"90% of tuberculosis patients in the region recover fully"
these data are published head doctor of KOTOR "Ternopil oblast TB hospital", chief freelance specialist TB specialist of the Department of health Vadym Rudyk during SNIA, March 18, themed press conference with the chief TB specialists of Ternopil region, together with representatives of TSMU them. Horbachevsky, gossanepidsluzhby in Ternopil region, "health Center", Ternopol organization of the red cross Society of Ukraine and representatives of mass media of Ternopil. The West has once again, traditionally on the eve of world and national days of combating tuberculosis, held in the conference Studio "Ternopil oblast TB dispensary". - Ternopil region ranks first in Ukraine due to the efficiency of tuberculosis treatment. 90% of patients diagnosed with tuberculosis (WDTB) who have completed the basic course of treatment, have a positive result – continued Vadim Dmitrievich. Chief doctor of KOTOR "Ternopil oblast TB dispensary" detailed the results of the TB service over the past year and prospects for this year. "In 2015 total funding for the provision of medical institutions of Phthisiology subvention amounted to UAH 57 million 87 thousand UAH." It was the largest in recent years. After analyzing bedspace eight institutions STMO "Phthisiology" he stated about reduction of 50 beds in 2016. And so together beds "Ternopil oblast TB dispensary" and tuberculosis patients will be treated at 370-bed places in the area. This need to reduce bed Fund chief TB doctor explained the results of specific analysis of the implementation of patient-days in 2010 and to nationwide indicators of provision of bed-days (at regional 4,04 4,69), and the decision regulated by the government decree of 25 November 2015 ¹ 1024 "On approval of standard provision of inpatient hospital beds per 10 thousand population". That "due to the action of the state program, fully provided with centralized supply of TB drugs of the first and second row," said Vadim Zhukov in his speech. Patients for their funds buy only those drugs that are used in the treatment of concomitant diseases, concomitant with tuberculosis. That "this year, all activities within the month of TB, including thematic press conference, held under the slogan "let's unite to end tuberculosis!" ("Unite to End TB!") reported Savva tutor the “health Center” Galina ZDR. - This dynamic and unifying the call of partners and stakeholders selected for their strong and practical slogan of the current campaign, which encourages active mobilization on the ground and at the same time encourages advocacy at a high level – continued Galina Grigorievna - Month TB in the Ternopil region is aimed at raising mass anti-TB campaign. She reported on the traditional celebration on the Theatre square of the city March 24 – world day for prevention of tuberculosis – information-preventive campaigns, during which free will be wanting to examine. The event will be held in collaboration with the Department of health, KOTOR "Ternopil oblast TB dispensary", KUTOR "health Center" and volunteer students of Ternopil state medical University. I. I. Gorbachev. Galina ZDR also informed about the outcome of last year's stocks, in particular that "in the last year within two days of the action 715 residents and guests of Ternopil was able to pass the examination on 2 digital photofluorographic units of the regional TB dispensary, 25 people doctors – TB specialists were sent for further examination and treatment at the place of residence". By the way, a long time TB develops in the human body without any external signs. During this period, Mycobacterium tuberculosis, which get into the lungs, begins to multiply in the lungs or other organs, and the immune system tries to stop or slow down this aggression. When the degree of damage of the organ becomes impressive size, the man begins to feel unwell and her symptoms include a cough lasting more than 2-3 weeks; profuse sweating at night; weakness; unexplained weight loss; increased body temperature to 37 degrees or more without apparent reason that lasts more than a week.In some cases, it may be hemoptysis, chest pain, shortness of breath. In addition to these categories of persons who are at increased risk for the disease, TB can be ill persons whose immune system has been weakening due to excessive overload and exhaustion. Such States come in with fatigue, excessive and permanent work stress, poor nutrition, abuse of alcohol, drugs, tobacco and the like. According to the Deputy chief physician on medical work "Ternopil oblast TB dispensary" Tatiana Romanov, "as more than 40% of cases of tuberculosis is a non-working person of working age, nearly 20% of drug users and injecting drug users". The physician detailed the epidemiological situation in the area over the past year and implementation of measures of counteraction tuberculosis in this year. - In 2015, 111 people identified relapses of the disease, while in 2014 the figure was 127. Accordingly, the incidence among the entire population with relapses decreased from 57.4 to 50.1 per 100 thousand population. In the last five years. the incidence tends to decrease, which, in fact, has continued into 2015. Last year the incidence of tuberculosis has decreased by 18.2%. So, for 2015 in the region are registered with all forms of active tuberculosis 409 people against 500 in the previous year. In addition to the region, with low morbidity only in Chernivtsi region, Kharkiv region and in Kyiv. Relative to the area that is least affected by tuberculosis in Busacca, Husiatyn, Shumskiy areas, as well as on Monastyrshina, Nanovaccine and Kremenetskii (see tab.pictured – ed.). In the region continues to register cases of multi-drug resistant tuberculosis and TB with HIV infection. TB doctors do not hide that problem and need immediate solution is that in the area continue to register cases of multi-drug resistant tuberculosis and TB with HIV infection. - If in 2014, has registered 136 patients with multi-drug resistant tuberculosis, in 2015, is 124, of which twenty-two are HIV-positive – said in his speech Tatiana Romanov. The sad picture of mortality from tuberculosis – almost 89% of deaths were men. According to Tatyana Vitalievna, the death rate from all forms of tuberculosis is almost unchanged compared with previous years and even this rate is among the lowest in Ukraine. 3.1% increase in the specific weight of destructive forms of tuberculosis remains high at 43.4%. This suggests that we need to work towards the timely detection of TB patients and improving the effectiveness of preventive measures. During the round time TB doctors discussed the conduct tuberculine diagnostics. Its level reached only 16.4%. "The scale of the problem of the lack of vaccination – identification of neglected forms of tuberculosis among children in the future," explained chief freelance pediatric specialist-specialist DOSES TODA Svetlana Magic. She said such a thing: "in 2015 in Ternopil detected tuberculosis in seven children (in 2014, one child) and two teenagers (2014 – twelve).Including provided treatment odinnadtsatimetrovy the child that became ill with tuberculosis and summer child multi-drug resistant tuberculosis. In six of these seven children - - contact tuberculosis". - Despite the decline in mortality among children, TB doctors were concerned that it was not possible to conduct a tuberculin skin test, 74% of children in 2015 and 86% of children in 2014 due to the lack of vaccines. That is, three-quarters of infants were discharged from maternity wards without BCG vaccination – emphasized Svetlana. - The scale of the problem is that this means that in the future can be found such neglected forms of tuberculosis, like miliary TB and TB meningitis among children, or in their future adult life. That "perfectly healthy children is small, therefore in contact with bacillary patients, children with reduced immunity are at high risk of Contracting TB" focused attention Svetlana Magic. Despite the decrease in incidence among adults and adolescents, a concern the state of implementation of preventive measures for early detection of patients by tuberculin, bacterioscopic and fluorography. Insufficient coverage of the population fluorographic examinations. In 2015, nearly half of the thousands of adult and teenage population were chest x-rays. This year the efforts of the TB will be focused on the detection of TB at early stages, which is not as epidemiologically dangerous in the environment. They reported that tuberculosis may occur even a person with a strong immune system with massive penetration of the causative agent into the organism. Such situations usually arise in close contact with patients with active TB through coughing, sneezing, speaking or ingestion of a large amount of air that is infected with Mycobacterium tuberculosis. Infection can occur in closed spaces that are poorly ventilated, where is or was a person with TB person, in public transport, in shop, cinema and all public places with large crowds". Savva "health Center Galina ZDR called on citizens and residents of the region to be on guard their health and the health of their children and loved ones. Benefits of cooperation with the medical University practitioners tuberculosis and the role of future specialists – physicians of family medicine said the Professor of the Department of propedeutics of internal medicine and Phthisiology TSMU them.And.I.Hnatiuk Svetlana Carnage. She detailed that there are close developments of the medical University and "Ternopil oblast TB dispensary" in terms of development programmes on the disease course of tuberculosis in combination with HIV-infection and tuberculosis disease in combination with heart diseases. On the role of advocacy among the urban and regional population, said the Chairman of the Ternopil regional organization of the red cross Society of Ukraine Alexander Foreman and chief nurse, head of nursing service of the Ternopil regional organization of the red cross Society Maria Koks. They have detailed information regarding the programme "Strengthening the provision of quality ambulatory care to patients of multidrug-resistant tuberculosis" with the financial support of the Global Fund. - 34 patients – continued Maria is now served within the existing program. Quota before the end of the year is 67. They also spoke about the participation of the nursing service of the red cross to escort patients at the outpatient stage. That "not all is well with the BCG vaccination," said epidemiologist SE "Ternopil oblast laboratory center of state sanitary and epidemiological service of Ukraine" Svetlana Matsypura. She noted that "last year there were no vaccines for the vaccination of the child population. In 2015, vaccinated only 26% of children revaccinating of 7.8%. Finally, Vadym Rudyk expressed appreciation primarily urban, regional and district mass media that are actively involved in the coverage of information and preventive maintenance. TB doctors answered a number of questions. Now, the main objectives of anti-TB drugs in the General medical network called: improve timely detection of TB patients through the implementation of plans of tuberculin, x-ray and bacterioscopic surveys; ensuring the organization properly designated sputum collection and transportation of material for research Centres, dispensaries, district hospitals in the laboratory first level; ensuring controlled treatment of each patient at the outpatient stage; timely introduction of TB patients in the state register; providing for funding of vouchers for the sanatorium-resort treatment in sanatorium of the Ministry of health and region; providing, in conjunction with the red cross medico-social support of patients with multi-drug resistant tuberculosis, treated for the funds of the Global Fund. Level TB institutions is important: ensuring infection control; network optimization and hospital beds TB services; introduce new approaches to financing and implementation of measures on economy of budgetary funds; provision of hospital treatment exclusively in patients with existing indications for hospitalization in accordance with the requirements of UCMMD. Speakers at the press conference were unanimous - TB is a fully treatable, provided timely access to doctors and thorough treatment. Gumen Svetlana, the press service of the DOSES TODA This was reported in the Ternopil regional state administration.Ïåðåâåäåíî ñåðâèñîì "ßíäåêñ.Ïåðåâîä÷èê": translate.yandex.ru.
Source: http://uzinform.com.ua/
