MICHAEL GAITHO P32S/PT/11578/2011 PORT HEALTH BY John Kariuki, PhD Ministry of Health, Kenya HEH 3 !

" PORT HEALTH #Re$ise% fro& E'H ())* )+ 0+ 3+ (+ 5+ 6+ !+ 9+ <+ ) + ))+ )0+ ,ntro%u-tion" ter&inolo.ies an% /rin-i/les+ Pur/ose an% intention of ,nternational Port Health #,+P+H+R* Port entry an% e1it ins/e-tion /ro-e%ures an% stan%ar%s+ 2uarantina3le %iseases4 &ana.e&ent Port health a%&inistration an% %o-u&entation+ Po7ers an% %uties of Port Health offi-er+ 8hi/s in 2uarantine+ :oo%;se7a.e;refuse &ana.e&ent+ Air-raft %isinfe-tion+ E/i%e&iolo.i-al re-or%s+ Pil.ri&s an% tourists+ Pu3li- Health a-t, foo%, %ru.s an% -he&i-al su3stan-es a-t # La7s of Kenya* ,nternational Air Trans/ort Asso-iation#,+A+T+A*

PORT HEALTH: AIM To e=ui/ the learner 7ith kno7le%.e, skills an% attitu%es, to ena3le hi&;her, -arry out /ort health ser$i-es .Introduction 1 Port health ser$i-e is the 7ork -arrie% out 3y all %esi.nate% Port Health Authorities in the 7orl% to7ar%s the -ontrol or s/rea% of the three =uarantina3le %iseases" The essen-e of /ort health is to ensure &a1i&u& se-urity a.ainst the international s/rea% of %iseases 7ith &ini&u& interferen-e in 7orl% traffi-s+ Measures for /re$ention an% -ontrol of the s/rea% of e/i%e&i- %iseases 3y international trans/ort are .o$erne% 3y ,nternational Health Re.ulation #,HR* ,+H+R+ 7as a%o/te% 3y 00n% 7orl% Health asse&3ly on the 05th July )<6< an% rene7e% in 0 5

The re.ulation re/resents a re$ise% an% -onsoli%ate% $ersion of the /re$ious sanitary re.ulation+ The /ur/ose of ,+H+R is to ensure &a1i&u& se-urity a.ainst the international s/rea% of %iseases 7ith a &ini&u& interferen-e in 7orl%4s traffi-s #/ur/ose* :ollo7in. the in-reasin. e&/hasis on e/i%e&iolo.i-al sur$eillan-e for >o&&uni-a3le Disease re-o.nition an% -ontrol, the ne7 re.ulation intention is to" )+ 0+ 3+ (+ 8tren.then the use of E/i%e&iolo.i-al /rin-i/les as a//lie% internationally+ To %ete-t, re%u-e or eli&inate the sour-es fro& 7hi-h infe-tions s/rea% To i&/ro$e sanitation in an% aroun% Port Air/ort an% frontiers+ To /re$ent the %isse&ination of $e-tors of %iseases+

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MICHAEL GAITHO P32S/PT/11578/2011 N.B+ in .eneral is to en-oura.e e/i%e&iolo.i-al a-ti$ities on the national le$el so that there is little risk of outsi%e infe-tion esta3lishin. itself+ PUBLIC HEALTH ACT CAP 242 SECTION 10 PARAGRAPH 2 STATES: The fun-tions of &e%i-al %e/art&ent shall 3e su3?e-t to the /ro$isions of this A-t to /re$ent an% .uar% a.ainst the intro%u-tion of infe-tious %iseases into Kenya fro& outsi%e+ Part 0+ Ports an% inlan%s 3or%ers of Kenya #8e-t 56@!5*+ Rules un%er 8e-t !3 are kno7n as Pu3liHealth #Port, Air/ort, an% frontier Health Rules* Ports, Air/orts an% frontiers 7hi-h are .aAette% in-lu%e" JK,A, Bilson Air/ort, Kisu&u Air/ort, El%oret ,nternational Air/ort, Mo&3asa Air/ort, Ports of Mo&3asa, Lun.alun.a, 'a&an.a, Busia, Man%era, Carissa+ T r!" u" d in Port H #$t%: Air port: Means any air/ort 7here international fli.hts arri$e or %e/artD Port: Means a sea/ort or a /ort on an inlan% 3o%y of 7ater 7here shi/s on an international $oya.e arri$e or %e/artD Point of Entry: Means a /assa.e for international entry or e1it of tra$elers, 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s an% /ostal /ar-els as 7ell as a.en-ies an% areas /ro$i%in. ser$i-es to the& on entry or e1itD Competent authority: Means an authority res/onsi3le for the i&/le&entation an% a//li-ation of health &easures un%er these Re.ulationsD Aedes Aegypti index: Means the ratio e1/resse% as a /er-enta.e 3et7een the 'o+ of houses in a li&ite% 7ell %efine% area on the /re&ises of 7hi-h a-tual 3ree%in. /la-es of Ae%es ae.y/ti are foun% an% the total nu&3er of houses e1a&ine% in that area+ Ter&s Aedes Aegypti index 1 'B A &ini&u& of t7o ins/e-tions shoul% 3e %oneD any a%%itional ins/e-tion 7oul% in-rease the $ali%ity of the result+ ,f it is not /ra-ti-a3le to e1a&ine all the houses in an area, e1a&ination shoul% 3e &a%e of ran%o& sa&/le of a siAe not less than that in%i-ate% in the ta3le 3elo7" @ Aedes Aegypti index 2 Public health risk: Means a likelihoo% of an e$ent that &ay affe-t a%$ersely the health of hu&an /o/ulations, 7ith an e&/hasis on one 7hi-h &ay s/rea% internationally or &ay /resent a serious an% %ire-t %an.erD Quarantine: Means the restri-tion of a-ti$ities an%;or se/aration fro& others of sus/e-t /ersons 7ho are not ill or of sus/e-t 3a..a.e, -ontainers, -on$eyan-es or .oo%s in su-h a &anner as to /re$ent the /ossi3le s/rea% of infe-tion or -onta&inationD 2 |Page

MICHAEL GAITHO P32S/PT/11578/2011 Medical examination: Means the /reli&inary assess&ent of a /erson 3y an authoriAe% health 7orker or 3y a /erson un%er the %ire-t su/er$ision of the -o&/etent authority, to %eter&ine the /erson4s health status an% /otential /u3li- health risk to others, an% &ay in-lu%e the s-rutiny of health %o-u&ents, an% a /hysi-al e1a&ination 7hen ?ustifie% 3y the -ir-u&stan-es of the in%i$i%ual -aseD >ontD nspection: Means the e1a&ination, 3y the -o&/etent authority or un%er its su/er$ision, of areas, 3a..a.e, -ontainers, -on$eyan-es, fa-ilities, .oo%s or /ostal /ar-els, in-lu%in. rele$ant %ata an% %o-u&entation, to %eter&ine if a /u3li- health risk e1istsD !ational "# $ocal Point: Means the national -entre, %esi.nate% 3y ea-h 8tate Party, 7hi-h shall 3e a--essi3le at all ti&es for -o&&uni-ations 7ith BHO ,HR >onta-t Points un%er these Re.ulationsD %e&rating: Means the /ro-e%ure 7here3y health &easures are taken to -ontrol or kill ro%ent $e-tors of hu&an %isease /resent in 3a..a.e, -ar.o, -ontainers, -on$eyan-es, fa-ilities, .oo%s an% /ostal /ar-els at the /oint of entryD Prati'ue: Means /er&ission for a shi/ to enter a /ort, e&3ark or %ise&3ark, %is-har.e or loa% -ar.o or storesD /er&ission for an air-raft, after lan%in., to e&3ark or %ise&3ark, %is-har.e or loa% -ar.o or storesD an% /er&ission for a .roun% trans/ort $ehi-le, u/on arri$al, to e&3ark or %ise&3ark, %is-har.e or loa% -ar.o or storesD @ %ise&3ark, %is-har.e or loa% -ar.o or storesD (ransit area: Means a s/e-ial area esta3lishe% in -onne-tion in an air/ort, a//ro$e% 3y the Health Authority -on-erne% an% un%er his %ire-t su/er$ision for a--o&&o%atin. %ire-t transit traffi- in se.re.ation an% -re7s 3reakin. air $oya.e 7ithout lea$in. the air/ort+ Public health emergency of international concern: &eans an e1traor%inary e$ent 7hi-h is %eter&ine%, as /ro$i%e% in these Re.ulations" #i* To -onstitute a /u3li- health risk to other 8tates throu.h the international s/rea% of %isease an% #ii* To /otentially re=uire a -oor%inate% international res/onseD )uspect: Means those /ersons, 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s or /ostal /ar-els -onsi%ere% 3y a 8tate Party as ha$in. 3een e1/ose%, or /ossi3ly e1/ose%, to a /u3li- health risk an% that -oul% 3e a /ossi3le sour-e of s/rea% of %iseaseD Public health obser*ation: Means the &onitorin. of the health status of a tra$eler o$er ti&e for the /ur/ose of %eter&inin. the risk of %isease trans&issionD Public health risk: Means a likelihoo% of an e$ent that &ay affe-t a%$ersely the health of hu&an /o/ulations, 7ith an e&/hasis on one 7hi-h &ay s/rea% internationally or &ay /resent a serious an% %ire-t %an.erD )hip: Means a sea .oin. or an inlan% na$i.ation $essel &akin. an international $oya.e+ $lag Q +yello, flag-: Means a $essel not yet -leare% 3y the health offi-er or authority+ $lag .: Means a shi/ is un%er =uarantine, at ni.ht li.hts are 3 li.hts s/a-e% not less than 6ft #) &etre* a/art infor& of e=uilateral trian.le+ Li.ht at the a/e1 3ein. 7hite an% at the 3ase 3ein. re% 3 |Page

MICHAEL GAITHO P32S/PT/11578/2011 $lag QQ black flag: Means a /erson has %ie% in the $essel+ Air craft: Means an air-raft &akin. an international $oya.eD solation: Means se/aration of ill or -onta&inate% /ersons or affe-te% 3a..a.e, -ontainers, -on$eyan-es, .oo%s or /ostal /ar-els fro& others in su-h a &anner as to /re$ent the s/rea% of infe-tion or -onta&inationD Medical examination: Means the /reli&inary assess&ent of a /erson 3y an authoriAe% health 7orker or 3y a /erson un%er the %ire-t su/er$ision of the -o&/etent authority, to %eter&ine the /erson4s health status an% /otential /u3li- health risk to others, an% &ay in-lu%e the s-rutiny of health %o-u&ents, an% a /hysi-al e1a&ination 7hen ?ustifie% 3y the -ir-u&stan-es of the in%i$i%ual -aseD !ational "# $ocal Point: Means the national -entre, %esi.nate% 3y ea-h 8tate Party, 7hi-h shall 3e a--essi3le at all ti&es for -o&&uni-ations 7ith BHO ,HR >onta-t Points un%er these Re.ulationsD Int rn#tion#$ H #$t% R &u$#tion" 'ur'o" (I.H.R.) The /ur/ose an% s-o/e of these Re.ulations are to /re$ent, /rote-t a.ainst, -ontrol an% /ro$i%e a /u3li- health res/onse to the international s/rea% of %isease in 7ays that are -o&&ensurate 7ith an% restri-te% to /u3li- health risks, an% 7hi-h a$oi% unne-essary interferen-e 7ith international traffian% tra%e+ Princi'$ " o* 'ort % #$t% The i&/le&entation of these Re.ulations shall 3e 7ith full res/e-t for the %i.nity, hu&an ri.hts an% fun%a&ental free%o&s of /ersons+ The i&/le&entation of these Re.ulations shall 3e .ui%e% 3y the >harter of the Enite% 'ations an% the >onstitution of the Borl% Health Or.aniAation+ The i&/le&entation of these Re.ulations shall 3e .ui%e% 3y the .oal of their uni$ersal a//li-ation for the /rote-tion of all /eo/le of the 7orl% fro& the international s/rea% of %isease+ 8tates ha$e, in a--or%an-e 7ith the >harter of the Enite% 'ations an% the /rin-i/les of international la7, the so$erei.n ri.ht to le.islate an% to i&/le&ent le.islation in /ursuan-e of their health /oli-ies in %oin. so they shoul% u/hol% the /ur/ose of these Re.ulations+ Port ntr+ #nd ,it in"' ction 'roc dur " #nd "t#nd#rd" All shi//in. liners an% air-raft -o&/anies ha$e shi//in. an% air-raft a.en-ies at their ne1t /orts or air/orts+ The a.en-ies %uty is to infor& the /ort or air/ort authorities of their e1/e-te% ti&e of arri$al of $essels an% air-raft+ ,n -ase of air-raft the a.en-y .i$es a seasonal s-he%ule sho7in. itineraries of air-raft 7hereas in shi//in. the infor&ation is .i$en in-lu%e" )+ 'a&e of $essel 0+ Last /ort of -all 3+ 'ationality (+ Date e1/e-te% 5+ A//ro1i&ate tonna.e 4 |Page

MICHAEL GAITHO P32S/PT/11578/2011 6+ Loun.e an% %es-ri/tion of -ar.o to 3e off loa%e%, s/e-ifie% or .ross !+ A.ent On re-ei$in. of this infor&ation the health authority .oes throu.h the 7eekly E/i%e&iolo.i-al re-or% to as-ertain 7hat ne-essary re-o.nition %o-u&ents /assen.ers 7ill 3e re=uire% to /ro%u-e on their arri$al+ The /ro%u-tion of the international -ertifi-ate of $a--ination %e/en% entirely on itineraries of the $essel or air-raft, an% the infor&ation re-ei$e% in the -urrently, 7eekly e/i%e&iolo.i-al re-or% sho7in. the -urrently infe-te% areas+ ,t also %e/en%s on the ino-ulation of the %iseases+ Before the arri$al of an air-raft or a $essel the -o&&an%er as-ertains the health of /assen.ers an% -re7 an% %e-lares their -on%itions in the &ariti&e or air-raft %e-laration of health an% for7ar%s the infor&ation to the /ort health authority+ This infor&ation is su3&itte% in a%$an-e for the /ur/ose of .rantin. /rati=ue+ L ""on 2 H #$t% ! #"ur " on #rri-#$" Bhene$er /ra-ti-a3le, states authorities .rantin. /rati=ue 3y ra%io to a shi/ or air-raft 7hen on the 3asis of infor&ation re-ei$e% fro& it /rior to its arri$al only if the health authority to the inten%e% /ort or air/ort of arri$al 7ill not result in the intro%u-tion or s/rea% of a =uaranti3le %isease+ Health authority to &e%i-ally e1a&ine the $essel /assen.ers an% -re7s :urther health &easures &ay 3e %one as /er the -on%ition foun% on the $essel an% shoul% 3e 7ith no /re?u%i-e+ Bhere a health a%&inistration has s/e-ial /ro3le&s 7oul% -onstitute a .ra$e %an.er to the /u3lihealth it &ay re=uire a /erson on an international $oya.e to .i$e an arri$al a %estination a%%ress in 7ritin.+ N.B Offi-ers in -o&&an% of an air-rafts or shi/s shoul% &ake kno7n as soon as /ossi3le 3efore arri$al to air/ort an% /ort authorities any -ase of illness on 3oar% in the interest of the /atient an% health authority an% to fa-ilitate the -learan-e of the shi/ or air-raft+ Health authorities &ay re&o$e an% isolate an infe-te% /erson 3ut "%#$$ . co!'u$"or+ i* t% ' r"on in c%#r& r /uir " "o. %etermination of a public health emergency of international concern The Dire-tor@Ceneral shall %eter&ine, on the 3asis of the infor&ation re-ei$e%, in /arti-ular fro& the 8tate Party 7ithin 7hose territory an e$ent is o--urrin., 7hether an e$ent -onstitutes a /u3li- health e&er.en-y of international -on-ern in a--or%an-e 7ith the -riteria an% the /ro-e%ure set out in these Re.ulations+ ,f the Dire-tor@Ceneral -onsi%ers, 3ase% on an assess&ent un%er these Re.ulations, that a /u3lihealth e&er.en-y of international -on-ern is o--urrin., the Dire-tor@Ceneral shall -onsult 7ith the 8tate Party in 7hose territory the e$ent arises re.ar%in. this /reli&inary %eter&ination+ ,f the Dire-tor@ Ceneral an% the 8tate Party are in a.ree&ent re.ar%in. this %eter&ination, the Dire-tor@ Ceneral shall, in a--or%an-e 7ith the /ro-e%ure set forth in Arti-le (<, seek the $ie7s of the >o&&ittee esta3lishe% un%er Arti-le (9 #hereinafter the FE&er.en-y >o&&itteeG* on a//ro/riate te&/orary re-o&&en%ations+ 5 |Page

MICHAEL GAITHO P32S/PT/11578/2011 ,f, follo7in. the -onsultation in /ara.ra/h 0 a3o$e, the Dire-tor@Ceneral an% the 8tate Party in 7hose territory the e$ent arises %o not -o&e to a -onsensus 7ithin (9 hours on 7hether the e$ent -onstitutes a /u3li- health e&er.en-y of international -on-ern, a %eter&ination shall 3e &a%e in a--or%an-e 7ith the /ro-e%ure set forth in Arti-le (<+ ,n %eter&inin. 7hether an e$ent -onstitutes a /u3li- health e&er.en-y of international -on-ern, the Dire-tor@Ceneral shall -onsi%er" )+ 0+ 3+ (+ ,nfor&ation /ro$i%e% 3y the 8tate PartyD The %e-ision instru&ent -ontaine% in Anne1 0D The a%$i-e of the E&er.en-y >o&&itteeD 8-ientifi- /rin-i/les as 7ell as the a$aila3le s-ientifi- e$i%en-e an% other rele$ant infor&ationD an% 5+ An assess&ent of the risk to hu&an health, of the risk of international s/rea% of %isease an% of the risk of interferen-e 7ith international traffi,f the Dire-tor@Ceneral, follo7in. -onsultations 7ith the 8tate Party 7ithin 7hose territory the /u3lihealth e&er.en-y of international -on-ern has o--urre%, -onsi%ers that a /u3li- health e&er.en-y of international -on-ern has en%e%, the Dire-tor@Ceneral shall take a %e-ision in a--or%an-e 7ith the /ro-e%ure set out in Arti-le (<+ 0u#r#ntin#.$ di" #" " #nd !#n#& ! nt Re-o&&en%ations issue% 3y BHO to 8tates Parties 7ith res/e-t to /ersons &ay in-lu%e the follo7in. a%$i-e" )+ 'o s/e-ifi- health &easures are a%$ise%D 0+ Re$ie7 tra$el history in affe-te% areasD 3+ Re$ie7 /roof of &e%i-al e1a&ination an% any la3oratory analysisD (+ Re=uire &e%i-al e1a&inationsD 5+ Re$ie7 /roof of $a--ination or other /ro/hyla1isD 6+ Re=uire $a--ination or other /ro/hyla1isD !+ Pla-e sus/e-t /ersons un%er /u3li- health o3ser$ationD 9+ ,&/le&ent =uarantine or other health &easures for sus/e-t /ersonsD <+ ,&/le&ent isolation an% treat&ent 7here ne-essary of affe-te% /ersonsD ) + ,&/le&ent tra-in. of -onta-ts of sus/e-t or affe-te% /ersonsD ))+ Refuse entry of sus/e-t an% affe-te% /ersonsD )0+ Refuse entry of unaffe-te% /ersons to affe-te% areasD an% )3+ ,&/le&ent e1it s-reenin. an%;or restri-tions on /ersons fro& affe-te% areas+ Port % #$t% #d!ini"tr#tion #nd docu! nt#tion The -o&/etent authorities shall" )+ Be res/onsi3le for &onitorin. 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s, /ostal /ar-els an% hu&an re&ains %e/artin. an% arri$in. fro& affe-te% areas, so that they are &aintaine% in su-h a -on%ition that they are free of sour-es of infe-tion or -onta&ination, in-lu%in. $e-tors an% reser$oirsD 0+ Ensure, as far as /ra-ti-a3le, that fa-ilities use% 3y tra$elers at /oints of entry are &aintaine% in a sanitary -on%ition an% are ke/t free of sour-es of infe-tion or -onta&ination, in-lu%in. $e-tors an% reser$oirsD 6 |Page

MICHAEL GAITHO P32S/PT/11578/2011 3+ Be res/onsi3le for the su/er$ision of any %erattin., %isinfe-tion, %isinfe-tion or %e-onta&ination of 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s, /ostal /ar-els an% hu&an re&ains or sanitary &easures for /ersons, as a//ro/riate un%er these Re.ulationsD (+ A%$ise -on$eyan-e o/erators, as far in a%$an-e as /ossi3le, of their intent to a//ly -ontrol &easures to a -on$eyan-e, an% shall /ro$i%e, 7here a$aila3le, 7ritten infor&ation -on-ernin. the &etho%s to 3e e&/loye%D 5+ Be res/onsi3le for the su/er$ision of the re&o$al an% safe %is/osal of any -onta&inate% 7ater or foo%, hu&an or ani&al %e?e-ta, 7aste7ater an% any other -onta&inate% &atter fro& a -on$eyan-eD 6+ Take all /ra-ti-a3le &easures -onsistent 7ith these Re.ulations to &onitor an% -ontrol the %is-har.e 3y shi/s of se7a.e, refuse, 3allast 7ater an% other /otentially %isease@-ausin. &atter 7hi-h &i.ht -onta&inate the 7aters of a /ort, ri$er, -anal, strait, lake or other international 7ater7ayD !+ Be res/onsi3le for su/er$ision of ser$i-e /ro$i%ers for ser$i-es -on-ernin. tra$elers, 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s, /ostal /ar-els an% hu&an re&ains at /oints of entry, in-lu%in. the -on%u-t of ins/e-tions an% &e%i-al e1a&inations as ne-essaryD 9+ Ha$e effe-ti$e -ontin.en-y arran.e&ents to %eal 7ith an une1/e-te% /u3li- health e$entD an% -o&&uni-ate 7ith the 'ational ,HR :o-al Point on the rele$ant /u3li- health &easures taken /ursuant to these Re.ulations+ <+ Health &easures re-o&&en%e% 3y BHO for tra$elers, 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s, /ostal /ar-els an% hu&an re&ains arri$in. fro& an affe-te% area &ay 3e rea//lie% on arri$al, if there are $erifia3le in%i-ations an%;or e$i%en-e that the &easures a//lie% on %e/arture fro& the affe-te% area 7ere unsu--essful+ ) + Disinse-tion, %erattin., %isinfe-tion, %e-onta&ination an% other sanitary /ro-e%ures shall 3e -arrie% out so as to a$oi% in?ury an% as far as /ossi3le %is-o&fort to /ersons, or %a&a.e to the en$iron&ent in a 7ay 7hi-h i&/a-ts on /u3li- health, or %a&a.e to 3a..a.e, -ar.o, -ontainers, -on$eyan-es, .oo%s an% /ostal /ar-els+

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MICHAEL GAITHO P32S/PT/11578/2011 L ""on 1 Po2 r" #nd duti " o* # Port H #$t% O**ic r E$ery Health offi-er shall 3e res/onsi3le" :or the &e%i-al H if he -onsi%ers it ne-essary of any shi/, air-raft $ehi-le or train at any /ort air/ort or frontiers of Kenya H Health aroun% the /ort;air/ort+ :or takin. of su-h &easures or /re-autions as he &ay -onsi%er unne-essary in -on%ition 7ith su-h shi/s, air-raft $ehi-le or train+ :or the sanitary an% Health su/er$ision of all shi/s, air-raft, $ehi-le or trains at a /ort air/ort or frontier /osts+ Dis/osin. of 7astes enfor-e&ent of ,nternational Health Re.ulation :or /ro/er ins/e-tion, -arryin. out any enfor-e&ent on shi/s, air-rafts, $ehi-les or trains at a /ort, air/ort or frontier of all &easures for the %estination of ro%ents an% for /re$entin. the Mi.ration an% &ulti/li-ation of su-h ro%ents+ :or ensurin. the /ro&/t %ete-tion an% in$esti.atin. of any si-kness or &ortality a&on. ro%ents, /ossi3ility %ue to /la.ue :or /ro/er -arryin. out of la7 an% enfor-e&ent of the /ro$ision of the re.ulations an% rules thereof a* 3* -* %* e* f* Rules .o$ernin. 8hi/s in =uarantine :oo% safety an% =uality -ontrol 8e7a.e;refuse &ana.e&ent+ Air-raft %isinse-tion an% %isinfe-tion+ E/i%e&iolo.i-al re-or%s relate% to /ort health+ Rules .o$ernin. Pil.ri&s an% tourists+

A//li-ation of the rele$ant le.islation" abc) d) Public "ealth Act Chapter 2/20 $ood0 %rugs and Chemical )ubstances Act Chapter 21/ +.a,s of 2enya- in Port "ealth3 3unction" o* Int rn#tion#$ Air Tr#n"'ort A""oci#tion (I.A.T.A). nternational Maritime 4rgani5ation3 H#nd$in& #nd 4i"'o"#$ o* %u!#n r !#in".

PUBLIC HEALTH ACT CAP 242 SECTION 10 PARAGRAPH 2 STATES: a* The fun-tions of &e%i-al %e/art&ent shall 3e su3?e-t to the /ro$isions of this A-t to /re$ent an% .uar% a.ainst the intro%u-tion of infe-tious %iseases into Kenya fro& outsi%e+ 3* Part 0+ Ports an% inlan%s 3or%ers of Kenya #8e-t 56@!5*+ Rules un%er 8e-t !3 are kno7n as Pu3liHealth #Port, Air/ort, an% frontier Health Rules* Preli&inary E1a&ination &ay in-lu%e" 8 |Page

MICHAEL GAITHO P32S/PT/11578/2011 a* The /hysi-al e1a&ination of any /erson, 3ut the e1er-ise of that ri.ht shoul% %e/en% on the -ir-u&stan-e of " 3* ,n%i$i%ual -ase+ -* 2uestionin. tra$ellers on their &o$e&ents /rior to %ise&3arkation+ %* ,ns/e-tion of the /ass/ort as 3ein. /ro3a3ly the 3est sour-e of infor&ation 7hen tra-in. the &o$e&ent of a /assen.er %urin. the -ourse of a $oya.e 7hi-h has in$ol$e% -han.es in the &o%e of trans/ortation e* Other ter&inolo.ies f* 5#$id c rti*ic#t : Bhen a//lie% to $a--ination it &eans a -ertifi-ate that is in 3oth En.lish an% :ren-h, it has a %ate on 7hen the in%i$i%ual 7as $a--inate%+ The %ate 7oul% 3e 7ritten as follo7s" e+.+0 th 8e/t )<<< H &onth 3e in letters The sta&/ of the health offi-er or the authoriAe% $a--inator an% the si.nature &ust 3e /resent+ ,n -ase of yello7 fe$er, Bat-h 'o+ of the &anufa-turer &ust 3e in%i-ate%+ Lastly the a//ro$e% sta&/ of the .o$ern&ent Yello7 fe$er $a--ination $ali%ity starts on ) th %ay after $a--ination an% e1ten%s u/ to ) yrs+ >holera $a--ination e1ten%s u/ to 6 &onths+

B#&&#& : /ersonal 3elon.in.s of the tra$elers;-re7 &e&3er Cont#in r (*r i&%t cont#in r)" Means an arti-le of trans/ort e=ui/&ent" Of a /er&anent -hara-ter an% a--or%in.ly stron. enou.h to 3e suita3le for re/eate% use+ 8/e-ially %esi.ne% to fa-ilitate the -arria.e of .oo%s 3y one or &ore &o%es of trans/ort 7ith i&&e%iate re@loa%in.+ :itte% 7ith %e$i-es /er&ittin. rea%y han%lin. /arti-ularly its transfer fro& one &o%e of trans/ort to another+ 8o %esi.ne% as to 3e easy to fill an% e&/ty it+ The ter& -ontainer frei.ht %oes not in-lu%e $ehi-le -on$e-tional /a-kin.+ Cr 2: &eans /ersonnel of a shi/, an air-raft a train a roa% $ehi-le or other &eans of trans/ort 7ho are e&/loye% for %uties on 3oar%+ 6#-in& .#+: Pla-e 7here the /u3li- -an $ie7 air-raft+ Co!!on $oun& " Pla-e 7here -he-kin. of suit-ases I 3a. is %one+ Run#2#+: Tra-k for /lanes to lan% I takeoff+ A'ron: Parkin. area for /lanes+ An Air'ort "%ou$d %#- : Barehouse Co %o7n Health fa-ilities :ire station

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MICHAEL GAITHO P32S/PT/11578/2011 :irst ai% fa-ilities Han.er >anteens I restaurants+ Transit loun.e+ >usto&+ ,&&i.ration ser$i-es 8anitary a--o&&o%ation+ Health fa-ilities+ :ire station Meteorolo.i-al ser$i-es+ A%&inistration offi-e+ Dire-tor of -i$il a$iation+ N.B. Passen.ers 7ill al7ays re/ort to the arri$al loun.e area 7here there is"@ Health -ontrol %isk H i&&i.ration@-usto&s+ Ho7e$er, in -ase of J,P4s they &ay not -o&e to the a3o$e /la-es 3ut their %o-u&ents are 3rou.ht 3y so&e3o%y else, ne1t to arri$al transit loun.e, there4s a transit loun.e &eant for /assen.er for another /lane if it is .oin. to a %ifferent -ountry+ The %e/artin. /assen.er is -leare% 3y the -usto&s, i&&i.ration if he;she .oes to a %e/arture loun.e 7here health -learan-e is ne-essary+ Port % #$t% " r-ic " A /art fro& the &a1i&u& /er&issi3le &easures in res/e-t of =uarantina3le %iseases, all this re.ulations %o not /er&it health authority to refuse /rati=ue to a shi/ or air-raft an% the ri.ht to %is-har.e or loa% -ar.o or to take fuel or 7ater for 7hi-h s/e-ifi- a.ree&ent or re.ulations %o not e1ist e1-e/t in -ase of an ! r& nc+ con"titutin& # &r#- d#n& r in t% 'u.$ic % #$t%.

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