Section SAF.04.04 — Public Health Emergency Response

(a) Quarantine and/or Isolation. The Public Health Authority may require isolation or quarantine of a patient or individual who is a carrier of a communicable disease, a patient or individual under Section SAF.04.03 (a)(2), quarantine of contacts, concurrent and terminal disinfection, or modified forms of these procedures as may be reasonably necessary to control the spread of a communicable disease during a public health emergency. Persons subject to quarantine or isolation orders may not go beyond the quarantine or isolation premises until released from the order except as necessary to receive medical treatment or respond to an emergency.

(b) Investigation and Response. If the Public Health Authority reasonably suspects or is informed of the existence of any communicable disease, the Public Health Authority shall at once investigate and make or cause such examinations to be made as are necessary. The diagnostic report of a physician, the notification or confirmatory report of a parent or caretaker of the patient, or a reasonable belief in the existence of a communicable disease shall require the Public Health Authority immediately to quarantine, isolate, require restrictions or take other communicable disease control measures in a manner, upon the persons. The Public Health Authority shall consult a physician as speedily as possible where there is reasonable doubt or disagreement in diagnosis and where advice is needed. The Public Health Authority shall act as reasonably necessary to protect the public.

(c) Access to Persons under Quarantine or Isolation. If deemed necessary by the Public Health Authority for a particular communicable disease, all persons except those on behalf of the Public Health Authority, attending physicians and nurses, members of the clergy, the members of the immediate family and any other persons having a special written permit from the Public Health Authority are forbidden to be in direct contact with the patient.

(d) Access during a State of Emergency. In a State of Emergency, no person other than a person authorized by the Public Health Authority may enter an isolation or quarantine premises.

(e) Police Support. The Public Health Authority shall designate the Tribal Police or other appropriate personnel to execute his or her orders and properly guard any place if quarantine or other restrictions on communicable disease are violated or intent to violate is manifested. The Tribal Police or other appropriate personnel shall use all necessary means to enforce the quarantine for the prevention and control of communicable diseases, or the orders of the Public Health Authority.

(f) Alternate Quarantine Sites. When the Public Health Authority deems it is necessary that a person be quarantined or otherwise restricted in a separate place, the Public Health Authority or designee shall remove the person, if it can be done without danger to the person's health, to such a designated place.

(g) Expenses. Expenses for necessary medical care, food and other articles needed for the care of the infected person shall be charged against the person or whoever is liable for the person's support.

(1) The Stockbridge-Munsee Community is responsible for the following costs accruing under this section unless the costs are payable through 3rd party liability or through any benefit system:

(A) The expense of employing guards under subsection (e).

(B) The expense of maintaining quarantine and enforcing isolation of the quarantined area.

(C) The expense of conducting examinations and tests for disease carriers made under the direction of the Public Health Authority.

(D) The expense of care for dependent persons.

(h) Notice to Tribal President. The Health Center Director shall notify the Tribal President if the Public Health Authority institutes any of the options in SAF.04.04 (a) to (g).