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Ministry of Justice

Republic of Tajikistan

On August 19, 2008 No. 442

Approved as the Chief state health officer of the Republic of Tajikistan of July 28, 2008

Health regulations and regulations "Sanitary and hygienic and anti-epidemic requirements to the device, equipment and operation of the dental SanPiN organizations 2.1.3.013-08"

Chapter 1. General provisions

2. Responsibility behind observance of requirements of these health regulations is conferred on heads of the dental organizations irrespective of patterns of ownership. Heads of the dental organizations shall develop based on these health regulations of the safety rule and production sanitation.

3. Control over the implementation of requirements of these health regulations is exercised by bodies and organizations of the state sanitary and epidemiological surveillance.

Chapter 2. Terms and determinations

4. In these health regulations the following terms are used:

a) the dental organization - the physical persons and legal entities irrespective of patterns of ownership which are engaged in medical activities for rendering therapeutic, surgical, orthopedic, orthodontic dental care and oral cavity;

b) the artifitsialny mechanism of transmission of infection - the origins of infectious disease which are artificially created by the person;

c) disinfection - package of measures, the causative agents of infectious (parasitic) diseases of the person directed to destruction and animals in (on) objects of external environment;

d) disinfectant is the substance destroying causative agents of infectious (parasitic) diseases of the person and animals in (on) environment objects;

e) intrahospital infection - the infectious disease which resulted from rendering the medical and diagnostic help to the person;

e) infectious control is system of organizational, preventive and anti-epidemic actions for the prevention of intrahospital infections among patients and personnel;

g) centralized sterilizing department - specialized department in which processing, packaging and sterilization of medical tools and the dressing used in case of treatment in the hospital or dental organization is carried out;

h) sterilization - full relief of substance or subject from microorganisms by impact of physical and chemical agents.

Chapter 3. Requirements to placement and device of premises of the dental organizations

5. The dental organizations, are placed in separate standard buildings or in the adapted rooms which are built in buildings, on condition of observance of these health regulations and the operating construction regulations and rules (further - Construction Norms and Regulations):

a) placement of dental polyclinics, departments and offices in residential buildings, hospitals, sanatoria and other organizations where rendering the dental help according to the operating regulatory legal acts is required is allowed. Placement of the dental organizations in basements of buildings is forbidden;

b) in basements only household rooms for personnel and storage facilities, and also compressor installations and air-ventilation chambers can be placed;

c) the children's department of dental polyclinic shall have separate entrance, clothes, reception, the bathroom and not to be reported with department for adults;

d) the device and operation of x-ray and physiotherapeutic offices, autoclave, electric equipments and power supply networks in the dental organizations shall meet the requirements of the operating regulatory legal acts;

e) the dental organizations (therapeutic, surgical, orthopedic, orthodontic) shall have on the main dental chair 14 square meters (further - m) the areas and on 7 sq.m on everyone additional. In the presence at additional chair of universal dental installation, the area increases to 10 sq.m. Depth of offices in case of unilateral natural lighting shall not exceed six meters;

e) set of auxiliary rooms and their area in the dental organizations are determined by their capacity according to requirements acting Construction Norms and Regulations;

g) in rural settlements availability of separate offices for the combined acceptance of the adult and children's population on surgical and therapeutic profile is allowed.

Chapter 4. Requirements to internal finishing of rooms

6. All used materials for internal finishing of rooms shall be from among permitted by bodies of the state sanitary and epidemiological surveillance of the Republic of Tajikistan.

Walls of dental offices shall be smooth, without cracks, allow damp cleaning with use of disinfectants. All corners and junctions of walls, ceiling and floor shall be rounded off, without eaves and jewelry.

7. Walls of offices of surgical stomatology and sterilizing are revetted with glazed tile on height not below 1,8 of meters, and in the operating room - on all height of walls. Above the panel painting oil or aqueous emulsion inks is made.

8. Walls of offices of orthopedic stomatology and the main premises of dental laboratory on height of 1,8 of meters are painted by alkidno-styrene, polyvinyl acetate, oil paints or nitroenamel. Above the panel coloring is made by silicate or glue paints. Ceilings of dental offices (operational, preoperative, sterilizing) and premises of dental laboratories are painted by aqueous emulsion, oil and silicate glue inks in white color.

9. In special production premises of dental laboratory of wall on height of 1,8 of meters are revetted with glazed tile. Above the panel coloring is made by silicate or glue paints.

10. Shall be floored dental offices by rolled polyvinylchloride material (viniplasty, linoleum) and not to have cracks for what all seams cook. In offices of surgical stomatology and operating rooms the ceramic tile is allowed.

11. Doors and windows in all rooms are painted by enamels or oil paint, the door and window fitment shall be smooth, easily available when cleaning.

Chapter 5. Requirements to the equipment of the dental organizations

12. In therapeutic, orthopedic, orthodontic and surgical dental offices the quantity of chairs is established according to the area of office, in surgical offices workplaces of doctors shall be divided by opaque partitions height to meter 1,5.

13. In offices with unilateral natural lighting dental chairs are established in one row along svetonesushchy wall.

14. For work with amalgam and polymeric materials in offices of therapeutic and orthopedic stomatology there shall be fume cupboard meeting the following requirements:

a) in open working opening of case, 30 by 60 centimeters in size (further - cm), autonomous mechanical draft shall provide the speed of movement of air of at least 0,7 of meters per second;

b) removal of air shall come from all zones of case;

c) internal surfaces of case shall be mercury impervious;

d) the floor of case shall have bias one-two cm on running meter towards the trench connected to vessel for collection of the spilled mercury drops;

e) in case the water sink with trap for mercury shall be built in;

e) in case the locker for storage of daily inventory of amalgam, mercury and ware for amalgam preparation, and also demerkurizatsionny means shall be established.

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