One in Five Qataris Needs Mental Health Assistance
A Qatar Mental Health survey shows 1 in 5 Qataris suffering from a mental ailment, commonly depression or schizophrenia, with fewer than 1 in 4 of those afflicted receiving treatment, due to fears of social stigma . . . from the Gulf Times, Qatar.
By Noimot Olayiwola/Staff Reporter
A Mental Health Strategy, which is awaiting the endorsement of the Supreme Council of Health’s executive committee, is expected to be completed this year.
It is being envisaged that the Mental Health Strategy will lead to a reduction in the incidence and severity of mental illness in Qatar, besides increasing the proportion of people with emerging or established mental illness who are able to access the right care at the right time, with a focus on early intervention.
The strategy will also provide the opportunity to increase the ability of people with mental illness to participate in education, employment and training, enhance public education and awareness and thereby reduce the stigma associated with mental ailment, reduce the prevalence of risk factors that contribute to the onset of mental illness and prevent longer-term recovery, and establish Qatar as a centre of academic excellence in mental health research and education.
Speaking on the strategy at an event held recently, Hamad Medical Corporation’s (HMC) General Adult Psychiatry senior consultant and Weill Cornell Medical College in Qatar assistant professor Dr Suhaila Ghuloum said the mental health initiative contributes to the Human Development pillar of Qatar National Vision 2030, which recognises that a healthy mind is as important as a healthy body.
She said a study has shown that around 20% of the country’s population suffers from a form of mental disorder and less than 25% of the people with mental ailments actually receive the care that they need.
Stating that the actual prevalence rate of mental health ailments would soon be published, Dr Ghuloum added that around 20% and 18% of the population also suffered from depression and anxiety disorder, respectively.
The Psychiatry Department is the only facility providing primary, secondary and tertiary care for people with mental illness in Qatar. “We conducted the study on adult patients visiting the primary healthcare centres and found that one in five people here will experience a mental disorder with conditions such as schizophrenia and depression on top of the list,” she said.
According to her, schizophrenia, depression and substance abuse are three of the top five causes of disabilities in Qatar. “A condition like schizophrenia can prevent a child from attending school,” she said.
Dr Ghuloum said social stigma, which is a combination of ignorance and discrimination, is the biggest challenge facing people with mental illness in Qatar.
“Through interaction with some of our patients, we realised that many had delayed getting medical help due to fear of stigma and the negative attitudes of some of the patients themselves, their family members as well as physicians,” she noted.
The official called for comprehensive care for people with mental illness, saying the Psychiatry Department has already started a system that is all encompassing and comprehensive – through primary care – besides providing treatment for some patients on an in-patient basis, who are co-located in general hospitals, as well as community-based services being offered to those in need of long-term care.
“The transformation of Qatar’s mental health services focuses on early intervention and recovery, and will give people a range of options on how to access mental healthcare tailored to their needs. Whether it is in a primary care, community-based or a hospital setting, people with mental health issues will have access to the right care, at the right time and in the right place,” she asserted.
Qatar Prepares For Leadership Transition as Emir Steps Down
Thank you Grammy, for forwarding this article from The Telegraph. Who knew? I thought the current Emir was looking slimmer and healthier than before, but maybe he just wants a quieter, more private life, and the prince is willing to take the reins?
We watched Doha go from a sleepy little seaside capitol to a skyscraper-laced booming natural gas economy. It was an amazing time to be living in Doha. Sounds like more changes may be in store.
By Damien McElroy, Foreign Affairs Correspondent7:00PM BST 09 Jun 2013
Senior figures in Qatar have briefed foreign counterparts that the time has come for Sheikh Tamim bin Hamad, the 33-year-old crown prince to take over the leadership of the gas-rich Gulf state, the Daily Telegraph has learned.
The succession plan, which is due to be launched by the end of the month, will see Hamad bin Jassim, the prime minister and one of the biggest investors in Britain, give up his post.
Within weeks of that decision the royal court will announce that the emir, Sheikh Hamad bin Khalifa, who has struggled with health problems, will cede powers to the Sandhurst-educated crown prince.
A prominent British visitor to the gas-rich Gulf state was told of the plans earlier this year and sources said other key states, including the US and Iran, have also been briefed about the succession.
“The plan is to manage a staged handover of power that allows the crown prince to come to the fore,” said one source with knowledge of the discussions. “The stakes are very high because Qatar is at forefront of events in a very sensitive region.”
Representatives of the Qatar government were not able to comment on the discussions about the emirate’s future leadership but analysts said any changes in Qatar’s leadership would have huge implications for the Middle East and Western foreign policy.
“The legacy of the emir and the prime minister has been to make Qatar a player in the world,” said Michael Stephens, a Gulf researcher at the Royal United Services Institute. “It was an outpost when they took over and now it has grown into a modern city, it is one of the biggest investors in Europe and Britain, has set up a very powerful Arab television station [Al Jazeera] and has a very prominent foreign policy. That is almost all down to the driving force of those two men.”
Sheikh Hamad, the emir, took power in a bloodless coup in 1995, taking advantage of his father’s absence on a trip to Europe. The charismatic monarch has overseen the transformation of the emirate, which lies just 21 miles from the coast of Iran. His glamorous wife Sheikha Mozah, who was last week seen at a charity function with the Prince of Wales at Windsor Castle, has been a symbol of women’s rights in the Arab world.
The resignation of Hamad bin Jassim has huge consequences for Britain even though he is staying as chief executive of the Qatar Investment Authority, an immensely well resourced sovereign wealth fund that recycles the emirate’s gas revenues.
He will continue to be the driving force behind the entity that owns Harrods and invested in prime property projects in London, including The Shard, Europe’s tallest building.
With a relatively tiny population of less than two million, Qatar is an outsized force in Middle East politics.
Although Sheikh Tamim is well known to diplomats and foreign officials, there are questions over the future direction of policies under the new leadership.
As a result of his education in Britain and Qatar’s role as the host of an American airbase, he has close links to Western militaries.
But observers point to his close alliance with the Islamist Muslim Brotherhood as a potential sign that he will not be as liberal as his father and the prime minister.
The country has spent liberally on supporting Islamist movements in the Arab Spring, playing a key role in providing arms and logistics for rebels in Libya, Egypt and Syria.
“I Will Wipe out the word WASTA from the Traffic Dictionary”
Wooo HOOOO on You, Major General Abdulfattah Al-Ali!
Sometimes, when you are reading a newspaper looking for content, the most significant articles can be little small ones:
Major Al-Ali vows to redraw traffic map
KUWAIT: “I have orders from higher authorities to organize the traffic and the law will be implemented strictly, Assistant Interior Ministry Under Secretary for Traffic Affairs Major General Abdelfattah Al-Ali said. “I will change the traffic map within six months and wipe out the word wasta from the traffic dictionary ,” he added. “I have strict orders from higher authorities to organize traffic and the law will be implemented very strictly,” Major Ali said.
The Kuwait Times got his title wrong; it is Major GENERAL, not Major, LOL, that’s a big difference. It appears he has the clout – and the backing – to make a brave and steadfast stand:
“WIPE OUT THE WORD WASTA FROM THE TRAFFIC DICTIONARY”
I can hardly believe my eyes. This is going to be very painful for young Kuwait men, who have learned – from prior experience – that the rules do not apply to them. IF Major General Abdulfattah Al-Ali can maintain his strong position, there may be more young Kuwait men who live to be grown-up men, there may be fewer heart-wrenching funerals, far fewer trips to the emergency room (did you know that some of the best head-trauma physicians in the world are in the ER’s in Qatar, Kuwait, and the UAE? There’s a reason for that.) The days of seeing babies on their daddy’s laps in traffic may be over. People may actually start wearing seatbelts!
Wooo HOOO on You, Major General Abdulfattah Al-Ali. You are a brave and courageous man, with a vision for a safer future for Kuwait.
11,800 Deported: Kuwait Deportations Continue “Without an End Date”
I still have a large contingent of loyal readers from Kuwait, but by early this morning, I could see something was up:
It’s not often that I have 132 Kuwait hits before noon.
So I checked the Kuwait Times:
Expat deportations will continue: Traffic chief – 11,800 deported in two-and-a-half months
KUWAIT: Major General Abdulfattah Al-Ali’s name has become synonymous with extensive traffic campaigns, aimed at enforcing the law at all costs, including implementation of mass deportations. The senior Interior Ministry official, who takes pride in deporting 11,800 people and impounding 3,000 vehicles during his tenure as head of the Ahmadi Security Department over the past two and a half years, told a local daily that deporting expatriates for serious violations will continue without an end date. “Administrative deportation of violating expatriates is not going to stop, especially of those carrying passengers illegally, in which case a person would be in violation of traffic and labor regulations,” Maj Gen Al-Ali, the Interior Ministry’s Assistant Undersecretary for Traffic Affairs, told Al-Rai on Friday.
He added that any ticket can be disputed “by a request to refer the case for traffic department investigations”. In the series of crackdowns that started late April, at least 2,000 traffic violations were registered, including 1,000 tickets issued directly on the street, while thousands of people were reportedly deported. Moreover, Maj Gen Al-Ali revealed that the ministry collected KD4 million, out of the KD24 million owed in traffic fines, during the same period. In that regard, the senior official pointed out that only KD8 million worth of fines are registered against individuals, while the rest are against companies and state departments. Out of the KD8 million, KD6 million is registered against expatriates, Maj Gen Al-Ali said. “Cases are soon to be filed with the traffic court in order to issue travel ban orders against people with more than KD80 in fines owed to the ministry,” he added.
Al-Rai published Maj Gen Al-Ali’s statement yesterday, along with a transcript of an interview with Al- Watan TV during which he defended the ongoing campaigns. “Our procedures are necessary to save lives, with average statistics indicating that 450 people are killed and 3,000 are injured annually due to traffic accidents,” he explained. During the interview, Maj Gen Al-Ali insisted that all drivers are equal when it comes to implementation of the law. “There have been doctors among the people deported, including a surgeon caught driving without a license for three years,” he said, before confirming news reports that he had taken a decision to impound a vehicle owned by Minister of Cabinet Affairs Sheikh Mohammad Al-Abdullah Al-Sabah on grounds of repeated violations committed by his personal driver. Meanwhile, the senior official urged any person who had obtained a license through illegal means to dispose of it “because once caught, they are going to be charged with forgery”. —Al-Rai, Al-Watan
Your Calls – Every One – Reported to the Government
I found this on AOL News/Tech Crunch this morning. Post 9/11, did we know that the Homeland Security legislation would give the government so much power? To gather so much information on individual citizens who are not remotely suspected of committing a crime against the United States seems excessive to me.
Report: NSA Secretly Collecting Phone Records Of All U.S. Verizon Calls
Gregory Ferenstein
The National Security Administration is secretly collecting phone record information for all U.S. calls on the Verizon network. “Under the terms of the blanket order, the numbers of both parties on a call are handed over, as is location data, call duration, unique identifiers, and the time and duration of all calls,” reports The Guardian, which broke the story of the top-secret project after it obtained record of a court order mandating Verizon hand over the information.
The contents of the call are not recorded and it is also not known whether Verizon is the only cell-phone carrier complying with the massive spying project. The court order concerns all calls to, from, and within the United States.
With this so-called “metadata,” the government knows “the identity of every person with whom an individual communicates electronically, how long they spoke, and their location at the time of the communication,” explains the Guardian.
The Senate’s tech-savviest member, Ron Wyden (CrunchGov Grade: A), has been discretely warning citizens of these kinds of secretive government projects. “There is now a significant gap between what most Americans think the law allows and what the government secretly claims the law allows,” wrote Wyden and Senator Mark Udall to embattled Attorney Eric Holder.
The order apparently draws from a 2001 Bush-era provision in the Patriot Act (50 USC section 1861). The revelation dovetails similar exposes on massive government spying projects, including one project to combine federal datasets and look for patterns on anything which could be related to terrorism.
Anesthesia Linked to Dementia Risk in Seniors
It may not be dementia. It may be a reaction to a medication in the elderly that LOOKS like dementia.
My father was 87, and doing pretty well for a man 87. He still walked on his own, using a walker when he had to, and very rarely, a wheelchair if we were going a long ways. He went into the hospital for a minor surgery. The tube inserted in his hand for the anesthetic became infected. Dad was acting weird, he was having hallucinations, and my sister rightly identified that Dad had a reaction to the diuretic drug Lasix; when they switched him to an alternative, the raving and hallucinations stopped.
He was transferred to a rehabilitation unit, where for two days, they put him back on Lasix. Poor communication between hospital and the rehab facility, plus standardization of drug regimens – they switched him without telling him, or us. Once again, he went loony tunes, and at the same time, his right hand began to swell until it looked like a lobster claw. He kept saying it hurt, and it was big and red, and the rehab people kept saying it would get better.
Dad was rushed to another hospital, one the rehab clinic worked with, and the doctors told us he had a ‘cascade of problems’ and which were the primary three we wanted them to work with?
Get him off the Lasix, first thing, we all agreed, and find a way to have it annotated on any record that he is never to have Lasix. (It did no good; the next hospitalization, back at the first hospital, they gave him Lasix again, which made him crazy and masked all the other symptoms.)
Long story short, there were a cascade of hospital mistakes – not one hospital, two hospitals and the rehab clinic – where miscommunications, inattentions and shortage of trained personnel resulted in a cascade of issues that led to my father’s death later that year. The other lesson learned is that if you go into a hospital, make sure you have a good support system, someone with you who will bravely ask questions, and remind someone if an inappropriate medication is prescribed. You need a family member with you for protection against inattention, mistakes, miscommunications and personnel shortages.
It’s not like there’s anyone to bring a lawsuit against; they were all doing the best they could, but Dad was old. My bet is that he might have lived another couple years, at the very least, had he not gone in for that first non-essential minor surgery. To me, the moral of the story is if you want to live a long life, stay away from hospitals.
Anesthesia Linked to Increased Dementia Risk in Seniors
Exposure to anesthesia has been linked to a 35 percent increase of dementia in patients over age 65, according to a new study.
By Jeffrey Kopman, Everyday Health Staff Writer
FRIDAY, May 31, 2013 — Caregivers and seniors struggling with the dilemmas of elder care have another risk to weigh against potential rewards — senior patients exposed to general anesthesia face an increased risk of dementia, according to research presented at Euroanaesthesia, the annual congress of the European Society of Anaesthesiology (ESA).
Researchers reviewed the medical information of 9,294 French patients over the age of 65. The patients were interviewed several times over a ten year period to determine their cognitive status.
After two years, 33 percent of participants had been exposed to anesthesia. Most of the exposed patients (19 percent overall) were exposed to general anesthesia — a medically induced coma. The rest were exposed to local/locoregional — any technique to relieve pain in the body — anesthesia.
In total, 632 participants developed dementia eight years after the study began. A majority of these patients, 512, were diagnosed with probable or possible Alzheimer’s disease. The remainder had non-Alzheimer’s dementia.
The gap between dementia related to general anesthesia (22 percent) and non-dementia patients (19 percent) was associated with a 35 percent increased risk of developing dementia. This risk was linked to at least one general anesthesia.
“Elderly patients are at an increased risk for complications following anesthesia and surgery,” said Jeffrey H. Silverstein, MD, MS, and vice chair for research at the Department of Anesthesiology at Mount Sinai in New York City. “[They] are particularly prone to postoperative delirium, which is a loss of orientation and attention. Anesthesiologists have been evaluating higher cognitive functions (for example, memory and executive processing) and found that a substantial number have decreases in one or more of these areas after a surgical procedure.”
Researchers hope this study will lead to more awareness for surgeons.
“Recognition of postoperative cognitive dysfunction (POCD) is essential in the perioperative management of elderly patients,” said study author Dr. Francois Sztark, INSERM and University of Bordeaux, France, in a press release. “A long-term follow-up of these patients should be planned.”
Elderly Care: Risk vs. Reward
Senior citizens and their caregivers might be willing to accept an increased risk of dementia if it means getting necessary anesthesia for an important medical procedure. Dementia is a relatively common occurrence in old age: One in three seniors has Alzheimer’s disease or dementia by the time of their death.
But surgery at old age can also carry more severe, and less common, health risks. In fact, simply surviving surgery can be difficult for elderly patients, especially those over the age of 80.
While the numbers vary depending on procedure, researchers have found that mortality risk tied to elective major surgeries increases with age. The risk more than doubles for patients over 80 compared to patients ages 65 to 69.
But other surgery complications are even more common in seniors.
“The major risk for elderly patients following surgery is pneumonia,” said Dr. Silverstein. “Cardiac complications are next most common.”
However, Dr. Silverstein still feels that if surgery is deemed necessary, patients should not fear the risks.
“In theory, only necessary surgery is done,” he said. “Knowing how [patients] reacted to anesthesia and surgery in the past may give them some idea of their postoperative course.”
Last Updated: 05/31/2013
“Aggressive driving and speeding are common on Doha’s roads now”
From Gulf Times (Qatar); a new proposal to lower speeds on some roads to try to meet the goal of reducing accidents and fatalities rates. It notes they are also putting in more cameras and radars. All that is good. The question will be: How equitably will the law be enforced? When you look at percentages of accidents and fatalities as a proportion of population, are Qataris over represented? How do you encourage the nationals to drive respectfully?
Qatar’s Public Works Authority (Ashghal) is seeking to lower the speed limits set for several roads in Qatar in a new initiative to bring down the number of accidents. This is a sensible move. Aggressive driving and speeding are common on Doha’s roads now. Strict regulations are needed to counter this trend. Qatar already has one of the highest rates of road accidents in the world.
During a presentation at the Qatar Transport Conference in Doha this week, Ashghal official, Yousef Abdulrahman al-Emadi, blamed speeding for most fatalities in road accidents. Speaking on “Road safety in Qatar: improving safety for all road users”, al-Emadi said Ashghal had recommended reduction in the current speed limits to the government.
Ashghal is also calling for the installation of additional radars and cameras at key locations in Doha as part of its initiative.
But rules and regulations alone are not enough to bring about a safety culture on our roads. Programmes to raise safety awareness among motorists should be a regular feature of all initiatives. That is why the “One Second” campaign , launched by the Traffic Department in association with Maersk this week, is important.
A Qatar National Road Safety Strategy (2013-2022), released in January 2013, aims to save 800 lives and prevent 2,000 serious injuries over the next 10 years. This is an achievable target if the government acts on the Ashghal suggestion and organises regular campaigns like “One Second”.
Economy Class: The Worst of the Worst
LOL, I have flown a lot of miles, but I have never flown any of these airlines in the ‘Worst of the Worst.” We used to fly RyanAir when we lived in Germany, and if you know to expect nothing, you get what you expect :-). It’s a lot like Jazeera, only without reserved seats and without leather seats. Oh, and people shoving to get on; I guess it was pretty bad, but oh, it was so CHEAP! Awful, but the flights were short, so you just gut it out and get there.
This is from the Frequent Flier Crier:
Economy class is pretty bad, even at its best. And at it’s worst, it’s truly horrendous, a toxic mix of too-tight seats, rancid peanuts, and don’t-bother-me service.
So which airline’s coach class is the worst of the worst? Business Insider Australia set out to answer that question, using data compiled by airline reviewer Skytrax on such measures as seat comfort, inflight entertainment, meals, and inflight service.
Such perennial service underproviders as Spirit and RyanAir made the list, at 18th and 11th worst respectively, but the other contenders for the title of world’s worst airline will be mostly unfamiliar to U.S.-focused travelers.
The envelope, please …
1. Turkmenistan Airlines (rated 30.8 on a 100-points scale)
2. Sudan Airways (rated 33.3)
3. Ukraine International Airlines (rated 36.3)
4. Uzbekistan Airways (rated 37.5s)
5. Air Koryo (rated 39.2)
6. Bulgaria Air (rated 41.8)
7. Rossiya Airlines (rated 42.7)
8. Iceland Express (rated 42.8)
9. Tajik Air (rated 43.3)
10. Syrian Air (rated 44.8)
Regarding Turkmenistan, the report noted that “terrible rankings on Skytrax for in-flight entertainment, seat comfort, service efficiency, staff response to passenger requests, and staff language skills make it the worst airline you can find.”
So next time you’re tempted to dub Spirit or US Airways or Frontier the worst airline ever, find some solace in the fact that the flight could have been worse. Much worse. It could have been Turkmenistan bad.
The Lord Laughs at the Wicked
When I start to fret about those in high places who oppress the poor and the workers, whose lives are so far from worrying about a roof over their head and food to eat that they will pass still laws further oppressing the poor and homeless, I take consolation in this psalm.
The Pensacola City Council is passing a draconian measure against the homeless. I’ve been so proud of Pensacola, and the citizen response to the homeless, the beds Pensacola provides, the meals the citizens, through a variety of church and social agencies, hand out. Their response is humane, and compassionate.
The homeless are attracted by the moderate climate; they are here in droves. They panhandle at the intersections, they approach you at downtown attractions. They often have dogs. For the most part, they greet people cheerfully or respectfully, and they aren’t aggressive.
They are, in truth, a kind of plague on Pensacola, but as a traveler, I have brushed my teeth in many a restroom, changed my clothes, even had to rise out a coffee stained outfit before my next flight once – these are things for which the homeless will be charged with an offense against the law. If I were without a place for the night, I might look for a safe public restroom in which to sleep, especially if I had a child with me, as so many women did when I worked with homeless women.
I understand the problem.
But I also understand the desperation of those who have little, and that very little – a public restroom, a safe place to sleep outdoors – are being taken away from them by this statute. It’s heartless, and if there is truly an accounting at the end of our lives, and an afterlife, I fear for those who put additional burdens on the poorest of the poor.
Psalm 37
Of David.
1 Do not fret because of the wicked;
do not be envious of wrongdoers,
2 for they will soon fade like the grass,
and wither like the green herb.
3 Trust in the Lord, and do good;
so you will live in the land, and enjoy security.
4 Take delight in the Lord,
and he will give you the desires of your heart.
5 Commit your way to the Lord;
trust in him, and he will act.
6 He will make your vindication shine like the light,
and the justice of your cause like the noonday.
7 Be still before the Lord, and wait patiently for him;
do not fret over those who prosper in their way,
over those who carry out evil devices.
8 Refrain from anger, and forsake wrath.
Do not fret—it leads only to evil.
9 For the wicked shall be cut off,
but those who wait for the Lord shall inherit the land.
10 Yet a little while, and the wicked will be no more;
though you look diligently for their place, they will not be there.
11 But the meek shall inherit the land,
and delight in abundant prosperity.
12 The wicked plot against the righteous,
and gnash their teeth at them;
13 but the Lord laughs at the wicked,
for he sees that their day is coming.
14 The wicked draw the sword and bend their bows
to bring down the poor and needy,
to kill those who walk uprightly;
15 their sword shall enter their own heart,
and their bows shall be broken.
16 Better is a little that the righteous person has
than the abundance of many wicked.
17 For the arms of the wicked shall be broken,
but the Lord upholds the righteous.
18 The Lord knows the days of the blameless,
and their heritage will abide for ever;
19 they are not put to shame in evil times,
in the days of famine they have abundance.
20 But the wicked perish,
and the enemies of the Lord are like the glory of the pastures;
they vanish—like smoke they vanish away.
21 The wicked borrow, and do not pay back,
but the righteous are generous and keep giving;
22 for those blessed by the Lord shall inherit the land,
but those cursed by him shall be cut off.
23 Our steps* are made firm by the Lord,
when he delights in our* way;
24 though we stumble,* we* shall not fall headlong,
for the Lord holds us* by the hand.
25 I have been young, and now am old,
yet I have not seen the righteous forsaken
or their children begging bread.
26 They are ever giving liberally and lending,
and their children become a blessing.
27 Depart from evil, and do good;
so you shall abide for ever.
28 For the Lord loves justice;
he will not forsake his faithful ones.
The righteous shall be kept safe for ever,
but the children of the wicked shall be cut off.
29 The righteous shall inherit the land,
and live in it for ever.
30 The mouths of the righteous utter wisdom,
and their tongues speak justice.
31 The law of their God is in their hearts;
their steps do not slip.
32 The wicked watch for the righteous,
and seek to kill them.
33 The Lord will not abandon them to their power,
or let them be condemned when they are brought to trial.
34 Wait for the Lord, and keep to his way,
and he will exalt you to inherit the land;
you will look on the destruction of the wicked.
35 I have seen the wicked oppressing,
and towering like a cedar of Lebanon.*
36 Again I* passed by, and they were no more;
though I sought them, they could not be found.
37 Mark the blameless, and behold the upright,
for there is posterity for the peaceable.
38 But transgressors shall be altogether destroyed;
the posterity of the wicked shall be cut off.
39 The salvation of the righteous is from the Lord;
he is their refuge in the time of trouble.
40 The Lord helps them and rescues them;
he rescues them from the wicked, and saves them,
because they take refuge in him.










