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opportunities for health promotion in the context of the present ...

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lower<strong>in</strong>g to <strong>the</strong> utmost limit <strong>the</strong> regulatory and protective role <strong>of</strong> <strong>the</strong> state, <strong>the</strong> unsuccessful<br />

<strong>health</strong> re<strong>for</strong>m etc. The <strong>promotion</strong>al and prophylactic activities are necessary<br />

to be directed ma<strong>in</strong>ly to <strong>the</strong> age <strong>of</strong> 12-30 years, when (des) adaptive problems<br />

most strongly stimulate <strong>the</strong> risk behaviour. A number <strong>of</strong> tests prove that when<br />

<strong>the</strong> <strong>in</strong>dividual is under strong stress or <strong>in</strong> distress he chooses <strong>the</strong> “self-destruct<strong>in</strong>g”<br />

behaviour. Sociostressgens lead to grow<strong>in</strong>g <strong>of</strong> stress-related diseases: cardiovascular,<br />

psychic, hormonal disorders, migra<strong>in</strong>e etc., with <strong>the</strong> psychic factors play<strong>in</strong>g<br />

key role act<strong>in</strong>g as a mediator <strong>for</strong> <strong>the</strong> <strong>in</strong>fluence <strong>of</strong> <strong>the</strong> social factors over <strong>the</strong> somatic<br />

processes.<br />

Chief aims <strong>of</strong> <strong>health</strong> <strong>promotion</strong> <strong>in</strong> Bulgaria<br />

1. Mak<strong>in</strong>g state policy priority orientated to <strong>the</strong> <strong>health</strong> <strong>promotion</strong> and cardiovascular<br />

diseases, prophylactics through creat<strong>in</strong>g <strong>health</strong>y environment <strong>for</strong> liv<strong>in</strong>g<br />

and correct<strong>in</strong>g <strong>the</strong> complex <strong>of</strong> socio-cl<strong>in</strong>ical risk factors.<br />

2. Reduc<strong>in</strong>g illness and death <strong>of</strong> CVD with no less than 10% till 2015.<br />

There are several suggestions <strong>for</strong> changes and activities on population level<br />

with some <strong>of</strong> <strong>the</strong>m <strong>present</strong>ed below:<br />

ON POPULATION LEVEL<br />

Aim<br />

Socio-economic policy, provid<strong>in</strong>g <strong>health</strong>-protective liv<strong>in</strong>g environment.<br />

Tasks<br />

− Acknowledgement on behalf <strong>of</strong> <strong>the</strong> country and society <strong>the</strong> immense<br />

ethiologic role <strong>of</strong> psycho-social-economic stress <strong>for</strong> emergence <strong>of</strong> CVD and o<strong>the</strong>r<br />

socially significant diseases;<br />

− Atta<strong>in</strong><strong>in</strong>g high standard <strong>of</strong> liv<strong>in</strong>g <strong>of</strong> people.<br />

Activities<br />

− Real and regular <strong>in</strong>crease <strong>of</strong> <strong>the</strong> <strong>in</strong>comes <strong>of</strong> people correspond<strong>in</strong>g to <strong>the</strong><br />

<strong>in</strong>flation processes <strong>in</strong> <strong>the</strong> country;<br />

− The structures responsible <strong>for</strong> <strong>the</strong> citizens’ protection to optimize <strong>the</strong>ir activity<br />

effectively provid<strong>in</strong>g <strong>the</strong>ir safety and rights.<br />

Tasks<br />

− Easy access to drug treatment <strong>for</strong> all strata <strong>of</strong> society.<br />

Activities<br />

− Real government regulation <strong>of</strong> medicaments’ price, recovery and stimulation<br />

<strong>of</strong> <strong>the</strong> cheaper domestic pharmacy production.<br />

Tasks<br />

− Optimiz<strong>in</strong>g <strong>the</strong> <strong>in</strong>trasectoral cooperation <strong>for</strong> positive <strong>in</strong>teractions aim<strong>in</strong>g at<br />

improv<strong>in</strong>g <strong>the</strong> <strong>health</strong>-social activities.<br />

Activities<br />

Acta Medica Bulgarica, Vol. XXXV, 2008, №1 61

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