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Lancet Diabetes & Endocrinology: Ukraine: diabetes on the front line

Mary Wilson

Well-known member
Published: March 09, 2022

DOI:https://doi.org/10.1016/S2213-8587(22)00084-5

The crisis in Ukraine is evolving rapidly, with 2 million people estimated to have fled the country as of March 8 and many more facing unimaginable danger and uncertainty. Despite some advances made in Ukraine's attempts to transform and modernise its health system, Ukrainian citizens still face large inequalities in health-care services, inadequate access to medical supplies and equipment, and have the lowest life expectancy compared to all other European countries. In a country still struggling with the burden of the COVID-19 pandemic, the Russian invasion of Ukraine has further disrupted medical services, including diabetes care.
7·1% of the Ukrainian adult population lives with diabetes and non-communicable diseases are the leading case of premature death. With the number of refugees increasing daily and insulin supplies already running low, how long will it be until the situation in Ukraine causes catastrophic problems in diabetes care as other humanitarian crises have done before?

... Logistic experts from WHO, Médecins Sans Frontières, and other humanitarian organisations are setting up operational hubs and trying to secure land corridors to facilitate rapid movement of supplies in Ukraine, but considerable barriers, including active combat, damage to roads and transportation, and martial law, remain. Novo Nordisk recently stated that although their warehouses storing insulin are still in operation within Ukraine, deliveries have been affected due to shortages in driving staff. Furthermore, at the time of writing, WHO has announced that their prepositioned supplies in Kyiv are currently inaccessible due to ongoing military operations, highlighting the stark reality and arduous practicality of delivering health-care aid. ...

https://www.thelancet.com/journals/l...084-5/fulltext
 
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