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RESOLUTION OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS

of December 29, 2012 No. 217

About approval of Sanitary standards and rules

(as amended on 20-10-2021)

Based on part three of article 13 of the Law of the Republic of Belarus of January 7, 2012 No. 340-Z "About sanitary and epidemiologic wellbeing of the population", paragraph two of subitem 8.32 of Item 8 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 Sanitary standards and the rules "Requirements to the Organization and Holding the Sanitary and Anti-epidemic Actions Directed to Prevention of Drift, Origin and Spread of Flu and Infection of COVID-19" (are applied).

2. Declare invalid the resolution of the Ministry of Health of the Republic of Belarus of October 12, 2010 No. 132 "About approval of Sanitary standards, rules and hygienic standard rates "Requirements to carrying out epidemiological surveillance behind sharp respiratory infections in the Republic of Belarus".

3. This resolution becomes effective in 15 working days after its signing.

Minister

V.I.Zharko

Approved by the Resolution of the Ministry of Health of the Republic of Belarus of December 29, 2012 No. 217

Sanitary standards and rules "Requirements to the organization and holding the sanitary and anti-epidemic actions directed to prevention of drift, origin and spread of flu and infection of COVID-19

Chapter 1. General provisions

1. These Sanitary standards and rules establish requirements to the organization and holding the sanitary and anti-epidemic actions directed to prevention of drift, origin and spread of flu and infection of COVID-19.

2. These Sanitary standards and rules are obligatory for observance by state bodies, other organizations, physical persons, including individual entrepreneurs.

3. For the purposes of these Sanitary standards and rules the following terms and their determinations are used:

probable case of flu (only for pandemic viruses) - case of grippopodobny diseases, in case of which result of the return transcription and polymerase chain reaction (further - OT-PTSR) positive on flu of A type, but negative on the seasonal H1 or H3 subtypes;

the outbreak of sharp respiratory infections, grippopodobny diseases or heavy sharp respiratory infections - the diseases of people having the symptoms of sharp respiratory infections, grippopodobny diseases or heavy sharp respiratory infections which are at the same time arising in the limited territory in separate collective, in group of the collectives connected by epidemiologically general source of the activator or factors of its transfer;

the outbreak of sharp respiratory infections, grippopodobny diseases or heavy sharp respiratory infections in organizations with the round-the-clock mode of stay of children and adults - the diseases having symptoms of sharp respiratory infections, grippopodobny diseases or heavy sharp respiratory infections and registered at 2 and more persons within 48 hours in organizations with the round-the-clock mode of stay of children and adults;

grippopodobny disease (further - GPP) - the acute respiratory disease which began during the previous 7 calendar days and followed by temperature increase of body in the anamnesis or in case of measurement to 38 °C and more and cough;

patrol epidemiological surveillance is system of the events held among certain national groups according to condition and tendencies of development of epidemic process for determination of the reasons of its development and timely decision making on holding sanitary and anti-epidemic actions;

the weekly seasonal illness rate sharp respiratory infections, GPP is indicator of incidence of sharp respiratory infections, the GPP calculated based on long-term observations with deduction of those weeks on which the epidemic period of flu by results of long-term observations falls;

live anti-influenza vaccine - the immunobiological medicine intended for performing preventive vaccination against flu and containing attenuirovanny live viruses of flu A (H1N1), A (H3N2) and V;

the inactivated anti-influenza vaccine - the immunobiological medicine intended for performing preventive vaccination against flu and containing the inactivated flu A viruses (H1N1), A (H3N2) and V (tselnovirionny vaccines); separate components of virus particle (Split or the split vaccines); surface proteins of vireo - gemagglyutinin and neuraminidase (subjedinichny vaccines);

the interepidemic period is the period of time proceeding from 21st week to the 39th week;

the sharp respiratory infection (further - ORI) - the acute respiratory disease which is characterized by sudden emergence at least of one of four respiratory symptoms (cough, sore throat, short wind, sharp cold) in the presence of clinical data that the disease is caused by infection and is shown with increase or without temperature increase of body;

suspicious case of flu (only for viruses with pandemic potential) - case of GPP in case of which one of conditions is observed: the patient closely contacted to person having the confirmed infection caused by flu virus with pandemic potential during period of time when this person was in disease condition; it is known that the diseased contacted to animal with the confirmed or suspected infection caused by flu virus with pandemic potential recently; the patient made trip to the settlement where the confirmed cases, the flu caused by virus with pandemic potential take place;

the confirmed flu case - disease in case of which symptoms of GPP, OR or heavy sharp respiratory infection are confirmed by positive laboratory research on flu (seasonal/pandemic) to one of the following methods: OT-PTSR in real time; allocation of virus in culture of cages / the developing chicken embryo; serological (pair serums);

the postepidemic period is the period during the season of incidence of flu after decrease in incidence of OR (GPP) to not epidemic level and proceeding till the 20th week of the current year;

the preepidemic period is the period during the season of incidence of flu prior to the beginning of epidemic and begins with the 40th week of the current year;

anti-influenza vaccine - the immunobiological medicine intended for performing preventive vaccination against flu;

routine epidemiological surveillance is the system of actions which is carried out among all population according to condition and tendencies of development of epidemic process for determination of the reasons of its development and timely decision making on holding sanitary and anti-epidemic actions;

season of incidence of flu - the period of time measured calendar weeks during which there is the greatest probability of epidemic rise in incidence of flu, calculated based on long-term observations. In the Republic of Belarus this period of time begins with the 40th week of the current year and proceeds till the 20th week of the next year;

heavy sharp respiratory infection (further - TORI) - the acute respiratory disease which began during the previous 7 calendar days, requiring hospitalization and followed by temperature increase of body in the anamnesis or in case of measurement to 38 °C and more, cough and short wind or the complicated breath;

the epidemic period is the period during the season of incidence of flu when incidence of OR (GPP) exceeds the epidemic illness rate;

epidemic level - week indicator of incidence of OR (GPP) which specifies the beginning of flu epidemic and is determined as the upper bound of confidential interval of the weekly seasonal illness rate of OR (GPP).

Chapter 2. Requirements to the organization and carrying out patrol and routine epidemiological surveillance behind flu

4. The system of patrol and routine epidemiological surveillance behind flu includes:

daily accounting and the analysis of incidence of OR, GPP and TORI in the out-patient and polyclinic, hospital organizations of health care, bodies and organizations exercising the state sanitary inspection;

monitoring of circulation of respiratory viruses, including flu viruses, employees of the bodies and organizations exercising the state sanitary inspection;

monitoring of flashes of OR, GPP and TORI;

the monitoring of level of scope preventive inoculations against flu of the population of the Republic of Belarus performed by employees of the out-patient and polyclinic organizations of health care, the bodies and organizations exercising the state sanitary inspection;

evaluating epidemiological situation on flu employees of the bodies and organizations exercising the state sanitary inspection;

taking measures, directed to prevention of distribution of incidence of OR, GPP and TORI, timely detection of the flu caused by virus with pandemic potential and minimization of effects of pandemic;

carrying out information and educational work among the population of the Republic of Belarus on prevention of flu.

5. When carrying out patrol epidemiological surveillance within year collection of weekly information is performed:

about incidence of ORI in the out-patient and polyclinic organizations of health care of 18 cities (Brest, Pinsk, Baranovichi, Vitebsk, Polotsk, Novopolotsk, Orsha, Gomel, Recyca, Mazyr, Grodno, Lida, Minsk, Borisov, Soligorsk, Molodechno, Mogilev, Babruysk);

about incidence of GPP in one-two out-patient and polyclinic organizations of health care of 7 cities (Brest, Vitebsk, Gomel, Grodno, Minsk, Borisov, Mogilev);

about incidence of TORI, about epidemiological and clinical characteristics of TORI in one-two hospital organizations of health care of 7 cities (Brest, Vitebsk, Gomel, Grodno, Minsk, Borisov, Mogilev).

The list of the out-patient and polyclinic and hospital organizations of health care which are carrying out collection and transfer of weekly information on incidence of OR, GPP and TORI, and also laboratory (virologic and serological) inspections of patients from OR, the GPP and TORI affirm managements of health care of regional executive committees and Healthcare Committee of Mingorispolkom.

Weekly information on incidence of OR, GPP and TORI is transferred from the out-patient and polyclinic and hospital organizations of health cares to the city, district, zone centers of hygiene and epidemiology (further - TsGE) till 11:00 on the Monday following reporting week according to the scheme according to appendix 1.

Information on each case of TORI is transferred from the hospital organization of health cares to TsGE according to Items 1-21 of appendix 2 within 24 hours from the moment of identification of case of TORI and to Item 22 of appendix 2 within 24 hours from the moment of receipt of information on results of the conducted laboratory researches. Information on outcome of disease is transferred from the hospital organization of health cares to TsGE within 24 hours from the moment of its establishment.

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