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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">3128</article-id><article-id pub-id-type="doi">10.69541/NRIPH.2026.01.015</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>Circle of good Foundation: are all diseases rare?</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Shukan</surname><given-names>Elena Yurievna</given-names></name><bio></bio><email>eushukan@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Komarov</surname><given-names>Ilya Aleksandrovich</given-names></name><bio></bio><email>iliya_komarov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Aleksandrova</surname><given-names>Oxana Yurievna</given-names></name><bio></bio><email>aou18@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Smirnova</surname><given-names>Natalia Sergeevna</given-names></name><bio></bio><email>genetic.natalic@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation</aff><aff id="aff-2">PROVE Ltd., Saint-Petersburg, Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2026-03-23" publication-format="electronic"><day>23</day><month>03</month><year>2026</year></pub-date><issue>1</issue><fpage>97</fpage><lpage>101</lpage><history><pub-date date-type="received" iso-8601-date="2026-03-25"><day>25</day><month>03</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 1970,</copyright-statement><copyright-year>1970</copyright-year></permissions><abstract>In accordance with Decree No. 16 of the President of the Russian Federation dated January 5, 2021, the Circle of Good Foundation (hereinafter referred to as the Foundation) was established to support children with severe life-threatening and chronic diseases, including rare (orphan) diseases. The Foundations goal is to implement an additional mechanism for organizing and financially supporting medical care for children, providing them with medications and medical devices, including those not registered in the Russian Federation, as well as technical rehabilitation equipment. This article analyzes the diseases for which the organization of medical care is carried out for children under the care of the Circle of Good Foundation, identifies the diseases that are considered to be rare and the discrepancies between the List of Rare (Orphan) Diseases of the Ministry of Health and the List of Severe Life-Threatening and Chronic Diseases Including Rare (Orphan) Diseases of the Foundation.</abstract><kwd-group xml:lang="en"><kwd>rare diseases</kwd><kwd>orphan drugs</kwd><kwd>healthcare</kwd><kwd>Circle of Good Foundation</kwd><kwd>organization of medical care</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>редкие болезни</kwd><kwd>орфанные лекарственные препараты</kwd><kwd>здравоохранение</kwd><kwd>Фонд «Круг добра»</kwd><kwd>организация медицинской помощи</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Kulikov A. Yu., Komarov I. A., Pochuprina A. A. 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