Regulation No 40 / 1955 Coll.
Regulation on combating communicable diseases
Valid
Effective from 01.09.1955
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40.
Regulation of the Minister for Health
of 18 August 1955
about combating communicable diseases.
The Minister for Health hereby orders, pursuant to Article 15 of Act No. 4 / 1952 Coll., on Sanitary and Anti-Epidemic Care, and Article 16 (1) of Act No. 103 / 1951 Coll., on Uniform Prevention and Treatment:
Initial provision.
(1) The fight against communicable diseases is planned, organised, managed, controlled and carried out by health and anti-epidemic services.
(2) The health and anti-epidemic services are closely cooperating with the authorities in the fight against communicable diseases of facilities and preventive and medical care workers directly entrusted with the implementation of certain sanitary and anti-epidemic measures, in particular those relating to tuberculus and genital diseases.
(3) In the fight against diseases communicable to humans, the veterinary authorities cooperate with the health and anti-epidemic services authorities; the veterinary services authorities shall act in accordance with the measures ordered by the sanitary and anti-epidemic services.
Reporting communicable diseases.
(1) In order to combat communicable diseases in a consistent and effective manner, they must be reported and kept in the register in good time:
A) disease, suspected illness and death
(a) active tuberculose pulmonary and extrapulmonary,
(b) STDs:
1. reception (Syphilis),
2. gonorrhoea,
3. soft ulcer (Ulcus molle),
4. the fourth STD (Lymphogranuloma venereum),
(c) the following other communicable diseases:
1. abdominal typhoid (Typhus abdominalis),
2. parathyphes A, B, C (Parathyphus A, B, C),
3. other salmonella (Salmonella),
4. Asian cholera (Cholera asiatica),
5. brucellosis (Brucellosis),
6. dysentery (Dysenteria),
7. intoxicatio et infectio alimentaris,
8.
9. Rose (Erysipelas),
10th Diphtheria,
11. Black cough (Pertussis),
12. epizootic inflammation of the brain (Meningitis cerebrospinalis epidemiica),
13. serosal inflammation of the brain (Meningitis serosa),
14. pestis,
15. tularemia (Tularemia),
16. leprosy (Lepra),
17th Tetanus,
18. anthrax;
19th glanders (Malleus),
20. refundable fever (Febris recurrens),
21. Weil disease (Morbus Weili),
22. Other leptospiroses (Leptospirosis),
23. Portable polio (Poliomyelitis anterior acuta),
24. disease caused by viruses in the Coxsackie group,
25. Virus meningoencephalitis (Meningoencephalitis),
26. smallpox (Variola vera),
27. measles (Morbilli),
28th epizootic inflammation of the mumps (Parotitis epidemiica),
29. yellow fever (Febris flava),
30. contagious hepatic inflammation (Hepatitis infectiosa),
31. rabies (Lyssa),
32nd Trachoma (Trachoma),
33. Parrots disease (Psittacosis) and other ornithos,
34. foot-and-mouth disease (Aphtae epizoticae),
35. spots (Typhus exanthematicus),
36th Q fever (Q-rickettsiosis) and other riketsioses,
37. Malaria (Malaria),
38th toxoplasmosis (Toxoplasmosis),
39. Trichinosis (Trichinosis);
40. ankylostomatose (Ankylostomatosis),
41. Microspores (Microsporia),
42nd Trichophycia (Trichophytia),
43rd Favus,
44. rhinoskleroma (Rhinoskleroma);
45. flu (Influenza),
46th atypical virus inflammation of the lungs (Pneumonia virosa atypica),
47. Youth fever after birth and abortion (Sepsis puerperalis),
48th parent mastitis (Mastitis puerperalis),
49.
(B) the death of persons with active tuberculose disease, if any;
C) disease, suspicion of disease and death in children's collectives and bed facilities preventive and medical care
1. rubella (Rubeola),
2. chicken pox (Varicella),
3. contagious inflammation of the mouth (Stomatitis infectiosa),
4. helmintos (Helminthosis),
5. Pneumocystis carini,
6. listeriose (Listeriosis); and
7. staph disease (Staphylodermia conjunctivitis etc.);
D) disease of epidemic neonatal diarrhoea and other diarrhea diseases occurring in bulk;
E) Scrape disease in persons
(a) bulk accommodation;
(b) coming into direct contact, in the course of the pursuit of their profession, with a number of persons, in particular transport and connections;
(c) to children's groups, schools and other schools or to a place where more people are present;
(d) coming into contact with livestock.
(2) Persons must also be reported and kept in the register
(a) the germ of the typhoid, parathyroid and other salmonella, dysentery and diphtheria,
(b) bitten by a rabid or from rabies by a suspected animal.
(3) The chief hygienist may also order compulsory reporting of communicable diseases other than those referred to in paragraph 1, after which he may extend the reporting obligation for the diseases referred to in paragraph 1 (C) and (E) to all cases and the reporting and registration obligation of persons who exchange diseases other than those referred to in paragraph 2, or to persons who exchange alien diseases. If the epidemiological situation so requires, it may do the same in its field of competence, with the agreement of a superior hygienist regional and district hygienist.
Persons required by reporting.
(1) Reporting of a communicable disease must be done by any doctor who ascertains the facts to be reported. The same is the responsibility of the veterinarian, especially if it is a disease transmitted to humans. The veterinarian shall also report any disease of an animal with a disease communicable to people subject to the reporting obligation under Section 2.
(2) Any other health care professional, if he / she has reason to suspect that it is a communicable disease, shall notify the competent doctor.
How to report.
(1) Reporting of communicable disease is given by the treating physician on the prescribed forms immediately after the detection of the disease, suspected illness or death of the district hygienic and district physician; in the case of tuberculose, genital disease and skin fungal disease, a report shall be submitted to the competent department of the health centre, which shall then regularly send to the district health service a summary of those reports. If there is a child attending a child or educational establishment, the treating physician shall also inform the administration of that establishment.
(2) In case of diseases and suspected diseases of Asian cholera, plague, smallpox, yellow fever and spills or other communicable diseases identified by the main hygienist or with his consent by the county hygienist, a report shall be made by telephone, telegraph or special mail to the district hygienist and the county hygienist without written written notification.
(3) The veterinarian reports diseases or suspected diseases communicable to the county hygienist in writing, in urgent cases by telephone, telegraph or special mail. Animal diseases communicable to humans are reported by the veterinarian through the county veterinarian to the county hygienist.
(4) The county hygienist shall immediately inform the county veterinarian of any disease of a person by rabies, anthrax and glanders, after other diseases communicable to animals to people designated by the chief hygienist in agreement with the Ministry of Agriculture.
(5) The Ministry of Health provides details of reports of communicable diseases, their records and statistical processing of reports received; they shall do so in agreement with the Ministry of Agriculture as regards the reports by veterinary surgeons. For tuberculosis, STDs and skin fungal diseases, the Ministry of Health provides for the necessary derogations.
Medical examination and treatment obligations; medical assistance measures.
(1) Persons who have become ill with a communicable disease, persons suspected of being sick with such a disease (§ 10 (1)) and, in the case of a person suspected of being infected with the disease (§ 14 (c)), are required to undergo a medical investigation, medical examinations and treatment as well as isolation or quarantine, if ordered by the treating physician, after the health and anti-epidemic service body; treatment must in any case be subjected to sexual illness or active tuberculosis.
(2) A person who has become ill with a communicable disease referred to in § 2 or who is suspected of being sick with such a disease must be called upon immediately, according to his state of health, or otherwise be provided with medical assistance. They are obliged
(a) responsible member of the household of the sick or elderly roommate of the sick,
(b) the person who treats the sick;
(c) the owner of the apartment or the home confidant;
(d) responsible heads of school or other school or group of persons residing together in a person's illness, entrusted with his or her care or staying in such a school or group member; The same obligation shall apply to the person responsible for managing the undertaking, establishment or establishment for mass accommodation in the event of illness of persons employed there or staying there.
(3) The obligation to provide medical assistance lies with the persons referred to in paragraph 2 (a). (b) to (d) only if the persons mentioned are not at the top of the list or if that person has not fulfilled that obligation without delay.
Epidemiological investigations.
(1) The necessary investigations in relation to the occurrence of communicable diseases (epidemiological investigations) are carried out by the health and anti-epidemic authorities. Preventive and medical care facilities shall provide all necessary professional assistance in this investigation. In the epidemiological investigation, health and anti-epidemic services are co-operating with veterinary services when it comes to diseases transmitted to humans.
(2) Sanitary and anti-epidemic services bodies, as well as health-epidemiological centres' experts and personnel of preventive and medical care facilities carry out epidemiological investigations in all places where circumstances can be identified in relation to the disease, relevant for the detection of outbreaks of the disease and for the assessment of the causes and routes of the spread of the disease, and where the necessary preventive measures should be taken.
(1) All authorities (authorities), businesses, establishments and organisations, in particular the voluntary organisation of workers, are obliged to assist the health and anti-epidemic services, including preventive and medical care workers in the performance of their tasks in combating communicable diseases.
(2) Anyone who can assist the health and anti-epidemic services authorities, as well as preventive and curative care workers in the fight against communicable diseases, is obliged to do so at their request; in particular, it shall communicate all the circumstances relevant to the epidemiological investigation. A person with a communicable disease, in particular an STD, is required to indicate to the doctor the source of the disease and the person who may have been infected.
Protective measures.
(1) Sanitary and anti-epidemic services may impose the necessary protective measures against communicable diseases. These measures are in particular:
1. preventive inspections of persons in bulk accommodation and prior to bulk transport, after certain population groups have been identified by the chief hygienist according to the epidemiological situation,
2. Periodic inspections of persons active in the food industry (namely persons active in slaughterhouses, milking of milk and vegetable gardens), in waterworks, in children's and educational establishments, in mass accommodation facilities, in health facilities, in particular in preventive and medical care facilities and in the manufacture of pharmaceuticals, in barbers and hairdressers, in livestock establishments where animal health measures are in place to control animal diseases communicable to humans, in sanitation stations, in sanitation facilities, in capillaries, in collection of dead animals and in carcasses, as well as inspections of other population groups to determine the epidemiological situation of the main hygiene.
(2) The persons referred to in paragraph 1 shall be required to undergo investigations in clinical and laboratory establishments designated by the district hygienist.
(3) Specific rules on protection vaccination against communicable diseases apply.
(1) In order to deepen the fight against communicable diseases, health and anti-epidemic services may also:
(a) to carry out or order disinfection and rendering of suspicious waters, soils and other objects and places, where applicable, to prohibit or restrict the use of suspicious wells, springs, surface waters and other aquatic resources, in the absence of operational waters;
(b) prohibit or restrict the production, sale and administration of certain types of food.
(2) Specific rules apply on the control of harmful animals.
Anti-epidemic measures.
(1) The treating physician shall order the isolation of patients with communicable disease referred to in § 2 and the isolation of persons who, while showing signs of such communicable disease, cannot be safely judged on the disease (suspected of communicable disease). Isolation may be ordered by the treating physician for other communicable diseases, if this is in order to protect the collective.
(2) Isolation is carried out in a hospital or in an appropriate medical institution (constitutional isolation), following a case in the home of a sick or suspected person (domestic isolation).
(3) Isolation must be carried out to prevent further spread of the disease.
(4) Domestic isolation may be permitted by the treating physician at
(a) tuberculose;
(b) STDs;
(c) brucellosis,
(d) food poisoning and diseases;
(e) roses,
(f) black cough,
(g) tularemia,
(h) certain leptospiros,
(ch) measles;
(i) rubella,
(j) chickenpox;
(k) epidemiological inflammation of the mumps
(l) trachoma in the early period of the disease,
(m) foot-and-mouth animals;
(n) infectious inflammation of the mucous membranes,
(o) toxoplasmose,
(p) Trichinose,
q) ankylostomatose,
(r) Helmintos,
(s) scabies,
(t) rhinoscleroma, unless it is an early period of disease,
(u) influenza, and
(v) parent mastitis,
if both spatial and material conditions are given to this, and it is possible to carry out continuous disinfection and proper treatment of the patient; in dubious cases, the district hygienist decides on the domestic isolation.
(5) If the principles of effective domestic isolation are not respected, the district hygienist may subsequently order constitutional isolation.
(6) During domestic isolation, he is ill (suspected) under the constant supervision of the doctor and is obliged to allow access to his household by both the doctor and his authorised healthcare professional.
(7) If domestic isolation is carried out in tuberculose, the district hygienist may, on a proposal from the attending physician, order the department of the family members from the sick, after the transfer of children from his household for the period necessary for appropriate family or constitutional care.
(8) In exceptional cases, domestic isolation may also be permitted for diseases where isolation is otherwise ordered as constitutional. The district hygienist may give permission to do so; in more serious cases, the district hygienist shall require the approval of the county hygienist.
(9) The chief hygienist or, with his consent, regional hygienist may extend or reduce the calculation referred to in paragraph 4 according to advances in medical science or the change in the nature of the disease.
(1) During domestic isolation, the patient's bed must have a perfect continuous disinfection as instructed by the treating physician.
(2) Immediately after a sick communicable disease was delivered to the constitutional isolation, changed the apartment, was cured or died, the relevant hygienic-epidemiological station will perform final disinfection at all places where this is necessary.
(3) In the context of ongoing or final disinfection, the sanitary-epidemiological station shall also carry out the destruction of harmful animals as appropriate.
(4) The Ministry of Health shall determine the method and type of disinfection by means of specific directives.
The county hygienist may order that the housing of patients with communicable diseases or suspected of being sick by such diseases, including houses in which they reside, be marked with appropriate warning signs at home isolation.
A county hygienist may declare a temporary or permanent prohibition on the pursuit of a particular profession or activity in which the disease could spread,
(a) persons with communicable disease during the period of illness;
(b) persons suffering from chronic diseases where there is a risk of transmission and spread of the disease;
(c) persons suspected of being infected with a communicable disease and persons suspected of being infected during incubation [§ 14 (c)]; and
(d) carriers of pathogens (§ 16).
County hygienist can
(a) order protective vaccination of persons in the vicinity of a patient with communicable disease;
(b) prohibit or restrict operations in certain rooms, buildings and equipment or transport by means of transport for as long as necessary to carry out disinfection;
(c) subject persons who have entered into contact with the disease directly or indirectly, but who do not show signs of disease (suspected of being infected) to a quarantine which consists of the persons suspected of being infected being separated from others and being examined and observed by a doctor; the quarantine shall be carried out in apartments, institutes, establishments and all other places where this is necessary in order to combat communicable diseases, after, in the case of establishments set up for that purpose by national health authorities, for a period to be determined by the public health and anti-epidemic service authority. Where there are grounds for doing so, the county health care professional shall subject the persons suspected of being infected only to a partial quarantine consisting of the prohibition of certain activities in which the disease could be spread [Paragraph 13 (c)] for a certain period of time for which those persons are also under medical supervision. According to the circumstances, the district hygienist will only subject these persons to medical supervision, which is that they are investigated and observed at all places of their stay by the doctor; to this end, they are required to report to a medical practitioner.
Special precautions for epidemics.
(1) If there is a risk of an epidemic, the chief hygienist or, with his consent, the regional hygienist may order emergency protective vaccination against communicable diseases in all or a particular population.
(2) If there is a danger of an epidemic, the county health care professional may, with the agreement of the superior hygienist,
(a) prohibit or restrict the production, treatment, storage, transport, import, export, sale and other handling of objects which may spread the disease, in particular with food, and, in cooperation with the veterinary services authorities, prohibit or restrict any handling of animals or raw materials of animal origin which may spread the disease communicable to humans, after ordering the destruction of such animals;
(b) prohibit or restrict the contact of certain groups of the population with other populations, in particular to restrict the travel of the population of certain areas and to restrict transport through certain areas;
(c) prohibit or restrict the organisation of festivities, theatre and film performances, sports and other undertakings, public and private gatherings and markets;
(d) the closure of children's and educational establishments of all kinds, as well as accommodation establishments, after the introduction of children and adults into such establishments and establishments;
(e) to close or restrict the operation of mass caterers;
(f) prohibit or restrict the use of wells, springs, ponds, streams and rivers, pools of natural and covered, cleansing baths and launderettes;
(g) order the population of mass destruction of harmful animals as part of the field disinfection.
Carriers of germ disease.
(1) All persons who replace the seeds of the typhoid, parathyroid B and other salmonelos, dysentery and diphtheria, and, where appropriate, any other person who replaces the pathogens or the alien diseases, which must be reported and kept in the register referred to in Article 2 (3) (hereinafter referred to as "carriers of the pathogens,") must be subjected to specific measures ordered by the county hygienist in order to avoid threats to the health of citizens.
(2) The carrier of the pathogens is required in particular:
(a) undergo permanent medical supervision and periodic bacteriological investigation, as well as treatment, and be present at the appropriate medical establishment for that purpose;
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Regulation Information
| Citation | Regulation No. 40 / 1955 Coll., on combating communicable diseases |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 31.08.1955 |
|---|---|
| Effective from | 01.09.1955 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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