Labourers working outdoors must take extra care to ensure they don't suffer in the summer heat. Pawan Singh / The National
Labourers working outdoors must take extra care to ensure they don't suffer in the summer heat. Pawan Singh / The National

Doctor offers expert advice to prevent heatstroke this summer



As temperatures climb, loose-fitted clothing, drinking water regularly, staying away from fizzy drinks and promptly reporting episodes of headache and nausea can prevent  heatstroke and hospitalisation.

That is the essential advice from a leading doctor as the UAE summer continues to rage.

“Prevention is the key word for protection against the sun. Whether you work outdoors or not, two to three glasses of water every hour is ideal. There must be adequate fluid intake because the ambient temperature is high,” said Dr Alai Taggu, specialist physician and head of department of critical care medicine at Aster Hospital.

“Plain water with lemon is advisable, definitely not carbonated drinks and not tea, coffee since that causes us to perspire more.”

Workers who are on diuretics to treat hypertension, high blood pressure or on heart medication such as beta blockers should be doubly careful because these can interfere with the body’s response to heat.

“Many workers tend to have hypertension and are taking such medication because of the nature of their work.  Diuretics flush water from the body so can add to dehydration. This increases the risk of heat stroke for already high risk patients,” he said.

A person with heatstroke symptoms such as headache and nausea should be moved to a cool, shaded area since left unattended the consequences are potentially deadly, ranging from turning delirious to eventually slipping into a coma and suffering multi-organ failure.

“Supervisors must check that workers do not sleep in cars because keeping the air conditioning on will not be enough. The temperature of a person can shoot up and they get dehydrated very quickly,” said Dr Taggu, who has treated workers brought in for treatment because they dozed off for extended hours in vehicles exposed to sunlight.

The warning comes as outdoor workers prepare for the start of the midday break on friday

While calling for emergency medical help, quick measures that can be taken include removal of excess clothing, dousing the person with a hose available on most construction sites and placing ice packs or cold towels on the person’s body.

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Read more:

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UAE doctors see increase in heat-related illnesses as temperatures soar

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“A person’s mental state and behaviour will be different, they may become irritable, their skin will be flushed during a heat stroke. If a patient is not sweating, this means they are already in a stage of heat exhaustion. Once the body overheats then emergency treatment is a race against time,” he said. “Rather than rushing a person to the hospital if checks and measures are put in place, emergency situations can be avoided.”

As per government rules, water, vitamin supplements and shelter must be made available at all work sites to meet health and safety requirements. The law mandates that workers are not assigned outdoor work from 12.30pm until 3pm from June 15 until September 15.

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UK's plans to cut net migration

Under the UK government’s proposals, migrants will have to spend 10 years in the UK before being able to apply for citizenship.

Skilled worker visas will require a university degree, and there will be tighter restrictions on recruitment for jobs with skills shortages.

But what are described as "high-contributing" individuals such as doctors and nurses could be fast-tracked through the system.

Language requirements will be increased for all immigration routes to ensure a higher level of English.

Rules will also be laid out for adult dependants, meaning they will have to demonstrate a basic understanding of the language.

The plans also call for stricter tests for colleges and universities offering places to foreign students and a reduction in the time graduates can remain in the UK after their studies from two years to 18 months.

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.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

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.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

How has net migration to UK changed?

The figure was broadly flat immediately before the Covid-19 pandemic, standing at 216,000 in the year to June 2018 and 224,000 in the year to June 2019.

It then dropped to an estimated 111,000 in the year to June 2020 when restrictions introduced during the pandemic limited travel and movement.

The total rose to 254,000 in the year to June 2021, followed by steep jumps to 634,000 in the year to June 2022 and 906,000 in the year to June 2023.

The latest available figure of 728,000 for the 12 months to June 2024 suggests levels are starting to decrease.