Implementing Rules and Regulations of "Quarantine Act of 2004"

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IMPLEMENTING RULES AND

REGULATIONS OF
“QUARANTINE ACT OF 2004”
pursuant to R.A. 9271

(Administrative Order No. ____, series


of 2005)
BUREAU OF QUARANTINE
Department of Health
Manila, Philippines

TABLE OF CONTENTS

PREFACE . . . . . . . . v

Part I - General Consideration

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 II Requirements of Vessels Upon Entry from Foreign Ports

Section 7 Vessels to be Inspected . . . 7


Section 8 Requirements for Vessels to be Inspected . . 7
Section 9 Requirements from the Master of Vessels to be Inspected 7
Section 10 Kinds of Pratique Issued to In-coming Vessels . 8
Section 11 Immunization Certificate Requirement . . 10
Section 12 Extent and Method of Quarantine Inspection . . 10
Section 13 Boarding of Vessel from Foreign Ports . . 11
Section 14 Requirements of Vessel before Departure . . 11
Section 15 Embarkation of Travelers for International Voyage . 12
Section 16 Personnel Assigned for Inspection . . . 12
Section 17 Time of Vessel Quarantine Inspection . . 12

Part III Requirements of Domestic Vessels

Section 18 Vessels to be Inspected . . . 12


Section 19 Requirements of Vessels to be Inspected . 12
Section 20 Requirements from the Master of Vessels to be Inspected 13
Section 21 Immunization Requirements . . . . 13
Section 22 Extent and Method of Quarantine Inspection . . 13
Section 23 Personnel Assigned for Inspection of Inter-island Vessels 14
Section 24 Boarding of Domestic Vessels Placed under Quarantine 14

Part IV Requirements of Vessels While In Port

Section 25 Requirements of Vessels while in Port . . 15


Section 26 Disposal of Garbage . . . . . 15
Section 27 Rat Inspection of Vessels . . . . 16
Section 28 Fumigation . . . . . . 16

Part V Inspection of Aircraft Upon Arrival from Foreign Airports

Section 29 Aircraft to be Inspected . . . 17


Section 30 Requirements of Aircraft to be Inspected . . 17
Section 31 Requirements of Commanders of Aircraft to be inspected 18
Section 32 Boarding of Aircraft Placed under Quarantine . 18
Section 33 Vector Control for Aircraft . . . . 19
Section 34 Requirements of Aircraft Before Departure . . 19
Section 35 Embarkation of Ill-Travelers for International Flights. 20
Section 36 Personnel Assigned for Aircraft Inspection . . 20
Section 37 Time of Aircraft Quarantine Inspection . . 20

Part VI Requ irements of Domestic Aircraft

Section 38 Aircraft to be Inspected . . . 20


Section 39 Requirements from the Master of Aircraft . . 20
Section 40 Immunization Requirements . . . . 21
Section 41 Embarkation of ill-travelers . . . . 21
Section 42 Personnel Assigned for Inspection of Domestic Aircraft 21
Section 43 Boarding of Domestic Aircraft Placed under Quarantine 21

Part VII Detention of Conveyance in Quarantine

Section 44 Conveyance to be Placed in Detention . 22


Section 45 Requirements of Conveyance in Detention . . 22
Section 46 Detention of Persons . . . . 22

Part VIII Requirements on Sanitation and Food Safety for Domestic Vessels
Inter-island Vessels, Port/Airport Terminal and Food
Service Establishments

Section 47 Sanitation and Food Safety . . . . 23


Section 48 Food Safety Requirement . . . . 23
Part IX Requirements for Cargoes and Materials for Transplant, or Research

Section 49 Regulations on Importation and Exportation of Cargoes .. 24


Section 50 Regulation on Importation and Exportation of Materials
For Transplant, Laboratory or Research . . 24

Part X Clearance of Human Remains

Section 51 Regulations on the Clearance of Human Remains . 25

Part XI Measures Public Health Emergencies of International Concern (PHEIC)

Section 52 Preparedness and Response Guidelines . 26

Part XII Management Protocol for Diseases Subject to the International


Health Regulations

Section 53 Cholera . . . . . 27
Section 54 Plague . . . . . . 28
Section 55 Yellow Fever . . . . . . 28

Part XIII Medical Clearance of Foreigners for Immigration Purposes

Section 56 Medical Examination of Foreigners/Aliens for


Immigration Purposes . . . . 29

Part XIV Utilization of Income

Section 57 Authority to Utilize 50% of the Income . 30

Part XV Administrative Penalties

Section 58 Administrative Provision . . . . 31

Part XVI Penal Provisions

Section 59 Appeal . . . . . . 32

Section 60 Criminal Penalties . . . . . 32

Part XVII

Section 61 Suppletory Clause . . . . . 32


Section 62 Separatability Clause . . . . . 32

Section 63 Repealing Clause . . . . . 32

Section 64 Effectivity . . . . . . 33

Annex A Preparedness and Response to Radiological. Biological and


Chemical Incidents . . . . . . 34
Annex A-1 Chemical and Biological Terrorism Response in Aviation . . 35
Annex A-2 Chemical and Biological Terrorism Response in Shipping . 36
Annex B Measures during Outbreaks of Public Health Emergencies of
International Concern (PHEIC) . . . . 37
Annex B-1 Protocol on the Management of Suspect/Cases at Ports
and Airports of Entry . . . . . . 39
Annex B-2 Health Check List for SARS and Avian Influenza . . 40
Annex C Quarterly Estimate of Income Collection and Utilization . 41
Annex C-1 Actual Estimate of Income Collection and Utilization . 42
Annex D REPUBLIC ACT NO. 9271 . . . . . 43

= = = = 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

implement as a member state of said organization.

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

continuing global trends which markedly have an impact on disease surveillance,


prevention and control. The promotion of these health regulations are balanced by an

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

REVISED QUARANTINE RULES AND REGULATIONS OF 2004

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.

SECTION 5. Regulatory Authority - The Bureau of Quarantine of the Department of


Health shall exercise the regulatory functions as the health authority under these
Implementing Quarantine Rules and Regulations.
SECTION 6. Definition of Terms - For the purpose of these Implementing Rules and
Regulations of Quarantine Act of 2004, the following definitions are adapted:

"Aedes aegypti index" - means the percentage of houses or premises positive for Aedes
larvae over the number of houses inspected..

"Arcraft" – means a conveyance that flies on international or domestic flight.

"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.

"Airport/port of departure/origin" - the last airport/port of the departure of an aircraft or


vessel

“Baggage” - means the personal effects of a traveler or of a member of the crew.

“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.

“Berth” – means the place where a vessel docks.

“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.

“Contagious” – means the human to human transmission of a disease by direct or indirect


contact.

“Conveyance” – means any carrier or other means of transport on an international or


domestic voyage.

"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”- means the procedure of eradicating rats and other rodents

“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.

“Disinfestations” – means any chemical or physical process serving to destroy or remove


undesired small animal forms, particularly arthropods or rodents, present upon the person,
the clothing, or the environment of an individual, or upon animals and carriers.

"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.

“Embarkation” – means going aboard a ship or aircraft.

“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.

"Foreign port/airport" - any seaport/airport situated outside Philippine territorial limits.

“Fumigation” – means the procedure of eliminating pests by exposure to germicidal or


chemical gas or fume.

“Hazardous” – means the potential of substances or materials to cause disruption or damage


to people, their property, their services or environment, i.e., communities.

“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.

"Infected person" - a person who is incubating or suffering from an infectious disease.

“Infection” – means the invasion of the body by living microorganisms which may or may
not result in an illness.

“Infectious” – means the capability of transmitting a disease.

“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.

"Medical examination" – means the preliminary examination of a person to determine


his/her health status and potential public health risk to others, including scrutiny of health
documents, and may include a physical examination when deemed necessary.

“Outbreak” – means an epidemic limited to localized increase in the incidence of a disease,


e.g., in a village, town, or closed institution.

“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.

“Public health emergency of international concern” – means an emergency posing a serious


and direct public health threat to the human population considering the elements of
seriousness, unexpectedness, potential for international spread and travel restrictions.
This may be specified from time to time in Department Orders by the Secretary of Health
upon the recommendation of the Bureau of Quarantine in accord with the International
Health Regulations (IHR).

"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.

"Ship surgeon" - a registered medical practitioner employed on a vessel.

“Surveillance” – means the process of systematic collection, orderly consolidation and


evaluation and analysis of pertinent data with prompt dissemination of the results to those
who need to know for proper action.

“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.

“Thermal camera” – means a non-intrusive infrared camera used to measure body


temperature.

“Vector” – means an animal, plant or insect which carries or is capable of conveying


infectious agents from a person or animal to another person or animal.

“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

REQUIREMENTS OF VESSELS UPON ENTRY


FROM FOREIGN PORTS

SECTION 7. Vessels to be Inspected –

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.

SECTION 8. Requirements for Vessels to be Inspected –

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.

SECTION 9. Requirements From The Master of Vessels to be Inspected –

9.1 The master of the vessel shall provide the Quarantine Medical Officer the
following duly accomplished documents:

9.1.1 Maritime Declaration of Health


9.1.2 Deratting/deratting exemption certificate
9.1.3 Passenger and crew list
9.1.4 Voyage Memo/Ports of Call
9.1.5 Clinical record of cases treated during the voyage, if any.
9.1.6 Other documents deemed necessary by the Quarantine Medical Officer for
the compliance of health regulations

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.

SECTION 10. - Kinds of Pratique or Clearance Issued to In-coming Vessels-

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:

10.2.1 Isolation of suspect or actual case of infectious disease subject to the


Regulations, emerging disease or public health emergency of international
concern.

10.2.2 Quarantine or medical surveillance of exposed passenger or crew to an


infectious disease subject to the Regulations or emerging disease or public
health emergency of international concern.

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.

b). Cargoes containing hazardous materials (biological, chemical or


radiological waste, etc.)

10.2.4 Expired Deratting/Deratting Exemption Certificate

10.2.5 Vessel suspected of having been exposed to a Radiological, Chemical or


Biological (RBC) Incident.

10.3 Controlled Free Pratique (Direct Berthing Privilege) – A pratique granted to


vessels with a request for a direct berthing privilege submitted within forty eight
(48) hours prior to the estimated time of arrival (ETA), duly signed or certified by
the master of the vessel with the following conditions.

10.3.1 There has been no death on board during the voyage;

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

10.3.5 The deratting/deratting exemption certificate is valid.

10.4 Radio Pratique – A pratique granted to military vessels of the Republic of the
Philippines and foreign countries under the following conditions:

10.4.1. There should be a ship surgeon on board or in any of the vessels


operating as a squadron;

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

10.4.6 The deratting/deratting exemption certificate is valid.


10.5 Controlled Radio Pratique – A pratique granted to cruise vessels under the
following conditions:

10.5.1 There should be a ship surgeon/physician on board.

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.

SECTION 11. Immunization Certificate Requirement -

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

11.3 Other vaccinations may be administered upon request.

SECTION 12. Extent and Method of Quarantine inspection –

12. 1 During the inspection of vessels, the Quarantine Medical Officer shall check the
following conditions before granting a pratique to the vessel:

12.1.1 State of health of the passengers and crew;


12.1.2 Existence or non-existence of an infectious disease subject to the
Regulations, emerging disease, and/or a public health emergency of
international concern from the port of origin or other previous ports of
call;
12.1.3 Sanitary conditions on board;
12.1.4 Validity of the deratting/ deratting exemption certificate and state of rat
life on board; and
12.1.5 Type and tonnage of cargo.

SECTION 13. Boarding of Vessel from Foreign ports Placed under Quarantine –

13.1 In case of notification of the presence of suspected case/s of infectious disease


subject to the Regulations,emerging disease, and/or public health emergency of
international concern, and/or death on board:

13.1.1 No person is allowed to embark except the Quarantine Medical


Officer and or his duly accredited assistant/s.

13.1.2 Disembarkation of the passengers and crew is not allowed until


such time that the vessel has been granted a quarantine clearance.

13.1.3 Suspect case/s shall be medically evaluated on board and


transported to a designated referral hospital for isolation.

13.1.4 The remaining passengers and crew of vessel, if the need arises,
should be medically evaluated on board the vessel

13.1.5Crew and passengers who may be possibly exposed to an infectious


disease, emerging disease, and/or public health emergency of international
concern, may be isolated or undergo voluntary home confinement (home
quarantine).

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).

SECTION 14. Requirements of Vessels before Departure

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.

SECTION 15 . Embarkation of Travelers for International Voyage

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 –

The quarantine inspection of vessels shall be conducted by the Quarantine Medical


Officer and/or a duly accredited assistant/s designated by the Director of Quarantine. In
seaport where there is no Quarantine Medical Officer, a duly trained physician will be
designated by the Undersecretary of Health as Acting or Alternate Quarantine Medical
Officer upon the recommendation of the Director of Quarantine, who shall perform such
function on an annual contractual basis.

SECTION 17. Time of Vessel Quarantine 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

REQUIREMENTS OF DOMESTIC VESSELS

SECTION 18. Vessels to be Inspected –

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.

SECTION 19. Requirements for Vessels to be Inspected –


Domestic vessel subject to inspection shall be considered in quarantine until properly
cleared . 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.

SECTION 20. Requirements From The Master of Vessels to be Inspected –

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.

20.2 The master of inter-island or domestic vessel , on which a case or suspected


case of an infectious disease subject to the Regulations, emerging disease
and/or public health emergency of international concern exists on 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.

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.

SECTION 21. Immunization Requirements-

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:

22.1 State of health of the passengers and crew;


22.2 Existence or non-existence of a infectious disease subject to the
Regulations; emerging disease and/or public health emergency of
international concern outbreak of international concern from the port of
origin or other previous ports of call;
22.3 Sanitary conditions on board;
22.4 Validity of the deratting/ deratting exemption certificate and state of rat life
on board; and
22.5 Type and tonnage of cargo.

SECTION 23. Personnel Assigned for Inspection of Inter-island Vessel –

The quarantine inspection of vessels shall be conducted by the Quarantine Medical


Officer and a duly accredited assistant/s designated by the Director of Quarantine. In port
where there is no Quarantine Medical Officer, a duly trained physician will be designated
by the Undersecretary of Health as Acting or Alternate Quarantine Medical Officer upon
the recommendation of the Director of Quarantine, who shall perform such function on
an annual contractual basis.

SECTION 24. Boarding of Domestic Vessel Placed under Quarantine –

24.1 In case of notification of the presence of suspected case/s of infectious disease


subject to the Regulations, emerging disease, and/or public health emergency of
international concern, and/or death on board:

24.1.1 No person is allowed to embark except the Quarantine Medical


Officer and/or his duly accredited assistant/s.

24.1.2 Disembarkation of the passengers and crew is not allowed until


such time that the vessel has been granted a quarantine clearance.

24.1.3 Suspect case/s shall be medically evaluated on board and


transported to a designated referral hospital for isolation.

24.1.4 The remaining passengers and crew of vessel, if the need arises,
should be medically evaluated on board the vessel

24.1.5 Crew and passengers who may be possibly exposed to an


infectious disease or emerging disease and/or public health
emergency of international concern, may be isolated or undergo
voluntary home confinement or quarantine.

24.1.6 Any person who boarded a vessel under quarantine without the
permission shall be subject to detention and quarantine.

24.2 In cases when the vessel is exposed to Radiological, Biological or Chemical


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 )

PART IV

REQUIREMENTS OF VESSELS WHILE IN PORT

SECTION 25. Requirements of Vessels while in Port –

25.1 Rat Guards on Mooring Connection Lines –


If the vessel docks alongside the piers, all mooring lines shall be provided with
prescribed rat guards not less than one (1) meter in diameter and so fixed as to be
always at right angle to the line to which it is attached.

25.2 Cargo Net, Gangway/plank and Ramp–


All cargo nets should be hauled up when not in use. The gangway/plank and/or
ramp (forward and aft) shall be lifted up when not in operation and well lighted
throughout the night to prevent the access of rodents.

25.3 Distance of Vessel from the Dock -


All vessels should fend off at least one and one-half (1 ½) meters from the dock.

25.4 Mooring of Vessel to another Vessel which is Moored to a Dock -


A vessel which shall tie alongside another vessel moored to a dock shall institute
all necessary measures to prevent the access of rats from one vessel to another.

SECTION 26. Disposal of Garbage -

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:

27.1.1 Vessels without deratting/deratting exemption certificate.


27.1.2 Vessels with expired deratting/ deratting exemption certificate.

27.1.3 Vessels with valid deratting/deratting exemption certificate but with


moderate to heavy rat infestation aboard, or have visited plague-infected
ports.

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-

27.3.1 Deratting Certificate- a certificate being issued after a deratting


measure has been.performed such as fumigation or rat poisoning and
trapping which is valid for six (6) months from the date of issuance.

27.3.2 Deratting Exemption Certificate – a certificate being issued when there


is no evidence of rat infestation on board and is valid for six (6)
months from the date of issuance.

27.3.3 Extension Certificate - a certificate being issued which shall be valid


for one (1) month from the date of issuance with instruction that
formal inspection and issuance of a deratting/deratting exemption
certificate shall be done in the next port authorized to conduct such
inspection and issuance of certificate. This certificate can only be
issued once.

27.4 All vessel must have a valid deratting certificate or an extension certificate upon
arrival and prior to departure.

SECTION 28. Fumigation –

The following are subject to fumigation while in the harbor:

28.1 Any vessel with human or rodent plague on board;


28.2 Any vessel moderately or heavily infested with rats or other pests and
vermins.

28.3 Cargoes in a vessel from a plague-infected port which are vulnerable to


harbor rats and fleas. However, if the cargo is covered by a valid certificate
of fumigation from the port of loading, the fumigation may be waived
subject to the verification of the authenticity of the certification

28.4 Inter-island vessels for their periodic annual fumigation.

PART - V

INSPECTION OF AIRCRAFT UPON ARRIVAL


FROM FOREIGN AIRPORTS

SECTION 29. Aircraft to be Inspected -

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.

SECTION 30. Requirements of Aircraft to be Inspected

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:

30.2.1 Date and time of arrival

30.2.2 type of aircraft,

30.2.3 flight number and registration marks or aircraft ID,

30.2.4 airport of origin,


30.2.5 number of persons on board.

30.3 Submit a duly accomplished aircraft General Declaration upon arrival.

SECTION 31. Requirements from the Commanders of Aircraft to be Inspected -

The aircraft commander or the airline representative must inform the Bureau of
Quarantine before its arrival the following conditions on board:

31.1 Case/s of infectious diseases subject to the Regulations, emerging disease


and/or public health emergency of international concern occurring at the
airport of origin.

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.

31.3 Death on board from any cause.

31.4 The transport of patient-passenger who are medically evacuated (Medevac)


regardless of the nature of the case.

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.

SECTION 32. Boarding of Aircraft Placed under Quarantine –

32.1 In case of notification of the presence of suspected case/s of infectious disease


subject to the Regulations, emerging disease and/or public health emergency of
international concern and/or death on board the aircraft, no person is allowed to
embark except the Quarantine Medical Officer and/or his accredited assistant/s for
proper evaluation and management . Disembarkation of the other passengers shall not
be allowed until such time that the aircraft has been granted a quarantine clearance.

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.

32.2 In cases when the aircraft is exposed to Radiological, Biological or Chemical


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 )

SECTION 33. Vector Control for Aircraft

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.

SECTION 34. Requirements of Aircraft before Departure

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.

SECTION 35. Embarkation of Travelers For International Flights

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.

SECTION 36. Personnel Assigned for Aircraft Inspection –

The quarantine inspection of aircraft shall be conducted by the Quarantine Medical


Officer and/or a duly accredited assistant/s designated by the Director of Quarantine. In
airport where there is no Quarantine Medical Officer, a duly trained physician will be
designated by the Undersecretary of Health as Acting or Alternate Quarantine Medical
Officer upon the recommendation of the Director of Quarantine, who shall perform such
function on annual contractual basis.

SECTION 37. Time of Aircraft Quarantine Inspection –

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

REQUIREMENTS OF DOMESTIC AIRCRAFT

SECTION 38. Aircraft to be Inspected –

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.

SECTION 39. Requirements From The Commander of the Aircraft to be Inspected –


The aircraft commander or the airline representative must inform the Bureau of
Quarantine before its arrival the following conditions on board:

39.1 Case/s of infectious diseases subject to the Regulations, emerging disease


and/or public health emergency of international concern occurring at the
airport of origin.

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.

39.3 Death on board from any cause.

39.4 The transport of patient-passenger who are medically evacuated (Medevac)


regardless of the nature of the case.

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.

SECTION 40: Immunization Requirements-

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 41 . Embarkation of Travelers for Domestic Flights

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.

SECTION 42. Personnel Assigned for Inspection of Domestic Aircraft

The quarantine inspection of domestic aircraft shall be conducted by the Quarantine


Medical Officer and/or his duly accredited assistant/s designated by the Director of
Quarantine. In airport where there is no Quarantine Medical Officer, a duly trained
physician will be designated by the Undersecretary of Health as Acting or Alternate
Quarantine Medical Officer upon the recommendation of the Director of Quarantine, and
shall perform such function on an annual contractual basis.

SECTION 43. Boarding of Domestic Aircraft Placed under Quarantine –


43.1 In case of notification of the presence of suspected case/s of infectious disease
subject to the Regulations, emerging disease, public health emergency of international
concern and/or death on board the aircraft, no person is allowed to embark except the
Quarantine Medical Officer and/or his accredited assistant/s for proper evaluation and
management . Disembarkation of the other passengers shall not be allowed until such
time that the aircraft has been granted a quarantine clearance.

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.

43.2 In cases when the aircraft is exposed to Radiological, Biological or Chemical


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 )

Part- VII

DETENTION OF CONVEYANCE UNDER QUARANTINE

SECTION 44. Conveyance Placed in Detention

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.

SECTION 45. Requirements of Conveyance in Detention

No conveyance under quarantine is allowed to move or maneuver without the permission


of the Director of Quarantine. Vessel under quarantine shall fly a yellow flag while
under detention.
SECTION 46. Detention of Persons
Persons on board a conveyance under detention shall be subjected to all the restrictions
imposed by the Director of Quarantine.

Part - VIII

REQUIREMENTS ON SANITATION and FOOD SAFETY


FOR DOMESTIC INTER-ISLAND VESSELS, PORT/AIRPORT
TERMINAL and FOOD SERVICE ESTABLISHMENTS

SECTION 47. Sanitation and Food Safety

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 Sanitary Facility Requirements of Inter-island Vessels

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.

48.3 Ensure mandatory compliance of the Good Manufacturing Practice (GMP)/


Hazard Analysis Critical Control Points (HACCP) provisions and guidance
values as standard for the assessment of the sanitary and quality of foods
served by the food service establishment and in-flight catering points at
ports and airports of entry both domestic and international.

48.4 Comply with the physical / medical examination of Stewards and food-
handlers for the issuance of health certificate.

SECTION 49 . Monitoring and evaluation


The Bureau of Quarantine shall conduct a methodical examination and review of
procedures and records of the program/system with a detailed report of findings.
Guidelines will be promulgated in establishing monitoring procedures in tracking
system operations, deviation from the standard requirements and establishment of
records for use in verifications.

Part IX

REQUIREMENTS FOR CARGOES and MATERIALS FOR


MEDICAL TRANSPLANT, and RESEARCH

SECTION 50. Regulations on Importation and Exportation of Cargoes

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.

50.2. Cargoes containing hazardous materials (radiological, biological, or chemical


wastes etc.) are subject to stringent quarantine inspection and measures.

SECTION 51. Regulation on Importation and Exportation of Materials for


Medical Transplant and Research

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

CLEARANCE OF HUMAN REMAINS

SECTION 52. Regulations on Clearance of Human Remains

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:

a. Death certificate or a true copy thereof, with proper translation,


certified by the appropriate authorities from the country of origin.

b. Certification from the Consul at the country of origin.

c. Certification that there is no existence of a pestilence from the health


authority of the country of origin.

d. Embalming certificate stating that the human remains have been


properly embalmed and placed in a hermetically sealed (airtight and
waterproof) casket.

e. 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.

52.1.2 Death caused by a highly pathogenic organism, infectious disease


subject to the Regulations, emerging disease and/or public health
emergency of international concern, the remains may be issued quarantine
clearance under the following conditions.

a. The remains should be cremated before shipment in case of the grave


public health threat posed by the disease,
b. For other cases that need no cremation, the casket should remain
permanently sealed from the port of origin and burial must take place
within 24 hours after issuance of clearance of admission into the
country.
52.2 Human remains for transport to foreign or domestic ports shall secure a
Quarantine Permit before shipment with the following documents:

52.2.1 Death certificate or a true copy thereof

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

MEASURES ON PUBLIC HEALTH EMERGENCIES OF


INTERNATIONAL CONCERN (PHEIC)

SECTION 53. Preparedness and Response Guidelines

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 In the event of an outbreak of public health emergency of international concern in a


community, the Director of the Bureau shall recommend to the Secretary of Health
the following measures for the prevention of transmission and spread of such public
health emergency in coordination with Department of Health agencies (HEMS,
NCDPC, NEC, NCHFD, CHDs) and other concerned government agencies ((NDCC,
DILG):
53.2.1 Apprehension, detention/isolation or surveillance of suspect/ cases .
53.2.2 Place under active or passive surveillance, individuals who have been
exposed to the infection considered as dangerous contact.
53.2.3 To declare an area or community “under quarantine” where the public
health emergency occurs.

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

MANAGEMENT PROTOCOL FOR DISEASES SUBJECT TO


THE INTERNATIONAL HEALTH REGULATIONS

SECTION 54. CHOLERA

Cholera-Infected Ship or Aircraft:

54.1 General Consideration –

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.

54.2 Management of Cholera-infected Person or Suspect –

54.2.1 Medical examination of crew and passengers;


54.2.2 Patients shall be disembarked, isolated and treated;
a. Cases manifesting the clinical symptoms of the disease, in which no cholera
vibrio organism has been found or in which vibrios found are not
characteristic of cholera vibrio, shall be considered as actual patients and
treated as such;
b. Cholera suspect/s on arrival shall be disembarked, placed under surveillance
and treated. They shall be released only when three successive
bacteriological examinations of their stools have been found to be
negative;
c. Vaccination with oral cholera vaccine to travelers when requested.
d. Baggage of any infected person or suspect and any other article which is
considered contaminated shall be disinfected;

SECTION 55. PLAGUE

Plague-Infected or Suspected Ship or Aircraft –

55.1 General Consideration -


55.1.1 A ship or an aircraft on arrival shall be regarded as plague infected if it has a
case of human or rodent plague on board.
55.5.2 A ship on arrival shall be regarded as suspected if it has no case of human
plague on board but there is an abnormal death among rodents on board with
unknown cause.
55.5.3 A ship or an aircraft coming from a plague-infected area, shall be regarded as
non-infected if on inspection, the conditions specified in the preceding
paragraphs (a) and (b) do not exist.
55.5.4 A ship or an aircraft shall be subject to fumigation under any of the following:
a. with human or rodent plague on board
b. with moderate or heavy rodent infestation coming from plague-infected area

55.2 Management of Plague-Infected Person or Suspect -


55.2.1 Medical examination of crew and passengers;
55.2.2 Patients with plague shall be disembarked, isolated and treated;
55.2.3 Asymptomatic suspect will be placed in quarantine or placed under
surveillance for a period of not more than six (6) days from the date of
exposure;
55.2.4 Baggage of a plague-infected person or suspect and any other article or part of
the ship or aircraft considered to be contaminated shall be disinfected;

SECTION 56. YELLOW FEVER

Yellow Fever Infected or Suspected Ship or Aircraft –

56.1 General Consideration –


56.1.1 A ship or aircraft shall be regarded as yellow fever infected if it has a case of
yellow fever on board.
56.1.2 A ship or aircraft shall be regarded as suspected if disinsection was not performed
satisfactorily and live mosquitoes are found on board.
56.1.3 Any person over one (1) year of age coming from a yellow fever infected area
must possess a valid yellow fever immunization certificate upon arrival in the
country. Likewise, travelers to yellow fever infected countries must also possess a
valid yellow fever vaccination certificate.
56.1.4 Any person arriving from a yellow fever infected area without a valid certificate of
vaccination against the disease, shall be placed in quarantine for a period of not
more than six days reckoned from the last possible exposure or departure from the
affected area.

56.2 Management of Yellow Fever infected Person or Suspect.-

56.2.1 Medical examination of all passengers and crew;


56.2.2 Temperature of all passengers and crew may be taken when necessary;
a. Any person under observation presenting a fever above thirty eight degrees
Celsius (38oC), shall be isolated in a screened room;
b. The person afflicted by the disease shall be immediately disembarked, isolated
and protected by netting against the access of mosquitoes;
56.2.3 The ship or aircraft shall be inspected and subjected to vector control measures on
board and until such measures have been carried out, a vessel shall be considered
in quarantine.
56.2.4 The vessel or aircraft shall be disinsected against mosquitoes before the discharge
of cargo. The discharge of cargo shall be under the supervision of the Quarantine
Medical Officer and may be carried out by vaccinated persons. If unvaccinated
persons are employed, they shall be kept under surveillance for six (6) days
reckoned from the last day of exposure on board.

PART XIII

MEDICAL CLEARANCE OF FOREIGNERS FOR


IMMIGRATION PURPOSES

SECTION 57 – Medical Examination of Foreigners/Aliens for Immigration Purposes

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.

57.2 Classification of Defects and Diseases of Foreigners/Aliens which are subject to


administrative disposition by the Bureau of Immigration.

57.2.1 Class A - a classification that a foreigner has a communicable


disease of public significance, and/or has a physical or mental
disorder that may pose, or has posed, a threat to the property, safety, or
welfare to himself or to others.

57.2.2 Class B - a classification that a foreigner has a physical or mental


abnormality, disease, or disability serious in degree or permanent,
resulting to a substantial departure from his/her normal well-being
which may affect his ability to earn a living.

57.2.3 Class C - a classification that a foreigner is afflicted with any


condition properly classified as a physical defect or disease which is
minor or transient in nature and not likely to affect his ability to earn a
living.

57.3 Only Regular Quarantine Medical Officers can issue the medical clearance of
foreigners/aliens.

57.4 Examination Requirements for foreigner/alien:


56.4.1 Chest X-ray
56.4.2 Serology
56.4.3 Stool examination
56.4.4 Urine examination
56.4.5 Other examination when necessary

PART XIV

UTILIZATION OF INCOME

SECTION 58. Authority to utilize at least fifty percent (50%) of the income.

To prescribe the guidelines relative to the implementation of Section 9, of the


“Quarantine Act of 2004” R.A. 9271, quoted as follows:

Section 9. – “Authority to Utilize Income. – The Bureau of Quarantine shall


be authorized to use at least fifty percent (50%) of the income generated,
subject to accounting and auditing rules and regulations”.

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.

58.3. Such income as enumerated below which shall be referred to as “Quarantine


income” in this Section shall be constituted as Trust Fund and shall be
deposited in any authorized government depository bank (AGDB).

58.3.1. Vaccination Fees


58.3.2. Laboratory Fees
58.3.3 Deratting Fees
58.3.4 Service Fees
58.3.5 Fines and penalties

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.

58.6 The utilization of the income shall be approved by the Director of


Quarantine upon the recommendation of the Management Committee of the
Bureau in the form of a Resolution, copy furnished the Office of the
Secretary of the Department of Health and the Department of Budget and
Management.

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

ADMINISTRATIVE PROCEEDINGS AND PENALTIES

SECTION 59. Administrative Proceedings

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).

1). First Offense Warning

2). Second Offense Public Censure (at the expense of the


Guilty Party)

3). Third Offense P 100,000.00 to P250,000.00, without


prejudice to the withholding of
operation of the vessel or aircraft

4). Fourth Offense P 250,001.00 to P500,000.00, without


prejudice to the withholding of
operation of the vessel or aircraft

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.

SECTION 60. Appeal –

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.

SECTION 61. Criminal Penalties –

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

CLAUSE AND EFFECTIVITY


SECTION 62. Suppletory Clause

The International Health Regulations (IHR) of the World Health Organization (WHO).
Shall supplement the provisions of these Implementing Rules and Regulations.

SECTION 63. Separatibility Clause

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.

SECTION 64. Repealing Clause

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.

SECTION 65. Effectivity

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:

MANUEL M. DAYRIT, MD, MSc


Secretary of Health

Recommended by:

ETHELYN P. NIETO, MD, MPH, MHA


Undersecretary of Health
Health Operations Cluster
ATTY. ALEXANDER A. PADILLA
Undersecretary of Health
Regulatory Cluster

Submitted by:

EDGARDO C. SABITSANA, MD, MPH, CESO III


Director IV
Bureau of Quarantine
Annex A

PREPAREDNESS AND RESPONSE TO RADIOLOGICAL,


BIOLOGICAL AND CHEMICAL INCIDENTS

Interim Guidelines on Radiological, Biological and Chemical


(RBC) Incidents

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:

1. Develops protocols and field operation guides on the quarantine management of


suspected persons or cases, vessels and aircraft allegedly exposed to such incidents in
coordination with other agencies.

2. Conducts surveillance, preparedness and response procedures to RBC incidents at the


ports and airports of entry and subports.

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

CHEMICAL AND BIOLOGICAL TERRORISM RESPONSE IN AVIATION


ARRIVING AIRCRAFT

Sick/dead person suspiciously Aircraft suspiciously exposed to


exposed to chemical/ bioterrorism chemical/ bioterrorism

NOTIFICATION OF BUREAU OF QUARANTINE

Inform: Inform:
DOH Crisis Management; HEMS NAIA Authority
OpCen NAIA Medical; ASC;

Containment of aircraft
(placed in quarantine)
- Airport Authority
- Security (ASC)

Triage – HAZMAT; SAR


On-site Decontamination
- Decon Team

Placement and transport Crew and other Dead person Inspection of aircraft
of sick person passengers on board -HAZMAT

Holding Area

Hospital Examination and Body Disposal Decontamination


Surveillance

Annex A-2
CHEMICAL AND BIOLOGICAL TERRORISM RESPONSE
IN SHIPPING

ARRIVING VESSEL

Sick/dead person suspiciously exposed Aircraft suspiciously exposed to


to chemical/ biological terrorism chemical/ bioterrorism

NOTIFICATION OF BUREAU OF QUARANTINE

Inform: Inform:
DOH Crisis Management; HEMS Harbor Pilot; Shipping company;
OpCen CIQ; Security

Containment of vessel at the Quarantine


Anchorage (placed in quarantine)
- Security (Coast Guard)

Triage – HAZMAT; SAR


On-site Decontamination
- Decon Team

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)

Hospital Examination and Body Disposal Decontamination


Surveillance
Annex B

MEASURES DURING OUTBREAK OF PUBLIC HEALTH


EMERGENCIES OF INTERNATIONAL CONCERN (PHEIC)

A. Guidelines on Preparation

ƒ Preparation of case definition of the public health emergency of international


concern (PHEIC) for dissemination to all Quarantine Medical Officers,
Quarantine Stations, port and airport authorities, government agencies and
other concerned agencies.
ƒ Effective communication system for rapid notification and information
between the Bureau of Quarantine with airport/port authorities,
airline/shipping companies, security and other government agencies (Custom,
Immigration, DA etc.)
ƒ Preparation of guidelines or protocols on the screening and handling of
passengers arriving from international flights.
ƒ Preparation of a Health Check List to be filled up by crew and passengers of
international flights.
ƒ Preparation of a guideline on the handling of suspects/cases while on board.
ƒ Preparation of a guideline on the clearance of arriving aircraft / vessels
coming from infected countries.
ƒ Information dissemination to stakeholders and users in the areas of
responsibility.
ƒ Procurement of protective equipments and supplies.
ƒ Collaboration and exchange of information on the entry-exit management of public
health emergencies of international concern (PHEIC) among countries and
close coordination with international health organizations (WHO, CDC, other
health institutions) on the updates and policy formulation/implementation.

B. RESPONSE:

ƒ Implementation of the tailored action plans

1. Filling up of Health Check List by crew and passengers of international


flights and voyages (if deemed necessary).
2. Wearing of appropriate personal protective equipment is mandatory
(e.g., health workers, suspects, other concerned individuals).
3. Temperature screening of crew and passengers arriving and departing
from international flights and voyages by the use of thermal scanners,
forehead strips, mercurial thermometers, etc.
4. Medical evaluation at the Holding Area of suspects and contacts arriving
or departing from international flights and voyages for referral to a
dedicated hospital or for voluntary home confinement with active/passive
surveillance.
5. Issuance of Health Alert cards and other Information Education and
Communication (IEC) materials to travelers.
6. Activation of the referral system with the dedicated/designated hospitals.
7. Institute other health measures that are deemed necessary (disinfection,
decontamination, disinsection)

ƒ During an outbreak, febrile patients shall be strongly advised from traveling,


unless the reason for travel is to seek medical consultation for the illness, in
which case, appropriate barrier nursing measures should be followed.
ƒ Non-essential travels to disease affected country may be recommended.
ƒ Collection, collation and reporting of data for dissemination to concerned
agencies (OSEC, NEC, NCDCP, NAIA, etc)
ƒ Effective networking with the port and airport authorities, airline and shipping
companies, CIQS, and other government and non-government agencies.
Annex B- 1

PROTOCOL ON THE MANAGEMENT OF SUSPECTS/CASES


AT THE PORTS AND AIRPORTS OF ENTRY

Filling up of HEALTH CHECK LIST


on

HEALTH CHECK LIST to be submitted


to the Quarantine Medical Officer upon
arrival

Symptomatic upon arrival


(Presence of fever, cough, sorethroat, Asymptomatic upon arrival
difficulty of breathing, etc.) (Absence of signs and
symptoms)

Initial examination by Home Confinement for 7-10 days


Quarantine Medical Officer “Voluntary Domestic Quarantine”
(Keep at home/vessel and be on
alert if signs and symptoms
d l )
Suspect Not Suspect

If signs and symptoms Still asymptomatic


Holding Area – Suspects develop within 10 days of after 10 days
are further assessed for arrival.
hospitalization or not (The passenger calls up
the health authority)
Safe

***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.

IMPORTANT REMINDER: Anyone found giving wrong information or trying to


avoid answering the Check List will be punished in accordance with law.

Arrival Date ___________ Port of Origin __________________Flt #_____Seat #____


Countries visited the past three (3) weeks:
† Hongkong † Taiwan † U. K
† U. S. † China † Canada .
† Singapore † Vietnam † Others______________

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 _________________

Address in the Philippines: ______________________________________________

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 __________

In the past 14 days:


Did you visit any health worker, Did you visit a poultry farm or
hospital, clinic or nursing home? in contact with birds/chickens
[ ] Yes [ ] No [ ] Yes [ ] No

Were you confined in a hospital? [ ] Yes [ ] No


Do you have any household member/s or close friend/s currently having fever, cough and/ or respiratory
problems?
[ ] Yes [ ] No
___________________________________
Signature of Passenger
Annex C

Quarterly Estimate of Income Collection and Utilization


For Quarter Ending _______________, 200__

Name of Agency: Bureau of Quarantine

Amount
Acct.
Particulars Quarter
Code
Total

Certified Correct: Recommending Approval:

________________________ ____________________________
Budget Officer Chairman, Management Committee

Approved By:

__________________________
Head of Agency
Annex C-1

Actual Estimate of Income Collection and Utilization


For Quarter Ending _______________, 200__

Name of Agency: Bureau of Quarantine

Amount
Acct.
Particulars Quarter
Code
Total

Certified Correct: Recommending Approval:

________________________ _________________________________
Budget Officer Chairman, Management Committee

Approved By:

_____________________________
Head of Agency
Annex D

S. No. 2749
H. No. 6116

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Begun and held in Metro Manila, on Monday, the twenty-eighth day of July, two thousand three.

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