{"id":207768,"date":"2014-03-31T00:00:00","date_gmt":"2019-03-12T19:26:39","guid":{"rendered":"https:\/\/www.un.org\/unispal\/?p=207768"},"modified":"2019-03-12T19:26:39","modified_gmt":"2019-03-12T19:26:39","slug":"auto-insert-207768","status":"publish","type":"document","link":"https:\/\/www.un.org\/unispal\/document\/auto-insert-207768\/","title":{"rendered":"Referral of patients from the Gaza Strip &#8211; WHO monthly report (March 2014)"},"content":{"rendered":"<div>\n<div>\n<p style=\"margin-top:0px;margin-bottom:0px;\">\n<hr height=\"7px\" \/>\n<\/p><\/div>\n<p style=\"margin-top:0px;margin-bottom:0px;\">\n<table cellspacing=\"0\" background=\"#000000\" width=\"100%\" style=\"text-align:left;margin-left:initial;margin-right:auto;\">\n<tr>\n<td width=\"50%\" valign=\"top\" style=\"text-align:left;padding-bottom:10px;border-color:#000000;border-style:solid;border-top-width:0px;border-bottom-width:0px;border-left-width:0px;border-right-width:0px;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27242%27%20height%3D%2793%27%20viewBox%3D%270%200%20242%2093%27%3E%3Crect%20width%3D%27242%27%20height%3D%2793%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/www.un.org\/unispal\/wp-content\/uploads\/images\/1d3c12d2b0eb8bd485257cc8004d365c_image0.GIF\" border=\"0\" height=\"93px\" width=\"242px\" \/><\/p>\n<\/td>\n<td width=\"50%\" valign=\"top\" style=\"text-align:right;border-color:#000000;border-style:solid;border-top-width:0px;border-bottom-width:0px;border-left-width:0px;border-right-width:0px;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27144%27%20height%3D%27149%27%20viewBox%3D%270%200%20144%20149%27%3E%3Crect%20width%3D%27144%27%20height%3D%27149%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/www.un.org\/unispal\/wp-content\/uploads\/images\/1d3c12d2b0eb8bd485257cc8004d365c_image1.GIF\" border=\"0\" height=\"149px\" width=\"144px\" \/><\/p>\n<\/td>\n<\/tr>\n<\/table>\n<div>\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:11pt;font-family:Arial Black, san-serif;\">Referral of Patients from the Gaza Strip<\/span><span style=\"color:#000000;font-size:10pt;font-family:Arial Black, san-serif;\"><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span><\/span><span style=\"color:#000000;font-size:6pt;font-family:Verdana, san-serif;\">Ref: RAD 3 (April 28, 2014)<\/span><\/p><\/div>\n<p><\/p>\n<div style=\"color:#000000;text-align:center;padding-bottom:6px;font-size:12pt;font-family:Calibri, san-serif;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><strong>Summary: March 2014<\/strong><\/p><\/div>\n<p><\/p>\n<p style=\"margin-top:0px;margin-bottom:0px;\">\n<table cellspacing=\"0\" background=\"#000000\" width=\"100%\" style=\"text-align:left;margin-left:initial;margin-right:auto;\">\n<tr>\n<td width=\"100%\" valign=\"top\" style=\"border-color:#000000;border-style:solid;border-top-width:1px;border-bottom-width:1px;border-left-width:1px;border-right-width:1px;\">\n<div style=\"padding-top:11px;font-size:11pt;font-family:Calibri, san-serif;color:#000000;padding-bottom:5.5px;text-align:center;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><strong>Access<\/strong><\/p><\/div>\n<p><\/p>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Increased access need through Erez: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">The number of patients&#8217; applications submitted in March to Israeli authorities for health access through Erez checkpoint was the highest since the WHO began monitoring access in 2005; in the first quarter of 2014 the number was 87% higher than for the same period in 2013. The increase in need reflects the continuing problems of access through Rafah border to Egypt and lack of drugs, especially chemotherapy and lack of medical disposables. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Drop in approval rates of permits: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">85.99% of patient applicants received a permit in March 2014, 1.83% of applicants (33 patients: 12 females, 21 males, including 8 children) were denied permits, and 12.18% of applicants (220 patients: 69 females and 151 males) received no response to their applications, including 31 children whose medical treatment was delayed as a result. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>18 patients interrogated: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">18 patients (16 males, 2 females) were requested to attend interviews with Israeli security after applying for a permit to cross Erez. Only one patient had been granted a permit so far following security interviews in March. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Three referral patients died in March while waiting for approval to exit Gaza, including a young woman who died one day after being interviewed by Israeli security officials (see case studies p.5). <\/strong><\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Further drop in access through Rafah: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">Only 40 Gaza patients were able to travel to Egypt through Rafah in March, compared to more than 4,000 in March 2013, before the closure. <\/span><\/p><\/div>\n<p><\/p>\n<div style=\"padding-top:11px;font-size:11pt;font-family:Calibri, san-serif;color:#000000;padding-bottom:5.5px;text-align:center;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><strong>Referrals<\/strong><\/p><\/div>\n<div style=\"color:#000000;text-align:left;font-size:12pt;font-family:Wingdings;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\">&nbsp;<\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Increase in MoH referrals: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">Total MoH referrals of Gaza patients (1,914) were the highest recorded and 37% higher than the monthly average in 2013. MoH referrals to health facilities in the West Bank and East Jerusalem hospitals were the highest recorded in recent years. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Medical reasons for referrals<\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">: The top ten needed specialties were for treatment in the following specialties: oncology&#8211;308 referrals (16.09%), MRI&#8211;286 (14.94%), nuclear medicine&#8211;154 (8.05%), orthopaedics&#8211;136 (7.11%), ophthalmology&#8211;119 (6.22%), heart catheterization&#8211;119 (6.22%), paediatrics&#8211;104 (5.43%), neurosurgery&#8211;91 (4.75%), haematology&#8211;85 (4.44%), and heart surgery &#8211;65 (3.40%). The remaining 23.35% of referrals were to 21 other specialities. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Gender gap<\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">: There was a gender gap in referrals: 53.87% male patients versus 46.13% female patients. 22.42% of all referrals were children aged 0-17 years and 18.55% were patients aged over 60 years. <\/span><\/p><\/div>\n<div style=\"text-align:left;\">\n<p style=\"margin-top:0px;margin-bottom:0px;\"><span style=\"color:#000000;font-size:10pt;font-family:Wingdings;\">&#61607;<\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\"><strong><span class=\"Apple-tab-span\" style=\"white-space:pre; font-size:smaller\">\t<\/span>Estimated cost of referrals for March 2014: <\/strong><\/span><span style=\"color:#000000;font-size:10pt;font-family:Calibri, san-serif;\">NIS 15,233,101. <\/span><\/p><\/div>\n<p><\/td>\n<\/tr>\n<\/table>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Referral of Patients from the Gaza Strip Ref: RAD 3 (April 28, 2014) Summary: March 2014 Access &#61607; Increased access need through Erez: The number of patients&#8217; applications submitted in March to Israeli authorities for health access through Erez checkpoint was the highest since the WHO began monitoring access in 2005; in the first quarter <a href=\"https:\/\/www.un.org\/unispal\/document\/auto-insert-207768\/\"> [&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"template":"","meta":{"footnotes":""},"country":[],"document-category":[1323],"document-source":[2529],"committee-meeting":[],"document-subject":[2517,1945,5358,2005,2533,2097],"entity":[1729],"document-language":[6542],"class_list":["post-207768","document","type-document","status-publish","hentry","document-category-report","document-source-world-health-organization-who","document-subject-access-and-movement","document-subject-assistance","document-subject-ClosuresCurfewsBlockades","document-subject-gaza-strip","document-subject-health","document-subject-social-issues","entity-united-nations-system","document-language-english"],"_links":{"self":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document\/207768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document"}],"about":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/types\/document"}],"author":[{"embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":0,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document\/207768\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/media?parent=207768"}],"wp:term":[{"taxonomy":"country","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/country?post=207768"},{"taxonomy":"document-category","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-category?post=207768"},{"taxonomy":"document-source","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-source?post=207768"},{"taxonomy":"committee-meeting","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/committee-meeting?post=207768"},{"taxonomy":"document-subject","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-subject?post=207768"},{"taxonomy":"entity","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/entity?post=207768"},{"taxonomy":"document-language","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-language?post=207768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}