Statements, Recommendations and Other Documents

Eurasian Harm Reduction Association condemns the Russian war against Ukraine

The values of the Eurasian Harm Reduction Association (EHRA), our mission, and all our work are aimed at ensuring the people’s rights and freedoms, health, and well-being.

We consider the actions of the Russian Federation on the territory of Ukraine as an act of genocide against the people of Ukraine and a grave violation of the international humanitarian and human rights law. We condemn and oppose Russia’s act of aggression and incursion into the sovereign state of Ukraine in violation of international law.

We make every effort to support Ukrainians, first of all, those from among the representatives of key populations affected by HIV, TB, including people who use drugs, who became a victim of this war and genocide.

In regard to the above-mentioned, EHRA will stop any partnership with organizations or individuals who do not support the position of the EHRA on the issue of Russian aggression against Ukraine. By default, the position represents the opinion of all EHRA members.

Regional and global public health professionals and community and civil society activists call on WHO to make a strong statement on Ukraine, with clear public health messaging and a bold plan to support people in need and mitigate human suffering that will come with the escalation of the Russian military activities in the Eastern part of Ukraine and Donbas region in particular!

 

Regional and global public health professionals and community and civil society activists call on WHO to make a strong statement on Ukraine, with clear public health messaging and a bold plan to support people in need and mitigate human suffering that will come with the escalation of the Russian military activities in the Eastern part of Ukraine and Donbas region in particular!

 

This document aims to provide operational guidance for the prevention and control of infectious diseases in the context of mass exodus of displaced people from Ukraine. It is important to note, however, that these are just few of the risks to the health and well-being of the displaced people, and that the measures described in this document should be part of a more generalised health measures, including diagnosis and treatment of chronic disease and mental and psychosocial health.

The International Network of People who Use Drugs (INPUD) stands in solidarity with the Ukranian Network of People who Use Drugs (PUD.UA/VOLNA), the Ukranian Network of Women who Use Drugs (UNWUD/VONA) and all Ukrainian peers, colleagues, and friends against the invasion of their country by Putin’s regime. This is a clear, unequivocal act of aggression against a sovereign country and its’ people that is also against the will of many Russian people, who are vocalising their dissent, despite personal risk.

The Pompidou Group, together with leading European psycho-trauma experts, has developed recommendations on how people can better interact and communicate with persons who have experienced a crisis or difficult life event. The recommendations were developed at the request of the Ukrainian Ministry of Interior and in light of the traumatic situations experienced by the Ukrainian population due to the ongoing Russian hostilities in Ukraine.

 

INCB reminds all Governments that in acute emergencies it is possible to utilize simplified control procedures for the export, transportation, and provision of medicinal products containing controlled substances.

Competent national authorities may permit the export of medicines containing narcotic drugs and/or psychotropic substances to the areas in the absence of the corresponding import authorizations and/or estimates. Urgent deliveries do not need to be included in the estimates of the receiving country.

EHRA together with a number of partners sent out a statement on the urgency and approaches to ensure continuity of essential life-saving treatments for Ukrainians who have to flee their country due to the ongoing war, with a particular focus on two areas – HIV and opioid dependency.

The statement was sent out to:

Ms. Stella Kyriakides, European Commissioner for Health and Food Safety
Ms. Sandra Gallina, Director General, Directorate-General for Health and Food Safety
Ms. Ylva Johansson, European Commissioner for Home Affairs
Mr. Pascal Canfin, MEP, Chair of the Committee on the Environment, Public Health and Food Safety, European Parliament
Ms. Sara Cerdas, co-Chair of the European Parliament’s Working Group on Health
Ms. Stéphanie Seydoux, French Ambassador for Global Health
Mr. Clément Beaune, French Secretary of State in charge of European Affairs
Mr. Vlastimil Válek, Minister of Health of the Czech Republic
Ms. Pavla Chomynová, Head of the Czech National Monitoring Centre for Drugs and Addiction
Mr. Adam Niedzielski, Minister of Health of the Republic of Poland
Mr. Piotr Jabłoński, Director, National Bureau for Drug Prevention, Republic of Poland
Ms. Anna Marzec-Bogusławska, Director, National AIDS Centre, Republic of Poland
Mr. Vladimír Lengvarský, Minister of Health of the Slovak Republic
Mr. Ľubomír Okruhlica, Chief Expert of the Ministry of Health of the Slovak Republic for drug addiction medicine
Mr. Miklós Kásler, Minister of Human Capacities of the Republic of Hungary
Mr. Alexandru Rafila, Minister of Health of Romania
The Romanian National Anti-drug Agency
The Romanian National Centre for Mental Health
European Monitoring Centre for Drugs and Drug Addiction
European Centre for Disease Prevention and Control

45 civil society organizations from different European countries including Ukraine requested relevant UN, EU structures and humanitarian institutions to urgently support and set up of an uninterrupted supply chain of humanitarian assistance to the affected populations within the country, and to establish safe humanitarian corridors to evacuate civilians from Ukraine.

Practical Information for Ukrainian Refugees Entering Moldova

Information on how to enter Moldova can be found here:

Information about health insurance can be found here: www.cnam.md or by calling the Hotline 0 800 99999

  • Balti city and Northern Moldova

People who use drugs (priority to women and children), people living with HIV, sex workers who need temporary shelter services can contact Union for Equity and Health by phone  +373 79833133 or  + 373 79571441.

  • Chisinau city and Central region

           Positive Initiative can be contacted by phone +373 22 00 99 74 or +373 79707703

  • Chisinau city

LGBTQI people can contact The Information Centre „GENDERDOC-M” that is renting apartments or rooms for refugees. Hotline +373 60491200 (Telegram, WhatsApp, Signal, Viber)

Information on where Ukrainians can receive food or clothes can be found here:

Harm reduction organisations that work in Moldova:

  • Ocnita, Otaci, Donduseni, Briceni (North): O.A. ”Tinerele femei Cernoleuca” Phone +373 02512-51-16; +373 069688853
  • Balti, Falesti, Ungheni, Edinet: O.A. “Union for Justice and Health”, tel: +373 79833133, +373 231 92551
  • Orhei: O.A. ”Center “Adolescentul”, tel.: +373 235 22333
  • Chisinau:

-O.A. “Positive Initiative”, tel: +373 22 009974, +373 79707703

-O.A. ”AFI – Act for Involvement”, tel.: +373 22 600490

-O.A. ”Pentru Prezent și Viitor”, tel.: +373 22 921240

-O.A. “Information Center “GENDERDOK-M”, tel.: +373 60491200 (Telegram, WhatsApp, Signal, Viber)

  • Cahul: O.A. ”Pas cu Pas regiunea Sud”, tel.: +373 299 84283
  • Rybnitsa: O.O. “Center for social support “Trinity”, Rybnitsa, st. Mayakovskogo d. 52, tel.: +373 555 40 133 triniti.md@gmail.com
  • Tiraspol: N.P. “Alliance of public health”, Tiraspol, st. Trade unions, 47; tel.: +373 779 888 39; +373 779 888 37 alians.zdorovia@gmail.com
  • Benders: O.O. “Bender city society

Information on how to get psychological support can be found here:

Methadone and Buprenorphine are available in Moldova.

To receive OST you will need:

  • Any ID;
  • Certificate or
  • Extract form narcologist.

Ukrainians can contact:

  • Chisinau (Centre), Narcological Hospital Petru Rareș 32 street, doctor Lilia Fiodorova, tel: +373 22 293684, ONG support – +373 22 00 99 74, +373 79707703
  • Balti (North), Balti Hospital, Decebal, 101 street, doctor Eduard Ninescu, tel: +373 231 34986, NGO support – +373 79833133 (Union for Equity and Health)
  • Comrat (South), Health Center, Victoriei 44 street, doctor Ion Vieru, tel: +373 298 23379

Information on ART can be obtained from the following organisations:

  • Center for PLHIV, Chisinau, Melestiu 20/M street, tel.: +373 22 809290 e-mail: csrcentru@mail.ru
  • Center for PLHIV, Balti, Pobedy 7-A street, tel: +373 231 36920 e-mail: csrnord@gmail.com
  • Center for PLHIV, Comrat, Lenin 19 street, tel.: +373 298 23215 e-mail: csrsud@mail.ru

Practical Information for Ukrainian Refugees Entering Romania

Information on transportation from borders can be found here:

Solidarity call centre 0377300300

ARAS provides 8 places in a shelter for people living with HIV and other vulnerable persons: https://www.facebook.com/ARASRomania
ACCEPT provides shelter for LGBTQI https://www.acceptromania.ro

Information on where to receive food or clothes can be found here: https://dopomoha.ro/uk

ARAS- Romanian Association against AIDS. More information can be found here: www.arasnet.ro

Only methadone is available in Romania. 

In order to receive the treatment a person will need an identity card/passport. 

ARAS – methadone substitution treatment: Cristina Fierbinteanu, +40741636940

In order to receive the treatment a person will an identity card/ Passport. 

ARAS can assist in accessing ART treatment: Mihai Lixandru: +40742016592

https://www.facebook.com/ARASRomania

Practical Information for Ukrainian Refugees Entering Slovakia

Information in English and Ukrainian can be found here:

The Ministry of Interior has set up infolines for Ukrainian-speaking people. The lines are also available from Ukraine and serve to inform Ukrainian citizens in need: +421 513 816 111; +421 259 765 111

The transportation from borders is coordinated by the police or NGOs.

In Slovakia train travels are free for Ukrainians, single seat costs (1 Eur) needs to be covered. Also bus services are free for Ukrainians in Bratislava.

Health care will be provided to citizens affected by the war in Ukraine on the basis of their status: if Slovakia is a transit country, you must pay in full for all health care provided; if you obtain temporary refuge status, you will be entitled to urgent medical care.

If you are tested positive for COVID-19, you will receive all necessary examinations and care. If you do not have insurance, the payment will be made from the state budget. More information can be found here:

Information on where Ukranians can receive food and clothes can be found here:

In Slovakia Methadone is available as OST medication.

After receiving refugee status, please contact Odyseus (www.ozodyseus.sk; jasekova@ozodyseus.sk, +421908 50 30 20, +421908 786 706) for help to get in touch with OST providers.

Please note that HOTSPOTS with medical personnel are operating on borders, where your needs for specific health treatments can be registered and further information given.

OST for people with temporary refugee status is provided mainly in Bratislava, Banska Bystrica and Košice.

Few psychitarics are prescribing OST in various cities at following addresses:

  1. Cesta k nemocnici č. 55, 974 01 Banská Bystrica
  2. Hraničná 2, P.O.BOX 51, 827 99 Bratislava
  3. Skladná 2, 041 90 Košice

After receiving refugee status, please contact Odyseus (www.ozodyseus.sk; jasekova@ozodyseus.sk , +421908 50 30 20 , +421908 786 706 ) for the help to get in touch with ART providers.

Please note that HOTSPOTS with medical personnel are operating on borders, where your needs for specific health treatments can be registered and further information given.

Treatment is provided in clinics for infectious desiases in Bratislava, Nitra, Banská Bystrica, Martin and Košice.

Website with all the info for people from Ukraine fleeing to Slovakia:

The Ministry of Interior has set up info lines which are also available from Ukraine:

+421 513 816 111

+421 259 765 111

Practical Information for Ukrainian Refugees Entering Poland

All the Ukrainian-Polish border crossings are working. To enter Poland you need a passport, or any other identity document, such as a Ukrainian ID card. Minors under 16 years old, who don’t have such documents, should have their birth certificate with them.

Up to date information in Ukrainian about crossing the border can be found at the webpage of Homo Faber (NGO based in Lublin):

At every border crossing there are registration points for the refugees. From there, there are buses going to different places in Poland, as well as volunteer drivers offering rides in their cars.

PKP Intercity allowed Ukrainian citizens to travel by train free of charge on the basis of a document confirming citizenship. Free tickets with a seat reservation for Ukrainian citizens must be collected at ticket offices at railway stations. For further information, please contact Customer Service Department by sending a message to the following e-mail address: contact@polistrains.eu or by calling +48 12 352 36 58. More information can be found here:

Association Lambda Warsaw (focused on LGBTQI+ communities) initiated a centre of support for ppl fleeing Ukraine, where – among other forms of support such as psychological and legal advice in Ukrainian – they provide help with arranging housing for LGBTQI+ persons: 

All the Ukrainians are able to access the entire Polish healthcare system on the same basis as Polish people, using just their Ukrainian passport or other ID document.

Grupa Granica is gathering information regarding the health care system in Poland:

Information on where to receive food and clothes is available at all border crossings. Also more information is available from following organisations:

It is best to check the official webpage of the city/town that people arrive at. In Warsaw, for example, it would be:

The Polish National Association of Psychologists is in the process of creating a database of psychologists willing to help people from Ukraine. For further information please visit:

Psycholodzy i Psycholożki dla Ukraińców | Психологи для України Facebook group:

Lambda for LGBTQI+ persons:

Fundacja Ocalenie: 

Polskie Forum Migracyjne – Polish Forum on Migration – psychological support, crisis intervention, help line – in Ukrainian and Russian:

Via phone, WhatsApp, Viber.

The National Centre for Counteracting Addictions has announced establishing of a Helpline for People from Ukraine:

toll-free: 800 11 08 11

Payable according to the operator’s tariff: +48 222907000 (operates daily from 16.00-21.00).

In Poland Buprenorphine and Methadone are available for OST treatment.

List of OST programs can be found here: https://www.kbpn.gov.pl/portal?id=107094

To be included in the substitution treatment people need PESEL number. If the person has medical records of treatment in Ukraine – the treatment can be implemented right away. However, having documentation is not a prerequisite for entering therapy.

An appointment with psychiatrist has to be scheduled in advance.

Some programs have a limited number of places and queue (waiting time – several months). This applies to programs in Poznan, Zielona Gora and Kostrzyn.

To receive ART treatment in Poland Ukrainians will need to provide ID.

Practical Information for Ukrainian Refugees Entering Hungary

Free solidarity tickets for The Hungarian Railways (MAV) are available for Ukrainians with ID.

More information and timetables can be found here:

Upon arrival, refugees are offered to stay in Hungary and transported to refugee shelters if agreed. Alternatively, Ukrainians can leave Hungary and travel further to the West.

There are no shelters in Hungary that provide services specifically to key populations. However exclusions can apply for certain situations (e.g. pregnant woman with drug dependency) and it can be arranged.

People with asylum status are eligible for general health care free of charge. However, the National Health Insurance Fund is now working on a system for those on ART. 

Offices of most of the charity organisations helping refugees at the border and at all railway stations in Budapest.

Information on Harm reduction organisations that operate in Hungary can be found here:

Information on how to get psychological counselling for Ukrainian citizens can be found here:

Methadone – free of charge.

  • INDIT, to contact Dr. János Szemelyácz,  +36309590720 
  • Gyula Nyírő Hospital (Budapest) – only liquid methadone. To contact Tünde Szabó,+36303040112

Suboxone – not covered by health insurance but can be purchased in pharmacies. Prescriptions are available in Budapest. To contact Dr. József Csorba, drcsojoko@gmail.com

To receive OST in Hungary a written certificate from doctors is needed confirming:

  1. a) you were enrolled in OST program;
  2. b) the medication you were on;
  3. c) the dosage you received. 

In most cases medical staff do not speak Russian/Ukrainian, they speak some English – but a translator is needed to assist. There are volunteer translators who can be contacted for assistance.

  • Ilona Daboczy, Russian, Ukrainian – Hungarian, +36303584512
  • Agnes Sulla, Russian-Hungarian, +36207751638
  • Zsolt Halmos, Russian-Hungarian, +36702456893
  • Vladislav Tóth, Russia, Ukrainian – Hungarian,+36702205795
  • Jana Zanoz, Russian – Hungarian, +36703892180

 

Practical Information for Ukrainian Refugees Entering Czech Republic

Ukrainians can use evacuation trains from the border going to Prague. 

Also these operators allow Ukrainians to travel free of charge in their trains:

Need for housing can be registered with the following organizations:

Information and locations for Food banks can be found here:

OST is free of charge, in case a person has health insurance. Passport or ID should be provided to receive OST. Both, buprenorphine and methadone are available for opioid users and Methylphenidate is available for crystal meth users.

Also you can call the information line for Ukrainians :

+420 974 801 802 

“Caritas” of Czechia provides information for Ukrainians:

+420 731 432 431

Practical Information for Ukrainian Refugees Entering Lithuania

Transportation from borders is organised by the Ministry of Transport and Communications.

Please contact by phone +370 52393999 or by email: logistikaua@sumin.lt

Ukrainians who can provide their ID can travel for free by train in Lithuania. More information:

Ukrainians are guaranteed emergency medical care, prenatal care, childbirth, and other essential level I, II and III health care services, which, if not provided, could lead to a deterioration of health to the point of requiring emergency medical services.

Health Insurance Funds can be contacted by email: info@vlk.lt or phone +370 52322222.

Also, free Covid-19 vaccination is available for all Ukrainian refugees. Registration: +370 66011808.

Food can be provided by Maisto bankas. More information to be found here:

The Order of Malta also offers food and clothes for Ukrainians.

More information can be provided by phone +370 60023220 or can be found here:

Caritas of the Vilnius Archdiocese (humanitarian aid):

Kalvarijų str. 39, Vilnius, ph. +370 67324225, e-mail: kulturunamai@vilnius.caritas.lt

Harm reduction organisations that provide their services in Lithuania:

  • Demetra (HIV testing and harm reduction supplies)

Address: Vilnius, Kauno g. 6, demetra@demetra.lt; +370 68710655

  • Support foundation “RIGRA” can provide information on HIV treatment, harm reduction supplies and OST services.

Address: Kaunas, Partizanų st. 5, rigra@gmail.com +370 68717462, +370 67593566

Registration to OST clinic +37052137274

Free psychological support for Ukrainians:

Lithuanian Red Cross  offers humanitarian aid, information and also restoration of family ties.

Address: Juozapavičiaus st. 10A, Vilnius, ph. +370 52127322, e-mail info@redcross.lt, www.redcross.lt

For the OST treatment for Ukrainians contact The Centre for Addictive Disorders.

Contact person: ausra.sirvinskiene@rplc or emilis.subata@rplc.lt; +370 52137274

Methadone and Buprenorphine both are compensated by the state for Ukrainian nationals.

For assistance with accessing ART contact:

  • Demetra. Address: Vilnius, Kauno g. 6, demetra@demetra.lt; +370 68710655
  • Support foundation “RIGRA”. Address: Kaunas, Partizanų st. 5, rigra@gmail.com +370 68717462, +370 67593566

Practical Information for Ukrainian Refugees Entering Estonia

Urgent medical aid is ensured to all persons staying in Estonia if they have a severe or life-threatening health issue. The Family Doctor’s Advice Line 1220 (or +372 634 6630 when calling from abroad) is offering health advice in English and Russian. If necessary, the person will be forwarded to the emergency line 112.

Basic medical assistance is available at the reception center for refugees of Ukraine that has been set up in Tallinn.

Additionally, private initiatives like Viveo Health offer their services to Ukrainians.

The psychosocial crisis support line of the Social Insurance Board, helpline 116 006 (+372 6147 393 when calling from a foreign phone number).
Free psychological support online and offline: write an email to psychelp.est@gmail.com explaining who you are and what is the situation.

They will contact you within 24 hours. Or you can fill the form:

Methadone-based substitution therapy is free for all patients, including those without health insurance. Buprenorphine-based substitution therapy (subutex, suboxone) is a paid service.

ARV therapy and ARV drugs are free for residents of Estonia, regardless of whether they have health insurance. People need confirmation about their HIV-positive status to get ARV drugs.

Practical Information for Ukrainian Refugees Entering Countries in Europe

In this section you can find up-to-date information for Ukrainian refugees entering different countries in Europe: transportation from borders, finding accommodation, health insurance, food and clothes, harm reduction services, opioid substitution treatment, antiretroviral therapy and other relevant information.
ESTONIA
CZECHIA
LITHUANIA
HUNGARY
MOLDOVA
POLAND
Romania flag
ROMANIA
SLOVAKIA
TURKEY
CROATIA
ITALY
PORTUGAL

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