Maritime Declaration of Health
The master must fill out and sign the Maritime Declaration of Health. The international standard form should be filled out to this end.
The following information must be supplied on the standard form:
• Expiration date of the Ship Sanitation Exemption / Control Certificate;
• Number of passengers and crew members.
In addition, the following questions must be answered:
• Did a person die during the voyage, with the cause of death being something other than an accident?
• Is there a sick person on board or was there a sick person on board during the international voyage of which you suspect it was a infectious disease?
• Was the number of sick persons during the voyage larger than normal or than you would expect?
• Is there currently a sick person on board?
• Has a doctor been consulted?
• Are you aware of a situation on board that could lead to infection or the spread of a disease?
• Were any sanitary / hygiene measures taken (such as quarantine, isolation, disinfection, decontamination)?
• Have any stowaways been found on board?
• Is there a sick (pet) animal on board?
In case the answer to any of these questions was 'yes', the master must inform the agent, pilot and the Harbour Coordination Centre. The master should mail the Maritime Declaration of Health to PortHealthAuthority@portofrotterdam.com or fax it to number +31 (0)10 252 1600.
The completed form must be kept on board and at all times be available for presentation. The person responsible for medical care on board the vessel must be available to answer any additional questions.