Objective: To determine the best approach for the evaluation of fever, detected by infrared thermal scanning, at an international airport. Methods: Arriving passengers with fever were divided into three groups: community evaluation by a GP, with or without cost compensation, or evaluation at the airport by a health practitioner. Uptake of offered evaluations was measured, diagnoses were recorded, and region-specific rates of fever measured. Observations were made on practical aspects of thermal screening. Results: Over a six-month period, 181,759 passengers were screened for fever at the Cairns international airport, Queensland, Australia. Fever was identified in 118 (0.06%) of the arriving passengers and 76 were enrolled in the study. Only 19 of these passengers (25%) voluntarily underwent further evaluation. No differences were observed in the three approaches. Conclusions: Public health surveillance of febrile passengers arriving at an international airport should not rely on voluntary passenger participation for the detection of imported contagious diseases. © 2010 Public Health Association of Australia.

Item Type:	Refereed Article
Keywords:	fever, surveillance, infrared, rays, travel, patient participation
Research Division:	Medical and Health Sciences
Research Group:	Clinical Sciences
Research Field:	Infectious Diseases
Objective Division:	Health
Objective Group:	Public Health (excl. Specific Population Health)
Objective Field:	Disease Distribution and Transmission (incl. Surveillance and Response)
Author:	Fitzgerald, MA (Professor Mary Fitzgerald)
ID Code:	61469
Year Published:	2010
Web of Science® Times Cited:	8
Deposited By:	Nurse Education Unit
Deposited On:	2010-03-03
Last Modified:	2011-05-18
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