Legal Aspects of Vaccine Prophylaxis

The Law "On Immunoprophylaxis of Infectious Diseases" provides:

• free vaccination of the National Calendar and Calendar on epidemiological indications, in public and municipal health systems;
• social protection of citizens in the event of post-vaccination complications;
• the development of federal and regional vaccination programs;
• use of effective and safe MIBP.

The law clearly defines the right of citizens to:

• receive full and objective information from health workers about the need for
• vaccinations, the consequences of rejecting them and possible complications;
• choice of state, municipal or private forms of health care;
• free vaccinations and medical examination, and if necessary - treatment in state and municipal health organizations;
• refusal of preventive vaccinations.

The refusal of the vaccination is made with the signature of the vaccinated person or his guardian, in case of refusal of the signature - by the signature of 2 medical workers. This provision is in line with the Declaration of Helsinki, but it obliges the doctor to explain the risk of non-vaccination, which violates the right to life and health (Vienna Declaration of 1993, Ottawa Declaration adopted by the World Medical Association in 1998). Unreasonable withdrawal of the child from vaccination can be equated to failure to provide the necessary medical care. In the event of the refusal of citizens from preventive vaccinations, the Law provides for certain rights of the state; These include:

• ban on going to countries where specific vaccinations are required;
• a temporary refusal to admit to educational and health facilities in the event of massive infectious diseases or the threat of epidemics;
• denial of admission to work, the performance of which is associated with a high risk of infectious diseases;
• The possibility of intervention without the consent of citizens in the conduct of anti-epidemic measures, regulated by sanitary legislation.

The law provides for the social protection of citizens in the event of the following: severe and / or persistent health problems due to vaccination:

1. Anaphylactic shock.
2. Severe generalized allergic reactions (recurrent angioedema, Stevens-Johnson, Lyell syndrome, serum sickness).
3. Encephalitis.
4. Vaccine-associated poliomyelitis.
5. CNS lesions with generalized or focal residual manifestations leading to disability: encephalopathy, serous meningitis, neuritis, polyneuritis, incl. With manifestations of convulsive syndrome.
6. Generalized infection, osteitis, osteitis, osteomyelitis caused by BCG.
7. Arthritis is chronic, caused by rubella vaccine.

In these cases, a state one-time benefit is paid in accordance with the new edition of these articles of the Law.

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