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Quarantine Stations at Ports of Entry - Protecting the Public's Health (Paperback)
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Quarantine Stations at Ports of Entry - Protecting the Public's Health (Paperback)
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To mitigate the risks posed by microbial threats of public health
significance originating abroad, the Centers for Disease Control
and Prevention (CDC) places small groups of staff at major U.S.
airports. These staff, their offices, and their patient isolation
rooms constitute quarantine stations, which are run by CDC's
Division of Global Migration and Quarantine (DGMQ). Congress began
to allocate funds in fiscal 2003 for the establishment of new
quarantine stations at 17 major U.S. ports of entry that comprise
airports, seaports, and land-border crossings. In a significant
departure from the recent past, both the preexisting 8 quarantine
stations and the new 17 are expected to play an active,
anticipatory role in nationwide biosurveillance. Consequently, DGMQ
asked the Institute of Medicine (IOM) to convene an expert
committee to assess the present CDC quarantine stations and
recommend how they should evolve to meet the challenges posed by
microbial threats at the nation's gateways. DGMQ specifically
requested "an assessment of the role of the federal quarantine
stations, given the changes in the global environment including
large increases in international travel, threats posed by
bioterrorism and emerging infections, and the movement of animals
and cargo." To conduct this assessment and provide recommendations,
IOM convened, in October 2004, the Committee on Measures to Enhance
the Effectiveness of the CDC Quarantine Station Expansion Plan for
U.S. Ports of Entry. At the sponsor's request, the committee
released the interim letter report Human Resources at U.S. Ports of
Entry to Protect the Public's Health in January 2005 to provide
preliminary suggestions for the priority functions of a modern
quarantine station, the competences necessary to carry out those
functions, and the types of health professionals who have the
requisite competences (Appendix A). This, the committee's final
report, assesses the present role of the CDC quarantine stations
and articulates a vision of their future role as a public health
intervention. Table of Contents Front Matter Executive Summary 1
Introduction 2 Context and Content of the CDC Quarantine Station
Expansion Plan 3 Today's CDC Quarantine Stations at U.S. Ports of
Entry 4 Bridge from Present to Future: Vision and Recommendations
Appendix A: Human Resources at U.S. Ports of Entry to Protect the
Public's Health: Interim Letter Report Appendix B: Agendas of Open
Sessions of Committee Meetings Appendix C: Methodology Used by the
Division of Global Migration and Quarantine to Select Sites for New
Quarantine Stations Appendix D: Commissioned Paper on US Seaports
and the CDC Quarantine Station System Appendix E: Microbial Threats
of Public Health Significance Originating in Animals or Animal
Products at U.S. Ports of Entry Appendix F: International Legal
Considerations for the Quarantine Station Expansion Appendix G:
Excerpts from a Standard Memorandum of Agreement Between CDC and
Local Hospitals Appendix H: Committee Biographies
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