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8 times the national average of patients: The red locality in Israel is struggling in Corona with the rest of its power

The rate of patients in Julis in the Western Galilee broke a national record when the local economy in the boards and the regional hospital announced that it would stop accepting Corona patients.

With an independent investigation and a ban on weddings, the community is trying to fight the plague: "Residents internalized - but too late"

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• Corona virus

• Julis

Yoav Itiel

Monday, 14 September 2020, 23:26

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In the video: The Corona Committee discusses closure (Photo: Knesset Channel, Editing: Nir Chen)

In the small locality of Julis in the Western Galilee, where about 6,500 residents live, there are currently (Monday) 147 active patients.

Data from the Ministry of Health show that the council has a ratio of 237 patients to ten thousand residents - more than in any locality in Israel, and the only one with more than 200.

For comparison, the national average is 30.5 and the corresponding patient ratio in Bnei Brak is 118, exactly half that of Julis.

141 Julis residents are hospitalized in their home, and only six in hospitals.

The number of isolates, however, is lower, standing at only 130.

The outbreak of the plague in the locality became fatal for the first time last week, with the death of a 65-year-old resident, and has grown to alarming proportions.

"Within four to five days it erupted so strongly that suddenly 80-70 residents were added to us in almost one blow," local council chairman Julis, Advocate Wissam Nabuani, described, "We do not know for sure what caused it.

Because overall the residents do not do parties unlike other places, and we suspect that the source was at one or two funerals, and maybe even at some wedding. "

However, he emphasizes that the residents of the settlement adhere to the guidelines." Meanwhile, the residents have internalized.

They are disciplined, keep their distance, go with masks on their faces - but unfortunately it happened too late.

In my estimation, this is perhaps similar to what actually happened across the country.

"Unfortunately, we caught it hard and today we are paying the price."

Julis - the red settlement in Israel

• Number of inhabitants

  : 6,500

• Number of active patients

  : 147

• 141 residents are hospitalized

  in their homes

  and six in

  hospitals

• Patient-resident ratio

  : 237 patients per 10,000 residents

• Percentage of positive tests

  : 22.89%

• Number of residents in isolation

  : 130

• Dead

  : 1

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"People leave the house less."

Julis, today (Photo: Yoav Itiel)

The timing of the outbreak is particularly bad in terms of the burden on the health system in the north: The default for evacuating patients from Julis to hospital is the Galilee Medical Center in Nahariya, where Prof. Masad Barhoum announced today Especially when it comes to critically ill and respiratory patients.

Also, 85 verified patients are currently hospitalized in the three corona wards of the hospital in Nahariya, of which 30 are in critical condition (three of them are respirators).

Apart from them, there are also 30 serious patients in the general and respiratory intensive care unit in the medical center, as well as other patients in pediatric, neurosurgical and cardiac intensive care.

Do not wait for the Ministry of Health

Nabuani, a lawyer by profession, also found himself entering solitary confinement.

With the rise in morbidity, he was now forced to roll up his sleeves and mobilize to save the settlement, and in this war he needed more reliable and up-to-date intelligence than is available.

"It is impossible to cut off contagion chains if it takes a week to get the results of epidemiological investigations," he clarifies.

Therefore, the council has set up its own amputation system, hoping to shorten the processes and get information as quickly as possible, without waiting for the Ministry of Health.

"In fact, I found out while on the move that until the Ministry of Health talks to Verified and asks him about his contacts with residents, it takes up to a week - and we know that in the process he will infect more people, and then it's basically a Sisyphean struggle," he explains.

"By the time the people he was in contact with were isolated, there were already more patients as a result of encounters with them. So I set up an internal independent system that is very effective."

"The residents of the village are disciplined people."

A sign at the entrance to the supermarket in Julis, today (Photo: Yoav Itiel)

The emphasis is on obtaining reliable information in as short a time as possible, in order to keep pace with the spread of the disease - but this requires manpower.

In the Western world, an epidemiological investigator standard has been introduced for thousands of individual residents (in England there is one investigator for every 2,200, in Germany one for 4,000), but the Israeli investigative system, even after significant reinforcements recently, is still limited. Thousands of residents.

Ministry of Health researchers work from the offices of seven districts, and also employ nurses, nurses and volunteers, usually students.

Julis' independent infection chain amputation system employs eight council employees and volunteers, led by Welfare Bureau director Hadi Azzam.

They engage in locating, questioning, controlling and monitoring on behalf of the local council, making immediate contact with the verified, gaining their trust, explaining to them that the response is voluntary, that the information is confidential and that their identities will not be revealed, and asking for cooperation.

The locals, Nabuani says, are responding.

Soften the points of friction with the police.

Barriers at the entrance to Julis (Photo: Yoav Itiel)

"Our residents understand that this is saving lives. Cooperation is at the 90% level," he says.

"They provide information that helps us a lot, and when we call those they have been in contact with they go into voluntary isolation. The cooperation is not bad with them either, I would even define it as good. They usually also agree to perform tests themselves."

The model applied by the prophets precedes a plan of the Ministry of the Interior.

Speaking from a confidential hearing held last week by the Foreign Affairs and Defense Committee shows that after an agreement was reached with the ministry, about 1,500 local authority employees are now in the process of training to conduct epidemiological investigations.

These employees will remain in their position in the Authority, and in addition to their position, with their consent, will also serve as investigators in the same local authority, in exchange for an additional financial incentive.

Authorities with up to ten thousand residents will have three to five researchers, those with up to 40,000 residents will have between seven and ten, and above that up to 20 researchers - at the discretion of the head of the authority.

In total, in about a month, there are expected to be about 2,300 people who will engage in epidemiological investigations.

On this basis, the target set for locating all contacts of a verified patient is six hours, instead of the current 24 hours.

"Our residents understand that this is saving lives."

Prophetic

"I admit I was surprised by the outbreak," says Dr. Zaharaldin Hano, a family doctor in the locality, although he admits the reasons are clear. "It happened suddenly, for reasons that everyone already understands, and now people know.

But I am not worried and even optimistic that in time we will return to being a green settlement.

I know the residents of my village who are disciplined people and we have a council that takes care and gives all the help.

Together we will succeed. "

Since then, the routine of village life has changed in light of the situation morbidity." People are going out less at home, though of course the young people more difficult to control, so most of them walking around with masks and trying to maintain, "says Nevuani." I forbade course for weddings and gatherings of any kind.

Our funeral home is in the closed House of the People.

The residents respect that. "

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To the full article

The head of the council also mentioned the appeal of the spiritual leader of the Druze community, the discourse Muafek Tarif, who last week called for postponing mass events.

At an emergency conference initiated by the Ministry of the Interior at the Tomb of the Prophet Al-Hadar in the nearby village of Yassif, backed by the Forum of Druze Local Authorities and chaired by Jaber Hamoud, and by all dignitaries also present at the meeting, Triff called for weddings and events with the nuclear family only. The corona.

"The responsibility lies with each and every one of us, and we must keep our immediate environment on guard," Triff stressed. "We must follow the instructions, otherwise we will not get out of it any time soon."

Meanwhile, the economy is also being hit hard

In the red locality in Israel, the economic corona is no less felt.

"Business is now the big problem," says the head of the Nabuani council. 19:00 and now we are expected to have a general closure of three weeks in general. It will be very difficult to survive it. Here the socio-economic index is 4, which may be higher than in other localities in the sector, but this year we will certainly go down. Nearby, and were hit even earlier by the decline in business volume there. "

There is a bond of solidarity between the two localities, which is also evident in these times.

"We get help from Mirka. Both in food and packages and in good advice. These are our brothers," says Nabuani, who also praises other partners in the fight against the plague.

"A lot of good things need to be said about the Home Front Command, both about the district commander, Col. Guy Berger, and about the district commander, Col. Raz Karni, who manages the assistance and is a full partner in the CIS we established in the council building.

"

At noon, on

a regular basis, they also help with information and with the Ministry of Defense, which we really need."

At noon, in a conversation with representatives of the Ministry of Defense, a financial assistance plan was approved for NIS 223,000. "I need more inspectors, two vehicles rented a month for supervision and security, money for information and some food aid," he explains, almost apologetically, "you can't come up with a traffic light plan that puts some of the responsibility on the authorities, and forget we got into this crisis without resources."

There is already severe damage to the economy of the locality.

Julis, today (Photo: Yoav Itiel)

Under the direction of Col. Berger, a joint command center was established in Julis, which operates 24 hours a day, seven days a week. Council workers and volunteers were placed next to police checkpoints to soften contact with residents at sensitive points of friction.

Indeed, the many actors working at Julis hope to succeed in the task of lowering morbidity rates, as they did in the neighboring town of Yarka where the number of active patients today is 77, after A concentrated and prolonged effort, including Knesset headed by Council Commissioner Eli Regev.

"We are helping the PA to help itself. This is our perception. This weekend, the separation of the home front and MDA will be set up in the Julis Drive-In industrial area for corona testing, at the request of the PA," said Col. Karni, who compliments the community.

"Julis is a small authority that has governance. Julis' welfare department analyzed every house in the locality. Nabuani has prepared a plan that does not embarrass a battalion commander in the paratroopers with an operation order and everything.

We help him implement it and I wish we had it like this in every settlement in the country.

"Considering that this is a relatively small settlement, and with the determination of the head of the council who swept the council and the residents after him, I hope that within the peak week in Julis, he will be behind us."

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