dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created...

44
YTIPAB"TII,HI,IE q,EIEPAJbHOI:i C"]IYi{iEbI IIO HAASOPY B C@EPE 3AUIIITLI II PAII flOTPEELITIIII"I lt EJAt-Oflo.rt] qlt, IIEJ'IOBEIiA no BAItoBctior 0b,1Ac I t' AETIAP'I'A\,IEHT 3APABOOXPATIEHII'I I,ItsAHOtsCKOii OE,'IACTI{ IIPTII{A3 ot' N,lfir/ r'lr' <<O lrepax no npeAyrrpexAeHHm pacnpocrpaHeHnq l-r nnKBHAarIltH rlHoeKqIIoHrrr,rx 3a6oresarrIlii rplruna/OpBI,I, n roM qncJre Br,rcoKorraroreHHoro, Ha repp[TopuH [Isarroscxoii o6,,racrlr>) B qelsx o6ecneqenr.rr ueponpumurZ rro lpeAynpexAeHuto u JulKBxAarllll pacflpocrpaHeHll, I-lH0eKUr.roHH6rx :a6oresauHfi rpunna,/OpBl4, B roM qr{cJre BrrcoKorraroreHHoro, Ha reppr.rropr.rll I,Iganoscrofi o6racrz: IIPI4KA3bIBAEM: 1. Vmepguru: l.l. Cxeuy cJrexeHri, 3a ypoBHeM uuQerqzouno :a6olenaeuocrz rpnnno/OPBI,I, BupycoJrorl-rqecKoro MoHHTopr.rHfa, B r.q. c perucrpaqfiefi B;rcoKoflarorerrHrrx rrrraMMoB Br.rpyca (npll,roxenne l). 1.2. Krr.rHr,rqecKre r(ptlTepnu IHarHocrHKx rpunna y 1erefi (npuloxeuue ,\ 1.3. Xaparrepucruxa r.r rzxrr4Ka y rpyn[ (pxcI<a> B3pocJrllx [auHeHToB rro TrxeJroMy x rpailue rrxelolry TeqeHr.rlo tplrnna (np[noxeHr.re 3) 1.4. floxa:aHns K rocrrlraJrr.r3auxx nuQerquouurx 6o.nruux rpnnnou/OPBl4 (4erei u a:poc:rrx) (npz:roxear.re 4). 1.5. Cxeuy yponnenofi crarlnoHapHoi MelxquHcKofi roMoull HH(DeKrInoHHBrM 6olrsuu rplrnnolr/OPBl,I s I,bauoscxofi o6:racru (npu:roNeuue 5). 1.6. Koequyo MoulHocrr, o6,racrsux 6rc1xerNrx yrpex4ennl 3ApaBooxpaHeHr.{.f, I4saxoacxofi o6nacru [pH MaccoBoM rrocrynneHr.r]r 6o:ruux rpunnou/OPBz (pacqer (oeqHoro QoHla) (npuroNenue 6). 1.7. flopxgox ycur.e*Lrs Ka,qpoBbrx pecypcoB o6:racrsux 6rogxernrrx yqpexleHnfi 3ApaBooxpaHeHu, I,Inanoscroi o6racru e ycJroBrr.,fx MaccoBoro rrocrynJreHr.It 6onrurtx a uaQexuuouuue craultoHaprl rtpu SIxtaeMHfi BErcoKonaroreuHoro rpulna (npluoxeuze 7). 1.8. flora:aulrs K npoBe.{eHr.rro o6c,re4oranul ua cuequQuvecrue (rucoronarorenutre) rupycu rpmua (npulroNenue 8). 1.9. flepevexr KOTOpbIX CO3AaeTC' rrporxBoBripycHbrx npenaparoB, secnuNaeutri ganac B crarllroHapax o6lacmr,rx 6roaNersux yqpexaeHrlii

Transcript of dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created...

Page 1: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

YTIPAB"TII,HI,IE q,EIEPAJbHOI:i C"]IYi{iEbI IIO HAASOPY B C@EPE3AUIIITLI II PAII flOTPEELITIIII"I lt EJAt-Oflo.rt] qlt, IIEJ'IOBEIiA

no BAItoBctior 0b,1Ac I t'

AETIAP'I'A\,IEHT 3APABOOXPATIEHII'I I,ItsAHOtsCKOii OE,'IACTI{

IIPTII{A3

ot' N,lfir/ r'lr'<<O lrepax no npeAyrrpexAeHHm pacnpocrpaHeHnq l-r nnKBHAarIltH

rlHoeKqIIoHrrr,rx 3a6oresarrIlii rplruna/OpBI,I, n roM qncJreBr,rcoKorraroreHHoro, Ha repp[TopuH [Isarroscxoii o6,,racrlr>)

B qelsx o6ecneqenr.rr ueponpumurZ rro lpeAynpexAeHuto u JulKBxAarllllpacflpocrpaHeHll, I-lH0eKUr.roHH6rx :a6oresauHfi rpunna,/OpBl4, B roM qr{cJreBrrcoKorraroreHHoro, Ha reppr.rropr.rll I,Iganoscrofi o6racrz:

IIPI4KA3bIBAEM:1. Vmepguru:l.l. Cxeuy cJrexeHri, 3a ypoBHeM uuQerqzouno :a6olenaeuocrz

rpnnno/OPBI,I, BupycoJrorl-rqecKoro MoHHTopr.rHfa, B r.q. c perucrpaqfiefiB;rcoKoflarorerrHrrx rrrraMMoB Br.rpyca (npll,roxenne l).

1.2. Krr.rHr,rqecKre r(ptlTepnu IHarHocrHKx rpunna y 1erefi (npuloxeuue,\

1.3. Xaparrepucruxa r.r rzxrr4Ka y rpyn[ (pxcI<a> B3pocJrllx [auHeHToB rroTrxeJroMy x rpailue rrxelolry TeqeHr.rlo tplrnna (np[noxeHr.re 3)

1.4. floxa:aHns K rocrrlraJrr.r3auxx nuQerquouurx 6o.nruuxrpnnnou/OPBl4 (4erei u a:poc:rrx) (npz:roxear.re 4).

1.5. Cxeuy yponnenofi crarlnoHapHoi MelxquHcKofi roMoullHH(DeKrInoHHBrM 6olrsuu rplrnnolr/OPBl,I s I,bauoscxofi o6:racru (npu:roNeuue5).

1.6. Koequyo MoulHocrr, o6,racrsux 6rc1xerNrx yrpex4ennl3ApaBooxpaHeHr.{.f, I4saxoacxofi o6nacru [pH MaccoBoM rrocrynneHr.r]r 6o:ruuxrpunnou/OPBz (pacqer (oeqHoro QoHla) (npuroNenue 6).

1.7. flopxgox ycur.e*Lrs Ka,qpoBbrx pecypcoB o6:racrsux 6rogxernrrxyqpexleHnfi 3ApaBooxpaHeHu, I,Inanoscroi o6racru e ycJroBrr.,fx MaccoBororrocrynJreHr.It 6onrurtx a uaQexuuouuue craultoHaprl rtpu SIxtaeMHfiBErcoKonaroreuHoro rpulna (npluoxeuze 7).

1.8. flora:aulrs K npoBe.{eHr.rro o6c,re4oranul ua cuequQuvecrue(rucoronarorenutre) rupycu rpmua (npulroNenue 8).

1.9. flepevexrKOTOpbIX CO3AaeTC'

rrporxBoBripycHbrx npenaparoB, secnuNaeutri ganacB crarllroHapax o6lacmr,rx 6roaNersux yqpexaeHrlii

Page 2: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

3apaBooxpaneHn, I4saHoscrofi o6racra s ycJroBri{x noa.reua :a6o.neraeuocrzrpunnou/OPBI4 (npnnoNenrae 9).

l.10. Cxeuu nevenur uuQerquoHHrix ga6oresaHr.r , BbBBaHHrrx Br,rpycoMrpurna (g.n.a aspoc:rlx naquenroa) (npunoNenue 10).

l. l L Cxeltr leveHux r.rn$exqlloHHbrx 3a6oneBaHnf ,rprnna (An, Aereft) (npaloxenxe I l).

1.12. Cxeuy npoSnaar<ruvecxoro reyeHn.a MeAr,trlxHcKnx pa6orHnxoB BycnoBusx noAbeMa :a6onesaeN{ocru rprzuua./OPBI4 (npr.uroxeHr.re I 2).

I .13. A:rroprlru geficraufi o6lacrnux 6rcaxersux y.rpexAeHr.rfr3ApaBooxpaHeHr.t, I,IsaHoscxofi o6aacru npu rroAo3peHrrll It ar,rsnreuhu 6omHHxrpunnoM, Bbr3BaHHbrx Br,rcoronaroreHHbrMx rrrraMMaMr.r (BfII[) (npunoxenzel3).

1.14. Pacnpegeneuue Qyuxqr.ri no KonTpo:tro 3a Br,rnoJrHeHHeMMeponpurrr.rfi, HarrpaBjreHHErx Ha pean 3arlHro Mep no npeAynpexAeHxropacnpocrpaHeHr.rr r.i JrrrKBHIarIua ulrSercquoHnrx :a6oleaauuii, Bbr3BaHHhrxBrlpycoM rpr{nna./OPBZ (flpzroxerue l4).

2. f:raanrnr BpaqaM o6nacrsux3ApaBooxpaHeHIr, 14eauogcxofi o6,'lacrr :

6ro4xerurx yqpex.qeHufi

8613BaHHbrX Brrpycox,l

2.2. O6ecneqrlrr ocHaqeHr.re anflaparypbr (I4BJI, c.nea.srqe annaparypu)

caHHTapHo-fut l,leHurtec}(ofoyqpex(/leHu,lx, Ha

2.4. Exeroguo ,qo I oKrr6p.f, npoBoar.rr; o6ytenr.re apavefi ne4uarpoe,reparreBroB, uuSerquonucroa, rpaveft ysxux cnequa.nurocrefi, a raKxe Bpaqeficxopoi t-t geor:roxgoft noMoIIu no Bo[pocaM KJII.IHrIKI.I, ILrafHocrxKH,reqeHrrro rpuflIla }t OPBI,I u [poBeAeHr.r[o llpoTr.iBo3flr.rleMrjqecKtrxueponpumui;

2.5. exero4uo ocBeuarr, B cpeAcrBax Maccoaofi lruSoplraquu BorrpocLr,ruqsoi u o6rqecraeuuoii npoSnnarruru rpnnua,/OpBZ.

3. .{rlpexropy fKY3 IlO (TLMK I{O> C.B.Ea.:anosy o6ecneqr.rr6:3.1. yvacrre B opraHlr3arlfiu oKa3aHru cKopofi MeAauxHcKofi noMoull B

MyHriqfirraJrbHrrx o6pa:oranurx I,IsaHoscxoft o6:racru npu Bo3HriKHoBeHr.tu3nr.raeMHlt B6ICOKOnaTO|eHHO|O tplrlna, B ToM qxcJle c co3.qaHueM HCITTTaTHLIXspave6no-cecrpuucrcux 6pura.{;

pexxMa B o6pa3oBarenrHLrx, neqe6Ho-npoQLuaKTr.rqecKuxIIpeInpun rurx Il optaHll3aqx'Ix.

2.1. Oprauu:orau pa6o.ry yvpeN,rerrui:i tl cooreeLcra[u c rr.1 sacr.oxuteroI1plIxa3a.

KIrCJrOpO.qOM, KOMnJIeK,T)'IOIUI-IMrZ Ii3,qeJrr.IrML AJu OKa3aHIL IOMOIIIIi B3pOCJI6IMrlaq[eHTaM L .qeTqM.

2.3. O6ecne.rurt exeroAHoe rrpoBeAeHr.re BaKrIr{Haq[H flporrlB rpI.rnna BcooTBeTcTBHI.I C IIJIaHOM BaKTII{HaqIrti.

2.4. ENeroAuo.qoBo,{r.rrE Ao cBeAeHr.rq pyroaogurerefi opraun:aqufi,He3aBucrrMo or opraHu3aquoHao-npaaoaofi $oplru co6crnenxocru:

-ueo6xo.{uuocu flpoBe.[eHru r.rMMyHr43arl[]i nporr.rB fpu nrlapa6oruuror npeglpvar:ail 3a c.rer cpe.qcra pa6oro.{arerefi;

-Heo6xo.U.rMocT6 co6:rrcgeuur reMneparypHoro u

Page 3: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

3.2. suro,rueHr.re MoHrrroprrHra o6lacrsux 6rc1xerurx yqpex.qeHuii3ApaBooxpaHeHr-r{ r pa6ore B ycJroBlrrx 3[r.rAeM[qecKoro [o.{6eMa:a6o,resaeuoclr.r rpu n norrdOPBH:

3,3. flpoBe,qeHfie au6opo.rnux npoBepoK roroBHocrri o6lacrnrx6rogxerHrrx f{pexAeHufi 3ApaBooxpaHeHr.r, K ora3aHr.tro ue4uquacrofi louorquB ycnoB[rx 3nr{AeMr.rqecKoro noA:beMa 3a6oneBaeMocTn rpnlnou/opBl{.

4. firanuolry apauy OEY3 <lIrOKE> Bonxory I4.E.:- opraHH3oBarE IJUr oKa3aHr.rs MeAnqHHc(ofi noMoull] HaceJleHl]lo

I,IsaHoscrofi o6nacru uplr Bo3HI{KHoBeHar{ 3\Llneu:aLt BhlcoKorraroteHHororp[nna (pyrnocyroqHoe <(KoJtbrro> opavei-uuSerq[oHrrcroB B oraeJleHltr3KcrpeHHo[ KoHcy[;TarnBHofi cxopo Me.(uqrlHcxofi nouorqlr c lpuBneqeHr.reMcleulranllcroB OfEOy BO ([lBfMA> Muu:gpaaa poccnu (no comaconauuro).

5. frasHHr\.r apavau OEY3 <I4rOKE> (Bo:rxooy I4.8.) a OEy3 <OffiE>(Paruauoaofi E.B.):

- ocyuecrBlr{Tr rocnr.rriulll3arluro r npo$n:rtarre orleJreHr.lt 6onrnrrxIIHeBMOHHTMII, pa3BI.IBIIXMIC' nocne tpunna, ItpL oTcyTcTBr.lI SnIiIeMX.{eCKOEyfpo3bl, T.e. nocJle aecrrofo aHg ot gaqa:ra 6o:regru.

6. fnarnorlry apa.ry OBY3 <I{ flE CIIIII I,l3> Kyxrero I0.A.:- orrpeAenurr, KaApoaufi peepa apavefi znQerquouucroB yqpexAeHx{

An.f, HanpaBleHlu s OEY3 I fKE npn Bo3Hr.rKHoBeHr.tr 3rrrlAeMltlBbICOI(OIIaTOTeHHOT rpl-lII[a.

7. Bonpocu opraHra3arll,ta u KoHTpoJrf, HcnoJrHeHr.tf, y(a3aHH6rxuepOnpuarU Bo3JIOXI-iTL Ha OTBeTCTBeHHbIX COTpy.[HrrKOB ynpaBneHr.rsPocnorpe6uag:opa no I,IsaHoscKofi o6nacrx E,{enapraueHra 3apaBooxpaHeHu,I4saHoBcrofi o6nacru y B coorBercrBr.ra c KypHpyeMr,rMr.r pa:gelauu pa6oru(npunoxeuue l2).

8. Cqurart )rrparr.rBrrrr4M cxny npr.rKa3 ynpaBneHu.f, pocnorpe6uag:opano HaaHoscroil o6.nacrr.r u {enapraueura 3ApaBooxpaHeHr4, ZgaHoacKo[o6:racru or 29.01.2016 l',1!30/19 (O Mepax ro npeAyupexaeHrrropacnpocrpaHeHu.f, u nLrKBla4ar 4rl^ uuQerqtouurx ga6o:resaHr.rii OpB},t/rpunna, rT.q. BErcoKonaroreHHoro, Ha repprrropuu Hrauoncrofi o6:racrz>

9. Kourponr, Ircrro:rHeHr.r, rlprlKzrapyroBo.qr.rreJr.f, Ynpan.leuur Pocno.rpe6nag:opa

BO3JIOXHTL HA 3AMCCTUTCJI'

no I.,lsaHoscKofi o6racruI4xrxxooy O.E. u nepaoro 3aMecrr,rrerq Haqa[6Hr.rKa [erapranerrra:gpaaooxpaueuua I,IBaHoBcKofi o6nacrr.r crarc-ceKperap.,{ Eauyrulrna A.E.

Pynoeoqrrre,ru yrpaBJ'leHrlrr Hava,rtunr Ienapra]rerrra3n paBooxpaueH Hrr I,l ra u oacxor'io6,racru

{DeaepaLrsrror'i c,ryx6rr no Hat30py B

cQcpe:aulnlur0J'IaIoIIo"IvrI

lI.I.Eepe:una

iz\

l;

J,IIOBCNA tIT

ACTIII,Irarrogcxoi

T'IEJ'ICH T

Page 4: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

IlpEroxeune Ix npura:y lenapraveuTa 3apaBooxpaueuus

LIBaHoBckoi o6nacrn-Yupaueuur Pocnorpe6uaasopa

no I4satoscxoi o6racruN!

Cxcna clrcxenrrr ra yporrHcnr unscnqrrou rror-r 3a60.rreBae[rocrrr r.pnnnolr/ OpBl,l,BtIpyco,'rof HqecKoIo ]rroIIItTopuIIf a,

B i.9. c pelrrcrpauuefi ebrcoxorta.ro fetr ll,rx urtaNt]troB Brrpyca

Ta6-rxqa 1*3a6o"qcaaelrocru rpu rrIotrr rr OPBI,I**

(laral

[arrnure anpyco",rorHqcctroro

'l a6lnua 2xllrorruTopuHfa, B T.q. Br,rcoKollATofeHrroro fpflIIIa

.t ll cJ'to OPBI4+rpunn

B T.ri.fp,In

locnHTiuIH3r-rpoBaHo

OPBI'I +rpunnrocnr{TaJII.I3llpOBaHO C

fpI.InnoMacel-o B T,q.

AETT.I

ao 14

JIET

acefo B T,q.

AETI-I

ao 14JICT

BCCTO B T.q.

AETX AO

14 ler

BCCTO B T.q, AETI' AO

14 :rer

fpynnuHACCJIEHI-I'

tlncroo6cregoraHnrr

x nl,lu

LIucJto

npotse.q

EHHLIX

xccnejloeaHNii

fpunn A+

=s+o-

tr

qB T.I{.

npu6uBIIIHXr{3-34

py6exa

fleru0-2roga[eru 3 6 ,re'r

fieru7-14rcr

Il: nux no.lroxureJtr,ubre Ha

F

o.s

o.oFa.

o.

t-a.

EIxlo. I

olEIo. I

ol-to. IL.

II

I

s

a-

- lNz tz:E IE

,{ern 15 - 18

JIET

Page 5: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

B:pocmre l826:re,l.Bspoclue 27-64 rogaB:lpoc,rue 65JreT I{ CTapUe

EepeuennuexeHruI-IHbr

,rluqa c

Aua6eroMJluqa coxLrpeHHeM

Jlaua c BI'Itluu$erquei,{pyrue rpynnu(yra:arr)

* flpe4ocrao,reuae rrallopMar1ru (o coorrercralru c ra6.nuqauu I u 2) ocyrqeornarerylpaBner re Pocflorpe6raa3opa no I4sauoscroi o6aacu a .{enapraueuT 3ApaBooxpaueuf,([oHelenLErk Io 16-00 .racoB no rfaxcy 59-48-21, sneMponHoii [email protected]). B [epno,u perl-lcrparttlr :a6ojresaeMoiru Ha ypoBue,IlpeBbruaoqeM 3flr.rAeMuqec([i flopor, B exeAHeBrroM pexfiMe B pa3pe3e aA[iEEcrparrrBHr,rxreppriroprifi, Ea (oropr,x 3aperucrpr.rpoBaH floAreM OPBI4 u rpl-Inrla.

** y Acrei rrpu Aliaruocrrr(e OPBI{ ueo6xogr-ruo tlcrroltl3oBarE y<a:aura <Kltltru.recraxpe(oMeHAarui Muslpaaa Pocculr (Ocrpa, pec[uparopHarr Brrpycnajr rlrr[exqur (OpBM) yaeren)) (2016/2018).

(flourrlre (ocrpa, pecfl[paropr.ur eupycual uuQexque (OpBI4D - cyMMnpyercJrer),toufie Ho3oJroruqeckrre Qopuu: ocrpufi ua:o0apuurur, ocrpbri Oaphrrrir, ocrpuiraprrHuir, ocr!,r,Ifi Tpaxeur, ocrpbli aapurrollapr_rurur, ocrpax aullexqua aepxunxIED@TeIEBED( n).rEi Be]..roqHeHllaur.

,{eaeuue OPBH (lra:oSapuurura, Qapuuurra, napuErorpaxer.rra 6e3 creHo3a ropraH{)IIo creneHI, Trxecrr.r He uenecoo6pa3Ho.

Cor"racuo ((CrauAapaaM o(a3arrn, Me.{t-tullucxofi noMorq{ ,uerrrM, 6o],u,Hr,rr'a rpxuuoM)oflpeaelleElle cT eIIegIl TrxecT[ 3a6oneBaHE r o6a3aTen6Eo, Tro olpelerreT BI_IA MeAT IUHCI(OiloMoulu (nepB[qaa, MeAuKo-caH.ITapEaur, cfleu[anrr3r-rpoBaEuac).- B kaqecrBe A[aruo3a creAyer u:6erarr repuuua (OPBI{)), uclonb3y, TepMrrabr:<ocrprri na:orfapuun D) ri,'rE (oc.rpbri Jrapflrrur), tlnB (ocrp6ri $aputrtr.>, rrocKor6(yBo36ylrrrenn OPBZ sbrsrrsalor ra(xe raplHrr.rr (xpyu), roliruaur:, 6pouxnr, 6porxuonr_ri,nTo cneayeT y(a36rBaTE B axarHo3e.B :aurovure,'Euou a[arEo3e ueo6xoArrMo riclonBoBa.rE (oArrpoBaHrre IIo MKB-10:Ocrpbri na3ooaprrHnrr (HacMopK) (J00)OcapEfi oapnHrr.rr (J02) J02.9 - Ocrpun $apuEflir Ee).roqHeEHhr[Ocrptri naplsrur n rpaxerr (J04) J04.0 - Ocrpufi aaprurur J04.1 - Ocrpui rpaxeurJ04.2 Ocrpbtri napullrolpaxenrOcrpue uuQexqur Bepxuux lbD<arenLrrt,x n),Tei MuoxecrBeHaoi ttEelroqsennofi Jrox,urrcaqxr (J06) J06.0 - Ocrpnfi ,raprluro$aprlnrur J06.9 - Ocrpaf,unoerque oepxuux lbrxarenLHr,rx flyrei He],ToqHeEHarr.

Page 6: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Ilplraoxer*re 2r npurary,{euapraueHra 3.[paBooxpaHeEru

I4BaHoBc(oi o6nacrrr.Ynpar,reaaa pocuorpe6Ha,{3opa

oa no I4BaHoBcxofi o6racrfi

XrHHHqecrfle KpllTepul AlrarHocrnxrr rpfirrna y Aerefi *Oco6exxocru conpeMeHHoro reqeuHfl rpurrrra y ,qerefi. KoporKli aHKy6aquonnrrfi tepao,q, ocrpoe Haqarto !r 6ypnoe pa:eurue;

' AnurenrHa, ao 4-5 cyroK Qe6puntaaa nuxopaaKa (38-40 . C lr nuure) uITHTOKCI{Karl}r{;

Paanee paaourae ocnoNueuzi, oco6eauo nueauonuu;3gaqurenrgoe noB[rueHr4e qacrorEl raape]r (nopaxenue rupyooneurepoquroa);

Onoprrrre KJ'urrutgecxlrc rrpH3HaKH rprrrrrra y rqc r eii. Ocrpeiiuee (ene:alrroe) HayaJro cpejl[ no,'rHoro 3,qopoabr:

. qacroe o6ocrpeHr.ie conyrcrByrorqefi laroloruu;. MHKcr-rrH0eKrI[[ (repnernvecra.rpecnt.rparopHEre 3a6oleranua).

llosrrrrreHue reMneparypu aurue 38oC;Brrpaxeunrri cuu4pou o6qefi auSercquonnofi r.rHToKcriKaqux (uxaocrr,cla6ocrr, ue4ouoranae u gpyrr.re);

. 3aJoxeHHocrE Hoca, cf(ocr6 cJII.I3I,ICTLIX o6oloqer , He3Haq[TerEHbIiplrHrrT, flinepeMriJl (oHbroHKrr.rB;

. fonoBHa, 6o:rs, 6o:ru npu ABHxeHrlu rua:urx .16lor, Mr.ranfli.f, (MbrlrruLtHof);Ilpu:uarr,r rpaxeura (cagneuue, <<xxeHr.re) 3a rpyAnHoi, cyxofi Ka[enL);ferr.ropparuvecrcu[ crrHApoM (uocoatre KpoBorerreHr.rr, reMopparuqecKa,c6rIIE).

Oco6ennocru rpurrrra y aerefi paHH€ro Bo3pacra.{eru 6o.leror rpun[oM c porr(Aeuflfl. O,qnaxo rroBtrureHHe:a6o,lesaeMocrfi orMerraercs nocre 3-4 MecqueB xH3Hu.. y HoBopoxAeHHBrx, KaK rrpaBrrno, He pa3B[Barorc, runeprepMH, rrfeMopparFrecKHfi cHHIpoM, KaTapalbHHe .f,BJreHu, BErpaxeHrr cla6o _((coIIeHIre) HOCOM, IIOKaIIIJII4BaHHe, qHXaHI.Ie.

. y.qerefi nepBoro roAa x[3Hn tpunn Haqr..rHaerc, rrocreneHHo I-I nporeKaerco creproi x,rasuqecroi cllunrovattlro :

- He3HaqI{TerLHoe 6ecnoxoicrao, cMeHa}ouleec_s Brrocrbro;- oTKa3 OT tpyAr,r.

. TeMnepal'ypa re,ra cy6Qe6pu,rrua{ xnu Hop\ranr,Har;Cerueurapnoe nopo(eHr.te rerKr.tx He xapaKTepHo;9acro orlaeqaerc, noBTopH:r, pBora, Bo3MoxHapeaKrIH, c KparKoBpeueunoi norepefi co3HaHr.rr;

uHOeI(Uur, Apyrxe BHp)cHhre

.laqeQanu'r'nuecral

Page 7: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

flpeo6lagaer HerJraAKoe reqeHr-re BcleAcrBxe Bo3HxKHoBeHr.r{ BTopuqHbrx6arrepr.ra,rruux ocroxHeHr.rfi, B nepByro oqepe.qL, co c.r.opoHbr,qrrxatenr'uoi cuctelurr;. Hau6onee qacro Ar-rarHocrr.Ipyror [HeBMoHrrro, Korop:ul Moxer pa3Bl.lrrc, Bneprrre guu 6oae:nu.

Vrpoxamulne nprl3HaKr.r rrrxeJroro reveuur rpnnua y 4ereii,rpe6yroutue uepoupunrufi n yc.loaulx OpIIT(Orqe,reuue peaurrMauHrr u rxrencunuofi repanxrl)

. HapacraH e I+IaHo3a lr oAEIIrrKu B noKoe, )xyAlxeHue no(a3arereflyn6coKcI.IMeTpHI.I;

. norBneHr.re KarrrJr{ c rrpuMec;ro KpoBI-l B MoKpore, 6olu ulu rrxecrrr B

ryYAIj;. ycuneHr,rereMopparruecKorocr.rHApoMa;. I,bMeHeHI.It flc]txfiqecKofo cocro_{HHt, cnyraHHocrE co3HaHfifl utrr|

no:6yxgenue, cyAopoflr;. floBropH6re pBor6r;. CHr,rxeHHe aprepr.ranbHoro laBneHrr.{ ra yMeHbrxeHrre Arrype3a;. CoxpaHeHue Bhrcoxo nuxopaaxu (6o.nee 4-5 cy"ror<) c perpparrepuocruo rc

xaponoHxx:uoullM cpe.qcTBtu I{ pa3BI{TAeM T{XeJrbrx oc:roxuegufi .OctroxueHns rrprr rprlrrne y Aerefi MoryT cr[opruupoaarrca ua .rno6ou :ranerurQexquu.

Jleroqgsreheroqno-nneBpaJrbHBre ocJroxHeHr.r, :

- aupycntre r.r 6axreprraJrbHBre nHeBMoHrrr.l;- reMopparwrecKnfi orex :rerroro;- ocapbrfi pecn[paropuu guc.rpecc cr.rHApoM (B3pocroro rrlna);- a6cqecc lerroro/rvnrelra n,reapu.BHerero.{urIe/sHeneroqHo-rrneBpaJrEHEre:- 6arrepta.ntuslfi puHur. 6arrepualr,Hbrfi pt-rHocHHycl.{Tl- 6axrepualsHsrfi tanH reMopparHqecru[ orar;- rpurlo3Hrri oHrle$arr.rr, MeHr.rH ,rr, HeBpr.rr, rron[panr.rKynoHeBprrr;- cun4potr Pefie (Pex) - rpunn c nopaxeHueM rreqeHrr;- crrHApoM faccepa - reuoluruKo-ypeMr.rqecrr.ii cun.qpolr c ocrpofi noveuuofiHelocraroqHocrr,ro (rpunn c nopaxeuueu no.rer);- cl{HApoM Yarepxay:a-{DpegepuKceHa - rpnnn c ocrpoi HaAnoqeqH}rKoBofiHeAOCTaTOTIHOCTEIO;

- rpr.rnnosaufi rr,ruorapAur;- ,@C cr-ruapov;- pa6.4our.rolua ;- rpou6osu6olur leroqHofi apreprlu (y aerefi na6,rro.qaercr xpafiue pegro).- cr.rHApoM KHrxua - ocrparr KopoHapHajr He.qocTaToqHocTBi- uuQerquomro-rorcnqecrufi uror.

Page 8: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

IInesMoHuq rIptl rprrrIrIe y Aerefi. BxDycHar [HeBMoHH, - pa3BnBaercf, B rrepBrre Z nur ot ruatanasa6oregaHul. BcerAa nporeKaer rrxero. llpeo6:ragaror cuMrrroMbtrrHToKcr.rKarlhrr H cl.tHApoM ocTporo B6I3BaHHOTO BI.IpyCOM nOBpeXAeHx,a6roqsofi rKaHLl, Koroprrfi ruoxer rpauc$opMxpoBarbc, B ocrpbrfrpecuuparopnufi gncrpecc-cun4pou (Op[C).. Bupvcno-6aKrep[aJt nar uuegMoHlrg - pa3Br.rBaerc, Ha l-ofi ue4e:re3aboreBaHxf, , Bo:6y4ureltlru rBJrrx)Tcf, Streptococcus pneumoniae (4g %clyvaea), Staphylococcus aureus (19 %), peNe Haemophilus influenzae.Hau6olee qacro u rnxeno ga6o,tenalor aerll, HenpxBrrrlre fiporrlBlHeBMoKoKKoBofi t.rHQeKrII.ru x nporxB reMoQunbHofi unQerqtrn.

pa3Br{BarcTc, Ha 2-ofi ue4e,re 3a6o,reeaH}rl.Bo:6y4.rre.nauu rBJrrrorcs Streptococcus pneumoniae (4g %o clyraea),Staphylococcus aureus (19 %), pexe Haemophilus influenzae. Hau6oreeqacro Ii rrxeJlo :a6olresaror ,{erx, HenpllBltrrleuuQerquu u nporuo reuoQu.nruoii uHQeKrIHLt.

IuQQeperrrtrra,rlula ,lltafllocl INa t pIIIt llilc[HApoMocxoaHr,rMH saoo,teganlqMu3a6oneBaHHq)**OPBI,I ue rpunnosuofi inloJroruli (naparpunn,H rpyrre).Menlrnroxorruelrlls .

Meuuururru.. PoraBr.rpycHaq, nopoaupycuaa un$erqur (y 4erefi panuero eo:pacra).. 3HrepoBr.rpycHa.rnuQerqux.

* flo uarepaaaau Cenertopuoro coBerqatHr-r, Muu:gpaaa poccua u <De.qepa:rrnoicryx6u uo uamopy o crlepe 3auraT6r [paB [o4)e6rrTerefi u 6aaroroayrue qeaose(a (06Ltrorax srrr.rAeMuqec(oro ce3oua rpunna u OPBI4 20lj-2018 rr. a 3a,{aqax Ha ?flrrace3ot2018-2019 r.r. STr.ronorltqecKre u grrEleMronornqec(Ire oco6eHrrocrr, 3nlreMlu rprrrrrra llOPBI,I 2017-2018 rr., nporHo3 Ha npercroruui 3rrrAeMnqecl(Irtr ce3oE) (uoEb 20lg).Aoraa.q fnasnoro Brreruraruoro cnequaJlrcra MxH3ApaBa pocculr no uullexqaounr,uu6one3urM y .{erei, 4,tp€roopa <Degepa,,ruoro .{ercxoro uay+ro-x.nrrHriqec(oro qenrl,alrrrfexqrouusx 6o,'re3uefi, akaaeMrrka PAH, npoQeccopa IO.B.JIo6:uua (fpflrm y Aerei.Oco6eunocru o snugeMrrqeckoM ce3oEe rpunna r OpBlI20l7-201g r.r.>

** IIpE [poBe,qeHnE Arr(DoepeHqr-ranbHoro llrarl".o3a rpl,nfla c rBreHrrrMn ocrporoo6crpyxrunuoro (creaorupyoqero) naprrrrra,/:rapr-ruro-rpaxeflTa (cr.rH,{poM xpyna -creHo3 ropraEE) y Aerefi cnelyer [poqBrrrE oco6yro ocropoxEocrE, T.(. corjlacHo<K,ruuuqecKr-rM pekoMeH,{aqurM Mrrrt,qpaBa poccllu (Ocrpa, pecrr{paropEa, BripycHarrutQerqae (OPBI,I) y 1rlrcfttt (2016D018 r.r.) cuagpor,a xplrra I creaesu neqrrc,au6ynaropuo (uasuavarorcr rorrlrarecnie rnpkoKoprri(ouu), a BMecre c reM oueEr(aTtxecTL MoxeT B6I3bIBaTE 3aTpyIHeEIrq,

lporl]a nHeBMol(oxKoBoii

y aerer"r c(rpunrrologo6rrlre

a.qeHoBllpycHa, urrdexuaa

Page 9: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

flpuaoxerue 3r upuxasy,(enapraueHTa 3rpztBooxpar{eHr_r,

LlBaEoBc(oit ooracru,ynpaBneHrry pocflorpe6Ha,{3opa

no I{BaEoac(oi o6racrnor )l!

Xaparrepucruxa rl TaKTHT(a BeAeHnc y rpyfl[ <(p]rcma> B3pocnHx naqrieHToBIlo Tq,l(enoMy KpafiHe TflxenoMy TeqeH1l]o rplrrIIIa

Xaparrepucruxa rpyfi[ <<pncxa> y 83pocnHx rrarlHerrroB

K rpynne (ptrcKo) pa3Brrrx.f, He6narolpurrHoro rerreHu, rpunna yB3pOCJt6rX rlaqlreHToB oTHOC_f,TCt CIeAyIO[I]re KaTeropu[:

-6epeueunrre na .lro6ou cpore 6epelreHHocru r.I B rrocJlepoAoBoM nepuo,qe;-nnla c xpoHr.rqecxrM[ ga6o:reaauzruu :r6rxux(6poHxr.itulbHa, acrMa,

XOEJI, caprorl4o: lErrlx u gpyrne);-JrHIIa C XpOHI-tqecKIrM sa6oregaHasN,Itl

cucreuu(noporu cepAua, runepTonr.r.{ecra, 6o,,re:Hl,cepAe.rHofi HeAocTaTorrHocTx;

cep.{e.rHo-cocy,4r..rcToII,IBC c npmnararu

-nuqa c HapyrxeHr,relr o6uena neulecTB(caxapntrit aua6er, oNupenr.re 2_3creneuu, u 4pyrue);

-nlIIIa c xpoHxqecrofi 6o:reuuo uover;-Il,Iqa c xpoHlrrlecxl r, ga6o:reaaH[sl\,rH neqeHl_t;-nliUa c onpe.(el6HHbrMr.r HeBpoJrotHqecKxMr.l

cocroruurulr(nefi poMycKyJrErrrre, Hefi poxorH r,rrxBHrre cocro.sHu.f, , enulencux);-.nuqa c reuor.lo6uHonaTHrMH;-JIItUa c nepBr.rqHErM H BToprrqH6rM l,rrllryno,4eQz qurolr (BITI-uuQer<qu_a,

npr.reM uMMyHocynpeccopHr,rx Menr{Kaueuron);-Jruqa co 3JIoKaiiectseHHtrMa Hogoo6pa3oBaHr.IrMx;-:ruqa a ao:pacre 65 ler u crapure.

Taxrura BeAeHuc nprr Bo3HuKHoBeHHH rptlnnay B3poc.nbrx [au[eHToB fpyfln <pricKa>)

,{auuofi rpynne nt,tIr peKoMeuAyerc.f, rocnuTaJrlr3aurzq B raH0e(uHoHHrriicTaUI.IoHap KaK MoxHo B 6oree paHHHe cpoKH oT Haqalra :a6oregaHtrs LrHa3HarreH[e neqeHH.f, npenaparaMr{ nprMoro nporHBoBxpycHoro AeficrBr.r,(ocenrralrurup) He ro3lHee 48 qacos (:alrarrrunup u n"puur" 36 vacoa).Har.uyruufi :re.{e6HHfi eQ$exr gocrvraerc.{ B c:r1 rarx Haqalra nprrMeHeHurrrrporr.rBoBupycHbrx lpenaparoB B rrepBHe l2 qacoa or Haqa,ra ga6oaeaaHas.

flpu orcyrcrwru JreqeHH, B paHHr.re cpoKr,r, npudu nporueoaupycuuxnpelapaToB ganxofi rpynne nuU neo6xo,quuo Ha3HaqaTb ua .mo6olr :ranepa:rapa 6ore:lru.

Pexoueugyercr: oceJrsTaMr,rBxp BHyrpb no 75 ur 2 pasa a 4ent r re.reHr.re 5AHefi. y naq[eHroB c r.f,xerBrM nporpeccupfoq]rM 3a6oneBaHr.reM, c HaJrr.rqHeMconyrcrByrotqfix :a6oreaauufi, peKoMeHAyerc, 6oree B],rcoKa, ao3aoce:rbraMr.rBr.rpa (150 Mr ,4ra pa3a B cyrrra u 6olee 4rurelruufi xypc leveuur _

Page 10: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Mr.rHr.rMyM l0 nxefi). B cnyrae pe3xcreHTHocrx Br.rpyca rplinna K ocenEraMr.rBapy,Ha",Ir-tque rrxeroi noqeqgo HeAocraroqHocrlr, Ha3Haqator :anauuaup no 2auraaaquz (uo 5 rur xax<4ax) 2 pasa I cy"rxu n re.rexue 5 aHefi.

Tax xe peroMen{yercs:-yuuQenoazp no 200 ur 4 pa:a a cyrKrl B Te.reHne 5 AHei

-HMr.rAa3OJrrrJr3TaHaMrrA rreHTaHAr,roBofi Kr.lCIOTbr (I,Iuranuplrn) no Irancyne (90 llr) I pa.: e cyu<u a re.renae 5 4uefi

-(arorleJr no 2 ra6terrlz 3 pa:a a c)"rKr.r Ha 2 gua, :areu no 1 Ta6nerre 3paza a cyrrcu 2 yux go 4 4u-x 6o:re:ur.r.

IIpn no,qo:peuuu Ha pa3Bltrlre aupycHo-6arreplramuofi nueauouuupeKoMeHAoBaHo Ha3HaqeHI,Ie anru6axtepual'rofi TepanHu B coorBercrBr.ru c[pl-rHrrrblMr4 peKoMeHAaULtrMu no BeaeHl]]o 60nrHrrx c sHe60rr,HuqHbur4l4nHeBMoHr-rtMtt. O4xoapeuenuo npoBoAr.rrc, criMnroMarLlarecKa, Tepanu{.flpa napacraulru nprrHaKoB grrxarenrnofi u cepgevno_cocygncroiiHeAocrarorrHocrr.r nprrMeHeHxe Kr.rcnopoAorepanuv, a rpLl rpaftue rrx€luxcnyararx ocrporo pecnt.rparopHoro AHc,rpecc_crrHApoMa (Op{C) peKoMeHIoBaHonpoBe,qeHue oxcrpaKopnopalLHofi rr.relr6pauuofi oKcureHarrrilt (3KMO) rycnoBllrx orAeneHr{{ peaHlrMaql{[ u nHTeHcuBHoi TepanHI,I.

Page 11: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

flpuaoxerue 4x nprKa3y AelapraMeHra 3ApaBooxpaEerrm

I4BanoBc(ofi o6nacDr.y[paB,,reEr,, pocflorpe6Ha,{3opa

rlo l{BaEoBcxoft o6nacruOTJt!

loxacaxrlrl x rocfilrraJrrlSaurrrlxn$exquonuurx 6oJrbHt rx rp[[rroM/ OPBI,I *

(,lerefi n arpoc.lr,rx)l. ,(eru nepnrx 6-ru uecrqer xu3Hr,r rocrrrriurfi3rap],rorcf, He3aBr.{cuMo or

creneHH Trxecr[ 3a6o,regaxrr.2. Eo.rrrue co cpeguefi creneH6ro rsxecrrl 3a6oreaanux - rpynna A (6et

Qarropon pucra).3. Bo;nuue co cpegxe creneHbro r.f,xecrr.{

Qaxropauu pucxa):- geru go 6 ler;- naqlreHTBr B Bo3pacre 70 ;rer u crapure;- 6epeuenuue xeuqunu;

:a6oreaannr* - rpynua E (c

- uueroqne :a6o:reBaHI.L IIeHTpuuIbHofi uepanofi cucreMLt, cep.{ua, JrerKrlx,caxapHsrfi gua6er, Met a6ont,tqecKufi cHHApoM;-r,rMMyHoKoMnpoMeTr.rpoBilHHr,re nauueuru (ouroloruvecMe 6o.nrutre,IloJlyqxBrrllle r-rrl.I noJrrlarcullre JlyqeByrc Tepanro, xl.tMrioTepanHrc,KOpTr.rKOCTepOU,{HyrO repanurc);-narlneHTrr r.r: 3aKpBITbrx opfaHu3oBaHHbx KoJrJreKTuBoB (AoMa pe6eH(a,AeTCKr4e AOMa, U(Onbr-I..rHTepHaTLr, .qoMa r.rHB:rJrlr.{oB, AoMa npecTapenBlx, aoMaoTAr,rxa, caHaTopn[ I.I npyf[e), npu acnumevuofi :a6o:reraeuocru (noSnHAeMI-Iqec(xM noxa3aHl,LaM [o co racoraauro).

4.Eoltaue c rrxeJrErMII Qopuarr.ru ga6oleganu.s ro/tJrcxartocIIHTaJl[3aLu{u B crall}IoHap 3-ro yposur, f,{e IrMeerc, orAeJleHr.re peaHr{Maul]ut.t uHteHcuguoi repanurl (OPZT). B c:ry.rae neo6xo.4uuocru oKa3aHr..ulercrpeuxofi rr.renuquucxofi rroMolqu - [epBr.rqHr,rx ueponprurufi ]iHrencfiBHofrTepanuu n peaHrlMarlfiu, yKa3aHHa, Karefoplu 6olrssx rocnr.rTaJrr.r3r.rpyeTc.f, B6.nuxairuue crarllroHapbr 2-ro yponur (no reppuropualsuor.ry npxnquny) cnocJreAlnrrlr{M nepeBoAoM B f{pexreuue 3-ro yposlrr.

5. Craqlrouapuoe .neveuue ncex 6epeueHH;rx xeH[IxH c rpuunou /OpBI,l uaapycuo-6amepuaatnuuu IIHeBMoHI.ITMI-I npoBoALITh B ycroBr_IsxuuQerqzonuoro crarllroHapa OBY3 <l-s ropoAcKa, KJrr.rHr.rqecKa, 6o:rtnuuo>.fua :reueuux 6epeuenurxo6ecrequrt KoHcyJlBTarI.IBHoe

xeHruI.IH rrpe.{ycMoTpeTb oTAeJrEHEre nzLIraTbI,nabmogeHlre Bpaqa aKyrxepa-ri.ruexo,rora OEy3

(PoAr,rrBHbr gou Ntl>. llpu neo6xo4uuocrr.r opraHr.r3oBr,rBa.r.b ocMorprt6epeueunuu KoHcr.rJtryMoM Bpaqefi-cneqxirJrr{croa (aryuepon-r[HeroJroroB,uH0eKrIr,toHr,rcroB, rryJrbMoHo;roroB, aHecre:nonoroB-peaHnMarororos Lr Apyrlix).

Bonpoc o ar,r6ope yvpexgeuu, poAopa3perneHur 6epeuenurx xeH[Ir.rH cOPBWrpuunoll n nupycno-6arreprlaflbHbrMll nHeBMoHr-rsMI.l 11 TaKT[Kepo.qopa3pelxeHH{ peuaeTc, KoHCTTJI yMOM CneUHaJIHCTOB rrH.IlliBrrnyurbHo.

Page 12: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

6. llprl ao:uuraoBeHr.ru [HeBMoHuH nosxe l0 4lr.r 6ole:lru B cxyyae rprrnrra,B6r3BaHHoro BhrcoKonaroreHHlrMr.r rrraMMaMr.r (HlNlpdmO9, H5Nl u gpyrnN{ralaHAeMr-rqecKuMu turauuauu), flpeAnoqrxrenbHa focnltraJlll3aullJl BrnQexquouurrfi crarlrroHap 3-ro, arntoval OpI4T, rae npu neo6xoguuocrnBo3MoxHo rrpoBeAeHue 3KMO (excrparopnopa,rrnofi ueu6pannofiorcureuaquu). B 4pyrux cnyqarx Bonpoc Maprxpyru3aqufl pelrraerc.fir.rHAriBHAy:IJtbHO.

* Y gerei npa guaruocrn(e OPBII Heo6xoAltMo [crroJ.rb3oBar6 1xa:auur <I(rlrnuvecruxp:J(oM€EAa[ni M3 P@ <Ocrpae pecnrparopH.ur rupycxaa aullerqur (OPBI4) y rsreiD(2016/2018).

B (a.{ecrBe luarHo3a cjrelyer u36erarh repM[Ha (OPBI{)), uc[onBy, repMrnEr:(ocrpLri Ha3o(bapxHrnr)) Ilnu (ocrpEri napuurxr>! [Jrri <ocrpui Qapllurur>, nocxonB(yBo36yArrrer[ OPBI4 s6rsHsaror raroke Jraprrrl.rr (xpyn), rou3zlnur, 6pouxur,6pouxuollrt, rro cae4yer yr(a3brBarr, B arrarHo3e.

AereBrie OPBL (na3oQapuurrrra, rlapunnrra, Jraphrrorprlxerrra 6e: creuo:aropraH[) IIo cre[eEr-r rrxecrr Be uerecoo6pa3Ho.

,{ereu, 6ontum.r rpunnolr, Couacuo (CTaHAapraM oKa3aErr! MeA[rltrEcrofitroMor{r, IErrM,6oaruuu rplnnor.a> onpeaenearre crefleErl rrxecrr.r 3a6oreBanro6-rlare.nruo, qro ollpe.4en,iEr Bu.{ MeAuurrHc(ofi uouoqu (uepouvnar r,,te.qaro-c,ullrTapHar! crleulta!!r8upoBaHHac).

Page 13: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Ilpr.rjroNeuae 5x [pma3y nenapraMeHTa 3ApaBooxparrgEx,

I4eauorcroi o6aacra,ynpaBreHr-rr Poclorpe6uaA3opa

rlo I4BaEoBc(oi o6nacr.ljJV,

o6nacrx, rAe npu(:rcrpaxopnopa:ruofi

Buvyru, Buvyrcroro,Koucovonr,croro,

Cxema ypoaueoot'i ct autroHaplroii NreIIrurrHcKoii rto]IotrrrHrr+erunorrrrr,rNr 6o,rrurrrr rpunrrolr/OPBl,l s I,Isarroscnor:i o6"rac.r n

I,InQexquourrr,rir cr aurrorrap 3-ro ypoonn:B OEY3 <l-q fKE)) ocyrqecrBnrercr:

-focrrriraflrlsaqu, 6onrnrx c rf,xeJILIMu H ocJtoxHeHHhtMrr* $oprrlauu 3a6olteBaHrlirrl3 BCeX MyHtlu[naflbHbrx o6pa3oBaHl-ti I,IBaHoacxofiHeo6xoAr.rMocrr.r B OPI,{T Bo3MoxHo npoBeAeHue 3KMOMeM6paHHo oKcxreHarlax);-rocnr.rTzrjrrBarl[ro Bcex 6or6Hbrx H3 f. I4rauoro, r. Koxur,r, r.faapu;rono-flocalcxoro, I4nanotcroro, I4nrv Hcroro,,rleNHercroro,,rlyxcxoro, Teixoacroro, Pognuxorcroro MyHrrqt.rnaJrEHbrx pafi ouoa.

I{nQercquonrrr,re craurtofl aphr 2-ro ypooul:OEY3 <lllyicxar I {PE>;OEV3 <Kaseuencxa, IJPB);OEY3 <Dypuarrorcxar I{PE.

Eo:ruuqu oKa3;rBaror crarllroHapHyrc nouorql 6onrnuu cpeAHef creneHr.rT.f,]KeCTr,r U TrxeJro6oJrLHBrM (A yC:rOanrx ueo6xo4ulrocrn oKa3aHr4.f, 3KCrpeHHOfiMeAr.rqr.rHcKofi rroMoulH - npoBeAeHr.re lepBr.rqHbrx Meponpl.rrrr.rfi usrescunsofiTep:rnlrtl ]r peaHr.iMaquu) c noc:re4yorqr.iM rrepeBoroM a nrQerqraonurrfi craqr.roHap3 -ro yponnr.

1. g OEY3 <Kr,rneuevcrar I-pB>> ocyuecrBJrrercr:- rocnrrraJr[3arlu, 6olurrrx cpeAHef T.f,xecrlt (rpynna A - 6es Sarropoa pucra,ryynna E c (DaKropaMr.r pr.rcxa) us r. Kunerrlurr, Kuuelreucroro, 3asorxcxoro rIOpreseuxoro. flyuexcxoro uywr.rulrnaJrhH bx paioHoB;- rocrr.rralr.Baur.r.{ 6olrssx cpegnefi rexecru (rpyuna E - c Qaxropauu pucra)llyrexcxoro MyHxur{flurn;Horo pafioHa.

2. B OEY3 <DypuaHoBcKa, IIPB ocyuecrBrcerc.f,:- rocrrHralr..r3arlls 6o:rsux cpeguefi rrxecrn (rpynna A - 6* Qarropoa pucra,rpynna B c Qaxropauu pllcxa) u: r. OypMaHoBa, @ypuanorcroro lr flpllro,rxcxorolr.ryuuquna:IEuux pafi ouor.

3. B OBy3 <Illyficxar [pE> ocyqecrBn.{ercs:-rocnxrarlr.r:auxq 6onurux cpelHei Trxecrx (rpynna A - 6e: Qaxropoa pucxa,rpyfina E c OaKropaMr pucxa) r.r: r. lllyu, IIIy cxoro, llarexcroro, Iecrlxoacxoro,BepxHe-Jlangexoncroro, Carmcxoro u lONcxoro uynuuxuanbHbrx pa[oHoB.

Page 14: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

* OcnoxneHlls rpmna/OPBl,l, pa3BnBrx[cc, B cporul rrepro,rla 3rrareMrororuqec(oi onacnocru(sapa:uocru) 6or6Eoro - 7 aEei. Irp[ Bo3ErrkEoBerrufi uETepcruquaJ]bHoi nueruouwr c plc(pecnzparopuru Ancrpecc-cuuApoMoM), Buro.ra, u

"ponn nos*" l0 AE, 6ore3uu, B cnyqae

rpI,lrIIIa, Br,BBar toro BhrcoKorraroreEEBrMu rrrraMMaMu (HlNlpdm09, H5N1 u apyn_rulrna,.{eMr.rqec(}rMrr ,rrauuauu), [peanoqrurerlbHa rocrlltrat tli3alr[, r tnQerqtounoe orAeJIeHrIe!BKnroqa, OPI{T, rle nplr Heo6xoArMocTri Bo3MoxEo DpoBeAe!fite OKMb (sxcrparopnopanrnoiiueu6paunoi o(cr.rreHar1{u). B apy.or, cn}4*urx Bolpoc Maprup).ru3aqrrtr peuaerc,ntlallBrrayarEIlo.

Page 15: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

F>O.

=xii:=o.

F;

?

-9. o

Fo

EOE

3"Hs

z

L!--1

o

LO

o

:.

ca

CL!C

t4

!4o

ta

L4o

t4

:

o

IA0.

I.

LAo

<i

EI

F

o

IEo\o

|.,:

\o5{!F

92 i,: d6

- s4 i 5< I;E6E i,6 {o- B 6rF.E E( ra qEN I*c E3 0i:etrEa)J) > F!e(l. oo9ctU!ea)irE

GI

x

E

{

a)

x{)

xj

t-o-o[ox

o6t

ro

IF()

o

o

Page 16: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

=

-1

Etr

x

c

1

X

o

!o

x

t4o

L!

o

L

F

c

=

o

6

LOo

x

o

{

c

z

Lcf)

!Ao

t-

c

z

I

!4o ol-9

Page 17: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Ilpu,roNeuue 9K [pl-ll<a3y AelapraMeHTa 3ApaBooxpaEer ry

I4BaEoBcroi o6nacrn.Ynparaeuue Pocnorpe6nag:opa

IIo LlBanoBckofi o6nacr,N!

Ilepeucrrr, rrpo rllBoBrrpycrrLrx rrpcrrapa r oB,rrccrrrrxtacubrir 3atrac KoropL,rx colltaercfl B crauuoHapax

o6,racrHhrx 6rogxer rrurx y.lpei44eunii .rgpaaooxpaueHlIq l{eaHoucxoiio6,racrn a yclroaurx troll.r,eNta :a6o;reeaerrocru rprrrIIoM/OpBlI

(II3 pao.rcTa oxBata 4olo uace:reuHl. o6crlxrJRaeNloro yLtpex]leHrrcN{ 3!paBooxpaHenur):

- o3enbraNltrBxp (ralruQ,rro);- :auauunup (peleu:a);- apor.rAon 50 u l00ur;- Karouen;- I{HraBXpr-rH;

- ilJrbf[.IpeM;

- ItNrr{yHouro6ynuH HopMaJbHbrii qenose.recKufi Ar.{ B/Nt BBeIeHur;- r.rMMyHofno6ynxH 4la n/r ane4euul;- r.rHTepoepoH An, peKraJrbHoro BBeAenur a:rrQa 2r.

Page 18: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Ilpuloxexte 7x npuxa.:y lenaprauerrra 3ApaBooxparreur_r,

I4BaEoBckoii o6racrrr.Ynparaeuua pocuorpe6uagaopa

rlo ?lBaEoBcxofi o6nacTtrOT N,

Ilopngorc ycll.neuuq KaApoBr,rx pecypcoBoonacrHbrx oroA,(erHhrx yqpexqeHufi :gpauooxpauenur

I,ItaHoscKofi o6,'racrH B ycJoBrlqx MaccoBoro tlocrynJ,reHlrq 6o,,r6Hbrx Br-rHoeKrlI|oHHr,re cTarI[oHapbl rrpH 3IrriAeMrrrr Bblco(onaroreHHor.o rpl-r[IIa

(no cor,raconanuro c IEOy BIIO d4BaHoBcrcafl rocyAapcrBeHHaqMeA[UrrHcKafl aKaAeMuq> Muuucrepcroa t4panooxpaueaur pocc[ficKofi

@eaepaquu)

Bpaqe6nble xaapsl n,rq crauuoxaoogPesepuu ue4uquncxux apaue6nrrx KaIpoB An, o6lacrnoro 6roaxersoro

frpexAeHu, 3,qpaBooxpaHeHr.t, <1-.r ropo4cxa.r KJrr.rHrrqecrarrQoplrrzpyrorcr 3a cqer KaapoB o6nacrHoro 6o4xernoro3ApaBooxpaHeHnt (l-, fopoAc(a, KrI_tHHqecKa, 6o,ruruua>.)rpexAeHr,rf 3ApaBooxpaHeHxr, o6nacrHoro 6rolxernoro3ApaBooxpaueHr,r, <<I-{enrp no npotpu.narrvre r.r 6opr6e couuQexquouutruu aa6oneBaHr.trMn) (no corlacoaanuro).

BDaqe6urre narDr,r n.n;r uo,tnx,ruusrc

_ Pesepa nouorqnuroa npavefi yvacrKoBbrx ne.{uarpoB r{ TepaneBToB

tgp]-rpy"I* H3 K;rr.rHr{qecxr.rx opauHaropoB n cryAeHroB-crapueKypcHr.rxoB<DfBOY BO <I4sfMA> M3 P<D (no couacooauvlo) (n: pu"r.ru y""nrr"rrunoT pe6uocru a ra4pax ua 50olo oT r.rMeroryrxc, $usuuecxux llrqj.

6o.ttrsuua>yrrpexaeHuq

ropoAcKr.ixyqpex.(eHH,

Pe

CIIII!, u

qe6

J,IIIY yq_ ncIuaTpEI yq. TepaI1eBT6t

,rlllY r. tr4saHoeo 40 90OEY3 <<Kuneureucraruentpamnaq pafi onnaa 6olruuqa>

12 25

OEY3 Buuyrcxar IJI,E 4 9

Me.uiqrlHcKxx Hbtx BJ'IIIY Cnclluir-rucrr,r <Df IiOY BO <l,lef MA> M3 pO

aHecTe3Ho_-1()fx-

peaHl'IMaToJloIunealaTphl TepaneETLr

OEY3 <KuueurelrcragI-PE>

10 5 )

OEY3 @ypr'aauoncraxIIPE

4 J

OEY3 <Illyficr<arIIPE)

3 3 ,

Page 19: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

OEY3 Eepxne,raH,{exoBcr<aa UpE I I

OEY3.<<f aepu,roao-f loca4cxa.r I [pE> I IOEY3 l,l,rr,u nc raa I {PE I IOEV3 <Korucor'rorr,cxa.r IIE>> 1 2OEY3 <<Koxorr,rcrar ropo,{cKa,6o:ruuqa>

4

OEY3 ,rlexueacxaa I {PE 2 3OliY3 ,rlyxcraa L{PE I lOEY3 <llarrexcxar l[PE> I IODY3 <llecrriKoBcKax UPB) 1 IOEY3 llp r.r ro,rxc xa.r LIPE 2 3OEY3 flyvexcraa I {PE I 2OEY3 <PoaHr.rxoecxaa I {PE> 4OIiY3 < l'eiiroecr.iar I{P6> 5 6OEY3 <Dyprrauoacxar I{Pb 3 6OBY3 <IIIyficxaa I JPE> I 13OEY3 <IOxcxa.s LIPE) I 4

I,[saHoBcr(ori IIPE vxe He cyuecrByer!!!

KatrDu crre,rnnx nequuurrcrcrrx Da6o.rrrrrxoc.Vrol,tn.:rerrosauae o6[acrHBrx 6rogxernrx yrpex4euuii

3,qpaBooxpaHeHrr.f, I4saHorcrofi o6lacru xa4paur4 cpeAHr.rx MeArlrlr.rHcKrlxpa6oTHr.rKoB ocyulecTBJtrTb c freToM BHyTpeHHrrx pecypcoB ftpcxAeHxr; nplrueo6xogutrlocru - [o AoroBopeHHocru c a.qMlzH]rcrparlnrMl4 o6lacruororocyAapcrBeHHoro 6roAxersoro o6pa3oBarenEHoro yqpexleHll, cpe.{Heronpo$eccuoualruoro o6pa.:oaalrur (I4BaHoBcKr.rfi ue4uquncxui *o,rr"rNr,o6nacmoro rocynapcrBeHHoro 6roaNersoro o6pa:orarelrnoro yepexAeHx{cpeAHero npo$ecclroHanbHoro o6pa:oaauzr <Kznelrelrcrufi Me.q[lraHcrrriiKOJIJIEA)I(.

Page 20: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

Ilpuloxeure 8I( [pl-!I(a3y,uenapTaMeETa 3apaBooxpaHeHri,

I4BaHoBckoi o6nacru,Ynpauenur Pocnorpe6uag:opa

lo I{BaEoBcxofi o6racrx

Iloxa:axur r npoBeAeHrrrc o6cJ,reAoBaHrrflHa C[eqllolrqecKlle (Br,rcoKolaTorennrle) BIlpycsr rpfl[IIa *

l. 3nugeruavecrcue noKa3aHz, :

a) peruc,paqu.r rrxeJrbrx Qopr,,r sa6olesanufi rpntna/OpBl4 y fiaqrreHra,KOHTaKTHOTO C nO,qTBepXAeHHbIM CnrraeM BErcoKonaTofeHHofo tpunna _ B cpoKAo 7 AHefi;6) perucrpaqu.r MaccoBbrx clyuaea rpanua./OPBI,I r:arpurrx opraHa3oBaHH;rxKoJrJreKTr.iBax. B srou clyuae la6oparopHo o6clegyrorc.r se uetee 20o/o or qr.tcranoc, paAaBtttux, Ho He r,reHee 5 qeloser.

2. Kruuuqecrze uoKa3aHrls:a) rrxenEre QopMbt rpunna./OPBl4;6) rce cnyvau nneououlrfi;B) cpelHe-rrxen;re 0opM6r rpr.runa,/OPBl{, conpoBoxlarcq[ecr noB;rrrreHr.reMTeMneparyp6r relra BBrrre 39 " C, na;ruur,reu lrxarenrxofi HeAocrarorrHocrr,r,norBJreHrreM KpoBrHrrcTofi MoKporbr;r) 6epeMeHHbre xeHulr.rHbr, 3a6oneBxrue rpunnou/OPBll c HaJrr{queMconyrcrB)rroqefi couaulqecxofi naroJrorulr B cpor Ao 7 gaefi ro taua,ra:a6oregaHus.

* o6cae4oaanue npoao,uurcs sa c.rgr $ruraucoBr,D( cpeacrB reqe6uo-upolluaarruvecxrx,qpexreHIlfi

N1l

Page 21: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

llpr.uoxexue 9I( npnKa3y,qeflapraMerfa 3ApaBooxpaEeHtu

14oaaoncxofi o6lacru,Ynparaeuue Pocnorpe6Ha.q3opa

no Irlganoscxoft o6racruNll

Ilepevenu rrporuBoBnpycHr,rx rlperraparoB,HecHHXaeMbtfi 3anac KoTopLtx co3aaeTcfl B CTaIIlrOHapax

o6nacrHbrx 6mAxerHLrx yqpexAeHnii 3ApaBooxpaHeHr.rq UB;HoBcrtofi. o6nacrH B ycnoBlqx rroAr,eua 3a6oJreBaenrocru rptnnoru/OpBll(us pacvera oxrara 470 uace.neua_r, o6cayxrrBaeMoro yqpexaeHrreM 3rpaBooxpaHeHr_rr):

- o3erBTaMrrBltp (TaMr,rQ,Irc);- saHaMxBtlp (peneH3a);- ap6HAon 50 z l00ur;- Karoqen;- HHTaBI-IpHH;

- anbrxpeM;- xMMyHorno6yJrr{H HopMaJrbHErfi qeJroBetrecKrrft An, B/M BBeAeHr.rr;- r.rMMyHofno6yJrr{H aJt.f, B/B BBeAeHlrr;- r.rHTepoepoH Arq peKraJrbHoro BBeAe:fIva anbqa ZB.

Page 22: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

llplrnoxeEne l0x [pnl(a3y,4elapTaMeHTa 3apaBooxpaseEn,

I{BaHoBc(oi o6nacru,Y[paBreErrs Poclorpe6Ea,{3opa

rlo I4BaEoBckofi o6nacrr-tOT N9

Cxcltt Ltcqetrnrt nrrQeruuourux :ra6o,renarruii, Br,rjBauul,tx BupycoNr fpunra(a.'u srpoc.lrsrx raqueuron)

Comacao MeroAur{ecKr.rM peKoMeH,qau[f,M Muu:gpancoqpa:rtruq Poccrau "CxeMH reqeH[su nporlu.rarrnru rpHnna, B6r3BaHHoro Br.rpycoM rr.rna A,/HlNl, AJr{ B3pocnoro r.i aercKorolr.acerrerus" nr{cbMo or 25.08.2009r. Ns24-0/ 10/ I -5039 u MeroAHqecKHx peroueu4aqufiMuuucrepcraa o4paaooxpanenur Poccu[cKofi OeAepaur.ur 2017 roaa <fp[nrr y B3poc;r6tn).

l.l, Ap6uaor - npr.i HenocpeAcrBeHHoM KoHTaKre c 6onrsrru tpr4nnoM rlnu OPBI4 - no 200Mr B AeH6 B reqeHue 10-14 anefi* B nepxoA 3rruAeMr.r[ rp]rnna u .{pymx OPBIrl, Ar{npeAynpexAeHr,r, o6ocrpelrri xpoHr.rqecKoro 6pouxnra, pequAr.rBa repnerx.recKofi rauQexunu

- no 200 rrar.qaa pa:a B HeAerK) B Tea{euue 3 ne,4ell,* ulul.2.Karoqe:r-uocxeue24uxno2Ta6r.BAeHb,nepepBrB5Aneiueqe2aurno2Ta6n.B4enr (cyrovna.r go3a 24 Mr).*1.3. Ilrrlrrryrorno6yJrrlH qeJroBeKa xopnaalrnsrf pacrBop ]t,'t, Bay.rpr4MErrxeqHoro BBe,qeH]Itnspocruu - 4.5-6 un o.{HoKparHo.* Ilpuveaauue - xpotwe 5epeueunatx uceut4uu1.4. ,{m 6epeueuuax ){eHuluH (uauuuan c l3-o uedenu 1epeueuuocmu) uocrcuoucnoJ,tb3oaamb

- I4urepQepon a,rrQa-2b (BuSepoH) B cynno3r.rropr.rrx no 150.000ME 2 pa.:a a 4eur (cyrounargo:a 300000M8) a reqeHr.re 5 cyroK vtru- I,IurepQepoa a;rrr[a-2b c ra]?HHoM (fenQepou) no 150.000ME 2 pasa r ,4enr (cyrovnarAo3a 300000ME) B reqeHr.re 5 cyroK.

2.,[e.reH[e x 6oaluux Bht3BaHtlOfO

A,/HIN1:2.1. Oce:trauurxp - no 75 Mr aBa pira B AeHB (cyrovnar Ao3a 150 Mr) B reqeHrre 5 4nefi (cyqeToM Ha3HaqeHr.i, flpenapaTa B nepBr,re 2 aH, oT Haqar a za6otezautx), e m.u. u 6epet|euuotuleeHl4UHA.M, I4JIV

2.2. 3auauur,up - to 2 vr:ra:l \rll4 2 pasa n Aenr B TeqeHlre 5 auei (c yr{eroM Ha3HaqeHH,npenapara B nepBhre 2 AH, or Ha'{ana :a6oleaanu.r), e m.t. u 6epeueuubt/et ceHxquHq , L4srv

2.3. Ap6unot - 4 pa3a B c)"rru no 200 ur xaxgue 6 .racon (cyro.rnax .qo3a 800 Mr) B reqeHue5 Aseir *, uttu2.4. Karoqer - a nepruii AeHE no 2 ra6l. 3 pa:a a leus (cyrovnar Ao3a 72 Mr),nocneAyrorqlre 2 AH, [o 1 ra6n. 3 pa:a r leur (cyro,lHa, .{o3a 36 Mr), r4,'ru

2.5. Llurastpuu - cyrounaa Ao:a 90 ur I pa3 B.qeHb B reveuue 5 nuefi (c yqeroM Ha3HarreHx{npenapara B nepBrre 2 .qH, or Ha.rana 3a6oreBaHu.s)+2.6. I4l'auynoruo6yrIr,rH qeJroBera noprr.ranruufi pacrBop .qn, BHyrpr4MlnneqHoro BBeAeHHsn:pocruu - 4.5-6 uJr AByKparHo c nHrepnalou 24-48 uacoa.

Page 23: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

* lTpweuauue - xpo,r,te depaveHHbtx aceHltluH2.7. ,[u rcteuun 6epetvteutorx crceuquu (uauuuan c ]3-o uedetu 1epeueuuocmu) uocttuoLlcna.:lb306dn1b

- I4nrepQepou anb+a-2b (BuQepon) B cyflrro3Ltropurx no 500.000 ME 2 pa3a B AeHb(cyrovuar go:a 1000000ME) r reveHhe 5 cyroK- I'IHrep{epon arb+a-2b c rayprHoM (feuQepou) no 250.000 ME 2 pa.:a B aeHb (cyroqHa,ao3a 500000ME) B reueuue 5 cyror.2.8. CulanrouaruqecKoe JreqeH e (aua:rr,reruru, cpeAcrBa, npuMeHreMrre ,Urr JreqeHruzlJlfiepfr4qecKr.rx peaKrlr{i, oTxapKr.tB:uoulue, cocyAocyxr-rBarourre KarrJrr{ B Hoc) - noIIOKA3AH}lgM.

runa A,TIlNl:3. r CJII,IX OOJ'II'HbIX H C]''I X E"TI LI N'I II I1TII]4. BbI3BAHHO|O RI]DYCOI'I

3.1. Oce;rrraunrup - no 75 Mr .qBa pa3a r geur (cyro.ruar Ao3a 150 ur) n reveuue 5 anefi (c)AeroM Ha3HaqeHr.rq lpe[apara B neprue 2 4ur or uava.na za6oteaatux), e m.u. u 6epeueuuotulCeHt4UHAN, UJIU

3.2. 3aualruaup - no 2 unra:rxqr.ru 2 pasa n 4ent B TelreHue 5 anefi (c yqeroM Ha3Har{eHr.r,npeflapara B rrepBrre 2 AH, or Haqana za6otezanut), e m.u. u 6epeueuuuu aceHuluHav, vlt:,3.3. Ap6ruol - 4 pa3a B cyrKr.r no 200 ur raxaue 6 vacon (cy,rovuar aoaa 800 lrr) r reveuue7 lr:eit*, utu3.4. Karoue.n a roM6[uaqs[ c Ap6ugo,rou*: KaroueJr - r nepaufi AeHb rro 2 ra6l. 3 pa:a agenr (cyrovuax go3a72Mr), nocle.4y,roulae 3 AH.f, rlo I ra6n. 3 pasa s gear (cyrovnar,{o:a 36Mr) u ap6u.qor - 4 pa3a B cyrxr.r no 200 rur raNgrre 6 vacoe (cyrovuar go:a 800 ur) a reueulre7 gueir. + n:lu3.5. Hxraaupun - cyrovuax 4o:a 90 ur I pas r,4eur r reuenne 7 gnefi (c yverou na.:navenuxnpenapara B lepBbre 2 ,[H{ or Haqara 3a6oneBaHrrr)* nrn3.6. I4urrayuor:ro6ynxH qeJroBeKa HopMaJrEHEri pacrBop Inf, BHyrpl.lMbrrxeqHoro BBeIeHr.rqa:poc$rrr,r - 4,5-6 u.n TpexKpaTHo c nHTepralou 24-48 vacoa.* Ilpu.ttelauue - xpoue 6epeueuuotx ctceuuyuu3.7. ltn rcuetun 6epetteHHbtx J{eHuluH (uauuuan c l3-o uedenu 6epeueuuocmu):- I4urepQepoH ar60a-2b (BuQepou) B cynno3xropnqx no 500.000 ME 2 pa:a a 4enr,(cyrovuar Ao3a 1000000ME) a reueur.re 5 cyroK, 3areM no,u.qepxuBaroqas repanli, no150.000 ME 2 pa.:a a geur (cyrovuar,[o3a ro 300000ME) no 2 pa:a B He,{ern s re.{euue 3HEACJIb, I'JIH

- I4urepQepou alr,Oa-2b c rayplrHoM (ferrQepou) no 250.000 ME 2 pa:a B.{eHr, (cyrolrHa,,ao3a 500000ME) B reqenue 5 c),roK, 3areM no.qAepxHBaroqzu repaflu, rro 150.000 ME 2 pa:aa geur (cyrovnax go3a no 300000ME) no 2 pasa a ue.qemo n revenue 3 ue4enr.- I4ur.,ryuorno6ylrlH Inr BHyrpxBeHHoro BBe,{eHu, (la6puor:ro6rza) - 0,05-0,2 Kr Maccbrrena (2,5-10 r). I pa3 B AeH6 (uepes 24 vaca) nuyrpaaeHuo KarreJrr,Ho. Kypc.neveuua cocrourIr3 3-5 rpaHcoFr.rfi.3.8. Curr,rnrOuaruqecKoe JreqeHxe (auru6arrepua,rrnbre r{ [poTHBorpu6roaue cpegcrta,aHaIIEIeTUKH, HeCTepOI-tAHbIe npOTLtBOBOCTI:IIIHTenbHbte npelapaTll, cpeacTBa, [pr-rMeH{eMEIeArs rerIeHLL aflreprLlqecKrx peaKul{i, fopMoH6t H cpe.ucrBa, Bnx{rotq}Ie Ha 3HloKprrHHyrocucTeMy, cpeacTBa, BJIIjrtoluHe Ha opmHbl aLlxaHxr, pacTBopbl, 3JreKTpotruTLr, cpe.qcTBa

Page 24: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

KOPpeKIIITI KI]tCJ.IoTHorO paBHOBecHr, cpeACTBa rll.ITaHr.rf,noKa3aHr-I{M.

tr rpoque cpe.{cTBa) - no

4-. JleqeHle ssDocarrx 6olltHrrx rrxeJl[,IN.ru 6oDI\4aM[ rpEnna. gsr:EaHHolo gl_tDvcoM THnaAHINI:4.1. Oce:rrauuaap - no 150 r,lr (2 rancylu) ABa pa3a B geur (cyrouua.r Ao3a 300 Mr) Brevenrle 7 gnefi (c yuero:rl Ha3HaqeHHr rrpenapara B nepBbre 2 gux or nava,ra : a6orcaatut), em.u. u 6epeueuuatu )rceHu,luHa , rr44.2. 3auauuaup uo 2 uura,rrqrlu 2 pa:a r 4enr B TeqeHr.re 5 lllefi (c yqeroM Ha3HaqeHr.r,npeflapara B nepBbre 2 gna o,r navala za6oteaauua), e m.t. u 6epeueuruatu tceHuluHatd, Lutu4.3. Apfll.4otr - 4 pana B cyrrx no 200 ur xax4ue 6 uacon (cyrovuar go:a g00 ur) B rerreHuel0 gHeii *, ula4.4, Karoqen a xoM6nHarlur{ c Ap6ugolou*: KaroqeJr - a nepaufi geur no 2 ra6n. 3 pa-ra ogeur (cyrovaax 4o3a72 Mr), uoc:reAyroqae 3 4nr no I ra6l. 3 pa:a r aenr (cyrovnar 4o:a 36ur) r.r ap6ragon - 4 pa:a n cyrru no 200 ur raxaue 6 vacoo (cyrovua.r no3a g00 Mr) B re.reHhe10 ,qnei * unra

4.5. I4nrarr,rpux - cyro.rxaa go:a 90 ur I pa: r leut a re,reuue 7 gnefi (c yqeroM Ha3HaqeHlunpenapara B nepBhte 2 gux ot uatata oa6o.neaauux)*4.6. I4ur,rynouo6yru.rH Anr Br{yrpnBeHHoro BBeIeHu, (fa6puor:ro6nu) - 0,05-0,2 r/rr uaccr,rreta (2,5-10 r). I pa: a geus (vepea 24 vaca) auyrpuoeHHo KaneJrr,Ho. Kypc ,re.reHr.r, cocrorlru: 3-5 rpanc$y:ufi.* Ilputteaauue - rcpoltte 6epeneuut tx tceuuluu4.7. ltn ne,teuun 6epe ,teHHbtx tceHt4uH (uauuuan c l3-o nedetu 6epeueuuocmu):- I4nrepQepon a:rrQa-2b (BnQepou) B cynno3xropr{rx no 500.000 ME 2 pa:a a genl(cyrovuar ao:a 1000000ME) n revenlre150.000 ME 2 pa:a n leur (cyro.ruar go:a

5 cyrox, :areu nonAepx[.rBarouarr repanm [ono 300000ME) no 2 pa:a B HeAeJrro s re.relrre 3

HCICJIB, I-IJII-I

- ZrnepQepou a:r$a-2b c raypuHoM (feurlepon) no 250.000 ME 2 pa.:a a gens (cyrovHaxgo:a 500000ME) s reqeuue 5 cyroK, 3areM nolJ(epxuBarorqa, ,epanu, no 150.000 Mi 2 pa:aB AeHE (cyro.rHa.f, ao:a no 300000M8) no 2 pa:a a nege:lo n revenue 3 ue4em.- Ilvrr.ryHor.no6ylr.rH AJr{ BHyrpr.rBeHHoro BBeAeHr.r, (fa6puouo6un) _ 0,05_0,2 r/xr uaccurera (2,5-10 r). 1 pa.: n .qexr (tepez 24 vaca) nnyrpureuuo Ka[eJrBHo. Kypc reveulx cocrouras 5-7 rpaucQy:aii.4.8. Calrnrolraruqecroe JreqeHr.re (anru6axrepua:*nue opeAcrBa, aHaJrbrer[K,,HecTepoHAHEre npoTr.rBoBocrraJrr.rTeJrr,Hbre flpeflapaTbr, MrropeJraKcaHTr,r, cpeAcTBa,rrpHMeHf,eMbre ,{r, reqeHH, alneprHqecKr.rx peaxqui, cpeAcrBa, BlHrrotque Ha KpoBL,ropMoHhr I,I cpeAcTBa, BJII.ITrcIIII.Ie Ha 3HAOKpHHHyT CrICTeMy, Cpe,qcTBa, BJrH{IOIUUe HacepAeqHo-cocylucT),ro clrcTeMy, pacTBopBr, 3neK,rponr.rTEr, cpeacrBa KoppeKrlr{fi KrrcJroTHofopaBHoBecrrr, cpelcTBa llv.raHuq, cpeacTBa, Bruqrcrure Ha opfaHbr .{BrxaHHfl, pecnHpaTopHaJrnoAlepxKa u npoque cpegcraa) - no noKa3aHu.sM.

Page 25: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

!

+:.1 Y; sgt IF6 !l 9

il

E

)s

l-

:-

F a

ga

2ig333

:

g

5nn

aE 6NN E

le ^'+e:r-E :rs.hl.: -Re i i. f ! i I R?;E-g P;en 3 Ee l.- -; E cE E !l&o.d g]

L szt-N6! x

ii=

+^;

ga -a*. EEq

=F6Y:= iD!:94i 83"=ai E > .td > 9

= FE H H E *E;

.eE ar _d5 6 3 =

e

r S!

6 +iiS59 15; I= Fot i=-.re 9?: rY\3-= Ei= (f R!5,E :;: =ESg: =x-rr_qF!_FqA r x E E E E'i nX ii E i E E! E!E ET

Q

z?-:r tr

(! =-

!rrc

F

o

E!-

(lo

q\o

Q

2

,. E t o oi 9 E PEx io6:P 9 E BE

* <o 9:

> diE

J)>

Page 26: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

x

!

F

e

gqt

iJ5

ilhl

el

q

il

F

i;lu r.t

"Elra'r124r{l

EI

EIFIelilBt

3c-ld=lEI

=l

9Ul !ri. 3: .; 31":ic Er" il 3E!

:i Eg i! fl€i

=lsE ire i|s gIlE

53E 3u ala El;la

f,c e flE e flic f,f,iEEls"" EI="= EIE;ElElE;

fle E fleEH i *E|H if;

E,i. r dg=-@ e 3H

=PE;r S y F-.6* El: i I s is Eli :

= 3 e;gtF E b 3

=aat i ,..<E=t:l g El ,si iE€t Ht ^; I tgr;98,.-cl ; i E

;llflE:1*BE9'l b- ol --eEEl .l :il ;i:lEtrI HI 5E 5: EIl, E-:1 0- tlE el ;9sf;iI&

=l sEl rEtrl

ul o -91 lN

:9F- E

=,: i i

siEBESEESEEE

v5E(E>

>:

Page 27: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

_-

at:t!

e:

<i

_1F

e F

-

e

s

ct

@

ii .-ts Eb"!

xd 9d tjg h3.-[ Ea -" 9 E 6 i^

=E i > " 45 z

6 4I E6- 5i! < = q i N

a!''e =i H Bt i.q;- > gax- l iJ {9-+: Q - o f q f

i^lFi,:lil! 5 3-e u - il * il- L Er_ o B O i

:" : i e .ES E {& ? ;H: H !. j' IL=LaEir{

;i :d Y 'lE n 6

i :! r 6u I itF ;[ ; i> ^1 ^E =- = :o -- !oB 6... r E3 I >

E*,,Eg H E; E E6>>+H + @ 6l,i;iEg 3i" ila fils it-31":.HqBEHHril*il:*lgeFFElisEliExlEiltEll*{FiiEf5EEgr*frEiri

P.

rrl &>?Q.d

9t s*t o

, 9l 3

E g d_-E lldlEL()I-';

g

e

3

=nre+E

rin

Page 28: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

z

?l

;a!

,

==

F

:

i

i

F

E E' El =; *: E

" 3i iel i E iE !C; ! i EIE EH I i: = = ^J !ti: o o x;

E 5I P =t5

gAg p

3;

::

-E i't H. E

E E^d E E5 g s: e{9 d!?9 ! : Erq L ' !.^Erli I L l-r I {, o - _ , ohl

9i u; e a= e;;;,HPli!R![IlA

='' 9:5 5,i E :l

E P i =:id+='il

e

-

3tE:

:E

E=*EiE9!Xi=

= tsb t P

>E;r'

ao

ui

o=

::

Eq.

z

F

!

F

e

T

l.

::

v

Fa

,!

c-:?:!

I-+to

F

F

aa

F

Q

=r

o GI

8. *l c=N

=l o;

2 ,i nq F

8 EEir +; -El H Ia + *l:;:lE * IlEl-*

EI * SHI EI Iu = ;.ql H:

El I3 k 3

Page 29: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

F F

J

ns

.-

I

=

I " a:;$;!:: i*=i:; s sti

tfl it?is E i:;5s r i:[5g E i e

e*Eli; i;lc *; i::e *; ie--

3;

1 F e a- S: ! ,. - t ! -+*triE*!EiiFE83;ElilEi f,+: [+lt r a&-83s^E E E:: I E a:;

s

sEi:

!6,!E>E;.',-Fltr;

E

;L 91 6

=< 5>]h1 ;9i *t >

sl il 33il rlt 1t 3;t u E

-l tr

g

=l

El

Ql

5il:l

:l=l35l

^MElsi

s99^1 ,;

? =ft58

*Ee i E f,€E: e1; g

i b r: = E< e iE 5 =E d P{ iBEEe:

t e'; . i

,!z6ldeE

sg5Ft!si! si iii s 3"

:i ts

:+ =

=;igE=II

i

ii5qriEEE9: g

'J ^ ! -^EEi!i i h!ii:F 3a*gEEE; EEEI :ieE EFE

Page 30: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

3

=1<l-n:l

ce

F

+

e

x

F

PE

3;

d:,E ! + [r e-6 : x

.gP E .ESB i n 3

fEi -+ > -:g+ 9q €) !:lEE! :. X >sis cE : 8

?- ah t€alEa {,; 'r9;

EiP 1z 9f,rE;iaa i- 4=L;EE I r 8=- ! H:!iPlioEr'<-i=.--iF5-EvT;E:;

E <d r vt qr ii E 6

o I q *a dI de r :N 6 p

E i3 6 *> -' :I 19 * 3E u.: >

; E?'iEesip= E!=llrdF'1 ;Eg9<Q Xi2>+;.r+9;0r\;#.,iEEB=EEEI:q"] !ir EEI E

s; E El g : Elc ^'ui* flr +lrE;: II E I fl€.,=l :?l i:l =?3c81

= *3:> !l *kl 9 Hl Ieqc91 3r9l ie int'91 9el 9

a+FirEEtrEEfrEfr*fr3

g

+

Page 31: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

I

:

e

xF

o

s

:

F

F

*8

E n.

E s 53

F

Eg iE

E . =.,b

o S o El gi9t <;

P N > * il- il* Q = E =13:d : a < 9...r

i E :E* El5l3

E El :lE'slt 5 I E1.'

=il 9.1 *El ilf E=l 9.'A J-=:l :*' 8gi3.:l cl iEl qg "' i., F9bt atEHv; E6.EEg4t *1r E fr

?[E:- i:lsiiEsIE:aXP!:JiE,. a ; s s rHi:-EE.o Er f i

=

6+-i(--.6-g-

n ",-l;5:

EE}Fc;i

F+ X icx B 5

=.,r I e !

$ =

eI E

dl ir i-:i9TIE> l€ I F

9 -Z F"i

iEscS

9ia9EE

^E

eB

I

;-}E

F

Page 32: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

:

l9g#,*

4^ 5 ii

€ " Li

I ;--9rl 1. 5==

,ii**,s E9:=EE€E EE

iig II*:r:e9€ i e*!s igrlEsEs$sfa[:ic:9€giEE

!i Ea*I ^^Ed! :l0 oi: f E a -

iE8-_=-

.EiEq=eirErE*ie95!tEi9EEg1g:ggigg*tE5

"c

.E

-gE?

Page 33: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

E

4a,L - * O:Fdr ; qige!;iE ;:EE:=X;=r= liPr=;rEFXEN>i,qiaEEii i Y E E E i I i - 3E:dE.3E.9Eg!EE6srjE"dF89d-3EB

Page 34: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

x

Ex

:,E

E

()

E

Es

E

oF

L.E

lt 3. Fona E ps:: d!

I t tr i

il LecBFPl; e: 3 E

3tP663 F

!

lrtit5!

i

E

1

3

z

z

e

:

!

":l

=l.l

,:

tl

I3.J

I

il

:

33

FI,x

:lEi

fl:l

:l

c=:l€l

!;e

i

r T=.3!ri*: L x i E Y ! r-&eE= : bPHiEE$EB

e x- P; ! X s P i.i;t:

Fgigg EEE:SEigE

a;t

i9i9>E;ix E g+ E

|.

l( a.l

9z9_

tr!rY

ca=\iF=

F -.-<i=>E:!

ie =

3ca9==

oc!:a

F-

2;

Page 35: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

!

!

h i e aP9 !i X6N

3 E 5y P!:1 -a H=610 i 961; iE a ::39o I 6N

= e

fr -- [s5;4 g *6.:-{ o =r:!

::=E Ei$;5E E 9. ?;: * H

E:8.. [:S:E5 * $ i e 6 .; d qE O L e E o i q6i o > e F i E< o<ErH gE--e-'S

q E ! 1= =:i; ii i ; !8 fHS: EiEE<o6,i, 1E il 1g=lEt:i Et€:51il I > ;l 'ie'lg gE E .: EI:l 9E 5lo 3*l3l rH '1; hil

El&; EIE EEI

-q;E trltg I

<t

a

!l:.1i

e

s

E

-

6

E

-.1

c:x

IE

-o aE

1 -q:

i iEb"-e e 31g H x- l.r;F -->6c,E: sEi?9E430

! E F:,::1- U Y rir . EE $ i> i t

EiTE; EI

r'E 5 !::l

l9

IEEq ; r,j9ts 9 J9E

ct E

I t L*,/s E $p5= = ;cB

E EEiig'y' 3 E co e a c d- -I ii U-=^68+ - "d,, r.iE i 5I!^":I a uaEe;

= I tr'92?

$*."s sg;EHi2> + T; -16EEs;l

=l E;l ilEl

a: Q IlEi El i! dl c 6l:r * q g q^ E|:lil&E

= 5l? 5li rl :l ul

^3.SF3s E= Et 3l 3l

i FF$tg itE giEtEt

a.]

e

ll

ET

N:a q:ts;-;191, *

5l , s9

E ;l ,:l ll g

E gl Fl i;gEl d] El ;lE l4:' nl

5

rifal+E

a: a

==

d

=

ii5ez:!!E- E_^E i E i i f E Ei E.iEF 3 a*E5EE.: EiEI:i-rE i3E

Page 36: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

cE:Eo

Ix

joolts

ilol

"'lot

=l

rlitotal9titJEIIr-i

5l,slE

L]ol

=lxpt

-ld-,1cl_t

s=l;t,il

,_;l

"l-,1

;c]=

x!t;t

EI

I;5l

=l-l

:3Ei

=l"lfl

rilol=l

!letcl.rl

F

irl

=:t

z:aE{a

\.)aq

)E E:f O ..:.

?EH6

,oktrE,= cr.c0 to 9^rg'ts s3_oiloJcs 3 -99u:

{EI!d >.E

=ro Q.<Eo9=BrPUf,g v i,

=-: ?su 9gl <

r= 3 s'l >

L g <! vl -

6 =

5 !t 6

r90;t !/5g5El iE.{ g A-9.

crnH:l >)s=tr O

j,o d I Y( lr:dNHs

Yl -,= 9Xl )s o a i)8lI tsr-:El i 9: YAs iJ O itrl IYEjyul = Q o oEl <trO-galY > tr:^;l

,= E 9 E'9EUi

EIq

>u cl;c^El; =F o,l

Eo=-'

oS-='= Y:= I

:9(, ^.j==tr

: => =l

;5 E!

9,-YXl

.::dv

F E.i ?t- !l 5oZ ;=+ =.-Ir<42x-;l

.?u=-

q > i--

,2=r(ioFY

;Ee3i1 Iil 5

-'t 3

Io,t 3

5t <

(JtE

=l

lxIE

lxl6IJl! I

lr I

tE

_al:tl!l

It' E r 9 )<lE ! = E =

I; E t E :ie 3 E E

E = i i =IH = = 5 iE: d i 6 s:E g 5 E ,Ee- a :< I >=g 6 ! s=H i ; E iE' ec g + - yE ;a q " 6 eF Fg

= = g 6E > -.E

r [ : E = EE

EFE iEAE €=- * ^= 998

=EE g E EE ]EE--: IEi !5ti *i+.Es =E; a ;T*E E:g!E=;E} E EFEg;E:EiEE:E EEgTiE F:iiEE!E

;,ieiFiEgEEEiigifl

SEFgEFFiiEEg:FEgEI

Page 37: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

5dJ:

oro:x

=t..: 9

s5=tr

tr,o. -_

ix =5& E

;iEETFEPxh::E5->XsEXlA;Hgi>(E2Y+U

oLr!:fo:qv aorFL:ot tr +: *

* u *5,:,ii.-Yt:=-r::=rr

!! =o =aq9-:E-rSEOEaJotr:o

tr t=Ft;ts'"-i(d09YEdEci..,soYir * i6I E

9 a_s s r-,:o2; !!':F,=iSc*FXO*lA;deO!.ia:tr+5 +q -=.< i ,l'? o

o.

EE

a

5p.tr

d!r

9eUo

=ai.d=Ftraacl ,

!a O-.9o

siq > A

=U E r

F i 5 !9^S F

. -H 6 E 5 S es_,.iido-tyE.trAE<ltrari^:l

s 8.E& 9Y3 E 6E P hs o i 5 9 *o. * t'z tr F tr 5ro' x = =i!: E i vt{!?v=FY\r=liEY=+EiFoHXEEgHEEES= d =a 6r o l; I riri,rLo=vil>e = E r x: a.>Ei E E 9 E Y * 8Si< H.<6'>oca

o

=

a.F

Q

F

o

a.

o\oo

F

x5

t- ..(.)E

;eXC

g:

.9=E+-:c

-sF.o

^d

Ep0

o.

o)

(!

q

Fc

o

aQ)F

6t

t0

ot

ol Hstl i5. -+l cedt :r l,l 6tr t-.lt (!

Q orl o

e*l E

! 9t aa't r:': rol Fa' ll -3tr 4

;!r+5=vp.

o\o

E

-j c.i .i +,,.i.d F od

xl.',1

;

31g

IE

{l

i

NNo

q

IIq

I

F

roo

s

cEE

s

o

o

F

t-

t

c

F:iH

IFtroE

s

F

Page 38: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

F v-:l ;Eo9 SO)= =^-* eE- aa)

d -Els i9d Hxx :zi

. 5(DE6

E x ir. +BE EX

=EE 5=o|.hi u9=

g =^'=o=.o. !: oYtr F_

€,i 6 sEd iF-i! a.()l'()r_':q ,!atr 39F9 HC'=g Io19 taU'A E=.aildrrE,:^- : 3L') :: v.oO H >a

99 9c,isE:tLlbS3. E I-o E{

:( 02, -x.u xaE^ rr5FA NEE.E CXg& sE

i:r-as: 9Ei I *E,rS E g'e:s6 Itr=-eg g u et- .F E us;^' Y O- = i

E>i)'oiE* trt

Page 39: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

nplnoxeHrre 12x [pl,I(a3y AenapTaMeETa 3,qpaBooxpaEerrnr

I,IBaEoBcKofi o6racrr.r,YnpaBneHrry pocfiorpe6Hal3opa

no IisaHoscroi o6raoxror Np

Cxeva rrpo{nlarrn{ecKoro Jreyerlrq }rerrrrulltcKltx pa60r.rrlrKoBB ycroB[qx noArenla :a6o.lenaeuocru rpunna/ OpBI,I

Karoqen - no cxeue2 auy- to 2 r:a6t. a geur,, nepeptra 5 Ntefi u elrlle 2 Alrl no 2ra6.n. a geur (cyrovuar 4o:a 24 ur).*IV

Ap6u.qor - [pr.r Henocpe.qcrBeHHoM KoHTaKTe c 6o,rruuu rpunnou rrn[ OPBIZ _

no 200:rar a geur r re.reuue 10-14 aHeii *B nepl,loA 3nuaeMr.iu rpunna r.r apyr[x OpBI4, gna rpelynpexaeH[,o6ocrpeHrai xpoHxvecroro 6pouxura, peqrrAr{Ba reprreravecrcofi unQerquu _

200 lr 4aa pa:a n HeAerro B TerreHue 3 uege,rr.*

I,Iurep$epon a,rrQa-2b a rou6unaqur.r c ZurepQepouoM raMMa _ I pa-: a geurcoorBercrBeHHo no 50000 ME u 100000ME uepe.4enr o reverue l01nefi*

* xpoue 6epeuenHlrx xeHrrlr,rH

Page 40: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

II)

flpu:roxeuue l3t< rtpur<a3y le[apraMeura 3ApaBooxpaueur.t,

I4BaEoBcKoi o6nacrn,YlpaBneH{, Poc[orpe6Hal3opa

fio I4BaHoBc(oi o6racruOT N,

Alropurlr geficranfio6nacu ux 6ro,qxerHhrx yqpexAeHt.t[ :gpaaooxpaHen u.r

I,Iralrogcroi o6lacrn npn noAo3peHvs L4 BbrartfieH:av6o;trurx rpunnolr,r,

BIBBaHHBTM BbrcoKorraroreHHbrMr,r rrrraMuallt (BIIII)

odttozo 6ebtatteuuu oOnozo 0o.tbnozo c 4odotpeuuett utt BfIIIIl'{!t/l

CleqlriLrrucr l(eiic'r eaa

l (Dem,qurep OAII,Bpaq o$ucaBpa.{e6Eofi rlpamllKll,Bpaq [ortIrK,rI{gIrKIl(BnepBEre 3arro-ao3prrBrrjle rpI{nII!BLBBaHEETfi BIUI)

Ora:rrsaer 6oaruouy flepByro (Eeornoxnyro ,rnr gKcrpeuHyo) uellr-uriHcr(yp rroMorlb! olpe,4eJ'rrroT tlor(a3aErry k c.rauroEapHoMy neqeHr_[o,o6ecuequraer BEr3oB (Cxopoii Melrrururc(oii noMotqu))! B roM lrriclre6plra4n peanuvaqrn ll uHTeEcnBHoi Tepanuu. loxnaguaaor [o rere$osyuau 4pyruu cnoco6ou pyKoBoArrreJrro no,(pa3leneux, neue6uo_npoQu,rarruvecroro yqpexleHrir.IIo reaer[ouy coo6rqaqr o perlcrpaun[ BrrepBEte BEuBJreHEoro cnyqa, no-Io3pr:rren6Horo Ea rplrIr, Br,t3Bar rLIi BII]I, B Ofy3 (IIeHTp rtrrieHbr u3[uAeMrororuu s llsaHogc(oi o6nacrn)) (ren.23-4'l-55) ,t/uM B etoQu,rr-ra,'ru o ropo4ax o6lacru, a 3areM B TeqeHiie 12 qacos s IlrcEMeHEoii

9op_"" nocbrraqr 3rcrpeEHoe r-BBeuleHrre no ycranoa,rouofi Qopve$"rQopvaN458/y) e l-lenrp nraenu r{ 3rn14eMlrolrorzIz (Quua,r) no llecryBET'BNEEII' 3A6OJIEBIIICTO.

1 Plrroro4rrorr,IIo.IlrK,IIlEllqecroIo3BCEA

Oprarru:ycr lrpoBencHue u3o,-lruuoHHo-of paux!ruTe.ilLltLrxrporrrBo3rri,{eMrrqecKrrx u Ae3r.rEibe(q[ouurrx ueponpuarlri B (a6[Eeraxrorr[kJrr.tHrrru, rAe BErsBreH 6oalnoi, uogospurenEHErii Ha rpann.BEI3BaEEr,ri Bn[L Coo6rqaeT o peDrcTpaqu[ BrrepBbre BBrrrBJreHriorocjrfra, uoAo3prrrerr,Horo Ha rpl-Inn, BEBBaHHr,rfi BIIIII, uaBHoMy Bpa.ryaeve6uo-npoQuaaruqec(oro yitpexleuu.r. flpu n-rrr,-r ro*ainriiopraurr3yer [epeBoA r-r rpaucfloprnpoB(y 6orr,Horo s uur!exquonuoeoTAeneHrre. llo re.neSouy coo6uaeT o pen cTpaun[ BlepBbte BhrrB.rreHrrorocnyq.rs [oAo3parerErroro Ila rp[tur, BEBBaHT$ri BnlI, B Ofy3 (l-leErprrlrueur,r rr grrl.{eMuorortrrr B I{BauoBckoi o6rl.acrw> (ret23_47_55) ulttttuB ero lbl-rnllann B ropo,{ax o6racra, a 3areM B TeqeHrie 12 qacoB Bnrrc6MeHrroi

_oopMe [oc6].raeT 3xcrpeHroe t8BerrleHrre no ycranoB,rettrroi +opMe$.r@praN$5&y) e I{enrp nruemr u grrlrleMrro.[onltt (r[uma:r) no r.leiryBEIsBneI -L 3a6oneBErero.

3 Crapnui opa.r clre-Er,r craHqfln CkopoiMealluuEcr(oinououlu (CCMII),ar-rcleTLr e p

Haupan:r-rer Bbte3Auyto 6pura4y (upr-r r-r.rnn oo*asanrii 6pni[pezu{fiMauEu u r-rETeHcrBHofi repanuu) g,,re rpaficnoprrrpoBKuaurlerqrouroro 6olruoro. .{oxlagtraaer raaoaouy apauy CCMII.

Page 41: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

.+ ,(exypHEii Bpaqnp,teMHoro oTAene-Hn IlH(be(IInOsHOrOcraquouapa,/

aexlpxrui rpav OPI4T

flpu flocryrrrefiu[oka3arrI-Ie neoTnoxHoiiOnpeaenaer leve6uoe

6onluoro yroqtcer aritmo3, opraurr3oBr,rBaerMeAr-rqlncKoi rroMotI1t-r nocryrlllBrreMy 6onbuoMy.

oTAereErre. Ao(raaErBaeT r:raauouy apavy leue6ao-npolluraxrr.rvecroro yqpexaenuq (orBercrBeutoMy aglrunucrparopy) onocTyflneHrrl 6o.]r6Horo c [oAo3peHreM Ea rpEIIrI, BEBBaEHhrii Blllll.

) P,'(oBornren6 JIIIY Coo6uaer a lenaprauenr 3ApaBooxpaneun, I{aasoscxoi o6racru.py(oBoAnTenro OBy3 (IleHTp rrrrrresbr I, 3rrrr.{eMrrorortl r I4saHosc(oiio6nacrn) (ren.23-47-55) u ero (bnnuan o flocrylreHriu 6or6Horo crroAo3peHr-reM Ha Bllf; roHTponupyer opfaHrr3arlllro r npoBe.{eElterrporxBo3rrrrleMrrqec(Ex Meponparrnii r, 3a6opa Marep atna An,:ra6oparopxoro noATBepxaeua, ArarHo3a u roBoAlrr ao cBereuu o [po-BelexHErx Meponpu{Tlrrx.

fID u euaeteu uu uecxo..rt,xu-r 6o-,t tttt tr c zt6ot!e6qH uljv uunlg'lbHbt.vu Ho unrt, eute urrrtt'r ri R III

J,l!

n/n

Cnerlltanucr' .(eicrrrre

I @eEqurep OAII,Bpaq oQucaBpaqe6soinpaKrnrqr BpaqIIO]II'IOIIIIITI(II(B[epBbte3arroao3puBrrr[erpI-III[, BbrBaHEbrfiBnIlI)

Heue4aenuo aoruranr,rBaer uo re:re$ory u.m apyrrlu cnoco6ovpyroBorrrrenro floApa3Aeneua, o B6rrBlrer lu uecrolrrux 6olrurrx rpunnoll,Br,r3BarHr{hrM BfllII, opraHrr3ygr Ii oka3ErBaer 6onEHr,rM 6on6HEN nepByro(neornoxuyro nru ?(crpeHuyrc) MerrrqurrcKyro noMor(b, npoBorrrMeArrq[rrcKyro cop'rlpoBr(y [aurreHToB onpeAerqror (oETrrHreHT 6or6Hr,rx.I'lNlelolrll,rx Ilo(a3aHrrr l( cTaufiosaprroMy r'Ieqealrto. o6eclequBaerTpaEcrroprr.rpoB(y 6olr,ur,x ue.{uquucknM TpaEcDoproM - Ma[rlrraMn(Cl(opoi Me.{uqnEckotr [oMouu), B ToM qlrcjre 6puragauu pe,lHEMaqrix nrrHTeHcrraHoi Tepanmt. flo relerfouy coo6ulaer o pen crparlEr-r BnepB6reBErrBlreEELrx 6oarnrrx, uoqo:pr-trerr6ErJx fla rpuun, ntraaunufi BlllII, rOEy3 (UeETp rrirlleubr a 3rrr.{eMrio,tort-rr B I4BauoBcxoi o6racru)Oen.23-47 -55) trlrrru r ero ([u,uralu o ropoAax o6nacrrr, a 3areM B relreEre12 qacos s rrrrcbMeHEofi llopue nocruraer 3rcrpeEroe ,BBerrIeH[e rloycrauoBrreuroi QopMe ()qQopMaNS5&y) a I{errp n{rrer&r r, orrrrAeMr.rororirl(Qunaa,r) no uecry rrun:reEur 3a6oneBr[[x.

). PyroeolrrellNOJIEruII,IH I,IqCCl(OTO

3Be8a

Oprauusyer npoBe!cHrre r.r3oJIrIIltoHHo-oIpaHllquTeJIbItLtxflporrrBognlueMllqecxrx lt .4er-lr$exquouuHx Meponprrrui s ra6rHeraxuoaurruttrlxu/norur<Jllrglil(e, rre BbIrBreHEr 6o:lrqlre. Coo6qaer opeltlcapaqEll BlepB6re BbrrBreHrrrJx cny.ralqx nolo3priTenEHoro Ha fpfinn,Bbr3Barrrrlri BlIlII, marrouy spavy aeve6ao-npoQua(rr_rqec(oroyqpexaeHxr. pll Eanuqun loka3aHr.r opraHx3yeT nepeBoa IlTparrc[oprrrpoBKy 6om,nlrx s uu$exquouuoe or,(erenrje. no rene+oHycoo6uaeT o perricTpaq[n BrrepBEre BbuB.rreHHbrx 6on6HBrx, nono:pare,,riExHa rpt-rrrn, BhrBaurrrrfi B[L[I, B Ofy3 (UeHTp rurueH;r u 3flrrAeMr.rororru BI,[saEosc(oi o6aacru> (rel.23-47-55) Ltlunu B ero iburuarEr B ropolaxo6nacrrr, a 3areM B Teqeuue [2 qacoB B nr-rcrlressofi Qopue tocir,raer3(cllettrroe raBerrleHrre no ycrarioBrleHHoi OopMe ( 1"r.@paaNe058l/y) r lemp rurseHEtI-I sllnAeMr.ronorys ((bllturar) IIo Mecry BhrrBneHnq :a6o,real]l rx..

Page 42: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

CrapuHfi Bpa.{ cMe-HBr CCMI, Ar-rcrleT-qep oa,qe,rreHrrcC CMN

Hanparaaer B6re3auyro 6prra.4y gnx rpaHcloprupoBxn uE(DeruloHubrx6oaruux.,{oxaaar,rBaer rrraBrroMy apauy aeve6uo-npo$unarruvecxoroyqpex.{eHnr, B fKy3 l,lBanoBcxofi o6nacru (TIIMK) (ren. 41-93-56), o@fV3 <l-{enrp rrn eHEr }r 3[rAeMaororurr B l,lBauoBc(oi o6lracrrr)(ren.23-47-55) r.r ero lpa,rua:rH B cBoeM paioHe (ropoAe) o Br,rrBJrer rr 6onr,_HBrX C [oAo3peHr{eM Ha rplrrlrr, BEBBaHrrbri B[[[II.

I .{exaprufi BpaqnprreMrroro oTAene-uzr JIIY

llpu nocryueuuu 6o:rurx npono4ur MeAurlrrucKyro coprr-rpoBKy, ),Toqfirer,{narHo3, opranrGoBr,rBaeT oka3aHr.re HeoTnoxHofi/3(cTpeEHoii u flJrarioBofiMearjrlr-rHc(oii noMoull, [ocTylnBrrruM 6or'rr,HBrM. onpeaelrer leve6uoeoTlereHrre. noknaaBrBaeT rnaBHoMy Bpaqy o [ocTya.]rgEIIIj borr,Eblx cloAo3p€rrueM Ha Bnf u o [poBe.{errHbrx Mepoflprrcrt rx.

5 *PlxoBolurcnB Jlfly ,qouaABrBaer o rrocryrrnerir-ru 6o,rlxr,rx c rroAo3penr.reM ua BIII u o npo-BeAenHBD( Mepoflp[rrr-rrx B AenapraMeET 3,4paBooxpaEeEu I4BaEoBcKolio6nacflr, plkoBoAuTerro Ofy3 (lleuTp rrrrneHBt rr 3rruAeMrorrorru BI4BaHoBcxoi o5nacTlD' (\eL23-47-55) u ero +unuanH o nocryEnerruir6orssrrx c [olo3peHxeM Ha rprilltl! BBBBaT]HErii BIIII., o 3a6ope Marepna,laa.ru na6opaTopHoro floaTBepxaeHrfi A{afHo3a.

flp*rMeqaH,le: * npu auroaeuur, 6onr,Horo/6onE,Erx c rroAo3peHr-reM Ea rpn,,[, BEBBaHEbtr; BllIII, rteneqe6Horo )qpexaeHri, (Ha,{oMy, Ha ynrqe) pyKoBo.{ureJrh neqe6Ho-[poQnna(rEqecKoro yqpexleEr4o6EaB coo6qr-rrb 06 sroM B flenapralrenr 3apaBooxpaHeEr, llsa,orckoi o6:racrr (rer. iS-+S-ZO) ,ofY3 <lfenrp rurneEr,r u 3rriaeMuo,roru, B LIBaEoBcKoi o6n acrntt (re,.,23-47-55) u ero ibunuan B cBoeMpaioue (ropoae).

Page 43: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

npuoxeHue 14k rlplil<a3y /qenapTaMeHTa 3ApaBOOXpaHeEr-t,

trlBagoBcrofi o6nacrn.YnpaBneril, Pocnor[,e6Ea.Eopa

IIo I,lBanoBcr<ofi o6nacrr.tN1r

r.r Jrr.rKBr.raarllil-r r.rHQeKrInoHHOi 3a6oreBaeMocTr_r

2.HaqanrH[x orAeJra orrrueM[oJroruqecKoro HaA3opa ynpaBneHxf,Pocnorpe6ua4eopa no I,IBaHoBcKoi o6nacrx CMrrpHoBa JI.A., uaua;rtuur

Pacupeae"rcrrne 0ynxunri no KoHTpo"rrc fa Bhrrto.rrrreHr.rcM ucporIpfiq] trfr,HarrpaBJ'reHtrrrrx Hil pea"rI'lf auHrc Nlep IIo rrpelyllpe?n/IIeHrIro

pacrrpocrpalteuul [ "rurKBtr]laurrrr urrQexqrrortrrurx ra6o.leoaultri,Bbr3BaHHbrx BHpycou rplnna/OpBI,I

l.3auecrurelt pyrorolurerr Yupaa:renus pocrorpe6Har:opa noLlsaHoacxoi o6nacru l,Inrqroaa O.8,, :alrecrareJrb HaqaJrbHr.lKa ,{enapralrenra:4paoooxpaueuua I4aauoacxofi o6racrn Cna6uncxas T.B. :

-Koop4zHaur{r AeficrBxfi ,(enaprauerna 3.qpaBooxpaHeHru I4saHogcxofio6nacru n noABeAoMcrBeHHbrx o6racrHbtx 6rogxerrrtx yqpexAeHr.rfi3ApaBOOXpaHeHr.rr,

-B3ar,rMo,qeficrBr.re c flpanure:rrcrroM I4saHoscxoi o6nacr[, opraHaMuucflorHlrrerbHofi sracrli I,IgaHoacxofi o6,racra, cMexHLtMH, Haa3opHblMxcr:py<ryparuu o6:racra, cpeacrBaMr.r Maccorofi uuQopuaqr.ru;

-BHeceHI,Ie npe4noxeuui no u3MeHeHI.IK) L AoIIoJIHeHT.IK) a ropxgox pa6omc:ryx6rr :gpaaooxpaHeHu, I4naHoecrofi o6nacrx no npeaynpexAeHrrro xpacrrpocrpaHeHu,[

OPBI?rpunror'r.

ynpaBJreHH.f, opraHr,Baqr{}r rrlegaqulrcrofi noMotqu AeTrM, cryx66rpoAoBcnoMoxeHr.rr,{enaprauenra 3ApaBooxpaHeHr.l.f, I4BaHoscroi o6lracrfiCunuunu C.H.:

-rr.toHuropuur :a6oJIeBaeMo0TI.I HaCeJIeHIrr;-opraHr,r3arla{ la6oparopnoro o6clegoranux r4 KoH.rpoJrr 3a ero

npoBeaeHueM;-KoHTpon; 3a BaKrlr{Haqr.r{ HaceJreHrr.f, o6aacra uporua rpunna;-caHurapHo-npocBerure.nluax pa6ora.3. Begyqufi KoHcynETaHT orAeJra JreKapcrBeHHoro o6ecneqeHr.rs

,{enapraneura :gparooxpaneuur l,laasogcrofi o6lacru 3a6aes A.B. ;

-o6ecneqeasocrt o6nacrnrx 6roaxernux frpexAeHnfi r.r MyHr,rq fl:lJrrHbrxaIITeTIHEIX y.{pexgeufifi npoQa.naru.rvecruMfi r.r Jreqe6Hr,rMr.r [pellaparaMri,cpeAcrBaMu cuMnroMaruqec(oro t.r naroreHerurrecKoro leuenur OpBWrpunna.

_ 4. .{upexrop fKY3 <Teppurop}rarbHBrfi qeHrp MeAflutrHbr raracrpo$I,IsaHoecKofi o6racrra) Ea3aHoB C.B,:

-MoHHTopHHr o6ecne.{eHHocrx o6nacrH6rx 6to4xeruux yupeNgexui3.qpaBooxpaHeHufl JreKapcrBeHH;rMH npelaparaMr.r, ne:uuSr.rqupyroruuuucpeAcrBaur.r, cpeAcrBaMr. ltuguau4ya.ltuofi :au1lrru (ouxl.t, rr{HTKri, pecfluparopEr,MeAr,rrlnHc(ne uacxr.r), anlaparauu xugHeo6ecueqeuur (peauuuaqnouuoe

Page 44: dz.ivanovoobl.rudz.ivanovoobl.ru/.../NPA/Приказ_25092018_203-191_грипп.pdf · Created Date: 9/25/2018 1:05:35 PM

o6opyAoBaHrre, B roM irrrcJre LIBII ;ots B3pocJr6rx u gercfi), MeAxrlHHcKrrMuKa,qpaMl, B coorBercrBHu c HopMarxBHbrMrt rpe6oaauuaun Mun:gpaaa pocctn u(Deaepa,rsxoi c,ryx6u Pocnorpe6uagropa.

- roroBHocrl cnyx6br MeAr.rrlunu raracrpoQ l,IsaHoscxoI o6racru KAeficrausM B ycnoBr.rrx gurrAeMr{ecxofo [oA:beMa r.rnQexquouHofisa6oreaaeMocrr OPBWrpunnou.

5. firarusre BHeturarHEIe cflelluaJrucrbt uo ulrQexquouuuM 6oresHcr,I,{euaprauenra :.4panooxpaneHnn I,Iaanoncxofi o6lacru

Aaepuna I,I.B., sal,recrurelb rraBHoro Bpaqa OEy3 <<l-l ropogcxa.rrctaur,rvecrca-r 6olruuqo>,

Ea,ruxun B.@., 3aBea,,rouxi Ka0eapofi gercrux unQerquoHHHx 6o:regHei@fEOY BO <HsfMA> Muu:1paaa Poccr4H, A.M.H., npoQeccop:

-opraHr.r3aqnr t-r flpoBeleHlre o6yreHua MeAvqlrHcKxx pa6oruuroa noBorrpocaM 3rlllleMr.roJrorIlr, xlnnuxn, guQQepeuqua:rsuofi guaruocrr.rKr.r, reqeHrqu upoQlrlaxruxu rplinrta y aerefi v B3pocnrrx, B r.rr. B6r3BaHHoroBhtcoxo[al of eIHbtNlu tuTaNr]laNMi

- lruSopr'.rnponauue [enapraueura:,qpaBooxpaHeHH, I4sauoscro o6lacru oT.flxerbrx cJlyqaqx :a6o,reaauufi ;

- npoBeAeHr.re 9Kc[eprr.r3r,r KaqecrBa ue4nquxcrofi nouorqu uuQerquounrru6oruHuu rpunnou/OPBII;

- rrpoBeAeHr.Ie anarx:a ga6o:regaeMocru B3pocJrblx u gerefi TsxerhrMu{opuaur.r :a6o:reaaxr.ra rpunna./OPBZ, anpycno-6arrepualrbH6rMr{ nHeBMoHr.rrM}r;

- npoBeAeHr.re KJrHHr.rro-arraroMuvecxux rolrQepenuufi no pas6opyreraJILHrIx Hcxo,qoB B3pocnrlx u 4erefi or rpl{nna, BKrIoqarI tpxfltl, BbI3aaHHHfiBIIIII.

- BHeceHr.re npegloxennfi ro u3MeHeHr.rro Ir aonoJrHeHr.rro B rlop{Aox pa6orLrcryx6sr :ApasooxpaHeHH, I,IsaHoncrcofi o6nacrr.r no flpeAynpcxreHurc r.rpacnpocrpaHeHtI,rpannou/OPBI4.

I..I Jrr.rxBx.qaur{[ lrHQexqnonnofi :a6olenaeuocru