Official website of the President of Russia

Документ   /

The results of annual medical checkup of children and adults in 2024 were the main topic of discussion.

A number of topical issues were considered at the beginning of the meeting.

The meeting was attended by Prime Minister Mikhail Mishustin, Chief of Staff of the Presidential Executive Office Anton Vaino, First Deputy Prime Minister Denis Manturov, First Deputy Chief of Staff of the Presidential Executive Office Sergei Kiriyenko, Deputy Prime Minister and Chief of the Government Staff Dmitry Grigorenko, Deputy Prime Minister and Plenipotentiary Presidential Envoy to the Far Eastern Federal District Yury Trutnev, deputy prime ministers Tatyana Golikova, Alexander Novak, Dmitry Patrushev, Vitaly Savelyev, Marat Khusnullin, and Dmitry Chernyshenko, Deputy Chief of Staff of the Presidential Executive Office Maxim Oreshkin, and Finance Minister Anton Siluanov.

Other attendees included Presidential Aide Alexei Dyumin, Minister of Natural Resources and Environment Alexander Kozlov, Minister of Digital Development, Communications and Mass Media Maksut Shadayev, Kaliningrad Region Governor Alexei Besprozvannykh, Ivanovo Region Governor and Chair of the State Council Commission on Long and Active Life Stanislav Voskresensky, Acting Governor of the Kursk Region Alexander Khinshtein, Russian Post CEO Mikhail Volkov, and Head of the Russian Popular Front Executive Committee Mikhail Kuznetsov, to name a few.

* * *

President of Russia Vladimir Putin: Colleagues, good afternoon.

The results of annual medical checkup of adults and children in 2024 are our main issue today. Ms Golikova will tell us about the results of this work and how the process is going now, as well as what needs to be done additionally.

I would like to begin with a rather acute topic. You may be aware that I recently met with Acting Governor of the Kursk Region Alexander Khinstein. He reported on what had been done to support the people who found themselves in a difficult situation after Ukrainian military units and mercenaries entered a number of areas in the Kursk Region.

The Acting Governor reported to me that all citizens who lost their property have received monetary payments and compensations. To date, 80 percent of the families that lost their homes have received cash payments to buy or to build new housing. Almost 10,000 families have been issued funds to rent housing.

Nevertheless, after meeting with the people, Mr Khinstein raised the question of providing additional help to the people given the difficult situation in which they found themselves. I have asked both the Acting Governor and the Government to prepare and make proposals to that end.

Mr Siluanov, I know that the regional authorities have been working with the Finance Ministry. What have you agreed upon?

Finance Minister Anton Siluanov: Thank you, Mr President.

I would like to begin by briefly reporting to you that your instruction to provide support to the residents of the region’s border areas is being fulfilled in full. Pensions, benefits and social payments are being paid. Partial compensation of salaries is being paid to employees of organisations that have suspended operations. Housing certificates are being issued, and payments in the amount of 150,000 rubles for lost property have been made. All your instructions have been properly funded and, most importantly, the money has reached the end beneficiaries.

Now, with regard to the question posed by Acting Governor of the Kursk Region Alexander Khinstein during your meeting about additional payments for property loss. We have worked this issue through, and propose establishing an additional monthly payment for residents of the region’s border areas in the amount of at least one minimum wage which currently stands at 22,440 rubles. According to regional data, more than 112,000 citizens will receive this payment. It is proposed to continue making this payment until the territory of Kursk Region is liberated. The Government will find the necessary budget resources.

These are the proposals that we have prepared, Mr President. Please review them.

Vladimir Putin: Is Mr Khinshtein on the line?

Acting Governor of Kursk Region Alexander Khinshtein: Yes, Mr President.

Vladimir Putin: How much is it? 22,440 rubles?

Anton Siluanov: 22,440.

Vladimir Putin: Mr Khinshtein, what is the average salary in the Kursk Region?

Alexander Khinshtein: 64,000 rubles as of December 2024. I think 22,000 is not enough to meet the actual needs of the people.

Vladimir Putin: I see.

Mr Siluanov, let us do this. As you suggested, we will pay 65,000 rubles a month to all residents of the region who have lost their property until the Kursk Region is completely liberated from Ukrainian formations. Please set aside these funds from the federal budget and ensure the necessary payments. Alright?

Anton Siluanov: I see, Mr President.

Let me clarify to make sure I understand this correctly. The payment, you said, amounts to 65,000. Many people from the border areas who lost their property and homes found jobs and are getting paid. Some people are receiving pensions, benefits, and partial payments related to suspended operation of the companies they worked at. Am I right in my understanding that these 65,000 will take into account the payments that people are already receiving? Is this how I should interpret your instruction?

Vladimir Putin: No, no. We are not going to round it up to 65,000 for everyone, even the people who are earning salaries. Everyone, I want to emphasise, all residents of the Kursk Region who found themselves in this situation, that is 112,000+ people, correct? Mr Khinshtein, it is 112,000?

Alexander Khinshtein: Mr President, this payment of 150,000 rubles is slowly going up. When I reported to you…

Vladimir Putin: I am asking how many people?

Alexander Khinshtein: 112,620 people at the moment.

Vladimir Putin: Let us pay 65,000 rubles a month to all 112,620 people until the territory is completely liberated from the bandit formations, in addition to what people are receiving now. This will give those who are planning to build a new home a chance to start repairs and buy additional property.

Indeed, this is an extraordinary measure. We have never done anything like that before, but people have never been in this situation before, either. We must help them.

Mr Siluanov, I ask the Finance Ministry to provide the necessary funding.

Anton Siluanov: Will do.

Vladimir Putin: Good.

Let us proceed to the next agenda item.

The following matter concerns the energy supply of the Kaliningrad Region. Mr Novak, you have the floor.

Deputy Prime Minister Alexander Novak: Thank you, Mr President.

Historically, approximately since the late 1960s, the energy systems of Russia (including Kaliningrad), Belarus, Latvia, Lithuania, and Estonia have operated in a parallel, synchronous mode as a unified power grid. In 2021, a new corresponding agreement was signed between our states, which ensured reliable redundancy and stable operation of the Baltic countries’ energy systems as a priority.

In June 2018, the leadership of these countries adopted an entirely politicised decision to withdraw from the BRELL (Belarus, Russia, Estonia, Latvia, Lithuania) energy ring and interconnect with the European energy system. Over this period, a series of technical measures were implemented, culminating on February 8, 2024, in Lithuania, Latvia, and Estonia disconnecting from parallel and synchronous operation with the Russian energy system. This was accompanied by a pompous ceremony in the Lithuanian capital, attended by European Commission President Ursula von der Leyen and the heads of the Baltic states.

What do we observe today? As a result of this decoupling from the Russian energy system, wholesale electricity prices on the Nord Pool exchange in the Baltic states have effectively doubled compared to pre-disconnection levels. Whereas prices previously stood at approximately €100 per megawatt, the average over the past ten days has reached €200, peaking at €270 on certain days.

Thus, residents of these three countries – Lithuania, Latvia, and Estonia – are now paying twice as much for electricity following their disconnection from the Russian grid. We believe this may not yet be the ceiling, given the limited transmission capacity with adjacent energy systems in Sweden, Poland, and Finland – the systems to which they have now reconnected.

Moreover, recent reports confirm that Estonia’s largest pulp and paper mill has ceased operations due to high energy costs post-disconnection. Regarding this decision by the Baltic states, it is their sovereign affair; their consumers bear the financial consequences.

As for the Russian energy system and the Kaliningrad Region, our primary task remains ensuring reliable energy supply. I can confirm that our consumers have not experienced any impact from the Baltic states’ withdrawal. The energy system continues to operate normally, with households, industrial facilities, social infrastructure, and utilities receiving uninterrupted power supplies, and no price effects observed.

This stems directly from your 2014 instruction. Between 2014 and 2020, we constructed additional energy capacities in the Kaliningrad Region: four major power plants with a total output of 900 megawatts, supplemented by new transmission lines and substations. This effectively doubled the reserve capacity of the region’s energy system. These measures not only guarantee a reliable current supply to industrial and social infrastructure, as noted, but also create a foundation for the Kaliningrad Region’s future social and economic development.

We can state with confidence that the pre-emptive measures adopted have established all necessary conditions for secure energy supply to consumers and ensured the energy security of the Kaliningrad Region. This allows for uninterrupted operation under normal conditions and, as emphasised, provides a reserve for future growth. Thank you.

Vladimir Putin: Well, then. We must closely monitor the situation there. I have just discussed this with the leadership of Gazprom – everything is primed, and liquefied natural gas can be supplied in the required volumes if necessary. All systems are operational, functioning smoothly, in excellent condition. However, I request that you also maintain oversight from your side. Thank you.

Mr Novak, could you please provide a brief update on the incidents at the CPC [Caspian Pipeline Consortium] facilities near Novorossiysk and the current status of those installations?

Alexander Novak: Mr President, yesterday, within a short timeframe, seven unmanned aerial vehicles attacked the Kropotkinskaya oil-pumping station in the Krasnodar Territory. This station is responsible for pumping oil via the Caspian Pipeline operated by the Caspian Pipeline Consortium. The consortium’s founders include American, European, and Kazakh enterprises. Last year, this pipeline transported 62.5 million tonnes of oil, over 65 percent of which belonged to American and European companies.

The attack damaged power equipment, a gas turbine unit, and a substation. Due to the activation of a backup pumping scheme bypassing the Kropotkinskaya station, we are observing a reduction in pumping volumes by approximately 30–40 percent compared to pre-attack levels. The restoration of this facility requires considerable effort, as it incorporates power equipment sourced from Western countries. Notably, it includes machinery from Siemens, specifically a gas turbine plant. A final inspection of the site is underway. However, it is clear that a prolonged period will be needed to resume operations fully, and oil-pumping volumes will remain reduced.

According to expert assessments, this attack by Ukrainian unmanned aerial vehicles constitutes, in essence, a response to the discussions held at the Munich Security Conference. It is highly likely that this represents Ukraine’s retaliation against the United States of America regarding certain planned negotiations.

Thank you.

Vladimir Putin: This is not a Russian organisation, correct? It is an international consortium with the shareholders you have just mentioned?

Alexander Novak: Yes, absolutely.

Vladimir Putin: And the oil being pumped through this CPC pipeline, as I understand it, belongs to these foreign shareholders under production-sharing agreements?

Alexander Novak: Mr President, that is entirely correct. This oil is extracted in Kazakhstan under a production-sharing agreement between Kazakhstan and the consortium’s participants. As I noted earlier, the shareholders are predominantly foreign entities – American companies such as Chevron and ExxonMobil, along with several European firms. The consortium itself is not under sanctions and had been reliably transporting oil across Russian territory via pipeline infrastructure to Novorossiysk. In reality, this attack targeted the cessation of oil supplies belonging to foreign shareholders.

Vladimir Putin: I assume representatives of these companies are involved in assessing the damage caused by the attack and evaluating the timelines and feasibility of restoring the facility, correct?

Alexander Novak: Mr President, yes. The Caspian Pipeline Consortium is currently conducting these assessments. Preliminary estimates indicate that the restoration process will require no less than several months.

Vladimir Putin: I see. But if these companies have an interest in restoring the facility’s operations, then despite all sanctions, they should arrange for the supply of necessary equipment themselves. They are, after all, acting in their own interests.

I understand you remain in contact with the partners. Should any assistance from the Russian Government be required, please ensure it is provided.

Alexander Novak: Yes, Mr President. Thank you.

(After that, Deputy Prime Minister Vitaly Savelyev reported on the progress of the tanker accident relief effort in the Kerch Strait; Minister of Natural Resources and Environment Alexander Kozlov expounded on the Clean Country federal project; and Minister of Digital Development, Communications and Mass Media Maksut Shadayev spoke about the delivery of periodicals on a subscription basis and the introduction of a new subscription fees policy for socially important publications).

Vladimir Putin: Before we move on to the main issue on our agenda, which is the outcome of the 2024 regular medical checkups of children and adults, and before hearing Ms Golikova’s report, I would like to return to where we started – the assistance to the Kursk Region residents in need of special state support. The Acting Governor has estimated how many people need support, haven’t you, Mr Khinshtein?

Alexander Khinshtein: Mr President, 112,620 people as of today.

Vladimir Putin: Yes, 112,620 people. When we agreed that we would provide state support to these people, we decided that each of them would receive an amount equal to the average regional wage, which is 65,000 rubles. Once again, I was referring to all victims in every category including pensioners, the employed, the unemployed, and children – everyone, 65,000 rubles each. Please keep this in mind so that there is no misunderstanding. Thank you very much.

I now give the floor to Ms Golikova. Go ahead, please.

(In her report, Deputy Prime Minister Tatyana Golikova focused on the Government’s effort in previous years to improve the quality and accessibility of regular medical checkups, as well as on the overall results for 2024. According to regional statistics, more than 82 million adults have undergone medical examinations and occupational health checks, including 42.5 million able-bodied people and 27 million children. This is almost 75 percent of the Russian population.

The Deputy Prime Minister also reported on the Government’s innovations in this area, in particular, the opportunities for working citizens to undergo medical check-ups at the workplace, the reproductive health screening programme for citizens aged 18–49 years, and a special health assessment procedure for participants in the special military operation. In 2024, 33,000 discharged participants, veterans of the special military operation underwent medical check-ups; 80 percent of them were put in professional follow-up monitoring programmes, 13.5 percent were sent to rehabilitation centres, and just over one percent of them received high-tech medical care.

The Deputy Prime Minister reported that, pursuant to the President’s instruction, a medical check-up for participants and veterans of the Great Patriotic War had been organised in the year marking the 80^th anniversary of Victory. This initiative has been launched earlier, and over the past year, 147,000 people have already availed themselves of these medical examinations.

The medical check-up coverage for children in 2024 surpassed 97 percent. This practice helps prevent further progression of diagnosed ailments and ensures the provision of timely medical assistance.

Tatyana Golikova provided an overview of handling the citizens’ appeals, in which they report queues at outpatient clinics, difficulties in making medical appointments, and alleged false reporting in data regarding the completion of medical check-ups.

Ivanovo Region Governor, Chair of the State Council Commission on Long and Active Life Stanislav Voskresensky also presented a report. He detailed the regional practices concerning medical check-ups and put forth several proposals for their improvement.

At the President’s request, Head of the Russian Popular Front Executive Committee Mikhail Kuznetsov offered the organisation’s perspective on the matter at hand. Mr Kuznetsov reported on issues identified through the analysis of 2,000 appeals received during the President’s Direct Line and a survey of 26,000 patients at state outpatient clinics. Citizens cited inconveniences in undergoing medical check-ups, their “performative” nature, a lack of sufficient feedback from medical institutions and doctors following check-ups, inadequate employer involvement, and the aforementioned false reporting in check-up completion rates previously mentioned by Tatyana Golikova. After suggesting measures to address this latter issue, Mr Kuznetsov confirmed the Popular Front’s readiness to conduct a follow-up survey within a specified timeframe to evaluate whether improvements have been realised.

Concluding the discussion, Tatyana Golikova commented on her colleagues’ remarks and elaborated on ongoing and planned measures to resolve the issues highlighted).

Vladimir Putin: Colleagues, we are all aware that this work –regular medical check-ups and screenings with a follow-up on their results – is a huge undertaking. It is a big and multifaceted task which requires great efforts from federal and regional authorities and the business community, as everyone has mentioned here. And clearly, there is no way there are no issues here that we should pay special attention to. Therefore, Ms Golikova, I urge you to analyse what has been said both by regions’ representatives – as was done by Mr Voskresensky today – and by Mikhail Kuznetsov. An analysis is required: something is indeed working well, as you have answered directly, and it is impossible and even inexpedient to amend it. In such cases the current measures should continue to be consistently implemented whereas some matters need special attention and must be addressed additionally. I have a request for you – will you please sum up what we have spoken about today and give me your vision, ok? So that in the future, we are confident that this work is being done at a high-quality level since overall results are good and so are the effects.

Regarding life expectancy and quality of life. Reaching those parameters, including life expectancy, also depends to a large extent on how we arrange this work.

To conclude, I would like to ask Acting Governor of the Kursk Region jointly with the Government to pass on our decisions and the funds to the people and then report to me. Also, a programme for the recovery of the affected districts must be drafted by the time the enemy is driven out of certain districts of the Kursk Region.

It should include Government support for restoring social facilities, roads and other infrastructure, including transport, as well as industrial and agricultural enterprises, support for affected businesses and so on.

This programme – or at least its major parameters – must be prepared shortly for us to see what exactly we will have to do regarding certain areas of focus after necessary security conditions are in place.

Thank you very much to all. All the best.