Senior doctors are strictly critical of the Ministry of Health's treatment of the recent outbreak of smallpox, saying that he waited several months before taking action, and then he did so in a hesitant, unorganized way, and deploying insufficient human resources.
This has created confusion, and even panic among the public, they added.
"Novčić did not fail that this was a significant event," said a specialist for infectious diseases. "The ministry was supposed to report in the summer that we were facing urgency and we had to mobilize all systems."
After multiple cases of malignancy during the flight, he was alarmed by the outbreak, he added, and the ministry recommended that people traveling abroad be vaccinated.
>>All you need to know about the outbreak of the smallpox virus of Israel
Sources at the Telephone Service of the Minister, Col. Habriyut, said they had told General Director of the Moshe Bar Siman Tao in 2017 that they had received many calls for the goddesses, but did not do anything with this information.
The ministry first acknowledged that it had a real problem just six months after the media began to report on the outbreak. The number of cases of smallpox began to increase significantly in March, and in August, 250 cases were diagnosed, about eight times the total number of 2017.
In addition, a large number of patients with small donors were discovered on flights from and from Israel. But, as mentioned, the ministry only recommended that people vaccinate before flying to certain parts of Europe, where the epidemic began.
In October, there were nearly 700 known cases. The most significant epidemics were in the ultra-Orthodox quarters of Jerusalem, Beit Shemesh and Betar Ilit, due to transformed conditions and a vaccination rate of about 50 percent. Smaller epidemics occurred in the north and in settlements in the western coastal area; There were dozens of cases in Tel Aviv.
Last week, an 18-month-old child in an ultra-orthodox district Mea Shearim from Jerusalem died of this disease – the first death of smallpox in 15 years. To date, there have been more than 1,400 cases of Goddesses, while doctors at the hospital in Jerusalem said they were afraid to lose control.
"This is a scandal," a senior official in one of Israel's main health maintenance organizations said of the ministry's behavior. "We're lucky it's just a goddess, not some other disease."
The Ministry "made every possible mistake in managing the crisis and explaining it," he added. "What has happened in the last days is an attempt to cover this with the media in order to look like something works, but the result was panic."
The ministry's handling of outbreaks significantly differed from his treatment of polio outbreaks in the period 2013-14. Under the then Director General, prof. Ronnie Gamzoo. In order to fight the distrust of the system between certain communities and the impact of vaccine opponents on social media, he personally met with opinion leaders in different communities, including rabbis and imams. As a result, 980,000 children were vaccinated against polyols from August 2013 to January 2014, and the disease did not cause injury or death.
The difference in the treatment of these two crises is "huge," said one senior doctor. "The crisis in the police was an early stage defined as an emergency situation, and the crisis was treated through mobilization and cooperation among many players – doctors and experts, HMO, local governments and others."
"There is a key leadership problem here," added a person who took part in handling several earlier health crises. "I think the person running the ministry today can respond to such an event."
"This is a professional and communication crisis," he continued. "It takes a lot of knowledge and experience in both areas and requires active management … and the level of information is far more detailed than what is now."
The crisis also revealed a poor state of the Israeli public health service and its unpreparedness for an emergency. In 2012, this service employed 1,227 nurses who administered vaccines and followed the epidemics of the finding of a person who was exposed to the disease.
However, today the number decreased to 920, which led to waiting for vaccinations and visits. In addition, reviews have become less fundamental and less frequent.
Since the onset of the smallpox epidemic, these nurses work for 12 hours. Therefore, this week, the ministry has asked the nursing students to help.
"All 920 nurses now deal with the goddesses, all routine activities are stopped," said Moriah Ashkenazi, an official in the nursing union. "The burden is difficult for nurses to fail to collect information and send reports to the Ministry of Health in real time."
"We see families whose children have never been vaccinated," she added. "We need to complete not only their bees, but also other vaccinations, with all their explanations, records and instructions."
Ilana Cohen, who runs a nursing union, said the epidemic had demonstrated that the public health service was being neglected. "There was no correspondence between population growth and the number of nurses," she said. "We are short at least 140 places for aging in the public health service."
Torture of the problem is the fact that no ministry official has directly communicated with the public or interviewed the media to explain the situation. Waiting time on Kol Habriut phone line is 10 minutes or more.
Parents said they felt under pressure, confused and angry. They believe that they lack information to deal with the crisis and have complained about the lack of access to medical staff. It seems that operators do not know much about the phone line, they added, and it is difficult to schedule appointments. Moreover, the ministry's published recommendations are confusing.
One Herzliya mother, for example, said she had tried to invite her local vaccineers three days to organize her son's action, but there was no response.
And when Haaretz tried to schedule an adult killer meeting, it was said that the next available meeting in the Tel Aviv District Health Office on February 11th.
Another problem is that the responsibility for vaccinations is shared between several agencies – district health offices, clinical hospitals, companies engaged in the provision of health services to students, employment services and clinics – depending on the age and condition of the patient.
"The first thing that points out is the confusion and ignorance of people calling for questions," said a senior HMO official. "Even our operators in the telephone line do not have all the answers."