Subject: RE: Insulin donation & need in GEO
From: Tamar Gabunia </O=EXCHORGANIZATION/OU=EXCHANGE ADMINISTRATIVE GROUP (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=E6CA04F38EC94D0CADAB9CBDF90FCDDE-TAMAR G>
To: "DOMENTE, Silviu" <[email-masked]>
Cc: Zaal Kapanadze </o=ExchOrganization/ou=Exchange Administrative Group (FYDIBOHF23SPDLT)/cn=Recipients/cn=1a1cb702f2d1413e9706648529678369-Zaal Ka>; Ekaterine Adamia </o=ExchOrganization/ou=Exchange Administrative Group (FYDIBOHF23SPDLT)/cn=Recipients/cn=89b4d31758d34f2cbdcfe688199f6941-Ekateri>; Magda Naskidashvili <[email-masked]>; Tamar Meliqidze <[email-masked]>
Date: Tue, 12 May 2020 05:57:38 +0000

Dear Silviu

I’ve asked Regulatory Agency and SSA on donation needs and feasibility. SSA has some concerns on this. Please see below.

1. Human Insulin (100 UI/ml vial) Protaphane ® (long-acting insulin) - number of vials requested: - This formulation has never been used in Georgia, It is difficult to predict whether or not physicians will prescribe it in regular practice.  The donated drug may remain underutilized.

2. Human Insulin (100 UI/ml vial) Actrapid ® (fast-acting insulin) - number of vials requested: This is actively used, 3000 vials amounts to 10 days stock.

3. Human Insulin (100 UI/ml vial) Mixtard 30 ® (mix-acting insulin) - number of vials requested: This formulation has never been used in Georgia, It is difficult to predict whether or not physicians will prescribe it in regular practice.  The donated drug may remain underutilized.

4. Glucagen Hypokit ® (glucagon for injection 1mg/ml) - number of kits requested: Usually used for under 18th beneficiaries. Difficult to predict the need as used during hypoglycemia. The program provides it to newly diagnosed patients until glucose level is stabilized. Would be good to receive it via donation if the drug’s expiration date exceeds 12 months.

Based on this feedback, we would appreciate to consider item 2 human insulin and item 4 Glucagen Kypokit for this donation if possible.

With kind regards

Tamar

From: DOMENTE, Silviu [mailto:[email-masked]]
Sent: 11 May, 2020 14:26
To: Tamar Gabunia <[email-masked]>
Subject: FW: Insulin donation & need in GEO

Dear Tamar,

I got another reminder about Insulin donation…

Is there no need, or you just need more time?

Thank you,

Silviu

From: CORBEX, Marilys Anne
Sent: Monday, May 11, 2020 13:51
To: DOMENTE, Silviu <[email-masked]>
Cc: FARRINGTON, Jill Louise <[email-masked]>; KLIMIASHVILI, Rusudan <[email-masked]>
Subject: RE: Insulin donation & need in GEO

Dear Silviu,

I hope you are well. Do you have any answer regarding the insulin donation ? I am anxious that if GEO don’t reply they will miss the opportunity. Most of the fifty countries contacted have answered already many asking more than what is available if fairly divided among all countries.

Please keep us updated.

Warmly,

Marilys

From: CORBEX, Marilys Anne
Sent: Monday, May 4, 2020 17:14
To: DOMENTE, Silviu <[email-masked]>
Cc: FARRINGTON, Jill Louise <[email-masked]>
Subject: RE: Insulin donation & need in GEO

Dear Silviu,

I come back to you regarding the Novo-nordisk insulin donation. If the country wants to benefit the donation, HQ needs answers to the questions in the excel file Jill sent originally, and that I list below so that you can answer easily by email.

Note that for the questions 1, 2 and 3, I understood that the maximum a country can request is 3,000 vials (6 pack of 500 vials).

QUESTIONS:

Human Insulin (100 UI/ml vial) Protaphane ® (long-acting insulin) - number of vials requested:

Human Insulin (100 UI/ml vial) Actrapid ® (fast-acting insulin) - number of vials requested:

Human Insulin (100 UI/ml vial) Mixtard 30 ® (mix-acting insulin) - number of vials requested:

Glucagen Hypokit ® (glucagon for injection 1mg/ml) - number of kits requested:

Product are part of the national EML and national protocols – Y/N

Has this request been discussed with MOH - or relevant national programme or implementing Partners? – Y/N

Comments on how needs have been estimated

Products is part of the last national quantification (2021-2022) - Y/N

Have you secured enough storage capacity (central/facility level) (Insulin should be stored in a refrigerator at a temperature between 2°C – 8°C) – Y/N

Comments on storage capacity.

Hoping to hear from you soon

Warmly,

Marilys