of November 11, 2013 No. 597
About the Program for prevention and control of noninfectious diseases in the Kyrgyz Republic for 2013-2020
According to article 8 of the Law of the Kyrgyz Republic "About protection of public health in the Kyrgyz Republic", for the purpose of creation of system of prevention and control of noninfectious diseases, the Government of the Kyrgyz Republic decides decrease in the illness rate, invalidism and premature death rate of the population:
1. Approve enclosed:
2. To provide to heads of the ministries and administrative departments control and accomplishment of the Actions plan on program implementation on prevention and control of noninfectious diseases in the Kyrgyz Republic for 2013-2020.
3. This resolution becomes effective from the date of official publication.
4. To impose control of execution of this resolution on department of education, culture and sport of Government office of the Kyrgyz Republic.
Prime Minister
Zh. Satybaldiyev
Approved by the Order of the Government of the Kyrgyz Republic of November 11, 2013 No. 597
The problem of noninfectious diseases (further - the BOTTOM) is urgent for all countries of the world as the BOTTOM are the leading reasons of incidence and death rate.
According to the World Health Organization (further - WHO), by 2030 the BOTTOM in the world will fall to the share to 75% of cases of all death. In 2000 WHO was accepted the Global strategy of the prevention the BOTTOM and fight against them.
The Moscow declaration adopted at the First Global ministerial conference on the BOTTOM (April, 2011) notes that prevention the BOTTOM and fight against them require regulation at all levels and realization of wide range of multi-level and intersectoral measures. These measures shall be directed to all range of determinants the BOTTOM (from individual to structural level), for the purpose of creation of necessary conditions for maintaining healthy lifestyle. It assumes adoption of the relevant legislation directed to prevention and identification the BOTTOM at the earliest stages for the purpose of reduction of economic burden for the country, providing patients with available and high-quality medical care.
The declaration on prevention and fight about the BOTTOM supported by heads and representatives of the states and governments on the United Nations General Assembly (September, 2011) considers the BOTTOM as the main challenge of the 21st century which undermines social and economic development around the world and threatens achievement of the internationally agreed targets in the field of development. Acknowledging responsibility of the states in the course of response to problem the BOTTOM, the world community emphasizes need of participation of all sectors of society for ensuring effective reaction for the purpose of prevention and fight about the BOTTOM.
WHO urged all state members to develop own state policy in the field of the prevention of chronic diseases and fight against them which would be determined by Action plan provisions for Global strategy for prevention and control BOTTOM for 2013-2020. WHO allocates four groups of the main chronic diseases: cardiovascular diseases, cancer, chronic obstructive diseases of lungs, diabetes. These nosological groups combine the general risk factors and general opportunities of their prevention connected with conduct of life, and which are giving in to the prevention such as tobacco use, unhealthy food, harmful consumption (use) of alcohol, the lowered physical activity. In turn, the last are closely connected with four biological risk factors - the excessive body weight, the increased arterial pressure, violations of fatty and carbohydrate exchange.
The analysis of burden of diseases which is carried out by WHO shows that nearly 60% of general burden of diseases fall to the share of 7 leading risk factors: the increased arterial pressure (% 12,8); tobacco smoking (% 12,3); harmful alcohol intake (% 10,1); the increased content of cholesterol in blood (% 8,7); excessive body weight (% 7,8); insufficient consumption of fruit and vegetables (% 4,4) and slow-moving conduct of life (% 3,5).
According to WHO data, elimination of major factors of risk the BOTTOM allows to avoid 80% of cases of heart troubles, stroke and diabetes of the 2nd type and 40% of cases of cancer. However, in many countries including in Kyrgyzstan, medical authorities pay the main attention to questions of treatment, but not prevention the BOTTOM.
In the Kyrgyz Republic, as well as in many countries, the BOTTOM are basic reason of disability, incidence and premature death rate of the population. According to Republican medico-information center (further - RMITs), in 2012 in structure of the reasons of death rate of the population of the Kyrgyz Republic the leading place was taken by cardiovascular diseases, constituting % 50,1. Injuries and poisonings (% 10,1), in third - new growths (% 9,4) and diseases of respiratory organs (% 7,2) are in the second place. Thus, the provided data demonstrate that the main to the death rate reasons in the Kyrgyz Republic are noninfectious diseases.
BOTTOM not only determine high death rate of the population of Kyrgyzstan, but also are basic reasons of premature disability and invalidism of people. In structure of the reasons of primary exit to disability of adult population of the Kyrgyz Republic the greatest share is the share of cardiovascular diseases (% 19,6) that considerably exceeds similar indicators on other diseases (RMITs, 2012). Such the BOTTOM as chronic obstructive diseases of lungs, diabetes and new growths, determine considerably invalidism of adult population of the republic.
According to RMITs (2012), in Kyrgyzstan the BOTTOM is noted the high illness rate: cardiovascular diseases - 4877 cases on 100 thousand of the population, cancer diseases - case 90,4 on 100 thousand of the population, diabetes - case 88,2 on 100 thousand of the population.
In the Kyrgyz Republic general death rate, incidence and invalidism of the population are more determined by the level of prevalence of noninfectious diseases and require accurate allocation of priorities in case of determination of strategy and tactics of active treatment-and-prophylactic interventions. The complex organization of fight about the BOTTOM will allow not only to stop process of deterioration in indicators of health of the population of Kyrgyzstan, but in subsequent to achieve its improvement.
Now in the field of health care of Kyrgyzstan there is number of unresolved problems, and in fight about the BOTTOM it is necessary to determine role of public health care more accurately. At primary level of health care questions of prevention, early diagnostics and treatment the BOTTOM, and also questions of availability of necessary diagnostic and medical technologies require further completion in case of the main the BOTTOM. Implementation of new approaches of management will allow to optimize system of the direction of patients about the BOTTOM on secondary and tertiary levels of health care.
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The document ceased to be valid since January 27, 2022 according to Item 1 of the Resolution of the Cabinet of Ministers of the Kyrgyz Republic of January 14, 2022 No. 9