Vaccination Against Infectious Diseases

Original Language Title: o očkování proti infekčním nemocem

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Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=63208&nr=537~2F2006~20Sb.&ft=txt

537/2006 Sb.



The DECREE



of 29 April 2004. November 2006



vaccination against infectious diseases



Change: 65/2009 Sb.



Change: 443/2009 Sb.



Change: 299/2010 Sb.



The Ministry of health provides under section 108, paragraph. 1 of law No.

258/2000 Coll., on the protection of public health and amendment to certain

related laws, as amended by Act No. 392/2005 Coll. and Act No.

222/2006 Coll. (hereinafter the "Act") for the implementation of section 45, paragraph. 2, § 46 paragraph.

1, 2, 6 and § 47 odst. 3 of the Act:



§ 1



The subject of the edit



This Decree regulates the



and vaccination) Division of the conditions for the implementation of the vaccination and passive immunization,

methods of investigation of immunity, the workplace with a higher risk of developing

infectious diseases and conditions under which they may be in the context of the

a special vaccination of a natural person included in the workplace,



(b)) when it is before the regular and special vaccination

a natural person shall be obliged to submit to the examination of the State of immunity and when is

required to submit to a specified kind of vaccination, and



(c) write about) the extent of vaccination to the vaccine or

health and vaccination certificate of the child and the young person and the medical

documentation of the vaccinated.



§ 2



The breakdown of the vaccination



(1) vaccination against infectious diseases is divided into



and) regular vaccination against tuberculosis, against diphtheria, tetanus,

pertussis, invasive disease due to Haemophilus originator

influenzae b, portable polio and viral hepatitis B, against

measles, rubella and mumps, against pneumococcal diseases and against

viral hepatitis B,



(b)) special vaccination against viral hepatitis and viral hepatitis B and

against rabies,



(c) emergency vaccination), which means the vaccination of individuals to

Prevention of infections in emergency situations,



(d)), when vaccination accidents, injuries, setbacks and nehojících before

some therapeutic feats, and against tetanus and rabies, and



e) vaccination, made at the request of the natural person wishing to be

vaccination protects against infections, against which the vaccine is available

the substance.



(2) in the cases provided for in this Decree, the regular vaccination

be carried out as



and the primary vaccination,) which is served by one or more of the benefits

the vaccine needed to achieve specific resistance against the

infection, and



(b)) a booster, which is usually served in a single dose of vaccine

the substance, which again induces the State of resistance against the

the infection.



§ 3



Regular vaccination against tuberculosis



(1) vaccination shall be carried out in children with the indications set out in annex No. 3 to

This Decree. Indication for vaccination according to the annex No. 3 to this notice

the doctor will assess neonatal Department, in particular, on the basis of legal

the representative of the child completed the questionnaire on the definition of the risk

tuberculosis, referred to in annex 2 to this Decree. Doctor

neonatal Department fills in (II). part of the questionnaire and the questionnaire,

as part of the layoff news, passes the registrujícímu practical

doctors for children and adolescents. In the event that the child has an indication for vaccination

According to the annex 3 to this Decree, at the same time inform the workplace

patch test. Registered general practitioner for children and adolescents, generally

within one month after taking custody, sends a child that meets the

the indication referred to in annex 3 to this Decree, and that it was not against the

TB has not yet been vaccinated, the workplace of the patch test.



(2) in the case of children, which cannot meet the indication referred to in annex 3 to this

the decree to assess physician centers, examines these

indications for the first contact with the legal representative of the child enrolls

general practitioner for children and adolescents. For the next procedure, paragraph 1 sentence

last apply mutatis mutandis.



§ 4



Regular vaccinations against diphtheria, tetanus, pertussis, invasive

diseases due to the originator of the Haemophilus influenzae b, portable

polio and viral hepatitis B



(1) the basic vaccination shall be carried out at the time of the ninth week after additional

the birth of a child with three doses of hexavalentní vaccine

diphtheria, tetanus, acellular, component pertusi with invasive disease

due to the originator of the Haemophilus influenzae b, viral hepatitis B and

an inactivated vaccine against polio, portable (hereinafter referred to as

"hexavalentní vaccine") during the first year of life of the child,

by at least one month in the intervals between doses, and the fourth

dose have been filed at least six months after the submission of the third dose. The fourth dose

hexavalentní of the vaccine shall be submitted at the latest before the age

the eighteenth month of the child's age. In children vaccinated against tuberculosis,

the basic vaccination hexavalentní vaccine performs from the additional

the 13th week after the birth of a child, but after healing

postvakcinační response after vaccination against tuberculosis.



(2) Vaccination against diphtheria, tetanus and pertussis is carried out

a vaccine against these infections with acellular pertusovou folder in the

the time from the completion of the fifth to the sixth year of the completion of the age of the child.



(3) the vaccination against diphtheria, tetanus and acellular pertussis with

pertusovou folder along with the application of the fifth dose of inactivated vaccine

the substance against communicable polio is carried out from the completion of the tenth to

the completion of the eleventh year of age of the child. For complete vaccination against communicable

polio is considered to be the application of five doses of the vaccine.



(4) in the case of persons vaccinated in accordance with section 4, paragraph 4. 3 with a booster against tetanus

25 years from completion performs to complete six years of age.



(5) a booster against tetanus is performed in children vaccinated against tetanus

According to the existing legislation at the time of the completion of the fourteenth to

the completion of the fifteenth year of age of the child.



(6) additional booster against tetanus is carried out by natural persons

have been vaccinated in accordance with paragraphs 1, 2 and 4 after every 10 to 15 years.



(7) the basic vaccination against tetanus for adult individuals with

performs the three portions of the following intervals: the second dose for 6

weeks after the first dose, and the third dose 6 months after the second dose.



(8) the basic vaccination of newborns HBsAg positive mothers shall be

one dose of vaccine against viral hepatitis B within 24

hours after the birth of a child. In the vaccination of these children continues from

the sixth week following the birth of a child, according to the summary of the product characteristics of ^ 1)

hexavalentní vaccine.



(9) in the case of children against viral hepatitis (B) have not been vaccinated

referred to in paragraph 1, the vaccination shall be carried out at the time from the completion of the

Twelfth thirteenth year in the completion of the age of the child.



(10) in the case of contraindications some of the folders hexavalentní

vaccine vaccination is carried out an alternative vaccine.



§ 5



Regular vaccination against measles, rubella and mumps



(1) the basic vaccination performs a live vaccine, and it first

the first day of the 15th of the month after the birth of the child.



(2) a booster will take a 6 to 10 months after the basic

vaccination, in justified cases, and later with the fact that the upper age

the boundaries for Administration of the vaccine is not limited.



§ 6



Regular vaccination against pneumococcal diseases



(1) vaccination against pneumococcal disease vaccine polysacharidovou

a substance shall be carried out for individuals located in hospitals for

long-term patients and in homes for the elderly. In addition, vaccination against

pneumococcal diseases performs for individuals residing in nursing homes

for persons with disabilities or in homes with special

mode, if these individuals suffer from chronic nespecifickým

diseases of the respiratory tract, chronic diseases of the heart, blood vessels, or

the kidneys or diabetes léčeným insulin. In the next vaccination against

pneumococcal diseases are treated in accordance with the summary of the product characteristics of ^ 1).



(2) in the case of children who have health indications set out in annex 1 to this

the Decree, to the completion of five years of age performs the vaccination

stained pneumococcal vaccine at intervals according to the summary of

preparation of ^ 1). From the second year of the period of the child's age can be in these

Alternatively, cases may submit polysacharidovou vaccine

pneumococcal disease.



section 7 of the



Regular vaccination against viral hepatitis B



(1) vaccination shall be carried out by the application of three doses of vaccine for the physical

persons



and the risk exposure) when the biological material,



(b)) to be included in the regular dialysis programs, or



(c)) of the newly adopted to homes for the disabled or to

homes with special regime.



(2) vaccination in accordance with paragraph 1 shall not apply, if a natural person has been

vaccinated in scope according to § 4, 9, or 10, or if the level of antiHBs

the antibodies will after verification of the State of immunity more than 10 IU/litre.



§ 8



cancelled



§ 9



Special vaccination against viral hepatitis B



(1) vaccination shall be carried out by natural persons working in the workplace

referred to in section 16. 1 if you are active in the investigation and treatment of

natural persons, on which they have to take care when handling the specific
waste from medical facilities and for persons in low-threshold

programmes for drug users. It further takes for medical students

faculties and medical schools, with students being prepared on the other

high schools than medical school, for the activities in the

medical facilities in the investigation and treatment of the sick,

learners at the intermediate and higher vocational schools, social

prepared for activities in the facilities of the social services in

investigation and treatment of individuals taken to these devices, for

physical persons providing off road or outpatient social services and

for the newly accepted members of the prison service and judicial guard and persons

included in the retraining courses, providing care and treatment

persons in social service facilities or in establishments handling

social services, hazardous waste, and in health care

devices.



(2) vaccination in accordance with paragraph 1 shall not apply in the case of a natural person with

arguably the island disease viral hepatitis B and for the physical

people showing antibodies against HBsAg exceeding 10 IU/litre.



§ 10



Special vaccination against viral hepatitis and viral hepatitis B



Vaccination shall be carried out by the staff and members of the basic ingredients

the integrated rescue system provided by law for the integrated

rescue system ^ 2) newly admitted to a work or service

the ratio.



§ 11



Special vaccination against rabies



Vaccination shall be carried out by natural persons working in the workplace

referred to in section 16. 2.



§ 12



cancelled



section 13



Vaccination against rabies or tetanus in accidents, injuries,

nehojících is a terrific and before some therapeutic performances



(1) vaccination against tetanus is performed when the accidents, injuries or

nehojících is a terrific, for which there is a risk the disease tetanus, and

in indicated cases, preoperative preparation, in particular before the operations of the

the rectum or colon. Vaccination shall be carried out with a vaccine

intended for active immunization, according to the summary of the product characteristics of ^ 1) this

the vaccine



(2) vaccination against rabies shall be carried out in case of a bite or

injury to the animal suspected of being infected with rabies.



§ 14



The implementation of the vaccination



(1) the Parenteral vaccine application is performed always at each

natural persons under aseptic conditions, a separate sterile injectable

a separate sterile syringe and hypodermic needle, or

a separate sterile syringe předplněným kompletem, sterile

the injection needle.



(2) at the same time can be vaccinated in different places of the body living and non-living vaccine

the substance. If this is not done the submission of various vaccines at the same time,

After the submission of the live vaccine interval of 1 month and after

the submission of non-living vaccines an interval of 14 days; after vaccination against

tuberculosis can be vaccinated as soon as possible for 2 months, but always after healing

the initial response. In exceptional cases, if it requires

the health status of individuals or the need to induce the desired status

resistance, can be referred to shorten the intervals.



§ 15



The conditions for the implementation of passive immunization



(1) in the case of persons vaccinated in accordance with section 13 (3). 1 in cases where it

It is recommended that a summary of the vaccine against tetanus, shall also

hyperimunní antitetanický globulin.



(2) in the case of natural persons vaccinated in accordance with section 13 (3). 2 in cases where the

It recommends that the summary of the product characteristics of ^ 1) to vaccine against

rabies, also shall hyperimunní antirabický globulin.



(3) in newborns of mothers HBsAg positive vaccinated according to the section 4, paragraph 4. 8

will also hyperimunní globulin against viral hepatitis B.



section 16 of the



Workplaces with higher risk of infectious diseases



(1) a workplace with a higher risk of viral hepatitis (B)

Department of surgery, Department of hemodialysis and infectious,

inpatient internal Department including hospitals for long-term patients and internal

the workplace performing invasive procedures, the Department

Department of Anaesthesiology and reanimation, intensive care unit, laboratory

working with the human biological material, equipment, blood transfusion service,

workplace dental, pathological-anatomical, medical,

psychiatric and medical rescue services and departments on homes

for the elderly, homes for the disabled, homes,

Special arrangements and asylum houses.



(2) the workplace with higher risk of rabies are laboratories where

It works with virulentními strains of rabies.



§ 17



The conditions under which a natural person may be entered on the workplace with

higher risk of infectious diseases



To the workplace as referred to in section 16. 1 and 2 may be a natural person of the newly

classified as soon as possible after the submission of the second vaccine dose, provided

that further vaccination will be completed within the prescribed deadline.



section 18



The range of writing about vaccination



The vaccination certificate or health and vaccination certificate of the child and

the young person of vaccination shall be carried out by the following information: the type and name of the

the vaccine, the date of its submission, the lot number, signature and stamp

očkujícího doctor and an indication of the inoculation procedure carried out under section 47

paragraph. 1 (a). (b)) of the Act any other vaccine, than to ensure that the competent

authority to protect public health. The range of the medical record

documentation of specific legislation regulates the vaccinated ^ 3).



Transitional provisions



§ 19



(1) the basic vaccination according to the section 4, paragraph 4. 1 will be carried out in children

born after 31 December 1997. December 2006 hexavalentní vaccine.



(2) Children, for which vaccination hexavalentní vaccine

initiated the procedure according to § 47 odst. 1 (a). (b)) of the Act, in 2007

shall submit to the fourth dose of this vaccine according to the section 4, paragraph 4. 1 the last sentence,

not later than 18 months of age of the child.



(3) the basic vaccinations against diphtheria, tetanus, pertussis,

invasive disease due to Hemophilia influenzae b and viral

hepatitis B in children born before 1 January 2006. January 1, 2007 shall be carried out and

According to the existing legislation completes.



(4) the Regular vaccination against viral hepatitis B in children born

before 1 January 2006. in January 2007, which have not been vaccinated against this disease by

the existing provisions, that the first dose of vaccine

shall the children in the first few months after the birth of a child, the third dose of vaccine

substances shall be submitted not later than the completion of the third year of age of the child.



section 20



(1) the vaccination against polio for portable children

born in the year 2005 shall be carried out in 2007, two doses of the live vaccine

substances by separately in two stages in the months of March and may

According to the existing legislation.



(2) the basic vaccination against polio for portable children

born in 2006, performs in 2007 two doses of live vaccine

substances by separately in two stages in the months of March and may

According to the existing legislation.



(3) the vaccination against polio for portable children

born in 2006, performs in 2008 two doses of live vaccine

substances by separately in two stages in the months of March and may.



section 21



(1) in 2007, with children born from 1. May 1993 to 30. April

1994 performs a booster against children's portable with inactivated polio

a vaccine against this disease the filing of the fifth dose.



(2) in 2008, with children born from 1. May 1994 to 30. April

1995 performs a booster against children's portable with inactivated polio

a vaccine against this disease the filing of the fifth dose.



(3) in 2009 for children born from 1. May 1995 to 30. April

1996 performs a booster against children's portable with inactivated polio

a vaccine against this disease the filing of the fifth dose.



section 22



The basic vaccination against viral hepatitis B opened for individuals

which have been vaccinated in accordance with the existing law, according to

the existing legal regulation and completes.



section 23



Special vaccination against viral hepatitis B and rabies, initiated by the

natural persons which have been vaccinated in accordance with the existing legal

Regulation, in accordance with the existing legislation and completes.



section 24



Cancellation provisions



Shall be repealed:



1. Decree No. 439/2000 Coll., on inoculation against infectious diseases.



2. Decree No. 478/2002 Coll., amending Decree No 439/2000 Coll., on the

vaccination against infectious diseases.



3. Decree No. 30/2004 Coll., amending Decree No 439/2000 Coll., on the

vaccination against infectious diseases, as amended by Decree No. 478/2002 Sb.



§ 25



The effectiveness of the



This Decree shall take effect on 1 January 2005. January 1, 2007.



Minister:



Mudr. Julínek in r.



Annex 1



Indication of the inoculation stained pneumococcal vaccine for children



1. The primary defects of immunity with the clinical manifestation of creation:

immunoglobulin, T cells, phagocytosis and complement.



2. Serious secondary immunodeficiencies, particularly hematological-oncological and

oncological diseases after CHT, organ transplantation, HIV.



3. Asplenie functional and anatomical in children before the age of the second year

age.
4. The transplantation of stem cells hematopoiteic.



5. Chronic lung disease, in particular, birth defects and disorders

the respiratory tract, bronchopulmonary dysplasia.



6. Recurrent otitidy in the range of 4 attacks and more per year.



7. Patients with cochlear implants and likvoreou.



8. Patients suffered bacterial meningitidách and septikémiích.



9. Children with a birth weight below 1500 g.



Annex 2



Questionnaire to the definition of the risk of tuberculosis



Name and surname of the child..............................



The date of birth of the child............... the insured's Number (if assigned)...............



Name/code for health insurance:.......................................................



Part I-to be completed by the legal representative of the child



One or both of the parents of the child or a sibling of the child or a member of the household,

in which the child lives, had/has active tuberculosis. Select:



Yes No/not known



A child, one or both of the parents of the child or a sibling of the child or a member of the household,

in which the child was born or lived continuously for more than 3 months staying outside stayed/

The Czech Republic. Select:



Yes If Yes, in what state (Please list all States) no/not known



..........................................................................................



The child was in contact with the sick with tuberculosis. Select:



Yes No/not known



It was carried out the investigation on TB in persons with whom the child has been in contact. Select:



Yes No/not known



Name and surname of the legal representative of the child................................



Date............... Signature of the legal representative of the child...............



Part II-to be completed by the doctor



The child has an indication for vaccination against tuberculosis, according to the annex No. 3 to Decree No. 537/2006 Coll.

vaccination against infectious diseases, in the wording of later regulations. Select:



Yes No



Name and surname of the doctor ..............................



Date............... The signature of the physician ..............................



The stamp of medical equipment



Annex 3



Indications for vaccination against tuberculosis



1. One or both of the parents of the child or a sibling of the child or a member of the

the home in which the child lives, had/has active tuberculosis.



2. A child, one or both of the parents of the child or a sibling of the child or

Member of the household in which the child lives, was born or continuously for more than 3

the month is staying in State/higher incidence of tuberculosis than 40

cases per 100 000 inhabitants. The Department of health each year

the Commission shall publish the list of the States with a higher incidence of tuberculosis within 30 days from the

updates made to the World Health Organization.



3. The child was in contact with the sick with tuberculosis.



4. Indications for vaccination results from the anamnestic data provided by

doctors centers or registrujícímu practitioner

for children and adolescents the legal representatives of the child. ".



1) § 3 (3). 1 of law No 378/2007 Coll., on pharmaceuticals and on amendments to certain

related laws (law on medicinal products).



§ 4 paragraph 2). 1 Act No. 239/2000 Coll., on the integrated rescue

the system amending certain laws, as amended by Act No. 320/2002 Coll.



3) Decree No 385/2006 Coll., on the medical documentation, as amended by

Decree No. 479/2006 Sb.