During the outbreak, the relationship between DGMQ
and the airline industry through the Airline Transport Association (ATA) and the airline medical directors was strengthened.
By August 2012, DGMQ had worked with the Bureau of Consular Affairs at the U.S.
Although many factors could have produced the decline in TB rates, an increase in diagnosis and treatment of active TB overseas and the timing of the decline suggests implementation of CDOT TB TI was a major determinant (DGMQ, CDC, unpublished data, 2014).
For this reason, a key component of DGMQ's implementation plan has been to link panel physicians with their country's national TB programs.
When DGMQ protocol conditions for TB airline contact investigations are met, including infectiousness criteria and flight duration of >8 hours, the jurisdictional quarantine station obtains the flight manifest and locator information for potentially exposed passengers on the flight (4).
DGMQ notified nine state health departments of 11 U.S.
Delegated authority permits DGMQ's use of public health travel restriction tools and federal isolation orders to prevent persons known or suspected of having infectious TB from traveling.
immigration in accordance with technical instructions provided by DGMQ
DGMQ collaborated with MoDHSS to obtain the passenger manifests (i.e., lists of passengers and their seating assignments) and available passenger-locator information (i.e., personal contact information for passengers) for potentially exposed passengers on the international and domestic U.S.
DGMQ provided that information to the state health departments in states where passengers resided.
DGMQ is authorized ([section]) to conduct investigations involving international flights arriving in the United States and can assist state health departments with investigations involving interstate flights.
State health departments should notify DGMQ
immediately of travel-related importations of suspected communicable diseases to ensure that prompt risk assessments, notifications, and appropriate containment measures are implemented for exposed travelers.