Galveston County Health District Perspectives on Handling TB Aboard a Cruise Line Contributors: Dana Beckham, DVM H. Mark Guidry, MD, MPH Cassandra Arceneaux, MD, MPH Syed Haidry, MD, MPH Case Scenario
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Galveston County Health District Perspectives on Handling TB Aboard a Cruise Line
Dana Beckham, DVM
H. Mark Guidry, MD, MPH
Cassandra Arceneaux, MD, MPH
Syed Haidry, MD, MPH
This Howard County resident left Galveston county (against advice of health authority letter) and began driving back
to Howard County….
How many counties would she cross in her drive back home? How many stops for gas, food, water, or hotel accommodations?
Suppose the Howard County resident drove to Hobby Airport or Bush Intercontinental (Harris County) to fly back….
How many passengers in how many states throughout the country might be expose?
Person Identified as a Public Health Threat and Non-Compliant
LHA write medical affidavit based on patient’s medical chart
Medical affidavit sent to DSHS for commissioner/designee
Issue a concurrence & designate facility/ies to confine patient for temp. and long term TX
County Legal review
Judge set date and time for court hearing
Judge makes decision to sign and issue order to temporarily confine patient
Law enforcement is ordered to enforce temporary court-order
Long Term confinement
Patient gets an attorney
Judge sets hearing
Agree to Trial
Waive Right to Trial
Set trial, pick jurors, set date
Judge issue order for long term TX facility decided upon by DSHS
Outcome depends on verdict
Patient transported from temp facility to long term facility