WCM-Q TO SUPPORT WHO IN FIGHTING SPREAD OF INFECTIOUS DISEASES
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The magazine of Weill Published by the Office Cornell Medicine-Qatar of Communications DEAN Javaid Sheikh, MD CHIEF COMMUNICATIONS OFFICER Nesreen M. Al-Rifai ASSOCIATE DIRECTOR, MEDIA AND PUBLICATIONS Hanan Lakkis EDITOR Richard Harris ASSOCIATE EDITOR John Hayward PHOTOGRAPHER John Samples QATAR CHRONICLE 01
04 The heritage of the Arabian horse 08 A new cohort of future doctors 10 Students research breast reconstructions 12 Bacteria reprogrammed to deliver drugs 14 Youngsters help to teach medicine Online COVID lectures attract thousands of 16 healthcare practitioners 20 lack of exercise causing premature death 22 Research mentors go virtual 24 WISH and WISE 26 Students join the fight against COVID-19 28 WCM-Q to support WHO 30 The end of hepatitis C? 34 COVID-19: The global public health reality 36 Qatar’s green-fingered youngsters 38 Research links proteins to diabetes 40 COVID-19 and pregnancy 42 Students’ research published in BMJ The need for better data on perinatal 46 mental illness 48 WCM-Q spearheading lifestyle medicine 50 Virtual Summer Program reaches out globally 52 Why do some cancers resist chemotherapy? TABLE OF 54 Lessons for humanity 56 The fight against breast cancer 58 Lifelong learning goes on despite pandemic 60 The implications of consanguineous marriage 62 CONTENTS Grand Rounds thrives online 64 Healing Hands winners announced 66 Plaudits for research group QATAR CHRONICLE 68 Students investigate COVID-19 70 The dangers of COVID to the elderly 72 Simulation learning and COVID-19 CLICK ON THE PAGE TO BE DIRECTED 74 Twelve faculty win promotion 03
The heritage of the Arabian horse Research helps shed light on the genetic origin of a horse that Researchers at WCM-Q have helped probe the Dr. Brooks said: “The Arabian horse has a special genetic diversity and origins of the Arabian horse, mystique due to the long-recorded history of is prized the world over. prized all over the world for its beauty, grace and the breed. Arabian horse breeders, in particular, athletic endurance. know their horse’s bloodlines many generations back. What we found was that in the area where Renowned for its ability to thrive in extremely this breed originates –likely the near East region, hot, arid environments, the Arabian is the oldest but we don’t know exactly – there’s a healthy recorded breed of horse, with credible level of diversity. This is particularly evident documentation stretching back more than 2,000 in populations from Bahrain and Syria, which years placing its development in the Middle East. suggests these are some pretty old populations.” Working in collaboration with an international The horse is prized for characteristics like heat team of fellow researchers, scientists at WCM-Q tolerance and endurance, as well as its unique helped conduct a comprehensive global sampling appearance, with a dish-shaped facial profile, and analysis of the genomes of 378 individual wide-set eyes, an arched neck and a high tail Arabian horses in Qatar, Iran, UAE, Poland, USA, carriage. It has been exported from its ancestral Egypt, Jordan, Kuwait, the United Kingdom, homeland for centuries, with some modern Australia, Denmark and Canada. Blood and hair lineages drawn strictly from these smaller samples were painstakingly collected from the genetic pools, giving the breed a reputation for horses over an eight-year period. inbred disorders. The international team of scientists was led by While this was true for some groups they tested, the University of Florida’s Samantha Brooks, Brooks noted, they also found remarkable a UF/IFAS assistant professor of animal sciences diversity when considering the breed as a whole. formerly based at Cornell University in Ithaca, Brooks contrasted the discovery of more diverse New York; Doug Antczak, the Dorothy Havemeyer populations with the samples they received from McConville professor of equine medicine at racing Arabians. Another longstanding myth says the Baker Institute for Animal Health of Cornell that the Arabian contributed genetically to the University; and Andy Clark, the Jacob Gould modern thoroughbred, but the racing Arabians’ Schurman professor in Cornell’s department DNA told a different story . of molecular biology and genetics. “What we found in these samples was not Researchers at WCM-Q, led by Dr. Joel Malek, that much Arabian ancestry was part of the associate professor of genetic medicine, used thoroughbred line, but the opposite: that the college’s state-of-the-art equipment and thoroughbred DNA exists in most of the modern expertise to assist with the sequencing of the racing Arabian lines, indicating a more recent horse DNA. The study was made possible by interbreeding within this group, ”Brooks said.“ National Priorities Research Program (NPRP) grant QATAR CHRONICLE QATAR CHRONICLE I can’t speculate on the how or why, but this is 6-1303-4-023 from the Qatar National Research clearly the story the DNA is telling us.” Fund, a member of Qatar Foundation. The paper, entitled ‘Genome Diversity and the Origin of Another implication of this study, Brooks said, is the Arabian Horse’ has now been published in the potential to identify the genetic regions that Scientific Reports, a journal of the Nature series determine some of the Arabian’s unique traits, of publications. like their facial profile. 04 05
“We are also very grateful for the support this project received from Qatar Foundation through Qatar National Research Fund, which made the research possible.” This could be expanded to Iran; the University of Kentucky; The study also had identify the marker for other the University of Agriculture contributors from the horse breeds’ head shapes, in Kraków, Poland; the Hong University of Tehran, Iran; for example.“ Kong Jockey Club; the Equine the University of Kentucky; Veterinary Medical Center at the University of Agriculture Dr. Joel Malek of WCM-Q said: Al Shaqab (a Qatar Foundation in Kraków, Poland; the Hong “It was extremely gratifying member) in Doha, Qatar; and Kong Jockey Club; the Equine to be part of this fascinating the University of Veterinary Veterinary Medical Center and interesting research Medicine Vienna, Austria. (a Qatar Foundation member) about the iconic Arabian Elissa Cosgrove from the Clark in Doha, Qatar; and the horse, which is so important lab and Raheleh Sadeghi, a University of Veterinary to this region. We are very visiting scientist from Iran in Medicine Vienna, Austria. The proud to have been able to the Antczak lab, shared first study can be read in full at: work with so many talented co-authorship of the study. https://www.nature.com/articles/ and dedicated researchers all s41598-020-66232-1 over the world on this project, Dr. Khaled Machaca, professor which underlines WCM-Q's of physiology and biophysics commitment to pursuing and senior associate dean projects at the cutting edge of for research, innovations, science that have great local and commercialization at significance, in line with the WCM-Q said: “It is extremely goals set out in Qatar National pleasing that the advanced Vision 2020. capabilities in genomic analysis that we have developed in “We are also very grateful the Biomedical Research for the support this project Program at WCM-Q allow us to received from Qatar contribute to ground-breaking Foundation through Qatar international projects such as National Research Fund, which this one. The Arabian horse QATAR CHRONICLE QATAR CHRONICLE made the research possible.” is truly a majestic creature and it is wonderful to be able The study has a long list of to shed light on its genetic co-authors, with contributors heritage in this way.” The Arabian horse is renowned for its ability from the University of Tehran, to thrive in hot, arid climates. 06 07
A new cohort of future doctors WCM-Q’s orientation program goes virtual to welcome the Class of 2026. With highly qualified doctors 19 different countries: Qatar, the curricula. Other sessions needed now more than ever, Australia, Bangladesh, Canada, included information about WCM-Q welcomed its new Egypt, India, Iran, Jordan, academic integrity, student cohort of incoming students Korea, Kuwait, Pakistan, Russia, health and wellness services, with a comprehensive three- Sudan, Sweden, Syria, Taiwan, legal issues in the practice day orientation program Tunisia, the UK and the USA. of medicine, study skills and –delivered fully online this technology tools. This year’s intake brings 22 year for the first time in the new students to the college’s Dr. Rachid Bendriss, assistant institution’s history. foundation program, all of dean for student recruitment, With measures to control the whom are Qatari nationals. outreach and foundation spread of the coronavirus There are 51 new pre-medical programs, said: “Orientation still in place, new students students, 23 of whom have is always a great experience logged in remotely to meet one been promoted from last as it marks the beginning another, interact with faculty year’s foundation program, of our academic year, with having previously completed Division of Student Affairs, and positivity. I am certain they and staff, and learn study and while 28 are new arrivals. Of all of the energy, hope and both the foundation program are carefully designed to will thrive here at WCM-Q.” ITS skills designed to help them the 48 new medical students, excitement that brings. I thank and the two-year pre-medical familiarize students with excel academically and thrive 47 were promoted after all of our new students and Dr. Ravinder Mamtani, vice curriculum at WCM-Q. the people, curriculum and in their new environment. completing the two-year my colleagues at WCM-Q for dean for student affairs- procedures at the college so pre-medical curriculum at working hard to make this She said: “Despite viewing the admissions, population health, Dr. Javaid Sheikh, dean they can quickly feel at home WCM-Q, with one new arrival. year’s orientation not only a world through a screen, the and lifestyle medicine, said: of WCM-Q, said: “We are and succeed in their studies. Combined, the two-year great event, but also one that excitement that we felt about “Orientation this year was a absolutely delighted to premedical curriculum and protected the health, safety the upcoming year was still Dr. Thurayya Arayssi, senior fantastic success, thanks to welcome our new cohort of four-year medical curriculum and wellness of everyone who there. Meeting new professors, associate dean for medical the excellent can-do spirit of students to WCM-Q to begin form the WCM-Q integrated participated.” learning more about the education and continuing the participating students and learning the art and science of six-year medical program. profession and seeing our professional development, the professionalism of our staff medicine at a time when such To help the new arrivals get to classmates after so long said: “Helping students orient and faculty. I am most grateful skills are needed more than The foundation program know one another there were made the event so enjoyable. themselves to their new lives to all involved for their hard ever. These talented young provides intensive instruction also peer discussion sessions This year's orientation was at college has never been so work and dedication.” women and men are excited in the basic sciences, English and a chance to interact definitely something that I will important. I am very pleased with existing students to ask QATAR CHRONICLE QATAR CHRONICLE to learn and to make strong and mathematics to prepare remember as it heavily reflects that our first ever fully online contributions to the health of students for the rigors of the about their experiences at every aspect of my future orientation program proved to people in Qatar and beyond.” six-year medical program. The the college. Student Maryam career as a doctor.” be extremely effective, allowing orientation programs began Al-Quradaghi is beginning The incoming cohort is truly our students to begin their new with welcome addresses, the four-year medical The orientation programs, global, comprising citizens of lives at college with confidence followed by introductions to curriculum this semester, coordinated by WCM-Q’s 08 09
Students research breast recovery process for many fat that was transferred from far less invasive and carrying women who have had breast the hips to the breast in each less risk of complications. cancer, helping to provide procedure and compared This small innovation in the reconstructions psychological ‘closure’ on a distressing experience. The new approach is far less this with the outcomes of the procedure, based on factors such as patient satisfaction, communications strategy significantly improved levels of patient satisfaction. invasive than the two most cosmetic appearance and Study looked at a minimally invasive surgical technique that common surgical breast incidence of complications Dr. Tabrizi and Dr. Razzouk have now performed the new can be conducted on out-patients. reconstruction procedures, in which a flap of tissue and such as bleeding or infection. This analysis allowed the procedure approximately 300 muscle is taken from either surgeons to fine-tune the times between them at two the back or the abdomen and volume of fat they transferred facilities in France, one in Nice grafted into the breast. These to achieve the best overall and one in Paris. operations can take up to five results. Student Gabriala said: “It was Student researchers at Gabriala Andrews and Danyal hours or more, inflict significant extremely rewarding to be WCM-Q have contributed Ahsan analyzed thousands Another key finding of the scarring, have a long recovery able to contribute to such to better understanding of of data points to provide students’ research related time, and usually require a stay an exciting and worthwhile a minimally invasive breast valuable information to to the communication with of several nights in hospital. innovation in reconstructive reconstruction surgery for Drs. Tabrizi and Razzouk, the patient. Because the recovering breast cancer allowing them to adjust the In contrast, the new approach process is based on a gradual surgery for recovering breast patients. procedure to maximize its causes minimal scarring reconstruction, patients cancer patients.” effectiveness, minimize the risk and can be performed on sometimes felt disappointed or The highly innovative new of complications and safeguard an outpatient basis, allowing underwhelmed by the results surgical technique involves the mental health of patients. patients to have the surgery of the first procedure, the taking fat tissue from the and go home the same day. students found. Gabriala Andrews hip or abdominal area and Dr. Tabrizi said: “The students The process also helps repair injecting it into the breast did fantastic work in analyzing To counter this, Dr. Tabrizi and tissue damaged by radiation over the course of a series of a very large amount of data Dr. Razzouk developed a new treatment, making insertion short operations, each lasting to give Dr. Razzouk and communications protocol to of a prosthesis more likely to less than one hour. While it myself extremely valuable help patients understand that succeed, should the patient has been used now for several guidance. Their input has been the process takes a little longer wish to pursue that option. years for many patients, it remarkably useful to our work than the conventional surgery is not yet considered a gold to refine and optimize this new Dr. Tabrizi said that the students but that in the fullness of time standard protocol. procedure.” analyzed a variety of data it achieves equal or better points, such as the volume of cosmetic results while being Dr. Jeremie Arash Tabrizi, Reconstruction of the breast WCM-Q’s professor of or breasts after a mastectomy Dr. Jeremie Arash Tabrizi genetic medicine, obstetrics and radiotherapy treatment and gynecology, and Dr. is an important part of the Kaïs Razzouk, gynecologist/ oncological surgeon at the Santa Maria Breast Institute in Nice, France, have set-up a specific QATAR CHRONICLE QATAR CHRONICLE research program with the goal of demonstrating the efficiency of the technique, called autologous fat graft. Fourth-year medical students Danyal Ahsan 10 11
Bacteria reprogrammed to Researchers at Weill Cornell platforms for synthetic biology’, “It is wonderful for us at WCM-Q Medicine-Qatar have taken the research team used to be able to take part in part in a landmark international reprogrammed SimCells to cutting-edge research projects deliver drugs study in which bacteria cells were reprogrammed to synthesize and deliver a potent synthesize catechol (a potent anticancer drug) from salicylic acid to inhibit lung, brain, and like this with elite institutions like Oxford, Sheffield and Greifswald and it shows the level of anti-cancer drug. soft-tissue cancer cells in the ambition and capability we have Collaboration between WCM-Q and international universities lab. They also demonstrated here, both at the college and in The WCM-Q researchers could lead to new therapies for a wide range of diseases. worked with scientists at the that SimCells can be used as a ‘safe agent’ to manufacture Qatar in general.” University of Oxford and the and deliver therapeutic drugs The paper states that it is University of Sheffield in the UK because they cannot replicate known that several species and the University of Greifswald and do not interfere with the of bacteria preferentially in Germany to help construct host genome as they do not associate with cancer tumors, reprogrammable cells from have chromosomal DNA. meaning there is great three species of bacteria, potential to engineer bacteria Escherichia coli, Pseudomonas Dr. Frank Schmidt, director of the to sense, target and deliver putida, and Ralstonia eutropha. Proteomics Core at WCM-Q, is anticancer compounds directly one of the authors of the paper, to tumors within a patient’s The researchers achieved this which has been published in body. Additionally, the paper by destroying and removing the Proceedings of the National asserts that ‘genetic circuits’ the genetic material from the Academy of Sciences of the (artificial assemblies of genes bacteria cells using a special United States of America (PNAS), created in the lab) had been type of enzyme which causes a high-profile journal. inserted into the SimCells breaks in both strands of and were found to be able to the DNA double helix carried Dr. Schmidt said that the project utilize the cellular machinery within the chromosomes, had been led by researchers at therein to synthesize proteins but leaves the other cellular the Department of Engineering and carry out important structures intact and able Science at the University of metabolic functions such as to function. The resultant Oxford, particularly Professor the glycolysis pathway, which is ‘SimCells’ (short for simple Wei E. Huang, associate essential for cell survival. Some cells) can be reprogrammed by professor of synthetic biology, of the SimCells generated by inserting other genetic material, and Catherine Fan, graduate the researchers were able to allowing them to be used for a researcher, while WCM-Q survive for as long as 10 days. variety of functions, including contributed its advanced the synthesis and delivery of capabilities in protein analysis. WCM-Q’s contribution to the therapeutic drugs. Engineering study was supported by the existing organisms to perform Dr. Schmidt said: “This is a really Biomedical Research Program researcher-designed functions exciting study because it not at WCM-Q, a program funded in this way is known as synthetic only demonstrated that bacteria by Qatar Foundation. biology and is an extremely cells can be manipulated to promising area of research serve as platforms for delivering for the development of new drugs that are potentially life-saving, but also that they QATAR CHRONICLE QATAR CHRONICLE treatments for a wide variety of different diseases. cannot reproduce themselves and cause dangerous infections In the study, titled or interfere with the DNA of ‘Chromosome-free bacterial the patient. cells are safe and programmable 12 13
Youngsters help to teach Examining and diagnosing children is not always Medical Corporation, Sidra Medicine and WCM-Q easy but trainee doctors from WCM-Q had it who gave their time and experience to the harder than usual – they had to do it online. students; Drs. Madeeha Kamal, Magda Wagdy medicine The Cornell Stars program is one of the highlights of the academic year for students in the third year of the medical program; faculty and staff at Yousef, Sohair Elsiddig, Manasik Hassan, Shabina Khan, Samar Magboul, Suzan Gameel, Stella Major and Mohamud Verjee. WCM-Q’s Cornell Stars event goes online as trainee doctors the college usually bring their young children into She added: “We are also very grateful to the the college and the students are able to practice 16 families who volunteered their time over the learn how to examine children. dealing with small children under the supervision weekend and particularly the 21 children who of an experienced and qualified doctor. were our Cornell Stars.” But this year the COVID-19 pandemic meant Nour Al Masri was one of the WCM-Q staff that social distancing rules made this members to volunteer for Cornell Stars and said impossible, so the decision was made to take it had all gone very smoothly, possibly because Cornell Stars online via video conferencing apps. both students and children had become very used to communicating via apps since the Dr. Amal Khidir, associate professor of pediatrics coronavirus struck. at WCM-Q, said the Cornell Stars event is a valuable learning activity that allows students Class of 2022 student Jamal Al Ani, one of to become familiar, and hopefully comfortable, the 51 students who participated in this event, interacting with children and their families. said it was a really useful learning experience. Another goal is to highlight to the students that the field of pediatrics is not always disease- He said: “In the midst of everything taking place based and healthy children are the majority of across the world right now, the children’s strength patients cared for by pediatricians. and smiles were really refreshing and exciting to be a part of. Seeing them go from shy and timid Dr. Khidir said: “Cancelling Cornell Stars because to confident and interactive was extremely eye of COVID was never really an option as the event opening. It was a really fun and engaging way to is so useful for students heading into the full practice some of our interviewing skills, whilst clinical experience in their third year of the medical also having fun with the kids. program. Instead, we adapted it using online conferencing apps. Students were able to talk to “I’ve always wanted to work with kids and the children and their parents to gather histories advocate for them, and this event really and interact with the young ‘patients’ by asking reaffirmed that belief. One of the patients even them to perform various tasks. Although they decided to draw me when we asked him to were not able to listen to their hearts or touch draw one of us, so how could I say no after that. them, they were able to practice and refine their Children are delicate and the conditions and observation skills which are important when they environment in which they grow up ultimately take care of children during their clinical rotations. shape the people they become, and it would be an honor to help ensure they become the best “They learn how to approach and engage versions of themselves.” children supported by our experienced doctors, who can pass on hints and tips in the context of virtual sessions.” QATAR CHRONICLE QATAR CHRONICLE Working online, the students were able to interact with the children and take medical histories. Dr. Khidir added that the event would not have been possible without the support of WCM-Q's ITS department and Office of Curriculum Support, and particularly the doctors from Hamad 14 15
Online Covid lectures attract thousands of healthcare practitioners Healthcare practitioners across the country log on to WCM-Q’s lecture series detailing the latest information about the pandemic. Thousands of healthcare professionals across Qatar have taken advantage of Weill Cornell Medicine – Qatar’s COVID-19 Live Webinar Series to learn of the latest advancements in Covid therapies, helping them to treat patients and save lives. The hugely beneficial webinars were developed at the beginning of the March lockdown to meet the clinical needs of the local healthcare community, who were battling to treat patients afflicted by the There have so far been a total of 36 speakers at the series. virus. WCM-Q’s Division of Continuing Professional Development (CPD) realised that to aid recovery, co-directors, said: “As countries across the world the lectures began, 22,000 healthcare Qatar’s physicians and healthcare workers needed entered lockdown in March, doctors fought to professionals have participated, the majority from a trusted online source for the latest news about keep patients alive, researchers studied the novel Qatar but some from across the world. treatments and therapies. coronavirus in laboratories, and new information was discovered on an almost daily basis. The series has been tailored to information that With new facts, theories and discoveries about has been specifically needed during the pandemic. In some instances, this information was vital for the virus being made daily across the world, it Whether it related to pulmonary care or pediatrics, improved patient outcomes but because it was was vital for the health of patients in Qatar that different aspects of the crisis have been covered coming from discrete sources, it was a challenge doctors had the latest information. With this as to support the entire healthcare community. for the medical community to avail itself of all their mission, the CPD team urgently assembled the updates. So, the COVID-19 Live Webinar Dr. Javaid Sheikh, dean of WCM-Q, delivered a huge variety of leading clinical experts and Series was conceived out of an idea to help keep a valuable lecture on the vital importance of topics to keep the medical profession abreast of Qatar’s medical community abreast of the rapidly maintaining close social relationships while keeping the latest, cutting-edge updates. changing clinical situation.” to physical distancing guidelines, and Dr. Abdullatif When launched, healthcare workers across Qatar Al-Khal, deputy chief medical officer, director of So far there have been 33 presentations and a total rushed to register for the accredited webinar the Department of Medical Education and senior QATAR CHRONICLE QATAR CHRONICLE of 36 speakers, including presentations by WCM-Q series and thousands have since attended the consultant in infectious diseases at Hamad Medical faculty, WCM-Q alumni, physicians from Sidra and online lectures. Corporation, discussed the national response the Hamad Medical Corporation, and experts from foreign institutions. Each online lecture attracts COVID-19 pandemic. Dr. Salman Al Jerdi, assistant professor of neurology at WCM-Q and one of the series’ more than a thousand virtual attendees and since 16 17
“The COVID-19 pandemic has The WCM-Q alumni who were A particularly high-profile She said: "The COVID-19 invited to deliver a lecture were recent lecturer was Dr. Howard pandemic has been an incredibly Drs. Mahrukh Rizvi, Karima Markel, the George E. Wantz fluid and fast-moving crisis, been an incredibly fluid and Becetti, Ghaith Abu-Zeinah, Mohamed Elshazly and Salman distinguished professor of the history of medicine, director both literally and in terms of our clinical knowledge, and the CPD fast-moving crisis, both literally Al-Jerdi. They discussed of the Center for the History team had to work incredibly subjects including therapeutics of Medicine at the University fast to develop and deliver this for COVID-19 pneumonia and of Michigan and member webinar series. Our aim has and in terms of our clinical the pandemic’s impact on of the National Academy of always been to provide high- cardiovascular diseases, to Medicine. Dr. Markel’s webinar quality presentations from highly how COVID-19 affects the brain. looked at previous pandemics credible experts discussing knowledge, and the CPD team Other speakers and topics include Dr. Randi R. Diamond, to affect the world in a lecture entitled ‘When Germs Travel: relevant and timely topics. Given the popularity of the series had to work incredibly fast assistant professor of clinical Coronavirus, and the Long among healthcare professionals, medicine at Weill Cornell History of Contagious Crises.’ I hope we have done that and Medicine in New York, who played a small part in improving to develop and deliver this discussed ‘Palliative Care and Dr. Thurayya Arayssi, professor healthcare and clinical outcomes COVID-19, The Weill Cornell of clinical medicine and senior for COVID-19 patients in Qatar Medicine Experience’, and Dr associate dean for medical and the wider region.” webinar series.” Evelyn C. Granieri, professor education and continuing professional development at The COVID-19 Live Webinar Dr. Thurayya Arayssi of medicine at Columbia WCM-Q, was the second University’s Vagelos College Series continues until the spring of Physicians and Surgeons co-director of the webinar series. of 2021 and past presentations in the US, who spoke about can be viewed online at CPD’s Dr. Arayssi said the series’ mission online archive. the effects of COVID-19 on was to inform and empower the older patients. healthcare community. QATAR CHRONICLE QATAR CHRONICLE Dr. Sallie Permar spoke about COVID-19 and children and was recently appointed chair of the Department of Pediatrics at Weill Cornell Medicine and pediatrician-in-chief at NewYork-Presbyterian/Weill Cornell Medical Center and NewYork-Presbyterian Komansky Children’s Hospital. 18 19
Lack of exercise causing premature death Research highlights physical inactivity and sedentary lifestyles in MENA region. Researchers at WCM-Q have health, and lifestyle medicine, primary studies on physical published a comprehensive is one of the authors of activity and sedentary study on the status of the study. He said: “Non- behaviour in the MENA region sedentary behaviour and communicable diseases now published since the year physical activity in the Middle account for around 41 million 2000. The 20 MENA countries East and North Africa. deaths worldwide each year, included in the study are which works out at 71 percent Algeria, Bahrain, Djibouti, The research discovered that of all deaths. Lack of physical Egypt, Iraq, Jordan, Kuwait, almost 50 percent of adults and activity, particularly among Lebanon, Libya, Morocco, 75 percent of young people in young people, should therefore Oman, Pakistan, Palestine, MENA countries did not meet be viewed as nothing less Qatar, Saudi Arabia, Sudan, the World Health Organization’s Dr. Ravinder Mamtani, Dr. Sohaila Cheema, Dr. Karima Chaabna, Dr. Sonia Chaabane and Dr. Amit Abraham. than a global public health Syria, Tunisia, the United Arab (WHO) recommended levels emergency, as this research Emirates, and Yemen. The of physical activity. WHO professor of healthcare policy regarding levels of physical makes very clear.” research team then used recommends 150 minutes of and research; Dr. Karima activity and sedentary moderate physical activity or sophisticated statistical Chaabna, population health behaviour, as well as rates of The MENA region has some 75 minutes of vigorous physical meta-analysis techniques to and communication specialist associated non-communicable of the highest rates of activity per week for adults NCDs in the world, and the interpret the data collected and instructor in healthcare diseases, so that we can better and 60 minutes of moderate second-highest prevalence from the published reviews. policy and research; and Dr. understand the situation and to vigorous-intensity physical of diabetes (10.8 percent) of The first author of the study, Amit Abraham, instructor in determine which interventions activity daily for children and any world region. The study, Dr. Sonia Chaabane, projects healthcare policy and research are most effective, specific to youth. Lack of physical activity entitled, ‘Physical activity and specialist in WCM-Q’s Institute and projects specialist. our context.” is a key risk factor for obesity sedentary behaviour in the for Population Health (IPH), and other non-communicable Dr. Cheema, said: “The study WCM-Q’s IPH has been at the Middle East and North Africa: said: “It is important to further diseases (NCDs), such as type demonstrates a critical need forefront of lending full support to An overview of systematic understand the personal, social 2 diabetes and cardiovascular for urgent public health the State of Qatar’s overall goal reviews and meta-analysis’, and environmental barriers to disease, which frequently lead to interventions across the of promoting healthy lifestyles. has been published in physical activity, which will aid severe life-limiting complications entire MENA region, especially Scientific Reports, an open and facilitate effective, locally and premature death. among young people, to allow access journal belonging to informed interventions.” for higher levels of physical the prestigious Nature group QATAR CHRONICLE QATAR CHRONICLE Dr. Ravinder Mamtani, WCM-Q’s WCM-Q researchers who activity and to discourage of publications. professor of healthcare policy worked on the study with Dr. sedentary lifestyles. The and research, professor of The paper is based on detailed Mamtani and Dr. Chaabane are study also highlights a need medicine and vice dean for analysis of seven scientific Dr. Sohaila Cheema, assistant for systematic data collection student affairs, population systematic reviews and 229 dean of IPH and assistant across the MENA region 20 21
Research mentors the information was up to date. The second papers and by providing guidance and feedback. part was how to write the review itself, both But the acceptance of the publication - my from a general perspective and the specific first - would not have been possible without the go virtual requirements that individual journals demand.” He added: “Her interest in the topic made it easy to discuss the paper and she was easy to support of Dr. Triggle, Dr. Sultan and Dr. Ding as they really helped guide me in multiple ways.” For Rozaleen, too, who is a member of the Mentorship goes online as college works to mentor. It was very rewarding as she has used Class of 2021, the mentorship was a rewarding this to start another research project.” experience, allowing her to be actively preserve the experience for students. involved in the literature review, investigating The mentorships have proved to be particularly pharmacological and non-pharmacological successful academically as well. treatments for cognitive impairment, writing the Both Omna Sharma, who was mentored by introduction to the paper and also preparing Dr. Triggle, and Rozaleen had their papers figures and data – much of it online. Biomedical research experience is fundamental accepted in peer-reviewed medical journals. For “She said: “We regularly exchanged emails and to the curriculum at WCM-Q and even during Omna, her manuscript ‘A Review of the Progress we used an online bibliography and library, so lockdown, students have continued this work and and Challenges of Developing a Vaccine for we were able to follow the thought processes of continued to publish high-quality research data. COVID-19’ was published in the journal Frontiers each other. It felt great to be published and I was During a typical year, trainee doctors at WCM-Q one in Korea and three in Qatar. So, we had Zoom in Immunology, while Rozaleen’s can be found in really thankful to Dr. Al-Jerdi and Dr. Imam.” would often be flying to Weill Cornell Medicine meetings once a day, spending about an hour with Current Treatment Options in Neurology. in New York for the summer to pursue their each student and it probably worked out as well as Dr. Thurayya Arayssi, senior associate dean for if we were all sitting in the same room. Omna said it had been a very positive experience. medical education and continuing professional study interests there. But with borders closed, laboratories shut and many students returning She said: “Dr. Triggle was very organised and development at WCM-Q, thanked all the faculty “Prior organisation was key to ensuring each to their home countries, the leadership at very clear with what I had to do and how I should who had made such a valuable contribution to meeting was productive but because we have WCM-Q had to act swiftly to ensure that approach the task. the research mentorship program. been using this online conferencing technology research opportunities were still available. So, for several months, it all went extremely smoothly “Because the student is supposed to be at the Dr. Arayssi said: “Biomedical research is vital to faculty based at the college were invited to and actually allowed for greater flexibility.” centre of the project, I did the bulk of the writing the advancement of medicine and healthcare propose research projects and mentor students and the figures and data and my mentors helped and at WCM-Q we strongly encourage students remotely, allowing them to gain the necessary Dr. Salman Al-Jerdi, assistant professor of me by finding some of the articles and research to take an active participation in research so research experience but also make valuable neurology at WCM-Q, also acted as a mentor, that they become the physician-scientists of the contributions to scientific knowledge. guiding Rozaleen Aleyadeh through the research future. Doctors should always be intellectually project ‘Management of Cognitive Impairment curious, and by providing them with the tools For the faculty members this was a step into the after Stroke’, which was also written with Dr. to conduct their own research, we can help unknown; mentoring would normally be done Yahia Imam, assistant professor of clinical contribute to the discovery of new medical face-to-face where reports and studies could be neurology at Hamad Medical Corporation. therapies and innovations. examined as a group, allowing several different ideas to be shared at the same time. Online Dr. Al-Jerdi’s research and mentorship began “Obviously research mentorships like these mentoring meant this would have to change to before the COVID-19 pandemic but file-sharing would usually be conducted face-to-face but one-on-one interviews using video-conferencing software and conferencing apps that have faculty at WCM-Q have always utilized the latest technology, making the sharing of written reports become familiar to WCM-Q faculty allowed it to technology and over the last few months they and diagrams more difficult. In addition, students continue through lockdown, providing him and have become particularly proficient in using new were often spread across different time zones. Dr. Imam with the tools to guide Rozaleen and innovative virtual tools to get the job done. through the literature review. Dr. Chris Triggle, professor of pharmacology at QATAR CHRONICLE QATAR CHRONICLE “I would like to once again thank all of our WCM-Q, said: “Meetings between ourselves and He said: “We talked about the content of the faculty, and those from affiliated institutions, the students would normally be done in-house and topic, we talked about cognitive impairment, who shared their own knowledge and time so often all at the same time so that ideas, criticisms how it happens and what we can do about it. generously with WCM-Q students, and who and ways forward could be discussed among Much of it involved Rozaleen looking things up, Dr. Chris Triggle provided mentorship and guidance throughout everyone, but we had one student in Australia, discussing the findings with me and checking this particularly difficult year.” 22 23
WISH and WISE WCM-Q's achievements in education, research and community development are showcased at two of the country's most prestigious and high-profile events. The World Innovation Summit for Health began Mrs Al-Rifai said: “In a short space of time, the with Doha Healthcare Week and Sahtak Awalan WISH and WISE conferences have become two once again balanced the need for education of the most prestigious and influential events in with fun by launching its healthy lunchbox their respective fields. It is a source of great pride competition. Families were encouraged to use to WCM-Q that we are able to participate in both fresh fruit, vegetables, yogurts and wholegrains and bring our expertise to the discussions. to create the most colorful, tastiest and healthiest lunch in Qatar. Photographs were then “This year’s events were, of course, particularly posted on social media. Hundreds of entries challenging due to the coronavirus pandemic, but were received from families across Qatar with with the latest technology we were still able to the best winning prizes. deliver our message about healthy lifestyles while at the same time showcasing the remarkable During the week, WCM-Q’s Dr. Ravinder Mamtani, research conducted in the WCM-Q labs, and the vice dean for student affairs-admissions, achievements of our students and alumni.” population health and lifestyle medicine, also led an online session discussing nutrition and lifestyle. With lifestyle-related diseases like diabetes and heart disease among the biggest causes of premature death in the world, Dr. Mamtani discussed strategies to improve the community’s health. For the WISH summit itself, which took place online from 15-19 November, WCM-Q hosted a Weill Cornell Medicine – Qatar took a prominent learned about the environment, Sahtak Awalan’s virtual booth showcasing the college’s research role in both WISE and WISH, showcasing the Khayr Qatarna greenhouses and how they are successes, its faculty, students and its alumni. success of the college and encouraging the contributing to Qatar’s self-sufficiency and Office of Communications also demonstrated community to lead healthier lifestyles. sustainability, and the agricultural cycle. the college’s commitment to community health with the Your Health First campaign and the The WISE (The World Innovation Summit for The event also supported the municipality of Khayr Qatarna program. QATAR CHRONICLE QATAR CHRONICLE Education) events came first and saw WCM-Q’s Al Wakra in their efforts to achieve sustainable Office of Communications take its award-winning development goals as set out by the UNESCO Nesreen Al-Rifai, chief communications officer Sahtak Awalan campaign to Qatar Academy Al Learning Cities’ Network. at WCM-Q, said it had once again been an Wakra. During online sessions, third year students honour to participate in both the WISH and WISE conferences. 24 25
Students join the fight In the guidelines and SOP section, volunteers helped develop national guidelines and against COVID-19 healthcare policy documents, while those in the investigation section used the MOPH database of COVID-19 patients Initiative is designed by the Ministry of Public Health to take histories and discover to contain the risks of the virus. who those patients have been in contact with. They then passed that information to the volunteers in the contact tracing team, who reached out to individuals who have been in Medical students at WCM-Q Abdallah Tom was one of the contact with COVID-19 patients Dr. Thurayya Arayssi answered a call from the students to volunteer to help and helped them access a Ministry of Public Health (MOPH) the MoPH. testing facility. Dr. Thurayya Arayssi, senior for volunteers to help tackle associate dean for medical the COVID-19 pandemic. WCM-Q student volunteers The students who signed education and continuing are also working with qualified Eighteen WCM-Q students and up to assist the MOPH were professional development at doctors who are members one recent graduate signed up Abdallah Tom, Dana Al-Ali, Hissa WCM-Q, said: “We are very of Qatar Medical Association to help the MOPH in its work AlHail, Shahryar Tariq Rana, proud of our student volunteers (QMA) to provide psychosocial to contain the effects of the Krishnadev Pillai, Noora Alhail, for showing great enthusiasm support via phone to patients coronavirus in four key areas: Nada Mobayed, Aldana Shahbik, for helping the MOPH with this who have been diagnosed risk communication; guidelines Gabriala Andrews, Jassim vital work. As doctors in training, with COVID-19. The student and standard operating Taimour, Nasser Al-Khawaga, they already have a strong volunteers are trained by QMA’s procedures (SOP); investigation; Aya Youssef, Mahmood instinct to help safeguard doctors, who also monitor the and contact tracing. Al-Orphaly, Fatma Al-Binali, the health of anyone in need calls for quality control. Toqa Afifi, Dhabia Al-Merekhi, and they are very thankful to The students, who were rallied Salma Al-Mohannadi and WCM-Q fourth-year medical the MOPH for giving them this to the cause by Qatar Medical Kholoud Abu-Holayqah. student Abdallah Tom, chance to help.” Students’ Association (QMSA), president of QMSA, said: “As worked as volunteers for two to Dr. Grigory Ostrovskiy, assistant medical students, we felt four days per week, depending professor of emergency that we had an obligation to on the MOPH’s needs and medicine in medicine at WCM-Q, help Qatar fight the COVID-19 their own personal and study coordinated the collaboration pandemic so we were very commitments. The volunteering with the MOPH. Recent WCM-Q keen and grateful for the program was established in graduate Dr. Hamad Almuhannadi opportunity to volunteer with collaboration with the MOPH, also volunteered. the Ministry of Public Health. which is providing specialist We are all extremely committed Volunteers in the risk training to all volunteers to allow to using the skills and communication section them to assist in the important knowledge we have learned worked on the national 16000 work of tackling the virus. QATAR CHRONICLE QATAR CHRONICLE coronavirus hotline service, in our studies so far to help answering questions from efforts to protect the health of callers, taking histories from everyone in Qatar.” them and referring them to testing facilities where needed. 26 27
WCM-Q to support WHO Ministry of Public Health, which have made these infrastructure that has been built in Qatar with the strategic partnerships and investments for support of Qatar Foundation. I offer my warmest global health possible.” thanks to Her Excellency Dr. Hanan Al Kuwari and other esteemed colleagues at the Ministry of Public HH Sheikha Moza attends inauguration of WHO Collaborating IDEG lead Dr. Abu-Raddad, who also holds the position of assistant dean for extramural Health and the World Health Organization for giving us the opportunity to work with them to tackle the Center in WCM-Q research funding and director of the COVID-19 pandemic and other infectious diseases.” biostatistics, epidemiology, and biomathematics research core at WCM-Q, is one of the region’s The designation of the IDEG comes after a decade leading epidemiologists. He said: “It is very of high-profile studies on the epidemiology of gratifying for our research team to receive this infectious diseases on the national, regional, and Her Highness Sheikha Moza bint Nasser, World Health Organization Collaborating Centre honorable designation from the WHO. We are international levels, which has helped inform public chairperson of Qatar, attended an event marking status at WCM-Q is a huge achievement, and very pleased and proud to be able to support health policy and programs. The group will carry the official designation of a research group at further strengthens Qatar’s ability to fight the work of the WHO in combating infectious out activities in support of key WHO programs WCM-Q as a World Health Organization (WHO) infectious diseases that affect communities all diseases and their impact on people in Qatar, aimed at combating the spread of infectious Collaborating Centre for combating COVID-19 and over the EMR region and beyond.” the EMR region, and beyond. We also feel very diseases, specifically HIV/AIDS and hepatitis, that other selected infectious diseases in the region. privileged to have been in a position to provide have a severe negative impact on the health She added: “This official designation demonstrates scientific technical support to the Ministry of Under the new designation, the Infectious the success of Qatar’s investment in the and wellbeing of communities all over the EMR Public Health and the State of Qatar during the and beyond. This means that Qatar, thanks to its Disease Epidemiology Group (IDEG) at WCM-Q healthcare and research sectors and reinforces coronavirus epidemic.” will support WHO’s regional and global efforts Qatar’s contribution to public health on a global investment in biomedical research infrastructure to promote health and wellbeing by providing level. On behalf of the health sector, I would like Dr. Javaid Sheikh, dean of WCM-Q said: “All of us at and scientific human capital in recent years, will scientific research and advice to inform policy to thank Her Highness Sheikha Moza bint Nasser, WCM-Q are extremely proud of the excellent work be host to a valuable resource working to promote decisions and public health programs in the chairperson of Qatar Foundation for her vision of the Infectious Disease Epidemiology Group. the health and wellbeing of people right across Eastern Mediterranean Region (EMR). Led by and leadership in creating a culture of research Its members’ dedication to promoting public the region and globally. This official designation of Dr. Laith Abu-Raddad, WCM-Q professor of excellence in Qatar Foundation and in WCM-Q”. health, for more than a decade, has led to this the IDEG as a WHO Collaborating Centre has been infectious disease epidemiology, IDEG has distinguished designation of the group as a WHO made possible by the support provided to WMC-Q a special focus on viral hepatitis, which is Dr. Ahmed Al-Mandhari, WHO regional Collaborating Centre. This honor demonstrates by Qatar Foundation, the Ministry of Public Health especially prevalent in EMR countries and is one director for the Eastern Mediterranean, said: the global impact of the scientific capacity and and the visionary leadership of the State of Qatar. of the leading causes of deaths globally. The “The designation of the Infectious Disease group contributed to efforts in combatting the Epidemiology Group of Weill Cornell Medicine- spread of HIV/AIDS, reproductive tract infections, Qatar as a WHO Collaborating Centre recognizes and, more recently, COVID-19. a history of more than a decade of collaboration in the field of infectious diseases and provides Since the start of the COVID-19 pandemic, IDEG a formal framework for future joint activities. has spearheaded WCM-Q’s efforts to work Collaborating centers such as IDEG are our closely with the Ministry of Public Health (MOPH) critical partners in our endeavor to achieve our in Qatar and Hamad Medical Corporation (HMC) vision for the region, ‘Vision 2023’, with its goal of as they confront the infection’s spread, working ‘Health for All, by All’. with healthcare and policy experts to provide scientific technical analyses that has supported “The collaborating center could also play an the COVID-19 national response. important role in support of another important joint initiative between WHO and the Qatar Fund Her Excellency Dr. Hanan Mohamed Al Kuwari, For Development in addressing emergencies, QATAR CHRONICLE QATAR CHRONICLE minister of public health and managing director including infectious diseases such as COVID-19, of HMC said: “The members of the IDEG are and the provision of essential health services doing fantastic work with senior experts and in selected countries of the region. I would officials in the Ministry of Public Health and at therefore like to commend the high-level political HMC to ensure we minimize the spread of the support by the State of Qatar and the farsighted coronavirus in the State of Qatar. Being awarded leadership of the Qatar Foundation and the HH Sheikha Moza bint Nasser with HE Dr. Hanan Al Kuwari (left), and Dr. Javaid Sheikh (right). 28 29
The end of hepatitis C? Researchers publish their first report after being designated a WHO collaborating center. Researchers at Weill Cornell Medicine-Qatar, in viral hepatitis in the Eastern Mediterranean region partnership with the World Health Organization that were conducted over a decade by IDEG. (WHO), have produced a comprehensive report These studies were funded by Qatar National on the hepatitis C virus epidemic in the Eastern Research Fund, a member of Qatar Foundation, Mediterranean region, offering guidance on how through the National Priorities Research Program to eliminate the disease by the WHO’s 2030 grant 4-924-3-251, 9-040-3-008, and more target date. recently 12S-0216-190094. The WHO report, entitled ‘Epidemiology Hepatitis C is a blood-borne pathogen and one of hepatitis C virus in the WHO Eastern of the leading causes of liver diseases and liver Mediterranean Region: Implications for strategic cancer. The virus is mostly transmitted through action’, is the product of close collaboration sharing of unsterile needles and syringes, between the WHO Regional Office for the use of contaminated medical equipment, and Eastern Mediterranean (WHO-EMRO) and transfusion of infected blood. It is only in the last WCM-Q’s Infectious Disease Epidemiology Group few years that novel treatment regimens have (IDEG). The report is one of the first outcomes of produced cures for this infection, thus reducing the WHO Collaborating Centre and synthesizes the toll of liver complications such as liver fibrosis, the findings of a series of scientific studies on cirrhosis, and cancer in infected persons. In the Eastern Mediterranean region, hepatitis Chemaitelly, senior epidemiologist at WCM-Q C accounts for about two-thirds of morbidity and lead author of the report. and mortality due to viral hepatitis, the fifth leading cause of death in this part of the world. “Programs focused on testing and treating The report provides comprehensive mapping the general population are unlikely to be for hepatitis C infection spread across all 22 cost-effective as infection levels are low in countries comprising the region as well as a the wider population in most countries in the roadmap and priority actions for the achievement eastern Mediterranean region and most often of national, regional, and global targets for the in the range of about one percent. The only two elimination of hepatitis C infection as a public main exceptions are Egypt and Pakistan, where health threat by 2030. infection levels in the general population are higher by at least five-fold and where elimination “By comprehensively mapping the spread of the of the infection will require mass scale-up of infection across populations and countries, we testing and treatment services,” she added. QATAR CHRONICLE QATAR CHRONICLE identified the priority populations for scaling up coverage of hepatitis C testing and treatment services and the kind of interventions that are needed to control this epidemic,” said Hiam Hiam Chemaitelly, Dr. Laith Abu Raddad, Joumana Hermez and Dr. Abdul Sattar Al-Taie. 30 31
Dr. Laith Abu-Raddad, principal investigator of and treatment. The WHO is fully committed to this project and professor of population health work with countries to accomplish the elimination sciences at WCM-Q said: “We aimed through this goal before the end of the next decade.” work to provide countries in the region with the foundation necessary to develop an Dr. Abdul Sattar Al-Taie, executive director evidence-informed national response and at Qatar National Research Fund, said: “This to justify the establishment of programs accomplishment is a testimony of the impact and allocation of resources for hepatitis C of Qatar’s investment in scientific research on elimination, now that highly effective treatments public health in our region, and the fruit of years for this infection have become available and at of collective efforts and of hard and dedicated affordable prices. Without an appropriate public work at Qatar National Research Fund and health response, the healthcare system in the Qatar Foundation to establish Qatar as a hub region will continue to endure serious and costly of research excellence and scientific innovation. health complications of hepatitis C infection I am excited to see, after a decade of capacity in terms of liver diseases and cancer, and the building, Qatar has now positioned itself as region will not be able to achieve the WHO goal a leader in infectious disease epidemiology of eliminating this infection by 2030.” research in our region.” The report can be read in full at Ms. Joumana Hermez, the regional advisor for http://www.emro.who.int/asd/asd-infocus/ HIV, hepatitis and sexually transmitted infections epidemiology-of-hepatitis-c-virus-in-the-who-eastern- at the WHO’s Eastern Mediterranean region mediterranean-region.html office, said: “We are at a very important juncture today where we have the tools to fully eliminate this infection in our region. The report provides strategic epidemiologic evidence to accomplish this through cost-effective programs for testing Key findings of the report · The report provided a comprehensive · P opulations with liver conditions, mapping for hepatitis C infection spread clinical populations frequently attending across all 22 countries constituting the healthcare facilities, and people with Eastern Mediterranean region as well as a a history of repeated and shared injections roadmap and priority actions for achieving have the highest infection levels and the goal of hepatitis C elimination by 2030. should be at the core of every testing and treatment strategy. · The report established the scientific foundation necessary to develop an evidence-informed national response and to justify the establishment of programs and allocation of resources for hepatitis C elimination now that highly efficacious QATAR CHRONICLE QATAR CHRONICLE treatments for this infection have become available and at affordable prices. 32 33
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