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Statement of any other information relevant to the ship arrival, stay or departure. |
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Second Signatory Authentication |
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Countersigning surgeon name |
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Name of the ship’s surgeon who countersigns the maritime declaration of health, when applicable. |
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Logistics Transport Movement |
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Stowaways found indicator |
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A yes/no indicator whether any stowaways have been found on board. |
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yes/no indicator (1=yes, 0=no) |
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Valid Sanitation Control Indicator |
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Valid ship sanitation control exemption or control certificate, indicator |
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A yes/no indicator whether the ship has a valid Ship Sanitation Control Exemption or Control Certificate on board. |
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yes/no indicator (1=yes, 0=no) |
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Sanitation Control Re-inspection Required Indicator |
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Re-inspection required indicator |
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A yes/no indicator whether re-inspection is required. |
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yes/no indicator (1=yes, 0=no) |
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Sanitation Control Document |
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Sanitation control certificate date of issue |
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The date when the Sanitation Control Exemption or Control Certificate was issued. |
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Sanitation control certificate port of issue, coded |
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A code identifying the location where the Sanitation Control Exemption or Control Certificate was issued. |
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Health Affected Area Indicator |
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Visited affected area indicator |
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A yes/no indicator whether ship visited an infected area identified by the World Health Organization |
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yes/no indicator (1=yes, 0=no) |
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Health Affected Area Visit Date |
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Date of call in affected area |
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If the ship visited an infected area identified by WHO, the date of the call in that infected area. |
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Health Affected Area Visit Location ID |
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Port of call in affected area, coded |
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If the ship visited an infected area identified by WHO, the port of call in that infected area. |
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Stowaway port of boarding, coded |
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A code identifying the port at which the referenced stowaway boarded the ship. |
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Reported MDH Transportation Health |
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Died Onboard Health MDH Indication |
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A yes/no indicator whether any person died on board during the voyage otherwise than as a result of accident. |
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yes/no indicator (1=yes, 0=no) |
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Number of persons that died on board during the voyage otherwise than as a result of accident |
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Disease Onboard MDH Health Indication |
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Disease on board indicator |
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A yes/no indicator whether there is, or has been during the international voyage, any case of disease which you suspect to be of an infectious nature. In the absence of a surgeon, the master should regard the following symptoms as grounds for suspecting the existence of a disease of an infectious nature: (a) fever, persisting for several days or accompanied by (i) prostration; (ii) decreased consciousness; (iii) glandular swelling; (iv) jaundice; (v) cough or shortness of breath; (vi) unusual bleeding; or (vii) paralysis. (b) with or without fever: (i) any acute skin rash or eruption; (ii) severe vomiting (other than sea sickness); (iii) severe diarrhoea; or (iv) recurrent convulsions. |
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yes/no indicator (1=yes, 0=no) |
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More Ill Onboard MDH Health Indication |
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Ill persons greater than expected indicator |
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A yes/no indicator whether the total number of ill persons during the voyage has been greater than normal/expected. |
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yes/no indicator (1=yes, 0=no) |
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Number of ill persons during the voyage. |
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Ill Person Onboard MDH Health Indication |
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Ill persons now indicator |
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A yes/no indicator whether there is any ill person on board now. |
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yes/no indicator (1=yes, 0=no) |
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Medical Practitioner Consulted Indication |
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Medical practitioner consulted indicator |
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A yes/no indicator whether a medical practitioner was consulted |
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yes/no indicator (1=yes, 0=no) |
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Onboard Infection Condition MDH Health Indication |
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Infection condition on board indicator |
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A yes/no indicator whether the declarant is aware of any condition on board which may lead to infection or spread of disease. |
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yes/no indicator (1=yes, 0=no) |
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Sanitary Measures Applied MDH Health Indication |
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Sanitary measure applied indicator |
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A yes/no indicator whether any sanitary measure (e.g. quarantine, isolation, disinfection or decontamination) has been applied on board. |
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yes/no indicator (1=yes, 0=no) |
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Applied MDH Sanitary Measure |
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Sanitary measures type, coded |
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A code representing the applied sanitary measure. |
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Sanitary measure description |
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A description on the applied sanitary measure. |
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The place of the applied sanitary measure. |
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The date of the applied sanitary measure. |
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Sick Animal Onboard MDH Health Indication |
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A yes/no indicator whether there is a sick animal or pet on board. |
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yes/no indicator (1=yes, 0=no) |
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