Wednesday, May 30, 2007

Yemeni Lives going up in Smoke

Posted in: Reports
Written By: Hakim Almasmari

Yemen has made a few feeble attempts to reduce smoking. In 2005, the Parliament discussed introducing a ban on smoking in public places and banning advertisements supporting tobacco products. It also talked about banning the import, manufacture, and sale of tobacco, and recommended that the public be made more aware of the threats of smoking. But one doesn’t have to wander far in Yemen to realize that none of this has come to pass. Smoking seems nearly ubiquitous, and men quite cavalierly light up in buses, taxis, restaurants, and on the street.

Cigarettes are cheap in Yemen. Tobacco is now being made here, which makes it even easier and cheaper to obtain. A pack of smokes can cost as little as 30 cents, or 60 YR. “It is so easy to get cigarettes in Yemen, every corner store sells them, even street sellers have them, along with the chocolates they sell to the people,” said Sabri Abdul Samad al-Askari of Sana’a, a father of four who does not smoke, and will not allow his kids to smoke, even though they have reached the age of 18.

Traditionally, smoking has been mostly the province of men. But in the last four years, women have begun to light up as well, though they still make up a minority of smokers. It has historically been considered a shame and disgrace for women to smoke in Yemen. Today, that seems to be changing, as more and more women are becoming smokers in Yemen. Young girls start smoking as early as 14, and peer pressure influences them to start at a young age. According to Health Promote International, 27 percent of males in Yemen currently are smokers, while 10 percent of females are smokers.

Five years ago, only 4 percent of women smoked, according to Health Promote International. That means the number of female smokers has more than doubled in that time. “Most of the smoking among women happens due to peer pressure because females want to feel as part of a group and never want to be looked at as a lonely person,” said Moneera Ali al-Sabahi, a pharmacist in Sana’a.

Al-Sabahi said that pressure on females from their families is also a major reason for the spread of smoking among women. The stress of social constraints may lead women to smoke as a way of coping with depression and anxiety. “Smoking is better than suicide in cases of depression. These days depression is very widespread, and I would rather see them smoking than risking their life for simple problems,” she said. People in Yemen consume YR 120 billion worth of cigarettes yearly, said Abdullah Alfa, secretary-general of the national society for fighting smoking.

This number might seem small next to the hundreds of billions of dollars spent by other countries on cigarettes. But Yemen is poorer than most other countries, so the money spent on smokes takes an even greater toll on the economy—and puts enormous pressure on the healthcare system, which costs the country even more money. According the latest Human Development Report, Yemen ranked 150th out of a total 177 countries in the development of its people. The country has tumbled four places in the list since last year.

In fact, Yemen placed dead last in development out of all the countries of the Middle East. “When it comes to cigarettes and qat, (a stimulating drug in the form of a leaf chewed regularly in Yemen), people tend to find ways to have money to spend, whereas, it is difficult for us to spend money easily on other matters, including personal needs,” said Nabil Ali Ahmad, a construction worker employed at the Presidential Mosque in Sana’a, who spends an average of YR 15,000 a month on qat and smoking. “I spend nearly 70 percent of my salary on those two things, and they come as a priority, because they ease the pain that I get from everyday life.”

Sameera Nasser Ahmad, a 23-year-old university student, believes that most women who smoke do so without the direct knowledge of family members, for fear of their disapproval. She added that she thinks that most women start smoking either because of peer pressure in school, or just to look different and cool in front of others. “I smoked for nearly three months during my first year of university without the knowledge of my family. I did not want to smoke but I felt that I had to because of my friends. When I decided to lose those friends I quit smoking as well,” said Ahmad.
Currently, there are some 1.2 billion smokers around the world. Most—some 800 million—live in developing countries, where cigarette smoking is spreading the fastest. In Yemen, most of the smoking is done by men. A study conducted by Hadramout University researchers in 10 secondary schools showed that none of the female teachers smoked. But some 14 percent of male teachers smoked. The highest rate of smoking was seen in male teachers over 50 years old (17 percent), in those who taught social subjects (18 percent) and in those who had a secondary school education (46 percent).
Still, the smoking rates of teachers were lower than those of the society at large. Only some 8 percent of teachers overall were smokers, perhaps because they have more education than the general public and are more aware of the risks. In 2004, more than 5 million people died worldwide from smoking, according to a recent study published in The Lancet medical journal. That number included 2.61 million people in developing countries and 2.39 million in wealthier nations.

Newly developing countries such as Yemen seem to be the most at risk of smoking, as forecasts predict that 70 percent of the 10 million people expected to die yearly by the year 2025 will be from developing countries. About 87 percent of lung cancer deaths are caused by smoking. Lung cancer is one of the leading causes of cancer death among both men and women, and is one of the most difficult cancers to treat.

Based on data collected from 1995 to 1999, the Centers for Disease Control and Prevention estimated that adult male smokers loose an average of 13.2 years of life and female smokers loose 14.5 years of life—all for the ephemeral thrill of inhaling a cloud of nicotine.

Tuesday, May 29, 2007

Cancer Patients Get 50% Off on Public Transport in KSA

Arab News

Cancer patients and their dependents can now enjoy up to 50 percent discounts on air, land and marine fares in the Saudi Arabia.
The decision brings the privileges offered to cancer patients on par with those enjoyed by the handicapped and disabled. The decision will take effect immediately.
“This initiative will allow patients to cheaply make trips for treatment across the Kingdom. This will help us also, as we are financially responsible for cancer patients,” said Fahd Soulimani, general manager of the Al-Eman Cancer Society of Jeddah.
Cancer patients will shortly receive an ID card with their names, medical file numbers and details of their health conditions to ensure the service is not abused. “We at the Society hope that this step will be a model for other Gulf countries to follow in caring for cancer patients,” said Soulimani.
The Society, which is chaired by former Minister of Information Muhammad Abdu Yamani, offers medical and social support to patients of both genders and has so far spent over SR5 million on treating cancer patients.

Web redesign update

The Web site redesign is steadily moving along. A final contract should be signed within the next week and then we will really be moving ahead. However, I have to say that the new design is clean and concise and will make finding information on the site simple.

I don't think I am going to post any actual designs because that would ruin the surprise! I can tell you we are targeting July 1 to have the new site up and running.

The team at Nechtan has been hard at work and we look forward to being able to give more updates next week once the details of the new site have been finalized.

Angela Cymbalak
Nechtan Design
http://www.nechtan.org

Monday, May 28, 2007

Go ahead " Break my Heart"

Show me the video , click here.

Sunday, May 27, 2007

Molecular Pathology Tests

Most of us in the Gulf send our samples to be tested in the West. I would like to change this.
I have set up a state of the art Laboratory for molecular oncology in the University of Kuwait, Faculty of Medicine and we perform routinely the following tests.
For Breast Cancer: Her2/Neu amplification by FISH (FDA Approved), BRCA1 and BRCA2 mutation analysis
FOR Colorectal Cancer: Hereditary Poliposis coli screen (MLH1,MSH2,MSH6, Immunohistochemistry, allelotyping and sequencing)Prediction of metastasis tests using genome-wide scans and RKIP
For Bladder Cancer: Multi-signal FISH a non-invasive highly sensitive test for the early detection of Bladder Cancer. The test is designed to detect aneuploidy for chromosomes 3, 7, 17, and loss of the 9p21
Fluorescent in Situ hybridisation and Real-Time PCR for Lymphomas and leukemias (you request the translocation and will do it)
Comparative Genomic Hybridisation and microarray CGH to detect chromosomal copy number changes in cancersAs the tests are very expensive in the West we have cut our costs significantly and will be willing to offer the tests at cost price.If you wish to use our services please contact me through the contact in the Web-site: http://www.al-mulla.org
This is my laboratory at The Faculty of Medicine
Thanks GulfOncology for this nice Forum.

Yet. Another Cancer Centre. My Thoughts

It is always good news to hear about yet another "State of the Art" cancer center. However, few thoughts to keep in mind; the incidence and prevalence of cancer in the Arab Gulf States doesn't necessitate a large number of these centers. Equal if not more funding should be directed towards cancer screening, prevention, research and public education. Schools of Public Health are non-existent in the Middle East. Such schools aim to graduate epidemiologists, statisticians, researchers and public health workers who will have a bigger impact on cancer and other chronic diseases than all cancer centers combined. The caveat of such schools, is they are not money generating. However, their graduates and their research will save millions of lives and billions of Dollars.

During my visit to Dubai Healthcare City, I saw a mushroom cloud of clinics, polyclinics, centers and hospitals affiliated to Cleveland, Mayo, Harvard and so on. What was disappointingly missing is a Public Health School whose goals and aims are to study non-communicable diseases such as diabetes, heart disease, obesity and cancer. These schools with adequate funding and staff will improve quality of life of the population in geneal, the well and the sick. I suggested that a lot of land be dedicated to such a school. That, the WHO/IARC be inivited to start a science tower dictated to humanity.

$ 2.7 bn Cancer Centre for ME

by Dylan Bowman on Monday, 21 May 2007
A consortium plans to invest up to AED 10 billion ($2.7 billion) to build a specialist cancer hospital in the Middle East fronted by Kylie Minogue.

Sheikh Samir Mirdad, the prominent multi-millionaire businessman recently connected with the takeover of English football club Leeds United, said he was advising the consortium and has recommended they build the facility, Khaleej Times reported.

He claimed a full return on investment was expected after five years of operation.
Sheikh Mirdad said pop sensation and cancer sufferer Kylie Minogue and 1970s singer Cat Stevens were being considered as potential board members.

The consortium is currently looking for a location to build the facility, and Sheikh Mirdad said Dubai was one of the cities under consideration.

The hospital will include surgery, chemotherapy and radiotherapy facilities, as well as a call centre to provide information to the public on cancer detection and prevention.

"The clinic would have the best treatment for various types of cancer from all over the world," Sheikh Mirdad told Khaleej Times.

He said an initial investment of between AED 5 billion ($1.36 billion) and AED 8 billion ($2.18 billion) could see the hospital completed by next year, including extra facilities such as clinics for plastic surgery and anti-aging, as well as two rehabilitation units.

The rest of the AED 10 billion, he said, would pay for future expansion into areas such as heart problems and diabetes.

Alami Consulting

Saturday, May 26, 2007

Oman Ministry Releases Cancer Report


MUSCAT The Ministry of Health recently released its annual report for 2005 on the incidence of cancer in the Sultanate, which will be the foundation to create a database on cancer.
According to the report, there were 876 cancer cases among Omanis in 2005 with 464 male and 412 female cases. The common cancer cases in the Sultanate are stomach and breast cancer as well as leukaemia and lymphoma.
Nabil Bin Hamoud Al Siabi of the National Cancer Registry prepared the report. “The information contained in the report constitutes an essential base for any national programme to combat cancer. The report provides directions and guidance on the proper ways to combat cancer if followed effectively and efficiently,” he said. “As is known, the national programme for the fight against cancer is considered a public health programme that provides a national strategy based on the realities of the causes of cancer and elements to control it.”
These elements include prevention, early detection, diagnosis and treatment. The report also outlines cancer research and monitoring of cancer in the Sultanate. This will help to reduce the occurrence of cancer, mortality and contribute to reducing the suffering of cancer victims.
The report indicated that there were 54 cancer cases in non-Omanis apart from the 876 Omani cases. Stomach, prostate cancer, leukaemia and lymphoma were the most common among males, while breast, thyroid, stomach, and lymphoma were common among females. In all, 25 per cent of children’s cancer cases are cases of leukaemia.

For Oman's cancer incidence please visit http://www.moh.gov.om/nv_menu.php?fNm=reports/report.htm

Alami Consulting

Friday, May 25, 2007

Welcome to Dr Fahd Al-Mulla

Dr Al-Mulla who is an associate professor and head of molecular pathology unit at Kuwait University, has kindly agreed to join our blog. His lab offers molecular pathology studies of common cancers in the Gulf Arab States. Further, genomics and proteomics profiling of cancers is becoming a common addendum to pathology reports , in addition to the TNM staging. For example, determine microsatellite status is frequently being used to sub-classify colorectal cancers. Further understanding of the molecular pathogenesis of cancer aids in tailoring chemotheraputic drugs and allow for better surveillance. I look forward to Dr Al-Mulla's input. His contact information:

Dr. Fahd Al-Mulla B.Sc., M.B., Ch.B., Ph.D.
Associate Professor and Head of Molecular Pathology Unit.
Department of Pathology
Faculty of Medicine
Kuwait University
P.O.Box 24923, Safat 13110, Kuwait
Email:fahd@al-mulla.org
Tel: +965 4986233
Fax: +965 5338905

Dubai: A Ban on Smoking in Public Places .

Bravo for the government of Dubai to institute a ban on smoking in public places. I visited the city few times and I couldn't take my children into malls because of the smog inside. As readers know, the country of Ireland, which prides itself in the number of pubs , has recently banned smoking in public places. If the pubs' culture of Ireland can implement such a ban, then I'm positive that Dubai can. Who's next? Egypt!

World No Tobacco Day is "Critically Important" for the Middle East

This year's World No Tobacco Day (May 31, 2007), the annual event sponsored by the World Health Organisation, is critically important for the Middle East region, according to health experts and legislators. The aim of the day is to increase awareness globally about the dangers of tobacco use, to encourage governments to strictly regulate tobacco products and to get individuals to quit tobacco use.

According to the World Health Organization, every eight seconds a person dies of a smoking-related disease. Deaths from cancer, heart attacks, lung diseases and complications of pregnancy caused by tobacco are set to double. Tobacco use currently kills five million a year and the death toll will rise to 10 million by the 2020s, unless urgent action is taken now.
No smoking symbol

One of the major areas of focus of the campaign in the Middle East will be sheesha or water-pipe smoking. With the introduction of fruit, honey and herb-flavoured tobacco, sheesha usage is increasing in popularity among young people, women, families, including children, and on college campuses.

Many assume it is safe because the smoke passes through water. However, serious lung disease, cancer (oral and bladder) and addiction are linked to water-pipe smoking. Women who use water-pipes during pregnancy face an increased risk of having babies with low birth weight.

The different forms of tobacco are all deadly. On World No Tobacco Day, the WHO plans to issue a call to governments to strictly regulate the manufacture, sale and use of all tobacco products - traditional, new, and even future.

The UAE is taking a lead in this area with the announcement that public departments in Dubai will become smoke-free from May 31, which coincides with World No Tobacco Day.

When smokers inhale a lit cigarette, nicotine within seconds reaches the brain and binds to a nicotinic receptor which activates the reward pathway in the brain's circuit. This creates a powerful sense of satisfaction. The initial effects recede quickly and a cycle of craving and withdrawal ensues.

Alami Consulting
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Wednesday, May 23, 2007

SIOP-Asia Continental Conference

Dear Mr. Alami
I wish to take this opportunity to express my deep appreciation and many thanks for the continous valuable information on Oncology activities in the region and abroad.
You may be aware that the next SIOP-Asia continental Conference will be held in Muscat Oman on Feb 2008. This is a biennial meeting; for the 1st time held in an Arab Middle Eastern country.
For more information you can visit our website at: www.infomedweb.com/ourevents/SIOP2008
I sincerely believe that such a Mega Educational Event will immensely improve care and thus outcome and quality of life for our young Cancer Sufferers However this can only be achieved with the necessary support of members like yourself. I would therefore like to encourage more participation from colleagues in the region and also to extend an invitation to you.
With Kind Regards
Zakia Al-Lamki MB.ChB; FRCP; FRCPCH
Associate Professor
Consultant-In Charge; Pediatric Hematology/Oncology
Sultan Qaboos University
Oman

Tuesday, May 22, 2007

Think Pink for a Cause



The annual Think Pink Ladies Charity Golf Day
became the largest ever ladies-only golf
tournament in Bahrain, when 100 women took part in
the Texas Scramble tournament in aid of the
Bahrain Breast Cancer Society. The tournament raised
more than BD4,000. One hundred women, dressed in
pink teed off at Riffa Golf Club. Organised by Think Pink a charity which raises money for the Bahrain Cancer Society (BCS), the event aimed to raise awareness about breast cancer among.
Founder of the organisation, Jules Sprakel said: “Think Pink is all about awareness – when you’re educated it’s the best possible prevention.”
Ms Sprakel set up the organisation three years ago after both her mother and grandmother were diagnosed with cancer and she experienced two breast cancer scares.
Since setting up Think Pink in 2005 the organisation has raised a total of BD30,000.
Eve Hunter, 55, a retired teacher who competed in the tournament with three friends said: “A very good friend of mine died at 39 of breast cancer, and a colleague’s daughter who is 26 has breast cancer. So it’s a very worthwhile cause to support.”

Alami Consulting
alami@alamiconsulting.org

Premier to Patronize Charity Event

Kuwait - The Children's Cancer Center of Lebanon (CCCL) will hold here on June 8 a charity event to gather donations under auspices of His Highness Prime Minister Sheikh Nasser Mohammad Al-Ahmad Al-Sabah.

Regional Manager of the CCCL Dr Nasib Nasr thanked His Highness for the "generous sponsorship" of the event, to be held for the third consecutive year.

CCCL treatment programs are very vital for children with cancer for cost of treatment reaches up to $ 30,000 annually. Treatment lasting one to three years is very expensive for families of these children.

A detail list would be provide to the donating person or party, indicated Nasr, who said that all donations would be used for treating Lebanese and Arab children.

The center is located at the American Hospital in Beirut. It provides free cancer treatment for patients until they reach age 20.

The CCCL receives 75 cases on annual basis. Chances of patients being cured reach as high as 80 percent, said Nasr.
The Lebanese official indicated that the Israeli aggression on Lebanon last summer had a grave impact on the CCCL services, saying that the income of the center would face a sever decrease by USD two million due to the cancellation of several charity events in Lebanon


Alami Consulting
alami@alamiconsulting.org

Wednesday, May 16, 2007

Member from Sudan

Good to hear from Assim Awad from Sudan. He is a fourth year student at Faculty of Medicine, Gezira Univrsity. The revised website will have the option for viewers to submit relevant articles to be added to our library.

Updated gulfoncology

I met with Angie today, all is going well with planning for the new look of gulfoncology.org. Angie will be posting her progress every Tuesday. We hope that the revised website will be ready by end of July.

Sunday, May 13, 2007

Meeting with webmaster

I'll be meeting with Angie, the new webmaster for this website. Next week , we will finalize the look and organization of the new gulfoncology.org. I want to have a clean, sleek look. Some items will be removed due to lack of use, while others will be further expanded. Viewers' comments are welcome.

Monday, May 7, 2007

This is what an author can do.

This is perfect. I can add a post but I cannot change the look of the blog at all.

In The Begining

May 5,2007
I'm starting this blog for gulfoncology.org visitors. I have asked Mr Abdullah Al-alami for his assistance. My hope is that him and others will use this blog to publicize cancer news related to the Arab Gulf States. Other news from the rest of the Arab World are also welcomed. Please join us in making this a success.