Decree No. 185 / 1990 Coll.
Decree of the Ministry of Health and Social Affairs of the Czech Republic on rehabilitation and other similar events for children and adolescents
Valid
Effective from 01.06.1990
185
DECLARATION
Ministry of Health and Social Affairs of the Czech Republic
of 8 May 1990
on recovery and other similar actions for children and adolescents
The Ministry of Health and Social Affairs of the Czech Republic provides according to § 70 paragraph 1 (c) of Act No. 20 / 1966 Coll., on the care of the health of the people:
Preliminary provisions
Recovery shall mean an organised joint stay of 20 or more children and adolescents (hereinafter referred to as "children ') for a period of more than four days to enhance the health and fitness of children. 1)
(1) For the purposes of this decree, the term "youth 'shall be understood as under 18.
(2) The tent camp is a camp which does not normally include permanent or temporary buildings.
Children can only take part in a recovery event corresponding to their age and state of health (§ 5 (3) and § 6), and only swimmers can take part in water tourism.
Persons active in recovery actions
(1) Only persons who are physically and mentally competent (2) may be active during a recovery operation and have undergone a preventive medical examination with the written conclusion that they are able to do so; no person may assist in the recovery operation without fulfilling this condition. Medical confirmation is not required for pedagogic and medical staff and students of faculty and medical schools.
(2) Persons serving children must have a health card. 3) Each recovery operation must have a person who provides basic health care (hereinafter referred to as "the healthcare professional '). At least three adults, one of whom must be qualified by a health care professional [§ 5 (2) (c)], will attend the travel camp.
Operators' obligations
(1) The legal and, where appropriate, the natural person holding the recovery action (hereinafter referred to as the operator) is responsible for the proper preparation and conduct of the recovery action.
(2) The operator shall:
(a) ensure hygienically sound state of the recovery operation before and during the recovery operation and ensure measures to prevent communicable diseases and health damage;
(b) to select in advance, (7) with the exception of travelling camps, a general practitioner for children and youth, or a general practitioner (hereinafter referred to as "the practitioner"), who will provide health care to the participants of the recovery event at the place of its holding;
(c) to announce the holding of the recovery event, indicating the place, date and number of participants in the run no later than two months before the start of the recovery operation to the county hygienist responsible for the place of the recovery event, at the travelling camps to the county hygienist where the recovery operation begins. This notification shall be accompanied by the results of a laboratory analysis of water no more than three months old if the source of water supplying the recovery operation is not a public water pipeline; Furthermore, evidence of medical care must be attached by a practitioner. A binding opinion from the district hygienist on the location of the recovery operation and its operation must be requested by the operator only if the district hygienist reserves it; the reservation must be delivered to the operator no later than one month before the start of the recovery operation;
(d) to provide medical practitioners, medical practitioners, faculty students who have completed at least the third year, or medical professionals who have submitted evidence of first-aid courses with a focus on medical activity in recovery operations, at least one medical professional per 100 children;
(e) arrange for a health care worker to take care of children's health on the road to and from the recovery event during a mass departure;
(f) to ensure the instruction of all persons active in the recovery operation and who have not yet taken part in such training, on the provision of first aid and on the hygiene requirements for the operation of the recovery operation, with particular emphasis on preventing communicable diseases and other damage to health; the completion of the instruction to keep written records;
(g) store a health diary, lists of children, and lists of persons active in the recovery operation, indicating residence, profession and employer; the lists on request are to be transmitted immediately to the county hygienist;
(h) to provide a medical kit for a recovery event for children and young people, or a large medical bag for a travelling camp, as listed in Annex 1, which is part of this decree.
(3) An operator may only accept a child who reaches the age of seven in a given calendar year and a child who reaches the age of 11 in a given calendar year for travelling camps. Children between seven and eleven years of age may be admitted to travelling camps provided that they are children prepared for these recovery actions year-round, marches are carried out without a burden and within a range corresponding to the child's abilities and age, no more than 15 km per day. Children of pre-school age (from five years of age) may participate in a recovery event accompanied by at least one parent. An operator shall not accept a child who has been ordered to participate in a recovery operation or who has come into contact with a person suspected of being ill within the meaning of the relevant legislation, 4) and a child whose medical condition does not correspond to the type of recovery operation (§ 6) or shows signs of acute illness.
(4) For children under the age of 14, travelling camps shall be organised for a maximum of 14 days, for children over the age of 14, for a maximum of 21 days.
(5) Travelling camps shall be organised for up to 30 children. A maximum of 50 persons (i.e. children and persons active in recovery) may attend tent camps.
Assessment of the suitability of the child's participation in a recovery operation
(1) The competent medical practitioner shall assess whether the child's medical condition and age correspond to the type of recovery operation and shall state his observations on the application for recovery. If a child is taking or is in a state of health that requires a load reduction, the doctor will also state in this statement.
(2) The assessment of the health status of the child referred to in paragraph 1 is not necessary for a child holding a child's health and vaccination certificate. 5)
Declaration of legal representatives of the child
The parents or other legal representative of the child shall submit a written declaration on the date of departure for the recovery operation, a specimen of which is set out in Annex 2 to this Order. The operator shall inform the parents of the model of the declaration form.
Responsibilities of the practitioner
The practitioner provides health care to the participants of the recovery operation throughout its duration. When a communicable disease is suspected, it shall ensure the removal of material for microbiological testing and inform the county health centre concerned.
Medical obligations
The medical examiner shall:
(a) perform a routine medical examination of the child at the start of the recovery operation;
(b) take over the written declaration of the legal representatives of the child and part of the application for a recovery action, indicating an assessment of the suitability of the child's participation in the recovery operation, or, where appropriate, the child's health and vaccination card (Sections 6 and 7) and the health cards of persons who are in charge of eating children in accordance with Section 4 (2);
(c) take over the first-aid kit for recovery actions for children and young people, or a large medical bag;
(d) notify the medical practitioner, upon arrival at the site of the recovery operation, of the initiation of the recovery operation;
(e) familiarise the head of the recovery action with the state of health of children (Section 6);
(f) treat minor injuries and provide emergency assistance; monitor on an ongoing basis the health status of persons active in children's meals; the most serious illness of children and persons involved in recovery and the suspected occurrence of communicable disease without delay to the physician and the occurrence of communicable diseases to the competent hygienist;
(g) treat patients in isolation and take care of the hygiene environment in the infirmary and isolation; after leaving the patient from isolation, provide for at least 24 hours of ventilation of mattresses and blankets, washing and protective disinfection of the bed and its clean sheets. In the event of a communicable disease, ensure protective disinfection as instructed by a medical practitioner or health care professional;
(h) to check compliance with the health requirements laid down, in particular with a view to protecting drinking water sources from pollution and the disposal and disposal of solid and liquid waste. Check daily cleaning in children's living quarters and children's personal hygiene;
(i) keep a medical diary;
(j) to monitor compliance with the principles of personal hygiene for persons on board; to participate in the preparation of the diet and to check compliance with hygiene requirements for preparation and administration; carry food and drink to the sick and dispose of food residues and wash and disinfect dishes and equipment used by the sick;
(k) to participate, unless it is bound by the care of the sick, daily programme; to cooperate in terms of health protection on the establishment of the day regime and to guide the debilitation of children. Ensure medical supervision during recreational bathing.
Hygienic requirements for recovery facilities
(1) Recovery actions can be organised in such facilities as guarantee a healthy educational environment and favourable conditions for healthy development of children. The recovery facility shall consist of permanent or temporary structures or tents.
(2) Winter recovery events are held in permanent buildings. The winter recovery event must have winter accommodation (e.g. heating, hot water outlet, drying rooms and storage of sports equipment).
Recovery facilities shall be located on dry, dust-free land, in the surrounding area with increased greenery, not infested with insects, in particular ticks, protected from sources of air pollution and noise sources, outside the hygiene and water protection zones and at places with access.
Rehabilitation facilities shall have areas designed for sleeping, social and sports activities, catering and cooking, drying of clothing and footwear, washroom, infirmary, isolation and toilets. The space for drying clothing and footwear may be temporary for tent camps. The infirmary and isolation are not set up at the pilgrimage camps.
(1) Spaces intended for sleeping in permanent or temporary buildings are set up in rooms with natural ventilation and a minimum area per 3 m2 housed. The bunk beds may be used provided that the upper bed is not more than 150 cm above the floor, has safe access to it and is provided with a sidewall to prevent fall.
(2) The tents intended for the accommodation of children must be made of waterproof material and have a floor covering at least the entire floor area of the tent or be otherwise appropriately insulated from the ground.
(3) The spaces for social and sports activities in permanent or temporary buildings are established sufficiently spacious for at least 1 m2 of area per child. The dining room can also be used as a common room in a time apart from serving meals or a large tent.
(4) Rooms intended for cooking and dining must be roofed and consist of a dining room, kitchen and warehouses. The spaces intended for cooking and dining are located separately from other areas of the recovery action. In the dining room, in one shift, there is 1 m2 of area.
(5) In the washroom, one discharge tap with a sink or sink is required for 5 people. Wash areas shall be established separately by sex. Drinking water shall be provided to brush teeth. For children in winter recovery events, the possibility of washing in warm water must be guaranteed on a daily basis, for other recovery events at least once a week. One shower rose is required for 30 children in permanent camps.
(6) The isolation treatment facility consists of one whole. Isolation is set up in selected rooms with heating and use of hot water, separately for boys and girls. In isolation, each patient must have a floor area of 5 m2, while maintaining the principle of at least 1 bed per 30 children. Isolation has its own toilet. Isolation and treatment facilities shall not be used to accommodate a healthcare professional. The medic will check in near the sick. In tent camps, the infirmary and isolation can be placed in specially adapted tents. A medicine cabinet for recovery for children and adolescents, or a large medical bag, must not be accessible to children.
(7) Toilets can be set up flushing or dry, separately by gender. Two toilets are set up for the number of the first 20 girls and one more toilet for each 20 girls. One toilet and one urinal are set up for every 20 boys. The entrance to the toilets must be illuminated at regular camps at night. The distance of toilets from the drinking water well is determined by the nature of the terrain. The toilets are located at least 25 m from the drinking water well, usually 50 m from the dining facilities in the direction of the prevailing wind and at least 25 m from the last accommodation. There must be a hand wash near the toilets. The latrines are relayered daily with soil and covered and marked before leaving the campsite.
Drinking water supply
(1) The recovery action shall be secured by a source of safe drinking water in sufficient quantity. A proof of the health of drinking water shall be submitted by the operator on request to the worker of the sanitary services. The importation of drinking water for recovery operations may only be subject to the agreement of the competent hygienist under the conditions laid down by him.
(2) When an operator organises a recovery operation at an establishment of another organisation, that organisation is responsible for the quality of the water source.
Waste and sewage disposal services
Recovery actions shall ensure the smooth disposal of solid waste and sewage. They shall be disposed of in such a way as not to endanger the health of surface and groundwater.
Accommodation
Children and persons involved in a recovery operation shall be accommodated separately. The children will be accommodated separately by gender. The persons on board shall be accommodated separately from the other persons on recovery. Persons responsible for the management of individual groups or divisions shall be accommodated in their immediate vicinity.
Meals
(1) The diet of children must be biologically valuable and correspond to the age and manner of life of children.6) The menu is prepared by a food commission, which is always a member of the health care team. Daily meals consist of breakfast, breakfast, lunch, snacks and dinner. The interval between meals shall not exceed three hours. The time of serving the main meal (lunch, dinner) must not exceed two hours. Drinks are placed in covered containers from which they can be put into glasses or cups. Food which cannot be used for recovery or which can be used under the conditions laid down are listed in Annex 3 to this Decree.
(2) In recovery actions, children may participate in the preparation of a diet. A designated worker is responsible for hygienic food preparation and quality. During the travelling camps, children and persons involved in the recovery operation eat in joint catering facilities or prepare their meals in a camping manner; The breakfast must include a warm drink, one of the main meals must be warm.
Day Scheme
(1) The recovery action shall provide for the day on which the time for sleep, personal hygiene care, food, motion, interest and educational activity is fixed. The day regime must correspond to the age and health of children. The medic is working on his prep.
(2) All physical activities must correspond to the age, abilities and interests of children. The intensity of physical activity increases from the beginning of the recovery action to reach its peak in the second period of running the recovery action and then slightly decreases. The third day after the start of the recovery operation must be reserved for rest; the day of rest is determined for the travelling camps, taking into account the fitness of the children. During winter recovery events, ski training must not exceed six hours a day (three hours in the morning and three hours in the afternoon) and the training must be interrupted by a 15 to 20-minute break no later than 90 minutes. In addition to organised activity, spontaneous movement activity is included.
(3) Personal hygiene care is reserved for at least half an hour every day, both after waking up and before being put to sleep.
(4) The pace of walking during hiking trips must be limited by the least skilled individual. These marches do not take place in bad weather, especially in windy and foggy weather and in poor visibility. Marches with children under 14 years of age do not take place at -12 ° C and below. There are no marches with older children since temperatures of -15 ° C.
(5) For travelling camps for children under 14 years of age, transfers can only be made in daylight. It is not possible to use frequent and dusty communication and dangerous mountain paths to move in the tourist camps.
(6) The bathing of children in nature must be adapted to the weather and physical fitness of children. When bathing, children shall not be allowed to cool; after bathing must be properly dried and dressed in dry clothing. Children should not bathe for at least one hour after a main meal or after intensive exercise. A bathing place in nature, with the exception of swimming in swimming pools and recreational ponds, must be discussed with the relevant district hygienist.
(7) The time defined for sleep in children of seven to 11 years old is at least 10 hours, for children of 12 to 14 years old is 9 hours. In children of 15 years of age and older, the sleep time must not fall below eight hours. The time before sleep must be reserved for quiet activities (preferably personal leave).
Cleaning requirements
(1) The general cleaning of the whole facility, including the land, must be carried out before each recovery operation begins.
(2) During the stay of children, daily cleaning of all recovery facilities must be ensured. Children under the guidance of educational staff may attend daily cleaning. The toilet must not be cleaned by children under the age of 14.
(3) The change of bed linen must be done before each recovery operation begins and, if necessary, after the child's illness or before the use of the bed by another child. The handling of bed linen when a communicable disease occurs is carried out by an adult.
Final provisions
This Decree shall also apply to recovery operations organised by the operator abroad, provided that the law of the State in whose territory the recovery operation takes place does not impose stricter requirements.
Exemptions from the provisions of Sections 10 (2) and 13 may, where justified for each recovery operation, be granted by the competent authority of the sanitary services if the essential requirements for the fitting-out of premises in recovery facilities are implemented at least in replacement measures ensuring a healthy educational environment and the development of children.
Other similar events for children
Other similar events for children (e.g. school trips) are subject to the provisions of Sections 4 (1), 5 (2) (a), 14 and 15. Where such other similar actions are organised by individual persons, they shall be subject to these provisions, with the exception of those organised for children in a family or equivalent proportion.
The following shall be deleted:
(a) Paragraph 34 (1) (1) of Decree No. 45 / 1966 Coll., on the Creation and Protection of Healthy Living Conditions;
(b) Directive No 57 / 1980 Coll.
The requirement of a written declaration by a parent or other legal representative of a child for the purposes of this decree is not covered by Section 2 (2) of Decree MZ ČSR No. 91 / 1984 Coll., on measures against communicable diseases.
This Decree shall take effect on 1 June 1990.
Minister:
Prof. MUDr. Klener DrSc. v. r.
Příloha č. 1
Annex No 1 to Decree No 185 / 1990 Coll.
DOCTOR FOR BACKGROUND ACTIONS FOR KIDS
[the list is valid for the capacity of an event of up to 80 children, with an increased number of children the contents of the first aid kit are adjusted accordingly - times the amount of medicines and medical supplies]
| CALCIUM PANTOTHENICUM | 3 balení |
| PARALEN tabl. | 5 balení |
| JODISOL pero 4 g | 3 balení |
| JODISOL tinktura | 1 balení |
| Benzin lékařský (doplňuje se až při zahájení | 200 ml |
| Hypermangan | 10 g |
| CARBOSORB | 3 balení |
| OPTHAL oční lázeň | 2 balení |
| PLUMBIN | 10 balení |
| SEPTONEX spray | 2 balení |
| CHLORAMIN B | 1 balení |
| KINEDRYL tabl. | 20 balení |
| SEPTONEX ung. | 2 balení |
| SEPTONEX zásyp | 3 balení |
| ENDIARON tabl. | 2 balení |
| DITHIADEN tabl. | 3 balení |
| OPHTALMOSEPTONEX gtt | 3 balení |
| OPHTALMOSEPTONEX ung. | 3 balení |
| TRAUMACEL zásyp | 3 balení |
| STOPANGIN sol. | 3 balení |
bandages and other medical supplies:
| Gáza hydrofilní sterilní | 20 cm × 4 cm | 5 ks |
| Gáza hydrofilní sterilní | 6,5 cm × 7,5 cm | 5 ks |
| lopatky na jazyk | 100 ks | |
| náplast – rychloobvaz | 8 cm × 1 cm | 2 balení |
| náplast v roli 5 cm × 5 m | 2 balení | |
| náplast v roli 18 cm × 5 m | 1 balení | |
| obinadlo hydrof. lis. | 6 cm × 5 m | 10 ks |
| sterilní | 8 cm × 5 m | 10 ks |
| 10 cm x 5 m | 10 ks | |
| 12 cm × 5 m | 10 ks | |
| obinadlo pružné | 8 cm × 5 m | 5 ks |
| 10 cm × 5 m | 5 ks | |
| obinadlo škrtící pryžové | 1 ks | |
| dlahy | 2 ks | |
| T – tubus | 1 ks | |
| pinzeta chirurgická rovná | 1 ks | |
| šátek trojcípý | 3 ks | |
| vata obvazová á 250 g | 2 ks | |
| vata buničitá á 500 g | 4 ks | |
| zavírací špendlíky různé velikosti | 10 ks | |
| svítilna (baterka) | 1 ks | |
| lékařský teploměr | 1 ks | |
_
| PARALEN tabl. | 3 balení |
| CARBOSORB | 40 tablet |
| KINEDRYL | 20 tablet |
| NATRIUM | |
| HYDROGENCARBONICUM | |
| SPOFA tabl. | 1 balení |
| OPTHAL | 1 balení |
| SEPTONEX spray | 1 balení |
| DITHIADEN tabl. | 1 balení |
| SEPTONEX ung. | 1 balení |
Pantograph material:
| Gáza skládaná | 7,5 × 7,5 (cm) á 5 ks | 4 balení |
| Spofaplast | 1,25 cm × 5 m | 1 balení |
| 2,5 cm × 5 m | 1 balení | |
| Spofaplast rychloobvaz | 8 cm × 1 m | 1 balení |
| Obinadlo hydrofilní sterilní | ||
| 5 cm × 5 m | 5 ks | |
| 10 cm × 5 m | 10 ks | |
| Obinadlo škrtící pryžové | 2 ks | |
| Šátek trojcípý | 5 ks | |
| Vata obvazová sterilní lisovaná 25 g | 1 balení | |
Medical devices:
| Nůž kapesní | 1 ks |
| Nůžky | 1 ks |
| Pinzeta anatomická | 1 ks |
| Rouška PVC 45 × 55 (cm) | 1 ks |
| Rouška resuscitační | 1 ks |
| Teploměr v pouzdře | 1 ks |
| Špendlíky zavírací | 24 ks |
| TRAUMACEL zásyp | 1 ks |
Other aids - various:
| Záznamník s tužkou | 1 ks |
| Tablety pro přípravu pitné vody (doplňují se až před akcí) | 1 balení |
| Brašna zdravotnická velká – prázdná | 1 ks |
Příloha č. 2
Annex No 2 to Decree No 185 / 1990 Coll.
Příloha č. 3
Annex No 3 to Decree No 185 / 1990 Coll.
Epidemiologically hazardous foods prohibited from being used in recovery operations
- minced meat and meat from the distribution network and their products
- pituitary, Spam, Deer, Throat, Blood
- raw meat like tartar steak
- unpreserved fish products (meatballs, pecans, scones, etc.)
- all products with huspenine and jelly (meat, delicatessen, fish)
- mayonnaise and all products with mayonnaise (salads, tartar sauce, eggs, etc.)
- uncooked eggs and soft boiled eggs
- soft pastry products
- cream and cream (without heat treatment)
- ice cream (including ice cream prepared on site)
- mushrooms (except mushrooms obtained from the distribution network)
- homemade curd
- liver cheese, liver, tea, butter, etc.
Foodstuffs to be administered subject to certain technological conditions
- spreads will be processed fundamentally from fresh raw materials and consumed no later than three hours after processing
- to administer milk and milk products of the cream type only in case of consumption on the day stated on the package
- soft salami and sausage only for heat treatment, use on the day of purchase
- raw materials and consumables intended for further preparation must not be pre-cooked the day in advance (eggs, potatoes, rice, pasta)
- minced meat is only allowed to be prepared from raw fresh meat and immediately cooked and administered in compliance with all basic technological and hygienic requirements.
1) Special regulations apply to schools in nature (Decree of the Czech Ministry of Education No. 102 / 1989 Coll., on schools in nature).
2) § 11 of the Decree of the Ministry of the Czech Republic No. 91 / 1984 Coll., on measures against communicable diseases. Article 13 (3) of the MZd Directives No 49 / 1967 of the MZd Bulletin on the Assessment of Health at Work, as amended by Directive No 17 / 1970 of the MZ ČSR Bulletin, notified in amounts 2 / 1968 Coll. and 20 / 1970 Coll. § 33 of the Ministry of Health Decree No 45 / 1966 Coll., on the creation and protection of healthy living conditions.
3) § 15 of the Decree of the Ministry of the Czech Republic No. 91 / 1984 Coll.
4) Decree MZ ČSR No. 91 / 1984 Coll.
5) In the meantime, only children of the East Bohemian and North Bohemian and South Bohemian regions have a health and vaccination card.
6) Directive No 72 / 1987, Coll.
1) The equipment of the medicine cabinet is according to ON 84 6635.
xx) It is only completed when the recovery action is started.
7) § 19 of the Decree of the Government of the Czech Republic No. 216 / 1992 Coll., which publishes the Health Regulations and implements certain provisions of the Czech National Council Act No. 550 / 1991 Coll., on General Health Insurance.
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Regulation Information
| Citation | Decree of the Ministry of Health and Social Affairs of the Czech Republic No. 185 / 1990 Coll., on rehabilitation and other similar events for children and adolescents |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 18.05.1990 |
|---|---|
| Effective from | 01.06.1990 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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