On The Hygiene Requirements On Recovery Action For Children

Original Language Title: o hygienických požadavcích na zotavovací akce pro děti

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106/2001 Sb.


The Ministry of health

on 2 December. March 2001

on the hygiene requirements on recovery action for children

Change: 148/2004 Sb.

Change: 320/2010 Sb.

Change: 422/2013 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, (hereinafter referred to as "the Act") for the implementation of § 8 paragraph. 2, section 23

paragraph. 3 and section 24, paragraph. 1 (a). (d)) of the Act:

§ 1

The subject of the edit

This decree modifies the hygiene requirements for the location, spatial

the conditions and the functional breakdown of buildings and equipment, including their equipment, and

on accommodation, lighting, cleaning, water supply, waste disposal and

waste water, meals and day mode recovery actions. In annex No. 1.

This Decree shall also lay down the conditions for the submission and use of the

certain foods and dishes, in annex 2 to this Decree

first aid course content for health professional recovery actions, and schools in the

nature, in annex No. 3 to the Ordinance of the health evaluation

the eligibility of the child to participate in the recovery action and school in the countryside and in the

Annex No 4 to this decree a minimum range of equipment kits for

recovery actions for the children and for schools.

§ 2

The location of the

Recovery actions are placed outside the territory where the pollution can be expected

the air over the limits, ^ 1) or exceeded the health limit

noise for a protected outdoor space ^ 2). The land on which it is

recovery action is placed, must lead the access path.

§ 3

The spatial conditions

(1) Recovery action in construction sites or in tents.

(2) premises in buildings ^ 3) must be dry, with natural ventilation and

lighting; one child on the accommodated the area must be at least 2.5 m2. In

buildings and tents must correspond to the number of children traveling condition

preserving space for storage of personal belongings and move between options

each of the beds.

(3) the tents intended for the accommodation of children must have a solid waterproof

tents. Spaces for sleeping must be isolated from the country against

damp and cold and the premises for storage of personal belongings must be isolated

against moisture.

(4) on the recovery actions, conditions must be created for personal

hygiene. In the washroom must be on 5 children one washbasin with running water and

with a drain cock or with removal of the water used outside the place

personal cleansing and on 30 children with at least one shower head. Showers

use the kids separately by sex and intimacy must be ensured. On

all recovery operations must be able to swim or

shower in hot water at least once a week.

(5) Lavatories shall be established at the number 1 toilet for 15 children. The toilets are used

children separately by sex and intimacy must be ensured. In the vicinity of the

toilets must be the option of hand-washing in running water.

(6) in the infirmary and setting up isolation in separate

rooms equipped with a washbasin with running drinking water and with the possibility of

heating and hot water usage. The insulation must have their own bathroom with

options for hand washing in running water. Isolation or the infirmary shall not be

equipped with bunk beds or may not be used for other purposes. On 30

Children establishes a single bed. If the recovery actions organized in

tents can be placed in the infirmary, and the isolation of troop tents. Drugs and

medical documentation must be secured so that they should not

access by children or other unauthorized persons.

(7) In buildings where there are winter recovery action must be

provided climatic conditions ^ 4) corresponding to the

a residence room, hot water for personal hygiene and facilities for

the drying of clothes and footwear and sporting goods store.

§ 4

Accommodation, equipment and cleaning

(1) the Accommodation of children is provided separately by gender, with the exception of

in cases where the common consent of the legal representative of the accommodation

of the child. Persons employed in the recovery action as surveillance staying separately

in the vicinity of children. The Medic is staying in the immediate vicinity

the infirmary with insulation.

(2) Bunk beds can be used for children from 7 years of age. The upper berth must

be safely accessible and equipped with a barrier against collapse and waterproof

washer under the mattress.

(3) the exchange of bed linen must always be carried out before using the bed

another child, after the pollution and after the departure of the child because of illness.

Handling bedclothes during the occurrence of infectious diseases may

perform only the medic. When you use the beds with repeatedly-used

the mattress or bed's mattress must be equipped with a removable coating

or net fabrics covering the entire surface of the bed. Clean bed linen

must be stored so as to prevent its pollution. Used bedding

underwear, which must be stored separately from the net, must be

stored in protective storage or transport packaging.

(4) before starting the recovery action, between its different races and after

their recovery action must be carried out cleaning and adjustment of all space

serving the recovery action.

(5) in the course of the recovery action must be carried out daily cleaning of all

space serving the recovery action. Daily cleaning may participate in

children under the guidance of persons active in the recovery action. Children, however, may not

carry out cleaning toilets.

§ 5

Water supply

(1) Recovery action must be secured with drinking water which meets the

health requirements under the law governing the requirements for

drinking water ^ 5), so that was enough for drinking, cleaning teeth, cooking,

washing dishes, cleaning work surfaces in kitchen, personal hygiene of persons

pursuing activities of epidemiologically significant and to operate the dispensaries and


(2) the possible informing or import drinking water must be used only

clean sealable containers made of materials intended for direct

contact with drinking water, and earmarked for this purpose. Marked container with

donášenou or imported drinking water must be stored in a cool and

shady spot.

§ 6

Disposal of waste and wastewater management

(1) the waste may be treated and handled only under the conditions laid down

special legislation. ^ 10) solid waste shall be stored in a

resealable containers, which can be easily cleaned and disinfected, or to

disposable plastic packaging. Waste shall be stored off the premises where

handling food.

(2) waste water and substances harmful waters may be disposed of, and

treat only under the conditions laid down in the specific legislation. ^ 11)

section 7 of the


(1) the facilities for dining, with the exception of the fire must always be

covered and secure from the adverse effects of using external; must

include at least spaces for preparing food, eating, washing dishes

utensils and food storage. In the area of preparation of dishes must not be

the crossing at the same time carried out activities or soiled and clean

the procedures and operations that may adversely affect each other.

(2) desktop, tools and utensils shall be of suitable material

for contact with foodstuffs ^ 6). The desktop, which can be both boards of the

material suitable for contact with foodstuffs must be labelled and separated by

so that, at all stages of production, processing and distribution have been

food or food protected from contamination, which could

cause the food or dishes are unhealthy.

(3) Device, desktop, tools and utensils must be thoroughly

cleaned and, if necessary, disinfected. Cleaning must be carried out

so often, to avoid the risk of contamination of food or food.

Must be ensured adequate conditions for food, washing the dishes and

the hands of the persons performing activities of epidemiologically significant. Washing

kitchen and dining utensils must be separated.

(4) food shall be stored under conditions laid down by the manufacturer, or

a special law ^ 7). Stored food or dishes

must not interfere with each other, and shall not be negatively influenced by using external

influences. During the recovery action may not be submitted or the preparation of food

used food as set out in annex 1 to this notice; in the annex to

they are further laid down the conditions under which some of the food served

or use.

(5) a day for children must be on recovery action provided breakfast,

Brunch, lunch, snack and dinner. In the diet can be combined

issue with přesnídávkou and breakfast lunch snack. Part of the breakfast must

be warm drink. One of the main dishes must be warm. Food served

children must correspond to their age and physical stress. On compiling

a la carte is involved in the health care professional.

(6) the Drinks must be for the participants of the recovery actions available throughout the

the day. Kept in covered containers with tap or

fifth straight from the original packaging.

(7) children can participate in the preparation of the diet just before the heat

processing and ancillary works. The recovery action of up to 50 participants

can children participate in the entire preparation of the diet and its issue, if they are
under the supervision of persons employed in catering. The health status of children

involved in the preparation of the food, must be assessed by a health professional.

(8) even if the catering provided by establishments

catering services, it must be ensured that the requirements laid down in

paragraphs 4, 5 and 6.

§ 8

The mode of the day

(1) in the mode of the day must be tightly defined time for sleep, personal

hygiene and meals. The time allowed for sleep must be at least 9

hours for children up to 10 years and 8 hours for older children. The mode of the day

must match the age and State of health of the children.

(2) the physical and mental burden of children must be appropriate to their age,

abilities and capabilities. When continuous physical stress children in the first

two days of recovery action must be the third day reserved for rest. On

itinerant recovery action provides a rest day with regard to physical

the aim of the current health status of children.

(3) a person engaged in the recovery action as supervision continuously checked

clothing, footwear and bedding of children to be protected from the provlhnutím and

avoid cooling of the children. Also check whether the children shall comply with the

personal hygiene.

(4) the Bathing of children must be adapted to the weather, the physical fitness of children and

their swimming abilities. Children can bathe only under the supervision of the person

active in the recovery action as supervision. Supervision may be exercised only by the person,

that is able to provide rescue tonoucímu. Bathe children may

the earliest 1 hour after the main meal or after intense exercise.

(5) When the winter recovery actions may not training or other systematic

the physical burden of children shall not exceed 6 hours a day.

§ 9

Final provision

Shall be deleted:

1. The Decree of the Ministry of health and Social Affairs of the Czech

No. 185/1990 Coll., on recovery, and other similar events for

children and adolescents.

2. Decree of the Ministry of health of the Czech Republic No. 445/1992 Coll.,

amending and supplementing the Ordinance of the Ministry of health and

Social Affairs of the Czech Republic No. 185/1990 Coll., on recovery and

other similar events for children and adolescents.

§ 10

The effectiveness of the

This Decree shall take effect on the date of publication.


Prof. MUDr. Fisher, PhD. in r.

Annex 1

The conditions for the submission and use of certain foods and dishes

1. The recovery actions cannot serve or use of a food or

the dishes, which can be unhealthy.

2. technology of manufacture of food and putting them into circulation, must be in

accordance with good manufacturing practice.

3. Food that cannot be stored in accordance with the conditions of the manufacturer or

requirements of special legal regulation ^ 7), must be immediately after the

purchase heat treated (for example, frozen vegetables, meat) or

immediately released for consumption.

Annex 2

First aid course content for health professional recovery actions, and schools in the


The range of training


The number of hours

Téma -------------------------

The Theory Of Practice In Total


1. the basics of construction and function

the human body 3-3


2. First aid-theoretical part 10-10


3. First aid-practical part-16 16


4. care of the sick 2 2 4


5. the basics of medical documentation 1-1


6. the rights and duties of health professionals

recovery actions 2 1 3


7. Hygiene and epidemiology 3-3


A total of 21 19 40


The contents of the training

1. The foundations of the construction and function of human body

1.1. Structure and function of human body

1.2. Motor System

1.3. the circulation of the blood, blood

1.4. Digestive System

1.5. Respiratory tract

1.6. The urinary tract

1.7. The skin tract

1.8. the reproductive system of men and women

1.9. Sensory organs

1.10. Nerve tract

1.11. Fabric control organism

2. First aid-the theoretical part

2.1. Types of medical first aid:

2.1.1. first aid

2.1.2. the first medical assistance

2.1.3. the professional medical assistance

2.1.4. the specialized medical assistance

2.1.5. the technical first aid

2.1.6. the transport of the wounded

2.2. Basic types of medical classification:

2.2.1. the indicator

2.2.2. the local, odsunové

2.2.3. foresight

2.3. Prevention of accidents:

2.3.1. in sports and extracurricular activities, in transport and in the field

2.3.2. the binding on the age peculiarities of children

2.4. First aid:

2.4.1. primary health care tasks (bleeding, a big loss of blood,

respiratory and circulatory failure, scoop measures)

2.4.2. electric shock

2.4.3. drowning (types of drowning, rescue resources and their use,

first aid afloat, emergency resuscitation of drowning)

2.4.4. the unconscious

2.4.5. varicose conditions and intoxication

2.4.6. injury to internal organs, mozkolebeční injury, injury

chest and stomach

2.4.7. injuries of the locomotor system

2.4.8. sudden abdominal pain and chest

2.4.9. allergic reaction

2.4.10. cuts, heat damage, damage from the cold burns.

2.4.11. shock

2.5. the principles of first aid in difficult conditions (at night,

in the rain, etc.)

2.6. Principles for the provision of first aid with improvised means

3. First aid-the practical part

3.1. Training in cardiopulmonary resuscitation carry phantom

3.2. work with obvazovými materials according to the type of material:

3.2.1. šátkové, obinadlové, from flexible materials, from nepřilnavých


3.2.2. finished bandages No. 1, 2, 3, 4, dressing for Burns-package

3.3. working with obvazovými materials according to purpose:

3.3.1. the cover, pressure, poloprodyšné, znehybňující, improvisation

3.3.2. practice of bandaging techniques for the use of materials and


3.4. Handling, positioning and transport:

3.4.1. positioning of the wounded according to the nature of the injury, including training

relevant procedures

3.4.2. training in the handling of the wounded one more saviors and

3.4.3. ways of loading the wounded to different kinds of transport

resources (use of improvisation and standardized transport


3.4.4. methods of investigation

3.4.5. principles of medical transport (facing, timeliness, thrift)

4. care of the sick

4.1. Medical Ethics, patient access

4.2. Introduction to the psychology of the patient

4.3. Monitoring of the vital functions and the health status of the patient (pulse,

breath, temperature, blood pressure, consciousness, receiving and dispensing of fluids)

4.4. Adjusting the bed, taking care of the sick in bed

4.5. Medication, application of heat, cold, perfusion

4.6. Eating a sick

4.7. the principles of nursing sick collective occurrence of infectious


4.8. The influence of the environment on the patient

5. the basics of medical documentation

5.1. Registration of non-infection

5.2. Registration of medical certificate

5.3. Registration of health certificates for workers of the camp

5.4. The management of the medical journal

3.4. working with health and vaccination certificate

6. the rights and duties of health professionals recovery actions

6.1. the activities of health professionals before leaving for camp

6.2. Activity at departure

6.3. Activities on arrival-check terms and conditions

6.4. Medical filter

6.5. the infirmary Equipment

6.6. Insulation

4.2. cooperation with patronátním doctor

4.2. Obligations of the health care professional when recovery action

7. Hygiene and epidemiology

7.1. Personal hygiene, daily regime, the relationship of the organism and the environment

7.2. Environmental Hygiene

7.3. Removal of waste substances

7.4. the hygienics of nourishment (food service)

7.5. the prevention of the spread of the disease:

7.5.1. the principles of combating infectious diseases, when their occurrence,

early diagnosis, isolation, quarantine

7.5.2. the most common foodborne disease outbreak air,

transmissible disease, antropozoonózy, contact the disease, venereal

the disease, AIDS, the athlete's

Annex 3

Evaluation of the health of the child to participate in the recovery

action and school in nature


The registration number of the report:

1. Identification data


| The name of the provider of health services issuing opinion: |

| |

| The address of the registered office or place of business of the provider: |

| |

| ID: |

| |

| The name, or names, and surname of the child under consideration: |

| |

| The period of the child's date of birth: |

| |

| Address of the place of residence or other place of residence on the territory of the Czech Republic |

| the period of the child: |

2. The purpose of the edition of the report


| |


3. The Advisory concluded


| And Assessed child to participate) on the school in the countryside or recovery action |

| |

| and) is disabled eligible) |

| (b)) is not medically eligible) |

| (c)) is eligible with restriction *) * *)....................... |

| |

| (B) the child to be assessed) |

| |

| and) undergoing the regular vaccination laid down: YES-NO |

| |

| (b)) is against the immune disease (type/kind): |

| |

| (c)) has a permanent contraindications against immunization (type/kind): |

| |

| (d)) is allergic to: |

| |

| e) long term medication (type/type, dose): |

| |

| Note: |

| *) Delete where inapplicable. |

| **) If it has been established that the child is considered disabled eligible with restriction, the |

| to limit contingent upon the medical fitness to participate in the recovery action |

| and a school in the countryside. |


4. lessons learned


| Against item 3. part of this opinion) can be according to § 46 paragraph. 1 of law No 373/2011 Coll. |

| about the specific health services, in wording of later regulations, to submit a proposal on |

| its review within 10 working days from the date of its formal handover |

| provider of health services, which issued the report. Proposal to review |

| medical opinion does not have suspensory effect, if its conclusion it follows that |

| the person under consideration is for the purpose for which it was assessed, a disabled ineligible |

| or disabled eligible with the condition. |


5. The person entitled


| The name, or names, and surname of the authorised person: |

| |

| Relationship to the investigation to the child (legal representative, guardian, foster father or more |

| a relative of the child): |

| |

| The person took the opinion into their own hands on: |

| |

| |

| .......................................... |

| Signature of the authorized person |


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

The release date of the report name, surname and signature of the physician

stamp of the provider of health services.

Annex 4

The minimum range of the equipment, first aid kits for recovery actions for the children and for

schools in nature

I. medicinal products (only the ones whose issue is not bound to a medical


-preparations against temperature and pain medications (analgesics, anti-pyretics)

-tablets against nausea while driving means


-preparations for use in diarrhea

-preparations of the cough suppressant (antitussive, expectorants)

-gargle for the disinfection of the oral cavity and pharynx pain


-eye drops or eye ointment with disinfectant effect, eye on the water

eyewash (oftalmologika)

-an ointment or gel when you mentioned there were insects (topical antihistamines)

-tablets for allergic reaction system (antihistamines)

-preparation for the disinfection of the skin and the surface wounds

-inert ointment or petroleum jelly

II. For dressings and other medical supplies

-sterile hydrophilic gauze folded air pumps, various dimensions

-patch on the spool, different dimensions

-rychloobvaz on the wounds, various dimensions

-the bandage elastic, various dimensions

-bandage of sterile, various dimensions

-bandage a butterfly rubber (60 x 1250 mm)

-scarf trojcípý

-obvazová and cellulose wadding

-medical thermometer

-drape resuscitation

-anatomical tweezers

-surgical tweezers straight

-medical rubber gloves

-drape PVC 45 x 55 cm

III. Miscellaneous


-safety pins, various sizes

-recorder with a pencil

-flashlight/torch including resources

Selected provisions of the novel

Article. (II) Decree No 320/2010 Sb.

The transitional provisions of the

Recovery actions that have been secured and initiated prior to the date

the effectiveness of this Ordinance, shall be completed in accordance with Decree No. 106/2001 Coll., on the

hygiene requirements for the recovery action for children, in the texts of the effective

to the date of entry into force of this order.

1) Decree No. 205/2009 Coll., on the survey of emissions from stationary sources

and on the implementation of some of the other provisions of the Act on the protection of air,

the texts of Decree No. 17/2010 Sb.

section 30, paragraph 2). 3 of Act No. 258/2000 Coll., on the protection of public health and the

changes to some related laws, as amended by Act No. 274/2003 Coll. and

Act No. 392/2005 Sb.

Decree No. 148/2006 Coll., on the protection of health against the adverse effects of

noise and vibration.

3) Decree No. 268/2009 Coll., on technical requirements for construction.

Decree No. 398/2009 Coll., on general technical requirements

belonging to the barrier-free use of the buildings.

4) Decree No. 6/2003 Coll., laying down the limits

chemical, physical and biological indicators for the internal environment

residential rooms of some of the buildings.

5) section 3 (3). 1 Act No. 258/2000 Coll., as amended by Act No. 274/2003 Coll.

Decree No. 252/2004 Coll., laying down the health requirements for

drinking and hot water, and the frequency and extent of monitoring drinking water, in the text of the


6) Decree No. 38/2001 Coll. on hygienic requirements for products

intended to come into contact with foodstuffs and dishes, in the wording of later regulations.

7) Act No. 110/1997 Coll. on foodstuffs and tobacco products and

change and the addition of some related laws, as amended


10) Act No. 125/1997 Coll., on waste, as amended by Act No. 167/1998 Coll.

Act No. 349/1999 Coll., Act No. 37/2000 Coll. and Act No. 132/2000 Sb.

11) Act No. 138/1973 Coll. on waters (Water Act), as amended by Act No.

425/1990 Coll., Act No. 114/1995 Coll., Act No. 14/1998 Coll. and Act No.

58/1998 Coll.

12) section 12 of Act No. 258/2000 Coll.

13) section 9 of Decree No. 328/1997 Coll., which implements section 18 (a). and (d))),

(h)), i), (j)) and to Act No 110)/1997 Coll. on foodstuffs and tobacco

products and amending and supplementing certain related laws, for

milk and milk products, ice-cream and frozen creams and edible fats and oils

as amended by Decree No 347/1999 Coll. and Decree No. 90/2000 Sb.

14) Decree No 327/1997 Coll., which implements section 18 (a). and), d), (h)),

I), (j)) and to Act No 110)/1997 Coll. on foodstuffs and tobacco

products and amending and supplementing certain related laws, for

meat, meat products, fish, other aquatic animals and products thereof,

eggs and egg products, as amended by Decree No 89/2000 Sb.

15 § 2 (b)). e) and (f)) of Decree No 107/2001 Sb.

16 § 2 (b)). and) Decree No. 376/2000 Sb.

17) Decree No. 292/1997 Coll., on requirements for health and safety

bottled water and how to edit them, as amended.