Airborne Infection Cases – Tuberculosis / Coronoavirus Related Conditions – Department of Health Quarantine Procedures

Airborne Disease (Tuberculosis, Coronavirus Disease 2019 (COVID-19 Generally, Virginia Outbreaks Page, etc.) Isolation / Detention Orders and Treatment

February, 2020

When a patient is known or suspected to be infected with “a communicable disease of public health significance caused by an airborne microorganism, such as tubercle bacillus, which causes serious disease and can result in death and, despite documented and appropriate counseling, is engaging in conduct that unreasonably places uninfected persons at risk of contracting such airborne communicable disease of public health significance, such as tuberculosis, and medical data demonstrate that he poses an imminent threat to the health of others, the Commissioner may issue an emergency order requiring such person to be taken immediately into custody.”  Va. Code § 32.1-48.02 (D).

The Commissioner is then required to petition the General District Court in which the detained patient resides “to determine whether isolation is necessary to protect the public health from the risk of infection with a communicable disease of public health significance.” Va. Code § 32.1-48.03,-.04.

According to the CDC fact sheet, “How COVID-19 Spreads,” accessed 2-26-2020 07:24 EST, transmission is thought to be transmitted from person to person via “respiratory droplets produced when an infected person coughs or sneezes.”

A Special Justice may not issue an order for such detention.

The Virginia Department of Health instructions for clinicians (as of 2-26-2020) are quoted and amplified here:

If this is a life-threatening emergency, call 9-1-1.

For a poison emergency, call 1-800-222-1222.

To report a public health emergency or environmental health issue [including suspected airborne infectious disease transmission issues], contact your local health department.

Your local health department contact information may be located at the Va. Department of Health Local Department Locator.

When there is no 24/7 number located at the Local Department Locator, clinicians calling after hours should call this statewide 24/7 telephone number to link with immediate assistance: 866-531-3068.

Va. Code Sections 

32.1-48

 

Powers of Commissioner in epidemic

32.1-48.01

Definitions

32.1-48.02

Investigations of verified reports or medical evidence;   counseling; outpatient and emergency treatm…

32.1-48.03

Petition for hearing; temporary detention

32.1-48.04

Isolation hearing; conditions; order for isolation; right   to appeal

32.1-48.05

Application of article; determination of exceptional   circumstances; regulations; duties of the Stat…

32.1-48.06

Definitions

32.1-48.07

Conditions for invoking the provisions of this article

32.1-48.08

Declaration of quarantine

32.1-48.09

Order of quarantine

32.1-48.010

Appeal of any order of quarantine

32.1-48.011

Isolation may be ordered under certain exceptional   circumstances; Commissioner authorized to requir…

32.1-48.012

Isolation order

32.1-48.013

Appeal of any order of isolation

32.1-48.013:1

Electronic filings as protection from communicable   disease.

32.1-48.014

Enforcement of orders of quarantine or isolation;   penalties

32.1-48.015

Authorization to disclose health records

32.1-48.016

Immunity from liability

32.1-48.017

Use of public or private property or facilities

32.1-49 et seq.

Tuberculosis Statutes Generally (Article 4)

2-28-2020 at 05:48 EST