This research explored the role of air travel in the spread of infectious diseases, specifically severe acute respiratory syndrome (SARS), H1N1, Ebola, and pneumonic plague. Air travel provides the means for such diseases to spread internationally at extraordinary rates because infected passengers jump from coast to coast and continent to continent within hours. Outbreaks of diseases that spread from person to person test the effectiveness of current public health responses. This research used a mixed methods approach, including use of the Spatiotemporal Epidemiological Modeler, to model the spread of diseases, evaluate the impact of air travel on disease spread, and analyze the effectiveness of different public health strategies and travel policies. Modeling showed that the spread of Ebola and pneumonic plague is minimal and should not be a major air travel concern if an individual becomes infected. H1N1 and SARS have higher infection rates and air travel will facilitate the spread of disease nationally and internationally. To contain the spread of infectious diseases, aviation and public health authorities should establish tailored preventive measures at airports, capture contact information for ticketed passengers, expand the definition of "close contact," and conduct widespread educational programs. The measures will put in place a foundation for containing the spread of infectious diseases via air travel and minimize the panic and economic consequences that may occur during an outbreak.
© National Academy of Sciences: Transportation Research Board 2018.