It is registered
Ministry of Justice
On March 2, 2020 No. 57643
of March 2, 2020 No. 5
About additional measures for decrease in risks of delivery and spread of new koronavirusny infection (2019-NCOV)
Due to the continuing threat of delivery and spread of new koronavirusny infection (2019-nCoV) according to the subitem 6 of Item 1 of article 51 of the Federal Law of 30.03.1999 No. 52-FZ "About sanitary and epidemiologic wellbeing of the population" (The Russian Federation Code, 1999, No. 14, the Art. 1650) I decide:
1.1. Provide the organization and holding the actions directed to the prevention of delivery and distribution, timely identification and isolation of persons with signs of new koronavirusny infection (2019-nCoV).
1.2. Taking into account the developing epidemiological situation in the region and the forecast of its development timely to enter restrictive actions.
1.3. Provide calculations of financial provision of the entered response measures in case of implementation of regional plans of organizational, preventive and anti-epidemic actions for the prevention of delivery and spread of new koronavirusny infection.
1.4. Ensure functioning of "the hot line" for the citizens who came back from the territories where cases of new koronavirusny infection (2019-nCoV), for the purpose of transfer of data on the place, dates of their stay and return, contact information are registered.
2.1. Organize work of the medical organizations with priority of rendering primary medical care at home by in the fever patient with respiratory symptoms, first of all to persons 60 years, with involvement of additional medical personnel are more senior, and also provide separate acceptance through reception and viewing boxes and the filter boxing of patients with signs of acute respiratory viral infections (further - SARS), extra hospital pneumonia.
2.2. Take measures for timely identification of patients with respiratory symptoms, to ensuring high-quality medical care at the level of primary link, having paid special attention on persons from risk groups (persons 60 years, including in the organizations of social servicing, and also persons having chronic diseases of bronchopulmonary, cardiovascular and endocrine systems are aged more senior).
2.3. Organize monitoring of addresses of persons, sick SARS (medium-weight and severe forms), extra hospital pneumonia behind medical care, challenges of emergency medical service, and also accounting of number of the hospitalized and written out persons, sick SARS and extra hospital pneumonia.
2.4. Specify the information about persons 60 years, and also persons aged from 20 up to 60 years having chronic diseases of the bronchopulmonary, cardiovascular and endocrine systems living in the territory of servicing of the medical organization aged are more senior.
2.5.1. Readiness of the medical organizations performing medical care on an outpatient basis and stationary, providing emergency medical service for acceptance and operational delivery of health care by the patient with respiratory symptomatology, to selection of biological material from patients for researches on new koronavirusny infection (2019-nCoV).
2.5.2. Adjustment of schemes of reshaping of the medical organizations performing medical care stationary for hospitalization of persons sick with extra hospital pneumonia, having provided creation of conditions of their isolated stay in stationary conditions especially for this contingent of patients.
2.5.3. Routing of patients with signs of extra hospital pneumonia in the medical organizations performing medical care stationary in the conditions which are specially created for this contingent of patients.
2.5.4. Equipment of specialists of crews of emergency medical service, the medical organizations performing medical care on an outpatient basis and stationary (in receptions), in medical and obstetrical centers - pulse-oksimetrami; departments of the medical organizations for assistance to persons sick to SARS and extra hospital pneumonia - devices for noninvasive ventilation of lungs.
2.5.5. Maintenance of not reduced inventory of the antiviral medicines including recommended for treatment of new koronavirusny infection (2019-nCoV), disinfectants and individual protection equipment in the medical organizations providing medical care stationary and pharmacy chain.
2.5.6. Possibility of operational obtaining by health workers of the medical organizations performing medical care on an outpatient basis and stationary, medical and obstetrical centers, departments of the medical organizations for assistance to persons sick to SARS and extra hospital pneumonia, consultations concerning delivery of health care at experienced clinical physicians of differential diagnosis of pneumonia.
2.5.7. For the period of operation of this Resolution to provide high-quality selection of biological material and its delivery only in the test and laboratory centers of federal budgetary institutions of health care - the centers of hygiene and epidemiology in subjects of the Russian Federation or other representatives Rospotrebnadzor of laboratory having the license for the activities connected with use of causative agents of infectious diseases 2 groups of pathogenicity for carrying out laboratory researches on new koronavirusny infection (2019-nCoV) at persons from the SARS surveyed within the weekly monitoring researches at all persons with extra hospital pneumonia, disease failure.
2.5.8. Medical observation for the term of 14 calendar days of all citizens arriving from the Islamic Republic of Iran and the Republic of Korea in the place of their stay. In case of emergence at them of the symptoms which are not excluding new koronavirusny infection (2019-nCoV) to provide their immediate isolation and hospitalization in the medical organizations performing medical care stationary in the conditions which are specially created for this contingent of patients.
2.5.9. Immediate holding the regulated complex of anti-epidemic actions in case of identification of suspicion of diseases of new koronavirusny infection (2019-nCoV).
2.5.10. Possibility of registration of leaves of disability without visit of the medical organization to persons which came back from the territories where cases of new koronavirusny infection (2019-nCoV), within 14 calendar days are registered from the moment of their return.
2.5.11. Careful collection by health workers of the epidemiological anamnesis in case of the request for medical care of persons with signs of respiratory infection which came back from the territories where cases of new koronavirusny infection are registered (2019-nCoV).
2.6. Take measures:
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