Pandemic Influenza Plan - Questar III

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Appendix 1-B and village boards of health may be active participants in public health while a different county or part-county health district may be more centralized. In villages the board of health is the board of trustees of the village; in towns the board of health is the town board. See PHL § 302. PHL § 356 does not address the relationship between a county board of health created under its terms and pre-existing town and village boards of health. Therefore, such preexisting town and village boards of health might have greater autonomy in county and part-county health districts governed by PHL § 356 than they would in county and part-county health districts formed under PHL § 340. In addition, under Article 9 of the State Constitution and the Municipal Home Rule Law, county charters can reallocate the administrative responsibilities of local government agencies. As a result, a charter may give the county legislature or some other local agency powers which the PHL gives to a board of health. The scope and exercise of that power would, of course, be subject to any provisions of the PHL or State Sanitary Code. The Department does not maintain a summary of county charter provisions. Given the variety of possible local actions that several counties may have undertaken, the county commissioners and public health directors should consult with their own legal advisors to confirm what bodies exercise the powers of the local board of health. The Department has no central registry of such information. With regard to the power to isolate and quarantine, PHL § 2100 states: 1. Every local board of health and every health officer shall guard against the introduction of such communicable diseases as are designated in the sanitary code, by the exercise of proper and vigilant medical inspection and control of all persons and things infected with or exposed to such diseases. 2. Every local board of health and every health officer may: (a) provide for care and isolation of cases of communicable disease in a hospital or elsewhere when necessary for protection of the public health and, (b) subject to the provisions of the sanitary code, prohibit and prevent all intercourse and communication with or use of infected premises, places and things, and require, and if necessary, provide the means for the thorough purification and cleansing of the same before general intercourse with the same or use thereof shall be allowed. In addition, PHL § 2120 requires health officers, upon receipt of a complaint from a physician that a person is afflicted with a communicable disease and is unable or unwilling to conduct himself and to live in such a manner as not to expose members of his family or household or other persons with whom he may be associated to danger of infection, to investigate the circumstances and to seek a court order committing the individual to a hospital or institution established for the care of persons suffering from such communicable disease. Pursuant to these provisions both local health officers and local boards of health have the power to isolate and quarantine individuals exposed to or infected with a communicable disease designated in the State Sanitary Code. The State Sanitary Code places the primary responsibility for such isolation and quarantine on local health officers, see 10 NYCRR §§ 2.6, 2.25(d), (e) and (f), and 2.29. I also want to take this opportunity to confirm the New York State Department of Health’s position that local health officers and local boards of health may quarantine and isolate only patients infected with or exposed to
Appendix 1-B communicable diseases determined to be dangerous to the public health by the New York State Public Health Council and listed in 10 NYCRR § 2.1. We understand that local health officers are concerned that they be able to respond quickly to communicable disease threats in their communities. By authorizing the State Commissioner of Health to add diseases to the communicable disease list in 10 NYCRR § 2.1 between its meetings, the Public Health Council has assured that expeditious response will be possible. The Department looks forward to continuing to work effectively and collaboratively with local health officers to meet the challenges of communicable disease control. Very truly yours, Donald P. Berens, Jr. General Counsel cc: Dennis Whalen Dr. Lloyd Novick JoAnn Bennison
Page 1 and 2: February206 Pandemic Plan NewYorkSt
Page 3 and 4: Introduction Pandemic influenza occ
Page 5 and 6: example, at this time, it is realis
Page 7 and 8: Acronyms (cont.) IND IHANS IRB ISHS
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Page 15: Appendix 1-B The Public Health Law
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Page 21 and 22: Appendix 1-E Suspension of Public M
Page 23 and 24: Appendix 1-G A Guide to New York St
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NYSDOH Novel Influenza Case Report
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Appendix 2-C to health care provide
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Virus Detection History NYS Lab Num
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Section 3: Healthcare Planning and
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Section 4: Infection Control I. Ove
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Section 4: Infection Control I. Ove
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Section 4: Infection Control A. Bas
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Section 4: Infection Control Drople
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Section 4: Infection Control • Pe
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Section 4: Infection Control o Noti
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Section 4: Infection Control E. Coh
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Section 4: Infection Control If wid
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Section 4: Infection Control • En
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Section 4: Infection Control should
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Section 4: Infection Control Policy
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Section 4: Infection Control o Staf
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Section 4: Infection Control • De
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Section 4: Infection Control • Pr
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Section 4: Infection Control The ma
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Section 4: Infection Control • Up
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Section 4: Infection Control Health
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Appendix 4-A Soiled linen and laund
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Appendix 4-B Respiratory Hygiene/Co
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Section 5: Clinical Guidelines I. O
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Section 5: Clinical Guidelines incu
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Section 5: Clinical Guidelines 1) N
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Section 5: Clinical Guidelines infe
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Section 5: Clinical Guidelines Alth
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Section 5: Clinical Guidelines Infe
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Section 5: Clinical Guidelines •
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Appendix 5-B Clinical Evaluation of
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Appendix 5-C Special Situations and
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Appendix 5-D handling soiled laundr
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DRAFT Appendix 5-E Footnotes to App
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Appendix 5-F February 7, 2006 1
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Appendix 5-F 7. Guidance on the eva
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Appendix 5-H Source: U.S. Departmen
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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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Appendix 5-J diabetes mellitus), re
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Appendix 5-J resistant S. aureus (M
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Appendix 5-K eight patients—all o
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Appendix 5-L Guidelines for Managem
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Appendix 5-L testing should be perf
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Appendix 5-L February 7, 2006 5
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Section 6: Vaccine Procurement, Dis
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Appendix 6-A Vaccine Priority Group
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Appendix 6-B Mass Clinic Planning O
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Appendix 6-C Vaccine and Antiviral
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Appendix 6-C 1. Request Phase The r
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Appendix 6-C 3. Receipt and Sign-of
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Appendix 6-C • Work with local he
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Section 7: Antiviral Medication Pro
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Appendix 7-A Characteristics of Ant
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Appendix 7-B a The drug package ins
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Appendix 7-C 7 HCWs in emergency de
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Section 8: Travel-Related Disease C
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Appendix 8-A Home or Community-Base
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Appendix 8-B Contact Identification
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Appendix 8-B • Determine the time
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Appendix 8-C Administrative Data: S
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Appendix 8-D CONTACT DAILY TEMPERAT
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Appendix 8-F Definitions: Intervent
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Appendix 8-F facility. No specific
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Appendix 8-F • Resources Required
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Appendix 8-G Business Pandemic Infl
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Appendix 8-G 4. Allocate resources
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Appendix 8-H CDC guidelines suggest
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Appendix 8-H If I am not masked I
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Appendix 8-H NYSDOH Model Influenza
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Appendix 8-H I understand that if
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Section 9: Communications I. Overvi
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Section 9: Communications and commu
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Section 9: Communications web pages
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Section 9: Communications Local Hea
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Section 9: Communications • A JIC
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Section 9: Communications backup to
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Section 9: Communications • In th
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Appendix 9-A Public Health Risk Com
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Appendix 9-C New York State Departm
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Appendix 9-C PRE-EVENT MESSAGE MAP:
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Appendix 9-C PROTECTIVE MESSAGE MAP
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Appendix 9-C TREATMENT MESSAGE MAP:
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Appendix 9-C BUSINESS CONTINUITY PR
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Section 10: Training and Education
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Appendix 10-A NYSDOH STAFF PRIVATE
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FACILITY- BASED RNs FACILITY- BASED
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Section 11: Workforce Support I. Ov
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Section 11: Workforce Support Pande
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Section 12: Highly Pathogenic H5N1
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Section 12: H5N1 in Non-Human Anima
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Section 13: Public Health Preparedn
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-B Notifications sent by
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Appendix 13-B HAN posting is used a
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Appendix 13-B notification system t
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Appendix 13-C Overview of the Healt
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Appendix 13-C • Ongoing surveilla
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Commerce Access and A
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Appendix 13-D Table 3. Organization
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Pandemic Influenza Plan - Questar III

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