present disease or injury; dates on which outdoor relief was furnished and the kind of relief furnished. Only one entry of each patient shall be made during any current month when relieved for the same disease or injury, but when relief is furnished several times during the month for the same disease or injury the date and the kind of relief will be entered each time in the same place. A seaman who has received office relief for one disease or injury and applies again in the same month for relief on account of another disease or injury will be reentered as a new case, if again relieved as an out-patient. An out-patient relieved two or more successive months for the same disease will be reentered on the register each month as remaining from the previous month. ART. 338. The register of hospital patients to be kept at first, second, and third class stations shall contain the number of the permit or bed ticket; the name, age, and nativity of the patient; the date of admission; the disease or injury; subsequent complications, if any; date of letter authorizing extension of original permit; date of termination of treatment; condition of patient on termination of treatment; total duration of treatment in hospital under the permit, and any necessary remarks. This register is to be kept by months, and patients remaining at the close of each shall be carried forward on the first day of the following month in the order of priority of admission. At second and third class stations this book shall be kept at the hospitals where patients are treated. ART. 339. At the close of each month commissioned and noncommissioned officers and other physicians having charge of the professional treatment of patients of the Service will make reports (Form 1921) of all cases of disease and injury treated by them in hospital, and (Form 1920) of all cases of disease and injury treated in the outpatient department. They will also make, on the 30th of June of each year, reports (Form 1922) of the surgical operations performed by them upon patients of the MarineHospital Service. § 2. QUARANTINE SERVICE. 1878, and act ART. 340. No vessel nor vehicle coming from any foreign Act Apr. 20 port or country where any contagious or infectious disease Feb. 15, 1893. exists, and no vessel nor vehicle conveying any person, merchandise, or animals, affected with any infectious or contagious disease, shall enter any port of the United States, or pass the boundary line between the United States and any foreign country, contrary to the quarantine laws of the United States or of any of the States, into or through the jurisdiction of which said vessel or vehicle may pass, or to which it is destined, except in the manner and subject to the prescribed regulations. ART. 341. It shall be the duty of the Supervising Surgeon-General of the Marine-Hospital Service, under the direction of the Secretary of the Treasury, to perform all the duties in respect to quarantine and quarantine regulations which are provided for by the act of February 15, 1893. ART. 342. No merchant ship or other vessel from any foreign port or place shall enter any port of the United States except in accordance with the provisions of such. rules and regulations of United States Treasury Department or of State and municipal health authorities as may be made in pursuance of or consistent with the act of act Congress approved February 15, 1893, and any such vessel which shall enter or attempt to enter a port of the United States in violation thereof shall forfeit to the United States a sum, to be awarded in the discretion of the court, not exceeding five thousand dollars, which shall be a lien upon said vessel, to be recovered by proceedings in the proper district court of the United States. In all such proceedings the United States district attorney for such district shall appear on behalf of the United States; and all such proceedings shall be conducted in accordance with the rules and laws governing cases of seizure of vessels for violation of the revenue laws of the United States. ART. 343. Any vessel at any foreign port clearing for any port or place in the United States shall be required to obtain from the consul, vice-consul, or other consular officer of the United States at the port of departure, or from the medical officer where such officer has been detailed by the President for that purpose, a bill of health, in duplicate, in the form prescribed by the Secretary of the Treasury, 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 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. ART. 344. Vessels clearing from a foreign port for Quarantine any Regulations, U. port in the United States, and entering or calling at inter- S. Treasury Art. I, par. 3, mediate ports, must procure at all said ports a supplemental regulations to be observed at bill of health. foreign ports and at sea. 15, 1893. If a quarantinable disease has appeared on board the Nov. 13, 1899. 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. Vessels clearing and sailing from any such port without, Sec. 2, act Feb. such bill of health, and entering any port of the United States, shall forfeit to the United States 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 district court of the United States. In all such proceedings the United States district attorney for such district shall appear on behalf of the United States; and all such proceedings shall be conducted in accordance with the rules and laws governing cases of seizure of vessels for violation of the revenue laws of the United States. Con Act of gress approved 1899. DepartCircular ice. ART. 345. Vessels plying between Canadian ports on the St. Croix River, the St. Lawrence River, the Niagara River, the Detroit River, the St. Clair River, and the St. Marys River, and adjacent ports of the United States on ment No. 106. Marinethe same waters; also vessels plying between Canadian Hospital Serv ports on the following-named lakes, viz, Ontario, Erie, St. Clair, Huron, Superior, Rainy Lake, Lake of the Woods, Lake Champlain, and ports in the United States; also vessels plying between Mexican ports on the Rio Grande River and adjacent ports in the United States, are exempt from the provisions of section 2 of the act granting additional quarantine powers and imposing additional duties upon the Marine-Hospital Service, approved February 15, 1893, which requires vessels clearing from a foreign port for a port in the United States to obtain from the consular officer a bill of health. During the prevalence of any of the quarantinable diseases at the foreign port of departure, vessels above referred to are required to obtain from the consular officer of the United States, or from the medical officer of the United States, when such officer has been detailed by the President for this purpose, a bill of health, in duplicate, in the form prescribed by the Secretary of the Treasury, Quarantine Regulations of the United States, 1894. Sec. 6 act Feb. 15, 1893. Feb. 15, 1893. ART. 346. On the arrival of any infected vessel at any port not provided with proper facilities for treatment of the same, the Secretary of the Treasury may remand said vessel, at its own expense, to the nearest national or other quarantine station, where accommodations and appliances are provided for the necessary disinfection and treatment of the vessels, passengers, and cargo; and after treatment of any infected vessel at a national quarantine station, and after certificate shall have been given by the United States quarantine officer at said station that the vessel, cargo, and passengers are each and all free from infectious disease, or danger of conveying the same, said vessel shall be admitted to entry to any port of the United States named within the certificate. But at any ports where sufficient quarantine provision has been made by State or local authorities the Secretary of the Treasury may direct vessels bound for said ports to undergo quarantine at said State or local station. ART. 347. At ports where quarantine may be established Sec. 3 act by special statute or by the Secretary of the Treasury, every vessel, before being permitted to enter, must present to the collector satisfactory evidence either that said vessel had not, at any time during a period of 30 days immediately preceding its arrival, touched at or communicated with any foreign port where cholera or yellow fever exist, or smallpox was known to exist in an epidemic form; that there had not been at any time during that period any case of contagious disease on board; and that said vessel does not convey any person or persons, merchandise, or animals affected with any infectious or contagious disease, or that the said vessel has been thoroughly cleaned and disinfected by the quarantine officer, and is free from infection at the time of entry. The certificate to that effect of the medical officer of the Marine-Hospital Service, acting as quarantine officer for the United States at the port, or the certificate of the local quarantine officer where a medical officer of the Marine. Hospital Service is not present, shall be accepted by the collector as satisfactory evidence. The following is the form of certificate which shall be Quarantine issued to the vessel by the health officer when she is re Regulations_U. S. Treasury De-leased from quarantine: partment to be observed at ports and on I certify that frontiers of U. S. of —, from has in all repects complied with the quarantine regulations prescribed by the SecreArt. X. par. 4.-Nov. 13, 1899. tary of the Treasury, and that in my opinion she will not convey quarantinable disease. Said vessel is this day granted free pratique. Health (Quarantine) Officer, 1893. ART. 348. When a vessel arrives at a United States Act Feb. 15, quarantine boarding station, the inspecting officer will examine the papers of the vessel to inform himself of her passengers and cargo; he will require all persons named on the passenger list and crew list to present themselves and answer to their names at muster. Should any person have died on the voyage, the circumstances of the death will be inquired into, and in case of there being any person sick, such person will be carefully examined by the inspecting officer, the only exception being that, in case of naval vessels, the statement of the senior surgeon or medical officer as to the sanitary condition of the vessel will be accepted. ART. 349. Vessels detained at any national quarantine will be subject to such additional rules and regulations as may be promulgated from time to time by the Supervising Surgeon-General. ART. 350. Vessels coming from a foreign port or country where cholera or yellow fever exists, or smallpox is known to have existed in an epidemic form within 30 days preceding their arrival, and vessels or vehicles conveying any person or persons, merchandise, or animals affected with any contagious disease, or having had on board at any time during the 30 days preceding their arrival any case of contagious disease, shall not be permitted to enter any port of the United States until such disinfection or other precautionary measures shall have been performed as prescribed by these regulations, and the certificate of the medical officer of the Marine-Hospital Service, or other designated agent of the Treasury Department, shall, in such cases, as in the cases referred to in the preceding paragraph, be accepted by the collector as satisfactory evidence of compliance with the regulations. ART. 351. For the purpose of these regulations, the quarantinable diseases are cholera (cholerine), yellow fever, smallpox, typhus fever, plague, and leprosy. When persons are found sick of cholera, smallpox, yellow fever, plague, or leprosy, they shall be immediately removed to the quarantine hospital, unless in the opinion of the medical officer their removal would endanger life and their temporary detention would not jeopardize the health of others. The vessel must be thoroughly disinfected after the removal or recovery of such persons. ART. 352. The disinfection of vessels shall be by the use of bichloride of mercury in solution, formaldehyde T. D. 11913. |