Senior physicians recently waited months for critical action on the health department's response to measles outbreaks and then deployed inadequate human resources in a reluctant and confusing manner.
This added to the confusion and even panic among the public.
"Penny has not dropped this to be an important event," the epidemiologist said. "We were faced with an emergency and should have realized in the summer that we should mobilize all the systems."
As the number of measles outbreaks in the summer increases, there is a growing concern about the risk of onset, and it has been recommended that international travelers be vaccinated.
>>We need to know that measles has occurred in Israel.
A source at the Bush administration's Kir Habriyut hotline said that he received a lot of phone calls to the deputy prime minister, Mahe Bar Siman Tov, for the measles in 2017, but he did not provide this information.
The ministry was the first to recognize that there was a real problem in just six months after the media began reporting the outbreak. Measles began to increase markedly in March, and 250 cases were diagnosed in August, 8 times more than in 2017.
Many measles cases have also been found on flights to and from Israel. However, as noted, the minister recommended that he be vaccinated before flying to a specific area of Europe where the onset of the disease occurred.
In October there were 700 known cases. The most important outbreaks occurred in the Far Eastern Orthodox area of Jerusalem, Beit Shemesh and Betar Ilit, with congestion and vaccination rates of only about 50%. Smaller outbreaks occurred in northern and West Bank settlements. There were dozens of cases in Tel Aviv.
An 18-month-old infant who lived in the Mea She's Arim district of the Orthodox Church in Jerusalem last week died of the disease. He died of measles for the first time in 15 years. More than 1,400 measles have been reported so far and doctors at the Jerusalem hospital say they are afraid of losing control.
"This is a scandal," one senior Israeli health care official said. We are lucky that we are the only measles and there are no other diseases.
"I made every mistake in managing and explaining the crisis," he added. "What happened recently is an attempt to cooperate with the media to make it look like it is doing something, but the results are embarrassing."
Ronni Gamzu, Director General of the Department of Polio Science, did not have the same incidence as polio in 2013-14. To respond to the distrust of the system and the impact of the vaccine on social media in a particular community, he personally met opinion leaders from various communities, including Rabbi and Imam. As a result, from August 2013 through January 2014, the number of children vaccinated with polio reached 980,000, which did not result in injury or death.
A senior physician said, "The difference between the ways in which these two crises are handled is tremendous." The polio crisis was defined as an early emergence, and the crisis was the mobilization and cooperation between doctors and specialists, HMOs, municipalities, Through. "
"There is a core problem of leadership here," said one person who previously dealt with several health crises. "I do not think that the person who leads the ministry today will be able to respond to such an incident."
"This is a professional and communications crisis," he continued. "Both areas require a lot of knowledge and experience, require active management and require a much more detailed level of information than exist today."
The crisis has also turned out to be unprepared for the vulnerable state of Israeli public health services and emergency preparedness. In 2012, 1,227 nurses were hired for this service and they were given vaccines and traced the pandemic to people who were exposed to certain diseases.
But today we have reduced to 920 people and are waiting for vaccinations and subsequent visits. Also, the exam was thorough and less frequent.
These nurses who started the measles epidemic worked for 12 hours. So this week, the Cabinet asked for help from nursing students.
"All 920 nurses are dealing with measles, all routine activities have been stopped," said Moriah Ashkenazi, a nurse worker. "The burden is too great for the nurse to collect information and send reports to the health department in real time."
"We know there are families who have never been vaccinated," he added. "We must complete not only measles outbreaks but also other immunizations, including all explanations, records and guidelines."
Ilana Cohen, a nurse union leader, said he showed how neglected public health services were. "There is no correlation between population growth and the number of nurses," she said. "We have at least 140 caregivers in public health services."
Complicating matters is the fact that government ministry officials have failed to explain the situation directly to the public or through media interviews. The waiting time on the Kol Habriyut hotline is over 10 minutes.
My parents said they felt pressured, confused and angry. They think there is a lack of information to deal with crisis situations and a complaint that they can not access medical personnel. The hotline operators are not aware of much, and it is difficult to make an appointment. Moreover, the published recommendations of the ministry are confusing.
For example, one mother, Herzliya, told her local vaccine provider she would give her a booster shot for three days, but there was no answer.
And the next appointment scheduled for February 11th at Tel Aviv Regional Health Office was on February 11th when Haaretz was about to make an appointment for an adult booster.
Another problem is that the responsibility for immunization is divided into several institutions (eg, local health departments, healthy baby clinics, companies hired to provide medical services to students, HMOs and clinics – the patient's age and condition) I will.
"The first thing that stands out is the confusion and ignorance of people calling to ask questions." Even our hotline operators do not have all the answers, "a senior HMO official said.