„ფსიქიკური ჯანმრთელობის დაცვის სახელმწიფო კონცეფციის“ დამტკიცების შესახებ“

細剛躙 剛 聞 曲 ヽ ヽ 117/2 18 5o33136o, 2013 $3qo 。も 3600JoO "り もOJ030 0 80ROt 3b̀Rb80600も RbR6060ROも ゃ 60̀00ROる 。も 、b030も も比 OROぃ 80306008000も '' Rb00300030も りObbbOb" (07‐ 3/275; 13.11.2013) もb」 b̀∞ plL; bn!!!,Ji,, 3.r506or3qololr qr1;3oLs Rr tr'r6orq36 t.r3oorbor.r 3o3o$X$o 000300」 ‐n00000‐ ̀̀11 ‐ υフ ■ 13 11 2013 tb3。 31n3o6働 ゛Ъ o‐ ̀ 2211‑0212 2711‑1312 Jt!!.1 5,: 6 7 t!:' I h r:' t t lLs rqcSo.r6ot 2gqXl.roro q.1j3oL.r q.r lrc&rj.rqcjo o6$336caoo1r 3n&$3$o; kgo6r6lrr',-bloX33$o 3o&$3$o. JoAoA;xtAAo, do?iJt<'o.r p.'l),Jit6.\ tbn.;g,q%1tyrq,a: Lsjsr6or3XqrnU Jrr6qr335golr do2<6r.r rRA66b: L.:jsr6or3Xqrntr J;r6qr3X5goL ;r.r3og6g3bLo qr L;Jsr6q;3159o gt6.>jgoX}?o q.:o$3rnL 5rnr63;go2qo rd6ob J<6rn1j b;jsr6or33qrnL J;r6qs335goL rn;g35pr.rOrt66 2

郷 δ60FD m Ogマ oboし RS(う 80bδ しmooδ Q]ィ)し δ30mヒ m5 御 Rふ 80000000 ,J00)0(lbO, OFヽ J̀RO ヽお50000じ め 08 26 201 00埋 0 brj,l6o6gq,erb Js6qrr0g6gob brrn66s6otrgoo q,Cdr6gr096gb bsjs6o6gq,ol-r Js6q,r0g6goLr fu6q,,:0g66olr 166-9 flgbq,ob ltggfugq,%g $r60o6oqg66or ar606cn3q,rnbob q.o,r63obs eJ tJoOorE U6 lrs3oorborr 3<n0o$g$oU 0o96 tsg0gB.:3gbgq, b,rjs6or3gq,cnb Js6q,r0g6golt qrrq.o6g6oq,gbob 3t6rn3jgb: "glnjo3gdn 1.l60t6o4q,o6ob qgrmob lrrbCq8$ogrn 3o66996oolr" qt0g3o6gbob 0glsbgb" 6orbo3or, qrrqg636oq,o $3lmor g9c6g6gCqlUtnol bs3s6<'r60qrgbq,rn J6rlgqry6olr q.or$ggbr. erbr6oo: 1) q.orq.o66oqpboL J6ogjgo I 96b.; 2) r0obr$g6o 3oOogggob N43 bbqn0ob arj0oqr6 2 g. I 36b.; JroogoboCoocrr, qnAoS6o bg6erdg 3oOog5gob otg&aqm0st69 000じ 609060響 。:0くで050」 o6JOqP500 世 止 "13

X5606mORmboし R5o80し S RS し0005R] しδ301nЪ Ins t〕 moooooo ∞ ,J]Q¶ LO, 0̀OJミO Pn3()001,6008 26 201 ザ1)ヽ )(l sOoEs$06o bsjs6or3gq,r'rli Jr6qrs6g66otr ar60t6orgq,rnbolr q.os63obs qgJ boGoJq,C(6 lt3oorbors 3c'rOogggob 2013 $gob l3 6erg0bg6o N24 bbqro8olt oj0oqrt6. 0r,rob0o6gb: qn0og6o bg6qrrdg obgrn60rgor qer r66g036ggbo o0 3rn6g3Jg3rg36 lrl3oorbg0orr6 qgs3r3tso6gboor, 6;019 brbrJo6obr lsjr6orggq,rnU Jrr6q,r0g66oL qrsqrp$oqrgbotr Jdxngjgb ,,gbojo3g6o as606or3qx'rbob qg43ob U:bgq0$ogo 3rn6g3g6ooU" qr:0g3oggbob 03brfub" ts9090,:33bs. .>q6o06r, 6rn0 qrrqr5g6oq,gbou J6oCCOot) 09090,:3XboU Sobg%os U.:bog.rqrogb,:Eo 36orX6on O,:qrq,o b6o60ol-r Eg0g3gq,o gbojo3g6o ar606orXq,erbolr qrsg3ob Ugg6oU brbgq,6$ogrn Jgrq,ogo3ob 6,:60t-rrbqg53q,o qo3g036gob 09j06.:, t6r'r8gq,o6 8oOr3rq,Eo gUojo3gt6o 3l606cngq,obob bgg6r.rEo $,:r60o,:qg6g6tl brjr6o3Xq,r'rb fuqrobggq,gbolr qr.: lr,:Ernjrq,ujo ttbr.r6rqrn3bob tsgapfubgqr, 56 lgg6rntr 6r63oor,:t63bot-t bgq3rb gr\,rnXbo 10 $q,ob 0r6doqt3. qr,:qr636oq36oor 5s%o.:6gbgq,o.t g36r'rJgq,o 5.:0r6qnqgb.: qrr Olrogq,oer as6qg,>g3otl o66s6o%rgool-t 0o3t6 qrrqr636oq,o 6rn683bo .:0 bgg6r.rU 030qg5o0o 6.:63oor.>6gbottor3oU. Xrbqorg3ob t$ot+pq.o 3b tr36Eg6go 6s8oo6B33r reraor6ob ggq,3bgboL qr,:t6qg3ob grjg3boor (oroo{0ob 63q,c j39gr6,:tso), b0o6uqr oJg6r.rbb ggq,3b,:q,>063q>o cr66r6obrgogbotr gg6lqgqgbsU qrr o0ttbg6gbb tll0,:6orq,o.:6 3t6ogo3utr. t-rr6gq,obb8rn,:, 6rn0 lr.:js6or3gq,otl ltbrq,br.r qrr6g3Xq,o ggr3cq$qng6rq r0r6Cbtr qr.:bgt6gq,o gUojorg6ogq,o q,:$gtt3bgqpfuboti 6rn6ogrn6o66b 36r'r36gq,o J63356gooU 6gj.:6ob6ob gl66q,g08o. rarborb, qrq5X6oq,3bob 03-2 Jgbjgo .rq.ogXbl-t 3o63tvrgggq, qgr3rq,36rb lljr6or33q'ob 8orl36r'rbob 6o8s6or; 336derqg, r0 Jg6jgob cDJErbaJe, ,,gbojo3g6o a.:60t5orgqx'r0ob qrr63ob Urfuq,8$ogo 3rnbg3ggoob" J6o6goJ3bob 6ror3sq,oli$o63boor, ttjr6or33q,ob 0or,:3t6rnb,: 3rp3bgq,or 2015 $q,oLt 1 or636s0pg err60Jo0r'rtr bbgq,d$ogrn bs8rnjEgqxn U66rgg6ogq,o 6gg0r, 619 g06ots36gqo3s6gbo $o66rqg,>qg60gq,o 6,rboao oj6gb.: ,:0 er66ol., oJbrACe6oAC bgs6qgr6g36oo br63oor6CbotlrcD3ot . )AeC6re, $r68oqr636oq,o Jr6qr,:0g6goti qruq616oq,9bob J6o$goor Oolsqgbo per3g0g6go 0r'rogr3b b.tg6or,:0rnt6otxn tJ$rbqgrd)$Cbotj 6lor3,>q,ob$obgbocn Bg0g0,:3gbgq,, gbojo3Sr6o ar606orgq,r'rbolr 6s63oorr63bolr bo5,:q Jr6o6goJ3bb Qr bC(o3su. 0ot6ou6 $o3q,r360r $s6rqr3o6s 03038,:gbgq,o Js6q,s036$olr q-orqgbC6oE gbob Jt6ogjgo,,glnjo3gt6o ar606orgqobob qgsg3oL b,>b3q,O$ogo 3o6ggg6ot". 6rqgs$6o$gb: fu6cob0sc9;) 1. 0obr6ts9$rn6oq'rqr B.:oor3lqrarlr s6lr363qo $3lroor, JrnAoOCOob brbgq,oor $s60rnq9636oq, Js6q,r036$otr erebCboq,Cbob 3rbe6JdmgjgbX,,gbojo3S6o ar606orgqobob qrsS3ob tr:fuq'0$ogo 34t63993o,:" lt,:3rbrn60q-ogbq'rn o6o6orgo3o11 6s6bo66ogqtgbr. 2. gorbo3rnb lsjr6o6gq,arb Jr6qrr0g6golt lso66r6o9c,:6oo q9gJrt6g,:0g6gli 3s6o6J6ogjg3bolt bog6arb qgqob $91lt6o6tso 0ggr6s. q.oo0og6o bg6q.osdg 3o0oggrJob orrgAX(mA56C

Jt*,tgldo bcjl6o6gq,ob Js{6qrr0C66ol, etq.obC6oqrCbi "gbojo33t6o ar60t6orgqrobob qt63olt brbgqrflSogo 3cr66gg6oob" q.orAOJoGCbob Bgbrbgb' h:j.:6o6gq,olt Jr6q,,>0g6gob 6g6q,r0g6gol-t 09-3 Op\,olt ,,o" fugJgbigoltr qr,> 192-9 0g\,ot1 6g556t6olr4g, brjr6o3gq,rnU Jr6qrr0g6go rqr6g6lt: l q9,:0g3o6g)9tr,,gUojo336o ar606orgq,rnbolt qgr63olt lsbgqrO$ogrn 3rn6ggggor". 2. qgr3grq,erb Urjr6or3gqxnb 0orr3r6obsb, ,,glrdo3gt6o a$06orgq'obob q-or$oU brbgq,A$ogc) 3o663ggoob" J6o66oJ3bol-r 6rcn3rq,ob$o69boor, 2015 $q,oU 1o.:fu6r0q.og q.oss6$3o6crb ttfuq,6$ogo Lr.>0rnjAgqxn lg6roC6ouq,o bC6Ar. 3. 9lr q.orq696oq,gbr c0oj09q9q9gb 6,>0erjggfuboborr6rgg. brjr6orgq,ob Jrdq,r636$ol-t or.:30aqgcr0r6g jporrobo, 2013 Srmolr 6crq6ba(qo. gtgrn> gltggofuoqn

gbojo3St6o ar606orgq,e$ob qrs63ob bsbgqr@$ogo 3o$ggggor 2014-2024ff.ff. lst6Bg3o: 1. Egbr3rqro; 2. gbojo3pt6o ar606cn3q,ar0ob bg3dxnb r0rnlrl3rq,o J6o66oJgbo qg,> grbggqrobgbo; 3.,:6bgbgq)o 0q6o0s63cr0ob ts39,:b3b,>; 4' 0o0,:3q'ob bgqr3r; 5. gbojo336o ar606or3q,r'rbob bgg6rn0o brbgq,@$ogo Jogo$o3olr 6o9r6gbo; 5. gltojo3S6o al606orgq,rnbol-t 336j3ogt+ro 0o$gatbU 7. glrojo3g6o a,:606orggo6ob bgg6erb 6l63oorr<6gbob do6oorrqro 6o6r6orgq,gb30o; 8. glnjo336o Xr606orCq,rq6ob trgXt6crU 6r63oor.r63bolo3ob .:33oqgbgq,o 63L36bg0o t5gLgdrfuAo l. 0gbr3rqo glmjo3p6o ar60t6cngq,rn6.r rqrs0o,:6oL gtx'r3636ob C6--C6- gEcns36gb 6.>$oq'b $,>t60r'r,>c.o65b, o6o gg6qgr0Cbo3do U.>3oorbor 0otr:\,3r'rbob 2p666or3qx'rbotr or3sq,tsbt6olrlor q9.: 6.:63oorr6gbpq,o ltbo6,lqmgbotJ B959bob 6bsbg b.:bogrn6\,r'r ffio0369q,oboU g,>j$rnSrqg 0oo8633,:. gl-tojo336 1.>606opq,o0rbr qgr gtnjo336 pomq,qE3er0rb - do633q,o 06o836gq,rnb.: r$U 6,:q,3Xgq,o Jo636ob, cng0ob er, brtxn6.:qxnq, dols\,yn6ob - 6kr3t+rg6ob br6obbob q.or "D(rbCb"b, Jdxnqgudocryqxnbobror3ob, 6,:qr6.>6 obo6o 16o]3495 rqrrOorbb g6r6b - t6gq,g.:tx'r36.:q9 ,>qoj3sL 6txn3t6Xb.> q9,: 6c\3U bb<'r6.>qr'rC0oU rj6og6o qr.> ts3&nj0gq,C6c,oro $C86o. 0rvmaobouS.:6xn0ob 610o0S36o 10 do6oorrqro qr,:.:3,:q-o30oqrs6 5 t$rndrgp glmjo3gt6o xr606orgq,obott J6r'rfu0gboor,:.: 6.:0o$35gq,o. Cdtg3to,OUq" 6ror3q,gboor, 0r'rtr>qxnqgq*,,,:, 6r'10 2020 $q,ob,>or3ob 69brdqg0qm0ob ts3fugq3ott Ar0cr e4r603q,o $q,gbob (DAIY-U) OobSqr3oor q.ogJ63bo3q,o r0q,oqxrb,> 0yn63,:q-o6oq,Lr qr.:o3r3gbU 6gq,ob ots30op6o qrsr3sqrgb3Oob fu0q.o36. glmjopr6o rBq,oq,obr q.oss3,>qr3bror.r 6q'cobsq136o $3cx6omb ffiofufuqxn3r6 6,:$oq'b $,)6,arqrabcbb, t6odgq,o6 0do6gq.o r$m0r 6o6o69 Jo6o36gbrU, ob3 Oob erarbb qr.: 0orq'o,:brqr L:tn64mgb.:U. gtmjopdo stsq,oqnbob 6jo6g rcgrOo.:fu0o 36or-x6or $cqrtc sQruogcq xbuab 6r6aruo,g690or6, rvrsq.o6.)b @crybcq.os3;qr ts6er0otlg6.:5oc6o slt3ott: qr,: p6sory,36obr, Oron ,:0lmqq3gg6o 306r3q,3lxnb.: g&30g6sr6o,:. obo6o Urbrn6,:qrngb6qo g&n3t636oqg,)E 6r6oggq,6o trfi3bo.:6 qr.: Ugo60ob,: qrr qrob3t6o6o6.:6ootr obqjg36o 16o16, 6.rlt6,,or3oor-b$o60s6" r0do03bb. tsjcr6o6gqm ,>66r.r0o363bb gbjo3gt6o ar606or3qxnboL qgrg3ob 06oB363qxnb,>b qg.r Jo63gq'rqp ,:Og3oggbU gln3o3g6o a,:606orgqxnbob qgs63oli 3rn665ggo,:b, 6rn03q'og Urbgq'0$ogrn Jnqo$o3otl qrs $.rdr0o.:q966lt ltsjs6or3gqxnU 6.:60ttSq363q,o qm3g0g6Qo,: glrdo3g6o XrEA6oCq,tnboU lryg6<nBo bXq,otr0BEtboti qg.: lrs0ojrq,cjo U,>ber6.:qgo3bob tsglgdpbge, .r0 Lgg6ob 6,:63oor.:69bob b3q.o3rL UrbqxqCLo 10 $q,ob 0.>6doq'$9. Ootto do6ootqn qrs6o@3q,Xbss qrrgbds<5rnL $Cqr Aro6OC6Ct C&Jq 0bl6gb Urlot6ogbgbott qgr bs3gott6o 03t$dq$qx',bbob pr o6g369bgbolt Eglrb.:EoUcqr cBo3otl re6oE o c9.: 0.:jUoArqg6 fupg5b 0osq$cmU glrdo3g6o a,:606or3qx'r6ob lrgCtr,cdJ 6s63oorct6g6.:lr pr gg6j6orn6ot5gb,:Eo. 2. Utj.:6o6gEmt, gbojo3gdm p60{6orgqobob J<nq,ogo3olr r0obsgrqm Jt5o66oJgbo qpr grlry3qxnbCbo gtr{opfio 26$AOo{qmAob bg3fxDBo tlsbgq,A$(Ao Joqrc$o3r L:3t6or$<nt6olxn lrOr6A#,OC6"t 0eor3rq,olrffi0boo, CRU6gbr 8gaqg6 &6o66oJg0tt: . go3q'ob&n003{Jq,obruorcDo(36og6ltq16obs) o bogo.>gg6o lsdr6orq,or6r.rb.: (or.:6,:trBnt6rn0r) . lt00eooo6oarnalsbgfuaoUbgq,0olt$3qro0<nb.> o [mq,oQr6o0,> ' 0qgb6s(mbr o 6rqgrggggoggbSbob 0oqgbob Jl6r'6gtt8o &e6sftq,ynbob ggq3br . rqgraorbobeo6bgboLJ,:go3ob636.t . J6Je)obJ6oAo6.>6ogq,obstrrsoro o 6r0]3o63rqxebs o r6b.:60ts3rqcg303q,5bs $9arnbbx69fuq, Jr6o66oJ30bx q.o.rggd63bgq,o gtnjo3p6o xr606o5qobott Jdmbq$gboL 0jcr69 Jot6g0bg o6,oC6go690pq,o tt0b:bC61b", &'r0r3sq,tso 3b6g63gq,gegli: . Oresq,o bs6obboL 03pt66.rqxnb,:b qq,: p$$CO 6er3q,sb ttlo6rng0ob 6.:org,:q,ob$obgbocn; o 6gm5drsgogq,qrrqr6rngq, fuq,6ols$gqm8erbsb; . 0o0b0s6CbE'9bqc6oL Lslo6rn3b36tg 0er6630gq,o olrXon ut6Bg3r6oU . (0o6U,:bg6g6ot/L363oLg0otr) ts5ors3.:bgbrU, 6ogqrog s6 s6q3g3tt Sror qrs&nSoqpbqryrbsU qrs ggg630u q9otr36o0o6.4oob r36drq,3rlr; OodMrr6Cbq,CboL ('r 0.ron 6r'rfuqpq,3bob B,l6orgqobrb Oo3q,oU qrr63603rtlr er 6r6k'r66ogq,9brtso; o gUojo3g6o J6rnbq,303boli 0jerbg Jo6ors q.or Orcn 0ofuq,gE crrr rtJCAC, b363oLob 0o0$oq.o3b3q,o Jgt+rlxn6.:q,oL: qgr SoUrbq,3crboU gr6om g3530oli gltg6otkn3b,:b; . JC6lro6sq,o! J6ogXbo3q,o 5.r63oor.:6XboU fuqtsg$garbsbr q.or 0b,:Op.:]Svrrlt; o bs$o6s(mCboL, l-r363otrgbob 6o0b0r6g\,g6ob qgs trg63otnb Oo0$oq.o3bgqorr $o6sts3 g6ong6or r66rt6o83sq,qrgb3E C0rti. tga<n:q6offigq,oqrrb 6$cr0q9o6s6g tr:js6orgqx'r sqo.:6gbb' 6er0: gUojo3gtSo r8q,oq',oboor ArAo$gCOq,o 6$bQrg6gqxrbs B33gq'366o3o 0o3qr36u, er 16 BCodq,Cbr AoB6COq, oj6gb cqrs6o.r63bU Bo6oL gt6ong6ombr8o qntl3o6go6gobr qr.> q.ootl3t6o0o6rgooU $Ur6(nA; gtnjopt6o rAE oq,rrAob 6jo63 630ob6o36ro r(118cl16rl rls3ob, \futrb, gol6o3gt6o $s6&n0r3qrT $616 6r;g t6ggn6og6r6 83b9egE 3Ogbol-r 0ogbgqg.:g'49 o0L,:b3636b eof)tJtrJq, 0oJg6ob,:U. dror cnrbr0.:6o Egttdq,gbqx.rb,: g6q.o.: 0o69or ottt663\n$ gtmjo3g6o as60t6orSqobob ltlot6o30Sbolr EgLrbr0olro 0o0ttsbg63boor, 6,:6Lr3go636oor obgol0.: &n$gq,rq.o0.: 16ggg66s, 6rn6rn6gbo6 r6os6: p336oq10o, 0r3ts96o, br6qgrb0gqgbo qgs Jg6oJ96666o ltolgg0oU bg63gogos63bo. glmjo3g6o 1s60t5cn3q,r.rboL qr.:g3ob 6gbotr0og6 L360g6g0o J6cx'rt6ogggo 96o]90r Jo6rn369boU o6g363bgbob er63rb, aouo qo6bgbob Jrgo3obg30rb q.or E.: jbo0.rqg6.:q9 E9lt.:dq,Cb9q, 3g0rbp6 6.:t690o0o 0t6g633q,obrL. 106916r(', ,r0 grU3gqxnbrorr br63b6Cq,o qor33ot ll€Ud3Cq,bg lsj.>6or39qx1 glq,q-ogbgq,9b,:b oqgbb, 6o0 glrdo3g6o 21$66orggerboU q.o.:63ob pb6g6ACq$DEr j3ggr6s8o e65r6obg0gqr oSgL o06s6rq.o, 6o0 gllojoptvro rBq,oqxnboL 0jrn63 rpr6os60r 0o6ttbgt6gbr 0ooqerU 6r3q,3brq.o EgOtqgrcg3gg Ar6C6r'rBo, 6,:6 E3odq6br r\mb Oob b,:gtx'r363b3q,orr6 s6 bo6r$3, o6qn3oqrg.rq135o L,:]o6rngb3boU Arogrq'>ob$obCboot 0sjbo6rqlgt6,:qr ofi90.: qrsggq,o 0otro ggq,3bgOo, qo6llgb.t err arcno lsbro6,>qm3bob 6trr3636s8o or,r6,>U$rndro, b6ryqgstm3r6o q.os 3ggjgg6o &n6r$ogy'rb.:. 3. r6bC03qo6A6o6.r66o0ob8ggrb36r Slr"&m6" rtsq,oq,obr ob6g 5r366q,363q,os ltj.:t6cn33qx'r8o, 6<n6er63 Otirngq,cxnL $Cq,r Lhr jggs6.:Bo Ar $rd)AorAbCbli Ootlr\,3crbob Uo33qroq,o.r6er6oU, tsgbdq1bq,obob ts3bqgqr3oli, go6r'10o3316o B,>6r.r6B36oq,obobr qr.r bqr6obob bSq,ASaSUob 36or-36or grlJgr6b. 6mttsfug<nboU %6q.orl63q,o 6s$oq,ob s3sqr0gcrgob.: rotlsb3O,: Oodr3.:q,o ot.:r'rboL o6g3qdoCtqU6 qrr gdr.r6ogt6 gobb3. bsjr6o6gqxn6o gLojo3g6o p606or3q,r'rbob ts3ttbgb st6ttgbgE)o rngogorE U6o 0o6.:g30gboor 2012 $cqt, r 100000 0obrbq,3Sg gbjo3g5o r8q,oq,obgbob 6r36O0q,CAoL ArBgfubgq,o $st60r'r.:q96g6L 1743.5L. qgr q9or66rn\1o6Cbuq,o og(.) gtrjogl6o sBqnqrrnbob 4,075 ,:b.:q'o ts3ao)bm3r (90 7 fuAcDhms 100,000 ArnUr\p%3) C9$oUlo(.oCACq, 3jlBg6gors ts3grt-rgboo gU o6go68cgor s6rl63q,or. Eorgq,o t6o6o g$jo3g6o ,:Eqroqxnbg0olr brg60Cq,Cbr gJoqgb3p.:0b3q.ogCqlcnbotr 6s3q,e6r63fuboq.os6 6.:0o0qro6u6X rrrr6oq9X6odg63{6 reCArOCbr rngogorq>96 0r'rbr6g0g0b: tsoterg636oob ,:3rqrn0oL 0.:BX63b3q,o Otmggcmb Ua6r3E,Cb fu3g5gbBo 100 000 &rUs\,3b3 20-54 grt66ggbBo 096g3obb, ttj,:6or35q,o 0o glt auB3X63fuq,o 9.5-L fu rq96g6tr. glnjo3gt6o xr686or3q,obob qr.:66o 6q'x'rbrq1g6o a.:6qrrg3oL o6qgo3lgrnt6gbob 0obgq6oor g16o do6oorrqn Jr6r03$6oo BrUeCOr: s6bgbgq,o b.:$oq!3o6q.oo q.or gbjosg6o 10 000 &nb,:bq,X$X. ot6o3g o6qro3c$o{6oor ltjr6orgq,o br30,:oqr B,:&n6B3br 366o3ob [r8g.>q,cr 0o6,:gg6gbL. 3gt+rdreq.o, 10 000 0oL:bq,Xt3 brjr6orggq,retso rt6oU 0.7 gUojo,:gt6o (,r 28.,14 gbojorg6cryqn b,>$oq,o, keqxn bEg,:q,o &'15166o g3t6o3olo3ob 10 000 Oerti.rbq,3b3 .r6ob 1.1 glrojo.tg6o qgr 6.3 gbjosg6oSgo lt$oq,o. tt6gq,oUb0or oU g,ligo, 6et0 L,:jr6o63q,erU Urqrp3olxn A.:B35fu6q$o do6ocnrqr.:qr or.r3&ngt6oqo.: j. oBoq'otrttr q.os bb3s qgoqg irq,,:jgb0o. Olmgq,oo br63ob 3q,rbgoJrGooo, ltjs6orggq,er $r60rnrqp0C6tr li:tsU,:q,ob3 qoJbJq,0r6gocDr6C0flE, CgCar6rb. a,:6pr63ob 36o36gq,o r66r6o03boU 8<n6r63090oor, 2011 $3q,ti Lsjrt6ormqxD6o Xr6aro3rbC 0coq,or60r qgr6rbrt+r6X60r 2.3 Eoq'o.r6qn q,rt6o 0g.rqr6o,6c, 6s6 dJ-oU 9.49o-os. $gg6ob Xrbqg.>6rb3 0orq,or6o qrrbsbr6lSboU $oq,o EtlJ-torb 0odr6orC0.r6o gors6rb6q.o3br 3g6oJob 636ogr6ob $3963bb. 2011 $gq,b lrsbgq,O$ogrnb Eo36r 29.:6pr6.:$g qrrobstt4ls 421 aq6. q,rt6o, 66 6tlJ-oli 1.79o, brnqxn brfug'o$ogo bogax$oL 4.87o-os. lm6orq3<6o L:0.>tvroryor6<nbob 3Sorboor ,:1439 06ots36gqxD3.:6o.: a,:6qrr63r$3 q.o,l6sbrtilXboU b06UdOUd)r: b0gqro6obrn &ndlsbgt63boti qrrgo6s6bgboU do6oorrp $gr6oq.o 33q,.:3 6Bgb,: ,,2joboqgr6 ArArbcgCk" (2011 $3q,b 1$qgqg,:$X 0oryor6o er6rbr&Xrbob 78,8%-o.r). 2011 $3q,tt ar6q9,)$,)CbC er6rbr6xCbo C6ro, buql 0c.rb.:\'5b3 ts3rq.o636q.os 5l I q,r6U, ttoqrr6r6 94 q,,>6o brhq€$oBo (t6rbrdxC6oJ. Xr6ero3rSc 0orq,or6 ('r6rbr6xc08o ltbgq,0$ogo q.os6,:brt6lXbob 0go6X $oq,ob 6ogfuq9carq9, ltbXq,66;,O.6 J6cxD6oOc0re qrsobrb.> gtrjo3p6o qrr Cocaoom r8q,oqxnbsbob 0jer6g ,:3rqr0ggrgcn,: 03gt66.:qxnb.r qr.r 5gcboqngrgos. gltojorg6o.:b9 L,>bXq,0$ogrn qrr6.>b.:61Xbo go3Xq$q:ogt64g ob6q6bs rbtx'lq,Uo36 t6ogfu3b0o, trnq,o Oobo $oq,o a.:6q.or6s%3 ltbgq,fl$oggr qr.:6.:bc6a36cnrb 0o0r6opb.>0o g,>6rb363q,o $qp0oU 6r60'>3qmbrtso 2,4 - Z,So/o'ols grfr6qtbflo 036$obL. Et oCoro6o0q'o a.:606or3q,obob bg63obgbo do6oorrqrrqr go6s6l4.ogbs ttb3q,6$ogr'r bogapgoqr.:5. JC6,&n rE yc6Jrn6.>rJcuq,o Qr$q8C8ob 6r'rq,o 3bjo33t6o Xr6a6oCq)('l6ob tlsatlsbSSSboltor3ob, 6o6ot66 Olrrgq,cmb gO3ggb fugg6C0Bo, Urjr6o6gq,rn8o6 d.>q,S3 E3bqgqggq,or. glrdop6o as606o6q,obob q.o.rgo6.t6l-t3boU Bgttbgb 06o6363q,clgrb o6Ro6ar0o.:b odqp3r sti6X 96lcrl lrUg 0obbq,3b3 6rqr.:r66.r6oEgboor ll.>bgq,O$ogo (rr6rbrF)Xo gtmjor$6o,:b3, 6cr03q,og lr.: jodrorgqxntso 2007-20f 1 $q$Ao 1.7 - 2.6ls36orsBo6otxn qmq,s6oL gs66q',9btso 03<6gX<n0U. gtr&;U6" as6ffiorgq,erboU tt0tl.:bg6gboU 0qr6odr6ynbs bstmsoryr36.:: 0<n0tr.:\9636st3 (,JbJE o go6r6Lp<6o qrr 63o6tvr.rgopqn bCq0ols$gqm&n0ocn, &n0bbg6g0olt c-oJArq')o b,:6oLboor.: qrr Sggl$3t6rnboor, raer6$obCb3qlo (rr 0rbogt6o q-o.r$5trXbgql63boU ttols6boor, r6rCBCC0U6o J6rng3lrryq,o 69tl36bgbob 33.rq,ogo3.l6oob qr.r or:6.:E3qrt6<n3X 6oq6o090otr "ggOlt$OCd,JAOoor, 6erqr6ob Ar br&ngC6Cbob s5,:lil30c6otto qro6oor, lr;]o5o .>b;q'o J6ogglro3bott 6,13q3&nboo qr,: J6gg66or$9, lx4o.rg36 o6$366rgorb3, 6Crboq'o$rgorb3, ttorSOo qpJ brbb6dq,oS 8r'r3q,':$9 0o0.:r6orgq,o ls0blb,p63bol-r gopg6gbrqg 0$o6o 0r'6gq',crboor, glnjo3St6o .:Eq,oqoboU @j<n$g Jo6on or3Bgtr>g6oor &n0b,:bg63bob,>6':6Ugbrnboor. 4. &n0r3q,ob bXq.qr a.l. glx{o3g<6o p50t6o4qnbob Ar@rilJ AoArSqrrU bggg$ A.:5bsSggd,s3b 0gAq96o dotvncnrqn Jr6o66crlX6o: ,t) 6go6ttugcryq,o, gobr6fu6o bgq,adsS3qxna<n0r' t64 gbtragfuxpur')Boq'o cd69br fu6t6rqn, CBCCOUf,", 0rgsq,o bgrbqrsr6gob gbjo3gt6o ar60t6or3q'r'rboti qrsg3ob trg63obgboL 0g106oor, 6o0q,otr 0ob,>6o oj63br bgq,o Egg$goU 0obrbq,3crboU Ub3r('rtrbgr !b$r'r66o3, 0CfuC6Cq,, 3o16o3g6 1699306o ElxrCoffd," rAq,oq,,mbCbotJ J66g6gorL, 83966.>qxnbstt, t6gsboq,og56653 q.or rCc(or6 5r0er6q9o6.>6rg lx'Borq136 Cgr6gqx'rbrb. a) srDrq,rfucqcq,o b6,Ubsob boUC0aob ffioo*6gbr, 6,>6 63q,ou[fl6q0U: b,:qr,:6Uob q.o.:93.:U \5rgcm6,>69q, qr,: org0$3 q9.:ggd69bgq, bt6g63.:b/b363otr96b Eo6oU, 03q.oo3r036$p6 qgr s6s09q.oo3.:095$36 03366rq,e63bb ts<nt5ott, Jo6o3630oU, r'r;grbob qrr lrsb<n6.>qgogbob o6$369tr3bb Bo6ob, J6g3g56oob, 03366rq,oboU, 6CJboE oOrooobr Q)r bs66t6dq,o3o bt6363ob 0goxrq.ogbtt 0o6ob. 6g<n6t6sgogq,o qr,: go6r6Ug6o b3q,6obr$3qmAo0r gbt6g6mq,gc'rgoqn g6qrs o$rb USor6ge C.$. qrsbrq,,:6t4bgq,o $ft363oti Jl6obgn)otr qrrgjoor. g<n3qnb0o06gqxnbr, 610 SbqSbmq,gctgoE o oj63br U,:j':6or3Xq,r.rtso gLojo.:g6ogq,cr 0o0brbgv60ob orr66o0pg36pgo (g3ery2go36o q.o.: 3r6&'r6q3q,o) 6r63oor,:6gboor q.os 3gu3rn06o3,>q9 0rno6r3L glnjo3Sttro rBq,oq,er0gbob Udryq,o hl&lo6,oU 0r6o6rU. rq6o063q,o 63gobb0rn0U, 6<n0 glnjogto xrffi6cDcq,r'rbou bBc6,rn 3oorr6qrg0.> 6rnqp6og6sqr - Cscs6"U ggrn6o0o3g6o d 0qg6o0rtfuoboL 0.rfug63bq3boL 6rg&1o63b36ott qgr rO l.ggt6otso J6rngSLogq,o Uo0dq,r36g9bol-r t6q.ooti gg0JoU BgbrbrSobqr. 0o0b.>bg636ob .:bsq,o grn609bo qrr 0gonqrgbo r3b3fu6 rb 6c$oqo66o3 r6s63q,g0gb ,:6bXbgq, gn6096U, .:6 bqg3br 6xn03q,o6g v6tr36gq' got60,:t3 g.:r6ob o{0.:, or3 rSbgbeBb 6erorbo36rUl ('r ao$m('C0rtr B<n6ob qroLbrq,r6bob 6.:tsg6oL b,>gt6orbg. gUojo3gt6o ar60t6or9q,obotr tggvmb 3r6arn6o.Jqo ar6ooor6x0,: $.:60o30b fr606or3qx'rs6llr e)r trooorq,c6o q.os6goU tg3t6<ntl Ar6goor6Cbob 96oro.16 3o6ggjtrJ8o q.os Oroos6 ln6j6obuq,tqg. ts3lsb$olsqg, ts96.:6rBg636gq,or 3r6&n6o,: o6bgo$g6og6o Or'r$gerboL o6sq,br$6obo QJ J6sj$o3pqr.:q.o 16 r6b56obU 3o6g3Jggcqp6o ts3gbbr0ob3bo. q9) @g6gob USSSCO" 2gr]3ott gqbt6gfugq'Ucrgr er o6g96t6r6oc, 6sg 6ggoUb0rnbb gtrjo3g6o p606o6qn6otr qr,:63oL bb3rqr.rl-rb3r go6030oL,: qgr Ogoxnq.ogboU 3ero6qn6o630gq, orr60o0q.o66gq,, u$caco trobocartr, 6o0xq,og gr6og6go6gb3gor 0,:jbo0rq26o, 0q66sq9o tsgq.og6ob 0ollrg$6rq9 qgr tSr6gobob 0rn0b6c6gbq,ot/Jrgog6gob a$qrr63slt q.or lrooorqrC6 0odUsbg53b,>6o o6g3664orU, rb33g tis%o6,rqm30,:Eo Br6or3.tb qrs or.r6,:&n6.:$oq3mbrb o%mq,sgooU 6rg3q,rqr. 3) qraor6cfu ggqXbg0ob qgr qo6bCbol, JrOqoUOC0r, ors6r&n6rftry,gobr 6s6 6pq,olib0obb gbojo3g6o rtsq,oqxnbob 0jcr63 Jo6orr ls36orr&nt6olxnqr rqor6Cb3q,o ggq,Sb36ob 6.r69b63q, (,rogrti (,r aroo go6Ugbob er rg$r'rbr'laoob Js6o3oL1p6,:b, LgS3olnb 0rn0b8,:630q,ot/Jsgo36gob ggq,3bgblt q9,> lsto5rqmgbob o6g353bg0b 8odroU bsq,s6trU 6g6rt+rBg6gbsb. g) Ao6ogot6o56p er AOloOCAUq,Cbgbtg e€fld6Cb"qlo tuap6o0r, 6,:6 6gq,oLb0rnbU g6cno 8bt6o3, &Cgr6$o gtrjo3g6o ar666or3qo6ob 0qr6of.:6gm0ob g$gSCO Ao6ogot6o66b q.os sOolso3ob Bgtrsbr6oln o6\)og36og6o 09js6o$0XboL 0gl06rb. &n6ogo6o66ti g6q.or X&g0eCbr6[boq93l-r 6er6rn56 glnjo3gdn ac606orgqxnboL J6r.rbq,3030oU 6,:3669q,g0ottr q.or r3rqxeOob 0rBg6g0qgbo qgs UQ,: do6oor,:qrr o6qn3rgrn63bo, rb6X qrn6oMoSbJcDr U$rUCk! botl338.: (tlg63oL36o, 3rqr6g0o, qgl r.8). ag3ogc0uq'caxbbg q9.>gg63bgq'o Eoqr6r'ros, Egre63 0b6o3, 53q'oUb0obU gbojo336o as606olcqobob qrr6gob o063.:t6o obrn3r6og6o 0oq96rn03boU Joqx'rr)o63brb q.or r6tJCbUq 63.:qxr0,:bor,>6 .:q9,:Jgo6gbrb, 6r'r0gq,orr xggigg6rna.: bb3r fu3g6gbtso qorq.ort OU6C0Uq,or bra0o6oc6o 063o0cbgq,x6oo; ,:669o69 ts jsr6orggqx.rtso Joq,rngo6gbob Arao3eoqlCbotJ tlr0g66og6rn Ogtr$l3q,rL .rqr5oqo0t6ogo 063o6bgq,X0oU 0gb66r.r3gbq,sqr q.or AoC.oSoaCbotJ CgrbrbgCfrqo. gcrSCqlogC 6gq,obb0obL g$jo3g6o a.:60t6o6qx'rbob q9r660o 6q,g33boU 6r6trr66o3q3brll.> qr.: U.:r0otxn oEtrgoggog6o 6Xfl.r6ob036oU 6r6goor6Cbrb. a.2. glrdoptrto 21.$6tfto6q,rn0ob lggf,rnb Amar3.lq,€r An$$"brA 36q.or qo$36rg(Boqryil AX0qp6o &norbcr36g6o: r) &D#oqxnot EboCoJU6o 1u66t6or3q,r.rbol.t qg.t3ob t.,otJgg0rb g6q,.: j<nbq,CtJ UOs6o, 16.:9 tsgodq,gbr L$6r9.:qr qgr CgCCOg6rcg gJrbgbreb 5rt59&eb 6q,oq,9bgbb; JC6tuA, go5s6bg6o tvr3tigt6tr3bob 6r3sqnU 6sb6qrob $ 0946o660ob BgOorbg3r0o 6rn0ltbg630ob do$oq990r p6qgr 6rqprg$Uob ob3, 6o0 aoq$Cgq, oj69tJ 0rjtr6rqry6o AlU6Cbr gliojo3p6 ar606cngq,obrt9 (69lry6i4bolt 6.:$6q9ob,:b) s6 0o5o8rq136o !916$1660 (6CtJg6ltgboL ts30go6g6oU:L). b) Aq'A6,rAmbJ gtnjopr6o ar6S5or3qcrbob tg36ob $Cq,r lig6A36$tt Eret6oL g6on36oxnb,: g6qr.: qgs3ggfirntr lsds6orq,or6cnbsb qrr 6,:3q,gb.:qg tlrlo<5r'rgbqggti odgq,gboor 49fl.:6offigbb, o6o 36qr.r 6rb<9gb gcr66sq,o%gbgq,o Qr 16r ogob 0e6690gqo 3rn6363g3q> Jot6r'r3fufubbg; ttjdo.:6r.r6oli (&nabbgt(6bolt) orgoopot696gq3b,: qrr s66r6o8b$o63bs g6qr ogerU 3rrof.:6goo.>6 O3lrsbrEolxrbr0o (rr rArAC qr6rnU, bca0st6ob g6q.or ogob onomggq,o X3o6o0o3gt6o gt6omgt6orb,:663bq,or6rnblL.: er bgboglgob ar6b,:qo ggbjgoer6o<63bobr qrs 6r63oorst6Xbob.:or3oU. $ lsloOogagatg o6oC66o{6C&Jexr0r gt o&,1U6" ar606or3q,o6ol-r lry36rn8o &nObrb3tfubob Uo0dq,.:3t66bo qgr 06s3.:qgg6o3fubs 0cjl$0.>q56rq.o g6q.os Jrbgb<n0qg3b 8otl.r\,3oboU Lslot+rog0g0u ('r J6r Aboq,mqr 0oorb<n36oq,gbrU; 0.:jtm6sqg6rqg g6q9.r 0o\6U A.rLobqpboL tslo6ogbSbolt brbm0gr qrr Eron tsgtt0.>Ootro 6o0L:bgdrgbob 8o$oqggbob b0dq,r366bob 6r63oorr6Cbrl.,or6 C6cDrqg - &nortn36oq,g0oL go60ot63br. q.o) lr6o6mJ q86ot6gblfurtx'r64mgbolt 66<n0ogd6bol, rA.:qq5br lr.>$o6rqmgbob trb3sqgrbfu.: ggfubtso g6qg,: fuo6,)qx'rb q9.r&n3oq936gq,g0.> glrdo3g6o J6o\UA30ob ajofu Jorv6boU (rr Aroo clxrbob $Ca6Cbolr 0o0,:6cn: gltojo3g6o rtsqoqxnbr 16 g6pr $,:6rAeq.o6g6qg3tr $ Oolm coasboU 6,:t6og3olr 0obgbtl. ll:Se6rqmSbr6 0rjbo0rq56rq9 35q,r tsCt3$goL bgq,o glnjop6o ,>0q,oqan[6tt 0jrn63 Jotr6bL qroL36o0o6s6ooU Ur6.:61"r q9,: gtiojo3g{tro rBqnqxq6.S 0j<n6g Jo<6ob U6gq,gstxn36rqg ogtr':36r.r6; orr3rqg gbojo3p6o rEq'oq,rn6ob 0jcnbX Jotvrg}o err 0roo oarbob $66gbo B,:6oryq,o gfiqrr oj636 L.l'brn6rqxn3&vro3 6bcr3tfubstso qr,: or,:3b 6,:6ogpq,,4r 16 66rdcrbg5. d 89qpg6$3 o6o66Oottt10Uq"oA.) tsboCoJud," Xr6A6oCq,o6ob Ug96rr0o ArnflL:b3<fubs 0orq,os6rqr qor GrqJC '>qXbgq,o q.orofugd,gugb3q,o g6qr.r ogob 6gqr36olr 0oq$33.:0o, t6,:6 6r0oob.:g3b.r lt03qrqo6r'r 6s&'rtsg,:gtso (Xr686orCqnbolr 0qr6r'r0.r69r.r0r) q-os Jrgog6goti 6brn3tc60oU b.>6obboU 5rg&6rnbXbgbr8o. 0o0bsbg69bob br<6obbo Jo633q, 6o60o 36qrr 03gr\6b Q<pCa.,o, (t'83qogo6cr 6.:0oltgsqn, Jr6qSgob/.>@obqp0ob 0o96 Oer8Lrbg6gbob b,:6obbob Lgbogiggt+ro rqiOs, Jc6og66oL gbog630ob brdroUbo) qgr 16r J6oOCbob 0ub,:bso4bq,90oor (0s6. .:0b3q'sgo6cryq,o 3otoggbolr r6soqrg$rnbs, 0JOr6C0Uq,o LrB.rqqrq3gbo rb b63sqm q.orgrn36gb.: 36or L:$rnq,t3). Atn3qrrbr er A3p66qxn6ob 0rq,:q,., bOr6Artv,000o/A0So0CtCCtACbtC ATBUdC&Jq,o hq6Y&,e6oAr gttojopt6o p606orgq,rnbolr OrnOtrsbgt+r3bob 3q,o6o3g6o cng r6r3qo6o3g6o rLJalg3bo (016. flro3q,ob Jo6refubo) gbq.os q.orgs\,o3qg3U lt36ors8<n6obo \)rbq.:t6$96t-r. sqgS$o53bgeo Cgr q9,:6g66oq,o g6qgr oifuU 3q,o6o3g6o J6rigo3ols qrr Oo3q,ob (69orrnq.og6o) ltb3q,0dqg,:6gq,er90o. d t) go6r6lryt6o Q3oSonb br6r6orgor6o pa9s6,:ftry,9b.: gtrdo3gr6o ar66t6or3q,erbob qr.rg3ob brbobg6o 3r3g$oot brt66\xnbc fuq,0oUr$3q.orn0o g6qg,: 6.:bqggtt 6obr\6rnboL gpq,s g36obor3ob. gUojo3gt6o ar60t6oSqmbolr Ug0doao go6r6Lg6o g3o6om otlg g[qg,> oj63b 5rbr$oq,30gq,o, ftna &Durbq'9<nbob 6Xq,,> gCE,: b.:t66Cbqx'rbq.o3b s36oqgbCqo er b.rt6obbo,>6o 6o0l-rcbg63boor, 6ron Jo6o36gq,o qor6tlg0oU kl3q,o q.org3oor. 5. gbojopEo ar606orgqmbob bg5dxn8o brbgqf$ogo &'rq,q)oJob Ao$6CAo gbojo336o ar666orSqrobolr b356r'rtso bsb3q,6$ogo ,lrnq"oOoJoU 0ob69bo 6.r6olrcSq3t63bs 0o0.:3gotr b3q6ob E3b,>b.:0obrqr qrr 0r'ro6r3b: s) &nls\,ynboU gt-rojo3g5o p666o5q,oboU 6sg&lo09bgbJr; b) glrdo3gt6o a.:666o3q,r'rboU Lrggt6rnBo go6r6b36o qrrggq',o6ob ,:0,:qq,9brlr; 6) &nbbqpoboU,fucbo6.>qrr3bob g6cr0og63bob s8rqq,gbrb. 6. glr{op6o 2g.t506otem0olt llggl6cnb BUECOc,igfn Anftfnbr 6.1. gbjo3p6o Xr606oCExnbob trg36mtso ggbjgoSbo ttrO 2g6ggrq9 ogr.rgr, t6rg boUOCaoU 0rar6ouq', 69ts.:r'rbsb er Aob 0o016or $r$fubgq,o 0rnortrn363bob q.ol30rgogoqSbsU gS6g6mq,gogL. gb gg6j6ogbo 690qgg6or: .:) l4gdrerb (s9r60olr) 0u6or3ob gg6j6ogbo: b3(nbMerbb Jogogo3ob 0r6brtqg6rb, 3.r6o60q.ogbgoboU Eg&g0rgCbrt (lt0s6orq,3b6og bo3t6ggBo 6rn60XAob arAbC6r), bbgq,O$ogo Jmqro$o3ob &'r6o$cr6o66U, tsgg.:b3brL: pr qrrgobs6trgbrb. D) l$$<n$(mCb6c8o rCQo3o65: 63q,olib0obb txjorql3$ ArnboE oS,:3o.:[ Q)r rQScBrOo6CbrtJ. d b.:aCgqo*n Ar txr3otq,U6o enAbrbgd,CAob ggOCOoCbo: AerAbbgt+rg0oU 0o$r.rqrgb.:, 0r.r0bbg63bob \),:6q9rt6g36oti ts30g0rgb.: qrr qrs636g3r, J6rng3trgq,o 349t63boll 0oOt.:qrgbs. &n0brbgt6gbol-t 6o$r'rqgg6,> .:96oor63bb J6ogStrgq,o lr.:j0o,:6erbotr g,:6oxn bJ3jrJ6b, 161 6s6ger glrojorg6ryq,o 66%oq9g56gq,o qgr$3Lg0gq5bob 0rn0bsb36gbrb, ,:t6rd9q.o gboCo-lngo,:q,g6o t69r0oq,og.r6osb, cnCftC a€Cd6CbUq 0rn0Lrbg690.:b qr.: cn3oorqrrb0st6gbob/3qgb3t6o goJob llrOttb3t63bob br jOos6r.rbrl-t.r g. 6.2. glr{op6o as606orXqxnbob lBC6,.l, do6roorrqn &n6rfiryp Obrtfugbo er Aro, 8sr6ol, gg6j6qaob 6s6s$oq,Cbr gbojo3gSo ar60t6or3q,erbob tlg3t6otso 8o6r$oq,3 0br6ggbo o6tlgogg6og6o cn3,:q,tr,:$6oboo lrs0 X6UBrCg ogogr: Urb3q,6$ogo, brSr6o (ao0L:fut6gbob ao$oq.ogbq,gbo, bq.o.:\gX3o 3o0J.>6ogbo, .:.8.) q.os b$ro6,:qm30s (rbqcrbgq,ors $69, cc26.:bo, Jo6r'r363br). 6.2.1.U$3q,ASoAo gltojo3g6o Xs6a6oCq,obotr tg36rnBo Lcbgql0$ogoU gjU3ql$op6o JSCSoArOogrr ttbgq,flSogo &'rgogo3ob bJbLu'be36J; .:0,:3X qr6ob lsbgq,0$ogoU fugtsg$goboo Jrngogo3ol-r ts96g0.:pbsflo 0.>jbo6rqpt6rq.o gbqr.: ogrnb B.:6or3q,o CaCqr Aro66Cd)gb3bgq,o 0b,:t63, flsor Bo6oL g6grqxrqg gbojo3g6o r8goqxnbob 6jrn6g Jo69bo r6/qr,: 6.:oro $.:t66o0,:q9695q,36o. L,:bgqffogob gol6Xb,: 6rCgrAS$COo 6r'rq,o gttojo3g6o a.l606or3qrnbob aefu.:bgfubob 0obl0s6orgq, qrrgo6r6U3b.r6o 0rnltbq,goboliorgob JUSoqCACE o b,:6obbor6o 0r'r0bsbg6gbolt gb6g635q,bgc,rg,:qr. Lcb9q,0$o,gcr bgq,obpgqlboU o65r6o3bo, lt0r6orrq,0g&nj0gq9g0ocn J6oocLEo a,5o6OC6ClrCaCq, 0br6gcnr 0obr$oq,gr.rboor er Arcr,o o60C63b3boU 6rorg.>q,ob$o6gboor, gS6g6g6gg6'rACb gbojoJg6o 26r606orgq,o0ott U3c6ob fu6gq,o6gbrb 3.:6rn6oor 6.:61r,:tq36gq, gr66qgbtso. Ilrfug,ffogo ,:gs6&'r3bL gbojogdo ar666or3qx.rbob tlr3C6.tsn &nqmgo3oU Egqrg6orbcrbols qr.: 0o0qrobr63obol"t 0gg.:bgbrb. 6.2.2 bs$rt6o brbrb6rq obligoggggbo $s093.>6 t6r'rq,b rtr6,Uq,CbCE UJg6ogo3g6o Orn0ttbgfufubob 0o$oq9gb,:Bo. JC6doa, br03qrogo6r.: org liq3orq66o 3efbrbg6363bob qrr$gli3bgqpb3bo, [B36orq,obg0gq'o ,:6slis6or.r36nbo rn66.:6obr 9o96o, 6t+do tlgboft lrj3bo. s6sbr0orr36obcr er66r6obrgo3bo, rOob 6r6qrr, rCOoU6r(' ArnEr$oq,CobCE Jr6o6AeC0q,elboti EgA38rgCbrtso, ttb3q,ffiogo Joqogo3ob tsggrbgb.rLs Ar JCd)do (qmbodrol-t) brbb63boU 0rnboq6.>0o &n0U,:bgS3bgbol-t (,JbrBobr6UCbE lqr. brb6ob o6bgoggg3bU 6o6oU doCroor.:qr.:qr r6rb0orr36<nbrn er66r6ob.:6ogbo .:6o16 Bs6ot3q,o bogo,:q,96 0r'r0oq,oS6or0o, JA6CCDSC ,:qr3rn3,>gortll qrr Jt6ogXbogq,o 3rpdr3boL 6.:$3tvo6rtso 6r'rg3bgq,o .rUogorgo3boL do6oorrqro gg6i6ou 3q,o6o3p6o (0oabrbgt+66ob) LOrEar60c6oU Eg6gts.r39br er er6C6AAr, .:669o139 3.:q963bob Emdtrqr3b,:, regoJr3or !9r Jrb<n6OqgCbq'lcnbotJ Bg6gBr3g6.:tso 6rr6.r$oq,3rnbr. br6r60s6.:oq,9bq,cr qgrg3lr30gqSbgbob do6oorrqn ggbj6o.r,: bgg6ob 6oorbo36oq,3boU ts3br0s0oLrqr b:orr6rqm 36r'rggttogq,o 3rq630oor 3b53fu3q,gegr. lqgrtqp3er 3rnd3s6og0o 0o6,:$oq,yn636 5r63gpq,o gbjo336o sBq,cq,gb3[ob tr$Xqro6o6o Eer0LrbgtrrgOob qgrgobr6lr3brtso. 6.2.3. o,C0o L:bgq,O$ogo rqo6gbb 0rtxnb6o3o brobgo6Orgoo U,:0p.>q,9b90oL AraraS$CO 6oq,tt lm6orqry6o Oe0oq,obrgoobr qr.l .:qr3r.r3.:goolr ggff6o3bob 6.:6tx'r66ogq,3b$o. lsbgq,6$oge.r 6o3tsq,63b.t 6gg,o6op6o rn5p6obrgog0ob rigog6r'r0.>b lx'6o.:qr36 0oboq,o$4or0o, 0o0b,:bg6X0ot-r 0o$r.rq.o3brLr q.or jggq,Oo j0gq.o3b,t0o. e4grbob o6bgogggb (6sorgtlr3Sbob qgs .l\x'rbq,gbob B.:or3q'oor) 6oti636s 66o63699o316o 6cryo lngo,:q-3tvro 0r.r6brb3r6gb36ob 6r$93rlr.r qgs 6r&nas60tvm3q6bob (0gq.oC0ol.,) 0oq$g3stso. 7. glhjo3g6o Xr6A6o4qx'rbotr UAC<ft'rb ffioorrt6gOob dctrroorrqn 0o0r6€rr"Jq,CbC0o glrdo3p6o ar606urXqxnboU tr3g6ob bJ63oor6Cbr U6q.o.: OrnbqgSL do6oor.lq9sq9 tsg0qp6o trs6o Oods6orgq,3boor: 7.1 gtrjo33t6o a.:686orgqx1665 664b.:b2d6bob/Ao3q,ob &ng3olrs qr br6olrboL 5,:g&4obgtrgbs: l.l. E3brbs0ob J6ogStmgqn 3rqr63bcror brle5ob &n0r6r6gb.:, t6r6 6ggoLb0oblr lr.:6s60r5sor3\,o (tsbgrgq,o) J6og6s036ob tsgtsbs8obrcbrBo &ng3rbrb aoaL:b3t63boU sb.:q, &rortxn36g0br qgs J6og3lq3q, lr5.:6q.os6gXaor6; rb.:q,o J6crggbgq,o tgs6qr.:tvrgSbob Eg0gB.:pbrti qgr ,:t6lrgbgqoli grqrrtio6a3rb; ts0gq.oo6o6o Jt6sjgo3ob qrs lxn6orq135o 0rn0bbg636oti 03ox'rqr36o Lrb9q,0dq3r63q',o3boU 03&30rpbrls qrs C.orEC6L3Jb, J6ogXLo3qo 63U36fu0o1i (3.:q96gbol-t) 6r63oorr6g0ob 66rd3q6rq.oor6o 6g68oU 030gtsrgbrL 1.2. tls0gqngo6o qrr lx.43o.:q136o 0o0ttbg6gbob sb.:q,o go60g6ob CgJbC5A3r . 6o0ttb35Cbob (b63qro6o6o, 0.lor 6o6ol-t J6636go3q,o, q.ol lx6o.:qpr6o) ,:b.:q,o 9o6636o[ 830gts.r3gbr, 6rAergc-or, Eggrb3bs er $l6obo6Cbggo &.r0U:bg63boU g.:t6or<n0rUtsgr0or6o, C6$r.rb6o3o c-orbC6&3J (q.osgoSsbl4bobr Cgr S6oBCtJoUE o 3rqrt636oor 0o0.>t6,:6gboqrr6 Ar0c.r6qgcl6r6C) . r6L3bgq,o E9Elr.:bg690gboL 0o0$erq.ogbq,3boL r+rglgdrtfbg6ob,:goob 696090oL E90gB.:396,: ,:6 r6tr303q'oU 6rQrbo6xSr 7.2. &nbrbgqxnbob gbojo336o 2q,:646ol3q,r.r0ob bCq'03$gtnbs qgr gtrrCoJCt6 cflqroqobrl1gDr$ q.or3r3Bo6CbUq,o t$o6aob qgrdq'ms . 5rtr.rbree.rCb6o3o 66rnbq63bob @3b3q3qX03boU, q9r&'r3oq.o36gq,CbXbou, Aarqmq9o636oL) EgL$r3q,.t . b.lbo6rqrer3bolr 0oboq,n$s6ooU (6.:6rcrry,g0ob, A3hqrCq,CbSOoU 0g63q,c,b) 66d3q,o qrr 0er3q,33sqgoc6o b6r6sgg6og0ob 8389tsr60,: qgc 6,:6k'r6go3q,9br . gtnjo3g6o 2p606o4qxn0ob fuq,69$gobob Jtvxn6t6rfu0oU ts303BrgC0r ('J q.or63v63r lsBgqx'r 6s6rcnqgbol-r Uol,rgg0lls q.or ls050ro rqr6oq50$3 . 0sligr06o3o obger66,:6cnlr br&9,>q,3b3botr $,:FOrna,>q96X6q,X0oL &rftrpgb.> (J6og3lmgqn gbr64p39bob .:O,:qq,3bs) gLojo336o a.:66t6opq,oboU b,:33,:6der b,:3oorbXbEo 7.3. gbjo336o 2gr6ffior3q,oboU l4g6xnb 8,:l6o6ob 6.:g0aob3l4br gtnjo3g6o 1$06orgq,obob bg6oU 0,>6o3ob 6sgfuofutr0bob 6ob6oor p6q.or tsgA0Br3q.oou q-o,) 6.:6kn66ogqq9Xli 63Eqt36o qo6oltdo3b3bo: . gbojo3g6o ar606orgq,r.r0ob bg56o6o L,:b3q,09o9. Srnqo$o3ob (0o0qro6r69r'r0o[.: qr,: E3qp96bob) ts3g.rtrgboL g6onr6o tnUgg0ob B,:0ogoq'o09br . gLojo335o ar606or3q,rnbob tgg6ertso 0olsbq,3r'rbgbol-t lrslo6rn303boL ts9tr$.rgq,ott qr.: 3Joqr36ooq'r'r6o36o %3q.os0fu q.o$q"obotr LottJc0ob 5.t0s6or3s . gbjo3p6o p606or3qxnboU bgg6oBo sCOUrqgCt tt3oorbgbb3 Ag3ogCbCq,XACbbg arAud6cbUq,o Jrnq,ogo3ob t6B690ob (6gcr83fu.:6ogbob) Eg0g6rgbs qr.: Urb3qf$ogrn b66uC63d,CbotJor3ob 0o$rnqr36s . glnjo3g6o a.:606o6qxnbolr lgStvmb ltbSrq0$ogo qrqo6r5t4bob 6q966sq9o, 0oj6oqo qgr Xggjgg6o 0gj,r6ob0XboU 0969tss35b.: . gbjo3g6o a,:605or3qxnbob lgS6erEo tlcbog6pa)o qgr6rbr6lgbob 6r0]otvr3lqxnbolr.l qrr ,:66rt6o661bob 6gjr6ob0gboL q-or6g66r ' qrro6$363\bgq,o 0b.:6gbob (Jt6rngclra3q,o .rlx13or3o30olr, rt6.:lr.r0or.r36etbrn o66.:6obr6ogbob, AoAb,:bgt6gboL aoaSoqg3\paob, &n0b6rt6gb3q,orr rbogor6oSbo! qr.: ,:.0.) o66.:6o%3br qrr Joqogo3olt 03gsbgbrtls q9.: Bg&jB.:390.:tso 816o6,: 8. glrdop$o 9gr50t6orgqrn0oU t ECf,<nl, ffinotrctg0clro6rfu rp6oqp0gq,o 6,ClrU6,lS6" glnjo3gt6o XJ6A6oCq,oboU lry36rnl-r 6s6goor,:6Xbolsor3oU lslo6rns tsg0q.q6o t63bg6tl36o: gg$6o3gdn o aSoxeqmq,oAor(OCf(.)q)('tboJ) o J6oggltq3q,o(3sq.o63bo) gobr6lry6ro (0.:696osq-36o) : o brbCq'A$o8r') 0o3q6$oor 6.>or3q,otr$o63bgq,cr o Lro633b6o6oey'qro6o6o o6gr6otsgo30oqr.:6 OmboQ3q'o 03oxnqr<nq,o6oob 0g0gtsr33b.:b ('r A.orEC663rU sb<n66q99036 J6ogglroSq'o rtngocao3Oo, r6rlt0or:36r'rbo o6gr6o%rgogbo, rLg3g 6.r$oq,o65o3 b'>E3qro6o6rn 0o0lsbgt6gboU 0o0$c4.o30q6bo 3Xl6do q.or U:bXq'O$ogo qgrgo6r6tt36oor. .lr+xnglryqo 3rq6gbolr OrnE%sqrgbc bq.o3br UrbCq'A$oBtl, Jc6do q9,: ,:t6rti$or,>36rn0rn rn66r6obs6osors qpJEobrbhboo. &n0tsbgSgbob Eo6$rnqr3b3q,or,: Ur$s6&eo tm0dq,r3666tso o539lrrJo6or b<n66qq'q93bs 6o6o66 336&n $grr6o3boq.or6, rUCAC tl.lbgq,3$ogo t6gLg6l-tg0oor; ArAobrJq,obor tsgbqgq.ogq,o t6.>oqgg6obotl bJ36orq,obg&gq,o gtrjo.rg6rx3qo Ugr6cxn6r6Sbo, 6ro03q,orr 6r6.rfub,:/.>qlu63r bQCbr 6tx'q,r'rqg ttb3g,6$ogo ttbU63boPr6. gbojo3g6o Xrb06oCq,rnAob UgC6. 9o616\190r b.:hq,O$ogo bogaSrJoq.orb Jtvro66r0pq,o qgrgobJ5trgbob gr{66q,gb0o qrc llrbrbt6er o6UJo$g$gbolt ,:0 Ug36otso 6r$53q,o q9$rbr6x5boo'

0rmr66Cbooo bst6oon "gbojo3g6o ls606cngq,obolr qr,r63ob bcbgg@$ogo 3o66gg6oolt" qt0$3ogg6ob tsgl$bg0" bs jst6o6gqoU J&6qrs096golt q9sq0C6oq,g0ol, Jt6og j6$g , AAlqn o@$ffi,Da 9':qry6q9M) fubrhb ,:.,1 p;g6X6<rygelb Ary,26ob AobXbo: q.orq.o6g6oq,gbob 0oqgOotr Oobgbo.: ls$rn6rqm36s8o 36or-3t6oro Orqsq,o [6eO6,rL 09069q,o glmjopt6o p606or3q,r.r6ob qruS3oL t SC6.l, ttrhq,O$"g. Joq,ogoJotr 6s60tsbq363q,o q9ro3g035$oU B3jffir, 6r'r03q,o6 ar'rau3uq'tso gbojo336o a.:606o6qxnbotr ligg6oBo $r60(n.:q66tt brjrr6or3gqnU bgq,obggq,SboL q.or bOoj.:q,,:jm bs$r'r6rqo36oU ts3a3t63b3q,, r0 lgg6r'rlt 6s63oor,>6g0oU b3q93rt, SrbE rn3tro 10 $q'ob 0.rbdoq'b3. 9,:q, N6oeAM) &tbs6o : q9rq96g6oq,gboL 0opgbol-r 0o$u6os qsgb0s6r'rb gSCqr c.oso6$963trgbgqr 0bs63tt, Irlo6o309boL, br3pors6o Bgbdqpbqerb3bobr q.o.: o6gSt6gbgbob ts3ttbsOobrqr oJo3ob rqr6oq,o glg q.or6oU lgg(ntso qgr 0rjb6.:q,U5 Bgq936b Eo.rq$ootr Oob 6r6goors6Sbrbs qgr gg5jgoo6o6gbr8o. gtnjo336o a,:686or3q,ob,> rqr.>0or6oL 3bo363AoL 36or-36o1 30orr369b 6r$oq'L $.:t60o,tq.o66b, o6o ggbq9r036gg6o U.:3oorbor Oolt\,gcr0ob 2gr68t6o6qa'r[6t1 or3lq,b.>b6oboor qr,: 6r63oor,:6gbgq,o l-rrbo6,:qrogbob ts96g6oU 6b.:b3 luUogogbq,r'r ffio8363q'obob grigo6rqg 0oo8693,:. gltojo3gdr as606or3q,obrUs qgr gbjo336 3Xoroq,qgqgeb.rU - do6ggq,o 06ots363q,obs rj3b 3rq,393q,o Jo63bob, ,:. b) o2g.:bg0oL, orgOob (,r bsbrn6.:qmqr, 0ob,:\,gor0ob - 6b36r30ob bl6oUbob er Jrvrgrq.o&lgcUq'o0obror3olr, r6,>qr5r6 ot-ro6o ,:6o]9436 sqr$os6b 95.:t6b 6kn3r690r qg.: 6sbpgU b,:So6rqmgbob rjgo36o qrr ts36oj6gq93boom $936o. - k6gq,grlm36,:q.o rgoi3rtl B6o0oli3gbr6r'rboU 6,:6rn6$p3o 10 do6ocn,>qro qru3rq.o3boqrr6 5 U$rn63q.o gbojo3g6o a$66oryrnbob J5rnbq,90g6oorr.: 6.>0r'r$3ggq,o. CCUJC6OCS" 6,>or3q,90oor, 0olr.>q,6q63q,o.:, 6o0 2020 Sqro6or3ob 835,:dqpbq,r'r0oU 03bqgq93oU gr0r'r q.or3,:56gq,o $q,3bolr (DALY-b Oob3qg3oor) q93J6r3tmgq,o ,:0q,oq,obr 09o63 .>q96oq'U qgro3r3Sbl-r 63q'ob ots38o36o qrrs3sq-o3fuboU ts94q.q6. .:0 q.oo33E36$oo l.tj.>6or3gq,o 46er6o363btt gbojo336o ar606opq'oboU qrs63oU 06otsg69qx'rb,:U qrr Jo53gq,cqr s0$3o63bb gbo3o336o 2gr606orgq,oboU qrrg3ob 3o669g6orL, r6rn0gq,o6 U,:b3q,0$ogre Joq,ogo3ob 6r60Urtq36gq'o qm33036gor gbojo3g6o 2gr606or3q,r'rbol.r Updxntso. ,t.6) glg,U6o<Oellt dot*tottgn tt6ln: q9.lq9696oq10oo 6cbor63bgq,ol 335rd3q'o 5s0egqnq'3b.: qr,: @[ogq,>oo 3$qg,43otl o66r6otsgooli 0o36 qrrqr66oq,o 6rn603bo obgon lrsorgon tl3g6ob E30q96rn0o 6.:63oor,:6g0oU.:or3ob, 6cr6o6o6u gbjo3g6o 2gr606opqx'rboL UgX6o; ar6q9.:ggoU tr$o63q.o 9L t55496$o 6,r0oot6Bg6.r rgr,:0or6oL 3gq6b3bol-r q9,:6qg3ob gslJ3boor (orood0ob $Cq,r j3ggr6rBo), b0otvrsq.o oJgt6o0b ggqSbrq.os0ogCq,o <n65s6obc6o36ob ggt6rqrq3b.rL qr.: btlot6 630orb3g3stso o0tlrbg6Sbb U,:0l6orq,ocb 36ogo3,:lr. lr6gq,obb0r'r.:, r5r'r0 Lsjr6or3Xq,rnb l-rrb.lq,brn qgr0g3gq,o go35q,$q,ogt+rrq.o rOr6)Cbl., AJb3t6.Jq,o ElrdoJ$6o3go q9.:$9hb3q,96g0ob 6o6oQo6o66b gt6o363q,o Jt6g3g6gooL 03j.r6ob0ob g1616q,gb8o. rOqgCbrqp, $s60rnq.o5g6oq,o Js6q,rE36gob qg:q636oq,9boL Jt6oalJoor 0oL:qg6o AoJUACEOo Ornogr3b lt36orr6re6otrr tgr6q.or6636oU 6,:or3,:q,ob$o63bocn 83890.>gbgq,, gUojo3g6o ar66t6orgqxnbob 0r63oor6Cbou t'rn6rq.o J6oEgoJ36Ur Cgr bCe3rb. gl-tojo3gdro rBq,oE rnbr ob63 6.:3t6ggq,gbgq,oc Lsjr6or3gq,o8o, 6r'r6r'rt66 flbogq,cx'rb 6gq,,: Itb3.: $99.>6,:8o qgr $r66rnrqr636b &rtrs\y,Aob bo3gqrrq'or6<n0ob, B9b.rdq,Cbq,o6ob fubqgq.o3otr, ggo6rn0o3g6o B.:0o58g6oq,r'rbols qrr boqr6oboL b3q,tsffigrn} X6a-X6a BrCOo6b. 6o5.:\pobotr $tvrqr,:U6gq,o 6.:$oq,ob r3r('Ago8obr .robb36.: &n8s3rq,o cn,:o0ol-r o6g3q,CdOUrql:6 qgr 3&n6ry6r EoEbC. brjrt6o6sqxnBo glnjo33t+ro XJm6oCq,obob fubrfuA s6$b3q,o crEogorqlJ6o &n64X090oor 2012 $3q,b: . 100000 0otrs\,3b3 gbojo3g6o Jtsq,oq,,rrbCbot br3dr0CgCboU AJ8336XA3q,o $.>60crrq9bC6b 1743.5L. qgr q9o,:66r'rttrJotYr3bgq,o ogo gbojoS6o .:0qroq,r'r0ob 4,075 ,>b.:q,o 030orb393r (90.7 836orb393,> 100,000 &rUrbqpSS) qor&n3loq.oCbCq, gjl-rl36gor: 65gsligboor 3b obgo50r6o,: r6rb6gqnr Us%r'r6cqmg0r0o ,:6 lgrrgrq-oCbbrqoAo ,:6b30pqo tr6o50otr,: ory bb3s grjgo6gbob 6.:0o. glmjo3gt6o .:tsqoqxn0X0ob 6.>36r6q,gbr 33opbgq9,:0fuq.o3C(r'r6oU 6r3qxn3r596Xboq.>6 6,>0rn6qro6r6g 6,:&rq936o09ry36 .:qg0sgXbs ogo6orqj6 0o6r6X0g0oti: 6obogtrt36crrl-r .:3sqrerbob ErBg63b3q,o 0lrrgq,ornL 906,:3qpb $gg6gb[o 100 000 A<nllr\,5t3 20-54 g$6q,3btso 09t6gCctbU, Urj,)6cn33q,rn 0o 3b 0r86fu63q,o 9.5-b tsCrcSAC6U gLojo3g6o as606or3q,r.r6oU tlr0tr!36g6oU 0qr6er0.:63rnbr brtrororqrXb.:: 0o0U.:bgtvr3br%3 ('rbrq,o go6sblry6o qr; 61<'r66rgogq,o fuq,0olt$3q9o6o0oor, &n0brbg6rgbob qr,:bsq,o bs6obboors qrc gggjggl6r'rboor, ,:0o6go$gbpq,o qrr 0,:lng6o ar$CLCACE CAC$ob ln];t6boor, r6rCECCOg6o nSgOrtOOCd,JUOoor, J6oggUogq,o 6r3ltgr6b50olt 33rq,ogo3r3oob ('J or6r6C(161'1gC 0oqr6r'r09bo5 6r'rqr6ob qgr 6TAoUCECAoU s6rUr30r6obo qrer6ocn, ttllo6o cbrq,o J6r'rgXbog6ob 6,:3q,30oboo q.o.: J6g636gostg, tlogorq-36 o6$95t6rgo.:S3, 63rboq,o$4ortg bs666dq,o3 O<n3q',:tg 0o0,:6oryq,o ls0bbgfu6oU lgoqrg63brqr 0$o6o 0oggqxnboor, gltojo3g6o rtsq,6q1q6,r1, 0C.6C Jo6or or.:30gbrg6oor 0r'r0lsbp6gbob,>t6 r6tSbcrboor. q.osq.o636oq'9bl 0oo6r3b ts3lt3sq, 6.:$oq,b, gbjo3Srto 26r606otgqn6oli tggfirnL r&ntlr3.>q,o &en66cB30tt er BrbCflq,,GlbCbb, r6trgbgq,o 0qr6o6r63obob 099,:U90rb, 0o0s3q,oU b3q.o3,:U, gLojo3gSo a$ffio4qtr'r665 trggtio8o Urb3q,OSogcr Jrnqro$o3ob 0ob69btt, glmjo336o Xr606orCEryrbob gg6j6ry6o 0o$gcrb.:1,r, gLtojo3g6o ar606orgqxn0ob tgg6mL 6rbgoorr616oL do6oorrqn 0o0,>6roryq,CbCbts q.or gtrdo336o as666or3qx'rbob tg36oU 6s63oorr63bolo3oU ,:p6oq,3bgq, OgLgfrt4bb, 169 q9o3g0g6go 0rno6rgb ,>0 try36rnti Ar63ocor6Cbob trn6rq.o bgqg3,:b g.>\ngtn $q,3boU 0s6doq,tg. l0cborsb qr,:qr616oqp0oL 09-2 Jgbjgo rq.o696b 3o63t6grJgq, qrs3sg3b,>b b,:jst6o49q,otr 0ors3t6rn0oti 0o0,:6or; 46doq.o, r0 Jg6jgob or6rbA.>qr, ,,glnjo3gt+ro 29.:606orgqobotr qrrg3ob Irfuq,0$ogrn 3obgxg6cntr" J6o66oJ3boU 6ror3sq,ob$o5gboor, ttjr6or3gqx'rU 0cns3t6ob,l 3.:q.ogbgq,cr 2015 $q,oL I or636r0qr3 qru0gsogrnU L,>b9q,0$ogrn br0oj03q9o Ug6s636o3q,o 6360.:, 6.:9 306ofu6gqx',3,)63Lo $o66sq-orq.o60gq,o Erbqgo oj63b,: r0 qr,:66olr cn,:6r03qr693C t OrEAr6OCAoo) 6rEgoors65botlror3oU. 0) g,ry6XdcaXAot go6,filryt5o qttl$WprCe) b.,:) g;g,U6.rpCM) e4Cbtlbrfi etJEWW<n fuatrx't: rAgogTfign b,>6A2*ilt gtgd$lr7M) qr,:q.o5g6oq,g6oL Oop3br 16 6r&no$g3l-t erAr$Cbooo ltrbbS3bob ArAogogrtJ ltb6q,a$"g. Dog6g$oq.oc6, 3o6.:oqrs6 qr.rqr6g6oqSboor 6.ror3rq'oL$ofubgq'o tl:0orr36er&'r ls@erj6gqx.r b$tvrr$g6cryq,o 69g6oU ts9036,:gboli 3,:q9,:qg 6.:6obs$q36.r 2015 $q,ob o;6316o. b.U qlry,UeryAMr 6,ryq,XA,> AogAXQob lt:fuA'iltrygm d:firy,bg q9,:q966cry9boU Ooqgbr gr3q,36rU rdr Aosbq36U bq3agrJob br83Oobr3qxn Ergoqbg 0.A) A ryWtxryAelb UK,C6t er"J65olt bx'+Agn 6tftry,b2: qr,:qr6g6oq,gbob 0oq36r st6 o$333tJ fgrar$C0ocn br6?Obtr. 0.q) At tAtUSqTM) ;b'tgo gffifib9(xl g;q,pCfuq,Cqer: qrrq.o6g6oq,gboL Oop3br 16 $s6&ntsr,rbU rb.:q, go6r6bg6 3.>q,q930gq,gbg0b. 0.C) gt<,W6o<Aen e2brgmqqpn go6tdtgr6o AXpgU6o d .nAwryol1 doAJq,ort ffix6a.b frA<ryCet pAtgXeryg*ttr &o6fup9Ot: qgrq96g6oq,g0oU Ooqgbr ,:6 $,>66otsrnbtt 16151o6 Eo6rEbU6 E3q9g6b o0 Jo6orror3ob, trxn0gq,ort Acl016ol10 A6OCqeCbr Jr6obJ6oCjQob Ooj0gqpb.:. A.il qtt<tM6o<A n CrAAC6,4,,r 6,ry,Jll,J,b,>g,ob, At$AX@*,fi bfu': lt>bob B,ryttbrbg,egnl) tryXSo&ob 6,:6 lt tbgt6o b fu bo : q.o.:q96g6oq3boo 16 bqpgbr 6m03 5sqrsUsbsqgoL, &'rbr3t69b3q'ob rb lrb3.: ttbob 6rqrrltbq-ogq,oL Ar$CtJCbr. d qgrq6C5oq,gbol, AoAr6oCbr t rC6)o*nd)olxn brar6oq,g66c6 \)r6Anr,mbcrrr6 0.r) ArAACEoq,Cbob Oo0ct+rogbr 6t6o3rgBo6ou q.ootctgl6qCborr6: q.orq.o696oq90r 16 C$oEreA<pCaCb.> 3g6rn3r3tso6oL q.oo,6glgqCbtr. &b) qgrqg6g6oq10ob fu0.:t6o{0.) lrrCf,€rrr8<n6olxn ot66.l5otr6q00o bqj,:6ro4gq,ol, ftgtftnbrloc6 qgr3rg0oqagq' grq{pgfurqgbg0otE: q9.>qg6C6cq,36s fugb,:bc0gbr tt3co.:6rnt6oln o66.:6obugog0tso L,:jc6orgq,oU $Xgt6obrlnr6 qgr3rg8ofu0gq, 3,:q,qo3bgq,30C0b; b6Srq,orCg 6ggb.rbl03b,: Ol,rergq,oer a,>6qru33o[ r'r66.:6o$rgooU (W-HO) orbr0Ce6rngg bOrECgJ6OCbtrr er aoe6oACbb, iJCaC EX Jcrgo$o3ob.:or3ob r0,:gX er66r6o$,4ootr 0ogt6 q9,:q9u6oq, tB36orq136 6go036qr.4og0U qrr 0rnorkn3630lt. 0.b) AtAACEcRCkfu Ao0r6rcru0r ttlj.:tto6gq't'lu o66b6r6 qrr 0l6s3rq'ab6og bgq&336ryK,C0C6or6: q9.:q.o66cqp0.> 16 3$o6.:q0q-o366r trsj.:6orpqx'rL ot60b6o3 qrr 06s3.:q'0b't+to3 b3q'Eg63q'9bCbb; q9) q9sq615oq,90ou &nAt,:qgCbob JdxnOCLt o &ryCbUq,o JrnEUUq,6o6oCbo q.o.r) LrbCE€Scrgrn, rr6rbrbgg6ftigo r6/qrr lrrCd,orfi'tfmlx'r ofur5oqb.:go5/(9r$gbgqCql0.r, qgrq6CEoqtboU B9&38t3gbr0o, cbSomb rt6b3&nbob dlrJC6,OC0", Ooaq,gb0r6 0tn6.rftq6'rbr Arxa$b A30olb693$o: qgrq6C6c{tbob E3AgE :3gbr8o &n6r$oq'Cs$q)EC6: 1. bjst6cn3Sqmb 3s6q,.r0g6gob a,:666or3q,rnbob qrr63ott er t r'l0orq,.J6 U.:3oorbor,: 3o0og9go116 .l6Ugagqlo glro&Jgfro 2gr66t6orgqmbolr br3oorbgbtlo 0t6ECACq,or llrblr'r; 2. bsjldrgqmb A6oAoU, 26c60t6orgqxnbotl qrc tro6o,:qg6o qrrg3ob 0o6obg6ob tlrorrorbo6cr rn66rbo - gbojo3gt6o 76.r&rrorgqxn0ob Joq,qlo3oU 6r60ls$q36Cq,o lrrbJer; 3. gtnbqn qcr l$txn6,:qxngbr - brCv6sACq,o; 4. 6tftn3.>38o6obr qrr g66arJolt b$]olt SOoto\,o3o &6o66.10r ".:q.or6or6ob ggqSbg[o gobggbl6 ar arbU6gq,c, Ocrlob U$r q9.r$xbgburqt00aBo' drffiC CdUJC6OCao: 1. 6116<'l oJ6o0Cq,58gcryo - o$oq,otrb tsb. g5o39r6Uo$3r5oL l63q,o J6ogglm6o; AJL "Crgg3t6.:q56o 3crLJoJ.rq,o-2012", gtrjor$6ogq,o q93J.r6$.r036Qob b6qfdq3s6Cq,o; 2. 016$r B.:r6rEodg - gl-rojo336o ar606or3qnbob rlro6or6ootr (GAMH), qgor6gCgo6o; 3. 616r br3t6rq.ora3oq,o - oq)ort LTbCE A$ogcr 36339t66$3$oU t*n6org36o gtrjos$6oob 3ro3qr6.l, o66s6o$l6ou - cqrr0or6oU ggq,3b3bo ar6qorg3rtso eo6a)ger6o; 4. 6cmt66o 6q,3o83oq'o - s3q,oJ b3t6rbc63oq,ob ltb3qx166,5 L,>j.:6or33q,r'rb SUoCorO6or Us$o6.:qrr.r3bob bJab3slbou cnsgSlqrnds6X; 5. or6.>3q,o Osag60qndC glnjo3g6o Xr6a6oCq,crbotr qg,r 6r63o0s6ooU J633556oott 6g5Q6ob 6g636rq13t6o qro63jgrn6o; 6. 6o&n O.rbr83oq,o - Ls36or,>tsr'r6olm o65r6obr6or ,,6q,erb,:qr36o o6ogo16o3r gbojorg6orBo GIP - o0oq'otr" qto6frk)o6o; 7. 2gr6t 2gr3sbo83ogo - ttjr6or39q,r'rb gbojs$6J30ob brbcr6.:qrngbob 363boq.oX6$o. qg.b) q.otA6C6oq$ou Eg0g8s33b$o A<n6s$oq,g ot66o6ob4cnU (q9r$9bX&3q,Cbob) .:6/qgc dLJC6rO.f, ACE$r6br 3r5r.r6&rxn9 jgotr 6o6':t6or, rl4orob s<6b9&nbob ilg6oD36.:Eo: q9,:q9636oq,3bot-r 6g0g8rgbsbs q9,: OoL 3jbJ3r6gobr0o &'r6.:$oq,3rn0,: Ocnqo 3g6rnJob brblmli CCLrlCd,Oar - q,obqrnbolr br0ggr.r 3oq,g2qot-r gbojo,:$6cnb o6l$o$3$oU Jt(xrgglxn60.: 6619390 on56o36rng68s (q9sq96g6oqpbsb or.:5 g6ot3ol-t). C) A{gaCEcryCAob .:36rn6o: Urjr6o63q'rnb Jrd)erac6Oob $ca69bo: qro0og6o bg6qgrdg Qs 0o6orb $o3q'.:36o. 3) qgrQ6C6oq'C0clr o6o6or$ot6o: Urjr6oggq,mb 3.>6q,r836gob a.>666or3q,obot-r qg,:g3obr qrr tn6orq1g6 lt3oorbot JcraoOCOo.

lnstitute of Psychiatry at The Maudsley 基 姉 ν ttReSearChDepartment型 :‖ 霊:舞 UK 糖 LONDON U― Ph+442078480フ 36 Or bn山 Prof Graham Thornicroft lnstitute of Psychiatry King's College London De Crespigny Park London SE5 8AF rTth September zor3 Mr. Nino Lapachi Nino LAPACH I Proiect Assistant EUiCoE Joint Programme "Human Rights and Healthcare in Prisons and Other Closed lnstitutions in Ceorgiarl Council of Europe u6 Br. Kakabadze St., oto8 Tbilisi, Georgia Re: State Concept on Mental Health Care in Georgia Dear Mr. Lapachi I am pleased to send you my comments on this paper. 1. Section r. lntroduction This is a helpful introductory section. Mental health is indeed central to the wellbeing of the whole population and can be appreciated as vital to a flourishing society, intersecting with many aspects of national wellbeing and productivity (1). For example, Mental health as a cross<uttlng lssue Mental health status is associated in multiple ways with each of the nine thematic areas for the emerging post MDG priorities, and can therefore be considered as a fully cross-cutting issue. For example: t, Confllct and fragility . Poorer mental health is a precursor of poorer resilience to conflict (z) o Conflict is itself a risk factor for adverse mental health consequences (3) つ４ 2. Envlronmentalsustalnablllty . During environmental change people with mental illness are particularly at risk of adverse consequences (4) . Environmental disasters may substantially increase (eg double) the prevalence of depression and anxiety in populations (5) 3, Economic growth and employment . People with mental illness have far lower rates of employment than those of the whole population (6) o Periods of economic recession are related to worse mental health in the population especially among men (7) 4. Education o Educational stressors are risk factors for college students (8) . An important route lor access to mental health care for young people is via educational organisations (9) 5. Food security and nutrition o Poor nutrition is a risk factor for depression, eg among women of child-bearing age (ro) o Poor diet among people with severe mental illness is a contributory factor to their worse physical health (tr) 6. Govemance o Structural discrimination has been a term used to describe the systematically lower investment in mental than physical health services worldwide (tz) o There are concerns about weak governance for mental health research in low income countries (11) 7. Health o Life expectancy among people with mental illness is up to :o years lower among men and t5 years lower among women than for their non mentally ill counterparts (r4) . Depression is associated with poorer treatment adherence eg among people living with Hlv/AIDS (15 ) 8, lnequalltles o Discrimination against people with mental illness has been reported across the world in most domains of everyday life (t6) o Abuses of the human rights of people with mental illness have been reported across the world (tZ) 9. Populatlon . . Women with mental illness can adversely affect fertility rates (r8) Adverse events in pregnancy, such as miscarriage, are associated with worse mental health (9) Mental health and inequalities There are clear cut inequalities in many areas health care and social life to the detriment of people with mental illness, for example: . in access to physical health care and in diagnostic inaccuracies (zo) . in treatments and outcomes of physical disorders (eg myocardial infarction) (zr) o in very low rates of treatment of mental disorders worldwide, ranging from Jo% treated in USA to 2U treated in NigeriaX22-24) o in the use of disability discrimination laws to provide remedies for human rights violations (zs) . in access to the labour market and economic security (26) o As people with untreated mental disorders contribute to economic loss because they increase school and work absenteeism and dropout rates, healthcare expenditure, and unemployment (27) Sectlon 2. Basic Princlples and Values of the Mental Health Policy of Georgia This is a very positive section dealing with the fundamental values and principles which guide the national concept and they are very similar to intemational statements in this field (28), and to the values and principles which guided a recent national mental health plan in England which stated that people with mental health problems can expect that services will: o involve service users and their carers in planning and delivery of care o deliver high quality treatment and care which is known to be effective and acceptable o be well suited to those who use them and non-discriminatory o be accessible so that help can be obtained when and where it is needed o promote their safety and that of their carers, staff and the wider public o offer choices which promote independence o be well co-ordinated between all staff and agencies o deliver continuity of care for as long as this is needed o empower and support their staff . be properly accountable to the public, service users and carers, ln respect to the following statements: . Differences caused by mental disorders are a common phenomenon and may not be considered as a source of discomfort and discrimination in human relations; . Any person with a mental disorder, regardless of age, gender, ethnic background or religious belief, deserves to be treated with dignity and be granted equal opportunity to access appropriate mental health care services. . ln any segment of mental health care, priority is given to the protection of an individual's interests, respect for his or her dignity and provision of care in the most humane environment possible. o Based on unwavering adherence to these values, Georgia undertakes the responsibility to organize provision of mental health care in the country in a way that persons with mental disorders shall receive treatment in a less restrictive environment, in as close proximity to their residence as possible, and with consideration of their basic needs; their rights and dignity shall be secured. These are very important fundamental principles and are fully in accord with recent work on human rights and policy and legal provisions to reduce discrimination against people with mental illness (r7, z9). Sectlon J. Assessment of the current situatlon This is short and stark assessment of the current situation and it is important to be direct and fair in this appraisal. A key point is whether the situational assessment is based upon reliable data on the extent of need, the amount of met and unmet need and the type and amount of service provision. Are key indicators being collected that refer directly to the overall mental health system goals? Are the data collected reasonably complete and accurate? Are they available quickly enough to informed policy making decisions? Concerning the estimated prevalence figures for psychiatric disorders, are there results of detailed local surveys? Or other sources of data relevant to Georgia, such as WHO data (3o, 31), or can data from other international sources, such as the World Mental Health Surveys be used as reasonable estimate to guide policy decisions (32-35). Section 4. Future prospects 5 The'balanced care'approach is consistent with the international research literature (36) (37,38). Section 4.1 might say more about how service users will play a strong role in future mental health policy and implementation decisions. Section 4.2 makes very strong points about how the fundamental values will be used to shape the more practical aspects of the mental health plan, as the national concept is followed by a more specific implementation programme. This will be Iikely to include specific proiects and programmes, along with their key deliverables, timescales, the named agency responsible for implementing each part of the plan, and giving details of the financial, human and other resources needed, along with details of the reporting line for each responsible agency to assure proPer governance of the whole process. Concerning stigma reduction, there is now growing international evidence that positive change can be achieved if this is a national priority and if investment supports a long term commitment (19-41). Section 5. Public Policy Obiectlves in the Mental Health Sector This section is rather short and needs considerably more detail to set out how each of this policy aims will be achieved. Section 5. Functional Organizatlon of the Mental Health Sector ln relation to the state, market and society sectors, this section could helpfully say more about how far consumer and carer organisations have developed Ceorgia, and if they are able to make substantial contributions to policy formation, or to service provision. lt would also be helpful to indicate how the various sectors can collaborate and have their contributions co-ordinated. ln some countries, for exampte, there is a national councilto bring all these bodies together so that they can advise governmental ministers and officials. Section 7. PrinGipal Areas of Development of the Mental Health Sector This section addresses in outline some of the key resource issues, including staff requirements. Are the types of mental health staff training courses in Georgia suitable for the future. Will types of task shifting be needed (4u). what numbers of staff will be needed in 5 and in 10 years time. Do resources allow the recruitment of more trainee staff to progress towards these goals. Can training schools and colleges provide for a greater number of mental health staff trainees and students? Section E, Resources Necessary for the DeveloPment of the Mental Health Sector Helpful headlines are included here for some of the necessary cost categories. How will this be elaborated in a fully costed and detailed national mental health investment plan? The proposed targets given as below, they aim to be achieved bywhen and with which milestones to reach before then?: . spending for basic psychiatric care package shall account to at least 8% of the healthcare budget o with an estimated cost per capita amounting to at least $6 overall comments This State Concept is clear, concise and fully in line with intemational evidence and experience (4j, ++). A few of the sections can usefully have a greater level of detail added, as indicated. The next stage, after the State Concept is agree, is even more important, namely to create the next stage document which is the lmptementation Plan, and to seek governmental approach of this, and endorsement of all key stakeholders. References Saxena S, Thornicroft G, Knapp M, whiteford H' Global Mental Health 2 - Resources for mental health: scarcity, inequity, and inefficiency. Lancet. 2oo7 Sep 8;17o(959o):878-89. 1. 2. Taylor LK, Merrilees CE, Cairns E, Shirlow P, Coeke-Morey M, Cummings EM. Risk and resilience: The moderating role of social coping for maternal mental health in a setting of political conflict. lnUPsychol. Iro.ro8o/ooz 07594.2012.658055 doi]' 2012. Tol WA, Kohrt BA, Jordans MJ, Thapa SB, Pettigrew J, Upadhaya N, et al. Political violence ind mental health: a muttidisciplinary review of the titerature on Nepal. SocSci Me d.lso277' 3. 9536(o9)oo628-5 pii ;1o.1o16/i.socscimed.zoo9.o9.o 37 doif.2olo;70(1\35-44Page LA, Haiat S, Kovats RS, Howard LM. Temperature-related deaths in people with psychosis, dementia and substance misuse' BrJPsychiatry. [zoo/6/485 pii 4. ;1o.1192/b,p.bp.111.1oo404 doi]. 2012;2oo(5):485-9o. Kessler RC, Calea S, Gruber MJ, Sampson NA, Ursano Rl, Wessely S. Trends in mental illness and suicidality after Hurricane Katrina. Mol Psychiatry. 2o08 APr;l3(4):374-84. 5. 6. Heslin M, Howard L, Leese M, Mccrone P, Rice C, Jarrett M, et al. Randomized controlled trial of supported employment in England: z year follow-up of the SupPorted Work and Needs (SWAN ) study. world Psychiatry. 2011;10(2)1132-7. Katikireddi SV, Niedzwiedz CL, Popham F. Trends in population mental health before and after the 2oo8 recession: a repeat cross'sectional analysis of the 1991-2olo Health Surveys of England. BMJ open. Ibmjopen-:orz-oo179o Pii ;1o.1136/bmiopen-zorz-oor79o doi]' 2012;2(5). 7. 7 8. Zhang X, Wang H, Xia Y, Liu X, Jung E. Stress, coping and suicide ideation in Chinese college students. JAdolesc. [5or4o-r97r( )oo126-6 pii ;io.1o16/i.adolescence.zofi.ro.oo3 doi]. 2o12;15(3):681-9o. 9. Eapen V, Ghubash R. Help-seeking for mental health problems of children: preferences and attitudes in the United Arab Emirates. Psychological Reports.20o4;94(2):663-7. 1o. Bodnar LM, Wisner KL. Nutrition and depression: implications for improving mental health among childbearing-aged women. BiolPsychiatry. ISooo6-3223(o5)oo585-8 pii ;1o.1o16/i.biopsych.zoo5.o5.oo9 doil. 20o5;58(9):679-85. 1't. McCreadie R6. Diet, smoking and cardiovascular risk in people with schizophrenia: descriptive study. BrJ Psychiatry. 2ool,;'t83:534-9. 12. Thornicroft G. Shunned : discrimination against people with mental illness. Oxford: Oxford University Press; 20o6. 13. Yasamy MT, Maulik PK, Tomlinson M, Lund C, Van OM, Saxena S. Responsible governance for mental health research in low resource countries. PLoSMed. Iro.r37r/lournal.pmed.1oo1126 doi ;PMEDICINE-D-r1-oo481 pii]. 2011;8(11):elooli26. 't4. Wahlbeck K, Westman J, Nordentoft M,Gissler M, Laursen TM. Outcomes of Nordic mental health systems: Iife expectancy of patients with mental disorders. BrJPsychiatry. Ibip.bp.tto.o85roo pii ;ro.tr9zlbip.bp.11o.o851oo doi]. 2o11;199(6):451-8. 15. Wagner GJ, Goggin K, Remien RH, Rosen Ml, SimoniJ, Bangsberg DR, et al. A closer look at depression and its relationship to HIV antiretroviral adherence. AnnBehavMed. Ilo.,too7!s,rz,t6oo11-9295-8 doil. zon;42(3):352-6o. 16. Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, et al. Clobal pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet.2ol3 Jan 5;381(98 60)155-62. 17. Drew N, Funk M, Tang 5, Lamichhane J, Chavez E, Katontoka S, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet. [S0140-6736(1i )6i458-X pii ;1o.1o16/50140-67]6(11)6i458-X doil. 2011378(g8q)i664-75. 18. Howard LM. Fertility and pregnancy in women with psychotic disorders. EurJObstetcynecol ReprodBiol. zoo5;tt9(t):3-ro. 19. Toffol E, Koponen P, Partonen T. Miscarriage and mental health: Results of two population-based studies. Psychiatry Res. ISo155-i781(i2)o0461-1 pii ;to.tor6/j.psychres.zorz.o8.oz9 doi]. zorz. zo, Jones S, Howard Thornicroft G. rDiagnostic overshadowing': worse physical health care for people with mental illness. Acta Psychiatr Scand. zoo8 Sep;rr8(3):t59-7r. I 21, Desai MM, Rosenheck RA, Druss BG, Perlin JB. Mental disorders and quality of care among postacute myocardial infarction outpatients. JNervMentDis.20o2;19o(l):5r-3. 22. Wang P5, Aguilar-Caxiola S, Alonso J, Angermeyer MC, Borges c, Bromet U, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 20o7;j7o(959o):8+r-5o. 8 23. Thornicroft C. Most people with mental illness are not treated. Lancet.2ooT Sep 8;37o(959o):8o7-8. 24. Collins PY, Patel V, Joestl 55, March D, tnsel TR, DaarAS, et al. Grand challenges in global mental health. Nature. [475o27a pii ;1o.1o]8/475o27a doil. zott;475(754):27-3o. 25. Callard F, Sartorius N, Arboleda-Florez J, Bartlett p, Helmchen H, Stuart H, et al. Mental lllness, Discrimination and the Law: Fighting for Social Justice. London: Wiley Blackwell; 20i2. 26. Lund C, De Silva M, Plagerson S, Cooper 5, Chisholm D, Das J, et al. poverty and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet. 20.tl Oct 22378(98o1)i15o2-14. 27. Ngui EM, Khasakhala L, Ndetei D, Roberts LW. Mental disorders, health inequalities and ethics: A global perspective. lntRevPsychiatry. Iro.3ro9/o954o261.2o1o.48527] doi]. zoro;zz(3):235-44. 28. Thornicroft C, Tansella M. Translating ethical principles into outcome measures for mental health service research. Psychol Med. 1gg9 )ul;29(4):761-7. 29. Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, Croup lS. Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet. 2oo9 Jan 3iB7j(9661):4o8-i5. 30. World Health Organisation. World Health Organisation Assessment lnstrument for Mental Health Systems (WHO-AIMS). Ceneva: World Health Organisation; 2oo5. 31. World Health Organization. WHO Mental Health Atlas. Ceneva: World Health Organization; 2o11. 32. Wittchen HU, Jacobi F, Rehm J,Gustavsson A, Svensson M, Jonsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 201o. EurNeuropsychopharmacol. ISo9:+-9ZZX(rr)oo172-5 pii ;io.1o16/j.euroneuro.zol.o7.or8 doi]. 2o11i21(9)1555-79. 33. Wang PS, Guilar-Gaxiola S, Alonso J AMCBGBU, Briffaerts R. Use of mental health services for anxiety, mood and substance disorders in r7 countries in the WHO world mental health surveys. Lancet. 2011;370(959o):841-5o. )4. Ormel J, Petukhova M, Chatterji S, guilar-Gaxiola S, Alonso J, Angermeyer MC, et al. Disability and treatment of specific mental and physical disorders across the world. BrJPsychiatry. 2oo8i19z:)68-7 5. lS. Kessler RC, Angermeyer M, Anthony JC, de GR, Demyttenaere K, Casquet t, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization,s World Mental Health Survey lnitiative. World Psychiatry. zooli6())1168-76. )6. Thornicroft C, Tansella M. Better mental health care. Cambridge: Cambridge University Press; 20o9. 37. Thornicroft 6, Tansella M. The balanced care modelfor global mental health. psychol Med. 2oi3 Apr;4j(4):849-61. 9 38, Thornicroft C, Tansella M. The balanced care model: the case for both hospital- and community-based mental healthcare. Br J Psychiatry. 2o1j Apr;202(4):246-8. )9. Vaughn G. Like Minds, Like Mine. In: Saxena 5, Garrison p, editors. Mental Health Promotion: Case Studies from Countries. Geneva: World Health Organisation; 2o04. p. 62-5. 40. Mehta N, Kassam A, Leese M, Butler G, Thornicroft G. public attitudes towards people with mental illness in England and Scotland, 19g4-2oo3. BrJpsychiatry. 2oo9.Jg4(j):278-84. 41. Henderson C, Corker E, Lewis-Holmes E, Hamilton S, Flach C, Rose D, et al. England's time to change antistigma <ampaign: one-year outcomes of service user.rated experiences of discrimination. Psychiatr Serv. 2012;63(5)1451-7. 42. Petersen l, Lund C, Bhana A, Flisher AJ. A task shifting approach to primary mental health care for adults in South Africa: human resource requirements and costs for rural settings. Health Policy Plan. [czrorz pii ;ro.ro93/heapol/czrorz d oi]. zo.rz;27(t):42-5t. $. Thornicroft 6, Alem A, Antunes Dos Santos R, Barley E, Drake RE, Cregorio G, et al. WpA guidance on steps, obstacles and mistakes to avoid in the implementation of community mental health care. World Psychiatry. zolo )un;9(2)i67-77. 44. Semrau M, Barley EA, Law A, Thornicroft G. Lessons learned in developing community mental health care in Europe. World Psychiatry.2o1't;1o(3):217-25. Yours sincerely, Professor Graham Thornicroft MB BS MA MSc Phd FRCPsych FAcadMed Professor of Community Psychiatry Head of Health Service and Population Research Department Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust (Sent unsigned by email to avoid delay).

1 oatiD,Ai&) q)(95R(n5ob bJaCtso J(,q,flXot) 3bo;lo;g16ooL oGbgog2go .)6r'rSnbrnt6o 616X3 orot65o3t6r'r3$o Re: b;jsr6o3Xqob gbojoSSr6o 36s50r6onqolot trbnqS$'qo 3roSg6ggor 1. 5r$oqo t. tgUs3sqo 36Lr3oqo 5r[oq'o 3r<6ornb1q.',p sqSo?5r3b gLojo32t6o y.:53r6orXq'o]oU 35o?656qob.:b: gbojo;116o y.:53t6ornqrnd.: SoSpgoqsp 1;35g<6oqy4o [r.:Soorboo $rn6opsp, 3r'rb.:bqgolotr q6;53<6ornqoloL or3oqtrstr6otrom q,.: 3ooB5;';3r htro6rnbqr.r 35o?36nqrn6oL g,>j1)rnr4;q 5153oorrr63d1q,o b;'bm6opm;';6oL ts35XloL 6$c'LX, t4rg po.;.r3?or6Xdlqos 5.''gor.r5rqgt6o ;SooqpqSmBotr; q; Jt4opljgolqolotr bbg.:q;Lb3.: obJnjgorsS. (t). e;9;qoar.''p, gLojo3l6o yr50r6o6qols, r6o6ot4g AralelRo tr3oorbo gbojo3S<ro 5.>53<4rnXqoloL lr$.>$ltro 3r6og.:qo trb3.>p.:Lb3.> 6torn ,;ggorL oloorr'l1flR b3X<6mtr j3n3rnrn6.:3r'ro3qoqo gbr4.: or3e..'$1t6o trgnr6op.>5, r6r'r3qXlo11 6r5oL.:'bq36.> .:rn;L$qXlqob g.>53om,>rvrXlob 6363nloL 3r'r3qX35ro 3$rJtX 6.:3o.;33oroq,o Jr4oo6ogSgSdob b.:32d33q'bn. .:8qX5.rq, glrojo;1<6o 5o5016arXqob.> ?3odqXd.> br61qo.:q Rr'rAoJtdrp oj5.>lt 3oB5Xlqo' <4rn5or6g ;q,5o?51qo LSXt6mXloL 6sp.:3.13naro, g.>3]<'rqo b.:3omho: t. 3r'r6gqojgo Rs Ar't[,ffiRrRmAr o 6o3.><6Xbgl?q'o StroJo;216o ysSe<6urgqml.'' 3o53qoi1)oL;p3o ?1Latr$xBlqo Snpn6olotr J6n3lr6Lor6os (z) o 3r'r6gqojgo ors3obrnr3.rq $'.:r63r'rsp6X5l-r gliojo;1r4o y.:S0r6orXqrnloL 5;1;r4XLgdob 16olr; g;j$rnt6b $) 2. 0J(')R(')Ao?6o 8q6r6rqro}.> .1s$o.1q'o'L8Xdob pr6cT L 3Lojo,l16o poo3'>qi;Iob 3jo51 ' 3(ietRr'rAofld)o .:ps3o.:5glo 5o5er4rn;lqolotr 6ol."16Xlrnbotr 6.'5Lr.y1<n16nb1qo 16otrSot $o5;?1 .:r4os5 (4) . CJ(')Rm6ot6o ;r$oL$r6<.r3Xlob ?CRCaoR ?3odqnb.: 35o?35nqn35rp 6.:ot;t6qob (316. 6ro143s6pXb) q6.)14XLooL,: pr t3rT or3ob .)1663.:q15$oBotr e.>B3X5ndq6lo Orntr.:t qXrnls?o (5) l. 1JtnsrlAod16o tr4qo Rr RrlrrdaCbr r 3bo;lo;2<6o qs3.>pSdotr 8jm53 rp.'3o;516?o p.:bsjCgloL 3.:83;156dq3bo 13<6r'r q.:bsqoo pr5.><68n5 erntrbqSr'rd;Loro5 ?Xp;r63toor (6) o 63r'rEm0o31t4o 3sr6p5oL .)6r4oopXlo .:qo5o?5gb.> gLoJo,;1t4o 16,:53t4ar3qr'rloL 6o1o<6XLXloo 3r'rLrbqSr'r};?o, 6oGLo3larr43}oar 3.>3;3r96b?o (7) 4' 6sSsoqnlr o 6;5;<nqlbrLm.:5 q.:,1.>?or6Xllq'o L$r<rltrrrr6ndo $'.:r43r'r;p6X5b 16ob3 3rj$r'rt61blr t,6?tR0500d?o (8) o b.:br53.:5.>srRl}qr.r gr<66.:5otr.:go3lo S.:r43r'rsp635L Strojo;g<4o y;Se6rnnqrnlotr pog3oL lr.>0L.>h2r6X6oL $3prn3ot 35o?353qo3.:5 Lst2sqX},:L .>b;q5.>$<6qndobar3ob (9) 5. lr4gloL 2bugr4oton}l pr 33nbt 2 o .>16.>R;3.>Jc;11<'r8oq;b;)qo .13nb.> [.>tar8m.>p615tr 16oL3 3si6r'r16L qxJr4Sl-rooLor3oL, . 3.>g.'qoooq,, ?3oqerLSrnbolr rtroSolr j.:qnlTo (to) eVo<6o 33nls 3$3.>33 3Lojo3lt6o p;;gop3dob 3jo5; jq;ESr6ogqrnbotr 8jo6iy )ot6gb?o 8o<no gotro.;3t6o a.:53r6or3qolob art60btloL tgq?13$5obo grilgo<6or (tt) 6. 80.>t6o33qtnd.> . lrt5r4tdt5tt6flp" poL,;r6o3o5;13or' - .>3 g3<63o6tr o5153b15 gtro;lo31t6o y.:53t4rnlqolotr Lsettoby6nd?o trobg;0;91<6.>p ;q6d.:po L;bXq'3$ogo r o53Xtr$ogoSdob ;q,tr.''5o?5.:3.>p 3o$o31<4o 5.>5e<6ornqrnbo! [r.:35,>b1r66dmr5 ?Xp;t4Xloor 6qobrqSr6o 3;L?g;door (tz) B3XgqXlt6o3, U.rbnqS$o3r'r L.:c6nSgmXlo 5o3q3dsq qsoSgX<6ntrndlq5o ;dro,:6 gtroilo.llr4o ysSe<6orXqololr 3XqX3Sdorn RrA.tRn ?n3r'rb;3q';IoL 8;lt'r6n ;13655XAto (t3) 7. 3gsS0r6orXqolr o lroGrqobqob b.:55t6dqo3rn]s gbojoSgr<ro prsS;qx]oL 3jgr5;1 Jor6l]to 20 $qoor 5o.;qXlo.> 3r3.:3.:ggb?o ps 15 fqorn 5r;q3bo jsqnd?o, 3.>or 3Lojo.ylt4o po;gspldoL sr+rC jo53 oro5.:1)r.rq;16rnr5 ?3p.>t6;ldorn (t 4) o q3.)r66Lor <n;5;3q33o 3.>j1)rn<6o; o3 Jo6or.:or3olr, 3o56 ;16 e.1>11r6.>p .>r+r SolrqrX3L .}rn5.1<6n1)2q'o p.''.>3op16ob e .13r66.>q'rodob 6163.>l-r, e.>6 .:o3/?optrotr 3Jn5;1 Jot6glo (t5) 8. sr4sor.>5rls6o SroJXr6rnls o qotr36o3o5;6or', 3[rojo32t6o pos3sqX]ob 3jo53 .]o<6or; eo0;r6or 3qo5p;1].r SLmSqooL 8.:tr?g.:boo Ur.rACRRRot6o 6bo3r6XloL bb3.:p.>Lh3; lrSn<6rn?o (t6) o 1]5mloq,os gtro;lo31r6o poo3.:qXlob 3;1m53 .)o16or; .:poSooSotr t3gl8d0}ol, bgqlmSotr ?33mb313Xlo Slrmsqoo 0.''tr?1).:Born (t7) 9. 0otrbqXt'rls o j.:q,Xb?o gLojo3l4o q;r3op3doL 3rJ6r'rt43.> ?3odqXb.: 5X6.''goy4sp oCrnjeXqolr trnlsprnlot 3.>B3gEXlqSbbX (t8) o .:6b0drqll, .;13?o<6o grt6Llqrndoli 5X6ogo2r6 ?3pn6XlL - 3o6. 3111qob 8r'r?q.: p.: 6.>2.:r61LXI3q gLoJo.116 1.>53<6orgqrnlolr ?r'r<6oL (t9) gLojo3y6o 5s50r6onqrods Rr 161o1161116o 0r'rJXt6ols sr6Ll6odtr g;Spsg3sL.> pr Logo.:q1r4 LgnrirT ?o ,:t7r.:rrr.)Gi'dJ(6o eoJS6rnlotr r6oXt6mo .>?3.:t4.: 3.:6.'qoaro, 16"0 gttoJo;1t6o progopXlotr SjmGX .)or6m; 3p6r'r3.:r66r'rlotr Artrdr1L1Arb o$3n3tr. rqSo?5tRo brSr'rob.''61d,>, e;6;qorn.:p: o 3o'bo31<6o ys6psl;3oL L;8tr;b1t41dob LnqSotr;$3qo3r'rd.:lr; p; po.>65r'rL$o,y3<6 o e ?66q,r'reld?o (zo) 3o$o3116 pos3op;1il.>o.> (eo6. 3or.r.1ot6po13oL o53.:t4ilgo) C.y2drSsqoB.rtrr q.> ?np666d?o (zt) gLojo;g<6 po.>3.:qnb.>or; 33146sqodob doqosS q.:Brq 3o83353ilq'X}?o elrr.rgqorn Ssli?6sloor, 16;9 3nr43Xmlb 30%-q.:5 (s??) 2%-3p1 (5o6n6o.:) (zz-24) o 26rr4?n'bqSR2qorr poL.;<6oe o6.;goob .'33<6drq33qo ,;.:5r'r6e p;l}qoloL 6oBm1X53B;?o Lb3cq.:trb3.' L;bolr 3or3JX5[ro11o.><n.> 2'br6l533qgogobrn3oL ;ps3o;5ol-r l3qX}3}olr q;t6g333otr.:b (25) o ?r6meob b.:$r6oL Rr . 0Jo5o3oJA6o p.:glqgrloL trstgrqXd;1Bot hlqSotr;$3pr.r3r.rh?o (26) SJtr6SoRmloL 6;<6X?X p.:r6635oq,o glrojoSg<4o s?qoqolob 0jm56 Jor4XEo g,;r'rGo3o.;116o 3sr4q,5olr L;q?;3fgr.rdo X<6ar-14oo g.>j1)rT t4o.>, 3o6,:op.>5 3ro 6o3o o'br6pXb.> [r,;r'rqob.> R.'r b.>3lr;b1t6?o 6.>gqg5X]oL; R.) 3 tr;rnqol/b.''3Lrb11<6oL pogo3nloL 3sE3XGnlq3Io, 9qo5qr.:33;'1,6 q.''5,:b.r656do q.> 331?X3t6olr (27) Ss$oqo 2. UrJur6o3nqot 3tojo32r6o pS0r6onqoloU Joqo$o3oU dot6oorsqo Jr6oSgoJndo ps qor6nblqSdnlo XL Jonl .)i.rqo15o3oL Jq,[06oqor ,lotrrnrnrpo 5.r5dOorXqr.ranU 5rgoo5 r6ofl6q'?og Slro;lo;2t6o o(l dtqtl L r (28), rttn33 2.:bqnto 5r6oo5sq1t6o 6X63otr .)r4o56oJXlb. ;e qo<41d3q6b1botr.: Pr 16mnqrnloL .)16r'rlqf;bob 8jo51 Jot6nb$n m<6oX5gor6XB1qo b;3L.rby63do: . fua3s3nq5r.r31 flc,rSbe rr6nbqxlo6 p.> 3.>rno 8rn33qnqldolr q.:6g633r1.r.: 6rr6rn2q.rds5 3r.r3qo1 p; 6.:SborrrgoqXB.>?o . gfr715pq5c6t 8sq.:qo bsr6oLboL 33lrvr5rqod;L Rr 8tn3q':b, r6o36qog . [5.4"q'no, 16r'15o<49 cacd6t6o ps Solrrqxdo A,ra6Xil2qnr 3r'r3h3.:r6nlXq3bob L.>{or4r'rXd36tn p.> X31dEX}.: poL3t4o0oSsgooL ;.1t6d;q3;L o oj6lbr h6qSobo$3po3o, olrn <6o3 pob3.><6Xlr ?Str.rdqrnr 3oq3}3q ojSrlr, <6opXlrog pu Lrpo13 L;!or6o3b.: Sooorbo3tr o 1'tr16l53gqgogL 3l-roJo316o Jr6robq;3XloL 3jo5n Jor4orr p; Sotn 8m03qnqors, SoLcbqSr'rboL nt,g33, <6.6.<6g LsSL;b1<r3b?o 3rne2t;31 Jn<4lrrn5sq'oL; p.: go6ort'r SXSXloL 3L;3r6orbro1il.>tr o Lrno8s'lrolb 3rn0b3;r41bq1illt trb3.>p.:bb3.> r16663;5L, rzrgrBqldoll ot6 st6q313L 3.>o q.>3rn13oq;lBqoboL . fltt0d0i6.>R 3tnrnr6poSor4X}Sgoo Lb3oq;ltb3r JXr6boSoqLr p': L;s6X56rnb to<4otr pr4tnoL 3r5doq'L3 o 2'b6153nq6orAti flVU1106 eo3qrb ltb3r633q'o " . ir*i gg6.af, J3r+rlr.r6;qotr Jr6r.rgXtrolq 'br6p.:L Rr ob.(rgoXqnllr Solr . 3br16p.r|6rtr.>L Lr'b<'r5rqrnXlolr, LXr43oL1ilob 3r're bSsr+r3bq36olr R') sSas<4o?l].>RqSbgqos ・ 3o33q3qm.> $o5.>?X 。R6o■ 6り Ro)̀。 J000り RO bt30J0030 o33860ふ o J8000∽ 8oJ8b6o興 800o00bObト ￨‖ ￨1常 i::Ittillillim菫 詭 「 lt811111‖ ・酬胸 謂W雛 0:器 器。 Illlll li}#16:卜 ゝ :::Sギ .0ユ bob■ 1:;IR。 稽 ｀ l幣:￨ 3i聯 ° お lta霊 澪も R詰 誉 ( 1 1 撃 猟淋 :y。 憮は ° 響‖ σ電 6留 器 鳴飢鵠。蹴 比η ・t颯鷲柵 R嶋『 野 !お .(出 「 o:1円 ::1': :曝 哨。 。 b8押 ° ]、 。 器 ぃ明 靡 R b61電 ｀ 。熾 こ Pl器 出 る 向 秋 ::L‖ tT:6∞ ￨ 1譜 a13:『 :冒 869■ :'こ )° 0興 0も 30彗 ち′ R06b03ol, Ro(〕 30∽ 1:0(bRり 異 f｀ 0603o∽ 6。 ∞8δ Rob▼ R。 38熙 030も Ollb Rδ 4 $Xe-eror;q'5o?51q'o $.:t63rnrp616tr doq,'b3 35o?353q't'r3o5 dor6oor.:q qor6gb2pXdld[, 61Aq,qlo11 L<rr1;q,ooq ?;gli;6r3X}.> 14r'15o69 ;p;Co.:5oL lgqnlnlotro eo .i.q.6.Xrf, ?nL;b;8 dr.rq'r'rqr6r'roSqnq' pc,r;g3n5gtr, oL63n gLojo3g16o p.>.>3sp3dotr 8iloE3 Jo16or.> 0o3s<6or qotr3t6o3o5;gootr o3316d.:q33q' lr.:3116<nq'Xdr6o3 pXblq'XdXltr (t7, z9). 5o$oqo 3. rr6bgd2qo boglsgoot ?ngstglu ;3 6r[oq,?o 3.JR0R q.: 03.>6oroq 15p.> ojSrL 8o3r'rboq'1qo ;r6Ln]2q,o Loglsgoo, $p95.:p 35o?35Xq'r.r3.:6o,: Jor6p.:Jor4o q.: r'rdonjgl6o ?nSrLXBoL 6r3Xmnd.:. t,s33;Gdcr 3iJo53.> .:C .p;orboor oSob 6.>5brtq36.r, (r,? r4.:8qX6.>p XSldEXdo ?Xg;tr3b.> L,:r6$315r'r 3er5;6n31}L [r;]or6rn3]otr 8rt?g;]oL, flgl' Rr q.:1;e .:Xmgoq'gdnq, t.rlo<4erXd;ors 3r'r1;1qt'rloL.: r\u.) 0o[r.rp1d3qo lr.:3tr.:blr6gdoL tr.:bJlr'r]oli q,.: 3r.r131qo]oL t3tr,:b1]. bo<6gogq,pi1].> m1 ;r4.; o3 L.>;3;5do o5qo3.>1)r'rt6XloL ?n5<6r.r33d;, 16rn3q;do1; U?A.rq'.R ?n6tr.rbo8nd.i StrojoSy6o y.:53r6orXq'r'rdob SorqorSo LolrgXSo[ 3o'1,63[L? r6;3pn5.:q 3.>jtro3sq1r4.>p lrt62q5o3oq'o p.: L[r'rt6o; 3r'r5;g3eXdo, 14r.r33q'or.: 336<6r.r3n].:g bpnB,:? 16s8pn5.:q L$t6;g;q bXqSobo$'3pm8oo nlr 3r'r5s13g8Xlo Joqogo3otr ligSr6r'r?o 5op.>$g3n1)oqnlob 3o3q3dm.:rn3oL? t6;g ?;16h3b.: gbo;lo3pr6 .>?qoqoB;mo .)t633.:qSSgolotr 3..'E3n56dq'1dtr, ;<4tr36olL orp o16.: ;p5oq,r'rdr6o3.:p flrrgot6gdlqo RC(5.)q,fl6o .y3q66BoL ?3q153do? ol?) L.>j;t6m3nq,oL r<rS.rqrnls ?XXbodsS3dr Lb3; ;3qn3Xltr pr ?gLod;3oLl,p, tXodq6d.: 3.>rno 3r'r5.:6X3ndotr 5;3rn5X51do, t6r'r6rn16og.:; 0.:6.:qorn,:p, jq;6prg3ol-r Slrogglor'r r.rr66o5o$;gooL 3rn6r1133Xlo (3o, 3t)?, oG ?Sodqn}l or3 .:6s Lb3o lr;X<4rno?rnr6olrrn $5.:t6r'rXlolr - 3rA., SLmgqo<'rL lrb3rp.>trb3; J3XXSoL glrojoS2<6o So5S16onqrndoL .l3q,00Ao - 3r'rGrgXSglob 6.>0rni1X6nls Lrj;<6or33q'oL 3Lojo31<6o 3qo5316or3qrnlolr .)oqo1)o.;olr L314rn?o 6;po$'33;goqXlnlotr tXtroS2?.:3;1bqop? (32-35). Er$oqo 4. Lo0r'r0u3qt'r Jnr6LJ6Jgo3nlo "}sqoGbo6lBlqo t t6253otr" 8oq6r'13s ?XXLsd;endo Lsnr6ar.:?rnt6otro 33q'X3Xd?o 6s3r'rX65XB1q qo1)n<6rgg<6s3o ..'qSn6oq or.>5.:C6q16r'r33 Soq6meglL. (16) (j7, 38). 5r[oq?o 4.t ?Xodqrl]r .:q$3r4oq oJSstr, orl r6rngmr6o o51)35[ro3rn8oo 3obp1].> tr3<63otrldoL 3o3b3.>t66d6qor.> B.>t6rn3; gtrojo.llt4o AsSer6or;lqolob b.>3r'r3o3qo .loq'ogo.;otrs q,,> 6rp.:$S3XgoqXlXlob Sopglotr .)16r'16gtr?o. 5.;$oq?o zf.2 3.1.:3oop 15p.: ojSrL B.:3r'r5.:qolXdlqo, o,?J 6.\3p05rp pongjdSSb; gLojo;16o a;53r6mXqolotr 5X63oL J<6sjgo;1qo oLJXjgXlo dor6otn;p qo<6nb1q'nlndtr; Xo5.:oq.>5 5.:13orn5;q116 .y'rSgXSostr 3;1bps3Xb tSRo 3r'r.lg3gL .)r'rq,ogo3oL 6;5br.rr41;onqndoL t36or dorSJ6C0tq'o .)16r'r6<6;3o, 16r'rOXq?o13 5.>gt6oorSqXd; ;o5314Xg1qo .)16oX;lg3}o qo Jr4r'1616.:3Xlo t6r.r6o16g 3;mo L.:drnqoo 3Xpg6;1loL, 6.:5br.rr61lonqnloL 5r4.:3o.;otro q,o .l6mCd0otJ olornr'lC?R 3goJ'b3 J,:tr2bob06X83q'o bo.>6X5gtnL 3oorornl6om, otrAA1 Soarbo3Soqo 3o5.:6b16o, .:pr3o.>52r<ro pn trb3.t r66b2r6bXlot .>q$nr6ocn.: Ro oloolr'rSARo .)sL3boLe63dXq'o lrso6XSgotr s56s<4o?3;qp6dlq3Bob 3Xr6go3oqoL 6o5lro$qgr4oor, r4.:0 1116?53Xq5r'rgb 8arqo.:5o J<6r'rgSboL C?33JOt6 es<4ar3.:b. 16;6 ?1Xb3E.: bgo5Sob ?Xe11or61dstr, .:r4bXdolb 3$s<4po 3g3oGnd2q360do b.:X<6ors?r'r<6olro pr'r5;1'b1, r6rn3 Jrn'Logol6o g31qoqlh .>3 ;ltnbo<n ?;1odq,3d; 0nqVaflq oil5.:L o3 ?nemb333.>To, mf, b$o53ob ?33go<6nd.> 5.>3r'ro,.13ynX}.>, rtroSr,r<613 5;1;oo5oq,1t6o Jt6oot4oggl)o po 5s5bodr1;oARCaflq{'o o53ntr1)o13onlo 3<'rn3tttl+r3Br 616rl6q3opo;5 3rqp36lqgd;1, (39-4r). 5s$oqo 5. Ustgq0$qro Jroqogo3oU s0rn6sSnlo gLojo3y6o 3g.:50r6orXqodoU LXjgmrrr?o 1b 5s$'oqo [r;,;3.:r'rp 3r'r,1q;; q.> L.>]orrrol]U 8Xg p1g.>q1t6 o53r'rr63;13orb oSoL ?Xb.:b3d, rn2 6rn6o14 5.r5br'r<66oXq'p36.: .)r'rqogo;oo 5rGL.:'trq3r6gq'o momr'l1tsl,o 3o$.r5o. 5 Es$oqo 5. gtojo32t6o gsS06ornqrnloU bXjgor6ot g2SjgomGrqlr4o ot66.:Sotnbr b;b;qe[o3r'r, L.>d;t<6r'r qro bobo6;q,rnn]r6o3 tr6 j1)r'rt63dor;6 3o0.:r6or6];to, prn313356ob ;e 6s$oq3r ?6odq'1dll 6;3r'r;31;orolr, <n1 14o6r,r<6 qo tzr.> 31);J.:3q3 6.>5;3oo;r6Xb 3rn3b3;t63I6q'o.) Rr A(nASR0q'or.> ot66r5o'brGoCAS; 3q6rn3o163r'ra.: L.> j.>16or3nqo?o 3lroJo3lr6o Ao53t6or3q'rndotr .;lrnboor q; 16.>3pn5;p ?3lr[X3or 3.>or 15.:t6o, ?1o$;5r.r5 35o?356q,r.r3;5o Vlq'nRn SnbrboSobo .)oqo$o.;otr gmt6So16XloLo p.: SmBLobfl6nloL 3o$r'rp6d.>?o. .>L63n lr.:lrr<6516q'r'r oj6XB.: oeob OomoorXd;, or1 t6r'r3r.r<6 ?nodq3}.> oor;5;3?16r'rOqoL bh3.>p;Lb3; lrSj$o6Cr orr3o,:6rno ?35;1).:5ot 3oo6qro5o<6nloL 3oS5oor. $t'r6 jg3gs5;?o, 3;6sqoorsp, ;<6L3dodL 5.>6or.r5rq'16o lublrn, lrrq.:6 m;33r.ri1r6oqo; 33Xq; pooS$Xt4XtrX}gqo 3b;r6X, r6sor.: 3;or 3t6uroBq,o3o .ler5bgq$lt6o.> 5.>1Som5 lroSor;gr4rnlto g$gXlXltr Rr t'rBo(Jo.)Rf,r6 Jor6ndL. 5,>$oqo 7. gboJo3y6o ysS0r6ogqt'rloL tgjgox6oU 6r53oou6nloU dor6oorqo 3d5nlo eogXSSqo 5s$oqo sq$X61, t4o3q35o33 Lr33r6dm t4ntr2r6Lmo5 po3.>3?or6nb2q lrs;oarbXlL, r4rn6r'rt6o1y.:r, 3;6;q'oor.:p, .)n<6Lo5;qob 3o3;16or o<6Lnb2qo .)6r.rgXtro2qo eoorbr,l35lBo. 16.>3p15;p ?1nL;dsSgds gbojo.ll<6o 3q;636rar3q,olotr J3r6l-rrrSoqob b.>lr[;3qr'l .)<6o616o3;1]o LoSr'r3r3qm er.rorbr.r353]tr? <6o Lobob g3qoq616do; tr.>]o<6r,r? (4u). 16o rvr.:nq,l5rolob .)3t6Lrn5rqo oJSXlo L.:!or6o 5 q.> l0 [q'oL ?13qX5? ,:6ob o11 .:6.> 16;1Ly6L1lo tr.>.;C.:r,roLo oeotrm3otr, 16o3 qosgo5sSlrqSlr 3g$o 311335;1q,oL lr$.',3qnd.> 'Lg0r.rorrq5o?51qo 3ot5;lbotr 0ob,:q$33.>q? ?31dq,o.>o rn?l .>16; 3r.rq35XbU.> po LsL$.;3qgbqnBb Sngo <6.:r'rpgSrnloar Str0XSXqXloL p; LglpnSgSboL Cr.r3tr,:b1t4X}.:? 5s$oqo E. jtojo32t6o rys50r6ornqt'rloL 6r53oo.:t66}oto3ot rlgoqnlnqo <46b1t6bXlo .:e So$'oq?o 3o13131q,o.> L;Lr633Eqm J33lr.:or.:1r4;1do, <6o3qglo13 Solooorlblr q,;6ob.>6AnloL <6;3p35o3;1 o16oqn61q, ,;;$;;6r'rt6ooL. 16r'rgr,116 15q.: qoC1?.:3pXL qo 6.''n<6oro;5p1L olro6o gbojo316o A.>60<6<nXqoloL L.>doqot'tp 6.>S3t6oq R06rRfl6 5;6oo5oq1r6 broS3Xlrgogoo 6X63r?o? J3n3r.ror 3r'r633jqoo r6oBpXSoSX Lgr6;gn6o3qo L.r3ot56, <6oBgqrnr CoL.>q$X3;p 15p,: 6s5oLrtq3t6rnb, 6r'r3nqo 5ot.:5b36gglo q.: r4oqoL 15p; oj6;L 6;5bot6go6qXb3qo: o gtro;lorgr6olq p.:b3;t66b;trg 5.:5b;'bq3r61q3': dot6orn.:p3.r J.r,13g0r AGR; ?6.>pgo6oL 5.>5p.:133ob doly;1)oL trSq 31;o16g 8% o p.'5;t;<6A1b3.> 3r4<n lrgq$;) tSRr ?Crp6oSrnlr tr1q 311o161 6 ;?? poqrr6o $o6rqo 3rn3n5gur6glo 3mg631qo b.>bnq3$o3r,r Jo5G1yJgo.) .:6ob 5.:rnnq'o, 8.,|RC R.'' Itt6[q.tR orn3;qoL[o53]t t.>X<6or.:?rnr6oLrn pmEX$X ernJrT 3Xd2q 3$3o13nd2q1dgdL R; 6.:Crngpoq6b.:tr (+1, Cq. r4;3qX5oeX 5.:[oqL tXodqS]s p;13rgob eXgo p3g.:qltvro o6go163.'11o.'', r+rm6r.rt611 gL 'b;0oor.; .>q$X<6oqo. ?113p5ro8 tr.>3gb1t6'bX, [r.:bnq3$o3r'r .yo6g;1ggooL p.:ilg3o1;XBsbor;5 6<4or.:q, 3op113 23r6rn 35o?35;1qcT 3.>5o oj53}.: 3r'rCp635o 31);.)otr qrn,;13n51)ob - tr.>3t'rj8gpo 6X63oL - ?301?.>3Xd.:, r6r'relqrn;5 qr3r3?ot6;1do<n ;g1;oqnlXqo oj63d.: Lo3<n.:36r'rlr.r 2$5;bXlolr .)r'rtrogoob RrRACSr Rr t 30Rr p.:o5gXr43trXdlqo Sbst4otr m.>5b3rnloL 8rn.)r'r33bo.