• High demand for patient permits — low approval rate: Of 2,026 patient permit applications to exit Gaza through Erez checkpoint for hospital appointments in September, 63.77% were approved, the lowest approval rate since June 2009. 177 patients (8.74%) were denied permits, including 9 children and 7 elderly persons over 60 years. 557 patients (27.49%) received no response, including 175 children and 54 elderly people over 60 (Palestinian District Liaison office in Gaza).
• A 60-year-old man accompanied his brother to hospital — detained at Erez and released after 2 days.
• Almost 1 in 2 patient companions denied/delayed: The approval rate for permit applications of patient companions was 54%; 9% of the companions were denied permits and the remaining 37% were pending.
• Security interrogations: 15 patients, among them 2 females, were requested by the General Security Services for interviews at Erez during September. None were approved in the month.
• Humanitarian health workers through Erez: Of 8 requests, 6 were approved, 1 denied and 1 pending.
• Access to Egypt: According to Palestinian officials at Rafah terminal, the Rafah border terminal was open in both directions for 4 days in September allowing 150 patients to travel for health reasons to Egypt. Seven ambulances were donated and entered Gaza. No medical delegates entered Gaza through Egypt during the month.
Ministry of Health Referrals in September
• The Ministry of Health issued 1,711 referrals for (1,550 patients) in September for outside care with an estimated cost of NIS 7,228,993. The top 5 needed specialties for Gaza patients were in oncology, paediatrics, hematology, ophthalmology and nuclear medicine