New Jersey Nurse Quarantined in a Tent
Quarantined nurse blasts Gov. Christie as lawyer prepares to fight for her freedom
Kaci Hickox, 33, was the first person snared by the 21-day mandatory quarantine announced by Christie and Gov. Cuomo for anyone returning to New York or New Jersey after treating Ebola victims in West Africa. Civil rights attorney Norman Siegel has signed on to help Hickox sue for her freedom.
BY REUVEN BLAU , SASHA GOLDSTEIN , ERIN DURKIN NEW YORK DAILY NEWS Published: Sunday, October 26, 2014, 1:14 PM Updated: Sunday, October 26, 2014, 6:40 PM A A A
Kaci Hickox, 33, blasted Gov. Chris Christie on Sunday after being quarantine Friday following her return from Sierra Leone.
The nurse put under mandatory quarantine in New Jersey blasted Gov. Chris Christie on Sunday for the decision to isolate her and plans to take legal action to gain her freedom.
The quarantine tent in Newark, New Jersey, which has housed Kaci Hickox since she returned from Sierra Leone on October 24, 2014. Hickox had been treating Ebola victims.
"First of all, I don't think he (Christie) is a doctor, and second of all, he's never laid eyes on me," Kaci Hickox, 33, told CNN's Candy Crowley by phone from her quarantine tent outside University Hospital in Newark.
She said Christie was just wrong when he described her as "obviously ill" when she has no fever or other symptoms of the virus.
Hickox, who returned from working with Ebola victims in Sierra Leone, has retained civil rights attorney Norman Siegel to sue for her freedom in New Jersey federal court later this week.
"The mandatory quarantine policy enacted by Govs. Christie and Cuomo creates serious and substantial civil liberties issues," Siegel, the former head of the New York Civil Liberties Union, told the Daily News. "The policy infringes on Kaci Hickox's constitutional liberty."
Siegel said he had spoken to Hickox several times by phone and was cleared to meet with her later Sunday. He was gathering affidavits from legal experts to support their case.
To hold someone against his or her will, the government would have to prove a compelling public health reason, he said.
"Her temperature's 98.6. They took her blood and it's negative for Ebola. So I don't think they meet the requirements to confine her. And she wants out," he said. "You can't have a policy based on fear. It's got to be based on medical fact."
Hickox's boyfriend, Theodore Wilbur, 39, called his companion's confinement "fear mongering."
"They are doing it during the election season to drum up support for hardline members of the political establishment," he told The News from Maine, where the couple lives.
Hickox was singled out for extra screening after deplaning Friday at Newark Liberty Airport.
Following hours of tests and questioning, Hickox says she was ordered into isolation in an unheated tent outside University Hospital in Newark. She was the first person treated under the new rules in place in Jersey, New York and Illinois to quarantine anyone, including health workers, who have had contact with Ebola victims in Africa for 21 days.
The bathroom inside the tent outside University Hospital in Newark, where Kaci Hickox is being quarantined.
The extreme measures were described as "draconian" by the National Institute of Health's infectious disease director, Dr. Anthony Fauci, who appeared Sunday on NBC'S "Meet the Press."
"We need to treat them, returning (health workers), with respect, and make sure that - they're really heroes," he said.
Hickox said chaos reigned as health-care workers scrambled to set up her accommodations and monitoring. The tent has a portable toilet, no shower and little else. She's stuck only with her iPhone and a small window.
No one has communicated to her the quarantine protocol, or what will become of her for the next several days, Hickox said.
"To put me in prison is just inhumane," she told CNN.
She spoke to family on Sunday morning.
"I don't really know what's happening to my child," her mother, Karen Hickox, told the Daily News from Texas. "I love her with all my heart and I want her to be safe."
sgoldstein@nydailynews.co
Kaci Hickox, 33, was the first person snared by the 21-day mandatory quarantine announced by Christie and Gov. Cuomo for anyone returning to New York or New Jersey after treating Ebola victims in West Africa. Civil rights attorney Norman Siegel has signed on to help Hickox sue for her freedom.
BY REUVEN BLAU , SASHA GOLDSTEIN , ERIN DURKIN NEW YORK DAILY NEWS Published: Sunday, October 26, 2014, 1:14 PM Updated: Sunday, October 26, 2014, 6:40 PM A A A
Kaci Hickox, 33, blasted Gov. Chris Christie on Sunday after being quarantine Friday following her return from Sierra Leone.
The nurse put under mandatory quarantine in New Jersey blasted Gov. Chris Christie on Sunday for the decision to isolate her and plans to take legal action to gain her freedom.
The quarantine tent in Newark, New Jersey, which has housed Kaci Hickox since she returned from Sierra Leone on October 24, 2014. Hickox had been treating Ebola victims.
"First of all, I don't think he (Christie) is a doctor, and second of all, he's never laid eyes on me," Kaci Hickox, 33, told CNN's Candy Crowley by phone from her quarantine tent outside University Hospital in Newark.
She said Christie was just wrong when he described her as "obviously ill" when she has no fever or other symptoms of the virus.
Hickox, who returned from working with Ebola victims in Sierra Leone, has retained civil rights attorney Norman Siegel to sue for her freedom in New Jersey federal court later this week.
"The mandatory quarantine policy enacted by Govs. Christie and Cuomo creates serious and substantial civil liberties issues," Siegel, the former head of the New York Civil Liberties Union, told the Daily News. "The policy infringes on Kaci Hickox's constitutional liberty."
Siegel said he had spoken to Hickox several times by phone and was cleared to meet with her later Sunday. He was gathering affidavits from legal experts to support their case.
To hold someone against his or her will, the government would have to prove a compelling public health reason, he said.
"Her temperature's 98.6. They took her blood and it's negative for Ebola. So I don't think they meet the requirements to confine her. And she wants out," he said. "You can't have a policy based on fear. It's got to be based on medical fact."
Hickox's boyfriend, Theodore Wilbur, 39, called his companion's confinement "fear mongering."
"They are doing it during the election season to drum up support for hardline members of the political establishment," he told The News from Maine, where the couple lives.
Hickox was singled out for extra screening after deplaning Friday at Newark Liberty Airport.
Following hours of tests and questioning, Hickox says she was ordered into isolation in an unheated tent outside University Hospital in Newark. She was the first person treated under the new rules in place in Jersey, New York and Illinois to quarantine anyone, including health workers, who have had contact with Ebola victims in Africa for 21 days.
The bathroom inside the tent outside University Hospital in Newark, where Kaci Hickox is being quarantined.
The extreme measures were described as "draconian" by the National Institute of Health's infectious disease director, Dr. Anthony Fauci, who appeared Sunday on NBC'S "Meet the Press."
"We need to treat them, returning (health workers), with respect, and make sure that - they're really heroes," he said.
Hickox said chaos reigned as health-care workers scrambled to set up her accommodations and monitoring. The tent has a portable toilet, no shower and little else. She's stuck only with her iPhone and a small window.
No one has communicated to her the quarantine protocol, or what will become of her for the next several days, Hickox said.
"To put me in prison is just inhumane," she told CNN.
She spoke to family on Sunday morning.
"I don't really know what's happening to my child," her mother, Karen Hickox, told the Daily News from Texas. "I love her with all my heart and I want her to be safe."
sgoldstein@nydailynews.co
0
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Much better now that you fixed it.[:D][:p] 0 -
More people die in the US each and every year than have died from all Ebola outbreaks combined.
Yet many of you won't get vaccinated. Let's hope magical thinking will save you.0 -
Give me that tent then quarantine my butt to the back of our farm, I'll be happy. 0 -
quote:Originally posted by Barzillia
quote:Originally posted by CaptFun
quote:Originally posted by Barzillia
quote:Originally posted by CaptFun
I can't bring my dogs back into the country without a lengthy quarantine. What is it that these libtards do not understand about the rest of us not wanting to die.
Doing foolish things will only hasten the process.
Using your rationale, we should be quarantining you as well since you are exposed to your dogs.
How is imposing a quarantine longer than the incubation period foolish?
It does not matter where outside the country you go with pets they are quarantined for an extended period of time on your return. Anyone returning from a hot zone should be quarantined for 90 days at a secure location. Gitmo is a good spot and if the terrorists there get it, oh well....
They chose to risk their lives by going there. I did not.
How ?
Find the law authorizing Christie to do what he did :
http://law.justia.com/codes/new-jersey/2013/title-26/section-26-4-2
Find the law authorizing Cuomo to do what he initially started to do:
http://www.ncsl.org/research/health/state-quarantine-and-isolation-statutes.aspx
Go ahead. Read the law. The law authorizes the quarantine of cases. It is not the 15th century anymore, gents. The facts are not what you think or assume they are, or what Alex Jones or Rush tell you they are.
Can the feds do it ?
http://www.gpo.gov/fdsys/pkg/USCODE-2011-title42/html/USCODE-2011-title42-chap6A-subchapII-partG-sec264.htm
http://www.gpo.gov/fdsys/pkg/USCODE-2011-title42/html/USCODE-2011-title42-chap6A-subchapII-partG.htm
Cases, not contacts.
Cases, not contacts.
http://wwwnc.cdc.gov/eid/article/9/11/pdfs/03-0339.pdf
Note the sections regarding chain of transmission.
Well, gee....lessee....maybe these guys might say something different...
This article was published on October 27, 2014, at NEJM.org.
Ebola and Quarantine
Jeffrey M. Drazen, M.D., Rupa Kanapathipillai, M.B., B.S., M.P.H., D.T.M.&H., Edward W. Campion, M.D., Eric J. Rubin, M.D., Ph.D., Scott M. Hammer, M.D., Stephen Morrissey, Ph.D., and Lindsey R. Baden, M.D.
October 27, 2014DOI: 10.1056/NEJMe1413139
The governors of a number of states, including New York and New Jersey, recently imposed 21-day quarantines on health care workers returning to the United States from regions of the world where they may have cared for patients with Ebola virus disease. We understand their motivation for this policy - to protect the citizens of their states from contracting this often-fatal illness.
This approach, however, is not scientifically based, is unfair and unwise, and will impede essential efforts to stop these awful outbreaks of Ebola disease at their source, which is the only satisfactory goal. The governors' action is like driving a carpet tack with a sledgehammer: it gets the job done but overall is more destructive than beneficial.
Health care professionals treating patients with this illness have learned that transmission arises from contact with bodily fluids of a person who is symptomatic - that is, has a fever, vomiting, diarrhea, and malaise. We have very strong reason to believe that transmission occurs when the viral load in bodily fluids is high, on the order of millions of virions per microliter. This recognition has led to the dictum that an asymptomatic person is not contagious; field experience in West Africa has shown that conclusion to be valid.
Therefore, an asymptomatic health care worker returning from treating patients with Ebola, even if he or she were infected, would not be contagious.
Furthermore, we now know that fever precedes the contagious stage, allowing workers who are unknowingly infected to identify themselves before they become a threat to their community. This understanding is based on more than clinical observation: the sensitive blood polymerase-chain-reaction (PCR) test for Ebola is often negative on the day when fever or other symptoms begin and only becomes reliably positive 2 to 3 days after symptom onset.
This point is supported by the fact that of the nurses caring for Thomas Eric Duncan, the man who died from Ebola virus disease in Texas in October, only those who cared for him at the end of his life, when the number of virions he was shedding was likely to be very high, became infected.
Notably, Duncan's family members who were living in the same household for days as he was at the start of his illness did not become infected.
A cynic would say that all these "facts" are derived from observation and that it pays to be 100% safe and to isolate anyone with a remote chance of carrying the virus. What harm can that approach do besides inconveniencing a few health care workers? We strongly disagree. Hundreds of years of experience show that to stop an epidemic of this type requires controlling it at its source. M?decins sans Fronti?res, the World Health Organization, the U.S. Agency for International Development (USAID), and many other organizations say we need tens of thousands of additional volunteers to control the epidemic.
We are far short of that goal, so the need for workers on the ground is great. These responsible, skilled health care workers who are risking their lives to help others are also helping by stemming the epidemic at its source. If we add barriers making it harder for volunteers to return to their community, we are hurting ourselves.
In the end, the calculus is simple, and we think the governors have it wrong. The health care workers returning from West Africa have been helping others and helping to end the epidemic that has killed thousands of people and scared millions.
At this point the public does need assurances that returning workers will have their temperatures and health status monitored according to a set, documented protocol. In the unlikely event that they become febrile, they can follow the example of Craig Spencer, the physician from New York who alerted public health officials of his fever. As we continue to learn more about this virus, its transmission, and associated illness, we must continue to revisit our approach to its control and treatment. We should be guided by the science and not the tremendous fear that this virus evokes.
We should be honoring, not quarantining, health care workers who put their lives at risk not only to save people suffering from Ebola virus disease in West Africa but also to help achieve source control, bringing the world closer to stopping the spread of this killer epidemic.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
People are watching to see how the politicians will handle the science. Some well, others not.
Health care providers are generally willing to follow the evidence, but not the political sell outs pushing for political gain.
Or a panicked public who think they still have a clue.
What will it hurt, if health care providers do not accept the lead of ignorant politicians and hysterical public ?
You must have people who believe they will not be led by a liar or fool in the matter, to work in the hospitals, do the contact tracing, to do what you cannot or will not.
Go ahead, and be stupid, and see who shows up for work.
Be even more stupid and say it doesn't matter.
The contradictions in this post are priceless![:D][:D][^]0 -
Send the selfish bitch (and all others coming back from the HotZone) to stay with Barzilla for 60 days. Eventually the problem will take care of itself.
If she was truly concerned about the health of the masses she would have stayed in quarantine as directed unlike that last few libtards that felt the need to fly around and go bowling and take the subway. Awesome.... Way to spread the wealth (of GERMS)....0 -
quote:Originally posted by CaptFun
Send the selfish bitch (and all others coming back from the HotZone) to stay with Barzilla for 60 days. Eventually the problem will take care of itself.
If she was truly concerned about the health of the masses she would have stayed in quarantine as directed unlike that last few libtards that felt the need to fly around and go bowling and take the subway. Awesome.... Way to spread the wealth (of GERMS)....
+1000 Capt. For the life of me I cannot understand why so many people who say we should not be the world's policeman, have no reservations about us being the world's Dr. Welby MD.0 -
In before the poof, lock, NA 0 -
Second link half way down 0 -
quote:Originally posted by Barzillia
quote:Originally posted by Mr. Perfect
quote:Originally posted by Barzillia
quote:Originally posted by CaptFun
quote:Originally posted by Barzillia
quote:Originally posted by CaptFun
I can't bring my dogs back into the country without a lengthy quarantine. What is it that these libtards do not understand about the rest of us not wanting to die.
Doing foolish things will only hasten the process.
Using your rationale, we should be quarantining you as well since you are exposed to your dogs.
How is imposing a quarantine longer than the incubation period foolish?
It does not matter where outside the country you go with pets they are quarantined for an extended period of time on your return. Anyone returning from a hot zone should be quarantined for 90 days at a secure location. Gitmo is a good spot and if the terrorists there get it, oh well....
They chose to risk their lives by going there. I did not.
How ?
Find the law authorizing Christie to do what he did :
http://law.justia.com/codes/new-jersey/2013/title-26/section-26-4-2
Find the law authorizing Cuomo to do what he initially started to do:
http://www.ncsl.org/research/health/state-quarantine-and-isolation-statutes.aspx
Go ahead. Read the law. The law authorizes the quarantine of cases. It is not the 15th century anymore, gents. The facts are not what you think or assume they are, or what Alex Jones or Rush tell you they are.
Can the feds do it ?
http://www.gpo.gov/fdsys/pkg/USCODE-2011-title42/html/USCODE-2011-title42-chap6A-subchapII-partG-sec264.htm
http://www.gpo.gov/fdsys/pkg/USCODE-2011-title42/html/USCODE-2011-title42-chap6A-subchapII-partG.htm
Cases, not contacts.
Cases, not contacts.
http://wwwnc.cdc.gov/eid/article/9/11/pdfs/03-0339.pdf
Note the sections regarding chain of transmission.
Well, gee....lessee....maybe these guys might say something different...
This article was published on October 27, 2014, at NEJM.org.
Ebola and Quarantine
Jeffrey M. Drazen, M.D., Rupa Kanapathipillai, M.B., B.S., M.P.H., D.T.M.&H., Edward W. Campion, M.D., Eric J. Rubin, M.D., Ph.D., Scott M. Hammer, M.D., Stephen Morrissey, Ph.D., and Lindsey R. Baden, M.D.
October 27, 2014DOI: 10.1056/NEJMe1413139
The governors of a number of states, including New York and New Jersey, recently imposed 21-day quarantines on health care workers returning to the United States from regions of the world where they may have cared for patients with Ebola virus disease. We understand their motivation for this policy - to protect the citizens of their states from contracting this often-fatal illness.
This approach, however, is not scientifically based, is unfair and unwise, and will impede essential efforts to stop these awful outbreaks of Ebola disease at their source, which is the only satisfactory goal. The governors' action is like driving a carpet tack with a sledgehammer: it gets the job done but overall is more destructive than beneficial.
Health care professionals treating patients with this illness have learned that transmission arises from contact with bodily fluids of a person who is symptomatic - that is, has a fever, vomiting, diarrhea, and malaise. We have very strong reason to believe that transmission occurs when the viral load in bodily fluids is high, on the order of millions of virions per microliter. This recognition has led to the dictum that an asymptomatic person is not contagious; field experience in West Africa has shown that conclusion to be valid.
Therefore, an asymptomatic health care worker returning from treating patients with Ebola, even if he or she were infected, would not be contagious.
Furthermore, we now know that fever precedes the contagious stage, allowing workers who are unknowingly infected to identify themselves before they become a threat to their community. This understanding is based on more than clinical observation: the sensitive blood polymerase-chain-reaction (PCR) test for Ebola is often negative on the day when fever or other symptoms begin and only becomes reliably positive 2 to 3 days after symptom onset.
This point is supported by the fact that of the nurses caring for Thomas Eric Duncan, the man who died from Ebola virus disease in Texas in October, only those who cared for him at the end of his life, when the number of virions he was shedding was likely to be very high, became infected.
Notably, Duncan's family members who were living in the same household for days as he was at the start of his illness did not become infected.
A cynic would say that all these "facts" are derived from observation and that it pays to be 100% safe and to isolate anyone with a remote chance of carrying the virus. What harm can that approach do besides inconveniencing a few health care workers? We strongly disagree. Hundreds of years of experience show that to stop an epidemic of this type requires controlling it at its source. M?decins sans Fronti?res, the World Health Organization, the U.S. Agency for International Development (USAID), and many other organizations say we need tens of thousands of additional volunteers to control the epidemic.
We are far short of that goal, so the need for workers on the ground is great. These responsible, skilled health care workers who are risking their lives to help others are also helping by stemming the epidemic at its source. If we add barriers making it harder for volunteers to return to their community, we are hurting ourselves.
In the end, the calculus is simple, and we think the governors have it wrong. The health care workers returning from West Africa have been helping others and helping to end the epidemic that has killed thousands of people and scared millions.
At this point the public does need assurances that returning workers will have their temperatures and health status monitored according to a set, documented protocol. In the unlikely event that they become febrile, they can follow the example of Craig Spencer, the physician from New York who alerted public health officials of his fever. As we continue to learn more about this virus, its transmission, and associated illness, we must continue to revisit our approach to its control and treatment. We should be guided by the science and not the tremendous fear that this virus evokes.
We should be honoring, not quarantining, health care workers who put their lives at risk not only to save people suffering from Ebola virus disease in West Africa but also to help achieve source control, bringing the world closer to stopping the spread of this killer epidemic.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
People are watching to see how the politicians will handle the science. Some well, others not.
Health care providers are generally willing to follow the evidence, but not the political sell outs pushing for political gain.
Or a panicked public who think they still have a clue.
What will it hurt, if health care providers do not accept the lead of ignorant politicians and hysterical public ?
You must have people who believe they will not be led by a liar or fool in the matter, to work in the hospitals, do the contact tracing, to do what you cannot or will not.
Go ahead, and be stupid, and see who shows up for work.
Be even more stupid and say it doesn't matter.
The contradictions in this post are priceless![:D][:D][^]
If you find them, identify them here.
Otherwise you join the others barking in the dark.
lol. I did. And now twice. Apparently, it is a forest for the trees issue you've contracted.0 -
quote:Originally posted by Barzillia
quote:Originally posted by savage170
http://www.cdc.gov/quarantine/aboutlawsregulationsquarantineisolation.html
http://www.ncsl.org/research/health/state-quarantine-and-isolation-statutes.aspx
here is your laws
I have already posted the laws, thanks.
Tell me where it says you can quarantine contacts.
Point is, you can't.
Cases are quarantined under existing law, not contacts.
Read the laws.
Apparently you have NOT read them.0 -
quote:Tell me where it says you can quarantine contacts.
Quarantine: Compulsory separation, including restriction of movement, of (people who have potentially been exposed to a contagious disease), until it can be determined whether they have become sick or no longer pose a risk to others, for example, based on time elapsed from their potential exposure.
New Jersey
N.J. Stat. ? 26:4-2 (2005)
Authority. In order to prevent the spread of disease, the state department of health, and the local boards of health within their respective jurisdictions and subject to the state sanitary code, shall have power to maintain and enforce proper and sufficient quarantine, wherever deemed necessary.
N.J. Stat. ?? 26:4-129 (1918)
Penalties. Except as otherwise specifically provided in this chapter, a person who violates any of the provisions of this chapter, or fails to perform any duty imposed by this chapter at the time and in the manner provided, shall be liable to a penalty of not less than ten nor more than one hundred dollars for each offense.
N.J. Stat. ?? 26:4-3 (1893)
Police Power and Limitations. Whenever the state department or a local board, in order to prevent the spread of communicable disease, destroys any goods, the state treasurer or local treasurer, as the case may be, shall pay to the owner of the goods, or his legal representatives, the sum so certified.
Reinstatement of employment. N.J. Stat. ? 26:13-16 (2005) Any person who has been placed in isolation or quarantine pursuant to an order of the commissioner and who at the time of quarantine or isolation was in the employ of any public or private employer, other than a temporary position, shall be reinstated to such employment or to a position of like seniority, status and pay.0 -
And the key words in the law are "potentially been exposed" and "wherever deemed necessary".
How would you like your crow served Barzilla?0 -
quote:Originally posted by CaptFun
And the key words in the law are "potentially been exposed" and "wherever deemed necessary".
How would you like your crow served Barzilla?
Aw heck,....he will find some way to 'spin' those words too. Should have been Obama's new press secretary.0 -
Ebola lover... that is classic. 0 -
quote:Originally posted by Barzillia
quote:Originally posted by Mr. Perfect
Ebola lover... that is classic.
You don't look good in brown lipstick.
Should I ever get a hankerin' to wear it, I will keep that in mind.0 -
Universal Citation: NJ Rev Stat ? 26:4-2 (2013)
26:4-2 Powers of State department and local board.
26:4-2. In order to prevent the spread of disease affecting humans, the Department of Health, and the local boards of health within their respective jurisdictions and subject to the State sanitary code, shall have power to:
a.Declare what diseases are communicable.
b.Declare when any communicable disease has become epidemic.
c.Require the reporting of communicable diseases.
d.Maintain and enforce proper and sufficient quarantine, wherever deemed necessary.
e.Remove any person infected with a communicable disease to a suitable place, if in its judgment removal is necessary and can be accomplished without any undue risk to the person infected.
f.Disinfect any premises when deemed necessary.
g.Remove to a proper place to be designated by it all articles within its jurisdiction, which, in its opinion, shall be infected with any matter likely to communicate disease and to destroy such articles, when in its opinion the safety of the public health requires it.
In the event the Governor declares a public health emergency, the department shall oversee the uniform exercise of these powers in the State and the local board of health shall be subject to the department's exercise of authority under this section.
amended 2005, c.222, s.31; 2012, c.17, s.337.0 -
e.Remove any person infected with a communicable disease to a suitable placeThe tent was suitable 0 -
quote:Originally posted by Barzillia
quote:Originally posted by Mr. Perfect
Universal Citation: NJ Rev Stat ? 26:4-2 (2013)
26:4-2 Powers of State department and local board.
26:4-2. In order to prevent the spread of disease affecting humans, the Department of Health, and the local boards of health within their respective jurisdictions and subject to the State sanitary code, shall have power to:
a.Declare what diseases are communicable.
b.Declare when any communicable disease has become epidemic.
c.Require the reporting of communicable diseases.
d.Maintain and enforce proper and sufficient quarantine, wherever deemed necessary.
e.Remove any person infected with a communicable disease to a suitable place, if in its judgment removal is necessary and can be accomplished without any undue risk to the person infected.
f.Disinfect any premises when deemed necessary.
g.Remove to a proper place to be designated by it all articles within its jurisdiction, which, in its opinion, shall be infected with any matter likely to communicate disease and to destroy such articles, when in its opinion the safety of the public health requires it.
In the event the Governor declares a public health emergency, the department shall oversee the uniform exercise of these powers in the State and the local board of health shall be subject to the department's exercise of authority under this section.
amended 2005, c.222, s.31; 2012, c.17, s.337.
You cannot cherry pick what you want out of context and expect it to be a valid conclusion. That is intellectually dishonest. Eyewash, as they say. You are attempting to force your errr....opinions...onto the law, under the color of law.
Crapola.
Every applicable term and provision in the law must be considered as modifications of all others, unless expressly stated otherwise.
Not an attorney, but that is pretty basic.
I thought you dealt with legal matters.
Had I done anything remotely resembling your assertion, you might have a point.0 -
quote:Originally posted by Barzillia
"
You cannot cherry pick what you want out of context and expect it to be a valid conclusion. That is intellectually dishonest. Eyewash, as they say. You are attempting to force your errr....opinions...onto the law, under the color of law.
Crapola.
Every applicable term and provision in the law must be considered as modifications of all others, unless expressly stated otherwise.
Not an attorney, but that is pretty basic.
I thought you dealt with legal matters.
Had I done anything remotely resembling your assertion, you might have a point."
Deny it all you want, but that is exactly what you did, and got called on it.
Maybe you need to call Gov. Christie's office and let them know you are the solution to their legal problem !
[:D]
If anyone got called on anything, it was you being called on your claim to know the law, when clearly you don't. That you still deny what is plainly in front of you says quite a lot about your character, actually.[xx(]0 -
quote:Originally posted by Barzillia
quote:Originally posted by savage170
e.Remove any person infected with a communicable disease to a suitable placeThe tent was suitable
Not a question of place.
There was no evidence anywhere that the nurse had a communicable disease. Nor was there a reasonable medical suspicion of such.
When I say cases, not contacts, that refers to the current evidence based practice of isolating/quarantining persons who actually have, or are even reasonably thought to have, a communicable disease.
Not people who have possibly been exposed, termed contacts.
There is probably also a reason why nobody has discussed the Federal laws I cited.
They say the same thing.
Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.
And so your assertion is that the NJ statutes varies significantly from the definition the CDC uses for quarantine? And this is based upon what exactly?0 -
2013 New Jersey Revised Statutes
Title 26 - HEALTH AND VITAL STATISTICS
Section 26:13-2 - Definitions relative to emergency health powers.
Universal Citation: NJ Rev Stat ? 26:13-2 (2013)
26:13-2 Definitions relative to emergency health powers.
2.As used in this act:
"Biological agent" means any microorganism, virus, bacterium, rickettsiae, fungus, toxin, infectious substance, or biological product that may be naturally occurring or engineered as a result of biotechnology, or any naturally occurring or bioengineered component of any such microorganism, virus, bacterium, rickettsiae, fungus, infectious substance, or biological product, capable of causing death, disease, or other biological malfunction in a human, an animal, a plant, or another living organism.
"Bioterrorism" means the intentional use or threat of use of any biological agent, to cause death, disease, or other biological malfunction in a human, animal, plant, or other living organism, or degrade the quality and safety of the food, air, or water supply.
"Chemical weapon" means a toxic chemical and its precursors, except where intended for a lawful purpose as long as the type and quantity is consistent with such a purpose. Chemical weapon includes, but is not limited to: nerve agents, choking agents, blood agents, and incapacitating agents.
"Commissioner" means the Commissioner of Health, or the commissioner's designee.
"Contagious disease" means an infectious disease that can be transmitted from person to person.
"Department" means the Department of Health.
"Health care facility" means any non-federal institution, building or agency, or portion thereof whether public or private for profit or nonprofit that is used, operated or designed to provide health services, medical or dental treatment or nursing, rehabilitative, or preventive care to any person. Health care facility includes, but is not limited to: an ambulatory surgical facility, home health agency, hospice, hospital, infirmary, intermediate care facility, dialysis center, long-term care facility, medical assistance facility, mental health center, paid and volunteer emergency medical services, outpatient facility, public health center, rehabilitation facility, residential treatment facility, skilled nursing facility, and adult day care center. Health care facility also includes, but is not limited to, the following related property when used for or in connection with the foregoing: a laboratory, research facility, pharmacy, laundry facility, health personnel training and lodging facility, patient, guest and health personnel food service facility, and the portion of an office or office building used by persons engaged in health care professions or services.
"Health care provider" means any person or entity who provides health care services including, but not limited to: a health care facility, bioanalytical laboratory director, perfusionist, physician, physician assistant, pharmacist, dentist, nurse, paramedic, respiratory care practitioner, medical or laboratory technician, and ambulance and emergency medical workers.
"Infectious disease" means a disease caused by a living organism or other pathogen, including a fungus, bacteria, parasite, protozoan, virus, or prion. An infectious disease may, or may not, be transmissible from person to person, animal to person, or insect to person.
"Isolation" means the physical separation and confinement of an individual or groups of individuals who are infected or reasonably believed to be infected, on the basis of signs, symptoms or laboratory analysis, with a contagious or possibly contagious disease from non-isolated individuals, to prevent or limit the transmission of the disease to non-isolated individuals.
"Local health agency" means a county, regional, municipal, or other governmental agency organized for the purpose of providing health services, administered by a full-time health officer and conducting a public health program pursuant to law.
"Local Information Network and Communications System Agency" or " LINCS agency" means the lead local public health agency in each county or identified city, as designated and determined by the commissioner pursuant to section 21 of this act, responsible for providing central planning, coordination, and delivery of specialized services within the designated county or city, in partnership with the other local health agencies within that jurisdiction, in order to prepare for and respond to acts of bioterrorism and other forms of terrorism or other public health emergencies or threats, and to discharge the activities as specified under this act.
"Microorganism" includes, but is not limited to, bacteria, viruses, fungi, rickettsiae, or protozoa.
"Nuclear or radiological device" means: any nuclear device which is an explosive device designed to cause a nuclear yield; an explosive radiological dispersal device used directly or indirectly to spread radioactive material; or a simple radiological dispersal device which is any act, container or any other device used to release radiological material for use as a weapon.
"Overlap agent or toxin" means: any microorganism or toxin that poses a risk to both human and animal health and includes:
Anthrax - Bacillus anthracis
Botulism - Clostridium botulinum toxin, Botulinum neurotoxins, Botulinum neurotoxin producing species of Clostridium
Plague - Yersinia pestis
Tularemia - Francisella tularensis
Viral Hemorrhagic Fevers - Ebola, Marburg, Lassa, Machupo
Brucellosis- Brucellosis species
Glanders - Burkholderia mallei
Melioidosis - Burkholderia pseudomallei
Psittacosis - Chlamydophila psittaci
Coccidiodomycosis - Coccidiodes immitis
Q Fever - Coxiella burnetii
Typhus Fever - Rickettsia prowazekii
Viral Encephalitis - VEE (Venezuelan equine encephalitis virus), EEE (Eastern equine encephalitis), WEE (Western equine encephalitis)
Toxins - Ricinus communis, Clostridium perfringens, Staph. Aureus, Staphylococcal enterotoxins, T-2 toxin, Shigatoxin
Nipah - Nipah virus
Hantavirus - Hantavirus
West Nile Fever - West Nile virus
Hendra - Hendra virus
Rift Valley Fever - Rift Valley Fever virus
Highly Pathogenic Avian Influenza
"Public health emergency" means an occurrence or imminent threat of an occurrence that:
a.is caused or is reasonably believed to be caused by any of the following: (1) bioterrorism or an accidental release of one or more biological agents; (2) the appearance of a novel or previously controlled or eradicated biological agent; (3) a natural disaster; (4) a chemical attack or accidental release of toxic chemicals; or (5) a nuclear attack or nuclear accident; and
b.poses a high probability of any of the following harms: (1) a large number of deaths, illness, or injury in the affected population; (2) a large number of serious or long-term impairments in the affected population; or (3) exposure to a biological agent or chemical that poses a significant risk of substantial future harm to a large number of people in the affected population.
"Quarantine" means the physical separation and confinement of an individual or groups of individuals, who are or may have been exposed to a contagious or possibly contagious disease and who do not show signs or symptoms of a contagious disease, from non-quarantined individuals, to prevent or limit the transmission of the disease to non-quarantined individuals.
"Toxin" means the toxic material of plants, animals, microorganisms, viruses, fungi, or infectious substances, or a recombinant molecule, whatever its origin or method of production, including:
a.any poisonous substance or biological product that may be engineered as a result of biotechnology or produced by a living organism; or
b.any poisonous isomer or biological product, samelog, or derivative of such a substance.
L.2005, c.222, s.2; amended 2012, c.17, s.356.
Disclaimer: These codes may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.0 -
NEW JERSEY ADMINISTRATIVE CODE
Copyright (c) 2014 by the New Jersey Office of Administrative Law
*** This file includes all Regulations adopted and published through the ***
*** New Jersey Register, Vol. 46, No. 20, October 20, 2014 ***
TITLE 8. HEALTH
CHAPTER 57. COMMUNICABLE DISEASES
SUBCHAPTER 1. REPORTABLE COMMUNICABLE DISEASES
N.J.A.C. 8:57-1.3 (2014)
? 8:57-1.3 Definitions
The following words and terms, as used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise or another subchapter defines one of the following words or terms differently for the purposes of that subchapter.
"Administrator" shall mean the person having control or supervision over a health care facility, correctional facility, school, youth camp, child care center, preschool, or institution of higher education.
"Animal facility" shall have the meaning established for "facility" at N.J.A.C. 8:23A-1.1.
"Bioterrorism" shall have the meaning established at N.J.S.A. 26:13-2.
"Certified animal control officer" shall have the meaning established at N.J.A.C. 8:23A-2.1.
"Child care center" shall have the meaning established at N.J.A.C. 10:122-1.2.
"Clinical laboratory" shall have the meaning established at N.J.S.A. 45:9-42.27.
"Clinical laboratory director" shall have the meaning established at N.J.S.A. 45:9-42.27.
"Commissioner" means the Commissioner of the New Jersey Department of Health and Senior Services, or his or her designee.
"Communicable disease" means an illness due to a specific infectious agent or its toxic products which arises through transmission of that agent or its products from an infected person, animal, or inanimate reservoir to a susceptible host, either directly or indirectly through an intermediate plant or animal host, vector, or the inanimate environment.
"Department" means the New Jersey Department of Health and Senior Services.
"Domestic companion animal" shall mean any domestic dog, cat, ferret, bird, reptile, rodent, rabbit not raised for food or fiber, or other animal kept primarily as a household pet for personal appreciation and companionship.
1. Domestic companion animal includes feral and free-roaming dogs and cats.
2. Domestic companion animal does not include:
i. Livestock and aquaculture as defined at N.J.A.C. 2:2-1.1 and regulated by the New Jersey Department of Agriculture; and
ii. Animals regulated under the Animal Welfare Act, 7 U.S.C. ??2131 et seq., and the regulations promulgated thereunder at 9 CFR ??1.1 through 4.11 as research animals.
"Electronic laboratory reporting (ELR)" means submission of laboratory test results through an electronic file to the Department's Office of Information Technology Services' dedicated secure server via Secure File Transfer protocol (SFTP), Virtual Private Network (VPN), or any other secure transmission acceptable to the Department.
1. The format of the electronic file must be one that is specified in the Electronic Laboratory Reporting Technical Manual, available at subchapter Appendix A.
2. Further information on transmission protocols, file formats, laboratory coding, test plans to initiate electronic laboratory reporting with the Department and contact information can be found in the Electronic Laboratory Reporting Technical Manual, available at subchapter Appendix A.
"Electronic reporting" means submission of data via web entry into the Department's Communicable Disease Reporting and Surveillance System (CDRSS).
1. Information regarding CDRSS is available in the CDRSS Information Guide, which is written and published by the Communicable Disease Service, New Jersey Department of Health and Senior Services and is available by written request to the Communicable Disease Service, New Jersey Department of Health and Senior Services, PO Box 369, Trenton, NJ 08625-0369 or online through the Department's web page at http://www.state.nj.us/health/cd/index.html.
"Ethnicity" means cultural background, for example, Hispanic or Latino.
"Health care facility" shall have the meaning established at N.J.S.A. 26:2H-2.
"Health care provider" means a physician, physician assistant, advanced practice nurse or certified nurse midwife licensed pursuant to Title 45 of the New Jersey Revised Statutes.
"Health officer" means a person who is licensed as a health officer pursuant to N.J.S.A. 26:1A-38 et seq. and N.J.A.C. 8:7-1 and is employed full-time, as the chief executive officer of a municipal, regional, county or contractual health agency, or his or her designee.
1. This person is responsible for evaluating health problems, planning appropriate activities to address these health problems, developing necessary budget procedures to finance these activities, and directing staff to carry out these activities efficiently and economically.
"Hospital-onset methicillin-resistant Staphylococcus aureus (MRSA) invasive infections" means isolation of MRSA from a normally sterile site, such as blood, cerebro-spinal fluid, or joint, pleural, or pericardial fluid, greater than 48 hours after admission to the hospital.
"Influenza virus, novel strain" shall mean a virus subtype that is different from the human influenza A H1 and H3 viruses that have been circulating that influenza season.
"Invasive disease" means an infection that has invaded body tissues and the causative bacterium has been isolated from blood, cerebrospinal fluid, pleural fluid or other normally sterile site.
"Isolation" shall have the meaning established at N.J.S.A. 26:13-2.
"Kennel" shall have the meaning established at N.J.A.C. 8:23A-1.1.
"Local health department" means the board of health of a region or municipality or the boards, bodies, or officers in such region or municipality lawfully exercising any of the powers of a local board of health under the laws governing such region or municipality.
"Methicillin-resistant Staphylococcus aureus (MRSA)" means any Staphylococcus aureus isolate with resistance to oxacillin or methicillin, detected and defined according to the Performance Standards for Antimicrobial Susceptibility Testing; Seventeenth Informational Supplement (M100-S17) available as set forth at N.J.A.C. 8:57-1.2(b).
"Multidrug-resistant organisms" or "MDROs" means bacteria (excluding Mycobacterium tuberculosis) that are resistant to one or more classes of antimicrobial agents and usually are resistant to all but one or two commercially available antimicrobial agents (for example, MRSA, vancomycin resistant enterococcus (VRE), extended spectrum beta-lactamase (ESBL)-producing or intrinsically resistant gram-negative bacilli).
"Neonatal" shall mean a child less than 90 days of age.
"Nosocomial infection" means an infection occurring in a patient in a health care facility and in whom it was not present or incubating at the time of admission, or the residual of an infection acquired during a previous admission.
1. This term includes infections acquired in the health care facility but appearing after discharge, and also such infections among the staff of the facility.
"Outbreak" means any unusual occurrence of disease or any disease above background or endemic levels.
1. "Endemic level" means the usual prevalence of a given disease within a geographic area.
2. "Suspected outbreak" means an outbreak, which appears to meet the definition of an outbreak, but has not yet been confirmed.
"Overlap agent or toxin" shall have the meaning established at N.J.S.A. 26:13-2.
"Pediatric" means a person who has not yet attained the age of 18 years.
"Pet shop" shall have the meaning established at N.J.A.C. 8:23A-1.1.
"Pound" shall have the meaning established at N.J.A.C. 8:23A-1.1.
"Public health emergency" shall have the meaning established at N.J.S.A. 26:13-2.
"Quarantine" shall have the meaning established at N.J.S.A. 26:13-2.
"School" means any building, structure, or part thereof used for purposes of the education of children between grades kindergarten through 12 whether publicly or privately owned.
"Sexually transmitted disease" means syphilis, gonorrhea, chancroid, lymphogranuloma venereum, granuloma inguinale and chlamydial genital infections.
"Shelter" shall have the meaning established at N.J.A.C. 8:23A-1.1.
"Vancomycin-intermediate Staphylococcus aureus (VISA)" and "Vancomycin-resistant Staphylococcus aureus (VRSA)" mean any Staphylococcus aureus isolate with intermediate susceptibility or resistance to vancomycin, detected and defined according to Clinical and Laboratory Standards Institute's Performance Standards for Antimicrobial Susceptibility Testing; Seventeenth Informational Supplement (M100-S17).
"Veterinarian" shall mean a person licensed by the State Board of Veterinary Medical Examiners to engage in the practice of veterinary medicine, surgery and dentistry, pursuant to N.J.A.C. 13:44.
"Zoonotic disease" shall mean a communicable disease transmissible from vertebrate animals to humans, and may include transmission by intermediate vectors, such as mosquitoes or ticks.
HISTORY:
Amended by R.1990 d.243, effective June 4, 1990.
See: 21 N.J.R. 3897(a), 22 N.J.R. 1766(a).
Text of 1.2, reportable diseases, recodified to 1.3; text of 1.1, Definitions, recodified to 1.2 with reporting officer deleted; exception deleted at "State Department of Health."
Amended by R.2003 d.412, effective October 20, 2003.
See: 34 N.J.R. 3945(a), 35 N.J.R. 4883(b).
Added "Invasive disease"; deleted "Outpatient-based setting"; Pediatric surveillance system".
Recodified from N.J.A.C. 8:57-1.2 and amended by R.2009 d.107, effective April 6, 2009.
See: 40 N.J.R. 1962(a), 41 N.J.R. 1419(a).
In the introductory paragragh, substituted "chapter" for "subchapter" and inserted "or another subchapter defines one of the following words or terms differently for the purposes of that suchapter"; deleted definitions "Hospital or other health care institution", "N.J.A.C." and "N.J.S.A."; added definitions "Administrator", "Animal facility", "Cimal control officer", "Clinical laboratory", "Clinical laboratory director", "Domestic copanion aniamal", "Electronic laboratory reporting(ELR)", "health care facility", "Hospital-onset methecillin-resistant Staphylococcus aureus (MRSA)", "invasive infections", "Influenzza virus, novel strain", "Isolation", "Kennel", "Methicillin-resistant Staphylococcus aureus (MRSA)", "Multidrug-resistant organisms", "Neonatal", "Overlap agent or toxin", "Pediatric", "Pet shop", "pound", "Public health emergency", "Quarantine", "Sheller", "Vancomycin-intermediate Staphylococcus aureus (VISA)", "Veterinarian", and "Zoonotic disease", and rewrote definitions "Bioterrorism", "Child care center", "Commissioner", "Electronic reporting", "Ethinicity", "Health officer", "Health care provider", "Nosocomial infection", and "outbreak". Former N.J.A.C. 8:57-1.3, Reportable diseases, recodified to N.J.A.C. 8:57-1.5.0 -
N.J.A.C. 8:57-1.11
NEW JERSEY ADMINISTRATIVE CODE
Copyright (c) 2014 by the New Jersey Office of Administrative Law
*** This file includes all Regulations adopted and published through the ***
*** New Jersey Register, Vol. 46, No. 20, October 20, 2014 ***
TITLE 8. HEALTH
CHAPTER 57. COMMUNICABLE DISEASES
SUBCHAPTER 1. REPORTABLE COMMUNICABLE DISEASES
N.J.A.C. 8:57-1.11 (2014)
? 8:57-1.11 Isolation and quarantine for communicable disease
(a) A health officer or the Department, upon receiving a report of a communicable disease, shall, by written order, establish such isolation or quarantine measures as medically and epidemiologically necessary to prevent or control the spread of the disease.
1. If, in the medical and epidemiologic judgment of the health officer or the Department, it is necessary to hospitalize the ill person in order to provide adequate isolation, a health officer or the Department shall promptly remove, or cause to be removed, that person to a hospital.
2. Such order shall remain in force until terminated by the health officer or the Department.
3. A health officer may use Quarantine and Isolation - Model Rules for Local Boards of Health, available at subchapter Appendix B, as a guide for establishing isolation and quarantine measures.
i. Quarantine and Isolation - Model Rules for Local Boards of Health, is written and published by the Communicable Disease Service, New Jersey Department of Health and Senior Services, and is available at subchapter Appendix B, and by written request to the Communicable Disease Service, New Jersey Department of Health and Senior Services, PO Box 369, Trenton, NJ 08625-0369, or online through the Department's web page at http://www.state.nj.us/health/cd/index.html;
(b) A health officer or the Department may restrict access of the persons permitted to come in contact with or visit a person who is hospitalized or isolated pursuant to this section where medically or epidemiologically necessary to prevent the spread of the disease.
(c) The Department or health officer may, by written order, isolate or quarantine any person who has been exposed to a communicable disease as medically or epidemiologically necessary to prevent the spread of the disease, providing such period of restriction shall not exceed the period of incubation of the disease.
(d) Any person who is responsible for the care, custody, or control of a person who is ill or infected with a communicable disease shall take all measures necessary to prevent transmission of the disease to other persons.
HISTORY:
Amended by R.1990 d.243, effective June 4, 1990.
See: 21 N.J.R. 3897(a), 22 N.J.R. 1766(a).
Text on medical examination and submission of specimens recodified to 1.11; text on health officer investigations recodified to 1.9 with further specification of investigation requirements.
Recodified from N.J.A.C. 8:57-1.10 and amended by R.2003 d. 412, effective October 20, 2003.
See: 34 N.J.R. 3945(a), 35 N.J.R. 4883(b).
Former N.J.A.C. 8:57-1.9, "Health officer investigation", recodified to N.J.A.C. 8:57-1.8.
Recodified from N.J.A.C. 8:57-1.9 and amended by R.2009 d.107, effective April 6, 2009.
See: 40 N.J.R. 1962(a), 41 N.J.R. 1419(a).
Section was "Isolation and restriction for communicable disease". Rewrote (a); in (b), substituted "persons" for "individuals" and "pursuant to" for "under authority of" and inserted "where medically or epidemiologically necessary to prevent the spread of the disease"; in (c), deleted ", if authorized by local ordinance or by the Department," following "officer" and substituted "isolate or quarantine" for "restrict" and "as medically or epidemiologically necessary to prevent the spread of the disease," for ", under conditions he or she may specify;"; and in (d), substituted "Any" for "A". Former N.J.A.C. 8:57-1.11, Foodhandlers ill or infected with communicable diseases, recodified to N.J.A.C. 8:57-1.13.0 -
Now... tell me again how I am cherry picking.[xx(] 0 -
Gee, Mr. P, that there looks like actual pertinent information. I wonder what our resident pseudo-medical guru will do with that.
Current? Check.
Terms Defined? Check.
Applicable? Check.
Time to prepare for a round of 'Oh Huh!'.0 -
He's gotta consult with his handlers... Be back shortly[:D]quote:Originally posted by Dads3040
Gee, Mr. P, that there looks like actual pertinent information. I wonder what our resident pseudo-medical guru will do with that.
Current? Check.
Terms Defined? Check.
Applicable? Check.
Time to prepare for a round of 'Oh Huh!'.0 -
The fact is the Ebola experts are guessing. Their guess is probably better than mine, but it's still a guess. Nobody knows for sure who needs to be quarantined. Since MY life is at stake I vote to err on the side of I DON'T WANT EBOLA.
There is plenty of precedent for quarantine, from Typhoid Mary to the clap. When I was in the Navy getting the clap (gonorrhea) would get you quarantined (medically restricted to the ship). When I was a youngster quarantine signs on houses were common, for anything from poliomyelitis (polio) to common childhood diseases.0 -
If you honestly think for a minute that letting people who have been exposed to chicken pox (much less ebola) into the country without a quarantine is good for the general welfare then you sir really should not be playing with firearms.
Really.
And that is the end of this circus. I will send it over to the crew in politics to deal with.0 -
Good to know that ebola is not a communicable disease. 0
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