Ministry of Health Kyrgyz Republic. National Center Cardiology and Internal Medicine. GARD in Kyrgyzstan. Talant M. Sooronbaev.

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1 Ministry of Health Kyrgyz Republic National Center Cardiology and Internal Medicine GARD in Kyrgyzstan Talant M. Sooronbaev Istambul, 2008

2 KYRGYZ REPUBLIC 90% of its territory is covered by mountains the population is 5 million

3 Standardized data of mortality caused by respiratory diseases (per 100,000) Russia Russia Kazakhstan Kazakhstan Kyrgyzstan Kyrgyzstan Uzbekistan 2000 European region <= 250 <= 200 <= 150 <= 100 <= 50 No data Min = 0

4 Standardized data of mortality caused by bronchitis, asthma and emphysema (per 100,000) Kazakhstan Kyrgyzstan Russian Federation Tajikistan Туркменистан Turkmenistan Uzbekistan Database «Health for All»/2004, WHO/EURO

5 Russia Kazakchstan Kyrgyzstan

6 Prevalence of COPD in residents of high altitude ( m, Tien-Shan) and low altitude (760 m, the city of Bishkek) 8 n=3306 (highlanders) n=998 (lowlanders) With COPD (%) 6 7,8 *p<0,05 4 5,6 2 3,2 1,8 *p<0,05 0 males females Highlanders Low landers Eur Respir J, 2005

7 Global Alliance Against Chronic Respiratory Diseases (GARD) in Kyrgyzstan

8 ТОРАКАЛДЫК КОО МУ К ЫРГЫ З SO C IE T Y K T S K T S THO R ACIC ТО РАКАЛЬН ОЕ ОБЩЕСТВО КЫ Р ГЫЗ СКО Е KYRGYZ GARD iniciator in Kyrgyzstan Kyrgyz Thoracic Society

9 GARD in Kyrgyzstan Goal: prevention and control of chronic respiratory diseases (CRD) in Kyrgyzstan

10 Action plan Stage I Research of CRD prevalence and relevant risk factors at the primary healthcare (PH) level (GARD/WHO Protocol) Research of CRD burden at the PH level (GARD/WHO Protocol) Survey of CRD diagnostics and treatment at the PH level (GARD/WHO Protocol) Creation of CRD Register (mapping)

11 Action plan Stage I I Identification of optimal ways of fighting major CRD relevant risk factors at the primary healthcare level. Improvement of CRD management at the primary healthcare level. Publishing of quidelines and recommendations for CRD based on EBM. Improving education of doctors and patients

12 Conditions for successful activity of GARD Kyrgyzstan GARD National Team Development and adoption of an integrated program of prevention and control of chronic respiratory diseases Creation of the GARD Kyrgyzstan Partners Network Support of the Healthcare Ministry and GARD (WHO)

13 GARD National Team

14 GARD Kyrgyzstan Partners Network (National Alliance) Active members 1. National Сenter of Cardiology and Internal Medicine 2. Kyrgyz Thoracic Society 3. National Center of Pediatric 4. Kyrgyz State Medical Academy 5. Pulmonary Patients Club 6. Kyrgyz Cardiologic Society 7. KR Academy of Sciences 8. Generalist Group Association 9. PAL in Kyrgyzstan 11. National Hospital 12. Republic Allergy Center Concerned parties 1. Public health department of Bishkek 2. Association of Hospitals 3. National Center of TB 4. Assosation of doctors of Internal Medicine 2. Kyrgyz institute of rehabilitation Coordination: Ministry of Health KR Support: GARD (WHO)

15 GARD Kyrgyzstan Partners Network This is improvement prevention and achievement of effective control over chronic respiratory diseases via mobilization of all possible resources.

16 Round Table «Global Alliance Against Chronic Respiratory Diseases (GARD) in Kyrgyzstan», 17 January 2008, Bishkek

17 Understanding the extreme actuality of the problem, the Healthcare Ministry is paying great attention to fighting respiratory diseases, with special focus on decreasing the prevalence, invalidity and mortality.

18 GARD activities in Kyrgyzstan Campaign: You are a smoker? Test your lungs! (21-22 november, 2007)

19 Screening spirometry test at highlanders

20 GARD activities in Kyrgyzstan Prevalence survey of chronic respiratory disease on the primary Healthcare level, may 2008 (pilot center of family medicine 7 in Bishkek)

21 GARD and PAL in Kyrgyzstan We have a good conditions for partnership and active collaboration for achievement of effective prevention and control of chronic respiratory diseases on the primary Healthcare level.

22 FILHA and WHO workshop on PAL Bishkek, Kyrgyzstan (14-18 January, 2008)

23 Central Asian GARD Meeting in Bishkek, 4-5 June 2008 The Meeting will be attended by representatives of the WHO, Central Asian countries and Russia. Organizers: KR Ministry of Health GARD (WHO) National Center Cardiology and Internal Medicine named after Academician M.Mirrakhimov Kyrgyz Thoracic Society

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25 Welcome to Kyrgyzstan Welcome to Kyrgyzstan