17. Where the parent or guardian of a child has failed to comply with regulation 3(1), 11 or 12, the Director may by notice in writing require the parent or guardian of the child to have the child vaccinated within such time as may be specified in the notice.
Certificate of vaccination and notification
18. Every medical practitioner who has vaccinated any child against diphtheria or measles shall issue to the parent or guardian of the child a certificate in the form set out in the Third Schedule and shall within 7 days of such vaccination notify the Chief Executive of the Health Promotion Board in such form as the Director may approve.
[S 395/2001 wef 01/09/2001]
Certificate of unfitness for vaccination and notification
19.—(1) If any medical practitioner is of the opinion that any child is not in a fit and proper state to be vaccinated against diphtheria or measles or has any medical condition for which such vaccination is contraindicated, he shall forthwith issue to the parent or guardian of the child a certificate of unfitness for vaccination in the form set out in the Fourth Schedule.
(2) Where a child is temporarily unfit for vaccination, the vaccination shall be postponed to a date specified in the certificate of unfitness, which shall be a date not later than 3 months from the date of the certificate.
(3) Before the expiry of any such certificate, the parent or guardian shall take or cause the child to be taken to a medical practitioner, who shall then examine the child and either vaccinate the child or give another certificate of unfitness for vaccination.
(4) Any medical practitioner who issues a certificate of unfitness under this regulation shall within 7 days thereof notify the Chief Executive of the Health Promotion Board in such form as the Director may approve.
[S 395/2001 wef 01/09/2001]
Certificate of measles infection and notification
20.—(1) If any medical practitioner is of the opinion that any child has an attack of measles, he shall forthwith issue to the parent or guardian of the child a certificate in the form set out in the Fifth Schedule.
(2) Any medical practitioner who issues a certificate of measles infection under paragraph (1) shall, within 3 days thereof, notify the Commissioner of Public Health in the form set out in the First Schedule to the Infectious Diseases (Notification of Infectious Diseases) Regulations 2001 (G.N. No. S 394/2001).
[S 395/2001 wef 01/09/2001]
Precautions against abnormal reaction
21. Every medical practitioner shall ensure that —
(a)
all necessary antiseptic measures have been taken before any intradermal test or vaccination is carried out; and
(b)
all requisite drugs and equipment for emergency measures in the event of any abnormal reaction which may occur at the time of vaccination are kept in the place where the vaccination is carried out.
Records
22.—(1) Every medical practitioner shall keep a record containing the following information on every intradermal test and vaccination carried out by him or under his supervision:
(a)
the name of the child;
(b)
the sex of the child;
(c)
the date of birth of the child;
(d)
the number of the birth certificate of the child;
(e)
the name of the mother or guardian of the child;
(f)
the residence of the child at the time of the intradermal test or vaccination;
(g)
the date or dates when the child was given an intradermal test or vaccination;
(h)
the name of the manufacturer and batch number of the diphtheria prophylactic or Schick Test Reagent used; and
(i)
the name of the manufacturer and batch number of the measles vaccine used.
(2) The record shall be kept for a period of not less than 3 years after the intradermal test or vaccination and shall be made available for inspection and for the extraction of information therefrom by any officer authorised in writing in that behalf by the Director.
Registrar of Births and Deaths to give notice of vaccination
23. The Registrar of Births and Deaths shall, immediately after the registration of the birth of a child, issue to the parents or guardian of the child a notice in the form set out in the Sixth Schedule, requiring the child to be vaccinated against diphtheria and measles.
Penalties
24. Any person who —
(a)
contravenes or fails to comply with any provision of these Regulations;
(b)
fails to comply with any requirement contained in any notice served on him under these Regulations;
(c)
obtains or is in possession of a false certificate or document purporting to be issued under these Regulations;
(d)
for the purpose of obtaining any certificate or document under these Regulations, knowingly makes any false statement or misrepresentation;
(e)
issues or signs any false certificate or document; or
(f)
supplies any false information for the purpose of any of these Regulations,
shall be guilty of an offence and shall be liable on conviction to a fine not exceeding $500 and, in the case of a second or subsequent conviction, to a fine not exceeding $1,000.
Transitional provision
25. Any notice, certificate or notification given or issued under the Infectious Diseases (Diphtheria Vaccination) Regulations 1977 or the Infectious Diseases (Measles Vaccination) Regulations 1985 revoked by these Regulations shall have the same force and effect as if it had been given or issued under these Regulations.