Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act (Republic Act No. 11332)

S .No.2186 1 ‑ 1 .No.7134 伊 叩ublttoff4e:P:I1Hlppines f i ln円 rPZZo ff4pJ4HipJiU~Z J 疏d ro 2J lf f＜凶f o ゑ加n fce nf1Q l i 日刊r css W :l1 irn2 1¥ ey ゑes拘 n 山r Begunandhe ldinMetroMa nil a,onMonday,t hetwen ty‑ thi rd d ayofJ uly ,twotho usa ndeigh tee n. 一一 ．一一 一 [REPUBLICAcTNo. 11332] ANACTPROVIDINGPOLICIESANDPRESCRIBING PROCEDURESONSURVEILLANCEANDRESPONSE TO NOTIFIABLE DISEASES, EPIDEMICS,AND HEALTHEVENTSOFPUBLICHEALT H CONCERN, AND APPROPRIATING FUNDS THEREFOR REPEALINGFORTHEPURPOSEACTNO. 3573, OTHERWISEKNOWNASTHE LAWONREPORTING OFCOMMUNICABLEDISEASES " Bei ten αcte db yth eSe nateα九dHouseo p fRere sen tαt ive soft he Ph il中pinesi nCong ressαs semb led : ． 、 h， 、 SECTION 1 .ShortTit le.‑ ThisActsha llb eknownas the Manda tr oyReporti ngo fN otifi abl eD i sease sandHealth Eventso fPubl icHealthConcernAct＼ E SC.2.Deca lrt aiono fPl oiy.‑I c tish r eeyde b l cae rdthe p oli cyoft h eStat etop ro tectandpromot et herig httoheal th o fthep e opleandin sti llhealthcon sci ousnes samongt he m.It 2 3 sha l lendeavortop ro tectthep eoplefromp ubl ichea lththreats buthaveo n lyr ecent lybeenr ecogn izeda sad ista ntd i se a s e through t heeffi cient and effec tived iseasesu rve illanceo f due to an infect iousa gent;( 4 ) are caused by pre viou s l y notifiab led i seases including emerging and re‑emerging undetected or unknown i nfe ctiousa gen ts;( 5 )a re due t o inf ectiousd is eases ,d iseasesfore li minationande radicat ion, mutanto rresistantstrainsofac ausati veo rga nism;and( 6) epidemics ,andh ealt he ventsincludin gc hemical,radio‑n uclea r oncewere majorheal th problemsi nt hecountry,and then andenvironmenta lagentsofpub l ichea l thc onc er nandp rovid e decl ineddramatical ly,buta reagainbecominghe a lthproblems an e f fect iver esponse system in com p liance with the 2005 fo r・as igni fica ntp ropor t i ono fthepo pulat ion ; Internatio nalHealthRe gulatio ns( IHR)o ftheWorldHealth Organization何明 0）ーTheS taterecogni 田 se pid em icsando thr e e () EpidemcIo i utbrαたr e e ferstoanoccur renceofmore publich ealthemergencies ast hreatst op u blich ea lth and c ase so fdi sea sethann o rmall ye xp ectedwi thi nas pe cif icpl ace nationalsecurit y,whichc anunderminet hesocial,economic, o rg roupofpeo pleoverag ivenper iodoftime; andp olit icalfunctionsoft heS ta te. ) Ep ( f i demio logicinu estig αt ， o inr e ferstoan inqu iryt o The S tat e al s or ec ogniz 巴sd ie s s a i e survellac ne and tei h ncie dnce,pe rval巴n ce,exe tnt ,s o町 c e,modeo ft 1羽 1 smiss ion , respo nsesystemso ft heDe a prt mento fHealt h(DOH )andi t s caus i aton of , and otherin formationp ert inentt o a diseas e lo calcoun te r parts,ast h e白mtl in fd eo ef ensetoepid emicsand oc c u rrence; healt hev ent so fpublichealt hconce rnt hatpo serisktopubl ic healthands ecuriy t. ( g) He alt he vent ofpubhc he αlhc t ancer九 rf eersto e ith erap ubli che al themergencyorapubl ichealt ht hr eatdue ι 。 f SEC. 3.Dei t ni r fTe ono m nt . ‑As usedi s i h c sAt: t obioo lgc ia,c l hemc ial,rd a o i‑u nce larandeni vronmentla a g ens t;

(a ) Di s e αser ef erstoani llne ssdue toa spec ifi ct ox ic i )I n fec tio 1. lSd ise αserefe rstoa cl ini cal ly manifested subst ance ,o cc u pa t ionalexposureori n fecti ousagent , which d ise aseofhumansoranimal sr es ult ingfroman infecti on; a古ect sas uscepti blei nd ivid ual ,eitherdir ect lyorindi rect ly,as fromani nfectedanimalo rperson,orindir ect lythroughan ( i ) Mαndatory reporting r efer st othe obligatory int ermediat eh ost,vect or,ort h eenvironment; r epo rtingo facondit ion t ol oc alo rstat eheal thautho ri ties, a sreguil ・edforno tif iabl ed is eases,ei pdemic sorpublichealth b () Diseαsecont rolref erst othereducto inofdise ase e ventsofpu b licheal thconcern; i nci dence,p r e v alen ce, mor ・bi dityorm o rtalitytoalocall y a cce pt a blelev ela saresu ltofdelb iea rteefo frsandc t ot ninued ）。 Notifiαblediseasereferstoadiseasethat,bylegal i nterven tio nmeasur estomaintainthereduc tion ： e rqu ireme nts,mustber eport edt othep ublche i al thautho rit ies;

(c ) Di seαsesurve illan cereferstoth巴 ongoingsystemat ic (k) Public health αuthority ref ers to the D0H col lect ion, analysi s,i nt erpreta tion, and d is semina ti ono f (spe cifica llytheE pidem iologyBure a u,Di sea sePr eventionand outc ome‑spec五cdat 1 aforuseint heplanning,imp l emen t atio n, Contro lBur eau,Bureau ofQuarantine and I nternational ande v aluat iono fpubl iche a lthprac tice.A diseasesurvei l lance HealthSurv eill ance ,Heal thEmer gencyManagementB m eau, ・ syst emi n cludest hefuncti onalcapac i tyfordat aanalysisas Fooda ndDru gAdmi ni strat ion ,g o vernme nthos pital s,Re search wela sthet ime l ydis seminati ono fthesed~ta tope r sonswh o Inst itut eofT r opicalMedicinean do therNationalRe ference canm 伽 Labor a tοr ies,andDOHRe g ionalOf fic es),theloc alh eal tho ffi ce (provincial,cityorm un icipalit y),o r any person direc t ly ） Em （ 占 r egingorre‑ emergingi nfec tiou sd i seαsesre ferto author・iz edt oa c tonb ehalfoftheDOH o rthel ocalhea l th d isea sest ha t:(1)havenotoccr uredi nhumansbe f ore;( 2)have off ic e; o ccurre dp revi ouslybutaffe cte donlysmallnumbe rsofpeo ple i ni s olate da re as;(3)haveoccu rr吋 th roughouthumanh ist ory

4 5 。 ） Pu bli che alt hemerge九c yree frst oan occ ure rnc r eo .O SEC. 4 j bet cie vs.‑Th isActs hal lhavet hef oll owi ng i mmm entt hre a fani to ln lessorha elthcon dit ionth at: b ojc etv ie: s 1 () I ft scausedbyanyo h efo llo wmg : (a ) To c ontinuous lyd evelop and upgrade t hel i sto f nat ional lynoti fiab led i seasesandh ea lthe ve ntsofpub licheal th ( i) B iot err ori sm; concern with their corresponding case defi nitio ns and lab oratoryconf irmat ion; () Appea i i r anceofa nove lo r prev iousl yco ntr oll ed o r e rad icate dinf ect iousagento rbiol ogicaltoxi n; () To ensure t b hee sta blish mentand maintenance o f rel evant ,ef fic ien tandeffe cti vedis eas esu rv eil lan ceandrespo nse

。 ） A natur 山 （ a i ldss atr; e systematt en h ai tonlandl a ocallee vls ; v )Ac hemi cala tta cko rac cid ent alr ele ase ; ( c) Toex pandc ol lao brationsbeyondtr d aitin oalpu l bic healthpartnerstoi n cl d ueotherswhomayb ei nv olvedi nthe ( v) A nu cleara tta cko rac cid ent ;or disease surv ei lla nce and r e sponse, such as agric ultural agencies, veterinarians, environmental agencies, law v (均 An attack or accidental release ofradi oat cie v enforcementent t ii es,andt ransp ortati onandcommuni a ction a mtr eial;and s agencis e,amo ngo thes r ; 2 ( i ) Posesa hg r hpoa bbl iiyo t ft nyo fa efollowmg: h (d) Top ro videa ccurt aeandt imelyheat lhinformat o in about noti fia bled ise as e s, and healt h‑rel ated events and ） 。 A largenumberofdeathsintheaffectedpopulation; condi tionstoci tize nsandhea l thpro v i dersasani nteg ralp a rt ofresponsetopubliche a lthemergencie s; i i ()Al ag re number o fs e riousin jur ieso rlong‑ term d isa bil iti esi ntheaffec tβdpopul ati on; ( e) To establish e ffec tive m巴chanisms f or strong coll aboration with nationaland l ocalgovernment he alt h （ 出） Widespreadexposuretoan in fec tio usorto xica gent agence is加 e nsurep 司J 1 erproceu dresa reinp a lcetopromptly tha tp os esas igni fican tr s iko fsubs tanti alharm t oal r age respondtor e po r tso fnotifi abl ed ise a se sandh ea ltheventso f numbero e fpopleint heaffc etedpopua lto in; pubi lchea t lhc oncr en,i nl cudingcaei s nvet sia gtios n,treatmn et, andc ont rolandc ontainment,includingfol low‑upact ivit ies; ( iv )f n ter nationa lex posu retoani nfe cti ousorto xica gen t t hatposesasign ifica ntr iskt h ot l eheathofct iie znso t fohe r ( ) Toensuret f ha tpu bli ch ea lthauth ori tieshave t he c oun tries;o r s tat utoryandr egul ato ryau tho rit yt oensurethefo llo wing :

( v) Trad eandt ravelr est ric tio ns; () Mandato 1 r yrepo rtn igofre por tal b i edsa ese san dhe alt h e ven tsofpublicheal thconc ern : ()P m ub licheal thl hreαIr efe rstoanys i tuati onorfac tor t hatmay児 prs eetadangert n otheheat lh ft ,o ep h ep ol;an e ( 2) Epidemidoutbreaksa n d/orepidemioo lgci i nvet sigai ton, j casei nves tigations ,p t aienti n terviews,review ofmedical n ()R esponser eer f st othe implementation ofs peci f i c recr ods.c ontc a ttraci ng,specimenc l olect ionandt s eting.rs ik act iviti est oc o ntrolfurtherspreado finf ection,outbreakso r assessme nts.l abor atoryi v net sigato in.po u platins o urvey,r s id n epidemicsandpreventr e‑c ocur r en ce.Iti n cludesv er ifica tio n, environmentali v nestia gtion; contact tracing,r apidrisk assessment,c as e measur es, treatment o fp atients ,r i ・sk communicat ion, conduct o f 3 () Quarantin eandi sol ati on:and preventio na ctiv iti es,andr ehabili tat ion .

6 7 ( 4) Rapidcontainmentandimpl ementationo fmeasures Undert hisA ct: f ord isea sep re ventionandc o ntr ol; (a ) TheDOHandi tsl oca lcoun te rpart sa remandated ( g) Top rovi d es uf ficie ntfundingt osupportop era tions toimplementthemandatoryrepo rtingofnotif iab ledis eases neededt oestb alshandm i aintainepid emiologyands urvei lla nce andh a elthevn etso fpubi lchealthconc n er; unitsatt h eDOH ,healt hf a cil itie sandl oc algovernmentu n its (LGUs);e f fici entlyande ffect ivelyinve stiga t eoutbreaksand ( b) TheDOHandi tslocalcounter pa rt ss ha llestab l ish hea l.theventsofpublicheal .thconcern ;vali date,co lle ct,a n alyze and maintain functio nald is ease survei llance and re spo nse andd isseminated i seases r uveilln aceinformati ont or el evant systems, wh ich include coordinat ion mechani sms,

。 agencie so rorgan izatio ns;andimplementa p propria ter espo nse; implement atio npro tοcolsfo rr ep ortingandr espo nse,measmes fo rd a t asecurity and con fidentia lity,and procedures and ) To r i equire pub li c and privt ae phy si cians,a l lied proi vsiont o ensuresafetyo fpersonnel conducti ngd isease medicalp ersn o nl e,p rofessionls a oi cete is,h ospital s,c l ini cs, sur veillan ceandr esponseacti viti es; healt hf a cil iti es,labora tori es,pharma ce utica l .c ompa ni e s,p riv ate companiesandi s ntit utio ns,workpla c es,schoo l s ,prisons ,po rt s, ( c) Allp ublicand p r ivatephysicians ,a ll ied medical airp orts,e stabl ishment s ,c ommunit i es,o ther government person nel,p rofesso inals oi cete is,hospia t s l,c i lnc is,h ealth agenci es,andnongovernmento rga nizt aions(NGO s )t oactiv ely fa cil iti es,lab orator ie,i s ns titt uion s,work places,school s,priso ns, part icipat ei nd iseaesur s veilla nceandr e sponse;and port s,airp orts ,e stabli shments ,communi t ies,ote hrgovernment agencies,and NGOs are required t o accurately and ) Tor i ( s epecttothef u lle ste x tentpos sible,therighs t immediatelyr e portn o tifi abledisea sesandhea lthe ven tso f ofpeople tol ie brty,bodl iyi ntg erity e , and privacy whil publch i ealthc oc nern asissuedby t e DOH; h maintainingandp r e s erv ingp ub lichealthands ecuri ty. (d ) Datac ole cti on,analy s is,andt hedisseminatio no f SEC.5.N oti fiαb l s eDies aesαndl lel al v hEen tso fPnbl ic information fro mo ffi cia ld iseas es ur veilla nce and response HealthConcern. Th eEp idemioo l gyBureauund ertheDOH systemsc anonlybedonebya uh torizdpe e rsonnelfrom the sa hllr egua lrl ・yupdateandi ssueal i stofnatioa nllynot ifi a b le DOH andi t sl oc alc ounte rpartsand mayon y be used f l or dis easesandhea l theven tso fpublichealt hc oncer nwitht hei r publichealthconcenpurpo r se so ny l;thus,shou ldb eexempted corre s po ndingc as edefii ntio ns.Th es el ect ionandt hedel etion int hep ro visi ono fDataP rivacyActona cc essi bili tyo fdata: ofdiseasesandh ealt heve ntsofp ubli ch ea lthconcerns hal l beba sedonc it r e riaestabl ished byt heDOH. ( ) Toper e formthi erd s ieasesrn 、vi elanceandr l ep sonse f unc Lions ,a uthori zedhealthpers onnelfromtheDOHandi t s SEC.6 .Mα ndσ. loryReportingo fNotifiab leD iseasesand o lca lcoun t erpat rshavet es h tt autor yandr egl uao tr u yathoi rty Heal hEventso t fPub i lcC oncern.‑TheDOH,throught he oenf t orcet ef h ol loi wn: g Epi demiology Bureau,s halli s s ue the o fficiall i st of i t nsitutionalized publi ch ealthi nf or mations yst e m,d isease (l ) Estab lishmentofpubi lche al thi nf ormationsystem surveill ancean dresponses ys temsf o rman dato ryr e portingof d iseas es ur vei llan ceandr s epo nsesyste msi npriv ateandpubl i c not ifiabl ed iseasesandh ealthevent：o 雪 fpublcc i oncernp r ・v oided f aci liti es deemed necess aryto protectthe healt ho ft he inS ection5 o ft hi sAct.Thi so f fici allists hal li nc lude the o ppulai tonincoordn iai tonwiht t eDOH‑Epid h emioo lgyBw ・e au: Field Heal t hS ervice Information S ysj,em( FHSI S),t he Phil ippineI n te g ratedD iseaseSurveillanceRespo nse(PIDSR ) () Ma 2 a ndtor yr e por tin go fnt oif iab led ise ase sandhe al. th System with i s Case‑based Survei t lln ace and Event‑based e vet nso u fpblicheal thconce rn; Surv ・eillance,and o therd ulyinstitutio nalizedpu bli c health diseases urveilln aceand r esponsesystemso ft eDOH. h 3 () Conduct o fepidemico /utb o reak and epidemi lg oic i nves tigat ion s,c aseinve s ti gat ions .p ati entinter views ,r eview o f medical records,contactt rac ing.colle ction . storage.

8 9 transport and testing of samples and specimen,ri sk arees tabl ishedandfun cti onalina l ll ev elso ftheDOHand assessmen ts,lab oratoryinv est igat ion .,popul ationsur veys ,and i tsl ocalcounter part s, and i n publi cand p rivate health environmenta linves t i gat ion; fa cil itiesandl abor atori es ,aswellaspo rtsanda irportsinall province s,c it iesandm un ici pali tiesthroughoutt hec o untry . (4 ) Rapidc o n tainm ent,quarant ineandiso lati on,die sas e The ESU s hal l capture and v e rifya lr l eported notifi able prev entio nan dcont rolmeasures,andprodu ctr e call; dise as e san dhealtheven tsofpublichealthc once rn;pro vide timel y,a c curate , and rel i ableepidemiolog ici nformationt o (5 ) Respons eac tiv iti esf or even t fp so u blichea lth appropr iatea gn ecies;conductdis easesurve illanceandr espons e c onc ern ; ac tivi t i es;coordinateneededr espo nse;andf ac ili tatecapacity bui ldingi nt h ef ie ldofe pidemio logy ,d isea ses uTv eillanceand () Th f eDOH and i tsl oa clc ounterparss t l hal ensure responseatt heEpidemiologyBureau. thatalls urv e il lac ne an dresponseo ff icers have adequate capai ctyf rmandatoryr o epot r i ngo fnotii fabledise a se s,risk lESUs s Al halhavet l raindr e equ r iedhumanr es u orce assessment ,ep ie dmiol ogy ,d is easesurveill ance,andresponseto complemen tandprov ii sonofadequate r s eources,including epide mi c sandheal the v entso fpubl ichea lthconc ern.Its h all equipmen t,lg ois tic s,comm unica tion,transpor tation ,l a bor t aory al s oensuretha tthes afe ty andpr otec tiono fallpersonnel supplies and reage nts,p ers onalp r otective equipment and dr iectyi l nvolvedins ure vila lnce andr esponseacti vitiesare health insurance, t oe f fectivey perform t l heird isease upheld;and surveil lanceandr esp onsefun c tion s.

(g) A且 personn eloftheDOHandi tsloc alcounterpa rt , s SEC. 9 s.‑ The f . Prohibited Act oll owi ngs hal l be anda llotherindiv idual so rentibesinvov ledinc onducting pro hibit edundert h isAct: di seasesurvei lla nceandr esp onseact ivi tie sshalrespe ct ,t ot he fu lles tex te n tposs ible ,ther ig htsofpeopletolib erty ,b odily (a ) Unaut h orizeddisc los ureofpr iva teandcon fiden tia l in tegi札y,andp かa r cywhiem l aint ainingandpree srvingpub i lc mformation p ertai ning t oa p at iets medi n calc ondit ionor heat lh ands e r cuit. y tret ament: SEC. 7. Deelαrau:on ofE p: 1de11 1ic or Public Ilαl e th () Tampe b i rn fr go c eod r ri so e ntni toa nll y providing Emergency.‑TheS ecretar yo fHe a lthsha l lhavet hea t uhoriy t m isi nformat io: n todec l aree p idemicsofn atioa n land/o ri nter nationalconcer ns exceptwh ent hesamet hreatensnationalsecur ity.Inwhi ch () Non‑ c u f the disease s operation o rv 、e l ilace and n case,theP residn eto ft heR epubi lco ft hePhilippine ss hal l e rso pns y esstm e s; declarea S tat e ofP ublic Health Emergenc y and mobili ze govenm 1en talandno ngovernmentala genci estor espondtothe (d ) No n‑coopera tionofperso nsanden tit iestha tshoul d thre at. r epo rta n d/orr espondt o onti fia bledi sea sesorhea lthevents o fpubl icc o nc ern;an d Provin cial ,c it yo r municipalh e altho f fic es may o nly d eclaread iseaseoutbreak withinthei rr es pecti velocal ities ( e ) Non ‑ coo perat ionofthepe rsonore nti tie siden tif ieda s t po ・videdt hedeclr aation.ss i uppore tdb y,sufi fcin ets c ient ific havingthen o tifi abl ed ie sas ra e,o ffc ete dbyt hehealheven t t ev idence based on di se s ae survi ellac ne( dat a, epidemio log‑ ic ofpublicconcern i nves tigaLion . environmental invet sigat io n , and laboratory i nves tigat ion. Disclos~u e ofcon fidentia l information w ill not be c onsidered viol a tionofthisAci und町、t hissecti oni fthe SC E.8.Estb alis to hmen fゆ ie dmiologyandS ure villn ace d isl cosurewasmadet ocom plywithal egalordri e sse udby U凡i:. ‑ The DOH i s t ncoordn iai ton with the LGUs. sa hll acourto flaw w t ihcompetetj n i ursdit cin o. ensuret h att heE pi de m iolog yandSu rveil lanceUnits(ESUs)

1 0 1 1 SEC.1 . Pen 0 t αlis. ‑ Anypersono e rentt iy foundto i sherebyrepeal ed.Alllaw,d s ecre es,ord es x,issuancesand havev i ola tedS e ct io n9o fthisActs hal lbep en a l izedwitha r ulesandr eg ulai tonsorpartsthereo fi nconis s tentw t ihthe f ineo fnotles st hanTwentythousandp es osσ20 ,000. 00)but p rovisi onsofth isAct are hereby repealed or modif ied not more than Fi ft y thousand pesos (P50,000.00)o r a ccor ding ly. impr is o nmento fnotl e sst hanone( 1 ) month butnotmo re thans i x(6)mont hs,orb oths uchfineandimpr i sonment,at SEC. 1 5.Effc etu iiy.‑ThisActs t h alltakeef fec tfif tee n thediscre tionoft hepr operco r ut. (5 1)daysa f t町 i tsp u blicati oninteO h f fii calG . ae ztteorina newspaperofge neralcirc ulat ion . TheP ro fess iona lR eu glatio nCommissionshal lhavethe author itytosuspendorrevokethelic ensetop ractieo c fany , Approved medicalpr ofess ionalfo ranyv iola tio no fth isAct .

t os er s us v a pe v TheCii ntwhoi lSer ndorrevo si v nv ic i eCommissions ket ol hec t ai ivi on o ls ft e h i r vi ha c ee sAc lhavet l . t lg iii bit l h yo ho eaut it r l fapubi y c GLO メ ー RIA MACAPAGA L‑ARROYO VICE TEC.S OTTO1II Speakeroft heHouse Pre si耳 ento fth eSenαt e I ft heoff enseiscommi ttedbyapubl icorpr i vatehealth ofRepre sen tat ive s fa cilit y,i nst ituti on,a gen cy ,c o rporation ,s chool,orothe r ju r i dicalentitydulyo r ganizedi na ccord ancew ithlaw, the ch i efexecutiv eo ff ice r,president,generalma nager ,o rs uch ot he roffic erinc hargeshallbehe dl l ib al.Ina e d diti on,th e sActwaspassedb Thi yth ft eSenateo hePhihppmesas busines spe rmitandlicns e etoo pea rteo ftheconc ernedfaci lit, y SenateBillNo.2186onFebruary4 ,2019and adopted by insi ttt uion,agency,cr oporatio n,school,orleg alentitysha llbe theHous eo e fReprs i entatvsasanamen e dmentt oHous e cancel led . Bi ll No. 7134onFebruary8,2 0 19.

SEC.1 1.Appropri αt wn s.‑Th eamo untneededforthe in iti ali m p l ementat iono fth isActsha llbec har gedagain stthe curr en tyearsa pp ropriat ionsoftheDOH.Th er eaft er,such 「~ι」→ sumsa smaybene c essaryfort hecontn iuedimplementat ion MYR八 MARJED.VILLA則 CA oft his Act sh all be included i n the annualGeneral S eer也I ，G/'o J ft heS巴nat e Appropriat ionsAc t. SEC. 1.I 2 mplementingRulesαndRegnl αti ons . ‑ The DOHs hal lissuetheim ple mentingrulesandr egula tion sfor ・ 。 t hisAct within one hundred twenty ( 120) daysa f terthe appr ova lofthi sAct. Approved: APR 262 01 9 SEC.1. Sep 3 ααb r l iit yC la use.‑Ifanypart ,sect ionor p rovis ionofthi sActi sheldinval idoruncons tit ution al,oth er p rovisi onsnotaff ectedthe‑ ieb ys hal lre mai :p.inful lf o rceand e ffe ct . ' 1 SEC. 1 4.RepeahngCla lls e. ‑ ActN o.3573,o therwi se knowna sthe LawonR e portingo c fCommuniabl eDisea ses ＼