[000:00:00;00] the war is going on and not only for territories , it is also a war for minds russia is throwing millions of petro-dollars to turn ukrainians into little russians let's counter the information attacks of the russians in the project of the chronicle of the information war with olga len tuesday thursday friday at 17:10 on

espresso tv channel the war in ukraine is the main thing the topic for ukrainians is victory and losses, analysis and forecasts, politics and geopolitics, serhiy rudenko and the guests of his program will talk about all this, people who have information and shape public opinion, people who defend ukraine and create the future right now , the main and interesting thing in the program is the verdict of serhiy rudenko from monday to friday at 8:00 p.m. repeat at 12:10 p.m. we are special forces of the sbu , experts in destroying the enemies of ukraine , we know pavlo and complex special operations for the offensive. quality training get modern weapons and combat experience step

by step shot with shot attack with attack together we will liberate ukraine special operations center and sbu engrave your name on the pages of victory this is a program about health in the studio of iryna koval, we are coming back to you because of the undermining of kakhovskaya hydroelectric power plants in wells, reservoirs and on the surface of the soil may end up, they have already found themselves, and chemicals and pathogens of infectious diseases and components of latrines and garbage from landfills are a risk of outbreaks of acute infectious diseases, leptospirosis and cholera. specialists of the center for disease control and prevention conduct information work with the population on whether houses have been damaged by flooding, in particular with regard to methods of preventing intestinal infections. outbreaks of infectious diseases that may occur in kherson oblast due to flooding due to the explosion

of the kakhov hpp have not been recorded by centralized medical centers in the event of potential outbreaks of infectious diseases . hospitals of kherson oblast, mykolaiv oblast and dnipropetrovsk oblast are currently deploying additional infectious beds and they check and provide hospitals with all the necessary drugs, and just a few days ago , the head of the national health service of ukraine, nataliya husak, who is in direct contact with us, went to kherson oblast. in the regions that you visited and that were affected by the explosion of the kakhovka hpp, are there medical facilities really ready for outbreaks of infectious diseases, and are they ready to provide medical

aid? in 2023, the health service of ukraine contracted about 190 institutions throughout ukraine for a package of readiness to respond , including to infectious diseases in emergency situations, and following the example of the kherson region , four institutions had such a package contract with the national health service of ukraine. but after trips together with the minister of health to the e-e, respectively , the kherson region itself, we saw that we can organize the routes of patients quite effectively due to the increase in their number in relation to infectious diseases so as not to lose access to other types of medical services in the region at the same time, and that is why it was decided to add one more institution to the readiness to respond to emergency situations, and today we have already concluded a new contract with such an institution as the multidisciplinary one and luchansky, which

will join the route precisely providing assistance to e-e patients with infectious diseases and e-e according to the results of the trip we also visited the mykolaiv oblast e-e regional infectious disease hospital and according to the results of the trip the government accepted the decision to increase funding for institutions that will provide assistance specifically to patients in case of possible infectious outbreaks, but what struck me is that, first of all, the doctors are sufficiently morally prepared for the fact that the situation may become complicated and they are ready to respond to the complications of the situation. surprised the stock of medicines because the requirements for providers who have contracts for this particular package include that they must have a medical basket consisting of a list of

mandatory medicines and this basket should be at least in stock for at least three months, and that is why we saw that these medicines are in the hospital, including in the luchansky hospital, in the e-e luchansky hospital, which we visited, which will also participate in the routes, and currently we are increasing funding for of these institutions is doubled, for example, seven institutions are one institution - this is the kryvyi rih infectious disease hospital, which, according to the routes , in the event of a complicated situation, will take on a certain load of beds, the medical staff is ready, with additional funding allocated medicinal products, the system is ready to respond. but at the same time, whether the situation itself will be complicated depends on each resident of the kherson mykolaiv region

, the dnipropetrovsk region, because at the moment we need to be very careful and very attentive to those calls coming from the public health center from specialists from the ministry of health health in order to maintain your health , in fact, well, we understood that the hospital supplies medicines, and this is very good, and mrs. natalia, can you tell us about this one the route of patients in case of possible outbreaks of infectious diseases. what does this route represent? the route of the patient means that specific hospitals are determined that will take over the first wave. in kherson, there will be a separate infectious disease regional hospital. we also clearly understand that

there may be children, so the route also defines a regional children's hospital that will provide assistance specifically to the children's population, and in addition , as i already mentioned, a tropiny hospital is being introduced the luchansky hospital and the regional clinical hospital remain as those hospitals that can respond at any time to other emergency situations. thus, in this hospital, they are preparing for the deployment of beds, these hospitals are preparing, er, the medical staff are preparing , and all the other hospitals are nearby because it is necessary to say that currently in kherson they are working and accepting patients in 20 hospitals that provide specialized medical care . they remain at those services that were , and still are, according to the emergency situation

, because no one canceled strokes, childbirth in surgical interventions inpatient conventional treatment therefore, these hospitals will be within the framework of the routes exactly along these on ms. natalya's zoologies, that is, the population's access to all types of medical services is preserved, this is our main task, together with the local authorities, together with medical workers, so that the system is close to preparing for the response to of the worst-case scenario, e.e., as a result of the detonation of the dam , the population had the opportunity to maintain basic services and access to them, and i can actually point out that access is not only preserved and somewhat expanded due to the decisions that were made by the government literally this week ms. natalya, well, i want to ask you about the explanatory work because you said that people should listen to all these messages from the

public health center messages from the ministry of health, but in fact, we just talked to an environmentalist and he is from the city of odessa. and we have probably also seen a lot of pictures and videos of people on the beach of horror in odessa, resting, swimming and they don't pay attention to anything. please tell me if it will be held here, maybe in general , you know, i don't know, any explanations for the population, whether they will explain and close the beaches , well, there is a solution. the decision was made, and it seems to me that in this way already then, in compliance with decisions , teplees are already participating in the verification of compliance, including law enforcement agencies and other regulatory bodies that should verify the implementation

of such decisions by business entities, so and the population, and it seems to me that at the moment you should not take your health lightly, you should very clearly follow the advice that comes from the competent authorities and professional communities ms. natalia, i want to thank you for finding the time today despite your busy schedule, i joined our broadcast with us on the contact was the head of the national health service of ukraine, natalya husak. well , infection centers have been deployed in mykolaiv oblast, kherson oblast, and dnipropetrovsk oblast. as you have already understood, where will patients with acute intestinal and other infectious diseases be received diseases, additional infectious beds have already been deployed in these hospitals, and according to the ministry of health, as of now, there are no registered cases or suspicions of cholera in ukraine, because there were actually such reports just a few days ago, but they were not confirmed

by the results of research on samples taken from environmental facilities. and from patients with signs of acute intestinal infection negative, 38 water monitoring points of surface water bodies, rivers , rivers and seas along the channel and sea coast in odesa mykolayivska were formed and kherson oblasts, and at the moment , microbiological indicators have been exceeded in surface water bodies, so you can’t swim or use such water for food processing , so please listen to this . in the dnipropetrovsk region , 850 kg of crucian carp were washed ashore in the maryansk community of the zelenodol region, the

dnipropetrovsk regional military reported the administration has already cleaned the coastline, the dead fish were disposed of in the ministry of health, meanwhile, they reminded that dead or dying fish cannot be cooked or consumed, cannot be dried, dried, fried, or boiled in any way. buying fish in places of spontaneous trade, because the products bought there may contain pathogens of infectious diseases, parasites or dangerous chemicals, so please be careful, be attentive to your health and it is better, as they say, to warn than to treat later, and we are waiting for the inclusion of evgeny dubrovsky, who is supposed to join our broadcast, and in fact, i want to tell you that

the situation is quite dangerous, because the products may remain. today we will definitely talk about it about the products that remained in dangerous areas , which we are talking about today and how to deal with them , whether they can be used or not, what to do with them , in general, do everything related to health , everything related to ecology, we are talking about today in the health program because it is very important and regarding water, i would like to say a few more words in order to reduce the risk of infectious diseases in the affected areas, you must follow these rules, you must drink only bottled or imported water water cannot be consumed water that you do not know its place of origin water for cooking

should be chosen only from proven sources the river or well in the yard are no longer proven sources of water as well as the water pipe is intended for technical purposes as well boil or disinfect the water. this must be done. it is absolutely impossible to take water from the tap and wash with it, for example, products, fruits , berries or dishes. remember that boiling does not rid the water of chemical contamination and refuse products that have been flooded . with water, even from preservation, it is necessary to subject all products to heat treatment, e.e. it should be cooking , frying, baking , wash your hands thoroughly e.e. with soap.

so do not put on clothes that were contaminated during flooding without first washing and disinfecting , these measures must be followed in order to be healthy in order to protect myself and i want to emphasize once again maybe you just joined our broadcast after all you can't, you can't swim, you can't be on the beaches right now, especially if we're talking about odesa, and we're still adding to our broadcast yevhen , an infectious disease doctor from dubrovka, and mr. yevhen, i welcome you to our broadcast today, mrs. iryna greetings greetings from the studio and the first thing i have to thank you for is to tell our viewers that in addition to the fact that evgeny dubrovsky is an infectious disease doctor

, he recently returned from the front. therefore, a low bow to you. the biggest danger to our country that can befall us and our health, that it could be iryna, when we talk about this ecological and man-made disaster that the terrorist invaders carried out on the territory of our country, we must understand that the consequences are short-term, and there are long-term consequences, when we talk in the context of infectious diseases, of course, first of all, it may seem that ukraine is facing a very serious and dangerous epidemic of infectious diseases, including intestinal ones, such as cholera, hepatitis and dysentery, etc., but these are exaggerations, but these are quite exaggerated because, frankly, we are not living in the middle ages, in some dark times

when people did not understand who is the causative agent, what are the ways of transmission, what are the symptoms of diseases, what it is necessary to expand about the consequences of the epidemic, the situation is currently under control and all the services and all the ministries that are observing this process, they understand that it is enough to warn of an epidemic , not even just an epidemic, even some sporadic small flashbacks are effective enough to warn them about it, they have already talked about it many times already they said that it is enough to use pure , high-quality purified water, preferably bottled , because even boiled water can be contaminated with all kinds of chemicals. they will be poisoned with different pesticides, that's why it's just the use of high-quality clean water, and all of us during an epidemic stop talking about those diseases that we all hear about, such as liptospirosis , anthrax, botulism - these are really

dangerous diseases, but we also understand that these are not the diseases that cause large epidemics, outbreaks and in order to prevent any tragic incidents in certain situations with rescuers and the military, it is necessary that, firstly, there should be individual vigilance, and secondly, that there should be an opportunity high-quality and modern medical care , because the treatment is very effective. of these diseases, but if we talk about the long-term consequences of the disaster, then we understand that the one that leads, which is now killing everything , washes away everything and simply destroys everything, it

will go away and the second one will come no less dangerous and such an unpleasant stage, it will be a drought, a total drought with a mile, all uh, for so many years, it's 60 or so years , natural ways of water supply and simply hundreds of uh, hectares will be destroyed, not just agriculture, therefore, it's not even possible for ordinary people to even have an economy that's why the state and the government live there, all the relevant services are just right for them, this is now the first priority. such is the challenge that the whole country has to count on . think about it as quickly as possible. affected this region, mr. yevgeny, and it is important

that your military is in these dangerous territories and it is difficult for them to follow some sanitary standards. you know it yourself , it is not a secret for you, what danger is there for those very people, for the military, for volunteers, and advice on how to avoid it, well with danger , it is the same as for the victims, therefore, there must be two very important aspects : constant supply, constant supply of normal quality water , at least for this early, the first, the acute period, and the second, it must be qualified the staff is either medical or a couple of medical staff who at least know and understand what to pay attention to, and at the first few atypical complaints, you are the first, if there are any non-typical manifestations of some strange diseases , immediately contact the next stage , please, because in principle, in this case, it went it is just very effective if a person

knows and understands what he is dealing with, then early reception and bacterial drugs will solve the situation, but i will repeat myself so that there are no such tragic reports later. this should be debugged scheme, who is the first to see something out of the ordinary? i work, this chain was quickly transferred from the relevant medical structure, which has already done the relevant examinations, the analyzes were localized, the reason was found, because with the siberian alphabet, we all heard, we all read that it can really be stored in these gravedigger scotts in the soil. yes even in our country and for hundreds of years, these spores are very long-lasting and persist for a very long time . they are the main danger when entering through the mouth, through which the stomach and intestines of a person , but the treatment is very effective, real genders because whoever sees it immediately reacts immediately, not so that they keep silent, hide

it by itself, go no. here, such a system will not work during an epidemic, there is no conversation, but in order to avoid trouble here , you just have to be careful like this. so that people understand and should immediately go to the doctor and inform them. well, looking at some kind of hiding. it is very simple and easy to attribute it to some kind of cold to some kind of overfatigue to some other, i don't know, i.e. the heat stroke, but no, it's really such a combination of dangerous symptoms that should tell the doctors and paramedics that something is wrong here, the pain in the legs is very strong, powerful pains a person cannot walk normally , he cannot walk, and all this is accompanied by a high temperature in relation to anthrax. i do not want to scare you, there are appropriate services for this

, but any creative manifestations of any suppuration of the lymph nodes, any appearance of something the cutaneous form of a dangerous form of ulcers on the skin. well, the intestinal-gastric or pulmonary form is the most dangerous, but here it is necessary to turn to it immediately. runny nose, cough, etc. , you have to be very attentive, attentive, and watch what is happening, mr. yevgeny, but it is gradually decreasing, and at the same time, in flooded apartments , houses, or basements, there are still products and things that came into contact with water during flooding, what to do with them, can these things be used, and can we use products, if we are talking about

canned vegetables, for example, no, about vegetables, definitely no, because they have been inundated for a long time, the water is soaked and we have to say here so much about infectious pathogens, because you can boil and cook vegetables there. we talk about the danger of infecting them with all kinds of chemicals . more than the lion's share of things, they are destroyed, they are not subject to restoration, so there is no use, if you mean furniture, carpets, bot equipment, it is all destroyed here , it is not even just stopped, it can also be clothes, right, what is there, people will just want to wash it and use it, is it possible to do this i think that the clothes are already destroyed, and even if they are treated with all kinds of powerful disinfectants, then their

color and condition will also be ruined, and that is why i am glad to see that the country is responding that people from all towns and cities are providing humanitarian assistance help, so i think that it is better to close this issue in another way by providing these people with help from all possible ways and channels and give them clean, high-quality clothes , and not those that are no longer known . i heard from you that you really don't want to scare ukrainians, but sometimes it has to be done because i already asked a colleague and we talked with the national health service of ukraine regarding vacationers on the beaches in odesa. and what can actually threaten them is already closed accordingly. the relevant services of health care have also warned that it is extremely dangerous. and it's just that they will have a mind to which you now

have to have a mind rivet to enter from working on the beach because the danger is once again water itself is a very good solvent and all these pathogens and they are infectious diluted in it, that is, if we are talking about cholera, for example, then a sufficiently large amount of its causative agent is required for a person to receive it orally and then have problems. well, it's just as simple. water can bring milo, and why talk about induction diseases at all if we if the danger is simply times greater and more frightening. therefore, now i think that for sure, for sure, what is the deadline, the news is acute, well, for a period of at least months or even two questions about baths beaches in odesa it's just a question that even here we can continue the conversation if we talk about if

the roofs of houses are floating, explosives are unknown , corpses are floating and well, what kind of swimming did we get sick in general, because the siberian name here is not about cholera, but rather anthrax that is sold precisely by contact well, i think i wouldn't risk such concepts if i were in their place, let's literally have two minutes left, let 's sum up our conversation with you and literally five points and here is this here is this here is this we adhere to and avoid health problems if we observe sanitary standards of hygiene if we are smart enough to understand that water is dangerous , first of all there is danger in water that is consumed internally and to understand this about the well asks for all kinds of open water bodies about sources about their own there are some private columns here and there and then it is possible to avoid both the scale

in the epidemic in general during the epidemic there is no conversation at all and to avoid the scale of even single cases from paradic in relation to particularly dangerous diseases it has already been said here individual vigilance and the reality of turning to specialists self-treatment can be effective only under the conditions that the person being treated understands that he has a case, it is better to contact specialists, they are now all the points of assistance are deployed from they are in big cities and it is only a matter of logistics and how to get to them quickly and we will not miss this early period . and with regard to the distant consequences of arid regions, how to restore water supply in general and how this safe, pure quality water is produced, this is already a question not to me to the relevant services and we have hope that it will be resolved and these scales are of course catastrophic they will not pass in one year

but little by little together we will overcome them mr. yevgeny i thank you for joining today of our broadcast, thank you, thank you, yevhen dubrovsky, an infectious disease doctor, was in touch with us today. they gave us the maximum amount of advice. you now know what the consequences can be . you know the main symptoms with which you should immediately consult a doctor. and also about the readiness of hospitals for... of these flooded territories and the readiness of hospitals for immediate response. this was a program about health, and i, iryna kovaliy, want to remind you that the time of our broadcast has been changed, so now we go out twice a month on thursdays at 1:00 p.m. and stay tuned to the espresso tv channels literally in a moment i will tell you about the most important events