Cass County, MO
 
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Table of Contents
Table of Contents
[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. 
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. 
Definitions. As used in this Chapter, the following terms shall have these prescribed meanings:
EMBARGO
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.
ISOLATION
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)
QUARANTINE
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)
1. 
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.
2. 
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. 
The Cass County Health Department Administrator shall have authority within Cass County borders to do one (1) or more of the following:
1. 
Identify persons subject to quarantine and/or isolation, whether by name, by group, by location or by any other reasonable means;
2. 
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. 
Establish precautions to be taken by emergency personnel and any other persons entering or leaving the quarantine or isolation area;
4. 
Assist in making arrangements for food, shelter and medical care for any persons subject to quarantine or isolation;
5. 
Establish zones within a quarantine area depending upon likelihood of exposure;
6. 
Authorize the movement and method of transportation of persons subject to quarantine or isolation;
7. 
Determine and establish the length of time for which the quarantine or isolation is imposed;
8. 
Close any school or place of public or private assembly;
9. 
Inspect any premises that he/she has reasonable grounds to believe are in a condition conducive to the spread of any communicable disease;
10. 
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. 
Confer with medical advisors, laboratories or others making report of such conditions;
12. 
Make a complete epidemiological, environmental or occupational industrial hygiene investigation and record the findings as indicated;
13. 
Provide the opportunity to immunize all contacts of persons suffering from the disease (if available);
14. 
Establish other control measures including disinfecting or decontamination;
15. 
Order examinations necessary to determine presence of food-borne, water-borne or vector-borne infection or disease;
16. 
Exclude persons who are infected with a communicable disease from the production, preparation, manufacture, packaging, storage, sale, distribution or transportation of foods;
17. 
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. 
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. 
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. 
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.