Implementing Rules and Regulations of "Quarantine Act of 2004"
Implementing Rules and Regulations of "Quarantine Act of 2004"
Implementing Rules and Regulations of "Quarantine Act of 2004"
REGULATIONS OF
“QUARANTINE ACT OF 2004”
pursuant to R.A. 9271
TABLE OF CONTENTS
PREFACE . . . . . . . . v
Section 1 Title . . . . . . . 1
Section 2 Authority . . . . . . 1
Section 3 Purpose . . . . . 1
Section 4 Scope . . . . . . 1
Section 5 Regulatory Authority . . . . . 1
Section 6 Definition of Terms . . . . . 2
Part VIII Requirements on Sanitation and Food Safety for Domestic Vessels
Inter-island Vessels, Port/Airport Terminal and Food
Service Establishments
Section 53 Cholera . . . . . 27
Section 54 Plague . . . . . . 28
Section 55 Yellow Fever . . . . . . 28
Section 59 Appeal . . . . . . 32
Part XVII
Section 64 Effectivity . . . . . . 33
= = = = o 0 o = = = =
PREFACE
The Implementing Rules and Regulations, of Quarantine Act of 2004 (R.A. 9271) which
has been enacted by the twelfth (12th) Congress of the Republic of the Philippines, serve
as a revised and updated version of the IRR of the Quarantine Law of 1947 (R.A. 123).
This includes the implementation of the International Health Regulations (IHR) of the
World Health Organization (WHO) in which the country is bound to observe and
The Bureau of Quarantine, being the health authority, is mandated to ensure security
against the introduction and spread of infectious diseases to include the emerging
diseases and public health emergencies of international concern. This include a pro-active
response to public health concerns on matters pertaining to food safety, sanitation and
vector control in airports and seaports of entry on conveyances, people, goods and
cargoes.
The updated regulations are devised to respond to the epidemiological changes and
equal concern on the minimal interference with travel and trade and to meet the
standards and requisites for quarantine operations involving both the international and
domestic interests.
Department of Health
OFFICE OF THE SECRETARY
ADMINISTRATIVE ORDER
No._____ of 2005
PART – I
GENERAL CONSIDERATION
SECTION 1. Title - These rules and regulations shall be known as the "Implementing
Rules and Regulations of the Quarantine Act of 2004.
SECTION 2. Authority - These rules and regulations are issued to implement Republic
Act No 9271, (The Quarantine Act of 2004), in accord with the International Health
Regulations (IHR) of the World Health Organization (WHO),
SECTION 3. Purpose - These rules and regulations are promulgated to protect and promote
the health of the people by ensuring maximum security against the introduction or spread of
diseases subject to the International Health Regulations, particularly emerging diseases and
public health emergencies of international concern, from foreign countries into the
Philippines and from one port to another within the country. The Act strives to harmonize
the protection of public health with the need to avoid unnecessary disruption of trade and
travel.
SECTION 4. Scope and Jurisdiction - These regulations shall apply to all vessels, aircraft,
their crew or passengers and cargoes, whether owned by government or private entities,
that shall enter and depart from seaport or airport within the territory of the Philippines. The
Bureau of Quarantine shall have the authority on the issuance of quarantine certificates, bills
of health, and/or other equivalent documents and formulates sanitation requirements over
such conveyances, wharfage, anchorage, airports and seaports for the proper enforcement of
these regulations.
"Aedes aegypti index" - means the percentage of houses or premises positive for Aedes
larvae over the number of houses inspected..
"Aircraft commander" - the person serving in the aircraft having charge or command of its
operation and navigation.
"Airport of entry” - any airport designated as such by the competent authorities of the
Philippines on which an aircraft may make its first entry in the Philippines where the
formalities incident to customs, immigration and quarantine (CIQ) are carried out.
“Barrier nursing” – means the use of a complete set of personal protective equipment, proper
use and disposal of these equipment, and limitation of movement and interaction with the
patient.
“Carrier” – means a person or other host or an agent of an intermediate plant, vector, or the
inanimate environment that harbors a specific infectious agent in the absence of discernible
clinical disease and serve as a potential source of infection..
“Case” – means a person who has the particular disease, health disorder, or condition which
meets the case definitions for surveillance and outbreak investigation purposes.
“Communicable disease” – means illnesses due to infectious agents or their toxic products,
which may be transmitted from a reservoir to a susceptible host either directly as from an
infected person or animal or indirectly through the agency of an intermediate plant or animal
host, vector, or the inanimate environment.
"Crew" - the personnel of a ship, an aircraft or other conveyances, who are employed for
duties on board.
“Declared public health emergency” – means the official declaration by the President as
recommended by the Secretary of Health of an emergency posing a serious and direct public
health threat to the population.
“Dedicated hospital” – means a designated health facility for referral of suspect/s or probable
case/s of public health emergency of international concern.
“Deratting certificate” – means a certificate issued to vessels, in the form described by the
International Health Regulations, recording the findings after inspection and deratting
measure/s applied to the vessel. The certificate is valid for six (6) months from the date of
issuance.
"Direct transit area" - means a special area established in an airport, approved by the Bureau
of Quarantine and under its direct supervision, for accommodating transit passengers and
crew in segregation, during their air travel without leaving the airport.
“Disease” – means an illness that presents a risk of significant harm to humans caused by
biological, chemical or radio-nuclear sources.
"Diseases subject to the Regulations" refer to cholera, plague and yellow fever pursuant to
the International Health Regulations Edition 1969.
“Dsinfection” – means the killing of infectious agents or inactivation of their toxic products
outside the body by direct exposure to chemical or physical agents.
"Disinsection" - means the operation in which measures are taken to kill the insect vectors of
human disease present in carriers and containers.
"Domestic airport/port" - any airport or seaport situated within the Philippine territorial
limits generally utilized for local travel.
“Emerging diseases” – means infections that have newly appeared in the population, or have
existed but are rapidly increasing in incidence or geographic range.
“Endemic” – means the constant presence of a disease or infectious agent within a given
geographic area or population group; may also refer to the usual prevalence of a given
disease within such area or group.
“Epidemic” – means the occurrence of an illness or health-related event in excess of its usual
level of occurrence in a particular area over a particular period of time.
“Epidemiology” – means the study of the patterns of distribution in terms of causal factors
and the frequency and distribution of a disease in populations.
“Fogging” - – means the creation of a cloud of ultra-fine droplets, which are airborne and
readily picked up by the insect as it flies through the swathe of insecticide, fog or mist.
“Health authority” – means the national authority or entity immediately responsible for the
implementation and application of the appropriate public health measures under these
regulations.
“Health check list” – means the health information or declaration form to be accomplished
by a traveler upon arrival or departure.
“Incubation period” – means the period from the time of exposure/introduction of the
disease to the appearance of the first signs and symptoms.
“Infected Area" – means the area where an infection has occurred and has the potential to
cause the transmission of the disease.
“Infection” – means the invasion of the body by living microorganisms which may or may
not result in an illness.
“Infectious disease subject to the Regulations”- refer to cholera, plague and yellow fever or
any other disease mentioned or classified in the International Health Regulations by the
World Health Organization.
“Infectious disease not subject to the Regulations” – means other infectious diseases that are
not mentioned in the International Health Regulations by the World Health Organization.
"In quarantine" - means that state or condition during which measures are applied by the
health authority to an aircraft or vessel or persons to prevent the spread of a disease or
vectors of disease/s.
“International Health Regulations (IHR)” – means the regulations adopted by the 22nd World
Health Assembly in 1969, as amended by the 26th WHA of 1973, as amended by the 34th
WHA of 1981, and as may be further amended, of the WHO as the only global regulatory
framework to support global health security by preventing the international spread of
infectious diseases through permanent national public health measures for travelers, cargo
and points of entry.
“International voyage” – means a voyage between points of entry in the territories of two or
more countries.
“Isolation" – means the separation with limitation of the movements and interactions of
infected person or group of persons from other people to prevent the transmission of the
disease.
“Perimeter” – means, when applied to an airport, an imaginary line enclosing the area
including the airport terminals, runway and tarmac to be used for the aircraft.
“Personal Protective Equipment or PPE” – means the materials used to cover the human
body in order to prevent contamination from the disease. This includes: facial mask, eye
protector or goggles, gown, gloves, etc.
"Pratique” - means the permission for a ship/aircraft to enter port/airport, disembark persons
and commence operation after compliance of the health requirements.
“Protective area” - area within a distance of at least four hundred (400) meters around the
perimeter of an airport.
"Quarantine inspection" - the inspection of a conveyance together with its crew, passengers
and cargo to determine the state of sanitation of the vessel/aircraft and health status of the
crew and/or passengers.
“Quarantine” – means the separation of people who have been exposed to an illness, usually
an infection, but are not ill or have not yet shown any sign of the illness. The movements and
interaction of these people are restricted during the quarantine period which is equivalent to
the incubation period of the disease. Those who get ill during the quarantine period are
immediately isolated.
“Quarantine Medical Officer (QMO) – means a duly licensed physician trained by the
Bureau of Quarantine to perform the mandated functions and duties of the office.
“Regular Quarantine Medical Officer” - means a duly licensed physician who have
passed training on quarantine by the Bureau and appointed by the Secretary of Health
upon the recommendation of the Director of Quarantine, under the existing Civil Service
Rules and Regulations, to perform the mandated functions of the office
“Acting Quarantine Medical Officer” - means a duly licensed physician who have
passed training on quarantine by the Bureau and designated by the Undersecretary of
Health upon the recommendation of the Director of Quarantine to perform limited
function of the office such as the inspection and clearance of vessels. The said officer is
not an organic employee and is assigned to ports without a Quarantine Medical Officer.
The contract of his designation is renewable every year after assessment.
“Alternate Quarantine Medical Officer” – means a duly licensed physician who have
passed training on quarantine by the Bureau and designated by the Undersecretary of
Health upon the recommendation of the Director of Quarantine to perform limited
function of the office such as the inspection and clearance of vessels.. The said officer is
not an organic employee and is assigned to ports and perform quarantine functions in the
absence of the Regular Quarantine Medical Officer. The contract of his designation is
renewable every year after assessment.
“Seaport of entry" - any seaport designated as such by the competent authorities of the
Philippines on which a vessel may make its first entry in the Philippines where the
formalities incident to customs, immigration and quarantine (CIQ) are carried out.
“Suspect"- means a person who is considered by the health authority as having been exposed
to a disease subject to the Regulations or emerging disease and public health emergency of
international concern and considered to be capable of transmitting the disease.
“Vessel” - means a hollow craft for traveling on water for purpose of navigation.
“
Valid certificate” - means a certificate conforming with the rules and the model laid down
by the International Health Regulations of the World Health Organization.
.
“Voluntary Home confinement or quarantine” – means the home-based isolation of
asymptomatic contacts or those who have been exposed to an infectious disease
corresponding to the length of the incubation period of the disease
PART II
All vessels coming from foreign ports are subject to quarantine inspection upon entry in
any port of the Philippines. Vessels cleared in one port in the Philippines are deemed
cleared for all other ports in the country except in cases of any vessel with an infectious
disease subject to the Regulations, emerging disease, public health emergency of
international concern, and/or death on board.
Any vessel coming from foreign ports subject to quarantine inspection shall be
considered in quarantine until given a pratique. Such vessel shall fly a yellow flag at its
foremast upon entry into the harbor, drop its anchor at the quarantine anchorage, put
down its accommodation ladder and wait for the Quarantine Medical Officer. During
inclement weather conditions, a proper shelter or lee should be afforded to the quarantine
boarding officer before the boarding formality can be conducted. In cases of extreme
weather condition, the boarding formality could be held in abeyance until such condition
would be favorable.
9.1 The master of the vessel shall provide the Quarantine Medical Officer the
following duly accomplished documents:
9.2 The master of any vessel , on which a case or suspected case of an infectious
disease subject to the Regulations, emerging disease exists and/or a public health
emergency of international concern exists board shall, as soon as practicable,
notify the Bureau of Quarantine at the next port of call, or station, and shall take
such measures to prevent the spread of the disease as the Bureau directs.
9.3 The ship captain may be ordered to muster the crew and passengers on board in a
well-lighted and ventilated place for inspection when deemed necessary. The deck
officer in charge of health or the ship surgeon/physician shall provide the
Quarantine Medical Officer the medical data of crew/passengers. He shall assist
the Quarantine Medical Officer to the sick-bay /cabin to examine any patient and
review his clinical records for evaluation and management.
10.1 Free Pratique - A pratique issued to a vessel which has complied with the
quarantine rules and regulations as provided in this IRR.
10.2 Provisional Pratique - A pratique issued to vessels which have the following
conditions:
10.2.3 Vessel with cargoes which shall pose a public health threat:
a). Gunny sacks or jute bags or cargoes wrapped with the same materials
coming from Plague-infected countries shall be fumigated prior to the release
to the consignee unless covered by a valid fumigation certificate.
10.3.2 The ports visited during the voyage should be stated in the request that no
infectious disease subject to the Regulations, emerging disease and/ or any
public health emergency of international concern is present or endemic at
the ports of origin.
10.3.3 There is no sick person on board nor was there any case of infectious
disease disease subject to the Regulations, emerging disease and/ or any
public health emergency of international concern during the voyage;
10.3.4 There has been no deaths nor illnesses among captive animals and birds,
including rodents, on board during the voyage; and
10.4 Radio Pratique – A pratique granted to military vessels of the Republic of the
Philippines and foreign countries under the following conditions:
10.4.2 The request for radio pratique shall be submitted within forty eight
(48) hours before the estimated time of arrival (ETA);
10.4.3 The ports visited during the voyage should be stated in the request that no
infectious disease subject to the Regulations, emerging disease and/ or any
public health emergency of international concern is present or endemic at
the ports of origins.
10.4.4 There is no sick person on board nor was there any case of infectious
disease disease subject to the Regulations, emerging disease and/ or any
public health emergency of international concern during the voyage;
10.4.5 There has been no deaths nor illnesses among captive animals and
birds, including rodents, on board during the voyage; and
10.5.2 The request for controlled radio pratique shall be submitted to the Bureau
within forty eight (48) hours before the estimated time of arrival (ETA).
10.5.3 The ports visited during the voyage should be stated in the request that no
infectious disease subject to the Regulations, emerging disease and/or
public health emergency of international concern is present or endemic at
the ports of origin.
10.5.4 There should be no actual or suspected case on board of an infectious
disease subject to the Regulations , emerging disease or a public health
emergency of international concern.
10.5.5 The Quarantine medical personnel shall board the vessel at the anchorage
and conduct quarantine inspection while the vessel is slowly proceeding
towards the port.
11.1 Yellow Fever – Travelers arriving from the yellow fever infected areas are
required to present valid international certificates of vaccination against yellow
fever if arriving within six days (6) from that area. The validity of this certificate
shall extend for a period of ten (10) years, beginning ten (10) days after the date
of immunization or re-immunization. The yellow fever vaccination centers in the
country accredited by the WHO are Quarantine Central Office, Manila; Cebu
Quarantine Station and Davao Quarantine Station.
11.2 The Director of Quarantine may from time to time prescribe or require
immunization from certain diseases if in his discretion such requirements are
essential, on account of varying public health conditions
12. 1 During the inspection of vessels, the Quarantine Medical Officer shall check the
following conditions before granting a pratique to the vessel:
SECTION 13. Boarding of Vessel from Foreign ports Placed under Quarantine –
13.1.4 The remaining passengers and crew of vessel, if the need arises,
should be medically evaluated on board the vessel
13.1.6 Any person who boarded a vessel under quarantine without the
permission shall be subject to detention and quarantine.
13.2 In cases when the vessel is exposed to Radiological, Biological or Chemical (RBC)
terrorism, the tailored actions on such incident should be followed in accordance to the
interim guidelines on Preparedness and Response to Radiological, Biological and
Chemical (RBC) Incidents. (see Annex A).
No vessel shall be allowed to depart from any seaport of the Philippines to foreign
destination without securing an outgoing quarantine clearance from the Director of
Quarantine or his duly authorized representative,. This clearance shall be granted to the
vessel on condition that such an a vessel has observed all quarantine requirements
imposed. This clearance shall be a requirement for the granting of a customs clearance
for departure.
The Director of Quarantine, when he considers it necessary, may order the medical
examination of travelers and may disallow of any suspected person having a infectious
disease subject to the Regulations, emerging disease, and/or public health emergency of
international concern from embarking on an international voyage except in case of the
transport of sick persons by a conveyance especially provided for the purpose, in order to
safeguard the health of the passenger and crew.
.
SECTION 16. Personnel Assigned for Inspection –
Inspection of vessels required by these regulations shall be made between 0800 - 1200H and
1300 - 1700H, Mondays to Fridays. Any inspection performed outside of these hours and
during Saturdays, Sundays and Holidays shall be compensated for. Hence, reasonable
reimbursement by the concerned shipping company may be allowed by the Director of
Quarantine in relation to the incurred expenses and services rendered by each quarantine
personnel.
PART III
All domestic vessels plying domestic ports with the presence of infectious disease subject
to the Regulations, emerging disease, public health emergency of international concern
and/or death on board are subject to quarantine inspection and clearance.
In ports where there are no quarantine officials, clearance of these vessels will be
coordinated with the local health authorities.
20.1. The master of the vessel shall provide the Quarantine Medical Officer the
following duly accomplished documents:
20.1.1 Clinical record of treated cases during the voyage or the medical
incident report of the death on board.
20.1.2 Deratting/deratting exemption certificate
20.1.3 Passenger and crew list
20.1.4 Voyage Memo/Ports of Call
20.1.5 Other documents deemed necessary by the Quarantine Medical
Officer for the compliance of the health regulations based on the
guidelines or protocol promulgated by the Bureau of Quarantine.
20.3 The ship captain may be ordered to muster the crew and passengers on board
in a well-lighted and ventilated place for inspection when deemed necessary.
The deck officer in charge of health or the ship surgeon/physician shall
provide the Quarantine Medical Officer the medical data of
crew/passengers. He shall assist the Quarantine Medical Officer to the sick-
bay /cabin to examine any patient and review his clinical records for
evaluation and management.
The Director of Quarantine may from time to time prescribe or require immunization
from certain diseases if in his discretion such requirements are essential, on account of
varying public health conditions.
SECTION 22. Extent and Method of Quarantine inspection –
During the inspection of vessels, the Quarantine Medical Officer shall check the
following conditions:
24.1.4 The remaining passengers and crew of vessel, if the need arises,
should be medically evaluated on board the vessel
24.1.6 Any person who boarded a vessel under quarantine without the
permission shall be subject to detention and quarantine.
PART IV
No vessel shall be allowed to dump garbage or wastes overboard while in the harbor.
Garbage should be collected in prescribed containers for disposal. When a vessel is in
port, arrangements should be made for the regular removal of garbage by a disposal
service in accordance with the environmental and health provisions on waste disposal to
ensure that it is properly collected, treated and disposed of in accordance with existing
standards and laws.
SECTION 27. Rat Inspection of Vessels –
27.1 The following vessels shall be subject to rat inspection while in the harbor:
27.2 Any inspection for rat infestation shall be under supervision of the Quarantine
Medical Officer and all findings shall be recorded in the Deratting Inspection
Form. Deratting measures shall be conducted depending on the degree of rat
infestation and a corresponding certificate will be issued.
27.3 Kinds of Deratting Certificate-
27.4 All vessel must have a valid deratting certificate or an extension certificate upon
arrival and prior to departure.
PART - V
All aircraft from foreign airports are subject to quarantine inspection upon entry in
any airport of the Philippines. Aircraft cleared in one airport in the Philippines are
deemed cleared for all other airports in the country except in cases of any aircraft
with an infectious disease subject to the Regulations, emerging disease, public health
emergency of international concern and/or death on board.
30.1 Any aircraft from a foreign airport bound to the Philippines shall land first at an
airport of entry, unless permission to land elsewhere is first granted by the
appropriate authorities, and after such permission has been grafted, the Director of
Quarantine must immediately be notified on the time and place of arrival.
30.2 It shall be the responsibility of any airline company operating an aircraft engaged in
international flight to notify within forty eight (48) hours the Bureau of Quarantine
of the estimated time of arrival (ETA) of the aircraft for quarantine inspection and
clearance. Such notice shall specify the following:
The aircraft commander or the airline representative must inform the Bureau of
Quarantine before its arrival the following conditions on board:
31.2 Person/s afflicted with illness on board or a person who is suspected to have
an infectious disease subject to the regulations or emerging disease and public
health emergency of international concern.
31.5 He shall also provide the passenger list and seat number, cargo manifest,
aircraft configuration, to the Quarantine Medical Officer on duty and
facilitate the medical examination of passengers and crew by the officer-on-
duty, whenever necessary.
32.1.1 Suspect case/s shall be medically evaluated at the holding area and
transported to a designated referral hospital for isolation.
32.1.2 The remaining passengers and crew of aircraft, if the need arises, shall be
medically evaluated in the quarantine inspection area (holding area) at the
airport terminal.
32.1.3 Crew and passengers who may be possibly exposed to the disease subject
to the Regulations, emerging disease, and/or public health emergency of
international concern may be isolated or undergo voluntary home
confinement or quarantine.
32.1.4 Any person who enters the confines of the quarantine inspection area
during the quarantine inspection of passengers without the permission of
the Quarantine Medical Officer shall be subject to quarantine restriction.
33.1 All aircraft shall be disinsected in accordance with the rules and regulation of the
World Health Organization and International Civil Aviation Organization (ICAO).
However, in view of the danger of introduction of insects which are vectors of
infectious diseases subject to the Regulations, emerging disease and/or public health
emergency of international concern, aircraft arriving from other airports shall be
subject to the following measures in addition to the in-flight disinsection, when
necessary.
33.2 The aircraft shall be disinsected after disembarkation of passengers. The cabins,
cockpit baggage compartments and other places in the aircraft shall be sprayed with
an approved type of aerosol insecticide, or in lieu of this, a fine vaporization from a
hand sprayer of the recommended insecticide.
33.2.1 Residual disinsection of the cargo hold can be performed as per request.
Active anti-mosquito measures shall be maintained within a protective area
extending for a distance of at least four hundred (400) meters around the
perimeter of every airport of entry. A regular surveillance and monitoring of
the presence of adult and larval Aedes egypti is undertaken to maintain the
Aedes egypti index within the recommended limit as required by the World
Health Organization.
33.2.2 All breeding places of flies, mosquitoes and other insects shall be
eliminated and appropriate measures shall be implemented for the control of
these vectors. The Bureau of Quarantine shall from time to time order
appropriate measures against these vectors.
No aircraft shall be allowed to depart from any airport of the Philippines to foreign
destination without securing an outgoing quarantine clearance from the Director of
Quarantine or his duly authorized representative. This clearance shall be granted to the
aircraft on condition that such an aircraft has observed all quarantine requirements
imposed. This clearance shall be a requirement for the granting of a customs clearance
for departure.
The Director of Quarantine, when he considers it necessary, may order the medical
examination of travelers and may disallow of any suspected person having a infectious
disease subject to the Regulations, emerging disease, and/or public health emergency of
international concern from embarking on an international flight except in case of the
transport of sick persons by a conveyance especially provided for the purpose, in order to
safeguard the health other passenger and crew.
Inspection of aircraft required by these regulations shall be made between 0800 - 1200H
and 1300 - 1700H, Mondays to Fridays. Any inspection performed outside of these hours
and during Saturdays, Sundays and Holidays shall be compensated for. Hence, reasonable
reimbursement by the concerned airline may be allowed by the Director of Quarantine in
relation to the incurred expenses and services rendered by each quarantine personnel.
PART VI
All domestic aircraft with the existence of an infectious disease subject to the
Regulations, emerging disease, public health emergency of international concern and/or
death on board are subject to quarantine inspection. In ports where there are no
quarantine officials, inspection and clearance of these aircraft will be coordinated with
the local health authorities.
39.2 Person/s afflicted with illness on board or a person who is suspected to have
an infectious disease subject to the Regulations, emerging disease and/or
public health emergency of international concern.
39.5 He shall also provide the passenger list and seat number, cargo manifest,
aircraft configuration, to the Quarantine Medical Officer on duty and
facilitate the medical examination of passengers and crew by the officer-on-
duty, whenever necessary.
The Director of Quarantine may from time to time prescribe or require immunization
from certain diseases if in his discretion such requirements are essential, on account of
varying public health conditions.
The Director of Quarantine may disallow the embarkation of any suspected person
having a contagious disease, or of infectious diseases subject to the Regulations,
emerging disease and/or public health emergency of international concern, in order to
safeguard the health of the crew and other passengers.
43.1.1 Suspect case/s shall be medically evaluated at the holding area and
transported to a designated referral hospital for isolation.
43.1.2 The remaining passengers and crew of aircraft, if the need arises, shall be
medically evaluated in the quarantine inspection area (holding area) at the
airport terminal.
43.1.3 Crew and passengers who may be possibly exposed to the disease subject
to the Regulations, emerging disease and/or public health emergency of
international concern may be isolated or undergo voluntary home
confinement or quarantine.
43.1.4 Any person who enters the confines of the quarantine inspection area
during the quarantine inspection of passengers without the permission of the
Quarantine Medical Officer shall be subject to quarantine restriction.
Part- VII
Any vessel or aircraft, which the Director of Quarantine determines and considers to be
infected with diseases subject to the Regulations, emerging diseases and/or public health
emergency of international concern shall be detained in quarantine.
Part - VIII
The Bureau shall take all necessary steps to ensure the maintenance of a sanitary
environment within the domestic ports and airports including the supervision and control
of the sanitation of inter-island vessels, food service establishments and terminals in
coordination with the port/airport and shipping authorities. These measures are in line
with the provisions of P.D. 856, otherwise known as the Sanitation Code of the
Philippines, particularly Chapter XV – “Port, Airport, Vessel and Aircraft Sanitation”.
47.2.1 Provide adequate and proper storage of potable water aboard ship with
sanitary safeguards from the shore water distribution system.
47.2.2 Adapt the Good Manufacturing Practices (GMP) for food safety and
sanitation onboard ship.
47.2.3 Provide hand washing and toilet facilities and approved sewage disposal and
drainage system.
47.2.4 Provide adequate and safe accommodation facilities for crew and/or
passengers.
47.2.5 Provide of sanitary storage and approved waste disposal system.
47.2.6 Maintain pests and vermin control
47.3 Sanitation Facility Requirements of Port Terminals, Catering Points and Food
Service Establishments
47.3.1 Comply with the local ordinances regarding the structural set up of the
terminal in accordance with the National Building Code of the Philippines
(P.D. 1096).
47.3.2 Provide sanitation facility requirements of food handlers working in the
terminal.
47.3.4 Comply with the requirements of drinking water supply in accordance with
The Philippine National Standards for Drinking Water; Waste and Sewage
disposal. Vermin abatement program in the buildings and premises.
SECTION 48. Food Safety Requirement
48.1 Enhance the provision of sanitation and food safety in the area of
responsibility at both domestic and international ports and airports of entry,
including In-flight catering, food service establishments, vessels and aircraft.
48.2 Adopt the Hazard Analysis Critical Control Points (HACCP) audit system
in monitoring the food safety program implemented at the area of
responsibility.
48.4 Comply with the physical / medical examination of Stewards and food-
handlers for the issuance of health certificate.
Part IX
50.1 Cargoes that are considered to harbor vectors of infectious disease subject to the
Regulations, emerging disease and/or public health emergency of international
concern:
50.1.1 Cargoes from plague-infected port that are vulnerable to harbor rats or
fleas shall be fumigated prior to its unloading in the port. Gunny sacks or jute
bags or cargoes wrapped with the same materials coming from Plague-
infected countries shall be fumigated prior to the release to the consignee
unless covered by a valid fumigation certificate.
50.1.2 Other cargoes that may carry vector-borne diseases and/or cargoes
potentially exposed to diseases disease subject to the Regulations, emerging
disease and/or public health emergency of international concern of public
health concern shall be subject to quarantine measures.
51.1 Organs or tissues of human origin, culture of bacteria or any live microbe or
collection of organisms, that may cause any disease to humans, or any insect,
animal or plant and its by-products, potentially capable of transmitting a disease
to humans, shall not be admitted nor to be transported to or from the Philippines
without a specific permit issued by the Director of Quarantine in coordination with
concerned agencies such as veterinary, plant, fish and wildlife quarantine.
51.2 Organs, tissues or specimens of human origin which are solely for
medical/clinical research and are non-infectious shall secure a quarantine permit
or clearance prior to its admission or shipment. These shall be accompanied by
necessary documents or protocols secured from the Bureau of Food and Drugs
(BFAD).
Part X
52.1 The admission of human remains into the country shall be governed by the
following regulations:
52.1.1 All human remains arriving at Philippine ports and airports coming
from foreign countries shall be accompanied by the following documents
for quarantine clearance:
52.2.2 Embalming certificate stating that the human remains have been
properly embalmed and placed in a hermetically sealed (airtight and
waterproof) casket.
52.2.3 Cremation certificate stating that the human remains have been
properly cremated and the ashes shall be placed in a hermetically
sealed urn or a similar container.
PART XI
53.1 The Bureau of Quarantine shall institute rules and regulations governing the
measures for the control of the introduction and spread of public health emergencies
of international concern at the port and airport of entry. (see Annex B )
53.2 The Secretary of Health is authorized to mobilize other government agencies for
the purpose of preventing the introduction, transmission and spread of public health
emergencies of international concern.
PART - XII
54.1.1 A ship or aircraft shall be regarded as infected if during the voyage a case of
cholera has occurred on board.
54.1.2 When coming from a cholera-infected area, a ship or an aircraft on arrival
shall be regarded as non-infected if upon inspection by the Quarantine Medical
Officer there is no case of cholera that has occurred on board during the voyage.
54.1.3 Water carried on board which is considered contaminated shall be disinfected,
removed and the containers shall likewise be disinfected;
54.1.4 Human excreta, waste water including bilge water, and any matter which is
considered to be contaminated shall be properly disinfected under supervision of
the Bureau of Quarantine prior to disposal;
54.1.5 Unloading of contaminated matters and wastes shall be in accord with the anti-
pollution law under the supervision of the Bureau of Quarantine in coordination
with other concerned agencies..
54.1.6 Persons engaged in the unloading of such contaminated materials shall be
subject to surveillance for a period not exceeding five days from the time they
cease unloading.
PART XIII
57.1 As the medical arm of the Bureau of Immigration pursuant to R.A. 997 of 1954
as amended by R.A. 1241 of 1955, the Bureau of Quarantine is mandated to
conduct physical and medical examination of foreigners or aliens seeking
residency in the country as a pre-requisite to the issuance of their corresponding
visa by the Bureau of Immigration.
57.3 Only Regular Quarantine Medical Officers can issue the medical clearance of
foreigners/aliens.
PART XIV
UTILIZATION OF INCOME
SECTION 58. Authority to utilize at least fifty percent (50%) of the income.
58.1 The fifty percent (50%) income generated shall be retained and constituted
as a Trust Fund to augment the requirements of the Bureau for the
Maintenance and Other Operating Expenditures (MOOE) and Capital
Outlays. Provided, however, no amount in the said Trust Fund shall be used
for the payment of salaries and other allowances and benefits in cash or in
kind.
58.2. The Bureau of Quarantine shall maintain separate books of accounts to
cover the receipt and utilization of all income collected pursuant to the
usual budgeting, accounting and auditing rules and regulations.
58.4. The interest income arising from the Trust Fund shall be remitted to the
Bureau of Treasury.
58.5 The other fifty percent (50%) shall be treated as Income in the General Fund
to be remitted to the Bureau of Treasury.
58.7. The Bureau of Quarantine shall submit to the Department of Budget and
Management, copy furnished the Office of the Secretary of the Department
of Health, a Quarterly Report of Estimated Income Collection and
Utilization and a Status of Actual Quarterly Income Collection and
Utilization as indicated in Annex C and C-1, certified correct by Bureau
Budget Officer and Accountant, respectively, recommended by the
Management Committee and approved by the Head of Office.
PART – XV
The Bureau of Quarantine shall, motu proprio, or upon filing of charges or complaints by
any individual, corporation, association, or organization, against any vessel, aircraft or
any of its personnel who has violated or is violating the provisions of RA 9271 and/or of
these rules and regulations, investigate and verify if the vessel, aircraft or any of its
personnel, is guilty of the charges or complaints. If upon investigation and hearing, the
vessel, aircraft or any of its personnel is found violating the provisions of RA 9271 or of
these rules and regulations, the Director of the Bureau of Quarantine shall impose a fine
of not less than One Hundred Thousand pesos (P100,000.00) but not more than Five
Hundred Thousand pesos (P500,000.00).
The penalty will depend upon the degree of the severity of the offense and to the impact
on public health.
The amount collected from the administrative penalties shall be forfeited in favor of the
Bureau of Quarantine.
Any vessel or aircraft aggrieved by the decision of the Bureau of Quarantine may, within
fifteen (15) days after the receipt of notice of the decision, file a notice of appeal with the
Office of the Secretary of the Department of Health ( DOH-OSEC), and serve a copy
thereof to the Bureau of Quarantine. Thereupon, the Bureau of Quarantine shall promptly
certify and forward a copy of the decision, including all the documents and transcripts of
the hearings upon which the decision is based, with the DOH-OSEC for review.
Any person who violates any provision of these rules and regulations or the Quarantine
Act of 2004 shall be penalized by a fine of not less than Ten Thousand pesos
(P10,000.00) but not more than Fifty Thousand pesos (P50,000.00) or by imprisonment
of not more than one year or both at the discretion of the court of competent jurisdiction.
PART – XVII
The International Health Regulations (IHR) of the World Health Organization (WHO).
Shall supplement the provisions of these Implementing Rules and Regulations.
In the event that any section or provision of these Implementing Rules and Regulations
(IRR) be declared by the Court to be unconstitutional or invalid, such decision shall not
affect the validity of the IRR as a whole or any part thereof other than the part so declared
to be unconstitutional or invalid.
All Administrative orders, ordinances or rules and regulations regarding foreign and
local quarantine concerns in conflict with the provisions of the IRR are hereby repealed,
provided that the rights that are vested upon the effectivity of the IRR shall not be
impaired.
These Implementing Rules and Regulations (IRR) shall take effect fifteen days (15) days
after its publication in at least two (2) national newspapers of general circulation.
APPROVED:
Recommended by:
Submitted by:
The Bureau of Quarantine will respond and perform its roles in the events of Radiological,
Biological and Chemical Incidents in accordance to the Department of Health’s interim
guidelines on preparedness and response to these incidents. This is in response to the WHO-
World Health Assembly resolution, Global public health response to natural occurrence,
accidental release or deliberate use of biological agents or radio nuclear material that affect
health, and part of the government’s 14 Pillars of Policies and Actions against terrorism
(Malacanang Memo 37 dated October 2001).
The role of the Bureau of Quarantine, in coordination with other concerned government
agencies, includes the prevention of the introduction and spread of agents deliberately released in
relation to an RBC Incident through effective quarantine and isolation in the area of
responsibility. This is one of the major areas of concern that the Department of Health is going to
address in this event.
The following are the specific roles and responsibilities of the Bureau of Quarantine:
3. Monitors public health threats related to the deliberate release of biological and
chemical agents occurring in other countries.
4. Provides technical inputs in the development of training design and alert system on
entry-exit management.
5. Provides information on most likely scenarios and targets for RBC incidents in the
areas of responsibility.
Annex A-1
Inform: Inform:
DOH Crisis Management; HEMS NAIA Authority
OpCen NAIA Medical; ASC;
Containment of aircraft
(placed in quarantine)
- Airport Authority
- Security (ASC)
Placement and transport Crew and other Dead person Inspection of aircraft
of sick person passengers on board -HAZMAT
Holding Area
Annex A-2
CHEMICAL AND BIOLOGICAL TERRORISM RESPONSE
IN SHIPPING
ARRIVING VESSEL
Inform: Inform:
DOH Crisis Management; HEMS Harbor Pilot; Shipping company;
OpCen CIQ; Security
Placement and transport Crew and other Dead person Inspection of aircraft
of sick person (use of passengers on board -HAZMAT
small seacraft to transfer
patient from the vessel
to the ambulance at the
pier)
A. Guidelines on Preparation
B. RESPONSE:
***National
Epidemiology
Refer to *RITM or **SLH ; *RITM –Research Institute of
Center (NEC)
or to the Regional Hospital Tropical Medicine -
741-7048 ; 742-1937
or to dedicated hospital of 8097599 ; 8072628 / 32
Annex Bureau of Quarantine
choice forB-2
further clinical **SLH – San Lazaro Hospital
evaluation and management. 7116979 ; 7323776
***NEC- National Epidemiology
Center – 741-7048 ; 742-1937
HEALTH CHECK LIST
Date_________________
TO ALL PASSENGERS:
You are requested to accomplish this form honestly and completely to facilitate quarantine
procedures. This is for your own protection and for the safety of your family and the community.
Name: _____________________________________________________________
Last Name First Name Middle Name
Sex ______ Age ______ Nationality ______________________
Civil Status: _____________ Tel/Mobile No. ___________________
Occupation:
[ ] works in a hospital, clinic or nursing home
[ ] household help [ ] others, specify _________________
Please check if you have any of the following at present or during the past 14 days:
[ ] Difficulty of Breathing [ ] Diarrhea
[ ] Fever [ ] Sore Throat [ ] Headache
[ ] Cough [ ] Body Weakness [ ] Others, specify __________
Amount
Acct.
Particulars Quarter
Code
Total
________________________ ____________________________
Budget Officer Chairman, Management Committee
Approved By:
__________________________
Head of Agency
Annex C-1
Amount
Acct.
Particulars Quarter
Code
Total
________________________ _________________________________
Budget Officer Chairman, Management Committee
Approved By:
_____________________________
Head of Agency
Annex D
S. No. 2749
H. No. 6116
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gãxÄyà{ VÉÇzÜxáá
Begun and held in Metro Manila, on Monday, the twenty-eighth day of July, two thousand three.