NEO Regional Epidemiology Group
Standard Operating Guidelines
Travelers Containment Measures
Protect Mission Capability: Isolation & Quarantine
Purpose
The purpose of this protocol is to establish standard guidelines for travelerquarantine provisions in the Northeast Ohio area. The overall related strategy aims at protecting travelers and decreasing or containing entry of a communicable disease into Northeast Ohio. This protocol enables provisions for travelers requiringisolation/quarantine. Public health should engage their local partner agencies related to travel (e.g., Airlines, Trains, Boat, Bus) as appropriate in accordance with agency specific plans.
Scope
The protocol applies to members of the Northeast Ohio Public Health regionwhich consists of the thirteen health departments in Northeast Ohio. The process should be activated when public health departments in the county become aware of a communicable disease requiring isolation and or quarantine.
Responsibility
Any member of theNortheast Ohio Public Health regionmay activate the process. Public health is responsible for the overall health of the community. Quarantine and isolation may be issued by public health to protect the community and decrease transmission of a communicable disease. Some measures may include having travelers shelter in place or shelter in place at a designated quarantine facility, and providing basic needs to protect the individual and the community as a whole.
Procedures
Date/Time Began / Initials / Done / Person/GroupResponsible / Action Steps□ / Health Commissioner/Director of Health, Director of Nursing, Director of Environmental Health, Epidemiology Staff / An identified infectious disease is unusually prevalent and the need for isolation and/or quarantine is assessed using established epidemiological threshold determinants and/or guidance from CDC and ODH. See NEO Containment Plan’s Planning Consideration Section (Attach).
Local Health Jurisdictions / The Incident Command System including the Crisis Communication will be activated.
Activate Regional Coordination as appropriate. See Regional Coordination SOG
□ / Transportation Facility (i.e. Amtrak, HopkinsAirport, Greyhound, etc.) /
Public Health Epi Response Team / Traveler contact identified via epidemiological surveillance and contact tracing of a case or index case and is no longer at the airport, train station, or bus depot etc. Note. Epidemiology Response Plan must be implemented prior to this step.
□ / Public Health Epi Response Team / Public health should notify (via phone, home visit) traveler of exposure and possibility of quarantine. (if the travelor is non-English speaking refer to the “the Language Quills List”) Note. Review types of quarantine in the Containment Plan.
□ / Public Health Epi Response Team / Discuss with traveler quarantine methods (see the “SOG for Quarantine & Isolation”):
Public Health will issue “Voluntary Quarantine Agreement” for review and signage
Public Health will monitor for fever and symptoms
Advise hand hygiene and respiratory etiquette
Advise to wear a mask
Prohibit trips away from quarantine facility
Advise against unnecessary contacts with friends and family
Advise not to use public transportation
□ / Public Health Epi Response Team/ Hotel Director/ Community-Based Facility/ City or CountyMotor Vehicles / If staying in hotel during quarantine period:
Get approval from the Hotel Director and corporation,
Hotel Director and personnel must be notified regarding the situation and for approval to allow the patron contact to stay in the hotel as long as no symptoms occur.
Public Health will distribute PPE to the hotel.
If staying with family during quarantine period:
(For additional information, see the SOG for Quarantine & Isolation)
If staying in a Community-Based Facility during quarantine period:
Public Health must arrange for transportation to the facility.
(For additional information, see the SOG for Quarantine and Isolation)
□ / Public Health Epi Response Team/ Hotel Director / If applicable (If staying in hotel), please ensure hotel director and staff are educated on the disease in question, hand hygiene, cough etiquette and personal protective equipment appropriate to the situation. Staff will be educated on the difference between quarantine and isolation and instructed to avoid contact with the contact unless wearing a mask.
□ / Public Health Epi Response Team / Assess the facility using the “Guideline for Evaluating Homes and Community-based Settings For Quarantine” if not pre-identified as a quarantine facility by public health
□ / Public Health Epi Response Team/ Law Department/Public Safety-Police Department / Have quarantine patient sign the “Voluntary Quarantine Agreement Form” (if unable to have them sign, get a verbal agreement by phone)
Red Cross/Salvation Army/
Foodbank/
County EMA/Public Health / Identify resources that may be needed by the person in quarantine (i.e., food, clothes, medicine, etc.)
□ / Public Health Epi Response Team / Identify additional contacts via a flight/train, etc. itinerary by the facility (this is occurring simultaneously while interviewing the contact)
□ / Public Health Director & Epi Response Team/
Commissioner
Transit Agency Director / If applicable, notify transit agency director or designee of epidemiology findings regarding case and contact.
□ / Public Health Director & Epi Response Team/
Commissioner
Transit Agency Director / Public Health Commissioner/Director to contact the following travel organizations depending on the route of travel:
- Plane: Hopkins International Airport-Commissioner Szabo
- Train: Amtrak-Director/Reservations
- Bus: Greyhound Bus Station-Reservations/Customer Services/Director
- Other Bus Line: Commercial Bus Lines-Customer Service/Director Reservations
- Cruise Lines: Royal Caribbean, Carnival, Mediterranean, etc.
□ / Public Health Epi Response Team / / Once travel organization is reached ensure the following:
Make them aware that an ill traveler traveled through their organization, naming dates and times
Verify that contact traveled during the time specified
Verify all contacts are accounted for with all contact information (i.e., full name, phone numbers, address, work phone, etc.)
Collect additional information regarding layovers and transfers while contact traveler traveled
Educate transit organization on traveler surveillance screening
Educate transit organization on hand hygiene and cough etiquette
Environmental cleaning of facility and travel plane or bus, etc.
Ensure transit organization notifies staff of situation
Ensure that PIOs from Public Health and the travel organization work together on media messages.
Ensure there is a quarantine and isolation team identified and utilized at the travel facility
If the facility remains open, give the facility cover your cough signs and hand washing posters and ensure screening of travelers for illness occurs until the outbreak is over
□ / Public Health / Ensure staff have Personal Protective Equipment (if going out in the field to visit the quarantined patient):
Surgical masks
N95 masks or particulate respirators
Gloves
Gowns
Goggle
□ / Public Health / Public Health Enforce Quarantine and Isolation guidelines (refer to the “Standard Operations Guidelines for Monitoring Isolation and Quarantine”)
□ / Public Health /Transit facility Director / Contact the Transit facility to ensure they are updated on the disease status in the community. This can occur on a weekly basis via the SOG entitled, “Alerts & Notifications to the Medical and community partners.”
□ / Public Health / Once traveler quarantine is completed and no symptoms have occurred release from quarantine after medical evaluation via public health
□ / Public Health / If applicable inform hotel of the release of the quarantined patron.
Contacts
Quarantine Facility:
Cleveland:
ClevelandConventionCenter-
500 Lakeside Ave E
Cleveland, 44114
(216) 348-2200
Quarantine Support-Food:
American Red Cross, Greater Cleveland Chapter
Michaellen Holland
3747 Euclid AvenueCleveland, Ohio44115-2596
(216) 431-3010
Cleveland Foodbank, Inc.
Anne Goodman, Director
15500 South Waterlo Road
Clveland, Ohio44110
Phone: (216) 738-2265
Fax: (216) 738-1604
The Salvation Army, Greater Cleveland Area Services
P.O. Box 6538
Cleveland, Ohio
44101-1538
(216) 619-4681
Quarantine Support-Security:
Cleveland Police Department
Prioleau Green, Deputy Chief
Cleveland Division of Police
1300 Ontario Street
Cleveland, Ohio44113
(216) 664-4470
Quarantine Support-Medical:
Cleveland Department of Public Health Quarantine Team
Medical Advisory Committee
Transportation:
Greyhound Bus
1465 CHESTER AVE
Cleveland, OH44114
Main: 216-781-0520
Baggage: 216-781-0521
Greyhound Package Express: 216-781-2464
Customer Service: 216-781-1841
Greyhound Charter: 800-454-2487
ClevelandHopkinsInternationalAirport (CLE)
P. O. Box 81009
Cleveland, Ohio44181-0009
(216) 265-6000
Fred Szabo, Commissioner
Eric Williams, Safety and Security
Amtrak
200 Cleveland Memorial Shoreway
Cleveland, Ohio44114
1-800 USA Railway
Language Bank:
(See Language Quills Database)
Service Area:ALL / SUBJECT:
Monitoring I&Q / SOG #
NEOCC-SOG03 / PAGES:
3
ORIGINAL DATE:
August 2, 2007 / REVISED DATE: / NEXT REVIEW DATE:
SUBMITTED BY/DATE: / REVIEWED BY/DATE: / APPROVED BY/DATE:
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