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to take precautions about the introduction of mosquitoes on board and to 
prevent their breeding. 
It is laid down that vessels carrying passengers from any port or place 
where quarantinable disease prevails in epidemic form should have one medical 
officer. During this year the fruit steamers, whether carrying passengers or 
not and trading between the States, Belize and Central American Republics, 
carried doctors. These doctors were appointed by the States Board of Health, 
and co-operated with the United States Marine Hospital Service. They 
inspected the crew and passengers daily, took temperatures and pulse rate. 
Thirdly, on arrival, a medical officer, Federal or State as the case may 
be, meets the ship at some advantageously placed quarantine station. In the 
case of ships entering the Mississippi, the ship is first met by a medical 
officer of the Louisiana State Board of Health, who makes his inspection and 
fumigates with the view of preventing the entry into the State of infected 
mosquitoes. If the ship has not been out six days since leaving an infected 
port, during the quarantine season, she is either quarantined at the station 
until the six days are up, or the ship after fumigation is allowed to proceed, 
but the passengers are taken off and placed in quarantine. Should any 
doubtful case of fever be found on board, or develop in the quarantine 
station, it is at once removed to the isolation hospital farther down the river. 
On arrival at New' Orleans the ship must be met by a medical officer 
of the United States Public Health and Marine Hospital Service, who, as 
representing the Federal Sanitary Authority, examines the passengers under 
the Immigration Act for cases of insanity, ophthalmia, &c. (Div. of Medical 
Inspection of Immigration of M.H.S.) 
To sum up, the United States Government, through its Marine Hospital 
Service, watches over the sanitation of ships, their crews, and passengers 
destined for the States in the various foreign ports, and at the same time 
informs the Central Government of the state of Health of the foreign ports. 
At the port of entry into the United States it guards against the 
importation of diseased persons under the Immigration Act, or persons 
suffering from quarantinable disease under the Quarantine Act, if the local 
authority does not do so. But as is the case of Louisiana, the State 
Board administers the quarantine regulations independently prescribed by 
itself, and in order to carry them out appoints medical officers to ships, 
and erects quarantine stations and takes such other precautions as are necessary 
to conform to the law, and protect, in the best w'ay in their judgment, 
the State of Louisiana. 
International Sanitation — Pan-American Republics. 
In October, 1901, a meeting was held in the City of Mexico to discuss 
the establishment of an International Health Service, and Surgeon-General 
Wyman was asked to frame the subjects for discussion. 
In the first place, it was thought more practical to confine the attention 
of the Convention to Yellow fever alone, a disease which directly affected 
the interests of 25,000,000 in the Pan-American Republics. In the second 
place, that the object of the international agreement should be confined to 
the elimination of Yellow fever from seaports alone. 
