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From: Harris, Denise (CDC/OD/OCSO) (CTR) on behalf of OMB-Comments
(CDC)
Sent: Tuesday, April 22, 2008 3:50 PM
To:
'
[email protected]'
Subject: RE: public comment on federal register
attached below in ful l- 08AW
Hello,
Thank you for your comments concerning the CDC 60 Day Federal
Register Notice for OMB No. 0920-08AW,
.Quarantine Station Illness Response Forms—Airline, Maritime, Land/Border
Crossing We have given the concerns you described careful consideration. For
further information regarding the unique mission of CDC, please refer to our
website at www.cdc.gov.
Thank you for your
interest.
CDC
this plan stops unhealthy,infected people after they get off
the plane and after they may have infected every other passenger on the plane,
train, bus. passengers need to be inspected PRIOR TO GETTING ON ANY
TRANSPORTATION DEVICE. IT IS CLEAR THIS IS TOO LITTLE TOO LATE. OUR RULES ON
SICK PEOPLE TRAVELLING HAVE GOTTEN FAR TOO LIBERAL AND LAX AND NEGLIGENT. CDC OF
COURSE IS RESPONSIBLE FOR THIS FAILURE TO MAKE SURE TRAVELLING IS HEALTHY. CDC
EMPLOYEES/MGT SEEM MUCH MORE FOCUSED ON WHERE THEIR NEXT CONVENTION IS AND MAKES
FAR TOO LITTLE PROGRESS IN RESEARCH ON HEALTH FOR THE BILLIONS IN TAX DOLLARS
THAT THIS AGENCY GETS.
B. SACHAU
15 ELM ST
FLORHAM PARK
NJ07932
[Federal Register: April 15, 2008 (Volume 73, Number
73)][Notices]
[Page 20293-20294]From the Federal Register Online via GPO Access
[wais.access.gpo.gov][DOCID:fr15ap08-80]
-----------------------------------------------------------------------DEPARTMENT
OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention[60
Day-08AW]Proposed Data Collections Submitted for Public Comment and
RecommendationsIn compliance with the requirement of section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
Alternatively, to obtain a copy of the data collection plans and instrument,
call 404-639-5960 and send comments to Maryam I. Daneshvar, CDC Reports
Clearance Officer, 1600 Clifton Road, NE., MS-D74, Atlanta, Georgia 30333;
comments may also be sent by e-mail to [email protected].Comments are invited on (a) whether
the proposed collection of information is necessary for the proper performance
of the functions of the agency, including whether the information shall have a
practical utility; (b) the accuracy of the agency's estimate of the burden of
the proposed collection of information; (c) ways to enhance the quality,
utility, and clarify of the information to be collected; and (d) ways to
minimize the burden of the collection of information on respondents, including
through the use of information technology. Written comments should be received
within 60 days of this notice.Proposed ProjectQuarantine Station Illness
Response Forms--Airline, Maritime, Land/Border Crossing--New--National Center
for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID),
Centers for Disease Control and Prevention (CDC).CDC proposes to collect
patient-level clinical, epidemiologic, and demographic data from ill travelers
and their possible contacts in order to fulfill its regulatory responsibility to
prevent the importation of communicable diseases from foreign countries (42 CFR
Part 71) and interstate control of communicable diseases in humans (42 CFR Part
70).Background and Brief DescriptionSection 361 of the Public Health Service
(PHS) Act (42 U.S.C. 264) authorizes the Secretary of Health and Human Services
to make and enforce regulations necessary to prevent the introduction,
transmission or spread of communicable diseases from foreign countries into the
United States. The regulations that implement this law, 42 CFR Parts 70 and 71,
authorize quarantine officers and other personnel to inspect and undertake
necessary control measures with respect to conveyances (e.g., airplanes, cruise
ships, trucks, etc.), persons, and shipments of animals and etiologic agents in
order to protect the public health. The regulations also require conveyances to
immediately report an ``ill person'' or any death on board to the Quarantine
Station prior to arrival in the United States. An ``ill person'' is defined in
statute by:--Fever (>=100 [deg]F or 38 [deg]C) persisting >=48
hours--Fever (>=100 [deg]F or 38 [deg]C) AND rash, glandular swelling, or
jaundice--Diarrhea (>=3 stools in 24 hours or greater than normal amount)The
SARS situation and concern about pandemic influenza and other communicable
diseases have prompted CDC Quarantine Stations to recommend that all illnesses
be reported prior to arrival.CDC Quarantine Stations are currently located at 20
international U.S. Ports of Entry. When a suspected illness is reported to the
Quarantine Station, officers promptly respond to this report by meeting the
incoming conveyance (when possible), collecting information and evaluating the
patient(s), and determining whether an ill person can safely be admitted into
the U.S. If Quarantine Station staff are unable to meet the conveyance, the crew
or medical staff of the conveyance are trained to complete the required
documentation and forward it (using a secure system) to the Quarantine Station
for review and follow-up.To perform these tasks in a streamlined manner and
ensure that all relevant information is collected in the most efficient and
timely manner possible, Quarantine Stations use a number of forms--the Airline
Screening and Illness Response Form, the Ship Illness/Death Reporting Form, and
the Land/Border Crossing Form--to collect data on passengers with suspected
illness and other travelers/crew who may have been exposed to an illness. These
forms are also used to respond to a report of a death aboard a conveyance.The
purpose of all three forms is the same: to collect information that helps
quarantine officials detect and respond to potential public health communicable
disease threats. All three forms collect the following categories of
information: Demographics and mode of transportation, clinical and medical
history, and any other relevant facts (e.g., travel history, traveling
companions, etc.). As part of this documentation, quarantine public health
officers look for specific signs and symptoms common to the nine quarantinable
diseases (Pandemic influenza; SARS; Cholera; Plague; Diphtheria; Infectious
Tuberculosis; Smallpox; Yellow fever; and Viral Hemorrhagic Fevers), as well as
most communicable diseases in general. These signs and symptoms include fever,
difficulty breathing, shortness of breath, cough, diarrhea, jaundice, or[[Page
20294]]signs of a neurological infection. The forms also collect data specific
to the traveler's conveyance.These data are used by Quarantine Stations to make
decisions about a passenger's suspected illness as well as its communicability.
This in turn enables Quarantine Station staff to assist conveyances in the
public health management of passengers and crew.The estimated total burden on
the public, included in the chart below, can vary a great deal depending on the
severity of the illness being reported, the number of contacts, the number of
follow-up inquiries required, and who is recording the information (e.g.,
Quarantine Station staff versus the conveyance medical authority). In all cases,
Quarantine Stations have implemented practices and procedures that balance the
health and safety of the American public against the public's desire for minimal
interference with their travel and trade. Whenever possible, Quarantine Station
staff obtain information from other documentation (e.g., manifest order, other
airline documents) to reduce the amount of the public burden.There is no cost to
respondents other than their time to complete the survey. The annualized burden
for this data collection is 172 hours.Estimate of Annualized
Burden----------------------------------------------------------------------------------------------------------------Number
of Average
burdenRespondents
Number of responses per per
response Total burdenrespondents
respondent (in
hours)
hours----------------------------------------------------------------------------------------------------------------Airline
Illness or Death Investigation
Form.....
1320
1
6/60
132International Maritime Illness or Death
Report..
200
1
3/60
10International Maritime Illness or
Death
200
1
7/60
24Investigation Form.............................Land Border Illness or Death
Investigation
Form.
60
1
6/60
6---------------------------------------------------------------Total.......................................
.............. ..............
..............
172----------------------------------------------------------------------------------------------------------------Dated:
April 8, 2008.Maryam I. Daneshvar,Acting Reports and Clearance Officer, Centers
for Disease Control and Prevention.[FR Doc. E8-7969 Filed 4-14-08; 8:45
am]BILLING CODE 4163-18-P
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