After the UN agencies did nothing to accommodate refugees and migrants from June to December, although they were on the ground all the time, "temporary admission camps" were now formed, in which for the first time the will was demonstrated to do something about the housing of this vulnerable population . But, man! Again, we are faced with a system that understands people's accommodation in the worst possible way. There are about 2,100 refugees (adult individuals, unaccompanied minors and families) in the Bira camp in Bihac, accommodated in a manner that the medicine does not suggest: this is "barracks accommodation" and ghettoization. An integrative principle is being broken, which is the basic principle of organizing the accommodation of refugees and migrants. Although large forces are now visible in the field (in the form of numerous and varied uniformed people), the effects in meeting the basic hygiene standards are not yet satisfied. While the number of toilets is close to the hygienic minimum (94 WCs of the prescribed 105 for this number of migrants, however we do not know the frequency of discharge and maintenance of hygiene), the number of showers is dramatically below the hygienic minimum (of the 210 required showers for the number of refugees in Bira only 45 showers are installed and we know that many of the showers do not work, and that hot water is not always available when needed). Equally dramatic is cooking (in terms of quality) and food distribution (in two infinite lines), alternatives are not allowed. However, it seems the health care is the worst link : not only because we did not find the doctors in their camp-clinic at the time when they had to (and that is already being repeated twice), but the discussion with patients shows their great dissatisfaction. We met patients who can not come to the checklist after 2 weeks of waiting, others say that the visit to the doctor is a waste of time because the doctor gives everyone the same tablet (universal drug is paracetamol) and have brought us a patient with a temperature of 41C for whom they called the EMS, but they did not want to come because only the elevated temperature was not for them that important reason. Here we should remember the recent death of a young Pakistani who for four days complained about abdominal pain but could not reach the doctor (the authorities have not yet published the results of the autopsy or the name of a deceased young man, which shows in practice the effect of ghettoization of refugees). In addition to this, it should be added that the offered concept of the organization of health care is extremely disadvantageous for the doctors who work in the camp because it is degrading them by lying them down to the role of a nurse. The doctor is not a "one man band" but a medical team leader and when there is no such team, and he can not use different diagnostic procedures (laboratory, X-ray, EKG etc.), and this can not be done despite the law of the FBiH open to migrants and refugees, then the doctor is degraded and forced to give everyone the same pill, and consequently he is not motivated to be in his own clinic during the working hours. It is a system that deliberately and intentionally disadvantages the health care of migrants and fugitives, it is a political decision to reduce the medical care of a vulnerable group, which is the same EU policy as we learned in Slovenia. In fact, the violation of human rights in the field of health care is the most typical feature of the European Union's policy, and the methods we see in the Bira camp in Bihać are a typical manuscript of this political group whose obviously racism is not too far away. The only remedy for this situation is the organization of volunteer doctoral work in Bihać, just as we did in Slovenia. Because the state bound to the principles of the EU will perform all actions to prevent the regular health protection of refugees and refugees. That is why it is necessary to find interested doctors in Bihać who will be engaged in organizing an alternative voluntary and sponsoring network of health care for refugees and migrants in Bihać; who will also seek and find allies in the part of humanitarian organizations that are not corrupt and want to help people. In addition, it is necessary to exercise constant democratic pressure and to constantly face the authorities with its inhuman face.
Dimitar Anakiev, dr. med
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