General recommendations of MOH to follow during the martial law in Ukraine
FIRST AID KIT: WHAT IS IMPORTANT TO BRING WITH YOU IN STORAGE
It is important to have a proven convenient shelter, where you need to be in the declared period in times of martial law. In addition to warm things and products, you need to bring a first aid kit for household needs. Put it in a special bag or cosmetic bag.
Namely patches of different sizes; activated carbon to prevent intoxication; drug to reduce fever; anesthetic; antiallergic drug; diarrhea medication; drugs for gastric infection; drops in case of infectious and inflammatory eye diseases; the medicine you are taking (dosage for at least a week) with a description of the method of application and dose; stock of masks; thermometer.
If you have a chronic illness and are receiving regular treatment, don’t forget to take your medicine with you.
WHAT TO DO IN THE EVENT OF A RADIATION ACCIDENT?
If there is a radiation emergency in your area, you need to stay indoors or go in immediately if you are outdoors. This is the safest thing you can do.
Go to a shelter, basement or in the middle of a building. Radioactive material settles on the outside of buildings, so it is best to stay as far away from the walls and roof of the building as possible.
Take pets inside.
Close and lock all windows and doors in the room.
Follow the reports from rescuers of the SES, police and local authorities.
Remove the top layer of clothing. This way you will get rid of up to 90% of the radioactive material. Do this carefully so as not to shake off the radioactive dust. Place clothes in a plastic bag or airtight container and keep them away from people and pets.
Wash yourself. If possible, take a shower with soap, wash your head with shampoo. Do not use hair conditioners as they can fix the radioactive material on your hair. Do not rub or scratch the skin to prevent radioactive material from entering open wounds. If you can’t take a shower, wash your hands, face and exposed parts with soap under running water. If you do not have access to water, use wet wipes, damp cloth. Pay special attention to your hands and face, wipe eyelids, eyelashes, ears.
Put on clean clothes.
Help your family and friends to make all the above points. If possible, do this in gloves and a mask or respirator.
Food and Drinking Water Safety in a Radiation Emergency
Food from airtight containers (cans, jars, bottles, boxes, etc.) is safe.
Food stored in the refrigerator or freezer is also safe. Wipe food containers with a damp cloth or clean towel before opening. Wipe kitchen utensils with a damp cloth or clean towel before use. Put a used cloth or towel in a plastic bag or airtight container and leave it out of reach of people and animals.
Pet food safety
Just like human food, pet food in airtight containers (cans, jars, bottles, boxes, etc.) will be safe to eat. Wipe pet bowls and mats with a damp cloth or towel. Put a used cloth or towel in a plastic bag or airtight container and leave it out of reach of people and animals.
As long as rescuers or the authorities do not report the safety of tap water, only bottled water will remain unpolluted. The packaging protects the liquid inside from radioactive substances.
Boiling tap water does not get rid of radioactive substances. So keep water in bottles or other airtight containers. Drinks in the refrigerator are also safe to drink.
Water in other containers in your home, such as a toilet or water heater, will not contain radioactive substances.
Tap or well water can be used to wash yourself and food and water packaging.
Even if tap water is contaminated, you can still use it for disinfection. Any radioactive material that enters surface or groundwater will be diluted with water to a very low level and will be safe for washing skin, hair and clothing.
WHAT TO DO IN CASE OF CHEMICAL THREAT?
How to detect signs of poisoning Chemical compounds can irritate the eyes, mucous membranes, skin and respiratory tract, may have difficulty breathing – cough, sputum, sometimes with blood, runny nose, dry throat, hoarseness, runny nose, nosebleeds, chest pain.
At irritation of a mucous membrane of eyes – reddening, an inflammation, hypostasis, corneal opacity, defeat of an iris of an eye.
In acute poisoning – headache, dizziness, general weakness.
Chemical contamination can also complicate chronic lung diseases such as asthma and emphysema.
How to protect yourself?
- to seal the room: tightly close windows and doors, chimneys, ventilation hatches;
- “curtain” the front door, using any dense fabric;
seal the cracks in the windows and joints of the frames with film, adhesive tape;
- in case of odor, use respiratory protection – you can use a cotton gauze bandage soaked in 2% soda solution.
if necessary (the presence of odor) protect the respiratory system with personal protective equipment;
not to be in low-lying areas – valleys, ravines, etc .;
not to stay long in basements and semi-basements;
try to be on the rise;
follow the direction of the wind.
In case of a complicated situation (when the wind direction changes), determine the route of exit from the zone of potential chemical danger (exit to the side perpendicular to the wind direction) and leave this zone as soon as possible.
With a favorable change in wind after leaving the area of contamination or receiving a signal of the end of chemical danger:
open windows and doors, ventilate the room;
take a shower or wash exposed parts of the body with soap;
exclude any physical activity.
Wash food (vegetables and fruits) with a weak (2%) soda solution.
HOW TO BEHAVE IN CASE OF ACCIDENTS IN HOUSES
TELEPHONES OF RESCUE AND EMERGENCY SERVICES
112 – Unique call number of all emergency services (dispatcher will call the team of the required service)
101 – Fire Service
102 – Police
103 – Ambulance
104 – Emergency service of the gas network
Useful services on HIV, TB, Hep B and C treatment, OAT in Ukraine and abroad
Since the start of Russia’s full-scale war in Ukraine, the Center for Public Health and partner organizations have been doing their best to ensure that everyone in Ukraine living with HIV and receiving antiretroviral therapy (ART) can receive vital medicines.
If people living with HIV have left their place of residence abroad due to hostilities, they can receive antiretroviral therapy and other medical care in any country in the world.
Online services will help you find a clinic in a particular country. Modern online services for PLHIV patients have already been launched and are working:
- online platform: https://findart.phc.org.ua
- Telegram chat-bot on ART: https://t.me/HIV_AIDS_bot
- HelpNow service: https://helpnow.aph.org.ua
- HelpNow Telegram chat-bot : https://t.me/helpnowbot
- AHF hotline: +38 (098) 306-79-05, (093) 109 29 92, (099) 109 29 92
- the HIV / AIDS hotline continues to operate: 0 800 500 451
A fast algorithm for data exchange between doctors, both in Ukraine and abroad, has been developed in partnership with the WHO European Office, CHIP, EACS and ECEE. Details: Standardized protocol for clinical management and exchange of medical data for people living with HIV among refugees from Ukraine.
If possible and upon request, gather the necessary medical documentation regarding your medical history and your treatment.
In particular, patients have the opportunity to submit a request form to their doctor if they find themselves in a situation where there is no confirmed information about the treatment they received in Ukraine. More information on how to submit a request and a sample can be found here.
These resources will help people living with HIV to find ART where they are now – in Ukraine or abroad. The specialists of the Center for Public Health regularly update the data on the working institutions.
During the martial law, tuberculosis patients can receive treatment in any corner of the country to which they have been evacuated from dangerous regions, and if anyone suspects symptoms of tuberculosis, they can receive a consultation at the nearest anti-tuberculosis facility. The website of the Center for Public Health of the Ministry of Health of Ukraine lists the telephone numbers of anti-tuberculosis institutions according to their location, where everyone can consult about tuberculosis treatment.
One can find out about approaches to treatment and support of patients with viral hepatitis B and C in Ukraine, as well as a map with institutions that provide medical assistance to such patients in Ukraine here.