Sample Temporary Isolation Order for Pandemic Influenza

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Author: Santa Clara Health Department

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Drawn from the Santa Clara County Public Health Department Pandemic Influenza Preparedness and Response Plan, this document provides a sample of a temporary isolation order that can be used to hold individuals temporarily until the Health Officer is notified and able to evaluate whether there is a need for additional action. This information should be modified in order to meet the requirements of other states and localities.

Program: Public Health Preparedness

Submitted Date: Jul 17, 2006 | Modified Date: Sep 30, 2025

Primary Toolkit: Preparedness Toolkit | Secondary Toolkit: Preparedness Toolkit

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Institution Type: LHD - County,

Keywords: Emergency Response

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