In medical institutions of Russia are 126,5 thousands of patients with coronavirus infection and suspected infection. Also, the people on the stage of diagnosis with other forms of community-acquired pneumonia. While there are regions that cause concern of the Ministry of health. What are these regions? What is the situation with vaccination against different diseases? What drugs can be sold over the Internet. This is not only in interview Naila Asker-zade told the Minister of health of Michael Murashko.
Michael Albertovich, on Thursday you took part in the Global vaccine summit. What are the most interesting statements were made there?
— the Rhetoric was in fact in one way – that is, all support the importance of vaccination as the most cost-effective way to reduce mortality and morbidity. And everyone was talking about that, of course, accessibility should be for all countries. The main motive was raising funds for those countries which receive aid, grants and payments, including the supply of Russian vaccines such as yellow fever. Russian Federation closes the need in the world somewhere in the 60 percent of the vaccine of yellow fever. And it really saves lives. But the main objective of the forum was to draw attention to it and raising funds.
— But will the vaccine be equally accessible to all countries? Called for by the UN.
— It’s supposed to be. Here the question arises about the pricing, because when it is covering a large number of the population the vaccine, of course, price also matters. Also it was with pneumococcal and other vaccines that initially had relatively high prices, but there are additional manufacturers in different countries, which, of course, allows the competitive procedures to reduce the price and increase availability.
— Your statement was that in Russia, despite the epidemic continuing routine vaccination.
— For those who now can obtain this type of assistance — of course, Yes. But we plan, in particular, and the national immunization schedule to resume in full, including, including vaccination against influenza.
When is the flu vaccine? And whether she will have time to finish before the season is SARS?
the Government has already released the normative documents, which were necessary for the conclusion of all contracts. Manufacturers today produce flu vaccine, and we expect that in August will begin deliveries will begin vaccination. Of course, given the coronavirus infection it’s better to start early, before the period of expansion of morbidity. And, of course, this is best done well in advance, especially focus on the warm period.
— do you expect yourself to be vaccinated against the coronavirus?
— I against influenza is a must! I must say that it really helps less likely to get sick, because the schedule does not allow you to treat their own health lightly. And so you need to be vaccinated!
— And from the coronavirus when you receive the vaccine?
— Yes, of course!
— Already have the option to buy online drugs. And whether all regions have access to this service?
— the Full cycle of regulatory policy is formed, including, in particular, online resources, obtaining permission – this is such a modern service. More than 20 companies have already got permission. There are requirements for the companies. They should be on the market for at least a year, it should be stable, having a reputation as a supplier of drugs – the pharmacy chain, and they must be at least 10 pharmacies. It is also a condition for warranty. Because we understand that e-Commerce often entails risks for patients. This is, firstly, only non-prescription status of drugs is the first phase. Next will be the stage of assessing how efficiently work is any offense, whether you need something in the mechanism to fix. And one more item which will allow you to move to the next stage, if you prove itself, is the labelling of drugs. The point is that with a smartphone, each participant process, in particular, a pharmacy worker must ensure that this drug is legal in the back, but the buyer, the patient, acquiring the packaging of the medicine with a smartphone should be able to check that he delivered the product that is legal in the turnover, quality, to minimize, to reduce to zero the risks. This is a very important element in the whole chain of delivery to the patient. And in the regions, this practice began to emerge.
But I want to remind you that for accessibility at the time, including for the rural population, were allowed to dispense drugs, and midwifery units. And it was then radically changed the situation with availability of medicines, including in rural areas. This is another element of simplifying the procedures for obtaining a medicinal product.
— whether to expand the list of drugs that are available online?
— the Extension is actually that, as prescription. Psychotropic drugs – no, still to this pool of drugs must have different terms of turnover. They will be always very cautious attitude. And in relation to prescription drugs – the first stage we pass, and we will continue to assess how effective it is and so on. And then you can consider of prescription drugs which can be resolved. There are always risks! Even antibiotics the subject of antibiotic resistance, stability, that is uncontrolled intake is always dangerous. Because when people get really sick and need treatment, if there is already commonly used for the treatment of minor illnesses antibiotics they may not work withconsiderable health problem, or require more, not really, of course, applicable, but stronger antibiotics from the group of the reserve. And then doctors would be much more difficult to cope with the situation which arises, say, in intensive care patients. But other drugs, there’s also allergic reactions, including adverse reactions, including heart complications, respiratory function and so on. That is to prescription drugs should always be a cautious approach.
— You mentioned that peprocess in some regions remains challenging. What regions is it?
— At the hearing was the Republic of Dagestan. Today the situation has changed significantly for the better. Of course, the efforts of all agencies, including the government of the Republic of Dagestan, the President paid special attention, joined to the process not only civilian agencies, but the Ministry of defence – deployed hospitals, and began the construction of three medical buildings for infectious diseases. Another very important item you need to mention that the population itself changed the attitude, after all I heard about quarantine measures, and the situation began to stabilize. And doctors who came directly to help. However, we estimate that Dagestan is far from returning to normal, calm life size, social activity. Still, the situation there has not yet been possible to fully say everything calmed down.
Ossetia-Alania – also causes us great concern, we pay a lot of attention, time to, including the help and the leadership of the region. Ingushetia has started to handle, though, too. Zabaykalsky Krai is alarming some. There are still regions, and quite a number of them. First and foremost, responsible attitude to own health among the population. Those who have experienced, have come to understand that this is not a picture from the TV screen that it is a reality that you may face today or tomorrow. Especially close older. And, of course, to protect yourself and your family is very important in this period. Therefore, physicians are not tired to repeat it! But, when faced with these patients when you already developed the disease, of course, to convince later, but in any case, through relatives can bring! Better to hear it as a warning and not as an alarm bell.
— How many people are now in hospitals in the treatment of coronavirus?
— the country in health care organizations are 126 thousand 500 people. It is directly including patients with coronavirus infection, and patients with suspected coronavirus infection, and those who are at the stage of diagnosis with other forms of community-acquired pneumonia, or in pathological conditions, which may be in the differential diagnosis. And, I want to say that when people feel that you can behave a bit freer, and we see that without masks were walking, often, unfortunately, this number is added. Slightly, but it was added! There are regions which are now in the more relaxed version – in Moscow we’re part of the medical beds back in the normal mode of operation, including, including, and high-tech support. Did not return, and the return! Because there’s still a time when the medical organization has been assisting patients with coronavirus infection, to carry out sanitary processing equipment to prepare, the staff needs to be specified, including testing, in order to return to normal, calm and ordinary form of medical care. Here in Moscow we these steps have to do, but at any moment we are ready to return.
— What will do in the future, the government? What steps to take in order to still contain the spread of coronavirus? And that the citizens themselves should be doing?
Citizens in the first place — to hear fully and to perform the warningguage! This has already been said a million times. And all this is fine, if it’s to ask, I know the answer.
— That is, we can’t relax?
— Definitely not! And if you are ill, you need to consult a doctor. In the case decided to conduct the patient on an outpatient basis, not hospitaleira if it is mild or form they have, first, too, to observe the regime and recommended therapy to use, and, second, the third day is very important day for decision on the outpatient basis. If the disease does not retreat and continues with active, aggressive course, in time to hospitalize the patient in the hospital. It allows to improve the outcome. And it inesperado moment!
Epidemic is gradually on the decline, is nearing its end. And continue doctors to provide services online, will see telemedicine?
In my opinion, telemedicine has a great future. In any case, those products for telemedicine, which appear in the world and in the country, it is not only the blood pressure with a transmission through a cellular operator, it is not only devices for measuring blood sugar, glucose, is not only already appear all sorts of stethoscopes and so on, are now being developed such compact devices, which in one product can combine pulse oximetry, ECG monitoring, including temperature, including measurement of blood pressure, and might even have some already equipped with cameras – the technology today allows it. The telemedicine in any case – a great future. Another issue that needs to appear, in particular, services that allow you to process this amount of information for the practitioner to have submitted it in some processed form with the visualization good. Plus you need to understand that none of telemedicine will not replace the full medical examination. Because when viewed, say, something called palpation, to assess the fabric, to assess what is education, if it is detected. And telemedicine is an addition to the visit to the doctor.
— Many medical facilities are gradually beginning to provide those services that were not available during the epidemic. Here are some of the services which consultations are most popular with citizens?
— the First is those of surgery, which was postponed. Still, if there are indications for elective surgical care, then, of course, if there are favourable conditions to this need to return to operate. For example, if it is musculoskeletal or cardiac surgery, of course, better to do it earlier not to bring up the time when it will go in an emergency situation. Therefore, the return to operation of the high-tech help.
of Course, important issues relating to fertility restoration. Patients suffering from certain forms of infertility — everyone expects this to go back and experience the joy of motherhood. Patient looking forward to it.
There are more types of assistance, which include, in particular, and to beauty medicine – all kinds of plastic, cosmetic. I think there is still need for a balanced approach. Our region is region is different so if you feel and the doctor says Yes, in our region peacefully, and you could go or come to the aid, then, if you still have any concerns, risks should always be weighed in favor of risk.
