"The centers for law and the public's health"
from John Hopkins and Georgetown Universities
Best, Keith R.
2009 H1N1 (Swine Flu) Legal Preparedness and Response
In response to emerging legal issues concerning cases of H1N1 (swine flu) internationally, Centers personnel worked in real-time to track various legal updates related to declarations of emergency or public health emergency at the international, national, and regional levels, as well as provide information on key legal issues. Please see below various information, including memoranda, articles, checklists, and other documents that can accessed online or in PDF format [subject to continued availability of online links].
Disclaimer - Please note that information provided on this website does not represent the official legal positions of any federal, state, or local government agency or entity that provides funding to the Centers, nor is it meant to provide specific legal guidance or advice. Public health practitioners, responders, and others should contact their legal advisors for specific legal guidance.
U.S. Federal, State, and Territorial Declarations of Emergency or Public Health Emergency
For an illustrative map documenting emergency declarations across the United States, please link here.
State of Iowa Declaration of Public Health Disaster ~ Iowa Governor Chet Culver declared a state of public health disaster, recognizing the potential for spread of H1N1 and the state’s first confirmed case. The declaration enables the State to purchase and distribute additional antivirals and personal protective equipment, and enhance communications with local public health officials, health care providers, state and federal agencies, and private partners. Date: May 2, 2009 through May 31, 2009
State of Florida Declaration of Public Health Emergency ~ Florida's Surgeon General, Dr. Ana M. Viamonte Ros in consultation with Governor Charlie Crist has declared a public health emergency that has “the potential to result in substantial injury or harm to the public health.” The declaration allows the state “to suspend pharmaceutical pedigree requirements as applicable to the wholesale distribution of the prescription drugs Tamiflu and Relenza needed to cope with this emergency.” The declaration also allows the Surgeon General to take any additional action necessary to protect the public health. Date: May 1, 2009
State of Nebraska Declaration of Emergency ~ Nebraska Governor Dave Heineman declared a state of emergency which recognizes the spread of A/H1N1 as a "public health incident of international significance" and allows for state agencies and departments to implement plans for the allocation of antiviral medicines from stockpiles to distribute throughout the state. Date: April 30, 2009
State of Wisconsin Declaration of Public Health Emergency ~ Wisconsin Governor Jim Doyle declared a state of public health emergency. The declaration designates the Wisconsin Department of Health Services as the lead agency to respond to the public health emergency and to take all necessary and appropriate measures to prevent and respond to incidences of A/H1N1 Influenza in the state. Date: April 30, 2009
State of Texas Disaster Declaration ~ Texas Governor Rick Perry issued a state-wide disaster declaration to coordinate emergency response efforts and seek federal reimbursement. Date: April 29, 2009 through May 29, 2009
State of California Declaration of Emergency ~ California Governor Arnold Schwarzenegger declared a state of emergency. The declaration was employed to (1) order all state agencies and departments to utilize and employ state personnel, equipment and facilities to assist the Department of Public Health (DPH) and the State Emergency Plan as coordinated by the California Emergency Management Agency; (2) order DPH and the Emergency Medical Services Authority to execute contracts for providing services, materials, personnel and equipment to supplement extraordinary preventive measures being taken across the state; (3) suspending non-competitive bid contracts for services, material, personnel and equipment needed to respond to this outbreak; and (4) waiving select certification requirements for public health laboratories to help in the state’s expansion of our testing capabilities. Date: April 28, 2009
Commonwealth of Virginia Department of Public Health Declaration of Public Health Emergency ~ Virginia's Health Commissioner declared a public health emergency to better coordinate swine flu response efforts, including access to Virginia's database of licensed health care providers so that information can be more effectively and widely communicated. Virginia is also extending and enhancing its seasonal flu tracking program to ensure that any confirmed cases are promptly reported and tracked. Date: April 27, 2009
FDA Emergency Use Authorization for Medicines and Diagnostic Tests for Swine Flu in Humans~ the U.S. Food and Drug Administration (FDA) issued Emergency Use Authorizations (EUAs) to expand access to diagnostic and therapeutic tools to identify and respond to the A/H1N1 flu virus, specifically use of Relenza and Tamiflu antiviral products and the rRT-PCR Swine Flu Panel diagnostic test. The EUA allows FDA, based on the evaluation of available data, to authorize the use of unapproved or uncleared medical products or unapproved or uncleared uses of approved or cleared medical products under certain criteria. The EUA ends when the declaration of emergency is terminated or the authorization revoked by the agency. For more information about EUAs from CDC, please link here. Date: April 27, 2009
DHHS Declaration of a Public Health Emergency ~ Acting United States Department of Health and Human Services Secretary Charles Johnson declared a Public Health Emergency in response to the swine flu outbreak. The formal declaration of a Public Health Emergency (PHE) is a tool that facilitates DHHS’ preparation and mobilization for disasters and emergencies. The declaration of April 26, 2009, pursuant to section 319 of the Public Health Service Act, will help HHS prepare for prevention and mitigation activities by enabling Food and Drug Administration (FDA) emergency use authorizations of drugs, devices, or medical tests under certain circumstances. Specifically, the declaration of Public Health Emergency will enable the FDA to review and issue emergency use authorizations (EUAs) for the use of certain laboratory tests to help detect the newly discovered strain of influenza and for the emergency use of certain antivirals. Date: April 26, 2009
U.S. Local Government Declarations of Emergency or Public Health Emergency
Ventura County (CA) Declaration of Emergency ~ Ventura County’s Board of Supervisors and Ventura county’s director of public health, Dr. Robert Levin, declared a local emergency as two cases of H1N1 have been confirmed and three probable cases are being tested. The declaration allows the county will be reimbursed by the state and federal government for costs associated with its response to 2009 H1N1 flu. Date: May 5, 2009
Alameda County (CA) Declaration of Emergency ~ Alameda County supervisors declared a local emergency in response to the spread of H1N1 (swine flue) in the county. The declaration allows the county to receive financial assistance for personnel costs incurred tracking H1N1. Date: May 5, 2009
Sonoma County (CA) Declaration of Emergency ~ Sonoma County Administrator Bob Deis and County Public Health Officer Dr. Mary Maddux-Gonzalez declared a local emergency to ensure the County’s access to local, state, and federal resources for detection and response to H1N1 (swine flu). Date: May 4, 2009
Los Angeles County Declaration of Emergency ~ According to the Los Angeles Times, LA County declared a local health emergency. Among other functions, the declaration authorizes the County to acquire additional antivirals from federal stockpiles. Date: April 28, 2009
International or Regional Declarations of Emergency or Public Health Emergency
Guatemala Declaration of Disaster ~ Guatemala’s President, Άlvaro Colom, declared a national state of disaster for a period of 30 days beginning May 7, 2009 in response to Guatemala’s first confirmed case of 2009 H1N1. The declaration will allow the Guatemalan government “to take immediate actions that the situation warrants, to ensure the health of the population and prevent a possible spread of the virus.” Departmental governors and mayors have been asked to suspend unnecessary activities involving large clusters of people. Date: May 7, 2009
Ecuador Declaration of Emergency ~ Ecuador declared a national state of emergency. According to a decree signed by President Rafael Correa, the state of emergency, which lasts 60 days, requires governmental entities to take necessary measures to contain the spread of swine flu. Date: April 29, 2009
Costa Rica Declaration of Health Emergency ~ The Costa Rican government issued a "health emergency" declaration after confirming 2 cases of H1N1 flu. The declaration allows government to focus on prevention and control efforts. The declaration was signed by Costa Rican president, Oscar Arias and the Minister of Health, María Luisa Ávila. Please link here for a copy of the declaration (in Spanish). Date: April 28, 2009
Columbia Declaration of Emergency ~ Colombia declared a national state of emergency to combat the threat of swine flu. The measure, announced on April 27, 2009 by Social Welfare Minister Diego Palacio, allows the government to contain and mitigate the impact of the emergency in the country. Date: April 27, 2009
WHO Declaration of Public Health Emergency of International Concern (PHEIC)~ Concerning public health measures, in line with the Regulations the Director-General declared a PHEIC, recommending that all countries intensify surveillance for unusual outbreaks of influenza-like illness and severe pneumonia. Given the widespread presence of the virus, the Director-General considered that containment of the outbreak is not feasible. The current focus should be on mitigation measures. The Director-General recommended not to close borders and not to restrict international travel. People who are symptomatic should delay international travel. People developing symptoms following international travel should seek medical attention. Production of seasonal influenza vaccine should continue at this time, subject to re-evaluation as the situation evolves. Date: April 25, 2009
Massachusetts Considering Public Health Emergency Legislation - On April 29, 2009, Massachusetts Senate unanimously passed a pandemic flu preparation bill that was introduced before the recent H1N1 flu outbreak. The Senate Bill would allow the public health commissioner — in a public health emergency — to close or evacuate buildings, enter private property for investigations, and quarantine individuals. The measure also requires a registry for volunteers that would be activated in an emergency. The measure repeals the current law that requires the Department of Public Health (DPH) commissioner to get approval from the governor and public health council before taking action after the Governor declares an emergency.
All information posted on this web site is
the opinion of the author and is provided for educational purposes only.
It is not to be construed as medical advice. Only a licensed medical doctor
can legally offer medical advice in the United States. Consult the healer
of your choice for medical care and advice.