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NEO Regional Epidemiology Group Standard Operating Guidelines Closing a Business Protect Mission Capability: Isolation & Quarantine Purpose The purpose of this protocol is to establish standard guidelines for the closure of businesses to be used by the staff of the Northeast Ohio (NEO) Public Health partnership, composed of public health officials from Ashtabula, Cuyahoga, Geauga, Lake, and Lorain counties. Scope These guidelines are intended for use during an infectious disease outbreak requiring the activation of the Northeast Ohio Regional Public Health Community Containment Plan. Responsibility The public health officials of the Northeast Ohio Public Health partnership will be responsible for enacting these guidelines within their respective jurisdictions. Procedures Please note that the action steps outlined below will not necessarily follow in sequential order. Steps may also occur simultaneously. Date/Time Began . Initials Done Person/Group Responsible Action Steps □ _Documented cases of highly pathogenic disease in the United States of America. _Documented cases of highly pathogenic disease in Ohio _Documented cases of highly pathogenic disease in northeast Ohio □ The Health Commissioner/Officer consults with the Director of Nursing, Director of Environmental Health and Epidemiological staff for recommendations on community containment measures. Regional Public Health Officials collaborate and communicate with key state officials to review circumstances and determine the extent of business closure needed. Any confirmed cases of novel highly pathogenic illness in the community/business with evidence of 1 □ □ Service Area: transmission occurring and the possibility of exposed or at- risk persons. Does the business provide an essential service to the community? The Health Commissioner/Officer determines that there is reasonable cause to believe that allowing one or more businesses to stay open may endanger the public health. The Health Commissioner provides the business(es) with a written order notifying the business of: The premises designated for closure; The date and time at which the closure will commence; A statement of the terms and conditions of the closure; A statement of the basis on which the closure is justified; and The availability of a hearing to contest a closure order of a health care facility. Public Health and the city’s administration determine if law enforcement is needed to maintain closure of the business. The NEO Public Health Partnership in collaboration with key state/federal officials continue to monitor the conditions of the highly pathogenic disease as it relates to business closings. The business will remain closed until Public Health issues a letter stating services can be resumed. SOG # SUBJECT: ORIGINAL DATE: REVISED DATE: NEXT REVIEW DATE: SUBMITTED BY/DATE: REVIEWED BY/DATE: APPROVED BY/DATE: H:\Health Promotion and Planning\Community Containment\Business Closure SOG.doc 2 PAGES: