Daily Southtown

Positive test? You can still enter US

‘Backdoor’ routes via land being used to bypass requiremen­ts

- By Ceylan Yeginsu

Michelle Fishman calls it the “worst-case scenario that you don’t really think through.”

After a three-week vacation in Greece, the 52-yearold hotel art consultant from Miami and her husband took pre-departure coronaviru­s tests required to fly home from overseas. She tested positive, he did not.

Although coronaviru­s travel restrictio­ns have eased across many parts of the world, the United States still requires all internatio­nal air passengers to present a negative test taken within one day of departure. And according to guidance from the Centers for Disease Control and Prevention, Fishman should have isolated and delayed travel for 10 days.

Instead, she took advantage of a quirk in the rules to head home after five days (the mandatory self-isolation period required by the Greek government) via a “backdoor” — crossing into the United States by land, which does not require a coronaviru­s test. Because Canada does not require a test for entry, the couple flew to Toronto and, after spending a night there, Fishman and her husband drove to Buffalo, New York, and flew home.

“I had zero symptoms, no fever, nothing. I felt fine, and when you’re stateside, the CDC says you can end isolation five days after testing positive, so the same rules should apply when I’m traveling,” Fishman said. “It makes no sense that I can go to a wedding five days after a positive test in Miami, but if I catch the virus when I’m on vacation I can’t fly home. That should be illegal.”

It is not clear how many infected people are using

backdoor routes to get home, which can also include flying to Mexico and using a land crossing there as airlines do not require passengers to provide reasons for canceling or changing flights.

Asked if she was worried about infecting other passengers on her journey home from Greece (she tested positive again, on her fifth day), Fishman pointed to the CDC’s guidance for people who catch the virus in the United States, which says that asymptomat­ic people or those with symptoms that have resolved within the five-day isolation period can leave their homes. The recommenda­tion is based on the science that the majority of coronaviru­s transmissi­on occurs early in the course of the illness, the CDC said.

“I slept in the same bed as my husband for five nights and he didn’t catch it, so I don’t think I was contagious by the time I took the

flight home,” Fishman said. “I wore a mask the whole time.”

The CDC did not say why it has different policies in place for Americans who test positive at home and abroad, but a spokespers­on for the agency reiterated that travelers should follow the 10-day guidance to not travel before boarding a flight to the United States, even if they test negative. The Department of Homeland Security declined to comment on the possibilit­y of travelers using land borders to circumvent the testing requiremen­t for air travel.

The United States introduced the testing requiremen­t in January 2021, when fewer than 10% of Americans were vaccinated and cases of new infections and hospitaliz­ations were reaching record levels. Now, with higher vaccinatio­n rates and less severe cases of the virus, many American travelers,

as well as industry representa­tives, are calling for the requiremen­t to be lifted, arguing it does little to prevent new variants of the virus from spreading in the United States.

“The existence of these workaround­s highlights the absurdity of the current inbound testing policy that is nothing short of ineffectiv­e,” said Erika Richter, vice president of communicat­ions at the American Society of Travel Advisors. “We’re not following the science.”

David Freedman, president-elect of the American Society of Tropical Medicine and Hygiene, is concerned by travelers using this method, warning that infectious people taking a flight or public transporta­tion to a border crossing will put a lot of people who are not up to date on their vaccinatio­ns at risk, including at airport eateries and other places along the way.

“From a public health point of view, the infectious person may be carrying in one of the new variants BA. 4 or BA. 5, which is more infectious and is not so common yet in the U.S.,” he said. “There may be new, enhanced vaccines by the fall, and introducin­g these variants sooner rather than later may be bad.”

Mexican authoritie­s did not return requests for comment. U.S. travelers may enter Mexico without testing or quarantine, although they may be subject to health screenings on arrival.

Despite the expense of last-minute bookings, the backdoor routes are also being used by people preemptive­ly to ensure they can travel home on time.

Hilary Aranda, 39, a user experience designer, had just finished a two-week dance tour in Italy when 12 Americans in her group tested positive. She never took a test, instead canceling her flight home to Los Angeles for one to Tijuana, Mexico, with layovers in London and Mexico City. She then crossed the land border into San Diego and drove home. The changes to her itinerary set her back over $2,000.

“Everyone around me had COVID and I knew with my luck that if I took the test, it would come out positive and I didn’t want to risk it,” said Aranda, who wore a mask on her flights. “Looking back, it was kind of a crazy decision and a big schlep, but I had to get back to my life and kids.”

Some travelers who are more risk-averse, but still determined to avoid isolation in another country, have been using telemedici­ne services like QuickMD to obtain “documentat­ion of recovery” that allows people to travel to the United States without having to show a negative test. The option is available to travelers who continue to test positive 10 days after their initial positive test or onset of symptoms, as it can take weeks or even months before some people test negative.

During the video or phone consultati­on with a medical profession­al authorized to give travel clearance, some travelers have been lying about the date their symptoms started so that they can return home without having to complete the 10-day isolation period.

“It was a three-minute consultati­on, and I just told the doctor that my symptoms started earlier than they did,” said one traveler, who asked to speak anonymousl­y out of fear of getting into trouble with authoritie­s. He had tested positive in London a day before his scheduled flight home to New York, he said, but returned home three days later.

“I got my clearance document within an hour. It was so easy,” he said.

QuickMD did not respond to multiple requests for comment.

 ?? RUTH FREMSON/THE NEW YORK TIMES 2020 ?? Coronaviru­s tests aren’t needed to enter the U.S. by land from Canada or Mexico.
RUTH FREMSON/THE NEW YORK TIMES 2020 Coronaviru­s tests aren’t needed to enter the U.S. by land from Canada or Mexico.

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