If a person has acquired the right to receive state-paid health services, then the vaccine will be available to them in accordance with the vaccination plan developed by the state.
State-paid vaccination is provided for:
- foreigners with a permanent residence permit in Latvia;
- stateless persons who have been granted this status in the Republic of Latvia;
- refugees or persons who have been granted alternative status;asylum seekers.
The ways to register for vaccination:
- www.manavakcina.lv (a Latvian state personal identification code is necessary; it is possible to authenticate on www.latvija.lv with internet banking or e-signature data);
- by calling the toll-free number 8989 (working hours 9.00-17.00 every day including weekends and holidays);
- by calling a specific vaccination facility.
- Adolescents aged 12-13 can apply for vaccination through their parents or other legal guardians at a medical institution, family doctor, or by calling 8989. The presence of a mother or father (or other legal guardian) is required during vaccination, as well as the following documents: for the legal guardian - passport or identity card, as well as a document certifying the child (entry regarding the child in the passport or birth certificate, or notarized power of attorney if necessary).
- Adolescents over the age of 14 can sign up on the website www.manavakcina.lv by themselves, where authentication takes place through latvija.lv. if the full version of Internet banking or Smart-ID is available, or by calling 8989, indicating one of the vaccination centres as the vaccination place. Upon arrival for vaccination, the teenager must bring an identity document - passport or ID; if the young person does not have a passport or ID, they must go to the vaccination together with a legal representative.
A list of addresses and contact information of medical institutions and GP practices that vaccinate against Covid-19 is available on this map. The information on the map is subject to change and is updated regularly as the involvement of GPs in the vaccination process is gradual.
If you have symptoms of the disease (signs of an acute respiratory infection, fever, olfactory disturbances, loss of taste, etc.), you can get tested for Covid-19 for free and without a doctor’s referral.
Book a visit to a Covid-19 testing site by calling:
- the phone number for centralised Covid-19 testing - 8303
- Central Laboratory - 8330
- E. Gulbja Laboratory - 67801112
- MFD Laboratory - 8313
- NMS Laboratory - 67144015
- State Scientific Institute "BIOR" - 28369560
- IvF RIGA Holding laboratory - 25444405
- The contact list and opening hours of Covid-19 testing points are also available on the on the National Health Service website.
Book a visit to a Covid-19 testing site electronically:
- Riga Eastern Clinical University Hospital website,
- E. Gulbja Laboratory website,
- Central Laboratory website,
- On the MFD Healthcare Group website,
- On the State Scientific Institute "BIOR" website.
The regulations specify when a person is considered to be vaccinated against Covid-19:
- From the 15th day after being fully vaccinated with any other vaccine registered by the European Medicines Agency or an equivalent vaccine registered by a regulator or recognised by the World Health Organisation in accordance with the instructions for use of the vaccine:
- Comirnaty (Pfizer) (two doses required);
- Moderna (two doses required);
- Janssen (one dose required).
- From the 22nd day until the 90th day after receiving the 1st dose of the Vaxzevria (AstraZeneca)* vaccine:
- in order to also be considered vaccinated against Covid-19 three months after receiving the first dose, the person must have received a booster dose by the 90th day;
- after being vaccinated, the person continues to have the status of a vaccinated person, but if the booster dose is not received by the 90th day, the person can no longer be considered vaccinated.
*For travel purposes, two doses + 14 full days are required
To be more accessible to people, vaccination will be continued in shopping centres. The location of vaccination points in shopping centres has been evaluated; if necessary, vaccination points will be moved to the entrances or outdoors, providing vaccination in mobile points.
We remind you that all general practitioners who have entered into contract with the National Health Service and who provide state-paid health care services are involved in the vaccination process against Covid-19. There are two forms of GP involvement:
- vaccination in their practices;
- referring people to be vaccinated to vaccination rooms in medical institutions with which the particular GP practice cooperates.
- Persons with a vaccination or recovery certificate have the opportunity to continue training both individually and in training groups of up to 20 participants.
- For persons who cannot present a vaccination or recovery certificate, individual physical activities without a coach can take place outdoors without restriction.
- Unvaccinated children can exercise indoors individually - one-on-one with a vaccinated coach (several individual training sessions cannot take place in one room).
- Swimming teaching classes are available for children under 12, but not sports swimming classes.
- Indoor sports in a group are also possible within one class.
- Children with a vaccination or recovery certificate in a group of up to 20 participants can participate in outdoor sports training under the guidance of a vaccinated coach.
- Pupils with a test performed at school, as well as children of pre-school educational institutions - up to 20 participants in a group can participate in sports trainings under the guidance of a vaccinated coach outdoors.
- The groups do not overlap.
Only pupils who have a vaccination or recovery certificate can participate in full-time interest education and vocational education programs without restrictions.
For pupils who have not been fully vaccinated or have not recovered from Covid-19, interest education and vocational programs are held remotely or in person with a negative Covid-19 test result (except for pre-schoolers):
- within one class (if the learners are not pupils of other classes at the same time),
- individually (except for children living in the same household),
- outdoors no more than 20 learners from different classes.
On weekends and public holidays in shopping centres with floor area exceeding 1500 m2 and with more than five points of sale, only the following stores will be available:
- grocery stores (with food, hygiene products and animal feed being 70% of the assortment);
- pharmacies (including veterinary);
- pet food stores;
- press outlets;
- hygiene goods stores (with hygiene items being 70 % of the assortment);
- telecommunications goods and service providers;
- providers of essential economic services (e.g. bank branches, dry cleaners, key services, etc.).
This restriction applies to everyone, both vaccinated and non-vaccinated. The purpose of the restriction is to reduce the possibility of a prolonged stay in shopping centres, thus reducing the risk of getting infected or infecting others.
During a pandemic, we encourage residents to visit stores as infrequently as possible, to shop for a longer period of time, or to buy products via distance sales (online stores, etc.)
Parents with children can visit shops and receive services if the parents observe safety measures and:
- children from the age of 7 wear face masks properly;
- children under the age of 12 visit shops together with parents who can present a vaccination or recovery certificate;
- children under the age of 12 together with parents who cannot present a vaccination or recovery certificate may visit grocery stores, pharmacies (including veterinary), animal feed stores, press outlets, hygiene goods stores, telecommunication goods and service providers, petrol stations;
- children from the age of 12 shall present a certificate of vaccination, recovery or testing, or a laboratory certificate of a negative screening test performed within the last 72 hours, when visiting shops or places of provision of economic services available to vaccinated persons.
Vaccinated parents can attend cultural events with their children. Children from the age of 12 must present a certificate of vaccination, recovery or testing or a laboratory certificate of a negative screening test performed within the last 72 hours. Cultural events must have a separate sector for parents with children.
Beauty care is subject to the same requirements as all economic services:
- Services are provided by vaccinated beauticians to clients who can present a vaccination or recovery certificate;
- At least 15 m2 of the public space must be provided per one client;
- Everyone must properly use a face mask and observe other safety requirements - hand disinfection, room ventilation, etc.
Vaccinated beauticians can also provide services to people who cannot present a vaccination or recovery certificate, but only individually or to one household (up to 4 people). This means that no other people can be in the room. Safety requirements for proper wearing of masks, hand disinfection, room ventilation, etc. also apply.
All precautionary measures should be continued also after vaccination against Covid-19. Covid-19 vaccines are a safe protection against the symptomatic disease of Covid-19, but the effect of these vaccines on the transmission of the virus to the public or the ability of asymptomatic virus shedding is unknown. This means that a person who has been vaccinated may not have symptoms of Covid-19, but he or she may continue to carry the virus and endanger other people who have not yet been vaccinated. Transmission studies may continue until a higher proportion of people vaccinated with Covid-19 are reached.
Most of the time, already known possible vaccination reactions are reported in Latvia, i.e., the expected side effects indicated in the instructions for use of the vaccine.
To protect against the coronavirus, Covid-19 vaccines stimulate the immune system of the vaccinated person, as a result of which some persons, due to the nature of their body, may experience some of the expected reactions or side effects:
reaction at the place of injection (redness, swelling and pain at the injection site),
chills and fatigue.
According to the reports, these side effects usually disappear within a few days. Similar vaccine-induced reactions are also observed after vaccination with other vaccines.
The virus spreads through saliva and nasal secretions of an infected person:
- Through direct contact with an infected person
- With tiny drops arising from speaking, sneezing or coughing.
- By touching surfaces and articles contaminated with respiratory secreations.
Preventative measures for Covid-19 are similar to those which would be used in the case of other infections of the upper respiratory system. Engage in frequent hand-washing, especially after coming into proximity with people who are ill or with people in their circle of contacts. When coughing or sneezing, be sure to dispose of kleenex (facial tissues) after a single use, and then wash your hands. To avoid falling ill with Covid-19, carefully observe social-distancing: that means placing two metres in between yourself and the next person and to stay away from places where lots of people are congregating, and, as much as possible, to stay home and do your work at a distance (telework). Wear a mask!
The symptoms of the disease manifest themselves in different ways in different people; however, the most common symptoms include high temperature (fever), fatigue, and dry cough. Other symptoms include shortness of breath (possible tightness in the chest), muscle pain, sore throat, neck pain, and in rare cases diarrhoea, nausea, and runny nose. These symptoms are usually mild and develop gradually. There are cases of people getting infected and not showing any signs of the disease.
If you experience these symptoms:
- immediately stop any physical contact with healthy people (quarantine);
- contact your GP for treatment and testing advice;
- if you have a very high temperature, a severe cough, and difficulty breathing, call 113 immediately.
People who have received a laboratory confirmation of the Covid-19 diagnosis and whose health condition permits them to receive treatment at home, must stay in strict self-isolation. This is defined by the physician and CDPC epidemiologists. During this time:
- until recovery the person may obtain a sick-leave certificate, they must be in daily communication with their general practitioner and other medical personnel and abide by their instructions.
- they may not leave their residence and must be available for communication and cooperation with their general practitioner and other medical personnel and must strictly abide by the instructions given;
- isolation can only be broken upon permission of the treating physician;
- until then no guests may be hosted, and all direct contact with others must be avoided, stores must not be visited;
- Covid-19 patients must purchase basic necessities and food by home delivery or with the help of friends and family. If needed, they may request support from the municipal social services, but avoiding direct contact with the social worker;
- A face mask must be worn, if there are other residents in the household;
- Any medication may only be taken upon approval from the treating physician;
- In case of deterioration of the condition, contact your general practitioner or call 113.
- Family members must adhere to instructions for contact persons.
- Failure to comply with established restrictions may carry a penalty and the police may verify compliance with restrictions.
Treatment depends on the symptoms, manifestation, and severity of the disease, and it is aimed at preventing health problems caused by the disease, reducing the symptoms, and, in severe cases, maintaining the body’s functions. The symptoms may last for a few days and the patient should start feeling better after about 7 days.
- Depending on the severity of the disease, treatment can take place at home or in a medical facility. Strict isolation must be observed during treatment! It is not permitted to leave the place of treatment, residence, or stay, unless the person needs medical assistance in accordance with a doctor’s prescription.
- If symptoms become severe (very high temperature, fever, severe cough, shortness of breath), the State Emergency Medical Service must be called immediately at 113! In this circumstance, it is forbidden to go to a medical institution without notifying them via phone beforehand.
- The decision about a Covid-19 patient’s recovery and discontinuation of isolation is made by a physician.
- Covid-19 patients have access to state-funded rehabilitation, which is based on breathing exercises, as well as recovery of strength for daily activities after particularly severe cases.
In order to limit the further spread of Covid-19, it is important to take appropriate action and provide accurate information to epidemiologists.
If there is a possibility that you have been in close contact with an infected person you must, without any delay:
- restrict contact with others;
- stay at home, monitoring your health;
- An epidemiologist shall contact the contact person after interviewing the infected person.
Persons who share a household with a contact person are allowed to continue their daily activities, however, they are advised to agree with their employer on working remotely as much as possible until the situation is clarified and it is recommended for them to keep monitoring their health. Find out more about submitting samples for Covid-19 testing here!
In some cases, when an infected person is part of a group (for example, at work, nursery, school, etc.), it can be the administration of the institution that informs the contact persons determined by the epidemiologists about the next steps to take, and the SPKC will contact the GPs of these contact persons. The GPs of the contact persons determined by the epidemiologists can issue a medical certificate for the period to spend in home quarantine.
The list of medical institutions that provide outpatient health care services to Covid-19 patients and their contact persons is available on the website of the National Health Service website in the section “Procedures for Receiving Medical Services”. The list of institutions is subject to change, please follow the current information on the National Health Service website.
- Wash or disinfect your hands before putting it on and before removing it.
- The face mask must completely cover your face from the nose to the chin, fitting snugly (the nose must be covered).
- Do not touch the face mask or your face with unwashed hands.
- After having used the face mask, put it in a plastic bag rather than in your pocket or bag.
- If your face mask is made of fabric, wash it at a temperature of at least 60 °C after every use.
- Do not reuse disposable face masks! First place them in a plastic bag, and only then dispose of them.
- If the face mask gets wet, it must be replaced with a clean and dry one.
- The face mask must not be partially removed (for example, lowered on the chin or neck) and then reused.
- When removing the face mask, do not touch the front of it.
Initially, the most effective action is to draw the attention of employees or security guards of the place in question to the need to comply with the requirements. If this fails, you should contact the management of the place in question.
Compliance with the established restrictions is monitored by the State Police and if the situation cannot be resolved you must call the police at 110. If you happen to discern disinformation on Covid-19, warn and inform the people in your circle including in the digital environment.
When the disinformation appears in social media, use the opportunities and options offered by a particular platform to report the incident to administrators. The State Police (Valsts policija) in Latvia monitor and control the spread of disinformation.