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Förfs 748/2020 FINLANDS FÖRFATTNINGSSAMLING MuuMnrovvvvom klassificering asia av biologiska agenser Utgiven i Helsingfors den 4 november 2020 748/2020 Social- och hälsovårdsministeriets förordning om klassificering av biologiska agenser I enlighet med social- och hälsovårdsministeriets beslut föreskrivs med stöd av 40 § 3 mom. i arbetarskyddslagen (738/2002): 1§ I bilagan till denna förordning finns bestämmelser om klassificering av biologiska agenser i grupper som avses i 3 § i statsrådets förordning om skydd för arbetstagare mot risker som orsakas av biologiska agenser (933/2017) samt om andra sådana egenskaper hos biologiska agenser som befunnits skadliga. 2§ Denna förordning träder i kraft den 15 november 2020. Genom denna förordning upphävs social- och hälsovårdsministeriets förordning om klassificering av biologiska agenser (921/2010). Helsingfors den 29 oktober 2020 Social- och hälsovårdsminister Aino-Kaisa Pekonen Specialsakkunnig Jenny Rintala Kommissionens direktiv (EU) 2019/1833 (32019L1833); EUT L 279, 31.10.2019, s. 54 Kommissionens direktiv (EU) 2020/739 (32020L0739); EUT L 175, 4.6.2020, s. 11 1 748/2020 Bilaga FÖRTECKNING ÖVER KLASSIFICERINGEN AV BIOLOGISKA AGENSER OCH DERAS SKADLIGA EGEN- SKAPER 1. Inledning 1. I förteckningen ingår sådana biologiska agenser som man vet smittar människor. Agensernas eventuella toxiska eller allergiska effekter anges i förteckningen. Djur- och växtpatogener som inte påverkar människan ingår inte i förteckningen. Genetiskt modifierade mikroorganismer beaktades inte när förteckningen upprättades. 2. Klassificeringen av biologiska agenser baserar sig på de biologiska agensernas effekt på friska arbetstagare. Hänsyn har inte tagits till effekterna på de arbetstagare vars mottaglighet kan påverkas av någon annan omständighet, såsom redan existerande sjukdom, medicinering, nedsatt immunförsvar, graviditet eller amning. 3. Biologiska agenser som inte har klassificerats i någon av grupperna 2–4 i förteckningen ska inte antas vara klassificerade i grupp 1. För agenser där man vet att mer än en art är sjukdomsframkallande för människan inne- fattar förteckningen de arter som man vet oftast orsakar sjukdomar. Även andra arter av samma släkte kan påverka hälsan. När ett helt släkte anges i förteckningen över biologiska agenser är det underförstått att de arter och stammar som man vet att inte är sjukdomsframkallande inte ingår i klassi- ficeringen. 4. Alla virus som redan har isolerats hos människor och som inte har bedömts och införts i denna förteckning ska klassificeras i grupp 2 eller högre. 5. Sådana biologiska agenser som klassificerats i grupp 3 och som anges i förteckningen med dubbla asterisker (**), kan utgöra en begränsad infektionsrisk för arbetstagare där- för att de normalt inte är smittosamma luftvägen. 6. De krav på skyddsåtgärder som följer av klassificeringen av parasiter gäller bara för de stadier i parasitens livscykel då den är smittsam för människor på arbetsplatsen. 7. Förteckningen anger också särskilt när de biologiska agenserna kan förorsaka toxiska eller allergiska effekter, om ett verksamt vaccin är tillgängligt samt om exponering för den biologiska agensen kan leda till sådan smitta att en förteckning över de exponerade arbetstagarna ska bevaras i 40 år. Med bokstavsbeteckningar anges dessutom nya agenser (n) och ändringar (ä) jämfört med social- och hälsovårdsministeriets förordning 921/2010. 2 748/2020 Dessa omständigheter anges i förteckningen med följande bokstäver: A: Allergiska effekter möjliga E: Exponering kan leda till sådan smitta att en förteckning över exponerade arbetsta- gare ska bevaras i 40 år efter den senast kända exponeringen T: Toxinproduktion V: Ett effektivt vaccin är tillgängligt och registrerat inom EU n: Ny agens ä: Ändring 2. Bakterier och liknande organismer Anm.: Med noteringen ”spp.” i samband med biologiska agenser i förteckningen avses andra arter som hör till släktet och som inte har tagits upp separat men som man vet är sjukdomsframkallande hos människor. Se ytterligare information i punkt 3 i inledningen. Biologisk agens Klassifi- Anmärkningar cering Acinetobacter spp. 2 n Actinomadura madurae 2 Actinomadura pelletieri 2 Actinomyces gerencseriae 2 Actinomyces israelii 2 Actinomyces spp. 2 Aggregatibacter actinomycetemcomitans (Actinobacillus 2 actinomycetemcomitans) Alcaligenes spp. 2 n Anaplasma spp. 2 n Arcanobacterium haemolyticum (Corynebacterium haemo- 2 lyticum) Arcobacter butzleri 2 n Achromobacter spp. 3 n Bacillus anthracis 3 T, ä Bacillus cereus 2 T, n Bacillus cereus biovar anthracis 3 T, n Bacteroides fragilis 2 Bacteroides spp. 2 Bartonella bacilliformis 2 Bartonella quintana (Rochalimaea quintana) 2 Bartonella (Rochalimaea) spp. 2 Bordetella bronchiseptica 2 Bordetella parapertussis 2 Bordetella pertussis 2 T, V, ä Bordetella spp. 2 n Borrelia burgdorferi 2 Borrelia duttonii 2 Borrelia recurrentis 2 3 748/2020 Borrelia spp. 2 Brachyspira spp. 2 Brucella abortus 3 Brucella canis 3 Brucella inopinata 3 n Brucella melitensis 3 Brucella pinnipedialis 3 n Brucella spp. 3 n Brucella suis 3 Burkholderia cepacia 2 Burkholderia mallei (Pseudomonas mallei) 3 Burkholderia pseudomallei (Pseudomonas pseudomallei) 3 E, ä Campylobacter fetus subsp. fetus 2 Campylobacter fetus subsp. venerealis 2 n Campylobacter jejuni subsp. doylei 2 n Campylobacter jejuni subsp. jejuni 2 Campylobacter spp. 2 Cardiobacterium hominis 2 Cardiobacterium valvarum 2 n Chlamydia abortus (Chlamydophila abortus) 2 n Chlamydia caviae (Chlamydophila caviae) 2 n Chlamydia felis (Chlamydophila felis) 2 n Chlamydia pneumoniae (Chlamydophila pneumoniae) 2 Chlamydia psittaci (Chlamydophila psittaci) (fågelassocierade 3 stammar) Chlamydia psittaci (Chlamydophila psittaci) (andra stammar) 2 Chlamydia trachomatis (Chlamydophila trachomatis) 2 Citrobacter spp. 2 Clostridium botulinum 2 T Clostridium difficile (Clostridioides difficile) 2 T, n Clostridium perfringens 2 T, ä Clostridium tetani 2 T, V Clostridium spp. 2 Corynebacterium diphtheriae 2 T, V Corynebacterium minutissimum 2 Corynebacterium pseudotuberculosis 2 T, ä Corynebacterium ulcerans 2 T, n Corynebacterium spp. 2 Coxiella burnetii 3 Edwardsiella tarda 2 Ehrlichia spp. 2 Eikenella corrodens 2 Elizabethkingia meningoseptica (Flavobacterium 2 n meningosepticum) Enterobacter aerogenes (Klebsiella mobilis) 2 Enterobacter cloacae subsp. cloacae (Enterobacter cloacae) 2 4 748/2020 Enterobacter spp. 2 Enterococcus spp. 2 Erysipelothrix rhusiopathiae 2 Escherichia coli 2 Escherichia coli, verocytotoxinproducerande stammar (t.ex. 3 (**) T O157:H7 eller O103) Fluoribacter bozemanae (Legionella bozemanae) 2 Francisella hispaniensis 2 n Francisella tularensis subsp. holarctica 2 Francisella tularensis subsp. mediasiatica 2 n Francisella tularensis subsp. novicida 2 n Francisella tularensis subsp. tularensis 3 Fusobacterium necrophorum subsp. funduliforme 2 n Fusobacterium necrophorum subsp. necrophorum 2 Fusobacterium spp. 2 Gardnerella vaginalis 2 Haemophilus ducreyi 2 Haemophilus influenzae 2 V, ä Haemophilus spp. 2 Helicobacter pylori 2 Helicobacter spp. 2 n Klebsiella oxytoca 2 Klebsiella pneumoniae subsp. ozaenae 2 n Klebsiella pneumoniae subsp. pneumoniae 2 Klebsiella pneumoniae subsp. rhinoscleromatis 2 n Klebsiella spp. 2 Legionella pneumophila subsp. fraseri 2 n Legionella pneumophila subsp. pascullei 2 n Legionella pneumophila subsp. pneumophila 2 Legionella spp. 2 Leptospira interrogans (alla serotyper) 2 Leptospira spp. 2 n Listeria monocytogenes 2 Listeria ivanovii subsp. ivanovii 2 Listeria invanovii subsp. londoniensis 2 n Moraxella catarrhalis 2 Morganella morganii subsp. morganii (Proteus morganii) 2 Morganella morganii subsp. sibonii 2 n Mycobacterium abscessus subsp. abscessus 2 Mycobacterium africanum 3 V Mycobacterium avium subsp. avium (Mycobacterium avium) 2 Mycobacterium avium subsp. paratuberculosis (Mycobacterium 2 paratuberculosis) Mycobacterium avium subsp. silvaticum 2 n Mycobacterium bohemicum 2 Mycobacterium bovis (med undantag för BCG-stammen) 3 V 5 748/2020 Mycobacterium caprae (Mycobacterium tuberculosis subsp. 3 n caprae) Mycobacterium celatum 2 Mycobacterium chelonae 2 Mycobacterium chimaera 2 n Mycobacterium fortuitum 2 Mycobacterium intracellulare 2 n Mycobacterium kansasii 2 Mycobacterium lentiflavum 2 Mycobacterium leprae 3 Mycobacterium malmoense 2 Mycobacterium marinum 2 Mycobacterium microti 3 (**) Mycobacterium pinnipedii 3 n Mycobacterium scrofulaceum 2 Mycobacterium simiae 2 Mycobacterium szulgai 2 Mycobacterium tuberculosis 3 V Mycobacterium ulcerans 3 (**) Mycobacterium xenopi 2 Mycoplasma caviae 2 Mycoplasma hominis 2 Mycoplasma pneumoniae 2 Mycoplasma spp. 2 n Neisseria gonorrhoeae 2 Neisseria meningitidis 2 V Neorickettsia sennetsu (Rickettsia sennetsu, Ehrlichia sennetsu) 2 Nocardia asteroides 2 Nocardia brasiliensis 2 Nocardia farcinica 2 Nocardia nova 2 Nocardia otitidiscaviarum 2 Nocardia spp. 2 n Orientia tsutsugamushi (Rickettsia tsutsugamushi) 3 Pasteurella multocida subsp. gallicida (Pasteurella gallicida) 2 n Pasteurella multocida subsp. multocida 2 Pasteurella multocida subsp. septica 2 n Pasteurella spp. 2 Peptostreptococcus anaerobius 2 Plesiomonas shigelloides 2 Porphyromonas spp. 2 Prevotella spp. 2 Proteus mirabilis 2 Proteus penneri 2 Proteus vulgaris 2 Providencia alcalifaciens (Proteus inconstans) 2 6 748/2020 Providencia rettgeri (Proteus rettgeri) 2 Providencia spp. 2 Pseudomonas aeruginosa 2 T, ä Rhodococcus hoagii (Corynebacterium equi, Rhoducoccus equi) 2 Rickettsia africae 3 n Rickettsia akari 3 (**) Rickettsia australis 3 n Rickettsia canadensis
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