The New Humanitarian Annual Report 2021

  1. Home
  2. Middle East and North Africa
  3. Israel

TB cases down but arguments over numbers persist

An Israeli guard explains matters to new arrivals in the refugee camp.
(Tamar Dressler/IRIN)

The Palestinians' lack of control over their borders plays a small but not negligible role in the low tuberculosis rates in the occupied Palestinian territory (oPt), health officials said.

[Read this report in Arabic]

Israel's jurisdiction over all crossing points, with its own system of screening and treatment, helps keep rates in the Jewish state down to about 5.7 per 100,000, an Israeli Ministry of Health official said.

In the oPt, a tightly enforced vaccination system, easy access to anti-TB drugs and a low number of HIV/AIDS patients, are the main reasons for the few outbreaks.

Efforts by UNRWA, the UN agency for Palestinian refugees, such as inoculation programmes dating back to the 1950s, are additionally credited as being effective. These were complemented by the governmental system set up by the Palestinian Authority shortly after its creation in the 1990s.

By keeping the number of cases down, the numbers stay down, particularly as there is virtually no immigration into the oPt and contact between the Palestinians there and residents of countries with high tuberculosis rates are relatively minimal, the Palestinian ministry of health said.

However, the officially published estimates of the World Health Organization (WHO) for 2006, which said there were about 20 cases per 100,000 residents, are disputed by the Palestinian ministry of health, which declined to give an exact number but said there were far fewer.

Asad Ramlawi from the ministry of health’s preventative medicine department said that although the rate of detection was still less than ideal, and some cases went unobserved, he did not believe it was nearly as high as the published statistics.

"We need to train more doctors in the detection of TB," said a local physician who works in preventative medicine.

Immigration

Israel, however, does have immigration from countries with high TB rates, like Ethiopia (the law offers citizenship to all Jews).

Daniel Shem Tov from the Israeli Ministry of Health said it had very tight procedures for monitoring patients, as well as those who might have been exposed to someone with an active virus. This enabled it to offer preventative treatment, particularly as it did not run a vaccination programme.

A recent influx of asylum-seekers from Africa to Israel has also added a few cases of TB to the local caseload. Shem Tov said the state continued to offer free testing and screening for all, including undocumented migrants.

shg/ar/cb


This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions

Share this article
Join the discussion

Right now, we’re working with contributors on the ground in Ukraine and in neighbouring countries to tell the stories of people enduring and responding to a rapidly evolving humanitarian crisis.

We’re documenting the threats to humanitarian response in the country and providing a platform for those bearing the brunt of the invasion. Our goal is to bring you the truth at a time when disinformation is rampant. 

But while much of the world’s focus may be on Ukraine, we are continuing our reporting on myriad other humanitarian disasters – from Haiti to the Sahel to Afghanistan to Myanmar. We’ve been covering humanitarian crises for more than 25 years, and our journalism has always been free, accessible for all, and – most importantly – balanced. 

You can support our journalism from just $5 a month, and every contribution will go towards our mission. 

Support The New Humanitarian today.

Become a member of The New Humanitarian

Support our journalism and become more involved in our community. Help us deliver informative, accessible, independent journalism that you can trust and provides accountability to the millions of people affected by crises worldwide.

Join