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The document ceased to be valid since  June 21, 2018 according to Item 2 of the Order of the Minister of Health of the Republic of Kazakhstan of April 3, 2018 No. 146

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

of March 19, 2015 No. 233

About approval of Health regulations "Sanitary and epidemiologic requirements to sanatorium and improving objects"

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 sanatorium and improving objects".

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 of national economy of the Republic of Kazakhstan

E.Dosayev

It is approved

Minister of Education and Science of the Republic of Kazakhstan

April 15, 2015

 

A. Sarinzhipov

It is approved

Minister of health and social development of the Republic of Kazakhstan

April 10, 2015

 

T. Duysenova

Approved by the Order of the Minister of national economy of the Republic of Kazakhstan of March 19, 2015 No. 233

Health regulations "Sanitary and epidemiologic requirements to sanatorium and improving objects"

1. General provisions

1. Health regulations "Sanitary and epidemiologic requirements to sanatorium and improving objects" (further - Health regulations) are developed 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" (further - the Code), and contain sanitary and epidemiologic requirements in case of their designing, construction, water supply, water disposal, lighting, ventilation, content and operation of rooms, the organizations of treatment-and-prophylactic and public catering, medical support, conditions of accommodation and working conditions of personnel.

2. These Health regulations are obligatory for execution by all physical, legal entities and individual entrepreneurs whose activities are connected with the organization and implementation of medical and improving, sports and improving, teaching and educational works and cultural leisure.

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

1) special clothes - set of the protective clothes of personnel intended for protection of raw materials, auxiliary materials and ready-made product against pollution by mechanical particles, microorganisms and other pollution;

2) aerarium - the platform, canopy equipped for acceptance of air bathtubs;

3) inspection - quality evaluation of food and ready dishes on organoleptic indicators;

4) test of Gencha - the indicator estimating functional condition of respiratory system of the child;

5) disinfecting and disinsection means - the chemicals applied to destruction of causative agents of infectious (parasitic) diseases and insects;

6) insolation - the normalized indicator of solar radiation for hygienic assessment of the platform, the room, the building;

7) Quetelet's index - indicator of assessment of harmony of physical development of the child;

8) climatic zone - the territory allocated on climatic signs (temperature, humidity);

9) the children's improving organization of tent type is the form of rest of children and teenagers with use of tents for their placement and servicing organized in natural environment during summer vacation;

10) sanatorium objects - treatment and prevention facilities, including antitubercular, intended for prevention, medical rehabilitation and rest with use of in priority natural medical physical factors (climate, mineral waters, dirt), physiotherapeutic methods, physiotherapy exercises and other conditions in case of observance of the set mode (further - sanatoria);

11) the sanitary and domestic installations (SDI) - not channeled toilet located in the territory of object, at distance at least 25 meters (further - m) from buildings, having elevated part and cesspool. Elevated rooms construct from densely driven materials (boards, bricks, blocks). Removed it is made of waterproof material. Depth of vygreb depends on the level of ground waters, but no more than 3 m;

12) improving objects - the children's improving organizations (further - DOO) on implementation of teaching and educational, sports and improving, medical and improving activities and cultural leisure for children from 6 to 18 years, including DOO of year-round action realizing programs of general, secondary and additional education;

13) sunbed - the equipped platform, the sun deck;

14) threading of engineering procedure - ensuring the sequence of engineering procedures for exception of counter flows net and dirty (linen, ware), crude and finished goods, visitors and personnel.

4. When implementing activities by personnel of objects availability of the personal medical book with mark about passing of obligatory medical examination, the admission to work, data on passing of hygienic training is necessary.

5. In children's antitubercular sanatorium children up to 18 years inclusive, suffering from tuberculosis children without bakteriovydeleniye in the supporting treatment phase, children with bend and giperergichesky reaction, and also children from the centers of tuberculosis infection and had tuberculosis are accepted.

In sanatoria about 10% of places for the lying children and children with complete or partial loss of capability independently are provided to move.

2. Sanitary and epidemiologic requirements to designing, construction, reconstruction and commissioning of sanatorium and improving objects

6. Designing, construction, reconstruction and commissioning of the sanatorium and improving organizations (further - objects) is performed in the presence of the sanitary and epidemiologic conclusion of territorial subdivision of department of authorized body in the sphere of sanitary and epidemiologic wellbeing of the population.

The physical persons and legal entities performing activities for improvement of children and teenagers in seasonal summer DOO, including in stationary DOO of tent type need receipt of the sanitary and epidemiologic conclusion of territorial subdivision of department of authorized body, timely before summer season, in the sphere of sanitary and epidemiologic wellbeing, according to the established requirements of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population.

7. The head of improving object needs to inform in writing territorial subdivision of department of authorized body in the sphere of sanitary and epidemiologic wellbeing of the population on expected date of opening of improving object.

8. In the territory of objects prickly bushes, green plantings (trees, bushes) giving the trimmed seeds when blossoming do not land.

9. The head of improving object before opening of improving object and according to indications organizes further carrying out disinfection, deratization, disinsection processing of the territory.

10. The territory, free from green plantings, sidings, unloading platforms, sidewalks, places for parking of vehicles have hard surface and biases for drain of rain and thawed snow.

11. In the territory of objects zones are provided: residential, cultural and mass, sports and improving, medical, administrative, economic and zone of technical appointment.

In the territory of zones of economic and technical appointment boiler room with storage of fuel, water supply construction, the garage, repair shops, car park are placed.

12. The surface of walls and floor of reception, rooms of medical appointment, the food block and sanitary and household (laundries, toilets, washing, shower) are made of materials, steady to washing and to disinfectants.

13. The area of the living room in children's sanatorium is provided from calculation of at least 6,0 of square meters (further - m 2) on one place, for adults - at least 10 sq.m.

14. The number of places in one bedroom of DOO for children of 6 - 7 years provide no more than 10 of calculation of 4,5 of sq.m on one child, from 8 to 18 years - no more than 5 places.

The area of the game room on group is provided at the rate of 2 sq.m on one child.

15. Ingalyatory, the office of kislorodoterapiya and office of medicines are located adjacently and have the general utility room for storage of officinal herbs.

16. DOO are completed on groups or on groups taking into account age of children:

1) from 6 to 9 years - no more than 25 people;

2) from 10 to 14 years - no more than 30 people;

3) from 15 to 18 years - no more than 25 people. 17. In case of placement of sleeping premises of DOO in not heated buildings arrival of children is allowed at average daily temperature of external air at least plus 16 degrees Celsius (further - ° C) within five days.

18. Acceptance of children is performed in the presence of the medical certificate about the state of health and about lack of contact with infectious patients.

19. During educational process children are provided with educational furniture according to rosto-age features.

Sleeping premises and living rooms of sanatoria equip with beds, bedside tables, cases for clothes. Bunk beds and folding beds without firm bed are not used.

The equipment, furniture, soft, firm stock, sanitary devices are in working order and are used for designated purpose. Defects in finishing of rooms and breakdowns of the equipment, furniture are subject to timely repair or replacement.

20. In rooms of objects on window leaves and transoms mosquito grids are established.

21. In the territory of objects ballot boxes for collection of garbage are established. In case of entrance to residential cases ballot boxes for garbage and lattice for cleaning of footwear are established.

22. If necessary on objects make running repair of buildings, roofs, audit of the existing engineering communications, and also capital repairs.

23. The objects placed in dangerous structures and rooms are not operated.

The building of objects recognize emergency in the presence of the act of competent authorities of accident rate of object.

3. Sanitary and epidemiologic requirements to water supply, water disposal, ventilation, heating, lighting and microclimate of sanatorium and improving objects

24. Objects are connected to centralized system of cold and hot water supply, heating and water disposal.

All systems are in working order.

25. Objects are provided with safe and high-quality drinking water according to requirements of health regulations "Sanitary and epidemiologic requirements to water sources, places of water intake for the economic and drinking purposes, economic drinking to water supply, places of cultural and community water use and safety of water objects", approved by the order of the Minister of national economy of the Republic of Kazakhstan of March 16, 2015 No. 209 (No. 10774) (further - the Order No. 209) is registered in the register of gosudarstveenny registration of regulatory legal acts of the Republic of Kazakhstan.

26. Hot water supply provides production premises of catering department, laundry, bath, shower, washrooms, cabins of personal hygiene, the room of medical appointment.

In the absence of centralized hot water supply provide installation of water heaters.

In not channeled areas provide outdoor toilets with waterproof vygreb at distance not closer than 25 meters (further - m) from buildings which are cleared in process of their accumulating on two thirds (further - 2/3) of amount.

27. On objects the drinking mode will be organized. The drinking water including which is packed up in reservoir (decanters, teapots) and bottled on indicators of quality and safety conforms to requirements of the Order No. 209.

Use of boiled drinking water is allowed. Behind the organization of the drinking mode the order of the head of DOO, children's sanatorium designates the responsible person. The open entry of vacationers to drinking water during the whole time of their stay on objects is provided.

28. For drink use net ware (glass, faience, disposable glasses), allocate the separate marked trays for the net and used ware or containers for collection of the used ware of one-time application. The water which is packed up in reservoir is followed by the documents confirming its origin, quality and safety.

29. In the rural and partially channeled area for sewage disposal waterproof cesspools which are cleared in process of its accumulating on 2/3 amounts are equipped.

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