Cardiac health a concern for all

Updated 23 December 2012
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Cardiac health a concern for all

Dr. Hani Najm, a cardiac surgeon at the King Abdulaziz Cardiac Center in Riyadh and vice president of the Saudi Heart Association, will highlight his concerns about the heart health of the Saudi population at the 5th Middle East Cardiovascular Disease and Intervention Conference in Dubai on Jan. 28-31. Najm will be speaking extensively on this topic and share the Kingdom’s experience with the international audience at the conference.
In an exclusive interview with Arab News, he also discussed his worries about cardiac health in the Kingdom. He pointed to the lifestyle here as one of the major reasons for the high incidence of cardiac disease.

With the high incidence of lifestyle diseases in Saudi Arabia, cardiac health is a concern for the population. What steps are being taken to educate people on the prevention of cardiac disease?
Cardiovascular diseases have become one of the most alarming disease threats in the Kingdom. Statistics show that a quarter of the population is diabetic, and an even higher percentage suffers from hypertension. Similarly, 6-7 percent suffers from high cholesterol and coronary disease, both of which are a major cardiovascular burden that will require specific preventative measures to combat the risk factors.
Currently, cardiac care in Saudi Arabia is sophisticated and advanced, but we do not have in place the necessary preventative measures that would adequately control the risk factors. More recently, laws have been passed banning smoking tobacco in public areas, and although these laws are being enforced, we may not have seen enough real action so far.
An important factor that could lead to a drop in disease rates and prevention of these conditions is the drive to educate the public about heart disease. This has mainly been conducted by the Saudi Heart Association via media campaigns, education programs, and the distribution of brochures and information packages.
Public awareness should target different sectors of the population – school children, working adults, senior citizens – to educate them on how to control their weight, control carbohydrate and sugar intake, in addition to monitoring and learning how to avoid hypertension.
“Moreover, to successfully implement a public awareness program of this magnitude, there is a need for a more systematic approach to the issue – something currently lacking in Saudi Arabia. The heart health of the general public should be the responsibility of the civil society; however, currently only the medical society is actively tackling this issue from a professional education and scientific perspective at conferences such as the 5th Middle East Cardiovascular Disease and Intervention Conference taking place at Arab Health 2013.
The Saudi Heart Association is hosting outreach programs in malls along with educational lectures; these types of initiatives need to be identified and spread amongst all sectors of society.
Is obesity not a concern for cardiac health, as it is also part of the Saudi lifestyle and a major cause of diabetes?
Obesity in general is associated with multiple medical problems such as diabetes, hypertension and what you call a metabolic syndrome, but if all these associated diseases are not present, then obesity itself is not directly related to cardiac health. This means overweight people without any of the other major risk factors for heart disease may not develop heart disease just because they are overweight.

What are the latest statistics on the incidence of cardiac disease in Saudi Arabia?
We have some statistics that have concluded there is a prevalence of cardiac disease, such as coronary heart disease, in around 6 percent of the population. A quarter of the Saudi population suffers from diabetes, around 27 percent from hypertension, and 35-40 percent suffers from hypercholesterolemia; all of which will add up to an increasing level of cardiac diseases in the Kingdom.
There is an important issue worth mentioning in terms of incidence of cardio disease, which is that 50 percent of the population is still below 25 years of age. There is a high-risk profile, and we expect a rise in cardiovascular illness in the next 15-20 years, when most 25-year-olds will be aged 40-50, and that is when the manifestation of cardiovascular disease occurs.
If we do not control the risk factors in the young population immediately, it won’t matter how many advanced cardiac centers we have, as it will not cover the number of cardiovascular patients.
So, as we can see, the incidences of conditions that may lead to cardiovascular illnesses are on the rise. Unfortunately, there are bad habits within the Saudi society that have been acquired culturally and socially, such as smoking water pipes. This has become prevalent in homes and in public despite control from the government. Cigarette smoking is also prevalent in schools, and the rates are increasing alarmingly.

What are the reasons of extreme hypertension in the Kingdom? Is it because of the lifestyle, food, environment, or other reasons? How can awareness help in diminishing heart problems?
Hypertension is prevalent in the Kingdom for all the reasons mentioned above, in addition that diabetes, which is very closely related to hypertension, is highly common in the people of Saudi Arabia. These are all acquired risk factors for heart diseases, due to the sedentary lifestyle, improper eating habits, as well as the environmental and generic factors that contribute to all this.

How well is the Kingdom doing in terms of offering world-class cardiology care for its patients?
Cardiac surgery in general follows very strict detrimental factors for outcome. This means the outcome of surgery is measured either by major outcomes such as death, or minor outcomes such as morbidity or complications. These outcomes are measured very carefully in heart surgery, and these are what we call ‘code risk-adjusted outcome’, so it is a risk-adjusted outcome based on the population.
In Saudi Arabia, in particular at King Abdulaziz Cardiac Center, we use international benchmarks for cardiac surgery such as the STS (Society of Thoracic Surgery) Database, an American system; and the EACTS (European Association of Cardio Thoracic Surgery) Database. These produce a very robust number of statistics to benchmark the outcome of cardiac surgery across the world.
We have also started a nationwide cardiac surgery database that we are enrolling across all cardiac surgeries done in the country in order to benchmark the entire database of Saudi Arabia against what is happening in the rest of the world.

Does Saudi Arabia attract mostly foreign cardiac surgeons or does the country have the mechanisms to educate and train local surgeons?
Over the last 30 years, the government has made a tremendous effort to send young, bright Saudi doctors abroad to continue their education. All these doctors have returned with advanced sophisticated training from North America and Europe, and they now form a robust corps of cardiac surgeons as well as cardiologists, resulting in the most advanced cardiovascular care in Saudi Arabia.
Now, in addition to the presence of these physicians trained abroad and matured through this system, we have also local training. Certification for both cardiac surgery and cardiology is provided to allow for local certification in advanced subspecialties in cardiac surgery and imaging as well as cardiac catheterization.

What future developments do you foresee for Saudi Arabia in terms of its cardiology services?
I see an acute need for the organization of cardiovascular services, in particular the streamlining of cardiac services that are offered by different caregivers, i.e., the Ministry of Health, National Guard, private sector, universities, and so on. In order to lower the mortality rate for cardiac disease, we need to coordinate the services offered by different caregivers, so that a patient who is suffering from a heart attack can get to the closest hospital and receive intervention during the ‘golden hour’ (first 90 minutes) after the heart attack.
There have been some proposed solutions to network and integrate the advanced cardiac care in the Kingdom that are currently being discussed.

Why is it important for cardiology physicians to attend educational conferences and keep up with the latest research in the field?
As medical professionals, we need to keep up with the latest technologies, studies, and research papers that address our practices. This is a continuation of our education and training, because clinical trials as well as the way we manage patients change based on new sciences.
The only way to be able to acquire such knowledge is through meetings conducted in the region, such as the 5th Middle East Cardiovascular Disease and Intervention Conference at Arab Health 2013, where global leaders from all over the world are invited to give briefs of studies, consensus statements, and guidelines for the management of patients.
Physicians can attend the event and will be able to transfer the knowledge from the West to East. Additionally, there is regionally produced research that can be shared amongst the Middle Eastern countries as well as with the Western representatives.

Besides awareness, what should people do to avoid the problem of cardiovascular diseases?
The problem with awareness is that people are aware, but they do not act on what they know. If you asked people if exercise is good for your health, they would say ‘yes’; nevertheless, they do not exercise. Smoking is bad for your health – they would also say ‘yes, it is bad’ – but they will continue to smoke. The bottom line is: First, the actual piece of knowledge of cardiovascular disease prevention should get to the public, but then practicing this becomes very difficult. Based on my experience, most people, at least in Saudi Arabia, may know that piece of knowledge of what helps to prevent cardiac diseases, but they do not practice it.

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Saudi food app is perfect recipe for people in need

Updated 19 May 2018
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Saudi food app is perfect recipe for people in need

JEDDAH: A Saudi relationship manager has designed a mobile app that allows food to be delivered to people in need, including Syrian refugees living in camps in Lebanon and Turkey.
Western region manager Fahad bin Thabit, 34, described his YummCloud app as a “sharing economy” platform.
After working with app developers from India, Ukraine and the US, Thabit launched the platform in late April with help from the US digital agency Ingic.
YummCloud was featured in US company news, such as Cision PRWeb.
“The idea behind YummCloud was to provide home-cooked meals to the users in the most convenient way,” Cision PRWeb said.
“Developers were told to develop an open platform app that will let users buy, sell or send home-cooked meals around them. All a user has to do is to choose the food they would like to eat and get it delivered at their convenience.”
Thabit said that his brother, who lives in France, was the inadvertent inspiration behind the app.
“At that time I wanted to send him food and that was when I had the idea: Why can’t I send him local food?
“I could not find any of our local food there, and this was how the application came up. I said once I can do that, I can send food to anyone anywhere in the world — all I need to do is provide the supplier,” Thabit told Arab News.
Anyone can help communities in need via the application, he said.
Thabit said he was planning to help Syrian refugees in Turkey.
“We call these meals ‘humanitarian meals’ — all we need to do is reach them via a social network and get a supplier there. People who sympathize with the refugees — they could be 100 kilometers away or in different parts of the world — can pay online and buy meals for them.”
He said whole communities could take part in the “sharing economy.”
“For example, in Africa, there are areas that have people suffering from starvation, but there are other areas that have food supplies, so if you buy the supplies from those areas, they can import them to the starvation-stricken areas. This is what I call a sharing economy.”
The app’s international features are still under development, but are expected to launch in two years.
“We can create a market anywhere in the world. All we need to do is add a language, find a delivery company there, and if there isn’t one, people can deliver it themselves.
“We had 500 orders in the first 10 days of the launch in Saudi Arabia.”
Thabit said that transportation network company Careem was acting as a logistics partner.
“Careem have us covered everywhere — it is operating in Saudi Arabia, Lebanon, and Egypt. Wherever Careem is present, we are there regarding delivery,” he said.
Thabit said he had agreements with delivery companies and charities in different parts of the world for YummCloud’s global transition.
The application is an efficient humanitarian platform.
“We provide a platform for everyone to help everyone,” he said.