Dr Fady Hachem, consultant at Burjeel Hospital, says the Abu Dhabi figures were unlikely to be a true representation of the prevalence of STDs in the emirate. Mona Al Marzooqi / The National
Dr Fady Hachem, consultant at Burjeel Hospital, says the Abu Dhabi figures were unlikely to be a true representation of the prevalence of STDs in the emirate. Mona Al Marzooqi / The National

Patients suffering from STDs fear legal repercussions, UAE doctors say

ABU DHABI // Doctors say they are being put in an uncomfortable position when faced with patients with a possible sexually transmitted disease as they may have to notify authorities.

Some infectious diseases have to be reported to the local health authority and experts say many of those suffering symptoms are not seeking professional help because they fear the repercussions.

“Everyone is scared and say ‘are you going to report me if it is positive?’ and ‘Are they going to deport me if it is positive?’,” said Dr Rosalie Sant, a specialist obstetrician and gynaecologist at Primavera Medical Centre, in Dubai Healthcare City.

Some of these fears are founded, said Dr Sant. Certain infectious diseases like HIV and AIDS have to be reported to the authorities.

The UAE has a policy of deporting HIV-positive expatriates.

“We cannot break the law,” said Dr Sant. “That puts us in an awkward position as well.

“But going to the doctor and getting treated is much more important than anything.”

Chronic pelvic pain and infertility are just a few of the possible consequences of an untreated STD, said Dr Sant.

Dr Yuliya Burmagina, a specialist in obstetrics and gynaecology at Femiclinic, at Dubai Healthcare City, said the law means an ethical grey area for some doctors.

“We all know that according to the federal law in UAE it is obligatory to report certain STD diseases like HIV and Hepatitis B,” said Dr Burmagina.

“If you are found to have, lets say, HIV you will be deported from the country as a result of compulsory reporting to the health authorities

“This makes universal screening for those STDs very complicated as long as the confidentiality is difficult to be respected in all the cases.”

Many patients fear being judged, she said, while some doctors lack the sensitivity towards patients that need an STD test.

“It is the negative attitude or people around that may be an obstacle to diagnose the diseases,” she said. “It is important to respect confidentiality in such cases so not to affect the patient’s future life and not to repel patients from timely diagnosis and appropriate treatment.”

Dr Nazura Siddiqi, a specialist gynecologist at LLH Hospital in Musaffah, said many of those who fear they have a sexually transmitted disease are reluctant to seek help.

“Everyone is afraid to get tested for sexually transmitted infections, especially HIV, as they are scared they might be infected,” she said. “We need to take a special informed consent before we test people for HIV or Hepatitis B.

“I know if I suspect herpes, for example, and I ask for testing then the patients get very anxious. In some it was because they were scared of infecting their children and in others because of risk to foetus if they became pregnant.

“The unmarried were worried of risk to future partners while others were worried that the reports would show in health screening at work.”

Dr Rami Mahafza, a specialist in obstetrics and gynaecologist at Canadian Specialist Hospital, said the stigma of STDs can also mean doctors are wary of advising patients to be tested.

“The problem is more with the doctors as this is very embarrassing in our community and it is not easy for us to ask the patient to do an STD screening,” he said.

If left untreated, STDs can have significant long-term consequences on both sexes such as sterility.

Women who are pregnant should also be aware that untreated STDs can cause complications for their newborn.

Dr Sant said STDs can be a tricky subject to discuss and often patients are embarrassed when discussing symptoms with a doctor.

“People are embarrassed,” she said. “People are made to feel embarrassed by the clinicians. So it is much the clinicians’ problem as it is the patients’ problem.”

There is also a misconception that STDs are a young person’s disease, said Dr Sant.

“All ages can be affected depending on exposure. In the UK, it is the teenagers and those in their early 20s that are screened for STDs but here I have seen more in women aged 40 plus than younger people.”


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Confirmed bouts (more to be added)

Cory Sandhagen v Umar Nurmagomedov
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Michael Chiesa v Tony Ferguson
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Tickets for the August 3 Fight Night, held in partnership with the Department of Culture and Tourism Abu Dhabi, went on sale earlier this month, through www.etihadarena.ae and www.ticketmaster.ae.

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March 4-8: First Test, Rawalpindi

March 12-16: Second Test, Karachi

March 21-25: Third Test, Lahore

March 29: First ODI, Rawalpindi

March 31: Second ODI, Rawalpindi

April 2: Third ODI, Rawalpindi

April 5: T20I, Rawalpindi

Diriyah project at a glance

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- The $63.2 billion Diriyah project will contribute $7.2 billion to the kingdom’s GDP
- It will create more than 178,000 jobs and aims to attract more than 50 million visits a year
- About 2,000 people work for the Diriyah Company, with more than 86 per cent being Saudi citizens

Our family matters legal consultant

Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

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Name: Direct Debit System
Started: Sept 2017
Based: UAE with a subsidiary in the UK
Industry: FinTech
Funding: Undisclosed
Investors: Elaine Jones
Number of employees: 8


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if you go

The flights

Etihad, Emirates and Singapore Airlines fly direct from the UAE to Singapore from Dh2,265 return including taxes. The flight takes about 7 hours.

The hotel

Rooms at the M Social Singapore cost from SG $179 (Dh488) per night including taxes.

The tour

Makan Makan Walking group tours costs from SG $90 (Dh245) per person for about three hours. Tailor-made tours can be arranged. For details go to www.woknstroll.com.sg

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Thalassaemia is part of a family of genetic conditions affecting the blood known as haemoglobin disorders.

Haemoglobin is a substance in the red blood cells that carries oxygen and a lack of it triggers anemia, leaving patients very weak, short of breath and pale.

The most severe type of the condition is typically inherited when both parents are carriers. Those patients often require regular blood transfusions - about 450 of the UAE's 2,000 thalassaemia patients - though frequent transfusions can lead to too much iron in the body and heart and liver problems.

The condition mainly affects people of Mediterranean, South Asian, South-East Asian and Middle Eastern origin. Saudi Arabia recorded 45,892 cases of carriers between 2004 and 2014.

A World Health Organisation study estimated that globally there are at least 950,000 'new carrier couples' every year and annually there are 1.33 million at-risk pregnancies.

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Company name: myZoi
Started: 2021
Founders: Syed Ali, Christian Buchholz, Shanawaz Rouf, Arsalan Siddiqui, Nabid Hassan
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 Where to stay: Hilton Giardini Naxos offers beachfront access and accessible to Taormina and Mount Etna. Rooms start from around €130 (Dh561) per night, including taxes.

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Company name: Tuhoon
Year started: June 2021
Co-founders: Fares Ghandour, Dr Naif Almutawa, Aymane Sennoussi
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