IHR 1969

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INTERNATIONAL HEALTH REGULATIONS 1

INTERNATIONAL

HEALTH REGULATIONS

(1969)

adopted by the Twenty-second World Health Assebly !n 1"#"and aended by the Twenty-s!$th World Health Assebly !n 1"%&

andthe Th!rty-'o(rth World Health Assebly !n 1")1

THIR* ANNOTATE* E*ITION

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INTERNATIONAL HEALTH REGULATIONS +

4(bl!cat!ons o' the World Health Or2an!3at!on en5oy copyr!2ht protect!on !n accordance

w!th the pro6!s!ons o' 4rotocol + o' the Un!6ersal 7opyr!2ht 7on6ent!on8 9or r!2hts o' reprod(ct!onor translat!on o' WHO p(bl!cat!ons, !n part or !n rote, appl!cat!on sho(ld be ade to the O''!ce o'4(bl!cat!ons, World Health Or2an!3at!on, Gene6a8 Sw!t3erland8 The World Health Or2an!3at!onwelcoes s(ch appl!cat!ons8

The des!2nat!ons eployed and the presentat!on o' the ater!al !n th!s p(bl!cat!on do

not !ply the e$press!on o' any op!n!on whatsoe6er on the part o' the Secretar!at o' the World

HealthOr2an!3at!on concern!n2 the le2al stat(s o' any co(ntry, terr!tory, c!ty or area or o' !ts a(thor!t!es8 or

concern!n2 the del!!tat!on o' !ts 'ront!ers or bo(ndar!es8

The ent!on o' spec!'!c copan!es or o' certa!n an('act(rers: prod(cts does not !ply that

they are endorsed or recoended by the World Health Or2an!3at!on !n pre'erence to others o' as!!larnat(re that are not ent!oned8 Errors and o!ss!ons e$cepted, the naes o' propr!etary

prod(cts are d!st!n2(!shed by !n!t!al cap!tal letters8

4RINTE* IN ENGLAN*

)+;//% < "1;"11# < 1+00

";100# 71ays - &000

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INTERNATIONAL HEALTH REGULATIONS &

CONTENTS

INTERNATIONAL HEALTH REGULATIONS =1"#"> ----------------------------- 1

9OREWOR* -------------------------------------------------------------------------------- /

*!scont!n(at!on o' 6acc!nat!on a2a!nst sallpo$ ---------------------------------------

INTERNATIONAL HEALTH REGULATIONS =1"#"> ----------------------------- #

4ART I

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INTERNATIONAL HEALTH REGULATIONS /

Anne$ I WHO E4I*E?IOLOGI7AL IN9OR?ATION SERI7E TO /%

?E?.ER STATES ------------------------------------------------------------------------

Anne$ STAN*AR*S O9 HCGIENE ON SHI4S AN* AIR7RA9T

7ARRCING 4ERSONS /)

TAING 4ART IN 4ERIO*I7 ?ASS 7ONGREGATIONS ----------------------- Anne$

I ?O*EL O9 A 7ORRE7TLC 7O?4LETE* INTERNATIONAL 7ERTI9I7ATE

O9 0

A77INATION ---------------------------------------------------------------------------

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INTERNATIONAL HEALTH REGULATIONS

FOREWORD

The Internat!onal Health Re2(lat!ons adopted by the Twenty-second World

Health Assebly on + B(ly 1"#"1

1 represent a re6!sed and consol!dated 6ers!on o'the pre6!o(s Internat!onal San!tary Re2(lat!ons8

The p(rpose o' the Internat!onal Health Re2(lat!ons !s to ens(re the a$!(

sec(r!ty a2a!nst the !nternat!onal spread o' d!seases w!th a !n!( !nter'erence w!th

world tra''!c8 9ollow!n2 the !ncreas!n2 ephas!s on ep!de!olo2!cal s(r6e!llance 'orco(n!cable d!sease reco2n!t!on and control, the new Re2(lat!ons are !ntended to

stren2then the (se o' ep!de!olo2!cal pr!nc!ples as appl!ed !nternat!onally, to detect,

red(ce or el!!nate the so(rces 'ro wh!ch !n'ect!on spreads, to !pro6e san!tat!on !n

and aro(nd ports and a!rports, to pre6ent the d!sse!nat!on o' 6ectors and, !n 2eneral,

to enco(ra2e ep!de!olo2!cal act!6!t!es on the nat!onal le6el so that there !s l!ttle r!sF

o' o(ts!de !n'ect!on establ!sh!n2 !tsel'8

The Twenty-s!$th World Health Assebly !n 1"%&+

2 aended the

Re2(lat!ons, part!c(larly as re2ards the pro6!s!ons 'or cholera8 The Th!rty-'o(rth

World Health Assebly !n 1")1&3 aended the Re2(lat!ons !n order to e$cl(desallpo$, !n 6!ew o' !ts 2lobal erad!cat!on8

Th!s 6ol(e conta!ns the te$t o' the Internat!onal Health Re2(lat!ons !n 'orce

aso' 1 Ban(ary 1")+, to2ether w!th !nterpretat!ons and recoendat!ons ade by the

Twenty-second and s(bse(ent World Health Assebl!es, as well as those adeby

the7o!ttee on Internat!onal S(r6e!llance o' 7o(n!cable *!seases ='orerly the

7o!ttee on Internat!onal (arant!ne>, !n accordance w!th !ts d(ty to s(b!t

recoendat!ons on pract!ce, ethods and proced(re relat!n2 to !nternat!onal

s(r6e!llance o' co(n!cable d!seases,/

4 and appro6ed by the World HealthAssebly8

5

Th!s 6ol(e also conta!ns the te$t o' reser6at!ons ade to the Re2(lat!ons and

other !n'orat!on anne$es8

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INTERNATIONAL HEALTH REGULATIONS #

Disconin!"ion o# $"ccin"ion "%"ins s&"''o

On ) ?ay 1")0, the Th!rty-th!rd World Health Assebly accepted the '!nd!n2

o' the Global 7o!ss!on 'or the 7ert!'!cat!on o' Sallpo$ Erad!cat!on that sallpo$

had been erad!cated thro(2ho(t the world8 It also endorsed the 7o!ss!on:s

recoendat!ons w!th respect to post-erad!cat!on pol!cy and (r2ed ?eber States to

2!6e !ed!ate e''ect to the recoendat!ons that !nternat!onal cert!'!cates o'

6acc!nat!on a2a!nst sallpo$ sho(ld no lon2er be re(!red o' any tra6eller and thatsallpo$ 6acc!nat!on sho(ld be d!scont!n(ed !n e6ery co(ntry e$cept 'or !n6est!2ators

at spec!al r!sF =resol(t!on WHA&&8/>8

All co(ntr!es thro(2ho(t the world then rap!dly ceased re(!r!n2 !nternat!onal

cert!'!cates o' 6acc!nat!on a2a!nst sallpo$ 'ro tra6ellers8 .(t soe ebass!es and

cons(lates, as well as tra6el a2enc!es, apparently (naware that s(ch cert!'!cates can no

lon2er be re(!red o' tra6ellers, went on as !n the past 2!6!n2 the sae, now

erroneo(s, !n'orat!on to tra6ellers8 In ?arch 1")+ WHO was there'ore re(ested, by

the 7o!ttee on Orthopo$6!r(s In'ect!ons, set (p to ad6!se !t on the !pleentat!on

o' the pol!cy 'or the post-erad!cat!on era, to aFe ore w!dely Fnown the 'act that

!nternat!onal cert!'!cates o' 6acc!nat!on a2a!nst sallpo$ are no lon2er re(!red8

W!th re2ard to the d!scont!n(at!on o' ro(t!ne 6acc!nat!on, alost all the

?eber States o' WHO had o''!c!ally d!scont!n(ed cop(lsory 6acc!nat!on by 1")+8

At the abo6e-ent!oned eet!n2 the 7o!ttee, re'err!n2 to the 'act that the

copl!cat!ons o' sallpo$ 6acc!nat!on can be e$treely ser!o(s and soet!es 'atal,

also ephas!3ed that there !s now no 5(st!'!cat!on 'or 6acc!nat!n2 anyone e$cept

!n6est!2ators whose worF !n orthopo$6!r(s research places the at spec!al r!sF and

persons !n6ol6ed !n sallpo$ 6acc!ne prod(ct!on8 The 7o!ttee at the sae t!eplaced on record the 6!ew that (nnecessary 6acc!nat!on ay be re2arded as ed!cal

alpract!ce8

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INTERNATIONAL HEALTH REGULATIONS %


(1969)

*ART I + DEFINITIONS

Article 1

9or the p(rposes o' these Re2(lat!ons !n the case o' an a!rcra't, arr!6al at an a!rportJ

=c> !n the case o' an !nland na6!2at!on 6essel arr!6al e!ther at a port or at a 'ront!er

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INTERNATIONAL HEALTH REGULATIONS )

baggage eans the personal e''ects o' a tra6eller or o' a eber o' the crewJ

container ( freight container) "9 eans an art!cle o' transport e(!pent o' a peranent character and accord!n2ly stron2 eno(2h to be s(!table 'or

repeated (seJ

=b> spec!ally des!2ned to 'ac!l!tate the carr!a2e o' 2oods, by one or ore odes o'

transport, w!tho(t !ntered!ate reload!n2J=c> '!tted w!th de6!ces per!tt!n2 !ts ready handl!n2, part!c(larly !ts trans'er 'ro

one ode o' transport to anotherJ

=d> so des!2ned as to be easy to '!ll and epty8

The ter container (freight container) does not !ncl(de 6eh!cles or con6ent!onal pacF!n2J

crew eans the personnel o' a sh!p, an a!rcra't, a tra!n, a road 6eh!cle or other

eans o' transport who are eployed 'or d(t!es onboardJ

day eans an !nter6al o' twenty-'o(r ho(rsJ

direct transit area10

1. eans a spec!al area establ!shed !n conne$!on w!th an

a!rport, appro6ed by the health a(thor!ty concerned and (nder !ts d!rect s(per6!s!on,'or accoodat!n2 d!rect trans!t tra''!c and, !n part!c(lar, 'or accoodat!n2, !n

se2re2at!on, passen2ers and crews breaF!n2 the!r a!r 6oya2e w!tho(t lea6!n2 the

a!rportJ

Director-General eans the *!rector-General o' the Or2an!3at!onJ

diseasessubject to the Regulations =(arant!nable d!seases> eans cholera,

!ncl(d!n2 cholera d(e to the eltor 6!br!o, pla2(e, and yellow 'e6erJ

disinsecting eans the operat!on !n wh!ch eas(res are taFen to F!ll the !nsect

6ectors o' h(an d!sease present !n sh!ps, a!rcra't, tra!ns, road 6eh!cles, other eans

' d !

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INTERNATIONAL HEALTH REGULATIONS "

ad!n!strat!6e bo(ndar!es8 It !s that part o' !ts terr!tory wh!ch, beca(se o'pop(lat!on

character!st!cs, dens!ty and ob!l!ty and;or 6ector and an!al reser6o!r potent!al,

co(ld s(pport trans!ss!on o' the reported d!seaseJ

infected person eans a person who !s s(''er!n2 'ro a d!sease s(b5ect to the

Re2(lat!ons or who !s s(bse(ently shown to ha6e been !nc(bat!n2 s(ch a d!seaseJ

in flight eans the t!e elaps!n2 between the clos!n2 o' the doors o' the a!rcra't

be'ore taFe-o'' and the!r open!n2 on arr!6alJ

in !uarantine eans that state or cond!t!on d(r!n2 wh!ch eas(res are appl!ed by a

health a(thor!ty to a sh!p, an a!rcra't, a tra!n, road 6eh!cle, other eans o' transport orconta!ner, to pre6ent the spread o' d!sease, reser6o!rs o' d!sease or 6ectors o' d!sease

'ro the ob5ect o' (arant!neJ

international voyage eans

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1&


*ART II + NOTIFICATIONS AND

E*IDE/IOLOGICAL

INFOR/ATION

Article

9or the appl!cat!on o' these Re2(lat!ons, each State reco2n!3es the r!2ht o' the

Or2an!3at!on to co(n!cate d!rectly w!th the health ad!n!strat!on o' !ts terr!tory or

terr!tor!es8 Any not!'!cat!on or !n'orat!on sent by the Or2an!3at!on to the health

ad!n!strat!on shall be cons!dered as ha6!n2 been sent to the State, and any

not!'!cat!on or !n'orat!on sent by the health ad!n!strat!on to the Or2an!3at!on shall

be cons!dered as ha6!n2 been sent by the State8

Article &1&

18 Each health ad!n!strat!on shall not!'y the Or2an!3at!on by tele2ra or tele$

w!th!n twenty-'o(r ho(rs o' !ts be!n2 !n'ored that the '!rst case o' a d!sease s(b5ect

to the Re2(lat!ons, that !s ne!ther an !ported case nor a trans'erred case, has

occ(rred !n !ts terr!tory, and, w!th!n the s(bse(ent twenty-'o(r ho(rs, not!'y the

!n'ected area8

+8 In add!t!on each health ad!n!strat!on w!ll not!'y the Or2an!3at!on by tele2ra

or tele$ w!th!n twenty-'o(r ho(rs o' !ts be!n2 !n'oredK

=a> that one or ore cases o' a d!sease s(b5ect to the Re2(lat!ons hasbeen

!ported or trans'erred !nto a non-!n'ected area that a sh!p or a!rcra't has arr!6ed w!th one or ore cases o' a d!sease s(b5ect tothe Re2(lat!ons on board

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1


Reservations

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1*

INTERNATIONAL HEALTH REGULATIONS 1+

threat to !nternat!onal tra''!c8

Reservations a report by tele2ra or tele$ o' the n(ber o' cases o' the d!seases s(b5ect to

h l ! d d h h ' d ! h ! F ! h ' !

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INTERNATIONAL HEALTH REGULATIONS 1&

+8 Any add!t!onal ep!de!olo2!cal data and other !n'orat!on a6a!lable to the

Or2an!3at!on thro(2h !ts s(r6e!llance pro2rae shall be ade a6a!lable, when

appropr!ate, to all health ad!n!strat!ons8

&8 The Or2an!3at!on ay, w!th the consent o' the 2o6ernent concerned,

!n6est!2ate an o(tbreaF o' a d!sease s(b5ect to the Re2(lat!ons wh!ch const!t(tes a

ser!o(s threat to ne!2hbo(r!n2 co(ntr!es or to !nternat!onal health8 S(ch !n6est!2at!on

shall be d!rected to ass!st 2o6ernents to or2an!3e appropr!ate control eas(res and

ay !ncl(de on-the-spot st(d!es by a tea8

Article 1

Any tele2ra or tele$ sent, or telephone call ade, 'or the p(rposes o' Art!cles

& to ) !ncl(s!6e and Art!cle 11 shall be 2!6en the pr!or!ty appropr!ate to the

c!rc(stancesJ !n any case o' e$cept!onal (r2ency, where there !s r!sF o' the spread o'

a d!sease s(b5ect to the Re2(lat!ons, the pr!or!ty shall be the h!2hest a6a!lable (nder

!nternat!onal teleco(n!cat!on a2reeents8

Article 1&1,

1,

18 Each State shall 'orward ann(ally to the Or2an!3at!on, !n accordance w!th

Art!cle #+ o' the 7onst!t(t!on o' the Or2an!3at!on, !n'orat!on concern!n2 the

occ(rrence o' any case o' a d!sease s(b5ect to the Re2(lat!ons d(e to or carr!edby

!nternat!onal tra''!c, as well as on the act!on taFen (nder these Re2(lat!ons orbear!n2

(pon the!r appl!cat!on8

+8 The Or2an!3at!on shall, on the bas!s o' the !n'orat!on re(!red bypara2raph

1 o' th!s Art!cle, o' the not!'!cat!ons and reports re(!red by these Re2(lat!ons, and o'any other o''!c!al !n'orat!on, prepare an ann(al report on the '(nct!on!n2 o' these

Re2(lat!ons and on the!r e''ect on !nternat!onal tra''!c8

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*ART III + HEALTH ORGANI0ATION

Article 1'1-

1

18 Each health ad!n!strat!on shall ens(re that ports and a!rports !n !ts terr!tory

shall ha6e at the!r d!sposal an or2an!3at!on and e(!pent ade(ate 'or the appl!cat!on

o' the eas(res pro6!ded 'or !n these Re2(lat!ons8

+8 E6ery port and a!rport shall be pro6!ded w!th p(re dr!nF!n2-water and

wholesoe 'ood s(ppl!ed 'ro so(rces appro6ed by the health ad!n!strat!on 'or

p(bl!c (se and cons(pt!on on the pre!ses or on board sh!ps or a!rcra't8 The

dr!nF!n2-water and 'ood shall be stored and handled !n s(ch a anner as to ens(re

the!r protect!on a2a!nst conta!nat!on8 The health a(thor!ty shall cond(ct per!od!c

!nspect!ons o' e(!pent, !nstallat!ons and pre!ses, and shall collect saples o'

waterand 'ood 'or laboratory e$a!nat!ons to 6er!'y the obser6ance o' th!s Art!cle8

9or th!s p(rpose and 'or other san!tary eas(res, the pr!nc!ples and recoendat!ons

set 'orth !n the 2(!des on these s(b5ects p(bl!shed by the Or2an!3at!on shall be appl!ed

as 'ar as pract!cable !n '(l'!ll!n2 the re(!reents o' these Re2(lat!ons8

&8 E6ery port and a!rport shall also be pro6!ded w!th an e''ect!6e syste 'or the

reo6al and sa'e d!sposal o' e$creent, re'(se, waste water, condened 'ood, and

other atter dan2ero(s to health8

Article 1

There shall be a6a!lable to as any o' the ports and a!rports !n a terr!tory as

pract!cable an or2an!3ed ed!cal and health ser6!ce w!th ade(ate sta'', e(!pent

and pre!ses and !n part!c lar 'ac!l!t!es 'or the propt !solat!on and care o' !n'ected

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health ad!n!strat!on shall appro6e s(ch ports 'or thatp(rpose8

+8 The health ad!n!strat!on shall des!2nate a n(ber o' these appro6edports,

depend!n2 (pon the 6ol(e and !nc!dence o' !ts !nternat!onal tra''!c, as ha6!n2 at the!r

d!sposal the e(!pent and personnel necessary to derat sh!ps 'or the !ss(e o' the

*eratt!n2 7ert!'!cates re'erred to !n Art!cle &8

&8 Each health ad!n!strat!on wh!ch so des!2nates ports shall ens(re that

*eratt!n2 7ert!'!cates and *eratt!n2 E$ept!on 7ert!'!cates are !ss(ed !n accordance

w!th the re(!reents o' the Re2(lat!ons8

Article 1,

18 *epend!n2 (pon the 6ol(e o' !ts !nternat!onal tra''!c, each health

ad!n!strat!on shall des!2nate as san!tary a!rports a n(ber o' the a!rports !n !ts

terr!tory, pro6!ded they eet the cond!t!ons la!d down !n para2raph + o' th!s Art!cle,

and the pro6!s!ons o' Art!cle 1/8

+8 E6ery san!tary a!rport shall ha6e at !ts d!sposalK

(a) an or2an!3ed ed!cal ser6!ce and ade(ate sta'', e(!pent andpre!sesJ

(b) 'ac!l!t!es 'or the transport, !solat!on, and care o' !n'ected persons or

s(spectsJ

=c> 'ac!l!t!es 'or e''!c!ent d!s!n'ect!on and d!s!nsect!n2, 'or the control

o' 6ectors and rodents, and 'or any other appropr!ate eas(re pro6!ded

'or by these Re2(lat!onsJ

(d) a bacter!olo2!cal laboratory, or 'ac!l!t!es 'or d!spatch!n2 s(spected

ater!al to s(ch a laboratoryJ

(e) 'ac!l!t!es w!th!n the a!rport or a6a!lable to !t 'or 6acc!nat!on a2a!nst

yellow 'e6er8

l

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INTERNATIONAL HEALTH REGULATIONS 1#

Article .(.

.

18 Each health ad!n!strat!on shall send to the Or2an!3at!on a l!st o' the ports !n

!ts terr!tory appro6ed (nder Art!cle 1% 'or the !ss(e o'K

=!> *eratt!n2 E$ept!on 7ert!'!cates only and

=!!> *eratt!n2 7ert!'!cates and *eratt!n2 E$ept!on 7ert!'!cates8

+8 The health ad!n!strat!on shall not!'y the Or2an!3at!on o' any chan2e wh!ch

ay occ(r 'ro t!e to t!e !n the l!st re(!red by para2raph 1 o' th!s Art!cle8

&8 The Or2an!3at!on shall send proptly to all health ad!n!strat!ons the!n'orat!on rece!6ed !n accordance w!th th!s Art!cle8

Article 1

18 The Or2an!3at!on shall, at the re(est o' the health ad!n!strat!on concerned,

arran2e to cert!'y, a'ter any appropr!ate !n6est!2at!on, that a san!tary a!rport !n !ts

terr!tory '(l'!ls the cond!t!ons re(!red by the Re2(lat!ons8

+8 The Or2an!3at!on shall, at the re(est o' the health ad!n!strat!on concerned,

and a'ter appropr!ate !n6est!2at!on, cert!'y that a d!rect trans!t area at an a!rport !n a

yellow-'e6er !n'ected area !n !ts terr!tory '(l'!ls the cond!t!ons re(!red by the

Re2(lat!ons8

&8 These cert!'!cat!ons shall be s(b5ect to per!od!c re6!ew by the Or2an!3at!on, !n

co-operat!on w!th the health ad!n!strat!on concerned, to ens(re that the re(!red

cond!t!ons are '(l'!lled8

Article

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INTERNATIONAL HEALTH REGULATIONS 1%

*ART I + HEALTH /EASURES AND*ROCEDURE

C" IGn"' *4o$isions

Article &

The health eas(res per!tted by these Re2(lat!ons are the a$!(

eas(res appl!cable to !nternat!onal tra''!c, wh!ch a State ay re(!re 'or the

protect!on o' !ts terr!tory a2a!nst the d!seases s(b5ect to the Re2(lat!ons8

Article '(1

1

Health eas(res shall be !n!t!ated 'orthw!th, copleted w!tho(t delay, and

appl!ed w!tho(t d!scr!!nat!on8

Article

18 *!s!n'ect!on, d!s!nsect!n2, deratt!n2, and other san!tary operat!ons shallbe

carr!ed o(t so asK

=a> not to ca(se (nd(e d!sco'ort to any person, or !n5(ry to h!s

healthJ

=b> not to prod(ce any deleter!o(s e''ect on the str(ct(re o' a sh!p,

an a!rcra't, or a 6eh!cle, or on !ts operat!n2 e(!pentJ=c> to a6o!d all r!sF o' '!re8

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=b> to the cons!2nor, the cons!2nee, and the carr!er, or the!r

respect!6e a2ents, a cert!'!cate spec!'y!n2 the eas(res appl!ed to any

2oods8

Article +& ('

&

18 A person (nder s(r6e!llance shall not be !solated and shall be per!tted to

o6e abo(t 'reely8 The health a(thor!ty ay re(!re h! to report to !t, !' necessary,

at spec!'!ed !nter6als d(r!n2 the per!od o' s(r6e!llance8 E$cept as l!!ted by the

pro6!s!ons o' Art!cle #/, the health a(thor!ty ay also s(b5ect s(ch a person to

ed!cal !n6est!2at!on and aFe any !n(!r!es wh!ch are necessary 'or ascerta!n!n2 h!s

state o' health8

+8 When a person (nder s(r6e!llance departs 'or another place, w!th!n or w!tho(t

the sae terr!tory, he shall !n'or the health a(thor!ty, wh!ch shall !ed!ately not!'y

the health a(thor!ty 'or the place to wh!ch the person !s proceed!n28 On arr!6al the

person shall report to that health a(thor!ty wh!ch ay apply the eas(re pro6!ded 'or

!npara2raph I o' th!s Art!cle8

Article ,

E$cept !n case o' an eer2ency const!t(t!n2 a 2ra6e dan2er to p(bl!c health, a

sh!p or an a!rcra't, wh!ch !s not !n'ected or s(spected o' be!n2 !n'ected w!th a d!sease

s(b5ect to the Re2(lat!ons, shall not on acco(nt o' any other ep!de!c d!sease be

re'(sed 'ree prat!(e by the health a(thor!ty 'or a port or an a!rportJ !n part!c(lar !t

shallnot be pre6ented 'ro d!schar2!n2 or load!n2 car2o or stores, or taF!n2 on '(el or

water8

Article -

A health a(thor!ty ay taFe all pract!cable eas(res to control the d!schar2e

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INTERNATIONAL HEALTH REGULATIONS 1"

C" IIH"' /"s!s on D3"4!43

Article &0()

'

18 The health a(thor!ty 'or a port or an a!rport or 'or the area !n wh!ch a 'ront!er

post !s s!t(ated shall taFe all pract!cable eas(resK

=a> to pre6ent the depart(re o' any !n'ected person or s(spectJ

=b> to pre6ent the !ntrod(ct!on on board a sh!p, an a!rcra't, a tra!n, a

road 6eh!cle, other eans o' transport, or conta!ner, o' poss!ble a2entso' !n'ect!on or 6ectors o' a d!sease s(b5ect to the Re2(lat!ons8

+8 The health a(thor!ty !n an !n'ected area ay re(!re a 6al!d 6acc!nat!on

cert!'!cate 'ro depart!n2 tra6ellers8

&8 The health a(thor!ty re'erred to !n para2raph 1 o' th!s Art!cle ay, when !t

cons!ders !t necessary, ed!cally e$a!ne any person be'ore h!s depart(re on an

!nternat!onal 6oya2e8 The t!e and place o' th!s e$a!nat!on shall be arran2ed to taFe

!nto acco(nt any other 'oral!t!es, so as to 'ac!l!tate h!s depart(re and to a6o!d delay8

/8 Notw!thstand!n2 the pro6!s!ons o' s(bpara2raph =a> o' para2raph 1 o' th!s

Art!cle, a person on an !nternat!onal 6oya2e who on arr!6al !s placed (nder

s(r6e!llance ay be allowed to cont!n(e h!s 6oya2e8 The health a(thor!ty shall, !n

accordance w!th Art!cle +%, not!'y by the ost e$ped!t!o(s eans the health a(thor!ty

'or the place to wh!ch he !sproceed!n28

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C" IIIH"' /"s!s A'ic"' 7n *o4s

o Aios o# D"! "n8 A44i$"'

Article &1

No atter capable o' ca(s!n2 any ep!de!c d!sease shall be thrown or allowed

to 'all 'ro an a!rcra't when !t !s !n 'l!2ht8

Article &

18 No health eas(re shall be appl!ed by a State to any sh!p wh!chpasses

thro(2h waters w!th!n !ts 5(r!sd!ct!on w!tho(t call!n2 at a port or on the coast8

+8 I' 'or any reason s(ch a call !s ade, the laws and re2(lat!ons !n 'orce !n the

terr!tory ay be appl!ed w!tho(t e$ceed!n2, howe6er, the pro6!s!ons o' these

Re2(lat!ons8

Article &&

18 No health eas(re, other than ed!cal e$a!nat!on, shall be appl!ed to a

healthy sh!p, as spec!'!ed !n 4art , wh!ch passes thro(2h a ar!t!e canal or

waterway !n the terr!tory o' a State on !ts way to a port !n the terr!tory o' another

State, (nless s(ch sh!p coes 'ro an !n'ected area or has on board anyperson

co!n2 'ro an !n'ected area, w!th!n the !nc(bat!on per!od o' the d!sease w!th wh!ch

the area !s !n'ected8

+8 The only eas(re wh!ch ay be appl!ed to s(ch a sh!p co!n2 'ro s(ch an

area or ha6!n2 s(ch a person on board !s the stat!on!n2 on board, !' necessary, o' a

! d ll h ! d b h h! d h h d

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INTERNATIONAL HEALTH REGULATIONS +1

obl!2ed to lea6e the a!rport at wh!ch they d!sebarF solely !n order to

cont!n(e the!r 6oya2e 'ro another a!rport !n the 6!c!n!ty o' the '!rst

a!rport, no s(ch eas(re shall be appl!ed to the !' the trans'er !s ade

(nder the control o' the health a(thor!ty or a(thor!t!es8

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INTERNATIONAL HEALTH REGULATIONS ++

C" IH"' /"s!s on A44i$"'(-Article &

, *

Whene6er pract!cable States shall a(thor!3e 2rant!n2 o' 'ree prat!(e by rad!o

to a sh!p or an a!rcra't when on the bas!s o' !n'orat!on rece!6ed 'ro !t pr!or to !ts

arr!6al, the health a(thor!ty 'or the !ntended port or a!rport o' arr!6al !s o' the op!n!on

that !ts arr!6al w!ll not res(lt !n the !ntrod(ct!on or spread o' a d!sease s(b5ect to the

Re2(lat!ons8

Article &*&.

+

18 The health a(thor!ty 'or a port, an a!rport, or a 'ront!er stat!on ay s(b5ect to

ed!cal e$a!nat!on on arr!6al any sh!p, a!rcra't, tra!n, road 6eh!cle, other eans o'

transport, or conta!ner, as well as any person arr!6!n2 on an !nternat!onal 6oya2e8

+8 The '(rther health eas(res wh!ch ay be appl!ed to the sh!p, a!rcra't, tra!n,

road 6eh!cle, other eans o' transport, and conta!ner shall be deter!ned by the

cond!t!ons wh!ch e$!sted on board d(r!n2 the 6oya2e or wh!ch e$!st at the t!e o' the

ed!cal e$a!nat!on, w!tho(t pre5(d!ce, howe6er, to the eas(res wh!ch are

per!tted by these Re2(lat!ons to be appl!ed to the sh!p, a!rcra't, tra!n, road 6eh!cle,

other eans o' transport, and conta!ner !' !t arr!6es 'ro an !n'ected area8

&8 Where a health ad!n!strat!on has spec!al probles wh!ch co(ld const!t(te a

2ra6e dan2er to p(bl!c health, !t ay re(!re a person on an !nternat!onal 6oya2e to

2!6e on arr!6al a dest!nat!on address !n wr!t!n28

Article &+

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INTERNATIONAL HEALTH REGULATIONS +&

s(r6e!llance any s(spect on an !nternat!onal 6oya2e arr!6!n2 by whate6er eans 'ro

an !n'ected area8 S(ch s(r6e!llance ay be cont!n(ed (nt!l the end o' the appropr!ate

per!od o' !nc(bat!on spec!'!ed !n 4art 8

+8 E$cept where spec!'!cally pro6!ded 'or !n these Re2(lat!ons, !solat!on shall not

be s(bst!t(ted 'or s(r6e!llance (nless the health a(thor!ty cons!ders the r!sF o'

trans!ss!on o' the !n'ect!on by the s(spect to be e$cept!onally ser!o(s8

Article '.

Any health eas(re, other than ed!cal e$a!nat!on, wh!ch has been appl!ed

at a pre6!o(s port or a!rport shall not be repeated at a s(bse(ent port or a!rport,(nlessK

=a> a'ter the depart(re o' a sh!p or an a!rcra't 'ro the port or

a!rport where the eas(res were appl!ed, an !nc!dent o'

ep!de!olo2!cal s!2n!'!cance call!n2 'or a '(rther appl!cat!on o' any

s(ch eas(re has occ(rred e!ther !n that port or a!rport or on board the

sh!p or a!rcra'tJ

=b> the health a(thor!ty 'or the s(bse(ent port or a!rport has

ascerta!ned on the bas!s o' de'!n!te e6!dence that the !nd!6!d(aleas(re so appl!ed was not s(bstant!ally e''ect!6e8

Article '1

S(b5ect to Art!cle %&, a sh!p or an a!rcra't shall not be pre6ented 'or health

reasons 'ro call!n2 at any port or a!rport8 I' the port or a!rport !s not e(!pped 'or

apply!n2 the health eas(res wh!ch are per!tted by these Re2(lat!ons and wh!ch !n

the op!n!on o' the health a(thor!ty 'or the port or a!rport are re(!red, s(ch sh!p ora!rcra't ay be ordered to proceed at !ts own r!sF to the nearest s(!table port or a!rport

con6en!ent to the sh!p or a!rcra't8

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(nw!ll!n2 to s(b!t to the eas(res re(!red by the health a(thor!ty 'or the port or

a!rport !n accordance w!th these Re2(lat!ons, shall be allowed to depart 'orthw!th, b(t

!t shall not d(r!n2 !ts 6oya2e call at any other port or a!rport !n the sae terr!tory8

S(cha sh!p or an a!rcra't shall ne6ertheless be per!tted, wh!le !n (arant!ne, to taFeon '(el, water and stores8 I', on ed!cal e$a!nat!on, s(ch a sh!p !s 'o(nd tobe

healthy, !t shall not lose the bene'!t o' Art!cle &&8

+8 A sh!p or an a!rcra't arr!6!n2 at a port or an a!rport s!t(ated !n an area where

the6ector o' yellow 'e6er !s present shall not, !n the 'ollow!n2 c!rc(stances, be

allowed to depart and shall be s(b5ect to the eas(res re(!red by the health a(thor!ty

!n accordance w!th these Re2(lat!onsK

=a> !' the a!rcra't !s !n'ected w!th yellow 'e6erJ=b> !' the sh!p !s !n'ected w!th yellow 'e6er, andAedes aegypti ha6e

been 'o(nd on board, and the ed!cal e$a!nat!on shows that any

!n'ected person has not been !solated !n 2ood t!e8

Article '

18 I', 'or reasons beyond the control o' the p!lot !n coand, an a!rcra't lands

elsewhere than at an a!rport, or at an a!rport other than the a!rport at wh!ch the a!rcra'twas d(e to land, the p!lot !n coand or other person !n char2e shall aFe e6ery

e''ortto co(n!cate w!tho(t delay w!th the nearest health a(thor!ty or any other

p(bl!c a(thor!ty8

+8 As soon as the health a(thor!ty has been !n'ored o' the land!n2 !t ay taFe

s(ch act!on as !s appropr!ate, b(t !n no case shall !t e$ceed the eas(res per!tted by

these Re2(lat!ons8

&8 S(b5ect to para2raph o' th!s Art!cle, and e$cept 'or the p(rpose o'

co(n!cat!n2 w!th any s(ch health or p(bl!c a(thor!ty or w!th the per!ss!on o' any

s(ch a(thor!ty, no person on board the a!rcra't shall lea6e !ts 6!c!n!ty and no car2o

h ll b d ' h ! ! !

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8 The p!lot !n coand or other person !n char2e ay taFe s(ch eer2ency

eas(res as ay be necessary 'or the health and sa'ety o' passen2ers and crew8

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INTERNATIONAL HEALTH REGULATIONS +#

C" /"s!s concnin% Inn"ion"' T4"nso4

o# C"%o Goo8s :"%%"% "n8 /"i'

Article '*&(

18 7ar2o and 2oods shall be s(b!tted to the health eas(res pro6!ded 'or !n

these Re2(lat!ons only when co!n2 'ro !n'ected areas and when the health

a(thor!ty has reason to bel!e6e that the car2o and 2oods ay ha6e becoe

conta!nated by the a2ent o' a d!sease s(b5ect to the Re2(lat!ons or ay ser6e as a

6eh!cle 'or the spread o' any s(ch d!sease8

+8 Goods, other than l!6e an!als, !n trans!t w!tho(t transh!pent shall notbe

s(b5ect to health eas(res or deta!ned at any port, a!rport, or 'ront!er8

&8 The !ss(e o' a cert!'!cate o' d!s!n'ect!on o' erchand!se wh!ch !s the s(b5ect o'

trade between two co(ntr!es ay be 2o6erned by b!lateral a2reeents between the

e$port!n2 and the !port!n2 co(ntr!es8

Article '+

E$cept !n the case o' an !n'ected person or s(spect, ba22a2e ay be

d!s!n'ected or d!s!nsected only !n the case o' a person carry!n2 !n'ect!o(s ater!al or

!nsect 6ectors o' a d!sease s(b5ect to the Re2(lat!ons8

Article ',

18 ?a!l, newspapers, booFs, and other pr!nted atter shall not be s(b5ect to any

health eas(re8

l l b b5 h l h l !' h !

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INTERNATIONAL HEALTH REGULATIONS +%

*ART + S*ECIAL *ROISIONS RELATING

TO EACH

OF THE DISEASES SU:;ECT TO THE

REGULATIONS

C" I*'"%!3

Article .

days89or the p(rposes o' these Re2(lat!ons the !nc(bat!on per!od o' pla2(e !s s!$

Article 1

acc!nat!on a2a!nst pla2(e shall not be re(!red as a cond!t!on o' ad!ss!on o'any person to a terr!tory8

Article

18 Each State shall eploy all eans !n !ts power to d!!n!sh the dan2er 'ro the

spread o' pla2(e by rodents and the!r ectoparas!tes8 Its health ad!n!strat!on shall

Feep !tsel' constantly !n'ored by systeat!c collect!on and re2(lar e$a!nat!on o'

rodents and the!r ectoparas!tes o' the cond!t!ons !n any area, espec!ally any port ora!rport, !n'ected or s(spected o' be!n2 !n'ected by rodent pla2(e8

+8 *(r!n2 the stay o' a sh!p or an a!rcra't !n a port or an a!rport !n'ected by

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/8 I' a 6al!d cert!'!cate !s not prod(ced, the health a(thor!ty 'or a port appro6ed

(nder Art!cle 1%, a'ter !n(!ry and !nspect!on, ay proceed !n the 'ollow!n2 annerK

=a> I' the port has been des!2nated (nder para2raph + o' Art!cle 1%,

the health a(thor!ty ay derat the sh!p or ca(se the deratt!n2 to be done

(nder !ts d!rect!on and control8 It shall dec!de !n each case the

techn!(e wh!ch sho(ld be eployed to sec(re the e$ter!nat!on o'

rodents on the sh!p8 *eratt!n2 shall be carr!ed o(t so as to a6o!d as 'ar

as poss!ble daa2e to the sh!p and to any car2o and shall not taFe

lon2er than !s absol(tely necessary8 Where6er poss!ble deratt!n2 shall

be done when the holds are epty8 In the case o' a sh!p !n ballast, !t

shall be done be'ore load!n28 When deratt!n2 has been sat!s'actor!ly

copleted, the health a(thor!ty shall !ss(e a *eratt!n2 7ert!'!cate8=b> At any port appro6ed (nder Art!cle 1%, the health a(thor!ty ay

!ss(e a *eratt!n2 E$ept!on 7ert!'!cate !' !t !s sat!s'!ed that the sh!p !s

'ree o' rodents8 S(ch a cert!'!cate shall be !ss(ed only !' the !nspect!on

o' the sh!p has been carr!ed o(t when the holds are epty or when they

conta!n only ballast or other ater!al, (nattract!6e to rodents, o' s(ch a

nat(re or so d!sposed as to aFe a thoro(2h !nspect!on o' the holds

poss!ble8 A *eratt!n2 E$ept!on 7ert!'!cate ay be !ss(ed 'or an o!l

tanFer w!th '(ll holds8

8 I' the cond!t!ons (nder wh!ch a deratt!n2 !s carr!ed o(t are s(ch that, !n the

op!n!on o' the health a(thor!ty 'or the port where the operat!on was per'ored, a

sat!s'actory res(lt cannot be obta!ned, the health a(thor!ty shall aFe a note to that

e''ect on the e$!st!n2 *eratt!n2 7ert!'!cate8

Article '

In e$cept!onal c!rc(stances o' an ep!de!olo2!cal nat(re, when thepresence

o' rodents !s s(spected on board, an a!rcra't ay be d!s!nsected and deratted

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board o' wh!ch the ca(se !s not yet FnownJ

=c> !t has a person on board who has been e$posed top(lonary

pla2(e and has not et the re(!reents o' Art!cle 8

&8 E6en when co!n2 'ro an !n'ected area or ha6!n2 on board a person co!n2

'ro an !n'ected area, a sh!p or an a!rcra't on arr!6al shall be re2arded as healthy !', on

ed!cal e$a!nat!on, the health a(thor!ty !s sat!s'!ed that the cond!t!ons spec!'!ed !n

para2raphs I and + o' th!s Art!cle do not e$!st8

Article +

18 On arr!6al o' an !n'ected or s(spected sh!p or an !n'ected a!rcra't, the'ollow!n2 eas(res ay be appl!ed by the health a(thor!tyK

=a> d!s!nsect!n2 o' any s(spect and s(r6e!llance 'or a per!od o' not

ore than s!$ days recFoned 'ro the date o' arr!6alJ

(b) d!s!nsect!n2 and, !' necessary, d!s!n'ect!on o'K

=!> any ba22a2e o' any !n'ected person or s(spectJ and

=!!> any other art!cle s(ch as (sed bedd!n2 or l!nen, and any

part o' the sh!p or a!rcra't, wh!ch !s cons!dered tobe

conta!nated8

+8 On arr!6al o' a sh!p, an a!rcra't, a tra!n, road 6eh!cle or other eans o'

transportha6!n2 on board a person s(''er!n2 'ro p(lonary pla2(e, or !' there has

been a case o' p(lonary pla2(e on board a sh!p w!th!n the per!od o' s!$ daysbe'ore

!ts arr!6al, the health a(thor!ty ay, !n add!t!on to the eas(res re(!red by para2raph

Io' th!s Art!cle, place the passen2ers and crew o' the sh!p, a!rcra't, tra!n, road 6eh!cle

or other eans o' transport !n !solat!on 'or a per!od o' s!$ days, recFoned 'ro the

date o' the last e$pos(re to !n'ect!on8

&8 I' there !s rodent pla2(e on board a sh!p, or !n !ts conta!ners, !t shallbe

d!s!nsected and deratted, !' necessary !n (arant!ne, !n the anner pro6!ded 'or !n

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=c> !' the coplete destr(ct!on o' rodents cannot be sec(red

beca(se only part o' the car2o !s d(e to be (nloaded, a sh!p shall notbe

pre6ented 'ro (nload!n2 that part, b(t the health a(thor!ty ay applyany eas(res, !ncl(d!n2 plac!n2 the sh!p !n (arant!ne, wh!ch !t

cons!ders necessary to pre6ent the escape o' !n'ected rodents8

/8 I' a rodent !n'ected w!th pla2(e !s 'o(nd on board an a!rcra't, the a!rcra't shall

be d!s!nsected and deratted, !' necessary !n (arant!ne8

Article ,

A sh!p shall cease to be re2arded as !n'ected or s(spected, or an a!rcra't shall

cease to be re2arded as !n'ected, when the eas(res re(!red by the health a(thor!ty

!n accordance w!th Art!cles &) and % ha6e been e''ect!6ely carr!ed o(t, or when the

health a(thor!ty !s sat!s'!ed that the abnoral ortal!ty aon2 rodents !s not d(e to

pla2(e8 The sh!p or a!rcra't shall there(pon be 2!6en 'ree prat!(e8

Article -

On arr!6al, a healthy sh!p or a!rcra't shall be 2!6en 'ree prat!(e, b(t, !' !t has

coe 'ro an !n'ected area, the health a(thor!ty ayK=a> place (nder s(r6e!llance any s(spect who d!sebarFs, 'or a

per!od o' not ore than s!$ days, recFoned 'ro the date on wh!ch the

sh!p or a!rcra't le't the !n'ected area,

=b> re(!re the destr(ct!on o' rodents on board a sh!p and

d!s!nsect!n2 !n e$cept!onal cases and 'or well-'o(nded reasons wh!ch

shall be co(n!cated !n wr!t!n2 to the aster8

Article *.

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C" IICo'34"34

31

Article *1

days89or the p(rposes o' these Re2(lat!ons the !nc(bat!on per!od o' cholera !s '!6e

Article *

18 I' on arr!6al o' a sh!p, a!rcra't, tra!n, road 6eh!cle or other eans o' transport acase o' cholera !s d!sco6ered, or a case has occ(rred on board, the health a(thor!ty =a>

ay apply s(r6e!llance or !solat!on o' s(spects aon2 passen2ers or crew 'or a per!od

not to e$ceed '!6e days recFoned 'ro the date o' d!sebarFat!onJ =b> shallbe

respons!ble 'or the s(per6!s!on o' the reo6al and sa'e d!sposal o' any water, 'ood

=e$cl(d!n2 car2o>, h(an de5ecta, waste water !ncl(d!n2 b!l2e water, waste atter,

andany other atter wh!ch !s cons!dered to be conta!nated, and shall be respons!ble

'or the d!s!n'ect!on o' water tanFs and 'ood handl!n2 e(!pent8

+8 Upon accopl!shent o' =b> the sh!p, a!rcra't, tra!n, road 6eh!cle or other

eans o' transport shall be 2!6en 'reeprat!(e8

Article *&&)

&

9oodst(''s carr!ed as car2o on board sh!ps, a!rcra't, tra!ns, road 6eh!cles or

other eans o' transport !n wh!ch a case o' cholera has occ(rred d(r!n2 the5o(rney,

ay not be s(b5ected to bacter!olo2!cal e$a!nat!on e$cept by the health a(thor!t!es

o' the co(ntry o' '!nal dest!nat!on8

Article *'

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C" III

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A health a(thor!ty !n an area where the 6ector o' yellow 'e6er !s present ay

re(!re a person on an !nternat!onal 6oya2e, who has coe 'ro an !n'ected area and

!s (nable to prod(ce a 6al!d cert!'!cate o' 6acc!nat!on a2a!nst yellow 'e6er, tobe

!solated (nt!l h!s cert!'!cate becoes 6al!d, or (nt!l a per!od o' not ore than s!$ daysrecFoned 'ro the date o' last poss!ble e$pos(re to !n'ect!on has elapsed, wh!che6er

occ(rs '!rst8

Article *-

18 A person co!n2 'ro an !n'ected area who !s (nable to prod(ce a 6al!d

cert!'!cate o' 6acc!nat!on a2a!nst yellow 'e6er and who !s d(e to proceed on an

!nternat!onal 6oya2e to an a!rport !n an area where the 6ector o' yellow 'e6er !spresentand at wh!ch the eans 'or sec(r!n2 se2re2at!on pro6!ded 'or !n Art!cle &/ do

not yet e$!st, ay, by arran2eent between the health ad!n!strat!ons 'or the

terr!tor!es !n wh!ch the a!rports concerned are s!t(ated, be pre6ented 'ro proceed!n2

'ro an a!rport at wh!ch s(ch eans are a6a!lable, d(r!n2 the per!od pro6!ded 'or !n

Art!cle #)8

+8 The health ad!n!strat!ons concerned shall !n'or the Or2an!3at!on o' any

s(ch arran2eent, and o' !ts ter!nat!on8 The Or2an!3at!on shall !ed!ately sendth!s !n'orat!on to all health ad!n!strat!ons8

Article +.&+

&'

18 On arr!6al, a sh!p shall be re2arded as !n'ected !' !t has a case o' yellow 'e6er

on board, or !' a case has occ(rred on board d(r!n2 the 6oya2e8 It shall be re2arded as

s(spected !' !t has le't an !n'ected area less than s!$ days be'ore arr!6al, or, !' arr!6!n2

w!th!n th!rty days o' lea6!n2 s(ch an area, the health a(thor!ty '!nds Aedes aegypti orother 6ectors o' yellow 'e6er on board8 Any other sh!p shall be re2arded as healthy8

+8 On arr!6al, an a!rcra't shall be re2arded as !n'ected !' !t has a case o' yellow

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+8 The sh!p or a!rcra't shall cease to be re2arded as !n'ected or s(spected when

the eas(res re(!red by the health a(thor!ty !n accordance w!th Art!cle &) and w!th

para2raph 1 o' th!s Art!cle ha6e been e''ect!6ely carr!ed o(t, and !t shall there(pon be

2!6en 'reeprat!(e8

Article +

On arr!6al o' a healthy sh!p or a!rcra't co!n2 'ro an !n'ected area, the

eas(res pro6!ded 'or !n s(bpara2raph =b> o' para2raph 1 o' Art!cle %1 ay be

appl!ed8 The sh!p or a!rcra't shall there(pon be 2!6en 'reeprat!(e8

Article +&

A State shall not proh!b!t the land!n2 o' an a!rcra't at any san!tary a!rport !n !ts

terr!tory !' the eas(res pro6!ded 'or !n para2raph + o' Art!cle #% are appl!ed, b(t, !n

an area where the 6ector o' yellow 'e6er !s present, a!rcra't co!n2 'ro an !n'ected

area ay land only at a!rports spec!'!ed by the State 'or thatp(rpose8

Article +'

On arr!6al o' a tra!n, a road 6eh!cle, or other eans o' transport !n an area

where the 6ector o' yellow 'e6er !s present, the 'ollow!n2 eas(res ay be appl!ed by

the health a(thor!tyK

=a> !solat!on, as pro6!ded 'or !n Art!cle #), o' any person co!n2

'ro an !n'ected area, who !s (nable to prod(ce a 6al!d cert!'!cate o'

6acc!nat!on a2a!nst yellow 'e6erJ

=b> d!s!nsect!n2 o' the tra!n, road 6eh!cle or other eans o'transport !' !t has coe 'ro an !n'ected area8

Article +

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*ART I + HEALTH DOCU/ENTS

Article +*

.!lls o' health, w!th or w!tho(t cons(lar 6!sa, or any cert!'!cate, howe6er

des!2nated, concern!n2 health cond!t!ons o' a port or an a!rport, shall not be re(!red

'ro any sh!p or a!rcra't8

Article ++

18 The aster o' a sea2o!n2 6essel aF!n2 an !nternat!onal 6oya2e, be'ore arr!6al

at !ts '!rst port o' call !n a terr!tory, shall ascerta!n the state o' health on board, and,

e$cept when a health ad!n!strat!on does not re(!re !t, he shall, on arr!6al, coplete

and del!6er to the health a(thor!ty 'or that port a ?ar!t!e *eclarat!on o' Health

wh!ch shall be co(nters!2ned by the sh!p:s s(r2eon !' one !s carr!ed8

+8 The aster, and the sh!p:s s(r2eon !' one !s carr!ed, shall s(pply any

!n'orat!on re(!red by the health a(thor!ty as to health cond!t!ons on board d(r!n2

the 6oya2e8

&8 A ?ar!t!e *eclarat!on o' Health shall con'or w!th the odel spec!'!ed !n

Append!$ &8

/8 A health ad!n!strat!on ay dec!deK

=a> e!ther to d!spense w!th the s(b!ss!on o' the ?ar!t!e*eclarat!on o' Health by all arr!6!n2 sh!psJ or

=b> to re(!re !t only !' the sh!p arr!6es 'ro certa!n stated areas, or

!' h ! ! ! ! ' !

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=b> to re(!re !t only !' the a!rcra't arr!6es 'ro certa!n stated areas,

or !' there !s pos!t!6e !n'orat!on to report8

In e!ther case, the health ad!n!strat!on shall !n'or a!rcra't operators8

Article +-&,

&

18 The cert!'!cates spec!'!ed !n Append!ces 1 and + shall be pr!nted !n En2l!sh

and !n 9rench8 An o''!c!al lan2(a2e o' the terr!tory o' !ss(e ay be added8

+8 The cert!'!cates re'erred to !n para2raph 1 o' th!s Art!cle shall be copleted !n

En2l!sh or !n 9rench8 7oplet!on !n another lan2(a2e !n add!t!on !s not e$cl(ded8

&8 Internat!onal cert!'!cates o' 6acc!nat!on (st be s!2ned !n h!s own hand by a

ed!cal pract!t!oner or other person a(thor!3ed by the nat!onal health ad!n!strat!onJ

h!s o''!c!al stap !s not an accepted s(bst!t(te 'or h!s s!2nat(re8

/8 Internat!onal cert!'!cates o' 6acc!nat!on are !nd!6!d(al cert!'!cates and shall !n

no c!rc(stances be (sed collect!6ely8 Separate cert!'!cates shall be !ss(ed 'or

ch!ldren8

8 No depart(re shall be ade 'ro the odel o' the cert!'!cate spec!'!ed !n

Append!$ +, and no photo2raph shall be !ncl(ded8

#8 A parent or 2(ard!an shall s!2n the !nternat!onal cert!'!cate o' 6acc!nat!on

when the ch!ld !s (nable to wr!te8 The s!2nat(re o' an !ll!terate shall be !nd!cated !n the

(s(al anner by h!s arF and the !nd!cat!on by another that th!s !s the arF o' the

person concerned8

%8 I' a 6acc!nator !s o' the op!n!on that 6acc!nat!on !s contra!nd!cated on ed!cal

2ro(nds he shall pro6!de the person w!th reasons, wr!tten !n En2l!sh or 9rench,

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&

*ART II + CHARGES

Article ,'. '1

+

18 No char2e shall be ade by a health a(thor!ty 'orK

=a> any ed!cal e$a!nat!on pro6!ded 'or !n these Re2(lat!ons, orany s(ppleentary e$a!nat!on, bacter!olo2!cal or otherw!se, wh!ch

ay be re(!red to ascerta!n the state o' health o' the person e$a!nedJ

=b> any 6acc!nat!on o' a person on arr!6al and any cert!'!cate

thereo'8

+8 Where char2es are ade 'or apply!n2 the eas(res pro6!ded 'or !n these

Re2(lat!ons, other than the eas(res re'erred to !n para2raph 1 o' th!s Art!cle, there

shall be !n each terr!tory only one tar!'' 'or s(ch char2es and e6ery char2e shallK

=a> con'or w!th th!s tar!''J

=b> be oderate and not e$ceed the act(al cost o' the ser6!ce

renderedJ

=c> be le6!ed w!tho(t d!st!nct!on as to the nat!onal!ty, do!c!le, or

res!dence o' the person concerned, or as to the nat!onal!ty, 'la2,

re2!stry or ownersh!p o' the sh!p, a!rcra't, tra!n, road 6eh!cle, othereans o' transport, and conta!ners8 In part!c(lar, there shall be no

d!st!nct!on ade between nat!onal and 'ore!2n persons, sh!ps, a!rcra't,

tra!ns road eh!cles other eans o' transport and conta!ners

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&

*ART III + ARIOUS *ROISIONS

Article ,&' '&

,

18 E6ery a!rcra't lea6!n2 an a!rport s!t(ated !n an area where trans!ss!on o'

alar!a or other os(!to-borne d!sease !s occ(rr!n2, or where !nsect!c!de- res!stant

os(!to 6ectors o' d!sease are present, or where a 6ector spec!es !s present that has

been erad!cated !n the area where the a!rport o' dest!nat!on o' the a!rcra't !s s!t(ated,shall be d!s!nsected !n accordance w!th Art!cle + (s!n2 the ethods recoended by

the Or2an!3at!on8 States concerned shall accept d!s!nsect!n2 o' a!rcra't by the

appro6ed 6apo(r d!s!nsect!n2 syste carr!ed o(t !n 'l!2ht8 E6ery sh!p lea6!n2 a port !n

the s!t(at!on re'erred to abo6e shall be Fept 'ree 'ro the !at(re and ad(lt sta2es o'

the os(!to concerned8

+8 On arr!6al at an a!rport !n an area where alar!a or other os(!to-borne

d!sease co(ld de6elop 'ro !ported 6ectors, or where a 6ector spec!es has been

erad!cated that !s present !n the area !n wh!ch the a!rport o' or!2!n !s located, the

a!rcra't ent!oned !n para2raph 1 o' th!s Art!cle ay be d!s!nsected !n accordance

w!th Art!cle + !' the health a(thor!ty !s not pro6!ded w!th sat!s'actory e6!dence that

d!s!nsect!n2 has been carr!ed o(t !n accordance w!th para2raph 1 o' th!s Art!cle8 E6ery

sh!p arr!6!n2 !n a port !n the s!t(at!on re'erred to abo6e sho(ld be treated and 'reed,

(nder the control o' the health a(thor!ty, 'ro the !at(re and ad(lt sta2es o' the

os(!to concerned8

&8 As 'ar as pract!cable, and where appropr!ate, a tra!n, road 6eh!cle, other eanso' transport, conta!ner, or boat (sed 'or !nternat!onal coastal tra''!c or 'or !nternat!onal

tra''!c on !nland waterways, shall be Fept 'ree o' !nsect 6ectors o' h(an d!sease8

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States ha6!n2 certa!n !nterests !n coon ow!n2 to the!r health, 2eo2raph!cal, soc!al

orecono!c cond!t!ons, !n order to 'ac!l!tate the appl!cat!on o' these Re2(lat!ons, and

!n part!c(lar w!th re2ard toK

=a> the d!rect and rap!d e$chan2e o' ep!de!olo2!cal !n'orat!onbetween ne!2hbo(r!n2 terr!tor!esJ

(b) the health eas(res to be appl!ed to !nternat!onal coastal tra''!c

and to !nternat!onal tra''!c on !nland waterways, !ncl(d!n2 laFesJ

=c> the health eas(res to be appl!ed !n cont!2(o(s terr!tor!es at

the!r coon 'ront!erJ

=d> the cob!nat!on o' two or ore terr!tor!es !nto one terr!tory 'or

the p(rposes o' any o' the health eas(res to be appl!ed !n accordance

w!th these Re2(lat!onsJ(e) arran2eents 'or carry!n2 !n'ected persons by eans o'

transport spec!ally adapted 'or thep(rpose8

+8 The treat!es or arran2eents re'erred to !n para2raph 1 o' th!s Art!cle shall not

be !n con'l!ct w!th the pro6!s!ons o' these Re2(lat!ons8

&8 States shall !n'or the Or2an!3at!on o' any s(ch treaty or arran2eent wh!ch

they ay concl(de8 The Or2an!3at!on shall send !ed!ately to all healthad!n!strat!ons !n'orat!on concern!n2 any s(ch treaty or arran2eent8

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*ART I= + FINAL *ROISIONS

Article ,*

18 These Re2(lat!ons, s(b5ect to the pro6!s!ons o' Art!cle )) and the e$cept!ons

here!na'ter pro6!ded, replace, as between the States bo(nd by these Re2(lat!ons and

as between these States and the Or2an!3at!on, the pro6!s!ons o' the 'ollow!n2 e$!st!n2

Internat!onal San!tary 7on6ent!ons, Re2(lat!ons and s!!lar a2reeentsK

=a> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, & *eceber1"0&J

(b) 4an Aer!can San!tary 7on6ent!on, s!2ned !n Wash!n2ton, 1/

October 1"0J

=c> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, 1% Ban(ary

1"1+J =d> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, +1 B(ne

1"+#J

=e> Internat!onal San!tary 7on6ent!on 'or Aer!al Na6!2at!on, s!2ned

at The Ha2(e, 1+ Apr!l 1"&&J

='> Internat!onal A2reeent 'or d!spens!n2 w!th .!lls o' Health,

s!2ned !n 4ar!s, ++ *eceber 1"&/J

=2> Internat!onal A2reeent 'or d!spens!n2 w!th 7ons(lar !sas on

.!lls o' Health, s!2ned !n 4ar!s, ++ *eceber 1"&/J

=h> 7on6ent!on od!'y!n2 the Internat!onal San!tary 7on6ent!on o'

+1 B(ne 1"+#, s!2ned !n 4ar!s, &1 October 1"&)J

=!> Internat!onal San!tary 7on6ent!on, 1"//, od!'y!n2 the

Internat!onal San!tary 7on6ent!on o' +1 B(ne 1"+#, opened 'or

s!2nat(re !n Wash!n2ton, 1 *eceber 1"//J=5> Internat!onal San!tary 7on6ent!on 'or Aer!al Na6!2at!on, 1"//,

od!'y!n2 the Internat!onal San!tary 7on6ent!on o' 1+ Apr!l 1"&&,

opened 'or s!2nat(re !n Wash!n2ton 1 *eceber 1"//J

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+8 S(ch per!od ay, by not!'!cat!on to the *!rector-General, be e$tended to

e!2hteen onths w!th respect to o6erseas or other o(tly!n2 terr!tor!es 'or whose

!nternat!onal relat!ons the State ay be respons!ble8

&8 Any re5ect!on or reser6at!on rece!6ed by the *!rector-General a'ter the e$p!ry

o' the per!ods re'erred to !n para2raph 1 or + o' th!s Art!cle shall ha6e no e''ect8

Article ,,

18 I' any State aFes a reser6at!on to these Re2(lat!ons, s(ch reser6at!on shall

not be 6al!d (nless !t !s accepted by the World Health Assebly, and these

Re2(lat!ons shall not enter !nto 'orce w!th respect to that State (nt!l s(ch reser6at!onhas been accepted by the Assebly or, !' the Assebly ob5ects to !t on the 2ro(nd that

!t s(bstant!ally detracts 'ro the character and p(rpose o' these Re2(lat!ons, (nt!l !t

hasbeen w!thdrawn8

+8 A re5ect!on !n part o' the Re2(lat!ons shall be cons!dered as a reser6at!on8

&8 The World Health Assebly ay, as a cond!t!on o' !ts acceptance o' a

reser6at!on, re(est the State aF!n2 s(ch reser6at!on to (ndertaFe that !t w!llcont!n(e to '(l'!l any obl!2at!on or obl!2at!ons correspond!n2 to the s(b5ect atter o'

s(ch reser6at!on, wh!ch s(ch State has pre6!o(sly accepted (nder the e$!st!n2

con6ent!ons, re2(lat!ons and s!!lar a2reeents l!sted !n Art!cle )#8

/8 I' a State aFes a reser6at!on wh!ch !n the op!n!on o' the World Health

Assebly detracts to an !ns(bstant!al e$tent 'ro an obl!2at!on or obl!2at!ons

pre6!o(sly accepted by that State (nder the e$!st!n2 con6ent!ons, re2(lat!ons and

s!!lar a2reeents l!sted !n Art!cle )#, the Assebly ay accept s(ch reser6at!on

w!tho(t re(!r!n2 as a cond!t!on o' !ts acceptance an (ndertaF!n2 o' the F!nd re'erred

to !n para2raph & o' th!s Art!cle8

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Article -.

18 These Re2(lat!ons shall coe !nto 'orce on the '!rst day o' Ban(ary 1"%18

+8 Any State wh!ch becoes a ?eber o' the Or2an!3at!on a'ter that date and

wh!ch !s not already a party hereto ay not!'y !ts re5ect!on o', or any reser6at!on to,

these Re2(lat!ons w!th!n a per!od o' three onths 'ro the date on wh!ch that State

becoes a ?eber o' the Or2an!3at!on8 Unless re5ected, these Re2(lat!ons shall coe

!nto 'orce w!th respect to that State, s(b5ect to the pro6!s!ons o' Art!cle )) (pon

e$p!ry o' thatper!od8

Article -1

18 Any State not a ?eber o' the Or2an!3at!on, wh!ch !s a party to any

con6ent!ons, re2(lat!ons and s!!lar a2reeents l!sted !n Art!cle )# or to wh!ch the

*!rector-General has not!'!ed the adopt!on o' these Re2(lat!ons by the World Health

Assebly, ay becoe a party hereto by not!'y!n2 !ts acceptance to the *!rector-

General and, s(b5ect to the pro6!s!ons o' Art!cle )), s(ch acceptance shallbecoe

e''ect!6e (pon the date o' co!n2-!nto-'orce o' these Re2(lat!ons, or, !' s(chacceptance !s not!'!ed a'ter that date, three onths a'ter the date o' rece!pt by the

*!rector-General o' the not!'!cat!on o' acceptance8

+8 9or the p(rpose o' the appl!cat!on o' these Re2(lat!ons Art!cles +&, &&, #+, #&

and #/ o' the 7onst!t(t!on o' the Or2an!3at!on shall apply to any non-?eber State

wh!ch becoes a party to these Re2(lat!ons8

&8 Any non-?eber State wh!ch has becoe a party to these Re2(lat!ons ay atany t!e w!thdraw 'ro part!c!pat!on !n these Re2(lat!ons, by eans o' a not!'!cat!on

addressed to the *!rector-General wh!ch shall taFe e''ect s!$ onths a'ter he has

rece!6ed !t8 The State wh!ch has w!thdrawn shall, as 'ro that date, res(e

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re'erred by any State concerned to the *!rector-General who shall attept to settle the

(est!on or d!sp(te8 I' s(ch (est!on or d!sp(te !s not th(s settled, the *!rector-

Generalon h!s own !n!t!at!6e, or at the re(est o' any State concerned, shall re'er the

(est!on or d!sp(te to the appropr!ate co!ttee or other or2an o' the Or2an!3at!on'or cons!derat!on8

+8 Any State concerned shall be ent!tled to be represented be'ore s(ch co!ttee

or other or2an8

&8 Any s(ch d!sp(te wh!ch has not been th(s settled ay, by wr!tten appl!cat!on,

be re'erred by any State concerned to the Internat!onal 7o(rt o' B(st!ce 'or dec!s!on8

Article -'

18 The En2l!sh and 9rench te$ts o' these Re2(lat!ons shall be e(ally a(thent!c8

+8 The or!2!nal te$ts o' these Re2(lat!ons shall be depos!ted !n the arch!6es o' the

Or2an!3at!on8 7ert!'!ed tr(e cop!es shall be sent by the *!rector-General to all

?ebers and Assoc!ate ?ebers, and also to other part!es to one o' the con6ent!ons,

re2(lat!ons and s!!lar a2reeents l!sted !n Art!cle )#8 Upon the entry-!nto-'orce o'these Re2(lat!ons, cert!'!ed tr(e cop!es shall be del!6ered by the *!rector-General to

the Secretary-General o' the Un!ted Nat!ons 'or re2!strat!on !n accordance w!th

Art!cle 10+ o' the 7harter o' the Un!ted Nat!ons8

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An8i 145> An8ic 1

DERATTING CERTIFICATE (a ) CERTIFICAT DE

DERATISATION (a )

DERATTING E=E/*TION CERTIFICATE (a )

CERTIFICAT D?E=E/*TION DE LA DERATISATION (a )

issued in accordance with Article & of the /nternational 0ealth Regulations< dl!6r

con'orent M l:art!cle & d( R2leent san!ta!re !nternat!onal =1"#">(ot to be ta2en away by 3ort Authorities )< =7e cert!'!cat ne do!t pas tre ret!r par les

a(tor!ts

port(a!res8>

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/0An8i 246

Append!ce +

INTERNATIONAL CERTIFICATE OF ACCINATION ORREACCINATION

AGAINST le se$e

whose s!2nat(re 'ollows --------------------------------------------------------------------------------------------------------------------------

dont la s!2nat(re s(!t

has on the date !nd!cated been 6acc!nated or re6acc!nated a2a!nst yellow 'e6er8

a t 6acc!n=e> o( re6acc!ne> contre la '!6re 5a(ne M la date !nd!(e8

Th!s cert!'!cate !s 6al!d only !' the 6acc!ne (sed has been appro6ed by the World Health

Or2an!3at!on and '' the 6acc!nat!n2 centre has been des!2nated by the health ad!n!strat!on 'or the

terr!tory !n wh!ch that centre !s s!t(ated8

The 6al!d!ty o' th!s cert!'!cate shall e$tend 'or a per!od o' ten years, be2!nn!n2 ten days a'ter the

dateo' 6acc!nat!on or, !n the e6ent o' a re6acc!nat!on w!th!n s(ch per!od o' ten years, 'ro the date o'

that re6acc!nat!on8

Th!s cert!'!cate (st be s!2ned !n h!s own hand by a ed!cal pract!t!oner or other person a(thor!3edby the nat!onal health ad!n!strat!onJ h!s o''!c!al stap !s not an accepted s(bst!t(te 'or h!s s!2nat(re8

Any aendent o' th!s cert!'!cate, or eras(re, or 'a!l(re to coplete any part o' !t, ay render !t

! l!d

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INTERNATIONAL HEALTH REGULATIONS /#

An8i 3

/ARITI/E DECLARATION OF HEALTH

=To be rendered by the asters o' sh!ps arr!6!n2 'ro ports o(ts!de the terr!tory>

4ort o' ------------------------------------------------------------- *ate ---------------------------------------------------

Nae o' sh!p ------------------------------------------------------ 9ro ---------------------------------- To ----------

Nat!onal!ty -------------------------------------------------------- ?aster:s nae --------------------------------------------------Net Re2!stered Tonna2e ---------------------------------------------------------------------------------------------------------------

*eratt!n2 or 7ert!'!cate --------------------------------------- *ated ---------------------------------

*eratt!n2 E$ept!on Iss(ed at ------------------------------------------------------------------------------------

N(ber O' 7ab!n --------------------------------------------- N(ber o' crew -------------------------------

passen2ers *ecF --------------------------------------------------------------------------------------------------

L!st o' ports o' call 'ro coenceent o' 6oya2e w!th dates o' depart(reK

--------------------------------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------------------------------

Health (est!ons Answer

Ces orNo

18 Has there been on board d(r!n2 the 6oya2e/%41 any case or s(spected caseo' pla2(e, cholera or yellow 'e6erQ G!6e part!c(lars !n Sched(le8

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INTERNATIONAL HEALTH REGULATIONS /%

#8 Are yo( aware o' any other cond!t!on on board wh!ch ay lead to

!n'ect!on or the spread o' d!seaseQ 88888888888888

I hereby declare that the part!c(lars and answers to the (est!ons 2!6en !n th!s *eclarat!on o'Health =!ncl(d!n2 the Sched(le> are tr(e and correct to the best o' y Fnowled2e andbel!e'8

S!2ned

?aster

7o(nters!2ned ---------------------------------------------------

*ate ------------------------------------------------------- Sh!p:s S(r2eon

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INTERNATIONAL HEALTH REGULATIONS /"

An8i 3 (continued) SCHEDULE

TO THE DECLARATION 4art!c(lars o' e6ery case

o' !llness or death occ(rr!n2 onboard

Nae 7lass orrat!n2

A2e Se$ Nat!onal!ty 4ort o'ebarFat!on

*ate o'ebarFat!on

Nat(re o'!llness

*ate o'!ts onset

Res(lts o'

!llness1

*!sposal

o' case+RR

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State whether reco6ered, st!ll !ll, d!ed8 State whether st!ll on board, landed at =2!6e nae o' port>, b(r!ed at sea8

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An8i 4

HEALTH *ART OF THE AIRCRAFT GENERAL DECLARATION

Declaration of0ealth

4ersons on board w!th !llnesses other than a!rs!cFness or the e''ects o' acc!dents =!ncl(d!n2 persons w!th syptos or

s!2ns o' !llness s(ch as rash, 'e6er, ch!lls, d!arrhoea> as well as those cases o' !llness d!sebarFed d(r!n2 the 'l!2ht ------

-----------------------------------------------------------------------------------------------------------------------------------------------

Any other cond!t!on on board wh!ch ay lead to the spread o' d!sease -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

*eta!ls o' each d!s!nsect!n2 or san!tary treatent =place, date, t!e, ethod> d(r!n2 the 'l!2ht8 I' no d!s!nsect!n2 has been

carr!ed o(t d(r!n2 the 'l!2ht, 2!6e deta!ls o' ost recent d!s!nsect!n2-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------------------------------------------

S!2nat(re, !' re(!redK --------------------------------------------------------------------------------------------------------------------

7rew eber concerned

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ANNE=ES

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INTERNATIONAL HEALTH REGULATIONS &

Ann I

*OSITION OF /E/:ER STATES ASSOCIATE /E/:ERS AND OTHER STATES

:OUND :< THE INTERNATIONAL HEALTH REGULATIONS (1969)

(on 1 ;"n!"@ 1995)

Un'ss o7is in8ic"8 S"s 'is8 " o!n8 7io! 43s34$"ions

I Internat!onal Health Re2(lat!ons =1"#">

II Add!t!onal Re2(lat!ons, 1"%&III Add!t!onal Re2(lat!ons, 1")1

R .o(nd w!th reser6at!ons- Notbo(nd

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INTERNATIONAL HEALTH REGULATIONS /

A'2han!stan

Alban!a

Al2er!aAn2ola

Ant!2(a and .arb(da

Ar2ent!na

Aren!a

A(stral!a

A(str!a

A3erba!5an

.ahaas

.ahra!n

.an2ladesh

.arbados

.elar(s

.el2!(

.el!3e

.en!n

.h(tan

.ol!6!a

.osn!a and Her3e2o6!na

.otswana

.ra3!l

.r(ne! *ar(ssala

.(l2ar!a

.(rF!na 9aso

.(r(nd!

7abod!a

7aeroon

7anada

7ape erde

7entral A'r!can Rep(bl!c

I

-

II

-

III

-

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7had

7h!le

7h!na

7olob!a

7ooros

7on2o7ooF Islands

7osta R!ca

7ote d:l6o!re

7roat!a

7(ba

7ypr(s

73ech Rep(bl!c

*eocrat!c 4eoples

Rep(bl!c o' orea

*enarF

*5!bo(t!*o!n!ca

*o!n!can Rep(bl!c

Ec(ador

E2ypt

El Sal6ador

E(ator!al G(!nea

Entrea

Eston!a

Eth!op!a

9!5!

9!nland

9rance

Gabon

Gab!a

Geor2!a

Gerany

Ghana

Greece

R -

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Grenada

G(ateala

G(!neaG(!nea-.!ssa(

G(yana

Ha!t!Holy See

Hond(ras

H(n2ary

Iceland

Ind!a

Indones!aIran =Isla!c Rep(bl!c o'>

Ira

Ireland

Israel

ItalyBaa!ca

Bapan

Bordan

a3aFhstan

enya

!r!bat!

(wa!t

yr2y3stanLao 4eople:s *eocrat!c

Rep(bl!c

Lat6!a

Lebanon

Lesotho

L!ber!aL!byan Arab Baah!r!ya

L!echtenste!n

L!th(an!a

L($ebo(r2

R R

-

-

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INTERNATIONAL HEALTH REGULATIONS %

?ada2ascar

?alaw!

?alays!a

?ald!6es

?al!

?alta?arshall Islands

?a(ntan!a

?a(r!t!(s

?e$!co

?!crones!a =9ederated

State o'>

?onaco

?on2ol!a

?orocco

?o3ab!(e

?yanarNa!b!a

Na(r(

Nepal

Netherlands

New @ealand

N!cara2(a

N!2er

N!2er!a

N!(e

Norway

Oan

4aF!stan

4anaa

4ap(a New G(!nea

4ara2(ay

4er(

4h!l!pp!nes

4oland

R

-

-

-

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INTERNATIONAL HEALTH REGULATIONS )

4ort(2al

4(erto R!co

atarRep(bl!c o' orea

Rep(bl!c o' ?oldo6a

Roan!aR(ss!an 9ederat!on

Rwanda

Sa!nt !tts andNe6!s

Sa!nt L(c!a

Sa!nt !ncent and the Grenad!nes

Saoa

San ?ar!no

Sao Toe and 4r!nc!pe

Sa(d! Arab!a

Sene2al

SeychellesS!erra Leone

S!n2apore

Slo6aF!a

Slo6en!a

Soloon Islands

Soal!a

So(th A'r!ca

Spa!nSr! LanFa

S(dan

S(nnae

Swa3!land

Sweden

Sw!t3erland

Syr!an Arab Rep(bl!c

Ta5!F!stan

Tha!land

The 9orer C(2osla6

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INTERNATIONAL HEALTH REGULATIONS "

Rep(bl!c o' ?acedon!a

To2o

ToFela(

Ton2a

Tr!n!dad and Toba2o

T(n!s!aT(rFey

T(rFen!stan

T(6al(

U2anda

UFra!ne

Un!ted Arab E!rates

Un!ted !n2do o' Great .r!ta!n and

Northern Ireland

Un!ted Rep(bl!c o' Tan3an!a

Un!ted States o' Aer!ca

Ur(2(ayU3beF!stan

an(at(

ene3(ela

!etNa

Ceen

C(2osla6!a

@a!re

@ab!a

@!babwe

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INTERNATIONAL HEALTH REGULATIONS #0

Ann II

RESERATIONS TO THE INTERNATIONAL HEALTH REGULATIONS (1969)534,

EGThe Go6ernent o' Ind!a reser6es the r!2ht to cont!n(e to re2ard an area as !n'ected w!th yellow 'e6er (nt!l there !s de'!n!te e6!dence that

yellow-'e6er !n'ect!on has been copletely erad!cated 'ro that area8

Article '

The Go6ernent o' Ind!a reser6es the r!2ht !ed!ately to d!s!nsect on arr!6al an a!rcra't wh!ch, on !ts 6oya2e o6er !n'ected terr!tory,

has landed at a san!tary a!rport wh!ch !s not !tsel' an !n'ected area, !' an (nprotected person 'ro the s(rro(nd!n2 !n'ected area has boarded the

a!rcra't and !' the a!rcra't reaches Ind!a w!th!n a per!od d(r!n2 wh!ch s(ch a person !s l!Fely to spread yellow-'e6er !n'ect!on8

Th!s reser6at!on w!ll not apply to a!rcra't '!tted w!th an appro6ed 6apo(r d!s!nsect!n2 syste wh!ch !s cop(lsor!ly operated8

Article '&

The Go6ernent o' Ind!a reser6es the r!2ht to apply the ters o' Art!cle #) to the passen2ers and crew on board an a!rcra't land!n2 !n the

terr!tory o' Ind!a who ha6e coe !n trans!t thro(2h an a!rport s!t(ated !n a yellow-'e6er !n'ected area, not e(!pped w!th a d!rect trans!t area8Article ,1

The Go6ernent o' Ind!a shall ha6e the r!2ht to re(!re o' persons on an !nternat!onal 6oya2e arr!6!n2 by a!r !n !ts terr!tory or land!n2

there !n trans!t, b(t 'all!n2 (nder the ters o' para2raph I o' Art!cle #", !n'orat!on on the!r o6eents d(r!n2 the last s!$ days pr!or to

d!sebarFat!on8

*AISTAN

Article paragraph /# and Article '# paragraph/

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INTERNATIONAL HEALTH REGULATIONS #1

The Go6ernent o' 4aF!stan reser6es the r!2ht to cons!der the whole terr!tory o' a co(ntry as !n'ected w!th yellow 'e6er whene6er yellow

'e6er has been not!'!ed (nder Art!cle &, para2raph 1, or Art!cle /, para2raph 18

Article +# paragraph (b)

The Go6ernent o' 4aF!stan reser6es the r!2ht to cont!n(e to re2ard an area as !n'ected w!th yellow 'e6er (nt!l there !s de'!n!te e6!dence

that yellow-'e6er !n'ect!on has been copletely erad!cated 'ro that area8

Article 'The Go6ernent o' 4aF!stan reser6es the r!2ht to d!s!nsect !ed!ately on arr!6al an a!rcra't wh!ch, on !ts 6oya2e o6er !n'ected terr!tory,

has landed at a san!tary a!rport wh!ch !s not !tsel' an !n'ected area8

Article '&

The Go6ernent o' 4aF!stan reser6es the r!2ht to apply the ters o' Art!cle #) to the passen2ers and crew on board an a!rcra't land!n2 !n

the terr!tory o' 4aF!stan who ha6e coe !n trans!t thro(2h any a!rport s!t(ated !n a yellow-'e6er !n'ected area, not e(!pped w!th a d!rect trans!t

area8

Article ,1

The Go6ernent o' 4aF!stan shall ha6e the r!2ht to re(!re o' persons on an !nternat!onal 6oya2e arr!6!n2 by a!r !n !ts terr!tory or land!n2

there !n trans!t, b(t 'all!n2 (nder the ters o' para2raph I o' Art!cle #", !n'orat!on on the!r o6eents d(r!n2 the last s!$ days pr!or to

d!sebarFat!on8

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INTERNATIONAL HEALTH REGULATIONS #+

Ann III

O:LIGATIONS OF HEALTH AD/INISTRATIONS UNDER

THE INTERNATIONAL HEALTH REGULATIONS (1969)

otifications# epideiological inforation# and other data which# in application of the

/nternational 0ealth Regulations# are to be sent to the 4orld 0ealth $rgani%ation

Nat(re o' !n'orat!on to be sent by the health

ad!n!strat!on

Art!cle (nder wh!ch re(!red How and when to be sent to WHO

18 Not!'!cat!on o' the '!rst case o' a d!sease s(b5ect

to the Re2(lat!ons that !s ne!ther an !ported nor atrans'erred case

Art!cle &, para2raph 1 .y tele2ra or tele$, w!th!n +/ ho(rs o'

the health ad!n!strat!on be!n2 !n'ored8

+8 Not!'!cat!on o' the e$tent o' the !n'ected area Art!cle &, para2raph 1 .y tele2ra or tele$, w!th!n +/ ho(rs

a'ter not!'!cat!on o' the '!rst case8

&8 Not!'!cat!on o' one or ore cases o' a d!sease

s(b5ect to the Re2(lat!ons !ported or trans'erred !nto a

non-!n'ected area, to2ether w!th all !n'orat!on a6a!lable

on the or!2!n o' !n'ect!on

Art!cle &, para2raph +(a) .y tele2ra or tele$, w!th!n +/ ho(rs o'


/8 Not!'!cat!on that a sh!p or a!rcra't has arr!6ed

w!thone or ore cases o' a d!sease s(b5ect to the

Re2(lat!ons on board, to2ether w!th the nae o' the sh!p

or 'l!2ht n(ber o' the a!rcra't, pre6!o(s and s(bse(ent

ports o' call, and the health eas(res taFen w!th respect

to the sh!p or a!rcra't

Art!cle &, para2raph + (b) .y tele2ra or tele$, within +/ ho(rs o'


8 Not!'!cat!on that the d!a2nos!s o' the d!sease

not!'!ed (nder para2raphs I and + o' Art!cle & hasbeen

con'!red by laboratory e$a!nat!on

Art!cle &, para2raph & .y tele2ra or tele$, on con'!rat!on8

#8 Not!'!cat!on o' e6!dence o' the pre-sence o'

yellow 'e6er 6!r(s, !ncl(d!n2 the 6!r(s 'o(nd !n

Art!cle /, para2raph I Not!'!cat!on by tele2ra or tele$, as soon

as e6!dence has been establ!shed8 Report

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INTERNATIONAL HEALTH REGULATIONS #&

os(!tos or !n 6ertebrates other than an, or thepla2(e

bac!ll(s, !n any part o' !ts terr!tory8 Th!s not!'!cat!on !s to

be 'ollowed by a report !nd!cat!n2 the e$tent o' the area

!n6ol6ed

by a!ra!l//) as soon as e$tent o' area

has been e$tent o' area hasbeen

deter!ned8

%8 Not!'!cat!on o' rodent pla2(e, w!ld- rodentpla2(e

be!n2 d!st!n2(!shed 'ro doest!c rodent pla2(e8 In thecase o' w!ld-rodent pla2(e, descr!pt!on o' the

ep!de!olo2!cal c!rc(stances and o' the area !n6ol6ed

Art!cle /, para2raph + Not!'!cat!on by a!r a!l,/"proptly

Report by a!ra!l, #0 as soon as e$tento' area has been deter!ned

)8 In respect o' areas not!'!ed (nder para2raph I o'

Art!cle &, s(ppleentary !n'orat!on as to the so(rce and

type o' the d!sease, the n(ber o' cases and deaths,

cond!t!ons a''ect!n2 the spread o' the d!sease, and the

prophylact!c eas(res taFen

Art!cle .y a!ra!l,%1proptly8

"8 *(r!n2 an ep!de!c, deta!led co(n!cat!ons,

s(bse(ent to the not!'!cat!ons and !n'orat!on re(!red

(nder Art!cles & and , on the n(ber o' cases and

deaths, eas(res taFen to pre6ent the spread o' thed!sease to other terr!tor!es eas(res o' control o6er

rodents, !nsect 6ectors, etc8, as spec!'!ed !n para2raph +

o' Art!cle #

Art!cle #, para2raphs I and + .y a!ra!l,)+ as 're(ently asposs!ble8

The n(ber o' cases and deaths tobe

co(n!cated at least once weeFly8

108 Not!'!cat!on o' the date when an area wh!ch,

(nder para2raph I o' Art!cle &, and para2raphs I and + o'

Art!cle /, has been not!'!ed as an !n'ected area !s 'ree

'ro !n'ect!on

Art!cle %, para2raph I .y the ost rap!d ro(te8

118 Not!'!cat!on o' the eas(res wh!ch !t has dec!ded

to apply to arr!6als 'ro an !n'ected area, !nd!cat!n2 the

date o' appl!cat!on

Art!cle ), para2raphs 1 =a> and + .y tele2ra or tele$ and, where6er

poss!ble, !n ad6ance o' the appl!cat!on o'

any s(ch eas(re8

1+8 Not!'!cat!on o' the w!thdrawal o' the eas(res !t

had appl!ed to arr!6als 'ro an !n'ected area, !nd!cat!n2

the date o' w!thdrawal

Art!cle ), para2raphs 1 =a> and + .y tele2ra or tele$ and, where6er

poss!ble, !n ad6ance o' the w!thdrawal o'

any s(ch eas(re8

1&8 Not!'!cat!on o' any chan2e !n !ts 6acc!nat!on

re(!reents 'or tra6ellers on an !nternat!onal 6oya2e

Art!cle ), para2raphs 1 =b> and

+

.y tele2ra or tele$ and, where6er

poss!ble, !n ad6ance o' any s(ch chan2e8

1/8 Recap!t(lat!on o' !ts 6acc!nat!on re(!reents 'or

tra6ellers on an !nternat!onal 6oya2e

Art!cle )8 para2raph & .y a!ra!l,"& once yearly8

18 Report o' the n(ber o' cases o' d!seases s(b5ect Art!cle " =a> .y tele2ra or tele$, once weeFly, when

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INTERNATIONAL HEALTH REGULATIONS #/

to the Re2(lat!ons and deaths there'ro d(r!n2 the

pre6!o(s weeF !n each o' !ts towns and c!t!es ad5acent toa port or an a!rport, !ncl(d!n2 any !ported or trans'erred

cases

s(ch cases and deaths occ(r8

1#8 *(r!n2 the per!ods re'erred to !n s(bpara2raphs

=a>, (b) and =c> o' para2raph + o' Art!cle %, report o' theabsence o' cases o' d!seases s(b5ect to the Re2(lat!ons

pro each o' !ts towns and c!t!es ad5acent to a port or an

a!rport

Art!cle " =b> .y a!ra!l, once weeFly, (nt!l theper!ods

stated !n s(bpara2raphs =a>, (b) and =c> o'para2raph + o' Art!cle % ha6e elapsed8

1%8 In'orat!on concern!n2 the occ(rrence o' any

case o' a d!sease s(b5ect to the Re2(lat!ons d(e to or

carr!ed by !nternat!onal tra''!c, as well as on the act!on

taFen (nder the Re2(lat!ons or bear!n2 (pon the!r

appl!cat!on

Art!cle 1&, para2raph I .y a!ra!l,#0/ once yearly

1)8 *ata on the e$tent to wh!ch !ts ports and a!rports

are Fept 'ree 'ro 6ectors o' ep!de!olo2!cal

s!2n!'!cance !n !nternat!onal tra''!c

Art!cle 1", para2raph / .y a!ra!l,#1 once yearly

1"8 L!st o' !ts ports appro6ed (nder Art!cle 1% 'or the

!ss(e o' *eratt!n2 E$ept!on 7ert!'!cates only

Art!cle +0, para2raph 1 =!> and + .y a!ra!l,#+# as soon as the ports ha6e

been des!2nated, and as soon as any

chan2e !n the l!st o' s(ch ports hasbeen

ade8

+08 L!st o' !ts ports appro6ed (nder Art!cle 1% 'or the

!ss(e o' *eratt!n2 7ert!'!cates and *eratt!n2 E$ept!on

7ert!'!cates

Art!cle +0, para2raph 1 =!!> and

+.y a!ra!l,

#&% as soon as the ports ha6e

been des!2nated, and as soon as any

chan2e !n the l!st o' s(ch ports hasbeen

ade8

+18 Not!'!cat!on o' !ts 'ront!er posts on ra!lway l!nes,

on roads and on !nland waterways where 'ac!l!t!es 'orapply!n2 the eas(res pro6!ded 'or !n the Re2(lat!ons

are a6a!lable, !nd!cat!n2 when and where s(ch 'ac!l!t!es

arepro6!ded

Art!cle ++, para2raphs 1 and + .y a!ra!l,#/) as soon as s(ch 'ac!l!t!es

ha6e beenpro6!ded8

++8 Not!'!cat!on o' arran2eents 'or the detent!on o'

persons, (nder certa!n cond!t!ons, who are !n trans!t to

areas where the 6ector o' yellow 'e6er !spresent

Art!cle #", para2raphs 1 and + .y a!ra!l,#" as soon as arran2eents

ha6e been ade or ter!nated8

+&8 Not!'!cat!on o' !ts tar!'' o' char2es ade 'or Art!cle )+, para2raphs + and / .y a!ra!l,###0 !ed!ately8

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apply!n2 the eas(res pro6!ded 'or !n the Re2(lat!ons,

and o' any aendent thereto

+/8 Not!'!cat!on o' any a2reeent con el(ded w!th a

State or States, and o' the pro6!s!ons o' any laws and

re2(lat!ons on add!t!onal health eas(res appl!ed to

!2rants, noads, seasonal worFers and persons taF!n2part !n per!od!c ass con2re2at!ons, and to the!r eans

o' transport

Art!cle )/, para2raphs 1 and + .y a!ra!l,#%#1 as soon as a2reeents

ha6e been concl(ded, and as soon as laws

and re2(lat!ons ha6e been adopted8

+8 Not!'!cat!on o' spec!al treat!es or arran2eents

concl(ded w!th a State or States !n order to 'ac!l!tate the

appl!cat!on o' the Re2(lat!ons

Art!cle ), para2raphs 1 and & .y a!ra!l,#)#+ as soon as the spec!al

treat!es or arran2eents ha6ebeen

concl(ded8

5he subission to 40$ by health adinistrations of the following data not specifically

re!uired under the Regulations is also necessary for application of theRegulations

Nat(re o' !n'orat!on to be sent by the healthad!n!strat!on

Art!cle (nder wh!ch re(!red How and when to be sent to WHO

+#8 L!st o' 6acc!nat!n2 centres des!2nated 'or the

ad!n!strat!on o' yellow 'e6er 6acc!ne and 'or the !ss(e

o' Internat!onal 7ert!'!cates o' acc!nat!on or

Re6acc!nat!on a2a!nst Cellow 9e6er

Art!cle I 6al!d cert!'!cate and

Append!$ +J Art!cle ##,

para2raph /

.y a!ra!l, on the des!2nat!on o' each

s(ch centre8

+%8 S(b!ss!on o' appl!cat!ons 'or appro6al o'

yellow 'e6er 6acc!nes !n tended to be (sed 'or the !ss(e

o' !nternat!onal cert!'!cates

Art!cle I 6al!d cert!'!cate and

Append!$ +J Art!cle ##,

para2raph /

.y a!ra!l, when appl!cat!on !s ade8

+)8 Not!'!cat!on o' the area or areas whereAedesaegypti has been erad!cated

Art!cle #%, para2raphs & and / .y a!ra!l, as soon as cond!t!ons areFnown8

+"8 Not!'!cat!on o' the area or areas where the

6ector o' yellow 'e6er !spresent

Art!cles #)J #", para2raph 1J %1,

para2raphs 1 =a> and (b)6 %/ and

%

.y a!ra!l, as soon as cond!t!ons are

Fnown8

&08 L!st o' a!rports !n an area where the 6ector o'

yellow 'e6er !s present at wh!ch a!rcraft coing fro a

yellow fever !n'ected area ay land

Art!cle %& .y a!ra!l, as soon as the a!rports ha6e

been spec!'!ed 'or thep(rpose8

&17 5ext of national laws and regulations dealing - .y a!ra!l, as soon as laws and

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INTERNATIONAL HEALTH REGULATIONS ##

with the application of the Regulations# and of

aendents to such laws and regulationsre2(lat!ons ha6e been adopted, and as

soon as aendents ha6e been ade8

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Ann I

WHO E*IDE/IOLOGICAL INFOR/ATION SERICE TO /E/:ER STATES

A!o&"ic ' '@ s34$ic3

In order to aFe a6a!lable to ?eber States as proptly as poss!ble Ep!de!olo2!cal !n'orat!on on d!seases s(b5ect to the Internat!onal

Health Re2(lat!ons =1"#"> and other co(n!cable d!seases o' !nternat!onal !portance, the Or2an!3at!on has establ!shed an a(toat!c tele$

replyser6!ce8

Ep!de!olo2!cal !n'orat!on o' !portance rece!6ed each day at WHO head(arters !s recorded on p(nch tape and 'ed !nto the ach!ne

'or a(toat!c trans!ss!on to any nat!onal health ad!n!strat!on call!n2 the appropr!ate tele$ n(ber8 As soon as the essa2e !s ended, the

ach!ne !s ready to trans!t to the ne$t caller8Each 9r!day, !portant !n'orat!on rece!6ed d(r!n2 the weeF and !ntended 'or p(bl!cat!on !n the WeeFly Ep!de!olo2!cal Record !s

s(ar!3ed and 'ed !nto the ach!ne 'or a(toat!c trans!ss!on8 Th!s enables nat!onal health ad!n!strat!ons to obta!n the !n'orat!on well

be'ore the WeeFly Ep!de!olo2!cal Record reaches the8*eta!ls o' the call proced(re are p(bl!shed per!od!cally !n the WeeFly Ep!de!olo2!cal Record8

WB'@ Ei8&io'o%ic"' R3co48

The WeeFly Ep!de!olo2!cal Record !s p(bl!shed !n En2l!sh and 9rench e6ery 9r!day orn!n28 One copy o' th!s p(bl!cat!on !s sent to

each nat!onal health ad!n!strat!on by the 'astest poss!ble eans8 In add!t!on, cop!es are d!spatched by a!ra!l to all s(bscr!bers8

The WeeFly Ep!de!olo2!cal Record conta!ns all the !n'orat!on that the Or2an!3at!on !s re(!red to pro6!de (nder the Internat!onal

Health Re2(lat!ons =1"#">, !ncl(d!n2 the !n'orat!on already ade a6a!lable by the tele$ ser6!ce ent!oned abo6e8 It also conta!ns

Ep!de!olo2!cal notes and br!e' re6!ews o' co(n!cable d!seases o' !nternat!onal !portance8

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Ann

STANDARDS OF H 6oya2es o' a d(rat!on o' /) ho(rs or ore 6oya2es o' a d(rat!on o' less than +/ ho(rs and =b> abo6e at least two o' the re(!red showers or taps shall be s(ppl!ed w!th hot water8

&8+ Wash places shall be ade(ately l!2hted, 6ent!lated and dra!ned and so arran2ed as to a''ord pr!6acy to the (ser8

/81 E6ery sh!p shall be pro6!ded w!th a d!n!n2 space or spaces e(!pped w!th s(''!c!ent n(ber o' tables and cha!rs to the 'ollow!n2 scaleK

=a> 6oya2es o' a d(rat!on o' +/ ho(rs or ore

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=a> 6oya2es o' a d(rat!on o' +/ ho(rs or ore

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!ndependent o' any d!schar2es 'ro other crew or passen2er accoodat!on8

"81 9or 6oya2es !n e$cess o' 1+ ho(rs: d(rat!on e6ery sh!p carry!n2 ore than 100 passen2ers shall carry one properly (al!'!ed and

re2!stered ed!cal pract!t!oner as well as a n(rs!n2 attendant8 I' the sh!p !s carry!n2 ore than 1000 passen2ers, there shall be two s(ch ed!cal

pract!t!oners and two n(rs!n2 attendants8

"8+ The health ad!n!strat!on shall ens(re that e6ery sh!p carr!es s(''!c!ent ed!caents and ed!cal s(ppl!es and e(!pent 'or the

treatent o' passen2ers,%

69 and a!ntenance o' hy2!en!c standards8

"8& ?ed!cal attendance and treatent !ncl(d!n2 ed!caents shall be pro6!ded 'ree o' char2e topassen2ers8

1081 The aster and the ed!cal pract!t!oner shall be respons!ble 'or ens(r!n2 at all t!es that the necessary standard o' sh!p:s hy2!ene and

cleanl!ness !s a!nta!ned8

108+ *(r!n2 the 6oya2e the ed!cal pract!t!oner or !n H!s absence the aster o' the sh!p shall sat!s'y h!sel' that !npart!c(larK

=a> the sh!p, !ncl(d!n2 passen2er spaces and d!n!n2 spaces, !s Fept thoro(2hly clean and !n a hy2!en!c cond!t!on and !s

properly 6ent!latedJ=b> the 'ood !s hy2!en!cally stored, prepared and ser6ed and that the water s(ppl!ed to the passen2ers !s o' potable (al!ty and

s(''!c!ent !n (ant!tyJ

=c> the latr!nes, wash places and bathroos are Fept clean, d!s!n'ected !n per'ect worF!n2 orderJ

=d> sol!d and l!(!d wastes are hy2!en!cally collected and d!sposed o'J

=e> !n the case o' occ(rrence o' any d!sease o' !n'ect!o(s nat(re all appropr!ate steps ha6e been taFen to conta!n the !n'ect!on8

108& *(r!n2 the 6oya2e the ed!cal pract!t!oner or !n h!s absence the aster shall a!nta!n health records and report !n accordance w!th

Art!cle %% o' the Re2(lat!ons8

118 In the case o' e$!st!n2 sh!ps%#

,. the health ad!n!strat!on o' the co(ntry !n wh!ch the sh!p !s re2!stered ay per!t rela$at!ons 'ro the

re(!reents conta!ned !n para2raphs &81=b>, 81=b>, )8+=a> and )8+=b> !' !t !s sat!s'!ed that '(ll copl!ance wo(ld be !pract!cable, pro6!ded thatthe sh!p at least '(lly copl!es w!th the pert!nent pro6!s!ons o' the pre6!o(s Anne$

%%,1 wh!ch these standards s(persede8

1+8 The health or other appropr!ate a(thor!ty o' the port o' depart(re sho(ld sat!s'y !tsel' that the !n!( standards o' thesepro6!s!ons

ha6e been et pr!or to the depart(re o' the sh!p8

Ai4c4"#

18 The pro6!s!ons o' the 7on6ent!on on Internat!onal 7!6!l A6!at!on =7h!ca2o, 1"//> and o' the Anne$es thereto, 2o6ern!n2 the transport o'

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INTERNATIONAL HEALTH REGULATIONS %1

passen2ers by a!r, the appl!cat!on o' wh!ch ay a''ect the health o' s(ch passen2ers, shall be e(ally en'orced whether an a!rcra't !s carry!n2

persons taF!n2 part !n per!od!c ass con2re2at!ons or otherpassen2ers8

+8 A health ad!n!strat!on ay re(!re a!rcra't carry!n2 persons taF!n2 part !n per!od!c ass con2re2at!ons to land only at a!rports !n !ts

terr!tory des!2nated by !t 'or the d!sebarF!n2 o' s(chpassen2ers8

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Ann I

/ODEL OF A CORRECTL< CO/*LETED INTERNATIONAL CERTIFICATE OF ACCINATION

5o be valid in international traffic# vaccination certificates ust beprinted in English and French6 a third language ay be added7 5he

certificate ust be fully and correctly completed in English and French6 copletion in another language in addition is not excluded7- 3our 8tre

valables dans les voyages internationaux# les certificats de vaccination doivent 8tre imprims en franais et en anglais6 une troisi9e langue

peut8tre ajout:e7 ;e certificat doit 8tre copl9teent et correcteent rempli en franais ou en anglais# avec addition facultative d

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WHO PUBLICATIONS OF RELATED INTEREST

Weekly Epidemiological RecordAn essential weekly instrument for the collation and dissemination of epidemiological data useful in disease surveillance and control. he !"# also

serves as a medium for reporting experiences in !$%&sponsored programmes on AI', diarrhoeal diseases, expanded immuni)ation, and theeradication of poliomyelitis and guinea&worm disease. he su*scription includes a copy of International ravel and $ealth.

!!" #$%#crip&io' ra&e( S)*+r* ,-!*.Bili'g$al E'gli#/0Fre'c/

I'&er'a&io'al Tra1el a'd Heal&/Vaccination Requirements and HealthAdvice Situation as on 1 January 1995An annual pu*lication issuing authoritative advice on the medical and personal precaut ions needed to protect the health of travellers. +pdated eachanuary, the *ook presents the latest information on general precautions to *e taken *y all travellers, health risks specific to different geographical areas,vaccinationsrecommended or advised *y !$%, and vaccinations legally re-uired for entry into each country in the world. Advice on malaria prophylaxis andchemotherapy is especially detailed and up&to&date.

!!" edi&io'( S)a%* "*.Separa&e E'gli#/ a'd Fre'c/ edi&a

Documents

IHR 1969