Public Health Implementation Considerations for State-level Ebola Monitoring and Movement Restrictions

Details

• Alternative Title:
  Disaster Med Public Health Prep
• Personal Author:
  Sell, Tara Kirk ; Shearer, Matthew P. ; Meyer, Diane ; Leinhos, Mary ; Thomas, Erin ; Carbone, Eric G.
• Description:
  Objective:
  
  This article describes implementation considerations for Ebola-related monitoring and movement restriction policies in the United States during the 2013–16 West Africa Ebola epidemic.
  
  Methods:
  
  Semi-structured interviews were conducted between January and May 2017 with 30 individuals with direct knowledge of state-level Ebola policy development and implementation processes. Individuals represented 17 jurisdictions with variation in adherence to US Centers for Disease Control and Prevention (CDC) guidelines, census region, predominant state political affiliation, and public health governance structures as well as the CDC.
  
  Results:
  
  Interviewees reported substantial resource commitments required to implement Ebola monitoring and movement restriction policies. Movement restriction policies, including for quarantine, varied from voluntary to mandatory programs, and occasionally quarantine enforcement procedures lacked clarity.
  
  Conclusions:
  
  Efforts to improve future monitoring and movement restriction policies may include addressing surge capacity to implement these programs, protocols for providing support to affected individuals, coordination with law enforcement, and guidance on varying approaches to movement restrictions.
  
  
• Subjects:
  Africa, Western Article Centers For Disease Control And Prevention, U.S. Ebola Epidemics Epidemiological Monitoring Hemorrhagic Fever, Ebola Humans Infectious Disease Monitoring Policy Implementation Policy Making Public Health Public Health Practice Quarantine United States

  More +
• Source:
  Disaster Med Public Health Prep. 15(5):551-556
• Pubmed ID:
  32308182
• Pubmed Central ID:
  PMC8834606
• Document Type:
  Journal Article
• Funding:
  HHSD2002016M92090P/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  15
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:58782f79952686a77fd224afb8de2519577eb7f1406ba35508ea6f8fb4234f0a
• Download URL:
  https://stacks.cdc.gov/view/cdc/114382/cdc_114382_DS1.pdf
• File Type:
  [PDF - 61.85 KB ]