Ãîëîâíà ñòîð³íêà á³çíåñ-ïîðòàëó "Ëåîíîðì"

LeoMetr 2

Ïðîïîíóºìî Âàì çàâàíòàæèòè êàòàëîã ³íôîðìàö³éíèõ ïðîäóêò³â, âèäàíü, áàç äàíèõ òà ïîñëóã âèðîáíèöòâà Í²Ö "ËÅÎÍÎÐÌ" íà 2023-2024 ðîêè ñòàíîì íà 01.02.2024 ð.

ÊÎÍÒÀÊÒÈ ÍÎÂÈÍÈ ÐŪÑÒÐÀÖ²ß ÌÀÃÀÇÈÍ ÍÎÐÌÀÒÈÂͲ ÀÊÒÈ ÏÎØÓÊ (RUS)

 

̲ͲÑÒÅÐÑÒÂÎ ÎÕÎÐÎÍÈ ÇÄÎÐÎÂ'ß ÓÊÐÀ¯ÍÈ

ÍÀÊÀÇ

22.02.2023

ì. Êè¿â

N 365

Çàðåºñòðîâàíî â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè
24 êâ³òíÿ 2023 ð. çà N 652/39708

Ïðî çàòâåðäæåííÿ Ïîðÿäêó îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â òà ªäèíîãî ïåðåë³êó á³îëîã³÷íèõ àãåíò³â, ÿê³ ñòàíîâëÿòü àáî ìîæóòü ñòàíîâèòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè

³äïîâ³äíî äî ñòàòò³ 14 Çàêîíó Óêðà¿íè "Îñíîâè çàêîíîäàâñòâà Óêðà¿íè ïðî îõîðîíó çäîðîâ'ÿ", ïóíêòó 8 Ïîëîæåííÿ ïðî ̳í³ñòåðñòâî îõîðîíè çäîðîâ'ÿ Óêðà¿íè, çàòâåðäæåíîãî ïîñòàíîâîþ Êàá³íåòó ̳í³ñòð³â Óêðà¿íè â³ä 25 áåðåçíÿ 2015 ðîêó N 267 (â ðåäàêö³¿ ïîñòàíîâè Êàá³íåòó ̳í³ñòð³â Óêðà¿íè â³ä 24 ñ³÷íÿ 2020 ðîêó N 90), íà âèêîíàííÿ ïóíêò³â 1355, 1356 ïëàíó çàõîä³â ç âèêîíàííÿ Óãîäè ïðî àñîö³àö³þ ì³æ Óêðà¿íîþ, ç îäí³º¿ ñòîðîíè, òà ªâðîïåéñüêèì Ñîþçîì, ªâðîïåéñüêèì ñï³âòîâàðèñòâîì ç àòîìíî¿ åíåð㳿 ³ ¿õí³ìè äåðæàâàìè-÷ëåíàìè, ç ³íøî¿ ñòîðîíè, çàòâåðäæåíîãî ïîñòàíîâîþ Êàá³íåòó ̳í³ñòð³â Óêðà¿íè â³ä 25 æîâòíÿ 2017 ðîêó N 1106, òà ç ìåòîþ çàáåçïå÷åííÿ áåçïåêè ïðàö³âíèê³â, ÿê³ ïðîâàäÿòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â, îö³íêè ñòóïåíþ çàãðîçè äëÿ ¿õ çäîðîâ'ÿ,

ÍÀÊÀÇÓÞ:

1. Çàòâåðäèòè òàê³, ùî äîäàþòüñÿ:

1) Ïîðÿäîê îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â;

2) ªäèíèé ïåðåë³ê á³îëîã³÷íèõ àãåíò³â, ÿê³ ñòàíîâëÿòü àáî ìîæóòü ñòàíîâèòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè.

2. Äåïàðòàìåíòó ãðîìàäñüêîãî çäîðîâ'ÿ (Îëåêñ³þ Äàíèëåíêó) çàáåçïå÷èòè:

1) ïîäàííÿ öüîãî íàêàçó â óñòàíîâëåíîìó çàêîíîäàâñòâîì ïîðÿäêó íà äåðæàâíó ðåºñòðàö³þ äî ̳í³ñòåðñòâà þñòèö³¿ Óêðà¿íè;

2) îïðèëþäíåííÿ öüîãî íàêàçó íà îô³ö³éíîìó âåáñàéò³ ̳í³ñòåðñòâà îõîðîíè çäîðîâ'ÿ Óêðà¿íè, ï³ñëÿ çä³éñíåííÿ äåðæàâíî¿ ðåºñòðàö³¿ â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè.

3. Êîíòðîëü çà âèêîíàííÿì öüîãî íàêàçó ïîêëàñòè íà çàñòóïíèêà ̳í³ñòðà îõîðîíè çäîðîâ'ÿ Óêðà¿íè - ãîëîâíîãî äåðæàâíîãî ñàí³òàðíîãî ë³êàðÿ ²ãîðÿ Êóç³íà.

4. Öåé íàêàç íàáèðຠ÷èííîñò³ ç äíÿ éîãî îô³ö³éíîãî îïóáë³êóâàííÿ.

 

̳í³ñòð

³êòîð ËßØÊÎ

ÏÎÃÎÄÆÅÍÎ:

 

Âèêîíóâà÷ îáîâ'ÿçê³â
̳í³ñòðà åêîíîì³êè Óêðà¿íè

Íàä³ÿ Á²ÃÓÍ

Ãîëîâà ÑÏÎ
îá'ºäíàíü ïðîôñï³ëîê

Ãðèãîð³é ÎÑÎÂÈÉ

Êåð³âíèê Ñåêðåòàð³àòó
Ñï³ëüíîãî ïðåäñòàâíèöüêîãî
îðãàíó ñòîðîíè ðîáîòîäàâö³â
íà íàö³îíàëüíîìó ð³âí³

Ð. ²Ë˲×ÎÂ
(³ç çàóâàæåííÿìè)

Ãîëîâà Äåðæàâíî¿ ñëóæáè
Óêðà¿íè ç ïèòàíü ïðàö³

²ãîð ÄÅÃÍÅÐÀ

Óïîâíîâàæåíèé Âåðõîâíî¿
Ðàäè Óêðà¿íè ç ïðàâ ëþäèíè

Äìèòðî ËÓÁ²ÍÅÖÜ

Ò. â. î. Ãîëîâè Äåðæàâíî¿ ñëóæáè
Óêðà¿íè ç ïèòàíü áåçïå÷íîñò³ õàð÷îâèõ
ïðîäóêò³â òà çàõèñòó ñïîæèâà÷³â

Àíäð³é ËÎÐÄʲÏÀͲÄÇÅ

 

ÇÀÒÂÅÐÄÆÅÍÎ
Íàêàç ̳í³ñòåðñòâà îõîðîíè çäîðîâ'ÿ Óêðà¿íè
22 ëþòîãî 2023 ðîêó N 365

Ïîðÿäîê
îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â

I. Çàãàëüí³ ïîëîæåííÿ

1. Öåé Ïîðÿäîê âèçíà÷ຠìåõàí³çì îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â, ÿê³ íà ðîáî÷èõ ì³ñöÿõ çä³éñíþþòü ä³ÿëüí³ñòü ï³ä ÷àñ ÿêî¿ ³ñíóº ìîæëèâ³ñòü âïëèâó á³îëîã³÷íèõ àãåíò³â àáî ³ñíóº éìîâ³ðí³ñòü òàêîãî âïëèâó.

2. ijÿ öüîãî Ïîðÿäêó ïîøèðþºòüñÿ íà ñóá'ºêòè ãîñïîäàðþâàííÿ, ÿê³ ïðîâàäÿòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â.

3. Ó öüîìó Ïîðÿäêó òåðì³íè âæèâàþòüñÿ â òàêèõ çíà÷åííÿõ:

á³îëîã³÷íèé àãåíò - ì³êðîîðãàí³çìè, ó òîìó ÷èñë³, ãåíåòè÷íî âèäîçì³íåí³, êóëüòóðè êë³òèí ³ åíäîïàðàçèòè (âíóòð³øí³ ïàðàçèòè), çäàòí³ ñïðîâîêóâàòè áóäü-ÿêó ³íôåêö³þ, àëåðã³þ àáî îòðóºííÿ;

á³îëîã³÷íèé ðèçèê - ïîºäíàííÿ éìîâ³ðíîñò³ âèíèêíåííÿ øê³äëèâîãî âïëèâó òà ñòóïåíþ éîãî âïëèâó â òèõ âèïàäêàõ, êîëè äæåðåëîì òàêîãî âïëèâó º á³îëîã³÷íèé àãåíò;

êóëüòóðà êë³òèí - âèðîùåí³ ó ïðîá³ðö³ (ó ëàáîðàòîðíèõ óìîâàõ) êë³òèíè, âçÿò³ ç áàãàòîêë³òêîâèõ îðãàí³çì³â;

ì³êðîîðãàí³çì - ì³êðîá³îëîã³÷íà ³ñòîòà êë³òêîâî¿ áóäîâè, çäàòíà â³äòâîðþâàòè àáî ïåðåíîñèòè ãåíåòè÷íèé ìàòåð³àë;

îá³ã á³îëîã³÷íèõ àãåíò³â - âèä ä³ÿëüíîñò³ ç âèä³ëåííÿ, ³äåíòèô³êàö³¿, âèðîáíèöòâà, çáåð³ãàííÿ, êîëåêö³îíóâàííÿ, òðàíñïîðòóâàííÿ, ïåðåäà÷³, âèêîðèñòàííÿ, çàõîðîíåííÿ, çíèùåííÿ, óòèë³çàö³¿ òà ³íøèõ ä³é ùîäî á³îëîã³÷íèõ àãåíò³â ³ ïðîäóêò³â á³îòåõíîëîã³é òà â³äõîä³â ä³ÿëüíîñò³ ï³ñëÿ ðîáîòè ç íèìè;

îö³íêà ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â - ñèñòåìíèé ïðîöåñ çáîðó é àíàë³çó ³íôîðìàö³¿, âèçíà÷åííÿ éìîâ³ðíîñò³ ³ íàñë³äê³â âïëèâó ÷è âèâ³ëüíåííÿ íåáåçïåê òà âèçíà÷åííÿ â³äïîâ³äíèõ çàõîä³â êîíòðîëþ ðèçèêó äëÿ çíèæåííÿ ð³âíÿ âïëèâó á³îëîã³÷íèõ àãåíò³â äî ïðèéíÿòíîãî ðèçèêó;

ïðèéíÿòíèé ðèçèê - ð³âåíü á³îëîã³÷íîãî ðèçèêó, ïðè ÿêîìó çàáåçïå÷óþòüñÿ óìîâè äëÿ çàõèñòó ëþäåé, òâàðèí, ðîñëèí ³ äîâê³ëëÿ â³ä âïëèâó íåáåçïå÷íèõ á³îëîã³÷íèõ ôàêòîð³â;

óïðàâë³ííÿ á³îëîã³÷íèìè ðèçèêàìè - ñêîîðäèíîâàíà ä³ÿëüí³ñòü ³ç îðãàí³çàö³¿ òà/àáî ïðîâåäåííÿ ³íôîðìàö³éíî-àíàë³òè÷íèõ, îðãàí³çàö³éíèõ, ïðîãðàìíèõ òà ³íæåíåðíî-òåõí³÷íèõ çàõîä³â ç ìåòîþ êîíòðîëþ, ïîïåðåäæåííÿ, ñâîº÷àñíîãî âèÿâëåííÿ òà ðåàãóâàííÿ, à òàêîæ ë³êâ³äàö³¿ àáî çìåíøåííÿ ð³âíÿ á³îëîã³÷íèõ ðèçèê³â äî ïðèéíÿòíîãî ðèçèêó.

²íø³ òåðì³íè ó öüîìó Ïîðÿäêó âæèâàþòüñÿ ó çíà÷åííÿõ íàâåäåíèõ ó Çàêîí³ Óêðà¿íè "Îñíîâè çàêîíîäàâñòâà Óêðà¿íè ïðî îõîðîíó çäîðîâ'ÿ", Êîäåêñ³ öèâ³ëüíîãî çàõèñòó Óêðà¿íè, Çàêîí³ Óêðà¿íè "Ïðî çàõèñò íàñåëåííÿ â³ä ³íôåêö³éíèõ õâîðîá" òà ³íøèõ íîðìàòèâíî-ïðàâîâèõ àêòàõ ó ñôåð³ îõîðîíè çäîðîâ'ÿ.

II. Ïîðÿäîê ïðîâåäåííÿ îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â

1. Îö³íêà ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â ïðîâîäèòüñÿ äëÿ òîãî, ùîá äîçâîëèòè ñóá'ºêòó ãîñïîäàðþâàííÿ, ÿêèé ïðîâàäèòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â, åôåêòèâíî âæèâàòè çàõîäè, íåîáõ³äí³ äëÿ çàõèñòó áåçïåêè ³ çäîðîâ'ÿ ïðàö³âíèê³â.

2. Çàõîäè íàïðàâëåí³ íà çàõèñò áåçïåêè ³ çäîðîâ'ÿ ïðàö³âíèê³â:

1) çàïîá³ãàííÿ ïðîôåñ³éíèì ðèçèêàì;

2) ³íôîðìóâàííÿ ïðàö³âíèê³â;

3) íàâ÷àííÿ ïðàö³âíèê³â;

4) îðãàí³çàö³þ òà çàñîáè çä³éñíåííÿ íåîáõ³äíèõ çàõîä³â ïðîô³ëàêòèêè.

3. ßêùî â ïðîöåñ³ áóäü-ÿêî¿ òðóäîâî¿ ä³ÿëüíîñò³ ³ñíóº ïîòåíö³éíà íåáåçïåêà âïëèâó á³îëîã³÷íèõ àãåíò³â, ñóá'ºêò ãîñïîäàðþâàííÿ, âèçíà÷ຠð³âåíü íåáåçïåêè, òðèâàë³ñòü çàçíà÷åíîãî âïëèâó ï³ä ÷àñ ðîáîòè äëÿ òîãî, ùîá ìàòè ìîæëèâ³ñòü îö³íèòè ñòóï³íü çàãðîçè äëÿ çäîðîâ'ÿ ³ áåçïåêè ïðàö³âíèê³â òà âèçíà÷ຠçàõîäè ùîäî çàïîá³ãàííÿ íåáåçïåö³.

4. ßêùî â ïðîöåñ³ òðóäîâî¿ ä³ÿëüíîñò³ ïðàö³âíèêè ìîæóòü çàçíàòè âïëèâó á³îëîã³÷íèõ àãåíò³â ê³ëüêîõ ãðóï, ð³âåíü íåáåçïåêè âèçíà÷àºòüñÿ ç óðàõóâàííÿì êîìïëåêñíî¿ ä³¿ âñ³õ íàÿâíèõ íåáåçïå÷íèõ á³îëîã³÷íèõ àãåíò³â.

5. Ñóá'ºêò ãîñïîäàðþâàííÿ çä³éñíþº îö³íêó ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â íå ð³äøå îäíîãî ðàçó íà ð³ê òà ó ðàç³ çì³í óìîâ ïðàö³, âèðîáíèöòâà, ÿê³ ïðèçâîäÿòü äî âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â, ñóá'ºêò ãîñïîäàðþâàííÿ çä³éñíþº ïîâòîðíó îö³íêó ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â. Îö³íêà ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â ñêëàäàºòüñÿ ç:

1) åòàïó ïëàíóâàííÿ, ùî ïåðåäáà÷ຠðîçðîáêó ïëàíó îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â, äî ÿêîãî âêëþ÷àºòüñÿ ³íôîðìàö³ÿ ïðî: ñòðîêè ïðîâåäåííÿ îö³íêè, îá'ºêòè îö³íþâàííÿ;

2) åòàïó çáîðó ³íôîðìàö³¿ (³äåíòèô³êàö³ÿ íåáåçïåêè óñ³õ âèðîáíè÷èõ ïðîöåñ³â), ùî ïåðåäáà÷ຠçá³ð äàíèõ ïðî íàÿâí³ñòü óñ³õ ôàêòîð³â ðèçèêó ³ ñèòóàö³é ïðè ÿêèõ âîíè ìîæëèâ³. Íà öüîìó åòàï³ íåîáõ³äíî âèçíà÷èòè ïðàö³âíèê³â, ÿê³ ìîæóòü ï³äëÿãàòè âïëèâó á³îëîã³÷íèõ àãåíò³â; çðîáèòè ìàêñèìàëüíî îá´ðóíòîâàíèé âèá³ð âèðîáíè÷îãî îáëàäíàííÿ, õ³ì³÷íèõ ðå÷îâèí ³ ïðåïàðàò³â, îñíàùåííÿ ðîáî÷èõ ì³ñöü ³ îðãàí³çàö³¿ ðîáî÷îãî ïðîöåñó; ïðîâåñòè çàäîêóìåíòîâàíó îö³íêó êîæíîãî ðèçèêó, áàçóþ÷èñü íà éîãî éìîâ³ðíîñò³ òà íåãàòèâíèõ íàñë³äê³â çà øêàëîþ îö³íêè ðèçèê³â â³äïîâ³äíî äî äîäàòêà äî öüîãî Ïîðÿäêó.

6. ϳä ÷àñ ïðîâàäæåííÿ ä³ÿëüíîñò³, ïîâ'ÿçàíî¿ ç îá³ãîì á³îëîã³÷íèõ àãåíò³â, íà ïðàö³âíèê³â ìîæóòü âïëèâàòè íàñòóïí³ íåáåçïå÷í³ òà øê³äëèâ³ âèðîáíè÷³ ôàêòîðè:

á³îëîã³÷í³ (ì³êðîîðãàí³çìè: áàêòåð³¿, â³ðóñè, ðèêåòñ³¿, ñï³ðîõåòè, õëàì³ä³¿, ãðèáè, ãåëüì³íòè, íàéïðîñò³ø³ òà ³íø³, à òàêîæ ïðîäóêòè ¿õ æèòòºä³ÿëüíîñò³; ìàêðîîðãàí³çìè: òâàðèíè, ëþäèíè ³ ïðîäóêòè ¿õ æèòòºä³ÿëüíîñò³; êóëüòóðè êë³òèí ³ òêàíèí, ãåíåòè÷í³ ôðàãìåíòè, ä³àãíîñòè÷í³ ïðåïàðàòè òà ³íø³), ùî çäàòí³ ñïðîâîêóâàòè áóäü-ÿêó ³íôåêö³þ, àëåðã³þ àáî îòðóºííÿ;

ô³çè÷í³ (åëåêòðè÷íèé ñòðóì, óëüòðàô³îëåòîâå, åëåêòðîìàãí³òíå âèïðîì³íþâàííÿ, íåäîñòàòíÿ îñâ³òëåí³ñòü, â³äõèëåííÿ ïîêàçíèê³â âîëîãîñò³ é òåìïåðàòóðè ðîáî÷î¿ çîíè â³ä âñòàíîâëåíèõ íîðì, ï³äâèùåíà (çíèæåíà) ðóõîì³ñòü ïîâ³òðÿ, ï³äâèùåíèé âì³ñò øê³äëèâèõ ðå÷îâèí ó ïîâ³òð³ ðîáî÷î¿ çîíè, ï³äâèùåíèé øóì, ãàðÿ÷à âîäà òà ïàðà);

õ³ì³÷í³ (ðåàêòèâè, äåç³íôåêö³éí³ çàñîáè, êàíöåðîãåíí³, ïîäðàçíþâàëüí³, ñåíñèá³ë³çóâàëüí³, ìóòàãåíí³, àëåðãåíí³ ðå÷îâèíè òà ³íø³);

ìåõàí³÷í³: âèðîáíè÷å îáëàäíàííÿ (îáëàäíàííÿ, ùî ïðàöþº ï³ä òèñêîì, îáëàäíàííÿ òà éîãî ÷àñòèíè ùî îáåðòàþòüñÿ, ëàáîðàòîðíå ñêëî, ð³çàëüíèé, êîëþ÷èé ³íñòðóìåíòàð³é, ãîñòð³ êðà¿, çàäèðêè íà ïîâåðõíÿõ òà ³íø³);

ïñèõîô³ç³îëîã³÷í³ (ïñèõîåìîö³éí³, ô³çè÷í³ (ïåðåâàíòàæåííÿ ïåðñîíàëó òà ³íø³).

7. Äî ³íôåêö³éíèõ á³îëîã³÷íèõ ôàêòîð³â íàëåæàòü:

1) ìàñîâ³ ³íôåêö³éí³ çàõâîðþâàííÿ - åï³äå쳿, ñïàëàõè, ïàíäå쳿, åï³çîîò³¿, åï³ô³òîò³¿;

2) ïðèðîäí³ ðåçåðâóàðè ïàòîãåííèõ ì³êðîîðãàí³çì³â;

3) øòó÷í³ ðåçåðâóàðè ïàòîãåííèõ ì³êðîîðãàí³çì³â;

4) ãåíåòè÷íî âèäîçì³íåí³ çáóäíèêè ³íôåêö³éíèõ çàõâîðþâàíü.

8. Ñóá'ºêò ãîñïîäàðþâàííÿ ï³ä ÷àñ ïðîâåäåííÿ îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â:

ïðîâîäèòü îö³íêó ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â äëÿ óñ³õ âèä³â ðîá³ò, ÿê³ ïåðåäáà÷àþòü âèêîðèñòàííÿ á³îëîã³÷íèõ àãåíò³â àáî º çàãðîçà âïëèâó á³îëîã³÷íîãî àãåíòó íà ïðàö³âíèêà;

ðîçãëÿäຠíà óñ³õ åòàïàõ ïðîâåäåííÿ îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â êîæåí âèä ä³ÿëüíîñò³ îêðåìî òà ïðîöåäóðè ç âèêîðèñòàííÿì á³îëîã³÷íèõ àãåíò³â;

âèçíà÷ຠÿê çì³íþþòüñÿ ðèçèê íåáåçïåêè ÷è çàãðîçè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â, òà îö³íþº, ÿê çì³íà ñèòóàö³¿ âïëèíå íà çì³íó ðèçèêó.

9. Äëÿ ïðîâåäåííÿ îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â ñóá'ºêò ãîñïîäàðþâàííÿ, ÿêèé ïðîâàäèòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â óòâîðþº êîì³ñ³þ ó ñêëàä³ íå ìåíøå 3 îñ³á. ×ëåíàìè êîì³ñ³¿ ìîæóòü áóòè ïðàö³âíèêè â³äïîâ³äíî¿ ñôåðè ä³ÿëüíîñò³, ÿê³ ìàþòü ñòàæ ðîáîòè íå ìåíøå 5 ðîê³â çà â³äïîâ³äíîþ ïðîôåñ³ºþ (ñïåö³àë³çàö³ºþ).

Êîì³ñ³ÿ ïðîâîäèòü îö³íêó ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â ç óðàõóâàííÿì óñ³º¿ íàÿâíî¿ ³íôîðìàö³¿ ùîäî:

êëàñèô³êàö³¿ á³îëîã³÷íèõ àãåíò³â, çäàòíèõ ÿâëÿòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè, çã³äíî ç ªäèíèì ïåðåë³êîì á³îëîã³÷íèõ àãåíò³â, ÿê³ ñòàíîâëÿòü àáî ìîæóòü ñòàíîâèòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè, çàòâåðäæåíèì íàêàçîì ̳í³ñòåðñòâà îõîðîíè çäîðîâ'ÿ Óêðà¿íè â³ä 22 ëþòîãî 2023 ðîêó N 365;

ïîòåíö³éíîãî àëåðã³÷íîãî àáî òîêñè÷íîãî âïëèâó íà ïðàö³âíèê³â ó ðåçóëüòàò³ âèêîíàííÿ ðîá³ò ç á³îëîã³÷íèìè àãåíòàìè;

³íôîðìàö³¿ ïðî çàõâîðþâàííÿ ïðàö³âíèê³â, áåçïîñåðåäíüî ïîâ'ÿçàíó ç âèêîíóâàíîþ ðîáîòîþ;

îáñÿã³â òà òðèâàëîñò³ íàâàíòàæåíü á³îëîã³÷íèì ìàòåð³àëîì;

æèòòºçäàòíîñò³ á³îëîã³÷íèõ àãåíò³â, øëÿõ³â ¿õ ïåðåäà÷³;

ìîæëèâîñò³ óòâîðåííÿ àåðîçîë³â á³îëîã³÷íèõ àãåíò³â ï³ä ÷àñ ïðîâåäåííÿ ìàí³ïóëÿö³é, íåîáõ³äíèõ äëÿ âèêîíàííÿ êîæíî¿ ïðîöåäóðè;

ê³ëüêîñò³ îïåðàö³é ó êîæí³é ìåòîäèö³, ïîòåíö³éíî çäàòíèõ ïðèçâîäèòè äî óòâîðåííÿ àåðîçîë³â;

ðîáî÷îãî íàâàíòàæåííÿ íà ï³äðîçä³ë òà îêðåìèõ ïðàö³âíèê³â;

ì³ñöåçíàõîäæåííÿ ñóá'ºêòà ãîñïîäàðþâàííÿ, ùî çä³éñíþº ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â;

åï³äåì³÷íî¿ ñèòóàö³¿ â ðåã³îí³ òà êîíòèíãåíòó íàñåëåííÿ, ÿêå îáñëóãîâóþòüñÿ öèì ñóá'ºêòîì ãîñïîäàðþâàííÿ;

ð³âíÿ äîñâ³äó ³ êâàë³ô³êàö³¿ ïðàö³âíèê³â.

10. Ó ðàç³ âèÿâëåííÿ ôàêòîð³â ðèçèêó ³ ñèòóàö³¿, ÿê³ ñïðè÷èíÿþòü íåáåçïåêó âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â, ñóá'ºêò ãîñïîäàðþâàííÿ, ÿêèé ïðîâàäèòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â:

1) ðîçðîáëÿº ïëàí óñóíåííÿ àáî çíèæåííÿ ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â;

2) âèçíà÷ຠìîæëèâ³ñòü óñóíåííÿ àáî çíèæåííÿ ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â, êîíêðåòí³ ³íñòðóìåíòè / çàõîäè äëÿ óäîñêîíàëåííÿ òà âèçíà÷ຠïîðÿäîê êîíòðîëþ.

11. Êåð³âíèê ñóá'ºêòà ãîñïîäàðþâàííÿ, ÿêèé ïðîâàäèòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â, â ïðîöåñ³ ñâ ä³ÿëüíîñò³, ïðèçíà÷ຠâ³äïîâ³äàëüíó îñîáó, ùî çä³éñíþº àíàë³ç òà êîíòðîëü âèêîíàííÿ ïëàíó ç óñóíåííÿ àáî çíèæåííÿ ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â, øëÿõîì:

1) ïåðåâ³ðêè ÷è âæèò³ çàõîäè çàïîá³ãàííÿ âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â;

2) ³íôîðìóâàííÿ êåð³âíèêà, ùî âñ³ ôàêòîðè, ÿê³ ìàþòü â³äíîøåííÿ äî ðîáîòè, âðàõîâàíî òà âèíåñåíî îá´ðóíòîâàíå ð³øåííÿ ïðî ðèçèêè òà íåîáõ³äí³ çàõîäè ç îõîðîíè çäîðîâ'ÿ òà áåçïåêè.

12. Óñ³ åòàïè îö³íêè ðèçèêó ìàþòü áóòè çàäîêóìåíòîâàí³ ó âèãëÿä³ ñòàíäàðòíî¿ îïåðàö³éíî¿ ïðîöåäóðè (ÑÎÏ) - äîêóìåíò óïðàâë³ííÿ ÿê³ñòþ, íàá³ð ³íñòðóêö³é ç êîíêðåòíîãî àñïåêòó ðîáîòè, ùî äîïîìàãຠñòàíäàðòèçóâàòè ïðîöåäóðó çàäëÿ çíèæåííÿ éìîâ³ðíîñò³ ïîìèëêè. Çàëåæíî â³ä îôîðìëåííÿ ÑÎÏè ïîä³ëÿþòüñÿ íà ³íñòðóêö³¿, àëãîðèòìè, áëîê-ñõåìè òà ÷åê-ëèñòè.

13. Çà ðåçóëüòàòàìè îö³íêè á³îëîã³÷íèõ ðèçèê³â äëÿ åôåêòèâíîãî óïðàâë³ííÿ á³îëîã³÷íèìè ðèçèêàìè, ïîâ'ÿçàíèìè ³ç ðèçèêàìè âèíèêíåííÿ íåùàñíèõ âèïàäê³â òà ïðîôåñ³éíèõ çàõâîðþâàíü, êåð³âíèêîì ï³äïðèºìñòâà òà/àáî â³äïîâ³äàëüíîþ îñîáîþ íà ï³äïðèºìñòâ³ ðîçðîáëÿþòüñÿ ïðàâèëà áåçïå÷íîãî ïîâîäæåííÿ ç á³îëîã³÷íèìè àãåíòàìè, äëÿ çàïîá³ãàííÿ âïëèâó íà ïðàö³âíèê³â, ¿õ âèïàäêîâîìó ïîøèðåííþ ó äîâê³ëë³ òà íåñàíêö³îíîâàíîìó äîñòóïó äî íèõ.

 

Äèðåêòîð Äåïàðòàìåíòó
ãðîìàäñüêîãî çäîðîâ'ÿ

Îëåêñ³é ÄÀÍÈËÅÍÊÎ

 

Äîäàòîê
äî Ïîðÿäêó îö³íêè ð³âíÿ íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â íà ïðàö³âíèê³â
(ï³äïóíêò 2 ïóíêòó 5)

Øêàëà îö³íêè ðèçèê³â

N
ç/ï

гâåíü ðèçèê³â

Âèçíà÷åííÿ

1

2

3

1

Íåäîïóñòèìèé ðèçèê

âòðàòà æèòòÿ àáî çäîðîâ'ÿ, âåëè÷åçí³ ìàòåð³àëüí³ çáèòêè;

2

Âèñîêèé ðèçèê

çàãðîçà æèòòþ òà çäîðîâ'þ, âåëèê³ ìàòåð³àëüí³ çáèòêè;

3

Ïîì³ðíèé ðèçèê

íàñë³äêè íå ïðèçâåäóòü äî âòðàòè æèòòÿ, ³íâàë³äíîñò³, âåëèêèì ìàòåð³àëüíèì çáèòêàì;

4

Íèçüêèé ðèçèê

íàñë³äêè ìàëîéìîâ³ðí³;

5

Äîïóñòèìèé ðèçèê

íàñë³äêè ïðèéíÿòí³.

____________

 

ÇÀÒÂÅÐÄÆÅÍÎ
Íàêàç ̳í³ñòåðñòâà îõîðîíè çäîðîâ'ÿ Óêðà¿íè
22 ëþòîãî 2023 ðîêó N 365

Çàðåºñòðîâàíî
â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè
24 êâ³òíÿ 2023 ð. çà N 653/39709

ªäèíèé ïåðåë³ê
á³îëîã³÷íèõ àãåíò³â, ÿê³ ñòàíîâëÿòü àáî ìîæóòü ñòàíîâèòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè

1. Öåé ªäèíèé ïåðåë³ê âêëþ÷ຠò³ëüêè ò³ á³îëîã³÷í³ àãåíòè, ÿê³ çäàòí³ ³íô³êóâàòè ëþäèíó.

2. Á³îëîã³÷í³ àãåíòè ïîä³ëÿþòüñÿ çà ÷îòèðìà ãðóïàìè íåáåçïåêè â³äïîâ³äíî äî ð³âíÿ ¿õ ³íôåêö³éíî¿ çàãðîçè:

1) ãðóïà 1 - á³îëîã³÷í³ àãåíòè, íå çäàòí³ ñïðè÷èíèòè çàõâîðþâàííÿ ëþäèíè;

2) ãðóïà 2 - á³îëîã³÷í³ àãåíòè, ùî çäàòí³ ñïðè÷èíèòè çàõâîðþâàííÿ ëþäèíè ³ ìîæóòü áóòè íåáåçïå÷íèìè äëÿ ïðàö³âíèê³â, ïðîòå íå çäàòí³ ïåðåíîñèòè ³íôåêö³þ ³ ïðîòè ÿêèõ ³ñíóþòü ïðîô³ëàêòè÷í³ òà ë³êàðñüê³ çàñîáè;

3) ãðóïà 3 - á³îëîã³÷í³ àãåíòè, ùî çäàòí³ ñïðè÷èíèòè íåáåçïå÷í³ çàõâîðþâàííÿ, ÿâëÿþòü ñåðéîçíó íåáåçïåêó äëÿ ïðàö³âíèê³â ³ ìîæóòü ïåðåíîñèòè ³íôåêö³þ, àëå ïðîòè ÿêèõ, ÿê ïðàâèëî, ³ñíóþòü ïðîô³ëàêòè÷í³ òà ë³êàðñüê³ çàñîáè;

4) ãðóïà 4 - á³îëîã³÷í³ àãåíòè, ùî çäàòí³ ñïðè÷èíèòè ñåðéîçí³ çàõâîðþâàííÿ ëþäèíè ³ ÿâëÿþòü âåëèêó íåáåçïåêó äëÿ ïðàö³âíèê³â ³ äëÿ ñóñï³ëüñòâà ÷åðåç çäàòí³ñòü øâèäêî ïîøèðþâàòèñü ³ ïðîòè ÿêèõ, ÿê ïðàâèëî, â³äñóòí³ çàñîáè ïðîô³ëàêòèêè.

3. Îñíîâíîþ ÷àñòèíîþ öüîãî ªäèíîãî ïåðåë³êó º á³îëîã³÷í³ àãåíòè, ÿê³ çäàòí³ âïëèíóòè íà çäîðîâèõ ïðàö³âíèê³â.

Ó öüîìó ªäèíîìó ïåðåë³êó âïëèâ á³îëîã³÷íèõ àãåíò³â íå ïîøèðþºòüñÿ íà ïðàö³âíèê³â, ÷óòëèâ³ñòü ÿêèõ ìîæå â³äð³çíÿòèñü â³ä ÷óòëèâîñò³ çäîðîâèõ ïðàö³âíèê³â, íàïðèêëàä, âíàñë³äîê çàõâîðþâàííÿ, 䳿 ë³êàðñüêèõ çàñîá³â, ïîñëàáëåíîãî ³ìóí³òåòó, âàã³òíîñò³ àáî ãîäóâàííÿ íîâîíàðîäæåíî¿ äèòèíè. ϳä ÷àñ îö³íþâàííÿ ð³âíÿ íåáåçïåêè ñë³ä äîäàòêîâî âðàõîâóâàòè ï³äâèùåííÿ ð³âíÿ íåáåçïåêè äëÿ òàêèõ ïðàö³âíèê³â.

4. Ó âèïàäêó íåáåçïåêè âïëèâó á³îëîã³÷íèõ àãåíò³â ãðóï 3 ³ 4 ï³ä ÷àñ ïðîâåäåííÿ ðîá³ò çà êîíêðåòíèìè âèðîáíè÷èìè òåõíîëîã³÷íèìè ïðîöåñàìè, ðîá³ò ç òâàðèíàìè òîùî, çàïîá³æí³ çàõîäè ïîâèíí³ â³äïîâ³äàòè âèìîãàì çàêîíîäàâñòâà Óêðà¿íè.

5. Á³îëîã³÷í³ àãåíòè, îäèí àáî ê³ëüêà ð³çíîâèä³â ÿêèõ º ïàòîãåííèìè äëÿ ëþäèíè, íàâåäåí³ ó öüîìó ªäèíîìó ïåðåë³êó ç çàçíà÷åííÿì òèõ ð³çíîâèä³â, ÿê³ íàéâ³ðîã³äí³øå çäàòí³ âèêëèêàòè çàõâîðþâàííÿ, êð³ì òîãî, ñë³ä ïàì'ÿòàòè, ùî é ³íø³ ð³çíîâèäè öèõ á³îëîã³÷íèõ àãåíò³â çäàòí³ ÷èíèòè âïëèâ íà çäîðîâ'ÿ ëþäèíè.

6. ßêùî â ªäèíîìó ïåðåë³êó çàçíà÷åíèé ö³ëèé á³îëîã³÷íèé ð³ä àãåíò³â, ñë³ä ìàòè íà óâàç³, ùî äî ªäèíîãî ïåðåë³êó íå âêëþ÷åí³ âèäè ³ øòàìè, â³äîì³ ÿê íåïàòîãåíí³.

7. ßêùî øòàì ïîñëàáëåíèé (ìຠçíèæåíó ïàòîãåíí³ñòü àáî âòðàòèâ ïåâí³ ãåíè ïàòîãåííîñò³), íå ïîòð³áíî ñòàâèòè äî íüîãî òàê³ æ âèìîãè ùîäî ñòóïåíþ çàáðóäíåííÿ, ÿê³ íåîáõ³äí³ äëÿ âèõ³äíî¿ ôîðìè ï³ä ÷àñ îö³íþâàííÿ ð³âíÿ íåáåçïåêè íà ðîáî÷îìó ì³ñö³. Òàêà ñèòóàö³ÿ ìîæëèâà, íàïðèêëàä, êîëè ïîâíèé øòàì âèêîðèñòîâóºòüñÿ ó ÿêîñò³ ïðåïàðàòó àáî ÷àñòèíè ïðåïàðàòó äëÿ ïðîô³ëàêòè÷íèõ àáî òåðàïåâòè÷íèõ çàõîä³â.

8. Âèÿâëåí³ ó ëþäèíè á³îëîã³÷í³ àãåíòè, îö³íþâàííÿ ÿêèõ íå ïðîâîäèëèñü, ³ íå çàçíà÷åí³ ó öüîìó ªäèíîìó ïåðåë³êó, íåîáõ³äíî â³äíåñòè, äî ãðóïè 2, ó çâ'ÿçêó ç òèì, ùî âîíè ìîæóòü ñòàòè ïðè÷èíîþ çàõâîðþâàííÿ ëþäåé.

9. Îêðåì³ á³îëîã³÷í³ àãåíòè, â³äíåñåí³ äî ãðóïè 3 ³ ïîçíà÷åí³ â ïðèì³òêàõ äî öüîãî ªäèíîãî ïåðåë³êó, ìîæóòü ÿâëÿòè îáìåæåíó ñòóï³íü íåáåçïåêè ³íô³êóâàííÿ ïðàö³âíèê³â, îñê³ëüêè âîíè, ÿê ïðàâèëî, íå ïåðåäàþòüñÿ ïîâ³òðÿíèì øëÿõîì.

10. Ñóá'ºêòó ãîñïîäàðþâàííÿ, ÿêèé ïðîâîäèòü ä³ÿëüí³ñòü ç îá³ãó á³îëîã³÷íèõ àãåíò³â, íåîáõ³äíî ïðîâåñòè çàõîäè ùîäî îö³íþâàííÿ çàáðóäíåííÿ (ïðèì³ùåíü òà îáëàäíàííÿ) òàêèìè á³îëîã³÷íèìè àãåíòàìè ç óðàõóâàííÿì âëàñòèâîñòåé, àêòèâíîñò³ ³ ê³ëüêîñò³ öèõ àãåíò³â ç ïîçèö³é âèçíà÷åííÿ ìîæëèâîñò³ íå âæèâàòè òàêèõ çàõîä³â ó ïåâíèõ îáñòàâèíàõ.

11. Âèìîãè ùîäî ãåðìåòèçàö³¿, ïîâ'ÿçàí³ ç êëàñèô³êàö³ºþ ïàðàçèò³â, ñòàâëÿòüñÿ ò³ëüêè ñòîñîâíî òèõ ñòàä³é æèòòºä³ÿëüíîñò³ ïàðàçèò³â, íà ÿêèõ âîíè çäàòí³ ³íô³êóâàòè ëþäèíó íà ðîáî÷îìó ì³ñö³.

12. Ó öüîìó ªäèíîìó ïåðåë³êó ñïåö³àëüíî ïîçíà÷åí³ âèïàäêè, êîëè:

1) á³îëîã³÷í³ àãåíòè, ïîòåíö³éíî çäàòí³ âèêëèêàòè àëåðã³÷í³ àáî òîêñè÷í³ ðåàêö³¿;

2) íàÿâí³ ä³þ÷³ âàêöèíè;

3) ñïèñîê ïðàö³âíèê³â, ùî çàçíàëè âïëèâó á³îëîã³÷íèõ àãåíò³â, çáåð³ãàºòüñÿ á³ëüøå, í³æ 10 ðîê³â ï³ñëÿ çàê³í÷åííÿ îñòàííüîãî çàðåºñòðîâàíîãî âèïàäêó âïëèâó.

13. Ö³ ïîçíà÷åííÿ âêàçàíî â ãðàô³ 4 òàáëèöü I, II, III, IV äîäàòêà äî öüîãî ªäèíîãî ïåðåë³êó òàêèìè ë³òåðàìè:

A: ìîæëèâà àëåðã³÷íà ä³ÿ;

D: ïåðåë³ê ïðàö³âíèê³â, ùî çàçíàëè âïëèâó á³îëîã³÷íîãî àãåíòà, ïîâèíåí çáåð³ãàòèñü á³ëüøå, í³æ 10 ðîê³â ï³ñëÿ çàê³í÷åííÿ îñòàííüîãî çàðåºñòðîâàíîãî âèïàäêó âïëèâó;

T: óòâîðåííÿ òîêñèí³â;

V: ³ñíóº åôåêòèâíà âàêöèíàö³ÿ;

a: êë³ùîâèé åíöåôàë³ò;

b: hepatitis D virus - ïàòîãåííèé äëÿ ïðàö³âíèê³â ëèøå çà óìîâè îäíî÷àñíîãî àáî ïîâòîðíîãî çàðàæåííÿ â³ðóñîì is hepatitis B. Âàêöèíà ïðîòè â³ðóñó hepatitis B virus çàõèùຠïðàö³âíèê³â, ÿê³ íå çàðàæåí³ â³ðóñîì ïðîòè â³ðóñó hepatitis D virus (Äåëüòà);

c: ëèøå äëÿ òèï³â A òà B;

d: âæèâàºòüñÿ äëÿ ðîáîòè, ÿêà ïðÿìî ïîâ'ÿçàíà ç òàêèìè àãåíòàìè;

e: äâà â³ðóñè ³äåíòèô³êîâàíî: îäèí òèïó buffalopox à ³íøèé, îäèí ç â³ðóñ³â Vaccinia; f Îäèí ç cowpox virus;

h: íà ñüîãîäí³ íå ³ñíóº äîêàç³â õâîðîáè ëþäèíè, ÿêà ñïðè÷èíÿºòüñÿ ³íøèìè ðåòðîâ³ðóñàìè ñõîæîãî ïîõîäæåííÿ. Äëÿ ðîáîòè ç íèìè âæèâàþòüñÿ çàïîá³æí³ çàõîäè òðåòüîãî ð³âíÿ.

 

Äèðåêòîð Äåïàðòàìåíòó
ãðîìàäñüêîãî çäîðîâ'ÿ

Îëåêñ³é ÄÀÍÈËÅÍÊÎ

 

Äîäàòîê
äî ªäèíîãî ïåðåë³êó á³îëîã³÷íèõ àãåíò³â, ÿê³ ñòàíîâëÿòü àáî ìîæóòü ñòàíîâèòè íåáåçïåêó äëÿ çäîðîâ'ÿ ëþäèíè
(ïóíêò 13)

Òàáëèöÿ I

Áàêòå𳿠òà ïîä³áí³ îðãàí³çìè

N
ç/ï

Á³îëîã³÷íèé àãåíò

Ãðóïè íåáåçïåêè

Ïîçíà÷åííÿ

1

2

3

4

1

Actinobacillus actinomycetemcomitans

2

 

2

Actinomadura madurae

2

 

3

Actinomadura pelletieri

2

 

4

Actinomycesgerencs eriae

2

 

5

Actinomycesis raelii

2

 

6

Actinomycespyogenes

2

 

7

Actinomyces spp.

2

 

8

Arcanobacterium haemolyticum (Corynebacterium haenolyticum)

2

 

9

Bacillusanthracis

3

 

10

Bacteroidesfragilis

2

 

11

Bartonella bacillifonnis

2

 

12

Bartonella quintana (Rochalimaea quintana)

2

 

13

Bartonella (Rochalinea) spp.

2

 

14

Bordetella bronchiseptica

2

 

15

Bordetella parapertussis

2

 

16

Bordetella pertussis

2

V

17

Borrelia burgdorferi

2

 

18

Borrelia duttonii

2

 

19

Borrelia recurrentis

2

 

20

Borrelia spp.

2

 

21

Brucella abortus

3

 

22

Brucella canis

3

 

23

Brucella melitensis

3

 

24

Brucella suis

3

 

25

Burkholderia mallei (Pseudomonas mallei)

3

 

26

Burkholderia pseudomallei (Pseudomonas pseudomallei)

3

 

27

Campylobacter fetus

2

 

28

Campylobacter jejuni

2

 

29

Campylobacter spp.

2

 

30

Cardiobacterium hominis

2

 

31

Chlamydia pneumoniae

2

 

32

Chlamydia trachomatis

2

 

33

Chlamydia psittaci (avian strains)

3

 

34

Chlamydia psittaci (other strains)

2

 

35

Clostridium botulinum

2

T

36

Clostridium perfringens

2

 

37

Clostridium tetani

2

T, V

38

Clostridium spp.

2

 

39

Corynebacterium diphtheriae

2

T, V

40

Corynebacterium minutissimum

2

 

41

Corynebacterium pseudotuberculosis

2

 

42

Corynebacterium spp.

2

 

43

Coxiella burnetii

3

 

44

Edwardsiella tarda

2

 

45

Ehrlichia sennetsu (Rickettsia sennetsu)

2

 

46

Ehrlichia spp.

2

 

47

Eikenella corrodens

2

 

48

Enterobacter aerogenes/cloacae

2

 

49

Enterobacter spp.

2

 

50

Enterococcus spp.

2

 

51

Erysipelothrix rhusiopathiae

2

 

52

Escherichia coli (with the exception of non-pathogenic strains)

2

 

53

Escherichia coli, verocytotoxigenic strains (e.g. O157:H7 or O103)

3*

 

54

Flavobacterium meningosepticum

2

 

55

Fluoribacter bozemanae (Legionella)

2

 

56

Francisella tularensis (Type A)

3

 

57

Francisella tularensis (Type B)

2

 

58

Fusobacterium necrophorum

2

 

59

Gardnerella vaginalis

2

 

60

Haemophilusducreyi

2

 

61

Haemophilusinfluenzae

2

 

62

Haemophilus spp.

2

 

63

Helicobacter pylori

2

 

64

Klebsiella oxytoca

2

 

65

Klebsiella pneumoniae

2

 

66

Klebsiella spp.

2

 

67

Legionella pneumophila

2

 

68

Legionella spp.

2

 

69

Leptospira interrogans (all serovars)

2

 

70

Listeria monocytogenes

2

 

71

Listeria ivanovii

2

 

72

Morganella morganii

2

 

73

Mycobacterium africanum

3

 

74

Mycobacterium avium/intracellulare

2

V

75

Mycobacterium bovis (except BCG strain)

3

 

76

Mycobacterium chelonae

2

V

77

Mycobacterium fortuitum

2

 

78

Mycobacterium kansasii

2

 

79

Mycobacterium leprae

3

 

80

Mycobacterium malmoense

2

 

81

Mycobacterium marinum

2

 

82

Mycobacterium microti

3*

 

83

Mycobacterium paratuberculosis

2

 

84

Mycobacterium scrofulaceum

2

 

85

Mycobacterium simiae

2

 

86

Mycobacterium szulgai

2

 

87

Mycobacterium tuberculosis

3

 

88

Mycobacterium ulcerans

3*

 

89

Mycobacterium xenopi

2

V

90

Mycoplasma caviae

2

 

91

Mycoplasma hominis

2

 

92

Mycoplasma pneumoniae

2

 

93

Neisseria gonorrhoeae

2

 

94

Neisseria meningitidis

2

 

95

Nocardia asteroides

2

 

96

Nocardia brasiliensis

2

 

97

Nocardia farcinica

2

V

98

Nocardia nova

2

 

99

Nocardia otitidiscaviarum

2

 

100

Pasteurella multocida

2

 

101

Pasteurella spp.

2

 

102

Peptostreptococcus anaerobius

2

 

103

Plesiomonas shigelloides

2

 

104

Porphyromonas spp.

2

 

105

Prevotella spp.

2

 

106

Proteusmirabilis

2

 

107

Proteuspenneri

2

 

108

Proteusvulgaris

2

 

109

Providencia alcalifaciens

2

 

110

Providencia rettgeri

2

 

111

Providencia spp.

2

 

112

Pseudomonas aeruginosa

2

 

113

Rhodococcusequi

2

 

114

Rickettsia akari

3*

 

115

Rickettsia canada

3*

 

116

Rickettsia conorii

3

 

117

Rickettsia montana

3*

 

118

Rickettsia typhi (Rickettsia mooseri)

3

 

119

Rickettsia prowazekii

3

 

120

Rickettsia rickettsii

3

 

121

Rickettsia tsutsugamushi

3

 

122

Rickettsia spp.

2

 

123

Salmonella arizonae

2

 

124

Salmonella enteritidis

2

 

125

Salmonella typhimurium

2

 

126

Salmonella paratyphi A, B, C

2

V

127

Salmonella typhi

3*

V

128

Salmonella (other serovars)

2

 

129

Serpulina spp.

2

 

130

Shigella boydii

2

 

131

Shigella dysenteriae (Type 1)

3*

T

132

Shigella dysenteriae, other than Type 1

2

 

133

Shigella flexneri

2

 

134

Shigella sonnei

2

 

135

Staphylococcusaureus

2

 

136

Streptobacillus moniliformis

2

 

137

Streptococcus pneumoniae

2

 

138

Streptococcus pyogenes

2

 

139

Streptococcuss uis

2

 

140

Streptococcus spp.

2

 

141

Treponema carateum

2

 

142

Treponema pallidum

2

 

143

Treponema pertenue

2

 

144

Treponema spp.

2

 

145

Vibrio cholerae (including El Tor)

2

 

146

Vibrio parahaemolyticus

2

V

147

Vibrio spp.

2

 

148

Yersinia enterocolitica

2

 

149

Yersinia pestis

3

 

150

Yersinia pseudotuberculosis

2

 

151

Yersinia spp.

2

 

Òàáëèöÿ II

³ðóñè

N
ç/ï

Á³îëîã³÷íèé àãåíò

Ãðóïè íåáåçïåêè

Ïîçíà÷åííÿ

1

2

3

4

1

Adenoviridae

2

 

2

Arenaviridae

2

 

 

LCM-Lassa-virus complex (old world arena viruses):

 

 

3

Lassa virus

4

 

4

Lymphocytic (strains)

3

 

5

Lymphocytic choriomeningitis virus (other strains)

2

 

6

Mopeia virus

2

 

7

Other LCM-Lassa complex viruses

2

 

 

Tacaribe-Virus-complex (new world arena viruses):

 

 

8

Guanarito virus

4

 

9

Junin virus

4

 

10

Sabia virus

4

 

11

Machupo virus

4

 

12

Flexal virus

3

 

13

Other Tacaribe complex viruses

2

 

14

Astroviridae

2

 

 

Bunyaviridae:

 

 

15

Belgrade (also known as Dobrava)

3

 

16

Bhanja

2

 

17

Bunyamwera virus

2

 

18

Germiston

2

 

19

Oropouche virus

3

 

20

Sin Nombre (formerly Muerto Canyon)

3

 

21

California encephalitis virus

2

 

 

Hantaviruses:

 

 

22

Hantaan (Korean haemorrhagic fever)

3

 

23

Seoul virus

3

 

24

Puumala virus

2

 

25

Prospect Hill virus

2

 

26

Other hantaviruses

2

 

 

Nairoviruses:

 

 

27

Crimean-Congo haemorrhagic fever

4

 

28

Hazara virus

2

 

 

Phleboviruses:

 

 

29

Rift Valley fever

3

V

30

Sandfly fever

2

 

31

Toscana virus

2

 

32

Other bunyaviridae known to be pathogenic

2

 

 

Caliciviridae:

 

 

33

Hepatitis E virus

3*

 

34

Norwalk virus

2

 

35

Other Caliciviridae

2

 

36

Coronaviridae

2

 

 

Filoviridae

 

 

37

Ebola virus

4

 

38

Marburg virus

4

 

 

Flaviviridae:

 

 

39

Australia encephalitis (Murray Valley encephalitis)

3

 

40

Central European tick-borne encephalitis virus

3*

V

41

Absettarov

3

 

42

Hanzalova

3

 

43

Hypr

3

 

44

Kumlinge

3

 

45

Dengue virus type 1 - 4

3

 

46

Hepatitis C virus

3*

D

47

Hepatitis G virus

3*

D

48

Japanese B encephalitis

3

V

49

Kyasanur Forest

3

V

50

Louping ill

3*

 

51

Omsk (a)

3

V

52

Powassan

3

 

53

Rocio

3

 

54

Russian spring-summer encephalitis (TBE) (a)

3

V

55

St Louis encephalitis

3

 

56

Wesselsbron virus

3*

 

57

West Nile fever virus

3

 

58

Yellow fever

3

V

59

Other flaviviruses known to be pathogenic

2

 

 

Hepadnaviridae

 

 

60

Hepatitis B virus

3*

V, D

61

Hepatitis D virus (Delta) (b)

3*

V, D

 

Herpesviridae

 

 

62

Cytomegalovirus

2

 

63

Epstein-Barr virus

2

 

64

Herpesvirus simiae (B virus)

3

 

65

Herpes simplex virus types 1 and 2

2

 

66

Herpesvirus varicella-zoster

2

 

67

Human B-lymphotropic virus (HBLV-HHV6)

2

 

68

Human herpes virus 7

2

 

69

Human herpes virus 8

2

D

 

Orthomyxoviridae

 

 

70

Influenza viruses types A, B and C

2

V (c)

71

Tick-borne orthomyxoviridae: Dhori and Thogoto

2

 

 

Papovaviridae

 

 

72

BK and JC viruses

2

D (d)

73

Human papillomaviruses

2

D (d)

74

Paramyxoviridae

 

 

75

Measles virus

2

V

76

Mumps virus

2

V

77

Newcastle disease virus

2

 

78

Parainfluenza viruses types 1 to 4

2

 

79

Respiratory syncytial virus

2

 

 

Parvoviridae

 

 

80

Human parvovirus (B 19)

2

 

81

Picomaviridae

 

 

82

Acute haemorrhagic conjunctivitis virus (AHC)

2

 

83

Coxsackie viruses

2

 

84

Echo viruses

2

 

85

Hepatitis A virus (human enterovirus type 72)

2

V

86

Polioviruses

2

V

87

Rhinoviruses

2

 

 

Poxviridae

 

 

88

Buffalopox virus (e)

2

 

89

Cowpox virus

2

 

90

Elephantpox virus (f)

2

 

91

Milkers' node virus

2

 

92

Molluscum contagiosum virus

2

 

93

Monkeypox virus

3

V

94

Orf virus

2

 

95

Rabbitpox virus (g)

2

 

96

Vaccinia virus

2

 

97

Variola (major and minor) virus

4

V

98

Whitepox virus ('Variola virus')

4

V

99

Yatapox virus (Tana & Yaba)

2

 

 

Reoviridae

 

 

100

Coltivirus

2

 

101

Human rotaviruses

2

 

102

Orbiviruses

2

 

103

Reuviruses

2

 

 

Retroviridae

 

 

104

Human immunodeficiency viruses

3*

D

105

Human T-cell lymphotropic viruses (HTLV), types 1 and 2

3*

D

106

SIV (h)

3*

 

 

Rhabdoviridae

 

 

107

Rabies virus

3*

V

108

Vesicular stomatitis virus

2

 

109

Togaviridae

 

 

110

Alphaviruses

 

 

111

Eastern equine encephalomyelitis

3

V

112

Bebaru virus

2

 

113

Chikungunya virus

3*

 

114

Everglades virus

3*

 

115

Mayaro virus

3

 

116

Mucambo virus

3*

 

117

Ndumu virus

3

 

118

O'nyong-nyong virus

2

 

119

Ross River virus

2

 

120

Semliki Forest virus

2

 

121

Sindbis virus

2

 

122

Tonate virus

3*

 

123

Venezuelan equine encephalomyelitis

3

V

124

Western equine encephalomyelitis

3

V

125

Other known alphaviruses

2

 

126

Rubivirus (rubella)

2

V

127

Toroviridae

2

 

128

Unclassified viruses

 

 

129

Equine morbillivirus

4

 

130

Hepatitis viruses not yet identified

3*

D

 

Unconventional agents associated with the transmissible spongiform encephalopathies (TSEs)

 

 

131

Creutzfeldt-Jakob disease

3*

D (d)

132

Variant Creutzfeldt-Jakob disease

3*

D (d)

133

Bovine spongiform encephalopathy (BSE) and other related animal TSEs

3*

D (d)

134

Gerstmann-Str ussler-Scheinker syndrome

3*

D (d)

135

Kuru

3*

D (d)

Òàáëèöÿ III

ÏÀÐÀÇÈÒÈ

N
ç/ï

Á³îëîã³÷íèé àãåíò

Ãðóïè íåáåçïåêè

Ïîçíà÷åííÿ

1

2

3

4

1

Acanthamoeba castellani

2

 

2

Ancylostoma duodenale

2

 

3

Angiostrongylus cantonensis

2

 

4

Angiostrongylus costaricensis

2

 

5

Ascaris lumbricoides

2

 

6

Ascaris suum

2

A

7

Babesia divergens

2

A

8

Babesia microti

2

 

9

Balantidium coli

2

 

10

Brugia malayi

2

 

11

Brugia pahangi

2

 

12

Capillaria philippinensis

2

 

13

Capillaria spp.

2

 

14

Clonorchis sinensis

2

 

15

Clonorchisviverrini

2

 

16

Cryptosporidium parvum

2

 

17

Cryptosporidium spp.

2

 

18

Cyclospora cayetanensis

2

 

19

Dipetalonema streptocerca

2

 

20

Diphyllobothrium latum

2

 

21

Dracunculusmedinens is

2

 

22

Echinococcusgranulos us

3*

 

23

Echinococcusmultilocularis

3*

 

24

Echinococcusvogeli

3*

 

25

Entamoeba histolytica

2

 

26

Fasciola gigantica

2

 

27

Fasciola hepatica

2

 

28

Fasciolopsis buski

2

 

29

Giardia lamblia (Giardia intestinalis)

2

 

30

Hymenolepisdiminuta

2

 

31

Hymenolepisnana

2

 

32

Leishmania brasiliensis

3*

 

33

Leishmania donovani

3*

 

34

Leishmania ethiopica

2

 

35

Leishmania mexicana

2

 

36

Leishmania peruviana

2

 

37

Leishmania tropica

2

 

38

Leishmania major

2

 

39

Leishmania spp.

2

 

40

Loa loa

2

 

41

Mansonella ozzardi

2

 

42

Mansonella perstans

2

 

43

Naegleria fowleri

3

 

44

Necator americanus

2

 

45

Onchocerca volvulus

2

 

46

Opisthorchis felineus

2

 

47

Opisthorchis spp.

2

 

48

Paragonimuswes termani

2

 

49

Plasmodium falciparum

3*

 

50

Plasmodium spp. (human and simian)

2

 

51

Sarcocystis suihominis

2

 

52

Schistosoma haematobium

2

 

53

Schistosoma intercalatum

2

 

54

Schistosoma japonicum

2

 

55

Schistosoma mansoni

2

 

56

Schistosoma mekongi

2

 

57

Strongyloidess tercoralis

2

 

58

Strongyloides spp.

2

 

59

Taenia saginata

2

 

60

Taenia solium

3*

 

61

Toxocara canis

2

 

62

Toxoplasma gondii

2

 

63

Trichinella spiralis

2

 

64

Trichuristrichiura

2

 

65

Trypanosoma brucei brucei

2

 

66

Trypanosoma brucei gambiense

2

 

67

Trypanosoma brucei rhodesiense

3*

 

68

Trypanosoma cruzi

3

 

69

Wuchereria bancrofti

2

 

Òàáëèöÿ IV

ÃÐÈÁÈ

N
ç/ï

Á³îëîã³÷íèé àãåíò

Ãðóïè íåáåçïåêè

Ïîçíà÷åííÿ

1

2

3

4

1

Aspergillus fumigatus

2

A

2

Blastomycesdermatitidis (Ajellomycesdermatitidis)

3

 

3

Candida albicans

2

A

4

Candida tropicalis

2

 

5

Cladophialophora bantiana (formerly: Xylohypha bantiana, Cladosporium bantianum or trichoides)

3

 

6

Coccidioides inunitis

3

A

7

Cryptococcusneoformans var. neofonnans (Filobas idiella neofonnans var. neofonnans)

2

A

8

Cryptococcusneoformans var. gattii (Filobasidiella bacillispora)

2

A

9

Emmonsia parva var. parva

2

 

10

Emmonsia parva var. crescens

2

A

11

Epidermophyton floccosum

2

 

12

Fonsecaea compacta

2

 

13

Fonsecaea pedrosoi

2

 

14

Histoplasma capsulatum var. capsulatum (Ajellomyces capsulatus)

3

A

15

Histoplasma capsulatum duboisii

3

 

16

Madurella grisea

2

A

17

Madurella mycetomatis

2

 

18

Microsporum spp.

2

 

19

Neotestudina rosatii

2

 

20

Paracoccidioides brasiliensis

3

 

21

Scedosporium apiospermum (Pseudallescheria boydii)

2

 

22

Scedosporium prolificans (inflatum)

2

 

23

Sporothrix schenckii

2

 

24

Trichophyton rubrum

2

 

25

Trichophyton spp.

2

 

____________
Ó ªäèíîìó ïåðåë³êó ñïåö³àëüíî ïîçíà÷åí³ âèïàäêè, êîëè á³îëîã³÷í³ àãåíòè, çäàòí³ âèêëèêàòè àëåðã³÷í³ àáî òîêñè÷í³ ðåàêö³¿.

____________

 

 


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