Appendix E1: Travel-Related SARS Response Matrices

Imported cases; limited transmission in location of origin

• Distribute health alert notices to all arrivals.
• Implement passive monitoring of all arriving passengers for development of fever or respiratory symptoms.
• Advise persons who develop symptoms to self-report before presentation to healthcare provider.
• Follow quarantine officer protocol for arriving ill passengers
  • Follow procedures for ill contacts
  • Collect 30-day contact information for passengers on conveyances with ill passenger
• Consider enhanced surveillance for ill passengers.

Extensive transmission/effective control measures

• Implement active surveillance for ill passengers.
• Implement symptom screening for all arriving passengers.
• Medically evaluate all passengers with symptoms.
• Consider 10-day quarantine for asymptomatic arrivals.
• Collect contact information on all arriving passengers.

Extensive transmission/ineffective control measures

• Prohibit all non-essential arrivals.
• Conduct medical screening upon arrival.
• Implement mandatory 10-day quarantine for all asymptomatic arrivals.
• Collect contact information on all arriving passengers.

Imported cases; limited transmission in location of origin

• Minimize non-essential travel.
• Consider restricting travel within jurisdictions.
• Advise arrivals to follow procedures based on situation in location of origin.

Extensive transmission/effective control measures

• Minimize non-essential travel.
• Consider restricting travel within jurisdictions.
• Advise arrivals to follow procedures based on situation in location of origin.

Extensive transmission/ineffective control measures

• Prohibit all non-essential arrivals.
• Conduct medical screening upon arrival.
• Implement mandatory 10-day quarantine for all asymptomatic arrivals.
• Collect contact information on all arriving passengers.

Imported cases; limited transmission in location of origin

• Prohibit all non-essential arrivals.
• Advise arrivals to follow procedures based on situation in location of origin.

Extensive transmission/effective control measures

• Prohibit all non-essential arrivals.
• Advise arrivals to follow procedures based on situation in location of origin.

Extensive transmission/ineffective control measures

• Prohibit all non-essential arrivals.
• Conduct medical screening upon arrival.
• Implement mandatory 10-day quarantine for all asymptomatic persons.
• Collect contact information on all arriving passengers.

• No special activities

• Issue travel health precautions and warnings for destinations based on setting and transmission pattern
• Prohibit non-essential travel to countries where control measures are inadequate.
• Consider:
  • Medical screening at all exit points
  • Travel prohibition for all persons meeting case definition with epidemiologic link to transmission setting
  • Medical assessment for all with signs/symptoms without epidemiologic link
• Prohibit travel for persons under quarantine.

• Issue international travel notifications as above.
• Issue travel health precautions/warnings for domestic destinations based on setting and transmission pattern.
• Initiate medical screening of departing passengers at all exit points.
• Prohibit travel for all persons meeting case definition.
• Prohibit travel for all persons under quarantine.
• Require health certificate for exit.

• Issue international travel notifications as above.
• Issue domestic travel health precautions/warnings as above.
• Prohibit nonessential outbound travel.
• Require health certificate for essential travel.
• Implement medical screening at all exit points.
• Prohibit travel for all persons meeting case definition.
• Prohibit travel for all persons under quarantine.