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1 Introduction
Pages 14-27

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From page 14...
... . Positioned at major national gateways, the CDC quarantine stations have experienced first-hand the impact of globalization on public health.
From page 15...
... to convene an expert committee to assess the present CDC quarantine stations and recommend how they should evolve to meet the challenges posed by microbial threats at the nation's gateways.1 DGMQ specifically requested "an assessment of the role of the federal quarantine stations, given the changes in the global environment including large increases in international travel, threats posed by bioterrorism and emerging infections, and the movement of animals and cargo" (Box 1.1)
From page 16...
... All ports in Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, 3 6 (O'Hare International Airport) Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; preclearance port in Torontoa Dulles, VAb N/A 1 3 (Washington Dulles International Airport)
From page 17...
... ports of entry by CDC quarantine station staff. bDulles, VA, is located approximately 26 miles from Washington, D.C.
From page 18...
... In addition, three consultants to the committee provided insights into the surveillance, detection, and management of disease in animals and animal products being imported into the United States, CDC quarantine station activities in relation to U.S. seaports, and international laws and regulations relevant to the expansion plans for the CDC quarantine stations.
From page 19...
... CDC quarantine stations at U.S. ports of entry FIGURE 1.1 The relationships among the members of the Quarantine Core (shaded boxes, boldface type)
From page 20...
... Although the staff have offices and one or more patient isolation rooms, most interactions between quarantine station staff and travelers or crew take place in public areas of the terminals. Microbial Threats of Public Health Significance Microbes in the context of this report are bacteria, viruses, protozoa, fungi, and prions that can replicate in humans.
From page 21...
... . On a related note, a CDC quarantine station may also ensure the isolation of specific individuals or animals infected by a specific microbial threat.
From page 22...
... 7. Developing and maintaining relationships with local public health authorities and other System partners at ports within the station's jurisdiction.
From page 23...
... FRAMING THE ISSUE As the aviation industry learned from the outbreak of severe acute respiratory syndrome (SARS) , the CDC quarantine stations are uniquely positioned to coordinate nationwide responses to global microbial threats of public health significance that have the potential to reach -- or cross-U.S.
From page 24...
... population and travelers to this country. The CDC Quarantine Stations: A National Insurance Policy In addition to performing the array of daily activities listed above, the CDC quarantine stations serve as part of the United States' national insurance policy against public health catastrophes.
From page 25...
... . Limitations Many of the CDC quarantine stations' present activities focus on the detection of disease in persons, animals, cargo, and conveyances during the window of time shortly before and during arrival at U.S.
From page 26...
... Chapter 3 contains a description of the committee's findings about the present CDC quarantine stations, including their capacities, methods, operating environment, and linkages. In Chapter 4, the committee presents its conclusions and recommendations on how the quarantine stations should evolve to meet the challenges posed by microbial threats at the nation's gateways.
From page 27...
... 2004. Bio-Surveillance program initiative remarks by Secretary of Homeland Security Tom Ridge and Secretary of Health and Human Services Secretary Tommy Thompson.


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