SCAPIN-865: QUARANTINE PROCEDURE FOR CHOLERA IN REPATRIATES
GENERAL HEADQUARTERS
SUPREME COMMANDER FOR THE ALLIED POWERS
APO 500
6 April 1946
AG 720.4
(6 Apr 46)
PH
(SCAPIN-865)
| MEMORANDUM FOR | IMPERIAL JAPANESE GOVERNMENT. |
|---|---|
| THROUGH | Central Liaison Office, Tokyo. |
| SUBJECT | Quarantine Procedures for Cholera in Repatriates. |
1. The Imperial Japanese Government will take the following measures immediately to prevent the introduction of cholera into Japan by individuals being repatriated from China.
2. In the case of ships with repatriates fros China which arrive without cases of cholera aboard;
a. Where the voyage has taken more than six days, all personnel will be inoculated with 1.5 cc of cholera vaccine and debarkation and prod cessing procedures will be performed as usual.
b. Where the voyage from China has taken less than six days, all personnel will be held aboard the ship until six days have elapsed, the personnel physically examined for cholera, and if no cases are found they will be disembarked as dcscrbed in paragraph 2 a. above. In the event cholera is found, the procedure will be as directed in paragraph 3.
3. Ships which arrive in Japan with cholera aboard will use only the ports of Uraga or Sasebo until directed otherwise by this Headquarters.
a. Ships will be anchored sufficiently far from shore to preclude the possibility of anyone swimming to shore or contamination from the vessel washing ashore.
b. All personnel will be held on board for fourteen (14) days after the development of the last case.
c. Cases of cholera will be removed from the ship to a hospital ship provided for that purpose. Before the Arrival of hospital ships at the ports of Uraga and Sasebo, cholera patients will be removed to the isolation hospital at the rocoption center where strict isolation procedure will be maintained. Great care will be exercised in sterilizing all discharges from the patients (using 2% cresol solution), screening to protect from flies and isolation of attendants.
d. All personnel (except cholera patients ) wi11 be inoculated with 1.5 cc of cholera vaccine.
e. During the quarantine period the foces and urine of all personnel will be treated with a two percent cresol solution before being discharged into the sea.
f. A stool examination will be performed on all personnel to detect carriers. All carriers discovered will be isolated in the same place as cholera dases and kept until three negative stool specimens have been obtained at two day intervals.
g. The baggage and clothing of all personnel will be sterilized.
4. A hospital ship will be anchored off shore at the ports of Uraga and Sasebo to receive and treat cholera cases among the repatriates.
FOR THE SUPREME COMMANDER:
B. M. FITCH,
Brigadier General, AGD,
Adjutant General.
GENERAL HEADQUARTERS
SUPREME COMMANDER FOR THE ALLIED POWERS
AG 720.4(6 Apr 46)PH
APO 500
6 April 1946
SUBJECT: Information of General Application Pertaining to Directive Number (SCAPIN - 865 ) File AG 720.4 ( 6 Apr 46)PH, this Headquarters, dated 6 April 1946, subject: "Quarantine Procedures for Cholera in Repatriates.
1. With reference to Memorandum Number (SCAPIN - 865 ) this Headquarters to the Imperil Japanese Government, the following is published for the information of all concerned. \
2. Cholera is reported aboard incoming repatriation vessels from China. This is the beginning of the epidemic season for intestinal diseases and sanitary conditions in Japan are very poor at present. This makes a sweeping epidemic of cholera a real possibility.
3. Every effort is to be made to erect a barrier to the introduction of the disease to Japan. To attain this end:
a. The principle of allowing, no case ashore will be applied by transferring cases from passenger vessels to hospital ships except initially before hospital ships can be anchored at the two ports of Uraga and Sesabo. It will be necessary to use the most rigid isolation technique at the shore hospitals where cases will be brought before the arrival of hospital ships. Most careful surveillance of this procedure is essential.
b. Allowing only ports where the quarantine facilities arc adequate to be used by ships with cholera. At present these are Uraga and Sesabo. It is anticipated that within a month the port of Hakata will be available.
c. Ships from China without cholera may use the ports of Kagoshima, Kure and Hakata.
d. On ships which have cholera aboard, all personnel will, be quarantined on the vessel for fourteen days after the appearance of the last case. All personnel immunised with 1.5 cc of cholera vaccine, Stool examinations made to determine carriers. Surveillance to be exorcised to assure that these procedures are carried out, that the ship is anchored at a sufficient distance from the shore so that personnel cannot swim ashore, that discharges from the vessel are not washed ashore and that all personnel are physically examined for cholera before disembarking. The vibrio of cholera will live in sea water.
e . The passengers and crew of these vessels will be treated in the same manner.
4. The most critical points in this program are:
a. Strict isolation technique of the cholera eases which must be brought ashore before hospital ships can be made available.
b. The detection of carriers.
c. The prohibition of persons from visiting cholera ships while anchored in quarantine or from personnel escaping from quarantine.
J.W. MANN,
LT Col, AGD
Asst Adj Gen
DISTRIBUTION:
Same as (SCAPIN - 865 )
plus SCAHAP
less Imperial Japanese Government.
