Originally Posted by
l etoile
As 84fiero correctly reported and linked to above, the Do Not Board list requires two conditions be met. The patient must have the disease and meet one of a few other possible conditions, including be likely to travel. I’m not sure how the CDC would know that unless the physician reported it. I suppose the government could run some sort of search of all infected people against airline reservations, but that seems unlikely and ineffective.
I would guess seeing a dr in a state you don’t live in would cause the physician to conclude one would be likely to travel home.
But I don’t know. I’m just trying to find out if he should expect to have trouble getting off of it.
I just talked to a few people involved in such matters across a few states here. The general agreement was that when a confirmed diagnosis comes for a listed infectious disease, the case typically gets relayed by the lab or clinical administration facility to the local/state health authorities, which then forward it to the CDC. None of them said they knew of private sector physicians — of those not in contract or employment relationship to the government authorities — to communicate directly to inform CDC of a case for such diseases that CDC would act like this. They may be contacted by the CDC. Even those who work for government employers, said that it’s typically been the lab or facility’s designated administration liaison — not the patient’s clinician — reporting the case. A change of doctor shouldn’t make a difference. The lab that has the confirmed diagnosis will report as required by law or be out of compliance with the law.
That’s about the criteria for reporting and mandatory reporting.
The patient’s file for insured patients has insurance info on it. Even otherwise they keep patient address info for billing purposes. With just a name and birthdate for a US person, it’s pretty easy for the federal government to have some idea about where a US person resident in the US has lived or lives. If the person flew into the US, the CBP has a lot of info, often including IP address info for travel bookings. And CBP and TSA have a lot of future travel bookings’ info even before the booked passengers can attempt to check-in.
That’s about locating the person and figuring out some travel history and plans.
The evaluation of criteria being met for placement on PH DNB and PH Lookout are not determined by the typical clinician. It’s not even in the hands of the typical labs confirming a listed disease infection case for mandatory reporting purposes. It’s in the hands of the government authorities after being fed info from mandatory reporters. Changing doctors shouldn’t make a difference.
That’s about how placement on these blacklists take place.