MSF

• The WHO says that, as of Jan. 5, there have been more than 600 attacks on health-care facilities, with 26 out of 36 hospitals in Gaza severely damaged and 79 ambulances targeted.
• Over 300 health-care workers have been killed and over 200 have been detained by Israeli forces.
• This leaves patients with chronic life-threatening diseases, such as cancer, heart failure and end-stage kidney disease, with severely limited access to the ongoing medical care they need to survive.

Patients unable to access care for chronic conditions

• As nephrologists and internal medicine physicians, we are gravely concerned about patients in Gaza with chronic diseases who are unable to access care.
• There are more than 1,100 dialysis patients, including 38 children, in Gaza.
• Without adequate dialysis, fluid and toxins accumulate and patients typically die within days to weeks from respiratory failure or cardiac arrest.
• But in a health-care system under assault, patients are fortunate to receive any dialysis at all.

Patients needing life-saving treatment

• She then attempted to access dialysis at Al-Awda and Kamal Adwan hospitals, but both facilities had insufficient capacity to treat him.
• This is a tremendous challenge for dialysis patients who are faced with the uncertainty of when, where or if they will access their life-saving therapy.
• Anssam, age 12, was displaced from Jabaliya in northern Gaza to seek treatment in Deir El Balah in central Gaza.
• She had gone 15 days without dialysis and had to leave with her mother to receive life-saving medical treatment.

Loss of medical personnel

• Beyond the destruction of health-care facilities and a critical shortage of supplies, the loss of medical personnel may have the most devastating and longest-lasting impact on the health-care system in Gaza.
• He had hopes to expand dialysis care in Gaza and build a nephrology educational training program.
• His loss resonated far beyond his family, patients and colleagues in Gaza.
• We join the UN, the WHO, MSF and the British Medical Association, along with millions around the world, who call for an immediate ceasefire and unimpeded humanitarian aid.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

• In the third quarter, we achieved record revenue of $559 million, produced record EPS of $3.72 and expanded gross margins by 130 bps to 32.3%.
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• Today Norm and its partners proudly announce a significant milestone in its strategic expansion plans — the establishment of their first U.S. manufacturing facility for Norm Fasteners in Bath Township in the Lansing, Michigan Region.
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