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A Word from the Chairman the Israeli Medical Association Israeli Medical Association No. 34 | December 2020 A word from the chairman Dear Colleagues and Friends, however, we have still been very busy in the international arena. In this It is a pleasure to present you with edition, you can read about the many another edition of IMA Around the virtual events that the Israeli Medical Globe. Association both hosted and participated IFirstly, I must say that I hope that you in. One of these events was the first in and your loved ones are keeping safe and a series of virtual oncological meetings well at this difficult time. As you may be on the management of advanced breast aware, a second wave hit Israel and on cancer. Prof Zion Hagay, IMA President, the 18th of September another lockdown also attended the World Medical began. We are now slowly easing the Association virtual General Assembly, restrictions that were put in place. while Leah Wapner, IMA Secretary Once again, our newsletter will update General, participated in the Standing and I hope that you enjoy reading about you on the work being done here in Israel Committee of European Doctors General their activities in the Chapter Tidbits in the fight against Covid-19. You will hear Assembly and the Annual Meeting of the section. about research into vaccinations being European Forum of Medical Associations. Finally, I must once again say thank you conducted at the Institute for Biological With Israel’s recent agreements with to all healthcare workers around the Research in Ness Ziona. In addition, the United Arab Emirates and Bahrain, world, who are on the frontlines battling you can read about developments in the the IMA has been trying to establish this pandemic. technological arena and how medical relations with the medical profession I wish you and your loved ones Hag education is developing, with a new and in these countries. Similarly, the Israeli Chanukah Sameach. May each candle unique degree in digital technologies in biotechnology company Pluristem has bring light to life with love and laughter medicine being approved by the Council signed a memorandum of understanding in your home. for Higher Education in Israel. for a collaboration agreement with the As you can imagine, we have not been Abu Dhabi Stem Cell Center. > Professor Arnon Afek able to host or attend international Our Chapters have also been incredibly Chairman, IMA World Fellowship meetings or conferences in person; busy with many hosting virtual events, Associate Director General, Sheba Medical Center The Israeli Medical Association wishes you, your family and your community A Very Happy Chanukah! 2 IMA AROUND THE GLOBE | DECEMBER 2020 IMA Domestic News and Activities Covid-19 Israel’s Second Wave Background system divides cities into red, orange, identify the corona virus in the patient’s The first cases of Covid-19 and green by the severity of the body and serological tests (antibody were identified in Israel at the end of pandemic. It is possible that the different tests) detect the presence of the virus February and a 2-month lockdown locales could see different timelines several days after the onset of the was imposed in March. However, the according to their infection rates. disease. The main test used in Israel is lockdown was followed by a quick Opinion polls suggest only about the laboratory PCR test, with swabs sent opening of schools and the economy. a quarter of Israelis have confidence to 40 laboratories across the country. Today, Israel is in the midst of a second in government policies to contain the The swabs are collected by Magen David wave and the rate of morbidity is one of spread of the virus and many people are Adom (MDA), at the examinee’s home the highest in the world. As of the 10th not abiding by the restrictions currently and at mobile drive and test facilities set of December, Israel had 15,716 active in place. up throughout the country. In addition, cases, and 2934 deaths; at its peak the Covid-19 tests are performed at MDA daily number of new cases reached 9,000 Testing Protocol and Health Fund Clinics. An additional one-month lockdown In early March, the Israeli Ministry The testing system has been began on the 18th of September. Some of Health initially claimed that extensive criticized on issues including a lack of the measures included: the closure tests were not needed, but only in cases of manpower, which endangered the of schools, offices, restaurants and such as: those returning from abroad; collapse of the laboratories; tests not shops, other than those that provide contact with a verified patient and reflecting a representative sample of vital services such as supermarkets, clear signs of a chest infection. Their the population; inaccurate results; pharmacies, and banks. In addition, assumption was that Covid-19 was not claims of hypersensitivity of the test the law imposed a travel restriction of 1 yet common in the community and and monitoring and surveillance kilometer from people’s homes. therefore mass tests would produce which impinges upon the rights of the The government has planned extreme errors and not give a reliable individual. a considerably slower easing of picture. It should be noted that at The testing system does not operate restrictions in this second round with a that time there was a shortage of cell alone but as part of a whole system of phased exit plan spanning over 4 months spreaders and reagents (the reactive coping. The test has no value without with 8 stages which will came into material needed for testing). Therefore, additional action: Maintaining physical effect on Sunday the 18th of October. It it is possible that Israeli policy was also distance, cutting off the chain of began with the reopening of preschools, influenced by the actual situation. infection, monitoring carriers, caring for removal of the 1-kilometre distance Subsequently, there was a significant patients, informing and strengthening restriction and allowing restaurants to change in policy. The tests were public trust in the leadership and offer take-aways. gradually expanded to a large extent professionals, and enforcing guidelines The second stage of easing was with the purchase of the necessary and their observance by the public. introduced on the 1st of November, by equipment and the increase in the rate which time the number of daily cases of infection in the community. Today Health Workforce had reduced to below 1000. Among Israel’s testing system is the backbone The healthcare workforce has been other things, schools opened grades 1-4 in the fight against the epidemic. extremely committed to treating patients on alternate days or in capsules. Two types of tests are used to detect from the beginning of the outbreak while In addition to this, a traffic light the virus. The molecular tests (PCR) being mindful of the need to preserve IMA AROUND THE GLOBE | DECEMBER 2020 3 energy and limit contact. In the first to Join the Ranks and Reinforce the off chains of contagion due to a lack of wave, the Israeli Medical Association Hospitals” was made by Professor manpower. In addition, there has been held bargaining agreements, securing Zion Hagay, President of the Israeli a lack of coordination and agreement on doctor’s salaries even in times of Medical Association and Professor an action strategy among professionals quarantine or illness and adjusting Chezi Levi, the Israeli Ministry of and decision makers. Finally, the their work schedules. Doctors worked Health’s Director General. Hospitals public’s distrust in the leadership makes in capsules and shifts and when not on and community clinics are in great need it difficult to enforce the guidelines and shift they were instructed to stay out of of interns, intensive care specialists, to restrictions in place. the hospitals. Today, as we know more emergency medicine specialists, GPs Nevertheless, after a month-long about how the virus is contracted, fewer and pediatricians. national lockdown, the second one in physicians are put into isolation. Plans are also being put in place to about half a year, signs of improvement During the first wave, elective prepare the healthcare system ahead of can be found. Israel’s COVID-19 R procedures were restricted, and the the winter. The coming winter will pose value is currently well below 1 (0.6). public were less likely to seek medical a very significant challenge to the health The number of daily confirmed cases care. Advertisements encouraged people of Israeli citizens. For several weeks, a per 1 million population has plunged to seek care when needed. During the special committee has been preparing in a month about 75%, from more second wave, elective procedures have for the scenario of dual morbidity with than 400 in the middle of September not limited, and all other services are influenza and coronavirus. to approximately 100 cases at the end open. We still see fewer people being The Israeli health system continues of October. Similarly, the number of treated, which is a concern. to struggle to deal with the crisis. This “red cities” has dropped sharply from The health system was called to is largely due to the neglect of the public 40 on the eve of the lockdown to 8. a state of emergency due to lack of health system for many years. Medical These encouraging data give hope for manpower. On the 21st of September teams are extremely busy and burnt out, a successful continuation of the fight “A Call for Action for Retired Physicians which is exacerbated by failure to cut against the epidemic in Israel. Levin and Dr. Boris Itzkovitz, convened The scholarship program gives The Israeli Medical Association to evaluate 63 exceptionally qualified physicians a unique opportunity to World Fellowship Scholarships, candidates.
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