HEALTH MI Members Pandemic Flu Documentation

Hfcomms

EN66iq
In case of a pandemic flu event in Michigan these 3 files provide critical information for plans the public health authorites in the state have.

michplan...Is a summary of the pandemic emergency response plan.

mipancode...Public health code dealing with health emergencies

miplanlaw...Summary of authority and actions under public health code regarding public health emergencies.

This is a winrar archive that has all 3 files in it in pdf format.


www.bigbaywx.com/mipandoc.rar
 
Last edited:

Hfcomms

EN66iq
I had to reread these documents as it's been awhile but they take a lot of authority to themselves in a health emergency. Including removing you, your children or family from your homes by forcibly relocating you and imposing emergency 'treatment' on you whether you want it or not. Chilling...and you have nothing to say about it.
 

SassyinAZ

Inactive
The States all followed model plans issued by the Feds in cohoots with WHO -- your concerns for MI are mimicked in every state, at all levels.
 

momof23goats

Deceased
I had to reread these documents as it's been awhile but they take a lot of authority to themselves in a health emergency. Including removing you, your children or family from your homes by forcibly relocating you and imposing emergency 'treatment' on you whether you want it or not. Chilling...and you have nothing to say about it.

I can not get this to open for me.
 

SassyinAZ

Inactive
Here's the summary for Michigan: http://www.michigan.gov/documents/SummaryEmergRespPlans_153951_7.pdf

Can't find the others referred to in the OP specifically, but here is the Department of Health and Human Services model plan that all States worked from:

http://www.hhs.gov/pandemicflu/plan/

All State's plans are linked from here: http://www.pandemicflu.gov/whereyoulive/index.html

Or to find your own States nitty-gritty details (they usually aren't in the summary or public fluffy versions), put your state and pandemic flu plan in any search engine.

They are all similar though, from the model version.
 

China Connection

TB Fanatic
A Summary of
Emergency Response Plans for Avian Influenza/Pandemic Influenza
Michigan Departments of
Agriculture, Community Health and Natural Resources
and USDA Wildlife Services
2-14-06
Michigan governmental agencies, federal, university, and industry partners are working
together to prevent, prepare, and if necessary, respond, and recover from a novel
influenza outbreak having the potential to affect humans and/or animals. The
surveillance and management roles and responsibilities of each agency have been
identified for a unified approach that considers humans, domestic animals, and wildlife.
Recently, these partners assembled the Michigan Inter Agency Avian Influenza Work
Group to ensure that these efforts were managed with an interdepartmental perspective.
The State of Michigan, Department of Community Health has had a Pandemic Influenza
Plan in place since 2002. The 2005 version is now part of the All Hazards Response
Plan, created in 2004 and finalized in 2005.
The Pandemic Influenza Plan has been available to Local Health Department planning
and emergency preparedness partners on the Health Alert Network (or “HAN”)—a
statewide disease alert system for health care providers and public health leaders. The
latest version of the Pandemic Flu plan was posted on the HAN in early January, 2006.
We continue to update our plans as new information and resources become available.
And we carry out regular preparedness exercises and revise our plans as needed based on
the results of those exercises.
The State has also made pandemic influenza information available to the public though
the website: www.mdch.gov/influenza and to local public health and health care partners
through the Health Alert Network.
Michigan has among the finest public health and animal diagnostic laboratories in the
country. The labs continually diagnose illnesses by utilizing the latest techniques to
detect microbes.
The State’s ongoing preparedness efforts related to chemical and biological threats have
no doubt contributed to preparedness for the emergence of new diseases transmitted from
animals to humans. The following information briefly explains each department’s role in
avian influenza pandemic flu planning.
STATE PLANS
The Michigan Department of Community Health, All Hazards Response Plan, developed
and maintained as required by Act 390, PA of 1976 and as referenced in the Michigan
Emergency Management Plan, is approved and current. MDCH staff and contractors
follow the systems, assignments, protocols, and procedures contained in the plan when
responding to disasters, emergencies or providing supplemental relief assistance in
support of local governments and agencies.
The Michigan Emergency Avian Disease Manual was developed through consultation,
coordination, and agreement with Michigan’s poultry industry (Michigan Allied Poultry
Industries, Inc.), the State Veterinarian’s Office of the Michigan Department of
Agriculture, the United States Department of Agriculture’s Animal and Plant Health
Inspection Service (USDA/APHIS) Area Veterinarian-In-Charge (AVIC) and Michigan
State University (MSU). In the event of an emergency avian disease, implementation of
all or part of this plan will be made at the discretion of the State Veterinarian’s or
USDA/APHIS AVIC Office with consultation and coordination with Michigan’s poultry
industry. This manual also serves as a guide to prevent the spread of infectious avian
diseases as well as to assist in the development of appropriate biosecurity plans in order
to prevent such an occurrence.
The DNR Avian Influenza Response Plan is divided into two categories: Surveillance and
Response. Early detection and the rapid, accurate diagnosis of disease set the stage for
response activities to follow. These are accomplished by surveillance of wild populations
to detect sick or dead birds through diagnostic testing. Once surveillance has provided a
basic understanding of the distribution of the disease and its magnitude, specific response
activities can be formulated. These are used to control the spread of disease, prevent
exposure of susceptible but as yet unexposed hosts, and, where possible and desirable,
eradicate the disease.
The State of Michigan Risk Communication Plan for H5N1 Highly Pathogenic Avian
Influenza can also be broadly divided into two categories: Surveillance and Response.
Communications and education activities will change tone and direction depending on
circumstance, but are active, ongoing functions related to both surveillance and response
modes. Most media accounts work to draw basic public understanding of the disease by
linking it with Pandemic Influenza. Continual communication and education activities,
directed at lawmakers, key constituency groups, the media, and the general public will
raise public awareness of AI, increase understanding of the disease, and help ensure
broad-based public support in the event that the state moves from a surveillance mode to
a response mode.
(For full emergency response plans see Michigan AI Emergency Response Plans binder
or visit http://www.Michigan.gov/emergingdiseases )
FEDERAL PLANS
The ability to efficiently control the spread of a highly infectious, exotic disease such as
Asian H5N1, is dependent upon the capacity to rapidly detect the pathogen if introduced.
For this reason, a National Early Detection System for Asian H5N1 in Wild Migratory
Birds is not only prudent, it is necessary. Effective implementation of this National
Detection System will require decentralized planning and execution at regional and state
levels, combined with centralized coordination to ensure national level analysis of
surveillance data for risk assessment. It also involves a partnership between public and
private interests and includes efforts by Federal, State, and local governments as well as
nongovernmental organizations, universities, and other interest groups.
Coordinating groups such as the four Flyway Councils already exist to deal with issues
related to migratory bird management on a broad geographic scale. These Councils
include representation from each of the States in their respective bird flyways as well as
the U.S. Fish and Wildlife Service. Therefore, the planning and execution of local and
regional Asian H5N1 early detection efforts will best be accomplished by the States in
collaboration with Federal agencies. States and flyways are exposed to varying degrees of
threat from Asian H5N1. Each has unique circumstances that will shape the direction and
intensity of its early detection efforts. Local USDA offices, both Veterinary Services
(VS) and Wildlife Services (WS) will provide support, surveillance and response services
at infected farms.
Consequently, gaps among regional programs may emerge over time. Centralized
coordination will evaluate the effectiveness of state and regional efforts, allowing for
prioritization of available federal resources.
Integration of this National Early Detection System with similar influenza surveillance
systems in other species (e.g., domestic, feral, zoo) as well as humans will also require
centralized coordination. Surveillance data from all of these systems will be incorporated
into national risk assessments, and preparedness and response planning efforts.
(For full emergency response plans see Michigan AI Emergency Response Plans binder
or visit http://www.Michigan.gov/emergingdiseases )
CONTACTS:
Michigan Department of Community Health
Dr. Eden Wells, Medical Specialist, Bureau of Epidemiology (517) 335-8165
Orlene Christie, Legislative Liaison (517) 373-6440
Michigan Department of Agriculture
Dr. Steven Halstead, State Veterinarian (517) 373-8118
Liesl Clark, Legislative Liaison (517) 335-2005
Michigan Department of Natural Resources
Dr. Steve Schmitt, Wildlife Veterinarian in Charge (517) 336-5040
Rodney Stokes, Legislative Liaison (517) 373-0023
USDA Wildlife Services
Peter H. Butchko, State Director (517) 336-1928
 

China Connection

TB Fanatic
PUBLIC HEALTH CODE (EXCERPT) *
Act 368 of 1978
Article 1
PRELIMINARY PROVISIONS
Part 12
GENERAL PROVISIONS
333.1291 Obstruction of person enforcing health law.
Sec. 1291.
A person shall not wilfully oppose or obstruct a department representative, health
officer, or any other person charged with enforcement of a health law in the
performance of that person's legal duty to enforce that law.
333.1299 Violation as misdemeanor; prosecution.
Sec. 1299.
(1) A person who violates a provision of this code for which a penalty is not otherwise
provided is guilty of a misdemeanor.
(2) A prosecuting attorney having jurisdiction and the attorney general knowing of a
violation of this code, a rule promulgated under this code, or a local health department
regulation the violation of which is punishable by a criminal penalty may prosecute the
violator.
Article 2
ADMINISTRATION
Part 24
LOCAL HEALTH DEPARTMENTS
333.2428 Local health officer; appointment; qualifications; powers and duties.
Sec. 2428.
(1) A local health department shall have a full-time local health officer appointed by the
local governing entity or in case of a district health department by the district board of
health. The local health officer shall possess professional qualifications for
administration of a local health department as prescribed by the department.
(2) The local health officer shall act as the administrative officer of the board of health
and local health department and may take actions and make determinations necessary
or appropriate to carry out the local health department's functions under this part or
functions delegated under this part and to protect the public health and prevent
disease.
333.2433 Local health department; powers and duties generally.
Sec. 2433.
(1) A local health department shall continually and diligently endeavor to prevent
disease, prolong life, and promote the public health through organized programs,
* Underlined and bracketed text not in original.
2
including prevention and control of environmental health hazards; prevention and
control of diseases; prevention and control of health problems of particularly vulnerable
population groups; development of health care facilities and health services delivery
systems; and regulation of health care facilities and health services delivery systems to
the extent provided by law.
(2) A local health department shall:
(a) Implement and enforce laws for which responsibility is vested in the local health
department.
(b) Utilize vital and health statistics and provide for epidemiological and other research
studies for the purpose of protecting the public health.
(c) Make investigations and inquiries as to:
(i) The causes of disease and especially of epidemics.
(ii) The causes of morbidity and mortality.
(iii) The causes, prevention, and control of environmental health hazards, nuisances,
and sources of illness.
(d) Plan, implement, and evaluate health education through the provision of expert
technical assistance, or financial support, or both.
(e) Provide or demonstrate the provision of required services as set forth in section
2473(2).
(f) Have powers necessary or appropriate to perform the duties and exercise the
powers given by law to the local health officer and which are not otherwise prohibited
by law.
(g) Plan, implement, and evaluate nutrition services by provision of expert technical
assistance or financial support, or both.
(3) This section does not limit the powers or duties of a local health officer otherwise
vested by law.
333.2435 Local health department; additional powers.
Sec. 2435.
A local health department may:
(a) Engage in research programs and staff professional training programs.
(b) Advise other local agencies and persons as to the location, drainage, water supply,
disposal of solid waste, heating, and ventilation of buildings.
(c) Enter into an agreement, contract, or arrangement with a governmental entity or
other person necessary or appropriate to assist the local health department in carrying
out its duties and functions unless otherwise prohibited by law.
(d) Adopt regulations to properly safeguard the public health and to prevent the spread
of diseases and sources of contamination.
(e) Accept gifts, grants, bequests, and other donations for use in performing the local
health department's functions. Funds or property accepted shall be used as directed by
its donor and in accordance with the law, rules, and procedures of this state and the
local governing entity.
(f) Sell and convey real estate owned by the local health department.
(g) Provide services not inconsistent with this code.
(h) Participate in the cost reimbursement program set forth in sections 2471 to 2498.
(i) Perform a delegated function unless otherwise prohibited by law.
[See MCL 333.2441 and MCL 333.2442 regarding the process and procedures for a local
health department to adopt regulations.] “A person who violates a regulation [of a local
health department] is guilty of a misdemeanor, punishable by imprisonment for not more
than 90 days, or a fine of not more than $200.00, or both.” MCL 333.2441(2).
3
333.2446 Inspection or investigation.
Sec. 2446.
To assure compliance with laws enforced by a local health department, the local health
department may inspect, investigate, or authorize an inspection or investigation to be
made of, any matter, thing, premise, place, person, record, vehicle, incident, or event.
Sections 2241 to 2247 apply to an inspection or investigation made under this section.
[Per this section, the following provisions of the Public Health Code apply to the local health
department, as well as the state health department, for obtaining an inspection or
investigation warrant.]
333.2241 Inspection or investigation to assure compliance; application for
warrant.
Sec. 2241.
(1) To assure compliance with laws enforced by the department, the department may
inspect, investigate, or authorize an inspection or investigation to be made of any
matter, thing, premises, place, person, record, vehicle, incident, or event.
(2) The department may apply for an inspection or investigation warrant under section
2242 to carry out this section.
333.2242 Warrant; affidavit required for issuance.
Sec. 2242.
Upon receipt of an affidavit made on oath establishing grounds for issuing a warrant
pursuant to section 2243, a magistrate shall issue an inspection or investigation
warrant authorizing the department applying for the warrant to conduct an inspection
or investigation.
333.2243 Warrant; grounds for issuance.
Sec. 2243.
A magistrate shall issue an inspection or investigation warrant if either of the following
exists:
(a) Reasonable legislative or administrative standards for conducting a routine or area
inspection are satisfied with respect to the particular thing, premises, place, person,
record, vehicle, incident, or event.
(b) There is reason to believe that noncompliance with laws enforced by the state or
local health department may exist with respect to the particular thing, premises, place,
person, record, vehicle, incident, or event.
333.2244 Warrant; finding of cause.
Sec. 2244.
The magistrate's finding of cause shall be based on the facts stated in the affidavit. The
affidavit may be based upon reliable information supplied to the applicant from a
credible individual, named or unnamed, if the affidavit contains affirmative allegations
that the individual spoke with personal knowledge of the matters contained in the
affidavit.
333.2245 Warrant; directing to law enforcement officer; contents.
Sec. 2245.
An inspection or investigation warrant may be directed to the sheriff or any law
enforcement officer, commanding the officer to assist the state or local health
department in the inspection or investigation. A warrant shall designate and describe
4
the location or thing to be inspected and the property or thing to be seized. The
warrant shall state the grounds or cause for its issuance or a copy of the affidavit shall
be attached to the warrant.
333.2246 Warrant; execution.
Sec. 2246.
The officer to whom an inspection or investigation warrant is directed or a person
assisting the officer may break an outer or inner door or window of a house or building,
or anything therein, to execute the warrant, if, after notice of his or her authority and
purpose, the officer is refused admittance, or when necessary to liberate the officer or
person assisting the officer in execution of the warrant.
333.2247 Warrant; procuring maliciously or without cause; misdemeanor.
Sec. 2247.
A person who maliciously and without cause procures an inspection or investigation
warrant to be issued and executed is guilty of a misdemeanor.
Part 24 - LOCAL HEALTH DEPARTMENTS, continued
333.2451 Imminent danger to health or lives; informing individuals affected;
order; noncompliance; petition to restrain condition or practice; “imminent
danger” and “person” defined.
Sec. 2451.
(1) Upon a determination that an imminent danger to the health or lives of individuals
exists in the area served by the local health department, the local health officer
immediately shall inform the individuals affected by the imminent danger and issue an
order which shall be delivered to a person authorized to avoid, correct, or remove the
imminent danger or be posted at or near the imminent danger. The order shall
incorporate the findings of the local health department and require immediate action
necessary to avoid, correct, or remove the imminent danger. The order may specify
action to be taken or prohibit the presence of individuals in locations or under
conditions where the imminent danger exists, except individuals whose presence is
necessary to avoid, correct, or remove the imminent danger.
(2) Upon the failure of a person to comply promptly with an order issued under this
section, the local health department may petition a circuit or district court having
jurisdiction to restrain a condition or practice which the local health officer determines
causes the imminent danger or to require action to avoid, correct, or remove the
imminent danger.
(3) As used in this section:
(a) “Imminent danger” means a condition or practice which could reasonably be
expected to cause death, disease, or serious physical harm immediately or before the
imminence of the danger can be eliminated through enforcement procedures otherwise
provided.
(b) “Person” means a person as defined in section 1106 or a governmental entity.
333.2453 Epidemic; emergency order and procedures; involuntary detention and
treatment.
Sec. 2453.
(1) If a local health officer determines that control of an epidemic is necessary to
protect the public health, the local health officer may issue an emergency order to
prohibit the gathering of people for any purpose and may establish procedures to be
5
followed by persons, including a local governmental entity, during the epidemic to
insure continuation of essential public health services and enforcement of health laws.
Emergency procedures shall not be limited to this code.
(2) A local health department or the department may provide for the involuntary
detention and treatment of individuals with hazardous communicable disease in the
manner prescribed in sections 5201 to 5238.
333.2455 Building or condition violating health laws or constituting nuisance,
unsanitary condition, or cause of illness; order; noncompliance; warrant;
assessment and collection of expenses; liability; judicial order; other powers not
affected.
Sec. 2455.
(1) A local health department or the department may issue an order to avoid, correct,
or remove, at the owner's expense, a building or condition which violates health laws or
which the local health officer or director reasonably believes to be a nuisance,
unsanitary condition, or cause of illness.
(2) If the owner or occupant does not comply with the order, the local health
department or department may cause the violation, nuisance, unsanitary condition, or
cause of illness to be removed and may seek a warrant for this purpose. The owner of
the premises shall pay the expenses incurred.
(3) If the owner of the premises refuses on demand to pay expenses incurred, the
sums paid shall be assessed against the property and shall be collected and treated in
the same manner as taxes assessed under the general laws of this state. An occupant
or other person who caused or permitted the violation, nuisance, unsanitary condition,
or cause of illness to exist is liable to the owner of the premises for the amount paid by
the owner or assessed against the property which amount shall be recoverable in an
action.
(4) A court, upon a finding that a violation or nuisance may be injurious to the public
health, may order the removal, abatement, or destruction of the violation or nuisance
at the expense of the defendant, under the direction of the local health department
where the violation or nuisance is found. The form of the warrant to the sheriff or other
law enforcement officer may be varied accordingly.
(5) This section does not affect powers otherwise granted to local governments.
333.2465 Injunctive action; liability for damages.
Sec. 2465.
(1) Notwithstanding the existence and pursuit of any other remedy, a local health
officer, without posting bond, may maintain injunctive action to restrain, prevent, or
correct a violation of a law, rule, or order which the officer has the duty to enforce, or
to restrain, prevent, or correct an activity or condition which the officer believes
adversely affects the public health.
(2) A local health officer or an employee or representative of a local health department
is not personally liable for damages sustained in the performance of local health
department functions, except for wanton and wilful misconduct.
6
Article 5
PREVENTION AND CONTROL OF DISEASES AND DISABILITIES
Part 51
GENERAL PROVISIONS
333.5101 Definitions and principles of construction.
Sec. 5101.
(1) As used in this article:
(a) “Care” includes treatment, control, transportation, confinement, and isolation in a
facility or other location.
(b) “Communicable disease” means an illness due to a specific infectious agent or its
toxic products that results from transmission of that infectious agent or its products
from a reservoir to a susceptible host, directly as from an infected individual or animal,
or indirectly through the agency of an intermediate plant or animal host, vector, or the
inanimate environment.
(c) “HIV” means human immunodeficiency virus.
(d) “HIV infection” or “HIV infected” means the status of an individual who has tested
positive for HIV, as evidenced by either a double positive enzyme-linked
immunosorbent assay test, combined with a positive western blot assay test, or a
positive result under an HIV test that is considered reliable by the federal centers for
disease control and is approved by the department.
(e) “Immunization” means the process of increasing an individual's immunity to a
disease by use of a vaccine, antibody preparation, or other substance.
(f) “Infection” means the invasion of the body with microorganisms or parasites,
whether or not the invasion results in detectable pathologic effects.
(g) “Serious communicable disease or infection” means a communicable disease or
infection that is designated as serious by the department pursuant to this part. Serious
communicable disease or infection includes, but is not limited to, HIV infection,
acquired immunodeficiency syndrome, venereal disease, and tuberculosis.
(h) “Venereal disease” means syphilis, gonorrhea, chancroid, lymphogranuloma
venereum, granuloma inguinale, and other sexually transmitted diseases which the
department by rule may designate and require to be reported.
(2) In addition, article 1 contains general definitions and principles of construction
applicable to all articles in this code.
333.5117 Individual with serious communicable disease or infection; order
authorizing care; report; authority not restricted; financial liability for care.
Sec. 5117.
(1) A local health department that knows that an individual who has a serious
communicable disease or infection including, but not limited to, tuberculosis or venereal
disease, but not including HIV infection and acquired immunodeficiency syndrome
[which are covered by other sections of the Public Health Code], regardless of the
individual's domicile, is in the local health department's jurisdiction and requires care,
immediately shall furnish the necessary care in accordance with requirements
established by the department pursuant to section 5111(h). The local health
department shall issue an order authorizing the care.
(2) The local health department promptly shall report the action taken under this
section to the county department of social services of the individual's probable place of
domicile.
7
(3) This section does not restrict the authority of the local health department in
furnishing care to the individual, pending determination by the local health department
or, upon its request, by the county department of social services of the probable place
of domicile of the individual.
(4) Financial liability for care rendered under this section shall be determined in
accordance with part 53.
Part 52
HAZARDOUS COMMUNICABLE DISEASES
333.5201 Definitions and principles of construction.
Sec. 5201.
(1) As used in this part:
(a) “Carrier” means an individual who serves as a potential source of infection and who
harbors or who the department reasonably believes to harbor a specific infectious agent
or a serious communicable disease or infection, whether or not there is present
discernible disease.
(b) “Health threat to others” means that an individual who is a carrier has
demonstrated an inability or unwillingness to conduct himself or herself in such a
manner as to not place others at risk of exposure to a serious communicable disease or
infection. Health threat to others includes, but is not limited to, 1 or more of the
following:
(i) Behavior by the carrier that has been demonstrated epidemiologically to transmit, or
that evidences a careless disregard for transmission of, a serious communicable disease
or infection to others.
(ii) A substantial likelihood that the carrier will transmit a serious communicable disease
or infection to others, as evidenced by the carrier's past behavior or statements made
by the carrier that are credible indicators of the carrier's intention to do so.
(iii) Affirmative misrepresentation by the carrier of his or her status as a carrier before
engaging in behavior that has been demonstrated epidemiologically to transmit the
serious communicable disease or infection.
(2) In addition, article 1 contains general definitions and principles of construction
applicable to all articles in this code and part 51 contains definitions applicable to this
part.
333.5203 Warning notice generally.
Sec. 5203.
(1) Upon a determination by a department representative or a local health officer that
an individual is a carrier and is a health threat to others, the department representative
or local health officer shall issue a warning notice to the individual requiring the
individual to cooperate with the department or local health department in efforts to
prevent or control transmission of serious communicable diseases or infections. The
warning notice may also require the individual to participate in education, counseling,
or treatment programs, and to undergo medical tests to verify the person's status as a
carrier.
(2) A warning notice issued under subsection (1) shall be in writing, except that in
urgent circumstances, the warning notice may be an oral statement, followed by a
written statement within 3 days. A warning notice shall be individual and specific and
shall not be issued to a class of persons. A written warning notice shall be served either
8
by registered mail, return receipt requested, or personally by an individual who is
employed by, or under contract to, the department or a local health department.
(3) A warning notice issued under subsection (1) shall include a statement that unless
the individual takes the action requested in the warning notice, the department
representative or local health officer shall seek an order from the probate court,
pursuant to this part. The warning notice shall also state that, except in cases of
emergency, the individual to whom the warning notice is issued has the right to notice
and a hearing and other rights provided in this part before the probate court issues an
order.
333.5205 Failure or refusal to comply with warning notice; petition; hearing;
notice; waiver; orders; recommendation and duties of commitment review panel
and circuit court; appeal to circuit court; termination or continuation of
commitment; cost of implementing order; right to counsel; appeal to court of
appeals; leaving facility or refusal to undergo testing for certain infections as
contempt.
Sec. 5205.
(1) If a department representative or a local health officer knows or has reasonable
grounds to believe that an individual has failed or refused to comply with a warning
notice issued under section 5203, the department or local health department may
petition the circuit court for the county of Ingham or for the county served by the local
health department for an order as described in subsection (6).
(2) A petition filed under subsection (1) shall state all of the following:
(a) The grounds and underlying facts that demonstrate that the individual is a health
threat to others and, unless an emergency order is sought under section 5207, has
failed or refused to comply with a warning notice issued under section 5203.
(b) The petitioner's effort to alleviate the health threat to others before the issuance of
the warning notice, unless an emergency order is sought under section 5207.
(c) The type of relief sought.
(d) A request for a court hearing on the allegations set forth in the petition.
(3) If a test subject refuses to undergo a test requested by an officer or employee or an
arresting individual under section 5204, the officer's or employee's or arresting
individual's employer may petition the circuit court for the county in which the employer
is located or the appropriate district court for an order as described in subsection (7).
(4) A petition filed under subsection (3) shall state all of the following:
(a) Substantially the same information contained in the request made to an officer's or
employee's or arresting individual's employer under section 5204(2) and (3), except
that the petition shall contain the name of the arrestee, correctional facility inmate,
parolee, or probationer who is the proposed test subject.
(b) The reasons for the officer's or employee's or arresting individual's determination
that the exposure described in the request made under section 5204(2) and (3) could
have transmitted HIV, HBV, or HCV, or all or a combination of those viruses, along with
the date and place the officer or employee or arresting individual received the training
in the transmission of bloodborne diseases required under section 5204(1).
(c) The fact that the arrestee, correctional facility inmate, parolee, or probationer has
refused to undergo the test or tests requested under section 5204(2) and (3).
(d) The type of relief sought.
(e) A request for a court hearing on the allegations set forth in the petition.
(5) Upon receipt of a petition filed under subsection (1), the circuit court shall fix a date
for hearing that shall be as soon as possible, but not later than 14 days after the date
the petition is filed. Notice of the petition and the time and place of the hearing shall be
served personally on the individual and on the petitioner not less than 3 days before
9
the date of the hearing. Notice of the hearing shall include notice of the individual's
right to appear at the hearing, the right to present and cross-examine witnesses, and
the right to counsel as provided in subsection (12). The individual and the petitioner
may waive notice of hearing, and upon filing of the waiver in writing, the circuit court
may hear the petition immediately. Upon receipt of a petition filed under subsection
(3), the circuit court or the district court shall fix a date for hearing that shall be as
soon as possible, but not later than 24 hours after the time and date the petition is
filed. Notice of the petition and the time and place of the hearing shall be served
personally on both the proposed test subject under section 5204 and the petitioner
within a time period that is reasonable under the circumstances. Notice of the hearing
shall include notice of the proposed test subject's right to appear at the hearing, the
right to present and cross-examine witnesses, and the right to counsel as provided in
subsection (12). The proposed test subject and the petitioner may waive notice of the
hearing, and upon filing of the waiver in writing, the circuit court or the district court
may hear the petition filed under subsection (3) immediately.
(6) Upon a finding by the circuit court that the department or local health department
has proven the allegations set forth in a petition filed under subsection (1) by clear and
convincing evidence, the circuit court may issue 1 or more of the following orders:
(a) An order that the individual participate in a designated education program.
(b) An order that the individual participate in a designated counseling program.
(c) An order that the individual participate in a designated treatment program.
(d) An order that the individual undergo medically accepted tests to verify the
individual's status as a carrier or for diagnosis.
(e) An order that the individual notify or appear before designated health officials for
verification of status, testing, or other purposes consistent with monitoring.
(f) An order that the individual cease and desist conduct that constitutes a health threat
to others.
(g) An order that the individual live part-time or full-time in a supervised setting for the
period and under the conditions set by the circuit court.
(h) Subject to subsection (8), an order that the individual be committed to an
appropriate facility for the period and under the conditions set by the circuit court. A
commitment ordered under this subdivision shall not be for more than 6 months, unless
the director of the facility, upon motion, shows good cause for continued commitment.
(i) Any other order considered just by the circuit court.
(7) Upon a finding by the circuit court or the district court that the officer's or
employee's or arresting individual's employer has proven the allegations set forth in a
petition filed under subsection (3), including, but not limited to, the requesting officer's
or employee's or arresting individual's description of his or her exposure to the blood or
body fluids of the proposed test subject, the circuit court or the district court may issue
an order requiring the proposed test subject to undergo a test for HIV infection, HBV
infection, or HCV infection, or all or a combination of the 3 infections.
(8) The circuit court shall not issue an order authorized under subsection (6)(h) unless
the court first considers the recommendation of a commitment review panel appointed
by the court under this subsection to review the need for commitment of the individual
to a health facility. The commitment review panel shall consist of 3 physicians
appointed by the court from a list of physicians submitted by the department. Not less
than 2 of the physicians shall have training and experience in the diagnosis and
treatment of serious communicable diseases and infections. However, upon the motion
of the individual who is the subject of the order, the court shall appoint as 1 member of
the commitment review panel a physician who is selected by the individual. The
commitment review panel shall do all of the following:
(a) Review the record of the proceeding.
10
(b) Interview the individual, or document the reasons why the individual was not
interviewed.
(c) Recommend either commitment or an alternative or alternatives to commitment,
and document the reasons for the recommendation.
(9) An individual committed to a facility under subsection (6)(h) may appeal to the
circuit court for a commitment review panel recommendation as to whether or not the
patient's commitment should be terminated. Upon the filing of a claim of appeal under
this subsection, the court shall reconvene the commitment review panel appointed
under subsection (5) as soon as practicable, but not more than 14 days after the filing
of the claim of appeal. Upon reconvening, the commitment review panel shall do all of
the following:
(a) Review the appeal and any other information considered relevant by the
commitment review panel.
(b) Interview the individual, or document the reasons why the individual was not
interviewed.
(c) Recommend to the court either termination or continuation of the commitment, and
document the reasons for the recommendation.
(10) Upon receipt of the recommendation of the commitment review panel under
subsection (9), the circuit court may terminate or continue the commitment.
(11) The cost of implementing an order issued under subsection (6) shall be borne by
the individual who is the subject of the order, unless the individual is unable to pay all
or a part of the cost, as determined by the circuit court. If the court determines that
the individual is unable to pay all or a part of the cost of implementing the order, then
the state shall pay all of the cost or that part of the cost that the individual is unable to
pay, upon the certification of the department. The cost of implementing an order issued
under subsection (7) shall be borne by the arrestee, correctional facility inmate,
parolee, or probationer who is tested under the order.
(12) An individual who is the subject of a petition filed under this section or an affidavit
filed under section 5207 has the right to counsel at all stages of the proceedings. If the
individual is unable to pay the cost of counsel, the circuit court shall appoint counsel for
the individual.
(13) An order issued by the circuit court under subsection (6) may be appealed to the
court of appeals. The court of appeals shall hear the appeal within 30 days after the
date the claim of appeal is filed with the court of appeals. However, an order issued by
the circuit court under subsection (6) shall not be stayed pending appeal, unless
ordered by the court of appeals on motion for good cause. An order issued by the
circuit court under subsection (7) may be appealed to the court of appeals. The court of
appeals shall hear the appeal within 15 days after the date the claim of appeal is filed
with the court of appeals. However, an order issued by the circuit court under
subsection (7) shall not be stayed pending appeal, unless ordered by the court of
appeals on motion for good cause. An order issued by a district court under subsection
(7) may be appealed to the circuit court for the county in which the district court is
located. The circuit court shall hear the appeal within 15 days after the date the claim
of appeal is filed with the circuit court. However, an order issued by a district court
under subsection (7) shall not be stayed pending appeal, unless ordered by the circuit
court on motion for good cause.
(14) An individual committed to a facility under this section who leaves the facility
before the date designated in the commitment order without the permission of the
circuit court or who refuses to undergo a test for HIV infection, HBV infection, HCV
infection, or all or a combination of the 3 infections is guilty of contempt.
11
333.5207 Protection of public health in emergency; affidavit; court order; taking
individual into custody; transporting individual to emergency care or treatment
facility; temporary detention; notice of hearing; continued temporary detention;
petition.
Sec. 5207.
(1) To protect the public health in an emergency, upon the filing of an affidavit by a
department representative or a local health officer, the circuit court may order the
department representative, local health officer, or a peace officer to take an individual
whom the court has reasonable cause to believe is a carrier and is a health threat to
others into custody and transport the individual to an appropriate emergency care or
treatment facility for observation, examination, testing, diagnosis, or treatment and, if
determined necessary by the court, temporary detention. If the individual is already
institutionalized in a facility, the court may order the facility to temporarily detain the
individual. An order issued under this subsection may be issued in an ex parte
proceeding upon an affidavit of a department representative or a local health officer.
The court shall issue an order under this subsection upon a determination that
reasonable cause exists to believe that there is a substantial likelihood that the
individual is a carrier and a health threat to others. An order under this subsection may
be executed on any day and at any time, and shall be served upon the individual who is
the subject of the order immediately upon apprehension or detention.
(2) An affidavit filed by a department representative or a local health officer under
subsection (1) shall set forth the specific facts upon which the order is sought including,
but not limited to, the reasons why an emergency order is sought.
(3) An individual temporarily detained under subsection (1) shall not be detained longer
than 72 hours, excluding Saturdays, Sundays, and legal holidays, without a court
hearing to determine if the temporary detention should continue.
(4) Notice of a hearing under subsection (3) shall be served upon the individual not less
than 24 hours before the hearing is held. The notice shall contain all of the following
information:
(a) The time, date, and place of the hearing.
(b) The grounds and underlying facts upon which continued detention is sought.
(c) The individual's right to appear at the hearing.
(d) The individual's right to present and cross-examine witnesses.
(e) The individual's right to counsel, including the right to counsel designated by the
circuit court, as described in section 5205(13).
(5) The circuit court may order that the individual continue to be temporarily detained if
the court finds, by a preponderance of the evidence, that the individual would pose a
health threat to others if released. An order under this subsection to continued
temporary detention shall not continue longer than 5 days, unless a petition is filed
under section 5205. If a petition is filed under section 5205, the temporary detention
shall continue until a hearing on the petition is held under section 5205
 

China Connection

TB Fanatic
Summary of Authority and Actions Under Public Health Code
Regarding Public Health Emergencies
Authority/Action Law1 Comments
1. Imminent Danger Order § 2251
§ 2451
• Issued by State Health Director or Local Health Officer
• Requires determination of “imminent danger”, i.e. a condition
or practice exists which could reasonably be expected to cause
death, disease, or serious physical harm immediately or before
the imminence of the danger can be eliminated through
enforcement procedures otherwise provided
• May require immediate action to avoid, correct, or remove
imminent danger
• If Director determines that conditions anywhere in state
constitute a menace to the public health, Director may take full
charge of the administration of applicable state and local health
laws, rules, regulations, and ordinances
• Petition filed in circuit court for an order to compel
compliance
2. Emergency Order to Control
Epidemic
§ 2253
§ 2453
• Issued by State Health Director or Local Health Officer
• May prohibit the gathering of people for any purpose and may
establish procedures to be followed during the epidemic
• Unlike Warning Notice (described below) may be issued to a
class of persons
• May be used to direct mass immunization (§ 9203)
• Petition filed in circuit court for an order to compel
compliance
3. Order to Abate a Nuisance § 2455 • Issued by State Health Director or Local Health Officer
against owner of property
• If property owner does not comply, may remove nuisance and
charge owner
• May seek warrant from court for assistance from law
enforcement to remove nuisance
4. Inspection or Investigation
Authority
§ 2221(2)(d)
§ 2241(1)
§ 2433(2)(c)
§ 2446
Rule 173(9)
• State and local health departments are authorized to inspect or
investigate:
– A suspected outbreak or exposure
– Any matter, thing, premises, place, person, record,
vehicle, incident, or event
• State and local health investigators to be provided with
medical and epidemiological pertaining to individuals who
have, are suspected of having, or may have been exposed to a
disease or condition of public health significance
5. Inspection or Investigative
Warrant
§§ 2241-2247
§ 2446
• Application for warrant may be filed by State or Local Health
Department
• Issued by Magistrate based on facts stated in affidavit
• May authorize property to be seized
• May direct law enforcement to assist health department in
inspection or investigation
6. Criminal Prosecution § 2261
• A person who violates a rule or order of the Department is
guilty of a misdemeanor punishable by imprisonment for not
more than 6 months, or a fine of not more than $200, or both
• Individual may be arrested if violation occurs in the presence
of a police officer, or police officer has reasonable cause to
believe individual has violated rule or order (MCL 764.15(1))
1 Refers to section of Public Health Code, MCL 333.1101 et seq. or communicable disease rules, Michigan Administrative
Code, R 325.171 et seq., promulgated under the Code (§§ 2226(d), 2435(d), 5111).
Authority/Action Law1 Comments
7. Injunction § 2265;
§ 2465
• State Health Director or Local Health Director may maintain
action
• May seek court order to restrain, prevent, or correct:
– A violation of a law, rule or order that health
department has duty to enforce
– An activity or condition that health department
believes adversely affects the public health
8. Warning Notice (for
involuntary detention and
treatment of individuals)
§ 2453(2)
§§ 5201 - 5205
• Shall be issued by state health department representative or
Local Health Officer upon a determination that individual:
– Is or is reasonably believed to be a carrier of a specific
infectious agent or serious communicable disease or infection
– Has demonstrated inability or unwillingness to act
in a manner that does not put others at risk of exposure
• Must be in writing (may be verbal in urgent circumstances,
followed by a written notice within 3 days)
• Must be specific and individual, cannot be issued to a class of
persons
• Must require individual to cooperate with health department in
efforts to control spread of disease
• May require individual to participate in education, counseling,
or treatment programs, and to undergo medical tests to verify
carrier status
• Must inform individual that if individual fails to comply with
Warning Notice, health department shall seek court order
9. Court Order for Detaining,
Transporting, Testing, or
Treating Carrier of Infectious
Disease
§§ 5205 - 5207 • If individual fails or refused to comply with Warning Notice
(see discussion above), health department must petition Circuit
Court (Family Division) for order requiring testing, treatment,
education, counseling, commitment, isolation, etc., as
appropriate
– Individual has right to evidentiary hearing
– Health department must prove allegations by clear and
convincing evidence
– Individual has right to appeal and review by Court of
Appeals within 30 days
– Before committing individual to a facility, court must
consider recommendation of a commitment panel, and
commitment order must be reviewed periodically
• In an emergency, health department may go straight to court
(without issuing Warning Notice). Upon filing of affidavit by
health department, court may order that individual be taken
into custody and transported to an appropriate emergency care
or treatment facility for observation, examination, testing
diagnosis, treatment, or temporary detention
– Court must have reasonable cause to believe that
individual is a carrier and health threat to others
– Emergency order may be issued ex parte
– Hearing on temporary detainment order must be held
within 72 hours (excluding weekends and holidays)
• Individual who is subject of either emergency proceedings or
petition on a Warning Notice has right to counsel at all stages
of proceedings. Indigent individual is entitled to appointed
counsel
Prepared by Denise Chrysler 12/6/04
Summary of Authority and Actions Under Public Health
Code Regarding Public Health Emergencies, page 2
 

SassyinAZ

Inactive
Here's the Pandemic Influenza Guide from the Department of Homeland Security and a snippet from the containment section:

http://www.pandemicflu.gov/plan/pdf/cikrpandemicinfluenzaguide.pdf

3.3.2 Pandemic Disease Containment/Control Strategies

Specific pandemic protection and response strategies being considered will have varied implications and effi cacy within and across CI/KR sectors. All are necessary health strategies to limit social interactions and disease spread; thus reducing illness and death and mitigating the direct economic impacts.

All also have potentially significant economic side effects and social consequences that, when coupled with the health impact assumptions, substantially compound the direct effects on all businesses. It is thus imperative for businesses to stay fully informed of government actions to implement disease containment strategies and to factor the potential side effects and impacts on their business into their pandemic plan. Key disease containment strategies include:

Isolation: Separation of persons with specific infectious illnesses in their homes, in hospitals, or in designated healthcare facilities.

Quarantine: Separation and restriction of the movement, usually of a group of people, who, while not yet ill, have potentially been exposed to an infectious agent.

Social Distancing: Within the workplace, social distancing measures could take the form of: modifying the frequency and type of face-to-face employee encounters (e.g., placing moratoriums on hand-shaking, substituting teleconferences for face-to-face meetings, staggering breaks, posting infection control guidelines); establishing flexible work hours or worksite, (e.g., telecommuting); promoting social distancing between employees and customers to maintain three-feet spatial separation between individuals; and implementing strategies that request and enable employees with influenza to stay home at the first sign of symptoms.

Closing Places of Assembly: Voluntary or mandatory closure of public places, including churches, schools, and theaters.

“Snow Days/Weeks” and/or Furloughing Non-Essential Workers: Voluntary or mandatory closure of all non-essential businesses and/or furloughing all non-essential workers.

Changes in Movement Patterns: Restricting movement at the border, instituting reductions in the transportation sector, and applying quarantine protocols.
 

SassyinAZ

Inactive
This is our stage 6, it's all-hazard -- National Response Framework (previously National Response Plan) from FEMA: http://www.fema.gov/emergency/nrf/

http://www.dhs.gov/xprepresp/committees/editorial_0566.shtm

National Response Framework

NRF Resource Center

The National Response Framework (NRF) presents the guiding principles that enable all response partners to prepare for and provide a unified national response to disasters and emergencies. It establishes a comprehensive, national, all-hazards approach to domestic incident response. The National Response Plan was replaced by the National Response Framework effective March 22, 2008.

The National Response Framework defines the principles, roles, and structures that organize how we respond as a nation. The National Response

Framework:

describes how communities, tribes, states, the federal government, private-sectors, and nongovernmental partners work together to coordinate national response;

describes specific authorities and best practices for managing incidents; and
builds upon the National Incident Management System (NIMS), which provides a consistent template for managing incidents.

Information on the National Response Framework including Documents, Annexes, References and Briefings/Trainings can be accessed from the NRF Resource Center.

All of Arizona's plan and supplements are listed here: http://www.azdhs.gov/pandemicflu/pandemic_flu_plan.htm

This is from the community disease control supplement:
http://www.azdhs.gov/pandemicflu/pdf/supp_8_community_disease_control.pdf

It also details the State's authority (as well as locally and within counties) and the Fed's authority to make a quarantine declaration, actually some parts of it read to be exactly what Mexico has today implemented -- and, since we are all part of the SPP pandemic plan, that makes sense.

This IS the one to read, then find keywords and phrases and search them up for your state.

I. Overview

The initial response to the emergence of a novel influenza subtype that spreads between people will focus on containing the virus at its source, if feasible, and preventing a pandemic. Once spread beyond the initial focus occurs and with introduction of the virus into the United States, the foci of containment activities will be public health and individual measures that attempt to slow and limit viral transmission.

Containment measures refer to measures that attempt to fully limit transmission as well as those that attempt to slow transmission. (Box 1)

Containment strategies aimed at controlling and slowing the spread of the virus might include measures that affect individuals (e.g., isolation of patients and monitoring their contacts) as well as measures that affect groups or entire communities (e.g., cancellation of public gatherings; implementation of community-wide “Stay Home Days”).

(Appendix 1) Guided by epidemiologic data, ADHS and local health agencies will implement the most appropriate of these measures in efforts to maximize impact on disease transmission and minimize impact on individual freedom of movement.

Although states and localities have primary responsibility for public health matters within their borders, including isolation and quarantine, under the authority of Section 361 of the Public Health Service Act (42 USC 264), the HHS Secretary may make and enforce regulations necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the United States or from one state or possession into another.
Containment measures applied to individuals (e.g., isolation and quarantine) may have limited impact in preventing the transmission of pandemic influenza, due to the short incubation period of the illness, the ability of persons with asymptomatic infection to transmit virus, and the possibility that early symptoms among persons infected with a novel influenza strain may be non-specific, delaying recognition and implementation of containment.

Nevertheless, during the Pandemic Alert Period with a less efficiently transmitted virus, these measures may have great effectiveness, slowing disease spread and allowing time for targeted use of medical interventions.


In addition, implementing these measures early in a pandemic when disease is first introduced into the U.S. and when the scope of the outbreak is focal and limited may slow geographical spread and increase time for vaccine production and implementation of other pandemic response activities.

Later, when disease transmission is occurring in communities around the U.S., individual quarantine is much less likely to have an impact and likely would not be feasible to implement. Thus, community-based containment measures (e.g., closing schools or restricting public gatherings) and emphasizing what individuals can do to reduce their risk of infection (e.g., hand hygiene and cough etiquette) may be more effective disease control tools.

Home quarantine

Whenever possible, contacts should be quarantined at home. Home quarantine requires the fewest additional resources, although arrangements must still be made for monitoring patients, reporting symptoms, transporting patients for medical evaluation if necessary, and providing essential supplies and services. Home quarantine is most suitable for contacts with a home environment that can meet their basic needs and in which unexposed household members can be protected from exposure. Other considerations include:

• Persons in home quarantine must be able to monitor their own symptoms (or have them monitored by a caregiver).

• The person’s home should be evaluated for suitability before being used for quarantine, using a questionnaire administered to the quarantined person or the caregiver. Additional guidance on use of a residence for quarantine is provided in Appendix 7.

• Quarantined persons should minimize interactions with other household members to prevent exposure during the interval between the development and recognition of symptoms. Precautions may include 1) sleeping and eating in a separate room, 2) using a separate bathroom, and 3) appropriate use of personal protective equipment (see Supplement 4).

• Persons in quarantine may be assessed for symptoms by either active or passive monitoring. Active monitoring of contacts in quarantine may overcome delays resulting from the insidious onset of symptoms or denial among those in quarantine.

• Household members may go to school, work, etc., without restrictions unless the quarantined person develops symptoms. If the quarantined person develops symptoms, household members should remain at home in a room separate from the symptomatic person and await additional instructions from health authorities.

• Household members can provide valuable support to quarantined persons by helping them feel less isolated and ensuring that essential needs are met.

• Immediate and ongoing psychological support services should be provided to minimize psychological distress.

• Quarantined persons should be able to maintain regular communication with their loved ones and health care providers.

Quarantine in designated facilities

In some cases, affected persons may not have access to an appropriate home environment for quarantine. Examples include travelers; persons living in dormitories, homeless shelters, or other group facilities; and persons whose homes do not meet the minimum requirements for quarantine.

In other instances, contacts may have an appropriate home environment but may not wish to put family members at risk. In these situations, health officials should identify an appropriate community-based quarantine facility.

Monitoring of quarantined persons may be either passive or active, although active monitoring may be more appropriate in a facility setting.

Facilities designated for quarantine of persons who cannot or choose not to be quarantined at home should meet the same criteria listed for home quarantine.

Evaluation of potential sites for facility-based quarantine is an important part of preparedness planning (see Appendix 7).

Working quarantine

This type of quarantine applies to health care workers or other essential personnel who are at occupational risk of influenza infection. These groups may be subject to quarantine either at home or in a designated facility during off-duty hours. When off duty, contacts on working quarantine should be managed in the same way as persons in quarantine at home or in a designated facility.

Local officials should:

• Monitor persons in working quarantine for symptoms during work shifts

• Promptly evaluate anyone who develops symptoms

• Provide transportation to and from work, if needed

• Develop mechanisms for immediate and ongoing psychological support

At the end of the designated quarantine period, contacts should receive physical (fever and respiratory symptoms) and psychological health assessments.

Persons without fever or respiratory symptoms may return to normal activities. Persons who exhibit psychological distress should be referred to mental health professionals for additional support services.

Evaluation Of Homes And Facilities For Isolation And Quarantine Isolation Facilities

Home isolation

Ideally, persons who meet the criteria for a case of pandemic influenza and who do not require hospitalization for medical reasons should be isolated in their homes. The home environment is less disruptive to the patient’s routine than isolation in a hospital or other community setting.

If feasible—especially during the earliest stages of a pandemic—a home being considered as an isolation setting should be evaluated by an appropriate authority, which could be the patient’s physician, health department official, or other appropriate person to verify its suitability. The assessment should center on the following minimum standards for home isolation of an influenza patient:

Infrastructure

• Functioning telephone
• Electricity
• Heating, ventilation, and air conditioning (HVAC)
• Potable water
• Bathroom with commode and sink
• Waste and sewage disposal (septic tank, community sewage line)

Accommodations

• Ability to provide a separate bedroom for the influenza patient

• Accessible bathroom in the residence; if multiple bathrooms are available, one bathroom designated for use by the influenza patient

Resources for patient care and support

• Primary caregiver who will remain in the residence and who is not at high risk for complications from influenza disease

• Meal preparation
• Laundry
• Banking
• Essential shopping
• Social diversion (e.g., television, radio, Internet access, reading materials)
• Masks, tissues, hand hygiene products, and information on infection control procedures
• Educational material on proper waste disposal

Isolation in a community-based facility

When persons requiring isolation cannot be accommodated either at home or in a health care facility, a community-based isolation facility will be required.

The availability of a community-based facility will be particularly important during a large outbreak (See also http://www.ahrq.gov/research/altsites.htm).

Much of the work in identifying and evaluating potential sites for isolation should be conducted in advance of an outbreak as part of preparedness planning. Each jurisdiction should assemble a team (including infection control specialists, public health authorities, engineers, sanitation experts, and mental health specialists) to identify appropriate locations and resources for community influenza isolation facilities, establish procedures for activating them, and coordinate activities related to patient management.

The team should consider the use of both existing and temporary structures. Options for existing structures include community health centers, nursing homes, apartments, schools, dormitories, and hotels. Options for temporary structures include trailers, barracks, and tents.
 

Hfcomms

EN66iq
The current laws under the various health emergency declarations is defacto martial law even though they won't ever call it that. I doubt if we will ever hear the words 'martial law' ever uttered by any government officials because of the potential ramifications. That is a set of trigger words.

Yet, because of a pandemic flu they could accomplish many of their control objectives and get people to go along with the program because of the emergency. TPTB do not have the forces to even begin to enforce martial law in this nation or to quell unrest short of killing us all. However with a pandemic it would so scare people that most would probably go along with whatever program comes down the street because they are scared to death. This is actually a pretty reasonable scenario in my estimation. If nothing else it does bear watching.
 
Top