ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of December 14, 2018 No. KR DSM-40

About approval of Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of especially dangerous infectious diseases"

According to Item 6 of article 144 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" I ORDER:

1. Approve the enclosed Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of especially dangerous infectious diseases".

2. Declare invalid the order of the Minister of national economy of the Republic of Kazakhstan of February 25, 2015 No. 136 "About approval of Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic (preventive) actions for the prevention of especially dangerous infectious diseases" (it is registered in the Register of state registration of regulatory legal acts at No. 10694, it is published on April 30, 2015 in information system of law of Ad_let);

3. To provide to committee of protection of public health of the Ministry of Health of the Republic of Kazakhstan in the procedure established by the legislation of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) within ten calendar days from the date of state registration of this order the direction it the copy in electronic form in the Kazakh and Russian languages in the Republican state company on the right of economic maintaining "The republican center of legal information" for official publication and inclusion in Reference control bank of regulatory legal acts of the Republic of Kazakhstan;

3) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan after its official publication;

4) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan submission to Department of legal service of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1), 2) and 3) of this Item.

4. To impose control of execution of this order on the supervising vice-Minister of Health of the Republic of Kazakhstan.

5. This order becomes effective after ten calendar days after day of its first official publication.

No. KRDSM-40 are approved by the Order of the Minister of Health of the Republic of Kazakhstan of December 14, 2018

Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of especially dangerous infectious diseases"

Chapter 1. General provisions

1. Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of especially dangerous infectious diseases" (further - Health regulations) establish requirements to the organization and holding the sanitary and anti-epidemic sanitary and preventive actions directed to the prevention of especially dangerous infectious diseases.

2. Control over the implementation of these Health regulations is exercised by department of state body in the field of sanitary and epidemiologic wellbeing of the population.

3. According to the subitem 1) of Item 1 of article 27 of the Law of the Republic of Kazakhstan of January 23, 2001 "About local public administration and self-government" Plans for the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of especially dangerous infectious diseases affirm as the Republic of Kazakhstan local executive bodies (further - MIO).

4. In these Health regulations the following terms and determinations are applied:

1) especially dangerous infections - the diseases capable to be transferred from animals and the person to the person, causing among the population the mass flashes with big death rate and (or) invalidism which are quickly extending to the extensive territories and striking large numbers of people (epidemic flashes and epidemics);

2) bacteriological monitoring - system of bacteriological laboratory observation, for the purpose of timely identification of the circulating causative agent of infectious disease among the population and in objects of external environment;

3) buffer zone - the territory established between the unsuccessful territory and zone of observation where systematic vaccination of animals and other events for the purpose of non-admission of spread of infection are held;

4) field material - carriers and carriers of activators of zoonotic of infections, the environment objects got for carrying out their laboratory research for the purpose of detection of circulation of the activator;

5) standard definition of case - ensuring commonality and commonality of accounting and the reporting on infectious diseases for comparative analysis of the data of epidemiological surveillance received at different times and in the different territories - the presumable, probable, confirmed cases;

6) the reservoir of the causative agent of infectious disease - biological owners of pathogenic microorganisms, for sapronoz - environment objects (the soil, water);

7) infection carriers - warm-blooded animals (rodents and other small mammals, birds), being in the nature the reservoir of causative agents of diseases;

8) infection carriers - the arthropod, blood-sicking insects and pincers determining the transmissible mechanism of transfer of the causative agent of infection;

9) insektoakaritsidny properties - capability of means (medicine) to cause death of insects and pincers;

10) impregnation - processing of outerwear insecticides or repellents for the purpose of non-admission of hit of blood-sicking insects and pincers per capita;

11) contamination (contact) - stay on objects of the environment of microorganisms;

12) Item, stationary and unsuccessful on anthrax (further - SNP) - the settlement (the city, the village, the settlement), livestock farm, pasture, the natural boundary in the territory of which the epizootic center (animal case) or case of anthrax of the person irrespective of prescriptive limit of origin is found;

13) the territory threatened on anthrax - the territory, farms, settlements, administrative areas which are directly adjoining on the settlement, unsuccessful on anthrax, or the territory in which the disease of people or animals is possible;

14) the soil centers of anthrax - cattle mortuaries, biothermal holes and places of burial of corpses of the animals who fell from anthrax;

15) mechanical method of fight - use of agrotechnical actions, mechanical devices, sticky masses and other methods of destruction of carriers and carriers of causative agents of infectious diseases without use of pesticides (agricultural chemicals);

16) convalescent - the sick person in recovery stage;

17) the sanitary protection zone - the territory separating zones of special purpose, and also industrial bodies and other production, utility and warehouse facilities in the settlement the nearby selitebny territories, buildings and constructions of construction engineering appointment for the purpose of weakening of impact to them adverse factors;

18) station - certain site of space of the circle which has set of conditions (relief, climate, food, shelter), necessary for existence and accommodation on it certain type of animals;

19) the natural center - the site of the land surface within which vaguely long time is performed circulation of infecting agent without drift from the outside;

20) natural ochagovost (enzooty) - existence in certain territories of the land surface of the resistant epizootic centers which evolutionarily arose irrespective of the person and his activities;

21) barrier deratization - creation of protective strip around permanent or temporary settlements, and also in vacation spots of the population, the improving organizations with extermination of rodents with use of any of the existing methods (mechanical, chemical, biological);

22) barrier disinsection - creation of protective strip around permanent and (or) temporary settlements, and also in vacation spots of the population, the improving organizations with destruction of blood-sicking arthropods and insects (carriers of infections) with use of any of the existing methods (mechanical, chemical, biological);

23) protective zone - the territory around the settlement in which carriers and/or carriers of infection are destroyed;

24) chemical method of fight - destruction of carriers and carriers of causative agents of infectious diseases with use of pesticides and agricultural chemicals;

25) epidemic complications - the distribution of the activator among the population requiring carrying out complex of anti-epidemic actions;

26) the epidemic center - the place of stay of source of infection (patient/corpse of the person) with the territory surrounding it in those limits in which the activator is capable to be transferred from infection source to the people who are in communication with them;

27) the epizootic center - the limited territory or the room where there is source of the causative agent of infection, transfer factors, susceptible animals, synanthropic animals and their ectoparasites (insects).

Chapter 2. Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of anthrax

5. The organization and holding sanitary and anti-epidemic, sanitary and preventive actions for the prevention of anthrax and in the territories threatened on anthrax territorial subdivisions and the organizations of department of state body in the field of sanitary and epidemiologic wellbeing of the population (further - territorial subdivisions of department) includes in SNP:

1) identification, registration and accounting of the epidemic centers of anthrax, SNP with registration of cases of anthrax of the person, their mapping with designation of geographical coordinates;

2) control of non-admission of use in activities of the person of the parcels of land located in the sanitary protection zone around the anthrax centers;

3) control over the implementation of anti-epidemic actions in the anthrax centers;

4) control of preventive vaccination of people against anthrax;

5) the organization of preventive, current and final disinfection in the epidemic centers;

6) carrying out sanitary and educational work with the population, and also among the persons which are professionally occupied with procurement, collection, storage, transportation, conversion and realization of raw materials of animal origin with indication of sources of infection, factors, ways of its transfer and measures of prevention of anthrax.

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