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B. All policies and procedures to assure the care of protected health information apply. Policies <br />and procedures recognize that KCPHD may make necessary disclosures to protect the health of <br />the public. <br />C. Isolation and quarantine may be necessary beyond Kittitas County; therefore KCPHD will <br />coordinate with other counties and regions, but is not responsible for planning or execution of I <br />& Q efforts beyond county lines. <br />D. Large scale I & Q incidences will require many public health resources and volunteers as well <br />as coordination with multiple communities, health care and first responder agencies. <br />E. KCPHD may utilize I & Q as one of several tools to reduce the spread of communicable <br />disease; KCPHD will focus on gaining voluntary compliance from ill or exposed persons and <br />implementing the least restrictive means possible to reduce the spread of infection. <br />F . KCPHD will coordinate closely with healthcare providers and healthcare facilities to assist <br />with achieving voluntary compliance of ill or exposed persons. <br />G. I & Q may require the involuntary detention of individuals who may pose a threat to the <br />public's health and whom do not cooperate with requests from the Health Officer. <br />H. An individual's cooperation with voluntary isolation and quarantine will be assumed in good <br />faith unless there is evidence to the contrary. Depending on the circumstances, information <br />collected by KCPHD during monitoring may be used as evidence of non-cooperation. <br />VII. RESPONSIBILITIES: <br />A. In the event of a reported or suspected case of a communicable disease, which requires <br />isolation or quarantine, the Health Officer may at his or her sole discretion issue an emergency <br />detention (health order) causing a person or group of persons to be immediately detained for <br />purposes of isolation or quarantine. The local Health Officer has three options for initiating the <br />quarantine or isolation of an individual including issuing a voluntary request, an emergency <br />involuntary detention order, or a court order for an involuntary isolation or quarantine. KCPHD <br />will be responsible for the following activities: <br />1. KCPHD will be the lead agency in the management of a communicable disease <br />outbreak. <br />2. The Health Officer will assess the public health threat, evaluate potential <br />consequences based on established criteria, and determine whether isolation and/or <br />quarantine are necessary in any given outbreak situation. <br />3. The local Health Officer may initiate the isolation or quarantine of individuals as a <br />protective action to limit the spread of infectious agents or contaminants to others. <br />4. When possible, KCPHD will seek the cooperation and compliance of infected or <br />exposed individuals in abiding by I & Q requests. However, under specific <br />circumstances, KCPHD may immediately order or seek a court order to detain infected or <br />exposed individuals and place them in isolation or quarantine. <br />38