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ูˆู‡ูˆ ุจุณูŠุท ุฌุฏู‹ุงุŒ ุฅู† ุฌุฒุก ุงุณุชุซู†ุงุฆูŠ ู…ู† ุณู„ู… ุงู„ู…ุณูƒู†ุงุช ู‡ูˆ ุงู„ุจุณุงุทุฉ.
and it is very simple, it is extraordinary part of the analgesics ladder is simplicity.
ูˆุฃุนุชู‚ุฏ ุฃู† ุญู‚ูŠู‚ุฉ ุฃู† ุงู„ุบุงู„ุจูŠุฉ ุงู„ุนุธู…ู‰ ู…ู† ุงู„ุนุงู„ู… ู„ุง ูŠุทุจู‚ ุณู„ู… ุงู„ู…ุณูƒู†ุงุชุŒ ู…ุฒุนุฌุฉ ู„ู„ุนู‚ู„.
and I think the fact that the vast majority of the world does not implement the analgesic ladder, is mind bothering.
ูˆุฌุฒุก ู…ู† ุฐู„ูƒ ู‡ูˆ ู†ู‚ุต ุงู„ุฅุฑุงุฏุฉ ุงู„ุณูŠุงุณูŠุฉ ุงู„ุชูŠ ููŠู„ูŠุณูŠุง ุฐูƒุฑุชู‡ุง ูˆุจุนุถ ู…ู†ูƒู… ู„ู…ุณู‡ุง.
and part of it is the lack of the political will that Felecia mentioned and some of you have touched .
ูˆู‡ู†ุงูƒ ุดูŠุก ู…ุง ู†ุญุชุงุฌ ุญู‚ู‹ุง ู„ู„ุชููƒูŠุฑ ููŠู‡.
and there is something that we really need to think of.
ูˆูƒูŠู ูŠู…ูƒู† ุฃู† ู†ุบูŠุฑ ุดูƒู„ุŒ ูƒู…ุง ุชุนุฑููˆู†ุŒ ู†ุฌุนู„ ู‡ุฐุง ูŠุชูƒุงู…ู„ ู…ุน ู…ุง ุชู‚ูˆู„ูˆู‡ ู‡ู†ุงูƒ ู„ู„ุฃุญุฏุงุซ ุงู„ุญู‚ูŠู‚ูŠุฉ ููŠ ุงู„ุณูŠุงุณุฉ ูˆุงู„ุณูŠุงุณุงุช.
and how come we change the shape of, you know, make this integrate what you are saying up there into real happenings in political and policy.
ุจุญูŠุซ ูŠุชุบู„ุบู„ ุฅู„ู‰ ู…ุณุชูˆู‰ ุงู„ู…ุฑูŠุถ.
so that it trickles down to the patient level.
ูˆุฐู„ูƒ ู„ูŠุณ ูู‚ุท ู‡ู†ุง ููŠ ุงู„ุฏูˆุญุฉ.
and it is not just here in Doha.
ู„ูƒู†ู‡ ูŠุชุบู„ุบู„ ุฅู„ู‰ ุฌู…ูŠุน ุงู„ู…ุฌุชู…ุนุงุช ููŠ ุงู„ุนุงู„ู….
but it goes down to all the communities in the world.
ุดูƒุฑู‹ุงุŒ.
thank you, .
ุฃูˆุฏ ุฃู†.
I would like .
ู…ูŠูƒุฑูˆููˆู†ุŒ ู†ุนู….
microphone, yes.
ูู‚ุท ุจุงุฎุชุตุงุฑ ุดุฏูŠุฏ ุชู†ุงูˆู„ ู†ู‚ุทุฉ ูˆุงุญุฏุฉ ู‡ู†ุง ุงุณุชุฌุงุจุฉ ุฅู„ู‰ ู„ูŠู„ูŠุงู†ุง.
just really briefly pick up on one point there in responding to Liliana.
ุดูŠุก ู…ุง ู‚ุงู„ู‡ ุฃู„ูŠูƒุณุŒ ู„ูŠุณ ู„ุฏูŠู†ุง ู…ุคุดุฑุงุช ู…ู†ุทู‚ูŠุฉ.
something that Alex said, we do not have reasonable indicators.
ุฅุฐุง ุฃุฎุฐุช ุงู„ู…ุนูŠุงุฑ ุงู„ุฐู‡ุจูŠ ู„ุฅุนุฏุงุฏ ุงู„ุฃูˆู„ูˆูŠุงุชุŒ ุงู„ู…ุณู…ู‰ ุนุจุก ุงู„ู…ุฑุถุŒ ุงู„ู…ู†ุดูˆุฑ ุญุฏูŠุซู‹ุง ููŠ ุฐุง ู„ุงู†ุณูŠุชุŒ ุงู„ู…ู‡ู… ุฌุฏู‹ุง.
if you take the gold standard of priority setting, called burden of disease, published recently in the Lancet, hugely important.
ุฅู†ู‡ ู„ุง ูŠู‚ูŠุณ ู…ุง ูŠุชุญุฏุซ ุญูˆู„ู‡ ุฃูŠู‹ุง ู…ู†ูƒู….
it does not measure what either of you were speaking about.
ุฃู†ู‡ ูŠู‚ูŠุณ ูู‚ุท ุงู„ู…ูˆุช ุงู„ู…ุจูƒุฑ ุฌุฏู‹ุง ุฃูˆ ุนุฏู… ุงู„ู‚ุฏุฑุฉ ุนู„ู‰ ุฃู† ุงู„ุฅู†ุชุงุฌ ููŠ ุงู„ุนู…ู„.
it only measures too early death or not being able to be productive at work.
ุจุงู„ุชุงู„ูŠ ูˆุงุถุนูˆ ุงู„ุณูŠุงุณุงุช ู„ูŠุณ ู„ุฏูŠู‡ู… ุฅุนุฏุงุฏ ุฃูˆู„ูˆูŠุงุช .
so the policymaker does not have a priority setting .
ู„ูƒู† ู‡ุฐุง ุจุนูŠุฏ ุฌุฏู‹ุง ุนู† ู‡ุฐุง ุงู„ุงุฌุชู…ุงุนุŒ ู„ุฃู†ู†ุง ูŠู…ูƒู†ู†ุง ุชู…ุฏูŠุฏ ุชู„ูƒ ุงู„ู…ุคุดุฑุงุช ูˆุชุทูˆูŠุฑ ุฅุนุฏุงุฏ ุงู„ุฃูˆู„ูˆูŠุงุช.
but this is a big takeaway for this meeting, because we could extend those indicators and develop the proper priority setting.
ุฃุนุชู‚ุฏ ุฃู† ุฏูˆู† ู‡ุฐุง ุงู„ู†ูˆุน ู…ู† ุงู„ุฏู„ูŠู„ ูˆ ุชูˆู…ุงุณ ุฃู† ู‡ู†ุงูƒ ุนุงุฆู‚ ู„ู„ุงุณุชุฑุงุชูŠุฌูŠุงุช ุงู„ู‚ูˆู…ูŠุฉ.
I believe without that kind of evidence and Thomas is that a barrier to national strategies.
ู„ุฃู†ู‡ ู„ุง ุชูˆุฌุฏ ุฃุฏู„ุฉ ูƒุงููŠุฉ ูู‚ุท.
because there is not just enough evidence.
ุจุงู„ุชุฃูƒูŠุฏุŒ ูˆู‡ูˆ ุงู„ุนู…ุฑ ุฏุงุฆู…ู‹ุง ูƒูˆู†ูŠ ุนู„ู‰ ุฐู„ูƒ.
absolutely, and it is the age always being my on this.
ุฅู†ู‡ ู„ุบุฒ ุญูŠุซ ู„ุง ูŠู…ูƒู†ู†ุง ุงู„ุงุจุชูƒุงุฑ ุญุชู‰ ูŠูƒูˆู† ู„ุฏูŠู†ุง ุฏู„ูŠู„ุงู‹.
it is conundrum where we cannot innovate till we have the evidence.
ูˆุงู„ู…ุฎุงุทุฑ ุฅุฐุง ุงู†ุชุธุฑุช ุชุฌู…ูŠุน ุงู„ุฃุฏู„ุฉ ู„ู† ุชุจุชูƒุฑ ุฃุจุฏู‹ุง.
and the dangers if you wait to collect the evidence you never innovate.
ู„ุฐู„ูƒ ุฃู†ุง ุฃุชูู‚ ุนู„ู‰ ุงู„ุญุงุฌุฉ ุฅู„ู‰ ู…ุคุดุฑุงุช ุฃูุถู„.
so I agree that there needs to be better indicators.
ู„ูƒู† ุนู„ูŠู†ุง ุฃู† ู†ุจุฏุฃ ุงู„ุขู†ุŒ ุนู„ูŠู†ุง ุฃู† ู†ุจุฏุฃ ุงู„ุขู†.
but we have to start now, we have to start now.
ุงู„ุฃู…ูŠุฑุฉ ุฏูŠู†ุง.
princess Dina.
ุฃุฑูŠุฏ ูู‚ุท ุฃู† ุฃุณุฃู„ ุงู„ุญู„ู‚ุฉุŒ ู‡ู„ ู‡ุฐุง ูŠุนู…ู„.
I just want to ask the panel, is this is on.
ู†ุนู….
yeah.
ู†ุญุชุงุฌ ุญู‚ู‹ุง ู„ุฏุนู…ูƒ ููŠ ู‚ุชู„ ุงู„ุญุฌุฉ ุงู„ุชู‚ู„ูŠุฏูŠุฉ ู…ู† ุงู„ุญูƒูˆู…ุงุช ุฎุงุตุฉ ููŠ ุชุทูˆูŠุฑ ุงู„ุนุงู„ู….
we really need your support in killing the typical argument from governments especially in the developing world.
ุฃู†ู‡ู… ู„ูŠุณ ู„ุฏูŠู‡ู… ูˆุตูˆู„ ุฅู„ู‰ ุงู„ู…ูˆุงุฏ ุงู„ุฃููŠูˆู†ูŠุฉ ูู‚ุท ุจุณุจุจ ุฃูˆู‡ุŒ ุฅู†ู‡ุง ุณูŠูุณุงุก ุงุณุชุฎุฏุงู…ู‡ุงุŒ ุณูŠุชู… ุชู‡ุฑูŠุจู‡ุง ูˆุบูŠุฑ ุฐู„ูƒ.
that they do not to give access to opioids only because oh, it is going to be abused, it is going to be smuggled and so on.
ู‡ุฐุง ู‡ูˆ ุงู„ุญุงู„ุŒ ุฃู†ุง ู„ุง ุฃุนุชู‚ุฏ ุฃู† ุตู†ุงุน ุงู„ู‚ุฑุงุฑ ููŠ ุงู„ุนุงู„ู… ุงู„ู†ุงู…ูŠ ู…ุดุบูˆู„ูˆู† ุญู‚ู‹ุง ุญูˆู„ ุงู„ุฏู„ูŠู„ุŒ ูˆู„ูŠุณ ุจุงู„ุฏู„ูŠู„.
this is the typical, I do not think policymakers in the developing world are really busy about evidence, not evidence.
ุฅู†ู‡ู… ูŠุฑูุถูˆู† ุงู„ู…ู†ุงู‚ุดุฉ ุชู…ุงู…ู‹ุงุŒ ู„ุฃู† ู‡ุฐุง ู‡ูˆ ุงู„ู…ุฎุฑุฌ ุงู„ุณู‡ู„.
they just completely dismiss the argument, because it is the easy way out.
ูˆุณุฃู‚ูˆู„ ุฏุงุฆู…ู‹ุงุŒ ูƒู…ุง ุชุนุฑููˆู†ุŒ ู‡ู„ ู†ุญู† ุงู„ูˆุญูŠุฏูˆู† ุงู„ุฐูŠู† ู„ุฏูŠู‡ู… ู…ุดูƒู„ุงุช ุงู„ุชู‡ุฑูŠุจ ุฃูˆ ู…ุดูƒู„ุงุช ุณูˆุก ุงู„ุงุณุชุฎุฏุงู….
and I would to always say, you know, are we the only ones who have smuggling issues or abuse issues.
ุฏุนูˆู†ุง ู†ุชุนู„ู… ู…ู† ุงู„ุฏูˆู„ ุงู„ุฃุฎุฑู‰.
let us learn from other countries.
ู…ุง ู‡ูŠ ุฅุฌุฑุงุกุงุช ุงู„ู…ุณุงุกู„ุฉ ุงู„ุชูŠ ูˆุถุนูˆู‡ุง.
what accountability procedures did they put.
ูƒูŠู ู†ูุนู„ ุฐู„ูƒ ุฅู„ู‰ ุขุฎุฑู‡.
how to do that etc.
ุฃุญุจ ุฃู† ูŠุชุถู…ู† ุงู„ุชู‚ุฑูŠุฑ ุฃูŠุถู‹ุง ุฃูุถู„ ุงู„ู…ุคุดุฑุงุช ูˆุงู„ุณูŠุงุณุงุช ูˆุงู„ุฅุฌุฑุงุกุงุช ุงู„ุฃุณุงุณูŠุฉ ุญุชู‰ ูŠู…ูƒู†ู†ุง.
I would love the report also to include best key indicators and policies and procedures so we can.
ูˆูŠูƒูˆู† ู‡ู†ุงูƒ.
and there have been.
ุญุชู‰ ูŠู…ูƒู†ู†ุง ู‚ุชู„ ู‡ุฐู‡ ุงู„ุญุฌุฉ ุงู„ุณุงุฐุฌุฉ ุชู…ุงู…ู‹ุง ููŠ ุงู„ูˆุงู‚ุน.
so we can fully kill that silly argument that is actually.
ูˆูƒุงู† ู‡ู†ุงูƒ ุฏูˆู„ุŒ ู„ู… ุชูƒู† ู‡ู†ุงูƒ ู‚ุฏ ู†ุฌุญุช.
and there have been countries, have not there which have successfully.
ู‚ุทุนู‹ุง.
absolutely.
ุฃุฏูˆุงุช ุชุญูƒู… ู„ูˆุณู†ุช.
lucent controls.
ู†ุนู….
yeah.
ูˆู‡ูŠ ู„ู… ุชู†ุชู‡ู ุจุนุฏ ุจุถุฎุงู…ุฉ.
and it has not ended up with a huge.
ุฃุฌู„.
yeah.
ุงู„ุณูˆู‚ ุงู„ุณูˆุฏุงุก ููŠ ุงู„ู…ูˆุฑููŠู†.
black market in morphine.
ุฃุนู†ูŠ ู†ูŠุฌุฑูŠุง ู‚ุงู…ุช ุจุนู…ู„ ู…ุฏู‡ุด ููŠ ุงู„ู…ู†ุทู‚ุฉุŒ ูƒูŠู†ูŠุงุŒ ุงู„ู…ุฌู„ุณ ุงู„ู…ุญู„ู‰ ุฃูˆุบู†ุฏุง]ุŒ ุฃูˆูƒุฑุงู†ูŠุง ุงู„ุขู†ุŒ ูƒูˆู„ูˆู…ุจูŠุง.
I mean Nigeria has done fantastic work in this area, Kenya, lC Uganda], the Ukraine now , Colombia.
ู†ุนู….
yes.
ูƒูˆุณุชุงุฑูŠูƒุงุŒ ุฃุนู†ูŠ ุฃู† ู‡ู†ุงูƒ ุฃู…ุซู„ุฉ ู‡ุงุฆู„ุฉ ุนู„ู‰ ุฐู„ูƒ.
Costa Rica, I mean there are tremendous examples of this.
ูˆุฃุนุชู‚ุฏ ุฃู† ู‡ุฐุง ุดูŠุก ู…ุง ุณู†ูƒูˆู† ุฌู…ูŠุนู†ุง ููŠ ุงู„ุญู„ู‚ุฉ ุณุนุฏุงุก ู„ู„ู…ุดุงุฑูƒุฉ ููŠู‡ ููŠ ุฏูˆู„ุชูƒู….
and I think this is something that all of us on the panel would be very happy to help in your country.
ู†ุนู….
yeah.
ูˆุงู„ุฏูˆู„ ุงู„ุฃุฎุฑู‰ ุฃูŠุถู‹ุง.
and other countries as well.
ุฅุฐุง ุงุณุชุทุนุชู… ุฅุฎุจุงุฑู†ุง ูƒูŠู ูƒูˆู„ูˆู…ุจูŠุง.
If you can tell us how Colombia.
ุณู†ุฃุฎุฐูƒ ู‡ู†ุงูƒ.
we will take you there.
ุญูŠุซ.
which is .
ุฃู…ูŠุฑุฉ ุณู†ุฃุฎุฐูƒ ุฅู„ู‰ ู‡ู†ุงูƒ.
princess we will take you that.
ูŠูˆุฌุฏ ุงู„ุนุฏูŠุฏ ู…ู† ุงู„ุฃุดูŠุงุก ุงู„ุฃุฎุฑู‰ ุงู„ุชูŠ ุฃููƒุฑ ููŠู‡ุง ููŠ ูƒูˆู„ูˆู…ุจูŠุงุŒ ู„ูƒู†.
there are many other things that I think of Colombia, but.
ุญุณู†ู‹ุงุŒ ุจุงู„ุชุงู„ูŠ.
yeah, so .
ุณูŠูƒูˆู† ุฐู„ูƒ ู…ุฏู‡ุดู‹ุง.
this would be amazing.
ุฅุฐุง ูุนู„ุช ูƒูˆู„ูˆู…ุจูŠุง ุฐู„ูƒุŒ ูŠู…ูƒู† ู„ุฃูŠ ุดุฎุต.
if Colombia did it, anyone can.
ู†ุนู… ูุนู„ุงู‹.
yes .
ู‡ู„ ู‡ุฐุง ู‡ูˆ ู…ุง ุชู‚ูˆู„ู‡ุŸ ุญุณู†ู‹ุง.
is that what you are saying? . okay.
ู„ุง ุชูƒุชุจ ุฐู„ูƒ ู…ู† ูุถู„ูƒ.
do not write that please .
ุญุณู†ู‹ุงุŒ ุขุณู ุฌุฏู‹ุงุŒ ู…ู† ุญุตู„ ุนู„ู‰ ุงู„ู…ูŠูƒุฑูˆููˆู†ุงุช ู‡ู†ุง.
okay, so sorry, who has got the microphones here.
ุฃุนุชู‚ุฏ ุฃู† ู‡ู†ุงูƒ ู…ูŠูƒุฑูˆููˆู† ูˆุงุญุฏ ุงู„ู‰ ู‡ู†ุงูƒุŒ ุชู‚ุฏู… ุณูŠุฏูŠ.
I think there is one microphone down there, go ahead sir.
ูˆุงู„ุขุฎุฑ ู‡ูˆ ุงู„ุฃุฎุฑ ู‡ูˆ.
and the other one is the other one is.
ุญุณู†ู‹ุงุŒ ุฃูŠุถู‹ุงุŒ ู‡ู„ ูŠู…ูƒู† ุฃู† ู†ุญุถุฑู‡ ุฅู„ู‰ ุงู„ุณูŠุฏุฉ ู‡ู†ุง ููŠ ุงู„ุตู ุงู„ุซุงู„ุซ.
okay, also, could we get it to the lady here in the third row.
ู†ุนู…ุŒ ู‡ุฐุง ู‡ูˆ ุฃู†ุชุŒ ุญุณู†ู‹ุงุŒ ุชูุถู„.
yeah, that is you, okay, go ahead.
ู†ุนู… ู…ุฑุญุจู‹ุง.
yes, hello.
ู†ุณุชุทูŠุน.
we can.
ุขุณู ู„ุญุธุฉ ูˆุงุญุฏุฉ ูู‚ุทุŒ ู‡ุฐุง ุงู„ุณูŠุฏ ุงู„ู…ุญุชุฑู… ุฃูˆู„ุงู‹ ุซู… ูŠู…ูƒู†ูƒ.
sorry just a second, HSthis gentleman go first and then you can.
ูŠู…ูƒู†ู†ุง ุชุญูˆูŠู„ ู‡ุฐู‡ ุงู„ู…ู†ุงู‚ุดุฉ ุงู„ุฑุงุฆุนุฉ ุฅู„ู‰ ุฅุฌุฑุงุก ูˆุงุญุฏ ูŠู…ูƒู† ุฃู† ูŠุตู†ุน ูุฑู‚ู‹ุง ุนู„ู‰ ุงู„ููˆุฑ.
we can convert this brilliant discussion to one piece of action which can make a difference immediately.
ูˆุถุนุช ุจุงู„ูุนู„ ูู‚ุฑุฉ ุจูŠุงู† ุตุญููŠ.
I have already drafted a press release paragraph.
ุฅุฐุง ูƒุงู† ูŠู…ูƒู†ู†ุง ุฃู† ุชุฎุฑุฌ ุจุจูŠุงู† ุตุญููŠ ุงู„ูŠูˆู… ูŠุญู…ู„ ุชู‚ุฑูŠุฑ ุงู„ุฃู…ู… ุงู„ู…ุชุญุฏุฉ ุงู„ุฎุงุต ู„ุจูŠุงู† .
if we can come all with a press release today inducing the UN special report here for statement.
ู…ู†ุน ุงู„ูˆุตูˆู„ ุฅู„ู‰ ุชุฎููŠู ุงู„ุฃู„ู… ูŠุนุงุฏู„ ุงู„ุนู„ุงุฌ ุงู„ู„ุงุฅู†ุณุงู†ูŠ ุงู„ู…ู‡ูŠู†.
that preventing access to pain relief is tantamount to inhuman and degrading treatments.
ูˆุฅุฐุง ุฃุนู„ู†ู†ุง ุฃู† ู…ู†ุชุฏู‰ ุฑุนุงูŠุฉ ู†ู‡ุงูŠุฉ ุงู„ุญูŠุงุฉุŒ ุฃูˆ ู…ุคุชู…ุฑ ุงู„ู‚ู…ุฉ ุงู„ุนุงู„ู…ูŠ ู„ู„ุงุจุชูƒุงุฑ ููŠ ุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ ูŠุฏุนูˆ ุงู„ุฏูˆู„ ููŠ ุงู„ุนุงู„ู… ู„ุฅุฒุงู„ุฉ ุงู„ุญูˆุงุฌุฒ ุงู„ุชู†ุธูŠู…ูŠุฉ ู„ู„ูˆุตูˆู„ ุฅู„ู‰ ุชุฎููŠู ุงู„ุฃู„ู….
and if we declare that end-of-life care forum, or the world innovation summit for health calls upon all countries in the world to remove regulatory barriers to access to pain relief.
ุณุฃุฎุจุฑูƒู… ูƒูŠู ุณูŠุตู†ุน ุฐู„ูƒ ูุฑู‚ู‹ุง.
I will tell you how it is going make a difference now.
ุงู„ุชุนุฏูŠู„ุงุช ุนู„ู‰ ู„ูˆุงุฆุญ ุงู„ุชุฎุฏูŠุฑ ุจุงู„ู€ ุงู„ู‡ู†ุฏุŒ ููŠ ุงู„ุจุฑู„ู…ุงู† ููŠ ู‡ุฐู‡ ุงู„ู„ุญุธุฉ.
amendments to the narcotic regulations of India, IT is in the parliament at SH the moment.
ู„ุฏูŠู†ุง ุซู„ุงุซุฉ ุฃูŠุงู… ูู‚ุท ู…ุชุจู‚ูŠุฉ ูˆู…ุงุฆุฉ ูˆุนุดุฑูŠู† ุจู†ุฏ ู…ู† ุงู„ุชุดุฑูŠุนุงุช.
we only have three days left and one hundred twenty items of legislations.
ุฅุฐุง ูƒู†ุง ู†ุณุชุทูŠุน ุงู„ุญุตูˆู„ ุนู„ูŠู‡ ุจุงู„ุฃุนู„ู‰ุŒ ุณุฏุณ ุงู„ุนุงู„ู… ูŠู…ูƒู† ุฃู† ูŠูƒูˆู† ู„ุฏูŠู‡ ุชุฎููŠู ุงู„ุฃู„ู….
if we can get it to the top, one sixth of the world can have the pain relief.
ูˆุฅุฐุง ูƒุงู† ู„ุฏูŠูƒ ุงู„ุจูŠุงู† ุงู„ุตุญููŠ ุงู„ูŠูˆู…ุŒ ุณูŠูƒูˆู† ู„ุฏูŠุŒ ููŠ ุงู„ุฅุนู„ุงู… ููŠ ุงู„ู‡ู†ุฏ ุจุญู„ูˆู„ ุงู„ู„ูŠู„ุฉ.
and if you have the press release today, I will have it, in the media in India by tonight.
ูˆู‚ุฏ ูŠูƒูˆู† ู„ุฏูŠู†ุง ุฅุฌุฑุงุก.
and we may have action.
ู†ุนู….
yes.
ุญุณู†ู‹ุงุŒ ูƒูŠู ูŠู…ูƒู†ู†ูŠ ุฃู† ุฃุชุจุน ุฐู„ูƒ.
Well, how can I follow that.
ุงุณู…ูŠ ุฑุงู…ูˆู†ุฌุงูŠุŒ ุฃู†ุง ู…ู† ุบุงู…ุจูŠุง.
my name is Ramonjai, I am from the Gambia.
ุฃู†ุง ููŠ ุงู„ูˆุงู‚ุน ู…ุญุงุฑุจ ุญุฏูŠุซ ู„ู„ุณุฑุทุงู† ูˆูƒู†ุช ู‚ุงุฏุฑู‹ุง ุนู„ู‰ ุงู„ูˆุตูˆู„ ุฅู„ู‰ ุชุฎููŠู ุงู„ุฃู„ู… ู„ุฃู†ูŠ ุชุตุงุฏู ุฃู† ูƒู†ุช ููŠ ุงู„ู…ู…ู„ูƒุฉ ุงู„ู…ุชุญุฏุฉ.
I am actually a recent cancer survivor myself and was able to get access to pain relief because I happened be in the UK.
ูู‚ุท ู„ู†ุดุงุฑูƒ ุฎุจุฑุงุชู†ุง ู„ุฃู†ู†ุง ู‚ู…ู†ุง ุจู‚ุทุนุฉ ุจุญุซูŠุฉ ุญุฏูŠุซู‹ุง ู„ุชู†ุธุฑ ุฅู„ู‰ ุงู„ูˆุนูŠ ุจุชุฎููŠู ุงู„ุฃู„ู… ูˆุฑุนุงูŠุฉ ู†ู‡ุงูŠุฉ ุงู„ุญูŠุงุฉ ุจูŠู† ุงู„ู…ุฎุชุตูŠู† ููŠ ุบุงู…ุจูŠุง ููŠ ุบุฑุจ ุฃูุฑูŠู‚ูŠุง ุญูŠุซ ุขุชูŠุช.
just to share our experiences because we did a piece of research recently to look at the awareness of pain relief and end-of-life care among health professionals in the Gambia in West Africa where I come from.
ูˆู…ุนุฑูุฉ ุณู„ู… ุงู„ู…ุณูƒู†ุงุช ูˆูƒู†ุช ู…ูุฒูˆุนู‹ุง ุจู†ู‚ุต ุชูˆุนูŠุฉ ุงู„ู…ุนุฑูุฉ ุจู‡ุฐู‡ ุงู„ุฃุดูŠุงุกุŒ ู‡ุฐุง ุฃูˆู„ ุดูŠุก.
and knowledge of the analgesic ladder and I was appalled by the lack of awareness of knowledge of these things, this is the first thing.
ุซุงู†ูŠู‹ุงุŒ ู„ุง ูŠู…ูƒู†ู†ุง ุงู„ูˆุตูˆู„ ุฅู„ู‰ ุงู„ู…ูˆุงุฏ ุงู„ุฅููŠูˆู†ูŠุฉ ุฃูˆ ุงู„ู…ูˆุฑููŠู†.
secondly, we cannot get access to opiates or morphine.
ูˆุงุถุทุฑุฑุช ุฃู† ุฃุดุงู‡ุฏ ุดุจุงุจ ุตุบุงุฑ ุจุณุฑุทุงู† ุงู„ูƒุจุฏ ูˆู‡ูˆ ุงู„ุณุฑุทุงู† ุงู„ุฃุดูŠุน ููŠ ุบุงู…ุจูŠุง ูŠุตุฑุฎูˆู† ู…ู† ุงู„ุฃู„ู….
and I have to watch young people with liver cancer which is the commonest cancer in the Gambia screaming in pain.
ูˆุจุณุจุจ ุงู„ุญูˆุงุฌุฒ ุงู„ุชู†ุธูŠู…ูŠุฉ ู„ุง ูŠู…ูƒู†ู†ุง ุฃู† ู†ุฎูู ุฃู„ู…ู‡ู… ุงู„ุฌุณุฏูŠ.
and because of regulatory barriers we cannot relieve their physical pain.
ุฅู†ู‡ ู…ูˆู‚ู ู…ุคู„ู… ุฌุฏู‹ุง ู„ู†ุง.
it is a very distressing situation for us.
ูˆู†ุญู† ู†ุญุงูˆู„ ุชู†ุธูŠู… ูˆุฑุดุฉ ุนู…ู„ ููŠ ุบุฑุจ ุฃูุฑูŠู‚ูŠุง ูู‚ุท ู„ุฑูุน ุงู„ูˆุนูŠ ุจู‡ุฐู‡ ุงู„ู…ุดูƒู„ุงุช ู…ุน ูˆุงุถุนูŠ ุงู„ุณูŠุงุณุงุช.
and we are trying to organize a workshop in West Africa just to raise awareness about these issues with the policymakers.
ูˆุฅุดุฑุงูƒ ุงู„ุนุงู…ุฉ ุจุฃู†ูุณู‡ู….
and to engage the public themselves.
ูˆู†ู‚ุต ุงู„ูˆุตูˆู„ ูŠูƒูˆู† ุจุณุจุจ ู‚ู„ู‚ ุงู„ุญูƒูˆู…ุงุช ู…ู† ุงู„ุฅุฏู…ุงู†
and the lack of access is because the government is worried about addiction
ู†ุนู….
yes.
ุฃูˆ ุฃู†ู‡ู… ู„ุง ูŠุฑูŠุฏูˆุง ุฅู†ูุงู‚ ุฌุฒุก ู…ู† ู…ูŠุฒุงู†ูŠุฉ ุงู„ุฑุนุงูŠุฉ ุงู„ุตุญูŠุฉ ุนู„ู‰ ุงู„ู…ูˆุช.
or it does want to spend part of the healthcare budget on the dying.
ู„ุงุŒ ุฃู†ุง ุฃุนู†ูŠุŒ ุฅู†ู‡ ู„ูŠุณ ู…ูƒู„ูู‹ุง ู„ู„ุฏุฑุฌุฉุŒ ูƒุจุฑูŠุชุงุช ุงู„ู…ูˆุฑููŠู† ู„ูŠุณ ู…ูƒู„ูุฉ ู„ู„ุฏุฑุฌุฉ.
no, I mean, it is actually not that expensive, morphine sulphate is not that expensive.
ุฐู„ูƒ ู„ุฃู† ุงู„ุญูƒูˆู…ุฉ ุชุฎุดู‰ ุฃู†ู‡ ุณูˆู ูŠุณุงุก ุงุณุชุฎุฏุงู…ู‡ ูˆุฅู†ู‡ุง ู…ุดูƒู„ุฉ ูƒุจูŠุฑุฉ ุจุงู„ู†ุณุจุฉ ู„ู†ุง.
it is because the government is afraid that it will be abused and it is a big problem for us.
ุฏุนูˆู†ุง ู†ุฃู…ู„ ุฃู† ุจุนุถ ุงู„ุฃู…ุซู„ุฉ ุงู„ุฅูŠุฌุงุจูŠุฉ ู„ู„ุฏูˆู„ ุงู„ุชูŠ ู‚ู…ุชู… ุจู‡ุง ุณุชุจุฏุฃ ููŠ ุฅู„ู‚ุงุก ุตุฏุงู‡ุง.
let's hope maybe some of the positive examples of countries you have done it will start to resonate.