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Quarantine TM CENTERS FOR DISEASE CONTROL & PREVENTION Division of Global Migration and Quarantine (DGMQ) Surveillance and Response to Imported Infectious.

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Presentation on theme: "Quarantine TM CENTERS FOR DISEASE CONTROL & PREVENTION Division of Global Migration and Quarantine (DGMQ) Surveillance and Response to Imported Infectious."— Presentation transcript:

1 Quarantine TM CENTERS FOR DISEASE CONTROL & PREVENTION Division of Global Migration and Quarantine (DGMQ) Surveillance and Response to Imported Infectious Disease Gabe Palumbo, MBA, MPH Officer in Charge CDC Detroit Quarantine Station

2 San Diego VT ME MA NY PA NH WV VA MD NJ RI CT AZ IN WI KY MI OH IA MN MO IL NE KS SD ND AL TN GA SC NC AR LA MS OK Atlanta Chicago Seattle WY ID WA AK OR MT NV UT NM CO East TX Miami FL No.CA So.CA Los Angeles San Francisco HI Honolulu Washington, D.C. El Paso Houston Newark New York Boston GU San Juan Minneapolis Detroit Anchorage West TX PR CDC Quarantine Station Philadelphia Dallas North TX CT DE CDC Quarantine Stations 2007 Jurisdictions

3 Quarantine TM Division of Global Migration and Quarantine Travelers’ Health Zoonoses Team Africa and Americas Region Quarantine Stations 8 in in 2007 Migration and Health Strategy Asia & European Region

4 Quarantine TM Our Mission … To protect the health of the public from communicable diseases through science, partnerships, and response at U.S. ports

5 Quarantine TM Accomplishing Our Mission (42 CFR Parts 70 and 71) Regulate importations Process migrant documentation Respond to notification of illness in international travelers

6 Quarantine TM Quarantine Diseases Executive Order of the President CHOLERA DIPTHERIA INFECTIOUS TB PLAGUE SMALLPOX YELLOW FEVER VIRAL HEMORRHAGIC FEVERS SARS NOVEL OR RE-EMERGENT INFLUENZA

7 Quarantine TM Isolation: –Separation of ill persons with contagious disease –Often in a hospital setting –Applied to individual or group level Definitions

8 Quarantine TM Definitions (cont.) Quarantine –Restriction of well persons presumed exposed –Applied at the individual or community level May be voluntary or mandatory

9 Quarantine TM 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

10 Quarantine TM 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

11 Quarantine TM 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

12 Quarantine TM 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)

13 Quarantine TM Notification DGMQ notifies state and local health authorities if ill travelers sent to hospital DGMQ identifies all travelers potentially exposed to the ill passenger

14 Quarantine TM Online Resources Division of Global Migration and Quarantine: Centers For Disease Control and Prevention:

15 Quarantine TM DGMQ Staff in Detroit Gabe Palumbo, MBA, MPH Officer in Charge Tel: Curi Kim, MD, MPH Quarantine Medical Officer


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