GAZA CRISIS: EARLY WARNING INDICATORS - December 2017 ... Financial approvals are granted by the West Bank-based Ministr
GAZA CRISIS: EARLY WARNING INDICATORS - December 2017 A series of measures implemented by the Palestinian Authority since March 2017, following an escalation in the internal Palestinian divide, have led to a deterioration in the humanitarian situation in the Gaza Strip. Against the backdrop of 10 years of Israel’s land, air and sea blockade, these measures have exacerbated Gaza’s energy crisis, resulting in increasing outages, worsened the salary crisis in the public sector, increased the shortage of essential drugs and delayed the referral of patients for medical treatment outside Gaza. These developments have impacted the availability of essential services and the livelihoods of Gaza’s two million residents. The following indicators were identified by the Humanitarian Country Team (HCT) to monitor the evolution of the crisis, trigger humanitarian action and prevent further deterioration. Despite an agreement signed in October 2017 between Fatah and Hamas, by the end of 2017 the humanitarian situation remains extremely fragile. FUEL RESERVES LEVEL AT CRITICAL FACILITIES (IN # OF DAYS)
EMERGENCY FUEL To allow for the maintenance of a minimum level of critical services, humanitarian agencies provide emergency fuel to health, water and sanitation, and solid waste collection facilities, to run backup generators and vehicles. The number of facilities benefiting from this support has increased from 189 at the beginning of the crisis in March of this year, to 248 since September.
WASH
Health
GAPS IN EMERGENCY FUEL DELIVERIES (IN MILLION LITRES ) * Estimated need
Solid Waste
180
60
60
Avg Jan 2016
Feb
Mar
Apr
May
Jun
Jul
Aug
0.6
0.6
0.7
0.7
0.8
0.8
0.4
1.2 0.4
0.4
0.4
0.8
0.8
0.8
0.8
Sep
Oct
2016 Jan Feb Mar
Nov Dec
1.4 1.4 1.4 1.4 1.4
0.5 0.5
0.5
0.5
0.5
0.9
0.95 0.95 0.95 0.95
Apr May Jun
Jul Aug Sep Oct Nov Dec
*Gaps have been affected by both funding shortages and logistical constraints.
AVERAGE PRICE OF TOMATO (ILS/KG)
VOLUME OF CLEAN WATER PRODUCED BY WATER DESALINIZATION PLANTS PER MONTH ( (THOUSAND CUBIC METRES)*
122
49
52
53
41
43
65
66
4.23
2016 2017
* Source: WASH Cluster
WASTE WATER INTO THE SEA
2.6 2.4
63
3.1
2.4 2.1
64
199
1.8
2.88
2.8
1.6 1.37
1.8
1.4
Jan Feb Mar Apr May Jun Jul Aug Sep Oct
223
Apr
ACCESS TO PIPED WATER (LITERS PER CAPITA PER DAY)
299
May
286
Jun
Nov Dec
100 LCD
293
Aug
296
Sep
1.9 WHO minimum recommended amount of water
268
Dec
2.76 2.88 1.73
2.18
Jul
Aug
Sep Oct Nov
Dec
1.9
2.5
1.9
1.8
1.5
1.6
2.0
1.93 1.6
1.7
1.5
2.1 2
2.1 1.9
1.5
2.89 1.67 2.5
1.67
Jul Aug Sep
2.96 2.05
1.59
Oct Nov Dec
AVERAGE PRICE OF EGGPLANT (ILS/KG)
281
Nov
1.1
2.3
3.49
AVERAGE PRICE OF POTATO (ILS/KG)
Jan Feb Mar Apr May Jun
265
Oct
2.03
2016 2017
300
Jul
2.2
3.57
1.0
Jan Feb Mar Apr May Jun
211
261
International Standard
0.7
1.2 1.2
FOOD-SECURITY
103 101
Mar
0.5
1.2
30
MILLION LITERS/DAY
Jan
1.4
1.2
Gap
90
POLLUTION LEVELS OF WASTEWATER FLOWS INTO THE SEA (IN MG/LITRE OF BOD*)
Feb
1.4 1.4
1.2
WATER, SANITATION AND HYGIENE
~101
Actual distribution
86 86 80 51 53 53 53 54 71 73 68 70
5.3
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
4.6
* Due to its poor quality, piped water is used for domestic purposes other than drinking and cooking. For the latter, people rely mostly on buying tankered desalinated water from unregulated water vendors.
60 mg/lt
* Biological Oxygen Demand (BOD) is an indicator of water pollution levels, which are linked to the effectiveness of wastewater treatment.
4.6 4.2
2.9 2.4
2016 2017
2.9 2.1
2.78 1.83 1.1 1.6 1.28 1.32 1.81
1.9 1.9
1.5 1.1 1.4 1.0 1.28 1.16
Jan Feb Mar Apr May Jun
Jul
Aug
1.92
Sep Oct Nov Dec
Note: Vegetable prices can only be compared based on seasonality
HEALTH AVERAGE WAITING TIME FOR E.N.T.* ELECTIVE SURGERY AT SHIFA HOSPITAL (IN MONTHS)
FINANCIAL APPROVALS OF MEDICAL REFERRALS (# OF PATIENTS)* 2,320
14
2,190 1,937
1,907 1,800 1,661
1,756 1,484
10
11
DIARRHEA CASES AMONG CHILDREN UNDER 3
14
12
12
12 10 10.5 3,892
8
1,300 1,297 1,077 5
6
2,376
400
Jan Feb Mar Apr Source: WHO
May Jun Jul Aug Sep Source: PCHR
Oct Nov Dec Source: WHO
* Financial approvals are granted by the West Bank-based Ministry of Health
Jan
Feb Mar Apr
4,245 3,997
3,093 3,171
May Jun
Jul
Aug
Sep
Oct Nov
Dec
* ENT: Ear, nose and throat * Postponement of elective surgeries is a measure adopted by hospitals to cope with the energy shortages.
Creation Date: January 2018 Information Sources: OCHA, UNRWA, WHO, PCHR,MOH, CMWU, MoA, FSS, WFP, WASH
Jan
1,937
3,259
2,883 2,988 2,742
1,483
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
* The incidence of diarrhea is an indicator of the quality of water, sanitation and hygiene services and habits.
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