ORDER OF THE MINISTER OF INTERNAL AFFAIRS OF THE REPUBLIC OF KAZAKHSTAN

of November 25, 2014 No. 843

About approval of requirements imposed to compliance of the state of health and performing medical examination of rescuers

For the purpose of execution of the subitem 68) of Item 1 of article 12 of the Law of the Republic of Kazakhstan of April 11, 2014 "About civil protection", I ORDER:

1. Approve the enclosed requirements imposed to compliance of the state of health and performing medical examination of rescuers.

2. (Petrov V. V.) to provide to committee on emergency situations of the Ministry of Internal Affairs of the Republic of Kazakhstan:

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

2) within ten calendar days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan the direction on official publication in mass media and information system of law of Ad_let;

3) publication of this order on official Internet resource of the Ministry of Internal Affairs of the Republic of Kazakhstan.

3. To impose control of execution of this order on the deputy minister of internal affairs of the Republic of Kazakhstan Bozhko V. K.

4. This order becomes effective after ten calendar days after day of its first official publication.

Approved by the Order of the Minister of Internal Affairs of the Republic of Kazakhstan of November 25, 2014 No. 843

Requirements imposed to compliance of the state of health and performing medical examination of rescuers

1. Requirements imposed to the state of health of rescuers

1. Requirements imposed to the state of health of rescuers do not allow availability of the following diseases:

1) inborn malformations, deformations, chromosomal anomalies with the permanent expressed malfunction of bodies and systems;

2) effects of damages of the central and peripheral nervous system, internals, bone and muscular system and connecting fabric from impact of external factors (injuries, radiation, thermal, chemical and other impact) with development of the irreversible changes which caused malfunction of bodies and systems of the expressed degree;

3) diseases of the central nervous system of different etiology with motive and sensitive violations of the expressed degree, disorders of coordination and statics, with cognitive and mnestiko-intellectual violations;

4) narcolepsy and cataplexy;

5) the diseases which are followed by disorders of consciousness: epilepsy and epileptic syndromes of different etiology, syncopal syndromes of different etiology;

6) mental and behavioural disturbances (diseases), in cases of identification of the neurotic, depressive, connected with stress, somatoforny, behavioural frustration and frustration of the personality, the issue of professional suitability to work as the rescuer is resolved by the medical commission;

7) the mental and behavioural disturbances (diseases) connected with the use of psychoactive agents, staying on the registry in the organizations providing medical care in the field of mental health concerning mental, behavioural disturbances (diseases) including connected with the use of psychoactive agents;

8) diseases of endocrine system of the progressing current with signs of defeat of other bodies and systems, with violation of their function 3 - 4 degrees;

9) malignant new growths of any localization;

After the carried-out treatment of malignant new growth the admission issue to accomplishment of wrecking is resolved by the medical commission, including the oncologist.

10) diseases of blood and the haematogenic bodies with the progressing and recidivous current (gemoblastoza, the expressed forms of hemolytic and aplastic anemias, hemorrhagic diathesis);

11) hypertension of III stage, 3 degrees, risk of IV;

12) chronic heart troubles and pericardium with insufficiency of blood circulation, functional class III, insufficiency of blood circulation 2 and more degrees;

13) coronary heart disease:

stenocardia, functional class III-IV;

with conductivity violation (sinoaurikulyarny blockade of III degree, weakness of sinus node);

14) paroxysmal violations of rhythm with potentially malignant ventricular to arrhythmias and violations of haemo dynamics;

15) postinfarction cardiosclerosis, heart aneurism;

16) aneurisms and stratifications of any departments of aorta and arteries;

17) obliterating atherosclerosis of aorta with obliteration of visceral arteries and malfunction of bodies;

18) obliterating atherosclerosis of vessels of extremities, trombangiit, aortoarteriit with signs of decompensation of blood supply of extremity (extremities);

19) varicose and posttromboflebitichesky veins of the lower extremities with the phenomena of chronic venous insufficiency 3 degrees above;

20) also other violations of limfoottok 3 - 4 degrees limfangiit;

21) rheumatism: active phase, frequent recurrence with damage of heart and other bodies and systems and chronic heart failure 2 - 3 degrees;

22) diseases of bronchopulmonary system with the phenomena of respiratory insufficiency or pulmonary heart failure 2 - 3 degrees;

23) active forms of tuberculosis of any localization;

24) the complicated course of stomach ulcer of stomach, duodenum with chronic, is frequent (3 times and more for calendar year) recidivous current and development of complications;

25) chronic hepatitises, dekompensirovanny cirrhoses of liver and other diseases of liver with signs of liver failure 2 - 3 degrees and portal hypertensia;

26) chronic diseases of kidneys and urinary tract with the phenomena of chronic renal failure 2 - 3 degrees;

27) nonspecific ulcer colitis and disease Krone with heavy current;

28) diffusion diseases of connecting fabric with malfunction of bodies and systems 3 - 4 degrees, system vaskulita;

29) chronic diseases of peripheral nervous system and neuromuscular diseases with considerable violations of functions;

30) chronic diseases of the musculoskeletal device with malfunction 2 - 3 degrees;

31) chronic diseases of skin (chronic widespread, often recidivous (at least 4 times a year) eczema, psoriasis universal, widespread, artropatichesky, pustulous, psoriasis eritrodermiya, vulgar pemphigus, chronic irreversible widespread ichthyosis, the chronic progressing atopic dermatitis);

32) chronic, recidivous forms of infectious and parasitic diseases, vaccine-challenged defeats in case of the resistant or difficult giving in to treatment clinical forms;

33) pregnancy and period of lactation;

34) usual not incubation of pregnancy and anomaly of fruit in the anamnesis at women of childbearing age;

35) glaucoma of any stage in case of not stabilized current;

36) diseases of cardiovascular system, even in the presence of compensation;

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