Health Cluster Workshop on Emergency Health Information Tools, May 2018
10 May 2018 - oPt, Humanitarian actors and members of oPt Health Cluster attended a workshop led by the Health Cluster, in the West Bank and Gaza. Over 40 partners were trained on information tools developed by WHO as the lead cluster agency, in order to drive the emergency operational response on the ground.
Focusing on the current emergency situation in Gaza and the ongoing challenges facing the mobile health clinics in the West Bank, the workshop facilitated dialogue around information management as a fundamental tool to increase coordination and enhance the response.
Tools and resources available online include the Health Resources Availability Monitoring System (HeRAMS), Emergency Medical Teams (EMT) calendar, infographics, Situational Reports and the Health Cluster website, www.healthclusteropt.org.
“In the coming weeks, the Cluster will continue to develop online platforms for real time coordination and decision making”, Sara Halimah, Health Cluster Coordinator.
Health Cluster partners meeting on emergency health coordination and preparedness, May 2018
On the 7 May 2018, Ramallah, the Health Cluster partners met to plan the upscale of emergency preparedness and response activities across the oPt. The meeting was led by WHO as the lead agency and the MoH co-chair of the cluster, with the special attendance of the Minister of Health for Palestine, Dr Jawad Awad.
With the recent escalation in the Gaza Strip and medical supplies growing scarce, there is a renewed call from MoH and the humanitarian partners on the ground to ensure enhanced capacity and immediate response to cope with the increased burden of medical emergencies on the health system.
Since the demonstrations, which began on the 30 March, the type of injuries witnessed in Gaza result in the need for multiple complex surgeries, however emergency medical teams and medical supplies, including medicines and disposables are lacking. Meanwhile, trauma care must be viewed within the broader health needs as the situation continues to chronically deteriorate. Therefore responding to emergency trauma and non-trauma care to address all urgent needs is of the essence.
The coming weeks are predictably going to present the humanitarian community with growing challenges, both in Gaza and the West Bank.
First aid worker severely injured in both legs while providing care, May 2018
6 May 2018 – Ahmed is 25 years old and a volunteer first aid worker with the Palestinian Medical Relief Society (PMRS) in Gaza.
On 6 April 2018, Ahmed attended with PMRS first aid workers east of Khan Younis to assist those injured during demonstrations as part of the Great March of Return. At approximately 3pm, Ahmed was shot by a bullet that went through both his legs as he was in the field assisting a victim of teargas inhalation. The bullet broke a bone and ruptured blood vessels in his right leg, as well as injuring his left leg. He describes the incident:
“Another volunteer and I saw a few people injured about 50 meters from the fence. We rushed forward to help them and to get them to somewhere safe. Suddenly I felt something hit my legs and I fell down. I saw blood gushing out of both my legs, so I immediately took off my t-shirt to tie it around and called out for help. Instead of rescuing people I found myself being rescued! I was carried out on the same stretcher we’d brought with us to evacuate the injured.”
Ahmed has been volunteering with PMRS for the last year and a half:
“I’m passionate about helping others and I recently found out about the shortage of health workers and volunteers. So I signed up to volunteer with the PMRS. Before I was shot, we managed to evacuate about ten injured people that Friday. Some have been exposed to teargas and others injured with live ammunition.”
After Ahmed was evacuated, he was treated at the closest Trauma Stabilizing Point (TSP), receiving first aid to control the bleeding and a splint for his legs. He was then taken by ambulance to the European Gaza Hospital (EGH) in Khan Younis. “When I arrived to the EGH my leg was blue and I was in a lot of pain. I was quickly rushed to the operating room to fix the ruptured blood vessels and the fractured bone.” Ahmed stayed in hospital for 10 days. He had an external fixator for his bone fracture and required a skin graft. After he was discharged, PMRS provided home care with regular dressings, but he was re-admitted to hospital after he developed a wound infection and became feverish. “Today is my seventh day in hospital after I had to come back. Physically I’m feeling better, but mentally I feel destroyed. It’s hard to believe that I was shot. As paramedics and volunteers helping the injured we should be protected. I was wearing a vest that clearly showed I am a health worker. I was shot providing care to a guy who was suffering with teargas inhalation. Imagine.”
Ahmed graduated in Business Administration from Al-Aqsa University in 2016. He works intermittently because of the lack of work opportunities in Gaza. He is married and lives with his extended family in the village of Bani-Suhaila, east of Khan Younis in the south of the Gaza Strip. He and his wife are expecting a child in a few months.
WHO visits communities in Area C to demonstrate support, April 2018
On 25th April, WHO visited Jabal al Baba and Khan al Ahmar with the Palestinian Medical Relief Society (PMRS) and Medico International to demonstrate its support for communities in Area C facing potential demolition of homes and humanitarian structures, including health clinics.
All buildings in Jabal al Baba have been threatened with demolition since November 2017. The building housing the mobile clinic in Khan al Ahmar is also threatened with demolition. There was a court hearing for the community on 25th April, but the decision was postponed for another week to 3rd May. Both communities are part of an area marked E1 plan by Israeli authorities for the expansion of settlements east of Jerusalem. Together they comprise a population of more than 1,600 residents.
PMRS is one of 10 health cluster agencies running 22 mobile health clinics to 189 communities in Area C of the West Bank. Area C comprises over 60% of the West Bank that is under Israeli civil and military control. Communities living in this Area are among the most vulnerable in the occupied Palestinian territory, facing violence from Israeli settlers and the military, night raids on their homes, destruction of their crops and livelihoods, and substantial barriers to development including demolitions of buildings and displacement. From 2009 to April 2018 there were at least 5,441 structures demolished, of which over 80% were in Area C. The structures included 917 that were donor-funded and 498 related to water and sanitation. Over 45,000 people have been directly affected by demolitions and 8,681 people displaced.
The threat to communities in Area C prevents the development of infrastructure and critical services, including health facilities and infrastructures for the adequate provision of water, sanitation and mains electricity. Among the approximately 300,000 Palestinians living in Area C, almost half (47%) have no connection or an irregular connection to the water network. The threat over communities creates insecurity, anxiety and fear.
In 2017, seven mobile clinics run by PMRS, UNRWA and Humanity & Inclusion were denied permits by Israeli authorities to access communities they previously served regularly in Area C. On top of this, funding shortages undermine the continuity of service delivery to already vulnerable communities. Since the beginning of 2018, 35 clinics have closed and 82 are at risk of closure due to funding shortfalls.
Dr Gerald Rockenschaub, Head of WHO Office in the occupied Palestinian territory, stated: “The right to health should be respected, protected and fulfilled for all Palestinians, including those living in Area C. This means ensuring that the members of the public can access the health services they need, as well as ensuring that communities are able to develop the infrastructures necessary to improve the underlying social determinants of health – such as structures for water and sanitation, electricity and livelihoods. Ensuring the right to the highest attainable standard of health for all means proactively putting in place policies that empower individuals and communities to realize healthy living at all stages of life. The coercive environments that many residents of Area C face is clearly a barrier to achieving this.”