Merchant Shipping (Medicines, Medical Stores And Appliances) Rules, 1966

The Merchant Shipping (Medicines, Medical Stores And Appliances) Rules, 1966

Published vide Notification Gazette of India, 1966, Part 2, Section 3(ii), page 1746.

1894

G.S.R. 1573, dated 7th October, 1966. - In exercise of the powers conferred by Section 172 read with Section 457 of the Merchant Shipping Act, 1958 (44 of 1958) and in supersession of all the existing rules on the subject, the Central Government hereby makes the following rules, namely :-

1. Short title, commencement and application.- (1) These rules may be called the Merchant Shipping (Medicines, Medical Stores and Appliances) Rules, 1966.

(2) They shall come into force at once.

(3) They shall apply to all foreign-going Indian ships and all home-trade Indian ships of two hundred tons gross or more but shall not apply to unberthed passenger ships or pilgrim ships.

2. Definitions.- In these rules, unless the context otherwise requires :-

(a) "Act" means the Merchant Shipping Act, 1958 (44 of 1958);

(b) "Medical Officer" means a person possessing a degree in medicine and surgery of any recognised University and enrolled as a Medical Practitioner on the register of the Medical Council of any State and also holds a valid licence issued by the Health Officer of the port of departure of the ship in the form prescribed under the Merchant Shipping (Carriage of Medical Officers) Rules, 1961;

(c) "Official pharmacopoeia" means the Indian Pharmacopoeia (I.P.), the National Formulary of India (N.F.I.), or the British Pharmaceutic Code (B.P.C.);

(d) "Port health officer" means any person appointed by the Central Government either by name or by virtue of his office, to be the Health Officer of a port and includes-

(i) an additional, deputy or assistant port health officer, or any officer appointed by the Central Government, either by name or by virtue of his office, to perform any of the duties of a health officer of a port;

(ii) a person appointed by the Central Government under sub-section (3) of Section 172 of the Act to inspect the medicines, medical stores and appliances with which a ship is required to be provided;

(e) "Schedule" means a Schedule to these rules.

[3. Scales of Medicines, etc. - (1) Every foreign-going ship which is required to carry on board a medical officer in accordance with the provisions of Section 173 of the Act shall have on board the medicines, medical instruments, appliances, dressings and general medical equipments in quantity specified in Schedule I.

(2) Every foreign-going ship which is not required to carry on board a medical officer in accordance with Section 173 of the Act and every home-trade ship engaged in voyages which exceed fourteen days in either direction shall have on board, if the ship carries up to 40 persons, the medicines, medical instruments, appliances, dressings and general medical in quantity specified in sub-Column (a) of column (2) of Schedule 11 and, if the ship carries over 40 persons, in quantity specified in sub-column (b) of column (2) of the said Schedule :

Provided that where a ship proceeds on a voyage exceeding six months, it shall carry double the quantities of medicines and dressing specified in sub-column (a) or, as the case maybe, sub-column (b) of column (2) of the said Schedule.

(3) Every home-trade ship engaged in voyages not exceeding fourteen days in either direction, other than a ship to which sub-rule (4) applies, shall have on board the medicines, medicals instruments, appliances, dressing and general medical equipments in quantity specified in column (3) of Schedule II :

Provided that any such ship which is never more than twelve hours away from a port of call may not carry on board the medicines, medical stores and appliances indicated by symbol (*) in column (3) of the said Schedule.

(4) Every home-trade ship which is solely engaged in the coastal trade of India shall have on board the medicines, medical instruments, appliances, dressings and general medical equipments in quantity specified in column (4) of Schedule II.]

[4. Standards of Medicines, Instruments, Appliances, Dressings and General Medical Equipments. - All such medicines, instruments, appliances, dressings and general medical equipments shall conform to the special requirements relating to labelling, packaging, storage, etc., specified in Schedule I or, as the case may be, in column (5) of Schedule II.]

5. Labels.- (1) All labels on containers or wrapping shall be rendered resistant to moisture by the use of an efficient label varnish or by some other suitable means.

(2) All labels shall indicate---

(a) both the English and the full Latin name of the preparation as given in the official pharmacopoeias; and

(b) the prescribed maximum and minimum doses.

(3) Each preparation shall also have a label showing thereon the name and address of the supplier.

(4) The articles to be used externally only, shall have on the container or wrapping, a label bearing the words "for external use only".

6. Poisons.- [(1) Every medicine indicated by the symbol (P) in Schedule I of indicated as "poison" in column (5) of Schedule II, shall have on its container or wrapping a label with the word "POISON" printed thereon in capital letters either in red lettering or on a red background.]

(2) All such medicines shall be kept under lock and key in a separate cabinet and the key of the cabinet shall be kept in the charge of the Medical Officer, where such officer is on board, or otherwise in the charge of the master of the ship.

7. Inspection of Medicines, etc., by Port Health Officer.- (1) The medicines, medical stores and appliances on board a ship shall be inspected at least once in twelve months by the Port Health Officer.

(2) If the Port Health Officer is satisfied that the provisions of these rules have been complied with, he shall give to the master of the ship a certificate in the form set out in [Schedule III].

8. Substitutes.- If any particular item of medicine or medical store in Schedule I, II or III is not available, a substance having closely similar pharmacological action or, in the case of prescribed preparations of formulations, similar preparations or formulations which comply with the standards laid down therefor in official pharmacopoeia, may be substituted after obtaining the sanction of the Port Health Officer.
9. Exemptions.- --(1) The Central Government may, by order in writing and upon such conditions, if any, as it may think fit to impose and for reasons to be recorded, exempt any ship from carrying on board any particular item required by these rules to be carried thereon.

(2) The exemption order shall be in the form set out in [Schedule IV].

Schedule I

[See rule 3(1)]

Part I

Medicines

Sl. No.	Names of Medicines	Quantity for 100 persons (Unless otherwise mentioned)
(1)	(2)	(3)
1.	Ammonium Bicarbonate	15g.
2.	Anti-tetanus Serum (1500 units) (C)	4 ampoules/vessel.
3.	Application of Benzyl Benzoate (25%) N.F.I.	250 c.c./250 persons.
4.	Bismuth Subnitrate or Carbonate	60g.
5.	Boric Acid.	125 g.
6.	Brandy.	250 c.c.
7.	Calamine Lotion.	125 c.c./250 persons.
8.	Chloramphenicol Capsules (250 mg.) N.F.I.	100 capsules/500 persons.
9.	Chloroform (C) in amber coloured air-tight bottle (P)	500 c.c./vessel.
10.	Codeine Linctus N.F.I.	125 c.c./500 persons.
11.	Collodion Flexible (Meth) N.F.I.	50 c.c./vessel.
12.	Creosote (P).	30 c.c./vessel.
13.	Diphtheria Antitoxin each c.c. containing notless than 2000 units (C)	20000 units/vessel.
14.	Ear drops, Neomycin and Bacitracin (Ba-Sulph)	1 bottle/500 persons.
15.	Ear drops, Phenol and Amethocaine N.F.I. (P)	15 c.c./vessel.
16.	Ether anaesthetic (in amber coloured air-tight bottles) (C)	500 c.c./500 persons.
17.	Ethyl Chloride (50 g. tubes for local spray anaesthesia)	5 tubes/vessel.
18.	Eye Drops. Mild Silver Protein (1% solution in blue bottle) (L) N.F.I.	20 c.c./vessel.
19.	Glucose	500 g./vessel.
20.	Glucose for injection (25% Sol. 25 c.c.)	25 amps./vessel.
21.	Glucose for injection (5% Sol. 25 c.c.)	10 amps./vessel.
22.	Glucose saline-sterile isottonic in 500 c.c. bottle	2 bottles/vessel.
23.	Glycerine	120 c.c./vessel.
24.	Glycerine suppositories (children size) N.F.I.	12/vessel.
25.	Hydrogen Peroxide Solution (to be supplied in 125 c.c. amber coloured sealed bottle) (C)	2 bottles/vessel.
26.	Injection of Acetanilide group of local anaesthesia in cartridges of 2 c.c. (Xylocaine) (Lignocaine, etc.) (P)	5 cartridges/250 persons.
27.	Injection Aminophylline 250 mg. in 10 c.c. ampoules I.P.	6 amps./500 persons.
28.	Injection Alropine Sulphate 0.6 mg. in 1 c.c. ampoules N.F.I. (P).	6 amps/250 persons.
29.	Injection Calcium Gluconate 10% in 5 c.c. ampoules I.P.	5 amps./500 persons.
30.	Injection Chlorpromazine 50 mg. per ml. in 2 ml. ampoules	6 amps./vessel.
31.	Injection Emetine Hydrochloride 60 mg. in 1 c.c. ampoules I.P. (P)	12 amps./250 persons.
32.	Injection Epinephrine 0.5 c.c. per ampoules I.P. (C)	3 amps./250 persons.
33.	Injection Ergometrine Maleate 0.5 mg. in 1 c.c. ampoules I.P. (P)	3 amps./250 persons.
34.	Injection Hydrocortisone Acetate 25 mg. per c.c. in 5 c.c. ampoules (L) N.F.I. (P)	3 amps./500 persons.
35.	Injection Hyoscine Hydrobromice 0.6 mg. in 1 c.c. ampoules(L) I.P. (P)	3 amps./250 persons.
36.	Injection Insulin in 5 c.c. vials of 40 units/c.c. I.P. (C)	1 vial/vessel.
37.	Injection Liver Crude in 1 c.c. ampoules I.P. (P)	5 amps./500 persons.
38.	Injection Mersalyl 2 ml. ampoules	6 amps./vessel.
39.	Injection Morphine Sulphate 10 mg. in 1 c.c. ampoules I.P.	12 amps./250 persons.
40.	Injection Nikethamide in 2 c.c. ampoules N.F.I.	6 amps./250 persons.
41.	Injection Non-Adrenaline 2 ml. ampoules	6 amps./vessel.
42.	Injection Oestradiol Monobenzoate 1 mg. in 1 c.c. ampoules I.P.	5 amps./vessel.
43.	Injection Pethidine Hydrochloride 50 mg. per ml. in 2 ml. ampoules I.P. (P)	6 amps./vessel.
44.	Injection Pituitary (Posterior lobe) in 0.5 c.c. ampoules I.P.	3 amps./vessel.
45.	Injection Phenisamine-p-amino-Salicylate (Inj. Avil) 0.05 g. per ml. in 1 ml. ampoules)	6 amps./vessel.
46.	Injection Procainamide Hydrochloride in 10 c.c. vials N.F.I.	2 vial/vessel.
47.	Injection Procaine Hydrochloride and Epinephrine in 1 c.c. amp. (L) I.P. (P)	2 amps./vessel.
48.	Injection Progesterone in 1 c.c. ampoules I.P.	5 amps./vessel.
49.	Injection Quinidine Sulphate 1 ml. ampoule	6 amps./vessel.
50.	Injection Quinine Dihydrochloride 300 mg. in 1 c.c. ampoules (for intravenous use) (This solution must be diluted before use with at least 10 times its volume of sterile saline) I.P.	3 amps./vessel.
51.	Injection Thrombokinase such as Coagulen 'Ciba'	5 amps./vessel.
52.	Injection Vitamin B Complex in 10 c.c. vial	1 vial/vessel.
53.	Injection Vitamin B121000 mcg. per c.c. in 1 c.c. ampoules	10 amps./vessel.
54.	Injection Vitamin K 10 mg in 1 c.c. ampoules	6 amps./vessel.
55.	Inecacuanha and opium powder 0.3 g. in capsules I.P.	25/vessel.
56.	Jelly, Tannic acid or Proflavine Cream B.P.C. 1959 (for burns)	250 c.c./vessel.
57.	Kaolin Light	30 g./250 persons.
58.	Kaolin Poultice (Kataplasma)	250 g./500 persons.
59.	Lamell Atropine Sulphate 0.012 mg. (tubes of 20)(P)	2 tubes/vessel.
60.	Lamell Cocaine 1.2 mg. (tubes of 20)(P)	2 tubes/vessel.
61.	Lamell Fluoresce in Sodium 0.06 mg. (tubes of 20)	2 tubes/vessel.
62.	Lamell Physostigmine 0.06 mg. (tubes of 20) (P)	2 tubes/vessel.
63.	Lead Subacelate (strong solution) (P)	60 c.c.
64.	Lint Camphor Compound (P)	125 c.c./500 persons.
65.	Lint Methyl Salicylate	125 c.c./500 persons.
66.	Lint Turpentine	125 c.c./500 persons.
67.	Liquid extract of Glycyrrhiza (Liquorice)	60 c.c.
68.	Liquid Paraffin	259 c.c./vessel.
69.	Magnesium Carb. (heavy)	60 g.
70.	Magnesium Carb. (light)	30 g.
71.	Magnesium Sulphate	500 g./250 persons.
72.	Magnesium Trisilicate	250 g./500 persons.
73.	Mandi's Throat Paint	60 c.c./500 persons.
74.	Nasal drop of Ephedrine N.F.I.	30 c.c./vessel.
75.	Oil-Castor	500 c.c./500 persons.
76.	Oil-Clove	20 c.c./500 persons.
77.	Oil-Mentha Piperita	60 c.c./vessel.
78.	Oil-Turpentine	60 c.c./vessel.
79.	Oint. Ammoniated Mercury (2.5 %) I.P. (P)	30 g.
80.	Oint. Benzocoaine Compound (in collapsible tubes of 30 g. with applicator) N.F.I.	5 tubes/250 persons.
81.	Oint. Boric acid	60 g./500 persons.
82.	Oint. Dithranol I.P.	60 g./250 persons.
83.	Oint. Sulphathiazole incollapsible tubes of 30 g. (P)	2 tubes/500 persons.
84.	Oint. Hydrocortisone (Eye) in collapsible tubes of 5 g. N.F.I. (P)	1 tube/vessel.
85.	Oint. Oxytetracycline Hydrochloride (Eye) in collapsible tubes of 5 g. N.F.I.	2 tubes/500 persons.
86.	Oint. Oxytetracycline Hydrochloride (Skin) in collapsible tubes of 30 g.	2 tubes/500 persons.
87.	Oint. Methyl Salicylate N.F.I.	60 g./250 persons.
88.	Oint. Zinc Oxide N.F.I.	60 g./250 persons.
89.	Oxytetracycline Capsules (250 mg.) N.F.I.	50 capsules.
90.	Paraffin Soft (Yellow).	500 g./250 persons.
91.	Penicillin Sodium G. Crystalline (500,000 units per vial)	10 vials.
92.	Penicillin Procaine G 300,000 unit with crystalline penicillin salt 10,000 units per vial (buffered) (P)	10 vials.
93.	Phenol (P)	30 c.c./500 persons
94.	Plasma Transfusion set with one bottle of dried plasma (a)	1 set/vessel.
95.	Potassium Bromide	30 g.
96.	Potassium Citrate	60g.
97.	Potassium iodide	30 g./250 persons.
98.	Potassium permanganate	15 g./vessel.
99.	Salicylic Acid	15g./vessel.
100.	Sodium Acid	15 g./vessel.
101.	Sodium Chloride sterite hypertonic solution in 500 c.c. bottle	2 bottles/vessel.
102.	Sodium Chloride sterite hypertonic solution in 500 c.c. bottle	2 bottles/vessel.
103.	Sodium Salicylate	125 g./250 persons.
104.	Solution Iodine (weak) N.F.L.	250 c.c./vessel.
105.	Solution Mercurochrome 4%.	30 c.c.
106.	Spirit of Aromatic Ammonia	120 c.c./250 persons.
107.	Spirit of Nitrous Ether	60 c.c./250 persons.
108.	Spirit Rectified	120 c.c./vessel.
109.	Sulphanilamide Dusting Powder (P)	125 g./250 persons.
110.	Strong Solution of Ammonium Acetate	60 c.c.
111.	Syrup Tolu	120 c.c./250 persons.
112.	Tab. Acetylsalicylic acid 0.3 g. N.F.I.	100
113.	Tab. Acetylsalicylic and codeine N.F.I.	100/vessel.
114.	Tab. Aluminium Hydroxide N.F.I.	25/250 persons.
115.	Tab. Aminophylline 100 mg. N.F.I.	25/250 persons.
116.	Tab. Amodiaquine Hydrochloride 200 mg.. (Camoquin) or chloroquine Sulphate 200 mg. N.F.I.	50/250 persons.
117.	Tab. Amphetamine Sulphate N.F.I. (P)	25/vessel.
118.	Tab. Butobarbitone O.I.G. N.F.I. (P).	50/250 persons.
119.	Tab. Calcium gluconate 1 g. N.F.I.	50/500 persons.
120.	Tab. Charcoal activiated 0.5 g. N.F.I.	50/500 persons.
121.	Tab. Chlorpromazine Hydrochloride 25 mg. (L) N.F.I. (P)	50/250 persons.
122.	Tab. Chlorthiazide 0.5 g. N.F.I. (P)	25/500 persons.
123.	Tab. Codeine Compound I.P. (L) (P)	100
124.	Tab. Dexamethasone 0.5 mg.	25/vessel.
125.	Tab. Di-iodohydroxyquinoline N.F.I. (L)	100
126.	Tab. Digoxin 0.25 mg. N.F.I. (P)	25/250 persons.
127.	Tab. Ephedrine Hydrochloride 30 mg. I.P. (P)	25/250 persons.
128.	Tab. Ethyll Biscoumacelateg0.3. g. (Tromexan) I.P.	50/vessel.
129.	Tab. Ferrous Gluconate 300 mg. N.F.I.	50/500 persons.
130.	Tab. Glyceryl Trinitrate 0.5 mg. I.P. (C)(L)(P).	25/vessel.
131.	Tab. Hyoscine Hydrobromide 0.6 mg. N.F.I. (P)	50/vessel.
132.	Tab. Mepyramine Maleate 50 mg. or Promethazine Hydrochloride 25 mg. N.F.I. (P)	50/250 persons.
133.	Tab. Oxtriphylline (Choledyl) 100 mg.	50/500 persons.
134.	Tab. Pethidine Hydrochloride 25 mg. N.F.I. (P)	50/500 persons.
135.	Tab. Phenobarbitone 30 mg. I.P. (P)	100/250 persons.
136.	Tab. Phenolphthalein N.F.I.	25
137.	Tab. Phthalyl Sulphathiazole 0.5 g. or Tab. Sulpha Succidine 0.5 g. N.F.I. (P)	200
138.	Tab. Piperazine Citrate N.F.I.	100/vessel.
139.	Tab. Prednisolone 5 mg. N.F.I. (P)	20/250 persons.
140.	Tab. Prednisone 5 mg. N.F.I. (P)	20/250 persons.
141.	Tab. Quinine Dihydrochloride 0.3 g. N.F.I.	50/vessel.
142.	Tab. Reserpine 0.25 mg. (L) N.F.I. (P)	50/250 persons.
143.	Tab. Sodium Bicarbonate Compound I.P. (Sodamint. tablets)	60
144.	Tab. Sodium Chloride 1 g. N.F.I.	200/vessel.
145.	Tab. Streptomycin 0.5 g.	20/250 persons.
146.	Tab. Sulphadimidine 0.5 g. N.F.I. (P)	100
147.	Tab. Sulphadiazine 0.5 g. N.F.I. (P)	100
148.	Tab. Vegetable Laxative	100
149.	Tab. Vitamin B Complex	100/500 persons.
150.	Tab. Vitamin Compound N.F.I.	100/500 persons.
151.	Tinct. Aconite (P)	30 c.c./250 persons.
152.	Tinct Belladonna (P)	60 c.c./500 persons.
153.	Tinct. Benzoin Co.	120 c.c/250 persons.
154.	Tinct. Camphor Co.	30 c.c./250 persons.
155.	Tinct. Cardamom Co.	30 c.c./250 persons.
156.	Tinct. Chloroform and Morphine Co.	60 c.c./250 persons.
157.	Tinct. Digitalis (P)	30 c.c./250 persons.
158.	Tinct. Gentian Co.	30 c.c./250 persons.
159.	Tinct. Hyoscyamus	30 c.c./250 persons.
160.	Tinct.Ipecacuanha	30 c.c./250 persons.
161.	Tinct. Lobelia sethereal	30 c.c./250 persons.
162.	Tmct. Nux Vomica (P)	30 c.c./250 persons.
163.	Tinct. Opium (P)	30 c.c./250 persons.
164.	Tinct. Ammoniated Quinine	30 c.c./250 persons.
165.	Tinct. Scilla	30 c.c./250 persons.
166.	Tinct. Velerian Ammonia	60 c.c./vessel.
167.	Vaccine Lymph (C-below 0°C)	50 c.c./vessel.
168.	Vitrella (crushable glass capsules) Amyl Nitrite 5 min. N.F.I. (Not to be used after 12 months of supply)	6/vessel.
169.	Water for injection in 5 c.c. ampoules I.P.	50 amps./500 persons.

Part II

Medical Stores

Sundries

Sl. No.	Articles		Quantity per 250 persons
1.	Antiseptic (vide Appendix A for specification).		500 c.c.
2.	Anti V.D. Outfit (vide Appendix B for specification)		for the first 50 members, one outfit per member and one outfit for two members of the crew exceeding 50 to a maximum of 1 gross.
3.	Basin Enamelled Iron (Minimum size 20 cm. diam. by 10 cm. depth)		1
4.	Bedpan		2/500 persons.
5.	Blankets (Baby)		3/vessel.
6.	Books (The Ship Captain's Medical Guide-latest edition)		1/vessel.
7.	Bottles (a) 60 ml.		18
	(b) 180 ml.		36
8.	Boxes
	(a) Ointment		2 doz.
	(b) Pill		2 doz
9.	Bucket with lid		1/vessel.
10.	Corks
	(a) To fit 60 ml. bottles		36
	(b) To fit 180 ml. bottles		72
11.	Cups feeding, porcelain		3/vessel.
12.	Disinfectant (Cresol or equivalent) (vide Appendix A for specification)		15 litres/500 persons.
13.	Douche Reservoir 1 litre with 2 metres of best rubber tubing & stopcock		2/vessel.
14.	Eye Baths (of glass, porcelain or plastic which is unaffected by immersion in boiling water for 5 minutes)		3/vessel.
15.	Eye Droppers		3/vessel.
16.	Eye Shades		3
17.	Finger Cots, Rubber (Assorted size)		6
18.	Funnels (Enamel, glass or plastic) (5 cm. and 10 cm.)		2/vessel.
19.	Gelatine Capsules, empty		50/vessel.
20.	Gloves Rubber-Surgical		2 pairs/vessel.
21.	Hot water bottles (Rubber) (20 cm. x 30 cm.) with cover		2
22.	Ice Bag		I/vessel.
23.	Ice Chest (if no cold storage).		1/vessel.
24.	India Rubber Sheeting 1 metre wide		2 metres.
25.	Infant's prepared Milk Food		0.5 kilograms.
26.	Insecticide
	(a) Liquid (vide Appendix C for specification)		50 litres
	(b) Powder	Do.	125 g.
	(c) Sprayer	Do.	2/vessel.
27.	Invalid prepared Milk Food		500 g.
28.	Labels-Plain (in packets of 100)		2/vessel.
	-Poison (in packets of 50)		1/vessel.
29.	Measures-glass graduated, one set consisting of two 5 ml., two 50 ml. and one 100 ml. measures		1/set/vessel.
30.	Methylated spirit (mineralised)		1/litre.
31.	Mortar and postle		1/vessel.
32.	Nail Brush		1/vessel.
33.	Napkins (Baby)		1 doz./vessel.
34.	Oxygen		1150 litres/500 persons.
35.	Oxygen Therapy Outfit (vide Appendix D for specification)		1 outfit/vessel.
36.	Palette Knife (236 cm.) (of stainless steel)		1/vessel.
37.	Paper-
	Dispensary (White demy)		1 quire/vessel.
	Filter (in sizes to fit funnels)		100/vessel.
38.	Safety Pins (5 cm.)		5 dozen/vessel.
39.	Safety Razor		1/vessel.
40.	Safety Razor Blades		1 dozen/vessel.
41.	Scissors Ship		1/vessel.
42.	Scales and weights		1 set/vessel.
43.	Sputum mug (with hinged lid)		3/vessel.
44.	Stabilized chloride of lime (in 100 g. sealed tins) (vide Appendix E for specification)
45.	[Stretcher of Neil-Robertson type or of any other type approved by the Director-General]		1/vessel.
46.	Temperature Charts		4 dozen/vessel.
47.	Torch with one dozen battery cells		1/vessel.
48.	Urinals (both male and female)		1 each/vessel.
49.	Urinary testing apparatus (Rack for 6 test tubes, uinometer, spirit lamp, litmus paper, 2 pipettes, 12 test tubes, one 60 ml. bottle containing acetic acid, one 60 ml. bottle containing nitric acid, one 120 ml. bottle containing Benedict's solution (qualitative)		1 set/vessel.

Part III

Medical Stores, Instruments and Appliances

Irrespective of number of persons carried and length of voyages except where indicated

Articles	Quantity
A. Main instrument case, metal lined, with trays or white enamelled with glass shelves containing the following :	(Forships having 1000 persons 1 case or more on board.)
Catheters, prostatic, silver plated, sizes 6, 8 and 12	3 (1 each)
Director (hernia) (a)	1
Elevator, skull	1
Forceps (a)	12 pairs
Artery, Spencer Wells, 17.5 cm.	1 pair
Aural, Cumberbatch's	1 pair
Bone, angled on flat, 17.5 cm.	1 pair
Dissecting, 17.5 cm.	2 pairs
Laryngeal, Mackenzie's opening antero-posteriorly	1 pair
Tongue, Mayo's pattern, 17.5 cm.	1 pair
Gouge, Robert Jone's, Arthrodesis, 6 mm.	1
Knives (a)	…...
Blades, No. 23 B.P. type	2 dozen
Handles B.P. type suitable for No. 23 blades	2
Hernia	1
Tenotomy, sharp-pointed, Guy's pattern	1
Mallet with lead core	1
Mouth gag, Mason's (a)	1
Needle, aneurism	1
Needle Holder 20 cm. (a)	1
Retraotor, wound, double-ended, Navy-pattern, 3 cm. wide (a)	2
Saws
Amputation, 20 cm.	1
Fergusson's small (a)	1
Scissors (a)
Blunt-pointed, 17.5 cm.	1 pair
One blade sharp-pointed, and other blunt-pointed, 17.5 cm.	1 pair
Trephine, carbon steel, 2 cm.	1 pair
Trocars and Cannulae, sizes 8,16 and 21 French Catheter gauge (a)	3
B. Minor instrument case of washable canvas containing the following :-	1 case
Director, Probe pointed, 15 cm. (a)	1
Forceps-(a)
Artery, Spencer Wells, 15 cm.	2 pairs
Cheatles	1 pair
Dissecting, 15 cm.	1 pair
Dressing, 15 cm.	1 pair
Sinus, 15 cm.	1 pair
Splinter 10 cm.	1 pair
Probe, with eye (silver)	1
Scalpel, 15 cm. (P)	1
Scissors--(a)
Blunt-pointed, 15 cm.	1 pair
One blade sharp-pointed, and the other blunt pointed 15 cm.	1 pair
C. Dental instrument case of washable canvas containing the following :-	1 case
Dental Syringe (a)-Cartridge type together with 1 doz. 25 mm. needles and 1 doz. 30 mm. needles	1
Elevator (a) hospital pattern, in metal handle :
Left, stamped "Left elevator"	1
Right, stamped, "Right elevator"	1
Forceps-(a)
Dental packing
Incisor-Lower, stamped "Lower incisor"	1 pair
-Upper, stamped "Upper incisor"	1 pair
Molar-Lower, stamped "Lower Molar"	1 pair
-Upper, left, stamped "Upper Left Molar"	1 pair
-Upper, right, stamped "Upper Right Molar"	1 pair
Stump-Lower, stamped "Lower stump"	1 pair
-Upper, stamped "Upper stump"	1 pair
Probe-(a) Moon's single ended	1
Instrument and Appliances
1. Airway and mouth, London Hospital pattern, (set of three)	1 set
2. Applicators, wooden	100
3. Bougies-gum elastic, sizes, 2,4,6 and 8	1 container
(English gauge in glass or metal container with a sprinkling of French Chalk)
4. Catgut
Straight intestinal needles, sizes 4 & 8, threaded
with 00 catgut (70 cm.) in sealed glass tubes, 2 of each	4
20-day, in sealed glass tubes (70 cm.) Nos. 0, 1, 3,6 of each	18
5. Catheters
(i) With divery ends, gum elastic & stilettes-1 full set together with 2 Bi-Coudes gumelastic, sizes 8 & 10. English gauge in glass or plastic cylinder or metal box with hinged lid with a sprinkling of French Chalk	1 container.
(ii) Jacques rubber, sizes 4, 6, 8,10 and 12 in glass or plastic cylinder or metal box with hinged lid with a sprinkling of French Chalk	1 container.
(iii) Metal-Female (a)	1
6. Diagnostic Set containing May ophthalmoscope, auroscope with three inter-changeable specule, Duplay nasal speculum, bentarm throat lamp, one larygeal mirror, one post-nasal mirror, holder for wooden tongue spatula or metal tongue depressor, large battery handle and spare lamp	1 set.
7. Drainage---
Tubing, rubber, in 30 cm. lengths of each nos. 5, 10 & 20 gauge	3 lengths.
Corrugated rubber sheeting, 30 cm. x 15 cm.	1 sheet.
8. Drop bottle, chloroform, 60 ml. graduated.	1
9. Dropper, ether, Bellamy Gardner's	1
10. Eye spud with covered point (a)	1
11. Flatus tube	1
12. Inhaler, schimmelbusch	1
13. Microscope slides	6
14. Needles---
Anti-toxin, assorted sizes Record Mount	6
Hypodermic No. 15, diameter 0.6 mm., length 23 mm., Recorded Mount	1 dozen
Hypodermic No. 0, diameter 0.9 mm., length 41 mm., Record Mount	1 dozen
Drawing up (piercing end), diameter 1.83 mm., length 64 mm., Record Mount	3
Lumber puncture, 90 mm. Howard Jones, 20 B.W.G.	2
15. Shears, Plaster, Swedish pattern, Modified Lorenz's	1
16. Silk 4 sizes on metal reel	1 reel
17. Silk worm gut (assorted sizes), box containing 50	1 box.
18. Sphygmomanometer (Portable unspillable mercury type)	1
19. Splints---
Assorted thigh, leg and arm sizes	1 set.
Felt	1 sq. m.
Gooch Splinting (1 metre wide)	1 metre.
Thomas's small, medium and large	3
20. Steriliser---
Steam or electrically heated with automatic cut out (Large enough to contain mid-wifery forceps)	1
21. Stethoscope-
Binaural, complete	1
22. Stomach tube, 115 cm. (gauge 18-20) in red rubber with unbreakable funnel to fit and wooden gag	1
23. Suspensory bandages with under straps-Small	1
Medium	2
Large	2
24. Suture needles-Round bodies, cutting-edge, straight half-curved and curved, assorted sizes	3 dozen
25. Syringe-Ear, metal, 125 ml.	1
26. Syringe, Glycerin injection, with vulcanite nozzle,	15 ml.
27. Syringe, Higginso's with enema nozzle and one No. 8 jacques rubber catheter	3
28. Syringe, Hypodermic 2 ml.	3
29. Syringe, Hypodermic 10 ml.	2
30. Syringe, Hypodermic 25 ml.	1
31. Table for operation, metal with lithotomy crutches	1
	(legs to be provided with suitable fitting for attachment to deck).
32. Thermometer-Clinical, in metal or plastic protective case, lens fronted, 1/2 min.	3
33. Tongue depressors, wooden/or	100
Tongue depressor-metal (a)	1
34. Tourniquet Esmarch's or Samway's	1
35. Tracheotomy set consisting of-
Tracheotomy double tubes, assorted (including infant's size)	3
Trachea dilator	1
Sharp hook	1
36. Transfusion apparatus for intravenous saline	1 set
37. Tray, enamelled iron----
25 cm. x 17.5 cm.	1
30 cm. x 25 cm.	1
Kidney shaped, 250 mm.	2
38. Truss, elastic band type-Single 1 m. with retailed pad right	2
Single 1 m. with rattailed pad left	2
Double 1 m. with rattailed pad	2

Part IV

Medical Stores & Dressing %

Sl. No.	Articles	Quantity for 250 persons
1.	Bandages, Elastic Adhesive 6 cm. x 3 m. (Unstretched) (In metal containers)	2 containers
2.	Bandages, Plaster of Paris 7.5 cm. x 3 m. (In sealed containers)	6 containers
3.	Bandages, Triangular-not less than 1 m. (side, 1.25 m. base)	6
4.	Bandages, unbleached Calico 15 cm. x 6 m.	6
5.	W.O.W. 2.5 cm. x 3 m.	18
6.	W.O. W. 5 cm. x 4 m.	18
7.	W.O.W. 7.5 cm. x 4 m.	18
8.	Cotton Wool-60 g. 20 cm. wide (rolled in packets)	8 packets
9.	Cotton Wool-250 g. 30 cm. wide (rolled in packets)	1 packet.
10.	Dressings, Paraffin Gauze (B.P.C.) for burn and wound vide Appendix F.	3 cartons.
11.	Dressings, Plain Wound Standard No. 13 small (B.P.C.) 10 cm. x7.5 cm.	6
12.	Dressings, Plain Wound Standard No. 14 Medium (B.P.C.) 15 cm. x 10 cm.	6
13.	Dressings, Plain Wound Standard No. 15 large (B.P.C.) 20 an. x 15 cm.	6
14.	Flannel	2 sq. metres.
15.	Gauze, Absorbent Sterilised 1 m. x 15 cm.	9 packets.
16.	Gauze, Absorbent Sterilised 1m. x 30 cm.	9 packets.
17.	Gauze, Absorbent Sterilised 1m. x 1 cm.	9 packets.
18.	Gauze Absorbent, Ribbon 2.5 cm. x 6 metres	1 roll.
19.	Gauze and Cotton Tissues	0.5 kg.
20.	Jaconet 1 m. x 2m.	1/vessel.
21.	Lint Absorbent Sterilised 15 cm. x 30 cm.	18 packets.
22.	Lint Absorbent Sterilised 30 cm. x 30 cm.	9 packets.
23.	Lint Boric 5 cm. x 15 cm.	9 packets.
24.	Lint Boric 15 cm. x 30 cm.	12 packets.
25.	Plaster, Zinc Oxide 1.25 cm. x 5 metres (to be supplied on a spool)	1 spool.
26.	Plaster, Zinc Oxide 2.5 cm. x 5 metres (to be supplied on a spool)	1 spool.
27.	Plaster, Zinc Oxide 7.5 cm. x 5 metres (to be supplied on a spool)	1 spool.
28.	Sterilised Dressings etc. for major operation consisting of --	1/vessel having-- 1000 persons or more on board.
(i) 2 rolls of white absorbent gauze, each 1m. x 6 m. folded 20 cm. wide before rolling.
(ii) 6 absorbent gauze pads (twelve thicknesses of gauze) 25 cm. x 50 cm.	The whole of the dressings to be wrapped in grease proof paper, sterilised and encased in one or two hermetically sealed metal containers and labelled "Sterilised dressings for major operation."
(iii) 5 dozen gauze, swabs 15 cm. x 15 cm. (twelve thicknesses of gauzes titched at edges) packed in dozens
(iv) 1 manytail calico bandage
(v) 2 bandages 12.5 cm. x 6 m. whiteopen wove
(vi) 1 packet safety pins
(vii) 8 surgical towels 1m. x 0.5 m.
(viii) 2 Surgeon's caps
(ix) 2 gowns
(x) 2 surgical masks
29.	Unbleached Calico 1m. x 3m.	1/vessel.

*For external use. Liquid shall be supplied in green or amber coloured fluted bottles.

(C)-to be stored in cold storage between 1C and 10 C unless otherwise indicated; (L)-to be protected from light.

(P)-Poison; I.P. - Indian Pharmacopoeia; N.F.I. - National Formulary of India B.P.C. - British Pharmaceutical Code.

(a)-should be of rustless and stainless steel.

**The number of tins to be carried shall be calculated on the amount of stabilised chloride of lime required to produce a concentration of 1 part per million parts of water in the largest fresh water tank in the ship. (One 100 g. tin will be required for approximately 22700 litres of water) Stabilised chloride of lime need not be carried if a vessel is equipped with an efficient chlorinating plant.

%Each bandage cotton wool, dressing, gauze and lint is to be individually wrapped and duly labelled with measurements indicated on the label.

Note. - Wherever the quantity of medicines etc. is required to be carried for certain number of persons, the quantity shall be doubled as soon as the number is exceeded and trebled as soon as double the prescribed number is exceeded and so on.

Schedule II

[See rule 3(2),(3) and (4) and rule 4.]

Description of medicine, medical instruments, medical appliances, dressing and general medical equipment.	Minimum quantities to be carried on board by ships to which rule 3 (2) applies.		Minimum quantities to be carried on board by ships to which rule 3(3) applies.	Minimum quantities to be carried on board by ships to which rule 3(4) applies.	Special requirements regarding labelling, packaging and strorage.
	(a) For ships carrying up to 40 persons on board	(b) For ships carrying over 40 persons on board.
(1)		(2)	(3)	(4)	(5)
1. Aqua pro. injectious (water for Injection)	56	112	31	25	Each ampoule containing 5 co Pyrogen free distilled water. Lotion containing 25% w/v.
2. Applic. Benzyl Benzoate (Benzyl Benzoale application) ANTI-SCABIES LOTION	250 ml.	500 ml.	250 ml.	-	of Benzyl Benzoate with mulsifying agent and water.
3. Auristillae glyceris (Glycerine ear drops) (EAR DROPS)	30 ml.	60 ml.	30 ml.	-	Supply in bottle of distinective design with dropper.
4. Auristillae Neomycine Sulphas Cum Baciticnum (Ear drops Neomycine and Bactiracine) ANTISEPTIC EAR DROPS	1 Phial	1 Phial	1 Phial	-	--------
5. Capsule amylit nitris (amylnitrite capsules)	6	6	6	---	Each capsule 0.3 anylaitrite, covered with absorbent fabric. To be renewed after 12 months.
6. Capsulae tetracycline hydrochloride (Tetracycline hydrochloride capsules)	80	160	80(*)	----	Each capsule 250 mg. tetracycline hydrochloride, or an equivalent broad spectrum antibiotic with similar therapeutic effects (to be so labelled).
7. Compressi acidiacetylsalicylici (Acetylsalicylic acid tablets) ASPIRIM CAPSULES	250	500	200	100	Each tablet 300 mg. acetylsalicylic acid.
8. Compressi aminophylini 20 (Aminophylline tablets) AMINOPHYLLINE TABLETS	20	40	20(*)	-------	Each tablet 300 mg. aminiphylline. Label "POISON-to be used only or medical advice by radio."
9. Compressi Bellad. et Phenobard. (Belladonna Tablets) ANTI SPASMODIC TABLETS.	20	50	20	10	Each tablet containing 25 mg. of Belladonna. Dry Extract and 50 mg. of phenobarbitone. They should be protected from light.
10. Compressi Buto barbitali	40	80	20(*)	-----	Each tablet 100 mg. butobabitone. Supply in bottle of distinctive design. Label "POISON".
11. Compressi chloroquini sulfatis (Chloroquinesulfatablets) MALARIA TABLETS	300	500	100(*) (Only for ships operating in malarious areas)	-------	Each tablet 150 mg. chloroquine base : Chloroquine sulfate 200 mg. Chloroquine phosphate 250 mg. may be supplied as an alternative.
12. Compressi chlorothiazidi ((Chlorothiazide tablets))	20	40	20(*)	--	Each tablet 50 mg. chlorothiazide. Supply in bottle of distinctive design. Label "POISON"-to be used only on medical advice, transmitted in plain language and not by code.
13. Compressi chloromazini hydrochloridi (Chloropromazine hydrochloride tablets) TRANQUILLIZER TABLETS	20	40	20(*)	------	Each tablet 50 mg. chloropromazine hydrochloride Supply in bottle of distinctive design. Label "POISON"-to be used only on medical advice by radio.
14. Compressi codeine phosphat is (Codeine phosphate tablets) CODEINE TABLETS	200	300	100	40	Each tablet 15 mg. codeine phosphate, or an equivalent drug with similar therapeutic effects (to be so labelled).
15. Compressi colecynthidis etjalapae co. (Compoundcolocynth jalap tablets) VEGETABLE LAXATIVE	100	200	40	----	Each tablet 40 mg. compound colocynth extract/15 mg. hyescyamus dry extract/5mg. jalap resin/15 mg. podophyllum resin/0.006 ml. peppermint oil. Or an equivalent tlaxative with similar therapeutic effects (to be so labelled)
16. Compressi digozini (DIGOZIN TABLETS)	20	20	20	-----	Each tablet 0.25 mg. digoxin. Supply in bottle of distinctive design. Label “POISON”--to be used only on medical advice, transmitted in plain languge and not by code.
17. Hydroxyquinolin (Tablets of Di-lodo-Hydroxyqui noline) DYSENTARY TABLETS	100	250	50	25	Each tablet containing 0.3 mg. of Dilodo-Hydroxyquinolin. Label poison. They should be protected from light.
18. Compressiephedrinihy drochloridi (Ephedrine hydrochloride tablets) EPHEDRINE TABLETS	60	100	40	20	Each tablet 30 mg. ephedrine hydrochloride.
19. Compressi glycerylis trinitratis Glyceryl (trinitrate tablets) HEART TABLETS	20	40	20	------	Each tablet 0.5. mg. glyceryltrinitrate. Supply in of distinctive design. Label "POISION".
20. Compressi Hyoscini Hydrobromidi (Hynscine hydrobromide tablets) SEAS CKNESS TABLETS	100	200	50	50	Each tablet 0.3 mg. hyoscine hydrobromide, or an equivalent drug with similar therapeutic effects (to be so labelled). Supply in bottle of distinctive uesign, Label "POISON".
21. Compressi Kalii permanganatis (Potassium permanganate tablets)	50	100	20	20	Each tablet 60mg. potassium permanganate. Label "One tablet dissolved in 600 mol water may be used as an antiseptic lotion or stomach wash".
22. Compressi magnesii Hisilicatis (Magnesium trisilicate tablets) STOMACH TABLETS	250	500	100	100	Each tablet 250 mg. magnesium trisilicate/120 mg. dried aluminium hydroxide gel/0.02 ml, peppermint oil.
23. Compressi natrii chloridi solv. (Sodium chloride tablets) SALT TABLETS	1,000	2,000	500	250	Each tablet 500 mg. sodium chloride, 200 mg. dextrose. Double the quantity to be carried in vessels spending long periods in tropical areas.
24. Ccmpressi phenobarbitali (Phenobarhitone tablets) PHENOBARBITONE TABLETS	50	100	40	20	Each tablet 30 mg. phenobarbitone. Supply in bottle in distinctive design. Label "POISON".
25. Compressi Phthalysul phasthiazole. (Tablets of Phthalysulphathiazole) DIARRHOEA TABLETS	100	250	100	50	Each tablet containing 0.5 mg. of Phthalyisulphathiazole. Label "POISON". They should be protected from light.
26. Compressi phenoxymethyl pencillin (Phenoxymethl pencilin tablets) PENCILLIN	300	600	120	60	Each tablet 125 mg. phenaxymethl penicillin. Store in a cool dry place in container which will prevent access of moisture.
27. Compressi proguanili hydrochloridi(Proguanil hydrochloride tablets)	100	200	100 (Only for ships operating in malarious areas)	100	Each tablet 100 mg. proguanil hydrochloride. For ships proceeding on yoyages to malarious areas the quantity is to be increased to 50 tablets per crew member.
28. Compressi promethazini hydrochloridi (Promethazine hydrochloride tablets) ANTIHISTAMINE TABLETS	40	60	40	20	Each tablet 25 mg. promethanzine hydrochloride or an equivalent antihistamine with similar therapeutic effects (to be so labelled).
29. Compressi Sulfadimidini (Sulfadimidinitablets) SULFONAMIDE TABLETS	200	400	100	-	Each tablet 500 mg. sulfadimidine or an equivalent sulfonamide with similar therapeutic effects (to be so labelled). Supply in bottle of distrinctive design. Label "POISON".
30. Compressi Sulfamethoxypy ridazini (Sulfamethoxypy ridazine tablets) SMP TABLETS	300	600	100	----	Each tablet 500 mg. sulfamathoxy pyridazine. Supply in bottle of distinctive design. Label "POISON".
31. Conspersus dicophani (DDT dusting powder) INSECTICIDE POWDER.	500 g	1000 g	250 g (*)	-----	A white powder for application to personsand their clothing, harmless to skin and clothing and designed to destroy human infestation by insects and mites. Instructions for use on the label and insufflator included.
32. Conspersus zinci, amyli, ettalci (Dusting powder of zinc, starch, and talc). ZINC DUSTING POWDER	150 g	250 g	150 g	-----	A white powder consisting of 25% zinc oxide, 25% starch, and 50% talc (q weight). Label "External Use".
33. Conspersus zinci undercenoatis Dusting powder of zinc underceomate RING WORM POWDER	120 g	250 g	120 g(*)	----	A powder consisting of 500 g. starch, 100 g. zinc undecenoate, 20.8 g. undecenoic acid, 4.7 ml. pumilo pine oil, and 1000 g. light kaolin.
34. Dimethylis phithalas (Dimethyl phthalate) INSECT REPELLENT	ONE bottle per crew member			To be carried on all vessels proceeding to malarious ports. The supply per individual should be considered adequate for seven days. To be increased if the vessel remains longer in a malarious area. 50-ml. bottle. Label "External Use".
35. Guttae siilfacetamidi (Sulfacetamide eye drops) ANTISEPTIC EYE DROPS	30 ml.	60 ml.	30 ml. (*)	30 ml.	A solution of sulfacetamide sodium 10% for eye drops. Supply in bottle of distinctive design with dropper.
36. Guttae teracainaer (Tetracaine eye drops) ANAESTHETIC EYE DROPS	30 ml.	30 ml.	30 ml.	30 ml.	A solution of tetracaine hydrocloride 1% for eye drops. Supply in bottle of distinctive design with dropper. Lable "External use-POISON".
37. Injectio adrenalini (Adrenaline injection) ADRENALINE INJECTION	5	5	5(*)	3	Each ampoule 1 mg. adrenaline. Supply in "Ampins". Label "To be used only on medical advice, except in case of anaphylactic shock due to penicillin injection".
38. Injectio Atropinas Sulphas (Injection of Atropine Sulphate) ATROPINE INJECTION	6	12	6	---	Should be dispensed inl ml. ampoule containing 0.5 mg. of Atropine Sulphate in water for injection.
39. Injectio benzylpenicilline (Procaine penicillin G. Injection) PENCILLIN INJECTION	50	100	25(*)	25	Each ampoule 600000 international units of procaine penicillin in a sterile suspension in water or an equivalent antibiotic with similar therapeutic effects (to be labelled). Store in a cool dry place and renew when necessary.
40. Injectio morphini sulfatis (Morphine sulfate injection)	10	20	5	2	Each ampoule 15 mg. morphine sulfate. Supply in "Ampins". Label 'POISON".
41. Injectio Nikethamid. (Injection of Nikethamide) CORAMINE INJECTION	3	6	3	3	Should be dispensed in 2 ml. ampoule containing 25% w/v of Nikethamide in water for injection.
42. Injectio natrii chloridi (Sodium chloride injection) NORMAL SALINE INJECTION	4	6	4(*)	--------	Each bottle 1000m1. water gg. sodium chloride sterile. Supply administration set and instructions.
43. Injectio streptomycini sulfatis (Streptomycin sulfate injection) STREPTOMYCIN INJECTION	6	12	6(*)	---------	Each ampoule 1000 mg. streptomycin ase, as a sterile solution in water. Store in a cool dry place and renew when necessary.
44. Injectio tetracyclini hydrochloridi (Tetracycline hydrochloridi injection) TETRACYCLINE INJECTION	6	12	3	-----	Each ampoule 100mg. tetracycline, or an equivalent broad-spectrum antibiotic with similar therapeutic effects (to be so labelled).
45. Linctus scillae opiates (Linctus of squill, opiate). COUGH LINCTUS	500ml	1000ml	250ml	250ml	A mixture in equal volumes of camphorated opium tincture, oxymel of squill, tolu syrup, or an equivalent mixture with similar therapeutic effects (to be so labelled).
46. Linimentum methylis salicylatis Methyl salicylate liniment	250ml	500ml	250ml(*)	-----	Supply in bottle of distinctive design. Label "External use", "Not for burns."
47. Liqi. Plumbi Subacet at. fat. (Strong Solution of Lead) Subacetate SPRAIN LOTION	120ml	120ml	60ml	60ml	Label "POISON" 2m1. of strong Lead Subacetate Sola is to bediluted with 98 ml. of Purified water before use.
48. Lotio Calaminae (Calamine Lotion) CALAMINE LOTION	500ml	1000ml	250ml	250ml	Supply in bottle of distinctive design. Label "External use".
49. Lotio cetrimidi (Cetrimide lotion) ANTISEPTIC SOLUTION	500ml	1000ml	250ml	250ml	A solution of cetrimide 1% in water or equivalent. Supply in bottle of distinctive design. Label "External use."
50. Magnesii hydromidum (Magnesium hydroxide mixture) LIQUID LAXATIVE	500ml	1000ml	250ml	250ml	A mixture containing 7.9% by weight of magnesium hydroxide with peppermint oil flavouring.
51. (Kaolin and morphine mixture) Naristillae ephedrinae drine DIARRHOEA MIXTURE	250ml	500ml	250ml(*)	-	A mixture containing 2000 mg light kaolin, 650 mg. sodium bicarbonate, 0.75 ml. chloroform and morphine tincture, water to 15 ml. (in each dose).
52. Naristillae ephedrinae drine (Ephedrine nose drops) NOSE DROPS	30ml	60ml	30ml	-	A solution of norephedrine hydrochloride 1% tor nasal drops. Supply in bottle of distinctive design with dropper. Label "External use".
53. Natrli bicarbonates (Sodium bicarbonate)	125g	250g	125g	-
54. Oleum arachis (Arachis oil)	250ml	500ml	250ml	-	Oleum olivae (Olive oil) may be supplied as alternative.
55. Oleum caryophylli (Oil of cloves) TOOTH ANAESTHETIC	30ml	30ml	30ml	-	Supply in wide-mouthed bottle of distinctive design Label "External use".
56. Paraffinum molle flavum (Yellow soft paraffin) SOFT PARAFFIN	125g	250g	125g	125g
57. Pasta Acid. Taa (Tannic Acid Jelly) BURN OINTMENT	2 tubes	4 tubes	2 tubes	1 tubes	To be supplied in collap sible tube containing 60 gm. of the Jelly.
58. Tincture benzoini Composita (Tincture of benzoin compound) INHALATION MIXTURE.	100ml	200ml	100ml(*)	-	A mixture containing 10g. crushed benzoin 7.5g. prepared storax 2.5 g. tolu balsam 2g. aloes alcohol (90%) to 100ml. Label "External use", Add 5ml. to 500ml. hot water and inhale vapours.
59. Unguentum acidi banzoici Compositum (Compound benzoic acid ointment) WHITFIELD'S OINTMENT	100g	200g	100g(*)	-	An ointment containing 6% benzoic acid, 3% salicylic acid, 91% emmulsifying ointment.
60. Unguentum bacitracini (Bacitracin ointment) ANTIBIOTIC OINTMENT	120g	240g	60g	60g	An ointment containing bacitracin in a soft paraffin base. Supply in 15g. tube.
61. Unguentum benzociani Compositum (Compound benzocaine ointment) HAEMORRHOID OINTMENT	120g	180g	120g	---	An ointment containing 10% benzocaine, 45% hamanelis ointment. Supply in 15g. tubes.
62. Unguentum gammabenzeni hexachloride (Gamma benzene hexachioride ointment) ANTISCABIES OINTMENT	150g	300g	150g	-	An ointment containing gamma benzene hexachloride 1% Supply in 50g. tube.
63. Unguentum xylocaini hydrochloride (Xylocaine ointment) LOCAL ANAESTHETIC OINTMENT	60g	120g	30g(*)	30g	An ointment containing 5% xylocaine hydrochloride. Supply in 15g tube.
64. Unguentum zincoxidi (Zincoxide ointment) ZINC OINTMENT	200g	400g	100g	100g	An ointment containing 15% zinc oxide.

 

Instruments
1. Eyespud with covered point	1	1	-	-	To be made of stainless steel.
2. Forceps : dental packing	1	1	1	-	To be made of stainless steel.
3. Forceps : disseting	2	2	1	-	To be made of stainless steel.
4. Forceps : homostatic.	2	2	1	1	To be made of stainless steel, length 15cm.
5. Forceps : sinus	1	1	1	-	To be made of stainless steel, length 15cm.
6. Forceps : splinter	1	1	1	-	To be made of stainless steel, with wide oblique ends.
7. Scalpel : handle	1	1	1	-	No. 3 handle, Suitable for standard scalpel blades.
8. Scalpel : blades	6	6	6	–	No. 10 or No. 11 blades.
9. Scissors	1	1	1	1	To be made of stainless steel, one blade sharp pointed the other blunt-pointed. Length 15 cm.
10. Thermometer.	3	6	2	2	Lens-fronted, stubby-end, half-minute thermometer with metal or plastic cases.
11. Canvas roll for above instruments	1	1	1	-
12. Applicators	50	50	25	25	To be made of wood.
13. Artificial air way	1	2	1	1	For mouth-to-mouth breathing.
14. Injection syringe : 2 ml	2	2	-	-	Both syringes : glass body with metal plunger and nozzle for standard needles.
15. Injection syringe : 5 ml	2	4	1	1	Supplied in metal case.
16. Injection needles : hypodermic diameter 6.1 length 25 mm.	10	20	6	6	Alternatively, complete disposable syringes, in which case the quantities indicated here for the needles will apply to each size of syrings.
17. Injection needles Intramuscular diameter 8, length 40 mm.	10	20	6	6
18. Lueradaptors for syringe.	1	1	-	-	For use with hypodermic syringes to enable any type of needle to be used.
19. Tongue depressors	30	60	20	20	To be made of wood.
20. Catheter sets: olivary ends.	1	1	1	-	Set : size : 6, 10, 14 F or 3, 5, 7 U.K.
21. Catheter sets: soft rubber	1	1	1	-	One of each tongether with striletres in a closed glass or plastic cylinder with a sprinkling of powered talc; or a number of disposable plastic catheters in the same sizes.
22. Enema kit.	1	1	1	-	It consists of graduated funnel, rubber rubing tubing 1 metre long with control clamp attached, connexion and rubber catheter. Supply in a box plainly labelled "FOR ENEMA USE ONLY".
23. Stomach tube	1	1	1	-	Standard rubber or plastic lm. long and fitted with plastic funnel. Tube to bear a mark indicating when its has reached the stomach.
Appliances
24. Splints : common set	1	1	1	1	Wooden splints. Suitable for fractures of limbs and hands.
25. Splints: serrated, of Gooch type	1	1	1	-	A sheet of split 1 m. x 1 m.
26. Splints : thigh, wooden.	1	1	1	-	Largest size.
27. Splints: metal set	1	1	1	-	Metal with padded ring, One set of three.
28. Splint : Thomas	1	1	1	1	Esmarch or Samways type.
29. Tourniquet	1	1	1	-
30. Truss : single right pad.	1	1	1	-	Elastric band types with adjustable buckles. The bands to be not less than 1m. in length.
31. Truss : single left pad	1	1	1	-
32. Truss : double pads	1	1	1	-
33. Ligatures, catgut	3	5	2	-	In sealed glass tubes sterilized with a fracture scratch and directions for breaking the tube.
34. Satures with needles	4	8	2	-	Sutures of nylon or silk fitted to eye-less needles a cutting edge. in sterile sealed glass tubes with fracture scratch and directions for breaking tube. Half to be straight needles, half to be curved.
35. Sature strips, non-stitch	24	48	12	12	Size 2.5 x 50 cm. Butterfly or dumb-bell shape for drawing superficial wounds to gether in sterile sealed packet.
36. Suspensor bandages with understraps	2	4	2	2	Half to be of medium size and half to be of large size.
Dressing
37. Adhesive elastic bandage, box	2	4	2(*)	2	5 cm. x 1 m. Supply in a metal container.
38. Adhesive plaster : small	1	2	1	1	Zinc oxide plaster. Supply on a spoon. 2.5 cm. x 1 m.
39. Adhesive plaster : large	1	2	1	-	7.5 cm. x 1.5 m. Zinc oxide plaster. Supply on a spool.
40. Bandage crepe	4	6	2	2	7.5 cm. x 1.5 m Each separately wrapped with size on label.
41. Bandage roll, guaze, open weave small	10	20	10	-
42. Bandage roll, guaze, open weave medium	10	20	10	10	Each separately wrapped with size on label.
43. Bandage roll, guaze, open weave large	10	20	20	10
44. Bandage triangle	4	8	2	2	1xl x 1.3 m. Each separately wrapped with size on label.
45. Burnand wound dresfing, box	5	10	3	3	10 x 10 cm. Sterile bleached cotton of ray on cloth even impregnated with yellow soft paraffin, in a polythene envelope hermetically sealed and free from moisture. Ten envelopes per box.
46. Dressing, adhesive strip	1	2	1	1	6 cm. x 1 m. in a sterile packet.
47. First aid/emergency dressing :small	3	6	3	3	7.5 x 10 cm. pad, 5 cm. x 3 m. bandage.
48. First aid/emergency dressings : medium	3	6	3	3	10 x 15 cm. pad 5 cm. x 3 m. bandage.
49. First aid/emergency dressings : large	3	6	3	3	15 x 20 cm. pad, 7.5 cm x 4 m. bandage.
	Additional information for 47, 48 and 49 above.
	Pad : cotton wood enclosed in absorbent gauze.
	Bandage : open-weave gauze with pad suitched to 30 cm. from one end. Pad tobe folded length wise with the surface of the dressing on the inside and the rollel end of bandage on the outside. Free end of bandage to be wound round the rolled endinal the pad. serilized separate sealed wrappers. Label with size of pad and following instructions : "Unwind short length of bandage, straighten pad by palling on ends of bandage. Apply pad to wound without touching it. Bandage firmly.
50. Gauze, plainsterile : small	5	10	5	5	30 cm x m.	Supply in seperate packet and label with size and name of item.
51. Gauze, plainsterile : large	10	10	3	-	1 x 1 m.
52. Gauze, absorbent ribbon	1	2	1	1	2.5 cm x 3 m.
53. Jaconet or equivalent	1	1	1	-	Bleached cotton cloth waterproofed in one side.
54. Lint. absorbent cotton : small	5	10	3	3	15 x 30 cm	Supply in seperate packet and label with size and name of item.
55. Lint absorbent cotton : large					30 x 30 cm
56. Rolls of cotton wool : small.	10	20	10	5	20 cm wide, 50g.
57. Rolls of cotton wool : large	1	2	1	1	30 cm wide 200g.
58. First aid sarchel	1	1	1	1	A canvas bag with a strap containing : bandages, crept : 6 bandages, triangle :
					4 small		first aid/emergency dressings
					2 medium
					1 large
					1 roll of cottonwool, large. 6 safety pints medium 1 artificial airway.
General medical equipment
59. Basins : round	1	1	1	1	White enamelled iron, aluminium or plastic, not less than 20 cm. diameter and 10 cm. depth. Inscribed "MEDICAL".
60. Basin : Kidney	1	1	1	-	White enamelled iron, aluminium iron, alumium or plastic, length 25 cm.
61. Bed-pan	1	1	1	-	White enamelled iron, large size.
62. Eye bath	1	2	1	1	Made of glass of plastic that is not affected by boiling.
63. Eye droppers	3	6	3	2	Made of glass of plastic that is not affected by boiling.
64. Eye shades	3	6	3	2
65. Feeding cup	1	2	1	-	Made of porcelain or plastic that is not effected by boiling.
66. Finger stalls	3	6	6	4	Assorted sizes, leather, or larger quantities if disposable type.
67. Hot water bottles	2	2	1	1	Rubber, with covers.
68. Ice bags	1	2	1	-	For lowering temperature.
69. Measuring glass : small	2	2	1	1	Graduated in ml. or in minims and drachms.
70. Measuring glass : large	2	2	1	1	Graduated in ml. and spoonful doses, or in drachms ounces and spoonful doses.
71. Microscopes lides	3	6	3(*)	-
72. Rubber sheeting	1	-	1(*)	1	Size 1 x 2 in. rolled on a wooden core.
73. Safety pins	15	30	15	15	Size 5 cm. mounted on a card or cards.
74. Sputum pot : disposable or	20	30	10	-	Waxed card board with a twist-on lid, wide base and height not less than 5 cm.
75. Sputum pot : non-disposable	1	1	1	-	Enamelled iron with close-fitting hinged lid.
76. Sterilizer	1	1	1	-	Size not less than 17.5 x 5 x 0.5 cm.
77. Stretcher	1	1	1	1	Neil Robertson type or equivalent.
78. Surgical gloves. pairs	2	4	2	-	Large size, roughened rubber.
79. Temperature charts	5	10	5	-	Four-hourly chart combing temperature pulse and respiration.
80. Urine bottle	1	1	1	1	Enamelled iron or plastic, with handle.
81. Urinctest papers : combined strips albumin/Sugar	2	2	1(*)	-	Container with close-fetting screw capof metalstrips together with suitable desiccant (silicagel) Renew after 12 months or earlier if colour changes are noticed Label "Combined testing strip for albumin and sugar".
82. Salt test paper.	2	2	1(*)	-	Booklets of 20 test papers impregnated with silver salt profted from light. Label "Salt in urine test papers. K. survey from light"
83. Bottles : dispensing small	6	12	5(*)	-	60 ml. bottles with screw caps. Marked at 4 ml. 1 (teaspoonful)
84. Bottles : dispensing large	6	12	5(*)	-	180 ml. bottles with screw caps. Marked at 4 ml. 1 (teaspoonful)
85. Bottles : poison	5	10	3(*)	-	60 ml. bottles of distinctive design.
86. Dispeasing envelopes	100	100	50	-	Smallsize.
87. Palette knife	1	1	1	-	For dispensing ointments.
88. Oimtment boxes	15	20	6	-	For dispensing ointments. Either chipwood boxes stacked in nests of three, or tins of 15g.
89. Labels : plain	100	100	100	-
90. Labels : poison	50	50	50	-
91. Concentrated antiseptic	500 ml.	1 litre	500 ml.	250 ml.	A solution of centrimide 20% in water or equivalent Label "Concentrated antiseptic lotion" together with full instructions for use. The recommended dilutions to be suitable for the purpose specified.
92. Chloride of lime					Supply in sealed and dated tins with instructions. The minimum amount to be carried is to calculated on the amount of stabilized chloride of lime or its equivalent necessary to chlorinate the ship's largest fresh water tank so as to produce concentration of one part of free chlorine in one million parts of water.
93. Dilute aleohol.	250 ml.	500 ml.	200 ml. (*)	200 ml.	70%. Supply in bottle of distinctive design and label "External use" Alternatively, surgical spirit may be supplied.
94. Disinfectant	2 litres	4 litres	1 litres	1 litres	Supply in bottle of distinctive design and label Dinfectant together with full instructions for use. The recommended dilutions to be suitable for the purpose specified. (To consist of a white fluid in a finely dispersed stabilized emulsion containing coaltar acids or other phenolic bodies with or without hydrocarbons).
95. Methylated Spirit	500 ml.	1 litre	500 ml.	-	Only if sterilizer is heated by a spirit lamp. Supply in bottle of distinctive design, Label "POISON".
96. International Medical Guide for Ships	1	1	1	1
97. World Directory of Veneral Diseases : Treatment Centres at ports. Published by the World Health Organisation.	1	1	1	-
Note. - In the Schedule, symbol (*) denotes that the items in the relevant column need not be carried on board a ship which is never away for more than twelve hours from a port of call.

Schedule III

[See rule 3(3)]

Part I-Medicines

Note. - Foot notes at end of Schedule 1 are equally applicable to symbols occuring in this schedule.

Serial No.	Name of Medicine	Quantity for ship
1.	Acid Boric Eye Lotion N.F.I.	120 c.c.
2.	Benzyl Bezoate-Application (25%). N.M.	250 c.c.
3.	Condeine Linctus N.F.I.	120 c.c.
4.	Epsom Salt in packets (Mag. Sulph) 30 g. each.	16 packets.
5.	Eye Drops of Cocaine and Mercuric Chloride *(P)	30 c.c.
6.	Lint Methyl Salicylate	250 c.c.
7.	Liq. Plumbi-subacetas Fortis *(P)	120 c.c.
8.	Lotion of Calamine*	125 c.c.
9.	Magnesium Carbonate (Heavy)	600 g.
10.	Oil of Cloves	15 c.c.
11.	Ointment of Benzocaine compound (Whitfied's ointment)	60g.
12.	Ointment of Benzoic acid Cocina collapsible tube of 30.g with applicator	2 tubes.
13.	Ointment of Zinc Oxide	60 g
14.	Paraffin Mollae Plavum (Yellow Soft Paraffin)	120 g.
15.	Potassium Permanganate	60 g.
16.	Solution Mercurochrome for small dressing 2%(P)*	60 c.c.
17.	Spt. of Aromatie Ammonia	60 c.c.
18.	Tablets of Acid Acetylsalicyl (0.3g.) I.P.	200 tablets.
19.	Tablets of Amphetamina Sulphate. N.EI(P)	25 tablets.
20.	Tablets of Butobarbitons (100 mg.)(P)	12 tablets.
21.	Tablets of Chloroquine Sulphate 200 mg.
	Amodiaquine Hydrochloride 200 mg. N.F.I.	50 tablets.
22.	Tablets of Codein Co. (P)	50 tablets.
23.	Tablets of Di-iodohydroxy quinoline. N.F.I. (L).	100 tablets.
24.	Tablets of Ephedrin Hydrochloride 30 mg.(IP)	25 tablets.
25.	Tablets of Glyceryl Trinitrate 0.5 mg. (IP.)(P)(C) (L)	25 tablets.
26.	Tablets of Hyoscine Hydrobromide 0.6 mg. N.F.I.(P)	25 tablets.
27.	Tablets of Mepyramine Maleate 50 mg. N.F.I.(P)	25 tablets.
28.	Tablets of Mercurous Chloride 10 mg.	25 tablets.
29.	Tablets of Pethidine Hydrochloride (50 mg.) (IP). (P)	20 tablets.
30.	Tablets of Phthalyl Sulphathiozole (P)	200 tablets.
31.	Tablets of Soda Bicarb Co. (Soda Mint Tablets)	30 tablets.
32.	Tablets of Sodium Chloride 1g. N.F.I.	100 tablets.
33.	Tablets of Spasmindon Belladenol or Atropine or Substitute	20 tablets.
34.	Tablets of Sulphadimidine (0.5g.) I.P. (P)	100 tablets.
35.	Tablets of Vegetable Laxative	200 tablets.
36.	Tannic Acid Jelly (in Collapsible tube of 60 g.)	2 tubes.
37.	Tincture of Belladonna (P)	30 c.c.
38.	Tincture of Benzoin Co. (P)	60 c.c.
39.	Tincture Iodine (P)	120 c.c.
40.	Tincture Opii (P)	60 c.c.

Part II-Medical Stores

Appliances, Dressings Instruments and Sundries

Serial No.	Name of Articles	Scale
1.	Adhesive Plaster 2.5. cm. x 3 metres.	2 spools
2.	Antiseptic (for specification vide Appendix A)	1 litre.
3.	Bandages-Triangular-not less than 1 m. side and 1.25 m. base.	3
4.	Bandages-White Open Wove, 2.5 cm. x 3 metres	12
5.	Bandages-White Open Wove, 7.5 cm. x 4 metres	6
6.	Basin Enamelled White 20 cm. diameter x 10 cm. depth	1
7.	Bed Pan (large size)	1
8.	Bleaching Powder (in 100 g. tins)	10 tins
9.	Bottle with corks (180 ml. each).	6
10.	Boxes for Ointment	12
11.	Catheters Jacques rubber-sizes 3, 5 and 7-one of each to be supplied in a glass, plastic or metal container	1 set
12.	Cotton Wool (15 g. 6 cm. wide) (rolled in packet)	4 packets
13.	Cotton Wool (30 g. 10 cm. wide) (rolled in packet)	4 packets
14.	Disinfectant (cresol or equivalent) (for specifications vide Appendix A)	2 litres
15.	Dressings-Streilised No. 13 small B.P.C. Plain wound dresssing 10 cm. x 7.5 cm.	1 dozen
16.	Dressings-Streilised No. 14 medium B.P.C. Plain wound dresssing 15 cm. x 10 cm.	1 dozen
17.	Dressings-Streilised No. 15 large B.P.C. Plain wound dressing 20 cm. x 15 cm.	1 dozen
18.	Droppers	2
19.	Enema Can. 1 litre with 2 m. rubber tube and nozzel	1
20.	Eye Bath (glass or porcelain)	1
21.	Eye Shades (card board)	4
22.	Eye Spud with covered point (a)	1
23.	Finger stalls-leather (assorted size)	6
24.	Forceps-Artery 12.5 cm. (a)	1 pair
25.	Forceps-Epilation (a) with oblique ends for removal of splinters	1 pair
26.	Gauze, Absorbent sterilised (1 m x 30 cm.)	2 packets.
27.	Hot Water Bottles (Rubber) 30 cm. x 20 cm. - with cover	2
28.	India rubber sheeting (lm. x 2 m.)	1
29.	Insecticide liquid (vide Appendix C)	10 litres.
30.	Insecticide Sprayer (for specifications vide Appendix C)	1
31.	Kidney tray (Enamelled iron-25 cm.)	1
32.	Lint, Absorbent Sterilised (15 cm. x 30 cm.)	4 packets.
33.	Measuring Glass 5 ml.	2
34.	Measuring Glass 50 ml.	2
35.	Safety pins (Brass-plated)	1 dozen
36.	Scissors 17.5 cm. (a) (one blade sharp pointed and the other blunt pointed)	1
37.	Ship Captain's Medical Guide (latest edition)	1
38.	Splints-assorted, thigh, leg and arm sizes	1 set
39.	Spuntum mug with hinged lid	3
40.	[Stretcher of Neil-Robertson type or of any other type approved by the Director General]	1
41.	Thermometer (Clinical)	2
42.	Tourniquet, Esmarchs or Samways	1
43.	Urine Bottles	2
	National Emblem
		FORM 'A'
	Issued by the Government

Schedule IV

[See rule 7(2)]

Certificate of Inspection of Medicines, Medical Stores, etc.

Certified that I have this day ................. inspected the medicines, medical stores and appliances on board S.S./M.V ................... and I am satisfied that they comply with the requirements laid down in the Merchant Shipping (Medicines, Medical Stores and Appliances) Rules, 1966.

...............................................

(Name of Port)

Dated the .............. day of ............ 19 ................

(Signature)

................................................

(Designation)

NOTE. - This certificate shall be valid for a period of one year unless revoked at some earlier date by the Issuing Authority.

National Emblem

Form 'B'

Issued by the Government of India

Schedule V

[See rule 9 (2)]

Government Of India

Ministry Of ...........................................

Certificate of Exemption

The S.S./M.V ...................... is hereby exempted from the requirements of the Merchant Shipping (Medicines, Medical Stores and Appliances) Rules, 1966, to the extent and subject to the conditions indicated below :

This certificate shall remain in force until the ........... day of .................. 19 ..............

(Name of Port)

................................................

Dated the .................... day of .............. 19 ................

(Signature)

............................................

(Designation)

Appendix 'A'

Specification of Disinfectants and Antiseptics for Ships

1. Disinfectants

The disinfectant shall conform to the following specification :

(1) General description. - The disinfectant shall be a white fluid and shall be a finally dispersed, stabilized emulsion containing coal-tar acid or other phenolic bodies, with or without hydrocarbons.

(2) Germicidal value and the method of its determination. - The germicidal value shall be not less than 1.7 when determined by the modified Chick-Martin method as laid down by the British Standards Specification No. 808 of 1938.

(3) Stability before dilution. - On standing for three months at ordinary temperatures (5°C to 30°C) the disinfectant fluid shall not precipitate nor show separation of more than traces of oil. A creamed fluid which can be rendered homogeneous by gentle mixing is permissible.

(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 (Mg SO₄ 7H₂O) dissolved in and made up to 1,000 ml. with distilled water and filtered before use] in all proportions from one to five per cent., inclusive, 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 18-22°C for six hours. When examining the disinfectant under this sub-paragraph, the sample and diluent shall each be brought to the specified temperatures before mixing, which shall be performed by pouring the former into the latter 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.

(6) Packaging, where no container is specified on the tender form, the fluid shall be packaged in containers capable of being stored under normal conditions for six months without deleterious interaction between the fluid and the container.

(7) Labelling. - The containers shall be labelled to show the name and nature of the contents and with full instructions for use for various purposes. The dilutions recommended in the instructions shall be suitable for the purposes specified. The labels shall be rendered resistant to moisture either by the use of an efficient label varnish which must cover the label and overlap the edges or by some alternative method the effect of which is not inferior to varnishing.

2. ANTISEPTICS

The antiseptic shall conform to the following specification :-

(1) General description. - The antiseptic shall consist of a homogeneous solution or emulsion of a phenol, chlorocresol, p-chloro-m-xylenol or any other germicidal substance that may be approved by the Central Government, dissolved in a suitable solvent.

(2) Germicidal value. - The germicidal value shall be not less than 3 when determined by the Rideal Walker method as laid down by the British Standards specification No. 541 of 1934.

(3) Stability of dilution. - The antiseptic shall not show any separation after six hours when mixed, in all proportion from one to four per cent., inclusive, in waters of all degrees of hardness up to the equivalent of 300 parts calcium carbonate per million. These mixtures shall not break or precipitate in less than 6 hours at 22°C and 37°C.

(4) labelling. - The containers shall be labelled to show the name and nature of the contents and with full instructions for use for various purposes. The dilutions recommended in the instructions shall be suitable for the purposes specified. The labels shall be rendered resistant to moisture either by the use of an efficient label varnish which must cover the label and overlap the edges or by some alternative method the effect of which is not inferior to varnishing.

Appendix 'B'

Specification of Anti-V.D. Outfit

1. The Anti-V.D. Outfit shall comprise a tube of prophylactic ointment and a washing cloth to the following specifications :

Anti-VD. Ointment.

Formula :

Mercurous chloride	30 grammes
Sulphathiazole	15 grammes
White soft paraffia	40 grammes
Light liquid paraffin	14 grammes
Cetyl alcohol	1 gramme
Oil of Lavender	0.01 millilitre

The ointment shall be supplied in collapsible tubes, with elongated nozzles and screw caps, each containing 4 g., and labelled Prophylactic Ointment. The length of the nozzle shall not be less than 12.7 mm. nor more than 16 mm.

2. Washing cloth

This cloth shall be of coarse weave soft cotton wash cloth free from size or dressing, or white lint, and not less than 7.5 cm. square impregnated with soap to a total weight of approximately 300 g. per square metre. Soap shall be of the type that will lather in either hard or soft water. As an alternative to soap a suitable synthetic detergent, to give a washing cloth not inferior in any respect to a washing cloth prepared with soap may be used, provided that the detergent employed is not an irritant to the skin.

3. Each kit to be in a separate sealed waterproof envelope bearing the following instructions :

Anti-V.D. Outfit

Instructions for use after exposure

1. Pass water.
2. Wet the wash cloth and thoroughly wash the penis, purse and surrounding skin.
3. Squeeze about 1/4 of the contents of the tube into the canal of the penis. Massage gently with thumb and forefinger for a few seconds after injecting the ointment.
4. Rub the rest of the ointment over the entire length of the penis, purse and adjacent abdomen and thigh for at least 3 minutes paying particular attention to the foreskin, head and neck of penis.
5. Do not pass water for two hours after using the kit if you can avoid it.

Appendix 'C'

Specification of Insecticides and Spray

1. An insecticide suitable after appropriate dilution for spraying infested living quarters; galleys, etc.- (1) The insecticide used shall contain as the active ingredient either 2: 2-di (p-chlorophenyl)-1 : 1 : 1-trichloroethan (DDT) of the gamma isomer of benzene haxachloride (gamma BHC) or both with the addition of pyrethrins, if desired. It may be supplied in the form of a concentrate, such that, after the addition of water in accordance with the instructions printed on the label of the container the product suitable for spraying contains :

(a) if no pyrethrins are present, either 5 per cent DDT or 0.5 per cent of gamma BHC, or both, or

(b) if pyrethrins are present, either 3 per cent. DDT with 0.2 per cent. pyrethrins of the equivalent in synergized pyrethrins; or 0.3 per cent. gamma BHC with 0.1 per cent. pyrethrins or the equivalent in synergized pyrethrins; or both.

(2) The DDT and gamma BHC used for the formulation of the products shall contain not less than 70 per cent of the p.p. - isomer and not less than 90 per cent of the pure gamma isomer, respectively.

(3) The concentrated form of the insecticide shall have a flash point above 26.70C, and when prepared in a form suitable for spraying, it shall be non-inflammable and leave no residual odour or unsightly deposit. It shall have no undue deleterious effect upon metal finishes, fabrics and plastics with which it may come into contact. Full instructions for dilution to give the appropriate concentration stated above shall be printed on the label of the container. The insecticide shall be carried in contrainers of a capacity not greater than 500 ml. effectively sealed so that they will remain airtight and watertight under all conditions. The containers shall be packed in sawdust or thick corrugated paper in wooden cases. Storage shall be away from living accommodation.

2. Spray for use with the liquid insecticide.- A soundly constructed all brass atomiser of a type suitable for spraying walls and other surfaces, the body being made from 22 G brass with a capacity of approximately 1 litre. The nozzle, which shall have an aperture of 0.8 mms. diameter, shall be of an uncloggable type or alternatively, a type which, when clogged, is rapidly cleared by a needle or some other method. The atomiser should be of the continuous pressure type and no parts coming into contact with the solution should be made of rubber or leather.
3. Insecticide Powder.- (1) This shall be suitable for application to the body of clothing of infested persons but capable of being used also as a general insecticide. It shall consist of a fine powder containing not less than 5 per cent. of 2 : 2-di-(p-chlorophenyl)-1 : 1 : 1-trichloroethance (DDT) or not less than 0.5 per cent of the gamma isomer of benzene hexachloride (gamma BHC) in a neutral non-hygroscopic inter base.

(2) The DDT and gamma BHC used for the formulation of the products must contain not less than 70 per cent of the p-p-isomer and not less than 90 per cent of the pure gamma isomer, respectively.

Appendix 'D'

Specification of oxygen therapy equipment for use on Board Ships

1. Three disposable oxygen inhalers of plastic material.
2. One manometer type oxygen Flow meter.
3. One fine adjustment valve with oxygen pressure gauge, bullnosed fitting.
4. 2m. Rubber tubing.
5. One Oxygen Universal cylinder key which provides a lever for tightening fly-nut of bull nosed valve unions and spanners for the union nuts of fine adjustment valves, also gland nuts of bull nose type oxygen cylinder valves, chromium finish.
6. The above equipment shall be contained in a hardwood carrying case including simple instructions in use of equipment.

Appendix 'E'

Specification of chloride of lime for the treatment of drinking water in ship

1. The chloride of time shall contain not less than 24 per cent and not more than 26 per cent available chlorine. It shall also contain not less than 14 per cent of free quick lime (caO).
2. The total water existing in all forms, consisting largely if not entirely, of the water in combination in the form of calcium hydroxide, shall not exceed 7.5 per cent.
3. The chloride of lime shall be of such stability that after passing four weeks in an oven kept at 60°C (+_ 1°C) the percentage of available chlorine shall not decrease more than 2.
4. The chloride of lime shall be put up in 100 g. tins, the date of issue by the manufacturer being stamped on the base of each tin.
5. Each tin shall contain a measure, made of a material resistant to chlorine, to contain 5 g. of the powder, when full, i.e., sufficient to chlorinate approximately 1136 litres of water.
6. Each tin and contents (except the measure, which may be used again) whether partially used or not, shall be renewed within one year following the date stamped on the tin.

Appendix 'F'

Specification of burn and wound dressing paraffin gauze dressing (BPC)

Each dressing shall measure approximately 8.5 cm. x 8.5 cm. and shall be packed in an individual envelope (the dimensions of which shall be not greater than 14 cm. square) in such a manner as to allow it to retain its even impregnation. The envelope shall be made of a suitable material, preferably not more than 20 thousand of a cm. thick shall be impermeable to moisture, free from pin holes and also be grease-proof. The envelope shall be hermetically sealed and remain so under all conditions of sea transport. Thirty-six envelopes shall be packed in a suitable carton appropriately labelled, giving detailed instructions for use.

[* * * * * *]