Transcript Please indicate the number of times in the last 5 years

Best Practices in Isolation and
Quarantine
Results of a National Survey of State Epidemiologists
Part I: Legal Basis for Isolation and
Quarantine
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
1
Have you consulted with a legal adviser to
answer the questions in Part I?
Response Response
Frequency Count
Yes
No
73.2%
30
26.8%
11
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
2
Do your state isolation and quarantine laws exist as statutes
(written laws passed by legislature) or as regulations
(administrative rules with the force of law promulgated and
enforced by government agencies)?
Response
Frequency
Response
Count
Statutes
36.6%
15
Regulations
0.0%
0
Both
63.4%
26
Neither- no isolation and quarantine laws exist
0.0%
0
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
3
When were the state's isolation and quarantine
laws last revised?
< 2 years
2 to 5 years
6 to 10 years
> 10 years
Response
Frequency
24.4%
41.5%
7.3%
26.8%
Response
Count
10
17
3
11
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
4
Where do the laws and statutes related to isolation and
quarantine reside?
Response
Frequency
Response
Count
State Public Health Code
80.0%
32
Other (please specify)
20.0%
8
Other: CT General Statutes, Ohio Revised Code Chapters 3701, 3707 and 339 (TB), KSA 65-128, 65129ato 65-129e, KAR 28-1-5 and KAR 28-1-6 ; state statutes and 173NAC6; Health and Safety Code;
Massachusetts General Laws; SDCL 34-22 & ARSD 44:20
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
5
Does the code specify a length of time that state and local public
health officials can detain an individual or groups of persons for
quarantine or isolation? If so, please specify length of time.
Response Response
Frequency
Count
Yes
No
60.0%
40.0%
24
16
Yes: depends on agent/situation; not to exceed the period of incubation and communicability; as
long as needed; until disease has been rendered noncommunicable; minimum necessary to
accomplish public health objective; 36 hrs- if court order is granted can detain until no longer
contagious; 72 hrs; not more than 20 days; 30 days (4); 180 days; 6 months (2)
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
6
Does the state law provide for due process for individuals and
groups (i.e. procedural protections requiring a judicial hearing
either before or after quarantine is imposed)?
Response
Count
Individual
Groups
Yes
36
22
36
No
5
13
13
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
7
Have the state and local health departments promulgated
regulations to implement due process when isolation and
quarantine are ordered?
Response Response
Frequency
Count
Yes
46.3%
19
No
53.7%
22
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
8
Does the state code differentiate isolation and quarantine
procedures and response based on the number of persons
affected (e.g. individual vs. groups of persons)?
Response
Frequency
Response
Count
Yes
30.8%
12
No
69.2%
27
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
9
Do the legal criteria for differentiating procedures and
response based on number of persons affected reside
in statutes or regulations?
Response Response
Frequency
Count
Statutes
24.4%
10
Regulations
9.8%
4
Not Applicable
65.9%
27
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
10
Which of the following persons have independent legal decision-making
authority to declare an emergency for epidemics or other communicable
disease threats and/or implement isolation and quarantine of INDIVIDUALS or
GROUPS OF PERSONS? (Check all that apply)
Governor
State Health Officer
Chief Medical Executive
State Epidemiologist
State Director of
Emergency Preparedness
Local Health Officer
Other
Quarantine
Isolation
Response
Emergency
of
Isolation of Quarantine
of
Count
Declarations Individuals Individuals of Groups Groups
39
9
9
9
9
39
6
35
35
32
33
35
0
3
3
3
3
3
0
4
4
5
4
5
0
0
0
0
0
0
2
3
27
6
27
5
23
7
23
5
27
10
Other: Municipal and county governments; physician designated by State Health Officer; county or city
chief executive official; State Medical Officer; local health officer for groups only with permission of
State Health Officer; Dept of Health and Environment; on-call physicians and other disease control staff
with delegated authority; Local Board of Supervisors or designee; Deputy Secretary of Health Planning
and Assessment
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
11
Has the person(s) with legal authority to order quarantine
and/or isolation provided written formal guidance to state and
local public health officials on how to proceed with
implementation of quarantine/isolation?
Response
Frequency
Response
Count
Yes
65.0%
26
No
35.0%
14
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
12
Who has the state public health agency identified to serve as
"legal adviser" to provide interpretation of quarantine and
isolation authority? (Check all that apply)
Response
Frequency
Response
Count
Attorney General
43.9%
18
Health Department Chief Counsel
70.7%
29
Other legal counsel (please specify)
29.3%
12
Other: State public health agency staff attorneys; Assistant Legal Counsel- Health Department; Assistant
Attorney General; County attorneys; Cabinet for Health Family Services Legal Counsel; Staff Attorney,
Public Health Preparedness and Emergency Response; Local Health Officer’s Counsel; Bureau for Public
Health Legal Counsel; Health Department Deputy Counsel
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
13
Has the legal adviser issued formal guidance on how to
meet individual and group due process requirements?
Response
Frequency
Response
Count
Yes
47.4%
18
No
52.6%
20
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
14
Does the State Health Officer have express authority to order
isolation and quarantine in the absence of a declared
emergency?
Yes
No
Response Frequency
Response Count
90.2%
9.8%
37
4
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
15
In the event of a legal challenge to an isolation or quarantine
order authorized by the local public health agency, who has
authority to override the order? (Check all that apply)
Governor
State Health Officer
Chief Medical Executive
State Epidemiologist
CDC Official
N/A- no legal authority to override a local
order
Other (please specify)
Response
Frequency
20.0%
37.5%
5.0%
7.5%
0.0%
Response Count
8
15
2
3
0
20.0%
8
52.5%
21
Other: Judges/Courts (12) ; local board of health; state board of health
Comments: Only the State Health Department has authority to establish quarantine or isolation; orders
by local agencies are coordinated with state health officer; locals can’t order isolation or quarantine (2);
not specified in statute or rule
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
16
From your state's perspective, does the CDC or other
federal entity have the legal authority to mandate
individual or group isolation or quarantine?
Response
Frequency
Response Count
Yes
55.0%
22
No
45.0%
18
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
17
If CDC or another federal entity mandates individual or group
isolation or quarantine in your state, which governmental entity
bears the attendant costs? (Check all that apply)
State Health Department
Local Health Department
CDC/Other federal agency
Not applicable- CDC/federal entity has no legal
authority to mandate individual or group quarantine
in my state
Other (please specify)
Response
Frequency
Response
Count
15.0%
7.5%
52.5%
6
3
21
32.5%
13
25.0%
10
Comments: CDC has authority at international border, our attorney is not aware of in-state authority
(3); federal government should fund federal order but since a formal statement has not been made, we
are assuming state funds may be necessary; determined jointly on a case-by-case basis; CDC can only
order isolation and quarantine when federal declaration of emergency has been issued; not specified by
law, rule or policy; don’t know
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
18
Does the state public health agency have memoranda
of understanding (MOU) on isolation and quarantine
with any of the following? (Check all that apply)
Local Health Department
Local Government
Tribal Health Board
Indian Health Center
CDC Quarantine Station
Law Enforcement
Emergency Medical Services
Other (please specify)
Response Response
Frequency
Count
6.3%
1
6.3%
1
0.0%
0
0.0%
0
12.5%
2
12.5%
2
0.0%
0
75.0%
12
Comments: All local health departments are in the state system; we have MOUs with some facilities for
use for emergency response purposes but not specifically iso/quar; not required- our statutes grant that
authority only to the state; public health agency has taken education and informational, rather than
legalistic approach, to outreach to government and private sector partners
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
19
Do isolation and quarantine laws in your state mandate
MOUs with law enforcement or Emergency Medical
Services?
Response
Frequency
Response
Count
Yes
0.0%
0
No
100.0%
39
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
20
Does state law mandate/provide for the following
quarantine/isolation (Q&I) procedures? If YES, identify whether
the law exists as a STATUTE, REGULATION, or BOTH. If NO,
choose NO LEGAL MANDATE.
Due process for individuals
Due process for groups
Drills/exercises for state and local public
health to test Q&I procedures &
capabilities
Provision of incentives to private citizens
to enhance Q&I compliance
Job protection for those placed in Q/I
Income replacement for those placed in
Q/I
Use of "least restrictive alternative" when
ordering Q&I
Response
Count
38
37
Statute
21
17
Regulation
4
4
Both
8
5
No Legal
Mandate
5
11
0
0
0
39
39
2
0
0
35
37
5
0
0
34
39
0
0
0
38
38
12
7
7
10
36
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
21
Please describe any deficiencies in the legal authority in ordering
or enforcing isolation/quarantine as identified by the state public
health agency or state Attorney General.
• We need to better define due process for group quarantine or isolation.
Where there is concurrent authority we need MOUs specifying how each
entity will carry out its authority
• The lack of express due process rights within the quarantine and isolation
statutes is currently being addresses by state legislation
• No appeal from a local Q&I order; no administrative procedure
• Need "exercises”
• Training local judges on isolation/quarantine laws to avoid delays or gaps
in an emergency
• Chemical, radiologic, and nuclear events
• Although Massachusetts has adequate legal authority, the statutes are
archaic. Pending legislation would update and modernize law regarding
I&Q
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
22
Please describe any deficiencies in the legal authority in ordering
or enforcing isolation/quarantine as identified by the state public
health agency or state Attorney General. (Continued)
• Not a deficiency but a comment. Our statues do not identify "groups" as a
unit for I&Q. Legal department interpretation is that we still need to serve
orders that identify each person as an individual
• Need better statutory clarification on groups-no provision for income
replacement
• The statute provides for the appointment of counsel to represent
individuals who are about to be quarantined. The provision should be
further clarified
• Habeas corpus statute (KSA 60-1505) currently requires the district court
judge to appoint at least two competent physicians to examine persons
under isolation or quarantine and report their findings to the judge. We
have introduced a bill in the current legislative session to strike this
language from the statute.
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
23
Best Practices in Isolation and
Quarantine
Results of a National Survey of State Epidemiologists
Part II: Isolation and Quarantine Policies
and Practice
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
24
Please indicate the number of times in the last 5 years
that your state has invoked isolation or quarantine
policies for INDIVIDUALS or GROUPS.
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
25
Has state-ordered isolation or quarantine been an
effective disease control tool in your state in the last 5
years?
Yes
No
Not applicable: no state-ordered isolation or
quarantine in the last 5 years
Response
Frequency
Response
Count
70.0%
0.0%
28
0
30.0%
12
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
26
In practice, who is responsible for declaring an emergency for
epidemics or other communicable disease threats and/or
implementing isolation and quarantine of INDIVIDUALS and
GROUPS OF PERSONS? (Check all that apply)
Quarantine
Emergency
of
Isolation of Quarantine of Isolation Response Count
Declarations Individuals Individuals
Groups
of Groups
Governor
33
3
3
3
3
33
State Health Officer
12
32
32
31
31
33
Chief Medical Executive
0
1
1
1
1
1
State Epidemiologist
Director of Public Health
Preparedness
2
9
9
8
8
9
1
1
1
1
1
1
Local Health Officer
4
26
26
23
23
26
Other
5
8
8
8
8
11
Other designees: A State Medical Officer, Local executive officer (emergency declarations), State disease
control program, State public health director, secretary of the department of health, Deputy/Assistant State
Health Officer, Chief presiding officer of the local government, Local Boards of Supervisors, Deputy Secretary
for Health Planning and Assessment, Mayor
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
27
Who is primarily responsible for advising the state
health officer on whether to implement isolation and
quarantine? (Check all that apply)
Chief Medical
Executive
State Epidemiologist
Director of Public
Health Preparedness
Other
Quarantine
Isolation
Response Count
7
7
7
39
39
39
6
6
6
7
7
7
Other: General Counsel, Regional Directors, Assistant State Epidemiologist, Disease Control Program Staff, Local
Health Officers, Director of the Office of Public Health, Deputy Commissioner, Division of Acute Epidemiology,
Deputy Secretary for Health Planning and Assessment
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
28
In your state public health agency, which department/office
has primary responsibility for handling logistics for GROUP
isolation and quarantine?
Public Health
Preparedness
Administration
Communicable Diseases
Legal Affairs
Other (please specify)
Response Frequency
Response Count
47.4%
18
2.6%
31.6%
2.6%
15.8%
1
12
1
6
Other: Bureau of Health Emergency Preparedness, Local responsibility, multiple agencies at state level, shared
between Public Health Preparedness and Communicable Disease
Comments: No plans for group isolation/quarantine; emergency support functions as defined in the state plan
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
29
Which organizational entities have responsibility for ensuring
each of the following components of isolation and
quarantine? (Check all that apply)
Monitoring compliance
Providing basic necessities to
people
Medical and mental health
evaluation and treatment
Social support services
Systems support (e.g.
communications, personnel)
Funding support
Transport of persons
NGOs
(Red
Response
Cross,
Count
Law
Hospitals Salvation
Enforcement /clinics
Army)
Other
8
11
1
1
38
State
Public
Health
27
Local
Public
Health
34
14
25
1
8
20
13
37
21
25
0
27
5
11
37
10
22
0
4
17
18
37
23
23
7
6
6
14
36
24
13
20
20
0
14
1
7
6
5
14
16
34
36
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
30
Are there provisions made in the state public health
agency's plan (including delegation of responsibility to
local public health) for each of the following when
ordering AT-HOME isolation or quarantine?
Response
Count
Yes
29
No
9
Physical infrastructure (location, heat, electricity, etc.)
25
12
37
Medical evaluation and treatment
31
7
38
Mental health evaluation and counseling
21
16
37
Social support services
27
10
37
Funding support (funding for personnel, etc.)
11
25
36
Transport (relocation to higher level of care)
25
11
36
Basic necessities (food, water, etc.)
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
38
31
Are there provisions made in the state public health agency's
plan (including delegation of responsibility to local public
health) for each of the following when ordering
INSTITUTIONAL (hospital) isolation or quarantine?
Response
Count
Yes
No
Medical evaluation and treatment
29
8
37
Mental health evaluation and counseling
21
15
36
Social support services
23
13
36
Funding support (i.e. all associated costs for
hospitalization)
18
18
36
Transport to higher level of care
24
12
36
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
32
Which of the following has primary responsibility for covering
associated costs for INSURED and UNINSURED patients in the
event of state-ordered isolation and quarantine in a healthcare
facility? (Check all that apply)
Answer
Options
Insured
Uninsured
Local health State health Other state Healthcare Private
department department
agency
facility
insurance Other
Response
Count
7
12
6
10
29
8
38
8
18
14
21
1
13
37
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
33
Does the state ever order isolation and quarantine
without engaging the affected local public health
agencies in the decision-making process?
Response
Frequency
Response Count
Yes
7.7%
3
No
79.5%
31
Not Applicable
12.8%
5
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
34
Which of the following organizations has the state public health agency
engaged to coordinate roles and responsibilities dealing with isolation
and quarantine? (Check all that apply)
Local Health Departments
Local Governments
Tribal Health Board
Indian Health Service
CDC Quarantine Station
Law Enforcement
State Department of Agriculture
National Guard
State Department of Human (Social) Services
State Office on Aging
Emergency Responders
Private Entities
None
Other (please specify)
Response Frequency
Response Count
87.2%
53.8%
30.8%
15.4%
64.1%
79.5%
53.8%
35.9%
43.6%
25.6%
61.5%
43.6%
0.0%
41.0%
34
21
12
6
25
31
21
14
17
10
24
17
0
16
Other: State Department of Homeland Security, Red Cross, hospitals, Attorney General, Circuit Courts, Regional
Public Health Emergency Planning Teams, Department of Education, legal associations, private healthcare,
military, behavioral health, Department of Corrections, Emergency Management
Comments: All local health departments are part of the state system; Isolation/quarantine have been a local
responsibility
Expert Panel on Quarantine and Isolation
35
University of Michigan School of Public Health ● Office of Public Health Practice
When were the state's isolation and quarantine
laws/statutes last reviewed by state public health
officials?
Response Frequency
Response Count
< 2 years
61.5%
24
2 to 5 years
35.9%
14
6 to 10 years
2.6%
1
> 10 years
0.0%
0
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
36
Please rate the level of importance of each of the following concerns in impacting
decisions to ORDER and TERMINATE isolation or quarantine using the following scale:
1=not important 2=of little importance 3=moderately important 4=important 5=very
important
Scientific (specific disease, transmission
patterns, magnitude, severity, etc.)
Resource (available personnel, funding,
logistical restrictions, etc.)
Legal (authority, etc.)
Political (public pressure, legislative
action, media attention, etc.)
1
2
3
4
5
Response
Count
0
0
1
26
12
39
2
9
22
3
2
38
1
1
5
25
7
39
8
14
14
1
1
38
TERMINATE
Scientific (specific disease, transmission
patterns, magnitude, severity, etc.)
Resource (available personnel, funding,
logistical restrictions, etc.)
Legal (authority, etc.)
Political (public pressure, legislative
action, media attention, etc.)
1
2
3
4
5
Response
Count
0
0
2
25
11
38
4
8
21
4
2
39
2
1
6
24
5
38
8
13
14
3
1
39
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
37
Which criteria determine whether isolation/quarantine
for an emergency event can be ordered by a state
agency or by a local agency? (Check all that apply)
Response
Frequency
Response
Count
Number of people to be isolated/quarantined (individual
v. groups)
39.5%
15
Geographic spread of event
65.8%
25
Media, public, and/or political attention to event
15.8%
6
Specific disease involved
71.1%
27
Other (please specify)
39.5%
15
Other: Mode of transmission, legal authority, insufficient/inappropriate action of local HDs, threat to public
health, syndrome, jurisdictional considerations, recommendations from CDC consultants,
Comments: State HD is sole authority to order iso/quar (5); not specified by rule, law, or policy
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
38
Are there different procedures for implementing
GROUP isolation/quarantine versus INDIVIDUAL
isolation/quarantine?
Response
Frequency
Response Count
Yes
52.9%
18
No
47.1%
16
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
39
Does your state have an isolation and quarantine electronic
tracking system that may be used independently by local public
health agencies?
Yes
No
Response
Frequency
Response Count
28.2%
11
71.8%
28
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
40
Does your state have a case management system for persons in
isolation or quarantine that is integrated with other electronic
systems, such as a NEDSS-compliant surveillance system?
Response
Frequency
Response Count
Yes
23.1%
9
No
76.9%
30
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
41
Has the state public health agency identified incentives to
enhance compliance of private citizens in a state-ordered
isolation or quarantine?
Response Frequency
Response Count
Yes
22.5%
9
No
77.5%
31
If an incentive program was developed, has it ever been
employed?
Response Frequency
Response Count
Yes
5.0%
2
No
15.0%
6
Not Applicable
80.0%
32
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
42
How much time would be needed to obtain an isolation or
quarantine order from the state health department following
report of a physician-diagnosed quarantinable disease?
Response
Frequency
Response
Count
90.0%
36
24-48 hours
7.5%
3
49-72 hours
0.0%
0
4-7 days
0.0%
0
More than 7 days
0.0%
0
Don't know
2.5%
1
Less than 24 hours
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
43
If the CDC issues a federal order for INDIVIDUAL or GROUP
quarantine in your state, for which of the following areas would
the state be willing to provide resources to implement and
maintain that order? (Check all that apply)
Monitoring compliance
Basic necessities
Medical and mental health evaluation and treatment
Social support services
Systems support (e.g. personnel, communications,
surge capacity)
General Funding support
Transportation services
None of the above
Other
Response
Count
Individual
28
19
20
18
Group
24
16
18
17
21
19
21
9
18
5
6
8
15
6
6
9
18
6
7
28
19
20
18
Comments: Unable to respond; depends on situation; not specified by statute, rule, or policy; CDC has no legal
authority to mandate individual or group quarantine in my state; without a federal quarantine station, unsure
how federal authority applies; in right circumstances would do all
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
44
Which of the following areas are too under-resourced in the
state to effectively implement and maintain an INDIVIDUAL-level
or GROUP-level isolation or quarantine? (Check all that apply)
Financial resources
Human resources
Physical infrastructure
None
Other
Individual
14
13
14
9
6
Group
25
23
25
5
8
Response
Count
26
25
26
9
8
Comments: Situation dependent; legal restrictions- no MOUs in place to accommodate isolation or quarantine;
little large scale capability
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
45
Which of the following locales is your state considering
for use in group isolation/quarantine? (Check all that
apply)
Response
Frequency
Response Count
Hospital
62.2%
23
Armory
27.0%
10
Schools
45.9%
17
Other
73.0%
27
Other: Designated mass care shelters, motels, hotels, casinos, correctional facilities, churches, community
centers, airport hangars, colleges, military bases, gyms, homes, vacant State properties, nursing homes
Comments: Have not discussed; have not been able to identify; we do not plan to do group
isolation/quarantine
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
46
Has a preparedness checklist specific to isolation and
quarantine been created by your state public health agency
for use by the general public?
Response
Frequency
Response Count
Yes
30.0%
12
No
70.0%
28
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
47
What percentage of the GENERAL PUBLIC in your state
do you believe is prepared for an event requiring
isolation or quarantine (i.e. plans in place; supplies
readied)?
Response
Frequency
Response
Count
0-10%
64.1%
25
11-25%
23.1%
9
26-50%
12.8%
5
51-75%
0.0%
0
76-100%
0.0%
0
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
48
On a scale of 1-10, please rate your state public health agency's
level of preparedness for the following activities related to
isolation and quarantine. 1= not at all prepared 10= fully
prepared
Initiation of order
Maintenance
Termination of
order
Recovery
1
0
0
2
0
1
3
0
3
4
0
3
5
1
7
6
0
6
7
2
5
8
11
9
9
12
2
10
14
1
0
0
0
0
2
2
1
9
14
0
1
3
1
7
8
7
3
4
Rating Response
Avg
Count
8.88
6.19
40
37
12
8.68
40
2
6.31
36
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
49
What type of exercises, if any, has the state public health agency
conducted in the last 5 years to test group isolation and
quarantine procedures and/or capabilities? (Check all that apply)
Response Frequency
Response Count
Full-scale
12.5%
5
Functional
25.0%
10
Tabletop
70.0%
28
None
20.0%
8
Other (please specify)
15.0%
6
Other: School closure exercises, participated in exercises led or co-led by with other agencies
Comments: No plans for group isolation/quarantine
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
50
Which of the following populations has been targeted by the
state public health agency for a public education campaign on
isolation and quarantine? (Check all that apply)
General public
Children and families
Geriatric population
Physically impaired
Minority groups
Low income population
Non-English speaking
None
Other (please specify)
Response
Frequency
Response
Count
51.4%
21.6%
21.6%
13.5%
21.6%
16.2%
32.4%
43.2%
10.8%
19
8
8
5
8
6
12
16
4
Other: Generic references, health care, law enforcement, public health
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
51
If your state public health agency has developed a
public education campaign, which message(s) has
served as the main content? (Check all that apply)
Ready.gov: Prepare. Plan. Stay Informed.
Pandemicflu.gov: Get Informed. Be Prepared.
American Red Cross: Get a Kit. Make a Plan. Be
Informed.
Not Applicable
Other (please specify)
Response
Frequency
Response
Count
23.7%
44.7%
9
17
18.4%
7
39.5%
18.4%
15
7
Other: “Get 10”, Preparedness Today, internally developed materials
Expert Panel on Quarantine and Isolation
University of Michigan School of Public Health ● Office of Public Health Practice
52