Clothing and bedding will be disinfected by
(a) Exposure to steam from 100° to 102° C. for thirty minutes after such température is reached , or by boiling for thirty minutes.
(b) Immersing in bichloride solution, 1 to 800, or solution of pire carbolic acid, 3 per cent, until thoroughly wetted, and allowed to dry before washing.
This last process (b) to be used only for articles that will be injured by steam or boiling.
Article VI. — Rags.
1. Ail rags and old textile fabrics used in the manufacture of paper, and ail old gunny , old jute, etc., fit only for remanufacture, gathered, collected, packed, or shipped from or via any port or place where choiera (cholerine) , yellow fever , or plague exists , or where smallpox or typhus fever prevails in épidémie form , and for thirty days after the port or place shall be officially declared free from such diseases or épidémie, shall be denied entry into any port of the United States.
2. No rags or old textile fabrics used in the manufacture of paper or articles enumerated in 1 , Article VI , which have not been disinfected in accordance with Article VII , paragraph 4 , of the United States Laws and Régulations, February 24, 189.3, shall be admitted into the United States.
Article VII. — Treatment of Vessels infected or suspected of being infected with Yellow Fever.
1. Where practicable, at once remove the sick to hospital and remove and isolate ail persons not required for the care of the vessel.
Immigration des Etrangers.
2. If the hold is deemed infected, there shall be a preliminary disinfection of the same with sulphur dioxide and bichloride solution.
3. Ail ballast except close - grained hard rock mnst be discharged. This may be retained aboard if disinfected by dipping (immersion) in an acid solution of bichloride of mercury , 1 to 800.
4. The bilge should be cleansed with sea water , if possible , before disinfection, and the hold rendered mechanically clean.
5. After discharge or disinfection of ballast the vessel should be disinfected as provided in Article III, paragraphs a, b, c, and d of thèse régulations, treating living rooms in addition with lumigation with sulphur dioxide, 4 per cent, tweniy-four hours' exposure.
6. AU baggage and clothing , bedding, hangings , etc., shall be disinfected by steam at 100° to 102° C. for thirty minutes after such température is reached, or boiling thirty minutes. Articles liable to injury by steam or boiling should be disinfected by immersion in solution of bichloride of mercury , 1 to 800, or solution of pure carbolic acid, 3 per cent, ail articles to be wholly submerged and thoroughly wetted.
7. Cargo shall be disinfected in situ, if possible, by thorough aëration, followed by fumigation with sulphur dioxide, 10 per cent strength, fortyeight hours' exposure. Where it is impossible to disinfect in situ, the cargo should be removed and disinfected.
8. The personnel of the vessel shall be detained five days from completion of the disinfection, or three days if ail packed effects of passengers, crew, and vessel are handled exclusively by quarantine employés. *)
9. Persons arriving on a vessel upon which yellow fever has occured at port of departure, on the voyage, or on arrivai, shall be detained not less than five days from the completion of disinfection.
10. If disinfected under the supervision of an accredited médical officer of the United States at the port of departure , the period of quarantine may date from completion of such desinfection, and shall not be less than five days.
11. Passenger traffic may be allowed during the quarantine season from Havana to any southern port of the United States under the following conditions:
(a) Vessels to be of iron and clean immediately prior to taking on passengers.
(b) The vessel must lie at moorings in the open harbor at Havana, and not approach the wharves , nor must the crew be allowed ashore.
*) Although it is known that the period of incubation of yellow fever may be over three and in some cases more than five days, the statistics, so far as can be obtained, of tbe quarantines of the United States demonstrate that the three days' détention after completion of disinfection is reasonably safe with regard to suspected vessels. To this practice is the added requirement that packed effects of passengers, crew, and vessel are to be handled exclusively by quarantine employés. While three days is the minimum required under the above conditions , it is recommended that five days' détention be imposed , as provided for at the national quarantine stations.
Etats- Unis d'Amérique.
(c) Ail passengers and crew must be immune to yellow fever.*)
(d) Ali baggage and articles liable to convey infection shall be disinfected as required by United States laws and régulations at port of departure or port of arrivai in the United States. No bedding or household effects to be allowed to enter.
Rules for the government of national quarantines.
Art. VIII. At United States ports where there is neither national nor local quarantine, vessels will not be admitted to entry until the collector of customs shall be satisfied that the vessel may be admitted without danger to the public health ; and in case the said vessel shall be found to have quarantinable disease on board, or to have had such discase on board duriug the voyage, the collector of customs at such port may remand such vessel to the nearest national or other quarantine station where proper accommodations and appliances are provided, there to undergo purification and disinfection according to the régulations governing national quarantines.
1. Quarantine will be maintained at South Atlantic und Gulf Quarantine Stations from May 1 to November 1 , and at Dry Tortugas from April 15 to November 15.
Boarding and inspection stations will be maintained throughout the year.
2. Quarantinable diseases are choiera, yellow fever, smallpox, plague, and typhus fever.
3. Vessels shall be inspected, without avoidable delay, between sunrise and sunset.
4. The quarantine officer shall at once demand from the master the prescribed bill of health. Should the vessel have no bill of health , she shall be detained and the fact reported at once to the collector of customs.
5. In making an inspection of a vessel, the bill of health, ship's log, and crew and passenger lists and manifests shall be examined, together with clinical record of ail cases treated in hospital during the voyage. The crew and passengers shall be mustered, according to the lists, and any discrepancies found investigated.
6. Vessels arriving at any national quarantine station having quarantinable diseases on board , or having had cases during the voyage , or at port of departure, shall be placée! in quarantine. After certificate of discharge shall have been given by the United States quarantine officer at said station , the vessel shall be admitted to entry under section 6 of act of February 15 , 1893.
7. Pilots bringing infected vessels will be detained in quarantine a sufficient time to cover the period of incubation of the disease for which the vessel is quarantined, or if, in the opinion of the quarantine officer, such
*) The évidence of immunity which may be accepted by the sanitary inspecter is:
First. Proof of continued résidence in an endémie focus of yellow fever for ten years.
Second. Proof of previous attack of yellow fever.
Immigration des Etrangers.
pilots have been exposed to infection. The dunnage of pilots shall be disinfected when necessary.
8. Prior to the discharge of ballast, or removal of suspected dunnage, a preliminary fumigation or disinfection m a y be required in the discrétion of the quarantine officer, which shall be done by the quarantine employéa only.
9. In choiera -infected vessels the water supply must be charged without delay , and the casks disinfected by steam or a 10 per cent solution of permanganate of potash, and thoronghly washed with pure water.
10. AU persons on vessels detained on account of smallpox who have been exposed to the contagion will be immediately vaccinated.
11. After mechanical cleaning, discharge of ballast, or shifting of cargo, the vessel shall be disinfected by sulphur dioxide, not less than 10 per cent volume, twenty-four to fbrty-eight hours' exposure, followed by a washing with acid solution of bichloride of mercury (1 to 800).
12. Discharge of ballast and disinfection of the hold of a vessel will generally be unnecessary when the vessel is detained on account of smallpox.
13. In a wooden vessel fumigation should précède the washing with bichloride; apartments above decks to be closed twenty-four hours, and below decks from forty -eight to seventy-two (the time necessary to allow the sulphur dioxide to penetrate ail dead spaces and rotten wood).
14. Objects of polished métal should be removed before fumigation of any compartment.
15. Mattresses , bedding, clothing , dunnage, and textile fabrics *) should be exposed to steam at a température of 102° C. for a period of thirty minutes after such température is reached.