Recently, the president banned most non-US citizens from entry into the United States traveling from the Schengen area (an area comprising 26 European states that have officially abolished all passport and other types of border control), the United Kingdom, and Ireland, on top of existing bans from China and Iran. The PHSA 4 and CDC regulations permit the federal government to take additional actions deemed reasonably necessary to prevent interstate spread of communicable diseases if state and local responses are inadequate, but the extent of this authority has not been tested. The CDC has not exercised its quarantine authority in the last 50 years ago other than to address single, suspected cases. This extensive use of federal quarantine powers has no modern precedent. 3 The CDC has used this authority to isolate and quarantine repatriated US citizens from Hubei Province, China, and 2 cruise ships. The PHSA authorizes the HHS secretary to prevent international and interstate spread of communicable diseases, regardless of emergency declarations.
He also declared an emergency under the Stafford Disaster Relief and Emergency Assistance Act, asserting “the preeminent responsibility of the Federal Government to take action to stem a nationwide pandemic,” 2 coordinated through the Federal Emergency Management Agency. On March 13, the president declared a national emergency under the National Emergencies Act, waiving federal rules to facilitate telemedicine and increase hospital capacity. On January 31, US Secretary of Health and Human Services (HHS) Alex Azar issued a public health emergency under the Public Health Service Act (PHSA), authorizing funds and facilitating rapid development of diagnostic tests, antiviral drugs, and vaccines. The federal government has declared 3 national emergencies in response to COVID-19. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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