by hilzoy
On October 4, President Bush said this at a press conference:
“The policy decisions for a President in dealing with an avian flu outbreak are difficult. One example: If we had an outbreak somewhere in the United States, do we not then quarantine that part of the country, and how do you then enforce a quarantine? When — it’s one thing to shut down airplanes; it’s another thing to prevent people from coming in to get exposed to the avian flu. And who best to be able to effect a quarantine? One option is the use of a military that’s able to plan and move. And so that’s why I put it on the table. I think it’s an important debate for Congress to have.”
When he made that remark, I thought: the idea of using quarantines in the face of the threat of disease is exactly the sort of idea that might occur to some people for bad reasons, and perhaps be opposed by others for equally bad reasons, especially in the face of an emerging infectious disease. Just think back to the early 1980s, when AIDS first hit the news: there were all sorts of calls for quarantines; kids with AIDS were prevented from going to school or, in one case, allowed to sit in a glass box in the classroom; and so on and so forth. This was a completely inappropriate reaction to AIDS: for reasons that will become clear later, AIDS is a terrible candidate for quarantine. Nonetheless, they were very common then (and some people still advocate them to this day.)
It seemed to me that it would be a very good idea to write something about quarantines and the circumstances in which they can and should be used, so that as many people as possible outside fields like public health will already have thought about them before the need arises and emotions get heated. That way, there will be more people scattered about the general populace who can assess calls for quarantines if avian flu or some other new and dangerous infectious disease hits. And the more such people there are, the less likely we will be to do something stupid.