1. (1) Each local health department shall maintain reportable disease records:

   1. (a) as needed to enforce Title 26B, Chapter 7 Public Health and Prevention and this rule; and
   2. (b) as requested by the department.

2. (2) Each local health department shall follow the general control measures for reportable diseases described in this subsection.

   1. (a) When an unusual or rare disease occurs in any part of the state or when any disease becomes so prevalent as to endanger the state as a whole, a local health department shall contact the office for assistance and cooperate with any representative of the department.

   2. (b) The local health department shall:

      1. (i) investigate and control any cause of an epidemic, infectious, communicable, or other disease affecting the public health; and
      2. (ii) provide for the detection, reporting, prevention, and control of any communicable, infectious, or acute disease that is determined by the department or local health department to be dangerous or important or that may affect the public health.
   3. (c) The local health department may require physical examination or other measures as necessary to protect the health of others.

   4. (d) If the local health officer determines it is necessary or advisable that any person must be kept from contact with the public to protect the public's health, the local health officer shall establish, maintain, and enforce involuntary treatment, isolation, and quarantine as provided by Sections 26B-7-303 through 26B-7-315.

      1. (i) Any control measure shall be specific to the known or suspected disease agent.
      2. (ii) The local health officer may consult with the office or use any applicable incorporation by reference document, listed in Section R386-702-3, to determine any appropriate control measure.
   5. (e) The local health department shall take any necessary action or measure described in Sections 26B-7-303 through 26B-7-315 and this rule to prevent the spread of any communicable disease, infectious agent, or other condition that poses a public health hazard. The local health department shall initiate action upon discovery of a case or receipt of notification or a report of a disease.

3. (3) Upon request of a public health authority, any case, suspected case, carrier, contact, other person, or entity, including a facility, hotel, or other organization, shall promptly cooperate when the department or local health department is:

   1. (a) conducting an investigation of the circumstances or cause of a case, suspected case, outbreak, or suspected outbreak is happening; or
   2. (b) carrying out measures for prevention, suppression, or control of a public health hazard, including procedures of restriction, isolation, and quarantine.

4. (4) Any public food handler or place that handles or processes a food or drink product shall comply with control measures in this section.

   1. (a) A person known to be infected with a communicable disease that can be transmitted by a food or drink product, or who is suspected of being infected with such a disease, may not engage in the commercial handling of any food or drink products or be employed on any premise that handles that type of product, unless:

      1. (i) the product is packaged off-site and remains in a closed container until purchased for consumption; or
      2. (ii) the person is determined by the local health department to be free of communicable disease or incapable of transmitting the infection.

   2. (b)(i) If any case, carrier, or suspected case of a disease that can be transmitted by a food or drink product is found any place that handles or sells a food or drink product or if a disease is found or suspected to have been transmitted by a food or drink product, the local health department may immediately prohibit the sale or removal of the food or drink product from the premise.

      1. (ii) Handling or sale of the food or drink product from the premise may resume when measures have been taken to eliminate the threat to health from the product and the product's processing.

   3. (c) If a local health department cannot comply with this rule without assistance, the local health officer or a representative shall request assistance from the department.

      1. (i) In such circumstances, the local health department shall provide required information to the office.
      2. (ii) If the local health officer fails to comply with this rule, the department shall take action necessary to enforce this rule.
   4. (d) A physician or other health care provider who orders a laboratory analysis necessary to identify any causative agent of a reportable disease or determine the adequacy of treatment of any patient with the disease shall order that the analysis be performed in or referred to a laboratory that holds a valid certificate under the Clinical Laboratory Improvement Amendments of 1988, 42 U.S.C. Sec. 263a.

KEY: communicable diseases, quarantines, rabies, rules and procedures

Date of Last Change: June 1, 2026

Notice of Continuation: March 2, 2026

Authorizing, and Implemented or Interpreted Law: 26B-1-202; 26B-7-202; 26B-7-207; 26B-7-303 through 26B-7-315; 26B-7-316 through 26B-7-324