|• Reduced access: Israeli permit approval rate in April (82.9%) was lowest since January 2011 reflecting a dramatic increase in delays in responding to applications. No permit denials were issued in April for the first time in the last 5 years. |
• Patients delayed: 198 patients (17.1%; 78 F; 120 M) did not receive a response to their permit application and missed their hospital appointments.
• Patients interrogated: 17 patients (5 F; 12 M) who had applied for permits to cross Erez checkpoint were requested to appear for Israeli security interviews.
• Outside referrals: In April 285 patients were referred to Israel (34% more than March) and 3 patients to Jordan.
• Referrals to non-MoH facilities inside Gaza: Fewer patients were referred to private and NGO facilities inside Gaza (193; 13.2%) and more to WB facilities (197; 13.5%) than during March.
• Medical reasons for referrals: Most April 2013 referrals were for treatment in oncology (14%), heart catheterization (10%), nuclear medicine (8.5%), ophthalmology (8%), neurosurgery (7%), haematology (6%), orthopaedics (6%), paediatrics (6%), urology (5%) and heart surgery (4%).
• Cost: The total estimated cost for Gaza referrals during April was NIS 10,648,269.