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Summit of osteoporosis experts from CIS countries issue 5-point call for action
Date:1/9/2013

iagnostic equipment in many other countries throughout the region as well. Double X-ray absorptiometry is the most accurate modern method of diagnosis which is available only in big cities, although in one third of the reviewed countries 40% of the population lives in urban areas. In most of CIS, pharmacological treatment of people with high risk of fractures is not reimbursed, therefore citizens just can't afford it themselves. It is known that low levels of calcium and vitamin D intake pose a negative effect on bone health. Meanwhile, in almost all CIS countries the intakes for these nutrients fall far below FAO /WHO recommendations. Additionally, the majority of the population has already suffered from obvious vitamin D deficiency leading not only to fractures but to rickets. Over the last years the proportion of children affected with rickets has reached up to 54-66% in some Russian regions.

A few positive trends outweighed by inaction in most countries:

At the same time the Summit participants did report that, since the publication of the 2010 Audit results, some positive changes had occurred in their countries.

  • In Uzbekistan, the list of medications for treatment of osteoporosis was enlarged and diagnostics has been improved.

  • In Kyrgyzstan, the Ministry of Health Care included an issue for the development and introduction of a National Programme on Osteoporosis in the order "of improvement of rheumatology service", and bisphosphonates were included in the list of essential medications.

  • The Ministry of Health Care of Kazakhstan initiated a research programme "The development of integrated actions for osteoporosis prevention" which is being carried out from 2011-2013.

  • The Republic of Belarus is preparing normative documents to organize a Children Centre for Low Bone Density Prevention.

Despite these welcome, if modest, signs of progress, it is too early to declare t
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Contact: L. Misteli
info@iofbonehealth.org
41-229-940-100
International Osteoporosis Foundation
Source:Eurekalert

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