Who needs a health (sanitary) permit

sanitary permit

Pursuant to the law, people working in certain areas are required to have a health (sanitary) permit and regularly undergo a medical examination.

Sanitary permit is a document needed when applying for a job in an organization the field of which in one way or another relates to production, transportation, storage and sale of food and drinking water, as well as organizations associated with utility servicing of population.

In the material, we will provide a list of employees and public officials, who should get a sanitary permit.

Who has a right to issue sanitary permits? 

A health (sanitary) permit certifies an employee`s health condition, his/her professional suitability and absence of dangerous infectious diseases.

Both state medical organizations and non-state ones have the right to issue health permits. Both public and private healthcare institutions have their own price list for services.

Upon initial registration, right to choose a place to undergo examination is fully owned by an applicant. Subsequently, an employee will most likely be sent to a medical organization with which an employer has concluded an agreement for annual preventive medical examinations and tests. 

Release of sanitary permits is not covered by the guaranteed volume of free-of-charge medical assistance.

A sanitary permit is issued by an authorized health worker in a medical organization that has a license to perform medical activities, and includes the results of mandatory medical examinations, laboratory tests with a mark on admission to work.

One should provide:
•    National ID
•    One matte photo (3х4)
•    Fluorography results (valid within 1 year).

Depending on an activity area, one needs to regularly undergo examinations:
•    Once a year;
•    Once in 6 months.

After submitting the above documents, one needs to undergo mandatory medical examination and undergo laboratory tests. 

Which data should a health worker indicate in a sanitary permit? 

Record of health permits is made in personal health record log of health subjects which carry out a medical examination.

A sanitary permit is filled in by a specialist in Kazakh or Russian. Information about an owner of personal medical permit should include profession and position, place of work, date of birth and place of residence. A specialist indicates data on previous infectious diseases.

A photograph of personal medical permit owner is affixed by a seal of healthcare subject (if any), where a medical examination is carried out.
Based on the results of medical examination, a general practitioner releases a statement, fixes it with a personal signature and seal, indicates his/her surname, name and patronymic (if available). 

The result of X-ray examination is included based on a picture and statement made by a doctor, which is signed by him/her with indication of full name and seal (if available). The result of a medical examination is included based on obtained laboratory data for sexually transmitted diseases along with a statement made by a dermatovenerologist, which is signed by him/her with indication of full name and seal. 

In case of diagnosing an infectious or parasitic disease, as well as detecting infectious disease agents that pose a contraindication to admission to work, a specialist sends an employee for treatment to a relevant medical and preventive organization at the place of residence.

The results of examination checking for pathogenic staphylococcus, helminth eggs and bacteriological examination checking for markers of viral hepatitis and HIV are entered into a personal sanitary permit with indication of an owner`s full name as well as seal of organization (accredited laboratory) (if any) that conducted a laboratory test.

A personal medical permit indicates a period of admission to work as well as date, full name and signature of a specialist and seal of a health subject (if any).

The list of jobs requiring availability of sanitary permit 

In total, there are 15 job categories that require availability of the document.  

1.    Workers of public catering and food industry facilities 
2.    Workers of food retail facilities as well as individuals involved in the transportation of food products 
3.    Workers of cream and confectionery manufactures and infant-feeding centers 
4.    Workers of passenger servicing organizations (railway stations, air terminals, airports, sea and river stations, bus stations, subways) 
5.    Hosts of passenger trains, stewards of river, sea and air transport 
6.    Workers of educational institutions of elementary, secondary general, vocational, higher education, recreational institutions, computer clubs 
7.    Workers of seasonal health organizations for children and adolescents
8.    Workers of preschool organizations, boarding schools, all-season sanatoriums for children, orphanages as well as workers of family-type orphanages 
9.    Medical workers of maternity hospitals (units), children hospitals (units), neonatal pathology unit, units for premature babies, hospitals with mixed units in rural districts and day patient facilities. Medical workers of organizations, regardless of their property form  
10.    Medical staff of blood banking organizations, medical workers of surgical, gynecological, obstetric, hematological, dental profiles and medical workers conducting invasive methods of diagnosis and treatment, medical personnel engaged in hemodialysis, as well as medical personnel of virological, bacteriological, clinical, immunological and parasitological laboratories 
11.    Workers of health centers, health resorts, recreation houses, boarding houses for the disabled and the elderly, medical and social workers working at home 
12.    Workers of service sector (baths, saunas, hairdressers, beauty salons, laundries, dry cleaners); workers of swimming pools and hydropathics, mud baths, sports and health organizations as well as managers, administrators, supervisors of hotels, motels, dormitories, campsites 
13.    Workers of pharmacies, pharmaceutical organizations (factories, plants) engaged in manufacturing, packaging and selling of medicines 
14.    Workers of water-retaining constructions who directly relates to water processing; workers servicing water supply networks; workers of industrial laboratories of water supply and sewerage facilities 
15.    Pupils (students) of secondary schools, secondary special and higher educational institutions before and during the period of internship in organizations similar to employees who are subject to mandatory medical examinations. 

Medical contraindications to admission to work 

If deviations are found following an examination results, a course of medicines is prescribed.

After treatment, one can undergo an examination again and obtain a sanitary permit.

If infectious diseases are found, then a mark is not made in a permit and a person is not admitted to work.

Only after a complete recovery, a person can undergo an examination once more. 

Medical contraindications to admission to work:

  1. Infectious diseases and infectious disease agents (staphylococcus, streptococcus, syphilis, gonorrhea, etc.); 
  2. Carrying of bacteria that cause typhoid fever, paratyphoid fever, salmonellosis, dysentery;
  3. Carrying of helminth eggs;
  4. Pustular diseases are contraindication for obstetric and surgical hospitals, neonatal pathology unit, units for premature babies, infant-deeding centers, organizations manufacturing and selling cream and confectionery and other food products. 
  5. Non-contagious skin diseases (psoriasis, eczema, allergic dermatitis). 
  6. Those suffered from tuberculosis:

- to maternity hospitals (units), children hospitals (units), neonatal pathology units and units for premature babies;
- to pre-school organizations (nurseries/kindergartens, infant homes, orphanages, children health resorts) and elementary classes of school organizations based on a statement made by a Medical Expert Board in anti-tuberculosis dispensaries.  

Active tuberculosis of all the organs and systems. The consequences of past tuberculosis (including postoperative ones) followed by functional disorders of the affected organs.

Responsibility for violation of legal requirements 

Frauds offer to fabricate medical certificates for various purposes, including sanitary permits.

A sanitary permit obtained in an illegal way can adversely affect sanitary and epidemiological well-being of the population.

Violation of legal requirements entails punishment in the form of administrative and criminal liability:

  • Article 425 of the Administrative Violations Code of RK
  • Article 385 of the Criminal Code of RK.
     

Last update: 13.05.2021