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International Health Regulations Act, 1974 (Act No. 28 of 1974)

International Health Regulations

Appendix 5

 

HEALTH PART OF THE AIRCRAFT GENERAL DECLARATION

 

DECLARATION OF HEALTH

 

Persons on board with illnesses other than airsickness or the effects of accidents (including persons with symptoms or signs of illness such as rash, fever, chills, diarrhea) as well as those cases of illness …………………….disembarked ……………………..during ……………….the ………………………flight.

 

Any other condition on board which may lead to the spread of disease

 

Details of each disinsecting or sanitary treatment (place, date, time, method) during the flight. If no disinsecting has been earned out during the flight, give details of most recent disinsecting

 

 

Signature, if required: …………………………………..(Crew member concerned)

 

AMENDMENTS

 

Transfer of Powers and Duties of the State President Act, No. 97 of 1986