications and evidence that the measures applied at the start of the affected area have failed.
3. the pest control, the rat extermination, disinfection, decontamination and all other sanitary procedures are conducted so as to avoid causing trauma and, whenever possible, an annoyance to people or damage to the environment likely to undermine public health, or damage to baggage, cargo, containers, means of transport, goods and postal parcels.

Title V public health measures chapter I provisions general art. 23 health measures on arrival and departure 1. Subject to applicable international agreements and the relevant articles of this regulation, a State party may, for purposes of public health, on arrival or departure: a) for travellers: i) ask them about their destination in order to contact them, ii) question them about their route to check if they have stayed in an affected area or nearby (, or other possible contacts with infection or contamination prior to arrival, and check the health of these travelers documents if they are required under the terms of this regulation, and / or III) demand a non-invasive medical examination, which is reviewing the least intrusive possible to achieve the public health objective;

(b) require the inspection of baggage, cargo, containers, means of transport, goods, postal parcels and human remains.

2. on the basis of evidence of a public health risk obtained by applying the measures provided for in the by. 1 of this article or by other means, States Parties may apply health measures in accordance with this regulation, and in particular with regard to a suspect or affected traveller can practice the least intrusive medical examination on a case by case basis, and the less invasive as possible to achieve the public health objective of preventing the spread of diseases.
3. travellers are subject to no medical, no vaccination or any medical or prophylactic under the present regulation without their express and informed consent, or that of their parents or guardians, has been obtained beforehand, except in application of the by. 2 of art. 31, and in accordance with the law and international obligations of the State party.
4. travellers who need to be vaccinated or to whom a prophylactic measure should be proposed in the application of this regulation, or their parents or guardians, are informed of any risk associated with vaccination or the vaccination, and the use or non-use of the prophylactic measure in accordance with the legislation and the international obligations of the State party. States Parties shall inform the doctors of this duty in accordance with the legislation of the State party.
5. any medical examination, medical procedure, vaccination or other measure of prophylaxis which involves a risk of transmission of disease is practiced on a traveler or not him is administered only in accordance with standards and security principles recognized at national and international levels in order to reduce this risk to the maximum.

Chapter II special provisions applicable to means of transport and operators of transportation art. 24 operators of means of transport 1. States Parties to take all possible measures consistent with these regulations to ensure that the operators of means of transport: a) apply health measures recommended by who and adopted by the State party; b) inform travellers of the health measures recommended by who and adopted by the State party for the purpose of their application on board; etc) maintain the means of transport they are responsible for permanently free of sources of infection or contamination, including vectors and reservoirs. The application of measures to eliminate sources of infection or contamination may be required if signs of their presence are discovered.


2. the special provisions applicable to the means of transport and operators of means of transport under the present art. are given in annex 4. The specific measures applicable to means of transport and operators of means of transport with regard to disease vector transmission are provided in annex 5.

Art. 25 ships and aircraft in transit subject to the provisions of art. 27 and 43 or unless applicable international agreements allow it, no health measure is applied by a State party: has) to a ship not coming from an affected area that borrows a channel or an other Seaway within the territory of that State party in the direction of a port located in the territory of another State. Such a ship is allowed to take on, under the supervision of the competent authority, fuel, water, food and supplies; b) to a ship which passes through waters within its jurisdiction without stopping in a port or on the coast. NIC) to an aircraft in transit in an airport under its jurisdiction, such an aircraft can, however, be confined to a particular area of the airport, without embarking or disembarking, or loading or unloading. However, such an aircraft is allowed to embark, under the supervision of the competent authority, fuel, water, food and supplies.

Art. 26 trucks, trains and buses in transit subject to the provisions of art. 27 and 43 or unless applicable international agreements allow it, no health measure is applied to a truck, a train or a civilian bus not coming from an affected area which passes through a territory without embarking or disembarking, or loading or unloading.

Art. 27 affected transport systems 1. If clinical signs or symptoms and information based on facts or elements attesting that there is a risk to public health, including the sources of infection and contamination, are found on board a means of transport, the competent authority considers that the means of transport is affected and may: a) disinfect, decontaminate, bug or say this means of transport According to the case, or do these measures under its supervision; ETB) decide in each case the technique to use to control properly the risk to public health in accordance with this regulation. If methods or materials are recommended by who for these operations, they must be used, unless the competent authority considers that other methods are as safe and reliable.

The competent authority may take additional sanitary measures, and notably to isolate the means of transport, if necessary, to avoid the spread of disease. These additional measures should be reported to the national IHR focal point.
2. If the competent authority at the point of entry is not able to apply the measures prescribed by this section, affected conveyance may nevertheless be allowed to go, provided that: has) the competent authority, on departure, communicates to the competent authority at the next point of entry known data mentioned in para. (b); and Frenchie) in the case of a ship, the observed signs and control measures required are recorded in the certificate of sanitary control of ship.

The means of transport in question is allowed to load, under the supervision of the competent authority, fuel, water, food and supplies.
3. a means of transport which has been considered as affected is no longer considered as such once the competent authority is satisfied: has) as the measures referred to in the by. 1 of this article have been applied effectively; ETB) that there is onboard any condition that may pose a threat to public health.

Art. 28 ships and aircraft at points of entry 1. Subject to the provisions of art. 43 or applicable international agreements, a ship or an aircraft cannot be prevented for public health reasons, to call at a port of entry. However, if this entry point is not equipped to apply health measures provided for in this regulation, order may be made to the ship or the aircraft to proceed, at its own risk, until the closer at his disposal appropriate entry, unless a technical problem makes this dangerous diversion.
2. subject to the provisions of art. 43 or applicable international agreements, free practice cannot be refused for reasons of public health, to a ship or aircraft by the States Parties; in particular, it can be prevented to boarding the landing, unloading or loading of goods or supplies, nor to ship fuel, water, food and supplies. States Parties may condition approval of free practice on an inspection and, if a source of infection or contamination is discovered onboard, disinfection, decontamination, the pest control or to the ratting of the ship or the aircraft, or other measures necessary to prevent the spread of infection or contamination.
3. when possible, and subject to the provisions of the preceding paragraph, a State party grant free practice to a ship or aircraft by radio or other means of communication when, according to the information received from ship or aircraft before his arrival, the State party estimated that this check will not the introduction or the spread of a disease.
4. the master of a ship or the Commander of an aircraft, or their representative informed the port or airport controllers as soon as possible before arrival at the port or airport of destination of the possible cases of indicative of a pathology of infectious disease, or evidence of a risk to public health on board as soon as the captain or the Commander have knowledge of these diseases or those risks to public health. This information must be immediately transmitted to the competent authority of the port or the airport. In an emergency, they should be communicated directly by the captain or the Commander to the competent authorities of the port or the airport.
5. If, for reasons independent of the will of his captain's or his captain, an aircraft or a ship suspect or affected lands elsewhere on the planned airport, or wet in a port other than the port of arrival provided, the following provisions shall apply: a) the captain of the aircraft or the master of the ship, or any other person who is responsible for ((, strives by all means to communicate without delay with the nearest appropriate authority; b) as soon as the competent authority has been informed of landing or mooring, it may apply health measures recommended by who or other health measures provided for in this regulation; c) unless required by the urgency or the needs of communication with the competent authority, no present passengers on board the aircraft or vessel departs and no cargo is far unless the competent authority authorises; ETD) once implemented all health measures required by the competent authority, the aircraft or the ship may, in terms of these sanitary measures, proceed either to the airport or port where he had to land or wet either, if technical reasons prevent up to an airport or a port conveniently located.

6. Notwithstanding the provisions of the present article, the captain of a ship or the Commander of an aircraft may take all emergency measures that may be necessary to protect the health and safety of the passengers. He informs the competent authority as soon as possible of any measure taken pursuant to this paragraph.

Art. 29 trucks, trains and civilian buses at the ports of entry who, in consultation with States Parties, is developing guidelines for the application of sanitary measures for trucks, trains and civilian buses at entry points and crossing a border.

Chapter III special provisions for travellers art. 30 passengers under observation for purposes of public health subject to the provisions of art. 43 or unless applicable international agreements allow it, a suspect traveller who is under observation for purposes of public health on arrival can be allowed to continue an international voyage is not an imminent risk to public health and whether the State party informs the competent authority at destination of the arrival of the passenger port of entry If known. On arrival, the traveller comes to this authority.

Art. 31 health measures related to the entry of travellers 1. The entry of a traveller on the territory of a State party is not dependent on an invasive medical examination, vaccination or another measure of prophylaxis. Subject to the provisions of art. 32, 42 and 45, this regulation does not, however, to States Parties to require a medical examination, vaccination or another measure of prophylaxis or proof of vaccination or other prophylaxis measures:

((a) where this is necessary to determine whether there is a risk to public health; b) as a condition of entry for any traveller who seeks temporary residence or permanent; c) as a condition of entry for any travellers pursuant to art. 43 or annexes 6 and 7; Oud) applicable under art. 23 2. If a traveler for which a State party may require a medical examination, vaccination or other measure of prophylaxis in virtue of by. 1 of this section refuses to give consent, or refuses to provide the information or documents referred to the by. 1.a) art. 23, the State party concerned may, subject to the provisions of art. 32, 42 and 45, refused entry to the traveller. If the existence of an imminent risk to public health is established, the State party may, in accordance with its national law and to the extent necessary to combat this risk, require the traveller to, or advise him, according to the by. 3 of art. 23: a) to submit to the less invasive medical examination and the least intrusive possible to achieve the public health objective; b) be vaccinated or undergo another measure of prophylaxis; OUC) undergo additional established health measures that help to prevent or control the spread of the disease, including isolation, quarantine or placement under observation for public health purposes.

Art. 32 treatment of travellers in implementing health measures under these regulations, States Parties deal with travellers in the respect for their dignity and fundamental human rights in order to minimize the discomfort or embarrassment that may be associated with these measures, including: a) by treating all travellers with courtesy and respect; b) taking into account the sex of the person and concerns religious or socio-cultural of travellers; etc) in providing or arranging that be provided to travelers placed in quarantine or isolation or subject to medical examinations or other measures of public health, food and water in sufficient quantity, accommodation and appropriate clothing, protection for their luggage and other personal effects, appropriate medical treatment the means of communication needed if possible in a language they understand and other appropriate assistance.

Chapter IV special provisions applicable to the goods, containers and loading areas of the container art. 33 goods in transit subject to the provisions of art. 43 or unless applicable international agreements allow it, goods other than live animals that are in transit without transhipment are not subject to health measures under these regulations or used for public health purposes.

Art. 34 containers and loading areas of containers 1. States Parties shall, to the extent possible, that container shippers use in international traffic, of containers free of sources of infection or contamination, including vectors and reservoirs, especially in the potting.
2. States Parties shall ensure, to the extent possible, that the container loading areas remain free of sources of infection or contamination, including vectors and reservoirs.
3. where, in the opinion of the State party, the volume of international container traffic is large enough, the competent authorities take all possible measures consistent with these regulations, including inspections, to assess the health status of containers and container loading areas in order to ensure that the obligations laid down in this regulation are met.
4. to the extent possible, facilities are available in the areas of loading containers for inspection and isolation of containers.
5. the recipients and senders of containers make every effort to avoid cross-contamination when they proceed to the loading of containers multipurpose.

Title VI Documents health art. 35 general rule no health documents, other than those provided for by this regulation or by the who recommendations is required in international traffic, being however understood that this article applies to travellers seeking a temporary or permanent residence permit, and that it does not apply to documents related to the State, in terms of public health goods or cargoes entering international trade required by applicable international agreements. The competent authority may require that they fill out information forms on their contacts and travelers health questionnaires, provided that are the conditions set out in art. 23 art. 36 certificates of vaccination or other prophylaxis measures 1. The vaccines and prophylaxis measures administered to travelers in application of these regulations or recommendations, and certificates there, must comply with the provisions of annex 6 and, if applicable, annex 7 concerning certain diseases there.
2. a traveller have a certificate of vaccination or an another measure of prophylaxis certificate issued in accordance with the provisions of annex 6 and, is there place, of annex 7, cannot be repressed as a result of disease covered by the certificate, even if it comes from an area affected, unless the competent authority has verifiable indications and the evidence that the vaccination or prophylaxis as has had no effect.

Art. 37 maritime declaration of health 1. Before his first stop in the territory of a State party, the master of a ship ensures health on board and, unless not required by that State party, it fills and back to the competent authority of the port, upon arrival or before the arrival of the ship if it has the equipment and the State party requires that it be him discount in advance , a maritime Declaration of health, which is countersigned by the ship's doctor, if there is one.
2. the captain or, if there is one, the ship's doctor, provides to the competent authority all the information on the State of health on board during the international voyage.
3. the maritime Declaration of health shall conform to the model presented in annex 8.
(4. a State party may decide: was) not to require all ships on arrival they present the maritime Declaration of health; or (b) to require the submission of the maritime Declaration of health in implementing a recommendation concerning ships from affected areas or to demand of ships that may be otherwise carry infection or contamination source.

The State party informs operators of vessels or their representatives to these prescriptions.

Art. 38 part of the aircraft relative to the health issues 1 General Declaration. In flight or landing on the first airport in the territory of a State party, the captain of an aircraft or his representative fills with sound better and back to the competent authority in this airport, unless it is not required by that State party, the part of the relative health aircraft General Declaration, which must be consistent with the model presented in annex 9.
2. the captain of an aircraft or its representative provides the State party all information that he requested State of health on board during international travel and health measures eventually applied to the aircraft.
(3. a State party may decide: was) not to require all aircraft on arrival they present the part of the relative health aircraft General Declaration; or (b) require the production of the part of the aircraft General Declaration relating to health issues in application of a recommendation concerning aircraft coming from affected areas or to demand it of aircraft that may be otherwise carry infection or contamination source.

The State party shall inform aircraft operators or their representatives to these prescriptions.

Art. 39 sanitary control of ship certificates 1. The exemption of health control of ship certificates and sanitary control of ship certificates are valid for six months maximum. This period of validity may be extended by one month if inspection or control measures required cannot be performed at the port.
2. If a ship health control exemption certificate or a certificate of sanitary control of valid ship cannot be produced or if the existence aboard a risk to public health is established, the State party may proceed as indicated in the by. 1 of art. 27 3. The certificates referred to in this article shall conform to the model in annex 3.
4. whenever possible, control measures are implemented when the ship and holds are empty. If the ship is in ballast, they are carried out before loading.
5. where control measures are required and that they have been implemented in a satisfactory manner, the competent authority issues a certificate of sanitary control of ship, in which the observed signs and applied control measures are noted.

6. the competent authority may issue a certificate of exemption of health control of ship in any port referred to in art. 20 if the Court is satisfied that the ship is free of infection and contamination, including vectors and reservoirs. Such a certificate is normally issued if the inspection of the ship was made so that the vessel and the wedges were empty or contained only that the ballast or other material of such nature or with such way that shims complete an inspection was possible.
7. If the conditions in which measures are applied are such as, in the opinion of the competent authority of the port where the operation is performed, a satisfactory result cannot be obtained, the competent authority shall include a note to that effect on the certificate of sanitary control of ship.

Title VII rights art. 40 rights received for health measures regarding travellers 1. Except for travelers seeking an authorization of temporary or permanent residence, and subject of the by. 2 of the present article, the State party does not have other rights under these regulations for the health protection measures public following: a) any medical examination provided for in this regulation, or any further examination which may be required by the State party to ensure that the State of health of the traveller examined; b) any vaccination or other measure of prophylaxis administered a passenger at the arrival ((, is not the subject of a published requirement or made subject to a requirement published less than ten days before the administration of the vaccination or another measure of prophylaxis; c) appropriate measures of isolation or quarantine imposed on a traveler; d) any certificate issued to the traveller stipulating the measures applied and the date of application; OUE) any sanitary measure baggage accompanying travellers.

2. States Parties may collect fees for health measures other than those referred to the by. 1 of this article, including those applied mainly in the interests of the traveler.
((3. If fees are charged for the application of these sanitary measures to travellers under these regulations, there must be in each State party as one price for those rights, which all: a) are consistent with this tariff; b) does not exceed the actual cost of the service provided; etc) are collected regardless of nationality, domicile or place of residence of travelers concerned.

4. the tariff, and any changes that can be made, is published at least ten days prior to the collection of any right therein.
5. nothing in this regulation prevents States Parties to apply for reimbursement of the costs incurred from the fact of the health measures referred to the by. 1 of the present article: has) with operators or owners of means of transport with regard to their employees; or (b) from the insurers concerned.

6 passengers or operators of means of transport cannot be denied the opportunity to leave the territory of a State party pending the settlement of the rights referred to in the by. 1 and 2 of this article.

Art. 41 Rights charged on baggage, cargo, containers, conveyances, goods or parcels postal 1. If fees are charged for the application of sanitary measures to baggage, cargo, containers, means of transport, goods or parcels under these regulations, there must be in each State party as one price for those rights, which all: a) are consistent with this tariff; b) are not cost effective for the service provided; etc) are charged regardless of the nationality, flag, registration or the owner of the baggage, cargo, containers, means of transport, goods or postal parcels concerned. In particular, there is no distinction between the baggage, cargo, containers, means of transport, goods or parcel post domestic and foreign.

2. the tariff, and any changes that can be made, is published at least ten days prior to the collection of any right therein.

Title VIII provisions general art. 42 implementation of health measures health measures taken by virtue of this regulation are implemented and carried out without delay and applied in a transparent and non-discriminatory.

Art. 43 additional health measures 1. This regulation does not States Parties to apply health measures in accordance with their national law and the obligations under international law in order to deal with specific risks for public health or emergencies of international concern health, who: has) ensure a level of health protection the same as or higher than the who recommendations; or (b) are also prohibited by art. 25, art. 26, the by. 1 and 2 of art. 28, art. 30, the by. 1.c) art. 31 and art. 33;

as long as these measures are otherwise compatible with this regulation.
These measures should not be more restrictive for international traffic or more intrusive or invasive for the people than the other reasonably applicable measures that would ensure the appropriate level of health protection.
2. the States Parties base their decision to implement the health measures referred to in the by. 1 of the present art. or other health measures in the by. 2 of art. 23, in the by. 1 of art. 27, to the by. 2 of art. 28 and to the by. 2.c) art. 31 on: a) scientific principles; b) available scientific evidence indicating a risk for human health or, if these are insufficient, the available information, including from who and other intergovernmental organizations and international bodies; etc) any advice or available specific notice issued by the who.

3. a State party that applies the additional health measures referred to the by. 1 of the present article, hindering significantly the international traffic, provides public health reasons and scientific information who requested the review. WHO shall communicate this information to other States Parties and communicates information about the sanitary measures applied. For the purposes of the present article, significant interference refers generally to the refusal of leave to enter or leave the international travellers, baggage, cargo, containers, means of transport, goods and similar objects, or delay of more than 24 hours of their entry or their departure.
4. After reviewing the information provided in the application and by. 3 and 5 of this article and other relevant information, who may request the State party concerned to reconsider the opportunity to apply the measures.
5. a State party that applies the additional health measures referred to the by. 1 and 2 of this article which hinder significantly international traffic informs who, within 48 hours following their implementation, these measures and their health rationale unless they are subject to a recommendation temporarily or permanently.
6. a State party that applies a sanitary measure by virtue of the by. 1 or by. 2 of the present article reconsidered within a three month period taking into account the opinion of who and the criteria set out in the by. 2 of the present article.
7. without prejudice to the rights conferred on him by art. 56, any State party who suffers the consequences of a measure taken in virtue of by. 1 or by. 2 of this section may ask the State party that this measure to consult to provide clarification on the scientific information and the reasons of public health, originally applied to measure and find a solution acceptable to both States Parties.
8. the provisions of this section may apply to the implementation of measures concerning travellers taking part in important gatherings.

Art. 44 collaboration and assistance 1. States Parties undertake to collaborate with each other, wherever possible, for: a) detect and evaluate the events, and to deal with in accordance with this regulation b) provide or facilitate technical cooperation and the provision of logistical support, especially for the acquisition, strengthening and maintaining the capabilities of health in accordance with this regulation; c) mobilize financial resources to facilitate the implementation of their obligations under this regulation; ETD) formulate legislation and other legal and administrative provisions for the purposes of the application of this regulation.

((2. who works, to the extent possible, with States Parties for: a) evaluate and enjoy their public health capacity in order to facilitate the effective application of this regulation; b) provide or facilitate technical cooperation and the provision of logistical support to States Parties; etc.) mobilization of financial resources that will help developing countries to develop, strengthen and maintain the capacities provided in annex 1.

3. cooperation under this article may be implemented at multiple levels, including bilaterally, through regional networks and the regional offices of who, and through intergovernmental organizations and international bodies.

Art. 45 treatment of personal data


1. the health information collected or received by a State party to another State party or who in application of this regulation and which relate to an identified or identifiable person are held confidential and processed anonymously as set out under national legislation.
2. Notwithstanding the by. 1, States Parties may disclose and use personal data if this is necessary to assess and manage risk for public health, but the States Parties, in accordance with national law, and who shall ensure that these data: has) is treated impartially and in compliance with the law and may not be used in a manner inconsistent with that purpose; b) are adequate (relevant and do not exceed what is necessary for that purpose; c) are accurate and, if necessary, updated; all reasonable steps must be taken to ensure that data inaccurate or incomplete are erased or rectified; d) are not kept longer that it is necessary.

3. who provides, insofar as possible, to the person who requested the personal data concerning him referred to in this article, in a form intelligible, without delay or fresh excessive, and, if necessary, to make corrections.

Art. 46 transport and handling of material, reagents and biological substances used for diagnosis in respect of national legislation and international guidelines that apply, States Parties to facilitate transport, the input, output, processing and disposal of biological substances, reagents, diagnostic samples and other hardware diagnostics for the purpose of the audit and the action required by this regulation.

Title IX list of experts of the IHR Emergency Committee and Review Committee chapter I list of experts of the art of the RSI. 47 composition the Director general shall establish a list of experts from all areas of relevant expertise (hereinafter referred to as 'List of experts of the IHR'). Unless otherwise provided for in this regulation, Executive Director appoints the members of the list of experts of the IHR in accordance with the regulations applicable to the tables and the who expert committees (hereinafter referred to as the 'regulation applicable to arrays of who experts"). In addition, he appoints a member to demand of each State party and, where appropriate, experts proposed by the intergovernmental organizations and the competent regional economic integration organizations. Interested States Parties shall communicate to the Director-general qualifications and area of expertise of each expert proposed. The Director general informed periodically them States Parties and intergovernmental organizations and competent regional economic integration organizations of the composition of the list of experts of the IHR.

Chapter II the Committee of emergency art. 48 terms of reference and composition 1. The Director-general created an emergency Committee who, at the request of the Director general, gives his opinion on: a) the issue of whether an event constitutes a public health emergency of international in scope; b) the question whether an international public health emergency has ended. etc a proposal to issue, modify, extend or cancel temporary recommendations.

2. the Emergency Committee is composed of experts selected by the Director-general among the members of the list of experts of the IHR and, if it is necessary, other paintings of experts of the organization. General manager determines the term of office of the members in order to ensure the continuity in the review of a particular event and its consequences. The CEO chooses the members of the Emergency Committee on the basis of skills and experience required for a specific meeting and duly taking into account the principles of equitable geographical representation. One at least of the members of the Emergency Committee should be an expert appointed by a State party on whose territory the event arises.
3. the Director-general may, on his own initiative or at the request of the Emergency Committee, appoint one or more technical experts to advise the Committee.

Art. 49 procedure 1. The Director-general convenes meetings of the Emergency Committee by choosing several experts among those referred to the by. 2 of art. 48, based on the areas of competence and experience which best match the specific event that is happening. For the purposes of this article, the 'meetings' of the Emergency Committee may designate teleconferences, videoconferences or electronic communications.
2. the Director-general communicates to the Emergency Committee of the agenda and any relevant information on the event, including the information provided by States Parties, as well as any temporary recommendation that the Director general intends to formulate.
3. the Emergency Committee elects its President and, after each meeting, establishes a summary report of its discussions and deliberations in which he refers to his opinion on possible recommendations.
4. the Director-general invited the State party on whose territory the event to present its views to the Emergency Committee. For this purpose, general manager informs him as long in advance as necessary, of the date and the agenda of the meeting of the Emergency Committee. However, the State party concerned cannot adjourn the meeting of the Emergency Committee to explain his views.
5. the opinion of the Committee of emergency is communicated to the Director-general for consideration. The Director-general decides ultimately.
6. the Director-general shall inform States Parties of its decision to declare that there is a health emergency of international concern, or that it ended and their expressed any health measure taken by the State party concerned, any temporary recommendations and their modification, extension or cancellation, as well as in the opinion of the Committee on emergencies. He informs these temporary recommendations, including their modification, extension or cancellation, operators of means of transport, through the States Parties and the competent international agencies. It then broadcasts the information and recommendations in the public.
7. the States Parties on whose territory the event occurred may propose to the Director-general to terminate a health emergency of international concern and/or the temporary recommendations, and may make a presentation to that effect to the Emergency Committee.

Chapter III Committee art. 50 mandate and composition 1. The Director-general created a Review Committee which has the following responsibilities: a) make technical recommendations to the Director-general on amendments to this Regulation; (b) give to the Director-general technical advice regarding the ongoing recommendations and any change or cancellation thereof; c) provide technical advice to the Executive Director on any matter referred to it by the functioning of this regulation.

2. the Review Committee is considered to be an Expert Committee and is subject to the regulation applicable to arrays of who experts, unless this section provides otherwise.
3. the members of the Review Committee are selected and appointed by the Director general from among the individuals on the list of the IHR expert and, if it is necessary to other paintings of experts of the organization.
4. the Director general fixed the number of members to attend a meeting of the Review Committee, as well as the date and duration of the meeting and convene the Committee.
5. the Director-general appoints the members of the Review Committee for the duration of the work of one session only.
6. the Director-general selects the members of the Review Committee on the basis of the principles of equitable geographical representation, gender equality, balanced representation of developed countries and developing countries, of the representation of the different currents of thought, approaches and practical experience in various parts of the world, and an appropriate interdisciplinary balance.

Art. 51 conduct of the work 1. The Review Committee decisions are taken by a majority of the members present and voting.
2. the Director-general invited the Member States, the United Nations and its specialized agencies and other intergovernmental organizations or non-governmental organizations in official relations with who to designate representatives to attend the sessions of the Committee. These representatives may submit memoranda and, with the agreement of the President, make statements on subjects under review. They do not have the right to vote.

Art. 52 reports 1. For each session, the Review Committee shall prepare a report outlining its advice and guidance. This report is approved by the Committee before the end of the session. These opinions and advice are not binding on the Organization and are presented in the form of advice addressed to the Director general. The text of the report cannot be changed without the agreement of the Committee.

2. If the findings of the Review Committee are not unanimous, any Member has the right to express a differing professional opinions in an individual report or group, indicating the reasons for which a dissenting opinion is formulated and which is part of the report of the Committee.
3. the report of the Committee is submitted to the Director general, who communicates the opinions and advice of the Committee to the Health Assembly or the Executive Council for consideration and action to give.

Art. 53 procedure for standing recommendations when the Director-general considers that a permanent recommendation is necessary and appropriate in the face of a risk to public health, it seeks the views of the Review Committee. Also the relevant paragraphs of art. 50 to 52, the following provisions shall apply: a) the Director general or, through him, the States Parties may submit to the Committee of review of proposals for the formulation, modification or cancellation of permanent recommendations; b) any State party may submit to the Committee of review of information for review; c) the Director general may request any State party, any intergovernmental organization or any organization no Government in official relations with who to put at the disposal of the Committee review the information they have regarding the purpose of the proposed permanent recommendations, such as indicated by the Review Committee; d) the Executive Director may, at the request of the Committee of review or on its own initiative, appoint one or more technical experts to advise the Review Committee. These experts do not have the right to vote; e) reports containing the opinions and advice of the Review Committee on the permanent recommendations are transmitted to the Director-general for consideration and decision. The Director-general communicates the opinions and advice of the review at the meeting of the Health Committee; f) the Director general shall communicate to States Parties permanent recommendations, and changes to these or their cancellation, together with the notice of Review Committee; g) Executive Director submits permanent recommendations to the Assembly of the following health for review.

Title X provisions final art. 54 presentation of reports and review 1. States Parties and the Executive Director shall report to the Assembly health on the implementation of this regulation according to what will be decided the Health Assembly.
2. the Health Assembly periodically review the functioning of this regulation. To this end, she may seek advice from the Committee through the Executive Director. The first of these reviews will be held no later than five years after the entry into force of this regulation.
3. who shall periodically conduct studies to review and assess the functioning of annex 2. The first such review is undertaken one year at the latest after the entry into force of this regulation. The results of these reviews are submitted, if it is necessary, in the review of the Health Assembly.

Art. 55 amendments 1. Any State party or the Director general may propose amendments to this regulation. These amendments are submitted to the Assembly of health for examination.
2. the text of any amendment proposed shall be communicated to all States Parties by the Director general at least four months before the Health Assembly at which the amendment is submitted for review.
3. the amendments to these regulations adopted by the Assembly of the health under this section enter into force for all States Parties under the same conditions and subject to the same rights and obligations as those provided in art. 22 of the Constitution of who and the art. 59 to 64 of these rules.

Art. 56 settlement of disputes 1. If a dispute arises between States Parties or more concerning the interpretation or application of this regulation, the concerned States Parties first try to settle it by negotiation or by any other peaceful means of their choice, including through good offices or to the third party mediation or conciliation. If that fails, the parties to the dispute are still obliged to continue their efforts to reach a settlement.
2. If the dispute is not resolved by the exposed means to the by. 1 of the present article, the States Parties may agree to submit the dispute to the Director general, that makes everything possible to resolve.
3. a State party may at any time declare in writing to the Director-general that he agrees to submit to binding arbitration any disputes concerning the interpretation or application of these regulations to which it is party, or such specific dispute the opponent to any other State party accepting the same obligation. Arbitration takes place in accordance with the optional rules of the Permanent Court of arbitration to the arbitration of disputes between two States in force at the date of submission of the request for arbitration. States Parties that have agreed to accept as binding arbitration accept the arbitration as final and binding. The Director-general informs the Health Assembly if there is place.
4. None of the provisions of this Regulation shall affect the right of States Parties under any international agreement to which they are parties, to resort to the mechanisms of dispute settlement established by other intergovernmental organizations or under an international agreement.
5. in the case of a dispute between who and one or several States Parties about the interpretation or application of this regulation, the matter is referred to the Health Assembly.

Art. 57 relationship with other international agreements 1. States Parties recognize that the IHR and other relevant international agreements should be interpreted so as to ensure their compatibility. The provisions of the IHR do not affect the rights and obligations of States Parties arising from other international agreements.
2. subject of the by. 1 of this article, nothing in this Regulation prohibits States Parties who have some common interests of the result of their health, geographical, social or economic, to conclude treaties or separate arrangements to facilitate the application of this regulation, especially regarding: a) exchanging direct and fast information on public health between neighbouring territories of different States; b) health measures applicable to international coastal traffic and international traffic in the waters under their jurisdiction; c) sanitary measures applied in contiguous territories of different States on their borders Commons; d) the Organization of transport of people affected or human remains affected by a means of specially adapted transport; summer) the ratting, disinsection, disinfection, decontamination or other treatment designed to make tax-exempt goods of pathogens.

3. without prejudice to their obligations under these regulations, States Parties that are members of a regional economic integration organization apply the common rules in force in this organization in the context of their mutual relations.

Art. 58 agreements and international health regulations 1. Subject to the provisions of art. 62 and the exceptions below, this regulation replaces the States bound and between these States and the provisions of the agreements who and international health regulations below: a) international sanitary Convention, signed in Paris on 21 June 1926; b) Health International Convention for aerial navigation, signed at the Hague on 12 April 1933; c) international agreement on the dismantling of patents of health (((, signed at Paris on 22 December 1934; d) international agreement concerning the abolition of consular visas on the patents of health, signed in Paris on December 22, 1934; e) Agreement amending the Convention Health International of June 21, 1926, signed in Paris on October 31, 1938; f) international sanitary Convention of 1944 amendment of the Convention of June 21, 1926 (((, opened for signature at Washington on 15 December 1944; g) international sanitary Convention for aerial navigation of 1944 amending the Convention of 12 April 1933, opened for signature in Washington on December 15, 1944; h) Protocol of 23 April 1946, extending the international sanitary Convention of 1944, signed in Washington; i) Protocol of 23 April 1946 extending international sanitary Convention for aerial navigation of 1944 (, signed in Washington; j) international health regulations of 1951 and additional regulations of 1955, 1956, 1960, 1963 and 1965. ETK) health regulations international from 1969 and amendments of 1973 and 1981.

2. the Pan American Sanitary Code, signed at Havana on 14 November 1924, remains in force, except for the art. 2, 9, 10, 11, 16 to 53 inclusive, 61 and 62, to which apply the relevant provisions of the by. 1 of the present article.

RS 0.818.101 RS 0.818.102 art. 59 entry into force; deadline for formulating a refusal or reservations


1. the period provided for in art. 22 of the Constitution of who to refuse this regulation or an amendment to it or make reservations is 18 months from the date of notification by the Director general, of the adoption of the regulation or the said amendment to this regulation by the Health Assembly. A refusal or a reserve received by the Director general after the expiry of this period will have no effect.
2 this Regulation comes into force 24 months after the date of notification referred to the by. 1 of this section, except in the regard: has) a statesman who refused regulation or an amendment to it in accordance with art. 61; b) a State which has made a reservation, and for which the regulations enter into force as provided in art. 62; c) a State which becomes a member of who after the date of notification by the Director-general referred to the by. 1 of this article and which is not already a party to this regulation, for which the regulations enter into force as provided in art. 60; ETD) of a non-Member State of the who but who accepts these regulations and for which the latter enter into force according to the by. 1 of art. 64 3. If a State is unable to adjust its national laws and administrative in the allotted to the by. 2 of this section to put them in full compliance with this regulation, it addressed to the Director general within the specified time to the by. 1 of the present article a statement regarding the adjustments that are still to be made and makes such adjustments at the latest within 12 months of the entry into force of these regulations for that State party.

Art. 60 new Member States of the who any State which becomes a member of who after the date of notification by the Director-general referred to the by. 1 of art. 59, and who is not already a party to these regulations, can let know that he won't or he is reserves within a period of twelve months from the date of the notification that he has sent general manager after that he became member of the who. Subject to the provisions of art. 62 and 63, and except in the case of refusal, this Regulation comes into force for that State on the expiry of the above-mentioned period. This regulation is certainly not in force for that State less than 24 months after the date of the notification referred to the by. 2 of art. 59 art. 61 refusal if a shall notify the Director-general his refusal of this regulation or an amendment to it within the period provided in the by. 1 of art. 59, this regulation or the amendment concerned does not come into force for that State. Any agreement or international health regulations referred to in art. 58 to which this State is already part remains in force with regard to him.

Art. 62 reservations 1. Any State may make reservations to the regulations pursuant to this section. These reserves must not be incompatible with the object and purpose of this regulation.
2. reservations to these regulations must be notified to the Director general in accordance with the provisions of the by. 1 of art. 59 and art. 60, the by. 1 of art. 63 or by. 1 of art. 64 according to the case. A State not a member of the who must notify general manager of any reserve in its notification of acceptance of these rules. Any State making reservations must communicate the reasons to the Director general.
3. a partial refusal of this regulation or an amendment to it is equivalent to a reserve.
4. in application of the provisions of the by. 2 of art. 65, the Director-general shall notify all received under reserve of the by. 2 of the present article. The Director-general: has) if the reserve were made before the entry into force of this regulation, calls on Member States who have not refused this regulation to make known within a period of six months any objections they would oppose this reserve; or (b) if the reserve were made after the entry into force of this regulation, calls on States Parties to make known any objections within a period of six months they would have to object to this reserve.

States that formulate an objection to a reservation should explain to the Director general.
5. After this period, general manager shall notify all States Parties of the objections received on reservations. If, at the end of the period of six months from the date of the notification referred to the by. 4 of this article, one third of the States concerned to the by. 4 of this article are not opposed to the reserve, it is considered accepted, and this Regulation comes into force for the reserving State, with the exception of the provisions which reserve.
6. If a third at least of the States concerned to the by. 4 of this article are opposed to a reserve before the expiry of the period of six months from the date of the notification referred to the by. 4 of this article, the Director general shall notify the reserving State that it intends to withdraw its reservation within a period of three months from the date of the notification from the Director-general.
7. the reserving State continues to fulfil all obligations concerning the object of the reserve which it has accepted as part of an agreement or international health regulations referred to in art. 58 8. If the author of a reservation State does not withdraw it within a period of three months from the date of notification by the Director-general referred to the by. 6 of this article, and if the State author of the reservation request, the Director general seeks the advice of the Review Committee. The Review Committee informs the Director-general, promptly and in accordance with the provisions of art. 50, a practical impact of the reservation on the application of this regulation.
9 the Director general submits the reserve and the opinion of the review board, as appropriate, to the Assembly of health for review. If the Health Assembly, by a simple majority vote, opposed to the reserve on the grounds that it is incompatible with the object and purpose of this regulation, the reserve is not accepted and this Regulation comes into force for the reserving State that it withdrew its reservation in accordance with art. 63 if the Health Assembly accepts the reservation, this Regulation comes into force in respect of the reserving State with this reservation.

Art. 63 withdrawal of a refusal and a reserve 1. A refusal issued in respect of art. 61 may, at any time, be withdrawn by a State by means of a notification addressed to the Director general. In this case, the regulation comes into force for that State on the date of receipt by the Director general of the notification, unless the State makes a reserve when he withdraws his refusal, whereby the regulations between into force as provided in art. 62. in any case, the regulation is in force for that State before a period of 24 months after the date of the notification referred to the by. 1 of art. 59 2. All or part of a reserve can at any time be withdrawn by the State party concerned by means of a notification addressed to the Director general. In this case, the withdrawal takes effect from the date of receipt by the Director general of the notification.

Art. 64 Member States of the who 1. Non-members of the who, but who are Parties to an agreement or international health regulations referred to in art. 58 or which the Director general has notified adoption of this regulation by the World Health Assembly, may become Parties to it by notifying their acceptance to the Director general. Subject to the provisions of art. 62, this acceptance takes effect on the date of entry into force of this regulation or, if it is notified after this date, three months after the day of receipt by the Director general of the notification.
2. non-members who have become States Parties to this Regulation may at any time denounce their participation regulation by a notification addressed to the Director general; the denunciation shall take effect six months after receipt of the notification. The State denouncing his participation applies again, from this moment on, the provisions of any agreement or international health regulations referred to in art. 58 to which he was previously party.

Art. 65 notifications by the Director general 1. The Director general shall notify the adoption of this regulation by the Health Assembly all States members and associate members who, as well as to the other Parties to any agreement or international health regulations referred to in art. 58 2. The Director-general shall also notify those States, as well as all other State became party to this regulation or any amendment to this regulation, any notification received by who in application of art. 60-64 respectively, as well as any decision taken by the Assembly of the health in application of art. 62 art. 66 authentic texts 1. The texts English, Arabic, Chinese, English, french and Russian of this regulation are also authentic. The original texts of these regulations are deposited in the archives of the who.

2. certified copies of these regulations are shipped by the Director general to all members and associate members, as well as other Parties to any agreement or international health regulations referred to in art. 58, with the scheduled notification to the by. 1 of art. 59 3. At the time of the entry into force of this regulation, the Director-general shall send certified copies to the Secretary-General of the United Nations for registration in accordance with art. 102 of the Charter of the United Nations.

RS 0.120 annex 1 A. key capabilities for monitoring and action 1. States Parties use structures and existing national resources to develop the core capacities required under these regulations to conduct such: has) of their activities of monitoring, reporting, notification, verification, action and collaboration; ETB) of their activities concerning designated airports, ports and border crossings.

2. each State party assess, within two years following the entry into force of these regulations for that State party, the capacity of the structures and existing national resources to meet the minimum requirements of the present annex. Following this assessment, the States Parties developing and applying action plans that these core capacities are present and work their territory as it is stipulated in the by. 1 of art. 5 and to the by. 1 of art. 13 3. On request, States Parties and who support the assessment, planning and implementation process provided for in this annex.
4. at the local community level and/or primary level of action of public health capacity: has) to detect events involving morbidity or mortality higher than levels expected for the period and the place considered in all areas of the territory of the State party. ETB) immediately communicate all the essential data available at the appropriate level of health action. At Community level, the communications are sent to local community health care facilities or appropriate health personnel. At the primary level of public health action, the communications shall be addressed at the level of intermediate or national action according to organic structures. For the purposes of this annex, essential data include the following: clinical descriptions, results of laboratory, sources and types of risks, the number of human cases and deaths, conditions affecting the spread of the disease and the health measures applied; etc) to implement preliminary control measures immediately.

5. at the intermediate level of action of public health capacity: has) to confirm the nature of the reported events and press or to immediately implement additional control measures; ETB) to immediately assess the events reported and, if they are deemed urgent, to communicate all the essential national data. For the purposes of this annex, the criteria that determine the existence of an urgent event are serious effects on public health or its unusual or unexpected nature, with a strong potential for spread.

6. at level national assessment and notification. Ability: has) to assess within 48 hours all the urgent events that are reported. ETB) immediately notify who, through the national IHR focal point, when the assessment indicates that the event must be declared in application of art. 6, by. 1 and annex 2, and who the information requested to the art. 7 and art. 9, by. 2. public health action. The ability: a) to quickly determine the control measures necessary to prevent the spread to the national and international level; b) to provide support through the provision of specialized staff, the analysis in the laboratory of samples (at the national level or through collaborating centres) and logistical assistance (equipment, supplies and transportation); c) to provide, as appropriate, on-site assistance to supplement local investigations; d) to provide an operational link with senior health officials and (others to speed up the approval and implementation of containment and control measures; e) to liaise with other relevant departments; f) ensure, by means of the most effective communication existing, the link with hospitals, clinics, airports, ports, border crossings, laboratories and other areas operational keys, to broadcast on the territory of the State party and on that of other States Parties (, the information and recommendations from the who about the events occurred; g) to establish, implement and maintain a national emergency public health action plan, which notably includes establishing multidisciplinary/multisectoral teams to react to events that may constitute a public health emergency of international in scope; ETH) to ensure the measures preceding 24 hours a day.

B. main capacity of airports, ports and border crossings indicate 1. The ability permanently: has) to ensure access to appropriate medical services, including diagnostic means located so as to allow for the review and the quick support of sick passengers; and to provide personnel, equipment and premises adequate; b) to make available the equipment and appropriate personnel to allow the transport of ill travellers to an appropriate medical service; c) to provide the services of a qualified staff for the inspection of the means of transport; d) to ensure the hygiene of the services used by travellers at the point of entry including drinking water, food supply, catering services and public toilets, as well as evacuation services of solid and liquid waste and other areas potentially at risk, while driving, if necessary, of inspection programs; summer) insofar as this is possible in practice implement a program led by personnel qualified to combat vectors and reservoirs of vectors in and near these points.

((2 to deal with events that could constitute a health emergency of international concern capacity: a) organizing appropriate action in establishing and maintaining a response plan for public health emergencies, including the appointment of a coordinator and responsible for ports of entry and the agencies and services of public health and other concerned; b) to ensure the review and management of travellers or animals affected by the way of agreements with medical and veterinary services premises to allow their isolation and their treatment and provide other necessary support services; c) to provide space appropriate, separated from other travellers, for interviews with the suspect or affected persons; d) to ensure the review and, if necessary, quarantine of suspect travellers, preferably in remote facilities from the point of entry; e) to apply the measures recommended for bug (, exterminators, disinfect, decontaminate or treat differently the baggage, cargo, containers, means of transport, goods and postal parcels, including, if necessary, in places specially assigned and equipped for this purpose; f) submit travellers to the arrival and departure of entry and exit controls; ETG) to ensure access to special equipment and to qualified personnel suitably protected to allow for the transfer of travellers can be a source of infection or contamination.

State August 11, 2015 annex 2 decision tool to assess and to notify events that may constitute an international public health emergency events detected by the national surveillance system (see annex 1) the presence of a case from one of the diseases below is unusual or unexpected and may have important implications for public health and must therefore be notified : - Smallpox - poliomyelitis due to a wild-type poliovirus - human influenza caused by a new subtype - severe acute respiratory Syndrome (SARS).

Any event likely to be international in scope for public health, including the events including the causes or origin are unknown and those involving events or diseases other than those mentioned in the box on the left or the box on the right, leads to the use of the algorithm.

An event involving the presence of the diseases below always results in the use of the algorithm, because it has been shown that they could have a significant impact on public health and were likely to spread rapidly at the international level: - Cholera - pneumonic plague - yellow fever - viral hemorrhagic fevers (Ebola, Lassa, Marburg) - fever virus West Nile - other diseases having a national or regional scale special , for example dengue, Rift Valley and meningococcal fever or or the impact of the event on public health are serious?

Yes No


Is the event unusual or unexpected?

Is the event unusual or unexpected?

Yes No Yes No is there a significant risk of international spread?

Is there a significant risk of international spread?

Yes No Yes No is there a significant risk of restrictions on international travel and international trade?

Yes No the event is not notified at this stage. Reassess when additional information is available.

The event must be notified at who under the international health regulations according to who case definitions.

This list of diseases is to be used only for the purposes of this regulation.

Examples for the application of the decision instrument for assessment and notification of events that may constitute an international public health emergency the examples contained in this annex are not binding and are provided for guidance to help in the interpretation of the criteria for the decision instrument for.
He says the event has two or more of the following criteria?

Is the event unusual or unexpected?

Is II. the event unusual or unexpected?

4 is. the event unusual?
EXAMPLES of unusual events: u event is caused by an unknown agent, either the source, vector, the transmission path are unusual or unknown.
u the evolution of the case is more serious than expected (including the rate of morbidity or mortality) or unusual symptoms.
u the occurrence of the event is unusual for the area, the season or the population.

5 is. the event unexpected in a public health perspective?
EXAMPLES of UNEXPECTED events: u event is caused by a disease/agent that has already been eliminated (e) or eradicated (e) the State party or not reported (e) previously.

Is the event unusual or unexpected?
Answer 'yes' If you have answered 'yes' to questions 4 or 5 above.

Is there a significant risk of international spread?

III. is there a significant risk of international spread?

6. are there signs of epidemiological link with similar events in other States?

7. is there a factor any who do fear the possibility of a cross-border movement of the agent, the vector or host?
EXAMPLES of when to spread international: u when there is evidence of local spread, an index case (or other cases that are associated with) observed [s] the previous month:-subject who made international travel during this period (or during a period equivalent to the period of incubation if the pathogen is known); or-subject who participated in an international gathering (pilgrimage, sporting event, conference, etc.); or-subject having had close contact with an international traveller or a highly mobile population.

u event caused by contamination of the environment that may spread across international borders.
u event occurring in an area of international traffic intense with a limited capacity of health control, detection in the environment or decontamination.

Is there a significant risk of international spread?
Answer 'yes' If you have answered 'yes' to questions 6 or 7 above.

Is there a significant risk of restrictions on the international level?

IV. is there a significant risk of restrictions to travel or trade?

8. similar events that occurred in the past resulted in the imposition of restrictions to trade and/or international travel?

9 suspected or we know that the source is a food, water or any other likely to be contaminated, goods which have been exported to other States or imported from other States?

10. the event occurred in the context of an international gathering or in an area of intense international tourism?

11. the event elicited requests for additional information on the part of foreign officials or international media?

Is there a significant risk of restrictions to trade or international travel?
Answer 'yes' If you have answered "Yes" to questions 8, 9, 10 or 11 above.

States Parties who responded 'yes' to the question of whether the event meets two of the four criteria (I - IV) above should send a notification to who, under art. 6 of the international health regulations.

State August 11, 2015 annex 3 model of certificate of exemption of health control of ship/ship health control certificate Port:... Date:...

This certificate gives an account of the inspection and: 1. of the exemption of the control, or 2. measures applied name of ship or inland navigation vessel:... Pavilion:... N: registration/IMO:...

At the time of the inspection, the holds were unloaded/loaded of... tonnes of cargo name and address of the office of inspection...

Control exemption certificate health vessel health of ship inspection certificate areas, (systems and services) inspected signs observed results of analysis of samples 2 Documents reviewed applied measures Date of reinspection notes on observed conditions Cuisine Journal of ship's doctor galley diary warehouses other shim (s) /cargaison neighborhoods: - crew positions - square of officers-cabins of passenger - bridge water Ballast solid waste sewage and medical waters standing room of machines

Medical services other specified areas - see attachment for the sectors not involved, indicate "not applicable" found nothing. The ship/boat is exempt from control measures. Identified control measures have been applied to the date below.
Name and title of the officer who issues the certificate:... Signature and seal:... Date:... a) signs of infection or contamination, including: vectors at all stages of their growth, animal reservoirs of vectors, rodents or other species that could be carriers of human diseases, microbiological, chemical and other risks to human health, insufficient hygiene measures;

(b) Information regarding human cases (to be included in the maritime declaration of health).

Results of the analysis of samples taken on board: results in the shortest delays to the captain of the ship, and if a new inspection is required, the stop following, the most appropriate given the date of reinspection indicated in the certificate.
The exemption of health control certificates and health control certificates are valid for six months maximum; However, the period of validity may be extended by one month if the inspection cannot be carried out at the port and there is no sign of infection or contamination.

Attachment to the model of certificate of exemption of health control of ship/ship sectors/facilities health inspection certificate / systems inspected signs observed results of the analysis of the samples examined Documents applied measures Date of reinspection remarks concerning the observed conditions food Source storage Preparation Service water Source Storage Distribution waste storage treatment Evacuation pools/spas equipment operation Services medical equipment and devices medical operation drugs others inspected areas where areas on that list are not concerned, indicate "not applicable".

State August 11, 2015 annex 4 technical requirements applicable to the means of transport and operators of transport Section A. operators of means of transport 1. Operators of means of transport will facilitate: a) inspections of the cargo, containers and means of transport; b) medical examinations of the persons present on board; c) the application of the other health measures provided for in this regulation; ETD) the provision of the public health information by the State party.

2. means of transport operators will provide to the competent authority of the Contracting States a valid certificate of exemption of sanitary control, or of sanitary control of ship, a maritime declaration of health, or the part relating to health issues of the aircraft general declaration, as required by this regulation.
Section B. means of transport 1. The measures applied under this regulation to baggage, cargo, a container, a means of transport or goods will be implemented so as to avoid as much as possible any trauma or discomfort to people and damage to baggage, cargo, container, the means of transport or the goods. The measures, if possible and appropriate, when the means of transport and the holds are empty.

2. States Parties must indicate the measures applied to cargo, a container or a means of transport, the processed parts, methods and the reasons for their application in writing. This information is communicated in writing to the person in charge of the aircraft and, in the case of a ship, they are noted on the certificate of sanitary control of ship. For other cargo, container or means of transport, States Parties provide this information in writing to senders, recipients, carriers and the person responsible for the transport or their agent.

State August 11, 2015 annex 5 specific measures for disease vector transmission 1. WHO regularly publishes the list of the areas from which any means of transport must be the subject of pest control measures or other vector control measures recommended. These areas are defined in accordance with the procedures applicable to the temporary recommendations or permanent, as the case may be.
2. the means of transport leaving an entry point located in an area where vector control is recommended should be disinsected and kept free of vectors. When the Organization advocates methods and materials for these operations, these must be used. The presence of vectors on board the means of transport and the control measures taken to eradicate them must be documented: a) in the case of an aircraft, in the section on health issues of the aircraft General Declaration, unless the competent authority of the arrival airport grants a waiver to not complete this part; b) in the case of a ship , on the certificate of sanitary control of ship; etc) in the case of other means of transport, on written proof of treatment issued to the sender, the recipient, the carrier and the person responsible for the transport or their agent.

3. the States Parties should accept the measures of pest control, pest control people and other measures of vector control applied to transportation by other States, if methods and materials recommended by the Organization have been used.
4. States Parties should develop programs to combat vectors to carry an infectious agent constitutes a risk to public health in a perimeter of at least 400 metres from the areas of Poe facilities that are used for operations concerning travellers, means of transport, containers, cargo and parcel post or even more if the present vectors have a greater radius of action.
5. If a further inspection is required to determine the success of applied vector control measures, the competent authorities of the next port port or airport known authorized to conduct such an inspection shall be informed in advance by the competent authority making the request. In the case of a ship, this inspection must be recorded on the certificate of sanitary control of ship.
((6. a means of transport is considered suspect and should be inspected for the presence of vectors or reservoirs: a) if there is on board a possible case of disease vector transmission; b) If a possible case of vector disease occurred on board during an international voyage; OUC) so this means of transport left an area affected while the present vectors on Board could still be carriers of disease.

7. a State party may not prohibit the landing of an aircraft at an airport of its territory or the arrival of a ship if the measures of control referred to the by. 3 of this annex, or otherwise recommended by the Organization, are applied. However, aircraft or ships coming from an affected area may be required to land at airports or diverted to other ports specially designated for this purpose by the State party.
8. a State party may apply vector control measures to a means of transport from a zone where there is a disease vector transmission if the vectors of this disease are present on its territory.

State August 11, 2015 annex 6 Vaccination, prophylaxis and certificates are related 1. Vaccines or other prophylactic agents referred to in annex 7 or recommended in this regulation must be of satisfactory quality; the vaccines and prophylactic agents prescribed by who should be subject to its approval. On request, the State party provides the who to the appropriate evidence of the adequacy of the vaccines and prophylactic agents administered its territory under this regulation.
2. those for which vaccines or other prophylactic agents are administered under these regulations receive an international certificate of vaccination or a certificate attesting the administration of prophylaxis (hereinafter referred to as the 'certificate'), in accordance with the model appearing in this annex. This model must be scrupulously respected.
3. the certificates referred to in this annex are valid only if the vaccine or prophylactic agent used was approved by who.
4. the certificates must be signed by the hand of the clinician - doctor or other health worker certified - which oversees the administration of the vaccine or prophylactic agent; They also bear the official stamp of the authorized centre which cannot, however, be regarded as taking the place of signature.
5. certificates must be completed in full in English or french; they can be also, increasingly, in another language.
6. any correction or erasure on certificates or the omission of a any requested information may cause their invalidity.
7. certificates are individual and should in no case be used collectively. Children should be provided with separate certificates.
8. when the certificate is issued to a child who is unable to write, one of his parents or guardians must sign in his place. The signature of an illiterate should be replaced, as it is customary in such cases, by its mark authenticated by a third party.
9. If the responsible clinician's view that the vaccination or prophylaxis administration is contraindicated on medical grounds, it issues the person concerned a certificate of contraindication duly reasoned, written in English or french and, if necessary, in another language in addition to English or french, that the competent authorities of the place of arrival must take into account. The responsible clinician and the competent authorities shall inform the person concerned of any risk associated with the vaccination or non-use of prophylaxis in accordance with the provisions of art. 23, by. 4 10. An equivalent document issued by the armed forces to an active member of these forces will be accepted in the place and establishing an international certificate in accordance with the model appearing in this Annex: a) if it contains medical information essentially identical to those required in the model; ETB) if it says in English or french, and where appropriate in another language in addition to English or french, the nature and the date of vaccination or prophylaxis administration, and if it is issued in accordance with this paragraph.

Model international certificate of vaccination or prophylaxis administration certificate this is to certify that [name]... born the... sex... and nationality..., national identification document, if necessary... whose signature follows... has been vaccinated (e) or received prophylaxis to date against agents: (name of the disease or condition)... in accordance with the international health regulations.

Vaccine or prophylactic agent Date Signature and title of the responsible clinician the vaccine manufacturer or prophylactic agent and certificate from batch number of: up to the: official stamp of the authorized centre 1.

2. This certificate is valid only if the vaccine or prophylactic agent used was approved by the World Health Organization.
This certificate must be signed by the hand of the clinician - doctor or other health worker certified - which oversees the administration of the vaccine or prophylactic agent; It must also bear the official stamp of the authorized centre which cannot, however, be regarded as taking the place of signature.
Any correction or erasure on the certificate or the omission of a any information requested may result in its nullity.
This certificate is valid until the date indicated for the vaccine or prophylactic agent administered. It must be established in full in English or french. The same certificate can also be prepared in another language, in addition to the English or the french.

State August 11, 2015 annex 7 requirements concerning vaccination or prophylaxis against certain diseases


1. in addition to any recommendations concerning vaccination or prophylaxis administration, the entry of travellers in a State party may be subject to the presentation of proof of vaccination or administration of a prophylactic against the following diseases expressly designated by this Regulation: yellow fever.
2. considerations and requirements for vaccination against yellow fever: a) for the purposes of this annex, i) the incubation period of yellow fever is six days; ii) antiamarils vaccines approved by who provide protection against infection which takes effect ten days after administration of the vaccine; iii) this protection lasts 10 years. etiv) the validity of a certificate of vaccination against yellow fever is ten years, starting from the tenth day after the date of vaccination or, in the case of a revaccination during this period of ten years from the date of revaccination.

((b) vaccination against yellow fever may be required of any traveller leaving an area in which the Organization has determined that there is a risk of transmission of fever jaune.c) a traveller with a certificate not yet valid malaria vaccination can be allowed to go, but the provisions of the by. 2.h) of this annex may be applied to the arrivee.d) a traveller with a valid certificate of vaccination against yellow fever should not be considered as a suspect, even if it comes from an area in which the Organization has established that there is a risk of transmission of fever jaune.e) in accordance with the provisions of Schedule 6, by. (1, the yellow fever vaccine used must be approved by the Organisation.f) States Parties designate determined centers of malaria vaccination on their territory to ensure the quality and safety of the procedures and materials utilises.g) any person employed at an entry point in an area in which the Organization has established that there is a risk of transmission of yellow fever (, so that any member of the crew of a means of transport that uses this entry point, must have a valid certificate of vaccination against fever jaune.h). A State party in the territory of yellow fever vectors are present may require a traveller from an area in which the Organization has established that there is a risk of transmission of yellow fever to be If it is not able to present a valid certificate of vaccination AEFI, quarantined for a maximum of six days from the date of the last possible exposure to infection, unless his certificate of vaccination has become valid in the meantime .i) travellers in possession of a malaria vaccination exemption certificate signed by a licensed physician or a registered agent of health can nevertheless be allowed to enter the territory subject to the provisions of the preceding paragraph of this annex and provided that they have received information on the protection against yellow fever vectors. Travellers who have not been quarantined can be required to report any febrile symptoms or any other relevant symptom to the competent authority and placed under surveillance.

State August 11, 2015 Annex 8 model of maritime declaration of health has completed by the captains of the ships from foreign ports and to present to the competent authorities.
Presented at the port of... Date...
Name of ship or inland navigation vessel...
Number of registration/IMO... from... to destination of...
(Nationality) (Flag)...
Name of the master...
Gross tonnage (ship)...
Tonnage (inland navigation vessel)...
Valid control certificate / exemption of health control on board?
Yes... No...
Issued to... Date...
New inspection required? Yes... No...
The ship/boat travelled to an affected area such as defined by who?
Yes... No...
Name of the port and date of the visit...
List of ports of call since the beginning of the trip (with indication of departure dates) or during the last 30 days, unless the trip lasted less than 30 days:...
If requested by the competent authority of the port of arrival, list of members of the crew, passengers or other people who have boarded the ship/ship since the beginning of the international travel or during the last 30 days, unless the trip lasted less than 30 days, and all the ports/countries visited during this period (add the names in the table) 1) name... shipped to : 1)

………………

2)

………………

3)

………………

(2) name... shipped to: 1)...

2)

………………

3)

………………

(3) name... shipped to: 1)...

2)

………………

3)

………………

Staff of the crew... Number of passengers on board...

Health questions 1) were death on board during the voyage otherwise than by accident? Yes... No... If Yes, give details in the table below. Total number of deaths...
(2) is there on board, or were there during the international voyage of the suspected cases of infectious nature? Yes... No... If Yes, give details in the table below.
(3) the total number of ill passengers during the voyage was greater than normal / expected number? Yes... No... What was the number of patients? ………….
(4) there currently patients on board? Yes... No... If Yes, give details in the table below.
(5) has a physician been consulted? Yes... No... If Yes, give details of treatment or medical opinions in the table on the right.
(6) do you have knowledge of existence aboard a condition likely to be at the origin of an infection or spread of disease? Yes... No... If Yes, give details in the table below.
(7) have health measures any (quarantine, isolation, disinfection or decontamination, for example) been taken on board? Yes... No... If Yes, specify which ones, the place and date...
(8) have stowaways been discovered aboard? Yes... No... If Yes, where are they mounted on Board (to your knowledge)?
(9) is there an animal/pet sick on board? Yes... No... Note: In the absence of a doctor, the captain must consider the following symptoms signs making assume the existence of a disease of infectious nature: a) fever, persistent several days accompanied by: i) prostration; ii) decrease of consciousness; iii) ganglionic hypertrophy; iv) jaundice; v) cough or difficulty breathing; vi) unusual bleeding; ouvii) paralysis.

((b) fever, or absence of fever, accompanied by: i) an erythema or an acute rash; ii) of strong vomiting (not caused by seasickness); iii) severe diarrhea; ouiv) recurrent convulsions.

I declare that the information and answers contained in this declaration of health (including the table) is, to my knowledge, correct and consistent to the truth.

State August 11, 2015 attachment to model of maritime declaration of health name class or Age sex nationality Port onboard functions and date of embarkation Nature of illness Date of onset of symptoms reported the doctor to the port?

Issue * drugs or other treatments administered to the patient Observations indicate: 1) if the person has recovered, she is still sick or if she died. and (2) if the person is still on board, she was evacuated (give the name of the port or airport), or if his body was immersed.

Annex 9 this documentfait part of the general statement of aircraft issued by the Organization of International Civil Aviation part relating to health issues of the General Declaration Declaration of health name and seat number or function of onboard people with diseases other than evil of air or injuries, which can suffer aircraft of a communicable disease (the presence of fever [temperature equal to or greater than 38 ° C (100 ° F)] accompanied by one or more signs and) following symptoms: discomfort obvious. persistent cough; painful breathing; diarrhea continues; continuous vomiting; skin rashes; bruise or bleeding no traumatic history; or mental confusion appeared newly, increases the possibility that the person suffers from a communicable disease), as well as cases of illness disembarked during a previous stop

………………………………………………………………………………………… …………………………………………………………………………………………
Detailed information on each disinsection or other sanitary operation (place, date, time, method) performed during the flight. If there been no pest control in flight, provide details on the latest pest control......
Signature, if it takes place, with date and time...

New content according to the amendment of April 3, 2008, in force since July 15, 2007 (RO 2009 1013).
http://www.who.int/GB/ebwha/pdf_files/A61/A61_7-fr.PDF you can find the full document on the Web site of the International Civil Aviation Organization, Direction of navigation (ANB) Section of aviation medicine (MED): http://www.icao.int/icao/fr/med/guidelines-f.htm.

State August 11, 2015 scope August 11, 2015 States parties entered into force Afghanistan 15 June 2007 South Africa 15 June 2007 Albania 15 June 2007 Algeria 15 June 2007 Germany Andorra Angola Antigua June 15, 2007 June 15, 2007 15 June 2007 - and - Barbuda 15 June 2007 Saudi Arabia June 15, 2007 Argentina 15 June 2007 Armenia 15 June 2007 Australia 15 June 2007 Austria Azerbaijan Bahamas Bahrain 15 June 2007 June 15, 2007 June 15, 2007

June 15, 2007 Bangladesh 15 June 2007 Barbados June 15, 2007 Belarus June 15, 2007 Belgium June 15, 2007 Belize 15 June 2007 Benin Bhutan Bolivia Bosnia June 15, 2007 June 15, 2007 15 June 2007 and Herzegovina 15 June 2007 Botswana 15 June 2007 Brazil June 15, 2007 Brunei 15 June 2007 Bulgaria 15 June 2007 Burkina Faso 15 June 2007 Burundi 15 June 2007 Cambodia 15 June 2007 Cameroon Canada Cape - Verde 15 June 15, 2007 June 15, 2007 June 2007 15 June 2007 China Chile * 15 June 2007 Cyprus June 15, 2007 Colombia 15 June 2007 Comoros 15 June 2007 Congo (Kinshasa) June 15, 2007 June 15, 2007 (North) Korea, Korea (South) June 15, 2007 June 15, 2007 15 June 2007 Ivory Coast Costa Rica Croatia 15 June 2007 Cuba 15 June 2007 Denmark 15 June Djibouti June 15 2007 Dominique 15 June 2007 Egypt 15 June 2007 2007 El El Salvador 15 June 2007 UAE United 15 June 2007 Ecuador 15 June 2007 Eritrea 15 June 2007 Spain June 15, 2007 Estonia June 15, 2007 United States * July 18, 2007 Ethiopia June 15, 2007 Fiji 15 June 2007 Finland 15 June 2007 France June 15, 2007 Gabon June 15, 2007 Gambia June 15, 2007 Georgia June 15, 2007 Ghana June 15, 2007 Greece * June 15, 2007 Granada June 15, 2007 Guatemala 15 June 2007 Guinea 15 June 2007 Guinea Equatorial 15 June 2007 Guinea - Bissau Guyana June 15, 2007

June 15, 2007 Haiti June 15, 2007 Honduras June 15, 2007 Hungary June 15, 2007 Cook Islands 15 June 2007 Marshall Islands 15 June 2007 India * August 8, 2007 Indonesia June 15, 2007 Iran * June 15, 2007 Iraq 15 June 2007 Ireland June 15, 2007 Iceland 15 June 2007 Israel June 15, 2007 Italy June 15, 2007 Jamaica June 15, 2007 Japan June 15, 2007 Jordan June 15, 2007 Kazakhstan 15 June 2007 Kenya 15 June 2007 Kyrgyzstan 15 June

Kiribati, 2007 June 15, 2007 Kuwait 15 June 2007 Laos June 15, 2007 Lesotho June 15, 2007 Latvia June 15, 2007 Lebanon June 15, 2007 Liberia 15 June 2007 Libya 15 June 2007 Liechtenstein 28 March 2012 Lithuania 15 June 2007 Luxembourg June 15, 2007 Macedonia June 15, 2007 Madagascar 15 June 2007 Malaysia June 15, 2007 Malawi 15 June 2007 Maldives 15 June 2007 Mali June 15, 2007 Malta June 15, 2007 Morocco June 15, 2007 Maurice 15 June

Mauritania, 2007 June 15, 2007 Mexico June 15, 2007 Micronesia June 15, 2007 Moldova 15 June 2007 Monaco 15 June 2007 Mongolia 15 June 2007 Montenegro 5 February 2008 Mozambique 15 June 2007 Myanmar 15 June 2007 Namibia 15 June 2007 Nauru 15 June 2007 Nepal June 15, 2007 Nicaragua June 15, 2007 Niger June 15, 2007 Nigeria June 15, 2007 Niue 15 June 2007 Norway 15 June 2007 New Zealand 15 June 2007 Oman June 15, 2007 Uganda June 15

2007 Uzbekistan 15 June 2007 Pakistan 15 June 2007 Palau June 15, 2007 Panama June 15, 2007 Papua New Guinea 15 June 2007 Paraguay June 15, 2007 Netherlands 15 June 2007 Peru June 15, 2007 Philippines June 15, 2007 Poland Portugal 15 June 2007 * June 15, 2007 Qatar 15 June 2007 Republic Central African 15 June 2007 Dominican Republic 15 June 2007 Czech Republic June 15, 2007 Romania June 15, 2007 United Kingdom 15 June 2007 Russia June 15, 2007 Rwanda June 15, 2007

St. Lucia, June 15, 2007 Saint-Kitts-and-Nevis 15 June 2007 San - Marino June 15, 2007 St. Vincent and the Grenadines 15 June 2007 Solomon, Islands 15 June 2007 Samoa 15 June 2007 Sao Tome - and - principle 15 June 2007 Senegalese 15 June 2007 Serbia 15 June 2007 Seychelles 15 June 2007 Sierra Leone 15 June 2007 Singapore 15 June 2007 Slovakia 15 June 2007 Slovenia 15 June 2007 Somalia 15 June 2007 Sudan 15 June 2007 April 16, 2013 Sri Lanka 15 June 2007 Sweden South Sudan

June 15, 2007 15 June 2007 Switzerland Suriname 15 June 2007 Swaziland June 15, 2007 Syria 15 June 2007 Tajikistan 15 June 2007 Tanzania June 15, 2007 June 15, 2007 15 June 2007 Timor Thailand Chad - Leste Togo June 15, 2007 15 June 2007 Tonga * June 15, 2007 Trinidad and Tobago 15 June 2007 Tunisia June 15 2007 Turkmenistan 15 June 2007 Turkey * June 15, 2007 Tuvalu 15 June Ukraine 15 June 2007 Uruguay 15 June 2007 2007 Vanuatu 15 June 2007 Venezuela

June 15, 2007 Viet Nam June 15, 2007 Yemen 15 June 2007 Zambia 15 June 2007 Zimbabwe 15 June 2007 * Reserves and declarations.* * Objections.Les reservations, declarations and objections are not published to the RO. The texts in English can be found at the address of the Internet site of the World Health (Organization who) Organization: www.who.int/csr/ihr/states parties/fr/index.html or obtained in the Direction of public international law (FDFA), the international treaties Section, 3003 Bern.

Statements by the Presidency on behalf of the States parties to the European Union.

RO 2007 2471 total Revision of the international health regulations of July 25, 1969 (RS 0.818.102) RS 0.810.1; World Organization of health RO 2007 2471, 2009 345, 2015-2937. A version of the update scope is published on the web site of the FDFA (www.dfae.admin.ch/traites).

State August 11, 2015

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