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The document ceased to be valid since  September 19, 2015 according to Item 1 of the Order of the Government of the Republic of Kazakhstan of September 8, 2015 No. 754

ORDER OF THE GOVERNMENT OF THE REPUBLIC OF KAZAKHSTAN

of January 9, 2012 No. 8

About approval of Health regulations "Sanitary and epidemiologic requirements for carrying out preventive inoculations to the population"

According to the subitem 2) of article 6 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" the Government of the Republic of Kazakhstan DECIDES:

1. Approve the enclosed Health regulations "Sanitary and epidemiologic requirements for carrying out preventive inoculations to the population".

2. This resolution becomes effective after ten calendar days from the date of the first official publication.

Prime Minister

Republic of Kazakhstan K. Masimov

Approved by the order of the Government of the Republic of Kazakhstan of January 9, 2012 No. 8

Health regulations "Sanitary and epidemiologic requirements for carrying out preventive inoculations to the population"

1. General provisions

1. Health regulations "Sanitary and epidemiologic requirements for carrying out preventive inoculations to the population" (further - Health regulations) establish sanitary and epidemiologic requirements for carrying out preventive inoculations.

2. In these Health regulations the following concepts are used:

1) "open bottle" of vaccine - bottle of the vaccine entered by injection method from which took vaccine without removal of stopper syringe puncture;

2) the killed vaccines - the vaccines prepared from the killed or the inactivated microorganisms and also from separate components of microbic cage and products of their activity;

3) live vaccines - the vaccines prepared from live microorganisms.

3. Preventive inoculations to the population according to epidemiological indications and suspension of carrying out preventive inoculations in connection with registration of vaccine-challenged complications are performed under the resolution of the Chief state health officer of the Republic of Kazakhstan.

4. For carrying out preventive inoculations to the population the medical immunobiological supplies (vaccines, anatoksina, immunoglobulins) (further - the UPS) registered and permitted in the Republic of Kazakhstan are used.

2. Sanitary and epidemiologic requirements to carrying out preventive inoculations to the population

5. Before use of the UPS it is necessary to study the instruction attached to it, to check marking and integrity of ampoule (bottle), compliance of medicine of the enclosed instruction.

6. Use is not allowed:

1) the adsorbed diphtheritic and tetanic anatoksin (further - ADS), the adsorbed diphtheritic and tetanic anatoksin with the reduced content of anti-gene (further - ADS-M), the adsorbed diphtheritic anatoksin with the reduced content of anti-gene (further - AD-M), tetanic anatoksin (further - AS), vaccines, containing adsorbed koklyushno - diphtheritic and tetanic vaccine (further - AKDS - the containing vaccine), vaccines against the viral hepatitises, pnevmokokkovy infection and the inactivated vaccine against poliomyelitis which underwent to freezing;

2) the vaccines treated to action of the increased temperature based on indications of control card indicator or the indicator on vaccine bottle;

3) UPS, including vaccines and solvents expired;

4) vaccines from open bottles in case of non-compliance with the relevant requirements imposed to them;

5) the UPS with violation of integrity of ampoules (bottles);

6) the UPS with not clear or absent marking on ampoule (bottle);

7) the UPSes which are not matching the description of the instruction;

8) disposable syringes with violation of integrity of packaging and expired.

7. The lyophilized vaccines (against measles, parotitis, rubella, hemophilic infection, tuberculosis) dissolve the standard solvent attached to vaccine in case of strict observance of rules of asepsis.

8. Processing of the place of introduction of the UPS is made by 70% alcohol if there are no other instructions in the instructions attached to vaccine.

9. When carrying out preventive inoculations tools (syringes, needles, skarifikator) disposable are used.

10. Combination of different types of preventive inoculations in one day, except for tuberculosis inoculations is allowed. Vaccines are entered into different parts of the body and different syringes.

11. If UPSes were not entered in the same day, the interval between live vaccines is observed at least 4 weeks. The interval between the live and killed vaccines is not observed.

12. After introduction of immunoglobulin or medicine of blood introduction of vaccines against measles, rubella and parotitis is postponed for 3 months at least, without interval between introduction of immunoglobulins or medicines of blood AKDS - the containing vaccine, ADS, ADS-M, AD-M, vaccine against tuberculosis, pnevmokokkovy infection, oral vaccine against poliomyelitis are entered (further - OPV).

13. After introduction of vaccines against measles, parotitis, poliomyelitis, tuberculosis the interval for immunoglobulin introduction is observed at least than 2 weeks. The interval after introduction of AKDS - the containing vaccine, vaccine against pnevmokokkovy infection, ADS, ADS-M, AD-M of medicines is not observed.

14. Use of "open bottles" is allowed in case of observance of the following conditions:

1) the medicine expiration date did not expire;

2) storage temperature is observed;

3) sterility is observed;

4) there are no visible changes of vaccine.

15. "Open bottles" of AKDS - the containing vaccine, ADS, ADS-M, AD-M, AS, vaccine against poliomyelitis, against pnevmokokkovy infection, against hepatitis "B" and "A" are allowed to use within 3 days in case of observance of the conditions stated in Item 14 of these health regulations.

16. On the label of "open bottles" of vaccines date and time of opening of bottles is specified.

17. Transfer of "open bottles" from one inoculative office in another is not allowed.

18. Vaccines against measles, rubella, parotitis, tuberculosis, yellow fever are used directly or within 6 hours after cultivation if it is allowed by the instruction, with the subsequent destruction of remaining balance of vaccines.

19. The UPSes issued in ampoules are used right after opening.

20. Bottles, including with remaining balance of vaccines, the populations used for immunization at home, in case of departure by inoculative crews are destroyed at the end of the working day.

3. Sanitary and epidemiologic requirements to rooms for carrying out preventive inoculations

21. Indoors, where preventive inoculations are carried out (further - inoculative office), holding other medical procedures (manipulations) is not allowed.

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