Unofficial translation
In accordance with paragraph 5 of Article 85 of the Code of the Republic of Kazakhstan dated July 7, 2020 On Public Health and Healthcare System, the Government of the Republic of Kazakhstan HEREBY RESOLVES:
1. To approve:
1) the list of diseases for mandatory preventive vaccinations within the guaranteed volume of medical care in accordance with Appendix 1 to this Resolution;
2) Rules and terms for mandatory preventive vaccinations within the guaranteed volume of medical care (hereinafter the Rules) in accordance with Appendix 2 to this Resolution;
3) population groups subject to preventive vaccinations in accordance with Appendix 3 to this Resolution.
2. The Ministry of Health of the Republic of Kazakhstan, akims of regions, cities of republican scale and the capital shall provide:
1) receipt of preventive vaccinations by the population in accordance with the Rules;
2) work of mobile vaccination teams in order to vaccinate the population living in settlements that lack conditions for carrying out preventive vaccinations.
3. To invalidate some resolutions of the Government of the Republic of Kazakhstan in accordance with Appendix 4 to this Resolution.
4. This Resolution shall be enforced upon expiry of ten calendar days after the date of its first official publication.
|
Prime Minister of the Republic of Kazakhstan |
A. Mamin |
| Appendix 1 to Resolution No. 612 of the Government of the Republic of Kazakhstan dated September 24, 2020 |
List of diseases for mandatory preventive vaccinations within the guaranteed volume of medical care
1. At the expense of the republican budget, mandatory preventive vaccinations (injection of vaccines and other immunobiological drugs) are carried out against the following infectious and parasitic diseases after receiving the informed consent of the person to be vaccinated:
1) routine preventive vaccinations:
viral hepatitis "B";
haemophilus influenza b;
diphtheria;
whooping cough;
measles;
rubella;
pneumococcal disease;
poliomyelitis;
tetanus;
tuberculosis;
epidemic parotitis;
2) preventive vaccinations according to epidemiological indications:
rabies;
typhoid fever;
spring-and-summer tick-borne encephalitis;
plague;
Coronavirus infection.
Footnote. Paragraph 1, as amended by Resolution of the Government of the Republic of Kazakhstan dated 30.03.2021 No. 173 (shall be enforced from the day of its first official publication).2. At the expense of local budgets, mandatory preventive vaccinations (injection of vaccines and other immunobiological drugs) are carried out according to the epidemiological indications against the following infectious diseases after receiving the informed consent of the person to be vaccinated:
viral hepatitis "A";
flu;
anthrax;
Tularemia.
Footnote. Paragraph 2 - as amended by the Resolution of the Government of the Republic of Kazakhstan dated 30.03.2021 No. 173 (shall be enforced from the day of its first official publication).| Appendix 2 to Resolution No. 612 of the Government of the Republic of Kazakhstan dated September 24, 2020 |
Rules for mandatory preventive vaccinations within the guaranteed volume of medical care
1. These Rules for mandatory preventive vaccinations within the guaranteed volume of medical care (hereinafter the Rules) have been developed in accordance with paragraph 5 of Article 85 of the Code of the Republic of Kazakhstan dated July 7, 2020 On Public Health and Healthcare System and define the procedure for carrying out preventive vaccinations.
2. Mandatory preventive vaccinations (hereinafter - vaccinations) shall be carried out by legal entities with a license for providing primary health care, consultative and diagnostic and (or) inpatient medical care for adults and (or) children.
3. The terms of mandatory vaccinations within the guaranteed volume of medical care shall be established in accordance with the appendix to these Rules.
4. Persons with a higher and secondary medical education, trained in the rules of vaccination techniques, emergency care in the event of adverse post-immunization effects, who have a permit for carrying out vaccinations, shall be allowed to administer injections.
The permit shall be issued annually by an ad hoc commission formed at the medical organization for the issuance of permits to administer injections.
5. The heads of medical organizations shall organize vaccinations, training of specialists administering injections.
6. Vaccines shall be administered in specially equipped vaccination rooms of healthcare organizations and (or) educational organizations. The premises where vaccinations are carried out must be provided with emergency and anti-shock therapy kits with instructions for their use.
7. In the absence of conditions for vaccinations in a settlement (absence of a healthcare organization, a healthcare professional or conditions for storing vaccines and other immunobiological preparations), vaccinations shall performed by the respective mobile vaccination team.
The mobile vaccination teams’ operation mode shall be determined by the local public health authorities of regions, cities of republican scale and the capital.
8. Vaccines and other immunobiological preparations shall be administered that are duly registered as prescribed by the legislation of the Republic of Kazakhstan in healthcare.
9. Injections shall be administered parenterally with the use of autodestruct syringes and orally - by ingestion.
10. On the vaccination day to the vaccinated person, the doctor, in the absence of a doctor - a paramedic, shall conduct a survey of the vaccinated person or his legal representative with a medical examination and thermometry to exclude contraindications to immunization and, in the absence of such, shall give permission for the vaccination.
11. The healthcare professional shall provide the vaccinated person or his legal representative with complete and objective information about the vaccination, possible reactions and adverse manifestations after immunization, the consequences of refusing to be vaccinated. Vaccinations shall be carried out after obtaining an informed consent for vaccination by citizens, parents or other legal representatives of minors and persons recognized as incapacitated as prescribed by the civil legislation of the Republic of Kazakhstan.
12. A medical examination of an adult vaccinated person before vaccinations shall be carried out in the event of a complaint about deteriorating health and / or in the presence of objective symptoms of diseases.
13. Before vaccinations, a healthcare worker shall check the integrity of the ampoule (vial), the expiration date and labeling of the vaccine and other immunobiological preparations, the compliance of the vaccine with the solvent and the attached instructions.
14. Vaccinated persons shall be under observation for 30 minutes in the healthcare organization where they received injections to take action in the event of post-immunization adverse effects. In the event of vaccinations by a mobile vaccination team, the vaccinated shall be under the supervision of the healthcare worker who made the injection.
15. All the carried out vaccinations shall be subject to registration by a health professional and must contain the following information: date of drug administration, drug name, batch number, dose, control number, expiration date, nature of reaction to drug administration, country of origin. The listed data shall be entered into the registration forms of the following medical documents:
1) for children - a card of preventive vaccinations (form 063 / y), history of the child's development (form 112 / y), medical record of a child (form 026 / y), an insert sheet for a teenager to the outpatient's medical card (form 025-1 / y), a log of preventive vaccinations for newborns (form 064-1 / y), a log of vaccines movement (form 064-2 / y);
2) for adults - an outpatient's medical card (form 025 / y), a registration log of preventive vaccinations (form 064 / y).
16. Information about vaccinations shall be entered in the vaccination passport, the form of which is approved by the authorized body in healthcare in accordance with subparagraph 31) of article 7 of the Code of the Republic of Kazakhstan dated July 7, 2020 On Public Health and Healthcare System.
The healthcare worker who performed the injections shall ensure the correctness and reliability of the entries on vaccinations in the records and vaccination passport.
17. All cases of reactions and adverse effects after immunization to the injected vaccines and other immunobiological preparations shall be recorded in the registration forms of medical documents indicated in paragraphs 15 and 16 of these Rules.
| Appendix to the Rules for mandatory preventive vaccinations as part of the guaranteed volume of medical care |
The timing of mandatory preventive vaccinations as part of the guaranteed volume of medical care
Footnote. Table of the appendix - as amended by the Resolution of the Government of the Republic of Kazakhstan dated 30.03.2021 No. 173 (shall be enforced from the day of its first official publication).
1. Infectious diseases against which vaccinations are carried out at the expense of the republican budget
2. Infectious diseases against which vaccinations are carried out at the expense of the local budget
Age and contingent of the vaccinated | Viral hepatitis "A" | Flu | Anthrax | Tularemia |
1 | 2 | 3 | 4 | 5 |
1) by age | ||||
2 years old | + | |||
2) population, living and working in | + | + | ||
1 | 2 | 3 | 4 | 5 |
3) persons, related to risk groups for the types of their professional activities, including: | ||||
Medical workers | + | |||
4) persons, related to risk groups for their | ||||
Children on the dispensary in the medical organization | + | |||
5) Children of orphanages, children's houses, contingent of nursing houses | + | |||
6) According to epidemiological indications | + | + |
| Appendix 3 to Resolution No. 612 of the Government of the Republic of Kazakhstan dated September 24, 2020 |
Population groups subject to preventive vaccinations
Footnote. Groups of population as amended by the Resolution of the Government of the Republic of Kazakhstan dated 30.03.2021 No. 173 (shall be enforced from the day of its first official publication).
The following population groups shall be subject to mandatory preventive vaccinations:
1) persons by age in accordance with the established terms of mandatory preventive vaccinations;
2) the population living and working in natural foci of infectious diseases (spring-summer tick-borne encephalitis, anthrax, tularemia, plague);
3) persons belonging to risk groups by the nature of their occupation:
healthcare workers (viral hepatitis "B", influenza);
workers of sewage and treatment facilities (typhoid fever);
4) persons belonging to risk groups for their health condition:
persons who received blood transfusion (viral hepatitis "B");
children who are on dispensary registration in a medical organization (influenza);
5) children from orphanages, infant orphanages, inmates of old age nursing homes (influenza);
6) persons who have been bitten, salivated by any animal (rabies);
7) persons who have sustained injuries, wounds with violation of the skin and mucous membranes integrity (tetanus);
8) persons with a high risk of infection on epidemiological indications (viral hepatitis “A”, influenza, measles, rubella, epidemic mumps, coronavirus infection).
| Appendix 4 to Resolution No. 612 of the Government of the Republic of Kazakhstan dated September 24, 2020 |
List of some invalidated resolutions of the Government of the Republic of Kazakhstan
1. Resolution No. 2295 of the Government of the Republic of Kazakhstan dated December 30, 2009 "On approval of the list of diseases against which preventive vaccinations are carried out, the Rules for carrying them out and population groups subject to routine vaccinations" (Collected Acts of the President and the Government of the Republic of Kazakhstan, 2010, No. 4, art. 45).
2. Resolution No. 663 of the Government of the Republic of Kazakhstan dated June 29, 2010 On amendments to Resolution No. 2295 of the Government of the Republic of Kazakhstan dated December 30, 2009 (Collected Acts of the President and the Government of the Republic of Kazakhstan, 2010, No. 40, art. 357).
3. Resolution No. 119 of the Government of the Republic of Kazakhstan dated February 12, 2013 On amendments to Resolution No. 2295 of the Government of the Republic of Kazakhstan dated December 30, 2009 On approval of the list of diseases for preventive vaccinations, the Rules for carrying them out and population groups, subject to routine vaccinations (Collected Acts of the President and the Government of the Republic of Kazakhstan, 2013, No. 15, art. 266).