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The document ceased to be valid since  July 3, 2018 according to Item 2 of the Order of the Minister of Health of the Republic of Kazakhstan of April 18, 2018 No. 175

ORDER OF THE MINISTER OF NATIONAL ECONOMY OF THE REPUBLIC OF KAZAKHSTAN

of March 31, 2015 No. 283

About approval of Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic (preventive) actions for the prevention of parasitic diseases"

(as amended of the Order of the Minister of national economy of the Republic of Kazakhstan of 29.08.2016 No. 389)

According to Item 6 of article 144 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" PRIKAZYVAYU:

1. Approve the enclosed Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic (preventive) actions for the prevention of parasitic diseases".

2. To provide to committee on consumer protection of the Ministry of national economy of the Republic of Kazakhstan in the procedure established by the legislation:

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 its direction on official publication in periodic printing editions and in information system of law of Ad_let;

3) placement of this order on official Internet resource of the Ministry of national economy of the Republic of Kazakhstan.

3. To impose control of execution of this order on the supervising vice-minister of national economy of the Republic of Kazakhstan.

4. This order becomes effective after ten calendar days from the date of its first official publication.

Minister

E.Dosayev

It is approved

Minister of Agriculture of the Republic of Kazakhstan

____________ A. Mamytbekov

April 1, 2015

 

It is approved

Minister of Education and Science of the Republic of Kazakhstan

____________ A. Sarinzhipov

April 2, 2015

 

It is approved

Minister of health and social development of the Republic of Kazakhstan

____________ T. Duysenova

April 3, 2015

 

Approved by the Order of the Minister of national economy of the Republic of Kazakhstan of March 31, 2015 No. 283

Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic (preventive) actions for the prevention of parasitic diseases"

1. General provisions

1. These Health regulations "Sanitary and epidemiologic requirements to the organization and holding sanitary and anti-epidemic (preventive) actions for the prevention of parasitic diseases" (further - Health regulations) are developed according to Item 6 of article 144 of the Code of the Republic of Kazakhstan "About health of the people and health care system" and determine the organization and holding sanitary and anti-epidemic (preventive) actions which non-compliance creates threat of life or to health of the person, and also threat of origin and spread of parasitic diseases.

2. The state sanitary and epidemiological surveillance behind observance of these Health regulations is exercised by department of state body in the sphere of sanitary and epidemiologic wellbeing, the population and its territorial subdivisions.

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

1) askaridoz - intestinal geohelminthosis in which early phase development of pulmonary eozinofilny infiltrates and other allergic reactions is characteristic, and in late - the dispeptichesky phenomena with possible heavy complications. The activator - round helminth nematode;

2) malaria - group of the infectious diseases caused by the simplest kroveparazita of the sort Plasmodium, which are transmitted under natural conditions through stings of malarial mosquitoes;

3) local case of malaria - case, local for this territory or the country;

4) brought in case of malaria - case when the infection/disease occurred out of zone in which it was found and when its origin is connected with stay in the known malarial zone;

5) the organizations of education - the organization of formation of preschool, initial, main average, general secondary, technical and professional, postsecondary education;

6) helminthoses - the diseases caused by parasitizing of helminths in organism of animal and the person;

7) expulsion of helminths - system of preventive actions for destruction of helminths, eggs or larvae of helminths at the sick person (animal) and in the external environment;

8) disinsection actions - actions (preventive and destructive) on destruction of arthropods;

9) delarvation - destruction in the environment of arthropods in larval phase of development with use of various methods of fight (chemical, biological);

10) difillobotrioza - group of the helminthoses of the zooantroponozny nature proceeding with dispeptichesky frustration and possible development of iron deficiency anemia. Activators - tape helminths;

11) the immunofermental analysis - the seroimmunologichesky method allowing to reveal with outstanding performance in serums of blood of the patient specific anti-genes or antibodies to them;

12) invasion - defeat of the person the causative agent of parasitic disease;

13) insecticides - means (medicines) of the chemical nature used for extermination of blood-sicking insects and pincers;

14) contagious helminthoses - the parasitic diseases which are transmitted in the contact and household way (enterobioz, gimenolepidoz);

15) koproovoskopichesky research - complex of the laboratory researches of excrements conducted for identification of eggs of helminths;

16) lyamblioz - the antroponozny parasitic invasion more often proceeding as asymptomatic parazitonositelstvo in hard cases intestines dysfunctions develop. The activator from class of flagellates;

17) opistorkhoz - zooantroponozny biohelminthosis with preferential defeat of gepatobilliarny system and pancreas. Activators - flat helminths-trematody;

18) parasites - the organisms living constantly or temporarily at the expense of other organisms and using them as the habitat and the power supply;

19) parasitic diseases - group of the diseases of the person caused by parasites, helminths and arthropods;

20) parasitological research - research on identification and determination of causative agents of parasitic diseases in biological material (excrements, blood, urine and another) and objects of external environment;

21) pediculosis or pediculosis - specific parasitizing on the person of the louses eating its blood;

22) repellents - the substances having the frightening-off action on insects and ticks;

23) the retrospective epidemiological analysis - the analysis of level, structure and dynamics of infectious incidence for long prior period for the purpose of reasons for advance planning of anti-epidemic actions;

24) sanitary and anti-epidemic (preventive) actions - the measures directed to elimination or reduction of harmful effects per capita of habitat factors, prevention of origin and spread of infectious and parasitic diseases, mass poisonings and their liquidation;

25) sanitary and parasitological research - identification and determination of causative agents of parasitic diseases in objects of external environment;

26) skabiozoriya - hospitals/offices where examination and treatment of patients with itch is conducted;

27) carriers - the blood-sicking insects and pincers capable to transfer causative agents of various parasitic (infectious) diseases;

28) monitoring of carriers - system of regular entomological observations of number, phenology, places of vyplod of blood-sicking insects and ticks, studying of their specific structure;

29) teniarinkhoz - the biohelminthosis which is shown toksiko-allergic reactions and dispeptichesky frustration. The activator - tape helminth or bull tapeworm;

30) tenioz - the biohelminthosis which is shown dispeptichesky violations and functional disorders of the central nervous system with possible crushing organic damages of brain, eyes and other bodies. The activator - pork tapeworm;

31) toksokaroz - zooantroponozny fabric (larval) geohelminthosis from class of nematodoz with the fecal and oral mechanism of transfer of the activator, is characterized by damage of liver, lungs, eyes; it is shown by recidivous fever and allergic reactions;

32) toxoplasmosis - the parasitic invasion proceeding in latent or chronic form. The activator from class of Sporozoa;

33) trichinosis - the zoonotic the biohelminthosis proceeding with fever, muscle pains, the dispeptichesky phenomena and complications;

34) trikhotsefallez - the antroponozny geohelminthosis proceeding with dispeptichesky syndrome. The activator - the round helminth nematode parasitizing in thick gut is more rare in the lower department of small intestine of the person;

35) chemoprophylaxis - protection, from disease or its prevention by means of chemotherapeutic means;

36) midges - the integrated name of group of the blood-sicking flying insects (mosquitoes, midges, wood lice, mosquitoes and gadflies) doing harm to health of the person;

37) the endemic territory - the country, the area where parasitic incidence is registered;

38) echinococcosis - zoonotic the helminthoses which are shown at the person in two clinical forms - (gidatidozny (single-chamber) echinococcosis and alveolar (multichamber) echinococcosis. Proceed as volume processes in liver, lungs, brain, heart and bones. Activators - tape helminths.

2. The state sanitary and epidemiological surveillance behind holding actions for the prevention of parasitic diseases

4. The territorial subdivision of department of state body in the sphere of sanitary and epidemiologic wellbeing of the population exercises supervision of holding actions for the prevention of parasitic diseases in the Republic of Kazakhstan.

5. Specialists of territorial subdivisions of department of state body in the sphere of sanitary and epidemiologic wellbeing of the population during supervision according to the prevention of parasitic diseases will see off:

1) operational and retrospective epidemiological analysis of parasitic population morbidity;

2) division into districts of the territory on degrees of epidemic trouble, type definition of the centers of parasitic diseases;

3) identification of the contingents of risk subject to danger of infection with causative agents of parasitic diseases;

4) identification of factors and ways of transfer of parasitic diseases;

5) determination of complex of preventive actions, planning of terms of their realization, efficiency evaluation;

6) forecast of epidemic situation for parasitic incidence;

7) monitoring of number of carriers of parasitic diseases, studying of their specific structure and phenology, fight against blood-sicking insects and ticks;

8) hygienic training of the population.

3. Requirements to the organization and holding actions for the prevention of parasitic diseases

6. The territorial subdivision of department of state body in the sphere of sanitary and epidemiologic wellbeing of the population holds complex of events for the prevention of parasitic diseases which includes:

1) control of identification and accounting of patients and parazitonositel;

2) sanitary and epidemiologic monitoring of causative agents of parasitic diseases;

3) the prevention of delivery of parasitic diseases on the territory of the Republic of Kazakhstan;

4) hygienic training of the population.

7. Identification of patients and parazitonositel, with registration and their accounting in the place of identification, health workers of the medical organizations, irrespective of departmental accessory and patterns of ownership will see off, in case of:

1) the appeal of persons to the medical organizations, delivery of health care at home, carrying out medical observation for contact in the centers;

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