Sudden change from hot to cold can harm health



DUBAI //The sudden change in temperature from extreme hot to cold can have a serious effect on people who have a history of cold-related disorders.

Doctors say managers of malls, offices, public buildings, mosques and even hospitals, which sometimes record temperatures as low as 19°C, have a responsibility to ensure that the inside of their establishments is not unhealthy.

"Extreme and sudden variance between outside and inside temperatures has adverse effect on body as it undergoes a certain amount of stress when it is forced to go from a boiling hot environment into an air-conditioned one", said Dr Aamerah Shah, a primary care specialist at the American Hospital Dubai.

"It dries off your skin, the mucus membrane and the eyes. We see patients who say they went to the malls or their offices and it was extremely cold. Eye infections, respiratory infections and muscular spasms are caused by this change in temperature," Dr Shah said.

She treats several patients each month for asthma attacks, runny noses, muscular pain, flu, pharyngitis, sinusitis, cold, sore throat, muscular aches and severe pains, all mostly the result of air conditioning.

Dr Shah said the recommended temperature should be between 23°C and 25°C to prevent susceptibility to ailments and ensure healthy living.

Another medical expert said low temperatures can exacerbate medical conditions of existing patients.

"These extreme differences from outside to inside might affect the human body," said Dr Tarek Abdul Hadi Azeem, a professor and consultant of internal medicine at Al Noor Hospital in Abu Dhabi.

"The change in temperature can exacerbate coronary heart diseases, vascular cardiac, vascular brain diseases and peripheral vascular [artery and vein] diseases.

"The condition of people with respiratory diseases might also worsen. I always advise patients to switch their air conditioners off when possible and avoid being exposed to low temperatures."

Another doctor said the hospital where she worked set the temperature sometimes as low as 19°C, which was unhealthy for patients and medical practitioners.

A prominent hospital whose inside temperatures The National gauged with a thermometer recorded about 22.5°C at 11am on a Wednesday.

"It is too cold for the patients," said the doctor. "It is something that all hospital administrations should look into. The temperatures of all buildings including hospitals should be monitored closely. If offices and hospitals are too cold, they should let the management know."

Dr Azeem agreed: "Many patients are sick, they might fall more ill. Hospitals should pay attention as they are providing health care. They have a responsibility. Even mosques are so cold. No place should be very cold."

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The initiative focuses on converting real estate assets into digital tokens recorded on blockchain technology and helps in streamlining the process of buying, selling and investing, the Dubai Land Department said.

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”