Wan mɛdikal ɔfisa de skana wan pasenja fɔ sayn dɛn fɔ fiva na di tɛminal we dɛn kam na Sultan Iskandar Muda Intanɛshɔnal Aypɔt na Ase Besar, Indonishia, pan 27 Janwari.
If yu dɔn travul intanashɔnal wan di pas 2 mɔnt, yu go dɔn mit dɛn: di wɛlbɔdi ɔfisa dɛn fɔ shɔt tɛm de pɔynt wan tɛmɔmɔta gɔn na yu fɔrɛst ɔ wach we yu de go bay fɔ chɛk fɔ sayn dɛn we de sho se yu kɔf ɔ i nɔ izi fɔ yu fɔ blo. Bɔku kɔntri dɛn de wach naw fɔ rich ɛn kɔmɔt na di ay pasenja dɛn we go sɔfa wit di vayral sik we dɛn kɔl Covid-19; Sɔm kin se pasenja dɛn fɔ ful-ɔp di wɛlbɔdi diklareshɔn dɛn. (Sɔm sɛf kin jɔs ban ɔ kwarantin di wan dɛn we jɔs dɔn de na ɔtbrɛk hot ples.)
Fɔ kɔmɔt ɛn go insay ɛntri skrinin kin luk lɛk se yu gɛt kɔrej, bɔt ɛkspiriɛns wit ɔda sik dɛn sho se i nɔ bɔku fɔ mek di wan dɛn we de mek skrin no di pasenja dɛn we gɛt di sik. Jɛs las wik, et pasenja dɛn we leta tɛst pɔsitiv fɔ Covid-19 kam na Shanghai frɔm Itali ɛn pas di aypɔt skrina dɛn we nɔbɔdi nɔ notis, fɔ ɛgzampul. Ɛn ivin if di wan dɛn we de ple skrin kin fɛn di kes we dɛn kin gɛt wan wan tɛm, i nɔ kin gɛt ɛni impak pan di kɔs fɔ wan ɔtbrɛk.
'Ultimately, measures we dɛn aim fɔ kech infekshɔn na travulman dɛn go jɔs delay wan lokal epidemik ɛn nɔ fɔ stɔp am,' na so Ben Cowling, we na wan epidemiɔlɔjis na di Yunivasiti ɔf Hɔng Kɔŋ, se. In ɛn ɔda pipul dɛn se dɛn kin mek skrinin bɔku tɛm fɔ sho se gɔvmɛnt de tek akshɔn, ivin if di impak na marginal.
Bɔt stil, pipul dɛn we de stɔdi bɔt dis kin se bɛnifit kin de. Fɔ chɛk ɛn aks di pasenja dɛn ɛn aks dɛn kwɛstyɔn bifo dɛn go insay di plen dɛn—we dɛn de sho di skrinin—i kin mek sɔm pipul dɛn we sik ɔ we dɛn bin dɔn put dɛn na wan vayrɔs, nɔ travul. Entry screening, we dɛn du we dɛn rich na di ples we dɛn de go, kin bi chans fɔ gɛda kɔntakt infɔmeshɔn we go fayn if i kam fɔ no se infekshɔn bin spre we dɛn de flay ɛn fɔ gi travulman dɛn gayd fɔ wetin fɔ du if dɛn sik.
Jɛs dis wik, US Vayz Prɛsidɛnt Mayk Pɛns, we de lid di Koronavayrɔs rispɔns, prɔmis '100% skrinin' pan dairekt flayt frɔm Itali ɛn Sawt Koria to Amɛrika. China, we ripot onli 143 nyu kes yestade, 'go wok fo intanashonally to institut exit and entry screening wit rilevant rijon we de sofa epidemik,' Liu Haitao, we bi ofishal fo China Nashonal Immigreshon Administreshɔn, tok fo wan 1 Mach pres konfrens fo Beijing, afta di stet brodkasta CCTV.
Aw bɔku COVID-19 kes skrinin dɔn detekt ɔlsay na di wɔl so fa nɔ klia. Di Nyu Ziland Herald bin ripɔt se at le wan Nyu Ziland man nɔ bin ebul fɔ go insay wan ɛvakyushɔn flayt frɔm Wuhan, Chaina, afta i nɔ bin ebul fɔ chɛk wɛlbɔdi, di Nyu Ziland Hɛrald bin ripɔt. Amɛrika bin bigin fɔ go insay di US sitizin dɛn, di wan dɛn we de de fɔ ɔltɛm, di wan dɛn we de de fɔ ɔltɛm, ɛn dɛn famili dɛn we bin dɔn de na Chaina insay di 14 dez we dɔn pas na 11 aypɔt dɛn pan 2 Fɛbwari. (Ɛnibɔdi we dɔn de na Chaina insay da tɛm de nɔ go ebul fɔ go insay di kɔntri.) Bay 23 Fɛbwari, dɛn bin dɔn chɛk 46,016 pipul dɛn we de travul wit plen; Na wan we dɛn tɛst pɔsitiv ɛn dɛn bin ayd fɔ tritmɛnt, akɔdin to wan 24 Fɛbwari ripɔt frɔm di US Senta fɔ Sik Kɔntrol ɛn Prɛvenshɔn (CDC). Dat klia wan nɔ dɔn stɔp di spred we di vayrɔs de spre na Amɛrika, we as dis mɔnin gɛt 99 kɔnfyus kes dɛm, akɔdin to CDC, plus 49 ɔda wan dɛm bitwin pipul dɛm we dɛn go bak na Wuhan ɛn di Daymɔnd Prinses Kruiz Ship na Yokohama, Jepan.
Bɔku we dɛn de we pipul dɛn we gɛt di sik kin slip na di nɛt. Termal skan ɛn hanheld tɛmɔmɔta nɔ pafɛkt. Di big tin we nɔ de apin na dat dɛn kin mɛzhɔ di tɛmpracha na di skin, we kin ay ɔ we smɔl pas di kɔr bɔdi tɛmpracha, di men mɛtrik fɔ fiva. Di divays dɛn de mek lay lay pɔsitiv ɛn bak lay lay negatif, akɔdin to di EU wɛlbɔdi program. (Travɛla dɛn we dɛn flag as fiva bay skan dɛn kin go tru sɛkɔndari skrinin usay dɛn kin yuz ɔral, yes, ɔ armpit tɛmɔmɔta fɔ kɔnfɔm di pɔsin in tɛmpracha.)
Di pasenja dɛn kin tek drɔgs bak we gɛt fiva ɔ lay bɔt dɛn sik ɛn usay dɛn dɔn de. Di tin we impɔtant pas ɔl na dat, pipul dɛn we gɛt di sik stil de na dɛn inkubashɔn faz—we min se dɛn nɔ gɛt simptom—bɔku tɛm dɛn kin mis dɛn. Fɔ Covid-19, da tɛm de kin de ɛnisay bitwin 2 ɛn 14 dez.
Wan dramatik ɛgzampul fɔ di fayl we dɛn nɔ bin ebul fɔ chɛk na di aypɔt jɔs bin ple aut na Chaina afta et Chaina sitizin dɛn, ɔl di wokman dɛn na wan rɛstɔrant na Bɛgamo, Itali, bin rich na Shanghai Pudong Intanɛshɔnal Aypɔt pan 27 ɛn 29 Fɛbwari, akɔdin to di infɔmeshɔn we dɛn bin pies togɛda frɔm di ditil dɛn na di lokal midia ɛn di Terse anɔnsmɛnt dɛn we di Ɛlth & Famili Plɛnin Kɔmiti fɔ Lishai, we de na di bɔda na Zhejiang, we di bɔda dɛn na di bɔda dɛn na di bɔda.
Pudong dɔn gɛt polisi fɔ skan ɔl di pasenja dɛn we de kam fɔ fiva we de yuz 'NɔnKɔntakt Tɛmal Imajin' frɔm let Janwari; I nid bak fɔ mek di pasenja dɛn ripɔt dɛn wɛlbɔdi biznɛs we dɛn rich. I nɔ klia if ɛni wan pan di et pipul dɛn we de wok na rɛstɔrant bin gɛt sɔm sayn dɛn, ɔ aw dɛn bin de du da ripɔt de. Bɔt afta dɛn tek chata motoka dɛn go na Lishui, dɛn yon tɔŋ, wan pan di pasenja dɛn bin sik; I bin tɛst pɔsitiv fɔ SARS-COV-2, di vayrɔs we de mek COVID-19, pan 1 Mach. Di nɛks de, di ɔda sɛvin pipul dɛn bin tɛst pɔsitiv bak. Na dem bi di fes konfam kes fo Zhejiang provins fo 1 wik.
Ultimately measures we dɛn aim fɔ kech infekshɔn na travulman dɛn go jɔs delay wan lokal epidemik ɛn nɔ fɔ mek i nɔ apin.
Past ɛkspiriɛns nɔ de instill bɔku kɔnfidɛns sɛf. Insay wan 2019 rivyu na di International Journal of Environmental Research and Public Health, di wan dɛn we de stɔdi bɔt dis bin stɔdi 114 sayɛns pepa ɛn ripɔt dɛn bɔt aw fɔ chɛk di sik dɛn we dɛn dɔn pul insay di pas 15 ia. כl di data na bכt Ebola, wan siriכs vayral sik we in inkכbeshכn tεm na enisay bitwin 2 dez εn 3 wik. Bitwin Ɔgɔst 2014 ɛn Janwari 2016, di rivyu bin sho, dɛn nɔ bin si wan pan Ebola kes bitwin 300,000 pasenja dɛn we dɛn bin sho bifo dɛn go insay di plen dɛn na Gini, Laybiriya, ɛn Siera Liɔn, we ɔl bin gɛt big Ebola epidemik dɛn. Bɔt 4 pasɛnja dɛn we gɛt di sik bin slip tru di ɛkzit skrinin bikɔs dɛn nɔ bin gɛt simptom yet.
Stil, di ɛkzit skrinin kin dɔn ɛp fɔ ed ɔf mɔ drakonian travul ristrikshɔn bay we dɛn sho se dɛn de tek mɛsej fɔ protɛkt kɔntri dɛn we nɔ afɛkt, na so di pepa we Christos Hadjichristodoulou ɛn Varvara Mouchtouri we de na di Yunivasiti ɔf Tɛsali ɛn in kɔleja dɛn rayt, rayt am. We dɛn no se dɛn bin fɔ dɔn mit fɔ sho usay fɔ kɔmɔt na di say we dɛn de, dat go dɔn mek sɔm pipul dɛn we bin dɔn gɛt Ebola nɔ ivin tray fɔ travul.
Wetin wi go se bɔt skrinin na di ɔda ɛnd na di trip? Taywan, Singapɔ, Ɔstrelia, ɛn Kanada ɔl bin impruv ɛntri skrinin fɔ siriɔs akyu respiratɔri sindrom (SARS), we fiba Covid-19 ɛn bak we koronavirus bin mek, insay di 2002–03 ɔtbrɛk; Nɔbɔdi nɔ bin intasept ɛni pasɛnt. Bɔt di ɔtbrɛk bin bɔku pan dɛn bin kɔntinyu bay di tɛm we dɛn bigin di skrinin, ɛn i kam tu let fɔ mek dɛn nɔ introduks SARS: ɔl di 4 kɔntri ɔ rijyɔn dɛn bin dɔn gɛt kes dɛn. Insay di 2014–16 Ebola epidemic, fayv kɔntri dɛn bin aks di wan dɛn we de kam fɔ travul bɔt di simptom dɛn ɛn di pɔsibul we dɛn go ebul fɔ gɛt di sikman dɛn ɛn chɛk dɛn fɔ pe fɔ di fiva dɛn. Dem no fain wan single kes tu. Bɔt tu pasenja dɛn we gɛt di sik, we nɔ gɛt ɛni simptom bin slip tru di ɛntri skrinin, wan na Amɛrika ɛn wan na Yunaytɛd Kiŋdɔm.
Chaina ɛn Japan bin go ɔp bɔku bɔku ɛntri skrinin program dɛn di tɛm we di H1N1 influenza pandemik bin de insay 2009, bɔt stɔdi dɛn dɔn sho se di skrinin dɛn bin kech smɔl smɔl pat dɛn pan di wan dɛn we bin rili infɛkt wit di vayrɔs ɛn ɔl tu di kɔntri dɛn bin gɛt impɔtant ɔtbrɛk ɛni we, di tim bin ripɔt insay in rivyu. Entry screening na 'ineffective' we dɛn de no di wan dɛn we gɛt di sik we gɛt di sik, Hadjichristodoulou ɛn Mouchtouri de tɛl sayɛns. We di tɛm dɔn, pipul dɛn we de travul we gɛt siriɔs sik dɛn we de kam pan pɔsin kin kam na ɔspitul, klinik, ɛn dɔktɔ dɛn ɔfis pas fɔ mek dɛn kech dɛn na di aypɔt. ɛn skrinin na kɔst: Kanada spɛn wan ɛstimat $5.7 milyɔn pan in SARS ɛntri skrinin, ɛn Ɔstrelia spɛn $50,000 fɔ wan detekt H1N1 kes insay 2009, Hadjichristodoulou ɛn Mouchtouri se.
Ɛvri sik we de kam pan pɔsin kin biev difrɛn we, bɔt di tu pipul dɛn nɔ de ɛkspɛkt fɔ mek di aypɔt skrinin fɔ Covid-19 go wok pas fɔ SARS ɔ pandemik flu. Ɛn i nɔ go izi fɔ mek i gɛt impɔtant impak pan di kɔs fɔ di ɔtbrɛk, Cowling se.
Tu recent modelling stɔdi kɔl skrinin insay kwɛshɔn bak. Di wan dɛn we de stɔdi bɔt dis na di Yuropian Sɛnta fɔ Prɛvenshɔn ɛn Kɔntrol fɔ Sik ɛn Kɔntrol Disizin, bin tɔk se na lɛk 75% pan di pasenja dɛn we gɛt di sik we gɛt COVID-19 ɛn we de travul frɔm di Chaynish siti dɛn we dɛn afɛkt nɔ go no bay we dɛn de chɛk fɔ go insay. Wan stɔdi we wan grup na di London School of Hygiene & Tropical Medicine bin dɔn tɔk se fɔ kɔmɔt na di say we dɛn de kɔmɔt ɛn fɔ go insay ɛntri ' nɔ go mek dɛn nɔ pas di wan dɛn we gɛt di sik fɔ go na nyu kɔntri ɔ rijyɔn usay dɛn kin sid di lokal transmishɔn.'
Fɔ di kɔntri dɛn we nɔto ɔltin dɛn tek fɔ chɛk, di Wɔl Ɛlth Ɔganayzeshɔn tɔk mɔ se i nɔto sɔntin fɔ jɔs ol wan tɛmɔmɔta gɔn. Exit skrinin fɔ stat wit tɛmpracha ɛn simptom chɛk ɛn intavyu fɔ pasɛnja fɔ pɔtɛnɛshɛl ɛksplɔshɔn to ay-risk kɔntakt. Dɛn fɔ gi pipul dɛn we de travul wit di simptom fɔ gi dɛn mɔ mɛdikal ɛgzam ɛn tɛst, ɛn dɛn fɔ muf dɛn kes dɛn we dɛn dɔn kɔnfyus fɔ ayd ɛn trit dɛn.
Ɛntri skrinin fɔ pe wit fɔ gɛda data bɔt usay di pɔsin de insay di las wiks we go ɛp leta fɔ tray fɔ no aw dɛn kɔntakt dɛn de. Dɛn fɔ gi pipul dɛn we de travul bak fɔ no mɔ bɔt aw fɔ mek pipul dɛn no bɔt di sik ɛn ɛnkɔrej dɛn fɔ praktis gud pɔsin in yon fayn fayn tin dɛn, na dat wan man we nem Bɛnjamin Andasɔn we de stɔdi bɔt di sik we dɛn kɔl Duke Kunshan Yunivasiti bin tɔk.
2020 Amɛrikan Asɛmbli fɔ di Advansmɛnt fɔ Sayns. Ɔl di rayt dɛn de fɔ yuz. AAAS na patna fɔ Hinari, Agora, Oare, kɔrɛkt, klok, KrosRɛf ɛn Kɔnta.
