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LEGAL ACTS OF THE REPUBLIC OF LATVIA
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The translation of this document is outdated.
Translation validity: 17.06.2016.–31.12.2019.
Amendments not included: 15.10.2019., 05.07.2022.

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

30 October 2007 [shall come into force from 3 November 2007];
8 September 2009 [shall come into force from 16 September 2009];
10 April 2012 [shall come into force from 13 April 2012];
14 June 2016 [shall come into force from 17 June 2016].

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. 774
Adopted 19 September 2006

Procedures for the Determination of Exposed Persons, Initial Medical Examination, Laboratory Examination and Medical Observation

[30 October 2007]

Issued pursuant to
Section 19, Paragraph one
of the Epidemiological Safety Law

I. General Provisions

1. The Regulation prescribes the procedures for the determination of exposed persons, initial medical examination, laboratory examination and medical observation in order to detect infected persons and to carry out the necessary medical treatment and counter-epidemic measures.

[30 October 2007]

2. The implementation of this Regulation shall be controlled by the Health Inspectorate.

[30 October 2007]

3. The initial medical examination, laboratory examination and medical observation of exposed persons shall be carried out:

3.1. to the exposed persons referred to in the Annex to this Regulation;

3.2. if a person has been in contact with an environment (including objects) that contains or may contain the infectious disease-causing agents referred to in the Annex to this Regulation, as well as with animals that have been infected with the infectious disease-causing agents referred to in the Annex to this Regulation;

3.3. if there is cause for suspicion regarding biological terrorism.

II. Determination of Exposed Persons, Initial Medical Examination, Laboratory Examination and Medical Observation

4. A doctor, which in accordance with the laws and regulations regarding the procedures for the registration of infectious diseases, shall notify regarding anyone falling ill with an infectious disease, shall also determine the exposed persons to be examined referred to in the Annex to this Regulation, except the cases referred to in Paragraph 5 of this Regulation. In case of the diseases referred to in Paragraphs 10 and 11 of this Regulation the doctor shall determine the exposed persons also in the places referred to in Sub-paragraph 5.1 of this Regulation. In case of the disease referred to in Paragraph 12 of this Regulation the doctor shall determine the exposed persons also in the place referred to in Sub-paragraph 5.1.2 of this Regulation.

[14 June 2016]

5. An epidemiologist of the regional division of the Centre for Disease Prevention and Control (hereinafter - the epidemiologist) shall organise determination of the exposed persons in the following cases:

5.1. if a notification of falling ill with an infectious disease has been received, the exposed persons located in the following places shall be identified:

5.1.1. in an educational institution, inpatient medical treatment institution, social care institution, child care institution, as well as in the work place and other places of stay of the persons (including a place of imprisonment, short-term place of detention, illegal immigrant detention centre, accommodation centre for asylum seekers, shelter, barracks, hotel), outside the dwelling place of the patient (hereinafter - the place of residence), except the case if falling ill with the disease referred to in Paragraphs 10 and 11 of this Regulation has occurred;

5.1.2. at the dwelling place of the infectious patient (family members, other close persons) if the initial urgent report on the patient has been received from a doctor who is not the family doctor of the patient, except for the case if falling ill with the disease referred to in Paragraphs 10, 11, and 12 of this Regulation has occurred;

5.2. the person has been under similar conditions of infection or in contact with an environment (including objects) that contains or may contain the infectious disease-causing agents referred to in the Annex to this Regulation, as well as with animals that have been infected with the infectious disease-causing agents referred to in the Annex to this Regulation;

5.3. at the locations (territories) affected by the possible biological terrorism.

[30 October 2007; 8 September 2009; 10 April 2012; 14 June 2016]

6. If the exposed person has been identified, the duty of the doctor is to inform him or her of the necessity of the initial medical examination, laboratory examination, and medical observation and to organise the abovementioned examinations.

[8 September 2009]

7. The initial medical examination, laboratory examination, and medical observation of the exposed person shall be ensured at the dwelling place of the exposed person by the family doctor or by the health care practitioner referred to in Paragraphs 10, 11, and 12 of this Regulation. If the exposed person is not registered with a family doctor, the initial medical examination and medical observation shall be ensured by the family doctor who services the territory in which the dwelling place of the exposed person is located.

[14 June 2016]

8. The initial medical examination, laboratory examination and medical observation of the exposed person shall be ensured at the place of residence by the health care practitioner (doctor, doctor's assistant, nurse), working therein (hereinafter - the health care practitioner of the place of residence). If there is no health care practitioner at the place of residence of the exposed person, the initial medical examination and medical observation of the exposed person shall be ensured by the family doctor, which services the territory, in which the place of residence is located. If necessary, the exposed person shall be sent to the doctor referred to in Paragraphs 10, 11, and 12 of this Regulation.

[14 June 2016]

9. [14 June 2016]

10. In the case of human immunodeficiency virus infection (HIV), the initial medical examination, laboratory examination, and medical observation of the exposed person shall be ensured by a health care practitioner (including the family doctor, infectologist or health care practitioner of the place of residence).

11. In the case of a sexually transmitted infection, the initial medical examination, laboratory examination, and medical observation of the exposed person shall be ensured by a dermatologist, venerologist.

[14 June 2016]

12. In the case of tuberculosis, the initial medical examination, laboratory examination, and medical observation of the exposed person shall be ensured by a pneumologist in co-operation with the family doctor or the health care practitioner of the place of residence.

[14 June 2016]

13. If the exposed person referred to in Paragraph 5 of this Regulation has been identified, the epidemiologist shall inform the family doctor of the exposed person or the health care practitioner of the place of residence, or the family doctor who services the territory in which the dwelling place or place of residence of the exposed person is located (if there is no health care practitioner at the place of residence of the exposed person or the exposed person is not registered with a family doctor), and in case of tuberculosis he or she shall also inform the pneumologist practising closest to the dwelling place of the exposed person. The information provided to the family doctor shall be documented (writing down also the date, time and given name and surname of the health care practitioner who obtained the information).

[14 June 2016]

14. [14 June 2016]

15. The initial medical examination of the exposed person shall be carried out at least once at the beginning of medical observation, but not later than for two maximum periods of observation. The duration of medical observation shall be determined, taking into consideration the last contact with the infection source or the transmission factor of infection.

16. In the case of a dangerous infectious disease, the initial medical examination of the exposed person during medical observation shall be carried out at least once a day, if another examination frequency has not been referred to in the Annex to this Regulation.

17. The initial medical examination of the exposed person during medical observation at the place of residence shall be carried out at least once a day, if there are the following infectious diseases and syndromes:

17.1. acute hepatitis A or E virus;

17.2. diphtheria or carrying of the agents of diphtheria;

17.3. mumps;

17.4. tick-borne encephalitis (if infecting has occurred via alimentary transmission);

17.5. whooping cough;

17.6. hantavirus infection;

17.7. cholera and carrying cholera agents;

17.8. invasive Haemophilus influenzae disease;

17.9. invasive meningococcal disease;

17.10. yersinosis;

17.11. campylobacteriosis;

17.12. Legionnaires' disease (legionellosis);

17.13. leptospirosis;

17.14. listeriosis;

17.15. measles;

17.16. rubella;

17.17. meningitis, encephalitis;

17.18. ornithosis (psittacosis);

17.19. West Nile Virus;

17.20. Q-fever and other heartwater diseases;

17.21. salmonellosis and the carrying of the agents thereof;

17.22. shigellosis and the carrying of the agents thereof;

17.23. Shiga toxin-producing/verotoxin-producing Escherichia coli infection (STEC/VTEC), haemolytic uraemic syndrome, or thrombotic hemorrhagic purpura;

17.24. trichinosis;

17.25. tularemia;

17.26. typhoid and paratyphoid, including the carrying of the agents of typhoid and paratyphoid;

17.27. variola;

17.28. virus (rotavirus, norovirus, adenovirus, astrovirus, sapovirus) intestinal infections;

17.29. viral haemorrhagic fevers, including Ebola viral disease, Lassa fever, Marburg viral disease, Crimean-Congo hemorrhagic fever.

[14 June 2016]

18. While carrying out the initial medical examination, the family doctor or other health care practitioner shall inform the exposed person as to the signs of the relevant infectious disease, regarding which it is necessary to immediately inform the family doctor or other health care practitioner, as soon as they appear.

III. Laboratory Examination of a Sample

19. The taking and delivery of a sample to the laboratory examination shall be ensured by:

19.1. a health care practitioner, an epidemiologist or an assistant epidemiologist - the samples for the bacteriological, virological and parasite examination which have been taken from the mucous membrane of the nose or pharynx and the rectum, as well as the samples in the acquisition of which invasive methods are not used;

19.2. a health care practitioner - a blood sample and other samples for the bacteriological, virological and parasite examination, in the acquisition of which invasive methods are used, as well as the samples for the determination of contagious skin diseases, sexually transmitted infections and tuberculosis.

[30 October 2007; 8 September 2009]

20. The exposed persons for the samples to be examined shall be taken for the laboratory examination:

20.1. in accordance with the Annex to this Regulation;

20.2. when it is possible to determine directly or indirectly the agent of infectious disease in the sample in conformity with the progress of the infectious disease.

IV. Exchange of Information

21. The health care practitioner, when organising the initial medical examination of the exposed person and taking of the samples referred to in Sub-paragraph 19.2 of this Regulation, shall, within 24 hours, inform by telephone the epidemiologist of the relevant territory regarding the identified exposed person (except for the cases where falling ill with the infectious disease referred to in Paragraphs 10, 11, and 12 of this Regulation has been determined), the initial medical examination thereof and the laboratory examination of the sample.

[14 June 2016]

22. Within a time period of 24 hours, the epidemiologist shall inform by telephone a family doctor or health care practitioner of the place of residence regarding the laboratory examination's affirmative result of the taken sample referred to in Sub-paragraph 19.1 of this Regulation.

23. The health care practitioner, which carries out the initial medical examination and medical observation of the exposed person, shall inform the exposed person regarding the results of the medical observation (including regarding the result of the laboratory examination of the sample).

Prime Minister A. Kalvītis

Acting for the Minister for Health -
Minister for Regional Development
and Local Government M. Kučinskis

 

Annex
Cabinet Regulation No. 774
19 September 2006

Infectious Diseases and Syndromes, in the Case of which Exposed Persons are Determined, Initial Medical Examinations, Laboratory Examinations and Medical Observation are Carried out, as well as Exposed Persons to be Examined, Sample to be Examined in a Laboratory and Laboratory Examination thereof

[14 June 2016]

No. Infectious disease/syndrome Exposed persons to be examined Initial medical examination and medical observation Sample to be examined and laboratory examination thereof
1. Acute flaccid paralysis for a child up to 15 years of age (if a case of poliomyelitis was registered in the State) Children up to the age of 5 years;

if there are no such children - other members of the family or persons who live together

Not required Virological examination of the sample of faeces to five children up to the age of 5 years (if there are no such children, other members of the family shall be examined)
2. Acute viral hepatitis
2.1. Hepatitis A The persons referred to in Note 3, sex partners, and persons who were under similar conditions of infection Initial medical investigation and medical observation for 35 days Not required
2.2. Hepatitis B The persons referred to in Note 4 and persons who were under similar conditions of infection Initial medical examination, medical observation for 180 days ensuring the initial medical examination at the beginning of medical observation, in the 3rd and 6th month Serological examination of blood samples for the determination of HBsAg, anti-HBc at the beginning of medical observation, in the 3rd and 6th month
2.3. Hepatitis C The persons referred to in Note 4 and persons who were under similar conditions of infection Initial medical examination, medical observation for 180 days ensuring the initial medical examination at the beginning of medical observation, in the 3rd and 6th month Serological examination of blood samples for the determination of anti-HCV at the beginning of medical observation, in the 3rd and 6th month
2.4. Hepatitis E The persons referred to in Note 3, sex partners, and persons who were under similar conditions of infection Initial medical investigation and medical observation for 35 days Not required
3. Smallpox1 The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical examination and repeatedly every day during medical observation (for 16 days) Not required
4. Botulism Persons who were under similar conditions of infection Initial medical investigation and medical observation for 3 days Not required
5. Brucellosis Persons who were under similar conditions of infection A one-time initial medical examination.

If necessary, the health care practitioner shall determine a repeated period of examination and a consultation of specialists

Serological examination of a blood sample
6. Human Immunodeficiency Virus (HIV) infection and AIDS In Note 4 - the persons referred to in Sub-paragraphs 4.1-4.6 Initial medical examination, subsequent examinations in the 3rd and 6th month

For children born to HIV infected pregnant women up to 18 months of age

Investigation of the blood sample for the examination of HIV infection (HIV test) at the beginning of medical observation, in the 3rd and 6th month providing a pre-test and a post-test consultation.

Virological investigation of the blood sample for the examination of HIV infection for children born to HIV infected pregnant women - determination of antigen HIV1 RNS (PCR) and/or HIV1 providing a pre-test and a post-test consultation to the mother

7. Another dangerous infectious disease having reappeared1 The persons referred to in Notes 2, 3, and 4 and depending on the spreading routes of the infection - persons who were under similar conditions of infection Initial medical examination and repeatedly every day during medical observation (during the period of incubation of the relevant disease) The laboratory examination shall be performed in accordance with the recommendations of the World Health Organisation and/or the European Centre for Disease Prevention and Control
8. Dengue fever In Note 4 - the persons referred to in Sub-paragraphs 4.1-4.6 Initial medical investigation and medical observation for 14 days Not required
9. Diphtheria and carrying diphtheria agents The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 7 days Bacteriological investigation (smear preparations from the nose and pharynx or skin damages)
10. Yellow fever In Note 4 - the persons referred to in Sub-paragraphs 4.1-4.6 Initial medical investigation and medical observation for 6 days Not required
11. Mumps The persons referred to in Note 2 who have not been ill with epidemic parotitis Initial medical investigation and medical observation for 25 days Not required
12. Epidemical louse born typhus and Brill's disease1 The persons referred to in Note 3 and persons who were under similar conditions of infection Initial medical examination and medical observation for 25 days from the day of sanitary treatment of the focus (including examination for pediculosis) Not required
13. Tick-borne encephalitis If there are suspicions regarding an alimentary infection - persons who were under similar conditions of infection (have used milk and dairy products which might contain the disease-carrying agent) Initial medical investigation and medical observation for 28 days Not required
14. Pertussis The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 14 days Not required
15. Gonococcal infection (gonorrhoea) Sex partners; girls up to 12 years of age who live together with an infected person;

other persons if the doctor has justified suspicions regarding possible infection

Initial medical examination Microscopy of the material of smear preparations and bacteriological or molecularly biological investigation
16. Hantavirus infection Persons who were under similar conditions of infection Initial medical investigation and medical observation for 28 days Not required
17. Sexually transmitted infection caused by the chlamydia, including lymphogranuloma venereum Sex partners; girls up to 12 years of age who live together with an infected person;

other persons if the doctor has justified suspicions regarding possible infection

Initial medical examination Molecular-biological examination of the smear material
18. Cholera and carrying cholera agents1 Family members or persons who live together with the infected person and other exposed persons after the evaluation of the risk of infection Initial medical investigation and medical observation for 5 days Bacteriological investigation of the samples of faeces three times (two samples on the first day and the third sample - on the last day of medical observation)
19. Chronic viral hepatitis and carrying hepatitis virus
19.1. Hepatitis B The persons referred to in Note 4 and persons who were under similar conditions of infection Initial medical examination Serological investigation of blood samples for the determination of HBs Ag, anti-HBc
19.2. Hepatitis C The persons referred to in Note 4 and persons who were under similar conditions of infection Initial medical examination in all cases when the presence of the virus has been detected for the patient Serological examination of a blood sample for the determination of anti-HCV in all cases when the presence of the virus has been detected for the patient
20. Invasive Haemophilus influenzae disease The persons referred to in Note 2 - determined by the epidemiologist in case of group falling ill Initial medical investigation and medical observation for 7 days Not required
21. Meningococcal disease, invasive The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 10 days Not required
22. Invasive pneumococcal disease The persons referred to in Note 2 - determined by the epidemiologist in case of group falling ill Initial medical investigation and medical observation for 7 days Not required
23. Yersiniosis

Y. enterocolitica Y. pseudotuberculosis

The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 10 days Investigation of samples of faeces at the preschool educational institution, the institution where the service of looking after children, the social care institution, and the medical treatment institution affected by the infection shall be performed in case of group falling ill (at least two cases)
24. Campylobacteriosis The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 10 days Investigation of samples of faeces at the preschool educational institution, the institution where the service of looking after children, the social care institution, and the medical treatment institution affected by the infection shall be performed in case of group falling ill (at least two cases)
25. Cryptosporidiosis The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 7 days Not required
26. Legionnaires' disease(legionellosis) Persons who were under similar conditions of infection Medical observation for 10 days Not required
27. Leprae Family members or persons who live together with the infected person Initial medical examination Microscopy of the nose's mucous membrane scarificate
28. Leptospirosis Persons who were under similar conditions of infection Medical observation for 21 days Not required
29. Spleen decease (Antrax)1 Persons who have been in contact with the biological materials or discharges of the patient or persons who were under similar conditions of infection Initial medical examination and observation for 14 days (the term may be extended, depending on the conditions of the possible infection) Not required
30. Listeriosis Pregnant women and persons with immunodeficiency who were under similar conditions of infection, as well as newborn infants who were in contact Initial medical investigation for pregnant women and newborn infants and medical observation for 21 days Bacteriological investigation (smear preparations from the pharynx and/or from the cervix uteri)
31. Malaria and the carrying of the agents of malaria In Note 4 - the persons referred to in Sub-paragraphs 4.1-4.6 Initial medical examination Not required
32. Measles Exposed persons who have not been ill with measles: The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical examination and medical observation for 17 days (21 days if immunoglobulin was injected) Serological investigation of the sample for pregnant women
33. Rubella, including hereditary syndrome of rubella Exposed persons who have not been ill with rubella: The persons referred to in Note 2 and persons who were under similar conditions of infection For pregnant women the initial medical examination and medical observation for 21 days, consultation of a gynaecologist and infectologist Serological investigation of a blood sample in dynamics to pregnant women, including investigation for the determination of infectious erythema
34. Meningitis, encephalitis The persons referred to in Note 2 - bacterial meningitis, the persons referred to in Note 3 - aseptic meningitis, as well as persons who were under similar conditions of infection Medical observation in case of bacterial meningitis for 10 days, in case of aseptic meningitis or encephalitis for 14 days Not required
35. Plague1 The persons referred to in Note 2 - in case of the form of pneumonic plague and persons who were under similar conditions of infection Initial medical investigation and medical observation for 6 days Not required
36. Ornithosis (psittacosis) Persons who were under similar conditions of infection Medical observation for 30 days Not required
37. Poliomyelitis1 The persons referred to in Note 3 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 35 days Virological investigation of the sample of faeces
38. Avian influenza for a human being1 or another influence caused by a virus which has been recognised by the World Health Organisation as the cause of the possible pandemic (until the time when resilient spread of influenza in Latvia has been detected) The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 7 days According to recommendations of the World Health Organisation
39. Q-fever and other rickettsioses Persons who were under similar conditions of infection Medical observation for 21 days Not required
40. West Nile fever In Note 4 - the persons referred to in Sub-paragraphs 4.1-4.6 Initial medical investigation and medical observation for 14 days Not required
41. Salmonellosis and the carrying of the agents thereof The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 7 days Investigation of samples of faeces at the preschool educational institution, the institution where the service of looking after children, the social care institution, and the medical treatment institution affected by the infection shall be performed in case of group falling ill (at least two cases)
42. Syphilis, including hereditary syphilis syndrome Sex partners; persons with whom close contacts of everyday life exist, including children; recipients of blood or other biomaterial;

persons who were under similar conditions of infection if the doctor has justified suspicions regarding possible infection

Initial medical examination Serological investigation of the blood sample, microscopy of the skin and mucous membrane defect material
43. Severe acute respiratory syndrome (SARS)1,

Middle East respiratory syndrome (MERS)1

The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical investigation and medical observation (SARS for 10 days;

MERS for 14 days)

According to recommendations of the World Health Organisation
44. Shiga toxin producing/verotoxin producing Escherichia coli infection (STEC/VTEC), haemolytic uraemic syndrome, or thrombotic hemorrhagic purpura The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 7 days Investigation of samples of faeces at the preschool educational institution, the institution where the service of looking after children, the social care institution, and the medical treatment institution affected by the infection shall be performed in case of group falling ill (at least two cases)
45. Shigellosis and the carrying of the agents thereof The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 7 days Investigation of samples of faeces at the preschool educational institution, the institution where the service of looking after children, the social care institution, and the medical treatment institution affected by the infection shall be performed in case of group falling ill (at least two cases)
46. Rabies Persons who were in contact with the saliva and secretion of the pharynx of the patient;

persons who were under similar conditions of infection

Initial medical examination in order to decide upon the necessity of determining an immunisation course Not required
47. Trichinellosis Persons who were under similar conditions of infection Medical observation for 21 days Not required
48. Tuberculosis (lung form) when the agent of tuberculosis has been detected in the sputum smear or assay The persons referred to in Note 2 and persons who were under similar conditions of infection Initial medical examination

For adults medical observation once a year two years after the last contact with the infected patient of tuberculosis (or removal of bacillus) or more often in case of complaints.

For children - medical observation twice a year two years after the last contact with the infected patient of tuberculosis (or removal of bacillus) or more often in case of complaints

Radiological investigation of lungs for adults.

Tuberculine test for children and HIV infected persons. Tuberculine test for adults if LTBI preventive treatment is planned. Depending on the test results a decision on further investigation is taken. Microbiological investigation of sputum to exposed persons who have a cough

49. Tularaemia Persons who were under similar conditions of infection Medical observation for 14 days Not required
50. Louse borne relapsing fever1 Persons who were under similar conditions of infection Initial medical examination, including examination for louse infestation, and medical observation for 25 days from the day of sanitary treatment of the focus Not required
51. Typhoid and paratyphoid, including the carrying of the agents of typhoid and paratyphoid The persons referred to in Note 3 and persons who were under similar conditions of infection Initial medical investigation and medical observation for 21 days Bacteriological investigation of the sample of faeces
52. Varicella Exposed persons who have not been ill with varicella: The persons referred to in Note 2 and persons who were under similar conditions of infection Medical observation for 21 days. Initial medical examination for pregnant women Serological investigation of a blood sample in dynamics to pregnant women
53. Virus (rotavirus, norovirus, adenovirus, astrovirus, sapovirus) intestinal infections The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 7 days Not required
54. Viral haemorrhagic fevers1, including Ebola viral disease, Lassa fever, Marburg viral disease, Crimean-Congo hemorrhagic fever The persons referred to in Notes2, 3, and 4 in Sub-paragraphs 4.1-4.6 and persons who were under similar conditions of infection Initial medical examination and medical observation during the maximum period of incubation in conformity with the nosological form (including: Ebola viral disease, Lassa fever - 21 days;

Marburg viral disease - nine days;

Crimean-Congo Hemorrhagic Fever - 12 days)

Not required
55. Giardiasis (lambliasis) The persons referred to in Note 3 and persons who were under similar conditions of infection Medical observation for 25 days Not required

Notes.

1. 1 Dangerous infectious disease.

2. Exposed persons to be examined:

2.1. family members or persons who live together with the infected person;

2.2. person who come into frequent contact with the infected person;

2.3. kissing partners and sex partners of the infected person (does not apply to tuberculosis);

2.4. persons who have worked with the infected person in one room;

2.5. persons who are studying in one room, including are attending one group at a preschool education institution or are studying in one class or group, or who stay for longer periods of time in one room with the infected person;

2.6. in a medical treatment institution patients from one ward (in case of measles patients who were in one room);

2.7. in a social care institution persons to be taken care of and living in one room with the infected person;

2.8. health care practitioners and other persons who come into contact with the infected person;

2.9. persons imprisoned in places of imprisonment from one cell with the infected person;

2.10. persons who have flown or travelled in one international vehicle (in case of tuberculosis - for more than 8 hours) together with the infected person;

2.11. persons who come into contact with the biological materials and discharges of the infected person which may contain agents of the infectious disease;

2.12. persons whose work may cause potential risk to the health of other persons in accordance with the laws and regulations.

3. Exposed persons to be examined:

3.1. family members or persons who live together with the infected person;

3.2. persons who were in direct contact with the infected person or his or her contaminated environment at a preschool educational institution, the institution where the service of looking after children, the inpatient medical treatment institution, and the social care institution;

3.3. persons whose work may cause potential risk to the health of other persons in accordance with the laws and regulations.

4. Exposed persons to be examined:

4.1. recipients of blood or other biomaterial;

4.2. persons who have used joint needles, syringes, or other accessories for the use of injectable drugs;

4.3. persons who have had mucous or parenteral contact with blood or other biomaterial during carrying out of professional duties, during receipt of medical treatment, beauty treatment, or other services, upon existence of the risk of infection;

4.4. children born to infected pregnant women;

4.5. sex partners if the principle of safe sexual intercourse were not observed;

4.6. other persons who have used joint hygiene accessories (shaving accessories, toothbrushes) or have had blood, damaged skin or mucous contact;

4.7. family members or person who live together with the infected person (except persons who live at the places of residence).

 


Translation © 2018 Valsts valodas centrs (State Language Centre)

 
Document information
Title: Kontaktpersonu noteikšanas, primārās medicīniskās pārbaudes, laboratoriskās pārbaudes un medicīniskās .. Status:
In force
in force
Issuer: Cabinet of Ministers Type: regulation Document number: 774Adoption: 19.09.2006.Entry into force: 27.09.2006.Publication: Latvijas Vēstnesis, 153, 26.09.2006.
Language:
LVEN
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