ISOLATION, QUARANTINE AND RESTRICTIONS

Section 2.25 Contacts, date of last exposure, isolation and quarantine defined

ISOLATION, QUARANTINE AND RESTRICTION

2.25 Contacts, date of last exposure, isolation and quarantine defined. For the purposes of this Part:

(a) The term household contacts shall include every person in a household wherein a case of communicable disease exists. By an adult is meant an individual 15 years of age or over.

(b) The term incidental contacts shall include persons other than household contacts who have been in contact with a person infected with a communicable disease.

(c) The date of last exposure of household contacts shall be the date of the removal of such household contacts to premises other than those where the case exists, or the date of the removal of the patient to other premises, or the date of release of the patient from isolation.

(d) Isolation shall consist of the separation from other persons, in such places, under such conditions, and for such time, as will prevent transmission of the infectious agent, of persons known to be ill or suspected of being infected.

(e) Quarantine of premises, except as specifically modified in other sections of this Chapter, shall consist of:

(1) prohibition of entrance into or exit from the premises, as designated by the health officer, where a case of communicable disease exists of any person other than medical attendants and such others as may be authorized by the health officer; and

(2) prohibition, without permission and instruction from the health officer, of the removal from such premises of any article liable to contamination with infective material through contact with the patient or with his secretions or excretions, unless such article has been disinfected.

(f) Personal quarantine shall mean restricting household contacts and/or incidental contacts to premises designated by the health officer.
 

Effective Date: 
Wednesday, February 23, 1994
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Section 2.27 - Physician to isolate person with highly communicable disease and give instructions regarding prevention of spread of the disease

2.27 Physician to isolate person with highly communicable disease and give instructions regarding prevention of spread of the disease. It shall be the duty of the attending physician immediately upon discovering a case of highly communicable disease (as defined in section 2.1 of this Part) to cause the patient to be isolated, pending official action by the health officer. Such physician shall also advise other members of the household regarding precautions to be taken to prevent further spread of the disease and shall inform them as to appropriate specific preventive measures. He shall in addition furnish the patient's attendant with such detailed instructions regarding the disinfection and disposal of infective secretions and excretions as may be prescribed by the State Commissioner of Health.
 

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Section 2.28 - Persons suffering from certain communicable diseases to be isolated

2.28 Persons suffering from certain communicable diseases to be isolated. Whenever a case of measles or typhoid comes to the attention of the health officer, he/she may, according to his professional judgment, establish and maintain isolation of such case for the period specified herein; when isolation on the premises is impracticable, the health officer may cause the removal of the patient to a suitable hospital.

(a) Measles. Until recovery.

(b) Typhoid. Until recovery. The patient shall conform to the regulations for the control of typhoid carriers until three successive specimens of feces passed not less than 48 hours after the last administration of any antibiotic or chemotherapeutic agent and at an interval of not less than 24 hours shall have been examined in an approved laboratory or in the laboratory of the State Department of Health and found to be free from typhoid bacilli; a person who has recovered from typhoid shall not engage in the handling of milk, dairy products or other foods until all secondary or complicating infections incited by the agents of this disease have disappeared and until three successive specimens of feces passed not less than 48 hours after the last administration of any antibiotic or other chemotherapeutic agent and at intervals of not less than 24 hours have been examined in an approved laboratory or in the laboratory of the State Department of Health and found to be free from typhoid bacilli. Should the organism of typhoid be present one year after such person has recovered from typhoid, he shall be released from the restrictions for typhoid carriers only with the approval of the State Commissioner of Health.
 

Effective Date: 
Wednesday, August 30, 2000
Doc Status: 
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Section 2.29 - Other highly communicable diseases

2.29 Other highly communicable diseases. Whenever a case of a highly communicable disease (as defined in section 2.1 of this Part) comes to the attention of the city, county or district health officer he shall isolate such patients as in his judgment he deems necessary.
 

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Section 2.30 - Diptheria

2.30 Diptheria. (a) Isolation of case, quarantine of children of household and modified quarantine for adult household contacts. Whenever a case of diphtheria shall come to the attention of the city, county or district health officer, he/she may, according to his professional judgement, isolate the patient and establish and maintain quarantine for the periods hereinafter stated. When isolation on the premises is impracticable, the health officer may cause the removal of the patient to a suitable hospital.

(b) The patient shall be isolated until two successive cultures taken from the nose and throat at intervals of not less than 24 hours and not less than 24 hours after cessation of antimicrobial therapy, have been found free from diptheria bacilli in an approved laboratory, or in the laboratory of the State Department of Health, the first of such cultures being taken not less than one week from the day of the onset of the disease; except that if diphtheria bacilli continue to be present in cultures, the health officer in his discretion may release the patient from isolation 30 days after clinical recovery, provided the mucous membranes appear normal and there are no abnormal discharges from the nose, throat or ears or after 14 days following antibiotic treatment.

(c) Personal contact(s) of a case of diptheria whose occupation involves handling food, providing health care to patients, or close association with children, shall be prevented by exclusion from that work until bacteriological examination proves such case not to be a carrier.

Effective Date: 
Wednesday, August 30, 2000
Doc Status: 
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Section 2.31 Reserved

Section 2.32 - Reports of gonorrhea and syphilis cases confidential

2.32 Reports of gonorrhea, Chlamydia trachomatis infection and syphilis cases confidential. Records of the State Department of Health or of any local department of health or local health authority having custody of such records or of any laboratory, clinic or other institution relating to cases of gonorrhea, chlamydia trachomatis infection or syphilis shall be confidential, except that access to such records by representatives of official public agencies concerned with the control of such diseases may be permitted at the discretion of the State or local health authority having custody of such reports.
 

Effective Date: 
Wednesday, August 30, 2000
Doc Status: 
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Section 2.33 - Removal of cases of communicable diseases from one health district to another restricted

2.33 Removal of cases of communicable diseases from one health district to another restricted. Except as hereinafter provided no person affected with a highly communicable disease (as defined in section 2.1 of this Part) shall be removed from one health district into another except with the permission of the city, county or district health officer from whose district such person is removed and the permission of the city, county or district health officer to whose jurisdiction such person is to be transferred. The former shall give permission only after securing the consent of the health officer to whose jurisdiction the person is to be transferred except that the latter's permission need not be obtained if the patient is brought into a municipality solely for hospitalization in an institution approved by that municipality's health officer for admission of the type of case in question. Such removal shall be by means of a private conveyance, in charge of a responsible person and conducted in such manner as to prevent the exposure of other persons to the patient.
 

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