In order to avoid this retention, a system of relays ought to be established at frontiers, with transfer of passengers, baggage, and mails. If one of these carriages be infected or shall have been occupied by a person suffering from plague, cholera, or yellow fever, it shall be detached from the train for disinfection at the earliest possible moment. ART. XLIII. Measures concerning the passing of frontiers by the personnel of railroads and of the post-office are a matter for agreement of the sanitary authorities concerned. These measures should be so arranged as not to hinder the service. ART. XLIV. The regulation of frontier traffic, as well as the adoption of exceptional measures of surveillance, should be left to special arrangement between contiguous countries. ART. XLV. The power rests with governments of countries bordering upon rivers to regulate by special arrangement the sanitary régime of river routes. ARTICLES RELATING TO YELLOW FEVER. ART. XLVI. Ships infected with yellow fever are to be subjected to the following regulations: 1. Medical visit (inspection). 2. The sick are to be immediately disembarked, protected by netting against the access of mosquitoes, and transferred to the place of isolation in an ambulance or a litter similarly screened. 3. Other persons should also be disembarked, if possible, and subjected to an observation of six days, dating from the day of arrival. 4. In the place set apart for observation there shall be screened apartments or cages where anyone presenting an elevation of temperature above 37.6 degrees C. shall be screened until he may be carried in the manner indicated above to the place of isolation. 5. The ship shall be moored at least 200 meters from the inhabited shore. 6. The ship shall be fumigated for the destruction of mosquitoes before the discharge of cargo, if possible. If a fumigation be not possible before the discharge of the cargo, the health authorities shall order, either (a) The employment of immune persons for discharging the cargo; or (b) If nonimmunes be employed they shall be kept under observation during the discharging of cargo and for six days, to date from the last day of exposure on board. ART. XLVII. Ships suspected of yellow fever are to be subjected to the measures which are indicated in Nos. 1, 3, and 5 of the preceding article; and if not fumigated, the cargo shall be discharged as directed under subparagraph (a) or (b) of the same article. ÁRT. XLVIII. Ships indemne from yellow fever, coming from an infected port, after the medical visit (inspection) shall be admitted to free pratique, provided the duration of the trip has exceeded six days. If the trip be shorter, the ship shall be considered as suspected until the completion of a period of six days, dating from the day of departure. If a case of yellow fever develop during the period of observation, the ship shall be considered as infected. ART. XLIX. All persons who can prove their immunity to yellow fever, to the satisfaction of the health authorities, shall be permitted to land at once. ART. L. It is agreed that, in the event of a difference of interpretation of the English and Spanish texts, the interpretation of the English text shall prevail. TRANSITORY DISPOSITION. The governments which may not have signed the present convention are to be admitted to adherence thereo upon demand, notice of this adherence to be given through diplomatic channels to the Government of the United States of America and by the latter to the other signatory governments. Made and signed in the city of Washington on the 14th day of the month of October, 1905, in two copies, in English and Spanish respectively, which shall be deposited in the State Department of the Government of the United States of America, in order that certified copies thereof, in both English and Spanish, may be made to transmit them through diplomatic channels to each one of the signatory countries. Dr. EDUARDO MOORE. H. L. E. JOHNSON, M. D. E. LICÉAGA. J. L. MEDINA, M. D. RESOLUTIONS ADOPTED BY THE THIRD INTERNATIONAL SANITARY CONFERENCE, HELD IN THE CITY OF MEXICO FROM DECEMBER 2 TO 7, 1907. 1. To request the representatives of the Governments of Brazil, Colombia, and Uruguay that, in accordance with the full powers with which they are invested by their respective governments, they approve and adhere to the Sanitary Convention of Washington of 1905. 2. To recommend to the Governments of the American Republics represented in this Convention the codification of all the sanitary laws and measures of the respective countries, and as soon as they have done so to request said governments to send one or two copies of said codification to the International Sanitary Bureau of Washington. 3. To authorize the International Sanitary Bureau of Washington to establish, by such means as it may deem advisable, relations with the International Sanitary Bureau of Paris, to carry out the resolutions of the Third International Convention of American States, held in Rio de Janeiro, in August, 1906. 4. To authorize the Secretary to include in the printed transactions of the Third International Convention, a summary of all the resolutions adopted successively by the First and Second International Sanitary Conventions held in Washington. 5. To recommend to the American Governments the advisability of agreeing upon compulsory vaccination against smallpox. 6. To recommend to the governments represented at this convention the advisability of declaring free of fiscal duties, quinine salts, fine mesh wire guabe used for protection against mosquitoes, crude petroleum, ready-made mosquito netting, and such fabrics as are used in the manufacture thereof. 7. To recommend that, through their respective sanitary authorities, the governments carry on the most active propaganda possible, concerning ethiology, prophylaxis, and treatment of malaria, and that they reach a decision concerning the establishment of a series of public lectures on said matters in the schools, shops, barracks, etc. 8. To recommend that, in such places as may be necessary, centers shall be established to make free distribution of quinine to the poor in such quantities as may be necessary for the prophylaxis of malaria. 9. To recommend to the Governments to direct the maritime sanitary authorities to state in such bills of health as they issue, the mortality caused by malaria. 10. To instruct the International Sanitary Bureau of Washington to distribute regularly information concerning the existence of malaria in their several important seaport cities. 11. To recommend likewise to the Governments here represented the publica tion of a pamphlet wherein shall be compiled, in a brief, simple and practical form, and in such manner that the people at large will readily understand it, all useful information concerning malaria, and to freely distribute said pamphlet. 12. To recommend to the governments here represented the non-admittance to their respective territories of immigrants afflicted with trachoma or beri-beri. 13. To recommend to the American nations the nationalization and centralization of the sanitary authorities by means of proper legislation. 14. To recommend to the American Governments the following provisions for the purpose of preventing the spread of tuberculosis on railroad cars and steamers. (A). To avoid, as far as possible, the use of fixed carpets and curtains. (B). To recommend the use of cuspidors, which should be profusely distributed. (C). The periodical disinfection of the cars or berths, including furniture, beds, wash basins, clothes, etc., etc.; this disinfection should be made more especially in the berths of steerage passengers. All clothes, including napkins, should be disinfected before being washed. (D). The disinfection of dining room utensils, and, in addition, to direct that napkins for the use of passengers be always kept in paper bags or envelopes, and to recommend that the food be kept under wire gauze covers, and that the doors and windows of railroad cars, as well as the berths and state rooms of steamers, be protected by fine wire gauze screens, in order to prevent the entrance of flies. (E.) The examination of the personnel of the service, both on the railway passenger cars and on steamers, in order not to employ persons afflicted with tuberculosis. (F). All steamers should have a special and comfortable department for the transportation of persons afflicted with tuberculosis, and the construction of said department should be such that it will not retain any dust. (G). To post notices in conspicuous places prohibiting the habit of spitting on the floor. (H). To recommend the advisability of employing on board physicians who are not only graduate practitioners, but who also, if possible, shall have had special training concerning the prophylaxis of tuberculosis. 15. To recommend the advisability of European nations adopting the Sanitary Convention of Washington of 1905, with respect to such colonies as they have in America, and especially in matters relating to yellow fever. 16. To recommend to the American nations that the bills of health they issue shall contain the same kind of information. 17. To recommend to the American governments the advisability of establishing separate hospitals for the treatment of consumptives, and whenever this shall not be possible, to establish separate pavillions in the hospitals for the treatment of said patients. 18. Whereas the international prophylaxis of tuberculosis, in so far as it relates to navigation and to railway communication, should be the result of a perfect local organization of the countries in the systematic struggle against such disease, the Third International Sanitary Convention agrees to recommend to the governments of the nations here represented, the generalization of the sanitary measures employed against the invasion of said disease. 19. In view of the great advantages to be derived from taking sanitary measures as near as possible to a contaminated locality, not only in order to avoid the introduction of cholera, the bubonic plague and yellow fever in another locality, but also to guard the lives of persons on board the vessel which sailed from the contaminated port, the undersigned delegate proposes: That the next convention discuss and agree as to the provisions to which the vessels, cargoes, and passengers shall be subjected at the contaminated port of departure, in order to afford the greatest possible protection to passengers and avoid the occurrence of cases on board. 20. Whereas, The Third International Conference of American States, held at Rio de Janeiro in August, 1906, by resolution declared that the delegates to this International Sanitary Convention in Mexico should resolve upon practical means for the adoption of measures intended to obtain the sanitation of the cities, and especially of the ports, Resolved, That this subject be one for consideration also by the members of the next International Sanitary Convention of American Republics to be held in Costa Rica, and that the International Sanitary Bureau in Washington be authorized to make investigations and to take such other action as may be necessary to present this matter in satisfactory form at the said convention in Costa Rica. 21. Resolved, That an office be provided in the Bureau of the American Republics for the use of the International Sanitary Bureau. That authority is given for engaging the services of an employee who shall be paid by the International Bureau. That the expenses incurred shall be authorized and certified to by the same Bureau. That the Bureau of the American Republics be entrusted with the collection of the fund provided for in section 7 of the resolutions relating to international sanitary police, adopted by the Second International Conference of American States, held in the City of Mexico in 1901-2. That the Bureau of the American Republics be likewise entrusted with this fund and the keeping of the accounts. 22. That at the next meeting of the International Sanitary Congress, the model documents or forms to be employed by the nations adhering to this Convention, shall be discussed and approved in order to verify the same. 23. That in every port open to foreign commerce the sanitary authorities shall issue bills of health to all vessels applving for same, and in accordance with such model or form as the next Convention may adopt. 24. That a Committee be appointed to give, in the name of the Third International Sanitary Convention, a vote of thanks to His Excellency General Porfirio Diaz, President of the Mexican Republic, for his important co-operation in the success of this Convention. 25. That a vote of thanks be extended to the Vice-President, and to the Secretaries of State, of the Treasury, and of the Interior for the kind attention. shown us. 26. That a vote of thanks be accorded to the Superior Council of the Government of the Federal District, and to the Municipal Government of this city for the kind attentions they have shown us. 27. That we sincerely thank the committee of ladies who have so kindly waited on the wives and friends of the foreign delegates. 28. That a vote of thanks be given to the Superior Board of Public Health and to the Director of the Water Supply Works of this City for the valuable services they have rendered us, and 29. That we express to the Mexican delegates to this Convention our deep appreciation of the exquisite courtesy and the splendid manner in which they have welcomed us to their country. Attest: |