"A 1-day table-top exercise in San Diego, California, in December 2004 emphasized voluntary compliance with home quarantine to control an emerging infectious disease outbreak. The exercise heightened local civilian-military collaboration in public health emergency management. Addressing concerns about lost income by residents in quarantine was particularly challenging. In a study of quarantine implementation in the greater Toronto area during its 2003 outbreak of severe acute respiratory syndrome (SARS) (1), investigators identified several factors that influenced compliance with quarantine restrictions (with rare exceptions, identified contacts of SARS patients in the area were quarantined in their own homes). Key factors were fear of income lost while quarantined, consistent information about the threat and measures to contain it, and adequate logistic and psychosocial support to those confined. Using these findings, we organized a 1-day table-top exercise in San Diego, California, in late 2004 that revolved around an emerging infectious disease caused by an easily transmitted novel respiratory virus."
Lessons Learned Information Sharing (LLIS)
Emerging Infectious Diseases (November 2005) v.11 no.11