Occupation and oncology: cancer care in Palestine - Scorecard - MDSpire
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Cancer Management in Palestine: The Impact of Occupation on Oncology Care

  • By

  • Layth Mula-Hussain

  • Zahi Abdul-Sater

  • Caroline Samaha Jabbour

  • Fadi Atrash

  • Hibah Osman

  • Gevorg Tamamyan

  • Shada Wadi-Ramahi

  • Jemma Arakelyan

  • Khamis Elessi

  • Asem Mansour

  • Richard Sullivan

  • September 4, 2026

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Clinical Scorecard: Cancer Management in Palestine: The Impact of Occupation on Oncology Care

At a Glance

CategoryDetail
ConditionCancer care in conflict-affected environments
Key MechanismsImpact of occupation, armed conflict, restricted movement, and governance on oncology services
Target PopulationPatients in Palestine, particularly in Gaza and the West Bank
Care SettingOncology services in fragile health systems

Key Highlights

  • Occupation and conflict severely disrupt cancer diagnosis and treatment continuity.
  • Gaza faces a lack of radiotherapy and restricted access to essential medicines.
  • Referral routes for oncology care are heavily dependent on permits.
  • Patients' rights are compromised due to structural violence and governance issues.
  • Practical priorities include restoring radiotherapy and protecting chemotherapy access.

Guideline-Based Recommendations

Diagnosis

  • Accelerate cancer diagnosis to prevent advanced disease.

Management

  • Protect access to chemotherapy and essential medicines.

Monitoring & Follow-up

  • Implement rights-based tracking of delays and avoidable deaths.

Risks

  • Increased cancer incidence due to environmental contamination and diagnostic delays.

Patient & Prescribing Data

Cancer patients in Gaza and the West Bank

Access to treatment is hindered by political and logistical barriers.

Clinical Best Practices

  • Enable accompanied medical evacuation for patients needing specialized care.
  • Enhance oncology referral routes and audited cancer financing.
  • Invest in electronic oncology documentation and workforce assistance.

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