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#1 Rospotrebnadzor presented a report on the state of sanitary and epidemiological well-being of the population in Russia in 2024. Among other things, the agency touched on the topic of infectious diseases and the financial burden of overcoming them. Thus, the volume of direct medical costs of budgets at various levels to combat chronic infectious diseases (tuberculosis, HIV infection, and viral hepatitis B and C) exceeded 235 billion rubles. The greatest economic damage was caused by acute upper respiratory tract infections of multiple and unspecified localization - 816 billion rubles. In second place is COVID-19 - 91.6 billion rubles, in third place is chickenpox with an indicator of 44 billion rubles. The least damage to the budget was caused by leptospirosis (10 million rubles), typhoid fever and tetanus (4.4 million rubles each).

#2 Deputy Governor - Minister of Health of the Sverdlovsk Region Tatyana Savinova announced the liquidation of JSC Pharmacia, established in May 2024. At the moment, the state structure is the sole supplier of medicines and medical devices for regional clinics, and it was also planned to entrust the enterprise with the retail sale of drugs to beneficiaries. The official did not announce the reasons for the liquidation of Pharmacia.

Regulators

The courts have called the payment from the funds of the compulsory medical insurance for the work of doctors with an expired specialist certificate untargeted. We are talking about cases when medical care was paid for during the period of work of a doctor without permits, even if the employee subsequently confirmed his qualifications. Previously, the courts often sided with the clinics and made the following decisions: if doctors without a certificate provided medical care in a timely and high-quality manner, the expenses can be considered targeted, and work without documents is the subject of separate inspections by Roszdravnadzor. However, in one of the recent cases on a similar dispute, the Arbitration Court of the Ural District, referring to the decisions of the Supreme Court, called such expenses illegal, since the provision of medical care without a certificate, as the Arbitration Court believes, is not included in the structure of the compulsory medical insurance tariff and is a violation of the Rules of the compulsory medical insurance.

Organization of medical care

The Russian Ministry of Health has issued a new Procedure for Providing Medical Care in Neonatology. The document replaced the thematic order from 2012. Among other things, the department adjusted the staffing standards for the neonatal department and, to support breastfeeding, assigned one nurse per 20 beds instead of 30, as was previously the case. According to the order, the workload of junior nurses will increase. Previously, the standard for them was 4.75 per 15 beds, and now it has grown to 4.75 per 60 beds.

Social services market

The Ministry of Labor of the Russian Federation has updated the Rules for the Operation of Social Service Organizations and Their Structural Divisions. The regulations will come into force on September 1, 2025, replacing a similar document in force since 2014. In the new version of the Rules, in particular, the staffing schedule of social service homes and boarding schools providing inpatient services has been changed, the positions of junior nurse for patient care, occupational therapy instructor, content editor, clerk and database administrator have been excluded. At the same time, one staff unit has been added - a specialist in the selection, installation and maintenance of rehabilitation products.

Medical products market

The Ministry of Industry, Trade and Energy of the Astrakhan Region has collected a fine of 5 million rubles from the Astrakhan Medical Products Plant for refusing to implement a project to build a medical glove plant in the Lotus SEZ. The agreement, which was concluded in 2020 and involved investments of 1.6 billion rubles, was terminated in court. Construction of the plant was supposed to begin in 2021, but the project never got off the ground. In May 2024, a scheduled inspection arrived at the site, which found that construction of the facility was not underway, and the investments envisaged by the business plan had never been made. The plant received an order to eliminate the violations, but a repeat inspection that arrived in September 2024 found the same picture. As a result, in December 2024, the Ministry of Industry and Trade applied to the regional court with a demand to terminate the contract in court. Following the proceedings, the Arbitration Court fully satisfied the plaintiffs’ claim.

Clinical guidelines

The Russian Ministry of Health has approved clinical guidelines (CG) for the treatment of type 1 diabetes in children. The document replaced the CG version adopted in 2019 and should be revised no later than 2027. The CG, among other things, provides data on diagnostic methods, treatment methods, and the prevalence of the pathology. According to the updated regulations, many countries, including Russia, are registering an increase in the incidence of type 1 diabetes in childhood. For example, in 2016, the incidence was 14.2 cases per 100 thousand children, and in 2022 - 27 per the same number of patients in this age group.

Other news:

The Federation Council approved a bill on the right of doctors to prescribe dietary supplements to patients

Novosibirsk Ministry of Health has achieved recovery of 38 million rubles from the VIS group

A building for a city hospital in Perm will be built for 4 billion rubles

Marina Makedonskaya approved as head of the Tambov Region Ministry of Health