Insight and opinion from The National’s editorial leadership
April 28, 2022
“If you don’t know your blood pressure, it’s like not knowing the value of your company,” the Turkish-American heart surgeon and TV personality Dr Mehmet Oz once quipped.
One in eight deaths worldwide is thought to be the result of high blood pressure, or hypertension. Left untreated, the condition raises the risk of heart attacks, strokes and other severe health problems, and it condition plagues, on average, a quarter of men and a fifth of women. In certain places, the figures are far higher – in Central and Eastern Europe, it is as many as 40 per cent of men, and in the Sahel, more than a third of women. In the Middle East, hypertension levels are also high, ranging from 20 per cent in Iran to 30 per cent in Oman. Across the GCC, more than a third of adults have hypertension or diabetes, or both, and the average patient with heart disease is almost a decade younger than in the West, according to a recent paper by two Oman-based doctors in the Journal of Human Hypertension (JHH).
n the Middle East, hypertension levels range from 20 per cent in Iran to 30 per cent in Oman
The condition is so prevalent that there is hardly a medical practice in the world where doctors do not start an exam by taking a patient’s blood pressure. Where the condition is chronic, they commonly prescribe daily tablets. The global market for antihypertensive drugs is worth more than $20 billion, and is expected to reach $30 billion by the end of the decade.
This week, doctors in the UK announced trials for a new course of treatment that, if successful, could revolutionise the industry, and transform the lives of people who suffer from chronic hypertension. The answer, doctors from Queen Mary University London and the UK National Health Service believe, could be a twice-yearly injection.
The causes of hypertension are often a mystery, though not always. In some cases, it is thought to be genetic. In most cases, however, lifestyle factors are clearly at play.
In another paper in JHH, published last year, Drs Majd Abboud and Sabine Karam from St George Hospital University Medical Centre in Beirut write that, in the Middle East, “modifiable factors” are a major cause. They include the usual suspects – “excessively high rates of smoking and obesity”.
That these are all “modifiable factors”, by definition, suggests the obvious: that prevention is really the best cure. Individuals can keep their own blood pressure low through diet and exercise, first and foremost, but they can also help their families by ensuring a more healthy environment for their children. Some experts have suggested that suspected genetic causes for hypertension may be down to the fact that families usually have similar lifestyles.
But Drs Abboud and Karam also point to other, more macro causes, including “suboptimal healthcare systems, socio-economic factors and disparities in education, literacy and urbanisation”, all of which affect public awareness and doctors’ ability to prescribe treatments in time. Some studies have also attributed hypertension in adults to environmental factors they experienced as children, such as exposure to lead, air pollution and even noise.
Clearly, tackling this particular problem once and for all will require a society-wide effort that spans ordinary citizens as well as policymakers. That means the battle ahead is a long one. But in the meantime, if the injection trials in the UK show good results, those who struggle with high blood pressure may find their lives become a little easier.
It was discovered in 2004, when Russian-born Manchester scientists Andrei Geim and Kostya Novoselov were experimenting with sticky tape and graphite, the material used as lead in pencils.
Placing the tape on the graphite and peeling it, they managed to rip off thin flakes of carbon. In the beginning they got flakes consisting of many layers of graphene. But when they repeated the process many times, the flakes got thinner.
By separating the graphite fragments repeatedly, they managed to create flakes that were just one atom thick. Their experiment led to graphene being isolated for the very first time.
In 2010, Geim and Novoselov were awarded the Nobel Prize for Physics.
The specs: 2018 Maxus T60
Price, base / as tested: Dh48,000
Engine: 2.4-litre four-cylinder
Power: 136hp @ 1,600rpm
Torque: 360Nm @ 1,600 rpm
Transmission: Five-speed manual
Fuel consumption, combined: 9.1L / 100km
MATCH INFO
Uefa Champions League final:
Who: Real Madrid v Liverpool Where: NSC Olimpiyskiy Stadium, Kiev, Ukraine When: Saturday, May 26, 10.45pm (UAE) TV: Match on BeIN Sports
What the law says
Micro-retirement is not a recognised concept or employment status under Federal Decree Law No. 33 of 2021 on the Regulation of Labour Relations (as amended) (UAE Labour Law). As such, it reflects a voluntary work-life balance practice, rather than a recognised legal employment category, according to Dilini Loku, senior associate for law firm Gateley Middle East.
“Some companies may offer formal sabbatical policies or career break programmes; however, beyond such arrangements, there is no automatic right or statutory entitlement to extended breaks,” she explains.
“Any leave taken beyond statutory entitlements, such as annual leave, is typically regarded as unpaid leave in accordance with Article 33 of the UAE Labour Law. While employees may legally take unpaid leave, such requests are subject to the employer’s discretion and require approval.”
If an employee resigns to pursue micro-retirement, the employment contract is terminated, and the employer is under no legal obligation to rehire the employee in the future unless specific contractual agreements are in place (such as return-to-work arrangements), which are generally uncommon, Ms Loku adds.
Our family matters legal consultant
Name: Hassan Mohsen Elhais
Position: legal consultant with Al Rowaad Advocates and Legal Consultants.
Key facilities
Olympic-size swimming pool with a split bulkhead for multi-use configurations, including water polo and 50m/25m training lanes
Premier League-standard football pitch
400m Olympic running track
NBA-spec basketball court with auditorium
600-seat auditorium
Spaces for historical and cultural exploration
An elevated football field that doubles as a helipad
Specialist robotics and science laboratories
AR and VR-enabled learning centres
Disruption Lab and Research Centre for developing entrepreneurial skills
Scoreline
UAE 2-1 Saudi Arabia
UAE Mabkhout 21’, Khalil 59’
Saudi Al Abed (pen) 20’
Man of the match Ahmed Khalil (UAE)
Business Insights
Canada and Mexico are significant energy suppliers to the US, providing the majority of oil and natural gas imports
The introduction of tariffs could hinder the US's clean energy initiatives by raising input costs for materials like nickel
US domestic suppliers might benefit from higher prices, but overall oil consumption is expected to decrease due to elevated costs
VEZEETA PROFILE
Date started: 2012
Founder: Amir Barsoum
Based: Dubai, UAE
Sector: HealthTech / MedTech
Size: 300 employees
Funding: $22.6 million (as of September 2018)
Investors: Technology Development Fund, Silicon Badia, Beco Capital, Vostok New Ventures, Endeavour Catalyst, Crescent Enterprises’ CE-Ventures, Saudi Technology Ventures and IFC
Tips for job-seekers
Do not submit your application through the Easy Apply button on LinkedIn. Employers receive between 600 and 800 replies for each job advert on the platform. If you are the right fit for a job, connect to a relevant person in the company on LinkedIn and send them a direct message.
Make sure you are an exact fit for the job advertised. If you are an HR manager with five years’ experience in retail and the job requires a similar candidate with five years’ experience in consumer, you should apply. But if you have no experience in HR, do not apply for the job.
David Mackenzie, founder of recruitment agency Mackenzie Jones Middle East
The specs
Engine: 2.0-litre 4-cyl, 48V hybrid
Transmission: eight-speed automatic
Power: 325bhp
Torque: 450Nm
Price: Dh359,000
On sale: now
THE BIG THREE
NOVAK DJOKOVIC
19 grand slam singles titles
Wimbledon: 5 (2011, 14, 15, 18, 19)
French Open: 2 (2016, 21)
US Open: 3 (2011, 15, 18)
Australian Open: 9 (2008, 11, 12, 13, 15, 16, 19, 20, 21)
Prize money: $150m
ROGER FEDERER
20 grand slam singles titles
Wimbledon: 8 (2003, 04, 05, 06, 07, 09, 12, 17)
French Open: 1 (2009)
US Open: 5 (2004, 05, 06, 07, 08)
Australian Open: 6 (2004, 06, 07, 10, 17, 18)
Prize money: $130m
RAFAEL NADAL
20 grand slam singles titles
Wimbledon: 2 (2008, 10)
French Open: 13 (2005, 06, 07, 08, 10, 11, 12, 13, 14, 17, 18, 19, 20)
US Open: 4 (2010, 13, 17, 19)
Australian Open: 1 (2009)
Prize money: $125m
Founders: Mike Dawson, Varuna Singh, and Benita Rowe
Based: Dubai
Sector: Education technology
Size: Five employees
Investment: $100,000 from the ExpoLive Innovation Grant programme in 2018 and an initial $30,000 pre-seed investment from the Turn8 Accelerator in 2014. Most of the projects are government funded.
Partners/incubators: Turn8 Accelerator; In5 Innovation Centre; Expo Live Innovation Impact Grant Programme; Dubai Future Accelerators; FHI 360; VSO and Consult and Coach for a Cause (C3)
Investors: Palestine’s Ibtikar Fund, Abu Dhabi’s Gothams and angel investors
The specS: 2018 Toyota Camry
Price: base / as tested: Dh91,000 / Dh114,000
Engine: 3.5-litre V6
Gearbox: Eight-speed automatic
Power: 298hp @ 6,600rpm
Torque: 356Nm @ 4,700rpm
Fuel economy, combined: 7.0L / 100km
My Country: A Syrian Memoir
Kassem Eid, Bloomsbury
Changing visa rules
For decades the UAE has granted two and three year visas to foreign workers, tied to their current employer. Now that's changing.
Last year, the UAE cabinet also approved providing 10-year visas to foreigners with investments in the UAE of at least Dh10 million, if non-real estate assets account for at least 60 per cent of the total. Investors can bring their spouses and children into the country.
It also approved five-year residency to owners of UAE real estate worth at least 5 million dirhams.
The government also said that leading academics, medical doctors, scientists, engineers and star students would be eligible for similar long-term visas, without the need for financial investments in the country.
