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goÊîäåêñû

goÒåõíè÷åñêîå ðåãóëèðîâàíèå

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goÄîêóìåíòû ìåæäóíàðîäíûõ îðãàíèçàöèé

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ÌÈÍÈÑÒÅÐÑÒÂÎ ÇÄÐÀÂÎÎÕÐÀÍÅÍÈß ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÅÐÀÖÈÈ

 

ÏÐÈÊÀÇ

îò 29 èþëÿ 1998 ã. N 230

 

Î ÏÎÂÛØÅÍÈÈ ÃÎÒÎÂÍÎÑÒÈ ÎÐÃÀÍÎÂ

È Ó×ÐÅÆÄÅÍÈÉ ÃÎÑÑÀÍÝÏÈÄÑËÓÆÁÛ ÐÎÑÑÈÈ Ê ÐÀÁÎÒÅ

 ×ÐÅÇÂÛ×ÀÉÍÛÕ ÑÈÒÓÀÖÈßÕ

 

 öåëÿõ ïîâûøåíèÿ
îïåðàòèâíîñòè è êà÷åñòâà èíôîðìàöèè î ÷ðåçâû÷àéíûõ ñèòóàöèÿõ â îáëàñòè
ñàíèòàðíî - ýïèäåìèîëîãè÷åñêîãî áëàãîïîëó÷èÿ íàñåëåíèÿ, à òàêæå ïðèíÿòèÿ
íåîòëîæíûõ ìåð ïî èõ ëèêâèäàöèè ïðèêàçûâàþ:

1. Îáðàçîâàòü â
Äåïàðòàìåíòå ãîññàíýïèäíàäçîðà îïåðàòèâíóþ ãðóïïó äëÿ îöåíêè âîçíèêàþùèõ
÷ðåçâû÷àéíûõ ñèòóàöèé è îðãàíèçàöèè íåîòëîæíûõ ìåð ïî èõ ëèêâèäàöèè (Ïðèëîæåíèå
1).

2. Ôåäåðàëüíîìó
öåíòðó ãîññàíýïèäíàäçîðà (Áåëÿåâ Å.Í.) îðãàíèçîâàòü åæåäíåâíîå äåæóðñòâî
ñïåöèàëèñòîâ öåíòðà â Äåïàðòàìåíòå ãîññàíýïèäíàäçîðà ñ 19 ÷àñîâ âå÷åðà äî 8
÷àñîâ óòðà.

3. Ñáîð îïåðàòèâíîé
ãðóïïû â íåðàáî÷åå âðåìÿ è â âûõîäíûå äíè îñóùåñòâëÿòü ïî èçâåùåíèþ
îïåðàòèâíîãî äåæóðíîãî Äåïàðòàìåíòà ãîññàíýïèäíàäçîðà.

4. Ãëàâíûì âðà÷àì
öåíòðîâ ãîññàíýïèäíàäçîðà â ñóáúåêòàõ Ðîññèéñêîé Ôåäåðàöèè è ðåãèîíàõ íà
òðàíñïîðòå, Ôåäåðàëüíîãî öåíòðà ãîññàíýïèäíàäçîðà (Áåëÿåâó Å.Í.) è
Ïðîòèâî÷óìíîãî öåíòðà (Êþðåãÿíó À.À.), äèðåêòîðàì ïðîòèâî÷óìíûõ èíñòèòóòîâ
îáåñïå÷èòü:

4.1. Êðóãëîñóòî÷íûå
äåæóðñòâà è ñâÿçü ÷åðåç ñëóæåáíûå è äîìàøíèå òåëåôîíû â íåðàáî÷åå âðåìÿ è â
âûõîäíûå äíè.

4.2. Ïðîâåäåíèå íå
ðåæå äâóõ ðàç â ãîä òðåíèðîâî÷íûõ ó÷åíèé ïî îðãàíèçàöèè è ïðîâåäåíèþ
ìåðîïðèÿòèé ïî ëèêâèäàöèè î÷àãîâ èíôåêöèîííûõ çàáîëåâàíèé è ÷ðåçâû÷àéíûõ
ñèòóàöèé ñàíèòàðíî - ãèãèåíè÷åñêîãî çíà÷åíèÿ.

4.3. Ïîâûøåííóþ
ãîòîâíîñòü ñïåöèàëèçèðîâàííûõ ôîðìèðîâàíèé ãîññàíýïèäñëóæáû - ñàíèòàðíî -
ýïèäåìèîëîãè÷åñêèõ îòðÿäîâ, áðèãàä è ãðóïï ýïèäðàçâåäêè, ñîçäàííûõ íà áàçå
öåíòðîâ ãîññàíýïèäíàäçîðà â ñóáúåêòàõ Ðîññèéñêîé Ôåäåðàöèè, à òàêæå
ñïåöèàëèçèðîâàííûõ ïðîòèâîýïèäåìè÷åñêèõ áðèãàä, ôîðìèðóåìûõ ïðîòèâî÷óìíûìè
ó÷ðåæäåíèÿìè.

4.4. Íåçàìåäëèòåëüíîå
ïðåäñòàâëåíèå èíôîðìàöèè â ñîîòâåòñòâèè ñ Ïðèëîæåíèÿìè 2 è 3 íàñòîÿùåãî
Ïðèêàçà.

5. Ñ÷èòàòü óòðàòèâøèì
ñèëó Ïðèêàç Ìèíçäðàâà Ðîññèè îò 31.12.96 N 433 "Î âíåî÷åðåäíûõ
äîíåñåíèÿõ".

6. Êîíòðîëü çà
âûïîëíåíèåì Ïðèêàçà âîçëîæèòü íà Ïåðâîãî çàìåñòèòåëÿ Ìèíèñòðà Îíèùåíêî Ã.Ã.

 

Ìèíèñòð

Î.Â.ÐÓÒÊÎÂÑÊÈÉ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ïðèëîæåíèå 1

ê Ïðèêàçó Ìèíçäðàâà
Ðîññèè

îò 29 èþëÿ 1998 ã. N
230

 

ÑÎÑÒÀÂ
ÎÏÅÐÀÒÈÂÍÎÉ ÃÐÓÏÏÛ

ÄÅÏÀÐÒÀÌÅÍÒÀ
ÃÎÑÑÀÍÝÏÈÄÍÀÄÇÎÐÀ ÏÎ ÑÀÍÈÒÀÐÍÎ -

ÃÈÃÈÅÍÈ×ÅÑÊÎÌÓ
È ÏÐÎÒÈÂÎÝÏÈÄÅÌÈ×ÅÑÊÎÌÓ ÎÁÅÑÏÅ×ÅÍÈÞ

×ÐÅÇÂÛ×ÀÉÍÛÕ
ÑÈÒÓÀÖÈÉ

 

    1. Îíèùåíêî
Ã.Ã.   - ïåðâûé çàìåñòèòåëü Ìèíèñòðà

                        
çäðàâîîõðàíåíèÿ Ðîññèéñêîé Ôåäåðàöèè

 

    2. Ìîíèñîâ
À.À.    - ðóêîâîäèòåëü Äåïàðòàìåíòà

                        
ãîññàíýïèäíàäçîðà

 

    3. Èâàíîâ
Ñ.È.     - çàìåñòèòåëü ðóêîâîäèòåëÿ
Äåïàðòàìåíòà

                        
ãîññàíýïèäíàäçîðà

 

    4. Áåëÿåâ
Å.Í.     - ãëàâíûé âðà÷ Ôåäåðàëüíîãî öåíòðà

                        
ãîññàíýïèäíàäçîðà

 

    5. Ãóëü÷åíêî Ë.Ï.  - çàìåñòèòåëü ðóêîâîäèòåëÿ Äåïàðòàìåíòà

                        
ãîññàíýïèäíàäçîðà

 

    6. Êþðåãÿí
À.À.    - ãëàâíûé âðà÷ Ïðîòèâî÷óìíîãî
öåíòðà

 

    7. Ñóááîòèí
Â.Ã.   - ãëàâíûé ñïåöèàëèñò îòäåëà
ñàíèòàðíîé

                        
îõðàíû òåððèòîðèè, ëèöåíçèðîâàíèÿ

                        
ìèêðîáèîëîãè÷åñêîé äåÿòåëüíîñòè

                        
è ÷ðåçâû÷àéíûõ ñèòóàöèé

 

    8. Ôåäîðîâ
Þ.Ì.    - íà÷àëüíèê îòäåëà ñàíèòàðíîé
îõðàíû

                         òåððèòîðèè, ëèöåíçèðîâàíèÿ

                         ìèêðîáèîëîãè÷åñêîé
äåÿòåëüíîñòè

                        
è ÷ðåçâû÷àéíûõ ñèòóàöèé Äåïàðòàìåíòà

                        
ãîññàíýïèäíàäçîðà

 

    9. Øåñòîïàëîâ
Í.Â. - çàìåñòèòåëü ðóêîâîäèòåëÿ Äåïàðòàìåíòà

                        
ãîññàíýïèäíàäçîðà

 

Ðóêîâîäèòåëü
Äåïàðòàìåíòà

ãîññàíýïèäíàäçîðà

À.À.ÌÎÍÈÑÎÂ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ïðèëîæåíèå 2

ê Ïðèêàçó Ìèíçäðàâà
Ðîññèè

îò 29 èþëÿ 1998 ã. N
230

 

ÏÅÐÅ×ÅÍÜ

ÂÍÅÎ×ÅÐÅÄÍÛÕ
ÄÎÍÅÑÅÍÈÉ ÎÁ ÈÍÔÅÊÖÈÎÍÍÛÕ

È
ÏÀÐÀÇÈÒÀÐÍÛÕ ÇÀÁÎËÅÂÀÍÈßÕ, ÏÐÎÔÅÑÑÈÎÍÀËÜÍÛÕ

ÇÀÁÎËÅÂÀÍÈßÕ
È ÎÒÐÀÂËÅÍÈßÕ ËÞÄÅÉ, ÍÅÎÁÛ×ÍÛÕ ÐÅÀÊÖÈßÕ

ÏÎÑËÅ
ÏÐÈÌÅÍÅÍÈß ÌÅÄÈÖÈÍÑÊÈÕ ÈÌÌÓÍÎÁÈÎËÎÃÈ×ÅÑÊÈÕ

ÏÐÅÏÀÐÀÒÎÂ,
ÏÐÈÎÑÒÀÍÎÂËÅÍÈÈ (ÇÀÏÐÅÙÅÍÈÈ) ÐÅÀËÈÇÀÖÈÈ

ÍÅÄÎÁÐÎÊÀ×ÅÑÒÂÅÍÍÛÕ
ÒÎÂÀÐÎÂ ÍÀÐÎÄÍÎÃÎ ÏÎÒÐÅÁËÅÍÈß,

×ÐÅÇÂÛ×ÀÉÍÛÕ
ÑÈÒÓÀÖÈßÕ, ÑÂßÇÀÍÍÛÕ Ñ ÇÀÃÐßÇÍÅÍÈÅÌ

ÎÊÐÓÆÀÞÙÅÉ
ÑÐÅÄÛ, È ÏÎÐßÄÎÊ ÈÕ ÏÐÅÄÑÒÀÂËÅÍÈß

Â
ÄÅÏÀÐÒÀÌÅÍÒ ÃÎÑÓÄÀÐÑÒÂÅÍÍÎÃÎ ÑÀÍÈÒÀÐÍÎ -

ÝÏÈÄÅÌÈÎËÎÃÈ×ÅÑÊÎÃÎ
ÍÀÄÇÎÐÀ

ÌÈÍÇÄÐÀÂÀ
ÐÎÑÑÈÈ

 

1. Âíåî÷åðåäíûå
äîíåñåíèÿ ïðåäñòàâëÿþòñÿ â Äåïàðòàìåíò ãîññàíýïèäíàäçîðà Ìèíçäðàâà Ðîññèè ïî
ñëåäóþùèì èíôåêöèîííûì, ïàðàçèòàðíûì çàáîëåâàíèÿì è íåîáû÷íûì ðåàêöèÿì:

 

+----------------------------------------------------------------+

¦               Íàèìåíîâàíèå                 ¦     
Êðèòåðèé     ¦

¦                                            ¦  (÷èñëî
ñëó÷àåâ)  ¦

+--------------------------------------------+-------------------¦

¦1. Î âûÿâëåíèè çàáîëåâàíèé
(ñìåðòè):        ¦                   ¦

¦                                           
¦                   ¦

¦1.1. ÷óìîé                                  ¦î êàæäîì ñëó÷àå    ¦

¦                                           
¦                   ¦

¦1.2. õîëåðîé                                ¦î êàæäîì ñëó÷àå    ¦

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¦1.3. îñîáî îïàñíîé âèðóñíîé
ãåìîððàãè÷åñêîé ¦                   ¦

¦    
ëèõîðàäêîé                            
¦î êàæäîì ñëó÷àå    ¦

¦                                           
¦                   ¦

¦1.4. ìàëÿðèåé, ïàðàçèòîíîñèòåëüñòâå         ¦                   ¦

¦    
(ìåñòíîì)                             
¦î êàæäîì ñëó÷àå    ¦

¦                                           
¦                   ¦

¦1.5. ïîëèîìèåëèòîì                          ¦î êàæäîì
ñëó÷àå    ¦

¦                                            ¦                   ¦

¦1.6. áåøåíñòâîì                             ¦î êàæäîì
ñëó÷àå    ¦

¦                                           
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¦1.7. ÂÈ× - èíôåêöèåé                        ¦î êàæäîì ñëó÷àå    ¦

¦                                            ¦                   ¦

¦1.8. ñòîëáíÿêîì                             ¦î ëåòàëüíîì
ñëó÷àå ¦

¦                                           
¦                   ¦

¦1.9. äèôòåðèåé                              ¦î ëåòàëüíîì ñëó÷àå ¦

¦                                            ¦                   ¦

¦1.10. î âûäåëåíèè êóëüòóðû
õîëåðíîãî        ¦                   ¦

¦     
âèáðèîíà èç âíåøíåé ñðåäû            
¦î êàæäîì ñëó÷àå    ¦

¦                                           
¦                   ¦

¦1.11. î âûäåëåíèè êóëüòóðû ÷óìíîãî
ìèêðîáà  ¦                   ¦

¦     
îò ãðûçóíîâ â íàñåëåííîì ïóíêòå      
¦î êàæäîì ñëó÷àå    ¦

¦                                           
¦                   ¦

¦2. Î âûÿâëåíèè íåîáû÷íîé ðåàêöèè            ¦î êàæäîì ñëó÷àå    ¦

¦  
(îñëîæíåíèå, øîê, ñìåðòü) ïîñëå         
¦                   ¦

¦  
ïðèìåíåíèÿ ìåäèöèíñêèõ                  
¦                   ¦

¦  
èììóíîáèîëîãè÷åñêèõ ïðåïàðàòîâ          
¦                   ¦

¦  
(âàêöèíû, àíàòîêñèíû, ñûâîðîòêè,        
¦                   ¦

¦  
èììóíîãëîáóëèíû, èíòåðôåðîí)            
¦                   ¦

¦                                           
¦                   ¦

¦3. Î âûÿâëåíèè ãðóïïîâûõ çàáîëåâàíèé
èëè    ¦                   ¦

¦  
ïîäîçðåíèè íà çàáîëåâàíèÿ ñðåäè         
¦                   ¦

¦  
íàñåëåíèÿ <*>:                           ¦       
           ¦

¦                                           
¦                   ¦

¦3.1. áðþøíûì òèôîì, ïàðàòèôàìè              ¦5 è áîëåå          ¦

¦                                           
¦                   ¦

¦3.2. äðóãèìè ñàëüìîíåëëåçíûìè
èíôåêöèÿìè    ¦50 è áîëåå         ¦

¦                                           
¦                   ¦

¦3.3. äèçåíòåðèåé è äðóãèìè îñòðûìè          ¦50 è áîëåå         ¦

¦    
êèøå÷íûìè èíôåêöèÿìè óñòàíîâëåííîé    
¦                   ¦

¦    
(âêëþ÷àÿ óñëîâíî - ïàòîãåííóþ         
¦                   ¦

¦    
ìèêðîôëîðó) è íåóñòàíîâëåííîé         
¦                   ¦

¦    
ýòèîëîãèè                              ¦                   ¦

¦                                           
¦                   ¦

¦3.4. âèðóñíûì ãåïàòèòîì À                   ¦25 è áîëåå         ¦

¦                                           
¦                   ¦

¦3.5. ãåìîððàãè÷åñêîé ëèõîðàäêîé ñ
ïî÷å÷íûì  ¦10 è áîëåå         ¦

¦    
ñèíäðîìîì                             
¦                   ¦

¦                                           
¦                   ¦

¦3.6. ëåïòîñïèðîçîì                          ¦10 è áîëåå         ¦

¦                                           
¦                   ¦

¦3.7. ëèõîðàäêîé Êó è äðóãèìè
ðèêêåòñèîçàìè, ¦10 è áîëåå        
¦

¦    
â òîì ÷èñëå ýïèäåìè÷åñêèì ñûïíûì òèôîì ¦3 è áîëåå          ¦

¦                                           
¦                   ¦

¦3.8. áðóöåëëåçîì                            ¦10 è áîëåå         ¦

¦    
â òîì ÷èñëå îâå÷üåãî òèïà            
 ¦                   ¦

¦                                           
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¦3.9. ñèáèðñêîé ÿçâîé                        ¦3 è áîëåå          ¦

¦                                           
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¦3.10. òóëÿðåìèåé                            ¦10 è áîëåå         ¦

¦                                           
¦                   ¦

¦3.11. òðèõèíåëëåçîì                         ¦10 è áîëåå         ¦

¦                                           
¦                   ¦

¦3.12. ìåíèíãîêîêêîâîé èíôåêöèåé             ¦5 è áîëåå          ¦

¦                                           
¦                   ¦

¦3.13. èíôåêöèîííûìè çàáîëåâàíèÿìè           ¦10 è áîëåå         ¦

¦     
íåâûÿñíåííîé ýòèîëîãèè               
¦                   ¦

¦                                            ¦                   ¦

¦4. Î âûÿâëåíèè ãðóïïîâûõ çàáîëåâàíèé
èëè    ¦                   ¦

¦  
ïîäîçðåíèè íà çàáîëåâàíèÿ â ëå÷åáíî -   
¦                   ¦

¦  
ïðîôèëàêòè÷åñêèõ, îáðàçîâàòåëüíûõ è     
¦                   ¦

¦  
îçäîðîâèòåëüíûõ ó÷ðåæäåíèÿõ:            
¦                   ¦

¦                                           
¦                   ¦

¦4.1. áðþøíûì òèôîì, ïàðàòèôàìè              ¦3 è áîëåå          ¦

¦                                           
¦                   ¦

¦4.2. äðóãèìè ñàëüìîíåëëåçíûìè
èíôåêöèÿìè    ¦25 è áîëåå         ¦

¦                                           
¦                   ¦

¦4.3. äèçåíòåðèåé è äðóãèìè îñòðûìè          ¦25 è áîëåå         ¦

¦    
êèøå÷íûìè èíôåêöèÿìè óñòàíîâëåííîé    
¦                   ¦

¦    
(âêëþ÷àÿ óñëîâíî - ïàòîãåííóþ         
¦                   ¦

¦    
ìèêðîôëîðó) è íåóñòàíîâëåííîé         
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ýòèîëîãèè                             
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¦                                            ¦                   ¦

¦4.4. âèðóñíûì ãåïàòèòîì À                   ¦25 è áîëåå         ¦

¦                                           
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¦4.5. âèðóñíûìè ãåïàòèòàìè Â, Ñ, Ä           ¦5 è áîëåå          ¦

¦                                            ¦                   ¦

¦4.6. äèôòåðèåé (â òîì ÷èñëå
áàêòåðèîíîñèòå- ¦5 è áîëåå          ¦

¦    
ëåé òîêñèãåííûõ øòàììîâ êîðèíîáàêòåðèé)¦                   ¦

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¦4.7. êîðüþ                                  ¦5 è áîëåå          ¦

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¦4.8. ýïèäåìè÷åñêèì ïàðîòèòîì                ¦10 è áîëåå         ¦

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¦                   ¦

¦4.9. ìåíèíãîêîêêîâîé èíôåêöèåé              ¦                   ¦

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¦4.10. èíôåêöèîííûìè çàáîëåâàíèÿìè
ëþáîé     ¦                   ¦

¦     
ýòèîëîãèè ó íîâîðîæäåííûõ è ðîäèëüíèö ¦                   ¦

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(ñóììàðíî)                           
¦                   ¦

ñòð.1Ïåðåéòè íà ñòð.2Ïåðåéòè íà ñòð.3