However, when this feeling consistently lasts over a certain length of time, it turns in to clinical depression. Here are five cultural differences in thinking and perception between the East and West. 2019 Sep 3;18(1):139. doi: 10.1186/s12939-019-1032-0. Please enable it to take advantage of the complete set of features! 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. Lebanon and Egypt) confirm this fact. Research suggest that chicken and boilers are dangerous for female reproductive health as they imbalance women’s hormones and leads to serious mental illness. -, Science. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Despite the variety of health challenges seen in different income groups, almost all countries in the Arab world experienced increases in life exp… Compare how Western beliefs influence cross cultural understanding between Muslim/Middle Eastern patients and medical providers. This site needs JavaScript to work properly. 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/. Your feedback is very helpful to us as we work to improve the site functionality on worldbank.org. -, J Biosoc Sci. However, a communicable disease – lower respiratory infections – remains the second leading cause of healthy years lost in the region. Jewish food and Arab food are slightly different, with some crossovers. “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. While generalizations of Middle Eastern culture are readily apparent, some variation and extremes are found within the geographical area known as the Middle East. Punctuality is less important in the Middle East than in the United States. 2020 Mar 9;22(3):e14646. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis).  |  Problems in providing health care involve obtaining adequate information, "demanding behavior" by a patient's family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or "bad news." Improving health is integral to achieving these goals. A 2006- 2007 survey that the Iraqi government Living Day by Day: The Meaning of Living With HIV/AIDS Among Women in Lebanon. Schizophrenia, for instance, affects 1% of the population worldwide. ”Diabetes is skyrocketing in the Middle East and North Africa, rising 87% between 1990 and 2012.” – Kyu Rhee, Chief Health Officer IBM. Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. 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. 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. 1977 Apr 8;196(4286):129-36 Ann N Y Acad Sci. 1978 Oct;10(4):347-51 Jan. 15, 2021. 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. •“Duty”-Validate family’s role … It is these popular healing traditions and their connection to Islam that represent the substance of this brief essay. Am Fam Physician. 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. ... up becomes tremendously distressing and difficult due to the incorrect ideologies when it comes to discussing mental health issues. Blog. 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. These concepts are a running thread through many eastern and western cultural differences. Tools in Dealing with Middle Eastern Patients and Families •Ask Questions to understand personal beliefs and behaviors. Will you take two minutes to complete a brief survey that will help us to improve our website? NLM MERS can be fatal in approximately one-third of cases. Our strategy advocates and paves the way for strengthening health systems for more equitable and effective prevention and care of the region’s main scourges such as diabetes, hypertension, and road traffic injuries, as well as debilitating illnesses such as depression, especially among the poor and women,” said Enis Baris, World Bank Sector Manager for Health in the Middle East and North Africa region. 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. 2016 May 22;3:2333393616650082. doi: 10.1177/2333393616650082. Cultural diversity at the end of life: issues and guidelines for family physicians. (2) Stigmatization can cause individual discrimination, which occurs when a stigmatized person is directly denied a resource (e.g. 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 commissioned the first Global Burden of Disease analysis as part of its World Development Report 1993. Examine how Islamic Law and the five pillars of Islamic faith impact personal beliefs and medical relevance. The report explores changes in the leading causes of premature mortality and disability in the Middle East and North Africa and compares the performance of countries. In the World Health Organization’s (WHO) World Health Report issued in 2000, the UAE ranked 27 in the world for its performance. 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. “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. 1977 Jan;11(1):3-10 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. 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. Cancer ”The incidence of breast cancer is on the rise in the Middle East and North Africa. You have clicked on a link to a page that is not part of the beta version of the new worldbank.org. The same principle is in full force in the Middle East. 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. Mental illness stigma is defined as the devaluing, disgracing, and disfavoring by the general public of individuals with mental illnesses. HHS 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. The Mediterranean diet has garnered praise for its role in keeping the body healthy and staving off chronic disease, especially cardiovascular problems. Employing personnel trained in Europe, India, Pakistan, Middle Ea… 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. Understanding these differences is essential for building bridges between the two cultures, but also to improve business, diplomatic, and humanitarian relationships. Anxiety and depression are much more common and affect at least 10% of the population. There is no reason to believe that Arab countries are any different. 1969 Dec 19;164(3):871-80 The World Bank Group works in every major area of development. 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. access to housing or a job), and structural discrimination, which describes disad… A Middle Easterner needs to know more about another person than an American does for a relationship to develop. Cross cultural issues in adolescent medicine. Both sides had acolytes – ours largely in Western Europe, the Soviets’ in Eastern Europe. Masters K, Loda T, Johannink J, Al-Abri R, Herrmann-Werner A. J Med Internet Res.  |  “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.”. According to the American Psychological Association (APA), depression is the most common mood disorder, characterized by feelings of sadness and loss of interest. -, Soc Sci Med. Earlier this year, IHME presented GBD 2010 findings in meetings hosted by the World Bank. Through this broader network, IHME hopes to strengthen the country-level assessments that are produced and make GBD updates more frequent. Serious foodborne outbreaks reported in recent years caused by homemade, street, catering and restaurants foods are emerging health threats. It documents how the region has succeeded in reducing disease burden from many communicable, newborn, nutritional, and maternal conditions. Would you like email updates of new search results? 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. Application information is available here. By Tala Kanj Posted in Commentary Culture Feature Middle East Society. NIH Cross-cultural communication in the physician's office. (1) Stigma often leads to discrimination, or the inequitable treatment of individuals and the denial of the rights and responsibilities that accompany full citizenship. Current Health problems Ischemic heart disease prevalent due to genetic, environmental and lifestyle causes. -, Soc Sci Med. 5 Cultural Differences between East and West 1. 2005 Feb 1;71(3):515-22. Serious foodborne outbreaks reported in recent years caused by foods are emerging health threats. 1990 Spring;4(1):16-26. People may feel worried, low, worthless, and frequently sad. USA.gov. Cultural expressions affecting patient care. Data and research help us understand these challenges and set priorities, share knowledge of what works, and measure progress. Lebanon’s challenges are hardly unique in the Middle East. BMC Int Health Hum Rights. 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. Traditional food safety practices in the region are inadequate. The few statistics coming out of certain Arab countries (e.g. Bonmatí-Tomas A, Malagón-Aguilera MC, Gelabert-Vilella S, Bosch-Farré C, Vaandrager L, García-Gil MM, Juvinyà-Canal D. Int J Equity Health. Kaplan RL, Khoury CE, Field ERS, Mokhbat J. Glob Qual Nurs Res. 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. Ethnic elders and American health care--a physician's perspective. 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. 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. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. 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. 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. Before you leave, we’d love to get your feedback on your experience while you were here. -. “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.”. Clipboard, Search History, and several other advanced features are temporarily unavailable. “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. 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. Medical Care in Palestine: Working in a Conflict Zone. How to create a webinar that resonates with remote audiences; Dec. 30, 2020.  |  Diagnostic symptoms for PTSD include recurrent experiencing of the initial traumatic event (s) through flashbacks or … 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 Surgeons' Interactions With and Attitudes Toward E-Patients: Questionnaire Study in Germany and Oman. Imbalancde between man and nature. Historically prophetic me… The Middle East has several traditional food safety practices issues. But the rise of chronic diseases, diet-related risk factors, and deaths from road injuries during the same period threatens that progress. Thank you for agreeing to provide feedback on the new version of worldbank.org; your response will help us to improve our website. COVID-19 is an emerging, rapidly evolving situation. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. Dimens Oncol Nurs. The impact of migration on the health status of Iranians: an integrative literature review. 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. 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. doi: 10.2196/14646. 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. 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