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CONSEILDE L’EUROPECOUNCILOF EUROPECOUR EUROPÉENNE DES DROITS DE L’HOMMEEUROPEAN COURT OF HUMAN RIGHTSadamianis uflebaTa evropuli sasamarTlomeore seqciasaqme “RavTaZe saqarTvelos winaaRmdeg”(saCivari # 23204/07)gadawyvetilebastrasburgi2009 wlis 3 martiwinamdebare gadawyvetilebaSeiZleba daeqvemdebaros redaqciulgadasinjvas

saqmeSi: RavTaZe saqarTvelos winaaRmdeg,adamianis uflebaTa evropuli sasamarTlos (meore seqcia)palatam, Semdegi SemadgenlobiT:fransuaz tulkensi, Tavmjdomare,ireneu kabral bareto.vladimiro zagrebelski.danute joSiene.dragoliub popoviCi.andraS Saio,nona woworia, mosamarTleebi.da fransuaz elens-pasosi, seqciis registratoris TanaSemwe,ganixila ra saqme palatis 2009 w. 10 Tebervlis sxdomaze, gamoitanaSemdegi gadawyvetileba:1. procedura1. saqmes safuZvlad daedo saCivari (# 23204/07), romelicsasamarTloSi wardgenil iqna saqarTvelos moqalaqis, irakli RavTaZis(SemdgomSi “momCivani”) mier, 2007 w. 26 aprils, adamianis uflebaTa daZiriTad TavisuflebaTa dacvis evropuli konvenciis (SemdgomSi“konvencia”) 34-e muxlis safuZvelze.2. momCivani warmodgenilia b-n laSa avalianis mier, romelicsaadvokato saqmianobas axorcielebs TbilisSi. saqarTvelos mTavroba(SemdgomSi “mTavroba”) Tanmimdevrulad iyo warmodgenili batonebis –mixeil kekenaZisa da daviT TomaZis – saxelmwifo warmomadgenlebis mier.3. momCivani asaCivrebs patimrobis periodSi mkurnalobisukmarisobasa da ararsebobasac ki.4. 2007 w. 6 ivniss, sasamarTlom gadawyvita saCivaris daCqarebuliwesiT ganxilva da misi mTavrobisTvis komunificireba (sasamarTlosreglamentis 54-e muxlis me-2 “b” punqti). imave dRes, sasamarTlomgadawyvita, saCivaris dasaSvebobisa da arsebiTi mxaris erTdrouladganxilva (konvenciis 29-e muxlis me-3 punqti).faqtebi1. saqmis faqtobrivi garemoebebia) sisxlissamarTlebrivi procedura5. momCivani, irakli RavTaZe saqarTvelos moqalaqea, dabadebuli1982 wels. igi dakavebul iqna 2006 w. 19 oqtombers da 21 oqtombersmoTavsebul iqna Tbilisis me-5 sapyrobileSi. 2007 w. 4 aprils, momCivans2

miesaja 11 wliTa da 6 TviT Tavisuflebis aRkveTa, iaraRis ukanonotarebisa da yaCaRobis faqtTan dakavSirebiT. 2007 w. 4 ivliss, ganaCenisaapelacio wesiT gasaCivrda da sasjelis xangrZlovoba 8 wlamde da 6Tvemde Semcirda. momCivanma aRniSnuli gadawyvetileba sakasacio wesiTgaasaCivra, Tumca saqmis Semdgomi msvleloba ucnobia.b) momCivnis janmrTelobis mdgomareoba6. rogorc saqmis masalebidan irkveva, momCivani iyenebdanarkotikul saSualebebs venaSi Seyvanis gziT. rac Seexeba danarCens,momCivani amtkicebs rom dapatimrebamde janmrTeli iyo da me-5sapyrobileSi moTavsebis Semdeg, igi mZimed daavadda. aRniSnulisdasadastureblad, mas mohyavs 2006 w. 10 oqtombers Catarebuligamokvlevis Sedegebi, romlebic adasturebs mis sisxlSi B da Chepatitis antisxeulebis ararsebobas.i) pirveli hospitalizacia 2007 w. 22 ianvarsa da 10 Tebervals SorisperiodSi (avadmyofobis istoria № 124)7. 2007 w. 22 ianvars, momCivani, me-5 sapyrobilis eqimis moTxovniT.moTavsebul iqna sasjelaRsrulebis departamentis msjavrdebulTa dapatimarTa samkurnalo dawesebulebaSi. mas aseve awuxebda C hepatitismwvave virusi, tkivilebi, Rebineba, kanisa da Tvalebis siyviTle, maRalitemperatura da a.S.8. cixis saavadmyofiSi miRebisas, eqimebis TqmiT, momCivans, romelicim droisaTvis 88,5 kilograms iwonida, erTi kviris ganmavlobaSitemperatura 39-40C o gradusamde aewia da misi janmrTelobismdgomareobis gauareseba sami Tvis adre daiwyo.9. 2007 w. 23 ianvars, momCivani gasinja hepatologma, romelmacdaadgina C virusuli hepatiti da daniSna intensiuri mkurnalobahepatoproteqtorebiT, antioqsidentebiTa da vitaminebiT, aseve dainiSnamkurnaloba imunuri sistemis gaZlierebis mizniT. eqimma rekomendaciamisca sxvadasxva gamokvlevebis, maT Soris, sisxlis bioqimiuri daserologiuri analizebis CatarebasTan dakavSirebiT. eqimma daaskvna, rommomCivans maRali sicxe sami Tvis ganmavlobaSi awuxebda da kanissiyviTle erTi kviris gaCenili iyo. temperaturis momatebam (39-40 C o ) erTikviris ganmavlobaSi gamoiwvia saxsrebis tkivili da umadoba.10. 2007 w. 24 ianvars, sxva hepatologis mier gasinjvis Semdeg,momCivans daeniSna igive medikamentebi da mkurnalobis kursi, rac winaSemTxvevaSi da aseve, muclis Rrus organoebis ultrabgeriTigamokvleva.3

11. hepatologis mier daniSnuli mkurnaloba maSinve iqna dawyebulida Catarda ramdenime analizi.12. 2007 w. 26 ianvris sisxlis bioqimiurma analizma, romelicsasjelaRsrulebis departamentis msjavrdebulTa da patimarTasamkurnalo dawesebulebas mTavari eqimis moTxovniT Catarda, aCvena, romALAT, ASAT da GT gamis maCveneblebi, Sesabamisad, 16-jer, 6-jer da 4-jeraWarbebda dadgenil umaRles normas da bilirubinis maCvenebeli 5-jeraRemateboda dadgenil normas. 2007 w. 25 ianvars Catarebuliserologiuri anlizis Sedegebdan irkveva, rom sisxlSi C hepatitisantisxeulebis arseboba gamovlinda. daudgeneli TariRiT Catarebulimuclis Rrus ultrabgeriTi gamokvleviT dadginda RviZlis gadideba danaRvlis buStis anTeba.13. 2007 w. 31 ianvars, hepatologma daadgina, rom momCivnisjanmrTelobis mdgomareoba, marTalia umjobesdeboda, Tumca isev mZimerCeboda. analizebis Sedegebidan gamomdinare, man dasva mwvave Chepatitis diagnozi da misca hepatoproteqtirebiT, antioqsidantebiTa davitaminebiT mkurnalobis gagrZelebis rekomendacia. man aseve saWirodmiiCnia zurgisa da xerxemlis rentgenografia da filtvebis gasinjva,vinaidan sunTqva bronqitis niSnebs Seicavda.14. 2007 w. 5-7 Tebervals momCivani uCioda qavils mTels sxeulze(rac kanis siyviTlis Tanmxlebia).15. 2007 w. 8 Tebervals, hepatologma daaskvna, rom momCivnis kanzedazianebebi aRiniSneboda, rac qavilisa da siyviTlis Sedegi iyo.momCivani kvlav iklebda wonaSi da RameSi mxolod erTi saaTi eZina.bilirubinis done RviZlis qsovilebis gangrZobad dazianebazemiuTiTebda, eqimma daaadgina mwvave C hepatitis arseboba qolestazis(naRvlis buStSi siTxis mimoqcevis Semcireba an zogjer saerTodSewyveta, romlis nawilebic SeiZleba sisxls Seerios) sindromiT.daniSnul mkurnalobas man axali medikamenti daamata, aRniSnulisindromis mkurnalobis mizniT.16. meore dRes mkurnal eqims gaumjobeseba ar SeuniSnavs.17. amis miuxedavad, 2007 w. 10 Tebervals, momCivani me-5 sapyrobileSiiqna dabrunebuli saSualo qronikuli aqtivobis mwvave C virusulihepatitiT. samedicino masalebidan irkveva, rom momCivnis cixissaavadmyofodan gadayvana “ar iyo eqimis nebarTvis Sedegi”.ii) meore hospitalizacia 2007 w. 20 Tebervalsa da 31 marts SorisperiodSi (avadmyofobis istoria №285)18. qavilebis Sedegad momCivnis sxeuli gaRizianda da imunurisistema daqveiTda. (ix. zemoT §15), me-5 sapyrobileSi momCivans muniSeeyara da misi sxeuli gamonayariT daifara. mas encepalopaTiuri4

darRvevebi aRmoaCnda da aseve problemebi Seeqmna metyvelebasTandakavSirebiT.19. 2007 w. 15 Tebervals, hospitalizaciis Sewyvetidan xuTi dRisSemdeg, momCivani cixeSi moinaxules wamebisa da Zaladobis msxverplTareabilitaciis centr “empaTiis” warmomadgenlebma. momCivani uCiodapatimrobis autanel pirobebs, saerTo sisustes, siyviTles,Tavprusxvevas, WamasTan dakavSirebul sirTuleebs, uZilobas, maRaltemperaturas, tkivilebs neknis areSi da sxeulze gamonayars. amismiuxedavad, mas ar hqonia eqimTan konsultaciis SesaZlebloba. rogorcaRniSnuli vizitis Semdeg gakeTebuli moxsenebidan irkveva, momCivani,romelic ganTavsebuli iyo Cveulebriv sakanSi, “empaTiis” eqimebismoTxovniT, gadayvanil iqna cixis samedicino blokSi gamokvlevebisCatarebis mizniT. am ukanasknelebma daaskvnes, rom aucilebeli iyo,yovelgvari vadebis gareSe, momCivnis Sesabamis klinikaSi moTavsebagamokvlevebis, analizebisa da mkurnalobis Catarebis mizniT.20. momdevno dReebSi janmrTelobis mdgomareobis gauaresebisSemdeg, 2007 w. 20 Tebervals, cixis eqimma moiTxova momCivnis cixissamkurnalo dawesebulebaSi gadayvana, rac imave dRes moxda.21. momCivans daudginda C hepatitis mwvave virusi qolestatTanerTad da garTulebuli muni piodermitiT (kanis Cirqovani gamonayari).dadgenili daavadebebis garda (ix. zemoT §§ 7-9), eqimebma SeniSnesCirqgrovebi dundulebsa da xelebze. filtvebis an sunTqvis paTologiagamovlenili ar yofila.22. momCivnis mkurnaloba hepatoproteqtorebiT, vitaminebiT,antioqsidantebiTa da antibiotikebiT misi hospitalizaciisTanaveganaxlda.23. 2007 w. 21 Tebervals, momCivani gasinja dermatologma, romelmacaRmoaCina muwukebi xelebze, barZayebze, dundulebze, gare genitaliebze,zogierTi maTgani gamagrebuli iyo. dainiSna munis sawinaaRmdegomkurnalobis intensiuri kursi. amave eqimma aRniSna, rom cixeSi momCivanmagaiara munis samkurnalo erTkviriani kursi benzoatiTa da benziliT.24. 2007 w. 22 Tebervals, C hepatitis mkurnalobis gegmisgansazRvris mizniT, hepatologma aucileblad CaTvala RviZlis siTxisSemowmeba.25. 2007 w. 22 Tebervals, aseve 16 da 20 marts, Catarda sisxlissaerTo da Sardis analizebi, roml;ebmac daadastura, rom sxvadasxvamaCveneblebi normaSi iyo. 2007 w. 9 marts Catarebuli gamokvlevisSedegad gamovlinda sisxlSi C hepatitis antisxeulebis arseboba.26. 2007 w. 7 marts, dermatologma daadgina, rom muwukebi gaqra damxolod dermatiti rCeboda. Sedegad, man daniSna Sesabamisi mkurnalobiskursi.27. saavadmyofoSi yofnis periodSi, momCivani gasinjes fsiqiatrmada nevrologma, romlebsac raime gansakuTrebuli paTologia ar5

gamouvleniaT. 2007 w. martSi, gaurkvevel dRes Catarebulrentgenografias ar gamouvlenia filtvebis paTologia.28. hospitalizaciis mTeli periodis ganmavlobaSi, momCivaniganuwyvetliv uCioda maRal temperaturasa da tkivilebs neknisa daxerxemlis areSi. Eqim infeqcionistis 2007 w. 28 martiT daTariRebulimosazrebis Tanaxmad, magnituri rezonansiT ( IRM) gasinjva aucilebeliiyo maRali temperaturis mizezis dasadgenad, romelic ukve ramdenimeTvis ganmavlobaSi grZeldeboda. Tu aRniSnuli gamokvleviTgamoiricxeboda xerxemlis anTeba momCivans sefsisis centrSi undaCatareboda sxva gamokvlevebi mudmivi sicxianobis mizezTa gamosavlenad.miuxedavad momCivnis ojaxis Tanxmobisa, Tavis Tavze aeRo magniturigamokvlevis xarjebi, cixis administraciam uari saCivara mis Catarebaze.sabolood, xerxemlis magnituri gamokvleva Catarebul iqna. amismiuxedavad, momCivani amtkicebs, rom IRM-is Catareba iZleva xerxemlisanTebis mxolod sawyis etapze aRmoCenis saSualebas. rentgenografias arSuZlia ganviTarebil stadiaSi gadasuli daavadebis aRmoCena.29. 2007 w. 31 marts, momCivani gaweres cixis samkurnalodawesebulebidan da daabrunes me-5 sapyrobileSi. dauzustebelia, iyo Tuara aRniSnuli gawera eqimebis mier nebadarTuli da gaugrZelda Tu aramomCivans cixeSi, saavadmyofoSi daniSnuli mkurnalobis kursi.30. ganmcxaadeblis mtkicebiT, me-5 sapyrobileSi arsebulipatimrobis pirobebi da daavadebaTa gadadebis ukiduresad gazrdiliepidemiuri foni ufro asustebda mis janmrTelobas.iii) mesame hospitalizacia 2007 w. 23 aprils (avadmyofobis istoria № 602)31. 2007 w. 16 da 17 aprils, momCivnis advokatma mimarTa iusticiisministrs, iusticiis saministros sasjelaRsrulebis departamentisa daTbilisis me-5 sapyrobilis direqtorebs da maT misi klientisjanmrTelobis gauaresebuli mdgomareobis Sesaxeb acnoba, Sexvda ra mas2007 w. 13 aprils. advokatis mtkicebiT, momCivnis hospitalizaciisorgzis Sewyvetam misi janmrTelobis mdgomareoba daamZima. man moiTxova,rom misi klenti xelaxla yofiliyo hospitalizebuli da mas Catarebodasisxlis analizi da IRM, rac infeqcionistma aucileblad miiCnia.32. 2007 w. 23 apils, cixis eqimma daadgina rom momCivans awuxebdaeqsudaciuri tuberkulozuri plevriti, saerTo gadaRliloba dasunTqvis ukmarisoba, aseve maRali temperatura. eqimma momCivnis saswrafohospitalizacia moiTxova, rac imave dRes moxda.33. 2007 w. 24 aprils, ganmcaxdeblis ojaxma aanazRauradamoukidebeli samedicino eqspertizis xarjebi, romelmac daadgina, rommomCivnis janmrTelobis mdgomareoba SemaSfoTebeli iyo, imisgaTvaliswinebiT, rom igi daavadebuli iyo C hepatitis mwvave virusiT. amdaavadebis qronikuli forma ar iqna dadgenili, miCneul iqna, rom6

aucilebeli iyo momCivnis Sesabamis samkurnalo dawesebulebaSimkurnaloba, raTa daavadeba ar gadasuliyo qronikul stadiaSi. aseverekomendebuli iyo momCivnis filtvebis gamokvleva da xerxemlisrentgenografiis Catareba (IRM).34. 2007 w. 24 aprils eqimebma daadgines tuberkulozurieqsudaciuri plevriti. momCivans uWirda sunTqva. cixis samkurnalodawesebulebaSi misi miRebis dros araviTari dermatologiuri problemaar yofila gamovlenili.35. 2007 w. 25 aprils, momCivanma uari Tqva plevraluri funqciisgakeTebaze, saCivara ra, rom amaze Tanxmobas mogvianebiT moscemda. meoredRes, Tanxmobis gamocxadebis Semdeg, momCivans adgilobrivi anesTeziisqveS Cautarda funqcia. plevris Rrudan amoRebul iqna 2 litri siTxe daSeyvanil iqna antibiotikebi. momCivanma Tavisuflad daiwyo sunTqva damisi janmrTelobis mdgomareoba damakmayofileblad iqna Sefasebuli.gulmkerdis rentgenografia gadaRebul iqna 25 aprils da SemCneul iqnasaSualo intensivobis SeSupeba marcxena mesame neknze. 2007 w. 29aprilidan, momCivans kvlav gaewyo sunTqvis problemebi. eqimebmadaadgines marcxena filtvis sunTqvis ukmarisoba. Sedegad, 3 maissxelaxla ganxorcielda siTxis amoReba.36. 2007 w. 3 maisis sisxlis bioqimiuri analizma, romelic cixissamkurnalo dawesebulebas mTavari eqimis iniciativiT Catarda, aCvena,rom ALAT, ASAT da GT gamis maCveneblebi, Sesabamisad, 5-jer, 3-jer da 2-jer aWarbebda dadgenil umaRles normas, xolo bilirubinismaCvenebeli normis farglebSi iyo.37. 2007 w. maisis Tvis ganmavlobaSi, momCivani uCioda sunTqvisukmarisobas, tkivilebs marjvena neknis areSi da gulisrevas. 2007 w. 4maiss, hepatologma rekomendacia misca hepatoproteqtorebiT,antioqsidantebiTa da vitaminebiT mkurnalobis gaZlierebis Taobaze, imisgaTvaliswinebiT, rom momCivans unda gaevlo tuberkulozis mkurnalobiskursi da rom es ukanaskneli xSirad negatiur zegavlenas axdendaRviZlze. aseve dainiSna RviZlis qsovilebis regularuli kontroli.38. 2007 w. 7 maiss, momCivanma daiwyo tuberkulozis mkurnalobiskursi DOTS-s programis farglebSi (ix. qvemoT § 57). Tumca, C hepatitisgamo, zogierTi komponenti mkurnalobidan amoRebul iqna.39. 2007 w. gulmkerdis kargiogramam gamoavlina saSualointensivobis SeSupeba marcxena mexuTe neknidan diafragmamde.40. avadmyofobis istoriaSi 2007 w. 16-18 maiss gakeTebuliCanawerebis mixedviT, momCivani agrZelebda tuberkulozis mkurnalobasda amasTanave iRebda hepatoproteqtorebs, antioqsidentebsa davitaminebs.41. 2007 w. 17 maisis eqim hepatologis daskvnis Tanaxmad, Chepatitis virusi jer kidev ar iyo gadasuli qronikul stadiaSi,gamovlenil iqna ra 2007 w. ianvarSi. eqimis Tanaxmad, virusi swrafadviTardeboda da am pirobebSi daavadebis ganviTarebam ganapiroba7

imunodeficiti, romelmac gamoiwvia muni da plevriti. amasTan,rekomendebul iqna xangrZlivi drois ganmvlobaSi paTogenurimkurnalobis Catareba. eqimma miiCnia, rom momCivani unda daqvemdebarebodatuberkulozis mkurnalobas mravalprofilian samkurnalo klinikaSi,raTa ar gamowveuliyo garTulebebi hepatitis kuTxiT, rasac SemdegSeeZlo safrTxe Seeqmna misi sicocxlisTvis. man daadgina, rom yoveliTvis 4 ricxvSi, momCivans unda Catareboda specialuri gamokvleva, risSemdegac unda gakontrolebuliyo RviZlis zomebi da rom 2007 w.ivlisSi unda Catarebuliyo xarisxobrivi gamokvleva virusis evoluciisgansazRvrisa da imis gadasawyvetad, aucilebeli iyo Tu araantivirusuli mkurnaloba.42. 2007 w. 17 maiss, momCivnis advokatma mimarTa iusticiissaministros sasjelaRsrulebis departamentisa direqtorsa da cixissamkurnalo dawesebulebas mTavar eqims, pirvel rigSi, advokatiaprotestebda 2007 w. 31 marts momCivnis saavadmyofodan gaweris faqts,maSin, rodesac is ar iyo gankurnebuli da maRali sicxianobis gamomwvevimizezebic ar iyo dadgenili. advokatis mtkicebiT, hospitalizaciisorgzis Sewyvetam misi klientis janmrTelobis mdgomareoba daamZima.eyrdnoboda ra 2007 w. 7 maisis eqimis daskvnas, advokati moiTxovda, rom2007 w. ivlisSi Catarebuliyo aucilebeli gamokvlevebi, sisxlSivirusuli Semcvelobis dadgenis mizniT, Catarebuliyo RviZlisqsovilebis yovelTviuri kontroli, da am analizebis Sedegebidangamomdinare gadawyvetiliyo antivirusuli mkurnalobis sakiTxi.advokati acxadebda, rom aRniSnuli gamokvlevebi mniSvnelovani iyomomCivnis sicocxlis SesanarCuneblad.43. 2007 w. 23 maiss Catarebulma gul-mkerdis kardiogramamgamoavlina saSualo intensivobis SeSupeba marcxena meeqvsv neknze,fibromuli zonebiT.44. 2007 w. 4 ivniss momCivani kvlav gasinja hepatologma, romelmacdaadgina, rom sxeulis temperatura normalizebul iqna da momCivaniwonaSi imatebda. tuberkulozis mkurnaloba, romelic grZeldeboda,regularulad iyo koreqtirebuli simptomebis mixedviT. grZeldebodaRviZlis tkivilebi. hepatologma kvlav daniSna hepatoproteqtorebiT,antioqsidantebiTa da vitaminebiT mkurnaloba, aseve rekomendacia miscadehidrataciis mkurnalobis Taobaze. aseve ultrabgeriTi gamokvlevebisCatarebasa da RviZlis qsovilis Semowmebaze, raTa, saWiroebisSemTxvevaSi, momxdariyo mkurnalobis kursSi cvlilebebis Setana.45. 2007 w. 5 ivnisidan, momCivans kvlav aRmoaCnda maRalitemperatura da uCioda saerTo gadaRlilobas, gulisrevas, tkivilebsneknebis areSi da sunTqvis problemebs.46. 2007 w. 1 ivliss Catarebuli sisxlis zogadi analizisSedegebiT, yvela maCvenebeli normaSi iyo. 2007 w. ivlisSi Catarebulmagulmkerdis gadaRebam gamoavlina saSualo intensivobis dazianebamarcxena meeqvsv neknze diafragmamde.8

47. 2007 w. 2 ivliss Catarebulma sisxlis bioqimiurma analizma,romelic cixis saavadmyofos mTavari eqimis moTxovniT Catarda, aCvena,rom ALAT, ASAT da GT gamis maCveneblebi, Sesabamisad, 5-jer, 3-jer da 1,5-jer aWarbebda dadgenil umaRles normas, xolo bilirubinis maCvenebelinormaSi iyo.48. 2007 w. 13 ivlisisTvis, momCivani romelic am droisaTvis 91 kg-siwonida, agrZelebda tuberkulozis mkurnalobas.49. 2007 w. ivlisSi, toqsikologma daadgina, rom momCivani, romelicwarsulSi narkotikebis momxmarebeli iyo, damokidebulebis niSnebs arwarmoadgenda da misi janmrTeloba karg mdgomareobaSi iyo.50. 2007 w. 18 da 19 ivliss, momCivanma uari saCivara misTvistuberkulozis mkurnalobis farglebSi daniSnuli medikamentebismiRebaze. amis miuxedavad, man mkurnaloba 2007 w. agvistomdegaagrZela.Mmkurnalobis Semdgomi gagrZelebis Sesaxeb ucnobia.51. 2007 w. 3 seqtembris sisxlis bioqimiuri analizma aCvena, romALAT, ASAT da GT gamis maCveneblebi, Sesabamisad, 5-jer, 2,5-jer da 3-jeraWarbebda dadgenil umaRles normas, xolo bilirubinis maCvenebeliodnav iyo momatebuli.II. Sesabamisi Sida samarTali52. sisxlis samarTlis saproceso kodeqsimuxli 136§5piris patimrobis pirobebi unda uzrunvelyofdes adamianis Rirseul arsebobas,misi pativisa da Rirsebis pativiscemas, pirovnebis xelSeuxeblobas, janmrTelobisSenarCunebas, Tavisi interesebis dacvis unars. dakavebulisadmi an dapatimrebulisadmisastiki mopyroba, misTvis fizikuri da zneobrivi tanjvis miyeneba isjeba kanoniT.53. janmrTelobisa da socialuri dacvis ministris 2003 w. 27martis brZaneba (№72/N)patimrobis Sesaxeb kanonis 65-e muxlis me-2 punqtis gamoyenebiT, aRniSnuliprZanebiT damtkicda im mZime da ganukurnebel daavadebaTa CamonaTvali, romlebmacSesaZloa patimrobis Sewyveta gamoiwvios.9

54. “adamianis uflebebi saqarTveloSi,” 2007 w. pirveli naxevari,saxalxo damcvelis saanagriSo moxseneba2007 w. seqtemberSi, q.Tbilisis #5 sapyrobileSi, romelic gaTvaliswinebulia 2020 msjavrdebulze, ganTavsebuli iyo 4 668 patimari.2007 w. 24 ivliss saxalxo damcvelis warmomadgenlebi imyofebodnen.sasjelaRsrulebis departamentis #5 sapyrobileSi, sadac moinaxules sapyrobilis 4yvelaze gadatvirTuli sakani. pirvel sakanSi imyofeboda 88 patimari, sakanSi 26dasawoli nari iyo. meore sakanSi imyofeboda 67 patimari, idga 26 dasawoli nari.imyofeboda tuberkuloziT daavadebuli 5 patimari. mesame sakanSi imyofeboda 83patimari, idga 24 dasawoli nari. mexuTe sakanSi imyofeboda 83 patimari idga 30dasawoli nari aq imyofebidnen tuberkuloziT daavadebuli patimrebic.gaixsna maRaziebi ramdenime sasjelaRsrulebis dawesebulebaSi, ramac patimrebiskvebis sakiTxi SedarebiT gaaumjobesa, Tumca aRniSnuli maRaziebiT Tbilisis mexuTesapyrobile da msjavrdebulTa da patimarTa samkurnalo dawesebuleba arsargeblobdnen.TiTqmis arcerT sasjelaRsruleis dawesebulebaSi ar aris damontaJebulixelovnuri ventilacia. gadatvirTulobis gamo patimrebs sirTuleebi eqmnebaT, viTarebarTuldeba zafxulSi, rodesac bunebrivi ventilacia arasakmarisia da patimrebssunTqva uWirT.higienis TvalsazrisiT, sasjelaRsrulebis dawesebulebaTa umravlesobaSiSemaSfoTebali mdgomareobaa. zogierT patimars Sxapis miReba sakanSi (sapirfareSoSi)uwevs, vinaidan mwyobridanaa gamosuli wyalgayvanilobis sistema.gavrcelebuli praqtikis Tanaxmad, saknebis sisufTaveze patimrebi piradadzrunaven. Sedegad, maT TviTon, maT xelT arsebuli saSualebebiT uxdebaT saknistualetis gawmenda. Aisini aseve erTmaneTs exmarebodnen Tmis SeWraSi da Tavadrecxavdnen sarecxs. zogierTi maTgani WuWyian TeTreuls gasarecxad sakuTar ojaxsugzavnida. rac Seexeba Tbilisis mexuTe sapyrobiles, patimrebis raodenoba dasaSvebze2,5-jer meti iyo. saxalxi damcvelis Tanaxmad, « higienaze laparaks azri ara aqvs. »Tavis moxsenebaSi, saxalxo damcveli mTavrobas aZlevs rekomendacias, rom metiyuradReba gaamaxvilos sasjelaRsrulebis dawesebulebebis higienur mdgomareobaze.sasjelaRsrulebis yvela dawesebulebaSi amuSavdes samrecxaoebi, mowesrigdessaSxapeebis problema, patimrebi uzrunvelyon piradi moxmarebis higienurisaSualebebiTa da dalaqis momsaxurebiT.saxalxo damcvelis Tanaxmad, patimrobis dros gardacvalebis SemTxvevaTaSeswavlam gamoavlina cixeebSi samedicino momsaxurebis sistemis xarvezebi. kerZod,cixeSi samedicino daxmareba ar arsebobs an naklebad xelmisawvdomia da samedicinomomsaxurebis xarisxi « veraviTar kritikas ver uZlebs. » sasjelaRsrulebis sistemaSisamedicino momsaxurebis sami umTavresi problemis CamoTvlis Semdeg, (sakanonmdeblodaregulirebis problema, msjavrdebulTa da patimarTa samkurnalo dawesebulebas argaaCnia samedicino saqmianobis warmoebis licenzia, adamianuri resursebis simwire,aseve am sferos warmomadgenelTa ukiduresad dabali kvalifikacia).saxalxo damcveli askvnis, rom saqarTvelos sasjelaRsrulebis dawesebulebebSisikvdilianobis maRali maCvenebeli gamowveulia ara obieqturi mizeziT, aramedsaxelmwifo politkis ararsebobiT.10

55. “adamianis uflebebi saqarTveloSi,” 2007 w. meore naxevari,saxalxo damcvelis mier parlamentSi wardgenili saanagriSo moxseneba2007 w. 13 oqtombrisTvis, saqarTvelos 18 penitencialur dawesebulebaSi 18 300patimari ixdida sasajels. cixeebSi muSaobda daaxloebiT 90 eqimi. saxalxo damcvelisTanaxmad, eqimebis aRniSnuli raodenoba sakmarisze bevrad naklebia.2007 w. 1 dekembrisTvis, Tbilisis mexuTe sapyrobileSi 5 276 patimari ixdidasasjels. Moxsenebis mixedviT am dawesebulebaSi « kauCukis sindromi » iyo vinaidan isimden patimars iRebda, ramdensac ugzavnodnen. saerTaSoriso standartebis Sesabamisiaxali cixe aSenda gldanSi (Tbilisi), romelmac unda gantvirTos gadatvirTulicixeebi.2007 wels, saqarTvelos sasjelaRsrulebiT dawesebulebebSi 101 patimarigardaicvala, maT Soris 91 janmrTelobis mdgomareobis gamo. patimarTa umetesobis (37)gardacvaleba tuberkulozma gamoiwvia aRniSnul patimarTa absoluturi umravlesobadaavadebuli iyo sxva Tanmxlebi daavadebebiT. egreTwodebuli damatebiTi daavadebebisakmarisi iyo imisaTvis, rom ZiriTadi daavadebebisgan damoukideblad gamoewviasikvdili an janmrTelobis seriozuli dazianeba.RviZlisa da gul-sisxlZarRvTa ukmarisobis garda, gardacvalebis gamomwvevmizezTa Soris hepatiti pirvel edgils ikavebs. is faqti, rom patimrebi C hepatitiTiyvnen daavadebulni, gvamebis gakveTis Sedegad dadginda, rac pacientebis sicocxleSiSesabamisi gamokvlevebiT ar yofila dadasturebuli. sikvdilis gamomwvev daavadebaTamaCveneblebi iZleva daskvnis saSualebas, rom sasjelaRsrulebis dawesebulebebSigavrcelebuli hepatiti virusuli saxeobisaa da rom C hepatiti pirvel adgils ikavebshepatitTan mimarTebaSi, sikvdilis Semdgomma samedicino eqspertizebma asevanaTlad aCvena, rom C hepatitiT daavadebulTa umravlesobas ukve hqonda cirozi. Tumca,oficialurad, 101-dan mxolod erTi patimari gardaicvala ciroziT. es diagnozi massicocxleSi dausves. sxva SemTxvevebSi, aRmouCeneli cirozis gamo, saylapavisvarikozulad dazianebuli venebidan sisxldenis gamo ramdenime patimari gardaicvala. 7pacients aReniSneboda cirozis gamo ganviTarebuli asciti (siTxis didi raodenobiTdagroveba), ramac gamouwvia sunTqvis ukmarisoba da garTulebebi sxvadasxva organoebisdoneze. 101 patimridan 40 gardaicvala kaheqsiiT (organizmis ukiduresi dasusteba,wonaSi dakleba, kunTebis atrofia da a.S.), rac gamowveuli iyo arasaTanado kvebiT dazogierTi daavadebis, maT Soris, RviZlis paTologiis, simptoms warmoadgenda.patimrebis hospitalizaciasa da gardacvalebas Soris ganvlili drodaaxloebiT 32 saaTia. saxalxo damcvelis Tanaxmad, aRniSnuli faqti mowmobs, romavadmyofi patimrebi droulad ar iyvnen hospitalizebulni maTi mkurnalobis mizniT.maTi hospitalizacia mxolod kritikul zRvramde misvlis Semdeg xdeboda. moxsenebismixedviT, patimarTa sikvdilianobis erT-erTo mTavri mizezi mdgomareobssasjelaRsrulebis dawesebulebebi xelmZRvanelobis mxridan Sesabamisi yuradRebisarasebobaSi.III. saerTaSoriso dokumentebi56. wamebis sawinaaRmdego komitis 2007 w. 25 oqtombris moxseneba2007 w. 21 martidan 2 aprilis CaTvliT ganxorcielebuli vizitis Sesaxeb“ 43. wamebis sawinaaRmdego komitetma ukve moinaxula Tbilisis №5 sapyrobile2001 w. maisSi, 2003 w. noembersa da 2004 w. maisSi da SeimuSava ramdenime gadaudebelixasiaTis rekomedacia.11

2007 wels vizitis mizans warmoadgenda aRniSnuli rekomendaciebis SesrulebisSemowmeba. vizitis Sedegad dadginda, rom sapyrobilis pirveli korpusis sardafigauqmda, saknebis fanjrebidan rkinis gisosebi moixsna da qali da arasrulwlovanipatimrebi sxva dawesebulebebSi iqnen gadayvanili. Tumca, komitetma daadgina cixisgadatvirTuloba 2004 w. maisSi (cixe 2 222 patimars iTvlida), romelmac aranormalurmaCvenebels miaRwia: delegaciis vizitis dRes, cixeSi 4 316 srulwlovani mamakacipatimari iyo, maSin rodesac cixis oficialuri SesaZlebloba tevadobis mxriv 1 018patimaria. TiToeuli patimris sacxovrebeli sivrce sakanSi 0,5 kvadratul metrswarmoadgenda. delegaciam naxa 100 patimari, romeblic 20 sawolian da 45 kvadratulimetris farTobis sakanSi iyvnen moTavsebulebi. ZiriTadi Senobis saknebi imdenaddazianebulia, rom maTi mdgomareobis aRwera SesaZleblobis zRvars scildeba.patimrebs iSviaTad uxdebodaT aseTi cudi pirobebidan gamosvla: ezoSigaseirneba SeeZloT kviraSi samjer, xolo Sxapis miReba erTxel an orjer. Zilisukmarisobam, arasakmarisma higienam da monotonurma cxovrebam ziani miayena patimrebisjanmrTelobas. gamomidinare iqidan, rom ramdenime patimari erT sawols inawilebs,tilebisa da munis gadadeba swrafad xdeba. aseT pirobebSi, masobrivi infeqciebisa daZaladobiT gamowveuli incindentebis albaToba Zalian maRalia. mravali patimari,romelsac dResdReobiT mexuTe sapyrobilis pirobebTan uwevs Segueba, sazogadoebasdazianebuli fsiqikiTa da Seryeuli janmrTelobiT daubrundeba.44. zemoT aRwerili pirobebi, romlebSic mexuTe sapyrobilis patimrebisumetesoba imyofeba, warmoadgens damamcirebel da araadamianur mopyrobas dacivilizebili sazogadoebis sapirispiroa.2007 w. 11 maisis weriliT, saqarTvelos mTavrobam komitets acnoba, rom ramdenimeaseuli patimari mexuTe sapyrobilidan rusTavis meore sapyrobileSi iqna gadayvanilida amgvarad, mexuTe sapyrobileSi myofi patimrebis raodenoba 3 835-mde Semcirda. amismiuxedavad, cixis gadatvirTulobis problema gadawydeba TbilisSi (gldanSi) axalicixis gaxsniT, romelic 4 000 patimarze iqneba gaTvlili da romlis mSeneblobac 2007w. seqtemberSi dasruldeba.76. Tbilisis mexuTe sapyrobileSi samedicino personali Sedgeboda sami saerToprofilis eqimis, erTi stomatologis, erTi fsiqiatris, erTi filtvebis specialistisada rva eqTnisgan, romelTagan sami RamiT morigeobda.77. delegaciam daaskvna, rom monaxulebuli sasjelaRsrulebis dawesebulebebismedikamentebiT momarageba ukanaskneli wlebis manZilze mniSvnelovnad gaumjobesda.Tumca, amis miuxedavad, patimarTa garkveuli raodenoba uCivis im faqts, romaucilebeli wamlebis nawilis SeZena maT ojaxebis meSveobiT uxdebaT. rac Seexebamonaxulebuli sasjelaRsrulebis dawesebulebebis aRWurvilobas, is Semoifarglebodawnevis sazomi aparatebiTa da stetoskopebiT. ar arsebobda araviTari mowyobilobasisxlis sabaziso analizebis asaRebad da rentgenografiis Casatareblad, racaucilebelia gadamdebi daavadebebis, maT Soris tuberkulozis. gamosavlenad, miTufro, rom Tbilisis mexuTe sapyrobile sasjelaRsrulebis sistemis mTavardawesebulebas warmoadgens.78. patimrebi, romlebc hospitalizacias saWiroebdnen, cixis eqimisrekomendaciiT, cixis centralur saavadmyofoSi iqnen gadayvanilebi. monaxulebuldawesebulebebSi adgili hqonda saCivrebs gadayvanis dagvianebasTan dakavSirebiT, raccixis centraluri saavadmyofos SezRuduli SesaZleblobebidan gamomdinareobs.patimrebi, romelTa gadayvanac ver xerxdeboda, sakuTar ojaxebze iyvnen damokidebulni(rac, savaraudod, aseve moicavda saavadmyofoSi gadayvanisas eskortirebis xarjebs).wamebis sawinaaRmdego komiteti iZleva rekomendacias, romlis Tanaxmad,patimrebi, romleboc saWiroeben hospitalizacias, swrafad unda iqnen gadayvanilniSesabamis samedicino dawesebulebaSi.79. eqimebisa da eqTnebis arasakmarisi raodenobis gamo, cixeSi patimrisSesvlisas Catarebul samedicino Semiwmebas Zalian SezRuduli saxe hqonda an saerTodar tardeboda. erTaderTi cixe, romelSic patimrebs Sesvlisas utardebodaT12

samedicino Semowmeba iyo Tbilisis mexuTe sapyrobile, sadac axal misul patimrebseqimi an eqTani utarebdnen sxeulze dazianebebis Semowmebas da TiToeuli dazianebisSesaxeb informacia, aseve arasaTanado mopyrobis Sesaxeb saCivari dauyovneblivgadaecemoda prokuraturas. Tumca, sxva SemTxvevbSi, samedicino Semowmeba tardebodaswrafad da ar xdeboda patimris janmrTelobis mdgomareobis Sesabamisi aucilebeliprocedurebis gansazRvra. danarCen sasjelaRsrulebiT dawesebulebebSi Sesvlisas,samedicino Semowmeba ar tardeboda. patimari isinjeboda eqimis mier mxolodgansakuTrebuli Civilebis an janmrTelobisaTvis aucileblobis arsebobis SemTxvevSi.wamebis sawinaaRmdego komiteti iZleva rekomendacis, romlis Tanaxmad,saqarTvelos mTavrobam unda gaataros Sesabamisi RonisZiebebi imisaTvis, rom cixeSiSesvlidan 24 saaTis ganmavlobaST, TiToeuli patimari gasinjul unda iqnas cixissamedicino personalis mier. Catarebuli samedicino gamokvleva unda iyos sruli damoicavdes gadamdebi daavadebebis diagnostikas.81. komiteti SeSfoTebulia im faqtiT, rom misi meore vizitis dros,tuberkulozTan brZolis kuTxiT dafiqsirebuli progresi dakninebulia patimarTaraodenobis swrafi zrdiTa da cixeebis gadatvirTulobiT. wiTeli jvrissaerTaSoriso komitetis Zalisxmevis miuxedavad, SeuZlebeli gaxda Tbilisis mexuTesapyrobileSi Sesuli TiToeuli patimris gasinjva. amasTanave, aseTi Semowmebisa dalaboratoriuli aRWurvilobis arasebobis gamo, SeuZlebeli iyo tuberkulozisdiagnostika zugdidis meoTxe, rusTavis meeqvse, Tbilisis meSvide da rusTavis meoresapyrobileebSi.komiteti mouwodebs saqarTvelos mTavrobas, gaagrZelos Zalisxmevapenitencialur sistemaSi tuverkulozTan sabrZolvelad, tuberkulozis sistematiuridiagnostikisa da DOTS-is programiT mkurnalobis gziT.57. saxelmZRvanelo wesebi cixeebSi tuberkulozis kontrolisSesaxeb, jandacvis saerTaSoriso organizacia da wiTeli jvrissaerTaSoriso komitetijandacvis saerTaSoriso organizaciam SeimuSava tuberkulozis mkurnalobisprograma, romelic cnobilia DOTS-is saxeliT (Directly Observed Treatment, Short course) daefuZneba infeqciuri tuberkuloziT daavadebulTa diagnostikasa da mkurnalobas.cixeebisa da patimrobis specifikuri pirobebis gaTvaliswineba aucilebelia DOTS-ismeTodiT mkurnalobis dros. cixeebis samedicino samsaxurebma DOTS-is meTodiTmkurnalobis strategia tuberkulozis mkurnalobis erovnul programebTan mWidrokoordinaciiT unda danergon.saxelmZRvanelo wesebi aucilebelia imisaTvis, rom cixis adminstraciamdanergos DOTS-is strategia. politikuri gadawyvetilebis mimRebni SeiZleba aricnobdnen cixeebSi tuberkulozis problemas, misi ufro didi masStabebiT gavrcelebissaSiSroebasa da medikamentozuri mkurnalobis aucileblobas.tuberkuloziT daavadebisa da misi gavrcelebis saSiSroebaM tuberkuloziT daavadebuli adamiani inficirebuli rCeba mravali w., zogjermTeli sicixlis ganmavlobaSi. HIV virusiT inficirebis ararsebobis SemTxvevaSi,adamianTa did umravlesobas (90%), romlebsac M tuberkulozi gadaedoT, aruviTardebaT tuberkulozi. aseT adamianebSi, romlebic janmrTelad gamoiyurebian,magram inficierebulebi arian tuberkuloziT. tuberkulinis gamokvlevis SedegebiSesaZloa pozitiuri iyos. daavadeba nebismier momentSi SeiZleba ganviTardes.daavadebam SesaZloa daazianos araerTi qsovili da organo, magram gansakuTrebiT13

filtvebi. daavadebis ganviTarebis SesaZlebloba yvelaze didia inficirebidan 1-2 w.ganmavlobaSi, xolo Semdeg mniSvnelovnad mcirdeba. sxvadasxva saxis fizikurma daemociurma gadatvirTulobam SeiZleba gamoiwvios daavadebis ganviTareba an misiTinficireba. yvelaze mniSvnelovani faqtoria imunuri winaaRmdegobis daqveiTeba,gannsakuTrebiT, HIV virusiT inficirebisas. mraval qveyanaSi, HIV virusiT inficireba,alkoholis gadaWarbebuli moxmareba da cudi kveba patimrebSi ufro xSiria, vidredanarCen mosaxleobaSi. aRniSnuli faqtorebi da stresuli garemo xels uwyobsdaavadebis ganviTarebasa da gadadebas...”samarTali1. konvenciis me-3 muxlis darRvevasTan dakavSirebiT58. momCivani Civis, rom cixeSi igi ramdenime daavadebiT daavaddada saWiro mkurnalobis Cautarebloban da patimrobis pirobebma misjanmrTelobaze seriozuli gavlena iqonia. momCivani eyrdnoba konvenciisme-3 muxls, romilic Semdegnairad aris formulirebuli“aravin SeiZleba daeqvemdebaros wamebas, araadamianur an RirsebisSemlaxvel mopyrobas an dasjas.”A a. dasaSveboba59. sasamarTlo Tvlis, rom momCivnis pretenziebi ar aris aSkaraddausabuTebeli konvenciis 35-e muxlis me-3 paragrafis mniSvnelobiT.sasamarTlos SexedulebiT, ar arsebobs aRniSnuli pretenziebisdauSveblad cnobis sxva motivi. aqedan gamomdinare, isini dasaSvebia.b. arsebiTi mxare1. mxareTa argumentaciaa) mTavrobis argumentebi60. mTavroba amtkicebs, rom momCivani cixeSi ar daavadebula. ismiiCnevs, rom rogorc toqsikomans, ganlcxadebels daqveiTebuli hqondaimuniteti da savaraudod, is dapatimrebamde, 2006 w. 19 oqtombramde, iyosxvadasxva infeqciebis matarebeli. magaliTad, imis gaTvaliswinebiT, romC hepatitis sainkubacio periodi daaxloebiT 150 dRes Seadgens,sruliad SesaZlebelia, rom momCivani dapatimrebamde iyo daavadebisvirusis matarebeli, rac Semdeg mas cixeSi ganuviTarda. rac Seexeba14

tuberkulozs, mTavroba eyrdnoba mosazrebebs cixeSi tuberkuloziskontrolis Sesaxeb, kerZod Tavs, romelic exeba “infeqciis daavadebaSigadasvlis risks” (ix.zemoT §57) da sruliad SesaZleblad miiCnevs, rommomCivani daavadebamde iyo inficirebuli.61. yovel SemTxvevaSi, sasamarTlo aRniSnavs, rom momCivans ardaumtkicebia is faqti, rom is cixeSi daavadda da askvnis, rom mTavrobasam kuTxiT araviTari pasuxismgebloba ar ekisreba.62. rac Seexeba danarCens, imis daSvebiTac ki, rom momCivnisjanmrTelobis mdgomareoba cixeSi damZimda, mTavrobis azriT, aRniSnuliganapiroba mxolod da mxolod im diskomfortma, romelic kanonierisasjelis Tanmxlebia.63. mTavroba aRiarebs, rom momCivans sicxianoba 2007 w. ianvramde, Cvirusuli hepatitis gamovlenamde, sami TviT adre awuxebda. Tumca,aRniSnuli periodis ganmavlobaSi, mas Cautarda sxvadasxva samedicinogamokvleva da analizi, aseve eqim-specialistTa gamokvleva. Semdgom,momCivani hospitalizebuli iyo yovel jerze, rodesac es aucilebeligaxda, mas Cautarda mravali analizi, gamokvleva da adekvaturi daaucilebeli mkurnaloba. mTavrobis Tanaxmad, yvela Sesabamisma uwyebamsaWiro gulmodginebiT imoqmeda, raTa momCivnisa da marTlmsajulebisinteresebis Tanxvedra momxdariyo.64. kerZod, mTavrobis Tanaxmad, momCivnisTvis pirvelihospitalizaciis dros Catarebuli mkurnalobis wyalobiT, misijanmrTelobis mdgomareoba C hepatitis kuTxiT gaumjobesda. cixeSigadayvanis droa, mas aRar aReniSneboda RviZlis gadidebis, siyviTlis anSardSi nadebis Semcvelobis niSnebi. momCivanma, romelsac maincaReniSneboda qavilis Sedegad kanis dazianebebi, cixeSi ar daicvahigienis wesebi da amis gamo Seeyara piodermiti. Tbilisis mexuTesapyrobileSi, 2007 w. 10 da 20 Tbervals, momCivans Cautarda adekvaturiambulatoriuli mkurnaloba. aRniSnuli garemoebebis erTobliobaSigaTvaliswinebiT, mTavroba askvnis, rom 2007 w. 10 Tebervals, momCivnismsjavrdebulTa da patimarTa samkurnalo dawesebulebidan gawera arwarmoadgens konvenciis me-3 muxlis darRvevas. amasTanave, aRniSnuligawera warmoadgenda “xelSeuxeblobisa da sicoxlis dacvis aucilebelzomas” da nebadarTuli iyo cixis samkurnalo dawesebulebis samedicinopersonalis mier.65. rac Seexeba momCivnis meored hospitalizacias, mTavrobaamtkicebs, rom 2007 w. 19 Tebervals, momCivanma mimarTa cixis eqimsadinamiis, daRlilobisa da sxeulze gamonayaris CivilebiT. gasinjuliqna ra hepatologis mier 2007 w. 20 Tebervals, gadawyda misihospitalizacia da aRniSnuli gadawyvetileba maSinve Sesrulda. 2007 w.31 marts, momCivnis cixis samkurnalo dawesebulebidan gaweris Semdeg,mas Cautarda adekvaturi ambulatoriuli mkurnaloba Tbilisis me-5sapyrobileSi, 2007 w. 23 aprilamde. am dRes, momCivani uCioda sunTqvisukmarisobas, adinamias sicxesa da oflianobas. mas Cautarda15

entgenografia, romlis Sedegad dasmul iqna tuberkulozurieqsudaciuri plevritis diagnozi. momCivani dauyovnebliv iqnahospitalizebuli.66. tuberkulozur plevritTan dakavSirebiT, mTavroba Seaxsenebs,rom momCivans Cautarda adekvaturi antituberkulozuri mkurnaloba.aRniSnulTan dakavSirebiT, is miuTiTebsN№ 602 avadmyofobis istoriaze(ix. zemoT 31-e da momdevno paragrafebi). amasTanave, cixeSituberkulozis kontrolis maCveneblebiT (ix. zemoT, § 57) ar irkveva, romtuberkulozis mkurnaloba hospitalizacias saWiroebda.67. am droisTvis, momCivnis janmrTelobis mdgomareobadastabilurda tuberkulozisa da C virusuli hepatitis mkurnalobisSemdeg. dezintoqsikaciuri da vitaminoTerapiis meSveobiT, momCivanmadawyo wonaSi momateba. (ix. zemoT §§ 8 da 48). Tumca, momCivani kvlavuCioda moZraobis unaris daqveiTebasa da sisustes. mas aRaraReniSneboda RviZlis gadideba da gulmkerdis rentgenografiamgamoavlina saSualo intensivobis SeSupeba meeqvse neknsa da diafragmasSoris. mTavrobis Tanaxmad, tuberkulozis mkurnalobis dasrulebisSemdeg ganxiluli iqneba C hepatitis mkurbalobis sakiTxi. ganisazRvrebasisxlSi virusis Semcveloba da C hepatitis genotipi. amrigad, mTavrobisTanaxmad, momCivnis patimrobis pirobebi Seesabameba 2003 w. 27 martisministris brZanebasa (ix. zemoT, § 53) da konvenciis me-3 muxlismoTxovnebs.68. daskvnis saxiT, mTavroba amtkicebs, rom momCivnis mimarT mopyobaar gascilebia patimrobis Tanmxlebi tanjvis minimalur zRvars damomCivnis pretenziebi arasaTanado mkurnalobasTan dakavSirebiTsruladaa moklebuli safuZvels.b) momCivnis argumentebi69. momCivani imeorebs, rom dapatimrebamde is Tavs kargad grZnobdada Seaxsenebs, rom toqsikologis daskvnis Tanaxmad, romelmac ispatimrobis dros gasinja, mas ar awuxebda damokidebuleba da ammimarTebiTac janmrTeli iyo (ix. zemoT §§ 6 da 49).70. momCivani miiCnevs, rom Tbilisis me-5 sapyrobileSi misigadayvanis Sesaxeb 2007 w. 10 Tebervlisa da 31 martis gadawyvetilebebi,maSin rodesac is mZimed iyo avad, konvenciis me-3 muxlTanwinaaRmdegobaSi modis. is amtkicebs, rom hospitalizaciis periodisgarda, mas araviTari mkurnaloba ar Cautarda, kerZod, Tbilisis me-5sapyrobilis sakanSi is autanel pirobebSi da yovelgvari samedicinomeTvalyureobis gareSe imyofeboda. aRniSnuli argumentis gasamyareblad,mTavrobis argumentaciis gacnobis Semdeg, momCivanma mimarTa me-5sapyrobilis administracias misi avadmyofobis istoriisa da16

sapyrobileSi mis mkurnalobasTan dakavSirebuli sxva samedicinodokumentebis misTvis miwodebis moTxovniT. 2007 w. 20 noembers, cixissamedicino blokis ufrosma momCivans upasuxa, rom Sesabamisidokumentebi gaigzavna cixis samkurnalo dawesebulebaSi, misi bolohospitalizaciis dros da rom cixeSi arcerTi dokumenti ar iyo.71. Tbilisis me-5 sapyrobileSi arsebuli patimrobis pirobebisgaTvaliswinebiT, romlebic, mxolod calke aRebuli warmoadgendakonvenciis me-3 muxlis darRvevas, momCivani miiCnevs, rom mTavrobautaqtod da cinikurad iqceva, amtkicebs ra, rom momCivani piodermitiThigienis wesebis ugulebelyofis gamo daavadda. amasTan mimarTebaSi,momCivani azustebs, rom is moTavsebuli iyo 24 m 2 farTobis sakanSiramdenime aTeul sxva patimarTan erTad.72. momCivanma warmoadgina 2007 w. 3 dekembris infeqciis, hepatitiseqim-specialstTa asociaciis prezidentis samedicino daskvna, romelmac,cixis samedicino dawesebulebaSi arsebuli sami avadmyofobis istoriisgacnobis Semdeg, daadgina, rom C virusuli hepatiti, romelic mwvavefazaSi daavadebis pirveli eqvsi Tvis ganmavlobaSi imyofeba, momCivansqronikul stadiaSi gadauvida hospitalizaciis naadrevi Sewyvetisa datuberkulozis mkurnalobis dawyebis gamo. rac Seexeba C hepatitismkurnalobas, man is miiCnia, rogorc adekvaturi, Tumca, daamata, romsaWiro iyo aRniSnuli mkurnalobis gagrZeleba da misi adaptirebaklinikur maCveneblebTan da analizis SedegebTan. asociaciisprezidentma aseve miiCnia, rom unda Catarebuliyo sxva analizebic.mxolod sisxlis serologiuri analizi ar iZleoda C hepatitis formisgansazRvris saSualebas. man daaskvna, rom momCivans esaWiroeboda kargadregulirebuli mkurnaloba darCenili analizebis Sedegebidangamomdinare.73. 2007 w. 1à dekembrisaTvis, momCivani, romelic 25 w. iyo, rCebodacixis samkurnalo dawesebulebaSi. zemoxsenebuli daavadebebis garda, masawuxebda vegetatiuri nervozi.2. sasamarTlos Sefaseba74. sasamarTlo Seaxsenebs, rom konvenciis me-3 muxli gagebul undaiqnas, rogorc konvenciis erT-erTi umTavresi debuleba dademokratiuli Rirebulebebis erT-erTi umTavresi komponenti, romlebicevropis sabWos ganuyofeli nawilebs warmoadgens (Pretty c. Royaume-Uni, n o2346/02, § 49, CEDH 2002-III). konvenciis sxva debulebebTan gansxvavebiT, me-3muxli absoluturi mniSvnelobisaa da ar iTvaliswinebs araviTargamonakliss an pirobas, xolo konvenciis me-15 muxlis Tanaxmad, is areqvemdebareba araviTar gadaxvevas (ix. Chahal c. Royaume-Uni, arrêt du 15 novembre1996, Recueil des arrêts et décisions 1996-V, p. 1855, § 79). momCivnis mier CadenilidanaSaulis xasiaTisa da simZimis argumenti safuZvels moklebulia17

saCivaris me-3 muxlis kuTxiT ganxilvis dros. (ix. V. c. Royaume-Uni [GC], n o24888/94, § 69, CEDH 1999-IX).75. me-3 muxlis mfarvelobis qveS mosaxvedrad, mopyrobam undamiaRwios “tanjvis minimalur zRvars”. am minimumis Sefasebadamokidebulia konkretuli saqmis garemoebebze, mopyrobis konteqstsa daxasiaTze, aseve mis xangrZlivobaze, mis mier gamowveul fizikur damentalur Sedegebze da zogierT SemTxvevaSi, msxverplis sqesze, asaksada janmrTelobis mdgomareobaze. (ix. Dybeku c. Albanie, n o 41153/06, § 36,18 décembre 2007 ; Mikadzé c. Russie, n o 52697/99, § 108, 7 juin 2007). imisaTvis romsasjeli an mopyroba Sefasebul iqnas, rogorc «araadamianuri » an« damamcirebeli », tanjva unda scdebodes im zRvars, romelc axlavskanonier sasjels.76. rac Seexeba TavisuflebaaRkveTil pirebs, konvenciis me-3 muxlisaxelmwifos akisrebs pozitiur valdebulebas, uzunvelyos, romTiToeuli patimari imyofebodes misi adamianuri Rirsebis pativiscemispirobebSi, rom sasjelis aRsrulebam ar gamoiwvios gansacdeli antanjva romlis intensivobac gadaaWarbebs patimrobis Tanmdev, gardauvaltanjvas da rom patimrobis pirobebSi adekvaturad iqnasuzrunvelyofili patimris janmrTeloba, kerZod Sesabamisimedikamentebis miwodebiT. (Mouisel c. France, n o 67263/01, § 40, CEDH 2002-IX).amrigad, arasakmarisi medikamentozuri mkurnaloba da zogadad,avadmyofis yofna araadaqvatur sapatimro pirobebSi, warmoadgenskonvenciis me-3 muxlis darRvevas (ix. magaliTad, İlhan c. Turquie [GC], n o 22277/93,§ 87, CEDH 2000-VII ; Gennadiy Naumenko c. Ukraine, n o 42023/98, § 112, 10 février 2004).patimris janmrTelobis garda, aseve adekvaturad unda iqnasuzrunvelyofili misi keTildReoba (Mouisel, § 40 ; Kudła c. Pologne [GC],n o 30210/96, § 94, CEDH 2000-XI). logistikuri da finansuri problemebismiuxedavad, saxelmwifo valdebulia, ise moawyos Tavisi penitencialurisistema, rom uzrunvelyos patimrebis adamianuri Rirsebis pativiscema(Soukhovoy c. Russie, n o 63955/00, § 31, 27 mars 2008 ; Benediktov c. Russie, n o 106/02, § 37,10 mai 2007).77. avadmyofi adamianis patimrobis pirobebi unda uzrunvelyofdesmisi janmrTelobis dacvas, patimrobis reJimis Tanmdevi da gonivrulimoTxovnebis gaTvaliswinebiT, Tuki aqedan gamomdinareobs janmrTelobismdgomareobis gamo patimris gaTavisuflebis an samoqalaqo klinikaSigadayvanis sayovelTao valdebuleba, maSinac ki Tu es ukanaskneligansakuTrebiT mZime daavadebiT itanjeba (Mouisel), evropuli konvenciisme-3 muxli wevr saxelmwifoebs nebismier SemTxvevaSi akisrebsvaldebulebas, daicvan TavisuflebaaRkveTili piris fizikurixelSeuxebloba. gansakuTrebiT mZime daavadebis pirobebSi, sasamarTloar gamoricxavs iseTi situaciis arsebobas, romelic, sisxlissamarTalwarmoebis interesebidan gamomdinare, moiTxovs humanitarulixasiaTis zomebis miRebas garTulebebis Tavidan acilebis mizniT18

(Matencio c. France, n o 58749/00, § 76, 15 janvier 2004 ; Sakkopoulos c. Grèce, n o 61828/00, §38, 15 janvier 2004).78. mocemul saqmeSi, mxareebi eWvqveS ar ayeneben im faqts, rommomCivans esaWiroeboda mkurnaloba, vinaidan mas araerTi daavadebaawuxebda. Sesabamisad, sasamarTlom, zemoT mocemuli principebisgaTvaliswinebiT, unda ganixilos, utardeboda Tu ara momCivanssakmarisi da adekvaturi samedicino mkurnaloba misi patimrobissxvadasaxva periodSi da Seesabameboda Tu ara me-5 sapyrobileSi misiorjer gadayvana konvenciis me-3 muxlis moTxovnebs.79. rac Seexeba momCivnis mxridan imis mtkicebas, rom is C hepatitiTcixeSi daavadda, miuxedavad imisa, rom msgavsi SesaZlebloba argamoiricxeba, sasamarTlos ar miaCnia rom momCivani pirvelad sworedcixeSi daavadda, vinaidan xSir SemTxvevaSi, C hepatitis virusiTinficirebis Semdeg saWiroa sam Tvemde periodi, vidre organizmiantisxeulebs gamoimuSavebs. Sesabamisad, am periodSi Catarebulmagamokvlevam SesaZloa mcdari Sedegebi aCvenos. aRniSnuli mizezis gamo,2006 w. 10 oqtombris gamokvlebis Sedegebi, romlebic waredginasasamarTlos da romelTa mixedviT, momCivnis sisxlSi antisxeulebi arSeiniSneboda, ver iqneba imis mtkicebuleba, rommomCivani cixeSidaavadda. momCivans am sakiTxTan mimarTebaSi sxva araviTarimtkicebuleba ar warmoudgenia (magaliTad, PCR meTodiT Catarebuligamokvlevis Sedegebi: rnm-s gansazRvra polimerazuli jaWvuri reaqciismixedviT). saTanadod ar momxdara momCivnis mxridan imis mtkiceba, rom isdapatimrebamde, 2006 w. 19 oqtombramde, ar iyo inficirebuli C hepatitisvirusiT.80. nebismier SemTxvevaSi, sasamarTlo aRniSnavs, rom momCivansmwvave qronikuli C hepatiti cixis administraciis mier 2007 w. ianvrisSemdeg daudginda. mxareebi Tanxmdebian imaze, rom 2007 w. ianvramde, samiTvis ganmavlobaSi, momCivnis janmrTelobis mdgomareoba fasdeboda,rogorc aradamakmayofilebeli, vinaidan mas mudmivad maRalitemperatura aReniSneboda (ix. zemoT §§ 8, 9 da 63). Tumca, samedicinomasalebidan ar irkveva, rom am sami Tvis ganmavlobaSi moxdamaRalsicxianobis mizezebis gamovlena an rom momCivans am kuTxiT raimesaxis mkurnaloba Cautarda. mxolod mas Semdeg, rac temperatura 39-40gradusamde avida, momCivans gulisreva daewyo da kanis siyviTleganuviTarda, me-5 sapyrobilis samedicino personalma misihospitalizacia saWirod CaTvala. aseT pirobebSi, mTavrobis mtkicebismiuxedavad (ix.zemoT § 63), ar ikveTeba, rom 2007 w. ianvarSi,janmrTelobis mdgomareobis gauaresebamde, momCivans cixis medpersonalisaTanado yuradRebas aqcevda. mTavrobas ar warmoudgenia araviTaridokumenturi mtkicebuleba amis Sesaxeb (Ostrovar c. Moldova, n o 35207/03, § 86,13 septembre 2005).19

81. sasamarTlo kmayofilebiT aRniSnavs, rom hospitalizaciisSemdeg, 2007 w. 22 ianvarsa da 20 Tebervals, momCivans cixis samkurnalodawesebulebis samedicino personalis mier mokle vadebSi CautardaSesabamisi gamokvlevebi da daeniSna hepatoproteqtorebi, antioqsidentebida vitaminebi, aseve, daeniSna mkurnaloba imunuri sistemis gaZlierebismizniT. aseve Catarda sisxlis ramdenime analizi, romlebmac daadasturamwvave C virusuli hepatitis diagnozi (ix.zemoT §§ 9-13 da §22). Tumca, ammomentidan hepatoproteqtorebiT mkurnaloba, romlebic icavs RviZlisqsovils virusis mospobis gareSe, ver CaiTvleba sakmarisad.82. rogorc avadmyofobis istoriidan irkveva, mkurnalobispirveladi stadiis dasrulebisa da saboloo diagnozis dasmis Semdeg,mTavrobas ar ganuxilavs sxva analizebis Catarebis aucilebloba(virusuli Semcvelobis gazomva “xarisxobrivi viremia”, virusuligenotipis gansazRvra, biopsiis Catareba, romelic aCvenebs RviZlisqsovilis mdgomareobas). vinaidan RviZlis dazianebebis, C virusulihepatitis genotipisa da sisxlSi virusebis Semcvelobis donis codnisgareSe SeuZlebelia adeqvaturi mkurnalobis daniSvna, TiToeuligenotipi sxvadasxvagvarad reagirebs Catarebul mkurnalobaze.aRniSnuli gamokvlevebisa da Sesabamisi antivirusuli mkurnalobisararsebobaze mTavrobas axsna-ganmarteba ar gaukeTebia. yovelSemTxvevaSi, 2007 w. aprilSi tuberkulozuri plevritis gamovlenamde,veraferi ver SeuSlida xels amgvari mkurnalobisa dawyebas.83. udavoa, rom tuberkulozuri plevritiT daavadebis Semdeg,mTavrobis amocana garTulda. vinaidan saWiro iyo aRniSnuli daavadebismkurnaloba, ise rom mas RviZlze uaryofiTi gavlena ar moexdina. Tumca,samedicino masalebidan ar irkveva, rom romelime momentSi mTavrobamSeimuSava mravalmxrivi da koordinirebuli mkurnalobis gegma, ise romtuberkulozis mkurnalobas ar gamoewvia C hepatitis gauareseba. imismiuxedavad, rom hepatologma Tavis 2007 w. 17 maisis daskvnaSi aRniSnaaseTi mkurnalobis Catarebis aucileblobis Sesaxeb, mTavrobam arCia,emkurnala tuberkulozisTvis da SeeCerebina C hepatitis mkurnaloba.84. sasamarTlos azriT, msgavsi midgoma metyvelebs C hepatitismkurnalobis aSkara ukmarisobaze. aRniSnulma ukmarisobam, iseve rogorchospitalizaciis ramdenjerme dausabuTeblad Sewyvetam (ix. qvemoT 90-eda momdevno paragrafebi), gamoiwvia daavadebis qronikul stadiaSigadasvla (ix. zemoT §§ 33, 41 da 72). Sesabamisad, qronikuli C hepatitiwarmoadgens cirozisa da RviZlis primitiuli kibos mTavar mizezs.85. tuberkulozTan dakavSirebiT, sasamarTlo aRniSnavs, rommomCivnis pirveli hospitalizaciisas, 2007 w. 31 ianvars Catarebulmafiltvebis gasinjvam gamoavlina bronqialuri tipis sunTqva daaucilebeli iyo gulmkerdis rentgenografiis Catareba (ix. zemoT § 13 infine). saavadmyofodan momCivnis eqimebis nebarTvis gareSe gawerisgaTvaliswinebiT, ar irkveva, rom aRniSnuli rengtenografia Catarda.20

Tumca, aTi dRis Semdeg, meored hospitalizaciisas, gasinjvasfiltvebisa da sunTqvis araviTari paTologia ar gamouvlenia. 2007 w.martSi Catarebulma rentgenografiam daadastura aRniSnuli diagnozi(ix. zemoT §§ 21 da 27 in fine). saavadmyofodan meored gawerisa daTbilisis me-5 sapyrobileSi gadayvanis Semdeg, ganmcxadebulituberkuloziT aRmoCnda daavadebuli, cixis eqimebma gamoavlines raplevris RruSi siTxis arseboba 2007 w. 23 aprils (ix. zemoT § 32 da 34).86. sasamarTlo iziarebs mTavrobis arguments imasTan dakavSirebiT,rom organizmma koxis Cxiri garkveuli periodis ganmavlobaSi SeiZlebaataros, avadmyofobis klinikuri gamovlinebis gareSe. Tumca, imisjerovnad dasadastureblad, rom momCivanis koxis Cxiris matarebelidapatimrebamde iyo, sasurveli iqneboda, rom mTavrobasgamcxadeblisTvis misi cixeSi SesvlisTanave Caetarebina Mantoux-isgamokvleva, baqteriologiuri gamokvleva, filtvebis rentgenografia, ansxva Sesabamisi aucilebeli gamokvlevebi. magram, rogorc irkveva,saqarTvelos penitencialuri sistemis administracia patimrebis cixeSiSesvlisas aseT gamokvlevebs ar atarebs (ix. zemoT § 56). Sesabamisad, araris gamoricxuli, rom momCivans dapatimrebamde ar hqonia kontaqtiinfeqciasTan da igi tuberkuloziT patimrobis periodSi daavadda,Tbilisis me-5 sapyrobilis ukiduresi gadatvirTulobis, higienisa daeqimis momsaxurebis xelmisawvdomobis arasebobis, aseve imisgaTvaliswinebiT, rom aRniSnuli cixis administracia ar axdendajanmrTeli da tuberkuloziT daavadebuli patimrebis gancalkevebas (ix.zemoT §§ 54 da 56). amas emateba isic, rom 2007 w. martSi Catarebulmagul-mkerdis rentgenografiam filtvebis araviTari paTologia argamoavlina. aqedan gamomdinare, sasamarTlo miiCnevs, rom momCivanituberkuloziT Tbilisis me-5 sapyrobileSi daavadda (Staïkov c. Bulgarie, n o49438/99, § 81, 12 octobre 2006 ; Yakovenko c. Ukraine, n o 15825/06, §§ 28 et 95, 25 octobre2007 ; Hummatov c. Azerbaïdjan, n os 9852/03 et 13413/04, § 111, 29 novembre 2007). miTufro, rom tuberkulozis riskis faqtorebi - cudi kveba, imunodepresia,intravenuri toqsikomania, mocemul SemTxvevaSi Tavs iyris.87. rac Seexeba momCivnisTvis tuberkulozis dadgenis SemdegCatarebul mkurnalobas, sasamarTlo aRniSnavs, rom plevris RrudansiTxis amoReba droulad Catarda, siTxis raodenobisa da momCivnissunTqvasTan dakavSirebuli problemebis gaTvaliswinebiT. amas garda,mTavrobam daiwyo tuberkulozis mkurnaloba infeqciis, maSasadame,plevritis wyaros aRmofxvris mizniT. Tumca, avadmyofobis istoriidanar irkveva, rom momCivans ufro gaZlierebuli mkurnaloba Cautardaplevris RruSi siTxis xelaxali dagrovebis Tavidan asacileblad, racsunTqvis problemebs iwvevs (ix. zemoT §§ 35 in fine da 45).88. rac Seexeba muns, romliTac momCivani cixis samkurnalodawesebulebadan meored gaweris Semdeg daavadda, sasamarTlo aRniSnavs,rom Tbilisis me-5 sapyrobileSi momCivans erTi kviris ganmavlobaSiutardeboda mkurnaloba benzoatiTa da benziliT. aRniSnulma21

mkurnalobam ver gankurna piodermiti, amasTanave, is ar iyorekomendebuli kanze dazianebebis arsebobis SemTxvevaSi. garTulebulimunis mkurnaloba daiwyes cixis samkurnalo dawesebulebis eqimebma,momCivnis 2007 w. 20 Tebervlis hospitalizaciis Semdeg. daniSnulimkurnaloba efeqturi aRmoCnda da sakmaod swrafi gankurnebiTdasrulda (ix. zemoT §§ 23, 26 da 34 in fine).89. sasamarTlo miiCnevs, rom momCivnisTvis Catarebuli munisa dapiodermitis mkurnaloba sakmarisi da adekvaturi iyo. Tumca es araferscvlis im faqtTan mimarTebaSi, rom sruliad aSkarad (ix. zemoT §§ 54 da56), Tbilisis me-5 sapyrobileSi momCivani moTavsebuli iyo sibinZuresada iseT pirobebSi, romlebic higienis elementarul moTxovnebsac ki arakmayofilebda (ix. qvemoT § 93) da amrigad, is daavadebul iqna iseTigadamdebi daavadebiT, rogoricaa muni (Nevmerjitsky c. Ukraine, n o 54825/00, § 87,CEDH 2005-II (extraits)).90. dabolos, sasamarTlom unda ganixilos momCivnissaavadmyofodan orjer gaweris sakiTxi. sasamarTlo amasTan mimarTebaSimiiCnevs, rom cixis samkurnalo dawesebulebaSi moTavsebuli avadmyofipatimris mxolod cixeSi gadayvanis faqti, TavisTavad ar warmoadgenskonvenciis me-3 muxlis darRvevas.Aaq saqme exeba imis dadgenas, CautardaTu ara cixeSi gadayvanamde momCivans aucilebeli da adekvaturimkurnaloba, iyo Tu ara es gadayvana gamarTlebuli misi janmrTelobismdgomareobis gaTvaliswinebiT da gaugrZelda Tu ara mas samedicinomeTvalyureoba cixeSi gadayvanis Semdeg.91. mis xelT arsebuli elementebis ganxilvis Semdeg, sasamarTlomiiCnevs, rom momCivnis orjer mokle droiT yofna cixis samkurnalodawesebulebaSi ar iyo sakmarisi misi janmrTelobis problemebisgadasawyvetad da rom hospitalizaciisa da maSasadame, mkurnalobisorjer Sewyveta ar yofila dasabuTebuli.92. kerZod, miuxedavad imisa, rom jer kidev ar iyo dadgenilimaRali sicxianobis gamomwvevi mizezebi da momCivans awuxebda mwvavevirusuli hepatiti da sxva daavadebebi, 2007 w. 10 Tebervals isgadayvanil iqna Tbilisis Nme-5 sapyrobileSi da moTavsebul iqnaCveulebriv sakanSi (ix. § 19 zemoT). gadayvanamde ramdenime dRiT adre,eqimebma momCivnis janmrTelobis mdgomareoba Seafases, rogorc mZime (ix.§§ 13-16 zemoT). mTavrobis mtkicebis sawinaaRmdegod (ix. §§ 17 da 64zemoT), maT ar miuciaT momCivnis cixeSi gadayvanis nebarTva,sasamarTlos azriT, cixeSi gadayvana miT ufro gaumarTlebeli iyo, romim droisaTvis, Tbilisis me-5 sapyrobileSi, romelic medpersonalisnaklebobas ganicdida, ar arsebobda msgavsi daavadebiT daavadebulipatimrebis moTavsebis araviTari piroba. mTavroba araTu ar iZleva axsnaganmartebasimis Taobaze Tu ratom ar iyo es gadayvana saziano momCivnisjanmrTelobisTvis, aramed acxadebs, rom momCivnis gadayvanawarmoadgenda misi “janmrTelobisa da sicocxlis dacvis aucilebelpirobas”. Tumca, 2007 w. 10 Tebervals hospitalizaciis Sewyvetam ufro22

daamZima momCivnis janmrTelobis mdgomareoba da 10 dRis Semdeg, kvlavaucilebeli gaxda misi gadayvana cixis samkurnalo dawesebulebaSi.93. kerZod, Tbilisis me-5 sapyrobileSi higienis mxriv arsebulimdgomareobisa da qaviliT gamowveuli kanze arsebuli dazianebebis (ix.§§ 54 da 56 zemoT) gaTvaliswinebiT, momCivans muni Seeyara. sasamarTloar izirebs mTavrobis arguments, romelic, aRiarebs ra am faqts,momCivnis piodermiiT daavadebis mizezad mis mier cixeSi arsebulihigienis wesebis daucvelobas asaxelebs. Tu patimari valdebulia,daicvas aRniSnuli wesebi, maSin mas Sesabamisi saSualebebic undahqondes da unda imyofebodes Sesabamis higienur pirobebSi. magramrogorc wamebis sawinaaRmdego komitetis moxsenebidan irkveva, romelicam mimarTulebiT sarwmuno wyaros warmoadgens (Dougoz v. Greece, no.40907/98, § 46, ECHR 2001-II ; Kehayov c. Bulgarie, n o 41035/98, § 66, 18 janvier 2005 ;Ostrovar, précité, § 80), saqmis faqtobrivi garemoebebis dadgomis periodSi,Tbilisis me-5 sapyrobileSi, erT adgilze oTxi patimari modioda dasaknebi binZuri da nestiani iyo. garda amisa, saknebis dazianebis done“aRweras” ar eqvemdebareboda (ix. zemoT § 56). aqedan gamomdinare,sasamarTlo ar miiCnevs, rom sayovelTao sibinZuris, nestianobisa dadazianebebis pirobebSi, momCivnis sakani, sadac ar unda yofiliyo is,mTel sapyrobileSi gamonakliss warmoadgenda da danarCenidawesebulebisgan gansxvavebiT, is Sesabamisad movlili da ganiavebuliiyo. yovel SemTxvevaSi, mTavrobas aRniSnulis sapirispirod araviTarimtkicebuleba ar warmoudgenia. amitom, arsebobs didi albaToba imisa,rom momCivani, maSin rodesac is mZimed iyo avad, dapatimrebuli,imyofeboda binZur garemoSi, patimrebis iseT raodenobasTan erTad,romelic didad aWarbebda saknis SesaZleblobebs.94. rac Seexeba momCivnis meored gaweras saavadmyofodan, 2007 w. 31marts, sasamarTlom aRniSna, rom momCivans am droisaTvis kvlav awuxebdamwvave virusuli hepatiti, uCioda tkivilebs neknis areSi da maRalsicxianobas. samedicino masalebidan ar irkveva, rom aseT mdgomareobaSi,eqimebma momCivans cixeSi gadayvanis nebarTva misces. me-5 sapyrobileSimeored gadayvanam, 2007 w. aprilSi, gamoiwvia momCivnis daavadebatuberkuloziT da gamoweridan sami kviris Semdeg, is kvlav cixissamkurnalo dawesebulebaSi daabrunes. mTavrobis mier moyvaniliargumenti imunodeficitis Sesaxeb, romelmac aRniSnuli daavadebagamowvia, sasamarTlos azriT unda yofiliyo damatebiTi mizeziimisaTvis, rom sasjelaRsrulebis administracias eqimebTankoordinaciaSi emoqmeda da gaeTvaliswinebina maTi mosazreba momCivnisim cixeSi gadayvanamde romelic patimrobis yovelmxriv autanelipirobebiT iyo cnobili.95. im faqtis garda, rom Tbilisis mexuTe sampyrobileSiSeuZlebeli iyo momCivnis janmrTelobis mdgomareobis Sesabamisigaremos uzrunvelyofa, wamebis sawinaaRmdego komitetis moxsenebidanirkveva, rom aRniSnuli sapyrobilis samedicino bloks hepatologi ar23

hyavda. mTavroba ver amtkicebs, rom 2007 w. 10 Tebervalsa da 31 marts,momCivnis mexuTe sapyrobileSi xelaxla gadayvanis Semdeg, mas am kuTxiTraime saxis mkurnaloba Cautarda (Ostrovar, § 86). momCivnis moTxovnisSemdegac, aRniSnuli dawesebulebis administracia uunaro aRmoCnda,warmoedgina mtkicebulebebi aRniSnulTan dakavSirebiT (ix. zemoT § 90 infine).96. sasamarTlos azriT, konvenciis me-3 muxlTan Seusabamoa isfaqti, rom momCivnis cixis samkurnalo dawesebulebaSi gadayvana mxlodmisi janmrTelobis mdgomareobis seriozuli garTulebis Semdeg moxdada rom is mis gankurnebamde iqna gadayvanili cixeSi, sadac ar Cautardamkurnaloba. Sesabamisad, sasamarTlo miiCnevs, rom momCivnis gamoweracixis samkurnalo dawesebulebadan 2007 w. 10 Tebervalsa da 31 marts,warmoadgens me-3 muxlis sawinaaRmdego qmedebas.97. zemoxsenebuli mosazrebebis gaTvaliswinebiT, sasamarTloaskvnis, rom saqarTvelos Sesabamisma kompetenturma organoebma arSeasrules momCivnis janmrTelobis dacvis, aseve misTvis samarisi daadekvaturi mkurnalobis Catarebis pozitiuri valdebuleba, C hepatitisada tuberkulozis mkurnalobis kuTxiT98. Sedegad, dairRva konvenciis me-3 muxli.II. konvenciis 41-e da 46-e muxlebis gamoyeneba99. konvenciis 41-e muxlis Sesabamisad,“Tu sasamarTlo daadgens, rom dairRva konvencia da misi oqmebi, xolo SesabamisimaRali xelSemkvreli mxaris Sidasaxelmwifoebrivi samarTali darRvevis mxolodnawilobrivi gamosworebis SesaZleblobas iZleva, saWiroebis SemTxvevaSi, sasamarTlodazaralebul mxares samarTlian dakmayofilebas miakuTvnebs”.konvenciis 46-e muxlis Sesabamisad,1. maRali xelSemkvreli mxareebi kisruloben valdebulebas, daemorCilonsasamarTlos saboloo ga27 dawyvetilebas nebismier saqmeze, romlis mxareebic isiniarian.2. sasamarTlos saboloo gadawyvetileba gadaecema ministrTa komitets, romeliczedamxedvelobs mis aRsrulebas.a) konvenciis 46-e muxli100. momCivnis mxridan samarTliani dakmayofilebis moTxovnisganxilvamde, sasamarTlos aucileblad miaCnia im Sedegebis ganxilva,24

ac winamdebare gadawyvetilebas SeiZleba moyves saxelmwifosTviskonvenciis 46-e muxlis kuTxiT101. aRniSnuli muxlis Sesabamisad, maRali xelSemkvreli mxareebikisruloben valdebulebas, daemorCilon sasamarTlos saboloogadawyvetilebas nebismier saqmeze, romlis mxareebic isini arian.ministrTa komiteti zedamxedvelobas uwevs gadawyvetilebaTaaRsrulebas. kerZod, es gulisxmobs imas, rom rodesac sasamarTloadgens darRvevas, mopasuxe saxelmwifos aqvs iuridiuli valdebuleba,aseTis arsebobis SemTxvevaSi, aramxolod gadauricxos momCivanskonvenciis 41-e muxliT gaTvaliswinebuli samarTliani dakmayofilebissaxiT sasamarTlos mir mikuTvnebuli Tanxa, aramed, ministrTa komitetiskontrolis qveS, SearCios is individualuri da/an zogadi RonisZiebebi,romelTa gatarebac aucilebelia mis samarTlebriv sistemaSisasamarTlos mier dadgenili darRvevis gamosworebis mizniT damaqsimalurad aRmofxvras misgan gamowveuli saziano Sedegebi.102. saxelmwifo Tavisufalia, ministrTa komitetiszedamxedvelobiT, SearCios is saSualebebi, romelTa meSveobiTac isapirebs masze konvenciis 46-e muxliT dakisrebuli iuridiulivaldebulebebis Sesrulebas. aRniSnuli saSualebebi unda SeesabamebodessasamarTlos mier gadawyvetilebaSi Camoyalibebul principebs (Scozzari etGiunta c. Italie [GC], n os 39221/98 et 41963/98, § 249, CEDH 2000-VIII ; Assanidzé c. Géorgie[GC], n o 71503/01, §§ 198 et 202, CEDH 2004-II). amasTanave, rodesacidentificirebulia sistemuri xarvezi, erovnuli organoebisvaldebulebaa, ministrTa komitetis meTvalyureobiT, miiRon, Tu saWiroaretroaqtiuladac, aucilebeli zomebi konvenciis subsidiarulobisprincipis Sesabamisad. (Broniowski c. Pologne [GC], n o 31443/96, §§ 192 et 193, CEDH2004-V ; Xenides-Arestis c. Turquie, n o 46347/99, §§ 39 et 40, 22 décembre 2005 ; Scordinoc. Italie (n o 1) [GC], n o 36813/97, § 233, CEDH 2006 ; Bottazzi c. Italie [GC], n o 34884/97, § 22,CEDH 1999-V ; Lukenda c. Slovénie, n o 23032/02, §§ 89 et suivants, CEDH 2005-X), ise,rom SemdgomSi, sasamarTlos aRar mouxdes msgavsi darRvevbisganmeorebiT dadgena mravalricxovan analogiur saqmeebSi (Dybeku, précité,§§ 63 et 64, 18 décembre 2007 ; Driza c. Albanie, n o 33771/02, § 123 in fine, CEDH 2007-...(éxtraits) ; Gülmez c. Turquie, n o 16330/02, §§ 62 et suivants, 20 mai 2008).103. aRniSnulTan dakavSirebiT, sasamarTlo Seaxsenebs evropissabWos ministrTa komitetis 2004 w. 12 maisis (Res(2004)3) rezolucias,romelSic komitetma, xazi gausva ra mis interess, daexmarossaxelmwifoebs msgavsi problemebis gamovlenasa da SesabamisiRonisZiebebis gatarebaSi, (rezoluciis preambulis me-7 abzaci) SesTavazasasamarTlos, « moaxdinos sistemuri xarvezebisa da maT wyaroebisidentificireba im gadawyvetilebebSi, romlebSic is daadgensdarRvevebs, gansakuTrebiT maSin, rodesac am xarvezebs SeuZliagamoiwvios mravalricxovani saCivarebis Setana sasamarTloSi aRniSnulisaxelmwifos winaaRmdeg da amgvarad, daexmaros saxelmwifos problemisefeqturi gadawyvetis moZebnaSi, xolo ministrTa komitets -25

aRsrulebaze zedamxedvelobis ganxorcielebaSi ». (rezoluciis Iparagrafi).104. rac Seexeba konkretulad mocemul saCivars aSkaraa, rom saqmeerT, calkeul SemTxvevas ar exeba. am droisTvis sasamarTloSiganxilvis procesSia daaxloebiT ormocamde saCivari romlebicanalogiur problemas – saqarTvelos penitencialur dawesebulebebSisamedicino mkurnalobis arasebobas exeba. aqedan daaxlobiT ocdaaTzemeti saCivari ukve iqna mTavrobisTvis komunificirebuli sasamarTlosreglamentis 39-e, me-40 da/an 54-e muxlis 2 a) da b) paragrafebissafuZvelze. daaxloebiT 18 saqmeSi, momCivnebi, sxva daavadebebTan erTad,daavadebulni arian C virusuli hepatitiT. am saCivarebisdasabuTebulobis gansjis gareSe, sasamarTlos TvalSi, saCivarebisraodenoba iZleva daskvnis safuZvels imis Sesaxeb, rom cixeSisamedicino mkurnalobisa da gadamdebi daavadebebebiT daavadebuliavadmyofebis mkurnalobis saxelmwifos mier uzrunvelyofis problemasistemuri xasiaTisaa. swored amaSi mdgomareobs aramxolodkonvenciasTan mimarTebaSi saxelmwifos pasuxismgeblobis damamZimebelifaqtori, aramed, konvenciis mier dadgenili principebis momavalSiganxorcielebisTvis arsebuli safrTxec.105. aseT pirobebSi, sasamarTlo miiCnevs rom eWvgareSea erovnuldoneze gadaudebeli zogadi RonisZiebebis gatarebis aucileblobamocemuli gadawyvetilebis aRsrulebasTan mimarTebaSi. amgvarad,swrafad unda iqnas gatarebuli sakanonmdeblo da administraciulixasiaTis RonisZiebebi saqarTvelos penitencialur dawesebulebebSigadamdebi daavadebebis gavrcelebis prevenciis mizniT, unda SeiqmnascixeSi patimrebis miRebisTanave daavadebis diagnostikis, asevesaxelmwifos mier misi swrafi da efeqturi, Sesabamis pirobebSimkurnalobis sistema.106. rac Seexeba individualuri xasiaTis RonisZiebebs, romlebicmopasuxe saxelmwifom ministrTa komitetis zedamxedvelobiT undagaataros, sasamarTlo aRniSnavs, rom mocemul saqmeSi, dadgenilidarRvevis xasiaTi ar iZleva mis gamosasworeblad gasatarebeliRonisZiebebs Soris farTo arCevanis saSualebas. (ix. asaniZe §202). aseTpirobebSi da mocemuli saCivaris specifikuri garemoebebisgaTvaliswinebiT, sasamarTlos miaCnia, rom mopasuxe saxelmwifomumokles vadaSi unda uzrunvelyos momCivnis moTavseba iseTdawesebulebaSi, romelSic mas Cautardeba misi C virusuli hepatitisSesabamisi mkurnaloba, tuberkulozis mkurnalobis paralelurad,romelic mas awuxebs.26

) konvenciis 41-e muxlia) ziani107. momCivani moraluri zianis anazRaurebis saxiT iTxovs 50.000evros. amasTan dakavSirebiT is xazs usvams im garemoebas, rom cixeSiyofnisas sxvadasxva daavadebiT daavadda, romlebic, mkurnalobisararsebobis gamo, qronikul stadiaSi gadavida.108. mTavroba ubrundeba zemoT, 60-68 paragrafebSi mis mier moyvanisargumentacias imis dasamtkiceblad, rom mocemul saqmeSi adgili arhqonia konvenciiT garantirebuli uflebebis ugulvebelyofas da romaqedan gamomdinare, momCivans aravTari moraluri ziani ar ganucdia.109. sasamarTlo ar iziarebs aRniSnul mosazrebas. mas eWvi arepareba imaSi, rom dadgenili darRvevis gamo momCivanma ganicada tanjvada mas namdvilad miadga ziani, romlis asanazRaureblad, mocemulsaqmeSi konvenciis darRvevis dadgena sakmarisi ar aris.110. aqedan gamomdinare, xelmZRvanelobs ra samarTlianobisprincipiT, rogorc amas konvenciis 41-e muxli moiTxovs, sasamarTlomomCivans miakuTvnebs 9.000 evros moraluri zianis anazRaurebis saxiT.111. rac Seexeba materialur zians, momCivani iTxovs 7.000 evros.kerZod, sasamarTlis winaSe mis mier warmodgenili dokumentebidanirkveva, rom 2007 w. 20 aprils, misma ojaxma sasamarTli eqspertiziscentrs, 2007 w. 24 aprilis eqspertizis Catarebis mizniT 1.500 lari (704evro 1 ) gadauxada (ix. § 33 zemoT). 2007 w. 4 ivnissa da 30 noembers SorisperiodSi, momCivnis sabanko angariSze misi ojaxis mier gadaricxulmaTanxam jamSi 1.044,05 lari (490 evro) Seadgina. aRniS nuli angariSisamonaweris Tanaxmad, xsenebuli Tanxa daxarjul iqna 2007 w. 5 ivnissa da28 noembers Soris periodSi, mcire odenobis TanxebiT, SezRudulipasuxismgeblobis sazogadoeba “sxivis” sasargeblod. momCivnis Tanaxmad,mis mier gaweuli xarjebi Seesabameboda cixis maRaziaSi kvebisa da sxvapirveladi moxmarebis sagnebis SesaZenad aucilebel xarjebs. 2007 w. 4maiss, momCivanma, laboratorias, romelmac 2007 w. 3 maiss,msjavrdebulTa da patimarTa samkurnalo dawesebulebas mTavari eqimismoTxovnis safuZvelze, misi sisxlis analizi Caatara, 37,92 lari (17evro) gadauxada (ix § 36 zemoT).112. uTiTebs ra sasamarTlos praqtikaze, (König c. Allemagne (article 50),10 mars 1980, § 18 ; Airey c. Irlande (article 50), 6 février 1981, § 12, série A n o 41),mTavroba miiCnevs, rom ar arsebobs araviTari mizezobrivi kavSirigasaCivrebul darRvevasa da momCivnis mier cixis maRaziaSi sakvebisSeZenas Soris. garda amisa, saxelmwifo ar ar SeiZleba pasuxismgebeli1 aq da qvemoT Tanxa mocemulia 2008 wlis 26 noembers arsebuli valutis gacvliTikursiT27

iyos momCivnis mier 2007 w. 24 aprils Catarebuli eqspertizis xarjebisanazRaurebaze. mTavroba ar afiqsirebs Tavis pozicias 2007 w. 3 maisissisxlis analizis xarjebis anazRaurebasTan dakavSirebiT.113. rac Seexeba 2007 w. 5 ivnissa da 28 noembers Soris periodSigaweul xarjebs, sasamarTlo aRniSnavs, rom im droisaTvis, momCivanimsjavrdebulTa da patimarTa samkurnalo dawesebulebaSi imyofeboda,romelsac, saxalxo damcvelis moxsenebis Tanaxmad, sasjelaRsrulebissxva dawesebulebebisgan gansxvavebiT, ar hqonda sakvebi produqtebismaRazia (ix. zemoT §54). aqedan gamomdinare, ar aris damtkicebuli, romSezRuduli pasuxismgeblobis sazogadoebis sasargeblod gadaxdiliTanxebi Seesabameboda cixis maRaziaSi kvebisa da sxva pirveladimoxmarebis sagnebis SesaZenad aucilebel xarjebs. sawinaaRmdegosdaSvebis SemTxvevaSic ki, sasamarTlo ar miiCnevs, rom aRniSnulixarjebi zemoxsenebuli darRvevis dadgeniT iyo ganpirobebuli (cf.,Farbtuhs c. Lettonie, n o 4672/02, § 65, 2 décembre 2004).114. rac Seexeba 2007 w. 24 aprilis damoukidebeli samedicinoeqspertizis xarjebis anazRaurebas, momCivani ar iZleva imis axsnas, TurisTvis iyo aucilebeli aRniSnuli eqspertizis Catareba. imisgaTvaliswinebiT, rom mis mier warmodgenili daskvna ar SeicavdamTavrobis mier warmodgenili daskvnisgan gansxvavebul diagnozs da rommsjavrdebulTa da patimarTa samkurnalo dawesebulebas eqimebmagaakeTes yvelaferi, rac aucilebeli iyo momCivnis gasinjvisa dasxvadasxva diagozis dasmisTvis. 2007 w. 24 aprils, misi hospitalizaciismeore dRes (ix. zemoT §§ 33 da 34). Sesabamisad, ar arsebobs momCivnisTviseqspertizis xarjebis anazRaurebis safuZveli. samagierod, cixissaavdyofos mTavari eqimis iniciativiT Catarebuli sisxlis analizisasanazRaureblad gadaricxuli Tanxa, sasamarTlis azriT, Seadgensdadgenili darRvevis Sedegad gancdil materialur danakargs(Comingersoll c. Portugal [GC], n o 35382/97, § 29, CEDH 2000-IV). aqedan gamomdinare,sasamarTlo momCivans miakuTvnebs 17 evros materialuri zianisanazRaurebis saxiT.b) xarjebi da danaxarjebi115. momCivani, Sesabamis dokumentebze dayrdnobiT, amtkicebs, romman gadaixada safosto xarjebi 297 laris ( 139 evros) odenobiT,imisaTvis, rom miemarTa evropuli sasamarTlosTvis da mis winaSewaredgina SekveTili werilebiT gagzavnili sxvadasxva dokumentebi.momCivans aseve mohyavs b-n avalianTan 2007 w. 10 aprils gaformebulikontraqtis asli, romlis Tanaxmad, gamncxadebelma, sasamarTlos winaSemisi warmodgenisaTvis, mas unda gadauxados 5.000 lari (2.347 evro).116. mTavroba uaryofs am ukanasknel moTxovnas, miuTiTebs ragamncxadebels, rom man ar warmoadgina advokatis mier Catarebuli28

samuSao saaTebisa da aqedan gamomdinare, mis mier SesrulebuliTiToeuli davalebisTvis gadasaxdeli Tanxis raodenoba. aqedangamomdinare, mTavrobis mtkicebiT, ar aris naCvenebi, rom advokatismomsaxurebis xarjebi, romlebic gadaWarbebulia, namdvilad iqnagaRebuli.117. Tumca, mTavroba aRniSnavs, rom gamcxadebels, ra Tqma undamouwia garkveuli xarjebis gaRebam misi interesebis dasacavad. mTavrobasasamarTlos miandobs Sesabamisi Tanxis dadgenas, romelic, misipraqtikidan gamomdinare, iqneba samarTliani da gonivruli.118. sasamarTlo Seaxsenebs mis praqtikas, romlis Tanaxmadxarjebisa da danaxarjebis anazRaureba mxolod maSinaa SesaZlebeli,rodesac es udavod aucilebelia konvenciis darRvevis gamosasworeblad(ix. Donadzé c. Géorgie, n o 74644/01, § 48, 7 mars 2006 ; Gourguénidzé c. Géorgie, n o71678/01, § 83, 17 octobre 2006). garda amisa, reglamentis 62-e muxlis me-2punqtis Sesabamisad, konvenciis 41-e muxlis safuZvelze wamoyenebuliTiToeuli pretenzia unda iyos daangariSebuli, Sesabamis grafebSiganawilebuli da aucilebeli mtkicebulebebiT gamyarebuli, risgareSec, sasamarTlos SeuZlia nawilobriv an mTlianad uaryosaRniSnuli moTxovna (Svipsta c. Lettonie, n o 66820/01, § 170, CEDH 2006-... (extraits)).119. rac Seexeba safosto xarjebs, sasamarTlo miiCnevs, rommomCivnis moTxovna jerovnad dasabuTebulia da mas unda miekuTvnosmoTxovnili 139 evro.120. rac Seexeba advokatis anazRaurebas, sasamarTlo aRniSnavs, rommis winaSe warmodgenili xelSekruleba ar Seicavs araviTar cifrebsa dagrafebs, arc advokatis mier gaweuli samuSao saaTebis raodenobas(Svipsta, § 171). amasTanave, imis gaTvaliswinebiT, rom momCivanma miswarmomadgenels garkveuli odenobis Tanxa gadauxada, (Koendjbiharie c. Pays-Bas, 25 octobre 1990, § 35, série A n o 185-B). sasamarTlos aucileblad miaCniaasanazRaurebeli saaTebis gonivruli raodenobis gansazRvra ( ix. bevrsxvasTan erTTad, Naus c. Pologne, n o 7224/04, § 82, 16 septembre 2008).121. aqedan gamomdinare, xelmZRvanelobs ra samarTlianobisprincipiTa da zemoxsenebuli kriteriumebiT (ix. zemoT §§ 118 da120),sasamarTlo momCivans miakuTvnebs 1.500 evros b-ni avalianis mier misisasamarTlos winaSe warmodgenisaTvis realurad Sesrulebuli samuSaosanazRaurebis mizniT.g) sauravi122. sasamarTlos miaCnia, rom sauravis odenoba unda dadgindesevropis centraluri bankis zRvruli sasesxo ganakveTis mixedviT, rasacdaemateba sami procenti.29

zemoxsenebulidan gamomdinare, sasamarTlo erTxmad :1. cnobs saCivars dasaSvebad;2. adgens, rom adgili hqonda konvenciis me-3 muxlis darRvevas;3. adgens, roma) mopasuxe saxelmwifom momCivans, konvenciis 44-e muxlis me-2 punqtisSesabamisad, gadawyvetilebis ZalaSi Sesvlis dRidan sami TvisganmavlobaSi, gadaxdis dRes arsebulii kursiT, erovnul valutaSi,unda gadauxados Semdegi Tanxebi :i) 17 (Cvidmeti) evro materialuri zianis anazRaurebis saxiT, romelsacdaemateba nebismieri saSemosavlo gadasaxadi, romelic SeiZlebagadasaxdeli gaxdes;ii) 9.000 (cxra aTasi) evro moraluri zianis anazRaurebis saxiT,romelsac daemateba nebismieri saSemosavlo gadasaxadi, romelicSeiZleba gadasaxdeli gaxdes;iii) 1.639 (aTas eqvsas ocdacxrameti) evro gaweuli xarjebisa dadanaxarjebis anazRaurebis saxiT, romelsac daemateba nebismierisaSemosavlo gadasaxadi, romelic SeiZleba gadasaxdeli gaxdes;b) aRniSnuli vadis gasvlis Semdeg, Tanxis srul gadaricxvamde,zemoxsenebul Tanxas sajarimo periodis ganmavlobaSi daericxeba,gadaxdis dRes moqmedi, evropis centraluri bankis zRvrulisasesxo ganakveTis Tanabari Cveulebrivi procentebi, rasacdaemateba sami procenti ;4. uaryofs momCivnis danarCen moTxovnebs samarTliandakmayofilebasTan dakavSirebiT.Sesrulebulia frangul enaze da mxareebs ecnobaT werilobiT 2009w. 3 marts, reglamentis 77-e muxlis me-2 da me-3 punqtebis Sesabamisad.fransuaz elens-pasosiseqciis registratoris TanaSemwefransuaz tulkensiTavmjdomare30