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      Attitudes Toward The Use Of Quarantine In A Public Health Emergency In Four Countries : The experiences of Hong Kong, Singapore, Taiwan, and the United States are instructive in assessing national responses to disease threats.

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          Abstract

          Countries worldwide face the threat of emerging infectious diseases. To understand the public's reaction to the use of widespread quarantine should such an outbreak occur, the Harvard School of Public Health, with the U.S. Centers for Disease Control and Prevention, undertook a survey of residents of Hong Kong, Taiwan, Singapore, and the United States. A sizable proportion of the public in each country opposed compulsory quarantine. Respondents were concerned about overcrowding, infection, and inability to communicate with family members while in quarantine. Officials will need specific plans to deal with the public's concerns about compulsory quarantine policies.

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          Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak.

          The purpose of this study was to cull lessons from Toronto's experiences with large-scale quarantine during the outbreak of Severe Acute Respiratory Syndrome in early 2003. We focused on issues that affected the population's willingness to comply with quarantine. Information was acquired from interviews, telephone polling, and focus groups. Issues of quarantine legitimacy, criteria for quarantine, and the need to allow some quarantined healthcare workers to leave their homes to go to work were identified. Also important was the need to answer questions from people entering quarantine about the continuation of their wages, salaries, and other forms of income while they were not working, and about the means by which they would be supplied with groceries and other services necessary for daily living. The threat of enforcement had less effect on compliance than did the credibility of compliance-monitoring. Fighting boredom and other psychological stresses of quarantine, muting the forces of stigma against those in quarantine, and crafting and delivering effective and believable communications to a population of mixed cultures and languages also were critical. The need for officials to develop consistent quarantine policies, procedures, and public messages across jurisdictional boundaries was paramount.
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            Under the shadow of Tuskegee: African Americans and health care.

            V N Gamble (1997)
            The Tuskegee Syphilis Study continues to cast its long shadow on the contemporary relationship between African Americans and the biomedical community. Numerous reports have argued that the Tuskegee Syphilis Study is the most important reason why many African Americans distrust the institutions of medicine and public health. Such an interpretation neglects a critical historical point: the mistrust predated public revelations about the Tuskegee study. This paper places the syphilis study within a broader historical and social context to demonstrate that several factors have influenced--and continue to influence--African American's attitudes toward the biomedical community.
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              The public's response to severe acute respiratory syndrome in Toronto and the United States.

              Using data from 13 surveys of the public, this article compares the public's response to severe acute respiratory syndrome (SARS) in Ontario (specifically, Toronto), the other Canadian provinces, and the United States, which had substantial differences in the number of SARS cases. Findings suggest that, even at a relatively low level of spread among the population, the SARS outbreak had a significant psychological and economic impact. They also suggest that the success of efforts to educate the public about the risk of SARS and appropriate precautions was mixed. Some of the community-wide problems with SARS might have been avoided with better communication by public health officials and clinicians.
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                Author and article information

                Journal
                Health Affairs
                Health Affairs
                Health Affairs (Project Hope)
                0278-2715
                1544-5208
                January 2006
                January 2006
                : 25
                : Suppl1
                : W15-W25
                Affiliations
                [1 ]Robert Blendon () is a professor of health policy and political analysis at the Harvard School of Public Health (HSPH) in Boston, Massachusetts. Catherine DesRoches is a research scientist there. Martin Cetron is director of the Division of Global Migration and Quarantine, U.S. Centers for Disease Control and Prevention (CDC), in Atlanta, Georgia. John Benson is managing director of the Harvard Opinion Research Program at the HSPH. Theodore Meinhardt is acting deputy director of the CDC's Division of...
                Article
                10.1377/hlthaff.25.w15
                16434437
                ce41f79b-f904-43f5-aa04-2d94a8af0fc5
                © 2006
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