From Transparency International
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Open letter to the Prime Minister of Ukraine Yuliya Timoshenko as for non-transparency of using by the government of Ukraine of 50 million hryvnas, assigned for the purpose of preventing in the state of Californian flue epidemic
Ukraine, 04 November 2009
Ukraine – Open letter
In June 2009 the government of Ukraine was allocated 50 million hryvnas (US $6m) to prepare its citizens’ for the possible outbreak of influenza A/H1N1. However there are grave concerns about how these funds were used, according to Transparency International in Ukraine.
Read about this in an open letter to the prime minister of Ukraine, Yuliya Timoshenko.
An open letter to the prime minister of Ukraine, Yuliya Timoshenko, to address the lack of transparency by the government of Ukraine in its use of the 50 million hryvnas (US $6m), assigned for the purpose of preventing in the state of Californian flue epidemic
Honorable Yuliye Volodymyrivno!
We demand from you, as head of the executive authority, inform the community of Ukraine regarding the use of 50 million hryvnas (US $6m) allocated in summer of 2009 to fund preventive measures for the epidemic of Californian flue. We remind you, Mrs Timoshenko, that according to the Ukranian constitution, the Cabinet of Ministers’ is supposed to perform functions of providing state policy in the healthcare sphere. During the interview with the Minister of Health, Vasyl Knyazevych, in a live televised broadcast conducted on 1 November 2009, it became apparent that the tender procedures on disbursement of the assigned funds were ambigious. This went against the current legislation of Ukraine and placed the tender vulnerable to corruption.. Due to this lack of transparency and the misappropriation of funds allocated to protect the Ukranian people, the citizens’ have been left vulnerable to fight flue epidemic. (
http://tsn.ua/ukrayina/tender-na-zakupi ... lyaye.html)
History of the question. On the 11th of June, 2009 World Health Organization (WHO) announced the pandemic of A/H1N1 (swine flue). This statement was a signal to national governments and medical institutions around the world to prepare for a possible outbreak that could place significant strain on their healthcare systems. We remind you that the last time a statement was released by the WHO announcing a pandemic of global proportions was 40 years ago, in 1968. This case led to the deaths of one million people from the Hong Kong virus. (
http://news.bbc.co.uk/2/hi/health/8094655.stm)
On the 2 June 2009, the first case of swine flue was confirmed in Ukraine. Ten days later the Minister of Health, Mr Knyazevych, informed that the system of health care in Ukraine is was ready for the impending epidemic of flue A/H1N1. (
http://www.zaxid.net/newsua/2009/6/12/195230/). Mr Knyazevych then circulated the measures taken in Ukraine to fight the epidemic of A/H1N1 flue :
1. Ukraine obtained from the WHO, 61 thousand doses of “Tamiflue” medicine
2. The government of Ukraine was allocated for the aim of fighting A/H1N1 flue 50 million hryvna (US $6m). The allocation to the Cabinet of Ministers of this significant amount of funds was publicly confirmed by the Head of the Health Care Verhovna Rada Committee, Tetyana Bakhteyeva.
This funding, according to the Minister, was aimed at (i) creation in of a new high quality laboratory. (ii) purchasing medicines for patients’ treatment (iii) funding of special regional commissions.
According to Mr Knyazevych, such precautions were sufficient and effective. “There is still time till autumn in order to get ready for the flue epidemic. At present we are working at increasing the nations’ immunity level, using methods of national and non-traditional medicine. (
http://www.zaxid.net/newsua/2009/6/12/195230/)
On the 5th of June 2009, information-analytical edition “Hlavred” (
http://ua.glavred.info/archive/2009/06/05/153452-1.html) informed its readers of the measures taken by Ministry of Health, in order to prevent an epidemic of Californian flue in Ukraine. Among those mentioned were the creation of an operative unit, introducing a government helpline and the distribution of informative leaflets for the population on A/H1N1 flue. Regarding the allocated 50 million hrvynas by the Government of Ukraine, medical institutions should have been set-up at train stations, ports, airports, and constant monitoring of people displaying symptoms of respiratory diseases should have been conducted and immediate informing of epidemic service. The employees of controlling services at the border of Ukraine should have been provided with the means of personal protection and an inventory of national scientific basis should have been started with the aim of mobilizing science at flue fighting.
Real situation as for the 2nd of November, 2009
1. Only 200 test systems are available in Ukraine at present, 14 of these have already been used. (
http://www.rbc.ua/ukr/newsline/show/par ... v_02112009)
2. By the decision of the Council of National Security and Defence, on the 30 October 2009, the president commissioned the Cabinet of Ministers of Ukraine during 3 days to solve the issue for allocating additional resources for funding sanitary and hygienic measures to minimize the consequences of the spread of pandemic flue and viral-respiratory diseases. The Cabinet of Ministers’ was also tasked by the president to provide viral laboratories, a Ukrainian sanitary-epidemic service and corresponding scientific-medical establishments with the necessary equipment, diagnostic and spending materials. Measures to provide reinforcement of the anti-epidemic regime and conduct complex disinfecting of public places (airports, train and bus stations, children preschool educational establishments, health protection institutions, culture establishments, at enterprises, in organisations and institutions) Urgent restrictions were ordered to be placed on mass cultural-entertaining and other events related to big human gatherings. The Cabinet of Ministers’ were asked to allocate necessary funds according to the inquiry by the Ministry of Health, for the purchase of medicines, medical equipment, means of personal protection, other appliances of medical purpose for population and medical staff of the aggrieved persons.
(
http://www.rbc.ua/ukr/newsline/show/v_y ... e_01112009)
Therefore, we have to state that before the appearance of the mentioned CNSD decision, the enlisted measures had not been undertaken by the Cabinet of Ministers.
3. The first vice-prime minister of Ukraine, Oleksandr Turchynov, issued the following instructions: (i) pharmaceutical enterprises work 24 hours in order to produce the necessary medicines; (ii) inform the community of the difference between preventive and medical drugs (iii) Confirmed the list of drugs and means of disease prevention (gauze bandages, gloves, etc) which must be available in each drugstore in Ukraine; (iv) underlines that the level of prices for preventive and medical drugs shouldn’t be higher than the price set in the retail drugstore networks based on 20th of October 2009 (v) Use the State material reserve provides the necessary amount of gauze. (
http://gazeta.ua/index.php?id=314009)
Therefore, we have to state that the enlisted measures hadn’t been undertaken earlier.
4. The Minister of Health, Mr Knyazevych, on the 30 October 2009 was informed that the Ukrainian government had contacted the WHO with the request for assistance for the vaccine against flue. On 30 October 2009, according to the Ministry of Foreign affairs data, 81, 487 infected people were registered in Ukraine. Among this number 33,559 were children. All in all, 2,341 persons were hospitalized and among that number 1,100 were children. At this point, 60 Ukrainians had died from severe viral-respiratory disease.
(
http://www.kirovograd.net/shortly/2009/ ... mertei.htm)
5. The secretary of the Council of National Security and Defence(CNSD) Rayisa Bohatyryova, published information that from 12 October 2009, fatalities were attributed to A/H1N1 flue. However, data of laboratory research which confirm circulation of A/H1N1 flue, only started to be analysed from the 27 October 2009. (
http://gazeta.ua/index.php?id=313991).
6. The government of Ukraine allocated 500 millions hryvnas (US $63m) from the Reserve Fund of the Cabinet of Ministers. (
http://fbc.net.ua/ru/news/finance/Kabmi ... rbu_s.html). This money is aimed at buying medicines and equipment in order to prevent the spread of the flue epidemic.
7. Retail drugstore networks for more than 3 days didn’t have (i) gauze bandages; (ii) medication aimed at preventing severe viral-respiratory infection, flue, etc; (iii) anti-virus medication for the new generation “Tamiflue”.
And finally, none of the Ukranian population has seen the special leaflet for promised to provide information about A/H1N1 flue.
The conclusion.
50 millions hryvna (US $6m) allocated at preventing in Ukraine the swine flue epidemic were spent ineffectively by the Cabinet of Ministers. The non-transparent scheme of distribution of these funds led to a lack of medication in the establishments of retail drugstore network. A mass lack of knowledge within the Ukranian public regarding the virulent A/H1N1 flue led to an unreasonable amount of deaths among the citizens of Ukraine
If the existing approach of the government of Ukraine remains the same, the additional funding in the amount of half billion hryvnas will not have the necessary influence on curbing of the epidemic
Taking into consideration the above, we demand from the government of Ukraine and personally from the prime minister of Ukraine Mrs Timoshenko:
1. A public report on the spending 50 million hryvnas(US $6m) , which the government was allocated in June of the current year for the fight with A/H1N1 flue.
2. Announce in public the list of measures and their cost which the government of Ukraine plans to carry out in order to decrease sickness rate and treat A/H1N1 flue.
3. Provide access for independent civic control over all the materials related to measures conducted by the government of Ukraine to deal with the epedemic, as well as A/H1N1 flue treatment (excluding the information, spreading of which is directly prohibited by the law of Ukraine).
Media contact(s):
Alla Voloshyna
+38-067-611-23-00
voloshyna@toro.org.ua