Policy responses for Kazakhstan - HSRM


Policy responses for Kazakhstan

3.2 Managing cases

According to the Annex 3 to the Resolution of the Chief State Sanitary Doctor No. 37 dated May 22, 2020, if persons suspected of COVID-19 (presence of respiratory signs (cough, temperature (according to the interviewee), respiration) are identified, as well as the presence of contact with a confirmed case of COVID-19 in the epidemiological history they should call an ambulance, telephone 103.  If persons with symptoms not excluding COVID-19 are identified, the paramedic will call an ambulance to transport them to a care facility. Before the ambulance arrives, person should be provided with a medical mask and observe a distance of at least 1 meter. If person have symptoms of coronavirus, he should inform to the emergency care via phone. No personal visits to the hospitals are allowed.

There is a triage of COVID – 19 patients. Treatment (surveillance) is at home for those infected in the mild and asymptomatic form. Inpatient treatment is provided for patients in the medium form, including in hospitals, and inpatient treatment is also provided for patients in the severe form (https://rus.azattyq-ruhy.kz/society/11668-desiat-shagov-borby-s-kvi-razrabotali-vlasti-almaty).

According to Annex 1 of the Resolution of the Chief State Sanitary Doctor No. 35 of May 1, 2020, after discharge from the hospital, it is necessary to ensure medical supervision within 14 days (observation of health condition, wearing of medical mask, accommodation in a separate room with good ventilation or airing, exclusion of close contact with family members, separate meals, observance of hand hygiene) and laboratory examination on COVID-19 according to the clinical protocol of diagnosis and treatment of COVID-19. Medical monitoring of the reconstructed centres is carried out by a district doctor at the place of residence (preferably remotely via video call).     

The experimental drugs Favipiravir and Remdesivir are used to treat patients (https://diseases.medelement.com/disease/коронавирусная-инфекция-2019-ncov-кп-мз-рк/16390).

25-Dec-2020 Resolution No. 67 of the Chief State Sanitary Doctor issued on 25th December 2020 envisages:
- Permission of partner births if a partner has a certificate with a negative COVID-19 PCR test result taken 72 hours prior to the visit;
- Distribution of daily flow of patients to exclude crossing them with patients with suspected COVID-19;
- For patients in need of emergency care, medical care is provided without negative COVID-19 PCR result in an isolated room.
- Planned hospitalization is allowed for patients who got negative COVID-19 PCR test performed no more than 7 days before the hospitalization.