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Art. 4. The officer of customs detaining any ship as aforesaid shall forthwith give notice thereof, and of the cause of such detention, to the sanitary authority of the place to which the ship shall be bound, or where the ship shall be about to call.
Art. 5. Such detention by the officer of customs shall cease as soon as the ship shall have been duly visited and examined by the medical officer of health; or, if the ship shall, upon such examination, be found to be infected with cholera, as soon as the same shall be moored or anchored in pursuance of Article 10 of this Order.
'Provided that, if the examination be not commenced within twelve hours after notice given as aforesaid, the ship shall, on the expiration of the said twelve hours, be released from detention.
II. Regulations as to Sanitary Authorities.
Art. 6. Every port sanitary authority, and every other sanitary authority within whose district persons are likely to be landed from any ship coming foreign, shall, as speedily as practicable, with the approval of the chief officer of customs of the port, fix some place where any ship may be moored or anchored for the purpose of Article 10; and shall make provision for the reception of cholera patients and persons suffering from illness removed under Articles 13 and 14. The place to be fixed as aforesaid, where any ship may be moored or anchored for the purpose of Article 10, shall be some place within the jurisdiction or district of the sanitary authority, unless the Local Government Board otherwise consent; in which case the place so fixed shall, for the purposes of this Order, be deemed to be within such jurisdiction or district.
'Provided that, in the case of any dockyard port for which a Queen's harbour-master has been appointed, the place where any ship shall be moored or anchored for the purpose of this Article shall from time to time be fixed by the port sanitary authority, with the approval of the Queen's harbour-master instead of with that of the chief officer of customs of the port.
'Provided also, that where, in pursuance of any of the abovecited Orders, places have been duly fixed for the mooring
or anchoring of ships for the like purpose, such places shall be deemed to have been so fixed in pursuance of this Order.
Art. 7. The sanitary authority, on notice being given to them by an officer of customs, under this Order, shall forthwith cause the ship, in regard to which such notice shall have been given, to be visited and examined by their medical officer of health for the purpose of ascertaining whether she is infected with cholera.
Art. 8. The medical officer of health, if he have reason to believe that any ship coming or being within the jurisdiction or district of the sanitary authority, whether examined by the officer of customs or not, is infected with cholera, shall or, if she have come from a place infected with cholera, may visit and examine such ship, for the purpose of ascertaining whether she is so infected; and the master of such ship shall permit the same to be so visited and examined.
Art. 9. If the medical officer of health, on making such examination as aforesaid (whether under Article 7 or under Article 8), shall be of opinion that the ship is infected, he shall forthwith give a certificate in duplicate in the following form, or to the like effect, and shall deliver one copy to the master, and retain the other copy, or transmit it to the sanitary authority. He shall also give to the Local Government Board information as to the arrival of the ship, and such other particulars as that Board may require.
Art. 10. The master of any ship so certified to be infected with cholera shall thereupon moor or anchor her at the place fixed for that purpose under Article 6, and she shall remain
there until the requirements of this Order have been duly fulfilled.
Art. 11. 'No person shall leave any such ship until the examination hereinafter mentioned shall have been made.
Art. 12. The medical officer of health shall, as soon as possible after any such ship has been certified to be infected with cholera, examine every person on board the same, and in the case of any person suffering from cholera, or from any illness which the medical officer of health suspects may prove to be cholera, shall certify accordingly; and every person who shall not be so certified by him shall be permitted to land immediately on giving to the medical officer of health his name and place of destination, stating, where practicable, his address at such place.
'The name and address of any such person shall forthwith be given by the medical officer of health to the clerk to the sanitary authority, and such clerk shall thereupon transmit the same to the local authority of the district in which the place of destination of such person is situate.
In this Article the term "local authority" means any urban or rural sanitary authority; and in the administrative county of London, the commissioners of sewers, the vestry under the Metropolis Management Act, 1855, of a parish in Schedule A, and the district board of a district in Schedule B to that Act, as amended by the Metropolis Management Amendment Act, 1885, and the Metropolis Management (Battersea and Westminster) Act, 1887, and the Woolwich Local Board of Health.
Art. 13. 'Every person certified by the medical officer of health to be suffering from cholera shall be removed, if his condition admit of it, to some hospital or other suitable place appointed for that purpose by the sanitary authority; and no person so removed shall leave such hospital or place until the medical officer of health shall have certified that such person is free from the said disease.
'If any person suffering from cholera cannot be removed, the ship shall remain subject, for the purposes of this Order, to the control of the medical officer of health; and the infected person shall not be removed from or leave the ship, except with the consent, in writing, of the medical officer of health.
Art. 14. Any person certified by the medical officer of health to be suffering from any illness, which such officer suspects may prove to be cholera, may either be detained on board the ship. for any period not exceeding two days, or be taken to some hospital or other suitable place appointed for that purpose by the sanitary authority, and detained there, for a like period, in order that it may be ascertained whether the illness is or is not cholera.
'Any such person who, while so detained, shall be certified by the medical officer of health to be suffering from cholera, shall be dealt with as provided by Article 13 of this Order.
Art. 15. The medical officer of health shall, in the case of every ship certified to be infected, give directions and take such steps as may appear to him to be necessary for preventing the spread of infection, and the master of the said ship shall forthwith carry into execution such directions as shall be so given to him. Art. 16. In the event of any death from cholera taking place on board such ship while detained under Article 10, the master shall, as directed by the sanitary authority or the medical officer of health, either cause the dead body to be taken out to sea and committed to the deep, properly loaded to prevent its rising, or shall deliver it into the charge of the said authority for interment; and the authority shall thereupon have the same interred.
Art. 17. The master shall cause any articles that may have been soiled with cholera discharges to be destroyed, and the clothing and bedding, and other articles of personal use likely to retain infection, which have been used by any person who may have suffered from cholera on board such ship, or who, having left such ship, shall have suffered from cholera during the stay of such ship in any port, to be disinfected, or (if necessary) destroyed; and if the master shall have neglected to do so before the ship arrives in port, he shall forthwith, upon the direction of the sanitary authority or the medical officer of health, cause the same to be disinfected or destroyed, as the case may require; and if the said master neglect to comply with such direction within a reasonable time, the authority shall cause the same to be carried into execution.
Art. 18. 'The master shall cause the ship to be disinfected, and every article therein, other than those last described, which
may probably be infected with cholera, to be disinfected or destroyed, according to the directions of the medical officer of health.
III. Flag to be hoisted by Ships infected with Cholera.
Art. 19. The master of every ship infected with cholera shall, when within three miles of the coast of any part of England or Wales, cause to be hoisted the Commercial Code Signal Q, being a yellow flag, under the national ensign, and shall keep the same displayed during the whole of the time between sunrise and sunset.
'Given under the seal of office of the Local Government Board, this twenty-eighth day of August, in the year one thousand eight hundred and ninety.
(L.S.) 'HUGH OWEN, Secretary.
'CHAS. T. RITCHIE, President.
'NOTICE. The Public Health Act, 1875, provides by Section 130, that any person wilfully neglecting, or refusing to obey or carry out, or obstructing the execution of any regulation made under that section, shall be liable to a penalty not exceeding Fifty Pounds.
'Date of publication in the London Gazette,
29th August 1890.'
It having been proved that rags often convey infection of cholera, from time to time the Local Government Board issues a General Order, restricting their importation. The following is an example of the General Order as to rags:
'LOCAL GOVERNMENT ORDER IN 1890 AS TO THE IMPORTATION OF RAGS FROM SPAIN, under Section 130, Public Health Act, 1875.
To all Port Sanitary Authorities;
To all Urban and Rural Sanitary Authorities;