The tightened blockade had repercussions on the health situation, as it posed an obstacle to citizen's ability to enjoy the highest attainable level of health. The occupation measures also limited the ability of duty bearers to guarantee the right to health of the citizens of the Gaza Strip. There are many forms of suffering that patients endure in the Gaza Strip in their quest for care and health service, including: the rejection of applications for permits to access treatment abroad; in addition to the Israeli interrogation and blackmailing of patients in exchange for issuing them permits for treatment, while some patients or their attendants were arrested at the Beit Hanoun "Erez" crossing. Between 1/1-30/11/2019, the Israeli occupation authorities denied medical travel permits for approximately 8,000 out of 22,144 patients, who applied for permits to travel for treatment; this makes 35.1% of the total applications submitted. The prohibition also affected those accompanying patients, resulting in infants travelling without their mothers to the West Bank for treatment of various diseases, including cancer.7 The impact of the blockade on the economic situation was considered to be the worst year for the Gaza Strip. The economic sector has deteriorated significantly as a result of the siege and has suffered significantly from economic decline, which also affected the level of income and productivity. The factories in the Gaza Strip functioned, during the year, at a rate of (20-25%) of their capacity because of the blockade and repeated attacks against the Gaza Strip. The direct and indirect monthly losses of the economic sector (industrial, commercial, agricultural and contracting sector) increased at the end of the year to nearly $100 million per month. With regard to violations to the right to education, students suffered policies and attacks by the occupation as part of their daily lives and in many cases suffered attacks by the Israeli settlers. Mr. Samir Jibril, Director of the Jerusalem Education Office, was arrested, placed under house arrest and made to pay a financial fine, while the Office of the Directorate of Education was closed for a renewable period of six months, added to the above the Israeli occupation’s incitement against the Palestinian curriculum. The number of Israeli attacks was (140) attacks on Palestinian schools, (2) attacks targeting Palestinian students’ lives, whereas, at least (175) students and (120) teachers and administrative staff from the educational service were injured.8 Report “Israeli restrictions on travel for patients from the Gaza Strip for treatment abroad, ” Palestinian Center for .7 Human Rights, Gaza, December 2019. “The annual report of the monitored Israeli violations against the educational process for the year 2019,” General .8 Department of Field Follow-up at the Ministry of Education, January 2020.