Date Sent:12/29/2015 10:50 AM EST
Sender: Michigan Health Alert Network
Subject: UPDATE: Ebola Monitoring for Travelers from Guinea
On December 29, 2015, the World Health Organization declared Guinea free of Ebola transmission, following forty-two days (two incubation periods) after the last patient with Ebola tested laboratory-negative twice. Given this information, the CDC has revised assessment guidance and monitoring recommendations for individuals who are arriving in the United States with a recent history of travel that includes Guinea. The changes for Michigan's healthcare and public health communities, summarized below, are effective December 29, 2015.
International Traveler Processing Individuals with a 21 day travel history that includes Guinea will continue to be routed through one of the designated U.S. airports conducting enhanced entry screening. Travelers will be provided a modified CARE Package that includes "self-observation" instructions, a thermometer and educational material. They will be advised to contact public health only if they suspect illness.
Public Health Monitoring Travelers who have been in Guinea within 21 days of entering the United States no longer require Active or Direct Active Monitoring by local public health. Further, effective immediately, local public health should discontinue monitoring individuals with a travel history including Guinea; there will be no additional travel referrals from Guinea. Healthcare providers Although travel to West Africa (Guinea, Sierra Leone, or Liberia) no longer warrants immediate changes to standard patient infection control, isolation or notification practices, the Michigan Department of Health and Human Services continues to recommend that healthcare providers gather travel history from all patients presenting with infectious etiologies during initial evaluation.