In response to the H1N1 influenza outbreak and the role of air travel in facilitating the virus’s rapid spread around the world, this paper contributes to debates concerning the governance of commercial aviation and infectious disease by examining the role of the Port Health Regulations and associated health security practices that are enacted at UK airports. Drawing on extensive action research and in-depth interviews that were conducted with key stakeholders in the aviation and health care sectors (including airport managers, ‘front line’ customer-facing airline staff, and public health clinicians) during the spring and early summer of 2009, we chart the development of sanitary regulations at UK airports and explore the challenges of performing health security screening at individual sites. In so doing, we identify a number of challenges that are associated with safeguarding public health against the dissemination of infectious diseases by air travel through UK airports. We also suggest that policy transfer may represent an effective mechanism through which best practice procedures from airports overseas could be adapted and incorporated in the UK
