Public Health (Ships) Regulations, 2008

L.N. 329 of 2008

PUBLIC HEALTH ACT

(CAP. 465)

Public Health (Ships) Regulations, 2008

IN exercise of the powers conferred by article 26 of the Public Health

Act, the Minister for Social Policy has made the following regulations>-

PART I - INTRODUCTION

The title of these regulations is the Public Health (Ships) Citation.

Regulations, 2008.

These regulations implement the International Health Objective.

2. Regulations (2005).

Dawn ir-regolamenti jimplimentaw ir-Regolamenti dwar is- Objettiv.

Sa[[a Internazzjonali (2005).

The purpose and scope of these regulations are to prevent, Purpose and scope.

protect against, control and provide a public health response to the

international spread of disease in ways that are commensurate with and

restricted to public health risks, and which avoid unnecessary

interference with international traffic and trade.

(1)

In these regulations, unless the context otherwise Definitions.

requires>-

“additional measures” means such of the additional

measures specified in Schedule 4 with respect to plague, cholera,

yellow fever and smallpox<

“affected” means persons, baggage, cargo, containers,

conveyances, goods, postal parcels or human remains that are

infected or contaminated, or carry sources of infection or

contamination, so as to constitute a public health risk<

“affected area” means a geographical location specifically

for which health measures have been recommended by the World

Health Organisation<

“arrival” of a conveyance means>

(a) in the case of a seagoing vessel, arrival or anchoring

in the defined area of a port<

(b) in the case of an inland navigation vessel on an

international voyage, arrival at a point of entry<

“authorised officer” means any duly qualified person

authorised by the Superintendent to carry out any functions under

these regulations and includes any nominated officer<

“authorised port” means a port authorised to offer -

(a) the issuing of a Ship Sanitation Control Certificate

and the provision of the services referred to -

(i) in Annex 1 to the IHR, and

(ii) in the form reproduced at Schedule 2 to these

regulations<

(b) the issuing of a Ship Sanitation Control Exemption

Certificate following inspection of the ship including a

thorough inspection of the hold< or

(c) the extension of a ship sanitation certificate for a

period of one month<

“baggage” means the personal effects of a traveller or a

member of the crew<

“cargo” means goods carried on a conveyance or in a

container<

“container” means an article of transport equipment>

(a) of a permanent character and accordingly strong

enough to be suitable for repeated use<

(b) specially designed to facilitate the carriage of goods

by one or more modes of transport, without intermediate

reloading<

(c) fitted with devices permitting its ready handling,

particularly its transfer from one mode of transport to another<

and

(d) specially designed as to be easy to fill and empty<

“container loading area” means a place or facility set aside

for containers used in international traffic<

“contamination” means the presence of an infectious or toxic

agent or matter on a human or animal body surface, in or on a

product prepared for consumption or on other inanimate objects,

including conveyances, that may constitute a public health risk<

“conveyance” means a ship or other means of transport on an

international voyage<

“conveyance operator” means a natural or legal person in

charge of a conveyance or their agent<

“crew” means persons on board a conveyance who are not

passengers<

“customs officer” means any person acting under the authority

of the Comptroller of Customs<

“decontamination” means a procedure whereby health

measures are taken to eliminate an infectious or toxic agent or

matter on a human or animal body surface, in or on a product

prepared for consumption or on other inanimate objects, including

conveyances, that may constitute a public health risk<

“departure” means, for persons, baggage, cargo, conveyances

or goods, the act of leaving a territory<

“deratting” means the procedure whereby health measures

are taken to control or kill rodent vectors of human disease present

in baggage, cargo, containers, conveyances, facilities, goods and

postal parcels at the point of entry<

“disease” means an illness or medical condition, irrespective

of origin or source, that presents or could present significant harm

to humans<

“disinfection” means the procedure whereby health measures

are taken to control or kill infectious agents on a human or animal

body surface or in or on baggage, cargo, containers, conveyances,

goods and postal parcels by direct exposure to chemical or physical

agents<

“disinsection” means the procedure whereby health measures

are taken to control or kill the insect vectors of human diseases

present in baggage, cargo, containers, conveyances, goods and

postal parcels<

“event” means a manifestation of disease or an occurrence

that creates a potential for disease<

“free pratique” means permission for a ship to enter a port,

embark or disembark, discharge or load cargo or stores and

permission for a ground transport vehicle, upon arrival, to embark

or disembark, discharge or load cargo or stores<

“goods” mean tangible products, including animals and

plants, transported on an international voyage, including for

utilisation on board a conveyance<

“health measure” means procedures applied to prevent the

spread of disease or contamination< a health measure does not

include law enforcement or security measures<

“IHR” means the International Health Regulations (2005) of

the WHO adopted by the 58th World Assembly on the 23rd May

2005<

“ill person” means an individual suffering from or affected

by a physical ailment that may pose a public health risk<

“immigration officer” means any person appointed by the

Commissioner of Police to act as an immigration officer<

“infected person” means a person who is suffering from

plague, cholera, yellow fever or small pox or who is considered by

the medical officer to be infected with such a disease or with some

other infectious or contagious disease other than veneral disease

or tuberculosis<

“infected ship” means-

(a) a ship which has on board on arrival a case of plague,

cholera, yellow fever, small pox, rabies or viral haemorrhagic

fever< or

(b) a ship on which a plague-infected rodent is found on

arrival< or

(c) a ship which has had on board during its voyage-

(i) a case of human plague which developed more

than six days after the embarkation of the person affected<

or

(ii) a case of cholera within five days before arrival<

or

(iii) a case of yellow fever or smallpox, and which

has not before arrival been subjected in respect of such

case to appropriate measures equivalent to those provided

for in these regulations<

“infection” means the entry and development or multiplication

of an infectious agent in the body of humans and animals that may

constitute a public health risk<

“infectious disease” means infectious of contagious disease

other than venereal disease or tuberculosis<

“inspection” means the examination, by the competent

authority or under its supervision, of areas, baggage, containers,

conveyances, facilities, goods or postal parcels, including relevant

data and documentation, to determine if a public health risk exists<

“international traffic” means the movement of persons,

baggage, cargo, containers, conveyances, goods or postal parcels

across an international border, including international trade<

“international voyage” means>

(a) in the case of a conveyance, a voyage between points

of entry in the territories of more than one State, or a voyage

between points of entry in the territory or territories of the

same State if the conveyance has contacts with the territory

of any other State on its voyage but only as regards those

contacts<

(b) in the case of a traveller, a voyage involving entry

into the territory of a State other than the territory of the State

in which that traveller commences the voyage<

“intrusive” means possibly provoking discomfort through

close or intimate contact or questioning<

“invasive” means the puncture or incision of the skin or

insertion of an instrument or foreign material into the body or the

examination of a body cavity. For the purposes of these regulations,

medical examination of the ear, nose and mouth, temperature

assessment using an ear, oral or cutaneous thermometer, or thermal

imaging< medical inspection< auscultation< external palpation<

retinoscopy< external collection of urine, faeces or saliva samples<

external measurement of blood pressure< and electrocardiography

shall be considered to be non-invasive<

“isolation” means separation of ill or contaminated persons

or affected baggage, containers, conveyances, goods or postal

parcels from others in such a manner as to prevent the spread of

infection or contamination<

“local authority” means the authority responsible to enforce

and execute these regulations<

“medical examination” means the preliminary assessment of

a person by an authorised health worker or by a person under the

direct supervision of the competent authority, to determine the

person’s health status and potential public health risk to others,

and may include the scrutiny of health documents, and a physical

examination when justified by the circumstances of the individual

case<

“the Minister” means the Minister responsible for public

health<

“mooring station” means a place, situated within or outside

the waters of a port (as the situation may require), which is specified

by the local authority, with the consent of the Comptroller of

Customs and the harbour master, for the mooring of ships for

medical inspection so that they do not come into contact with other

ships or the shore<

“National IHR Focal Point” means the national centre, which

shall be accessible at all times for communications with WHO

IHR Contact Points<

“the Organisation” means the World Health Organisation<

“personal data” means any information relating to an identified

or identifiable natural person<

“point of entry” means a passage for international entry or

exit of travellers, baggage, cargo, containers, conveyances, goods

and postal parcels as well as agencies and areas providing services

to them on entry or exit<

“port” means a seaport or a port on an inland body of water

where ships on an international voyage arrive or depart<

“postal parcel” means an addressed article or package carried

internationally by postal or courier services<

“public health emergency of international concern” means

an extraordinary event which is determined>

(a) to constitute a public health risk to other States

through the international spread of disease< and

(b) to potentially require a coordinated international

response<

“public health observation” means the monitoring of the health

status of a traveller over time for the purpose of determining the

risk of disease transmission<

“public health risk” means a likelihood of an event that may

affect adversely the health of human populations, with an emphasis

on one which may spread internationally or may present a serious

and direct danger<

“quarantine” means the restriction of activities and, or

separation from others of suspect persons who are not ill or of

suspect baggage, containers, conveyances or goods in such a

manner as to prevent the possible spread of infection or

contamination<

“recommendation” and “recommended” refer to temporary

or standing recommendations issued under these regulations or

IHR<

“reservoir” means an animal, plant or substance in which an

infectious agent normally lives and whose presence may constitute

a public health risk<

“scientific evidence” means information furnishing a level

of proof based on the established and accepted methods of science<

“scientific principles” means the accepted fundamental laws

and facts of nature known through the methods of science<

“ship” means a seagoing or inland navigation vessel on an

international voyage<

“ship sanitation certificate” means a Ship Sanitation Control

Certificate or a Ship Sanitation Control Exemption Certificate<

“the Superintendent” means the Superintendent of Public

Health as defined in the Public Health Act<

“surveillance” means the systematic ongoing collection,

collation and analysis of data for public health purposes and the

timely dissemination of public health information for assessment

and public health response as necessary<

“suspect” means those persons, baggage, cargo, containers,

conveyances, goods or postal parcels considered by a State as

having been exposed, or possibly exposed, to a public health risk

and that could be a possible source of spread of disease<

“traveller” means a natural person undertaking an international

voyage<

“vector” means an insect or other animal which normally

transports an infectious agent that constitutes a public health risk<

“verification” means the provision of information by a State

to WHO confirming the status of an event within the territory or

territories of that State<

“WHO” means the World Health Organisation<

“WHO IHR Contact Point” means the unit within WHO which

shall be accessible at all times for communications with the

National IHR Focal Point.

PART II - GENERAL

(1) It shall be the duty of the Superintendent to enforce and

execute these regulations.

(2) The Superintendent may attach such terms and conditions

as he thinks fit to any direction given by him under these regulations.

(3) The Superintendent shall exercise his functions as a

responsible authority through such officers as may be designated for

the purpose by him or by the Minister.

For the purpose of these regulations, the Superintendent may,

and if so required by the Minister shall>

(a) appoint such medical practitioners in addition to the

medical officers, as may be necessary for the proper enforcement

and execution of these regulations<

(b) give directions from time to time as to the duties which

are to be performed by any medical practitioner as appointed or

any other officer authorised to enforce and execute these

regulations<

(c) provide or arrange for the provision of -

(i) premises or waiting rooms for the medical

examination of persons<

(ii) premises for the temporary isolation of persons in

accordance with these regulations<

(iii) apparatus or other means for cleansing, disinfecting

and disinsecting ships, persons, clothes and other articles<

(d) arrange for the reception into a hospital of persons

requiring to be removed thereto under these regulations<

(e) arrange for the provision of means of transport for the

conveyance of persons to any premises as referred to in sub-

regulation (3) hereof, or to a hospital<

(f) do all such things as in his opinion or the opinion of the

Minister, as the case may be, are necessary to enable the provisions

of these regulations to be complied with<

(g) shall develop, strengthen and maintain the capacity to

detect, assess, notify and report events in accordance with Annex

1 of the IHR.

For the purpose of these regulations, the Superintendent Provision

services by the

may, and if so required by the Minister, shall>

Superintendent.

(a) provide to the WHO IHR Contact Point, the National

IHR Focal point, with the current details and the authorities

responsible within his respective jurisdiction for the implementation

of these regulations<

(b) ensure that no ship sanitation certificate is issued without

prior inspection by an authorised officer<

(c) ensure that any control measures required under these

regulations are carried out by or under the supervision of an

authorised officer.

PART III - INCOMING SHIPS

(1) An authorised officer may, for the purposes of these

regulations, inspect any ship on arrival or already in port.

(2) The authorised officer shall-

(a) inspect on arrival any ship in respect of which the master

has sent to the local authority a message or notification under

regulation 14(1)(a)(ii) and (iii), (b) or (c), and

(b) inspect any ship already at the port when he has reasonable

grounds for believing that there is on board a case or suspected

case of infectious disease.

(3) The inspection of a ship under sub-regulations (1) and

(2) may include taking from the ship samples of food and water for of

analysis or examination.

(4) The analysis and examination under sub-regulation (3)

shall be made -

(a) with a view to the treatment of persons affected with any

epidemic, endemic or infectious disease and for preventing the

spread of diseases< or

(b) for preventing any other danger to public health.

Any authorised officer may, for the purposes of these

regulations, require a ship on arrival or already in port to be brought to,

and if necessary moored or anchored at, some safe and convenient place

for the purpose of medical inspection.

(1) The medical officer may, and if so requested by the

master or required by the Superintendent, examine any person on board

a ship on arrival or already in port, when there are reasonable grounds

for suspecting that-

(a) the person is suffering from an infectious disease<

(b) the person has been exposed to infection from an infectious

disease<

(c) the person is verminous.

(2) The authorised officer may-

(a) detain any such person for such examination either upon

the ship or at some place on shore established for the purpose<

(b) require the clothing and other articles belonging to any

person so examined to be disinfected and, where necessary,

disinsected and any person found to be verminous to be disinsected<

(c) except as provided in regulation 30, prohibit any person

so examined from leaving the ship, or permit him to leave it on

such conditions and subject to the taking of such measures, under

these regulations, as the authorised officer considers reasonably

necessary for preventing the spread of infection< and

(d) require the master to take or assist in taking such steps as

in the opinion of the authorised officer are reasonably necessary

for preventing the spread of infection, for disinsection and the

destruction of vermin, and for the removal of conditions on the

ship likely to convey infection, including the existence of which

might facilitate the harbouring of insects or vermin.

(1) Where there is, or the medical officer suspects that there Powers in respect of

certain persons on

is, on board a ship on arrival or already in port, a person suffering from ships.

an infectious disease or tuberculosis, the medical officer may-

(a) in the case of an infectious disease -

(i) cause the person to be removed from the ship and

isolated or sent to hospital or to some other suitable place

approved for that purpose by the local authority<

(ii) in the case of cholera, smallpox or viral haemorrhagic

fever, place such person under surveillance for the appropriate

period specified in regulation 36(1)< or

(iii) except as provided in regulation 31, the medical

officer may, by notice in writing to the master, prohibit the

removal of the person or his disembarking from the ship

without the consent in writing of the medical officer<

(b)

in the case of tuberculosis, if the person disembarks,

send information to that effect to the medical officer of the area in

which the intended destination and address of the person are

situated.

(2) Where the Superintendent is satisfied that a serious

danger to public health exists by reason of infectious disease and notifies

medical officers accordingly, the medical officer may, and if the

Superintendent of Public Health so directs shall, require a person

disembarking from a ship state in writing his name and intended

destination and address.

The master of a ship on arrival or on approaching Malta from

abroad shall -

(a) answer all questions as to the health conditions on

board which may be put to him by an authorised officer or a customs

officer and furnish any such officer with all such information and

assistance as he may reasonably require for the purpose of these

regulations<

(b) notify the authorised officer immediately of any

circumstances on board which are likely to cause the spread of

infectious disease or tuberculosis, including in his notification

particulars as to the sanitary condition of the ship and the presence

of animals or captive birds (including poultry) of any species, or

mortality or sickness among such animals or birds, on the ship<

(c) comply with these regulations, and with any directions

or requirements of an authorised officer or customs officer given

or made for the purposes of these regulations.

(1) An authorised officer, if so required, may transmit free

pratique to the master by an appropriate means when he is satisfied that

the arrival of the ship will not result in or contribute towards the spread

of infectious disease or tuberculosis.

(2) The ship shall transmit to the authorised officer from a

foreign port before arrival by radio, fax, e-mail or other appropriate

means, any information relevant under sub-regulation (1).

(3) The authorised officer or a customs officer authorised on

his behalf shall grant pratique to a ship as soon as the following

conditions shall have been complied with>

(a) questions in the form prescribed must be accurately and

completely answered in writing by the master of the ship, and any

other questions which the medical officer or customs officer may

deem it necessary to put to the master or any other person on board

in regard to the sanitary condition of the ship, the health of the

passengers and crew, or of any ship with which there has been

direct intercourse during the voyage, shall be accurately and

completely answered by the person to whom the questions are

addressed<

(b) the answers must clearly indicate the absence of any

infectious disease on board during the voyage or on arrival of the

ship and that the ship has not called at any infected place or had

direct intercourse during the voyage with any ship from any infected

place or having on board infectious disease and must satisfy the

medical officer or customs officer that the granting of pratique

will not be attended by any danger to the public health<

(4) Pilots will be allowed to board ships before pratique is

granted for the purpose of taking the ship into, or out of harbour. The

pilots shall comply with any instructions given to them by the medical

officer.

(1) The master of a ship shall, in accordance with sub- Notification of

infectious disease,

regulation (2) of this regulation, report -

etc. on board.

(a) the occurrence of any event on board ship before arrival

relating to -

(i) the death of a person otherwise than as a result of an

accident, or

(ii) illness where the person who is ill has a temperature

of 38 0 C or greater which was accompanied by rash, glandular

swelling or jaundice, or where such temperature persisted for

more than 48 hours, or

(iii) illness where the person has or had diarrhoea severe

enough to interfere with work or normal activities<

(b) the presence on board of a person who is suffering from

an infectious disease or who has symptoms which may indicate

the presence of an infectious disease<

(c) any other circumstance on board likely to cause the spread

of infectious disease<

(d) the presence of animals or captive birds, and the

occurrence of mortality or sickness amongst such animals or birds.

(2) For the purposes of sub-regulation (1), the master shall-

(a) send by appropriate means before arrival, either directly

to the local authority or through an agent approved by the local

authority, a radio message, fax, e-mail or other communication

complying with sub-regulation (3) of this regulation< or

(b) where it is not possible to comply with paragraph (a)

hereof before arrival, notify the local authority immediately on

arrival of the presence on board of such infectious disease or

tuberculosis, symptoms or other similar circumstances.

(3) Any radio message, fax, e-mail or other communication

sent for the purpose of this regulation shall be sent so as to reach the

local authority not more than twelve hours, and whenever practicable

not less than four hours, before the expected arrival of the ship.

(1) Subject to the provisions of this regulation, where on the

arrival of a ship, the master -

(a) makes a report in accordance with regulation 14(1)(a),

(b) or (c), or

(b) is directed by the medical officer to complete a

Maritime Declaration of Health, he shall complete a Maritime

Declaration of Health in the form set out in Schedule 1 to these

regulations, which shall be countersigned by the ship’s medical

officer.

(2) The master shall deliver such Declaration to the local

authority.

(1) Where the medical officer so directs, or where the master

is required to make a report in accordance with regulation 14(1)(a), (b)

or (c), no person, other than the pilot, a customs officer or an immigration

officer, shall, without the permission of the medical officer, board or

leave a ship until free pratique has been granted, and the master shall

take all reasonable steps to secure compliance with this provision.

(2) Before granting permission to a person to leave the ship,

the authorised officer may require him to state his name and his intended

destination and address, and to give any other information which the

authorised officer may think necessary for transmission to the local

authority for the area in which the intended destination of the person is

situated.

(3) If such a person cannot state his intended destination and

address or arrives, within a period, not exceeding fourteen days after

landing, to be specified to him by the authorised officer, at an address

other than that which he has so stated, he shall immediately after his

arrival at that address send particulars thereof to the authorised officer

of the port where he left the ship

(1) Upon receipt by an authorised officer of an application Application for a

ship sanitation

for a ship sanitation certificate in respect of the ship, made in writing certificate

by the owner of a ship or by the master acting for or on behalf of the

(a) if the ship is within the area of an authorised port, he shall -

(i) inspect the ship to prevent danger to public health or

the spread of infection with a view to issuing a ship sanitation

certificate< and

(ii) either carry out or cause to be carried out under the

supervision of an authorised officer control measures

necessary for the control of danger to public health or the

spread of infection with a view to issuing a ship sanitation

certificate, or otherwise take or cause to be taken any steps

which he considers necessary to satisfy himself that the ship

does not present a danger to public health and is free of

infection<

(b) if the ship is not within the area of an authorised port, an

authorised officer shall -

(i) consult with a customs officer, and

(ii) direct the ship to proceed at the risk of the owner of

the ship to an area of an authorised port which is both

convenient to the ship and to the customs officer.

(2) If an authorised officer after he has inspected a ship under

sub-regulation (1)(a) is satisfied -

(a) that the ship is exempt from control measures, he shall

issue or cause to be issued a Ship Sanitation Control Exemption

Certificate, provided he has complied with sub-regulation (3)

hereof< or

(b) that control measures have been completed to his

satisfaction, he shall -

(i) issue or cause to be issued a Ship Sanitation Control

Certificate< and

(ii) note or cause to be noted on the certificate the

evidence found and the control measures taken.

(3) An authorised officer shall, wherever possible, issue or cause

to be issued a Ship Sanitation Control Exemption Certificate only if the

inspection of the ship was carried out when the ship and the holds -

(a) were empty, or

(b) contained only ballast or other material of such a nature

or so disposed as to make a thorough inspection of the holds

possible.

(1) If the master of a ship which during its voyage has been

in a foreign port cannot produce to an authorised officer a valid ship

sanitation certificate in respect of the ship -

(a) if the ship is within the area of an authorised port, an

authorised officer may inspect the ship for evidence of danger to

public health or infection with a view to issuing a ship sanitation

certificate<

(b) if the ship is not within such an area, an authorised officer

shall -

(i) consult with a customs officer< and

(ii) direct the ship to proceed at the risk of the master of the

ship to an area of an authorised port convenient to the ship and the

customs officer.

(2) An authorised officer must issue or cause to be issued a

Ship Sanitation Control Exemption Certificate if, after he has inspected

a ship under sub-regulation (1)(a) hereof, the authorised officer is

satisfied that the ship is exempt from control measures, provided he has

complied with regulation 17(3) hereof.

(3) If, after a ship has been inspected by an authorised officer,

the authorised officer is not satisfied that the ship is exempt from control

measures he shall -

(a)(i) carry out or require to be carried out, under the

supervision of an authorised officer, control measures necessary

for the control of danger to public health or the spread of infection<

(ii) otherwise take or cause to be taken any steps which

he considers necessary to satisfy himself that the ship does

not present a danger to public health and is free of infection.

(4) If the master produces a ship sanitation certificate but the

authorised officer has evidence of danger to public health or infection,

notwithstanding such certificate the authorised officer shall -

(a)(i) carry out or require to be carried out under the

supervision of an authorised officer control measures necessary

for the control of danger to public health or the spread of infection<

(ii) otherwise take or cause to be taken any steps which

he considers necessary to satisfy himself that the ship does

not present a danger to public health and is free of infection.

(5) An authorised officer may extend the period of validity

of a ship sanitation certificate by one month if-

(a) any inspection or control measures required cannot be

carried out at the port<

(b) there is no evidence of danger to public health or infection<

and

(c) the port is authorised to extend the validity of a ship

sanitation certificate.

(6) The master of a ship shall immediately make arrangements

to carry out any control measures required by an authorised officer under

sub-regulations (3)(a) or (4)(a) hereof.

(7) When control measures referred to in sub-regulations

(3)(a) or (4)(a) have been completed to the satisfaction of an authorised

officer, such authorised officer shall -

(a) issue or cause to be issued a Ship Sanitation Control

Certificate< and

(b) note or cause to be noted on the certificate the evidence

found and the control measures taken.

(1) An authorised officer shall ensure that a control measure Control measures

he requires under regulations 17(1)(a)(ii) or 18(3)(a) or (4)(a) consists require

authorisation.

of methods or materials advised by WHO for these procedures, unless

the authorised officer determines that other measures are equally safe

and reliable.

(2) An authorised officer under regulations 17(1)(a)(ii) or

18(3)(a) or 18(4)(a) may require additional health measures to be applied

for preventing danger to public health or the spread of infection in

accordance with Article 43 of the IHR, including isolation of the ship at

a mooring station or otherwise.

(3) The local authority must report the application of any such

additional health measures required under paragraph (2) to the National

IHR Focal Point.

(4) An authorised officer of a port where control measures

are applied must note or cause to be noted on the ship sanitation

certificate in relation to any case where he is of the view that the

conditions under which the measures were carried out were such that a

satisfactory result could not be obtained as regards such case.

(1) A Ship Sanitation Control Exemption Certificate or Ship

Sanitation Control Certificate must conform to the form in Schedule 2

to these regulations.

(2) A ship sanitation certificate issued under regulations 17

or 18 hereof shall be valid for six months from the date of issue.

(3) A copy of every ship sanitation certificate issued shall be

retained at the Port Health Office.

(4) For an inspection relating to the issue of a Ship Sanitation

Control Exemption Certificate or Ship Sanitation Control Certificate,

as the case may be, in respect of ships of the net tonnage specified in

the First Column of Schedule 3 to these regulations, there shall be

leviable by the Superintendent the appropriate fee specified in the

Second Column of the said Schedule.

(1) On the arrival of an infected ship or a suspected ship, or

any other ship on which there has been, during its current voyage and

within the last four weeks before arrival, a case of plague, cholera, yellow

fever or small pox in respect of which the ship has not, outside the

Maltese waters, been subjected to appropriate measures equivalent to

those provided for in these regulations, the master shall take it to a

mooring station unless the medical officer allows or directs otherwise.

(2) When the medical officer has cause to believe that a ship

on arrival may be one to which sub-regulation (1) hereof applies, he

may direct the master to take the ship to a mooring station or to such

other place as he considers desirable.

The medical officer may for the purposes of these regulations Ship may be taken

to mooring station

direct that any ship from a foreign port shall, on arrival, be taken to a for medical

mooring station for medical inspection and such medical officer may, inspection.

if a customs officer is to be the first officer to board the ship, give

notice in writing of such direction to the customs officer, who shall

deliver the notice to the master.

Where on the arrival of a ship from a foreign port it appears Ship falling under

regulation 21(1).

to a customs officer, from information in the Maritime Declaration of

Health or otherwise, that the ship is one to which regulation 21 (1)

applies, he shall direct the master to take it to a mooring station for

detention thereat, unless a medical officer otherwise allows or directs.

If after the arrival of a ship a case of plague, cholera, yellow Plague, etc.

discovered after

fever, smallpox, rabies or viral haemorrhagic fever occurs on board, or arrival of a ship.

an animal infected with any such disease is discovered or suspected of

being on board, the authorised officer may direct the master to take the

ship to a mooring station.

A ship which has been taken to a mooring station or directed Ship to remain at

mooring station

there by a medical officer shall remain there until it has been inspected until inspected.

to the satisfaction of said officer.

A medical officer may detain, or give notice in writing to a Medical officer may

detain a ship.

customs officer to detain any ship for medical inspection at its place of

mooring, not being a mooring station, or at its place of discharge or

loading.

The detention of a ship by a customs officer under these Duration of

regulations shall cease as soon as the ship has been inspected by the detention.

medical officer or, if such inspection has not commenced within

twelve hours after the ship has been detained, on the expiration of

that period>

Provided that nothing in this regulation shall affect the power of the

medical officer to continue the detention of a ship under regulation

28. (1) The medical officer shall inspect any ship and the persons Persons from

on board as soon as possible after it has been taken or directed to a infected areas.

mooring station or after it has been detained under these regulations.

(2) If the ship is one to which the medical officer is required

to apply any further measures under these regulations or the additional

measures referred to in Schedule 4, or if after such inspection he

considers it necessary to apply any such additional measures, he may

detain the ship at the mooring station or at such other place as he

considers desirable, or continue the detention, as the case may be, if

such detention or continued detention is necessary for the application

of such further or additional measures.

The authorised officer may require the master of a ship which,

under these regulations, has been taken or directed to a mooring station

or detained because rodents have been discovered or there are reasonable

grounds for suspecting that rodents are on board to take all practicable

measures to prevent the escape of rodents from the ship.

On arrival of a ship the medical officer may place under

surveillance for the appropriate period specified in regulation 36(1)-

(a) any person disembarking from the ship who has come

from an infected area with cholera, small pox or viral haemorrhagic

fever< and

(b) any suspect disembarking from the ship who has come

from an area infected with yellow fever, plague, lassa fever, viral

haemorrhagic fever or marburg disease.

The medical officer shall, if so required by the master of the

Removal of infected

ship on arrival, cause any infected person to be removed from the ship.

Without prejudice to any other provision in these regulations,

additional measures.

the additional measures referred to in Schedule 4 shall be applicable on

the arrival of-

(a) any infected ship or suspected ship<

(b) any ship which has during its voyage been in an area

infected with plague, cholera, yellow fever, lassa fever, rabies,

viral haemorrhagic fever or marburg disease<

(c) any suspect for smallpox on a ship other than an infected

ship<

(d) any other ship when the medical officer is satisfied that,

notwithstanding that measures equivalent to such additional

measures have been applied to the ship or any person on board

since such previous application of an infected person or suspect

and that it is necessary again to apply any such measure, or the

medical officer has evidence that a previous application was not

effective.

PART IV - OUTGOING SHIPS

Where a ship is due to depart for a destination, whether final Examination, etc.,

of persons

or intermediate, outside Malta, the medical officer -

proposing to

embark.

(a) may examine any person who proposes to embark on the

ship if he has reasonable grounds for believing him to be suffering

from plague, cholera, yellow fever, smallpox or viral haemorrhagic

fever< and-

(i) if after an examination the medical officer is of the

opinion that the person shows symptoms of one of the

diseases, the medical officer shall prohibit the embarkation

of the person<

(ii) the time and place of an examination shall be arranged

-

(1) to take into account any other formalities< and

(2) to avoid delay<

(b) shall prohibit any suspect from embarking thereon>

Provided that, in the case of smallpox, a person shall not be

prohibited from embarkation if he satisfies the medical officer that he

is sufficiently protected by vaccination or by a previous attack of

smallpox<

(c) shall notify by the most expeditious means the master and,

also, the local authority of the place to which the person is proceeding

of any person embarking or proposing to continue his voyage thereon

who, in the opinion of the medical officer, should be placed under

surveillance<

(d) notwithstanding the provisions of paragraph (a)(ii) hereof, a

person on an international voyage who on arrival was placed under

surveillance may be allowed to continue his voyage. The medical officer

shall notify by the most expeditious means the local authority for the

place to which the person is proceeding that such a person should, in

the opinion of the medical officer, be placed under surveillance.

(1) Where the Minister has, by notice published in the Gazette,

declared any place to be infected with a disease subject to the

International Health Regulations, or with any other disease which, in

his opinion, constitutes a menace to other countries by reason of its

spread or potential spread, then, until the notice is revoked by a

subsequent notice published in the Gazette, every medical officer shall

comply with any requirement which may be made by the Superintendent

for preventing the spread of the disease, and in particular, but without

prejudice to the generality of the foregoing provisions, the following

provisions of this regulation shall operate in relation to any ship departing

from any port specified by the Superintendent for a destination outside

Malta -

(2) (a) an authorised officer, if so required by the Minister,

shall require a valid vaccination certificate from departing travellers.

In the absence of such a certificate the medical officer may offer

vaccination to any traveller and apply the provisions of regulation 33(c).

(b) the medical officer may, and within three hours after

receiving a request from the master so to do shall, medically

examine any person who proposes to embark on or is on board the

ship.

(c) the medical officer may require any part of the ship which

in his opinion may be infected to be cleansed and disinfected to

his satisfaction.

(d) an authorised officer shall inspect any clothing, bedding

or other article which is on, or is intended to be taken by a person

on, the ship and which, in the opinion of the officer, may have

been exposed to infection and may require the disinfection or

destruction of any such clothing, bedding or article, and the master

shall disclose to the authorised officer any relevant circumstances.

(e) no person shall take or cause to be taken on board the

ship any article which, in the opinion of an authorised officer, is

capable of carrying infection, unless that officer is satisfied that

the ship has been efficiently disinfected and, where necessary,

disinsected.

(f) if the port is situated in an area which is included in such

notice in the Gazette as aforesaid and is therein declared to be

infected with plague, and if there is reason to believe that there are

rodents on the ship, the authorised officer may, and if so required

by the Superintendent shall, take steps to secure the deratting of

the ship.

PART V - MISCELLANEOUS

Every person to whom these regulations apply shall comply Persons to comply

with every direction, requirement or condition given, made or imposed with regulations.

by an authorised officer or customs officer under these regulations, and

shall furnish all such information as any such officer may reasonably

require, including information as to his name, destination, and address

to which he is going on leaving a ship< and every person who has for

the time being the custody or charge of a child or other person who is

under disability shall comply with any direction, requirement or

condition so given, made or imposed, and shall furnish all such

information as aforesaid, in respect of such child or other person.

(1) Where these regulations permit a medical officer to place Time of

surveillance.

a person under surveillance, the period of such surveillance shall not

exceed such of the

following periods as may be appropriate -

(a) in respect of plague, six days<

(b) in respect of cholera, five days<

(c) in respect of yellow fever, six days<

(d) in respect of smallpox, fourteen days<

(e) in respect of typhus, fourteen days<

(f) in respect of lassa fever, viral haemorrhagic fever or

marburg disease, twenty one days.

(2) When a person has been so placed under surveillance for

plague, cholera, smallpox or viral haemorrhagic fever under regulation

30 by reason of his having come from an infected area, the period shall

be reckoned from the date of his leaving the infected area.

(3) When a person has been so placed under surveillance

pursuant to the additional measures referred to in Schedule 4, the period

shall be reckoned in the manner therein specified.

Every person who is placed under surveillance under these Duties of persons

placed under

regulations shall-

surveillance.

(a) give facilities for any medical examination required by

the medical officer or by the medical officer of health for any area

in which he may be during the period of surveillance<

(b) furnish all such information as the medical officer or any

such medical officer of health may reasonably require with a view

to ascertaining the person’s state of health<

(c) forthwith upon arrival during the period of surveillance

at any address other than the one stated as his intended destination

when placed under surveillance, send particulars of that address to

the medical officer<

(d) if so instructed by the medical officer, report immediately

to the medical officer of health for any area in which he may be

during the period of surveillance, and thereafter during that period

report to that officer at such intervals as he may require< provided

that an instruction shall not be given under this sub-paragraph unless

the Superintendent has by direction, whether general or special,

authorised the giving of instructions thereunder.

(1) The local authority may charge the owner or master of a

ship for a service described in sub-regulation (2) in so far as the service

is for preventing-

(a) danger to public health from a ship arriving in any port, or

(b) the spread of infection from a ship leaving any port.

(2) The services mentioned in sub-regulation (1) are-

(a) the inspection of the ship, or the application of measures

required to be applied to the ship, in connection with the issue of a

ship sanitation certificate in respect of the ship<

(b) the extension of the period of validity of a ship sanitation

certificate< or

(c) the application, at the master’s request, of any other

measure that the master of a ship is required by these regulations

to carry out.

(3) A charge for a service under sub-regulation (1) -

(a) shall not exceed the actual cost of the service rendered<

(b) shall be-

(i) published at least ten days in advance of being levied<

(ii) described sufficiently in such manner that the owner

or master of the ship is reasonably informed of the likely

amount of the charge< and

(c) shall not be discriminatory, in particular that -

(i) it shall not be levied so as to make a distinction based

on the nationality, registry or ownership of the ship or

containers, cargo, baggage, goods or postal parcels concerned<

and

(ii) it shall not distinguish between national and foreign

ships or containers, cargo, baggage, goods or postal parcels.

(4) The local authority may require the whole or part of the

amount of a charge for a service under sub-regulation (1) to be paid or

deposited with it before the service is performed.

(5) At the master’s request, a local authority shall provide the

master of a ship with particulars in writing and free of charge in relation

(a) the measures for which a charge under paragraph (1) is

made< and

(b) the reasons why the measures were taken.

(6) At the request of a person in relation to whom measures

have been taken, or of a person in possession of articles in relation to

which measures have been taken, an authorised officer must provide

particulars in writing free of charge of the measures taken and for which

a charge under sub-regulation (1) is made.

(7) Particulars under sub-regulation (6) shall include the date

on which the measures were taken.

Every charge authorised by regulation 20 or 38 shall be Charges to be

recoverable summarily as a civil debt, or as a simple contract debt in recovered

debt.

any court of competent jurisdiction.

Nothing in these regulations shall render liable to detention, Savings in respect

disinfection or destruction any article forming part of any mail conveyed of mail.

under the authority of the Post Office, or of the postal administration,

or shall prejudicially affect the receipt on board and delivery in due

course at the place of destination, of any such mail.

(1) The master of a ship, on arrival or already at port, who is

unwilling to comply with or submit to any provision or requirement

made under any applicable regulation, shall notify the medical officer.

The medical officer may then require the master to remove the ship

immediately from the port.

(2) If before leaving the port the master wishes to discharge

cargo or disembark passengers or take on board fuel, water or stores,

the medical officer shall permit him to do so but may impose such

conditions under these regulations as such officer considers necessary.

(3) When the medical officer has so required the removal of

a ship from port, such ship shall not during its voyage call at any other

port in Malta.

(1) Health Guards may assist the authorised officer in the

execution of these regulations.

(2) The function of Health Guards is to perform monitoring

or surveillance duties as directed by the authorised officer.

Any recommendation issued by WHO for specific ongoing

public health risks pursuant to IHR regarding appropriate health

measures for routine or periodic application needed to prevent or reduce

the international spread of disease and to minimise interference with

international traffic, shall be regarded to have been issued under these

regulations and shall come into force on their date of issue.

B

4 277

Schedule I

Public lI elllth (S hips) Regulations. 2008

~1A RITlI\1I': DECI.A RATION OF HEA.L TU

To be '''mpi<l<d ..... oub .... ".d '0 lhe: C<lmp<I<", ... bocili'" by ' 110, """'en or 111111' IlIriYin, from forci,ft I"'rt<.

Subml1led ot the: p<r<t of .

DOl •.

Name of ship

,Rcgistnol;"n IIMO No. . ..

NBl;onohty .

arriving from

.. ill", 10 .

•

.

. .

M .. t~r·. Name ..

{n.,ofshlp)

GruS!i Ton,,"!,"

Valid SaoltBlioo Control !' .• empt,on I Cootrol C,,"iricatc carried 00 board?

y", I No

dole .

, ......... .

Issued at

H,

R~,ns("".ioo n:qumxl"

Yes I No

11 .. ,lup Ymtro In ,.rrcc.c(i area "lcn"lied by .t.: World H •• I.h OrpnlZilioo?

Ye. I Nu

Port an,1 d,'e of vi .. ,

'H'

I .... porr.. ef coli from con""cncclllen' of ",y.ge with dill". of dCf"'l'lu~ or wilhm poSllh rrly day .. ",h,che: ... r i •

• horter

...

... -- ...... , .. " ,.-- ............. -..... .. ................................. , ......................................................................... .

Upon "'q,-",$l of lh. competen. au,hon.y al lhe perl of orrival. list orew mell1bers. Pf.»<'''aers or other penon.

who h,,,, ,IOlned sblpJvcsscl $1"". ,"lcrnollOnal VllPa<' ""go" Of Wll h ln put Ihlrty doY', .... Iuchcvl!l" i. sl",r,"r.

includIng aUl'o'lslcIl-IInlnes vi.it<:<l in Ihi. I"'nod (odd addi,;"u l na""", '0 ,!or: o"aeiled sch<:<lu le)

(I) Name

(3) .......................... ..

. ... (2).

..... Jumcd from. Cl).....

(2) Nomc

j<Jlncd fro"t; (I).....

. .... (2) .

. . . _ ......... .- .. (3) .. , ...................... ..

(3) Nome...

. jOll ,ed from, (I). __ .. ., .... , ...... (2).

, ...... (3). ...... ...... . ......... .

Num""r of ~n:w "",mile" On boartl.

Number of P .. sco8.'" On boanl . ..

He:lllh Questions

(I) 11 .. ""Y f""'SO" dlC<l on board du",,!: lhe YOY"!:e Olho--rwisc {h'n as a lI'Sul, of H«,d Cflt7

Ye. I No

$'a'.

If ~

pol1,eu lars ID allochcd schc:<luk To",1 no. of dcath!;... . ........ .

(2) [, Ihe ... ott bo&r<l or h .. there been dunn!: ,he ,nlemalional voyage IlIlY

Yes I No

""'se of d,Sl-",-se ",hl(h )'QII ""pec' Il, "" of an wrcc""",. lU\'urc

[f)'Cs, '''''e pantCIJ lan in al1oc hod «hrdule.

Ye; I No

(3) 1[ ... ,be 'otal number ofiU p ... ~ng= dunmg the 1'I.l)'ll~c

been gren'er thon nomllllcxpt."CtlxI'

How many ill pcnons? ......... .

(4) [s 'hc .... ""y ill pcno.. on boIlrd now?

y"" I Ne

If Y"s. Ua'c paniCll lars In allac:hed Ichl.:dulc.

Yes I No

(S) Wo< ~ "",tire.] pta<'li,iooc< <""su l'ed?

If yes. ."Ue parllCIl lan of mcdll:aJ lI"eallIlCn' or adVIce prov,ded la allach.,d ~hc:dulc:.

(6) AA you."""", of any cond,tlon on board whleh may

Yes I No

k-ad to infc"ClIOlI Ol" ,pn.'8tl of dlSOa>e?

''''le

If yes.

p;!rtlCll Lan in ."",,1Ied "hedulc.

(7) Hos lily san,tary melSure (t.ll. qultanl,"O!. i!lOIu,lon. dislOfcction Ol"

Y~ I

No

rk<:onlmUnallOft) been aprlicd on b0M'd7

'ype.

r;b.,., ................................................ " ........

If yes. 'pec,fy

?I~ and

* •• , •• " •••• " .............. ............. *

(8) II000e ""y .IOWOW0Y' I>c.:n rO"M on board?

Yes I No

If)'CO. whe ... did Ihoy join the slit? (ir known)? .................................. ..

Yes I No

(9) Is IMr. 0 s.tek IIIlIIDII Of 1"" on hond?

.1;."""". of a ~"'II""'" lite m","er sl\ould n:gord lite followIOI: .Y"'l'lu" .... ground. for SU$P""hnf.

NoI., In 11",

lhe c~,slen<e of. <I,,,,,,,,,, uf on '"[.c"o"s nlllun

revcr. I"'"i.' i", ro, sc~e .. l day. or o<compalllcd by (i) pr<)!;'ralioo; (i,) d<:<:rca:lCd enn"'''OIl'neS!<; (Ill )

(a)

,l_ndular .,,'dlinJ:;('v) JaundIce:: (v) cOIlJ:h or ,bort"".. or b"'OIh. (,i) unu<ual bl""d,n,. or (v,i)

Pf.mlYSI ••

.. "h or wl,h"" , f~"'r: (,) ony """I" '~ ," ... h or crupu"". (,i) /"""'" v""m,nJ: (other 'han "". SIck"" .. );

(b)

Oii) ""vc.,." d,an-ho", or (' v) ruurreM CQJlvul"on •.

I hereby ""cl"", tha, ~'" puticuln. on d .nswecs 10 the queslion. givcn in thi' Dcda,,"ioo of IIe.hh (in<luding

lhe ",!or:dul~) ore true and COlT"") 10 ,he ,,",s' of my knowkdge. IUld bel"'f

S,r,ned ............................ . .••. " ..... n.

MU"r

.. ... , , . , , ............ .

Counl"cs,&nc:d ................... .

Ship', Su'gron (,f cam.xJ)

Dale .•

ATTACHMENT TO MARITIME DECLARATION OF HEALTH

Nationality

Port, dale

Drugs

Name

Class or

Sex

Nature of

Date of

Reponed

Disposal

Comments

Age

of case*

medicines

joined

Illness

onset of

to a pon

rating

ship /

symptoms

medical

or other

vessel

officer?

treaUllenl

given to

patient

• State: (I) whe~ler ~le person recovered, is still ill or died; and (2) whether ~le person is still on hoard, was evacuated (including ~le name of ~le pon or airport),

or was buried at sea.

Schedule 2

SHIP SANITATION CONTROL EXEMPTION CERTIFICATE I SHIP SANITATION CONTROL CERTIFICATE

Port of .......... Date: ....... .. .. . ..

This Certificate records the inspection and 1) exemption from control or 2) control measures applied

Name of ship or inland navigation vessel .... .......... ... ........ Flag ...................... .... RegistrationlIMO No . .. .... ,.

At die time of inspection the holds were unladen/laden with ...... tonnes of .......................... cargo

Name and address of inspecting officer .. '" ... . .......... '"

Ship Sanitation Control Exempt ion Certificate

Ship Sanitation Contr ol Certificate

Evidence found I

Area .. , (systerns and

Sample

OocumenlOlo reviewed

Control measure. .. applit>d

Re-inspection date

Comments regarding

resul~

serviceS) inspected

conditions found

HoJd(s) I carrto

- passenj:(ers

PQ(able water

Ballast tanks

Solid and medical

Standin!!. water

En1?;ine room

Medical facilities

Other areas specified -

Note areas not

applil.:<lblc, by m<lrking

No evidence found. Sbip/vessells exempU!:d from control measures.

Control measures indica ted were applied OD the date below.

-

Date

Signature and seal

Name and designation ofinspccting officer

I (0) Evidence of infectio n or contamination, including: vectors in nil stages of growth ; animal reservoirs fer vectors; rodents or othcr species that could carry human dJ.s ca !£, microbiological, chemical

and other risks to hu man heal th; signs of inadeqw te sanitary measures. (b) Intormation conceming any human cases (to be included in the Maritime Declaration of Health).

2 Result s from samples taken o n board Analysis to be provided 10 ship's master by most expedIent means and . if re-inspection is required. 10 the nen appropria te port of can coincidin~ wilh the re·

inspection date specified in this ceIlificate.

Sanitation Control Exemption Certifi ctles :l1Id Sanitat io n Control Certifi cates are valid for a maximum of si-.;: months, hut the v3.lidity period may he extended hy or.e month if inspection cannot be

earned out at the port and there is no evi dence o f infection or contamination.

A IT ACHMENT TO SHIP SANITATION CONTROL EXEMPTION CERTIFICATE I SHIP SANITATIO N CONTROL

CERTIFICATE

I:)j

Ship Sanitation Co ntrol Exemption Certificate

Ship Sanitation Control Certificate

t;

Oocuments reviewed

Evidence round'

Rc-inspection date

Areas IracilHies I

Control measures appl ied

Sample

Comments r egarding

o

resultSl

systems Insvected

conditions found

Food

Source

Storage

Preparation

Service

Waler

Source

Storage

Distribution

Waste

Ila lding

Trealment

Oisposal

Swimming pools I spas

Equipment

Operation

Mt.<dkul rudlilit!s

Equipment and medicdl

devices

Operation

Medicines

Other areas inspected

-----

-----

Indicate when the areas listed are not applicable by marking NI A

B

Schedule 3

Fees payable for net tonnage

Net Tonnage

Fees

Up to 1,000 tons

€50

Over 1,000 to 3,000 tons

€70

Over 3,000 to 10,000 ton s

€90

Over 10,000 to 20,000 tons

€1l0

Over 20,000 to 50,000 tons

€130

Over 50,000 tons

€150

Schedule 4

PART 1 - PLAGUE

A. Infected ships and suspected ships

(1) The medical officer may -

(a) require any suspect on board to be disinsected' and may place under

surveillance. the period of surveillance being reckoned from the date of arrival

of the ship ;

(b) require the disinsecting and. if necessary, disinfection of the baggage of any

infected person or suspect. and of any other atticle on board and any part of the

ship which the medical officer considers to be contaminated.

(2) If there is any rodent infected with plague on board the medical officer or other

authorised officer shall require the ship to be deratted in a manner to be determined by

him, but without prejudice to the generality of this requirement the following special

provisions shall apply to any such deratting: -

(a) the deratting shall be carried out as soon as the holds have been emptied or

when they contain only ballast or other material, unattractive to rodents, of such

a nature or so disposed as to make a thorough inspection of the holds poss ible.

A Ship Sanitation Control Exemption Certificate may be issued for an oil tanker

with full holds;

(b) one or more preliminary derattings of a ship with the cargo in situ, or during

its unloading, may be carried out to prevent the escape of infected rodents ;

(c) if the complete destruction of rodents cannot be secured because only part of

the cargo is due to be unloaded, a ship shall not be prevented from unloading

that part, but the medical officer or other authorised officer may apply any

measure which he considers necessary to prevent the escape of infected rodents,

including placing the ship in quarantine.

(3) On arrival of a ship having on board a person suffering from pulmonary plague, or if

there has been a case of pulmonary plague on board a ship within the period of six days

before its arrival, the medical officer may-

(a) can)' out the measures set out in paragraph 1 of Part 1 of this schedule;

(b) require any person on board to be placed in isolation for six days reckoned

from the date of the last exposure to infection .

B. Ships which have been in infected areas

(4) The medical officer may -

(a) place under surveillance any suspect who disembarks ; the period of

surveillance being reckoned from the date of the departure of the ship from the

infected area;

B

(b) regard as suspect any person not isolated for six days before departure from

an area with an epidemic of pulmonary plague;

(c) require, in exceptional circumstances and for well founded reasons, the

destruction of rodents on the ship and disinsecting, but he shall give the master

notice in writing of the reasons for the requirement.

PART n - CHOLERA

Infected ships and suspected ships

Cl) The medical officer -

(a) may place under surveillance any person who disembarks from a ship, the

period of surveillance being reckoned from the date of disembarkation from the

ship;

(b) shall be responsible for the supervision of the removal and safe disposal of

any water, food (excluding cargo), human dejecta, waste water, including bilge

water, waste matter, and any other matter which is considered to be

contaminated, and shall be responsible for the disinfection of water tanks and

food handling equipment.

(2) Foodstuffs calTied as cargo on board ships in which a case of cholera has occurred

during the journey, may not be subjected to bacteriological examination except by the

health authorities of the country of final destination.

PART Ill- YELLOW FEVER

Infected ships, suspected ships, and ships which have been in infected areas

The medical officer may require the ship to be disinsected for the destruction of vectors

of yellow fever which may be on board.

PART IV - SMALLPOX

A. Infected Ships

(1) The medical officer shall offer vaccination to any person on board or disembarking

from the ship who does not show sufficient evidence of protection by a previous attack of

smallpox or who does not satisfy the medical officer that he possesses a valid

International Vaccination Certificate.

(2) The medical officer may either-

(a) place under surveillance any person who disembarks, the period of

surveillance being reckoned from the date on which the medical officer

considers the person was last exposed to infection; or

(b) if he considers any such person is not sufficiently protected against

smallpox, isolate him for a similar period.

(3) The medical officer shall require the disinfection of the baggage of any infected

person, and of any other article on board and any part of the ship which the medical

officer considers to be contaminated.

B. Suspects on other Shi ps

(4) The medical officer may also apply the provisions of paragraphs (1) and (2) of this

part to any suspect who disembarks from a ship which is not an infected ship.

PART V - LASSA FEVER, RABIES, VIRAL HAEMORRHAGIC FEVER OR

MARBURG DISEASE

Infected ships and suspected ships

(1) The medical officer may-

(a) place any suspect on board under surveillance, the period of surveillance

being reckoned from the date of arrival of the ship;

(b) require the disinfection of the baggage of any infected person or suspect, and

of any other article on board and any part of the ship which the medical officer

considers to be contaminated.

(2) If there is any rodent on board the authorised officer may require the ship to be

deratted in a manner to be determined by him, but without prejudice to the generality of

this requirement the following special provisions shall apply to any such deratting:-

(a) the deratting shall be carried out as soon as the holds have been emptied or

when they contain only ballast or other material, unattractive to rodents of such

a nature or so disposed as to make a thorough inspection of the holds possible.

A Ship Sanitation Control Exemption Celtificate may be issued for an oil tanker

with full loads;

(b) one or more preliminary derattings of a ship with the cargo in situ, or during

its unloading, may be carried out to prevent the escape of infected rodents;

(c) if the complete destruction of rodents cannot be secured because only part of

the cargo is due to be unloaded, a ship shall not be prevented from unloading

that part, but the authorised officer may apply any measure which he considers

necessary to prevent the escape of infected rodents, including placing the ship in

quarantine.

Mitbug[ fl-Istamperija tal-Gvern — Printed at the Government Printing Press

€3.35