e-CLINIC BIHAĆ

DfA e-Clinic for refugees and migrants in Slovenia has about 70 patients (mainly chronic diseases). It is an excellent way to get fast doctor response to medical problems of people deprived for the rights of primary medical care by the authorities of EU - the main violators of these rights in the world today (along with USA authorities).
This skin condition is reported by N.T. from S.O.S. Ljuta Krajina Medical Volunteer Team (MVT) -Bihać team. She filmed this photo at the leg of the migrant situated in notorious BIRA camp, Bihać. In this camp ruled by IOM migrants/refugees too can not sleep by the night because of fear that they will be attacked and looted. That is why they try to sleep only during the day. It is clear what kind of stress they permanently bear faced also with no individual destiny (only collective destiny for people in the camp) and soon they are totally exhausted and psychically ruined. Sometimes it is not possible to get food after many hours of waiting in the line (few days ago over 300 hundred people stayed without lunch)... Medical treatment twice a week offers the DRC (Danish Refugee Council), also not on the very high level, that is why refugees and migrants often seek medical help from the MTV S.O.S. team Ljuta Krajina -
Bihać team.
Anamnestic data shows that this skin condition is chronic. It has typical clinic visage of psoriasis ("ljuskavica") a disease of unknown origin (probably genetic) which passes through phases of improvement and deterioration. The clinical condition is very sensitive to stress. DRC medical team treated this condition by a tablet (?)
In Slovenia we often treat this condition by Daivobet gel which is quite an expensive drug from the last generation of drugs against psoriasis. We tried to find it in Bosnia without a result. In BiH it is usually treated by Dermavit creme (37 KM) or even more expensive  Aloe Vera gel. It is important to suggest to the patient to avoid stress situation but it is not an easy task in camps like BIRA or MIRAL. The condition is dry, it does not need any Betadine treatment or bandage and similar tools used in acute skin conditions.

Dimitar Anakiev, dr. med