Higher doctors are critical of treating the Ministry of Health on measles measles, saying that it is waiting months before taking action, then it did so in an upsetting fashion, disorganized and inadequate human resources were not used.
This has created confusion and even panic among the public, they added.
"The penny did not let this be a significant event," says an expert in infectious diseases. "The ministry should have realized back in the summer that we were facing a crisis and that I had to move every system."
After multiple cases of rash over the summer caused fears of cause, he added, the ministry made it recommend that people traveling overseas be vaccinated.
>>Everything you need to know about preventing Israeli measles
The sources of the line line Kol Habriyut told the ministry that they had told Moshe Bar Siman Tov, the general ministry director in 2017, that they had had a lot of measles calls, but he did not do anything with this information.
First, he acknowledged the ministry that he had a real problem just six months after the media began to report the case. The number of cases of measles starts to emerge clearly in March, and in August 250 cases were diagnosed, approximately eight times as much as in 2017.
In addition, many measles were found on trips to and from Israel. But as noted, the ministry recommended that people get vaccinated before flying to some parts of Europe, where the case began.
In October, there were nearly 700 known cases. The most significant cases in higher Orthodox neighborhoods from Jerusalem, Beit Shemesh and Betar Ilit, due to overcrowded conditions and vaccination rates of only about 50 percent. There were smaller cases in the north and in the settlements of West Bank; There were dozens of cases in Tel Aviv.
Last week, a 18 month baby died in a higher Orthodox neighborhood of Jerusalem's disease of the disease – the first death of measles in 15 years. So far, there have been more than 1,400 measles cases, and doctors in Jerusalem hospitals said they were afraid of losing control.
"This is a scandal," said senior officer as one of Israel's main health maintenance establishments about the behavior of the ministry. "We're fortunate that it's just measles and not some other disease."
The ministry "has made every possible mistake in controlling the crisis and explaining it," he added. "What has happened in recent days is trying to deal with this by working with the media to look like doing something. But the result has been banig. "
The treatment of the case ministry varied considerably in polio cases in 2013-14 under the General Director, Professor Ronni Gamzu. In order to tackle the system's lack of trust among the specific communities and the influence of anti-vaccination opponents on social media, he met personally with opinion leaders in different communities, including rapbis and immanes. As a result, 980,000 children were vaccinated against polio between August 2013 and January 2014, and the disease did not cause injuries or deaths.
The difference in dealing with both emergencies is "huge", said one senior doctor. "The polio crisis was defined as an emergency early and the crisis was treated by movement and collaboration among many players – doctors and experts, HMOs, local governments and others."
"There is a key issue of leadership here," added a person who was involved in treating a number of previous health crises. "I do not think that the person who leads the ministry today can run the response to such an event."
"This is a professional crisis and communication," he said. "There is a lot of knowledge and experience in both areas and requires operational management … and a level of information much more precise than what exists today."
The crisis has also revealed the poor condition of Israel's public health service and to be inappropriate for an emergency. In 2012, this service employed 1,227 nurses, who administered vaccines and epidemics by locating anyone who is exposed to a specific illness.
Today, however, the number has been successful in 920, resulting in vaccinations and follow-up visits. In addition, exams have become less thorough and less frequent.
Since the incidence of measles started, these nurses have been working 12-day days. This week, therefore, the ministry asked nursing students to help.
"All 920 nurses now deal with measles; all of the normal activity has been stopped," said Moriah Ashkenazi, an officer in the nurse union. "The load is so heavy that the nurses do not manage to collect information and send reports to the Ministry of Health in real time."
"We see families whose children have never been vaccinated," he added. "We must complete not only their measles, but also other vaccinations, with all their explanations, records and instructions."
Ilana Cohen, the head of the nurse union, said the case had shown how neglect the public health service was. "There has been no correspondence between population growth and the number of nurses," he said. "We have at least a minimum of 140 nursing posts in the public health service."
Combining the problem is that no ministry officer has communicated directly to the public or has given media interviews to explain the situation. And waiting times in the Kol Habriyut helpline are 10 minutes or more.
Parents said they felt intense, confusing and angry. They feel they do not have information to deal with the crisis and complain about lack of access to medical personnel. Helpline operators do not seem to know much, they added, and it's hard to make appointments. In addition, the published recommendations of the ministry are confusing.
One mother of Herzliya, for example, told her to try for three days to call a local vaccine provider to arrange a reinforcement blow for her son, but there was no answer.
And when Haaretz tried to make an appointment to repair to an adult, we were told that the next appointment was available at the Tel Aviv area health office on 11 February.
Another problem is that responsibility for vaccination is shared among a number of agencies – area health offices, good baby clinics, companies employed to provide health services for students, HMOs and clinics – depending on the age and condition of the patient .
"The first thing that stands out is the confusion and ignorance of people who call to ask questions," said an HMO senior officer. "Even our line line operators do not have all the answers."