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Letter
To Mr Minister of Health

To: Mr Minister of Health

Date: 2-Aug-2004

From: Reneta Stoyanova
[address]


Re: Some questions which remain unanswered in connection with hepatitis spread in HD units


Dear Mr Minister,


I herewith inform you that I still have not received any answers to the questions which I asked in a letter to you of 9 July 2003.

I hope that, although with a long delay, you will answer those questions as well as the questions that follow:

1. From where can I learn what the number (percentage) is of patients infected with the virus of hepatitis B and C in the HD units in Bulgaria?

2. From where can I receive information about specific epidemiological standards concerning hepatitis infection in HD units, such as the minimal admissible percentage of patients infected with the virus of hepatitis B and C in the HD units, for in the Standard for Hemodialysis Treatment published in State Gazette in March 2004 there are none?

3. I would also like to get acquainted with a Bulgarian regulation, if any, for limiting the spread of hepatitis C in HD units similar to the one published in Nephrology, Dialysis, Transplantation Magazine online at the address: for I was an HD nurse for over15 years yet I never saw such a regulation.

I would like to bring to your attention the fact that these questions are very important especially now when Bulgaria is in a process of accession to EU. No doubt HD patients exchange will expand, medical tourism will develop, and Bulgaria must be ready to meet the challenges. There is still a long way to go before we can say that our HD units are on European level. As a university graduate with English language as my major, I would be glad if I could help with translations from English into Bulgarian of pertinent informative materials for the prestige of our health care and our country to be enhanced before the world.

Reneta T. Stoyanova [signature]

English translator

and ex HD nurse at St. Marina Hospital of Varna