there were no houses at that time, in some they lived near dugouts. as far as i know, at the workshop where they ate, and there was a hostel and people lived, they became great, different double-deck wooden beds and lived there for 20 to 25 people fell in a room. but nevertheless, we would have been set up with the enthusiasm that in due time it will be built, the village of the minsktractor at the factory and people would live and have comfortable houses. here is where now? we are standing here at the older time the metro is located, but here it used to be, when the plant was being built there was a tent city, and here after the shift people came here and cooked and

slept and rested and got up and went to work were built on the palace of culture, four schools polyclinic. we can say that gradually. i love, therefore, click to walk, unfamiliar. every thicket, every house in this village was inhabited by people who built a tractor factory. now they continue to live here. children, grandchildren, great-grandchildren.

here i was tempered by the tractor factory and inflamed with spirit. i respect and love this song, which sounded in the film spring on zarechnaya street. a show that unites two virtual worlds game and real fights and lofty goals, but for

the elite does not exist. here there is all the fear , tears, pain and victory, the participant will have to go through the most difficult tests and overcome their

fears develops there are successes. and for work in covid more than once received. thank you at the highest level, but new time new challenges the same coronavir also hid weaknesses not in all regions of the hospital and fap at the proper level, but somewhere there is not enough experience and personnel, but

our medicine has access. and the medicine is of high quality. this is very important for everyone, regardless of the place of residence of a metropolis - whether it is an agro-town or an agro-town. we have a state for the people. we have everything to heal. everything is there in order to treat normally at the right level, and the covid testifies that we have good doctors. we are well prepared medicine healthcare ridge of any state, as experts say, but even more so a state with a stake in social policy, equipment, modernization of personnel salaries and work on import substitution. all this is the topic of the draft question number one for the speaker of the profile minister. dmitry pinevich. the quality of medicine, whatever one may say , is still the number one question of the week, except for thanks for the work in covid. the head of state also voiced such rather harsh criticism for

regional clinics, extreme zafapy in some high centers. we are already running an operation on the heart of others falls short in terms of equipment. what will you do with them, of course, there are healthcare institutions that require, let’s say, the application of their efforts. not in terms of turning them into palaces, but in terms of bringing them to a normal state in order to find patients there and, above all, to provide quality assistance with all the governors, we and the city of minsk, we have these plans worked out, which implies when which institution will be uh, completed in modernizing them a bit. hmm uh, this will be done. well, in the extreme, i will say this this year with transition to the beginning of the next year. we will have, as well as during this year, iconic objects that will be found both in zero and in grodno objects in the minsk region were introduced. recently conducted in the vitebsk hospital. this is a large, well, also slavgorod, which we showed a smaller

institution, which is also, uh, fully adjusted to the requirements of today, not the twentieth century, already the 21st century. the main task is to do it is now possible to say the routing of the patient, so that the patient gets exactly where he will be medical assistance has been provided in full, in general, in general, if we take even high technologies, you have absolutely rightly indicated, already 70% of high technologies have moved from the capital to the regions unconditionally. this is in the regional centers. and once again i repeat the same cities there molodechno bobruisk are large cities, which she soberd accelerated in the development of, uh, this topic, which is dedicated to. uh, our greatest effort, shall we say. well, in any case, where the institution is engaged in surgical care, there is no false assistance, where there are deployed resuscitation, and the requirements that they were exactly the same equipped as the regional center, so that the level of medical care would not differ from the level of medical care at a high level, it’s different, just small areas will not be engaged in cardiac surgery and, possibly, will not be engaged in surgery in full, as we would

wanted in this nothing of the supernatural method. this is normal evolutionary development, but the provision of a system of medical care, because it is important for the patient that he receives exactly the full amount of medical care, especially complex medical care exactly where he can get it in mogilev will receive a cardiotectomy surgery. for this. i need to be bobroske announced surprise checks. are you ready for the embarrassment system should always be ready, because any patient who enters. so let us remind you that this is exactly the system of checking life, what is called then, therefore we work 24/7, almost most of our institutions are bloodthorn, therefore this readiness a priori must be ensured by the issue in individual centers. not enough doctors of narrow specialties. somewhere there is no cardiologist. somewhere, perhaps there are not enough surgeons , there is a solution to the shortage of personnel in the healthcare system is not a feature for the republic of belarus if we study everything with you on the state of medical personnel or in the west in the east we see in fact the same picture, why because the training of a medical specialist, especially with a

higher education, is painstakingly very complex and costly for any state, and many simply do not pay attention to this, trying to solve the question is the condition of external migration, in contrast to our state, where there, it turns out, special attention and our four universities that graduate our young specialists fully work not only for our country, but also for other states, being engaged in the export of medical educational services of the state supports doctors and medical personnel, and the president spoke about this. let's hear what he said just this week. on this financial support for those who work. we have nannies as we call them middle medical staff nurses. they also have a job above their heads and doctors. we must support, we must do so that we do not have any deficit. how much today? wages in the health care system and that's it, what do you think? which specialists earn well, who still needs to raise the level of

1,300, approximately the average medical staff and about a little less than two 300 meters in the training staff, we are definitely comparing here the ruble that comes to each specialist on average wallet. but we are with you, of course, the average salary in the country and we now have 138% of the salary level for doctors, well, the staff is 83% hmm after the medical staff, such an indicator for us is physical, it has reached the indicator of 25 years. e. i think that we should approach this next year, of course, it is important, uh, to interest our specialist in staying at the workplace, and such state support measures have been taken here. the first target set, which can also solve e- er small areas of course, of course, he expanded it will expand now to 60% in general, in general, we will move to 80%, or maybe it will actually be 100%. that is, they are specialists who already know exactly where they will work. in which

region they will work, and together we will determine the second job for the allowances, which served as a sharp, distinctive jump in wage increases for medical workers. and here we are now in an institution where we were very seriously engaged. this treatment of this pathology during the epidemic period. these two are transformed allowances. uh, veins, allowances went to all medical personnel who are not connected in any way with the epidemic process. yes, it is differentiated, but everything is in december. we're still, uh, going to look at adding salaries to healthcare workers, not least housing. and a decision at the state level is now being worked out at the government level and has already passed the expert council for the first time. hmm uh in the council of the republic, this is a decision to allocate rental housing, which after work time to health care institutions can be bought on preferential terms. this is a very important moment. you touched upon the issues of material and technical base in institutions. after all

, this is not only for patients, but also satisfaction. e staff who works with something you work your personal. ah, just motivation. yes, you work, you are in a good operating room or in a good workplace meets the requirements of today. they match. this is what you enjoy. this motivation also allows the medical worker to stay on workplace, but certainly those conditions that are created by the institution within. well, let's put it this way, the moral climate of these adopted state decisions will be imposed with and the result is already being given. by the way, this year we have fixed the young. listov is quite high, for example, in molodechno, young specialists are delayed in 80% of cases in salihorsk 56. it seems that when transport links are similar to each other not far from minsk electricity, but if they are delayed correctly, it means that there is something in management . fashionable as it says now, yes health care institution. or maybe management in general, uh, the regions of local government,

so it needs to be studied. uh, for us, including this motley picture, why the same conditions somewhere young specialists are kept somewhere else. this means that the question is not in the state, but in the management vertical, as in the quality of medical care. why in the same institutions that are equipped at the same level and qualifications of personnel? equally, if the cases here's another, and somewhere we are, thank god in for the most part e people and at the highest level and with the same state awards. now i will repeat. uh, the lion's share of medical care turns out to be in the balaturn link and turns out to be in those small healthcare institutions, which, from my point of view , perform the functions of their own private medical centers, as an alternative to state ones, they open and close, what is the reason for this and what is happening here the word opens- then it closes. i think this is not entirely correct. we work on one side, mean uh on our framework surfaces that we allow, as a level that issues licenses for the punishment of medical

care, and secondly, we do not respond to the quality of medical care in private centers. including, well, in particular at my level, the quality of care in the public sector was reviewed 35 times this year. here are 35 years of defects that have been considered so much at the ministerial level. can imagine that these defects are not few, since 35 cases have come down to me in exactly the same way, if facts are revealed, as providing medical care that causes or may have the potential to cause harm. e means patient, which means any private center. he is subject to his monitoring, his verification and the submission of these issues to the consideration of hmm than to the control board. subsequent board hmm yes, we have the right to represent up to 6 months the work of the center until the comments are eliminated. e, there were quite a few such cases. 28. in my opinion, if there are seven out of 28 cases, there are still no centers open, but i will repeat. uh, behind every closure is destiny according to the ministry of health, the volume of planned medical care, and especially high-tech

specialized care, returned to a prominent level in 2019. so already in 9 months , 8,700 operations have been performed in the roc of oncology in surgical departments; similar rates in regional centers have increased the volume of cardiac surgery for operations on the heart and coronary vessels over 11,000 in six months. and this is even an increase of over 17% compared to the level of 2019, and the pace of organ and tissue transplantations for 10 months 22 years, 473 transplants gave new life to patients. there let's explain where we are. this is not an ordinary clinic during covid. she showed herself very well during the pandemic period. it was re-profiled and here a huge amount of assistance is provided to roofing patients, including in rehabilitation beds, we are in this intensive care unit, which was re-profiled in those days, worked fully for the most difficult

patients. let's talk here and talk about the epit situation that now we have already heard and china is building a quarantine center, and in shopping malls the announcement has already gone. this is a wave. the new academic process is always moving forward. uh, lunar way, let's say that what we see now does not pose any threat to us. eh, i'm pointing that out. we've been taking beeps meaning to us in the past years. and now the number of patients with coid infection is less than three percent of the peaks that we observed. but the problem of this pre-season can and will be that we call 3dmiy, when epit process is determined by several types of pathogens viruses features. well, uh, i let myself go a little bit when i talk about tweeds, then we discussed issues when the epidemic process was caused by coronavirus in two states, if you remember delta micron now it is micron coronavirus flu virus and

respiratory virus that are characteristic of our seasons. uh, no one was always full, not daily, we observe the situation by recording, realizing that we have formed our soap simple population 72% the population is vaccinated. uh, against the coronavirus, a powerful layer of booster. here is the vaccination of 39% e, here is against the flu and always get sick with a fungus not a respiratory virus, fucking more children and more wishes. and what is important, we are 60% of the children who are now subject to the so-called frequently ill children of which we select contingents of children. they are 60% also 99. therefore, we do not assume any peaks in this respect that would bring a threat either to the population or to the operation of the healthcare system, but at the same time everything is in reserve. here we are in intensive care, that is, from oxygen, ending with all the specific preparations that we worked with in the wave. we even have them, let’s say, one of the most common questions among the population is what kind of vaccine to inject. if you get injected, say by a companion of someone, a chinese vaccine or

vice versa, here is your recommendation. we received another 2 million oe of the chinese vaccine, we have already produced a total of 5 million oe of the satellite at the production of our , let's say, belarusian-russian production in minsk, if there are no contraindications. i personally conducted vaccination with a companion vector vaccine of all in this regard showed a little better, let's say, an inactivated vaccine, which refers to the chinese price, their effectiveness is somewhat lower. but we, that is, children, those patients who have an offensive background, which has several. well, they tolerate, let's say, a little easier, and therefore there is a niche for each vaccine. and for each patient there is a choice, but now i will repeat the most effective. i believe the vector vaccine, in the group of which the satellite belongs, there are deadlines when we we will get the domestic vaccine experience on the industrial site, which we have already fully equipped. looks like a uniform. he has already earned, respectively, in this way the production of an experimental industrial batch begins. it will be released in january in full

. this prankty must be pass all kinds of control. our task is not just a situation, but it must be effective, first of all, in terms of economy and three economically accessible for the state. let's say. this is how we solve these issues. well , of course, ahead of the effectiveness of security, therefore, for all security, let's say the contour that we had to draw, we will definitely draw it. well, i see is that next year the shares will be released, on the contrary is another matter. i'm pretty sure of it, as such, it's a roofing infection vaccine. it will no longer be in full demand for us, so the task was set. we are now less sick of the issue facing us and constantly immediately there was a state at the beginning of this project to create a platform. you see, the important question is not actually creations against the coronavirus, although it was necessary for the day, this provision was important, including as an indicator of national security. after all, we did not produce vaccines before. now we have identified a vaccine for the first time together with our colleagues, and the second project is just from a laboratory prototype

to an industrial design, it is important to create a platform that we can create injectable against influenza. be into other types of pathogens, because one of the apologists for the provision of medical care e in the system health care of the republic of belarus is a strict requirement for the national calendar of patriotic vaccinations. here, unlike other countries, we will not show, what is called fingers, we do not have a problem, or because of you only for you they know, measles and so on and so forth. after all, we have forgotten many things just because of the canons. e, too , they are vaccinated. it is observed in our country, and we wanted the canons to be contacted, so to speak, written down, including in domestic ink, so that we always have the possibility that if any turbulence occurs, we do not depend on our partners or partners in quotes or partners without quotes, then what was at the beginning of the twentieth year this task. we consider it as an element of national security over these two difficult pandemic years, our healthcare system. how far

forward. if examples, when we can say that this is done for the first time. well, for example, we have several breakthrough treatments for certain types of cancer, using the same glen when we got amazing results. here, i would attribute , uh, as one of the elements of such breakthrough cardiology, for example, cardiology, the volume of medical care has not decreased. even now , mechanical valves have also increased, new modifications have appeared, new operations have taken place in the regional center centers in the same mogilev. when there was a heart transplantation, what concerns traumatology from the trauma department. many were.

when for the first time in belarus the knee joint of our own the production also developed its own system for the surgical treatment of severe spinal deformities in children, and this 100% import substitution innovation has also been introduced in cardiology in a number of areas. among them, a new generation of mechanical valves, implantable artificial ventricles, hearts, domestic stengraphs, etc., 3d

modeling and printing technology has been introduced in the complex treatment of cardiomyopathy in adults and congenital heart defects. for the first time in children, not even in belarus and in europe, an artificial ventricle was implanted hearts of a six-year-old child. our so-called fugitives keep throwing in all this information that some kind of drug shortage is about to come, how things are today, do we also experience a shortage of some drugs? why am i smiling, because you and i here we are moving from room to room. yes, we are trying to find not an angle, but due to the fact that just now four trucks of heavy vehicles have arrived, unloading medicines and the same consumables. and we even find difficult places to ask these questions and answer. yes, the answer is filled in this way only because , if we have a deficit or not, it’s definitely a person, well, and the sanctions policy that was behind our friends partners in quotation marks. well, it is more difficult for us to supply logistics, and these were problems with bank payments. this problem was the supply of actual transport, delivering

by car by transport, but theoretically the problems have been solved and moreover, our western suppliers do not want to go much from our market. here, not only not so much some of their moral obligations. how much shall we say? so every that is, the economy seems that today we also count our day. we have new partners. we have new directions. well, of course, the main task for us is to continue the policy of import substitution. if you look at consumables for medical products . it's just that now, looking through, including we are in a warehouse with these products, if a few years ago we had 14% in monetary terms, e, and even less, now it is more than 30%. it is very well medicated. we have more than fifty percent in medicinal products. we have a task. now the release of drugs that are breakthrough now. this, of course, is oncology, these are drugs that are used new combined in the cardiovascular system. continued treatment. e, the same diabetes mellitus with other drugs, issues of localization and production of own

blood plasma preparations or combined preparations. that is, these, by the way, hmm, themselves asked about our new russian belarusian vaccine. so here these enterprises will allow, namely not only. only for the vaccine, new breakthrough drugs will be produced there, which will allow us to close the need, which we have in our choice of drugs, of course, imported drugs will be purchased. eh, definitely. we will have partners. uh, i’ll repeat it again from different regions, because now it’s not uh, no matter how the baker says, but such not united western europe is there, for example, as everyone likes to say, they release drugs or america is releasing discontinuous drugs now uh such suppliers and the manufacturer is quite a lot and our task and their m-th local supply is to organize the body to realize in our country. but in particular, the great stone industrial site, where localization is already starting to happen not monthly. we have about 10-15 preparations on the control, which are now following, of which, let's say,

less than a month is left. this is tracked and immediately gets to the ministry of health and either someone reports that the type of drugs left the pharmacy network reach. yes, our networks. i mean not the vertical e works, it reaches one of our patients or the population. well, that is, these are about 10 names, no more. and then this is a transitional name, in general, as a whole. we have one and a half to a year of stocks of medicines and a pharmacy assortment, especially a hospital assortment, which are aimed specifically at difficult patients. yes, it is that we have the so-called carry-over remnants of the airbag airbag, it has always been practically quarterly, we do not have such that let's say we buy on december 31, the financial year ends and the year of receipt of a particular batch ends. no, well, maybe a patient has come to such a situation, but there is no medicine to cure. no, that's for sure. if you talk to any disease. in any case, there are drugs. and by the way, this year the number of registered drugs. we have increased how much has increased in this regard. here is the assortment of belarusian drugs; others will be wonderful in

monetary terms - 53% of belarusian drugs. yes if we take its forging, it generally reaches 70% in hospitals. and when we talk about what an effective urban drug is infectious. let's agree that patients in hospitals are more severe, however, if we cope. we are interested in our indicators, we are interested in the fact that the patient who was admitted was discharged with recovery with improvement. well, in the worst case, it's true, if we use, if the range of belarusian drugs, including with great pleasure, what is called the is effect, then it's good. and if we talk about equipment, we can go with you to the operating room , go to the intensive care unit where we were and you will see that the vast majority of operating rooms are in republican institutions. this is actually a complete set of belarusian equipment for the enclosing structure of the cladding, which accepts certain claims from questions. uh, the only systems. uh, means ventilators. uh, anesthesia, operating tables - it's all belarusian

production. that is, we can say that we were taught to see all this. no, i'll say so we the shoes reacted because the president taught us this with the policy of import substitution. uh, well , it was marked, at least in 2010. it’s very tough that we coped with covid, uh, we entered with intensive care units, that we entered with a deployed system of revolutionary beds. i remember 2009. it was much more difficult there, when we had an epidemic of porcine fungus, then again, we entered hmm equipped with equipment with personnel and with the availability of medicines. even with the same logistics as belarusian medicines, antibiotics heparins. this is because everything came from nowhere, and the production is now the same disposable gloves that would have been established at the moment. this is not from scratch just because the belarusian economy and industry and the medical industry itself, and letting go in general, because it was already ready to answer the call with an empty field in two months. that systemic policy of import substitution and

the security of the country in this direction simply played its role for us covid, emphasized the importance a necessity, and hmm, it's not that we don't stand behind the price questions about their price, but it's important when we discuss price or availability, that is, even at a higher price. if it is edematous, it will ensure that here and now the patient will receive exactly what he needs, what is for you personally, in the context of our entire conversation question number one, when we guessed, uh, in general, the leadership of the country about the prospects for techno-derived development, who will be in healthcare and discussed import substitution discussed various aspects, and continuous professional education of medical workers of the student benches until the end of their professional career. uh, the quality management system sounded everywhere. medical care is correct and in terms of quality, we will be given a price not by availability and absence. here are the products, the method of prescribing medicines there, these are only

components or personnel, which is very important. it is only a component, the quality itself is some playing indicators for a person. and he himself considers our social state, which is a state for the people, which i will remind you once again in the context of working. what we have as a result, the weight of the loaf will be 10 million 600 thousand tons, these are grain legumes corn and cruciferous. this is a very good result of the forecast justified or actually? yes, it must be said that this is a record harvest for us.