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RESOLUTION OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS

of July 29, 2019 No. 74

About performing the obligatory and extraordinary medical examinations working

(as amended of the Resolution of the Ministry of Health of the Republic of Belarus of 20.09.2021 No. 104)

Based on part three of subitem 2.6 of Item 2 of the Presidential decree of the Republic of Belarus of April 5, 2021 No. 137 "On regulation of activities in the field of use of atomic energy and sources of ionizing radiation", parts five of article 18-1 of the Law of the Republic of Belarus of June 18, 1993 No. 2435-XII "About health care", parts two of article 27 of the Law of the Republic of Belarus of June 23, 2008 No. 356-Z "About labor protection", parts two of article 26 of the Law of the Republic of Belarus of January 7, 2012 No. 340-Z "About sanitary and epidemiologic wellbeing of the population", the paragraph of the thirteenth subitem 8.8-5 of Item 8 and subitem 9.1 of Item 9 of the Regulations on the Ministry of Health of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 28, 2011 No. 1446, the Ministry of Health of the Republic of Belarus DECIDES:

1. Approve the Instruction about procedure for performing the obligatory and extraordinary medical examinations working it (is applied).

1-1. Establish the list of the organizations which along with the main activities also perform medical activities according to the procedure established by the legislation, and has the right to perform obligatory and extraordinary medical examinations only concerning the citizens working in these organizations (going to work in these organizations) according to appendix.

2. Recognize invalid:

the resolution of the Ministry of Health of the Republic of Belarus of April 28, 2010 No. 47 "About approval of the Instruction about procedure for performing the obligatory medical examinations working and recognition voided some resolutions of the Ministry of Health of the Republic of Belarus";

the resolution of the Ministry of Health of the Republic of Belarus of April 26, 2011 No. 31 "About modification and amendments in the resolution of the Ministry of Health of the Republic of Belarus of April 28, 2010 No. 47".

3. This resolution becomes effective after its official publication.

Minister

V. S. Karanik

It is approved

Ministry of Labour and Social Protection of the Republic of Belarus

 

Appendix

to the Resolution of the Ministry of Health of the Republic of Belarus of July 29, 2019 No. 74

The list of the organizations which along with the main activities also perform medical activities according to the procedure established by the legislation, and has the right to perform obligatory and extraordinary medical examinations only concerning the citizens working in these organizations (going to work in these organizations)

1. Atlant private company.

2. Minsk Automobile Plant open joint stock company – managing company of BELAVTOMAZ holding.

3. Open joint stock company "Minsk mechanical plant of S. I. Vavilov" – managing company of BELOMO holding.

4. Open joint stock company "Managing company of MINSK MOTOR PLANT holding.

5. INTEGRAL open joint stock company – managing company of INTEGRAL holding.

6. Minsk Tractor Plant open joint stock company.

7. Naftan open joint stock company.

8. Grodno Nitrogen open joint stock company.

9. Grodnozhilstroy open joint stock company.

10. Gomel Chemical Plant open joint stock company.

11. Belarusian Steel Works open joint stock company – managing company of Belarusian Metallurgical Company holding.

Approved by the Resolution of the Ministry of Health of the Republic of Belarus of July 29, 2019 No. 74

The instruction about procedure for performing the obligatory and extraordinary medical examinations working

Chapter 1. General provisions

1. This Instruction establishes procedure for carrying out preliminary (in case of revenues to work) and periodic (during labor activity) obligatory medical examinations (further - obligatory medical examinations) working, occupied at works with harmful and (or) dangerous working conditions and (or) at works where according to the legislation there is need for professional selection, and also the extraordinary medical examinations working in case of deterioration in condition of their health (further - extraordinary medical examinations).

Obligatory and (or) extraordinary medical examinations are carried out concerning the physical persons working according to employment contracts, the physical persons working under civil agreements and other physical persons according to the legislation.

2. For the purposes of this Instruction terms and their determinations in the values established by the Labor code of the Republic of Belarus, the Law of the Republic of Belarus of June 18, 1993 No. 2435-XII "About health care", the Law of the Republic of Belarus "About labor protection", the Law of the Republic of Belarus "About sanitary and epidemiologic wellbeing of the population" and also the following terms and their determinations are used:

professional selection - assessment of the state of health working regarding its validity (worthlessness) to accomplishment of separate work types;

complex hygienic assessment of working conditions - final hygienic assessment of parameters of all production factors on workplace with establishment of class of harm of working conditions according to requirements of the Sanitary standards and the rules "Hygienic Classification of Working Conditions" approved by the resolution of the Ministry of Health of the Republic of Belarus of December 28, 2012 No. 211;

general medical contraindications - diseases (condition) in the presence of which work in harmful and (or) dangerous working conditions, including with harmful and (or) dangerous production factors (factors of the production circle and factors of labor process) which levels and values exceed hygienic standard rates and which according to hygienic classification of working conditions are referred to class of working conditions 3.1 and above is contraindicated;

assessment of working conditions - results of production laboratory researches of factors of the production circle, complex hygienic assessment of working conditions on indicators of harm and danger of factors of the production circle and labor process and (or) certification of workplaces under the terms of work.

3. Obligatory and (or) extraordinary medical examinations of working are carried out for the purpose of:

work safety;

preventions of occupational diseases;

health protection of working.

By results of performing the obligatory and (or) extraordinary medical examinations working it is determined:

the validity (worthlessness) for health reasons working to works in harmful and (or) dangerous working conditions depending on harmful and (or) dangerous production factors;

the validity (worthlessness) for health reasons working to works where there is need for professional selection.

4. Obligatory and (or) extraordinary medical examinations of working are carried out in case of performance of works:

in harmful and (or) dangerous working conditions depending on harmful and (or) dangerous production factors according to the scheme of performing obligatory and (or) extraordinary medical examinations during the works in harmful and (or) dangerous working conditions depending on harmful and (or) dangerous production factors according to appendix 1 taking into account diseases (conditions) according to the list of diseases (conditions) which are general medical contraindications to works in harmful and (or) dangerous working conditions according to appendix 2;

where there is need for professional selection, according to the scheme of performing obligatory and (or) extraordinary medical examinations where there is need for professional selection, according to appendix 3.

5. Obligatory and (or) extraordinary medical examinations of working are carried out by the medical commissions on performing obligatory and extraordinary medical examinations created of number of health workers (further if other is not established, - medical commissions).

6. Medical commissions are created in the state organizations of health care, medical parts, hospitals of correctional facilities, medical parts of medical and labor dispensaries and in the organizations which along with the main activities also perform medical activities according to the procedure, established by the legislation, and has the right to carry out obligatory and extraordinary medical examinations only concerning the citizens working in these organizations (going to work in these organizations) according to the list according to appendix to the resolution which approved this Instruction (further if other is not established, - the organizations).

7. Heads of the organizations provide the organization of performing the obligatory and (or) extraordinary medical examinations working.

The number of medical commissions in the organizations is determined by heads of these organizations.

The members, operating procedure of medical commissions affirm heads of the organizations.

8. Medical commissions perform the following functions:

8.1. consider the provided employer (employer) working the following documents:

the statement from medical documents from the state organization of health care for the residence (the place of stay), for place of employment (studies, services);

the direction of the employer (employer) (further if other is not established, - the direction) in form according to appendix 5;

the list of professions (positions) of the workers who are subject to obligatory periodic medical examinations (further if other is not established, - the list of professions (positions), in form according to appendix 6;

the list of the workers who are subject to obligatory periodic medical examinations (further if other is not established, - the list of workers), in form according to appendix 7;

8.2. carry out obligatory and (or) extraordinary medical examinations of working;

8.3. draw up protocols of medical examination (further if other is not established, - the protocol) in form according to appendix 8;

8.4. draw up the medical certificate about the state of health or the act of obligatory periodic medical examination (further if other is not established, - the act) in form according to appendix 9;

8.5. request data from the employer (employer) and (or) the state organization of health care, necessary for decision making about the validity (worthlessness) working to work in harmful and (or) dangerous working conditions depending on harmful and (or) dangerous production factors and (or) to work where there is need for professional selection (further - the validity (worthlessness) working to work);

8.6. explain the questions entering competence of medical commissions;

8.7. other functions connected with performing obligatory and (or) extraordinary medical examinations.

9. The chairman and at least two members (specialists doctors and (or) general practitioners) is part of medical commission.

In case of need the specialists doctors and (or) general practitioners who are not part of medical commission can be involved in activities of medical commission.

10. Obligatory and (or) extraordinary medical examinations of working are carried out taking into account studying:

information containing in the statement from the medical documents working on the postponed diseases, results of dispensary surveys and dynamic medical observation; the diagnostic, medical and other medical interventions which are carried out working in the organizations of health care, other organizations providing medical care, for the period, constituting at least five years preceding performing obligatory preliminary medical examination, or for the period time, passed after performing the previous obligatory periodic and (or) extraordinary medical examination;

data on the working conditions and the performed works specified in the direction or in the list of professions (positions), the list of workers according to assessment of working conditions which is carried out according to the procedure, the provided Regulations on procedure for carrying out certification of workplaces under the terms of work approved by the resolution of Council of Ministers of the Republic of Belarus of February 22, 2008 No. 253, the Instruction on assessment of working conditions in case of the certification of workplaces under the terms of work approved by the resolution of the Ministry of Labour and Social Protection of the Republic of Belarus of February 22, 2008 No. 35, Sanitary standards and the rules "Hygienic Classification of Working Conditions";

medical record of the outpatient;

other medical documents necessary for decision making on the validity (worthlessness) working to work.

11. When performing the obligatory and (or) extraordinary medical examinations working the laboratory, tool and other researches specified in the column 4 of appendix 1 and the column 5 of appendix 3, and also medical examinations by the general practitioners and (or) specialists doctors specified in the column 3 of appendix 1 and the column 4 of appendix 3 are performed.

12. When implementing obligatory and (or) extraordinary medical examinations the dispensary surveys, surveys of specialists doctors and (or) general practitioners which are carried out at the place of residence (the place of stay), place of employment (studies, services) working, within six months preceding month in which working obligatory and (or) extraordinary medical examination is carried out are considered.

In case of need medical commissions send working, undergoing obligatory and (or) extraordinary medical examinations, to other state organizations of health care, the state medical scientific organizations for performing additional diagnostics and (or) consultation.

13. The decision on the validity (worthlessness) working to work is made by medical commission taking into account:

availability or absence of diseases (conditions) in the presence of which work in the harmful and (or) dangerous working conditions specified in the column 5 of appendix 1, taking into account diseases (conditions) determined by the list of diseases (conditions) which are general medical contraindications to works in harmful and (or) dangerous working conditions, and also the diseases (conditions) which are medical contraindications to performance of works, specified in the column 6 of appendix 3 is contraindicated;

the conclusions of the medical and consulting commission created in the psychiatric (psychoneurological) organizations, and also the medical and consulting commission of other organizations of health care which are not the psychiatric (psychoneurological) organizations and rendering according to the procedure, established by the legislation, mental health services;

degrees of expressiveness of functional violations;

possibilities of compensation of the broken functions by medicines and (or) technical means of social resettlement.

By results of performing obligatory and (or) extraordinary medical examinations by medical commission one of the following decisions is accepted:

it is suitable for work (with indication of harmful and (or) dangerous production factors, type of the performed works);

it is unusable to work (with indication of harmful and (or) dangerous production factors, type of the performed works);

it is suitable for work (with indication of separate harmful and (or) dangerous production factors, type of the performed works) and is unusable to work (with indication of separate harmful and (or) dangerous production factors, type of the performed works);

it is suitable for work (with indication of harmful and (or) dangerous production factors, type of the performed works) and needs performing extraordinary medical examination;

it is suitable for work (it is unusable to work) with indication of harmful and (or) dangerous production factors, type of the performed works and suspicion of chronic occupational disease is revealed.

14. Results of the obligatory and (or) extraordinary medical examinations working are entered in minutes which are subject to storage in the medical record of the outpatient in the organization which was carrying out obligatory and (or) extraordinary medical examination.

Copies of protocols go medical commission to the state organizations of health care for the residence (the place of stay), for place of employment (studies, services) working for attaching to the medical record of the outpatient.

15. By results of performing the obligatory and (or) extraordinary medical examinations working the medical certificate about the state of health, the confirmatory validity (worthlessness) working to work, or the act is drawn up.

16. If necessary by results of performing obligatory periodic and (or) extraordinary medical examinations medical commissions direct working for meeting of the medical and consulting commission of the organization which was carrying out obligatory periodic and (or) extraordinary medical examinations, for receipt of the conclusion about provision working other work.

17. In case of suspicion of chronic occupational disease the medical commission directs working to the pathologist.

18. If when performing obligatory periodic and (or) extraordinary medical examination of working diseases (condition) which are medical contraindications to works are revealed, the medical commission within five working days from the date of detection of this disease (condition) informs the employer (employer) about establishments of worthlessness working to work.

Chapter 2. Preliminary obligatory medical examinations

19. Preliminary obligatory medical examinations going to work (further - preliminary medical examinations) are performed based on the direction.

20. Preliminary medical examinations are carried out in case of performance of works:

in harmful and (or) dangerous working conditions depending on the harmful and (or) dangerous production factors specified in the column 2 of appendix 1;

with impact of the factors of the production circle specified in the column 2 appendices 1, which cause allergic diseases, irrespective of their level (concentration) on workplace;

with impact of the biological factors specified in subitems 2. 4, 2.5 and 2.8 Items 2 appendices 1, irrespective of their level (concentration) on workplace;

with impact of the physical factors specified in subitems 4.1 and 4.6 of item 4 of appendix 1, irrespective of their level (concentration) on workplace;

with impact of chemical factors (chemicals of the 1st and (or) 2nd class of danger) specified in the column 2 appendices 1, irrespective of their level (concentration) on workplace;

where there is need for professional selection and specified in the column 2 of appendix 3.

21. By results of the preliminary medical examinations working the medical certificate about the state of health, the confirmatory validity (worthlessness) working to work is issued.

Chapter 3. Periodic obligatory medical examinations

22. For performing obligatory periodic medical examinations (further - periodic medical examinations) workers the employer annually constitutes the list of professions (positions).

Periodic medical examinations of the workers who are not included in the list of professions (positions), the physical persons working under civil agreements and other physical persons according to the legislation are carried out based on the direction.

23. The list of professions (positions) is constituted in duplicate with indication of results of assessment of working conditions on each harmful and (or) dangerous production factor, one of which remains at the employer, the second - goes to the organization till January 1 of calendar year during which workers need to carry out the planned periodic medical examination (further - calendar year).

24. The organization based on the list of professions (positions) constitutes and sends to the employer no later than February 1 of calendar year the schedule of performing periodic medical examinations of workers created taking into account the term of earlier carried out periodic medical examination.

25. The employer based on the list of professions (positions) and the schedule of performing periodic medical examinations constitutes the list of workers.

The list of workers in 20 working days prior to periodic medical examination goes the employer to the organization.

26. In case of non-compliance with the schedule of performing periodic medical examination and (or) absence of workers on periodic medical examination the organization within five working days from the date of completion of periodic medical examination informs the employer on non-compliance with the schedule of performing periodic medical examinations and (or) absence of workers on periodic medical examination.

27. Periodic medical examinations of working are carried out from January 1 to December 31 calendar year.

28. In case of impact of the harmful and (or) dangerous production factors specified in appendix 1, frequency of passing of periodic medical examinations it is determined by results of assessment of working conditions with the following frequency:

Once a year:

in case of impact of harmful and (or) dangerous production factors which by results of assessment of working conditions are referred to harmful the third class of the third, fourth degree (class 3.3, 3. 4) and (or) dangerous fourth class (class 4);

in case of impact of chemical factors irrespective of their level (concentration) on workplace (chemicals of the 1st and (or) 2nd class of danger) specified in Item 1 of appendix 1;

in case of impact of the chemical factors irrespective of their level (concentration) on workplace specified in subitem 1.2.2 of Item 1 of appendix 1;

in case of impact of the biological factors irrespective of their level (concentration) on workplace specified in subitems 2. 4, 2.5, 2.8 of Item 2 of appendix 1;

in case of impact of the physical factors specified in subitems 4.1.1 (irrespective of their level (concentration) on workplace) and 4.6 items 4 of appendix 1;

1 time in 2 years:

in case of impact of harmful and (or) dangerous production factors which by results of assessment of working conditions are referred to harmful the third class of the first, second degree (class 3.1, 3. 2);

in case of impact of the chemical factors specified in subitems 1.2. 5, 1.2.7 and 1.2.8 Items 1 of appendix 1;

in case of impact of the biological factors specified in subitems 2.1-2. 3, 2.6 and 2.7 Items 2 of appendix 1;

in case of impact of the aerosols mainly the fibrogenny and mixed type of action specified in subitems 3.1-3.8 of Item 3 of appendix 1;

1 time in 3 years:

in case of impact of chemical factors (chemicals of the 3rd and (or) 4th class of danger) specified in Item of 1 appendix 1, which by results of assessment of working conditions are carried to admissible (class 2);

in case of impact of the chemical factors specified in subitems 1.2. 1, 1.2. 3, 1.2.4 and 1.2.6 Items of 1 appendix 1, which by results of assessment of working conditions are carried to admissible (class 2);

in case of impact of the harmful and (or) dangerous production factors specified in the column 2 appendices 1, which cause allergic diseases, irrespective of the level (concentration) on workplace of these factors.

29. In case of the impact of factors of weight and intensity of labor process specified in appendix Item 5 1, periodic medical examination it is performed in case of assessment of working conditions on separate factors of labor process as harmful the third class of the first degree above (class 3.1 above).

30. In case of performance of works, 2 appendices specified in the column 3, periodic medical examinations are carried out according to the terms specified in the column 3 of appendix 3.

31. By results of periodic medical examinations of the periodic medical examinations working within 30 working days from the date of the termination the organization draws up the statement.

The act is drawn up in duplicate, one of which within five working days goes to the employer and (or) the employer, the second - remains in the organization.

32. The term of performing the next periodic medical examination is estimated of the end date of the previous periodic medical examination specified in the act or of date of issue of the medical certificate about the state of health when performing preliminary medical examination.

Chapter 4. Extraordinary medical examinations

33. Extraordinary medical examinations of working are carried out in case of the deterioration in the state of health working at the initiative of the employer and (or) the employer, the state organizations of health care and other organizations of health care performing delivery of health care, and working.

34. Extraordinary medical examinations of working are performed based on the direction.

35. In case of need carrying out working extraordinary medical examination the organization in writing informs the employer (employer) on carrying out working extraordinary medical examination.

36. By results of extraordinary medical examinations the medical certificate about the state of health, the confirmatory validity (worthlessness) working to work is issued to working.

Appendix 1

to the Instruction about procedure for performing the obligatory and extraordinary medical examinations working

The scheme of performing obligatory and (or) extraordinary medical examinations during the works in harmful and (or) dangerous working conditions depending on harmful and (or) dangerous production factors


payment order

Names of harmful and (or) dangerous production factors

The general practitioners and (or) specialists doctors performing medical examination

Laboratory, tool and other researches

Diseases (condition) in the presence of which work in harmful and (or) dangerous working conditions is contraindicated (diagnosis code according to the International Statistical Classification of the diseases and problems connected with health, the tenth review)

1

2

3

4

5

1

CHEMICAL FACTORS

1.1

the substances and connections united by chemical structure:

1.1.1

nitrogen inorganic compounds (ammonia, nitric acid and others)

the general practitioner who is part of medical commission (further – VOP) and (or)
therapist,
neurologist,
ophthalmologist,
otorhinolaryngologist,
the doctor-obstetrician-gynecologist (for women),
psychiatrist-narcologist

general blood test
(further – OAK)1,
the general analysis of urine (further – OAM)1,
blood glucose,
function of external breath with determination of vital reservoir of lungs, amount of the forced exhalation in the first second, Tiffno's index (further – FVD),
fluorographic research of bodies of thorax 1,
X-ray analysis of bodies of thorax 2,
electrocardiography (further – the ECG),
biomicroscopy of eyes

1. Diseases of respiratory organs:
other diseases of the upper airways (J31.1, J37);
chronic diseases of the lower airways (J41-J 42, J 44, J 45, J 47);
the lung diseases caused by external agents (J60-J67, J70.3);
other respiratory diseases affecting mainly interstitsialny fabric (J 84);
other diseases of respiratory organs (J95-J 99).
2. Diseases of blood, the haematogenic bodies and the separate violations involving the immune mechanism:
the separate violations involving the immune mechanism (D 86).
3. New growths:
good-quality new growths (D14.1-D14.4).
4. Blood circulatory system diseases 3, 4:
other heart troubles:
the violations of rhythm and conductivity which are followed by sinkopalny condition (faint) or sinkopalny conditions (faints).
5. Diseases of nervous system 4, 5:
incidental and paroksizmalny frustration (G 40, G 41, G 45, G 46);
other violations of nervous system: frustration of vegetative (autonomous) nervous system (G90.0, G90.1).
6. The symptoms, signs and  aberrations revealed in case of clinical and laboratory trials, not classified in other headings 4, 5:
general symptoms and signs:
faint (sinkopalny condition) and collapse (R 55);
the spasms which are not classified in other headings (R 56).
7. Diseases of eye and its additional device: chronic conjunctivitis (H10.4);
chronic blefarokonjyunktivit (H10.5).
8. Mental disturbances and frustration povedeniya4:
the organic mental disturbances which are followed by the moderated or expressed cognitive deficit or chronic psychotic, or psikhopatopodobny symptomatology, organic frustration of the personality (F00-F05, F06.0-F06.3, F06.8-F07.0);
amnestichesky syndrome, frustration of the personality and behavior, dementia caused by the use of psychoactive agents (F1x. 6, F1x. 71, F1x. 73).

1.1.2

aldehydes aliphatic (limiting, nonlimiting and aromatic): formaldehyde (carcinogen (further – To), allergen (further – And), ethyl aldehyde, akrolein, benzole aldehyde, phthalic (And), glutarovy aldehyde (A) and others

VOP and (or)
therapist,
neurologist,
ophthalmologist,
otorhinolaryngologist,
the doctor-obstetrician-gynecologist (for women),
psychiatrist-narcologist,
doctor-dermatovenerolog6

OAK,
OAM1,
blood glucose,
FVD,
fluorographic research of bodies of thorax 1,
X-ray analysis of bodies of thorax 2,
ECG,
biomicroscopy of eyes

1. Diseases of respiratory organs:
other diseases of the upper airways (J30.1-J30.4, J31.1, J33, J37);
chronic diseases of the lower airways (J41-J 42, J 44, J 457, J 47);
the lung diseases caused by external agents (J60-J67, J70.3);
other respiratory diseases affecting mainly interstitsialny fabric (J 84);
other diseases of respiratory organs (J95-J 99).
2. Diseases of blood, the haematogenic bodies and the separate violations involving the immune mechanism:
the separate violations involving the immune mechanism (D 86).
3. New growths:
good-quality new growths (D14.1-D14.4);
New growth In situ (D00-D09)8;
new growths of uncertain or unknown nature (D37-D48)8;
malignant new growths (C00-C97)8.
4. Blood circulatory system diseases 3, 4:
other heart troubles:
the violations of rhythm and conductivity which are followed by sinkopalny condition (faint) or sinkopalny conditions (faints).
5. Diseases of nervous system 4, 5:
incidental and paroksizmalny frustration (G 40, G 41, G 45, G 46);
other violations of nervous system: frustration of vegetative (autonomous) nervous system (G90.0, G90.1).
6. The symptoms, signs and  aberrations revealed in case of clinical and laboratory trials, not classified in other headings 4, 5:
general symptoms and signs:
faint (sinkopalny condition) and collapse (R 55);
the spasms which are not classified in other headings (R 56).
7. Diseases of eye and its additional device: chronic conjunctivitis (H10.4);
chronic blefarokonjyunktivit (H10.5).
8. Diseases of skin and hypodermic cellulose:
dermatitis and eczema (L 207, L 237, L 28, L 30);
bullous violations (L10-L 14);
papuloskvamozny violations (L40-L 45);
other diseases of skin and hypodermic cellulose (L85.0, L87, L90, L98).
9. Congenital anomalies (malformations), deformations and chromosomal violations:
other congenital anomalies (malformations): congenital ichthyosis (Q 80).
10. Mental disturbances and frustration povedeniya4:
the organic mental disturbances which are followed by the moderated or expressed cognitive deficit or chronic psychotic, or psikhopatopodobny symptomatology, organic frustration of the personality (F00-F05, F06.0-F06.3, F06.8-F07.0);
amnestichesky syndrome, frustration of the personality and behavior, dementia caused by the use of psychoactive agents (F1x. 6, F1x. 71, F1x. 73).

1.1.3

amides of organic acids, anilida and other derivatives (N, N-dimetilformamid, dimethylacetamide, caprolactam and others)

VOP and (or)
therapist,
neurologist,
otorhinolaryngologist,
the doctor-obstetrician-gynecologist (for women),
doctor-dermatovenerolog6

OAK1,
OAM1,
blood glucose,
FVD,
fluorographic research of bodies of thorax 1,
X-ray analysis of bodies of thorax 2,
biochemical blood test (further – BAK) with determination of level of general bilirubin and alanineaminotransferase (further – ALT),
ECG

1. Diseases of respiratory organs:
other diseases of the upper airways (J31.1, J37);
chronic diseases of the lower airways (J41-J 42, J 44, J 45, J 47);
the lung diseases caused by external agents (J60-J67, J70.3);
other respiratory diseases affecting mainly interstitsialny fabric (J 84);
other diseases of respiratory organs (J95-J 99).
2. Diseases of blood, the haematogenic bodies and the separate violations involving the immune mechanism:
the separate violations involving the immune mechanism (D 86).
3. New growths:
good-quality new growths (D14.1-D14.4).
4. Blood circulatory system diseases 3, 4:
other heart troubles:
the violations of rhythm and conductivity which are followed by sinkopalny condition (faint) or sinkopalny conditions (faints).
5. Diseases of digestive organs:
liver diseases (K70-K77).
6. Some infectious and parasitic diseases:
viral hepatitis (In 18, B19).
7. Diseases of nervous system:
incidental and paroksizmalny frustration (G 40, G 41, G 45, G 46) 4, 5;
damages of separate nerves, nervous backs and textures (G54, G56, G57, G58.7-G58.9);
polyneuropathies and other defeats of peripheral nervous system (G60-G 64);
diseases of neuromuscular synapse and muscles (G70-73);
other violations of nervous system: frustration of vegetative (autonomous) nervous system (G90.0, G90.1)4, 5.
8. The symptoms, signs and  aberrations revealed in case of clinical and laboratory trials, not classified in other headings 4, 5:
general symptoms and signs:
faint (sinkopalny condition) and collapse (R 55);
the spasms which are not classified in other headings (R 56).
9. Diseases of skin and hypodermic cellulose:
dermatitis and eczema (L 23, L 28, L 30);
bullous violations (L10-L 14);
papuloskvamozny violations (L40-L 45);
other diseases of skin and hypodermic cellulose (L85.0, L87, L90, L98).
10. Congenital anomalies (malformations), deformations and chromosomal violations:
other congenital anomalies (malformations): congenital ichthyosis (Q 80).

1.1.4

beryllium and its connections (And, To)

VOP and (or)
therapist,
psychiatrist-narcologist,
otorhinolaryngologist,
the doctor-obstetrician-gynecologist (for women),
doctor-dermatovenerolog6

OAK,
OAM1,
blood glucose,
FVD,
fluorographic research of bodies of thorax 1,
X-ray analysis of bodies chest kletki2

1. Diseases of respiratory organs:
other diseases upper respiratory putey7 (J30.1-J30.4, J33);
chronic diseases of the lower airways (J41-J 42, J 44, J 45, J 47);
the lung diseases caused by external agents (J60-J67, J70.3);
other respiratory diseases affecting mainly interstitsialny fabric (J 84);
other diseases of respiratory organs (J95-J 99).
2. Diseases of blood, the haematogenic bodies and the separate violations involving the immune mechanism:
the separate violations involving the immune mechanism (D 86).
3. Novoobrazovaniya8:
New growth In situ (D00-D 09);
new growths of uncertain or unknown nature (D37-D 48);
malignant new growths (C00-C97).
4. Diseases of skin and hypodermic kletchatki7:
dermatitis and eczema (L 20, L 23).
5. Mental disturbances and frustration povedeniya4:
the organic mental disturbances which are followed by the moderated or expressed cognitive deficit or chronic psychotic, or psikhopatopodobny symptomatology, organic frustration of the personality (F00-F05, F06.0-F06.3, F06.8-F07.0);
amnestichesky syndrome, frustration of the personality and behavior, dementia caused by the use of psychoactive agents (F1x. 6, F1x. 71, F1x. 73).

1.1.5

pine forest and its connections (pine forest carbide, nitride and others)

VOP and (or)
therapist,
neurologist,
ophthalmologist,
the doctor-obstetrician-gynecologist (for women),
otorhinolaryngologist,
psychiatrist-narcologist,
doctor-dermatovenerolog6

OAK1,
OAM1,
blood glucose,
FVD,
fluorographic research of bodies of thorax 1,
X-ray analysis of bodies of thorax 2,
TANK with determination of level of general bilirubin and ALT,
ECG,
biomicroscopy of eyes

1. Diseases of respiratory organs:
other diseases of the upper airways (J31.1, J37);
chronic diseases of the lower airways (J41-J 42, J 44, J 45, J 47);
the lung diseases caused by external agents (J60-J67, J70.3);
other respiratory diseases affecting mainly interstitsialny fabric (J 84);
other diseases of respiratory organs (J95-J 99).
2. Diseases of blood, the haematogenic bodies and the separate violations involving the immune mechanism:
the separate violations involving the immune mechanism (D 86).
3. New growths:
good-quality new growths (D14.1-D14.4).
4. Blood circulatory system diseases 3, 4:
other heart troubles:
the violations of rhythm and conductivity which are followed by sinkopalny condition (faint) or sinkopalny conditions (faints).
5. Diseases of digestive organs:
liver diseases (K70-K77).
6. Some infectious and parasitic diseases:
viral hepatitis (In 18, B19).
7. Diseases of nervous system 4, 5:
incidental and paroksizmalny frustration (G 40, G 41, G 45, G 46);
other violations of nervous system: frustration of vegetative (autonomous) nervous system (G90.0, G90.1).
8. The symptoms, signs and  aberrations revealed in case of clinical and laboratory trials, not classified in other headings 4, 5:
general symptoms and signs:
faint (sinkopalny condition) and collapse (R 55);
the spasms which are not classified in other headings (R 56).
9. Diseases of eye and its additional device: chronic conjunctivitis (H10.4);
chronic blefarokonjyunktivit (H10.5).
10. Diseases of skin and hypodermic cellulose:
dermatitis and eczema (L 23, L 28, L 30);
bullous violations (L10-L 14);
papuloskvamozny violations (L40-L 45);
other diseases of skin and hypodermic cellulose (L85.0, L87, L90, L98).
11. Congenital anomalies (malformations), deformations and chromosomal violations:
other congenital anomalies (malformations): congenital ichthyosis (Q 80).
12. Mental disturbances and frustration povedeniya4:
the organic mental disturbances which are followed by the moderated or expressed cognitive deficit or chronic psychotic, or psikhopatopodobny symptomatology, organic frustration of the personality (F00-F05, F06.0-F06.3, F06.8-F07.0);
amnestichesky syndrome, frustration of the personality and behavior, dementia caused by the use of psychoactive agents (F1x. 6, F1x. 71, F1x. 73).

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