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Aid organizations say the mandatory isolation periods will make it more difficult to recruit volunteers, who typically serve in west Africa for only a few weeks.
Although Dr. Frieden said that he did not anticipate the need to quarantine vast numbers of flu victims, the plan does outline situations under which voluntary or mandatory isolation measures would be encouraged or imposed to contain the disease.
Kaci Hickox was placed in quarantine under a policy announced on Friday by New Jersey governor Chris Christie and New York governor Andrew Cuomo, which requires anyone flying into the states after having contact with Ebola sufferers in west Africa to be subject to mandatory isolation for 21 days, thought to be the disease's maximum incubation period.
Patients often spend months in mandatory isolation.
Despite the skepticism about mandatory isolation strategies, voluntary self-isolation in the home was recommended for all phases of a US pandemic.
While discussions were uniformly supportive of routine infection control measures, the experts did not agree on recommendations for mandatory isolation in any specific setting.
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Participants who read about DMD NBS without the context of mandatory NBS (isolation group) reported DMD NBS to be less important and reported that they would worry more about DMD NBS results than those who saw either a bundled or unbundled panel (F = 3.40, p < 0.05; F = 3.48, p < 0.05, respectively).
In some colonies, the fear of smallpox outbreaks, which coincided with the arrival of ships, induced health authorities to order mandatory home isolation of persons with smallpox (19 ), even though another controversial strategy, inoculation, was being used to protect against the disease.
"We understand the importance of protecting the public from an Ebola outbreak," the American Civil Liberties Union said in a statement reported by the New York Times, adding that the mandatory orders for isolation "raise serious constitutional concerns about the state abusing its police powers by detaining people who are exhibiting no Ebola symptoms".
In terms of support for coercive policies of legal isolation, mandatory testing and public labelling of infected individuals, FGD and in-depth interview participants supported these.
During outbreaks of plague and cholera, the fear of discrimination and mandatory quarantine and isolation led the weakest social groups and minorities to escape affected areas and, thus, contribute to spreading the disease farther and faster, as occurred regularly in towns affected by deadly disease outbreaks.
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