Airport Roles in Reducing Transmission of Communicable Diseases (2019) / Chapter Skim
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19 APPENDIX C Resources Identified During Presentations Smith, J
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TRANSPORTATION RESEARCH BOARD 2018 EXECUTIVE COMMITTEE* OFFICERS CHAIR: Katherine F
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TRANSPORTATION RESEARCH BOARD 500 Fifth Street, NW Washington, DC 20001 www.TRB.org ADDRESS SERVICE REQUESTED NON-PROFIT ORG.
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TRANSPORTATION RESEARCH BOARD 2018 EXECUTIVE COMMITTEE* OFFICERS CHAIR: Katherine F
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C O N F E R E N C E P R O C E E D I N G S 5 5 Airport Roles in Reducing Transmission of Communicable Diseases Summary of a Workshop of the Airport Cooperative Research Program's 2018 Insight Event John Wilhelmi Rapporteur March 6–7, 2018 National Academy of Sciences Building Washington, D.C. Organized by the Airport Cooperative Research Program Transportation Research Board 2019
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Transportation Research Board Conference Proceedings 55 ISSN 1073-1652 ISBN 978-0-309-48007-9 Subscriber Categories Aviation; security and emergencies; terminals and facilities Transportation Research Board (TRB) publications are available by ordering individual publications directly from the TRB Business Office, through the Internet at www.TRB.org or national-academies.org/trb, or by annual subscription through organizational or individual affiliation with TRB.
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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.
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Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidencebased consensus on the study's statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee's deliberations.
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Planning Committee for the Insight Event: Airport Roles in Reducing Transmission of Communicable Diseases Jeral Ahtone, American Airlines Paulo Magalhaes Alves, MedAire, Inc. Clive Brown, Centers for Disease Control and Prevention Edward Bushman, Los Angeles World Airports James M
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Contents Acronyms ................................................................................................................................................ ix Preface ....................................................................................................................................................
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ACRP Airport Cooperative Research Program AOC ACRP Oversight Committee CDC Centers for Disease Control and Prevention CDRP Communicable Disease Response Plan DFW Dallas–Fort Worth International Airport DGMQ Division of Global Migration and Quarantine EMS emergency medical services ERG Eastern Research Group, Inc. FEMA Federal Emergency Management Agency ICAO International Civil Aviation Organization MERS Middle East respiratory syndrome OSHA Occupational Safety and Health Administration PDX Portland (Oregon)
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x i transmission of communicable diseases" is a highly complex topic that spans a wide range of issues, including different diseases and transmission modes, many preparedness and response actions, legal issues, and public relations approaches to addressing public perception of risk. Faced with this challenge, the planning committee planned the Insight Event to address the primary topic broadly rather than focus on a few specific matters, experiences, or issues.
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x i i P R E F A C E • Dr. Julie Morita, Commissioner of the Chicago Department of Public Health, facilitated audience question-and-answer sessions and panel discussions.
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1 CHAPTER 1 Challenge Airports and Communicable Disease Transmission today's world tremendously interconnected: Dr. Cetron noted that travelers can now move from isolated rural villages to virtually any major city worldwide in less than 36 hours.
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2 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S and international stakeholders works to prevent, prepare for, and respond to communicable diseases as they relate to air travel. Reducing transmission of communicable diseases presents an important challenge for airports, airlines, and other air travel interests.
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3 CHAPTER 2 Discussions What We Learned or regions experiencing disease outbreaks. Multiple speakers encouraged airport officials to appreciate both the value of being prepared for communicable disease outbreaks and the risk of not being prepared.
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4 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S they will likely share some common features. These features include establishing an incident command post or emergency operations center, identifying a unified command team, coordinating stakeholders, training stakeholders, selecting and providing appropriate personal protective equipment (PPE)
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D I S C U S S I O N S 5 suspected of having high-risk communicable diseases and which local medical facilities are equipped and willing to accept, evaluate, and treat those patients. In many cases, the hospital best suited to accept, evaluate, and treat is not the nearest medical facility to the airport.
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6 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S natural disasters, and manmade events (e.g., bomb threats)
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D I S C U S S I O N S 7 In terms of communicable disease response, much of the Insight Event discussions addressed the Ebola virus disease outbreak in West Africa, where the response from CDC and other agencies was multifaceted.
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8 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S communicable disease response planning efforts. The primary airport department identified as a key stakeholder is emergency management, given the existing relationships with many other stakeholders of interest.
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D I S C U S S I O N S 9 that occur at the national level and noted the many partnerships the agency has developed pertaining to airport roles in reducing transmission of communicable diseases. While CDC has a leadership position on this topic, CDC frequently engages with a number of other organizations: • International organizations, such as the World Health Organization (WHO)
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1 0 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S advisories and travel health notices to broadcasting public health messages on airport monitors.
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D I S C U S S I O N S 11 ties, both at airports and with key stakeholders, would benefit from being trained and educated on the CDRP and how it relates to their positions. Emergency planners would then benefit from considering what training to give, to whom, and how often, as well as the optimal means of training delivery.
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1 2 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S custodial, and other staff with responsibility for disinfecting surfaces should be trained and equipped with sufficient supplies and, where necessary, PPE. Moreover, airports were also encouraged to be prepared to adjust their disinfection practices during disease outbreak scenarios or at the request of public health authorities and to consult with hazardous materials units when concerned about the presence of highconsequence pathogens.
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13 CHAPTER 3 Looking Forward to have, or suspected of having, communicable diseases; to hold an event to assess the utility and feasibility of entry and exit screening at airports; and to conduct regional workshops to allow for greater participation from airports and other stakeholders nationwide. • Throughout the 2-day Insight Event, invited speakers and attendees identified numerous resources from government agencies, airports and the aviation sector, and other parties that present best practices on airport roles in reducing transmission of communicable diseases.
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14 APPENDIX A Program Collaboration and Communication: Airport Roles in Reducing Transmission of Communicable Diseases Russ Jones, MPH, Tarrant County Public Health, Fort Worth, Texas Dallas–Fort Worth International Airport 2014 Ebola Response Deb Helton, Dallas–Fort Worth International Airport Dustin Jaynes, Dallas–Fort Worth International Airport High Infectious Diseases at an International Airport 2003–2018 Walter Gaber, M.D., Frankfurt International Airport Partnerships and Other Practical Measures to Manage the Risk of Disease Transmission Through Air Travel Ansa Jordaan, M.D., Aviation Medicine Section, International Civil Aviation Organization PHX and Maricopa County Public Health -- Partners in Preparedness Rebecca Sunenshine, M.D., FIDSA, Maricopa County Public Health, Phoenix, Arizona Christopher Rausch, ACE, Sky Harbor International Airport, Phoenix, Arizona Airport & Public Health Partnerships: Success in Communicable Disease Response Planning Amy Sullivan, Washington State Department of Health Kori Nobel, Port of Portland, Oregon AIRPORT ROLES IN REDUCING TRANSMISSION OF COMMUNICABLE DISEASES Organized by the Airport Cooperative Research Program Transportation Research Board March 6–7, 2018 National Academy of Sciences Building Washington, D.C. SUMMARY Airport and public health professionals addressed key challenges and issues facing the aviation sector to reduce the transmission of communicable diseases.
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15 APPENDIX B Invited Speakers and Attendees Emily Bailey Duke University Durham, North Carolina Utpala Bandy Rhode Island Department of Health Providence, Rhode Island Ibrahim Bani Emory University Leesburg, Virginia Leila Barraza Mel and Enid Zuckerman College of Public Health Tucson, Arizona Pat Baylis United Airlines Chicago, Illinois Richard Bonnett Metropolitan Washington Airports Authority, Fire and Rescue Department Washington, D.C. Jinny Bromberg Bromberg & Associates Hamtramck, Michigan Clive Brown Centers for Disease Control and Prevention Atlanta, Georgia Edward Bushman Los Angeles World Airports Sharon Carr Occupational Safety and Health Administration Washington, D.C.
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1 6 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S Andrew Chou Consultant Vancouver, British Columbia, Canada Jim Chung Air Canada Mississauga, Ontario, Canada Kathryn Como-Sabetti Minnesota Department of Health Saint Paul, Minnesota Matt Cornelius Airports Council International–North America Washington, D.C. James M
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A P P E N D I X B : I N V I T E D S P E A K E R S A N D A T T E N D E E S 17 Gina Jayawan University of Maryland College Park, Maryland Bruce Jeffries Georgia Department of Public Health Atlanta, Georgia Robynne Jungerman Centers for Disease Control and Prevention Atlanta, Georgia Candace Kolander Air Line Pilots Association, International Herndon, Virginia Barbara Kostuk Airlines for America (A4A) Washington, D.C.
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1 8 R E D U C I N G T R A N S M I S S I O N O F C O M M U N I C A B L E D I S E A S E S Audilis Sanchez Centers for Disease Control and Prevention Dulles, Virginia Ramon Sanchez Harvard T
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19 APPENDIX C Resources Identified During Presentations Smith, J
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TRANSPORTATION RESEARCH BOARD 2018 EXECUTIVE COMMITTEE* OFFICERS CHAIR: Katherine F
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TRANSPORTATION RESEARCH BOARD 500 Fifth Street, NW Washington, DC 20001 www.TRB.org ADDRESS SERVICE REQUESTED NON-PROFIT ORG.
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