![]() Our experience shows that 96% of patients in the Network projects treated tuberculosis outpatient with the support of social workers. “The old model when patients stay in hospitals for months is primarily dangerous to the patients themselves because of the risk of re-infection. “The patient’s interests are in the centre of the outpatient treatment model,” said Dmytro Sherembey, the head of the largest patients’ organization, the All-Ukrainian Network for PLWH. Patients do not fall out of social life, continue to work, and are not isolated from close relatives. Instead, the out-patient model reduces the risks of cross-contamination. That is, neither patients nor states in these countries are interested in long-term hospitalization. Many countries have already abandoned the practice of patients’ long hospital stay for several reasons: it is not economically viable it has a risk of multidrug resistance patients are not interested in staying long on the treatment because of the desire to return to work and normal life. In the USA, for example, the average duration of stay in hospital of patients with susceptible tuberculosis is 15 days,” stated Volodymyr Kurpita, Director General of the Centre for Public Health, MoH of Ukraine. Thus, in Ukraine, the average length of hospitalization is 1.5 months for patients with susceptible tuberculosis and 5 months for patients with multi-drug-resistant TB. “The approach to the treatment of patients should be changed: long-term stay in a hospital today is not considered effective in terms of the medical process. “The indicator for the detection of drug-resistant tuberculosis in the WHO European Region has risen from 33% in 2011 to 73% in 2016, but the target indicator at 85%, as formulated in the European Action Plan to Fight Tuberculosis, is still not met,” said Ogtay Gozalov, Expert of the WHO European Regional Office. According to the latest epidemiological report on tuberculosis, every fourth case of drug-resistant TB forms in the WHO European Region remains unnoticed. Currently, 34 966 Ukrainians with TB are registered of which about 8 000 have drug-resistant tuberculosis. “Using consolidated efforts of the state and non-state sectors, we can provide a holistic and systematic approach to combating tuberculosis it means that our chances to overcome tuberculosis are higher than ever.”Īccording to the Centre of Medical Statistics, MoH of Ukraine, the TB incidence decreased by 5.5% in 2017 compared to 2016. A national TB programme will soon be adopted in Ukraine,” said Deputy Minister of Health Olga Stefanyshyna. Innovative programmes for treatment are implemented. “For the first time, patients are fully provided with state-funded treatment. Drug procurement is fully funded by the state, all regions of Ukraine are covered with patient care services, and the patient’s interests are in the centre of attention, namely the model of out-patient treatment is being implemented. "Can you imagine if the famous CN Tower was hit by Russian bombs?," Zelensky asks the assembly at parliament, trying to put the bombing of national landmarks in Ukraine into perspective for Canadians.For the first time in Ukraine, an integrated approach to counteracting TB is being implemented with the involvement of state and non-state resources. Zelensky asks if Trudeau can imagine hearing Ottawa bombed with his children present, continuing to describe the experience of Ukrainians through the lens of familiar Canadian locations and landmarks. ![]() ![]() you start hearing bomb explosions," Zelensky asks, addressing Justin Trudeau directly. Speaking without a translator, Zelensky expressed a mix of appreciation and frustration over Canadian responses, stressing Ukraine's hardships "over the last 20 days, during the full-scale aggression of the Russian Federation." Justin Trudeau introduced the widely-admired world leader, Zelensky, appearing to a standing ovation in what has become his trademark post-invasion look of military fatigues and a five o'clock shadow. Ukraine's stoic head of state, President Volodymyr Zelensky, addressed Canadian Parliament on Tuesday morning in a live remote appearance from embattled Kyiv, all as a noose of Russian Federation forces gradually encircle and bombard Ukraine's capital. ![]()
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