REGULATION ON SANITARY SAFETY OF PASSENGERS ON SHIPS
Date of the Council of Ministers Resolution: 16/1/1943, No : 2/19331
Date of the Law on which its is based : 24/4/1930, No : 1593
Date of the Official Gazette of publication : 28/1/1943, No : 5316
General Provisions
Article 1 – This Regulation is to lay down provisions for medicines and medical supplies as well as places to be allocated for patient treatment and requirements of the ships and sanitary properties of the passenger compartments and measures to be taken to avoid crowding.
Article 2 –Ships with cabins carrying only passengers or passengers with cargo, which are operated both among national ports and to foreign ports, as well as local ferries transporting only passengersshall be considered passenger ships for the purposes of this Regulation.
PART ONE
Sanitary properties and requirements of ships and passenger ships
Article 3 – Cabins and lounges as well as decks of the said ships shall be equipped with installations and means to ensure passengers’ comfort, which shall be kept sound and clean.
Lounges, cabins and halls and stairs in front of cabins shall be have floorings of linoleum, rubber or other materials with similar properties.
Where provision of such materials is not possible, said places shall be floored with hardwood or made watertight with lacquer, in which case it shall be continuously washed and wiped with soapy water, and walkways shall be laid felt-made rugs or carpets.
Second- and third-class sections of passenger ships, and floorings of local ferries covered by velvet, etc. which may gather dust shall be covered by linen and similar cloths.
Exclusively for cabin passengers to use while eating their meals, lacquered tables always with a clean cover and surrounding chairs, couches and seating coated with leather or Morocco leather and other materials that can be kept clean shall be available.
Article 4 – Materials in buffets, which are intended for passengers’ use, shall always be clean and due care shall be paid to the cleanliness of buffets.
Article 5 – Seating of lounges and cabins shall not be improvised planks, but consist of firm and stabilized benches or seats and couches, with visible sections being painted and polished.
Bunks in first-class sections shall be furnished with bedsprings, and those in second- and third class sections shall be with iron-made. Parapets to be mounted at the sides shall be made of polished wood or iron.
Article 6 – Utmost attention and care shall be paid to the avoidance of bedbugs, bugs and other insects on ships, to their frequent control and their destruction in accordance with sanitary rules.
Article 7 –At least one toilet per fifty passengers shall be available on the deck and one for fifteen passengers in cabins. Additionally, plenty of urinals shall be mounted as far as there is enough room.
Number of toilets in both cabins and on deck shall be determined in proportion to the number of passengers in each voyage; and then, they shall be divided into men’s and women’s toilets according to the number of men and women, and plates of them shall be changed accordingly.
Article 8 – Interior of the tanks intended for storing drinking water shall be entirely coated with watery cement, and means such as pipes, taps and pumps intended for distribution of this water shall comply with technical and modern requirements, being in perfect condition and clean. Quantity of the fresh water to be used for drinking and cleaning purposes shall be calculated with respect to the duration of the voyage so that ten liter is allocated for each passenger; and tanks shall be prepared accordingly. It is a must that drinking water be drinkable in scientific terms. Both drinking water and tanks and pipes in which they are contained and through which they are carried shall be in accordance with the provisions of the regulations setting out specifications of foods and items and supplies relating to general sanitation.
Article 9 –Storages where passengers are to be present on deck shall be furnished with portholes and machinery intended for admitting air and light into the vessel, and provision shall be made for protection of such places against any kind of weather impacts.
While it is preferred that storages be furnished with bunks or hammocks intended for passengers to rest, shifting boards may be satisfactory in existing ships.
However, it is obligatory to mount bunks or hammocks in ships to be constructed from now on.
Article 10 –Number of passengers and livestock that ships are able to carry shall be duly determined and indicated in the survey certificates by the harbour master of the port of registry.
No vessel shall carry passengers and livestock in excess of its capacity (load limit) indicated in the survey certificate.
Number of passengers and livestock that can be put in the places in the ships allocated for passengers and livestock shall be determined by the final harbour master of the port of registryin conjunction with the coast physician, such numbers beingindicated in capital letter with permanent paint on the visible parts of such places.
Places allocated for transportation of livestock shall never be in the storage or deck dedicated for passengers’ use.
Article 11 –Being allowed only in extraordinary situations, where a place that has been used for keeping livestock needs to be allocated for passengers for this time, this place shall be properly disinfected before allowing passengers in.
Article 12 –Spaces for washing dishes shall be outside the kitchen. In ships which do not allow the allocation of a separate space for this purpose, dishes shall be washed in spaces of the kitchen particularly dedicated for this purpose.
Article 13 –Beds in cabins must have at least two sets of spare bedcovers and bed sets must be changed every time the passenger changes.
Article 14 –Those who are employed in cabins, buffets and kitchens of ships shall be examined for health status on a quarterly basis, and results of such examinations shall be recorded in their health certificates.
Employees not examined within due time shall not be allowed to provide such services.
PART TWO
Doctors and minor health officers to be employed on passenger ships and their duties
Article 15 –Except as local ferries, for ships whose total number of passengers and crew, as indicated their survey certificates, is up to two hundred (two hundred included),a minor health officer having graduated from minor health officers school shall be employed on board; and for ships with a capacity higher than this quantity, a ship’sdoctor shall be employed on board. A health officer may be considered acceptable, as long as such ships are operated within the Marmora basin, no matter what their capacity is.
However, such ships shall not be obliged to employ a doctor and health officer during their voyages without passengers or whenever they are allocated only for shipment of livestock or cargo.
Article 16 –If the navigation distance of such ships is over five hundred nautical miles without calling at any port, a ship’s doctor must be available on board.
Article 17 –Ship’s doctors and health officers shall be obliged to check health status of passengers and members of crew, and check whether foods and drinks are rotten or not; and be directly responsible for this.
In the event that the relevant provisions of both the General Public Health Act and this Regulation is breached on the ship, doctors or health officers shall be obliged to inform the shipmaster orally or in writing, where necessary. And ships masters who do not apply this shall be considered liable.
PART THREE
Medication and medical supplies to be kept available aboard and spaces to be allocated for patient treatment
Article 18 –On local ferriesshall be a medicine kit containing the medicines and medical supplies indicated in List B of this Regulation, under the protection of the master.
Article 19 –On all passenger ships, except those referred to in the above article, shall be a medicine kit containing the medicines and medical supplies indicated in List A of this Regulation.
Article 20 - For ships whose total number of passengers and crew, as indicated their survey certificates, is up to two hundred (two hundred included), a patient quarantine cabin with one bed shall be available; for ships with higher capacity, such cabin shall have two beds. Care shall be paid to the selection of quarantine cabins as close to the cabin of the ship’s doctor as possible.
This provision shall not apply to local ferries.
Article 21 –In the case of fevered patients or emergence of a contagious disease, the patient shall be immediately quarantined; and the Government or municipal physician of the locality shall be informed accordingly by the coast health officers, or if they are not available, by officers serving to the same effectin the first quay.
PART FOUR
Inspection and penal provisions
Article 22 –Medicines and medical supplies to be kept available on shipboards as well as health- and sanitation related requirements under the provisions of this Regulation and all sanitary measures to be taken to this end shall be subjected to inspections by the harbour master of the port of registryand the shore-based health center as follows:
A) Local ferries and ships whose roundtrip voyagesare to last less than three days and which are to make voyages between national ports shall be inspected to the provisions of this Regulation in the first week of every month;
B) Ships which are to make voyages both between national ports and to foreign ports and whose roundtrip voyagesare to last three days or more shall be inspected to the provisions of this Regulation before each voyage.
Article 23 –While ships may be inspected at ports to be called at during their voyages, such inspection may only be made jointly by harbour masters and coast physicians where shore-based health centers are available.
Article 24 –If, as a result of the inspection carried out in accordance with the foregoing articles, any ship is found to be in breach of this Regulation or have deficiencies or any incompliance herewith, criminal proceedings shall be instituted against the relevant parties. Furthermore, the harbour master of the port of registry of the ship in question shall not allow the ship to navigate until such breaches are completely rectified or deficiencies are corrected, and the coast health administration shall not issue a ship sanitation certificate.
However, if, during inspections to be carried out during the voyage and only in places where shore-based health centers are available, any incompliance with this Regulation is found, the ship shall be allowed to navigate but the found incompliance shall be indicated in its sanitation certificate, and be communicated to the harbour master of the port of registry and shore-based health center by fastest means.
Article 25 –Ships which navigate although they have been banned from navigation for incompliance with this Regulation shall be communicated to the Public Prosecutor’s Office so that legal prosecution is initiated against at the first port of arrival or return.
Article 26 –Legal prosecution shall be instituted against those who contravene the provisions of this Regulation under Article 294 of the general Public Health Act No. 1593.
Article 27 –Regulation on the sanitary safety of passengers on ships put into force on through the Decree No. 15231 of 5/11/1933shall be repealed.
Article 28– Provisions of this Regulation, which have been developed on the basis of Article 141 of the General Public Health Act No. 1593 and reviewed by the State Council shall enter into force on the day following they are published in the Official Gazette.
Article 29 –Provisions of this Regulation shall be enforced by the Ministers of Justice, Health and Social Assistance and Transportation.
(A)
List of medicines as well as medical supplies and instruments
to be kept available on passengers with doctors or health officers
1
Medicines used internally
Bulbs:
Morphine (Chlorhydrate)
(Each unit 0,01 –centigrams)20units
Ergotin
(Each unit 0,20 Centigrams)10units
Caffeine
(Each unit 0,25 Centigrams)10units
Apomorphine
(Each unit 0,005 Milligrams)10units
Ether
(Each unit 1 Sk.)10units
Vil kanfre
(Each unit 0,20 Centigrams)20units
Adrenalin
(Each unit 0,001 Milligrams)10units
Lactic acid
(In dropper bottle) 50 grams
Peppermint 100grams
Aspirin or acetylsalicylic (Compresses)
(Each unit 0,50 Centigrams)100units
Benzoate of Soda (Compresses) 100 grams
Bicarbonateof Soda 250grams
Bismuth (Salicylate)(Compresses) 100grams
Sodium Bromide 50grams
Codeine (Tablets)
(Each unit 0,01 Centigrams)100units
Flower juice 100grams
Castor oil 500grams
Opium tincture (Laudanum)
(In dropper bottle) 50grams
Amyl nitrite
(In bulbs) 10units
Kinin (Chlorhydrate) (Compresses)
(Each unit 0,25 Centigrams) 100grams
Sodium Sulfate 500grams
Diphteria Serum 100grams
Tetanus serum 50grams
Physiologic Serum
(500-gramtube) 2units
Seidlitz Powder 1boxes
Liquor ammoniac anise 200 grams
Hoffmann’sliquid 100grams
Dower powder (Compresses)
(Each unit 0,15 Centigrams)200grams
Digalen (Bulbs) 10 units
Ether 50 grams
2
Medicines used externally
Boric acid 100 grams
Picric acid solution
(in a concentration of .012) 3 liters
Alcohol (90 degrees) 500grams
Colored spirit
(For spirit lamp) 1liters
Liquid ammonia 50grams
Argyrol solution (5%In dropper bottle) 10grams
Potassium Chlorate (Pastille) 100grams
Collodion 100grams
Hydrogen Peroxide1 liters
Glycerin 100 grams
Silver nitrate (Crayon) 1units
Tincture iodine
(In a colored bottle with glass lid) 150grams
Vaseline 200grams
Potassium Permanganate 500grams
Eugenol 25grams
Creosote 250grams
Iron perchlorate 250grams
Iodoform 200grams
Zinc sulfate 25grams
Boric Vaseline 300grams
Formaldehyde 5000grams
3
Dressing supplies
Dressings:
Swabs (in various widths) 100units
Gauze (in various widths) 20units
Hydrophilic gauze20packages
Calico 10meters
Triangle dressing 1meters
Catgut No. 1 1bottle(s)
Catgut No. 2 1bottle(s)
Silk Thread No. 0 1bottle(s)
Silk ThreadNo. 11bottle(s)
Silk ThreadNo. 2 1bottle(s)
Silk Cloth
(size: 0,80 x 1) 3 meters
Ordinary pin 12boxes
Safety pin 48units
Ethyl Chlorine 3bulbs
Talyon poultice 1box(es)
Port egüi 1unit(s)
Suture needle (Curved and semi-curved)
(in varying thicknesses) 6units
Hydrophilic Cotton
(in packages of various sizes) 2 kilos
Linseed flour 2 kilos
Black mustard flour 1kilo(s)
Soft soap 1kilo(s)
Ordinary soap 1kilo(s)
Mustard poultice 10units
Tuval sire 3meters
Insulin (in bulbs or vials) 200 units
4
Various instruments
Abes - lang (intended for pressing the tongue)
(Metal or glass) 2units
Splint (Wooden)
For arms 1unit(s)
For legs 1unit(s)
Esmark bandage 1unit(s)
Patient Stretcher
(with metal edges) 1unit(s)
Injectors:
2 cm3 2units
5 cm3 2units
20 cm3 2units
(Two stainless needles for each)
Doctor’s apron 2units
Patient Thermometer 2units
Case of a set of surgical instruments 1unit
Tools to be contained:
Various lancets 2units
Straight scissors 1unit
Pincers (For dissection) 1unit
Pincers (haemostatic) 5units
Kocher Pincers 1unit
Blade 1unit
Sonde kanele 1unit
Style Butone 1unit
(The set of surgical instruments will be contained in a metal case)
Spirit lamp
(With a stand) 1unit
Gutier (Mizabeler) :
For right arm 1unit
For left arm 1unit
For right leg 1unit
For left leg 1unit
(To be made of galvanized strings)
Lancet
(For smallpox shot) 1unit
Irrigator
(With rubber tubing and canulae) 1unit
Bloodletting bottle (Vantus) 10units
Pincers for ears 1unit
Pincers for throat 1unit
Oxygen gas 1 unit
Oxygen pipe 1 unit
Dropper 5units
Graduate 1unit
Rubber tubing (For injection of serum) 5 meter
Puvarelastik
(In varying sizes) 3units
Tooth puller, straight 1unit
Tooth puller, curved 1unit
Sterilizer 1unit
Tub (Enameled) 2units
Cuspidor 2units
Casserole (500-gram, enameled) 2units
Cone (with an orifice of 18 cm, enameled)2units
Spatula (Metal) 2units
Mortar (Glass) 1unit
Hand brush 1unit
Bedpan (Enameled) 2units
5
Disinfection Materials
Sublimate (Pastille)
(Each unit 1 gram) 100units
Lysol 250 grams
Cresol liquid 3 liters
Jawel liquid (Chlorometric degree 60) 2liters
Pulverizer 1units
6
Probes
Metal probe for women 1unit
Metal probe for men 1unit
Nelaton probe
(No. 6, 12, 14) 3units
Sond an gomme elastic
(No. 4, 6, 8, 10, 14, 18) 6units
Foucler Tube
(For stomach-irrigation) 1units
7
Vaccinations
Cholera vaccination If these diseases exist in places to be visited by the ship,
Plague vaccinationan adequate quantity shall be kept available, depending on the number
Smallpox vaccination
Warning:
1 – These medicines and materials shall be kept in a cupboard, with each section being in separate
compartments
2 – Missing medicines shall always be re-supplied.
8
Obstetric Instruments
Forceps 1unit
Cranioclast 1unit
Sond intrauterine- (With double flows) 1unit
Bivalve speculum 1 unit
Port - cotton uterine 1unit
Spreader (Medium size) 2units
Curette (Medium size) 1unit
Cotton (Sterilized) 5 kilos
In packages of various sizes
Warning:
Obstetric instruments are specific to ships with a doctor on board, and shall be kept in a separate cupboard compartment.
(B)
List of medicines as well as medical supplies to be kept available on passengers without doctors or health officers
1
Medicines used internally
Bulbs :
Morphine (Chlorhydrate)
(Each unit 0,01 Centigrams) 10units
Caffeine
(Each unit 0,25 Centigrams) 10units
Vilkanfre
(Each unit 0,20 Centigrams) 10units
Adrenalin
(Each unit 0,001 milligrams) 10units
Sulfuric ether 50 grams
Opium tincture (Laudanum)
(In dropper bottle) 25grams
Peppermint 50grams
2
Medicines used externally
Alcohol (90 degrees) 300 grams
Ammoniac liquid 25grams
Collodion 50grams
Hydrogen Peroxide 300grams
Tincture iodine
(In colored bottle with glass lid) 50 grams
Colored spirit (for lamb) 1/2 liters
3
Miscellaneous supplies
Stretcher 1unit
Splint (One for arm, one for leg) 2units
Dressing (In various widths) 10units
Hydrophilic gauze (In packages) 5 meter
Hydrophilic cotton
(In packages of various sizes) 1/2 kilos
Injectro 2 cm3 2units
Spirit lamp 1unit
Patient thermometer 1unit
Dressing needle 1box
Ordinary pin 1box
Scissors 1unit
Pincers (haemostatic) 1 unit
Esmark bandage 1unit
Warning:
These medicines and supplies shall be in a case with each section kept in separate compartments.