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OTRITY.
R. THE .
HAWAIIAN KINGDOM.
EY ATUTE
QUARANTINE REGULATIONS,
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ROARD OF HEALTH NOTICE.
At a meeting of the Board of Health, held at the Foreign
Office, October 17, 1883, the following Quarantine Regula-
tions were unanimously adopted :
QUARANTINE REGULATIONS.
1. The Board of Health and its agents may establish quar-
antine grounds in the several districts of the kingdom, as they
may judge best. (Civil Code, section 291.)
2. The Board of Health may, from time to time, establish
the quarantine to be performed by all vessels arriving at any
port of the kingdom, and may make such quarantine regu-
lations as may be deemed necessary for the public health and
safety. (Civil Code, section 292.)
3. The quarantine regulations so established shall extend
to all persons, goods, and effects, arriving in such vessels, and
to all persons who may visit or go on board of the same.
(Civil Code, section 293.)
4. Notice shall be given of such quarantine regulations by
publication in the manner provided in section 284 of the
Civil Code ; after which notice, any person violating such
quarantine regulations shall be fined a sum of not less than
five nor more than five hundred dollars. (Civil Code, sec-
tion 294.)
5. Any vessel which shall refuse to submit to quarantine, or
which shall leave the quarantine ground before the expiration
of the quarantine imposed upon her, or which shall be the
means of clandestinely introducing into this kingdom any
Quaranting
Grounds.
Regulations for
Quarantine.
To be inclusive,
And to be pub-
lished—Penalty
for v i ol a ting
quarantine reg-
ulations.
Penalty for vio
lating quaran
time regulations
4
Disinfection and
cleansing of ves-
sels, persons and
cargoes. - .*
--—’ ‘’’
Penalty for re-
fusing to ans-
wer questions
relating to dis-
ease, etc., On a
vessel arrivillg.
Expenses of quar-
antine to be paid
by the vessel, its
owners, assign-
ees or possessors
Port Physician to
examine vessels
arriving.
contagious disease, or any disease dangerous to the public
health, shall be liable to seizure, confiscation, and sale for
the benefit of the public treasury. (Civil Code, section 295.)
6. The Board of Health or its agents may at any time cause
a vessel arriving at any port in this kingdom, when they deem
such vessel, or any part of its cargo, to be foul, infected, or
in any way dangerous to the public health, to be removed to
the nearest quarantine ground, and to be thoroughly purified
at the expense of the owners, consignees or persons in pos-
session of the same ; and they may also cause all persons ar-
riving in or going on board of such vessel, or handling such
infected cargo, to be removed to some place of safety, there
to remain under their orders. (Civil Code, section 296.)
7. If any master, seaman, or passenger, belonging to a
vessel on board of which there may be at the time, or may
have lately been, or suspected to have been, any infectious or
contagious disease, or that which may become the source of
such disease, or which may have been at or have come from
a port where any infectious or contagious disease prevailed
that may endanger the public health, shall refuse to make
answer on oath to such questions as may be asked him, relat-
ing to said disease or possible source of disease, by the Board
of Health or its agents; such master, seaman, or passenger,
so refusing, shall be punished by fine not exceeding five hun-
dred dollars, or be imprisoned with hard labor for n ot m
than twelve months, or both, at the discretion of the court.
(Civil Code, section 297.)
8. All expenses incurred on account of any person, vessel, or
goods, under any quarantine regulations, shall be paid by such
person, vessel, or owner or consignee of such vessel or goods,
the vessel causing them not receiving a permit to quit the
port until said expenses are paid or surety for their payment
given. (Civil Code, sections 298 and 601.)
9. Every vessel arriving off any port of these islands, except
5
vessels plying between any two of the ports of these islands,
shall be boarded by the Port Physician, who shall examine
personally the crews and passengers, and if satisfied that no
contagious or infectious disease exists, or has recently existed
on board, he shall give the Captain a certificate to that
effect; but if not so satisfied, he shall order the Pilot
to anchor the vessel outside the harbor on the nearest
quarantine ground, and the Board of Health to be notified
of the facts. No vessel may enter the harbor of any
port in this kingdom without the permission of the Port Phy-
sician for said port, except where the commanding officer signs
the health certificate which the Pilot shall present to him.
10. On the arrival of a vessel off any port in these islands,
after being at sea for a period of less than eighteen days from
its last port of call, the Pilot, after boarding said vessel, shall
strictly inquire into the health of all on board. He shall
instruct the Captain to have his crew and passengers mus-
tered on deck, where he shall personally inspect them ;
when, if he deem it necessary, he shall hoist a yellow flag
to call on board the Port Physician for a more thorough in-
vestigation, who shall then proceed as ordered in the regula-
tion last preceding.
11. But if the vessel arriving shall have been more than
eighteen days at sea from her last port of call, the procedure
shall be such as has been followed hitherto, as ordered in sec-
tions 594, 595 and 596 of the Civil Code.
NOTE.-In such cases the following procedure has been hitherto fol-
lowed :-By Section 594 the Pilot, when putting off to a vessel,
shall take with him two flags—one white, the other yellow ;
but he must not board a vessel unless he is assured that there
is no danger to be feared from any contagious disease on board
said vessel.
By section 595 the Pilot, after boarding a vessel, shall give the com-
manding officer a health-certificate for him to sign. If the
same shall be signed, the White flag shall at once be hoisted at
the main, and the vessel may enter the port ; but if the com-
manding officer refuse, or be unable to sign the certificate of
health, the yellow flag shall at once be hoisted at the main, and
Case of vessels
less than eigh-
teen days at Sea.
Wessels longer
th a n eighteen
days at Sea.
P i 1 ot, before
boarding a ves-
S e 1, to i n-
Quire after the
health of those
on board—
To present cer-
tificate for Cap-
tain to sign, and
to hoist a flag.
6
No communica-
tion for vessels
in q u a rantine
W i t h Shore Or
other ships until
permitted.
Port Physicians'
fees and expen-
S{2S.
Pei'Sons are , all-
thorized to act as
Port Physicians.
Vessel in transitu
put into quar-
antine with pas-
sengers or goods
for a port.
Quarantine for
vessels coming
from any port
where there Was
cholera, yellow
fever, smallpox,
scarlet fever, &c
the vessel placed in quarantine outside the harbor and anchored
where the Pilot may direct. If a vessel be brought into any
port of this kingdom, in violation of the provisions of this 595th
Section, or of any of the regulations of the Board of Health, or
concerning which there is just ground to suspect the existence
of contagion on board, the vessel itself is liable to seizure, con-
fiscation, and sale, and the Pilot (if conniving at such viola-
tion) liable to a fine not exceeding five hundred dollars.
**
By section 596 the Pilot is forbidden to return on shore, if he shall
find the existence of any contagious disease on board a vessel
which he has boarded ; and this section also prohibits all colm-
munication between all on board the said ship and the shore
or other ships, until permitted by the Board of Health, or by
the Collector of Customs, under a penalty of a fine of not more
than five hundred dollars.
12. In every case where a vessel is boarded by the Portl’hy-
sician, his fees and expenses shall be paid by the vessel or its
representatives; and if said vessel or its representatives de-
cline to pay these fees, the Collector of Customs shall collect
them and shall not give the vessel a permit to quit the harbor
until such fees and expenses shall have been paid.
13. The Resident Physicians who are, or shall be, appointed
by the Government to take charge of the various districts of
these islands, except Honolulu, are hereby appointed by the
Board to act as Port Physicians for all ports in their several
districts.
14. If a vessel, passing on to another port or country, wish
to land persons or goods in any port of these islands, the said
vessel being obliged to undergo quarantine under the pro-
visions of any of the previous sections of these regulations;
the persons or goods entering said port of these islands may
be landed and shall undergo such quarantine or other treat-
ment as the Board of Health shall Order, after which the
vessel shall be free to depart, when her quarantine is raised.
15. On the arrival of a vessel at any port of this kingdom,
coming from a port known to be infected with cholera, yel-
low fever, small-pox, Scarlet fever, or any other contagious or
infectious disease, although no case of such disease may have
7
broken out on board during the voyage, no person shall be
allowed to land from her unless a period of eighteen days
shall have elapsed from the time of her leaving said infected
port.
16. On the arrival of a vessel at any port of this kingdom
which has, or has had on board during the voyage, any person
sick of cholera, yellow fever, small pox, scarlet fever, or any
Other contagious or infectious disease, the sick persons (if passen-
gers for that port), shall be sent to the nearest quarantine hos-
pital, for such a period as may be deemed necessary, and the
vessel, with all on board, shall undergo quarantine, if neces-
sary, for a period of eighteen days, as the Board of Health may
direct, after hearing the report of the Port Physician on the
said vessel.
But with regard to all sick persons other than passengers
for that port, the Board of Health will not consider itself
bound to receive them or to take care of them in quarantine,
unless the interests of humanity may require exception to be
made.
17. No person shall leave or visit any quarantined vessel,
or any house or enclosure set apart for quarantine purposes,
unless by written permission of the President of the Board of
Health or any agent authorized by him.
18. Under no circumstances provided for by the last preced-
ing regulation shall clothing, personal baggage, or any goods, be
allowed to be put on shore before having undergone such dis-
infecting process as may be ordered by the Board of Health;
nor shall letters or mails be landed in Honolulu, except by
written permission of the President of the Board of Health,
or in any other district of the kingdom, except by permis-
sion of the District Port Physician. -
19. When a vessel shall arrive at any port of this kingdom
which has, or has had, on board during its voyage a person
ith any of the said contagious or infectious diseases, the
Quarantine for
V e S S e ] S With
S in a 1 1-pox, &c.
On board.
Written permits
for entering or
leaving a vessel,
etc., in quarau-
time, or used for
quarantine pur-
poses.
Disinfection re-
qui re d before
landing things-
even for mails.
Wessel also to be
disinfected be-
fore cargo may
be removed.

8
|Board of Health shall cause the whole or part of the ship to
be fumigated, or otherwise disinfected in a satisfactory man-
ner, before any of the cargo may be discharged from the ship.
*...,", i. 20. It shall be the duty of the Pilot to deliver to the .
:*: ; commanding officer of any vessel a copy of the aforesaid quar-
sel. antine regulations, with which he shall be provided by the
Board of Health for that purpose.
The Board at the same time adopted the following resolu-
tion :
RESOLVED, That all the quarantine regulations of the King-
dom previous to this date, be and the same are hereby re-
scinded.
WALTER M. GIBSON,
President of the Board of Health.
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OFFICE.
OF THE
REPUBLIC OF HAWAII.
INZLA-TSZT 1-3S-363 -
HONOLULU :
HAWAIIAN GAZETTE COMPANY.
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FOREIGN OFFICE.
|| || || ||
OF THE
REPUBLIC OF HAWAII.
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HONOLULU :
EIAWAIIAN GAZETTE COMPANY.
1896.
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DEPARTMENT OF FoREIGN AFFAIRS,
HoNoLULU, H I., May 15, 1896.
To All Officers of the Department,
Consuls, Consular Officers and others concerned :
Pursuant to the Act of the Legislature approved this fif-
teenth day of May, 1896, entitled “An Act Relating to Quaran-
tine Powers,” and other quarantine laws herewith published,
the following Regulations have been made and are hereby
promulgated. ^
The Regulations to be observed at foreign ports shall take
effect in said ports ten days after they have been posted in
the Office of the EHawaiian Consul or other Consular Officer
of the Hawaiian Islands according to law.
HENRY E. COOPER,
Minister of Foreign Affairs.
AN ACT RELATING TO QUARANTINE POWERS.
Be it enacted by the Legislature of the Republic of Hawaii:
Section 1. It shall be unlawful for any merchant ship or
other vessel from any foreign port or place to enter any port
of the Hawaiian Islands except in accordance with the pro-
visions of this Act, and with such rules and regulations of
State and 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 Hawaiian Islands in
violation thereof shall forfeit to the Republic of Hawaii a
sum, to be awarded in the discretion of the Court, not exceed-
ing Five Thousand Dollars, which shall be a lien upon said
vessel, to be recovered by proceedings in the proper Court
of the Republic of Hawaii.
Section 2. Any vessel at any foreign port clearing for any
port or place in the EHawaiian Islands shall be required to
obtain from the Consul, Vice-Consul, or other Consular officer
of the Republic of Hawaii at the port of departure, or from
the medical officer, where such officer has been appointed by
the President for that purpose, a bill of health, in duplicate,
in the form prescribed by the Minister of Foreign Affairs
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 prescribed 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
6
his services 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 appoint
a medical officer 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 herein-
before mentioned. Any vessel clearing and sailing from any
such port without such bill of health, and entering any port
of the Hawaiian Islands, shall forfeit to the Republic of Ha-
waii 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 Court of the
Republic of Hawaii.
Section 3. The Minister of Foreign Affairs shall make such
rules and regulations as are necessary to be observed by ves-
sels at the port of departure and on the voyage, when such
vessels sail from any foreign port or place to any port or
place in the Hawaiian Islands, to secure the best sanitary
condition of such vessel, her cargo, passengers, and crew;
which shall be published and communicated to and enforced
by the Consular and medical officers of the Republic of Hawaii.
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 in the office of the Consul or other Consular officer of
the Republic of Hawaii for ten days, in the port from which
said vessel sails; and the certificate of such Consul or Con-
sular officer over his official signature shall be competent
evidence of such posting in any Court of the Republic of
Hawaii.
Section 4. The Minister of Foreign Affairs shall from time
to time issue to the Consular officers of the Republic of Ha-
7
waii, and to the medical officers serving at any foreign port,
and otherwise make publicly known, the rules and regulations
made by him, and to be used and complied 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 Hawaiian Islands and in the
course of the voyage, so as to prevent the introduction of
cholera, plague, small-pox, yellow fever, or other contagious
or infectious diseases; and it shall not be lawful for any ves-
sel to enter said port to discharge its cargo, or land its pas-
sengers, except upon a certificate of the Health Officer at
the quarantine station at the port of destination, certifying
that said rules and regulations, as well as the regulations
of the Board of Health of the Republic of Hawaii, have 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 produce and deliver to the Collector of
Customs at said port of entry, together with the other papers
of his 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 the bills of health herein prescribed shall be considered
as part of the ship's papers, and when duly certified to by the
proper Consular officer or other officer of the Republic of
Hawaii, over his official signature and seal, shall be accepted
as evidence of the statements therein contained in any Court
of the Republic of Hawaii.
Section 5. On the arrival of an infected vessel at any port
not provided with proper facilities for treatment of the same,
the Port Collector or Health Officer of the port may remand
said vessel, at its own expense, to the nearest quarantine sta-
tion where accommodations and appliances are provided for
the necessary disinfection and treatment of the vessel, crew,
8
passengers, and cargo; and after treatment of any infected
Vessel at a quarantine station, and after certificate shall have
been given by the Health Officer at said station that the ves-
Sel, crew, cargo, and passengers are each and all free from
infectious disease, or danger of conveying the same, said
vessel shall be permitted to enter any port of the Hawaiian
Islands named within the certificate.
Section 6. Whenever it shall be shown to the satisfaction
of the President that by reason of the existence of any infec-
tious or contagious disease in any foreign country there is
serious danger of the introduction of the same into the Eſa-
waiian Islands, and that notwithstanding the quarantine de-
fense this danger is so increased by the introduction of persons
or property from such country that a suspension of the right
to introduce the same is demanded in the interest of the
public health, the President shall have the power to prohibit,
in whole or in part, the introduction of persons and property
from such countries or places as he shall designate and for
such period of time as he may deem necessary.
CIVIL CODE.
Section 291. The Board of Health, and its agents, may
establish quarantine grounds in the several districts, as they
may judge best.
Section 292. The Board of Health may, from time to time,
establish the quarantine to be performed by all vessels arriv-
ing at any port of the kingdom; and may make such quaran-
tine regulations as it shall judge necessary for the health and
safety of the inhabitants.
Section 293. The quarantine regulations so established
shall extend to all persons, and all goods and effects, arriving
9
in such vessels, and to all persons who may visit or go on
board of the same.
Section 294. Notice shall be given of such regula-
tions, by publication in the manner provided in section
284; and after such notice shall have been given, any person
who shall violate any such quarantine regulations, shall be
fined a sum not less than five, nor more than five hundred
dollars.
Section 295. Any vessel which shall refuse to submit to
quarantine, or which shall leave the quarantine ground before
the expiration of the quarantine imposed upon her, or which
shall be the means of clandestinely introducing into this
kingdom any contagious disease, or any disease dangerous
to the public health, shall be liable to seizure, confiscation
and sale, for the benefit of the public treasury.
Section 296. The Board of Health, and its agents, may
at all times cause any vessel arriving, when such vessel, or the
cargo thereof, shall in their opinion be foul, or infected, so
as to endanger the public health, to be removed to the quaran-
tine ground, and to be thoroughly purified at the expense of
the owners, consignees, or persons in possession of the same;
and they may also cause all persons arriving in, or going
on board of any such infected vessel, or handling such in-
fected cargo, to be removed to some place of safety, there to
remain under their orders.
Section 297. If any master, seaman, or passenger, belong-
ing to any vessel, on board of which any infection may then
be, or may have lately been, or suspected to have been, or
which may have been at, or which may have come from any
port where any infectious distemper prevailed, that may
endanger the public health, shall refuse to make answer on
oath to such questions as may be asked him, relating to such
infection or distemper, by the Board of Health, or its agents,
10
such master, seaman, or passenger, so refusing, shall be pun-
ished by fine not exceeding five hundred dollars, or imprison,
ment at hard labor not exceeding twelve months, or both, in
the discretion of the court.
Section 298. All expenses incurred on account of any per-
son, vessel, or goods, under any quarantine regulations, shall
be paid by such person, vessel, or owner of such vessel or
goods respectively.
QUARANTINE REGULATIONS TO BE OBSERVED AT
FOREIGN PORTS AND A T SEA.
ARTICLE I-BILLs of HEALTH
1. Masters of vessels departing from any foreign port
for a port in the Hawaiian Islands must obtain a bill of health
in duplicate signed by the proper officer or officers of the
Hawaiian Islands as provided for by law.
The following form is prescribed:
2. Bill of health:
HAWAIIAN ISLANDs BILL OF HEALTH.
Name of vessel, . . . . . . . Nationality, . . . . . . . Rig, . . . . . . Master,
* = & © s . Tonnage, gross, . . . . . . ; net, . . . . . . . Iron or wood. Number of
Compartments for cargo, . . . . . . ; for steerage passengers, . . . . . . ; for crew,
sº e s a s =
Name of medical officer, . . . . . . .
Number of officers, . . . . . .
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
12
Number of cases and deaths from the following named disease during:
the past two weeks :
Diseases. No. of cases. No. of deaths.
Plague . . . . . . . . . * * * * * * * * * *º,......... ...... ......
Any conditions affecting the public health existing in the port of de-
parture, or vicinity, to be here stated, . . . . . .
T certify that the vessel has complied with the rules and regulations.
made under the Act of May 15th, 1896, and that the vessel leaves this port
bound . . . . . for . . . . . . , H. I., via . . . . . .
Given under my hand and Seal this . . . . . . day of . . . . . . , 189. .
(Signature of consular officer :) . . . . . . . . -- - -
3. Vessels clearing from a foreign port for any port
in the EIawaiian Islands, and entering or calling at interme-
diate ports, must procure at all said ports a supplemental bill
of health signed as provided in Article I. If a quarantinable
disease has appeared on board the vessel 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:
4.—
SUPPLEMENTAL BILL OF HEALTH,
Port of . . . . . .
Wessel . . . . . . , bound from . . . . . . to . . . . . . , EI. I.
Sanitary Condition of port : . . . . . .
State diseases prevailing at port and in Surrounding country .....
Number of cases and the deaths from the following named diseases dur-
ing the past two weeks :
N N (A .# º h
º O. O. ny condition affecting the
Diseases. Cases. | Deaths. public health existing in.
the port to be stated here.)
Yellow fever . . . . . . . . . • * * * * * * * | * * * * * * * * * * * * * * * * | * * * * * * * * * * * * * * * * * * * * * * a e 9.
Asiatic cholera or cholerine... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Smallpox. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Typhus.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
Wumber and sanitary condition of passengers taken on at this port,
and sanitary condition of effects.
Cabin, No. . . . . . . Sanitary condition and history . . . . .
Steerage, No. . . . . . . Sanitary condition and history . . . . . .
(Cancel Form A, B, or C, as the case requires.)
Form.
A.—To the best of my knowledge and belief–Y
(Form A will be used at intermediate ports | * *
where the vessel does not enter and clear.) | IłO quarantinable disease
B.—I have satisfied myself that— f ... ." aboard
(Form B will be used at intermediate ports
where the vessel enters and clear.)
C.—Since leaving . . . . . the following quarantinable disease has appeared
on board . . . . . . , and I certify that the necessary 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 regula-
tions made under the Act of . . . . . . , 189. .
Given under my hand and seal this . . . . . . day of . . . . . . , 189. .
(Signature of consular officer :) . . . . . . . . . . . .
ARTICLE II.—INSPECTION.
1. The officer issuing the bill of health will satisfy
himself, by inspection if necessary, that the conditions certi-
fied to therein are true.
2. Inspection is required of—
(a) All vessels from ports at which cholera prevails, or at
which plague, 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 pas-
isengers and their living apartments, if from a healthy port.
3. Inspection of the vessel is such an examination of the
vessel, 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 complied with.
4. When an inspection is required, it should be made by
14
daylight, as late as practicable before sailing. The vessel
should be inspected before the passengers go aboard, the pas-
sengers 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.
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 num-
ber and open for ventilation. Disinfection of the vessel may
be required by the medical officer of the Hawaiian Islands.
2. If any infectious disease has occurred during the last
voyage, 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.
3. The food and water supply should be sufficient, and
water for drinking purposes, free from possibility of pollu-
tion, should be easily accessible.
4. All bedding provided for steerage passengers must be
destroyed or disinfected before being again used or landed, and
mattresses and pillows used by steerage passengers shall not
be landed.
5. 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.
6. Excepting when absolutely required, no solid partitions
should be placed in any steerage compartment, obstructing
light and air.
15
ARTICLE IV.-CARGO.
1. At ports infected with cholera, earth, sand, loam, soft
or porous rock should not be taken as ballast.
2. Certain food products, viz: unsalted meats, sausages,
dressed poultry, dried and smoked meats, rennets, fresh but-
ter, 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.
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.
4. Articles of merchandise, personal effects, and bedding,
coming 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 medical officer has reason to believe are
infected, should be subjected to disinfection prior to ship-
ment by processes prescribed for articles according to their
class.
5. New merchandise in general may be accepted for ship.
ment without question; and articles of new merchandise,
textile fabrics, and the like, which have been packed or pres
pared 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.
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 Hawaiian Islands, be subjected
to disinfection by one of the prescribed methods:
(Old jute bags, old cotton bags, old rope, new cotton and
linen cuttings from factories, not included.)
16
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 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.
8. New feathers for bedding; human and other hair, un-
manufactured; 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 by steam. -
9. The articles enumerated in the preceding paragraph
coming from a district where yellow fever prevails, or where
smallpox or typhus fever prevails in epidemic form, should
be refused shipment unless disinfected, as hereinafter pro-
vided.
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.
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.
12. Any article presumably infected, which can not be
disinfected, should not be shipped.*
ARTICLE V.—PASSENGERS AND CREW.
1. Passengers, for the purposes of these regulations, are
divided into two classes, cabin and steerage.
*Upholstered furniture, sheepskins used as wearing apparel, bedding,
ſhones, horns and hoofs.
17
2. No person suffering from a quarantinable disease, or
scarlet fever, measles, or diphtheria, should be allowed to ship.
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 pre-
vious attack or recent successful vaccination.
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.
5. When practicable, passengers should not ship from an
infected port. Steerage passengers coming from cholera
infected districts must be detained five days in suitable houses
or barracks located where there is no danger from infection,
and all baggage disinfected as hereinafter provided; the said
period of five days to begin only after the bathing of the pass
sengers, disinfection of all their baggage and apparel, removal
of all food brought with them, and isolation from others not
so treated.
6. Steerage passengers from districts not infected with
cholera, shipping at a port infected with cholera, unless passed
through without danger of infection and no communication
allowed between passengers and the infected locality, should
be treated as those in the last paragraph.
7. Prior to sailing from ports infected with cholera, each
passenger of the cabin class should produce satisfactory evi-
dence as to his exact place of abode during the five days im-
mediately preceding 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
18
necessary by the inspecting officer, and the baggage should
be disinfected. -
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.
9. Should cholera break out in the barracks or houses in
which the passengers are undergoing the five days' observa.
tion, 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. -
10. All baggage of steerage passengers destined for the
Hawaiian Islands 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 steamship 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 consular or medical
officer of the Hawaiian Islands. 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 Hawaiian Islands. 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.
11. Each steerage passenger should be furnished with an
inspection card (see form below). This card, stamped by the
consular or medical officer, is to be issued to every member
of a family as well as to the head thereof.
3
Port of departure
INSPECTION CARD.
(Immigrants and Steerage Passengers.)
Date of depature,
Mame of ship,
Mame of /mmigrant,
Last permanent residence,
Inspected and passed at
Seal or Stamp
of Consular or Medical
Officer
Passed at Quarantine, port of
Passed by Immigration Bureau
Port Of
(Date.)
(Date.)
Ship's list or manifest,
Mo, on Ship's list or manifest,
(The following to be filled in by ship's surgeon or agent prior to or after embarkation.)
Berth No.
i
i
:
68 to sº L^\ \O N OO CN O
jº
E
S
º
st
:
i
#
i
ă
;





(REVERSE SIDE.)
Keep this Card to avoid detention at Quarantine.
Diese Karte muss aufbewahrt werden, um Aufenthalt an
der Quarantâne.
Cette carte doit étre conservée pour éviter une détention a
la Quarantaine.
Deze kaart moet bewaard worden, ten einde oponthoud aan
de Quarantijn.
Conservate questo biglietto Onde evitare detenzione alla
Quarantina.
§
21
12. 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.
13. The baggage of such cabin passengers shall be labeled
in the same manner as the steerage baggage.
14. 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 the steerage passengers. If it is con-
sidered necessary, the crews of freight ships may be similarly
treated at the discretion of the medical Officer.
15 Passengers and crews, merchandise and baggage prior
to shipment at a moninfected port, but coming from an infected
locality, should be subject to the same restrictions as are
imposed in an infected port.
ARTICLE VI.-REQUIREMENTS AT SEA.
1. The master of the vessel should cause the following
rules (which comprise those recommended by the Interna-
tional 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.
22
2. An inspection of the vessel, including the steerage,
should be made by the ship's physician once each day.
3. Should cholera (or cholerine), plague, 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.
4. The compartments occupied by those who fall sick with
infectious disease should be disinfected, and, as far as pos-
sible, the compartments thus disinfected should be freely ex-
posed to the air. If the vessel is an iron steamer and the
compartments suitable, the entire compartment should be dis-
infected 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.
5. Patients with infectious disease should be isolated.
6. The hospital should be disinfected as soon as it becomes
Vacant.
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.
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.
9. Under the foregoing paragraphs disinfecting solutions
are limited to the following—Strong: acid solution of bichlo-
ride of mercury (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.
23
10. (Form for Clinical report:)*

Last per-
Name. Age. Sex. manent *iºn
residence.
Disease. |Discharged
i
* * * * * * * * * * | * * * * * * * * * | * e º e º 'º a s : * * * * * * * * | * * * * *
• * * * * * * * * * * * * * * * * 'lº - * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * : - - - - * * * * * * * * * * * - - - - - - - - -
• e s a • e º is a • * * * * * * * | * * * * * | * * * * * | * * * * * * * * * | * * * * * * * * | * * * * * * * * | * * * * * * * * * * : * * * * *
• * * * * * * * * * * * * * * * * 1 s = • * * | * * * * * | * * * * * * * * | * * * * * * * * * | * * * * * * * * : * * * * | * . . . .
a e s e - - a e s - e a s e e s ] = * * * * : * * * * * : * * * * * * * * * * : * * * * * * * * * | * * * * * * * * | * * * * * * * * *
• e s a s a e < * * * * * * * * | * * * * * : * * * * * | * * * * * * * * * | * * * * * * * * - I e e s s a • a s , , , , s = • * * * | * * * * *
* * * | * * * * * * * * * * * * * * * * * * : * * * * * * * * e i s a • a s
Clinical history. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * : * * * * * * * * * * I e - e. e. e.
ARTICLE VII.—DISINFECTION.
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 mer.
cury, 1 to 800 (mercury 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 YEL.
N LOW FEVER.
If the cargo is so stowed as to admit of disinfection, the
hold and cargo may be disinfected without breaking bulk,
*Temperature to be recorded.
24
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 temperature in all parts of the compart-
ments is to be not less than 100 degrees C. 2
(c) Cabins, officers’ quarters, staterooms, etc.—The bedding,
fabrics, and carpets should be removed and disinfected by
steam. After thorough mechanical cleansing, the exposed
surfaces of fabrics, which can not be removed, should be
washed with a solution of bichloride of mercury,” 1 to 1,000,
or 3 per cent. solution of carbolic acid, both of which shouſld
be removed but not under two hours. Afterwards the apart-
ments should be thoroughly dried and aired.
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 diox.
ide, 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 mer-
cury 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 fumi-
gation of such apartments, the cabins, forecastle, and other
apartments, and their contents, to be treated as those on iron
Vessels.
*Polished metal is injured by mercury, and leather by Steam.
25
CARGO.
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 degrees C. for not
less than thirty minutes after such temperature is reached.
(c) By exposure for not less than six hours in a closed com-
partment to a 4 per cent. strength (per volume) of Sulphur
dioxide gas—made by burning roll sulphur or by the libera-
tion of liquefied sulphur dioxide—allowance to be made for
leakage by increasing the amount of sulphur.
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 net-
ting) in layers of not more than six 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.
5. New feathers for bedding shall be disinfected by one
of the following methods:
(a) By steam at a temperature of 100 degrees 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.
6. Human hair or other hair, unmanufactured, and bris-
tles, 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 thorough-
ly saturated.
7. Wool to be disinfected by sulphur dioxide, 4 per cent.
26
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.
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.
9. Articles mentioned in paragraph 10, Article IV., should
be disinfected by being spread on racks and exposed to sul-
phur dioxide, 4 per cent. per volume, twenty hours.
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.
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 degrees to 102 degrees C. for
thirty minutes after such temperature is reached, or by boil-
ing for thirty minutes. (2) Immersion in bichloride 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.” ---
(B) Cooking and eating utensils should be immersed in
boiling water.
*Articles of rubber, leather, celluloid, gutta-percha, hats, furs, skins, and
similar articles, are injured by steam or boiling.
27
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.
NOTES FOR TELE INFORMATION OF MASTERS OF VES-
SELS AND OTHERS.
FORMULAE FOR STRONG DISINFECTING SOLUTIONS.
Bichloride of Mercury. (1:500.)
Bichloride of mercury. . . . . . . . . . . . . . . . . . . . . . . . . . . 1 part.
Hydrochloric acid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 parts.
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * sº s 500 parts.
Mix.
Carbolic Acid.
Carbolic acid (pure) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 parts.
Warm water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000 parts.
FORMULAH, 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 COMPART-
MENTS, 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.”
It is suggested that a vessel should carry for every 100
passengers: Bichloride of mercury, 5 pounds; hydrochloric
acid, 10 pounds; carbolic acid, 10 pounds.
*The use of these disinfecting solutions does not preclude the additional
use of hypochloride of lime.