IHR 1969
Transcript of IHR 1969
-
7/25/2019 IHR 1969
1/82
INTERNATIONAL HEALTH REGULATIONS 1
INTERNATIONAL
HEALTH REGULATIONS
(1969)
adopted by the Twenty-second World Health Assebly !n 1"#"and aended by the Twenty-s!$th World Health Assebly !n 1"%&
andthe Th!rty-'o(rth World Health Assebly !n 1")1
THIR* ANNOTATE* E*ITION
-
7/25/2019 IHR 1969
2/82
INTERNATIONAL HEALTH REGULATIONS +
4(bl!cat!ons o' the World Health Or2an!3at!on en5oy copyr!2ht protect!on !n accordance
w!th the pro6!s!ons o' 4rotocol + o' the Un!6ersal 7opyr!2ht 7on6ent!on8 9or r!2hts o' reprod(ct!onor translat!on o' WHO p(bl!cat!ons, !n part or !n rote, appl!cat!on sho(ld be ade to the O''!ce o'4(bl!cat!ons, World Health Or2an!3at!on, Gene6a8 Sw!t3erland8 The World Health Or2an!3at!onwelcoes s(ch appl!cat!ons8
The des!2nat!ons eployed and the presentat!on o' the ater!al !n th!s p(bl!cat!on do
not !ply the e$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$cepted, the naes o' propr!etary
prod(cts are d!st!n2(!shed by !n!t!al cap!tal letters8
4RINTE* IN ENGLAN*
)+;//% < "1;"11# < 1+00
";100# 71ays - &000
-
7/25/2019 IHR 1969
3/82
INTERNATIONAL HEALTH REGULATIONS &
CONTENTS
INTERNATIONAL HEALTH REGULATIONS =1"#"> ----------------------------- 1
9OREWOR* -------------------------------------------------------------------------------- /
*!scont!n(at!on o' 6acc!nat!on a2a!nst sallpo$ ---------------------------------------
INTERNATIONAL HEALTH REGULATIONS =1"#"> ----------------------------- #
4ART I
-
7/25/2019 IHR 1969
4/82
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 ---------------------------------------------------------------------------
-
7/25/2019 IHR 1969
5/82
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
-
7/25/2019 IHR 1969
6/82
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
-
7/25/2019 IHR 1969
7/82
INTERNATIONAL HEALTH REGULATIONS %
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
-
7/25/2019 IHR 1969
8/82
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 !
-
7/25/2019 IHR 1969
9/82
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
-
7/25/2019 IHR 1969
10/82
1&
INTERNATIONAL HEALTH REGULATIONS 10
*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
-
7/25/2019 IHR 1969
11/82
1
INTERNATIONAL HEALTH REGULATIONS 11
Reservations
-
7/25/2019 IHR 1969
12/82
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 ' !
-
7/25/2019 IHR 1969
13/82
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$cept!onal (r2ency, where there !s r!sF o' the spread o'
a d!sease s(b5ect to the Re2(lat!ons, the pr!or!ty shall be the h!2hest a6a!lable (nder
!nternat!onal teleco(n!cat!on a2reeents8
Article 1&1,
1,
18 Each State shall 'orward ann(ally to the Or2an!3at!on, !n accordance w!th
Art!cle #+ o' the 7onst!t(t!on o' the Or2an!3at!on, !n'orat!on concern!n2 the
occ(rrence o' any case o' a d!sease s(b5ect to the Re2(lat!ons d(e to or carr!edby
!nternat!onal tra''!c, as well as on the act!on taFen (nder these Re2(lat!ons orbear!n2
(pon the!r appl!cat!on8
+8 The Or2an!3at!on shall, on the bas!s o' the !n'orat!on re(!red bypara2raph
1 o' th!s Art!cle, o' the not!'!cat!ons and reports re(!red by these Re2(lat!ons, and o'any other o''!c!al !n'orat!on, prepare an ann(al report on the '(nct!on!n2 o' these
Re2(lat!ons and on the!r e''ect on !nternat!onal tra''!c8
-
7/25/2019 IHR 1969
14/82
INTERNATIONAL HEALTH REGULATIONS 1/
*ART III + HEALTH ORGANI0ATION
Article 1'1-
1
18 Each health ad!n!strat!on shall ens(re that ports and a!rports !n !ts terr!tory
shall ha6e at the!r d!sposal an or2an!3at!on and e(!pent ade(ate 'or the appl!cat!on
o' the eas(res pro6!ded 'or !n these Re2(lat!ons8
+8 E6ery port and a!rport shall be pro6!ded w!th p(re dr!nF!n2-water and
wholesoe 'ood s(ppl!ed 'ro so(rces appro6ed by the health ad!n!strat!on 'or
p(bl!c (se and cons(pt!on on the pre!ses or on board sh!ps or a!rcra't8 The
dr!nF!n2-water and 'ood shall be stored and handled !n s(ch a anner as to ens(re
the!r protect!on a2a!nst conta!nat!on8 The health a(thor!ty shall cond(ct per!od!c
!nspect!ons o' e(!pent, !nstallat!ons and pre!ses, and shall collect saples o'
waterand 'ood 'or laboratory e$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$creent, re'(se, waste water, condened 'ood, and
other atter dan2ero(s to health8
Article 1
There shall be a6a!lable to as any o' the ports and a!rports !n a terr!tory as
pract!cable an or2an!3ed ed!cal and health ser6!ce w!th ade(ate sta'', e(!pent
and pre!ses and !n part!c lar 'ac!l!t!es 'or the propt !solat!on and care o' !n'ected
-
7/25/2019 IHR 1969
15/82
INTERNATIONAL HEALTH REGULATIONS 1
health ad!n!strat!on shall appro6e s(ch ports 'or thatp(rpose8
+8 The health ad!n!strat!on shall des!2nate a n(ber o' these appro6edports,
depend!n2 (pon the 6ol(e and !nc!dence o' !ts !nternat!onal tra''!c, as ha6!n2 at the!r
d!sposal the e(!pent and personnel necessary to derat sh!ps 'or the !ss(e o' the
*eratt!n2 7ert!'!cates re'erred to !n Art!cle &8
&8 Each health ad!n!strat!on wh!ch so des!2nates ports shall ens(re that
*eratt!n2 7ert!'!cates and *eratt!n2 E$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
-
7/25/2019 IHR 1969
16/82
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
-
7/25/2019 IHR 1969
17/82
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
-
7/25/2019 IHR 1969
18/82
INTERNATIONAL HEALTH REGULATIONS 1)
=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
-
7/25/2019 IHR 1969
19/82
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$ped!t!o(s eans the health a(thor!ty
'or the place to wh!ch he !sproceed!n28
-
7/25/2019 IHR 1969
20/82
INTERNATIONAL HEALTH REGULATIONS +0
C" IIIH"' /"s!s A'ic"' 7n *o4s
o Aios o# D"! "n8 A44i$"'
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
-
7/25/2019 IHR 1969
21/82
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
-
7/25/2019 IHR 1969
22/82
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$a!nat!on, w!tho(t pre5(d!ce, howe6er, to the eas(res wh!ch are
per!tted by these Re2(lat!ons to be appl!ed to the sh!p, a!rcra't, tra!n, road 6eh!cle,
other eans o' transport, and conta!ner !' !t arr!6es 'ro an !n'ected area8
&8 Where a health ad!n!strat!on has spec!al probles wh!ch co(ld const!t(te a
2ra6e dan2er to p(bl!c health, !t ay re(!re a person on an !nternat!onal 6oya2e to
2!6e on arr!6al a dest!nat!on address !n wr!t!n28
Article &+
-
7/25/2019 IHR 1969
23/82
INTERNATIONAL HEALTH REGULATIONS +&
s(r6e!llance any s(spect on an !nternat!onal 6oya2e arr!6!n2 by whate6er eans 'ro
an !n'ected area8 S(ch s(r6e!llance ay be cont!n(ed (nt!l the end o' the appropr!ate
per!od o' !nc(bat!on spec!'!ed !n 4art 8
+8 E$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
-
7/25/2019 IHR 1969
24/82
INTERNATIONAL HEALTH REGULATIONS +/
(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 ! ! !
-
7/25/2019 IHR 1969
25/82
INTERNATIONAL HEALTH REGULATIONS +
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
-
7/25/2019 IHR 1969
26/82
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 !
-
7/25/2019 IHR 1969
27/82
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$a!nat!on o'
rodents and the!r ectoparas!tes o' the cond!t!ons !n any area, espec!ally any port ora!rport, !n'ected or s(spected o' be!n2 !n'ected by rodent pla2(e8
+8 *(r!n2 the stay o' a sh!p or an a!rcra't !n a port or an a!rport !n'ected by
-
7/25/2019 IHR 1969
28/82
/8 I' a 6al!d cert!'!cate !s not prod(ced, the health a(thor!ty 'or a port appro6ed
(nder Art!cle 1%, a'ter !n(!ry and !nspect!on, ay proceed !n the 'ollow!n2 annerK
=a> I' the port has been des!2nated (nder para2raph + o' Art!cle 1%,
the health a(thor!ty ay derat the sh!p or ca(se the deratt!n2 to be done
(nder !ts d!rect!on and control8 It shall dec!de !n each case the
techn!(e wh!ch sho(ld be eployed to sec(re the e$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
-
7/25/2019 IHR 1969
29/82
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$pos(re to !n'ect!on8
&8 I' there !s rodent pla2(e on board a sh!p, or !n !ts conta!ners, !t shallbe
d!s!nsected and deratted, !' necessary !n (arant!ne, !n the anner pro6!ded 'or !n
-
7/25/2019 IHR 1969
30/82
=c> !' the coplete destr(ct!on o' rodents cannot be sec(red
beca(se only part o' the car2o !s d(e to be (nloaded, a sh!p shall notbe
pre6ented 'ro (nload!n2 that part, b(t the health a(thor!ty ay applyany eas(res, !ncl(d!n2 plac!n2 the sh!p !n (arant!ne, wh!ch !t
cons!ders necessary to pre6ent the escape o' !n'ected rodents8
/8 I' a rodent !n'ected w!th pla2(e !s 'o(nd on board an a!rcra't, the a!rcra't shall
be d!s!nsected and deratted, !' necessary !n (arant!ne8
Article ,
A sh!p shall cease to be re2arded as !n'ected or s(spected, or an a!rcra't shall
cease to be re2arded as !n'ected, when the eas(res re(!red by the health a(thor!ty
!n accordance w!th Art!cles &) and % ha6e been e''ect!6ely carr!ed o(t, or when the
health a(thor!ty !s sat!s'!ed that the abnoral ortal!ty aon2 rodents !s not d(e to
pla2(e8 The sh!p or a!rcra't shall there(pon be 2!6en 'ree prat!(e8
Article -
On arr!6al, a healthy sh!p or a!rcra't shall be 2!6en 'ree prat!(e, b(t, !' !t has
coe 'ro an !n'ected area, the health a(thor!ty ayK=a> place (nder s(r6e!llance any s(spect who d!sebarFs, 'or a
per!od o' not ore than s!$ 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$cept!onal cases and 'or well-'o(nded reasons wh!ch
shall be co(n!cated !n wr!t!n2 to the aster8
Article *.
-
7/25/2019 IHR 1969
31/82
C" IICo'34"34
31
Article *1
days89or the p(rposes o' these Re2(lat!ons the !nc(bat!on per!od o' cholera !s '!6e
Article *
18 I' on arr!6al o' a sh!p, a!rcra't, tra!n, road 6eh!cle or other eans o' transport acase o' cholera !s d!sco6ered, or a case has occ(rred on board, the health a(thor!ty =a>
ay apply s(r6e!llance or !solat!on o' s(spects aon2 passen2ers or crew 'or a per!od
not to e$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$cept by the health a(thor!t!es
o' the co(ntry o' '!nal dest!nat!on8
Article *'
-
7/25/2019 IHR 1969
32/82
C" III
-
7/25/2019 IHR 1969
33/82
A health a(thor!ty !n an area where the 6ector o' yellow 'e6er !s present ay
re(!re a person on an !nternat!onal 6oya2e, who has coe 'ro an !n'ected area and
!s (nable to prod(ce a 6al!d cert!'!cate o' 6acc!nat!on a2a!nst yellow 'e6er, tobe
!solated (nt!l h!s cert!'!cate becoes 6al!d, or (nt!l a per!od o' not ore than s!$ 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
-
7/25/2019 IHR 1969
34/82
+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 +
-
7/25/2019 IHR 1969
35/82
*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 ! ! ! ! ' !
-
7/25/2019 IHR 1969
36/82
=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,
-
7/25/2019 IHR 1969
37/82
&
*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
-
7/25/2019 IHR 1969
38/82
&
*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
-
7/25/2019 IHR 1969
39/82
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$chan2e o' ep!de!olo2!cal !n'orat!onbetween ne!2hbo(r!n2 terr!tor!esJ
(b) the health eas(res to be appl!ed to !nternat!onal coastal tra''!c
and to !nternat!onal tra''!c on !nland waterways, !ncl(d!n2 laFesJ
=c> the health eas(res to be appl!ed !n cont!2(o(s terr!tor!es at
the!r coon 'ront!erJ
=d> the cob!nat!on o' two or ore terr!tor!es !nto one terr!tory 'or
the p(rposes o' any o' the health eas(res to be appl!ed !n accordance
w!th these Re2(lat!onsJ(e) arran2eents 'or carry!n2 !n'ected persons by eans o'
transport spec!ally adapted 'or thep(rpose8
+8 The treat!es or arran2eents re'erred to !n para2raph 1 o' th!s Art!cle shall not
be !n con'l!ct w!th the pro6!s!ons o' these Re2(lat!ons8
&8 States shall !n'or the Or2an!3at!on o' any s(ch treaty or arran2eent wh!ch
they ay concl(de8 The Or2an!3at!on shall send !ed!ately to all healthad!n!strat!ons !n'orat!on concern!n2 any s(ch treaty or arran2eent8
-
7/25/2019 IHR 1969
40/82
*ART I= + FINAL *ROISIONS
Article ,*
18 These Re2(lat!ons, s(b5ect to the pro6!s!ons o' Art!cle )) and the e$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$!st!n2
Internat!onal San!tary 7on6ent!ons, Re2(lat!ons and s!!lar a2reeentsK
=a> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, & *eceber1"0&J
(b) 4an Aer!can San!tary 7on6ent!on, s!2ned !n Wash!n2ton, 1/
October 1"0J
=c> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, 1% Ban(ary
1"1+J =d> Internat!onal San!tary 7on6ent!on, s!2ned !n 4ar!s, +1 B(ne
1"+#J
=e> Internat!onal San!tary 7on6ent!on 'or Aer!al Na6!2at!on, s!2ned
at The Ha2(e, 1+ Apr!l 1"&&J
='> Internat!onal A2reeent 'or d!spens!n2 w!th .!lls o' Health,
s!2ned !n 4ar!s, ++ *eceber 1"&/J
=2> Internat!onal A2reeent 'or d!spens!n2 w!th 7ons(lar !sas on
.!lls o' Health, s!2ned !n 4ar!s, ++ *eceber 1"&/J
=h> 7on6ent!on od!'y!n2 the Internat!onal San!tary 7on6ent!on o'
+1 B(ne 1"+#, s!2ned !n 4ar!s, &1 October 1"&)J
=!> Internat!onal San!tary 7on6ent!on, 1"//, od!'y!n2 the
Internat!onal San!tary 7on6ent!on o' +1 B(ne 1"+#, opened 'or
s!2nat(re !n Wash!n2ton, 1 *eceber 1"//J=5> Internat!onal San!tary 7on6ent!on 'or Aer!al Na6!2at!on, 1"//,
od!'y!n2 the Internat!onal San!tary 7on6ent!on o' 1+ Apr!l 1"&&,
opened 'or s!2nat(re !n Wash!n2ton 1 *eceber 1"//J
-
7/25/2019 IHR 1969
41/82
+8 S(ch per!od ay, by not!'!cat!on to the *!rector-General, be e$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
-
7/25/2019 IHR 1969
42/82
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
-
7/25/2019 IHR 1969
43/82
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
-
7/25/2019 IHR 1969
44/82
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>
-
7/25/2019 IHR 1969
45/82
/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
-
7/25/2019 IHR 1969
46/82
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$ept!on Iss(ed at ------------------------------------------------------------------------------------
N(ber O' 7ab!n --------------------------------------------- N(ber o' crew -------------------------------
passen2ers *ecF --------------------------------------------------------------------------------------------------
L!st o' ports o' call 'ro coenceent o' 6oya2e w!th dates o' depart(reK
--------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------
Health (est!ons Answer
Ces orNo
18 Has there been on board d(r!n2 the 6oya2e/%41 any case or s(spected caseo' pla2(e, cholera or yellow 'e6erQ G!6e part!c(lars !n Sched(le8
-
7/25/2019 IHR 1969
47/82
INTERNATIONAL HEALTH REGULATIONS /%
#8 Are yo( aware o' any other cond!t!on on board wh!ch ay lead to
!n'ect!on or the spread o' d!seaseQ 88888888888888
I hereby declare that the part!c(lars and answers to the (est!ons 2!6en !n th!s *eclarat!on o'Health =!ncl(d!n2 the Sched(le> are tr(e and correct to the best o' y Fnowled2e andbel!e'8
S!2ned
?aster
7o(nters!2ned ---------------------------------------------------
*ate ------------------------------------------------------- Sh!p:s S(r2eon
-
7/25/2019 IHR 1969
48/82
-
7/25/2019 IHR 1969
49/82
INTERNATIONAL HEALTH REGULATIONS /"
An8i 3 (continued) SCHEDULE
TO THE DECLARATION 4art!c(lars o' e6ery case
o' !llness or death occ(rr!n2 onboard
Nae 7lass orrat!n2
A2e Se$ 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
-
7/25/2019 IHR 1969
50/82
INTERNATIONAL HEALTH REGULATIONS 0
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
-
7/25/2019 IHR 1969
51/82
INTERNATIONAL HEALTH REGULATIONS 1
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
-
7/25/2019 IHR 1969
52/82
INTERNATIONAL HEALTH REGULATIONS +
ANNE=ES
-
7/25/2019 IHR 1969
53/82
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$"ions
I Internat!onal Health Re2(lat!ons =1"#">
II Add!t!onal Re2(lat!ons, 1"%&III Add!t!onal Re2(lat!ons, 1")1
R .o(nd w!th reser6at!ons- Notbo(nd
-
7/25/2019 IHR 1969
54/82
INTERNATIONAL HEALTH REGULATIONS /
A'2han!stan
Alban!a
Al2er!aAn2ola
Ant!2(a and .arb(da
Ar2ent!na
Aren!a
A(stral!a
A(str!a
A3erba!5an
.ahaas
.ahra!n
.an2ladesh
.arbados
.elar(s
.el2!(
.el!3e
.en!n
.h(tan
.ol!6!a
.osn!a and Her3e2o6!na
.otswana
.ra3!l
.r(ne! *ar(ssala
.(l2ar!a
.(rF!na 9aso
.(r(nd!
7abod!a
7aeroon
7anada
7ape erde
7entral A'r!can Rep(bl!c
I
-
II
-
III
-
-
7/25/2019 IHR 1969
55/82
INTERNATIONAL HEALTH REGULATIONS
7had
7h!le
7h!na
7olob!a
7ooros
7on2o7ooF Islands
7osta R!ca
7ote d:l6o!re
7roat!a
7(ba
7ypr(s
73ech Rep(bl!c
*eocrat!c 4eoples
Rep(bl!c o' orea
*enarF
*5!bo(t!*o!n!ca
*o!n!can Rep(bl!c
Ec(ador
E2ypt
El Sal6ador
E(ator!al G(!nea
Entrea
Eston!a
Eth!op!a
9!5!
9!nland
9rance
Gabon
Gab!a
Geor2!a
Gerany
Ghana
Greece
R -
-
7/25/2019 IHR 1969
56/82
INTERNATIONAL HEALTH REGULATIONS #
Grenada
G(ateala
G(!neaG(!nea-.!ssa(
G(yana
Ha!t!Holy See
Hond(ras
H(n2ary
Iceland
Ind!a
Indones!aIran =Isla!c Rep(bl!c o'>
Ira
Ireland
Israel
ItalyBaa!ca
Bapan
Bordan
a3aFhstan
enya
!r!bat!
(wa!t
yr2y3stanLao 4eople:s *eocrat!c
Rep(bl!c
Lat6!a
Lebanon
Lesotho
L!ber!aL!byan Arab Baah!r!ya
L!echtenste!n
L!th(an!a
L($ebo(r2
R R
-
-
-
7/25/2019 IHR 1969
57/82
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
-
-
-
-
7/25/2019 IHR 1969
58/82
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
-
7/25/2019 IHR 1969
59/82
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
-
7/25/2019 IHR 1969
60/82
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/
-
7/25/2019 IHR 1969
61/82
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
-
7/25/2019 IHR 1969
62/82
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$, w!th!n +/ ho(rs o'
the health ad!n!strat!on be!n2 !n'ored8
/8 Not!'!cat!on that a sh!p or a!rcra't has arr!6ed
w!thone or ore cases o' a d!sease s(b5ect to the
Re2(lat!ons on board, to2ether w!th the nae o' the sh!p
or 'l!2ht n(ber o' the a!rcra't, pre6!o(s and s(bse(ent
ports o' call, and the health eas(res taFen w!th respect
to the sh!p or a!rcra't
Art!cle &, para2raph + (b) .y tele2ra or tele$, within +/ ho(rs o'
the health ad!n!strat!on be!n2 !n'ored8
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$, as soon
as e6!dence has been establ!shed8 Report
-
7/25/2019 IHR 1969
63/82
INTERNATIONAL HEALTH REGULATIONS #&
os(!tos or !n 6ertebrates other than an, or thepla2(e
bac!ll(s, !n any part o' !ts terr!tory8 Th!s not!'!cat!on !s to
be 'ollowed by a report !nd!cat!n2 the e$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$, once weeFly, when
-
7/25/2019 IHR 1969
64/82
INTERNATIONAL HEALTH REGULATIONS #/
to the Re2(lat!ons and deaths there'ro d(r!n2 the
pre6!o(s weeF !n each o' !ts towns and c!t!es ad5acent toa port or an a!rport, !ncl(d!n2 any !ported or trans'erred
cases
s(ch cases and deaths occ(r8
1#8 *(r!n2 the per!ods re'erred to !n s(bpara2raphs
=a>, (b) and =c> o' para2raph + o' Art!cle %, report o' theabsence o' cases o' d!seases s(b5ect to the Re2(lat!ons
pro each o' !ts towns and c!t!es ad5acent to a port or an
a!rport
Art!cle " =b> .y a!ra!l, once weeFly, (nt!l theper!ods
stated !n s(bpara2raphs =a>, (b) and =c> o'para2raph + o' Art!cle % ha6e elapsed8
1%8 In'orat!on concern!n2 the occ(rrence o' any
case o' a d!sease s(b5ect to the Re2(lat!ons d(e to or
carr!ed by !nternat!onal tra''!c, as well as on the act!on
taFen (nder the Re2(lat!ons or bear!n2 (pon the!r
appl!cat!on
Art!cle 1&, para2raph I .y a!ra!l,#0/ once yearly
1)8 *ata on the e$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
-
7/25/2019 IHR 1969
65/82
INTERNATIONAL HEALTH REGULATIONS #
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
-
7/25/2019 IHR 1969
66/82
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
-
7/25/2019 IHR 1969
67/82
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
-
7/25/2019 IHR 1969
68/82
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
-
7/25/2019 IHR 1969
69/82
=a> 6oya2es o' a d(rat!on o' +/ ho(rs or ore
-
7/25/2019 IHR 1969
70/82
INTERNATIONAL HEALTH REGULATIONS %0
!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$es thereto, 2o6ern!n2 the transport o'
-
7/25/2019 IHR 1969
71/82
INTERNATIONAL HEALTH REGULATIONS %1
passen2ers by a!r, the appl!cat!on o' wh!ch ay a''ect the health o' s(ch passen2ers, shall be e(ally en'orced whether an a!rcra't !s carry!n2
persons taF!n2 part !n per!od!c ass con2re2at!ons or otherpassen2ers8
+8 A health ad!n!strat!on ay re(!re a!rcra't carry!n2 persons taF!n2 part !n per!od!c ass con2re2at!ons to land only at a!rports !n !ts
terr!tory des!2nated by !t 'or the d!sebarF!n2 o' s(chpassen2ers8
-
7/25/2019 IHR 1969
72/82
INTERNATIONAL HEALTH REGULATIONS %+
Ann I
/ODEL OF A CORRECTL< CO/*LETED INTERNATIONAL CERTIFICATE OF ACCINATION
5o be valid in international traffic# vaccination certificates ust beprinted in English and French6 a third language ay be added7 5he
certificate ust be fully and correctly completed in English and French6 copletion in another language in addition is not excluded7- 3our 8tre
valables dans les voyages internationaux# les certificats de vaccination doivent 8tre imprims en franais et en anglais6 une troisi9e langue
peut8tre ajout:e7 ;e certificat doit 8tre copl9teent et correcteent rempli en franais ou en anglais# avec addition facultative d
-
7/25/2019 IHR 1969
73/82
INTERNATIONAL HEALTH REGULATIONS %&
-
7/25/2019 IHR 1969
74/82
INTERNATIONAL HEALTH REGULATIONS %/
WHO PUBLICATIONS OF RELATED INTEREST
Weekly Epidemiological RecordAn essential weekly instrument for the collation and dissemination of epidemiological data useful in disease surveillance and control. he !"# also
serves as a medium for reporting experiences in !$%&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