It is definetly not a Bulgarian Red Cross medal, but as to what it is.... I don't have a clue, other than there are several 'humnitarian' awards that I have seen, but have not been able to really document, this is one I hadn't seen before, and have no idea who issued it, except it was probably not a red cross organization which generally either use one of the standard red cross mottos, or have the word or abbev for red cross - somewhere on the medal having said that I will add there are any number of red cross medals I've heard of but never seen and I have no idea how many I've never heard of