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ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of November 12, 2021 No. KR DSM-114

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 subitem 132-1) of Item 16 of the Regulations on the Ministry of Health of the Republic of Kazakhstan approved by the order of the Government of the Republic of Kazakhstan of February 17, 2017 No. 71 of PRIKAZYVAYU:

1. Approve 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 appendix to this order.

2. Declare invalid the 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" (it is registered in the Register of state registration of regulatory legal acts at No. 17995).

3. Sanitarno - epidemiological control of the Ministry of Health of the Republic of Kazakhstan in the procedure established by the legislation of the Republic of Kazakhstan to provide to committee:

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

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

3) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan representation in Legal department of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1) and 2) 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.

Minister of Health of the Republic of Kazakhstan

A. Tsoi

It is approved

Ministry of Agriculture of the Republic of Kazakhstan

 

It is approved

Ministry of national economy of the Republic of Kazakhstan

 

Appendix

to the Order of the Minister of Health of the Republic of Kazakhstan of November 12, 2021 No. KR DSM-114

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. These 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) are developed according to subitem 132-1) of Item 16 of the Regulations on the Ministry of Health of the Republic of Kazakhstan approved by the order of the Government of the Republic of Kazakhstan of February 17, 2017 No. 71 and 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 state body in the sphere 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 "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) invalidization which are quickly extending to the extensive territories and striking large numbers of people (epidemic flashes and epidemics);

2) buffer zone – the territory established between the unsuccessful territory and zone of observation where are carried out systematic vaccination of animals and action for the purpose of non-admission of spread of infection;

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

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

5) infection carriers – arthropods, the blood-sicking insects and pincers determining the inoculable mechanism of transfer of the causative agent of infection;

6) insektoakaritsidny medicines – the means causing death of insects and pincers;

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

8) contamination (contact) – stay on objects of the environment of microorganisms;

9) 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;

10) 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;

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

12) rekonvalestsent – the sick person in recovery stage;

13) the sanitary protection zone – the territory separating zones of special purpose, and also industrial bodies and production, municipal 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;

14) 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;

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

16) 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);

17) 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);

18) protective zone – the territory around the settlement in which carriers and (or) carriers of infection are destroyed;

19) chemical method of fight – destruction of carriers and carriers of causative agents of infectious diseases with use of pesticides;

20) the epidemic center – the place of stay of source of infection (the patient and (or) 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;

21) the epizootic center – the limited territory or the room where there is source of the causative agent of infection, transfer factors, susceptible animals, sinantropny animals and their ektoparazita (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 of state body in the sphere of sanitary and epidemiologic wellbeing of the population (further – territorial subdivisions) and the subordinated organizations of state body in the sphere of sanitary and epidemiologic wellbeing of the population (further - the organizations) 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.

6. In the sanitary protection zone of SNP and the soil centers of anthrax withdrawal of the parcels of land for carrying out the agromeliorative, prospecting, hydromeliorative, construction works connected with dredging and movement of soil of sibireyazvenny burials, flooding and also transfer to lease, sale of the parcels of land to personal property, allocation under gardens, kitchen gardens or land use is not allowed.

7. The preventive anthrax inoculation of people is performed according to the order of the Government of the Republic of Kazakhstan of September 24, 2020 No. 612 "About approval of the list of diseases against which obligatory preventive inoculations within the guaranteed amount of medical care, rules, terms of their carrying out and national groups which are subject to preventive inoculations" (further – the Resolution No. 612) are carried out.

8. The planned preventive anthrax inoculation of the population is carried out by the organizations of health care to the following contingents of the population:

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