Tony's Diary Package — page 21

>=mented. of cases Now 131 people infected and the rest are quarantined. I offer Cliff Lane to help with the protocol. A PCC document that I just read is proposing that even in Phase IV (see below) we should continue INA 212 (f) travel restrictions. I disagree with this since travel restrictions are to delay the entry of disease into your country. Once you have sustained transmission in your country, it is a waste of resources to try to keep out travelers. I cannot be on the PCC call this AM (on a panel at the Aspen Institute in DC) and so I called Bob Redfield and asked him to respresent me and my reservations about this: Phases of U.S. Government Response to the 2019 Novel Coronavirus (2019-nCoV) Phase I--Current Posture • Description: Foreign nationals who have been in China within 14 days prior to their actual or attempted entry into the United States are ineligible for admission under Section 212 (f) of the Immigration and Nationality Act (INA). Departments and agencies may exercise certain exemptions. Any person, but specifically U.S. citizens and legal permanent residents (LPRs) who have been: (1) in Hubei province within the past 14 days may be subject to 14 day mandatory quarantine; and (2) in China (outside Hubei province) within the past 14 days may be subject to screening and self-isolation for 14 days. All direct and indirect flights from China are funneled to 11 airports with enhanced CDC medical screening. CDC is coordinating with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Already being implemented. • Objectives: (1) Contain the outbreak at its source, (2) minimize domestic importation of additional cases, (3) limit potential for domestic epidemic, and (4) prepare the domestic response mechanisms. • Messaging: Daily HHS and CDC briefings and on camera task force briefings as appropriate. Phase II--Aggressive Containment • Description: Expand the scope of the travel ban to account for additional states or territories. Apply quarantine measures above to people not covered by the travel ban, including U.S. persons, but who have traveled to these additional states or territories within the time frames described above. All direct and indirect flights from these additional states or territories will be funneled to the 11 airports with enhanced CDC medical screening. Consider reducing the number of airports to concentrate screening resources. CDC further coordinates with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Sustained human to human transmission and exportation of cases without nexus to China.