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Letter to the National Assembly and the Council of Ministers

To the Prime Minister of Bulgaria
Mr. B. Borisov
To the President of the 41 th National Assembly
Mrs. W. Tsacheva 
To the Minister of Health
Dr. S.. Konstantinov
To the Ombudsman of Bulgaria
Mr. K. Penchev  

Subject: The implementation of the Declaration of the National Assembly of Bulgaria on the occasion of November 14 - World Day to Combat Diabetes, to support actions to limit and control of diabetes in the Republic of Bulgaria adopted by the 40th National Assembly 14.11.2008 year. 
Dear Mr. Premier,
Dear Mrs. President,
Dear Mr. Minister
Dear Mr. Ombudsman 
In 2006 the European Parliament adopted a special declaration of diabetes, which calls on States to establish national diabetes programs.

On December 20, 2006 was adopted UN resolution which diabetes was declared a global epidemic and urged all countries to develop national policies in the field of diabetes.
 In February 2008 in Plovdiv, initiated by the Group of parliamentary consensus on combating socially significant diseases to CA in the 40th National Assembly of Bulgaria held a round table discussion on diabetes mellitus in Bulgaria - Challenges and Policies. Identified were the main measures which should take all the limitation of diabetic pandemic in the country.
On this basis, of 14 November 2008 National Assembly of Bulgaria adopted a particular Declaration (see Annex 1), which outlined the main steps in the fight against diabetes in the country, socially significant diseases and it appears as a National Health Priority!

Of these events in Bulgaria NOTHING follow!
We specialized in European documents Bulgaria ranked last in Europe in the quality of diabetic care!

Recent studies show that 9% of the population in Bulgaria over the age of 20 has diabetes. This makes about 500 000 inhabitants. This is published in the World Atlas of Diabetes from 2009.

 In connection with the foregoing and the past more than two years after the adoption of this Declaration, please give us answers to the following vital for people with diabetes questions:
1.Which of the texts from these international and national documents is implemented by the Bulgarian authorities so far? What is going to be implemented and in what time ..?
2.What is the national policy for prevention, training, modern treatment of diabetes mellitus in Bulgaria and prevention of all diabetes disabled?
3.For not yet adopted national program to combat diabetes and National Action Plan for prevention, early diagnosis and adequate treatment of diabetes in line with the recommendations of the European Parliament, the World Health Organization and United Nations?
4.When these strategic documents will be discussed and adopted by 41 th NA ..? 5.When will be provided adequate funding for all measures included in these documents long-term program to tackle diabetes in Bulgaria?
6.Why there is not yet established and functioning national diabetes register, and all management decisions of the SB, SM, NHIF ... are taken in the dark - without a clear view on the real numbers and real needs of diabetics ...?
7.When the bulgarian healthcare is really going to start spending more on prevention, early diagnosis, effective treatment, training, regular monitoring and self-control of diabetes and prevention of all diabetic complications, but not as usual - to deliver tens of times more resources for later found and untreated disabilities which warrant quick disabling, costly hospitalizations and mortality ..... 

   7.01.2011                                          on Credit: 
  Gr. Sofia                                                   (Dr. A. Stoev - President of BAD)


OF THE NATIONAL ASSEMBLY OF BULGARIA regarding November 14, WORLD DAY AGAINST DIABETES in supporting action to restrict and control of diabetes mellitus IN THE REPUBLIC OF BULGARIA
From. SJ. N.101 on November 25th; 2008.
We - the people's representatives in the fortieth National Assembly of Bulgaria are having underlined:
- The importance of the adoption on 16 January 2006 by the European Parliament Declaration of diabetes, which calls on countries to prioritize diabetes, to encourage the creation of national diabetes plans to develop a strategy for the prevention, diagnosis and control of diabetes;
- The importance of the adoption on 20 December 2006 resolution of the General Assembly of the United Nations, which urges Member States to develop national policies for prevention and adequate treatment of diabetes,
Noting that:
- Attention of European society is increasingly drawn to diabetes, due to growing rates of spread of this socially significant disease;
- Diabetes mellitus is one of the main causes of premature death worldwide: every 10 seconds one person dies due to complications of the disease;
- The epidemic of diabetes poses a great risk the economic systems of European countries and especially member states from Eastern Europe;
- In Bulgaria, spread of diabetes acquired threatening proportions and according to data of the World Health Organization and the International Federation diabetes affects 7.6 percent of the population. Of these, 40 percent do not know that we have developed the disease, and others 6.1 percent of the population are able called "preddiabet, and in subsequent years majority of them will develop the disease;
- Disease occupies one of the leading places in the structure of morbidity and mortality in our country, with about 75 percent of diagnosed diabetics with poor metabolic control, leading to the development of complications - myocardial infarction, stroke, blindness, amputatsii and chronic renal failure ;
- Diabetes can be controlled with proper care, training and advanced treatment, experience of leading countries shows that early diagnosis, effective prevention and treatment of diabetes and its complications, and patient education are essential for reducing morbidity occur and the progression of complications on disability and mortality from diabetes, which could lead to improved quality of life of people with diabetes;
- The existence of effective national program to combat diabetes and National Action Plan for prevention, early diagnosis and proper treatment of diabetes will significantly reduce the adverse indicators in terms of diabetes in Bulgaria and will significantly reduce the cost of treatment;
convinced declare that:
- Will assist through legislative initiatives to create conditions for effective combating diabetes and opportunities for implementation of European standards for prevention, treatment and care for patients;
- Diabetes mellitus as a serious social-economic problem should be a priority in national health policy all institutions;
- Need an indispensable part of the limitation and control of disease in Bulgaria, conduct extensive public information campaign on prevention of diabetes;
- It is imperative that the establishment and implementation of National diabeten registry and a comprehensive national information system on patients with diabetes mellitus in Bulgaria;
- Priority to responsible institutions in Bulgaria should be the preparation of national program to combat diabetes and National Action Plan for prevention, early diagnosis and proper treatment of diabetes in line with the recommendations of the European Parliament, the World Health Organization and the United Nations;
- National Program for combating diabetes and national action plan for prevention, early diagnosis and proper treatment of diabetes to be submitted for consideration and adoption by the National Assembly;
- Necessary after the program and action plan responsible institutions to take the necessary action to ensure adequate funding for effective implementation of the objectives of these documents;
- It is imperative that the establishment of effective mechanisms for monitoring implementation of the objectives of the aforementioned documents.
The declaration was adopted by the 40th National Assembly on 14 November 2008 and is stamped with the official seal of the National Assembly.