The Mercury News

Trump’s travel ban showing gaps

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NEW YORK » In the weeks before President Donald Trump spoke from the Oval Office to announce restrictio­ns on travelers from more than two dozen countries in Europe, thousands of people from the region already had stepped off planes at U.S. airports, and an untold number of them carried the coronaviru­s.

The same can be said of flights from China in the weeks before the U.S. clamped down on those. Thousands who visited the country where the illness began had entered the United States without any kind of health review.

Such sobering realities highlight just one element of the federal government’s shortcomin­gs in getting ahead of the virus and halting its spread from overseas travelers.

A day-by-day review of the spread of an unfamiliar virus from its earliest days shows U.S. officials have often been slow to respond or steps behind, with critical gaps in containmen­t measures such as travel restrictio­ns and airport screenings that allowed the crisis to grow to more than 2,700 infections and 54 deaths.

“There have been gaps in the way the U.S. has approached its response, which has not been comprehens­ive enough to contain the virus at the early stages of the epidemic,” said Josh Michaud, associate director of global health policy with the Kaiser Family Foundation in Washington.

That was evident from the very beginning of the coronaviru­s outbreak in the U.S. On Jan. 15, a 35-yearold man returned home to Washington state through the Seattle airport after traveling to Wuhan, China, where the virus was spreading. He would become the nation’s first known case.

Shortly before, on Jan. 13, a woman in her 60s arrived home through the Chicago airport after traveling to Wuhan. She would be Chicago’s first known case.

Both of those travelers came to U.S. days before the federal government began screenings for passengers who traveled through Wuhan at three U.S. internatio­nal airports, New York’s Kennedy, San Francisco and Los Angeles. That list was expanded Jan. 21 to include hubs in Chicago and Atlanta. Seattle-tacoma wouldn’t be added to the list until Jan. 28.

Also, there’s no guarantee those screenings — which involved passengers filling out health forms and having their temperatur­es taken — would have caught those early patients, who didn’t report symptoms until later. U.S. researcher­s say screenings may miss half of COVID-19 infected people, since they may not develop symptoms for several days.

By Jan. 24, both the Chicago woman and Washington state man had sought medical care after feeling sick, and tests confirmed they had the virus. Learning of the two early cases, public health workers scrambled to reach hundreds of people who may have been exposed to them on flights and on the ground, knowing they wouldn’t be able to find them all with certainty.

With infections in Wuhan multiplyin­g fast an alarming rate, the White House announced on Jan. 31 that nonresiden­ts who had recently been to mainland China would no longer be allowed entry.

Americans returning from the Wuhan region would be subject to a mandatory quarantine.

 ?? MICHAEL DWYER — THE ASSOCIATED PRESS ?? Beginning at midnight Friday, most Europeans were banned from entering the United States for 30days as officials try to slow the spread of the coronaviru­s.
MICHAEL DWYER — THE ASSOCIATED PRESS Beginning at midnight Friday, most Europeans were banned from entering the United States for 30days as officials try to slow the spread of the coronaviru­s.

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