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"Model
Emergency Health Powers Act" and the Older Adult: Balancing
Bioterrorist Containment with Civil Rights and Liberties
Maria R. Schimer, MPH, JD
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Objectives:
By the end of
this presentation, the participant should be able to:
- Identify and discuss key provisions of the Model
State Emergency Health Powers Act that affect older
adults.
- Discuss key provisions of the United States Constitution,
federal and state law that are designed to protect the
civil rights and liberties of older adults.
- Discuss special issues and concerns of older adults
that must be considered by authorities in the implementation
of provisions of the Model State Emergency Powers Act
in the containment of a bioterrorist event.

Resources and References:
Title 42 The Public Health and Welfare Chapter 116 Emergency
Planning and Community Right to Know Emergency Planning
and Notification. 42 U.S.C.S. § 11001 (2004).
Title 42 The Public Health and Welfare Chapter 103 Comprehensive
Environmental Response, Compensation, and Liability Hazardous
Substances Release, Liability, Compensation. 42 U.S.C.S.
§ 9602 (2004).
The Model State Emergency Health Powers Act. 2001 Bill
Text OH S.B. 296.
A law review article that asserts which states have adopted
legislation that is “substantially similar”
to The Model State Emergency Health Powers act. George J.
Annas, Blinded by Bioterrorism: Public Health and Liberty
in the 21st Century, 13 Health Matrix 33 (Winter 2003).
A United States District Court granted a preliminary injunction
and enjoined a school district from barring the children
from attending school without proper certificates of immunization
during the remainder of the civil action. Kathryn Berg and
Daniel Berg v. Glen Cove City School Dist., 853 F. Supp.
651 (1994).
The Toledo Municipal Court of Ohio held that the city’s
fire department did not violate Fourth Amendment rights
by conducting a search without a search warrant because
there was no shift from administrative compliance inspection
to a search for evidence to be used in a criminal prosecution.
City of Toledo v. Seto, Inc., 81 Ohio Misc. 2d 1 (1996).
The Franklin County Municipal Court of Ohio held that the
Columbus Board of Health and the Franklin County District
Board of Health could not enforce a “Non-Smoking Policy
Regulation." Cookie's Diner v. Columbus Bd. of Health,
65 Ohio Misc. 2d 65 (1994).
An Ohio Common Pleas Court decision that holds that regulation
by a Board of Education that provides for compulsory vaccinations
is valid as a reasonable exercise of the Board’s authority
and does not interfere with the Constitutional guarantees
of Freedom of Religion. Dunham v. Board of Educ. Of City
Sch. Dist. Of City of Cincinnati, 99 N.E.2d 183 (1950).
A book focusing on the government’s public health
infrastructure. The Future of the Public’s Health
in the 21st Century <http://books.nap.edu/books/030908704X/html/96.html#page
top> (accessed June 18, 2004).
A United States District Court case that states if a plaintiff
makes a threshold showing of a substantial burden on the
right of free exercise of religion, the government must
demonstrate that applying the burden to the individual furthers
a compelling state interest and is the least restrictive
means of furthering that interest. Jihad v. Wright, 929
F. Supp. 325 (1996).
A United States District Court held that school violated
the parents' First Amendment right to free exercise of religion
by denying a requested exemption to a vaccination under
New York’s Public Health Law. Mariela Lewis, Alan
Fishkin, and Abigail Lewis-Fishkin v. Thomas Sobol, Dr.
David Axelroddr, Donald Batista, Lois Jameison, Lillian
Mein, and Yonkers Public School District, 710 F. Supp. 506
(1989).
Model State Public Health Act: A Tool for Assessing Public
Health Laws, (Seattle, Washington: Turning Point National
Program Office, 2003).
The Ohio Constitution Article 1 Bill of Rights Section
1 Inalienable Rights. Ohio Const. art. I, § 1.
Title 1 State Government Chapter 163 Appropriation of Property.
O.R.C. § 163 (Anderson 2004).
Title 37 Health, Safety, Morals Chapter 3745 Environmental
Protection Agency. O.R.C. § 3745 (Anderson 2004).
Title 37 Health, Safety, Morals Chapter 3748 Radiation
Control Program § 3748.02 Department of health designated
radiation control agency; employees. O.R.C. § 3748.02
(Anderson 2004).
Title 37 Health, Safety, Morals Chapter 3750 Emergency
Planning § 3750.02 Emergency response commission. O.R.C.
§ 3750.02 (Anderson 2004).
Title 55 Roads, Highways, Bridges Chapter 5502 Department
of Public Safety Emergency Management § 5502.21 Definitions.
O.R.C. § 5502.21 (Anderson 2004).
A California Appeals Court held that when there are no
emergency circumstances, an administrative search warrant
should be obtained in order for a person to turn their dog
over to the police even though the dog may have had rabies.
In re Daniel A. Quackenbush on Habeas Corpus, 41 Cal. App.
4th 1301 (1996).
An Ohio Court of Appeals upheld an ordinance banning pit
bulls holding that the ordinance was reasonably related
to the city's interest in protecting the health and safety
of its residents. Singer v. City of Cincinnati, 57 Ohio
App. 3d 1 (1990
The United States Court of Federal Claims held that there
was no causal relationship between an infant's condition
at the time of receiving vaccinations and the infant's current
condition. Robert Tersen and Sharon Tersen v. Sec. of the
Dept. of Health and Human Serv., 2000 WL 656715 (Fed. Cl.
2000).
The United States Constitution’s Commerce Clause.
U.S. Const. art. I, § 8 cl. 3.
U.S. Const. art. I, § 9.
The United States Constitution’s Bill of Rights.
U.S. Const. amend. I – X.
U.S. Const. amend. IV.

About
the Author:
Maria R. Schimer, MPH, JD, is the general counsel, director
of the Office of Geriatric Medicine/Gerontology and associate
professor of community health sciences at the Northeastern
Ohio Universities College of Medicine. She is chairperson
of the Institute for Community Based Medicine and the Law,
a collaborative venture between NEOUCOM and The University
of Akron School of Law. She is also associate consortium
director of the Western Reserve Geriatric Education Center.
Attorney Schimer was named a Permanent Master Teacher on
Aug. 28, 2002.
Attorney Schimer holds a law degree, from The University
of Akron, where she graduated with honors, and master's
degrees in public health planning and administration and
gerontology from the The University of Michigan. She also
holds bachelor's degrees in nursing and sociology from the
State University of New York at Binghamton.
Attorney Schimer is very active in the area of patients'
rights, particularly the rights of older adults. As a gifted
teacher, she is frequently invited to speak throughout the
state on numerous topics including advance directives, competency
and informed consent, right-to-die issues, and other legal
aspects of the health care profession.
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