sharon sanders
Editor-in-Chief & President
[h=4]Volume 21, Number 2?February 2015[/h] [h=4]Perspective[/h] [h=1]Evaluation of Border Entry Screening for Infectious Diseases in Humans[/h]
Linda A. Selvey
, Catarina Ant?o, and Robert Hall
Author affiliations: Curtin University, Perth, Western Australia, Australia (L.A. Selvey, C. Ant?o); Monash University, Melbourne, Victoria, Australia (R. Hall)
Suggested citation for this article
[h=3]Abstract[/h] In response to the severe acute respiratory syndrome (SARS) pandemic of 2003 and the influenza pandemic of 2009, many countries instituted border measures as a means of stopping or slowing the spread of disease. The measures, usually consisting of a combination of border entry/exit screening, quarantine, isolation, and communications, were resource intensive, and modeling and observational studies indicate that border screening is not effective at detecting infectious persons. Moreover, border screening has high opportunity costs, financially and in terms of the use of scarce public health staff resources during a time of high need. We discuss the border-screening experiences with SARS and influenza and propose an approach to decision-making for future pandemics. We conclude that outbreak-associated communications for travelers at border entry points, together with effective communication with clinicians and more effective disease control measures in the community, may be a more effective approach to the international control of communicable diseases.
http://wwwnc.cdc.gov/eid/article/21/2/13-1610_article
Linda A. Selvey
, Catarina Ant?o, and Robert HallAuthor affiliations: Curtin University, Perth, Western Australia, Australia (L.A. Selvey, C. Ant?o); Monash University, Melbourne, Victoria, Australia (R. Hall)
Suggested citation for this article
[h=3]Abstract[/h] In response to the severe acute respiratory syndrome (SARS) pandemic of 2003 and the influenza pandemic of 2009, many countries instituted border measures as a means of stopping or slowing the spread of disease. The measures, usually consisting of a combination of border entry/exit screening, quarantine, isolation, and communications, were resource intensive, and modeling and observational studies indicate that border screening is not effective at detecting infectious persons. Moreover, border screening has high opportunity costs, financially and in terms of the use of scarce public health staff resources during a time of high need. We discuss the border-screening experiences with SARS and influenza and propose an approach to decision-making for future pandemics. We conclude that outbreak-associated communications for travelers at border entry points, together with effective communication with clinicians and more effective disease control measures in the community, may be a more effective approach to the international control of communicable diseases.
http://wwwnc.cdc.gov/eid/article/21/2/13-1610_article