Congenital heart defect cases more complicated in region


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DUBAI // Although the rate of children born with congenital heart defects in the UAE is about the same as the world average, experts say cases in the Emirates are more complex.

Dr Shahraban Abdulla, a paediatric consultant cardiologist at Latifa Hospital, said this was largely due to consanguineous marriages.

"It is well known that if both parents have a history, then the child is more likely to develop more complicated forms of the disease," Dr Abdulla said.

"Once parents have a child born with a congenital heart defect, there is a 25 per cent chance that the next child will also be affected."

Eight out of every 1,000 babies worldwide are born with congenital heart disease. Doctors say triggers include chromosomal anomalies, rubella infections and poorly controlled diabetes in the mother.

Congenital heart defects are typically detected soon after birth when doctors conduct routine check-ups.

A heart murmur and low oxygen levels in the blood are the primary indicators, Dr Abdulla said.

"Most children do not present symptoms," she said. "But if there is an abnormality picked up in the check-up we request further examination."

A foetal echo-cardiogram is conducted when doctors suspect that there is an increased chance of a defect.

"This is important because it prepares us so that we are not shocked when the baby is born," Dr Abdulla said. "It allows us to take action immediately after delivery."

Other indicators that parents should beware of include blue complexion, poor feeding, sweating, fatigue and weight gain.

In December, the Health Authority - Abu Dhabi added pulse oximetry tests to its newborn screening programme. The test uses a light probe to measure the level of oxygen in the baby's blood.

While the devices are commonly used in hospitals, neonatal screening is not a requirement in Dubai.

According to the Children's National Heart Institute in the US, blood-oxygen levels should not drop below 95 per cent. But the physical check-up only allows the human eye to detect a drop in oxygen if it is below 80 per cent, which leaves out children who fall between the 80 and 95 per cent marks.

"We are pushing to make it [pulse oximetry] part of the neonatal-screening programme," Dr Abdulla said. "It is part of our future plans."

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How to register as a donor

1) Organ donors can register on the Hayat app, run by the Ministry of Health and Prevention

2) There are about 11,000 patients in the country in need of organ transplants

3) People must be over 21. Emiratis and residents can register. 

4) The campaign uses the hashtag  #donate_hope

Sustainable Development Goals

1. End poverty in all its forms everywhere

2. End hunger, achieve food security and improved nutrition and promote sustainable agriculture

3. Ensure healthy lives and promote well-being for all at all ages

4. Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

5. Achieve gender equality and empower all women and girls

6. Ensure availability and sustainable management of water and sanitation for all

7. Ensure access to affordable, reliable, sustainable and modern energy for all

8. Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

9. Build resilient infrastructure, promote inclusive and sustainable industrialisation and foster innovation

10. Reduce inequality  within and among countries

11. Make cities and human settlements inclusive, safe, resilient and sustainable

12. Ensure sustainable consumption and production patterns

13. Take urgent action to combat climate change and its effects

14. Conserve and sustainably use the oceans, seas and marine resources for sustainable development

15. Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss

16. Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels

17. Strengthen the means of implementation and revitalise the global partnership for sustainable development

Milestones on the road to union

1970

October 26: Bahrain withdraws from a proposal to create a federation of nine with the seven Trucial States and Qatar. 

December: Ahmed Al Suwaidi visits New York to discuss potential UN membership.

1971

March 1:  Alex Douglas Hume, Conservative foreign secretary confirms that Britain will leave the Gulf and “strongly supports” the creation of a Union of Arab Emirates.

July 12: Historic meeting at which Sheikh Zayed and Sheikh Rashid make a binding agreement to create what will become the UAE.

July 18: It is announced that the UAE will be formed from six emirates, with a proposed constitution signed. RAK is not yet part of the agreement.

August 6:  The fifth anniversary of Sheikh Zayed becoming Ruler of Abu Dhabi, with official celebrations deferred until later in the year.

August 15: Bahrain becomes independent.

September 3: Qatar becomes independent.

November 23-25: Meeting with Sheikh Zayed and Sheikh Rashid and senior British officials to fix December 2 as date of creation of the UAE.

November 29:  At 5.30pm Iranian forces seize the Greater and Lesser Tunbs by force.

November 30: Despite  a power sharing agreement, Tehran takes full control of Abu Musa. 

November 31: UK officials visit all six participating Emirates to formally end the Trucial States treaties

December 2: 11am, Dubai. New Supreme Council formally elects Sheikh Zayed as President. Treaty of Friendship signed with the UK. 11.30am. Flag raising ceremony at Union House and Al Manhal Palace in Abu Dhabi witnessed by Sheikh Khalifa, then Crown Prince of Abu Dhabi.

December 6: Arab League formally admits the UAE. The first British Ambassador presents his credentials to Sheikh Zayed.

December 9: UAE joins the United Nations.