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A10   WORLD NEWS
                    Thursday 13 June 2019

            Sick Gaza child caught in Israeli permit system dies alone



            By ISABEL DEBRE                                                                                                     hope, the Palestinian office
            FARES AKRAM                                                                                                         told them, was to apply for
            Associated Press                                                                                                    as  many  older  women  as
            JERUSALEM  (AP)  —  When                                                                                            possible  from  their  extend-
            Palestinian    preschooler                                                                                          ed social network. A permit
            Aisha  a-Lulu  came  out  of                                                                                        for  Halima  al-Ades,  a  re-
            brain  surgery  in  a  strange                                                                                      mote family acquaintance
            Jerusalem  hospital  room,                                                                                          whom  Aisha  had  never
            she  called  out  for  her                                                                                          met, was approved.
            mother and father. She re-                                                                                          Muna  said  she  had  no
            peated  the  cry  over  and                                                                                         choice but to sign COGAT’s
            over, but her parents never                                                                                         consent form and whisk her
            came.                                                                                                               daughter  out  of  Gaza  for
            Instead  of  a  family  mem-                                                                                        immediate  treatment.  She
            ber,  Israeli  authorities  had                                                                                     said  the  frustration  of  the
            approved a stranger to es-                                                                                          sprawling    bureaucracy,
            cort  Aisha  from  the  block-                                                                                      and  the  painful  memory
            aded Gaza Strip to the east                                                                                         of her 5-year-old daughter
            Jerusalem  hospital.  As  her                                                                                       crying for her on the phone
            condition deteriorated, the                                                                                         during her last days, haunts
            child was returned to Gaza                                                                                          her.
            unconscious.  One  week                                                                                             The  Shin  Bet  declined  to
            later, she was dead.                                                                                                comment on the case. But
            A  photo  of  Aisha  smiling   In this Monday, May 27, 2019 photo, Muna Awad, mother of 5-year-old Aisha al-Loulu, shows a   in  a  statement,  it  empha-
            softly  in  her  hospital  bed,   photo of her daughter while in a Jerusalem hospital, at the family home in Bureij refugee camp in   sized  Israel’s  security  con-
            brown  curls  swaddled  in   central Gaza Strip.                                                                    cerns about Gaza patients
            bandages,  drew  an  out-                                                                          Associated Press  and   their   companions.
            pouring  on  social  media.  Hamas  from  arming,  has  background checks.             To their bewilderment, Pal-  “The  terrorist  organizations
            The  wrenching  details  of  precipitated  a  financial  According to WHO, the ap-     estinian  officials  told  them  in  the  Gaza  Strip,  headed
            her last days have shined a  and  humanitarian  crisis  in  proval rate has plummeted  not to apply, saying it was  by Hamas, are working tire-
            light on Israel’s vastly com-  the enclave. For years, Ga-  in recent years.           too risky.                   lessly to cynically exploit the
            plex  and  stringent  system  za’s 2 million residents have  It  said  that  in  2012,  Israel  At 37, Waseem is below the  humanitarian and medical
            for  issuing  Gaza  exit  per-  endured rising poverty and  allowed  in  93%  of  patients  age  that  Israel  deems  ac-  assistance  provided  by  Is-
            mits.                        unemployment,      undrink-  and  83%  of  their  compan-  ceptable for swift entry on  rael,” it said.
            It  is  a  bureaucracy  that  able groundwater and fre-   ions  for  treatment.  For  the  security grounds. Today, all  This  means  that  Palestin-
            has  Israeli  and  Palestinian  quent  electricity  outages.  month  of  April  2019,  the  men under 55 require extra  ians are often turned down
            authorities  blaming  each  Public hospitals wrestle with  figure stands at just 65% of  screening,  which  means  without  explanation  or  for
            other for its shortfalls, while  chronic shortages of drugs  patients  and  52%  of  their  waiting, usually for months,  reasons out of their control.
            inflicting  a  heavy  toll  on  and  basic  medical  equip-  companions.               according to Mor Efrat, the  “I feel confident telling you
            Gaza’s  sick  children  and  ment. Israel blames Hamas,  A  COGAT  official  disputed  Gaza and West Bank direc-    that  most  of  these  rejec-
            their parents.               which it considers a terrorist  the  figures,  saying  they  tor for Physicians for Human  tions  are  arbitrary,”  said
            “The  most  difficult  thing  is  group, for the crisis.  don’t  take  into  account  Rights  Israel.  As  for  Aisha’s  Efrat,  of  Physicians  for  Hu-
            to  leave  your  child  in  the  In what it portrays as a hu-  that  the  number  of  permit  mother,  Muna,  a  quirk  of  man Rights Israel.
            unknown,” said Waseem a-     manitarian gesture to help  applications  has  grown  as  her upbringing in Egypt left  Israel  denies  any  official
            Lulu,  Aisha’s  father.  “Jeru-  Gaza’s  civilians,  Israel  per-  Gaza’s health care system  her without an official Israe-  change in policy.
            salem is just an hour away,  mits  Palestinian  patients  to  deteriorates, and that Israel  li-issued ID card required to  Alon Eviatar, a former high-
            but  it  feels  as  though  it  is  seek medical treatment at  has  started  issuing  permits  receive a permit.    ranking  official  with  CO-
            another planet.”             hospitals  in  Israel  and  the  less  regularly  but  for  pro-  “We  tell  families  to  find  a  GAT, said the goal remains
            So far this year, roughly half  West Bank once they pass  longed  stays.  The  official,  companion that won’t give  the same. “On the ground,
            of  applications  for  patient  a  series  of  bureaucratic  speaking  on  condition  of  Israel any reason to refuse,”  this  means  to  make  daily
            companion  permits  were  hurdles. COGAT, the Israeli  anonymity  under  agency  said Osama Najar, spokes-          life  as  difficult  as  possible
            rejected or left unanswered  defense  body  that  issues  rules, said COGAT has tried  man  for  the  Palestinian  for Hamas, without crossing
            by Israel, according to the  the  permits,  says  it  insists  to ease restrictions by des-  Health  Ministry.  “We  want  the  red  line  to  humanitar-
            World Health Organization.  that  all  patients  cross  with  ignating  a  permit  specifi-  to save the child and, yes,  ian disaster,” he said.
            That  has  forced  over  600  an  escort,  usually  a  close  cally  for  parents  of  child  that  can  mean  sending  Eviatar acknowledged that
            patients,  including  some  relative,  unless  they  wish  patients.                   them alone.”                 the  Israeli  permit  system
            dozen  children  under  18,  to  go  alone  or  require  im-  The  agency  said  it  issued  In this sense, the Palestinian  was  ineffective,  inefficient
            to make the trek out of the  mediate  treatment  that  4,000  permits  for  patient  Authority  “acts  as  a  sub-  and  overburdened.  “We
            territory  alone  or  without  doesn’t allow time for secu-  escorts  in  the  first  quarter  contractor  for  Israel,”  said  are desperate for an alter-
            close family by their side.  rity screening.              of 2019, including 1,398 for  Efrat,  forcing  parents  to  native, to get Gaza to take
            The  system  stems  from  the  In  order  to  get  a  permit,  parents of sick children.  make a difficult choice: de-  care of itself and stop rely-
            Hamas     militant   group’s  patients must first submit a  After being diagnosed with  lay their child’s urgent care,  ing on Israel,” he said.
            takeover  of  Gaza  in  2007,  diagnosis to the West Bank-  brain  cancer,  Aisha  re-  or search for someone else  Aisha’s doctor in Jerusalem,
            when it violently ousted the  based  Palestinian  Health  ceived immediate approv-     that  Israel  would  be  more  Ahmad Khandaqji, said he
            Western-backed  Palestin-    Ministry,  proving  that  their  al  to  get  out  of  Gaza  for  likely to let cross.  has  treated  countless  lone
            ian  Authority.  Israel  and  treatment isn’t available in  what was hoped to be life-  Aisha’s  parents  said  they  patients  from  Gaza  over
            Egypt responded by impos-    Gaza.  Then  a  Palestinian  saving  surgery.  But  when  scoured  for  alternatives,  the  past  year,  but  that  Ai-
            ing a blockade that tightly  liaison  requests  exit  per-  her  parents  approached  applying  for  an  aunt  and  sha’s  story  stuck  with  him.
            restricted   movement    in  mits  from  COGAT,  which  the  Palestinian  Civil  Affairs  her   75-year-old   grand-  “She  felt  abandoned  and
            and out of Gaza.             reviews  the  applications  Commission for escort per-    mother, but Israel rejected  betrayed,”  he  said.  “We
            The blockade, which Israel  and passes them to Israel’s  mits,  their  process  ground  both.                       saw  how  that  directly  im-
            says is necessary to prevent  Shin Bet security agency for  to a halt.                 The  girl’s  only  remaining  pacted her recovery.”q
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