MSF has offered mental health consultations in the city of Hebron, West Bank, since 1996. In Hebron, Palestinian civilians suffer frequent abuses such as the demolition of their homes, arbitrary detention, and systematic attacks by Israeli settlers with the tacit support of the Israeli army. As well as experiencing physical injury men, women, and particularly children suffer from significant long-term mental health impacts of these routine occurrences.The effects of the occupation of Palestinian territory are far-reaching and leave very few people untouched, with children in particular vulnerable to long-term mental health issues as a result of witnessing or suffering traumatic events. Between February and July 2019, MSF reached 8145 people with mental health services, of whom more than 60% were children. © Juan Carlos Tomasi

Israel and Palestine: The despair of vaccination inequalities

Matthias Kennes is a registered nurse, and medical referent for the Doctors Without Borders/Médecins Sans Frontières (MSF) COVID-19 response in Hebron, West Bank.


As a medic, I am shocked. The internationally-acclaimed COVID-19 vaccination success of Israel has a dark side, the consequences of which are being felt cruelly in the West Bank Palestinian territory where I work, and in the blockaded Gaza Strip where my MSF colleagues work.

Israel has managed to vaccinate nearly 4.2 million people with a first dose – that’s around 50 percent of the population – and 2.8 million people with the full 2 doses – that’s more than 30 percent of the population.

Meanwhile, only several thousand doses are available in the Palestinian West Bank, and a delivery of 20,000 reported to have arrived last weekend in Gaza scarcely scratches at the surface of the needs. At a generous maximum, assuming that the 35,000 reported Sputnik and Moderna vaccines are all available, that would be around 0.8 percent of the Palestinian population.

To make that clearer, you are over 60 times more likely to have a vaccination in Israel than in Palestine. Israel has a responsibility as an occupying power to ensure the medical supplies of the occupied population, including “adoption and application of the prophylactic and preventative measures necessary to combat the spread of contagious diseases and epidemics” to “the fullest extent of the means available to it.”[1]

The second wave’s effect

I came to Hebron with an MSF team specifically to help with the COVID-19 response. In December last year, when the second wave hit the West Bank, the Dura hospital where we are supporting medical assistance was full of COVID-19 patients. We had mostly elderly people, many with underlying conditions such as diabetes or other chronic diseases. Patients died. Sick COVID-19 patients have died in hospitals around the world, but these patients died on my watch, and that pains me.

In eight of the 11 West Bank governorates, COVID-19 case numbers are on the rise again. In Hebron, this increase has been slow and steady for the past four weeks. I do not want to see any more patients dying of hypoxia. The vaccine is my hope to avoid this. It is also a source of despair.

A few kilometers away in Israel all the vulnerable groups have been vaccinated and they are planning to move onto vaccinating healthy adults and youths, who are less vulnerable, especially to severe complications. Here in the West Bank there are around 10,000 doses, which is enough for 5,000 people to be vaccinated. In the hospital where I work, staff have been offered the vaccine, but the available doses do not come close to covering the healthcare workers, let alone the elderly and people with medical conditions that make them susceptible to dying of COVID-19.

If asked why vulnerable people cannot be vaccinated in Palestine, I do not know how to answer. It is inexplicable and unbelievable. Worse than that – it is unjust and cruel.

Need for vaccine is immediate

We hear information about additional vaccines coming to Palestine from various donation mechanisms, but they are not here now. And a half-hour drive away, Israel has piles of vaccines and is moving onto vaccinating non-vulnerable groups.

I am outraged, but my colleagues in Gaza are even more so. It has not always been easy, but the Dura hospital in Hebron where I have been working was able to get most of the supplies needed for COVID-19, and the MSF team was able to provide on-the-job coaching and training to boost the capacity of the staff to manage severely and critically ill patients, all of them needing oxygen. But in Gaza they have much more severe shortages of medical supplies and pharmaceuticals because the blockade is so strict. Their capacity for COVID-19 treatment is lower, so their need for the vaccine is all the higher. And the recent delivery of 20,000 vaccines will not be sufficient to protect both the healthcare workers and the people most vulnerable to needing critical COVID-19 medical care.

Israel is an occupying power, and has millions of vaccines. Palestine is the occupied territory, and has barely a few thousand vaccines. As a medic, I don’t really care who sorts this out. As a medic, I do care deeply that the most vulnerable are prioritized. I am left with this shameful thought echoing in my mind – 60 times more likely to be vaccinated in Israel than in Palestine, with the most vulnerable in Palestine still left unprotected.


[1] Fourth Geneva Convention