CHN Lecture - MODULE 8 Ethical Considerations in Community Health Nursing (Public Health Laws) PDF

**COMMUNITY HEALTH NURSING 1** **HANDOUTS NO. 8** **Considerations in Community Health Nursing (Public Health Laws)** 1. Magna Carta for Health Workers and Sanitation Code Republic Act 7305: Magna Carta of Public Health Workers Approved: March 26, 1992 SEC. 2. Declaration of the Policy. The...

**COMMUNITY HEALTH NURSING 1** **HANDOUTS NO. 8** **Considerations in Community Health Nursing (Public Health Laws)** 1. Magna Carta for Health Workers and Sanitation Code Republic Act 7305: Magna Carta of Public Health Workers Approved: March 26, 1992 SEC. 2. Declaration of the Policy. The State shall instill health consciousness among our people to effectively carry out the health programs and projects to the government essential for the growth and health of the nation. Towards this end, this Act aims: a\) to promote and improve the social and economic well-being of the health workers, their living and working conditions and terms of employment b)to develop their skills and capabilities in order that they will be more responsive and better equipped to deliver health projects and programs; and c\) to encourage those with proper qualifications and excellent abilities to join and remain in government service. SEC. 3. Definition. For purposes of this Act, "health workers" shall mean all persons who are engaged in health and health- related work, and all persons employed in all hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics and other health-related establishments owned and operated by the Government or its political subdivisions with original charters and shall include medical, allied health professional, administrative and support personnel employed regardless of their employment status. SEC. 4. Recruitment and Qualification. Recruitment policy and minimum requirements with respect to the selection and appointment of a public worker shall be developed and implemented by the appropriate government agencies concerned in accordance with policies and standards of the Civil Service Commission: Provided, That in the absence of appropriate eligibles and it becomes necessary in the public interest to fill a vacancy, a temporary appointment shall be issued to the person who meets all the requirements for the position to which he/she is being appointed except the appropriate civil service eligibility: Provided, further, That such temporary appointment shall not exceed twelve (12 )months nor be less than three (3) months renewal thereafter but that the appointee may be replaced sooner if (a) qualified civil service eligible becomes available, or (b) the appointee is found wanting in performance or conduct befitting a government employee. SEC. 5. Performance Evaluation and Merit Promotion. The Secretary of Health, upon consultation with the proper government agency concerned and the Management-Health Workers' Consultative Councils, as established under Section 33 of this Act, shall prepare a uniform career and personnel development plan applicable to all public health personnel. Such career and personnel development plan shall include provisions on merit promotion, performance evaluation, inservice training grants, job rotation, suggestions and incentive award system. The performance evaluation plan shall consider foremost the improvement of individualemployee efficiency and organizational effectiveness: Provided, That each employee shall be informed regularly by his/her supervisor of his/her performance evaluation. The merit promotion plan shall be in consonance with the rules of the Civil Service Commission. SEC. 6. Transfer or Geographical Reassignment of Public health Workers. a. a transfer is a movement from one position to another which is of equivalent rank, level or salary without break in service; b. a geographical reassignment, hereinafter referred to as "reassignment," is a movement from one geographical location to another; and c. a public health worker shall not be transferred and or reassigned, except when made in the interest of public service, in which case, the employee concerned shall be informed of the reasons therefore in writing. If the public health worker believes that there is no justification for the transfer and/or reassignment, he/she may appeal his/her case to the Civil Service Commission, which shall cause his/her reassignment to be held in abeyance; Provided, That no transfer and/or reassignment whatsoever shall be made three (3) months before any local or national elections:Provided, further, That the necessary expenses of the transfer and/or reassignment of the public health worker and his/her immediate family shall be paid for the Government. SEC. 7. Married Public Health Workers. Whenever possible, the proper authorities shall take steps to enable married couples, both of whom are public health workers, to be employed or assigned in the same municipality, but not in the same office. SEC. 8. Security of Tenure. In case of regular employment of public health workers, their services shall not be terminated except for cause provided by law and after due process: Provided, That if a public health workers is found by the Civil Service Commission to be unjustly dismissed from work, he/she shall be entitled to reinstatement without loss of seniority rights and to his/her back wages with twelve percent (12%) interest computed from the time his/her compensation was withheld from his/her up to time of reinstatement. SEC. 9. Discrimination Prohibited. A public worker shall not be discriminated against with regard to gender, civil status, civil status, creed, religious or political beliefs and ethnic groupings in the exercise of his/her profession. SEC. 10. No Understaffing/Overloading of Health Staff. There shall be no understaffing or overloading of public health workers. The ratio of health staffto patient load shall be such as to reasonably effect a sustained delivery of quality health care at all times without overworking the public health worker and over extending his/her duty and service. Health students and apprentices shall be allowed only for purposes of training and education. In line with the above policy, substitute officers or employees shall be provided in place of officers or employees who are on leave for over three (3) months. Likewise, the Secretary of Health or the proper government official shall assign a medico-legal officer in every province. In places where there is no such medico-legal officer, rural physicians who are required to render medico- legal services shall be entitled to additional honorarium and allowances. SEC. 11. Administration Charges. Administrative charges against a public health worker shall be heard by a committee composed of the provincial health officer of the province where the public health worker belongs, as chairperson, a representative of any existing national or provincial public health workers' organization or in its absence its local counterfeit and a supervisor of the district, the last two (2) to be designated by the provincial health officer mentioned above. The committee shall submit its findings and recommendations to the Secretary of Health within thirty (30) days from the termination of the hearings. Where the provincial health officer is an interested party, all the members of the committee shall be appointed by the Secretary of Health. SEC. 12. Safeguards in Disciplinary Procedures In every disciplinary proceeding, the public health worker shall have; a\) the right to be informed, in writing, of the charges; b\) the right to full access to the evidence in the case; c\) the right to defend himself/herself and to be defended by a representative of his/her choice and/or by his/her organization, adequate time being given to the public health worker for the preparation of his/her defense; d\) the right to confront witnesses presented against him/her and summon witnesses in his/her behalf; e\) the right to appeal to designated authorities; f\) the right to reimbursement of reasonable expenses incurred in his/her defense in case of exoneration or dismissal of the charges; and g\) such other rights as will ensure fairness and impartiality during proceedings. SEC. 13. Duties and Obligations. The public health workers shall: a\) discharge his/her duty humanely with conscience and dignity; b\) perform his/her duty with utmost respect for life; and race, gender, religion, nationality, party policies, social standing or capacity to pay. SEC. 14. Code of Conduct. Within six (6) months from the approval of this Act, the Secretary of Health, upon consultation with other appropriate agencies, professional and health workers' organization, shall formulate and prepare a Code of Conduct for Public Health Workers, which shall be disseminated as widely as possible. SEC. 15. Normal Hours of Work. The normal of wok of any public health worker shall not exceed eight (8) hours a day or forty(40) hours a week. Hours worked shall include: a. all the time during which a public health worker is required to be on active duty or to be at a prescribed workplace; and b. all the time during which a public health worker is suffered or permitted to work. Provided, That the time when the public health worker is place on "On Call" status shall not be considered as hours worked but shall entitled the public health worker to an "On Call" pay equivalent to fifty percent (50%) of his/her regular wage. "On Call" status refers to a condition when public health workers are called upon to respond to urgent or immediate need for health/medical assistance or relief work during emergencies such that he/she cannot devote the time for his/her own use. SEC. 16. Overtime Work. Where the exigencies of the service so require, any public health worker may be required t render, service beyond the normal eight (8) hours a day. In such a case, the workers shall be paid an additional compensation in accordance with existing laws and prevailing practices. SEC. 17. Work During Rest Day. SEC. 18. Night-Shift Differential. SEC. 19. Salaries. In the determination of the salary scale of public health workers, the provisions of Republic Act No. 6758 shall govern, except that the benchmark for Rural Health Physicians shall be upgraded to Grade 24. SEC. 20. Additional Compensation. Notwithstanding Section 12 of Republic Act No. 6758, public workers shall received the following allowances: hazard allowance, subsistence allowance, longevity pay, laundry allowance and remote assignment allowance. SEC. 21. Hazard Allowance. Public health worker in hospitals, sanitaria, rural health units, main centers, health infirmaries,barangay health stations, clinics and other health-related establishments located in difficult areas, strife-torn or embattled areas, distresses or isolated stations, prisons camps, mental hospitals, radiation-exposed clinics, laboratories or disease-infested areas or in areas declared under state of calamity or emergency for the duration thereof which expose them to great danger, contagion, radiation, volcanic activity/eruption occupational risks or perils to life as determined by the Secretary of Health or the Head of the unit with the approval of the Secretary of Health, shall be compensated hazard allowance equivalent to at least twenty-five percent (25%) of the monthly basic salary of health workers receiving salary grade 19 and below, and five percent (5%) for health workers with salary grade 20 and above. SEC. 22. Subsistence Allowance. Public health workers who are required to render service within the premises of hospitals,sanitaria, health infirmaries, main health centers, rural health units and barangay health stations, or clinics, and other health- related establishments in order to make their services available at any and all times, shall be entitled to full subsistence allowance of three (3) meals which may be computed in accordance with prevailing circumstances as determined by the Secretary of Health in consultation with the Management Health Workers' Consultative Councils, as established under Section 33 of this Act: Provided, That representation and travel allowance shall be given to rural health physicians as enjoyed by municipal agriculturists, municipal planning and development officers and budget officers. SEC.23. Longevity Pay. A monthly longevity pay equivalent to five percent (5%) of the monthly basic pay shall be paid to a health worker for every five (5) years of continuous, efficient and meritorious services rendered as certified by the chief of office concerned commencing with the service after the approval of this Act. SEC. 24. Laundry Allowance. All public health workers who are required to wear uniforms regularly shall be entitled to laundry allowance equivalent to one hundred twenty-five pesos (P125.00) per month: Provided, That this rate shall be reviewed periodically and increased accordingly by the Secretary of Health in consultation with the appropriate government agencies concerned taking into account existing laws and prevailing practices. SEC. 25. Remote Assignment Allowance. Doctors, dentists, nurses, and midwives who accept assignments as such in remote areas or isolated stations, which for reasons of far distance or hard accessibility such positions had not been filed for the last two (2) years prior to the approval of this Act, shall be entitled to an incentive bonus in the form of remote assignment allowance equivalent to fifty percent (50%) of their basic pay, and shall be entitled to reimbursement of the cost of reasonable transportation to and from and during official trips. In addition to the above, such doctors, dentists, nurses, and midwives mentioned in the preceding paragraph shall be given priority in promotion or assignment to better areas. Their tour of duties in the remote areas shall not exceed two (2) years, except when there are no positions for their transfer or they prefer to start in such posts in excess of two (2) years. SEC. 26. Housing. All public health workers who are in tour of duty and those who, because of unavoidable circumstances are forces to stay in the hospital, sanitaria or health infirmary premises, shall entitles to free living quarters within the hospital, sanitarium or health infirmary or if such wuarters are not available, shall receive quarters allowance as may be determined by the Secretary of Health and other appropriate government agencies concerned: Provided, That this rate shall be reviewed periodically and increased accordingly by the Secretary of Health in consultation with the appropriate government agencies concerned. For purposes of this Section, the Department of Health is authorized to develop housing projects in its own lands, not otherwise devoted for other uses, for public health workers, in coordination with appropriate government agencies. SEC. 27. Medical Examination. Compulsory medical examination shall be provided free of charge to all public health workers before entering the service in the Government or its subdivisions and shall be repeated once a year during the tenure of employment of all public health workers: Provided, That where medical examination shows that medical treatment and/or hospitalization is necessary for those already in government service, the treatment and/or hospitalization including medicines shall be provided free either in a government or a private hospital by the government entity paying the salary of the health worker: Provided, further, That the cost of such medical examination and treatment shall be included as automatic appropriation in said entity's annual budget. SEC. 28. Compensation of Injuries. Public health workers shall be protected against the consequences of employment injuries inaccordance with existing laws. Injuries incurred while doing overtime work shall be presumed work-connected. SEC. 29. Leave Benefits for Public Health Workers. Public health workers are entitled to such vacation and sick leaves as provided by existing laws and prevailing practices: Provided, That in addition to the leave privilege now enjoyed by public health, women health workers are entitled to such maternity leaves provided by existing laws and prevailing practices: Provided, further, That upon separation of the public health workers from services, they shall be entitled to all accumulated leave credits with pay. SEC. 30. Highest Basic Salary Upon Retirement Three (3) years prior to the compulsory retirement, the public health worker shall automaticallybe granted one (1) salary range or grade higher than his/her basic salary and his/her retirement benefits thereafter, computed on the basis of his/her highest salary: Provided, That he/she has reached the age and fulfilled service requirements under existing laws. SEC. 31. Right to Self-Organization. Public health workers shall have the right to freely from, join or assist organizations or unions for purposes not contrary to law in order to defend and protect their mutual interests and to obtain redness of their grievances through peaceful concerned activities. However, meanwhile the State recognizes the right of public health workers to organize or join organization, public health workers on-duty cannot declare, stage or join any strike or cessation of their service to patients in the interest of public health, safety or survival of patients. SEC. 32. Freedom from Interference or Coercion. It shall be unlawful for any person to commit any of the following acts of interference or coercion: a. to require as a condition of employment that a public health worker shall not join a health workers' organization or union or shall relinquish membership therein; b\) to discriminate in regard to hiring or tenure of employment or any item or condition of employment in order to encourage or discourage membership in any health workers' organization or union; c\) to prevent a health worker from carrying out duties laid upon him/her by his/her position in the organization or union, or to penalize him/her for the action undertaken in such capacity; d\) to harness or interfere with the discharge of the functions of the health worker when these are calculated to intimidate or to prevent the performance of his/her duties and responsibilities; and e\) to otherwise interfere in the establishment, functioning, or administration of health workers organization or unions through acts designed to place such organization or union under the control of government authority. SEC. 34. Health Human Resource Development/Management Study. The Department of Health shall conduct a periodic health human resource development/management study into, among others, the following areas; a. adequacy of facilities and supplies to render quality health care to patients and other client population; b. opportunity for health workers to grow and develop their potentials and experience a sense of worth and dignity in their work. Public health workers who undertake postgraduate studies in a degree course shall be entitled to an upgrading in their position or raise in pay: Provided, That it shall not be more than every two (2) years; c\) mechanisms for democratic consultation in government health institutions; d\) staffing patterns and standard or health care to ensure that the people receive-quality care. Existing recommendations on staffing and standards of health care shall be immediately and strictly enforced; e\) ways and means of enabling the rank-and-file workers to avail of education opportunities for personal growth and development; f\) upgrading of working conditions, reclassification positions and salaries of public health workers to correct disparity vis-a-vis other professions such that positions requiring longer study to upgrade and given corresponding pay scale; and g\) assessment of the national policy on exportation of skilled health human resource to focus on how these resources could instead be utilized productivity for the country's needs. There is hereby created a Congressional Commission on Health (HEALTHCOM) to review and assess health human resource development, particularly on continuing professional education and training and the other areas described above. The Commission shall be composed of five (5) members of the House of Representatives and five (5) members of the Senate. It shall be co-chaired by the chairperson of the Committee on health of both houses. It shall render a report and recommendation to Congress which shall be the basis for policy legislation in the field of health. Such a congressional review shall be undertaken once every five (5) years. SEC. 36. Prohibition Against Double Recovery of Benefits. Whenever other laws provide for the same benefits covered by this Act, the public health worker shall have the option to choose which benefits will be paid to him/her. However, in the event that the benefits chosen are less than that provided under this Act, the worker shall be paid only the difference. SEC. 38. Budgetary Estimates. The Secretary of health shall submit annually the necessary budgetary estimates to implement the provisions of this Act in staggered basis of implementation of the proposes benefits until the total of Nine hundred forty-six million six hundred sixty-four thousand pesos (P964,664,000.00) is estimated within five (5) years. Budgetary estimates for the succeeding years should be reviewed and increased accordingly by the Secretary of Health in consultation with the Department of Budget and Management and the Congressional Commission on Health (HEALTHCOM). SEC. 39. Penal Provision. Any person shall willfully interfere with, restrain or coerce any public health worker in the exercise of his/her rights or shall in any manner any act in violation of any of the provisions of this Act, upon conviction, shall be punished by a fine of not less than Twenty thousand pesos (P20,000.00) but not more than one (1) year or both at the discretion of the court. If the offender is a public official, the court, in addition to the penalties provided in the preceding paragraph, may impose the additional penalty of disqualification from office. **PRESIDENTIAL DECREE No. 856 December 23, 1975** **CODE ON SANITATION** Signed by: President Ferdinand Marcos CHAPTER 1 GENERAL PROVISIONS a. The Republic of the Philippines recognizes international treaties, agreements and conventions on public health. Their provisions may be considered parts of this Code provided they do not contravene the Constitution, existing laws or any provision of this Code. b. Any proceeding which has commenced or any right which has accrued upon the effectivity of this Code shall not be affected by any of its provisions. However, matters of procedure and rights arising after the date of effectivity of this Code shall conform to the provisions hereof. ) Whenever a power is granted or a duty is assigned to any public health officer in this Code, the power may be exercised by a deputy or agent of the official pursuant to law, unless it is expressly provided otherwise in this Code. d) Any notice, report, statement or record required or authorized by this Code, shall be written in English or Pilipino. e) Unless otherwise expressly provided, any notice required to be sent to any person by any provision of this Code, shall be sent through the postal service. The affidavit of the official or employee who mailed the notice is prima facie evidence that the notice was sent as prescribed herein. f) When any property is officially condemned or seized by government authorities in the interest of public health, the owner thereof shall not be entitled to compensation. g) When a duty is expressly vested in a health officer as provided in this Code, it shall be understood that it shall likewise be the concern of the superiors of the health office under the principle of command responsibility. CHAPTER II WATER SUPPLY Section 9. Prescribed Standards and procedures. Standards for drinking water and their bacteriological and chemical examinations, together with the evaluation of results, shall conform to the criteria set by the National Drinking Water Standards. The treatment of water to render it safe for drinking, and the disinfection of contaminated water sources together with their distribution systems shall be in accordance with procedures prescribed by the Department. Section 10. Jurisdiction of the Department. The approval of the Secretary or that of his duly authorized representative is required in the following cases: a) Sites of water sources before their construction; b) Delivery of water to consumers from new or recently repaired water systems; c) Operation of a water system after an order of closure was issued by the Department; d) Plans and specifications of water systems of subdivisions and projects prior to the construction of housing units thereat; and e) Certification of potability of drinking water. Section 11. Types of Water Examinations Required. The following examinations are required for drinking water: a) Initial examination The physical, chemical and bacteriological examinations of water from newly constructed systems or sources are required before they are operated and opened for public use. Examination of water for possible radio-active contamination should also be done initially. b) Periodic examination Water from existing sources is subject to bacteriological examination as often as possible but the interval shall not be longer than six months, while general systematic chemical examination shall be conducted every 12 months or oftener. Examination of water sources shall be conducted yearly for possible radioactive contamination. Section 12. Examining Laboratories and Submission of Water Samples. The examination of drinking water shall be performed only in private or government laboratories duly accredited by the Department. It is the responsibility of operators of water systems to submit to accredited laboratories water samples for examination in a manner and at such intervals prescribed by the Department. Section 13. Other Protective Measures. To protect drinking water from contamination, the following measures shall be observed: a) Washing clothes or bathing within a radius of 25 meters from any well or other source of drinking water is prohibited. b) No artesians, deep or shallow well shall be constructed within 25 meters from any source of pollution. CHAPTER II Section 9. Prescribed Standards and procedures. Standards for drinking water and their bacteriological and chemical examinations, together with the evaluation of results, shall conform to the criteria set by the National Drinking Water Standards. The treatment of water to render it safe for drinking, and the disinfection of contaminated water sources together with their distribution systems shall be in accordance with procedures prescribed by the Department. Section 10. Jurisdiction of the Department. The approval of the Secretary or that of his duly authorized representative is required in the following cases: a\) Sites of water sources before their construction; b\) Delivery of water to consumers from new or recently repaired water systems; c\) Operation of a water system after an order of closure was issued by the Department; e\) Certification of potability of drinking water. Section 11. Types of Water Examinations Required. The following examinations are required for drinking water: a. Initial examination The physical, chemical and bacteriological examinations of water from newly constructed systems or sources are required before they are operated and opened for public use. Examination of water for possible radio-active contamination should also be done initially. b. Periodic examination Water from existing sources is subject to bacteriological examination as often as possible but the interval shall not be longer than six months, while general systematic chemical examination shall be conducted every 12 months or oftener. Examination of water sources shall be conducted yearly for possible radioactive contamination. Section 12. Examining Laboratories and Submission of Water Samples. The examination of drinking water shall be performed only in private or government laboratories duly accredited by the Department. It is the responsibility of operators of water systems to submit to accredited laboratories water samples for examination in a manner and at such intervals prescribed by the Department. Section 13. Other Protective Measures. To protect drinking water from contamination, the following measures shall be observed: a. Washing clothes or bathing within a radius of 25 meters from any well or other source of drinking water is prohibited. b. No artesians, deep or shallow well shall be constructed within 25 meters from any source of pollution. ) No radioactive sources or materials shall be stored within a radius of 25 meters from any well or source of drinking water unless the radioactive source is adequately and safely enclosed by proper shielding. d) No person charged with the management of a public water supply system shall permit any physical connection between its distribution system and that of any other water supply, unless the latter is regularly examined as to its quality by those incharge of the public supply to which the connection is made and found to be safe and potable. e) The installation of booster pump to boost water direct from the water distribution line of a water supply system, where low-water pressure prevails is prohibited. CHAPTER III FOOD ESTABLISHMENT Section 14. Sanitary Permit a) No person or entity shall operate a food establishment for public patronage without securing a permit from the local health office. The term \"food establishment\" as used in this chapter means an establishment where food or drinks are manufactured, processed, stored, sold or served. b) Every Sanitary Permit shall be posted in a conspicuous place of the establishment. c) Fees The fees payable on application for permits and upon the issuances, renewal and noting of such certificates shall be in such amounts as the City of Municipal Authority may by resolution impose. d) Noting of Permit Within 14 days after any change in the ownership or occupancy of any establishment, the new occupant shall apply to the City or Municipal Health Officer to have such change noted in the records and on the permit certificate which he shall produce for the purpose and shall pay the corresponding fee in respect of such noting. e) Record of Permit Certificates Every City or Municipality shall keep a record of all establishments in respect of which permits have been issued and of all permit certificates and renewals thereof. f) The record shall in every case show the following: i. The name and address of the holder of the permit who in every case shall be the actual occupier of the establishment; ii. The location of the establishment; iii. The purpose or purposes for which the permit has been issued; iv. The date the first permit was issued and the dates of any renewal thereof; v. Every change of occupation and management of the establishment since the first permit was issued; and vi. Conditions under which the permit was issued or any renewal thereof granted. The record shall be available at all reasonable times for inspection by any officer of the Department of Health. Section 15. Health Certificates. No person shall be employed in any food establishment without a Health Certificate issued by the local health authority. This certificate shall be issued only after the required physical and medical examinations are performed and immunizations are administered at prescribed intervals. Section 16. Quality and Protection of Food. All food must be obtained from sources approved by the local health authority. In this regard, the following requirements are applicable: a) Meats, meat products and fish shall be procured from sources under sanitary or veterinary supervision. b) All meat and fish shall be properly cooked before serving. c) No meat products, fish, vegetables and other food sources shall be procured from sources or areas known to have been affected by radioactivity as for example, areas contaminated with a very large amount of radioactive fallout. d) Milk and fluid milk products shall be obtained from sources approved by the local health authority. Milk obtained from other sources must be sterilized, rized or otherwise heated. c. No radioactive sources or materials shall be stored within a radius of 25 meters from any well or source of drinking water unless the radioactive source is adequately and safely enclosed by proper shielding. d. No person charged with the management of a public water supply system shall permit any physical connection between its distribution system and that of any other water supply, unless the latter is regularly examined as to its quality by those incharge of the public supply to which the connection is made and found to be safe and potable. e. The installation of booster pump to boost water direct from the water distribution line of a water supply system, where low-water pressure prevails is prohibited. CHAPTER III FOOD ESTABLISHMENT Section 14. Sanitary Permit a. No person or entity shall operate a food establishment for public patronage without securing a permit from the local health office. The term \"food establishment\" as used in this chapter means an establishment where food or drinks are manufactured, processed, stored, sold or served. b\) Every Sanitary Permit shall be posted in a conspicuous place of the establishment. c\) Fees The fees payable on application for permits and upon the issuances, renewal and noting of such certificates shall be in such amounts as the City of Municipal Authority may by resolution impose. d\) Noting of Permit Within 14 days after any change in the ownership or occupancy of any establishment, the new occupant shall apply to the City or Municipal Health Officer to have such change noted in the records and on the permit certificate which he shall produce for the purpose and shall pay the corresponding fee in respect of such noting. e\) Record of Permit Certificates Every City or Municipality shall keep a record of all establishments in respect of which permits have been issued and of all permit certificates and renewals thereof. f\) The record shall in every case show the following: ii\. The location of the establishment; iii\. The purpose or purposes for which the permit has been issued; iv\. The date the first permit was issued and the dates of any renewal thereof; vi\. Conditions under which the permit was issued or any renewal thereof granted. The record shall be available at all reasonable times for inspection by any officer of the Department of Health. Section 15. Health Certificates. No person shall be employed in any food establishment without a Health Certificate issued by the local health authority. This certificate shall be issued only after the required physical and medical examinations are performed and immunizations are administered at prescribed intervals. Section 16. Quality and Protection of Food. All food must be obtained from sources approved by the local health authority. In this regard, the following requirements are applicable: a. Meats, meat products and fish shall be procured from sources under sanitary or veterinary supervision. b\) All meat and fish shall be properly cooked before serving. f. All perishable and potentially hazardous foods shall be stored at 45\_F (7\_C) or below. Cooked food intended to be served hot shall be kept at a temperature not lower than 140\_F (60\_C). Raw fruits and vegetables shall be thoroughly washed before they are used. Section 17. Structural Requirements. Food establishments shall be constructed in accordance with the following requirements: 1. No person shall use any room or place for or in connection with the preparation, storage, handling or sale of any article of food b\) In which any animal is kept; or 2\. No sanitary permit shall be issued for any premises to be used for the preparation, handling and sale of food unless it is constructed in accordance with the following requirements: a\) FLOORS ii\. Constructed of wood with dovetailed or tongue and grooved floor boards laid on a firm b\) WALLS c\) CEILINGS d\) LIGHTING e) Milk shall be stored in a refrigerator. Canned or package milk, other than dry milk powders, shall be refrigerated after the container has been opened. f) All perishable and potentially hazardous foods shall be stored at 45\_F (7\_C) or below. Cooked food intended to be served hot shall be kept at a temperature not lower than 140\_F (60\_C). Raw fruits and vegetables shall be thoroughly washed before they are used. Section 17. Structural Requirements. Food establishments shall be constructed in accordance with the following requirements: 1. No person shall use any room or place for or in connection with the preparation, storage, handling or sale of any article of food a) Which is at anytime used or in direct communication with a sleeping apartment or toilet; b) In which any animal is kept; or c) Which is or has been used for any purpose which would be likely to contaminate the food or to affect injuriously its wholesomeness or cleanliness; or d) Which is not used exclusively for the purpose; Provided, That in department stores or multi- purpose business establishments, food may be manufactured, prepared, cooked, stored, or sold only in the area set aside exclusively for said purpose and for which a sanitary permit has been issued. 2. No sanitary permit shall be issued for any premises to be used for the preparation, handling and sale of food unless it is constructed in accordance with the following requirements: a) FLOORS i. Constructed of concrete or other impervious and easily cleaned material that is resistant to wear and corrosion and shall be adequately graded and drained; all angles between the floors and walls shall be rounded off to a height of not less than 3 inches (7.62 cm.) from the floor; or ii. Constructed of wood with dovetailed or tongue and grooved floor boards laid on a firm foundation and tightly clamped together with all angles between the floor and walls rounded off to a height of 3 inches (7.62 cm.); or iii. Constructed in accordance with the requirements of sub-clause (i) and (ii) of this clause and covered with linoleum, smooth surfaced rubber or similar material fixed to the floor with cement or suitable adhesive: Provided, That with the approval in writing of the local authority, floors may be covered with carpets or other floor covering in those parts of the premises where such carpets or coverings can be satisfactorily cleaned and maintained. b) WALLS i. The internal surface of walls shall have a smooth, even, non-absorbent surface capable of being readily cleaned without damage to the surface and constructed of dust-proof materials; ii. The walls, where subject to wetting or splashing, shall be constructed of impervious, non- absorbent materials to a height of not less than 79 inches (2 meters) from the floor; iii. The internal walls shall be painted in light colors or treated with such other wall finish as the health authority may prescribe. c) CEILINGS i. All ceilings or, if no ceiling is provided, the entire under-surface of the roof shall be dust- proof and washable. ii. The ceiling or undersurface of the roof of rooms in which food is prepared or packed or in which utensils or hands are washed shall be smooth, non-absorbent and light. d) LIGHTING i. The general standards of illumination provided shall permit effective inspection and cleaning and shall be of sufficient intensity appropriate to the purpose for which any room or place is used; ii. In rooms where food is prepared or packed or in which utensils or hands are washed there shall be a minimum illumination intensity of 20 foot-candles; in premises where food is consumed, there shall be a minimum illumination intensity of 5 foot-candles. Intensities of illumination shall be measured at a point 30 inches (76.20 cm.) above the floor e\) VENTILATION ii\. The ventilation shall be adequate to prevent the air from becoming excessively heated, prevent condensation and the formation of excess moisture on walls, ceilings and for the removal of objectionable odors, fumes and impurities; f\) OVERCROWDING There shall be sufficient floor space to enable every person working thereon to carry out his duties efficiently and to permit easy access for cleaning. Working spaces, aisles or passageways and areas to which customers have access shall be unobstructed and sufficient to permit movement of employees and customers without contamination of food by clothing or personal contact. g. CHANGEROOMS There shall be provided adequate and suitable lockers or other facilities for the orderly storage of clothing and personal belongings of employees or persons engaged or employed in the premises. Such facilities shall be so situated and arranged so that there is no contamination of food by contact with clothing, and where the number of persons engaged or employed is four or more of either sex, there shall be provided separate changing rooms for each sex. h)WASH-HAND BASINS i\) WASH-HAND BASIN MAINTENANCE Section 18. Use of Food-Service Spaces a\) Food-service spaces shall not be used as living or sleeping quarters. b\) Clothing or personal effects shall be kept in lockers or in designated places away from food service spaces. c\) No animal or live fowls shall be allowed in such spaces. d\) Persons not directly connected with food preparation and serving shall not be allowed to stay in food- serving spaces. e\) Foods in storage or in preparation must not be handled by anyone other than the preparation and serving staff. Section 19. Food Handlers a. No person shall be employed in any food establishment without a health certificate issued by the local health authority. b\) Food handlers shall at all times: Section 20. Vermin Control. Vermin A group of insects or small animals such as flies, mosquitoes, cockroaches, fleas, lice, bedbugs, mice, and rats which are vectors of diseases. a. Spaces where food and drinks are stored, prepared and served shall be so constructed and maintained as to exclude vermin. b. All opening which connects spaces to the outer air shall be effectively protected with screen of non-corrosive wire 16-mesh or finer. Door screens shall be tight-fitting. c. A vermin abatement program shall be maintained in the establishments by their owners, operators, or administrators. If they fail, neglect or refuse to maintain a vermin abatement programs, the local health agency will undertake the work at their expense. d. During deratting or disinfecting operations, all foodstuffs, utensils, food preparation and cleaning equipment shall be covered to protect them from toxic chemical substances. e. Vermin control in public places shall be the responsibility of the provincial, city or municipal governments which have jurisdiction over them. f. The procedure and frequency of vermin abatement program shall be determined and approved by the local health authority. Section 21. Toilet and Washing Facilities a. Adequate and clean toilet facilities for male and female customers and personnel shall be provided in properly located areas. b. Toilet rooms shall not open directly into spaces where food is prepared, stored or served. Where such toilets exist, the doors shall be tight fitting and self-closing. c\) Adequate hand-washing facilities shall be provided within or adjacent to toilet room. Section 22. Disposal of Refuse a\) Refuse cans may be used in food-preparation areas for immediate use only. b\) Storage refuse cans, filled and empty, shall be in a designated space separate from food-handling operations. c\) These cans shall be constructed and maintained as to be vermin-proof and easily cleaned. d\) Cans containing refuse shall be tightly covered at all times, except during actual use in food-handling areas. Section 23. Equipment and Utensils a. They shall be so designed, fabricated and installed so that cleaning is easy and they do not pose health hazards. e) Milk shall be stored in a refrigerator. Canned or package milk, other than dry milk powders, shall be refrigerated after the container has been opened. f) All perishable and potentially hazardous foods shall be stored at 45\_F (7\_C) or below. Cooked food intended to be served hot shall be kept at a temperature not lower than 140\_F (60\_C). Raw fruits and vegetables shall be thoroughly washed before they are used. Section 17. Structural Requirements. Food establishments shall be constructed in accordance with the following requirements: 1. No person shall use any room or place for or in connection with the preparation, storage, handling or sale of any article of food a) Which is at anytime used or in direct communication with a sleeping apartment or toilet; b) In which any animal is kept; or c) Which is or has been used for any purpose which would be likely to contaminate the food or to affect injuriously its wholesomeness or cleanliness; or d) Which is not used exclusively for the purpose; Provided, That in department stores or multi- purpose business establishments, food may be manufactured, prepared, cooked, stored, or sold only in the area set aside exclusively for said purpose and for which a sanitary permit has been issued. 2. No sanitary permit shall be issued for any premises to be used for the preparation, handling and sale of food unless it is constructed in accordance with the following requirements: a) FLOORS i. Constructed of concrete or other impervious and easily cleaned material that is resistant to wear and corrosion and shall be adequately graded and drained; all angles between the floors and walls shall be rounded off to a height of not less than 3 inches (7.62 cm.) from the floor; or ii. Constructed of wood with dovetailed or tongue and grooved floor boards laid on a firm foundation and tightly clamped together with all angles between the floor and walls rounded off to a height of 3 inches (7.62 cm.); or iii. Constructed in accordance with the requirements of sub-clause (i) and (ii) of this clause and covered with linoleum, smooth surfaced rubber or similar material fixed to the floor with cement or suitable adhesive: Provided, That with the approval in writing of the local authority, floors may be covered with carpets or other floor covering in those parts of the premises where such carpets or coverings can be satisfactorily cleaned and maintained. b) WALLS i. The internal surface of walls shall have a smooth, even, non-absorbent surface capable of being readily cleaned without damage to the surface and constructed of dust-proof materials; ii. The walls, where subject to wetting or splashing, shall be constructed of impervious, non- absorbent materials to a height of not less than 79 inches (2 meters) from the floor; iii. The internal walls shall be painted in light colors or treated with such other wall finish as the health authority may prescribe. c) CEILINGS i. All ceilings or, if no ceiling is provided, the entire under-surface of the roof shall be dust- proof and washable. ii. The ceiling or undersurface of the roof of rooms in which food is prepared or packed or in which utensils or hands are washed shall be smooth, non-absorbent and light. d) LIGHTING i. The general standards of illumination provided shall permit effective inspection and cleaning and shall be of sufficient intensity appropriate to the purpose for which any room or place is used; ii. In rooms where food is prepared or packed or in which utensils or hands are washed there shall be a minimum illumination intensity of 20 foot-candles; in premises where food is consumed, there shall be a minimum illumination intensity of 5 foot-candles. Intensities of illumination shall be measured at a point 30 inches (76.20 cm.) above the floor b\) Lead-soldered containers and cadium-lined piping and fixtures shall not be used. c\) Surfaces that come into contact with food or drinks shall be constructed of materials that are impervious, corrosion-resistant, non-toxic, easily cleanable, durable and resistant to chipping. d\) Sliding doors on cabinets shall be easily cleanable and removable. Runners shall be allotted at the ends to permit removal of dust and debris. The bottom shelves of open-based fixtures shall be removable to facilitate inspection, cleaning and maintenance. Section 24. Washing of Utensils a\) They shall be scraped and pre-rinsed to remove food articles. b\) They shall be thoroughly cleansed in warm water at 120\_F (49\_C) with soap or detergent. c\) If running water is not used, the wash-water shall be changed frequently. Section 25. Bactericidal Treatment. Eating and drinking utensils and equipment, after thoroughly cleaned, shall be subjected to one of the following bactericidal treatments: a\) Immersion for at least half a minute in clean hot water at a temperature of at least 170\_F (77\_C); b\) Immersion for at least one minute in a lukewarm chlorine solution 50 ppm; c\) Exposure in a steam cabinet at a temperature of at least 170\_F (77\_C) for at least 15 minutes at a temperature of 200\_F (90\_C) for at least 5 minutes; d\) Exposure in an oven or hot-air cabinet at a temperature of at least 180\_F (82\_C) for at least 20 minutes; or e\) Any other method approved by the local health authority. Section 26. Handling of Washed Utensils a)Washed utensils shall be allowed to drain dry in wire racks without use of drying cloths, or shall be stored in a self-draining position to permit ready air-drying. b\) The drying cloth on which to store dishes and utensils temporarily after bactericidal treatment should be clean and changed frequently. Section 27. Storage of Washed Utensils a. They shall be stored in a clean and dry place adequately protected against vermin and other sources of contamination. b\) Cups, bowls, and glasses, shall be inverted for storage. Section 28. Dry Storage of Non-Perishable Foods. Non-perishable foods shall be stored in the following manner: a\) Designated spaces, lockers, cupboards, racks, shelves and containers shall be used for storage. b\) All spaces, lockers and cupboard shall be constructed of materials of the same quality as used for food- preparation and food-serving operations. Containers shall be made of metal fitted with tight covers. c\) The recommended temperature range for dry stores is 50-60\_C (10-15\_C) except where dry foods for immediate use are stored in the preparation and servicing spaces. Section 29. Refrigerated Storage of Perishable Foods. Perishable foods shall be stored in the following manner: a. They shall be kept at or below 45\_F (7\_C) except during preparation or when held for immediate serving after preparation. c\) Fruits and vegetables shall be stored in cool rooms. d\) Recommended temperatures for perishable food storage are: 1.Frozen foods; not more than 10\_F (2\_C) 3.Milk and milk products: 40-45\_F (5-7\_C) 4.Fruits and vegetables: 44-50\_F (7-10\_C) Section 30. Food Servicing Operations. These operations should be in accordance with the following requirements: a. Hand contacts with food or drink shall be avoided; fingers shall not be used to serve butter, ice, or similar items of food. Sugar shall be served in covered dispensers or containers, or in packages wrapped for single service. b. The surfaces of containers and utensils, including glasses and tablewares, which come in contact with food and drink shall not be handled. c. Disposable cups, plates, spoons and other single-service containers and utensils shall be purchased in sanitary cartons and stored in a clean, dry place until used. These articles shall be so handled on removal from the carton that the hand does not touch the surface which will be in contact with food or drink. d. Clean cloths, napkins, spoons, towels, and other cloth equipment shall be stored in clean places designated specifically for them. Soiled linens, including towels, aprons, and coats, shall be stored in a closed bin or locker, suitably marked. e. Spoons, spatulas, dippers and scopps used intermittently for dispensing frozen desserts shall be kept in running water or in water maintained at 170\_F (77\_C) and frequently changed, or they may be washed and stored in a dry place after each use. Constant-temperature bottles and other containers used for potable water and other beverages shall be kept clean and given effective bactericidal treatment before and after subsequent use. Section 31. Evaluation of Food Establishment. It shall be the duty of the Provincial, Municipal or City Health Officer to cause an inspection and evaluation of every food establishment requiring a permit for its operations, at least every six months and shall cause as many additional inspections and re-inspections and evaluation to be made as are necessary for the enforcement of the provision of this Chapter. During the inspection or evaluation carried out at least every six months, the inspector shall record his findings on an inspection form provided for the purpose and shall furnish the original of such report to the holder of sanitary permit, the manager or occupier of the premises. Demerits entered in the appropriate column inspection forms shall indicate that the item does not, in the opinion of the inspector, comply with the requirements of this regulation. Within 48 hours of the inspection or evaluation, the original of the inspection report shall be furnished the holder of the permit certificate, the manager or occupier of the food establishment. Whenever an inspection form issued indicates non-compliance items relating to any particular type of premises, the inspector shall notify the holder of the sanitary permit, the manager or occupier of the correction to be made and indicate a reasonable period for its compliance. If upon re-inspection after the deadline the inspector finds the correction has not been effected he shall forthwith report to the Health Officer and the Health Officer shall revoke the sanitary permit. A copy of the inspection form and any notices served shall, in all cases, be filed and kept by the local health authority and be available at all reasonable time for inspection by an officer of the Department of Health. a. SERVICE OF NOTICE Whenever an inspection or evaluation report form indicates non-complying items, the Health Officer of the Province, Municipality or City may cause to be served on the holder of the permit, the manager or occupier a notice requiring him, within the time stated in the notice, to take such remedial action as may be specified therein. In the event within the time stated in the notice, hereinafter called the first notice, the terms of the first notice are not complied with, the Health Officer may cause to be served on the holder of the permit, the manager or occupier a second notice calling on him to show cause, at a time and place stated in the notice, why the permit issued in respect of the food establishment should not be revoked. b) REVOCATION OF PERMITS After prior notice and hearing as provided above, the Health Officer, if satisfied that the terms of the two notices have not been complied with or that the failure to comply therewith is not excusable, shall revoke the said permit. c) SUMMARY SUSPENSION OF PERMITS Whenever the Provincial, Municipal or City Health Officer finds unsanitary or unhealthy conditions in the operation of a food establishment which in his judgment constitute a substantial hazard to the public health, the Health Officer may order the immediate suspension of the permit. Any person to whom such an order is issued written petition shall be afforded a hearing as soon as possible. d) APPEALS The person or panel conducting the hearing may confirm, modify or reverse the decision appealed from, which decision shall be final. e) PROTECTION OF FOOD Notwithstanding the other provisions of this regulation relating to the issuance of permits, every person who is engaged in the sale of food or in the manufacture, preparation, storage, packing or delivery of food for sale protect such food from contamination. f) POWER OF ENTRY Any Sanitary Inspector or duly authorized officer of the Department of Health or of the Provincial, Municipal or City Health Officer, upon presentation of proper credentials may at all reasonable times enter any premises engaged in the manufacture, preparation or packing of any article of food for sale or any premises used for any of the purposes referred to in this Code for the purpose of inspection or any other action necessary for administration of this Code. Section 32. Special Provisions a) Groceries or \"Sari-Sari\" Stores 1. No grocery or sari-sari store shall be established within a distance of 25 meters from any source of contamination. 2. All foods which require no further cooking before they are eaten shall be protected from contamination while in countries or showcases. b) Bakeries. Delivery trucks and carts of bakery products shall always be kept clean and sanitary. c) Dairies 1. No dairy shall keep unhealthy or infected cows, carabaos or goats for the production of milk, or feed them unwholesome food which produces impure or unwholesome milk. 2. No animals used for the production of milk shall be allowed to graze on land which has been contaminated by radioactivity. 3. No dairy shall sell unwholesome milk that has not been previously pasteurized or otherwise sterilized. d) Ice Plants 1. Only potable water shall be used in the manufacture of ice. 2. In storing and transporting ice intended for public consumption, precautionary measures shall be taken to protect the ice from sources of contamination. e) Ambulant Food Vendors 1. These vendors shall sell only bottled food drinks, biscuits and confectionaries. 2. It is prohibited for food vendors to sell food that requires the use of utensils. f) Oyster Beds 1. Oysters shall be planted and grown only in areas approved by the Secretary or his duly authorized representatives and in places duly licensed by the Bureau of Fisheries and Aquatic Resources. 2. Oysters offered for sale, if not originating from approved areas, shall be confiscated and destroyed by the local health authority. g) Fish Marketing Areas 1. Only fresh and wholesome fish products shall be sold. 2. Fish caught in radioactive zones as well as in areas contaminated by toxic substances or high in mercury count as determined by the health authorities shall be condemned and not be allowed for public consumption. him to show cause, at a time and place stated in the notice, why the permit issued in respect of the food establishment should not be revoked. b. REVOCATION OF PERMITS After prior notice and hearing as provided above, the Health Officer, if satisfied that the terms of the two notices have not been complied with or that the failure to comply therewith is not excusable, shall revoke the said permit. c. SUMMARY SUSPENSION OF PERMITS Whenever the Provincial, Municipal or City Health Officer finds unsanitary or unhealthy conditions in the operation of a food establishment which in his judgment constitute a substantial hazard to the public health, the Health Officer may order the immediate suspension of the permit. Any person to whom such an order is issued written petition shall be afforded a hearing as soon as possible. d. APPEALS The person or panel conducting the hearing may confirm, modify or reverse the decision appealed from, which decision shall be final. e. PROTECTION OF FOOD Notwithstanding the other provisions of this regulation relating to the issuance of permits, every person who is engaged in the sale of food or in the manufacture, preparation, storage, packing or delivery of food for sale protect such food from contamination. f. POWER OF ENTRY Any Sanitary Inspector or duly authorized officer of the Department of Health or of the Provincial, Municipal or City Health Officer, upon presentation of proper credentials may at all reasonable times enter any premises engaged in the manufacture, preparation or packing of any article of food for sale or any premises used for any of the purposes referred to in this Code for the purpose of inspection or any other action necessary for administration of this Code. Section 32. Special Provisions a\) Groceries or \"Sari-Sari\" Stores 1\. No grocery or sari-sari store shall be established within a distance of 25 meters from any source of contamination. 2\. All foods which require no further cooking before they are eaten shall be protected from contamination while in countries or showcases. b\) Bakeries. Delivery trucks and carts of bakery products shall always be kept clean and sanitary. c\) Dairies d\) Ice Plants 1.Only potable water shall be used in the manufacture of ice. e\) Ambulant Food Vendors 1\. These vendors shall sell only bottled food drinks, biscuits and confectionaries. 2\. It is prohibited for food vendors to sell food that requires the use of utensils. f\) Oyster Beds g\) Fish Marketing Areas 1\. Only fresh and wholesome fish products shall be sold. CHAPTER IV MARKETS AND ABATTOIRS Section 34. Prescribed Standards of Construction. The construction of markets and abattoirs shall conform to standards prescribed by the Department. These standards shall be set along the following guidelines: 1. Suitability of site insofar as elimination of nuisance condition and prevention of contamination are concerned; 2\. Availability of ample water supply for cleaning; 3\. Accessibility of adequate drainage facilities; 5\. Facilities for sanitation maintenance, such as cleaning and elimination of harborages of vermin. Section 35. Responsibility of the Local Health Authority a\) On Markets 3\. Prohibit the construction of living quarters within any market and its premises; 4\. Enforce the ban on construction of partitions, sheds or booths within the market area. b\) On Abattoirs 1\. Supervise the maintenance of adequate sanitation in abattoirs and their premises; 2\. Enforce the requirements on the examination of meat as provided in existing laws; 4\. Supervise the sanitary disposal of all abattoir wastes; and CHAPTER V PUBLIC LAUNDRY Section 37. Sanitary Permit. No public laundry shall operate without a sanitary permit from the Secretary or his duly authorized representative. As used in this Chapter, a public laundry is a laundry established and operated for commercial purposes, open to the public, and not to an exclusive clientele. Section 38. General Requirements. The construction and operation of a public laundry shall be governed by the following requirements: a\) Structural Requirements 1\. The site should be distant from sources of nuisance. 2\. Only durable construction materials shall be used. 3\. Smooth and water-tight materials shall be used for flooring. 4\. All work rooms shall be properly ventilated and provided with 10 foot-candles of lighting. b\) Sanitary Requirements 3\. Employees shall be provided with lockers for their working garments and street cloths. 4\. The plant and its premises and equipment shall be maintained clean and sanitary at all times. Section 39. Special Requirements The following requirements shall be enforced: a. All articles to be laundered coming from hospitals and infected sources shall be treated by exposure to a sufficient quantity of hot water detergents or by other effective means of disinfection. b. All linen, bed clothes, pajamas, towels, bedsheets, pillow cases, etc. that have come in contact with any form of radioactivity should be isolated in a certain area and monitored by Radiation Safety personnel before sending these articles for laundry. If any amount of radioactive contamination is found, the affected article should be set aside and the radioactivity allowed to completely decay before said article is sent for laundry. c. All articles for delivery to the laundry shall be kept in containers which shall be kept closed until the articles are removed at the laundry. d\) Laundry vehicles shall be kept clean and sanitary at all times. e\) A separate room shall be used solely for receiving, sorting, marking or handling unwashed articles. f\) Diapers must be protected from pathogenic organisms and from chemical substances which are irritating to the skin of the infant. Laundered diapers for delivery shall be packed in sealed sanitary containers. CHAPTER VI SCHOOL SANITATION AND HEALTH SERVICES Section 43. Health Services Trained personnel and adequate facilities should be available so that students may be afforded the following health services: a\) Periodic physical and medical examination; b\) Periodic immunization; c)Medical and dental treatment; d\) Treatment for common emergencies; and e\) Counselling and guidance. Section 44. Requirements for Special Schools a. Cadavers shall be stored in morgues and dissected in dissecting rooms, all of which shall be constructed and maintained in accordance with standards prescribed by the Department. b\) Poisonous or harmful plants and animals shall be kept in adequate and a secured areas. CHAPTER VII INDUSTRIAL HYGIENE Section 45. Sanitary Requirements for Operating an Industrial Establishment.The following sanitary requirements shall be applicable to industrial establishments: a. No person, firm, corporation, or entity shall operate any industrial establishment without first obtaining a sanitary permit from the Secretary or his duly authorized representatives. b. Industrial establishments shall be allowed to operate only in places or zones assigned for the kind of industry by existing zoning laws, ordinances, or policies. The local health authority shall determine the suitability of location where no zoning law, ordinance or policy exists. c\) Adequate potable water supply shall be provided to employees. f\) An abatement program for the control of vermin shall be maintained. g\) Adequate restrooms and mass halls shall be provided for employees. Section 46. Responsibility of the Secretary b\) Review the concentration values at regular intervals to amend or alter the list where indicated. h\) Promulgate control measures to reduce noise and pollution. Section 47. Responsibilities of the Employer and Employees. The following are the responsibilities of the employer and employees in industrial establishments: a\) Employer responsibility 1\. Provide, install and maintain in good repair all control measures and protective equipment; 3\. Make periodical testing of the hearing of all employees in noisy areas of operation; 6\. Provide personal protective equipment and/or protective barriers when they are necessary. b\) Employee responsibility 1\. Observe strictly protective control measures which are prescribed; and 2\. Use equipment provided them properly. Section 48. Environmental Provisions. a\) Control of atmospheric contaminants 1.Workers shall not be exposed to atmospheric contaminants hazardous to health. b\) Control of infectious agents Control measures shall be provided to eliminate or control the transmission of infectious diseases through processing or handling of industrial products or wastes. c. Control of possible sources of radiation hazards should be carried out under the supervision of the Radiation Health Officer or his authorized representative. d) Noise Control measures shall be provided to reduce intensity of noise sufficiently to render it harmless to workers and to eliminate it at its source as a nuisance by following the recommendations of the local health or other government authority. e) Illumination 1. Adequate lighting shall be provided and distributed in all work areas in amount required for the type of work or seeing tasks measured by a light-meter with a minimum of glare and contrasting intensities between work and workroom. 2. Where the specific task requires more light than provided by general illumination, supplementary lighting shall be supplied. f) Ventilation 1. Natural or artificial ventilation shall be provided in all work areas at a rate to insure a safe and healthful working atmosphere, free from injurious amounts of toxic materials and reasonably free from offensive odours and dust throughout the establishment. 2. Proper control measures shall be used to reduce concentration of toxic contaminants to allowable limits. 3. Air inlets shall be arranged, located and equipped to insure sufficient air velocity and an exhaust system which shall be located so that discharged materials shall not re-enter places of employment or habitations nor create any hazard of nuisance. Section 49. Personal Protective Equipment. The following requirements shall be applicable for personal protective equipment. a) Personal protective equipment and/or protective barriers shall be provided whenever substances, radiations or mechanical irritants are encountered in a manner capable of causing any pathological change or injury or impairment in functions of any part of the body through skin and/or mucous membrane absorption. b) Personal protection equipment which shall include respiratory protectors and other accessories shall be fitted to each exposed worker when necessary. c) X-ray film badges or pocket desimeters should be worn by workers who, during their course of work are unavoidably exposed to even a small amount of radiation. d) Supervisors and employees shall familiarize themselves with the use, proper sanitary care and storage of this equipment. Section 50. Health Services Medical services shall be provided to all employees in accordance with existing laws and the rules and regulations prescribed by the Department. CHAPTER VIII PUBLIC SWIMMING OR BATHING PLACES Section 51. Sanitary Permit. No public swimming and bathing places shall be operated for public use without a sanitary permit issued by the Secretary or his duly authorized representative. Section 52. Protection of Customers. To protect the health and safety of persons who use them, the Department shall promulgate: a) Rules and regulations concerning: 1. Correct sanitary practices for persons swimming or bathing to prevent the transmission of communicable diseases; 2. Correct sanitary procedures for personnel working in those places to maintain their adequate sanitation and cleanliness of accessories used by customers; 3. Adequate number of trained personnel and necessary equipment needed for life-saving and rescue work; 4. Post conspicuous signs to warn the public of the presence of artificial or natural hazards; and b) Standards and criteria concerning: 1. Sanitary structural requisites for swimming pools and bath houses to prevent pollution of their waters and to facilitate sanitation maintenance; d. Noise Control measures shall be provided to reduce intensity of noise sufficiently to render it harmless to workers and to eliminate it at its source as a nuisance by following the recommendations of the local health or other government authority. e\) Illumination 2\. Where the specific task requires more light than provided by general illumination, s supplementary lighting shall be supplied. f\) Ventilation Section 49. Personal Protective Equipment. The following requirements shall be applicable for personal protective equipment. a. Personal protective equipment and/or protective barriers shall be provided whenever substances, radiations or mechanical irritants are encountered in a manner capable of causing any pathological change or injury or impairment in functions of any part of the body through skin and/or mucous membrane absorption. b. Personal protection equipment which shall include respiratory protectors and other accessories shall be fitted to each exposed worker when necessary. c. X-ray film badges or pocket desimeters should be worn by workers who, during their course of work are unavoidably exposed to even a small amount of radiation. d. Supervisors and employees shall familiarize themselves with the use, proper sanitary care and storage of this equipment. Section 50. Health Services Medical services shall be provided to all employees in accordance with existing laws and the rules and regulations prescribed by the Department. CHAPTER VIII PUBLIC SWIMMING OR BATHING PLACES Section 51. Sanitary Permit. No public swimming and bathing places shall be operated for public use without a sanitary permit issued by the Secretary or his duly authorized representative. Section 52. Protection of Customers. To protect the health and safety of persons who use them, the Department shall promulgate: a\) Rules and regulations concerning: 4\. Post conspicuous signs to warn the public of the presence of artificial or natural hazards; and b\) Standards and criteria concerning: Section 53. Responsibility of the Local Health Authority 1\. Inspect the state of sanitation of public swimming or bathing places; 3.Enforce rules and regulations of the Department under this Chapter; and CHAPTER IX REST AREAS, BUS TERMINALS, BUS STOPS, AND SERVICE STATIONS Section 54. Rest areas, bus terminals, bus stops and service station areas with one or more permanent sheds, buildings and service facilities for motor vehicles shall be provided with sanitary facilities for the convenience and personal necessities of the travelling public. a. Rest areas, bus terminals, bus stops and service stations shall be established with ample area to prevent overcrowding of motor vehicles and travellers. b\) They shall be provided with adequate ventilation and lighting and away from sources of nuisance. f\) Comfort rooms Adequate number of comfort rooms shall be provided as well as auxiliary facilities therein in accordance with the provisions on Chapter XVII of this Code. g. Waiting sheds for commuters shall be of adequate size to comfortably accommodate a minimum of thirty (30) persons. Floors shall be of smooth concrete finish and adequate sitting facilities provided for. h. Sale of foodstuffs in those establishments shall be done in conformity with the provisions of Chapter III of this Code. CHAPTER X CAMPS AND PICNIC GROUNDS Section 55. No camps and picnic grounds shall be open for public patronage without a sanitary permit issued by Secretary or his duly authorized representative. a. Camps and picnic ground sites shall not be subject to flooding, must be well drained, distant from any source of nuisance and will not endanger sources of any public water supply. b. Camp and picnic houses shall be provided with adequate lighting and ventilation. Where tents are used flooring shall be at least 4 inches above the ground. c. Adequate and safe drinking water shall be available at all times in accordance with the provisions of Chapter II of this Code. d\) Adequate number of sanitary facilities shall be provided. e\) Sewage disposal shall be in accordance with the provisions on Chapter XVII of this Code. f\) The storage, preparation and serving of food shall be in accordance with Chapter III of this Code. i\) A program on Vermin Control shall be made in accordance with Chapter XVI of this Code. CHAPTER XI DANCING SCHOOLS, DANCE HALLS AND NIGHT CLUBS Section 56. General Provisions. The following provisions are applicable to dancing schools, dance halls and night clubs: b)These establishments and their premises shall be kept clean and sanitary at all times. Section 57. Special Provisions The following provisions are applicable in cases herein specified: a. For dancing schools No person shall be employed as a dancing instructor or instructress without first securing a health certificate from the local authority. b\) For dance halls and night clubs CHAPTER XII TONSORIAL AND BEAUTY ESTABLISHMENTS Section 58. Definition of Terms. As used in this Chapter, the term \"Tonsorial and Beauty Establishments\" include barber shops, beauty parlors, hairdressing and manicuring establishments and figure slendering salons. a\) Requirements. These establishments are subject to the following requirements: 2\. They shall be maintained clean and sanitary at all times. b\) Correct Sanitary Practices. The following sanitary practices shall be observed. 1\. Working personnel shall wash their hands with soap and water before servicing customers. 2\. They shall wear clean working garments. 3\. They shall not smoke nor eat while working. 4\. Implements of their trade shall be cleaned and disinfected before and after their use. 5\. Customers shall be supplied with clean and fresh towels, drapes and other linen necessary. 6\. Precautionary measures to prevent disease transmission shall be observed when serving customers showing any form of dermatoses. CHAPTER XIII Section 60. Sanitary Permit. No person or entity shall operate a massage clinic and/or a sauna bath establishment without first securing a sanitary permit from the local health authority. Section 61. Sanitary Requirements. The following requirements shall be enforced: a\) Massage Clinic 1\. The reception and office rooms shall be properly lighted and ventilated. 3\. Sanitary and adequate handwashing, bath and toilet facilities shall be available. 6\. The establishment and its premises shall be maintained clean and sanitary at all times. b\) Sauna Bath Establishment 1\. The reception and office rooms shall be properly lighted and adequately ventilated. 3\. Sanitary and adequate handwashing, bath and toilet facilities shall be available. 4\. Customers shall be provided with soap, clean towels and sanitized rubber or plastic slippers. Section 62. Personnel a\) Masseur 2\. He must possess an up-to-date health certificate issued by the local health authority. b\) Massage Clinic Attendant a. The Satisfactory completion of a training course or study given by a government office, school or hospital, which is duly authorized and recognized by the Department; and b. Up-to-date health certificate issued by the local health authority to include VD clearance secured from any government clinic or hospital. 2\. person must clean working garments when attending to customers. c\) Sauna Bath Attendant 1\. Attendant must possess an up-to-date health certificate issued by the local health authority. 2\. The person must wear clean working garments when attending to customers. CHAPTER XIV HOTELS, MOTELS AND APARTMENTS, LODGING, BOARDING, OR TENEMENT HOUSES, AND CONDOMINIUMS Section 64. General Provisions. The following are required for the establishments defined in the preceding Section: a. No establishment shall be operated and opened for public patronage without a sanitary permit issued by the Secretary or his duly authorized representative. b. Any extension or additional construction in an establishment shall require a sanitary permit before it could be operated. c) All establishments shall provide their patrons with adequate water supply, toilet and bath facilities in accordance with standards prescribed in this Code. d) Establishments and their premises shall be kept clean and sanitary at all times. e) Periodic insect and vermin control measures shall be undertaken to eradicate vectors of diseases. f) Animals, fowls and pets shall be housed in appropriate kennels or cages separate from living quarters. g) No person shall be employed in establishments without first procuring a health certificate from the local health authority. Section 65. Special Provisions a) Hotels and Motels 1. The storage, preparation and serving of food to customers shall be in accordance with the standards prescribed in Chapter III of this Code. 2. Customers shall be provided with clean linen such as bedsheets, pillow cases, towels and napkins. 3. When rooms or cabins are vacated, their toilets or baths shall be sanitized and clean and fresh linen shall be provided before the room or cabin is rented for occupancy. b) Condominium 1. The choice for sites should consider availability of bus and taxi transportation services. 2. Nearness to place of work, schools, police stations and clinics. 3. Availability of low-cost goods. 4. Parking facilities and playgrounds for children. 5. Facilities for refuse disposal and cleanliness of buildings, and 6. Efficiency of lifts. CHAPTER XV PORT, AIRPORT, VESSEL AND AIRCRAFT SANITATION Section 66. Port and Airport Sanitation. In ports and airports, the following sanitary requirements shall be applied: a) Every port and airport shall be provided with potable drinking water and wholesome food supplied from sources approved by the Secretary or his duly authorized representative. b) The drinking water and food shall be stored and handled in a manner to ensure their protection against contamination. The local health authority shall conduct periodic inspections of equipment, installations and premises, and collect regularly samples of water and food for laboratory examination to determine if they are fit for human consumption. c) There shall be available to as many ports and airports as practicable organized medical and health services with adequate staff, equipment and facilities for the prompt isolation and care of infected persons, disinfection, disinsecting, deratting, laboratory examination, collection and examination of rodents for plague infection, collection of water and food samples for examination. d) The local health authority for each port and airport shall take all practicable measures to keep port and airport installation free of rodents. e) In ports and airports of entry, facilities shall be provided for immunizations required in international travel. f) Every port of entry and the area within the perimeter of an airport of entry shall be kept free from mosquito vectors of yellow fever, malaria and other diseases of epidemiological significance. Section 67. Vessel Sanitation. For the purpose of this Section, the provisions of Art. II of the Quarantine Regulations promulgated under Section 5 of Republic Act No. 123 shall be applied and enforced. Section 68. Aircraft Sanitation. For the purpose of this Section, the requirements in the Guide to Hygiene and Sanitation in Aviation of the World Health Organization are adopted as part of this Code. CHAPTER XVI VERMIN CONTROL c. All establishments shall provide their patrons with adequate water supply, toilet and bath facilities in accordance with standards prescribed in this Code. d\) Establishments and their premises shall be kept clean and sanitary at all times. e\) Periodic insect and vermin control measures shall be undertaken to eradicate vectors of diseases. Section 65. Special Provisions a\) Hotels and Motels b\) Condominium 1\. The choice for sites should consider availability of bus and taxi transportation services. 2\. Nearness to place of work, schools, police stations and clinics. 3\. Availability of low-cost goods. 4\. Parking facilities and playgrounds for children. 5\. Facilities for refuse disposal and cleanliness of buildings, and 6\. Efficiency of lifts. CHAPTER XV PORT, AIRPORT, VESSEL AND AIRCRAFT SANITATION Section 66. Port and Airport Sanitation. In ports and airports, the following sanitary requirements shall be applied: a. Every port and airport shall be provided with potable drinking water and wholesome food supplied from sources approved by the Secretary or his duly authorized representative. b. The drinking water and food shall be stored and handled in a manner to ensure their protection against contamination. The local health authority shall conduct periodic inspections of equipment, installations and premises, and collect regularly samples of water and food for laboratory examination to determine if they are fit for human consumption. c. There shall be available to as many ports and airports as practicable organized medical and health services with adequate staff, equipment and facilities for the prompt isolation and care of infected persons, disinfection, disinsecting, deratting, laboratory examination, collection and examination of rodents for plague infection, collection of water and food samples for examination. d. The local health authority for each port and airport shall take all practicable measures to keep port and airport installation free of rodents. Section 67. Vessel Sanitation. For the purpose of this Section, the provisions of Art. II of the Quarantine Regulations promulgated under Section 5 of Republic Act No. 123 shall be applied and enforced. Section 68. Aircraft Sanitation. For the purpose of this Section, the requirements in the Guide to Hygiene and Sanitation in Aviation of the World Health Organization are adopted as part of this Code. CHAPTER XVI VERMIN CONTROL Section 70. General Requirements a)A vermin abatement program shall be maintained in places by their owners, operators or administrators. If they fail, neglect or refuse to maintain a vermin abatement program, the local health agency will undertake the work at their expense. b\) Vermin control in public places shall be the responsibility of the provincial, city or municipal governments which have jurisdiction over them. c\) The procedure and frequency of vermin abatement program shall be determined and approved by the local health authority. CHAPTER XVII SEWAGE COLLECTION AND DISPOSAL, EXCRETA DISPOSAL AND DRAINAGE Section 72. Scope of Supervision of the Department. The approval of the Secretary or his duly authorized representative is required in the following matters: a)Construction of any approved type of toilet for every house including community toilet which may be allowed for a group of small houses of light materials or temporary in nature; b\) Plans of individual sewage disposal system and the sub-surface absorption system, or other treatment device; c\) Location of any toilet or sewage disposal system in relation to a source of water supply; d\) Plans, design data and specifications of a new or existing sewerage system or sewage treatment plant; e\) The discharge of untreated effluent of septic tanks and/or sewage treatment plants to bodies of water; f\) Manufacture of septic tanks; and g\) Method of disposal of sludge from septic tanks or other treatment plants. Section 73. Operation of Sewage Treatment Works Private or public sewerage systems shall: a\) Provide laboratory facilities for control tests\' and other examinations needed; b\) Forward to the local health authority operating data, control tests and such other records and information as may be required; c)Inform the local health authority in case of break-down or improper functioning of the sewage treatment works; and d\) Provide for the treatment of all sewage entering the treatment plant. Section 74. Requirements in the Operation of Sewerage Works and Sewage Treatment Plants. The following are required for sewerage works and sewage treatment plants. a\) All houses covered by the system shall be connected to the sewer in areas where a sewerage system is available. b\) Outfalls discharging effluent from a treatment plant shall be carried to the channel of the stream or to deep water where the outlet is discharged. c\) Storm water shall be discharged to a storm sewer, sanitary sewage shall be discharged to a sewerage system carrying sanitary sewage only; but this should not prevent the installation of a combined system. d\) Properly designed grease traps shall be provided for sewers from restaurants or other establishments where the sewage carries a large amount of grease. Section 75. Septic tanks. Where a public sewerage system is not available, sewer outfalls from residences, schools, and other buildings shall be discharged into a septic tank to be constructed in accordance with the following minimum requirements: a\) It shall be generally rectangular in shape. When a number of compartments are used, the first compartment shall have the capacity from one-half to two-thirds of the total volume of the tank. b\) It shall be built of concrete, whether pre-cast or poured in place. Brick, concrete blocks or adobe may be used. c\) It shall not be constructed under any building and within 25 meters from any source of water supply. Section 76. Disposal of Septic Tank. The effluent from septic tanks shall be discharged into a sub-surface soil, absorption field where applicable or shall be treated with some type of a purification device. The treated effluent may be discharged into a stream or body of water if it conforms to the quality standards prescribe by the National Water and Air Pollution Control Commission. Section 78. Sanitary Privies. The privy recommended for use is the sanitary privy. It shall conform with the following minimum requirements: a)It shall consist of an earthen pit, a floor covering the pit, and a water-sealed bowl. It shall be so constructed in order that fecal matter and urine will be deposited into the earthen pit which shall be completely fly- proof. b\) The pit shall be at least one meter square. c\) The floor should cover the pit tightly to prevent the entrance of flies. It shall be constructed of concrete or other impervious material. d\) The water-sealed bowl shall be joined to the floor so as to form a water-tight and insect proof joint. e\) A suitable building, shall be constructed to provide comfort and privacy for the users of the privy. f\) Wooden floors and seat risers shall not be used. Section 79. Drainage a)Responsibility of cities and municipalities It shall be the responsibility of all cities and municipalities to provide and maintain in a sanitary state and in good repair a satisfactory system of drainage in all inhabited areas where waste water from buildings and premises could empty without causing nuisance to the community and danger to public health. b\) Connection to the municipal drainage system Buildings or premises producing waste water shall be connected to the municipal drainage system in all areas where it exists. Section 80. Special Precaution for Radioactive Excreta and Urine of Hospitalized Patient. a)Patients given high doses of radioactive isotope for therapy should be given toilet facilities separate from those used by \"non-radioactive\" patients. b\) Radioactive patients should be instructed to use the same toilet bowl at all times and to flush it at least 3 times after its use. CHAPTER XVIII REFUSE DISPOSAL Section 82. Responsibility of Cities and Municipalities Cities and municipalities shall provide an adequate and efficient system of collecting, transporting and disposing refuse in their areas of jurisdiction in a manner approved by the local health authority. Section 83. Additional Requirements a)Occupants of buildings and residences shall; provide a sufficient number of receptacles for refuse. Refuse in receptacles shall be protected against vermin and other animals. b\) Refuse shall be disposed through a municipal collection service. If this service is not available, disposal shall be by incineration, burying, sanitary landfill or any method approved by the local health authority. c\) Refuse shall not be thrown in any street, sidewalk, yard, park or any body of water. It shall be stored in a suitable container while awaiting its final disposal. d\) Streets shall be kept clean by occupants or owners of properties lining the street from the line of the property to the middle of the street and from one property to the other. e\) Parks, plazas and streets adjacent to public buildings shall be kept clean by the local government concerned. CHAPTER XIX NUISANCES AND OFFENSIVE TRADES AND OCCUPATIONS Section 85. Types of Nuisances For the purpose of this Chapter, the following shall be considered nuisances a)Public or private premises maintained and used in a manner injurious to health; b\) Breeding places and harborages of vermin; c\) Animals and their carcasses which are injurious to health; d\) Accumulation of refuse; e\) Noxious matter or waste water discharged improperly in streets; f\) Animals stockage maintained in a manner injurious to health; g\) Excessive noise; and h\) Illegal shanties in public or private properties. Section 86. Responsibilities of Owners, Managers or Operators The Owners, managers or operators of establishments shall: a)Secure a sanitary permit from the local health authority before establishing and operating their business or trade; b\) Remove daily all injurious by-products and wastes; c\) Prevent the escape of industrial impurities and adopt methods to render them innocuous; d\) Maintain working establishments and their premises clean and sanitary at all times; e\) Store all materials properly to prevent emission of noxious or injurious effluvia. CHAPTER XX POLLUTION OF THE ENVIRONMENT Section 87. General Provisions. For the purpose of this Chapter, the provisions of Republic Act No. 3931, the rules and regulations of the National Water and Air Pollution Control Commission promulgated in accordance with the provisions of Section 6(a) 2 of the said Act, the provisions of Presidential Decree No. 480, and the rules and regulations of the Radiation Health Office of the Department of Health shall be applied and enforced. Section 88. Authority of the Secretary. The Secretary is authorized to promulgate rules and regulations for the control and prevention of the following types of pollution: a)Pollution of pesticides and heavy metals; b\) Pollution of food caused by chemicals, biological agents, radioactive materials, and excessive or improper use of food additives; c\) Non-ionizing radiation caused by electronic products such as laser beams or microwaves; d\) Noise pollution caused by industry, land and air transport and building construction; e\) Biological pollutants including the causative agents of intestinal infections; f\) Pollution of agricultural products through the use of chemical fertilizers and plant pesticides containing toxic chemical substances and unsanitary agricultural practices; and g\) Any other type of pollution which is not covered by the provisions of Republic Act 3931, the Rules and Regulations of the National Water and Air Pollution Control Commission, the provisions of Presidential Decree No. 480 and the rules and regulations of the Radiation Health Office of the Department of Health which is likely to affect community Health adversely. CHAPTER XXI DISPOSAL OF DEAD PERSONS Section 90. Burial Grounds Requirements. the following requirements shall be applied and enforced: a)It shall be unlawful for any person to bury remains in places other than those legally authorized in conformity with the provisions of this Chapter. b\) A burial ground shall at least be 25 meters distant from any dwelling house and no house shall be constructed within the same distance from any burial ground. c\) No burial ground shall be located within 50 meters from either side of a river or within 50 meters from any source of water supply. Section 91. Burial Requirements. The burial remains is subject to the following requirements: a)No remains shall be buried without a dead certificate. This certificate shall be issued by the attending physician. If there has been no physician in attendance, it shall be issued by the mayor, the secretary of the municipal board, or a councilor of the municipality where the death occurred. The death certificate shall be forwarded to the local civil register within 48 hours after death. b\) Shipment of remains abroad shall be governed by the rules and regulations of the Bureau of Quarantine. c\) Graves where remains are buried shall be at least one and one-half meters deep and filled well and firmly. d\) The cost of burial of a dead person shall be borne by the nearest kin. If the kin is not financially capable of defraying the expenses or if the deceased had no kin, the cost shall be borne by the city or municipal government. e\) The burial of remains in city or municipal burial grounds shall not be prohibited on account of race, nationality, religion or political persuasion. f\) If the person who issues a death certificate has reasons to believe or suspect that the cause of death was due to violence or crime, he shall notify immediately the local authorities concerned. In this case the deceased shall not be buried until a permission is obtained from the provincial or city fiscal. If these officials are not available the permission shall be obtained from any government official authorized by law. g\) Except when required by legal investigation or when permitted by the local health authority, no unembalmed remains shall remain unburied longer than 48 hours after death. h\) When the cause of death is a dangerous communicable disease, the remains shall be buried within 12 hours after death. They shall not be taken to any place of public assembly. Only the adult members of the family of the deceased may be permitted to attend the funeral. Section 92. Disinterment Requirements Disinterment of remains is subject to the following requirements: a)Permission to disinter remains of persons who died of non-dangerous communicable diseases may be granted after a burial period of three years. b\) Permission to disinter remains of person who died of dangerous communicable diseases may be granted after a burial period of five years. c\) Disinterment of remains covered in paragraphs \"a\" and \"b\" of this Section may be permitted within a shorter time than that prescribed in special cases, subject to the approval of the Regional Director concerned or his duly authorized representative. d\) In all cases of disinterment, the remains shall be disinfected and places in a durable and sealed container prior to their final disposal. Section 93. Funeral and Embalming Establishments These establishments are subject to the following requirements: a)Scope of inclusion for the purposes of this Section, requirements prescribed herein shall be applied and enforced to funeral chapels, embalming establishments and morgues. b\) Sanitary permit No establishment mentioned in the preceding paragraph shall be operated without a sanitary permit issued by the Secretary or his duly authorized representative. This permit shall be revoked in case of any violation of the provisions of this Chapter and the rules and regulations promulgated by the Secretary. c\) Classification Funeral establishment shall be classified in three (3) categories which are described as follows: 1\. Category I Establishments with chapels, and embalming facilities and offering f