This release has been issued for public information and notification purposes only.
(A) Fever (has a measured temperature of 100.4 °F [38 °C] or greater; or feels warm to the touch; or
gives a history of feeling feverish) accompanied by one or more of the following:
o skin rash,
o difficulty breathing or suspected or confirmed pneumonia,
o persistent cough or cough with bloody sputum,
o decreased consciousness or confusion of recent onset,
o new unexplained bruising or bleeding (without previous injury),
o persistent vomiting (other than sea sickness)
o headache with stiff neck;
(B) Fever that has persisted for more than 48 hours;
(C) Acute gastroenteritis, which means either:
o diarrhea, defined as three or more episodes of loose stools in a 24-hour period or what is above
normal for the individual, or
o vomiting accompanied by one or more of the following: one or more episodes of loose stools in a
24-hour period, abdominal cramps, headache, muscle aches, or fever (temperature of 100.4 °F
[38 °C] or greater);
Additionally, as required by
42 CFR 71.21,
the master of a ship destined
for a U.S. port shall report immediately
to the quarantine station at or nearest the port at which the ship will arrive, the occurrence, on board, of any
death or any ill person among passengers or crew (including those who have disembarked or have been
removed) during the 15-day period preceding the date of expected arrival or during the period since departure
from a U.S. port (whichever period of time is shorter). Guidance and forms to report deaths and illnesses to the
CDC can be found at: https://go.usa.gov/xdjmj.
Richard Timme, RDML, U.S. Coast Guard, Assistant Commandant for Prevention Policy sends.