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    Medical Information

    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).

    Offices for anonymous and free AIDS counseling and testing (KABKIS) at the Regional Health Inspectorates

    Regional Health Inspection Blagoevgrad

    After receiving a confirmatory result for HIV – infection from the National Reference Verification Laboratory for HIV (NRPL) at the National Center for Infectious and Parasitic Diseases, according to Ordinance № 47 of 11 December 2009 on the terms and conditions for testing, reporting and reporting of infection with acquired immune deficiency syndrome virus.

    Individuals can consult and receive treatment in treatment facilities with HIV / AIDS patients:

    List of medical institutions for consultation and treatment of patients with HIV / AIDS

    University Hospital "Dr. Georgi Stranski "

    Hospital "Professor Doctor Stoyan Kirkovich"

    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:

    Blagoevgrad:

    Specialised Hospital Blagoevgrad Ltd.

    Burgas:

    Specialised Hospital Burgas

    Varna:

    Specialised Hospital Varna

    Kardzali:

    Hospital "Doctor Atanas Dafovski"

    Kyustendil:

    Hospital "Nikola Vasiliev"

    Lovech/ Troyan:

    Specialised Hospital Troyan

    Montana:

    Hospital Corp. Dr. Stamen Iliev

    Pazardzhik:

    Specialised Hospital Pazardzhik

    Pernik:

    Specialised Hospital Pernik

    Pleven:

    Dr. Georgi Stranski University Hospital

    Razgrad:

    University Hospital "St Ivan Rilski"

    Ruse:

    Specialised Hospital "Dr. Dimitar Gramatikov"

    Sliven:

    Hospital Dr. Ivan Seliminski Sliven

    Smolyan:

    Hospital "Dr. Bratan Shukerov"

    Sofia - region:

    Pulmonary Hospital - Sofia Area

    Stara Zagora:

    Specialised Hospital Stara Zagora

    Targovishte:

    City Hospital Targovishte

    Haskovo:

    Specialised Hospital Haskovo

    Shumen:

    Medical Centre Shumen

    Yambol:

    Hospital "Sv. Panteleimon"

    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):

    Regional Health Inspection Varna

    Regional Health Inspection Veliko Tarnovo

    Regional Health Inspection Vratsa

    Regional Health Inspection Dobrich

    Regional Health Inspection Plovdiv

    Regional Health Inspection Ruse

    Regional Health Inspection Stara Zagora

    Regional Health Inspection Sofia

    Regional Health Inspection Haskovo

    Regional Health Inspection Gabrovo

    Regional Health Inspection Dobrich

    Regional Health Inspection Kardzali

    Regional Health Inspection Kyustendil

    Regional Health Inspection Lovech

    Regional Health Inspection Montana

    Regional Health Inspection Pazardzik

    Regional Health Inspection Pernik

    Regional Health Inspection Razgrad

    Regional Health Inspection Smolyan

    Regional Health Inspection Sofia region

    Regional Health Inspection Targovishte

    Regional Health Inspection Shumen

    Regional Health Inspection Yambol

    You can find more information about hospitals and doctors offering free of charge medical help here

    Vaccination

    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!

     

    Interim guidelines for immunisations and re-immunisations of children arriving from Ukraine

    A child with full immunisation status for Ukraine 

    • up to 5 years of age – 2 doses of Synflorix (minimum interval between 2 months)
    • over 5 years of age – Synflorix is not required

    Child with incomplete immunisation status for Ukrainethe missing doses of vaccines are applied, according to the Immunisation Calendar of Bulgaria

    • up to 1 year of age
      – 1 to 3 doses of Pentaxim, according to available data on vaccines against diphtheria, tetanus, pertussis, polio, haemophilus influenzae; 
      – 2 doses of Synflorix (minimum interval between doses of 2 months); 
      – Mantoux test /BCG
    • between 1-4 years
      – 1 dose of Pentaxim + 2 doses of Tetraxim (basic immunisation) – according to the available data for vaccines against diphtheria, tetanus, pertussis, polio, haemophilus influenzae;
      – 2 doses of Synflorix (minimum interval between doses of 2 months);
      – 1 dose of M-M-RVAXPRO;
      – Mantoux test /BCG;
      – reimmunisation with 1 dose of Pentaxim (in children under 4 years)
      – reimmunisation with 1 dose of Tetraxim (in children aged 4 years and over).
    • between 5-6 years 
      – 1 to 3 doses of Tetraxim;
      – 1 dose of M-M-RVAXPRO;
      – Mantoux test /BCG.
    • between 7-13 years 
      – 1 dose Tetraxim (basic immunisation); 
      – 1 dose of Td (basic immunisation); 
      – 1 dose of M-M-RVAXPRO;
      – Mantoux test /BCG; 
      – 1 dose of Tetraxim (reimmunisation). 
    • over 13 years
      – 1 dose of M-M-RVAXPRO;
      – 1-2 doses of Td (basic immunisation); 
      – Mantoux test /BCG; 
      – 1 dose of Boostrix (reimmunisation). 
       

    Child without data on immunizations – considered unvaccinated. It is covered by immunisations, according to the Immunisation Calendar of Bulgaria, taking into account the following:

    • children under 1 year of age – apply: 3 doses of Pentaxim, 2 doses of Synflorix, Mantoux test /BCG. 
    • children aged 1-4 years – apply: 1 dose of Pentaxim + 2 doses of Tetraxim, 1 dose of M-M-RVAXPRO (priority coverage with M-M-RVAXPRO over Synflorix), 2 doses of Synflorix, Mantoux test /BCG.
    • children 5-6 years of age – apply: 3 doses of Tetraxim, 1 dose of M-M-RVAXPRO, Mantoux test /BCG.
    • children aged 7-13 years – apply: 1 dose Tetraxim, 1 dose Td, 1 dose M-M-RVAXPRO, Mantoux test /BCG.
    • children over 13 years of age – apply: 2 doses Td, 1 dose M-M-RVAXPRO, Mantoux test /BCG.

    Information for pregnant women

    Currently, pregnant women from Ukraine arriving in Bulgaria can be examined at the Health Consulting Centers opened at 31 medical institutions in the country, as well as at hospitals that have announced open doors for Ukrainian citizens.

    Those of them who register for temporary protection are also entitled to free hospital treatment for them, if necessary.

    Emergency care is also free, and if necessary you can call an ambulance on 112.

    The rights of pregnant women, as well as representatives of other vulnerable groups under temporary protection, will be equated with those of health insured Bulgarian citizens with legal changes, which are expected to be considered soon by the National Assembly.

    List of hospitals in the country where a Health Advisory Center has been opened:

    Hospital Blagoevgrad, Blagoevgrad
    Hospital Burgas, Burgas
    Hospital “St. Anna”, Varna
    Hospital “St. Marina”, Varna
    Hospital “Dr. St. Cherkezov”, Veliko Tarnovo
    Hospital “St. Petka”, Vidin
    Hristo Botev Hospital, Vratsa
    Hospital “Dr. Tota Venkova”, Gabrovo
    Hospital Dobrich, Dobrich
    Hospital “Dr. At. Dafovski”, Kardzhali
    Hospital “Dr. N. Vasiliev”, Kyustendil
    Hospital “Prof. Dr. P. Stoyanov”, Lovech
    Hospital “Dr. St. Iliev”, Montana
    Hospital – Pazardzhik, Pazardzhik
    Hospital “R. Angelova”, Pernik
    Hospital “Dr. G. Stranski”, Pleven
    Hospital Plovdiv, Plovdiv
    Hospital “St. George”, Plovdiv
    Hospital “St. Iv. Rilski”, Razgrad
    Hospital “Kanev”, Ruse
    Hospital Silistra, Silistra
    Hospital “Dr. Iv. Seliminski”, Sliven
    Hospital “Dr. Br. Shukerov”, Smolyan
    Hospital “St. Anna”, Sofia
    Hospital “Mother’s Home”, Sofia
    Hospital “Prof. Iv. Mitev”, Sofia
    Hospital “Prof. Dr. St. Kirkovich”, Stara Zagora
    Hospital Targovishte, Targovishte
    Hospital Haskovo, Haskovo
    Shumen Hospital, Shumen
    Hospital “St. Panteleimon”, Yambol
     
    You can find more information about hospitals and doctors offering free of charge medical help here – https://ukraine.gov.bg/get-medical-help/ 

    Can Ukrainian doctors and nurses work in Bulgaria?

    In order to acquire the right to practice their profession in Bulgaria, citizens of Ukraine who have acquired the professional qualification “doctor” or “nurse” in Ukraine must successfully pass an examination in Bulgarian language and professional terminology in Bulgarian, as well as to pass an examination, including the state examinations, determined in the uniform state requirements for acquiring the respective medical profession in Bulgaria (examination under art. 186, para 3, item 3, letter “a” of the Health Act).

    The exam in Bulgarian language and professional terminology in Bulgarian language is organized and conducted by the Center for Assessment in Preschool and School Education (COPUO) at the Ministry of Education and Science. More information can be found at the following link: http://copuo.bg/page.php?c=24&d=82.

    There are no legal requirements regarding where and how to conduct training in Bulgarian. It is only necessary at the end for the applicant to pass the exam in Bulgarian language and professional terminology in Bulgarian language in COPUO.

    In order to take the exam, which includes the state exams, defined in the uniform state requirements for acquiring the respective medical profession in Bulgaria, it is necessary to pass a procedure for admission to this exam. The procedure is organized and conducted by the Ministry of Health, is free of charge for applicants and generally involves the submission of an application accompanied by certain documents (specified in the application). Detailed information can be found at the following link: https://www.mh.government.bg/bg/administrativni-uslugi/meditsinski-kvalifikatsii/dopuskane-do-izpit-priznavane-na-profesionalna-kvalifikatsiya/.

    As a result of the procedure, the Minister of Health issues an order for admission to an exam. On the basis of this order, the applicant takes the exam in a higher school of his choice, which provides training in the profession. The higher school has the right to charge a fee for taking this exam. It issues a certificate for the successful passing of the exam, which gives the right to practice the relevant medical profession in Bulgaria.

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    On this page you will find hospitals and doctors offering free medical care for everyone fleeing from the war in Ukraine.

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