On approval of the Rules for Sanitary and Epidemiological Surveillance

New Unofficial translation

Order of the Minister of Healthcare of the Republic of Kazakhstan No. KR DSM-193/2020 dated November 13, 2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on November 16, 2020 under No. 21640

      Unofficial translation

      In obedience to Article 114, paragraph 5 of the Code of the Republic of Kazakhstan of July 7, 2020 “On Public Health and the Healthcare System”, I HEREBY ORDER:

      1. That the attached Rules for Sanitary and Epidemiological Surveillance shall be approved.

      2. That Order of the Minister of National Economy of the Republic of Kazakhstan No. 326 dated July 19, 2016 “On Approval of the Rules for Sanitary and Epidemiological Surveillance shall be deemed invalid (registered with the Register of State Registration of Regulatory Legal Acts under No. 14128, published on September 5, 2016 in Adilet, the information and legal system).

      2. That in compliance with the statutory procedure of the Republic of Kazakhstan, the Committee for Sanitary and Epidemiological Control of the Ministry of Healthcare of the Republic of Kazakhstan shall ensure:

      1) state registration hereof with the Ministry of Justice of the Republic of Kazakhstan;

      2) placement hereof on the website of the Ministry of Healthcare of the Republic of Kazakhstan;

      3) within ten working days after the state registration hereof with the Ministry of Justice of the Republic of Kazakhstan, submission to the Legal Department of the Ministry of Healthcare of the Republic of Kazakhstan of the information on the implementation of the measures stipulated in subparagraphs 1) and 2) of this paragraph.

      3. That the supervising Vice-Minister of Healthcare of the Republic of Kazakhstan shall be charged with the control of execution of this order.

      4. That this order shall be put into effect ten calendar days after the date of its first official publication.

      Minister of Healthcare
of the Republic of Kazakhstan
A. Tsoy

  Approved by order
of the Minister of Healthcare
of the Republic of Kazakhstan
No. KR DSM-193/2020
dated November 13, 2020

Rules for Sanitary and Epidemiological Surveillance

Chapter 1. General provisions

      1. These Rules for Sanitary and Epidemiological Surveillance (hereinafter referred to as Rules) have been developed pursuant to paragraph 5 of Article 114 of the Code of the Republic of Kazakhstan of July 7, 2020 “On Public Health and Healthcare System” (hereinafter referred to as the Code) and determine the procedure for public health surveillance by territorial divisions, state organisations of state body in the field of sanitary-epidemiological welfare of population (hereinafter referred to as territorial divisions, subordinated organisations).

      2. The following terms and definitions are used in these Rules:

      1) state body in the sphere of sanitary-epidemiological welfare of population - a state body implementing the state policy in the sphere of sanitary-epidemiological welfare of population, control and supervision over observance of requirements, established by regulatory legal acts in the sphere of sanitary-epidemiological welfare of population and other legislative acts of the Republic of Kazakhstan;

      2) state organization in the field of sanitary-epidemiological welfare of the population – the National Centre for Expertise Republican State Enterprise on the Right of Economic Management;

      3. Sanitary and epidemiological surveillance shall be the state system of observation of the state of population's health and habitat, through collection, processing, systematization, analysis, assessment and forecast, as well as determination of causal relationships between the state of population's health and the state of human habitat.

      4. The objective of sanitary and epidemiological surveillance shall be to obtain reliable information on the impact of environmental factors (chemical, physical, biological, social) on human health, assess the effectiveness of measures to prevent the occurrence of poisonings and outbreaks of infectious diseases, occupational diseases, the ability to predict their occurrence.

      5. Sanitary and epidemiological surveillance and assessment of effectiveness of measures carried out shall be conducted for compliance with the requirements of documents of the state system of sanitary and epidemiological standardization (sanitary rules, hygienic standards, technical regulations, methodological guidelines and recommendations) in the manner provided by Article 95 of the Code.

      6. Management and coordination of organizational-methodological, normative-legal and software and hardware support of sanitary and epidemiological surveillance shall be performed by the state body in the sphere of sanitary-epidemiological welfare of population (hereinafter referred to as state body).

      7. Sanitary and epidemiological surveillance shall be conducted in relation to objects and products, subject to sanitary-and-epidemiologic supervision, laboratory and instrumental researches, indicators of infectious, non-infectious and occupational morbidity, sanitary-and-epidemiologic and preventive measures.

      8. Sanitary and epidemiological surveillance shall be carried out in stages and shall include:

      1) gathering, processing, systematisation of data (digital, analytical one) on the state of public health and human environment, based on the results of sanitary and epidemiological inspections of facilities subject to state sanitary and epidemiological supervision, pursuant to the list of products and epidemically significant facilities subject to state sanitary and epidemiological control and supervision approved under Article 36, paragraph 3 of the Code.

      2) analysis and identification of cause-and-effect relations between health and human environment, causes and conditions of changes in sanitary and epidemiological well-being of population, based on results of laboratory and instrumental examination of products and objects of sanitary and epidemiological supervision and control;

      3) detection of environmental factors and selection of leading indicators of health disorders for optimization of laboratory control in the system of sanitary and epidemiological surveillance;

      4) in the case of infectious and mass non-infectious diseases (poisonings) determination of causes and conditions of their emergence and spread;

      5) inter-agency cooperation on sanitary and epidemiological surveillance to ensure the sanitary and epidemiological welfare of the population;

      6) assessment and prognosis of changes in the health of the population due to changes in the human environment;

      7) determination of urgent and long-term measures to prevent and eliminate the impact of harmful factors on public health;

      8) creation of information-analytical systems, networks, program materials and databases of sanitary and epidemiological surveillance of district, city, region and republic and storage of sanitary and epidemiological surveillance data.

Chapter 2: Area of application

      9. Sanitary and epidemiological surveillance data shall be used in the activities of territorial subdivisions, subordinated organizations of the state body.

      10. Based on the results of sanitary and epidemiological surveillance:

      1) summaries, reports, recommendations, scientific forecasts, charts, tables characterizing the dynamics, direction and intensity of changes shall be prepared.

      2) managerial decisions shall be made to eliminate violations of the legislation of the Republic of Kazakhstan in the field of sanitary and epidemiological welfare of the population in the territory of the Republic of Kazakhstan.

      11. The outcomes of sanitary and epidemiological surveillance shall be posted on the official web-site of the state body following the results of six months, a year and shall be heard at the meeting of the state body following the results of the year, in cases of exceeding the indicators of morbidity, deteriorating indicators of environmental objects at the meetings of the authorized body in the field of environmental protection.

Chapter 3: Documenting sanitary and epidemiological surveillance data

      12. Data on monitored parameters of sanitary and epidemiological surveillance shall be documented in the following reporting forms:

      1) surveillance of infectious disease incidence pursuant to the form in conformity with Annex 1 to these Rules (hereinafter referred to as Annex 1);

      2) monitoring of infectious diseases by age categories according to the form in Annex 2 to these Rules (hereinafter referred to as Annex 2);

      3) sanitary and epidemiological surveillance according to the form in compliance with Annex 3 to these Rules (hereinafter - Annex 3);

      4) monitoring of laboratory tests and instrumental measurements in the form according to Annex 4 to these Rules (hereinafter - Annex 4);

      5) surveillance of occupational diseases and poisonings according to the form in conformity with Annex 5 to these Rules (hereinafter - Annex 5);

      6) monitoring of investigations on various infections according to the form in compliance with Annex 6 to these Rules (hereinafter - Annex 6).

      13. Forms of reporting on sanitary and epidemiological surveillance shall be completed in the Excel format that allows computer processing.

      14. Forms of reporting on sanitary and epidemiological surveillance shall be signed by heads of territorial subdivisions and subordinated organizations of the state body providing reports.

Chapter 4. Conducting sanitary and epidemiological surveillance

      15. Sanitary and epidemiological surveillance shall be carried out at the republican, regional and district levels.

      16. In territorial subdivisions, subordinated organizations of the state body by the decisions of the first heads responsible persons shall be assigned for the work, connected with sanitary and epidemiological surveillance implementation.

      17. District sub-branches of branches of regions, cities of Nur-Sultan, Almaty and Shymkent of state organization in the sphere of sanitary-epidemiologic well-being shall:

      1) carry out laboratory and instrumental studies, collect, primary processing of data on conducted studies in accordance with the requirements of technical regulations of the Eurasian Economic Union;

      2) forward the data to the territorial subdivisions of the state authority in the respective territory at district, regional level, as well as the cities of Nur-Sultan, Almaty and Shymkent in terms of the conducted research pursuant to Annexes 1-5 3 working days before the deadline specified in paragraph 19 of these Rules (except for sub-paragraph 1) of these Rules.

      18. Territorial subdivisions of the state body shall:

      1) carry out sanitary-epidemiological, preventive and anti-epidemic measures in the respective territory in obedience to existing regulatory legal acts in the field of sanitary-epidemiological welfare of population, including inspections of facilities subject to control and supervision in compliance with the Entrepreneurial Code of the Republic of Kazakhstan;

      2) carry out collection and systematization of information submitted by district sub-branches and branches of regions, Nur-Sultan, Almaty and Shymkent cities, supplement information in terms of activities carried out within their competence on the results of inspections;

      3) determine cause-and-effect relations of the impact of environmental factors, by analyzing the information provided to confirm the connection between the occurrence (increase of indicators) of morbidity and contamination of environmental objects (products, water, air, soil);

      4) carry out selection of leading risk factors of disturbance of public health with the purpose of timely assessment of risks on these factors and prevention of threat to life and health of population;

      5) carry out forecasting of the state of morbidity, public health and human environment in the respective territory to prepare timely and effective planned measures aimed at preventing the increase of morbidity;

      6) determine urgent and long-term measures to prevent and eliminate the impact of harmful factors on public health, by issuing acts in the sphere of sanitary and epidemiological surveillance to eliminate violations of legislation in the sphere of sanitary and epidemiological welfare of the population, forwarding information to the interested state bodies and local executive bodies of regions, cities of national importance and the capital: (if necessary), conducting communication work;

      7) at the district level send the summary information to the territorial subdivisions of state authority in the respective territory at regional level three working days prior to the deadlines specified in paragraph 19 (except for sub-item 1) of these Rules;

      8) on regional level direct the analysis and summary data on sanitary-epidemiological surveillance to the branch of the Research and Practical Centre for Sanitary and Epidemiological Expertise and Surveillance of the National Centre for Public Health Republican State Enterprise on the Right of Economic Management of the Ministry of Healthcare of the Republic of Kazakhstan (hereinafter - branch of RPCSEES of NCPH RSEREM) three working days prior to the deadlines stipulated in paragraph 20 (with the exception of sub-paragraph 1);

      9) perform formation of database of sanitary-epidemiological surveillance on respective territory and storage of data.

      19. The branch of RPCSEES of NCPH RSEREM shall:

      1) conduct collection, processing and systematization of data submitted by territorial subdivisions, subordinate organizations of the state body;

      2) carry out the analysis of the received data, make forecast of a sanitary-and-epidemiologic situation in the territory of the Republic of Kazakhstan;

      3) develop recommendations on efficiency of measures being carried out for reduction and liquidation of consequences of negative impact of entities' activity on the territory of the Republic;

      4) provide methodological support to sanitary-epidemiological surveillance data of subordinate state body;

      5) send the analysis and summary information on conducted sanitary-epidemiological surveillance to the state body in time according to paragraph 20 of these Rules;

      6) form and maintain the database of sanitary-epidemiological surveillance on the Republic;

      7) comply information bulletins of dynamics and changes in the state of public health, environmental pollution and health risks for the population in the republic as a whole, by regions.

Chapter 5. Deadlines for providing information on sanitary and epidemiological surveillance

      20. At the regional level, territorial subdivisions of the state body shall send summary information on sanitary and epidemiological surveillance to the branch of RPCSEES of NCPH RSEREM:

      1) weekly by 5:00 p.m. on Fridays, as per Annex 1;

      2) monthly by the 1st day of the month following the reporting month, according to Annexes 1-2;

      3) quarterly by the 5th day of the month following the reporting quarter as per annexes 1-2;

      4) quarterly by the 20th of the last month of the quarter, according to Annexes 3-4;

      5) once every six months by the 5th day of the month following the reporting period pursuant to Annexes 1-2;

      6) once a half-year by the 20th day of the last month of half-year, in accordance with Annexes 3-5;

      7) once a year by the 5th day of the month following the reporting year on an accrual basis as per Annexes 1-2;

      8) once a year by the 20th of the last month of the year on an accrual basis in compliance with annexes 3-5.

      21. The branch of RPCSEES of NCPH RSEREM shall send information on sanitary and epidemiological surveillance to the state body:

      1) weekly by 10.00 a.m. on Mondays as per Annex 1;

      2) monthly by the 1st day of the month following the reporting month according to annexes 1-2;

      3) quarterly by the 1st of the month following the reporting quarter as per annexes 1-2;

      4) quarterly by the 1st of the month following the reporting quarter as per annexes 1-2;

      5) quarterly by the 25th of the last month of the quarter pursuant to Annexes 3-4;

      6) semiannually by the 1st day of the month following the reporting period as per Annexes 1-2;

      7) once a half-year by the 25th day of the last month of a half-year according to Annexes 3-5;

      8) once a year by the 10th day of the month following the reporting year on accrual basis in conformity with Annexes 1-5;

      9) once a year by the 25th day of the last month of the year in compliance with Annexes 3-5.

      22. If the last day of the deadline for submission of the sanitary and epidemiological surveillance reporting forms falls on a non-working day, the deadline for submission shall be the next working day.

      23. If necessary, the state body shall request a transcript (supporting documents) on the submitted sanitary and epidemiological surveillance reporting forms to be submitted to the state body within three working days of receipt of the request from the branch of the RPCSEES of NCPH RSEREM during the year.

      24. The summing up and submission of information to the state body for the current year shall be completed by January 10 of the year following the reporting calendar year.

  Annex 1 to the Rules for
Sanitary and Epidemiological
Surveillance

Monitoring of infectious diseases
1. Sanitary and epidemiological monitoring form for the incidence of viral hepatitis "A"
among schoolchildren for the period since _________20____ (weekly, with increase)

Location

Total cases of HAV (viral hepatitis A) in the population

Number of schools

Number of enrolled school students

Number of boarding schools

Number of enrolled school students

Number of schools, boarding schools where HAV is registered

1

2

3

4

5

6

7

      Table continued

Number of infected schoolchildren therein

Proportion of schoolchildren out of the total number of patients

schools, boarding schools with 1-2 cases

3-10 cases

11-20 cases

21 or more cases

The proportion of schools and boarding schools with HAV

8

9

10

11

12

13

14

2. Sanitary and epidemiological monitoring form for the incidence of acute flaccid paralysis in the population
of the Republic of Kazakhstan for the period from _________ 20___ (weekly, with increase)

Location

Number of children under 15 years of age

Registered

2 adequate samples collected (of the total number of cases)

Index

re-examined after 60 days

Non-polio enteroviruses (NPEVs) (in children under 15 years of age) have been determined

registered in the first 7 days

Revealed in the first 48 hours

Abs

Per 100 thousand

Abs

%

Abs

% of the number of people to be examined

Abs

%

Abs

%

Abs

%

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      Table continued

unclassified after 90 days or more

total classified during the reporting period

Abs

%

Abs

%

Per 100 thousand

16

17

18

19

20

3. Form of sanitary and epidemiological monitoring of rubella morbidity in the population
of the Republic of Kazakhstan for the period since _________20____ (weekly, with increase)

      Table 1

Location

number of cases registered during the reporting week

total cases with cumulative total

of whom were hospitalised

Age range of people affected

Number of affetced among vaccinated against rubella

samples examined at the regional National Centre of Expertise (NCE)

Number of confirmed cases in the NCE

Up to 1 year

1-4 years old

5-9 years old

10-14 years old

15-19 years old

20-29 years old

Over 30 years of age

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      Table continued

Samples received by the National Reference Laboratory (NRL) of the branch of RPCSEES of NCPH RSEREM

Number of confirmed cases by the NRL of the NCPH out of the number of those nonconfirmed by the NCE

% of laboratory-confirmed cases (NCE+ out of the number of those nonconfirmed by the NCE but confirmed by the NRL of the branch of RPCSEES of NCPH RSEREM

Number of epidemic cases related to confirmed cases

15

16

17

18

      Table 2

Location

cases in the vaccinated person during the reporting week

total number of cases in vaccinated persons cumulatively since ____

% of vaccinated persons as a proportion of the total number of cases

age range of rubella cases in vaccinated people

Up to 1 year

1-4 years old

5-9 years old

10-14 years old

15-19 years old

20-29 years old

Over 30 years of age

1

2

3

4

5

6

7

8

9

10

11

4. Sanitary and epidemiological monitoring form for the incidence of measles in the population
of the Republic of Kazakhstan for the period since _________20____ (weekly, with increase)

Location

the number of recorded cases in the current week

number of cases for the whole period cumulatively

total cumulative cases

Number of hospitalised persons

age range of people affected

Measles cases among those vaccinated against measles

samples examined at the NCE of the region or city

Number of cases confirmed by the NCE

samples received by the NRL of the branch of RPCSEES of NCPH RSEREM

Up to 1 year

1-4 years old

5-9 years old

10-14 years old

15-19 years old

20-29 years old

Over 30 years of age

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      Table continued

number of cases for the whole period cumulatively

Number of cases confirmed by the NRL of the branch of RPCSEES of NCPH RSEREM

Number of epidemic cases related to confirmed cases

Mortality

16

17

18

5. Form of sanitary-epidemiological monitoring of pertussis morbidity in the population of the Republic of Kazakhstan for the period from _________ 20___ (weekly, with increase)

Location

by primary diagnoses

final diagnosis of pertussis (number of cases since ___ year).

the number of primary cases recorded per week

Total cases recorded with ____ cumulative total

Including by vaccination status

including by age

including in terms of organisation

unvaccinated

with an incomplete vaccination course

with a full course

Vaccination status unknown

Up to 1 year

1-14 years old

Over 14 years of age

Those outside community organisations.

Those registered with community organisations

Others

1

2

3

4

5

6

7

8

9

10

11

12

13

14

6. Sanitary and epidemiological monitoring form for the incidence of acute enteric infection in the population
of the Republic of Kazakhstan for the period from _________20____ (weekly, with increase)

      Table 1

Location

AEI (acute enteric infection)

Total cases per week

rate per 100,000.

including among children under 14 years of age, cases

Proportion of children under 14 years of age,%

including cases among children under 1 year of age

Proportion of children under 1 year of age, %

number of food poisoning outbreaks

including children under 14 years of age

number of people affected

1

2

3

4

5

6

7

8

9

10

      Table continued

Microbial landscape in foci of AEI (from patients and exposed persons)

Salmonella

Shigella

Rotavirus

opportunistic bacteria, specify species if present

11

12

13

14

      Table continued

Microbial landscape in foci of AEI (ambient environment)

Salmonella

Shigella

Rotavirus

opportunistic bacteria, specify species if present

15

16

17

18

  Table 2

Location

AEI control measures in outbreaks

Total for the week, cases

number of foci

Number of exposed persons examined

carriers identified

foodstuffs sampled

including positive ones

Water samples taken in foci

including positive ones

Swabs were taken for E. coli bacteria (E. coli)

including positive ones

swabs taken for pathogenic flora

including positive ones

1

2

3

4

5

6

7

8


9

10

11

12

      Table continued

organizational and methodological work

awareness-raising work of sanitation issues

information on medical advice

information to the akimats

health bulletins

lectures

TV and radio appearances

13

14

15

16

17

7. Form of sanitary and epidemiological surveillance of salmonellosis morbidity in the population
of the Republic of Kazakhstan for the period since _________20____ (weekly, with increase)

location

salmonella infection

total cases per week

indicator per 100 thousand

including among children under 14 years old, cases

Proportion of children under 14 years old,%

including among children under 1 year old, cases

proportion of children under 1 year old,%

number of outbreaks and food poisoning

including

in organized teams

in population

number of people involved in the epidemiological process

number of victims

number of victims

1

2

3

4

5

6

7

8

9

10

11

8. Sanitary and epidemiological monitoring form for the incidence of meningococcal disease
in the population of the Republic of Kazakhstan for the period from _________ 20__ (weekly, with increase)


 
Table 1

location

meningococcal disease incidence and mortality

number of cases of MM of unspecified etiology by primary diagnoses

number of MM cases by confirmed diagnoses (clinically or laboratory)

by nosological forms

including by age

meningitis

meningococcemia

meningoencephalitis

mixed forms

nasopharyngitis

Total

up to 1 year

including those vaccinated against Haemophilus influenzae (Hib)

including those vaccinated against pneumo

including those vaccinated against Hib

including those vaccinated against pneumo

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      Table continued

meningococcal disease incidence and mortality

including by age

including organization

5-7 years inclusive

including those vaccinated against Hib

including those vaccinated against pneumo

8-14 years old

15-19 years old

20 years and older

Total

unorganized.

organized by preschool organizations

school students

students

paramedics

educators

others

15

16

17

18

19

20

21

22

23

24

25

26

27

28

      table 2


laboratory confirmation of samples from patients, abs.

additional epidemiological data on MM cases (meningococcal meningitis)

mortality (among the cases recorded for this period)

group morbidity in organized groups

number of cases examined by laboratory

all cases confirmed

incl. bacteriological method

immigrants from the total number of reported cases of SM (serous meningitis)

if there is data, indicate how many patients and where they came from

Did the patient leave the country during the incubus period, and if so, where?

whether the person (s) came to the outbreak from other regions, countries

all fatal cases

proportion

number of group diseases

from 2-3 cases

from 3 cases or more

number of organizations where restrictive measures have been introduced

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

Laboratory confirmation of samples from patients, abs.

Characteristics of isolated/identified pathogens in samples (serotyping)

A

B

C

other

non-typeable

14

15

16

17

18

9. Sanitary-epidemiological surveillance form for serous meningitis morbidity in the population

of the Republic of Kazakhstan for the period from _________ 20___ (weekly, with increase)

      table 1

location

incidence of serous meningitis

number of cases of SM of unspecified etiology by primary diagnoses

the number of cases of SM by confirmed diagnoses (clinical / laboratory)

incl. by age

Total

up to 1 year

including those vaccinated against Hib

including those vaccinated against pneumo

1-4 years

including those vaccinated against Hib

including those vaccinated against pneumo

5-7 years inclusive

including those vaccinated against Hib

Total

laboratory

clinically

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      Table continued

incidence of serous meningitis

incl. by age

incl. by organization

including have vaccination against pneumo

8-14 years old

15-19 years old

20 years and older

Total

unorganized

organized by preschool organisations

School students

students

paramedics

educators

others

15

16

17

18

19

20

21

22

23

24

25

26

      table 2

additional epidemiological data on cases of SM

mortality (among the cases recorded for this period)

visitors from the total number of reported cases of SM

if there is data, indicate how many patients and where they came from

Did the patient leave the country during the incubus period, and if so where?

whether the person / s came to the outbreak from other regions / countries

all fatal cases

proportion

1

2

3

4

5

6

      Table continued

group morbidity in organized teams

laboratory confirmation in samples from patients (feces, cerebrospinal fluid, swabs from the throat and nose), abs.

number of group diseases

from 2-3 cases

from 3 or more cases

number of organizations where restrictive measures have been introduced

the number of cases examined by laboratory

all cases confirmed

including PCR (polymerase chain reaction)

including virological method

7

8

9

10

11

12

13

14

10. Sanitary and epidemiological surveillance form for serous meningitis morbidity in the population
of the Republic of Kazakhstan for the period from _________ 20___ (weekly, with increase)

organization of preventive measures in the outbreaks

Total number of exposed persons revealed

Number of exposed persons examined by laboratory-based method

Number of carriers identified

Proportion of carriers

Persons subject to rehabilitation

Number of persons rehabilitated

the name of the antibiotics used for the rehabilitation of exposed persons

1

2

3

4

5

6

7

      table continued

Epidemiological factors of disease transmission

swimming in open water

swimming in pools

swimming in fountains

using water from open reservoirs for drinking and washing vegetables and fruits

contact with the sick

contact with the wearer

drinking raw water

other (specify)

8

9

10

11

12

13

14

15

      Table continued

laboratory monitoring

organizational and methodological work

wastewater samples

result (research method)

samples from open water

result (research method)

samples from pools, fountains

result (research method)

seminars for health workers

seminars / meetings for employees of other departments

round tables

medical advice

information to akimats

16

17

18

19

20

21

22

23

24

25

26

      Table continued

awareness-raising work of sanitation issues


visual aids distributed (pieces)

dictations

appearances on television, radio

information is posted on the official sites

newspaper articles

conversations with teachers

conversations with parents

hotline

27

28

29

30

31

32

33

34

  Annex 2 to the Rules for
for Sanitary and Epidemiological
Surveillance

Monitoring of infectious diseases by age group

1. Sanitary and epidemiological monitoring form for infectious disease incidence in the population
of the Republic of Kazakhstan for the period _________ 20 ___ (monthly, with increase)

location

name of the disease

_____year

______year

______ to _____ (+, -)

absolute

indicator

absolute

indicator

Total

children under 14 years old

teenagers 15 - 17 years old

Total

children under 14 years old

teenagers 15 - 17 years old

Total

children under 14 years old

teenagers 15 - 17 years old

Total

children under 14 years old

teenagers 15 - 17 years old

Total

children under 14 years old

teenagers 15 - 17 years old

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

2. Sanitary and epidemiological monitoring form for the incidence of measles in the population
of the Republic of Kazakhstan for the period _________ 20___ (monthly, with increase)

1

identification data


reporting


monthly


2

region name


reporting year




3

Name, surname, patronymic of the (if any) responsible person


month of submission of the report





4

E-mail address


the number of registered suspicious cases during the reporting period





5

the number of registered suspected cases of measles with the collection of samples for laboratory tests for measles (including in the regions)



6

telephone

number of reporting districts



7

date



8

final classification of measles cases



9


age groups



10


<1 year

1 - 4 years

5 - 9 years old

10 - 14 years old

15-19 years old

20-29 years old

30+

age unknown

Total

11

0 doses










12

1 dose










13

2 doses










14

unknown number










15

Total










16

number of laboratory confirmed cases










17

number of epidemics. related cases laboratory confirmed case










18

number of hospitalized










19

number of deaths










3. Sanitary and epidemiological monitoring form for rubella morbidity in the population
of the Republic of Kazakhstan for the period _________ 20___ (monthly, with increase)

1

identification data


reporting


monthly


2

region name


reporting year




3

Name, surname, patronymic of the (if any) responsible person


month of submission of the report





4

E-mail address


the number of registered suspicious cases during the reporting period





5

the number of registered suspected cases of measles with the collection of samples for laboratory tests for rubella (including in the regions)



6

telephone

number of reporting districts



7

date



8

final classification of rubella cases



9


age groups



10


<1 year

1 - 4 years

5 - 9 years old

10 - 14 years old

15-19 years old

20-29 years old

30+

age unknown

Total

11

0 doses










12

1 dose










13

2 doses










14

unknown number










15

Total










16

number of laboratory confirmed cases










17

number of epidemics related cases laboratory confirmed case










18

number of hospitalized










19

number of deaths










4. Sanitary and epidemiological monitoring form for the incidence of epidemic parotitis
in the population of the Republic of Kazakhstan for the period _________ 20___ (monthly, with increase)

1

identification data


reporting


monthly


2

region name


reporting year




3

Name, surname, patronymic of the (if any) responsible person


month of submission of the report





4

E-mail address


the number of registered suspicious cases during the reporting period





5

the number of registered suspected cases of measles with the collection of samples for laboratory tests for epidemic parotitis (including in the regions)



6

telephone

number of reporting districts



7

date



8

final classification of epidemic parotitis cases



9


age groups



10


<1 year

1 - 4 years

5 - 9 years old

10 - 14 years old

15-19 years old

20-29 years old

30+

age unknown

Total

11

0 doses










12

1 dose










13

2 doses










14

unknown number










15

Total










16

number of laboratory confirmed cases










17

number of epidemics related cases laboratory confirmed case










18

number of hospitalized










19

number of deaths










5. Sanitary and epidemiological monitoring form for immunization against viral hepatitis A
(VHA) of the population of the Republic of Kazakhstan for the period _________ 20___ (monthly, with increase)

location

allocated funds from the local budget for VHA vaccine

vaccine purchased, doses

total number of persons subject to immunisation

Total number of persons vaccinated

number of children aged 2 years

vaccinated children aged 2 years

1

2

3

4

5

6

7

      Table continued

Schoolchildren subjected to immunisation

Vaccinated schoolchildren

Number of those exposed in foci subjected to immunisation

Vaccinated persons exposed in foci

Children under 14 years of age with chronic hepatitis B and C (HBV and HCV)

Vaccinated children up to 14 years of age, with CV-HB and CV-HCV

Other vaccinated ones

8

9

10

11

12

13

14

6. Sanitary and epidemiological monitoring form for immunisation against viral hepatitis B (HBV)
in the population of the Republic of Kazakhstan for the period _________ 20___ (monthly, with increase)

      table 1

HBV - 1

Total number of vaccinated ones

Including

Of children vaccinated

adults

children

Up to 1 year

Of children under one year of age

Over 1 year old

In obstetrics organisations

At the precinct

1

2

3

4

5

6

7

      Table continued

HBV - 2

HBV - 3

Total number of vaccinated ones

Including

Of children vaccinated

Total number of vaccinated ones

Including

Of children vaccinated

adults

children

Up to 1 year

Over 1 year old

adults

children

Up to 1 year

Over 1 year old

8

9

10

11

12

13

14

15

16

17

      table 2

HBV - 1

adults

Including

health professionals

recipients

medical students

exposed persons

people living with HIV

Those subject to haemodialysis and transplantation

oncohematological patients

1

2

3

4

5

6

7

8

      Table continued

HBV - 2

adults

Including

health professionals

recipients

medical students

exposed persons

people living with HIV

Those subject to haemodialysis and transplantation

oncohematological patients

9

10

11

12

13

14

15

16

      table 3

HBV - 3

adults

Including

health professionals

recipients

medical students

exposed persons

people living with HIV

Those subject to haemodialysis and transplantation

oncohematological patients

1

2

3

4

5

6

7

8

  Annex 3 to the Rules for
for Sanitary and Epidemiological
Surveillance

Sanitary and hygiene surveillance monitoring
1. Sanitary and epidemiological monitoring form for water bodies for______________20___ (quarterly, with increase)

open reservoirs (1 category)
 


open reservoirs (2 categories)
 

Total
 

does not meet sanitary and epidemiological requirements
 

laboratory control
 

Total
 

does not meet sanitary and epidemiological requirements
 

laboratory control
 

microbiological indicators
 

sanitary and chemical indicators
 

microbiological indicators
 

sanitary and chemical indicators
 

samples examined
 

do not meet the standards
 

samples examined
 

do not meet the standards
 

samples examined
 

do not meet the standards
 

samples examined
 

do not meet the standards
 

1

2

3

4

5

6

7

8

9

10

11

12

2. Form of sanitary-epidemiological monitoring of atmospheric air condition for______________20___ (quarterly, with increase)

location

Number of facilities with organised atmospheric emissions, units

Number of facilities with sanitary protection zones of standard dimensions, units

number of sampling inspection points

amount of ingredients contained in the emissions, units

of which determined by the NCE, units

Samples tested for sanitary and chemical indicators

total samples, units

of them with exceeding the maximum permissible concentration (MPC)

Name of ingredients with exceeded MPC

By each ingredient

Including those exceeding the MPC

total units

including classes I-II

total units

including classes I-II

1

2

3

4

5

6

7

8

9

10

11

12

13

3. The form of sanitary and epidemiological monitoring of the state of the soil for ______________ 20___ (quarterly, with increase)

location

soil samples investigated for:

sanitary and chemical indicators, units

bacteriological indicators, units

helminth eggs, units

samples examined

of them does not meet the standards

samples examined

of them does not meet the standards

samples examined

helminth eggs found

1

2

3

4

5

6

7

4. Sanitary and epidemiological surveillance form for general education schools,
including boarding schools for______________20___ (quarterly, with increase)

      table 1

s/o

Name of the region

number of general education schools, including boarding schools

total

of urban type

of rural type

1

2

3

4

5

      table 2

investigated food samples for microbiological indicators, units

of them do not meet the standards, units

researched dishes for calorie content, units

of which does not meet the standards, units

investigated water samples for microbiological indicators, units

of which does not meet the standards, units

studied washings, units

of which positive ones, units

measurements of the microclimate, units

of them do not meet the standards, units

number of measurements for lighting

of them do not meet the standards, units

measurements of school furniture

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

of them do not meet the standards, units

number of measurements for EMF (electromagnetic fields)

of them exceeding the maximum permissible level (MPL)

14

15

16

5. Form of sanitary and epidemiological surveillance over boarding schools for______________20___ (quarterly, with increase)


table 1



s/o

Name of the region

number of general education schools, including boarding schools

total

of urban type

of rural type

1

2

3

4

5

      table 2

investigated food samples for microbiological indicators, units

of them do not meet the standards, units

researched dishes for calorie content, units

of which does not meet the standards, units

investigated water samples for microbiological indicators, units

of which does not meet the standards, units

studied washings, units

of which positive ones, units

measurements of the microclimate, units

of them do not meet the standards, units

number of measurements for lighting

of them do not meet the standards, units

measurements of school furniture

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

of them do not meet the standards, units

number of measurements for EMF (electromagnetic fields)

of them exceeding the maximum permissible level (MPL)

14

15

16

6. Sanitary and epidemiological monitoring form for pre-school child care and education facilities for______________20___ (quarterly, with increase)


table 1

s/o

Name of the region

Number of early pre-school child care and education facilities

total

of urban type

of rural type

1

2

3

4

5


table 2

investigated food samples for microbiological indicators, units

of them do not meet the standards, units

researched dishes for calorie content, units

of which does not meet the standards, units

investigated water samples for microbiological indicators, units

of which does not meet the standards, units

studied washings, units

of which positive ones, units

measurements of the microclimate, units

of them do not meet the standards, units

number of measurements for lighting

of them do not meet the standards, units

measurements of school furniture

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

of them do not meet the standards, units

number of measurements for EMF (electromagnetic fields)

of them exceeding the maximum permissible level (MPL)

14

15

16

7. Form for sanitary and epidemiological surveillance of food products for______________20___ (quarterly, with increase)

No.

Types of facilities

for microbiological indicators

of them does not match
 

including for patflora

of them does not match

for sanitary and chemical indicators

of them does not match

swabs in total

of them positive

1

milk processing plants









2

meat-processing factories









3

poultry processing plants









4

Fish canneries









5

Bakehouses









6

Fruit processing plants









7

for the production of fat and oil products









8

for the production of alcoholic beverages









9

for the production of alcoholic beverages









10

creamy confectionery factories









11

infant-feeding centers









12

public catering facilities with more than 50 seats









13

flour-grinding facilities









14

salt production facilities









15

sugar production facilities









16

on production and sale of specialised foodstuffs and other food product groups









17

Food retail establishments with more than 50 sq.m. of selling space









18

food markets;









19

food wholesale storage facilities









20

Transport catering facilities









21

in-flight catering facilities









22

others









23

Total










  Annex 4 to the Rules for
for Sanitary and Epidemiological
Surveillance

Monitoring of laboratory tests and instrumental measurements
1. Sanitary and epidemiological water supply monitoring form for______________20___ (quarterly, with increase)


Table 1



location

Number of settlements with a centralised water supply

the number of people living therein

%

Number of settlements with decentralised water supply (wells, boreholes, springs)

the number of people living therein

%

Number of settlements using water from open reservoirs for drinking (without water treatment)

the number of people living therein

%

number of settlements on imported water

the number of people living therein

%

total population

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 2

centralised water supply

water pipelines

including rural ones

of them not working

surveyed

From among operating ones the number of those which does not meet the health and epidemiological requirements

total

of them not operating

covered by the survey

From among operating ones the number of those which does not meet the health and epidemiological requirements

2

3

4

5

6

7

8

      table 3

total

including rural ones

for sanitary and chemical indicators

for microbiological indicators

for sanitary and chemical indicators

for microbiological indicators

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

1

2

3

4

5

6

7

8

9

10

11

12

      table 4

accidents at centralised water supply facilities

Disinfection of domestic and drinking water supply facilities

Number of water supply facilities covered by disinfection

Number of drinking water transport vehicles

total registered

the number of repairs eliminated on time (in the first 24 hours)

subsequent disinfection

Reagents used (please, specify)

need (in number)

supply (in number)

water pipelines

decentralised water supply







in total

including upon the initiative of territorial authorities

in total

including upon the initiative of territorial authorities

1

2

3

4

5

6

7

8

9

10

11

      table 5

Decentralised water supply (wells, springs, artesian wells without a distribution network)

total facilities under control

of them those which are not operational

total surveyed

From among operating ones the number of those which does not meet the health and epidemiological requirements

1

2

3

4

      Table continued

Specific weight of decentralised water supply samples that do not meet sanitary and epidemiological requirements

In total

Including rural ones

for sanitary and chemical indicators

for sanitary and microbiological indicators

for sanitary and chemical indicators

for sanitary and microbiological indicators

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

Samples tested

of them those which fail to meet the requirements

%

5

6

7

8

9

10

11

12

13

14

15

16

2. Sanitary and epidemiological surveillance form for workplace air conditions for______________20___ (quarterly, with increase)


Name of enterprises by sector

total facilities, units

of which surveyed

including with the use of laboratory methods of investigation

number of surveys, in units

Number of facilities with exceeded MPС, MPL

issued prescriptions, in units
 

of which completed on time, in units

samples examined, in units:

vapours and gases

In total

of them with exceeding the MPC

Including substances of hazard class 1-2

In total

of them with exceeding the MPC


А

1

2

3

4

5

6

7

8

9

10

11

1

industrial and other enterprises in total,













including:












2

non-ferrous metal industry












3

iron and steel industry












4

chemical












5

mechanical engineering and metalworking












6

coal industry












7

power industry












8

oil and gas extraction












9

oil refinery












10

building material industry












11

glass and porcelain












12

light manufacturing












13

woodworking












14

printing












15

medical












16

food












17

agricultural industry












18

chemicalization facilities












19

transport












20

communication












21

petrol stations, service stations, car washes












22

construction












23

other












      Table continued

samples examined, units:

dust and aerosols

In total

of them with exceeding the MPC

Including substances of hazard class 1 to 2

In total

of them with exceeding the MPC

12

13

14

15





3. Form for sanitary and epidemiological surveillance of physical factors in the workplace for______________20___ (quarterly, with increase)

Name of enterprises by sector

microclimate

lighting

noise

vibration

electromagnetic fields

Number of workplaces surveyed

of them those that do not meet hygiene requirements

Number of workplaces surveyed

of them those that do not meet hygiene requirements

Number of workplaces surveyed

of them those that do not meet hygiene requirements

Number of workplaces surveyed

of them those that do not meet hygiene requirements

Number of workplaces surveyed

of them those that do not meet hygiene requirements

industrial and other enterprises in total,











including:











non-ferrous metal industry











iron and steel industry











chemical











machine building and metal working











coal industry











power industry











oil and gas extraction











refining











building materials industry











glass and porcelain production











light manufacturing











woodworking











printing











medical











food











agricultural industry











chemicalization facilities











transport











communication











petrol stations, service stations, car washes











construction











1

2

3

4

5

6

7

8

9

10

11

4. Sanitary and epidemiological surveillance form for nuclear facilities for______________20___year (quarterly, with increase)

      table 1

Location

Number of facilities using an ionising radiation source (IRS)

number of radioactive sources (RS)

total units

including RS sealed

total activity, giga Becquerel (GBq)

In total

of them those used in

number of pieces

total activity, GBq

Gamma detectors

powerful gamma units

number of pieces

total activity, GBq

Medical ones

Industrial ones

number of pieces

total activity, GBq

number of pieces

total activity, GBq


1

2

3

4

5

6

7

8

9

10

11

12

      Table continued

number of radioactive sources (RS)

including RS sealed

Including open RS

of them those used in

number of pieces

total activity, GBq

RID-x (radioisotope device)

smoke detectors

other RS (radiation source)

number of pieces

total activity, GBq

number of pieces

total activity, GBq

number of pieces

total activity, GBq

13

14

15

16

17

18

19

20

      table 2

X-ray units, total

Radioactive waste (sources of ionising radiation)

Industrial ones

Medical ones

the number of sources to be disposed in the reference year

X-ray structural analysis pieces

X-ray defectoscopes pieces

total, pieces

total, pieces

total activity, GBq

including smoke detectors

total activity, mega Becquerel (MBq)

1

2

3

4

5

6

7

      Table continued

Radioactive waste (sources of ionising radiation)

number of sources disposed in the past year

Number of sources to be disposed of in the past year

total, pieces

total activity, GBq

including smoke detectors

total activity, mega Becquerel (MBq)

total, pieces

total activity, GBq

including smoke detectors

total activity, mega Becquerel (MBq)

8

9

10

11

12

13

14

15

      table 3

Radioactive waste (solid (SRW), liquid (LRW)

the amount of radioactive waste (SRW) to be disposed as of 01.01. of the reporting year (quarter)

the amount of radioactive waste (LRW) to be disposed as of 01.01. of the reporting year (quarter)

the amount of radioactive waste (SRW) disposed in the past year (quarter)

the amount of radioactive waste (LRW) disposed in the past year (quarter)

total (t)

total activity, GBq

total litres (m3)

total activity, GBq

total (t)

total activity, GBq

total litres (m3)

total activity, GBq

1

2

3

4

5

6

7

8

      Table continued

Radioactive waste (solid (SRW), liquid (LRW)

the amount of radioactive waste (SRW) disposed in the past year (quarter)

the amount of radioactive waste (LRW) disposed in the past year (quarter)

The amount of radioactive waste (SRW) to be disposed as of 31.12 of the previous year (quarter)

total (t)

total activity, GBq

total litres (m3)

total activity, GBq

total, pieces

total activity, GBq

9

10

11

12

13

14

      Table continued

Radioactive waste (solid (SRW), liquid (LRW)

The amount of radioactive waste (SRW) to be disposed as of 31.12 of the previous year (quarter)

total litres (m3)

total activity, GBq

15

16

      table 4

Number of category "A" personnel

Number of facilities that do not meet requirements of statutory and regulatory enactments

administrative measures

Order on imposition of a fine

order to suspend the operation of the facility

in total

industrial enterprises

medical organizations

mines, quarries, landfills

research organizations

secondary and higher education institutions

Rail, air, sea (river) transport

other facilities

In total

Including in health care providers

imposed

detained

resolved

implemented

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      Table continued

The number of radiation accidents, including in medical organisations

Number of persons affected by radiation accidents

15

16

      table 5

dust-emitting factor

Radon, thoron and rhodon daughter product concentrations in workplace air

total number of facilities

total number of measurements

Specific activity of production dust (content range)

number of measurements from exceeding the PL

total number of facilities

total number of measurements

EEVA (equivalent equilibrium volumetric activity) of radon isotopes in air, Bq/m3 (range of values)

number of measurements exceeding the PL (permissible level)

max

min

max

min

      table 6

concentrations of radon, thoron and DPR (a daughter product of radon) from soil in land allocation for the construction of industrial facilities (ND - 250 mBq/(m.s.xs))

Radon, thoron and DPR concentrations in the ground in the allocation of land for the construction of residential and social buildings (ND - 80 mBq/(m.sq.xs))

total number of facilities

total number of measurements

Radon flux density, mBq/(m.s.xs) value range

number of measurements exceeding the PL

total number of facilities

total number of measurements

Radon flux density, mBq/(m.s.xs) (value range)

number of measurements exceeding the PL

max

min

max

min

1

2

3

4

5

6

7

8

9

10

      table 7

Radon, thoron and DPR concentrations in residential and public buildings at occupancy (100Bq/m3)

Radon, thoron and DPR concentrations in active residential and public buildings (200Bq/m3)

total number of facilities

total number of measurements

equivalent equilibrium volumetric activity, Bq/m3 (range of values)

number of measurements exceeding the PL

total number of facilities

total number of measurements

equivalent equilibrium volumetric activity, Bq/m3 (range of values)

number of measurements exceeding the PL

max

min

max

min

1

2

3

4

5

6

7

8

9

10



table 8

EDR in the territory of land plots during allocation for construction, reconstruction, in the territory of residential areas (settlements)

EDR (equivalent dose rate) in residential, public, industrial areas,

renovated buildings

total number of facilities

total number of measurements

EDR Gamma radiation, µSv/h (value range)

number of measurements exceeding the PL

total number of facilities

total number of measurements

EDR Gamma radiation, µSv/h (value range)

number of measurements exceeding the PL

max

min

max

min

1

2

3

4

5

6

7

8

9

10

      table 9

Scrap metal radiation monitoring

number of measurements exceeding the PL

total number of facilities

total number of measurements

range of values

alpha particle flux, cm/sq.min

Beta particle flux, cm/sq.min

Gamma radiation mSv/hour

max

min

max

min

max

min

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

      table 10

industrial facilities using IRS

total number of facilities

total number of measurements

Gamma radiation mSv/hour

Beta particle flux, cm/sq.min

alpha particle flux, cm/sq.min

neutron radiation

number of measurements exceeding the IL

max

min

max

min

max

min

max

min

max

1

2

3

4

5

6

7

8

9

10

11

      table 11

Radiology and therapy rooms

total number of facilities

total number of x-ray measurements

Total number of work places

X-ray radiation, mR/hour

number of measurements exceeding the PL

the staffing of workplaces with IPD

max

min

middle value

1

2

3

4

5

6

7

8

      table 12

others (core rock, utensils, waste, sludge, etc.)

Oil and refined products

total samples

Specific effective activity, Bq/kg

number of samples with exceeded PL

total samples

specific total activity of natural radionuclides, Bq/kg

number of samples with exceeded PL

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

      table 13

mineral fertilisers


fuel oil

total samples

specific activity, Bq/kg

number of samples with exceeded PL

total samples

of them radiation hazard class 1

of them radiation hazard class 2

of them radiation hazard class 3

max

min

middle value

1

2

3

4

5

6

7

8

9

      table 14

construction materials


wood raw material

total samples

of them radiation hazard class 1

of them radiation hazard class 2

of them radiation hazard class 3

total samples

strontium-90

cesium-137

number of samples with exceeded PL

Specific weight of samples with exceeded PL

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

      table 15

greenery

number of samples with exceeded PL

thorium-232

radium-226

strontium-90

cesium-137

total samples

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 16

soil, bottom sediments

total samples

thorium-232

radium-226

kalium-40

cesium-137

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

      table 17

Tobacco and tobacco products

number of samples with exceeded PL

total samples

total beta activity (Bq/kg)

Strontium-90 ( Bq/kg)

Cesium-137 (Bq/kg)


max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

      table 18

Foodstuffs examined by the express method - medicinal plants (herbal supplements, dried teas and liquid balms, tinctures)

total samples

express method (Bq/kg)

number of samples with exceeded PL

Strontium-90

Cesium-137

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

      table 19

Foodstuffs tested by radiochemical method - Tea

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 20

foodstuffs examined by radiochemical method - aromatic herbs

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 21

foodstuffs examined by radiochemical method - legumes

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 22

Foodstuffs examined by radiochemical method - vegetables, gourds

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 23

foodstuffs examined by radiochemical method - fish

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 24

Foodstuffs examined by radiochemical method - grains and cereals

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 25

foodstuffs examined by radiochemical method - bread

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 26

пищевые продукты исследованные радиохимическим методом - молоко

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 27

foodstuffs examined by radiochemical method - meat

number of samples with exceeded IL

total samples

Radiochemical studies (Bq/kg)

Strontium-90

Cesium-137

lead-210

radium-226

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 28

foodstuffs by incoming inspection (express method)

number of samples with exceeded IL

total samples

Strontium-90 (Bq/kg)

Cesium-137 (Bq/kg)

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

      table 29

total samples

Technical, domestic water (irrigation, swimming pools, etc. not suitable for drinking water)

Radiochemical, spectrometric studies (Bq/L)

uranium-238

thorium-232

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

      Table continued

Technical, domestic water (irrigation, swimming pools, etc. not suitable for drinking water)

Radiochemical, spectrometric studies (Bq/L)

radium-226

radium-228

strontium-90

max

min

middle value

max

min

middle value

m a x

m i n

middle value

8

9

10

11

12

13

14

15

16

      table 30

Technical, domestic water (irrigation, swimming pools, etc. not suitable for drinking water)

Number of samples with exceedance of IL in radionuclide composition

Specific weight of samples with exceedance

cesium - 137

lead -210

polonium -210

radon-222

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 31

total samples

total samples tested for total alpha-beta activity

industrial spill water

Number of samples with exceeded PL for total alpha-beta activity

total samples for radiochemical testing

Radiometric studies (total alpha and beta activity (Bq/L)

beta activity

alpha activity



max

min

middle value

max

min

middle value



1

2

3

4

5

6

7

8

9

10

      table 32

Industrial spill water, radiochemical tests (Bq/l)

uranium-238

uranium-238

thorium-232

radium-226

radium-228

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      table 33

Industrial spill water

Strontium-90

Cesium-137

lead-210

radon-222

polonium-210

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      Table continued

Number of samples with exceedance of IL in radionuclide composition

min

middle value

16

17

      table 34

total samples

total samples tested for total alpha-beta activity

Drinking water from underground sources (wells, bottled water)

Number of samples with exceeded PL for total alpha-beta activity

total samples for radiochemical testing

Radiometric studies total alpha and beta activity (Bq/l)

beta activity

alpha activity

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

      table 35

Drinking water from underground sources (wells, bottled water)

Radiochemical studies (Bq/l)

uranium-238

uranium-234

thorium-232

radium-226

radium-228

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      table 36

Drinking water from underground sources (wells, bottled water)

Radiochemical studies (Bq/l)

Strontium-90

Cesium-137

lead-210

radon-222

polonium-210

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

      table 37

total samples

total samples tested for total alpha-beta activity

water from open sources (bodies of water)

Number of samples with exceeded PL for total alpha-beta activity

total samples for radiochemical testing

Radiometric studies total alpha and beta activity (Bq/l)

beta activity

alpha activity

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

      table 38

water from open sources (bodies of water)

Radiochemical, spectrometric studies (Bq/L)

uranium-238

thorium-234

thorium-232

radium-226

strontium-90

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

      table 39

Technical, domestic water (irrigation, swimming pools, etc. not suitable for drinking water)

Number of samples with exceedance of IL in radionuclide composition

Specific weight of samples with exceedance

cesium - 137

lead -210

polonium -210

radon-222

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

14

      table 40

total samples

rainfall


Radiometric studies (total alpha and beta) activity

radiochemical research

beta activity

alpha activity

Strontium-90 (Bq/kg)

cesium -137

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

rainfall

radiochemical research

lead -210 (Bq/kg)

Radium

max

min

middle value

max

min

middle value

14

15

16

17

18

19



table 41


total samples

Air

Radiometric studies (total alpha and beta) activity

radiochemical research

beta activity

alpha activity

Strontium-90 (Bq/kg)

cesium -137

max

min

middle value

max

min

middle value

max

min

middle value

max

min

middle value

1

2

3

4

5

6

7

8

9

10

11

12

13

      Table continued

air

radiochemical research

lead -210 (Bq/kg)

radium

max

min

middle value

max

min

middle value

14

15

16

17

18

19

      table 42


radiation monitoring equipment

spectrometers

Gamma-ray spectro-radiometers

low background radiometer

Beta activity

"Progress-Alpha"

RUG satellite

"UMF-2000"

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

1

2

3

4

5

6

7

8

9

10

11

12

      Table continued

radiation monitoring equipment

X-ray dosimeters

survey dosimeters


"RKS-01"

"DCS-96"

"DRG-01T1"

"DRC-01"

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

13

14

15

16

17

18

19

20

21

22

23

24

      table 43

radiation monitoring equipment


Radon measurement radiometers


ramon-01

Ramon-radon-01

Ramon-radon-02

RRA-01

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

1

2

3

4

5

6

7

8

9

10

11

12

      Table continued


auxiliary equipment


Quantity

Aspiration sampling device

photocolometer




quantity available

reason for not using

of them those unused

reason for not using

quantity available

of them those unused

reason for not using

13

14

15

16

17

18

19

  Annex 5 to the Rules for
for Sanitary and Epidemiological
Surveillance

Monitoring of occupational diseases and intoxication

1. Sanitary and epidemiological surveillance form for occupational morbidity and intoxication oisoning
in the Republic of Kazakhstan for______________20___ (semi-annual, with increase)

location

Cases in total

Including (abs. number)

By type

By action

occupational diseases

occupational intoxication

acute

chronic

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year


1

2

3

4

5

6

7

8

9

10

11


In total











      Table continued

Including (abs. number)

occupational disease rate per 10,000 workers (%)

Note

By severity

Without full loss of ability to work

With full loss of ability to work

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year

reporting period of the current year

the same period of the past year

12

13

14

15

16

17

18








      Note:

      1) at the district and city level - in breakdown by settlements, by name and by facility;

      2) at the regional level - in breakdown by districts and cities of regional and republican status;

      3) at the republican level - in breakdown by regions, cities of republican status, CDs on transport

      4) the information on nosological forms shall be presented additionally in the textual part after the table.

  Annex 6 to the Rules for
for Sanitary and Epidemiological
Surveillance

Monitoring of studies on different infections

1. Testing procedures for bacterial infections

nosology

subject of investigation

testing material

types of tests

testing method

Material sampling (indication, time, frequency)

typhoid fever, paratyphoid fever

a patient, exposed person in a nidus of infection

blood

Bacterial, antibody isolation

Bacteriological, serological (Vidal reaction, direct haemagglutination reaction)

On indication, on case report

bile

isolation of bacteries

Bacteriological, gene-molecular, automated

Under the indication, upon case registration

urine

isolation of bacteries

bacteriological, gene and molecular, automated

Under the indication, upon case registration

sectional material

isolation of bacteries

Bacteriological, gene and molecular, automated

Medically indicated, lethal case reported

objects in the environment (outbreak of infection, water supply, food, trade, etc.)

water, flushes

isolation of bacteries

Bacteriological, gene and molecular, automated

Upon epidemiological indications, when a case is reported

Salmonellosis

a patient, an exposed person in an outbreak of infection

blood

Bacterial, antibody isolation

Bacteriological, serological (Vidal reaction, direct haemagglutination reaction)

Upon epidemiological indications, when a case is reported (a patient with a suspected illness for the purpose of etiological interpretation of group illnesses/infections)

bile

isolation of bacteries

Bacteriological, gene-molecular

urine

isolation of bacteries

Bacteriological, gene and molecular, automated

sectional material

isolation of bacteries

Bacteriological, gene and molecular, automated

Upon epidemiological indications, when a case is reported

objects in the environment (outbreak of infection, water supply, food, trade, etc.)

(water, food residues, flushes)

isolation of bacteries

Bacteriological, gene and molecular, automated

Upon epidemiological indications, when a case is reported

dysentery and other intestinal infections

a patient, an exposed person in an outbreak of infection

blood, paired sera

isolation of bacteria, antibodies

Bacteriological, serological (Vidal reaction, direct haemagglutination reaction)

Upon epidemiological indications, when a case is reported (a patient with a suspected illness for the purpose of etiological interpretation of group illnesses/infections)

rinse water

isolation of bacteries

Bacteriological, gene-molecular, automated

vomit

isolation of bacteries

bacteriological, gene and molecular, automated.

faeces

isolation of bacteries

bacteriological, gene and molecular, automated.

sectional material

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, upon registration of a lethal case

Persons admitted to state medical and social institutions and non-state medical and social organisations

faeces

isolation of bacteries

bacteriological, gene and molecular, automated

In the case of admission to state medical and social institutions and non-state medical and social organizations

objects of the external environment (outbreak of infection, water supply, food, trade, etc.)

water, food residues, washouts

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

Other bacterial food poisoning (including botulism)

a patient, an exposed person in an outbreak of infection

vomit

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported (a patient with a suspected illness for the purpose of etiological interpretation of group illnesses/infections)

Rinse waters

isolation of bacteries

bacteriological, gene and molecular, automated.

urine

isolation of bacteries

bacteriological, gene and molecular, automated.

faeces

isolation of bacteries

bacteriological, gene and molecular, automated.

blood, paired sera

isolation of bacteries, antibodies

bacteriological

sectional material

isolation of bacteries

bacteriological, gene and molecular, automated.

objects of the external environment (catering, trade, etc.)

swabs

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

food residues

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

meningococcal infection, purulent meningitis

a patient

nasopharyngeal swab, cerebrospinal fluid

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported (a patient with a suspected illness for the purpose of etiological interpretation of group illnesses/infections)

an exposed person in an outbreak of infection

nasopharyngeal swab

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

diphtheria

a patient

nasal and pharyngeal swabs, affected skin areas

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

an exposed person in an outbreak of infection

nasal and pharyngeal swabs, affected skin areas

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, when a case is reported

Persons placed in children's homes (orphanages)

nasal and pharyngeal swabs

isolation of bacteries

bacteriological, gene and molecular, automated.

When placed in children's homes (orphanages)

pertussis

an exposed person in an outbreak of infection, who have or have had a history of coughing

mucus from the upper respiratory tract

isolation of bacteries

bacteriological, gene and molecular, automated.

Upon epidemiological indications, 2 times in 1-day intervals

cough slides

isolation of bacteries

bacteriological, gene and molecular, automated.

blood, paired sera

isolation of antibodies

serological

2. Procedures for investigations on hospital-acquired infections (HAI)

nosology

object of study

testing material

types of research

testing method

material sampling (indications, times, multiplicity)

HAI

objects of the environment in a health care organisation

environmental wipes

bacterial isolation

bacteriological

when carrying out scheduled inspections, for epidemiological indications

environmental wipes

helminth isolation

parasitological

upon epidemiological indication, during routine inspections

sterile suture, dressing and other material

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

sterile medical instruments

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

sterile linen

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

sterile cloths for drying the hands of medical staff

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

medicinal products

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

baby care items

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

breast milk, fluid for drinking by the newborn

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

disinfection and sterilisation equipment - baktests and biotests

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

room air

bacterial isolation, total microbial contamination

bacteriological

upon epidemiological indication, during routine inspections

patient(s) with a wound infection
 

wound discharge

bacterial isolation

bacteriological, gene-molecular, automated

upon epidemiological indication

nasal swabs, pharyngeal swabs

bacterial isolation, viral isolation

bacteriological, virological

upon epidemiological indication

the infectious agent (micro-organism)

antibiotic sensitivity testing

bacteriological, automated

upon epidemiological indication

healthcare personnel

nasal swabs, pharyngeal swabs

bacterial isolation

bacteriological

upon epidemiological indication

hands after treatment

bacterial isolation

bacteriological

upon epidemiological indication

bodily fluids and secretions (blood, sputum, urine, faeces, etc.)

isolation of bacteria, viruses

bacteriological, virological

upon epidemiological indication

patient in a health care organisation

nasal swabs, pharyngeal swabs

bacterial isolation

bacteriological, gene-molecular, automated

upon epidemiological indication

bodily fluids and discharges (blood, sputum, urine, faeces, etc.)

isolation of bacteria, viruses

bacteriological, genetic-molecular, automated

upon epidemiological indication

surgical field of the patient after treatment

bacterial isolation

bacteriological

upon epidemiological indication, during routine inspections

infectious agent (micro-organism)

antibiotic susceptibility testing

bacteriological, automated

upon epidemiological indication

3. Testing procedures for viral infections

nosology

object of study

test material

types of investigations

testing method

material sampling (indication, time, frequency)

Influenza, etc. ACUTE RESPIRATORY INFECTIONS
 

patient

pharyngeal and nasal swabs, sectional material
 

influenza virus isolation

virology

when the disease is registered by at least 10 patients with ARVI, influenza from October 1 till May 1 annually
material sampling (indication, time, frequency)

antigen detection

fluorescent microscopy

RNA and DNA virus detection

molecular genetic (polymerase chain reaction)

poliomyelitis

patient

faeces, cerebrospinal fluid*, sectional material

virus isolation

virological

material sampling (indication, time, frequency)

blood serum

antigen detection

serological

upon registration of the disease, 2 times at intervals of 3-5 days

an exposed person from an outbreak of infection

faeces

virus isolation

virological

upon registration of the disease, 2 times at intervals of 24-48 hours

AFP (acute flaccid paralysis)
 

patient

faeces

virus isolation

virological

upon registration of the disease, 2 times at intervals of 24-48 hours

an exposed person from an outbreak of infection

faeces

virus isolation

virological

at the time of registration 1 time

enteroviruses

patient

faeces, liquor
 

virus isolation

virological

as cases are reported

RNA virus detection

molecular genetic (polymerase chain reaction)

as cases are reported

wastewater, sewage system

sewage water

virus isolation

virological

upon epidemiological indications, once a month during the epidemic season

RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indications, once a month during the epidemic season

water supply system

drinking water

virus isolation

virological

upon epidemiological indications, once a month during the epidemic season

RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indications, scheduled once a month during the epidemiological season

open water bodies (designated places of water use, including bathing), swimming pools

water from open reservoirs, swimming pools
 

virus isolation

virological

upon epidemiological indications, scheduled once a month during the epidemiological season

RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indications, scheduled once a month during the epidemiological season

viral hepatitis A

water supply system

drinking water

virus isolation

virological

upon epidemiological indication, on registration of cases

RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indication, on registration of cases

open water bodies (recreational area, designated water use areas, including bathing)
 

water from open reservoirs
 

virus isolation

virological

upon epidemiological indication,
scheduled once a month from June to September

RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indication,
scheduled once a month from June to September

swimming pools

swimming pool water

virus isolation

virological

upon epidemiological indications, when carrying out planned inspections


RNA virus detection

molecular genetic (polymerase chain reaction)

upon epidemiological indications, when carrying out planned inspections

viral hepatitis B, D, C

an exposed person from an outbreak of infection

blood components (serum, plasma)

hepatitis B, C, D virus antigen/antibody detection

serological (Enzyme Immunoassay)

upon epidemiological indication, on registration of cases

detection of hepatitis B, C, D virus DNA (qualitative analysis)

molecular genetic (polymerase chain reaction)

upon epidemiological indication, on registration of cases

detection and differentiation of hepatitis B, C virus genotypes

molecular genetic (polymerase chain reaction)

upon epidemiological indication, on registration of cases

facility-focal point for the link between the disease and the facility

medical, cosmetological instruments
 

presence of blood residues

chemical - azopyramine test

upon epidemiological indication, on registration of cases

sterility

bacteriological

upon epidemiological indication, on registration of cases

viral hepatitis E

an exposed person from an outbreak of infection

blood components (serum, plasma)

IgM class immunoglobulins to hepatitis E virus

serological - enzyme immunoassay

upon epidemiological indication, on registration of cases

rota, nora, astroviruses

patient

faeces

rotavirus antigen detection

antigenic method (enzyme immunoassay)

upon epidemiological indication, on registration of cases

detection of RNK rotavirus, norovirus, astrovirus (qualitative analysis)

molecular genetic (polymerase chain reaction)

upon epidemiological indication, on registration of cases

wastewater, sewerage system
 

waste water
 

rotavirus antigen detection

antigenic method (enzyme immunoassay)

once a month during the epizootic season

detection of RNA rotavirus, norovirus, astrovirus (qualitative test)

molecular genetic (polymerase chain reaction)

once a month during the epidemiological season

water supply system

drinking water

rotavirus antigen detection

antigenic method (enzyme immunoassay)

upon epidemiological indications, scheduled - once a month during the epizootic season

detection of RNA from rotavirus, norovirus, astrovirus (qualitative test)

molecular genetic method (polymerase chain reaction)

upon epidemiological indications, scheduled - once a month during the epizootic season

open reservoir

open water

rotavirus antigen detection

antigenic method (enzyme immunoassay)

upon epidemiological indications, scheduled - once a month during the epizootic season

detection of RNA from rotavirus, noravirus, astrovirus (qualitative test)

molecular genetic method (polymerase chain reaction)

upon epidemiological indications, scheduled - once a month during the epizootic season

swimming pool

swimming pool water

rotavirus antigen detection

antigenic method (enzyme immunoassay)

upon epidemiological indications, when carrying out planned inspections

detection of RNA rotavirus, norovirus, astrovirus (qualitative analysis)

molecular genetic method (polymerase chain reaction)

upon epidemiological indications, when carrying out planned inspections

measles
 

patient

blood components (serum, plasma)
 

IgM class immunoglobulin antibodies

serological (enzyme Immunoassay)
 

when a case is registered

IgG class immunoglobulin antibodies

urine

measles virus isolation

virological, sequencing

when a case is registered

rubella

patient

blood components (serum, plasma)

IgM immunoglobulin class antibodies

serological (enzyme Immunoassay)

when a case is registered

IgG immunoglobulin class antibodies

Immunoglobulin class IgG-avidity antibodies

urine

rubella virus isolation

virological, sequencing

when a case is registered

4. External quality assessment of research on bacterial infections

nosology

material for confirmation

type of research

method of investigation in case of confirmation

transportation of cultures from NCE oblasts, Nur-Sultan, Almaty and Shymkent to the reference laboratory

typhoid fever, paratyphoid fever

salmonella typhi, Salmonella paratyphi A,B

bacteriological

bacteriological, molecular-genetic, serological

all cultures from sick people, and the environment

salmonellosis

salmonella spp.

bacteriological

bacteriological, molecular genetic, serological

5 cultures each from the environment, and sick

dysentery and other intestinal infections

shigella spp.

bacteriological

bacteriological, molecular genetic, serological

5 cultures from the environment, and sick ones

listeria monocytogenes

bacteriological

bacteriological, molecular genetic

all cultures from sick people and the environment

campylobacter spp.

bacteriological

bacteriological, molecular genetic

all cultures from the sick, and the environment

yersinia sрр.

bacteriological

bacteriological, molecular genetic

all cultures from the sick, and the environment

vibriosрр.

bacteriological

bacteriological, molecular genetic

all cultures from sick people and the environment

airborne infections

clinical specimen, environmental samples positive for neisseria meningitidis

bacteriological

molecular genetic

5 samples each from the environment, and sick

bordetella spp., (clinical specimen)

bacteriological

bacteriological, molecular genetic

5 samples from sick people

corynebacterium diphtheriae

bacteriological

bacteriological, molecular genetic

5 samples from sick people

haemophilus influenza

bacteriological

bacteriological, molecular genetic

5 samples from sick people

streptococcus pneumoniae

bacteriological

bacteriological, molecular genetic

5 samples from sick people

HAI (hospital-acquired infection) pathogens

an antibiotic-resistant strain of a micro-organism isolated from a patient(s) with suspected HAI

bacteriological

bacteriological, disc-diffusion, semi-quantitative, automated

all cultures from sick people

infectious agents of various localisations

antibiotic-resistant strain of micro-organism

bacteriological

bacteriological, disco-diffusion, semi-quantitative, automated

5 samples from sick people

5. External quality assessment of research on viral infections

nosology

confirmation material

types of investigations

method of investigation in case of confirmation

transport of cultures from NCE oblasts, Almaty and Shymkent. Nur-Sultan, Almaty and Shymkent to a reference laboratory

influenza etc. ACUTE RESPIRATORY INFECTIONS

pharyngeal and nasal swabs

influenza virus isolation

virological

all samples with positive results or isolates from patients within a year

RNA virus detection
 

molecular genetic (polymerase chain reaction)
 

all samples with positive and 5 samples with negative results for influenza from patients within a year

professional testing is performed once a year

enteroviruses

faeces, liquor
 

virus isolation

virological

all samples positive for polioviruses from patients within a year

2 specimens or isolates for viruses: coxsackievirus, adenovirus and Echo from patients, once a year

sewage water

virus isolation

virological

all samples positive for polioviruses within a year

2 samples with positive results or isolates for viruses: Coxsackie and Echo from patients, once a year

suspensions

virus isolation

virological

professional testing is done once a year

viral hepatitis B and C
 

blood serum

detection of hepatitis B, C virus antigen or antibodies
 

serological (enzyme immunoassay)
 

5 HBsAg-positive and 5 HBsAg-negative samples from patients per year

5 HBsAg-positive and 5 HBsAg-negative specimens from patients within a year

measles

blood serum

Immunoglobulin class IgM antibodies

serological (enzyme immunoassay)

all samples positive and 10% of samples negative for IgM for measles virus, monthly

professional testing once a year

rubella

blood serum

Immunoglobulin class IgM antibodies
 

serological (enzyme immunoassay)

5 specimens positive and 10 specimens negative for rubella virus IgM within a year

professional testing shall be carried out once a year

rotavirus

faeces

antigen detection

serological (enzyme immunoassay)

5 samples of native material from patients and environmental objects positive for Rota antigen, 5 samples of native material from patients and environmental objects negative for Rota antigen, during the year

environmental samples

6. Research procedures for highly dangerous infections (HIDs)

nosology

object of research

research material

types of research

research method

material sampling (readings, times, multiplicity)

cholera

Patient, an exposed person from an outbreak of infection

faecal material

isolation of bacteria, antibodies

bacteriological

upon epidemiological indication, on registration of cases

sectional material

isolation of bacteria,

bacteriological

upon epidemiological indication, on registration of cases, followed by death

Patients with severe acute intestinal infections

faecal material

isolation of bacteria,

bacteriological

Depending on the classification of the area* during the epizootic season (three times), during the rest of the year according to epidemiological indications (once) (Plague Control Stations (PCS), branches of NCE)

Patients with mild to moderate acute intestinal infections

faecal material

isolation of bacteria,

bacteriological

Depending on the classification of the area* during the epizootic season (once), during the rest of the year according to epidemiological indications (PCS, NCE branches)

Deaths from acute intestinal infections of unknown etiology

corpse material

isolation of bacteria,

bacteriological

During the year (PCS, NCE branches)

Persons admitted to special-regime, social rehabilitation, psychoneurological dispensaries and persons of no fixed abode or work

faecal material

isolation of bacteria,

bacteriological

On admission, for epidemiological indications (one time), depending on the classification of the area* (health centres, branches of the NCE)

Open water body (sanitary protection zone of water intake for centralised domestic and drinking water supply, places of water use for drinking), recreation zone (places of mass recreational water use)

water

isolation of bacteria,

bacteriological

At a water temperature of at least 16 °C once every 10 days (PSC, NCE branches)

swimming pools, fountains

water

isolation of bacteria,

bacteriological

According to epidemiological indications

drains

discharged water

isolation of bacteria,

bacteriological

Depending on area classification* May-October once every 10 days, on the basis of epidemiological indications (PSC, NCE branches)

anthrax

material from anthrax outbreaks

farm animal feed, litter, water

farm animal feed, litter, water

Bacteriological, serological, genetic, bioassay

upon epidemiological indication, on registration of cases

environmental samples (from permanently anthrax- contaminate on zone)

soil, water

bacteriological, serological, genetic, bioassay

Bacteriological, serological, genetic, bioassay

upon epidemiological indication, on registration of cases

material from humans in cases of suspected anthrax

blood, ulcerous secretions, pathogenic material

bacteriological, serological, genetic, bioassay

Bacteriological, serological, genetic, bioassay

upon epidemiological indication, on registration of cases

brucellosis

persons in contact with sick livestock

Blood

serological reactions

serological

upon epidemiological indication, on registration of cases

sampling from brucellosis foci (animal products, samples from livestock housing)

livestock products, animal feed, litter, water, manure

bacteriological, serological, genetic, ring test

bacteriological, serological, genetic, ring test

upon epidemiological indication, on registration of cases

pasteurellosis

sampling

livestock products, vegetables

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

sampling from humans

blood, wound samples, pathogenic material

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

rodents

rodents

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

tularemia

territory of natural foci (environmental objects)

Excrement, faeces, mites, rodents, water, etc.

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

material from tularaemia epidemic foci

Excrement, faeces, mites, rodents, water, etc.

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

material from people

blood, biomaterial

serological, bacteriological, bioassay

serological, bacteriological, bioassay

upon epidemiological indication, on registration of cases

Listeriosis

material from listeriosis epidemic foci (external objects)

meat and dairy products, vegetables

serological, bacteriological

serological, bacteriological

upon epidemiological indication, on registration of cases

material from humans, including for prophylactic purposes

Blood, urine, pathogenic material

serological, bacteriological

serological, bacteriological

upon epidemiological indication, on registration of cases

yersinioses

Material from foci of yersinosis (environmental media)

Vegetables, rinses

serological, bacteriological

serological, bacteriological

upon epidemiological indication, on registration of cases

leptospirosis

Material from natural foci (environmental media)

ticks, water and other environmental objects

serological

serological

upon epidemiological indication, on registration of cases

Material from epidemic foci of leptospirosis (environmental media)

ticks, water and other environmental objects

serological

serological

upon epidemiological indication, on registration of cases

Rikettsioses (Q fever, tick-borne typhus, rat typhus, Brill's disease)

natural foci area (source of infection, vectors)

rodents, mites, lice

serological

serological

upon epidemiological indication, on registration of cases

Material from epidemic foci of rickettsiosis (source of infection, vectors)

Rodents, mites, lice

serological

serological

upon epidemiological indication, on registration of cases

viral haemorrhagic fevers (Crimean-Congo haemorrhagic fever), viral tick-borne encephalitis

material from humans

blood, samples, secretions

serological, genetic

serological, genetic

upon epidemiological indication, on registration of cases

Material from a CCHF outbreak (vectors)

mites

serological, genetic

serological, genetic

upon epidemiological indication, on registration of cases

Material from a legionella outbreak (environmental media)

swimming pool water, cooling system water

genetic

genetic

upon epidemiological indication, on registration of cases


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