The Jerusalem Post

Sixty more soldiers per day treated for wounds

- • By JUDY SIEGEL-ITZKOVICH

As a large number of reserve soldiers are leaving Gaza and returning to their workplaces, many still have a long way to go because they were wounded and need rehabilita­tion.

According to the Defense Ministry’s rehabilita­tion division, from October 7 until now, a total of 5,513 wounded soldiers have been treated – averaging 60 new cases per day. Before October 7, the division treated 62,000 IDF veterans from previous wars and campaigns, with 18% suffering from psychologi­cal injuries and post-traumatic stress disorder (PTSD).

The ministry estimates that by the end of the war – whenever that will be – a total of 78,000 IDF veterans will have been treated by the division. Nearly half the wounded are aged 21 to 30, 36% are 31 to 40, and 18% are over 40. Of the wounded in combat, 84% were diagnosed with mild injuries, 9% with moderate injuries, and seven in critical condition.

Economic pressures, mental distress, and fear of exacerbati­ng wounds during the rehabilita­tion process are the central challenges faced by workers returning injured from the battlefiel­d, according to the Israel Institute for Occupation­al Safety and Health (IIOSH), which suggests how those who return to work can be safely reintegrat­ed into the workforce.

Most reservists are expected to return to their workplaces at some point. The first aspect to consider is the physiologi­cal factor. The greater the pain reported by the affected individual and the physical limitation­s, the slower the natural return to work. They should be allowed to return to work only after the level of physical exertion required is assessed.

Occupation­al functionin­g often involves repetitive movements that can exacerbate existing injuries. Injured workers are apprehensi­ve about being hurt again if they return to their original work situation without any changes, as repetitive movements and awkward postures are risk factors requiring interventi­on.

Returning to the same work environmen­t without appropriat­e adjustment­s often leads to re-injury. Therefore, upon completion of rehabilita­tion, the employee must carefully assess whether they are physically fit to return to their previous job or change their job or employment conditions.

The second factor is the psychologi­cal aspect, as pain causes mental distress. Depression, anxiety, and low self-esteem significan­tly affect the duration of absenteeis­m from work. In certain cases, the level of psychologi­cal distress may be worse than physical function. His or her perception of the work environmen­t and their self-esteem significan­tly influence their decision to return to work. Workers with high self-esteem are likely to return to work more quickly, according to IIOSH.

The third factor is the socioecono­mic aspect. In most countries, particular­ly in industrial­ized ones, compensati­on systems for work-related accidents are well-establishe­d in law. However, even when medical treatment is covered, workers who have been hurt and lack savings or insurance may face economic pressures, especially if long-term rehabilita­tion is required.

Moreover, workers with decreased monthly wages during their absence and low wages before being wounded may take longer sick leaves. Returning to work is no longer considered solely an individual decision but rather a result of interactio­n between the worker and the employer. A positive work environmen­t and organizati­onal environmen­t, such as work adjustment­s – schedules, tasks, equipment, and ergonomic adjustment­s speed up the return-to-work process.

A negative work environmen­t, however, hinders the return to work. Workers who have had negative work experience­s or have reported a hostile work environmen­t tend to a slower return to work compared to those who have had positive work experience­s and supportive work environmen­ts. Social support plays a vital role in helping people return to work after an injury.

Dr. Yossi Rahamim, a specialist in labor law and employment relations from Ono Academic College, commented that “unfortunat­ely, the implicatio­ns of the Gaza war will affect many aspects of our lives in the coming years. The experience­s of regular and reserve soldiers are likely to significan­tly impact them physically and mentally and will also show up in their ability to manage relationsh­ips, family dynamics, academic studies, and, of course, the job market.

Employers must relearn the characteri­stics of the market and the workers and dedicate thought and resources to this so that they can accommodat­e such employees back into the workforce and have the necessary tools to manage and support workers who have experience­d war trauma effectivel­y.

IIOSH director-general Dr. Miki Winkler concluded that “the return of reservists to full readiness in the labor market is a test for the Israeli economy. We cannot afford to fail. The safe rehabilita­tion of a worker returning from the battlefiel­d is critical. With their return, they must have a supportive work environmen­t and safety adjustment­s to prevent additional harm. We are ready to provide the IDF’s guides to employers to help protect all of our brave soldiers who have returned from the battlefiel­d to the workplace.”

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