The accounts of British Iraqi doctors reflect the turmoil and trauma in the National Health Service as it struggled to cope with the rampant spread of Covid-19 in the UK despite shortcomings.
“I think that you cannot be prepared for this. Even if you go back, you can never be prepared for it,” said Raya Al Mashta, an anaesthetist at Ealing Hospital in north-west London.
Soon after the outbreak began, the hospital posted Dr Al Mashta to its intensive care unit, which she described as being “on the front line of the front lines”.
"If you ask me how I feel I would need a dictionary to tell you," she told The National, adding "it's been disastrous".
Dr Al Mashta said this was the first time she had been able to speak about the crisis after the emotional pressures and stress, something many health workers have experienced.
“The age group of 35-60 was the most difficult to deal with because they look you in the eyes and ask you, ‘do you think I’m going to die? Will I wake up?’. It was difficult,” she said.
More than 33,000 Covid-19 patients have died in the UK so far, with number of reported cases passing 233,000 on Friday.
Afraa Al Sabbagh, a paediatrician at North-West Anglia NHS Foundation Trust, said doctors and nurses were experiencing increasing levels of distress.
“Doctors are anxious at different levels, senior and junior, because we don’t know much about the virus,” said Dr Al Sabbagh, who caught the virus but recovered.
She compared the situation to her early years of practice in Iraq, when international sanctions on Saddam Hussein’s regime crippled the healthcare system.
"This led to a testing time which was very restricted, worrying and pressured, with a healthcare system that had strains on its workforce and resources," said Dr Al Sabbagh, who moved to the UK in 1997.
While some doctors who spoke to The National lamented British government's slow response to the pandemic and the state of the country's severely underfunded health system, Dr Al Sabbagh appreciated its efforts.
"We have scientists working on producing research and treatments and a competent workforce to be grateful for," she said.
But other health workers say they have struggled to deal with the pandemic and surge of patients without adequate support from the government.
Delayed response
“We knew about the virus back in December, we saw what was happening in Italy and elsewhere with the lockdowns, yet the government decided to continue as normal and delay a lockdown,” said Ahmed Twaij, an NHS doctor treating patients in intensive care.
Dr Twaij said the NHS had experienced 10 years of austerity and cuts that allowed it to collapse.
“We haven’t been able to afford the best practices for patients for a long time and coronavirus just brought that into the limelight.”
Wisam Ali, a consultant in neuroanaesthesia at King's College Hospital in London, agreed that government could have locked people down earlier.
“I don’t think they appreciated Covid-19's full intensity until it was a bit late and that’s why you see so many cases – not just in the UK but around the world too,” he said.
Dr Ali is concerned about the shortage of protective equipment such as face masks, visors and gowns despite government promises to solve the problem.
"They give you one mask from the morning until the evening,” he said. The kits are meant to be "disposable but we can't dispose of them because there isn't much replacement.”
Testing failure
A lack of testing facilities contributed to the rapid spread of the virus, according to an Iraqi NHS doctor who contracted the infection himself.
“Even if the patients were in hospital, you would have to call 111 and explain the symptoms of what they were going through,” said the doctor, who asked not to be named.
The process would take hours, he said. “During that time, you do not know if the patient has the virus or not – they could be sat in an open bay. And this was before the whole thing kicked off.”
Seiver Karim, surgical trainee at a hospital in East England also contracted the virus, said that not knowing initially whether he had it or not was one of the hardest things he experienced.
“I would have liked a test at the time but there was information going around that even if you had one done it could have been a false negative – meaning that you still could have it,” Dr Karim said.
The NHS was fully aware of the risks doctors were taking, he said.
“There is a risk that when you leave your house you could also get it, but there is an increased risk when we are at the hospital,” said Dr Karim.
Health Secretary Matt Hancock promised to increase the number of tests to 100,000 a day by the end of April. The government managed to log 122,347 tests on 30 April, but the target was missed for eight consecutive days before being reached again on May 10.
Difficult choices
Faced with a flood of coronavirus cases, hospitals postponed treatments for thousands of other patients. Many were discharged from hospital and private health operators were enlisted to help the NHS cope with the crisis.
Doctors now face extra pressure in dealing with such patients, said Maryam Hassan, a clinical general practitioner.
“If I want to assess someone who has a non-Covid issue, I would now have to think about the resources we have and what is safe to delay and what needs investigation now,” she said.
Dr Hassan cited the example of a patient showing signs of cancer, where not sending not sending them to a hospital could delay a proper diagnosis, but sending them for tests could put them at risk contracting the virus from the hospital.
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Tearful appearance
Chancellor Rachel Reeves set markets on edge as she appeared visibly distraught in parliament on Wednesday.
Legislative setbacks for the government have blown a new hole in the budgetary calculations at a time when the deficit is stubbornly large and the economy is struggling to grow.
She appeared with Keir Starmer on Thursday and the pair embraced, but he had failed to give her his backing as she cried a day earlier.
A spokesman said her upset demeanour was due to a personal matter.
MATCH INFO
Borussia Dortmund 0
Bayern Munich 1 (Kimmich 43')
Man of the match: Joshua Kimmich (Bayern Munich)
More coverage from the Future Forum
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UAE'S%20YOUNG%20GUNS
%3Cp%3E1%20Esha%20Oza%2C%20age%2026%2C%2079%20matches%0D%3Cbr%3E%0D%3Cbr%3E2%20Theertha%20Satish%2C%20age%2020%2C%2066%20matches%0D%3Cbr%3E%0D%3Cbr%3E3%20Khushi%20Sharma%2C%20age%2021%2C%2065%20matches%0D%3Cbr%3E%0D%3Cbr%3E4%20Kavisha%20Kumari%2C%20age%2021%2C%2079%20matches%0D%3Cbr%3E%0D%3Cbr%3E5%20Heena%20Hotchandani%2C%20age%2023%2C%2016%20matches%0D%3Cbr%3E%0D%3Cbr%3E6%20Rinitha%20Rajith%2C%20age%2018%2C%2034%20matches%0D%3Cbr%3E%0D%3Cbr%3E7%20Samaira%20Dharnidharka%2C%20age%2017%2C%2053%20matches%0D%3Cbr%3E%0D%3Cbr%3E8%20Vaishnave%20Mahesh%2C%20age%2017%2C%2068%20matches%0D%3Cbr%3E%0D%3Cbr%3E9%20Lavanya%20Keny%2C%20age%2017%2C%2033%20matches%0D%3Cbr%3E%0D%3Cbr%3E10%20Siya%20Gokhale%2C%20age%2018%2C%2033%20matches%0D%3Cbr%3E%0D%3Cbr%3E11%20Indhuja%20Nandakumar%2C%20age%2018%2C%2046%20matches%3C%2Fp%3E%0A
Explainer: Tanween Design Programme
Non-profit arts studio Tashkeel launched this annual initiative with the intention of supporting budding designers in the UAE. This year, three talents were chosen from hundreds of applicants to be a part of the sixth creative development programme. These are architect Abdulla Al Mulla, interior designer Lana El Samman and graphic designer Yara Habib.
The trio have been guided by experts from the industry over the course of nine months, as they developed their own products that merge their unique styles with traditional elements of Emirati design. This includes laboratory sessions, experimental and collaborative practice, investigation of new business models and evaluation.
It is led by British contemporary design project specialist Helen Voce and mentor Kevin Badni, and offers participants access to experts from across the world, including the likes of UK designer Gareth Neal and multidisciplinary designer and entrepreneur, Sheikh Salem Al Qassimi.
The final pieces are being revealed in a worldwide limited-edition release on the first day of Downtown Designs at Dubai Design Week 2019. Tashkeel will be at stand E31 at the exhibition.
Lisa Ball-Lechgar, deputy director of Tashkeel, said: “The diversity and calibre of the applicants this year … is reflective of the dynamic change that the UAE art and design industry is witnessing, with young creators resolute in making their bold design ideas a reality.”
Benefits of first-time home buyers' scheme
- Priority access to new homes from participating developers
- Discounts on sales price of off-plan units
- Flexible payment plans from developers
- Mortgages with better interest rates, faster approval times and reduced fees
- DLD registration fee can be paid through banks or credit cards at zero interest rates
The Book of Collateral Damage
Sinan Antoon
(Yale University Press)
The specs: 2018 Nissan Patrol Nismo
Price: base / as tested: Dh382,000
Engine: 5.6-litre V8
Gearbox: Seven-speed automatic
Power: 428hp @ 5,800rpm
Torque: 560Nm @ 3,600rpm
Fuel economy, combined: 12.7L / 100km
BACK%20TO%20ALEXANDRIA
%3Cp%3E%3Cstrong%3EDirector%3A%20%3C%2Fstrong%3ETamer%20Ruggli%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EStarring%3A%20%3C%2Fstrong%3ENadine%20Labaki%2C%20Fanny%20Ardant%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%20%3C%2Fstrong%3E3.5%2F5%3C%2Fp%3E%0A
KILLING OF QASSEM SULEIMANI
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BIGGEST CYBER SECURITY INCIDENTS IN RECENT TIMES
SolarWinds supply chain attack: Came to light in December 2020 but had taken root for several months, compromising major tech companies, governments and its entities
Microsoft Exchange server exploitation: March 2021; attackers used a vulnerability to steal emails
Kaseya attack: July 2021; ransomware hit perpetrated REvil, resulting in severe downtime for more than 1,000 companies
Log4j breach: December 2021; attackers exploited the Java-written code to inflitrate businesses and governments
FA%20Cup%20semi-final%20draw
%3Cp%3ECoventry%20City%20v%20Manchester%20United%C2%A0%3C%2Fp%3E%0A%3Cp%3EManchester%20City%20v%20Chelsea%3C%2Fp%3E%0A%3Cp%3E-%20Games%20to%20be%20played%20at%20Wembley%20Stadium%20on%20weekend%20of%20April%2020%2F21.%C2%A0%3C%2Fp%3E%0A
Stan%20Lee
%3Cp%3E%3Cstrong%3EDirector%3A%3C%2Fstrong%3E%20David%20Gelb%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%203%2F5%3C%2Fp%3E%0A
The specs: McLaren 600LT
Price, base: Dh914,000
Engine: 3.8-litre twin-turbo V8
Transmission: Seven-speed automatic
Power: 600hp @ 7,500rpm
Torque: 620Nm @ 5,500rpm
Fuel economy 12.2.L / 100km
RESULT
Arsenal 2
Sokratis Papastathopoulos 45 4'
Eddie Ntkeiah 51'
Portsmouth 0
THE SPECS
Engine: 6.75-litre twin-turbocharged V12 petrol engine
Power: 420kW
Torque: 780Nm
Transmission: 8-speed automatic
Price: From Dh1,350,000
On sale: Available for preorder now
The Sand Castle
Director: Matty Brown
Stars: Nadine Labaki, Ziad Bakri, Zain Al Rafeea, Riman Al Rafeea
Rating: 2.5/5
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The specs
- Engine: 3.9-litre twin-turbo V8
- Power: 640hp
- Torque: 760nm
- On sale: 2026
- Price: Not announced yet
How to protect yourself when air quality drops
Install an air filter in your home.
Close your windows and turn on the AC.
Shower or bath after being outside.
Wear a face mask.
Stay indoors when conditions are particularly poor.
If driving, turn your engine off when stationary.
Dust and sand storms compared
Sand storm
- Particle size: Larger, heavier sand grains
- Visibility: Often dramatic with thick "walls" of sand
- Duration: Short-lived, typically localised
- Travel distance: Limited
- Source: Open desert areas with strong winds
Dust storm
- Particle size: Much finer, lightweight particles
- Visibility: Hazy skies but less intense
- Duration: Can linger for days
- Travel distance: Long-range, up to thousands of kilometres
- Source: Can be carried from distant regions
RESULTS
5pm: Handicap (PA) Dh80,000 (Turf) 2,200m
Winner: Jawal Al Reef, Fernando Jara (jockey), Ahmed Al Mehairbi (trainer)
5.30pm: Handicap (PA) Dh80,000 (T) 1,600m
Winner: AF Seven Skies, Bernardo Pinheiro, Qais Aboud
6pm: Maiden (PA) Dh80,000 (T) 1,200m
Winner: Almahroosa, Fabrice Veron, Eric Lemartinel
6.30pm: Maiden (PA) Dh80,000 (T) 1,200m
Winner: AF Sumoud, Tadhg O’Shea, Ernst Oertel
7pm: Wathba Stallions Cup Handicap (PA) Dh70,000 (T) 1,200m
Winner: AF Majalis, Tadhg O’Shea, Ernst Oertel
7.30pm: Handicap (TB) Dh90,000 (T) 1,400m
Winner: Adventurous, Sandro Paiva, Ali Rashid Al Raihe
Biog
Age: 50
Known as the UAE’s strongest man
Favourite dish: “Everything and sea food”
Hobbies: Drawing, basketball and poetry
Favourite car: Any classic car
Favourite superhero: The Hulk original
Killing of Qassem Suleimani
Seemar’s top six for the Dubai World Cup Carnival:
1. Reynaldothewizard
2. North America
3. Raven’s Corner
4. Hawkesbury
5. New Maharajah
6. Secret Ambition
ESSENTIALS
The flights
Emirates flies from Dubai to Phnom Penh via Yangon from Dh2,700 return including taxes. Cambodia Bayon Airlines and Cambodia Angkor Air offer return flights from Phnom Penh to Siem Reap from Dh250 return including taxes. The flight takes about 45 minutes.
The hotels
Rooms at the Raffles Le Royal in Phnom Penh cost from $225 (Dh826) per night including taxes. Rooms at the Grand Hotel d'Angkor cost from $261 (Dh960) per night including taxes.
The tours
A cyclo architecture tour of Phnom Penh costs from $20 (Dh75) per person for about three hours, with Khmer Architecture Tours. Tailor-made tours of all of Cambodia, or sites like Angkor alone, can be arranged by About Asia Travel. Emirates Holidays also offers packages.
Shooting Ghosts: A U.S. Marine, a Combat Photographer, and Their Journey Back from War by Thomas J. Brennan and Finbarr O’Reilly
Company profile
Name: Fruitful Day
Founders: Marie-Christine Luijckx, Lyla Dalal AlRawi, Lindsey Fournie
Based: Dubai, UAE
Founded: 2015
Number of employees: 30
Sector: F&B
Funding so far: Dh3 million
Future funding plans: None at present
Future markets: Saudi Arabia, potentially Kuwait and other GCC countries
