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4 San Diego Officer (QMO) assists the OIC and is lead medical consultant. San Francisco The remainder of the staff is classified as Quarantine Public San Juan Health Officers (QPHO). Contractors, researchers and other Seattle employees may supplement this staff. The typical staff total Washington, D.C. (Dulles) ranges from four to ten people. During off duty hours, each quarantine station has a 24-hour on-call service and can be Each CDC Quarantine Station is responsible for all of the contacted directly, in addition any quarantine station, and the ports of entry in their assigned region. Therefore, these 20 sta- Quarantine and Border Health Services Duty Officer at CDC- tions cover all 130 of the international airports in this coun- HQ can be contacted 24/7 through the CDC's Emergency try. Customs and Border Protection (CBP) agents are the lead Operations Center. federal agents at international airports that do not have a CDC Quarantine Station. Appendix B provides a listing of the Role of State and Local airports served by the CDC Quarantine Stations and includes Health Departments contact information. A CDC Quarantine Station is not a large quarantine facility Most of the international airports in this country do not in the classic sense of a place where scores or hundreds of peo- have a CDC Quarantine Station on the premises. If a flight ar- ple are screened and detained, like Philadelphia's Lazaretto, rives at one of these airports with a potential case of a quar- San Francisco's Angel Island, or New York City's infamous antinable disease on board, CDC may ask the local health de- "contagion facility" on North Brother Island (arriving ships in partment, whether it is a state or municipal entity, to evaluate 19th century New York City were screened at a quarantine sta- a sick passenger or crewmember and take the lead in the re- tion off Staten Island; only those with nonquarantinable dis- sponse until a CDC official arrives. The CDC looks upon the eases on board were permitted to go to Ellis Island). A "Q Sta- relationship between the federal and local health agencies as tion," as they are sometimes called today, is more likely to be a partnership, and each of the CDC Quarantine Stations is re- an office space housing a small staff, perhaps with an examin- sponsible for developing strong ties to the local and state pub- ing room and facilities to accommodate one or two people lic health and medical community. held for observation for short periods. These facilities are pro- The relationship between state and federal authorities is in vided by the airport at no charge to the federal government flux and is ambiguous under current law. In its proposed reg- under the same law that requires airports to provide space for ulations, the CDC envisions turning over responsibility to a customs and other federal inspection facilities. local health department at some point in the quarantine A CDC Quarantine Station is staffed during the working day process. In current practice, CDC works closely with state and by one to seven CDC employees (or full time equivalents). The local agencies to identify air travelers who may have been ex- Officer in Charge (OIC) is a Senior Public Health Advisor who posed to a communicable disease and follow up with them re- supervises the activities of the station. The Quarantine Medical garding possible treatment.