Skip to main content
. 2019 Apr 30;393(10183):1857–1910. doi: 10.1016/S0140-6736(19)30233-8

Table.

National public health laws to control infectious diseases

Purpose of intervention Actions necessary for success of intervention
Legal interventions related to testing, screening, reporting, contact tracing, and partner notification can improve surveillance data, while protecting confidentiality and privacy Improving essential data through early warning, identify individuals at risk, reduce transmission, monitor incidence, facilitate response Improve public health infrastructure: labs, workforce, data systems
Legal interventions related to occupational health and safety, so-called wet markets, animal quarantines, and culls can decrease animal–human interchange Protecting animal health, and preventing so- called species jumps to humans Improve hygiene and infection control in animal farming, and meat and poultry markets
Legal interventions related to hand-washing, disinfection, respiratory hygiene, potable water, and sanitation can improve community hygiene Reducing transmission in families and the community Public education grounded in risk communication science, clean water and sanitation systems
Legal interventions related to disinfection, hand hygiene, personal protective equipment, and health-care worker vaccinations can help control hospital infections Reducing transmission among patients, health workers, and families and communities Training and monitoring in infection control, greater acceptance of vaccination by health professionals
Legal interventions related to the closing of public places, cancelling public events, and restricting mass transit can help decrease social mixing in the event of an outbreak Slowing the spread of infection in public settings Target closures to high-risk settings based on evidence
Legal interventions related to screening (entry and exit), reporting, health alerts, passenger data, travel advisories, hygiene (inspection, disinfection, and pest extermination) can help improve border controls Preventing cross-border spread of infectious diseases Adequate resources for surveillance, treatment, and response in affected areas and national borders
The law can prevent spread of infectious diseases through isolation and quarantine, and ensuring respect for human rights. Laws should ensure that in the event of an outbreak, any isolation or quarantine strategies, including so-called shelter in place policies, are safe and humane, evidence-based, and no more restrictive than necessary to protect public health Separating the infected or exposed from the healthy Safe and humane settings, assure necessities of life, logistics, modern laws with due process
Legal interventions related to vaccines and antivirals can help improve medical countermeasures Implementing prophylaxis, and reducing infectiousness Stable, viable supplies: incentives, public–private partnerships, tort reform, compensation
Legal interventions related to antibiotic use in humans and animals, and falsified or substandard medications can help in preventing drug-resistant infections Reducing spread of drug-resistant infections in animals and humans and developing new antimicrobial medications Appropriate medical prescribing, reduced use of antimicrobials in farmed animals, curbing the trade in falsified and substandard medications, incentivising research and development of new antimicrobials