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Saatja: Valērija Fomčenko <[email protected]> Saadetud: 27.04.2022 13:33 Adressaat: <[email protected]>; <[email protected]>; SM Info <[email protected]>; <[email protected]> Teema: Latvian Health Inspectorate request to share Estonian and Lithuanian experience with Latvian colleagues Good afternoon! I am writing on behalf of the Latvian Health Inspectorate with a request to share your experience with Latvian colleagues. At the moment, the Health Inspectorate on behalf of the Ministry of Health is working on the implementation of the plan On the implementation of the Health component of the European Union Recovery and Sustainability Mechanism Plan for Latvia for 2021-2026 . The goal is to increase epidemiological safety in medical institutions, improve the ability to provide segregated patient flows and a safe environment for healthcare delivery in a variety of changing environments, including during a pandemic. In this regard, it was decided to make an analysis of the actual state of medical institutions in Latvia and develop recommendations for improving their infrastructure. Accordingly, we would be very grateful if you could share your experience in this area, specifically: - What are the main requirements for medical institutions in your country? Namely, the minimum required composition of the premises, infrastructure. - What are the requirements for mechanical and natural ventilation for medical institutions in your country - in which rooms is mechanical ventilation mandatory and in which natural ventilation is sufficient, what are the requirements for ventilation filters (as an example, HEPA), and how often should ventilation ducts be inspected or checked? - Is there control over the cleanliness of air in rooms with increased requirements for cleanliness of indoor air (for example, operating rooms). - Requirements for water and sewerage (for example, in which rooms, in addition to sanitary facilities, sinks are needed); - What laws, regulations regulate these requirements? Have special hygienic requirements been developed for medical institutions? - Perhaps there are also rules for organizing epidemiological safety, that is, separating the flow of personnel and patients, organizing infectious boxes and isolation rooms. - Are there guidelines available in your country for organizing hospitals, etc.? You may not be able to answer all of our questions, but we would appreciate any answers you may have. The experience of our closest colleagues is of paramount importance to us and to the writing of this plan. The Health Inspectorate and the Ministry of Health of Latvia will be extremely grateful for your help and are always open to cooperation. Best regards, Department of Public Health Hygiene assessment division environmental health analyst Valçrija Fomèenko E-mail: [email protected] Health Inspectorate of Latvia Klijânu Street 7, Riga, LV-1012 &#43;371 67876000, &#43;371 67876010, [email protected], http //www.vi.gov.lv