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10 exempt from most restrictions on travel with pets). Pet dogs and taminated or disinfected. Even if baggage is immediately cats are subject to inspection upon arrival in the United States available, travelers may not have sufficient clothing and per- for evidence of disease. In addition, dogs arriving from coun- sonal items for more than a day or so, or might not have ap- tries where rabies is reported are required to be immunized propriate clothing for the airport climate. Some quarantined against rabies. Dogs and cats that appear to be ill with a disease individuals may be able to make arrangements for clothing that may be transmissible to humans are subject to veterinary and personal items to be sent to them by family or friends, medical examination, treatment, and/or quarantine (see while others may need to have these provided. Many volun- teer organizations have or can quickly obtain donations of .htm#dogreqs). Service animals are generally allowed in other clothes. shelter situations and should be accommodated in a quarantine facility if possible. Careful consideration should be given to al- Bedding and Other Supplies lowing pets that are cleared of disease to remain or be reunited with their owners. Allowing pets to be co-located with their A projected list of supplies and equipment, per FEMA and owners (instead of housed at an animal shelter or elsewhere on Red Cross guidelines, should include the following: the airport) may provide comfort and psychological support. However, other quarantined individuals may have allergies or Bedding--a cot, blanket, pillow and sheets for each person. aversions to animals, and the noise, mess, and smell associated It is a good idea to have a 10% spare capacity as well. with some pets may be hard to control in a shelter setting. Emergency equipment--flashlights, fire extinguishers, tool kits. First-aid supplies--tape, safety pins, latex gloves, scissors, Supplies antiseptics, antibiotics, smelling salts, splints, thermom- Food and Water eters, blood pressure gauges, variety of bandages, towels, and ointments. Food and water are crucial to the operation of a quarantine Sanitary supplies--toilet paper, paper towels, personal hy- area. A quarantine plan should include provisions to store a giene items, chlorine bleach, disinfectants, trash cans, and supply of basic foods or to acquire them quickly, for the first plastic bags. 2448 hours of the quarantine. After that point, if necessary, Infant and children supplies--disposable diapers, powders a food supply system should be in place to provide for needs of the people in quarantine. and ointments, moistened towelettes, pacifiers, toys, and There may be passengers who have diabetes or other re- blankets. Social and recreational needs--age-appropriate games, lated blood sugar disorders or who are on medication that re- quires it be taken with food. Also, some travelers may have toys, books, and magazines. babies or small children with them. It is much harder for babies and small children to ward off hunger. Space for A quarantine area should have portable partitions to allow carbohydrate-rich snacks, baby formula, and canned or pack- family groups to stay together and to allow at least some pri- aged food could be provided at the site. It is not necessary to vacy for sleeping and changing clothes. In addition, partitions have accommodations for preparing hot meals as long as they will be needed to establish recreational and office space. can be purchased for delivery from a supplier. Paper plates, cups, and napkins and plastic utensils can be used. Can and Staffing bottle openers should be available as well. The people in quarantine will need water. If the building The question of staffing the site and providing services re- does not have potable running water, then alternative supplies quires serious consideration. The quarantine area can not run must be provided. Between a half and 1 gallon of water per day itself, but how can services be provided if staff will potentially per person may be necessary. Bottled water can be brought in expose themselves to contamination as well? The scope of this by a public or private supplier or stored on site (or elsewhere study does not allow for a sufficient examination of this ques- on the airport property). If the temperature in the building is tion. For the purposes of planning and estimating associated warmer than comfortable, then more water may be needed. costs, the following assumes that measures will be identified Other beverages can be provided to supplement water. and implemented that minimize the risk of exposure for in- dividuals providing these services (e.g., through the use of personal protective equipment, inoculations and/or prophy- Clothing and Personal Items lactic treatment, and/or strategies for avoiding person-to- Depending on the pathogen involved, passengers and crew person contact). The cost of implementing these exposure may not have access to their baggage until it has been decon- minimization measures is not included in this analysis.