High risk pregnancies from Gaza treated at Rambam

Arrived from Gaza in critical condition, returned with healthy
twinsCommunicated 18 Feb 2014

Two-and-a-half weeks after arriving at Rambam between life and death, “H”
said goodbye to Rambam and the people who cared for her and her twins.

“This is the happiest day of my life.”

Pregnant women in Gaza rarely need to turn to Israel for medical help since medical care is available in Gaza before and throughout their pregnancies. It is even rarer that two women from Gaza, within weeks of each other, find themselves and their unborn child facing life-threatening problems necessitating the expertise of specialists at Rambam Health Care Campus - but that is what happened.

Two and half weeks ago, “A”, 29 years old and pregnant with her third child, was brought to Rambam. She was suffering from a problem common in pregnancy - Rh incompatibility - a condition in which the mother and fetus have two different blood types and which can result in the mother’s
antibodies harming the red blood cells of the fetus. However, in “A”’s case, the problem was not detected in time - she was in critical condition and both she and her unborn child were in danger.

Two days after being admitted, “A” gave birth. However, things became even more difficult when her premature son was found to also have a congenital heart problem.

“A” had two small children waiting for her back in Gaza. One week after his birth, “A” had to make the difficult choice of returning to Gaza to care for her children. Her premature son remained in the care of Rambam’s medical staff.
“It’s a very difficult situation,” Yazid Falah, the Palestinian Patient Coordinator at Rambam said. “Naturally the mother wants to stay with her baby. But in this case she is there and he is here. We are doing everything we can to help her feel as close as possible to her son.” 

A few days ago the infant underwent successful surgery for another common
condition: patent ductus arteriosus (PDA), in which a vessel in the heart does not close. The infant is gaining strength and his mother remains in contact by phone on a daily basis until she can return to Rambam and bring him home with her.

One Arrived - Three Returned

Just before “A” arrived at Rambam, "H", a 35 year-old woman in her ninth month, was brought to Rambam from Gaza - also in extremely critical condition. Carrying twins, her condition was so serious that she was barely aware of her surroundings. Since childhood she had suffered from a blood clot disorder. Now that disorder placed her in extreme danger of bleeding to death - she needed special care and medications not available in Gaza.

Upon arrival “H” underwent a C-section to save her first children - a healthy boy and girl - each weighing 2.3 kg. However “H” remained in critical condition and was sent to the intensive care unit (ICU). It would be two full days before she was alert enough to ask about her babies. Each day the medical staff took new photos of the infants so  that she could have a record of their first days once she recovered.

After one week in the ICU “H” saw her children for the first time.

“I still remember when I left from Gaza to come to Israel,” “H” explained.

“The doctor said that my situation was very critical. During the first two days before I fully woke up,  I couldn’t contact my family and they thought I was dead. Until I saw my children for the first time I did not understand myself what had happened. Only when I saw them and held them did I realize that everything was now OK.”

For “H,” the birth of her twins has been a great comfort. A few days ago, two-and-a-half weeks after arriving at Rambam between life and death, “H” said goodbye to Rambam and the people who cared for her.

“H” smiled and said, “My entire family is waiting for us, everyone wants to get to know them and hold them. This is the happiest day of my life.”

UNWRA textbooks in Gaza - continued

It would seem that there is a political game being played between UNWRA and HAMAS and the headline "Hamas blocks UN textbooks in Gaza" is all part of this game.

As David Bediun writes http://www.israelbehindthenews.com/bin/content.cgi?ID=7150&q=1 , there are false rumours about the UNWRA curriculum content.

David's article should be read in its entirety.

I strongly suggest to treat this story with serious caution.

Hamas blocks UN textbooks in Gaza

Hamas blocks UN textbooks in Gaza because they focus too much on ‘peaceful’ conflict resolution.


Ibrahim Barzak : Associated Press : February 13 2014

Gaza’s Hamas authorities have blocked a UN refugee agency from introducing textbooks promoting human rights into local schools, saying it ignores Palestinian cultural mores and focuses too heavily on "peaceful" means of conflict resolution.

Motesem al-Minawi, spokesman for the Hamas-run Education Ministry, said that the government believes the curriculum does not match the "ideology and philosophy" of the local population. He said the textbooks, used in grades 7 through 9, did not sufficiently address Palestinian suffering and did not acknowledge their right to battle Israel. "There is a tremendous focus on the peaceful resistance as the only tool to achieve freedom and independence," he said.

Hamas, which has killed hundreds of Israelis in suicide bombings and other attacks, says that armed resistance is a key component of its struggle against Israel.

The group also objected to the books’ inclusion of the Universal Declaration of Human Rights - a document approved by the UN General Assembly in 1948 that recognizes the equal and inalienable rights of all members of the human family. Hamas believes that certain parts of the declaration violate Islamic law, including the right of people of different faiths to marry and the right to change one’s religion.

Al-Minawi said government officials had met with UNRWA officials and offered to form a joint committee to revise the book. Adnan Abu Hassna, a local UNRWA spokesman, confirmed that the curriculum had been suspended while the sides work out their differences.

The spat is just the latest in a line of disagreements between Hamas and UNRWA. The United Nations Relief and Works Agency, known as UNRWA, assists Palestinian refugees and their descendants throughout the region. In Gaza, the agency runs some 245 schools serving more than 232,000 students plus dozens of medical clinics and it distributes food to many of the territory’s 1.7 million residents.


But Hamas has frequently squabbled with UNRWA in a rivalry for the hearts and minds of Gaza’s people. Hamas has pressed the UN not to organize mixed folkloric dancing for boys and girls; to keep Holocaust education out of its curriculum and it has used harsh rhetoric against previous senior UN officials. Last year, UNRWA cancelled its annual Gaza marathon after Hamas banned women from participating. 

The truth behind the "State of Palestine"/Gaza patient story

This story from Elder of Zion - Feb 12th 2014

http://tinyurl.com/oof5xv9 

This story has been getting lots of play over the past couple of hours:

Israel has denied entry permits to some 50 Palestinian medical patients from the Gaza Strip because the words "State of Palestine" appears on the letterhead of their application, officials said on Wednesday.

Israel does not recognize a Palestinian state, whose creation it says should stem from peace negotiations. It voted against a U.N. General Assembly resolution in 2012 that gave de facto recognition to a sovereign Palestinian state.

"On Sunday (the Palestinians) filed a range of requests ... on a document that said 'State of Palestine'. On the spot, we returned it to them, saying they should refile the request on appropriate paperwork," said Major Guy Inbar, a spokesman for COGAT, the military-run authority that handles entry permits.

He said 10 Palestinians whose cases were urgent were allowed to enter Israel while about 50 others were not.

Israeli treatment for patients from the Gaza Strip - an enclave run by Hamas Islamists hostile to Israel - is arranged by the Western-backed Palestinian Authority, which exercises limited self-rule in the occupied West Bank.

Omar al-Naser of the Palestinian Health Ministry in the West Bank city of Ramallah said the ministry had been using the "State of Palestine" letterhead for a year without any move by Israel to deny patients entry.

Gulf News adds:

The ban affects ill people using the Erez Crossing and has been labelled by Palestinians as “rude, barbaric, illegal” and “aimed at killing patients” for whom treatment, as the Israelis know, is not available in Gaza.

I spoke to the COGAT spokesperson for Gaza, and found out the real story.

For several months, the Palestnian Authority has been sending requests on the new letterhead. Every single time, COGAT rejected it, and each time they were resubmitted with the Palestinian Authority letterhead - and approved. This was not new, and the PA knows very well that this was the case.

As recently as Sunday, several patients whose requests were on the new stationery were rejected, and then the PA re-faxed the request the old way and they were approved.

Today's story is a propaganda ambush. Some 50-70 patients (apparently non-life threatening) were submitted on the new stationery at once, an unusually high number. As has been the case for months, they were rejected. But this time the story was leaked to the media. (There was a Haaretz story about this in January with only one patient, but it didn't get much coverage. Much better to use 50 or 70 if you want Reuters and AFP to take notice.)

Existing agreements are between Israel and the PA, not the fictitious "State of Palestine." It is obvious that the PA is trying to embarrass Israel and will happily use Gaza patients as a means to do so. It is equally obvious that the "State of Palestine" is a final status issue, and that Israel cannot act otherwise without jeopardizing its negotiating position.

As usual, instead of dealing with Israel directly, the PLO is passive aggressively using the media to demonize (and weaken) Israel on its behalf. And, as usual, the media is happy to play its part in this charade. 

Update on the Condition of West Bank Christians

Howard Stern  December 2013

This report was compiled during a visit to Bethlehem in December 2013. Howard is co-founder of the Emmaus Group and an internationally accredited negotiator and mediator in conflict resolution.

Overview:

Since my last visit in 2012 there have been some notable changes. An overwhelming sense of fear and anticipation now pervades the Christian community, fuelled by their belief there is little they can do to change anything. They are now a minority representing just 4.8% of the population living among a Moslem majority of 95.2%, with a fragile constitution built on Sharia that affords them less rights or equality. It would be unfair to say they have given up hope, but there is a growing sense of hopelessness.

Palestinian society as a whole seems to be deteriorating with increasing levels of debt, violence, discrimination and lack of interest in even trying to explore ways forward with the Israel. Many are just too tired and weary.

Fear:

Fear was present in most conversations as was anger. There is deep frustration with the Palestinian Authority who, in their opinion, has failed them completely. Basic infrastructures are absent or of poor quality with no credible law and order, health service, social services or education.

This is despite the vast amounts of aid flowing in over twenty years.

While I was there, three days of shootings occurred with gunfights in the street at night, and a police officer killed. Hospitals and medical facilities are avoided for fear of catching disease and government schools are seen as incubators of radicalism.

It is unsafe for Christian women to walk in parts of some cities and although not a new

phenomenon, the areas in which women will now not walk has widened. Kidnapping is a

growing concern, exacerbated by the very recent attempt to take two young female Christian schoolteachers on their way to work. Christian schoolchildren will not travel in taxis unless the driver is a Christian and known personally to the family.

“Israel is holding us together, otherwise radical Islamists groups like Hamas would have taken us

Read complete report:

https://docs.google.com/file/d/0BwqYts6ZHWS6aWhHYmQ5X09tRzQ4NXlWNS1PaXBOX0o0TTln/edit?pli=1

The Israeli Hospital that Saves Syrian Lives

An Inside Look into the Israeli Hospital that Saves Syrian Lives

Published on: January 28, 2014

For the past three years, death has become a way of life for Syrian civilians, who are caught in the throes of a brutal civil war. Last year, the IDF set up a field hospital to treat wounded Syrian civilians near the northern border.

Regardless of the tense relations between Israel and Syria, who are still officially at war, IDF soldiers have continued to apply a core Jewish value: “Whoever saves one life, saves the entire world.”

On February 16, 2013, seven wounded civilians from Syria approached Israel’s border in urgent need of help. Colonel Tariff Bader, a Druze officer, heads an Israeli field hospital near the border. He began his IDF service in 1993, and after completing his medical studies, rose the IDF’s ranks to become a senior medical officer in the IDF’s Northern Command.

“They arrived on Shabbat and were treated by the same people who treat IDF soldiers in the Golan Heights,” Col. Bader explained. “The ethical code of the IDF Medical Corps clearly states that soldiers must assist anyone who is sick or wounded – whether they are associated with the enemy or not.”  The incident on the border began the IDF’s extraordinary mission to assist Syrian civilians in need.

The victims of the civil war in Syria

Recently, the Israeli-Syrian border has become a focal point of tension due to the ongoing Syrian rebellion against the regime of President Bashar al-Assad. The main victims of this internal conflict are Syrian civilians. According to the United Nations, at least 100,000 Syrians have been killed in the fighting over the past three years.

“When we realized we would be receiving many patients, we decided to build a field hospital so that we could treat people with serious injuries who require immediate care,” Col. Bader said, explaining that the victims were so badly injured that they would not have survived the trip to a civilian hospital.

“There has not been a single case in which an injured Syrian was denied medical treatment by the IDF or by a civilian hospital,” said Col. Bader. “I’m sure of that.”

A daily challenge to save lives

The Israeli hospital facility, which continues to operate today, includes surgery, orthopedics and radiology divisions. On a regular basis, nurses and orderlies lend a hand to IDF doctors at the border. Cases that call for serious operations require cooperation between the IDF Medical Corps and Israeli civilian medical services.

The field hospital is located very close to the border, making it a potential target for Syrians looking to exploit the conflict to attack Israel.

WATCH the IDF respond to Syrian fire on Israeli territory:

https://www.youtube.com/watch?feature=player_embedded&v=tttP-HAhbko

In the past, mortar fire from Syria has wounded IDF soldiers in Israel. Despite the dangers of their work, soldiers risk their lives to treat Syrian victims. In many cases, medical forces must treat Syrian patients without any knowledge of their medical histories or health conditions. Despite the absence of cooperation between Israeli and Syrian medical services, some patients arrive with notes from Syrian doctors describing recommended care. These notes, written in Arabic or English, have become the only form of communication between doctors from the two countries.

While discussing the relationship between Israeli soldiers and Syrian victims, Col. Bader explained that their connection is quickly strengthening. “The Syrian people trust us now,” he said. “During the first month or so, they were a little hesitant to come to Israel. Today that is no longer the case.”

Once the patients return to Syria, any evidence of their presence in Israel can put their lives in grave danger. In order to keep the civilians safe, the IDF takes painstaking measures to remove any indication that they received care in Israel.

Committed to humanitarian aid

Soldiers who serve in the hospital are deeply committed to their humanitarian work. As an expression of respect for the hospital, people all over the world have sent gifts to members of the medical team. Soldiers have received everything from clothing, gift cards and radios from people abroad, who have also sent gifts intended for Syrian patients.

A large number of the patients suffer extreme trauma as a result of the conflict. After seeing death and destruction all around them, they carry difficult memories that are just as painful as their physical wounds. To e

ase the psychological trauma of children, clowns visit the hospital on a regular basis, giving the young patients a chance to smile and laugh.

“I myself am a father,” Col. Bader said. “The injuries of children leave the greatest impact on me. I remember a girl whose femur was completely shattered. Had our forces not been there to help her, she would have died or been disabled for the rest of her life. I am honored to do this work, both as a physician and a citizen of Israel. Some patients who arrived unconscious were shocked to find themselves in Israel when they woke up. Fortunately, other Syrians in the hospital helped us calm them down.”

This is not Col. Bader’s first time representing a major humanitarian effort as an IDF soldier. He was also a part of the IDF delegation to Haiti in 2010. Whenever he speaks publicly, he is clearly moved by his experiences. “I feel exactly the same about the lives we save on our own border,” he concluded. “It fills me with pride to accomplish this mission.”

Is Israel really to blame for Gaza’s water shortage

Although this article is a year old, it is still so relevant with the incessant complaints against Israel that we are not doing enough for the "poor" Gazans.

Never is a word written about the responsibility of the Hamas government to take care of its own citizens.

                   ========================

RAHEEM KASSAM   FEBRUARY 13, 2013  

The question is often posed: If their Arab and Muslim brothers around the region feel so strongly about the Palestinian people, why haven’t billions of dirhams, dinars, riyals, pounds or even rupees found their way into large-scale development projects aimed at alleviating poverty in the Gaza Strip?

“But.. but… but… Israel!” the cry often comes. An argument that makes as little sense in theory as it does in practice. To get the facts straight from the outset is important, as misinformation propagated by the delegitimisers of the Jewish state often leads to erroneous beliefs being implanted in the minds of journalists, activists and, importantly, legislators. 

How else could an Early Day Motion in the British Parliament have been tabled blaming the Israeli government for a situation that the World Bank claimed in 2009 would make the Gaza strip ‘uninhabitable’? But the World Bank didn’t blame Israel and a similar report by the United Nations stated that while Operation Cast Lead intensified the problems already faced, Gaza’s problems were “due to underinvestment in environmental systems, lack of progress on priority environmental projects and the collapse of governance mechanisms.”

The Early Day Motion (below) states that “Israeli occupation policies” are to blame for the shortage of water in Gaza. In reality, the situation comes down to a number of factors that are not down to the “Israeli occupation”, a nonsensical reference to the state-of-affairs in Gaza that ended with Israeli withdrawal in 2005.

Since Hamas took control of the Gaza strip and turned the area into a launching pad for its terrorist attacks against Israel, ordinary Gazans have suffered as Hamas continues to provoke Israeli responses through rocket-fire into civilian areas of Israel. In late 2012, Hamas targeted both Tel Aviv and Jerusalem, evidence that its goal is to cause as much human suffering as possible. And indeed it has.

In Gaza, Hamas’s effective dictatorship over the strip means it is the authority responsible for infrastructure. Yet the aid it receives from international donors goes primarily into funding its terrorist activities. Supplies into Gaza are often, rightfully throttled to stop machine parts and materials that can be forged into weaponry getting in. This is not an ‘occupation policy’. It is a necessary defensive move taken by an embattled state in the throes of a prolonged conflict.

The World Bank found that indeed it is the case that a lack of materials remains a pre-eminent factor in the Gazan water problem. While Israel, it claims, is guilty of overreaching in terms of the extract of water from the aquifers; the point has been conversely made that authorities in Gaza have done similar things, such as illegally drilling over 250 wells without authorization from the Israeli-Palestinian Joint Water Committee.

Most recently of course, it was announced that the World Bank will be donating $6.4m to Gaza in order to assist in infrastructure building in Gaza. The grant will finally be augmented by an Islamic organisation, the Islamic Development Bank, to the tune of $11.1m, in order to construct water tanks and distribute water. Israel of course, has been keen to move forward with a project of this sort since early 2012, when Energy and Water Minister Uzi Landau stated, “Our expertise is available to all of our friends, including some of those who don’t accept us there, which is the Palestinians. We would like to see their projects going on. They however say they want to take care of their own needs, which is fine with us.”

Israel is no stranger to resourcefulness in this area, with government-sponsored innovations helping Israel to reduce its wastefulness and bring down the amount of water required per capita. In reality, Israel consumes only a fraction more water than Gaza does, on a per capita basis. The subject of water was agreed upon under the terms of the Oslo Accords (part II) and Israel has not only fulfilled its obligations under the terms of that agreement, but actually supplies more water to Gaza and the West Bank than it is obliged to do.

To repeat, for this is key, Israel has met all its obligations according to the Oslo Water Agreement, in terms of the additional quantities of water to the Palestinians, and has exceeded the requirements. Conversely, the Palestinians have breached two major areas of the agreement, specifically with relation to the digging of ‘pirate wells’ and in allowing wastewater to flow into streams untreated. That was their part of the bargain.

Meanwhile, of course, while Gazans continue to require more and more water to fuel the growing population in the area, their brothers in Egypt are squandering gallons of it to close off tunnels that run between Egypt and Gaza, as has been reported today. The Muslim Brotherhood-run country has connected a well on their side of the border to rubber hoses which flood the tunnels. Of course, this is an attempt to crack down on illegal smuggling similar, though arguably harsher and more wasteful than the policies enacted by the Israeli government. One can’t help but wonder when the charges of ‘creating a prison camp’ and ‘oppressing the Palestinian people’ will be leveled at Egypt.