AHMAD`S BARBER SHOP IN ROG, LJUBLJANA

Hair cutting to dr. Dimitar Anakiev by Ahmad Shami  

Dr. Anakiev: My friend, brother, patient and barber Ahmed is from suburb of Damascus named Daria. It is totally destroyed nowadays. He lost two houses, barber shop and store in bombardment. Fifteen members of his closer and wider family is living now in just one rented room in Damascus. He cannot sleep by night thinking about destiny of his family. After last decision of European court about returning refugees he is even more worried because his situation in Slovenia seems open again... Anyway he is a great friend and barber, he speaks Slovenia pretty well!

VACCINATION IN ASYLUM HOME AGAINST MEASLES BY THE NIJZ (National Public Health Institute), WAS NOT REALLY NEEDED

Recently, the NIJZ carried out vaccination against measles in the Asylum Home (this was also reported by the media), although the clinical examinations carried out by the doctor at the Asylum Home (at the reception) and then by doctors of the Infectious Clinic in Ljubljana confirmed the opinion of Greek doctors, that a Kurdish child from Syria is not in an infectious condition of the disease, but in the recovery phase in which the child is not dangerous to the environment. The baby had already had measles earlier in Greece before the family left for Slovenia. Thus, measles vaccination was not medically indicated

CEPLJENJE PROTI OŠPICAM, KI GA JE V AZILNEM DOMU OPRAVIL NIJZ (Nacionalni institut za javno zdravje), NI BILO ZARES POTREBNO

Pred nedavnim je NIJZ opravil cepljenjenje proti ošpicam v azilnem domu (o tem so poročali tudi mediji) čeprav so klinični pregledi, ki so jih opravili zdravnik v azilnem domu (ob sprejemu) in potem tudi zdravniki infekcijske klinike v Ljubljani, potrdili mnenje grških zdravnikov, da pri kurdskem otroku iz Sirije ne gre za kužno stanje bolezni temveč za fazo okrevanja v kateri otrok ni nevaren za okolico. Otrok je namreč prebolel ošpice že prej v Grčiji, preden se je družina odpravila na pot za Slovenijo. Cepljenje proti ošpicam torej ni bilo medicinski indicirano.

UČINEK RESTRIKTIVNE ZAKONODAJE NA ZDRAVJE PROSILCEV ZA AZIL - PRIMER SLOVENIJE

Člen 86. azilnega zakona katerega je sprejela vlada Mire Cerarja marca 2016 in ki v biti le potrjuje azilni zakon iz l. 2006, ki ga je sprejela vlada Janeza Janše (le da je v Janšinem zakonu zdravstveno varstvo urejal čl. 84, praktično identičen čl. 86 Cerarjeve vlade), na eni strani masovno krati človekove pravice prosilcem za azil s tem, da izključuje prosilce iz primarne zdravstvene oskrbe – dovoli edino nujno medicinsko pomoč – po drugi strani krši kodeks zdravniške etike, ker suspendira vlogo zdravnika kot zastopnika pacientovih pravic. Nenavadnost situacije, da v Sloveniji „levica“ in „desnica“ imata zelo podobno zakonodajo v zvezi z azilanti zato ni edini paradoks temveč, suspenzija kodeksa zdravniške etike, je na določeni način tudi kriminalizacija zdravnikov, ki delamo z azilanti. Seveda so negativni učinki na zdravje azilantov še veliko večji, ker izključevanje prosilcev iz primarne zdravstvene oskrbe ima tudi številne javno zdravstvene učinke. Zelo strnjeno lahko govorimo o naslednjih glavnih negativnih učinkih:

1-Dostopnost zdravnika za azilante zmanjšana

2-Zmanjšan obseg primarne zdravstvene oskrbe

3-Zmanjšen obseg sekundarne in tercialne zdravstvene oskrbe

4-Zmanjšan ali odsoten javno-zdravstveni pristop

5-Zmanjšana kakovost zdravstvene oskrbe v celosti

6-Trajni negativni učinek na zdravje azilantov

7-Suspenzija vloge zdravnika kot zastopnika pacientovih pravic

8-Kompromitiranost nekaterih osnovnih načel varne prehrane azilantov

9-Učinki na akutno in kronično stanje malnutricije azilantov

10-Vojaška namestitev azilantov privede do izoliranosti od populacije

11-Podpora preživljanju azilantov le minimalna

12-Odsodnost nekaterih velikih podpornih mehanizmov

Slovenija je članica politično vojaške zveze, ki aktivno participira v svetovni krizi, ki ustvarja begunske in migrantske valove. Begunci pri nas prihajajo zaradi zaščite, velikokrat pa naša država škoduje beguncem in migrantom namesto da bi pomagala. Celotna slovenska politika in mnogi javni razumniki so na vsa usta agitirali za vstop Slovenije v NATO. Danes se ti isti ne angažirajo, da bi se restriktivna (rasistična?) zakonodaja Slovenije (predvsem čl. 86 azilnega zakona) odpravila in begunce in migrante obravnavalo dostojno obravnavi človeka.

EFFECTS OF RESTRICTIVE LEGISLATION ON THE HEALTH OF ASYLUM SEEKERS - THE CASE OF SLOVENIA

Article 86 of the Slovenian Asylum Act, which was adopted by the government of Miro Cerar in March 2016 - which in essence only confirms the Asylum Law of the 2006, adopted by the right wing government of Janez Janša (only that, in the Janša Act, the health care was regulated by Article 84 and it is practically identical to the Article 86 of the Cerar government) - on the one hand, violates human rights of asylum seekers on large scale by excluding applicants from the Primary Health Care - allowing only the emergency medical help - on the other hand it violates the Code of Medical Ethics because it suspends the role of doctor as the patient's representative. The unusual situation in Slovenia that political "left" and "right" have very similar legislation regarding asylum seekers is therefore not the only paradox, but the suspension of the Code of Medical Ethics is, in a certain way, the criminalization of doctors who work with asylum seekers. Of course, the negative effects on the health of asylum seekers are even greater, as the exclusion of applicants from primary health care also has many Public Health effects. We can talk about the following main negative effects:

1-Accessibility of doctor to asylum seekers is reduced
2-Reduced or excluded primary health care
3-Reduced or excluded the extent to secondary and tertiary health care
4-Decreased or absent Public Health approach
5-Reduced quality of health care in its entirety
6-Permanent negative effect on the health of asylum seekers
7-Suspension of the role of doctor as a patient's representative
8-Compromise of some basic principles of safe asylum diet
9-Effects on acute and chronic status of malnutrition of asylum seekers
10-Military accommodation of asylum seekers leads to isolation from the population
11-Supporting asylum seekers is only minimal
12-Absence of some large support mechanisms and programs

Slovenia is a member of a political and military alliance that actively participates in a global crisis that creates refugee and migrant waves. Refugees come to us for protection, but our country often harms refugees and migrants instead of helping. The entire Slovenian policy and many public intellectuals have been agitating for all of Slovenia's ascent to NATO. Today, they do not engage themselves in the abolition of the restrictive (racist?) Legislation of Slovenia (in particular, Article 86 of the Asylum Law) and treats refugees and migrants with decent human treatment.

POLITIKA DISLOKACIJE AZILANTOV V SLOVENIJI / POLITICS OF DISLOCATION OF ASYLUM-SEEKERS IN SLOVENIA

(SLO) Medicinska stroka (Javno zdravje) odsvetuje dislokacijo beguncev/migrantov in nastanitev podobno vojaški. Nasprotno, medicina svetuje nastanitev čim bliže domači populaciji, trgom, šolam in zdravstvu. Ne vemo ali je NIJZ (Nacionalni inštitut za javno zdravje) sploh delal kakšen eleborat nastanitve prosilcev za azil, vemo pa, da slovenska vlada že svojim azilnim zakonom masovno krši človekove pravice azilantom v zvezi primarne zdravstvene oskrbe. Poglejmo kako so azilanti dislocirani in kakšna je pot azilanta do zdravnika. V AD Logatec so ranjive skupine, zato je pot do zdravnika dolga 2,6 km uspon je pa 60 metrov.

Edino AD Kotnikova izpolnjuje lokacijske pogoje. Zanimivo je da su v njemu nastanjeni odrasli samski moški, ki nimajo pravico da primarne zdravstvene oskrbe.

(ENG) Medical profession (Public Health) do not advises displacement of refugees / migrants with accommodation similar to military. On the contrary, medicine advises accommodation as close as possible to the domestic population, markets, schools and health care. We do not know whether the NIJZ (National Institute of Public Health) even worked to elaborate accommodation of asylum seekers, but we know that the Slovenian government, already by its asylum law (famous 86 art.), violates human rights to asylum seekers regarding primary health care. Let's see how the asylum seekers are isolated and what is the asylum-seeker path to the doctor. In AD Logatec there are vulnerable groups, so the path to the doctor is 2.6 km long with is 60 meters climbing.
Only AD Kotnikova meets the location conditions. Interestingly, adults live there, single men who do not have the right to primary care.

                                                          AD logatec:

AD Vič:

                                                                   AD Kotnikova:

NO SUBSTITUTION THERAPY FOR MIGRANTS IN SLOVENIA

(SLO) Par dni nazaj smo napotili pacienta v abstinenčni krizi v metadonsko ambulanto na Metelkovi - ni mogel dobiti metadona, ker ni registriran. Mar država ne more narediti začasno registracijo ali na kakšen drugi način omogočiti substitucijsko terapijo odvisnikom? Razlogi so predvsem medicinski in humani, potem tudi varnostni, epidemiološki in verjetno še kakšni drugi... Vztrajanje na "represivni medicini" je škodljivo predvsem državi Sloveniji in njenim državljanom. Tvrdokornost slovenske politike do zdravstve oskrbe azilantov in migrantov pa že postaja dramatična. Upajmo, da ne bo tudi tragična.
(ENG) A few days ago, we sent a patient in an abstinence crisis to the methadone clinic at Metelkova - he could not get methadone because he was not registered. Can the state not make a temporary registration or otherwise facilitate substitution therapy for addicts? The reasons are primarily medical and humane, but also security, epidemiological and probably some other ... The insistence on "repressive medicine" is detrimental to the state of Slovenia and its citizens. The firmness of Slovenian policy towards the health of asylum seekers and migrants is already becoming dramatic. Let's hope it will not be tragic too.