Iowa Quarantine Order


Richard Moore







DIRECTED TO:   ) [insert case #
[insert full name and  
address of subject of order] ) FACILITY QUARANTINE ORDER 


The Iowa Department of Public Health (Department) has determined that you have had 
contact with a person with Novel Influenza A H1N1. Novel Influenza A H1N1 is a disease which 
is spread from person to person and is associated fever (greater than 100.0 F), cough, sore 
throat, rhinorrhea (runny nose), nasal congestion, body aches, headache, chills and 
fatigue.  Novel Influenza A H1N1 presents a risk of serious harm to public health and if it 
spreads in the community severe public health consequences may result.   


The Department has determined that it is necessary to quarantine your movement to a 
specific facility to prevent further spread of this disease.  The Department has determined that 
quarantine in your home and other less restrictive alternatives are not acceptable because 
[insert the reason home quarantine is not acceptable, the person violated a previously 
issued home quarantine order, the person does not have an appropriate home setting 
conducive to home quarantine, etc.] The Department is therefore ordering you to comply with 
the following provisions during the entire period of quarantine: 


1.     Terms of confinement.     You are ordered to remain at the quarantine facility, 
_____________________ [insert name and address of facility], from ___________ to 
____________ [insert dates of quarantine]. 


2.     Requirements during confinement.  During the period of quarantine: 


a. You must not leave the quarantine facility at any time unless you have 
received prior written authorization from the Department to do so. 


b. You must not come into contact with anyone except the following persons: 


(i) other persons who are also under similar quarantine order at the 
quarantine facility; 
(ii)  authorized healthcare providers and other staff at the quarantine 
(iii)  authorized Department staff or other persons acting on behalf of 
the Department; and 
(iv)  such other persons as are authorized by the Department. 


c. Your daily needs, including food, shelter, and medical care, will be 
provided for you during the period of quarantine at the quarantine facility.  
You should bring clothing, toiletries, and other personal items with you to 
the quarantine facility.  You will have limited access to a telephone at the 
quarantine facility.  You may bring your cell phone with you should you 
desire to have greater access to a means of communication.      




d. You should inform your employer that you are under quarantine order and 
are not authorized to physically come to the work place, although you may 
work from the facility via electronic or other means if appropriate.  You 
should be aware that Iowa law prohibits an employer from firing, 
demoting, or otherwise discriminating against an employee due to the 
compliance of an employee with a quarantine order issued by the 
Department. (Iowa Code section 139A.13A). 


3.     Information about Novel Influenza A H1N1.  You should review the information 
contained at Attachment A for information about Novel Influenza A H1N1.  You should refer to 
information provided at the quarantine facility to address specific concerns and questions you 
have about Novel Influenza A H1N1. In order to find out more information about Novel 
Influenza A H1N1 and its symptoms and spread, you may also access the Department’s web- 
page at  If you do not have access to the internet from the quarantine 
facility, you may contact the Department at 1-800-362-2736.  


4.     Legal authority.    This order is issued pursuant to the legal authority contained at 
Iowa Code chapters 135, 139A and 641 Iowa Administrative Code chapter 1, a copy of which is 
labeled Attachment B and is attached to this order for your review.  The Department shall comply 
with the principles for quarantine contained in subrule 1.9(3) of this attachment when issuing and 
implementing this order.   


5.     Ensuring compliance.   In order to ensure that you strictly comply with this 
Quarantine Order the Department or persons authorized by the Department may regularly 
inspect the quarantine facility.   


6.     Violations of order.     If you fail to comply with this Quarantine Order you may be 
ordered to be quarantined in a more restrictive facility.  In addition, failure to comply with this 
order is a simple misdemeanor for which you may be arrested, fined, and imprisoned. 


7.     Your rights B appeal rights.    While under quarantine you have the rights as 
described in subrule 1.9(8) of Attachment B.  In addition, you have the right to appeal this order 
pursuant to subrule 1.9(7) of Attachment B.    




____________________________________          ___________ 
Lucas State Office Building 
Des Moines, IA 50319 



Attachments to this Order: 


Attachment A — Facts About Novel Influenza A H1N1 
Attachment B — 641 Iowa Administrative Code chapter 1