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[接上页] 5. Anti-malarial tablet treatment varies geographically depending on the nature and resistance of local malarial germs. (a) Areas where chloroquine resistance has not been reported: 2 chloroquine tablets weekly or 2 proguanil tablets daily. (b) Areas where chloroquine resistance is not yet widespread and predominantly low grade (e.g. East Africa and the Indian subcontinent): 2 chloroquine tablets weekly together with 2 proguanil tablets daily. (c) Areas where chloroquine resistance is widespread (e.g. South America, South East Asia (except the Indian subcontinent) and the Pacific Islands): One maloprim tablet weekly together with 2 chloroquine tablets weekly.Treatment should be continued for 6 weeks after leaving a malarial area. The development of fever either in a malarial area or after leaving a malarial area requires medical advice as soon as possible. Cap 478X Sched 4 DISINFECTANTS AND INSECTICIDES [sections 5, 6(3)(f) & (h) & 11] PART 1 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 (5℃ to 30℃) 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 may be carried. 4. Stability after dilution-The disinfectant fluid shall be miscible with distilled water and artificial seawater (27 grams of sodium chloride and 5 grams of crystalline magnesium sulphate (MgSO47H2O) dissolved in and made up to 1000 mL with distilled water and filtered before use) in proportions of 1, 2, 3, 4 and 5% 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℃ to 22℃ 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 2 Specification of Insecticides and Means of Application 6. 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) shall be effective for the purpose specified in those instructions; and (ii) shall not be harmful to humans;(b) shall be suitable for use in crew and passenger accommodation and in spaces used for the preparation of food; and (c) shall be free from offensive odour and, so far as possible, shall be non-staining. 7. Insecticide formulations shall be- (a) in the form of a spray solution not having a flash point lower than 48.9℃ (120℉) 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 section 6(a) by either- (i) a hand-operated, continuous-action sprayer fitted with a nozzle capable of producing a fine mist without coarse droplets; or (ii) a pre-packed press-button pressure canister; and(b) 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 section 6(a). |