King Salman Center for Relief organizes transfer of Yemeni conjoined twins

1 / 3
A doctor checks newly born conjoined twins as they lie in an incubator at the child intensive care unit of Al-Thawra hospital in Sanaa. (Reuters)
2 / 3
Newly born conjoined twins lie in an incubator at the child intensive care unit of Al-Thawra hospital in Sanaa. (Reuters)
3 / 3
Doctors check the x-ray film of newly born conjoined twins at the child intensive care unit of Al-Thawra hospital in Sanaa. (Reuters)
Updated 06 February 2019

King Salman Center for Relief organizes transfer of Yemeni conjoined twins

  • The tiny boys, who are being helped to breathe in an incubator, have separate heads
  • Doctors had appealed to the United Nations and international humanitarian organizations

RIYADH: Conjoined twin boys born in Yemen in urgent need of treatment abroad are to be transferred to receive medical attention by the King Salman Center for Relief.
Doctors treating two-week-old Abd Al-Khaleq and Abd Al-Rahim had previously said that the health system in Yemen could not keep them alive.
Their parents could not afford to transport the boys abroad for life-saving treatment.
“They need to travel immediately. They will not be able to survive in Yemen under the social, political and economic circumstances in this country,” Doctor Faisal Al-Balbali of Al-Thawra Hospital in Sanaa told Reuters.
The tiny boys, who are being helped to breathe in an incubator, have separate heads.
Within their shared torso they have separate spines, lungs, hearts and digestive systems, but they share a liver, reproductive organs and pair of kidneys, arms and legs between them.
“Even if one is unwell, the other is fine ... they are different in every aspect,” Al-Balbali said.
The doctors had appealed to the United Nations and international humanitarian organizations to arrange for the boys’ transfer abroad before KSRelief stepped in, as reported by Al-Arabiya.
Their parents were not present when the doctors were speaking about their sons, but medical staff said they had agreed with them to invite the media to highlight their plight.
Al-Balbali, head of the neonatal unit, said medics were not able to perform even basic diagnostic tests such as an MRI scan in Yemen, and certainly did not have the capabilities to separate them, if needed.
“This is a rare case,” said Doctor Abd Al-Hakim Abu Taleb, the hospital’s general manager said.
He added that hospitals in Yemen have seen an increase in birth defects in recent years.
Yemen’s almost four-year war has pitted the Iranian-backed Houthi militia against an Arab coalition trying to restore the government of Abd-Rabbu Mansour Hadi after it was ousted from power the capital by the Houthis in 2014.
Sanaa, where the boys were born in what the doctors said was a “complicated” birth for the mother, is under Houthi control.

Saudi pursuit of ‘green Kingdom’ goal gets a boost

Updated 18 November 2019

Saudi pursuit of ‘green Kingdom’ goal gets a boost

  • Agreement between agriculture ministry and Dubai's ICBA aimed at conserving natural resources
  • Kingdom's biosaline agriculture research and systems stands to benefit from ICBA's expertise

DUBAI: Agricultural development and environmental sustainability in Saudi Arabia will receive a boost in the coming years, thanks to a new agreement between the International Center for Biosaline Agriculture (ICBA) in Dubai and the Saudi Ministry of Environment, Water and Agriculture.

The agreement aims to enable Saudi Arabia to achieve its goal of preservation and sustainable management of its natural resources by raising the quality of biosaline agriculture research and systems.

The ministry says that the agreement will make use of the ICBA’s expertise in capacity development besides agricultural and environmental research, especially in the fields of vegetation development, combating desertification and climate change adaptation.

“It also includes training programs for Saudi technicians and farmers,” the ministry said. “In addition, it will localize, implement and develop biosaline agriculture research and production systems for both crops and forestation, which contributes to environmental and agricultural integration.”

Dr. Ismahane Elouafi, the ICBA’s director general, told Arab News: “The agreement had been in the making for about two years. That was when we were approached by the Saudi government.”

Dr. Ismahane Elouafi, ICBA Director General, at the center's Quinoa fields in Dubai. (Supplied photo)

She said: “We put forward a proposal to demonstrate how the ICBA can help the Saudi government to implement its Green Kingdom Initiative, through which the ministry is trying to restore green coverage in the country and revive old conservation practices.”

Geographical features and climatic conditions very greatly from one part of the country to the other.

In the past, experimentation with such crops as potatoes, wheat and alfalfa proved detrimental to the Kingdom’s environment and natural resources due to faster rates of groundwater withdrawal.

“The ministry wanted to put a halt to over-abstraction of water, so they went through different policies,” Elouafi said.

“They made sure, for example, that farmers stopped producing wheat because about 2,400 liters of water is consumed to produce 1 kg of wheat. It was a huge amount,” she added.

“The new strategy is to find more appropriate crops for the farming community, which is quite large in the Kingdom.”

Saudi Arabia has been trying to grow its own food on a large scale since the 1980s. 

The objective of the Green Kingdom Initiative is to reduce the agricultural sector’s water demand by finding alternatives to thirsty crops.

The agreement will require the ICBA, over the next five years, to build for Saudi Arabia a new biosaline agriculture sector. 

As part of this shift, cultivation of a number of crops, notably quinoa, pearl millet and sorghum, will be piloted in high-salinity regions and then scaled up.

“The crops did very well in the UAE,” Elouafi said. “We’re looking at Sabkha regions, which have very high salinity and wetlands, and are on the ministry’s environmental agenda.”

Another objective is “smart” agriculture, which will involve raising water productivity, controlling irrigation water consumption and changing farming behavior.

Elouafi said that getting farmers in the Kingdom to stop cultivating wheat took some time as they had become accustomed to heavy government subsidies. In 2015, wheat production was phased out, followed by potatoes a year later and then alfalfa. 

“Farmers were provided everything to the point where they got used to a very good income and a very easy system,” she said.

“Now farmers are being asked to start producing something else, but the income won’t be the same, so it’s very important at this stage that the ministry has a plan and it’s fully understood.”

The agreement envisages preparation of proposals for ministry projects that involve plant production, drought monitoring, development of promising local crop and forestation varieties, and conservation of plant genetic resources.

“We’re also discussing capacity building because the ministry is big and has many entities. Because Saudi Arabia is a large country and has the capacity to meet some of its food requirements internally, what’s required is a better understanding of the country’s natural capabilities in terms of production of the crops it needs, like certain cereals,” Elouafi said.

“The way the authorities are going about it right now is more organized and more holistic. They’re trying to plan it properly.”

Elouafi said that having a better understanding of Saudi Arabia’s water constraints and managing the precious resource is essential.


Although almost the entire country is arid, there is rainfall in the north and along the mountain range to the west, especially in the far southwest, which receives monsoon rains in summer.


Sporadic rain may also occur elsewhere. Sometimes it is very heavy, causing serious flooding, including in Riyadh.

“They (the government) are very interested in drought management systems. The Kingdom has a long history of agriculture,” Elouafi said.

“It has large quantities of water in terms of rainfall, and certain regions have mountainous conditions, which are conducive to agriculture.”

Clearly, preservation of water resources is a priority for the Saudi government. But no less urgent is the task of conversion of green waste to improve soil quality, increase soil productivity and water retention, and reduce demand for irrigation.

The Kingdom is one of at least three Gulf Cooperation Council countries that are taking steps to develop a regulatory framework for the recycling of waste into compost.

Saudi Arabia, the UAE and Oman are respectively aiming to recycle 85 percent, 75 percent and 60 percent of their municipal solid waste over the next decade, according to a report by the Economist Intelligence Unit (EIU) entitled “Global Food Trends to 2030.”

Saudi Arabia and the UAE rank in the bottom quartile of the 34 countries covered by the EIU’s Food Sustainability Index, with low scores for nutrition and food loss and waste. 

The answer, according to many farmers, policymakers and food-industry experts, is a shift toward more sustainable management of each country’s natural resources.