Suspected Communicable Disease
General Guidelines for Passenger Agents:
The following are general guidelines for Passenger Agents (Check-in and Gate) when facing a suspected case of communicable disease at the departure airport. During an outbreak of a specific communicable disease, the World Health Organization (WHO) or member states may modify or add further procedures to these general guidelines. However, these general guidelines would always provide a basic framework of response that would reassure passenger agents and help them through any unplanned incident.
A communicable disease is suspected when a passenger:
- has a visible skin rash or,
- is obviously unwell and/or,
- complains of any of the following:
- severe cough
- high fever
- high fever accompanied by abnormal bleeding
- persistent diarrhea
- skin rash
It is well understood that most of these signs and/or symptoms may not be obvious at the counter. However the point is, when in doubt regarding the health of a passenger, especially during an outbreak, go back to an established procedure.
- Call your supervisor.
- If the supervisor agrees with your concerns and if medical support is available (own medical department or outside designated physician or group) contact that support immediately.
- If supervisor agrees with your concerns but medical support is not immediately available, deny boarding and ask the passenger to consult a physician and request a medical clearance before travel is accepted.
- If assistance is required to escort a passneger, appropriate personal protective equipment (PPE) should be worn as necessary.
Source: Guidelines for air transport employees. International Air Transport Association (IATA), issued March 14, 2006.

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