[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-45793-en":3,"doc-seo-45793-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":13,"seo_description":14,"update_tm":28,"read_time":29},45793,8796095462418,"Noah","https://ap-avatar.wpscdn.com/avatar/80000253c1241d02b47?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778826106357471780",7,"Healthcare","Fourth Amended Quarantine and Isolation Order COVID-19 Information","Fourth Amended Quarantine and Isolation Order sets out the intent and legal basis for isolating individuals diagnosed with COVID-19 and quarantining close contacts in St. Louis County. It explains how local public health authority powers apply under Missouri law, outlines penalties for violating public health orders, and authorizes emergency policy changes when case trends shift. The order updates isolation and quarantine protocols to reflect evidence-based guidance, including considerations for vaccinated and recently infected persons.","The Wayback Machine-[https://web.archive.org/web/20210815030034/https://stlcorona.com/dr-pages-messages/public-health-orders…](https://web.archive.org/web/20210815030034/https://stlcorona.com/dr-pages-messages/public-health-orders…)  \n  EVENTS VACCINES TESTING  EXPENDITURES  DATA AND REPORTS  RESIDENT  BUSINESS  FAQ   \nHOME / DR. PAGE'S MESSAGES / PUBLIC HEALTH ORDERS / ALL PUBLIC HEALTH ORDERS (ARCHIVES)/ FOURTH AMENDED QUARANTINE AND ISOLATION ORDER  \nFourth Amended Quarantine and Isolation Order  \nThe intent of this order is to assure isolation and quarantine of identified person who have COVID-19 or have been exposed to COVID- 19. Isolation and quarantine are important components of a multi-layered strategy to prevent, limit, and contain the spread of COVID-19 in St. Louis County.  \n􀀕 Feb 16, 2021  \nAMENDED QUARANTINE AND ISOLATION ORDER  \nSigned DPH Order  \nSt. Louis County Department of Public Health 2019 Novel Coronavirus (“COVID-19”)  \nFourth Amended Quarantine and Isolation Order  \nThe St. Louis County Department of Public Health (\"DPH\") has been closely monitoring the global public health crisis caused by a viral illness called COVID-19. Infections with COVID-19 have been reported around the world. The first confirmed instance of person toperson spread of the virus in the United States was reported on January 30, 2020.  \nThe first confirmed instance of COVID-19 in St. Louis County was reported on March 7, 2020. A state of emergency was declared in St. Louis County on March 13, 2020, resulting in several executive orders and DPH orders, policies, and rules to implement those executive orders.  \nIsolation of individuals diagnosed with certain communicable diseases and quarantine of close contact to those diagnosed with certain communicable disease are core public health practices employed to protect the public. State law provides that the \"local health authority ...shall require isolation of a patient... with a communicable disease, quarantine of contacts, concurrent and terminal disinfection, or modified forms of these procedures necessary for the protection of the public health\" 19 CSR 20-20.050(1) .  \nCOVID-19 is considered an infectious, contagious, communicable, and dangerous disease for purposes of§§ 192.020-1, 192.139, & 192 .300 RSMo., 19 CSR 20-20.020, and other state and local laws. The DPH's director is the \"local health authority\" under 19 CSR 20-20.050(1) pursuant to 19 CSR 20-20.010(26), Section 4.130 of the Charter, and Section 600.010 SLCRO, and has been delegated the authority to acton St. Louis County's behalf for the public health purposes described in § 192.300 RSMo.  \nViolating a public health order designed to \"prevent the entrance of infectious, contagious, communicable or dangerous diseases\" into St. Louis County is punishable as a misdemeanor pursuant to§ 192 .300, RSMo. Further, \" [a]ny person ... who shall leave any ... quarantined house or place without the consent of the health officer having jurisdiction, or who evades or breaks quarantine or knowingly conceals a case of contagious, infectious, or communicable disease, or who removes, destroys, obstructs from view, or tears down any quarantine card, cloth or notice by the attending physician or by the health officer, or by direction of the proper health officer, shall be deemed guilty of a class A misdemeanor\" pursuant to§ 192.320, RSMo.  \nIn the event the trajectory of COVID-19 cases begins to rise again in St. Louis County and in order to best service the public with strategies and resource allocation that supports the most evidence-based approaches for the current COVID-19 caseloads, DPH may adopt emergency policies to alter previously defined strategies for isolation and quarantine of those with COVID-19 and their close contacts.  \nEven with early data demonstrating high efficacy of several COVID-19 vaccines in preventing laboratory confirmed COVID-19 infection and severity of disease, there is still limited information on how vaccination effects ","cbCaivDUfolG1N2W","https://ap.wps.com/l/cbCaivDUfolG1N2W","pdf",495958,3,1,5,"English","en",105,"# Fourth Amended Quarantine and Isolation Order\n## Purpose and multi-layer prevention strategy\n## Legal authority and penalties under Missouri law\n## Emergency policy updates and evidence-based guidance\n## Prevention expectations for residents (self-observation and symptoms)\n## Vaccination and recent infection considerations","[{\"question\":\"What is the purpose of the Fourth Amended Quarantine and Isolation Order?\",\"answer\":\"The order is intended to ensure isolation for identified individuals who have COVID-19 and quarantine for those exposed, using a multi-layer strategy to prevent, limit, and contain spread in St. Louis County.\"},{\"question\":\"What legal authority supports isolation and quarantine in this order?\",\"answer\":\"The order cites Missouri state law granting the local health authority power to require isolation, quarantine, and related procedures necessary to protect public health, with authority delegated to the St. Louis County Department of Public Health director.\"},{\"question\":\"How does the order address vaccinated or recently infected individuals?\",\"answer\":\"Vaccinated persons and patients with recent COVID-19 infection with recent exposure may not always be required to quarantine, depending on specific timing and symptom criteria. The Department of Public Health will adjust guidance as new scientific knowledge and guidelines emerge.\"}]",1783465967,13,{"code":4,"msg":31,"data":32},"ok",{"site_id":25,"language":24,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"fourth-amended-quarantine-and-isolation-order-covid-19-information","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":20},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/fourth-amended-quarantine-and-isolation-order-covid-19-information/45793/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":24,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-07-13","2026-07-07",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is the purpose of the Fourth Amended Quarantine and Isolation Order?","Question",{"text":75,"@type":76},"The order is intended to ensure isolation for identified individuals who have COVID-19 and quarantine for those exposed, using a multi-layer strategy to prevent, limit, and contain spread in St. Louis County.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What legal authority supports isolation and quarantine in this order?",{"text":80,"@type":76},"The order cites Missouri state law granting the local health authority power to require isolation, quarantine, and related procedures necessary to protect public health, with authority delegated to the St. Louis County Department of Public Health director.",{"name":82,"@type":73,"acceptedAnswer":83},"How does the order address vaccinated or recently infected individuals?",{"text":84,"@type":76},"Vaccinated persons and patients with recent COVID-19 infection with recent exposure may not always be required to quarantine, depending on specific timing and symptom criteria. 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