299/2010 Sb.



DECREE



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:



Article. (I)



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:



"§ 3



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)

hexavalentní vaccine.



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:



"section 6



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

devices ".



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:



Yes No



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. ".



Article. (II)



The effectiveness of the



This Decree shall enter into force on 1 January 2000. November 2010.



Minister:



doc. MUDr. Heger, CSc., r.