An Inventory of Some Relatively Large Marine Mammals, Reptiles, and Fishes Sighted, Caught, By-Caught, or Stranded in the Mediterranean Coast of the Gaza Strip-Palestine

The Mediterranean Sea is home to an interesting biodiversity. The current cumulative and descriptive study aims to enumerate some relatively large marine mammals, reptiles, and fishes that have been spotted, caught, by-caught, or stranded on the coast of the Gaza Strip, Palestine, which extends about 42 km along the Mediterranean Sea. This 20-year study from 2003 to 2022 relied much on frequent field visits, meetings, and discussions with stakeholders, following local media sites and social media pages, and photography. The study recorded at least 26 giants or relatively large marine organisms on the Mediterranean coast of the Gaza Strip, Palestine. Certainly, the coming years may bring other marine organisms of relatively large sizes. Marine mammals included three species of cetaceans with the Fin Whale (Balaenoptera physalus) being the largest mammal and even the largest animal ever recorded in this study. Marine reptiles included three species of sea turtles, the largest of which is the Leatherback Sea Turtle (Dermochelys coriacea), which is in fact the world’s largest sea turtle. The bony fishes were represented by ten species, the largest of which was the Ocean Sunfish (Mola mola), which is the largest bony fish in the world. The cartilaginous fishes included ten species with the largest specimens encountered were the Shortfin Shark (Isurus oxyrinchus), Bluntnose Sixgill Shark (Hexanchus griseus), Scalloped Hammerhead Shark (Sphyrna lewini), and Giant Devil Ray (Mobula mobular). Seabirds were not included in the study. The Alexandria Pompano (Alectis alexandrinus) and the Silver-Cheeked Toadfish (Lagocephalus sceleratus), which are bony fishes, appear to be the relatively smallest marine organisms recorded here. In conclusion, the role of the various parties must be coordinated to ensure the sustainability of human activities and their compatibility with the task of conserving local marine biota, including the gigantic or relatively large ones.

Checklist of the Birds of the Gaza Strip—Palestine

Bird fauna checklists are important tools in ecology, biology, and conservation planning for scientists, stakeholders, and decision-makers. Despite its small area, the Gaza Strip (365 km2) has a relatively large variety of resident and migratory bird fauna. Therefore, the current study aimed to provide an updated checklist of all bird fauna living in or inhabiting the Gaza Strip. Direct field observations using binoculars, continuous visits to zoos, pet stores and biology museums, discussion with bird hunters, follow-up of news and social networking sites, review of scientific publications and photography were the main tools to satisfy the purpose of the study. At least 250 bird species collected from different sources occur in the Gaza Strip and are included in the checklist. This list will not be static, but is inevitably subject to additions and changes in the face of times. The current 250 bird species of the Gaza Strip represent 45.4% of the 551 species of birds living in Palestine. The bird species were found to belong to 21 orders and 61 families. The Passeriformes (passerines) represented the largest order with 96 species of birds (38.4%), followed by the Charadriiformes 54 (21.6%), the Accipitriformes 18 (7.2%), Anseriformes 17 (6.8%) and Pelecaniformes 14 (5.6%), while the other orders represented the remaining percentage (20.4%). With regard to families, the Scolopacidae represented the largest family with 22 species of birds (8.8%), followed by the Anatidae and Accipitridae 17 for each (6.8%), the Muscicapidae 16 (6.4%) and Chariidridae and Fringillidae 11 for each (4.4%), while the other families represented the remaining percentage (62.4%). According to the IUCN regional threat categories, 226 species (90.4%) were Least Concern (LC), 12 (4.8%) were Near Threatened (NT), 6 (2.4%) were Vulnerable (VU), 4 (1.6%) were Endangered (EN) and 2 (0.8%) were Critically Endangered (CR). In conclusion, the study recommends a sustainable control of bird hunting and trafficking in addition to building prestigious centers and museums for studying and documenting birds in the Gaza Strip.

Analysis of Different Rare Metals, and Rare Earth Metals in Harvested Rain Water in Gaza Strip/Palestine by ICP/MS-Data and Health Aspects

This rain water samples harvested for drinking and agriculture from Gaza collected in November 2012 were analyzed for different rare metals (Rb, Zr, Ti, Tl, Sb, Sc, Y), and rare earth metals (La, and Ce). These metals usually have no maximum acceptable limits as there is no sufficient data about their toxicity to human health. Their control should be therefore controlled in water to monitor their concentration in water (ground, harvested, etc.). This study was conducted to determine the water quality of harvested water which is used for drinking in the study area. 43 water samples were collected in November 2012 during the first rain from house wells and rain water pools. The concentrations of the metals detected in the collected harvested rainwater vary significantly between the 43 samples, and all of them were detected in all water samples analyzed in this study. The results obtained from this study suggest a possible risk to the population of the study area given the high concentration of some metals that have no maximum allowed concentration, and the fact that for many people in the study area, harvested rain water is a main source of their water supply.

Occurrence and Some Ecological Aspects of the Golden Jackal (<i>Canis aureus</i>Linnaeus, 1758) in the Gaza Strip, Palestine

The Golden Jackal (Canis aureus Linnaeus, 1758), which belongs to the Canidae family, is an opportunist carnivore in the Gaza Strip (365 square kilometers). The current study aims at giving notes on the occurrence and some ecological aspects of the species in the Gaza Strip, Palestine. The study, which lasted 14 years (2007-2020), is descriptive and cumulative in its style. It was based on frequent field visits, direct observations and meetings and discussions with wildlife hunters, farmers and other stakeholders. The findings of the study show that Gazans are familiar with the Golden Jackal to the extent that a Gazan family holds the Arabic name of the animal, which is “Wawi”. The Golden Jackal was sometimes encountered and hunted in the eastern parts of the Gaza Strip, which are characterized by the presence of wilderness areas, intensive agriculture, poultry pens and solid waste landfills. Like other a few mammalian faunas, the adult Golden Jackals enter the Gaza Strip through gaps in or burrows beneath the metal borders separating the Gaza Strip from the rest of the Palestinian Territories and Egypt. Gaza zoos were found to harbor tens of Golden Jackals trapped or hunted by clever wildlife hunters using different means such as wire cages known locally as “maltash” and foothold traps with metal jaws that may cause lesions to the trapped animals. Poisoning and shooting were also common methods used to control the jackals and other carnivores causing harm to agriculture and livestock. The animal was known among the Gazans as an omnivore, feeding on wild and domestic animals in addition to plant materials, garbage and carrions. In conclusion, the study recommends the need to raise ecological awareness to preserve the Golden jackal and to adopt safe control measures for jackals and other carnivores, including the construction of protective fences for agricultural fields and animal pens.

The Role of Chest X-Ray in Monitoring Lung Changes among COVID-19 Patients in Gaza Strip

Objective: To investigate the time course and findings severity of COVID-19 infection at chest radiography based on a 6-point radiological severity score, and correlates these with patients’ age and gender. Methods: This is a retrospective study of COVID-19 patients who were admitted at European Gaza Hospital and evaluated between October 6, 2020, and November 30, 2020. Baseline and serial chest radiographs, up to 4 images per patient, were reviewed and assessed for predominant pattern, side, and location of lung opacity. Utilized a 6-point scoring system, which divides the chest X-ray into 6 zones, to assess chest X-ray changes and correlate them with the severity of infection, age, and gender of patients. Results: The study included 136 COVID-19 patients: (51/136, 37%) were males and (85/136, 62.5%) were females, while age ranged from 7 months to 90 years with a mean age of 41.7 ± (19.5) years. Negative Chest x-rays were more observed than positive images. Ground-glass opacity was the most frequent pattern with a decreasing trend from 1st to 4th chest X-ray (from 33.8% to 3.7%), followed by consolidation (from 16.2% to 2.9%). Also, the commonest pattern of opacity was seen in peripheral areas (27/136, 19.9%), lower zone location (23/136, 16.9%), and bilateral opacity involvement (43/136;31.6%). No significant correlation was noticed between the patient’s gender, age, and severity score (P > 0.05). Conclusions: The 6-point chest X-ray severity score as a predictive tool in assessing the severity due to provide an assessment of the progression or regression pathway.

The Palestinian Terrestrial Vertebrate Fauna Preserved at the Biology Exhibitions of the Universities of the Gaza Strip

The Gaza Strip(365 km^(2))of Palestine(27,000 km^(2))is home to a wealth of terrestrial vertebrate fauna.Some of these faunistic species find their ways to preservation at the local universities.Hence,the current study comes to document the Palestinian terrestrial vertebrate fauna acquired by the biology exhibitions(BEs)of Al-Azhar University,Islamic University of Gaza and Al-Aqsa University that are located at the Gaza City of the Gaza Strip.The amphibians,reptiles,birds and mammals preserved at BEs of the universities in question were surveyed and scientifically classified during a three-month period extending from January to March,2012.The study showed that all BEs of local universities are underdeveloped,lacking attention and suffer from specimen scarcity and good preservation.The BE at Al-Azhar University is the best in the arrangement and preservation of bird specimens.A total number of 200 specimens belonging to 54 terrestrial vertebrate fauna species,39 families and 17 orders was recorded at BEs.Reptiles constituted 40.7%of the total species recorded,followed by birds(38.9%),mammals(14.8%)and amphibians(5.6%).The Islamic University of Gaza was considered the best in terms of the number of preserved species(39.8%),followed by Al-Azhar University(36.3%)and Al-Aqsa University(23.9%).The Common Toad(Bufo viridis)was the most preserved among the amphibian species recorded.Squamata was the biggest reptilian order,comprising 20 species(8 lizards and 12 snakes),with the Syrian Black Snake(Coluber jugularis asianus)was the commonest.The Palestine Viper(Vipera palaestinae)is endemic to Palestine and most venomous and dangerous to human health.The Great White Pelican(Pelecanus onocrotalus)was the largest Palestinian bird preserved at BE of Al-Azhar University.The Egyptian Mongoose(Herpestes ichneumon)and the Common Badger(Meles meles)were the biggest mammalian specimens preserved,while the Palestine Mole-rat(Spalax leucodon ehrenbergi)was the only Palestine endemic species encountered among the preserved mammals.Finally,the improvement of BEs of local universities and the construction of a Central Museum of Natural History is highly recommended in order to change the Palestinians’attitudes toward a sustainable ecological conservation in the Gaza Strip.

Impact of COVID-19 on the Contracting &Engineering Companies in Gaza Strip

Construction projects are among the riskiest projects, which require the application of the right rules and to abide by the proper safety standards. Thus, this study aims to study the impact of COVID-19 on the construction and engineering companies due to the Corona pandemic in the Gaza Strip, and introducing the means used in dealing with this pandemic and how to avoid, limit and deal with it. And to shed light on the most important obstacles and challenges facing the construction sector in the light of the outbreak of the epidemic. To achieve this, a cross-sectional study based on an online questionnaire was conducted by Google Forms. Then, the data collected was analyzed using the thematic analysis approach. The results show that best procedures to mitigate the impact of this epidemic and to prioritize the safety and health of employees in contracting and engineering companies, to provide a safe work environment and developing plans to confront the spread of injury in the work-environment. The study recommends that government may provide financial support to companies and reduce taxes imposed on them in order to be able to confront this pandemic.

Ornithofauna Prevailing at Al-Mawasi Ecosystem of the Gaza Strip, Palestine

In spite of its small area, Palestine (27,000 km2) is home to more than 500 species of ornithofauna, inhabiting all types of terrestrial and aquatic habitats. The Gaza Strip (365 km2), which represents 1.5% of Palestine, has a considerable number of ornithofaunistic species as well. Al-Mawasi ecosystem (14 m2), which lies in the far south-west of the Gaza Strip, has never been orinthologically studied. Thus, the current study comes to survey the ornithofauna prevailing at Al-Mawasi ecosystem as a natural to semi-natural environment. Ornithofauna were monitored using direct observations and binoculars for the lasted ten years (2009-2018). A total number of 135 ornithofaunistic species, belonging to 45 families and 17 orders were encountered at Al-Mawasi ecosystem. Passeriformes was the largest order and comprised 57 (42.2%) of the recorded species, while the non-passerines constituted the remaining 78 species (57.8%). Muscicapidae was the largest among the recorded families;represented by 13 species (9.6%), and followed by 10 species of Scolopacidae, (7.4%), 8 species of Ardeidae and Fringillidae (5.9%) for each and 7 species of Accipitridae (5.0%). Aquatic ornithofaunistic species represented 44 (32.6%) of the total species recorded, while the terrestrial ones represented 91 (67.4%). The Palestine Sunbird (Nectarinia osea) is a common endemic Palestinian species in Al-Mawasi ecosystem. The Goldfinch (Carduelis carduelis) has become an actual source of financial income for its catchers, and as a result, it is extensively hunted in vast areas of the Gaza Strip. Finally, the study recommends carrying out more research on ornithofauna inhabiting the natural, agricultural and urban environments of the Gaza Strip. The establishment of a specialized center dealing with bird surveys and conservation is very essential in the Gaza Strip, which is an actual hot spot experiencing an escalating environmental degradation.

Modeling the Impact of Land-Use Change on Water Budget of Gaza Strip

Gaza has a water crisis and faces serious challenges for the future sustainability of its water resources. Land-use change has an expected effect on water budget of the Gaza Strip. Three different land cover scenarios;the and cover of 2007, land cover of 2020, and full urbanization land cover were simulated independently using The Automated Geospatial Watershed Assessment (AGWA) tool which work under the umbrella of GIS. In general, the simulation results indicate that land-cover changes will significantly alter the hydrologic response of Gaza region. Percolation is expected to decrease in all options as urban areas are expanded where as the simulated surface runoff reflected a relative departure from the first scenario comparing with other scenarios. In the baseline scenario (2007), the simulated surface runoff and percolation represent 12% and 41% respectively from the water budget components of the Gaza Strip. In year 2020, these values were expected by the simulation results to be 20% and 27% respectively. A unique linear relationship between the relative change in urban area and the corresponding relative change in surface water has been investigated from the simulation results. The analysis of the three urbanization scenarios can give decision makers better understand for the future situation and assist them to advance towards achieving sustainable development planning for water resources system in the Gaza Strip.

The integration of FAO-CropWat Model and GIS Techniques for Estimating Irrigation Water Requirement and Its Application in the Gaza Strip

In the Gaza Strip irrigation practices are only based on the farmer’s own experience, they determine when and how to irrigate crops based on the appearance of the soil and the climatic conditions. Even though FAO-CropWat model is used for many countries to estimate irrigation water requirements, it is rarely used for Gaza Strip. In the current re-search, it is the first attempt to model the historical available meteorological data to estimate the irrigation water requirements for the most common cultivated crops (citrus, almonds, date palms, grapes) and to compare the results with the farmer irrigation practices. The model results show that, the reference evapotranspiration accounts for 1451 ± 5 mm/year. Therefore the irrigation water requirements estimated to be 763, 722, 1083, 591 mm/year in average for Citrus, Almonds, Date palm, Grapes, respectively. The farmer irrigation practice exceeding the irrigation water requirement by 30%. The spatial distribution of irrigation water requirements in the entire area of Gaza Strip is shown on maps derived by GIS technique based on data from eight meteorological stations. Irrigation water quality is not optimal in the Gaza Strip, chemical analysis of irrigation wells indicate high salinity and SAR ratio. The obtained results from the model could be a good management tool for the planners and decision makers to minimize the overexploitation of the groundwater and to build fair and strict regulations to optimize the water use in agricultural sector in the Gaza Strip which characterized by semi-arid region.

Customized Standalone GIS-Based Tool for Ground Water Quality Assessment: Gaza Strip as a Case Study

Employing the full versions of GIS software with its numerous functions to manage case-specific applications is becoming inconvenient for many reasons. A convenient solution that is spreading worldwide to solve this problem is to develop customized tools that use the same GIS concept to meet specific applications. The water resource department in Gaza strip has been facing technical and financial difficulties in using the full GIS versions in managing groundwater resources. Thus, the objective of this paper was to develop a customized standalone GIS-Based ground water quality assessment tool (GWQAT) to be used by the water resources management department in Gaza strip. GWQAT was developed using Microsoft visual basic programming language, a regression mathematical model, map objects, and map files generated from ESRI ARC Info. GWQAT was designed to achieve many functions such as mapping, map overlaying, buffering, charting, soil hydro-geological profiling, and predicting future groundwater quality parameters variations. The simplicity and validity of GWQAT was demonstrated by its application on the groundwater quality parameters in Gaza strip wells with emphasis on chloride concentration.

Mental Health and Quality of Life of Disable Palestinian Children in the Gaza Strip

The aim of the study was to investigate the prevalence of mental health problems and quality of life among Palestinian disable children. The sample consisted of 391 disable Palestinian children in the Gaza Strip which was selected randomly from the data base of two NGOs working with such group of children. The age of children ranged from 6 - 18 years with mean age (11.73). Instruments: The children and adolescents demographic data were collected by questionnaire include sex, age, class, and place of residence, Gaza Child Health Study Scales (parents and children forms), and The Pediatric Quality of Life Inventory generic core (version 4.0) scale. The results showed that children reported mean conduct disorder was 1.33;oppositional disorder was 5;mean overanxious was 6.75;separation anxiety mean was 6.36;and depression was 7.57. There were statistically significant differences toward boys in depression. According to parents, mean conduct disorder mean was 1.94;mean oppositional disorder was 6.09;mean overanxious was 7.47;separation anxiety mean was 6.48;and mean depression was 9.6. The study showed that mean depression in boys was 10.4 compared to 8.9 in girls. There were statistically significant differences toward boys in depression. Parents of children with physical disabilities reported more overanxious problems in their children compared to other parents with other types of disabilities (vision, mental, and multiple). Also, parents of children with physical disability had more separation anxiety than other groups (mental and multiple disabilities). Quality of life of children was scored by children themselves;mean emotional functioning was 8.24;mean social functioning was 6.65;school functioning mean was 9.17;and cognitive functioning was 8.57. The study showed that mental health problems rated by children such as conduct disorder was positively correlated with emotional and cognitive functioning;oppositional disorder was correlated with emotional, social, and cognitive function;overanxious disorder was correlated emotional, school, and cognitive functioning;separation anxiety was correlated emotional functioning;and depression was correlated emotional, social, and cognitive functioning.

Electromagnetic Radiation Exposure from Nearby Cellular Base Stations in the Gaza Strip, Palestine: A Concern for Public Health

The widespread mobile station’s antennas and the continued increase in the number of mobile phones users throughout the Gaza strip causing great panic in the population relating the debate overexposure to electromagnetic radiation EMR emitted from the antennas of mobile base stations. Therefore, this study was conducted to measure the levels of electromagnetic radiation emitted from the antennas of cellular base stations in Gaza governorate as well as to evaluate the citizen’s awareness and practices regarding potential health risks and mitigation methods of exposure to electromagnetic radiation emitted from cellular base stations, respectively. Fifty cellular base stations out of 197 stations were selected depending on the criteria of selecting one site per kilometer using Global Positioning System (GPS). Electromagnetic power density, electric field strength, and the magnetic field strength emitted from cellular base stations were measured using Narda-550. Assessment tool for observation was used to collect operational information of each station. A structured questionnaire with four-level Likert rating scale was used to survey 384 mobile phone users from the areas surrounding the selected cellular base stations. The results showed that the electromagnetic radiation levels of all stations were low and less than the national and international acceptable limits. Furthermore, the awareness of participant about health risks that could result from exposure to electromagnetic radiation emitted from cellular base stations and mobile phones was low. Nevertheless, the participant’s practices in mitigating the adverse impacts of electromagnetic radiation emitted from cellular base stations and mobile phones on their health were good.

Polypharmacy in Primary Care Practices among Chronic Elderly Patients in Gaza Strip

Introduction: The increasing number of elderly, and drug use among the elderly, emphasizes the need for continuous monitoring of drug utilization. Chronic diseases are frequent among the older population;the rate of drug related problems and drug-drug interactions (DDIs) with the medical and financial consequences are enormous. Polypharmacy (PP) is defined as the concomitant use of 5 or more medications. We studied PP among chronic elderly patients in Gaza Strip and its distri- bution among primary health care clinics in different areas. Materials and Methods: This study is a descriptive analytical study, analyzing prescription data from general practices during a 3-month time period, to measure the prevalence of PP and medication errors among chronic elderly pa- tients. Data were collected directly from the prescriptions and medical records, which contain per- sonal data for patients like patient age and gender, included the current illness, drug treatment for the current illness, chronic disease/s and drug treatment for chronic disease/s. SPSS software was used to analyze the obtained data. Results: Percent of major PP was the highest among patients aged 60 - 69 years when compared with other ages categories of study population but not reached to be statisticaly significant (0.012). Major PP was higher in female patients than that in male patients but difference wasn’t statistically significant (0.5). The average number of drug per prescription was 3.4 drug;and the minimum value per prescription was 1 meanwhile maximum value was 9 (SD + 1.7). Conclusion: PP (use of five drugs or more) is more prevalent among elderly patients with multiple diseases. Female patients consume more drugs than male do. There were some regional differences in drug utilization not explained by morbidity, suggesting some varia- tions in prescribing behaviors.

Relationship of Serum Leptin, BMI, Waist Circumference and Cholesterol Level among Teenagers in the Gaza Strip

Leptin is one of the best known hormone markers for obesity. There is a limited anthropometric data in the Gaza Strip that reveals and arouses the nutritional status among all age groups especially adolescents aged 15 - 19 years old. The study aimed to assess the effect of Leptin hormone, lipid profiles, Body Mass Index (BMI) and waist circumference among secondary school age students in the Gaza Strip. Methodology: A cross sectional study included 442 cases of teenagers aged 15 - 19 years old from governmental and private schools in the Gaza strip. Blood samples were collected for analysis of Leptin hormone and lipid profile and measuring waist circumference for the teenager. Results: The mean of serum Leptin was (28.7) higher among cases than controls (28.1), but it was statistically insignificant (P = 0.85). It was found that there is a significant correlation between Leptin hormone and total cholesterol (Chol) (r = 0.24), high density cholesterol (HDL) (r = 0.27) and low density cholesterol (LDL) (r = 0.16). There was no relationship between Leptin hormone and triglycerides (TG) (r = -0.02). There was relationship between Leptin hormone and waist circumference in both males and females (r = 0.519, 0.544), respectively. There was no statistical significant deference noticed between Leptin hormone of obese objects and Leptin hormone of normal BMI objects of the same age (t-test = 0.93, P = 0.85). Conclusion: There are significant correlations between Leptin hormone and total Chol, HDL and LDL except for TG, and there were significant relationships between Leptin hormone and waist circumference which reflect the central obesity among males and females. There is no association between Leptin level and BMI.

Identifying and Prioritizing the Research Needs Related to Mental Health in Gaza Strip, Palestine

Background: An important function of research is to identify community needs in certain fields. As mental health is a vital issue to us, identifying and prioritizing mental health needs is important to policy makers to help them in setting goals for different programs that meet the needs of a specific community in a certain health area. Purpose: To identify the health research needs in the field of?mental health in Gaza Strip, Palestine. Design and Methods: The design was a qualitative design using?focus group, need assessment and non-structured interview for data collection. Participants: Participants included three focus groups. First group consisted of students enrolled in a master program?of community mental health nursing;second group included seven faculty members who were specialists?in mental health;and third group included six key persons from the ministry of health and?the chair of community mental health program in WHO at Gaza Strip. Results: Results of this qualitative?study revealed several themes that emerged from the thematic analysis. Many health research?needs were identified by participants. These needs included the following topics: stigma, family integration, aggression of children born to substance-abuse fathers, post-partum depression, counseling, talking therapy in clinical practice, behavioral problems, tramadole abuse, risk factors leadingto drug dependence, autism, exploring the role of religion in mental health, and Wellness Recovery Action Plan. Implication for Practice: Well designed studies will help to identify and prioritize the health needs for a specific community. Identifying the needs related to community mental health?is one of the first steps to help in pushing these needs into the agenda of health policy makers, who then will work to set goals and design policies and programs that aiming to meet the needs of the community, which hopefully will produce a community with less mental health problems.

Antidermatophytic Activity of Essential Oils against Locally Isolated <i>Microsporum canis</i>—Gaza Strip

There is a need for new antimicrobial drugs due to the continuous development of resistance. Natural antimicrobials are of utmost importance due to safety issue and availability. The antifungal activity of four essential oils (Mentha piperta, Thymus vulgaris, Cymbopogon citratus, and Oreganum majoranum oils) against locally isolated Microsporum canis was determined by disc diffusion method and minimum inhibitory concentration was determined using broth dilution method. Mentha piperta oil showed the highest antifungal activity among tested oils in this study. The total inhibition attached when 0.046% was used with M. piperta, the total inhibition obtained with the 0.133% of C. citratus oil, which is accounted as the second essential oils, also T. vulgaris and O. majoranum oils achieved reductions at 0.133%. The present work has revealed that all oils have been used in low concentrations and produced promising results in comparison to the positive control (Clotrimazole).

Extrinsic Risk Factors for Women Breast Cancer in Gaza Strip, Palestine: Associations and Interactions in a Case-Control Study

Background: Worldwide, breast cancer (BC) is the most frequently diagnosed neoplastic disease in women around menopause that is the leading cause of DALYs, because it causes a significant reduction of these women’s ability to function normally in everyday life. Methods: The present hospital-based case-control study was carried out between January and August 2018 using a structured questionnaire on 105 breast cancer women and 210 controls who are clinically free from breast cancer. Data about the study cases were collected in the oncology day-care clinics of the two main hospitals in Gaza strip “Al-Shifa and European Gaza hospitals”. Univariate logistic regression and multivariate logistic regression analyses were employed to identify the significant factors associated with BC. Results: Multivariate logistic regression analyses with adjustment for all confounders revealed that woman with BMI more than or equal 30 kg/m2 are under risk of getting BC 2.9 times greater than those having BMI less than 29 kg/m2 (AOR = 2.895;95% CI: 1.305 - 6.423). Analysis of risk according to reaching menopause showed that the estimated AOR was greater among those reached menopause (3.137, 95% CI 1.824 - 5.395) than among those that did not reach menopause. The risk of developing BC in the case of a history of incidence of BC in the family was more than two times higher (AOR = 2.632, 95% CI 1.528 - 4.535) than in case of the history of a free family of BC. Conclusion: In this context, the above-mentioned risk factors must be taken into consideration in BC management processes in the Gaza strip.

Microbiological Quality of Drinking Water and Prevalence of Waterborne Diseases in the Gaza Strip, Palestine: A Narrative Review

Water quality and occurrence of water-borne diseases in the Gaza strip are vivid examples for most developing societies. In recent years, the quality and quantity of groundwater, the only source of waters in the Gaza strip, have deteriorated markedly. A general rundown of the infrastructure and water distribution networks, in particular, the spread of cesspools, excessive use of pesticides and fertilizers, and improper treatment and disposal of wastewater remain major contributing factors to the continued deterioration in the water status in the Gaza strip. Without a doubt, the (Israeli)-Palestinian conflict had a clear negative impact on the water sector in the Gaza strip. Apparently, there is a dire need to adopt the WHO’s water safety plan in the management of Gaza’s water supply systems from catchment to consumer’s tap in order to maintain the sustainability and quality of water resources and prevent outbreaks of waterborne diseases. Therefore, this review has been prepared to highlight the overall picture of the water dilemma in the Gaza strip in the last years and in addition, to identify the sources, sorts, levels, and health risks of consequence to microbial contamination of water. The impact of political conflicts on the water sector in the Gaza strip also was reviewed. Furthermore, recommendations were formulated in order to assist and guide future researchers, stakeholders, and policymakers to avoid the more exacerbation of water contamination as well as to protect public health.

Water Problems in Gaza Strip,Palestine

The only source for water in Gaza strip, southern Palestine, is the groundwater aquifer. The Pliocene-Pleistocene aquifer has two serious problems: quantity and quality. This study is an attempt to identify the problems and to suggest solutions for water problems in Gaza strip. In addition, some rules for rehabilitation of the aquifers were suggested.