ABU DHABI // Gulf countries have been told that more must be done in response to the diabetes epidemic, especially when it comes to addressing the problem of undiagnosed patients.
A report by the Economist Intelligence Unit, part of The Economist publishing and media group, claimed that not identifying sufferers quickly enough could put pressure on healthcare budgets and it offered a seven-point plan to improve detection.
UAE healthcare consultant Dr Alfons Grabosch warned in the report that, without intervention, diabetes rates in Abu Dhabi could rise to 50 per cent within a decade.
In 2011, the International Diabetes Federation estimated that about 40.6 per cent of diabetics in Middle Eastern high-income countries did not know they suffered from the condition.
The report on diabetes in the Gulf assessed the potential impact in the six GCC countries and stated that half the total population is at risk unless policy changes are made.
The well-worn messages have been simple – eat healthier, exercise more – but the number of diabetics continues to rise.
The EIU interviewed 18 diabetes experts in July and August to compile the report, including policy makers, government advisers, academics and health practitioners who are collectively recommending the seven-point plan to reduce the impact of diabetes.
An estimated 34 million people live with type II diabetes in the Mena region and about 19 per cent of the population is diagnosed in the UAE. The average global figure is 8.3 per cent.
Spending on treatment in the region last year was US$16.8 billion (Dh61.7bn) and is predicted to rise to US$24.7bn (Dh90.8bn) by 2035.
Direct treatment costs could rise significantly in Abu Dhabi, where it is expected to increase fourfold by 2030, the report said. The Weqaya programme, launched by Health Authority Abu Dhabi in 2008, screened about 200,000 Emiratis for diabetes, or early indicators. Checks were linked to health insurance cards and helped to achieve a 90 per cent participation rate.
Each screening cost Dh210 and diagnosed 18 per cent of Emirati cases, while a further 26 per cent were found to be pre-diabetic. Two thirds were either overweight or obese.
The Weqaya results clashed with health insurance data that claimed 5.3 per cent of Emiratis were diabetic, suggesting many cases are undiagnosed. These patients risked suffering expensive complications later in life that would be harder to treat, such as cardiovascular disease and kidney failure.
“This remains a substantial problem elsewhere in the UAE and in other countries in the region,” Dr Grabosch said.
A study of type II diabetes prevalence in Ajman published this month found 158 cases were diagnosed in a year – 35 per cent were male and 65 per cent female, with ages from 23 to 78.
The highest incidence rate was found in men aged 55 to 59.
The study was conducted in all primary healthcare centres and Sheikh Khalifa and GMC hospitals in the emirate.
Lifestyle habits are the biggest culprits of type II diabetes, which is the most common form. Blame has been apportioned largely to the growing popularity of western foods, heavily contributing to an obesity crisis. A sporadic and isolated policy response regionally has also fuelled the flames.
The World Health Organisation’s “best buys” policy to reduce salt intake in food, raise taxes on tobacco and alcohol and promote a healthy diet and exercise have not been universally adopted in Mena.
The EIU report also said religious leaders must be in tune with the diabetes message to aid its implementation in communities. A cross-governmental approach to include tough new regulations on food and beverages would also help control the problem.
Investment in health care remains relatively low for the GCC. Just 3.2 per cent of gross domestic product in the UAE is spent on health, compared with an average of 8.9 per cent in the 34 countries of the Organisation for Economic Cooperation and Development.
“Our research has revealed a number of opportunities to help combat the rise of diabetes in the Gulf region,” said Martin Koehring, the EIU report editor.
“From strengthening primary health care, to introducing tough new legislation and engaging community leaders, policymakers must adopt regional practices to tackle the growing burden of diabetes.”
The Ministry of Health and Dubai Health Authority were unavailable for comment.
nwebster@thenational.ae
The specs
Engine: 2.7-litre 4-cylinder Turbomax
Power: 310hp
Torque: 583Nm
Transmission: 8-speed automatic
Price: From Dh192,500
On sale: Now
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Name: Almnssa
Started: August 2020
Founder: Areej Selmi
Based: Gaza
Sectors: Internet, e-commerce
Investments: Grants/private funding
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Directors: Raj & DK
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Engine: Two-litre four-cylinder turbo
Power: 235hp
Torque: 350Nm
Transmission: Nine-speed automatic
Price: From Dh167,500 ($45,000)
On sale: Now
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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
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.”
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THE SPECS
Engine: 6.75-litre twin-turbocharged V12 petrol engine
Power: 420kW
Torque: 780Nm
Transmission: 8-speed automatic
Price: From Dh1,350,000
On sale: Available for preorder now
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Trump has so far secured 295 Electoral College votes, according to the Associated Press, exceeding the 270 needed to win. Only Nevada and Arizona remain to be called, and both swing states are leaning Republican. Trump swept all five remaining swing states, North Carolina, Georgia, Pennsylvania, Michigan and Wisconsin, sealing his path to victory and giving him a strong mandate.
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The count is ongoing, but Trump currently leads with nearly 51 per cent of the popular vote to Harris’s 47.6 per cent. Trump has over 72.2 million votes, while Harris trails with approximately 67.4 million.
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Stars: Suriya, Bobby Deol, Disha Patani, Yogi Babu, Redin Kingsley
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The specs: Fenyr SuperSport
Price, base: Dh5.1 million
Engine: 3.8-litre twin-turbo flat-six
Transmission: Seven-speed automatic
Power: 800hp @ 7,100pm
Torque: 980Nm @ 4,000rpm
Fuel economy, combined: 13.5L / 100km
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Founders: Alhaan Ahmed, Alyina Ahmed and Maximo Tettamanzi
Total funding: Self funded
The specs
Engine: 3.0-litre 6-cyl turbo
Power: 374hp at 5,500-6,500rpm
Torque: 500Nm from 1,900-5,000rpm
Transmission: 8-speed auto
Fuel consumption: 8.5L/100km
Price: from Dh285,000
On sale: from January 2022
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COMPANY PROFILE
Name: HyperSpace
Started: 2020
Founders: Alexander Heller, Rama Allen and Desi Gonzalez
Based: Dubai, UAE
Sector: Entertainment
Number of staff: 210
Investment raised: $75 million from investors including Galaxy Interactive, Riyadh Season, Sega Ventures and Apis Venture Partners
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