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Ebola – France Reinforces Health Checks on Vessels

Following the World Health Organisation’s level 3
health alert, Marseille’s Harbour Master has sent a circular to the local ship
agents, shipowners and freight forwarders advising that all vessels who have
called in Guinea, Sierra Leone, Liberia or Nigeria must email the following
declaration of health to the Port of Marseille 48 hours before arriving:

 

MARITIME DECLARATION OF HEALTH

 

To be completed and submitted to the competent
authorities by the masters of ships arriving from foreign ports 48 hours before arrival by e-mail
to : reportingformalities@marseille-port.fr
or reportingformalitiesfos@marseille-port.fr

 

Submitted at the port of 
………………..……………………. Date ………………………………………………………………………………..

Name of ship or inland navigation vessel ………….……….……………  Registration/IMO No……………………………………………………………………………

arriving from ………………..….……………      sailing to ……………………………………………………………………………………………

(Nationality)(Flag of vessel) …………………………. Master’s name …………………………………………………………………………….

Gross tonnage  …………………..…………………..Deadweight
………………………………………………………………………………….

Valid Sanitation Control Exemption/Control Certificate carried on board?
………………… …………………. ……………………………

Issued at  ……………..…… ……………………………………………..  date………………………………………………………………………..

Re-inspection required? ……………………..……………………………………………………………………………………………………………

Has ship/vessel visited an affected area identified by the World Health
Organization? ……………………..……………………………

Port and date of visit …………………….………………………………………………………………………………………………………………

List ports of call from commencement of voyage with dates of departure,
or within past thirty days, whichever is shorter:…………………………………..

……………………………………………………………………………………………………………………………………………………………………………………………………………

 

Upon request of the competent authority at the port of
arrival, list crew members, passengers or other persons who have joined
ship/vessel since international voyage began or within past thirty days,
whichever is shorter, including all ports/countries visited in this period (add
additional names to the attached schedule):

 

()
Name ………………………………………. joined from: ()……………..………..….. () …….…..…………..…….                                                                                                                                                                      ()……………………………………….

()
Name …………………………..…………… joined from: ()………………………….. () ……………………………..  ()………………………………………

()
Name…………………………….…………. joined from: ()……………………..…… ()  ……..………..…………….  ()………………………………………

Number
of crew members on board………………

Number
of passengers on board………….……….

Health questions*

Answer

 

yes

no

()
Has any person died on board during the voyage otherwise than as a result of
accident?

£

£

If yes, state
particulars in attached schedule. Total no of deaths…………………….

 

 

()
Is there on board or has there been during the international voyage any case
of disease which you suspect to be of an infectious nature?

£

£

If yes, state particulars in attached schedule.

 

 

()
Has the total number of ill passengers during the voyage been greater than
normal/expected?

£

£

How many ill persons?  ……………..……………….

 

 

()
Is there any ill person on board now?

£

£

If yes, state particulars in attached schedule.

 

 

()
Was a medical practitioner consulted?

£

£

If yes, state particulars of medical treatment or
advice provided in attached schedule.

 

 

()
Are you aware of any condition on board which may lead to infection or spread
of disease?

£

£

If yes, state particulars in attached schedule.

 

 

()
Has any sanitary measure (e.g. quarantine, isolation, disinfection or
decontamination) been applied on board?

£

£

If yes, specify type, place and
date…………………………………………………………………………………………………………………………….

 

 

()
Have any stowaways been found on board?

£

£

If yes, where did they join the ship (if known)?

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