{"title":"Perceived neighborhood disadvantage and poor chronic health in Israel.","authors":"Sharon Stein Merkin, Kathleen Abu-Saad","doi":"10.1186/s13584-025-00695-3","DOIUrl":"https://doi.org/10.1186/s13584-025-00695-3","url":null,"abstract":"<p><strong>Background: </strong>Social disparities in health persist in Israel despite universal health care. Few studies have focused on the impact of neighborhood disadvantage on health in a representative sample of the Israeli population while accounting for multiple socioeconomic factors. The objective of this study was to assess the independent association between perceived neighborhood disadvantage and self-reported poor chronic health.</p><p><strong>Methods: </strong>Self-reported poor chronic health was defined as (1) reported not very good/poor health, and (2) having a chronic health/physical problem for > = 6 months disrupting daily life activities. Neighborhood disadvantage was based on self-reported measures of residential environment (scale of dissatisfaction with transportation, parks, cleanliness, waste removal, noise, pollution, safety, and walkability) and social problems (dissatisfaction related to neighbors, and neighbors interacting to improve the environment). High levels of neighborhood problems were defined as top 25th percentile of dissatisfaction scales. Logistic regression models included incremental adjustment for sex, age, ethnicity/religion, immigration status, peripheral region and then income, education and employment status.</p><p><strong>Results: </strong>A total of n = 7,020 participants with non-missing data were included. High levels of neighborhood environmental and social problems were independently associated with poor chronic health even after adjustment for sex, age, ethnicity/religion, immigration status, and peripheral region, and remained statistically significant after additionally adjusting for income, education, employment and lifestyle factors (odds ratio (OR) 1.5, 95% confidence interval (CI) 1.2-1.9 for environmental problems; OR 1.3, 95% CI 1.1-1.6 for social problems).</p><p><strong>Conclusions: </strong>Living in areas of perceived disadvantage conferred health risks beyond those related to ethnicity or socioeconomic status. These findings suggest that neighborhood-level factors contribute significantly to health disparities in Israel and should be included in national efforts to evaluate and minimize these health disparities. Future research is needed to also consider objective measures of neighborhood disadvantage, in order to determine the more salient neighborhood measures with respect to health outcomes and to effectively develop targeted interventions to reduce area-level health disparities.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"30"},"PeriodicalIF":3.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ilya Kagan, Dana Arad, Joseph Mendlovic, Yossi Tal, Yaron Niv
{"title":"The public's perceptions of patient safety in healthcare.","authors":"Ilya Kagan, Dana Arad, Joseph Mendlovic, Yossi Tal, Yaron Niv","doi":"10.1186/s13584-025-00691-7","DOIUrl":"10.1186/s13584-025-00691-7","url":null,"abstract":"<p><strong>Background: </strong>Patient safety during medical treatment is a central issue for health policymakers and medical teams. In this context, both the Israeli and global health systems, are witnessing an increase in the appreciation of the importance of safety indicators for quantitative measurement of treatment safety. Although an important consideration, we did not find any studies of public perception of this important topic. This study was therefore designed to examine the views and opinions of the public concerning patient safety in the Israeli healthcare system with the aim to serve as an important input in determining patient safety goals and policies.</p><p><strong>Methods: </strong>A digital questionnaire was distributed to 620 Israeli citizens, 18 years of age or older, who were randomly sampled from a pool of 75,000 citizens of Jewish origin stratified by gender, age, and area of residence.</p><p><strong>Results: </strong>Only 18.8% of the sample considered the healthcare system to be transparent in reporting and dealing with medical errors, while 23.6% reported receiving an explanation of the risks and side effects of medications before prescription. Only 56.4% reported receiving information about the risks related to surgeries and invasive operations, 62.2% claimed to understand the given explanation, and 61.5% reported going through a proper process of patient identification before a test or medical procedure.</p><p><strong>Conclusion: </strong>Patient safety is a significant concern for the public whose perceptions should be considered when planning improvements to the healthcare system. Healthcare providers must consider patients' perceptions of patient safety issues and remain vigilant in identifying and minimizing risks associated with medical care and in verifying patient comprehension accordingly.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"29"},"PeriodicalIF":3.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding rates in Israel and their health policy implications.","authors":"Deena R Zimmerman, Nati Brooks, Janice Wasser, Linoy Vaknin-Alon, Tunie Dweck, Sharon Alroy-Preis","doi":"10.1186/s13584-025-00689-1","DOIUrl":"10.1186/s13584-025-00689-1","url":null,"abstract":"<p><strong>Background: </strong>Monitoring breastfeeding rates has important health policy implications, as breastfeeding has significant positive impacts on maternal and child health and healthcare costs. This up-to-date, national, population-based breastfeeding rates study in Israel provides important information for health policy development.</p><p><strong>Methods: </strong>Breastfeeding rates were determined for the years 2016-2022 by retrospective analysis of Machshava Briah electronic medical records used by many Israeli Maternal and Child Health Clinics. This reflects approximately 70% of Israeli children with a nationwide distribution. Comparisons were conducted measuring breastfeeding rates over time and between different sub-groups.</p><p><strong>Results: </strong>The dataset consists of 945,437 infant records. The percentages of women with any breastfeeding as well as exclusive breastfeeding have shown a gradual decline annually from 2016 to 2022 and are lower than international goals. Sub-group analyses were conducted for 2022. Breastfeeding rates were higher among multipara mothers (versus primapara). Singleton mothers had much higher breastfeeding rates than twin mothers with the difference even more pronounced in exclusive breastfeeding rates. Mothers of preterm infants (< 37 weeks) and low birthweight infants breastfed less than mothers of full term infants and normal birthweight and were less likely to exclusively breastfeed. Mothers living in urban areas had the highest rates of breastfeeding and those living in rural areas had the lowest. A subanalysis performed at two months postpartum for 2022 found the effect of maternal age with the highest rates of breastfeeding among 20-24 year old mothers. Inter-pregnancy interval also had an effect with the highest rates among those whose last pregnancy was 21-33 months ago and the lowest rates among those with an interval of < 1 year.</p><p><strong>Conclusions: </strong>The population-based data provides an important baseline marker. This study shows a drop in breastfeeding rates, indicating a need to investigate reasons for discontinuing breastfeeding and identifying possible areas for offering support. This data and similar follow-up studies provide the background evidence to warrant that Ministry of Health policies in the hospitals and in the community, help accomplish their goals.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"28"},"PeriodicalIF":3.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Nissanholtz-Gannot, Ayala Burger, Bruce Rosen
{"title":"Primary care physicians' perceptions of Israel's national program for quality indicators in community healthcare- 2010 and 2020.","authors":"Rachel Nissanholtz-Gannot, Ayala Burger, Bruce Rosen","doi":"10.1186/s13584-025-00685-5","DOIUrl":"https://doi.org/10.1186/s13584-025-00685-5","url":null,"abstract":"<p><strong>Background: </strong>Monitoring the quality of primary care is essential for improving healthcare services. The National Program for Quality Indicators in Community Healthcare measures various aspects of healthcare quality. A 2010 survey among Israeli primary care physicians (PCPs) found widespread support for the program alongside concerns about its effects on workload and competitiveness. This study assessed the extent to which PCPs' perceptions had changed between 2010 and 2020.</p><p><strong>Methods: </strong>Cross-sectional survey on PCP's experience with the quality monitoring effort at their health maintenance organizations were conducted in 2010 and 2020 among representative samples of PCPs. Bivariate analysis examined whether the study variables varied between the timepoints. Logistic regression models evaluated the extent to which the participants' characteristics and perceptions contribute to their attitudes toward the program.</p><p><strong>Results: </strong>The study sample comprised 605 physicians in 2010 and 450 physicians in 2020. Overall, support for the National Program for Quality Indicators was high in both surveys. However, between 2010 and 2020 some decrease in the support for the use of quality indicators was observed among PCPs The greatest decrease in support between 2010 and 2020 was observed in the proportion of respondents who perceived that it is important to a great or very great extent to measure the clinical performance of some quality indicators (88% versus 81%) and in the proportion of respondents who perceived that monitoring contributed to improvement (66% versus 60%). Over half of respondents (58%) perceived to a large or very large extent that the program was associated with increased workload compared to 63% in 2010. Similar proportions of respondents in 2010 and 2020 felt that the program was also associated to a large or very large extent with over-competition (47% and 48%, respectively) and excess managerial pressure (58% and 60%, respectively).</p><p><strong>Conclusions: </strong>The study indicates that while support for the program in general remains high, it continues to have undesirable side effects. Further use of the program for quality indicators must consider the shortcomings voiced in 2010 which have remained uncorrected as reflected in the results of the 2020 survey: extreme managerial pressures, increased workload and over-competitiveness.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"21"},"PeriodicalIF":3.5,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raanan Raz, Maya Negev, Michael Hauzer, Eliaz Miller, Ora Paltiel, Meidad Kissinger
{"title":"Environmental responsibility in the Israeli health system in the era of climate change: a required paradigm shift.","authors":"Raanan Raz, Maya Negev, Michael Hauzer, Eliaz Miller, Ora Paltiel, Meidad Kissinger","doi":"10.1186/s13584-025-00684-6","DOIUrl":"https://doi.org/10.1186/s13584-025-00684-6","url":null,"abstract":"<p><strong>Background: </strong>Environmental management in the Israeli health system is driven primarily by safety regulations. Such regulations aim to reduce hazardous exposures to employees, patients, and visitors, as well as some specific aspects of broader environmental toxicity to humans and nature. Most environmental precautions in the system target traditional exposures and do not specifically consider the health system's own impact on climate change. This article aims to justify incorporating climate change mitigation actions into short- and long-term plans in Israeli health organizations and present a schematic strategic roadmap to do so.</p><p><strong>Main body: </strong>Climate change poses many threats to global health, including risks from severe weather events, changes in vector-borne diseases, increased hazardous air pollutants, food and water shortages, and adverse effects on reproductive health. The most effective effort in climate change mitigation is reducing greenhouse gas emissions to the atmosphere. Ignoring the health sector's emissions contradicts the ancient medical principle: first, do no harm (primum non-nocere). Furthermore, many climate mitigation methods introduce additional health co-benefits. Special attention and medical considerations are needed to safely reduce emissions from the health sector. This article reviews healthcare's most common emission sources, including energy consumption, transportation, food, waste, supplies, and the supply chain. An organizational carbon management strategy should include recognizing the problem and committing to action, estimating the organizational carbon footprint, developing and prioritizing alternative interventions, and developing a carbon management plan with measurable short- and intermediate-term goals.</p><p><strong>Conclusion: </strong>Climate mitigation in the health sector is encompassed by the moral obligation of the Israeli healthcare system to do no harm. Performance measures to support GHG emission reductions should be adopted into the existing, successful Israeli programs of quality measures in medicine, both in the community and hospitals. In addition, Israel academic institutions for health and medical education should incorporate sustainable health into their curricula for students of health professions and as part of continuous medical education. Such policy actions will contribute to a healthy health system that supports climate change mitigation while providing health co-benefits to the Israeli population.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"19"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dan Henry Levy, Nirit Yavnai, Joe Ben Itzhak, Yafit Hamzani, Shlomo Paul Zusman, Michael Solomonov
{"title":"Intellectual capability and its association with severe dental caries treatment needs in young Israeli adults: a cross-sectional record-based study.","authors":"Dan Henry Levy, Nirit Yavnai, Joe Ben Itzhak, Yafit Hamzani, Shlomo Paul Zusman, Michael Solomonov","doi":"10.1186/s13584-025-00680-w","DOIUrl":"https://doi.org/10.1186/s13584-025-00680-w","url":null,"abstract":"<p><strong>Background: </strong>Disparities in dental health resulting from social and economic inequality are a pressing public health concern. Poor and vulnerable populations bear a higher burden of caries exacerbated by limited access to quality dental care. Recent publications have suggested a possible association between intellectual capability and caries risk, as well as lower compliance with publicly funded healthcare services among populations with lower educational levels. The objective of this study was to explore potential associations between severe dental caries treatment needs (root canal treatments and extractions), socioeconomic factors and intellectual capability.</p><p><strong>Methods: </strong>Dental records of 21,052 soldiers recruited into Israeli military service between 2019 and 2021 were reviewed, and data on the need for root canal treatments and extractions were retrieved. Sociodemographic information, including age, sex, socioeconomic strata, intellectual capability scores, body mass index, and place of birth, were extracted and analyzed.</p><p><strong>Results: </strong>The findings from the multivariate generalized linear model indicated that lower intellectual capability scores and socioeconomic strata were associated with a significantly greater requirement for root canal treatments and extractions (p < 0.001). The model also identified male gender and older age as predictors for higher treatment needs. Non-native Israelis were found to be at a greater risk for needing root canal treatments compared to native Israelis. Additionally, a significant positive correlation was observed between intellectual capability scores and socioeconomic strata (p < 0.001).</p><p><strong>Conclusions: </strong>Groups with lower intellectual capability scores and socioeconomic strata exhibited a greater need for dental treatments, including root canal treatments and extractions. Given their higher likelihood of requiring more invasive treatments, health policy should prioritize intervention plans aimed at improving attendance at preventive care services for these disadvantaged populations under the Israeli free dental care reform.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"16"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ran Nissan, Rana Cohen, Maria Hurgin, Hen Popilski, Khaleel Zahalka, Meirav Ben Natan, Eyal Schwartzberg
{"title":"Enhancing medication literacy through a telepharmacy call center in Israel: consultation overview and patient satisfaction.","authors":"Ran Nissan, Rana Cohen, Maria Hurgin, Hen Popilski, Khaleel Zahalka, Meirav Ben Natan, Eyal Schwartzberg","doi":"10.1186/s13584-025-00686-4","DOIUrl":"https://doi.org/10.1186/s13584-025-00686-4","url":null,"abstract":"<p><strong>Background: </strong>Telepharmacy, the use of telecommunications technology to facilitate pharmacy services, has emerged as an integral component of telehealth, particularly during the COVID-19 pandemic. In Israel, the shortage of pharmacists nationwide has led to longer wait times and reduced consultation opportunities at community pharmacies. In response, the Pharmaceutical Society of Israel (PSI) established a telepharmacy call center to provide free pharmaceutical consultations to the public. This study aimed to describe the framework of this center, the types of pharmaceutical consultations and patient satisfaction with the service.</p><p><strong>Methods: </strong>This cross-sectional observational study analyzed unidentified data from 1,542 ambulatory patient inquiries to the PSI telepharmacy call center between October 2022 and June 2023. The consultations were categorized into clinical, logistical, and patient rights-related inquiries. A satisfaction survey was conducted among a representative sample of callers.</p><p><strong>Results: </strong>The majority of inquiries (93.3%) were received via telephone, with the 65-85 age group accounting for 38.4% of callers. A small proportion of inquiries were submitted via email, either exclusively or in combination with a telephone communication. Clinical inquiries comprised 89% of the total, with the most common topics being drug interactions (26.7%), general drug usage guidance (17.8%), and inquiries about drug side effects (16.4%). The patient satisfaction survey revealed that 87% of respondents strongly agreed that the pharmacists demonstrated empathy and attentiveness, and 93.5% were satisfied with the responses provided. The overall service rating was 8.9 out of 10, and 94.1% of respondents were willing to recommend the call center to others.</p><p><strong>Conclusion: </strong>This study highlights the value and feasibility of operating a national telepharmacy call center in Israel, addressing the diverse pharmaceutical needs of the public, particularly the elderly population. The high satisfaction levels among callers underscore the potential for such initiatives to enhance access to comprehensive pharmaceutical consultation and improve medication management.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"26"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuval Neria, John C Markowitz, Doron Amsalem, Yossi Levi-Belz, David Roe, Ido Lurie, Dana Tzur Bitan, Milton L Wainberg, Shlomo Mendlovic
{"title":"Israeli mental health in the aftermath of the October 7 terrorist attack: risks, challenges, and recommendations.","authors":"Yuval Neria, John C Markowitz, Doron Amsalem, Yossi Levi-Belz, David Roe, Ido Lurie, Dana Tzur Bitan, Milton L Wainberg, Shlomo Mendlovic","doi":"10.1186/s13584-025-00682-8","DOIUrl":"https://doi.org/10.1186/s13584-025-00682-8","url":null,"abstract":"<p><strong>Background: </strong>The October 7, 2023 terrorist attack and subsequent war in Israel have created an unprecedented mental health crisis. This commentary examines emerging data on the psychological impact of these events and argues for a paradigm shift in the Israeli mental healthcare system.</p><p><strong>Main body: </strong>Recent studies reveal a dramatic increase in PTSD, depression, and anxiety among the Israeli populace. These findings underscore the long-lasting and pervasive nature of psychological trauma. Certain populations are disproportionately affected: women, ethnic minorities (particularly Israeli Arabs, who comprise 18.1% of the population), and those experiencing traumatic loss, displacement, or economic hardship. These groups require prioritized and tailored interventions. While existing outcome research provides a solid foundation for treating common trauma-related disorders like PTSD, depression, and anxiety, the Israeli mental health system is ill-equipped to handle the surge in demand. Too many clinicians lack training in evidence-based trauma therapies and standardized assessments. To address this gap, we advocate a system-wide transformation. This involves widespread training in evidence-based assessments and time- limited therapies, a focus on precision psychiatry tailored to individual needs, and the implementation of task-shifting and task-sharing models to expand access to care.</p><p><strong>Conclusion: </strong>These strategies are crucial for mitigating the long-term mental health consequences of the October 7th attacks and fostering individual and societal resilience. Failure to act decisively will exacerbate the existing crisis, placing further strain on individuals, families, and Israeli society as a whole.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"25"},"PeriodicalIF":3.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Manganese exposure assessment in formula-fed infants in Israel.","authors":"Jonatan Darr, Ziva Hamama","doi":"10.1186/s13584-025-00688-2","DOIUrl":"10.1186/s13584-025-00688-2","url":null,"abstract":"<p><strong>Background: </strong>Proper nutrition is fundamental to the regular mental and physical development of infants, toddlers, and children. Overexposure to manganese (Mn) in infants has been correlated to various behavioral and neurological symptoms such as lower IQ, attention deficit hyperactivity disorder, and impairment in fine motor skills. The following study aims to evaluate exposure to Mn in formula-fed infants in Israel from birth to nine months of age.</p><p><strong>Methods: </strong>Over 200 infant formulas of multiple brands were sampled by the Israeli National Food Service, as part of a routine monitoring of levels of various nutritional components, including Mn. Data on levels of Mn in water was drawn from routine monitoring programs carried out by the Ministry of Health (MOH). Total energy requirements were calculated based on current infant weight and growth data collected over the past decade in MOH-operated family care centers. Dietary exposure was assessed for infants from birth to six months as the sum of Mn intake from infant formula and potable water. For infants aged seven-nine months, Mn intake from complementary feeding was assessed based on national surveys of feeding behavior in infants aged nine-twelve months.</p><p><strong>Results: </strong>Milk-based infant formula brands consistently demonstrated lower levels of Mn compared to other formulations. Almost half of the sampled formula brands exceeded regulatory tolerance to deviation from labelling of nutritional components. Though some variation in Mn concentrations is evident in water sources across Israel, the overall contribution of water to Mn intake is negligible given the high levels of desalination in Israel. Excessive Mn intake in formula-fed infants is evident across multiple formula brands.</p><p><strong>Conclusions: </strong>When breastfeeding is not optional, milk-based formulas are the most suitable in terms of their relative contribution to Mn intake. Equating maximal levels of Mn in potable waters to levels set in EU and USA regulations is advisable. A greater regulatory tolerance for deviation from labelling of mineral content is advisable so as not to hinder importation of infant formulas.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"24"},"PeriodicalIF":3.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: The annual feasibility and affordability of a healthy diet for families with children in Israel by income quintile and geographic area of residency.","authors":"Naama Dgania-Yaroslaviz, Moran Blaychfeld Magnazi, Vered Kaufman-Shriqui","doi":"10.1186/s13584-025-00687-3","DOIUrl":"10.1186/s13584-025-00687-3","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"23"},"PeriodicalIF":3.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}