NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
412
Measures lo prevent ¿he
[ APP.. IX.
VI. Inspection by Health Officer,—The Health Officer, as soon as
he has received information of the stoppage of the vessel at Elephant
Point or of its arrival at King's Point below the Hastings Shoal, shall
visit it and ascertain by enquiry from the Commander or the Medical
Officer on board, or other sources of information, whether any person
on board is suffering or has suffered from plague. For this purpose he
may demand a declaration, on oath, from the Doctor of the ship, or
failing him, from the Captain, that there has been no case of plague
on the ship since her departure.
VJI. Rules relating to infected ships.—
(r) If an infected ship has, under Rule IV, been stopped at Ele-
phant Point, the Commander shall await the orders of the
Health Officer there. If under Rule V the ship has been
brought up to King's Point below the Hastings Shoal, the
Health Officer shall direct the Commander to take her to
the sanitary station at Elephant Point, or elsewhere as may
be appointed by Government, and to await orders there.
(2) On arrival at the sanitary station the sick shall be disembarked
and isolated under the order of the Health Officer.
(3) The other persons on board (except those, if any, whose pre-
sence is necessary for the care of the vessel) shall also be
disembarked and kept under observation for a period vary-
ing, in the discretion of the Health Officer, according to the
sanitary condition of the ship and the date of the last case.
Such period shall not exceed ten days from the date of the
last case, whether that occurred on board ship or during
the period of observation on shore. The Health Officer
may at his discretion allow such persons to proceed to their
destination on their giving a written undertaking, in the
form of Appendix I, to submit themselves to surveillance
by a Medical Officer appointed for the purpose at their
destination for a period of ten days from the date of the
arrival of the ship. The undertaking shall be executed in
duplicate, and one copy shall be sent by the Health Officer
to the Medical Officer concerned.
(4) The soiled linen and personal effects of the crew and passen-
gers, which in the opinion of the Health Officer may be
considered as infected, shall be disinfected by the Health
Officer in accordance with the rules contained in Appendix
II.
(5) The bilge-water shall be pumped out by the Commander
after disinfection by the Health Officer and good
43
APP. IX. l
Spread of infection by sea.
drinking water shall be substituted by the Commander for
the water stored on board.
(6) All parts oC the ship which have been inhabited by plague-
patients shall be disinfected by the Health Officer, and the
other parts of the ship may also be disinfected at the dis-
cretion of the Health Officer.
(7) When these rules have been fully complied with, the Health
Officer shall, by an order in writing under his hand, to be
delivered to the Commander, permit the yellow flag to be
hauled down.
VIII. Rules relating to suspected ships,—
(1) If a suspected ship has under Rule IV been stopped at Ele-
phant Point, she will await the orders of the Health Officer
there. If under Rule V she has been brought up to
King's Point below the Hastings Shoal, the Health Officer
will go on board of her there.
(2) The passengers and crew shall be medically inspected by the
Health Officer.
(3) The soiled linen and personal effects of the passengers and
crew, which in the opinion of the Health Officer may be
considered as infected, shall be disinfected by the Health
Officer in accordance with the rules contained in Appendix
II.
(4) The bilge-water shall be pumped out by the Commander after
disinfection by the Health Officer and good drinking water
shall be substituted be the Commander for the water stored
on board.
(5) All parts of the ship which have been inhabited by plague-
patients shall be disinfected by the Health Officer, and the
other parts of the ship may also be disinfected at the dis-
cretion of the Health Officer.
(6) Passengers or members of the crew who are suspected by the
Health Officer to be infected with plague may be disem-
barked and detained under observation at the observation
station appointed by Government for ten days from arrival
of the ship, or, if plague occurs among them while under
observation, from the date of the last case.
(7) The rest of the crew shall not land, except on duty, for ten
days from the arrival of the ship.
(8) Passengers who are passed on medical inspection as healthy
shall be allowed to proceed to their destination
their
4*4
Measures to prevent the
[ APP. IX,
giving a written undertaking, in the form annexed, to sub-
mit themselves to surveillance by the Medical Officer
(if any) appointed for the purpose at their destination for
a period of ten days from 'the date of the arrival of the
ship. The undertaking shall be executed in duplicate,
and one copy shall be sent by the Health Officer to the
Medical Officer concerned,
(9) When these rules have been fully complied with, the Health
Officer shall, by an order in writing under his hand, to be
delivered to the Commander, permit the yellow flag to be
hauled down.
IX. Rules relating to healthy ships.—-
(1) A healthy ship shall be given free pratique at once, what-
ever may be the nature of her bill-of-health.
(2) Such a ship may, at the discretion of the Health Officer,
be subjected to the measures prescribed in Rules VIII
(2), VIII (3), and VIII (4], but the ship itself may not be
disinfected as in Rule VIII (5), except with the consent of
the Commander or Agent.
(3) Passengers or members of the crew who, on medical inspec-
tion, are suspected by the Health Officer to be infected
with plague may be disembarked and detained under
observation at the observation station appointed by Gov-
ernment for ten days from the date on which the ship
left an infected port, or, if plague occurs among them
while under observation, from the date of the last case.
(4) The rest of the crew shall not land, except on duty, for ten
days from the date on which the ship left an infected port.
(5) The crew and passengers may, at the discretion of the
Health Officer, be subjected to surveillance in the manner
described in Rule VIII (8) for a period of ten days from
the date on which the ship left an infected port.
(6) None of the above measures shall be taken when the ship
has been given free pratique at Colombo or other inter-
mediate port.
(7) When these rules have been fully complied with, the Health
Officer shall, by an order in writing under his hand, to
be delivered to the Commander, permit the yellow flag to.
be hauled down.
X. Ships carrying a doctor or stove.—In exercising the discre-
tion vested in him by Rules VII, VIII, and IX, the Health Officer shall
take into consideration the presence of a Doctor or existence of a dis-*
infecting" apparatus (stove) on board the ship in question.
APP. LX. ]
spread of infection by sea.
415
XI. Crowded and insanitary ships,—Crowded ships, ships carry-
ing emigrants or return pilgrims, and ships which appear to be in an
insanitary state, may, at the discretion of the Health Officer, be treat-
ed as suspected ships under Rule VIII.
XII. Right of ship to put back to sea.—Any ship objecting to
submit to the obligations imposed by these rules shall be permitted to
put back to sea. Such objection shall be notified on or before arriving
at Elephant Point.
XIII. Rules applying to ship s claimin g right to put back to sea.—
Ships which claim the right to put back to sea, but desire to disembark
passengers or land goods, shall submit to the rules relating to suspected
ships.
XIV. Provisions and stores.—It shall be the duty of the Port
Officer to facilitate the conveyance to all vessels in quarantine of such
supplies of provisions, stores, and other articles as may be required by
those on board. Such supplies shall be placed on the boats of the
vessel in quarantine, to be subsequently removed by members of their
crews.
APPENDIX I.
I (name) of (place] do hereby declare that it is my intention at once
to proceed to (place}, and agree to submit myself to medical supervi-
sion by (name or office of Medical Officer appointed for the purpose]
for a period of ten days from (date from which period is to be
reckoned}.
Signed
In the presence of
Health Officer.
APPENDIX II.
Instruction for disinfection.
1. Personal effects, rags, infected bandages, papers, and other
articles without value should be destroyed by fire.
2. Under-clothing, bedding, wearing apparel, mattresses, carpets,
&c., which are contaminated or szispected¡ should be disinfected in
stoves at normal pressure or at a pressure of from one and-a-half
to two degrees, with or without the presence of steam.
Before a stove is passed as efficient for the purposes of disinfection,
it should be subjected to a test, with the aid of a signal thermometer,-
showing the moment when the temperature in the middle of a mattress
rises to at least 100° (centigrade).
To ensure that the disinfection is effective, this temperature must
be maintained for from 10 to 15 minutes.
4 ! 6
Measures to prevent the
[ APP. IX.
3. Disinfecting sohitions.—(a) Solution of corrosive sublimate of
i part in 1,000, with the addition of 10 parts of chloride of soda.
The solution should be coloured with aniline dye or indigo. It
should not be placed in metal vessels.
(o) A 5 per cent, solution of pure crystalized carbolic acid, or $
per cent, of crude commercial carbolic acid in a warm solution of
soft soap.
(c] Fresh slaked lime.*
4. Special instructions to be observed in the employment of dis-
infecting sohitions,—The linen, clothing, and articles soiled by the
excreta of patients should be soaked in the solution of corrosive subli-
mate. The solution of pure carbolic acid and the solution of soap and
carbolic acid are equally suited to the purpose. The articles should
remain in the solution for at least six hours. .
Articles which cannot be subjected to the temperature of the stove
(100° centigrade) without injury, such as leather goods, woollen articles
stuck together with glue, felt, velvet, silk, &c., should be washed with
the solution of corrosive sublimate ; coins can be disinfected with the
solution of soap and carbolic acid.
Persons encased in nursing the sick should wash their hands and
O
O
O
faces with the solution of corrosive sublimate, or with one of the
carbolic solutions.
The carbolic solutions will be useful more particularly for disinfect-
ing articles such as metals, instruments, &c., which can neither be
subjected to a temperature of 100° centigrade, nor placed in contact
with corrosive sublimate.
Slaked lime is particularly recommended for disinfecting excreta.
Expectorated matter should be burnt.
5. Disinfection of ships with plague-patients on board,*— The
cabin or cabins and all parts of the ship occupied by the sick or sus-
pected should be cleared out, and all articles in them should be treated
as described above.
The partitions should be disinfected with the solution of corrosive
sublimate with an addition of 10 per cent, of alcohol. The washing
should commence from the top, horizontally, and be continued down-
wards, so that the whole surface of the partition becomes covered with
a coating of minute drops.
* To get very strong slaked lime take lime of good quality, slake it, by moistening
it gradually with half its weight of water. When the operation is completed, put the
powder in a carefully-corked receptacle and place it in a dry spot. As each kilogramme
of lime absorbs 500 grammes of water in order to become slack, it acquires a volume of
2 litres 200 and it is sufficient to dilate it with double its volume of water, say, 4 kilo-
grammes 400 grammes to obtain a whitewash which will be of about 20 per cent,
strength of lime.
ÁPP. IX. ]
spread of infection by sea.
417
The boarding should be washed with the same solution.
Two hours after, the walls and flooring should be washed over with
plenty of water.
• 6. Disinfection of the hold of an infected ship.—To disinfect the
hold sulphate of iron, in quantity sufficient to neutralize the sulphurated
hydrogen, should first be thrown in, the bilge-water should then be
pumped out, and the hold washed with sea-water. Solution of corro-
sive sublimate should then be thrown in. The bilge-water should not
be pumped out while the ship is in port.
No. 211, dated Rangoon, the 7th October 1897.
NOTIFICATION—By the Government of Burma, General Department.
With reference to Rule I, clause (7) of the foregoing Notifications
Nos 207, 208, 209 and 210, the Lieutenant-Governor declares that
Bombay and Goa are infected ports.
No. 212, dated Rangoon, the 7th October 1897.
NOTIFICATION—By the Government of Burma, General Department.
In exercise of the power conferred by the Indian Quarantine Act,
1870, and with the previous sanction of the Governor General in
Council, the Lieutenant-Governor cancels, with effect from the i8th
October 1897, ^i e ru l es f°r quarantine against plague contained
in the undermentioned Notifications :—•
Port in which rules had effect.
Rangoon
t..
...
Rangoon
\<>
Rangoon
...
Akyab
.,.
Moulmein
•»•
•••
Bassein
...
Port aEjai^st which
quarantine was imposed.
Bombay
...
Bombay
Bombay
Bombay
,..
Bombay
Bombay
...
Number and date of General
Department Notification.
190, dated the 20th October 1896.
191, dated the 2ist October 1896.
i oí, dated the 27th May 1897.
13, dated the 2Otb January 1897.
17, dated the 25th January 1897.
1 8, dated the 2'th January 1897.
c 53
4i8 Measures to prevent ¿he spread of infection by sea. [APP. IX.
Port in which rules had effect.
Rangoon
.,.
")
AI
l.
\
Akyab
,,,
I
Bassein
...
J
Rangoon
.,,
,.,
Port against which
quarantine was imposed.
Goa „,
Goa ...
Number and date of General
Department Notification,
53, dated the iSth March 1897.
loi, dated the 27th May 1897.
APPENDIX X.
MEASURES TO PREVENT THE SPREAD OF INFECTION BY MERCHAN-
DISE AND FOOD-STUFFS.
PAPER
Nos.
i — 4
5—15
CONTENTS,
Orders prohibiting the import of susceptible
*r
o
Jr
IT
articles from the Bombay Presidency and
J
j
Sind into other parts of India.
...
Precautions with respect to grain imported
into other parts of India from Sind.
PAGES.
421 — 22
422—32
APPENDIX X.
MEASURES TO PREVENT THE SPREAD OF
INFECTION BY MERCHANDISE AND
FOOD-STUFFS.
Orders prohibiting the import of susceptible articles
from the Bombay presidency and Sind into other
parts of India.
No. i. Finance Department Notification No. 389-8.R., dated Calcutta, the 22nd January
1897.
In exercise of the power conferred by section 19 of the Sea
Customs Act (VIII of 1878) and of all other powers in that behalf, the
Governor General in Council is pleased to prohibit the bringing of
rags and second-hand clothing by sea into any of the ports of Madras,
Calcutta and Rangoon, unless the Collector of Customs at Madras,
Calcutta, or Rangoon, as the case may be, is satisfied that the said
goods have not been exported from any port* with regard to which
rules for quarantine against plague have been issued under section i
of Act I of 1878.
*(Note.—The ports with regard to which such rules for quarantine have as yet been
issued are Bombay and Karachi.)
NO, 2,
Home Department Notification No. 513, dated Calcutta, the ijtli February 1897.
In exercise of the powers conferred by section 2 (i) of Act III of
1897, and in supersession of Notification No. 389 (in the Department
of Finance and Commerce) S. R., dated the 22nd January 1897, the
Governor General in Council hereby prohibits the bringing of rags,
used apparel and bedding, waste-paper and used gunny bags from
any port, with regard to which rules for quarantine against plague
have been issued under section i of Act I of 1870, into any port in
British India,
No. 3.
Home Department Notification No. 1033, dated Calcutta, the 22nd March 1897.
In exercise of the powers conferred by section 2, sub-section (i)
of the Epidemic Diseases Act (III of 1897), the Governor General in
Council is pleased to prohibit the bringing of used apparel and
bedding (except when carried as the personal baggage of travellers),
4^â
Measures to prevent the spread of
[ App. X.
rags, waste-paper and used gunny bags, from the territories adminis-
tered by the Governor of Bombay in Council, including Sind, into
any other part of British India,
No. 4.
Foreign Department Notification No. 1234-!.A., dated Simla, the 3rd April 1897. •
In exercise of the powers conferred by section 2, sub-section (i),
of the Epidemic Diseases Act (III of 1897) as applied by the Notifica-
tion of the Government of India in the Foreign Department, No.
443-1.A., dated the 4th February 1897, to all territories in India
which are under the administration of the Governor General in
Council, but are not part of British India, including all railway lands
and the territories for the time being administered by the Agent to
the Governor General in Baluchistan as such Agent, the Governor
General in Council is pleased to prohibit the bringing of used apparel
and bedding (except when carried as the personal baggage of
travellers), rags, waste paper and used gunny-bags, from the terri-
tories administered by the Governor of Bombay in Council, including
Sind into any part of the territories first aforesaid.
Precautions with respect to grain imported into other
parts of India from Sind.
No. 5.
Telegram No. 269, dated Lahore, the 2nd March 1897.
From—The Chief Secretary to the Government of Punjab,
To—The Secretary to the Government of India, Home Department.
Large amount grain daily imported from Sind and particularly
Sukkur: non-imported cases of plague reported in Sukkur: if it gets
worse, question will arise whether importation of grain should be
stopped or grain detained en rotite till bacilli die. Do expert advisers
of Government of India consider any such measure really necessary?
Effect would be very serious not merely as directly affecting importa-
tion but by creating apprehension of further restrictions which would
send up prices.
No. 6,
Telegram No. 850, dated Calcutta, the 6th March 1897.
From—The Secretary to the Government of India, Home Department.
To—The Secretary to the Government of Bombay, General Department.
Your telegram 704, dated 5th. Plague cases at Sukkur. Please
telegraph if any of the cases have occurred in neighbourhood of grain
godowns or among employés of grain godowns or among persons con-
nected with other trades.
APP. X.]
infection by merchandise and foQd-stuffs.
423
No. 7.
Telegram No. 813-?., dated Bombay, the loth March 1897.
From—The Secretary to the Government of Bombay, General Depart-
ment.
To—The Secretary to the Government of India, Home Department.
Your 850, sixth. Commissioner, Sind 3 reports. Begins.—One
local case in grain godown in Sukkur ; 70 bags grain removed and
taken charge of by Collector ; rest no connection with grain. Two in
confectioners' shops ; two amongst milk vendors ; no such cases in
Hyderabad.—Ends.
No. 8.
Telegram No. 956, dated Calcutta, the isth March 1897.
From—The Secretary to the Government of India, Home Department,
To—The Secretary to the Government of Bomba}', General Department.
Punjab Government has raised question whether import of grain
Into Punjab from Sind or Sukkur should be prohibited. Government
of India have replied that it would be very serious matter to prohibit
import and that the trade does not add sufficiently to danger of spread
of infection to make it necessary to incur evils that would result from
stopping it. But Government of India consider that all possible pre-
cautions should be taken to prevent contaminated grain being exported
from Sind. In especial measures should be adopted to obtain imme-
diate information of any plague cases in or near grain godowns and to
prevent removal of grain open to suspicion of contamination. Govern-
ment of India will be glad to learn means adopted with view to above
ends. Please also report specially occurrence of plague cases affecting
grain or other export industries in Sind.
No. 9.
Telegram No. 957, dated Calcutta, the isth March 1897.
From -The Secretary to the Government of India, Home Department,
To—The Chief Secretary to the Government of the North-Western
Provinces and Oudh.
Punjab Government has raised question whether import of grain
into Punjab from Sind or Sukkur should be prohibited in view of indi-
genous cases having occurred at Sukkur and in Sind. Government
of India have replied that it would be very serious matter to prohibit
import and that the trade does not add sufficiently to danger of spread
of infection to make it necessary to incur evils that would result from
stopping it. Bombay Government have been asked to take all possible
precautions to prevent contaminated grain being exported from Sind ;
in eppecial to adopt measures to obtain immediate information of any
plague cases in or near grain godowns and to prevent removal of grain
open to suspicion of contamination.
424
Measures to prevent the spread of
[ APP. X.
No. lo.
Telegram No. 958, dated Calcutta, the I5th" March 1897.
j
From —The Secretary to the Government of India, Home Department,
To—The Chief Secretary to the Government of the Punjab.
Your telegram dated 2nd. Import of grain from Sind and particu-
larly Sukkur. It has been ascertained that only one case of plague
has occurred in a grain godown and that proper precautions were
taken with regard to contents of that godown. Sanitary Commissioner
does not consider export of grain from Sind or Sukkur need be pro-
hibited, and Government of India endorse this opinion. Government
of India agree with Punjab Government that the prohibition of the
import would be a serious matter and consider that it does not add
sufficiently to danger of spread of infection to make it necessary to
incur evils that would result from stopping it. Bombay Government
are being asked to take all possible precautions to prevent contamin-
ated grain being exported from Sind ; in especial to adopt means to
obtain immediate information of any plague cases in or near grain
godowns and to prevent removal of grain open to suspicion of con-
tamination.
NO. 1I0
Telegram No. 1073-?., dated Bombay, the 22nd March 1897.
Frorr— The Secretary to the Government of Bombay, General Depart-
ment,
To—The Secretary to the Government of India, Home Department.
My telegram 1813-?. of tenth. Grain in question destroyed.
No. 12.
Telegram No. 1092, dated Calcutta, the 20th March 1897.
From—The Secretary to the Government of India, Home Department,
To—The Secretary to the Government of Bombay, General Department.
My telegram 956, dated I5th March. Export of grain from Sind.
Government of India will be glad to receive information regarding
measures adopted to prevent export of contaminated grain.
No. 13.
Telegram dated Bombay, the 29th March 1897.
From—The Under Secretary to the Government of Bombay, Revenue
Department,
To—The Secretary to the Government of India, Home Department.
Your telegram I5th instant. Import of grain into Punjab from Sind
or Sukkur. Commissioner, Sind, telegraphs :—Begins. 354, Your
telegram dated sixteenth was sent all District officers with instructions
detain grain in any way suspected and examine grain godowns for
dead rats. Hyderabad replies no plague cases near grain godowns ;
will keep sharp look out. Shikarpur replies that orders have been
issued prohibiting export of grain from godowns situated in the
infected area of Sukkur. Karachi reports no grain exported to Punjab