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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2024. Developing an Airport Communicable Disease Response Plan: Guide and Template. Washington, DC: The National Academies Press. doi: 10.17226/27736.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2024. Developing an Airport Communicable Disease Response Plan: Guide and Template. Washington, DC: The National Academies Press. doi: 10.17226/27736.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2024. Developing an Airport Communicable Disease Response Plan: Guide and Template. Washington, DC: The National Academies Press. doi: 10.17226/27736.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2024. Developing an Airport Communicable Disease Response Plan: Guide and Template. Washington, DC: The National Academies Press. doi: 10.17226/27736.
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ACRP Web-Only Document 57 Developing an Airport Communicable Disease Response Plan GUIDE AND TEMPLATE Scott Teper Amit Patel Juliana Urrego Mia Stephens Abigail Genser The Cadmus Group, LLC Arlington, Virginia Michele Freadman M. Freadman Consulting Attleboro, MA Conduct of Research Report for ACRP Project 11-02/Task 44 Submitted February 2024 © 2024 by the National Academy of Sciences. National Academies of Sciences, Engineering, and Medicine and the graphical logo are trademarks of the National Academy of Sciences. All rights reserved. ACKNOWLEDGMENT This work was sponsored by the Centers for Disease Control (CDC). It was conducted through the Airport Cooperative Research Program (ACRP), which is administered by the Transportation Research Board (TRB) of the National Academies of Sciences, Engineering, and Medicine. COPYRIGHT INFORMATION Authors herein are responsible for the authenticity of their materials and for obtaining written permissions from publishers or persons who own the copyright to any previously published or copyrighted material used herein. Cooperative Research Programs (CRP) grants permission to reproduce material in this publication for classroom and not-for-profit purposes. Permission is given with the understanding that none of the material will be used to imply TRB, AASHTO, APTA, FAA, FHWA, FTA, GHSA, or NHTSA endorsement of a particular product, method, or practice. It is expected that those reproducing the material in this document for educational and not-for-profit uses will give appropriate acknowledgment of the source of any reprinted or reproduced material. For other uses of the material, request permission from CRP. DISCLAIMER The opinions and conclusions expressed or implied in this report are those of the researchers who performed the research. They are not necessarily those of the Transportation Research Board; the National Academies of Sciences, Engineering, and Medicine; or the program sponsors. The Transportation Research Board does not develop, issue, or publish standards or specifications. The Transportation Research Board manages applied research projects which provide the scientific foundation that may be used by Transportation Research Board sponsors, industry associations, or other organizations as the basis for revised practices, procedures, or specifications. The Transportation Research Board, the National Academies, and the sponsors of the Airport Cooperative Research Program do not endorse products or manufacturers. Trade or manufacturers’ names appear herein solely because they are considered essential to the object of the report. The information contained in this document was taken directly from the submission of the author(s). This material has not been edited by TRB.

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, non- governmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president. The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org. The Transportation Research Board is one of seven major program divisions of the National Academies of Sciences, Engineering, and Medicine. The mission of the Transportation Research Board is to mobilize expertise, experience, and knowledge to anticipate and solve complex transportation-related challenges. The Board’s varied activities annually engage about 8,500 engineers, scientists, and other transportation researchers and practitioners from the public and private sectors and academia, all of whom contribute their expertise in the public interest. The program is supported by state transportation departments, federal agencies including the component administrations of the U.S. Department of Transportation, and other organizations and individuals interested in the development of transportation. Learn more about the Transportation Research Board at www.TRB.org.

COOPERATI VE RESEAR CH PROGRAMS CRP STAFF FOR ACRP WEB-ONLY DOCUMENT 57 Waseem Dekelbab, Deputy Director, Cooperative Research Programs Marci A. Greenberger, Manager, Airport Cooperative Research Program Joseph D. Navarrete, Senior Program Officer Stephanie L. Campbell, Senior Program Assistant Natalie Barnes, Director of Publications Heather DiAngelis, Associate Director of Publications Jennifer Correro, Assistant Editor ACRP PROJECT 11-02/Task 44 PANEL Field of Special Projects Augustus L. Hudson, Hartsfield-Jackson Atlanta International Airport, Hapeville, GA Julie Morita, Robert Wood Johnson Foundation, Princeton, NJ Cedric Simon, Lynchburg Regional Airport, Lynchburg, VA Tom Werner, Duluth Airport Authority, Duluth, MN Mary Elizabeth Wilson, University of California, San Francisco, San Francisco, CA ACKNOWLEDGMENTS The authors thank the following individuals for providing input during the focus groups: Jessica Cerutti, Senior Emergency Manager, Denver International Airport; Kati Davich, Emergency Preparedness Manager, Port of Seattle; Nick Wooton, Emergency Planning Supervisor, San Jose International Airport; Charles Glover, Airport Emergency Manager, Tucson International Airport; Alex Gichuiri, Airport Security Compliance Manager, Kansas City International Airport; Luke Mawhirter, Manager of Operations, Kansas City International Airport; Bruce Evans, Deputy Fire Chief, Norfolk International Airport; Christopher Pollock, Senior Manager Airport Operations, Columbus Regional Airport Authority; Jason Schnase, Fire Department Training Chief, Seattle- Tacoma International Airport; Jolene Berry, Assistance Airport Director, Manassas Regional Airport; Barry Brown, Director of Operations & Maintenance, Naples Airport; Mark Lafountain, Public Health Emergency Preparedness Coordinator, Clinton County Health Department; Michael Shaw, Emergency Management Coordinator, Collier County Government; Terri Harder, Epidemiology Program Manager, Florida Department of Health in Collier County; Donna VanTol, Disaster Preparedness Manager, Florida Department of Health in Collier County; Olubunmi Akinkugbe, Officer-in-Charge, Atlanta Port Health Station; Rafele Terrell, Port Health Protection Officer, Atlanta Port Health Station; Ellis Cameron-Perry, Public Health Officer, Boston Port Health Station; Paisley Rearden, Officer-in-Charge, Chicago Port Health Station; Elizabeth Zaborowski, Public Health Officer, Detroit Port Health Station; Joaquin Rueda, Officer-in-Charge, Houston Port Health Station; George Pagan, Public Health Officer, Newark Port Health Station; Erica Sison, Public Health Officer, Newark Port Health Station; Sarah Meehan, Officer-in-Charge, New York Port Health Station; Stephanie Michel, Public Health Officer, New York Port Health Station; Jennifer Torres, Officer-in- Charge, Philadelphia Port Health Station; Mahmoud Aboukheir, Officer-in-Charge, San Juan (Puerto Rico) Port Health Station; Arnold Vang, Officer-in-Charge, Minneapolis Port Health Station; Douglas Weigelt, Officer-in-Charge, Seattle Port Health Station; John Nelson, Public Health Officer, Seattle Port Health Station. Lastly, this publication would not have been possible without the considerable contributions from Sonia Tavik with the Cadmus Group, who previously worked on the project.

Table of Contents Summary ............................................................................................................................................. 1 Guide ................................................................................................................................................... 4 Significance of Air Travel in the Transmission of Communicable Diseases .............................................. 4 The Centers for Disease Control and Prevention (CDC), Communicable Diseases, and Airports ......... 5 Public Health Response Measures in an Airport Setting .......................................................................... 6 Important Considerations for Airport Staff .............................................................................................. 6 Roles and Responsibilities of Airport Personnel and Other Stakeholders ................................................ 8 Resources to Support Preparedness and Response ................................................................................. 9 Communicable Disease Response Plan (CDRP) Template.................................................................... 12 Introduction ............................................................................................................................................ 12 Base Document ....................................................................................................................................... 14 Section 1. Plan Authorization and Maintenance ................................................................................ 14 Section 2. Introduction........................................................................................................................ 15 Section 3. Situation and Assumptions ................................................................................................. 16 Section 4. Activation ........................................................................................................................... 17 Section 5. Organization and Responsibilities ...................................................................................... 18 Section 6. Concept of Operations ....................................................................................................... 21 Section 7. Legal Authorities and References ....................................................................................... 26 Section 8. Glossary of Acronyms and Terms ....................................................................................... 29 Additional Sections for Consideration .................................................................................................... 33 Section 9. Special Circumstances ........................................................................................................ 33 Section 10. Annexes: Standard Precautions, Contact Information etc. .............................................. 34 iv

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As air travel continues to increase worldwide, threats from communicable disease transmission via air travel remains a top public health concern. Airports can serve as a setting for potential community spread while simultaneously, communicable diseases can adversely impact airport operations.

ACRP Web-Only Document 57: Developing an Airport Communicable Disease Response Plan: Guide and Template, from TRB's Airport Cooperative Research Program, provides airport operators with the fundamental information needed to understand communicable diseases and their intersection with airports, an understanding of the range of factors that influence communicable disease incidents in airport contexts, and detailed actions that airport practitioners can consider to develop and implement an airport communicable disease response plan.

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