Svetlana Esipenko, chief physician of the Odessa Regional Center for Socially Significant Diseases of the Odessa Regional Council, spoke about this during a briefing.
Also on the topic: Is there an tuberculosis epidemic in Ukraine
The TB service is one of the oldest in our country. It was created back in 1950 and since then it has not been reformed at all to meet the requirements that currently exist. And she is trying to protect herself and impose herself on society.
Svetlana Esipenko, Chief Physician of the Odessa Regional Center for Socially Significant Diseases of the Odessa Regional Council "Unfortunately, the situation that occurred with coronavirus is the Middle Ages, and the situation with tuberculosis in Ukraine is Middle Ages No. 2. I want to live to see the time when people with tuberculosis can to give interviews and calmly talk about his illness without hiding his face. Recently, television came to our center and with 400 patients we did not find a single one who would agree to an interview. "
In our country, there is stigma and exaggeration of the danger of tuberculosis. And these prejudices and stereotypes are stimulated and disseminated by the Soviet obsolete treatment system, which resists reforms and wants to parasitize further in Ukrainian medicine. In this way, it harms the patient, first of all, and “eats” all of us millions of our money.
Tuberculosis dispensaries reorganize because they do not meet modern treatment protocols / unsplash.com
In 2012, there were 1,625 TB beds and one TB sanatorium in the region. Now there are 480 beds left. According to Esipenko, even this is a lot for the region with the highest tuberculosis disease in the country.
In order to effectively manage the institution, it is necessary to apply international standards and therefore I am grateful to international partners who started work in Ukraine precisely from the southeast of our country, where the highest incidence rate is. And as you can see, we do not have workers who come out with protests. They organize pickets, only those who do not want to apply international work protocols,
According to the doctor, manipulations are now taking place, opponents of the reform are hiding behind children for their personal benefit. And in order to maintain their interests, they set an example of antisocial personalities. For comparison, people do not have housing and suffer from tuberculosis – this is only 8-10% of the total.
So the Soviet system wants to protect itself, patients are closed in a hospital for the entire treatment period – for approximately 232 days. Although an active and open form of tuberculosis lasts about 30 days.
Svetlana Esipenko, the head physician of the Odessa Regional Center for Socially Significant Diseases of the Odessa Regional Council, “We all strive for the socialization of patients, we don’t want the patient to collapse and lose his job. Since we can close him for almost a whole year in the hospital? Therefore, in Ukraine hospitalization is reduced, but only according to international protocols and standards.And talking about the fact that infectious patients will take to the streets and walk among children is a pure lie. Patients who can infect other people will be a hundred Ionar as long as they do not excrete mycobacteria. "
Now a part of the TB service, did not prepare itself for reform, cannot cooperate with the primary health care unit and cannot transfer the patient to continue treatment with a family doctor. But the patient is not to blame for this, he is the same as people with cardiovascular, gastric and other diseases. And he also wants to live, work and see his children.
According to WHO, the risk of contracting tuberculosis in contact with a patient is 5-10%. Compared to measles, this indicator is 95%, but for some reason, everyone with tuberculosis is afraid and shunned. This creates additional psychological pressure for them, which does not contribute to recovery.
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