Sunday, May 12, 2013

Disabled Gaza toddler lives at Israeli hospital


Abandoned by his parents and the Palestinian government, 3-year-old Mohammed has been at Tel Hashomer Hospital all his life


RAMAT GAN, Israel (AP) — In his short life, Palestinian toddler Mohammed al-Farra has known just one home: the yellow-painted children’s ward in Israel’s Tel Hashomer Hospital.

Born in Gaza with a rare genetic disease, Mohammed’s hands and feet were amputated because of complications from his condition, and the 3½-year-old carts about in a tiny red wheelchair. His parents abandoned him, and the Palestinian government won’t pay for his care, so he lives at the hospital with his grandfather.

There’s no care for this child in Gaza, there’s no home in Gaza where he can live,” said the grandfather, Hamouda al-Farra.

“He can’t open anything by himself, he can’t eat or take down his pants. His life is zero without help,” he said at the Edmond and Lily Safra Children’s Hospital, part of the Tel Hashomer complex in the Israeli city of Ramat Gan.
Mohammed’s plight is an extreme example of the harsh treatment some families mete out to the disabled, particularly in the more tribal-dominated corners of the Gaza Strip, even as Palestinians make strides in combating such attitudes.
It also demonstrates a costly legacy of Gaza’s strongly patriarchal culture that prods women into first-cousin marriages and allows polygamy, while rendering mothers powerless over their children’s fate.

Mohammed was rushed to Israel as a newborn for emergency treatment. His genetic disorder left him with a weakened immune system and crippled his bowels, doctors say, and an infection destroyed his hands and feet, requiring them to be amputated.
In the midst of his treatment, his mother abandoned Mohammed because her husband, ashamed of their son, threatened to take a second wife if she didn’t leave the baby and return to their home in the southern Gaza Strip town of Khan Yunis, Farra said. In Gaza, polygamy is permitted but isn’t common. But it’s a powerful threat to women fearful of competing against newer wives.

Now Mohammed spends his days undergoing treatment and learning how to use prosthetic limbs.

His 55-year-old grandfather cares for him. Mohammed’s Israeli doctors, who’ve grown attached to the boy, fund-raise to cover his bills, allowing him and his grandfather to live in the sunny pediatric ward.

But it’s not clear how long he’ll stay in the hospital, or where he’ll go when his treatment is complete. As a Palestinian, Mohammed is not eligible for permanent Israeli residency. Yet his family will not take the child back, the grandfather said. His parents, contacted by The Associated Press, refused to comment.
As his grandfather spoke, Mohammed used his knees and elbows to scamper up and down a nearby stairwell, his knees and elbows blackened and scarred from constant pressure. He used his arms to hold a green bottle he found in a stroller. His prosthetic legs with painted-on shoes were strewn nearby.

He crawled toward his grandfather’s lap. “Baba!” he shouted, Arabic for “daddy.” ”Ana ayef,” he said — a mix of Arabic and Hebrew for “I’m tired.”

Dr. Raz Somech, the senior physician in the Tel Hashomer pediatric immunology department, attributes Mohammed’s genetic disorder to the several generations of cousin marriages in his family — including his parents.

In deeply patriarchal parts of Gaza — not in all the territory — men believe they have “first rights” to wed their female cousins, even above the women’s own wishes. Parents approve the partnerships because it strengthens family bonds and ensures inheritances don’t leave the tribe.
Repeated generations of cousin marriages complicate blood ties. It’s not clear what affect that has had on disability rates in Gaza; but Somech said a third of patients in his department are Palestinians and most have genetic diseases that were the result of close-relation marriages.

Further worsening the situation, disabled children are often stigmatized.

Some families hide the children, fearing they won’t be able to marry off their able-bodied children if the community knows of their less-abled siblings. And they are seen as burdens in the impoverished territory.

Some 183,600 Gaza residents — or 10.8 percent of the 1.7 million Gazans — suffer some kind of disability that affects their mental health, eyesight, hearing or mobility. Some 40,800 people suffer severe disability, the Palestinian bureau of statistics reported in 2011.
According to the bureau, two-thirds of young disabled Gazans are illiterate and some 40 percent were never sent to school, suggesting either their parents kept them home or did not have the means to educate them — a likely scenario in the territory, where about two-thirds of the population live under the poverty line. Over 90 percent of the disabled are unemployed, the bureau said.


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