Joint Health Operation Room Sitrep 27 August 25, 2014 Page 1/11

Ministry of Health Emergency Operation Room

Sitrep on Gaza August 25
th
, 2014

On the night of 7
th
July, 2014, the Israeli army launched a large military
operation on the Southern Districts (Gaza Strip). Israeli attacks have so far
included heavy aerial, ground and navy bombardments throughout the
Gaza Strip.
On August 10, 2014 ceasefire started for three days and later was
extended for another 5 days. On August 19
th
ceasefire was broken.

Up to August 25 (19:00 local time), the death toll has reached 2130
(M: 1643, F: 487) (Of which 577 children, 102 elderly), and over 11066
persons injured (M: 7573, F: 3493) (Of which 3374 children, 410 elderly),
according to the Palestinian Health Information Center in Gaza
1
.


Of martyrs are children

Of injured are children

1 The reported number in this report refers to martyrs registered in Ministry of Health hospitals.
2 Martyrs died of wounds and Martyrs pulled out from under the rubble
3 The cases were injured earlier but were not registered before
4
Martyrs died of wounds, or not registered before
The emergency operation room is
responsible for following up on the
health situation in Gaza, and has been
established in the Palestinian Ministry
of Health in collaboration with WHO
and other international and local
partners. Ministry of Health requests
that all assistance, interventions and
donations to the Health Sector to be
communicated to the operation room.
Mobile: 0598949104
Telefax: 200555200
Email:
moh.operationroom2014@gmail.com
Number of
victims in
the last 2
weeks
Martyrs Injured
August 11-12 16
2
307
3

August 13-17 65 0
August 18 8
4
0
August 19-20 25 128
August 21 38 146
August 22 5 76
August 23 12 193
August 24 16 188
August 25 10 76
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 2/11

Health Workers and Structures affected up to August 10
5
:

10 hospitals and 7 PHC clinics were damaged, 5 hospitals and 44 primary health clinics were
closed, 16 ambulances were damaged, and 83 health personnel injured, 23 health personnel died
after Israeli airstrikes hit sites in their immediate vicinity / nearby land:

Date
Facility- Ambulance
Damage Injured staff
July 7- 11, 2014
Gaza European Hospital ICU Pediatrics Unit 1 nurse injured
Foukhairy clinic in Rafa Affecting the clinic which was accordingly
closed

PRCS Emergency
Medical Service center in
Jabalia refugee camp
Damaged the center and destroyed 3
ambulances
15 EMS injured

Ambulances 4 ambulance damaged 3 paramedics were
injured
Jamila al Ashy PHC clinic Windows and doors were damaged
Izbat-Bethanoon-
Medical Relief
Damages in the clinic
Al Wafa Hospital Damaged new building and affected the 4
th

floor

July 11- 14, 2014 1 Lab technician
injured on July 12
PMRS, NCD-Centre in
Gaza
Windows, doors, medical equipments and
furniture have been damaged. The center
closed consequently.

Beach MoH PHC clinic. Windows, doors and furniture have been
damaged

2 UNRWA clinics were
closed
2 UNRWA clinics closed
13 partially disrupted

Balsam Hospital Damages in the operation rooms in the
second
floor , third floor , Pediatric Section , CT
Scan and X-Ray , Surgery Department, main
stores

Hejazi Clinic The clinic was destroyed
July 15- 16, 2014
Al Awda (UHWC) center
(Rafah)
Windows, doors, medical equipments and
furniture have been damaged.


5
According to the MoH Palestinian Health Information Center in Gaza, the figures will be updated in
reference to the ongoing assessment
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 3/11

Date
Facility- Ambulance
Damage Injured staff
UNRWAs health center
in Bureij
Damaged
July 18-19, 2014
Beit Hanoun Hospital The roof of the administrative building has
been partially damaged after a direct
bombardment

Al-Wafa Hospital Forced to evacuate all 14 in-patients to
other hospitals after repeated air strike

Ataa-Habeeb medical
clinic
Damages in the clinic
July 20, 2014
Ambulance Ambulance destroyed Paramedic died
July 21, 2014
Al Aqsa Hospital The third and fourth floors, housing the
emergency department, orthopedics
department, surgical department, and the
Intensive Care Unit (ICU) were destroyed.
Operating theatres had to cease work
because of the lack of oxygen.
Destruction of 3 ambulances
Five patients and 1
administration
manager died, and
more than 70 injured
(of which 1 doctor, and
2 paramedics)
Blood Bank
Civil defense
Damages in the blood bank
Damages in the civil defense

6 civil defense staff
injured
July 22, 2014
Bait Hanoun Hospital Destruction of the water network
3 ambulance drivers, one nurse and one admin staff were injured
Attack on an Ambulance
July 23, 2014 One doctor injured, one pharmacist killed at his home
Balsam Hospital Evacuate Balsam Hospitals after Attach it
by 2 bombed

Al Wafa Hospital damaged new building Al waffa Hospital &
affected 3 floors
destroy : Water tanks , patients rooms
Physiotherapy halls ,
functional treatment halls Assistance
Devices Store , some of
Administrative Rooms

July 24, 2014 One paramedic injured form Naser Hospital
Attacking the surrounding of Al Durra
Hospital. The hospital closed
1 child patient die and
30 injured 4 of them
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 4/11

Date
Facility- Ambulance
Damage Injured staff
from the medical staff
Attacking MoH Ambulance in Khanyounis
while evacuating injured people
1 paramedic injured
July 25, 2014 Attacking an ambulance in Bait Hanoun
while evacuating injured people
1 paramedic killed and
4 injured
July 26, 2014 Attack on Beit Hanoun Hospital. The
hospital closed
Attacking an ambulance in Khan Younis
1 paramedic killed
1 nurse killed upon
attacking her house
July 27, 2014 2 civil defense staff injured
July 29, 2014 2 paramedics injured
5 civil defense staff injured

July 30, 2014 Fire fighter killed
2 paramedics injured
6 civil defense staff injured

July 31, 2014 1 civil defense staff injured
August 1, 2014 Attacking an ambulance

1 civil defense staff injured
1 nurse and 2
paramedics killed

August 2, 2014 Abo Yousef An Najar Hospital closed after a
shell landed on the building entrance



The Ministry of Health calls on national and international organizations to immediately address
the looming public health crisis by:

1) Supporting the provision of PHC and Public Health service, to ensure access to all including
internally displaced people; providing adequate supply of drugs required for prevention
and treatment of infectious and communicable disease, and serving chronic patients;
2) Restoring the electricity supply, water wells and sewage pumping capacity as a matter of
urgency;
3) Providing access to clean and safe water to all residents of Gaza;
4) Providing longer-term shelters for the tens of thousands of displaced persons whose
homes have been completely destroyed, until rebuilding is possible;
5) Restoring Gazas four evacuated hospitals, especially the Wafa rehabilitation hospital and
Al Durrah paediatric hospital, to operational capacity as soon as possible;
6) Providing adequate water & sanitation facilities in shelters for displaced persons;
7) Providing hygiene kits to displaced persons.




Joint Health Operation Room Sitrep 27 August 25, 2014 Page 5/11

Immediate needs
Drugs and disposables (updated lists Attached)
Urgent need for psycho-tropic drugs, especially emergency drug kits to use for patients
with mental illness who have relapses and families in especially severe circumstances of
forced displacement, trauma and anxiety.
More than 24 medical equipments in different quantities (estimated cost $3 million) and
tens of spare parts (estimated cost $230,000) (updated list attached)


Urgently needed medical missions
In light of the current emergency situation in Gaza the following medical missions are urgently
needed:
Neurosurgery (cranial and spinal cord) specialists
Anesthesiologists
Plastic surgery specialists
War general surgery specialist
Advanced orthopedic specialists
Burn management specialists
Maxillofacial surgery specialists
Orthopedics surgery specialists
Vascular surgery specialists
ICU nurse specialists
For full description of the role and missions application: alaqra@yahoo.com

Referrals
According to the Palestinian Health Information Center 469 patients were referred to Egypt,
Jordan, East Jerusalem, West Bank Hospitals, Turkey and Germany up to August 23, 2014:

Date / Referral
Destination
Egypt Jordan East Jerusalem
and
West Bank
Hospitals
Turkey Germany
July 10-16 20 20 2 0 0
July 17 -23 47 5 3 4 0
July 24 30 60 6 34 0 0
July 13- August
6
80 6 50 0 0
August 7-12 17 4 53 4 0
August 13-19 8 1 7 17 3
August 20- 23 1 0 2 25 0
Total 233 34 149 50 3


On August 1, 2014
A medical delegation from MoH was able to reach
Gaza. The medical delegation consisted of 25
specialists (Surgery, Orthopedics, Vascular, and
Thoracic) and specialized nurses.
On August 6, 2014
A second delegation from MoH reached Gaza. 11
specialists (Surgery, Pediatric surgery, maxillofacial
surgery, Orthopedics, Anesthesia) and 10 ICU and
operations specialized nurses.
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 6/11

Urgent response:

MoH delivered 23 trucks full of drugs and medical supplies to Gaza in the first week of July.
MoH in coordination with ICRC delivered 500 blood units to Al Shifa Hospital in Gaza on
July 14, 2014.
MoH in coordination with ICRC delivered 5000 blood bags and around 2 pallets of
medications to Gaza on July 19, 2014.
MoH in coordination with ICRC delivered 500 blood units, 43 pallets of drugs, 33 pallets of
disposables and 4320 of blood banks to Gaza on July 25, 2014.
PRCS delivered 12 trucks full of drugs and medical supplies (worth about $1 million) on July
27, 2014. This was made possible with the generous fund from Saudi Arabia.
MoH in coordination with ICRC delivered 2500 blood units to Gaza on August 3, 2014.

Donors and International Organizations interventions up to date
6
:

Donor/ International
Organization
Item $ value Delivery date Delivery destination
ANERA Drugs 46,000 Delivered MoH
Arab Doctors Union Drugs and supplies Delivered on July 13 and July
14, 2014
MoH/NGOs
Birzet
Pharmaceutical
Company
Drugs 105,000 Delivered on July 16, 2014 MoH
Care International Drugs and supplies
Supported PHC- 4 PMRS
mobile clinics
34,000 Delivered
Started July 26
th
, 2014 for
three months
PMRS
PMRS
Caritas Jerusalem Fuel (3200 L) Delivered MoH
ERCS Egypt 8 tons of drugs,
consumables , tents and
blankets
Delivered on July 13, 2014 Through ERCS to
Gaza
Handicap
International
15 Wheelchairs (WC), 90
pairs of axillary crutches
and 23 air mattresses
8 WC, 10 bath chairs, 58
canes, 40 walkers, 13 air
mattresses, and 5
thermoplast sheets
Ice/cold packs

30 wheelchairs
20,000 ILS



47,500 ILS


5,000 ILS

30,000 ILS
Delivered on July 23, 2014



Delivered on August 2, 2014


Delivered on August 16,
2014
Rehab Department
of Al-Shifa Hospital
Hebron volunteer Medical equipments 10,000 Delivered on August 6,2014 MoH Central Store

6
Listed donations and responses are in reference to what was officially reported to the Joint
Operation Room from donors, International NGOs, National NGOs, and the Palestinian embassy
in Egypt, Algeria and Tunisia.
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 7/11

Donor/ International
Organization
Item $ value Delivery date Delivery destination
Ramallah
ICRC War Wounded
Kits (WWK)
Medical supplies
Water
Drugs and Disposables
Medical equipments
Body bags
Total value
up to August
14, 2014
653,360
Delivered from July 11, to
August 14, 2014


MoH and Hospitals
in Gaza

Imam AL Azhar 5 tones of drugs and
disposables
Delivered on August 6, 2014 MoH CDS Gaza
Islamic Relief Drugs and supplies 139,368
(223,222)
Delivered MoH
Italian Cooperation Medical equipment,
2 Anesthesia Machines
Drugs, disposables, IV
solution
Total value
233,455.30
Delivered July 15, 2014
Delivered July 16, 2014
Delivered July 27,2014

MoH
Italian People
through Terre des
Hommes Italia
Drugs and disposables 5,222 Delivered on August 5, 2014 MoH Operation
room in Gaza
JICA Disposables 96,686 Delivered on August 6, 2014 Al Shifa Hospital
Kuwait Red
Crescent Sc.
25 tons (Emergency
medical supplies
Delivered on August 16,
2014
Through Egypt Red
Crescent and PRCS
to MoH - Gaza
MAP-UK Drugs and supplies 490,000 Delivered July 23- August
19, 2014
MoH- Gaza
MDM- France Consumables
IV fluids

Drugs
30,000
49,100
(30,522)
50,222
Delivered on July 22, 2014


Delivered August 2014
MoH


MoH CDS-Gaza
MSF France Drugs and disposables for
emergency and
operations
04354.30 Delivered July 27- August
11, 2014
MoH central drug
store (24553.33)
Shifa Hospital
(20723.50)
Naser Khan Younis
Hospital(32458.05)
Kamal Edwan
Hospital (0235.34)
Emergency
department
Ambulance station
(255.28)
MSS Drugs, disposables,
consumables
90,000 Delivered MoH
Noran Charitable
Society - Jerusalem
Drugs Delivered MoH
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 8/11

Donor/ International
Organization
Item $ value Delivery date Delivery destination
PCRF Orthopedics Surgery drill
Surgical supplies and
disposables
32 palettes, 24 from
PCRF and 8 from 48
Arabs
40 foot container of drugs,
IV fluids, disposables and
equipment



250,000


315,100

Delivered

Delivered
Delivered August 6,2014


Delivered August 19-20,
2014
European Hospital

MoH
MoH- CDS Gaza


MoH- CDS Gaza
Pharmacare Drugs and supplies 7,000 Delivered MoH
Physicians for
Human Rights
(funded by LDS
charities and BYU
Jerusalem center)
Medical consumables 100,000 Delivered
Physicians for
Human Rights &
Humanitarian Relief
Aid Committee
Drugs and supplies 218,000
(ILS 750,000)
Delivered MoH
Swiss Development
Cooperation (SDC)
through WHO
Drugs and emergency kits 962,212 Partly delivered MoH Gaza MoH CDS Gaza
Turkish
coordination and
cooperation TIKA
Fuel for Gaza hospitals 640.000 Transferred to Ministry on
August 3

Turkish Red
Crescent
Humanitarian Aid
Drugs and disposables 4.172.000 Delivered July 29, 2014 PRCS
UNICEF Drugs 51,345 Delivered August 10, 2014 MoH CDS
Ramallah
United Arab
Emirates Human
Appeal Int.
Emergency team support
Two trucks of drugs and
medical supplies
Beds and Trolleys


Consumables
13 ventilation units and
maintenance of hospital
equipment
Logistic support

Provide 210,000 L of
water
20,000
58,132

31,880


11,473
40,150


10,500

6300
Delivered July August 2012
Delivered on July 10, 2014

Delivered


Delivered

AL Shifa Hospital
MoH- Central Store
Gaza
Al Shifa, Naser and
Kamal Edwan
Hospitals
Hospitals in Gaza
AL Shifa Hospital


Al Shifa Hospital and
MoH CDS Gaza
MoH hospitals- Gaza
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 9/11

Donor/ International
Organization
Item $ value Delivery date Delivery destination
Welfare Fuel for MoH Funded by
the Bank of Palestine

Fuel for NGO hospitals.


Drugs and supplies
Fuel



Fuel funded by Kuwait
Red Crescent

Hot meals for hospital
inpatients
(Supported by Bank of
Palestine campaign)
Primary healthcare
services/ 3 Mobile clinics
through PMRS
(Supported by Bank of
Palestine Campaign)
Hot meals for hospital
inpatients
46,000


26,000


83,000
25,000



96,000


50,000




40,000



Delivered 25,000 liter of fuel
to Al Shifa hospital on July
12, 2014
Delivered 14,000 liter of fuel
to AL Awda Hospital on July
16, 2014
Delivered to MoH
Delivered to Al Awda
Hospital
Delivered 20,000 liter of fuel
to Al Shifa hospital on July
25, 2014
Delivered 50,000 liter of fuel
to MoH hospitals on July 29
Delivery started Aug 4
(covering 40-50 days)



August 5, 2014- September
5, 2014


Delivered August, 2014
MoH


Al Awda Hospital


MoH
Al Awda Hospital






Al Shifa Hospital




Shelters and IDP



Hospitals in Gaza
World Federation
for Hemophilia
Factor VIII 340,000
(ILS
1,160,000)
Delivered MoH


Donations in process

Donor/ International
Organization
Item $ value Delivery date Delivery destination
Algeria
Pharmaceutical
Company
Drugs In process MoH
ANERA Antibiotics 100,000 In process Al Shifa Hospital
Argentina 400 Kg of Drugs and 300
Kg of Water purification
tablets
In process MoH
Care International Drugs and disposables 400,000 In process MoH & NGO
Hospitals in Gaza
Caritas Jerusalem Drugs 186,380 ILS In Process MoH - CDS
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 10/11

Donor/ International
Organization
Item $ value Delivery date Delivery destination
Indonesia (in kind
donation)
Drugs 1 million In process MoH
Ireland -Through Irish
Medical Aid for
Palestinians
Drugs and special milk
formula
In process MoH
Islamic Relief Drugs and disposables 96,0000 In process MoH
Italian Cooperation Drugs and disposables 35,222 In process MoH- Operation
Room Gaza
Italian People
through Terre des
Hommes Italia
Drugs and disposables 26,500
(02,222)

In process MoH
Italy through WHO Drugs 170,081 In process MoH - Gaza
Korean Government
(KOICA)
Korean Volunteers
Drugs, disposables, and
medical equipments

Medical device
1 million


1000
In process


In process
MoH


MoH
MAP-UK Drugs and medical
supplies
Project to support
neonatal units (funded
by ERF)
340,000

225.000
In process

In process
MoH Gaza CDS

Hospitals in Gaza
Medico International 222,222 In process MoH
Nazareth Hospital -
EMMS
Drugs and supplies 22,169 In process MoH
Nazareth Hospital
and Aid Committee
Drugs and supplies 180,000 ILS In process MoH
NORWAC Drugs and supplies 1.4 million In process MoH
Norway through
WHO
Drugs 765,027 In process MoH
Oxfam Drugs, disposables and
Fuel
02,232 In process Al Awda Hospital
Palestinian American
Bridge(PAB)-Houston
Drugs and supplies 300,000 In process MoH
Scientific Medical
Society
Drugs 12,500 ILS In process MoH
Secours Islamique
France
Drugs 52,308 In process Hospitals in Gaza
Tunisia Humanitarian supplies In process MoH- Gaza through
the PRCS
Turkish Government
through WHO
Emergency drugs and
supplies
1.5 million In process MoH
UNFPA Drugs and disposable
Psychosocial support and
women healthcare
320,000
180,000
In process MoH
Joint Health Operation Room Sitrep 27 August 25, 2014 Page 11/11

Donor/ International
Organization
Item $ value Delivery date Delivery destination
UNICEF Drugs and consumables 1,048655 In process MoH
Union of doctors and
pharmacists in
Austria
Drugs and medical
supplies
In process MoH
United Muslim Relief 20 foot container of
drugs and medical
supplies
In process MoH
UPA Drugs and medical
supply
89,833 In process MoH
Welfare Drugs and medical
supplies






Community Based
Rehabilitation services
through NGOs
30,00







300,000
In process







In process
Al Karama Hospital,
Blood Bank Society,
Kuwaiti
Hospital/Rafah,
Dar-alSalam
Hospital, Yafa
Health Center,
Patients Friends
Society Center
Shelters and IDP