[Ord. No. 01-01 Part F, 5-29-2003; Ord. No. 06-06 Part C, 3-23-2006; Ord.
No. 08-04 Part C, 6-13-2008]
A.Â
Purpose. To assure that timely and effective declarations
of true emergencies relative to the health and well-being of the residents
of Cass County are enacted and to assure that all measures are taken
to prevent and contain secondary transmission of diseases and/or conditions.
B.Â
EMBARGO
ISOLATION
QUARANTINE
1.Â
2.Â
Definitions. As
used in this Chapter, the following terms shall have these prescribed
meanings:
The detention of food, medicine, supplies, equipment or other
materials until such time as a determination can be made as to whether
the products or items require condemnation and destruction in the
interest of safeguarding public health, whether the items are safe
or may be salvaged, decontaminated or disinfected.
The separation for the period of communicability of infected
individuals and animals from other individuals and animals in places
and under conditions as will prevent the direct or indirect transmission
of the infectious agent from infected individuals or animals to other
individuals or animals who are susceptible or who may spread the agent
to others. 19 CSR 20-20.010 (22)
A period of detention for persons or animals that may have
been exposed to a reportable disease. The period of time will not
be longer than the longest period of communicability of the disease.
The purpose of quarantine is to prevent effective contact with the
general population. 19 CSR 20-20.010 (31)
Complete quarantine is a limitation of freedom of movement of
persons or animals exposed to a reportable disease, for a period of
time not longer than the longest period of communicability of the
disease, in order to prevent effective contact with the general population.
Modified quarantine is a selective, partial limitation of freedom
of movement of persons or animals determined on the basis of differences
in susceptibility or danger of disease transmission. Modified quarantine
is designed to meet particular situations and includes, but is not
limited to, the exclusion of children from school, the closure of
schools and places of public or private assembly and the prohibition
or restriction of those exposed to a communicable disease from engaging
in a particular occupation.
[Ord. No. 01-01 Part F §I, 5-29-2003; Ord. No. 06-06 Part C No. I, 3-23-2006; Ord. No. 08-04 Part C §I, 6-13-2008]
The Administrator of the Cass County Health Department or the
Administrator's designated representative shall have the power to
declare a public health emergency or crisis and establish such isolation,
quarantine and/or embargo as may be deemed necessary to protect the
health and well-being of the residents and citizens of Cass County
against infectious, contagious, communicable, dangerous or unusual
diseases and conditions. Those diseases include, but are not limited
to, those listed in 19 CSR 20-20.010 (36) and (37) and 19 CSR 20-10.040,
19 CSR 20-20.050 and 19 CSR 20-20.060 and Chapter 196, RSMo.
[Ord. No. 01-01 Part F §II, 5-29-2003; Ord. No. 06-06 Part C No. II, 3-23-2006; Ord. No. 08-04 Part C §II, 6-13-2008]
If there is an imminent public health danger requiring the establishment
of isolation, quarantine or embargo, the Cass County Health Department
Administrator or designee shall immediately notify the Cass County
Commissioner's office and the Emergency Management Director who shall
then assist with notifying and obtaining the assistance of law enforcement
and other necessary personnel as further set forth in the Cass County
Emergency Operations Plan. The Administrator shall work in conjunction
with the Cass County Emergency Management Director and such local
law enforcement, the Missouri Department of Health and Senior Services
and laboratory, medical personnel and Centers for Disease Control
and Prevention as he/she deems necessary.
[Ord. No. 01-01 Part F §III, 5-29-2003; Ord. No. 06-06 Part C No. III, 3-23-2006; Ord. No. 08-04 Part C §III, 6-13-2008]
A.Â
The
Cass County Health Department Administrator shall have authority within
Cass County borders to do one (1) or more of the following:
1.Â
Identify persons subject to quarantine and/or isolation, whether
by name, by group, by location or by any other reasonable means;
2.Â
Determine the geographic boundaries of the quarantine or isolation
and, in connection therewith, post signs, cause doors to be locked
or guarded and/or roadways to be blocked;
3.Â
Establish precautions to be taken by emergency personnel and any
other persons entering or leaving the quarantine or isolation area;
4.Â
Assist in making arrangements for food, shelter and medical care
for any persons subject to quarantine or isolation;
5.Â
Establish zones within a quarantine area depending upon likelihood
of exposure;
6.Â
Authorize the movement and method of transportation of persons subject
to quarantine or isolation;
7.Â
Determine and establish the length of time for which the quarantine
or isolation is imposed;
8.Â
Close any school or place of public or private assembly;
9.Â
Inspect any premises that he/she has reasonable grounds to believe
are in a condition conducive to the spread of any communicable disease;
10.Â
Collect specimens or samples for laboratory analysis to confirm or
rule out the presence of biological, chemical or physical agents and
determine the source of the infection, epidemic or exposure;
11.Â
Confer with medical advisors, laboratories or others making report
of such conditions;
12.Â
Make a complete epidemiological, environmental or occupational industrial
hygiene investigation and record the findings as indicated;
13.Â
Provide the opportunity to immunize all contacts of persons suffering
from the disease (if available);
14.Â
Establish other control measures including disinfecting or decontamination;
15.Â
Order examinations necessary to determine presence of food-borne,
water-borne or vector-borne infection or disease;
16.Â
Exclude persons who are infected with a communicable disease from
the production, preparation, manufacture, packaging, storage, sale,
distribution or transportation of foods;
17.Â
Exclude food supplies known or suspected to transmit food-borne infection
from distribution and use and order the destruction of embargoed foods
and supplies pursuant to the provisions of Chapter 196, RSMo.
[Ord. No. 01-01 Part F §IV, 5-29-2003; Ord. No. 06-06 Part C No. IV, 3-23-2006; Ord. No. 08-04 Part C §IV, 6-13-2008]
A.Â
Any
quarantined or isolated person who leaves the boundary established,
or who intentionally exposes or contacts another person shall, upon
conviction, be guilty of a County offense punishable by a fine of
not more than five hundred dollars ($500.00) or imprisonment for not
more than ninety (90) days, or both. Each occasion is a separate offense.
B.Â
Any
unauthorized person who enters or leaves an area of isolation or quarantine
shall, upon conviction, be guilty of a County offense punishable by
a fine of not more than five hundred dollars ($500.00) or imprisonment
for not more than ninety (90) days, or both. Each occasion is a separate
offense.
C.Â
Any
unauthorized person who moves or attempts to move any quarantined
or embargoed person or item shall, upon conviction, be guilty of a
County offense punishable by a fine of not more than five hundred
dollars ($500.00) or imprisonment for not more than ninety (90) days,
or both. Each occasion is a separate offense.
[Ord. No. 01-01 Part F §V, 5-29-2003; Ord. No. 06-06 Part C No. V, 3-23-2006; Ord. No. 08-04 Part C §V, 6-13-2008]
Any person subject to a quarantine or isolation shall have access
to telephone, wireless communication and e-mail communication to the
extent available. Any person subject to isolation or quarantine shall
be entitled to petition the court for a declaration as to whether
the imposition of this Chapter upon him/her is reasonable under the
circumstances and to a hearing before a Circuit Court Judge on an
expedited basis. Said person may present evidence by telephone or
other electronic means.
