 |
| Severe Acute
Respiratory Syndrome (SARS) |
Matrix 1: Suggested Activities for Inbound Travelers
Level of SARS-CoV transmission
activity in the United States |
Suggested actions, by situation
in originating location |
No known SARS-CoV transmission worldwide or known
SARS-CoV activity but only imported cases |
Imported cases; limited transmission
in location of origin
- Distribute
health alert notices to all arrivals.
- Implement
passive monitoring of all arriving passengers for development
of fever or respiratory symptoms.
- Advise
persons who develop symptoms to self-report before presentation
to healthcare provider.
- Follow
quarantine officer protocol for arriving ill passengers
- Follow
procedures for ill contacts
- Collect
30-day contact information for passengers on conveyances
with ill passenger
- Consider
enhanced surveillance for ill passengers.
Extensive transmission/effective control measures
- Implement
active surveillance for ill passengers.
- Implement
symptom screening for all arriving passengers.
- Medically
evaluate all passengers with symptoms.
- Consider
10-day quarantine for asymptomatic arrivals.
- Collect
contact information on all arriving passengers.
Extensive transmission/ineffective control measures
- Prohibit
all non-essential arrivals.
- Conduct
medical screening upon arrival.
- Implement
mandatory 10-day quarantine for all asymptomatic arrivals.
- Collect
contact information on all arriving passengers.
|
Extensive SARS-CoV transmission in United States and community,
with effective control measures |
Imported cases; limited transmission
in location of origin
- Minimize
non-essential travel.
- Consider
restricting travel within jurisdictions.
- Advise
arrivals to follow procedures based on situation in location
of origin.
Extensive transmission/effective control measures
- Minimize
non-essential travel.
- Consider
restricting travel within jurisdictions.
- Advise
arrivals to follow procedures based on situation in location
of origin.
Extensive transmission/ineffective control measures
- Prohibit
all non-essential arrivals.
- Conduct
medical screening upon arrival.
- Implement
mandatory 10-day quarantine for all asymptomatic arrivals.
- Collect
contact information on all arriving passengers.
|
Extensive SARS-CoV transmission in United States and community,
with ineffective control measures |
Imported cases; limited transmission
in location of origin
- Prohibit
all non-essential arrivals.
- Advise
arrivals to follow procedures based on situation in location
of origin.
Extensive transmission/effective control measures
- Prohibit
all non-essential arrivals.
- Advise
arrivals to follow procedures based on situation in location
of origin.
Extensive transmission/ineffective control measures
- Prohibit
all non-essential arrivals.
- Conduct
medical screening upon arrival.
- Implement
mandatory 10-day quarantine for all asymptomatic persons.
- Collect
contact information on all arriving passengers.
|
Matrix 2: Suggested Activities for Outbound Travelers
Level of SARS-CoV transmission
activity in the United States |
Suggested actions, by situation
in originating location |
No known SARS-CoV transmission worldwide |
|
SARS activity in United States and community, but only imported cases |
- Issue
travel health precautions and warnings for destinations
based on setting and transmission pattern
- Prohibit non-essential travel to countries where control measures are inadequate.
- Consider:
- Medical screening at all exit points
- Travel prohibition for all persons meeting case definition with epidemiologic link to transmission setting
- Medical assessment for all with signs/symptoms without epidemiologic link
- Prohibit travel for persons under quarantine.
|
Extensive
SARS-CoV transmission in United States and community,
with effective control measures |
- Issue international
travel notifications as above.
- Issue travel health precautions/warnings for domestic destinations based on setting and transmission pattern.
- Initiate medical screening of departing passengers at all exit points.
- Prohibit travel for all persons meeting case definition.
- Prohibit travel for all persons under quarantine.
- Require health certificate for exit.
|
Extensive
SARS-CoV transmission in United States and community,
with ineffective control measures |
- Issue international
travel notifications as above.
- Issue
domestic travel health precautions/warnings as above.
- Prohibit nonessential outbound travel.
- Require health certificate for essential travel.
- Implement medical screening at all exit points.
- Prohibit travel for all persons meeting case definition.
- Prohibit travel for all persons under quarantine.
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