EXECUTIVE COMMITTEE OF THE ADMINISTRATION OF THE CITY OF VORONEZH

RESOLUTION

In connection with the adoption of the new Federal Law dated March 30, 1999 N 52-FZ “On the sanitary and epidemiological welfare of the population” and Order of the Ministry of Health of the Russian Federation dated December 31, 1999 N 474 “On the list of paid medical work (services) that can be performed by state institutions Sanitary and Epidemiological Service of the Russian Federation" the executive committee of the City Administration decides:

1. Resolution of the executive committee of the administration of the city of Voronezh, Voronezh region dated 06/06/1997 N 120 “On the implementation of the RSFSR Law “On the sanitary and epidemiological welfare of the population” dated 04/19/1991, orders of the State Committee for Sanitary and Epidemiological Supervision of the Russian Federation N 91 of 09/07/1993 and N 125 of 08/07/1996 institutions of the State Sanitary and Epidemiological Supervision in Voronezh" shall be declared invalid.

2. To the chief physician of the Center for State Sanitary and Epidemiological Surveillance in Voronezh, N.P. Mamchik. ensure that state sanitary and epidemiological surveillance institutions in Voronezh comply with paid medical work and services provided to legal and individuals engaged in entrepreneurial activity, in accordance with this application.

3. Set what is paid medical services and the work is carried out within the main functions of the state sanitary and epidemiological supervision institutions of the Russian Federation.

4. Control over the implementation of this resolution is entrusted to the chief physician of the state sanitary and epidemiological surveillance center in Voronezh N.P. Mamchika.

Head of Administration
A.N.TSAPIN

Application. LIST OF PAID MEDICAL ACTIVITIES AND SERVICES PROVIDED BY INSTITUTIONS OF THE STATE SANITARY AND epidemiological supervision in VORONEZH TO LEGAL AND INDIVIDUAL ENTITIES ENGAGED IN BUSINESS ACTIVITIES

Application
to the resolution of the executive committee
Administration of Voronezh
dated 18.05.2000 N 327

1. Sanitary, hygienic, epidemiological examinations and issuance of conclusions based on their results at the request of citizens and legal entities:

1.1. According to pre-design, as well as design, regulatory and operational documentation developed with partial deviations from the requirements of sanitary standards, rules and hygienic standards;

1.2. By design solutions, for which there are no sanitary standards, rules and hygienic standards, including for planning projects, development, feasibility studies for construction, technical re-equipment, proposals for choice land plots for construction, draft justifications for standards for emissions and discharges of pollutants, as well as justifications for special water use.

1.3. Projects normative and technical documentation (technical specifications, regulations, recipes) for new (modernized) products for industrial and technical purposes, food products, as well as those intended for personal (household) needs.

2. Laboratory and instrumental studies and measurements, hygienic and other types of assessments at the request of citizens, individual entrepreneurs and legal entities.

3. Production, storage and sale of disinfection, pest control, deratization products at the request of citizens, individual entrepreneurs and legal entities.

4. Consulting services, including preparation, publication, distribution of methodological, regulatory, information and other printed, audiovisual, electronic materials on issues of ensuring the sanitary and epidemiological well-being of the population at the request of citizens, individual entrepreneurs and legal entities.

5. Hygienic training and education of employees of enterprises, organizations, institutions, persons engaged in entrepreneurial activities and the population, the provision of which is entrusted to them by current legislation Russian Federation and according to their requests.

6. Disinfection, pest control and deratization works (services) at the request of citizens, individual entrepreneurs and legal entities.

Chief State
sanitary doctor for Voronezh
N.P.MAMCHIK

Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population”

(extraction)

Article 12. Sanitary and epidemiological requirements for the planning and development of urban and rural settlements

• 1. When planning and developing urban and rural settlements, the creation of favorable conditions for the life and health of the population must be provided through the comprehensive improvement of urban and rural settlements and the implementation of other measures to prevent and eliminate the harmful effects of environmental factors on humans.
• 2. When developing urban planning standards, territorial planning schemes, master plans urban and rural settlements, planning projects for public centers, residential areas, city highways, resolving issues of placement of civil, industrial and agricultural facilities and establishing their sanitary protection zones, as well as in the design, construction, reconstruction, technical re-equipment, conservation and liquidation of industrial , transport facilities, buildings and structures for cultural and domestic purposes, residential buildings, engineering infrastructure and improvement facilities and other objects (hereinafter referred to as objects) must comply with sanitary rules.
• 2 1 . In order to implement urban planning activities in conditions of cramped urban development, the federal executive body exercising federal state sanitary and epidemiological supervision has the right to establish the specifics of the application of individual sanitary and epidemiological requirements, the requirements provided for sanitary rules, or approve individual sanitary and epidemiological requirements, sanitary rules (with the exception of the minimum necessary requirements to ensure the safety of buildings and structures, including their constituent systems and engineering support networks).
• 4. Citizens, individual entrepreneurs and legal entities responsible for carrying out work on the design and construction of facilities, their financing and (or) lending, in the event of a violation of sanitary and epidemiological requirements or the impossibility of fulfilling them, are obliged to suspend or completely stop carrying out these works and their financing and (or) lending.

Article 24. Sanitary and epidemiological requirements for the operation of industrial and public premises, buildings, structures, equipment and transport

• 1. When operating industrial, public premises, buildings, structures, equipment and transport, sanitary and anti-epidemic (preventive) measures must be carried out and safe working, living and recreational conditions for humans must be ensured in accordance with sanitary rules and other regulatory legal acts of the Russian Federation.
• 2. Individual entrepreneurs and legal entities are obliged to suspend or cease their activities or the work of individual workshops, areas, operation of buildings, structures, equipment, transport, performance individual species works and provision of services in cases where sanitary rules are violated during the implementation of these activities, works and services.

Article 27. Sanitary and epidemiological requirements for working conditions with sources of physical factors affecting humans

• 1. Working conditions with machines, mechanisms, installations, devices, devices that are sources of physical factors affecting humans (noise, vibration, ultrasonic, infrasonic influences, thermal, ionizing, non-ionizing and other radiation) should not have a harmful effect on humans .
• 2. Criteria for safety and (or) harmlessness of working conditions with sources of physical factors affecting humans, including maximum permissible levels of exposure, are established by sanitary rules.
• 3. Use of machines, mechanisms, installations, devices and apparatus, as well as production, application (use), transportation, storage and disposal radioactive substances, materials and waste that are sources of physical factors affecting humans, specified in paragraph 1 of this article, are allowed if there are sanitary and epidemiological conclusions on the compliance of working conditions with sources of physical factors influencing humans with sanitary rules.
• 4. Relations arising in the field of security radiation safety population and safety of work with sources of ionizing radiation are established by the legislation of the Russian Federation.

State Duma

Federation Council

List of changing documents

(as amended by Federal Laws of December 30, 2001 N 196-FZ,

dated January 10, 2003 N 15-FZ, dated June 30, 2003 N 86-FZ,

dated 08/22/2004 N 122-FZ, dated 05/09/2005 N 45-FZ,

dated December 31, 2005 N 199-FZ, dated December 18, 2006 N 232-FZ,

dated December 29, 2006 N 258-FZ, dated December 30, 2006 N 266-FZ,

dated June 26, 2007 N 118-FZ, dated November 8, 2007 N 258-FZ,

dated 01.12.2007 N 309-FZ, dated 14.07.2008 N 118-FZ,

dated July 23, 2008 N 160-FZ, dated December 30, 2008 N 309-FZ,

dated September 28, 2010 N 243-FZ, dated December 28, 2010 N 394-FZ,

dated July 18, 2011 N 215-FZ, dated July 18, 2011 N 242-FZ,

dated July 18, 2011 N 243-FZ, dated July 19, 2011 N 248-FZ,

dated 07.12.2011 N 417-FZ, dated 05.06.2012 N 52-FZ,

dated June 25, 2012 N 93-FZ, dated July 2, 2013 N 185-FZ,

dated July 23, 2013 N 246-FZ, dated November 25, 2013 N 317-FZ,

dated June 23, 2014 N 160-FZ, dated June 23, 2014 N 171-FZ,

dated December 29, 2014 N 458-FZ, dated June 29, 2015 N 160-FZ,

dated July 13, 2015 N 213-FZ, dated July 13, 2015 N 233-FZ,

as amended by Federal Laws No. 88-FZ dated June 12, 2008,

dated October 27, 2008 N 178-FZ, dated December 22, 2008 N 268-FZ)

This Federal Law is aimed at ensuring the sanitary and epidemiological well-being of the population as one of the main conditions for the implementation constitutional rights citizens for health protection and a favorable environment.

Chapter I. GENERAL PROVISIONS

Article 1. Basic concepts

For the purposes of this Federal Law, the following basic concepts are used:

sanitary and epidemiological well-being of the population - the state of health of the population, the human environment, in which there is no harmful impact of environmental factors on a person and favorable conditions for his life are provided;

harmful effects on humans - exposure to environmental factors that pose a threat to human life or health or a threat to the life or health of future generations;

favorable conditions for human life - a state of the environment in which there is no harmful effect of its factors on humans (harmless conditions) and there are opportunities for restoring impaired functions of the human body;

safe conditions for humans - a state of the living environment in which there is no danger of harmful effects of its factors on humans;

sanitary and epidemiological situation - the state of health of the population and habitat in a certain territory at a specific time;

hygienic standard - an acceptable maximum or minimum quantitative and (or) qualitative value of an indicator established by research that characterizes a particular environmental factor from the standpoint of its safety and (or) harmlessness to humans;

sanitary and epidemiological requirements - mandatory requirements to ensure the safety and (or) harmlessness for humans of environmental factors, operating conditions of legal entities and citizens, including individual entrepreneurs, territories used by them, buildings, structures, structures, premises, equipment, vehicles, non-compliance with which creates a threat to life or human health, the threat of the occurrence and spread of diseases and which are established by state sanitary and epidemiological rules and hygienic standards (hereinafter referred to as sanitary rules), and in relation to product safety and the processes of its production, storage, transportation, sale, operation, application related to product requirements (use) and disposal, which are established by documents adopted in accordance with international treaties of the Russian Federation and technical regulations;

social and hygienic monitoring - government system observations of the state of health of the population and the environment, their analysis, assessment and forecast, as well as determination of cause-and-effect relationships between the state of health of the population and the impact of environmental factors;

federal state sanitary and epidemiological supervision - activities to prevent, detect, suppress violations of the legislation of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population in order to protect public health and the environment;

sanitary-epidemiological conclusion - a document issued in accordance with this Federal law cases federal authorities executive power, authorized to carry out federal state sanitary and epidemiological supervision, and certifying the compliance or non-compliance with sanitary rules of environmental factors, operating conditions of legal entities, citizens, including individual entrepreneurs, as well as the territories, buildings, structures, structures, premises used by them , equipment, vehicles;

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

sanitary and anti-epidemic (preventive) measures - organizational, administrative, engineering, technical, medical, sanitary, veterinary and other measures aimed at eliminating or reducing the harmful effects of environmental factors on humans, preventing the occurrence and spread of infectious diseases and mass non-infectious diseases (poisonings) ) and their liquidation;

restrictive measures (quarantine) - administrative, medical, sanitary, veterinary and other measures aimed at preventing the spread of infectious diseases and providing for a special regime for economic and other activities, restricting the movement of the population, vehicles, cargo, goods and animals;

infectious diseases - human infectious diseases, the occurrence and spread of which is caused by the impact on humans of biological environmental factors (causative agents of infectious diseases) and the possibility of transmission of the disease from a sick person or animal to a healthy person;

infectious diseases that pose a danger to others - human infectious diseases characterized by a severe course, a high level of mortality and disability, and rapid spread among the population (epidemic);

mass non-infectious diseases (poisonings) - human diseases, the occurrence of which is caused by the influence of physical and (or) chemical and (or) social environmental factors.

Article 2. Ensuring the sanitary and epidemiological well-being of the population

1. The sanitary and epidemiological well-being of the population is ensured through:

disease prevention in accordance with the sanitary and epidemiological situation and the forecast of its changes;

implementation of sanitary and anti-epidemic (preventive) measures and mandatory compliance by citizens, individual entrepreneurs and legal entities sanitary rules as an integral part of the activities they carry out;

state sanitary and epidemiological regulation;

Federal State Sanitary and Epidemiological Surveillance;

(as amended by Federal Law dated July 18, 2011 N 242-FZ)

mandatory confirmation of product compliance with sanitary and epidemiological requirements in the manner established by the legislation of the Russian Federation on technical regulation;

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

licensing of activities that pose a potential danger to humans;

state registration chemical and biological substances potentially dangerous to humans, certain types of products, radioactive substances, production and consumption waste, as well as certain types of products imported into the Russian Federation for the first time;

carrying out social and hygienic monitoring;

scientific research in the field of ensuring sanitary and epidemiological well-being of the population;

formation and maintenance of open and publicly accessible federal information resources aimed at timely informing authorities state power, organs local government, legal entities, individual entrepreneurs and citizens about the occurrence of infectious diseases, mass non-infectious diseases (poisonings), the state of the environment and ongoing sanitary and anti-epidemic (preventive) measures;

(as amended by Federal Law dated July 18, 2011 N 242-FZ)

measures for hygienic education and training of the population and promotion of a healthy lifestyle;

measures to bring to justice for violation of the legislation of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population.

2. The implementation of measures to ensure the sanitary and epidemiological well-being of the population is an expenditure obligation of the Russian Federation.

Implementation of measures to prevent epidemics and eliminate their consequences, as well as to protect environment is an expenditure obligation of the constituent entities of the Russian Federation.

State authorities and local governments, organizations of all forms of ownership, individual entrepreneurs, citizens ensure compliance with the requirements of the legislation of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population at their own expense.

(clause 2 as amended by Federal Law dated August 22, 2004 N 122-FZ)

3. The specifics of ensuring the sanitary and epidemiological well-being of the population on the territory of the Skolkovo Innovation Center, including the specifics of the approval and application of sanitary and epidemiological requirements, are established by the Federal Law “On the Skolkovo Innovation Center”.

(Clause 3 introduced by Federal Law dated September 28, 2010 N 243-FZ)

4. Features of ensuring the sanitary and epidemiological well-being of the population in the territory of the international medical cluster, including the features of the application of sanitary and epidemiological requirements, are established by the Federal Law "On the International Medical Cluster and Amendments to Individual legislative acts Russian Federation".

(Clause 4 introduced by Federal Law dated June 29, 2015 N 160-FZ)

Article 3. Legislation in the field of ensuring sanitary and epidemiological welfare of the population

Legislation in the field of ensuring the sanitary and epidemiological well-being of the population (hereinafter referred to as sanitary legislation) is based on the Constitution of the Russian Federation and consists of this Federal Law, other federal laws, as well as other regulatory legal acts of the Russian Federation adopted in accordance with them, laws and other regulatory legal acts acts of the constituent entities of the Russian Federation.

Article 4. Relations regulated by this Federal Law

This Federal Law regulates relations arising in the field of ensuring the sanitary and epidemiological well-being of the population as one of the main conditions for the implementation of the rights of citizens to health protection and a favorable environment provided for by the Constitution of the Russian Federation.

Relations arising in the field of environmental protection, to the extent necessary to ensure the sanitary and epidemiological well-being of the population, are regulated by the legislation of the Russian Federation on environmental protection and this Federal Law.

(as amended by Federal Law No. 309-FZ of December 30, 2008)

Article 5. Powers of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population

The powers of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population include:

determination of main directions public policy in the field of ensuring the sanitary and epidemiological well-being of the population;

adoption of federal laws and other regulatory legal acts of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population;

the paragraph is no longer valid. - Federal Law of August 22, 2004 N 122-FZ;

coordination of the activities of federal executive authorities, executive authorities of constituent entities of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population;

the paragraph is no longer valid. - Federal Law of August 22, 2004 N 122-FZ;

federal state sanitary and epidemiological supervision;

(as amended by Federal Law dated July 18, 2011 N 242-FZ)

state sanitary and epidemiological regulation;

social and hygienic monitoring;

establishment unified system state accounting and reporting in the field of ensuring the sanitary and epidemiological well-being of the population;

conducting state registers chemical and biological substances and certain types of products potentially dangerous to humans, radioactive substances, production and consumption waste, as well as certain types of products imported into the Russian Federation for the first time;

security sanitary protection territory of the Russian Federation;

introduction and abolition of restrictive measures (quarantine) on the territory of the Russian Federation;

introduction and abolition of sanitary and quarantine control at checkpoints across the State Border of the Russian Federation;

coordination of scientific research in the field of ensuring sanitary and epidemiological well-being of the population;

international cooperation of the Russian Federation and conclusion international treaties of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population;

implementation of measures for hygiene education and training of the population, promotion of a healthy lifestyle;

control over the sanitary and epidemiological situation;

(paragraph introduced by Federal Law dated August 22, 2004 N 122-FZ)

timely and complete informing of state authorities, local governments, legal entities, individual entrepreneurs and citizens about the sanitary and epidemiological situation, about ongoing and (or) planned sanitary and anti-epidemic (preventive) measures, including restrictive ones, about the emergence or the threat of infectious diseases and mass non-infectious diseases (poisonings).

(paragraph introduced by Federal Law dated August 22, 2004 N 122-FZ, as amended by Federal Law dated July 18, 2011 N 242-FZ)

Article 5.1. Transfer of the exercise of powers of federal executive authorities in the field of ensuring the sanitary and epidemiological well-being of the population to executive authorities of the constituent entities of the Russian Federation

(introduced by Federal Law dated July 13, 2015 N 233-FZ)

The powers of the federal executive authorities in the field of ensuring the sanitary and epidemiological well-being of the population, provided for by this Federal Law, may be transferred for implementation to the executive authorities of the constituent entities of the Russian Federation by resolutions of the Government of the Russian Federation in the manner established by the Federal Law of October 6, 1999 N 184-FZ "On general principles organizations of legislative (representative) and executive bodies of state power of the constituent entities of the Russian Federation."

Article 6. Powers of the constituent entities of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population

(as amended by Federal Law dated December 31, 2005 N 199-FZ)

The powers of the constituent entities of the Russian Federation in the field of ensuring the sanitary and epidemiological well-being of the population include:

adoption, in accordance with federal laws, of laws and other regulatory legal acts of the constituent entity of the Russian Federation, control over their implementation;

the right to develop, approve and implement regional programs to ensure the sanitary and epidemiological well-being of the population, agreed upon with the territorial body of the federal executive body exercising control and supervision functions in the field of ensuring the sanitary and epidemiological well-being of the population;

introduction and abolition of restrictive measures (quarantine) on the territory of a constituent entity of the Russian Federation on the basis of proposals and orders of chief state sanitary doctors and their deputies;

the right to implement measures for hygienic education and training of the population, promoting a healthy lifestyle;

ensuring timely information to the population of a constituent entity of the Russian Federation about the emergence or threat of infectious diseases and mass non-infectious diseases (poisonings), about the state of the environment and ongoing sanitary and anti-epidemic (preventive) measures;

the right to participate in social and hygienic monitoring of a constituent entity of the Russian Federation.

(as amended by Federal Law dated December 29, 2006 N 258-FZ)

Article 7. Lost force. - Federal Law of August 22, 2004 N 122-FZ.

Chapter II. RIGHTS AND OBLIGATIONS OF CITIZENS, INDIVIDUAL

ENTREPRENEURSHIP AND LEGAL ENTITIES IN THE FIELD OF SECURITY

SANITARY AND EPIDEMIOLOGICAL WELFARE OF THE POPULATION

Article 8. Rights of citizens

Citizens have the right:

on favorable environment habitat, the factors of which do not have a harmful effect on humans;

receive, in accordance with the legislation of the Russian Federation, from state authorities, local governments, bodies exercising federal state sanitary and epidemiological supervision, and from legal entities information about the sanitary and epidemiological situation, the state of the environment, the quality and safety of industrial and technical products, food products, goods for personal and household needs, potential danger for human health of the work performed and services provided;

(as amended by Federal Laws dated August 22, 2004 N 122-FZ, dated July 18, 2011 N 242-FZ)

contact the bodies authorized to carry out federal state sanitary and epidemiological supervision in connection with violations of the requirements of sanitary legislation that create a threat of harm to life, human health, harm to the environment and a threat to the sanitary and epidemiological well-being of the population;

(as amended by Federal Law dated July 18, 2011 N 242-FZ)

submit to state authorities, local government bodies, bodies carrying out federal state sanitary and epidemiological supervision, proposals to ensure the sanitary and epidemiological well-being of the population;

(as amended by Federal Laws dated August 22, 2004 N 122-FZ, dated July 18, 2011 N 242-FZ)

for full compensation for damage caused to their health or property as a result of violation of sanitary legislation by other citizens, individual entrepreneurs and legal entities, as well as during the implementation of sanitary and anti-epidemic (preventive) measures, in the manner established by the legislation of the Russian Federation.

Article 9. Rights of individual entrepreneurs and legal entities

Individual entrepreneurs and legal entities have the right:

receive, in accordance with the legislation of the Russian Federation, from state authorities, local governments, bodies exercising federal state sanitary and epidemiological supervision, information about the sanitary and epidemiological situation, the state of the habitat, sanitary rules;

(as amended by Federal Laws dated August 22, 2004 N 122-FZ, dated July 18, 2011 N 242-FZ)

take part in the development by federal executive authorities, executive authorities of constituent entities of the Russian Federation, local government bodies of measures to ensure the sanitary and epidemiological well-being of the population;

for full compensation for damage caused to their property as a result of violations of sanitary legislation by citizens, other individual entrepreneurs and legal entities, as well as during the implementation of sanitary and anti-epidemic (preventive) measures, in the manner established by the legislation of the Russian Federation.

Article 10. Responsibilities of citizens

Citizens are obliged:

take care of the health, hygiene education and education of their children;

not to carry out actions that entail a violation of the rights of other citizens to health protection and a favorable living environment.

Article 11. Responsibilities of individual entrepreneurs and legal entities

Individual entrepreneurs and legal entities, in accordance with the activities they carry out, are obliged to:

comply with the requirements of sanitary legislation, as well as resolutions and instructions of officials carrying out federal state sanitary and epidemiological supervision;

(as amended by Federal Laws dated July 18, 2011 N 242-FZ, dated July 19, 2011 N 248-FZ)

develop and carry out sanitary and anti-epidemic (preventive) measures;

ensure the safety for human health of the work performed and services provided, as well as products for industrial and technical purposes, food products and goods for personal and household needs during their production, transportation, storage, and sale to the public;

realize production control, including through laboratory research and testing, compliance with sanitary and epidemiological requirements and carrying out sanitary and anti-epidemic (preventive) measures when performing work and providing services, as well as during the production, transportation, storage and sale of products;

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

carry out work to substantiate the safety for humans of new types of products and their production technology, criteria for the safety and (or) harmlessness of environmental factors and develop methods for monitoring environmental factors;

promptly inform the population, local government bodies, bodies exercising federal state sanitary and epidemiological supervision about emergency situations, production stoppages, and violations technological processes posing a threat to the sanitary and epidemiological well-being of the population;

(as amended by Federal Laws dated August 22, 2004 N 122-FZ, dated July 18, 2011 N 242-FZ)

carry out hygienic training of workers.

Chapter III. SANITARY-EPIDEMIOLOGICAL

ENVIRONMENTAL SECURITY REQUIREMENTS

HABITAT FOR HUMAN HEALTH

Article 12. Sanitary and epidemiological requirements for the planning and development of urban and rural settlements

1. When planning and developing urban and rural settlements, the creation of favorable conditions for the life and health of the population must be provided through the comprehensive improvement of urban and rural settlements and the implementation of other measures to prevent and eliminate the harmful effects of environmental factors on humans.

2. When developing standards for urban planning, territorial planning schemes, master plans for urban and rural settlements, planning projects for public centers, residential areas, city highways, resolving issues of locating civil, industrial and agricultural facilities and establishing their sanitary protection zones, as well as During the design, construction, reconstruction, technical re-equipment, conservation and liquidation of industrial, transport facilities, buildings and structures for cultural and domestic purposes, residential buildings, engineering infrastructure and improvement facilities and other facilities (hereinafter referred to as facilities), sanitary rules must be observed.

(as amended by Federal Laws dated December 18, 2006 N 232-FZ, dated July 18, 2011 N 215-FZ, dated June 23, 2014 N 171-FZ)

3. Lost power. - Federal Law of July 19, 2011 N 248-FZ.

4. Citizens, individual entrepreneurs and legal entities responsible for carrying out work on the design and construction of facilities, their financing and (or) lending, in the event of a violation of sanitary and epidemiological requirements or the impossibility of fulfilling them, are obliged to suspend or completely stop carrying out these works and their financing and (or) lending.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

Article 13. Sanitary and epidemiological requirements for products for industrial and technical purposes, goods for personal and household needs and technologies for their production

1. Products for industrial and technical purposes, the production, transportation, storage, application (use) and disposal of which require direct human participation, as well as goods for personal and household needs of citizens (hereinafter referred to as products) should not have a harmful effect on humans and the environment a habitat.

Products in their properties and performance must comply with sanitary and epidemiological requirements.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

2. Production, application (use) and sale to the population of new types of products (developed or introduced for the first time) are carried out subject to their compliance with sanitary and epidemiological requirements.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

3. Citizens, individual entrepreneurs and legal entities engaged in the development, production, transportation, purchase, storage and sale of products, if it is established that they do not comply with sanitary and epidemiological requirements, are obliged to suspend such activities, withdraw the products from circulation and take measures for application (use) products for purposes that exclude harm to humans, or destroy them.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

Article 14. Sanitary and epidemiological requirements for chemical, biological substances and certain types of products that are potentially dangerous to humans

Chemical, biological substances and certain types of products potentially hazardous to humans are allowed for production, transportation, purchase, storage, sale and application (use) after their state registration in accordance with Article 43 of this Federal Law.

Article 18. Sanitary and epidemiological requirements for water bodies

1. Water bodies used for drinking and domestic water supply, as well as for medicinal, health and recreational purposes, including water bodies located within the boundaries of urban and rural settlements (hereinafter referred to as water bodies), should not be sources biological, chemical and physical factors of harmful effects on humans.

(Clause 1 as amended by Federal Law dated July 14, 2008 N 118-FZ)

2. Criteria for safety and (or) harmlessness to humans water bodies, including extremely permissible concentrations in water, chemical, biological substances, microorganisms, background radiation levels are established by sanitary rules.

3. The use of a water body for specifically specified purposes is permitted if there is a sanitary and epidemiological conclusion on the compliance of the water body with sanitary rules and conditions for safe use of the water body for public health.

4. To protect water bodies, prevent their pollution and clogging, standards for maximum permissible harmful effects on water bodies, standards for maximum permissible discharges of chemical, biological substances and microorganisms are established in accordance with the legislation of the Russian Federation, agreed with the bodies exercising federal state sanitary and epidemiological supervision. into water bodies.

(as amended by Federal Laws dated August 22, 2004 N 122-FZ, dated July 18, 2011 N 242-FZ)

Projects of districts and zones of sanitary protection of water bodies used for drinking, domestic water supply and for medicinal purposes are approved by executive authorities of the constituent entities of the Russian Federation in the presence of a sanitary and epidemiological conclusion on their compliance with sanitary rules.

(as amended by Federal Law dated August 22, 2004 N 122-FZ)

5. Executive authorities of the constituent entities of the Russian Federation, local governments, individual entrepreneurs and legal entities, if water bodies pose a danger to public health, are obliged, in accordance with their powers, to take measures to limit, suspend or prohibit the use of these water bodies.

The boundaries and regime of sanitary protection zones for sources of drinking and domestic water supply are established by executive authorities of the constituent entities of the Russian Federation in the presence of a sanitary and epidemiological conclusion on their compliance with sanitary rules.

(paragraph introduced by Federal Law dated July 14, 2008 N 118-FZ)

Article 19. Sanitary and epidemiological requirements for drinking water, as well as for drinking and domestic water supply

(as amended by Federal Law No. 118-FZ of July 14, 2008)

1. Drinking water must be safe in epidemiological and radiation terms, harmless chemical composition and must have favorable organoleptic properties.

2. Organizations providing hot water supply, cold water supply using centralized hot water supply, cold water supply systems are obliged to ensure that the quality of hot and drinking water of these systems sanitary and epidemiological requirements.

(clause 2 as amended by Federal Law dated December 7, 2011 N 417-FZ)

3. The population of urban and rural settlements must be provided with drinking water priority in quantities sufficient to satisfy physiological and domestic needs.

Article 20. Sanitary and epidemiological requirements for atmospheric air in urban and rural settlements and territories industrial organizations, air in work areas production premises, residential and other premises

1. Atmospheric air in urban and rural settlements, on the territories of industrial organizations, as well as air in work areas of industrial premises, residential and other premises (hereinafter referred to as places of permanent or temporary residence of a person) should not have a harmful effect on humans.

2. Criteria for safety and (or) harmlessness to humans atmospheric air in urban and rural settlements, on the territories of industrial organizations, air in places of permanent or temporary residence of people, including maximum permissible concentrations (levels) of chemical, biological substances and microorganisms in the air, are established by sanitary rules.

3. Standards for maximum permissible emissions of chemical, biological substances and microorganisms into the air, projects for sanitary protection zones are approved in the presence of a sanitary and epidemiological conclusion on the compliance of these standards and projects with sanitary rules.

4. State authorities of the Russian Federation, state authorities of the constituent entities of the Russian Federation, local governments, citizens, individual entrepreneurs, legal entities, in accordance with their powers, are obliged to implement measures to prevent and reduce air pollution in urban and rural settlements, air in places permanent or temporary residence of a person, ensuring compliance of atmospheric air in urban and rural settlements, air in places of permanent or temporary residence of a person with sanitary rules.

Article 21. Sanitary and epidemiological requirements for soils, maintenance of territories of urban and rural settlements, industrial sites

1. In the soils of urban and rural settlements and agricultural lands, the content of chemical and biological substances, biological and microbiological organisms potentially hazardous to humans, as well as the level of background radiation should not exceed the maximum permissible concentrations (levels) established by sanitary rules.

The paragraph is no longer valid. - Federal Law of August 22, 2004 N 122-FZ.

Article 22. Sanitary and epidemiological requirements for the collection, accumulation, transportation, processing, disposal, neutralization, and disposal of production and consumption waste

1. Production and consumption waste is subject to collection, accumulation, transportation, processing, disposal, neutralization, disposal, the conditions and methods of which must be safe for public health and the environment and which must be carried out in accordance with sanitary rules and other regulatory legal acts of the Russian Federation .

(as amended by Federal Law dated December 29, 2014 N 458-FZ)

2. Lost power. - Federal Law of August 22, 2004 N 122-FZ.

3. Radiation monitoring must be carried out in places of centralized processing, recycling, neutralization, and disposal of production and consumption waste.

(as amended by Federal Law dated December 29, 2014 N 458-FZ)

Industrial and consumer wastes, the radiation monitoring of which revealed an excess of the level of background radiation established by sanitary rules, are subject to processing, disposal, neutralization, and disposal in accordance with the legislation of the Russian Federation in the field of ensuring radiation safety.

(as amended by Federal Law dated December 29, 2014 N 458-FZ)

Article 23. Sanitary and epidemiological requirements for residential premises

1. Residential premises in terms of area, layout, illumination, insolation, microclimate, air exchange, noise levels, vibration, ionizing and non-ionizing radiation must comply with sanitary and epidemiological requirements in order to ensure safe and harmless living conditions, regardless of its duration.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

2. Occupancy of residential premises recognized in accordance with the sanitary legislation of the Russian Federation as unsuitable for habitation, as well as provision to citizens for permanent or temporary residence non-residential premises not allowed.

Article 24. Sanitary and epidemiological requirements for the operation of industrial and public premises, buildings, structures, equipment and transport

1. When operating industrial, public premises, buildings, structures, equipment and transport, sanitary and anti-epidemic (preventive) measures must be carried out and safe working, living and recreational conditions for humans must be ensured in accordance with sanitary rules and other regulatory legal acts of the Russian Federation.

2. Individual entrepreneurs and legal entities are obliged to suspend or terminate their activities or the work of individual workshops, areas, the operation of buildings, structures, equipment, transport, the performance of certain types of work and the provision of services in cases where, during the implementation of these activities, works and services, sanitary standards are violated rules.

Article 25. Sanitary and epidemiological requirements for working conditions

1. Working conditions, workplace And labor process should not have a harmful effect on humans. Requirements for ensuring safe working conditions for humans are established by sanitary rules and other regulatory legal acts of the Russian Federation.

2. Individual entrepreneurs and legal entities are obliged to carry out sanitary and anti-epidemic (preventive) measures to ensure safe working conditions for humans and to comply with the requirements of sanitary rules and other regulatory legal acts of the Russian Federation for production processes and technological equipment, organization of workplaces, collective and individual means protection of workers, work, rest and consumer services for workers in order to prevent injuries, occupational diseases, infectious diseases and diseases (poisonings) associated with working conditions.

Article 27. Sanitary and epidemiological requirements for working conditions with sources of physical factors affecting humans

1. Working conditions with machines, mechanisms, installations, devices, devices that are sources of physical factors affecting humans (noise, vibration, ultrasonic, infrasonic influences, thermal, ionizing, non-ionizing and other radiation) should not have a harmful effect on humans .

2. Criteria for safety and (or) harmlessness of working conditions with sources of physical factors affecting humans, including maximum permissible levels of exposure, are established by sanitary rules.

3. The use of machines, mechanisms, installations, devices and apparatus, as well as the production, application (use), transportation, storage and burial of radioactive substances, materials and waste that are sources of physical factors affecting humans, specified in paragraph 1 of this article, are allowed in the presence of sanitary and epidemiological conclusions on the compliance of working conditions with sources of physical factors affecting humans with sanitary rules.

4. Relations arising in the field of ensuring radiation safety of the population and safety of work with sources of ionizing radiation are established by the legislation of the Russian Federation.

Article 28. Sanitary and epidemiological requirements for the conditions of rest and health of children, their upbringing and education

(as amended by Federal Law dated June 5, 2012 N 52-FZ)

1. In recreation and health organizations for children, preschool and others educational organizations Regardless of organizational and legal forms, measures must be taken to prevent diseases, preserve and strengthen the health of students and pupils, including measures to organize their nutrition, and comply with the requirements of sanitary legislation.

(as amended by Federal Laws dated 06/05/2012 N 52-FZ, dated 07/02/2013 N 185-FZ)

2. Programs, methods and regimes for raising and educating children are allowed for use in the presence of sanitary and epidemiological conclusions. The use of technical, audiovisual and other means of education and training, educational furniture, educational and other publishing products for children is carried out subject to their compliance with sanitary and epidemiological requirements.

(clause 2 as amended by Federal Law dated July 19, 2011 N 248-FZ)

Chapter VII. LIABILITY FOR VIOLATION

SANITARY LEGISLATION

Article 55. Liability for violation of sanitary legislation

(as amended by Federal Law dated December 30, 2001 N 196-FZ)

For violation of sanitary legislation, disciplinary, administrative and criminal liability in accordance with the legislation of the Russian Federation.

Article 56. Repealed. - Federal Law of December 30, 2001 N 196-FZ.

Article 57. Civil liability for causing harm due to violation of sanitary legislation

Harm caused to the person or property of a citizen, as well as harm caused to the property of a legal entity as a result of violation of sanitary legislation, is subject to compensation by the citizen or legal entity that caused the harm in full in accordance with the legislation of the Russian Federation.

Chapter VIII. FINAL PROVISIONS

Article 58. Entry into force of this Federal Law

This Federal Law comes into force on the date of its official publication.

Article 59. On the recognition of certain normative legal acts as invalid in connection with the adoption of this Federal Law

In connection with the adoption of this Federal Law, the following shall be declared invalid:

Law of the RSFSR "On the sanitary and epidemiological welfare of the population" (Vedomosti of the Congress of People's Deputies of the RSFSR and Supreme Council RSFSR, 1991, N 20, art. 641);

Article 2 of the Law of the Russian Federation "On Amendments and Additions to the Law of the RSFSR "On the Sanitary and Epidemiological Welfare of the Population", the Law of the Russian Federation "On the Protection of Consumer Rights", the Law of the Russian Federation "On Environmental Protection" (Gazette of the Congress of People's Deputies of the Russian Federation and Supreme Council of the Russian Federation, 1993, No. 29, Art. 1111);

Article 2 of the Federal Law “On Amendments and Additions to Legislative Acts of the Russian Federation in Connection with the Adoption of the Laws of the Russian Federation “On Standardization”, “On Ensuring the Uniformity of Measurements”, “On Certification of Products and Services” (Collected Legislation of the Russian Federation, 1995, N 26, art. 2397);

Article 14 of the Federal Law “On Amendments and Additions to Legislative Acts of the Russian Federation in Connection with the Reform of the Penal System” (Collected Legislation of the Russian Federation, 1998, No. 30, Art. 3613);

Resolution of the Supreme Council of the RSFSR dated April 19, 1991 N 1035-1 “On the procedure for enacting the Law of the RSFSR “On the sanitary and epidemiological welfare of the population” (Gazette of the Congress of People's Deputies of the RSFSR and the Supreme Council of the RSFSR, 1991, N 20, Art. 642) .

Article 60. On bringing regulatory legal acts into compliance with this Federal Law

Propose to the President of the Russian Federation and instruct the Government of the Russian Federation to bring their regulatory legal acts in accordance with this Federal Law.

The president

Russian Federation

Moscow Kremlin

1). Full text of the law and latest amendments© ConsultantPlus, 1992-2013

2). Law of the RSFSR "On the sanitary and epidemiological welfare of the population"

"Sanitary rules, norms and hygienic standards (hereinafter referred to as sanitary rules) - regulations, establishing criteria for the safety and (or) harmlessness of environmental factors for humans and requirements for ensuring favorable conditions for their life. Sanitary rules must be followed by everyone government agencies And public associations, enterprises and other economic entities, organizations and institutions, regardless of their subordination and forms of ownership, officials and citizens" (Article 3).

“A sanitary offense is recognized as an unlawful, guilty (intentional or careless) act (action or inaction) that encroaches on the rights of citizens and the interests of society, associated with non-compliance with the sanitary legislation of the RSFSR, including the current sanitary rules... Officials and citizens of the RSFSR. Those who commit a sanitary offense may be subject to disciplinary, administrative and criminal liability" (Article 27).

Appendix 4
(required)

Prevention of echinococcosis and alveococcosis

ECHINOCOCCOSIS (hydatid) and ALVEOCOCCOSIS (multi-chamber echinococcosis) in humans - severe, chronic helminthiasis, often leading to disability, and in advanced cases ending in death (especially alveococcosis).

Echinococcosis is widespread throughout the world.

The range of alveococcosis is limited to the Northern Hemisphere, where the disease is recorded in Central Europe and the northern zone of Eurasia, including northern Japan, the New World, Alaska, Canada, and the USA.

In Russia, hydatid echinococcosis is often registered in:
Bashkortostan,
Tatarstan,
Stavropol,
Krasnodar,
Altai,
Krasnoyarsk and Khabarovsk territories,
Volgogradskaya,
Samara,
Rostov,
Orenburgskaya,
Chelyabinsk,
Tomsk,
Omsk,
Kamchatskaya,
Magadan,
Amur regions and Chukotka Autonomous Okrug.

Alveolar echinococcosis is common in the Republic of Sakha (Yakutia), Krasnoyarsk, Altai and Khabarovsk territories, in Tomsk, Omsk, Irkutsk, Chelyabinsk, Perm, Rostov, Samara, Kamchatka, Novosibirsk and Magadan regions, Chukotka Autonomous Okrug.

1. Characteristics of pathogens of echinococcosis and alveococcosis

The causative agent of hydatid echinococcosis is the unilocular echinococcus Echinococcus granulosus, belonging to the genus Echinococcus.

The causative agent of alveococcosis (multilocular echinococcosis) is Echinococcus multilocularis, which in our country is classified as an independent genus Alveococcus and is called Alveococcus multilocularis.

Alveococcus multilocularis.
The structure of the adult helminth is basically similar to the structure of the unilocular echinococcus, but its dimensions are smaller (2-4 mm), the length of the last segment is less than half the length of the body, and the uterus that fills it is devoid of lateral protrusions.

A larvocyst is a conglomerate of small vesicles formed by budding and closely adjacent to each other or fused together. The cavity of the vesicles is filled with liquid or a gelatinous mass; single protoscolexes are formed on the walls.

Echinococcus and alveococcus eggs are morphologically indistinguishable from eggs of other types of cestodes (for example, eggs of bovine and pork tapeworms), they contain a six-hooked larva enclosed in a double-circuited, radially striated yellowish-brown shell (oncosphere).

The development of echinococcus and alveococcus occurs with the participation of two hosts - the final (definitive), in the intestines of which adult helminths live, and the intermediate, containing larvocyst larvae.

The definitive hosts of Echinococcus in Russia are:
dog (main owner),
wolf,
less often a jackal,
fox,
and intermediate - various herbivores and omnivores ungulates, including the main types of farm animals
sheep,
goats,
cattle,
pigs,
horses,
donkeys,
and
wild artiodactyls - deer, elk.

The definitive hosts of alveococcus are arctic fox, fox, dog, less commonly wolf, corsac fox, raccoon dog, and in isolated cases domestic and spotted cats. Intermediate hosts are wild mouse-like rodents, mainly representatives of the order Rodentia (muskrats, voles, etc.).

Humans serve as an intermediate host for Echinococcus and Alveococcus.

The initial development of larvocysts of echinococcus occurs quite quickly - within 3-5 months, but then their growth slows down and can last for years. The larvocyst is separated from the surrounding tissues by a membrane. The process resembles the development of a benign tumor and is accompanied by similar symptoms.

Alveococcal larvocysts are formed mainly in the liver; their development in humans occurs over a number of years, while in rodents it is completed in 30-40 days. The growth of alveococcal larvocysts occurs through exogenous budding of vesicles that grow into the liver tissue like a malignant tumor. This violates the integrity blood vessels and individual vesicles that break away from the larvocyst are carried by the bloodstream to other organs, most often to the brain, thus forming metastases.

2. Epidemiology and epizootology

2.1. Echinococcosis hydatidosis (unilocular)

At the second stage Infected farm animals and some wild artiodactyls participate in the spread of the invasion, whose internal organs, affected by Echinococcus larvocysts, serve as transmission factors, and the receiving organism is the dog and wild carnivores.

The duration of survival of oncospheres in the external environment depends on a number of factors. They tolerate temperatures from +38 °C to -30 °C; on the soil surface in the shade at a temperature of 10-26 °C they remain viable for a month, but in the sun at a temperature of 18-50 °C they die after 1-2 days. In grass, the lifespan of oncospheres increases and at a temperature of 14-28 °C they die no earlier than after 1.5 months. Oncospheres tolerate low temperatures well, at which they can remain for a number of years, but are very unstable to drying out. Depending on the soil moisture level, they can remain viable from 3 days to 1 year.

Depending on the type of animals involved in the transmission of invasion, natural, synanthropic and mixed foci of echinococcosis are distinguished.

The transmission of infection from intermediate hosts to definitive hosts (dogs) can occur in different ways. Dogs become infected by eating meat waste from kitchens, slaughterhouses, slaughterhouses, shallowly buried or scattered near homes and populated areas, as well as by feeding them confiscated goods from slaughterhouses or organs of slaughtered animals infected with larvicysts of echinococcus. In a number of places, dogs become infected by eating carrion in poorly maintained cattle burial grounds.

The main role in human infection is played by constant communication with sick dogs, on whose fur and tongue there may be eggs and segments of echinococcus. Healthy animals often also participate in the transmission of infection to humans as mechanical carriers of eggs that fall on their fur or tongue as a result of licking an infected dog.

Human infection cannot be ruled out by eating unwashed vegetables, berries, fruits contaminated with feces of sick dogs containing oncospheres and segments of echinococcus. Oncospheres can also be carried by flies on various food products or fall on them with dust, which often occurs in arid areas with strong winds.

In natural foci of echinococcosis, circulation of the pathogen occurs between wild animals. In Russia, such outbreaks have now been identified in Taimyr and Khabarovsk Territory. In the first of them, transmission of the invasion occurs between wolves (the definitive host) and wild reindeer (intermediate host), in the second, between wolves and moose. Infection of the final host in such foci occurs according to the predator-prey type, and intermediate hosts through grass and water of natural reservoirs contaminated with the feces of wolves infested with echinococcus.

It is possible for an invasion to move from a natural focus to biocenoses associated with humans as a result of dogs eating the carcasses of wild herbivores or feeding them hunting products. In turn, herbivores and omnivorous farm animals can become infected from wild animals by ingesting oncospheres and echinococcus segments with grass and water from natural reservoirs contaminated with wolf feces. As a result, a permanent mixed focus of echinococcosis may form, involving both wild and domestic animals in the epizootic process.

A person becomes infected from wild carnivores during hunting, when cutting their skins, eating wild herbs and berries contaminated with the feces of wolves and other possible definitive hosts of echinococcus, and when drinking water from natural reservoirs. Due to the variety of routes of human infection, populations at high risk of infection are heterogeneous. In sheep-breeding areas, where the circulation of the pathogen occurs mainly between dogs and sheep, risk groups include shepherds and members of their families who are with flocks of sheep during the entire grazing season, usually accompanied by dogs. In the North, in areas of developed reindeer husbandry, reindeer herders and their families are most often infected; in areas of developed hunting, hunters and people who cut the skins of wild carnivores are most often infected. In populated areas with a large number of dogs, all residents, especially children and women who make clothing (hats, mittens, etc.) from dog skins, are at high risk of infection.

Infection with echinococci can occur throughout the year, which is due to the resistance of oncospheres to external influences and the long-term preservation of their viability in the external environment. However, there are obviously periods of the highest risk of infection, associated mainly with the characteristics of everyday life and economic activity person. Such periods are, for example, the hunting season, the period of mass deer slaughter, etc.

2.2. Alveococcosis (multi-chamber echinococcosis)

Alveococcosis is a natural focal helminthiasis, since the circulation of the pathogen occurs in natural biocenoses and can be carried out without the participation of synanthropic animals and humans. The mechanism of transmission of alveococci is the same as that of echinococci, and its intensity depends on the same factors.

The main sources of the causative agent of the invasion are the wild arctic fox and the common fox, and in some places also the dog. From them, through elements of the external environment contaminated with oncospheres and alveococcal segments, an intermediate host is infected, whose role is played mainly by muskrats and voles.

Human infection occurs in three main ways:
directly from wild carnivores (arctic foxes, foxes) as a result of ingesting oncospheres located on their fur, as a result of eating wild herbs and berries, drinking water from sources that serve as watering places for wild animals, from dogs that themselves are actively infested while hunting for wild mouse-like rodents. In this case, human infection occurs under the same conditions as with echinococcosis.

In places where fur-bearing animals (arctic foxes, foxes) are bred in enclosures, a person can become infected while feeding and caring for them.

Contingents at high risk of infection with alveococcosis (within endemic areas) can be considered hunters and members of their families, persons caring for enclosure fur-bearing animals, fur collectors and persons involved in its processing, as well as residents of villages in which dogs play a large role in economic activity and human life. In this case, as with echinococcosis, children are at high risk of infection.

Alveococcus infection of both definitive and intermediate hosts, including humans, usually occurs during certain seasons of the year. The season of infection is associated with the peculiarities of life and economic activity of the population, in particular with the timing of the hunting season, collection and processing of furs, collection of wild herbs and berries. The period of preservation of oncospheres in the external environment and the timing of the highest infestation of the definitive hosts, which serve as a source of the causative agent of invasion for humans, are also important. This period, in turn, depends on the timing of infection of carnivores, their numbers in different seasons of the year, the lifespan of the pathogen, etc. Thus, in different landscape zones and foci of different types, the timing and duration of the alveococcosis infection season can be different and are determined by a complex of natural and social factors.

Taking into account the conditions that determine the intensity of transmission of the invasion, the duration of the epidemic season, as well as populations at high risk of infection, are necessary to draw up scientifically based plans for the fight against alveococcosis and echinococcosis. State Sanitary and Epidemiological Surveillance centers of autonomous republics, territories, regions should study (with the involvement of specialized research and educational institutions) regional features of the epidemiology of these helminthiases in different territories.

The main directions of this work are:

• identification of the main definitive and intermediate hosts;
• studying the morbidity of the population by analyzing archival materials from surgical and pathological departments of hospitals, as well as the results of a mass immunological examination of the population using serological reactions;
• characteristics and typification of lesions.

3. Epidemiological surveillance of echinococcosis

3.1. Epidemiological surveillance of echinococcosis is a comprehensive medical and veterinary measure and includes:

• a comprehensive, multifaceted study of the dynamics of these invasions in a specific territory, providing for the biological and social aspects of the epidemic process (morbidity;
  professional, age and sex composition of patients, biology and ecology of the pathogen, intermediate and definitive hosts);
• planning and carrying out activities aimed at reducing the incidence of human and animal diseases and eliminating the epidemic and epizootic nature of the spread of echinococcosis.

3.2. Organizational events for the implementation of epidemiological surveillance include:

• an integrated approach to ongoing activities;
• differentiation of activities regarding different types foci;
• step-by-step continuity of current, regular and long-term plans (programs) for the fight against helminthiasis and their prevention;
• detailed analysis of the results from the implementation of activities of each type;
• regular monitoring of the implementation of planned programs.

Based on these principles and taking into account the epidemic and epizootic situation in a specific territory, territorial bodies sanitary and epidemiological surveillance together with health authorities and veterinary medicine, interested services, organizations and institutions (municipal services, hunting and fishing farms and societies, enterprises and associations of various forms of ownership for the production, processing and sale of livestock products, specialized research institutes, etc.) develop thematic target programs of the district (regional, regional, republican ) levels with the determination of financing and their approval by the relevant executive authorities.

Targeted programs (plans) to combat echinococcosis include:

• organizational and methodological work (consideration of issues of combating biohelminthiases at meetings of sanitary and anti-epidemic commissions and commissions for emergency and emergency situations administrations of districts, cities, regions, territories, republics;
  development and approval of targeted programs for the prevention of zoonotic helminthiasis, providing for measures to assess and monitor the epidemic and epizootic situation in the controlled territory, identification of groups and risk factors for infection, structures and boundaries of foci of invasion with subsequent epidemiological and epizoological zoning and development of differentiated measures;
  identification of institutions and departments directly executing activities;
  training of personnel for medical, sanitary-epidemiological, veterinary and zootechnical services, hunting systems, etc.);
• issues of preventive and ongoing sanitary and epidemiological surveillance of objects that have epidemiological significance in the aspect under consideration;
• issues of disposal of corpses (remains) of domestic, synanthropic and wild animals, as well as slaughterhouse waste at recycling plants in special installations for burning corpse material or burying it in biothermal pits, etc.;
• identification of objects (territories, settlements, economic and natural objects) subject to epidemiological surveillance; The priority objects of epidemiological surveillance are administrative territories with high rates of echinococcosis in the population and animals, developed sheep breeding, reindeer husbandry and hunting.

3.3. Epidemiological surveillance of echinococcosis carried out by the State Sanitary and Epidemiological Supervision centers includes:

• epidemiological analysis of information on echinococcosis in a specific territory for a certain period of time (data on population morbidity;
  number of surgical operations for echinococcosis; disability;
  mortality;
  economic damage;
  the nature and scope of sanitary, hygienic and treatment and preventive measures);
• operational tracking (monitoring) of the epidemic situation (data on immunity based on the results of detection of anti-echinococcal antibodies in the population using immunological methods;
  infectivity;
  surgical operations;
  mortality;
  the effectiveness of health-improving measures;
  the frequency and duration of contacts of the population with possible sources and factors of transmission of invasive material;
  risk groups;
  contamination of the external environment with oncospheres of echinococci);
• planning, implementation and evaluation of the effectiveness of a set of preventive and sanitary measures, including:
  compliance with the rules of personal prevention during hunting, working in fur workshops and fur farms, collecting wild berries and plants, communicating with domestic dogs;
  health education through accessible means:
  demonstration of films, publication of popular science literature, posters and memos.

To assess the effectiveness of the above measures, it is necessary to conduct sanitary and helminthological surveillance, including various areas of research of environmental objects in foci of echinococcosis.

3.4. Sanitary and helminthological surveillance in foci of echinococcosis.

The main task of sanitary-helminthological research in foci of echinococcosis is to identify the main source of contamination of environmental objects with invasive material, the routes of its transmission and carry out measures to interrupt this transmission, taking into account the characteristics of the foci.

Specialists from the state sanitary and epidemiological surveillance center need to clarify the type of settlement and the main type of economic activity of the population:
nature of water supply,
sewerage,
general sanitary condition of the locality,
nature of keeping dogs,
presence of farm animals, etc.

The objects of sanitary and helminthological research should be places where dogs are kept and areas with unsatisfactory sanitary condition, as well as households in which farmers, dog breeders, fur breeders, and livestock farm workers live.

Before conducting sanitary and helminthological studies in a natural focus of echinococcosis, it is necessary to study the local fauna (types of living animals), flora (types of berries, edible plants consumed by the population), the nature of processing or dressing of wild animal skins, etc.

A complex of sanitary and helminthological studies in natural foci of echinococcosis should be timed to coincide with the beginning and end of the hunting season (the time of mass departure and exit of hunters from the taiga).

The objects of sanitary-helminthological research in natural foci of echinococcosis should be places of temporary residence of hunters, shepherds (winter huts, huts), the areas around them, hunting offices, fur workshops, etc.

To establish the routes and factors of transmission of invasion, constant sanitary and helminthological monitoring of environmental objects is carried out.

The objects of sanitary and helminthological research in mixed foci of echinococcosis are the same as in synanthropic and natural foci.

4. Retrospective analysis of the condition of foci of echinococcosis

Retrospective and dynamic assessment of the state of echinococcosis foci is based on the compilation and analysis of an inventory of foci to assess the real epidemic danger, as well as to plan preventive and therapeutic measures.

The retrospective cadastre includes information about:

Retrospective analysis is used to determine the epidemic and epizootic situation and can be the basis for forecasting the epidemic process.

Constant updating of the outbreak cadastre allows us to solve more specific practical problems:

• characterize the zone of spread of invasion in a specific territory and identify persistent foci;
• identify unsurveyed (or insufficiently surveyed) areas;
• identify priority areas and populations where activities should be carried out first;
• determine the scope of targeted examination of the population and treatment and preventive measures;
• ensure and evaluate the completeness of coverage of endemic areas by activities and their effectiveness.

The cadastre allows for qualified zoning of the territory by types of outbreaks.

5. Measures for the prevention and control of echinococcosis and alveococcosis

5.1. Prevention and control of echinococcosis and alveococcosis includes the following main activities:

• prevention of infection of humans, farm animals, dogs, wild carnivores;
• health education;
• mutual information from medical and veterinary organizations;
• regular laboratory examination of contingents (reindeer herders, fur breeders, hunters and members of their families) for the purpose of early detection of diseases.

5.1.1.ECHINOCOCCOSIS.

Prevention of infection of humans and farm animals includes:

5.1.1.1. Limiting the dog population, regulating their keeping and deworming. According to the instructions “Measures for the prevention and elimination of helminthiases in animals”, approved in 1989 by the State Administration of Internal Affairs under the State Commission of the Council of Ministers of the USSR for Food and Procurement, one of the leading measures in the fight against echinococcosis and alveococcosis is the regulation of the number of livestock and deer herding animals in cities and towns. , sled and other dogs.

5.1.1.2. Administrations of cities and towns must ensure that dogs are accounted for and registered. Stray dogs are subject to destruction, which is organized by public utilities and procurement offices of the Union of Consumer Societies with the participation of the police. Service dogs (guard dogs, reindeer dogs, sled dogs, guard dogs, hunting dogs), which are used regardless of the form of ownership of enterprises and institutions, must be placed on the balance sheet of these organizations, and their number reduced to a minimum.

5.1.1.3. Enterprise managers are obliged to:
control the supply of chains,
collars,
jokes,
feed,
utensils for preparing and distributing dog food to dog owners:
equip houses for keeping guard dogs, sled dogs and reindeer dogs outside populated areas.

5.1.1.4. All dogs along the route and in stopping places must be on a leash. Do not allow dogs to swim in watering troughs or roam.

5.1.1.5. Each dog must have a passport with detailed records of the treatment and prophylactic treatments and studies carried out. The passport must be kept by the senior shepherd, reindeer herder. Without the permission of a veterinary specialist, farms cannot exchange or move dogs from one flock (herd) to another.

5.1.1.6. Veterinary specialists of farms and state veterinary networks are required to undergo preventive deworming against cestodiasis of all dogs (prey dogs, guard dogs, reindeer herding dogs, sled dogs, hunting dogs) 5-10 days before moving animals to pastures and hunters going hunting.

During the year, preventive deworming of service dogs is carried out every 45 days from December to April, and every 30 days from May to November. The remaining dogs are dewormed quarterly. These measures should also be taken with regard to personal dogs. Deworming is organized at special sites; feces isolated after treatment are collected in a metal container and boiled in water for 10-15 minutes or poured with a 10% solution of bleach for 3 hours. The cement-covered area is neutralized with the same solution, and the soil is treated with a 3% carbation solution (4 liters per 1 sq. m).

5.1.1.7. Protecting dogs from infection. To prevent infection of dogs with echinococcosis, it is necessary to strictly follow the rules of slaughter of farm animals, veterinary and sanitary examination of meat and destruction of affected organs.

5.1.1.8. The slaughter of farm animals (cattle, sheep, pigs, deer) should be carried out only in specially designated places where reliable destruction of organs affected by echinococcus is ensured and the admission of dogs is prohibited. The slaughter of sheep, deer and other animals in sheds, in barnyard areas, in areas of grazing and the location of flocks, herds, herds, as well as door-to-door slaughter of animals is prohibited.

As an exception, when driving sheep, deer and other animals, it is allowed to slaughter a limited number of heads for food for team members (with appropriate permission). A veterinarian or technician conducts pre-mortem inspection of animals, as well as post-mortem veterinary and sanitary examination of carcasses and internal organs. All slaughter products affected by echinococcus are transported to the nearest disposal plant, and in its absence, they are burned or dumped in a biothermal pit. At slaughter sites, such organs must be burned in special ovens.

5.1.1.9. Sanitary-epidemiological and veterinary institutions carry out systematic monitoring of compliance with the rules of livestock slaughter, the condition of slaughterhouses, and the complete destruction of confiscated products affected by echinococcus.

5.1.1.10. Personal prevention. For personal prevention, close contact with dogs should be avoided and children should not be allowed to play with them. It is necessary to thoroughly wash your hands after each contact with a dog, removing and dressing the skins of wild carnivores, working in the garden, playing in the yard and garden, and before eating. Since infection is possible by ingesting oncospheres contaminated with dog feces in water, vegetables, wild herbs and berries, you should not eat them unwashed or drink them. boiled water from natural reservoirs.

5.1.2. ALVEOCOCCOSIS.

5.1.2.1. Prevention of infection of humans, dogs, and fur-bearing animals in enclosures.

In fur mining areas in each locality and in hunting winter huts there must be special premises for the removal and primary processing of animal skins, collection of affected carcasses and their disposal, meeting sanitary and hygienic standards and labor protection regulations. The premises are provided with sufficient water for sanitary and industrial needs. The floor, walls and equipment must have a smooth surface and should not be difficult to clean. The walls of the room and equipment are periodically treated with boiling water or a 10% solution of bleach, and waste from processing the hides is burned. Eating, storing food, and smoking in these rooms is strictly prohibited.

5.1.2.3. To prevent infection of fur-bearing animals kept in enclosures (black and silver foxes, arctic foxes), strict control over compliance with veterinary and sanitary rules for their feeding and maintenance is necessary. It is prohibited to feed them offal of animals affected by alveococcus, carcasses of muskrats and other rodents. It is recommended 2 times a year - in February and April, taking into account the timing of the slaughter of deer and the hunting season, to conduct a random control coprooscopic examination of fur-bearing animals and, if animals infested with taeniids are found, to deworm all livestock, followed by mandatory neutralization of excrement by treating for 3 hours with 10% - solution of bleach.

5.1.2.4. To reduce the intensity of natural foci, it is advisable, in agreement with the relevant local departments, to increase the number of wolves, foxes, and arctic foxes shot during the hunting season. Hunters are prohibited from throwing away the carcasses of muskrats and other animals in hunting areas. They should be incinerated or taken to a recycling plant.

5.2. Health education.

In the fight against echinococcosis and alveococcosis, health education plays a large role.

In endemic areas medical workers, must carry out explanatory work using its various forms. Conversations and other forms of health education should be structured in a differentiated manner, taking into account the professional, everyday, national and age characteristics of the population. It is especially important to intensify this work during the season of slaughtering farm animals, hunting fur-bearing animals, and collecting wild plants and berries.

5.3. Mutual information between medical and veterinary institutions.

5.3.1. For timely identification of foci and organization of preventive measures, clear mutual information must be established between health authorities and veterinary medicine about each case of echinococcosis and alveococcosis among humans and animals. Centers of the State Sanitary and Epidemiological Surveillance (TSGSEN) must regularly receive information from veterinary organizations about the infestation of farm animals (cattle and small ruminants, pigs, deer, camels) with Echinococcus larvocysts, and for fur-bearing animals, including caged animals, and dogs - by sexually mature ones. forms, both echinococcus and alveococcus. In areas where these types of helminths are registered among animals, it is necessary to regularly carry out intensive work to identify infected persons among the population, hygienic education, control over compliance with the rules of slaughter of livestock, maintenance and deworming of dogs.

5.3.2. Monitoring of the implementation of all the above activities is systematically carried out by territorial centers of state sanitary and epidemiological supervision and veterinary stations.

5.3.3. If preventive measures are not followed, heads of departments and organizations are subject to administrative and disciplinary liability, unless violations lead to criminal liability under current legislation.

5.4. Laboratory examination separate groups population for the purpose of early detection of diseases with chinococcosis.

The main measure to prevent disability and mortality from echinococcosis and alveococcosis is the earliest possible identification and registration of all infected persons. For this purpose, in areas where these helminthiases are endemic, it is necessary to conduct an annual survey of threatened populations using serological enzyme-linked immunosorbent assay (ELISA) reactions.

5.4.1. Shepherds, reindeer herders, hunters, fur harvesters, fur workshop workers, family members of persons in the specified professions and persons who have previously been operated on for echinococcosis (alveococcosis), or are registered with a dispensary for these diseases, as well as veterinarians and dog owners are subject to targeted examination. .

State sanitary and epidemiological rules and regulations

RECREATION, SPORTS

Sanitary and epidemiological
living conditions requirements
in residential buildings and premises

Sanitary and epidemiological rules and regulations
SanPiN 2.1.2.2645-10

Moscow 2010

1. Developed by: Federal Service for Surveillance in the Sphere of Protection of Consumer Rights and Human Welfare (candidate of medical sciences O.I. Aksenova, candidate of medical sciences A.S. Guskov, E.S. Pochtareva, N.N. . Pronina); Research Institute of Human Ecology and Environmental Hygiene named after. A.N. Sysina RAMS (MD. Yu.D. Gubernsky, PhD. N.D. Kalinina, A.N. Melnikova, N.S. Orlova); Department of Communal Hygiene of the Russian Medical Academy of Postgraduate Education (candidate of medical sciences T.E. Bobkova); FGUZ " Federal Center hygiene and epidemiology" of Rospotrebnadzor (MD. V.I. Zaitsev, T.D. Kuzkina, PhD. A.V. Sterlikov, PhD. O.E. Tutelyan); Federal State Budgetary Institution "Federal science Center hygiene named after F.F. Erisman" (MD. R.S. Gildenskiold, L.P. Aksenova, G.I. Kuznetsova); Office of Rospotrebnadzor for Moscow (N.D. Senina).

2. Approved by resolution of the Chief State sanitary doctor Russian Federation G.G. Onishchenko dated June 10, 2010 No. 64 and put into effect on August 15, 2010.

4. Registered by the Ministry of Justice of the Russian Federation on July 15, 2010, registration number 17833.

6. Introduced to replace SanPiN 2.1.2.1002-00 “Sanitary and epidemiological requirements for residential buildings and premises” (as amended).

the federal law
“On the sanitary and epidemiological well-being of the population

“State sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) - regulatory legal acts establishing sanitary and epidemiological requirements (including criteria for the safety and (or) harmlessness of environmental factors for humans, hygienic and other standards), non-compliance with which creates threat to human life or health, as well as the threat of the occurrence and spread of diseases” (Article 1).

“Compliance with sanitary rules is mandatory for citizens, individual entrepreneurs and legal entities” (Article 39).

“For violation of sanitary legislation, disciplinary, administrative and criminal liability is established in accordance with the legislation of the Russian Federation” (Article 55).

RUSSIAN FEDERATION

RESOLUTION

10.06.2010

Moscow

№ 64

About approval
SanPiN 2.1.2.2645-10

I DECIDE:

1. Approve sanitary and epidemiological rules and regulations SanPiN 2.1.2.2645-10 “Sanitary and epidemiological requirements for living conditions in residential buildings and premises” (Appendix).

2. Put into effect the specified sanitary and epidemiological rules and regulations from August 15, 2010.

G.G. Onishchenko

CHIEF STATE SANITARY DOCTOR
RUSSIAN FEDERATION

RESOLUTION

02.08.2010

Moscow

№ 99

On the cancellation of SanPiN 2.1.2.1002-00
and SanPiN 2.1.2.2261-07

In accordance with the Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 167; 2004, No. 3607, No. 1752; (part 1), art. 5498; 2007, no. 1, art. 29; art. No. 49, art. 6070; no. 2801; art. 3418; art. Part 1), Art. 6223; 2009, No. 1, Art. 17) and the Decree of the Government of the Russian Federation of July 24, 2000 No. 554 “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Standards” (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, No. 8, Art. 663; No. 47, Art. 4666; 2005, No. 39, Art. 3953)

I DECIDE:

1. Since the introduction of sanitary and epidemiological rules and regulations SanPiN 2.1.2.2645-10 “Sanitary and epidemiological requirements for living conditions in residential buildings and premises”, approved by the Decree of the Chief State Sanitary Doctor of June 10, 2010 No. 64 and registered by the Ministry of Justice of the Russian Federation 07/15/2010, registration number 17833, considered invalid:

Sanitary and epidemiological rules and regulations SanPiN 2.1.2.1002-00 “Sanitary and epidemiological requirements for residential buildings and premises”, approved by the Chief State Sanitary Doctor of the Russian Federation, the First Deputy Minister of Health of the Russian Federation on December 15, 2000 (do not require state registration in accordance with letter of the Ministry of Justice of the Russian Federation dated April 16, 2001 No. 07/3760-UD);

Sanitary and epidemiological rules and regulations SanPiN 2.1.2.2261-07 “Change 1 to sanitary and epidemiological rules and regulations “Sanitary and epidemiological requirements for residential buildings and premises. SanPiN 2.1.2.1002-00”, approved by the Decree of the Chief State Sanitary Doctor dated August 21, 2007 No. 59 (does not require state registration in accordance with the letter of the Ministry of Justice of the Russian Federation dated September 12, 2007 No. 01/9018-AB).

G.G. Onishchenko

I. General provisions and scope II. Hygienic requirements to the site and territory of residential buildings when they are located III. Hygienic requirements for residential premises and premises public purpose, located in residential buildings IV. Hygienic requirements for heating, ventilation, microclimate and indoor air environment V. Hygienic requirements for natural and artificial lighting and insolation VI. Hygienic requirements for levels of noise, vibration, ultrasound and infrasound, electromagnetic fields and radiation, ionizing radiation VII. Requirements to interior decoration residential premises VIII. Requirements for engineering equipment IX. Requirements for the maintenance of residential premises Appendix 1. Illumination standards for adjacent areas Appendix 2. Optimal and permissible standards for temperature, relative humidity and air speed in residential buildings Appendix 3. Permissible sound pressure levels in octave frequency bands, equivalent and maximum sound levels of penetrating noise in the premises of residential buildings Appendix 4. Maximum permissible levels of vibration in the premises of residential buildings Appendix 5. Maximum permissible levels of infrasound in residential areas and in residential buildings Appendix 6. Permissible levels of EMF in the frequency range 30 kHz - 300 GHz for the population (in residential areas, in places of mass recreation, inside residential premises) Appendix 7. Permissible magnetic field strength Bibliographic data

Application

2.1.2. DESIGN, CONSTRUCTION AND OPERATION
RESIDENTIAL BUILDINGS, UTILITY ENTERPRISES
SERVICES, EDUCATIONAL INSTITUTIONS, CULTURAL,
RECREATION, SPORTS

Sanitary and epidemiological requirements
to living conditions in residential buildings and premises