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November 30, 2009 press conference was held with participation of Minister of Health of Ukraine Vasily Knyazevich, chairman of the Parliamentary Committee of Ukraine for health Tatiana Bakhteyeva and Chief state sanitary doctor of Ukraine Alexander Bilovol. The event took place on the work of the Board of Health of Ukraine dealing with epidsytuatsiyi incidence of influenza and ARI, the results of the operations staff to overcome the epidemic of influenza and ARI, the problems of immunization and vaccination of the population, the use of budgetary funds allocated to fighting the epidemic, the main direction of reform .
In his speech, Vasily Knyazevich described the situation that currently prevailing in the medical field in the context of recent calls. He noted that life itself makes from the words of the reform finally move to the cases. "Every doctor and every patient today expect changes for the better, and line ministries are ready to offer clear transparent reform plan, which will occupy a worthy place of family doctors, which will act as the world, university clinics, where dorohovartisna develop highly specialized medical care. And most importantly - there a clear division between the volume of free medical services to ensure the state and the volume of paid services that patients themselves will determine whether or not to use "- said the board Vasily Knyazevich.
Informing the representatives of the regions on the situation in Ukraine and worldwide with the incidence of pandemic influenza on board once again reminded that the world most cases of pandemic influenza accounted for by young people, including pregnant women, due to their physiological immunosuppression, which naturally reduces the capacity of general immunity, including antiviral and antibacterial protection.
At November 27 this year, the number of persons ill with acute respiratory disease and influenza is 1 751 546.
By last night found 34 982 people are ill with acute respiratory infections and influenza. In recent days the trend is envisaged to stabilize and reduce the number of registered patients. Number of hospitalized children as at 27.11.09 increased to 1250 (25.11.09 - 1207).
Number of heavy patients across the country began to decline. Yes, today in the intensive care unit is 117 persons for 40 persons less than 25.11.09 with them on Ventilator - 18 (25.11.09 - 21 people).
Since the beginning of a flu epidemic in Ukraine just sick about 5000 pregnant women and mothers, a third of whom were hospitalized. About 150 pregnant women were in intensive care, of which about 63 - on artificial pulmonary ventilation. In total zahvorivshyh pregnant women and mothers - 35 died, representing 8% of the total number of deaths from complications of influenza in Ukraine.
The total number of deaths from the epidemic of 424 citizens of Ukraine.
Of the 35 deaths of pregnant women and mothers: pregnant women died - 15 (43%) women in the postnatal period have died - 20 (57%) women.
As on 30.11.2009, in intensive care and resuscitation is 29 and pregnant mothers, of which 10 are on the apparatus for artificial pulmonary ventilation.
Among the areas which recorded the largest number of dead remains Lviv region - 94 persons skladaye22, 7% of the total deaths since the beginning of the epidemic, Ivano-Frankivsk Oblast - 43 people (10.3%), Donetsk Oblast - 27 people (6, 5%). Number of patients in the Lviv region remains the largest in Ukraine and is 204 006 persons, including 10 768 children.
Thus, the epidemiological situation regarding the incidence of influenza and acute respiratory infections gradually stabilized. However, remains a significant number of hospitalized patients who are in intensive care, which require further mobilization of significant professional and organizational efforts at all levels of care.
Among the main features distinguish pandemic influenza three points. The first feature - the disease affects the younger working population. Age most of the dead ranges from 20 to 50 years, which is typical in general for the epidemic spread of influenza.
Complicated course of disease in the case of obesity related cardiovascular diseases, respiratory diseases, diabetes, weakening the immune system and so on.
The second feature - the rapid spread on the territory.
Third - fulminant course from beginning to the development of atypical pneumonia, in which case, it is very difficult to treat.
Ministry of Health of Ukraine since the announcement in the world of pandemic influenza A/H1N1 California is aimed at the appropriate regulatory documentation to address the problems of poverty and Pandemic Influenza in Ukraine.
In addition, a series of measures implemented in the regions, aimed at preventing the spread of influenza A (H1N1):
In each region established operational headquarters round the clock vigil on staff who is coordinating work in this direction;
In all regions of the training conducted by experts (in accordance with orders MH of Ukraine from 07.11.2009, № 813 and from 07.11.2009, number 814).
In all regions of the Hospital prepared base to provide inpatient care to this category of patients (defined branch that can be transformed, ready reserve of medicines and medical products, disinfection equipment, personal protective equipment, agreed to transport personnel and security), outpatient service working in advanced mode (extended hours, work on weekends), prepared if necessary to deploy additional crews ambulance.
Bedspace infectious beds is 20 708.
Of them boksovanyh - 8 708 (42%).
In intensive care - 407 boxes.
Case of a second-level risk (group instances) will be transformed - 30 460 beds.
In case of entering the third level of risk (epidemic) will be transformed - 190 102 beds.
For contact persons provided - 18 201 observation beds.
As discussed at the Board, the Ministry to improve the logistics of medical institutions quarantine areas supplied equipment and necessary drugs for the treatment of seasonal and influenza A (N1N1).
Equipment
Determine the range and quantity of equipment which is proposed to purchase, intended for treatment of emergency conditions in an intensive care unit, depending on the state procurement of health and treatment protocols and WHO recommendations: artificial pulmonary ventilation apparatus including transportation, fibrohastroskopy, heart , pulsoxymeters, oral, etc..
The list of drugs recommended by WHO include antiviral drugs, particularly through ozeltamiviru that exhibit specific activity to influenza viruses A (H1 N 1). According to the treatment algorithm also provides procurement, antibiotics, sedative drugs, hormones, infusion solutions, etc..
Prepared according to indicative estimates calculated data Influenza Center of the required number of drugs to treat children and adults antiviral drugs in case of disease among the population of influenza A (N1N1).
Brought to the regions of interest on the preventive protection of medical workers in a pandemic influenza outbreak of type A N1N1 California in Ukraine.
In order to determine the capabilities of health facilities for vaccination against pandemic influenza analyzed the problems of preventive vaccination offices in the regions.
Prepared by the Ministry of Health draft order "On Approval of the Cabinet of vaccinations, which will be approved some of the organization of the cabinet vaccinations; Примірне logistics of the office of vaccines, some of the junior medical specialist medical education office vaccinations.
Today is the team to the vaccination for the prevention of pandemic influenza.
Duration of the epidemic rise will depend on the effectiveness of restrictive insulation, disinfection and prevention of cell.
If adequate anti ensuring total duration of the epidemic rise will be from 6 to 8 weeks.
According to experts, probably can expect at least two waves of epidemic rise.
The main risk groups are projected:
Pregnant women (especially in the second and third trimester);
Children younger age (particularly up to 2 years).
Persons with chronic conditions following categories: chronic respiratory disease, chronic cardiovascular disease, chronic metabolic violation
Question prevent spread of disease to influenza A (H1N1 California) and acute respiratory viral infection among the population is in constant control of the Ministry of Health of Ukraine.
Press Service of the Ministry of Health of Ukraine
Source:
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