Florida and Iowa Quarantine Documents

September 1st, 2009

These PDF files are hosted on the Centers for Disease Control website. I’ve dumped the unformatted text from the documents below.

What and where are the detention quarantine secure facilities???

Florida: QUARANTINE DETENTION ORDER

Department Of Health
__________ County Health Department
QUARANTINE DETENTION ORDER
By authority of Chapter 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
Pursuant to the authority vested in this office by Chapter 381, Florida Statutes, and by your refusal to comply with the Orders of the _______ County Health Department, you, __________ _(name)____________ are hereby DETAINED under QUARANTINE in the following secure facility, ___________________________. You are further classified as non-compliant with quarantine because after you were counseled about a communicable disease or unsafe condition that poses a threat to the public health, and methods to minimize the risk to the public and, despite such counseling, you indicated an intent by (words or actions) to expose the public to ________________. All other reasonable means of obtaining your compliance with quarantine have been exhausted; no less restrictive alternative exists.
You shall remain in detention from the date of this Order until (date) or until released from DETENTION QUARANTINE by the undersigned, such determination to be made upon the recommendation of the State Epidemiologist or State Health Officer.
While in DETENTION QUARANTINE, you shall comply with all orders of the detention facility regarding your medical care. You shall cooperate with the detention facility’s access to you and access to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
1
Reasons For Above:
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE TO RESIDENCE ORDER

Department Of Health
__________ County Health Department
QUARANTINE TO RESIDENCE ORDER
By authority of Chapters 252 and 381, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
You, _________(name)_____________________, are hereby quarantined for protection from ________________________________, an unsafe condition or communicable disease that poses a threat to public health. You are QUARANTINED to your residence at __________________________, and shall remain there from the date of this Order until (date) or until QUARANTINE is released by the undersigned authority. YOU ARE NOT PERMITTED TO LEAVE YOUR RESIDENCE.
While in QUARANTINE, you must wear a surgical mask at all times while in the presence of any individual, including any caregiver. Your visitors and/or caregivers also must wear surgical masks at all times when in your presence. The County Health Department (CHD) will call your residence daily to obtain your temperature record, which you must take and record two times daily.
You must comply with all orders regarding your medical care. You must cooperate with the CHD including CHD access to you and access to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
Reasons For Above:
2
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5) and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE TO RESIDENCE ORDER (NON-COMPLIANCE)

Department Of Health
__________ County Health Department
QUARANTINE TO RESIDENCE ORDER (NON-COMPLIANCE)
By authority of Chapters 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
You, __________ _(name)____________, have been identified as a person classified as a _______________ “contact,” or identified as a confirmed case, a probable case, or suspect case of ______________________________, a communicable disease or unsafe condition that poses a threat to the public health. You are further classified as non-compliant with quarantine because after you were counseled about a communicable disease or unsafe condition that poses a threat to the public health, and methods to minimize the risk to the public and, despite such counseling, you indicated an intent by (words or actions) to expose the public to ________________. All other reasonable means of obtaining your compliance with quarantine have been exhausted; no less restrictive alternative exists.
YOU ARE NOT PERMITTED TO LEAVE YOUR RESIDENCE. You are QUARANTINED to your residence at __________________________, and while QUARANTINED there shall continuously wear an electronic monitoring ankle bracelet on your ankle, or alternatively ________________________________________, from the date of this Order until (date) or until released from DETENTION QUARANTINE by the undersigned, such determination to be made upon the recommendation of the State Epidemiologist or State Health Officer.
While in QUARANTINE, you must wear a surgical mask at all times while in the presence of any individual, including any caregiver. Your visitors and/or caregivers also must wear surgical masks at all times when in your presence. The County Health Department (CHD) will call your residence daily to obtain your temperature record, which you must take and record two times
daily. If you do not answer your telephone or are not at home during two consecutive contact attempts, the CHD may order you to wear an electronic monitoring bracelet to ensure that you do not leave your residence. If you leave your residence while monitored, the CHD may forcibly detain you in a quarantine facility.
While in QUARANTINE, you shall comply with the orders of medical personnel regarding your medical care. You shall cooperate with the County Health Department (CHD) and with CHD access to you and to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
Reasons For Above:
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE OF FACILITY ORDER

Department Of Health
__________ County Health Department
QUARANTINE OF FACILITY ORDER
(Hospital/Medical/Security/Parts Thereof)
By authority of Chapters 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
Due to an outbreak and/or the high volume of ______________ cases which is a communicable disease or unsafe condition, you, _____________(name)_______________, as the administrator, authorized representative, or person in charge of the ________________________ facility are hereby notified by the _______ County Health Department (CHD) that ___________________ of your facility is placed under a QUARANTINE. This order is in force from the date below until (date) or until QUARANTINE is released by the undersigned authority. No person shall be allowed to enter or leave your facility without the written approval of the undersigned.
While this QUARANTINE is in effect, you shall comply with all orders of the _______ County Health Department.
Other Requirements/Orders:
Reasons For Above:
1
2
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s.252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Iowa: HOME QUARANTINE ORDER

BEFORE THE IOWA DEPARTMENT OF PUBLIC HEALTH _____________________________________________________________________ DIRECTED TO: ) [insert case #] ) [insert full name and ) address of subject of order] ) HOME QUARANTINE ORDER _____________________________________________________________________ The Iowa Department of Public Health (Department) has determined that you have had contact with Novel Influenza A H1N1. Novel Influenza A H1N1 is a disease which is spread from person to person and is associated with fever (greater than 100.0 F), cough, sore throat, rhinorrhea (runny nose), nasal congestion, body aches, headache, chills and fatigue. Novel Influenza A H1N1 presents a risk of serious harm to public health and if it spreads in the community severe public health consequences may result. The Department has determined that home quarantine of persons who have been exposed to Novel Influenza A H1N1 is necessary to prevent further spread of this disease. The Department has determined that quarantine in private homes is the least restrictive means necessary to prevent the spread of Novel Influenza A H1N1. The Department is therefore ordering you to remain in your home and to comply with the following provisions during the entire period of quarantine: 1. Terms of confinement. You are ordered to remain in your home at _____________________[insert address] from ___________ to ____________[insert dates of quarantine]. 2. Requirements during confinement. During the period of quarantine:
a. You must not leave your home at any time unless you have received prior written authorization from the Department to do so.
b. You must remain reachable by telephone at all times and answer and respond fully and truthfully to telephone calls from Department staff and other persons acting on behalf of the Department.
c. You must not come into contact with anyone except the following persons:
(i) family members and other persons who reside in your home;
(ii) authorized healthcare providers; (iii) authorized Department staff or other persons acting on behalf of the Department; and (iv) such other persons as are authorized by the Department.
d. If family members or other persons who reside in your home have not been issued a Home Quarantine Order, they may leave your home to carry on their daily routines and to assist you with any needs you may have during the period of confinement. If you live alone, or if every
5/1/2009
member of your household is under Home Quarantine Order, you should arrange by telephone for relatives, neighbors, or friends to assist with any needs you may have during the period of confinement. These persons should not have direct contact with you. If you need assistance in providing for your daily needs, you should call [insert telephone number]
e. You must follow the directions contained in the attachment to this order labeled Attachment A to monitor your health status on a daily basis.
f. If you develop any symptoms of Novel Influenza A H1N1 detailed in Attachment A, including with fever (greater than 100.0 F), cough, sore throat, rhinorrhea (runny nose), nasal congestion, body aches, headache, chills and fatigue, you should immediately call a public health official at [insert telephone number]. If emergency medical treatment is required for conditions other than those listed in this paragraph (e.g. chest pain or severe accidental injury at home), you should call 911 for an ambulance. When seeking such assistance, you must inform the operator of the 911 line and the ambulance that you are under Home Quarantine Order.
g. If other persons also reside in your home you must maintain good personal hygiene at all times, including complying with the directions contained in Attachment A, to prevent disease transmission. If any member of your household develops any symptoms of Novel Influenza A H1N1 detailed in Attachment A, such person should immediately call a public health official at [insert telephone number].
h. You should inform your employer that you are under home quarantine and are not authorized to physically come to the work place, although you may work from home via electronic or other means if appropriate. You should be aware that Iowa law prohibits an employer from firing, demoting, or otherwise discriminating against an employee due to the employee’s compliance with a quarantine order issued by the Department. (Iowa Code section 139A.13A).
3. Information about Novel Influenza A H1N1. You should review the information contained at Attachment A for information about Novel Influenza A H1N1. In order to find out more information about Novel Influenza A H1N1 and its symptoms and spread, you may access the Department’s web-page at www.idph.state.ia.us. If you do not have access to the internet from your home, you may contact the Department at 1-800-362-2736. 4. Legal authority. This order is issued pursuant to the legal authority contained at Iowa Code chapters 135, 139A, and 641 Iowa Administrative Code chapter 1, a copy of which is labeled Attachment B and is attached to this order for your review. The Department shall comply with the principles for quarantine contained in subrule 1.9(3) of this attachment when issuing and implementing this order.
5. Ensuring compliance. In order to ensure that you strictly comply with this Home
5/1/2009
Quarantine Order the Department or persons authorized by the Department may contact you by telephone on a regular basis and may carry out spot checks of your residence.
6. Violations of order. If you fail to comply with this Home Quarantine Order you may be ordered to be quarantined in a hospital or other facility as determined by the Department. In addition, failure to comply with this order is a simple misdemeanor for which you may be arrested, fined, and imprisoned. 7. Your rights B appeal rights. While under quarantine you have the rights as described in subrule 1.9(8) of Attachment B. In addition, you have the right to appeal this order pursuant to subrule 1.9(7) of Attachment B.
____________________________________ ___________ DIRECTOR or MEDICAL DIRECTOR DATE IOWA DEPARTMENT OF PUBLIC HEALTH Lucas State Office Building Des Moines, IA 50319 Attachments to this Order: Attachment A — Facts About Novel Influenza A H1N1 Attachment B — 641 Iowa Administrative Code chapter 1

One Response to “Florida and Iowa Quarantine Documents”

  1. Druff says:

    A few weeks ago on the D.C. subway I saw a woman carrying a rolled up poster, and rubberbanded to it was a standard-sized paper printout showing a map of the U.S. with about a dozen starred locations. The page had the CDC logo on it and the heading was something to the effect of “Flu Quarantine Locations.” The stars appeared to be clustered roughly according to population centers (the east coast had a cluster of stars, whereas the heartland was more sparse). The woman wasn’t even trying to be discreet with it.

    So, for whatever that’s worth. So few locations (again, about a dozen, maybe a few more) for the entire country would be a bit surprising though, no? — nightmare visions of the stadium after Katrina, etc. Hmm.

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