Gaza Cancer Patients Miss Treatment as Israel Border Shut amid Fighting

Palestinian firefighters try to extinguish the fire inside an apartment that was hit by an Israeli airstrike in Gaza City, Friday, May 12, 2023. (AP)
Palestinian firefighters try to extinguish the fire inside an apartment that was hit by an Israeli airstrike in Gaza City, Friday, May 12, 2023. (AP)
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Gaza Cancer Patients Miss Treatment as Israel Border Shut amid Fighting

Palestinian firefighters try to extinguish the fire inside an apartment that was hit by an Israeli airstrike in Gaza City, Friday, May 12, 2023. (AP)
Palestinian firefighters try to extinguish the fire inside an apartment that was hit by an Israeli airstrike in Gaza City, Friday, May 12, 2023. (AP)

Gaza resident Dina El-Dhani was due to meet her oncologist this week at a hospital in Jerusalem, but she has been unable to cross into Israel since the border was closed amid heavy fighting between Israel and Palestinian militants.

Dhani is one of 432 cancer patients who have not been able to receive treatment since Tuesday, when Israel launched attacks on the Islamic Jihad militant group, setting off a surge in cross-border violence.

Her appointment with a doctor at Augusta Victoria Hospital in Jerusalem was meant to determine which radiation treatment she will receive.

"They told me it is delayed. Do I have to wait another two months to get a new appointment?" said 40-year-old Dhani. "The crossing is life, because as patients our treatment doesn't exist here. (The border crossing) either enhances my treatment or enhances my departure."

The four days of fighting with intense Palestinian rocket fire and Israeli air strikes has disrupted the lives of millions of people.

Israel and Egypt, citing security concerns, maintain a blockade on Gaza, which is ruled by the Hamas movement.

The crossings this week have been under the constant threat of Palestinian rocket fire and remained shut, said a spokesperson for Israel's military-run liaison with the Palestinians.

Due to shortages of medical equipment and medicine, Gaza’s hospitals are unable to provide proper care for cancer patients. So most travel to Israel, the occupied West Bank, or other countries for treatment. Palestinian health officials blame the 16-year-old blockade for undermining the development of the health sector.

"Unfortunately, we live in between two crossings and are besieged from both directions (Israel and Egypt)," said Aya Kolab, 30, who was due for a genetic test at a hospital near Tel Aviv to help her treatment.

"All my dreams stopped because the war stopped me from going, as Erez crossing is closed," she wrote on social media, referring to the main passage to Israel.

Gaza Health Ministry spokesperson Ashraf Al-Qidra said the border closure has prevented 432 cancer patients from visiting hospitals in Israel, East Jerusalem, and the West Bank, 27 who are listed as "life-saving" referrals.



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.