The problem of the lack of general practitioners for children and adolescents in the Czech Republic was even before the conflict broke out in Ukraine. In addition, many doctors are over 60 years old.
“Children of Ukraine especially for general practitioners for children and adolescents they represent a relatively large volume of care in a situation where there were already problems with the care of pediatric patients before the arrival of covid“, said Hulle.
Practitioners solve acute problems, especially for refugee children. “The children are coming with the common illnesses we see in our country, whether they are colds, high temperatures, diarrhea or general exhaustion,” said Ilona Hülle. Children are also stressed.
See everything online
“If a child has mental problems, he usually first goes to his parents with a practitioner. We refer, of course, to psychiatrists and psychologists, but there is also a shortage of it and we have to deal with it somehow, for example, at least listen to them, “says Hülle. According to her, children coming from Ukraine should not go to kindergartens or schools right away.
“The child must first be with his parents before adapting, he must prepare before joining the new team. But it can take weeks or months“, added the doctor.
Ukrainian mothers also come to surgeries with infants up to three months old. There, doctors should arrange a general examination and determine the condition of the child.
Great topic? Vaccination
The big topic is of course vaccinate the children. “We deal with things such as vaccination cards in Ukrainian or their total absence. Ukrainian children do not have the same vaccination schedule as children in our country, we must bear in mind that it will be in many cases needed to complete childhood vaccination. It will not be easy to provide long-term care for Ukrainian children. There are few pediatricians, for example, in the Jihlava region, two doctors found each other at once, and we still have 800 children who have nowhere to register,“Said MUDr. Ilona Hulleova.
I have few practitioners for children
According to her, there are operations where no Ukrainian child has yet comeNowhere are the surgeries overloaded with Czech patients. “These are big cities, e.g. in the Vysočina region, in Brno and its surroundings, in Znojmo. These are surgeries where doctors have already registered twice as many children, than average capacity. We welcome the emergence in each county of UA points in hospitals, who will help us take care of Ukrainian children,“Welcomes the plan of the Ministry of Health Hülle, with the fact that acute care will be provided to Ukrainian children by doctors all the time, the problem would arise when mothers want to register with the children with a practitioner for a longer period of time. It is possible that some practices reject them.
In Ukraine, the vaccination of children is lower than in our country, but only by about 10%. Children have a vaccination schedule similar to ours. According to Hülle, the children have vaccination cards in Cyrillic, then the children who are not vaccinated at all because, for example, they have not had the opportunity to be vaccinated and the third group are children who they are vaccinated, but they have no way of proving it. There, doctors must ask their parents when their children were vaccinated and issue them a replacement vaccination record.
Will there be enough vaccines for children?
MUDr. Ilona Hülle said that by the end of 2021 child practitioners found themselves in a situation where they did not have enough of certain vaccines. So they have already negotiated with the insurances, the ministry and the distributors to make sure that there are enough vaccines for all the children.
Czech and Ukrainian children are compulsorily vaccinated against diphtheria, tetanus, whooping cough, poliomyelitis and infections caused by Haemophilus influenzae type b, against viral hepatitis B, against measles, rubella and mumps MMR. Some vaccines are different in Ukraine and the Czech Republic, but they can be replaced by national vaccines.
After talks with EU Health Commissioner Stella Kyriakides, Health Minister Vlastimil Válek (TOP 09) said thatprovides approximately 30,000 doses of these vaccines.
According to Hulle These vaccines have a long expiry date, but it can be difficult to know where to store them.