The Centers for Disease Control and Prevention updated the “Ebola Guidance for Airlines on Friday.

Purpose: To give information to airlines on stopping ill travelers from boarding, managing and reporting onboard sick travelers, protecting crew and passengers from infection, and cleaning the plane and disinfecting contaminated areas.

Key Points

  • A U.S. Department of Transportation rule permits airlines to deny boarding to air travelers with serious contagious diseases that could spread during flight, including travelers with possible Ebola symptoms. This rule applies to all flights of U.S. airlines, and to direct flights (no change of planes) to or from the United States by foreign airlines.
  • Cabin crew should follow routine infection control precautions for onboard sick travelers. If in-flight cleaning is needed, cabin crew should follow routine airline procedures using personal protective equipment available in the Universal Precautions Kit. If a traveler is confirmed to have had infectious Ebola on a flight, CDC will conduct an investigation to assess risk and inform passengers and crew of possible exposure.
  • Hand hygiene and other routine infection control measures should be followed.
  • Treat all body fluids as though they are infectious.

Updates: Guidance for airline cleaning personnel  Updated September 5, 2014

Public domain Image/ Daniel2986 at the wikipedia project.
Public domain Image/ Daniel2986 at the wikipedia project.

Stopping ill travelers from boarding aircraft

A U.S. Department of Transportation rule permits airlines to deny boarding to air travelers with serious contagious diseases that could spread during flight, including travelers with possible Ebola symptoms. This rule applies to all flights of U.S. airlines, and to direct flights (no change of planes) to or from the United States by foreign airlines. (See Department of Transportation Title14 Code of Federal Regulations, Part 382.)

General infection control precautions

Personnel should always follow basic infection control precautions to protect against any type of infectious disease.

Managing ill people on aircraft if Ebola is suspected

It is important to assess the risk of Ebola by getting more information. Ask sick travelers whether they were in a country with an Ebola outbreak. Look for or ask about Ebola symptoms: fever (gives a history of feeling feverish or having chills), severe headache, muscle pain, vomiting, diarrhea (several trips to the lavatory), stomach pain, or unexplained bleeding or bruising.

The risk of spreading Ebola to passengers or crew on an aircraft is low because Ebola spreads by direct contact with infected body fluids. Ebola does NOT spread through the air like flu.

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