The aftermath of the Lee-arm dispute, the patient is overflowing in the West Bank district

[Na Blues (Palestinian Xi'an District) = Reporter Kim Yang-kyun] The medical service of the Palestinian West Bank is provided through the Palestinian Autonomous Government (PA), private and NGOs, but due to lack of support of PA under the occupation of Israel, It was in the situation.

The reporter visited the Palestinian West Bank District, the CABLES, and the university hospital, which is a senior general hospital in Korea. In an interview with them, they could hear the local situation that was difficult to see, but there was also a part to confirm the facts.

On the morning, the reporter visited the Health Workers Community or the Blues branch in Cables Old City and interviewed Asserts (61), a branch manager.

■ The patient is overflowing, but there is not enough work

-How do you have an operating budget.

The Dabbles branch was founded in 1984 to support the poor medical services of the Poverty. There are many patients here in conflict and accident. Budgeting is made with business (project) and small medical expenses. The overall budget control is in charge of Allah headquarters.

-What medical treatment and treatment are done here.

Women's health, prenatal (pregnant women's risk factors in advance, treatment and prevention early), pregnancy, maternal health (子 健, maternal and infant's life and health protection to healthy childbirth and nurturing) Mental health treatment is performed. Pregnancy, childbirth, and gynecological diseases are treated for married women. We are also teaching 'for good sex life'.

-What patients visit.

When patients over 16 years of age come to visit, they decide whether to treat psychiatric care according to 20 items. Depending on the patient's situation, treatment is linked with psychiatric women.

-How do you have a lot of disease.

There are many seasonal diseases. In winter, there are many patients who come to influenza and summer diarrhea and gastroenteritis. In particular, female patients come to visit the Obstetrics (pregnancy and childbirth department) and the gynecology department (except for women).

-The average number of patients a month.

It is 1,000 to 1,200. In pediatrics, medical care is served from a one-month fetus to five-year-old children. Treatment for various vaccinations and growth and development.

-The size of medical personnel here is.

Only one man is a man, and the rest are all female medical staff. There are one female doctor, three nurses, two research institutes (nutrition, women's education), and one guide desk. The other doctor goes to work once a week with emergency work.

-What is the number of medical staff compared to the number of patients.

There is a lack of work, but the operating budget is too short.

-What medical equipment do you have?

Because it is a primary medical facility, it is not equipped with blood pressure meters.

-How do pharmaceuticals be done?

I can buy my own and receive donations. We are donating from the Spanish Center.

-The lack of medicine is not enough.

There is a lack of medicines for respiratory patients. The government is not interested in medical education, so we are focusing on education.

There are insufficient medicines, but the answer is that there is no problem with securing. There was a possibility that it was conscious of cooperation with the Palestinian Health (POOH). It was judged as a defensive answer.

-The level of medical expenses is.

There are differences by disease, but the medical expenses are 25 Shekel (about 11,158 won) and the treatment costs are 20-40 Shekel (about 8,000 won to 16,000 won). The price of medicine is a patient burden. Political prisoners, families, and martyrs (deaths in the process of protests and resistance with Israel, occupied) do not receive money.

-As the Palestinian Autonomous Government (PA) is applied to the national health insurance for medical expenses.

Health insurance is not considered here.

-Where is needed for surgery or a serious patient is transferred.

I send it to a large hospital higher than us.

The reporter asked these questions because he wanted to draw the story of the poorest people who will be burdened with the high medical expenses of large hospitals, but the interview did not open his mouth.

-What role did this place at the time of the Corona 19 Fan Derick?

We conducted workshops such as medical education and masks. We also handed out the cleaners and masks.

-Was there many cases of death of women and children in the region?

I didn't see it.

-How do I think I have a health care situation in me.

The public health situation is not very good. The number of patients is large, but there are few patients who receive national health insurance benefits, which is high for medical expenses.

There were patients who were delayed due to the interview, so the interview had to proceed for a short time. I wanted to talk with a young doctor by hiding the camera while avoiding the camera during the coverage, but I didn't get the opportunity.

■ The second-largest hospital in the Xi'an district

Following the Health Walkers Community or Blues branch, it was An-NAJAH University Hospital. Founded in Na Blues in 2013, An-NAJAH University Hospital is the first university hospital created by Palestine Medical School. After the Augusta Victoria Hospital in Jerusalem, the largest in the West Bank, with 65 doctors and 240 nurses here. The annual outpatient patients were 15,000 to 16,000.

Currently, 120 beds are in operation, and the building will be expanded on the 11th (local time) that the reporter visited. The senior hospital officials who responded to the interview seemed to be proud.

In 2005, Anna Medical School was newly established, and it was necessary. There was a space for medical students to study and practice. The agreement with the Palestinian Autonomous Government (PA) is established, and a hospital is established, and all medical care, including general medical care and kidney disease, is provided. There are additional obstetrics and gynecology buildings.

Anna University Hospital worked with the UK, Jordan, and the United Nations for the first time in the medical system of developed countries. There were 250 cases of transplanting cells in the bones, and the tough operation that was previously possible only to Israel or Jordan, such as the brain and the heart, succeeded. I am proud to have a system for medical students to cultivate them as specialists through interns and majors, and the level of medical education is excellent. For patients, radiation and hospital rooms are being expanded, and radiation therapy is only available in West Bank. It is easy to access because it can come to our hospital without going through the checkpoint of the Israeli military.

-There is the size of the hospital.

There are 120 beds in the hospital room, and now we have a building with 350 beds. There are also 100 artificial dialysis.

Dialysis is an artificial process that removes waste and excessive fluid from the body, and is necessary when the kidney does not function properly. In general, it refers to removing wastes from the blood of a patient with chronic renal failure. The type of dialysis is hemodialysis and peritoneal dialysis. In particular, hemodialysis is a method of removing waste and moisture in the blood and maintaining the balance of electrolyte through the blood dialysis device. Palestine has many patients with kidney-related diseases, requiring a lot of artificial dialysis.

-What is the proportion of cancer patients?

It is about 38-40% of all patients. Except for August Victoria Hospital in Jerusalem, Anna University Hospital is the largest cancer hospital in the West Bank.

-Is the frequency of severe trauma patients, such as shooting damage caused by disputes with Israeli troops.

Yes. There are many severe emergency situations and surgery and medical support for them in the intensive care unit (IOU) (high-ranking officials do not remember specific statistics).

-How do such a severe traumatic patient visits the hospital.

It is transferred to the hospital closest to the injured, and sometimes comes to our hospital, usually Raffia surgical hospital is mainly injured patients during demonstrations.

Founded in 1976, RAFFIA SURGICAL HOSPITAL is located in Nanak Blues, which is run by the Palestinian Health (POOH). More than 620 medical personnel, including doctors, nurses, and pharmacists, with 200 beds.

-The transportation of severe patients is not much delayed due to road control of Israeli military, such as a checkpoint.

In the Gaza Strip, it is necessary to get a permission from the Israeli authorities to come to the university hospital. If a patient living near me Blues does not come to the hospital, the Israeli army blocks the road or checks, but recently, it is often the case.

In recent years, the injured people have been injured due to the recent blood disputes in Nan in and Lenin, and the number of delays in the hospital is expected to occur due to the strengthening of the inspection, but the answer was different. In relation to the Nanak Blues, the road situation was not smooth, such as the Israeli army's regular checks and restrictions on traffic. According to the United Nations Humanitarian Business Coordination Bureau (OCHA), as of 2020, the Israeli military movement restriction facilities were ▲ 6 checkpoints ▲ 1 regional checkpoint ▲ 4 open iron gates ▲ 1 defensive wall ▲ 9 pieces of dirt ▲ soil wall There were a total of 27, including three, three roads.

-Ha Blues and Lenin, there are many patients who have visited the hospital due to blood disputes.

I have a patient, but I don't know the case of a specific patient.

-She of cancer surgery at Anna University Hospital.

The cost of surgery, chemotherapy, immunotherapy, and radiation treatment is very expensive (the average cost of treatment per patient was not available). Anna University Hospital has more than 1000 cumulative treatment and more than 5,000 cumulative treatment. The problem is that the Palestinian Autonomous Government (PA) is lacking in health services. In order to cover the overall treatment, the PA is more than $3 million (about 4.3 billion won).

-How many patients give up treatment due to economic difficulties.

The Palestinian Autonomous Government (PA) guarantees cancer treatment and artificial dialysis. 20,000 civil servants and their families are beneficiaries of national medical insurance. If you join the national health insurance, you can get 100% of the treatment costs. Israel pays taxes every month, but cancer and kidney disease are difficult to receive less taxes from Israel. The number of patients transfer is large, but the patient is deteriorating during the transfer process. We need the capacity to provide medical services or the ability to accommodate it.

-How did the operating and treatment of isolation wards for the confirmed person during the Corona 19 Fan Derick?

To prevent the spread of fashion, we paid the quarantine items to patients, doctors, and hospital visitors. The Corona 19 dedicated department was created to treat oxygen respiration (for patients with gastric hypertrophy). We successfully responded to Corona 19. He also guided the Corona 19 guidelines to the public and educated them. We fought well with Corona 19 and won. Anna's doctors were sent to eight medical institutions and responded successfully. Anna University has become a landmark of Corona's 19 response.

High-ranking officials' successful response or fighting with Corona 19 is judged to be a subjective interpretation considering the Corona 19 confirmed and death statistics of the Palestinian West Bank.

According to the Johns Hopkins Corona 19 resource center, the cumulative number of confirmed confirmation of the West Bank and the Gaza district is 70,14, and the cumulative deaths are 5,708. For reference, the population of the West Bank is 3.15 million and the Gaza district is 212 million.

In terms of confirmed and deaths, it is not possible to say that it is not much, but the cumulative level can increase more exponentially than it is now, considering the existence of blind spots due to the limitations of the diagnostic inspection facility. A total of 374,571 vaccines were administered, and at least 39.46%of the people were administered at least one vaccination and more than 39.46%.

-If the dispute is serious, do you have difficulty transporting medicines?

The medical items, which should be taken this month, are delayed due to the delayed permission due to Israel's Jewish holidays. The carrier is also an Israeli company, and all medicines must be pre-registered in Israel. There is also a difficulty in pre-registration, but the dispute itself does not have difficulty in transferring medical goods, but transfer companies refuse to transfer or the Israeli military inspection is delayed.

-How do you diagnose the health situation of the West Bank? To improve, PA has a long-term solution.

PA responds well to maternal health. We are having difficulty in preventing treatment and intervention. Overall response to cancer treatment is required. Prevention, medical treatment, treatment, and recovery should be done in one place, and we want to do this.

After the interview, I was able to explore senior officials and hospitals. When he expressed his intention to talk to the patients, the official said, Why do you want to meet the patient? In the end, he did not have the opportunity to talk to the patients.

The intern doctors who saw over the emergency room were eager to care for the patient. Despite the difficult situations, efforts to prepare their own measures are unclean, but the incompetence of the PA was on the other hand.

The position of primary medical institutions and general hospitals was partially confronted, but there were also commonalities. The health care situation in the West Bank is very poor, and the reason is that there is a deep connection with the occupation of Israel.