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5. In all cases where I & Q are considered, KCPHD will ensure basic needs are <br />addressed. <br />6. KCPHD will implement local and regional surveillance and disease and health <br />management services that comply with clinical protocols and federal, state, regional and <br />local regulations, laws and guidelines. <br />7. KCPHD will be the lead clinical and administrative manager of any non-hospital <br />isolation or quarantine facilities that are established. <br />B. Local Law Enforcement agencies will be responsible for the following activities: <br />1. Assist with service of Notice of Civil Detention to clients, if needed. <br />2. Consult with KCPHD for cases requiring transportation for the purposes of <br />involuntary isolation or quarantine. <br />3. Execute arrest warrants related to I & Q cases. <br />C. The Prosecuting Attorney's Office will be responsible for the following activities : <br />1. Petition the court ex parte to authorize involuntary detention, once need is determined <br />by the local Health Officer. <br />2. Represent KCPHD in any petition or appeal hearings required to carry out involuntary <br />isolation or quarantine of individuals. <br />3. Coordinate with KCPHD and local law enforcement to serve notice necessary to <br />achieve isolation or quarantine. <br />D. Community based organizations may be requested to assist with personal needs of patients <br />affected by I & Q. <br />VIII. CONCEPT OF OPERATIONS: <br />Determination of Need for Isolation or Quarantine <br />A. The local Health Officer will determine the need for and authorize the use of isolation and/or <br />quarantine as strategies to control or slow a communicable disease outbreak. <br />B. The Incident Commander with advice from the local Health Officer will determine whether <br />an isolation or quarantine facility should be activated. <br />C. KCPHD will seek voluntary compliance with requests for isolation or quarantine, unless the <br />local Health Officer determines the following conditions are present, making it necessary to <br />immediately initiate involuntary detention for the purposes of isolation or quarantine: <br />1. There is reason to believe that the individual or group is, or is suspected to be, infected <br />with, exposed to, or contaminated with a communicable disease or chemical, biological, <br />or radiological agent that could spread to or contaminate others if remedial action is not <br />taken; and <br />39