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It shall be enforced as soon as it shall have been proclaimed in conformity with the legislation of the signatory nations. In the respective relations of the Powers which shall have ratified it, it shall supersede the international sanitary conventions signed January 30, 1892; April 15, 1893; April 3, 1894; and March 19, 1897.

The previous arrangements enumerated above shall remain in force with regard to the Powers which, having signed or adhered to them, may not ratify or accede to the present act.

In witness whereof the respective Plenipotentiaries have signed the present convention and affixed thereto their seals.

Done at Paris on December 3, 1903, in a single copy which shall remain deposited in the archives of the Government of the French Republic, and of which certified copies shall be transmitted through diplomatic channels to the Contracting Powers.

• [For Germany:]
  • Groeben[seal]
    • Bumm[seal]
    • Gaffky[seal]
    • Nocht[seal]
• [For Austria-Hungary:]
  • Suzzara[seal]
    • Ebner[seal]
    • Dr Daimer[seal]
    • Chyzer[seal]
    • Roediger[seal]
• [For Belgium:]
  • E. Beco[seal]
• [For Brazil:]
  • Gabriel de Piza[seal]
• [For Spain:]
  • Marquis de Novallas[seal]
• [For the United States:]
  • H. D. Geddings[seal]
    • Frank Anderson[seal]
• [For France:]
  • Camille Barrère[seal]
    • Georges Louis[seal]
    • P. Brouardel[seal]
    • Henri Monod[seal]
    • Dr Roux[seal]
    • J. de Cazotte[seal]
• [For the United Kingdom:]
  • Maurice de Bunsen[seal]
    • Theodore Thomson[seal]
    • Frank G. Clemow[seal]
    • Arthur D. Alban[seal]
• [For Greece:]
  • N. Delyanni[seal]
  • S. Clado[seal]
• [For Italy:]
  • Rocco Santoliquido[seal]
    • Paulucci de' Calboli[seal]
    • Adolfo Cotta[seal]
• [For Luxembourg:]
  • Vannerus[seal]
• [For Montenegro:]
  • Suzzara[seal]
• [For the Netherlands:]
  • W. Welderen Rengers[seal]
    • W. Rujisch[seal]
    • Dr C. Stékoulis[seal]
    • A. Plate[seal]
• [For Persia:]
  • Nazare Aga[seal]
• [For Portugal:]
  • J. J. da Silva Amado[seal]
• [For Romania:]
  • G. G. Ghika[seal]
    • Dr J. Cantacuzene[seal]
• [For Russia:]
  • Platon de Waxel[seal]
• [For Servia:]
  • Dr Michel Popovitch[seal]
• [For Switzerland:]
  • Lardy[seal]
    • Dr Schmid[seal]
• [For Egypt:]
  • M. Chérif[seal]
    • Marc Armand Ruffer[seal]