A/HRC/28/78 24. In August 2014, the Special Rapporteur addressed a letter of allegation to the Government of Israel on emblematic cases of alleged disproportionate or indiscriminate attacks that had resulted in the killing of innocent civilians, including children. While no response to the letter had been received as at 9 December 2014, the Military Advocate General ordered a number of cases to be closed, including one of the cases raised by the Special Rapporteur together with the Special Rapporteur on extrajudicial, summary or arbitrary executions regarding the killing of two disabled Palestinian women at a care centre in Beit Lahiya on 12 July 2014.19 E. Right to health 25. According to the Palestinian Ministry of Heath, more than 11,100 Palestinians, including 3,374 children, were injured during the hostilities in July and August 2014.20 Ministry officials noted that an estimated 3,500 patients were admitted to hospital requiring surgical interventions. Many Palestinians, including children, are now struggling with lifelong disabilities. An estimated 30 per cent of children in Gaza were exposed to high levels of traumatic stress. Tens of thousands of men, women and children live with the trauma of having witnessed the horrific killings of family members, friends and neighbours before their own eyes. 26. Health professionals based in Gaza recounted to the Special Rapporteur that, while treating dozens of patients every day in the emergency ward, the hospitals where they worked also came under attack from Israeli airstrikes and shelling. A representative of the World Health Organization (WHO) reported that 75 hospitals, primary health centres and clinics were damaged and in need of repair or maintenance. One hospital (Al Wafa) and five other primary health centres had been totally destroyed, while two others and five clinics had sustained major damage; 63 health-care facilities suffered minor damage. In one attack, on 19 July, the Shuhada al-Aqsa hospital in central Gaza was hit by multiple rounds of tank shells, reportedly killing one patient, a nurse and three medical staffers. The same attack destroyed the operating theatres and life support units of the hospital, severely hampering its ability to care for patients. 27. The right to health for the population in Gaza during the conflict was affected not only by direct hits on hospitals and medical facilities (a total of 23 medical personnel were reportedly killed), but also as a result of the lack of access to medical facilities. Health professionals pointed out that the precarious security conditions made it difficult for staff and patients alike to reach hospitals and clinics. Access was reportedly severely limited to an estimated 60 per cent of primary health centres, while some 30 per cent of medical personnel had no regular access to their workplaces. Palestinian doctors also explained to the Special Rapporteur that treating patients with pre-existing health conditions had been complicated by the loss of patient records, destroyed following airstrikes on medical facilities. 28. Around 600 patients were reportedly referred for treatment outside of Gaza, including in hospitals in the West Bank, Egypt, Jordan, Turkey and Germany, given the lack of medical equipment and specialised doctors available in Gaza. In September 2014, many of these patients from Gaza were still being treated abroad, separated from their families in a foreign environment in need of continuous monitoring following surgical 19 20 Decisions of the IDF Military Advocate General regarding Exceptional Incidents that Occurred during Operation 'Protective Edge' – Update No. 2, 7 December 2014 Office for the Coordination of Humanitarian Affairs, Gaza Crisis Appeal, September 2014 Update (available from www.ochaopt.org/documents/gaza_crisis_appeal_9_september.pdf), p. 8. 9