How to refuse vaccinations for a newborn in a maternity hospital
Voluntary informed consent to preventive vaccinations for children or refusal of them
1. I, the undersigned__________________________________________
______________________________________________________________________
(last name, first name, patronymic of the parent (other legal representative)
minor under 15 years of age, minor, sick
drug addiction, under 16 years of age)/minor over the age of
15 years old, minor, drug addict, over 16 years old)
____________________________________________________ the year of birth,
(indicate the year of birth of the minor aged
over 15 years old, minor, drug addict, over 16 years old)
I hereby confirm that I have been informed by the doctor:
a) that a preventive vaccination is an introduction into the body
human medical immunobiological preparation to create
specific immunity to infectious diseases;
b) about the need for preventive vaccination, possible
post-vaccination complications, consequences of refusal;
c) about medical assistance during preventive vaccinations,
including a mandatory medical examination of a minor aged
up to 18 years of age before vaccination (and, if necessary, medical
examination), which is included in the State Guarantee Program
providing citizens of the Russian Federation with free medical care and
provided in state and municipal institutions
health care free;
d) on compliance with the instructions of medical workers.
2. I have been informed that, in accordance with paragraph 2
Article 5 of the Federal Law of September 17, 1998 N157-FZ “On
immunoprophylaxis of infectious diseases"*(1) lack of preventive
vaccinations entail:
a ban on citizens traveling to countries where they are staying in
in accordance with international health regulations or
international treaties of the Russian Federation requires specific
preventive vaccinations;
temporary refusal to admit citizens to educational and recreational institutions
institutions in the event of mass infectious diseases or
when there is a threat of epidemics;
refusal to hire citizens or removal of citizens from work,
the implementation of which is associated with a high risk of infectious diseases
diseases (decree of the Government of the Russian Federation of July 15
1999 No. 825 “On approval of the list of works, the implementation of which is related to
high risk of infectious diseases and requires
mandatory preventive vaccinations”*(2).
I had the opportunity to ask any questions and to all questions
received comprehensive answers.
Having received full information about the need to carry out
preventive vaccination ______________________________________________,
(name of vaccination)
possible vaccination reactions and post-vaccination complications,
consequences of refusing it, I confirm that I understand the meaning of all
terms, and:
I voluntarily agree to be vaccinated *(3)
_________________________________________________________________________
(name of vaccination)
(I voluntarily refuse vaccination
________________________________________________________________________,
(name of vaccination)
to a minor _____________________________________________________
________________________________________________________________________. (indicate the last name, first name, patronymic and year of birth of a minor under the age of 15 years/a minor with drug addiction, under the age of 16 years)
I, the undersigned*(4)__________________________________________
_________________________________________________________________________
(last name, first name, patronymic of the parent (other legal representative)
minor under 15 years of age, minor, sick
drug addiction, under 16 years of age)/minor over the age of
15 years old, minor, drug addict, over 16 years of age
years)
Date ___________________ ______________________
(signature)
I certify that I have clarified all issues related to the conduct of
preventive vaccinations for minors, and gave answers to all
questions.
Doctor ________________________ ___________ Date _______________
(last name, first name, patronymic) (signature)
________________________________________________________________________________
*(1) Collection of legislation of the Russian Federation, 1998, No. 38, art. 4736; 2000, No. 33, art. 3348; 2003, No. 2, art. 167; 2004, No. 35, art. 3607; 2005, No. 1 (part 1), art. 25; 2006, No. 27, art. 2879; 2007, No. 43, art. 5084; No. 49, art. 6070; 2008, No. 30 (part 2), art. 361; No. 52 (part 1), art. 6236; 2009, No. 1, art. 21.
*(2) Collection of legislation of the Russian Federation, 1999, No. 29, art. 3766.
*(3) Underline what is necessary.
*(4) To be completed for minors under the age of 15, minors with drug addiction, under the age of 16.
Refusal of preventive vaccinationsI, _________ (full name), as the legal representative of my young child _________ (full name), ________________ year of birth, DECLARE that I refuse to vaccinate my child against ________________ (fill in as necessary: tuberculosis, hepatitis B, diphtheria, tetanus, whooping cough, polio, measles, rubella, mumps, influenza, etc.) based on:
1. Federal Law “On the fundamentals of protecting the health of citizens of the Russian Federation” dated November 21, 2011 N 323-FZ:
Article 20. Informed voluntary consent to medical intervention and refusal of medical intervention.
1) A necessary precondition for medical intervention is the giving of informed voluntary consent of a citizen or his legal representative to medical intervention on the basis of complete information provided by a medical worker in an accessible form about the goals, methods of providing medical care, the risks associated with them, possible options for medical intervention, about its consequences, as well as the expected results of medical care.
3) A citizen, one of the parents or other legal representative of the person specified in part 2 of this article has the right to refuse medical intervention or demand its termination, except for the cases provided for in part 9 of this article. The legal representative of a person recognized as incompetent in accordance with the procedure established by law exercises this right if such person, due to his condition, is unable to refuse medical intervention.”
2. Federal Law “On Immunoprophylaxis of Infectious Diseases” dated September 17, 1998 N 157-FZ :
Article 5. Rights and responsibilities of citizens when carrying out immunoprophylaxis.
1) When carrying out immunoprophylaxis, citizens have the right to:
- refusal of preventive vaccinations
2) Lack of preventive vaccinations entails:
— a ban on citizens traveling to countries where, in accordance with international health regulations or international treaties of the Russian Federation, their stay requires specific preventive vaccinations;
— temporary refusal to admit citizens to educational and health institutions in the event of mass infectious diseases or the threat of epidemics;
— refusal to hire citizens for work or removal of citizens from work, the performance of which is associated with a high risk of contracting infectious diseases.
3) When carrying out immunoprophylaxis, citizens are obliged to:
— follow the instructions of medical workers;
— confirm in writing the refusal of preventive vaccinations.
Article 11. Requirements for preventive vaccinations
2) Preventive vaccinations are carried out in the presence of informed voluntary consent to medical intervention of a citizen, one of the parents or another legal representative of a minor under the age of 15 years or a drug addicted minor under the age of 16 years, the legal representative of a person declared incompetent in the manner established by the legislation of the Russian Federation Federation.
3) Preventive vaccinations are carried out for citizens who do not have medical contraindications.
Article 19. State one-time benefits
1) If a post-vaccination complication occurs, a citizen has the right to receive a state one-time benefit in the amount of 10,000 rubles. The list of post-vaccination complications that entitle citizens to receive state one-time benefits is approved by the Government of the Russian Federation upon the proposal of the federal executive body in the field of healthcare.
2) In the event of the death of a citizen resulting from a post-vaccination complication, members of his family have the right to receive a state one-time benefit in the amount of 30,000 rubles.
I know the LIST of post-vaccination complications approved by Government Resolution No. 885 of August 2, 1999:
1. Anaphylactic shock.
2. Severe generalized allergic reactions (recurrent angioedema - Quincke's edema, Steven-Johnson syndrome, Lyell's syndrome, serum sickness syndrome, etc.).
3. Encephalitis.
4. Vaccine-associated polio.
5. Lesions of the central nervous system with generalized or focal residual manifestations leading to disability: encephalopathy, serous meningitis, neuritis, polyneuritis, as well as clinical manifestations of convulsive syndrome.
6. Generalized infection, osteitis, osteitis, osteomyelitis caused by the BCG vaccine.
7. Chronic arthritis caused by the rubella vaccine.
This DISCLAIMER is a deliberate and balanced decision made on the basis of a detailed and comprehensive study of issues related to vaccination, personal experience and is fully consistent with the norms of current legislation.
_____________ (signature), ______________ (date)
Contraindications to hepatitis B vaccination
The hepatitis B vaccine is administered on the first day of the baby’s life (the recommended period is three to five hours after birth). The vaccine is administered intramuscularly into the anterolateral thigh.
Refusal of this vaccine is necessary only if the baby has contraindications to its administration.
Temporary bans include the following:
- reduced body weight – less than 1.5 kilograms;
- serious condition of the baby after birth;
- the presence of acute or chronic diseases;
- serious disturbances in the functioning of the nervous system;
- severe hemolytic disease;
- serious skin lesions.
There are no permanent bans on this type of vaccination. Therefore, after an improvement in the baby’s condition is noted, he is vaccinated.
The Ministry of Health told how to legally avoid vaccination
As Notepad found out, it is almost impossible to obtain the desired document.
Oksana Drapkina, chief therapist of the Russian Ministry of Health, told how to get a medical exemption when you need a certificate of vaccination against coronavirus. According to the doctor, there are several types of medical ducts - permanent and temporary. If you are sick with the flu, you will have a temporary referral, but a permanent referral can be issued, for example, by allergy sufferers. However, in reality, as Notepad found out, it is almost impossible to obtain the desired document.
“To obtain a certificate, you need to contact your doctor or local physician. There are few absolute contraindications to vaccination,” Oksana Drapkina told AiF. — These include a severe allergic reaction, medications and treatments that affect the immune system. There are situations when you can get a temporary medical outlet.”
There are few contraindications for the permanent method, but for temporary release there is a whole list of diseases and painful conditions. The representative of the Ministry of Health clarified that in each individual case a separate time period is assigned.
“For example, you cannot get vaccinated during an acute respiratory viral infection or an exacerbation of some chronic illnesses. In case of exacerbation of chronic diseases or ARVI with fever, this is usually 2-4 weeks after recovery or remission,” Drapkina said. “In the case of acute infectious diseases of the gastrointestinal tract, vaccination is allowed after the temperature has normalized.”
Pregnant and nursing mothers can also count on temporary exemption. In this case, the timing of the watering method is determined by natural causes. However, as Drapkina said, such rules will not last long. “Research is underway, and the situation may soon change,” the doctor said.
It is noteworthy that the chief therapist of the Ministry of Health did not say anything about the situation with patients who have a level of antibodies sufficient for medical treatment. In this case, according to various experts, vaccination may also be undesirable. First of all, due to the fact that already formed immunity (due to a previously suffered painful condition) can quite harshly reject the vaccine. As Alexei Zaitsev, an employee of one of the Moscow theaters, told Notepad, who made an unsuccessful attempt to obtain the notorious certificate based on their antibody readings, it is impossible.
“It all started when I was told at work that either you get vaccinated or we will suspend you. We’re not firing, please note, but we’re suspending,” the arts worker shared with the editors of Notepad. — The fact is that in our theater the salary is based on the number of hours worked. So the issue of vaccination became very acute for me. But, apparently, I had already been ill in a latent form, since the antibody test showed that I had a level sufficient for medical treatment. After studying all the necessary documentation and taking the test results, I went to the hospital. As it turned out, it was in vain.”
Despite the fact that the Ministry of Health officially issued a decree that a medical exemption can be obtained by citizens who have passed a PCR test, and it showed results for the presence of immunoglobulins G and M to coronavirus. In fact, it turned out that it was not being implemented.
“I learned that I would not be disqualified from the doctor at the hospital. We sit in line, wait, and at some point a doctor comes out to us and says: “If you are on medical clearance for elevated antibodies, you can go home.” And that’s it, no more comments,” Zaitsev complained.
As Notepad previously reported, in Moscow in other cases the situation is approximately the same. The capital's Department of Health sends everyone who wants to receive medical treatment to one of five medical institutions: City Clinical Hospital named after. Konchalovsky, DKTs No. 1, GP 218, GP 115 and GP 68. At the same time, such a certificate cannot be obtained at the district clinic by registration. As our editors found out, the document cannot be obtained from any of the five above-mentioned metropolitan medical institutions.
Egor Lavrenchuk
