გვანცა,

ქალბატონი თამარის დავალებით, დაავადებათა კონტროლის ცენტრს (ბატონ ამირანს) გავუგზავნოთ დესით ოფიციალური წერილი, მოვუყვეთ რომ ცამოდის ჯანმოს მისია... ქვევით არის მიზნები და ამოცანები, სამინისტროს მხრიდან საკონტაქტო პირი იქნები შენ, ხოლო დაავადებათა კონტროლმა უზრუნველყოს ამ მისიის „მასპინძობა“. წერილი იქნება თამარის სახელით.

პატივისცემით, ქეთი

ძვირფასო მარინა,

გთხოვთ გამოყოთ საკონტაქტო პირი, რომელიც იმუშავებს ჯანმოს ოფისთან მისიის მომზადების მიზნით. ასევე ვთხოვოთ ოფიციალურად დაავადებათა კონტროლის ცენტრს სრული ჩართულობა და პროცესის ფასილიტაცია.

პატივისცემით,

თამარ გაბუნია

მინისტრის მოადგილე

Sincerely,

Tamar Gabunia, MD, MPH

Deputy Minister

Dear Colleagues ,

In accordance to our discussion we send you information regarding 15-19 July mission on Oncological Services to be led by

1. Dr Marilys Corbex , WHO /EURO together with 3 experts:

• Rolando Camacho (very senior expert on cancer control, cancer surgeon and former head of IAEA PACT program, now retired)
• Sue Cohen (very senior screening expert, just retired from Public Health England)
• Vitaly Smelov (scientist in the IARC implementation research unit, very knowledgeable about prevention and early diagnosis in CEE countries)

We would like to ask you advise about Professionals to be invited for Round table to make presentation and preferable facilities to visit.

Objectives of the mission is to explore overall cancer control issues focusing on early diagnosis/screening, but also touch upon cancer registration, for which additionally IARC mission will be planned for autumn .

As requested by our experts they would like to have :

Roundtable (starting from the morning on Tuesday) with participation of key colleagues from Ministry, NCDC, screening registry and cancer registry, representative from screening centers including trainers, representative of the national institute of oncology, representative of all the places to visit, professionals who participated in drafting the NCD strategy (for its cancer and palliative care parts), representative of UNFPA.

We will ask these people to make short presentations about their activities, focusing on the difficulties they have, to shape it in a way that helps possibly to keep focus on public health issues and less clinical ppt and questions  

Time trend in incidence and mortality for breast, cervix, colorectal, prostate and thyroid cancer would be very useful, the best are “population based” incidence and mortality (i.e. per 100,000 inhabitants, not just % of cases) so this is something to ask to the cancer registry.

Visits (16-18 July: Tuesday afternoon, Wednesday, Thursday)

Need to visit,

• National cancer institute (need to meet clinician and laboratory people) ----                                                          ?
• + 1 private hospital: to learn about treatment and how they ensure treatment quality  -                                  ?  

• Screening:   facilities that do breast, cervix, colorectal, prostate, and/or Thyroid                                 
• Breast cancer screening places (mammography)                                                                                                ?
• Cervical cancer screening places (including laboratories, PAP smear, and center where women screened positive for pre-cancerous cervix lesion are treated)                                                                                                                                                     ?
• Colorectal cancer screening places (including places where colonoscopies are performed)              ?
• Thyroid cancer screening places (where U/S are performed)                                                                        ?

Also talk to people who do cervix colposcopies and LEEP (or cryotherapy or LLETZ or cold knife conization, whatever technique is used in GEO)

• Palliative care place - rapid visit of palliative care ward (near a cancer treatment center) Not private hospices that are not linked to cancer hospitals.

• The cancer registry

Debriefing ( Friday morning early enough to catch planes)

• 1: 30 debriefing for roundtable participants if possible or as appropriate

Please kindly share your opinion and advise when we can discuss details additionally

We will also discuss these issues with NCDC colleagues, working on NCD, Prevention and Cancer Registry issues

Thank you for your collaboration

On behalf of Silviu Domente

----------------------------------------

Rusudan (Rusiko) Klimiashvili,

Public Health Officer,

WHO Country Office in Georgia,

Office location: 81 Vasil Barnov Street, 0179 Tbilisi, Georgia

Mailing address: UN House, 9 Rapiel Eristavi Street,

0179, Tbilisi , Georgia,

Tel :              +995 32 2 99 80 73

Mobile:        +995 5 99 50 18 79

GPN:               74215

e-mail: klimiashvilir@who.int

NOTE: please update contact details to reflect my new e-mail: klimiashvilir@who.int