The Ministry of Health, the health funds and the inpatient system are not prepared for an outbreak of an infectious viral disease, such as pandemic influenza, for which some 2,250,000 people may be infected, according to an annual report by the state comptroller published on Monday. Medication shortages, which today account for only 16% of the population, vaccines and outpatient solutions.
In addition, the visitor warns of a shortage of ICU and respiratory machines. In fact, on days when doctors, nurses, MDAs and other medical professionals work nights to treat the large number of corona patients in Israel - the Ministry of Health's omissions and other factors are exposed. The Ministry of Health referred to the state comptroller's findings in January, But the report was not published shortly after - when the Corona virus had not yet arrived in Israel - but only today.
The report, the first to be published by State Comptroller Dr. Mathew Engelman, deals with 16 issues, most of them in the field of economics. But the most current chapter that illustrates how much Israel is not facing a real-time emergency is the one in Israel's health care system - titled Healthcare Treatment for Outbreak and Renewable Disease. The bottom line of the criticism is that "deficiencies have been found in coping with outbreak and recurring illnesses. The health system and other responsible parties must take action to deal with illnesses that are at risk of epidemics and prevent their outbreak and spread."
Members of the State Comptroller's Office began an investigation a year ago, before the outbreak of the Corona virus - which also reached Israel. The report briefly mentions the virus, but the actual deficiencies raised by the state comptroller now seem to be good in practice. The illnesses are distinct from one another in terms of the severity of the disease - some suffer from only a cold, and damage to their health can cause general system failure and death. "
Another flaw that is being criticized is the lack of a detailed plan to close gaps in the outpatient system at the time of the outbreak. According to the scenario that the ministry anticipates during a pandemic influenza outbreak, the increase in morbidity will spread over about eight weeks adding more than 150,000 inpatients to the hospital system, more than 25,000 patients will need intensive care units, and another 12,500 will need ventilation . The work plan, according to the audit, does not address the amount of isolation rooms that will be required.
No beds, no doctors, no equipment
The State Comptroller commented that the hospitalization system is at great strain all year long. Many departments in general hospitals are overcrowded and there is a shortage of ICUs. The study found that the Ministry of Health does not have a plan to close the gaps in inpatient beds, medical staff, and equipment during a pandemic influenza outbreak, which will allow proper care for the many patients who will need hospitalization at the time of this outbreak.
According to the Comptroller, because it is a real risk to the State of Israel, the Ministry of Health, in collaboration with the Ministry of Defense and Rahal, must determine the possible and appropriate way for the State of Israel to deal with and prepare for a pandemic influenza outbreak accordingly. In which reference is made to the subject of hospitalization.
Another flaw that the auditor points out is that the Ministry of Health has not formally prescribed diseases for which it is required to outline instructions for preparation and activities to be taken at the time of the outbreak, but has s