fromlocalgroups. Eventually, anagreement wasreached withtheIsraeli military forcesallowing UNRWA lorries~ ambulances andbusestotravelfromBeiruttosouth Lebanon. Despite thisagreement, duetoprevailing security conditions, supplies couldbetransported onlywithgreatdifficulty andaftermuchnegotiation.ofPalestine refugees insouthLebanon improved marginally aftertheIsrae~i withdrawals, whichallowed foraprecarious restoration oftheagricultural economy inthearea. c.Restoration ofregular services 14.Despite theturmoil inLebanon, thenormaleducation, healthandwelfare programmes werecarried outtotheextentthatcircumstances permitted. These programmes aredescribed inchapter 11ofthepresent report. 15.Theadditional measures takenbytheDepartment ofHealth, andreported upon lastyear,continued. ThedifficUlty oftravelinLebanon compelled UNRWAto change someofitshospital arrangements. Forey.ample, patients fromnorthLebanon andtheBeqa'a, whoinnormalcircumstances wouldbereferred formoreadvanced treatmen~ totheAmerican University Hospital inBeirut, weresenttoSyria. Patients insouthLebanon couldnotbereferred outofthesouth,buthadtobe treatedatprivate hospitals subsidized therebytheAgency. TheAgency andthe Norwegian Refugee Council haveagreedtothecontinuation ofajointly operated rehabilitation centreinTyrewhenthesecurity situation permits. 16.TheDepartment ofHealthconcluded agreements withtheHaririMedical centre (25beds),effective l6'November 1984,andtheHammoud Hospital (25beds)inSaida, andtheal-Sahel Hospital (20beds)inBeirut, effective 1January 1985,for hospitalization ofrefugees. Anincrease inhospital rateswasputintoeffectin April1985andagreements withtwoSidonhospitals (Al-Janoub andOsseyran) were cancelled witheffect from10February 1985.Duringthefighting intheSaidaarea inMarchandApril,theHariricentrebecameinaccessibleJ subsequently equipment andsupplies werelooted. 17.Healthservices insidethecampsinLebanon wereoftenparalysed bytheheavy fighting ofMarchandAprilintheSaidaareaandofMayandJuneinBeirut. The Agencylaunched emergency medical services andestablished mobilemedical teamsto provide services. 18.-TheUNRWApolyclinic intheRasal-Nabi' quarter ofBeirutwasclosedon 2~Aprilduetolocalclashes andinsecurity. Thestaffwererelocated to MarEliascamp. 19.TheInternational RescueCommittee continued itsmedical services inits intermediate healthcare,unitinSaida. Theagreement between UNRWAandtheIRC wasextended totheendofJune1985. 20.Twoadditional complete dentalunitswithX-raymachines wereinstalled in EinelHilwehcamphealthcentreandintheBeirutpolyclinic. 21.Drainsandpathways atEinelHilwehandTyrecampswereTenovated or constructed.,I iI \ .I '1 ,j the~ 22.Some20refugee patients intheLebanon Fieldrequlrlng haemodialysis arenow receiving treatment inlocalhospitals atUNRWAexpense. Previously thecostof suchtreatment wascovered byprivate sources inLebanon. TheAgencyisurgently seeking analternative sponsor forthisvitalservice asUNRWAisunableto -3-C3~SandShelters D.~~ 7=~-~~~'::===:C-==_=:.-=: __..._.='::::2-C.:':'==-·-·-icontinue tocoverthecost,some$OS10,000permonth, fromfundsallocated toits ~regular healthprogramme. 'l~':":23.Schools wereabletooperate formuchofthe1984/85 schoolyear,although .•theirreopening wasdelayed inthenorthandinBeirut. 24.TheSiblinTraining Centre, whichwasevacuated on28Aprilbythemilitiamen loftheLebanese Progressive Socialist Party(PSP),whohadoccupied itin1983, ,1remains closed. Cl I') • j I I 25.InJulyandAugust1984,theBeddawi campnearTripoli suffered damage from Palestinian inter-factional fighting. Atthesametime, th~Lebanese Armyreplaced .theAmalmilitiaatentrances toBurjelBarajneh camp, thu~improving the situation. 26.Theentrances toShatila campcontinued tobecontrolled byth~Amalmilitia throughout thewholeofthereporting period. Afterthedefeatoft~eMurabitoun bytwoothermilitias inmid-April 1985,thosecheckpoints werestrengthened. 27.UntilFebruary 1985,whentheIsraeli forceswithdrew fromSaida,allcampsin thesouthern partofthecountry weresubjecttosearches astheIsraeli army reacted toattacks fromlocalgroups. AftertheIsraeli withdrawal fromSaidato theLitaniRiver,thefrequency andseverity ofthesearches intensified inthe Tyrearea. Manyrefugeas leftthecampsandsoughtrefugeelsewhere. Allpartsof
**Analysis**
The text primarily discusses the challenges faced by the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) in providing services to Palestine refugees in Lebanon during a period of turmoil. It highlights the difficulties in transporting supplies, restoring agricultural economy, and providing healthcare, education, and welfare services. The text also mentions the impact of fighting on the refugees and the measures taken by UNRWA to address these challenges.

**Category**
Health, Humanitarian aid and relief