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Published on: October 3, 2016
Enhancing Special Pathogen Preparedness Through Exercises: Navigating Dual Quarantine Activations
Morgan A Shradar1, Jackson Gruber1, Michael C Wadman1
1Morgan A. Shradar, MPH, RN, is a Nursing Professional Development Specialist, and Jackson Gruber is Regional Special Pathogens Program Coordinator; Regional Emerging Special Pathogen Treatment Center, Nebraska Medicine, Omaha, NE. Michael C. Wadman, MD, is Medical Director, National Quarantine Unit, and Professor and Chair, Department of Emergency Medicine; John J. Lowe, PhD, is Director, Global Center for Health Security, and Chair, Department of Environmental, Agricultural, and Occupational Health, College of Public Health; Shelly M. Schwedhelm, MSN, RN, NEA-BC, is Associate Director, Global Center for Health Security; James Lawler, MD, MPH, FIDSA, is the Woody and Paula Varner Professor and Associate Director for International Programs and Innovation, Global Center for Health Security, and Professor, Division of Infectious Diseases; Christopher J. Kratochvil, MD, is Distinguished Chair, Global Center for Health Security, and Vice Chancellor for External Relations; and Angela Vasa, MSN, RN, is Director, Biopreparedness and Special Pathogen Programs, Nebraska Medicine, Director, Readiness Consultations and Metrics Development, National Emerging Special Pathogens Training and Education Center (NETEC), and Scholar, Global Center for Health Security; all at the University of Nebraska Medical Center, Omaha, NE. Dwight Ferguson, PhD, MS, REHS/RS, MT(ASCP), is a Lieutenant Commander, US Public Health Service, and Regional Emergency Coordinator, Region VII, Regional Response Office; and Joe Lamana, MPA, is Director of International Operations; both at the Administration for Strategic Preparedness and Response, Washington, DC. Jill S. Cunningham, MBA, MPH, is a Management Analyst, Operational Medicine Directorate, Bureau of Medical Services, US Department of State, Washington DC.
Abstract:
This case study describes findings from an exercise conducted in April 2023 to assess the readiness of the National Quarantine Unit (NQU) and identify opportunities for improvement. The exercise is part of a multiyear effort to assess the readiness of quarantine and transport capabilities at the NQU through annual workshops, discussion-based exercises, and functional and full-scale exercises. The April 2023 exercise tested interagency coordination and decisionmaking, transport of individuals for monitoring, quarantine unit operations, and escalation of care for symptomatic individuals out of quarantine to high-level isolation units in the United States. Findings showed that collaboration and engagement of local, state, and national organizations increases awareness of novel and emerging high-consequence infectious disease pathogens and enhances capabilities and capacity for patient transport. It also improves timely and efficient diagnostic testing and increases the availability of dedicated assets to support activation and mobilization of the NQU, the Regional Emerging Special Pathogen Treatment Center network, and the future national special pathogen system of care. Given the changing landscape of emerging special pathogens, an objective evaluation of the state of readiness is an essential element of preparedness and response.
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