Recently,
the director of the Centers for Disease Control and Prevention (CDC) expressed
confidence in screening measures being taken at the international
airports in West Africa to prevent the spread of Ebola Virus Disease. Temperature
checks for travelers in West Africa have emerged as the favored front-line, last-minute defense for containing the spread of
Ebola Virus Disease.
Do we really believe that
temperature checks for travelers could control the spread of Ebola Virus
Disease?
In 2009, WHO recommended
temperature checks for travelers at all national and international airports
during influenza A(H1N1) pandemic.
Should we
apply the same preventive measure to control the spread of Ebola Virus Disease?
Of no doubt, this measure
could not be applied to control the spread of Ebola Virus Disease. Controls for
body temperature in airports did not show to be effective to control the spread
of influenza A(H1N1-2009) and alerted people more.
In 2009, a study was done at
Narita International Airport (Japan) to retrospectively assess the feasibility of detecting
influenza cases upon relying solely on fever screening. The results of the
study showed that the sensitivity of fever for detecting influenza A(H1N1-2009)
cases upon arrival was estimated to be 22.2% among confirmed influenza
A(H1N1-2009) cases. Also, the study reported that about
55.6% of influenza A(H1N1-2009) cases were under antipyretic medications
upon arrival.
Should not we
learn from previous mistakes?
Nishiura H, Kamiya K. Fever
screening during the influenza (H1N1-2009) pandemic at Narita International
Airport, Japan. BMC Infect Dis 2011;11:111.
Please check out this site:
http://www.biomedcentral.com/1471-2334/11/111
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