1. Individual Restrictions, Quarantine, and Public Health Realities Edward P. Richards, JD MPH Program in Law, Science and Public Health LSU School of Law http://biotech.law.lsu.edu

2. Definitions Quarantine Quarantine Isolation Isolation Personal Restrictions Personal Restrictions Pandemic Pandemic

3. Example Diseases and Restrictions Tuberculosis Tuberculosis Smallpox Smallpox Yearly flu Yearly flu Typhoid Typhoid Hanson's Disease (leprosy) Hanson's Disease (leprosy) Ringworm Ringworm SARS SARS Theoretical pan flu Theoretical pan flu

4. Resources Where do you put them? Where do you put them? Why jail is always the wrong choice Why jail is always the wrong choice Do you have appropriate facilities? Do you have appropriate facilities? Should you move them to appropriate facilities? Should you move them to appropriate facilities?

5. Treatment and Testing Can you treat them against their will? Can you treat them against their will? What does this mean in practical terms? What does this mean in practical terms? Can you coerce them into treatment? Can you coerce them into treatment? Treatment as a key to release? Treatment as a key to release? What about DOT and enforcing it? What about DOT and enforcing it?

6. Dealing With the Civil Libertarians Do not screw up the medical side and the place of confinement Do not screw up the medical side and the place of confinement This is the root of most problems, which then cost the state authority This is the root of most problems, which then cost the state authority Educate the public about the risk posed by disease carriers Educate the public about the risk posed by disease carriers Do not sugar coat it Do not sugar coat it Political correctness has hurt public health authority Political correctness has hurt public health authority Look at national security law Look at national security law

7. Stay at Home Orders When would these be appropriate? When would these be appropriate? How do you provide medical care? How do you provide medical care? How do you provide food? How do you provide food? How do you support salary? How do you support salary? What about criminals, crazies, homeless, and illegals? What about criminals, crazies, homeless, and illegals? What is the role of a resilient communities approach? What is the role of a resilient communities approach?

8. How Far Do You Go to Enforce Orders? What is the purpose of the restriction? What is the purpose of the restriction? Does it have to be 100% Does it have to be 100% Is 100% even possible? Is 100% even possible? If 100% is not realistic, can you justify shooting someone? If 100% is not realistic, can you justify shooting someone? Can you justify it a year later at your trial, when the public health department is seen as having failed in the epidemic? Can you justify it a year later at your trial, when the public health department is seen as having failed in the epidemic?

9. QA