oncology named after dima rogachev, and children there are already receiving the most modern treatment, these new technologies will, of course , improve the quality and results of treatment. naturally, over the past year, the number of beds has increased by 2,500 beds. to create conditions for the use of modern treatment methods, we are updating the material and technical base in all institutions, supplied to all constituent entities of the russian federation. the second set of issues is, of course, personnel policy, without well -trained personnel in this area impossible to work. and the number of oncologists, including children’s, increased by more than 13%. well, radiotherapists come, including specialists with training at technical universities. and confirmation of the diagnosis of the tumor, and... the approach to treatment, today the standard

of diagnosis is carried out in each region, and to improve the quality of diagnosis , a modern reference center operates, these are advisory centers where you can get the opinion of a second specialist, a more high-level institution, such as telemedicine research consultations, today more than 3,700 telemedicine consultations. more than 300 thousand laboratory tests are already carried out per year, as a second opinion, and we are moving to clinical recommendations, this is one of the key forms of standardization of treatment approaches, with individualization, today, they are updated, taking into account again the blocks, such serious , this, of course, is informatization, on your instructions, today in all constituent entities of the russian federation,

medical information systems have been introduced, significantly simplifying processes, including the creation of such a resource within the framework of a national project as a vertically integrated system, it is essentially a product that allows the development of areas as support systems, plus, this year , programs are being purchased and implemented in all constituent entities of the russian federation with artificial intelligence, 76 subjects already today and i want to note that this, of course , allows us to improve the quality of diagnostics and interpretation of studies, well, diagnosis. separately, i would like to dwell on measures to ensure the availability of treatment, today chemotherapy is becoming more accessible by more than 60% and radiation therapy by more than 25%. for the first time in the country since the twentieth year, proton therapy is carried out, more than one thousand people receive

it per year... with your support , bone marrow transplantation technologies are also developing today, this is one of the key technologies in the treatment of patients with blood diseases, assistance has increased, we are providing assistance we use today and of course new approaches to financing with the involvement of a circle of... good, today, our field in oncology is becoming more and more popular and, uh , competitive in the world, we accept specializations at our bases for specialists who work in this field, uh, today it has increased significantly. in the next part of the report, i would like to dwell on a number of such serious issues related to ensuring accessibility and quality. medical care in

new regions, in addition to direct routing, which was done almost from the first days to nearby regions, while we are forming infrastructure in these regions, in center and federal and regional centers, patients are now being sent to new regions; today, support for the oncology service has begun; in 2023 , 620 2 million rubles have been allocated; next year , the supply of equipment in the amount of 450 million rubles is planned. on our instructions, examinations were carried out to identify diseases at an early stage and adjust treatment regimens in chronic patients. drug provision is under special control. we monitor the situation in real time regarding the availability of necessary and essential medicines.

a specially created resource, and according to the situation, we are taking waste mechanical antitumor drugs, today clinical studies are being conducted on more than 100 drugs, this year more than 45 drugs have already been registered, well , denis valentinovich will probably add me in more detail in this direction , new areas are also actively developing, such as radiopharmaceuticals, personalized genetic tests, analyzing global approaches to regulation, and here it is very important to subtly act without causing harm and with one ensured such rapid growth of this area, today radiopharmaceuticals. pharmacies are being created, you met one of them today in the center, and together with rosatom we are implementing a project in obninsk to build the largest plant in europe for radiopharmaceuticals, also rosatom is our reliable partner in the development of products,

medical devices for the conditions to support this directions, well, i also want to note that within the framework of the federal scientific and technical development program... synchrotron and neutron radiation, we, together with the academy of sciences is implementing a number of such high-tech projects, the kurchatov institute is jointly participating in our work , my colleagues and i are in almost constant contact, a radical change, because it is scientific developments that today give us, well, such confidence that progress in treatment oncological diseases, their prevention will... expand, and such personalized approaches in immunotherapy are supported by you, they, we received approval there at one of the requests, therefore, vladimir vladimirovich, in conclusion i would like to say that the situation in oncology

remains one of the most serious and widespread diseases, therefore , of course , we see the targeted, targeted and comprehensive development of individual modern and promising technologies as the most promising. thank you very much, the report is finished, thank you, denis valentinovich, there is something to add regarding industry, yes, thank you very much, if i may, i wanted to say how we are doing the main work now on creating capacities through the development fund industry, these mechanisms are working, more than 11 billion rubles of budget funds have been invested. and also under five special investment contracts , projects with a total investment volume of over 20 billion rubles are being implemented today. among them, the creation of a production project, we will use the mechanism of a cluster investment platform, one of them will be

implemented by the empharmam company in st. petersburg, where, among other things, it is planned to launch the production of eighteen anticancer drugs. well, complex pampering built in this way motivates our companies to create new drugs, only this year, as this nomenclature has already said, it is already being produced in a full cycle; in general, the share of domestic oncology drugs in government procurement in physical terms is already approaching 70%. and i would like to note that often the selling price of russian ... analogues is one and a half to two times lower than that of imported ones, but this allows the ministry of health to purchase large volumes of the drug, savings can reach 3 billion rubles per year, but this effect will be even more noticeable by

as we continue to substitute imported drugs, the necessary groundwork for this is available, and at the same time, for the development of which we have not yet produced until the end of the year, we are launching a new mechanism to support the creation of analogues of patented drugs, the copyright holders of which are companies from unfriendly countries, if in violation of international standards , they will stop supplies for some reason, we will promptly launch these drugs into production, for which... registration will already be prepared certificates, and mikhaileniye mishustin instructed us to prepare them. and i would like to note that for eight items from this list we already have a registration certificate, and

the same number are in line to receive them further; the rest of the drugs are in the research and development stage. and just a few words regarding the equipment. and medical products that are used in oncology , x-ray diagnostic equipment did not exceed 35%, but now it reaches 80. we produce almost the entire range of complex types of medical equipment. other the area that we pay special attention to is nuclear medicine. in this niche, rusatom is one of the five global manufacturers that are not produced. we are implementing projects to scale up serial production of types of medical equipment, including linear ones.

cyclotrons, electron beam therapy complexes, as well as mri machines, computed tomography, endoscopic equipment, ultrasound, and what is very important, these are consumables for them, rostek, rosatom, and we expect that all prototypes will be to go into production within the planned timeframes that are set: to the companies, thank you for your attention, this is heavy equipment, it is still domestic, for some reason it is not visible in our medical centers, vladimirov, as for x-ray equipment, there is enterprises that carry out assembly, assembly, and are now moving to the production of their own tubes, and in fact, they will provide... as consumables for other equipment that is currently in use, according to mri

the level of localization is still quite low, but rostec has, mikhailovich, how do you evaluate domestic equipment, cats, well , in terms of x-ray technology, everything that concerns today is... high quality for both screening and confirmatory examinations, including mammography, and so on further. for ct, now our developments have begun to be actively used by manufacturers , especially during the pandemic for mri, well, denis valentinovich said, this is not complete localization yet, these are the first steps we see in this direction, but for heavy equipment, here the rosatom company has developed a drug for a device for contact radiation therapy for brachytherapy, it is already installed in federal and regional clinics

today, everything is actively working well with therapy, it is a six- machine machine, today in the federal center its direct use is already being honed, so developments are actively underway today , it should be noted that all manufacturers today are focused on innovative solutions. they are tuned in to them, they need to achieve quality and they need to provide the market doesn’t budge if there are problems with quality, and of course preferences in procurement are the measure of support that should be there, mikhail mikhailovich, do you have anything to add, somehow on this issue, did you want to say something? yes, dear vladim vladimovich, very briefly, indeed, the government and the regions are doing a great job, but i will say literally

in short the identification of 500, 250 for referral to a concologist and 250 for registration at a dispensary, while the chief doctors tell us that the requirements for paperwork and reports such that it’s easier to refuse this payment, and this is confirmed by figures: according to the accounts chamber, out of 66 million allocated for these purposes in the twenty-second year, only 2 million rubles were spent. in thirty regions... not a ruble was spent on these purposes, despite the fact that in hundreds of thousands of people, this process at a minimum requires automation and transparency for health workers, the second problem is related to copstroy, on your instructions we are working on, there are capital construction projects with different completion dates, in general, people continue to note a continuing shortage equipment queues for research, such complaints... there , unfortunately, the khabarovsk territory is still causing empty concern, and there the construction of an oncology dispensary in komsomolsk

-on-amur was supposed to be completed before the twenty -first year, now the deadline for delivery to new contractors is in the twenty-fourth, and also equipping the oncology center in the city of khabarovsk, there is not enough equipment in khabarovsk itself, and the third problem is the availability of specialized nutrition for patients undergoing radiation therapy, and when undergoing treatment in a hospital, patients are provided with everything they need; there is an acute shortage of specialized nutrition, and due to the high cost of foreign food, patients are forced to buy analogues, they buy mixtures for athletes, which, in terms of medicinal qualities, do not correspond to special medical ones, we know that... this work is already underway, but it seems to us impossible to solve the problem of accessibility of this specialized food without creating a full-fledged domestic production industry, thank you very much, it’s over, to increase their oncology.

vladimir vladimirovich, it really is like that, there are such appeals, we are ready to work on simplifying it, well, including, probably , localizing, probably, everyone’s participation, because we still have social payments, from this year we have supported the direction of lifetime research, so we are ready to work on this, as for khabarovsk , the existing equipment load is large, so if there is your instruction, i think that we need to additionally supply this equipment there, we have worked with ministry of the far east, they, in principle, are also ready to join us in this task, and regarding nutrition, yes, there is an order from tatyana alekseevna, golikova, the supervising deputy prime minister, this was discussed with mikhail vladimirovitch, so this is for special types of nutrition, well, it needs to be supported, it is clear that we need to support, we need to understand how to support, what the deadlines are, what we can do and must do, just

now mantura said, when he reported on pharmaceuticals, he said that we need to act according to the product principle shelf, well, in this case, you can’t act on the principle of a tooth for a shelf, if you don’t have enough to produce, i don’t think it’s such a big difficulty, you just need to understand when, what the deadlines are, how much it costs, can i say two words, good day, good day, dear colleagues, back in the twenty-second year, this was the third direction in which... federal authorities, including metzdrav and manufacturers, have prepared an appropriate plan for the production of both components of medical nutrition, and the medical nutrition itself, state support is provided as

at the level of the ministry of industry and trade, within the framework of the decision taken by the government, and at the level of the ministry of agriculture, i want to report to you that today , enough, i’ll probably name them, this joint-stock company biotech rosva is implementing a project to establish the production of at least 11 of they have now planned the 17 amino acids that are needed for the end of 2025, production with an annual volume of 120 tons, here the project has received state support in the amount of 400 million rubles. they are also implementing a project to produce a wide range of spectrum of amino acids, the period in the first place is twenty-third-twenty-four years, the second stage is twenty-four, twenty- sixth year, and there the total volume of production of amino acids by the twenty-sixth year is up to 100,000 tons. the volume of investments is already estimated at 2 billion rubles. and

there’s probably a whole list of them, but i’ll probably name one more, this is the organization of production. the project is in its twenty-fourth year, state support is provided through the ministry of agriculture, i want to report to you that this direction, as well as all the others that were announced today, is under constant control, and we are monitoring the timing and results of the implementation of these directions, which colleagues have stimulated to date for identifying cancer patients, but here, mikhail mikhailovich is talking about consolidating payments, i would think well about consolidation here, because we are interested in ensuring that doctors who work, everyone, have oncological alertness

doctors who work with these patients, and we are now, together with the ministry of health, within the framework of a new state guarantee program, free aspects of the clinical examination program, to identify cancer diseases at earlier stages, but this is like our step forward, taking into account the analysis of the program that we today we are already implementing what mikhail alberich reported on, and if we transfer some studies to earlier stages, accordingly , carry out earlier detections, here we will think about how it is possible to modernize these payments in the context of elaboration, and not of a specific statement, the point that one specialist is needed or something else, we will think about it here, we have our own proposals, we will certainly report to you after we complete the work, thank you very much , fine. and of course, maybe look at the size of these payments , this is probably the key thing, yeah, okay, this is what he does

in order to effectively control the entire process, and as for, as for, the completion of the corresponding facility in the khavarovsk territory, this is an inter-district oncology clinic, and in komsomolsk namur. how much money do you need? a little more than 400 billion rubles. there is the far east, what mikhail oberch said, mikhailovich, they have enough money, right? they now have funds to complete the construction of the facility, but they asked for more equipment in khabarovsk, directly at the oncology clinic, where some of the communication equipment with a high load is out of order and needs to be replaced, so this amount there is somewhere around 400 m ready. purchase this equipment and ministry

further implementation in this is 450 450 for development and plus 400 on the contrary 400 450 - this is for the purchase of equipment, they have money for construction today, they have a new contractor, so nothing is needed there yet, for now they have to implement within the limits of the means that are allowed. a short remark, vladimir vladimirovich, who is chakunkov from the swag petrovich, yes, dear vladimir vladimirovich, regarding equipment, we have found a solution, 402 million rubles, we will provide support to the khabarovsk territory.