TY - JOUR
T1 - Influencing Factors in the Development of State-Level Movement Restriction and Monitoring Policies in Response to Ebola, United States, 2014-15
AU - Sell, Tara Kirk
AU - Shearer, Matthew P.
AU - Meyer, Diane
AU - Leinhos, Mary
AU - Carbone, Eric G.
AU - Thomas, Erin
N1 - Funding Information:
This research was designated "exempt" by the CDC Human Research Protection Office and "not human subjects research" by the Johns Hopkins Bloomberg School of Public Health Institutional Review Board Office. This work was supported by the US Centers for Disease Control and Prevention through research contract 200-2016-M-92090. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Funding Information:
This research was designated ‘‘exempt’’ by the CDC Human Research Protection Office and ‘‘not human subjects research’’ by the Johns Hopkins Bloomberg School of Public Health Institutional Review Board Office. This work was supported by the US Centers for Disease Control and Prevention through research contract 200-2016-M-92090. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Publisher Copyright:
© 2019, Mary Ann Liebert, Inc., publishers.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - During the 2014-15 domestic Ebola response, US states developed monitoring and movement restriction policies for potentially exposed individuals. We describe decision-making processes and factors in the development of these policies. Results may help health officials anticipate potential concerns and policy influencers in future infectious disease responses. Thirty individuals with knowledge of state-level Ebola policy development participated in semi-structured interviews conducted from January to May 2017. Interviewees represented 18 jurisdictions from diverse census regions, state political affiliations, and public health governance structures as well as the US Centers for Disease Control and Prevention (CDC). Limited and/or changing guidance and unique state-level public health, legal, and operational environments resulted in variation in policy responses. Federal guidance developed by the CDC was an important information source influencing state-level policy responses, as was available scientific evidence; however, other external factors, such as local events, contributing experts, political environment, public concern, news media, and the influence of neighboring states, contributed to additional variation. Improvements in timing, consistency, and communication of federal guidance for monitoring and movement restrictions at the state level - along with balanced approaches to addressing ethical concerns, scientific evidence, and public concern at the state level - are considerations for policy development for future disease responses.
AB - During the 2014-15 domestic Ebola response, US states developed monitoring and movement restriction policies for potentially exposed individuals. We describe decision-making processes and factors in the development of these policies. Results may help health officials anticipate potential concerns and policy influencers in future infectious disease responses. Thirty individuals with knowledge of state-level Ebola policy development participated in semi-structured interviews conducted from January to May 2017. Interviewees represented 18 jurisdictions from diverse census regions, state political affiliations, and public health governance structures as well as the US Centers for Disease Control and Prevention (CDC). Limited and/or changing guidance and unique state-level public health, legal, and operational environments resulted in variation in policy responses. Federal guidance developed by the CDC was an important information source influencing state-level policy responses, as was available scientific evidence; however, other external factors, such as local events, contributing experts, political environment, public concern, news media, and the influence of neighboring states, contributed to additional variation. Improvements in timing, consistency, and communication of federal guidance for monitoring and movement restrictions at the state level - along with balanced approaches to addressing ethical concerns, scientific evidence, and public concern at the state level - are considerations for policy development for future disease responses.
KW - Ebola
KW - Monitoring
KW - Public health policy
KW - Quarantine
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U2 - 10.1089/hs.2019.0053
DO - 10.1089/hs.2019.0053
M3 - Article
C2 - 31593507
AN - SCOPUS:85073051116
VL - 17
SP - 364
EP - 371
JO - Health security
JF - Health security
SN - 2326-5094
IS - 5
ER -