Lasher Lara E, Ayers Tracy L, Amornkul Pauli N, Nakatab Michele N, Effler Paul V
School of Public Health, University of California-Los Angeles, Los Angeles, CA, USA.
Public Health Rep. 2004 Sep-Oct;119(5):458-63. doi: 10.1016/j.phr.2004.07.002.
On May 21, 2000, a passenger with measles traveled from Japan to Hawai'i on a seven-hour flight. When the flight landed, the U.S. Public Health Service (USPHS) Quarantine Station in Honolulu alerted passengers that a suspected case of measles had been identified, but they were not detained. The next day, to offer appropriate post-exposure prophylaxis, the Hawai'i Department of Health (HDOH) attempted to contact all passengers from the flight using information from the airline, U.S. Customs declaration forms, and tour agencies. Of 335 total passengers, 270 (81%) were successfully reached and provided complete information. The mean time from exposure to contact for all respondents was 61 hours (95% confidence interval 57, 66). A total of 202 (75%) of the responding passengers were contacted within 72 hours after exposure, the time period during which administration of measles vaccine would have provided protection for susceptible individuals. The time-to-contact was significantly longer for passengers who did not stay in hotels than for hotel guests. Customs forms proved to be of limited utility in contacting international travelers. This experience highlights the need for more complete and timely methods of contacting passengers potentially exposed to infectious agents aboard flights.
2000年5月21日，一名患麻疹的乘客乘坐了7小时的航班从日本前往夏威夷。航班降落时，檀香山的美国公共卫生服务（USPHS）检疫站告知乘客已确认一例疑似麻疹病例，但并未扣留乘客。次日，为提供适当的暴露后预防措施，夏威夷卫生部（HDOH）试图利用航空公司、美国海关申报单和旅行社提供的信息联系该航班的所有乘客。在总共335名乘客中，成功联系到270名（81%）并获取了完整信息。所有受访者从接触到被联系的平均时间为61小时（95%置信区间57，66）。在接触后的72小时内，共联系到202名（75%）有回应的乘客，在此时间段内接种麻疹疫苗可为易感个体提供保护。未入住酒店的乘客被联系的时间明显长于酒店客人。海关申报单在联系国际旅客方面效用有限。这一经历凸显了需要更完整、及时的方法来联系航班上可能接触到传染源的乘客。
