Page images
PDF
EPUB

64. His duties are defined in the following regulations, and treatment of the sick is not comprised among them.

65. He shall wear on his cap or lapel of his coat a gold plated badge bearing the words: "Louisiana State Board of HealthMarine Medical Inspector."

66. He shall see that the regulations of the Board are carried out in spirit and in letter, these present regulations governing himself as well as all the other regulations governing fruit vessels, whether the regulations concern him directly or not, as far as lies in his power.

17. Before leaving New Orleans the Marine Medical Inspector shail procure from the Secretary of the Board a copy of all the regulations governing fruit vessels.

08. He shall inspect the vessel and see if all the articles which will be needed by him are on board and in good order and condition.

69. He shall at once inform the Secretary of the articles needed that are missing and request the Secretary to immediately make a requisition for such to the ship's agent.

70. Bi-chloride of mercury, one pound. 71. Ammonium chloride, one pound.

72. Formalin, ten pounds.

73.

Six "Dutch oven"; i. e., iron pots with three legs.

74. Wood alcohol, two pints.

75. Sulphur in rolls, twenty pounds.

76.

Six thermometers with certificate of correctness.

77. Nitric acid, three ounces.

78. 79.

dozen.

Six test tubes.

Record sheets, such as are used in the Charity Hospital, two

80. Charts for temperature, pulse and respiration, such as are used in Charity Hospital, two dozen.

AT THE FRUIT PORTS.

81. At infected ports the vessel's crew shall be kept on board isolated from the laborers, as far as practicable.

82. Those allowed to go on board vessels at infected Fruit Ports shall be, laborers, one Agent of the Fruit Company, Local Customs. and Health Officials, and if necessary, a Consul or Consular Agent.

83. Medical Officers of the U. S. Public Health and Marine Hospital Service are recognized as having the same privileges as Medical Officers of the Louisiana State Board of Health.

84. Only the Master or other Officer may go ashore, in daylight, at infected Fruit Ports, if absolutely necessary, to enter and clear the vessel, but shall return aboard immediately without having gone into any dwelling.

85. Once engaged, loaders will not be permitted to leave the

1

vessel to go ashore until the loading is completed and they are discharged.

86. No vessel shall lie at any wharf at night at an infected Fruit Port.

87. Vessels shall anchor well away from the shore at night, i. e., one mile away in a harbor and in midstream, if in a river.

88. Vessels may receive at Fruit Ports any ordinary freight, but may not bring household effects from a locality infected with cholera, bubonic plague or variola.

89. As soon as the vessel is about to leave a non-infected Fruit Port, the Marine Medical Inspector shall call for the permit of every passenger to find out if any one has been smuggled on board. 90. He shall countersign the permits and return them to pas

sengers.

91.

92.

Passengers without permits shall at once be returned to shore. Just prior to the departure of the vessel, he shall, together with the Resident Medical Inspector, make a personal medical inspection of all the passengers, officers and crew, taking their temperatures. 93. They shall write opposite the name of each passenger on the list furnished them by the officers of the vessels of every person on board, such observations as may seem to them to be advisable concerning the present condition and previous health of said persons. 94. They shall give a certificate to the Master of the vessel of the condition of such persons examined.

95.

No person presenting symptoms of any quarantinable disease shall be allowed to proceed on the vessel.

Resident Medical Inspectors at Fruit Ports are Ranking Officers over Marine Medical Inspectors, and the latter shall, in cases of emergency, be guided by the instructions of the Resident Medical Inspector, who shall report at once and in full to the Board.

97. On leaving an infected port the Marine Medical Inspector shall cause sulphur to be burned in the living quarters of the vessel. including chart-room, pantry and store rooms.

98. The vessel shall not be permitted to touch at any port between the port of departure and the home port, except as provided in her schedule to be furnished the State Board of Health.

99. If the vessel is compelled by accident to touch any such port, the same regulations shall be applied as at the port of departure. 100. Fruit vessels shall have no communication (except by signals or megaphone) with any vessels during their voyage, except in case of distress.

101. Passengers may be taken on board from one healthy port to another, and may be brought to New Orleans under the regulations herein provided.

102. All passengers must embark from regular ports.

103. The Marine Medical Inspector shall take the temperature of all persons on board without exception at least once in the evening.

104. He shall be careful that persons have not drunk any water before the thermometer is applied in the mouth, or have kept ice in the mouth.

105. He shall have each passenger in his presence at least five minutes before he places the thermometer in the mouth.

106. He shall note carefully that the lips are closed during all the time that the thermometer is in the mouth.

107. He shall disinfect the thermometer each time in a 1 to 500 of Bi-chloride of Mercury.

108. He shall go to the post of duty of the Officers and Crew when on duty to take their temperature, except in the engine and fire room.

109. He shall summon the other Officers and Crew and the Passengers at the place and time he shall determine.

IIO. If any person presents any rise of temperature he shall keep a minute record with chart of that case, taking the temperature every three hours and making examination of the urine thrice daily.

III. He is not expected to make a positive diagnosis, but to collect the facts carefully and minutely to enable others to make a diagnosis themselves.

112. He shall record the day and hour of all sanitary and medical facts that may occur.

113. If any case of sickness of any kind with fever develops on board, he shall isolate and screen the patient in a fumigated apartment.

114. He shall see that the Master keeps the vessel in a sanitary, clean condition, especially the forecastle.

115. He shall note and report all departures from or violations of any kind of the Regulations by himself or others and the cause and reason therefor.

116. On sighting the Mississippi River Quarantine Station he shall take the temperatures of all on board.

117. Upon arrival at the Mississippi River Quarantine Station he shall give to the Resident Physician of the Station a copy of all records, and shall give him all other information that he may be asked for, if in his power or knowledge.

118. He shall be required to make a full disclosure when arriving at Quarantine Station of all ports and places they visited in their voyage.

119. If the vessel is not released at the Mississippi River Quarantine Station he shall remain on her until she is released in the city by the Shipping Inspector.

I 20. He shall take the temperature of all on board before the vessel is released.

121. Upon arrival in the city and as soon as released he shall within six hours send to the President of the State Board a report on his mission with a copy of all his records.

122.

He shall return the copy of the Sanitary Code in good order to the Secretary.

REGULATIONS GOVERNING THE RESIDENT PHYSICIAN AT THE MISSISSIPPI RIVER QUARANTINE STATION IN CONNECTION WITH FRUIT VESSELS CARRYING PASSENGERS.

123. All fruit vessels from non-infected ports upon arriving at the Mississippi River Quarantine Station shall be detained only long enough for immediate inspection.

124. They shall have there, as much as possible, precedence over the other vessels not carrying perishable freight.

The Resident Physician of the Mississippi River Quarantine Station shall burn sulphur in the living quarters of all fruit vessels from infected ports.

126. Upon arrival of a fruit vesssl from an infected port at the Mississippi River Quarantine Station, the Resident Quarantine Physician shall require from the Marine Medical Inspector a copy of all his charts and records.

127. He shall require of the Marine Medical Inspector all information that he may possess bearing upon the condition of the persons and vessel.

128. He shall determine if there is or is not any suspicious case on board, or if there has been any during the voyage.

129. Also the length of time the vessel has been in transit.

130. If all are well the vessel and pasengers shall be permitted to come to the city to the wharf, provided the vessel has been in transit long enough to complete six days from date of reporting to Medical Inspector at Fruit Port.

131. Should any vessel present, in the opinion of the Resident Quarantine Physician, any suspicious cases of sickness, these Regulations shall cease to apply.

132. Marine Medical Inspectors are instructed to call daily on the Agents of their respective vessels while in New Orleans, or to telephone them, before 12:00 M. in order to keep posted as to dates and hours of sailing. Also to report daily at the office of the Board on the health condition of their vessels.

133. Marine Medical Inspectors whose vessels may be "laid off" in New Orleans are required to report daily to the Shipping Inspector and to assist him in his work if requested by him to do so.

BLUEFIELDS VESSELS.

134. Fruit Vessels going to Bluefields may discharge and receive freight and passengers by means of lighters off Greytown and Cape Gracias.

135. At Bluefields, Rama and Corn Island are considered within

the limits of the Port as regards unloading and loading cargo by Fruit Vessels, but passengers shall only be taken at Bluefields proper.

REGULATIONS GOVERNING AGENTS OF FRUIT VESSELS.

136. They shall reimburse the Board for the salaries of the Resident and Marine Medical Inspectors.

137. They shall provide the Marine Medical Inspectors with first-class cabin accommodations and board.

138. They shall see that the Medical Inspectors have all the accommodations, men and material they ask from the captain, crew and employees of the vessels and on shore.

139. All expenses shall be borne by the Fruit Vessel.

140. Should a case suspicious or positive of yellow fever be found on board or to have existed during the voyage, these regulations will cease to apply to this vessel.

141. The agent shall sign an acquiescence to all the regulations of the Board governing fruit vessels during the Quarantine season. 142. They shall procure from the Secretary copies of the regulations of the Board governing fruit vessels, for distribution to all parties interested therein.

REGULATIONS GOVERNING THE SECRETARY OF THE STATE BOARD OF HEALTH IN CONNECTION WITH FRUIT VESSELS CARRYING PASSENGERS.

143.

The Secretary shall write in advance the following letters to Ship Agents:

SIR-The following is a list of the articles needed by each of
the Resident Medical Inspectors stationed at a fruit port:
Six "Dutch Ovens," i. e., iron pots with three legs.
Roll sulphur, twenty pounds.

Wood alcohol, two pints.

144. SIR-The following is a list of the articles needed on each of the fruit vessels carrying Marine Medical Inspectors:

Bi-chloride of Mercury, one pound.

Ammonium Chloride, one pound.

Formalin, ten pounds.

Six "Dutch Ovens," i. e., iron pots with three legs.

Wood alcohol, two pints.

Sulphur in rolls, twenty pounds.

Six thermometers with certificates of correctness.

Nitric Acid, three ounces.

Test Tubes, six.

Record Sheets such as are used at the Charity Hospital for

« PreviousContinue »