Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 107

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 109

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 111

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 112

Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 107

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 109

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 111

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 112

Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 107

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 109

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 111

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 112

 


Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1007

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1027

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1052

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1052

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1117

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1121

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1138

Warning: mktime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1142

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/general-template.php on line 1142
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    Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 43

    Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 43


    Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 107

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 109

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 111

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 112
    Июл


    Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 35

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 107

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 109

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 111

    Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/ih489111/public_html/london-olympic.ru/wp-includes/functions.php on line 112
    7


    В России зарегистрировано более 17 тысяч лекарств. Цифра кажется фантастической – зачем нам столько? На деле нужны тысячи полторы-две. А в Перечне жизненно необходимых и важнейших лекарственных средств (ЖНВЛС), который во многом определяет лицо нашего здравоохранения, и того меньше – около 650. Этот важный документ вот-вот будет пересмотрен правительством. Зачем и почему? Обозреватель Татьяна Батенёва продолжает расследование ситуации с лекарствами, начатое 21 мая с.г. статьей “Чем лечить “жлобство аптек”?”

    Откуда столько перечней?

    Каких только перечней по поводу лекарств у нас нет! Уже упомянутый перечень ЖНВЛС – для закупок лекарств в медицинские стационары, для “Скорой помощи” и госрегулирования цен. Перечень лекарств для льготных категорий – для госзакупок. Перечень обязательного ассортимента – для аптек. Перечень безрецептурных лекарств – тоже для аптек и для нас, потребителей. Перечень мониторинга цен – введен недавно…

    Все это – не от богатой жизни. Единственным критерием назначения лекарства для врачей должна служить его необходимость именно этому конкретному больному. Любые ограничения и списки вводятся тогда, когда надо либо экономить, либо распределять – мы это прекрасно знаем на личном опыте. Первый перечень ЖНВЛС появился у нас в 1988 году – всем памятно то время тотального дефицита. Тогда в него входило всего 90 названий – жизненная необходимость была на пределе жизненного минимума.

    Правда, ограничительные перечни – не наше изобретение. Они существуют и во многих других странах – там, где есть льготные категории потребителей лекарств, которых обеспечивает ими государство либо страховые компании. Но вот принципы, по которым формируются эти перечни, созданы давно и не подвергаются сомнению. Но о них – чуть позже, потому что наши перечни, особенно те, что связаны с денежным вопросом, формируются совсем иначе.

    Что главнее: здоровье или деньги?

    Вопрос отчасти дурацкий, хотя большинство без сомнений ответит: конечно, здоровье. А если здоровье зависит как раз от содержимого кошелька?

    Наши главные перечни – ЖНВЛС и лекарств для льготников – составляются с большой оглядкой на их стоимость. Первый должен экономить средства, отпущенные на закупку лекарств для стационаров и “скорой”. Второй – бюджет программ для льготников. Правда, здесь три года назад случился беспрецедентный прорыв – тогда в отдельную подпрограмму включили лекарства для больных семью тяжелыми неизлечимыми заболеваниями. Впервые за государственный счет стали закупать препараты, цены на которые пишутся с пятью-шестью нулями. Легко сопоставить: эта подпрограмма примерно для 70 тысяч человек стоит в год 37 млрд рублей – почти столько же, сколько закупки лекарств для всех остальных 5 млн льготников – 40 млрд.

    Но в целом составители перечня всегда оглядываются на стоимость позиций, в него включенных. Хотя и составляется этот важный документ по международным непатентованным названиям (МНН) лекарств, то есть по их химической формуле, а не по торговым маркам.

    Чем МНН отличается от “бренда”?

    Вокруг этого вопроса всегда ломались копья. Одни эксперты отстаивали принцип составления перечня по торговым названиям – иначе, дескать, в него никогда не попадут новые, самые эффективные, но и самые дорогие препараты. Оппоненты тут же возражали – ясно, что фирмы костьми лягут, чтобы протолкнуть в перечень свои новинки, дабы обеспечить госзакупки и свой доход, а ради этого будут совать взятки, подкупать специалистов, дающих рекомендации.

    Другие крупные эксперты уверены, что перечень должен быть только по МНН, а уж врач сам выберет из нескольких торговых марок наиболее подходящую для больного. Их противники тоже не молчат: раз химическая формула одна, то и лекарства биоэквивалентны, а врачи, идя на поводу у больных, будут выписывать более дорогие, транжиря государственные средства…

    Дискуссия бесконечная, но не бессмысленная. А кто же прав? Приведем всего один пример. Симвастатин – это лекарство, снижающее уровень холестерина в крови, его назначают для профилактики инфарктов и инсультов. Под этим непатентованным названием он включен как в перечень ЖНВЛС, так и в перечень лекарств для льготников. Но линейка торговых названий содержит десятка три “брендов” разных производителей – от зокора, который стоит около 800 руб. за упаковку из 28 таблеток, до акталипида – ценой от 150 руб. за столько же таблеток. И если доктор, назначающий вам этот препарат, расхваливает именно самое дорогое, будьте уверены: его энтузиазм небескорыстен. Потому что честный врач всегда скажет, что по соотношению цена-качество есть лекарства не хуже, но значительно дешевле.

    Так почему же сразу не включить в перечень именно такой препарат? – спросит наивный читатель. Ответ: потому.

    Выгодно ли попасть “на карандаш”?

    Принято считать, что попасть в любой официальный перечень лекарств – дело выгодное для производителя: гарантированы закупки, можно не беспокоиться о колебаниях спроса и т.п. Но на самом деле все не так просто.

    Чтобы попасть в тот же перечень ЖНВЛС производитель должен зарегистрировать отпускную цену на него. Понятно, что каждое предприятие стремится найти здесь баланс двух составляющих – заинтересовать потенциального покупателя и обеспечить себе прибыль. Но реальные контрактные цены закупок могут быть и ниже зарегистрированных – ведь закупки идут в форме аукционов на понижение цены. А кроме того, завод может и не получить необходимые для производства документы – например, декларацию соответствия производства всем требованиям или регистрационное свидетельство на субстанцию.

    Так, к примеру, было в 2007 году: около половины лекарств из уже составленного перечня просто не было на рынке. Но если для ряда препаратов есть лекарства-синонимы, то другие-то производит один-единственный завод. Врачи до сих пор с ужасом вспоминают вдруг образовавшийся в прошлом году дефицит атропина и адреналина – средств, без которых невозможно оперировать. А все дело было в том, что предприятия не смогли вовремя оформить разрешительные документы на сырье, хотя в перечне ЖНВЛС препараты присутствовали. А иной раз они просто прекращают выпуск лекарства, если зарегистрированная цена перестает покрывать реальные издержки – такое бывает, к примеру, когда резко падает курс рубля. В начале кризиса на этом потерпели огромные убытки многие производители и дистрибьюторы. Но в конце концов за все отдувается потребитель лекарств – мы с вами.

    Что такое фармакоэкономика?

    А какими критериями руководствуются за рубежом, составляя свои перечни? Никак не ценой или суммой, отпущенной бюджетом на льготников. Во главе угла стоит фармакоэкономика. Это такая наука, которая в экономических критериях оценивает эффективность лечения. Ведь можно больного, к примеру, бронхитом две недели лечить старым дешевым антибиотиком. А можно новым дорогим – но всего семь дней. Или даже пять.

    Расчет в этих случаях ведется по лекарственной единице – таблетке, капсуле, ампуле. То есть на курс лечения в первом случае использовано 42 единицы по 10 рублей, а во втором – 5 единиц по 50. Результат подсчитайте сами. Второе получается выгоднее, ведь на первый курс уйдет 4,2 упаковки по 100 рублей, а на второй всего одна, хотя и по 250! У нас эта высшая математика пока не освоена.

    Потому что нет стандартов лечения по многим болезням. А за рубежом перечни и составляются только на их основании. То есть не надо ни опрашивать уважаемых экспертов, каждый из которых имеет свои, в том числе и денежные, интересы. Не надо создавать громоздкие комиссии. Собирать сотни страниц документов, подавая заявку на включение в перечень “своего” препарата. Есть стандарты и протоколы лечения, в которых прописано: эта болезнь лечится так-то, такими-то препаратами, а эта – так-то, уже другими, но все равно самыми лучшими для этого больного. А дальше все просто: собрал данные по всем социально значимым заболеваниям, собрал стандарты лечения, выписал из них проверенные на практике и рекомендованные лучшими врачами лекарства – и вот он, перечень.

    И пока у нас не будет этих четких стандартов, вокруг составления перечней всегда будут вестись сложные церемониальные танцы заинтересованных сторон. Заинтересованных во многом, но не только в выздоровлении пациентов.

    Чего ждать от нового перечня?

    К 15 июля Минздравсоцразвития должно представить в правительство проект нового перечня ЖНВЛС на 2010 год. Директор департамента развития фармрынка министерства Диана Михайлова обещала, что в нем произойдут позитивные перемены: устаревшие препараты исключат, новые добавят, интересы пациентов не затронут. Но вот что настораживает: комиссия, которая будет принимать решения о том, что включать, а что исключать из документа, который касается интересов миллионов людей, почему-то вновь состоит исключительно из чиновников: представителей Минпромторга, Всемирной организации здравоохранения, а также Федерального медико-биологического агентства.

    И хотя предварительно перечень пройдет экспертизу главных внештатных экспертов министерства, окончательное решение останется за комиссией. А почему бы не включить в нее представителей общественных организаций пациентов, юристов, практических опытных и уважаемых врачей? Глядишь, и оказался бы новый перечень ближе к жизни. А не к содержимому кошелька – хоть государственного, хоть нашего собственного.

    Автор Татьяна Батенёва



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