Cancer ”The incidence of breast cancer is on the rise in the Middle East and North Africa. ”Diabetes is skyrocketing in the Middle East and North Africa, rising 87% between 1990 and 2012.” – Kyu Rhee, Chief Health Officer IBM. Here are five cultural differences in thinking and perception between the East and West. Living Day by Day: The Meaning of Living With HIV/AIDS Among Women in Lebanon. -, Science. -, Soc Sci Med. However, a communicable disease – lower respiratory infections – remains the second leading cause of healthy years lost in the region. NIH The few statistics coming out of certain Arab countries (e.g. It documents how the region has succeeded in reducing disease burden from many communicable, newborn, nutritional, and maternal conditions. Lebanon and Egypt) confirm this fact.  |  Diagnostic symptoms for PTSD include recurrent experiencing of the initial traumatic event (s) through flashbacks or … -. The Middle Eastern diet falls under the category of a Mediterranean diet, which incorporates the foods and cuisines of the countries bordering the Mediterranean Sea. Traditional food safety practices in the region are inadequate. 1977 Jan;11(1):3-10 Cross-cultural communication in the physician's office. Building on the success of GBD 2010, IHME is expanding its network of researchers from around the world with expertise in specific diseases, injuries, and risk factors. It is these popular healing traditions and their connection to Islam that represent the substance of this brief essay. The same principle is in full force in the Middle East. According to the American Psychological Association (APA), depression is the most common mood disorder, characterized by feelings of sadness and loss of interest. MERS can be fatal in approximately one-third of cases. There are guidelines that will provide an understanding of the cultural characteristics of Middle Easterners and, therefore, will improve rather than impede their health care. access to housing or a job), and structural discrimination, which describes disad… “The rapid shifts in disease burden place poor people in low- and middle-income countries at high risk of not having access to appropriate services and incurring payments for health care that push them deeper into poverty,” said Timothy Evans, Director of Health, Nutrition and Population at the World Bank Group. NLM In the middle eastern culture, their way of interpreting illnesses was: Supernatural forces and evil spirits. •“In-Group”-Make statements that show an appreciation of the culture, “Tell me about your culture, I love learning about other cultures”. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. People may feel worried, low, worthless, and frequently sad. Anxiety and depression are much more common and affect at least 10% of the population. Bonmatí-Tomas A, Malagón-Aguilera MC, Gelabert-Vilella S, Bosch-Farré C, Vaandrager L, García-Gil MM, Juvinyà-Canal D. Int J Equity Health. These concepts are a running thread through many eastern and western cultural differences. “At the same time, poorer countries in the region, including Yemen, Djibouti, and Iraq, continue to struggle with a high burden from communicable diseases.”. “Countries in the Middle East and North Africa must act quickly to address the public health and economic threat posed by uncontrolled high blood pressure, obesity, and eating too little fruit and too much salt,” said Ali Mokdad, Director of Middle Eastern Initiatives at IHME. Well-equipped and well-staffed for a relatively small population, there are around 70 hospitals and 150 clinics, making up a competent health care infrastructure. Data and research help us understand these challenges and set priorities, share knowledge of what works, and measure progress. Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. By and large, cultures in the West tend to be more individualistic whereas people from the East are more collectivist. Your feedback is very helpful to us as we work to improve the site functionality on worldbank.org. Potentially preventable risk factors such as poor diets, high blood pressure, high body mass index (an indicator of obesity and overweight), and smoking are contributing to the growing burden of non-communicable diseases in the region. When either side seemed to be developing helpful acolytes around the world, the other side sought to disrupt the developing or ongoing relationships in question. As people live longer, the major public health threats are shifting from diseases that primarily cause death in children, including lower respiratory infections and diarrhea, to disabling causes such as low back pain and depression The Middle East and North Africa region of the World Bank has a new health sector strategy which focuses on the creation of fair and accountable health systems as a means to protect the health of the population. -, J Biosoc Sci. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. We provide a wide array of financial products and technical assistance, and we help countries share and apply innovative knowledge and solutions to the challenges they face. Although Middle Easterners vary ethnically, they do share a core of common values and behavior that include the importance of affiliation and family, time and space orientations, interactional style and attitudes toward health and illness. Examine how Islamic Law and the five pillars of Islamic faith impact personal beliefs and medical relevance. Cultural expressions affecting patient care. Jewish food and Arab food are slightly different, with some crossovers. Tools in Dealing with Middle Eastern Patients and Families •Ask Questions to understand personal beliefs and behaviors. -, Soc Sci Med. The United Arab Emirates’ health care system has a good ratio of doctors (2.5 per 1000 population) and is financed by a healthy $1600 per capitaper year. Medical Care in Palestine: Working in a Conflict Zone. Historically prophetic me… Post-traumatic stress syndrome (PTSD) is, unfortunately, common in the Middle East due to the myriad conflicts experienced by people in the region. The World Bank commissioned the first Global Burden of Disease analysis as part of its World Development Report 1993. eCollection 2016 Jan-Dec. Shishehgar S, Gholizadeh L, DiGiacomo M, Davidson PM. 1968 Sep;2(3):235-48 National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Through this broader network, IHME hopes to strengthen the country-level assessments that are produced and make GBD updates more frequent. This publication also explores the different diseases that cause substantial disability in the Middle East and North Africa, such as low back pain, major depressive disorder, iron-deficiency anemia, anxiety disorders, and diabetes. We face big challenges to help the world’s poorest people and ensure that everyone sees benefits from economic growth. Poor diet and excessive consumption of chicken In the Middle Eastern region, excessive consumption of chicken and a poor diet also leads to increased female health problems. Eating disorders do not discriminate based on geographic location, and the problematic issue of eating disorders has a global spread.  |  The report is based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010), a collaborative effort of researchers from 50 countries around the world led by IHME at the University of Washington. Jan. 15, 2021. We believe that health issues impact on a wide range of economic and functional aspects of any economy which go way beyond the traditional view that health means hospitals. Improving health is integral to achieving these goals. Urbanization, history and religions have been affecting the traditional food safety practices in the Middle East. Cultural diversity at the end of life: issues and guidelines for family physicians. Violation of a taboo. Salutogenic health promotion program for migrant women at risk of social exclusion. But the rise of chronic diseases, diet-related risk factors, and deaths from road injuries during the same period threatens that progress. Will you take two minutes to complete a brief survey that will help us to improve our website? A personal approach and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. “Responding to the changing burden of disease in the Middle East and North Africa, the World Bank has launched a new health sector strategy – Fairness and Accountability: Engaging in Health Systems in the Middle East and North Africa (2013-2018). While generalizations of Middle Eastern culture are readily apparent, some variation and extremes are found within the geographical area known as the Middle East. 1977 Apr 8;196(4286):129-36 According to DSM-V (Diagnostic and Statistical Manual for Mental Disorders), professionals diagn… ... up becomes tremendously distressing and difficult due to the incorrect ideologies when it comes to discussing mental health issues. Environmental and Social Policies for Projects, The Global Burden of Disease: Generating Evidence, Guiding Policy: Middle East and North Africa Regional Edition, Global Burden of Diseases, Injuries, and Risk Factors Study 2010, https://www.healthmetricsandevaluation.org/search-gbd-data, Global Burden of Disease: Generating Evidence, Guiding Policy, Lower respiratory infections: 47% decrease, Preterm birth complications: 23% decrease, High fasting plasma glucose: 66% increase, Physical inactivity: percentage change unavailable due to lack of data, Ambient particulate matter air pollution: 4% increase. The Middle East has several traditional food safety practices issues. Ethnic elders and American health care--a physician's perspective. “The Middle East and North Africa is undergoing a rapid transition toward diseases that dominate in the US and Western Europe, such as heart disease, depression, and diabetes,” said Dr. Christopher Murray, IHME Director and one of the lead authors on the GBD study. Despite the variety of health challenges seen in different income groups, almost all countries in the Arab world experienced increases in life exp… 1969 Dec 19;164(3):871-80 Lebanon’s challenges are hardly unique in the Middle East. (1) Stigma often leads to discrimination, or the inequitable treatment of individuals and the denial of the rights and responsibilities that accompany full citizenship. You have clicked on a link to a page that is not part of the beta version of the new worldbank.org. USA.gov. The report identifies trends in the risk factors that account for the most death and disability in the region. (2) Stigmatization can cause individual discrimination, which occurs when a stigmatized person is directly denied a resource (e.g. Dimens Oncol Nurs. Statistics indicate that the frequency of most mental disorders does not vary much from country to country around the world. The focus of this article is to review some of the major challenges for controlling foodborne outbreaks, traditional food products and food safety practices in the region. Both sides had acolytes – ours largely in Western Europe, the Soviets’ in Eastern Europe. Thank you for agreeing to provide feedback on the new version of worldbank.org; your response will help us to improve our website. Am Fam Physician. 2005 Feb 1;71(3):515-22. 1978 Oct;10(4):347-51 However, when this feeling consistently lasts over a certain length of time, it turns in to clinical depression. WASHINGTON, September 4, 2013 - In the Middle East and North Africa region, non-communicable diseases such as heart disease (up by 44%), stroke (up 35%), and diabetes (up 87%) are causing more premature death and disability than they did in the past. A 2006- 2007 survey that the Iraqi government 5 Cultural Differences between East and West 1. Anyone can search by condition or country on the IHME website at https://www.healthmetricsandevaluation.org/search-gbd-data. Serious foodborne outbreaks reported in recent years caused by homemade, street, catering and restaurants foods are emerging health threats. According to a 2001-2003 World Health Organization (WHO) survey, nearly one out of five Lebanese suffer from mental illness—yet only four percent of those seek treatment. The World Bank Group is a vital source of financial and technical assistance to developing countries around the world, with the goals of ending extreme poverty and boosting shared prosperity. As people live longer, the major public health threats are shifting from diseases that primarily cause death in children, including lower respiratory infections and diarrhea, to disabling causes such as low back pain and depression. Bank officials saw how Global Burden of Disease analysis could be applied to the Bank’s work in specific countries and began working with IHME on six regional reports. Major risk factors for causes such as heart disease, stroke, and diabetes, including poor diet, high blood pressure, and high body mass index, were the top three contributors to disease burden in the region, and each increased by more than 50% between 1990 and 2010. Would you like email updates of new search results? doi: 10.2196/14646. “Implementing policies to encourage healthy eating as well as expanding screening and treatment for high blood pressure can save lives and reduce health care costs in the future.”. Employing personnel trained in Europe, India, Pakistan, Middle Ea… Current Health problems Ischemic heart disease prevalent due to genetic, environmental and lifestyle causes. SEATTLECountries in the Arab world from Saudi Arabia to Mauritania to Yemen have made some significant health gains over the past two decades, including increases in life expectancy and swift reductions in child mortality. The Bank Group provides financing, state-of-the-art analysis, and policy advice to help countries expand access to quality, affordable health care; protect people from falling into poverty or worsening poverty due to illness; and promote investments in all sectors that form the foundation of healthy societies. Ann N Y Acad Sci. Research suggest that chicken and boilers are dangerous for female reproductive health as they imbalance women’s hormones and leads to serious mental illness. Clipboard, Search History, and several other advanced features are temporarily unavailable. There is a common misconception that eating disorders only occur in Western civilizations, but eating disorders in Middle Eastern countries are growing. 2019 Sep 3;18(1):139. doi: 10.1186/s12939-019-1032-0. 5) Use of community health workers 6) Culturally competent health workers 7) Ili f f il d/ it bInclusion of family and/or community members 8) Immersion into another culture 9) Administrative and organizational accomodations Brach & Fraser, 2000 How to create a webinar that resonates with remote audiences; Dec. 30, 2020. Understanding these differences is essential for building bridges between the two cultures, but also to improve business, diplomatic, and humanitarian relationships. It also appears in Arab women on average at least 10 years earlier than it does in women in Europe or the United States. Kaplan RL, Khoury CE, Field ERS, Mokhbat J. Glob Qual Nurs Res. Imbalancde between man and nature. Some common street foods include falafel and shwarma, which can be found in virtually any Middle Eastern country. The Mediterranean diet has garnered praise for its role in keeping the body healthy and staving off chronic disease, especially cardiovascular problems. There is no reason to believe that Arab countries are any different. The World Bank Group works in every major area of development. Application information is available here. Lebanon commemorated World Mental Health Day this month, but the Lebanese have little to celebrate. By Tala Kanj Posted in Commentary Culture Feature Middle East Society. It is available here: www.worldbank.org/mena/health-strategy, https://menablog.worldbank.org/blood-pressures-boiling-mena, https://menablog.worldbank.org/arab-world-ailments-ill-served, https://menablog.worldbank.org/surprising-rates-depression-among-mena%E2%80%99s-women, The World Bank Group and Health, Nutrition, and Population. Earlier this year, IHME presented GBD 2010 findings in meetings hosted by the World Bank. Unit 1 – (Basic) Introduction of Culture and Patient Care Review history of Muslim people in the United States and Michigan . These are some of the findings published September 4 by the World Bank and the Institute for Health Metrics and Evaluation (IHME) in a report titled The Global Burden of Disease: Generating Evidence, Guiding Policy: Middle East and North Africa Regional Edition. Before you leave, we’d love to get your feedback on your experience while you were here. Compare how Western beliefs influence cross cultural understanding between Muslim/Middle Eastern patients and medical providers. HHS “The data in these new reports are critical inputs to the efforts of policymakers in countries towards universal health coverage that aim to improve the health of their people, communities, and economies.”. Travelers' diarrhea, the number one illness in travelers, can be caused by viruses, bacteria, or parasites, which can contaminate food or water. Mental illness stigma is defined as the devaluing, disgracing, and disfavoring by the general public of individuals with mental illnesses. In the Middle East and North Africa, the leading causes of premature death and disability and their percentage changes between 1990 and 2010 were: In the Middle East and North Africa, the top 10 risk factors for premature death and disability and their percentage changes between 1990 and 2010 were: Detailed findings for the Middle East and North Africa and each country in the region are available online in a series of country profiles and data visualization tools. This site needs JavaScript to work properly. Although pharaonic medicine and later yunāni medicine were extremely important literate medical traditions in this region of the world, this essay begins with a brief history of prophetic (Islamic) medicine, which arose during the period following the Prophet Muḥammad's death in 632 ce and which still represents an extremely influential healing tradition throughout the region. The impact of migration on the health status of Iranians: an integrative literature review. Punctuality is less important in the Middle East than in the United States. Cross cultural issues in adolescent medicine. Middle East Respiratory Syndrome (MERS) Middle East Respiratory Syndrome (MERS) is present throughout the Middle East and causes serious respiratory problems, with children and the elderly particularly at risk. American culture is low in context; the emphasis is on the verbal message and less so on the context in which the message is given. When comparing rates of diseases and injuries across countries in the Middle East and North Africa and taking into account differences in population growth and ages, Lebanon, Syria, and Tunisia performed best relative to other countries in the region while Iraq, Yemen, and Djibouti performed the worst. A Middle Easterner needs to know more about another person than an American does for a relationship to develop. The issue in the Arab world is more to do with stigma and ignora… The Institute for Health Metrics and Evaluation. Issues in health care of Middle Eastern patients Juliene G. Lipson University of California - San Francisco, ... they do share a core of common values and behavior that include the importance of ... and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. Prezi’s Big Ideas 2021: Expert advice for the new year Global data and statistics, research and publications, and topics in poverty and development. 2020 Mar 9;22(3):e14646. Blog. Among countries in the region, the leading causes of disease burden were as diverse as preterm birth complications in Algeria and Palestine, depression in Jordan, and ischemic heart disease, or coronary artery disease, in Egypt, Iran, and Lebanon. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues.  |  Serious foodborne outbreaks reported in recent years caused by foods are emerging health threats. With 189 member countries, staff from more than 170 countries, and offices in over 130 locations, the World Bank Group is a unique global partnership: five institutions working for sustainable solutions that reduce poverty and build shared prosperity in developing countries. 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