The Disease Control Regulation (2004:255)

Original Language Title: Smittskyddsförordning (2004:255)

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Introductory provision

paragraph 1 of this regulation are given supplementary regulations to the

Act (2004:168). The expressions and names

used in the Ordinance have the same meaning as in the Act.

Notifiable diseases

section 2 of the communicable diseases, in addition to allmänfarliga diseases,

which shall be notifiable and therefore shall be notified

in accordance with the provisions of Chapter 2. section 5 of the Act (2004:168)

set out in annex 1 to this regulation.


section 3 a notification under Chapter 2. section 5 of the Act (2004:168)

shall be made in writing no later than the day following the date on which

is obliged to notify

-suspected or actual cases of contagious disease, or

-suspected or found the infectious agent of such disease in the analysis

in a laboratory that performs microbiological Diagnostics.

If the person is required to notify suspects that several

patients have been infected by the same notifiable disease

He shall, through phone calls or in any other similar way,

immediately inform the infectious diseases Center about this.

If a notification under paragraph 4 of Chapter 2. section 5 of the Act (2004:168)

case of a disease referred to in annex 2 to this regulation

should such a task as described in Chapter 2. 6 § 1 and 2

Act not to be provided in the notification. Notification shall be in

Instead, in addition to what is stated in Chapter 2. 6 § 3-5

Act, include information on the first two and the

last four digits of the infection or suspected infection

social security number or co-ordination number and if his or her

Home County. If the infected or suspected belong to a

Group that is or might be at risk shall be specified

in the notification. Few other details of the infected person's identity must

not be provided in the notification.

section 5 of the public health agency may provide for

1. notification pursuant to Chapter 2. section 5 of the Act (2004:168),

2. the information referred to in Chapter 2. 6 § 5 Act,

3. exemption from the notification requirement under Chapter 2. paragraph 5 of the

Act in respect of certain disease,

4. exemption from the notification requirement under Chapter 2. paragraph 5 of the

Act in terms of to whom the notification shall be made,

5. exemption from the notification requirement under Chapter 2. paragraph 5 of the

Act in respect of the requirement for notification

without delay, and

6. except for the task in the notification referred to in Chapter 2. 6 §

Act on the specific disease. Regulation (2015:159).

Preparation and presentation of notifications

section 6 of the public health agency should continuously gather and

evaluating notifications to the Agency pursuant to Chapter 2. paragraph 5 of the

Act (2004:168) and on request from

The National Board of health and social care, Inspection or other

authorities in disease control provide such

information. The public health agency, also with the appropriate

intervals send out statements with such information

the relevant authorities, doctors and vets.

Regulation (2013:900).

Smittspårnings notifiable diseases

section 7 of the public health authority may provide for the

infectious diseases, in addition to the allmänfarliga diseases,

listed in annex 1 to this Regulation shall be

smittspårnings commit and thus should be subject to

contact tracing as prescribed in Chapter 3. section 4 first

subparagraph Act (2004:168). Regulation (2015:159).

National vaccination programme

7 a of the National vaccination programme shall comprise the infectious

diseases referred to in annex 3. Regulation (2012:622).

7 b of the public health agency should follow developments in

vaccines area and annually on the 1st of October to the Government leave

a progress report on the national vaccination programmes.

The progress report should include a follow-up of current

application and development of new vaccines and the

Planning Authority has to assess vaccines

According to 7 c and 7 d sections. Regulation (2015:159).

7 c § public health agency should continuously follow and make a

assessment of the national vaccination programmes

comply with the requirements of Chapter 2. 3 (d) and 3 (e) of the Act


If public health agency finds that national

vaccination programmes are required, the authority to

the Government last October 1, make suggestions about the changes

of the programs that the public health authority

necessary. Regulation (2015:159).

7 d § public health agency's proposal for changes

national vaccination programme referred to in paragraph 7 (c) shall apply mutatis

parts include an analysis of

1. the burden of disease in the community, in health care and

for individuals,

2. vaccination expected impact on disease burden and

on the disease's epidemiology,

3. the number of doses that are deemed to be required to achieve the desired


4. the target groups to be offered vaccination,

5. the safety of the vaccine,

6. vaccination impact on activities in the regions,

municipalities and private health care providers,

7. the components of fitness to combine with other vaccines in

the national vaccination programmes,

8. the public's ability to accept the vaccine and its

impact on attitudes to vaccination in General,

9. what other available, prevention or

treatments that can be taken or given as an alternative to

vaccination in a national vaccination programmes,

10. the socio-economic effects of vaccination and its

costs and revenues in the State, municipalities and

the county councils,

11. possibilities for follow-up

effects of vaccination in the respects specified in 1-10 and

the State's estimated costs for such monitoring,

12. the need for information in relation to

the public and health care providers and cost of these efforts,


13. medical ethics and humanitarian considerations.

All the factors are in no particular order.

Regulation (2015:159).

7 e § Before public health agency submits proposals to the

the Government, the public health agency told the MPA,

The National Board of health, dental and pharmaceutical benefits administration,

municipalities and county councils, as well as the other agencies and

organizations such as the public health authority.

Regulation (2015:159).

7 (f) repealed by Regulation (2015:159).

section 7 g of the public health agency may provide for

1. for what age groups vaccinations according to Chapter 2.

3 c-3 (e) of Act (2004:168) should be offered,

2. the number of doses to be given by each vaccine,

3. with what intervals the vaccine should be given, and

4. additional terms applicable to national

vaccination plans pursuant to Chapter 2. 3 c-3 e § §

Act. Regulation (2015:159).


section 8 If a treating physician has reason to believe that a

person has been infected by a generally dangerous disease, the doctor

in an appropriate manner, inform the person concerned of his or her

obligation to seek the doctor for examination. If the

informed person allows himself to be examined by any other

doctor than the one who has notified him or her, shall

the person urgently demonstrate to the notifying physician that he

they have been investigated and announce this result by

the survey.

If the treating physician does not immediately able to reach the person with a

notification shall immediately inform your doctor

infectious diseases Center in accordance with Chapter 3. paragraph 5 of the law on


section 9 Of the doctors in the case have informed the

the Social Welfare Board, the police or the prison system under 6

Cape. section 11 of the Act (2004:168), the infectious diseases Center

If he or she has left the matter to another

doctors inform the concerned authority to which

doctors at case has been submitted.

Regulation (2014:1295).

Disease control in the armed forces

paragraph 10 of the General practitioner has oversight over disease control in

The Swedish armed forces. General physician may, after consulting the

The public health agency provide for exceptions from the

smittskyddslagens (2004:168) application on the armed forces, in

so far as the regulations do not apply to coercive action against

individual. Regulation (2015:159).

The appointment of a special expert

section 11 of the public health authority shall, in accordance with Chapter 8.

the second subparagraph of paragraph 7 Act (2004:168) for some time

order appointing special expert to assist the Court in proceedings relating to

insulation according to Chapter 5. § 1 or continued isolation under 5

Cape. section 5 of the Act. Regulation (2015:159).

Additional regulations

section 12 of the public health agency may provide the additional

rules necessary for effective disease control and

for the protection of the individual. Regulation (2015:159).

Transitional provisions


This Regulation shall enter into force on 1 July 2004,

the disease control regulation (1989:301) shall cease to apply.

Older rules still apply in respect of costs

have been incurred prior to the entry into force.

Annex 1 notifiable diseases in addition to allmänfarliga diseases

– infection with atypical Mycobacteria

– botulism


– infection with cryptosporidium

– dengue fever

– echinokockinfektion

-infection with entamöba histolytica

– infection with ESBL producing enterobacteriacae

(extended spectrum betalactamase)

-yellow fever

– invasive infection ß-hemolyzing Group A Streptococcus


– invasive infections with haemophilus influenzae

-Tularaemia (tularemia)

– influenza

-whooping cough

– legionellainfektion

– leptospirainfektion

– listeriainfektion

– malaria

– invasive meningococcal disease

– mers virus infection



– invasive pneumococcal disease


-Red Dog

-NE (nephropathia epidemicâ)



-Q fever

– infection with vancomycin-resistant Enterococcus (VRE)

– vibrioinfektion EUR Excl. VAT cholera

– viral meningoencephalitis


Regulation (2015:587).

Annex 2

Notifiable diseases with predominantly sexual transmission route


-HIV infection

-Chlamydia infection


Annex 3

National vaccination programme

General vaccination programme for children


-haemophilus influenzae type b (Hib) infection

-human papillomavirus (HPV) infection

-whooping cough


-pneumococcal infection



-Red Dog


Regulation (2012:622).

Related Laws

2015 7.4.3NMAC