Getting vaccinated when registering for a personal medical record

Preventive vaccinations for catering workers help reduce the threat of the spread of dangerous infections, and therefore are a prerequisite for their work. After all, infection with many viruses can occur not only through direct communication with the carrier, but also through consumption of products with which the carrier has been in contact. Violation of this requirement can lead to serious consequences for any cafe or restaurant. Moreover, the biggest problem will not be a fine and problems with regulatory authorities, but serious problems with the establishment’s reputation among clients. In this article, we will analyze the key points about the mechanism of action of immunization, the reasons for its importance, as well as the basic requirements for vaccinations for working in public catering.

How does preventative vaccination work?

In the surrounding world, in addition to us, animals and plants, there are millions of invisible microorganisms.
Unfortunately, many of them can provoke serious disorders in the human body. Immunization (vaccination) is designed to increase its resistance to the influence of bacteria and viruses. The procedure involves the introduction of weakened or killed microbes in order to familiarize our body with them. As a result of this simple manipulation, the immune system manages to form a specific cellular response to the situation of infection with a particular infection. In the future, this will allow him to quickly eliminate the “enemy” when it penetrates the body, or at least significantly reduce damage to the body during the course of the disease.

What stamps should be in medical books about vaccinations?

In persons with an unknown vaccination history against measles and rubella, serological studies can be carried out in order to decide on vaccinations. The results of the serological test are included in the medical documentation indicating the level of antibodies. Let us remind you that only a result that corresponds to a positive level and exempts you from vaccination is entered into your personal medical record.

Vaccinations against influenza are given to adults working in certain professions and positions - workers in medical and educational institutions, transport, and public utilities. Immunization against influenza is carried out annually during the pre-epidemic period for influenza. The optimal time for flu vaccinations is September-November.

Immunization of catering workers when applying for a health certificate

Employees in this field are included in the list of persons for whom immunization is mandatory due to the nature of their line of work. These also include medical staff, specialists servicing sewer networks and working with homeless animals, and some others. Initially, the presence of mandatory vaccinations for catering workers is verified during the hiring procedure during a medical examination. And not only for cooks or employees serving food distribution lines, but for absolutely all personnel from the establishment’s staff.

The general practitioner is responsible for ensuring compliance with this requirement. And here several scenarios of events are possible. During the appointment, the doctor examines the personal medical record of the future catering employee and makes a conclusion on the need for vaccination on an individual basis:

1. If the previous vaccination has not expired and its implementation is documented, permission to work is issued.
2. In the case where there is no such data, but prophylaxis was carried out, the person must be tested for the strength of immunity in relation to infections. Based on the results of the examination, a conclusion is made about the need for immunization.
3. If vaccinations have not been done before, an appropriate referral will be issued. Only after their statement, confirmed by documents, does the doctor approve the employee’s employment in the canteen, cafe or restaurant.

Legal regulation of the issue

It happens that the situation with mandatory vaccination causes indignation among staff.
Indeed, according to current legislation, every citizen has the right to refuse preventive vaccinations. But there are also methodological instructions from Rospotrebnadzor that do not allow those who refuse vaccination to be involved in certain work. Therefore, in case of refusal of vaccination for a medical book in the catering industry, the manager has every right (and, moreover, is obliged) to refuse such an employee a place of work. The main documents regulating measures to implement the list of mandatory vaccinations for catering workers are methodological instructions (MU) approved by the Chief Sanitary Doctor:

• MU 3.3.1889-04 (on the procedure for vaccinations to prevent infections);
• MU 3.3.1.1095-02 (on medical contraindications to vaccination);

It is also mandatory to comply with the decree of the Chief Physician for Sanitary Control dated November 18, 2013, reflected in the sanitary rules (SP) and relating to the prevention of ARVI. The general list of mandatory vaccinations for all segments of the population is displayed in the national vaccination calendar.

What vaccinations are required for a medical certificate?

A medical book is an official document resembling a passport. The color is dark blue; the emblem of Rospotrebnadzor is printed on the title page with special paint. Each book has its own individual number, recorded in the corresponding register.

This document is proof that its owner is not a carrier of a dangerous infection. It will take time to complete all the necessary vaccinations - usually 7-10 days.

Vaccination is required:

• catering workers and everyone involved in the sale and production of food;
• public transport drivers and flight attendants;
• conductors and housing and communal services workers;
• medical personnel;
• beauty salon workers;
• teachers and educators.

That is, to all those who have direct contact with people every day or are associated with food production. The need for vaccination among medical workers is understandable, because their goal is to treat people, not to infect people.

Teachers and educators are another important category, since they communicate every day with the most vulnerable (in terms of infections) population - children, and therefore must be healthy and undergo the necessary immunization.

What vaccinations need to be done:

• diphtheria . There are no age restrictions here. Those who have not been vaccinated before are prescribed a 3-fold regimen: 0-1.5-6 months. For people who have already received 2 injections, subsequent vaccinations are carried out every 10 years. This infection is transmitted through the air and is especially dangerous for workers in all fields of activity. Therefore, vaccination is mandatory for catering workers, transport and trade workers, and pharmacists. Revaccination - every decade;
• from measles . Immunization is provided to all adults under 35 years of age. Since there is no cure for this infection, there is only one way out - to get vaccinated. You can use monopreparations, for example, domestic LIV or imported polyvaccines;
• rubella _ These vaccinations are carried out for women 18-25 years old according to a two-time schedule with an interval of 3 months;
• Hepatitis B . In this case, adults (up to 55 years of age) who have not previously been vaccinated are vaccinated. The schedule is 3-fold by month: 0-1-6 (counting starts from the moment of the first injection, the next injection is in a month, the 3rd injection is in six months). Interval – at least 3 months;
• influenza - annual vaccination at the beginning of each epidemic season. The beginning of grafting is September - November. Immunization is carried out for health workers, transport workers, teachers, educators and housing and communal services employees.

If the need for measles-rubella vaccination is questioned by the doctor, an additional serological test is prescribed. If the result is positive, a corresponding note is made in the medical record (indicating the positive number of antibodies), and vaccination is canceled.

For a separate category of citizens, the Ministry of Health of the Russian Federation has approved a list of professional vaccinations for epidemic indications, among them:

• hepatitis A . Here, immunization is mandatory for persons whose risk of infection is associated with their occupation: medical personnel and service workers, food workers and persons servicing sewer networks and water supply systems. 2 injections are given, the last one after 6-12 months;
• typhoid fever . Workers in the service sector and housing and communal services (technicians repairing water supply facilities, workers carrying out sanitation of residential areas and waste disposal) are subject to vaccination. Vaccination is carried out once;
• Sonne dysentery . Health workers with infectious diseases, catering and housing and communal services workers are being immunized.

In addition, beauty salon workers should also be vaccinated against tetanus.

If the applicant's health condition does not allow any vaccination, this should be confirmed. Take an RPHA test (immune test) or get a waiver from your local physician. He must provide a certificate confirming your illness, certified by the seal of the medical institution.

Is it necessary to get vaccinated to get a medical card?

The health record data not only indicates that the person is not a carrier of any infection and therefore can be hired.
They are also monitored for his personal benefit, ensuring that he is protected from the danger of infection. This is especially true for the catering industry, because the flow of visitors to cafes or canteens is diverse. And the point is not that sometimes they are visited by representatives of disadvantaged sections of the population. People of different professions come here, who, even with a high level of well-being, due to their profession, can become the cause of someone’s illness. For example, increased risk is observed in the work of pharmacists who dispense medications for a wide variety of diseases.

A medical record is evidence that all mandatory vaccinations for catering have been completed, and the state has provided employees with maximum protection against infections. In other words, it confirms that every citizen was able to exercise the right to vaccination according to the specifics of the medical examination, taking into account his profession.

Therefore, without immunization, the document will not be issued. No doctor will take responsibility for releasing a person to work whose risk of infection will not be minimized. Especially if this is a kitchen employee who is in direct contact with products, tables on which they are prepared, and other work surfaces.

How the measles vaccination is written in medical books: designation

The 6th page is reserved for notes on vaccinations carried out in the medical book. Usually, information about vaccination is entered by a physician into a special stamp indicating the institution that carried out the vaccination and its details.

An example of a record of an anti-measles vaccination for the LCV analogue – Priorix:

• date of vaccination/re-vaccination – 04/20/2018;
• drug name: RV Priorix. The abbreviation "RV" means that this is a repeat vaccination (re-vaccination);
• dose – 0.5 s/c;
• series - 487 SA;
• expiration date – until 05.2019;
• medical outlet – no (dash);
• signature of the health worker and his personal seal.

Since the full course of immunization against measles involves 2 vaccinations, the medical record book should accordingly contain two stamps about the injections performed with a time difference of 3 months.

Only doctors from the medical institution where the examination is being carried out can fill out the health certificate.

List of mandatory vaccinations for food service workers

What specific vaccinations are needed for catering? First of all, it is necessary to check whether the general immunization requirements for all citizens of the country have been met. According to the national calendar, vaccinations against the following infections are required for persons over 18 years of age who are already free to work:

• tetanus;
• diphtheria;
• hepatitis B;
• measles.

It is important to ensure that the duration of immunization remains within normal limits. For example, for the first two diseases, repeated prevention is carried out every ten years. It is also worth mentioning separately that for girls from 18 to 25 years old who have not been vaccinated before and have not had rubella, vaccination against this infection is mandatory. For work in the field of public catering, according to epidemiological indications, regular prevention of the following diseases is additionally carried out:

• hepatitis A;
• Sonne dysentery;
• flu.

Where can you get vaccinations for money, and where can you get them for free?

Citizens of the Russian Federation (based on the law on immunoprophylaxis) can undergo free immunization if vaccinations are included in the national calendar, or when vaccination is carried out according to epidemic indications.
The procedure is carried out in clinics or government medical institutions. You can get vaccinated against all infections required for a medical examination for free . Vaccination preparations are purchased using funds allocated to local medical institutions from the federal budget.

Paid vaccination is available in all private medical centers. You should choose only proven clinics that have a license to operate this kind of activity (accredited by Rospotrebnadzor).

You should know that, on the basis of labor legislation (as of 2018), the employer (HR department) must enter into an agreement with any licensed medical institution (public or private) to conduct examinations of its employees.

Therefore, paying for all types of inspection (and the cost of a health certificate) is the responsibility of the employer. But in practice, it often happens that when employed by a non-state structure, a person (in most cases) pays for all procedures himself, which is a violation of the order of the Ministry of Health of the Russian Federation.

Prevention of hepatitis A

This disease is also known as Botkin's disease.
The causative agent is the hepatitis A virus of the same name (in other sources you can find its designation HAV). It affects hepatocytes - liver cells, seriously disrupting the functioning of this organ. The inclusion of a preventive vaccine against hepatitis A in mandatory vaccinations for catering employees is due to the fact that infection with this virus easily occurs through food and water with which the patient comes into contact. The disease is insidious in that its primary symptoms are nausea, weakness, fever or dizziness.

The problem can be recognized only at subsequent stages of development, characterized by serious disturbances in the functioning of the liver, sometimes also affecting the spleen. Distinctive signs during active development are yellowed whites of the eyes, discoloration of feces and darkening of urine. The infection is especially dangerous for children, in whom, moreover, it can proceed almost unnoticed in the first stages.

Sanitary book

Today, a medical record is one of the main documents that you must have to be able to work in many companies. This is especially true for candidates for vacancies related to serving people, working with food products, trade, serving children in relevant educational institutions and providing medical services. Therefore, if you want to get a similar job, you should know which doctors you need to pass for a medical certificate.

At the same time, sanitary book forms of the corresponding sample are not available for free sale; they can only be purchased at the Central Hygiene Center or SES after completing hygienic training. When issuing the book, a photo of the owner is pasted in, and you will also need a document that proves your identity. In organizing the issuance of a health book, the candidate is given a list of doctors for the medical book from whom he needs to take tests, including doctors.

Immunization against Sonne dysentery

Dysentery is an infection that affects the gastrointestinal tract and provokes serious intoxication of the entire body.
Its pathogens are very resistant to the external environment and remain viable on household items (for example, bed linen) for about 2-3 weeks. But not all of them can survive under conditions of a sufficient level of sanitary and epidemiological control. It is noted that in all fairly well-developed countries (including Russia), the most common form of the disease is Sonne dysentery. Therefore, it was against this that a decision was made at the state level to carry out thorough preventive measures. Vaccination against dysentery for catering workers is included in the list of requirements of Rospotrebnadzor for the following reasons:

1. The main mechanism of spread of the disease is through food. Infection can also occur through water and household routes. If the skin of the hands is poorly washed, the pathogen can live for about 2-3 days.
2. Food products are ideal conditions for the preservation and proliferation of bacteria that cause Sonne dysentery. A particularly rapid increase in their number is observed at a temperature of about 20 degrees Celsius in dairy products (cottage cheese, sour cream, cream).

Prevention of this infection (as well as others, especially dangerous for the catering industry) includes not only immunization of establishment employees. Regular cleaning with disinfectants in areas where food is stored and prepared also plays an important role. Therefore, when equipping your workspace, it is important to give preference to tables, shelves or kitchen racks that are professional equipment. It features a surface that is resistant to chemical cleaning agents (for example, stainless steel).

Therapist - online consultations

I am currently applying for a medical certificate and will work as a salesman of industrial goods in a store. Please tell me what mandatory vaccinations should be included in the section Notes on preventive vaccinations in the medical record? At our clinic, the doctor names different vaccinations each time.

Hello! My family and I were vacationing at a ski resort, and at the zoo located in the park, I was bitten by a camel. Got a tetanus shot and 2 rabies shots. I found out that I was pregnant. Is it necessary to terminate a pregnancy after 2-3 weeks?

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Flu vaccination

The disease is an acute respiratory infection that affects the human respiratory tract.
It differs mainly by its aerosol propagation mechanism. That is, through inhalation of particles of infected mucus or saliva. The flu periodically spreads at a faster rate, turning into an epidemic. It is particularly dangerous because it often develops into pneumonia – a deep inflammation of the lung tissue, which poses a serious threat to people’s lives. The need to vaccinate catering workers is due to the fact that they work in crowded places. This significantly increases the risk of infection or, conversely, transmission of the pathogen from them to other people. In any case, this leads to an increase in the rate of spread of infection. Therefore, the sanitary and epidemiological service puts forward strict requirements for mandatory regular vaccination against influenza for catering staff. The recommended time for its annual holding is early autumn.

Vaccinations for medical records

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How can managers implement immunization requirements in practice?

Constantly explaining the importance of compliance with them and the need to independently monitor implementation each time can take a lot of time and effort. The following steps will help simplify the procedure and attract employees’ attention to the importance of the issue:

1. Arrangement of a corner on occupational safety with materials directly related to the importance of vaccinations.
2. Ordering booklets and posters with a clear demonstration of the dangers of infections and their consequences, placing materials near workplaces.
3. Inclusion in the employment contract of a special clause on compulsory immunization.
4. Organizing conversations and meetings with staff about the importance of disease prevention and reputational risks in case of violation of sanitary standards.
5. Familiarization of employees with the results of a special labor assessment commission regarding the state of their jobs.

Why you can’t buy a ready-made medical book without passing a medical examination

Purchasing this document without a medical examination is illegal and falls under the regulation of Article 327 of the Criminal Code of the Russian Federation. Rospotrebnadzor checks medical books and their legality. And in order to calmly pass such a check, you should initially issue a health certificate in accordance with all existing rules in a medical institution that has the appropriate license to issue certificates.

When you contact the MedTest center for modern medicine in Moscow, you will only be able to receive a legal sanitary book with entry into the register of the Center for Hygiene and Epidemiology. also applied to it, acting as proof of authenticity.

A medical examination is necessary not only to confirm a person’s readiness to fulfill his professional duties, but also to help you adequately assess your health status and promptly identify the development of diseases.

Advantages of obtaining a medical record in a private

A high-quality and official medical book in Moscow is issued in a private one. We provide high quality of all services, as well as the following advantages:

• We work every day without days off or breaks.
• The entire process of passing through specialists, taking tests and research takes no more than half an hour.
• You will be able to receive the completed and executed document within 3-7 days from the date of passing the medical examination.
• Affordable prices for all services.

You can also receive documentation with or without certification. They usually undergo it after completing the entire medical examination with the application of the appropriate hologram.

Contact our center for modern medicine “MedTest” in Moscow for initial registration or renewal of a medical book at affordable prices with prompt passage of a full medical examination. We work every day and are ready to help you at any time.

Other important points of regular medical examination in the catering industry

Not only vaccinations for catering workers are mandatory to prevent the development and spread of serious diseases. Passing a medical commission also requires a mandatory set of examinations, including:

• general clinical examinations of urine and blood, as well as HIV testing;
• bacteriological analysis of feces to detect helminth eggs and protozoan cysts (in particular, the causative agent of typhoid fever);
• fluorography of the chest organs to detect neoplasms and tuberculosis;
• examination by a dermatovenerologist with a smear for gonorrhea;
• examination by a dentist and taking swabs from the throat and nose for the presence of staphylococci.

For women, regular monitoring of their health status by a gynecologist is additionally required. When undergoing all examinations, it is worth remembering that the validity period of some of them is quite short. Therefore, you should not delay for a long time going to the therapist for a final conclusion after receiving the test results. The generally accepted norm is to undergo an inspection once a year. It is worth considering that in the event of an epidemic outbreak, you may need to undergo an unscheduled inspection. To organize it, a special commission is assembled in the district clinic, the head of which is usually an occupational pathologist.

What stamps should be on the medical book?

If there is no medical card or old LMC, then you need to do it again: 1. Examination by a doctor Otolaryngologist, also known as ENT. Examination by a Dentist. Examination by a doctor Therapist. Examination by a psychiatrist. Examination by a doctor Narcologist. For reference: RW is a blood test for syphilis, Smear is a test for gonorrhea 7.

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