Vor 3 Stunden
In der Vergangenheit zeigte sich fast nach jedem größeren Konflikt, dass bestimmte Krankheitsbilder zunahmen. Ich schätze, dass auch der Ukrainekrieg in den Fernwirkung noch eine Zunahme von Krankheiten bedingen wird.
Etwa sind Tuberkulose, Hepatitis und Masern sowie Polio in Osteuropa deutlich auf dem Vormarsch, ebenso gibt es bereits seit 2023 immer wieder Hinweise darauf, dass multiresistente Krankenhauskeime von Kriegsflüchtlingen verstärkt mitgebracht werden. In Teilen liegt dies auch daran, dass Verwundete, die etwa Schwarzerdereste in den Verletzungen haben, was gefährliche Entzündungen verursachen kann, mit Unmengen Antibiotika behandelt werden. Diese Vorgehensweise trägt mit zur Verbreitung multiresistenter Keime bei.
Schneemann
Etwa sind Tuberkulose, Hepatitis und Masern sowie Polio in Osteuropa deutlich auf dem Vormarsch, ebenso gibt es bereits seit 2023 immer wieder Hinweise darauf, dass multiresistente Krankenhauskeime von Kriegsflüchtlingen verstärkt mitgebracht werden. In Teilen liegt dies auch daran, dass Verwundete, die etwa Schwarzerdereste in den Verletzungen haben, was gefährliche Entzündungen verursachen kann, mit Unmengen Antibiotika behandelt werden. Diese Vorgehensweise trägt mit zur Verbreitung multiresistenter Keime bei.
Zitat:Infectious Diseases in the Context of the War in Ukraine: Refugee Health Implications in Romaniahttps://www.mdpi.com/2227-9032/13/21/2732
[Published: 28 October 2025]
Refugees often face major health challenges owing to displacement, poor living conditions, limited access to healthcare, and the psychological toll of forced migration. Access to healthcare has been a major concern because of disrupted medical services, pre-existing health conditions, and integration challenges in host countries. This study aimed to evaluate the effect of infectious diseases on refugees in the context of the war in Ukraine by analyzing data from patients who accessed health services from a county hospital. Methods: We analyzed the data of Ukrainian refugees who presented for an infectious disease between February 2022 and March 2025 in the largest hospital unit in Romania located immediately near the border with Ukraine.
Results: A total of 2052 refugee patients of Ukrainian nationality presented to the Emergency Reception Unit of “St. Ioan cel Nou Suceava” for consultations; 672 patients required an evaluation by an infectious disease specialist and 48 were hospitalized in the Department of Infectious Diseases. The most common disease encountered in children was influenza, whereas the most common disease in adults was SARS-CoV-2 infection. The most frequently encountered comorbidities in pediatric patients were anemia (26.9%) and dehydration syndrome (46.2%). In adults, comorbidities included chronic obstructive pulmonary disease (18.2%), hypertension (13.6%), chronic coronary disease (4.5%), diabetes (9.1%), and chronic hepatitis (4.5%). Patients were treated with antivirals, rehydration solutions or only symptomatic treatment. Conclusions: Romania is implementing public health measures to address these challenges, focusing on vaccination and disease screening, and ensuring access to essential healthcare services. These services include access to primary care physicians, specialist consultations, hospitalization, and essential medications. [...]
Before the war, Ukraine had a hospital-based care system that provided relatively high bed density by European standards (~6.3 beds/1000 persons in 2020), but which was characterised by high prevalence of chronic non-communicable diseases (NCD), the underfunding and out-of-pocket payments [26]. Since 2022 the system has been systematically attacked and disrupted: WHO verified 1940 attacks on healthcare by August 2024 and >2250 by February 2025; hundreds of facilities are damaged/looted and health workers have left affected areas [27]. The system of Romania is EU-integrated, with universal coverage, but has lower indicators of spending and access than the EU: (2021 spending per capita: EUR 1663; unmet care needs: ~4.9% vs. 2.2% EU, number of physicians per 1000 population: ~3.5 vs. 3.1 EU, number of hospital beds per 1000 population: ~6–7 vs. 17.9 EU) [28]. [...]
However, the influx of Ukrainian refugees into Romania has raised significant public health concerns, particularly those concerning infectious diseases [34]. Before the conflict, Ukraine faced challenges with diseases such as tuberculosis (TB), measles, polio, hepatitis C, and human immunodeficiency virus (HIV). Notably, as of February 2022, only 36% of Ukrainians were vaccinated against COVID-19, and vaccination rates for other diseases like measles and polio were also low [35]. A study assessing TB among Ukrainian refugees in European countries found that in 2022, 34 countries reported 887 TB cases among individuals born in Ukraine, with 26% of these cases identified as multidrug- or rifampicin-resistant TB.
Schneemann