Rare WW1 Belgian Queen Elisabeth humanitarian medal

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The� Queen Elisabeth Medal� (Dutch:� Koningin Elisabeth Medaille,� French:� Médaille de la reine Élisabeth) was a Belgian decoration created by� royal decree� on 15 September 1915 to recognise exceptional services to Belgium in the relief of the suffering of its citizens during the� First World War. Its statute was ratified on 14 May 1919.� It was awarded to people who, like� Queen Elisabeth� herself, had worked and cared for the suffering victims of war for a year or more prior to 10 September 1919. Although not limited to medical care of the sick and wounded, recipients who earned the medal by working in hospitals received a variant with a red enamelled cross in the suspension wreath. Conversely, a great many Belgian and foreign doctors and nurses received the medal.The condition is good as pictured. A very rare WW1 medal. Thanks for looking