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### Viewing cable 04TELAVIV1546, HUMANITARIAN CONDITIONS IN WEST BANK AND

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
04TELAVIV1546 | 2004-03-11 14:56 | 2011-08-24 01:00 | UNCLASSIFIED | Embassy Tel Aviv

`

    This record is a partial extract of the original cable. The full text of the original cable is not available.

` `

    UNCLAS SECTION 01 OF 03 TEL AVIV 001546

    SIPDIS

    NEA FOR SATTERFIELD

    E.O. 12958: N/A
    TAGS: ECON KWBG IS ISRAELI PALESTINIAN AFFAIRS ECONOMY AND FINANCE HUMANITARIAN AID
    SUBJECT: HUMANITARIAN CONDITIONS IN WEST BANK AND
    GAZA: NOT GETTING ANY BETTER

    This cable has been cleared by ConGen Jerusalem.

    ¶1.  Summary: Overall, the humanitarian situation in
    West Bank and Gaza (WB/G) has not improved.  Despite
    some minor improvements in mobility, the range of
    socio-economic indicators remain dismal.  Over 60
    percent of the WB/G population live below the poverty
    line; Unemployment rates as of fourth quarter 2003,
    under ILO standards, were 20.7 percent for West Bank
    and 31.9 percent for Gaza.  If we include "discouraged
    workers", the rates climb to 27.8 percent for the West
    Bank and 37.2 percent for Gaza, according to the World
    Bank.  According to a recent WFP/FAO survey, 41
    percent of Gazans and 39 percent of West Bankers
    suffer from food insecurity.  The GOI has allowed
    Gazans to work in Israel, despite a series of recent
    terrorist attacks at Erez crossing and has
    consistently re-opened the crossing to laborers after
    very brief closings following these incidents.  Access
    to agricultural lands, however, remains problematic,
    despite some recent minor improvements in the West
    Bank.  In Gaza, however, farmers have reported more,
    not fewer, problems in accessing their fields.

    ¶2.  In the realm of health, there has been a positive
    trend of improved access for ambulances and emergency
    medical teams.  However, there still are far too many
    delays.  The lack of financial resources means that
    many families forego routine and preventative medical
    care.  In general, international staff members of
    relief agencies have been able to travel to and from
    the West Bank and Gaza.  Due to recent attacks at
    Erez, there are however, serious delays in gaining
    access to Gaza.  However, there have been no
    improvements in the ability of these agencies to
    deliver services to enclosed communities in Gaza and
    the GOI has yet to fullfill its long outstanding
    committment to allow direct food delivery into El-
    Mowassi.  End Summary.

    --------------------------------------------- ---------
    Checkpoints/ General Movement: Too Many and Not Enough
    --------------------------------------------- ---------

    ¶3.  In general, there has been a marginal improvement
    in mobility in the West Bank and Gaza for people and
    goods, including workers.  However, these modest
    improvements have not been enough to impact socio-
    economic conditions, and are unlikely to positively
    influence any of the broad health and humanitarian
    indicators - acute and chronic nutrition, food
    security, unemployment, poverty levels.  The GOI has
    claimed it has removed 22 internal manned West Bank
    checkpoints, while the Office of Coordination of
    Humanitarian Assistance (OCHA) could only confirm
    nine.  OCHA reported that nearly 600 concrete road
    barriers and earth mounds continue to restrict travel
    on internal West Bank roads.  Flying-checkpoints in
    the West Bank are an almost daily occurrence.  In
    Gaza, North-South travel has in general been possible
    with fewer delays at Abu Khouli checkpoint.  Travel,
    however, to and from enclosed communities such as El-
    Mowassi and Seafa remains extremely restricted.

    ---------------------------------------
    Land Confiscations/Demolitions Continue
    ---------------------------------------

    ¶4.  Land confiscations, leveling, and demolitions all
    continue in both the West Bank and Gaza.  These
    actions are associated mostly with construction of the
    separation barrier in the West Bank; while in Gaza
    they are prompted by enhancement to security
    perimeters and infrastructure near settlements.

    --------------------------------------------- ---------
    High but Stabilized Unemployment/ Improved Access to
    Agricultural Lands
    --------------------------------------------- ---------

    ¶5.  As of fourth quarter 2003, unemployment rates (ILO
    definition) stood at 20.7 percent for the West Bank
    and 31.9 percent for Gaza.  While this is an
    improvement over the peak Intifada unemployment rates
    registered in second quarter of 2002 (WB 31.4 percent;
    Gaza 42 percent), the numbers are still drastically
    higher than pre-Intifada numbers of 7.5 percent for
    the West Bank and 15.4 percent for Gaza.  With
    population growth at 4.3 percent per year, dependency
    ratios - the total population divided by the number of
    employed persons - have increased significantly over
    the Intifada period.  In the third quarter of 2000,
    each job holder in the West Bank was supporting 4.3
    persons, by the fourth quarter of 2003, each employed
    person was supporting 5.4 persons.  In Gaza, the
    dependency ratio increased more dramatically, from 5.9
    to 7.7.

    ¶6.  Gazans working in Israel continue to hover in the
    10,000/day range.  Recent terrorism attacks at Erez
    have resulted in the crossing being closed for only
    small periods of time - one or two days - before
    workers were allowed to resume crossing into Israel.
    Overall, according to a World Bank/PCBS study
    conducted over the past four months, Gazans who have
    jobs report "few" or "no" problems in accessing their
    places of employment.  (Note: It is not clear if Gazan
    respondents include both those employed in Israel and
    within Gaza, or just the latter.  End Note.)  West
    Bankers reported greater difficulties with the average
    falling between "few problems" and "difficult."
    Nablus has reported the most difficulty.  There, fully
    35 percent of those employed said they found it "very
    difficult" or "impossible" to reach their places of
    employment in the January survey.

    ¶7.  Roughly one third of the households in the West
    Bank and 15 percent in Gaza have agricultural land
    that they cultivate.  In World Bank/PCBS surveys
    conducted over the past four months, West Bank
    households reported a slight improvement in access to
    that land, while in Gaza the trend was negative.
    Overall, West Bankers still report more difficulties
    in accessing farmland, than do Gazans.

    --------------------------------------------- ---------
    Food Security: International Assistance Averts a
    Catastrophe
    --------------------------------------------- ---------

    ¶8.  The donor community has managed to reduce global
    acute malnutrition through massive amounts of food
    assistance, technical support and awareness raising
    with the Ministry of Health.  However, there have
    not/not been significant improvements in overall food
    security which exists when people have physical and
    economic access to sufficient, safe and nutritious
    food to meet their dietary needs and food preferences
    for an active and healthy life.  A recent FAO/WFP Food
    Security and Vulnerability Profiling Assessment
    concluded that 41 percent of Gazans and 39 percent of
    West Bankers suffer from food insecurity.  The
    majority of cases in the West Bank were reported along
    the route of the separation barrier.  In a pilot study
    examining coping strategies, WFP reported that 89
    percent of its beneficiaries said they frequently or
    always consume less quality and variety of food; 63
    percent limit the portions of meals; 56 percent forego
    health and education expenses; and 55 percent reduce
    the meals of adults in favor of children.  The survey
    also concluded that among WFP beneficiaries,
    humanitarian assistance is the main/main source of
    income in the Gaza Strip, whereas in the West Bank, it
    remains employment and casual labor.

    --------------------------------
    Health Access: The Worst is Over
    --------------------------------

    ¶9.  OCHA reported that medical staff and patients
    continue to face checkpoint delays of up to four
    hours.  There have, however, been fewer cases of
    ambulances being denied access altogether, under
    "normal" conditions.  During periods of major clashes,
    OCHA reported that the coordination mechanisms between
    Israelis and Palestinians tend to break down,
    resulting in serious delays.  Since the beginning of
    the year, there have been 12 incidents where
    ambulances and medical teams have been denied access;
    and 45 incidents in which medical personnel were
    delayed from 40 minutes up to four hours.

    ¶10.  Access to routine medical care is less
    problematic than access to emergency services.  In
    joint surveys carried out by the World Bank and PCBS
    over the past four months, for the approximately 70
    percent of households in Gaza reporting a need for
    medical attention, most said that access to that care
    posed "few problems."  In the West Bank, access was
    more problematic, with West Bank village residents
    reporting the most difficulty in accessing care; and
    camp residents reporting the least problems, probably
    due to the existence of UNRWA clinics in the camps.
    Financial wherewithal remains a key determinant to
    whether a family receives routine and preventative
    health care in both Gaza and the West Bank, but this
    factor is more pronounced in Gaza.

    --------------------------------------------- ---------
    Access for Relief Agencies: Okay in the West Bank -
    Problematic in Gaza
    --------------------------------------------- ---------

    ¶11.  International organizations and NGOs are not
    generally encountering major obstacles delivering
    services in the West Bank.  Access to and from Gaza
    has been difficult lately as a result of a series of
    recent terrorist attacks at Erez crossing.  Currently,
    internationals are not allowed to bring cars into
    Gaza.  We have heard informally that access to
    vehicles will be restored by the end of the week.

    ¶12.  However, NGOs and international organizations
    continue to face more systematic access problems in
    delivering services to enclosed communities in Gaza --
    El-Mowassi and Seafa.  Despite numerous pledges,
    commitments, and meetings dating back over one year,
    the GOI has still failed to allow UNRWA and WFP to
    make direct food deliveries to El-Mowassi for example.

    ¶13.  The GOI has recently issued some permits to local
    Palestinian staff members of UN organizations.
    However, there is still room for improvement in this
    regard.

    ********************************************* *********
    Visit Embassy Tel Aviv's Classified Website:
    http://www.state.sgov.gov/p/nea/telaviv

    You can also access this site through the State
    Department's
    Classified SIPRNET website.
    ********************************************* *********
    KURTZER

`