Morris County Office of Health Management Community Containment for Disease Toolbox NW New Jersey Region

Morris County Office of Health Management Overview  What’s in the plan  Sample forms  Highlights regional planning

Morris County Office of Health Management 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 Prosecutor’s Office

Morris County Office of Health Management What’s in the Plan: Mitigation 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

Morris County Office of Health Management 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

Morris County Office of Health Management 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

Morris County Office of Health Management Definitions and Authority  N.J.S.A. 26: 13-1 et seq  Emergency Health Powers Act  N.J.A.C. 8:57 – Communicable Disease

Morris County Office of Health Management Isolation and Quarantine Template  N.J.A.C. Title 8:57 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

Morris County Office of Health Management Standards and Guidelines  When to use  Isolation guidelines  Quarantine guidelines  Evaluation and treatment guidelines  Sample orders

Morris County Office of Health Management Sample Health Officer Order – Evaluation and Treatment

Morris County Office of Health Management Sample Request for Voluntary Quarantine

Morris County Office of Health Management Sample Isolation Order

Morris County Office of Health Management 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

Morris County Office of Health Management Sample Table: Focused Measures to increase social distance

Morris County Office of Health Management Community Containment  Community wide infection control measures  Emergency closings and self shielding  Preparedness checklists  Temporary emergency facilities for patient isolation and quarantine

Morris County Office of Health Management Management Guidelines for Home Isolation and Quarantine

Morris County Office of Health Management 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

Morris County Office of Health Management Coordination  Public Information  Law Enforcement Support  Statutes related to state public health emergency declared  State public health emergency not declared

Morris County Office of Health Management Disease Scenario  Tuberculosis  Next Steps: Exercise the disease scenario with partners and the courts

Morris County Office of Health Management