A loophole in international quarantine procedures disclosed during the SARS crisis
Identifieur interne : 001743 ( Pmc/Checkpoint ); précédent : 001742; suivant : 001744A loophole in international quarantine procedures disclosed during the SARS crisis
Auteurs : Chi-Wei Lee [Taïwan] ; Yen-Shuo Tsai [Taïwan] ; Tai-Wai Wong [Hong Kong] ; Chor-Chiu Lau [Hong Kong]Source :
- Travel Medicine and Infectious Disease [ 1477-8939 ] ; 2004.
Abstract
This study describes a loophole in the international quarantine system during the recent Asian severe acute respiratory syndrome (SARS) outbreak. Specifically, that of travelers disguising symptoms of respiratory tract infection at international airports, in order to board aircraft to return to their home countries—notwithstanding the infection risks this involves to others. High medical fees for treatment to non-residents in epidemic areas were found to be the main cause for this behaviour. This phenomenon revealed a loophole in the control mechanisms of international quarantine procedures, letting travelers carrying a highly contagious virus slip by undetected and causing possible multi-country outbreaks of communicable diseases. Clinical evidence collected from medical records at medical centers can highlight this oversight.
Url:
DOI: 10.1016/j.tmaid.2004.10.002
PubMed: 16887721
PubMed Central: 7106281
Affiliations:
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Specifically, that of travelers disguising symptoms of respiratory tract infection at international airports, in order to board aircraft to return to their home countries—notwithstanding the infection risks this involves to others. High medical fees for treatment to non-residents in epidemic areas were found to be the main cause for this behaviour. This phenomenon revealed a loophole in the control mechanisms of international quarantine procedures, letting travelers carrying a highly contagious virus slip by undetected and causing possible multi-country outbreaks of communicable diseases. Clinical evidence collected from medical records at medical centers can highlight this oversight.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sutherst, R W" uniqKey="Sutherst R">R.W. Sutherst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smallman Raynor, M" uniqKey="Smallman Raynor M">M. Smallman-Raynor</name></author><author><name sortKey="Cliff, A D" uniqKey="Cliff A">A.D. Cliff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smallman Raynor, M" uniqKey="Smallman Raynor M">M. Smallman-Raynor</name></author><author><name sortKey="Cliff, A D" uniqKey="Cliff A">A.D. Cliff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freedman, D" uniqKey="Freedman D">D. Freedman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sheaff, R" uniqKey="Sheaff R">R. Sheaff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brauer, F" uniqKey="Brauer F">F. Brauer</name></author><author><name sortKey="Van Den Driessche, P" uniqKey="Van Den Driessche P">P. Van den Driessche</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brouwer, W" uniqKey="Brouwer W">W. Brouwer</name></author><author><name sortKey="Van Exel, J" uniqKey="Van Exel J">J. Van Exel</name></author><author><name sortKey="Hermans, B" uniqKey="Hermans B">B. Hermans</name></author><author><name sortKey="Stoop, A" uniqKey="Stoop A">A. Stoop</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Niven, K J M" uniqKey="Niven K">K.J.M. Niven</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hethcote, H" uniqKey="Hethcote H">H. Hethcote</name></author><author><name sortKey="Ma, Z" uniqKey="Ma Z">Z. Ma</name></author><author><name sortKey="Liao, S" uniqKey="Liao S">S. Liao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gensheimer, K F" uniqKey="Gensheimer K">K.F. Gensheimer</name></author><author><name sortKey="Strikas, R A" uniqKey="Strikas R">R.A. Strikas</name></author><author><name sortKey="Fukuda, K" uniqKey="Fukuda K">K. Fukuda</name></author><author><name sortKey="Cox, N J" uniqKey="Cox N">N.J. Cox</name></author><author><name sortKey="Sewell, C M" uniqKey="Sewell C">C.M. Sewell</name></author><author><name sortKey="Dembekd, Z F" uniqKey="Dembekd Z">Z.F. Dembekd</name></author><author><name sortKey="Myers, M" uniqKey="Myers M">M. Myers</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mcconnell, J" uniqKey="Mcconnell J">J. McConnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ada, G" uniqKey="Ada G">G. Ada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Perrin, L" uniqKey="Perrin L">L. Perrin</name></author><author><name sortKey="Kaiser, L" uniqKey="Kaiser L">L. Kaiser</name></author><author><name sortKey="Yerly, S" uniqKey="Yerly S">S. Yerly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oshitani, H" uniqKey="Oshitani H">H. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Travel Med Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Travel Med Infect Dis</journal-id><journal-title-group><journal-title>Travel Medicine and Infectious Disease</journal-title></journal-title-group><issn pub-type="ppub">1477-8939</issn><issn pub-type="epub">1873-0442</issn><publisher><publisher-name>Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16887721</article-id><article-id pub-id-type="pmc">7106281</article-id><article-id pub-id-type="publisher-id">S1477-8939(04)00126-7</article-id><article-id pub-id-type="doi">10.1016/j.tmaid.2004.10.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A loophole in international quarantine procedures disclosed during the SARS crisis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Chi-Wei</given-names></name><email>chiweilee1964@yahoo.com.hk</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="cor1" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Yen-Shuo</given-names></name><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Wong</surname><given-names>Tai-Wai</given-names></name><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Lau</surname><given-names>Chor-Chiu</given-names></name><xref rid="aff3" ref-type="aff">c</xref></contrib></contrib-group><aff id="aff1"><label>a</label>The Graduate Institute of Clinical Medical Sciences of the Chang Gung University, Taiwan</aff><aff id="aff2"><label>b</label>Emergency Department of the E-Da Hospital, Taiwan</aff><aff id="aff3"><label>c</label>A&E Department of the Pamela Youde Nethersole Eastern Hospital, Hong Kong</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding author. Address: Emergency Department, E-Da Hospital, #1, E-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County, Taiwan, 824, ROC. Tel.: +886 7 6152017; fax: +886 7 6155352. <email>chiweilee1964@yahoo.com.hk</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>30</day><month>12</month><year>2004</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>1</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2004</year></pub-date><volume>4</volume><issue>1</issue><fpage>22</fpage><lpage>28</lpage><history><date date-type="received"><day>1</day><month>4</month><year>2004</year></date><date date-type="rev-recd"><day>4</day><month>10</month><year>2004</year></date><date date-type="accepted"><day>14</day><month>10</month><year>2004</year></date></history><permissions><copyright-statement>Copyright © 2004 Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2004</copyright-year><copyright-holder>Elsevier Ltd</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><title>Summary</title><p>This study describes a loophole in the international quarantine system during the recent Asian severe acute respiratory syndrome (SARS) outbreak. Specifically, that of travelers disguising symptoms of respiratory tract infection at international airports, in order to board aircraft to return to their home countries—notwithstanding the infection risks this involves to others. High medical fees for treatment to non-residents in epidemic areas were found to be the main cause for this behaviour. This phenomenon revealed a loophole in the control mechanisms of international quarantine procedures, letting travelers carrying a highly contagious virus slip by undetected and causing possible multi-country outbreaks of communicable diseases. Clinical evidence collected from medical records at medical centers can highlight this oversight.</p></abstract><kwd-group><title>Keywords</title><kwd>Loophole</kwd><kwd>Quarantine</kwd><kwd>Medical fees</kwd><kwd>Multi-country outbreak</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Hong Kong</li><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Lee, Chi Wei" sort="Lee, Chi Wei" uniqKey="Lee C" first="Chi-Wei" last="Lee">Chi-Wei Lee</name></noRegion><name sortKey="Tsai, Yen Shuo" sort="Tsai, Yen Shuo" uniqKey="Tsai Y" first="Yen-Shuo" last="Tsai">Yen-Shuo Tsai</name></country><country name="Hong Kong"><noRegion><name sortKey="Wong, Tai Wai" sort="Wong, Tai Wai" uniqKey="Wong T" first="Tai-Wai" last="Wong">Tai-Wai Wong</name></noRegion><name sortKey="Lau, Chor Chiu" sort="Lau, Chor Chiu" uniqKey="Lau C" first="Chor-Chiu" last="Lau">Chor-Chiu Lau</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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