The Republic of Latvia Cabinet of Ministers Regulations No. 330 in Riga in 2000 on September 26 (Mon. No 46 36) the vaccination rules Issued in accordance with the epidemiological safety law article 30, first, second, third and fifth paragraph of article 31 of the i. General questions 1. these provisions define the infectious diseases to which mandatory vaccination to be carried out, the circle of persons (including the professions employed or high risk individuals within groups) and vaccination procedures as well as minimum requirements for the minimum recommendations for vaccination.
2. organise and implement Vaccination vaccination (medical institutions that comply with the regulations set out minimum requirements, educational institutions, as well as other undertakings (companies) and institutions that meet minimum security requirements minimum of vaccination), but the national monitoring and control provides the Ministry of welfare and its institutions.
3. national immunization programme required to be vaccinated are: 3.1 children – against diphtheria, tuberculosis, cramping, numbness of long cough, poliomyelitis, measles, rubella, epidemic mumps, Pfeifer of the rod (the influence of bacteria) caused by type b infection, hepatitis B;
3.2. adults against diphtheria, the numbness, cramps;
3.3. children and adults-against rabies after contact with animals or people who are sick or are suspected to rabies.
4. Immunization national program approved by the Minister of welfare.
5. exempted from compulsory vaccination of people who have a contraindication to vaccination (the State in which the medical reasons not allowed personal vaccination), when medical documentation (documents confirming the fact of personal vaccination and stored in the body in which the vaccination, or at therapeutic) pointed out, and with the signature confirms the doctor.
6. any expenses related to a national programme of Immunization and the provision referred to in paragraph 3, the Organization of vaccination, monitoring and control, including the purchase of vaccines, medical records, administration of vaccine design, as well as complications caused by vaccination (side effect) of treatment falling within the regulations set by the residents to be medicated, minimum services shall be financed from the State budget and national specialty health care budget.
7. The vaccination authorities shall have the right to take on the cost of vaccination using vaccines purchased outside the public immunization programme for the implementation of the State if the person to be vaccinated, or his legal representative consents thereto. In such cases, the treatment of persons obliged to inform patients about the possibility of vaccinated free of charge with other vaccines if there is such a possibility.
8. Epidemic or threat to prosperity, the Minister is entitled to order a separate population of mandatory vaccination immunization program in the country in the event of unforeseen circumstances and the additional purchase of the vaccine to the Ministry of Welfare funds allocated in the budget. If the epidemic or threat requires additional mandatory vaccination beyond the Welfare Ministry funds, allocated a further vaccination after the Welfare Minister's proposal adopts the Cabinet.
9. to professionally assess the issues related to vaccination and immunization programmes, and to provide the State proposals to address them, as well as to evaluate vaccine orders, Welfare Minister creates Advisory National Council of immunization and approved its Statute. The remuneration of the members of the Council on the work of the Council.
II. planning and organizing Vaccination immunization within the national programme of vaccination 10 authorities in the order of the Minister of welfare: 10.1. prepare the required vaccines public health agency orders of territorial institution, considering the area and/or vaccinations institutions number of persons be vaccinated;
10.2. The public health agency of territorial institution report on the results of vaccination and the use of the vaccine.
11. the sickness fund jointly with the public health agency of territorial institution shall periodically review the features and use of the vaccine and agree on improving the effectiveness of vaccination for the area.
12. public health agency of territorial authorities: 12.1. order vaccines public health agency in the central institution;
12.2 provides the vaccine received from the public health agency's central institutions, the storage, inventory and issuance of vaccination authorities according to their order.
12.3. analyzes population immunization and morbidity indicators and shared with health insurance funds and the authorities organise the vaccination measures to ensure maximum population vaccination.
13. The public health agency's central body: 13.1. common plan the required quantity of vaccine immunization for the execution of the national programmes, taking into account the demographic data and the average consumption of preparations and match it with the Ministry of Welfare;
13.2. the stored vaccine purchased and organizes the distribution of vaccines public health agency territorial institutions and authorities and designated vaccination for vaccine storage, transport and distribution of the responsible person (doctor or pharmacist);
13.3. ensure that national immunization monitoring program execution and, if necessary, organise and propose measures to improve the vaccination.
14. the non-profit organization public joint stock company "the State compulsory health insurance agency" organizes contest (by relevant experts and the representative of the Ministry of welfare) for the purchase of vaccines for immunization programs and the State for disposal according to the contest results conclude contracts for the purchase of vaccines.
III. Vaccination 15. Vaccination must only be performed by a certified treatment.
16. Medical treatment and/or vaccination authorities time to inform existing patients in the care of the need for vaccination.
17. The room in which vaccination is located: 17.1. medical cabinet for storage of tools and medicines, if vaccination shall be carried out regularly (every day);
17.2. the medical couch;
17.3. the table in the case of infant formulae infant vaccination;
17.4. the table of vaccine and for the preparation of the instrument;
17.5. refrigerator for the storage of vaccines, which are technically tested thermometer temperature control or temperature display, automatic registration of the device. If vaccination shall not on a regular basis, by the time of the vaccination vaccine storage permissible termokonteinero (heaters box with vaccines transportation vehicle or temporary storage temperature mode) or aukstumsom (heaters bag with vaccines or temporary transmission storage temperature mode);
10.9. termokonteiner or aukstumsom if vaccination shall be carried out regularly;
17.7. aukstumelement (tank with a frozen substance that prolonged stay cold) (stored in a fridge freezer) if vaccination shall be carried out regularly;
11.1. basin with cold and hot water supply;
11.1. disinfection and hand washing preparations;
17.10. towels or disposable napkins;
17.11. the waste tank with a plastic bag.
18. the vaccination room must be in the following medical devices and medications: 18.1. medical devices, injection site for sanitizing and processing;
18.2. disposable syringes and disposable systems solution for intravenous injection;
18.3. the thermometer, and the fonendoskop tonometr.
18.4. anaphylactic shock therapy which list approved by the Minister of welfare.
19. at the time of Vaccination provides aseptic techniques should be maintained and the requirements of antiseptik.
20. at the time of Vaccination is available for telephone communications emergency medical teams call.
21. The vaccination room interior fittings used materials intended for wet cleaning and disinfection.
22. Citizens have the right to choose vaccination or medical treatment of the person who will perform the vaccination, as well as to opt out of vaccinations, also from persons in the custody of vaccination.
23. Vaccination against yellow fever vaccination may be carried out in institutions that are authorised by order of the Minister of welfare.
24. before the vaccination treatment a person shall inform the person to be vaccinated or its legal representative: 24.1. the effectiveness of the vaccine in prevention of infectious diseases, the effects of the duration of protection and recommended vaccination repeat;
24.2. the reaction of the organism, which can occur after vaccination or immunization;
24.3. the preventive measures to reduce the possible severity of side effects, and when required healing personal help.
25. the treatment of persons before each vaccination (both first-time and repeat) carry out or arrange for primary health care doctor's examination to the person to be vaccinated (if necessary – and her parents or other legal representatives of the survey), the person to be vaccinated in order to ascertain the health status and possible contraindications. Medical record information in the documentation.
26. Medical treatment person responsible:

26.1. contraindications concerning vaccination. If the person to be vaccinated found contraindications to vaccination, the person concerned or his legal representatives shall be informed of the time when you need to attend the examination and/or repeated vaccinations;
26.2. for hygienic and epidemic vaccinations security requirements, also for the proper administration of the vaccine, the individual's medical surveillance period under pēcvakcinācij vaccines for instructions and emergency medical care within the prescribed period;
26.3. for it to visit a patient in accordance with the national programme of Immunisation vaccination calendar, carry out all the necessary and appropriate health possible vaccination.
27. in carrying out the vaccination, treatment is the responsibility of the person: 27.1. to fill out medical records and record the name of the vaccine inoculation passport, date of vaccination, the vaccine series, and enter quantity, route of administration, as well as to certify these records with the signature. By vaccination against yellow fever shall issue a certificate of the international vaccination or booster vaccination against yellow fever (annex);
27.2. to inform the person in writing of the time when you need to get vaccinated again or take another vaccination.
28. If a person refuses to be vaccinated from the vaccination, treatment is the responsibility of the person to explain to that person the importance of preventive measures in the individual and public health, and if the person to be vaccinated will not change its decision, the medical treatment person two or the presence of other persons present refusal in writing that that person, as well as the person to be vaccinated by the signature. No cases of treatment of the person concerned shall report to the public health agency of territorial institution.
29. Until the new inoculation passport issue is allowed to use existing inoculation passport. Passports of grafting, which will be issued after the entry into force of these regulations, the following mandatory information: 29.1. the name, surname, personal code, the age of vaccination and immunity test day;
29.2. the date of vaccination, the vaccine name, enter the quantity of vaccine administration, vaccine series producer, mark of the vaccine-related side effects, treatment person's last name, signature and stamp;
29.3. the immunity test date, result, medical treatment person's last name, signature and stamp.
IV. the professions employed and high risk groups in the compulsory vaccination of persons within 30 Arodinfekcij (infectious disease to which people can become infected if their professional responsibilities, he comes into contact with the materials of biological origin that contain or may contain pathogens of infectious diseases, as well as pathogen vectors, infectious persons or animals) to prevent employees mandatory vaccination against such infectious diseases: hepatitis B, rabies , tick encephalitis and yellow fever.
31. the employer and Manager of the educational institution (hereinafter called the employer) has a duty: to assess each employee 31.1., students and pupils (hereinafter employees) the risk of infection, given his specific functional responsibilities and working conditions or practices;
31.2. a complete, objective and clearly inform employees about the risk of infection, the effects of the disease, vaccination safety and efficiency, as well as employee rights and obligations related to the vaccination;
31. According to the risk of contamination to ensure employees free vaccines and vaccination against that rule 30 referred to infectious diseases and, if necessary, repeated vaccination (informing about it in accordance with this rule 31.2.), as well as to ensure the exercise thereof;
19.5. employee vaccination according to the instructions for use of the vaccine contains the schema and test the grafting of the Passport;
31.5. not less than 10 years to keep the employees risk arodinficēšan lists and documents of the respective employee vaccination and laboratory tests. Arodinficēšan the risk of hepatitis b cases document storage time is 40 years;
19.6. If necessary, for this rule 31.1 and 31.2.. transactions referred to in the performance of all or part of the medical treatment person or epidemiologists.
32. Educational institutions and social care institutions is the responsibility of the supervisor to require learner or socially reliant person, due to an educational or social care institution, submit a medical certificate certifying the person stating that the person has received the vaccines according to the immunization programme, national vaccination calendar.
33. required to be vaccinated against hepatitis B, which regularly (at least once a month), the performance of work duties or training, come into direct contact with patients or human biological materials, which may contain or carry the hepatitis B virus, or with such materials contaminated objects: 33.1. treatment to individuals who provide medical assistance or perform the following diagnostic or therapeutic procedures: 33.1.1. blood sampling;
33.1.2. surgical and similar invasive intervention;
33.1.3. injection;
33.1.4. wound treatment and pārsiešan;
33.1.5. care during childbirth;
33.1.6. dental procedures;
33.1.7. emergency medical assistance;
33.1.8. pathological anatomical investigations;
33.1.9. laboratory tests;
33.1.10. blood transfusion;
33.1.11. acupuncture;
33.1.12. CPR and anesthesia devices service;
33.1.13. microbiological experiments with active hepatitis B agents;
33.1.14. Hepatitis B patients physical examination;
33.2. treatment, rehabilitation and prevention institutions auxiliary staff, also the people who wash and sterilize medical instruments, cleaners and laundry workers;
33.3. medical students and medical school students, who are in medical practice, medical institution;
20.8. persons who provide manicure and pedicure services, as well as associated with tattooing and skin piercing procedures.
34. Employees who are required to be vaccinated against hepatitis B before this provision referred to in paragraph 33 of the work and the start of the lesson and vaccination are entitled to a one-time transfer of laboratory inspection or existing hepatitis B infection. Expenses associated with the relevant checks, employees shall be borne by the employer, but students and medical students-school. People who have been transferred, or existing hepatitis B infection, should not be vaccinated.
35. to be vaccinated Against rabies in mandatory veterinary professionals and persons in training, which deals with the treatment and care of the animals, virological laboratory personnel who work with active virus of rabies, pathological morphology laboratory personnel who work with animal tissue, and stray animal catcher.
36. Against yellow fever are required to be vaccinated for sea-going vessels and aircraft crew members carrying out flights to the affected countries, and the microbiology laboratory personnel who work with active disease agent. Yellow fever-affected countries list is determined by the World Health Organization.
37. Against tick encephalitis to be vaccinated compulsorily lumberjack, Forester, Rangers, virsmežziņ, the State environment inspectorate, national armed forces personnel, the Ministry of the Interior system staff with special ranks, microbiology laboratory personnel who work with the active tick encephalitis virus, and other persons who are in direct contact with the tick encephalitis vectors come into their professional responsibilities or during training.
38. for this provision, paragraph 30, of the vaccine, the employer or employee shall inform the institution of the vaccination on the required vaccinations. Vaccination an authority under this provision 10, 12 and 13, order and receive the vaccine, indicating the purpose of vaccination, or legislation the cases purchased vaccines directly from licensed pharmaceutical lieltirgotav, if lieltirgotav allows the storage and transport of vaccines according to the requirements of the law.
39. If employee waives this rule 30 of vaccination against diseases referred to in point, it is the responsibility of the employer to design a waiver in writing. The document signed by the employee, the employer or his representative and the two witnesses.
40. If the medical person who performs surgical procedures, invasive manipulation, gynecological Checkup, dental assistance provided and take childbirth, have not been vaccinated against hepatitis B, so each year the laboratory test for hepatitis B in the presence of the pathogen.
41. If an employee who is subject to compulsory vaccination against hepatitis B, the performance of job responsibilities, accident, in which it is entered in the virus-containing organic material, or mucous membranes of the employee or damaged skin comes into contact with the material, it is the responsibility of the employer to provide the employee immediately free vaccination against hepatitis B.

42. If the employee belongs to the Group of persons be vaccinated compulsorily, the onus is on the employer, state sanitary inspection and national labour inspection officers, as well as the public health agency's epidemiologists to present the request of inoculation passport.
43. Students and medical school students, who have not been vaccinated against this provision in paragraph 30 infectious diseases may not participate in the classes, if they can be exposed to the risk of infection with hepatitis B, rabies, yellow fever or tick encephalitis.
44. Non-vaccinated employees if the employer has not provided vaccinations, is entitled to withdraw from the job duties that expose him to the risk of contamination with the provisions referred to in paragraph 30 of infectious diseases.
V. national surveillance and vaccination control 45. State sanitary inspection room where the control is carried out vaccination and hygiene and epidemic security requirements at the time of vaccination.
46. Medical care and integrity inspection quality control inspection controls the vaccination and vaccination complications (side effects), the validity of the registration certificate for the treatment of persons who carry out vaccination and medical records.
47. in the event of failure to comply with hygiene and epidemic vaccination safety requirements, state sanitary inspection officials have the right to decide on the suspension of the relevant vaccination vaccination. The decision taken shall immediately inform the Agency of public health institutions and territorial and regional sickness funds.
48. the vaccine production, storage, transport, distribution and use of its competence under the control of the pharmaceutical inspection.
Vi. Closing questions 49. paragraph 37 of these regulations shall enter into force by 1 January 2001 (except in the Interior Ministry system employees with special ranks, in respect of which paragraph 37 shall enter into force on January 1, 2002), paragraph 33:1 January 2002 except 33.2 33.3 and 33.4.,., which shall enter into force by 1 January 2003, and paragraph 35-by 1 January 2003.
50. To the public health agency of its central institutions function to fulfil national environmental health center, but the public health agency's regional institutions to fulfil the functions of the territorial environmental health center.
51. To declare unenforceable in the Cabinet of 18 January 2000, the provisions of no. 24 "vaccination" (Latvian journal, 2000, 18./19.nr.).
Prime Minister a. Smith in place of the Minister of Welfare, Minister with special responsibility for State reform Affairs j. Smith with the entry into force of the provisions of 30 September 2000, but about a single point entry into force – see. Closing questions.
 
Annex a Cabinet of 26 September 2000 by Regulation No 330 international certificate of vaccination or revaccination (booster) against the yellow fever International certificate of vaccination or revaccination against yellow fever Certificat international de vaccination ou de revaccination contra la fiévr of this new certificate certifies that this is the thatJ (e) certify the soussigné-certif que date of birth date of birthné (e) la sex sex sex (-a) who signed up here (s) whose signature followsdon suis la signature specified date was vaccinated (-a) or revakcinēt (- (a)) against the yellow fever has on the date indicated been vaccinated or revaccinated against yellow fever a été vacciné (e) out of revacciné (e) Contra la fièvr à la the new date date date indiqué vaccinations have made treatment and position of the person signing the signature and professional status of the vaccinatorSignatur et titre du vaccinateur vaccine manufacturer and serial number of the vaccine Manufacturer and batch No. of the numér the vaccineFabrican et du lot du vaccine vaccination authorities official stamp Official stamp of vaccinating Centre cachet officiel du Centre de vaccination certificate is valid only if the specific vaccine has been approved by the World Health Organisation and national health authorities approved the vaccination.
The certificate is valid for 10 years, beginning with the 10th day after vaccination; in the case of a booster vaccination 10 years after booster vaccination, if it was made 10 years after vaccination.
Certificate approved by a personal signature treatments the person or another person authorised by the national health authorities; official seal of the person does not replace its signature.
The certificate is invalid if it contains corrections, deletions, or not filled any part.
This certificate is valid only if the vaccine used has been approved by the World Health Organisation and if the vaccinating Centre has been designated by the health administration for the territory in which that Centre is situated.
The validity of this certificate shall extend for a period of ten years, beginning ten days after the day of vaccination or, in the event of a revaccination within such period of ten years from the date of that revaccination.
This certificate must be signed in his own hands by a medical practitioner or other person authorized by the national health administration; his official stamp is not an accepted substitute for his signature.
Any amendment of this certificate, or erasure, or failure to complete any part of it, may render it invalid.
CE Certificat n ' est valbl a que si le a été approuvé employé on vaccine l ' Organisation mondiale de la Santé et si le Centre de vaccination a été l ' habilité on administration du territoire Sanitaire dans lequel ce Centre Est situé.
La validité de ce Certificat périod de couvr and the dix ans commencan a dix Jours aprè la date de la vaccination ou, dans le cas d ' une au cours de revaccination of the cett périod de dix ANS, le jour de cett of revaccination.
CE Certificat doit être signé de sa resources change and the other on the personna médicin out and of l ' habilité of administration and of the Nationale, Sanitaire officiel pouvan a cachet not être considéré comme tenant lieu de signature.
Tout sur le a correction out of ratur Certificat ou l ' quelconqu d ' une omission des qu ' il mentions the affecter sa validité comport of peu.
 
Welfare Minister, Minister with special responsibility for State reform Affairs j. Smith