Merchant Shipping (Medical Stores) Regulations 1996 - Medicines and Medical Stores For Foreign Going Ships

Singapore Statutes Online - 56 - Merchant Shipping (Medical Stores) Regulations 1996 Page 1 of 36
Merchant Shipping (Medical Stores) Regulations 1996 Enacting Formula

1 Citation and commencement 2 Definitions 3 Application 4 Medicines and medical stores for foreign-going ships 5 Medicines and medical stores for home-trade ships 6 Medicines and medical stores for ships plying within special limit 7 Ships without doctors as crew members 8 Obtaining, use and disposal of morphine from doctors attache case 9 Quantity of medicines and medical stores 10 Inspection of medicines and medical stores 11 Ships carrying chemicals 12 Additional medical supplies 13 Standards of medicines and medical stores 14 Packaging and labelling of containers 15 Storage of medicines 16 Replenishment of dated medicines 17 Offences 18 Exemptions 19 Revocation
FIRST SCHEDULE SECOND SCHEDULE Additional Items Required On Vessels Carrying Chemicals As Whole Or Part Of Cargo THIRD SCHEDULE Malaria Areas FOURTH SCHEDULE
No. S 56 MERCHANT SHIPPING ACT 1995 ACT 19 OF 1995 MERCHANT SHIPPING (MEDICAL STORES) REGULATIONS 1996 In exercise of the powers conferred by sections 73 and 216 of the Merchant Shipping Act 1995, the Minister for Communications hereby makes the following Regulations: Citation and commencement 1. These Regulations may be cited as the Merchant Shipping (Medical Stores) Regulations 1996 and shall come into operation on 2nd February 1996. Definitions
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2. In these Regulations chemical means any chemical listed in the following International Maritime Organization publications: (i) (a) (b) (c ) the General Index of the International Maritime Dangerous Goods Code; the Index of Dangerous Chemicals Carried in Bulk; and Chapter XIX of the International Code for the Construction and Equipment of Ships Carrying Liquified Gases in Bulk;
foreign-going ship includes every ship employed in trading or going between some place or places in Singapore and some place or places situated beyond the limits prescribed for home-trade ships; home-trade ship means a ship plying solely upon a home-trade voyage; home-trade voyage means a voyage within the following limits: an imaginary line drawn from a position in the Gulf of Martaban in latitude 16 15 north, longitude 96 east in a south-easterly direction to a position in latitude 15 north, longitude 97 east, thence due south to a position in latitude 9 north, longitude 97 east, thence in a southwesterly direction to a position in latitude 6 north, longitude 94 east, thence due south to a position latitude 4 north, longitude 94 east, thence in a south-easterly direction to a position in latitude 8 south, longitude 104 east, thence in an easterly direction to a position in latitude 10 south, longitude 120 east, thence due east to a position in latitude 10 south, longitude 125 east, thence due north to a position in latitude 8 north, longitude 125 east, thence due west to a position in latitude 8 north, longitude 110 east, thence in a 315 direction (N.W. true) to the coast of Vietnam, thence initially westward following the coasts of Vietnam, Cambodia, Thailand, the Malay Peninsular and Myanmar to the starting point; malarial areas means the areas as specified in the Third Schedule; special limit voyage means a voyage within the following limits: from a point where the longitude 103 00 east cuts the west coast of Johor, thence due south to latitude 00 30 north, thence due east to longitude 105 00 east, thence due north to latitude 01 00 north, thence to the point 02 00 north, 104 15 east, thence due west to the coast of Johor and thence following the coast of Johor westwards to the starting point. Application
3. These Regulations shall apply to all Singapore ships. Medicines and medical stores for foreign-going ships 4.(1) Every foreign-going ship shall keep on board a supply of medicines and medical stores according to Scale IA set out in the First Schedule provided that the number of persons on board does not exceed 30. (2) When more than 30 persons are carried, then in addition to the items required under Scale IA, a set each of items listed in Scale IB set out in the First Schedule must be carried for each additional 30 persons or part thereof. Medicines and medical stores for home-trade ships 5. Every home-trade ship shall keep on board a supply of medicines and medical stores according to Scale II set out in the First Schedule. Medicines and medical stores for ships plying within special limit 6. Every ship plying within Special Limit from the Port of Singapore shall keep on board the supply of medicines and medical stores according to Scale III set out in the First Schedule. Ships without doctors as crew members 7.(1) Every ship going to sea carrying more than 12 passengers but without a qualified doctor as a member of the crew shall carry, in addition to the medicines and medical stores specified in the main Scale which the vessel is required to carry under regulation 4, 5 or 6, those specified in Scale V in Part 5 of the First Schedule. (2) All medicines required to be carried under Scale V in Part 5 of the First Schedule shall be kept in a doctors attache case. (3) Any item which cannot be included in the case should, where possible, be strapped to it; otherwise, the item shall be kept in a place adjacent to the case. (4) The doctors attache case shall be locked, the key to the case kept in the possession of the master or someone nominated by him, and the case kept in a locked cabinet. (5) The case should be labelled clearly as follows: The medicines in this case are to be used only by a qualified doctor, or someone under the direct supervision of a doctor on board the ship.. Obtaining, use and disposal of morphine from doctors attache case 8. The obtaining, use and disposal of morphine from the doctors attache case shall be recorded in the ships controlled Drug Register in accordance with the Ship Captains Medical Guide. Quantity of medicines and medical stores 9. The quantity of medicines and medical stores to be kept on board a ship referred to in these Regulations shall be as prescribed in the First Schedule regardless of the length of voyage.
Inspection of medicines and medical stores 10. The medicines and medical stores shall be inspected at least once in every 12 months by a registered pharmacist, who, on being satisfied that the ship is provided with medicines and medical stores in accordance with the appropriate scale, shall issue a certificate to that effect. Ships carrying chemicals 11.(1) Any ship carrying a chemical as whole or part of her cargo, or any residues of chemicals from earlier voyages shall carry the medicines and medical stores set out in Scale IV of the First Schedule in the quantities specified thereof. (2) In addition to the types and quantities of medicines and medical stores required to be carried under paragraph (1), the ship shall also carry the required type of medicines and medical stores specified in the Second Schedule as antidote and ancilliary equipment for the chemical and the required additional quantity of such antidote and ancilliary equipment shall be that specified in the Chemicals Supplement to the Ship Captains Medical Guide or the IMO Medical First Aid Guide. Additional medical supplies 12. There shall be kept on board every ship on a voyage on which a qualified doctor is carried as a member of the crew any additional supplies which the doctor may reasonably require having regard to the size of the crew, the number of passengers on board and the intended voyage. Standards of medicines and medical stores 13. All medicines and other medical stores kept on board a ship in accordance with these Regulations shall conform to the standards and requirements set out in the current editions of the British National Formulary or the British Pharmacopoeia or the European Pharmacopoeia or the United States Pharmacopoeia, and with the requirements of and specifications set out in the First and Fourth Schedules. Packaging and labelling of containers 14.(1) Without prejudice to any other written law, any container of medicines or other medical stores required by these Regulations to be kept on board a ship (a) (b) (c ) (d) shall have in English on a label the particulars specified in the First Schedule; in the case of a container of tablets or capsules, shall be capable of reclosure to prevent ingress of moisture; in the case of a container of disinfectant, shall not show deleterious reaction with the disinfectant after storage in normal conditions for 6 months; in the case of an insecticide, shall be air-tight, water-tight, packed in a suitable and sturdy case and, if the container is a pressure canister, have a cap or other means of protecting the valve against accidental opening when the canister is not in use; and
(e )
in the case of medicine or disinfectant not in the container supplied by its manufacturer, shall be packed in a sturdy, brown-coloured or non-translucent container.
(2) Any label referred to in paragraph (1)(a) shall either be firmly affixed to the container and rendered resistant to moisture by varnish or other effective means or be an integral part of the container. (3) The particulars required by paragraph (1)(a) to be shown on labels are (a) (b) (c ) (d) (e ) the ordering name by which the medicine or medical store is referred to in the First Schedule; any storage requirements laid down in any of the publications referred to in regulation 13, or elsewhere in these Regulations; if the medicines or medical stores are perishable, the expiry date as defined in regulation 16; the name and address of the supplier of the medicines and medical stores, the product licence number and batch number; in the case of any container of a disinfectant or of an antiseptic prescribed in any of the Scales set out in the First Schedule, the dilution recommended for any purposes stated thereon; in the case of any container of an insecticide prescribed in any of the Scales set out in the First Schedule, instructions for use and precautions to be taken as detailed in paragraphs 6 and 7 of the Fourth Schedule; and in the case of a container of hypochlorite, a notice indicating that the chemical may combust spontaneously and that the hypochlorite should be stored in a cool dark place.
(f)
(g)
Storage of medicines 15.(1) Any medicine or medical store shall be stored in accordance with the instructions on its container. (2) Any medicine shall, where applicable, be stored in accordance with the requirements for controlled drugs contained in the Ship Captains Medical Guide, and subject thereto, unless it is required to be kept in a refrigerator or in a first aid satchel or box, shall be stored (a) (b) in the medical cabinet; or in a cool, dry, locked cabinet or locked container.
Replenishment of dated medicines 16.(1) Where (a) (b) a ship is required to have on board any medicine or other medical stores in accordance with any of the Scales set out in the First Schedule; and any label required by regulation 14(1)(a) to be borne by any container or any such medicine or other medical stores, indicates a date after which the medicine
or other medical store contained in it is not to be used (hereafter called the expiry date), that medicine or medical store shall be replaced at the earliest possible date after the expiry date, and in any event within 3 months of the expiry date. (2) Medicines or medicinal stores which have passed the expiry date shall, once replacements have been obtained, or after 3 months, whichever is the earlier, be disposed of in accordance with the Ship Captains Medical Guide. Offences 17.(1) If any provision of these Regulations is contravened, the owner of the ship shall be guilty of an offence and shall be liable on conviction to a fine not exceeding $2,000. (2) It shall be a defence for any person charged in connection with a contravention of any provision of these Regulations to show that the deficiency was caused by medicines and medical stores being used for their proper purpose and that it has not been reasonably practicable to replace them. (3) It shall be a defence for a person charged under these Regulations to show that he took all reasonable precautions and exercised all due diligence to avoid commission of the offence. Exemptions 18. The Director may exempt any person or ship or description of persons or ships from all or any of the provisions of these Regulations on such terms as he may specify and may, subject to giving reasonable notice, alter or cancel any such exemption granted. Revocation 19. The Merchant Shipping (Medical Scales) Regulations (Cap. 179, Rg 3) are revoked. FIRST SCHEDULE
Regulations 4, 5, 6, 7, 9, 11, 13, 14 and 16.
In this Schedule, the following annotations are used: (a) (b) (c) (d) (e) To be used ONLY on medical advice and to be labelled accordingly. Only required when the vessel is proceeding to or operating in a malarial area as defined in the Third Schedule. To be labelled Not to be used more than four weeks after first opening. Only required when the vessel is proceeding to or operating in tropical waters. An oxygen resuscitator set with accessories that will permit the equipment to give therapy with both 24 per cent and 35 per cent oxygen will be acceptable in lieu of this item if sufficient oxygen is carried for three hours treatment at 35 per cent in addition to that required for resuscitation. Passenger vessels must carry one first aid kit for every 50 persons or fraction thereof that they are licensed to carry subject to a maximum of three kits. A pre-packed press-button pressure canister may be used in lieu.
(f) (g)
(h) (i)
Not required on vessels of less than 80 grt. Where an oxygen resuscitator is carried in compliance with Scale IV it will not be necessary to carry a second set to meet Scale V. PART I MEDICINES
NAME OF MEDICINE (ordering name is in small letters)
ORDERING SIZE
QUANTITIES REQUIRED (See Part 5 for Scale V) SCALE 1A 1B SCALE II 10 SCALE III SCALE IV 10
ACTIVATED CHARCOAL Activated charcoal effervescent granules ADRENALINE Adrenaline acid tartrate injection 1.8mg in 1ml(1 in 1,000) ALUMINIUM ACETATE Aluminium acctate eardrops 13% AMINOPHYLLINE Aminophylline AMITRIPTYLINE Amitriptyline hydrochloride AMOXYCILLIN Amoxycillin trihydrate AMYL NITRITE Amyl nitrite 0.17 mg in 0.2 ml ANAESTHETIC EYE DROPS Amethocaine 0.5%
5 gram sachet
10
0.5 ml ampoule
10 ml bottle withdropper 360 mg suppository 50 mg tablet 250 mg capsule 0.2 ml ampoule In a single dose applicator
3 50 100 20 3
1 50 1
1 20 1
60 96 -
ANTIBIOTIC EAR DROPS (a) Ear 5 ml dropper bottle drops containing in each ml Neomycin 3400 units. Polymixin B Sulphate 10,000 units. Hydrocortisone 10 mg ARACHIS OIL Arachis (peanut) oil ASCORBIC ACID (1) Ascorbic acid (vitamin 1 gram soluble tablet C) (2) Ascorbic acid (vitamin 5 ml ampoule C) Injection 100 mg in 1 ml ASPIRIN Dispersable aspirin 300 mg dispersble tablet 10 ml bottle with dropper
120 20
500
500
500
100
ORDERING SIZE
QUANTITIES REQUIRED (See Part 5 for Scale V) SCALE 1A 5 1B SCALE II 5 SCALE III SCALE IV 200
ATROPINE Atropine sulphate injection 1 mg in 1 ml BENZOIC ACID
1 ml ampoule
Benzoic acid compound ointment 50 gram (Benzoic acid 6%; salicylic acid 3%, in emulsifying ointment). Often called Whitfield's ointment BENZYL PENICILLIN Benzyl penicillin sodium injection (1) 3 gram vial(2) 600 powder (for reconstitution) in a rubber mg vial capped and metal topped glass vial BISMUTH SUBGALLATE Bismuth subgallate compound suppository (Bismuth subgallate 200 mg, zinc oxide 120 mg) BURN CREAM Silver Sulphadiazine Cream 1% w/w CALAMINE LOTION Calamine 15% lotion CALCIUM GLUCONATE (1) Calcium gluconate 25 gram tube1 gram 2% gel for effervescent tablet hydrofluoric acid burns (2) Calcium gluconate effervescent CETRIMIDE CONCENTRATE Cetrimide concentrate 40% CHLORAMPHENICOL Chloramphenicol eye ointment 1% CHLOROQUINE Either Chloroquine sulphate 200 mg 200/250 mg tablet tablet (150 mg of chloroquine base); or Chloroquine phosphate 250 mg tablet (155 mg chloroquine base) CHLORPHENIRAMINE (1) 4 gram dispenser 100 ml bottle 100 ml bottle 50 g tube 1 gram suppository
10
1020
520
-10
--
--
24
12
12
--
--
--
--
610
10
10
500
500
500(b)
505
25-
255
--
-20
ORDERING SIZE
QUANTITIES REQUIRED (See Part 5 for Scale V) SCALE 1A 1B SCALE II SCALE III SCALE IV
Chlorpheniramine 4 mg tablet1 mg malcate ampoule (2) Chlorpheniramine malcate injection 10 mg in 1 ml CHLORPROMAZINE (1) Chlorpromazine 25 mg tablet1 ml hydrochloride ampoule (2) Chlorpromazine hydrochloride injection 25 mg in 1 ml CIMETIDINE (a) Cimetidine CODEINE LINCTUS Codeine phosphate 15 mg in 5 ml linctus CO-TRIMOXAZOLE Co-trimoxazole (sulphamethoxazole 400 mg trimethoprim 80 mg) CYCLIZINE (1) Cyclizine 50 mg tablet1 ml hydrochloride ampoule (2) Cyclizine lactate 50 mg in 1 ml DIAZEPAM (1) Diazepam 5 mg tablet2 ml (2) Diazepam injection 5 ampoule mg in 1 ml DIHYDROCODEINE Dihydrocodeine tartrate DIMERCAPROL Dimercaprol injection 50mg in 1 ml EPHEDRINE Ephedrine hydrochloride 0.5% nasal 10 ml bottle with drop (Ephedrine hydrochloride 50 mg, dropper chlorbutol 50 mg, sodium chloride 50 mg, sterile water to 10 ml) 2 1 1 2 ml ampoule 160 30 mg tablet 100 100 10 102 -52 5-60 205 105 -5 --480 mg tablet 100 50 50 200 ml bottle 2 1 2 1 200 mg tablet 50 20020 10010010 --80
Singapore Statutes Online - 56 - Merchant Shipping (Medical Stores) Regulations 1... Page 10 of 36
ORDERING SIZE
ERGOMETRINE Ergometrine maleate injection 0.5 mg in 1 ml ERYTHROMYCIN Erythromycin ETHANOL Ethanol 10% solution FRUSEMIDE (1) Frusemide 400 mg tablet2 ml (2) Frusemide injection, 10 ampoule mg in 1 ml GAMMA BENZENE HEXACHLORIDE (1) Gamma benzene 50 gram container hexachloride 1% body cream (2) Gamma benzene 50 ml container hexachloride 2% hair application GLYCERIN OF THYMOL Thymol glycerin compound mouth 200 ml bottle wash (thymol 0.05% and glycerol 10% in water) GLYCERYL TRINITRATE (c) Glyceryl Trinitrate HYDROCORTISONE OINTMENT Hydrocortisone 1% ointment HYDROGEN PEROXIDE Hydrogen peroxide 6% solution HYOSCINE HYDROBROMIDE Hyoscine hydrobromide INDOMETHACIN Indomethacin LIGNOCAINE 100 mg suppository 10 0.3 mg tablet 100 100 50 100 ml bottle 2 15 gram container 10 5 5 0.5 mg tablet 100 100 100 4 1 2 6 6 205 -205 -8040 500 ml bottle 4 250 mg tablet 100 50 100 1 ml ampoule 5 5 -
ORDERING SIZE
QUANTITIES REQUIRED (See Part 5 for Scale V) SCALE 1A 52 1B -1 SCALE II 5SCALE III -SCALE IV --
(1) Lignocaine 2 ml ampoule20 gram hydrochloride 1% container (plain) 20 mg in 2ml (2) Lignocalne hydrochloride 2% in a lubricant water miscible base (gel) MAGNESIUM TRISILICATE Magnesium trisilicate (Magnesium trisilicate 250 mg, dried aluminum hydroxide gel 120 mg) MALOPRIM Maloprim (pyrimethamine 12.5 mg and dapsone 100 mg) METHOL AND BENZOIN Menthol and benzoin inhalation 50 ml bottle (methol 1 gram and benzoin inhalation to 50 ml) METHYLENE BLUE Methylene blue 1% (10 mg per 1 ml) solution METOCLOPRAMIDE Metoclopramide hydrochloride injection 5 mg in 1 ml METRONIDAZOLE Metronidazole MICONAZOLE (1) Miconazole nitrate 2% vaginal cream nitrate (2) Miconazole pessaries (3) Miconazole nitrate 2% topical cream MORPHINE Morphine Sulphate Injection 15 mg in 1 ml ampoule 1 ml NITRAZEPAM Nitrazepam 5 mg tablet 78 grain container with applicator Pack of 14 100 mg pessaries with an inserter 30 g container 200 mg tablet 2 ml ampoule 10 ml ampoule 112.5 mg tablet, 370 mg compound tablet
500
500
500
100
360
360
360(b)
40
60
60
60
211
1--
---
---
---
20
30
20
10
10
ORDERING SIZE
OIL OF CLOVES Clove oil PARACETAMOL Paracetamol PENICILLIN V Phenoxymethyl Penicillin PETROLEUM JELLY Soft paraffin PHENOBARBITONE Phenobarbitone sodium 200 mg in 1 ml POLYETHYLENE GLYCOL Polyethylene glycol molecular weight 300 POTASSIUM PERMANGANATE Potassium permanganate crystals PREDNISOLONE (a) 5 mg tablets5 ml vial (1) Prednisolone (2) Prednisolone Injection 25 mg in 1 ml PRIPSEN Piperazine phosphate hydrate 4 grams and sennodides PROGUANIL Proguanil hydrochloride PYRIMETHAMINE (b) pyrimethamine 25 mg, Sulphadoxine 500 mg QUINNINE SULPHATE Quinine Sulphate SALBUTAMOL Salbutamol aerosol inhaler unit, giving 200 dose container 100 micrograms per metered inhalation 2 1 4 300 mg tablet 50 525 mg tablet 12 100 mg tablet 1000 50 1000(b) 10 gram sachet 4 2 2 601 -1 601 --10 gram container 1 1 1 1 1 litre bottle 2 1 ml ampoule 5 50 gram container 4 2 2 1 250 mg tablet 200 100 60 60 500 mg tablet 500 500 500 100 10 ml bottle 2 1 1 1 -
ORDERING SIZE
SALT TABLETS Sodium chloride and glucose enteric coated SODIUM BICARBONATE Sodium bicarbonate SODIUM CHLORIDE AND DEXTROSE Sodium chloride and dextrose oral powder, compound (35 mmol of Na+, 20 mmol of K+, 37 mmol of Cl -, 18 mmol of HCO3- and 200 mmol of dextrose per litre when reconstituted) SURGICAL SPIRIT Surgical spirit TETANUS VACCINE Tet Vac Formol Toxoid, 0.5 ml to be kept refrigerated TETRACYCLINE -Tetracycline hydrochloride VITAMIN K1 (phytomenadione) Phytomenadione 10 mg in 1 ml WATER FOR INJECTION Water for injection (1) 10 ml ampoule (2) 2 ml ampoule 1020 510 -10 --1 ml ampoule 4 250 mg tablet 100 50 100 0.5 ml ampoule 5 5 250 ml 1 1 22 gram sachets 40 20 20 100 gram 1 1 650 mg tablet 1000 500 500(d) -
ZINC OINTMENT Zinc oxide 15% in a simple ointment ZINC OXIDE Zinc oxide 25 gram container PART II INSTRUMENTS, APPLIANCES AND MEASURING EQUIPMENT Note: The packing for any item on these scales shall where practicable include the information given in the ordering description below. 2 25 gram container 2 1 1 1 -
Name of Item and Ordering Description
SCALE 1A IB -
SCALE II 1
SCALE III -
SCALE IV -
CANVAS ROLL FOR INSTRUMENT To Contain the surgical instruments CATHETER URINARY Sterile conforming to British StandardsInstitute Standard BS 1695 published on 30.4.81
(1) Foley type size 16 Charriere 1 gauge with 5 ml balloon (2) Nelaton (Jacques) size Charriere gauge (with balloon) (3) Penile sheath set DENTAL INSTRUMENTS To be of stainless steel throughout and contained in a separate canvas roll or container (1) Excavator double ended Guys' 1 pattern G2 (2) Forceps, packing, 15 cm 1 16 1 no 1
(3) Filling paste inserter (for 1 inserting the filling paste into the tooth) (4) Filling paste packer (for 1 packing and and smoothing the paste in the tooth) (5) Dental mirror size 4 on handle (6) Dental spatula weston pattern (7) Glass mixing slab EYE LOOP Disposable of nylon with wooden handle FLUORESCEIN STRIPS Fluorescein sodium 1% paper eye test strips FORCEPSof Stainless steel throughout (1) Dissecting, 12.5 cm 1 1 1 1 2 100 1
2 100
100
1 1 -
1 -
(2) Epilation with oblique ends 1 12.5 cm (3) Sinus, 12.5 cm 1
Name of Item and Ordering Description
SCALE 1A IB -
SCALE II 1 1
SCALE III -
SCALE IV -
(4) Spencer Wells', 12.5 cm
(5) Tissue Forceps 12.5 cm 1-2 1 teeth GUEDEL AIRWAY Conforming to British Standards Institution Standard BS 2927 published on 29.11.57 (1) Size 4 (2) Size 3 (3) Size 1 1 1 1
1 1 1 1
1 -
KIDNEY DISH 2 Size 250mm, conforming to British Standards Institution Standard BS 1823 published on 15.6.73 for stainless steel, or British Standards Institution Standard BS 5452 published on 28.2.77 for sterilisable plastic 1 LOTION BOWL Size at least 200 mm by 90 mm, to BS 1823 for stainless steel, or to BS 5452 for sterilisable plastic, to be lettered medical (for BS standards see entry above for Kidney dish) MAGNIFYING GLASS 7.5 cm diameter on handle MEASURES (1) Dispensing measure, size 10 1 ml, of glass, in 1 ml divisions starting at 1 ml, conforming to British Standards Institution Standard BS 1922 published on 23.1.69 (2) Measuring jug, size 1 litre, 1graduated in 25 mls of strong sterilisable transparent plastic (3) Measuring spoon, size 5 ml; of 50 plastic conforming to British Standards Institution Standard BS 3221/6 1985 MICROSCOPE SLIDE In strong individual transit containers NECK COLLAR 10 1 1
50
Name of Item and Ordering Description Ajustable, fractured (etc) neck - adult size. Set of 3: small, medium and large OXYGEN GIVING SET (e) Comprising the following:(1) 2 x oxygen cylinders with 1-; hrs supply of oxygen each with key(2) 1 flow-meter unit giving a minimum setting of 4 litres per minute(3) 1 pressure regulating unit(4) 1 set of tubing(5) 5 x 24% oxygen disposable face masks(6) 5 x 35% oxygen disposable face masks each part constructed so that it can only be assembled in the correct manner RAZOR Disposable, pack of 5 1
SCALE 1A IB
SCALE II
SCALE III
SCALE IV
1 -
RECTAL DRIP SET 1 (1) A drip set for giving into the rectum 200 mls of fluid over a period of 10-15 minutes. The set to comprise of a 2 m length of transparent plastic tubing attached to a reservoir; a device for attaching the tube to the rectal catheter; a device for regulating the flow of liquid from the reservoir, and a spigot to close the catheter when the drip set is disconnected (2) Catheter, rectal size 26 1 Charriere sterile, conforming to British Standards Institution Standard BS 1695 published 30.4.81. RESUSCITATOR, MOUTH TO MOUTH Short oral airway with non-return valve, of the Brook Airway type SCALPEL AND BLADE SET Blades and scapels size 23, sterile, disposable 2
SCISSORS 1 (1) Of stainless steel throughout. Size about 18 cm, one blade sharp-pointed and the other round-ended; conforming to British Standards Institution Standard BS 3646 published on 19.7.63 (2) 1
Name of Item and Ordering Description Size 12.5 cm both blades sharp -pointed SPLINTS (1) Set of common splints 1
SCALE 1A IB
SCALE II
SCALE III
SCALE IV
1 1 -
1 -
(2) Inflatable splint, set of 4 (half- 1 leg, full leg half-arm, full-arm) (3) Liston's thigh splint - 140 cm 1
STERILIZER 1 Electrically heated sterilizer for unwrapped utensils and instruments (to hold at least two kidney dishes, one pair of scissors, 3 forceps, at one sterilization) SUTURE AND NEEDLE PACK Sterile, non-absorbable, sutures BP, of mono-filament nylon, or silk, swaged to a 26 mm and 40 mm half circle needle with a cutting edge. Each needle and suture to be in a sealed pack (1) 26 mm half circle needle (2) 40 mm half circle needle 3 3
3 3 3
1 1 1
(3) Sterile, absorbable sutures BP, 3 of catgut swaged to a 40 mm half circle cutting needle SYRINGE AND NEEDLE, HYPODERMIC PACK Sterile, disposable, conforming to British Standards Institution Standard BS 5081 published on 30.6.76 each syringe and needle in a sealed pack (1) 2 ml syringe with a 0.8 mm (21 40 SWG) x 4 cm needle (2) 5 ml syringe with a 0.8 mm (21 5 SWG) x 4 cm needle (3) 10 ml syringe with a 0.8 mm 20 (21 SWG) x 4 cm needle THERMOMETERS - INCLUDING HYGROMETERS To give the temperature In degrees C, or degrees C and degrees F. Each thermometer, with instructions as to use, to be in a strong metal or strong plastic case, and to conform to British Standards Institution Standards BS 691 published
10 -
200 20 -
Name of Item and Ordering Description on 31.12.79 in respect of (1),(2) and (3) below, and BS 2842 published on 31.10.75 in respect of the hygrometer (1) Ordinary range clinical 2 thermometer, stubby bulb pattern (2) Sub-normal range, low body 1 temperature thermometer, stubby bulb pattern (3) Ordinary range rectal 2 thermometer, thermometer and its case clearly marked for rectal use (4) Whirling hygrometer THORCH SET Pencil or other torch suitable for examining eyes, with batteries, and one spare set of batteries and one spare bulb, in a suitable box URINE TESTING EQUIPMENT (1) Urine test sticks, sugar - in the 50 manufacturer's container with instructions (2) Urine test sticks, ketones in the 50 manufacturer's container with instructions (3) Salicylsulphonic acid - 20% 2 w/v in a 25 ml bottle (4) 1 ml dropper 1 1 1
SCALE 1A IB
SCALE II
SCALE III
SCALE IV
50
50
(5) Specimen glass-size 50 ml 2 graduated in 5 mls of strong transparent sterilisable plastic or glass (6) Test tubes - size 10 cm of 4 borosilicate glass, conforming to British Standards Institution Standard BS 3218 published on 29.2.60 URINE DRAINAGE BAG Sterile bedside type, 2 litre capacity, with tube and connector for catheter and spigot 2
PART III BANDAGES, COTTON WOOL AND DRESSINGS Note: The packing for any item on these scales shall, where practicable, include the information given in the ordering description for that item.
(See Part 5 Scale Quantities Required for V)
Name of Item and Ordering Description 1A BANDAGES Each bandage to be individually wrapped (1) Crepe, BP, 7.5 cm x 4.5 m when stretched (2) Elastic adhesive, BP, 7.5 cm x4m (3) Triangular of calico, BP, with 2 sides of about 90 cm and a base of about 127 cm (4) Tubular gauze bandage, seamless, of a size suitable for finger dressings, a length of 20 m, with applicator. (5) Conforming bandage, 5 cm x 3.5 m BP (6) Conforming bandage, 7.5 cm x 3.5 m BP BUTTERFLY CLOSURES Adhesive skin closures, length approximately 5 cm, individually sealed sterile in a container COTTON WOOL Absorbent cotton and viscose wadding, BP, in a roll, in damp proof packaging (1) Package containing grammes, sterile (2) Package containing grammes, unsterile DRESSINGS All dressings are to be individually wrapped and in a strong and suitable container 15 100 20 3 4 2 4
SCALE IB
SCALE II
SCALE III
SCALE IV
2 1 2
2 1 4
20 -
4 6 20
2 3 -
4 6 20
10 1
15 1
10 1
Name of Item and Ordering Description 1A (1) Sterile paraffin gauze dressing, BP size 10 cm x 10 cm individually wrapped (2) Standard BPC dressingsThe containers for these dressings should each bear a label with instructions covering the following points: Open by pulling tab. Avoid touching wound and do not finger the face of the sterilised pad. Place pad over wound retain hold of short end of bandage, wind remainder firmly and tie in a knot (i) Small plain wound dressing standard no 13 BPC (ii) Medium plain wound dressing, standard no 14 B3PC (iii) Large plain wound drtessing, standard no 15 BPC DRESSING STRIP Elastic adhesive medicated dressing strip BPC, 6cm x 1m in a packet GAUZE Packet containing one piece of sterile absorbent cotton gauze BP, size 30 cm x 90 cm GAUZE PADS Packet containing 5 sterile gauze pads BP size 7.5 cm x 7.5 cm GAUZE RIBBON Packet containing sterile absorbent cotton gauze ribbon BP, size 2.5 cm x 5 m SWABS A reclosable container, with 100 filmated gauze swabs BP 10 cm x 10 cm SUSPENSORY BANDAGE Large size ZINC OXIDE TAPE 5 50
SCALE IB 50
SCALE II 20
SCALE III 10
SCALE IV 50
12
20
10
10
20
1 1
1 1
Name of Item and Ordering Description 1A Zinc oxide plaster BP, 2.5 cm x 5 m on a spool
SCALE IB
SCALE II
SCALE III
SCALE IV
PART IV SUNDRIES AND PUBLICATIONS Notes: The packaging for any item on these scales shall, where practicable, include the information given in the ordering description for that item. Name and Item and Ordering Description 1A BAG, BODY Large size; designed to hold a dead person in a refrigerator up to 14 days or in a cool place for up to 5 days BAG-ICE PACK Of strong soft rubber, or equivalent plastic material with wide, screw capped, opening BAG, PLASTIC AND CLOSURES Of strong black plastic (1) Bag of approximate size 15 cm x 30 cm (to hold specimen jars/containers) (2) Bag of size approximately 30 cm x 50 cm (to hold medivac records, dirty bandages, and after-birth, etc) BED-PAN Of stainless steel or sterilisable plastic BUDS Of viscose or cotton wool, in a container CHLORINE COMPOUND In reclosable air-tight containers, sufficient to chlorinate the potable water tanks and associated sytems compounds and quantities to comply with the procedures etc stated in the latest edition of The Ship Captains Medical Guide or any marine circular amending those procedures, etc CONTAINERS Airtight, for the dispensing of tablets, 20 tablet size 6 2 SCALE 1B SCALE II SCALE III SCALE IV -
1 100 Yes
100 Yes
20
10
Name and Item and Ordering Description 1A DISINFECTANT To conform to the specification for disinfectant prescribed in Schedule 4 Part 1 EYE BATHS EYE PADS sterile EYE-SHADES With elastic head band, robust quality throughout FACE MASK Paper, disposable FINGER STALLS With tapes, of robust material throughout two or more sizes FIRST AID KIT To be distributed around the shipThe following to be in a damp proof strong canvas bag, satchel, orbox, with a strap for carrying: (1) 8 x calico, triangular, bandages BP, with sides of about 90 cm and a base of about 127 cm (2) 2 x standard dressings no 13 BPC (3) 2 x standard dressings no 14 BPC (4) 1 x standard dressingno 15 BPC (5) 12 medium size safety pins (6) 30 assorted elastic adhesive dressing strips medicated BPC GLOVES Of polythene, disposable HOT WATER Of rubber, with a fabric cover, size about 20 cm x 30 cm INSECTICIDE To conform to the specification for Insecticides prescribed in Schedule 4 Part 2 25 2 10
SCALE 1B -
SCALE II 5
SCALE III -
SCALE IV -
2 2 2
1 1 2
1 -
12 5
1(f)
25 -
Name and Item and Ordering Description 1A (1) In liquid form - litres (2) In a hand sprayer - spray containers of the standard domestic size (g) (3) In powder form - in an airtight container the quantity is in grammes JARS, SPECIMEN Of strong plastic or glass, supplied with a lid to make them air-tight, and with blank labels stuck on, size 50 ml LABELS (1) Plain self-adhesive, about 5 cm x 3 cm (2) Tags for patients who have been given morphine NAIL BRUSH Of strong sterilisable plastic throughout SPECTACLES DARK Of robust material throughout SAFETY PINS Rustless, size 5 cm SPUTUM CUPS Cups, with covers, disposal STRECTCHER Neil Robertson type TALC A reclosable puffer pack or sprinkler containing 100 grams of talc dusting powder BP TOWELS Paper, disposable, hand size URINE BOTTLE Of sterilisable plastic, graduated in mls WATERPROOF SHEETING Of smooth, strong non-adhesive, rubber or plastic, rolled on a hard core, size 1 m x2m PUBLICATIONS (a) 1 50 20 1 1 12 20 10 1
SCALE 1B -
SCALE II 10 1
SCALE III -
SCALE IV -
100
100
5 -
25 5 1 1 12 10 1(h) -
30 -
1(h) 1
100 1 2
100 1 1
Name and Item and Ordering Description 1A The Ship Captain's Medical Guide - 21st or lastest subsequent edition (b) The Chemicals Supplement to The Ship Captains Medical Guide 1982 or latest subsequent edition (c) The International Maritime Organisation Medical First Aid Guide For Use In Accidents Involving Dangerous Goods (MFAG) (Revised 1982 or lastest subsequent edition) (d) Marine form SCMG/1 temperature, pulse and respiration, etc chart (e) Marine form SCMG/2,1iquid intake and output form (f) Marine form SCMG/3, visit to doctor form (h) A copy of these Regulations (i) Controlled drugs register -
SCALE 1B
SCALE II
SCALE III
SCALE IV
20
10 10 1 1
10 5 PART V
10 1 1
1 -
10 -
SCALE V NAME OF MEDICINE, etc (ordering name is in small letters) ADRENALINE Adrenaline tartrate injection (1 in 1,000) 1.8 mg in 1 ml AMINOPHYLLINE Aminophylline injection 25mg in 1 ml BROOK AIRWAY CHLORPROMAZINE Chlorpromazine hydrochloride injection 25 mg in 1 ml CYCLIZINE Cyclizine lactate injection 50 mg in 1 ml DEXTROSE 1 ml ampoule ORDERING SIZE 1 ml ampoule QUANTITY REQUIRED 5
10 ml ampoule
4 1 10
1 ml ampoule 20 ml ampoule
5 2
NAME OF MEDICINE, etc (ordering name is in small letters) Dextrose intravenous infusion 50 per cent DIAZEPAM Diazepam injection 5 mg in 1 ml FRUSEMIDE Frusemide injection 10 mg in 1 ml GLUCAGON Glucagon injection 1 mg with diluent GLUCOSE Glucose Intravenous Infusion 5 per cent GLUCOSE IN BLOOD (1) Blood test sticks - Glucose (2) Blood lancets, sterile HYDROCORTISONE Hydrocortisone sodium succinate powder for reconstitution with diluent INSULIN Insulin injection, soluble, 100 units per ml INTRAVENOUS INFUSION GIVING SET WITH CANNULA Intravenous 18 gauge MORPHINE Morphine sulphate 15 mg in 1 ml OXYGEN RESUSCITATOR (j) To deliver 35 per cent oxygen by positive pressure PREDNISOLONE Prednisolone SALBUTAMOL Salbutamol aerosol inhaler unit, giving 100 micrograms per metered inhalation SKIN SWABS Alcohol impregnated swabs, sterile SYRINGE AND NEEDLE, HYPODERMIC, PACK Sterile disposal conforming to BSIStandard BS 691 published on 31.12.79 (1) 2 ml syringe with 0.8 mm (21g) x 4 cm needle (2) 20 ml syringe with 0.8 mm (21g) x 4 cm needle (3) 1 ml insulin syringe 100 units with 0.5 mm (25g) x 16 cm needle
ORDERING SIZE
QUANTITY REQUIRED
2 ml ampoule 2 ml ampoule 1 ml ampoule 1 litre
5 5 1 1 10
10 100 mg vial 2
10 ml vial
1 1
1 ml ampoule
1 1
5 mg tablet
25 1
10
2 2 2
NAME OF MEDICINE, etc (ordering name is in small letters) STETHOSCOPE SPHYGMOMANOMETER
ORDERING SIZE
QUANTITY REQUIRED 1 1
SECOND SCHEDULE
Regulation 11.
ADDITIONAL ITEMS REQUIRED ON VESSELS CARRYING CHEMICALS AS WHOLE OR PART OF CARGO 1. When a vessel is carrying a chemical as whole or part of the cargo, the master must ensure that the correct antidote to the chemical plus necessary ancilliary equipment (i.e. syringes) are also carried. 2. The correct antidote can be identified from the following Table. The Table numbers shown at the top of each column relate to the tables in the Chemical Supplement to the Ship Captains Medical Guide and the IMO Medical First Aid Guide. 3. Where a X is marked in the Table, it indicates that the medicine or medical store is to be carried and the quantity that is required to be carried is specified in the Chemical Supplement to the Ship Captains Medical Guide and the IMO Medical First Aid Guide. Table No. Medicines or Medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 100 101 105 110 111 115 120 125 130 135
Table No. Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or Medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol
100 X
101 X
105 X
110 X
111 X
115 X
120 X
125 X
130 X
135 X
X X X X X 140
X X X X X 145
X X X X X 150
X X X X X 155
X X X X X 160
X X X X X 165
X X X X X 170
X X X X X 175
X X X X X 181
X X X X X 200
X X
X X
X X X
X X X X
X X X X X
X X X
X X X X X X X X X
X X X X X
X X X
Table No. Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or Medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen
100 X X X X X 205
101 X X X X X 210
105 X X X X X 215
110 X X X X X 220
111 X X X X X 225
115 X X X X X 230
120 X X X X X 235
125 X X X X X 240
130 X X X X X 245
135 X X X X X 300
X X
X X X X X X X X X X X
X X X X X X X X
X X X
X X X X X X X X X X X X X X X X X X X X X X X
X X X
X X X
X X X
X X X
X X X
X X X
X X X
X X X
X X X
X X X
Table No. Syringe and Needles Gauze pads Labels (b) Table No. Medicines or Medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b)
100
101
105
110
111
115
120
125
130
135
X X 305
X X 306
X X 307
X X 308
X X 310
X X 311
X X 312
X X 313
X X 314
X X 315
X X
X X X
X X
X X
X X X
X X X X X X X X X X X X X X X X X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
Table No. Table No. Medicines or medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or medical Stores Activated charcoal
100 320
101 321
105 322
110 323
111 325
115 330
120 331
125 335
130 340
135 345
X X
X X
X X X X
X X X X X
X X X X X
X X X X X X X X X
X X X
X X X
X X X X X 350
X X X X X 355
X X X X X 360
X X X X X 365
X X X X X 370
X X X X X 375
X X X X X 376
X X X X X 500
X X X X X 505
X X X X X 506
Table No. Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine
100
101
105
110
111 X
115
120
125
130
135
X X X
X X
X X
X X X X X X X
X X X X X X X
X X X
X X X X X X X
X X X X X 510
X X X X X 515
X X X X X 520
X X X X X 525
X X X X X 530
X X X X X 535
X X X X X 540
X X X X X 545
X X X X X 550
X X X X X 600
Table No. Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine
100
101
105
110
111
115
120
125
130
135
X X
X X X X
X X X X X
X X X
X X X X X X X X X
X X X X X
X X X X X X 601 X X X X X 605 X X X X X 606 X X X X X 610 X X X X X 615 616 X X X X X X 620 X X X X X 630 X X X X X 635 X X X X X 640
Table No. Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide
100 X
101
105
110
111 X
115 X
120
125
130
135 X
X X X X X
X X X X X X
X X X X X X X
X X X X X 645
X X X X X 700
X X X X X 705
X X X X X 710 711 715 X X X
X X
X X X X X
X X X X X 735
X X X X X 740
720
725
X X X X
Table No. Magnesium trisilicate Methylene blue Metoclopramide Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b) Table No. Medicines or medical Stores Activated charcoal Aminophylline Amyl nitrite Ascorbic acid Atropine Calcium gluconate Chloramphenicol Chlorpheniramine Chlorpromazine Diazepam Dimercaprol Ethyl alcohol Frusemide Magnesium trisilicate Methylene blue Metoclopramide
100
101
105
110
111
115
120
125
130
135
X X X X X X X X X X X X X X
X X X X X X X X X
X X X X X 741
X X X X X 745
X X X X X 750
X X X X X 800
X X X X X 805
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X X X X
X X X
X X
Table No. Morphine Paracetamol Polyethylene glycol Salbutamol Vitamin K1 Fluoroscein Oxygen Syringe and Needles Gauze pads Labels (b)
100 X X
101 X X
105 X X
110 X X
111 X X
115
120
125
130
135
X X X X X
X X X X X
X X X X X
X X X X X
X X X X X
THIRD SCHEDULE
Regulation 2 and the First Schedule
MALARIA AREAS All areas shaded on the map which forms part of this Schedule are malarial areas.
FOURTH SCHEDULE
Regulations 13 and 14(3) (f)
PART I SPECIFICATION OF DISINFECTANTS 1. General description The disinfectant shall be a white fluid and shall be a finely dispersed, stabilised emulsion containing coal-tar acids or other phenolic bodies, with or without hydrocarbons. 2. Germicidal value and the method of its determination The germicidal value shall not be less than 1.7 when determined by the modified Chick-Martin method as laid down by the British Standards Specification No. 808, confirmed by PD 2627, 1960. 3. Stability before dilution On standing for 3 months at ordinary temperatures (5C o 30C) the disinfectant fluid shall not precipitate nor show separation of more than traces of oil. A creamed fluid which can be rendered homogenous by gentle mixing may be carried. 4. Stability after dilution The disinfectant fluid shall be miscible with distilled water and artificial seawater (27 grammes of sodium chloride and 5 grammes of crystalline magnesium sulphate (MgSO471120) dissolved in and made up to 1,000 ml with distilled water and filtered before use) in proportions of 1, 2, 3, 4 and 5 per cent to give a stable emulsion which shall not break nor show more than traces of separation of either top or bottom oil, when maintained at 18C - 22C for 6 hours, the sample and diluent having each been brought to a temperature within that range before mixing by pouring the sample into the diluent from a cylinder.
5. Odour and corrosive action The fluid shall be free from objectionable smell and when used as directed shall have no more corrosive action on metals than that occasioned by the water employed as a diluent. PART II SPECIFICATION OF INSECTICIDES AND MEANS OF APPLICATION 1. Insecticide formulations: (a) When used in accordance with instructions for use which shall be specified on the label affixed to the container of an insecticide spray solution or insecticide powder (i) (ii) (b) (c) shall be effective for the purpose specified in those instructions; and shall not be harmful to humans;
shall be suitable for use in crew and passenger accomodation and in spaces used for the preparation of food; and shall be free from offensive odour and, so far as possible, shall be non-staining.
2. Insecticide formulations shall be (a) in the form of a spray solution not having a flash point lower that 48.9C (120F) when tested by the Abel method and containing an effective concentration of insecticide, when applied as a space spray or as a residual spray in accordance with instructions referred to in regulation 6(a) by either (i) (ii) (b) a hand-operated, continuous-action sprayer fitted with a nozzle capable of producing a fine mist without coarse droplets; or a pre-packed press-button pressure canister; and
in the form of a powder packed in a dredger and effective when applied to the body or clothing of an infected person in accordance with the instructions referred to in regulation 6(a).
Made this 30th day of January 1996. TEO MING KIAN Permanent Secretary, Ministry of Communications, Singapore. [MARINE 0140/2B; AG/SL/10/92 Vol. 2]

Merchant Shipping (Medical Stores) Regulations 1996 - Medicines and Medical Stores For Foreign Going Ships

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Merchant Shipping (Medical Stores) Regulations 1996 - Medicines and Medical Stores For Foreign Going Ships

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Singapore Statutes Online - 56 - Merchant Shipping (Medical Stores) Regulations 1996 Page 1 of 36

Merchant Shipping (Medical Stores) Regulations 1996 Enacting Formula

NAME OF MEDICINE (ordering name is in small letters)

NAME OF MEDICINE (ordering name is in small letters)

ATROPINE Atropine sulphate injection 1 mg in 1 ml BENZOIC ACID

NAME OF MEDICINE (ordering name is in small letters)

NAME OF MEDICINE (ordering name is in small letters)

NAME OF MEDICINE (ordering name is in small letters)

NAME OF MEDICINE (ordering name is in small letters)

NAME OF MEDICINE (ordering name is in small letters)

Name of Item and Ordering Description

(2) Epilation with oblique ends 1 12.5 cm (3) Sinus, 12.5 cm 1

Name of Item and Ordering Description

(4) Spencer Wells', 12.5 cm

2 ml ampoule 2 ml ampoule 1 ml ampoule 1 litre

NAME OF MEDICINE, etc (ordering name is in small letters) STETHOSCOPE SPHYGMOMANOMETER

X X X X X 710 711 715 X X X

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