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Core Response Capacities
Mass isolation and quarantine response capacity can include the following four distinct planning components.
1. Home-Based I & Q
Systems and staffing to identify, monitor and support those who are voluntarily isolated or quarantined at home.
2. Facilities-Based I & Q
Staffed and well-supported facilities in which to isolate or quarantine those for whom home is not an option (homeless persons, travelers, those with inappropriate dwellings or insufficient support resources to stay at home).
3. Involuntary Detention
Secure facilities and systems to involuntarily confine those unwilling or unable to comply with an order to isolate or quarantine themselves.
4. Port Passenger Screening & Support
Systems and facilities to hold incoming passengers at local and international airports and seaports for purposes of assessment and possible placement for treatment, isolation and/or quarantine.
1. Home-Based I & Q
Systems and staffing to identify, monitor and support those who are voluntarily isolated or quarantined at home.
2. Facilities-Based I & Q
Staffed and well-supported facilities in which to isolate or quarantine those for whom home is not an option (homeless persons, travelers, those with inappropriate dwellings or insufficient support resources to stay at home).
3. Involuntary Detention
Secure facilities and systems to involuntarily confine those unwilling or unable to comply with an order to isolate or quarantine themselves.
4. Port Passenger Screening & Support
Systems and facilities to hold incoming passengers at local and international airports and seaports for purposes of assessment and possible placement for treatment, isolation and/or quarantine.
Isolation & Quarantine
Planning Process & Plan Development
Planning Principles
Basic Principles
These principles represent the best thinking and research of a range of experts: Plan for all diseases meriting isolation and quarantine according to the President's Executive Order 13295 and assess which diseases would warrant I&Q in your local jurisdiction.
Planning Process & Plan Development
Planning Principles
Basic Principles
These principles represent the best thinking and research of a range of experts: Plan for all diseases meriting isolation and quarantine according to the President's Executive Order 13295 and assess which diseases would warrant I&Q in your local jurisdiction.
- The diseases meriting isolation and quarantine are SARS, cholera, diphtheria, infectious tuberculosis, plague, smallpox, yellow fever, viral hemorrhagic fevers, and the spectrum of pandemic influenza.
- Make the plan congruent with other preparedness responses, such as mass vaccination.
- Limit the duration of I & Q to the minimum necessary length and use the least restrictive measures possible.
- Encourage voluntary over compulsory involvement in I & Q. Where compulsion is required, it must meet strict ethical principles around due process and respect for civil liberties.
- Limit as much social interaction as is practical. Quarantine does not have to be absolute to be effective.
- Develop a clear description of the roles of jurisdictions.
- Coordinate and plan with partners. Public Health cannot take on roles in an emergency that it does not perform day to day.
- Earn the trust of the general public through open, factual and timely communication and planning.
- Plan for and develop ways to mitigate against the stigmatization that can arise from I & Q placement.
