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<regulation prefix="Regulation" num=".03" citation="COMAR 10.59.01.03" title_num="10" subtitle_num="59" chapter_num="01" heading="Standards For Isolation and Quarantine.">
  <paragraph num="A.">
    <text>As set forth in Health-General Article, §18-905, Annotated Code of Maryland, in investigating actual or potential exposures to a deadly agent, the Secretary may order isolation or quarantine of an individual or a group of individuals, including those individuals who refuse to be vaccinated, medically examined, treated, or tested.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An individual who does not comply with an isolation or quarantine order of the Secretary is guilty of a misdemeanor and on conviction is subject to a fine and imprisonment pursuant to Health-General Article, §18-907(a), Annotated Code of Maryland.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If the Secretary issues an order in compliance with Health-General Article, §18-905(b), Annotated Code of Maryland, the Secretary may order an individual into isolation or quarantine at:</text>
    <paragraph num="(1)">
      <text>A health care facility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The individual's home; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A nonhealth care facility.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Place of Quarantine or Isolation other than the Individual's Home.</text>
    <paragraph num="(1)">
      <text>If the Secretary has determined that it is necessary to issue an isolation or quarantine order for an individual to a facility other than the individual's home, the health officer, in consultation with other public health professionals, shall recommend to the Secretary a suitable place for isolation or quarantine.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The health officer shall base the recommendation for a place for isolation or quarantine on the following:</text>
      <paragraph num="(a)">
        <text>The seriousness of the disease;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The route or routes of transmission of the disease;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The contagiousness of the disease;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Precedents in the practice of public health;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The behavior, neurological development and condition, and physical condition of the individual being isolated or quarantined; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The access to needed support services at the site.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The health officer, with assistance from local emergency management services, law enforcement personnel, or both, as needed, shall arrange for and provide, if needed, transportation for an individual to be isolated or quarantined.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The health officer, with assistance from the local law enforcement agency as needed, shall monitor an isolated or quarantined individual by phone call, home visit, or other means, to ensure that the isolated or quarantined individual stays in the designated facility at all times during the period of isolation or quarantine, except in an emergency such as fire, natural disaster, or evacuation of the area by a county, State, or federal agency for any other reason.</text>
  </paragraph>
  <paragraph num="G.">
    <text>If evacuation from the site occurs in an emergency, an isolated or quarantined individual shall notify the health officer immediately by a phone call or any other means possible and follow instructions given by the health officer.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Unless not available in the community due to a general state of emergency, the health officer, the administrator of a health care facility, or an individual in charge of an isolation or quarantine facility set forth in Regulation .07B of this chapter, with assistance from staff at local health care facilities, local law enforcement agencies, local social service agencies, local county agencies, or other agencies, shall ensure that an isolation or quarantine facility has, at a minimum:</text>
    <paragraph num="(1)">
      <text>Electricity;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Hot and cold potable (fit to drink) water;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Hand-washing facilities;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Toilets;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Heat;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Telephone access; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Means for discarding trash and waste.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>If an isolated or quarantined individual is in a health care facility, the administrator of the health care facility, and otherwise the health officer, with assistance from staff at local health care facilities, local law enforcement agencies, local social service agencies, local county agencies, or other agencies, shall ensure that an individual in isolation or quarantine has access to, at a minimum:</text>
    <paragraph num="(1)">
      <text>Food;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medical supplies;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medications; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Medical care, including psychological care.</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>To the extent feasible, the health officer shall provide information to an isolated or quarantined individual, without compromising the health of the isolated or quarantined individual or the people caring for the isolated or quarantined individual, by:</text>
    <paragraph num="(1)">
      <text>Assessing the language needs of the isolated or quarantined individual;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Translating both oral and written communications and documentation; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Monitoring to assure that the isolated or quarantined individual is not treated in a discriminatory manner.</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>If an isolated or quarantined individual is in a health care facility, the administrator of the health care facility, and otherwise the health officer, shall, to the extent feasible:</text>
    <paragraph num="(1)">
      <text>Determine whether the individual has any cultural or religious beliefs that would interfere with medical care during quarantine or isolation; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make arrangements to accommodate these beliefs, without compromising the health of:</text>
      <paragraph num="(a)">
        <text>The isolated or quarantined individual; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The people caring for the isolated or quarantined individual.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="L.">
    <text>An individual in isolation or quarantine shall:</text>
    <paragraph num="(1)">
      <text>Follow all written and verbal instructions provided by the Department and the local health department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify and receive approval from the local health officer in advance of relocation to a new isolation or quarantine site, except in an emergency such as fire, natural disaster, or evacuation of the area by a county, State, or federal agency for any other reason; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Notify the health officer immediately upon relocation to a new location, in the event of an emergency such as fire, natural disaster, or evacuation of the area by a county, State, or federal agency for any other reason.</text>
    </paragraph>
  </paragraph>
  <paragraph num="M.">
    <text>An individual in isolation or quarantine may not leave the isolation or quarantine site without notification of the health officer, except in an emergency such as fire, natural disaster, or evacuation of the area by a county, State, or federal agency for any other reason.</text>
  </paragraph>
  <paragraph num="N.">
    <text>Parent or Guardian of an Isolated or Quarantined Minor.</text>
    <paragraph num="(1)">
      <text>If the Secretary orders a minor into isolation or quarantine, the minor's parent or guardian may accompany the minor into isolation or quarantine.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the Secretary orders a minor into isolation or quarantine and the minor's parent or guardian is unavailable, the minor shall be isolated or quarantined in a facility where adequate care and supervision are available for the minor.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The health officer shall follow the requirements of §I of this regulation in regard to the parent or guardian.</text>
    </paragraph>
  </paragraph>
  <paragraph num="O.">
    <text>The health officer, in consultation with local health care providers, shall:</text>
    <paragraph num="(1)">
      <text>Recommend to the Secretary when an individual can be released from isolation or quarantine; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify the individual who is isolated or quarantined of the date and time of release from isolation or quarantine, as decided by the Secretary.</text>
    </paragraph>
  </paragraph>
</regulation>