Елена Самтынова
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Вопрос организации работы образовательных учреждений к началу учебного года с учетом эпидемиологической ситуации, связанной с риском распространения нового коронавируса, является сегодня одним из самых актуальных. Роспотребнадзор совместно с Минпросвещения России разработали соответствующие санитарные правила 3.1/2.4.3598-20 «Санитарно-эпидемиологические требования к устройству, содержанию и организации работы образовательных организаций и других объектов социальной инфраструктуры для детей и молодежи в условиях распространения новой коронавирусной инфекции COVID-19”, основные мероприятия которых включают в себя:
генеральную уборку перед открытием образовательной организации, уведомление органов Роспотребнадзора не позднее чем за 1 рабочий день о дате начала учебного процесса; проведение ежедневных «утренних фильтров» при входе в организацию с обязательной термометрией и использованием всех входов в здание, чтобы не допустить скопления людей; усиление дезинфекционного режима (уборка с дезинфекционными средствами, использование антисептиков для рук, обеззараживателей воздуха); создание условий для соблюдения правил личной гигиены (наличие мыла, одноразовых полотенец, туалетной бумаги в туалетах); использование СИЗ работниками пищеблоков; закрепление за каждым классом отдельного кабинета, проведение занятий в актовом, спортзале, библиотеке для одного класса; организацию обучения по специальному графику, графику посещения столовой с целью минимизации контактов обучающихся; запрет на проведение массовых мероприятий между классами (проведение праздничных мероприятий 1 сентября следует организовать по классам (параллелям) на открытом воздухе с использованием СИЗ родителями).
Дополнительно Роспотребнадзор напомнил, что отдельно для общеобразовательных организаций предусмотрены требования СанПиН 2.4.2.2821-10 «Санитарно-эпидемиологические требования к условиям и организации обучения в общеобразовательных организациях», согласно которым при организации фронтальных форм занятий количество детей в помещении должно определяться из расчета не менее 2,5 кв. м на одного обучающегося, при организации групповых форм работы и индивидуальных занятий – не менее 3,5 кв. м на одного обучающегося.
Кроме того, ведомство считает возможным организовать внеурочную деятельность в каникулярный период, в выходные и праздничные дни. В случае ухудшения эпидобстановки рекомендуется предусмотреть возможность дистанционного обучения.
Все важные документы и новости о коронавирусе COVID-19 – в ежедневной рассылке Подписаться
НИИ Гигиены и охраны здоровья детей и подростков Минздрава России также подготовлены1 методические рекомендации по проведению медико-профилактических мероприятий в школах. Согласно документу родителям (законным представителям) перед началом учебного года рекомендуется предоставить в общеобразовательную организацию информацию о выездах и контактах ребенка с лицами с подтвержденным диагнозом или с подозрением на COVID-19 в течение 14 дней до начала работы школы, о наличии характерных симптомов у ребенка в течение этого времени, наличии условий для дистанционного обучения, о способе, которым ребенок добирается до школы. Допускается организация обучения в течение шести дней в неделю и в несколько смен.
Также рекомендуется максимально снизить количество лиц, провожающих детей до входа в школу, при этом взрослые (желательно не входящие в группы риска) должны использовать маски.
Определены категории риска тяжелого течения COVID-19 среди обучающихся и сотрудников организации. Так, при определении контингента обучающихся детей следует учитывать:
неблагоприятный преморбидный фон (избыточная масса тела и ожирение, сахарный диабет и нарушение толерантности к глюкозе, артериальная гипертензия, заболевания сердца и сосудов, легких, в том числе различные пороки развития, кислородозависимые дети с бронхолегочной дисплазией); иммунодефицитные состояния разного генеза; коинфекция респираторно-синцитиальным вирусом (РСВ), вирусом гриппа и другими патогенами.
Обучающиеся, входящие в группу высокого риска тяжелого течения COVID-19, и (или) добирающиеся до школы общественным транспортом, могут быть переведены на дистанционный режим обучения в первую очередь.
Факторами риска тяжелого течения COVID-19 у сотрудников общеобразовательных организаций являются:
возраст старше 65 лет; наличие хронических заболеваний бронхолегочной, сердечно-сосудистой, эндокринной системы, системными заболеваниями соединительной ткани, хронической болезнью почек, онкологическими заболеваниями, иммунодефицитами, циррозом печени, хроническими воспалительными заболеваниями кишечника.
Указанные методические рекомендации разработаны для органов исполнительной власти субъектов РФ в сфере образования, охраны здоровья, опеки и попечительства, профессиональных союзов, администраторов, руководителей и медработников общеобразовательных организаций в качестве дополнения государственных и региональных нормативных документов.
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1 С текстом Методических рекомендаций “Медико-профилактические мероприятия организации деятельности общеобразовательных организаций в период распространения новой коронавирусной инфекции (COVID-19)” можно ознакомиться на сайте НИИ Гигиены и охраны здоровья детей и подростков ФГАУ «НМИЦ Здоровья детей» Минздрава России (https://niigd.ru/news/mediko-profilakticheskie-meropriyatiya-organizacii-deyatelnosti-obshheobrazovatelnyx-organizacij-v-period-rasprostraneniya-novoj-koronavirusnoj-infekcii-covid-19.html).
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