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Rh Dr. D. Enrique B. Barnet, Executive Chief of the Health Department of Havana, Member and Secretary of the Superior Board of Health of Cuba;

Republic of Ecuador, Sr. Dr. D. Serafin S. Wither, Chargé d'Affaires and Consul-General of Ecuador in New York, and Sr. Dr. D. Miguel H. Alcívar, Member of the Superior Board of Health of Guayaquil, Professor of the Medical Faculty and Surgeon of the General Hospital of Guayaquil;

Republic of the United States of America, Dr. Walter Wyman, Surgeon General of the Public Health and Marine Hospital Service of the United States; Dr. H. D. Geddings, Assistant Surgeon General of the Public Health and Marine Hospital Service of the United States, and Representative of the United States at the Sanitary Convention of Paris; Dr. J. F. Kennedy, Secretary of the Board of Health of the State of Iowa; Dr. John S. Fulton, Secretary of the Board of Health of the State of Maryland; Dr. Walter D. McCaw, Major, Surgeon in the United States Army; Dr. J. D. Gatewood, Surgeon in the United States Navy; Dr. H. L. E. Johnson, Member of the American Medical Association (Member of the Board of Trustees);

Republic of Guatemala, Sr. Dr. D. Joaquín Yela, Consul-General of Guatemala in New York;

Republic of Mexico, Sr. Dr. D. Eduardo Licéaga, President of the Superior Council of Health of Mexico, Director and Professor of the National School of Medicine, Member of the Academy of Medicine;

Republic of Nicaragua, Sr. Dr. D. J. L. Medina, Member of the Second Pan-American Medical Congress of the City of Havana in 1901;

Republic of Peru, Sr. Dr. D. Daniel Eduardo Lavorería, Professor of the Medical Faculty, Member of the National Academy of Medicine, Physician of the "Dos de Mayo" Hospital, Chief of the Division of Hygiene of the Ministry of Fomento;

Dominican Republic, Sr. D. Emilio C. Joubert, Minister Resident in Washington; and

Republic of Venezuela, Sr. D. Nicolás Veloz-Goiticoa, Chargé d'Affaires of Venezuela,

Who, having made an interchange of their powers, and found them good, have agreed to adopt, ad referendum, the following propositions:

I. Each government should immediately notify other governments of the first appearance in its territory of authentic cases of plague, cholera or yellow fever.