Community Containment for Disease Toolbox

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Morris County Office of Health Management

• Community Containment for Disease Toolbox
• NW New Jersey Region

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Overview

• Whats in the plan
• Sample forms
• Highlights regional planning

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A Collaboration

• Morris, Sussex, Passaic and Warren Counties
• Representatives from public health, health care,
  emergency management, law enforcement, volunteer
  organizations, human services and the Morris
  County Prosecutors Office

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Whats in the PlanMitigation Measures Settings

• Individual Isolation and Quarantine
• Home setting
• Offers guidance on coordination and management of
  individuals under home isolation or quarantine
• Social Distancing and Restriction of Movement
• School and child care
• Health care
• Workplace

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Purpose

• Using a regional approach
• Develop a standard template that agencies can
  adapt
• Provide coordination of resources to implement
  mitigation measures
• Disseminate uniform messages and
  recommendations/guidelines

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Assumptions

• Communities will be impacted simultaneously
• Residents will be confined for a significant
  period of time (up to 1 week)
• Short supply of antiviral medications or delayed
  vaccines
• Isolation and quarantine orders will be obtained
  in a timely manner

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Definitions and Authority

• N.J.S.A. 26 13-1 et seq
• Emergency Health Powers Act
• N.J.A.C. 857 Communicable Disease

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Isolation and Quarantine Template

• N.J.A.C. Title 857 Communicable Diseases,
  Subchapter 5 (TB)
• Provides template for larger scale outbreaks and
  naturally occuring diseases
• Pandemic Influenza
• Severe Acute Respiratory Syndrome (SARS)
• MERS CoV
• Biological Agents

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Standards and Guidelines

• When to use
• Isolation guidelines
• Quarantine guidelines
• Evaluation and treatment guidelines
• Sample orders

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Sample Health Officer Order Evaluation and
Treatment
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Sample Request for Voluntary Quarantine
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Sample Isolation Order
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Community Containment Guidelines

• Key Considerations
• Measures that affect groups of exposed or at risk
  persons
• Tables
• Focused measures to increase social distance
• Community wide measures to increase social
  distance
• Widespread community quarantine
• Working quarantine

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Sample Table Focused Measures to increase social
distance
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Community Containment

• Community wide infection control measures
• Emergency closings and self shielding
• Preparedness checklists
• Temporary emergency facilities for patient
  isolation and quarantine

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Management Guidelines for Home Isolation and
Quarantine
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Monitoring Health Status

• Staffing recommendations
• Supplies
• Passive Patient Monitoring
• Active Patient Monitoring
• Active Patient Monitoring with activity
  restrictions
• Monitoring procedures
• Monitoring cycles
• Data records content
• Monitoring reports

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Coordination

• Public Information
• Law Enforcement Support
• Statutes related to state public health emergency
  declared
• State public health emergency not declared

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Disease Scenario

• Tuberculosis
• Next Steps
• Exercise the disease scenario with partners and
  the courts

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