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LEGAL ACTS OF THE REPUBLIC OF LATVIA
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The translation of this document is outdated.
Translation validity: 30.01.2015.–15.12.2016.
Amendments not included: 13.12.2016., 19.03.2019.

Text consolidated by Valsts valodas centrs (State Language Centre) with amending regulations of:

23 October 2001 [shall come into force from 27 October 2001];
3 January 2002 [shall come into force from 9 January 2002];
29 November 2002 [shall come into force from 5 December 2002];
28 October 2003 [shall come into force from 28 November 2003];
23 December 2003 [shall come into force from 1 January 2004];
23 May 2006 [shall come into force from 7 June 2006];
21 November 2006 [shall come into force from 6 December 2006];
5 June 2007 [shall come into force from 13 June 2007];
29 January 2008 [shall come into force from 2 February 2008];
10 June 2008 [shall come into force from 14 June 2008];
26 May 2009 [shall come into force from 19 August 2009];
8 September 2009 [shall come into force from 12 September 2009];
7 December 2010 [shall come into force from 11 December 2010];
21 February 2012 [shall come into force from 25 February 2012];
17 April 2012 [shall come into force from 2 November 2012];
30 July 2013 [shall come into force from 3 August 2013];
10 December 2013 [shall come into force from 21 December 2013];
27 January 2015 [shall come into force from 30 January 2015].

If a whole or part of a paragraph has been amended, the date of the amending regulation appears in square brackets at the end of the paragraph. If a whole paragraph or sub-paragraph has been deleted, the date of the deletion appears in square brackets beside the deleted paragraph or sub-paragraph.


Republic of Latvia

Cabinet
Regulation No. 330

Adopted 26 September 2000

Vaccination Regulations

Issued pursuant to
Section 30, Paragraph one, two, three and Section 31, Paragraph five of
Epidemiological Safety Law

I. General Provisions

1. This Regulation prescribes infectious diseases against which mandatory vaccination shall be performed, the range of persons to be vaccinated (including persons employed in specific occupations or belonging to increased risk groups) and vaccination procedures, as well as the mandatory minimum security requirements for performing vaccination.

2. Vaccination shall be organised and implemented by vaccination institutions (medical treatment institutions, which conform to the mandatory requirements laid down in laws and regulations for medical treatment institutions and their units and with the basic requirements regarding hygiene and counterepidemic regime in a medical treatment institution).

[10 June 2008]

2.1 A medical practitioner may perform vaccination outside a medical treatment institution, if the requirements referred to in Paragraph 17 of this Regulation are ensured.

[10 June 2008]

3. In accordance with Annex 1 vaccination of the following persons shall be mandatory:

3.1. children - against tuberculosis, diphtheria, tetanus, pertussis, poliomyelitis, measles, rubella, mumps, b type Haemophilus influenzae infection, Hepatitis B, varicella, pneumococcal infection, Rotavirus infection;

3.2. adults - against diphtheria and tetanus (Annex 2);

3.3. children and adults - against rabies after contact with animals or humans who have contracted or are suspected of having contracted rabies;

3.4. 12-year-old girls - against human papillomavirus infection;

3.5. patients treated with haemodialysis - against Hepatitis B.

[23 May 2006; 10 June 2008; 26 May 2009; 7 December 2010 / Amendments to Sub-paragraph 3.1 shall come into force from 1 January 2014. See Paragraph 2 of amendments]

3.1 If a child has not received the vaccine indicated in Sub-paragraphs 3.1 and 3.4 of this Regulation, he or she has the right to receive it until attaining 18 years of age, if it is allowed by the instructions for use of the vaccine and if the particular vaccine was included in the vaccination calendar when the child was of the age corresponding to vaccination, indicated in Annex 1 to this Regulation. Vaccination until attaining 18 years of age shall be performed in conformity with the vaccination scheme and the number of vaccines indicated in the instructions for use of the vaccine.

[30 July 2013; 27 January 2015]

4. [23 May 2006]

5. Persons who have contraindications to vaccination (the state in which the vaccination is not permissible due to medical considerations) shall be released from mandatory vaccination if it is indicated in the medical documentation (documents which confirm the fact of vaccination of a person and which are stored at the institution where vaccination was performed, or with a medical practitioner) and certified by the signature of the doctor or doctor's assistant.

[5 June 2007]

6. All expenditures related to the vaccination referred to in Paragraphs 3 and 23.1 of this Regulation, its organisation, supervision and control, also to the acquisition of vaccines, drawing up of medical documentation, vaccine injection, as well as to the treatment of complications (side effects) caused by vaccination, which has been included in the minimum of medical services to be provided for inhabitants specified in laws and regulations, shall be financed from the State basic budget.

[23 December 2003; 23 May 2006]

6.1 [5 June 2007]

7. Vaccination institutions have the right to perform vaccination for a fee using vaccines, which have been acquired outside of the State order, if the person to be vaccinated or his or her legal representative so agrees. In such cases medical practitioners have a duty to inform the patients regarding the opportunity to be vaccinated free of charge with other vaccines, if such an opportunity exists.

[23 May 2006]

8. In case of an epidemic or threat thereof, the Minister for Health is entitled to issue an order regarding mandatory vaccination of specific groups of inhabitants in extraordinary cases and purchase of supplementary vaccines within the scope of the budget resources allocated in the budget of the Ministry of Health. If in case of an epidemic or threat thereof, supplementary mandatory vaccination is necessary which exceeds the resources allocated to the Ministry of Health, the decision on supplementary mandatory vaccination shall be taken by the Cabinet upon proposal of the Minister for Health.

[28 October 2003; 23 May 2006]

9. In order to professionally evaluate the issues related to vaccination and the State Immunisation Programme and to provide proposals for the solution thereof, as well as in order to evaluate orders for vaccines, the Minister for Health shall establish the State Immunisation Advisory Council and approve its by-laws. Members of the Council shall not receive remuneration for their work in the Council.

[28 October 2003]

II. Planning and Organising of Vaccination

[23 May 2006]

10. The vaccination institutions shall:

10.1. prepare the vaccine order, taking into account the number of persons to be vaccinated and the current amount of vaccines left in stock, which may not exceed the order of vaccines of the vaccination institution for one month;

10.2. each month by the fifth date, submit to the epidemiologist of the respective regional department of the Centre for Disease Prevention and Control an order of vaccines for the following month and a report on the use of vaccines in the reporting month, filling in the form of the report on immunisation of inhabitants and of the order of vaccines (Annex 3). If an additional vaccine is necessary outside the regular order, the vaccination institution shall prepare and submit a justified written request to the epidemiologist of the respective regional department of the Centre for Disease Prevention and Control for receipt of the particular vaccine. The abovementioned order shall be entered in the form of the report on immunisation of inhabitants and of the order of vaccines;

10.3. [7 December 2010].

[10 June 2008; 26 May 2009; 8 September 2009; 7 December 2010; 17 April 2012]

10.1 Each year by 10 January family doctors shall submit a report to the epidemiologist of the respective regional department of the Centre for Disease Prevention and Control on the persons vaccinated within the scope of the vaccination calendar in the previous year at each family doctor's practice separately, filling in the form of the report on the persons vaccinated within the scope of the vaccination calendar (Annex 5).

[7 December 2010; 17 April 2012]

11. The National Health Service together with epidemiologists of the respective regional departments of the Centre for Disease Prevention and Control shall evaluate the results of vaccination and the use of vaccines, as well as plan and take actions in order to ensure that maximum number of inhabitants is vaccinated.

[23 December 2003; 8 September 2009; 21 February 2012; 17 April 2012]

12. Epidemiologists of the respective regional departments of the Centre for Disease Prevention and Control shall:

12.1. by the twelfth date of each month evaluate and compile the order of vaccines of vaccination institutions existing in the territory to be services and the use of vaccines, making adjustments if inaccuracies are detected or order without justification exceeds the average use of a vaccine by the vaccination institution in the intended order period, does not conform to the prognosis of the use of the vaccine and to the epidemiological situation, as well as if the amount of vaccines left in stock in the vaccination institution is not taken into account. The data compiled shall be submitted to the Centre for Disease Prevention and Control;

12.2. [5 June 2007];

12.3. analyse the indicators of immunisation and morbidity of inhabitants and the use of vaccines.

[3 January 2002; 23 December 2003; 5 June 2007; 26 May 2009; 8 September 2009; 17 April 2012]

13. The Centre for Disease Prevention and Control shall:

13.1. plan the total necessary amount of vaccines for implementation of the vaccination calendar, taking into account the demographic data and average consumption of preparations and co-ordinate it with the Ministry of Health;

13.2. each month by the eighteenth date compile data on order of vaccines of vaccination institutions and make adjustments, if the order does not conform to the quantity of vaccines procured by the State in the month, as well as submit a total order of vaccines to the drug wholesaler, with which the National Health Service has entered into a contract in accordance with Paragraph 14 of this Regulation and which ensures the supply of vaccines to vaccination institutions in accordance with the procedures laid down in this Regulation, and to the National Health Service;

13.3. provide the supervision of the implementation of the vaccination calendar and, if necessary, organise and propose measures for the improvement of vaccination.

[3 January 2002; 28 October 2003; 23 December 2003; 23 May 2006; 5 June 2007; 26 May 2009; 8 September 2009; 21 February 2012; 17 April 2012]

14. The National Health Service shall purchase vaccines in accordance with the procedures laid down in the Public Procurement Law in order to perform vaccination against the infectious diseases referred to in Paragraphs 3 and 23.1 of this Regulation.

[23 May 2006; 8 September 2009; 21 February 2012]

14.1 Drug wholesalers shall ensure storage and supply of vaccines to vaccination institutions according to the list of vaccination institutions submitted by the Centre for Disease Prevention and Control and the order of vaccines not later than by the last date of each month.

[5 June 2007; 26 May 2009; 8 September 2009; 17 April 2012]

III. Performance of Vaccinations

15. [5 June 2007]

16. Medical practitioners and/or vaccination institutions shall in sufficient time notify the patients under care regarding the necessity of vaccination.

17. A room where vaccination is performed outside a vaccination institution shall be equipped with:

17.1. disinfectants for disinfection and treatment of the injection site;

17.2. disposable syringes and disposable systems for intravenous administration of solutions;

17.3. thermometer, tonometer and phonendoscope;

17.4. means for anaphylactic shock therapy;

17.5. a tray for preparation of vaccines, materials and instruments;

17.6. a thermocontainer or cooling bag with cooled (from + 2°C up to +8°C) cooling elements for temporary storage of vaccines;

17.7. hand disinfectants, which may be used without washing hands, if there is no sink with a cold and hot water supply;

17.8. a puncture-resistant container for collecting used needles, materials and syringes.

[10 June 2008]

18. Temperature of the refridgerator, were vaccines are stored, shall be checked and registered in the vaccination institution at the beginning and end of the working day. Registration records of temperature shall be stored for one year.

[10 June 2008]

18.1 The vaccination institution where vaccines are stored shall have a plan of measures for prevention of damages to vaccines in case of disruption of electricity supply or damage to the refrigerator. The head of the vaccination institution shall be responsible for the drawing up, updating and application of the plan of measures.

[7 December 2010; 30 July 2013]

18.2 The head of the vaccination institution or his or her authorised person shall ascertain, during receipt of the vaccine, that the vaccine was transported in accordance with the laws and regulations regarding the procedures for distribution and quality control of medicinal products. The vaccination institution shall not accept a vaccine, if the head of the institution or his or her authorised person has objectively justified suspicions regarding non-conformity with the requirements for transportation of the vaccine.

[30 July 2013]

18.3 The vaccination institution shall be permitted to use only such vaccines, which have been supplied to the vaccination institution by a pharmacy in accordance with the laws and regulations regarding compensation for expenses for the purchase of medicinal products and medical devices intended for outpatient medical treatment or by a drug wholesaler - in accordance with the laws and regulations regarding the procedures for distribution and quality control of medicinal products.

[30 July 2013]

19. A vaccine shall be removed from the refrigerator, thermocontainer or cooling bag prior to vaccination. Vaccines may not be used, if:

19.1. the vial of the vaccine (ampoule or syringe) does not have labelling;

19.2. information on the labelling is not legible;

19.3. the term of validity of the vaccine has expired;

19.4. non-conformity of information provided in the labelling with the content is detected;

19.5. the vial of the vaccine (ampoule or syringe) is damaged;

19.6. visible non-conformity of the vaccine or solvent with the physical properties indicated in the instructions for use is detected;

19.7. the solvent of the vaccine is not intended for the respective vaccine;

19.8. there are suspicions about or signs of non-conformity with the storage regime of the vaccine.

[10 June 2008]

20. During vaccination telecommunications for calling of the emergency medical assistance team shall be accessible.

21. [10 June 2008]

22. Inhabitants have the right to choose a vaccination institution or a medical practitioner who shall perform the vaccination, as well as to refuse the vaccination, also the vaccination of a person under guardianship.

23. Vaccination against yellow fever shall be performed at the vaccination institutions indicated in Annex 6 to this Regulation.

[23 May 2006]

23.1 Children from having attained one year to 18 years of age shall be vaccinated against tickborne encephalitis:

23.1 1 in the territories, in which, according to the epidemiological surveillance data of the Centre for Disease Prevention and Control, the highest morbidity with tickborne encephalitis is observed (in endemic territories of tickborne encephalitis), if the declared place of residence of the child is in the endemic territory of tickborne encephalitis. Vaccination shall be planned and performed by the family doctor whose general practice is in the respective territory;

23.1 2 orphans and children left without parental care. Vaccination shall be planned and performed by the family doctor. Vaccination at childcare institutions and boarding schools shall be planned and organised by administration of the respective institution.

[26 May 2009; 8 September 2009; 17 April 2012]

24. A medical practitioner shall notify the person to be vaccinated or his or her legal representative before the vaccination regarding:

24.1. efficiency of the vaccine for the prevention of the infectious disease, duration of protection effect and recommended repeat of the vaccination;

24.2. reaction of the organism which may occur when vaccinating or after the vaccination;

24.3. prophylactic measures in order to reduce the seriousness of possible side effects, and cases where the help of a medical practitioner is necessary.

25. A medical practitioner shall perform or organise, before each vaccination (both initial and repeat), an examination of the person to be vaccinated (if necessary - also questioning of his or her parents or other legal representatives) in order to determine the state of health of the person to be vaccinated and possible contraindications. Information obtained shall be recorded in the medical documentation.

[5 June 2007]

26. A medical practitioner shall be responsible for:

26.1. determination of vaccine contraindications. If contraindications to vaccination have been determined in the person to be vaccinated, the relevant person or his or her legal representatives shall be informed on the time when it is necessary to attend a repeat examination and/or vaccination;

26.2. compliance with hygienic and epidemic safety requirements of vaccination, also for correct injection of a vaccine, medical observation of the person to be vaccinated in the post-vaccination period in conformity with the instructions for use of the vaccine and provision of emergency medical assistance within the specified time period;

26.3. for performing all necessary vaccinations during the visit according to the vaccination calendar and in conformity with the state of health of the patient.

[23 May 2006]

26.1 A primary care physician has a duty to survey the vaccination status of patients registered under his or her care and to ensure supervision of successive vaccination.

[30 July 2013]

27. In performing vaccinations a medical practitioner has a duty to:

27.1. complete the medical documentation in accordance with the procedures for record-keeping of medical and accounting documentation of medical treatment institutions laid down in laws and regulations, and record the name of the vaccine, date of vaccination, series of vaccine and the dosage, route of administration in an immunization card, as well as certify the abovementioned records with a signature. Upon vaccinating against yellow fever, the International Certificate of Vaccination or Prophylaxis to be completed in the English language shall be issued in accordance with the International Health Regulations;

27.2. inform the person in writing regarding the time when it is necessary to have a repeat vaccination or perform other vaccinations;

27.3. to explain the significance of vaccination and, if vaccination is not included in the vaccination calendar, to recommend persons belonging to risk groups to vaccinate:

27.3.1. according to individual risk or medical indications against influenza, tickborne encephalitis, Hepatitis B, Hepatitis A, pneumococcal infection, meningococcal infection, varicella, Rotavirus infection;

27.3.2. for prophylaxis of congenital rubella - to women who have not previously had it and who are planning pregnancy.

[23 May 2006; 10 June 2008]

28. If a person to be vaccinated refuses the vaccination, a medical practitioner has a duty to explain to the abovementioned person the significance of the respective prophylactic measure in the protection of individual and public health. If the person to be vaccinated does not change his or her decision, the medical practitioner shall draw up a refusal in writing, and the person to be vaccinated shall sign it.

[3 January 2002]

29. It is permitted to use the existing immunization cards until the issuance of new immunization cards. Immunization cards, which are issued after the coming into force of this Regulation, must contain the following information:

29.1. given name, surname, personal identity number, age of the person on the day of vaccination and immunity examination;

29.2. date of vaccination, name of vaccine, dosage of vaccine, route of administration, series, producer of vaccine, note on side effects caused by the vaccine, surname, signature and seal of a medical practitioner;

29.3. date, result of immunity examination, surname, signature and seal of a medical practitioner.

IV. Mandatory Vaccination of Persons Employed in Specific Occupations and Belonging to Increased Risk Groups

30. For preventing occupational infections (an infectious disease with which a person may be infected if in performing the work duties he or she comes into contact with materials of biological origin which contain or may contain agents of infectious diseases, as well as with hosts of disease agents, infected persons or animals) vaccination of employees shall be mandatory against the following infectious diseases: Hepatitis B, rabies, tickborne encephalitis and yellow fever.

31. Employers and heads of educational institutions (hereinafter - employer) have a duty to:

31.1. evaluate the risk of infection of each employee, student and trainee (hereinafter - employee) taking into account their particular functional duties and conditions of work or practice;

31.2. inform completely, objectively and clearly employees of the risk of infection, the effects of disease, the safety and efficiency of vaccination, as well as of the rights and duties of employees regarding issues related to vaccination;

31.3. in conformity with the risk of infection to provide employees with vaccine free of charge and vaccination against the infectious diseases referred to in Paragraph 30 of this Regulation and, if necessary, - a repeat vaccination (notifying thereof in accordance with Sub-paragraph 31.2 of this Regulation), as well as to provide with an opportunity for performing thereof;

31.4. control the vaccination of employees in conformity with the scheme indicated in the instructions for use of the vaccine and to check the immunization cards;

31.5. store the lists of employees exposed to the risk of occupational infection and documents regarding the vaccination and laboratory examinations of the relevant employees for not less than 10 years. In cases of occupational infection with Hepatitis B the time period for the storage of documents shall be 40 years;

31.6. if necessary, agree on the complete or partial fulfilment of measures referred to in Sub-paragraphs 31.1 and 31.2 of this Regulation with a medical practitioner or epidemiologist.

32. The head of an educational institution and social care institution has a duty to request that a person to be educated or socially cared for, upon entering an educational or social care institution, submits a statement certified by a medical practitioner indicating which vaccines have been received by the person according to the vaccination calendar.

[23 May 2006]

33. Vaccination against Hepatitis B of employees, who regularly (at least once a month) while performing their work duties or during studies come into direct contact with patients or human biological materials that may contain or transfer Hepatitis B, or with objects contaminated with such materials, shall be mandatory for:

33.1. medical practitioners who provide medical assistance or perform the following diagnostic of medical procedures:

33.1.1. blood taking;

33.1.2. surgical and similar invasive intervention;

33.1.3. injections;

33.1.4. wound treatment and dressing;

33.1.5. care during delivery;

33.1.6. dental care procedures;

33.1.7. provision of emergency medical assistance;

33.1.8. pathological-anatomical examinations;

33.1.9. laboratory examinations;

33.1.10. blood transfusion;

33.1.11. acupuncture;

33.1.12. servicing of reanimation and anaesthetic equipment;

33.1.13. microbiological experiments with an active agent of Hepatitis B;

33.1.14. physical examination of a Hepatitis B patient;

33.2. auxiliary staff of medical, rehabilitation and prevention institutions, also persons who wash and sterilise medical instruments, cleaners and employees of laundries;

33.3. medical students and medical school trainees who are in medical practice in a medical institution;

33.4. persons providing manicure and pedicure services, as well as those associated with tattooing and piercing procedures.

34. Employees the vaccination of whom against Hepatitis B shall be mandatory have the right to a single laboratory examination for the determination of transferred or existing Hepatitis B infection before the commencing of the work and activities referred to in Paragraph 33 of this Regulation and the vaccination. Expenditures related to the relevant examinations of employees shall be covered by employers, but of students and medical school trainees - by the educational institution. Persons to whom transferred or existing Hepatitis B infection has been determined, need not be vaccinated.

35. Vaccination against rabies of specialists of veterinary medicine and persons under training who engage in the treatment and care of animals, employees of virology laboratories who work with an active rabies virus, employees of pathological morphology laboratories who work with animal tissues, and catchers of stray animals shall be mandatory.

36. Vaccination against yellow fever of crews of sea-going vessels and planes who travel to countries affected by the referred to infection, and employees of microbiological laboratories who work with active agents of the disease shall be mandatory. The list of states affected by yellow fever shall be determined by the World Health Organisation.

37. Vaccination against tickborne encephalitis of forest workers, forest rangers, foresters, chief foresters, State environment inspectors, personnel of the National Armed Forces, employees of the system of institutions of the Ministry of the Interior with special service ranks who while performing service duties are exposed to the risk of becoming infected with tickborne encephalitis, employees of microbiological laboratories who work with active tickborne encephalitis virus, and other persons who come into direct contact with hosts of tickborne encephalitis while performing work duties or during studies shall be mandatory.

[29 November 2002]

38. In order to receive the vaccine referred to in Paragraph 30 of this Regulation, an employer or employee shall notify a vaccination institution of the necessary vaccine. The vaccination institution shall, in accordance with Paragraphs 10, 12 and 13 of this Regulation, plan, order and receive vaccines by indicating the purpose of the vaccination, or in cases specified in laws and regulations acquire the vaccines directly from licensed medicinal product wholesalers if a wholesaler ensures the storage and transport of vaccines in conformity with the requirements laid down in laws and regulations.

39. If an employee refuses vaccination against the diseases referred to in Paragraph 30 of this Regulation, an employer has a duty to draw up the refusal in writing. The employee, employer or his or her representative shall sign the document.

[23 May 2006]

40. If a medical practitioner who performs surgical procedures, invasive manipulations, gynaecology examinations, provides stomatological assistance and assists at delivery, is not vaccinated against Hepatitis B, he or she shall be annually examined in a laboratory for detection of the presence of Hepatitis B agents.

41. If an employee, who is not subject to mandatory vaccination against Hepatitis B, suffers an accident while performing work duties, during which biological material containing a virus has been administered, or if the mucous membrane or damaged skin of the employee comes into contact with the abovementioned material, the employer has a duty to provide the employee with free vaccination against Hepatitis B without delay.

42. If the employee belongs to a group of persons the vaccination of which is mandatory, he or she has a duty to present an immunization card upon request of the employer, officials of the Health Inspectorate and State Labour Inspectorate, as well as epidemiologists of the Centre for Disease Prevention and Control.

[29 January 2008; 8 September 2009; 17 April 2012]

43. Students and medical school trainees who have not been vaccinated against the infectious diseases referred to in Paragraph 30 of this Regulation may not participate in studies if during the studies they may be subjected to the risk of infection with Hepatitis B, rabies, yellow fever or tickborne encephalitis.

44. A non-vaccinated employee, if the employer has not provided the vaccination, is entitled to refuse to perform such work duties as subject him or her to the risk of infection with the infectious diseases referred to in Paragraph 30 of this Regulation.

V. State Supervision and Control of Vaccination

45. The Health Inspectorate shall control:

45.1. the premises in which vaccination is performed, and conformity with the hygiene and epidemiological safety requirements during the vaccination;

45.2. registration of vaccination and its complications (side effects), existence of certificate for medical practitioners performing vaccination, as well as medical documentation and provision of the vaccination institution with the means of anaphylactic shock therapy;

45.3. manufacture, storage, transportation, distribution and use of vaccines.

[29 January 2008]

46. [29 January 2008]

47. If the hygiene and epidemiological safety requirements of vaccination are not conformed to, the officials of the Health Inspectorate have the right to take a decision to suspend vaccination in the respective vaccination institution. They shall inform the epidemiologist of the respective regional department of the Centre for Disease Prevention and Control and the National Health Service regarding the decision taken without delay.

[29 January 2008; 8 September 2009; 21 February 2012; 17 April 2012]

48. [29 January 2008]

VI. Closing Provisions

49. Paragraph 37 of this Regulation shall come into force on 1 January 2001 (except the employees of the system of the Ministry of the Interior with special service ranks with respect to whom Paragraph 37 comes into force on 1 January 2003), Paragraph 33 - on 1 January 2002, except Sub-paragraphs 33.2, 33.3 and 33.4 which come into force on 1 January 2003, and Paragraph 35 - on 1 January 2003.

[23 October 2001]

50. [8 September 2009]

51. Cabinet Regulation No. 24 of 18 January 2000, Vaccination Regulations (Latvijas Vēstnesis, 2000, No. 18/19) is repealed.

52. [8 September 2009]

53. Vaccination against varicella for children at the age of 15 months shall be commenced from 2 January 2008.

[5 June 2007]

54. Sub-paragraph 23.1 2 of this Regulation shall come into force from 1 January 2010.

[26 May 2009]

55. Vaccination against pneumococcal infection for 2-month-old children shall be commenced from 1 January 2010.

[26 May 2009]

56. Vaccination against human papillomavirus infection for 12-year-old girls shall be commenced from 1 September 2010.

[26 May 2009]

57. Vaccination against Rotavirus infection for 2-month-old children shall be commenced from 1 January 2015.

[26 May 2009; 7 December 2010; 10 December 2013]

58. [21 February 2012]

59. Sub-paragraph 10.3.2 of this Regulation is repealed from 20 December 2010.

[7 December 2010]

60. Vaccination against varicella for 7-year-old children (second dose) shall be commenced from 1 January 2017.

[10 December 2013]

Informative Reference to the European Union Directive

[10 December 2013]

This Regulation contains legal norms arising from Council Directive 2010/32/EU of 10 May 2010 implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU.

Prime Minister A. Bērziņš

Acting for the Minister for Welfare -
Minister for Special Assignments in State Reform Matters J. Krūmiņš

 

Annex 1
Cabinet Regulation No. 330
26 September 2000

Vaccination Calendar

[26 May 2009; 7 December 2010; 21 February 2012; 30 July 2013; 27 January 2015]

No.

Age of the person to be vaccinated

Infectious disease against which vaccination is to performed mandatorily

Designations of vaccine names

Notes

1. 0-12 hours Hepatitis B HB Vaccine against Hepatitis B shall be administered only to the newborn infants of the risk group (born to mothers having a positive Hepatitis B surface antigen (HBsAg) or to mothers who were not tested for determination of the presence of HBsAg). Doses of the vaccine shall be administered according to the instructions for use of the vaccine
2. 2-5 days Tuberculosis BCG -
3. 2 months Diphtheria, tetanus, pertussis, poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B DTaP -
IPV-Hib-HB1
Combined vaccine against diphtheria, tetanus, pertussis (with the acellular component of pertussis), poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B.
Pneumococcal infection PCV1  
Rotavirus infection RV1  
4. 4 months Diphtheria, tetanus, pertussis, poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B DTaP -
IPV-Hib-HB2
Combined vaccine against diphtheria, tetanus, pertussis (with the acellular component of pertussis), poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B.
Pneumococcal infection PCV2  
Rotavirus infection RV2  
5. 6 months Diphtheria, tetanus, pertussis, poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B DTaP -
IPV-Hib-HB3
Combined vaccine against diphtheria, tetanus, pertussis (with the acellular component of pertussis), poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B.
Rotavirus infection RV3 If the instructions for use of the medicinal products provides for the third dose of the vaccine against Rotavirus infection
6. 12-15 months Diphtheria, tetanus, pertussis, poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B DTaP -
IPV-Hib-HB4
Combined vaccine against diphtheria, tetanus, pertussis (with the acellular component of pertussis), poliomyelitis, type b Haemophilus influenzae infection and Hepatitis B.
Pneumococcal infection PCV3 -
Measles, mumps, rubella MPR1 Combined vaccine against measles, mumps and rubella shall be used, it is also possible to use combined vaccine against measles, mumps, rubella and varicella
Varicella Varicella1  
7. 7 years Diphtheria, tetanus, pertussis, poliomyelitis DTaP-IPV5 Combined vaccine with the acellular component of pertussis shall be used.
Children who are six years of age may be vaccinated against diphtheria, tetanus, pertussis and poliomyelitis, if the child is beginning to study in an educational institution
Measles, mumps, rubella MPR2 Only children who have received only one dose of MPR vaccine may be vaccinated against measles, mumps and rubella.
Six-year-old children may be vaccinated against measles, mumps and rubella, if the child is beginning to study in an educational institution
Varicella Varicella2 Children who have received the first dose of the vaccine against varicella and who have not been ill with varicella shall be vaccinated against varicella.
Six-year-old children may be vaccinated against varicella, if the child is beginning to study in an educational institution
8. 12 years (girls) Rubella MPR1 or MPR2 Non-vaccinated or non-revaccinated girls shall be vaccinated against rubella, except the girls who have been ill with rubella and for whom the diagnosis "rubella" was serologically confirmed. The combined MPR vaccine shall be used for vaccination and re-vaccination
Human papillomavirus infection CPV1 and CPV2 Upon vaccinating against human papillomavirus infection, doses of the vaccine shall be administered according to the instructions for use of the vaccine and the age of the child at the time of vaccination
9. 14 years Diphtheria, tetanus, poliomyelitis Td -IPV 6 Combined vaccine against diphtheria, tetanus and poliomyelitis shall be used
Hepatitis B HB 1, HB 2, HB 3 Only children previously not vaccinated against Hepatitis B shall be vaccinated. Upon vaccinating against Hepatitis B, three doses of the vaccine shall be administered according to the instructions for use of the vaccine
10. Every 10 years Diphtheria and tetanus Td Vaccine against tetanus and diphtheria with reduced quantity of diphtheria toxoid (Td) shall be used

 

Annex 2
Cabinet Regulation No. 330
26 September 2000

[23 May 2006]

1. Basic vaccination of such adults against diphtheria and tetanus who have not been vaccinated against diphtheria and tetanus

Dose

Interval between vaccinations

Basic vaccination 1st dose (Td)* During the first visit to the medical practitioner
2nd dose (Td) 1-1.5 months after administration of the first dose
3rd dose (Td) 6-12 months after administration of the second dose
First booster vaccination 5 years after basic vaccination
Second and next booster vaccination (Td) See Scheme 2

2. Booster vaccination** of such adults against diphtheria and tetanus who had previously undergone a full course of systematic vaccination*** against diphtheria and tetanus

Time period after the last booster vaccination

Indications for vaccination

Vaccine

< 1 year Booster vaccination is not necessary -
1-4 years Booster vaccination of the following risk group persons is recommended:
1) recruits upon joining the military service;
2) candidates upon joining educational institutions of medical, interior and military profile;
2) diphtheria focuses of the contact person
Td
(one dose)
5-9 years Booster vaccination of the following risk groups is recommended:
1) persons who are in closed groups (for example, in psychoneurological divisions or retirement houses, rehabilitation and social care institutions, units of the National Armed Forces, placed of imprisonment, shelters);
2) medical practitioners and the personnel of medical treatment institutions, epidemiologists;
3) teachers at educational and instruction institutions and the personnel;
4) persons who work in the service area (vendors, attendants, controllers and drivers of the public transport, as well as other persons having frequent contact with clients);
5) operational staff of police institutions;
6) persons addicted to alcohol, narcotic and other intoxicating substances
Td
(one dose)
10 years Booster vaccination of persons who do not belong to risk groups shall be performed Td
(one dose)
More than 10 years Booster vaccination shall be performed Td
(two doses with the interval of 1-1.5 months)

Notes.
1. * Td - toxoid of diphtheria and tetanus with reduced quantity of diphtheria toxoid.
2. ** Booster vaccination (revaccination) - repeat administration of vaccines so that by stimulating the mechanism of immumological memory the level of specific antibodies is increased.
3. *** Full course of systematic vaccination - all received doses of spasm toxoid of diphtheria and tetanus according to the vaccination calendar (age).

 

Annex 3
Cabinet Regulation No. 330
26 September 2000

[7 December 2010; 30 July 2013 / The new wording of Table 4.A
of Annex shall come into force from 1 January 2014.
See Paragraph 3 of amendments]

Form of the Report on Immunisation of Inhabitants and of the Order of Vaccines

Name and address of the medical treatment institution
Registration number

(given name, surname, telephone number of the medical practitioner)

Report on Immunisation of Inhabitants and of the Order of Vaccines

20    
 

(year)

  (month)

 

1.A. Vaccination of children against tuberculosis

Age of the children to be vaccinated

Sequence number

Number of children vaccinated

A

B

01

Total

1

 
including 0-5 days*

2

 
6 days - 11 months

3

 
Note. * Indicate the vaccines administered to children from 0-5 days of age, as well as later, if vaccines have been administered to newborn infants in the maternity ward before discharging.

1.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against tuberculosis (BCG)

1

   

2.A. Vaccination of children against Hepatitis B

Vaccines

Age of the children to be vaccinated

Sequence number

Number of newborn infants and infants vaccinated

Number of children vaccinated (14 years and older)

in total

including with monovalent vaccine

A

B

C

01

02

03

1st dose Total

1

including 0-5 days*

2

X

2 months

3

X

2nd dose Total

4

3rd dose Total

5

including 6-11 months

6

X

4th dose Total:

7

X

including 12-15 months

8

X

Total

9

Note. * Indicate the vaccines administered to children from 0-5 days of age, as well as later, if vaccines have been administered to newborn infants in the maternity ward before discharging.

2.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against Hepatitis B for children

1

   

3.A. Vaccination of children against diphtheria, tetanus*, pertussis, type B Haemophilus influenzae infection, poliomyelitis and pneumococcal infection

Vaccines

Age of the children to be vaccinated

Sequence number

Number of children vaccinated against

diphtheria and tetanus

pertussis

poliomyelitis

type B Haemophilus influenzae infection

pneumococcal infection

A

B

C

01

02

03

04

05

1st dose Total

1

         
including 2 months

2

         
2nd dose Total

3

         
3rd dose Total

4

       

X

including 6-11 months

5

       

X

4th dose** Total:

6

         
including 12-15 months

7

         
5th dose Total

8

     

X

X

including 7 years

9

     

X

X

6th dose Total

10

 

X

 

X

X

including 14 years

11

 

X

 

X

X

Total

12

         
Notes.
1. * Including also emergency immunoprophylaxis of tetanus
2. ** Booster vaccination (third vaccine) against pneumococcal infection shall be indicated

3.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against diphtheria, tetanus, pertussis, poliomyelitis, type B Haemophilus influenzae infection, and Hepatitis B (DTaP-IPV-Hib-HB)

1

   
Vaccine against diphtheria, tetanus, pertussis, poliomyelitis, and type B Haemophilus influenzae infection B (DTaP-IPV-Hib)

2

   
Vaccine against diphtheria, tetanus, pertussis, and poliomyelitis (DTaP-IPV)

3

   
Vaccine against diphtheria, tetanus, and pertussis (Td-IPV)

4

   
Vaccine against diphtheria and tetanus (DT)

5

   
Vaccine against poliomyelitis (IPV)

6

   
Vaccine against pneumococcal infection (PCV)

7

   

4.A. Vaccination of children against measles, mumps, rubella and varicella

Vaccines

Sequence number

Number of children vaccinated against

measles, mumps, rubella

varicella

in total

including

in total

including

at the age from 12-15 months

at the age of 7 years

at the age from 12-15 months

at the age of 7 years

A

B

01

02

03

04

05

06

1st dose

1

           
2nd dose

2

 

X

   

X

 
Total

3

 

X

   

X

 

4.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against measles, mumps, and rubella (MPR)

1

Vaccine against varicella (varicella)

2

Vaccine against measles, mumps, rubella, and varicella (MPR-Var)

3

5.A. Vaccination of adults against diphtheria and tetanus*

Vaccines

Sequence number

Number of persons vaccinated according to age groups (years)

18-29

30-39

40-49

50-59

60 and >

in total

A

B

01

02

03

04

05

06

1st dose

1

2nd dose

2

3rd dose

3

Booster vaccination

4

Total

5

Note. * Including also emergency immunoprophylaxis of tetanus.

6.A. Emergency immunoprophylaxis of tetanus and post-exposure prophylaxis against rabies

Type of prophylaxis

Sequence number

Number of persons vaccinated

in total

including children

A

B

01

02

Number of vaccinations against tetanus

1

Number of persons who were administered immunoglobulins against tetanus

2

Number of vaccinations against rabies

3

Number of persons who were administered immunoglobulins (serum) against rabies

4

5./6.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against diphtheria and tetanus (Td)

1

   
Vaccine against rabies

2

   

7.A. Vaccination of girls against human papillomavirus infection

Vaccines

Sequence number

Number of girls vaccinated

in total

including at the age of 12 years

A

B

01

02

1st dose

1

   
2nd dose

2

   
3rd dose

3

   
Total      

7.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against human papillomavirus (CPV)

1

8.A. Vaccination of patients treated with haemodialysis against Hepatitis B

Vaccines

Sequence number

Number of persons vaccinated

A

B

01

Total

1

 
including 1st dose

2

 
2nd dose

3

 
3rd dose

4

 

8.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against Hepatitis B for patients treated with haemodialysis

1

9.A. State-paid vaccination of children against tickborne encephalitis

Age group

Number of children vaccinated

1st dose

2nd dose

3rd dose

booster vaccination

1-11 years
12-15 years
16-17 years
Total

9.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against tickborne encephalitis for children from 1 to 11 years of age

1

Vaccine against tickborne encephalitis for children from 12 to 15 years of age

2

Vaccine against tickborne encephalitis for children from 16 to 17 years of age

3

10.B. Syringes Left in Stock and Order

Syringes

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Syringes for administration of BCG vaccine

1

Syringes for intramuscular injections

2

11. Vaccination which is not included in the Immunisation State Programme

Infectious disease against which vaccination is to performed

Sequence number

Number of persons vaccinated

in total

including children

A

B

01

02

Hepatitis A 1st dose

1

2nd dose

2

Hepatitis B 1st dose

3

2nd dose

4

3rd dose

5

4th dose

6

Yellow fever vaccination

7

booster vaccination

8

Tickborne encephalitis 1st dose

9

2nd dose

10

3rd dose

11

booster vaccination

12

Influenza

13

Cholera

14

Typhoid fever

15

Japanese encephalitis

16

Poliomyelitis

17

Measles

18

Rubella

19

Mumps

20

Meningococcal infection vaccination

21

booster vaccination

22

Pneumococcal infection 1st dose

23

2nd dose

24

3rd dose

25

4th dose

26

booster vaccination

27

Rabies (prophylaxis) 1st dose

28

2nd dose

29

3rd dose

30

booster vaccination

31

Varicella 1st dose

32

2nd dose

33

Human papillomavirus infection 1st dose

37

2nd dose

38

3rd dose

39

Pertussis

40

Other ____________

41

11.A. Vaccination of children against Rotavirus infection

Vaccination

Sequence number

Total

including in age of

2 months

4 months

6 months

A

B

01

02

03

04

1st dose

1

   

X

X

2nd dose*

2

 

X

 

X

3rd dose*

3

 

X

X

 
Total

4

 

X

X

X

* Full course of vaccination - 2 or 3 doses of vaccine (according to the instructions for use of the vaccine).

11.B. Vaccines Left in Stock and Order

Name of the vaccine

Sequence number

Left in stock (doses)

Order (doses)

A

B

01

02

Vaccine against Rotavirus infection

1

"


Head of the institution  

(date*)

 

(given name, surname)

 

(signature*)

Place for a seal*

Note. * The details of the document "date", "signature" and "Place for a seal" shall not be completed if the electronic document has been drawn up in accordance with the laws and regulations regarding drawing up of electronic documents.

 

Annex 4
Cabinet Regulation No. 330
26 September 2000

[7 December 2010 / See Paragraph 3 of amendments]

 

Annex 5
Cabinet Regulation No. 330
26 September 2000

[7 December 2010; 30 July 2013; 27 January 2015]

Form of the Report of Persons Vaccinated within the Scope of the Vaccination Calendar

Name and address of the medical treatment institution
Registration number

(given name, surname, telephone number of the medical practitioner)

Report of Persons Vaccinated within the Scope of the Vaccination Calendar
in 20________

Age

Vaccination

Number of registered patients (number of patients registered at the family doctor's practice on the last week of December)

Number of patients vaccinated

Number of patients not vaccinated

contracted

contraindications

refusal drawn up in writing

other reason

1 year Tuberculosis            
Hepatitis B (3rd vaccine)          
Diphtheria and tetanus (3rd vaccine)          
Pertussis (3rd vaccine)          
b type Haemophilus influenzae infection (3rd vaccine)          
Pneumococcal infection (3rd vaccine)          
Rotavirus infection (vaccination course completed)          
2 years Hepatitis B (4th vaccine)            
Diphtheria and tetanus (4th vaccine)          
Pertussis (4th vaccine)          
Poliomyelitis (4th vaccine)          
b type Haemophilus influenzae infection (4th vaccine)          
Pneumococcal infection (4th vaccine)          
Measles, mumps, rubella (1st vaccine)          
Varicella (1st vaccine)          
8 years Diphtheria and tetanus (5th vaccine)            
Pertussis (5th vaccine)          
Poliomyelitis (5th vaccine)          
Measles, mumps, rubella (2nd vaccine)          
Varicella (2nd vaccine)          
13 years (girls) Human papillomavirus infection (vaccination course completed)            
15 years Diphtheria and tetanus (6th vaccine)            
Poliomyelitis (6th vaccine)          
Hepatitis B (3rd vaccine)          
Adults (25 years and more) Diphtheria and tetanus (3rd vaccine or booster vaccination)            

Head of the institution

(date*)

(given name, surname)

(signature*)

Place for a seal*

Note. * The details of the document "date", "signature" and "Place for a seal" shall not be completed if the electronic document has been drawn up in accordance with the laws and regulations regarding drawing up of electronic documents.

 

Annex 6
Cabinet Regulation No. 330
26 September 2000

Vaccination Institutions in which Vaccination against Yellow Fever is Performed

[23 May 2006; 10 June 2008; 17 April 2012; 30 July 2013]

1. Stock Company "Latvian Maritime Medicine Centre".

2. Riga local government limited liability company "Riga 1st Hospital".

3. Limited liability company "Diplomatic Service Medical Centre".

4. Limited liability company "Kronoss".

5. Limited liability company "HILTESTS".

6. [30 July 2013]

7. Limited liability company "VIA UNA".

8. Limited liability company "Health Centre 4".

9. Limited liability company "Riga East Clinical University Hospital".

10. State limited liability company "Pauls Stradins Clinical University Hospital".

11. Vecliepāja Primary Health Care Centre.

12. Limited liability company "Daugavpils Regional Hospital".

 

Annex 7
Cabinet Regulation No. 330
26 September 2000

[23 May 2006]

Starptautiskais sertifikāts par vakcināciju vai revakcināciju pret dzelteno drudzi

International certificate of vaccination or revaccination against yellow fever

Certificat international de vaccination ou de revaccination contre la fiēvre jaune

[10 June 2008]

 


Translation © 2016 Valsts valodas centrs (State Language Centre)

 
Document information
Status:
In force
in force
Issuer: Cabinet of Ministers Type: regulation Document number: 330Adoption: 26.09.2000.Entry into force: 30.09.2000.Publication: Latvijas Vēstnesis, 341/343, 29.09.2000.
Language:
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