Airport Public Health Preparedness and Response: Legal Rights, Powers, and Duties (2018) / Chapter Skim
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Pages 5-13
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5 of certain statutes and regulations was conducted between two independent research team members to guarantee quality control and systematic data and information collection. The research team developed an initial draft report, which was reviewed by project consultants.
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6 CDC quarantine station with jurisdiction for the arrival airport, which in turn contacts the airline's designated point of contact for details regarding the illness or death.17 CDC then coordinates a response with state and local health authorities.18 Figure 1. Reporting to CDC for All Deaths or Ill Travelers with the Following Symptoms19 The Council of State and Territorial Epidemiologists (CSTE)
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7 included notification of the suspected case to the airport through established public health agency (e.g., CDC) protocols, local health officials, emergency responder agencies, and fire departments, among other sources.26 Thus, airport communicable disease plans must account for the receipt of information regarding suspected cases of communicable disease from numerous official and unofficial channels.
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8 map of the CDC-staffed quarantine stations located at U.S. airports40)
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9 A scenario involving a non-compliant infectious passenger would require intensive coordination between CDC and state, tribal, or local health officials, and involve each entity's respective legal counsel to balance protecting the public's safety with the passenger's civil rights. The legal requirements for such a scenario may also change if an emergency declaration is issued (see Section V of this digest, The Changing Legal Environment During Emergencies)
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10 Federal orders for isolation, quarantine, or conditional release must be issued in writing, signed by the CDC Director or designee, and served on the affected person or persons within 72 hours of apprehension (with publication or posting in a conspicuous location substituting for individual service if the federal order applies to an affected group and individual service is impracticable) .63 The order must explain the reasons for the restrictions (particularly the classification of the communicable disease as quarantinable)
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11 In some cities with international airports, CDC makes flexible contractual arrangements in the form of MOAs with local hospitals that meet certain eligibility requirements to ensure their capacity to manage persons with quarantinable diseases.80 If an MOA hospital is not available or unable to receive an ill traveler for isolation, then the quarantine station coordinates with local health authorities and EMS to select an alternate facility.81 Airport communicable disease preparedness plans should take into account the potential use of MOA hospitals in the area, as well as the logistics and partnerships needed to transport ill travelers to such facilities. An EOC may coordinate response efforts and communication between the airport and other jurisdictions and response facilities.82 If isolation (or quarantine, if needed)
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12 inspection, fumigation, disinfection, sanitation, pest extermination, and destruction of infected animals or contaminated things.91 Additionally, when state and local health authorities are unable to control the spread of communicable disease across state or territorial borders, the CDC Director and Food and Drug Administration (FDA) Commissioner can implement appropriate measures to prevent further transmission, including inspection, fumigation, disinfection, sanitation, pest extermination, and destruction of animals and items suspected of causing the infection.92 Disinsection of Aircraft Although CDC has the authority to require disinsection of international flights suspected of carrying vector-borne communicable diseases from infected areas,93 CDC does not recommend routine disinsection inside commercial passenger airplanes to prevent the spread of vector-borne disease.
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From page 13... ...
13 aircraft's arrival at a hub facility, advance notification of airline operators, managers, and maintenance facility personnel helps ensure safe decontamination. Procurement and Distribution of Decontamination Devices A public health preparedness goal under the National Health Security Strategy (NHSS)
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