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BULLETSt. Louis City Revised Code Chapter 11.56 Disease and Disease Prevention Part IV

St. Louis City Revised Code (annotated) has been converted to electronic format by the staff of the St. Louis Public Library. This electronic version has been done for the interest and convenience of the user. These are unofficial versions and should be used as unofficial copies.

Official printed copies of St. Louis City Revised Code may be obtained from the Register's Office at the St. Louis City Hall.



Chapter 11.56
Disease and Disease Prevention
PART IV QUARANTINE*

Sections:

11.56.780 Definitions.
11.56.790 Establishment of quarantine or isolation.
11.56.800 Quarantine and isolation orders.
11.56.810 Isolation and quarantine premises.
11.56.820 Relief from isolation and quarantine.
11.56.830 Enforcement.
11.56.840 Penalty for violation.

Charter:

Art. XIII 14--C(c) Division of health

* Prior code history:

1948 C. Ch. 30 76--82 and 1960 C. 496.010--496.070.

11.56.780 Definitions.

For the purposes of this section the following words or phrases shall have the meaning given herein.

A. "Board of Police Commissioners" means the appointed Board that oversees the Metropolitan St. Louis Police Department.

B. "Chemical or radiological contamination" means a person has been exposed to and may physically have on their person any toxic or poisonous chemicals or precursors of toxic or poisonous chemicals, or radiation or radioactive materials at a level dangerous to human life.

C. "Chief of Police" means the Chief of the Metropolitan St. Louis Police Department.

D. "City" means the City of St. Louis, Missouri.

E. "Communicable disease" means a disease or condition, the infectious agent of which may pass or be carried, directly or indirectly, from the body of one person or animal or contaminated environment to the body of another person or animal.

F. "Decontamination" means the cleansing process by which chemical or radiological contamination is removed from a person, animal or environment.

G. "Exposure" means contact with suspected cases of a disease or a contaminated environment where there may be contact, absorption, ingestion or inhalation of an infectious agent or chemicals or radiation or radioactive materials that may result in infection with a disease or radiation illness.

H. "Health Commissioner" means the Health Commissioner of the City of St. Louis, Missouri, in the Department of Health and Hospitals, or their designee.

I. "Isolation" means the separation for the longest period of communicability of infected individuals, premises and animals from other individuals and animals in places and under conditions as will prevent the direct and indirect transmission of the communicable disease from infected individuals or animals who are susceptible or who may spread the agents to others.

J. "Quarantine" means the separation from others of persons, groups of persons, premises or animals who had the opportunity to acquire a communicable disease or chemical or radiological contamination through an infected person, animal or contaminated environment. The usual period of time will not be longer than the longest period of communicability of the disease or in the event of chemical and radioactive contamination, until decontamination occurs. The purpose of quarantine is to prevent direct or indirect transmission of the communicable disease, chemical or radiological contamination to other persons, animals or environments.

1. "Complete quarantine" means a limitation of freedom of movement of persons, groups of persons or animals exposed to a communicable disease for a usual period of time not longer than the longest period of communicability of the disease or in the event of exposure to chemicals or radiation, until decontamination occurs, in order to prevent effective contact with the general population.

2. "Modified quarantine" means a selective, particular limitation of freedom of movement of persons, groups of persons or animals determined on the basis of differences in susceptibility or danger of disease transmission. Modified quarantine is designed to meet particular situations and includes, but is not limited to, the exclusion of persons from geographic areas or school or child care, the closure of schools, child care centers and places of public or private assembly and the prohibition or restriction of those exposed to a communicable disease or chemical or radiation contamination from engaging in travel into or from a specified area or in a particular occupation or activity.

3. "Quarantine of premises" means the closure of buildings, or parts of buildings, both public and private, until they have been declared safe by the Director, Commissioner or their designated representative.
(Ord. 66374 3, 2004.)

Cases:

Ordinance of the city requiring boats coming from below Memphis, having on board more than a specified number of passengers, to remain in quarantine not less than forty-eight hours, is not repugnant to the commerce clause of the United States Constitution. City of St. Louis v. McCoy, 18 Mo. 146 (1853); St. Louis v. Boffinger, 19 Mo. 9 (1854).

McQuillin:

24.237 Quarantine regulations

11.56.790 Establishment of quarantine or isolation.

The Health Commissioner shall establish appropriate quarantine or isolation rules and regulations as necessary to prevent the introduction or transmission of communicable disease, as defined in this chapter, or chemical or radiological contamination into, within or from the City, including the St. Louis Lambert International Airport and the water works.
(Ord. 66374 4, 2004.)

11.56.800 Quarantine and isolation orders.

A. Any quarantine and isolation order issued by the Health Commissioner shall be in writing and contain:

1. The identification of the person, group of persons, premises or animals to be confined, closed or excluded;

2. The basis for the Health Commissioner's belief that the person, group of persons or animals have a communicable disease, may be incubating a communicable disease, or have chemical or radiological contamination and that the person, group of persons or animal(s) pose(s) a substantial threat to the public health and that quarantine or isolation is necessary to protect and preserve the public health, or that a premises is in such a condition that could lead to such communicable disease or contamination. The premises shall be posted with a NOTICE that the premises is under quarantine. It shall be a violation of this chapter for any person without the consent of the Commissioner to remove said NOTICE;

3. The period of time during which the order shall remain effective;

4. The place of confinement or exclusion as designated by the Health Commissioner; and

5. The steps necessary to prohibit the illegal entry or occupancy of a premises.

B. Further orders of quarantine and isolation pursuant to this section may be issued to previously quarantined or isolated persons, groups of persons, premises or animals in the event the Health Commissioner deems additional quarantine and isolation time is necessary to protect and preserve the public health.
(Ord. 66374 5, 2004.)

11.56.810 Isolation and quarantine premises.

Entry into quarantine and isolation premises shall be restricted under the following conditions:

A. The Health Commissioner may authorize physicians, health care workers or others access to individuals in quarantine or isolation as necessary to meet the needs of quarantined or isolated individuals.

B. No person, other than a person authorized by the Health Commissioner, shall enter quarantine or isolation premises.

C. Any person entering a quarantine or isolation facility must possess infection control knowledge and use appropriate personal protective equipment.

D. Any person entering a quarantine or isolation premise with or without the authorization of the Health Commissioner may be quarantined or isolated.

E. The Health Commissioner may take whatever action necessary to decontaminate any premise and charge the owner the cost of such decontamination and said cost shall be a lien on the property.
(Ord. 66374 6, 2004.)

11.56.820 Relief from isolation and quarantine.

A person confined or excluded, or owner of an animal confined under this section, shall have relief from isolation if the Health Commissioner determines:

A. The person or animal ordered confined or excluded is no longer infected with a communicable disease;

B. The person or animal no longer poses a substantial threat to the public health; and

C. Confinement or exclusion of the person or animal is not necessary and the least restrictive alternative to protect and preserve the public health;

D. The owner of the quarantined premises produces documentation satisfactory to the Health Commissioner showing either mitigation or that no contamination (chemical, radiological or biological) is present and that the premises no longer presents any health hazard.

Any person aggrieved from a decision or order of the Health Commissioner may appeal such decision within ten (10) working days of the decision or order to the Director of Health and Hospitals. Said Director shall hold a hearing within ten (10) working days of the appeal. The hearing shall determine if the decision or order was appropriate. An appeal does not stay the decision of the Health Commissioner or the Director. Neither the City of St. Louis nor any of its employees, agents, contractors or members of the police department shall be held responsible for any lost wages, income or other damages due to the quarantine or isolation imposed hereunder.
(Ord. 66374 7, 2004.)

11.56.830 Enforcement.

Whenever an order of the Health Commissioner or Director in relation to quarantine and isolation of the City of St. Louis or property owned by the City including the St. Louis Lambert International Airport and the water works, a copy of the order shall be transmitted to the Board of Police Commissioners and the Chief of Police, the City Fire Department and the City Emergency Management Agency (CEMA) and to officials in the county where the premises are located if not in the City. The Board of Police Commissioners and the Chief of Police, the City Fire Department and the City Emergency Management Agency (CEMA) are directed to aid and assist the Health Commissioner, or the Commissioner's designee, in the enforcement of the quarantine or isolation order whenever requested to do so.
(Ord. 66374 8, 2004.)

11.56.840 Penalty for violation.

Every person convicted of a violation of any section of this chapter shall be punished by a fine of not less than one ($1) dollar, nor more than five hundred ($500) dollars, or by imprisonment for not more than ninety (90) days, or by both such fine and imprisonment. Each day that any violation shall continue, it shall constitute a separate offense.
(Ord. 66374 9, 2004.)

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