BibTeX
@MISC{Sencer_healthprotection,
author = {David J. Sencer},
title = {HEALTH PROTECTION IN A SHRINKING WORLD*},
year = {}
}
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Abstract
Not long ago, I received a telephone call from n physician in Cleveland, Ohio, who had been referred to NCDC by his local health department, lie thought he had a patient who had South,\frican tick typhus fever. I replied that I would not know the difference between South African tick typhus fever and tsutsugamushi fever. He promptly told me that they were very similar.“’ The physician had been in the Navy in the South Pacific during World War II and had had oppor-tunity to observe and manage tsutsugamushi fever. His patient had returned 10 days pre-viously from a safari in Kenya and had developed lymphadenopathy, eschar, and fever. If the Presidential Address of last year did not indicate to this group the shrinking nature of this lvorld, certainly this story should.‘* ’ With today’s transportation, with today’s dispersion of peo-ple-military, Peace Corps. technicians, trav-elers-the “fortress mentality ” that perpetuates stringent quarantine activities can no longer exist. The Public Health Service was established in li9S to prevent the importation of pestilential disease from abroad. The Service still has that responsibility, but today this responsibility can-not be met by 1798 methods. There is no single method which can protect this nation, or any nation, against the importation of disease. It must be a mix-a mix determined by the nature of the disease and the technologies available to control the disease. This includes surveillance at the border, surveillance in the interior, and global surveillance. It must also include programs that control and ultimately eradicate those diseases which are a threat to this and other countries. These activities must be carried out by the country seeking to protect itself and by the countries in which diseases are
Keyphrases
health protection shrinking world tsutsugamushi fever single method public health service world war ii south african tick typhus fever south pacific presidential address mix-a mix pestilential disease telephone call global surveillance peace corp local health department stringent quarantine activity last year today transportation trav-elers-the fortress mentality responsibility can-not frican tick typhus fever
