Company, which carries a large share of the Greek traffic, had over 300 emigrants refused at the United States port on one of their early voyages, and returned to Europe. Since then, they have adopted the system of having physicians provided for their forty subagencies in various parts of Greece, who inspect applicants for tickets, and pass upon them before any document is issued to them by the agent. If this physician accepts an emigrant, he is given a medical certificate, makes a deposit toward his ticket, and has space reserved for him on the steamer. He is then sent on to the port of embarkation, where the final examination takes place.[140] In this way large numbers of inadmissible immigrants are kept from leaving their native village, and are spared the expense and disappointment of the trip to the port of embarkation. The examination at the port of embarkation is differently conducted at different seaports. As a rule the medical examination is made by a physician employed by the steamship company, either the ship’s doctor, or a specially engaged physician. But at some ports the American consul chooses the physician, though the steamship company pays him. At Naples, Palermo, and Messina, by a special arrangement between the two governments, the examination is made by officers of the United States Public Health and Marine Hospital Service, who examine steerage passengers and recommend the rejection of those who are likely to be refused admission to the United States. Their action is unofficial, but their suggestions are always complied with. Under the quarantine law of the United States the American consular officers are also required to satisfy themselves of the sanitary condition of passengers and ships sailing for United States ports. In addition to the medical examination, a long list of questions is put to the immigrant, in accordance with the requirements of the United States law. His answers are recorded on the manifest, which is later put into the hands of the inspecting officer at the port of arrival, who repeats the same questions and notes whether the answers tally. Vaccination and the disinfection of the passenger’s baggage are important parts of the preparation of emigrants for the journey to America. The differing degree of care exercised in this examination at the different ports is indicated by the fact that the proportion of immigrants refused at the port of arrival for medical causes, to the total number embarked from the different ports, varies from 1 to 163 at the Piræus and 1 to 165 at Bremen, to 1 to 565 at Antwerp and 1 to 597 at Fiume.