Analyzing Variability in Ebola-Related Controls Applied to Returned Travelers in the United States.

摘要: Public health authorities have adopted entry screening and subsequent restrictions on travelers from Ebola-affected West African countries as a strategy to prevent importation of Ebola virus disease (EVD) cases. We analyzed international, federal, state policies-principally based the policy documents themselves media reports-to evaluate variability. employed means-ends fit analysis elucidate objectives. found substantial variation in specific approaches favored by WHO, CDC, various American states. Several US states impose compulsory quarantine broader range or require more extensive monitoring than recommended CDC WHO. Observed differences likely partially resulted different actors having goals-particularly federal government balance foreign objectives less salient Further, some state-level appears be motivated short-term political goals. propose recommendations improve future policies, which include following: (1) should explicitly clarify their objectives, (2) legal authority modernized clarified, (3) consider preempting that imperil its