151434 Treatment of Palestinian patients in an Israeli hospital: No prejudice, no politics

Wednesday, November 7, 2007: 1:00 PM

Michael Gdalevich, MD, MPH , Ben Gurion University, Barzilai Medical Center, Ashkelon, Israel
Ron Lobel, MD , Barzilai Medical Center, Ashkelon, Israel
Michael Huerta, MD, MPH , Ben Gurion University - Barzilai Medical Center Campus, Ashkelon, Israel
Shimon Scharf, MD, MPH , Ben Gurion University - Barzilai Medical Center Campus, Ashkelon, Israel
Background: Despite ongoing conflict, the Israeli medical system has consistently supported its Palestinian counterpart by providing public health services and critical medical care to Palestinians, through times of increased tension and relative quiet. Sick and wounded Palestinians are frequently transferred to Israeli hospitals for advanced medical care. Barzilai Medical Center (BMC), a 500-bed regional hospital in Ashkelon, 7 kilometers north of Gaza, is a frequent recipient of Palestinian patients. Objective: To describe the scope and distribution of medical conditions encountered while treating wounded and sick Palestinians from Gaza during 2006-2007. Results: During 2006, 124 patients from Gaza were admitted to BMC. 46% of patients were admitted for treatment of chronic conditions, many of whom were transferred from Palestinian medical facilities. Acute traumatic and non-traumatic diagnoses represented 29% and 25% of admissions, respectively. The overall case-fatality rate was low: 9.6% in the acute non-traumatic group, 5.6% for trauma patients, and 1.8% for chronic conditions. Conclusion: The admission and treatment of Palestinian patients continues at BMC, despite ongoing Qassam missile attacks on the city of Ashkelon. This Hippocratic action remains largely unpublicized, as public knowledge of this information might place Palestinian patients at risk for violence by radicals. The Israeli population remains dedicated to the principles of ethical medical care, and supports the treatment of the sick and wounded based on needs – and regardless of politics.

Learning Objectives:
1.Describe the functions of a regional medical center in an area of conflict. 2.Recognize the difficulty experienced by a regional Israeli hospital, carrying out its mission in a region under constant threat of terrorism and missile attacks. 3.Assess the extent, distribution and results of the treatment of Palestinian patients in an Israeli hospital near Gaza.

Keywords: War, Hospitals

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.