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How does the ship’s loading condition affect the issue of a Ship Sanitation Control Exemption Certificate under Article 39. 6 of IHR (2005)?

A Ship Sanitation Control Exemption Certificate can normally be issued only if the inspection of the ship has been carried out when the ship and holds are empty or when they contain only ballast or other material, of such a nature or so disposed as to make a thorough inspection of the holds possible.

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A ship should only be issued with a Ship Sanitation Control Exemption Certificate if it has been found free of infection and contamination. What is the difference between infection and contamination?

What are the requirements of IHR (2005) regarding issue of a Ship Sanitation Control Exemption Certificate?