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• W4205515392 abstract "In the wake of hurricane Katrina, it comes as little surprise that yet another potential disaster the USA is not prepared for is emerging diseases. An Institute of Medicine (IOM) report issued on Sept 1 (Quarantine Stations at Ports of Entry Protecting the Public's Health) says that much more attention needs to be given to the management of quarantine for ill people coming into the USA. The country's traditional quarantine system is outdated, especially in light of global travel and the consequent potential for rapid worldwide spread of infectious diseases, such as severe acute respiratory syndrome, Ebola virus, and avian influenza. For the 120 million people who go in and out of the country through its 474 ports of entry every year, a mere 25 quarantine stations, charged with screening people, animals, and cargo, are planned. Only 11 are now staffed (by the Centers for Disease Control and Prevention) and fully active. Furthermore, screening for disease now consists of little more than visual surveillance for people who look sick. But the most worrisome aspect of this shoestring operation is that no single agency has the power to manage the whole quarantine system, which involves a range of organisations, including public-health departments, customs and agriculture agents, and the Department of Homeland Security. With the latter agency under fire for its handling of the hurricane and the aftermath, its role in any future public-health emergency needs to be carefully reconsidered. The IOM report calls for interagency cooperation in a national plan created and led by the quarantine team of the CDC (primarily its Division of Global Migration and Quarantine and other experts). This idea is a sound one, but one that requires adequate resources, financial and legal, both of which are currently lacking, to become a reality. Further, as painfully demonstrated by hurricane Katrina, it is not enough to have a plan; dozens of now-underwater filing cabinets in New Orleans are doubtless bulging with plans. What is also absolutely critical is rapid and skilful implementation of those plans, and leaders empowered with the resources and authority to carry them out." @default.
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• W4205515392 creator A5085953656 @default.
• W4205515392 date "2005-09-01" @default.
• W4205515392 modified "2023-10-17" @default.
• W4205515392 title "Leadership needed to revamp US quarantine plan" @default.
• W4205515392 doi "https://doi.org/10.1016/s0140-6736(05)67347-3" @default.
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