The Impact of Quarantine on Military Operations: Pandemics and Epidemics, Isolation, Laws, Transportation, SARS International Lessons Learned, Bioterrorism Exercises, CBRN, WMD, Spanish Influenza

This excellent report has been professionally converted for accurate flowing-text e-book format reproduction. The purpose of this paper is to fully define the role of quarantine as a battle-tested public health strategy and its potential impact on military operations in the United States Air Force (USAF). The primary emphasis will focus on how a commander can carry out effective operations while adhering to quarantine requirements during the initial 72-hour period following the realization of an outbreak. Quarantine may not be appropriate in all cases, however this may not be clear until a definitive diagnosis is known, which takes time. Unfortunately, time is not on the side of a commander forced with making a decision on how best to respond to an emerging disease outbreak. From a medical perspective, the initial 72-hour period was selected as a reasonable, conservative window for intervention based on recent bioterrorism exercises. This period of assessment will most likely precede arrival of additional support and formal identification of the involved agent, especially at an overseas installation. Actions taken during this critical period will determine if a commander has any hope of containing spread after a biologic attack. Disease containment challenges faced by a commander at an overseas installation are greater than in the Continental United States (CONUS) based on limited resources with a higher level of threat, so recommendations will focus on quarantine implementation in the overseas environment. That being said, many of the recommendations regarding timing of quarantine and sustainment options will be applicable regardless of the facility location or source of the biologic threat.

CHAPTER 1 - INTRODUCTION * CHAPTER 2 - HISTORY OF QUARANTINE * CHAPTER 3 - SARS * Epidemiology & Clinical Features of SARS * Quarantine & SARS * CHAPTER 4 - SARS - INTERNATIONAL LESSONS LEARNED * China * Canada * Hong Kong * Singapore * Taiwan * Vietnam * Summary * CHAPTER 5 - QUARANTINE LAWS * Model State Emergency Health Powers Act * CHAPTER 6 - QUARANTINE POLICY * DoD/Federal Policy * USAF Policy * CHAPTER 7 - LESSONS LEARNED FROM BIOTERRORISM EXERCISES * TOPOFF * Dark Winter * Sooner Spring * USAF Exercises * CHAPTER 8 - MILITARY OPERATIONS AND QUARANTINE * CHAPTER 9 - RECOMMENDATIONS FOR COMMANDERS * CHAPTER 10 - CONCLUSION * BIBLIOGRAPHY

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