A national campaign to limit the spread of dengue fever has helped eliminate 409 mosquito breeding sites and reduce the number of potentially fatal infections, a minister has said.
On Wednesday, Abdulrahman Al Owais, Minister of Health and Prevention, and Minister of State for FNC Affairs, answered a question from Federal National Council member Walid Ali Al Mansouri about measures being taken to combat the spread of the disease.
Mr Al Owais said nine specialist teams were deployed across the country by the Emirates Health Services Corporation (EHSC) and used GPS trackers to monitor virus-carrying mosquitoes.
The team conducted 1,200 entomological surveys to understand how the insects were interacting with humans to assess the threat posed by dengue fever.
Under the national mosquito and aedes aegypti elimination campaign, 309 blood samples were analysed for mosquito DNA to decipher what pesticides would be most effective in controlling mosquito populations.
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A particularly wet year across the country has led to more standing water and ponds, creating greater numbers of breeding sites than usual.
Population control measures and community health programmes were completed in partnership with the Abu Dhabi Agriculture and Food Safety Authority (ADFSA) and the Ministry of Health and Community Protection, as hospitals reported incidents of local infections in people without a travel history to countries known to have dengue fever.
As more cases were reported, health workers received education on epidemiological surveillance of dengue fever and were given protocols to immediately report new incidents of human infection to encourage containment.
The EHSC said 134 health facilities had been equipped to provide appropriate health and treatment services for dengue fever patients, due to the surge in cases in recent months.
Climate change
Rare cases of dengue fever recorded in Dubai in people with no travel history outside of the country are the latest examples of the rising threat of climate change.
In cases recorded before the heavy rain in April and subsequent flooding, people who contracted the mosquito-borne virus warned others to take protective measures to avoid similar health problems.
Months before the storm hit Dubai, a previously fit and healthy marathon runner contracted dengue fever from a mosquito bite, and spent five days in hospital in Dubai.
Cases of dengue fever – a virus usually associated with tropical habitats – have been on the rise globally, with hospitals across Dubai also reporting an unusual increase in cases since last year.
Angus Ryan, 36, suddenly fell ill after running the Burj2Burj 21km half marathon on January 29.
Mr Ryan, an Australian living on Palm Jumeirah, had completed the endurance event with his wife Lucy, who was also struck down with the virus days later.
“Things moved fairly quickly after finishing the run,” he said.
“I thought it was something to do with my heart because my resting pulse was well over 100 beats a minute – usually it is around 60.
“That evening, I started to lose control of my body to the extent I had uncontrollable shakes and a fever, with a temperature over 40°C.”
Typical symptoms include a sudden high fever, headaches, joint pain and body aches, vomiting and swollen glands.
In some cases, a rash can appear days after the onset of fever. While there is no specific treatment, health professionals focus on managing patient symptoms.
Mr Ryan called for an ambulance and was checked into the emergency room at King's College London Hospital.
Blood tests
Blood tests concluded Mr Ryan had contracted dengue fever and he was treated with medication to reduce his temperature before being allowed to return home.
His condition soon deteriorated, however, and Mr Ryan was back in hospital for five nights. He was later joined by his wife.
Dengue fever usually has a five-day incubation period. Neither Mr Ryan nor his wife had left the UAE in the week before falling ill.
Similarly, around Christmas, Laith Al Omari, 24, from Syria, said he also caught dengue fever while staying in Dubai.
Mr Al Omari, who works in marketing at the Art of Living Mall in Barsha, spent several nights at the Parkview Mediclinic Hospital in Arjan after being admitted with a high fever.
“I had a red rash all over my body, and I was aching all over,” he said.
“They did blood tests and realised it was dengue, my platelets were extremely low.
“Doctors told me to be careful because if I contract it again, it could be much more dangerous."
Surging cases
There has been a significant increase in cases of the virus around the world, with record numbers reported in Saudi Arabia and Oman.
The virus is endemic in more than 100 countries, the World Health Organisation said.
These include Singapore, where the National Environment Agency has launched its prevention campaign ahead of the May-to-October peak season.
More than 5,000 cases have been reported there since the start of the year, which is more than double in the same period last year. Seven deaths have been recorded.
“When the mosquito feeds on these individuals, they are responsible for transmission of the infection to others," said Dr Mathew Abraham, an internal medicine specialist at Aster Hospital, Sharjah.
“A vaccine was only approved for use for children aged nine to 16, or those who had previously reported a dengue infection."
Studies have shown that in people who haven't had a prior infection who then take the dengue vaccine, the severity of their infection increases. Prevention is the best course of action.
Two vaccines, Dengvaxia and TAK-003, have been approved for use.
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Name: Dr Hassan Mohsen Elhais
Position: legal consultant with Al Rowaad Advocates and Legal Consultants.
SPECS
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6.30pm: Al Maktoum Challenge Round-1 Group 1 (PA) Dh119,373 (Dirt) 1,600m
Winner: Brraq, Adrie de Vries (jockey), Jean-Claude Pecout (trainer)
7.05pm: Handicap (TB) Dh102,500 (D) 1,200m
Winner: Taamol, Connor Beasley, Ali Rashid Al Raihe.
7.40pm: Handicap (TB) Dh105,000 (Turf) 1,800m
Winner: Eqtiraan, Connor Beasley, Ali Rashid Al Raihe.
8.15pm: UAE 1000 Guineas Trial (TB) Dh183,650 (D) 1,400m
Winner: Soft Whisper, Pat Cosgrave, Saeed bin Suroor.
9.50pm: Handicap (TB) Dh105,000 (D) 1,600m
Winner: Hypothetical, Mickael Barzalona, Salem bin Ghadayer.
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Temple numbers
Expected completion: 2022
Height: 24 meters
Ground floor banquet hall: 370 square metres to accommodate about 750 people
Ground floor multipurpose hall: 92 square metres for up to 200 people
First floor main Prayer Hall: 465 square metres to hold 1,500 people at a time
First floor terrace areas: 2,30 square metres
Temple will be spread over 6,900 square metres
Structure includes two basements, ground and first floor
What vitamins do we know are beneficial for living in the UAE
Vitamin D: Highly relevant in the UAE due to limited sun exposure; supports bone health, immunity and mood.
Vitamin B12: Important for nerve health and energy production, especially for vegetarians, vegans and individuals with absorption issues.
Iron: Useful only when deficiency or anaemia is confirmed; helps reduce fatigue and support immunity.
Omega-3 (EPA/DHA): Supports heart health and reduces inflammation, especially for those who consume little fish.
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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
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Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
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