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i  QUARANTINE LAWS AND  REGULATIONS
OF THE
UNITED  STATES
  REVISED EDITION.

NOVEMBER 13, 1899.
     WASHINGTON:
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        1899, 
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TREASURY  DEPARTMENT.
QUARANTINE LAWS AND REGULATIONS
OF THE
UNITED  STATES.
  REVISED EDITION.

NOVEMBER 13, 1899.
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         WASHINGTON:
   GOVERNMENT PRINTING OFFICE.
            1899. 
u^Ji>
Treasury Department,
  Document No. 2154.
Marine-Hospital Service. 
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      LIBRARY
HYGIENIC LABORATORY
  WASHINGTON, 1>. A
UNITED  STATES QUARANTINE  LAWS  AND
                   REGULATIONS.
                      (Revised Edition.)
                        Treasury Department,
      Office of the Supervising Surgeon-General,
               United States Marine-Hospital  Service,
                       Washington, D. C, November 13, 1899.
To Medical Officers of the Marine-Hospital Service, Quarantine Offi-
  cers,  Collectors of  Customs, Consular Officers,  and others con-
  cerned :
  Pursuant  to the act of Congress  approved February 15, 1893,
entitled "An act granting additional quarantine powers and impos-
ing additional duties upon the Marine-Hospital Service," and other
quarantine laws,  the following regulations, which embody those pub-
lished on April 26, 1894, and all Department circulars pertaining to
the same  issued  since that date,  are hereby promulgated for  the
information  and guidance of all concerned.
                                     Walter Wyman,
                  Supervising Surg eon-General U. S. M. H. S.
  Approved.
     L. J. Gage, Secretary.
                                                    3 
 
      QUARANTINE LAWS OF THE UNITED STATES.

AN ACT granting additional quarantine powers and imposing additional duties
                   upon the Marine-Hospital Service.

                       [Approved, February 15,1893.]

  Be it enacted by the Senate and House of Representatives of the
 United States of America in Congress assembled,  That it shall be
unlawful for any merchant ship or other vessel from any foreign port
or place of [to] enter any port of the United States except in accord-
ance with the provisions of  this act and with such rules and regula-
tions of State and municipal health authorities as may be made in
pursuance of, or consistent with, this act; and any such vessel which
shall enter, or attempt to enter, a port of the United States in viola-
tion thereof shall forfeit to the United States a sum, to be awarded in
the  discretion of  the court, not exceeding five thousand dollars,
which shall be a lien upon said vessel, to be recovered by proceedings
in the proper district court of the United States.   In all such pro-
ceedings the  United States district attorney for such district shall
appear on behalf of the United States; and all such proceedings shall
be conducted in accordance with the rules and  laws governing cases
of seizure of vessels for violation of the revenue laws of the United
 States.
  Sec. 2.  That any vessel at any foreign port clearing for any port or
 place in the United States shall be required to obtain from the consul,
vice-consul, or other consular officer of the United States at the port
 of departure, or from the medical officer where  such officer has been
 detailed b/the President for that purpose, a bill of health, in duplicate,
in the form prescribed by the Secretary of the Treasury, setting forth
 the sanitary history and condition of said vessel, and that it has in all
 respects complied with the  rules and regulations in such cases pre-
 scribed for securing the best sanitary condition of the said vessel, its
 cargo, passengers, and crew; and said consular or medical officer is
required, before granting such duplicate bill of health, to be satisfied
that the matters and things therein stated are true; and for his serv-
ices in that behalf  he shall be entitled to demand and receive such
fees as shall by lawful regulation be allowed, to be accounted for as
is required in other cases.
  The President, in his discretion, is authorized to detail any medical
officer of the Government to serve in the office of the consul at  any
foreign port for the purpose of furnishing information and making the
inspection and giving the bills of health hereinbefore mentioned.  Any
vessel clearing and sailing  from any such port without such bill of
health, and entering any port of the United States, shall forfeit to the
United States not more than five thousand dollars,  the amount to be
determined by the court, which shall be a  lien on the same, to be
recovered by proceedings in the proper district court of the United
States.   In all such  proceedings the United States district attorney
for such district shall appear on behalf of the United States; and all
such proceedings shall be conducted in accordance with the rules and
laws governing cases of seizure of vessels for violation of the revenue
laws of the United States.
                                                            5 
6
  Sec. 3. That the Supervising Surgeon-General of the Marine-Hospi-
tal Service shall, immediately after this act takes effect, examine the
quarantine regulations of all State and municipal boards of health, and
shall, under the direction of the Secretary of the Treasury, cooperate
with and aid State and  municipal boards of health in the  execution
and enforcement of the rules and regulations of such boards and in
the execution  and  enforcement of the rules and regulations made
by the Secretary of the Treasury,  to  prevent the  introduction  of
contagious or infectious diseases into the United States from foreign
countries, and into one State  or Territory or the District of  Columbia
from another State or Territory or the District  of Columbia; and all
rules  and regulations made by the Secretary of the Treasury  shall
operate uniformly and in no manner discriminate  against any port
or place; and at such ports and places within  the United  States as
have no quarantine regulations under  State or  municipal authority,
where such regulations are,  in the opinion of the Secretary of the
Treasury, necessary to prevent the introduction of contagious or infec-
tious  diseases into the United States from foreign countries, or into
one State or Territory or the District of  Columbia from another State
or Territory or the District of Columbia, and at  such ports and places
within the United States where quarantine regulations exist  under the
authority  of the State or municipality  which, in the opinion of the
Secretary of the Treasury, are not sufficient to prevent the  introduc-
tion of such diseases into the United States, or  into one State or  Ter-
ritory or the District of  Columbia from  another State or Territory or
the District of  Columbia, the Secretary of the  Treasury shall, if in
his judgment it is necessary and  proper, make  such  additional rules
and regulations as are necessary to prevent the introduction of  such
diseases into the  United States  from foreign countries, or into one
State  or Territory or the District of  Columbia from another State or
Territory or the District of  Columbia, and when said rules  and regu-
lations have been made they shall be promulgated by the Secretary of
the Treasury and enforced by the sanitary authorities of the States
and municipalities, where the State  or municipal health authorities
will undertake to execute and enforce them; but if the State  or munic-
ipal authorities shall fail or refuse to enforce said rules and regula-
tions the President shall execute and enforce the same and adopt such
measures as in,his judgment shall be necessary to prevent  the intro-
duction or spread of such diseases, and  may detail or appoint officers
for that purpose.  The Secretary of the Treasury shall make  such
rules and regulations as are necessary to be observed by vessels at the
port of departure and on the voyage,  where such vessels sail from any
foreign port or place to any port or place in  the United  States, to
secure the best  sanitary condition of such vessel, her cargo, passen-
gers, and crew; which shall be published and  communicated to and
enforced by the consular officers of the United  States.  None of the
penalties herein imposed shall attach to any vessel or owner or officer
thereof until a  copy of this act, with the rules  and regulations made
in pursuance thereof, has been posted up in the  office of the consul or
other  consular  officer of the  United  States for ten days, in the port
from which said vessel sailed; and the certificate of  such  consul or
consular officer over his official signature shall be competent evidence
of such posting in any court of the United States.
  Sec. 4. That it shall be the duty of the Supervising Surgeon-General
of the Marine-Hospital  Service, under the direction of the  Secretary
of the Treasury, to perform  all  the  duties in respect to quarantine 
7
and quarantine regulations which are provided for by this act, and to
obtain information of the sanitary condition of foreign ports and
places from which contagious and infectious diseases are or may be
imported into the United States, and to this end the consular officer
of the United States at such ports and places as shall be designated
by the Secretary of the Treasury shall  make  to the Secretary of the
Treasury weekly reports of the sanitary condition of  the ports and
places at  which they are  respectively  stationed, according  to such
forms as the Secretary of the Treasury shall  prescribe; and  the Sec-
retary of the Treasury shall also obtain, through all sources accessi-
ble, including State and  municipal sanitary authorities throughout
the United  States, weekly reports of the sanitary condition of ports
and places within the United States, and shall prepare, publish, and
transmit to collectors of customs and to State and municipal health
officers  and other sanitarians weekly abstracts of the consular sani-
tary reports and other pertinent information received by him, and
shall also, as far as he may be able,  by means of the voluntary coop-
eration of State and municipal authorities, of public associations, and
private persons, procure information relating to the climatic and other
conditions affecting the  public health, and  shall make an annual
report of his operations to Congress, with such recommendations as
he may deem important to the public interests.
   Sec.  5.  That the Secretary of the  Treasury shall from time to time
issue to the consular  officers of  the  United States and to the medical
officers serving at any foreign port, and otherwise make publicly
known, the rules  and regulations made by him, to be used and com-
plied with by vessels in foreign ports, for securing the best  sanitary
condition of such vessels, their cargoes, passengers, and crew, before
their departure for any port in the United States, and in the course of
the voyage; and  all such  other rules and  regulations as shall be
observed in the inspection of the same on the arrival  thereof at any
quarantine station at the port of destination, and for the disinfection
and isolation of the same, and the treatment of  cargo and persons on
board,  so as to prevent the  introduction of  cholera, yellow fever, or
other contagious or infectious diseases; and it shall not be lawful for
any vessel to enter said port to discharge its cargo, or land its passen-
gers, except upon a certificate of the health officer at such quarantine
station certifying that said rules and regulations have in all respects
been observed and complied with, as well on his part as on the part of
the said vessel and its master, in respect to the same and to its cargo,
passengers, and crew; and the master of every such vessel shall pro-
duce and  deliver to the  collector of customs at said port of  entry,
together with the other papers of the vessel, the said bills of health
required to be obtained at the port of departure  and the certificate
herein  required to be obtained from the health officer at  the port
 of entry; and that the bills of health herein  prescribed shall be con-
 sidered as  part of the ship's papers, and when duly certified to by
 the proper  consular officer or other officer of the United States, over
 his official signature  and seal, shall be accepted as evidence of the
 statements therein contained in any court of the United States.
   Sec.  6.  That on the arrival of an infected vessel at any port not pro-
 vided with proper facilities for treatment of  the same, the Secretary
 of the  Treasury may remand said vessel,  at  its own expense, to the
 nearest national or other quarantine station, where accommodations
 and appliances are provided for the necessary disinfection and treat-
 ment of the vessel, passengers, and  cargo;  and after treatment of any 
&
infected vessel at a national quarantine station, and after certificate
shall have been given by the United States quarantine officer at said
station that the vessel, cargo, and passengers are each and all free
from infectious disease, or danger of conveying the same, said vessel
shall be admitted to entry to any port of the United  States named
within the certificate.   But at any ports where sufficient quarantine
provision has been made by State or local authorities the Secretary of
the Treasury may direct vessels bound for said ports to undergo quar-
antine at said State or local station.
  Sec. 7. That whenever it shall be shown to the satisfaction of the
President that by reason of the existence of cholera or other infectious
or contagious  diseases in a foreign country there is serious danger of
the introduction of the same into the United States, and that notwith-
standing the quarantine defense this danger is so increased by the
introduction of persons or property from such country that a suspen-
sion of the right to introduce the same is demanded in the interest of
the public health, the President shall have power to prohibit, in whole
or in part, the introduction of persons and property from such coun-
tries or places as he shall designate and for such period of time as he
may deem necessary.
  Sec. 8. That whenever the proper authorities of a State shall sur-
render to the United States the use of the buildings and disinfecting
apparatus at a State quarantine station  the Secretary of the Treasury
shall be authorized to receive them and to pay a reasonable compensa-
tion to the State for their use, if, in his opinion, they are necessary to
the United States.
  Sec. 9. That the act entitled 'An act to  prevent the introduction
of infectious  or contagious diseases into  the United States, and to
establish a national board of health," approved March 3, 1879, be, and
the same is hereby, repealed.  And the  Secretary of the Treasury is
directed to obtain possession of any property,  furniture, books, paper,
or records belonging to the United States which are not in the posses-
sion of an officer of the United States under the Treasury Department
which were formerly in the use of the National Board of Health or any
officer or employe" thereof.

                  [Act of Congress, approved August 18,1894.]

AN ACT to amend section two of the act approved February fifteenth, eighteen
  hundred and ninety-three, entitled "An  act granting additional quarantine
  powers and imposing additional duties upon the Marine-Hospital Service."

  Be it enacted by the Senate and House of Representatives of  the
United States  of America in  Congress assembled, That section  two of
the act approved February fifteenth, eighteen hundred and ninetj^-
three,  entitled 'An act granting additional quarantine powers and
imposing  additional duties upon  the Marine-Hospital Service," is
hereby amended by adding to the end of caid section the following:
  " The provisions of this section shall not apply to vessels plyin^
between foreign ports on or near the frontiers of the United  States
and ports of the United States adjacent thereto; but the Secretary of
the Treasury is hereby authorized, when, in his discretion, it is expe-
dient for the preservation of the public health, to establish regulations
governing such vessels." 
9
                       REVISED statutes.

  Sec. 4794. There shall be purchased or erected, under the orders of
the President, suitable warehouses,  with wharves and inclosures,
where  merchandise may be unladen and deposited, from any vessel
which shall be subject to a quarantine or other restraint, pursuant to
the health laws of any State, at such convenient places therein as the
safety of the public revenue and the observance of such health laws
may require.
  Sec. 4795. Whenever the cargo of a vessel is unladen at some other
place than the port of  entry or delivery under the foregoing  provi-
sions, all the articles of such cargo shall be deposited,  at the risk of
the parties concerned therein, in such public or other warehouses or
inclosures as the collector shall designate, there to remain under the
joint custody  of such collector and of the owner, or master, or other
person having charge of  such  vessel,  until the same are entirely
unladen or discharged,  and until the articles  so deposited may be
safely removed without contravening such health laws.  And when
such removal  is allowed, the collector having charge of such articles
may grant permits to the  respective owners or consignees,  their fac-
tors or agents, to receive all merchandise which has been entered, and
the duties accruing upon which have been paid, upon the payment by
them of a reasonable rate of storage; which shall be fixed by the Sec-
retary of the Treasury for all public warehouses and inclosures.
   Sec. 4796.  The Secretary of the Treasury is  authorized,  whenever
a conformity to such quarantines and health laws requires  it, and in
respect to vessels subject thereto, to prolong  the  terms limited for
the entry of the  same and the report or entry of their cargoes, and
to  vary or dispense  with  any other  regulations applicable to such
reports or entries.  No  part of the cargo of any vessel shall, however,
in  any case, be  taken  out or unladen therefrom otherwise than is
allowed bylaw, or according to the regulations hereinafter established.
   Sec. 4797.  Whenever, by the prevalence of any, contagious or epi-
demic disease in or near the place by law established  as the port of
entry for any collection district, it becomes dangerous or inconvenient
for the officers of the revenue employed therein to continue the dis-
charge of  their  respective offices at such port, the Secretary of the
Treasury, or,  in  his absence, the First Comptroller, may direct the
removal of the officers of the revenue from such port to any other more
convenient place within or as near as may be to such  collection dis-
trict.   And at such place such officers may exercise the same powers
and shall be  liable to the  same  duties, according to existing circum-
stances, as in the port or district established by law.   Public notice
of any such removal shall  be given as soon as may be.  [See § 1776.]
   Sec. 4798.  In case of the  prevalence of a contagious or epidemic dis-
ease at the seat of Government, the President may permit and direct
the removal of any or all  the public offices  to such  other place or
places as he shall deem most safe and convenient for conducting the
public business.   [See § 1776.]
   Sec. 4799.  Whenever, in the opinion of the Chief Justice,  or, in case
of his death or inability, of  the senior associate justice, of the Supreme
Court, a contagious or epidemic sickness shall render it hazardous to
hold the next stated session of the court at the seat of Government,
the chief or such associate justice maj7 issue his order to the marshal
of the Supreme Court directing him  to adjourn the next  session of
the court to such other place as  such justice deems convenient. The 
10
 marshal shall thereupon adjourn the  court  by making publication
 thereof in one or more public papers printed at the seat of Govern-
 ment from the time he shall receive such order until the time by law
 prescribed for commencing the session.  The several circuit and dis-
 trict judges shall, respectively, under  the same circumstances, have
 the same power, by the same means, to direct  adjournments of the
 several circuit and district courts to some convenient place within
 their districts, respectively.  [See § 1776.]
    Sec. 4800.  The judge of any district court within whose district
 any contagious or epidemic disease shall at any time prevail, so as,
 in his opinion, to endanger the lives of  persons confined in the prison
 of such district, in pursuance of any law of  the United States, may
 direct the marshal to cause the persons so confined to be removed to
 the next adjacent prison where such disease  does not  prevail, there
 to be confined until they may safely be removed back to the place of
 their first confinement.  Such removals shall be at the expense of the
 United States.
    Sec. 4263.  The master of any vessel  employed in transporting pas-
 sengers  between the United States and Europe is authorized to
 maintain good discipline and such habits of cleanliness among the
 passengers as will tend to the preservation and  promotion of health,
 and to that end he shall cause such regulations as he may adopt for
 this purpose to be posted up, before sailing, on board such vessel, in
 a place  accessible to such passengers, and  shall keep the same so
 posted up during the  voyage.   Such master shall cause  the apart-
 ments occupied by such passengers to be kept at all times in a clean,
 healthy state; and the owners of every such  vessel  so  employed are
 required to construct the decks and all parts of the apartments so that
 they can be thoroughly cleansed, and also to provide a safe, convenient
 privy or water-closet for the exclusive use of every one hundred such
 passengers.   The master shall also, when the weather is such that the
 passengers can not be mustered  on deck with their bedding, and at
 such other times as he may deem necessary, cause the deck occupied
 by such passengers to be cleansed with  chloride  of lime or some other
 equally efficient disinfecting agent.  And for each neglect or violation
 of any of the provisions of this section the master and owner of any
 such vessel shall be severally liable to the United States in a penalty
 of fifty dollars, to be recovered in any circuit or district court within
 the jurisdiction of which such vessel may arrive or from which she is
 about  to depart, or at  any place where the owner or master may be
 found.
                      [Extract from act August 1, 1888.]

    Whenever any person shall trespass upon the  grounds belonging to
 any quarantine  reservation,  *  *   *  such  person, trespassing,
 *  *   *   shall, upon conviction thereof, pay  a fine of not more than
 three hundred dollars, or be  sentenced to imprisonment for a period
 of not more  than thirty days, or shall  be punished  by both fine and
 imprisonment, at the discretion of the court.  And it shall be the
 duty of  the United  States attorney in  the district where  the misde-
 meanor shall have been committed to  take immediate coo-nizance of
 the offense, upon report made to him  by any medical officer of the
 Marine-Hospital  Service, or by any officer of  the customs service or
^by any State officer acting  under authority of section five of said act 
11
                          [Act March 27,1890.]

AN ACT to prevent the introduction of contagious diseases from one State to
             another and for the punishment of certain offenses.

  Be it enacted by the  Senate and House  of Representatives of the
United States of America in  Congress assembled,, That whenever it
shall be made to appear to the satisfaction  of the President that chol-
era, yellow fever, smallpox, or plague exists in any State or Territory,
or in the District of Columbia, and that there is danger of the spread
of such disease into other States, Territories, or the District of Colum-
bia, he is hereby authorized to cause the Secretary of the Treasury to
promulgate such rules  and regulations  as in  his judgment may be
necessary to prevent the spread of such disease from one State or Ter-
ritory  into another, or from any State or Territory into the District of
Columbia, or  from the  District of Columbia into any State or Terri-
tory, and to employ such inspectors and other persons as may be neces-
sary to execute such regulations to prevent the spread of such disease.
The said rules and regulations shall be prepared by the Supervising
Surgeon-General of the Marine-Hospital Service under the direction
of the Secretary of the Treasury.  And any person who  shall will-
fully violate any rule or regulation so made and promulgated shall be
deemed guilty of a misdemeanor, and  upon conviction shall be pun-
ished  by a fine of not more than five  hundred dollars, or imprison-
ment for  not more than  two years, or both, in the discretion of  the
court.
  Sec. 2.  That any officer, or  person acting as an officer, or agent of
the United States at any quarantine station, or other person employed
to aid  in preventing the spread of such disease, who shall willfully
violate any of the quarantine laws of the United States, or any of  the
rules and regulations made and promulgated by the Secretary of  the
Treasury as provided for in Section 1 of this act, or any lawful order
of  his superior officer or officers, shall be deemed guilty of a misde-
meanor, and upon conviction shall be punished by a fine of not more
than three hundred dollars or imprisonment for not more than one
year, or both, in the discretion of the court.
  Sec. 3.  That when any common carrier or officer, agent, or employe
of any common carrier shall willfully  violate any of the quarantine
laws of the United States, or the rules and regulations made and pro-
mulgated as provided for in Section 1  of this act, such  common car-
rier, officer,  agent, or employe"  shall be deemed guilty of a misde-
meanor, and shall,  on conviction, be punished by a fine of not more
than five  hundred dollars, or imprisonment for not more than two
years,  or both, in the discretion of the court. 
QUARANTINE REGULATIONS  TO  BE OBSERVED  AT FOR-
                    EIGN PORTS AND  AT SEA.
                   Article I.—Bills of Health.

  Par. 1.  Masters of vessels departing from any foreign  port for a
port in the United States must obtain a bill of health in duplicate
signed by the proper officer or  officers of the United States as pro-
vided  for by law, except as provided for  in par. 5.
  The following form is prescribed:
  Par. 2.  Bill of health:
                            Form No. 1931 a.

                     UNITED STATES BILL OF HEALTH.

  Name of vessel,-----.   Nationality,-----.   Rig,-----.   Master,-----.
Tonnage, gross,-----; net,-----.   Iron or wood.  Number of compartments
for cargo,-----; for steerage passengers,-----; for crew,-----.
  Name of medical officer,-----.
  Number of officers,-----.
  Number of members of officers' families,-----.
  Number of crew, including petty officers,-----.
  Number of passengers, cabin,-----.
  Number of passengers, steerage,-----.
  Number of persons on board, all told,-----.
  Port  of departure,-----.
  Where last from,-----.
  Number of cases of sickness and character, during last voyage,-----.
  Vessel engaged in-----trade, and plies between-----and-----.
  Sanitary condition of vessel,-----.
  Nature, sanitary history, and condition of cargo,-----.
  Source and wholesomeness of water supply,-----.
  Source and wholesomeness of food supply,-----.
  Sanitary history and health of officers and crew,-----.
  Sanitary history and health of passengers, cabin,-----.
  Sanitary history and health of passengers, steerage,-----.
  Sanitary history and condition of their effects,-----.
  Prevailing diseases at port and vicinity,-----.
  Location of vessel while discharging and loading—open bay or wharf,-----.
  Number of cases and deaths from the following-named diseases during the past
two weeks:
Diseases.                                            No. of cases.  No. of deaths.
Yellow fever............__________________________  -----      -----
Asiatic cholera___________________________________  -----      -----
Cholera nostras or cholerine________________________  -----      -----
Smallpox_______________________________________  -----      -----
Typhus fever___________________________________  -----      -----
Plague_________________________________________  -----      -----
Leprosy________________________________________   -----     -----

  Number of cases of sickness and  character of same  while vessel was in this
port,----------.
  Any  conditions affecting the public health existing in the port of  departure or
vicinity to be here stated,-----.
  I certify that the vessel has complied with the rules and regulations made under
the act of February 15,1893, and that the vessel leaves this port bound-----for
-----, U. S. of America, via-----.
  Given under my hand and seal this-----day of-----, 190   .
                           (Signature of consular officer:)----------,
12 
13
  Par. 3. Vessels clearing  from a foreign port for any port in  the
United States, and entering or calling at intermediate ports, must pro-
cure at all said ports a supplemental bill of health signed as provided in
Article I.  If a quarantinable disease has appeared on board the ves-
sel after leaving the original port of departure, or other circumstances
presumably render the vessel infected, the supplemental bill of health
should be withheld until such sanitary measures have been taken as
are necessary.
  The following form is prescribed:
  Par. 4.—
                     Supplemental Bill of Health.
Vessel
-, bound from
Port of
to
U. S. A.
Sanitary condition of port,
State diseases prevailing at port and in surrounding country,
  Number of cases and the deaths from the following-named diseases during the
past two weeks:
Diseases.
No. of
cases.
No. of
deaths.
                  Remarks.
(Any condition affecting the public health existing in the
            port to be stated here.)
Yellow fever.......
Asiatic cholera or
 cholerine.........
Smallpox_____.....
Typhus fever.......
Plague..............
Leprosy ............
 Number and sanitary condition of passengers and crew landed at this port.

Cabin, No.----.  Sanitary condition and history,-----.
Steerage, No.----.   Sanitary condition and history,-----.
Crew, No.----.  Sanitary condition and history,-----.
Sanitary condition of effects,-----.
Note.—If disembarked on account of sickness state disease,-----.
Number and sanitary condition of passengers and crew taken on at this port, and
                        sanitary condition of effects.

                  Sanitary condition and history,
Cabin, No. —
Steerage, No.----.  Sanitary condition and history,
Crew, No.----.  Sanitary condition and history,-----.
Sanitary condition of effects,-----.

             Sanitary history of vessel since leaving last port.

              (Cancel Form A, B, or C, as the case requires.)
no quarantinable disease has ap-
  peared aboard since leaving
Form.
A.—To the best of my knowledge and belief—

      (Form A will be used at intermediate ports
    where the vessel does not enter and clear.)

B.—I have satisfied myself that—

      (Form B will be used at intermediate ports
    where the vessel enters and clears.)

C—Since leaving-----the following quarantinable disease has appeared  on
  board-----, and I certify that the  necessary sanitary measures have been
  taken.
  I certify also that with reference to the passengers, effects, and cargo taken on
at this port, the vessel has complied with the rules and regulations made under
the act of February 15, 1893.
  Given under my hand  and seal this----day or-----, 190  .
                          (Signature of consular officer:)-----------, 
14
  Par. 5.  Under the act of Congress approved August 18,1894, vessels
plying between Canadian ports on the St. Croix River, the St. Lawrence
River, the Niagara River, the Detroit River, the St. Clair River, and
the St. Marys River, and adjacent ports  of the United States on the
same  waters;  also  vessels  plying between  Canadian ports on the
following-named lakes, viz, Ontario, Erie, St. Clair, Huron, Superior,
Rainy Lake, Lake of the Woods, Lake Champlain, and ports in the
United States; also vessels plying between Mexican ports  on the Rio
Grande River  and adjacent ports in the United States, are exempt
from the provisions of section 2 of the act granting additional quaran-
tine powers and imposing additional duties upon the Marine-Hospital
Service, approved February 15, 1893, which requires vessels clearing
from a foreign port  for a port in the United States to obtain  from the
consular officer a bill of health.
  During the prevalence of any of the quarantinable diseases at the
foreign port of departure, vessels above referred to are hereby required
to obtain from the consular  officer of the United States, or  from the
medical officer of the United States, when such officer has been detailed
by the President for this purpose, a bill of health, in duplicate, in the
form prescribed by the Secretary of the Treasury, Quarantine Regula-
tions of the United  States, 1894.

                    Article II.—Inspection.

  Par. 1.  The officer issuing the bill of health will satisfy himself, by
inspection if necessary, that the conditions certified to therein are
true.
  Par. 2.  Inspection is required of—
  (a)  All vessels from ports at which cholera prevails, or  at which
yellow fever, smallpox, or typhus fever prevails in epidemic form.
  (b)  All vessels carrying steerage passengers.
  But the inspection of  this class may be limited to  said passengers
and their living apartments, if from a healthy port.
  Par. 3.  Inspection of the vessel is such an examination  of the ves-
sel, cargo, passengers, crew, personal effects of same, and including
examination of manifests and other papers, food, and water supply,
as will enable him to determine if these  regulations have been com-
plied with.
  Par. 4.  When an inspection is required, it should be made by day-
light, as late  as practicable before sailing.   The vessel  should be
inspected before the passengers go aboard, the passengers just before
embarkation, and the crew  on deck; and no cargo or person should
be allowed to come aboard after such inspection except by permission
of the officer issuing the bill of  health.

    Article III.—Requirements  with Regard to Vessels.

  Par. 1.  Vessels,  prior to stowing cargo or receiving passengers,
shall be mechanically clean in all parts, especially the hold, forecastle,
and steerage;  the bilges and limbers free from odor and deposit.  The
air streaks should be sufficient in number and open  for ventilation.
Disinfection of the vessel may  be required by the medical  officer of
the United States.
  Par. 2.  If any infectious disease has occurred during the last voy-
age, the portions of the vessel liable to have been infected should be
disinfected.  When required,  this should  be done by  one of the
methods hereinafter described. 
15
  Par. 3. The air space and ventilation must conform to the provisions
of the act of Congress approved August 2, 1882, entitled  " An act to
regulate the carriage of passengers by sea."1
  Par. 4. The food and water supply should be sufficient, and water
for drinking purposes, free  from possibility of pollution, should be
easily accessible.
[  Par. 5. Vessels departing from a port where cholera prevails should
have two medical  officers if more  than  250 steerage passengers are
carried.
  Par. 6. All bedding provided for steerage passengers must be de-
stroyed or disinfected before being again used or landed, and mattresses
and pillows used by steerage passengers shall not be landed.
  Par. 7. The hospitals of vessels carrying steerage passengers should
be located on the upper or second deck and not in direct communication
with any steerage compartment.
  Par. 8. Excepting when absolutely required, no solid partitions
should be  placed  in  any steerage compartment,  obstructing  light
and air.
                      Article IV.—Cargo.
  Par. 1. At ports infected with cholera, earth, sand, loam, soft or
porous rock should not be taken as ballast.  Nor  at ports infected
with yellow fever should such ballast be allowed on board vessels
clearing for ports south of the southern boundary of Maryland when
better material, such as hard rock, is obtainable, or when it is possible
to use water ballast.
  Par. 2. Certain food products, viz, unsalted meats, sausages, dressed
poultry, dried and smoked meats, rennets, fresh butter,  fresh milk
(unsterilized), fresh cheese, fresh bread, fresh vegetables, coming from
cholera-infected localities or through such localities, if exposed to
infection therein, should not be shipped.
  Par. 3. Fresh fruits from  districts where cholera prevails shall be
shipped only  under  such sanitary  supervision as will  enable the
inspector to certify that they have not been exposed to infection.
  Par. 4. Articles of merchandise, personal effects, and bedding, com-
ing from a district known to be infected, or as to the origin of  which
no positive  evidence can be obtained, and which the consular or medi-
cal officer has reason  to believe are infected, should be subjected to
disinfection prior  to shipment by processes  prescribed  for articles
according to their class.
  Par. 5. New merchandise  in general may be accepted for shipment
without question;  and articles of  new merchandise, textile fabrics,
and the like, which have been  packed or prepared for shipment in an
infected port or place, with a special view to protect the same from
moisture incident to the voyage, may be accepted and exempted from
disinfection.
  Par. 6. All rags and all textile fabrics used in the manufacture of
paper, collected or packed in any foreign port or place, must, prior to
shipment to the United States, be subjected to disinfection by one of
the prescribed methods.
  (Old jute bags, old cotton bags, old rope, new cotton and linen cut-
tings from factories, not included.)
  Par. 7. Rags, old jute, old  gunny, old rope, and similar articles,
gathered or packed or handled in any port or place where cholera or
yellow fever prevails, or smallpox or typhus fever prevails in epidemic

  1 Computation of air space in any steerage compartment must not include the
space taken up by bunks, mattresses, life-preservers, or personal effects. 
16
form, should not be shipped until the officer issuing the bill of health
shall be satisfied that the port or place has been for thirty days free
from such infection, and after the disinfection of the articles.
  Par. 8. New feathers for bedding; human and other hair, unmanu-
factured; bristles; wool; hides not chemically cured, coming from a
district where cholera prevails, shall be refused shipment until thirty
days have elapsed since last exposure, unless unpacked and disinfected
as hereinafter provided.
  Feathers which have been used should be disinfected, and invariably
bjf steam.
f Par. 9. The articles enumerated in the preceding paragraph coming
from a district where yellow fever prevails, de'stined for ports or places
south of the southern boundary of Maryland during the quarantine
season, or where smallpox or typhus fever prevails in epidemic form,
should be refused shipment unless disinfected as hereinafter provided.
  Par. 10. Articles such as gelatin, glue, glue-stock, fish glue, fish
bladders, fish skins, sausage  casings, bladders, dried  blood, having
been in  any way liable  to infection in the process of preparation,
gathering, or shipment, should be disinfected.
  Par. 11. Any covering, shipped from or through an infected port or
place,  and which the consul or medical officer has reason to believe
infected, should be disinfected.
  Par. 12. Any article presumably infected,  which can not be disin-
fected, should not be shipped.1
              Article V.—Passengers  and Crew.
  Par. 1. Passengers, for the  purposes  of  these  regulations, are
divided into two classes, cabin and steerage.
  Par. 2. No person suffering from a quarantinable disease, or scarlet
fever,  measles, or diphtheria, should be allowed to ship.
  Par. 3. Steerage passengers and crew, coming from districts where
smallpox prevails in epidemic form,  or who have been exposed  to
smallpox, shall  be vaccinated before embarkation, unless they show
evidence of  immunity to smallpox by previous attack or recent sucess-
ful vaccination.
  Par. 4. Steerage passengers and crew who, in the opinion of the
inspecting officer, have been exposed to the infection of typhus fever,
should not be allowed to embark for a period of at least fourteen days
after such exposure and the disinfection of their baggage.
  Par. 5. When practicable,  passengers  should not ship from  an
infected port.  Steerage passengers coming from cholera-infected dis-
tricts  must be  detained five  days in  suitable houses or barracks
located where there is no danger from infection, and all baggage dis-
infected as hereinafter provided; the said  period of five days to begin
only after the bathing of the passengers, disinfection of all their bag-
gage and apparel, removal of all food brought with them, and isolation
from others not so treated.
  Par. 6. Steerage passengers from districts not infected with cholera,
shipping at a port infected with  cholera, unless passed through with-
out danger of infection and no communication allowed  between pas-
sengers and the infected locality, should be treated as those in the
last paragraph.
  Par. 7. Prior to sailing from ports infected with cholera, each pas-
senger of the cabin class should produce satisfactory evidence as to his
exact  place of  abode during the  five days immediately  preceding
  1 Upholstered  furniture, sheepskins used as wearing apparel, bedding, bones,
horns, and hoofs. 
17
embarkation, and if it appears that he or his baggage has been exposed
to contagion, such passenger  should be detained such length of time
as shall be deemed necessary by the inspecting officer, and the bag-
gage should be disinfected.
  Par. 8. The rules prescribed for the disinfection of the baggage and
personal effects of passengers and crew coming from cholera-infected
ports should  also be observed with regard to passengers and crew
coming from ports and places where plague, yellow fever, typhus
fever, or smallpox is prevailing in an epidemic form.
  Par. 9. Should cholera break out in the barracks or houses in which
the passengers are undergoing the five days' observation, no passenger
from said house or barracks should embark until five days' isolation
from the last case and a repetition of the sanitary measures previously
taken.
  Par. 10. All baggage of steerage passengers destined for the United
States shall be labeled.  If the baggage has been inspected and passed,
the label shall be a red label bearing the name of the port, the steam-
ship on which the baggage is to be  carried, the word "inspected" in
large type, the date of  inspection, and the seal or stamp of the con-
sular or medical officer of the United States.  All baggage that has
been disinfected shall bear a yellow label, upon which shall be printed
the name of the port, the steamship upon which the baggage is to be
carried, the word "disinfected" in large type, the date of disinfection,
and the seal or stamp of the consular or medical officer of the United
States.  It is understood, and it will be so printed on the blank, that
the label is not valid unless bearing the consular or  medical officer's
stamp or seal.
  Par. 11. Each steerage  passenger should be  furnished  with an
inspection card (see form  below).   This card, stamped by  the con-
sular or medical officer, is  to  be issued to every member of a family,
as well as to the head thereof.
                      INSPECTION CARD.

                  [Immigrants and steerage passengers.]

Port of departure.................___        Date of departure,

Name of ship.............._______........................____

Name of immigrant.........________ Last permanent residence..
Inspected and passed at
[Seal or stamp of consular
   medical officer.]
Passed at quarantine, port of


.................,United States.
[Date.]
Passed by Immigration Bu-


reau, port of.................
[Date.]
 [The following to be filled in by ship's surgeon or agent prior to or after embarkation.]

Ship's list or manifest............___ No. on ship's list or manifest.......
Berth No.
9 ft® 0
P<o
ib at  co
9 £ AO'!-i « .
"Toa Si* p,g

 . fV2 S » rt
9228- 
18
                         VACCINATED.

                        [Signature or stamp.]

                          [Reverse Side.]

  Keep this Card to avoid detention at Quarantine and on Railroads in the
United States.
  Diese Karte muss aufbewahrt werden, um Aufenthalt an der Quarantine,
sowie auf den Eisenbahnen der Vereinigten Staaten zu vermeiden.
  Cette carte doit etre conservee pour eviter une detention a la Quarantaine,
ainsi que sur les chemins de fer des Etats-Unis.
  Deze kaart moet bewaard worden, ten einde oponthoud aan de Quaran-
tijn, alsook op de ijzeren wegen der Vereenigde Staten te vermijden.
  Conservate questo biglietto onde evitare detenzione alia Quarantina  e
sulle Ferrovie degli Stati Uniti.
  Tento listek musite uschovati, nechcete-li ukaranteny (zastaveni ohledne
zjis"teni zdravi) neb na draze ve spojenych statech zdrzeni byti.
  Tuto kartodku treba trimat' u sebe aby sa predeslo zderzovanu v karan-
tene aj na zeleznici ve Spojenych Statoch.
  Par. 13. Cabin passengers  from cholera-infected ports or places
should be given a special inspection card, on which shall be printed
the port of  departure,  name of  passenger,  name of  ship, date  of
departure, and an indicated space for the seal or stamp of the  consular
or medical officer.
  Par. 14. The baggage of such cabin  passengers shall be labeled in
the same manner as steerage baggage.
  Par. 15. In a port where cholera prevails, or  where  yellow  fever
prevails in epidemic form, the crews of passenger ships should remain
on board during their stay.   Should additional men be  shipped, the
same precautions should be observed with them as in the  case of steer-
age passengers.   If it  is considered  necessary, the crews of freight
ships may be similarly treated at the discretion  of the medical officer.
  Par. 16. Passengers and crews, merchandise  and baggage prior to
shipment at a noninfected port, but coming from an infected locality,
should be subject to the  same restrictions as are imposed in an infected
port. 
19
  Par. 17. American vessels bound for the United States, or for Porto
Rico, or for Cuba, shall not ship men in ports of Cuba or Porto Rico
where smallpox or yellow fever prevails, unless such men have been
inspected and passed by the quarantine officer.

              Article VI.—Requirements at Sea.

  Par. 1. The master of the vessel should cause the following rules
(which comprise those recommended by the International Conference
of Rome, 1885) to be observed during the voyage.
  (a) The soiled body linen of passengers  and crew suffering from
infectious disease should be at once immersed in boiling water or in
a disinfecting solution.
   b) The water-closets should be washed and disinfected twice a day.
   c) Rigorous cleanliness  and free ventilation should be maintained
during the voyage on board all ships.
  Par. 2. An inspection of the vessel, including the steerage, should
be made by the ship's physician once each day.
  Par. 3. Should cholera (or  cholerine), yellow fever, typhus fever,
or smallpox appear on board a ship while at sea, those who first show
symptoms of these diseases will be immediately sent to the hospital;
the ship's physician will then immediately notify the captain, and all
of the effects liable to convey infection which have been in use will
be destroyed or disinfected.
  Par. 4. The  compartments  occupied by those who  fall sick with
infectious disease should be disinfected, and, as far  as possible, the
compartments thus disinfected should be freely exposed  to the air.
If the vessel is an iron steamer and the compartments suitable, the
entire compartment should be  disinfected  by  steam.   The articles
liable to convey infection should remain in the compartments during
the disinfection.  After disinfection of the compartments the bedding
and clothing may be removed  and dried.
  Par. 5. Patients with infectious disease should be isolated.
  Par. 6. The hospital should be disinfected as soon  as it becomes
vacant.
  Par. 7. The  dead should be enveloped in a sheet  saturated with
one of the strong disinfecting  solutions, without previous washing of
the body, and at once placed in a coffin hermetically sealed or buried
at sea.
  Par. 8. A clinical record should be kept on the prescribed form, by
the ship's surgeon, of all cases of sickness on board, and delivered to
the quarantine officer at the port of arrival.
  Par. 9. Under the foregoing paragraphs disinfecting solutions are
limited to the following: Strong: acid solution of bichloride of mer-
cury (1 to 500); a 1 to 20 solution of pure carbolic acid.  Weak: acid
solution  of bichloride of mercury  (1 to  1,000); pure  carbolic  acid,
1 to 40. 
20
Par. 10.  (Form for clinical report:)1
Name.	Age.	Sex.	Last per-manent residence.	Date of admission.	Disease.	Discharged.	Result.
							
							
Clinical history.							
							
Clinical history.							
							
Clinical history.							
							
Clinical history.							
  Par. 11. Sailing vessels leaving ports infected with yellow fever,
and destined for any port in the United States south of the southern
boundary of  Maryland, which is not provided with proper facilities
for treatment, shall, during the quarantine period, be directed by the
consular or medical officer to proceed for disinfection and treatment
to some quarantine station in the United States provided with the
required facilities.
                  Article VII.—Disinfection.

  Par. 1. The disinfection of iron vessels shall be as follows:
  (a)  Holds.—After mechanical cleansing, the hold to be thoroughly
washed with an acid solution of bichloride of mercury, 1 to 800 (mer-
cury 1 part, hydrochloric acid 2 parts, water 800 parts), applied under
pressure to all surfaces by means of a hose.

       IN CASE THE DISINFECTION IS REQUIRED FOR YELLOW FEVER.

  If the cargo is so stowed as to admit of disinfection, the hold and
cargo may be disinfected without breaking bulk, by sulphur dioxide,
10 per cent per volume strength, forty-eight hours' exposure for iron,
and seventy-two hours for wooden vessels.
  (b)  Steerage and forecastle.—The same treatment should be given
the steerage and forecastle as the hold, but  when practicable steam
disinfection of these compartments should be practiced.  The temper-
ature in all parts of the compartments is to be not less than 100° C.
  (c)  Cabins, officers' quarters, staterooms, etc.—The bedding, fabrics,
and carpets  should be removed and  disinfected by steam.   After
1 Temperature to be recorded. 
21
thorough mechanical cleansing, the exposed surfaces of fabrics, which
can not be removed, should be washed with a solution of bichloride
of mercury,1 1 to 1,000, or 3 per cent solution of carbolic acid, both of
which should be removed, but not under two hours.  Afterwards the
apartments should be thoroughly dried and aired.
  Par.  2. The disinfection of wooden vessels is to be accomplished
as follows: After mechanical cleansing, washing out the bilges until
clean,  etc. (first), by fumigation by sulphur dioxide, 10 per cent
strength, twenty-four hours in the cabin and forecastle and forty-eight
hours in the hold; and (second) flushing or washing with acid solution
of bichloride of mercury in large quantity (1 to 800).  The bilges to be
first flushed with sea water, pumped out, and then treated with the acid
solution of bichloride of mercury in large quantity, allowed to remain
in long contact. In addition to the sulphur fumigation of such apart-
ments,  the cabins, forecastle, and other apartments, and their con-
tents, to be treated as those on iron vessels.

                             CARGO.

   Par. 3. Disinfection of rags and old jute, etc., shall be by one of the
following methods:
   a) By boiling in water for not less than thirty minutes.
   b) By steam at the temperature of 100° C. for not less than thirty
minutes after such temperature is reached.
   (c) By exposure for not less than six hours in  a closed compart-
ment to a 4 per cent strength (per volume) of sulphur dioxide gas—
made by burning roll sulphur or by the liberation of liquefied sulphur
dioxide—allowance to be made for leakage by increasing the amount
of sulphur.
   Par. 4. In all of the above methods the rags, old jute, etc., must be
unbaled, and  in the disinfection by steam or sulphur the rags must
be loosely spread on  racks (preferably wire netting) in layers of not
more than 6 inches in depth, and in such a manner as to insure the
diffusion of the gas to all parts alike.
   The articles must not at any time occupy more than 50 per  cent of
the total  cubic space, and the exposure to date from the complete
combustion of the sulphur.
   Par. 5. New feathers for bedding shall be disinfected by one of the
following methods:
   (a) By steam at a temperature of 100°  C. for a period of thirty
minutes after such temperature has been reached.
   (b) By exposure to sulphur dioxide, 4  per cent strength per volume,
for not less than six hours.
   Par. 6. Human hair,  or other hair, unmanufactured, and bristles,
to be disinfected by sulphur dioxide, 4 per cent strength per volume,
six hours, or,  if not clean,  by a solution of pure carbolic acid, 4 per
cent strength, the articles to be thoroughly saturated.
   Par. 7. Wool to be  disinfected  by sulphur  dioxide, 4 per cent
strength per volume, for not less than twenty hours,  the wool to be
unbaled and loosely spread on racks, as in the manner  provided for
the disinfection of rags.
   Par. 8. Hides to be  disinfected  by sulphur  dioxide, 4 per cent
strength per volume, for not  less than twenty hours, or  by thorough
saturation with a solution of pure carbolic acid, 4 per cent strength;
hides to be invariably unbaled for the purpose.
1 Polished metal is injured by mercury, »nd leather by steam.
 
22
  Par. 9. Articles mentioned in paragraph 10, Article iv, should be
disinfected by being spread on racks and exposed to sulphur dioxide,
4 per cent per volume, twenty hours.
  Par. 10.  Coverings should be disinfected:
  (a) In the hold, by exposure to sulphur dioxide, 10 per cent strength
per volume, for twelve hours; the cargo being so stowed  as to allow
access to all parts of such surfaces.
  (b) By breaking bulk and exposure to sulphur dioxide, 4 per cent
strength per volume for twenty-four hours.
  (c) By wetting thoroughly with solution of  bichloride of mercury,
1 to 800.
  Par. 11.  The disinfection of personal effects, prescribed by these
regulations, should be as follows:
  (A) Clothing and bedding should be disinfected by—(1) Exposure to
steam from 100° to 102°  C. for thirty minutes  after such temperature
is reached, or by boiling for thirty minutes.  (2) Immersion in bichlo-
ride solution, 1 to  800, or solution of  pure carbolic acid, 3 per cent,
until thoroughly wetted, and allowed to dry before washing.
  This last process (2) to be used only for articles that will be injured
by steam or boiling.1
  (B) Cooking and eating  utensils should be immersed in  boiling
water.
  Note.—A 4 per  cent  per volume  strength of sulphur dioxide can
be obtained by burning not less than 4 pounds  2 ounces of sulphur
to each 1,000 cubic feet of space; the  compartment to be air-tight.
  A 10 per cent per volume strength can only be obtained by one of
the following methods: By the use of a special furnace, or by liquefied
sulphur dioxide  gas.

            Article VIII. — Records, Reports, etc.

  The officer making the inspection will preserve in his office a record
of each inspection made.  A copy of said record will be forwarded
weekly to the Supervising Surgeon-General of the Marine-Hospital
Service, at Washington, D. C.
  In addition  to the duties already prescribed, the  medical  officer,
when detailed  in accordance with the act of Congress approved  Feb-
ruary 15, 1893, shall furnish such reports to the Supervising Surgeon-
General Marine-Hospital Service as may be required by the latter.

Article IX.—Regulations  at Ports Infected or Suspected of
                 being Infected with Plague.

  At all foreign ports and places  infected  or  suspected of being
infected  with  plague the United  States Quarantine Regulations,
Treasury Department, 1894, relating to cholera,  shall be observed
with regard to vessels and cargoes bound to the United States.  Pas-
sengers and crews of said vessels who have been exposed to the infec-
tion, or are liable to convey the disease, shall be detained a period of
not less than fifteen days from the last possible exposure to infection,
under the same regulations as those relating to cholera.

  'Articles of rubber, leather, celluloid, gutta-percha, hats, furs, skins  and sim-
ilar articles are injured by steam or boiling. 
23
Article X.—Baggage and Effects from Cuba and Porto Rico.

  Par. 1. During the quarantine close season, April 1 to November 1,
all baggage and personal effects, including hand baggage, of passen-
gers leaving the island of Cuba shall be labeled  by the quarantine
officer at the port from which the vessel sails.  The label shall bear
either the word "Disinfected," or the words "Inspected and passed,"
or "Inspected and passed to northern territory."
  Par. 2. All said baggage or personal effects destined for ports in the
United States south of  the southern boundary of Maryland shall be
disinfected and bear the  "Disinfected" label.
  Baggage shipped through a southern port, but checked through to a
point north of the  southern boundary of Maryland, with such pre-
cautions as may be hereafter required to prevent its being opened en
route, maybe labeled "Inspected and passed  for northern territory."
But any such baggage  presumably infected, or concerning which the
quarantine officer at the  Cuban port may feel in doubt, shall be dis-
infected.
  Par.  3.  All baggage, as above described, destined to ports in the
United States north of the southern boundary of Maryland shall bear the
label "Inspected and passed" or "Disinfected," as the case maybe.
  Baggage or personal effects bound for ports in the United States
north of  the southern boundary of Maryland, and whose ultimate
destination is proven to  the satisfaction of said quarantine officer  to
be  a point north of the southern boundary of Maryland, and not
intended thereafter to be shipped to a point south of the southern
boundary of Maryland, may be labeled "Inspected and passed."
  But if any such baggage is presumably infected, then, though bound
to a northern port, it shall be disinfected, and any baggage bound for
a northern port, concerning which the quarantine officer may feel  in
doubt, may in  his discretion be disinfected.
  Par. 4. It is further ordered that any baggage or personal effects
from the island of Cuba arriving at any port in the United States dur-
ing the season of close quarantine, April 1 to November 1, not labeled
with either the "Inspected" or "Disinfected" label, shall  be disin-
fected at the quarantine station at the port of arrival.
   Par. 5. The foregoing regulations will apply also to any port  in
Porto Rico, should yellow fever appear in said port.
   Par  6. The quarantine officers in Cuba and Porto Rico charged with
the labeling of the  baggage, as above, shall exercise care and their
discretion as to disinfecting all baggage coming from other ports or
interior places. 
NOTES FOR THE  INFORMATION OF MASTERS  OF VESSELS
                          AND OTHERS.
          FORMULAE FOR STRONG DISINFECTING SOLUTIONS.


                     Bichloride of mercury.  (1:500.)

     Bichloride of mercury..................................    1 part.
     Hydrochloric acid_______......______......_______    2 parts.
     Water.................................................  500 parts.
     Mix.

                             Carbolic acid.

     Carbolic acid (pure)___________________.....----   50 parts.
     Warm water.. ........__________________........ 1,000 parts.


                  FORMULAE  FOR WEAK SOLUTIONS.


                     Bichloride of mercury.  (1:1,000.)

     Bichloride of mercury............................_____    1 part.
     Hydrochloric acid____________________.............    2 parts.
     Water................................................1,000 parts.

                             Carbolic acid.

     Carbolic acid (pure)..............._______...........   25 parts.
     Warm water.........._...........................____1,000 parts.


    DISINFECTION  OF HOSPITALS, INFECTED COMPARTMENTS, ETC.


  (a) By steam, as provided in Article VII, paragraph (c); or, when
steam is not available—
  (b) By methods prescribed in  Article VII, paragraphs (a) and (c).
  Water-closets, etc.,  should  be disinfected by  strong solution  of
bichloride of mercury or carbolic acid.1
  It is suggested that a vessel should carrj^ for every 100 passengers:
Bichloride of mercury, 5 pounds; hydrochloric acid, 10 pounds;  car-
bolic acid, 10 pounds.

  1 The use of these disinfecting solutions does not preclude the additional use of
hypochlorite of lime.
24 
QUARANTINE REGULATIONS TO BE OBSERVED AT PORTS
    AND  ON THE FRONTIERS OF THE UNITED STATES.

                           PREAMBLE.

  Par. 1. At or convenient to the principal ports of the United States
quarantine  stations should be equipped with all appliances for the
inspection and  treatment of  vessels, their passengers, crews, and
cargoes.
  Par. 2. At all other ports where such provisions have not been
made inspection stations should be maintained.
  Par. 3. An inspection service should be maintained at every port
throughout the year.
  Par. 4. At a fully  equipped quarantine station there should be
adequate provision for boarding and inspection, apparatus for mechan-
ical cleaning of vessels, apparatus  for steam disinfection, apparatus
for disinfection with sulphur dioxide, apparatus for disinfecting solu-
tions, hospitals for contagious and doubtful cases, detention barracks
for suspects, bathing  facilities, crematory,  and sufficient supply of
good water.
  Par. 5. The personnel of quarantine  stations in the yellow-fever
zone and on fruiters  bound for Southern ports should be immune
against yellow fever.
  Par. 6. At quarantine stations all articles liable to convey infection
should be handled only by the employees of said  station, unless the
services of the crew are indispensable.
  Par. 7. Vessels having been treated at national quarantine stations
that are located a considerable distance from the ports of entry of said
vessels may be inspected by the local quarantine officer, and if for any
sanitary reason it is  considered inadvisable to admit the vessel he
should report the facts immediately, by telegraph when possible, to
the Supervising Surgeon-General  M. H.  S.,  detaining  the vessel
pending his action.
  Par. 8. The following regulations are the required minimum stand-
ard and do not  prevent the addition of such other rules as, for special
reasons, may be legally made by State or local authorities.

                      Article I.—Inspection.

  Par. 1. Vessels arriving at ports of the United States under the fol-
lowing conditions shall be inspected by a quarantine officer prior to
entry:
  A. Any vessel with sickness on board.
  B. All vessels from foreign ports.
   C. Vessels from domestic ports  where cholera or yellow fever pre-
vails or where smallpox or typhus fever prevails in epidemic form.
  Exceptions.—Vessels  not carrying passengers on inland waters of
the United  States.  Vessels from the Pacific and Atlantic coasts of
British America, provided they do  not carry persons or effects of per-
sons nonresident in America for the sixty days next preceding arrival,
                                                          25 
26
and provided always that the port of departure be free from quaran-
tinable disease.  Vessels from other foreign ports via these excepted
ports shall be inspected.
  D. Vessels from foreign ports carrying passengers having entered
a port of the United States without complete discharge of passengers
and cargo.   Such vessels shall be subject to a second inspection before
entering any other port.  Vessels from ports suspected of infection
with yellow fever, having entered a port north of the southern bound-
ary of Maryland without disinfection,  shall be subjected to a second
inspection before entering any ports south of said latitude during the
quarantine season  of such port.
  Par. 2. The inspections of vessels  required  by these regulations
shall be made by daylight, except in case of vessels in distress.
  Par. 3. In making the inspection of a vessel,  the bill of health and
clinical record of all cases treated during the voyage, crew and passen-
gers' lists and manifests, and, when necessary, the ship's log shall be
examined.   The crew and passengers shall be mustered and examined
and  compared with the lists and manifests, and  any discrepancies
investigated.
  Par. 4. No  person except the  quarantine officer, his employees,
United  States customs officers,  or agents of the vessel shall be per-
mitted to board any vessel subject to quarantine inspection until after
the vessel has been inspected by the quarantine officer and given its
discharge.
  Par. 5. Tugboats or any other vessels having had communication
with vessels subject  to inspection shall be themselves subject  to
inspection.
  Par. 6. After  arrival at a quarantine station of a vessel upon which
there appears or  has appeared during the last  voyage  a case of
cholera,  smallpox,  typhus fever, or  plague, and  after quarantine
measures provided by regulations of  the Treasury Department have
been enforced and the vessel given free pratique it is hereby ordered
that notification of the above-mentioned facts be transmitted by the
quarantine officer to the Commissioner of Immigration at the port of
arrival, whose duty it shall then be to  transmit, by mail or telegraph,
to the  State health authorities  of the several States to which immi-
grants from said vessel are  destined, the date of departure, route,
number of immigrants, and the point  of destination in the respective
States of the immigrants from said vessel, together with the statement
that said immigrants are from a vessel which has been  subject to
quarantine by reason of infectious disease, naming the disease.
  This information is furnished to State health officers for the pur-
pose of enabling them to maintain such surveillance over the arriving
immigrants  as they may deem necessary.
  Par. 7. Baggage and effects arriving at ports of the United States
from ports in Cuba and Porto Rico shall be treated in accordance with
the provisions of  paragraphs 1 to 6,  inclusive, of Article X, of the
regulations to be observed at foreign ports and  at sea.  Any baggage
or personal effects  from the island of Cuba arriving at any port in the
United States during the season of close quarantine, April 1 to Novem-
ber  1, not labeled with either the  "inspected"  or "disinfected"
label, shall  be disinfected at the quarantine station at the port of
arrival. 
27
                   Article II.—Quarantine.

  Par.  1. For the purpose of these regulations, the quarantinable dis-
eases are cholera (cholerine), yellow fever, smallpox, typhus fever,
leprosy, and plague.
  Par.  2. Vessels arriving  under the following conditions shall be
placed in quarantine:
  A. With quarantinable disease on board.
  B. Having had such on board during the voyage or within thirty
days next preceding arrival; or, if arriving in the quarantine season,
having  had yellow fever on  board after March 1 of the current year,
unless satisfactorily disinfected thereafter.
  C. From ports infected with cholera, or where typhus fever prevails
in epidemic form, coming directly or via another foreign port, or via
United  States ports, unless they have complied with the United States
quarantine regulations for foreign ports; also vessels from noninfected
ports but bringing persons or cargo from places infected with cholera,
yellow fever, or where typhus fever prevails in epidemic form, except
as subsequently noted.
  D. From  ports where yellow fever prevails, unless disinfected in
accordance  with these regulations, and not less than five days have
elapsed since such disinfection.
  E. Tugboats  and other vessels having had communication with
vessels  subject to quarantine shall be quarantined if they have been
exposed to infection.
  Exceptions.—The  following exceptions may be made to Rules  C
and D with regard to vessels from ports quarantined against on account
of yellow fever:
  (1) Vessels arriving during certain seasons of the year, to wit, from
November 1 to April 1, may be admitted to entry.
  (2) Vessels bound for ports in the United States  north of the south-
ern boundary of Maryland, with good sanitary condition and history,
having  had no  sickness on board at ports of departure en route or on
arrival, provided they have  been five days from last infected or sus-
pected port, may be allowed entry at port of destination.  But if said
vessels  carry passengers destined for places south of this latitude the
baggage of said passengers shall be disinfected.
  In making an inspection  of a vessel, if from a  port where yellow
fever prevails,  and between April 1 and November 1 of any year, the
inspector shall ascertain the destination of each passenger thereon,
and if bound for places south of the southern  boundary of  Maryland
the baggage of such passenger shall be disinfected according to the
rules for such articles infected with yellow fever.  Such baggage shall
be labeled.
  (3) Vessels engaged in the fruit trade from ports declared safe for
this purpose by the  supervising  surgeon-general M. H. S. may be
admitted to entry without detention, provided that they carry no pas-
sengers and have carried no passengers from one port to another, and
have no household effects or personal baggage in cargo, and have com-
plied with the special rules and regulations made by the Secretary of
the Treasury with regard to vessels engaged in said trade.
  Par.  3. When a vessel arrives  having had  smallpox on board, all
persons must submit to vaccination, or show satisfactory evidence of
recent  vaccination  or of  having  had smallpox, or be detained in
quarantine for not less than fourteen days. 
28
  Those who have been directly exposed to the infection and who
are not protected by having had the disease or by previous success-
ful vaccination shall be detained under observation for fourteen days
subsequent to last exposure.  All effects and compartments liable to
convey infection must be disinfected.
  Par. 4. On all vessels arriving, all passengers occupying apartments
other than first or second  cabin  shall be vaccinated prior to entry,
unless they can show  that they  have had  smallpox, or have been
recently successfully vaccinated, or be detained in  quarantine four-
teen days.
  Par. 5.  Vessels arriving  at quarantine with leprosj^ on board shall
not be granted pratique until the leper with his or  her  baggage has
been removed from the vessel to the quarantine station.
  No case of leprosy will be landed.
  If the leper is an  alien passenger and the vessel  is from a foreign
port, action will be taken as provided by the immigration  laws and
regulations of the United States.
  If the leper is an alien and a member of the crew  and the vessel is
from a foreign port, said leper shall be detained at the quarantine at
the vessel's expense until taken aboard by the same  vessel when out-
ward bound.

     Article III.—General Bequirements at Quarantines

  Par. 1.  Pilots bringing infected vessels will be detained in quaran-
tine a sufficient time to cover the period of incubation of the disease for
which the vessel is quarantined, if, in the opinion of the quarantine
officer, such pilots have been exposed to infection.  The dunnage of
pilots shall be disinfected when necessary.
  Par. 2.  No direct communication shall be allowed  between quaran-
tine or any vessel in quarantine and  any person or place outside,
and no communication except under the supervision of the quarantine
officer.
  Par. 3.  No ballast shall be allowed to leave the quarantine station
unless disinfected.
  Par. 4.  Where it is impossible to disinfect cargo in situ, it shall be
removed and disinfected in the manner provided for articles of their
class in these regulations; such articles to be unpacked and so arranged
as to allow the disinfectant used to reach every part of all surfaces of
said articles.
  Par. 5.  Vessels arriving  at any port of the United States having
cholera or yellow fever aboard during the quarantine season shall be
remanded to an anchorage  set apart for infected vessels, and there
to remain until after the discharge of the passengers and purification
of the vessel.
  Par. 6.  All passenger baggage disinfected under  the requirements
of these regulations shall be labeled.
  Par. 7.  All bedding provided for steerage passengers must be  de-
stroyed or be disinfected before being landed.   Bedticking or other
covering of mattresses and pillows used by passengers or crew shall
not be landed unless disinfected at the quarantine station in accord-
ance with these regulations, and tagged with labels certifying to said
disinfection. 
29
Article IV.—Treatment in  Quarantine  of Cholera-infected
                            Vessels.

  Par. 1. * Remove all passengers from the vessel and all of the crew
(if cholera has occurred on board) save those necessary to care for her.
Place the sick in hospital and  carefully isolate those  specially sus-
pected.   Segregate the remainder in small groups.  No communication
shall be held between these groups.   Those believed to be especially
capable of conveying infection must not enter the barracks until they
are bathed and furnished with sterile clothing; nor shall any material
capable of conveying infection be taken into the barracks, especially
food.
  Par. 2. If cholera has  occurred in  the  steerage,  all occupants
thereof must be bathed and their clothing disinfected.
  Par. 3. At once proceed with the disinfection of the hand baggage.
  Par. 4. All baggage and effects accompanying steerage passengers,
any other baggage or effects that may have been exposed to infection,
and must be disinfected.
vA'ae. 5. Such articles  of cargo as  are liable to  convey infection
must be  disinfected.
  Par. 6. All living apartments and furniture  and such other por-
tions of a vessel as are liable  to convey infection shall be disinfected.
< Par. 7.  On  cholera-infected  vessels  the  water  supply must  be
changed without delay, the casks or tanks disinfected by steam or 10
per  cent solution  of potassium permanganate, and after  thorough
rinsing refilled from a source of undoubted purity,  or the water sup-
plied must have been recently boiled.
  Par. 8. Nothing shall  be thrown overboard from a cholera-infected
vessel, not even deck sweepings.  Such things shall be burned in the
furnace or in a place specially designated, but not in the galley.

                 Article  V.—Disinfection, etc.

  Par. 1. Holds.—The disinfection of iron vessels shall be as follows:
  (a) With cargo: If cargo is so stowed as to admit of disinfection, it
and the  hold may be disinfected without breaking bulk, except to
such a degree as to make disinfection practicable, by sulphur dioxide,
10 per cent per volume strength, for not  less  than twenty-four hours'
exposure.
  (b) Without cargo: After mechanical  cleansing the  hold (1) to be
thoroughly washed with an acid solution of bichloride  of mercury, 1
to 800 (mercury 1 part, hydrochloric acid 2 parts, water 800 parts),
appfied under pressure to all surfaces  by means of a hose;  (2) by
sulphur dioxide, 10 per cent per volume strength, for twenty-four hours.
  Par. 2. Steerage and forecastle.—When possible to obtain it.
  (a) The steerage and forecastle shall be disinfected by steam; the
temperature in all parts of these compartments to  be  not less than
100° C. for not less  than thirty minutes after such temperature has
been reached.
  (b) When steam can not be obtained  these compartments shall be
treated in the same manner as required in the disinfection of the empty
hold.
  Par. 3. All beddings and furnishings of the steerage and forecastle
to be left in place d uring the  disinfection by steam.
1 It is required only if cholera has occurred on board. 
30
  If steam disinfection of steerage is not used, such articles must be
removed under the strictest sanitary precautions for disinfection by
steam or burning.
  Par. 4. The bedding, fabrics, and carpets should be removed and
disinfected  by steam or by  boiling.  After  thorough  mechanical
cleansing the woodwork  and  all other  exposed surfaces shall be
washed with an acid solution of bichloride of mercury, 1 to 1,000, or a
3 per cent solution of pure carbolic acid.  Fabrics which  can not be
removed shall be thoroughly saturated with a solution of bichloride
of mercury, 1 to 1,000, or a 3 per cent solution of pure carbolic acid.
  Par. 5. The water ballast of a vessel coming from a cholera-infected
port should be discharged at sea, or, if discharged in fresh or brackish
water,  must be previously disinfected.  The tanks to be flushed and
refilled with sea water or disinfected.
  Par. 6. For a wooden vessel  the treatment is as above, except that
exposure of the hold and living apartments to sulphur dioxide, 10 per
cent volume, must precede the other treatment.   This exposure must
be, for the hold, forty-eight hours, and for living apartments twelve
hours.
  Par. 7. All solid ballast, on  vessels infected with, or suspected of
being infected with, cholera, to be discharged or disinfected previous
to disinfection of hold; all such  ballast discharged in fresh water to be
disinfected by saturation with, or immersion in, an  acid solution of
bichloride of mercury, 1 to 800.
  Clear, hard, close-grained rock may be permitted to remain on board,
but only after disinfection by immersion in an acid solution, 1 to 800
of bichloride of mercury.  Ballast removed from vessels infected with,
or suspected of being infected  with, cholera, must not be taken from
the quarantine station.
  Par. 8. Disinfection of steerage, forecastle, and cabin of vessels by
formaldehyd gas.—After the removal of the bedding, carpets, and fur-
nishings, all apertures being tightly closed, the steerage,  forecastle,
and cabin of a vessel may be disinfected by formaldehyd gas in a
percentage of not  less than 2 per cent per volume strength, the time
of exposure to be not less than twelve hours.  The gas may be  gene-
rated by one of the following methods:
  (a) From a mixture containing formalin 100 parts, calcium chloride
or sodium nitrate 20 parts, and glycerin 10 parts.
  The gas is evolved from this  solution by heating it in a special
boiler, autoclave, or formaldehyd generator.
  One liter of a 40 per cent solution  of formaldehyd gas will evolve
about 1,425  liters (50.1 cubic feet) of the gas at  20°  C. (68° F.), and
will be sufficient for 71 cubic meters (2,505.5 cubic feet) of space*
  (b)  From the substance known as trioxymethylene by means of a
special lamp, not less than  2 grams (30 grains) to be used for each
cubic meter (35.29 cubic feet) of  space.
  After  the disinfection  of apartments  (steerage, cabin,  and fore-
castle) by formaldehyd gas, the latter may be neutralized by ammonia
gas, evolved from water of ammonia  by heat, or by evaporation from
water of ammonia1 sprinkled upon the floor.
  1 The quantity of water of ammonia required for neutralization after each of
the above-named methods is as follows: After method (a), one-half liter (0.52
quarts) of water of ammonia  for each  liter (1.04  quarts) of formalin;  after
method (o), one-half liter of water of ammonia for each 150 grams (5 ounces) of
trioxymethylene. 
31
  Par. 9. Disinfection  of clothing, bedding,  upholstered furniture,
articles  of leather, etc., by formaldehyd gas.—These may be  disin-
fected by formaldehyd gas in the ordinary jacketed steam-disinfecting
chamber, the  latter to  be provided with a vacuum apparatus and
special apparatus for generating and applying the gas.
  Raise and maintain the temperature of the chamber at 90° C. by the
use of steam in the jacket.
  *The number of  cubic  centimeters of the formalin mixture  to  be
used may be found by dividing the capacity of the chamber in liters
by 4; e. g., a chamber of  2,500 liters capacity would require 625 c.c.
of the mixture. The time of  exposure should not be less than  thirty
minutes.   Clothing, bedding, etc., thus disinfected, should be exposed
in situ  to equal amount  of ammonia  gas generated by the special
apparatus1 attached to the chamber, using one-half as much water of
ammonia as formalin.

Article VI.—Detention of  Passengers on Account of Cholera.

  Par.  1.  The people detained shall be inspected by the physician
twice daily, and be  under his constant surveillance, and no  inter-
course will be allowed between different groups while in quarantine.
  Par.  2.  No direct  communication shall be allowed  between any
person detained in quarantine and anyone not in quarantine, except
through the quarantine officer or, by his order, through his agents.
  Par.  3.  The water and food supply will be  strictly guarded to pre-
vent contamination, and issued to each group separately.
  Par.  4. Food of a simple character, sufficient in quantity, thoroughly
cooked,  shall  be issued to those detained in quarantine.  No fruit
shall be permitted.
  Par.  5.  Cleanliness of quarters and of person shall be enjoined and
enforced daily. Disinfectants shall be used where there is any possi-
bility of infection.
  Par.  6.  Water-closets,  urinals, privies, or troughs shall be provided,
and their contents disinfected before they are discharged.
  Par.  7.  In  any group  in which  cholera appears, the sick will be
immediately isolated in hospital, and  the remaining persons  in the
group shall be bathed and their effects be disinfected,  then removed
to other quarters,  if possible,  and the compartment  disinfected.
  Par.  8.  No  direct communication  shall be allowed  between the
physician and attendants of the hospital and  those detained in quar-
antine.
  No person shall be discharged from quarantine until five days have
elapsed since the last exposure to infection and a final disinfection of
such effects as were taken to barracks.
  No convalescent from cholera shall be discharged from quarantine
until after a sufficient  time has elapsed t o insure his freedom from
infection.2
  Par.  9.  The body of no person dead of cholera shall be allowed to
pass  through quarantine.  The body should be cremated if practi-
cable.  If not, it should be wrapped, without preliminary washing, in

  1 The special apparatus must consist of a generator, constructed of copper, for
evolving formaldehyd gas from its  solutions, and a similar one of iron for evolving
ammonia gas for neutralization.  The principle upon which this apparatus is
constructed is described and illustrated in Public Health Reports, Marine-Hospital
Service,  January 29, 1897, Vol. XII, No. 5,  and September 22,  1899, Vol. XIV,
No. 38.
  2 To be determined by bacteriological examination. 
32
a sheet saturated with a solution of bichloride of mercuiy, 1 to 500,
and buried, surrounded by caustic lime.

Article VII.—Disinfection of Personal  Effects  of Passen-
                  gers  and Crew and Cargo.

  Par. 1.  Clothing, bedding, and articles not injured by steam shall
be disinfected—                                               •
  (a) By exposure to steam  at a temperature of 100° to 102° C. for
thirty minutes after such temperature has been reached.
   b) By boiling for fifteen minutes; all articles to be submerged.
   c) By a thorough saturation in a solution of bichloride of mercury,
1 to 1,000, and allowed to dry before washing.
  Par. 2.  Articles injured by steam (rubber, leather, etc.), and con-
tainers to the disinfection of which steam is inapplicable, shall be
disinfected by  thoroughly wetting  all surfaces with a  solution of
bichloride of mercury, 1  to 800,  or a 5 per cent solution of carbolic
acid, and allowed to dry in open  air.
  Par. 3.  Cooking and eating utensils, by immersing in boiling water
or steam.
  Par. 4.  All rags and old textile fabrics used in the manufacture of
paper,  and all old gunny, old jute, etc., fit only for remanufacture,
gathered, collected, packed,  or handled in  any port or place where
cholera (cholerine) or yellow fever exists, or where smallpox or typhus
fever prevails in epidemic form, and for thirty days after the port or
place shall be officially declared free from such diseases or epidemic,
shall be denied entry into any port of the United States.
  Par. 5.  No rags or old textile  fabrics used in the manufacture of
paper, or articles enumerated in the preceding paragraph, which have
not been disinfected  in accordance with Article VII, paragraph 3, of
the United States Quarantine Regulations for foreign  ports, shall be
admitted into the United States.
  (Old jute bags,  old cotton bags,  old  rope, new cotton and linen
cuttings from factories not included.)
  Par. 6.  All unlabeled  baggage of steerage  passengers, including
hand baggage, and all labeled baggage of said passengers, which in
the opinion of the quarantine officer should be disinfected or redisin-
fected, arriving from oriental ports, including ports of Hawaii, at any
port  in the States of Oregon, Washington, or California, shall be dis-
infected as provided in Article VII of the Quarantine Regulations for
domestic ports before being landed.
  This regulation will also  apply to  any other baggage which the
quarantine officer may suspect of being infected.

Article VIII.—Treatment of  Vessels Infected or  Suspected
           of  being Infected  with Yellow Fever.

  Par. 1.  Where practicable, at  once remove the sick to hospital;
remove and isolate all persons not required for the care of the vessel.
  Par. 2.  If the hold is deemed infected, there shall be a preliminary
disinfection as hereinafter provided.
  Par. 3.  The bilge  should  be cleansed with sea water, if possible,
before disinfection, and the hold  rendered mechanically clean.
  Par. 4.  All ballast, except close-grained, hard rock, must be dis-
charged.   This may be retained  aboard if disinfected by immersion
in an acid solution of bichloride of mercury, 1 to 800. 
Pages Missing
    33-34 
Pages Missing
    33-34 
35
and be subjected to the same  sanitary restrictions as are called for
by the rules and regulations governing United States ports.
  Par. 2. Inspection cards will be issued by the consular or United
States medical officer at the port of arrival to all such alien immigrants,
and labels affixed to their baggage, as is required in the case of those
coming direct from foreign ports to any port of the United States.
  Par. 3. AVhenever alien immigrants are not inspected at the port of
arrival by the United States consular or medical officer they shall enter
the United States through certain designated places on  the frontier,
where they shall be inspected for the purpose of preventing the intro-
duction of quarantinable disease.  This inspection shall be held by
daylight.
  Par. 4. If any person be  found suffering from a quarantinable
disease, or presumably infected, he shall be denied entry so long as
danger of conveying the infection exists.
  Par. 5. Any baggage or other effects believed to be infected shall
be refused entry until made safe by a proper disinfection.
  Par. 6. Persons coming from localities where smallpox is prevailing
in epidemic form shall not be allowed entry without vaccination, unless
they are protected by a previous attack of the disease or a recent suc-
cessful vaccination.
  Par.  7. Persons coming from localities where typhus fever prevails
in epidemic form shall not be allowed entry until they have been away
from such locality fourteen days and their baggage disinfected.
  Par. 8. During the quarantine season persons coming from places
where yellow fever prevails will not be permitted to enter until they
have been away from such locality five days and their baggage has
been disinfected.   But persons immune to yellow fever will not be
detained.
   Par. 9. No common carrier which  is infected, or suspected of being
infected, shall be allowed to enter the United States until after such
measures have been taken as will render it safe.
   Par. 10. Articles of merchandise, personal effects,  etc., which are
capable of conveying infection, and which are presumably infected,
shall not be allowed entry into the United States until after disinfec-
tion.
   Par. 11. The methods of disinfection shall be those prescribed in
the Rules and  Regulations made for the maritime quarantines of the
United States.
   Immigrants who, with their baggage, have been inspected at a port
of the United  States by a quarantine officer upon landing, will be
exempt from further quarantine inspection when reentering the United
States from Canada, unless there  is reason to believe that disease has
developed among such immigrants since such landing and inspection.

   Article  XIII.—Special  Regulations Relating to Naval
                            Vessels.

  Par.  1. Such communication may be allowed with vessels of the
United States Navy as the certificate of the medical officer of said
vessel shows will not be liable to convey infection.
  Par.  2. The certificates of the medical officers of the United States
Navy that the United States Quarantine Regulations have been com-
plied with may be accepted for naval vessels. 
36
  Par. 3.  Vessels of the United States Navy, having entered the har-
bors of ports infected with yellow fever, and having held no communi-
cation which is liable to convey infection to the vessel or her crew, may
be exempted from the quarantine restrictions > posed on merchant
vessels from such ports.

Article XIV.—Treatment of Vessels Suspected  of  Plague.

  Par. 1.  The regulations  heretofore promulgated with regard  to
cholera shall be observed with  regard to vessels, cargo, passengers,
and crews infected,  or suspected of being infected, with plague, but
persons who have bee   vposed to the infection, or are liable to con-
vey the disease, shall be detained for a period of not less than fifteen
days from the last possible exposure to infection.
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