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Gunnar_Zarncke comments on [Link] The Coming Plague - Less Wrong Discussion

3 [deleted] 12 October 2014 02:37PM

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Comment author: Gunnar_Zarncke 12 October 2014 02:53:30PM 7 points [-]

The CDC learned from earlier outbreaks that were mismanaged and where travelbans backfired.

http://www.amren.com/news/2014/10/cdc-chief-why-i-dont-support-a-travel-ban-to-combat-ebola-outbreak/

We don’t want to isolate parts of the world, or people who aren’t sick, because that’s going to drive patients with Ebola underground, making it infinitely more difficult to address the outbreak.

http://www.theyeshivaworld.com/news/headlines-breaking-stories/263717/cdc-director-travel-ban-could-make-ebola-outbreak-worse.html

Prevention Director Tom Frieden said the CDC would consider any and all precautions, but warned that a travel ban could make it harder to get medical care and aid workers to regions dealing with the outbreak. - See more at: http://www.theyeshivaworld.com/news/headlines-breaking-stories/263717/cdc-director-travel-ban-could-make-ebola-outbreak-worse.html#sthash.xXK2239g.dpuf

Comment author: Douglas_Knight 12 October 2014 05:27:10PM 11 points [-]

Your first sentence does not match your quotes and links. Neither of your links says anything about past outbreaks, well-managed or mismanaged, past travel bans that worked or backfired.

Comment author: Gunnar_Zarncke 12 October 2014 08:36:41PM 8 points [-]

Hm, seems you are right. I just skimmed these specific references for quotes. I do clearly remember to have read about travel-bans backfiring but can't right now locate suitable sources. This at least provides specific lessons learned:

QUARANTINE AND ISOLATION: LESSONS LEARNED FROM SARS http://biotech.law.lsu.edu/blaw/cdc/SARS_REPORT.pdf

  1. Travel restrictions Lessons Learned Restrictions on travel are essential in limiting the geographic range of an epidemic, yet travel restrictions involve the difficult balancing of public health with human rights and economic interests. Further, the marginal public health benefit from ratcheting up restrictions may not be predictable. All of the countries we studied followed the WHO recommendation concerning exit and entrance screening for SARS, addressing ground and sea as well as air travel. Under the intense pressure of the SARS outbreak, many countries were forced to adopt novel approaches to population risk assessment and disease containment, including thermal screening to identify febrile persons at risk for SARS. The countries we studied placed restrictions of varying stringency on domestic travel. News of the global SARS epidemic caused the voluntary curtailment of international travel to affected areas. Travel advisories and travel alerts from WHO and individual countries helped to provide timely and accurate information.
Comment author: Douglas_Knight 12 October 2014 09:35:18PM 2 points [-]

Thanks for the new link.

Comment author: Vaniver 12 October 2014 08:05:08PM 4 points [-]

Prevention Director Tom Frieden said the CDC would consider any and all precautions, but warned that a travel ban could make it harder to get medical care and aid workers to regions dealing with the outbreak.

Isn't that the point? (The Israeli government has apparently bowed to more pressure, though.)