State sanitary and epidemiological service Sanitary- epidemiological service of Ashgabat city


Address: Ashgabat, Gurbansoltan eje Avenue, Building 48

Telephones: (993 12) 28-14-47, 28-22-04

Fax: (993 12) 28-14-47


Proclaiming a man and his health to be a main value of the state and society, our Esteemed President in his activity in the Era of Might and Happiness refers to the wellbeing of our Motherland. A particular attention of the National Leader who day and night is concerned about the health of his citizens is paid to the medical education. Concern about the health of a man begins first of all with health. And a healthy society needs healthy people.

The activity the Sanitary-epidemiological service of Ashgabat city is being carried out in accordance with the words of the President of Turkmenistan Gurbanguly Berdimuhamedov: “Being the main value of the country, the health of the people is also a strong basis of our Independent Motherland!” To fulfill the tasks set in the “Health” State Programme and proceeding from the demands of the Sanitary Code of Turkmenistan, the activity of the Sanitary-epidemiological service of Ashgabat city is aimed at the everyday qualitative sanitary and disease control of the objects under observation, at the improvement of a healthy life style of the citizens and at the sanitary and epidemiological wellbeing of the city.

The Sanitary-epidemiological service of Ashgabat city was established on October 1, 1926. At that time, the Sanitary-epidemiological service was functioning as a Sanitary- epidemiological department being under the jurisdiction of the health department of Ashgabat city.  In 1998, after the establishment of the State Sanitary and Epidemiological Service of the Ministry of Health and Medical Industry of Turkmenistan, the number of the organization departments of the Ashgabat SES increased. At the same time, the municipal disinfection station, which was separated from the service in 1964, was again annexed to the SES as an disinfection department. With the increase in the number of the Ashgabat SES departments, the duties and tasks have also expanded. On July 21, 2013, the Ashgabat SES began working in the restored administrative building at the address: building 48, Gurbansoltan eje Avenue. In 2016, the SES activity expanded again and the Virology laboratory and Radiation Hygiene Department were established. To improve its sanitary and anti epidemic activity, the Sanitary-epidemiological service of Ashgabat city has been and is periodically supplied with the advanced technologies and laboratory equipment corresponding to the world standards.

The Sanitary-epidemiological service of Ashgabat city consists of the sanitary-hygiene and epidemiological departments which include:

1. Department of the sanitary hygiene of the buildings under construction and reconstruction and environment protection

2. Communal hygiene department

3. Children and adolescents hygiene department

4. Labor hygiene department

5. Foodstuff certification department

6. Nutrition hygiene department

7. Sanitary and hygiene laboratory

8. Radiation hygiene department

9. Market nutrition hygiene laboratories

10. Anti epidemic department

11. Parasitology department

12. Bacteriological laboratory

13. Virology laboratory

14. Disinfection department

15. Airport Sanitary and quarantine points

16. Ashgabat railway station sanitary checkpoint

17. Prevention and disinfection department

18. Sanitary – customs department

The use of the advanced technologies makes it possible to improve the quality of the carried out work, to promote efficiency, to raise the level of the knowledge and professionalisms of the workers and to accelerate the solution of the everyday tasks set before them.

During the process of

- carrying out construction of new buildings and reconstruction of the old ones,

- designing the projects on planning public centres, dwelling regions, city streets,

- solving issues of the location of the civil, industrial and agricultural constructions and determining their sanitary-protection zones,

- choosing the construction sites (including private ones),

- building of the industrial and transport constructions, dwelling houses, objects and constructions for cultural and living purposes,

- construction, reconstruction and improvement of the engineering infrastructures and improvement of the constructions,

the specialists of the sanitary-epidemiological service of the sanitary- hygiene of the buildings under construction and reconstruction and environment protection department control the observation of the construction and sanitary norms of keeping of the neighboring and adjacent construction territories, improvement of the labor conditions of the workers at the construction sites, and prevention of air pollution by means of the improved equipment. Using the conclusions of the laboratory physical, chemical and radiological data indices of the level of the electromagnetic radiations of the environment, facing materials, drinking water and air, the specialists of the department take part in the state acceptance commission for putting built constructions into operation.

Communal hygiene department. Proceeding from the programme for fulfilling the resolution of the President of Turkmenistan “On Supplying the Citizens of the Country with Clean Drinking Water”, a control over ensuring a sanitary wellbeing of the city drinking water is being exercised. In accordance with the current requirements of the SSS 837-2016 “Drinking water” a regular control is exercised over the supply of the Ashgabat citizens with ecologically-friendly drinking water and that over the observation of the requirements of the location of the springs and drinking water purifying objects and adjacent territories. Work on the control over keeping settlements clean and the improvement of the quality of the sewerage and water supply systems to prevent infectious diseases is being carried out. Besides, the State sanitary control over the prophylactic measures on decreasing people’s infectious diseases and the improvement of the people’s every day and rest conditions and creation of healthier environment (lakes, soil), correspondence to the noise, vibration, electromagnetic radiations, and lighting of dwelling and public points level norms.

Children and adolescents hygiene department regularly exercises control over the execution of the legislation on the children’s health protection and observation of the sanitary and epidemiological norms in the in the children and adolescents’ establishments and their nutrition, transportation, keeping and preparation of the used foodstuff, a proper condition of water supply and sewerage systems and supply with disinfectants. Sanitary – educational events on the sanitary-epidemiological norms and rules, prevention of infectious diseases among children, personal hygiene, disinfection ways, and methods promoting the development of children’s healthy style of life are held for the workers of the educational system.

Labor hygiene department exercises sanitary control over improvement of the labor and rest conditions of the workers of the Ashgabat industrial, construction and transport enterprises and prophylactics of professional diseases. Control is being exercised over the organization and taking of the measures aimed at the prevention and elimination of the harmful industrial impacts which can do harm to the workers’ health in the labor conditions. Control over the conditions of storage, transportation and use of mineral fertilizers and chemicals in the industrial zones is also exercised.

Foodstuff certification department is engaged in developing the documents on the observation of the technical specifications of the sanitary and hygiene norms when importing to, producing, transporting and selling foodstuffs in the territory of the country. It also certifies and exercises a state control of the quality of the imported and domestic foodstuffs in accordance with the “Regulations on the State Control of the Quality and Certification of Foodstuffs in the Territory of Turkmenistan”. Control over production, storage and transportation of foodstuffs at the foodstuff producing enterprises in the territory of Ashgabat is also exercised. Foodstuff certification department exercises a strict sanitary control over prevention of importing to the territory of the country food additives forbidden to be used in the food industry, controls the use of food additives and coloring agents in domestic food stuffs and regulates the import of the foodstuffs of such composition.

Nutrition hygiene department. Basing on the Law of Turkmenistan “On Ensuring Safety and Quality of Foodstuffs”, the department exercises a sanitary control over the measures aimed at the improvement of the conditions of people’s catering, education about rational nutrition, prophylactics of food poisonings and alimentary diseases. An everyday sanitary control is exercised at the state and private points of public catering and foodstuff trade by the selection of the foodstuff samples, washouts and laboratory – instrumental measurements.

Sanitary and hygiene laboratory consists of the physical – chemical, toxicological, nutrition hygiene, municipal hygiene, and labor hygiene departments. The analysis of quality and safety of foodstuffs, the correspondence of technical and drinking water to the standards, a food value of foodstuffs and a sanitary and hygiene analysis of drinking, technical, consumer and process water is exercised and in the laboratory and physical – chemical measurements of the air, light, microclimate at the industrial, domestic and municipal objects are conducted.


The presence and content of poisonous and harmful for health substances such as the salts of heavy metals are determined on the atomic adsorption spectrophotometer installed in the toxicological department.

Radiation hygiene department controls the fulfillment of the instructions on the use and operation of radionuclide and radioactive and radioisotope substances. It exercises control over the projects on the construction of new and restoration of existing establishments using iron-emitting radiation, a roentgenologic departments, and fluorography rooms in accordance with the sanitary norms and gives necessary directions and controls their compliance.

To certificate, the department makes radiometric analyses of the samples of foodstuffs and materials contiguous with them. It also exercises a sanitary and radioisometric control at the enterprises using the sources of ionizing emission, at roentgenologic  departments and in fluorography rooms. It exercises a radiometric control over the selected samples of domestic foodstuffs. The department makes dosimetric measurements of the plots of land when giving them for construction work. It exercises a sanitary and radioisometric control over the workrooms and laboratories of the institutions and enterprises belonging to different industrial branches.

The main task of market nutrition hygiene laboratories is control over the observation of the quality and safety of foodstuffs and food raw materials in the market territory. Laboratories exercise qualitatively and timely laboratory analyses of meat and fish, dairy and meat foodstuffs, vegetables and fruits in accordance with the state standards and regulations. The laboratory workers together with the market administration exercise control over the observation of the conditions of the sale of foodstuffs, especially such perishable ones as meat, milk, fish and others, as well as the conditions of foodstuff storage and transportation.

Anti epidemic department. The activity of the epidemiological department is connected with a timely revelation, prophylactics, elimination and prevention of the spread of the infectious and parasitic disease niduses. To ensure an epidemiologic wellbeing on infectious and parasitic diseases among the Ashgabat citizens, the following measures are carried out:

- registration of the infectious diseases by nosologic units (acute, respiratory, infectious intestinal and others);

- epidemical investigations and anti epidemic measures in the infectious disease niduses;

- sanitary and educational activities among different layers of the population

 -holding scientific conferences among the responsible authoritative officials on the theme of prophylactics and anti epidemic activity against infectious and parasitic diseases;

- vaccination rounds against infectious diseases and control over them.

 In accordance with “National Programme on Immuno-prophylaxis in the Territory of Turkmenistan” the main task of the prevention of infectious diseases spread is a prophylactic vaccination of the population. Proceeding from the fact that prophylactic vaccination is a reliable way of preventing infectious diseases spread, prophylactic vaccination activities are organized in the territory of Ashgabat and control over them is exercised.

At present, “National Prophylactic Vaccination Programme” envisages vaccination against 14 infectious diseases. In the territory of the Sanitary-epidemiological service of Ashgabat city there are large overall storehouses equipped with special cooler and freezing units corresponding to the requirements of the World Health Organisation for storing immune-prophylactic preparations. One of the responsible tasks of the epidemiological department is a spread of immune-prophylactic preparations among medioprohylactic institutions with observing a cold chain system  till the moment of their use. A sanitary – epidemiological regime and disinfection measures in the medical-prophylactic institutions control over which is exercised by means of the laboratory methods is also rather important. The utilization of medical wastes is also under a strict control.

The activity of the parasitology department is organized in accordance with the plan of parasitic diseases elimination. By the directions of entomologists the transmissible diseases niduses are disinfected and the places of blood-sucking insect massive reproduction are controlled. The study and analysis of such parasitic diseases as dermal and visceral leishmaniases, helminthiasis, malaria, intestinal protozoan diseases, toxoplasmosis and scabies are systematically carried out. On the basis of the received data of the analysis, plans of the anti epidemic measures aimed at elimination and prevention of the parasitic diseases spread are developed. The workers of the parasitological department reveal the niduses of parasitic diseases and together with other medical-prophylactic institutions they eliminate them and carry out an epidemic analysis to prevent their spread.


Bacteriological laboratory consists of the department revealing respiratory and intestinal infections, as well as parasitic diseases, diagnostic, serologic and sanitary – bacteriological departments. The laboratory carries out a bacteriological analysis of

- the samples of water of swimming pools, ground and underground sources of drinking water supply as well as that of recreation zones;

- the samples of air in the medical-prophylactic institutions and in preschool establishments;

- the samples of soil taken from the children’s play and rest grounds;

- the washouts from different objects to reveal pathogenic flora.


Helminthiasis, Staphylococcus aureus and pathogenic intestinal flora checkups are regularly carried out to control the health of the workers of the institutions working with children and hospital patients, food industry enterprises, public catering points and public motor transport enterprises.

Virology laboratory

       

A qualitative and quantitative analysis for genetically modified sources in the foodstuffs of the vegetable and animal origin made in the territory of the country and beyond its borders and sold to the population if Ashgabat is carried out in the virology laboratory with the help of a polymerase chain reaction in the real time regime.

The workers of the disinfection department hospitalize infectious patients, those infectiously suspected and people contacted with infected ones. The disinfection department is equipped with the latest disinfection units of chamber disinfection with the help of which sired objects and clothes are disinfected to block the ways of transmission of infectious and parasitic agents. People are cleansed in the sanitary inspection rooms by epidemiological and sanitary indications.

The main tasks set before the workers of the airport sanitary and quarantine point are to reveal and prevent the spread of infectious diseases among coming and transit passengers from the epidemiologically problem countries and from other countries on the basis of the regulations on the sanitary protection of the territory of Turkmenistan from quarantine diseases. Besides, important tasks are also a control over sanitary disinfection measures and observation of the sanitary – epidemiological norms in the territory of the International Airport and adjacent zones and on the board of aircrafts. The supervision of the coming and transit passengers is carried out by means of the thermoscanners installed in the territory of the International Airport. There are also taken measures for prophylactics of the spread of the causative agents of the extremely dangerous infectious diseases spread by the air transport and control over their fulfillment is exercised.

Ashgabat railway station sanitary checkpoint exercises a sanitary, hygiene and anti epidemiological control in the territory of the railway station, passenger trains and other means connected with railway passenger traffic. It organizes and takes priority anti epidemiological measures for revealing the infected and those infectiously suspected and revealing food poisonings in the territory of the objects and passenger trains under control. It exercises a state sanitary control over the observation of the sanitary and hygiene and anti epidemiological norms and rules at the objects providing passengers’ rest, catering and water supply as well as at other ones rendering public and other services in the railway station territory.

Prevention and disinfection department organizes and takes measures for elimination of insects and gnawing animals in the medical-prophylactic institutions, children and adolescents’ municipal establishments, dwelling houses, public catering objects and other similar organizations.  City citizens’ requests are taken and contracts and agreements are made with the institutions, enterprises and organizations to carry out a prophylactic treatment to eliminate insects and gnawing animals.

Sanitary – customs department determines the legality of the goods, things, transport vehicles, etc. brought via the customs border of Turkmenistan. It correspondingly reveals and prevents import to and export from the territory of Turkmenistan forbidden objects and those allowed for transportation via the customs border with the observation of particular conditions.

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Direction of infectious diseases centers Therapeutic and preventive center for infectious diseases


 The Infectious Disease Treatment and Prevention Center of the Directorate of Infectious Disease Centers Directorate was opened on September 01, 2010. The center provides round-the-clock medical care for infectious diseases to the population of Ashgabat and all regions. The capacity consists of budget 260 beds, including 160 beds for children, 100 beds for adults. The structure of the center consists of a ward, and 9 medical departments (acute intestinal children,  Acute intestinal adult, Acute respiratory adult, Acute respiratory adult, Airborne droplets, Particularly dangerous diseases, Infant viral hepatitis, Adult viral hepatitis, 1 functional diagnostics (Ultrasound, fibrogastroscopy, fibroscan, electrocardiography, echocardiography, hydrocardiography, echocardiography) , 4 auxiliary (Kitchen, Laundry, Sterilization department, Des. Chamber) departments.

The center is a training base and an advisory and methodological center of the Department of Infectious Diseases of the State Medical University of Turkmenistan.

The activities of the center are carried out on the basis of existing orders and instructions approved in the state language.

The treatment and prophylactic center of infectious diseases in order to diagnose, treat and prevent infectious diseases in our country is carried out on the basis of orders:

1. Order of the Ministry of Health and Medical Industry of Turkmenistan No. 336 dated September 11, 2010 “On improving the safe system for working with medical waste in Turkmenistan”;

2. Order of the Ministry of Health and Medical Industry of Turkmenistan No. 395 dated November 01, 2012 “On the prevention of viral hepatitis in Turkmenistan”;

3. By order No. 916, the implementation of the sanitary and epidemiological rules in Infectious Clinics (departments);

4. Strengthening measures for the timely identification of patients with typhoid fever on the basis of order No. 75 of the Ministry of Health and the Medical Industry of Turkmenistan dated April 22, 1997;

5. Approval of the instruction “On the prevention of especially dangerous infectious diseases” based on the order of the Ministry of Health and Medical Industry of Turkmenistan No. 502 dated December 29, 2011 and the order of the Ministry of Health and MPT No. 202 “Measures to prevent plague and cholera among the population”;

6. Order of the Ministry of Health and MPT No. 9-237 / 21 of 11/27/1995 “On the prevention of intestinal infections among the population of Turkmenistan”

7. Order of the Ministry of Health and MPT No. 48 of February 24, 2016 “On improving the sentinel epidemiological surveillance against influenza and other acute respiratory infections”.

8. Order of the Ministry of Health and MPT No. 205 of July 07, 2009 “On the Introduction of Epidemiological Control of Measles, Rubella and Congenital Rubella, and Congenital Rubella Syndrome in Turkmenistan”;

9. Order No. 115 of December 25, 1993, “On Measures for the Prevention of Diphtheria";

10. Order No. 67 of May 11, 2002, “On Preventive Measures for the Prevention of Rabies in the Population”.

Reception Department.

5 insulators are provided for patients:

• For patients with intestinal infection

• For the reception of patients with respiratory diseases

• For the reception of patients with viral hepatitis

• For the reception of patients with airborne diseases

For the reception of patients with especially dangerous infectious diseases

If necessary, in the emergency room provide first aid

Hospitalized patients in the department are taking sanitary measures. Measures are being taken to disinfect the ambulance transport by which the patients were delivered.


Department of acute intestinal infections for children and adults.

Patients with typhoid fever, shigellosis, salmonellosis, amoebiasis, acute gastroenterocolitis, botulism and food poisoning are treated in the department.

The department conducts research:

• general blood test, biochemical blood test, blood test for latent infections, blood ELISA (roundworm, echinococcus, lamblia), blood test for sterility, blood culture, blood serology (Vidal), bacteriological examination of breast milk, FGDS and colonoscopy, ECG and ultrasound

• coproscopy, analysis of feces for helminth eggs, bacteriological analysis of feces, analysis of feces for viruses, analysis of feces for amoebiasis, bacteriological examination of gastric and intestinal swabs

• general urine analysis, urine analysis according to Nechiporenko

 In the department, patients are treated: diet therapy, oral rehydration (rehydrate, boiled water, camel spike tea), detoxification and rehydration, antibiotic therapy, enzyme therapy, phytotherapy, antifungal treatment.

Change to treatment: An antiviral treatment, Anaferon and ORVI Immunogen, was introduced for the treatment of acute intestinal infections.

Sore throat and acute respiratory infections for children and adults.

In the department, patients receive treatment for tonsillitis, acute respiratory infections, as well as their complications - laryngitis, bronchitis, pneumonia.

 The department conducts research:

• general blood test, biochemical blood test, blood test for latent infections, blood test for syphilis and HIV infection

• coproscopy, analysis of feces for eggs of worms,

• general urine analysis

• a sample from the throat and nose on Basilla Lefflere and on the flora.

• In accordance with Order No. 48 “On Improving Sentinel Surveillance for Influenza and Other Acute Respiratory Infections,” throat swab for Influenza A, B and other respiratory viruses, AKP.

• Chest x-ray, ECG and ultrasound

 In the department, patients are treated: detoxification and rehydration, antibiotics and antiseptics, antibiotic therapy, desensitization, bronchodilators and mucolytic, hormonal treatment (with stenosis), vitamins, phytotherapy, antifungal treatment, physiotherapy (inhalation, electrophoresis, UHF, etc.).

Change to treatment: throat swab for Influenza A, B and other respiratory viruses, AKP

Department of viral hepatitis for children and adults.

Patients with acute and chronic viral hepatitis receive treatment at the department.


 The department conducts research:

1. General analysis of blood and urine

2. analysis of feces for eggs of worms

3. Biochemical blood test

4. Blood ELISA (Anti HAV; HBsAg; Anti HCV; Anti HDV)

5. Wasserman response and blood test for HIV

6. Blood test for malaria

7. Clotting time of prothrombin and blood

8. Ultrasound (internal organs)

9. ECG.

10. Fibroscan

11. Fibrogastroduodenoscopy

12. Thyroid hormones

 In the department, patients are treated: diet number 5, mode, hepatoprotectors,diuretics, metabolics,detoxification therapy,enzymes, antispasmodics, absorbents, vitamins, antibacterial therapy, immunomodulators, desensitizing therapy

Airborne Infectious Diseases Unit.

The department receives treatment for patients with infectious diseases transmitted by airborne droplets (diphtheria, chickenpox, mumps, meningitis, measles, rubella, whooping cough, scarlet fever).

The department conducts research:

- general blood test, biochemical blood test, analysis of a large drop of blood for diplococci, with chickenpox ELISA

coproscopy, analysis of feces for eggs of worms

- general urine analysis, urine analysis according to Nechiporenko

- smear from the throat and nose on the flora, meningococcus, basilla Leflerera

- nasopharyngeal swab for meningococcus

- analysis of cerebrospinal fluid, analysis of cerebrospinal fluid for meningococcus, bacteriological analysis of cerebrospinal fluid. 

In the department, patients are treated: detoxification therapy, antibiotic therapy, antiviral treatment, hormone therapy, desensitizing treatment, symptomatic therapy, vitamins.

Department with especially dangerous infectious diseases.

The department provides treatment to patients with especially dangerous infectious diseases (cholera, plague, smallpox, fever), Brucellosis, rabies.

The department conducts research:

general blood test, biochemical blood test, blood test for brucellosis, blood test for malaria, blood ELISA for brucellosis, blood test for HIV

coproscopy, analysis of feces for eggs of worms

- general urine analysis, urine analysis according to Nechiporenko

- Newly introduced studies: ELISA of blood for brucellosis,

- ECG, ultrasound, X-ray examination.

In the department, patients are treated: antibiotic therapy, NSAIDs, desensitizing treatment, detoxification therapy, antispasmodics, vitamins, hepatoprotectors, antibiotic therapy., hormone therapy, antimalarial therapy

Resuscitation - intensive care unit.


Infectious patients in need of intensive care receive treatment at the department


The department conducts research:

• general blood test, biochemical blood test, blood test for latent infections, blood test for sterility, blood culture, blood serology (Vidal), bacteriological examination of breast milk, blood ELISA for hepatitis markers, blood type and Rh factor, blood test for malaria.

• coproscopy, analysis of feces for helminth eggs, bacteriological analysis of feces, analysis of feces for viruses, analysis of feces for amoebiasis, PSR feces (for all intestinal infections), bacteriological examination of gastric and intestinal swabs

• general urine analysis, urine analysis according to Nechiporenko

• ECG, ultrasound, Fibroscan, KT, X-ray, MRI, FGDS, Colonoscopy


In the department, patients are treated:

• diet therapy

• oral rehydration (rehydrate, boiled water, camel spike tea)

• detoxification and rehydration

• antibiotic therapy

• antibiotic therapy

• hormone therapy

• symptomatic and syndromic treatment

• enzyme therapy

• phytotherapy

• antifungal treatment

• Pressure chamber


Newly introduced methods of treatment: with hepatic encephalopathy Glutargin, Hepamers, with toxic carditis Carnitine and their analogues


Research conducted at the Department of Functional Diagnostics



Ultrasound procedure: liver,gallbladder,spleen,thyroid gland,Adrenal,Kidney,bladder, Genital, pregnancy, Prostate,pancreas, pleural cavity.


Fibroscan

ECG

X-ray study

Chest x-ray

X-ray

X-ray (scopy) of the ventricle of the intestinal tract

Endoscopy

rectoscopy

fibrocolonoscopy

esophagogastroduodenoscopy


 Treatment in the physiotherapy department:

• Electrophoresis

• UHF therapy

• Ozokerite

• Tube quartz

• inhalation

• Vacuum therapy

• Ultrasound treatment


Clinical observation room.

Dispensary observation of patients with infectious diseases is carried out in accordance with the order of the Ministry of Health and Medical Industry of Turkmenistan No. 93 dated March 14, 2018 in the office the following tasks are carried out:

1. Outpatient reception by an infectious disease doctor of citizens who applied from the city of Ashgabat and velayats of the country.

2. Referral of patients to appropriate laboratories and departments for laboratory tests and other types of diagnostics.

3. Primary dispensary observation of patients after infectious diseases.

4. Laboratory and instrumental types of studies in a certain group of infectious patients (viral hepatitis, brucellosis, etc.) with their subsequent follow-up observation

5. Registration of outpatient visits, the introduction of an appropriate dispensary card (0.30-3h) for each patient with convalescence or a chronic process.


Innovations in the center:

• Organization of a telebridge with infectious disease clinics of velayat centers, infectious diseases departments of multifunctional clinics of velayats. Studying the state of infectious diseases in the field through interviews with specially assigned doctors, providing advisory assistance to needy patients receiving treatment in medical institutions of velayats.

• Organized the reception and transmission of documents electronically with other health authorities.


Address of the center: Turkmenistan, Ashgabat city, Choganly housing complex, 2255 (O. Annayev) street, 79. Phones: 73-99-26, 73-99-27

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Central Laboratory of the Directorate of Centers for Infectious Diseases


The central laboratory is one of the centers of the Directorate of Infectious Disease Centers. The central laboratory was opened on September 01, 2010 with the blessing of our Dear President. The central laboratory consists of three floors and, as one of the centers of the Directorate of the Center for Infectious Diseases, includes several departments: General Department, Scientific and Methodological, Scientific and Clinical, Biochemical Diagnostics, Serological, Immunological, Flow Cytometric, Molecular Genetic, Bacteriological. Each department in accordance with its diagnostic direction carries out a complex of modern types of analyzes.


General department: This department carries out work on the acceptance of biological samples from citizens who applied for various laboratory tests and the issuance of their results.

 

General clinical department: Advanced general blood test, blood test for malaria, blood clotting test, general urinalysis, urine analysis according to the Nechiporenko method, general analysis of feces, analysis of feces for helminth eggs, protozoa, rapid examination for rotavirus infection, general analysis of pleural fluid, cerebrospinal fluid.

   


Department of Biochemical Diagnostics: From the biochemical analysis of blood: Blood glucose, urea, creatinine, bilirubin and their fractions, alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), gammaglutaminotransferase (GGT), alkaline phosphatase, total protein, albumin cholesterol, cholesterol cholesterol, albumin: high density cholesterol, low density cholesterol, triglycerides, a-amylase, uric acid, magnesium, phosphorus, iron, calcium. Studies of the blood coagulation system: prothrombin, fibrinogen. From latex tests: C-reactive protein, antistreptolysin-O, Rheumatoid factor, LE cells. Determining the amount of glycated hemoglobin in the blood.


Immunological department: Markers of viral hepatitis A, B, C, D, markers of autoimmune hepatitis, markers of the Epstein-Barr virus, thyroid hormones, for latent viral infections; cytomegalovirus, herpes virus, toxoplasma, chlamydia, ureoplasma, markers of mycoplasma, ascaris, echinococcus, determination of antibodies for giardiasis infection, determination of antibodies against brucellosis.

Serology department: A series of serological tests are performed to determine syphilis (Wassermann reaction, RMP-express, ТРНA) Wright-Heddelson brucellosis test.

   

Molecular genetic department: This department carries out a qualitative and quantitative analysis for viral hepatitis B, C, D at the molecular level, genotyping of hepatitis C, determination of the highly carcinogenic human papillomavirus, from latent infections - PCR (Polymerase chain reaction) for ureoplasma, mycoplasma , chlamydia, gonorrhea, cytomegalovirus, herpes.

   


Bacteriological department is equipped with automatic equipment that meets international standards: VITEC-2 Compact is used to determine the causative agents of infectious diseases and sensitivity to antibiotics, BacT/ALERT 3D is used to determine the sterility of biological fluids. Bacteriological research: pathogens of infectious diseases in biological fluids of the human body (in blood, in cerebrospinal fluid, in breast milk, pus, feces, in urine, in vaginal secretions, in secretions from the nasal cavity and nasal cavity, in the oral mucosa and other biological samples): Enterobacteriaceae, Salmonella typhi, Shigella, Neisseria meningitides, Corinebacterium diphtheria  and fungi types. Enterobacteriaceae, intestinal microbiocenosis (for dysbiosis), vaginal discharge for syphilis, ureaplasma, trichomoniasis, mycoplasma are determined by bacteriological culture of feces. Identified by bacteriological analyzes of pathogens for sensitivity to 12-20 types of antibiotics, automated and disk-diffuse method.

   

The equipment installed in the cabinets of the Gene-Expert centralized laboratory, the HAIN-test system with PSR analysis, the MGIT-960 apparatus for diagnosing tuberculosis are able to determine the causative agent of tuberculosis in an accelerated mode at the bacteriological, molecular-genetic level, all conditions for determining resistance to 1-2 -3 rows of anti-TB drugs.

Phone -73 86 28

Address: Ashgabat city, Choganly Housing Complex, 2255 (O. Аnnayev) str.,  79

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LEBAP REGIONAL INFECTIOUS DISEASES HOSPITAL


The opening of an infectious diseases hospital equipped with the most advanced diagnostic and therapeutic equipment, timed to the day of healthcare workers and the medical industry of Turkmenistan, in the year “Turkmenistan – the heart of the Great Silk Road”, was another proof of the implementation of the President's program “Health”. The main task of the medical institution is the rapid diagnosis and treatment of infectious diseases. The hospital consists of the departments of acute viral hepatitis, chronic viral hepatitis, infectious diseases transmitted by airborne droplets, children's and adult acute intestinal infectious diseases, resuscitation, functional diagnostics, and a centralized laboratory.

                     

In the functional diagnostics department of the hospital, sophisticated devices of world-famous manufacturers based on innovative technologies are installed. In recent years, methods of diagnosis and treatment in our country have improved and reached new heights. The opening of the endoscopy room at the hospital makes a significant contribution to the effectiveness of the treatment in the hospital. The cabinet is equipped with devices of reliable global manufacturers. Along with diagnostic examinations of the gastrointestinal tract, they can be used to obtain a biopsy from pathological foci. A 3-channel electrocardiograph of the CARDIOVIT MS-2010 model of the Swedish manufacturer SCHILLER AG is installed in the electrocardiography room.

The laboratory also has the ability to conduct all the necessary studies to determine the disease. Here, for the first time in the region, PCR equipment of the Rotor Gene Q5 Plex model of the German manufacturer QIAGEN GmbH was installed. It makes it possible to detect DNA and RNA in the blood and fluid even with a small number of viruses. This method of analysis is of great importance in the early and accurate detection of viral hepatitis, even in the absence of clinical signs. And this in turn directly affects the effectiveness of the treatment. As a test material, you can use all kinds of human body fluids (blood, urine, saliva, lubricants in the mucosa). The bacteriological department of the laboratory is equipped with the perfect equipment. It allows you to quickly determine the type of pathogens.

On the ground floor of the hospital building, there is an emergency department for infectious patients. Also, reception is provided here for individual wards, in accordance with the suspected disease. In addition, all conditions for the provision of emergency medical care.

The hospital has all the conditions for a separate room and treatment of all diseases. The chambers are single and double rooms and are provided with a centralized oxygen supply system to ensure the calm treatment of patients.


In the intensive care unit, there are artificial lung ventilation devices, cardio monitors, infusomats and lineomats of the modern type. The department provides for consultations with centralized medical institutions by teleconference.


In case of emergency situations with infectious patients, in the surgical department of the hospital, all the conditions for carrying out operations of various difficulties are created. We are sincerely grateful to our Dear President for the opportunity to work in such a modern hospital. We wish our Patron Hero health and integrity, as well as prosperity in all endeavors for the benefit of the people and the country.

Our address: Lebap region, the city of Turkmenabat, 2nd industrial zone on the highway Turkmenabat-Mary

Tel /faks (993 422) 7-93-74

e-mail: lwykh@online.tm

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PREVENTIVE CENTER ON PARTICULARLY DANGEROUS INFECTIONS


Address:744012, (2255)  O.Annaev str., b.81, Ashgabat c. Тurkmenistan

Phone: (+99312) 73-88-13;

Fax: (+99312) 73-86-08   

E-mail: gsesoooi2010@online.tm

In the leadership of the Esteemed President Gurbanguly Berdimuhamedov providing the health of people has directly high stated one of state policy in our country.

  Ву the care of National Leader who has preferred the human health from all things, the health care system ofTurkmenistan has changed into the internationally declared system in the Prosperous Epoch of Powerful State. Continually providing with unprecedented clinics and health houses are he clearly examples which has built in wide-area, not only in country.

The words of the Esteemed President "Our all cares is directed to people's happily, gracefullife." has realized in the Prosperous Epoch of Powerful State. EstabIishments of health care organizations with innovative technologies and provide them into usage for people have created the possibility to identify the infections and to take cares against them.

The accepted order of national commissioners of the USSR from November, 15th, 1935, about creation as a part of scientific research institute эпидемиологии and microbiology, in the city of Ashkhabad “Central противочумной stations of Turkmenistan”. In 1938 the order of Ministry of Health of the USSR, Protivochumnaja the station of Turkmenistan has begun the work as independent establishment. By the order of the president of Turkmenistan № 340 from January, 14th, 1992 and the order of Ministry of Health and the medical industry of Turkmenistan № 15 from February, 16th, 1992 has been translated in structure Ministry of Health and the medical industry of Turkmenistan. The order of the order of Ministry of Health and the medical industry of Turkmenistan № 50 from March, 3rd, 1998 “About creation of the state sannitarno-epidemiological inspection Ministry of Health and the medical industry of Turkmenistan”, central противочумная station of Turkmenistan переименованно in “the Center of preventive maintenance of especially dangerous diseases”.

Central preventive office of Special dangerous infections of State Sanitary and Epidemiological Service has situated in 4 floor modern building with white marbIes. The main purpose ofthe central office is to protect and prevent the borders ofTurkmenistan from special dangerous contagious and quarantine diseases. In its structure, five sections are acting which are equipped with competent equipments and carry out its works with the newest methods.

1. Section of Laboratory

2. Section of Identifying, suspicion and take cares for against of spread of infections.

З. Educational section of Science and Professional Development

4. Section of zoology, parasitology and animal care

5. Section of disinfection against of insects and gnawing animals

1. Seetion of Laboratory

In the section of laboratory of center along with classically bacteriological analysis of special infectious diseases and quarantine illnesses of causative agents is created the possibility of definition with automatic way on the equipment Vitek 2 compact 60 of the Biomerieux company.

The Vitek 2 compact 60 is intended for identification of the causative agent microorganisms and testing of sensitivity оn antibiotics. Оn this equipment it's possibIe to spend ба tests at the same time, as appropriate it's possibIe to check up their sensitivity оn antibiotics. It gives the chance to define causative agents оn patients for short time and to treat with reliabIe antibiotics.

Room of preparation of bacteriological nutrient mediums and control over their qualities

The high quality nutrient mediums аrе necessary for detection of the causative agent

microorganisms for the short time. In the center special section of preparation of bacteriological nutrient mediums and control over their qualities is created for the preparation of bacteriological nutrient mediums in the necessary quantity and control over their qualities. In this section prepares about 9kg of the different kinds of bacteriological nutrient mediums реr hour in the automatic way by the Master-clave 09 equipment of the AES Cheminex соmраnу. Also in this rооm has continuously controlled the quality of all bacteriological nutrient mediums. Information about all prepared nutrient mediums have been kept in computer system of information centre. Also the quality of bacteriological nutrient mediums which prepared in country's all bacteriological laboratories аrecontrolled in this room according to the regulations and issued the regarded result documents.

Polymerase chain reaction (PCR) room.

Delivered samples to the center for testing are analyzed with present RZRand classic PCRmethods to dangerous infectious and quarantine diseases producers. Analyzes as well as create possibility to identify quantities, not only quality. Also gel electrophoresis method has used in this room, not only PCR.The preferred methods are the most sensitive methods in the world and they create possibility to identify dangerous infectious and quarantine disease producers' disease in more early time. Gained all results has kept in computer system and analyzed.


Virology room.

Room's virology doctors саггу out large scaled activities to find the dangerous infectious virus disease and prevent them by the help of immunoenzyme and gel electrophoresis methods. Analyzing IgМ antibodies occurred in patient's bIood effusions in earlier times and analyzing them to which disease directed аге the main tasks of this virology doctors.

Immunology room.

Immunoenzyme carries out passive hemagglutination reaction, neutralization of antibodies reaction and а lot of other immunological methods. The room is equipped with equipments of leadership companies of the world. The main aims of immunology doctors are to analyze the type and quantity of antibodies formed against producers of dangerous infectious and quarantine diseases in rodent's bIood samples in early time with the purpose of preventing epizooty between sandy areas Ьу the help of modern immunological methods. If it's necessary, immunology doctors are able to analyze the antigens and antibodies against any disease in people's bIood samples.

Confoeal (Iaser) mieroseopy room.

It's possibIe to deeply and fastly learn of structure of special dangerous infectious disease producers by the help of LSM 880 model 5 laser confocal microscope of well-known сотрапу Carl Zeiss. Carl Zeiss LSM 880 microscope is one of microscopy techniques that works with light ray. This room consists of microscope (luminescence microscope), scanning unit, lightening unit, special program supplying computer. In confocal microscope used laser lights as source of light, it possesses the higher activeness of lightening and monochromatic function. The management, forming images and keeping them, reprocess of results has performed by computer. Taking optical cuts, then setting the objects into three dimensional type are not just create possibility to create опе volume image (3D), it creates possibility to control the 4D changes that measured with object time. So it's аble to identify the disease producers in diseased patients in earlier period, communication them with different chemical means, after all to control the effects of antibiotics to microorganisms in direct monitor.


Коот for keeping living microbes for long period.

This room has equipped with Lyophilizer Telstar Lioques» (Spain) lyophilization device and refrigerators that аble to freeze uпtil -86 0 C. Frozen biological object that will performed before are dried in vacuum of Lyophilizer Telstar Lioques». This method is used to conserve the microbiology bacteria culture for long period.ln our country, living microbes museum will has а big role to keep the biologically difference of microorganisms, to develop molecular epidemiology science and to learn the origin of special dangerous infectious and quarantine diseases producers.

Gen-molecular controls room.

In this rооm has equipped with NGS HiSeq 2500 (USA) equipment of lIumina company. Sequencer NGS HiSeq 2500 is а one of sequencing equipment that identifies nucleotide sequence of genome in short time 24-27 hours. Sequencer HiSeq 2500 is а high productivitYI fast and advantageous to use.This method in bacteriology identifies the related area of microbe strain/s DNA and full nucleotide sequence. In practical medical activities this method creates possibility to learn full genetically structure of special dangerous infectious and quarantine diseases l identify the epidemic of molecular epidemiology оf source of epizoot


Automobile GAZ 3308 «Sadko» equipped with bacteriologicallaboratory

There's an automobile «GAZ Sadko» that equipped with bacteriologicallaboratory for working in field conditions. This automobile supplies to hold all steps of identifying tests, supplied with 2nd degree of biologically security, equipped with laminar shelf, thermostat, autoclave, refrigerator and other technical devices. There's а possibilities to identify and take measures for special dangerous infectious and quarantine diseases with field conditions in movabIe bacteriological laboratory during short period. If it's required, it's required, it's able to organize mass bacteriological analyzes in movabIe bacteriologicallaboratory.


2. Section of Identifying, suspicion and take cares for against of spread of infections.

The specialists of this section are collect information оn carried out activities which held for preventing special dangerous infectious and quarantine disease in Preventive centre of Special dangerous infectious

diseases and its branches in other provinces, treatment and preventive organizations, perform analyze and resulting works.


They do pubIic speaking with necessary reports оn preventing special dangerous infectious disease in front of zoologists, veterinaries and sterilization specialists who attend to Centre's education courses to develop their knowledge. They highly controls the preventing preparations of disease treatment and preventing organizations. Specialists of this section give courses and lessons to employees of hospitals for preventing special dangerous infectious diseases.

З. Educational section of Science and Professional Development.


In this educational section holds large scale scientific-research activities with the bacteriological identifying work. Section's main scientific direction is"Microbiological, epidemiological and clinical details of brucellosis disease': Scientific specialists learn effecting spread reasons of diseasesand sensitive to macro

organisms, passing ways,infectious diseasessource byusing modern high and developed equipments. They identify weakzones in disease'sepidemiologic chain Ьу using biologic methods and also identify methods for affecting them Ьу preventing disease. Also it's taken into consideration to practically estabIishment of

analyses' new directions.

Section employees continually carry out activities оп preparing bacteriologists, zoologists, sterilizer specialists of State Sanitary and Epidemiological Service and activities for developing their professional degrees in specially organized educational courses


4. Section of zoology, parasitology and animal care.

Section of Zoology.

The main tasks of Zoology section are organizing and performing the collection field materials for necessary analyzes of cholera and other special dangerous infectious diseases in Central laboratory. То do orderly suspicion works bу collecting and analyzing information оп cholera diseases' microbe carriers and quantity of carriers. Zoologist's room equipped with computers that connected to internet, modern equipments for doing high quality tests оп collected information.


Groups which are doing field works are provided with modern automobiles, tents, diesel generators and other necessary equipments to live and work independently in field conditions.

Section of Parasitology.

Section's parasitologists and entomologist organize necessary preventing works bу learning how they spread in country, reproduction and activity of disinsection means against of cholera and other dangerous infectious transmission diseases. This section equipped with magnifier and computer system that connected to the internet to view fleas, mites and stereo microscope connected to the computer.

Section оf Animal care.

White mice, sea piglets and rabbits has Ьееп kept and reproduced in this section for doing bacteriological and biological practices. Each of animals has kept in separate cells. Cells'air condition has performed independently. These cells equipped with air cleaning filters that helps to protect animals from microorganisms. Each animal has bееn feed pursuant to the approved food regulations in special cells according to its type in favourabIe temperature conditions.

5. Section of disinfection against of insects and gnawing animals.

The main task of this section consists of carrying out preventing and emergency disinfestations and disinsection works against to disease carrier insects and gnawing animals in fields, village areas. Section of disinfection against of insects and gnawing animals has equipped with necessary chemicals, chemical solutions made from them and rooms for protecting cunnings, special devices to рrераrе bу mixing, different weights to measure, sprays, compactly closed containers to keep cunnings. Specialists who аге working with chemicals аге equipped with personal protecting dresses and special equipments for work them safely.

The garage aimed to keep special automobiles.

There are 18 automobiles that are аЫе to drive in field or land conditions with high transmission for preventing special dangerous infectious diseases and applying large volume tests in field conditions in the borders ofTurkmenistan. Auto repair shop ofthe garage consists ofthree section and they equipped with 1 unit automobile bearer until 5 tones, repair and regulate of movement part of automobile, body welding and restoring, different types of wrenches, electrically detection and other technical serving equipments and tools.

In centre, there's indoor car park for 20 unit light vehicles and high transmission trucks. It's equipped with air ventilation device, air heating system and technical safety conditions.