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EMERGENCY HEALTH LAWS
Updated September 1, 2010 

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Disclaimer: Not intended to constitute legal advice. Laws presented here are excerpts only, for educational purposes, and may not be the complete law on emergency vaccines, isolation and quarantine for any given state. We are not responsible for the content of any websites linked to from this site.


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 ALABAMA

Sec. 16-30-3. Exemptions. 

(1) In the absence of an epidemic or immediate threat thereof, the parent or guardian of the child shall object thereto in writing on grounds that such immunization or testing conflicts with his religious tenets and practices . . . 

Chapter 9A. Alabama Homeland Security Act of 2003

§ 31-9A-9. Additional powers of director that may be exercised under the direction and control of the Governor during a declaration of emergency as authorized in Section 31-9-8

(a) When the Governor declares a state of emergency as authorized in Section 31-9-8, if the emergency is related to homeland security, the director shall have and may exercise the following additional powers, under the direction and control of the Governor:

. . . 

(2) Sell, lend, lease, give, transfer, or deliver materials or perform services for homeland security purposes on such terms and conditions as the Governor shall prescribe and without regard to the limitations of any existing law, and account to the State Treasurer for any funds received for such property.

(3) Perform and exercise such other functions, powers, and duties as are necessary to promote and secure the safety and protection of the civilian population and achieve the purposes of this chapter.

(4) Assist the Department of Agriculture and Industries and the Department of Public Health to employ such measures as the quarantine of persons, animals, plants, fruits, or food products, as may be reasonably necessary for the purpose of securing compliance with this chapter

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ALASKA 

Sec. 14.30.125. Immunization.

If in the judgment of the commissioner of health and social services it is necessary for the welfare of the children or the general public in an area, the governing body of the school district shall require the children attending school in that area to be immunized against the diseases the commissioner of health and social services may specify.

Sec. 14.45.100. Exemption.

A religious or other private school that complies with AS 14.45.100 -- 14.45.130 is exempt from other provisions of law and regulations relating to education except law and regulations relating to physical health, fire safety, sanitation, immunization, and physical examinations.

Sec. 18.15.385. Isolation and quarantine.

(b)(1) isolation and quarantine
shall be by the least restrictive means necessary to prevent the spread of a contagious or possibly contagious disease that poses a significant risk to public health; isolation and quarantine may include confinement to private homes or other private and public premises; absent exceptional circumstances that would jeopardize public health, a person shall be allowed to choose confinement in the person's home.

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IOWA  [posted 3-1-10]

TITLE IV PUBLIC HEALTH
CHAPTER 139A COMMUNICABLE AND INFECTIOUS DISEASES AND POISONINGS
139A.4 TYPE AND LENGTH OF ISOLATION OR QUARANTINE.

      1. The type and length of isolation or quarantine imposed for a specific communicable disease shall be in accordance with rules adopted by the department.

      2. The department and the local boards may impose and enforce isolation and quarantine restrictions.

PUBLIC HEALTH DEPARTMENT RULES 
CHAPTER 7
IMMUNIZATION AND IMMUNIZATION EDUCATION: PERSONS ATTENDING ELEMENTARY
OR SECONDARY SCHOOLS, LICENSED CHILD CARE CENTERS OR INSTITUTIONS OF
HIGHER EDUCATION
641—7.1(139A) Definitions.
1.9(3) Conditions and principles. The department and local boards of health shall adhere to all of the
following conditions and principles when isolating or quarantining individuals or a group of individuals:
a. The isolation or quarantine . . . may include, but not be limited to, confinement to private homes, other private premises, or public premises.
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1.9(6) Isolation and quarantine by the Iowa department of public health.
a. Authority. (1) The department, through the director, the department’s medical director, or the director’s or
medical director’s designee, may: . . .
2. Quarantine individuals or groups of individuals who have been exposed to a quarantinable
disease, including individuals who are unable or unwilling to undergo examination, testing, vaccination,
or treatment, pursuant to Iowa Code section 135.144(9).
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7.3(3) Medical and religious exemptions under this rule do not apply in times of emergency or
epidemic as determined by the state board of health and declared by the director of public health.

See also Iowa Department of Public Health Certificate of Immunization Exemption.

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KENTUCKY [posted 4-1-10]  

§ 214.036. Exceptions to testing or immunization requirement

Nothing contained in KRS 158.035, KRS 214.010, KRS 214.020, KRS 214.032 to KRS 214.036, and KRS 214.990 shall be construed to require the testing for tuberculosis or the immunization of any child at a time when, in the written opinion of his attending physician, such testing or immunization would be injurious to the child's health. Nor shall KRS 158.035, KRS 214.010, KRS 214.020, KRS 214.032 to KRS 214.036, and KRS 214.990 be construed to require the immunization of any child whose parents are opposed to medical immunization against disease, and who object by a written sworn statement to the immunization of such child on religious grounds. Provided, however, that in the event of an epidemic in a given area, the Cabinet for Health and Family Services may, by emergency regulation, require the immunization of all persons within the area of epidemic, against the disease responsible for such epidemic.

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MARYLAND [posted 4-1-10]

§ 7-403. [Effective 5/31/2010].

(b) (1) Unless the Secretary of Health and Mental Hygiene declares an emergency or an epidemic of disease, a child whose parent or guardian objects to immunizations on the ground that it conflicts with the parent's or guardian's bona fide religious beliefs and practices may not be required to present a physician's certification of immunization in order to be admitted to school.

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MASSACHUSETTS [posted 3-1-10]  

CHAPTER 76. SCHOOL ATTENDANCE
G.L. c.76, §15 Vaccination and immunization

      Section 15. . . . In the absence of an emergency or epidemic of disease declared by the department of public health, no child whose parent or guardian states in writing that vaccination or immunization conflicts with his sincere religious beliefs shall be required to present said physician's certificate in order to be admitted to school.

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105 CMR 300.210: Procedures for Isolation and Quarantine.
...
  (B) General.
...
(3) Types of Orders. Orders for isolation and quarantine may include, but are not limited to, restricting individuals or groups from being present in certain places including but not limited to school or workplace; restriction to residence and/or workplace; and confinement in other private or public premises.

  (D) Temporary Isolation or Quarantine through Oral Order.

      (1) The Department or local board of health may temporarily isolate or quarantine an individual or group of people as authorized by 105 CMR 300.000 through an oral order only if delay in imposing the isolation or quarantine would pose a serious, imminent danger to the public health.
   

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NEW JERSEY [updated 7-13-10]

§ 26:1A-9.1. Exemption  for pupils from mandatory immunization; interference with religious rights; suspension

Provisions in the State Sanitary Code in implementation of this act shall provide for exemption for pupils from mandatory immunization if the parent or guardian of the pupil objects thereto in a written statement signed by the parent or guardian upon the ground that the proposed immunization interferes with the free exercise of the pupil's religious rights. This exemption may be suspended by the State Commissioner of Health during the existence of an emergency as determined by the State Commissioner of Health. [emphasis added]

Title 26. HEALTH AND VITAL STATISTICS

§ 26:13-6. Emergency Health Care Provider Registry

c. The commissioner may identify all or part of a health care facility or other location as an emergency health care center. Upon the declaration of a public health emergency, an emergency health care center may be used for:

(1) Evaluation and referral of individuals affected by the emergency or crisis;

(2) Provision of health care services, including vaccination, mass prophylaxis [includes mass vaccination], isolation and quarantine; and

(3) Preparation of patients for transportation.

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 NORTH CAROLINA [updated 4-6-10]

State of North Carolina Emergency Operations Plan April 2009 (Public Version)

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  © 2010 by  Alan Phillips, Attorney at Law, P.O. Box 3473, Chapel Hill, NC 27515-3473