November 30 in Dushanbe city of the Republic of Tajikistan in the framework of the 71st scientific-practical conference of the State Educational Institution "Avicenna Tajik State Medical University" "Innovations in medicine: from science into practice" with international participation was held an expert meeting on the theme: "Innovative approaches to the prevention of NCDs. The concept of risk factor harm reduction. Experience of other countries". It was attended by international experts from Poland, Russia, Kazakhstan, as well as more than 50 participants from Tajikistan - faculty of the State Educational Institution TSMU, Tajik Institute of Postgraduate Education in Health, chief specialists of the Ministry of Health and Social Protection of Tajikistan. There were 13 reports on topical problems of NCDs, their risk factors, modern approaches to disease prevention.
Issues of unbalanced nutrition, physical inactivity, smoking, excessive alcohol consumption, the prevalence of drugs, especially synthetic drugs among young people, air quality, continued population growth, increased illegal trade, food (including counterfeit products) and households are increasingly contributing to the development of non-communicable chronic diseases and placing an enormous burden on economies. The meeting recognized that these problems do not exist in isolation and that society must be highly proactive in examining these issues in their social and political contexts.
Having listened to the presentations, discussions and opinions, the meeting participants consider it necessary to:
⎯ recognize that this event has created a platform for sharing knowledge and experience on the most effective response to the challenges and major problems of public health;
⎯ applying a unified approach in addressing public health problems, especially NCDs, with the efforts of states, business communities, mass media and public associations.
⎯ promoting an approach based on the concept of harm reduction from unhealthy lifestyles (alcohol consumption, unbalanced diet, smoking, physical inactivity, reproductive health and drug addiction) and thus risk reduction as a missing element in the comprehensive fight against NCDs, in particular in the prevention and improvement of the effectiveness of disease therapy;
⎯ Conduct a comprehensive program on prevention and avoidance of drug use, including raising public awareness of modern mechanisms of distribution of traditional and non-traditional psychoactive substances, including stricter control over the circulation of sedatives through the pharmacy network. Promote national harm reduction programs to manage drug dependence for further socialization of people at risk.
⎯ Recommend to the governments of the countries of the region to apply the Harm Reduction Concept to combat other NCD risk factors: alcohol dependence, sedentary lifestyle, smoking, unbalanced nutrition, etc., taking into account the successful experience of applying this concept in drug dependence treatment, including the experience of developed countries such as Great Britain, USA and China.
⎯ systematically improve the quality of primary health care for the population and promote harm reduction in the prevention of not only diseases, but also various injuries, burns, accidents and road traffic accidents (RTA);
⎯ encourage differentiated regulation of products and commodities with scientifically proven less harmful profiles according to the national legislation of countries in the region based on the experience of developed countries and ensure the availability of such products as a tool to reduce harm from risk factors of NCDs and other certain infectious diseases such as tuberculosis, AIDS, etc.;
⎯ study international experience and propose feasible measures to improve the environmental situation in large cities and their suburbs (air pollution, dense construction, disruption of natural wind patterns), which leads to the development of a number of chronic diseases;
⎯ create an international coalition of associations, governmental bodies and experts - supporters of the harm reduction concept, to ensure systematic exchange of knowledge, experience and data on scientific developments;
⎯ recommend that the governments of the region establish a dialogue with international organizations to promote harm reduction as a missing element in the control and prevention of NCDs and their risk factors.