FLOWCHARTS

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Isolation, Quarantine, and Treatment Flowchart

Probable cause exists that a person or group of people is affected with a communicable disease or carriers of a communicable disease likely to cause death or seriously impair the health of others
DOH Director authorized to issue order directing removal of person for isolation, quarantine, or treatment that specifies location of detention (if for a group, order must specify bounds of area subject to order)
Order executed by MPD or designated DC employee, who provides the affected person(s) with notice of the order’s contents and a copy of the order. This notice should include information regarding the right to petition for a hearing in DC Superior Court
Order expires 24 hours after issuance and individual is released
Order continued by Superior Court judge if probable cause found that individual is likely to cause death or serious harm to others
Detained individual can petition for a discharge hearing

Medical Examination Flowchart

Individual is detained under DC Code § 7-131 et seq. or 22-B DCMR § 210.8
DOH orders examination by appropriate medical personnel or submission of specimens by individual to determine whether the individual is affected with a communicable disease
If individual refuses to submit to medical examination, DOH Director may issue a Removal and Detention Order
Exam diagnosis must be signed in writing by examining physician and copy given to detained person and person in charge of location where individual is detained
Individual must be immediately discharged if found not to be affected by communicable disease
Individual can be detained for as long as necessary to protect public health if found to be affected by communicable disease
Individual can petition Superior Court at any time for a discharge hearing
Counsel will be appointed if individual cannot afford counsel

Declaration of Public Emergency Flowchart

Mayor Issues Emergency Executive Order Declaring Public Emergency Standard: reasonable apprehension of existence of public emergency and need for immediate preservation of public peace, health, safety, and welfare
Contents of Order 1) Nature, extent and severity of emergency 2) Measures needed to relieve emergency 3) Specific requirements of order and to whom the order applies 4) Duration of order
Publication of Order Order must be published in DC Register, two general circulation daily newspapers, and posted in public places as soon as practicable given the nature of the emergency
Powers Given To Mayor • Expend funds • Implement response plans without regarding to normal procedures • Evacuate people •Disconnect utilities •Destroy or remove property •Control and allocate resources •Institute curfews •Alter business hours •Expand governmental units •Procure supplies and personnel •Request federal disaster assistance •Prevent harmful consequences of disaster •Detain persons affected with a communicable disease if probable cause that they are a danger to public health
Duration and Extension of Order Lasts 15 days and may be extended for 15 additional days upon approval of DC Council

Declaration of Public Health Emergency Flowchart

Mayor Issues Emergency Executive Order Declaring Public Health Emergency AFTER Declaration of a Public Emergency Standard: Reasonable cause to believe there is imminent hazard or actual occurrence of large number of deaths, large number of serious or long-term health disabilities, widespread exposure to infectious or toxic agent, use or detonation of a weapon of mass destruction, other emergency events that create an acute and immediate need for volunteer health practitioners
Contents of Order 1) Existence, nature, extent and severity of public health emergency 2) Geographic area subject to declaration 3) Conditions that brought about public health emergency, if known 4) Measures needed to relieve public health emergency 5) Specific requirements of order and to whom the order applies 6) Duration of order
Publication of Order Order must be published in DC Register, two general circulation daily newspapers, and posted in public places as soon as practicable given the nature of the public health emergency
Powers Given To Mayor Mayor may appoint health care providers who become temporary agents of the District for duration of public health emergency and perform without compensation, without liability (except gross negligence), and without regard to licensure, permits and fees otherwise required under District law
Duration and Extension of Order Lasts 15 days and may be extended for 15 additional days upon approval of DC Council


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