A nurse prepares to administer a Covid-19 vaccine in east London. Getty/file
A nurse prepares to administer a Covid-19 vaccine in east London. Getty/file
A nurse prepares to administer a Covid-19 vaccine in east London. Getty/file
A nurse prepares to administer a Covid-19 vaccine in east London. Getty/file

Pulse alert for Covid patients works less well on dark skin, UK warns


Simon Rushton
  • English
  • Arabic

An early warning monitor designed to watch for falling oxygen levels in Covid-19 patients does not work as well for people with darker skin tones, UK experts said on Saturday.

The National Health Service, the UK state-funded health service, is updating its advice to patients after the shortcoming in the pulse oximeter was realised.

The device, which is used by people at risk of developing severe Covid symptoms, beams light through the blood to detect oxygen levels.

But now NHS England has noted it is less accurate when used on patients with darker skin pigmentation.

Dr Habib Naqvi, director of the NHS Race and Health Observatory, welcomed the new guidance.

“Although a valuable clinical tool, clinicians are increasingly becoming aware of the potential errors or inconsistencies associated with pulse oximeters, so we need to have this in mind when using the devices,” he said.

Patients using the oximeter should look for changes over time and not rely on a single reading, NHS England said.

The device, clipped to a finger, checks blood-oxygen levels and below a certain reading the patient will need to be hospitalised.

The NHS supplies them to people with virus symptoms, aged over 65 or clinically vulnerable.

The NHS said in a statement that “there have been reports that pulse oximeters can be less accurate for people with darker skin because they may show higher readings of the oxygen level in the blood".

Updated guidance for virus sufferers on the main NHS website now warns: “There have been some reports they may be less accurate if you have brown or black skin.

“They may show readings higher than the level of oxygen in your blood.”

But the important thing is to check regularly whether to see if they are going down, it adds.

Members of ethnic minorities, particularly Black Africans and Bangladeshis, have suffered the highest death rates from the virus in Britain, government figures have shown.

The seven-day average of new Covid-19 cases in Britain fell to 28,272 on Friday, a drop of 36 per cent in a week.

But the latest results from an infection survey by the Office of National Statistics showed cases in England continuing to rise.

The ONS survey is seen as reliable because it randomly samples the population, but it typically lags behind the government’s daily numbers.

“Overall, we are seeing chaotic data sets that reflect a lot of different things happening at the same time,” said Dr Simon Clarke, a microbiologist at the University of Reading.


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October 26: Bahrain withdraws from a proposal to create a federation of nine with the seven Trucial States and Qatar. 

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March 1:  Alex Douglas Hume, Conservative foreign secretary confirms that Britain will leave the Gulf and “strongly supports” the creation of a Union of Arab Emirates.

July 12: Historic meeting at which Sheikh Zayed and Sheikh Rashid make a binding agreement to create what will become the UAE.

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August 6:  The fifth anniversary of Sheikh Zayed becoming Ruler of Abu Dhabi, with official celebrations deferred until later in the year.

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September 3: Qatar becomes independent.

November 23-25: Meeting with Sheikh Zayed and Sheikh Rashid and senior British officials to fix December 2 as date of creation of the UAE.

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November 30: Despite  a power sharing agreement, Tehran takes full control of Abu Musa. 

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December 2: 11am, Dubai. New Supreme Council formally elects Sheikh Zayed as President. Treaty of Friendship signed with the UK. 11.30am. Flag raising ceremony at Union House and Al Manhal Palace in Abu Dhabi witnessed by Sheikh Khalifa, then Crown Prince of Abu Dhabi.

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Iftar programme at the Sheikh Mohammed Centre for Cultural Understanding

Established in 1998, the Sheikh Mohammed Centre for Cultural Understanding was created with a vision to teach residents about the traditions and customs of the UAE. Its motto is ‘open doors, open minds’. All year-round, visitors can sign up for a traditional Emirati breakfast, lunch or dinner meal, as well as a range of walking tours, including ones to sites such as the Jumeirah Mosque or Al Fahidi Historical Neighbourhood.

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Updated: August 01, 2021, 8:05 AM`