Human Resources at U.S. Ports of Entry to Protect the Public’s Health
Interim Letter Report
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
This study was supported by Contract No. 200-2000-00629, Task Order No. 31 between the National Academy of Sciences and the Centers for Disease Control and Prevention. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
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COMMITTEE ON MEASURES TO ENHANCE THE EFFECTIVENESS OF CDC QUARANTINE STATION EXPANSION PLAN FOR U.S. PORTS OF ENTRY
GEORGES C. BENJAMIN, M.D. (Chair), Executive Director,
American Public Health Association
JOAN M. ARNOLDI, D.V.M. 1, Retired,
Animal and Plant Health Inspection Service, U.S. Department of Agriculture
BARBARA A. BLAKENEY, M.S., R.N., President,
American Nurses Association
LAWRENCE O. GOSTIN, J.D., Professor of Law,
Georgetown University Law Center
MARGARET A. HAMBURG, M.D., Vice President for Biological Programs,
Nuclear Threat Initiative
FARZAD MOSTASHARI, M.D., M.S.P.H., Assistant Commissioner,
Bureau of Epidemiological Services, New York City Department of Health
WILLIAM A. PETRI, Jr., M.D., Ph.D., Chief,
Division of International Health and Infectious Diseases, University of Virginia Health System
ARTHUR L. REINGOLD, M.D., Professor of Epidemiology,
School of Public Health, University of California at Berkeley
RONALD K. ST. JOHN, M.D., M.P.H., Director General,
Centre for Emergency Preparedness and Response, Public Health Agency of Canada
KATHLEEN E. TOOMEY, M.D., M.P.H., Director2,
Division of Public Health, Georgia State Health Department
MARY E. WILSON, M.D., Associate Professor of Medicine,
Harvard Medical School
Study Staff
KATHLEEN STRATTON, Ph.D., Study Director
LAURA B. SIVITZ, M.S.J., Research Associate
DAVID W. GILES, Research Assistant
SHEYI LAWOYIN, Senior Program Assistant
PATRICK KELLEY, M.D., Ph.D., Director,
Board on Global Health
ROSE MARIE MARTINEZ, Sc.D., Director,
Board on Health Promotion and Disease Prevention
Reviewers
This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC's Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:
Ruth L. Berkelman, M.D., M.P.H., Rollins School of Public Health, Emory University
Donald S. Burke, M.D. Johns Hopkins Bloomberg School of Public Health
Kathleen F. Gensheimer, M.D., M.P.H., Maine Department of Health and Human Services
Ann Marie Kimball, M.D., School of Public Health, University of Washington
Bonnie Kostelecky, R.N., M.S., M.P.A., Multnomah County Health Department, Portland
Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final report before its release. The review of this report was overseen by Hugh H. Tilson, M.D., Dr.P.H., School of Public Health, University of North Carolina. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.
Tables, Figures, and Boxes
TABLES
1-1 |
Number of Employees and Contractors at Each CDC Quarantine Station at U.S. Ports of Entry, Mid-2004, |
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1-2 |
Types of Workers Who Could Conduct the Priority Functions Necessary for the Surveillance for, Detection of, and Response to Microbial Threats at U.S. Ports of Entry, |
FIGURES
1-1 |
DGMQ’s proposed geographic distribution of the 25 quarantine stations, |
BOXES