Leigh Ellyn Preston, DrPH, MPH, and Deborah Christensen, PhD, RN, are Epidemiologists; Andre Berro, MPH, is a Health Scientist; Bukunmi Gesinde, MSPH, EdD, is a Quality Assurance Specialist; Arnold Vang, DrPH, MPH, MSPA, PA, is Deputy Branch Chief; Candice Gilliland, JD, MSFS, Kelly J. Epps, MPH, and James R. Cope, MPH, PhD, are Public Health Advisors; Erin Rothney, MPH, and Matt Palo, CPH, are Regional Officers in Charge; Clive Brown, MBBS, MPH, MSc, DTM&H, FRSPH, FASTMH, is Branch Chief; and Alida M. Gertz, MD, DrPH, MPH, MSc, DTM&H, is a Medical Officer; all at the US Centers for Disease Control and Prevention, Atlanta, GA. Andrew D. Klevos, PhD, MBA, MPH, is a Division Director, Department of Homeland Security, Washington, DC. Zoe D'Angelo is a Research Assistant, Evidence-Informed State Health Policy Institute, AcademyHealth, Brooklyn, NY. John Olmstead, MPH, and Emma Shearer, MPH, are Epidemiologists, Georgia Department of Public Health, Atlanta, GA; they were Fellows, Applied Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists, Atlanta, GA. Bhavna Guduguntla, MD, is an Internal Medicine Resident, Washington University in St. Louis, St. Louis, MO; she was a CDC Epidemiology Elective Student and Medical Student, University of Michigan Medical School, Ann Arbor, MI. Josie Decherd, MPH, was a Graduate Student, CDC Student Work Experience Program, Texas A&M University, College Station TX.
Health Secur. 2024 Sep-Oct;22(5):398-401. doi: 10.1089/hs.2023.0130. Epub 2024 Sep 18.
In the early years of the COVID-19 pandemic, unprecedented public health measures were designed and implemented to mitigate the spread of SARS-CoV-2. On January 26, 2021, US Centers for Disease Control and Prevention (CDC) staff began daily audits of documents of arriving passengers at 18 US international ports of entry to ensure documentation of either a negative predeparture antigen or nucleic acid amplification test result for SARS-CoV-2 or recent recovery from COVID-19. This case study briefly describes the results of those audits. The CDC found a very low rate of issues overall. Of the 483,251 passengers selected for audit, 2,142 (0.44%) had issues with their COVID-19 test documentation and 1,182 (0.24%) provided documentation of recovery from COVID-19 rather than a negative test result. The low rate of issues noted during traveler audits indicated airlines were largely compliant with the order. However, the burden of SARS-CoV-2 infections within the United States was high during much of this period, which suggests that implementing a predeparture testing requirement earlier in the pandemic might have had more impact on spread. Digital solutions could reduce the burden of similar interventions in the future on airlines, public health authorities, and other partners.
在 COVID-19 大流行的早期，制定并实施了前所未有的公共卫生措施，以减缓 SARS-CoV-2 的传播。2021 年 1 月 26 日，美国疾病控制与预防中心（CDC）工作人员开始对 18 个美国国际入境口岸抵达的乘客的文件进行每日审计，以确保文件中包含 SARS-CoV-2 的阴性出发前抗原或核酸扩增检测结果，或最近从 COVID-19 中康复。本案例研究简要描述了这些审计的结果。CDC 发现总体问题发生率非常低。在被选中进行审计的 483,251 名乘客中，有 2,142 名（0.44%）的 COVID-19 检测文件存在问题，有 1,182 名（0.24%）提供了 COVID-19 康复的文件，而不是阴性检测结果。在旅行者审计中注意到的低问题发生率表明航空公司在很大程度上遵守了该命令。然而，在此期间的大部分时间里，美国国内 SARS-CoV-2 感染的负担很高，这表明在大流行早期实施出发前检测要求可能对传播产生更大的影响。数字解决方案可以减少未来航空公司、公共卫生当局和其他合作伙伴在类似干预措施方面的负担。
