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When a ship coming from an infected port has been subjected to a process for the destruction of rats, this process should only be repeated if the ship has touched meanwhile at an infected port, and has been alongside a quay in such port, or if the presence of sick or dead rats on board is proven.
The crew and passengers may be subjected to a surveillance, which should not exceed five days, to be computed from the date when the ship sailed from the infected port. The landing of the crew may also, during the same time, be forbidden except for reasons of duty.
Competent authority at the port of arrival may always demand, under oath, a certificate of the ship's physician, or in default of a physician, of the captain, setting forth that there has not been a case of plague on board since departure, and that no marked mortality among the rats has been observed.
ARTICLE XXIV. When upon an indemne ship rats have been recognized as pest-stricken as a result of bacteriological examination, or when a marked mortality has been established among these rodents, the following measures should be applied:
1. Ships with plague-stricken rats: (a) Medical vísit (Inspection).
6) Rats should be destroyed before or after the discharge of cargo, as rapidly as possible, and in all cases with a delay not to exceed forty-eight hours; the deterioration of merchandise, vessels and machinery to be avoided. Upon ships in ballast, this operation should be performed as soon as possible, and in all cases before taking on cargo.
(c) Such parts of the ship and such articles as the local sanitary authority regards as infected, shall be disinfected.
(d) Passengers and crew may be submitted to observation the duration of which should not exceed five days dating from the day of arrival, except in special cases where the sanitary authority may prolong the observation to a maximum of ten days.
2. Ships where a marked mortality among rats is observed: (a) Medical visit (Inspection):
(8) An examination of rats, with a view to determining the existence of plague, should be made as quickly as possible.
(c) If the destruction of rats is judged necessary, it shall be accomplished under the conditions indicated above in the case of ships with plague-stricken rats.
(d) Until all suspicion may be eliminated, the passengers and crew may be submitted to observation the duration of which should not exceed five days counting from the date of arrival, except in special cases when the sanitary authority may prolong the observation to a maximum of ten days.
ARTICLE XXV. The sanitary authorities of the port must deliver to the captain, the owner, or his agent, whenever a demand for it is made, a certificate setting forth that the measures for the destruction of rats have been efficacious and indicating the reasons why these measures have been applied.
ARTICLE XXVI. Ships infected with cholera are to be subjected to the following regulations:
1. Medical visit (Inspection).
3. Other persons ought also to be disembarked, if possible, and subjected, dating from the arrival of the ship, to an observation, the duration of which shall not exceed five days.
4. Soiled linen, wearing apparel, and personal effects of crew and passengers which, in the opinion of the sanitary authority of the port, are considered as infected, are to be disinfected.
5. The parts of the ship which have been inhabited by persons sick with cholera, or which are considered by the sanitary authority as infected are to be disinfected.
6. The bilge-water is to be discharged after disinfection.
The sanitary authority may order the substitution of good potable water for that which is contained in the tanks on board.
The discharge or throwing overboard into the water of a port, of dejecta, shall be forbidden unless they have been previously disinfected.
ARTICLE XXVII. Ships suspected of cholera are to be subjected to measures prescribed under Nos. 1, 4, 5 and 6 of Article XXVI.
The crew and passengers may be subjected to an observation which should not exceed five days, to date from the arrival of the ship. It is recommended during the same time to prevent the debarkation of the crew except for reasons of duty.
ARTICLE XXVIII. Ships indemne of cholera are to be admitted to free pratique immediately, whatever may be the nature of their bill of health.
The only regulations which the sanitary authorities of a port may prescribe in their case are the measures provided in Nos. 1, 4 and 6 of Article XXVI.
The crews and passengers may be submitted, in order to show their state of health, to an observation, which should not exceed five days to be computed from the date when the ship sailed from the infected port.
It is recommended that during the same time the debarkation of the crew be forbidden except for reasons of duty.
Competent authority at the port of arrival may always demand, under oath, a certificate from the ship's surgeon, or, in the absence of a surgeon, from the captain, setting forth that there has not been a case of cholera upon the ship since sailing
ARTICLE XXIX. Competent authority will take account, in order to apply the measures indicated in Articles XXI to XXVIII, of the presence of a physician on board and a disinfecting apparatus in ships of the three categories mentioned above..
In regard to plague, it will equally take account of the installation on board of apparatus for the destruction of rats.
Sanitary authorities of such countries, where it may be convenient to make such regulations may dispense with the medical visit and other measures toward indemne ships which have on board a physician specially commissioned by their country.
ÅRTICLE XXX. Special measures may be prescribed in regard to crowded ships, notably emigrant ships, or any other ship presenting bad hygienic conditions.
ARTICLE XXXI. Any ship not desiring to be subjected to the obli. gations imposed by the authority of the port in virtue of the stipulations of the present Convention is free to proceed to sea.
It may be authorized to disembark its cargo after the necessary precautions shall have been taken; namely, First, isolation of the ship, its crew and passengers; Second, in regard to plague, demand for information relative to the existence of an unusual mortality among rats; Third, in regard to cholera, the discharge of the bilgewater after disinfection and the substitution of a good potable water for that which is provided on board the ship.
Authority may also be granted to disembark such passengers as may demand it, upon condition that these submit themselves to all measures prescribed by the local authorities.
ARTICLE XXXII. Ships coming from a contaminated port, which have been disinfected and which may have been subjected to sanitary measures applied in an efficient manner, shall not undergo a second time the same measures upon their arrival at a new port, provided that no new case shall have appeared since the disinfection was practiced, and that the ships have not touched in the meantime at an infected port.
When a ship only disembarks passengers and their baggage, or the mails, without having been in communication with terra firma, it is not to be considered as having touched at a port, provided that in the case of yellow fever it has not approached sufficiently near the shore to permit the access of mosquitoes.
ARTICLE XXXÎII. Passengers arriving on an infected ship have the right to demand of the sanitary authority of the port a certificate showing the date of their arrival and the measures to which they and their
baggage have been subjected. ARTICLE XXXIV. Packet boats shall be subjected to special regulations, to be established by mutual agreement between the countries in interest.
ARTICLE XXXV. Without prejudice to the right which governments possess to agree upon the organization of common sanitary stations, each country should provide at least one port upon each of its seaboards, with an organization and equipment sufficient to receive a vessel, whatever may be its sanitary condition.
When an indemne vessel, coming from an infected port, arrives in a large mercantile port, it is recommended that she be not sent to another port for the execution of the prescribed sanitary measures.
In every country, ports liable to the arrival of vessels from ports infected with plague, cholera or yellow fever, should be equipped in such a manner that indemne vessels may there undergo, immediately upon their arrival the prescribed measures, and not be sent for this purpose to another port.
Governments should make declaration of the ports which are open in their territories to arrivals from ports infected with plague, cholera or yellow fever.
ARTICLE XXXVI. It is recommended that in large seaports there be established:
(a) A regular medical service and a permanent medical supervision of the sanitary conditions of crews, and the inhabitants of the port.
(6) Places set apart for the isolation of the sick and the observation of suspected persons. In the stegomyia belt there must be a building or part of a building screened against mosquitoes, and a launch and ambulance similarly screened.
(c) The necessary installation for efficient disinfection and bacteriological laboratories.
(d) A supply of potable water above suspicion, for the use of the port, and the installation of a system of sewerage and drainage, adequate for the removal of refuse.
SECTION IV. Measures upon land frontiers. Travelers. Railroads. Frontier
Zones. River Routes.
ARTICLE XXXVII. Land quarantines should no longer be established, but the governments reserve the right to establish camps of observation if they should be thought necessary for the temporary detention of suspects.
This principle does not exclude the right for each country to close a part of its frontier in case of necessity.
ARTICLE XXXVIII. It is important that travelers should be submitted to a surveillance on the part of the personnel of railroads, to determine their condition of health.
ARTICLE XXXIX. Medical intervention is limited to a visit (inspection) with the taking of temperature of travelers, and the succor to be given to those actually sick. If this visit is made, it should be combined as much as possible with the customhouse inspection to the end that travelers may be detained as short a time as possible. Only persons evidently sick should be subjected to a searching medical examination.
ARTICLE XL. As soon as travelers, coming from an infected locality, shall have arrived at their destination, it would be of the greatest utility to submit them to a surveillance which should not exceed ten or five days, counting from the date of departure, the time depending upon whether it is a question of plague or cholera. In case of yellow fever the period should be six days.
ARTICLE XLI. Governments may reserve to themselves the right to take particular measures in regard to certain classes of persons, notably vagabonds, emigrants and persons traveling or passing the frontier in bands.
ARTICLE XLII. Coaches intended for the transportation of passengers and mails should not be retained at frontiers.
In order to avoid this retention a system of relays ought to be established at frontiers, with transfer of passengers, baggage and mails. If one of these carriages be infected or shall have been occupied by a person suffering from plague, cholera or yellow fever, it shall be detached from the train for disinfection at the earliest possible moment.
ARTICLE XLIII. Measures concerning the passing of frontiers by the personnel of railroads and of the Post Office are a matter for agreement of the sanitary authorities concerned. These measures should be so arranged as not to hinder the service.
ARTICLE XLIV. The regulation of frontier traffic, as well as the adoption of exceptional measures of surveillance should be left to special arrangement between contiguous countries.
ARTICLE XLV. The power rests with governments of countries bordering upon rivers to regulate by special arrangement the sanitary regime of river routes.
ARTICLES RELATING TO YELLOW FEVER.
ARTICLE XLVI. Ships infected with yellow fever are to be subjected to the following regulations:
1. Medical visit (Inspection).
2. The sick are to be immediately disembarked protected by netting against the access of mosquitoes and transferred to the place of isolation in an ambulance or a litter similarly screened.
3. Other persons should also be disembarked if possible, and subjected to an observation of six days, dating from the day of arrival.
4. In the place set apart for observation, there shall be screened apartments or cages where anyone presenting an elevation of temperature above 37.6 degrees Centigrade shall be screened until he may be carried in the manner indicated above to the place of isolation.
5. The ship shall be moored at least two hundred metres from the inhabited shore.
6. The ship shall be fumigated for the destruction of mosquitoes before the discharge of cargo, if possible. If a fumigation be not possible before the discharge of the cargo, the health authorities shall order, either
(a) The employment of immune persons for discharging the cargo, or
(6) If non-immunes be employed they shall be kept under observation during the discharging of cargo and for six days, to date from the last day of exposure on board.
ARTICLE XLVII. Ships suspected of yellow fever are to be subjected to the measures which are indicated in Nos. 1, 3 and 5 of the preceding article; and, if not fumigated, the cargo shall be discharged as directed under sub-paragraph (a) or (b) of the same article.
ARTICLE XLVIII. Ships indemne from yellow fever, coming from an infected port, after the medical visit (inspection), shall be admitted to free pratique, provided the duration of the trip has exceeded six days.
If the trip be shorter, the ship shall be considered as suspected until the completion of a period of six days, dating from the day of departure.
If a case of yellow fever develop during the period of observation, the ship shall be considered as infected.
ARTICLE XLIX. All persons who can prove their immunity to yellow fever, to the satisfaction of the health authorities shall be permitted to land at once.
ARTICLE L. It is agreed that in the event of a difference of interpretation of the English and Spanish texts, the interpretation of the English text shall prevail.
The governments which may not have signed the present Convention are to be admitted to adherance thereto upon demand; notice of this adherence to be given through diplomatic channels to the government of the United States of America and by the latter to the other signatory governments.
Made and signed in the City of Washington on the 14th day of the month of October, nineteen hundred and five, in two copies, in Eng.