Skip to main content

Currently Skimming:

Executive Summary
Pages 1-13

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 1...
... Taken together, these factors have stimulated calls for greater vigilance about microbial threats of public health significance at U.S. gateways.
From page 2...
... STRATEGIC PUBLIC HEALTH LEADERSHIP AT THE NATION'S GATEWAYS The traditional, primary activities of the CDC quarantine stations no longer protect the U.S. population sufficiently against microbial threats of public health significance that originate abroad, the committee concluded.
From page 3...
... To fill this void, the primary activities of the CDC quarantine stations should shift from the legacy activity of inspection to the provision of strategic national public health leadership for Quarantine System activities. Such leadership, carried out in collaboration with DGMQ and the scientific and organizational capacity of CDC, would improve national preparedness for crises caused by microbial threats of public health significance that originate abroad.
From page 4...
... . The Quarantine Core, System, and Network As suggested above, the CDC quarantine stations are one component of a large, complex network of organizations whose collective actions provide limited protection to residents of and travelers to the United States from microbial threats of foreign origin.
From page 5...
... Department of Transportation FBI Federal Bureau of Investigation FDA U.S. Food and Drug Administration LPHA local pubic health authority NACCHO National Association of County and City Health Officials PH labs state public health labs PHAC Public Health Agency of Canada State PHA state public health agency (U.S.)
From page 6...
... Together, these entities plus the Quarantine System and Quarantine Core form a multijurisdictional, multisectoral, multinational "Quarantine Network" that protects both travelers entering the United States and the population within U.S. borders from microbial threats of public health significance that originate abroad.
From page 7...
... 1. Reviewing shipping manifests to identify cargo that may pose a public health threat; ensuring that the shipment is inspected by a quarantine inspector or, more frequently, an inspector from a partner federal agency; ensuring that identified threats are contained, eliminated, or both.
From page 8...
... 3. Meeting arriving refugees and parolees, visually screening them for signs and symptoms of illness, reviewing the results of their overseas medical examinations, giving local health departments notification of their arrival and the results of their overseas examinations, and alerting the health departments to arrivals with Class A or B conditions.
From page 9...
... The committee concluded that these activities have public health benefits of various degrees and should continue but should consume only part of quarantine stations' time, for the activities are insufficient in themselves to meet the challenges posed by microbial threats at the nation's gateways. RECOMMENDATIONS FOR THE QUARANTINE CORE Strategic Leadership The United States needs a single entity to exert national strategic public health leadership for the Quarantine Network to successfully protect the U.S.
From page 10...
... Recommendation 2: The committee recommends that, on the ba sis of its strategic plan, the Quarantine Core work with its partners in the Quarantine Network (and with appropriate agencies in other countries) to delineate or redefine each partner's role, authority, and channel of communication at all locations and specific times in order to minimize the risk that microbial threats of public health significance will enter or affect travelers to the United States.
From page 11...
... Surge Capacity As noted earlier, the quarantine stations' staff currently perform nine primary activities on a routine basis. Although public health emergencies occur sporadically, the committee concluded that the Core should be equally prepared to respond to emergencies as to carry out routine duties.
From page 12...
... The Core should routinely assess the performance of criti cal quarantine functions by individual CDC quarantine stations, DGMQ headquarters, partner organizations, and the System as a whole. Identified shortfalls should be remedied promptly.
From page 13...
... 2003. Reinventing CDC Quarantine Stations: Proposal for CDC Quarantine Station Distribution.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.