text: 85.Crippled children arerehabilitated asout-orin-patients through physical andmedical treatment. During1984,some 8~8children benefited fromthisservice infourfields. InJordan, crippled children receive similar careatthe Government's rehabilitation centres inAmman. Patients fromtheW~stBankandGaza Striparereferred totheJerusalem Crippled Children's Centreforout-patient and in-patient care.InsouthLebanon, theNorwegian Refugee Council andUNRWAruna rehabilitation centreinTyrewhichprovides physical rehabilitation services to children andadults. InMay1985,theNorwegian People's Aidplacedits rehabilitation centreattheShatila CampinBeirutunderUNRWAauthority together whilecontinuing topayforthecentre's costs. UNRWAhascontinued toprovide orthopedic andprosthetic devices inallareasasusual,butatahighercost. 86.Medical supplies toallfieldshaveingeneral beensatisfactory. Mostofthe medical supplies andequipment programmed bytheDepartment ofHealthcontinued to bepurchased ontheinternational marketandthrough theUNICEF Packing and Assembly CentreinCopenhagen. -14-2.Control ofcommunicable diseases 87.Theprevention andcontrol ofcommunicable diseases is,asithasalwaysbeen, oneoftheAgency's mainconcerns. Infants andyoungchildren attending the maternal andchildhealthclinics areimmunized against tuberculosis, diphtheria, tetanus, Whooping cough,poliomyelitis and~easles. Children receive reinforcing dosesofvaccines whentheyenterschool. UNRWAhealthstaffworktoimprove environmental conditions. Theyemphasize personal andfoodhygiene inhealth education activities atschools andclinics, andtheyadminister specific chemotherapy andchemoprophylaxis treatment. Theyalsomaintain closeco-operation withtheGovernment's healthauthorities indisease surveillance andcontrol. 88.Nocaseofcholera wasreported amongtherefugee population. Ninecasesof cutaneous leishmaniasis werereported -sixintheSyrian ArabRepublic (Aleppo area)andthreeintheWestBank,mostlyintheJericho area. 89.Thefollowing diseases occurred lessfrequently thanintheprevious year: diarrhoeal diseases, whooping cough,poliomyelitis, trachoma andrespiratory tUberculosis. Butthereweremorereported casesoftyphoid fever,brucellosis, chicken pox,conjunctivitis, infectious hepatitis andmeasles. Therewasno significant changeintheincidence ofothercommunicable diseases. (Further details aregivenintheannualreportoftheDirector ofHealth.) 90.TheAgencyoperates acomprehensive tuberculosis programme, including case detection, hospital andhometreatment, andfollow-up ofcasesandtheircontacts. Theincidence ofrespiratory tuberculosis continues tobelessthanonecasein 10,000ofthepopulation eligible forhealthservices.:i I I 91.InJordan, aNational Immunization Weekwaslaunched asof24November 1984. TheUNRWAhealth ~entres andpoints tookanactivepartinthisproject. 3.Maternal andchildhealth ~:·l 92.Thehealthofpregnant womenandchildren ismonitored through anetwork of l 98healthunits. Theseservices aresupported byspecialist andhospital referral1 services. Dataonthematernal andchildhealthprogramme arepresented intable6j of-annex I. 1 ::! 93.Pre-natal careincludes regular healthsupervision andtheissueofextra rations andiron-folate tablets. Immunization ofpregnant womenwithtetanus toxoidisnowextended toallthefivefields. Manywomennowadays preferto deliver inhospitals, butstillmorethanathirddeliverathome,attended by Agency-supervised dayahs(traditional birthattendants) • 94.Familyplanning isanintegral partofthematernal andchildhealth programme inGaza,whereaspecial familyhealthcourseisalsoincluded intheschool curriculum forgirlsinthethirdpreparatory classes. Healthcentres inthe Damascus areaofferfamilyplanning services towomenattending thematernal and childhealth (MeH)clinics, inco-operation withtheMinistry ofHealth. The Jordanfieldiskeeping alowprofile initsfamilyplanning work,whichmainly consists ofadvisory services byhealthcentrestaff. 95.Regular healthsupervision andimmunization areprovided inchildhealth clinics forChildren uptothreeyearsofage.Earlytreatment ofdiarrhoea with
analysis: The text primarily focuses on the healthcare services provided by UNRWA to refugees in the Middle East, including physical rehabilitation, medical supplies, and disease control. While it does not directly mention economic development or natural resources, it does mention the cost of medical supplies and rehabilitation centers. This suggests that healthcare services are closely tied to humanitarian aid and relief efforts.