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RESOLUTION OF THE PRESIDENT OF THE REPUBLIC OF UZBEKISTAN

of November 23, 2023 No. PP-371

About measures for improvement of quality of prevention and treatment of allergic diseases

In the country address measures for implementation of advanced methods of prevention, diagnostics and treatment of allergic diseases are performed.

At the same time, owing to climate change, increase in duration of season of flower pollen as a result of global warming, deterioration in ecological situation and influence of other factors the risk of disease of allergic diseases increases.

For the purpose of ensuring execution of the tasks determined within open dialogue of the President of the Republic of Uzbekistan with representatives of health sector who is carried out on the subject "Reforms in Medicine — for Human Dignity" and also improvement of quality of the allergologichesky and immunological medical services rendered to the population, early identification among children and adult allergic and immunological diseases and implementation in practice of modern methods of treatment, creating favorable conditions and providing with necessary medicines the patients having such diseases, the organizations on places of researches in the direction of molecular allergology and clinical immunology, and also increase in personnel potential:

1. Approve the offers of the Ministry of Health on further enhancement of system of prevention of allergic diseases and rendering the allergologichesky and immunological help to the population providing:

strengthening of control of epidemiological indicators of allergic diseases since primary link of medicine, and also implementation of address screening inspections;

the organization of system of free providing the needing segments of the population with necessary medicines;

early identification of the reasons of development and prevention of allergic and immunological diseases among children and teenagers, pregnant women;

expansion of types of high-technology diagnostics and treatment, and also implementation of methods of molecular diagnosis of allergic diseases on places;

increase in knowledge and development of skills of specialists of the sphere in the direction of allergology and clinical immunology.

2. For the purpose of early detection and prevention of allergic and immunological diseases:

a) implement system of free providing with inhalation glyukokortikosteroidny medicines of the patients having allergic and immunological diseases, included in "The unified register of social protection" since January 1, 2024;

b) To the Ministry of Health since 2024 to take measures on:

to carrying out mass and selective screening inspections in the territories with high rates of allergic diseases (including seasonal allergy) at least once a year;

the organizations by allergists of work on system observation and individual improvement of the revealed patients having allergic diseases and diseases of secondary immunodeficiency;

to step-by-step increase from 10 up to 20 types of high-technology diagnostics and treatment in the direction of allergology and clinical immunology in regions;

to complete providing on requirement allergen-reagents of laboratories of territorial subdivisions of the Republican scientific and specialized allergologichesky center at the expense of means of local budgets - together with Council of Ministers of the Republic of Karakalpakstan, khokimiyats of areas and the city of Tashkent.

3. To the Ministry of Economics and finance when forming parameters of the Government budget since 2024 to provide the budgetary funds necessary for providing with inhalation glyukokortikosteroidny medicines and special account means to them of the patients included in "The unified register of social protection".

4. Transform since January 1, 2024 the Republican scientific and specialized allergologichesky center to the Republican specialized scientific and practical medical center of allergology and clinical immunology (further - the Center) with fund of 140 beds.

Determine that to the population of the city of Tashkent specialized and emergency medical care on allergic diseases appears the Center.

5. Determine additional tasks and activities of the Center:

prevention, molecular diagnosis and treatment of allergic and immunological diseases on the basis of carrying out basic and practical researches in the field of molecular allergology and clinical immunology;

implementation of programs of screening for the purpose of early detection and elimination of origins of allergic diseases;

implementation in practice of national programs of prevention, early identification and management of allergic diseases and diseases of secondary immunodeficiency in primary link of medicine.

6. Take into consideration that based on the resolution of the President of the Republic of Uzbekistan of May 11, 2018 No. PP-3715 "About measures for radical enhancement of prevention, diagnostics and treatment of allergic diseases" is created the International center of molecular allergology (further - the International center), and also the system of aero biological monitoring of pollen of allergenic plants is implemented in practice in 9 regions of the republic.

7. Approve the offer of the International center and Center on implementation in practice in all regions of the republic of system of aero biological monitoring of pollen of allergenic plants for the purpose of improvement of quality of prevention and treatment of allergic diseases.

8. Implement the system providing since 2024:

carrying out studying of structure and scale of seasonal distribution of the aero allergens causing allergic diseases by regions, regular representation of its results by the International center to the Agency of hydrometeorological service;

ensuring regular placement with the Agency of hydrometeorological service on the corresponding website and informing by means of other sources on data on structure and scale of seasonal distribution of aero allergens together with data on pollution of the surrounding environment.

9. Approve "Road map" on development of system of rendering the allergologichesky help to the republic population in 2023 - 2025 according to appendix No. 1.

10. To the Ministry of Health:

a) till April 1, 2024 together with the Ministry of digital technologies (Sh. Shermatov) to create and implement the electronic register of the patients having allergic diseases in practice;

b) till January 1, 2024 to review and approve the charter, organizational structure and expense budget of the Center.

At the same time to consider creation in the Center of departments of children's allergology and clinical immunology, resuscitation, allergic diseases of skin of children and adults, clinical immunology, auxiliary departments, consulting and diagnostic polyclinic, laboratories of special molecular allergology and clinical immunology, and also scientific and educational simulyatsionny divisions;

c) together with Council of Ministers of the Republic of Karakalpakstan, khokimiyats of areas and the city of Tashkent to develop according to requirements of this resolution in a month and to submit for consideration in the Jokargi Kenes of the Republic of Karakalpakstan and local Kengasha of People's Deputies regional programs for enhancement of system of rendering the allergologichesky and immunological help in 2024-2025 in the respective regions.

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