Date: Thu 23 Nov 2017 10:13
Source: Sofia News Agency [edited]
<http://www.novinite.com/articles/185524/Roma+Ghetto+in+Southern+Bulgarian+City+Struggling+with+Hepatitis+A+Outbreak>

There is a boom of infected patients with hepatitis A in Rakovski. There are sick children in several schools and kindergartens. The 1st diseases have been since the beginning of September 2017. Everyone has gone through the infectious clinic in Plovdiv, say the city's health
inspection.

"This is an infection that is transmitted by faecal-oral route and the problem is that the incubation period of the disease is quite long -- up to 45 days, a person is infectious before he becomes yellow," health inspectors warn.

In the Roma neighbourhood of Rakovski, almost every house has a hepatitis A sufferer. Residents of the neighbourhood admit they do not know how to protect themselves. There are a total of 35 reported cases of infected children at Hristo Smirnenski School in Rakovski. Parents of students are worried and threaten to stop their children from school if no action is taken.
****************************
Date: Fri 24 Nov 2017 15:30
Source: Focus News Agency [edited]
<http://www.focus-fen.net/news/2017/11/24/425335/minister-kiril-ananiev-144-cases-of-hepatitis-a-reported-in-rakovski-from-july-to-october.html>

>From the beginning of July 2017 to the end of October 2017, there have been 2 outbreaks of type A viral hepatitis with a total of 144 cases in the municipality of Rakovski, said minister of health Kiril Ananiev during [Fri's 24 Nov 2017] parliamentary control session, FOCUS News Agency reports.

"The 1st outbreak started on [Sun 23 Jul 2017] and included a total of 50 cases from the villages of Belozem, Shishmantsi and Chalakovi. The infection was transmitted from the village of Milevo, where in April 2017, 16 cases were reported. The 2nd outbreak was reported on [Wed 16 Aug 2017], and up to now there have been 62 cases in the town of Rakovski. In addition, in the village of Katunutza, Sadovo municipality, from [Fri 18 Aug 2017] to date, a total of 32 cases have been reported. Out of a total of 144 cases from Rakovski and Sadovo, 105 or 72.9 per cent are children under 15 with mild symptoms.

Since the beginning of 2017, 568 cases of viral hepatitis A have been reported in the region of Plovdiv. The infection was caused by inadequate sanitation and poor personal hygiene, not by unsafe water or food," the minister said.
==================
[The source in this outbreaks is unclear but appears related to general defects in poor sanitary conditions. Hepatitis A infection in children is primarily asymptomatic or anicteric (without jaundice). With a spate of children recognized with the acute infection, it is certainly likely that many more cases will have occurred. - ProMed Mod.LL]

[A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/63444>.]
Date: Thu, 7 Sep 2017 16:05:20 +0200

Sofia, Sept 7, 2017 (AFP) - Other European holiday spots may be getting fed up with tourists, but not Bulgaria, where the government is sending thank-you postcards to some of the record numbers of visitors to the country this year.   The "Thank you for choosing Bulgaria!" cards, showing the Thracian tomb in Kazanlak or the Rila Monastery, will be sent to 400,000 tourists chosen randomly from the five million who visited as of July 31.

Tourism Minister Nikolina Angelkova said on her ministry's website that the cards would be personally signed by her as a sign of her "gratitude". The addresses were obtained from hotels.   Bulgaria is a cheap winter and summer holiday hotspot bordering Greece and the Black Sea, and tourism accounts for 13 percent of its economic output.   The country, the European Union's poorest member, posted a 7.2 percent rise in visitors through July 31.
Date: Tue, 29 Aug 2017 18:40:31 +0200

Sofia, Aug 29, 2017 (AFP) - Authorities in Bulgaria have seized a tonne of powdered eggs contaminated with the same chemical that has led to millions of poultry products being recalled across Europe, the country's food safety agency said Tuesday.   The agency said it was informed by German officials earlier this month that a 500-kilogramme (1,100 pounds) batch of powdered eggs originating in Germany and used to make mayonnaise and ice cream was contaminated with the insecticide fipronil. 

A second batch, also from Germany, was discovered on Tuesday.   Millions of eggs have been pulled from supermarket shelves and destroyed across Europe and dozens of poultry farms closed since the fipronil contamination was made public on August 1.   Commonly used to get rid of fleas, lice and ticks from animals, fipronil is banned by the European Union from use in the food industry.    The issue has sparked a row between Belgium, the Netherlands and Germany, the three countries at the centre of the crisis, about how long officials knew about the problem.
Date: Mon 24 Jul 2017 12:30
Source: Novinite [edited]
<http://www.novinite.com/articles/181527/The+Largest+Outbreak+of+Measles+in+the+Country+at+Stolipinovo+Subsides>

The largest outbreak of measles in the country in Stolipinovo is already subsiding. No new cases have been reported in the neighbourhood in Plovdiv in the last week [week of 16-22 Jul 2017], Todor Kantardzhiev, the director of the National Center for Contagious and Parasitic Diseases, announced on [Mon 24 Jul 2017] before the Bulgarian National Television.

According to him, more than 160 people from Plovdiv, Pazardzhik and Montana were infected with measles. The 1st cases of measles infection were recorded in March this year [2017] amid an outbreak in Romania. The 1st ones were infected from the Stolipinovo district of Plovdiv, including a 10-month-old baby who died. The disease spread rapidly, and in just a few weeks the infected were dozens. According to Prof. Kantardzhiev, at the height of summer in our sea resorts the registered cases of viral infections are less than those in Sofia.

"The bad thing is that the enteroviruses of 200-330 patients, can cause inflammation of the nervous system, which is why we say -- very good hygiene in the summer is vital -- hands washing, before meals, after using the toilet, antibacterial wipes are just some of the main advises.
====================
[A Healthmap / ProMED map of Bulgaria can be found at
<http://healthmap.org/promed/p/81>]
Date: Sun, 11 Dec 2016 17:21:36 +0100

Hitrino, Bulgaria, Dec 11, 2016 (AFP) - Bulgarian authorities said on Sunday that the death toll following the derailment of a train transporting gas which then exploded close to a village has risen to eight.   The blast ripped through the northeastern village of Hitrino early Saturday morning, destroying a railway station, offices and dozens of houses, an AFP photographer saw. 

Aerial footage following the crash showed a massive plume of black smoke rising over the village and charred tankers lying scattered around the tracks by the ruined station.    "The number of victims after the accident yesterday has now risen to eight," Bulgarian Prime Minister Boyko Borisov said Sunday. Twenty-nine people were seriously injured following the blast.

Local authorities declared a state of emergency on Sunday and sealed off the devastated village as firefighters continued to douse the 12 tankers that still lay stricken on the tracks.   The freight train was hauling 20 tankers of highly-flammable propylene gas as well as four containing liquefied petroleum gas, a mixture of propane and butane.    Hitrino's roughly 1,000 residents were all evacuated on Saturday and told that it might be several days before they will be permitted to return to their homes, many of which were destroyed by the blast.

Prosecutors visited the blast site Sunday to determine what caused the deadly accident.   "If we are guilty, we will take our responsibility," Stanko Stankov, the owner of the train's operator Bulmarket, told BNR public radio on Sunday.    All three of the train crew, who survived the crash and the explosion, as well as a Hitrino station worker, were all questioned by authorities on Saturday.    The government said there would be a day of national mourning on Monday and promised to pay compensation to victims' families as well as contributing to the reconstruction of the village.
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