Public Health Reports
Volume 124, Issue 2, 2009, Pages 203-211

A new paradigm for quarantine and public health activities at land borders: Opportunities and challenges (Review)

Waterman S.H. , Escobedo M. , Wilson T. , Edelson P.J. , Bethel J.W. , Fishbein D.B.
  • a Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States, San Diego Quarantine Station and Border Health Services, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 3851 Rosecrans St., Ste. 715, San Diego, CA 92110-3115, United States
  • b Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • c Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • d Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • e Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • f Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, United States

Abstract

The Institute of Medicine (IOM) report Quarantine Stations at Ports of Entry: Protecting the Public's Health focused almost exclusively on U.S. airports and seaports, which served 106 million entries in 2005. IOM concluded that the primary function of these quarantine stations (QSs) should shift from providing inspection to providing strategic national public health leadership. The large expanse of our national borders, large number of crossings, sparse federal resources, and decreased regulation regarding conveyances crossing these borders make land borders more permeable to a variety of threats. To address the health challenges related to land borders, the QSs serving such borders must assume unique roles and partnerships to achieve the strategic leadership and public health research roles envisioned by the IOM. In this article, we examine how the IOM recommendations apply to the QSs that serve the land borders through which more than 319 million travelers, immigrants, and refugees entered the U.S. in 2005.

Author Keywords

[No Keywords available]

Index Keywords

emergency immigrant refugee public health service population methodology Population Surveillance human immigration motor vehicle Motor Vehicles travel Aircraft priority journal professional practice geographic distribution international cooperation organization Mexico United States disease surveillance Humans Canada Emigrants and Immigrants Review leadership Interinstitutional Relations Article Disease Notification epidemic infection control Public Health Administration organization and management Transportation Institute of Medicine (U.S.) migration legal aspect traffic and transport Quarantine standard world health organization Emigration and Immigration Transients and Migrants Ships ship public relations health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-65249093082&doi=10.1177%2f003335490912400207&partnerID=40&md5=39a9169812415499aceafc63e9362207
DOI: 10.1177/003335490912400207
ISSN: 00333549
Cited by: 9
Original Language: English