Quarantine
Encyclopedia
Quarantine is compulsory isolation, typically to contain the spread of something considered dangerous, often but not always disease
Disease
A disease is an abnormal condition affecting the body of an organism. It is often construed to be a medical condition associated with specific symptoms and signs. It may be caused by external factors, such as infectious disease, or it may be caused by internal dysfunctions, such as autoimmune...

. The word comes from the Italian
Italian language
Italian is a Romance language spoken mainly in Europe: Italy, Switzerland, San Marino, Vatican City, by minorities in Malta, Monaco, Croatia, Slovenia, France, Libya, Eritrea, and Somalia, and by immigrant communities in the Americas and Australia...

 (seventeenth century Venetian) quarantena, meaning forty-day period.
Quarantine can be applied to humans, but also to animals of various kinds.

In practice

The quarantining of people often raises questions of civil rights
Civil rights
Civil and political rights are a class of rights that protect individuals' freedom from unwarranted infringement by governments and private organizations, and ensure one's ability to participate in the civil and political life of the state without discrimination or repression.Civil rights include...

, especially in cases of long confinement or segregation from society, such as that of Mary Mallon
Mary Mallon
Mary Mallon , also known as Typhoid Mary, was the first person in the United States identified as an asymptomatic carrier of the pathogen associated with typhoid fever. She was presumed to have infected some 53 people, three of whom died, over the course of her career as a cook...

 (aka Typhoid Mary), a typhoid fever
Typhoid fever
Typhoid fever, also known as Typhoid, is a common worldwide bacterial disease, transmitted by the ingestion of food or water contaminated with the feces of an infected person, which contain the bacterium Salmonella enterica, serovar Typhi...

 carrier
Asymptomatic carrier
An asymptomatic carrier is a person or other organism that has contracted an infectious disease, but who displays no symptoms. Although unaffected by the disease themselves, carriers can transmit it to others...

 who spent the last 24 years of her life under quarantine.

Quarantine periods can be very short, such as in the case of a suspected anthrax
Anthrax
Anthrax is an acute disease caused by the bacterium Bacillus anthracis. Most forms of the disease are lethal, and it affects both humans and other animals...

 attack, in which persons are allowed to leave as soon as they shed their potentially contaminated garments and undergo a decontamination
Decontamination
Decontamination is the process of cleansing the human body to remove contamination by hazardous materials including chemicals, radioactive substances, and infectious material...

 shower. For example, an article entitled "Daily News workers quarantined" describes a brief quarantine that lasted until people could be showered in a decontamination tent. (Kelly Nankervis, Daily News).

The February/March 2003 issue of HazMat Magazine suggests that people be "locked in a room until proper decon could be performed", in the event of "suspect anthrax".

Standard-Times senior correspondent Steve Urbon (February 14, 2003) describes such temporary quarantine powers:
Civil rights activists in some cases have objected to people being rounded up, stripped and showered against their will. But Capt. Chmiel said local health authorities have "certain powers to quarantine people."


The purpose of such quarantine-for-decontamination is to prevent the spread of contamination, and to contain the contamination such that others are not put at risk from a person fleeing a scene where contamination is suspect. It can also be used to limit exposure, as well as eliminate a vector.

The first astronaut
Astronaut
An astronaut or cosmonaut is a person trained by a human spaceflight program to command, pilot, or serve as a crew member of a spacecraft....

s to visit the Moon
Moon
The Moon is Earth's only known natural satellite,There are a number of near-Earth asteroids including 3753 Cruithne that are co-orbital with Earth: their orbits bring them close to Earth for periods of time but then alter in the long term . These are quasi-satellites and not true moons. For more...

 were quarantined upon their return at the specially built Lunar Receiving Laboratory
Lunar Receiving Laboratory
The Lunar Receiving Laboratory was a facility at NASA's Lyndon B. Johnson Space Center that was constructed to quarantine astronauts and material brought back from the Moon during the Apollo program to mitigate the risk of back-contamination...

.

New developments for quarantine include new concepts in quarantine vehicles such as the Ambulance bus
Ambulance bus
An ambulance bus, medical ambulance bus or MAB is a type of ambulance used to transport and treat multiple patients who require ambulance level care...

, mobile hospitals, and lockdown/invacuation (inverse evacuation) procedures, as well as docking stations for an ambulance bus to dock to a facility that's under lockdown.

History

The separation of infected people in order to prevent the spread of disease was practised in many early societies, as recorded in Leviticus
Leviticus
The Book of Leviticus is the third book of the Hebrew Bible, and the third of five books of the Torah ....

 chapter 13 of the Hebrew Bible
Hebrew Bible
The Hebrew Bible is a term used by biblical scholars outside of Judaism to refer to the Tanakh , a canonical collection of Jewish texts, and the common textual antecedent of the several canonical editions of the Christian Old Testament...

.

The word "quarantine" originates from the Venetian dialect form of the Italian quaranta giorni, meaning 'forty days'. This is due to the 40 day isolation of ships and people prior to entering the city of Dubrovnik
Dubrovnik
Dubrovnik is a Croatian city on the Adriatic Sea coast, positioned at the terminal end of the Isthmus of Dubrovnik. It is one of the most prominent tourist destinations on the Adriatic, a seaport and the centre of Dubrovnik-Neretva county. Its total population is 42,641...

 in Dalmatia - Croatia (formerly known as Ragusa). This was practiced as a measure of disease prevention related to the plague
Bubonic plague
Plague is a deadly infectious disease that is caused by the enterobacteria Yersinia pestis, named after the French-Swiss bacteriologist Alexandre Yersin. Primarily carried by rodents and spread to humans via fleas, the disease is notorious throughout history, due to the unrivaled scale of death...

 (Black Death
Black Death
The Black Death was one of the most devastating pandemics in human history, peaking in Europe between 1348 and 1350. Of several competing theories, the dominant explanation for the Black Death is the plague theory, which attributes the outbreak to the bacterium Yersinia pestis. Thought to have...

). Between 1348 and 1359 the Black Death wiped out an estimated 30% of Europe's population, as well as a significant percentage of Asia's population. The original document from 1377, which is kept in the Archives of Dubrovnik, states that before entering the city, newcomers had to spend 30 days (a trentine) in a restricted location (originally nearby islands) waiting to see whether the symptoms of plague
Bubonic plague
Plague is a deadly infectious disease that is caused by the enterobacteria Yersinia pestis, named after the French-Swiss bacteriologist Alexandre Yersin. Primarily carried by rodents and spread to humans via fleas, the disease is notorious throughout history, due to the unrivaled scale of death...

 would develop. Later on, isolation was prolonged to 40 days and was called quarantine.

Other diseases lent themselves to the practice of quarantine before and after the devastation of the Plague.
Those afflicted with leprosy
Leprosy
Leprosy or Hansen's disease is a chronic disease caused by the bacteria Mycobacterium leprae and Mycobacterium lepromatosis. Named after physician Gerhard Armauer Hansen, leprosy is primarily a granulomatous disease of the peripheral nerves and mucosa of the upper respiratory tract; skin lesions...

 were historically isolated from society, the attempts to check the invasion of syphilis
Syphilis
Syphilis is a sexually transmitted infection caused by the spirochete bacterium Treponema pallidum subspecies pallidum. The primary route of transmission is through sexual contact; however, it may also be transmitted from mother to fetus during pregnancy or at birth, resulting in congenital syphilis...

 in northern Europe about 1490, the advent of yellow fever
Yellow fever
Yellow fever is an acute viral hemorrhagic disease. The virus is a 40 to 50 nm enveloped RNA virus with positive sense of the Flaviviridae family....

 in Spain at the beginning of the nineteenth century and the arrival of Asiatic cholera
Cholera
Cholera is an infection of the small intestine that is caused by the bacterium Vibrio cholerae. The main symptoms are profuse watery diarrhea and vomiting. Transmission occurs primarily by drinking or eating water or food that has been contaminated by the diarrhea of an infected person or the feces...

 in 1831.

Venice
Venice
Venice is a city in northern Italy which is renowned for the beauty of its setting, its architecture and its artworks. It is the capital of the Veneto region...

 took the lead in measures to check the spread of plague, having appointed three guardians of the public health in the first years of the Black Death (1348). The next record of preventive measures comes from Reggio
Reggio Emilia
Reggio Emilia is an affluent city in northern Italy, in the Emilia-Romagna region. It has about 170,000 inhabitants and is the main comune of the Province of Reggio Emilia....

 in Modena
Modena
Modena is a city and comune on the south side of the Po Valley, in the Province of Modena in the Emilia-Romagna region of Italy....

 in 1374. The first lazaret was founded by Venice in 1403, on a small island adjoining the city; in 1467 Genova followed the example of Venice; and in 1476 the old leper hospital of Marseille
Marseille
Marseille , known in antiquity as Massalia , is the second largest city in France, after Paris, with a population of 852,395 within its administrative limits on a land area of . The urban area of Marseille extends beyond the city limits with a population of over 1,420,000 on an area of...

 was converted into a plague hospital. The great lazaret of that city, perhaps the most complete of its kind, having been founded in 1526 on the island of Pomgue. The practice at all the Mediterranean lazarets was not different from the English procedure in the Levantine and North Africa
North Africa
North Africa or Northern Africa is the northernmost region of the African continent, linked by the Sahara to Sub-Saharan Africa. Geopolitically, the United Nations definition of Northern Africa includes eight countries or territories; Algeria, Egypt, Libya, Morocco, South Sudan, Sudan, Tunisia, and...

n trade. On the approach of cholera in 1831 some new lazarets were set up at western ports, notably a very extensive establishment near Bordeaux
Bordeaux
Bordeaux is a port city on the Garonne River in the Gironde department in southwestern France.The Bordeaux-Arcachon-Libourne metropolitan area, has a population of 1,010,000 and constitutes the sixth-largest urban area in France. It is the capital of the Aquitaine region, as well as the prefecture...

, afterwards turned to another use.

British quarantine rules after 1711

The plague had disappeared from England
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

, never to return, for more than thirty years before the practice of quarantine against it was definitely established by the Quarantine Act 1710 (9 Ann.) The first act was called for, owing to an alarm, lest plague should be imported from Poland
Poland
Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

 and the Baltics; the second act of 1721 was due to the disastrous prevalence of plague at Marseille and other places in Provence
Provence
Provence ; Provençal: Provença in classical norm or Prouvènço in Mistralian norm) is a region of south eastern France on the Mediterranean adjacent to Italy. It is part of the administrative région of Provence-Alpes-Côte d'Azur...

; it was renewed in 1733 owing to a fresh outbreak of the malady on the continent of Europe, and again in 1743, owing to the disastrous epidemic at Messina. In 1752 a rigorous quarantine clause was introduced into an act regulating the Levantine trade; and various arbitrary orders were issued during the next twenty years to meet the supposed danger of infection from the Baltics. Although no plague cases ever came to England all those years, the restrictions on traffic became more and more stringent (following the movements of medical dogma), and in 1788 a very oppressive Quarantine Act was passed, with provisions affecting cargoes in particular. The first year of the nineteenth century marked the turning-point in quarantine legislation; a parliamentary committee sat on the practice, and a more reasonable act arose on their report. In 1805 there was another new act, and in 1823-24 again an elaborate inquiry followed by an act making the quarantine only at discretion of the privy council, and at the same time recognizing yellow fever or other highly infectious disorder as calling for quarantine measures along with plague. The steady approach of cholera in 1831 was the last occasion in England of a thoroughgoing resort to quarantine restrictions. The pestilence invaded every country of Europe despite all efforts to keep it out. In England the experiment of hermetically sealing the ports was not seriously tried when cholera returned in 1849, 1853 and 1865-66. In 1847 the privy council ordered all arrivals with clean bills from the Black Sea
Black Sea
The Black Sea is bounded by Europe, Anatolia and the Caucasus and is ultimately connected to the Atlantic Ocean via the Mediterranean and the Aegean seas and various straits. The Bosphorus strait connects it to the Sea of Marmara, and the strait of the Dardanelles connects that sea to the Aegean...

 and the Levant to be admitted to free pratique, provided there had been no case of plague during the voyage; and therewith the last remnant of the once formidable quarantine practice against plague may be said to have disappeared.

For a number of years after the passing of the first Quarantine Act (1710) the protective practices in England were of the most haphazard and arbitrary kind. In 1721 two vessels laden with cotton
Cotton
Cotton is a soft, fluffy staple fiber that grows in a boll, or protective capsule, around the seeds of cotton plants of the genus Gossypium. The fiber is almost pure cellulose. The botanical purpose of cotton fiber is to aid in seed dispersal....

 goods from Cyprus
Cyprus
Cyprus , officially the Republic of Cyprus , is a Eurasian island country, member of the European Union, in the Eastern Mediterranean, east of Greece, south of Turkey, west of Syria and north of Egypt. It is the third largest island in the Mediterranean Sea.The earliest known human activity on the...

, then a seat of plague, were ordered to be burned with their cargoes, the owners receiving £23,935 as indemnity. By the clause in the Levant Trade Act of 1752 vessels for the United Kingdom with a foul bill (i.e. coming from a country where plague existed) had to repair to the lazarets of Malta
Malta
Malta , officially known as the Republic of Malta , is a Southern European country consisting of an archipelago situated in the centre of the Mediterranean, south of Sicily, east of Tunisia and north of Libya, with Gibraltar to the west and Alexandria to the east.Malta covers just over in...

, Venice, Messina, Livorno
Livorno
Livorno , traditionally Leghorn , is a port city on the Tyrrhenian Sea on the western edge of Tuscany, Italy. It is the capital of the Province of Livorno, having a population of approximately 160,000 residents in 2009.- History :...

, Genoa
Genoa
Genoa |Ligurian]] Zena ; Latin and, archaically, English Genua) is a city and an important seaport in northern Italy, the capital of the Province of Genoa and of the region of Liguria....

 or Marseille, to perform their quarantine or to have their cargoes sufficiently opened and aired. Since 1741 Stangate Creek (on the Medway) had been made the quarantine station at home; but it would appear from the above clause that it was available only for vessels with clean bills. In 1755 lazarets in the form of floating hulks were established in England for the first time, the cleansing of cargo (particularly by exposure to dews) having been done previously on the ships deck. There was no medical inspection employed, but the whole routine left to the officers of customs
Customs
Customs is an authority or agency in a country responsible for collecting and safeguarding customs duties and for controlling the flow of goods including animals, transports, personal effects and hazardous items in and out of a country...

 and quarantine. In 1780, when plague was in Poland, even vessels with grain
Cereal
Cereals are grasses cultivated for the edible components of their grain , composed of the endosperm, germ, and bran...

 from the Baltic had to lie forty days in quarantine, and unpack and air the sacks; but owing to remonstrances, which came chiefly from Edinburgh
Edinburgh
Edinburgh is the capital city of Scotland, the second largest city in Scotland, and the eighth most populous in the United Kingdom. The City of Edinburgh Council governs one of Scotland's 32 local government council areas. The council area includes urban Edinburgh and a rural area...

 and Leith
Leith
-South Leith v. North Leith:Up until the late 16th century Leith , comprised two separate towns on either side of the river....

, grain was from that date declared to be a non-susceptible article. About 1788 an order of the council required every ship liable to quarantine, in case of meeting any vessel at sea, or within four leagues of the coast of Great Britain or Ireland
Ireland
Ireland is an island to the northwest of continental Europe. It is the third-largest island in Europe and the twentieth-largest island on Earth...

, to hoist a yellow flag in the daytime and show a light at the main topmast head at night, under a penalty of £200. After 1800, ships from plague-countries (or with foul bills) were enabled to perform their quarantine on arrival in the Medway
Medway
Medway is a conurbation and unitary authority in South East England. The Unitary Authority was formed in 1998 when the City of Rochester-upon-Medway amalgamated with Gillingham Borough Council and part of Kent County Council to form Medway Council, a unitary authority independent of Kent County...

 instead of taking a Mediterranean port on the way for that purpose; and about the same time an extensive lazaret was built on Chetney Hill near Chatham at an expense of £170,000, which was almost at once condemned owing to its marshy foundations, and the materials sold for £15,000. The use of floating hulks as lazarets continued as before. In 1800 two ships with hides from Mogador (Morocco
Morocco
Morocco , officially the Kingdom of Morocco , is a country located in North Africa. It has a population of more than 32 million and an area of 710,850 km², and also primarily administers the disputed region of the Western Sahara...

) were ordered to be sunk with their cargoes at the Nore, the owners receiving £15,000. About this period it was merchandise that was chiefly suspected: there was a long schedule of susceptible articles, and these were first exposed on the ships deck for twenty-one days or less (six days for each instalment of the cargo), and then transported to the lazaret, where they were opened and aired forty days more. The whole detention of the vessel was from sixty to sixty-five days, including the time for reshipment of her cargo. Pilots had to pass fifteen days on board a convalescent ship. The expenses may be estimated from one or two examples. In 1820 the Asia, 763 tons, arrived in the Medway with a foul bill from Alexandria
Alexandria
Alexandria is the second-largest city of Egypt, with a population of 4.1 million, extending about along the coast of the Mediterranean Sea in the north central part of the country; it is also the largest city lying directly on the Mediterranean coast. It is Egypt's largest seaport, serving...

, laden with linseed; her freight was £1475 and her quarantine dues £610. The same year the Pilato, 495 tons, making the same voyage, paid £200 quarantine dues on a freight of £1060. In 1823 the expenses of the quarantine service (at various ports) were £26,090, and the dues paid by shipping (nearly all with clean bills) £22,000. A return for the United Kingdom and colonies in 1849 showed, among other details, that the expenses of the lazaret at Malta for ten years from 1839 to 1848 had been £53,553. From 1846 onwards the establishments in the United Kingdom were gradually reduced, while the last vestige of the British quarantine law was removed by the Public Health Act 1896, which repealed the Quarantine Act 1825 (with dependent clauses of other acts), and transferred from the privy council to the Local Government Board the powers to deal with ships arriving infected with yellow fever or plague, the powers to deal with cholera ships having been already transferred by the Public Health Act 1875
Public Health Act 1875
The Public Health Act 1875 was established in the United Kingdom to combat filthy urban living conditions, which caused various public health threats, including the spread of many diseases such as cholera and typhus. Reformers wanted to resolve sanitary problems, because sewage was flowing down the...

.

The British regulations of ninth November 1896 applied to yellow fever, plague and cholera. Officers of the Customs, as well as of Coast Guard and Board of Trade (for signalling), were empowered to take the initial steps. They certified in writing the master of a supposed infected ship, and detained the vessel provisionally for not more than twelve hours, giving notice meanwhile to the port sanitary authority. The medical officer of the port boarded the ship and examined every person in it. Every person found infected was certified of the fact, removed to a hospital provided (if his condition allow), and kept under the orders of the medical officer. If the sick could be removed, the vessel remained under his orders. Every person suspected (owing to his or her immediate attendance on the sick) could be detained on board for 48 hours or removed to the hospital for a similar period. All others were free to land on giving the addresses of their destinations to be sent to the respective local authorities, so that the dispersed passengers and crew could be kept individually under observation for a few days. The ship was then disinfected, dead bodies buried at sea, infected clothing, bedding, etc., destroyed or disinfected, and bilge-water and water-ballast (subject to exceptions) pumped out at a suitable distance before the ship entered a dock or basin. Mails were subject to no detention. A stricken ship within 3 miles of the shore had to fly at the main mast a yellow and black flag borne quarterly from sunrise to sunset.

United States

Quarantine law began in Colonial America in 1663, when in an attempt to curb an outbreak of smallpox
Smallpox
Smallpox was an infectious disease unique to humans, caused by either of two virus variants, Variola major and Variola minor. The disease is also known by the Latin names Variola or Variola vera, which is a derivative of the Latin varius, meaning "spotted", or varus, meaning "pimple"...

, the city of New York established a quarantine. In the 1730s, the city built a quarantine station on the Bedloe's Island. The Philadelphia Lazaretto
Philadelphia Lazaretto
The Philadelphia Lazaretto was the first quarantine hospital in the United States, built in 1799, in Tinicum Township, Delaware County, Pennsylvania. The site was originally inhabited by the Lenni Lenape, and then the first Swedish settlers in America...

 was the first quarantine hospital in the United States, built in 1799, in Tinicum Township
Tinicum Township, Delaware County, Pennsylvania
Tinicum Township, more popularly known as "Tinicum Island" or "The Island", a census-designated place and township in Delaware County, Pennsylvania, United States. The population was 4,353 at the 2000 census. Included within the township's boundaries are the communities of Essington and Lester...

, Delaware County
Delaware County, Pennsylvania
Delaware County is a county located in the U.S. state of Pennsylvania. As of 2010, the population was 558,979, making it Pennsylvania's fifth most populous county, behind Philadelphia, Allegheny, Montgomery, and Bucks counties....

, Pennsylvania
Pennsylvania
The Commonwealth of Pennsylvania is a U.S. state that is located in the Northeastern and Mid-Atlantic regions of the United States. The state borders Delaware and Maryland to the south, West Virginia to the southwest, Ohio to the west, New York and Ontario, Canada, to the north, and New Jersey to...

. There are similar national landmarks such as Ellis Island
Ellis Island
Ellis Island in New York Harbor was the gateway for millions of immigrants to the United States. It was the nation's busiest immigrant inspection station from 1892 until 1954. The island was greatly expanded with landfill between 1892 and 1934. Before that, the much smaller original island was the...

 and Angel Island. People were quarantined during the 1918 flu pandemic. The last person to be quarantined in the United States was a woman in 1963 for smallpox
Smallpox
Smallpox was an infectious disease unique to humans, caused by either of two virus variants, Variola major and Variola minor. The disease is also known by the Latin names Variola or Variola vera, which is a derivative of the Latin varius, meaning "spotted", or varus, meaning "pimple"...

.

In the summer of 2007, Atlanta attorney Andrew Speaker made headlines when, while traveling in Italy on his honeymoon, he was diagnosed by the U.S. Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

 (CDC) with extremely drug-resistant tuberculosis (XDR-TB), a contagious, untreatable and potentially-lethal condition. Against the instructions of U.S. public health authorities, Speaker re-entered the U.S. only to be served by the CDC with a federal order of quarantine
Quarantine
Quarantine is compulsory isolation, typically to contain the spread of something considered dangerous, often but not always disease. The word comes from the Italian quarantena, meaning forty-day period....

 at a hospital in New York, the first such order to be issued in nearly half a century. Speaker challenged the CDC’s diagnosis of XDR-TB, resulting in an eventual downgrade of his condition and the lifting of restrictions on his movements. The Speaker case generated significant public attention and Congress conducted formal hearings regarding the incident. Speaker’s case highlights a crucial issue in public health
Public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" . It is concerned with threats to health based on population health...

 law: the circumstances, if any, under which public officials may detain individuals against their will in order to protect the public from communicable diseases. In other words, when do utilitarian principles of social good trump the guarantees of individual rights afforded by the United States Constitution
United States Constitution
The Constitution of the United States is the supreme law of the United States of America. It is the framework for the organization of the United States government and for the relationship of the federal government with the states, citizens, and all people within the United States.The first three...

?

International conventions

Since 1852 several conferences have been held between delegates of the European powers, with a view to uniform action in keeping out infection from the East and preventing its spread within Europe; all but that of 1897 were occupied with cholera. No result came of those at Paris
Paris
Paris is the capital and largest city in France, situated on the river Seine, in northern France, at the heart of the Île-de-France region...

 (1852), Constantinople
Constantinople
Constantinople was the capital of the Roman, Eastern Roman, Byzantine, Latin, and Ottoman Empires. Throughout most of the Middle Ages, Constantinople was Europe's largest and wealthiest city.-Names:...

 (1866), Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

 (1874), and Rome
Rome
Rome is the capital of Italy and the country's largest and most populated city and comune, with over 2.7 million residents in . The city is located in the central-western portion of the Italian Peninsula, on the Tiber River within the Lazio region of Italy.Rome's history spans two and a half...

 (1885), but each of the subsequent ones has been followed by an international convention on the part of nearly one-half of the governments represented. The general effect has been an abandonment of the high quarantine doctrine of constructive infection of a ship as coming from a scheduled port, and an approximation to the principles advocated by Great Britain for many years. The principal countries which retained the old system at the time were Spain
Spain
Spain , officially the Kingdom of Spain languages]] under the European Charter for Regional or Minority Languages. In each of these, Spain's official name is as follows:;;;;;;), is a country and member state of the European Union located in southwestern Europe on the Iberian Peninsula...

, Portugal
Portugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...

, Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

, Greece
Greece
Greece , officially the Hellenic Republic , and historically Hellas or the Republic of Greece in English, is a country in southeastern Europe....

 and Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

 (the British possessions at the time, Gibraltar
Gibraltar
Gibraltar is a British overseas territory located on the southern end of the Iberian Peninsula at the entrance of the Mediterranean. A peninsula with an area of , it has a northern border with Andalusia, Spain. The Rock of Gibraltar is the major landmark of the region...

, Malta and Cyprus, being under the same influence). The aim of each international sanitary convention had been to bind the governments to a uniform minimum of preventive action, with further restrictions permissible to individual countries. The minimum specified by international conventions were very nearly the same as the British practice, which had been in turn adapted to continental opinion in the matter of the importation of rags.

The Venice convention of January 30, 1892 was on cholera by the Suez Canal
Suez Canal
The Suez Canal , also known by the nickname "The Highway to India", is an artificial sea-level waterway in Egypt, connecting the Mediterranean Sea and the Red Sea. Opened in November 1869 after 10 years of construction work, it allows water transportation between Europe and Asia without navigation...

 route; that of Dresden
Dresden
Dresden is the capital city of the Free State of Saxony in Germany. It is situated in a valley on the River Elbe, near the Czech border. The Dresden conurbation is part of the Saxon Triangle metropolitan area....

 of April 15, 1893, on cholera within European countries; that of Paris of April 3, 1894, on cholera by the pilgrim
Pilgrim
A pilgrim is a traveler who is on a journey to a holy place. Typically, this is a physical journeying to some place of special significance to the adherent of a particular religious belief system...

 traffic; and that of Venice, on March 19, 1897, was in connection with the outbreak of plague in the East, and the conference met to settle on an international basis the steps to be taken to prevent, if possible, its spread into Europe. An additional convention was signed in Paris on December 3, 1903.

A multilateral international sanitary convention was concluded at Paris on January 17, 1912. This convention was most comprehensive and was designated to replace all previous conventions on that matter. It was signed by 40 countries, and consisted of 160 articles. Ratifications by 16 of the signatories were exchanged in Paris on October 7, 1920. Another multilateral convention was signed in Paris on June 21, 1926, to replace that of 1912. It was signed by 58 countries worldwide, and consisted of 172 articles.

In Latin America, a series of regional sanitary conventions were concluded. Such a convention was concluded in Rio de Janeiro on June 12, 1904. A sanitary convention between the governments of Argentina, Brazil, Paraguay and Uruguay was concluded in Montevideo on April 21, 1914. The convention covers cases of Asiatic Cholera, Oriental Plague and Yellow Fever
Yellow fever
Yellow fever is an acute viral hemorrhagic disease. The virus is a 40 to 50 nm enveloped RNA virus with positive sense of the Flaviviridae family....

. It was ratified by the Uruguayan government on October 13, 1914, by the Paraguayan government on September 27, 1917 and by the Brazilian government on January 18, 1921.

Sanitary conventions were also concluded between European states. A Soviet-Latvian sanitary convention was signed on June 24, 1922, for which ratifications were exchanged on October 18, 1923. A bilateral sanitary convention was concluded between the governments of Latvia and Poland on July 7, 1922, for which ratifications were exchanged on April 7, 1925. Another was concluded between the governments of Germany and Poland in Dresden on December 18, 1922, and entered into effect on February 15, 1923. Another one was signed between the governments of Poland and Romania on December 20, 1922. Ratifications were exchanged on July 11, 1923. The Polish government also concluded such a convention with the Soviet government on February 7, 1923, for which ratifications were exchanged on January 8, 1924. A sanitary convention was also concluded between the governments of Poland and Czechoslovakia on September 5, 1925, for which ratifications were exchanged on October 22, 1926. A convention was signed between the governments of Germany and Latvia on July 9, 1926, for which ratifications were exchanged on July 6, 1927.

One of the first points to be dealt with in 1897 was to settle the incubation period
Incubation period
Incubation period is the time elapsed between exposure to a pathogenic organism, a chemical or radiation, and when symptoms and signs are first apparent...

 for this disease, and the period to be adopted for administrative purposes. It was admitted that the incubation period was, as a rule, a comparatively short one, namely, of some three or four days. After much discussion ten days was accepted by a very large majority. The principle of disease notification was unanimously adopted. Each government had to notify to other governments on the existence of plague within their several jurisdictions, and at the same time state the measures of prevention which are being carried out to prevent its diffusion. The area deemed to be infected was limited to the actual district or village where the disease prevailed, and no locality was deemed to be infected merely because of the importation into it of a few cases of plague while there has been no diffusion of the malady. As regards the precautions to be taken on land frontiers, it was decided that during the prevalence of plague every country had the inherent right to close its land frontiers against traffic. As regards the Red Sea
Red Sea
The Red Sea is a seawater inlet of the Indian Ocean, lying between Africa and Asia. The connection to the ocean is in the south through the Bab el Mandeb strait and the Gulf of Aden. In the north, there is the Sinai Peninsula, the Gulf of Aqaba, and the Gulf of Suez...

, it was decided after discussion that a healthy vessel could pass through the Suez Canal, and continue its voyage in the Mediterranean during the period of incubation of the disease the prevention of which is in question. It was also agreed that vessels passing through the Canal in quarantine might, subject to the use of the electric light, coal in quarantine at Port Said by night as well as by day, and that passengers might embark in quarantine at that port. Infected vessels, if these carry a doctor and are provided with a disinfecting stove, have a right to navigate the Canal, in quarantine, subject only to the landing of those who were suffering from plague.

Canada

There are three quarantine Acts of Parliament in Canada: Quarantine Act (humans) and Health of Animals Act (animals) and Plant Protection Act (vegetations). The first legislation is enforced by the Canada Border Services Agency
Canada Border Services Agency
The Canada Border Services Agency is a federal law enforcement agency that is responsible for border enforcement, immigration enforcement and customs services....

 after a complete rewrite in 2005. The second and third legislations are enforced by the Canadian Food Inspection Agency
Canadian Food Inspection Agency
The Canadian Food Inspection Agency is a science based regulatory agency that is dedicated to the safeguarding of food, animals, and plants, which enhance the health and well-being of Canada's people, environment and economy...

. If an health emergency exists, the Governor in Council can prohibit importation of anything that it deems necessary under the Quarantine Act.

Under the Quarantine Act, all travellers must submit to screening and if they believe they might have come into contact with communicable disease or vectors, they must disclose their whereabouts to a Border Services Officer. If the officer has reasonable grounds that the traveller is or might have been infected with a communicable disease or refused to provider answers, a quarantine officer (QO) must be called and the person is to be isolated. If a person refused to be isolated, any peace officer
Peace officer
A law enforcement officer , in North America, is any public-sector employee or agent whose duties involve the enforcement of laws. The phrase can include police officers, prison officers, customs officers, immigration officers, bailiffs, probation officers, parole officers, auxiliary officers, and...

 may arrest without warrant.

A QO who has reasonable grounds to believe that the traveller has or might have a communicable disease or is infested with vectors, after the medical examination of a traveller, can order him/her into treatment or measures to prevent the person from spreading the disease. QO can detained any traveller who refused to comply with his/her order or undergo health assessments as required by law.

Under the Health of Animals Act and Plant Protection Act, inspectors can prohibit access to an infected area, dispose or treat any infected or suspected to be infected animals or plants. The Minister can order for compensation to be given if animals/plants were destroyed purusant to these acts.

Each provinces also enacts its own quarantine/environmental health legislations.

Hong Kong

Under the Prevention and Control of Disease Ordinance (HK Laws. Chap 599), a health officer may seize articles he/she believes to be infectious or contains infectious agents. All travellers, if requested, must submit themselves to a health officer. Failure to do so is against the law and is subject to arrest and prosecution.

The law allows for a health officer who have reasonable grounds to detain, isolate, quarantine anyone or anything believed to be infected and to restrict any articles from leaving a designated quarantine area. He/she may also order the Civil Aviation Department to prohibit the landing or leaving, embarking or disembarking of an aircraft. This power also extends to land, sea or air crossings.

Under the same ordinance, any police officer, health officer, members of the Civil Aid Service
Civil Aid Service
The Civil Aid Service or CAS in short is a civil organisation that assist in a variety of auxiliary emergency roles, including search and rescue operations in Hong Kong:...

 or Auxiliary Medical Service can arrest a person who obstructs or escape from detention.

United Kingdom

To reduce the risk of introducing rabies
Rabies
Rabies is a viral disease that causes acute encephalitis in warm-blooded animals. It is zoonotic , most commonly by a bite from an infected animal. For a human, rabies is almost invariably fatal if post-exposure prophylaxis is not administered prior to the onset of severe symptoms...

 from Continental Europe
Continental Europe
Continental Europe, also referred to as mainland Europe or simply the Continent, is the continent of Europe, explicitly excluding European islands....

, the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 used to require that dogs, and most other animals introduced to the country spend six months in quarantine at an HM Customs and Excise
Her Majesty's Customs and Excise
HM Customs and Excise was, until April 2005, a department of the British Government in the UK. It was responsible for the collection of Value added tax , Customs Duties, Excise Duties, and other indirect taxes such as Air Passenger Duty, Climate Change Levy, Insurance Premium Tax, Landfill Tax and...

 pound; this policy was abolished at the beginning of the twenty-first century in favour of a scheme generally known as Pet Passports, where animals can avoid quarantine if they have documentation showing they are up to date on their appropriate vaccinations
Vaccine
A vaccine is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism, and is often made from weakened or killed forms of the microbe or its toxins...

.

United States

The United States puts immediate quarantines on imported products if the disease can be traced back to a certain shipment or product. All imports will also be quarantined if the diseases breakout in other countries.

Other uses

U.S. President John F. Kennedy
John F. Kennedy
John Fitzgerald "Jack" Kennedy , often referred to by his initials JFK, was the 35th President of the United States, serving from 1961 until his assassination in 1963....

 euphemistically referred to the U.S. Navy's interdiction of shipping en route to Cuba
Cuba
The Republic of Cuba is an island nation in the Caribbean. The nation of Cuba consists of the main island of Cuba, the Isla de la Juventud, and several archipelagos. Havana is the largest city in Cuba and the country's capital. Santiago de Cuba is the second largest city...

 during the Cuban missile crisis
Cuban Missile Crisis
The Cuban Missile Crisis was a confrontation among the Soviet Union, Cuba and the United States in October 1962, during the Cold War...

 as a "quarantine" rather than a blockade
Blockade
A blockade is an effort to cut off food, supplies, war material or communications from a particular area by force, either in part or totally. A blockade should not be confused with an embargo or sanctions, which are legal barriers to trade, and is distinct from a siege in that a blockade is usually...

, because a quarantine is a legal act in peacetime, whereas a blockade is defined as an act of aggression under the U.N. Charter.

In computer science
Computer science
Computer science or computing science is the study of the theoretical foundations of information and computation and of practical techniques for their implementation and application in computer systems...

, it describes putting files infected by computer virus
Computer virus
A computer virus is a computer program that can replicate itself and spread from one computer to another. The term "virus" is also commonly but erroneously used to refer to other types of malware, including but not limited to adware and spyware programs that do not have the reproductive ability...

es into a special directory, so as to eliminate the threat they pose, without irreversibly deleting them.

Notable quarantines

  • Eyam
    Eyam
    Eyam is a small village in Derbyshire, England. The village is best known for being the "plague village" that chose to isolate itself when the plague was discovered there in August 1665, rather than let the infection spread...

     was a village in Britain that chose to isolate itself to stop the spread of the plague northward in 1665. They were hindered in this by the time's limited knowledge of the disease: what caused it, what forms infection took, what animal vectors carried it, how it spread.
  • Typhoid Mary was quarantined in New York in the early twentieth century. She was an asymptomatic typhoid carrier and was considered a public health hazard.
  • The astronauts on Apollo 11
    Apollo 11
    In early 1969, Bill Anders accepted a job with the National Space Council effective in August 1969 and announced his retirement as an astronaut. At that point Ken Mattingly was moved from the support crew into parallel training with Anders as backup Command Module Pilot in case Apollo 11 was...

     were put into quarantine for a couple of days in the Lunar Receiving Laboratory
    Lunar Receiving Laboratory
    The Lunar Receiving Laboratory was a facility at NASA's Lyndon B. Johnson Space Center that was constructed to quarantine astronauts and material brought back from the Moon during the Apollo program to mitigate the risk of back-contamination...

     to make sure that they didn't carry any unknown diseases from the moon.
  • The 1972 outbreak of smallpox in Yugoslavia
    1972 outbreak of smallpox in Yugoslavia
    The 1972 outbreak of smallpox in Yugoslavia was the last major outbreak of smallpox in Europe. It was centred in Kosovo and Belgrade, Serbia . A Muslim pilgrim had contracted the smallpox virus in the Middle East. Upon returning to his home in Kosovo, he started the epidemic in which 175 people...

     was the final outbreak of smallpox
    Smallpox
    Smallpox was an infectious disease unique to humans, caused by either of two virus variants, Variola major and Variola minor. The disease is also known by the Latin names Variola or Variola vera, which is a derivative of the Latin varius, meaning "spotted", or varus, meaning "pimple"...

     in Europe. The WHO
    Who
    Who may refer to:* Who , an English-language pronoun* who , a Unix command* Who?, one of the Five Ws in journalism- Art and entertainment :* Who? , a 1958 novel by Algis Budrys...

     fought the outbreak with extensive quarantine, and the government instituted martial law
    Martial law
    Martial law is the imposition of military rule by military authorities over designated regions on an emergency basis— only temporary—when the civilian government or civilian authorities fail to function effectively , when there are extensive riots and protests, or when the disobedience of the law...

    .
  • Ted DeVita
    Ted DeVita
    Ted DeVita was a victim of severe aplastic anemia who was forced to live in a sterile hospital room for eight and a half years....

     had severe aplastic anemia and lived in a sterile hospital environment for 8 years due to his compromised immune system.
  • David Vetter
    David Vetter
    David Phillip Vetter was a boy from Shenandoah, Texas, United States who suffered from a rare genetic disease now known as severe combined immune deficiency syndrome . Forced to live in a sterile environment, he became popular with the media as the boy in the plastic bubble...

     suffered from a rare genetic disorder and lived his entire life in an isolated sterile environment.
  • In 1942, during World War II, British forces tested out their biological weapons programme on Gruinard Island
    Gruinard Island
    Gruinard Island ) is a small, oval-shaped Scottish island approximately long by wide, located in Gruinard Bay, about halfway between Gairloch and Ullapool. At its closest point to the mainland it is just more than offshore...

     and infected it with anthrax. The quarantine was lifted in 1990 when the island was declared safe and a flock of sheep were released onto the island.
  • Robert Daniels was quarantined in 2007 for having the deadliest form of tuberculosis
    Tuberculosis
    Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

     in an Arizona hospital, partly for not wearing a mask during his time in the outside world when he was diagnosed with the disease.
  • The UK's anti-rabies
    Rabies
    Rabies is a viral disease that causes acute encephalitis in warm-blooded animals. It is zoonotic , most commonly by a bite from an infected animal. For a human, rabies is almost invariably fatal if post-exposure prophylaxis is not administered prior to the onset of severe symptoms...

     quarantine regulations were a major plot point in "A Diplomatic Incident
    A Diplomatic Incident
    “A Diplomatic Incident” is the eleventh episode of the BBC comedy series Yes, Prime Minister and was first broadcast 17 December 1987.- Plot :...

    ", a 1987 episode of Yes, Prime Minister.
  • Andrew Speaker was placed under U.S. federal quarantine in 2007 after flying to Europe while knowing he had tuberculosis
    Tuberculosis
    Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

    , then flying back after learning it was an extensively drug resistant strain. He is the first person since 1963 to be under federal quarantine.
  • On the 28 July 1814 the convict ship Surry
    Surry (ship)
    Surry, later referred to as the Surrey, had an especially long career transporting convicts to Australia. In 11 voyages, the most of any convict transport, she brought 2,177 convicts, male and female, and so became one of the best-known of the vessels that visited Australia...

    arrived in Sydney Harbour from England. Over 40 persons had died during the voyage of typhoid including 36 convicts. The ship was placed in quarantine on the North Shore. Convicts were landed and a camp established in the immediate vicinity of what is now Jeffrey Street
    Jeffrey Street
    Jeffrey Street or Jeffreys Street, Kirribilli is famous as one of the most popular vantage points for views of the city of Sydney, the Sydney Harbour Bridge and the Sydney Opera House...

     in Kirribilli. This was the first site in Australia to be used for quarantine purposes.

See also

  • Extra-Terrestrial Exposure Law
    Extra-Terrestrial Exposure Law
    The Extra-Terrestrial Exposure Law was the popular name for a United States administrative regulation promulgated in 1969 to prevent the spread of biological contamination from space. Implemented before the Apollo 11 mission, it provided the legal authority for a quarantine period for the...

  • Isolation (health care)
    Isolation (health care)
    In health care, isolation refers to various measures taken to prevent contagious diseases from being spread from a patient to other patients, health care workers, and visitors, or from others to a particular patient...

  • Lazaretto
    Lazaretto
    A lazaretto or lazaret is a quarantine station for maritime travellers. Lazarets can be ships permanently at anchor, isolated islands, or mainland buildings. Until 1908, lazarets were also used for disinfecting postal items, usually by fumigation...

  • Pesthouse

List of quarantine services in the world

  • Australian Quarantine and Inspection Service
    Australian Quarantine and Inspection Service
    The Australian Quarantine and Inspection Service is the Australian government agency responsible for enforcing Australian quarantine laws...

  • MAF Quarantine Service, in the New Zealand
    New Zealand
    New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses and numerous smaller islands. The country is situated some east of Australia across the Tasman Sea, and roughly south of the Pacific island nations of New Caledonia, Fiji, and Tonga...

  • Quarantine, Western Australiahttp://www.agric.wa.gov.au/quarantine.htm for the Western Australian Government
  • Samoa Quarantine Service, in the West Samoa

External links

The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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