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Surveillance and Response to Imported Infectious Disease

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Presentation on theme: "Surveillance and Response to Imported Infectious Disease"— Presentation transcript:

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

2 CDC Quarantine Stations
2007 Jurisdictions AK ME Seattle Minneapolis Anchorage Chicago VT NH WA MT ND Detroit MA Boston MN NY RI CT CT WI MI New York OR ID SD PA NJ Newark WY MD DE IA Philadelphia OH NE No.CA IN WV IL NV Washington, D.C. San Francisco VA UT CO MO KY KS NC TN So.CA OK Dallas SC AR Atlanta Map of the 20 Quarantine Stations CDC has been expanding the Q System from 8 stations in 2004 to 20 currently The Detroit Station ahs responsibility for 3 states and all ports of entry in those states Los Angeles AZ NM North TX AL MS GA San Diego West TX East TX LA El Paso FL Houston Miami Honolulu GU HI PR San Juan CDC Quarantine Station

3 Migration and Health Strategy
Division of Global Migration and Quarantine Travelers’ Health Zoonoses Team Africa and Americas Region Migration and Health Strategy Asia & European Region The Division has three main branches which includes Geographic medicine and health promotion ( travelers health and zoonoses) 2) immigrant , refugee and migrant health and 3) Quarantine and border health service branch under which fall the quarantine station . Notice that in 2004 there were only 8 QS’s. By Dec of 2005, there are now 18 QSs All branches collaborate with each other to fulfill the mission of the Division Quarantine Stations 8 in 2004 20 in 2007

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

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

6 Quarantine Diseases Executive Order of the President 13295

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

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

9 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 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 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 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 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 Online Resources Division of Global Migration and Quarantine: Centers For Disease Control and Prevention: l

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

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