UZBEKISTAN. Regulations of 1991 on Medical Testing to Reveal Infection by Human Immunodeficiency Virus (AIDS) and on Preventive Observation. (Molodezh Uzbekistana [Tashkent], 14 November 1991, p. 4, as translated in Joint Publications Research Service, Document No. JPRS-TEP-92-009, 19 June 1992, pp. 32-34.)

1. These Regulations are published on the basis of Article 2 of the Uzbek Republic Law, dated 14 June 1991, "On Prevention of AIDS," and of the "Regulations on Medical Testing to Reveal Infection by Human Immunodeficiency Virus (AIDS)" approved by the USSR minister of health on 4 October 1990, and they establish the following procedure for medical testing of citizens of the Republic of Uzbekistan, foreign citizens and persons without citizenship residing on or present within the territory of the Republic of Uzbekistan to reveal infection by human immunodeficiency virus (AIDS).

2. The following are subject to testing:

2.1. Donors of blood, blood plasma and other biological fluids and tissues, at the time of each donation.

2.2. Citizens of the Republic of Uzbekistan returning from foreign official, business and private trips of greater than 1 month's duration, upon their return and 6 months later.

2.3. Foreign citizens and persons without citizenship entering the Republic of Uzbekistan for study, for work, after vacations or for other purposes, within the 10 days after arrival, and during annual preventive examinations, with regard for the provisions of paragraph 9 of these Regulations, with the exception of foreign citizens and persons without citizenship arriving from countries issuing certificates of testing for antibodies to the AIDS virus that are recognized by the USSR.

2.4. Citizens of the Republic of Uzbekistan who travel abroad to countries requiring a certificate of testing for infection by human immunodeficiency virus (AIDS).

2.5. Citizens of the Republic of Uzbekistan and foreign citizens who had sexual contacts with AIDS patients or virus carriers and who are revealed by epidemiological examination; they are tested quarterly for 1 year, and twice a year thereafter with regard for the provisions of Paragraph 14.5.

2.6. Patients with the following clinical indications:

-running a fever for over 1 month;

-possessing two or more enlarged lymph nodes for over 1 month;

-suffering diarrhea lasting over 1 month;

-experiencing unexplained weight loss of 10 percent or more;

-suffering protracted and recurring pneumonia, or pneumonia not responding to conventional therapy;

-suffering protracted and recurring purulent bacterial and parasitic diseases, and sepsis;

-acute encephalitis and weak-mindedness in previously healthy persons;

-suffering hairy leukoplakia of the tongue;

-suffering recurring pyoderma;

-women with chronic inflammatory diseases of the female reproductive system of uncertain etiology;

-suffering chronic inflammatory disease of the oral mucosa.

2.7. Patients suspected of, or with a confirmed diagnosis of:

-Kaposi's sarcoma;

-cerebral lymphomas;

-T-cell leukosis;

-pulmonary and extrapulmonary tuberculosis;

-carrying hepatitis B surface antigen (at the time of the diagnosis and after 6 months);

-diseases caused by cytomegalovirus;

-generalized or chronic form of infection caused by herpes simplex virus;

-recurring herpes zoster in persons under 60 years of age;

-mononucleosis (3 months after the beginning of illness);

-pneumocystosis (pneumonia);

-toxoplasmosis (of the central nervous system);

-cryptococcosis (extrapulmonary);

-cryptosporidiosis;

-isosporosis;

-histoplasmosis;

-strongyloidosis;

-candidiasis of the esophagus, trachea, bronchi or lungs;

-profound mycosis;

-atypical mycobacteriosis;

-progressive multifocal leukoencephalopathy.

2.8. Children:

2.8.1. born of HIV-infected mothers, at the time of birth and 6 and 12 months after birth;

2.8.2. from mixed marriages with foreign citizens, including marriages not officially registered, at the time of birth and 6 and 12 months after birth;

2.8.3. born of sperm donors, at the time of birth and after 6 and 12 months;

2.8.4. prior to adoption, and upon admission of children to children's homes;

2.8.5. on record with the police, with an early and perverted sex life, once a year;

2.8.6. newborn infants with developmental abnormalities, intrauterine infection, premature infants.

2.9. Patients regularly receiving transfusions of blood and its preparations (hemophilia, Werlhof's disease, von Willebrand's disease, anemia of various geneses, and other blood diseases and recipients), once a year.

2.10. Pregnant women, when put on record for pregnancy, and in the 30th week of pregnancy; in the event of the absence of AIDS testing data or metabolic chart (obmennaya karta), at the time of admission to a maternity ward.

2.11. Placental blood from a woman in childbirth being sent to the Tashkent Scientific Research Institute of Vaccines and Sera.

2.12. Pregnant women undergoing testing in relation to artificial interruption of pregnancy.

2.13. Persons entering resuscitation, oncological, thoracic and hematological institutions and departments.

2.14. Persons suffering sexually transmitted diseases, at the time of application for medical aid, and thereafter in accordance with indications; this includes persons with venereal diseases (adults and children), quarterly for 1 year, and twice a year thereafter.

2.15. Persons working with the AIDS virus or involved in diagnosis, treatment and direct services to HIV carriers and AIDS patients, once a year.

2.16. Personnel of the blood service and of clinical biochemical laboratories, prior to starting work, and annually during job physicals thereafter.

2.17. Material (blood, serum) from persons who died of infectious and parasitic diseases, sepsis, and with clinical signs of the diseases listed in paragraphs 2.6 and 2.7, and on the basis of AIDS indications.

2.18. Persons in relation to whom there is sufficient and reliable information that they engage in improper sexual contacts, quarterly.

2.19. Persons in risk groups: those suffering drug addiction and toxic substance abuse, homosexuals and bisexuals, and persons practicing prostitution, twice a year.

2.20. Persons in risk groups entering the admissions and room assignment offices of prison isolation wards, and persons in corrective labor institutions and in therapeutic labor dispensaries, upon admission and prior to release.

2.21. Persons who had undergone treatment in sanatoriums and vacation homes, 3 months after their return, once.

2.22. Vagrants without a permanent place of residence.

2.23. Workers of hotels, restaurants and bars providing services to foreign citizens, once a year.

2.24. Drivers of long-distance motor transportation, flight crews, workers in restaurant cars and refrigerated trains, and train conductors, once a year.

3. Citizens of the Republic of Uzbekistan, foreign citizens and persons without citizenship who have expressed the desire to undergo testing, including anonymously, [may also be tested].

4. The principal method of AIDS testing is laboratory blood analysis.

5. Testing to reveal infection by human immunodeficiency virus (AIDS) is carried out only in state therapeutic and preventive institutions.

6. Citizens of the Republic of Uzbekistan, including military servicemen, who have returned from foreign official, business and private trips (lasting over 1 month) are sent for testing to public health institutions by the organizations that sent these citizens on such trips (see Paragraph 2.2).

7. Foreign citizens and persons without citizenship who arrive for work or for other purposes are tested on the basis of referrals by the organizations receiving them and by persons responsible for their arrival. If a foreigner or person without citizenship so wishes, a medical worker or a representative from the embassy of the corresponding state may be present when blood is sampled.

8. If citizens of the Republic of Uzbekistan, foreign citizens and persons without citizenship who have undergone laboratory or clinical testing so desire, they are provided with a medical certificate of the established format (Form No 082-1/U-88, approved by the USSR Ministry of Health on 7 April 1988) indicating the testing results.

9. If a citizen of the Republic of Uzbekistan, a foreign citizen or a person without citizenship so desires, he may undergo retesting in another public health institution.

10. Diplomatic associates of foreign diplomatic representatives and consular institutions, and other persons enjoying diplomatic privileges and immunities in the Republic of Uzbekistan, may be tested to reveal infection by human immunodeficiency virus (AIDS) only with their consent.

The Ministry of Health of the Republic of Uzbekistan initially coordinates proposals that such persons undergo testing with the Ministry of Foreign Affairs of the Republic of Uzbekistan.

11. The question as to the possibility of testing associates of international, intergovernment, nongovernment and other organizations and institutions, as well as foreign representatives who are accredited with the corresponding ministries, departments and organizations, is resolved with the participation of the ministries, organizations and institutions on the basis of international multilateral treaties and conventions, bilateral treaties and practice.

12. Medical workers and other persons who have become privy to information regarding medical testing to reveal infection by human immunodeficiency virus (AIDS) and the testing results in the line of duty are obligated to keep this information secret.

13. The corresponding ministries, departments and organizations are entrusted with practical implementation of these Regulations and are responsible for their fulfillment.

The Regulations are binding upon all public health organs and institutions, including cooperatives, ones providing paid services, and others.