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LEGAL ACTS OF THE REPUBLIC OF LATVIA
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Text consolidated by Valsts valodas centrs (State Language Centre) with amending regulations of:

5 October 2021 [shall come into force on 11 October 2021];
8 October 2021 [shall come into force on 11 October 2021];
12 October 2021 [shall come into force on 14 October 2021];
20 October 2021 [shall come into force on 21 October 2021];
26 October 2021 [shall come into force on 28 October 2021];
2 November 2021 [shall come into force on 5 November 2021];
9 November 2021 [shall come into force on 12 November 2021];
16 November 2021 [shall come into force on 23 November 2021];
7 December 2021 [shall come into force on 11 December 2021];
14 December 2021 [shall come into force on 18 December 2021];
21 December 2021 [shall come into force on 24 December 2021];
6 January 2022 [shall come into force on 8 January 2022];
11 January 2022 [shall come into force on 13 January 2022];
18 January 2022 [shall come into force on 20 January 2022].

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. 662
Adopted 28 September 2021

Epidemiological Safety Measures for the Containment of the Spread of COVID-19 Infection

Issued pursuant to
Section 3, Paragraph two, Section 19, Paragraphs one and
2.1, Section 19.1, Section 30, Paragraphs one and three, Section 31,
Paragraph five,  Section 39, Paragraphs one and two of the
Epidemiological Safety Law,  Section 4, Paragraph one, Clauses 1,
1.1, 1.2, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 21,
Section 6.1, Paragraph two, Section 6.3, Paragraph two, Section 6.4,
Paragraph two, Section 6.7, Paragraphs two and three, Section 6.9,
Paragraph two, Section 10.4, Paragraph three, Section 49.6,
Paragraph one of the Law on the Management of the Spread of
COVID-19 Infection, and  Section 5, Clauses 3 and 12
of the Pharmaceutical Law

[8 October 2021]

1. General Provisions

1. The Regulation prescribes the epidemiological safety measures to be taken for the containment of the spread of COVID-19 infection:

1.1. the basic principles and precautionary measures for the containment of the spread of COVID-19 infection;

1.2. the requirements and restrictions for gathering;

1.3. the special epidemiological safety measures to be taken by persons;

1.4. the restrictions on tourism and travel, the requirements for the carriage of passengers services, and also for the provision and use of own-account carriage services;

1.5. the requirements for passengers, vehicles, vehicle drivers, and crew members;

1.6. the rights and obligations of organisers and providers of services of carriage and passengers;

1.7. the conditions for the operation of sites for the performance of cultural, religious activities, entertainment, sports, and other recreational sites;

1.8. the conditions for the organising and course of the educational and sports process;

1.9. the procedures by which, within the scope of the remote learning process, the service of an assistant shall be financed to educatees with a disability to whom the service of an assistant financed from the State budget has been granted in accordance with the procedures laid down in laws and regulations for support to the movement about and performance of self-care at an educational institution;

1.10. the hygiene requirements for food trade establishments and public catering establishments during the spread of COVID-19 infection in addition to the requirements laid down in laws and regulations;

1.11. the reliefs applicable during the spread of COVID-19 infection in accordance with the requirements laid down in the laws and regulations regarding handling of primary food products in small amounts;

1.12. the conditions for the receipt and organisation of social services;

1.13. the procedures for the diagnostics of and reporting on cases of COVID-19 infection;

1.14. the procedures for contact tracing and medical observation, the operation of the contact tracing and warning information system, the manager of the contact tracing system, and the joint manager of the European Federation Gateway in Latvia, the rights and obligations of the abovementioned managers, the amount of information to be included in the contact tracing system and the procedures for the inclusion thereof, the amount of information exchange, and the time period for the storage of information;

1.15. the requirements for isolation, home quarantine, and self-isolation;

1.16. the amount of information to be included in the information system for monitoring persons, the procedures for the inclusion and the time period for the storage thereof, and also the authorities to which access is granted to the information included in the information system;

1.17. the procedures for performing vaccination against COVID-19 infection, the range of persons to be vaccinated, the mandatory minimum security requirements for performing vaccination, the procedures for the labelling of a COVID-19 vaccine and the requirements to be set for the package leaflet, the administrator of the vaccination information system, the amount of data to be included in such system, the procedures for the inclusion, receipt, and processing thereof and the time period for the storage thereof, and also the authorities which receive, process, and include data in the vaccination information system;

1.18. the restrictions on the provision of health care services;

1.19. the prohibition to import animal species susceptible to COVID-19 infection and the production of such animal species in the territory of the Republic of Latvia;

1.20. the procedures for the receipt and processing of data from State information systems on persons who have tested positive for SARS-CoV-2 coronavirus infection and persons who have commenced and who have completed vaccination against COVID-19, the amount of the data to be processed and the time period for the storage of data, and also the authorities which receive, process, and store the processed personal data;

1.21. the procedures for requesting, preparing, issuing, verifying, and using interoperable vaccination certificates, test certificates, or recovery certificates (interoperable certificate), and also the amount of information to be included in the vaccination certificate, test certificate, or recovery certificate and the amount of information available to authorities and service providers, and also the procedures for suspending, revoking, or renewing the vaccination certificate.

2. Terms used in this Regulation:

2.1. economic service - an order fulfilled for consideration within the scope of economic activity of a private individual or public person or the fulfilment of a contract entered into with a consumer by performing work or gaining an intangible result of work, including at sports, cultural, recreational, beauty treatment and wellness, catering, event and trading sites, sites where postal services are provided, etc.;

2.2. public transport service - public transport services within the meaning of this Regulation which are provided in accordance with the procedures laid down in Sub-chapter 3.7 of this Regulation;

2.3. public service - the performance of the functions and tasks of State and local government authorities or the provision of different types of services of private individuals to persons, including in the field of social services or health care;

2.4. event - a private event on public premises or in public places, and also a public event, including a meeting, a procession, a picket, organised religious activities in which the possibility of participation has been announced publicly and which are to be performed by gathering at a specific time and place, or a sporting event;

2.5. event site - a specially arranged public space or territory, including in the open air or outdoors, where a private or public event takes place;

2.6. service provider - a provider of a public service and an economic service, an event organiser, or a performer of religious activities;

2.7. shopping centre - a building that has been arranged for permanent and systematic trade with the total area of at least 1 500 m2 dedicated to trade in which at least five trade participants or service providers are operating in individual trading sites;

2.8. trade fair - a commercial exhibition of regional, national, or international significance, a public zootechnical event, or a fair the purpose of which is to promote the development of entrepreneurship, trade, lifestyle, animal species, and innovations;

2.9. venue of a trade fair - specially arranged premises or territory where a commercial exhibition, a public zootechnical event, or a fair takes place;

2.10. cultural site - a museum and a site similar to a museum where art and historic objects are exhibited (a storage area or exhibition of museum-related objects, a commemoration site, and other cultural sites which create and offer art and historic exhibitions to the public), a library, an archive, a culture centre, an art gallery or exhibition hall, an open-air stage, a theatre building and its outdoor space, a concert hall and its outdoor space, and also a place where a rehearsal of amateur art collectives is organised;

2.11. international sporting event - sports competitions of international significance included in the calendar of an international sports federation (including official trainings intended before the competition), and also sports competitions of international leagues the list of which is published on the website of the Latvian Sports Federations Council;

2.12. isolation - mandatory separation of an infected person or a person for whom there are reasonable suspicions that he or she is infected with SARS-CoV-2 virus, including a person with a positive antigen test result, from healthy persons at the place of residence, place of stay, or medical treatment institution for medical treatment under supervision of a medical practitioner, ensuring appropriate conditions to preclude healthy persons from becoming infected. A sick-leave certificate may be issued to the person for the period of isolation;

2.13. home quarantine - separation from other persons of a person who has come into close contact with an infected person or a person for whom there are reasonable suspicions that he or she is infected during the period of incubation of COVID-19 infection at the place of residence or place of stay under supervision of a medical practitioner in order to medically observe the person and to prevent the risk of infection for other persons. Home quarantine is not imposed on a recovered person within 60 days from the day of confirming the infection. A sick-leave certificate may be issued to the person for the period of home quarantine;

2.14. self-isolation - separation of a person from other persons at the place of residence or place of stay in order to prevent the risk of infection for other persons if there are epidemiologically justified suspicions that this person has been exposed to an increased risk of infection. A sick-leave certificate shall not be issued for the period of self-isolation;

2.15. face mask - a medical face mask or at least class FFP2 respirator without valve;

2.16. fully vaccinated person - a person for whom the primary vaccination has been completed and not more than 150 days have passed since the receipt of the vaccine manufactured by Janssen or not more than 270 days have passed since the last dose of another vaccine has been received, or the person has received a booster vaccine;

2.16.1 completed primary vaccination - the number of doses of the vaccine registered by the European Medicines Agency or equivalent regulators or recognised by the World Health Organisation and intended for the full course of primary vaccination has been injected in accordance with the instructions for use of the vaccine or the Vaccination Manual published on the website of the State Agency of Medicines, and at least 14 days have passed after completion of the vaccination course;

2.16.2 booster vaccine - the number of doses injected of the vaccine registered by the European Medicines Agency or equivalent regulators or recognised by the World Health Organisation corresponds to the booster vaccine scheme specified in the Vaccination Manual published on the website of the State Agency of Medicines;

2.17. recovered person - a person for whom the COVID-19 diagnosis has been confirmed by performing an RNA test and in respect of whom 11 days have passed since the day when the sample of the first positive test within the scope of one episode of infection was taken in detecting SARS-CoV-2 virus RNA, but not more than 180 days;

2.18. RNA test - an examination performed at an accredited laboratory for diagnosing of COVID-19 in order to detect the presence of SARS-CoV-2 ribonucleic acid (RNA) via polymerase chain reaction (PCR) or another nucleic acid amplification test (NAAT) method;

2.19. antigen test - an examination performed by a medical practitioner, a medical assistant, a medical treatment support person, a pharmacist or an assistant pharmacist who works in a licensed general-type pharmacy in order to detect the presence of SARS-CoV-2 antigen (Ag) in accordance with the Council Recommendation on a common framework for the use and validation of rapid antigen tests and the mutual recognition of COVID-19 test results in the EU 2021/C 24/01 and the recommendations published on the website of the Centre for Disease Prevention and Control (hereinafter - the Centre). The antigen test does not confirm the COVID-19 diagnosis;

2.20. routine screening test - a COVID-19 test undergone individually or collectively on a regular basis in places with a high risk of the spread of COVID-19 according to the COVID-19 testing algorithm published on the website of the Centre. A test certificate is not issued on the basis of the routine screening test;

2.21. valid interoperable certificate - a valid European Union-wide certification in digital or paper format of the epidemiological safety of a person in the case of COVID-19 infection within a specific period. The valid interoperable certificate is issued in order to certify that a person is a fully vaccinated person (hereinafter - the vaccination certificate) or to certify that a person has recovered from COVID-19 (hereinafter - the recovery certificate), or to certify that a person has been tested for COVID-19 and the result thereof is negative (hereinafter - the test certificate);

2.22. ventilation - the introduction of outdoor air into a space indoors in order to improve air quality in the room by diluting air pollutants in the room and displacing them from the room with the use of mechanical or natural ventilation;

2.23. epidemiologically safe environment - a room or territory, a site of a public or private event, or a site where a service is provided in which only fully vaccinated or recovered recipients of the service or visitors of the event and employees (officials) of the service provider or the organiser of the event who have a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate are present;

2.24. partially epidemiologically safe environment - a room or territory, a site of a public or private event, a site where a service is provided, or a work place where only fully vaccinated or recovered persons or such persons who can present a test certificate which confirms that they have undergone the RNA test within the last 72 hours or the antigen test within the last 24 hours, provided that the results of such tests are negative, and also children of up to 12 years of age who accompany the abovementioned persons, are present;

2.25. epidemiologically unsafe environment - a room or territory, a site of a public or private event, a site where a service is provided, or a work place where it is not known whether the persons present have been vaccinated, recovered, or tested or which does not conform to the requirements for an epidemiologically safe or partially epidemiologically safe environment;

2.26. temporary interoperable vaccination certificate - a temporary certification issued on the basis of verification of documents issued in foreign countries and valid in the territory of Latvia (hereinafter - the temporary certificate) that a person is recognised as fully vaccinated against COVID-19 in accordance with the requirements of this Regulation. During its term of validity, the temporary certificate shall be equivalent to an interoperable vaccination certificate in the territory of Latvia;

2.27. an interoperable certificate issued to accredited foreign diplomats - to disrupt the Latvian foreign policy and international activities as little as possible, a certification valid in the territory of Latvia that the person is considered as fully vaccinated in Latvia and is entitled to receive in the territory of Latvia such services which are available to the persons fully vaccinated within the meaning of this Regulation shall be issued to the employees of foreign diplomatic or consular representations accredited in the Republic of Latvia, international organisations and their representations, or family members of such employees who have been vaccinated with a vaccine recognised by the sending State or the country of citizenship or have received an opinion of the sending State or the country of citizenship on the postponement of vaccination and cannot receive an interoperable certificate in Latvia. During its term of validity, the certificate shall be equivalent to an interoperable vaccination certificate in the territory of Latvia.

[5 October 2021; 2 November 2021; 9 November 2021; 16 November 2021; 14 December 2021; 6 January 2022; 18 January 2022 / The new wording of Sub-paragraphs 2.16 and 2.23 shall come into force on 15 February 2022. See Paragraph 3 of Amendments]

3. The relevant sectoral ministry may, in cooperation with the Ministry of Health, draw up detailed recommendations for the introduction of the epidemiological safety requirements in the field under its supervision. Ministries may, in cooperation with the Ministry of Health, introduce pilot projects in the field under their supervision in order to assess the epidemiological safety measures which provide for exceptions to the conditions referred to in this Regulation and have been coordinated with the Centre.

4. The service provider or employer shall comply with the general epidemiological safety requirements, special safety requirements laid down for the form or area of activity, and also the relevant recommendations for the introduction of the epidemiological safety requirements. The service provider or employer may, according to the specific nature of work, lay down other requirements in addition to the epidemiological safety requirements referred to in this Regulation if laying down of such requirements is based on the safety of a working environment, the safety of services for service recipients, or the continuity of operation of an organisation.

5. The general epidemiological safety requirements provided for in this Regulation shall not be applicable to the following fields:

5.1. [8 October 2021];

5.2. the Prison Administration. The head of the Prison Administration shall, by an order after coordination with the Ministry of Health, determine detailed recommendations for ensuring the general epidemiological safety requirements in prisons. Special safety requirements for the sector are laid down in Sub-chapter 3.6 of this Regulation;

5.3. the social service providers that provide social services with long-term or short-term accommodation. Special safety requirements for the sector are laid down in Sub-chapter 3.5 of this Regulation;

5.4. the educational institutions and providers of education services. The general epidemiological safety requirements laid down in Chapter 2 of this Regulation shall be applicable insofar as they are not in contradiction with Sub-chapter 3.8 of this Regulation which lays down the special safety requirements for the sector;

5.5. the providers of public transport services. Special safety requirements for the sector are laid down in Sub-chapter 3.7 of this Regulation;

5.6. the providers of public services, including the providers of postal services - in respect of the requirement of this Regulation regarding restrictions on the number of persons if it is not possible to ensure availability of services by restricting the number of persons;

5.7. the work of courts. The general epidemiological safety requirements shall be applicable to courts as far as possible, taking into account the specific nature of the work of courts and the area of court rooms;

5.8. the services provided and the events organised in the epidemiologically safe environment;

5.9. the requirements for the restriction on the number of persons, ensuring of the minimum area determined for one person and ventilation - to a temporary place of detention, an accommodation centre or room for detained foreigners, a room for temporary detention, and an accommodation centre or room for asylum seekers where an asylum seeker has been accommodated outside the accommodation centre for asylum seekers if the capacity thereof has been exceeded.

5.1 The requirements provided for in this Regulation shall not apply to the personnel of the National Armed Forces and such persons belonging to the foreign armed forces who are staying in the Republic of Latvia within the scope of international cooperation during performance of their service duties, unless it has been laid down otherwise in this Regulation.

[8 October 2021]

6. In order to interfere with the external policy and international activities of Latvia as little as possible, including the cooperation with the authorities of the European Union, the travel restrictions and self-isolation requirements provided for in this Regulation shall not, in conformity with the relevant epidemiological safety measures for the containment of the spread of COVID-19 infection, apply to:

6.1. employees of foreign diplomatic and consular missions, international organisations and their representations who are accredited in Latvia and their family members;

6.2. persons arriving in Latvia upon an invitation of the President, the Saeima, the Cabinet or its member, the Constitutional Court, the Supreme Court, the State Audit Office, or the ministry;

6.3. diplomatic couriers of Latvia or foreign countries or ad hoc diplomatic couriers who present an official document which states their status and the number of parcels in the diplomatic bag;

6.4. holders of the diplomatic passport of the Republic of Latvia, technical personnel accompanying them, and the civil servants and employees of the diplomatic or consular service when performing the official functions;

6.5. foreign experts and merchants who, within the scope of international cooperation, enter the Republic of Latvia to provide support in the matters related to national defence and national security and assistance in ensuring public order and safety and border surveillance, and also officials with a special service rank of the institutions of the system of the Ministry of the Interior who return to the Republic of Latvia after provision of such assistance in foreign countries.

7. If the person referred to in Sub-paragraphs 6.1, 6.2, and 6.5 of this Regulation is recognised as fully vaccinated or recovered in accordance with this Regulation, then this person may participate in events in the epidemiologically safe environment for the performance of the official functions.

8. Taking into account the specific nature of the tasks of the military service in ensuring national defence, the Commander of the National Armed Forces has the right to set down the existence of the vaccination or recovery certificate as a mandatory requirement for the fulfilment of professional service in the National Armed Forces and as a mandatory office requirement for civil employees employed in the National Armed Forces.

2. General Epidemiological Safety Requirements

9. In participating in public activities, the service provider, the employer as well as any person shall follow the general epidemiological safety requirements and safety protocols or recommendations (including the fundamental principles for the provision of information, reduction of contacts and distancing, use of face masks, ventilation of premises and hygiene, and also isolation, home quarantine, and self-isolation conditions) and prevent the risks of infection for other persons.

10. The service provider and the employer shall be responsible for the introduction of and compliance with the epidemiological safety requirements at a work place and a site where services are provided and shall ensure control over the introduction of and compliance with the requirements laid down.

11. It is prohibited to provide services and organise events and other activities if it promotes uncontrolled crowding (gathering) of persons, and also if it is impossible to ensure compliance with the epidemiological safety requirements, in particular in respect of ensuring the requirements for the distancing, the number of persons, the minimum area determined for one person, and organisation of control.

12. The service provider shall ensure provision of information by making information available to visitors and employees in the Latvian language and at least one foreign language (English or Russian) or using pictograms at entrances in a clearly visible place or, where it is impossible, in other form. The service provider shall ensure that at least the following information is available:

12.1. the number of persons who may be present at the same time at a site where the service is provided or event site if the service provider or event organiser must comply with the restriction on the number of persons;

12.2. the warning that persons for whom self-isolation, home quarantine, or isolation has been specified or who display signs of a respiratory infection may not be present at the relevant site;

12.3. the warning that a two-metre distance must be maintained, and also regarding other distancing conditions, if such have been specified;

12.4. the warning about the obligation to use face masks if such has been specified, and also the indication as to correct use of the face mask;

12.5. the certification of the epidemiological safety of the service, indicating whether the service is provided in the epidemiologically safe, partially epidemiologically safe, or epidemiologically unsafe environment.

13. In order to ensure distancing, the service provider, the employer as well as any person individually shall take at least the following precautionary measures:

13.1. ensure that a physical two-metre distance is maintained among employees, between employees and visitors, and also among individual visitors or members of different households, unless it has been laid down otherwise in this Regulation;

13.2. organise and control the flow of persons in order to prevent crowding in premises, in particular near entrances and exits, in adjacent rooms indoors and outdoors, and places where increased gathering of persons occurs or is expected to occur, and also at the time when it may occur (for example, during breaks, peak hours, before or after an event);

13.3. prevent mutual meeting of different groups of persons if work is organised in groups or if the service provider or event organiser provides the service by gathering of persons in groups;

13.4. organise remote performance of work, remote provision and use of economic or public services to the extent possible and according to the specific nature of work.

14. The service provider shall determine the maximum number of persons allowed in premises and in places at the same time, taking into account the area to be provided for one person which has been specified in this Regulation or according to the specified number of persons, and also taking into account the expected behaviour of persons and the possibilities to organise the flow of persons in order to avoid crowding. In a place where the area is smaller than that determined, only one visitor or members of one household may be present at the same time.

15. Persons or employees who are directly related to ensuring the course of a service, an event, or a ceremony shall not be included in the maximum number of persons allowed which has been specified in this Regulation or the number which is determined by taking into account the area to be provided for one person, except for meetings, processions, and pickets.

16. In receiving services or attending events, the face mask shall be used in public premises outdoors with intensive flow of persons and public premises indoors if there is more than one person in a room, unless it has been laid down otherwise in this Regulation.

17. The face mask need not be used by the following:

17.1. pre-school age children of up to seven years of age, and also educatees who are completing a preschool education programme;

17.2. educatees of basic and secondary education level (including interest-related and vocationally oriented education programmes) during educational process indoors, except for educatees in programmes of vocational further education and vocational in-service training if a non-medical cover (of fabric) is used;

17.2.1 those employed by educational institutions in educational process and provision thereof indoors at pre-school, basic and secondary education level (including those employed in interest-related and vocationally oriented education programmes), except for those employed in programmes of vocational further education and vocational in-service training if a non-medical cover (of fabric) is used;

17.3. if it is impossible in a speech-language pathology class for the performance of a specific exercise or in the educational process in the classroom in order to ensure unequivocal information that is easy to perceive for the educatees who acquire the special education programme for hearing-impaired educatees or the special education programme for educatees with speech impediments or for whom relevant support measures have been determined;

17.4. a person with obvious movement impairments or mental health disorders due to which he or she lacks the capacity or skills to use the face mask;

17.5. [18 January 2022]

17.6. a person who cannot perform work or professional duties when using the face mask, unless it has been laid down otherwise in this Regulation;

17.7. during physical activities and sports trainings, and athletes during physical activities in sporting events. The abovementioned exception shall be applicable to any physical activities and engagement in sports (including non-professional sports and physical activities for the preservation and improvement of health);

17.8. during learning how to play a music instrument, learning vocal art and dance;

17.9. when receiving a service during which the use of masks is impossible due to objective reasons;

17.10. at sites where public catering services are provided when visitors are sitting at the table;

17.11. children from the age of seven to twelve years if a non-medical cover (of fabric) is used;

17.12. the educatees referred to in Sub-paragraph 17.2 of this Regulation when using the public transport if a non-medical cover (of fabric) is used.

[7 December 2021; 18 January 2022; The new wording of Sub-paragraphs 17.1 and 17.2 and Sub-paragraphs 17.2.1, 17.11, and 17.12 shall come into force on 25 January 2022. See Paragraph 2 of Amendments]

18. The service provider or employer shall ensure ventilation with a mechanical ventilation system or natural ventilation so that the level of carbon dioxide (CO2) does not exceed 1 000 ppm, and shall perform constant or regular control of the air quality to the extent possible.

19. In order to follow the hygiene requirements, the service provider or employer shall ensure measures that correspond to the activity in the epidemiologically safe or partially epidemiologically safe environment, and also follow the hygiene recommendations published on the website of the Centre, including regarding hand hygiene and cleaning and disinfection of surfaces, inventory, and work equipment.

20. The service provider or employer shall assess epidemiological risks and, on the basis of this Regulation, according to the specific nature of the undertaking, develop a documented internal control system for the implementation of the epidemiological safety measures (hereinafter - the internal control system for the implementation of the epidemiological safety measures), indicating at least the following information and measures to be taken in a clear manner that is easy to verify:

20.1. the division of indoor premises and territories into the epidemiologically safe, partially epidemiologically safe, or unsafe environment, the procedures for ensuring the environment, and the control procedures;

20.2. the assessment of opportunities for two-metre distancing by analysing risk areas and measures for the control of physical distancing in order to prevent increased gathering (crowding) of persons;

20.3. the time when the service is provided or the event takes place;

20.4. the evaluation of the risks of the flow and crowding of persons and the measures to prevent them;

20.5. the number of persons involved in the provision of the service, the course of the event, and the work, the existence of valid interoperable certificates, and the procedures for their control;

20.6. the calculations of the maximum permissible number of persons who may be present in a room or place at the same time in conformity with the conditions referred to in this Regulation. In calculating the maximum permissible number of persons in mutually connected premises (for example, a shopping centre), the total number thereof shall not exceed the sum of the number of persons allowed in each room or place individually;

20.7. the measures for the control of precise number of persons who are in a room or place at the same time;

20.8. the measures for the control of ventilation and air quality;

20.9. the information on the person (given name(s), surname, and contact information) who is responsible for the compliance with the epidemiological safety measures and safety protocols or guidelines if such have been developed in the relevant field, and also for the internal control system for the implementation of the epidemiological safety measures.

21. The service provider or employer shall assign a person who is responsible for the compliance with the epidemiological safety measures, and also for the internal control system for the implementation of the epidemiological safety measures. The responsible person shall ensure that the epidemiological safety measures are introduced and compliance with them is monitored at the site where the service is provided (except for the services which are provided without staff), at an event site or a work place, and shall, upon request of an official of the supervision and control institution, provide him or her with the necessary information on implementation of the epidemiological safety measures:

21.1. present the documentation of the internal control system regarding the implemented epidemiological safety measures;

21.2. present documents (for example, a cadastral survey file of structures) that allow to ascertain the area of publicly available indoor premises or territories, if any;

21.3. identify in a manner that can be objectively verified and indicate the number of visitors present during control.

22. The person responsible for the compliance with the epidemiological safety requirements shall provide service providers and recipients, employees, and other persons who are present at the place where the service is provided, including educatees and their lawful representatives, with available and understandable information on the procedures for introducing and complying with the epidemiological safety requirements. The abovementioned information shall also be posted on the website of the service provider, institution, or founder, if any.

23. [6 January 2022]

24. An employee, and also a volunteer and a person employed on the basis of an outsourcing contract may perform work (office) duties on site if he or she has a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. An employee (official) of a State and local government authority (including a capital company) may perform work (office, service) duties regardless of the site of their performance if he or she has a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate.

[6 January 2022]

25. The employer shall not allow the person referred to in Paragraph 24 of this Regulation to perform his or her work (office, service) duties if he or she has not presented a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate.

[6 January 2022]

26. If the test certificate is required for an employee to perform his or her work duties, the employee (official) shall ensure COVID-19 testing at his or her own expense, unless he or she has otherwise agreed with the employer.

27. Places where public catering (except for take-away and catering in airport terminals of valsts akciju sabiedrība "Starptautiskā lidosta "Rīga"" [State joint stock company Riga International Airport]), entertainment, cultural services are provided and religious activities are performed, and also cultural sites shall start work not earlier than at 6.00 and end work not later than at 24.00. The Minister for Justice may, after coordination with the Ministry of Health, determine exceptions to working hours at places where religious activities are performed.

28. It shall be permitted, in the epidemiologically safe environment, to provide and receive services on site, including entertainment and cultural services, to organise and attend events, to participate in and attend sports events and sports competitions, and also to participate in activities of amateur art collectives and to provide and receive education services, without complying with the conditions of this Regulation for the use of face masks, maintenance of distancing, gathering restrictions, working hours, and other special epidemiological safety requirements, provided that:

28.1. verification of the vaccination certificates or certificates of recovery is ensured;

28.2. the presence of such persons who do not correspond to the epidemiologically safe environment is not permitted.

29. Children who do not conform to the status of a vaccinated or recovered person may receive services and participate in events (except for the services and events related to sports, leisure activities, and amusements that are intended for organised groups of children or children unaccompanied by adults) accompanied by s fully vaccinated or recovered person of legal age in the epidemiologically safe environment, provided that:

29.1. the child from the age of 12 years can present the test certificate or a laboratory statement regarding a negative result of the screening test undergone within the last 72 hours;

29.2. face masks are used, except for the cases referred to in Paragraph 17 of this Regulation;

29.3. at least 5 m2 of the publicly available area indoors (except for catering facilities indoors) are ensured for one person in a room or territory indoors which is dedicated to the epidemiologically safe environment with children or if the maximum number of persons permitted indoors at the same time (not more than 300 persons) and outdoors (not more than 500 persons) is determined;

29.4. maintenance of the distance is ensured among households with children, and also from other visitors, and the flow of persons is organised, and crowding is prevented:

29.4.1. by organising the flow of visitors so that a two-metre distance is maintained among representatives of different households;

29.4.2. by arranging seats or standing places for children and accompanying persons envisaging that not more than 10 persons are next to each other without maintaining the distancing. A two-metre distance is ensured among each group of household persons seated or standing next to each other;

29.4.3. by ensuring that up to 10 persons are sitting at one table at a catering facility without maintaining the distancing and ensuring that a 1.5-metre distance is maintained among tables if a limiting wall has not been installed among them;

29.5. the flow of visitors with children is separated in time or space.

30. It shall be permitted, in the partially epidemiologically safe environment, to receive and provide services, including entertainment and cultural services, to organise and attend events, to participate in and attend sports events, to participate in and attend sports competitions, and also to participate in activities of amateur art collectives, to provide and receive education services on site, provided that the following is ensured:

30.1. verification of interoperable certificates;

30.2. the presence of such persons who do not correspond to the partially epidemiologically safe environment is not permitted;

30.3. compliance with the general and specific epidemiological safety provisions laid down in this Regulation is ensured.

31. Children of up to 12 years of age may, in the partially epidemiologically safe environment, participate in receipt of the service or in an event without an interoperable certificate when accompanied by such person of legal age who is fully vaccinated or recovered or who has the test certificate, while children from the age of 12 years shall present the test certificate or laboratory statement regarding a negative result of the screening test undergone within the last 72 hours.

32. If a person goes to premises outside the relevant epidemiologically safe or partially epidemiologically safe environment, the general and special epidemiological requirements are applied thereto (according to the epidemiologically unsafe environment).

33. If both the epidemiologically safe environment and partially epidemiologically safe environment are ensured at the site where the service is provided or at an event site, the service provider shall ensure that the relevant environments are separated physically and the flows of visitors in the different safety environments do not overlap during the entire course of the event or service or that all visitors use face masks and maintain a two-metre distance in common-use premises and it is possible to control conformity of the persons present in the relevant environment. The number of visitors present in the epidemiologically safe environment is not included in the number of visitors in the partially epidemiologically safe environment.

34. It shall be possible, without presenting an interoperable certificate, to:

34.1. receive the service on site if it is impossible to provide it remotely and the provision of the service remotely constitutes a risk to ensuring the fundamental human rights, and also to receive support in psychological support groups if the event organiser, service provider, or the head of the group has a valid interoperable certificate, and in private and public events, including expressions of freedom of peaceful assembly guaranteed and protected by the State (meetings, processions, and pickets), provided that the following number of persons is not exceeded:

34.1.1. 20 persons indoors;

34.1.2. 50 persons outdoors;

34.2. individually or within the scope of one household, except for the sites where postal services are provided, receive services, cultural services (also amateur art activities) if the service provider has the vaccination or recovery certificate and there are no other persons in the room where the service is provided;

34.3. in the open air on site, receive services, participate in commercial exhibitions and events where visitors are in a passenger vehicle or individual watercraft if the service provider or the persons involved in the organisation of the event who come into contact with visitors have a valid interoperable certificate;

34.4. participate in religious activities indoors and outdoors if at least 10 m2 of the publicly available area of premises are ensured for one person and the face mask is used;

34.5. use public transport services, services of international carriage, including international carriage of passengers, and services related to the provision of such services;

34.6. receive economic services at the sites where postal services are provided if at least 10 m2 of the publicly available area of indoor premises are ensured for one person and the face mask is used.

35. Non-existence of an interoperable certificate or test shall not release from the obligation to participate in pre-trial investigation, judicial proceedings, or enforcement of criminal punishments, and comply with any other obligations laid down in laws and regulations.

36. In providing a service in the partially epidemiologically safe environment or epidemiologically unsafe environment indoors or in organising events, the provider of the economic service shall record and gather the following information on recipients of the service and visitors: the given name(s), surname, contact telephone number, time of visit, and seat (if fixed) in order to identify and warn contact persons in the case of COVID-19 infection related to the specific provider of the economic service. Information shall be stored for one month and handed over to the Centre upon the request thereof. The service provider has the right to use the personalised information in order to inform the person of the safety requirements for the service or event, and also of cancellation, postponement thereof, or any other changes. The abovementioned provision does not apply to trade fairs and other services outdoors, services and events with less than 50 visitors, and services the estimated time of receipt whereof, including waiting, is less than 15 minutes, and also postal services at the sites where such services are provided, public transport services, public catering and trade services.

[5 October 2021]

37. The employer or the head of the collective has the right to gather information on an employee (official) or contact information (e-mail, telephone number) of participants of the collective in order to prepare a list of contact persons and hand it over to the Centre for the organisation of counter-epidemic measures in the case of COVID-19 infection.

38. A person who is infected with COVID-19 and who, in accordance with the requirements of this Regulation, must comply with the isolation requirements, and who is not permitted to receive the corresponding service since he or she must comply with the home quarantine or self-isolation requirements, or who displays signs of an acute respiratory infection, or a person who fails to comply with the epidemiological safety requirements, including fails to use the face mask or uses it improperly, and fails to follow the instructions of the service provider is not allowed to enter public spaces, an event site, or a site where the service is provided. Such person is refused the provision of the service or the participation in an event, and also the person id banished from the room or place without compensation for losses.

39. If the diagnosis of COVID-19 is confirmed for an employee (official) or he or she is suspected of being infected with COVID-19, or if an employee (official) displays signs of COVID-19 disease during performance of work duties, the employee (official) shall be suspended from the performance of work duties, asked to contact his or her general practitioner without delay in order to undergo the laboratory testing for the diagnostics of COVID-19 and, if the employee (official) has tested positive for COVID-19, he or she shall follow instructions of the Centre and general practitioner, and also the requirements laid down in this Regulation.

40. A person shall certify the fact of him or her being fully vaccinated, recovered, or having undergone an appropriate COVID-19 test by presenting the relevant vaccination, recovery, or test certificate upon request of the service provider, employer, or a person assigned by an educational institution, or the controlling authorities. When presenting the relevant interoperable certificate, the person has an obligation to present also a personal identification document. When presenting the relevant interoperable certificate, a child of up to 15 years of age may present a personal identification document, a student certificate, or a birth certificate to prove his or her identity. If a child of up to 15 years of age is accompanied by his or her parent, the parent's passport containing an entry regarding this child may also be presented.

41. The service provider, the employer, including the educational institution, the implementer of the educational process or a person appointed by it, or the controlling authority has the right to request and process information obtained from an employee or another person who stays or is constantly present on premises where the service is provided or at the work place, or an educatee regarding his or her conformity with the status of a fully vaccinated person or recovered person (including the period of validity of the certificate if the person has the recovery certificate), and also COVID-19 test results. The person shall present the relevant interoperable certificate or test result upon request of the service provider, employer, or a person appointed by the educational institution, or the controlling authorities.

42. In cases where laws and regulations provide for the right or obligation of an official and a client to sign a confirming document, the service provider has the right not to sign the relevant document, including the technical roadside inspection or technical inspection report, for the purpose of epidemiological safety considerations.

43. Documents which, in accordance with the laws and regulations in the field of the handling of weapons, are necessary in order to extend the term of validity of an authorisation for a weapon, to receive a duplicate thereof or a repeat authorisation, may be submitted by postal services. The submission for extending the term of validity of an authorisation for a weapon shall be submitted at least one month prior to the end of the term of validity of an authorisation for a weapon. A unit of the State Police shall notify the submitter of the decision taken and, if it has been decided to issue an authorisation for a weapon, send it to the person by post.

44. In performing monitoring, control, operational activity, or investigation activities, an employee of an authority does not have an obligation to present an interoperable certificate. It is also not verified whether the persons against whom the abovementioned activities are implemented hold the interoperable certificate, unless it has been laid down otherwise in laws and regulations. During such measures, the precautionary measures determined for the containment of the spread of COVID-19 infection shall be followed (use of personal protection equipment, performance of disinfection, maintenance of the distance to the extent possible).

[5 October 2021]

3. Special Epidemiological Safety Requirements

3.1. Conditions for the Provision of the Economic Services, Including Beauty Treatment, Entertainment, Amusement, and Cultural Services

45. The economic services, including beauty treatment services, trade exhibitions, economic services related to amusements (including in water parks, entertainment and amusement centres, trampoline parks, children's playrooms, and day-care rooms (also in shopping centres)), may be provided:

45.1. indoors:

45.1.1. in the epidemiologically safe environment;

45.1.2. in the partially epidemiologically safe environment if the following conditions are met in addition to the general epidemiological safety requirements laid down in this Regulation:

45.1.2.1. at least 10 m2 of the publicly available indoor area are ensured for one person;

45.1.2.2. at exhibition sites the width of passageways between rows of exhibition stands or the distance between several sites in one room where the service is provided is at least three metres;

45.2. in the epidemiologically unsafe environment in accordance with Paragraph 34 of this Regulation.

46. The conditions referred to in this Chapter regarding the area of premises shall not apply to the following:

46.1. the paid service provided by the Prison Administration - the use of facilities and equipment of long-term meeting premises - during which conformity with the epidemiological requirements laid down in prisons is ensured;

46.2. the provision of the accommodation services.

[5 October 2021]

3.2. Conditions for the Provision of Trade Services and the Food Handling

47. Trade services are provided in the epidemiologically unsafe environment.

48. In providing services at a trade site and a market pavilion (a closed-type building in the market territory which is arranged for permanent and systematic trade and in which at least 10 traders operate), such maximum number of visitors shall be determined as to ensure at least 15 m2 of the publicly available indoor area per visitor.

49. A market administrator in the open territory of the market and an organiser of street trade at a place where street trade is organised shall ensure at least a two-metre distance among trade sites.

50. The total number of shopping equipment, including baskets, trolleys, or shopping bags provided by the trader may not exceed the maximum number of visitors permitted in a trade site. It is prohibited to be present at a trade site without the abovementioned shopping equipment where the availability of such equipment is ensured.

51. An owner or legal possessor of a shopping centre, and also a market administrator shall:

51.1. appoint the responsible person who organises the implementation of the epidemiological safety requirements referred to in this Regulation in the shopping centre or market pavilion. Information on the responsible person shall be placed in a clearly visible place;

51.2. ensure that the maximum permitted number of visitors is not exceeded in the shopping centre or closed-type market pavilion. The maximum permitted number of visitors in the shopping centre shall be determined without exceed the sum of the permitted number of visitors at individual sites where the service is provided and trade sites;

51.3. place information on the total maximum number of visitors in the shopping centre or market pavilion and contact information of the person responsible for the epidemiological safety;

51.4. if the total area of the shopping centre dedicated to trade exceeds 7 000 m2, it shall be ensured that an electronic device for registering the flow of visitors is installed in the shopping centre.

52. Entertainment events (for example, thematic celebrations, amusements) are not organised at a site where street trade is organised, and the organiser of street trade shall ensure physical delimitation of the site where street trade is organised (for example, with a fence, delimiting tapes, barriers).

53. Food establishments providing public catering services or selling such non-prepackaged food which is offered without packaging and which needs not be washed or cooked before consumption shall ensure that the food is packaged in the self-service area upon request of a buyer.

54. In conformity with the hygiene and veterinary requirements laid down in the laws and regulations regarding handling of primary food products in small amounts, it shall be permitted to exceed the amount of products specified in the abovementioned laws and regulations and to be delivered to the final customer directly or to the retail undertaking which directly supplies the final consumer.

55. The Consumer Rights Protection Centre is also entitled to control the conformity with the requirements laid down in this Regulation at trade sites in relation to the maximum number of visitors determined and the internal control system for the implementation of the epidemiological safety measures.

56. The restrictions and requirements referred to in this Chapter shall not apply to trade sites in prisons (prison shops). The rights of prisoners provided for in laws and regulations to make purchases in the prison shop shall be ensured according to the prison infrastructure and the epidemiological safety requirements specified in prisons.

3.3. Conditions for the Provision of Catering Services

57. Public catering services shall be provided indoors:

57.1. in the epidemiologically safe environment;

57.2. in the partially epidemiologically safe environment if the following is ensured in addition to the general epidemiological safety requirements laid down in this Regulation:

57.2.1. not more than six adults, excluding minor children (but not exceeding 10 persons in total), are sitting at one table;

57.2.2. at least a two-metre distance is maintained among persons sitting at different tables if a limiting wall has not been placed among the tables.

58. Outdoors the public catering services may be provided in the epidemiologically safe environment, the partially epidemiologically safe environment, or the epidemiologically unsafe environment. In providing the service in the epidemiologically unsafe environment, it shall be ensured additionally that:

58.1. not more than six adults, excluding minor children (but not exceeding 10 persons in total), are sitting at one table;

58.2. at least a two-metre distance is maintained among persons sitting at different tables if a limiting wall has not been placed among the tables.

59. Public catering facilities may only provide take-away meals outside the working hours specified in this Regulation.

60. The requirements and restrictions referred to in Paragraph 27 of this Regulation and in this Sub-chapter shall not apply to the following:

60.1. terminals of the State joint stock company International Airport Riga if it is ensured that:

60.1.1. a two-metre distance is maintained among persons sitting at different tables if a limiting wall has not been placed among the tables;

60.1.2. not more than four visitors who are not members of one household are sitting at one table;

60.2. the provision of the catering service in prisons where the epidemiological safety requirements specified in prisons are applied;

60.3. the provision of the catering services for participants of sports teams at the site where they are staying if it is ensured that groups of persons which do not come into everyday contact are separated into different flows that do not overlap.

3.4. Course of Public Events and Religious Activities, and Also Activities of Amateur Art Collectives and Mass Media

61. Public events may be organised as follows:

61.1. in the epidemiologically safe environment;

61.2. in the partially epidemiologically safe environment if it is ensured additionally that:

61.2.1. the number of persons who gather at the same time in one indoor space does not exceed 300, while the number of persons who gather at the same time in an outdoor space does not exceed 500;

61.2.2. visitors are located in fixed, personalised seats during the course of the event;

61.2.3. visitors who are located in different delimited sectors of the space do not meet;

61.2.4. not more than two persons who are not members of the same household or not more than 10 persons (including four adults and six children) who are members of the same household may be seated next to each other. At least a two-meter distance is maintained between each adjacent two seats or seats of one household respectively;

61.2.5. seats are arranged in rows by maintaining a two-metre distance from the persons sitting in front and behind;

61.2.6. during the course of the event, the flow of visitors is organised in a way to prevent crowding of people and to ensure that a two-metre distance is maintained outside seats;

61.2.7. the organiser of the event shall ensure that tickets are personalised. Personalisation shall include the following information on the visitor: the given name(s), surname, contact telephone number, specific seat at the event. The organiser of the event shall store this information for one month and hand it over to the Centre upon the request thereof.

62. Religious activities may be performed in the epidemiologically unsafe environment by ensuring at least 10 m2 of the publicly available area of premises for one person and using face masks. Sunday schools shall comply with the requirements of this Regulation laid down for the activities of informal (interest-related) education, taking into account the epidemiological safety environment applied at the Sunday school.

63. Public worships of commemoration days of the dead (cemetery festivals) may be organised outdoors in conformity with the general epidemiological safety requirements laid down in this Regulation, without applying the general restriction on the maximum number of persons and ensuring concurrently that not more than 10 persons may gather around family or historic family graves maintaining the distance from other persons.

64. Rehearsals (sessions) of amateur art collectives shall take place as follows:

64.1. in the epidemiologically safe environment;

64.2. in the partially epidemiologically safe environment if the following is ensured in addition to the epidemiological safety requirements laid down in this Regulation:

64.2.1. not more than 30 persons are present at the same time in one room, excluding the persons employed;

64.2.2. at least 3 m2 of the available area of the room are ensured for one person;

64.2.3. groups do not meet each other;

64.2.4. a two-metre distance is maintained during rehearsals (sessions), except for the time when a dance is learned;

64.2.5. the registration of the persons involved and employed in rehearsals (sessions) are ensured (the given name(s), surname, contact information). If falling ill with COVID-19 is detected, the data of the persons involved in rehearsals (sessions) shall be handed over to the Centre upon the request thereof, and also information shall be provided on the date and place (room) where the rehearsal (session) took place;

64.3. in the epidemiologically safe environment:

64.3.1. outdoors;

64.3.2. indoors only in the form of individual sessions if it is ensured additionally that:

64.3.2.1. only an instructor and a participant are present in a room during the session;

64.3.2.2. at least 10 m2 of the publicly available area of premises are ensured for one person.

65. Fully vaccinated or recovered employees and educatees or such employees and educatees who have undergone the routine screening test in accordance with Paragraph 175 of this Regulation, except for educatees at the level of pre-school education if they are involved in the group of pre-school education collective in which children of other age groups do not participate, may participate in rehearsals (sessions) of children and youth amateur art collectives indoors and outdoors.

66. The face mask need not be used in mass media broadcasts if a person has a valid interoperable certificate and not more than 30 participants participate in a broadcast or if more than 30 participants participate in a broadcast and at least 10 m2 of the broadcast premises are ensured for one person. If possible, a two-metre distance shall be ensured between the participants of the broadcast. During the broadcast, the viewers may be informed through captions that all participants of the broadcast have a valid interoperable certificate and they no longer cause the risk of infection for other persons.

67. Private events (wedding, funeral, and christening ceremonies) may be organised in the partially epidemiologically safe environment without conforming to the restrictions on working hours but conforming, as far as possible, to the requirements for the use of face masks and distancing requirements in a separate, closed public indoor space or territory, if it is ensured additionally that:

67.1. the employees involved in the provision of the service have the vaccination or recovery certificate;

67.2. not more than 250 persons participate in the event;

67.3. at least 4 m2 of the area of the publicly available premises of the site available to visitors where services are provided are ensured for one person.

3.5. Conditions for the Provision of Social Services

68. Social services may be provided in the epidemiologically safe environment, the partially epidemiologically safe environment, or the epidemiologically unsafe environment.

69. Social services may, except when their non-provision, suspension or discontinuation presents a risk of disability or risk to human health, life or safety, be received by a person who has a vaccination or recovery certificate or who has undergone the RNA test within the last 72 hours before receipt of the service and it is negative, and also if this person does not have symptoms of an acute respiratory infection.

[26 October 2021]

70. A long-term social care and social rehabilitation service shall be ensured in conformity with the following epidemiological safety requirements:

70.1. a person who is being placed in the institution has undergone the RNA test in cooperation with a general practitioner within the last 48 hours before placement and the result thereof is negative, except for children for whom it is necessary without delay (in emergency cases) to ensure stay at a long-term social care and social rehabilitation institution and persons who have the vaccination or recovery certificate;

70.2. a person who is being transported from an inpatient medical treatment institution has undergone the RNA test within the last 48 hours before admission to the institution or the person has the vaccination or recovery certificate;

70.3. a person is in self-isolation for 10 days after admission to a long-term social care and social rehabilitation institution or return from an inpatient medical treatment institution, except for persons who have the vaccination or recovery certificate;

70.4. the service is provided by persons who can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. Persons who come into contact with the recipients of the long-term social care and social rehabilitation service during performance of contractual relations at the site where the service is provided can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate;

70.5. the Centre is informed of each case of infection;

70.6. employees displaying signs of an infection of the upper respiratory tract are tested with an antigen test, and the abovementioned employees are recorded based on the number of tests received and used, additionally including information in the records on the number of tests used for antigen detection which are found to be positive. If the result of his or her antigen test is positive, the employee is suspended from the performance of work duties and he or she is instructed to immediately contact the general practitioner in order to perform laboratory diagnostics of COVID-19 infection and to survey the contact persons to whom the self-isolation requirements should be applied;

70.7. testing of the clients of long-term social care and social rehabilitation institutions (including clients with a completed primary vaccination or booster vaccine or a recovery certificate) with COVID-19 screening test may be organised from the State budget resources. Employees of long-term social care and social rehabilitation institutions have the right to request and process the information obtained from the clients on conformity with the status of a fully vaccinated person, a person having received a booster shot, or a recovered person (including the term of validity of the certificate if the person has a recovery certificate), and also the results of the COVID-19 test. The client shall present the relevant interoperable certificate or test result upon request of a person appointed by the service provider or the control authorities.

[16 November 2021; 6 January 2022]

71. Social rehabilitation services with accommodation shall be ensured in conformity with the following epidemiological safety requirements:

71.1. it is ensured that personal protective equipment and means of disinfection are used, the distance and gathering restrictions are complied with, premises are ventilated, and other corresponding requirements are complied with;

71.2. the service is provided by persons who can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. Persons who come into contact with the recipients of the social rehabilitation service with accommodation during performance of contractual relations at the site where the service is provided can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate.

[8 October 2021; 6 January 2022]

72. The social services provided individually or to a group of persons and the services considered equivalent thereto (services of a day centre, services of a day care centre, psychosocial rehabilitation services, care at home services, and other social care and social rehabilitation services, services of the social service office, services of an Orphan's and Custody Court, services of out-of-family care support centres, services of an assistant and companion) shall be provided as follows:

72.1. remotely;

72.2. on site in conformity with the epidemiological safety requirements if these services cannot be provided remotely. The service is provided by persons who can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. Persons who come into contact with the recipients of the social services during performance of contractual relations at the site where the service is provided can present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. The vaccination or recovery certificate need not be presented by the persons who provide the service while residing in one household with the recipient of the service.

[16 November 2021; 6 January 2022]

73. If a person with a disability does not have a possibility to use the service of an assistant in a local government, higher education institution, and college in the amount granted and necessary according to the measures specified in the decision of the local government social service office to grant the service of an assistant during the emergency situation declared in the State due to the epidemiological safety measures specified for the containment of the spread of COVID-19 infection, the person may use the service of an assistant for social inclusion measures (shopping, visit to theatres, concerts, sports games, other events, and public sites which is related to leisure activities) according to the average amount of hours used in the previous three calendar months.

[26 October 2021]

74. Paragraph 73 of this Regulation shall apply to the persons who, in accordance with Paragraph 47 of the Cabinet Regulation No. 316 of 18 May 2021, Regulation Regarding the Assistant, Companion, and Care Services for Persons with a Disability, have the right to use the service according to a contract entered into for the provision of the service of an assistant until expiry of the validity of the decision taken by the social service to grant the service of an assistant but not longer than until 31 December 2021.

75. When visiting clients in long-term social care and social rehabilitation institutions, the provisions referred to in this Paragraph shall be complied with:

75.1. a person presents the vaccination or recovery certificate;

75.2. a meeting is organised outdoors or in specially designated meeting premises;

75.3. a meeting is organised by assessing risks of infection and complying with the epidemiological safety requirements specified in the institution.

76. The individual practice part of the training programme for foster families and adopters may be completed remotely or replaced with additional acquisition of theoretical knowledge in the amount of at least 16 academic hours on issues promoting understanding of entry into a family of a child who is under out-of-family care.

3.6. Epidemiological Requirements in a Prison

77. The partially epidemiologically safe or the epidemiologically unsafe environment shall be ensured in a prison.

78. Fully vaccinated persons and persons with a recovery certificate, except for prisoners, employees (officials), and persons who arrive to the prison for the performance of professional duties, may be present in the territory of the prison. Employees (officials) of the prison and persons who arrive to the prison for the performance of professional duties shall present a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate. Children who are less than 12 years of age may be present in the territory of the prison without a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate if they are accompanied by a person of legal age who is fully vaccinated or who has a recovery certificate. Children who are more than 12 years of age shall present a certificate confirming a completed primary vaccination or a recovery certificate, a test certificate or a laboratory statement regarding a negative result of the screening test undergone within the last 72 hours. A person who cannot be vaccinated against COVID-19 infection due to medical reasons on the basis of the decision of the medical panel of a clinical university hospital or to whom vaccination has been postponed may be in the territory of a prison if he or she presents the decision of the medical panel and a test certificate.

[6 January 2022]

79. Testing for educatees at a prison shall be organised by the medical practitioner of the prison.

80. In addition to the conditions referred to in this Regulation, the following educatees need not be tested for COVID-19 in a prison:

80.1. who have a statement (form No. 27/u) issued by the medical practitioner of the prison regarding a negative result of the COVID-19 test or regarding the fact of completed vaccination or recovery;

80.2. at basic and secondary education level if mandatory counter-pandemic (quarantine, isolation) measures have been specified for him or her;

80.3. if quarantine has been declared in the prison.

81. Upon receipt of information on a prisoner for whom COVID-19 infection has been determined in laboratory, a prison doctor shall, without delay, commence primary medical examination of the prisoner, and also ensure medical observation and medical treatment, where necessary.

82. Medical observation and medical treatment, where necessary, shall be ensured for a prisoner for whom COVID-19 infection has been determined according to clinical signs.

83. A prisoner who has been diagnosed with COVID-19 infection or who has been identified as a contact person shall be isolated without delay in accordance with the Law on the Management of the Spread of COVID-19 Infection.

84. A prison doctor shall notify the Centre of a clinically confirmed case of COVID-19 infection and a closed case of COVID-19 infection by filling in the urgent notification on infectious disease (form No. 058/u) referred to in the laws and regulations regarding registration of infectious diseases.

85. When carrying out the epidemiological investigation of a prisoner, the Centre shall identify contact persons of the specific infected prisoner and inform the prison doctor of the contact person and the action corresponding to the situation:

85.1. if the contact person is located inside the prison - regarding the duration (end date) of the medical observation of the contact persons and the counter-epidemic measures to be taken;

85.2. if the contact person is located outside the prison, the Centre shall act in accordance with Paragraph 183 of this Regulation.

86. Upon receipt of information from the Centre on a contact person who is in the prison, the prison doctor shall commence his or her primary medical inspection and medical observation.

87. The administration of a prison shall provide a prisoner who has been diagnosed with COVID-19 infection or who, in accordance with this Regulation, has been recognised as a contact person and is being released from the prison with information on his or her obligations in accordance with this Regulation, including the obligation of the person to immediately see a general practitioner, and also, where possible, information on the possibilities for contacting the general practitioner of the person.

88. The administration of a prison shall inform the Centre if a prisoner for whom the diagnosis of COVID-19 has been confirmed or who, in accordance with this Regulation, has been recognised as a contact person will be released from the prison and shall indicate the foreseeable date and time of release.

89. If, after release from a prison, a prisoner intends to receive the social service in an institution with full or partial accommodation (in a social rehabilitation centre or a shelter), the prison doctor shall issue him or her a statement regarding the absence of contraindications upon request of the prisoner.

90. The educational process in prisons shall only be ensured on site, except for the case where quarantine has been determined in a prison.

3.7. Conditions for the Provision of Transport Services

91. Public transport services are provided in the epidemiologically unsafe environment, except for the cases referred to in Paragraph 93 of this Regulation.

92. The commissioning party of public transport services in State cities may determine that carriage in the administrative territory of a local government is performed for persons with a valid interoperable certificate in accordance with the procedures laid down in this Regulation.

93. The requirement for the maximum occupancy of a vehicle referred to in Paragraph 100 of this Regulation shall not apply when providing public transport services in the partially epidemiologically safe environment:

93.1. in commercial routes (voyages) if the carrier ensures verification of the interoperable certificate when the passenger boards the vehicle;

93.2. in train routes for which tickets are sold with numbered seats, in separate carriages for persons with a valid interoperable certificate if verification of the interoperable certificates is ensured in a carriage;

93.3. in State cities if the service is provided in accordance with Paragraph 92 of this Regulation.

94. Passengers shall use face masks in a vehicle, a taxi, or a passenger car which is used to perform the carriage of passengers for reward. Public transport workers who come into contact with passengers (for example, a ticket inspector, an attendant, a vehicle driver) shall use face masks.

95. A vehicle driver need not use the face mask if he or she is located in a cabin that is fully separated from passengers.

96. For the purpose of ensuring distancing, it is permitted to install in vehicles an uncertified or unlabelled protective structure made of a translucent material (for example, plastic) which separates the seat of the vehicle driver from the seats of passengers. Attachment, placement of the protective structure, and visibility through it shall conform to the requirements of the laws and regulations regarding the State technical inspection of vehicles and technical roadside inspection. The obligation of the vehicle driver and a passenger is to ensure safe operation of the protective structure in accordance with the requirements of the laws and regulations governing carriage of passengers.

97. Regular disinfection of surfaces of the interior of a vehicle used to provide the economic or public service shall be performed at the destinations of routes.

98. The provider of the public transport service shall perform regular ventilation of the interior:

98.1. during the voyage - by using automatic ventilation systems or by opening hatches and windows and by opening all doors on the side where passengers board at each stop, and also, if the weather conditions are appropriate, by opening the doors for five minutes at stops every 30 minutes;

98.2. at the destination of regional traffic routes - by opening the windows and doors of the vehicle but for trains by opening the doors on the side where passengers board trains;

98.3. at the destinations of city routes - by opening the windows and doors of the vehicle;

98.4. in carriage by a taxi or a passenger vehicle - after every client.

99. Informative signs prohibiting a passenger from closing the windows shall be displayed on the windows in the interior of the vehicle.

100. The carrier of public transport shall organise boarding and disembarking so that the number of passengers in a vehicle does not exceed 80 % of its capacity or 85 % of its capacity if it is necessary to pick up passengers at stops outside the destinations of routes of regional significance. The carrier shall place information in the interior of the vehicle on the number of passengers permitted on the vehicle. If it is not possible to control the boarding and disembarking of passengers due to the specific nature of the vehicle, the carrier shall request the passengers to choose seats so that the interior of the vehicle is evenly filled and the distancing requirements are complied with to the extent possible.

100.1 In order to organise the measures for the containment of the spread of COVID-19 infection more efficiently, a local government or the provider of the public transport service which receives a subsidy from the funds of the local government has the right to transfer to the National Health Service data on adults (given name(s), surname, personal identity number (identification number)) who receive fare reliefs. The National Health Service has the right to compare the abovementioned data with the information at its disposal and to transfer back to the local government or the provider of the public transport service data on persons who have the vaccination or recovery certificate. The National Health Service, the local government, or the provider of the public transport service shall delete the personal data obtained as soon as the need for storing them has ceased to exist.

[2 November 2021]

3.8. Conditions for the Course of the Educational and Learning Process
3.8.1. General Conditions of the Educational Process

101. The process for the acquisition of education, including in international schools, at all levels of education and the services of official accommodation facilities and boarding school shall be organised on site with the participation of persons with a primary vaccination, booster vaccine, or recovery certificate, and also by educatees undergoing the routine screening test or RNA test according to the algorithm of the Centre (except for educatees at the level of pre-school education and higher education study programmes).

[6 January 2022]

101.1 In implementing the practical training, including work-based learning outside an educational institution (in an undertaking, with a merchant, at an association, a foundation, or with other legal and natural persons), an educational institution shall comply with the requirements for the provision of services in the epidemiologically safe environment laid down in this Regulation for the respective field, and also comply with the conditions of the employer if, in accordance with Paragraph 24 of this Regulation, the employer has determined the works the performance of which requires the vaccination or recovery certificate.

[20 October 2021]

102. The pedagogical medical commission shall provide an opinion on an educational programme appropriate for an educatee on site in the epidemiologically safe or partially epidemiologically safe environment. In an exceptional case, the educatee and his or her lawful representative may also participate in the meeting of the commission without the vaccination or recovery certificate or without a certification of a negative test result if the commission has been informed of the abovementioned fact in advance.

103. A child supervision service shall be provided on site by a person who has a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate which is presented before provision of the service or upon request of a recipient of the service.

[6 January 2022]

103.1 The service of a private practice of a teacher shall be provided by a person who has a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate which is presented before provision of the service, and also by submitting a submission for certifying the commencement of a private practice of a teacher, or upon request of a recipient of the service.

[6 January 2022]

104. The following persons shall participate in the educational process and the ensuring thereof:

104.1. the persons who have a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate and who present it to the person responsible for the implementation of the educational process:

104.1.1. the persons employed at the levels of pre-school education, basic education, and secondary education (including programmes of vocationally oriented education, vocational further education, vocational in-service training), and also higher education;

104.1.2. the persons employed in programmes of informal education (including interest-related education) and vocational competence in-service training for teachers;

104.1.3. students of colleges and higher education institutions;

104.1.4. the service providers who come into contact with educatees during performance of contractual relations at the site where the service is provided (including providers of catering, transport, cleaning services);

104.1.5. the adult educatees of vocational further education, vocational in-service training, and informal education programmes and the educatees of the programmes of vocational competence in-service training for teachers;

104.2. at the level of pre-school, basic education, and secondary education (including interest-related education, vocationally oriented education), the educatees with a certificate of completed primary vaccination, booster vaccine or a recovery certificate to be presented by them to the person responsible for the implementation of the educational process and the educatees without the abovementioned certificate;

104.3. the educatees who are completing a special basic education programme for pupils with mental disorders or a special basic education programme for pupils with severe mental disorders or several severe mental disorders at a special education institution or special education class, including the educatees who are tested in accordance with Paragraph 105 of this Regulation.

[6 January 2022]

104.1 The persons referred to in Sub-paragraph 104.2 of this Regulation (except for the educatees at the pre-school education level) shall participate in the implementation of the educational process on site, undergoing a routine screening test or an RNA test according to the algorithm of the Centre. Adult educatees have an obligation to undergo a routine screening test outside the educational institution. The lawful representatives of minor educatees have an obligation to ensure that the educatees undergo a routine screening test outside the educational institution and to inform the educational institution of the result according to the procedures stipulated thereby. If the result of the routine screening test of the educatee is positive, the educatee shall return to the educational institution with a negative result of an RNA test undergone at a laboratory and present the result to the person responsible for the implementation of the educational process. The educational institution shall be informed of a positive result of the routine screening test without delay according to the procedures stipulated thereby.

[6 January 2022]

104.2 The persons referred to in Paragraph 104 of this Regulation have an obligation to undergo a routine screening test or an RNA test if it is provided for by the algorithm of the Centre. The employer, the educational institution, or the implementer of the educational programme shall be informed of a positive result of the routine screening test without delay according to the procedures stipulated thereby. If the result of the routine screening test of a person is positive, the person shall return to the educational process or the provision thereof with a negative result of an RNA test undergone at a laboratory and present the result to the responsible person.

[6 January 2022]

105. An educational institution shall, in cooperation with a laboratory testing for COVID-19 and according to the COVID-19 testing algorithm published on the website of the Centre, organise the following (except for testing at the level of pre-school education and in study programmes of higher education):

105.1. the routine screening testing - for educatees at the basic education and secondary education level (including in programmes of vocationally oriented education, except for programmes of vocational further education and vocational in-service training). In assessing the epidemiological situation, the head of the educational institution is entitled to take a justified decision which has been coordinated with the founder on the undergoing of the abovementioned test at the educational institution if the algorithm of the Centre provides for the undergoing of the test outside the educational institution;

105.2. random COVID-19 testing - for educatees who are completing a special basic education programme for pupils with mental disorders or a special basic education programme for pupils with severe mental disorders or several severe mental disorders at a special education institution or special education class;

105.3. RNA tests in the cases specified in the algorithm published on the website of the Centre.

[6 January 2022]

106. In order to ensure timely exchange of information between an educational institution and a laboratory regarding COVID-19 test results and for the Centre to obtain information in due time necessary for epidemiological investigation and to organise control measures for the containment of the spread of COVID-19 infection more efficiently:

106.1. the educational institution has the right to hand over the following data of educatees from the State Education Information System to the relevant laboratory - the given name(s), surname, personal identity number, gender, address of the declared, registered place of residence or the place of residence indicated by the person, country of citizenship, date of birth, class (course, group), and electronic mail address and mobile phone number of the lawful representative of a minor educatee or of an adult educatee;

106.2. the Ministry of Education and Science has the right to grant to the Centre the access to the State Education Information System in order for the Centre to obtain the following:

106.2.1. data of educatees - the given name(s), surname, personal identity number, sex, address of the declared, registered place of residence or the place of residence indicated by the person, country of citizenship, date of birth, class (course, group), name and address of the educational institution, electronic mail address and mobile phone number of the lawful representative of a minor educatee or an adult educatee;

106.2.2. data of employees of educational institutions - the given name(s), surname, personal identity number, sex, address of the declared, registered place of residence or the place of residence indicated by the person, country of citizenship, date of birth, electronic mail address and mobile phone number, name and address of the educational institution.

[8 October 2021]

107. If educatees at the basic education and secondary education level (including at the level of vocationally oriented education), except for educatees in programmes of vocational further education and vocational in-service training and educatees who are completing a special basic education programme for pupils with mental disorders or a special basic education programme for pupils with severe mental disorders or several severe mental disorders at a special education institution or special education class, return to the educational institution and do not fit into the schedule of the educational institution, they shall, on the day before arrival at the educational institution, undergo the routine screening test and return to the educational institution if the result thereof is negative. If the result of the routine screening test of the educatee is positive, the educatee shall return to the educational institution with a negative result of an RNA test undergone at a laboratory, and present the result to the person responsible for the implementation of the educational process. The educational institution shall be informed of a positive result of the routine screening test without delay according to the procedures stipulated thereby.

[6 January 2022]

108. An educatee who has the vaccination or recovery certificate or who has undergone the test at an educational institution according to the algorithm published on the website of the Centre, or who has undergone the COVID-19 test in accordance with Paragraph 105 of this Regulation is entitled to participate in interest-related and vocationally oriented education programmes on site, and also in activities which are organised in work with the youth. The educatee or his or her lawful representative has the obligation to present to the person responsible for the implementation of the educational process a valid relevant interoperable certificate or a certification (in paper or digital form) of a negative COVID-19 test result.

109. The learning process in educational institutions (except for colleges and higher education institutions) according to the decision of the head of the educational institution which has been coordinated with the founder (the head of a general and vocational education institution founded by the State or State higher education institutions shall take the decision without coordination with the founder) and the procedures specified in the educational institution:

109.1. shall be implemented remotely for an educatee of pre-school (for educatees of the mandatory age), basic, and secondary education levels if home quarantine has been determined for him or her, and also if quarantine has been declared at the site where the educational programme is implemented;

109.2. may be implemented remotely:

109.2.1. for educatees of such study subject (course) for the teacher of which mandatory counter-epidemic (home quarantine, isolation) measures have been specified;

109.2.2. for educatees of such study subject (course) the teacher of which cannot implement the learning process on site due to other justified reasons specified by the head or founder of the educational institution;

109.2.3. individual consultations in study subjects (courses) in which State examinations are intended for educatees at the end of the education level in the 2021/2022 academic year;

109.2.4. individual consultations for educatees who are subject to the risk of premature discontinuation of learning at the basic education and secondary education level;

109.2.5. for educatees at the basic and secondary education level if at least 1/3 of the educatees of the respective grade (group, course) implement the educational process remotely in accordance with Sub-paragraph 109.1 of this Regulation.

[9 November 2021]

110. The founder of an educational institution (except for colleges, higher education institutions, and schools founded by the State) shall determine the procedures for taking and coordinating the decision referred to in Paragraph 109 of this Regulation.

111. The educational process only on site (except for the case referred to in Sub-paragraph 109.1 of this Regulation) shall be implemented:

111.1. in a pre-school education programme;

111.2. in a general basic education programmes for grades 1-3;

111.3. at a special educational institution;

111.4. in a special education class in which the special basic education programme for pupils with severe mental disorders or several severe mental disorders are implemented;

111.5. in a special education class in which the special basic education programme for pupils with mental disorders are implemented;

111.6. at the educational institution for social correction Naukšēni;

111.7. in individual lessons in the study subjects of music, art, and dance vocationally orientation and vocational secondary education programmes which are implemented in the form of individual lessons according to the specific nature of the study subject;

111.8. in completion of the practical part of vocational education programmes (except for vocationally orientation education programmes and higher education study programmes) within the scope of one group, and also in the course of professional qualification examinations;

111.9. in individual learning of independent practical skills of a vocational education (including vocationally oriented) programme at an educational institution without the presence of the teacher;

111.10. in workshop courses and tests which, in accordance with laws and regulations, the person requires to be appointed to a position or to establish or fulfil employment relationship, to receive, maintain, extend, or renew a certificate, licence, confirmation, certification, and another similar document, and also for the recognition or maintenance of professional qualification and the attestation of competence conformity.

112. The founder of an educational institution (the head of a general and vocational education institution founded by the State or State higher education institutions) shall gather information on the decisions taken by the heads of educational institutions in the relevant calendar week in the cases referred to in Paragraph 109 of this Regulation and send it to the State Education Quality Service before Friday of the current week.

113. An educational institution:

113.1. shall appoint the responsible person in the internal control system for the implementation of the epidemiological safety measures, and also shall determine the procedures:

113.1.1. for testing educatees and employees (except for higher education study programmes);

113.1.2. for organising and controlling the flow of educatees and other visitors, using the common areas, services of laboratories, official accommodation facilities, and a boarding school, and also for organising catering and individual learning of independent practical skills of a vocational education programme at an educational institution without the presence of a teacher;

113.1.3. for performing the verification of certificates and the examination of the results of routine screening testing;

113.1.4. by which the educatee (the lawful representative of a minor educatee), the employee, and the service provider inform the educational institution of a positive test result;

113.2. shall ensure regular ventilation of classrooms within the scope of an astronomical hour according to the individual ventilation regime of each classroom approved by the educational institution and every time when CO2 concentration in the air monitored in the classroom during the learning process exceeds 1 000 ppm.

[6 January 2022]

114. An adult educatee or the lawful representative of a minor educatee shall inform an educational institution if the educatee has contracted COVID-19, is in isolation, home quarantine, or self-isolation.

115. When organising the completion of the learning content provided for in the basic education programme in family in accordance with Paragraph 12 of Cabinet Regulation No. 11 of 11 January 2022, Procedures for Enrolling Students in and Discharging from General Education Programmes, and also the Mandatory Requirements for Moving Educatees up into the Next Grade:

115.1. the regulation included therein shall also be applied to the following:

115.1.1. the educatees of grades 7 and 8;

115.1.2. the educatees of grades 1-8 who are completing special basic education programmes, and also the educatees of grade 9 who are completing special basic education programmes for pupils with mental disorders or special basic education programmes for pupils with severe mental disorders or several severe mental disorders;

115.2. the requirement determined in Sub-paragraph 12.1 of the abovementioned Regulation to append to the submission a statement issued by a general practitioner or attending physician or an opinion issued by a clinical and health psychologist shall not be applied.

[18 January 2022]

115.1 It is permitted to not give the assessment of the first semester in a subject for grades 3, 6, 9, and 12 in the acquisition of general education in the academic year 2021/2022. In such case, the assessment in a subject shall be determined by taking into account the summative assessments obtained in the academic year 2021/2022.

[9 November 2021]

116. [6 January 2022]

117. When assessing the epidemiological situation and taking into account the specific nature of the study programme, higher education institutions and colleges are entitled to take a justified decision on complete or partial course of a course or module of the study programme remotely, ensuring that the level of the study quality does not deteriorate.

117.1 Higher education institutions and colleges are entitled to change the learning plan of the educational programme in the study direction "Health care" in order to ensure that students (including residents) are involved in work at a medical treatment institution or, upon a case-by-case assessment, grant academic leave to a student which can be shorter than one academic year.

[20 October 2021]

117.2 The students referred to in Paragraph 117.1 of this Regulation shall perform work duties at a medical treatment institution assigned by the head of the medical treatment institution under supervision or control of a certified medical practitioner.

[20 October 2021]

118. When implementing higher education programmes, colleges and higher education institutions shall:

118.1. not later than two weeks before the beginning of the current semester, inform entrants and students (including foreign entrants and students) of the requirements laid down in this Regulation, and also in the college and higher education institution;

118.2. collect information on the time of arrival and address of the place of stay in the Republic of Latvia of foreign students, and also, where possible and necessary, ensure a possibility to the student by cooperating therewith to maintain self-isolation if the foreign student has informed the college or higher education institution of the arrival to the Republic of Latvia for the completion of a study programme on site;

118.3. determine additional requirements if, during self-isolation, the foreign student is located at the premises of the official accommodation facility of the college or higher education institution, and students and employees shall be informed thereof. If the foreign student does not have the vaccination or recovery certificate but has the test certificate, he or she may stay at the official accommodation facility of the college or higher education institution, provided that the flows of residents of the official accommodation facility do not overlap and separate monitoring of their activities is ensured for not longer than 60 days since arrival to the Republic of Latvia for the completion of a study programme on site;

118.4. ensure that the services of an official accommodation facility are provided only to persons with a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate.

[6 January 2022]

119. On-site activities in work with the youth to which other conditions of this Regulation do not apply shall be implemented in the epidemiologically safe or partially epidemiologically safe environment but if crisis support is necessary, then in the epidemiologically unsafe environment. It shall be ensured in on-site activities in work with the youth that activities take place upon prior registration and at least 3 m2 of the publicly available area are ensured for each participant indoors, and also it shall also be ensured that premises are ventilated in accordance with Paragraph 18 of this Regulation but, if it is not possible, supply of fresh air to a classroom shall be ensured for at least 15 minutes within an astronomical hour.

120. Children's camps and national defence training camps shall be organised in the epidemiologically safe or partially epidemiologically safe environment. A children's camp has appointed the responsible person and drawn up the procedure for action if falling ill with COVID-19 is detected among participants or employees of the camp. The Guidelines on Precautionary Measures for Organisers of Children's Camps of the National Centre for Education shall be complied with in the organisation of the children's camp.

3.8.2. Conditions for the Process of Training and Improvement of Professional Competence

121. Training after completion of which a confirmation document - a certificate, a licence, a confirmation, an attestation, or another document of similar nature - is issued or maintenance, extension, or renewal of the abovementioned confirmation document is performed shall be implemented on site in the epidemiologically safe or partially epidemiologically safe environment if the following is ensured in addition to the requirements of this Regulation:

121.1. restricted implementation of training and examinations on site;

121.2. participation of not more than 10 persons in one group (except for the training referred to in Paragraph 122 of this Regulation).

122. In addition to the requirements laid down in Paragraph 121 of this Regulation, the implementer of programmes of informal education, including interest-related education, and also vocational competence in-service training for teachers, and the training specified in laws and regulations shall ensure that the following conditions are met therein:

122.1. training takes place upon prior registration;

122.2. at least 3 m2 of the publicly available area of premises are ensured for one educatee indoors;

122.3. premises are ventilated in accordance with Paragraph 18 of this Regulation but, if it is not possible, supply of fresh air to a classroom is ensured for at least 15 minutes within an astronomical hour;

122.4. the number of educatees in one group does not exceed 30 persons but if ventilation of premises corresponding to Paragraph 18 of this Regulation is not ensured, the number of educatees in a group does not exceed 15 persons (50 %).

123. During training in provision of first aid, persons shall use a respirator without valve in conformity with all precautionary measures according to the recommendations developed by the State Emergency Medical Service and coordinated with the Centre and the Health Inspectorate.

124. The physical fitness test of an official with special service rank and a candidate to such position of the institution of the system of the Ministry of the Interior and the Prison Administration may take place indoors where not more than 10 persons gather (excluding persons who evaluate the physical fitness), permitting also to use the locker room if it is ensured that the epidemiological safety requirements and the necessary precautionary measures (for example, use of face masks in the locker room before the beginning and after the completion of the test, distancing, compliance with the disinfection requirements, and also that the flows of different groups do not overlap) are complied with.

3.8.3. Financial Conditions of the Educational Process

125. At general pre-school education institutions, educatees have the right, in accordance with the laws and regulations regarding the procedures for granting and financing the service of an assistant at an educational institution, to receive the service of an assistant paid from the State budget for up to 40 hours per week for support to movement about and performance of self-care in respect of the school days when the educational institution partially or completely organises the process of the acquisition of education remotely in accordance with Sub-paragraph 109.1 of this Regulation.

126. At general basic education, vocational basic education, vocational training, general secondary education, and vocational secondary education institutions, educatees have the right, in accordance with the laws and regulations regarding the procedures for granting and financing the service of assistant at an educational institution, to receive the service of an assistant paid from the State budget for up to 25 hours per week for support to movement about and performance of self-care in respect of the school days when the educational institution partially or completely organises the process of the acquisition of education remotely in accordance with Sub-paragraphs 109.1 and 109.2.5 of this Regulation.

[18 January 2022]

127. The aid to local governments which is provided in accordance with Cabinet Regulation No. 709 of 8 December 2015, Regulations Regarding the Methodology for the Determination of Costs and the Procedures by which a Local Government Covers the Costs of a Pre-school Educational Programme for a Private Educational Institution According to the Average Costs Stipulated Thereby, shall not be subject to the restriction referred to in Paragraph 9 of the abovementioned Regulation on the absence of a child due to a health condition or other justifying reasons.

128. If, in accordance with Sub-paragraphs 109.1 and 109.2.5 of this Regulation, the process of the acquisition of education is organised remotely at an educational institution, then:

128.1. in order to use the State budget subsidy for free school meals:

128.1.1. according to the decision of the local government council, the local government may use the State budget subsidy received for ensuring free school meals for the educatees in grades 1, 2, 3, and 4 to cater the educatees in grades 1, 2, 3, and 4 of the relevant educational institution who have declared their place of residence in its administrative territory - for delivering ready meals or food parcels or for ensuring food cards;

128.1.2. according to the decision of the local government council, if the local government has unused State budget resources allocated for ensuring free school meals, it is entitled to use such resources to cater the educatees in grades 5, 6, 7, 8, and 9 of the relevant educational institution who have declared their place of residence in its administrative territory - for delivering ready meals or food parcels or for ensuring food cards;

128.1.3. if the declared place of residence of the educatee referred to in Sub-paragraphs 128.1.1 and 128.1.2 of this Regulation is not in the administrative territory of the local government in which the educational institution referred to in Sub-paragraphs 128.1.1 and 128.1.2 is located, then the local government which has received the State budget subsidy shall ensure catering of the educatee in accordance with the local government council decision referred to in Sub-paragraphs 128.1.1 and 128.1.2 of this Regulation or shall agree with the local government where the educatee has declared his or her place of residence on the provision of catering service, and also shall agree on the transfer of State budget subsidy;

128.1.4. according to the decision of the head of the institution, the State educational institution may use the State budget subsidy received for ensuring free school meals for the educatees in grades 1, 2, 3, and 4 to cater the educatees in grades 1, 2, 3, and 4 of the relevant educational institution - for delivering ready meals or food parcels or for ensuring food cards. If the State educational institution has unused State budget resources allocated for ensuring free school meals, the head of the educational institution is entitled to use such resources to cater the educatees in grades 5, 6, 7, 8, and 9 - for delivering ready meals or food parcels or for ensuring food cards. In order to ensure the abovementioned delivery, the State educational institution shall agree with the local government in the administrative territory of which the educatee has declared his or her place of residence on the provision of catering service, and also shall agree on the transfer of State budget subsidy;

128.2. in order to use the State budget earmarked grant for covering the expenditures for the maintenance of special educational institutions:

128.2.1. according to the decision of the local government council, the local government may use the abovementioned State budget earmarked grant to cater the educatees of the relevant special educational institution who have declared their place of residence in its administrative territory - for delivering ready meals or food parcels or for ensuring food cards;

128.2.2. if the declared place of residence of the educatee of the special educational institution is not in the administrative territory of the local government in which the special educational institution is located, then the local government which has received the abovementioned earmarked grant shall ensure catering of the educatee in accordance with the local government council decision referred to in Sub-paragraph 128.2.1 of this Regulation or shall agree with the local government where the educatee has declared his or her place of residence on the provision of catering service, and also shall agree on the transfer of State budget earmarked grant.

[6 January 2022]

129. The founder of an educational institution (in a State educational institution - the head of the institution) shall ensure that the educational institution keeps analytical accounts of the costs incurred due to the implementation of the precautionary measures related to COVID-19 and other requirements of this Regulation (which the founder or educational institution has covered from own financial resources), indicating an increase or decrease in costs (in comparison with the time period between 1 August 2019 and 31 December 2019) in the following items of expenses and in accordance with the following categories for the economic classification of budget expenditures:

129.1. remuneration and mandatory social insurance contributions;

129.2. maintenance costs of the educational institution which have not been referred to in Sub-paragraph 129.1 or 129.3 of this Regulation;

129.3. expenditures for goods and services;

129.4. capital expenditures.

3.8.4. Conditions of Sports Trainings and Competitions

130. Sports trainings indoors within the scope of an individual visit or in a group, and also sports training outdoors in a group shall take place in the epidemiologically safe or partially epidemiologically safe environment.

131. Sports trainings individually or in a group in the epidemiologically safe environment, sports trainings in children's camps, and also sports trainings for educatees in programmes of interest-related education and vocationally oriented education who have a certification (in paper or digital form) of a negative COVID-19 test result shall take place in conformity with the following conditions:

131.1. at least 15 m2 of the area of the space where the sports training is held are ensured for one person (in public swimming pool - 10 m2 of the area of water surface). In swimming pools used for swimming lessons at least 6 m2 of the area of water surface shall be ensured for one educatee of a swimming training programme. If the training is attended by educatees of one class (course) of one educational institution within the scope of one training group, then the abovementioned restriction on the area of space or water surface is not applied;

131.2. in group training not more than 20 persons concurrently gather in one training group in an organised manner. If it is permitted by the area of the relevant space of the sports training, the conditions referred to in Sub-paragraph 131.1 of this Regulation are conformed to, the flows of different training groups do not overlap, and also separate supervision of their activity is ensured, the work of several training groups may take place at the same time;

131.3. a two-metre distance is maintained during a visit to the site where indoor sports take place (except for the premises of a sports training where the training process takes place);

131.4. the sports training is conducted by a person who corresponds to the laws and regulations regarding the certification of sports specialists;

131.5. the duration of a sports training does not exceed 90 minutes;

131.6. the occupancy of locker rooms does not exceed 25 % at the same time;

131.7. the persons who are not directly involved in the organisation and course of a sports training, including lawful representatives of educatees (except for sessions of the swimming training programme for educates under 5 years of age (including)) do not participate in the sports training.

132. The organiser of a sports training shall:

132.1. comply with the sports training safety protocol for the respective type of sport developed by the sports federation recognised in accordance with the procedures laid down in the Sports Law, and also the internal procedure regulations of the site where indoor sports take place;

132.2. in cooperation with employees of the site where the sports training takes place, control how persons comply with the obligations imposed on them during the sports training;

132.3. appoint the responsible person who organises implementation of the specified epidemiological safety measures and informs employees, visitors (including educatees), and lawful representatives of educatees of the abovementioned measures, indicating the responsible person and his or her contact information.

133. Not more than 20 persons (excluding sports specialists and sports employees) shall gather at the same time in an organised manner in one training group outdoors, and the occupancy of locker rooms shall not exceed 25 % in a sports training group in the partially epidemiologically safe environment, children's camps, and also for educatees in programmes of interest-related education and vocationally oriented education who have a certification (in paper or digital form) of a negative COVID-19 test result. If it is permitted by the outdoor area of the relevant site where sports take place, the work of several training groups may take place at the same time if the flows of different training groups do not overlap and separate supervision of their activity is ensured.

134. The organiser of sports trainings for educatees of programmes of interest-related education and vocationally oriented education shall additionally ensure that educatees and employees who come into close contact with educatees during performance of work duties are tested according to the algorithm published on the website of the Centre. Educatees at the level of pre-school education, and also persons who have the vaccination or recovery certificate need not undergo COVID-19 tests.

135. If indoor and outdoor sports trainings of athletes of the Latvian national team (including youth and junior teams), Latvian Olympic team, and Latvian Paralympic team, athletes of teams of international and highest leagues of team sports (if the title of a champion of Latvia for adults is won in the sports competition), and also educatees of Murjāņi Sports Gymnasium and centres for the preparation of high-level athletes take place in the partially epidemiologically safe environment, then the conditions referred to in Paragraphs 131 and 133 of this Regulation shall not apply thereto.

136. Sports competitions indoors and outdoors shall take place in the epidemiologically safe or partially epidemiologically safe environment.

137. Sports competitions in the partially epidemiologically safe environment shall take place in conformity with the following conditions:

137.1. the competition has been included in the calendar of competitions of the sports federation recognised in accordance with the procedures laid down in the Sports Law of the relevant type of sport, the calendar being published on its website (indicating the name, venue, and time of the competition, and also the organiser of the competition);

137.2. only the persons who have a valid interoperable certificate, and also educatees in interest-related education and vocationally oriented education programmes who have a certification (in paper or digital form) of a negative COVID-19 test result participate in the competition and are at the competition venue;

137.3. not more than 300 persons indoors and 500 persons outdoors are present at the venue of competition (in motor sport - in the territory where the special stage takes place) at the same time (including athletes and employees who are directly related to ensuring the course of the competition, including sports employees). Spectators who have the vaccination or recovery certificate and who are separated in an individual sector, and whose flows do not overlap with the flows of other spectators and participants of the competition are not included in the total number of persons;

137.4. a two-metre distance is maintained while visiting the venue of indoor sports competition, and also face masks are used (except for athletes during the course of sports competition);

137.5. athletes of one team (also in individual sports) or sports employees serving athletes do not come into physical contact with athletes of other teams or sports employees serving other athletes (except for athletes during the course of sports competition);

137.6. the occupancy of locker rooms does not exceed 25 %;

137.7. giving of awards on site only takes place individually;

137.8. the organiser of the competition ensures the fulfilment of the obligations specified in Paragraph 139 of this Regulation.

138. International sporting events for athletes from seven years of age, and also sports competitions of highest leagues of team sports if the title of a champion of Latvia for adults is won therein shall take place both indoors and outdoors in the partially epidemiologically safe environment, and the restrictions on working hours and the conditions referred to in Sub-paragraph 137 of this Regulation shall not apply thereto.

139. The organiser of the sports competitions shall:

139.1. comply with the safety protocol of competitions for the prevention of the spread of COVID-19 infection which has been approved by the sports federation recognised in accordance with the procedures laid down in the Sports Law of the relevant type of sport;

139.2. ensure that all the persons involved in the course of the competitions and related to ensuring the course of the competitions (including athletes and sports employees) are being accredited;

139.3. appoint the responsible person who organises implementation of the specified epidemiological safety measures and inform athletes and sports employees in a timely manner of the abovementioned measures, indicating (including in the by-laws of the sports competitions) the responsible person and his or her contact information.

140. The organiser of an international sporting event has the following additional obligations in Latvia:

140.1. to comply with the safety protocol of competitions for the prevention of the spread of COVID-19 infection which has been approved by the international sports federation of the relevant type of sport (in which the international sporting event takes place);

140.2. to determine the medical practitioner responsible for the precautionary measures to be taken during the course of the international sporting event for the prevention of the spread of COVID-19 infection;

140.3. to control how athletes, sports employees, and representatives of international sports organisations ensure the fulfilment of the obligations imposed on them;

140.4. to immediately inform the relevant international sports federation if an athlete, sports employee, or representative of international sports organisations fails to fulfil the obligations imposed thereon, and to decide on the annulment of the accreditation issued to the relevant person for participation in the international sporting event in Latvia according to the procedure stipulated by the relevant international sports federation;

140.5. to ensure that the documents (result of the laboratory testing conducted for a person for the diagnostics of COVID-19, and also a completed certification) referred to in Sub-paragraphs 141.3 and 141.4 of this Regulation are available at the venue of the international sporting event. Completed certifications must be destroyed 30 days after the end of the international sporting event.

141. Athletes and sports employees, and also representatives of international sports organisations whose arrival to the territory of the Republic of Latvia is related to participation as accredited persons in an international sporting event organised by the sports federation recognised in accordance with the procedures laid down in the Sports Law or a member thereof shall correspond to the following criteria:

141.1. the person does not display signs of an acute respiratory disease;

141.2. the person can submit to the organiser of the international sporting event in Latvia a copy of the document (present the original upon request) confirming that he or she has undergone laboratory testing for the diagnostics of COVID-19 within the last 72 hours before arrival in the territory of the Republic of Latvia and COVID-19 infection was not detected therein;

141.3. not later than 24 hours after arrival in the territory of the Republic of Latvia, the person has undergone laboratory testing for the diagnostics of COVID-19 and COVID-19 infection was not detected therein, and also the person has submitted a copy of the document certifying this fact (presented the original thereof upon request) to the responsible medical practitioner appointed by the organiser of the international sporting event in Latvia;

141.4. before arrival in the territory of the Republic of Latvia (concurrently with accreditation for the international sporting event) or not later than 24 hours after arrival in the territory of the Republic of Latvia, the person has submitted to the organiser of the international sporting event in Latvia a certification that:

141.4.1. he or she will comply with all the restrictions specified for the prevention of the spread of COVID-19 infection;

141.4.2. outside the participation in the international sporting event he or she will stay at the place of stay in the Republic of Latvia indicated in the certification;

141.4.3. he or she will not use the public transport, and also will use personal vehicle or a vehicle provided by the organiser of the international sporting event in Latvia for arrival at the place of stay in the territory of the Republic of Latvia and the venue of the international sporting event in the territory of the Republic of Latvia, and for moving between these places;

141.4.4. he or she will cover all the expenditures related to medical treatment if COVID-19 infection is to be confirmed to the person.

142. Spectators may attend sports competitions and international sporting events:

142.1. if they have the vaccination or recovery certificate and:

142.1.1. it is ensured that the flow of spectators does not overlap with the flow of athletes and sports employees serving athletes;

142.1.2. the requirements of this Regulation for attending public events are complied with;

142.2. if they have a valid interoperable certificate and:

142.2.1. the sports competitions take place outdoors;

142.2.2. it is ensured that the flow of spectators does not overlap with the flow of athletes and sports employees serving athletes;

142.2.3. the requirements of this Regulation for attending public events are complied with;

142.2.4. if also the persons with the vaccination or recovery certificate who are not included in the number of persons referred to in Sub-paragraph 137.3 of this Regulation are present in a sports competition in a separate area of spectators, it is ensured that their flows do not overlap.

4. Rules for Entering the Republic of Latvia

4.1. General Conditions of Entry

143. Based on the information published by the European Centre for Disease Prevention and Control, and, where required, based on the information published by the competent public health authorities of the relevant countries, the Centre shall publish on its website a list of those countries to which special precautionary and restrictive measures (high-risk countries) are applicable, and also shall indicate those countries where such epidemiological situation has been established (including especially high COVID-19 morbidity or rapid spread of SARS-CoV-2 virus strains dangerous to the public health) which may cause a serious threat to the public health (particularly high-risk countries). The relevant precautionary and restrictive measures are applied from the day following the publication of the abovementioned list, except for the cases referred to in this Chapter regarding the conditions for entry in the Republic of Latvia which enter into effect within two working days after publication of the abovementioned list.

144. Countries from which a person arrives in the Republic of Latvia shall be divided into the following categories according to the spread of COVID-19 infection in the relevant country and the precautionary and restrictive measures to be taken after arrival in the Republic of Latvia:

144.1. low-risk countries - countries to which the special precautionary and restrictive measures are not applicable;

144.2. high-risk countries - countries to which the special precautionary and restrictive measures are applicable;

144.3. particularly high-risk countries - countries where such epidemiological situation has been established (including particularly high COVID-19 morbidity or rapid spread of SARS-CoV-2 virus strains dangerous to the public health) which can cause a serious threat to the public health.

145. The conditions referred to in this Chapter shall not restrict the movement of vehicles, including carriage of passengers and carriage of freight.

146. It is prohibited to enter the Republic of Latvia from the following countries, unless it has been laid down otherwise in this Regulation:

146.1. from high-risk countries that are not European Union Member States and European Economic Area States, the Swiss Confederation, and the United Kingdom, unless the person has the vaccination or recovery certificate;

146.2. from particularly high-risk countries.

147. A person is entitled to enter the Republic of Latvia if he or she presents:

147.1. one of the following documents:

147.1.1. a valid interoperable certificate;

147.1.2. a confirmation of vaccination or recovery issued in the United States of America, the United Kingdom, the Commonwealth of Australia, New Zealand, or Canada;

147.1.3. a certification of a negative COVID-19 test result;

147.2. a completed electronic certification form on the website of the information system for monitoring persons (covidpass.lv) (hereinafter - the covidpass certification).

148. Within the meaning of this Chapter, the test certificate confirms that a person prior to getting into the vehicle of the carrier or, if the person enters the Republic of Latvia by a vehicle not performing carriage for reward, prior to entering the Republic of Latvia has undergone the RNA test within the last 72 hours or the antigen test within the last 48 hours, and result of the test undergone is negative. If the exit state does not ensure the issue of an interoperable test certificate, the person shall confirm the fact of testing with a test result in the language of the exit state or in English in paper or electronic form (in a smart device).

148.1 Within the meaning of this Chapter, a valid vaccination certificate attests that the person has completed primary vaccination and not more than 270 days have passed since the day when the last dose of the vaccine was received, or attests that the person has received a booster vaccine.

[6 January 2022 / Paragraph shall come into force on 1 February 2022. See Paragraph 343]

149. Until the moment when such certificate is created in relevant countries which is compatible with the interoperable certificate used in the European Union, a person when entering from the United States of America, the United Kingdom, the Commonwealth of Australia, New Zealand, or Canada shall prove the fact of vaccination, recovery, or testing with a valid interoperable certificate or another issued valid certification of COVID-19 vaccination, recovery, or COVID-19 test undergone.

150. A person shall, not earlier than 48 hours before entry into the Republic of Latvia, electronically complete the covidpass certification by indicating the information required in the fields of the system and confirming that upon entry into the Republic of Latvia he or she will comply with the epidemiological safety requirements applicable in the State, and also, in the cases specified in this Regulation, with the self-isolation requirements. After submission of the completed submitted form, the information system shall create a relevant confirmation with the QR code indicated therein for use in a mobile device. The manager of the information system shall send the certification and QR code to the electronic mail address indicated by the person in the certification form.

151. The covidpass certification shall be completed every 30 days:

151.1. by the citizens and long-term residents of the European Union Member States who cross the land border of the Republic of Latvia and other European Union countries on a daily basis:

151.1.1. due to employment if border crossing is necessary for performing work or service duties and the person has a document attesting to the fact of employment;

151.1.2. for the receipt of a child supervision service or for the acquisition of formal pre-school education on site (by presenting a statement issued by the service provider or educational institution);

151.1.3. for the acquisition of formal basic education, secondary education, or higher education on site, and also in vocationally oriented education programmes in the fields of art and culture (by presenting a statement issued by the educational institution);

151.1.4. when accompanying a minor educatee or an educatee of legal age and with special needs in the cases referred to in Sub-paragraphs 151.1.2 and 151.1.3 of this Regulation (by presenting a statement issued by a service provider or educational institution to the educatee);

151.2. by the citizens and permanent residents of the European Union Member States who are declared in Valka municipality and Valga rural territory (Republic of Estonia) and who cross the land border of the Republic of Latvia and the Republic of Estonia on a daily basis if they do not leave the administrative territories of Valka and Valga local governments.

152. When entering from a particularly high-risk country or a high-risk country other than a European Union Member State, a European Economic Area State, the Swiss Confederation, and the United Kingdom, a person shall, prior to getting into the vehicle of the carrier, present a negative result of the RNA test if the person has undergone the test within the last 72 hours or a negative result of the antigen test if the person has undergone the test within the last 48 hours. This condition shall also apply to the persons who have the vaccination or recovery certificate if the person enters from a particularly high-risk country.

153. A person who uses a vehicle of an international carrier shall present to the carrier a valid interoperable certificate in paper form or in a smart device or the confirmation referred to in Paragraph 149 of this Regulation, or a COVID-19 test result if such is necessary, a covidpass confirmation and its QR code, unless it has been laid down otherwise in this Regulation. The requirement to complete and present to the carrier the covidpass certification and its QR code shall not refer to passengers of cruise ships who present the vaccination or recovery certificate, or the certification referred to in Paragraph 149 of this Regulation that the person is fully vaccinated or recovered. When passengers of cruise ships present the abovementioned documents to the carrier, the carrier shall electronically check the validity of the presented documents or visually ascertain that the documents exist.

154. An international carrier shall visually or electronically check the validity of the presented interoperable certificate or the certification referred to in Paragraph 149 of this Regulation, or the COVID-19 testing report, and the covidpass certification or its QR code.

155. If a person cannot present a valid interoperable certificate or the certification referred to in Paragraph 149 of this Regulation, or the COVID-19 test result and the covidpass certification and its QR code, the carrier is entitled to refuse this person boarding the vehicle.

156. When entering the Republic of Latvia, a person has an obligation to present a valid interoperable certificate or the certification referred to in Paragraph 149 of this Regulation, or the COVID-19 test result and the covidpass certification to a representative of the State Border Guard or the State Police.

157. The Chief of the State Border Guard or an official authorised thereby has the right to make exceptions in relation to crossing of the external border if it conforms to international law, national interests of Latvia, or is related to force majeure or humanitarian considerations.

158. A person who is a national of the Republic of Latvia or a permanent resident of the European Union with a residence permit in Latvia and who has tested positive for COVID-19, and who enters by a vehicle not performing carriage for reward shall, without delay, isolate at his or her place of residence, place of stay, or tourism accommodation and comply with the isolation requirements laid down in this Regulation.

159. When entering the Republic of Latvia, a person, except for the cases referred to in Paragraph 167, shall, without delay but not later than within 24 hours, undergo the RNA or antigen test at the nearest available testing site at his or her own expense, informing the representative of a laboratory regarding the purpose of the test if he or she enters from the following countries:

159.1. a low-risk country or a European Union Member State and a European Economic Area State, the Swiss Confederation, and the United Kingdom, and cannot present a valid interoperable certificate or a certification of a negative COVID-19 test result;

159.2. a high-risk country other than a European Union Member State and a European Economic Area State, the Swiss Confederation, and the United Kingdom, and cannot present the vaccination or recovery certificate;

159.3. a particularly high-risk country. The abovementioned requirement shall also apply to a person who has a valid interoperable certificate.

160. After undergoing the test referred to in Paragraph 159 of this Regulation, a person shall, without delay, self-isolate at his or her place of residence, place of stay, or tourism accommodation, and comply with the self-isolation requirements laid down in this Regulation until the moment the test result is received.

161. [11 January 2022]

162. When transporting a person to undertake isolation at a tourist accommodation or medical treatment institution, the State Emergency Medical Service shall inform the tourist accommodation or medical treatment institution of the fact that the person has tested positive for COVID-19 or that the person has not undergone the COVID-19 test.

[8 October 2021]

163. The tourist accommodation shall inform the Health Inspectorate and the State Police of a violation of the isolation conditions if the person does not stay overnight at the tourist accommodation during the mandatory isolation.

164. If a driver of a goods or passenger vehicle of a carrier must undertake the mandatory isolation at a tourist accommodation, the carrier has an obligation to address the issues related to ensuring of the relevant carriage, and also to cover expenditures incurred by a relevant institution which are related to stay at a tourist accommodation or medical treatment institution.

[8 October 2021]

165. A person has an obligation to cross the territory of the Republic of Latvia in transit within 12 hours from the moment the covidpass certification is completed, except for:

165.1. passengers of international carriage who must cross the territory of the State in transit within 48 hours;

165.2. employees of the provider of transport services, crew members of freight or technical voyages who must cross the territory of the State in transit within 72 hours;

165.3. crew members of a ship and seafarers who go to their work place aboard a ship or return from it;

165.4. flight crew members;

165.5. aircraft passengers who cross the territory of the Republic of Latvia in transit without leaving airport terminals and can present a confirmation of the next flight which takes place within the next 24 hours.

166. Upon request of an official of the State Border Guard, a carrier which carries, in transit through the Republic of Latvia to another country, a foreigner who has been refused entry in the next transit country or country of destination shall carry him or her to the country from which he or she has been brought or to the country which issued the travel document, or to any other country in which entry of the foreigner is guaranteed.

4.2. Exceptions to the General Conditions of Entry

167. The requirements referred to in Sub-paragraph 147.1 of this Regulation shall not apply to:

167.1. the children under the age of 12 years;

167.2. the employees of the transport and carriage of passengers service providers and to the crews of passenger, freight, or technical voyages also when they are going to the place where they perform their work duties or when they are returning from it. Professional drivers of goods vehicles and buses shall, upon request of the State Border Guard or the State Police, present a driver's licence of the relevant category as well as the driver card of a digital tachograph or the record sheet of the last working day, and a Certificate for International Transport Workers issued by the employer the form and content of which corresponds to the template developed by the European Commission;

167.3. seafarers who must reach their work place aboard a ship or must return from it;

167.4. the aircraft passengers who cross the territory of the Republic of Latvia in transit without leaving airport terminals and can present a confirmation of the next flight which takes place within the next 24 hours;

167.5. the persons referred to in Paragraphs 6 and 151 of this Regulation.

168. The travel ban on the high-risk and particularly high-risk counties other than European Union Member States and European Economic Area States, the Swiss Confederation, and the United Kingdom shall not apply to:

168.1. the nationals of the Republic of Latvia, their family members, and the foreigners who have a valid residence permit in the Republic of Latvia or a valid decision of the Office of Citizenship and Migration Affairs to grant or register the residence permit and the term of validity of the document certifying the right to residence specified therein has not ended;

168.2. the nationals of a European Union Member State and a European Economic Area State, and the Swiss Confederation, their family members, and the persons who are permanently residing in these countries;

168.3. the nationals of the United Kingdom and their family members who, by crossing the territory of the Republic of Latvia in transit, return to their country of residence, including to the Republic of Latvia;

168.4. the person who enters for the purpose of employment in accordance with the requirements laid down in this Regulation;

168.5. seafarers who must reach their work place aboard a ship or must return from it;

168.6. the person who enters for the purpose of training or studies, including students of full-time and exchange programmes if a higher education institution or college has issued a written confirmation on the matriculation of the student and the arrival in Latvia is required for the completion of a study programme;

168.7. the foreigner whose arrival in Latvia for the receipt of a medical treatment (diagnostics and therapy) service within the scope of health tourism has been coordinated by the Health Inspectorate if receipt of the abovementioned service corresponds to humanitarian considerations or urgent need;

168.8. the person accompanying the person who receives the medical treatment service if the need for an accompanying person has been determined by the medical treatment institution or a person accompanies his or her child and the arrival thereof in the status of an accompanying person has been coordinated with the Health Inspectorate;

168.9. the aircraft passengers who cross the territory of the Republic of Latvia in transit without leaving airport terminals and can present a confirmation of the next flight which takes place within the next 24 hours;

168.10. the citizens and permanent residents of the European Union Member States who are declared in Valka municipality and Valga rural territory (Republic of Estonia) and who cross the land border of the Republic of Latvia and the Republic of Estonia on a daily basis if they do not leave the administrative territories of Valka and Valga local governments;

168.11. the other categories of persons if the State Border Guard establishes that they conform to the norms of international law, national interests of Latvia, or are associated with urgent circumstances, force majeure, or humanitarian considerations;

168.12. the foreigners whose arrival is related to receipt of a temporary residence permit of a start-up company founder and whose conformity with Section 23, Paragraph one, Clause 33 of the Immigration Law is confirmed by a decision issued by the Office of Citizenship and Migration Affairs.

[11 January 2022]

169. Persons may enter from the high-risk countries other than the European Union Member States and the European Economic Area States, the Swiss Confederation, and the United Kingdom, and the particularly high-risk country for the purpose of employment in the following cases:

169.1. the employees and passengers of the providers of transport services and carriage of passengers services, the crews of freight or technical voyages who enter the Republic of Latvia or exit it during performance of work duties;

169.2. the seafarers who must reach their work place aboard a ship or must return from it;

169.3. the foreigners the need for entry of whom in Latvia for the fulfilment of the commitments of merchants has been confirmed by the Investment and Development Agency of Latvia or the Office of Citizenship and Migration Affairs;

169.4. the foreign diplomats and their family members who cross the territory of the Republic of Latvia in transit for the performance of official functions, and also the holders of the diplomatic passport of the Republic of Latvia, the civil servants and employees of the diplomatic and consular service and their family members who return from the service country or who need to get to the service country;

169.5. the nationals of Latvia who are members of official delegations of Latvia or who need to get to their work place within the framework of an intergovernmental project;

169.6. the athletes and sports employees, and also representatives of international sports organisations whose arrival in the Republic of Latvia is related to participation as accredited persons in an international sporting event organised by the sports federation recognised in accordance with the procedures laid down by the Sports Law or a member thereof;

169.7. the culture professionals whose arrival in Latvia is related to the provision of cultural services and organisation of public events and the groups of whom have been determined by the Minister for Culture after coordination with the Ministry of Health;

169.8. the employees sent temporarily by foreign diplomatic and consular missions and representations of international organisations;

169.9. the athletes of the Latvian adult team (in team sports - also the athletes of teams from 16 years of age), the Latvian Olympic team or the Latvian Paralympic team, and also the Latvian team athletes participating in international leagues in Olympic, Paralympic, and technical sports and disciplines, and the sports employees servicing them who have the vaccination or recovery certificate and the list of whom has been approved by the sports federation recognised in accordance with the procedures laid down in the Sports Law of the relevant type of sport;

169.10. the foreigners as well as their family members if the foreigner performs duties of the senior researcher and researcher of the scientific institution upon invitation of the scientific institution that is a derived public person registered in the Register of Scientific Institutions, and such invitation is justified by the necessity to ensure the performance of obligations of such institution in implementing a scientific research project (if the term of employment relationship is intended to exceed six months). The foreigner shall fulfil the abovementioned duties based on the employment relationship established after arrival of the foreigner in Latvia.

170. The travel ban on particularly high-risk countries that are European Union Member States and European Economic Area States, the Swiss Confederation, and the United Kingdom shall not apply to a person who enters the Republic of Latvia for the urgently necessary purpose of employment, studies, family reunification, receipt of medical services, transit or accompanying of minor children, and also to return to his or her place of permanent residence or to attend a funeral.

171. The need for entry of a person into Latvia for the fulfilment of the commitments of merchants shall be confirmed by the Investment and Development Agency of Latvia or the Office of Citizenship and Migration Affairs according to the following criteria:

171.1. the arrival is related to the fulfilment of the commitments of a merchant in respect of the public procurement contract entered into or technical maintenance of the operation of equipment in possession of a merchant established in Latvia or installation of new equipment if it cannot be ensured by service providers in Latvia;

171.2. the arrival is related to certification, attestation, or conformity assessment of products manufactured by or services of a merchant established in Latvia, and also to attraction of highly qualified employees in order to ensure the release of the relevant goods or services for circulation governed by civil law or the fulfilment of the commitments of the merchant in relation to the contract entered into;

171.3. the arrival is related to the technical maintenance of equipment or structures in possession of a commercial company of significance to national security or to the installation of new equipment, or to the construction work which is necessary for ensuring the maintenance of the operation or critical infrastructure of such merchant, or to the implementation of a construction intention (including engineering research) if it applies to an object in respect of which the status of an object of national interest has been specified;

171.4. the arrival is related to the fulfilment of the commitments of a merchant of Latvia in relation to the implementation of an investment project in Latvia in which the planned amount of investments exceeds at least EUR 1 000 000 or the number of planned and newly created work places exceeds 20, and also to the entering into an export transaction contract of goods manufactured in or services of Latvia if the potential value of the export transaction is exceeds EUR 100 000;

171.5. the arrival is related to the fulfilment of the commitments in food production or performance of seasonal work in the sector of agriculture, forestry, or fisheries;

171.6. the arrival is related to the fulfilment of the duties of an athlete or sports employee.

172. If a visa or residence permit is not necessary for the entry of a foreigner in Latvia for the purpose of employment or he or she does not have an inviter, the conformity of the foreigner with any of the criteria referred to in Paragraph 171 of this Regulation shall be certified by the Investment and Development Agency of Latvia. A merchant shall submit a certification to the Investment and Development Agency of Latvia together with a confirmation that the foreigner will comply with all restrictions specified for the prevention of the spread of COVID-19 infection for entry or employment in the Republic of Latvia, and documents certifying the conformity of the arrival of the foreigner with any of the abovementioned criteria.

173. If a visa or residence permit is necessary for the entry of a foreigner into Latvia for the purpose of employment, his or her conformity with any of the criteria referred to in Paragraph 171 of this Regulation shall be confirmed by the Office of Citizenship and Migration Affairs by approving the invitation or sponsorship. The submitter shall append a confirmation to the application for an invitation or sponsorship that the foreigner will comply with all restrictions specified for the prevention of the spread of COVID-19 infection for entry or employment in the Republic of Latvia, and documents confirming the conformity of the arrival of the foreigner with any of the abovementioned criteria.

4.3. Procedures for Issuing and Using the Temporary Certificate

[2 November 2021 / Sub-chapter shall come into force on 25 November 2021. See Paragraph 339]

173.1 The temporary certificate shall be issued to the nationals and permanent residents of the Unites States of America, Commonwealth of Australia, New Zealand or Canada for vaccination performed in the relevant State in order to certify in accordance with Sub-paragraph 2.16 of this Regulation that the person is considered a fully vaccinated person in Latvia.

[7 December 2021]

173.2 The temporary certificate shall be issued by tourist information centres which have entered into a cooperation contract with the National Health Service on the processing of personal data and issuing of relevant temporary certifications in Alūksne, Bauska, Daugavpils, Jēkabpils, Liepāja, Rēzekne, Rīga, Salacgrīva, Valmiera, and Ventspils.

[2 November 2021 / Paragraph shall come into force on 25 November 2021. See Paragraph 339]

173.3 The tourist information centres referred to in Paragraph 173.2 of this Regulation:

173.3 1. shall ensure that the employees involved in the issuing of the temporary certificates according to the cooperation contract entered into with the National Health Service are trained in relation to processing of person data and determination of authentication of documents certifying the fact of vaccination;

173.3 2. are entitled to delegate the duty to issue the temporary certificate to other authorities involved in the provision of tourism services, ensuring not more than one site where the abovementioned certifications are issued. Up to five sites where the abovementioned certifications are issued may be ensured in Riga;

173.3 3. shall issue the temporary certificate:

173.3 3.1. on the basis of a written application of a person;

173.3 3.2. after verification of the authenticity and conformity of the personal identification documents and documents certifying vaccination;

173.3 3.3. according to the procedure developed by the National Health Service;

173.33.4. by including therein the information referred to in Paragraph 222 of this Regulation and also information on the person who processed data for the issuing of the temporary certificate (given name (names), surname, name of the tourist information centre or the authority involved in the provision of tourism services);

173.34. shall process personal data and issue a temporary certificate to a person not later than within one working day after receipt of an application from the person by verifying its conformity with the requirements laid down in Chapter 7 of this Regulation as regards an interoperable vaccination certificate;

173.3 5. are entitled to collect a fee the amount of which does not exceed EUR 10 for the verification of documents and the issuing of the temporary certificate.

[2 November 2021 / Paragraph shall come into force on 25 November 2021. See Paragraph 339]

173.4 The temporary certificate shall be valid in a manner equivalent to an interoperable vaccination certificate and only in the territory of Latvia. The temporary certificate shall be valid for 30 days after the moment of issuing and is deleted after the abovementioned period of time.

[2 November 2021 / Paragraph shall come into force on 25 November 2021. See Paragraph 339]

5. COVID-19 Counter-epidemic Measures

5.1. Diagnostics of and Reporting on Cases of COVID-19 Infection

174. A medical treatment institution shall ensure testing for diagnostics of COVID-19 infection according to the conditions published on the website of the Centre for testing for COVID-19 infection and diagnostics.

[8 October 2021]

174.1 The laboratory performing tests for COVID-19 shall conform to the mandatory requirements laid down in the laws and regulations for medical treatment institutions and their structural units, including has ensured the accreditation of a medical laboratory in accordance with the standard LVS EN ISO 15189:2013 "Medical laboratories. Particular requirements for quality and competence" at least to the following extent:

174.11. a medical laboratory for which an accreditation has been performed according to the flexible scope of accreditation has been accredited for the provision of specific services in a relevant field of activity;

174.12. the methods appropriate for the provision of services have been accredited for a medical laboratory for which an accreditation has been performed according to the fixed scope of accreditation.

[7 December 2021 / Paragraph shall come into force on 1 January 2022. See Paragraph 340 of this Regulation]

175. The routine screening test paid from the State budget resources shall be taken according to the COVID-19 testing algorithm published on the website of the Centre in the collectives (educational institutions, long-term social care centres, prisons, etc.) which are exposed to a high risk of the spread of COVID-19 infection according to the assessment carried out by the Centre.

176. If employees of an institution undergo the routine screening test by using the antigen tests purchased within the scope of the State centralised procurement, the institution shall ensure that the tests are recorded according to the number of the tests received and used, additionally including information in the records on the number of the tests used to detect the antigen which have a positive test result.

177. An antigen test shall be performed in conformity with the following conditions:

177.1. the test shall be performed by:

177.1.1. a medical practitioner or a medical treatment support person registered with the Register of Medical Practitioners and Medical Treatment Support Persons;

177.1.2. a medical assistant in respect of whom the Health Inspectorate has included information in the Register of Medical Practitioners and Medical Treatment Support Persons for the performance of the antigen test on the basis of information provided by the head of a medical treatment institution to the Health Inspectorate on employment of medical assistants in the performance of the antigen test, indicating the given name(s), surname, personal identity number of the medical assistant, the educational institution where the medical education programme is being completed and the name of the programme, and also indicating the date when the medical assistant has commenced or completed performance of the antigen tests at the relevant medical treatment institution;

177.1.3. a pharmacist or an assistant pharmacist who is registered with the Pharmacists' Society of Latvia and on whom the Health Inspectorate has included information in the Register of Medical Practitioners and Medical Treatment Support Persons for the performance of the antigen test on the basis of information provided by the head of a pharmacy to the Health Inspectorate, indicating the given name(s), surname, personal identity number, registration number with the Register of Pharmacists and Assistant Pharmacists, and also indicating the date when the pharmacist or assistant pharmacist has commenced or completed performance of the antigen tests at the relevant pharmacy;

177.2. the persons referred to in Sub-paragraphs 177.1.1 and 177.1.2 of this Regulation have been trained in the performance of the antigen test, the taking, storage, and transportation of a sample necessary for the performance of the RNA test, the disposal of medical waste, the matters of personal data protection, and the issue of test certificates;

177.3. if there are suspicions of being infected with SARS-CoV-2 virus, it is ensured that the person examined or the material tested is sent to a laboratory for the performance of the RNA test in order to confirm or rule out the case of COVID-19 infection.

[5 October 2021; 2 November 2021]

178. The laboratory:

178.1. shall inform the following if, during direct or indirect examination for the diagnostics of COVID-19, it establishes the presence of SARS CoV-2 virus in a sample examined by the laboratory:

178.1.1. the Centre of each positive result of the examination and of each case where there is suspicion of a positive result of the examination both in the examination of composite samples and the individual testing;

178.1.2. the head of a collective of results of the routing screening test undergone by the collective, informing without delay of a case of COVID-19 infection confirmed in the collective or a case where there is suspicion of being infected with SARS CoV-2 virus;

178.2. when performing routine screening tests or individual examinations:

178.2.1. enter the data regarding the results of the COVID-19 test undergone individually in the unified electronic information system of health sector;

178.2.2. send the individual result of the routine screening test of educatees to the tested adult educatee or the lawful representative of a minor educatee to the electronic mail address and mobile phone number indicated thereby;

178.2.3. inform the person responsible for the organisation of screening testing of the collective of the results of the routine screening test undergone collectively.

[5 October 2021]

179. A person who has the vaccination or recovery certificate:

179.1. needs not undergo the mandatory routine screening test for diagnosing of COVID-19 if he or she does not display any signs of infection;

179.2. shall undergo the COVID-19 test:

179.2.1. if a medical practitioner or an epidemiologist has determined the need for it according to medical or epidemiological indications;

179.2.2. within seven days after coming into contact with a person infected with COVID-19. If the infected person is a member of the household, the COVID-19 test shall be undergone within the first seven days after COVID-19 infection has been confirmed for the member of the household and within seven days after termination of isolation for the member of the household.

179.1 The person need not undergo the mandatory routine screening test within 60 days from infection with COVID-19 which has been approved by an RNA test if he or she does not display symptoms and the need for test has not been specified by a medical practitioner or an epidemiologist according to medical or epidemiological indications.

[18 January 2022]

180. Laboratories that perform RNA tests for diagnosing of COVID-19 shall store all primary samples at least for seven days after the taking thereof, and also shall transfer the negative and positive samples to the National Microbiology Reference Laboratory for repeated testing according to the procedures developed by the reference laboratory which are available on the website of sabiedrība ar ierobežotu atbildību "Rīgas Austrumu klīniskā universitātes slimnīca" [limited liability company Riga East University Hospital].

181. A general practitioner shall notify the Centre of clinically reasoned suspicion of the case of COVID-19 infection by filling in the urgent notification on infectious disease (form No. 058/u) referred to in the laws and regulations regarding registration of infectious diseases.

182. A medical practitioner shall send a notification to the Centre in accordance with Annex 1 to this Regulation within one working day since the day of death of a COVID-19 patient.

5.2. Identification of Contact Persons and Medical Observation

183. Contact persons of a person infected with COVID-19 shall be identified by:

183.1. the Centre, upon carrying out epidemiological investigation;

183.2. the general practitioner on the basis of information on the persons with whom the infected person lives together;

183.3. the head of a pre-school education institution or educational institution in a pre-school education institution or educational institution;

183.4. the employer at a work place.

184. In a pre-school education institution, an educational institution, or a work place:

184.1. if the focus of COVID-19 infection has been established, the Centre shall inform the head of the collective of the case of COVID-19 infection in the collective and of the criteria for the determination of contact persons;

184.2. if the head of the collective receives information from an educatee, the lawful representative of an educatee, or an employee on the case of falling ill with COVID-19 infection or receives information from a laboratory which performs screening of educatees and employees in a specific educational institution on a potential case of COVID-19 infection at the institution, he or she shall, without delay, contact the Centre;

184.3. the head of the collective or the responsible person appointed by him or her shall determine contact persons in accordance with the criteria provided by the Centre and shall inform the contact persons or their lawful representatives of the need to be home quarantined and of the obligation to contact the general practitioner in order to perform medical observation of the contact person;

184.4. the head of the collective or the responsible person appointed by him or her shall prepare a list of contact persons, indicating the given name(s), surname, personal identity number, place of residence of the person, and the date of the last contact with the infected person in the collective, and shall send it to the Centre within one day.

185. The Centre shall verify the conformity of the list of contact persons with the criteria for the identification of contact persons and submit it to the National Health Service for entering in the health information system to inform general practitioners and contact persons.

186. Upon receipt of information on a contact person of a specific infected person, the general practitioner shall commence the primary medical examination of the contact person and perform his or her medical observation remotely according to the recommendations published on the website of the Centre, including organise laboratory testing of the contact person.

187. The general practitioner shall offer to issue a sick-leave certificate to the contact person for the whole period of home quarantine, and also inform the contact person of the provisions to be conformed to during self-isolation (home quarantine).

188. Upon receipt of contact details from the person regarding whom epidemiologically justified suspicions have arisen that he or she has been under circumstances of increased risk of infection and who has been identified through the application, the Centre shall contact the abovementioned person, assess the risks of infecting with COVID-19, and recognise or not recognise him or her as contact person, and also provide recommendations for further action.

5.3. Measures for the Separation of Infectious or Potentially Infectious Persons
5.3.1. Isolation

189. A person who has been diagnosed with COVID-19 infection in a laboratory or it has been determined according to clinical signs and who is in isolation:

189.1. shall not leave the medical treatment institution, place of stay, or place of residence, and shall be available for communication and cooperation with the general practitioner and other medical practitioners, except for the case when the person requires medical assistance according to a referral by a doctor. In such case, the person shall use the medical face mask and follow other instructions of the physician in relation to the precautionary measures for the containment of the spread of COVID-19 infection;

189.2. shall not expose other persons to the risk of infection, not form direct contacts with other persons (not welcome guests, not go on private visits, not go to work, not go to social and public places and premises);

189.3. shall comply with the instructions of the epidemiologist of the Centre and the physician;

189.4. is not entitled to receive and use the test certificate until termination of isolation;

189.5. shall discontinue isolation only with the permission of the attending physician.

190. A person infected with COVID-19 may leave his or her place of stay to go to his or her home country, informing the attending physician or the Centre respectively, if the person complies with the following conditions:

190.1. uses the medical face mask;

190.2. uses the personal or specialised vehicle;

190.3. does not form direct contacts with other persons;

190.4. does not go to public places where many people are present;

190.5. does not use public transport.

5.3.2. Home Quarantine

191. The following shall be imposed on a contact person after his or her last contact with a person infected with COVID-19:

191.1. a home quarantine for 10 days if the person can present a valid certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate;

191.2. a home quarantine for 14 days if the person has not been fully vaccinated;

191.3. a home quarantine for 7 days if the result of the RNA test performed not earlier than on the seventh day after coming into contact with the infected person or an antigen test is negative.

[18 January 2022]

191.1 The person shall comply with the following conditions during home quarantine:

191.1 1. shall stay at the place of residence or another place of stay and shall be available for communication and cooperation with the general practitioner and other medical practitioners;

191.1 2. shall not expose other persons to the risk of infection, not form direct contacts with other persons (not welcome guests, not go on private visits, not go to work, not go to social and public places and premises where many persons are present);

191.1 3. is not entitled to receive and use the test certificate until termination of home quarantine;

191.1 4. shall comply with the instructions of the epidemiologist of the Centre and the physician.

[18 January 2022]

192. As regards an educatee, home quarantine shall be terminated after the COVID-19 test undergone not earlier than on the seventh day after commencement of home quarantine if the test result is negative.

[5 October 2021]

193. A contact person may leave his or her place of stay, using the face mask, in order to go to his or her home country or change his or her place of stay, informing the Health Inspectorate thereof respectively.

194. Home quarantine is not imposed on a fully vaccinated or recovered person after coming into contact with a person infected with COVID-19, but the person has an obligation to undergo the RNA test not later than within seven days. If the test result is positive, isolation shall be imposed on the person.

5.3.3. Self-isolation

195. If, within the last 10 days, the person has stayed in a high-risk and particularly high-risk country (except for the persons who cross the territory of the Republic of Latvia in transit), he or she shall ensure self-isolation for 10 days following the exit from the abovementioned country. During self-isolation the person:

195.1. shall stay at his or her place of residence, place of stay, or in a freely selected tourist accommodation of Latvia which has the required safety protocols in place;

195.2. is be entitled to receive and use the test certificate until termination of self-isolation;

195.3. shall follow the recommendations published on the website of the Centre in respect of isolation conditions, assessment of health condition, etc.

196. A person in self-isolation may leave his or her place of stay, using the face mask in order to:

196.1. get to another place of stay;

196.2. visit trading sites;

196.3. go to his or her home country.

197. Prior to leaving the place of self-isolation in order to go to his or her home country or prior to changing the place of self-isolation, the person shall inform the State Police thereof.

198. Self-isolation may be terminated early if a negative result of the RNA test has been received not earlier than on the seventh day of self-isolation.

199. If a person does not display any signs of an acute respiratory infection, the self-isolation conditions are not applied to:

199.1. the fully vaccinated or recovered persons;

199.2. the persons who have arrived in the Republic of Latvia in order to ensure organisation of a funeral, including to participate in a funeral;

199.3. the persons who cross the territory of the Republic of Latvia in relation to employment, performance of basic work or service duties in accordance with the conditions of this Regulation;

199.4. the persons whose arrival in the Republic of Latvia for the receipt of a medical treatment (diagnostics and therapy) service within the scope of health tourism has been coordinated by the Health Inspectorate if receipt of the abovementioned service corresponds to humanitarian considerations or urgent need;

199.5. the employees of the transport and carriage of passengers service providers and to the crews of passenger, freight, or technical voyages who return from work trips and official travels, unless they display signs of an acute respiratory infection. The abovementioned persons shall ensure self-isolation outside working hours;

199.6. the persons who cross the Republic of Latvia in transit in accordance with the conditions of this Regulation;

199.7. the persons referred to in Paragraph 151 of this Regulation;

199.8. athletes and sports employees, and also representatives of international sports organisations whose arrival in the territory of the Republic of Latvia is related to participation as accredited persons in an international sporting event organised by the sports federation recognised in accordance with the procedures laid down in the Sports Law or a member thereof and who correspond to the criteria specified in Paragraph 141 of this Regulation.

200. A person who has stayed in a high-risk and particularly high-risk country for the last 10 days or who has arrived in Latvia from such country for the performance of work or service duties on the basis of an agreement by the employer need not self-isolate during performance of work duties if contacts with other persons are restricted. If the abovementioned person has not been fully vaccinated or recovered and the employer anticipates that the abovementioned person can pose a risk of infection to other employees, visitors, or recipients of the service, the employer has the right to request that the employee performs work duties with the test certificate.

201. Without self-isolating, a person shall comply with the following precautionary measures in the cases referred to in Paragraphs 199 and 200 of this Regulation (except for fully vaccinated or recovered persons):

201.1. use the face mask when being in public places;

201.2. not expose other persons to the risk of infection and not form direct contact with other persons if it can be avoided (not welcome guests, not go on private visits or organise such, not go to social and public places and premises where many people are present);

201.3. comply with the specified precautionary measures when performing work duties or providing services;

201.4. if any signs of a respiratory infection appear, ensure self-isolation and contact the physician.

202. Children under the age of 12 years who travel accompanied by fully vaccinated or recovered adults need not comply with the requirement referred to in Sub-paragraph 195.1 of this Regulation if the children do not form close contacts with persons outside their household, do not attend public events, children's collectives, and educational institutions, do not use public transport for 10 days since exit from the high-risk country.

6. Vaccination Against COVID-19

203. Medical treatment institutions and pharmacies shall vaccinate persons against COVID-19 infection in accordance with the COVID-19 Vaccination Manual published on the website of the State Agency of Medicines, taking into account the order of vaccines approved by the Centre. The pharmacies shall not vaccinate the persons who have not attained the age of 18 years.

[14 December 2021]

203.1 A pharmacist is entitled to perform vaccination in a pharmacy if his or her professional competence is attested by a study module or study course on performing vaccination acquired in a higher education institution (the procedures for organising vaccination, vaccine administration techniques, principles of operation of vaccines, contraindications, action in case of adverse reactions). The pharmacist shall vaccinate the persons who have attained the age of 18 years.

[14 December 2021]

204. The following persons are entitled to receive vaccination against COVID-19 infection:

204.1. the groups of persons who have the right to receive health care service within the scope of the State mandatory health insurance system;

204.2. the groups of persons referred to in the Law on the Management of the Spread of COVID-19 Infection;

204.3. the refugees or persons to whom the alternative status has been granted, stateless persons to whom the status of a stateless person has been granted in the Republic of Latvia, asylum seekers, detained foreigners who have been detained in accordance with the procedures laid down in the Immigration Law, or persons in other cases if the stay of the person in Latvia is associated with humanitarian considerations;

204.4. the persons who have received the national long-term D visa of Latvia.

205. The persons referred to in Paragraph 204 of this Regulation are provided with a possibility of selecting the vaccine against COVID-19 infection available in Latvia according to the medical indications determined for the particular person. If a person does not have any medical indications for the use of a specific type of vaccine, the persons referred to in Paragraph 204 of this Regulation have the right to select among the vaccines available in the particular vaccination institution.

206. Vaccination of persons shall be ensured by the medical treatment institutions and pharmacies which have entered into an agreement with the National Health Service for the vaccination against the COVID-19 infection, and also the medical treatment institutions of the National Armed Forces, the medical treatment institutions of the State Border Guard, and the medical treatment institutions of prisons.

[14 December 2021]

206.1 In order to improve epidemiological safety and to increase the scope of vaccination against COVID-19 infection in respect of persons who are more than 70 years old, a general practitioner is entitled to transfer the personal data of non-vaccinated patients registered in the particular practice of a general practitioner (given name(s), surname, actual place of residence, contact telephone number) to the vaccination service providers referred to in Paragraph 206 of this Regulation which have a contract with the National Health Service on mobile vaccination against COVID-19 to address the relevant persons and to ensure vaccination at the place of residence of the person. Data on the mobile vaccination service provider engaged in the territory of a practice of a general practitioner shall be posted on the website of the National Health Service.

[8 October 2021]

207. The storage of vaccines required for the vaccination against COVID-19 infection in conformity with the storage conditions indicated in the instructions for use of the vaccine shall be ensured by the medicinal product wholesaler with which the National Health Service has concluded a contract, or by the State Blood Donor Centre. The logistical services of vaccines and supplies required for vaccination shall be ensured by the medicinal product wholesalers with which the National Health Service has concluded a relevant contract.

208. The medicinal product wholesalers with which the National Health Service has concluded a contract for ensuring the logistical services referred to in Paragraph 207 of this Regulation shall, in conformity with the terms of the contract, ensure the supply of vaccines and supplies required for vaccination to the medical treatment institutions and pharmacies according to the order of vaccines submitted by the Centre.

[14 December 2021]

209. The medical treatment institutions referred to in Paragraph 206 of this Regulation shall:

209.1. inform the persons to be vaccinated of the importance of vaccination for the prevention of COVID-19, and also of the vaccination process, vaccine safety, and effectiveness of vaccines;

209.2. ascertain the health condition of the person to be vaccinated, and also relative contraindications for the performance of vaccination and other precautionary aspects due to which vaccination must be postponed, or the possible absolute contraindication (anaphylaxis) when vaccination is not performed;

209.3. register, within 48 hours, the fact of vaccination in the unified electronic information system of the health sector in accordance with the laws and regulations regarding the unified electronic information system of the health sector and not fill in the preventive immunisation records (form No. 064/u) referred to in the laws and regulations regarding the procedures for keeping medical documents;

209.4. ensure the filling in of the form referred to in Annex 2 to this Regulation. The abovementioned form shall replace the outpatient medical card and is stored in accordance with the laws and regulations regarding the procedures for the record-keeping of medical documents and the time period specified for the outpatient medical card. Additional information according to the conditions referred to in the COVID-19 Vaccination Manual may be included in the form;

209.5. plan and order the necessary amount of vaccines and make an order by completing the form of the order of vaccines available on the website of the Centre or make an order of vaccines in the Unified Vaccination Network (VIVAT).

[16 November 2021; 6 January 2022]

210. According to the electronic order of vaccines of the medical treatment institutions, the Centre shall submit the order of vaccines to the storer of vaccines referred to in Paragraph 207 of this Regulation and to the medicinal product wholesalers referred to in Paragraph 208 of this Regulation. The medicinal product wholesalers shall deliver vaccines to the medical treatment institutions specified by the Centre.

211. The head of the medical treatment institution or pharmacy referred to in Paragraph 206 of this Regulation 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 the distribution and quality control of medicinal products. The medical treatment institution or pharmacy shall not accept a vaccine if the head of the institution or his or her authorised person has objectively justified suspicions of non-conformity with the requirements for transportation of the vaccine.

[14 December 2021]

212. The medical practitioner or pharmacist who has detected the adverse reactions caused by the COVID-19 vaccine shall send to the State Agency of Medicines the report on adverse drug reactions by completing the electronic report form available on the website of the State Agency of Medicines (www.zva.gov.lv). Experts of the State Agency of Medicines shall assess the received report on adverse drug reactions in accordance with the laws and regulations regarding the procedures for pharmacovigilance.

[14 December 2021]

213. The Centre shall receive from the system for reports on adverse drug reactions of the State Agency of Medicines the information included in the report referred to in Paragraph 212 of this Regulation and perform the epidemiological assessment of the relevant case.

214. If a safety concern related to COVID-19 vaccination has been detected, the Centre may, in cooperation with the State Agency of Medicines, establish a joint expert commission which is entitled to attract also other relevant experts in order to decide on the action in the cases referred to in Paragraph 213 of this Regulation.

215. The merchant that has a special permit (licence) for the manufacturing of medicinal products has, according to the request of the Centre and in accordance with the internal procedure approved, the right to divide the secondary packaging of the manufactured COVID-19 vaccines in compliance with the conditions for the storage of medicinal products and without damaging the primary packaging of the medicinal products. In such case, the merchant need not attach a label with the translation of information provided in the labelling into the official language to each primary packaging and need not attach a package leaflet in the official language. When delivering a vaccine to the medical treatment institution that will perform vaccination, the merchant is responsible for complying with the conditions for storage of medicinal products, preserving the quality of medicinal products and control thereof, and also it has an obligation to issue to the medical treatment institution at least one translation of the labelling of medicinal product and the package leaflet in the official language. The merchant shall inform the marketing authorisation holder of medicinal products of the number of divided secondary packagings and the relevant serial number.

216. All expenditures related to COVID-19 vaccination, its organisation, supervision, and control, the acquisition of vaccines, drawing up of medical documentation, vaccine injection as well as to the treatment of complications (side effects) caused by vaccination shall be financed from the State basic budget.

217. Where necessary, the State Emergency Medical Service shall, in cooperation with the National Health Service and the medical treatment institution referred to in Paragraph 206 of this Regulation, ensure follow-up monitoring in vaccination centres to provide emergency medical assistance to the persons experiencing complications (adverse effects) caused by the vaccination against the COVID-19 infection. In cooperation with the Ministry of Health and the National Health Service, the local governments shall:

217.1. disseminate the current information on vaccination in order to promote the willingness of people to get vaccinated;

217.2. participate in the organisation of the vaccination process in their administrative territory in order to ensure efficient vaccination process;

217.3. participate in the establishment of vaccination centres and in ensuring their operation in compliance with the guidelines for vaccination centres published on the website of the National Health Service.

218. In order to ensure effective course of vaccination, the National Health Service shall ensure operation and maintenance of the call and customer service centres, providing that persons will use the unified telephone number 8989 to apply for vaccination, and the call centre shall inform and consult the relevant persons through the abovementioned telephone and electronic mail.

219. If a person has an objective health-related reason for postponing vaccination against COVID-19 for a specific period, a specialist of a clinical university hospital may provide an opinion on the need to postpone vaccination of the person against COVID-19, indicating a time period until which the vaccination must be postponed. Where necessary, a medical panel of a clinical university hospital may be convened in order to provide an opinion on the postponement of vaccination and the time period until which the vaccination must be postponed. The clinical university hospital shall, within two working days, enter the data on the opinion on the postponement of vaccination on the website https://lab.covid19sertifikats.lv/, prepare an electronic opinion on the postponement of vaccination, and send electronically to the practice of the person's general practitioner or issue it to the person upon request.

[14 December 2021]

219.1 The term of validity of the electronic opinion referred to in Paragraph 219 of this Regulation shall conform to the time period until which the vaccination must be postponed as specified by the specialist of a clinical university hospital or the medical panel of a clinical university hospital. The electronic opinion on the postponement of vaccination shall be available for three more months after the end of the term of validity thereof.

[14 December 2021]

220. For a person who presents the electronic opinion on the postponement of vaccination:

220.1. COVID-19 tests for obtaining a test certificate shall be paid for from the State budget resources;

220.2. the requirement to be fully vaccinated or recovered in order to perform work duties or participate in a study process on site, and also to attend events and use services (including to use trade services) in an epidemiologically safe environment shall not be applied.

[14 December 2021]

7. Interoperable Certificate

221. An interoperable certificate shall be issued and the operation thereof shall be suspended in accordance with the procedures laid down in this Regulation, taking into account the following:

221.1. the certificate regarding the fact of vaccination shall be issued for each received vaccine dose against COVID-19;

221.2. the certificate regarding the fact of recovery shall be issued if a person has recovered from COVID-19 infection and 11 days have passed since the day the sample of the first positive RNA test (within one episode of infection) was taken, but not more than 180 days;

221.3 the certificate regarding the fact of testing shall be issued if a person has undergone the RNA test or the rapid antigen test and the result of such test is negative or positive, except for the persons for whom the COVID-19 infection was confirmed in a laboratory when detecting the SARS-CoV-2 virus by the RNA test and 11 days have not yet passed from the day the sample of the first positive test within one episode of infection was taken. Upon performing such test, it is indicated that the test has been performed in order to issue an interoperable test certificate;

221.4. the National Health Service shall suspend the operation of the vaccination certificate for a person for whom being infected with SARS-CoV-2 virus has been confirmed for a time period of up to eleventh day from the day the sample of the first positive test within one episode of infection was taken with which the COVID-19 infection was confirmed in a laboratory when undergoing the RNA test.

222. The certificate regarding the fact of vaccination issued in Latvia shall contain the following information:

222.1. given name(s), surname of a person;

222.2. date of birth of a person;

222.3. indication that a person has been vaccinated against COVID-19;

222.4. type of vaccine;

222.5. medical name of the vaccine received;

222.6. name of the manufacturer of the vaccine received;

222.7. sequence number of the vaccine dose received in the vaccination course;

222.8. total number of vaccine doses in the vaccination course;

222.9. date of vaccination (indicate the date of receipt of the last dose);

222.10. institution that has signed the certificate;

222.11. the country in which the vaccine has been received;

222.12. unique certificate identifier.

223. The certificate regarding the fact of recovery issued in Latvia shall contain the following information:

223.1. given name(s), surname of a person;

223.2. date of birth of a person;

223.3. indication that a person has recovered from COVID-19 infection;

223.4. date of the first positive RNA test by which the infection was confirmed;

223.5. indication that the certificate has been issued in Latvia;

223.6. institution that has signed the certificate;

223.7. term of validity of the certificate (the date from… to….);

223.8. unique certificate identifier.

224. The certificate regarding the fact of testing issued in Latvia shall contain the following information:

224.1. given name(s), surname of a person;

224.2. date of birth of a person;

224.3. indication when the RNA or antigen test was performed;

224.4. type of the test;

224.5. name of the test;

224.6. manufacturer of the test;

224.7. date and time of taking the sample;

224.8. test result;

224.9. medical treatment institution that performed testing;

224.10. institution that has signed the certificate;

224.11. indication that the certificate has been issued in Latvia;

224.12. unique certificate identifier.

225. Laboratories performing the RNA test and medical practitioners performing the rapid antigen test shall provide the data referred to in Annex 3 to this Regulation in a structured manner for inclusion in the interoperable test certificate on one of the following data platforms:

225.1. the health information system in the format and according to the classification of COVID-19 test results specified by the National Health Service as soon as the test result has been confirmed;

225.2. the portal of the National Health Service in conformity with the following deadlines:

225.2.1 immediately after the rapid antigen test result has been confirmed;

225.2.2. within two hours after the result has been confirmed when performing the RNA test.

226. The interoperable certificate shall be issued on the basis of the data contained in the health information system and the Database of the Recipients of Health Care Services.

227. The interoperable certificate shall be requested, prepared, and issued electronically or in paper form in conformity with the following requirements:

227.1. a person registered in the Register of Natural Persons or his or her lawful representative shall request the interoperable certificate:

227.1.1. electronically and download it on the website www.covid19sertifikats.lv by using any of the authentication types offered by the Latvian State portal www.latvija.lv;

227.1.2. in paper form at a medical treatment institution which performed vaccination against COVID-19 or the RNA or antigen test, any other medical treatment institution, the unified customer service centre of State and local governments, or the customer service unit of a local government. In order to issue a printout of the interoperable certificate in paper form, a representative of the medical treatment institution shall log in and request such certificate on the website https://lab.covid19sertifikats.lv, but a representative of the unified customer service centre of State and local governments or the customer service unit of a local government - on the website https://pakalpojumucentri.lv;

227.2. a person not registered in the Register of Natural Persons or his or her lawful representative shall request the interoperable certificate:

227.2.1. electronically and download it on the website www.covid19sertifikats.lv by using a link and PIN code issued by a medical treatment institution or a temporary access identifier and password;

227.2.2. the certificate regarding the fact of vaccination - in paper form only at the medical treatment institution which performed vaccination;

227.2.3. the certificate regarding the fact of testing or recovery - in paper form only at the medical treatment institution which performed testing.

228. The National Health Service shall maintain a public and private key infrastructure required for digital signing and verification of interoperable certificates which is connected with the European Union gateway, and it shall be the only institution that includes and updates the public key data of interoperable certificates signed by the Republic of Latvia in the European Union gateway.

229. A medical treatment institution, the unified customer service centre of State and local governments, and the customer service unit of a local government have the right to charge a fee for issuing an interoperable certificate in paper form if the same certificate has already been issued twice.

230. The interoperable certificate shall be available for three more months after the end of the term of validity thereof. The interoperable certificate shall not be available irrespective of the term of validity if an error has been established or information has been received on non-conformity of the initial data.

231. The National Health Service shall:

231.1. based on the information provided by law enforcement authorities in criminal proceedings, annul or renew an indication in the health information system on the fact of vaccination against COVID-19, and also annul the vaccination certificate or renew its operation respectively;

231.2. based on the submission of a person that the fact of his or her vaccination against COVID-19 has been falsified and the certification appended to the submission on the refusal from serological survey, or if the result of serological survey according to the COVID-19 testing algorithm has been received which allows to draw a conclusion that the fact of vaccination of the person against COVID-19 has been falsified, annul the indication in the health information system on the fact of vaccination against COVID-19, and also annul the vaccination certificate.

[2 November 2021]

232. If a person who has the right to the vaccination against COVID-19 paid in Latvia has been vaccinated against COVID-19 infection abroad with a vaccine authorised by the European Medicines Agency or an equivalent regulator or recognised by the World Health Organization and the person has not issued with the interoperable vaccination certificate, the National Health Service shall, not later than within one month after receipt of a submission of the person and the documents confirming the vaccination performed abroad, assess the authenticity and conformity thereof with the mandatory information to be included in the vaccination certificate and shall enter the data on the data platform referred to in Sub-paragraph 225.2 of this Regulation.

[8 October 2021]

232.1 The Ministry of Foreign Affairs shall issue an interoperable certificate to the person within one week after receipt of the submission of the foreign accredited diplomat and the documents confirming the vaccination performed abroad.

[14 December 2021]

233. The interoperable certificate shall be verified on the website www.Covid19sertifikats.lv or in the application Covid19Verify by using the QR code of the certificate. When verifying the interoperable certificate, the performer of the verification shall see the given name(s), surname, date of birth of the person, and the information on the conformity or non-conformity of the relevant certificate. Information obtained during verification is not stored. The State Police and the State Border Guard shall be the verification institution within the meaning of the Proposal for a Regulation of the European Parliament and of the Council on a framework for the issuance, verification and acceptance of interoperable COVID-19 certificates on vaccination, testing and recovery to facilitate free movement during the COVID-19 pandemic (EU Digital Covid Certificate).

8. Restrictions on the Provision of Health Care Services

234. Health care services shall be provided to a person who has the vaccination or recovery certificate. Persons who do not have the abovementioned certificate shall undergo the COVID-19 test at a medical treatment institution if it has been determined in the algorithm published on the website of the Centre, except for health care of prisoners which is ensured at prisons, and also except for the cases specified in international agreements binding on the Republic of Latvia.

[12 October 2021]

235. Inpatient medical treatment institutions shall provide health care services to urgent, acute, and COVID-19 patients on a priority basis.

236. In order to ensure conformity with the requirement laid down in Paragraph 235 of this Regulation, the inpatient medical treatment institutions shall restrict or suspend the provision of planned inpatient and day hospital services, continuing the following:

236.1. provision of the following health care services in a day hospital:

236.1.1. services which are provided to ensure the relevant therapy - chemotherapy, therapy of biological medicinal products, organ substitution treatment;

236.1.2. radiation therapy;

236.1.3. health care services for haematological diseases;

236.1.4. methadone and buprenorphine substitution treatment;

236.1.5. health care services for patients who must continue or complete the treatment started as a matter of urgency on inpatient basis;

236.1.6. interventional cardiology;

236.1.7. interventional radiology;

236.2. provision of the following inpatient health care services:

236.2.1. acute and emergency medical assistance;

236.2.2. oncological and life-saving surgeries, and also such surgeries due to cancellation of which the person could become disabled;

236.2.3. health care services in relation to the treatment of the following groups of diseases - oncology, HIV/AIDS, tuberculosis, psychiatry, contagious skin diseases and sexually transmitted diseases, traumatology;

236.2.4. acute and subacute rehabilitation services to persons for whom the postponement of this service may cause risk of disability or loss of capacity for work, including to children for whom the postponement of the rehabilitation can cause substantial deterioration of functional abilities.

236.1 During the emergency medical situation, the head of a medical treatment institution may, where necessary in order to ensure emergency medical assistance, assistance in urgent cases, or medical treatment of COVID-19 patients, employ doctors with a certificate of a medical practitioner or without it regardless of their speciality and involve medical practitioners of all professions in the care for patients.

[2 November 2021]

236.2 The medical practitioners referred to in 236.1 of this Regulation shall perform work duties at a medical treatment institution assigned by the head of the medical treatment institution under supervision or control of a certified medical practitioner.

[20 October 2021]

237. Medical treatment institutions shall ensure, to the extent possible, that consultations of outpatient specialists are held remotely. If consultations cannot be ensured remotely, the medical treatment institutions shall only see patients upon registration, specifying the exact time of arrival for the receipt of a health care service, providing a sufficient period of time between patient visits to prevent them from meeting each other.

238. [6 January 2022]

238.1 In order to ensure supervision of those medical treatment institutions which have entered into contracts with the National Health Service on the provision of health care services, and also to ensure payment for the services provided and supervision of the fulfilment of the contracts entered into, the National Health Service has the right to process the data referred to in Sub-paragraphs 280.1.1, 280.1.2, 280.1.3, and 280.5 of this Regulation and compare them with the data on persons employed in medical treatment institutions available in the system for the settlement of payments for health care services "Management Information System" that is managed by the National Health Service.

[18 January 2022]

239. In order to ensure availability of inpatient health care services to patients, the State Emergency Medical Service shall hospitalise a patient at the nearest available inpatient medical treatment institution which ensures health care corresponding to the health condition of the patient.

240. An inpatient medical treatment institution has an obligation to provide assistance to all patients who have been transported by teams of the State Emergency Medical Service or arrived themselves to the reception of the abovementioned institution.

241. If inpatient medical treatment institutions cannot ensure provision of the health care services referred to in Paragraphs 235 and 236 of this Regulation due to the lack of available resources, the medical treatment institution shall inform the State Emergency Medical Service, by entering information in the Operative Data Panel, and the Ministry of Health.

242. The Ministry of Health shall assess the information referred to in Paragraph 241 of this Regulation and, where necessary, convene a meeting of the State Operational Medical Commission the decisions adopted by which shall be binding on all medical treatment institutions.

243. The use of limited intensive care resources and prioritisation of patients is determined in conformity with the following main principles and criteria:

243.1. assistance is provided to as many patients as possible;

243.2. all patients are assessed according to uniform criteria, irrespective of the diagnosis determined;

243.3. the assessment is performed without discrimination, the decision is taken by the council;

243.4. the wishes of the patient as regards refusal from medical treatment at large or specific method used in the medical treatment is taken into account;

243.5. the decision taken on prioritisation (availability of therapy) is reviewed on a regular basis;

243.6. upon suspending intensive care, another medical treatment available is ensured;

243.7. the assessment is based on internationally recognised scoring systems of critically ill patients and other important clinical criteria.

9. Special Epidemiological Safety Conditions for the Population of Minks, Other Animals of Mustelidae Family, and Raccoon Dogs

[21 December 2021]

244. It is prohibited to import minks into the territory of Latvia from another country.

[21 December 2021]

245. The Food and Veterinary Service shall:

245.1. develop a programme for the COVID-19 infection monitoring for minks, other animals of Mustelidae family, and also raccoon dogs (hereinafter - the animal);

245.2. in accordance with Paragraph 262 of this Regulation, provide information to the European Commission on the situation in relation to COVID-19 infection.

[21 December 2021]

246. In order to monitor and reduce the spread of COVID-19 infection in an animal holding, the animal owner or holder shall:

246.1. draw up a biosecurity measures plan in accordance with Paragraph 247 of this Regulation, supplement the internal control system for the implementation of epidemiological security measures in accordance with Paragraph 249 of this Regulation, and ensure the execution thereof;

246.2. bring in animals in the holding or accommodation (premises or an area in the holding or its territory where animals having similar health status are kept and which is a separate epidemiological unit) in accordance with the requirements laid down in Paragraphs 266 and 267 of this Regulation;

246.3. provide the information specified in Sub-paragraph 251.1 of this Regulation to the Food and Veterinary Service using any means of communication;

246.4. for the employees working in the holding:

246.4.1. ensure the mandatory routine screening tests for diagnosing COVID-19;

246.4.2. perform health control in order to eliminate the risk of infection for animals and employees;

246.4.3. ensure regular screening testing using a routine screening test with the interval of 72 hours;

246.5. control that only such employees work in the holding:

246.5.1. who have an interoperable vaccination or recovery certificate and who have received a booster vaccine against COVID-19 according to the information published on the website of the State Agency of Medicines;

246.5.2. for whom COVID-19 contaminating agent has not been detected;

246.5.3. who do not display symptoms of an infectious disease;

246.6. ensure that any person present in the holding uses a medical face mask or a respirator without a valve;

246.7. ensure that employees working in the holding change their clothing and footwear, and also wash and disinfect their hands before entering the holding or accommodation and leaving it;

246.8. restrict entry of other animals (including rodents) into the holding;

246.9. ensure that surfaces (also inventory and work equipment) are cleaned and disinfected on a regular basis, paying special attention to the surfaces and objects with which the employees working in the holding come into contact often;

246.10. determine the procedures for the execution of self-control for the biosecurity measures plan and the internal control system for the implementation of epidemiological safety measures;

246.11. at least once a day, watch through the video surveillance recordings from the video surveillance devices which have been installed in accordance with the laws and regulations regarding the welfare requirements for keeping of fur animals, assess the compliance with the requirements of this Regulation, and, if necessary, take corrective actions. The video surveillance recordings shall be presented to the Food and Veterinary Service and the Health Inspectorate upon request.

[21 December 2021 / The requirements laid down in Sub-paragraph 246.11 shall be applied concurrently with the coming into force of amendments to Cabinet Regulation No. 715 of 3 August 2010, Welfare Requirements for Keeping of Fur Animals, in relation to the requirements regarding the installation of video cameras in an animal holding. See Paragraph 341]

247. The animal owner or holder shall determine the following procedures in the biosecurity measures plan:

247.1. for the cleaning, performing disinfection, disinsectisation, and deratisation of the site where animals are held;

247.2. for the cleaning and, as necessary, disinfection of feed storage reservoirs, feed supply equipment and inventory;

247.3. for the disinfection of the vehicles entering the territory of the holding;

247.4. for the registration of transportation of animals;

247.5. for the registration of vehicles that enter and leave;

247.6. for the registration of persons visiting the territory of the holding;

247.7. for ensuring that employees and visitors comply with the biosecurity requirements and take hygiene measures;

247.8. for separating animals, as necessary, and also for the determination of the requirements for the care, feeding, and observation of separated animals;

247.9. for the storage of by-products of animal origin, also dead animals, until the transportation thereof to a by-product processing undertaking;

247.10. for the instructing of employees on biosecurity measures before commencing work and henceforth at least once a quarter, receiving a briefing about the measures of the biosecurity plan;

247.11. for the ensuring of disinfection of footwear at the entry in the territory of the holding.

[21 December 2021]

248. The implementation of the measures specified in the biosecurity measures plan in the holding shall be monitored by the Food and Veterinary Service.

[21 December 2021]

249. In addition to the conditions of Paragraph 20 of this Regulation, the animal owner or holder shall include the following measures in the internal control system for the implementation of epidemiological safety measures:

249.1. the procedures for the health control of employees and the actions to be taken to preclude the transfer of COVID-19 infection from people to animals and vice versa;

249.2. the procedures for organising the mandatory routine screening tests;

249.3. the procedures and regularity for screening testing using a screening test;

249.4. the procedures for ensuring that all persons present in a holding (especially if they come into contact with animals) use medical face masks or a respirator without valve;

249.5. the procedures by which employees are instructed on the epidemiological safety measures before commencing work and henceforth at least once a quarter, receiving a briefing about the epidemiological safety measures and the use of personal protective equipment.

[21 December 2021]

250. The implementation of the measures referred to in Paragraph 249 of this Regulation in the holding shall be supervised by the Food and Veterinary Service in cooperation with the Health Inspectorate.

[21 December 2021]

251. Information shall be provided to the Food and Veterinary Service:

251.1. by the animal owner or holder of the holding:

251.1.1. on the number of animals in the holding - on the first working day of the month;

251.1.2. on the number of animals in the holding which died in the last week - each Monday;

251.1.3. on each case when acute respiratory disease symptoms, disorders of the digestive system, depression, inactivity, refusal to eat or drink are observed in the animals or on animal mortality (hereinafter - suspicions regarding being ill with COVID-19 infection) - immediately;

251.1.4. on the animal brought in and referred to in Paragraph 266 of this Regulation if it dies during monitoring or suspicions regarding the animal being ill with COVID-19 arise - immediately;

251.2. by any person using any means of communication if suspicions regarding the animal (except for the animal kept in the holding) being ill with COVID-19 arise - immediately.

[21 December 2021]

252. The Food and Veterinary Service shall take a sample of the dead body or oropharyngeal swabs (hereinafter - the control sample) and send them for laboratory testing for establishing COVID-19 contaminating agent:

252.1. following receipt of the information referred to in Sub-paragraph 251.1.3 or 251.1.4 of this Regulation. The Food and Veterinary Service shall determine the amount of the necessary control samples on the basis of the spread of the disease in the amount of 50 % at 95 % confidence interval;

252.2. following receipt of the information referred to in Sub-paragraph 251.2 of this Regulation. If there are suspicions regarding being ill with COVID-19 infection:

252.2.1. for up to five animals - one control sample shall be taken;

252.2.2. for more than five animals - five random control samples shall be taken.

[21 December 2021]

253. If COVID-19 infection is confirmed for the animal:

253.1. The Food and Veterinary Service shall:

253.1.1. immediately inform the Centre thereof which shall, in cooperation with the Food and Veterinary Service, ensure an epidemiological investigation by taking samples which are sent for laboratory testing for establishing COVID-19 contaminating agent, and also determine subsequent measures according to the competence of institutions;

253.1.2. determine restrictions on the movement and use of animals;

253.1.3. determine restrictions on the use of unprocessed furs of animals. If necessary, control samples shall be taken from furs for establishing of COVID-19 contaminating agent;

253.1.4. if necessary, determine restrictions on the use or movement of animal feed;

253.1.5. determine restrictions on the movement of manure - droppings, slurry, and used litter - and treatment conditions or their processing or liquidation in accordance with the requirements referred to in Paragraph 254 of this Regulation;

253.2. the Centre shall perform an analysis of the epidemiological situation and prepare a risk assessment on the spread of COVID-19 infection and the threat to public health, indicating subsequent action for the elimination of the threat to public health.

[21 December 2021]

254. If COVID-19 infection is confirmed, the by-products of animal origin shall be processed or liquidated, applying Regulation (EC) No 1069/2009 of the European Parliament and of the Council of 21 October 2009 laying down health rules as regards animal by-products and derived products not intended for human consumption and repealing Regulation (EC) No 1774/2002 and Commission Regulation (EU) No 142/2011 of 25 February 2011 implementing Regulation (EC) No 1069/2009 of the European Parliament and of the Council laying down health rules as regards animal by-products and derived products not intended for human consumption and implementing Council Directive 97/78/EC as regards certain samples and items exempt from veterinary checks at the border under that Directive, the determined processing or liquidation methods and conditions which eliminate the possibility of the spread of an agent.

[21 December 2021]

255. On the basis of the risk assessment referred to in Sub-paragraph 253.2 of this Regulation, the Centre and the Food and Veterinary Service shall determine the procedures for the taking of the control samples from the employees working in the holding and also animals in the holding and the procedures for laboratory testing and further action for restricting the spread of COVID-19 infection in the holding affected by COVID-19 infection.

[21 December 2021]

256. The owner or holder of the holding of animals affected by COVID-19 infection shall cooperate with the Food and Veterinary Service and the Centre and comply with the instructions provided thereby in order to ensure introduction of measures for restricting the spread of COVID-19 infection in the holding, ensuring additionally that:

256.1. animals are held, cared for, and fed by employees who have a valid interoperable certificate and who have received a booster vaccine against COVID-19 according to the information published on the website of the State Agency of Medicines, using a respirator without valve during working hours;

256.2. an adequate procedure is developed and followed for separate storage of work and street clothing, washing of work clothing, and change of clothing and footwear prior to entering the holding and leaving it;

256.3. all persons working in the holding are regularly instructed on measures of the biosecurity plan and the epidemiological safety requirements, and also correct use of personal protective equipment;

256.4. while the spread of SARS-CoV-2 virus is detected in the holding for animals, the employees working in the holding shall undergo:

256.4.1. regular laboratory screening and an RNA test not less than once a week;

256.4.2. an antigen test once a week;

256.5. the interval between the tests referred to in Sub-paragraph 256.4 of this Regulation is not less than 72 hours;

256.6. at the moment of obtaining furs, they are disinfected using such means of disinfection which destroys the COVID-19 contaminating agent.

[21 December 2021]

257. The Centre shall, at least twice a month, analyse the epidemiological situation in a holding affected by COVID-19 infection on the basis of the laboratory tests performed for employees and animals and the genetic sequencing of SARS-CoV-2 virus isolates, and prepare a risk assessment on the spread of COVID-19 infection and the threat to public health, indicating subsequent action for the elimination of the threat to public health.

[21 December 2021]

258. If COVID-19 infection is confirmed to an employee working in the animal holding or his or her family members, the Centre shall:

258.1. immediately inform the Food and Veterinary Service thereof;

258.2. perform an epidemiological investigation, organise counter-epidemic measures, sequencing of the positive sample, and, if necessary, additional testing of employees according to the epidemiological indications.

[21 December 2021]

259. Valsts zinātniskais institūts "Pārtikas drošības, dzīvnieku veselības un vides zinātniskais institūts "BIOR"" [State scientific institute Institute of Food Safety, Animal Health and Environment "BIOR"] shall perform complete or partial autopsy of a dead animal, destruction of dead animals, and laboratory testing to determine the following:

259.1. in the samples referred to in Paragraph 252, Sub-paragraph 253.1.1, Paragraphs 255 and 264, and Sub-paragraph 268.6 of this Regulation:

259.1.1. COVID-19 contaminating agent;

259.1.2. if necessary - antibodies of COVID-19 contaminating agent;

259.2. the COVID-19 contaminating agent in the control sample for wild animals which have been sent for laboratory testing in accordance with the laws and regulations regarding the procedures for the prevention and combating of rabies.

[21 December 2021]

260. The State scientific institute Institute of Food Safety, Animal Health and Environment "BIOR" shall ensure genome analysis of the COVID-19 contaminating agent up to the amount of 50 % for the samples referred to in Sub-paragraphs 259.1.1 and 259.2 of this Regulation in which COVID-19 contaminating agent has been established. An isolated selection of COVID-19 contaminating agents for genome analysis shall be performed by the Food and Veterinary Service on the basis of the information obtained during the epidemiological investigation.

[21 December 2021]

261. The State scientific institute Institute of Food Safety, Animal Health and Environment "BIOR" shall immediately send the results of laboratory testing of the samples referred to in Paragraphs 259 and 260 of this Regulation to the Food and Veterinary Service.

[21 December 2021]

262. The Food and Veterinary Service shall prepare and electronically send a report to the European Commission:

262.1. on the first confirmed case of an animal falling ill with COVID-19 - within three days, but after a new outbreak of COVID-19 infection - a report once a week;

262.2. if new information on epidemiology of COVID-19 infection and its zoonotic impact has been obtained;

262.3. on the results of phylogenetic analysis of an agent of COVID-19 infection (if necessary) - once a month.

[21 December 2021]

263. The Food and Veterinary Service shall indicate the following information in the report referred to in Paragraph 262 of this Regulation:

263.1. the date when the report was submitted;

263.2. the name of the country;

263.3. the type of the report (first or weekly report);

263.4. the number of confirmed cases of falling ill with COVID-19 regarding which a report is being provided;

263.5. on each confirmed case of falling ill with COVID-19:

263.5.1. the registration number of the confirmed case of falling ill;

263.5.2. the municipality where the holding is located or approximate geographical location where the animal has been kept or found;

263.5.3. the date when the suspicions were detected;

263.5.4. the date of confirmation;

263.5.5. the method of diagnosis;

263.5.6. approximate date when infection has spread in the holding or the abovementioned location;

263.5.7. the potential source of infection;

263.5.8. the control measures implemented - control in the monitoring or protection zone, traceability, quarantine, official destruction of carcasses, by-products, and waste, complete slaughtering, control of illness for wild animals, zoning, disinfection, permitting of vaccination (if a vaccine is available), non-treatment of affected animals, or any other corresponding measure;

263.5.9. the number of susceptible animals in the holding or the abovementioned location, grouping according to the susceptible species;

263.5.10. the number of clinically or sub-clinically affected animals in the holding or the abovementioned location, grouping according to the susceptible species (if an accurate number is not known, the approximate number shall be indicated);

263.5.11. on the spread of the illness - the number of such clinically ill animals in the holding or the abovementioned location which have symptoms of COVID-19 infection, grouping according to the susceptible species, in relation to the number of susceptible animals, and also a summary of the description of clinically suspicious animal symptoms (if an accurate number is not known, the approximate number shall be indicated);

263.5.12. on mortality of animals - the number of animals which have died in the holding or the abovementioned location, grouping according to the susceptible species (if an accurate number is not known, the approximate number shall be indicated);

263.6. molecular epidemiology data and essential mutations of the COVID-19 contaminating agent;

263.7. data on confirmed cases of falling ill for people who are linked to the outbreak of COVID-19 infection in the animal population;

263.8. other essential information.

[21 December 2021]

264. If the information referred to in Sub-paragraph 258.1 of this Regulation is received, the Food and Veterinary Service shall take the control samples from animals and send them for laboratory testing for establishing of COVID-19 contaminating agent. The Service shall determine the amount of the necessary samples in the holding on the basis of the spread of the disease in the amount of 5 % at 95 % confidence interval.

[21 December 2021]

265. If necessary, the Food and Veterinary Service shall request additional information from the Centre on the morbidity indicators of people with COVID-19 infection in the relevant European Union Member State or its region where the holding is located.

[21 December 2021]

266. Animals from another holding or accommodation in the territory of Latvia shall be brought in a holding or accommodation in conformity with the following requirements:

266.1. the holding has not been imposed restrictions on the movement of animals and the use of unprocessed animal skins;

266.2. before placement of animals in a holding with other animals, the requirements laid down in Paragraphs 268, 269, and 271 of this Regulation are implemented.

[21 December 2021]

267. The animal owner or holder shall ensure that the vehicle and equipment used for the transportation of animals are cleaned, washed, and disinfected after transportation of animals. Disinfectants which destroy the COVID-19 infection contaminating agent shall be used for disinfection.

[21 December 2021]

268. After importation of animals, the animal owner or holder shall hold them separately from other animals (if such are in the holding) for at least 14 days (hereinafter - the monitoring period) during which:

268.1. the keeping of animals, including the care and feeding thereof, is under responsibility of such employees who have a valid interoperable certificate;

268.2. it is ensured that the biosecurity measures plan specified in Paragraph 247 of this Regulation is implemented;

268.3. separate equipment for keeping, feeding, and care of animals is used;

268.4. health condition of animals is observed on a daily basis and information is provided to the Food and Veterinary Service on the number of animals which have died in the holding;

268.5. the Food and Veterinary Service is informed, without delay, of each case when animals being ill with COVID-19 infection is suspected;

268.6. samples are taken and sent for laboratory testing for establishing SARS-CoV-2 virus RNA. The abovementioned samples shall be taken from:

268.6.1. the animals which have died;

268.6.2. the live animals on the seventh to tenth day after the importation thereof. The Food and Veterinary Service shall determine the amount of the necessary representative samples on the basis of the spread of the disease in the amount of 20 % at 95 % confidence interval.

[21 December 2021]

269. It is prohibited, during the monitoring period, to move the animals referred to in Paragraph 268 of this Regulation from the holding.

[21 December 2021]

270. During the monitoring period, the Food and Veterinary Service shall monitor the implementation of the measures specified in Paragraphs 268 and 269 of this Regulation at the holding.

[21 December 2021]

271. If, during the monitoring period, SARS-CoV-2 virus RNA has not been established in animals or there are no suspicions of animals being ill with COVID-19, and also COVID-19 infection has not been registered among employees working in the holding, the imported animals shall be placed with other animals (if such are in the holding) and they shall henceforth be subject to the laboratory testing referred to in Sub-paragraph 252.1 of this Regulation.

[21 December 2021]

272. The animal owner or holder shall cover the expenditures related to the measures referred to in Sub-paragraph 256.4, Paragraphs 267 and 268 of this Regulation, including taking, sending and laboratory testing of samples, and also cleaning, washing, and disinfection of the vehicle and equipment.

[21 December 2021]

273. [Deleted]

10. Information Systems Introduced for the Containment of COVID-19 and Exchange of Information

10.1. Exchange of Statistical Data

274. The Central Statistical Bureau shall receive data from the Centre on persons who are infected with SARS-CoV-2 virus, but from the National Health Service - data on persons who have commenced or completed COVID-19 vaccination.

275. The Central Statistical Bureau shall process the received data and combine them with the data from the information system of the Register of Natural Persons of the Office of Citizenship and Migration Affairs, the State Revenue Service, the information system of the State Address Register of the State Land Service, the State Education Information System of the Ministry of Education and Science, the State Social Insurance Agency, and the State Employment Agency on these persons which are at the disposal of the Central Statistical Bureau, and also shall ensure immediate pseudonymisation of the combined data by deleting the data identifying specific persons (personal identity number, given name(s), surname) but retaining the personal registration numbers assigned by the Centre.

276. The Central Statistical Bureau shall, for the purposes of data analysis, provide the Centre with secure remote access to the pseudonymised data array in which the personal registration number assigned by the Centre is preserved, but the Ministry of Economics and the Cross-Sectoral Coordination Centre - with secure remote access to the pseudonymised data array in which the personal registration number assigned by the Centre is not preserved. The Ministry of Economics shall, within two calendar weeks, analyse the abovementioned data and regularly submit the prepared information to the group for coordination of interinstitutional activities for further work.

277. The Central Statistical Bureau shall ensure that the data included in the pseudonymised data array on persons who are infected with COVID-19 or who have been vaccinated against it are deleted before 31 December of the year following the inclusion thereof in the data array.

278. The Ministry of Education and Science shall transfer the following data to the National Health Service from the State Education Information System on students in a higher education programme - given name(s), surname, personal identity number, registration number and name of the higher education institution in the register of educational institutions, study programme of the college and higher education institution, course, year of birth, sex, nationality. The National Health Service shall, in the first week of each month, submit information to the Ministry of Education and Science on the state as on the last working day of the previous month on the scope of vaccination of students in division according to the data fields indicated previously. The National Health Service has the right to enter into agreements with higher education institutions on the exchange of data on the status of recovery and vaccination of employees of higher education institutions and students.

10.2. Vaccination Information System

279. The vaccination information system (Unified Vaccination Network (ViVaT)) is a State information system the manager of which is the National Health Service.

280. The following data shall be entered in the vaccination information system:

280.1. regarding a person:

280.1.1. the given name (names);

280.1.2. the surname;

280.1.3. the personal identity number (identification number);

280.1.4. the date of birth;

280.1.5. the gender;

280.1.6. belonging to a vaccination priority group;

280.1.6.1 belonging to a group of recipients of additional vaccine doses and booster vaccine;

280.1.7. the desired geographical place of vaccination;

280.1.8. the contact details of a person:

280.1.8.1. telephone;

280.1.8.2. electronic mail address (if any);

280.1.8.3. address of the actual place of residence (if mobile vaccination is required);

280.2. regarding the desire expressed by the person to vaccinate against COVID-19;

280.3. regarding the appointment for vaccination against COVID-19 (time and place for vaccination);

280.4. regarding the medical practitioner performing vaccination - the identifier of the medical practitioner;

280.5. regarding the fact of vaccination:

280.5.1. the name of the medicinal product;

280.5.2. the holder of the marketing authorisation;

280.5.3. the number of vaccination cases/doses;

280.5.4. the number of the batch of vaccines;

280.5.5. the date of vaccination;

280.5.6. the place of vaccination;

280.5.7. the date of the next vaccination;

280.6. regarding the order, actual delivery, use of vaccines and the number of vaccinated persons;

280.7. regarding the date of taking the RNS test sample of a person if infection with SARS-CoV-2 virus has been confirmed.

[2 November 2021; 7 December 2021]

281. The data referred to in Sub-paragraphs 280.1 and 280.2 of this Regulation shall be included in the vaccination information system by:

281.1. the National Health Service - upon receipt of an application for vaccination against COVID-19 through the unified telephone number 8989;

281.2. the person who applies for vaccination against COVID-19 through the portal manavakcina.lv of the vaccination information system;

281.3. a medical practitioner - on the person who has addressed a medical treatment institution to apply for vaccination against COVID-19 through the portal manavakcina.lv of the vaccination information system.

282. The data referred to in Sub-paragraphs 280.3, 280.4, and 280.5 of this Regulation shall be included in the vaccination information system by the medical treatment institution which performs vaccination against the COVID-19 infection. If the medical treatment institution has received an individual application from a person or a list for collective vaccination, the data referred to in Sub-paragraphs 280.1 and 280.2 of this Regulation (except for Sub-paragraph 280.1.8.3 of this Regulation) shall also be included in the vaccination information system.

283. The data referred to in Sub-paragraph 280.6 of this Regulation shall be included in the vaccination information system by the Centre and the medical treatment institution performing vaccination.

284. The data entered in the vaccination information system may, in the cases and to the extent provided for in this Regulation, be accessed by:

284.1. the National Health Service, including to register a vaccination application through the telephone number 8989;

284.2. the Centre;

284.3. the medical treatment institution performing vaccination.

285. The National Health Service shall access the data referred to in Sub-paragraphs 280.1.1, 247.1.2, 280.1.3, and 280.1.4 of this Regulation to withdraw an application for vaccination of a person through the unified telephone number 8989.

286. A medical treatment institution shall access the data referred to in Sub-paragraphs 280.1.1, 280.1.2, 280.1.3, 280.1.4, 280.1.5, 280.1.6, 280.1.6.1, 280.1.8.1, 280.1.8.2, 280.2, 280.3, 280.5.1, and 280.5.5 of this Regulation in order to register the fact of vaccination against the COVID-19 infection, and also to register a person for vaccination or to cancel an appointment of a person.

[7 December 2021]

287. The National Health Service shall process the data referred to in Sub-paragraphs 280.1 and 280.2 of this Regulation in order to:

287.1. determine the right of the person to receive a State-funded vaccine against COVID-19 by comparing such data with the database of the recipients of health care services under management of the National Health Service;

287.2. compile a list of persons to be vaccinated on a priority basis for handing over such list to the medical treatment institutions that will perform vaccination.

288. The National Health Service has the right to process the data referred to in Sub-paragraphs 280.1.1, 280.1.2, 280.1.3, 280.1.4, 280.1.5, 280.5, 280.1.6., and 280.1.6.1 of this Regulation, compare them with the data in the health information system, process the data on the place of residence of persons in the information systems of the National Health Service, and request from medical treatment institutions and the Social Assistance and Social Services Administration Application of the Unified Local Government System (SOPA) the information referred to in Sub-paragraphs 280.1.8.1, 280.1.8.2, and 280.1.8.3 of this Regulation, unless it is available in the information systems of the National Health Service, in order to inform persons of a possibility to receive the vaccine against COVID-19, an additional dose of vaccine or booster vaccine, to implement informative measures in the digital space regarding the safety of and need for the vaccination, and to transfer the data of the persons referred to in Sub-paragraphs 280.1.1, 280.1.2, 280.1.3, 280.1.8.1, 280.1.8.2, and 280.1.8.3 of this Regulation to medical treatment institutions in order to ensure vaccination against COVID-19 infection.

[7 December 2021]

289. In order to determine the eligibility of a person for the vaccination priority group of persons with chronic diseases or recipients of additional doses of vaccine and booster vaccines and in order to ensure the right of a person to vaccinate, to receive additional dose of vaccine or booster vaccine if he or she is eligible, the National Health Service has the right to process the data referred to in Sub-paragraphs 280.1 and 280.2 of this Regulation in order to compare them with:

289.1. the system for the settlement of payments for health care services "Management Information System" which is under management of the National Health Service;

289.2. the Unified Electronic Information System of the Health Sector which is under management of the National Health Service;

289.3. the Register of Patients Suffering from Certain Diseases (PREDA) which is under management of the Centre.

[7 December 2021]

290. In order to determine the eligibility of a person for the vaccination priority group "teachers and employees of educational institutions who, during performance of work duties, are in close contact with an educatee" and to ensure the right of the person to vaccinate if he or she is eligible, the National Health Service has the right to process the data referred to in Sub-paragraphs 280.1 and 280.2 of this Regulation in order to compare them with the data of the State Education Information System (VIIS).

291. The Centre shall process the data referred to in Sub-paragraph 280.6 of this Regulation in order to make vaccine orders for a medical treatment institution and to control the use of vaccines.

292. The data entered in the vaccination information system shall be stored in identifiable form:

292.1. for three years after the moment when the vaccination of the person has been completed - in respect of the data regarding the fact of vaccination;

292.2. until the moment when the vaccination of the person is completed - in respect of the data related to the fact of vaccination appointment, but for not more than one year from the moment when the person has applied for vaccination.

293. The data entered in the vaccination information system shall be anonymised after expiry of the time limit for their storage.

10.3. Contact Tracing and Warning Information System

294. Contact tracing and warning information system is a State information system consisting of the mobile application for contact tracing and warning (hereinafter - the application) and the back-end system.

295. The Centre shall be the manager of the contract tracing and warning information system and the joint manager of the European Federation Gateway in Latvia.

296. The following information shall be processed in the application:

296.1. the temporary archive of unique identifiers (hereinafter - the key) for the past 14 days which is related to each user of the application;

296.2. the unique keys of those users with whom there has been a contact during the past 14 days;

296.3. the keys from the back-end system of the infected users;

296.4. the contact telephone numbers provided on a voluntary basis.

297. The following data shall be processed in the back-end system on the persons for whom the COVID-19 diagnosis has been confirmed in a laboratory or by clinical evidence or regarding whom, according to the algorithms embedded in the application, there is an epidemiological cause for suspicion that they have been exposed to an increased risk of infection:

297.1. the verification code of the infection case and the fact of acceptance of the code;

297.2. the date of falling ill;

297.3. the presence of symptoms;

297.4. the contact telephone numbers provided on a voluntary basis;

297.5. the keys referred to in Sub-paragraph 296.3 of this Regulation;

297.6. the countries of origin of the keys referred to in Sub-paragraph 296.3 of this Regulation;

297.7. the date, duration, signal strength, and risk assessment of each contact;

297.8. the information on whether the Centre has or has not recognised a person as a contact person.

298. The data referred to in Sub-paragraphs 297.1, 297.4, 297.5, 297.6, 297.7, and 297.8 of this Regulation shall, by using the European Federation Gateway, be voluntarily uploaded by the user of the application to the contact tracing and warning information system from the application or from mobile applications for warning of other European Union and European Economic Area States.

299. The Centre and the user of the application shall not have access to the data referred to in Sub-paragraphs 296.1 and 296.2 of this Regulation.

300. The Centre has the following obligations:

300.1. to introduce improvements to the contact tracing and warning information system, including according to the epidemiological safety situation in the country and the European Union;

300.2. to determine the requirements for the maintenance and security management of the contact tracing and warning information system and to control the fulfilment of such requirements;

300.3. to ensure the users with the functions of a contact point;

300.4. to ensure the preparation and sending of a warning to persons regarding whom, according to the algorithms embedded in the application, there is an epidemiological cause for suspicion that they have been exposed to an increased risk of infection;

300.5. to ensure technical and organisational measures (including in order to prevent violations of data protection) in accordance with the laws and regulations governing the field of personal data protection;

300.6. to delete all the stored data 14 days after termination of the operation of the contact tracing and warning system;

300.7. to ensure data exchange with the European Federation Gateway.

301. The Centre has the right to process the data referred to in Paragraph 297 of this Regulation in order to:

301.1. create the verification code of the infection case;

301.2. determine the persons who have been exposed to an increased risk of infection and to warn them about potential contact with a person infected with COVID-19;

301.3. ensure cross-border exchange of the Minimum Set of Data in the European Federation Gateway with the national contact tracing and warning systems of other countries.

302. The joint manager of the European Federation Gateway in Latvia has the following obligations:

302.1. to ensure information on the processing of the data included in the system in the European Federation Gateway for the purposes of interoperability of national applications;

302.2. to ensure the functions of a contact point for communication with the joint managers of the European Federation Gateway;

302.3. to ensure cooperation and exchange of information with the joint managers of the European Federation Gateway in other countries, including to receive a request from a data subject which does not fall within the scope of activities of the joint manager in Latvia, and to forward it immediately to the relevant joint manager of the European Federation Gateway;

302.4. to ensure all the organisational, physical, and logical safety measures for data protection in the system and to cooperate with the joint managers of the European Federation Gateway in order to identify and address security incidents and also violations of data protection related to the processing of data in the European Federation Gateway;

302.5. to ensure cross-border exchange of data in the European Federation Gateway among the national contact tracing and warning applications of other European Union and European Economic Area States.

303. The technical maintenance of the system shall be ensured by valsts akciju sabiedrība "Latvijas Valsts radio un televīzijas centrs" [State joint stock company Latvian Radio and Television Centre] according to the delegation of the manager of the contact tracing and warning information system.

304. The data included in the back-end system shall be stored by the Centre for 14 days from the moment of receipt of information and shall be deleted immediately but not later than 24 hours after the end of their storage period.

305. Anonymised statistical data shall be continuously stored in the contact tracing and warning system.

10.4. Information System for Monitoring Persons

306. The information system for monitoring persons is a State information system which is managed by the Information Centre of the Ministry of the Interior.

307. The following information shall be included in the information system for monitoring persons:

307.1. on a person:

307.1.1. given name (names);

307.1.2. surname;

307.1.3. personal identity number (identification number);

3071.4. date of birth if a personal identity number (identification number) has not been granted;

307.2. on a travel document:

307.2.1. the issuing country of the travel document;

307.2.2. the number of the travel document;

307.3. on a fully vaccinated or recovered person to whom the self-isolation conditions are not applicable:

307.3.1. on the entry of a person into Latvia:

307.3.1.1. date and time of the entry;

307.3.1.2. manner of entry (by aircraft, vessel, bus, train, or other means);

307.3.2. on the stay of the person in a high-risk or particularly high-risk country (countries) within the last 10 days:

307.3.2.1. the country;

307.3.2.2. the date when the person has left the country;

307.3.3. contact information of a person:

307.3.3.1. telephone;

307.3.3.2. electronic mail address;

307.3.3.3. address of the place of residence (place of stay) in Latvia where the person will be reachable;

307.3.4. a valid interoperable certificate or a document confirming vaccination or recovery;

307.4. on a person to whom the self-isolation conditions are applicable:

307.4.1. on the entry of a person into Latvia:

307.4.1.1. date and time of the entry;

307.4.1.2. manner of entry (by aircraft, vessel, bus, train, or other means);

307.4.2. on the stay of the person in a high-risk or particularly high-risk country (countries) within the last 10 days:

307.4.2.1. the country;

307.4.2.2. the date when the person has left the country;

307.4.3. contact information of a person:

307.4.3.1. telephone;

307.4.3.2. electronic mail address;

307.4.3.3. address of the place of residence (stay) in Latvia where the person will be reachable if he or she must be in self-isolation;

307.4.4. the date until which the compliance with the obligation of the person to be in self-isolation is monitored;

307.5. on a person to whom the isolation or home quarantine conditions are applicable:

307.5.1. contact information of a person:

307.5.1.1. telephone;

307.5.1.2. electronic mail address;

307.5.1.3. address of the place of residence (place of stay) in Latvia where the person will be reachable during isolation or home quarantine;

307.5.2. the date until which the compliance with the obligation of the person to be in isolation or home quarantine is monitored.

[6 January 2022 / The new wording of Sub-paragraph 307.3 shall come into force on 17 January 2022. See Paragraph 2 of Amendments]

308. In addition to the information referred to in Paragraph 307 of this Regulation, the following shall be included in the information system for monitoring persons:

308.1. the information provided by the State Police, the State Border Guard, municipal police, the Tax and Customs Police of the State Revenue Service, and the Health Inspectorate on the submission of the certification form of a person or compliance with the self-isolation, isolation, or home quarantine provisions, including termination of self-isolation, isolation, or home quarantine;

308.2. an indication on the status of the certification form of a person (active, inactive, closed).

309. The information included in the information system for monitoring persons shall be stored for 30 days from the moment when a person has submitted a certification form.

310. The information included in the information system for monitoring persons shall be deleted immediately but not later than within 24 hours after the end of its storage period.

311. Irrespective of the deletion of information, anonymised statistical data which consist of the data referred to in Sub-paragraph 307.4.1.1 of this Regulation and the information referred to in Sub-paragraphs 307.4.1.2 and 307.4.2 of this Regulation shall be continuously stored in the information system for monitoring persons. The manager of the information system shall publish such statistical data on the Open Data Portal of Latvia.

312. The online data transmission mode shall be used in the information system for monitoring persons.

313. A person himself or herself shall include the information referred to in Paragraph 307 of this Regulation in the information system for monitoring persons by electronically filling in the certification form on the website of the information system (covidpass.lv) and confirming its submission.

314. If a person must be in isolation or home quarantine in accordance with Paragraph 189 or 191 of this Regulation and the involvement of the State Police or municipal police is required for controlling such person, the Health Inspectorate shall include the information (in the amount that is at the disposal of the Health Inspectorate) referred to in Sub-paragraphs 307.1 and 307.5.1 of this Regulation in the information system, and also shall indicate the time period referred to in Sub-paragraph 307.5.2 of this Regulation in the information system for monitoring persons, if such is known.

315. The information included in the information system for monitoring persons in accordance with Paragraph 314 of this Regulation shall be stored until the moment while the obligation of the person to be in self-isolation, isolation, or home quarantine is monitored.

316. The State Police, the State Border Guard, municipal police, the Tax and Customs Police of the State Revenue Service, and the Health Inspectorate shall include the information referred to in Sub-paragraph 308.1 of this Regulation in the online data transmission mode in the information system for monitoring persons.

317. The manager of the information system shall ensure automatic creation and change of the indication referred to Sub-paragraph 308.2 of this Regulation in the information system for monitoring persons, and also the confirmation referred to in Paragraph 150 of this Regulation for a person.

318. In order to ensure circulation of correct, accurate, and qualitative information when monitoring the compliance with the obligation of the person to be in self-isolation, isolation, or home quarantine, the information included in the information system for monitoring persons shall, where necessary, be corrected by the State Police, the State Border Guard, municipal police, or the Health Inspectorate. If the information referred to in Sub-paragraph 307.4.3.3 or 307.5.1.3 of this Regulation changes, a person shall immediately inform the State Police of this fact.

319. In the cases and to the extent specified in this Regulation, the information included in the information system for monitoring persons may be accessed by:

319.1. the State Police;

319.2. the State Border Guard;

319.3. the municipal police;

319.4. the Health Inspectorate;

319.5. the Centre;

319.6. the Tax and Customs Police of the State Revenue Service.

320. In order to monitor whether the requirements for the submission of the certification form are fulfilled and the obligation of the person to be in self-isolation, isolation or home quarantine is complied with, the Health Inspectorate, the State Police, municipal police, the State Border Guard, and Tax and Customs Police of the State Revenue Service shall access the information referred to in Paragraphs 307 and 308 of this Regulation which has been included in the information system for monitoring persons.

321. In order to monitor the fulfilment of the specified requirement for the submission of the certification form, and also to transfer information to other countries on the movement of persons by crossing the State border of the Republic of Latvia in accordance with the international liabilities of the Republic of Latvia, the State Border Guard shall access the information referred to in Sub-paragraphs 307.1, 307.2, 307.3, and 307.4 of this Regulation which has been included in the information system for monitoring persons.

[6 January 2022]

322. In order to identify other persons who have travelled or are travelling together with the person, the Centre shall access the information referred to in Sub-paragraphs 307.1, 307.2.1, 307.3, 307.4.1.1, 307.4.1.2, 307.4.2, and 307.4.3 of this Regulation which has been included in the information system for monitoring persons on all persons who have filled in certification forms in accordance with Paragraph 150 of this Regulation.

[6 January 2022]

323. In order to ensure performance of the tasks referred to in Paragraphs 318, 320, 321, and 322 of this Regulation, the manager of the information system for monitoring persons shall, upon receipt of a request from the authority referred to in Paragraph 319 of this Regulation, provide the employees of the authority indicated in the request online access to the information included in the information system.

324. The manager of the information system shall provide the access referred to in Paragraph 323 of this Regulation by assigning access details or ensuring authorisation in the information system to the employee of the authority indicated in the request through the Unified Login Module (ULM).

11. Closing Provisions

325. Cabinet Regulation No. 360 of 9 June 2020, Epidemiological Safety Measures for the Containment of the Spread of COVID-19 Infection (Latvijas Vēstnesis, 2020, No. 110B, 123A, 131A, 134B, 145A, 156A, 170A, 172A, 174A, 179A, 184A, 189A, 189B, 192A, 193A, 196A, 198A, 203A, 206A, 208A, 213A, 223A, 233A, 237A, 245A, 246; 2021, No. 2B, 4B, 9A, 14A, 22A, 25A, 29A, 35A, 38C, 40A, 46, 49A, 50A, 50C, 54A, 60A, 64B, 68B, 71A, 76A, 82A, 83A, 84B, 85A, 92B, 95A, 102C, 104A, 112A, 114A, 120B, 123, 129, 134A, 153A, 159, 164A, 167A, 170A, 174, 180A, 183A), is repealed.

326. The Regulation shall come into force on 11 October 2021.

327. An educational institution shall commence monitoring of air quality as soon as air quality meters are available to it.

328. Until 17 October 2021, persons who do not have a valid interoperable certificate may also participate in sports competitions of international and highest leagues of team sports if the title of a champion of Latvia for adults is won therein, and also in sports competitions outdoors.

329. The conditions included in Paragraphs 24 and 25, Sub-paragraphs 70.4, 71.2, and 72.2, Paragraph 103, Sub-paragraphs 104.1.1, 104.1.2, and 104.1.4, and Paragraph 238 of this Regulation shall be applied from 15 November 2021. Until the abovementioned date, the employees referred to in Sub-paragraphs 70.4, 71.2, and 72.2, Paragraph 103, Sub-paragraphs 104.1.1, 104.1.2, and 104.1.4, and Paragraph 238 of this Regulation may perform their work duties if they have the test certificate, and the RNA or antigen tests shall be ensured within the scope of routine screening tests paid by the State according to the COVID-19 testing algorithm published on the website of the Centre for such employees who have commenced vaccination with a vaccine authorised by the European Medicines Agency, however, have not completed the vaccination course.

[8 October 2021]

330. Until 15 November 2021, the RNA tests shall be ensured within the scope of routine screening tests paid by the State according to the COVID-19 testing algorithm published on the website of the Centre for the employees of prisons referred to in Paragraph 78 of this Regulation who have commenced vaccination with a vaccine authorised by the European Medicines Agency, however, have not completed the vaccination course.

331. Until 15 November 2021, persons who have the test certificate shall also provide the education service (except for the higher education service) and the child supervision service on site and shall present the certificate upon request of the recipient of the service. The service provider shall undergo testing according to the COVID-19 testing algorithm published on the website of the Centre.

332. Until 15 November 2021, an educational institution (except for in study programmes implemented by colleges and higher education institutions) shall:

332.1. organise testing of employees in cooperation with a laboratory performing COVID-19 tests;

332.2. transfer to the relevant laboratory the data on employees (given name(s), surname, personal identity number, sex, address of the declared, registered place of residence or the place of residence indicated by the person, contact information - telephone number, electronic mail address, if any, country of citizenship, date of birth, name of the educational institution).

333. Until 15 November 2021, the service provider involved in the ensuring of the educational process has the obligation to transfer to the laboratory performing COVID-19 tests in the relevant educational institution the data of persons involved in the provision of the service (given name(s), surname, personal identity number, sex, address of the declared, registered place of residence or the place of residence indicated by the person, contact details - telephone number, electronic mail address, if any, country of citizenship, date of birth, name of the educational institution).

334. Until 15 November 2021, a laboratory performing COVID-19 tests for employees of an educational institution and service provider shall inform the relevant educational institution that a positive result of the COVID-19 test has been established in respect of an employee or that no positive results of the COVID-19 test have been established. The service provider has the obligation to inform the relevant educational institution of the positive result of the COVID-19 test of a person involved in the provision of the service.

335. Until 15 November 2021, a person may provide the services referred to in Paragraphs 70, 71, and 72 of this Regulation, and also come into contact with the recipients of the services referred to in Paragraphs 70, 71, and 72 of this Regulation at the place where the service is provided during performance of contractual relations if the person can present a certification (in paper or digital form) of a negative COVID-19 test result if the person has undergone the test within the last 72 hours according to the algorithm published on the website of the Centre.

[8 October 2021]

336. Until 15 November 2021, the following shall be ensured in order to prevent the mass spread of COVID-19 infection in long-term social care and social rehabilitation institutions:

336.1. testing of employees with the antigen test. The institution shall ensure that antigen tests are recorded according to the number of tests received and used, additionally including in such records information on the number of tests used for the determination of antigen with a positive test result;

336.2. suspension of an employee from the performance of work duties if his or her antigen test is positive by ordering the employee to contact his or her general practitioner without delay in order to undergo the laboratory testing for the diagnosing of COVID-19, and also identification of the contact persons who must be subject to the self-isolation requirements.

337. A valid vaccination certificate shall be issued to a person who has received the first dose of the Vaxzevria vaccine before 10 October 2021 in the time period from the twenty-second to ninetieth day after receipt of the first dose but not longer than until 31 December 2021, and immediately after receipt of the second dose of the Vaxzevria vaccine.

[20 October 2021]

338. The persons who provide the State-funded service of an assistant or companion outdoors or who provide a care service funded within the scope of a draft instrument of European Union policies to a child under 18 years of age at their place of residence shall present the certification (in paper or digital form) of a negative COVID-19 test result to the recipient of the respective service or the legal representative thereof.

[26 October 2021]

339. Sub-chapter 4.3 of this Regulation shall come into force on 15 November 2021.

[9 November 2021]

340. Paragraph 174.1 of this Regulation shall come into force on 1 January 2022. The conditions referred to in Paragraph 174.1 of this Regulation shall be applied from 1 July 2022 to the medical treatment institutions which have entered into contracts with the National Health Service on the provision of health care services until 31 December 2021.

[7 December 2021]

341. The requirements laid down in Sub-paragraph 246.11 of this Regulation shall be applied concurrently with the coming into force of amendments to Cabinet Regulation No. 715 of 3 August 2010, Welfare Requirements for Keeping of Fur Animals, in relation to the requirements regarding the installation of video cameras in an animal holding.

[21 December 2021]

342. From 7 March 2022, the persons who are remotely employed in private educational institutions and who are involved in the educational process and the provision thereof shall perform their work duties if they have a certificate confirming a completed primary vaccination or booster vaccine or a recovery certificate.

[6 January 2022]

343. Paragraph 148.1 of this Regulation shall come into force on 1 February 2022.

[6 January 2022]

Prime Minister A. K. Kariņš

Minister for Health D. Pavļuts

 

Annex 1
Cabinet Regulation No. 662
28 September 2021

Notification of the COVID-19 Outcome

Name of the medical treatment institution  

Code         

Given name(s), surname of the physician  

Telephone        

1. Given name(s), surname of the patient  

2. Personal identity number       -      or

date of birth   .   .     .

3. Sex: female male

age (years):   

4. Actual place of residence  

5. Date of hospitalisation   .   .     .

6. Name of the institution
7. Admission diagnosis  

8. If hospitalised in ICU, date   .   .     .

9. Discharge from ICU, date   .   .     .

10. Supporting therapy:

oxygen therapy

pulmonary artificial ventilation

ECMO

11. Outcome:

discharged

death

12. Date of discharge or death   .   .     .

13. Date of the laboratory determination of SARS-CoV-2   .   .     .

14. Chronic illnesses and other risk factors:

yes (mark)

no

unknown

cardiovascular disease

diabetes mellitus

hypertension

oncological illness

asthma

tuberculosis

pulmonary disease

immunosuppression, including HIV

liver disease

immunosuppression due to the use of medicinal products

renal disease

adiposity

neurological or neuro-muscular disease

pregnancy (weeks)

asplenia

post-natal period up to 6 weeks

other

15. Complications:

ARDS

bacterial pneumonia

acute renal deficiency

bronchiolitis

other secondary bacterial infection

heart failure

myocarditis

sepsis

multiple organ failure

encephalitis

Kawasaki syndrome

other

16. Has patient has used any medicinal products before onset of the disease:

yes (mark)

no

unknown

angiotensin-converting-enzyme (ACE) inhibitors  
angiotensin II receptor blockers (ARB)  
non-steroidal anti-inflammatory substances  

17. Other agents have been determined for the patient in laboratory:

yes (mark)

no

unknown

Clinical material  
Agent

18. Vaccination against influenza and pneumococcal infection:

against influenza in this season:

vaccinated

not vaccinated

unknown

against pneumococcal infection:

vaccinated

not vaccinated

unknown

19. In case of death of the patient, whether an autopsy has been performed:

yes (mark)

no

unknown

Autopsy result

20. Cause of death in the medical certificate according to the ICD-10:

Part I     ,     ,     ,    

Part II     ,     ,     ,    

Part III     ,     ,     ,    

21. Additional information

Fill-in date*   .   .     .

Signature of the physician* _________________________

Place for a seal*

Note. * The details of the document "signature", "date", 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 2
Cabinet Regulation No. 662
28 September 2021

[14 December 2021]

Form for the Evaluation of the Health Condition of a Person before Vaccination against COVID-19

Institution performing vaccination
 

(name and registration code)

   
SECTION OF THE PERSON Date
   
Given name, surname of the person

Personal identity number

           

-

         

Please answer the following questions regarding your health condition (circle as appropriate):

Are you aware of an allergy to any of the substances in the vaccine (polyethylene glycol (PEG) or other substances containing PEGylated molecules)? Yes No
Have you ever had anaphylactic reactions (severe allergic reaction) to any vaccine or an injectable medication? Yes No
Do you experience any symptoms of acute infection at the moment, do you have temperature or other complaints about well-being? Yes No
Are you currently using immunosuppressive agents, glucocorticoids, biological medicinal products, beta blockers Yes No
Are you pregnant (for women) Yes No
Have you received any other vaccination in the last 14 days? Yes No
Have you been diagnosed with COVID-19 infection with a positive SARS-CoV-2 PCR test result Yes No
Have you already received any vaccination against COVID-19 Yes No
Are you using oral contraception (for women) Yes No
Do you smoke Yes No
Have you undergone a serious, extended (45< min) surgical operation within the last three months Yes No
Have you been subject to restricted mobility for an extended period of time, for example, by sitting for 14 hours in a row or sleeping for more than 12 hours (confinement to bed after surgical intervention, fractures), within the last month Yes No
Have you had a leg fracture, prosthetic procedure of the pelvic bone or knee within the last three months Yes No
Have you undergone medical treatment at a hospital due to myocardial infarction, heart failure, or atrial fibrillation Yes No
Have you had thrombi Yes No
Are you currently undergoing chemotherapy due to a tumour Yes No
Have you previously had immune thrombocytopenia (had haemorrhage due to a low platelet level or suffer from haematomas or superficial haemorrhage in the skin and registered by a haematologist due to this problem) Yes No
Have you been diagnosed with the capillary leak syndrome (leakage of liquid from the small blood vessels) Yes No

In relation to epidemiological risks upon receipt of a booster vaccination

Do you have extended mutual interactions with other persons outside the household during which you come into physical contact with them or are closer than two metres to them for an extended period of time, are indoors (for example, in a classroom, conference room, waiting zone of a hospital, office), or regularly travel on a public transport for more than 15 minutes Yes No
Are you subjected to high risk of infection by being in direct contact and communicating with persons whose health condition is unknown Yes No
Are you suffering from a chronic disease Yes No

The person confirms that he or she has provided truthful information and that the medical practitioner/pharmacist has provided information on vaccination.

Person to be vaccinated
(or the lawful, authorised representative)
 
  (signature)   (full name)

SECTION OF THE MEDICAL PRACTITIONER/PHARMACIST

Age of the person in full years ____________

Surveyed risk factors:

NONE
PRESENT

Information on the COVID-19 vaccines received and on the designated COVID-19 vaccine:

Name of the vaccine

COVID-19 vaccine received*

Designated COVID-19 vaccine

serial number

date

1st dose

2nd dose

additional dose (2nd or 3rd dose)

for an immunosuppressive patient;

not earlier than 28 days after the 2nd dose, in case of Janssen - after the 1st dose

booster vaccination

(2nd or 3rd dose)

Vaxzevria     not earlier than 6 months after the 2nd dose

Comirnaty     not earlier than 6 months after the 2nd dose

Spikevax     not earlier than 6 months after the 2nd dose;

preferably closer to 8 months

full dose - 0.5 ml

half dose - 0.25 ml

Janssen     not earlier than 8 months after the 1st dose

Note. * To be completed if COVID-19 vaccine has been received. If several COVID-19 vaccines have been received, information on the last dose of vaccine received shall be indicated in the table.

Notes of the medical practitioner/pharmacist and the decision to allow or refuse vaccination:

Vaccination allowed Vaccination postponed until _________________________

Vaccination contraindicated because

The medical practitioner/pharmacist who performed survey before vaccination

(given name, surname, medical treatment institution or pharmacy, position)

Signature __________________________

Name and amount of the administered vaccine ______________________________________________

The medical practitioner/pharmacist who administered the vaccine

(given name, surname)

Signature __________________________

 

Annex 3
Cabinet Regulation No. 662
28 September 2021

COVID-19 Testing Report

1. Nationality of the personal identifier or the issuing country of the presented identity document of the patient
2. If the issuing country of the document presented is Latvia - the Latvian personal identity number of the patient
3. If the issuing country of the document presented is other than Latvia - the foreign personal identity number of the patient or personal registration number
4. Given name(s) of the patient
5. Surname of the patient
6. Date of birth of the patient
7. Sex of the patient
8. Address of the place of stay in Latvia of the patient
9. Telephone number of the patient with an area code
10. E-mail of the patient
11. Contact persons of the patient (contact person type, contact details)
12. Person ordering the COVID-19 testing
13. If the COVID-19 testing is ordered by the Centre for Disease Prevention and Control or the Health Inspectorate, the name of the group to be tested (for example, name of the undertaking, school) and contact information
14. Information on the referral to COVID-19 testing:
14.1. payer for the COVID-19 testing
14.2. subject of the COVID-19 testing
14.3. type of the COVID-19 testing
14.4. name of the COVID-19 rapid antigen test
14.5. manufacturer of the COVID-19 rapid antigen test
15. Unique identifier of the sample
16. Sample type
17. Date and time of taking the sample
18. Medical practitioner who is responsible for the COVID-19 test result (given name(s) and surname)
19. Identifier assigned by the Health Inspectorate to the medical practitioner who is responsible for the COVID-19 test result
20. Name, code, address, and telephone number of the medical treatment institution
21. Status of the COVID-19 test result
22. Date and time of the COVID-19 test result
23. COVID-19 test result
24. Information on the strain of virus to be identified

Translation © 2022 Valsts valodas centrs (State Language Centre)

 
Document information
Title: Epidemioloģiskās drošības pasākumi Covid-19 infekcijas izplatības ierobežošanai Status:
In force
in force
Issuer: Cabinet of Ministers Type: regulation Document number: 662Adoption: 28.09.2021.Entry into force: 11.10.2021.Theme: COVID-19Publication: Latvijas Vēstnesis, 191A, 04.10.2021. OP number: 2021/191A.1
Language:
LVENRU
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