yet remained unable to reach them. Of the 2,217 Palestinians killed during the 2014 attacks on Gaza, 511 died without receiving medical assistance because the ambulance drivers could not obtain the necessary permission from the Israeli military to reach them.257 Gaza’s Health System under Pressure by the Blockade The blockade on Gaza has had serious consequences for Gaza’s health system, as the blockade, combined with other restrictions imposed by Israel, limits the range and number of materials allowed into the Gaza Strip. The Palestinian Ministry of Health’s central drug store in Gaza reported in 2014 that 25.7 percent of the medicines on the essential drug list, and 47 percent of medical disposables, were at or near zero stock.258 The low stock of essential drugs is both a direct result of the serious restrictions on goods allowed into Gaza, but is also indirectly a result of the poor economic situation, resulting from the blockade and the occupation in general, which has crippled the Palestinian economy.259 At the same time, this situation forces the Palestinian Authority to buy medicine at much higher prices than neighboring Arab countries.260 Furthermore, following Israel’s attacks on the Gaza Strip in 2014, the UN Health Cluster Damage and Needs Assessment found that “nearly 50 percent of Gaza’s medical equipment is outdated and the average wait for spare parts is approximately six months.”261 Because of the blockade, not only is medicine difficult to obtain for Palestinians, but so too are the basic construction materials needed to reconstruct the 17 hospitals and 45 primary healthcare centers damaged during the 2014 attacks.262 However, as of June 2015, less than one percent of the construction materials needed in Gaza had been permitted to enter by Israel.263 Moreover: 257 Al Mezan Center for Human Rights, “No More Impunity: Gaza’s Health Sector under Attack”, 2015, page 23. Available at: http://www.map-uk.org/downloads/no-more-impunity--gazas-health-sectorunder-attack.pdf 258 Claude de Ville de Goyet, “Report of a Field Assessment of Health Conditions in the Occupied Palestinian Territory (oPt)”, World Health Organization, 2015, page 7. Available at: http://applications. emro.who.int/docs/Cons_Rep_2015_EN_16311.pdf?ua=1 259 OCHA – Occupied Palestinian Territories, “The Gaza Strip: The Humanitarian Impact of the Blockade”, July 2015, page 1. Available at: www.ochaopt.org/documents/ocha_opt_gaza_blockade_factsheet_ july_2015_english.pdf 260 Physicians for Human Rights, “Divide & Conquer: Inequality in Health”, January 2015, page 40. Available at: http://www.phr.org.il/uploaded/Divide%20and%20Conquer%20ENG%20REPORT%20 JAN%202015.pdf 261 Claude de Ville de Goyet et al., “Report of a Field Assessment of Health Conditions in the Occupied Palestinian Territory (oPt)”, World Health Organization, 2015, page 7. Available at: http://applications. emro.who.int/docs/Cons_Rep_2015_EN_16311.pdf?ua=1 262 OCHA – Occupied Palestinian Territories, “Humanitarian Atlas 2015”, 2015, page 45. Available at: http://www.ochaopt.org/humatlas2015/files/res/downloads/humatlas2015.pdf 263 OCHA – Occupied Palestinian Territories, “The Gaza Strip: The Humanitarian Impact of the Blockade”, July 2015, page 1. Available at: www.ochaopt.org/documents/ocha_opt_gaza_blockade_factsheet_ july_2015_english.pdf 69

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