Israel picks up the bill

January 5, 2009 - 3:17 PM by DavidS · 3 Comments
Filed under: A New Reality, General, Israeliness, Life, Medical Breakthroughs, Politics, War, coexistence 

While the news is full of Israel’s “crimes” against the civilian population in Gaza, here’s one “crime” you probably haven’t heard about. Israel routinely admits residents of Palestinian Authority controlled territory into its hospitals – and the Israeli taxpayer foots the bill. Not only that; Israel even helps pay for treatment of patients in PA hospitals, where the patient never even comes near an Israeli hospital!

While many of us probably have heard of exceptional cases of Israeli doctors treating PA Arabs, I, and probably you, were under the impression that it was limited to high profile or complicated cases, such as the Save a Child’s Heart Foundation – with ill PA residents coming to Israel as a last resort. That kind of thing has been going on for a long time – even during the current war, as evidenced by the photo (courtesy of the IDF spokesperson), captioned “Injured Palestinian receiving medical treatment by Israeli and Palestinian medical personnel at the Erez crossing.” 010109injured2_b

But Israel’s contribution to the health of Palestinian Authority residents goes far beyond emergency assistance; according to some folks I interviewed for a story on a new database system being developed by an Israeli software company for hospitals in Bethlehem and Ramallah (an amazing story in and of itself!), Israel’s Health Ministry often pays for care of PA residents both in Israel and in the Palestinian Authority itself!

The company building the database, called i-Rox, is located in Bnei Brak, and consists almost entirely of ultra-Orthodox women programmers (this story just gets better all the time!). According to the company’s CEO, the programmers are building in a component that allows PA hospitals to share their information with Israel’s Health Ministry, because in some cases, Israel’s health funds help provide – and pay for – treatment of patients in PA hospitals.

Yes, I had a hard time believing it too – until I Googled this World Health Organization PDF document. According to this eye-opening reporting (for 2006-7), “Approximately 60,000 Palestinians from the West Bank area have been treated in Israel hospitals over the past year. Around 20,000 were hospitalized, and about 40,000 received ambulatory services of all sorts. Approximately 5,000 patients from the Gaza area have been treated in Israeli hospitals over the past year – about 2,000 hospitalized and about 3,000 receiving ambulatory services of all sorts. Among the patients receiving medical care in Israel, approximately 2,500 were children, the majority of whom received long-term treatment for cancer and complicated operations.”

As far as Israel providing services to PA hospitals, “Public health laboratories at the Israel Ministry of Health continue to regularly provide assistance to the Palestinian Health Authority in the way of laboratory tests for poliomyelitis, measles, mumps, influenza and other viral diseases,” the report says. Israel – via the health funds and the Health Ministry – continued those tests throughout the year, “in spite of the fact that the Palestinian Authority delays or halts payments.” Of course, the anti-Israel forces out there have never let themselves get confused by the facts – but at least we know the truth, and in this day and age, that’s no small feat.

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Finding hope in the Gaza conflict

January 5, 2009 - 7:56 AM by Nicky · 3 Comments
Filed under: General, Life, Politics, War, coexistence 

One of the gifts of working for an organization like ISRAEL21c is that even in the midst of conflict and crisis, we get the rare privilege of seeing another side of the story.
In the last difficult week, when the images on TV and in the newspapers were so negative and heart wrenching, we still heard stories about ordinary Israeli Jews and Palestinians working together in an effort to bring reason, peace and humanity to the Middle East.
One of the most touching stories to emerge during this current terrible war was the tale of a tiny baby boy from Gaza called Jafar.

Born a few weeks ago with serious heart defects, his Palestinian doctors knew that he couldn’t survive without surgery. They phoned Dr. Akiva Tamir, an Israeli doctor they knew from the Israeli charity Save a Child’s Heart, and together the Israeli and Palestinian doctors raced to bring Jafar to Israel.
On Monday of last week, while missiles rained down on Gaza and southern Israel, Israeli doctors from Wolfson Medical Center near Tel Aviv volunteered their time, and performed surgery on the small boy. His grandmother was there waiting for him when he was transferred to intensive care.
Jafar is still at the hospital. He is recovering well. His heart surgery was a success. He joins a growing number of Palestinian children – 1,000 so far – who owe their lives to the volunteers at the wonderful charity Save a Child’s Heart.
Sometimes, like so many people here, I worry that this battle between Israel and Hamas will never end, but it’s stories like these, of individual Israelis and Palestinians working together and thinking far beyond the conflict that give me hope that one day things will be better.

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The Golden Hour

December 16, 2008 - 11:32 PM by DavidS · 3 Comments
Filed under: General, Life, Medical Breakthroughs, Technology, War 

If there’s one thing Israeli medics are good at, it’s first aid. As a result of battlefield experience over 60 years of war, chovshim, as they are called in the IDF, have learned how to treat serious injuries with few supplies under heavily pressure.

The lessons learned on the battlefield prove invaluable for major civilian emergencies as well, such as the tragic bus crash outside Eilat. Sixty Russian tourists on a junket to Eilat plunged off the side of a narrow, twisty road to a ravine nearly 200 feet deep. Twenty four people died, and the rest were all in serious condition, as of Tuesday night. While many were killed on the spot, several died of the injuries they sustained later on,

What if the injured had gotten treatment sooner? Could they have been saved? Maybe, say doctors who advocate the Golden Hour theory that even severely injured people have a higher chance of surviving if they get substantial, emergency room style treatment within the first hour after they’re injured. The problem is getting them to the treatment site especially under difficult field conditions, such as when a bus is stuck at the bottom of a ravine, with no path or road to the top, and no place for a helicopter to land. Not to mention that moving the injured often makes things worse, exacerbating the problem and making treatment at the facility more complicated.

There is a solution on the horizon, though. As it happens, I spoke to Dr. Eran Shenkar today, a battlefield medical expert who has helped develop a new concept vehicle for remote medical care, called the MedUAV. Interviewing Dr. Shenkar and others at the Fisher Institute in Herzliya in preparation for an article for 21C (look for it soon!), I had no idea how relevant the conversation would be just a few hours later.

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The MedUAV, says Dr. Shenkar, can essentially bring the emergency room to the field. Developed for the battlefield, it’s also ideal for civilian emergencies in difficult to reach circumstances. As a remote UAV, it’s smaller, cheaper, and more compact than a helicopter meaning it can go places a helicopter can’t, and, in times of war, there’s nobody to shoot down. The MedUAV can land or take off vertically, meaning it’s ideal for use in, say, a narrow ravine where there’s no place for a helicopter to land. The MedUAV can carry sophisticated equipment equipped with Wi-fi sensors, allowing a field medic to hook up a patient and allow a doctor to provide remote treatment, by giving instructions to the medic. And, after it delivers its supplies, the MedUAV can transport patients back to the medical tent, where they can be transported to hospitals by helicopter.

It’s a great solution to the golden hour problem and when it’s ready for field use, chances are good that tragedies like today’s bus crash will end up being a bit less tragic, with perhaps many more of the injured being restored to good health more quickly.

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