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Women
and new born children are affected
Access restricted or denied to health centres or
hospitals. There are numerous documented cases of women delivering
their babies at checkpoints, suffering miscarriage because Israeli
soldiers denied them access to health facilities, patients dying at
checkpoints because of heart troubles, and patients with renal
failure and cancer patients dying for lack of access to treatment.
Furthermore, due to road closures and travel restrictions, many
patients referred for follow-up or specialized care cannot reach
secondary and tertiary care centres to get the services they need.
Palestinians have faced numerous obstacles to obtaining health care
such as:
? Disruption of
Antenatal care. A majority of pregnant women who used to give birth
with the attendance of a doctor or a midwife are now unable to do
so, thus risking the lives of the mother and the infant. The
percentage of pregnant women unable to access antenatal care is
nearly fives times higher now than before September, 2000 (20% as
compared to 4%). There has been a 100% increase in home deliveries,
and a shocking 56% increase in stillbirths since the Intifada began
(Figures from the Ministry of Heath).
? UNRWA reports 39
cases of child birth at checkpoints. 58% increase in number of still
births (particularly in Jenin and Hebron areas). Also it reports 52%
decrease in women attending post-natal care (of the 90% of women
attending pre-natal care pre-intifada), and a 31% decrease in new
acceptances on their family planning scheme.
? Another main concern
is Women in labour, without access to medical or nursing help,
having to deliver children at home under very difficult conditions
and without the needed assistance, risking their lives and the life
of their children. The longer the strict siege is maintained the
higher the risk of labour and childbirth complications; which can
lead to death, disability and much human suffering, and the higher
the possibilities of infectious diseases spreading in these
communities, and those do not pay attention to political boundaries.
? Interruption of
vaccination program. UPMRC and The Ministry of Health work together
in operating mobile teams to deliver vaccines to small, remote
villages. This work is at risk because of the closures. The Ministry
usually transports vaccines to health centres in a special cold
chamber vehicle, which is necessary because many vaccines are
heat-sensitive and will expire if they are not kept cold. Israeli
soldiers have regularly turned away this vehicle and the vaccines
cannot reach our centres. This is creating a vaccine shortage and
there is a serious risk of disease outbreaks, such as mumps and
measles in children.
? Infant, school
children and pregnant women’s vaccination schemes have also been
either severely interrupted, or halted altogether during the past 18
days. According to Dr. Samia Halileh, a practicing paediatrician and
faculty member at the Institute of Community and Public Health at
Birzeit University, one of the most dangerous diseases affecting
newborns if adequate vaccination is not available or completed is
tetanus. Usually infants are given the vaccine three times, at
intervals of two months each and beginning at the age of two months,
in addition to a booster at 12 months. The interruption of such a
schedule during infancy, even for a period of tetanus if exposed to
these deadly spores. This is especially true of cases that have
never received the vaccine, but also includes those who have missed
taking the full three doses on schedule as well as the booster. Note
that the fatality rate for tetanus is in the order of 90%.
Pregnant Women are In Danger
1. Rana Al-Jayyousi from Azzzoun village, who was
in labor, died after Israeli occupation forces prohibited her from
crossing the checkpoint, in order to reach the UNRWA hospital in
Qalqilia. Rana suffered from internal bleeding which led to her
death as well as her baby. The occupation soldiers not allow the
ambulance carrying the bleeding mother to pass, the ambulance was
then forced to return back to Azoun were the mother and the baby
died in a Red Crescent clinic. Army soldier were watching close to
the check point.
2. A woman from the village of Deir Abu Deif in
her 6th month of pregnancy aborted her baby when settlers shot at
her car.
3. In the village of Beit Dajan, Israeli forces
made a woman in labor wait at a checkpoint for many hours. She was
ultimately denied access to the hospital and delivered a stillborn
baby. The mother suffered from a nervous breakdown.
4. Dr. Ali Sha’ar, reports that his wife began to
go into labour at 32 weeks of gestation, two nights ago at around
4am. They live in the occupied and curfewed city of Nablus. He
immediately called for an ambulance. By 6 am, he managed with a
doctor friend of his to deliver the baby successfully. The baby
cried, and looked healthy, but being premature he urgently needed
inceptor facilities. Dr. Sha’ar and his friend did every thing
possible to maintain the baby without inceptor while awaiting for
the ambulance that never came. As twice, the ambulance personnel
reported trying to reach Ali and twice being shot at, resulting in
their return to the station. By 11am, the child began to suffer from
apnea, and eventually died at 1pm.
5. On July 10, 2001 Firial Dies, 38 years old and
a mother of two children, in her ninth month of pregnancy. When the
time of giving birth get closer she left her village with her
husband and her mother in law heading to Shiffa’ Polyclinic in Tubas
city passing through Israeli checking-posts. They were detained for
more than two hours, which led to the birth of the child at the
military checkingpost. Unfortunately, the child died died
immediately and Firial was about to loose her life while giving the
birth.
? Psychological trauma;
the least documented, but perhaps the most long-term and devastating
effect of the aggression is the psychological trauma that people,
especially children, are experiencing Shooting, Explosions and
Destruction of Property and Institutions Close By * 59% of
respondents reported that they lived a lot of that and practically
all of the time, that is 6363 households and 32,450 persons. * 29%
reported a lot of shooting most of the time that is 3127 households
or 15,950 persons. * 52% reported hiding in fear, lack of sleep and
mental distress, that is, 5607 households or 28,600 persons. * 52%
also reported considerable destruction in their neighbourhood that
is 5607 households or 28,600 persons. * 28% reported that their home
was directly exposed to shooting, bombing and destruction that is,
3020 households or 15,400 persons. * 41% of the households reported
that their homes were searched by the IDF, that is, 4421 households
or 22,550 persons.
? House demolition,
destruction and detonation: Since the beginning of this reoccupation
and curfew, detonation in deferent cities and villages was heard
every single day and night, leaving homes without doors, broken
furniture and equipment, and in many instances, with valuables
stolen. The loss of home is not merely a physical loss, as it has
important consequences on health, specially the heath of children,
older people and the disabled. Some of the communities that have
been most affected have been dislocated more than once, leaving
behind essentials and belongings, and have taken refuge in villa
4ges or
in homes of extended family members and friends. As women are the
care taker of children, older and disables as well as the house hold
they are the mostly affected by the loss of homes physically and
psychologically.
? Unavailability of
basic services; electricity and water; are essential for health and
well being. What seems like a deliberate cutting of those two
services have been the subjects of numerous reports. In Ramalla
alone, over 100,000 people in town and surrounding of the
Electricity company, serious harassment, and shooting at crews
attempting to fix the different levels of damage, from power feeders
to cut off cords and broken poles, even when approval to move around
and fix villages remained without electricity for an entire week.
According to the chief Engineer the damage was obtain from higher
echelons of the Israeli Defence Force, has led and continues to lead
to interrupted severely.
? Sanitation; since the
beginning of this incursion, and curfew, two outstanding sanitary
problems remain unresolved. People are facing troubles either with
blown up water pipes or the usual emptying of cesspits at 9% each.
The garbage problem was serious, with 95% facing a problem getting
rid of household garbage, with 91% explaining the problem in terms
of the municipal services coming to a halt during the curfew and 9%
reporting the inability of even dumping the garbage outside the
home, as the curfew was very strict; in these households, garbage
piled up inside the home during the extended curfew. That creates
legitimate fears of potential health crises in the country.
In the eyes of the average
Palestinian, our society was effectively left at the mercy of a
hostile state that continually violated, and with impunity, almost
every law in the book regarding the behaviour of states in the
armed conflict through out the Israeli illegal and endless
occupation. Because, the Palestinian community feels at present that
it has nothing more to loose, having no effective Palestinian state
to defend their interests, nor an effective international third
party to insure the respect of the law, desperate elements in
Palestinian society felt they had no choice but to restore to their
own means for self-defence. The continued violations of every
principle and law that deals with the conflict by the state of
Israel have resulted with a likewise violent response by Palestinian
non-state actors. This cycle of action and reaction has allowed the
Israeli state in the name of self defence to use formal state
military strategies and means against non-state actors, leading to a
level of violence that must be controlled if not to preserve lives,
at least to insure regional and global stability.
The Palestinian society is a
vibrant society, we have managed to sustain ourselves and survive
extreme hardships for over fifty five years. However, our
Palestinian people have been yearning for too long for peace and
security. We have been yearning to move around freely without having
to ask permission from young guntoting Israeli soldier who are
placed practically at our doorsteps. We have been yearning for too
long for the time when we do not have to worry about our children
and particularly our teenaged male children going back and forth
safely to school. We have been yearning too long to be able to run
our political and economic lives without the occupation constrains.
We have been yearning for the need of security where we do not have
to worry about being thrown in jail for exercising our right of
self-expression and self-determi nation.
We believe that peace is possible in the Middle
East as it was in other places in the world. We believe that the
Palestinian societies and the Israeli society as well, had a strong
desire and need for peace. We believe that we are able to work out
our relationship and live with each other or next to each other in
peace and harmony. We know that women are strong and resourceful
people, we are looking forward for your help to bring a new
understanding to the situation in the Middle East, and to approach
peace building in a way that will promote long -term stability.
1 714 were
killed during the period February 1, and 30th
of July.
2
Figures are from PRCS field
posts & EMS operation.
3
USAID and John Hopkins
University report.
4
Rita Giacaman, A population at Risk of Risks; No One is in a healthy
State in Palestine, institute of community and
public health, Birzeit University, April16,2002.
References
Rita Giacaman, A population at Risk of Risks; No
One is in a healthy State in Palestine, institute of community and
public health, Birzeit University, April16,2002.
USAID and John Hopkins University report.
Maha Abo dayey Shamas, statement to the security-
council, May7, 2002.
Figures are from PRCS field posts & EMS
operation.
http:// www.palestine-pmc.com
http:// www.palestinemonitor.org
http://www.miftah.org
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