of February 8, 2007 No. 648-V
About approval of the Nation-wide program of counteraction to disease of tuberculosis in 2007-2011
The Verkhovna Rada of Ukraine decides:
1. Approve the Nation-wide program of counteraction to disease of tuberculosis in 2007 - 2011 (further - the Program) which is attached.
2. To the Cabinet of Ministers of Ukraine:
to annually include the tasks determined in the Program and measures in appropriate sections of the State program of economic and social development of Ukraine for the corresponding year;
by preparation of the bill on the Government budget of Ukraine for the corresponding year to provide expenses for financing of the measures determined in the Program.
3. This Law becomes effective from the date of its publication.
President of Ukraine V. Yushchenko
Approved by the Law of Ukraine of February 8, 2007 No. 648-V
According to the World Health Organization (WHO), in the world 8,9 of one million TB patients of which 1,7 of one million persons dies annually is registered. The total quantity of the people suffering from tuberculosis constitutes 50-60 million. This disease wins first place in structure of death rate from infectious and parasitic diseases.
Tuberculosis epidemic in Ukraine began in 1995. Each hour is registered four new cases and one case of death. Within the last 15 years the indicator of incidence of tuberculosis increased in time 2,4. Such situation is caused by social and economic and medical factors, in particular decrease in level of living of the population and availability of significant amount of the sick persons who are in places of detention, insufficient financing of antitubercular measures, shortcoming of skilled health workers, spread of himiorezistentny tuberculosis and HIV infection.
Level of multiresistance constitutes 10 percent of number of new cases and 30 percent of number of recurrence in Ukraine. At the patients revealed in 2005 primary himiorezistentnost of the causative agent of tuberculosis to the main antitubercular medicines constituted 25-30, secondary - 70 percent.
Spread of himiorezistentny tuberculosis leads to substantial economic losses as increases treatment cost almost by 100 times. At the same time estimated cost of medical supplies reaches 76, 5 million hryvnias, and nutrient mediums for determination of himiorezistentnost - 5, 3 million hryvnias.
HIV/AIDS epidemic leads to deterioration of the situation. Over 30 percent of HIV-positive people have tuberculosis, about 40 percent from among patients with AIDS die of it.
In the country 43 sickness rates tuberculosis are constituted by unemployed persons of working-age and 13,6 of percent - pensioners. It demonstrates that tuberculosis is disease, generally socially unprotected part of the population.
Effective measures on the proper organization of work on performing diagnosis of tuberculosis and treatment of patients are not taken. Till 2006 among methods of diagnosis of tuberculosis the benefit was provided to mass fluorographic survey which carrying out required heavy expenses. Now the phlegm dab microscopy method is applied that determines the fact of allocation of the causative agent of tuberculosis to the environment, nevertheless in healthcare institutions conditions for identification of patients in such a way are not created. Health workers of treatment and prevention facilities are insufficiently prepared for carrying out inspection and consultation of patients with tuberculosis symptoms.
The purpose of this Program is improvement of epidemic situation by decrease in indicators of incidence and death rate of the population from tuberculosis, the prevention of development of himiorezistentny tuberculosis, increase in efficiency of treatment, enhancement of system of preparation and retraining of health workers, improvement of laboratory diagnosis of tuberculosis.
For achievement it is necessary to provide with certain this Program of the purpose: enhancement of system to - and postdegree training of health workers on phthisiology and completion by highly professional personnel of TB facilities;
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