HomeMy WebLinkAbout10.18.21 Health Officer Isolation and Quarantine Orders to be issued this morning
From:York, Danette
To:BOS
Cc:Kim, Sang
Subject:Health Officer Isolation and Quarantine Orders to be issued this morning
Date:Monday, October 18, 2021 9:00:12 AM
Attachments:Quarantine Order 2021 October FINAL.pdf
Isolation Order 2021 October FINAL.pdf
This morning Public Health will be issuing two Health Officer Orders. One requiring isolation of all
persons positive or likely to be positive with COVID-19 and the other requiring quarantine of persons
who have been exposed to someone positive with COVID-19. A copy of the final orders are attached
for your information (the signed orders are on file but the links in the signed documents do not work
because they had to be scanned)
I anticipate that you may receive questions. Please direct all calls to our COVID call center, 530-552-
3050.
The reason we need to issue orders at this time is because the State only used words like
“recommendation”, “should” and “may” in some of their guidance documents. Isolation and
Quarantine are THE major tools Public Health uses to slow the spread of communicable disease. It
has always been a requirement for COVID-19 in Butte County but PH staff obtained compliance via
education and only issued orders when absolutely necessary on a case by case basis. With a state
guidance document that states “recommendation” businesses, organizations and the education
sector need something that spells out it is a requirement in Butte County to help them prevent ill
and exposed persons from entering their facilities.
This is a tool for everyone to use. We will continue to address enforcement issues on a case by case
basis.
Respectfully,
Danette York
Public Health Director
BUTTE COUNTY PUBLIC HEALTH
202 Mira Loma Drive | Oroville, CA 95965
T: 530.552.3820 | F: 530.538.2164
COVID-19 Call Center: 530.552.3050 Open 8 am-5 pm, everyday
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Public Health Administration Danette York, MPH,Director
DavidCanton, DO, MPH, JD, Health Officer, Interim
202 Mira Loma Drive T: 530.552.4000
Oroville, California 95965 F: 530.538.2164
COUNTY OF BUTTE
HEALTH OFFICER ORDER
Quarantine ofAll Persons Exposed to COVID-19
Pursuant to sections 101030, 101040, 120175, and120215,120220, and 120225 of the California
Health and Safety Code, the Butte County Health Officer (“Health Officer”) hereby ORDERS AS
FOLLOWS:
1. The spread of Coronavirus Disease 2019 (“COVID-19”) is a substantial threat to the public’s
health and safety. The County of Butte (“County”) is currently subject to a declared local
health emergency and a proclaimed local emergency due to the COVID-19 pandemic. The
Governor of the state of California has proclaimed a state of emergency. Everyone is at risk
for becoming ill with COVID-19, but some people are more vulnerable to serious illness due
to age or underlying health conditions. In order to slow the spread of COVID-19 and prevent
the healthcare system in the County from becoming overwhelmed with hospitalizations or
ICU patients, it is necessary for the Health Officer of the County to require the quarantine of
persons exposed to COVID-19 (“COVID Exposed Persons”).
2.Household contacts, intimate partners,caregivers, and any other persons whohave been in
close contact witha personeitherdiagnosed with COVID-19, or likely to have COVID-19
(“COVID Positive Person”) shall beconsideredCOVIDExposed Persons. An individualis
considered to havebeen in close contact with aCOVIDPositivePerson if, within forty-eight
(48) hours before the COVID Positive Person’s symptoms began (or, for asymptomatic
patients, two (2) days prior to test specimen collection), and until the COVID Positive Person
is no longer required to be isolated, the individual:
a. Was within six (6) feet of a COVID Positive Person for a cumulative total of fifteen
(15) minutes or more over a twenty-four (24) hour period; or
b. Had unprotected contact with the body fluids and/or secretions (including but not
limited tobeingcoughed on or sneezedon,sharingutensils,ordrinking outof the
same container) ofa COVID Positive Person.
3.In a case involving K-12 students where both parties were appropriately wearing face
coverings at the time of exposure, a modified quarantine, as more fully described in
Paragraph D below, may be followed.
4.The Centers for DiseaseControl and Prevention (“CDC”) and the California Department of
Public Health(“CDPH”)currently recommend that COVID Exposed Persons quarantine for
a period of ten (10) days after COVID-19 exposure. The CDC and CDPH recognize that
quarantine may not be required when a COVID Exposed Person has been fully vaccinated
againstCOVID-19,orhasrecentlyrecoveredfromapreviousCOVID-19infectionas
describedinParagraphCbelow.
5.ThisOrderisintendedtoprovideforthequarantineofCOVIDExposedPersons,whileatthe
sametime,provideflexibilityforthoseCOVIDExposedPersonswhohavebeenfully
vaccinated againstCOVID-19, have recentlyrecovered from apreviousCOVID-19
infection, or qualify for modified quarantine, asdiscussed in more detail below.
Quarantine requirements are based on the following criteria:
A.VaccinatedPersons.COVIDExposedPersonsthathavebeenfullyvaccinatedandare
asymptomatic shall notbe requiredto quarantine, so long as they do not subsequently
develop COVID-19 symptoms within fourteen (14) days from the date of last exposure to a
COVID Positive Person. Duringthe14-daypost-exposureperiod, fullyvaccinated COVID
Exposed Persons shall continue to self-monitor for COVID-19 symptoms and shall
immediately isolate if COVID-19 symptoms develop within the 14-day post-exposure period.
An individualis considered to be fullyvaccinated two (2) weeks after receiving the second
dose of a two-dose vaccination series; or two (2) weeks after receiving one dose of a single
dose vaccine.
B. UnvaccinatedPersons.
i. COVID Exposed Persons that are unvaccinated and asymptomatic, but have not taken
a COVID test, may discontinue quarantine after ten (10) days from the date of last
exposure to a COVID Positive Person.
ii. COVID Exposed Persons that are unvaccinated and asymptomatic, and have received
a negative COVID-19 test(antigen diagnostictest, PCR/molecular diagnostic test, or
pooled PCR/molecular test)result froma specimen collectedat leastfive(5)days
from the date of last exposure to a COVID Positive Person, may discontinue
quarantine after seven (7) days from the date of last exposure to a COVID Positive
Person.
iii. All COVID Exposed Personsshall continue to self-monitor for COVID-19 symptoms
for fourteen (14) days from the date of last exposure to a COVID Positive Person, and
shall immediately isolate if COVID-19 symptoms develop within the 14-day post-
exposure period.
C. Person Recently Recovered from COVID-19. COVID Exposed Persons that have recently
recoveredfrom COVID-19infectionand areasymptomatic shall not be required to
quarantine, so long as they do not subsequently develop COVID-19 symptoms within
fourteen (14) days from the date of last exposure to a COVID Positive Person. Recently
recovered is defined as within 90 days from initial onset of symptoms or, if asymptomatic,
first positive test.
D. K-12Schools. COVID Exposed Persons that are staffor students of a K-12 school located
within theCountyare required to follow all recommendations found in thequarantine
Page 2 | 3
Public Health Administration Danette York, MPH, Director
David Canton, DO, MPH, JD, Health Officer,
Interim
202 Mira Loma Drive T: 530.552.4000
Oroville, California 95965 F: 530.538.2164
COUNTY OF BUTTE
HEALTH OFFICER ORDER
IsolationofPersonswithorLikelytohaveCOVID-19
Pursuant to sections 101040, 101085 and 120175of the California Health and SafetyCode,the Butte
County Health Officer (“Health Officer”) hereby ORDERS AS FOLLOWS:
1. The spread of Coronavirus Disease 2019 (COVID-19)isa substantialthreat to the public’s
health and safety. The County of Butte (County) is currently subject toa declared localhealth
emergency and a proclaimed local emergency due tothe COVID-19 pandemic. The
Governor of the state of Californiahasproclaimeda state of emergency. Everyone is at risk
for becoming ill with COVID-19, but some people are more vulnerable to serious illness due
to age or underlying health conditions.In order to slow the spread of COVID-19 and prevent
the healthcare system in the County from becoming overwhelmed with hospitalizationsor
ICU patients, it is necessary for the Health Officer of the County torequiretheisolationof
persons diagnosed with, or likely to have COVID-19 (COVID Positive Persons).
2. The determination of a COVID Positive Person is based on one or more of the following
factors:
a. A positive antigen or molecular (also referred to as PCR) labtestfor thecoronavirus
(known as SARS-CoV-2) that causes COVID-19; or
b.Signs and symptoms that are consistent with COVID-19 within 14 days of being in
close contact with a person who had or was believed to have had COVID-19; or
c.A healthcare provider has informed the individual that they are likely to have
COVID-19.
3. COVID Positive Persons, regardless of vaccination status, are required to isolate themselves.
These persons are required to follow all instructions in this Order and guidance documents
referenced in this Order. All COVID Positive Persons must take the following actions:
a. Isolate themselves in their home or another residence. They may not leave their place
of isolation or enter any other public or private place, except to receive necessary
medical care.
b.Isolate themselves until they are no longer at risk for spreading COVID-19 based on
the following criteria:
i.For COVID Positive Persons with symptoms:
1) At least ten (10) days have passed since their symptoms started;and
2)Atleasttwenty-four(24)hourshavepassedsinceresolutionoffever
without the use of fever-reducing medications; and
3) Other symptoms have improved
(Some COVID positive persons may need to isolate for morethan 10
days. Hospitalized patients with severe to critical illness orCOVID
positivepersonswho areseverely immunocompromised may require
isolationforup to20 days)
ii.ForCOVIDPositivePersonswhoareasymptomatic,meaningtheyhaveNOT
hadanysymptoms:
1) At least ten (10) days have passed since the date of the first positive
COVID-19 test; and
2) If symptoms develop, the strategies for discontinuing self-isolation for
symptomatic persons (see above) must be used.
c.Carefully review and closely followall requirementslistedin the California
DepartmentofPublic Health’s(CDPH) Guidance on Isolation and Quarantine for
COVID-19ContactTracing. COVID Positive Persons that are staff or students of a
K-12schoollocated within theCountyare alsorequiredto follow all
recommendations found in the isolation guidance issued by CDPH: COVID-19 Public
Health Guidance for K-12Schoolsin California,2021-22School Year.
d.Inform their Close Contacts that they are considered COVID Exposed Persons and
that they need to quarantine themselves pursuant to the Butte County Health Officer
Quarantine Order, which is located at: www.buttecounty.net/ph/COVID-19. Also
refer their CloseContactsto theCaliforniaDepartment of Public Health’s Guidance
on Isolation and Quarantine for COVID-19 Contact Tracing, which describessteps
that Close Contacts must take to prevent the spread of COVID-19.
i.Household contacts, intimatepartners,caregivers, andany other personswho
have been in close contact with a COVID PositivePerson shall beconsidered
close contacts andtherefore COVID Exposed Persons. Anindividual is
considered to have been in close contactwith aCOVIDPositivePerson if,
within forty-eight (48) hours before the symptoms began (or, for
asymptomatic patients, two (2) days prior to test specimen collection), and
until the COVID Positive Person is no longer required to be isolated, the
individual:
1) was within six (6) feet of a COVID Positive Person for a cumulative
total of fifteen (15) minutes or more over a twenty-four (24) hour
period; or
2) had unprotected contact with the body fluids and/or secretions
(including but not limited to being coughed on or sneezed on, sharing
Page 2 | 3
utensils,ordrinkingoutofthesamecontainer)ofaCOVIDPositive
Person.
4.Ifanysubsection,sentence,clause,phrase,orwordofthisOrder,oranyapplicationofit,is
heldtobeinvalid,preempted,orunconstitutionalbyadecisionofacourtofcompetent
jurisdiction, then such decision will not affect the validity of the remaining portions or
applications of this Order.
5. This Order is issued in accordance with, and incorporates by reference any applicable
federal, State or local law, regulation, rule, policy or procedure related to COVID-19, as they
may be amended or supplemented.
6. This Order shall remain in effect until superseded, rescinded or amended.
IT IS SO ORDERED:
Date: October 18, 2021 _______________________________________
David Canton, DO, MPH, JD
Health Officer, Interim
Page 3 | 3
guidanceissuedbyCDPH:COVID-19PublicHealthGuidanceforK-12Schoolsin
California, 2021-22 School Year.
E.Travel.
i. Domestic Travel (within theUnited States “U.S.”or U.S.Territory). Persons
returning to the Countyfromdomestictravel(“Domestic Travelers”)shall abide by
.
the CDC’s guidance on Domestic Travel during COVID-19
ii. International Travel (outsidethe U.S.). Persons returning to the Countyfrom
internationaltravel(“InternationalTravelers”)shall abideby theCDC’s guidanceon
InternationalTravelduringCOVID-19.
F.ForthepurposesofthisOrder,incalculatingthenumberofdayssinceanindividualwas
exposed to a COVID Positive Person, the first day shall be the day after the individual was
exposedtoaCOVIDPositivePerson.
G.Ifquarantinedinacongregatesetting,hotel,ormulti-unitsetting,COVIDExposedPersons
shallnotenteranyotherunitswithinthatsettingorhavevisitorsinthequarantinespace.
H.COVIDExposedPersonsshallcarefullyreviewandcloselyfollowallrequirementsofthe
HealthOfficerorrepresentativeoftheHealthOfficer,includingbutnotlimitedtoallHealth
Officer Orders.
I. COVID Exposed Persons should refrain from visiting public places while in quarantine.
When this is not possible, COVID Exposed Persons shall wear and appropriate face covering
keep a minimum distance of six (6) feet between themselves and other individuals at all
times, excluding a treating medical professional, a caretaker, a law enforcement officer, a
representative of the Health Officer or any other person specifically authorized by the Health
Officer.
J. If any subsection, sentence, clause, phrase, or word of this Order, or any application of it, is
held to be invalid, preempted, or unconstitutional by a decision of a court of competent
jurisdiction, then such decision will not affect the validity of the remaining portions or
applications of this Order.
K. This Order is issued in accordance with, and incorporates by reference any applicable
federal, State, or local law, regulation, rule, policy, or procedure related to COVID-19,as
theymay be amended or supplemented.
L. This Ordershallremain ineffectuntil superseded, rescinded, or amended.
IT IS SOORDERED:
Date: October 18,2021 _______________________________________
David Canton, DO, MPH, JD
Health Officer, Interim
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