Ognejar
30.11.2004, 07:17
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The Moscow donors infect sick with a lues and AIDS
In Moscow and to Moscow suburbs the strongest epidemics of a lues, a hepatitis and AIDS threaten. Within last 8 years in a medical network of Moscow and the Moscow area the blood of the infected donors acts.
As Mosoblprokuratury Elena Pchelenkova has informed the main expert of a department of introduction and operation of computer facilities, " us the most serious epidemic has comprehended or overtaken, and not only the Moscow area, but also all country. This epidemic concerns or touches not only a lues though has begun with it or him, but still AIDS and a hepatitis In and With ".
" In these conditions there was a problem of the latent period of these illnesses or diseases at donors, this problem exists since 1993, and with her it is very complex or difficult to struggle ", - has noted Pchelenkova.
" For the period studied or investigated by me such blood have received 325 person ", - she has told or said. " From one donor if he personnel also hands over plasma once in two weeks as it is authorized the order of Ministry of Health, can receive plasma 20 person ", - has noticed Pchelenkova.
" I everywhere spoke about this problem, but all remains on a place ", - she has added. Pchelenkova has directed the reference or manipulation addressed to the public prosecutor of the Moscow area Ivan Sydoruka in which she speaks about a problem of the infected donor blood. In a basis of the reference or manipulation its or her research job on a problem of use of a "dirty" donor blood in medicine and in manufacture of pharmaceutical production has laid down.
As they say in circulation addressed to the public prosecutor of the Moscow area, " a dirty blood " not only pour to patients of hospitals, but also use for preparation of children's inoculations against reproach.
In a basis of the reference or manipulation to the public prosecutor the greater or big research job spent by Elena Pchelenkovoj on a problem of use of a "dirty" donor blood in medicine and in manufacture of pharmaceutical production has laid down.
This job is in own way unique: very few people will come in a head to trace a problem of 8 years, to upholster with materials and documents thresholds of various departments, to listen or auscultate to threats in the address and to not lose hope to find the truth.
" Before entering on job in Office of Public Prosecutor I was engaged in development of computer systems of the account of the donors infected by various infections in territory of the Moscow area, - Elena Pchelenkova has told. - But the most awful in this history - under an available information, till now is saved probability of use " dirty " bloods by manufacture of an interferon and the immunoglobulins used for children's inoculations against reproach ".
" Without exaggeration it is possible to tell or say, that on a map national safety of the country is put, - Elena Pchelenkova speaks. - On application of the law (" About a donorship of a blood and its or her components ") the Moscow area for a long time is outside of a legal field. Of a blood of situated near Moscow donors make raw material for Service of a blood of all Moscow region and the foreign pharmaceutical companies working in territory of Russia. Powers of these companies, in turn, provide with vaccines and medicines the basic part of our country ".
In the materials, given to a management or manual of Office of Public Prosecutor for check, in particular, is available more than 50 notices from the Moscow regional dermatovenerologic dispensary (MOKVD) to address of Station of a hemotransfusion of the Moscow committee of public health services for 1997-1999. All d
onory, specified in these notices, are sick of a lues, and many of them had time to hand over a blood on some times. One of donors - the inhabitant of Serpukhov - has managed to set up a record: the infected blood plasma from it or him have received 20 person.
In total during this period the infected donors have made more than 140 krovodach, and the further way of "spoiled" bioraw material because of absence of the centralized account of venereal patients frequently was not traced at all.
In Moskovsk regional research clinical institute (MONIKI) it or him. M.F.Vladimir and in scientific research institute of first aid by it or him. Sklifosovskogo have confirmed, that an incubation interval or a delitescence for hepatitises In, With and AIDS till now finally medicine it is not certain.
For example, the incubation interval or delitescence of a HIV-infection can last 30 years, and at hepatitises this size and at all a variable. The latent period for a lues - that is time after which terrible disease can be defined or determined by means of a Wassermann reaction, - a minimum of 6 months.
According to time or temporary position from February, 19th, 2001 " About the order karantinizatsii donor plasma in establishments of service of a blood of Committee of public health services of city of Moscow " the blood for transfusion can be used in 3 months.
The document says, that "duration" of a phase of a diagnostic window " (i.e. impossibility of revealing of an infection by means of analyses) at various virus infections varies and on the average makes about 90 days.
Proceeding from it or this endurance or quotation svezhezamorozhennoj donor plasma within 3 months in the frozen status at-40 degrees, repeated inspection of donors and acknowledgement or confirmation of negative results of the testing received during the moment of preparation of stored or kept plasma, allows to consider or count karantinizirovannuju plasma virusobezopasnoj ".
Even to the person far from medicine it is not absolutely clear, as it is possible to reveal at the donor presence of the specified infections in trimensual term if the incubation interval or delitescence makes from half a year up to several tens years.
" Cases of transfusion of the infected blood and manufacturing from it or her medicines and vaccines are described in the periodical of the Moscow society of experts of transfusion medicine " the Bulletin of Service of a blood of Russia ", - Elena Pchelenkova continues.
As she said, a principal cause of the developed situation - absence of legal adjustment between organs of public health services of different subjects of Federation - Moscow and the Moscow area, however all this is fine known both Moscow regional, and to the Moscow city management or manual of public health services.
Journalists managed to talk to people who became victims of a negligence of doctors and imperfections of diagnostics. Among them is both old men, and teenagers. But, as it was found out from conversation, former patients of medical institutions of Moscow and Moscow suburbs (for the clear reasons we do not name names), native did not suspect them, that have once been infected.
Four years back 57-years Andrey Trofimov (the surname is changed) has laid down in one of the Moscow hospitals on operation for which the hemotransfusion was required. According to its or his widow, the man and has died, not having learned or not having found out that has been infected.
Though it is not known, that it is better, - there were cases when unexpectedly received summons or agenda with the invitation to visit or attend regional kozhvendispanser led to terrible family scandals and even a suicide. Thus medical institutions frequently do not trouble themselves to inform the person owing to what he is infected, for example, by a lues, and regional KVD cause such patients, as "contactors", i.e. simple "clients" of a veneral disease dispensary.
In Russia unique precedent when suffered from a medical mistake or error it was possible to prove the correctness in court is fixed or recorded, is has occured or happened 4 years ago in Penza.
The tragedy has occured or happened in 2000 when operation on excision of a lien was necessary for the 47-years woman. A lien have safely taken away, but a month later at the analysis at the patient have found out a HIV. As it was found out, a terrible virus have brought at a hemotransfusion. Has been revealed, by the way, and the donor - "spidonosets", appeared by the doctor of the same hospital.
Despite of presence in UK the Russian Federation corresponding or meeting clause or article, have not excited or raised criminal case, but lawyer Didenko managed to achieve large material indemnification of moral harm which has been paid to the victim from the budget of area. The court last half a year.
According to the lawyer, he almost month has spent in library, studying or investigating the profile literature on a transfusion (medicine of a hemotransfusion) as in court verbal duels with the main therapist of area were coming him.
But medical podkovannost has helped or assisted not at once. In the beginning the court of October district of Penza has passed the decision not in favour of its or his client. The Board has agreed with it or this on civil cases of regional court also, and only the presidium oblsuda has cancelled the decision and has directed business on repeated treating
.
The reasons of the previous refusals from the point of view of the law were absolutely ridiculous. The court bore or took out decisions in favour of physicians, motivating it is that " in the Russian courts or vessels similar business or affairs were never considered or examined;surveyed ". The second argument was already familiar to us " absence of the expensive diagnostic equipment ".
Use of a "dirty" blood is not a rarity in the most different corners of Russia. In May, 1997 the big public resonance has caused or called a case of infection at a hemotransfusion in one of hospitals of Ministry of Railways of several patients a human immunodeficiency virus (HIV).
Then in investigation of this case has borrowed or occupied Mosgorprokuratura. As it was possible to find out to consequence or investigation, physicians simply did not manage to find out a HIV-infection in a blood of the donor. The quantity or amount of antibodies on which the virus comes usually to light or is usually taped, in a blood of the donor was so insignificant, that usual check has not shown presence of a lethal virus.
In 2000 in Krasnoznamenskoj rajbolnitse Kaliningrad the seriously ill patient to the man needed a hemotransfusion. Because of deficiency of the donor blood prepared duly to the patient have poured the plasma which has been not checked up on a HIV.
In 2003 in district hospital of Khanty-Mansiysk 116 litres of a donor blood, in particular, 1,5 litres of a HIV-infected, 22 litres - with a virus of a hepatitis With, ten litres - with a hepatitis In and more 9 litres - with a lues have been destroyed. Other raw material has been defective on biochemical parameters.
In all similar cases an explanation the same: scarcity of monetary "contentment" which has not allowed to use the effective methods of diagnostics for a long time applied in the West.
Understanding, that marriage or spoilage grows every year, doctors at the same time convince the population of infallibility the test-systems, applied on stations of a hemotransfusion and reducing an opportunity of infection to zero.
Actually any guarantee, that in similar cases vybrakovyvaetsja all infected blood, no. The data collected by employee Mosoblprokuratury Elena Pchelenkovoj testify To it or this.
During with 1996 for 2001 Moscow regional kozhvendispanserom the hemotransfusion, infected by a lues, to 325 recipients is officially registered.
As approves or confirms Pchelenkova, since 2001 such statistics in MOKVD simply is not conducted. From materials follows, that many donors had been ill with " pudental illness or disease " not once, but despite of everything easy continued to hand over a blood.
The Moscow donors infect sick with a lues and AIDS
In Moscow and to Moscow suburbs the strongest epidemics of a lues, a hepatitis and AIDS threaten. Within last 8 years in a medical network of Moscow and the Moscow area the blood of the infected donors acts.
As Mosoblprokuratury Elena Pchelenkova has informed the main expert of a department of introduction and operation of computer facilities, " us the most serious epidemic has comprehended or overtaken, and not only the Moscow area, but also all country. This epidemic concerns or touches not only a lues though has begun with it or him, but still AIDS and a hepatitis In and With ".
" In these conditions there was a problem of the latent period of these illnesses or diseases at donors, this problem exists since 1993, and with her it is very complex or difficult to struggle ", - has noted Pchelenkova.
" For the period studied or investigated by me such blood have received 325 person ", - she has told or said. " From one donor if he personnel also hands over plasma once in two weeks as it is authorized the order of Ministry of Health, can receive plasma 20 person ", - has noticed Pchelenkova.
" I everywhere spoke about this problem, but all remains on a place ", - she has added. Pchelenkova has directed the reference or manipulation addressed to the public prosecutor of the Moscow area Ivan Sydoruka in which she speaks about a problem of the infected donor blood. In a basis of the reference or manipulation its or her research job on a problem of use of a "dirty" donor blood in medicine and in manufacture of pharmaceutical production has laid down.
As they say in circulation addressed to the public prosecutor of the Moscow area, " a dirty blood " not only pour to patients of hospitals, but also use for preparation of children's inoculations against reproach.
In a basis of the reference or manipulation to the public prosecutor the greater or big research job spent by Elena Pchelenkovoj on a problem of use of a "dirty" donor blood in medicine and in manufacture of pharmaceutical production has laid down.
This job is in own way unique: very few people will come in a head to trace a problem of 8 years, to upholster with materials and documents thresholds of various departments, to listen or auscultate to threats in the address and to not lose hope to find the truth.
" Before entering on job in Office of Public Prosecutor I was engaged in development of computer systems of the account of the donors infected by various infections in territory of the Moscow area, - Elena Pchelenkova has told. - But the most awful in this history - under an available information, till now is saved probability of use " dirty " bloods by manufacture of an interferon and the immunoglobulins used for children's inoculations against reproach ".
" Without exaggeration it is possible to tell or say, that on a map national safety of the country is put, - Elena Pchelenkova speaks. - On application of the law (" About a donorship of a blood and its or her components ") the Moscow area for a long time is outside of a legal field. Of a blood of situated near Moscow donors make raw material for Service of a blood of all Moscow region and the foreign pharmaceutical companies working in territory of Russia. Powers of these companies, in turn, provide with vaccines and medicines the basic part of our country ".
In the materials, given to a management or manual of Office of Public Prosecutor for check, in particular, is available more than 50 notices from the Moscow regional dermatovenerologic dispensary (MOKVD) to address of Station of a hemotransfusion of the Moscow committee of public health services for 1997-1999. All d
onory, specified in these notices, are sick of a lues, and many of them had time to hand over a blood on some times. One of donors - the inhabitant of Serpukhov - has managed to set up a record: the infected blood plasma from it or him have received 20 person.
In total during this period the infected donors have made more than 140 krovodach, and the further way of "spoiled" bioraw material because of absence of the centralized account of venereal patients frequently was not traced at all.
In Moskovsk regional research clinical institute (MONIKI) it or him. M.F.Vladimir and in scientific research institute of first aid by it or him. Sklifosovskogo have confirmed, that an incubation interval or a delitescence for hepatitises In, With and AIDS till now finally medicine it is not certain.
For example, the incubation interval or delitescence of a HIV-infection can last 30 years, and at hepatitises this size and at all a variable. The latent period for a lues - that is time after which terrible disease can be defined or determined by means of a Wassermann reaction, - a minimum of 6 months.
According to time or temporary position from February, 19th, 2001 " About the order karantinizatsii donor plasma in establishments of service of a blood of Committee of public health services of city of Moscow " the blood for transfusion can be used in 3 months.
The document says, that "duration" of a phase of a diagnostic window " (i.e. impossibility of revealing of an infection by means of analyses) at various virus infections varies and on the average makes about 90 days.
Proceeding from it or this endurance or quotation svezhezamorozhennoj donor plasma within 3 months in the frozen status at-40 degrees, repeated inspection of donors and acknowledgement or confirmation of negative results of the testing received during the moment of preparation of stored or kept plasma, allows to consider or count karantinizirovannuju plasma virusobezopasnoj ".
Even to the person far from medicine it is not absolutely clear, as it is possible to reveal at the donor presence of the specified infections in trimensual term if the incubation interval or delitescence makes from half a year up to several tens years.
" Cases of transfusion of the infected blood and manufacturing from it or her medicines and vaccines are described in the periodical of the Moscow society of experts of transfusion medicine " the Bulletin of Service of a blood of Russia ", - Elena Pchelenkova continues.
As she said, a principal cause of the developed situation - absence of legal adjustment between organs of public health services of different subjects of Federation - Moscow and the Moscow area, however all this is fine known both Moscow regional, and to the Moscow city management or manual of public health services.
Journalists managed to talk to people who became victims of a negligence of doctors and imperfections of diagnostics. Among them is both old men, and teenagers. But, as it was found out from conversation, former patients of medical institutions of Moscow and Moscow suburbs (for the clear reasons we do not name names), native did not suspect them, that have once been infected.
Four years back 57-years Andrey Trofimov (the surname is changed) has laid down in one of the Moscow hospitals on operation for which the hemotransfusion was required. According to its or his widow, the man and has died, not having learned or not having found out that has been infected.
Though it is not known, that it is better, - there were cases when unexpectedly received summons or agenda with the invitation to visit or attend regional kozhvendispanser led to terrible family scandals and even a suicide. Thus medical institutions frequently do not trouble themselves to inform the person owing to what he is infected, for example, by a lues, and regional KVD cause such patients, as "contactors", i.e. simple "clients" of a veneral disease dispensary.
In Russia unique precedent when suffered from a medical mistake or error it was possible to prove the correctness in court is fixed or recorded, is has occured or happened 4 years ago in Penza.
The tragedy has occured or happened in 2000 when operation on excision of a lien was necessary for the 47-years woman. A lien have safely taken away, but a month later at the analysis at the patient have found out a HIV. As it was found out, a terrible virus have brought at a hemotransfusion. Has been revealed, by the way, and the donor - "spidonosets", appeared by the doctor of the same hospital.
Despite of presence in UK the Russian Federation corresponding or meeting clause or article, have not excited or raised criminal case, but lawyer Didenko managed to achieve large material indemnification of moral harm which has been paid to the victim from the budget of area. The court last half a year.
According to the lawyer, he almost month has spent in library, studying or investigating the profile literature on a transfusion (medicine of a hemotransfusion) as in court verbal duels with the main therapist of area were coming him.
But medical podkovannost has helped or assisted not at once. In the beginning the court of October district of Penza has passed the decision not in favour of its or his client. The Board has agreed with it or this on civil cases of regional court also, and only the presidium oblsuda has cancelled the decision and has directed business on repeated treating
.
The reasons of the previous refusals from the point of view of the law were absolutely ridiculous. The court bore or took out decisions in favour of physicians, motivating it is that " in the Russian courts or vessels similar business or affairs were never considered or examined;surveyed ". The second argument was already familiar to us " absence of the expensive diagnostic equipment ".
Use of a "dirty" blood is not a rarity in the most different corners of Russia. In May, 1997 the big public resonance has caused or called a case of infection at a hemotransfusion in one of hospitals of Ministry of Railways of several patients a human immunodeficiency virus (HIV).
Then in investigation of this case has borrowed or occupied Mosgorprokuratura. As it was possible to find out to consequence or investigation, physicians simply did not manage to find out a HIV-infection in a blood of the donor. The quantity or amount of antibodies on which the virus comes usually to light or is usually taped, in a blood of the donor was so insignificant, that usual check has not shown presence of a lethal virus.
In 2000 in Krasnoznamenskoj rajbolnitse Kaliningrad the seriously ill patient to the man needed a hemotransfusion. Because of deficiency of the donor blood prepared duly to the patient have poured the plasma which has been not checked up on a HIV.
In 2003 in district hospital of Khanty-Mansiysk 116 litres of a donor blood, in particular, 1,5 litres of a HIV-infected, 22 litres - with a virus of a hepatitis With, ten litres - with a hepatitis In and more 9 litres - with a lues have been destroyed. Other raw material has been defective on biochemical parameters.
In all similar cases an explanation the same: scarcity of monetary "contentment" which has not allowed to use the effective methods of diagnostics for a long time applied in the West.
Understanding, that marriage or spoilage grows every year, doctors at the same time convince the population of infallibility the test-systems, applied on stations of a hemotransfusion and reducing an opportunity of infection to zero.
Actually any guarantee, that in similar cases vybrakovyvaetsja all infected blood, no. The data collected by employee Mosoblprokuratury Elena Pchelenkovoj testify To it or this.
During with 1996 for 2001 Moscow regional kozhvendispanserom the hemotransfusion, infected by a lues, to 325 recipients is officially registered.
As approves or confirms Pchelenkova, since 2001 such statistics in MOKVD simply is not conducted. From materials follows, that many donors had been ill with " pudental illness or disease " not once, but despite of everything easy continued to hand over a blood.