505 Bol Vaccination

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Drawing up an individual calendarof vaccines for children withunderlying medical conditions.

Prepared by: BeRiKbOl DaUlEt


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National Calendar of vaccinations in the Republic ofKazakhstan

Approved by Government of the Republic of Kazakhstandated December 30, 2009 2295 "On approving the list

of diseases against which immunizations are carried outin the Rules of conduct and groups subject to routineimmunization"

Resolution of the Government of the Republic of

Kazakhstan dated December 30, 2009 2295On approving the list of diseases against whichimmunizations are carried out in the Rules of conduct andgroups subject to routine immunization (As amended on29.6.2010, the) In accordance with the Code of theRepublic of Kazakhstan dated September 18, 2009 "Onpeople's health and the health care system," Governmentof the Republic of Kazakhstan ENACTS:


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1. Approve the attached:1) The list of diseases against which immunizations

are carried out;

2) The rules of vaccinations;3) population groups subject to routine vaccination.2. Ministry of Health of the Republic of Kazakhstan,

the governors of provinces, cities of Astana and

Almaty to provide:1) obtaining a population of vaccinations in

accordance with the rules and dates of vaccination;2) the operation of outreach vaccination teams for

vaccination of the population living in settlements

where there are no medical organizations.


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3. Abrogated:1) The decision of the Government of the Republic

of Kazakhstan dated May 23, 2003 488 "On

measures to improve immunization against

infectious diseases" (CPGA of the Republic of

Kazakhstan, 2003, 21-22, Art. 216);

2) the decision of the Government of the Republic ofKazakhstan dated December 9, 2003 1250 "On

Amending Resolution of the Government of the

Republic of Kazakhstan dated May 23, 2003 488"(CPGA of the Republic of Kazakhstan, 2003, 46,

Art. 515);


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3) The decision of the Government of the Republic of

Kazakhstan dated January 22, 2008 40 "On introducing

amendments and additions to the Decree of the Government

of the Republic of Kazakhstan dated May 23, 2003 488"(CPGA of the Republic of Kazakhstan, 2008, 1, Art. 19).

4. This regulation comes into force upon the expiry of ten

calendar days after the first official publication.

Prime minister Republic of Kazakhstan Masimov Approved

Government Resolution Republic of Kazakhstan

December 30, 2009 2295


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There is a large network of hospitals,emergency centres and pharmacies. Thelargest include the Central Hospital, the

Maternity and Childhood Institute Clinic andthe Medical Teaching Institute Clinic in Almaty,

and the Spinal Centre and Hospital ofRehabilitation Treatment in Karaganda.

However, standards within the publichealthcare system have declined significantlysince the Soviet era. It is hard to ascertain thelevel of expertise of the doctors, and visitors

cannot rely on the availability of westernmedicines. Comprehensive medical insurance

is strongly advised.


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Hepatitis B, C and E and tuberculosis

occur. Increased cases of meningitis and

encephalitis have been reported in Almaty.Tick-borne encephalitis is a problem in

mountains and forests, particularly during

April, May and June. There is some

presence of rabies. For those at high risk,

vaccination before arrival should beconsidered. If you are bitten, seek medical

advice without delay.


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Vaccination is the administration of antigenic material

(a vaccine) to stimulate the immune system of an

individual to develop adaptive immunity to a disease.

Vaccines can prevent or ameliorate the effects ofinfection by many pathogens. The efficacy of

vaccination has been widely studied and verified; for

example, the influenza vaccine, the HPV vaccine and

the chicken pox vaccine among others. Vaccination isgenerally considered to be the most effective method of

preventing infectious diseases. The active agent of a

vaccine may be intact but inactivated ("attenuated")

forms of the causative pathogens (bacteria or viruses),

or purified components of the pathogen that have been

found to be highly immunogenic (e.g. the outer coat

proteins of a virus particle).


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Vaccine recommendations

Disease Recommendation When to see a doctor

Typhoid Vaccination recommended 10 days before travel

Hepatitis A Vaccination recommended 2 weeks before travel

Diphtheria *Vaccination sometimes recommended 3 months before travel

Tuberculosis *Vaccination sometimes recommended 3 months before travelHepatitis B *Vaccination sometimes recommended 2 months before travel

Rabies *Vaccination sometimes recommended 1 month before travel

Meningococcal

meningitis Not required

Yellow fever Certificate of vaccination required if

arriving from an infected area 10 days before travelJapanese B encephalitis Not required

Tick-borne

encephalitis *Vaccination sometimes recommended 3 months before travel

Recommendations that are marked "Vaccination sometimes recommended" should be

considered as "Vaccination strongly recommended" if a person is travelling frequently orspending extended time in that country.All travellers are advised to ensure that tetanus and polio vaccinations are kept up to

date.

Recommendations do change from time to time and it is important to discuss your

personal requirements with your doctor.


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Children born to mothers-carriers of hepatitis B virus or hepatitis B patients

in the third trimester of pregnancy, vaccination against hepatitis B

according to the scheme 0-1-2-12 months.

Hepatitis B vaccination is carried out in 13 years not previously vaccinated

under the scheme 0-1-6 months.

Vaccination against rubella is provided to girls at age 13, not previously

vaccinated or received only one vaccination.

Revaccination against tuberculosis is carried out not infected with

Mycobacterium tuberculosis tuberkulinotritsatelnym children.

Revaccination against tuberculosis in 14 years has been not infected with

Mycobacterium tuberculosis tuberkulinotritsatelnym children who havenot received the vaccine at age 7.

Implemented in national immunization calendar vaccines (except BCG) can

be administered simultaneously in different syringes in different parts of

the body or with an interval of 1 month.

If you violate the last date of commencement of vaccination is carried outaccording to the schemes provided for in this calendar, and instructions on

the use of drugs.


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505 Bol Vaccination