Individual Restrictions, Quarantine, and Public Health Realities Edward P. Richards, JD MPH Program in Law, Science and Public Health LSU School of Law http://biotech.law.lsu.edu Definitions Quarantine Isolation Personal Restrictions Pandemic Example Diseases and Restrictions Tuberculosis Smallpox Yearly flu Typhoid Hanson's Disease (leprosy) Ringworm SARS Theoretical pan flu Resources Where do you put them? Why jail is always the wrong choice Do you have appropriate facilities? Should you move them to appropriate facilities? Treatment and Testing Can you treat them against their will? Can you coerce them into treatment? What does this mean in practical terms? Treatment as a key to release? What about DOT and enforcing it? Dealing With the Civil Libertarians Do not screw up the medical side and the place of confinement This is the root of most problems, which then cost the state authority Educate the public about the risk posed by disease carriers Do not sugar coat it Political correctness has hurt public health authority Look at national security law Stay at Home Orders When would these be appropriate? How do you provide medical care? How do you provide food? How do you support salary? What about criminals, crazies, homeless, and illegals? What is the role of a resilient communities approach? How Far Do You Go to Enforce Orders? What is the purpose of the restriction? Does it have to be 100% Is 100% even possible? If 100% is not realistic, can you justify shooting someone? Can you justify it a year later at your trial, when the public health department is seen as having failed in the epidemic? QA