Tuesday, 25 February 2020 | 09:34:31

Цвета Райчева, ДМAlmost 70% of addicts to alcohol and other psychoactive substances are comorbid, that is, they have a concomitant mental or physical illness. This was made clear at a workshop of psychiatrists on comorbid conditions, which was held at the National Center of Public Health and Analyses (NCPHA).
The existence of serious clinical and organizational problems in the treatment of addictions and their accompanying mental illnesses is reported by Tsveta Raycheva, MD, Head of the Department “Addictions”

"Genetics has discovered genes that determine both the risk of addiction and other mental disorders. Therefore, addictions should be viewed first and foremost as a medical problem, as a genetically determined disease ”, said in his presentation Assoc. Prof. Kaloyan Stoychev, MD - Head of the 2nd Psychiatric Clinic for General Psychiatry and Addictions at the University Hospital“ Dr. Stranski ”, Pleven.

In the discussion, psychiatrists warned that Bulgaria was not responding satisfactorily neither for medical needs nor for psychosocial ones related to rehabilitation, social reintegration, support for finding a job, etc. "I have seen colleagues in general medicine view these patients as mostly psychiatric and refuse to treat their physical illnesses - gastroenterological, neurological and others. And in many cases, somatic comorbidity is more serious. It can be seen as well that psychiatrists themselves refuse to treat mental illness with concomitant addiction”, said Assoc. Prof. Kaloyan Stoychev.

"Patients treated in so-called 'private' methadone programs pay for the treatment themselves, and only methadone is provided by the state. At the same time, over 50% of them are health insured. There is also a group of patients (between 10% and 20%) in severe financial, financial and social situations who often abuse their prescribed methadone, selling it partially to secure the means to continue their treatment. These are patients without health insurance who are virtually detached from the healthcare system. These circumstances make it difficult to treat their comorbidities”, explained Dr. Kemal Mutishev, a psychiatrist in a methadone program at the State Psychiatric Hospital for the Treatment of Drug Addiction and Alcoholism in Sofia.

Psychiatrists agreed on the need to improve the standards of treatment for addicted and psychiatric patients. Therefore, proposals to be included in the
draft of a new standard on psychiatry are forthcoming.



The Lancet JournalThe latest report by The Lancet Journal on the adverse effects of climate change on human health will be presented at a Countdown Workshop, organized jointly by NCPHA, the Bulgarian Office of the WHO and the Bulgarian Red Cross. The Lancet is one of the most famous, old and reputable general medical journals.
The working meeting in Sofia will be held on February 28, 2020.
The report "Ensuring that the health of a child born today is not defined by a changing climate" will be presented by Assoc. Prof. Maria Nilsson of Umeå University, Sweden. The report is produced annually by experts from leading global institutions and is presented at both UN climate issues meetings and thematic workshops in more than 40 countries around the world.
The focus of the event in Bulgaria will be on the opportunities for adaptation, planning and resilience of health systems to climate change. Bulgarian experts will also participate with their presentations.

NOVA TV, Temata na NOVA, 10/20/2019

Cannabis contains over one hundred active substances known as cannabinoids, and most of them are in the flowers, not the leaves. They have different effects on the human body, the key compounds being two:

cannabidiol, which is not psychoactive, and tetrahydrocannabidiol, which is psychoactive. In Bulgaria, cannabis is allowed for cultivation, but only when it has negligible levels of the psychotropic component. The TV show reflects the views of patients, legal manufacturers and others.

Comment on the topic is also made by Alexander Panayotov from the National Focal Point for Drugs and Drug Addiction at the NCPHA.

You can watch the whole TV broadcast here


This year, the WHO selects the topic of suicide prevention as a focus on October 10, marking World Mental Health Day 2019.`
Efforts are being made to raise awareness of suicide globally and the role that every person can play in preventing it.
Through the motto "40 Seconds of Action", people are called to be concerned about suicide. To be informed of what can be done to prevent suicide. To reduce the stigma associated with suicide and mental illness. Let's show people at a difficult time that they are not alone.
Every 40 seconds, someone loses their life to suicide. People of all ages and all over the world are affected. Suicide is the second leading cause of death among 15-29 year olds. Previous suicide attempt is an important risk factor.
NCPHA joins the WHO's World Mental Health Day campaign. Press Conference on Suicide Prevention Day will be held on October 10, 2019 at the Bulgarian Telegraph Agency (BTA).
You can find out more information about WHO suicide prevention materials here.


The NCPHA participates in Work Package 5 and Work Package 7 of  Innovative partnership for action against cancer.

More information »

Clinica.bg, 5.07.2019

Heat stroke is the most common threat to human health, said Zornitsa Spasova from the NCPHA. It begins suddenly, characterized by a lack of sweating and body temperature above 40 degrees, shortness of breath, palpitations and possible loss of consciousness, and can be fatal.

You can read all the material here

The National Center for Addictions (NCA) joins the National Center of Public Health and Analyses with Decree No.168 of the Council of Ministers as of 04.07.2019 on structural changes in the healthcare system.

During the initial period after the transition of the NCA to the NCPHA structure, the NCA website (https://ncn-bg.org) will continue to function in order to have adequate access to information until the updating of the NCPHA website is finalized.

In 2018, the new European Joint Action on Health Equity in Europe (JAHEE) is launched as part of the EU's Third Health Program 2014-2020. JAHEE includes a total of 25 European countries: Belgium, Bulgaria, Germany, Greece, Denmark, Estonia, Spain, Italy, Cyprus, Lithuania, the United Kingdom, Poland, Portugal, Romania, Slovakia, Slovenia, Finland, France, Netherlands, Croatia, Czech Republic, Sweden, Bosnia and Herzegovina, Norway and Serbia. 22 of them are EU members.

NCPHA is the coordinating organization for Bulgaria with a commitment to implement activities under work packages 8 and 9 - "Improving access to health and social services for those left behind" and "Health and equality in all policies".

Tribune.bg, 25.06.2019

The better technology we have, the better we will live. The question is how do we use them, says Professor Michel Israel, PhD of the NCPHA in a conversation about the challenges and new horizons posed by the 5G technology, the potential risks and prospects for humanity
You can read the entire interview here

People who protest against the strategy for the child have no information about their own past, says Assoc. Prof. Hristo Hinkov
Sega Newspaper, 11 June 2019 by Yanina Zdravkova

Assoc. Prof. Hristo Hinkov is a psychiatrist. He graduated in medicine in 1980. He was Head of the Department of Projects at the Ministry of Health and Deputy Director of NHIF in 1997-2001. He is Director of the National Center of Public Health and Analyees since 2015.

New TV, "Hello, Bulgaria", 13.06.2019 A new regulation on healthy eating for children prohibits fried foods, frozen meat and foods with hydrogenated fats. The project was published for public discussion on the website of the Ministry of Health. "All of these products are part of a balanced diet for children. The previous Ordinance No.6 banned the mekitzi (Bulgarian doughnut) and fried slices in whole-day meals. The fish will not be excluded as food - chilled fish will be offered, which is more beneficial to the children", said Assoc. Prof. Lalka Rangelova, MD, PhD from the Food and Nutrition Department of the National Center of Public Health and Analyses (NCPHA). The new regulations will be approved by the beginning of the next school year. You can watch the whole story here