over the past two years, almost 3,000 feldsher obstetric stations have been created in russia, all of them are connected to the internet, medical information systems , more than 1,300 mobile medical complexes have been purchased for rural areas, and more than 112,000 children have already been purchased in new regions. passed preventive examinations. moreover, more than 1,500 received surgical care, including in federal clinics,

minister of health mikhail murashko told about this and not only in the final interview to our tv channel. thank you very much for being took the time to sum up the results of the year with us. hello. let's tell the general situations of the general trends, what trends we are currently observing in demographic terms in the first place. uh. i would like to note that after the decrease in the incidence of a new coronavirus infection and the worlds already found, prevention and treatment, of course, the situation of the medic and demographic in terms of increasing life expectancy will change for the better . we expected life expectancy this year given the high morbidity levels. the first four months are within 71 years. we see that life expectancy will be a higher than 72.4 years. that is, this is an indicator

that, compared to 21 years, has improved by 2.4 years, this is still forecast indicators. i think that in fact they will be somewhat higher and, of course, the indicators of children's health are also important, especially. we always talk about infant mortality - this is the health of children, something that is already laid down by mother's nature. it 's, uh, the foundation that allows us to expect that a person in the future will develop a state of health that allows him to live a long happy life and an indicator of infant mortality. today is one of the lowest for the entire period. they are for now. here we see it is somewhere around four whole 4/10, struck. this is a very low

figure for european countries and the whole world. today we look very dignified , and the system for providing medical care to the mother of a child allows, uh, in fact, today in such good indicators, and specialists learned how to nurse children with extremely low body weight, the system has become so effective and it is interesting that over the past 10 years, 27 countries have improved their skills as specialists in the russian federation in recent years. this is the only one. specialists have undergone advanced training and our professors have traveled and trained almost 700 specialists in other countries, and doctors have been trained this year. these are very good indicators, which indicate that the

experience and technologies that are used by domestic healthcare in this they are effective in this direction, but also in cardiovascular diseases, and the mortality rates today are lower than, uh, the rates of the nineteenth year before the pandemic. well, it is within 10%, but also a very good trend. this is a decrease in mortality from cancer, but we are not saying that there are fewer cancers. it is the opposite sign. oh, and plus, we see that those modern technologies of attraction that have come, they allow four and a half percent to achieve certain success. it was a decline previous years this year. now we can see that the forecast is somewhere in the range of another 7-8%. uh, it won’t be better than an indicator. therefore,

we see that investing in the health care system of attention to one’s health has an effect that justifies itself, how sanctions wars affect the health care system, what can be said today about equipping medical institutions, if we are talking about infrastructural importance in first line? but i want to note that today there is no crisis situation in the healthcare system. of course, we understand that if today this situation is stable - it should be used precisely as a point of development for the healthcare system to develop its own competencies, and in total about 40 such global anti-crisis worlds were adopted, including certain issues of changing the procurement policy advancing e-e

by increasing additional financial resources for uh, timely purchases and so on, many, many things that have been done, but such are also key ones. it's probably six uh decisions that were literally some let's call it e, for example, the drug labeling system has made it possible to create e, a system for predicting and analyzing drugs on the market. and so the analytical platform was created. it allows you to see what is happening in the public procurement sector and the pharmacy network, and thus also. give instructions to the ministry of industry and trade where

to pay special attention, say, to the prevention of shortages, and, among other things, give a message to domestic industry and uh developments in order to speed up certain others, well, plus. a certain decision was made, which allowed, in the event of an island of shortage, to carry out the supply of e drugs according to an accelerated scheme. including new procedures. registrations have been created. well, it does work in the end . just recently, one domestic drug against the tumor was registered, which, we hope, will, firstly, provide import substitution, and, secondly, it will reduce the cost of medicines and improve accessibility. well, after him, another such the same drug from analogue analogues of this drug has also received permission for

clinical trials. and we hope that this opportunity to operate on a domestic manufacturer and on a competitive environment will create additional resource opportunities for us. that is, there are many accepted good active ones. that is, today we can talk about the stability and self-sufficiency of the drug supply system of the domestic drug supply system. how justified are the fears that appeared against the backdrop of speculation by foreign companies about that one of them stopped the clinical study stopped economic research in russia recalls their drugs. the world does not have a full range of production of medical products, medicines, medical devices. this is a specialization of competence, of course, developed countries are trying, as much as possible, to create

production sites for themselves. this became especially noticeable after the pandemic, when there was an active demand for the same drugs and medical devices in all countries. and so this independence from the uh situation, of course, encourages everyone to take active steps to develop production. therefore, in the russian federation, we assess the situation today as stable. but we must remember that the build-up of competence and scientific and industrial. this is the challenge today. uh, today and by no means can it be postponed until tomorrow, how did the healthcare system cope with the new wave of both covid and flu this year there was no flu for 2 years, and this year it generally caused trouble for both doctors and patients . yet

rise in morbidity. it is ongoing and , uh, more than 120,000 patients who are now in the acute phase of a new coronavirus infection in a week. almost one million eight hundred thousand people fell ill with the flu. but for the last week there has been stabilization and some slowdown. and this includes the m-th number of regions, the measures taken, where there was a high level of morbidity. it 's a suspension workin' school. uh, before the kids went on uh holidays, and that broke those chains. well, plus the population has become more attentive more often masks have become wear. it's also good. you don't need to

forget about it. this is not this is not ours, history is what we should mean by wearing masks. we must use this in case of any risks to health, and development, including respiratory diseases. this is normal, and it already belongs to society today to wash your hands well and wear masks to avoid high incidence of visiting during the period of rise. uh, public places where there are a lot of people. well, such simple things, but they have an effect. ah, the systems, of course, work with high workload, the polyclinic link was especially convenient. and i must say that , firstly, the vaccines that were used against influenza, they absolutely correspond to what is circulating today and allow preventing the incidence of serious complications in the event of the development of

human diseases. and the high percentages of vaccination made it possible to still restrain the rate of development of the disease. therefore, i think that this year it became especially noticeable and people felt it, therefore, i think that next year the commitment is like a price chain will be much higher. it is generally formed. culture. we remember when the coronavirus infection began, there were many skeptics. and uh, people who say yes, no, nothing is needed, they type something else there so completely. it seems today even an absolute statement, which, nevertheless , took place in society and the formation of precisely culture. taking care of your health in a preventive direction, it is being

formed today, i would like it to be everywhere. i think it was a steady trend. and against this background continues modernization of the primary health care system what intermediate results can we talk about today? well , their goal, of course. the pace of modernization of the primary link is very high. but if we talk about rural medicine, in general, in principle, today it is the modernization of primary care. they're just repairing those, or they're units or supplying equipment. it really became such a complex solution. well, i'll just explain why this happens. here is rural medicine, look. the first is paramedical obstetric stations. uh, as part of the modernization of primary care at health care , almost almost 3,000 obstetric points today have been here for the last 2 years. e

mounted or built. if we look, er, the period of a decade, then the number of obstetrical paramedical stations that were created, but built or purchased, as a modular design. that's almost 11,000 plus the repaired number of facts. now it is about another 1,000, and it is planned that in total. uh, taking into account the entire period of this ten-year period, if now almost every second stage is to be or refurbished, but most of the new plus is the holding. internet in novoselskiye health care facilities, the purchase of equipment today is carried out only with the

ability to connect. uh, it is precisely to digital data transmission channels and the formation of medical information systems. this is another block that is in the tasks today and is being implemented with frafas. and such a program. even in several subjects, digital is already actively developing, plus words of gratitude, of course governors who, in addition to building or acquiring these medical shelters , pave the way. 35,000 faps, who did not have a license to register their activities, did not have pharmacies in the locality, today they all received a license, they have the opportunity to dispense the drug, plus the development of 1,000 more than 1,300 mobile medical complexes purchased, which travel e, rural areas and provide medical care, including where few settlements where the paramedic has no

connection with the number of such settlements there are less than 100 people there. where a mobile point can come and, accordingly, conduct an inspection and provide assistance. this is another step that was taken plus the development of aviation itself. plus the purchase of motor vehicles over 11,000 units, the complexity society will purchase 20,000 units. these are the highest figures for ambulances and so on. that is, you see, this is complex. solving the problem of the primary, it allows today to say that this transformation is going on very actively, another direction, probably already the modernization of the entire healthcare systems are digitalization, which it already gives to the doctor and the patient today and into the future. and well, of course. not just digitalization, we also thought so at first

that it would only affect the implementation of information systems. it turned out not, it turned out that digitalization is much wider and bigger and deeper. this is the digital transformation of the industry. generally. well, in particular, the formation of not only electronic history, the disease of a citizen's digital profile. this is such a first step towards personalized medicine when u a specific profile is created for each patient with his analogous data with his chronic diseases with the aim, including secondary prevention of an exacerbation of the disease or worsening of the course of the disease , and many such steps have already been taken today to form an integral structure. in particular , these are jobs, medical information systems, regional information systems that

have been created now this year, by the end of the year there will be a digital medical policy, and now with the advent of a digital medical policy, thus, we uh actually link data about the patient, we begin to collect his profile and the formation of this profile. the risk-oriented approach is already included. it is very important here to form mutual trust between the doctor and the patient and the communication system and the formation of such. namely, a preventive approach, so as not to lead to the development of serious diseases in a timely manner, where it is possible today. there are technologies to prevent them from forming. mm, today a new concept, like a healthcare domain, is such a bandage of all systems. there is an increase in the firewood

of supervision of the ministry of health and the compulsory health insurance fund of the federal medical and biological agency for shutting down rospotrebnadzor, and this is all, in the end , this is such a circuit in which we already have. uh, first of all, uh, unified directories of unified data that allow you to analyze. what needs to be done in which region, even within the region. we can today already today with the help of our information systems. uh, load it up and see which district hospital does the best job. which lags a bit. what problems exist with the health of the population in well three of the subject itself, because some there are 50% of education. and here we are already demanding from the regional ministers that they form. it is these targeted actions in relation to the health of the population. here is where it is particularly relevant. e measures that can

actually reduce the incidence of mortality, disability interaction issues are removed. here is today e for the drug. already, too, in general, a complete digital life cycle profile. whole here is the beginning of it procedures for clinical trials, registration there, and, uh, after that, and control of production and circulation and exit from circulation. that is, we see the full pricing. everything, this is already a need, drugs. the need in the same way it allows, including quality control. m year replenished with new regions by citizens, as the health care system will integrate new citizens, taking and to itself. how to conduct a medical examination of the population. what tasks do you see today for the population of new

regions of russia, first of all, it is necessary to ensure accessibility. for the citizens of the new territories, all the benefits of health care that can already be provided by federal clinics and at the place of residence 172 medical organizations today are being repaired a large number of more than 50 on the territory in these four territories and more than 50 have already completed repairs in order to work in the positions of sanitary conditions leads the supply of equipment is the key, of course, so that uniform principles of licensing unified conditions for the provision of medical care. they would be no different in these

medical organizations, unfortunately. the level of equipment is lower than in those medical organizations that already work in our territories and provide medical care, so the primary task is to start bringing them up to the level of technical equipment, plus drug provision of 7.5 more than 7.5 billion rubles. it was aimed at acquiring medicines of this kind before, simply the availability of foreign colleagues has never been to us asked a question. and how do you provide for these patients, there are suppositories of infection, everything is fine, drugs have been purchased, established centers receive this help. oh, and prevention . we always talk about the importance of the preventive direction and on behalf of the president today.

more than 112,000 children have already been examined in all four territories, and we are following a verified schedule until the end of the school year. all who are subject to inspection and expressed their desires. they will receive medical attention. moreover, it can be said that, uh, more than one and a half thousand children have already received surgical care and the most severe ones, including those sent to the federal clinic in uh, the results of passing medical examinations are put people. this is exactly the complex that allows, and i want to tell you that 50% of diagnoses were made for the first time. that is, uh, this is definitely a necessary medical measure - preventive

examinations, which will allow parents, among other things, to know year, the president's instruction should launch a large-scale program to combat diabetes. ah, as not involved in the ministry of health, firstly, the state duma introduced and adopted uh the law on the restoration of additional uh tax taxes on sugary drinks and it comes into force from the second half of this remedy, which will be sent just. here, so to speak, the possibility of

uh, the treatment of patients with sugar deconcrete includes the development of a school of diabetes in general. this is for specific the patient is shaped lifestyle, so timely knowledge to teach and so on. this is important. the second part is the supply of certain types of equipment for diagnosing and developing complications of early early diagnosis, because diabetic patients are prone not only to infectious diseases, as we already know these periods, but also to a number of severe lesions, and vascular russian. e, in particular, an emerging eye disease, and lower extremity kidney disease, including e, requiring subsequent hemodialysis for in order to control sugar, to control the development of vascular complications. therefore, a certain diagnostic complex is required

. measures are immersed, well, plus additional measures aimed at monitoring. uh treatment. now this program is being considered by the government. ah, deputy prime minister tatyana alekseevna is very interested in a solution. today we have several sources of funding and regional benefits. and federal will be for e patients with disabilities, so all this should complement the formation of a common sweet - this one of my new year's resolutions. there are healthy russians and the russian health administration. what other advice will there be? first of all, uh, the new year is an expectation of a miracle of a fairy tale for bright things and, of course, in order to dream, hope and believe, there are conditions for this, you need to be healthy, so you know.

first, more attention to one's own health does not need to be consumed by those bad habits. it's like, it would seem trite, but nonetheless. spend new year's eve beautifully and happily do not abuse. second, perhaps very important. it's next year. take care of yourself. go through a medical examination in a timely manner, where vaccination is offered to get vaccinated. take those preventive courses that you need in the end, and physical education and sports. but it will definitely strengthen your health, regardless of even those chronic diseases that you have. it would seem that everything is simple and banal, but it is difficult to be happy. and another one like this. uh, perhaps today we should try to observe the inner.

this is peace and balance. just try to work it out with minimal loss of property. thanks a lot for your site. thanks for your comments. two militants were killed in kabardino-balkaria, who, on the instructions of the ukrainian special services , were preparing a terrorist attack in the city of

chegem . resistance and return fire were destroyed on the spot. the security forces found a homemade bomb, a submachine gun and ammunition. 318 of the russian federation, this is illegal trafficking, weapons and assault bodies, according to the investigation on december 206 , 5 a.m., the city of nalchik, the fsb, when carrying out activities to locate and detain persons involved in extremist activities, two people with automatic weapons responsible fire from fsb officers, uh liquidated.