International Sanitary Conferences
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The International Sanitary Conferences were a series of 14 conferences, the first of them organized by the French Government in 1851 to standardize international quarantine regulations against the spread of cholera, plague, and yellow fever. In total 14 conferences took place from 1851 to 1938; the conferences played a major role in the formation of the
Office international d'hygiène publique The International Office of Public Hygiene, also known by its French name as the Office International d'Hygiène Publique and abbreviated as OIHP, was an international organization founded 9 December 1907 and based in Paris, France. It merged on ...
before world war II, and the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
in 1948.


Background

The outbreak of the
Second cholera pandemic The second (symbol: s) is the unit of time in the International System of Units (SI), historically defined as of a day – this factor derived from the division of the day first into 24 hours, then to 60 minutes and finally to 60 seconds ...
in 1829 prompted European Governments to appoint medical missions to investigate the causes of the epidemic. Among others, the Royal Academy of Medicine of Paris in June 1831 sent Auguste Gérardin and Paul Gaimard on medical mission to
Russia Russia (, , ), or the Russian Federation, is a List of transcontinental countries, transcontinental country spanning Eastern Europe and North Asia, Northern Asia. It is the List of countries and dependencies by area, largest country in the ...
,
Prussia Prussia, , Old Prussian: ''Prūsa'' or ''Prūsija'' was a German state on the southeast coast of the Baltic Sea. It formed the German Empire under Prussian rule when it united the German states in 1871. It was ''de facto'' dissolved by an em ...
, and
Austria Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous ...
. Later the
Minister of Commerce A Commerce minister (sometimes business minister, industry minister, trade minister or international trade minister) is a position in many governments that is responsible for regulating external trade and promoting economic growth (commercial polic ...
of France appointed the Secretary of the Conseil supérieur de la santé, P. de. Ségur-Dupeyron, with the task of creating a report on the sanitary regulations of the
Mediterranean countries The Mediterranean Sea is a sea connected to the Atlantic Ocean, surrounded by the Mediterranean Basin and almost completely enclosed by land: on the north by Western and Southern Europe and Anatolia, on the south by North Africa, and on the e ...
. The report, published in 1834, pointed to the differing quarantine requirements among the countries and proposed to convene an international conference to standardise quarantine requirements against exotic diseases. In 1907 the
Office international d'hygiène publique The International Office of Public Hygiene, also known by its French name as the Office International d'Hygiène Publique and abbreviated as OIHP, was an international organization founded 9 December 1907 and based in Paris, France. It merged on ...
(OIHP) was created, among others, with the mandate to carry on the different dispositions adopted by the Sanitary Conventions; the OIHP was later on harmonized within the
League of Nations The League of Nations (french: link=no, Société des Nations ) was the first worldwide intergovernmental organisation whose principal mission was to maintain world peace. It was founded on 10 January 1920 by the Paris Peace Conference that ...
'
Health Organization Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organiza ...
.


Chronology

Additional events: * 1907: Rome Arrangement creating the International Office of Public Hygiene (OIHP) * 1933: Adoption of the
International Sanitary Convention for Aerial Navigation (1933) The International Sanitary Convention for Aerial Navigation (1933) was an international sanitary convention, drawn up in 1932 and signed at The Hague on 12 April 1933 (without a conference) and came into force on 1 August 1935 to protect communitie ...
* 1944: Amendment of the 1926 International Maritime Sanitary Convention and the 1933 International Sanitary Convention for Aerial Navigation. Development of the first International Certificate of Vaccination against Smallpox. * 1951: It was adopted by WHO as International Sanitary regulations. * 1969: WHO modifies the regulations, as
International Health Regulations The International Health Regulations (IHR), first adopted by the World Health Assembly in 1969 and last revised in 2005, are a legally binding rules that only apply to the WHO that is an instrument that aims for international collaboration "to pr ...
.


Paris, 1851

The first International Sanitary Conference opened in Paris on July 23, 1851. A total of twelve countries participated including
Austria Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous ...
,
Great Britain Great Britain is an island in the North Atlantic Ocean off the northwest coast of continental Europe. With an area of , it is the largest of the British Isles, the largest European island and the ninth-largest island in the world. It is ...
,
Greece Greece,, or , romanized: ', officially the Hellenic Republic, is a country in Southeast Europe. It is situated on the southern tip of the Balkans, and is located at the crossroads of Europe, Asia, and Africa. Greece shares land borders with ...
,
Portugal Portugal, officially the Portuguese Republic ( pt, República Portuguesa, links=yes ), is a country whose mainland is located on the Iberian Peninsula of Southwestern Europe, and whose territory also includes the Atlantic archipelagos of ...
,
Russia Russia (, , ), or the Russian Federation, is a List of transcontinental countries, transcontinental country spanning Eastern Europe and North Asia, Northern Asia. It is the List of countries and dependencies by area, largest country in the ...
,
Spain , image_flag = Bandera de España.svg , image_coat = Escudo de España (mazonado).svg , national_motto = ''Plus ultra'' (Latin)(English: "Further Beyond") , national_anthem = (English: "Royal March") , i ...
,
France France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of Overseas France, overseas regions and territories in the Americas and the Atlantic Ocean, Atlantic, Pacific Ocean, Pac ...
,
Ottoman Empire The Ottoman Empire, * ; is an archaic version. The definite article forms and were synonymous * and el, Оθωμανική Αυτοκρατορία, Othōmanikē Avtokratoria, label=none * info page on book at Martin Luther University) ...
, and the four Italian Powers of
Papal States The Papal States ( ; it, Stato Pontificio, ), officially the State of the Church ( it, Stato della Chiesa, ; la, Status Ecclesiasticus;), were a series of territories in the Italian Peninsula under the direct sovereign rule of the pope fro ...
,
Sardinia Sardinia ( ; it, Sardegna, label=Italian, Corsican and Tabarchino ; sc, Sardigna , sdc, Sardhigna; french: Sardaigne; sdn, Saldigna; ca, Sardenya, label=Algherese and Catalan) is the second-largest island in the Mediterranean Sea, after ...
,
Tuscany Tuscany ( ; it, Toscana ) is a Regions of Italy, region in central Italy with an area of about and a population of about 3.8 million inhabitants. The regional capital is Florence (''Firenze''). Tuscany is known for its landscapes, history, art ...
, and the
Two Sicilies The Kingdom of the Two Sicilies ( it, Regno delle Due Sicilie) was a kingdom in Southern Italy from 1816 to 1860. The kingdom was the largest sovereign state by population and size in Italy before Italian unification, comprising Sicily and a ...
, each country being represented by a pair of a physician and a diplomat. The Conference revolved around the question of whether or not cholera should be subject to quarantine regulations. The Papal States, Tuscany, the Two Sicilies, Spanish, Greek, and Tuscan delegates supported quarantine measures against cholera, with Sardinia, Austria, Britain, and France opposing quarantine measures. The Austrian medical delegate, G. M. Menis, along with John Sutherland, the British medical delegate, and Anthony Perrier, the British diplomatic delegate, were most vocal against quarantine measures. The Spanish medical delegate, Pedro F. Monlau ( es), and the Russian medical delegate, Carlos O. R. Rosenberger, were in the opposite camp. The Conference participants agreed on a draft Sanitary Convention and annexed draft International Sanitary Regulations consisting of 137 articles.


Paris, 1859

The second International Sanitary Conference opened in Paris on April 9, 1859. Except the
Kingdom of the Two Sicilies The Kingdom of the Two Sicilies ( it, Regno delle Due Sicilie) was a kingdom in Southern Italy from 1816 to 1860. The kingdom was the largest sovereign state by population and size in Italy before Italian unification, comprising Sicily and a ...
, all twelve countries of the first Conference were present. The conference, which lasted for five months, resulted in Austria, France, Great Britain, the Papal States, Portugal, Russia, Sardinia, and Spain signing the slightly amended "draft convention" (itself a combination of the convention and the annexed international sanitary regulations agreed on the first conference). Greece and Turkey abstained.


Istanbul, 1866

The third International Sanitary Conference opened in
Istanbul Istanbul ( , ; tr, İstanbul ), formerly known as Constantinople ( grc-gre, Κωνσταντινούπολις; la, Constantinopolis), is the List of largest cities and towns in Turkey, largest city in Turkey, serving as the country's economic, ...
on 13 February 1866 under the initiative of the
French Government The Government of France (French: ''Gouvernement français''), officially the Government of the French Republic (''Gouvernement de la République française'' ), exercises executive power in France. It is composed of the Prime Minister, who i ...
after the 1865 cholera outbreak in Europe.


Vienna, 1874

The fourth International Sanitary Conference opened in
Vienna en, Viennese , iso_code = AT-9 , registration_plate = W , postal_code_type = Postal code , postal_code = , timezone = CET , utc_offset = +1 , timezone_DST ...
on 1 July 1874.


Washington, 1881

The fifth International Sanitary Conference in
Washington, DC ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan ...
, was the first conference in which the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
participated.


Rome, 1885

The sixth International Sanitary Conference opened in
Rome , established_title = Founded , established_date = 753 BC , founder = King Romulus (legendary) , image_map = Map of comune of Rome (metropolitan city of Capital Rome, region Lazio, Italy).svg , map_caption ...
on 20 May 1885 by the Italian government as a result of the reappearance of
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
in Egypt in 1883.


Venice, 1892

The seventh International Sanitary Conference in
Venice Venice ( ; it, Venezia ; vec, Venesia or ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 small islands that are separated by canals and linked by over 400  ...
was the occasion for the adoption of the first International Sanitary Convention.


Dresden, 1893

The eighth International Sanitary Conference opened in
Dresden Dresden (, ; Upper Saxon: ''Dräsdn''; wen, label=Upper Sorbian, Drježdźany) is the capital city of the German state of Saxony and its second most populous city, after Leipzig. It is the 12th most populous city of Germany, the fourth larg ...
on 11 March 1893 under the initiative of the
Austria-Hungarian Austria-Hungary, often referred to as the Austro-Hungarian Empire,, the Dual Monarchy, or Austria, was a constitutional monarchy and great power in Central Europe between 1867 and 1918. It was formed with the Austro-Hungarian Compromise of ...
government with nineteen European countries as participants.


Paris, 1894

The ninth International Sanitary Conference opened in
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
on 7 February 1894 with France as its convener and sixteen countries as participants.


Venice, 1897

The tenth International Sanitary Conference opened in Venice on 16 February 1897 with Austria-Hungary as its proposer and was the first such conference concerned exclusively with plague.


Paris, 1903

The eleventh International Sanitary Conference met in Paris from 10 October to 3 December 1903.


Rome, 1907

There was no Conference as such in 1907, however, 11 countries met in Rome to adopt an Arrangement establishing the
Office international d'hygiène publique The International Office of Public Hygiene, also known by its French name as the Office International d'Hygiène Publique and abbreviated as OIHP, was an international organization founded 9 December 1907 and based in Paris, France. It merged on ...
(International Office of Public Health) in Paris.


Paris, 1911–1912

The twelfth International Sanitary Conference opened in Paris on 7 November 1911 and closed on 17 January 1912 with 41 countries being represented. This was the first conference to be held after the creation of the
Office international d'hygiène publique The International Office of Public Hygiene, also known by its French name as the Office International d'Hygiène Publique and abbreviated as OIHP, was an international organization founded 9 December 1907 and based in Paris, France. It merged on ...
in 1907-1908. It was chaired, like the 1903, 1907 and 1926 Conferences, by the French diplomat
Camille Barrère Camille Barrère (23 October 1851 – 7 October 1940) was a French diplomat, most notably the ambassador to Italy from 1897 to 1924. In 1902, Barrère negotiated a secret accord with Italian Minister of Foreign Affairs Giulio Prinetti tha ...
which had strong views about global health, commerce and politics.


Paris, 1926

The thirteenth International Sanitary Conference was held in Paris from 10 May to 21 June 1926 with over 50 sovereign states as participants.


The Hague, 1933

There was no conference in 1933, but in The Hague representatives of various countries signed the International Sanitary Convention for Aerial Navigation, which went into force on 1 August 1935.


Paris, 1938

The fourteenth and last International Sanitary Conference was convened by the French Government at the instigation of Egypt on 28 October 1938 with representatives of almost 50 countries as participants.


After World War II

The
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
(WHO) was formed in 1948.Howard-Jone, Norman (1975
"The scientific background of the International Sanitary Conferences"
World Health Organization; Geneva, p. 13.
In 1951, the WHO issued their first infectious disease prevention regulations, the
International Sanitary Regulations The International Sanitary Conferences were a series of 14 conferences, the first of them organized by the French Government in 1851 to standardize international quarantine regulations against the spread of cholera, plague, and yellow fever. In tota ...
(ISR 1951), which focussed on six quarantinable diseases;
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
,
plague Plague or The Plague may refer to: Agriculture, fauna, and medicine *Plague (disease), a disease caused by ''Yersinia pestis'' * An epidemic of infectious disease (medical or agricultural) * A pandemic caused by such a disease * A swarm of pe ...
,
relapsing fever Relapsing fever is a vector-borne disease caused by infection with certain bacteria in the genus '' Borrelia'', which is transmitted through the bites of lice or soft-bodied ticks (genus ''Ornithodoros''). Signs and symptoms Most people who ar ...
,
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
,
typhoid Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
and
yellow fever Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. In ...
. In 1969, the ISR were revised and renamed the
International Health Regulations The International Health Regulations (IHR), first adopted by the World Health Assembly in 1969 and last revised in 2005, are a legally binding rules that only apply to the WHO that is an instrument that aims for international collaboration "to pr ...
.


Notes

;References


External links

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