British doctor with 15 Hajj trips shares top tips

Dr. Imran Zia, clinical director for emergency medicine at Barts Health NHS Trust, has accompanied British groups on Hajj as both a medical expert and a guide at least 15 times. (Supplied)
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Updated 24 June 2022
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British doctor with 15 Hajj trips shares top tips

  • Use umbrellas, sunscreen and stay indoors in the afternoons if you can to avoid summer heat, says Dr. Imran Zia
  • “Carry important medication in hand and hold luggage, with repeat prescriptions, covering letters,” he advised

LONDON: A British Muslim doctor on Thursday shared his tried and tested tips with pilgrims who are about to participate in the first post-pandemic Hajj open to foreigners, which includes preparing for the intense summer heat, and carrying important medicines.

Dr. Imran Zia, clinical director for emergency medicine at Barts Health NHS Trust, has accompanied British groups on Hajj as both a medical expert and a guide at least 15 times.

During a webinar hosted by the Council of British Hajjis, the veteran health worker explained how pilgrims should prepare for summer temperatures of over 40 degrees Celsius.

“Umbrellas are very useful, especially in the heat and the temperature at the moment is likely to be between 40 and 45 degrees. We are not used to such high temperatures in the UK and I would encourage you to wear light colors and use sunscreen. Avoid going out in the afternoon if you can,” Zia said.

As the Hajj involves a lot of walking between the holy sites in the scorching heat, Zia advised pilgrims to break-in the footwear they plan to use.

“Please walk in the sandals that you are going to take with you. Every year we see people buying a new pair of sandals, taking them to Saudi Arabia, and then getting blisters. You need to wear in those sandals now.

“If you feel that the soles of your feet are going to give you problems, then I’d encourage you to buy good quality insoles, and glue them to the inside of your sandal. You’ll find that that will give you an immense amount of relief. It’s like you’re walking on air.

“If you’re diabetic, I would discourage you from taking flip-flops as they encourage infections, skin breakages, sweatiness, and will likely give you problems. So it’s better to get sandals with straps that you can secure,” the medical professional said.

Zia also addressed the notorious Hajj cough that many pilgrims get due to the dry and dusty environment and the fact that people from all over the world have gathered in one place.

“With the Hajj cough, which unfortunately many people get, the onset is pretty rapid. It comes on very suddenly and your temperature will go up and down. You will have a pronounced headache and it’s really quite severe. Having a sore throat is very common. It’s a dry cough and you’ll feel really achy, like you’ve been hit by a bus,” Zia said.

“Unfortunately, there is no medicinal tablet I can recommend that you take other than using simple measures such as paracetamol to keep the temperature down, lozenges to help with the sore throat, gargling with saltwater, and having a rest.”

He said the best way to prevent getting the Hajj cough is to wear a face mask, keep one’s mouth covered, and practice good hygiene.

“If you see someone coughing, keep your distance,” the doctor said.

He also highlighted the importance of pilgrims taking a sufficient amount of medicine for those who have existing health conditions.

“Take plenty of medication. One thing I will say about medication is that you should take it in your hand luggage. Also pack some in your hold luggage. And if it’s really important medication that you do not want to get lost, pack it with the person who’s accompanying you as well, with a covering letter,” Zia said.

“Some medications, especially for cancer or diabetes are just not available. Take a repeat prescription with you so that if you do become ill, people know what medication you’re on. If you have a serious condition, I will always encourage you to take the name of your hospital consultant, the hospital consultant’s contact number or the secretary of their department, and your hospital number with you.”

He also advised people who usually wear contact lenses to avoid doing so during the pilgrimage and to pack a spare pair of spectacles.

“I would encourage all of you to avoid contact lenses, if possible. It’s likely that you’re going to be awake for many hours in the dusty environments and suffer from lack of sleep. The last thing you want to do is to get an eye infection. And take a spare pair of spectacles,” Zia said.

Lastly, the doctor shared his golden list of “Ps”:

Prescription list, of all prescribed medication

Patient details with contact numbers, especially if you have an ongoing problem

Paracetamol will help reduce a temperature

Plasters for blisters 

Petroleum jelly (unscented) will ease chafing between the legs

Penicillin/antibiotic if you can obtain this medication


Man accused of burning woman to death on a New York City subway train is set to be arraigned

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Man accused of burning woman to death on a New York City subway train is set to be arraigned

  • Prosecutors say Zapeta lit the New Jersey native on fire on a stopped F train at Brooklyn’s Coney Island station on Dec. 22. Zapeta then fanned the flames
  • The killing has renewed discussion about safety in the nation’s largest mass transit system even as crime in the subway remains relatively rare
NEW YORK: The man accused of burning a sleeping woman to death inside a New York City subway train is set to be arraigned Tuesday on murder and arson charges.
Sebastian Zapeta, 33, will appear in Brooklyn court in connection with the killing of Debrina Kawam, 57.
Prosecutors say Zapeta lit the New Jersey native on fire on a stopped F train at Brooklyn’s Coney Island station on Dec. 22. Zapeta then fanned the flames with a shirt before sitting on platform bench and watching as Kawam burned, they allege.
Prosecutors say Zapeta confirmed to police he was the man in surveillance photos and videos of the fire but said he drinks a lot of alcohol and did not recall what happened.
Zapeta, a Guatemalan citizen who authorities say entered the country illegally after being deported in 2018, faces multiple counts of murder as well as an arson charge. The top charge carries a maximum sentence of life in prison without parole.
He was previously arraigned on a criminal complaint, but in New York, all felony cases require a grand jury indictment to proceed to trial unless a defendant waives that requirement.
Prosecutors with Brooklyn District Attorney Eric Gonzalez’s office announced Zapeta had been indicted in late December.
Zapeta’s lawyer didn’t respond to an email seeking comment Monday evening.
The killing has renewed discussion about safety in the nation’s largest mass transit system even as crime in the subway remains relatively rare.
Transit crime is down for the second straight year, with a 5.4 percent drop last year compared to 2023, according to data released by police Monday, which also showed a 3 percent overall drop in major crimes citywide.
Still, New York City Police Commissioner Jessica Tisch said in a Monday news conference discussing the statistics that riders simply “don’t feel safe.”
In response, she said the department will surge more than 200 officers onto subway trains and deploy more officers onto subway platforms in the 50 highest-crime stations in the city.
“We know that 78 percent of transit crime occurs on trains and on platforms, and that is quite obviously where our officers need to be,” Tisch said. “This is just the beginning.”

Powerful Tibet earthquake, near Nepal, kills at least 53

Updated 46 min 43 sec ago
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Powerful Tibet earthquake, near Nepal, kills at least 53

  • 6.8-magnitude quake measured at 10km depth with Tingri as epicenter
  • Southwestern China, Nepal and northern India are frequently hit by quakes

BEIJING/Katmandu: A magnitude 6.8 earthquake rocked the northern foothills of the Himalayas near one of Tibet’s holiest cities on Tuesday, Chinese authorities said, killing at least 53 people and shaking buildings in neighboring Nepal, Bhutan and India.
The quake hit at 9:05 a.m. (0105 GMT), with its epicenter located in Tingri, a rural Chinese county known as the northern gateway to the Everest region, at a depth of 10 km (6.2 miles), according to the China Earthquake Networks Center. The US Geological Service put the quake’s magnitude at 7.1.
At least 53 people had been killed and 62 injured on the Tibetan side, China’s state-run news agency Xinhua reported.
Southwestern parts of China, Nepal and northern India are frequently hit by earthquakes caused by the collision of the Indian and Eurasian tectonic plates.
A magnitude 7.8 tremor struck near Katmandu in 2015, killing about 9,000 people and injuring thousands in Nepal’s worst ever earthquake. Among the dead were at least 18 people killed at the Mount Everest base camp when it was smashed by an avalanche.
Tuesday’s epicenter was around 80 km (50 miles) north of Mount Everest, the world’s highest mountain and a popular destination for climbers and trekkers.
Winter is not a popular season for climbers and hikers in Nepal, with a German climber the lone mountaineer with a permit to climb Mount Everest. He had already left the base camp after failing to reach the summit, Lilathar Awasthi, a Department of Tourism official, said.
Nepal’s National Disaster Risk Reduction and Management Authority (NDRRMA) said the tremors were felt in seven hill districts bordering Tibet.
“So far we have not received any information of any loss of life and property,” NDRRMA spokesman Dizan Bhattarai told Reuters. “We have mobilized police, security forces and local authorities to collection information,” he said.
Many villages in the Nepalese border area, which are sparsely populated, are remote and can only be reached by foot.
AFTERSHOCKS, DAMAGE
The impact of the temblor was felt across the Shigatse region of Tibet, home to 800,000 people. The region is administered by Shigatse city, the traditional seat of the Panchen Lama, one of the most important figures in Tibetan Buddhism.
Chinese President Xi Jinping said all-out search and rescue efforts should be carried out to minimize casualties, properly resettle the affected people, and ensure a safe and warm winter.
Villages in Tingri reported strong shaking during the quake, which was followed by dozens of aftershocks with magnitudes of up to 4.4.
Crumbled shop fronts could be seen in a video on social media showing the aftermath from the town of Lhatse, with debris spilling out onto the road.
Reuters was able to confirm the location from nearby buildings, windows, road layout, and signage that match satellite and street view imagery.
There are three townships and 27 villages within 20 km (12 miles) of the epicenter, with a total population of around 6,900, Xinhua reported. Local government officials were liaising with nearby towns to gauge the impact of the quake and check for casualties, it added.
Tremors were also felt in Nepal’s capital Katmandu some 400 km (250 miles) away, where residents ran from their houses.
The quake also jolted Thimphu, the capital of Bhutan, and the northern Indian state of Bihar which borders Nepal.
So far, no reports of any damage or loss to property have been received, officials in India said.


Canada’s Liberals look for a new prime minister as Trump threatens tariffs and an election looms

Updated 07 January 2025
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Canada’s Liberals look for a new prime minister as Trump threatens tariffs and an election looms

  • A new Canadian leader is unlikely to be named before Trump is inaugurated on Jan. 20

TORONTO: Canadian Prime Minister Justin Trudeau announced his resignation after facing an increasing loss of support both within his party and in the country.
Now Trudeau’s Liberal Party must find a new leader while dealing with US President-elect Donald Trump’s threats to impose steep tariffs on Canadian goods and with Canada’s election just months away.
Trudeau said Monday he plans to stay on as prime minister until a new party leader is chosen.
He could not recover after Finance Minister Chrystia Freeland, long one of his most powerful and loyal ministers, resigned from the Cabinet last month.
Trudeau, the 53-year-old scion of Pierre Trudeau, one of Canada’s most famous prime ministers, became deeply unpopular with voters over a range of issues, including the soaring cost of food and housing as well as surging immigration.
What’s next for Canada?
A new Canadian leader is unlikely to be named before Trump is inaugurated on Jan. 20.
The political upheaval comes at a difficult moment for Canada. Trump keeps calling Canada the 51st state and has threatened to impose 25 percent tariffs on all Canadian goods if the government does not stem what Trump calls a flow of migrants and drugs into the US — even though far fewer of them cross the border from Canada than from Mexico, which Trump has also threatened with tariffs.
Trump also remains preoccupied with the US trade deficit with Canada, erroneously calling it a subsidy. Canada’s ambassador to Washington, Kirsten Hillman, has said the US had a $75 billion trade deficit with Canada last year. But she noted that a third of what Canada sells to the US are energy exports and that there is a deficit when oil prices are high.
If Trump applies tariffs, a trade war looms. Canada has vowed to retaliate.
When will there be a new prime minister?
The Liberals need to elect a new leader before Parliament resumes March 24 because all three opposition parties say they will bring down the Liberal government in a no-confidence vote at the first opportunity, which would trigger an election. The new leader might not be prime minister for long.
A spring election would very likely favor the opposing Conservative Party.
Who will be the next prime minister?
It’s not often that central bank governors get compared to rock stars. But Mark Carney, the former head of the Bank of Canada, was considered just that in 2012 when he was named the first foreigner to serve as governor of the Bank of England since it was founded in 1694. The appointment of a Canadian won bipartisan praise in Britain after Canada recovered faster than many other countries from the 2008 financial crisis. He gained a reputation along the way as a tough regulator.
Few people in the world have Carney’s qualifications. He is a highly educated economist with Wall Street experience who is widely credited with helping Canada dodge the worst of the 2008 global economic crisis and helping the UK manage Brexit. Carney has long been interested in entering politics and becoming prime minister but lacks political experience.
Freeland is also a front-runner. Trudeau told Freeland last month he no longer wanted her to serve as finance minister but that she could remain deputy prime minister and the point person for US-Canada relations. An official close to Freeland said Freeland couldn’t continue serving as a minister knowing she no longer enjoyed Trudeau’s confidence. The official spoke on condition of anonymity as they were not authorized to speak publicly on the matter. The person added it’s far too early to make declarations but said Freeland would talk to her colleagues this week and discuss next steps.
After she resigned, Trump called Freeland “totally toxic” and “not at all conducive to making deals.” Freeland is many things that would seem to irritate Trump: a liberal Canadian former journalist. She is a globalist who sits on the board of the World Economic Forum. Freeland, who is of Ukrainian heritage, also has been a staunch supporter of Ukraine in its war against Russia.
Another possible candidate is the new finance minister, Dominic LeBlanc. The former public safety minister, and a close friend of Trudeau, LeBlanc recently joined the prime minister at a dinner with Trump at Mar-a-Lago. LeBlanc was Trudeau’s babysitter when Trudeau was a child.
Is it too late for the Liberals?
Recent polls suggest the Liberals’ chances of winning the next election look slim. In the latest poll by Nanos, the Liberals trail the opposition Conservatives 47 percent to 21 percent.
“Trudeau’s announcement might help the Liberals in the polls in the short run and, once a new leader is selected, things could improve further at least for a little while but that would not be so hard because, right now, they’re so low in the polls,” said Daniel Béland, a political science professor at McGill University in Montreal.
“Moreover, because Trudeau waited so long to announce his resignation, this will leave little time to his successor and the party to prepare for early elections,” Béland said.
Many analysts say Conservative leader Pierre Poilievre will form the next government. Poilievre, for years the party’s go-to attack dog, is a firebrand populist who blamed Canada’s cost of living crisis on Trudeau. The 45-year-old Poilievre is a career politician who attracted large crowds during his run for his party’s leadership. He has vowed to scrap a carbon tax and defund the Canadian Broadcasting Corporation.


Powerful Tibet earthquake near Nepal kills at least 32

Updated 07 January 2025
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Powerful Tibet earthquake near Nepal kills at least 32

  • Magnitude 6.8 earthquake struck near one of Tibet’s holiest cities
  • Tremors also felt in Nepal, Bhutan and Northern India

BEIJING: A magnitude 6.8 earthquake rocked the northern foothills of the Himalayas near one of Tibet’s holiest cities on Tuesday, Chinese authorities said, killing at least 32 people and shaking buildings in neighboring Nepal, Bhutan and India.
The quake hit at 9:05 a.m. (0105 GMT), with its epicenter located in Tingri, a rural Chinese county known as the northern gateway to the Everest region, at a depth of 10 km (6.2 miles), according to the China Earthquake Networks Center. The US Geological Service put the quake’s magnitude at 7.1.
At least 32 people had been killed and 38 injured on the Tibetan side, China’s state-run news agency Xinhua reported.
The impact of the temblor was felt across the Shigatse region of Tibet, home to 800,000 people. The region is administered by Shigatse city, the traditional seat of the Panchen Lama, one of the most important figures in Tibetan Buddhism.
Villages in Tingri reported strong shaking during the quake, which was followed by dozens of aftershocks with magnitudes of up to 4.4.
Crumbled shop fronts could be seen in a video on social media showing the aftermath from the town of Lhatse, with debris spilling out onto the road.
Reuters was able to confirm the location from nearby buildings, windows, road layout, and signage that match satellite and street view imagery.
There are three townships and 27 villages within 20 km (12 miles) of the epicenter, with a total population of around 6,900, Xinhua reported. Local government officials were liaising with nearby towns to gauge the impact of the quake and check for casualties, it added.
Tremors were also felt in Nepal’s capital Katmandu some 400 km (250 miles) away, where residents ran from their houses.
“We felt a very strong earthquake. So far we have not received any report of injuries or physical loss,” said Anoj Raj Ghimire, chief district officer of Solukhumbu district in Nepal, at the foot of Mount Everest, the world’s highest mountain.
“We have mobilized police and other security forces as well as locals to collect information about the damage,” he added.
The quake also jolted Thimphu, the capital of Bhutan, and the northern Indian state of Bihar which borders Nepal.
So far, no reports of any damage or loss to property have been received, officials in India said.
Southwestern parts of China, Nepal and northern India are frequently hit by earthquakes caused by the collision of the Indian and Eurasian tectonic plates.
A huge quake in China’s Sichuan province in 2008 killed almost 70,000 people, while a magnitude 7.8 tremor struck near Katmandu in 2015, killing about 9,000 people and injuring thousands in Nepal’s worst ever earthquake.


US records first human bird flu death: health authorities

Test tube is seen labelled "Bird Flu" in front of the U.S. flag in this illustration taken, June 10, 2024. (REUTERS)
Updated 07 January 2025
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US records first human bird flu death: health authorities

  • The patient, aged over 65, had been hospitalized for a respiratory ailment, and was the first serious case of human infection of the H5N1 virus to be detected in the United States

WASHINGTON: The first human death linked to bird flu has been reported in the United States, health authorities in the state of Louisiana said Monday, adding that the patient was elderly and suffered from other pathologies.
The patient, aged over 65, had been hospitalized for a respiratory ailment, and was the first serious case of human infection of the H5N1 virus to be detected in the United States. Despite this death, the public health risk posed by bird flu remains “low,” the statement said.