About two million Palestinians in Gaza are ‘locked in’, unable to access the remainder of the occupied Palestinian territory and the outside world. Movement restrictions imposed by Israel since the early 1990s and which were intensified after the events of June 2007, citing security justifications, have had a profound impact on living conditions in Gaza and fragmented the territorial unity and the economic and social fabric of the oPt. Those eligible for exit permits constitute a small minority, primarily patients, business people and staff of international organizations. The isolation of Gaza has been exacerbated by Egypt’s closure of the Rafah crossing also.