GENERAL PROVISIONS:
Health measures on arrival and departure (Article 23);
1. State Party requires the following on arrival or departure;
a) With regard to travelers;
i. Information concerning the traveler’s destination so that the traveler may be contacted,
ii. Information concerning the traveller’s itinerary to ascertain if there was any travel in or near an affected area or other possible contact with infection or contamination prior to arrival and review health documents.
iii. Medical examination for the traveller.
b) Inspection of baggage, cargo, containers, conveyances, goods, postal parcels and human remains.
2. States Parties may apply additional health measures for a suspect or affected traveler discovered during medical examination to prevent the international spread of disease.
3. No medical examination, vaccination, prophylaxis or other health measure shall be carried out on travelers without their prior consent unless it is necessary and according to the law and international obligation of the State Party.
4. Travellers to be vaccinated or offered prophylaxis shall be informed of any risk associated with vaccination or with non-vaccination and with use or non-use of prophylaxis according to the law and international obligations of the State Party.
5. Any medical examination, medical procedures, vaccination or other prophylaxis which involves a risk of disease transmission shall be performed on, or administered to a traveler according to established national or international safety guidelines and standards so as to minimize such a risk.
SPECIAL PROVISIONS FOR CONVEYANCES AND CONVEYANCE OPERATORS:
Conveyance Operators (Article 24);
1. States Parties shall ensure that conveyance operators;
a) Comply with the health measures recommended by WHO and adopted by the State Party,
b) Inform travelers of the health measures recommended by WHO and adopted by the State Party for application on board,
c) Permanently keep conveyances free of sources of infection or contamination, including vectors and reservoirs.
2. In addition, Conveyance operators shall facilitate;
a) Inspection of cargo, containers and conveyances,
b) Medical examinations of persons on board,
c) Provision of relevant public health information requested by the State Party.
d) Provision of valid Ship Sanitation Control Exemption Certificate, Ship Sanitation Control Certificate, Maritime Declaration of Health and part of an Aircraft General Declaration to the Competent Authority.
e) Control measures to baggage, cargo, containers, conveyances and goods shall be carried out by avoiding injury or discomfort to persons or damage to baggage, cargo, containers, conveyances and goods (Annex 4),
f) Carrying out health measures for Vector borne diseases (Annex 5).
Ships and Aircraft in transit (Article 25);
Health measures shall not be applied by a State Party to;
a) A ship not coming from an affected area and shall be permitted to take fuel, water, food and supplies under supervision of the competent authority,
b) A ship which passes through waters within its jurisdiction without calling at a port or on the coast,
c) An aircraft in transit at an airport within its jurisdiction and shall be permitted to take fuel, water, food and supplies under the supervision of a competent authority,.
Civilian Lorries, train and coaches in transit (Article 26);
Health measure shall not be applied to a civilian lorry, train or coach not coming from an affected area which passes through without embarking, disembarking, loading or discharging.
Affected conveyances (Article 27);
1. If clinical signs or symptoms and information based on fact or evidence of a public health risk, including sources of infection and contamination are found on board a conveyance, the competent authority shall consider the conveyance as affected and may;
a) Disinfect, decontaminate, disinsect or derat the conveyance, as appropriate or cause these measures to be carried out under its supervision,
b) Decide in each case the technique employed to secure an adequate level of control of the public health risk as provided in these Regulations. Where there are methods or materials advised by WHO for these procedures, these should be employed, unless the competent authority determines that other methods are as safe and reliable.
The competent authority may implement additional health measures, including isolation of the conveyances, as necessary, to prevent the spread of disease. Such additional measures should be reported to the National IHR Focal point.
2. If the Competent Authority for the point of entry is not able to carry out the control measures required under this Article, the affected conveyance may nevertheless be allowed to depart, subject to the following conditions;
a) The Competent Authority shall, at the time of departure, inform the Competent Authority for the known point of entry of the type of information referred to under subparagraph b);
b) In the case of a ship, the evidence found and the control measures required shall be noted in the Ship Sanitation Control Certificate.
Any such conveyance shall be permitted to take on under the supervision of the Competent Authority, fuel, water, food and supplies.
3. A conveyance that has been considered as affected shall cease to be regarded as such when the Competent Authority is satisfied that;
a) The measures provided in paragraph 1 of this Article have been effectively carried out.
b) There are no conditions on board that constitute a public health risk.
Ships and Aircraft at points of entry (Article 28);
1. A ship or an aircraft shall not be prevented for public health reasons from calling at any point of entry. However, if the point of entry is not equipped for applying health measures under these Regulations, the ship or aircraft may be ordered at its own risk to the nearest suitable point of entry available to it, unless the ship or aircraft has an operational problem which would make this diversion unsafe.
2. A ship or an aircraft shall not be refused Free pratique by States Parties for public health reasons, in particular they shall not be prevented from embarking or disembarking, discharging or loading cargo or stores or taking on fuel, water, food and supplies. States Parties may subject the granting of Free pratique to inspection and if a source of infection or contamination is found on board, the carrying out of disinfection, decontamination, disinsection or deratting, or other measures shall be necessary to prevent the infection or contamination.
3. A State Party may give Free pratque by radio or other communication means to a ship or an aircraft when there is no any condition on board for the introduction or spread of disease.
4. Officers in command of ships or pilots in command of aircraft or their agents shall inform the authority of port or airport of destination any cases of a disease or evidence of a public health risk on board.
5. The following shall apply if a suspect or affected aircraft or ship, for reasons beyond the control of the pilot in command of the aircraft or the officer in command of the ship, lands elsewhere than at the airport at which the aircraft was due to land or elsewhere than at the port at which the ship was due to berth;
a) The pilot in command of the aircraft or the officer in command of the ship or other person in charge shall make every effort to communicate without delay with the nearest Competent Authority,
b) As soon as the Competent Authority has been informed of the landing it may apply health measures recommended by WHO or other health measures provided in these Regulations,
c) Unless required for emergency purposes or for communication with the CompetentAuthority, no traveler on board the aircraft or ship shall leave its vicinity and no cargo shall be removed from the vicinity, unless authorized by the Competent Authority,
d) When all health measures required by the Competent Authority have been completed, the aircraft or ship may so far as such health measures are concerned, proceed either to the airport or port at which it was due to land or berth, or if for technical reasons it cannot do so to a conveniently situated airport or port.
6. Notwithstanding the provisions contained in this Article, the officer in command of a ship or pilot in command of an aircraft may take such emergency measures as may be necessary for health and safety of travelers on board. He or she shall inform the Competent Authority as early as possible concerning any measures taken pursuant to this paragraph.
Civilian Lorries, trains and coaches at points of entry (Article 29);
WHO in consultation with States Parties shall develop guiding principles for applying health measures on civilian Lorries, trains and coaches at points of entry and passing through ground crossings.
SPECIAL PROVISIONS FOR TRAVELLERS:
Travellers under public health observation (Article 30);
Subject to Article 43 or as authorized in applicable international agreements, a suspect traveler who on arrival is placed under public health observation may continue an international voyage, if the traveler does not pose an imminent public health risk and the State Party informs the Competent Authority of the point of entry at destination, if known, of the traveller’s expected arrival. On arrival the traveler shall report to that authority.
Health measures relating to entry of travelers (Article 31);
1. A State Party may require medical examination, vaccination or other prophylaxis or proof of vaccination or other prophylaxis as condition of entry to travellers;
a) When necessary to determine whether a public health risk exist,
b) As a condition of entry for any travelers seeking temporary or permanent residence,
c) As a proof of vaccination or other prophylaxis to prevent international spread of diseases.
2. If a traveler for whom a State Party may require a medical examination, vaccination or other prophylaxis fails to consent to any such measure, or refuses to provide information or the documents may be denied entry. If there is evidence of an imminent public health risk , the State Party may, in accordance with its national law and to the extent necessary to control such a risk, compel the traveler to undergo or advise the traveler to undergo;
a) Medical examination that would achieve the public health objective,
b) Vaccination or other prophylaxis,
c) Additional established health measures that prevent or control the spread of disease, including isolation, quarantine or placing the traveler under public health observation.
Treatment of travelers (Article 32);
In implementing health measures under these Regulations, States Parties shall treat travelers with respect for their dignity, human rights and fundamental freedoms and minimize any discomfort or distress associated with such measures, including by;
a) Treating all travellers with courtesy and respect,
b) Taking in consideration the gender, sociocultural, ethnic or religious concerns of travelers,
c) Providing or arranging for adequate food and water, appropriate accommodation and clothing, protection for baggage and other possessions, appropriate medical treatment, means of necessary communication if possible in a language that they can understand and other appropriate assistance for travelers who are quarantined, isolated or subject to medical examinations or other procedures for public health purposes.
SPECIAL PROVISIONS FOR GOODS, CONTAINERS AND CONTAINER LOADING AREAS:
Goods in transit (Article 33);
Goods, other than live animals, in transit without transshipment shall not be subject to health measures or detained for public health purposes.
Containers and Container loading areas (Article 34);
1. States Parties shall ensure as far as practicable that container shippers use international traffic containers that are kept free from sources of infection or contamination, including vectors and reservoirs, particularly during the course of parking.
2. States Parties shall ensure as far as practicable that container loading areas are kept free from sources of infection or contamination, including vectors and reservoirs.
3. Whenever, in the opinion of a State Party, the volume of international container traffic is sufficiently large, the Competent Authorities shall take all practical measures consistent with these Regulations, including carrying out inspections to assess the sanitary condition of container loading areas and containers in order to ensure that the obligations contained in these Regulations are implemented.
4. Facilities for inspection and isolation of containers shall as far as practicable, be available at container loading areas.
5. Container consignees and consignors shall make every effort to avoid cross contamination when multiple use loading of containers is employed.
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