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თარიღი: 23/04/2019

პრესკონფერენცია - ბავშვების სისხლში ტყვიის შემცველობა საქართველოში - ეროვნული კვლევის შედეგები 23.04.2019

 

2018 წლის სექტემბრიდან დეკემბრამდე პერიოდში საქართველოში მრავალინდიკატორული კლასტერული კვლევის (MICS) ფარგლებში, რომელიც შინამეურნეობების ყველაზე დიდი კვლევაა მსოფლიოში, პირველად ჩატარდა ტყვიის კომპონენტის კვლევა. ტყვიის დონის განსასაზღვრად, ვენური სისხლის სინჯები შეგროვდა 2-7 წლის 1578 ბავშვისგან საქართველოს მასშტაბით. ბავშვების კვლევაში ჩართვა მოხდა შემთხვევითი შერჩევის პრინციპით და სინჯები გაიგზავნა იტალიის ჯანმრთელობის ეროვნულ ინსტიტუტში (ISS), რომელიც წარმოადგენს ევროპის წამყვან საზოგადოებრივი ჯანმრთელობის ინსტიტუტს. ტყვიის შემცველობაზე სისხლის ნიმუშის კვლევისას გამოყენებული იყო ინდუქციურად შეწყვილებული პლაზმის მას-სპექტრომეტრი (ICP MS), რაც რაც წარმოადგენს ჯანმრთელობის მსოფლიო ორგანიზაციის მიერ აღიარებულ ერთ-ერთ საუკეთესო სტანდარტს. კვლევის შედეგების მიხედვით, საქართველოში ბავშვების 25%-ის სისხლში ტყვიის შემცველობა მერყეობს 5-10 მკგ/დლ (მიკროგრამი დეცილიტრზე) ფარგლებში, რაც მიუთითებს მსუბუქ მატებაზე, ხოლო ბავშვების 16%-ის სისხლში ტყვიის შემცველობა ტოლია ან აღემატება 10 მკგ/დლ-ს. ტყვიის მინიმალური, ჯანმრთელობისთვის უსაფრთხო კონცენტრაცია ადამიანის ორგანიზმში არ არის დადგენილი. თუმცა, ჯანმრთელობის მსოფლიო ორგანიზაციისა და აშშ დაავადებათა კონტროლისა და პრევენციის ცენტრების რეკომენდაციების შესაბამისად, სხვადასხვა მასშტაბის საზოგადოებრივი ჯანდაცვითი ღონისძიებები უნდა დაიგეგმოს, როდესაც ვენურ სისხლში ტყვიის შემცველობა ტოლია ან აღემატება 5 მკგ/დლ-ს. “გაეროს ბავშვთა ფონდი, ცხრა დონორ ორგანიზაციასთან ერთად, დაეხმარა საქართველოს მთავრობას, კერძოდ, სტატისტიკის ეროვნულ სამსახურსა და დაავადებათა კონტროლისა და საზოგადოებრივი ჯანმრთელობის ეროვნულ ცენტრს, კვლევის ჩატარებაში, რომლიც მიზანიც პრობლემის მასშტაბების განსაზღვრა იყო”, განაცხადა გოტფრიდ ჰანემ, გაეროს ბავშვთა ფონდის წარმომადგენლის მოადგილემ. “ჩვენ ვაფასებთ საქართველოს მთავრობის მიერ პრობლემის მიმართ გამოჩენილ ყურადღებას და მთავრობის მზაობას, შეიმუშაოს რეაგირების მოკლე და გრძელვადიანი სტრატეგიები და ღონისძიებები. შემდეგი ნაბიჯი ტყვიის ზემოქმედების წყაროების კვლევა უნდა იყოს”. ამ მიმართულებით საქართველოს მთავრობის მიერ უკვე გადაგმულია პირველი პრაქტიკული ნაბიჯები: 2018 წლის 29 დეკემბერს დამტკიცდა გარემოსა და ჯანმრთელობის ეროვნული გეგმა (NEHAP); 2019 წლის 19 აპრილს გამოიცა საქართველოს მთავრობის განკარგულება „ბავშვებში ტყვიის ტოქსიკური ზემოქმედების ადრეული გამოვლენისა და მართვის ღონისძიებების შესახებ“; მომზადებულია ცვლილება „2019 წლის ჯანმრთელობის დაცვის სახელმწიფო პროგრამების დამტკიცების შესახებ“ საქართველოს მთავრობის 2018 წლის 31 დეკემბრის №693 დადგენილებაში ტყვიის კომპონენტის გათვალისწინებით; დამტკიცდა ბავშვებში ტყვიის ტოქსიური ზემოქმედების ადრეული გამოვლენისა და მართვის კლინიკური პროტოკოლი; დაავადებათა კონტროლისა და საზოგადოებრივი ჯანმთელობის ეროვნული ცენტრის, იაშვილის ბავშთა ცენტრალური საავადმყოფოს ექიმი-პედიატრებისა და გარემოს ეროვნული სააგენტოს წარმომადგენლების მიერ შესწავლილ იქნა იმ 16 ბავშვის ოჯახი, რომელთა სისხლშიც ტყვიის დონე აღემატებოდა 30 მკგ/დლ-ს და დაიგეგმა შესაბამისი ინტერვენციები. მთავრობა მუშაობს ტყვიის ტოქსიური ზემოქმედების აღმოფხვრის ყოვლისმომცველი სახელმწიფო პროგრამაზე, რომელიც ითვალისწინებს ტყვიით დაბინძურების წყაროების კვლევას; მოკლე, საშუალო და გრძელვადიან ღონისძიებებს ტყვიით დაბინძურებული ადგილების განეიტრალების, იზოლაციისა და მართვის მიზნით; საბაზრო მიმოქცევაში ტყვიით დაბინძურებული პროდუქტების მოხვედრის პრევენციას და საზოგადოების ინფორმირებისკენ მიმართულ საინფორმაციო კამპანიებს. მრავალინდიკატორული კლასტერული კვლევა საქართველოში ჩაატარა სტატისტიკის ეროვნულმა სამსახურმა გაეროს ბავშვთა ფონდისა და დაავადებათა კონტროლისა და საზოგადოებრივი ჯანმრთელობის ეროვნული ცენტრისა და იტალიის ჯანმრთელობის ეროვნული ინსტიტუტის (ISS) ტექნიკური და ფინანსური მხარდაჭერით. კვლევას მხარდაჭერას ასევე უზრუნველყოფდნენ: შვედეთის საერთაშორისო განვითარების თანამშრომლობის სააგენტო (SIDA), ამერიკის შეერთებული შტატების საერთაშორისო განვითარების სააგენტო (USAID), საფრანგეთის განვითარების სააგენტო (AFD), შვეიცარიის განვითარების თანამშრომლობის სააგენტო (SDC), გაეროს მოსახლეობის ფონდი (UNFPA), გაეროს განვითარების პროგრამა (UNDP), მსოფლიო ჯანდაცვის ორგანიზაცია (WHO) და მსოფლიო ბანკი.