COVID Denies Gaza Cancer Patients Essential Care

But restrictions imposed during the pandemic have made travelling for treatment to a hospital in the West Bank impossible for her, leaving Rifi with few options as her health has worsened.

"My blood tests show that my condition has deteriorated," she told AFP, wearing a floral scarf while speaking through a pink protective mask.

"I'm living on sedatives, because of the pain in my feet and neck."

Gaza had a weak healthcare system before the coronavirus pandemic due to an “Israeli”-enforced blockade.

The “Israeli” entity tightly controls the flow of goods and people in and out of Gaza, measures it says are necessary to contain Hamas and other resistance groups in the strip.

Because radiotherapy is unavailable in Gaza, Rifi had been travelling to al-Khalil [Hebron] in the occupied West Bank for treatment, a journey that requires transit through the “Israeli” entity.

Since the COVID-19 pandemic was declared last year, crossings into the “Israeli” entity have been restricted further.

For Gaza cancer patients, the entity has allowed gravely ill people to be transferred to the West Bank or east al-Quds [Jerusalem], the majority Palestinian part of the city it annexed.

Rifi said her case was not considered acute enough to qualify for an emergency transfer.

Her last radiotherapy session was in August, and she has felt too weak to exercise at the sports club near home in east of Gaza City, she added.

Access to care

Gaza, which has a population of roughly 2 million, has recorded more than 51,500 coronavirus cases, including more than 520 deaths.

Poverty rates, which stood at nearly 50 percent before the pandemic, have increased – in part due to economic hardships exacerbated by the lockdowns imposed to stem transmission.

Imane Shanane, who runs a patient advocacy organization in Gaza, said cancer sufferers had been left "more fragile" by the pandemic.

According to her, 7,000 Gazans are currently diagnosed with cancer; about 100 of them are awaiting permission to cross into the "Israeli" entity.

Cancer patients "deserve more access to medical care," said Shanane, herself a breast cancer survivor.

Gazans can also receive medical treatment in neighboring Egypt by travelling through the Rafah crossing, but it also has only been open sporadically during the pandemic.

"The fragile health system, the ‘Israeli’ blockade, the closure of crossings and the shortage of drugs and medical equipment: it is cancer patients who pay the price in Gaza," Shanane said.

Rim Fathi, an 18-year-old Gazan diagnosed with leukaemia, said she had received permission to travel to al-Quds for treatment because of the severity of her case.

But she voiced fear of leaving home and contracting coronavirus in the “Israeli” entity.

"I would rather suffer here," she said.

“We'll pay what it takes”

Rifi expressed the hope that her transit through the Erez crossing will be approved soon, allowing her to resume treatment.

"But I need 1,800 shekels [$545] to travel and stay in Hebron [al-Khalil]," she said, explaining that she intended to borrow the money if her transit is approved.

Typically the Palestinian Authority, based in the West Bank, pays part of the costs for medical travelers.

But to ensure there are no delays in waiting for funding, Rifi's family said they would pay out of pocket as soon as the trip is approved.

"Her condition is no longer tolerable," her 70-year-old white-haired father, Radwan, told AFP.

"We will pay what it takes to keep her from dying."