Protective Earth in a 710 medical location with ELV & PoE circuits

Is there a requirement to earth back boxes and/ or metal plates in a medical location when the wiring system is ELV or PoE (normally rated at 24vDC)?

Looking at 414.4.4 states exposed parts of SELV circuit shall not be connected to earth. 

Does this apply to all ELV?

The system will be used in all medical locations

Thanks for any help

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