Report Says Better Way Needed to Track Airline Passengers Exposed to Diseases

Sept. 2, 2005
The CDC has been pushing for years to improve access to airline manifests and other data for incoming passengers, such as Customs Bureau cards that international travelers complete upon entry into the United States, that could show where passengers were headed and how to contact them.

WASHINGTON (AP) -- Federal health officials need better access to airline passenger lists so they can locate quicker people who may have been exposed to infectious diseases during a flight, a medical report says.

Days of painstaking work can be required for the Centers for Disease Control and Prevention to track down people exposed to exotic diseases, such as a case last year of a New Jersey man who returned from Sierra Leone with a fatal case of Lassa fever.

The CDC has been pushing for years to improve access to airline manifests and other data for incoming passengers, such as Customs Bureau cards that international travelers complete upon entry into the United States, that could show where passengers were headed and how to contact them. Questions about passenger privacy and how to make airline and government computer systems compatible, among other issues, have stalled the efforts.

Thursday, a report from the Institute of Medicine backed CDC's requests for electronic access to airlines' information. That lack is a significant gap in the nation's quarantine system, designed to intercept disease threats at U.S. borders, says the report by the Institute of Medicine, an independent group chartered by Congress to advise the government on health matters.

While electronic access is being devised, CDC and airlines should use passenger locator cards as an interim solution. These cards would be distributed on flights from countries where a disease outbreak is occurring or when a passenger becomes ill on a flight. Passengers would record phone numbers or e-mail addresses where they can be located after landing and their seat numbers, on forms that can be quickly scanned into CDC's computers.

''This is a very big issue,'' said Dr. Martin Cetron, director of CDC's quarantine division. ''What we're really asking for is 21st century information management.''

Airline reservation databases don't record all the information needed to track down someone after a flight, and so many passengers arrive daily that it's difficult for airlines to keep even electronic records long enough for CDC to use them when a disease question arises, he said.

The Air Transport Association of America, which represents major airlines, had not seen the report Thursday, but a spokesman said the problem is under review.

Copyright 2005 Associated Press