As the coronavirus pandemic gathered strength last month, community leaders in a Palestinian neighbourhood on the outskirts of Jerusalem tried to impose lockdown and quarantine measures to protect residents.
The problem: there were no police to enforce the measures.
Kufr Aqab is within the Israeli-drawn municipal boundary of Jerusalem, which Israel views as its unified capital. It is therefore off-limits to the Palestinian Authority, which is headquartered in the nearby city of Ramallah and governs parts of the occupied West Bank.
But the neighbourhood is on the opposite side of the separation barrier Israel built in the mid-2000s, so the Israeli police don't go there either.
This is no man's land, said Mayor Raed Hamdan.
When the neighbourhood council set up checkpoints to restrict movement in or out, it had to rely on local volunteers. When it ordered businesses to close and people to stay home, they refused.
More From This Section
Now the town has at least 21 confirmed coronavirus cases, according to Sameh Abu Rumaila, the head of a local health committee that, like everything else, is run by volunteers. The committee estimates that another 500 people in the densely populated neighborhood have been in contact with those who were infected, but is powerless to isolate them.
No one can control those people and put them into quarantine, he said. Most have Jerusalem residency, allowing them to travel more or less freely in the West Bank, Jerusalem and Israel. Rumaila says the town is a ticking bomb.
The virus causes mild to moderate flu-like symptoms in most patients, who recover within a few weeks. But it is highly contagious and can cause severe illness or death, particularly in older individuals or those with underlying health problems.
Israel has reported more than 16,200 cases and at least 235 deaths, while the Palestinian Authority has reported more than 330 cases and two fatalities. Both imposed heavy restrictions several weeks ago to contain the outbreak, and are now starting to lift them as the rate of new infections slows.
But an estimated 120,000 people live in Kufr Aqab and other similarly ungoverned areas on the outskirts of the city. That could give rise to new outbreaks.
Nadav Matzner, the deputy spokesman for Magen David Adom, Israel's emergency service, said it set up a testing center at a checkpoint near Kufr Aqab on April 23 and has carried out more than 160 tests. He said it normally does not operate beyond the barrier but has sent medics who are from those neighbourhoods inside to conduct testing.
Officials from the Jerusalem municipality did not respond to multiple requests for comment.
Haneen, an 18-year-old resident, tested positive on April 19, along with her mother and four sisters. Her mother and one of her sisters have been hospitalized, while the others were quarantined in a hotel in Ramallah. She declined to give her last name out of privacy concerns.
Haneen and the sister who is hospitalized work inside Israel, but they were home during the two-week-long Passover holiday in early April, when much of Israel was shut down. They believe they were infected in Kufr Aqab.
"The town is open, all the shops are open, and we all go out and buy from the shops and contact other people, she said. There are no police to impose law and order, only local volunteers blocking the roads to Ramallah and Jerusalem. They let you pass if you argue with them, she said.
The volunteers have reason to be wary. In March, an argument at a checkpoint near Kufr Aqab led to an exchange of gunfire. Israel allowed Palestinian security forces to enter and restore order, but then they had to withdraw.
Israel captured east Jerusalem in the 1967 war and annexed it in a move not recognised internationally. It unilaterally expanded the city's borders to take in large tracts of land where it later built Jewish settlements as well as areas like