Contact Discovery, Primary Medical Examination, Laboratory Tests And Medical Surveillance Procedures

Original Language Title: Kontaktpersonu noteikšanas, primārās medicīniskās pārbaudes, laboratoriskās pārbaudes un medicīniskās novērošanas kārtība

Read the untranslated law here: https://www.vestnesis.lv/ta/id/144279

Cabinet of Ministers Regulations No 774 in Riga in 2006 (19 September. No 48 20) contact primary medical examination, laboratory tests and medical surveillance procedures Issued pursuant to rule 19 the epidemiological safety. the first paragraph of article i. General questions 1. determines the contact a primary medical examination, laboratory tests and medical surveillance procedures to detect infectious persons and perform the necessary treatments and pretepidēmij measures.
2. these rules shall control medical care and integrity inspection quality control Inspectorate and the national sanitary inspection.
3. Contact the primary medical examination, laboratory examination and medical surveillance shall be carried out: these provisions 3.1 contacts listed in the annex;
3.2. If a person has been in contact with the environment (including articles) that contain or may contain this provision referred to in the annex to the agents of infectious diseases, as well as with animals infected with communicable diseases referred to in annex agents;
3.3. If there is reasonable suspicion of biological terrorism.
II. determination of the contact, the primary medical examination, laboratory examination and medical surveillance 4. Physician, in accordance with the regulations on the procedure of registration of infectious diseases reported cases of infectious diseases, also determines the appropriate contacts, except the provisions referred to in paragraph 5.
5. the national agencies ' public health agency "epidemiologists of the branch (hereinafter referred to as the epidemiologists) contacts is determined in the following situations: 5.1 at this provision in paragraph 4 of that report, identify the person located: 5.1.1 educational institution, medical institution, hospital social care institution, a child care institution, as well as in the workplace and in other places of residence of the persons (including prison, temporary detention site, illegal immigrants stay in the camp, the asylum seeker accommodation Center , farm, barracks, hotel) outside the patient's place of residence (residence);
5.1.2. the infectious patient's place of residence (family members, other close people), if the initial urgent report on the patients received from the doctor, not the patient's family physician;
5.2. the person has had the same infection or contact with the media (including articles) that contain or may contain this provision referred to in the annex to the agents of infectious diseases, as well as with animals infected with communicable diseases referred to in annex agents;
5.3. possible biological terrorist affected areas (Territories).
6. If there is a conscious contact, the doctor or the epidemiologists are obliged to inform him about primary medical examination, laboratory tests and medical observation and the need to organize such tests.
7. Contact the primary medical examination, laboratory examination and medical surveillance of residence ensures the contact a family doctor or these rules 9, 10, 11 and 12 of treatment referred to in person. If the contact is not registered to a family doctor or a doctor's practice is another administrative territory, primary medical examination and medical surveillance provides family doctor or these rules 9, 10, 11 and 12 of treatment referred to in paragraph a person servicing the area in which you live (staying) contact.
8. contacts the primary medical examination, laboratory examination and medical surveillance in place of residence ensures the treatment employed person (doctor, physician's Assistant, nurse) (hereinafter referred to as the abode of the medical person). If the contact is not in the place of stay of the person's medical treatment, contact the primary medical examination and medical surveillance provides family doctor serving the area where the residence is located. If necessary, contact to these regulations 9, 10, 11 and 12 above physician.
9. Leather case communicable diseases contact primary medical examination, laboratory examination and medical surveillance provides the dermatovenerolog, a family doctor or the medical treatment of the place of stay.
10. Human immunodeficiency virus (HIV) infections contact primary medical examination, laboratory examination and medical surveillance provides medical person (including family physicians, infektolog or place of stay of the person in treatment).
11. Sexually transmitted infections contact primary medical examination, laboratory examination and medical surveillance provides dermatovenerolog, gynecologist or urolog.
12. in the case of tuberculosis contacts the primary medical examination, laboratory examination and medical surveillance shall ensure ftiziopneimonolog in collaboration with the family doctor or the medical treatment of the place of stay.
13. If these provisions have been identified in point 5 of this contact, the epidemiologists that SafeSeaNet isoperational inform family physicians serving the area in which the contact is located in the place of residence or abode. The family doctor of the information provided in the document (note the date, time, and also of treatment person's name and surname, which accepted information).
14. If this provision 9, 11 and 12 of this infectious diseases are linked to residence, dermatovenerolog, gynecologist or inform ftiziopneimonolog urolog, and relevant areas (in the place of stay or residence in contact) medical treatment of the person or family doctor about the need to establish contacts and make primary medical examination and medical surveillance.
15. contacts the primary medical examination carried out at least once at the beginning of medical observation, but no later than two maximum periods of observation. Medical observation will be determined in the light of the last contact with the source of infection or transmission of infection.
16. Dangerous infections contact primary medical examination at the time of the medical surveillance shall be carried out at least once a day, if not mentioned in the annex to these provisions by another inspection frequency.
17. residence location contacts primary medical examination medical observation during at least once a day, if there are such infectious diseases and syndromes: acute intestinal disease 17.1 except non-infectious etiology diseases;
17.2. (b) Haemophilus influenza a infection;
17.3. botulism;
17.4. diphtheria and diphtheria agents carrying;
17.5. yellow fever;
10.9. encephalitis;
17.7. Enterohaemorrhagic Escherichia coli in the proposed ešerihioz;
11.1. mumps;
11.1. the tick encephalitis;
17.10. whooping cough;
17.11. hantavīrus infection;
17.12. haemolytic in urēmisk syndrome;
17.13. glanders and melioidosis;
17.14. yersiniosis;
17.15. Campylobacter;
17.16. Legionnaires ' disease;
17.17. leptospirosis;
17.18. listeriosis;
17.19. measles;
17.20. rubella;
17.21. meningitis;
17.22. meningococcal infection;
17.23. foot-and-mouth disease;
17.24. ornithosis (psittacosis);
17.25. West Nile fever;
17.26. Q fever and other riketsioz;
17.27. salmonellosis and the agents wear;
17.28. scarlet fever;
17.29. Shigellosis and their agents wear;
17.30. trichinosis;
17.31. trombocitār in haemorrhagic purple;
17.32. tularemia;
typhoid and paratyphoid 17.33., including typhoid and paratyphoid germs over;
17.34. chicken pox;
17.35. viral hepatitis: 17.35.1. Ahepatīt;
17.35.2. E hepatitis.
18. the primary medical examination, family doctor or other medical person shall inform the contact person for the relevant infectious disease symptoms, which appear necessary to immediately inform family physicians or other medical person.
III. laboratory test sample 19. Sampling and laboratory testing to ensure delivery: 19.1 epidemiologists or epidemiologists Assistant-smear and other samples for virological and bacteriological, parasitological examinations, which shall not be used in the taking of the invasive methods;
19.2. the medical treatment person – blood and other samples for virological logical bakteri, parasitological and serological testing, which is used in the acquisition of invasive techniques, as well as samples of skin contagious disease, sexually transmitted infections and tuberculosis.
20. The test sample test laboratory contact: 20.1. in accordance with the provisions of the annex;
UR20.2.kad in the sample according to the progress of infectious diseases is possible directly or indirectly detect pathogen infection.
IV. Exchange of information 21. Treatment a person through contacts at the primary inspection electronic check and a medic that rule 19.2. sampling referred to in point, SafeSeaNet isoperational during telephone shall inform the relevant territory for the deliberate contact epidemiologists (except in cases where this provision 9, 10, 11 and 12 of this infectious disease), its primary medical examination and laboratory test sample.
22. the SafeSeaNet isoperational during telephone Epidemiologists, inform the family doctor or the place of stay of the person for treatment this provision in paragraph 19.1 of the sample taken confirmatory laboratory tests results.

23. the Treatment of the person making the contact's primary medical examination and medical surveillance shall inform the contact for medical observation results (including sample laboratory tests results).
Prime Minister a. Halloween Health Minister, regional development and local Government Minister m. kučinskis Editorial Note: the entry into force of the provisions by 27 September 2006.
 
Annex to the Cabinet of Ministers on 19 September 2006, regulations No 774 infectious diseases and syndromes that make contact in the event of a primary medical examination, laboratory tests and medical surveillance, as well as the contacts, laboratory test sample and laboratory examination no PO box
Infectious disease/syndrome the contact's primary medical examination and medical observation of the sample to be inspected and laboratory examination 1.
Acute flaccid paralysis in children up to the age of 15 children under the age of 5; If such a child, other family members or persons who live together do not have to take faeces samples for virological examination of five children under the age of 5 (if the child is not, investigate other family) 2.
Acute intestinal diseases, except in infectious etiology diseases (**) and people that had the same infection conditions primary medical examination and medical observation of Faecal samples 7 days (virological or bacteriological, parasitological) investigation if there is medical or epidemiological indications. Organized collective faecal sample investigation made the block (two cases), cases of disease 3.
Amebiāz (*) unique primary medical examination not required 4.
Anisakioz of the people who had the same infection conditions a single primary medical examination not required 5.
Herpes infection in Anoģenitāl of dzimumpartner in Because_of singularly primary medical screening blood samples for serological examination 6.
Askaridoz of the people who had the same infection conditions need not be carried out in a sample of Faecal parasite examination 7.
Balantidiāz of the people who had the same infection conditions a single primary medical examination not required 8.
type b Haemophilus influenza infection in children up to 6 years of age the primary medical screening and medical surveillance 4 days, the family and children's institutions do not have to take 9.
Buck (***) and people that had the same infection conditions primary medical examination and medical observation of 16 days (with body temperature measuring 2 times a day) should not be carried out.
Botulism persons had the same infection conditions primary medical examination and medical monitoring for 3 days not required 11.
Brucellosis persons had the same infection conditions a single primary medical examination.
If necessary, the person must determine the treatment of repeat testing and expert advice of the blood sample of the serological investigation 12.
Ciklosporidioz of the people who had the same infection conditions a single primary medical examination not required 13.
Human immunodeficiency virus (HIV) infection and AIDS a) dzimumpartner, intravenous drug users, HIV-positive recipient of biomaterials, persons who had mucous membrane or parenteral contact with blood or other infectious HIV in biomaterials professional duty, if the fact of the documented contamination;
b) HIV infected pregnant women births children medical observation 6 months after contact.
HIV-infected pregnant women births children up to 24 months of age blood samples for HIV infection investigation (HIV test) through pre-test and post-test counseling. After the medical indications also microbiological and immunological examination 14.
Cysticercosis persons had the same infection conditions a single primary medical examination. If necessary, the medical person determines the inspection time and expert advice not to take 15.
Other newly emerged a dangerous infectious disease * (***) and people that had the same infection conditions primary medical screening and medical surveillance, the maximum incubation period (with a body temperature 2 times a day) the microbiological testing to be carried out by epidemiological indications 16.
Dermatofitoz (mikrosporij, trihofītij) family members or persons living together, dzimumpartner, the children and staff of educational institutions, persons in collective closed primary medical examination every three weeks 7dien. Survey by wood lamp scrape from suspect sources for microscopy and bacteriological investigation 17.
Difilobotrioz of the people who had the same infection conditions need not be carried out in a sample of Faecal parasite examination 18.
Diphtheria and diphtheria trigger design (***) primary medical screening and medical surveillance every day, 7 days a bacteriological examination (swabs from the nose and throat, or skin damage) 19.
Yellow fever persons had the same infection conditions primary medical screening and medical surveillance for 6 days not required 20.
Echinococcosis persons had the same infection conditions a single primary medical screening blood samples for serological examination 21.
The Enterohaemorrhagic Escherichia coli ešerihioz, proposed in urēmisk syndrome haemolytic or trombocitār in haemorrhagic purple (**) and people that had the same infection conditions primary medical screening and medical surveillance, education institutions and children's mass 7 days the bacteriological faecal sample examination. Organized collective faecal sample examination be stacked cases of disease (two and more cases) 22.
Mumps (***) which was not with the mumps epidemic in primary medical examination and medical observation 25 days is required 23.
The lice epidemic typhus and Brill's disease * (***) and people that had the same infection conditions primary medical examination and medical monitoring for 25 days from the date of sanitary processing of the site (including the pedikuloz) blood samples for serological investigation after epidemiological indications 24.
Tick-borne encephalitis If contamination is suspected of alimentār – the people who had the same infection conditions, (using the consumption of milk and milk products, which may contain the disease agent) primary medical examination and medical observation for 28 days, blood samples for serological examination 25.
Whooping cough (***) primary medical examination and medical observation for 14 days of throat swabs in the investigation if the bacteriological epidemiological indications has 26.
Gonococcal infection of the Dzimumpartner, the girl's family up to the age of 14gad primary health test smear microscopy and bacteriological materials or molecular biological investigation 27.
Hantavīrus infection of the Person who had the same infection conditions primary medical examination and medical observation for 28 days blood sample confirmed the serological investigation of cases of the block (two and more cases) 28.
Chlamydia sexually transmitted diseases proposed for Dzimumpartner, the girl's family up to the age of 14gad primary medical examination agent or Antigen detection in the structure of the target material and/or blood sample serological investigation 29.
Cholera and cholera agent carrying the Person had the same infection. Family members or persons living together and other contacts after infection risk evaluation the primary medical examination and medical observation of faecal sample 5 days bacteriological examination 3 times (two on the first day of the GIS, and the third sample-last day of medical surveillance) 30.
Glanders and melioidosis to individuals who had the same infection conditions primary medical screening and medical surveillance is required 21-day 31.
Yersiniosis: y. enterocolitica Y pseudotuberculos (**) and people that had the same infection conditions primary medical examination and medical observation for 10 days the bacteriological faecal sample examination. Organized collective faecal sample examination be stacked (two cases), cases of disease 32.
Campylobacter (**) and people that had the same infection conditions primary medical examination and medical observation for 10 days the bacteriological faecal sample examination. Organized collective faecal sample examination be stacked (two cases) infection cases 33.
Scabbers family members or persons living together, dzimumpartner, the children and staff of educational institutions, persons in collective closed primary medical examination 3 times: in the first, seventh and 14th day scrape sample microscopy 34.
Cryptosporidiosis

(**) and people that had the same infection conditions a single primary medical examination should not be carried out 35.
Legionnaires ' disease persons had the same infection conditions primary medical screening and medical surveillance 10 days should not be carried out 36.
Leprosy family members or persons living together in the primary medical examination at the specialist's nose mucous skarifikāt microscopy was 37.
Leptospirosis persons had the same infection conditions primary medical examination and medical observation 21 day blood sample confirmed the serological investigation in cases of block 38.
Liesassērg (Siberian cattle plague) (***) and people that had the same infection conditions primary medical examination and medical observation for 14 days (the period may be extended depending on potential contamination conditions) should not take 39.
Listeriosis pregnant women and people with immune deficiency, which had the same infection conditions, as well as the newborns who were in contact with the primary medical examination and medical monitoring for 21 days in the Bacteriological examination (swabs from the throat and/or cervical) 40.
Malaria and the malaria pathogen in carrying the parties, who had the same infection conditions primary medical examination should not be carried out 41.
Measles (***) which was not with measles primary medical examination and medical observation 17 days (21 days if you entered immunoglobulin) need not be carried out 42.
Rubella, including indigenous rubella syndrome (***) which was not with rubella primary medical examination and medical monitoring for 21 days.
Gynecologist and infektolog advice pregnant women blood samples for serological examination of pregnant women, including the dynamic investigation of infectious Erythema in the determination of 43.
Meningitis, encephalitis (***) and people that had the same infection conditions primary medical examination and medical observation of faecal sample 14dien virological investigation stacked (two cases), cases of the disease with serous meningitis and encephalitis in the 44.
Meningococcal Infection (***) and people that had the same infection conditions primary medical examination and medical observation of the smear from the trading aizdegun bacteriological examination 45.
The plague (***) and people that had the same infection conditions primary medical screening and medical surveillance is necessary 6dien 46.
Foot-and-mouth disease, persons who were under the same conditions, the primary infection medical screening and medical surveillance is necessary 12dien 47.
Ornithosis (psittacosis) people that had the same infection conditions primary medical examination and medical observation of blood sample 30dien serological investigation stacked (two cases), cases of disease 48.
Polio (***) and people that had the same infection conditions primary medical screening and medical surveillance once a week 35dien in faecal sample virological investigations 49.
Avian influenza (***) and people that had the same infection conditions primary medical examination and medical observation 7dien (with body temperature measuring for 2reiz a day) do not need to make 50.
West Nile fever persons had the same infection conditions primary medical screening and medical surveillance is necessary 14dien 51.
Q fever and other riketsioz persons, which had the same infection conditions primary medical examination and medical observation of blood sample 21dien serological investigation stacked (two cases), cases of disease 52.
Salmonellosis and the agents wear (**) and people that had the same infection conditions primary medical screening and medical surveillance of Bacteriological faecal sample 7dien. Organized collective faecal sample examination be stacked (two cases), cases of disease 53.
Syphilis congenital syphilis, including syndrome Dzimumpartner, persons who are in close contact, children of municipal primary medical examination at the specialist blood sample serological investigation material from skin and mucous membrane defects microscopy 54.
Scarlet fever (***) primary medical examination and medical observation of 7dien, if the patient is isolated, and 17dien, if the patient is not an isolated need not have 55.
Severe acute respiratory syndrome (SARS) (***) and people that had the same infection conditions primary medical screening and medical surveillance of trading (with body temperature measuring for 2reiz's day) need not be carried out 56.
Shigellosis and their agents wear (**) and people that had the same infection conditions primary medical screening and medical surveillance of Bacteriological faecal sample 7dien. Organized collective faecal sample examination be stacked (two cases), cases of disease 57.
Tenioz of the people who had the same infection conditions a single primary medical examination of faeces sample parasitological investigations 58.
Toxoplasmosis pregnant women who had the same infection conditions a single primary medical examination, gynecologist and infektolog advice blood serological investigation 59.
Rabies persons who had contact with the patient's saliva and throat secretions primary medical examination to decide on immunization rates determine the need not to make 60.
People that trichinae had the same infection conditions primary medical examination and medical monitoring for 21 days, blood samples for serological examination 61.
Trihuriāz (trihocefaloz) the people who had the same infection conditions a single primary medical examination of faeces sample parasitological investigations 62.
Tuberculosis, family members or persons living together, contact, education, work, health and social care institution and in closed environments, as well as persons in close household contact primary health test. Ftiziopneimonolog counseling and medical surveillance 1 once a year 2 years after tuberculosis patient abacilēšan or more often, if there are complaints and microbiological sputum microscopic investigation of contacts that have a cough.
Pulmonary radiological investigation.
Children also tuberculin diagnosis 63.
Tularemia persons had the same infection conditions primary medical examination and medical observation for 14 days in the serological investigation of blood sample block (two cases), cases where 64.
So the atguļ of fever (***) and people that had the same infection conditions primary medical examination and medical monitoring for 25 days from the date of sanitary processing of the site (including the pedikuloz) blood samples for serological investigation 65.
Dietary toksikoinfekcij (excluding botulinum) (**) and people that had the same infection conditions the single primary medical examination of faeces samples of bacteriological examination. Organized collective faecal sample examination be stacked (two cases) infection cases, 66.
Typhoid and paratyphoid fever, typhoid and paratyphoid fever including agents wear (**) and people that had the same infection conditions primary medical examination and medical observation of faecal sample 21dien bacteriological investigation 67.
Chicken pox (***) and someone who is not with the chickenpox was primary medical examination and medical observation of a blood sample to be taken 21dien the serological investigation of dynamics in pregnant women 68.
Viral hepatitis, including hepatitis a virus carrying the 68.1.
Hepatitis a (**) dzimumpartner and the people who had the same infection conditions primary medical screening and medical surveillance is necessary 35dien 68.2.
Hepatitis and Hepatitis virus carrying a) dzimumpartner, family members or persons living together who have used the same hygiene items;
b) preschool age children in educational establishments, health care facilities and other closed in mass, which had close contact with the patient;
Primary medical check-in all cases, medical surveillance of acute hepatitis B 180dien – in the case of providing primary medical examination medical observation at the start, 3 and 6 month blood serological investigation of HBS Ag, anti-HBc detection medical observation in early acute hepatitis B in the case of medical observation at the start, 3 and 6 month 68.3.
(C) hepatitis c) intravenous drug users;
(d) the recipient of the bio) viral hepatitis positive donors;
e) persons who had mucous membrane or parenteral contact with blood or other infectious persons bio professional duty during

Primary medical examination in all cases when the patient found the presence of the virus; medical observation-180dien-in the case of acute Chepatīt, providing primary medical examination medical observation at the start, 3 and 6 month blood serological anti-HCV detection investigation, medical observation at the start, in all cases, if the patient found the presence of the virus, in the case of Chepatīt acute medical observation at the start, 3 and 6 month to 68.4.
Hepatitis e (**) and people that had the same infection of patients with primary medical screening and medical surveillance is necessary 35dien 69.
Viral haemorrhagic fevers, including Ebola vīrusslimīb, Lassa fever, Marburg, vīrusslimīb of Crimean-Congo haemorrhagic fever, which had the same infection conditions primary medical screening and medical surveillance, the maximum incubation period according to the nozoloģisk form (including: Ebola vīrusslimīb, Lassa fever – 21dien;
Vīrusslimīb-9dien Marburg;
Crimean-Congo haemorrhagic fever-12dien) is required.
Žiardiāz (lamblioz) (**) and people that had the same infection conditions a single primary medical examination does not have to take notes.
1. Dangerous infectious diseases.
2. (*) contact person in the family, educational, hospital treatment and social care institution, as well as the contact person associated with the business food chain, which belong to the risk groups in cases of communicable diseases are spread by the faecal oral mechanism: 2.1 children up to 2 years of age;
2.2. children who attend educational institutions;
2.3. persons whose work involves potential risks to the health of other people: 2.3.1. work or teaching practice at merchants, institutions and organizations whose activity consists in the food (t.sk. drinking water) the production, processing and distribution (except industrially packaged food distributors, yeast and starch production company employees, fruit dryers, Miller, mills, semolina grain storage facilities and elevator employees, flour, grain and groats warehouse employees as well as alcohol, vodka and liqueur factory employees (t.sk. finished product freight forwarders)), if the person has direct or indirect contact with food (only applies to dairy products, semi-finished and finished products producers, food processors and distributors) and drinking water;
2.3.2. work or teaching practice of medical institution, educational institution, educational institution, conducting patient health care and contacting children;
2.3.3. in long-distance passenger service vehicles.
3. (***) close contact: UR3.1.kop à living family members or other persons, friends, relatives, who often attends home outbreak and contact with the patient;
3.2. the kiss and dzimumpartner;
3.3. the persons who worked with patients in the same room;
3.4. the persons who taught in one classroom, a group of visiting one educational institution or in the medical institution or social care institution in the room with the patient;
3.5. the treatment of persons and other persons in contact with patient secretions, which may contain infectious agents.
The Health Minister, regional development and local Government Minister m. kučinskis