Letter to the editor of Lancet: RE: report on health conditions in Gaza July 31, 2006

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Dear Editor,

Your report on health conditions in Gaza (“Gaza crisis continues to worsen as all eyes turn to Lebanon”) cites only Palestinian, NGO, and UN sources; your correspondent did not consult a single Israeli source. This in itself would not be a problem except that these sources are hardly disinterested parties to the conflict. Confidence in the report is further undermined by unsupported claims, such as the charge of miscarriages or premature labor caused by sonic boom fly-overs, an old canard with no medical basis.

Evidence does not seem to be very important to your correspondent. Ms. Devi cites a Palestinian doctor reporting that “many patients injured in the conflict smelt of phosphorous shrapnel”; this is a “common belief” among Gazans. But it is also a common belief in Gaza that Israel has poisoned the water and supplies chewing gum that depletes male sperm counts. Wouldn’t a little fact-checking and independent inquiry be appropriate here?

Of course, the correspondent does not mention Israeli casualties and the mental health effect of kassam rockets shot from Gaza, military incursions by Hamas across the border, Al Aksa brigade attempts at suicide bombings, or any of the other reasons Israeli troops are in Gaza.

Sadly, these one-sided reports are echoed by WHO’s reports on the current war in Lebanon. Your accompanying editorial (“Gaza crisis must not be overshadowed”) refers readers to the WHO website on humanitarian efforts:
http://www.who.int/hac/crises/international/middle_east/en/index.html.
But this is what we read there about the effect of the war on civilians: “An estimated 3225 persons have been injured and more than 800 000 displaced in Lebanon.” The WHO report does not mention that half a million Israelis have also been forced to leave their homes because of Hezbollah rocket attacks explicitly targeted toward civilians.

I would suggest that the Lancet subject medical journalism to the same standards it uses for medical research.

Steven M. Albert, PhD, MSPH
Professor
Behavioral & Community Health Sciences
Graduate School of Public Health
University of Pittsburgh
A211 Crabtree, 130 DeSoto St.
Pittsburgh, PA 15261
412-383-8693
412-624-3792 (FAX)
smalbert@pitt. edu

Letter to the editor of Lancet: RE: report on health conditions in Gaza July 31, 2006

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AUTHOR

Steven M. Albert

In early 2000, I read the newsletter of the American Anthropological Association and was surprised to see an essay by Jeff Halper, who founded the Israeli Committee Against House Demolitions. The essay was biased in every way: selective in evidence, slanted in language, naïve in reasoning. In preparing my reply I searched the web and found that for every one balanced entry on Israel’s position, there were perhaps 20 negative entries. Many were stridently rejectionist and anti-Semitic; those that were not betrayed woeful ignorance or frank silliness about the Middle East. My reply was published and the editor asked if I would countenance a reply from Halper and perhaps a dialogue. I agreed. Halper never replied, suggesting that he could not face argument informed by facts. This was my introduction to the politicized world of the academic Middle East.Since then I have narrowed my focus to anti-Israel bias in the public health and academic medical literature, which is monitored by the SPME Public Health and Medical Task Force. There is no shortage of bias in this field. Key British journals, such as Lancet and the British Medical Journal, devote major resources to academic partnerships and journalistic coverage designed to show Israeli policy is responsible for poor health, limited hospital access, and psychological trauma in the occupied territories. In fact, the evidence suggests that health is not poorer in the territories and that people do have access to hospitals. It also true that Israelis suffer poor mental health in war. These inconvenient facts, now published in 2 letters in BMJ and 4 in Lancet, help, we hope, in stemming the tide of 60 years of anti-Israel propaganda, which has finally managed to make its way into academic medical research.The Task Force continues to monitor and respond to the most egregious instances of bias in the most prominent journals. It consists of 5-10 academics across the globe, from Israel to the UK to the US, who take the time to respond to such falsehoods. We are pleased to see that most journals are willing to admit fault and publish our work. Our monitoring has led to one journal retracting a bad piece of science and to others publishing corrections.In this effort, we have also crossed paths with virulent anti-Semites, such as the one who wrote me privately and said he would never accept Zionist facts. Others are more subtle. But at heart these critics cannot admit that the medical and public health record of Israel simply does not support their claims of a terrorist, racist, imperial regime. So they make stories up or simply ignore statistics from the UN, WHO, and other international medical organizations.Facts and reasoned argument support the claims of Israel and can be used to undo the propaganda of its enemies. But we need to marshal this evidence and face the false claims directly. The biggest challenge here is time. The members of the Public Health and Medical Task Force all have day jobs. I run a major research effort on aging, chronic disease, and health promotion. My colleagues are similarly busy with academic medicine, psychological research, bioethics, and other areas. Still, we take time from these efforts to play a small but important part in ferreting out propaganda that may bias others less informed about Israel and the Middle East.


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