Evidence map›Paper›PMID 19717097›Full record

ArticleTravel medicine and infectious disease2009

U.S. airport entry screening in response to pandemic influenza: modeling and analysis.

John D Malone, Robert Brigantic, George A Muller, Ashok Gadgil, Woody Delp, Benjamin H McMahon, Russell Lee, Jim Kulesz, F Matthew Mihelic

Open access · greenAbstract read
In one paragraph

Article in Travel medicine and infectious disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. The use and reporting of airline passenger data for infectious disease modelling: a systematic review.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Pooled it
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  6. Article
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  9. Review
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  11. Visual Analytics for Decision-Making During Pandemics.Computing in science & engineering · 2020
    Article
  12. Article
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  18. Article
  19. Entry screening for infectious diseases in humans.Emerging infectious diseases · 2015
    Review
  20. Airport exit and entry screening for Ebola--August-November 10, 2014.MMWR. Morbidity and mortality weekly report · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

John D MaloneCenter for Disaster and Humanitarian Assistance Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA. jdmalone@cdham.org
Robert Brigantic
George A Muller
Ashok Gadgil
Woody Delp
Benjamin H McMahon
Russell Lee
Jim Kulesz
F Matthew Mihelic
Oak Ridge National Laboratory · USLawrence Berkeley National Laboratory · USPacific Northwest National Laboratory · USLos Alamos National Laboratory · USUniformed Services University of the Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA stochastic discrete event simulation model was developed to assess the effectiveness of passenger screening for Pandemic Influenza (PI) at U.S. airport foreign entry.

methodsInternational passengers arriving at 18 U.S. airports from Asia, Europe, South America, and Canada were assigned to one of three states: not infected, infected with PI, infected with other respiratory illness. Passengers passed through layered screening then exited the model. 80% screening effectiveness was assumed for symptomatic passengers; 6% asymptomatic passengers.

resultsIn the first 100 days of a global pandemic, U.S. airport screening would evaluate over 17 M passengers with 800 K secondary screenings. 11,570 PI infected passengers (majority asymptomatic) would enter the U.S. undetected from all 18 airports. Foreign airport departure screening significantly decreased the false negative (infected/undetected) passengers. U.S. attack rates: no screening (26.9%-30.9%); screening (26.4%-30.6%); however airport screening results in 800 K-1.8 M less U.S. PI cases; 16 K-35 K less deaths (2% fatality rate). Antiviral medications for travel contact prophylaxis (10 contacts/PI passenger) were high - 8.8M. False positives from all 18 airports: 100-200/day.

conclusionsForeign shore exit screening greatly reduces numbers of PI infected passengers. U.S. airport screening identifies 50% infected individuals; efficacy is limited by the asymptomatic PI infected. Screening will not significantly delay arrival of PI via international air transport, but will reduce the rate of new US cases and subsequent deaths.

Indexed as

AircraftModels, StatisticalTravelComputer SimulationDisease OutbreaksEuropeHumansInfluenza, HumanInternational CooperationMass ScreeningPopulation SurveillanceStochastic ProcessesUnited States

Identifiers

PMID19717097
PMCPMC7185379
OpenAlexW2078304364

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.