Guidelines for Quarantine and Movement Control in Emergency Situations

The guidelines provide comprehensive considerations for implementing quarantine measures to prevent disease spread, ensure coordination among various agencies, and facilitate cooperation in emergency management. Key aspects include planning, coordination with local, state, and federal authorities, development of communication plans, and identification of resources for effective response. The focus is on controlling, containing, and eradicating diseases through strategic management strategies outlined in the guidelines.

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• Quarantine guidelines
• Disease control
• Emergency management
• Coordination
• Communication planning

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1. Quarantine and Movement Control General Considerations, Quarantine Adapted from the FAD PReP/NAHEMS Guidelines: Quarantine and Movement Control (2016)

2. This Presentation Quarantines - premises and area Coordination and planning Resolving competing priorities Prevent disease spread Continue key operations Implementing and releasing quarantine FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 2 USDA APHIS and CFSPH

3. General Considerations FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 3 USDA APHIS and CFSPH

4. Coordination and Cooperation Involve local, State, Tribal, Federal authority, resources SAHO and APHIS cooperation Support from multiple agencies FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 4 USDA APHIS and CFSPH

5. Coordination and Cooperation contd Utilize emergency management agencies and local resources Activate veterinary reserve groups Coordination achieved through ICS Goals: control, contain, eradicate the FAD FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 5 USDA APHIS and CFSPH

6. Planning Determine legal authority Quarantines Biosecurity Permitting Traffic control and road maintenance Identify resources Develop agreements Identify agricultural routes and potential checkpoint sites FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 6 USDA APHIS and CFSPH

7. Planning contd Develop communication plans Internal and external Ensure appropriate PPE, disinfectants Understand roles, responsibilities of emergency response Response conducted through ICS Animal Movement and Permits Group Other personnel as designated by Incident Commander FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 7 USDA APHIS and CFSPH

8. Continuum of Activities Quarantine and movement control Stops or limits movement Affects livestock or poultry businesses Continuity of business Managed movement Maintains essential business functions Manages disease risk FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 8 USDA APHIS and CFSPH

9. QMC and Managed Movement Same goal Prevent transmission of FAD to non-infected premises QMC Ensure infected do not leave premises COB, managed movement Facilitate movement for non-infected premises within/out of Control Area FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 9 USDA APHIS and CFSPH

10. Progression of Activities FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 10 USDA APHIS and CFSPH

11. Competing Priorities Competition for limited resources Discuss, mitigate, resolve competing priorities prior to incident Identify resources, establish mutual goals, increase awareness COB plans coordinate with Federal, State, Tribal, local planning efforts FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 11 USDA APHIS and CFSPH

12. Individual Premises Quarantine (Typically State Quarantine) FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 12 USDA APHIS and CFSPH

13. Issuance of Quarantine State authority varies Presumptive positive, pending lab confirmation Confirmed positive Possibly hold order or embargo first Stops movement of animals/fomites to allow further investigation Then, less temporary quarantine FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 13 USDA APHIS and CFSPH

14. Issuance of Quarantine contd Requested by FADD conducting investigation High suspicion of FAD Inconsistent with endemic disease Notify SAHO and AD of quarantine and any needed outside support FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 14 USDA APHIS and CFSPH

15. Implementing Premises Quarantine Team led by Site Manager assigned to locations to ensure enforcement Apply quarantine, notify owner/agent Secure premises Establish biosecurity Develop contingency plans Restrict movement Animals, animal products, fomites Prepare for essential movement FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 15 USDA APHIS and CFSPH

16. Notifying Owner/Agent Serve quarantines to individual in direct control of animals Three attempts to notify Document all attempts SAHO may authorize quarantine if immediate action is necessary Verify notification receipt FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 16 USDA APHIS and CFSPH

17. Securing a Premises Prohibit movement Account for animals in premises census Prevent escape or intentional removal Display signs to warn of restricted access and security If authorized, law enforcement may assist if required FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 17 USDA APHIS and CFSPH

18. Biosecurity Procedures Establish Work Zones to restrict access Keep a log of all movements Evaluate wildlife involvement FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 18 USDA APHIS and CFSPH

19. Contingency Planning Health and safety of people is top priority Obtain medical care as quickly as possible Coordinate decontamination of the victim without interfering with essential treatment Inform medical facility of pathogen transmission, disinfection, etc. FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 19 USDA APHIS and CFSPH

20. Movement Essential movement Humane care of animals Employees and people residing on premises Biosecurity protocols, clean clothes, PPE, cleaning and disinfection Animals, products, fomites Generally don t move during quarantine Permits granted for one-time movement if essential or critical Requires high biosecurity measures FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 20 USDA APHIS and CFSPH

21. Area or Region Quarantine (Control Area) FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 21 USDA APHIS and CFSPH

22. Establishing a Control Area State or Unified Incident Command Complex factors determine size Disease agent, trade considerations, State-specific issues, epidemiology All premises with susceptible animals Additional requirements due to proximity to infected locations FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 22 USDA APHIS and CFSPH

23. Implementing Area Quarantine Federal authority to quarantine a Control Area Can establish prior to publication of notice in Federal Register In addition to premises quarantines Unified Command (Federal and State) State efforts to implement Federal quarantine reimbursed FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 23 USDA APHIS and CFSPH

24. Implementing a Standstill May cover broad geographical area Prohibit new movements, short time Facilitate epidemiological evaluation None issued in past U.S. outbreaks Impacts commerce May require Extraordinary Emergency, or voluntarily by States FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 24 USDA APHIS and CFSPH

25. State Area Quarantine Authority May elect additional quarantine area outside the boundary of Federal area Protect State s interests Federal goal to support States for science- and risk-based quarantine, controlled movement Secure Food Supply Plans Other collaborative activities FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 25 USDA APHIS and CFSPH

26. Recent FAD Control Areas HPAI Control Areas were established Around Infected and Contact Premises Federal area quarantines were not established May/may not be established during an FAD outbreak FAD-PReP/NAHEMS Guidelines: Quarantine & Movement Control - Overview 26 USDA APHIS and CFSPH

27. Quarantine Violations, Appeals Violations State: handled by the State Federal: handled by APHIS IES Documentation tracked in EMRS2 Appeals Process varies for State quarantines Process for Federal quarantines Hearing, includes hearing officer, epidemiologist, Incident Commander, owner FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 27 USDA APHIS and CFSPH

28. Non-Cooperative Owners Owner reactions to entry request may vary Personnel should leave property if concerned for safety Document all non-compliance issues If confronted with threat Remain calm, maintain safety, avoid confrontation, involve higher authority FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 28 USDA APHIS and CFSPH

29. Releasing Premises Quarantine Must have high level of confidence in disease freedom Depopulation Disposal/disposition Cleaning and disinfection Downtime with no animal presence Verification of health status Laboratory confirmation Period of restocking FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 29 USDA APHIS and CFSPH

30. Releasing Area Quarantine Area quarantine released before or after individual premises Federal Register notice indicates the release of Federal area quarantine Release of portions of quarantine may reduce size of Control Area Trade considerations or epidemiologic information FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 30 USDA APHIS and CFSPH

31. For More Information FAD PReP/NAHEMS Guidelines: Quarantine and Movement Control http://www.aphis.usda.gov/fadprep Quarantine and Movement Control web-based training module http://naherc.cfsph.iastate.edu/ FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 31 USDA APHIS and CFSPH

32. Guidelines Content Authors (CFSPH) Janice P. Mogan, DVM Heather Allen, PhD, MPA Kristen Bretz, MS Reviewers (USDA) Randall Crom, DVM (Retired) Jonathan Zack, DVM FAD PReP/NAHEMS Guidelines: Quarantine & Movement Control - Considerations 32 USDA APHIS and CFSPH

33. Acknowledgments Development of this presentation was by the Center for Food Security and Public Health at Iowa State University through funding from the USDA APHIS Veterinary Services PPT Authors: Janice Mogan, DVM; Logan Kilburn Reviewers: Kristen Bretz, MS