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Gaza patients continue painful wait for urgent medical treatment Report, order dermavitol no rx required The Electronic Intifada, order dermavitol no rx required 21 August 2008 Ahmed Abu Shawish is confined to his home in Gaza City, order dermavitol no rx required waiting for a permit to enter Israel. Order dermavitol no rx required "I have been sick for more than a year now. Order dermavitol no rx required Five months ago I was finally diagnosed with cancer of my bladder. Order dermavitol no rx required I was working at the Islamic University here in Gaza city, order dermavitol no rx required but now I am stuck at home, order dermavitol no rx required and taking a diet of painkillers." Ahmed Hisham Abu Shawish is 46 years old, order dermavitol no rx required but he looks older. Order dermavitol no rx required His skin is tinged with grey and he sits slumped forward in his chair. Order dermavitol no rx required He used to work full time at the Islamic University doing logistical support, order dermavitol no rx required but these days is confined to his home in the al-Daraj district of northern Gaza City. Order dermavitol no rx required He has an aggressive carcinogenic tumor, order dermavitol no rx required and suffers from serious hematuria, order dermavitol no rx required or blood in his urine. Order dermavitol no rx required He has to attend hospital every two or three days in order to receive regular blood transfusions. Order dermavitol no rx required "I go to the European Hospital in Khan Younis for my treatment" he says. Order dermavitol no rx required This involves a painful journey by shared public taxi several times a week, order dermavitol no rx required as the hospital is 30 kilometers away, order dermavitol no rx required and the family cannot afford to pay for a private taxi to and from their home. Ahmed Abu Shawish urgently needs an operation to remove his cancer and repair the internal damage. Order dermavitol no rx required "The [Palestinian] Ministry of Health referred me to Echelof Hospital in Tel Aviv for specialist treatment" he says. Order dermavitol no rx required "But of course I need a permit to leave Gaza, order dermavitol no rx required and my permit was denied. Order dermavitol no rx required So I applied again with the help of human rights organizations." The Israeli non-governmental organization Physicians for Human Rights and the Gaza City-based Palestinian Centre for Human Rights (PCHR) worked together to try to secure a permit for Ahmed Abu Shawish to be able to travel to Echelof Hospital. Order dermavitol no rx required But on 18 August he was denied a permit once again. Order dermavitol no rx required PCHR has submitted a formal complaint to the Israeli State Attorney, order dermavitol no rx required outlining the urgency of Ahmed Abu Shawish's case, order dermavitol no rx required and asking he be immediately issued a permit by Israel in order to travel to Echelof Hospital for his treatment. Order dermavitol no rx required In the meantime, order dermavitol no rx required Ahmed Abu Shawish is confined to his home, order dermavitol no rx required where he lives, order dermavitol no rx required and waits, order dermavitol no rx required in pain, order dermavitol no rx required discomfort and uncertainty. Ahmed Abu Shawish is one of hundreds of Gazans whose lives are suspended because they cannot access the medical treatment they urgently need. Order dermavitol no rx required According to figures from the Palestinian Ministry of Health (MOH), order dermavitol no rx required 600-700 Gazans are currently applying to Israel for permits to exit the Gaza Strip via Erez Crossing in order to access urgent medical treatment outside of the Gaza Strip, order dermavitol no rx required or else already waiting for responses from the Israeli authorities to their applications that they have already submitted. Order dermavitol no rx required Gazan patients are referred for medical treatment to the West Bank, order dermavitol no rx required Israel or abroad only if they cannot access the appropriate treatment in Gaza. Order dermavitol no rx required Nevertheless, order dermavitol no rx required approximately 50 percent of those who apply for permits are denied, order dermavitol no rx required although, order dermavitol no rx required bar the rhetoric of "Israeli security concerns" they are never informed why they are being denied access to medical treatment that will save their health, order dermavitol no rx required and sometimes their life. From June 2007 to June 2008, order dermavitol no rx required PCHR documented the deaths of 40 Gazan patients, order dermavitol no rx required including 13 women and nine children, order dermavitol no rx required who died either because they were denied permits by Israel, order dermavitol no rx required because their permits were delayed, order dermavitol no rx required or because they could not obtain the medicine in Gaza that they needed in order to survive. Order dermavitol no rx required The ongoing siege of the Gaza Strip has decimated Gaza's infrastructure, order dermavitol no rx required stretching education, order dermavitol no rx required sanitation and health services to breaking point. Order dermavitol no rx required Hospitals in Gaza are simply not well enough equipped to carry out the kind of delicate and highly invasive surgery that Ahmed Abu Shawish so urgently needs. The Egypt brokered tahdia or "calming" that came into force on 19 June was supposed to see restrictions on Gazans, order dermavitol no rx required including severe restrictions on freedom of movement, order dermavitol no rx required being gradually lifted. Order dermavitol no rx required However, order dermavitol no rx required two months into the tahdia, order dermavitol no rx required there have been no major changes regarding freedom of movement for the 1.5 million civilians who continue to be imprisoned inside the Gaza Strip. If Ahmed Abu Shawish does not receive a permit enabling him to travel to Echelof Hospital in Tel Aviv very soon, order dermavitol no rx required he will have to resort to having his surgery inside Gaza. Order dermavitol no rx required "The doctors at the European Hospital advised me to go to Israel for my treatment" he says. Order dermavitol no rx required "The risks of being treated here are much bigger -- and I tell you, order dermavitol no rx required I am frightened at the prospect of having surgery for my cancer here. Order dermavitol no rx required How do you think I feel when even my own doctors are telling me that, order dermavitol no rx required for my own sake, order dermavitol no rx required I need to go and have my surgery in hospital in Israel?" This report is part of the Palestinian Centre for Human Rights' Narratives Under Siege series. http://electronicintifada.net/v2/article9777.shtml