Purpose and Scope
- Protect and promote public health by preventing introduction or spread of diseases subject to International Health Regulations.
- Applies to vessels, aircraft, crews, passengers, and cargo entering Philippine seaports or airports, public or private.
- Includes activities mandated by WHO's International Health Regulations.
Regulatory Authority
- Department of Health via the National Quarantine Office (Bureau of Quarantine) handles regulation and enforcement.
Definitions
- Includes key terms such as Aedes egypti index, aircraft, infected area, quarantine, isolation, pratique, suspect, valid certificate, and yellow fever-receptive area.
- Definitions set parameters for quarantine operations and disease control measures.
Vessel Sanitation Requirements
- Passenger accommodations must be well ventilated and clean; overcrowding prohibited.
- Crew quarters require daily inspection and cleanliness.
- Storerooms, refrigerators, galley, mess rooms, toilets, and medical facilities must meet strict sanitary standards.
- Procedures for managing communicable diseases on board—including isolation, disinfection, vector control, and special handling for cholera, plague, and mosquito-borne diseases.
- Protocols for death at sea and landing of human remains are outlined including embalming certificates and notification procedures.
Vessel Inspection Upon Entry
- All vessels from foreign ports and certain domestic vessels with disease occurrence or death must undergo quarantine inspection.
- Inspections conducted during specified hours by Quarantine Medical Officers or designated physicians.
- Vessels considered in quarantine until granted pratique; must fly yellow flag and comply with boarding and inspection procedures.
- Masters must provide health declarations, passenger lists, cargo manifests, deratting certificates, and clinical records.
- Immunization certificates, particularly for yellow fever, are mandatory for certain arrivals.
- Criteria for granting pratique include sanitary conditions, health status of ports of call, vessel health, deratting status, and cargo type.
- Radio pratique may be issued under specific conditions, mainly for military or ocean-going vessels.
- Cargo from plague-infected ports must be fumigated or accompanied by fumigation certificates.
- Import of transplantation materials and microbes requires special permits.
Requirements of Vessels While In Port
- Rat guards required on mooring lines; cargo nets and gangways must be well managed.
- Vessels must be kept at a distance from docks and measures taken to prevent rat transfer between vessels.
- Garbage disposal must follow health standards; no dumping overboard.
- Control of insect vectors and vermin mandated.
- Rat inspection and fumigation required under specified conditions; certificates must be valid.
- Additional deratting methods may be employed under official supervision.
- Vessels cannot leave without quarantine clearance.
Detention of Vessels in Quarantine
- Vessels considered infected with quarantinable diseases may be detained.
- Measures include flying yellow flags, restricting contact, and supervising movement and loading.
- Medical inspections of persons aboard vessels under detention.
- Stool examination for cholera may be required.
General Sanitation for Airports of Entry
- Airports must have quarantine medical services, inspection areas, laboratories or access, isolation facilities, disinfection and vector control capabilities, potable water, and vaccination facilities.
- Quarantine Medical Officer coordinates with airport health authorities.
- Aircraft prohibited from discharging infectious waste; servicing units responsible for disinfection.
- Deratting and disinsection of airports or aircraft as needed.
- Handling of passengers with infectious diseases and transport of cadavers are strictly regulated.
- Protective areas around airports maintained for mosquito control; direct transit areas must be mosquito-proof.
Inspection of Aircraft Upon Landing
- Aircraft from foreign or infected domestic airports, or carrying ill or dead persons subject to inspection.
- Aircraft must land at designated entry airports unless authorized otherwise.
- Quarantine Medical Officer conducts inspections and issues pratique.
- Boarding restricted during inspection; medical declarations and manifests must be provided.
- Immunization certificates like yellow fever are required for passengers and crew.
- Disinsection of aircraft mandatory before takeoff and before landing using approved insecticides.
- Aircraft must obtain quarantine clearance to depart for foreign destinations.
Measures in Domestic Infected Ports
- Medical examinations, surveillance, and isolation may be ordered for departing conveyances from infected areas.
- Specific measures for cholera include protection of water and food supply and inspection of baggage.
- For plague, rat and flea control required along with fumigation of conveyances and cargo.
- For yellow fever, valid immunization certificates required and conveyances must be disinsected.
Special Measures for Conveyances Infected with Specific Diseases
- Cholera-infected ships or aircraft: patients isolated and treated, contaminated items disinfected, contaminated waste disposed under supervision.
- Ships suspected or infected with plague: medical examinations, isolation, disinsection, fumigation, and surveillance.
- Healthy vessels from infected areas subject to surveillance and possible fumigation.
- Yellow fever infected or suspected conveyances: isolation of cases, medical examination, disinsection, and discharge supervision.
Penal Provisions
- Violations of these rules punishable by fines up to PHP 2,000 or imprisonment up to one year, or both.
- Vessels or aircraft violating provisions may forfeit up to PHP 10,000, a lien determined by Customs.
International Certificate of Vaccination for Yellow Fever
- Certificate must be printed in English and French, valid only with WHO-approved vaccine and designated vaccination center.
- Valid for ten years from date of immunization.
- Must be signed by authorized medical practitioner, with strict provisions on issuance.
- Amendment, erasure, or incomplete certificates considered invalid.