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[ This message has been sent to you via the CASI-analysis mailing list ] Dear friend Last week, Derek Summerfield addressed the health issues in Palestine, as part of Israeli genocide of the Arabs in Palestine. Those who did not have a chance to read it, can access it by clicking the following link. http://bmj.bmjjournals.com/cgi/eletters/329/7471/924?ehom NABA's chairman, Dr Ismail Jalili, also wrote about the subject and his letter was included on the same site entitled: Palestine: a state of despair (included at the bottom of this page). We also appreciate the many positive responses we received following the circular we sent. This week, the issue of Arab genocide in Iraq is addressed in the Lancet in a major article by Les Roberts and colleagues and in a Comment by Richard Horton. The article estimates the human losses to be in the region of 100,000 with the majority of these deaths being in women and children. (You can access them on the web through the following link): http://image.thelancet.com/extras/04art10342web.pdf and http://image.thelancet.com/extras/04cmt384web.pdf This state of affair has been ongoing with very little outcry from the 'democratic world', let alone the non-democratic world. The current spate of such publications in reputable medical journals is to be applauded, particularly if we are to keep the level of public awareness in the west regarding these appalling situations. N A B A Letter to the BMJ: Palestine: the state of despair. By Dr Ismail Jalili Consultant Ophthalmologist, UK. Summerfield's article1 on Palestine adds to the previously documented health crisis in this population 2-5 and demonstrates the scale of this human tragedy. Indiscriminate obstruction damages an already vulnerable medical infrastructure resulting in increased morbidity, degraded health, premature deaths, and non-fulfillment of basic human needs2. Repeated invasions cause extensive destruction, food shortages, internal civilian displacement and psychological distress 3. Poor socio-economic, demographic and environmental health conditions lead to over-crowding, affects drinking water sources and play a major role in the occurrence of intestinal parasites and diarrhoea with under 5s at highest risk. Endemic parasitic infestations were found in 29.8% of women4, 24.1% in 1-4 years old; and 13.7% of diarrhoea admissions with 10.6% mainly in <1 year olds. Injuries rose sharply, a staggering 32 and 9-fold increases in the first and second Intifidas respectively. Before the Intifida, victims were men, there were no <10's; during the Intifida 9% were women and 12% under 14 years; injury patterns changed with 65% due to firearms or explosives, 19% to beating and 6% to gaseous substances. Among children, most firearm injuries involved the head, including eye injuries and brain damage5. After the 1967 war, Israel's labour market opened to workers from the Occupied Territories, with jobs in construction, agriculture etc; conditions were poor and exploitation rife6. By 1984, 87,000 Palestinians were employed in Israel - 36% of the total workforce. Since 1991, there has been a sharp decline, with Romanian and Thai workers recruited instead. Girls and young women increasingly risk illiteracy and families are marrying their daughters at younger ages for security 6. Before 1987, the author witnessed the failure to provide treatment for 2 children with retinoblastoma; neglect and bureaucracy led to advanced, metastasised presentation, causing excruciating pain and agony. They were failed by a lack of initial treatment but also by denial of terminal care7, reflecting the neglect of poor and deprived pointed out by Summerfield's and others 1, 8. 1. Summerfield D. Palestine: the assault on health and other war crimes. Br Med J 2004;329:924. 2. Quato D. The politics of deteriorating health: the case of Palestine. Int J Health Serv 2004; 34:341-64. 3. Giacaman R, Husseini A, Gordon NH, Awartani F. Imprints on the consciousness: the impact on Palestinian civilians of the Israeli Army invasion of West Bank towns. Eur J Public Health 2004;14286-90. 4. Abu Mourad TA. Palestinian refugee conditions associated with intestinal parasites and diarrhoea: Nuseirat refugee camp as a case study. Public Health 2004;118:131-42. 5. Helweg-Larsen K, Abdel-Jabbar Al-Qadi AH, Al-Jabriri J, Bronnum-Hansen H. Systematic medical data collection of intentional injuries during armed conflicts: a pilot study conducted in West Bank, Palestine. Scand J Public Health 2004;32:17-23. 6.Diamond J. Demography of the Arab World. Lecture. ST203, 21.10.02. 7. Jalili IK. Childhood visual impairment in the West Bank and Gaza Strip. Thesis - in preparation. 8. World Health Organisation. Health conditions of, and assistance to, the Arab population in the occupied Arab territories, including Palestine. The 54th World Health Assembly, Agenda item 17, 22 May 2001. -- ---- N A B A The National Association of British Arabs Tel/Fax: ++44 (0)1780 765 655 Address: PO Box 77, Stamford PE9 2WQ, UK. Website: http://www.naba.org.uk EMAIL: firstname.lastname@example.org NABA is an independent British organisation working for the interests of the Arab community within Britain. It encourages a positive Arab contribution to British life and promotes integration without surrendering Arab identity. It works to build bridges with the indigenous population and other ethnic groups and promote positive media awareness of Arabs, their heritage and culture and their views. In addition it seeks to initiate better collective communications with local and central government and NGOs to address the difficulties faced by Arabs within Britain in respect of unemployment, racial discrimination, etc. Membership is open to all individuals and organisations interested in Arab culture and affairs. Ref: (S1) _______________________________________ Sent via the CASI-analysis mailing list To unsubscribe, visit http://lists.casi.org.uk/mailman/listinfo/casi-analysis All postings are archived on CASI's website at http://www.casi.org.uk