of 25 June 2002. October 2010,
amending Decree No 537/2006 Coll., on inoculation against infectious
diseases, as amended
The Ministry of health shall lay down pursuant to § 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 § 45 para. 2, § 46 para.
1, 2 and 6, § 47 para. 3 of the Act:
Decree No. 537/2006 Coll., on inoculation against infectious diseases, as amended by
Decree No. 65/2009 Coll. and Decree No. 443/2009 Coll., is amended as follows:
1. In article 2 (2). 1 (b). a), the words "against seasonal flu," shall be deleted.
2. In article 2 (2). 1 (b). (b)), after the words "hepatitis B" comma replaces
the word "and" and the words "and against seasonal flu" are deleted.
3. § 3, including the title reads as follows:
Regular vaccination against tuberculosis
(1) vaccination shall be carried out in children with the indications set out in annex 3 to the
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 registrujícímu to the
doctors for children and adolescents. In the event that a child has an indication for vaccination
According to the annex No. 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 who meets the
the indication referred to in annex 3 to this Decree, and that it was not against the
tuberculosis in the workplace has not yet vaccinated, patch test.
(2) for children who cannot meet the indication referred to in annex 3 to this
the decree to assess physician neonatal Department, figuring out these
indications at the first contact with the legal guardian of the child that enrolls
general practitioner for children and adolescents. For the next procedure, paragraph 1 sentence
last apply mutatis mutandis. ";"
4. in article 4, paragraph 1 reads:
"(1) the basic vaccination shall be carried out at the time from which began the ninth week
After the birth of a child of three doses of hexavalentní vaccine
diphtheria, tetanus, acellular pertussis vaccine with acellular component, invasive disease
as a consequence of the originator of the Haemophilus influenzae b, hepatitis B virus, and
an inactivated vaccine against polio portable (hereinafter referred to as
"hexavalentní vaccine") during the first year of life of the child,
administered at intervals of at least one month between doses, and the fourth
dose administered at least six months after the third dose. The fourth dose
hexavalentní vaccines will be given at the latest before the age of
the eighteenth month of age of the child. In children vaccinated against tuberculosis is
primary vaccination hexavalentní vaccine performs from starting
the 13th week after the birth of a child, but always after healing
postvaccinal reactions after vaccination against tuberculosis. ".
5. In section 4, paragraph 4. 2, after the words "against these infections", the words "with the
These acellular component ".
6. In section 4, paragraph 8, including footnote No 1 is added:
"(8) the basic vaccination of newborns of HBsAg positive mothers shall be made
one dose of vaccine against viral hepatitis B within 24
hours after the birth of a child. In the vaccination of these children is further proceeds from
the sixth week following the birth of a child, according to the SPC ^ 1)
1) § 3 (1). 1 of law No 378/2007 Coll., on pharmaceuticals and amending certain
related laws (the law on pharmaceuticals). ".
7. § 6 including the title reads as follows:
Regular vaccination against pneumococcal diseases
(1) vaccination against pneumococcal disease pneumococcal polysaccharide vaccine
substance shall be carried out for individuals located in hospitals for
long-term patients and in homes for the elderly. Furthermore, 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 chronic non-specific
respiratory disease, chronic diseases of the heart, blood vessels, or
the kidneys or diabetes treated with insulin. In the next vaccination against
pneumococcal diseases are treated in accordance with the summary of product characteristics ^ 1).
(2) in the case of children who have health indication referred to in annex 1 to this
the Decree, to the age of five years, their age does the vaccination
conjugate pneumococcal vaccine at intervals according to the summary of
of ^ 1). From the period of the second year of age of the child can be in these
Alternatively, submit cases polysaccharide vaccine
pneumococcal infection. ".
8. § 8, including the title.
9. in § 9 para. 1 at the end of the text of the second sentence, the words "and in the
people enrolled in the retraining courses, providing care and
the treatment of people in social services or manipulating devices in
social service facilities with hazardous waste, and in health care
10. section 12, including the title.
11. in section 13 is at the end of paragraph 1, the following sentence "Vaccination shall be carried out
vaccine for active immunization, according to the summary of
of ^ 1) this vaccine. "
12. in article 16, paragraph 3 shall be deleted.
13. attachment no 1 of Annex No. 2 and 3 are added:
"Annex 2 to the Decree No 537/2006 Sb.
Questionnaire to define the risk of tuberculosis
Name and surname of the child..............................
Date of birth of the child............... Social Security 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/I don't know
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/stayed out
The Czech Republic. Select:
Yes If Yes, in what state (Please list all States) no/I don't know
The child was in contact with the sick with tuberculosis. Select:
Yes No/I don't know
The investigation has been carried out in respect of TB in people with whom the child has been in touch. Select:
Yes No/I don't know
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.
about vaccination against infectious diseases, as subsequently amended. Select:
The doctor's first and last name ... ... ... ... ... ... ... ... ... ...
Date............... Signature of physician ..............................
Stamp of medical equipment
Annex No. 3 to Decree No. 537/2006 Sb.
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. 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, was born or continuously for more than 3
the month is staying in State/with higher rates of TB than 40
cases per 100 000 inhabitants. The Department of health each year
shall publish the list of States with higher rates of tuberculosis, within 30 days from the
updates made to the World Health Organization.
3. the child has been in contact with the sick with tuberculosis.
4. Indications for vaccination results from the anamnestic data provided by
doctors of a newborn Department or registrujícímu to the physician
for children and adolescents of legal representatives of the child. ".
The effectiveness of the
This Decree shall enter into force on 1 January 2000. November 2010.
doc. MUDr. Heger, CSc., r.