ȼɋȿɆɂɊɇȺə ɈɊȽȺɇɂɁȺɐɂə ɁȾɊȺȼɈɈɏɊȺɇȿɇɂə • ȿȼɊɈɉȿɃɋɄɈȿ ɊȿȽɂɈɇȺɅɖɇɈȿ ȻɘɊɈ Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark Ɍɟɥ.: +45 39 17 17 17 Ɏɚɤɫ: +45 39 17 18 18 Ɍɟɥɟɤɫ: 12000 who dk ɗɥɟɤɬɪɨɧɧɚɹ ɩɨɱɬɚ: postmaster@who.dk World Wide Web address: http://www.euro.who.int ɉɨɫɬɨɹɧɧɵɣ ɤɨɦɢɬɟɬ Ɋɟɝɢɨɧɚɥɶɧɨɝɨ ɤɨɦɢɬɟɬɚ ɞɟɜɹɬɨɝɨ ɫɨɡɵɜɚ ɉɹɬɨɟ ɫɨɜɟɳɚɧɢɟ ɀɟɧɟɜɚ, 13–14 ɢɸɧɹ 2002 ɝ. EUR/RC51/SC(5)/REP 15 ɫɟɧɬɹɛɪɹ 2002 ɝ. 23648 ɈɊɂȽɂɇȺɅ: ȺɇȽɅɂɃɋɄɂɃ ɈɌɑȿɌ Ɉ ɉəɌɈɆ ɋɈȼȿɓȺɇɂɂ
EUR/RC51/SC(5)/REP ɫɬɪ. 1 ȼɜɟɞɟɧɢɟ 1. ȼ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɩɨɠɟɥɚɧɢɹɦɢ, ɜɵɪɚɠɟɧɧɵɦɢ ȿɜɪɨɩɟɣɫɤɢɦ ɪɟɝɢɨɧɚɥɶɧɵɦ ɤɨɦɢɬɟɬɨɦ ȼɈɁ ɧɚ ɟɝɨ ɩɹɬɶɞɟɫɹɬ ɩɟɪɜɨɣ ɫɟɫɫɢɢ (ɊɄ-51), ɉɄɊɄ ɩɪɢɫɬɭɩɢɥ ɤ ɤɨɧɫɭɥɶɬɚɰɢɹɦ ɫ ɟɜɪɨɩɟɣɫɤɢɦɢ ɝɨɫɭɞɚɪɫɬɜɚɦɢ-ɱɥɟɧɚɦɢ ɩɨ ɜɨɩɪɨɫɭ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ ȿɜɪɨɩɟɣɫɤɨɝɨ ɪɟɝɢɨɧɚ ɧɚ ɂɫɩɨɥɧɢɬɟɥɶɧɨɦ ɤɨɦɢɬɟɬɟ ɢ, ɜ ɱɚɫɬɧɨɫɬɢ, ɩɨ ɜɨɩɪɨɫɚɦ “ɩɨɥɭɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ ɢ ɝɟɨɝɪɚɮɢɱɟɫɤɨɣ ɝɪɭɩɩɢɪɨɜɤɢ”, ɚ ɬɚɤɠɟ ɩɨ ɜɨɩɪɨɫɭ ɨɛɳɢɯ ɤɪɢɬɟɪɢɟɜ ɞɥɹ ɱɥɟɧɫɬɜɚ. 2. ɗɬɢ ɤɨɧɫɭɥɶɬɚɰɢɢ ɩɪɨɜɨɞɢɥɢɫɶ ɜ ɜɢɞɟ ɫɩɟɰɢɚɥɶɧɨɝɨ ɫɨɜɟɳɚɧɢɹ ɉɄɊɄ, ɧɚ ɤɨɬɨɪɨɟ ɛɵɥɢ ɩɪɢɝɥɚɲɟɧɵ ɜɫɟ ɝɨɫɭɞɚɪɫɬɜɚ-ɱɥɟɧɵ ɢ ɤɨɬɨɪɨɟ ɩɪɨɯɨɞɢɥɨ 13–14 ɢɸɧɹ 2002 ɝ. ɜ ɀɟɧɟɜɟ. ɋɪɚɡɭ ɠɟ ɩɨɫɥɟ ɫɩɟɰɢɚɥɶɧɨɝɨ ɫɨɜɟɳɚɧɢɹ ɉɄɊɄ ɩɪɨɜɟɥ ɡɚɤɪɵɬɨɟ ɫɨɜɟɳɚɧɢɟ ɢ ɭɬɜɟɪɞɢɥ ɧɢɠɟɫɥɟɞɭɸɳɢɟ ɧɚɛɥɸɞɟɧɢɹ ɢ ɪɟɤɨɦɟɧɞɚɰɢɢ. Ɉɛɳɢɟ ɤɪɢɬɟɪɢɢ 3. Ʉɪɢɬɟɪɢɢ, ɩɪɟɞɥɚɝɚɟɦɵɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ ɢ ɧɚɲɟɞɲɢɟ ɫɜɨɟ ɨɬɪɚɠɟɧɢɟ ɜ ɩɭɧɤɬɟ 13 ɞɨɤɭɦɟɧɬɚ EUR/RC51/SC(5)/4, ɩɪɟɞɧɚɡɧɚɱɚɥɢɫɶ ɞɥɹ ɩɨɜɵɲɟɧɢɹ ɤɚɱɟɫɬɜɚ ɢ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ ȿɜɪɨɩɟɣɫɤɨɝɨ ɪɟɝɢɨɧɚ ɜ ɂɫɩɨɥɧɢɬɟɥɶɧɨɦ ɤɨɦɢɬɟɬɟ (ɂɄ). Ȼɵɥɨ ɨɬɦɟɱɟɧɨ, ɱɬɨ, ɯɨɬɹ ɜɵɛɨɪ ɩɪɟɞɫɬɚɜɢɬɟɥɟɣ ɹɜɥɹɟɬɫɹ ɩɪɟɪɨɝɚɬɢɜɨɣ ɫɬɪɚɧ, ɷɬɢ ɤɪɢɬɟɪɢɢ ɞɨɥɠɧɵ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɜ ɤɚɱɟɫɬɜɟ ɪɭɤɨɜɨɞɹɳɢɯ ɩɪɢɧɰɢɩɨɜ ɞɥɹ ɫɬɪɚɧ ɩɪɢ ɨɬɛɨɪɟ ɢɦɢ ɫɜɨɢɯ ɞɟɥɟɝɚɰɢɣ ɜ ɰɟɥɨɦ ɢ ɢɯ ɩɪɟɞɫɬɚɜɢɬɟɥɟɣ ɂɫɩɨɥɤɨɦɚ ɜ ɱɚɫɬɧɨɫɬɢ ɢ ɧɟ ɞɨɥɠɧɵ ɩɪɢɦɟɧɹɬɶɫɹ ɩɪɟɞɩɢɫɵɜɚɸɳɢɦ, ɜɦɟɧɹɸɳɢɦ ɨɛɪɚɡɨɦ. 4. Ʉɪɨɦɟ ɬɨɝɨ, ɭɫɢɥɟɧɢɟ ɤɨɨɪɞɢɧɚɰɢɢ ɦɟɠɞɭ ɉɄɊɄ ɢ ɟɜɪɨɩɟɣɫɤɢɦɢ ɩɪɟɞɫɬɚɜɢɬɟɥɹɦɢ ɂɫɩɨɥɤɨɦɚ ɫɩɨɫɨɛɫɬɜɨɜɚɥɨ ɛɵ ɞɚɥɶɧɟɣɲɟɦɭ ɩɨɜɵɲɟɧɢɸ ɤɚɱɟɫɬɜɚ ɢ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɟɜɪɨɩɟɣɫɤɨɝɨ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ. Ƚɟɨɝɪɚɮɢɱɟɫɤɚɹ ɝɪɭɩɩɢɪɨɜɤɚ 5. ȼɨɩɪɨɫ ɫɩɪɚɜɟɞɥɢɜɨɝɨ ɝɟɨɝɪɚɮɢɱɟɫɤɨɝɨ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ/ɩɪɟɞɫɬɚɜɥɟɧɧɨɫɬɢ ɧɚ ɂɫɩɨɥɤɨɦɟ ɹɜɥɹɟɬɫɹ ɜɟɫɶɦɚ ɫɥɨɠɧɵɦ. ɉɪɢɦɟɪ ɤɨɨɪɞɢɧɚɰɢɢ ɦɟɠɞɭ ɋɟɜɟɪɧɵɦɢ ɫɬɪɚɧɚɦɢ ɩɨ ɜɨɩɪɨɫɭ ɩɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɚ ɜ ɂɫɩɨɥɤɨɦɟ ɢ ɪɹɞɭ ɞɪɭɝɢɯ ɜɨɩɪɨɫɨɜ ɛɵɥ ɩɪɢɡɧɚɧ ɜ ɤɚɱɟɫɬɜɟ ɩɪɢɜɥɟɤɚɬɟɥɶɧɨɣ ɦɨɞɟɥɢ, ɤɨɬɨɪɨɣ ɦɨɠɧɨ ɛɵɥɨ ɛɵ ɫɥɟɞɨɜɚɬɶ ɜ ɞɪɭɝɢɯ ɱɚɫɬɹɯ Ɋɟɝɢɨɧɚ. Ɋɚɫɫɦɨɬɪɟɧɢɟ ɤɨɧɰɟɩɰɢɢ ɜɧɭɬɪɢɪɟɝɢɨɧɚɥɶɧɵɯ ɝɪɭɩɩɢɪɨɜɨɤ ɢɥɢ “ɷɥɟɤɬɨɪɚɬɨɜ” ɦɨɠɧɨ ɛɵɥɨ ɛɵ ɩɪɨɞɨɥɠɢɬɶ ɜ ɞɚɥɶɧɟɣɲɟɦ ɧɚ ɞɨɛɪɨɜɨɥɶɧɨɣ ɨɫɧɨɜɟ. ɗɬɨɬ ɜɨɩɪɨɫ ɞɨɥɠɟɧ “ɨɫɬɚɜɚɬɶɫɹ ɧɚ ɫɬɨɥɟ” ɞɥɹ ɞɚɥɶɧɟɣɲɢɯ ɩɨ ɧɟɦɭ ɤɨɧɫɭɥɶɬɚɰɢɣ. ɉɨɥɭɩɨɫɬɨɹɧɧɨɟ ɱɥɟɧɫɬɜɨ ɜ ɂɫɩɨɥɧɢɬɟɥɶɧɨɦ ɤɨɦɢɬɟɬɟ 6. Ȼɵɥɨ ɜɧɨɜɶ ɭɤɚɡɚɧɨ ɧɚ ɬɨ, ɱɬɨ “ɜ ɍɫɬɚɜɟ ȼɈɁ ɜɨɩɥɨɳɟɧ ɩɪɢɧɰɢɩ ɫɩɪɚɜɟɞɥɢɜɨɫɬɢ ɞɥɹ ɜɫɟɯ ɝɨɫɭɞɚɪɫɬɜ-ɱɥɟɧɨɜ, ɢ ɩɨɷɬɨɦɭ ɠɟɥɚɬɟɥɶɧɨ ɢɫɩɪɚɜɢɬɶ ɧɵɧɟɲɧɸɸ ɫɢɬɭɚɰɢɸ ɢ ɫɞɟɥɚɬɶ ɟɟ ɫɩɪɚɜɟɞɥɢɜɨɣ”, ɤɚɤ ɛɵɥɨ ɡɚɹɜɥɟɧɨ ɧɚ ɩɪɟɞɵɞɭɳɟɦ ɫɩɟɰɢɚɥɶɧɨɦ ɫɨɜɟɳɚɧɢɢ ɉɄɊɄ ɜ ɢɸɥɟ 1999 ɝ. (ɞɨɤɭɦɟɧɬ EUR/RC49/2 Add.1). 7. Ɋɹɞ ɭɱɚɫɬɧɢɤɨɜ ɜɵɫɬɭɩɢɥɢ ɫ ɡɚɹɜɥɟɧɢɹɦɢ, ɜ ɤɨɬɨɪɵɯ ɩɪɢɡɧɚɜɚɥɢɫɶ ɮɚɤɬ ɨɛɟɫɩɟɱɟɧɢɹ ɩɪɟɟɦɫɬɜɟɧɧɨɫɬɢ ɢ ɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨɫɬɢ ɢ ɜɚɠɧɨɫɬɶ ɪɚɛɨɬɵ, ɩɪɨɞɟɥɚɧɧɨɣ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɥɟɬ “ɩɨɥɭɩɨɫɬɨɹɧɧɵɦɢ” ɱɥɟɧɚɦɢ. 8. ɇɟɨɛɯɨɞɢɦɨɫɬɶ ɩɟɪɟɦɟɧ ɛɵɥɚ ɩɪɢɡɧɚɧɚ ɜɨ ɜɪɟɦɟɧɧɨɦ ɫɨɝɥɚɲɟɧɢɢ, ɞɨɫɬɢɝɧɭɬɨɦ ɜ Ʉɨɩɟɧɝɚɝɟɧɟ ɜ 1999 ɝ. Ȼɵɥɨ ɬɪɭɞɧɨ ɩɪɟɞɩɨɥɨɠɢɬɶ ɜɨɡɦɨɠɧɨɫɬɶ ɜɨɡɜɪɚɳɟɧɢɹ ɤ status quo ante EUR/RC51/SC(5)/REP ɫɬɪ. 2 (ɬ.ɟ. ɩɪɟɠɧɟɦɭ ɫɨɫɬɨɹɧɢɸ, ɫɨɝɥɚɫɧɨ ɤɨɬɨɪɨɦɭ ɩɨɥɭɩɨɫɬɨɹɧɧɵɟ ɱɥɟɧɵ ɨɫɭɳɟɫɬɜɥɹɥɢ ɛɵ ɫɜɨɟ ɱɥɟɧɫɬɜɨ ɜ ɂɫɩɨɥɤɨɦɟ ɧɚ ɩɪɨɬɹɠɟɧɢɢ 3 ɥɟɬ ɢɡ 4). ɋɨɝɥɚɫɧɨ ɤɨɧɫɟɧɫɭɫɧɨɦɭ ɦɧɟɧɢɸ, ɯɨɬɹ ɛɵ ɧɵɧɟɲɧɹɹ ɜɪɟɦɟɧɧɚɹ ɞɨɝɨɜɨɪɟɧɧɨɫɬɶ (3 ɝɨɞɚ ɢɡ 5) ɞɨɥɠɧɚ ɛɵɬɶ ɫɨɛɥɸɞɟɧɚ, ɫ ɬɟɦ ɱɬɨɛɵ ɤɚɠɞɵɣ “ɩɨɥɭɩɨɫɬɨɹɧɧɵɣ” ɱɥɟɧ ɦɨɝ ɛɵ ɡɚɜɟɪɲɢɬɶ ɫɪɨɤ ɫɜɨɢɯ ɩɨɥɧɨɦɨɱɢɣ (ɬ.ɟ. ɋɨɟɞɢɧɟɧɧɨɟ Ʉɨɪɨɥɟɜɫɬɜɨ – ɜ 2004 ɝ., Ɋɨɫɫɢɣɫɤɚɹ Ɏɟɞɟɪɚɰɢɹ – ɜ 2005 ɝ. ɢ Ɏɪɚɧɰɢɹ – ɜ 2006 ɝ.). 9. Ʉɪɨɦɟ ɬɨɝɨ, ɉɄɊɄ ɪɟɤɨɦɟɧɞɨɜɚɥ Ɋɟɝɢɨɧɚɥɶɧɨɦɭ ɤɨɦɢɬɟɬɭ ɪɚɫɫɦɨɬɪɟɬɶ ɜ 2003 ɝ., ɩɨɫɥɟ ɩɪɨɜɟɞɟɧɢɹ ɨɰɟɧɤɢ, ɰɟɥɟɫɨɨɛɪɚɡɧɨɫɬɶ ɩɟɪɟɯɨɞɚ ɩɭɬɟɦ ɫɨɝɥɚɲɟɧɢɹ ɤ ɩɪɨɞɥɟɧɧɨɣ ɩɟɪɢɨɞɢɱɧɨɫɬɢ (3 ɝɨɞɚ ɢɡ 6) ɧɚɱɢɧɚɹ ɫ 2007 ɝ. ɞɥɹ ɋɨɟɞɢɧɟɧɧɨɝɨ Ʉɨɪɨɥɟɜɫɬɜɚ, 2008 ɝ. – ɞɥɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɢ 2009 ɝ. – ɞɥɹ Ɏɪɚɧɰɢɢ. 10. ɉɨɥɧɨɦɨɱɢɹ ɞɥɹ ɨɰɟɧɤɢ ɞɨɥɠɧɵ ɛɵɬɶ ɩɪɟɞɨɫɬɚɜɥɟɧɵ ɉɨɫɬɨɹɧɧɵɦ ɤɨɦɢɬɟɬɨɦ Ɋɟɝɢɨɧɚɥɶɧɨɦɭ ɤɨɦɢɬɟɬɭ ɜ 2002 ɝ., ɚ ɪɟɡɭɥɶɬɚɬɵ ɨɰɟɧɤɢ – Ɋɟɝɢɨɧɚɥɶɧɨɦɭ ɤɨɦɢɬɟɬɭ ɜ 2003 ɝ. ɋ ɟɞɢɧɫɬɜɟɧɧɨɣ ɡɚɞɚɱɟɣ ɭɬɨɱɧɟɧɢɹ ɷɬɨɝɨ ɦɚɧɞɚɬɚ ɉɄɊɄ ɪɟɲɢɥ ɜɨɫɫɬɚɧɨɜɢɬɶ ɫɜɨɸ ɩɨɞɝɪɭɩɩɭ ɩɨ ɱɥɟɧɫɬɜɭ ɜ ɂɫɩɨɥɧɢɬɟɥɶɧɨɦ ɤɨɦɢɬɟɬɟ. Ⱦ-ɪ Jarkko Eskola (Ɏɢɧɥɹɧɞɢɹ), ɞ-ɪ Danielle Hansen-Koenig (Ʌɸɤɫɟɦɛɭɪɝ) ɢ ɞ-ɪ ɋ.Ɇ. Ɏɭɪɝɚɥ (Ɋɨɫɫɢɣɫɤɚɹ Ɏɟɞɟɪɚɰɢɹ) ɫɨɝɥɚɫɢɥɢɫɶ ɪɚɛɨɬɚɬɶ ɜ ɩɨɞɝɪɭɩɩɟ, ɜ ɫɜɹɡɢ ɫ ɱɟɦ ɦɨɝɭɬ ɩɨɬɪɟɛɨɜɚɬɶɫɹ ɭɫɥɭɝɢ “ɪɟɫɭɪɫɧɨɝɨ” ɥɢɰɚ. ɉɨɩɪɚɜɤɢ ɤ ɫɬɚɬɶɹɦ 24 ɢ 25 ɍɫɬɚɜɚ 11. ɋɨɜɟɳɚɧɢɟ ɜɧɨɜɶ ɩɨɞɬɜɟɪɞɢɥɨ ɧɟɨɛɯɨɞɢɦɨɫɬɶ ɧɚɫɬɨɹɬɟɥɶɧɨ ɩɪɟɞɥɨɠɢɬɶ ɝɨɫɭɞɚɪɫɬɜɚɦ- ɱɥɟɧɚɦ, ɤɨɬɨɪɵɟ ɷɬɨɝɨ ɧɟ ɫɞɟɥɚɥɢ (ɜɤɥɸɱɚɹ ɝɨɫɭɞɚɪɫɬɜɚ - ɱɥɟɧɵ ȿɜɪɨɩɟɣɫɤɨɝɨ ɪɟɝɢɨɧɚ), ɪɚɬɢɮɢɰɢɪɨɜɚɬɶ ɩɨɩɪɚɜɤɢ ɤ ɫɬɚɬɶɹɦ 24 ɢ 25 (ɱɬɨ inter alia ɩɪɟɞɨɫɬɚɜɢɬ ȿɜɪɨɩɟɣɫɤɨɦɭ ɪɟɝɢɨɧɭ ɜɨɫɶɦɨɟ ɦɟɫɬɨ ɞɥɹ ɱɥɟɧɫɬɜɚ ɜ ɂɫɩɨɥɤɨɦɟ). ɉɄɊɄ ɩɪɟɞɥɨɠɢɥ ɫɟɤɪɟɬɚɪɢɚɬɭ ɪɚɡɪɚɛɨɬɚɬɶ ɞɥɹ ɷɬɨɝɨ ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɦɟɯɚɧɢɡɦ.