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ููู ุจุณูุท ุฌุฏูุงุ ุฅู ุฌุฒุก ุงุณุชุซูุงุฆู ู
ู ุณูู
ุงูู
ุณููุงุช ูู ุงูุจุณุงุทุฉ. | and it is very simple, it is extraordinary part of the analgesics ladder is simplicity. |
ูุฃุนุชูุฏ ุฃู ุญูููุฉ ุฃู ุงูุบุงูุจูุฉ ุงูุนุธู
ู ู
ู ุงูุนุงูู
ูุง ูุทุจู ุณูู
ุงูู
ุณููุงุชุ ู
ุฒุนุฌุฉ ููุนูู. | and I think the fact that the vast majority of the world does not implement the analgesic ladder, is mind bothering. |
ูุฌุฒุก ู
ู ุฐูู ูู ููุต ุงูุฅุฑุงุฏุฉ ุงูุณูุงุณูุฉ ุงูุชู ููููุณูุง ุฐูุฑุชูุง ูุจุนุถ ู
ููู
ูู
ุณูุง. | and part of it is the lack of the political will that Felecia mentioned and some of you have touched . |
ูููุงู ุดูุก ู
ุง ูุญุชุงุฌ ุญููุง ููุชูููุฑ ููู. | and there is something that we really need to think of. |
ูููู ูู
ูู ุฃู ูุบูุฑ ุดููุ ูู
ุง ุชุนุฑูููุ ูุฌุนู ูุฐุง ูุชูุงู
ู ู
ุน ู
ุง ุชููููู ููุงู ููุฃุญุฏุงุซ ุงูุญููููุฉ ูู ุงูุณูุงุณุฉ ูุงูุณูุงุณุงุช. | 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. |
ุจุญูุซ ูุชุบูุบู ุฅูู ู
ุณุชูู ุงูู
ุฑูุถ. | so that it trickles down to the patient level. |
ูุฐูู ููุณ ููุท ููุง ูู ุงูุฏูุญุฉ. | and it is not just here in Doha. |
ูููู ูุชุบูุบู ุฅูู ุฌู
ูุน ุงูู
ุฌุชู
ุนุงุช ูู ุงูุนุงูู
. | but it goes down to all the communities in the world. |
ุดูุฑูุงุ. | thank you, . |
ุฃูุฏ ุฃู. | I would like . |
ู
ููุฑููููุ ูุนู
. | microphone, yes. |
ููุท ุจุงุฎุชุตุงุฑ ุดุฏูุฏ ุชูุงูู ููุทุฉ ูุงุญุฏุฉ ููุง ุงุณุชุฌุงุจุฉ ุฅูู ููููุงูุง. | just really briefly pick up on one point there in responding to Liliana. |
ุดูุก ู
ุง ูุงูู ุฃูููุณุ ููุณ ูุฏููุง ู
ุคุดุฑุงุช ู
ูุทููุฉ. | something that Alex said, we do not have reasonable indicators. |
ุฅุฐุง ุฃุฎุฐุช ุงูู
ุนูุงุฑ ุงูุฐูุจู ูุฅุนุฏุงุฏ ุงูุฃููููุงุชุ ุงูู
ุณู
ู ุนุจุก ุงูู
ุฑุถุ ุงูู
ูุดูุฑ ุญุฏูุซูุง ูู ุฐุง ูุงูุณูุชุ ุงูู
ูู
ุฌุฏูุง. | if you take the gold standard of priority setting, called burden of disease, published recently in the Lancet, hugely important. |
ุฅูู ูุง ูููุณ ู
ุง ูุชุญุฏุซ ุญููู ุฃููุง ู
ููู
. | it does not measure what either of you were speaking about. |
ุฃูู ูููุณ ููุท ุงูู
ูุช ุงูู
ุจูุฑ ุฌุฏูุง ุฃู ุนุฏู
ุงููุฏุฑุฉ ุนูู ุฃู ุงูุฅูุชุงุฌ ูู ุงูุนู
ู. | it only measures too early death or not being able to be productive at work. |
ุจุงูุชุงูู ูุงุถุนู ุงูุณูุงุณุงุช ููุณ ูุฏููู
ุฅุนุฏุงุฏ ุฃููููุงุช . | so the policymaker does not have a priority setting . |
ููู ูุฐุง ุจุนูุฏ ุฌุฏูุง ุนู ูุฐุง ุงูุงุฌุชู
ุงุนุ ูุฃููุง ูู
ูููุง ุชู
ุฏูุฏ ุชูู ุงูู
ุคุดุฑุงุช ูุชุทููุฑ ุฅุนุฏุงุฏ ุงูุฃููููุงุช. | but this is a big takeaway for this meeting, because we could extend those indicators and develop the proper priority setting. |
ุฃุนุชูุฏ ุฃู ุฏูู ูุฐุง ุงูููุน ู
ู ุงูุฏููู ู ุชูู
ุงุณ ุฃู ููุงู ุนุงุฆู ููุงุณุชุฑุงุชูุฌูุงุช ุงูููู
ูุฉ. | I believe without that kind of evidence and Thomas is that a barrier to national strategies. |
ูุฃูู ูุง ุชูุฌุฏ ุฃุฏูุฉ ูุงููุฉ ููุท. | because there is not just enough evidence. |
ุจุงูุชุฃููุฏุ ููู ุงูุนู
ุฑ ุฏุงุฆู
ูุง ูููู ุนูู ุฐูู. | absolutely, and it is the age always being my on this. |
ุฅูู ูุบุฒ ุญูุซ ูุง ูู
ูููุง ุงูุงุจุชูุงุฑ ุญุชู ูููู ูุฏููุง ุฏูููุงู. | it is conundrum where we cannot innovate till we have the evidence. |
ูุงูู
ุฎุงุทุฑ ุฅุฐุง ุงูุชุธุฑุช ุชุฌู
ูุน ุงูุฃุฏูุฉ ูู ุชุจุชูุฑ ุฃุจุฏูุง. | and the dangers if you wait to collect the evidence you never innovate. |
ูุฐูู ุฃูุง ุฃุชูู ุนูู ุงูุญุงุฌุฉ ุฅูู ู
ุคุดุฑุงุช ุฃูุถู. | so I agree that there needs to be better indicators. |
ููู ุนูููุง ุฃู ูุจุฏุฃ ุงูุขูุ ุนูููุง ุฃู ูุจุฏุฃ ุงูุขู. | but we have to start now, we have to start now. |
ุงูุฃู
ูุฑุฉ ุฏููุง. | princess Dina. |
ุฃุฑูุฏ ููุท ุฃู ุฃุณุฃู ุงูุญููุฉุ ูู ูุฐุง ูุนู
ู. | I just want to ask the panel, is this is on. |
ูุนู
. | yeah. |
ูุญุชุงุฌ ุญููุง ูุฏุนู
ู ูู ูุชู ุงูุญุฌุฉ ุงูุชูููุฏูุฉ ู
ู ุงูุญููู
ุงุช ุฎุงุตุฉ ูู ุชุทููุฑ ุงูุนุงูู
. | we really need your support in killing the typical argument from governments especially in the developing world. |
ุฃููู
ููุณ ูุฏููู
ูุตูู ุฅูู ุงูู
ูุงุฏ ุงูุฃูููููุฉ ููุท ุจุณุจุจ ุฃููุ ุฅููุง ุณููุณุงุก ุงุณุชุฎุฏุงู
ูุงุ ุณูุชู
ุชูุฑูุจูุง ูุบูุฑ ุฐูู. | 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 ูู ุงูุญุงูุ ุฃูุง ูุง ุฃุนุชูุฏ ุฃู ุตูุงุน ุงููุฑุงุฑ ูู ุงูุนุงูู
ุงููุงู
ู ู
ุดุบูููู ุญููุง ุญูู ุงูุฏูููุ ูููุณ ุจุงูุฏููู. | this is the typical, I do not think policymakers in the developing world are really busy about evidence, not evidence. |
ุฅููู
ูุฑูุถูู ุงูู
ูุงูุดุฉ ุชู
ุงู
ูุงุ ูุฃู ูุฐุง ูู ุงูู
ุฎุฑุฌ ุงูุณูู. | they just completely dismiss the argument, because it is the easy way out. |
ูุณุฃููู ุฏุงุฆู
ูุงุ ูู
ุง ุชุนุฑูููุ ูู ูุญู ุงููุญูุฏูู ุงูุฐูู ูุฏููู
ู
ุดููุงุช ุงูุชูุฑูุจ ุฃู ู
ุดููุงุช ุณูุก ุงูุงุณุชุฎุฏุงู
. | and I would to always say, you know, are we the only ones who have smuggling issues or abuse issues. |
ุฏุนููุง ูุชุนูู
ู
ู ุงูุฏูู ุงูุฃุฎุฑู. | let us learn from other countries. |
ู
ุง ูู ุฅุฌุฑุงุกุงุช ุงูู
ุณุงุกูุฉ ุงูุชู ูุถุนููุง. | what accountability procedures did they put. |
ููู ููุนู ุฐูู ุฅูู ุขุฎุฑู. | how to do that etc. |
ุฃุญุจ ุฃู ูุชุถู
ู ุงูุชูุฑูุฑ ุฃูุถูุง ุฃูุถู ุงูู
ุคุดุฑุงุช ูุงูุณูุงุณุงุช ูุงูุฅุฌุฑุงุกุงุช ุงูุฃุณุงุณูุฉ ุญุชู ูู
ูููุง. | I would love the report also to include best key indicators and policies and procedures so we can. |
ููููู ููุงู. | and there have been. |
ุญุชู ูู
ูููุง ูุชู ูุฐู ุงูุญุฌุฉ ุงูุณุงุฐุฌุฉ ุชู
ุงู
ูุง ูู ุงููุงูุน. | so we can fully kill that silly argument that is actually. |
ููุงู ููุงู ุฏููุ ูู
ุชูู ููุงู ูุฏ ูุฌุญุช. | and there have been countries, have not there which have successfully. |
ูุทุนูุง. | absolutely. |
ุฃุฏูุงุช ุชุญูู
ููุณูุช. | lucent controls. |
ูุนู
. | yeah. |
ููู ูู
ุชูุชูู ุจุนุฏ ุจุถุฎุงู
ุฉ. | and it has not ended up with a huge. |
ุฃุฌู. | yeah. |
ุงูุณูู ุงูุณูุฏุงุก ูู ุงูู
ูุฑููู. | black market in morphine. |
ุฃุนูู ููุฌุฑูุง ูุงู
ุช ุจุนู
ู ู
ุฏูุด ูู ุงูู
ูุทูุฉุ ููููุงุ ุงูู
ุฌูุณ ุงูู
ุญูู ุฃูุบูุฏุง]ุ ุฃููุฑุงููุง ุงูุขูุ ููููู
ุจูุง. | I mean Nigeria has done fantastic work in this area, Kenya, lC Uganda], the Ukraine now , Colombia. |
ูุนู
. | yes. |
ููุณุชุงุฑููุงุ ุฃุนูู ุฃู ููุงู ุฃู
ุซูุฉ ูุงุฆูุฉ ุนูู ุฐูู. | Costa Rica, I mean there are tremendous examples of this. |
ูุฃุนุชูุฏ ุฃู ูุฐุง ุดูุก ู
ุง ุณูููู ุฌู
ูุนูุง ูู ุงูุญููุฉ ุณุนุฏุงุก ููู
ุดุงุฑูุฉ ููู ูู ุฏููุชูู
. | and I think this is something that all of us on the panel would be very happy to help in your country. |
ูุนู
. | yeah. |
ูุงูุฏูู ุงูุฃุฎุฑู ุฃูุถูุง. | and other countries as well. |
ุฅุฐุง ุงุณุชุทุนุชู
ุฅุฎุจุงุฑูุง ููู ููููู
ุจูุง. | If you can tell us how Colombia. |
ุณูุฃุฎุฐู ููุงู. | we will take you there. |
ุญูุซ. | which is . |
ุฃู
ูุฑุฉ ุณูุฃุฎุฐู ุฅูู ููุงู. | princess we will take you that. |
ููุฌุฏ ุงูุนุฏูุฏ ู
ู ุงูุฃุดูุงุก ุงูุฃุฎุฑู ุงูุชู ุฃููุฑ ูููุง ูู ููููู
ุจูุงุ ููู. | there are many other things that I think of Colombia, but. |
ุญุณููุงุ ุจุงูุชุงูู. | yeah, so . |
ุณูููู ุฐูู ู
ุฏูุดูุง. | this would be amazing. |
ุฅุฐุง ูุนูุช ููููู
ุจูุง ุฐููุ ูู
ูู ูุฃู ุดุฎุต. | if Colombia did it, anyone can. |
ูุนู
ูุนูุงู. | yes . |
ูู ูุฐุง ูู ู
ุง ุชููููุ ุญุณููุง. | is that what you are saying? . okay. |
ูุง ุชูุชุจ ุฐูู ู
ู ูุถูู. | do not write that please . |
ุญุณููุงุ ุขุณู ุฌุฏูุงุ ู
ู ุญุตู ุนูู ุงูู
ููุฑููููุงุช ููุง. | okay, so sorry, who has got the microphones here. |
ุฃุนุชูุฏ ุฃู ููุงู ู
ููุฑูููู ูุงุญุฏ ุงูู ููุงูุ ุชูุฏู
ุณูุฏู. | I think there is one microphone down there, go ahead sir. |
ูุงูุขุฎุฑ ูู ุงูุฃุฎุฑ ูู. | and the other one is the other one is. |
ุญุณููุงุ ุฃูุถูุงุ ูู ูู
ูู ุฃู ูุญุถุฑู ุฅูู ุงูุณูุฏุฉ ููุง ูู ุงูุตู ุงูุซุงูุซ. | okay, also, could we get it to the lady here in the third row. |
ูุนู
ุ ูุฐุง ูู ุฃูุชุ ุญุณููุงุ ุชูุถู. | yeah, that is you, okay, go ahead. |
ูุนู
ู
ุฑุญุจูุง. | yes, hello. |
ูุณุชุทูุน. | we can. |
ุขุณู ูุญุธุฉ ูุงุญุฏุฉ ููุทุ ูุฐุง ุงูุณูุฏ ุงูู
ุญุชุฑู
ุฃููุงู ุซู
ูู
ููู. | sorry just a second, HSthis gentleman go first and then you can. |
ูู
ูููุง ุชุญููู ูุฐู ุงูู
ูุงูุดุฉ ุงูุฑุงุฆุนุฉ ุฅูู ุฅุฌุฑุงุก ูุงุญุฏ ูู
ูู ุฃู ูุตูุน ูุฑููุง ุนูู ุงูููุฑ. | we can convert this brilliant discussion to one piece of action which can make a difference immediately. |
ูุถุนุช ุจุงููุนู ููุฑุฉ ุจูุงู ุตุญูู. | I have already drafted a press release paragraph. |
ุฅุฐุง ูุงู ูู
ูููุง ุฃู ุชุฎุฑุฌ ุจุจูุงู ุตุญูู ุงูููู
ูุญู
ู ุชูุฑูุฑ ุงูุฃู
ู
ุงูู
ุชุญุฏุฉ ุงูุฎุงุต ูุจูุงู . | if we can come all with a press release today inducing the UN special report here for statement. |
ู
ูุน ุงููุตูู ุฅูู ุชุฎููู ุงูุฃูู
ูุนุงุฏู ุงูุนูุงุฌ ุงููุงุฅูุณุงูู ุงูู
ููู. | that preventing access to pain relief is tantamount to inhuman and degrading treatments. |
ูุฅุฐุง ุฃุนูููุง ุฃู ู
ูุชุฏู ุฑุนุงูุฉ ููุงูุฉ ุงูุญูุงุฉุ ุฃู ู
ุคุชู
ุฑ ุงููู
ุฉ ุงูุนุงูู
ู ููุงุจุชูุงุฑ ูู ุงูุฑุนุงูุฉ ุงูุตุญูุฉ ูุฏุนู ุงูุฏูู ูู ุงูุนุงูู
ูุฅุฒุงูุฉ ุงูุญูุงุฌุฒ ุงูุชูุธูู
ูุฉ ูููุตูู ุฅูู ุชุฎููู ุงูุฃูู
. | 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. |
ุณุฃุฎุจุฑูู
ููู ุณูุตูุน ุฐูู ูุฑููุง. | I will tell you how it is going make a difference now. |
ุงูุชุนุฏููุงุช ุนูู ููุงุฆุญ ุงูุชุฎุฏูุฑ ุจุงูู ุงูููุฏุ ูู ุงูุจุฑูู
ุงู ูู ูุฐู ุงููุญุธุฉ. | amendments to the narcotic regulations of India, IT is in the parliament at SH the moment. |
ูุฏููุง ุซูุงุซุฉ ุฃูุงู
ููุท ู
ุชุจููุฉ ูู
ุงุฆุฉ ูุนุดุฑูู ุจูุฏ ู
ู ุงูุชุดุฑูุนุงุช. | we only have three days left and one hundred twenty items of legislations. |
ุฅุฐุง ููุง ูุณุชุทูุน ุงูุญุตูู ุนููู ุจุงูุฃุนููุ ุณุฏุณ ุงูุนุงูู
ูู
ูู ุฃู ูููู ูุฏูู ุชุฎููู ุงูุฃูู
. | if we can get it to the top, one sixth of the world can have the pain relief. |
ูุฅุฐุง ูุงู ูุฏูู ุงูุจูุงู ุงูุตุญูู ุงูููู
ุ ุณูููู ูุฏูุ ูู ุงูุฅุนูุงู
ูู ุงูููุฏ ุจุญููู ุงููููุฉ. | and if you have the press release today, I will have it, in the media in India by tonight. |
ููุฏ ูููู ูุฏููุง ุฅุฌุฑุงุก. | and we may have action. |
ูุนู
. | yes. |
ุญุณููุงุ ููู ูู
ูููู ุฃู ุฃุชุจุน ุฐูู. | Well, how can I follow that. |
ุงุณู
ู ุฑุงู
ููุฌุงูุ ุฃูุง ู
ู ุบุงู
ุจูุง. | my name is Ramonjai, I am from the Gambia. |
ุฃูุง ูู ุงููุงูุน ู
ุญุงุฑุจ ุญุฏูุซ ููุณุฑุทุงู ูููุช ูุงุฏุฑูุง ุนูู ุงููุตูู ุฅูู ุชุฎููู ุงูุฃูู
ูุฃูู ุชุตุงุฏู ุฃู ููุช ูู ุงูู
ู
ููุฉ ุงูู
ุ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 ููุดุงุฑู ุฎุจุฑุงุชูุง ูุฃููุง ูู
ูุง ุจูุทุนุฉ ุจุญุซูุฉ ุญุฏูุซูุง ูุชูุธุฑ ุฅูู ุงููุนู ุจุชุฎููู ุงูุฃูู
ูุฑุนุงูุฉ ููุงูุฉ ุงูุญูุงุฉ ุจูู ุงูู
ุฎุชุตูู ูู ุบุงู
ุจูุง ูู ุบุฑุจ ุฃูุฑูููุง ุญูุซ ุขุชูุช. | 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. |
ูู
ุนุฑูุฉ ุณูู
ุงูู
ุณููุงุช ูููุช ู
ูุฒูุนูุง ุจููุต ุชูุนูุฉ ุงูู
ุนุฑูุฉ ุจูุฐู ุงูุฃุดูุงุกุ ูุฐุง ุฃูู ุดูุก. | 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. |
ุซุงูููุงุ ูุง ูู
ูููุง ุงููุตูู ุฅูู ุงูู
ูุงุฏ ุงูุฅูููููุฉ ุฃู ุงูู
ูุฑููู. | secondly, we cannot get access to opiates or morphine. |
ูุงุถุทุฑุฑุช ุฃู ุฃุดุงูุฏ ุดุจุงุจ ุตุบุงุฑ ุจุณุฑุทุงู ุงููุจุฏ ููู ุงูุณุฑุทุงู ุงูุฃุดูุน ูู ุบุงู
ุจูุง ูุตุฑุฎูู ู
ู ุงูุฃูู
. | and I have to watch young people with liver cancer which is the commonest cancer in the Gambia screaming in pain. |
ูุจุณุจุจ ุงูุญูุงุฌุฒ ุงูุชูุธูู
ูุฉ ูุง ูู
ูููุง ุฃู ูุฎูู ุฃูู
ูู
ุงูุฌุณุฏู. | and because of regulatory barriers we cannot relieve their physical pain. |
ุฅูู ู
ููู ู
ุคูู
ุฌุฏูุง ููุง. | it is a very distressing situation for us. |
ููุญู ูุญุงูู ุชูุธูู
ูุฑุดุฉ ุนู
ู ูู ุบุฑุจ ุฃูุฑูููุง ููุท ูุฑูุน ุงููุนู ุจูุฐู ุงูู
ุดููุงุช ู
ุน ูุงุถุนู ุงูุณูุงุณุงุช. | and we are trying to organize a workshop in West Africa just to raise awareness about these issues with the policymakers. |
ูุฅุดุฑุงู ุงูุนุงู
ุฉ ุจุฃููุณูู
. | and to engage the public themselves. |
ูููุต ุงููุตูู ูููู ุจุณุจุจ ููู ุงูุญููู
ุงุช ู
ู ุงูุฅุฏู
ุงู | and the lack of access is because the government is worried about addiction |
ูุนู
. | yes. |
ุฃู ุฃููู
ูุง ูุฑูุฏูุง ุฅููุงู ุฌุฒุก ู
ู ู
ูุฒุงููุฉ ุงูุฑุนุงูุฉ ุงูุตุญูุฉ ุนูู ุงูู
ูุช. | or it does want to spend part of the healthcare budget on the dying. |
ูุงุ ุฃูุง ุฃุนููุ ุฅูู ููุณ ู
ููููุง ููุฏุฑุฌุฉุ ูุจุฑูุชุงุช ุงูู
ูุฑููู ููุณ ู
ูููุฉ ููุฏุฑุฌุฉ. | no, I mean, it is actually not that expensive, morphine sulphate is not that expensive. |
ุฐูู ูุฃู ุงูุญููู
ุฉ ุชุฎุดู ุฃูู ุณูู ูุณุงุก ุงุณุชุฎุฏุงู
ู ูุฅููุง ู
ุดููุฉ ูุจูุฑุฉ ุจุงููุณุจุฉ ููุง. | it is because the government is afraid that it will be abused and it is a big problem for us. |
ุฏุนููุง ูุฃู
ู ุฃู ุจุนุถ ุงูุฃู
ุซูุฉ ุงูุฅูุฌุงุจูุฉ ููุฏูู ุงูุชู ูู
ุชู
ุจูุง ุณุชุจุฏุฃ ูู ุฅููุงุก ุตุฏุงูุง. | let's hope maybe some of the positive examples of countries you have done it will start to resonate. |
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