Quarantine TM CENTERS FOR DISEASE CONTROL & PREVENTION Division of Global Migration and Quarantine...
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Transcript of Quarantine TM CENTERS FOR DISEASE CONTROL & PREVENTION Division of Global Migration and Quarantine...
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QuarantineTM
CENTERS FOR DISEASE CONTROL & PREVENTIONDivision of Global Migration and Quarantine
(DGMQ)
Surveillance and Response to Imported Infectious Disease
Gabe Palumbo, MBA, MPHOfficer in Charge
CDC Detroit Quarantine Station
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San DiegoSan Diego
VTVT
MEME
MAMANYNY
PAPA
NHNH
WVWV
VAVA
MDMD
NJNJ
RIRICTCT
AZAZ
ININ
WIWI
KYKY
MIMI
OHOHIAIA
MNMN
MOMO
ILILNENE
KSKS
SDSD
NDND
ALAL
TNTN
GAGA
SCSC
NCNC
ARAR
LALA
MSMS
OKOK
AtlantaAtlanta
ChicagoChicagoSeattleSeattle
WYWY
IDID
WAWA
AKAK
OROR
MTMT
NVNVUTUT
NMNM
COCO
East TXEast TX
MiamiMiami
FLFL
No.CANo.CA
So.CASo.CA
Los AngelesLos Angeles
San FranciscoSan Francisco
HIHI
HonoluluHonolulu
Washington, D.C.Washington, D.C.
El PasoEl Paso
HoustonHouston
NewarkNewark
New YorkNew York
BostonBoston
GUGU
San JuanSan Juan
MinneapolisMinneapolis
DetroitDetroit
AnchorageAnchorage
West TXWest TX
PRPR
CDC Quarantine StationCDC Quarantine Station
PhiladelphiaPhiladelphia
DallasDallas
North TXNorth TX
CTCT
DEDE
CDC Quarantine Stations 2007 Jurisdictions
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QuarantineTM
Division of Global Migration and Quarantine
Travelers’ Health
ZoonosesTeam
Africa and Americas
Region
Quarantine Stations 8 in 2004
20 in 2007
Migration and Health Strategy
Asia & European
Region
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QuarantineTM
Our Mission
… To protect the health of the public from communicable diseases through science, partnerships, and response at U.S. ports
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QuarantineTM
Accomplishing Our Mission(42 CFR Parts 70 and 71)
• Regulate importations
• Process migrant documentation
• Respond to notification of illness in international travelers
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QuarantineTM
Quarantine DiseasesExecutive Order of the President 13295
• CHOLERA• DIPTHERIA• INFECTIOUS TB• PLAGUE• SMALLPOX• YELLOW FEVER• VIRAL HEMORRHAGIC FEVERS• SARS• NOVEL OR RE-EMERGENT INFLUENZA
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QuarantineTM
• Isolation: –Separation of ill persons with
contagious disease –Often in a hospital setting–Applied to individual or group
level
Definitions
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QuarantineTM
Definitions (cont.)
• Quarantine–Restriction of well persons
presumed exposed–Applied at the individual or
community level• May be voluntary or mandatory
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QuarantineTM
Responding to Illness• Passive surveillance:
• We wait for notification of illness from-– Airline / vessel pilots– Federal partners– Police, fire, EMTs– Health departments– Family, work colleagues
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QuarantineTM
Responding to Illness (cont.)
• Active surveillance:
• We wait at arrival of each conveyance and visually examine each traveler – Interview those who are ill– Continue to respond to reports of
illness
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QuarantineTM
Responding to Illness (cont.)
Evaluation of ill person:• Identify symptoms and travel itinerary
• Determine if ill person should be isolated and further evaluated
• Identify potentially exposed travelers
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QuarantineTM
Symptoms of Interest
• Fever (> 100° F)• Rash (smallpox, measles, etc.)• Severe diarrhea (cholera)• Glandular swelling (plague)• Jaundice (yellow fever)• Stiff neck (meningitis)• Unusual bleeding (viral hemorrhagic fevers)• Respiratory distress (SARS, pan flu)
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QuarantineTM
Notification
• DGMQ notifies state and local health authorities if ill travelers sent to hospital
• DGMQ identifies all travelers potentially exposed to the ill passenger
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QuarantineTM
Online Resources
• Division of Global Migration and Quarantine: www.cdc.gov/ncidod/dq/index.htm
• Centers For Disease Control and Prevention:
www.cdc.gov
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QuarantineTM
DGMQ Staff in Detroit
Gabe Palumbo, MBA, MPH
Officer in Charge
Tel: 734-955-6197
Curi Kim, MD, MPH
Quarantine Medical Officer