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Page 1
If you choose a right job, happiness will find you
Jelena Simoniene organised her second camp for
children with diabetes this summer. A camp took place in a farm, without
special comfort, thus every day and night was romantic. She is happy for tears
of joy by children, who nicely spent time there. Special thanks to Vytautas
Zukauskas, who let them to live in his place and other sponsors.
Page 2
LDA Is the Member of International Diabetes
Federation.
The information about LDA working hours is provided.
Attention! The address of LDA is changed: Gedimino pr. 28/2, 404 room, LT-2600
Vilnius. Tel. +370 5 2620783, fax +370 5 2610639.
Page 3
An appeal
To Valdas Adamkus,
President
of Lithuania Respublic 23 July, 2002
There are often statements that
patient’s organizations confront state power. At that time we seek productive
cooperation with state institutions, confirming decisions important to
patients, not a conflicts.
After the order by LR Health
minister No. 85 “The order of concluding and executing agreements due to
compensated medicine budget limits for health institutions” (23 February, 2002)
came into force, qualified and effecticve health care is difficulty accessible.
There is no more attention to persons’ health state and no more thinking about
consiquences of illness or budget increase for healing complications in nearest
future. Money is being saved at patient’s health expence. Interests of people
with low income and heavy chronic deseases, which require long and expensive
healing, are injured mostly. Patients living in countries and districts are
suffering as well.
We appeal and ask You to encourage
the Government, Health Ministry and State Fund of Patients that this
Order would be suspensed.
During 26 – 27 of April a
conference “Health reforms in Europe: from theory to practice”, organised by
Europe Council and LR Health Ministry took place in Vilnius. During the
conference confirmed Vilnius Declaration states that justice, solidarity,
accessibility in health care dessisions, where patients are equal and
responsible partners, are very important principles of health care. Real
situation is different: there is no representatives of patients organizations
in National health council at LR Parliament (Seimas) and Obligatory health
insurance council (PSDT). They are deprived even from watching. For instance
during the meeting of PSDT in 20 July, 2002, where questions about compensated
medicine were discussed, two workers of State patients’ fund stood at the door
and did not allowed representatives of patients’ organizations. The members of
PSDT are regulators of health system and
providers of services, but nobody represents consumers of services. That
is the reason why providers of health services and consumers find temselves in
hostile camps. Patients’ organizations are the only way to defend their rights
to health.
We offer to add a clause No. 28
of LR Health low. Seven or more representatives delegated by Patients’
Organizations’ Representative’s Council should be inserted in Obligatory Health
Insurance Council.
Health care reform is
inadequately budgeted (less than 5% of GNP). Thus the low of LR is injured,
while doctors and patients have many difficulties.
We ask the President to realize a Lithuanian health program (2 July, 1998,
No. VIII-833) and LR Health system low (1 December, 1998, No. VIII-946). According to this low, during changes towards market
relations and span of economical difficulties health care budget should not be
cut down to less than 5% of General National Product.
Lithuanian Diabetes Association
National association of
organizations women with breast diseases
Lithuanian Arthritis Association
Astma Association of LR
Lithuanian Association of
patients with nefrological diseases ,,Gyvastis”
Lithuanian Community of
Guardianship of mentaly handicapted people
Children club ,,Daigas” of
Vilnius City
Alzheimer’s disease club of
Vilnius City
Lithuanian Association of
epilepsy
3 different Lithuanian
Associations of people with cancer diseases
Pages 4 – 7
The V congress of Lithuanian Diabetes Association
On 24 May, 2002, 200 people were
invited to the V congress of Lithuanian Diabetes Associacion. 144 delegates,
representative of World Health Organization in Lithuania Robertas Petkevicius,
the chief of Germany committee for supporting Lithuanian children with diabetes
Lilly Karn, representative of LR Health Ministry Genovaite Paulauskiene, the
assistant director of State patients’ Fund
Haroldas Baubinas, the chief of Lithuanian Liberals Eugenijus Gentvilas,
Vice-President of LDA Bronislovas Jonusas, Head of KMU Endocrinology Institute
Endocrinology Clinic Dr. Gintautas Kazanavicius, Profesor of KMU Endocrynology
Institute Juozas Danilevicius, Prof. Antanas Norkus and other respectable
quests took part in congress.
Participating quests and
delegates congratulated congress and estimated activity of LDA wery well.
Letters by WHO Europenian Region Prof. Isuf Kalo, members of LR Parliament
Kazys Bobelis, Kazimiera Prunskiene, president of Lithuanian Doctors’ Union
Liutauras Labanauskas and general secretaty of Lithuanian Red Cross Committee
Irena Bruziene were delivered. An activity during 3 years was reviewed,
thank-letters, account of revision committe were presented, statutes of
Association added, Council and Board confirmed and the Prezident (Vida Augustiniene) was collected. A most
urgent questions for people with diabetes were discussed and the resolution was
confirmed. An amateur group “We together” from Kelme diabetes club gave joyfull
consert at the end of congress.
Main thougts from account by the President of LDA
Mission of LDA is to seek
wellness of people with diabetes life. Our aim is to help people with diabetes
to learn how to live and care of temselves properly and to avoid heavy
complications – blindness, kindey function disorder, feet amputations, heart,
blood-vessels and nerve diseases. We introduce spreading diabetes and
abbilities to avoid this process to society and State institutions. We
cooperate with International Diabetes Federation and World Health Organization and
rely on recommendations of St. Vincent declaration. Thus we participate in
diabetes researches, diagnoses and help to realize Lithuanian Health Program.
On 1 January, 2002, about 5000
members from 49 diabetes clubs were in LDA. There is 1 thousand members more in
LDA during last year. LDA is a public organization so it’s activity depends on
supporters. Pfizer H.C.P. Corporation, Abovita, Interlux became constant
supporters of LDA. LDA find about 200 thousand Litas (60 thousand EUR) for
different programs each year. This money is obtained from Council for the
Affairs of Disabled at the Government, support from other sponsors,
subscribtion of newspaper “Diabetes”, symbolic payment of members of LDA. About
11% of budget is used for administrating, other is used for programs.
During 1999 – 2001 more than 20
seminars for people with diabetes, nurses, doctors, society, representatives of
Government and press took place. Members of LDA delivered their speaches in
more than 25 Lithuanian and international conferences. Many meetings with
Government and other people took part. LDA initiated other organizations of
patients to be united in influencing Government. So we became stronger in fight
for rights for qualified medicine. State power says that patients are invited
to participate in dessisions about health care. But it deteriorate patients’
life and avoid contacts with patients’ organizations. Our interest in State
power activity often stops nonrational and harmfull decisions. During last year
compensation for diets could be abolished and additional payment for insulin
could be confirmed even several times. Now limitations of medicine
compensations returns healing and quality of life 10 years ago. But
compensation for diets remained and additional payment for insulins was not
confirmed. I think, that we will unite our strenghts and prove to Government
that their short-term money saving plans are antisocial and not perspective.
Education of society is
important to Lithuanian Diabetes Association as well. Meetings for World
Diabetes Day took place every year. These festivals were organised by
collective members of LDA, doctors, nurses, sponsors and people of good well,
who are not indifferent for temselves’ health and health of other people. During three years more than 14 thousand
people were teste profilacticaly. 11.4 – 17.7 % of them appeared to have higher
glucosis rate than norm. They were advised to apply to doctor as soon as
possible. These data are provided to Health Ministry of Lithuania, WHO and IDF.
I think, that education of society is very important job of early diabetes
diagnoze. Our tests prove an importance of diabetes and complications
prevention. According to data of Commission of Medical Social Examination,
about 700 – 900 new invalidity cases because of diabetes complications are
established each year. That is way so important to pay more attention to
profilactic.
LDA thinks that education
children and youth to control their illness is a priority. They must integrate
themselves into society and seek for education and job. That’s way summer camps
for children with diabetes are organised from 1990. 50 – 80 children and young
people participate in them each year. During recent 3 years several children
took a rest in Latvia, Sweeden, Russia. Some members of clubs are going to rest
in Finland this year and we are waiting quests from Latvia and Russia. Children
in camps are consulted by doctors and nurses and do important illness control
dessision themselves. In such a way they become independant. It make easier
their and their parients’ life.
During the meetings with
collective members in districts we try to facilitate their bothers. Sharing
experience of work helps to differentiate activity of clubs and to maintain
closer relationships.
100 elderly people from 16
diabetes clubs participated in a education and illness controll program for
people with II type diabetes. Researches showed that education and self control
is necessary to elderly people as well.
Diabetes school in LDA works
constantly and provides consultations of endocrynologist and free tests of
blood glucose.
Much information for patients
and society is provided in newspaper “Diabetes” and other special deliveries.
During 3 years 4 books, calendar, videofilm, collection of education tools, 8
booklets, diaries of diabetes control were published. Important information is
provided in Internet.
In 1999 LDA met 10-year jubilee.
The work of organization was
noticed by LR Seimas, valued by IDF and WHO. I was invited to deliver my speech
about LDA activity in St.Vincent declaration 10-year jubilee in Stambul, in
European Parliament. In IDF congress I was collected to a new ICDM Steering
Committee and to Life with DaIABETES Committee of IDF Congress 2003 in Paris..
All these activities were
fulfiled by sincere people. Thanks for all who helped to facilitate life for
people with diabetes in Lithuania. I hope that representatives of State power
will understand we are not an enemy and we will be invited to participate in
decision making. Obstacles can be overcomed only by understanding and
benevolence.
Pages 8 – 9
Resolution
of the V Congress of
Lithuanian Diabetes Association, 24 May, 2002, Vilnius
Due to strategy of diabetes
care and profilactics in Lithuania
The Congress of Lithuanian Diabetes Association heard an exhaustive account
about activity during 1999 – 2001 by Vida Augustiniene, the president of LDA
and speeches about LDA activity by other participants of the Congress.
According to observations, wishes and offerings of members of Association
(people with diabetes, their families, doctors and sponsors), next resolution
was confirmed:
We require LR Government to
realise politics of diabetes care grounded with principals of society health,
prevised in Lithuanian health program 1997 – 2010 and confirmed by LR Seimas in
2 July, 1998 (decision No. VIII-833). Thus LR Government must actively and
positively act for sake of patients’ wellfare and guarantee:
Patient’s right to qualified and
accessible health care, prevised by Lithuanian low.
Diabetes profilactics of
Lithuanian citizens.
Efective cooperation of health,
social, educational, justice and other institutions and coordianation of
profilactics of diabetes.
Active participation of
Lithuanian Diabetes Association and other patients’ organizations in health dessisions
by Government. Services by these organizations should be integrated into system
of diabetes control.
Objective and public activity of
people with diabetes health system.
Along with other patients’
organizations we require to insert seven or more representatives of such
organizations to Obligatory Health Insurance Council and National Health
Committee at LR Seimas.
We invite all institutions of
State power to cooperate with organizations representing people with diabetes.
These organizations are an important part of health and social politics all
ower the world.
We require to evaluate an
obvious epidemic spread of diabetes in all the world and in Lithuania. We offer
for Health, Social and Work, Education ministries to cooperate budget and to
support scientific inovative projects of diabetes prevention. We must guarantee
this activity and spread it all over Lithuania. The Government must find money
for stopping diabetes epidemy.
Seeking for suitable medical
care of people with diabetes and having in mind unsufficient qualification and
experience of therapeutists, people with II type diabetes must consult
endocrynologist twice a year and people who use insulin must consult every
third month. We require that at least 0.5 staff of endocrynilogist would be in
each district. All using insulin patients must be supervised by
endocrynologist, not by therapeutist.
Administrations and government
of districts along with diabetes clubs should be more active in taking
responsibility for diabetes control strategy on themselves.
We recommend to Social health
centre actively spread information about thread of diabetes.
We offer to find time for
diabetes prevention’s propagation in National radio and TV.
Obligatory Health Care Council
must insert defind number of medicine to a list of compensated medicine.
We offer to renew foot care
rooms, diabetes schools and fund new ambulatoric diabetes centres. This is a
very important tool for diabetes control and health care.
A post of nurse – diabetologist
and specialist of feet care must be verified in all districts. State Patients’
Fund must confirm valuation of these staffs.
National Health Council at LR
Seimas along with all institutions of interest and scientists of health and
social sciences must discuss a strategy of diabetes care, researches and
prevenshion’s politics.
Health ministry must renew an
activity of National diabetes committee for more resolute seeking of St.Vincent
declaration’s aims, that is longterm health and quality of life encrease.
As previous experience proved
good results of reabilitation of people with diabetes, indications for
reabilitation must be expanded. These indications are diminished at the moment.
Possibility of reabilitation must be discussed without hospitalization. Help of
qualificated specialists is not thoughroughly used, though it is addopted to
healing people with diabetes.
Health ministry along with
Lithuanian Diabetes Associacion must confirm a passport of person with
diabetes, where patient’s healing, results and other information was reflected.
Support for invalides since
childhood must be enarged by Government.
The president of Lithuanian Diabetes Association
Vida Augustiniene
Page 9
A list of new administration is provided
Page 10
Newspaper “Diabetes”
LDA reminds of subscribing “Diabetes”
for IV quarter.
Readership about the newspaper
Dalia Augustinaite reviews the
results of questionaire about the newspaper “Diabetes” and provides information
about spreading this newspaper and offerings of readership. She is happy for
people, who have benefit from reading our newspaper.
Pages 11 – 12
Topics of the newspapers in Lithuanian regions
Ignas Darulis from Pasvalys
region reminds about picket in Pasvalys and humorous thougts of it’s
participants. Z.Magelinskiene remembers resent meeting with the President of
LDA Vida Augustiniene. E.Baltreskaitiene is happy for achievements of sportsmen
in Pasvalys.
Readership about the newspaper
(Continued from page 10)
Pages 13 – 14
Chronicle of the Lithuanian Diabetes Association
On May 13, 2002, the President
of LDA delivered a speech in the conference “Consequences of medicine limits
for patients” organised by Liberals’ fraction in Seimas.
On May 15 V.Augustiniene
delivered a speech in a discussion “Rights of patients and health care”
organised by Peasants’ and New democrats’ fraction in Seimas.
On May 21 the chiefs of LDA, Arthritis Association
and Lithuanian Community of Guardianship of
mentaly handicapted people met the chief of National Health
Council at LR Seimas J.Pundzius. Possibilities of cooperation were disscussed.
Representatives of patients’ organizations are going to meet National Health
Ciuncill on September.
On May 24 the V Congress
of LDA took place.
On May 29 Vilnius
Arthritis Association celebrated 15-year jubilee. The President of LDA congratulated
participants of festival and thanked to organization for cooperation in
patients’ health increasing.
On May 31 Kaunas MU
Endocrynological institute celebrated 30-year jubilee. The President of LDA
congratulated participants of the conference.
Since June 1 Dr. Egle
Rudinskiene consults and educates people with diabetes in LDA four times per
week. The Embassy of Switzerland supported the program. Thanks JSC “Turicum”
for mediation.
On June 5 V.Augustiniene
participated in the conference of European Union funds’ presentation.
On June 7 Aventis Pharma International S.A.
invited representatives of LDA V.Augustiniene and E.Rudinskiene to a conference
“Diabetes and heart diseases”.
On June 10 finance of
health care institutions was discussed in LR Seimas.
During June 11 – 12 the
President of LDA told about diabetes control to Vilnius College’s students.
On June 12 questions of
compensated medicine limits were discussed in LR Seimas. V.Augustiniene
delivered a speech “Consiquences of medicine limits on patients”.
On June 18 Panevezys
diabetes community “Viltis” organised a conference. Reports on feet care,
special foot-wear and magniesium influence to people with diabetes were
delivered.
On June 20 the
Obligatory Health Insurance Council met in State Patients’ Fund. Changes of
compensated medicine list were discussed. Order classification insulin is
planned to change. Only insulin injecting using syringes is going to be 100%
compensated. All patients inject insulin with special injectors (pens). The
president of LDA and other chairmans of patients’ organizations were not
allowed to participate in this sitting. The president of LDA required that she
should to explain possibilities of patients pay in addition for vital medicine
– insulin. The dessision was not confirmed after explanation about possible
consiquences.
During June 23 – July 2
eleven youth from Druskininkai, Pasvalys, Jonava, Elektrenai and Vilnius had
rest and education in a camp in Silainiai. The chief of the camp was
J.Simoneniene, doctor – V.Zekaite. General sponsor of the camp is the Council for the Affairs of Disabled at the Government.
On June 26 the questions
of diabetes care methods were discussed in Health Ministry. The President of
LDA asked a permission to participate in this meeting. She was allowed as
neither scientist nor endocrynologist.
On June 27 12 people
from Silale diabetes club visited LDA. Dr. E.Rudinskiene, V.Augustiniene,
L.Kaulakiene answered the urgent questions. Tests of blood glucose were
conducted. Quests were presented with literature.
During June 28 – July 7 fourteen children from
Klaipeda, Pasvalys, Vilnius, Radviliskis, Kaunas, Panevezys and Siauliai took a
rest in diabetes educational camp in Palanga. The chief of camp – I.Zamaliene
from Palanga diabetes club.
On July 4 diabetes club
“Insula” invited the president of LDA, Dr. E.Rudinskiene and R.Zukas. Blood
tests were conducted for members of the club.
On July 16 members of
Elektrenai diabetes club visited LDA. Dr. E.Rudinskiene, V.Augustiniene and
L.Kaulakiene provided an information about diabetes control and tested HbA1c.
During July 18 – 27
diabetes educational camp took place in Plateliai. 19 children and youth from
Plunge, Kaunas, Siauliai, Mazeikiai, Telsiai, Skuodas, Klaipeda and Taurage
took part in it. A head of the camp – A.Danyliene.
During July 20 – August
4 J.Kavaliauskaite and A.Dauginis participated in the 9th Skandinavian
International Lions Camp for Diabetic Youth.
On July 23 LDA iniciated
12 patients’ organizations to meet the President of Lithuania Valdas Adamkus.
On July 24 Vilkaviskis
diabetes club “Insula”, Marijampole diabetes club and Sakiai diabetes club
organized Conference on diabetes in Vilkaviskis museum of etnography.
During August 5 - 14
International diabetes educational school takes part in Druskininkai. 28 youth
from Kaunas, Druskininkai, Klaipeda, Radviliskis, Marijampole, Raseiniai,
Sakiai, Vilkaviskis, Birzai, Visaginas, Latvia, St. Peterburg is taking a rest
there.
During August 23 – 25 a
conference for the chiefs of LDA colective members and nurses diabetes
educators is organised by LDA.
During September 1 – 5
EASD invites to annual conference to Budapest.
November 14 is the World
Diabetes Day. The theme of 2002 year is “Your Eyes and Diabetes. Don’t lose
sight of the risks”.
An Armlet for Medical Identification
Information about possibility to
order and acquire an armlet for identification of a person with diabetes is
provided. The chiefs of diabetes clubs are invited to inform people with
diabetes, society, emergency medical service and police about the meaning of an
armlet.
Page 15
Advertisement on self control devices Lilly insulin
injectors.
Page 16
During
celebration of jubilee daily life was not forgotten
I.Naguleviciene shares her impressions about Jonava
diabetes club 10-year jubilee on 12 April, 2002.
Seminar in
Zarasai
Z.Cernoviene tells about a seminar in diabetes club
“Viltis”.
Page 17
Advertisement on food supplements Diabetiker-Vitamine.
Page 18
Moving is a medicine
The vice-chairman of diabetes
community “Insula” of Rokiskis reminds about an importance of phycical activity
for people with diabetes.
Advertisement on substitute of sugars Canderel.
Page 19
An advertisement on self-control devices Accu-chek Active by Roche Diagnostics.
An advertisement on self-control devices Hypoguard by JSC Interlux.
Pages 20 – 21
We miss Silaine
Ten unforgetable
days
Youth from camps tell about their rest and thank to
all people who gave them a posibility to participate there.
Page 22
Diabetes and early diagnosis of foot injures
By Dr. Eimante Raisiene
Page 23
Syndroms of irritable foot and periodical foot movements
By Dr. Egle Rudinskiene
Page 24
An advertisement on self-control devices Innovo by Novo Nordisk.
Syndrom of irritable foot
The reason of diabetes is virus
Dr. Egle Rudinskiene prepared according to forreign
press.
Page 25
Diabetes and nerve disorders
By Dr. Vitalija Cholomskiene
Page 26
Diabetes of MODY type
Dr. Egle Rudinskiene prepared according to forreign
press.
Page 27
Therapy by insulin: progress and variety
Dainara Kartheiser prepared according to forreign
press.
Page 28
Advertisement on medicine by
Berlin-chemie Menarini Group.
Advertisement on self-control devices by
MediSense.