Medical information for people arriving from Ukraine, who have temporary protection status in Bulgaria

People, who have temporary protection in Bulgaria, from vulnerable groups use the necessary medical care under the conditions and by the order for the Bulgarian citizens.

People from the vulnerable groups are: minors, unaccompanied minors, people with disabilities, the elderly, pregnant women, single parents with minor children, victims of human trafficking, people with serious health problems, people with mental disorders and people who have suffered torture, rape or other severe forms of mental, physical or sexual abuse.

The status for granted temporary protection is certified by a registration card of a foreigner, issued by the State Agency for Refugees (Art. 41, para. 1, item 5 of the LAR).

HIV is a human immunodeficiency virus that weakens the human immune system and makes it vulnerable to any infection that a healthy body can fight without a problem. HIV infection develops continuously and without symptoms. The final stage of HIV infection is called AIDS (Acquired Immune Deficiency Syndrome).

The disease is transmitted from person to person. The virus is found in most body fluids of an infected person, but only the blood, semen, vaginal secretions and breast milk contain enough viruses to infect them. HIV infection can occur through direct contact with any of these fluids in a person carrying the virus. There are three main ways of transmitting the infection: sexual, blood and vertical (from the mother to her child).

Anyone wishing to check their HIV status can do so in the Offices for anonymous and free consultation with RHI.

Tuberculosis is a serious infectious disease that is transmitted from person to person by airborne droplets. It is caused by tuberculosis bacteria and mainly affects the respiratory system. Tuberculosis is a treatable disease. The treatment lasts a relatively long time – at least six months, and requires mandatory compliance with all recommendations of the doctor. Symptoms include: cough lasting more than 2 weeks, chest pain, sputum production, weakness or easy tiredness, weight loss, loss of appetite, fever, night sweats.

The infection is transmitted by patients with pulmonary tuberculosis who secrete tuberculosis bacteria. People in close contact can become infected by breathing air containing these bacteria, sneezing, coughing or sputum from the patient. Particularly vulnerable to the close environment of the patients are children, the elderly over 65 and people with impaired defenses of the body (chronic stress, malnutrition, alcohol and drug addiction, HIV infection, concomitant chronic diseases and others.

There is a risk of disease in close contact with a person with tuberculosis of the respiratory tract, if you are not vaccinated against tuberculosis, spend a long time indoors with many people, the body’s resistance is weakened, you have alcohol and drug addiction, concomitant chronic diseases , you are a carrier of the HIV virus.

In crisis situations, these risks increase.

Diagnosis and treatment of tuberculosis is carried out in the regional medical institutions for diagnosis and treatment of tuberculosis.

Hepatitis is a disease caused by a virus. Of the five different hepatitis viruses (A, B, C, D and E), only B and C can become chronic, causing prolonged illness and severe liver damage. An expert estimate of 15 million people in the World Health Organization (WHO) European Region is living with a chronic hepatitis B infection and 14 million are infected with hepatitis C. The main routes of transmission of these infections are three: sexual, blood and vertical (from the mother to her child). Tests for hepatitis B and hepatitis C are conducted in the laboratories of the RHI (Regional health inspection).

Vaccination of Ukrainian citizens

Vaccines against 11 acute infectious diseases of personal and public health are administered in Bulgaria. These include tuberculosis, diphtheria, tetanus, pertussis, polio, hepatitis B, haemophilus influenzae type B, pneumococci, measles, mumps and rubella.

Immunizations against these diseases are mandatory for all children in the country, and vaccines are administered according to the National Immunization Calendar.

Mandatory immunisations in the Republic of Bulgaria are similar to the immunizations applied in the Republic of Ukraine.

However, there are a few main differences:

  • Immunisation against pneumococci is not applied in Ukraine;
  • In Ukraine, live and killed polio vaccine is used, and in Bulgaria – only killed polio vaccine;
  • In Ukraine, fewer pertussis vaccine doses are used;
  • Fewer doses of tetanus and diphtheria vaccine are used in Ukraine;
  • In Ukraine, fewer hemophilus influenza vaccines are used.

These differences, as well as the fact that in recent years the immunization coverage against the listed diseases in both countries is below the required level of 95% to ensure that there will be no outbreaks and epidemics of vaccine-preventable infectious diseases, necessitates all children with missing data or with incomplete immunization status to be vaccinated.

For this purpose, a doctor from the regional health inspectorate in the area where you and your child will reside or the general practitioner you choose for your child will prepare an individual immunization plan for the necessary immunizations by type of vaccine and number of doses. For this purpose it is necessary to bring all available medical documents certifying the vaccines given to your child so far.

Every child from Ukraine who has received temporary protection in the Republic of Bulgaria, certified by the received Personal Number of a foreigner, has the right to immunizations.

Immunizations are also needed to visit your child in a nursery, kindergarten or school, without which this is impossible.

Let’s protect the health of our children so that they can grow and learn in Bulgaria!