Child Growth Chart Dubai: A Parent's Complete Guide to Height, Weight & Percentiles (2026)

As a parent in Dubai, understanding your child's growth chart is one of the most practical tools you have for monitoring their health. Growth charts translate routine height, weight, and head circumference measurements into percentile curves that show how your child compares to thousands of healthy children worldwide. Our paediatric clinic at Doctors Clinic Diagnostic Center (DCDC) in Dubai Healthcare City uses WHO and CDC growth standards to track every child from their first well-baby visit through adolescence, identifying concerns before they become problems.

This guide explains how to read a growth chart, what the percentile numbers actually mean, what normal growth looks like at each stage from birth to 18 years, and when you should be concerned. Dr. Yusra Alshaikh, a board-certified Pediatrician at DCDC with credentials in both the Arab Board and Emirati Board of Pediatrics, reviewed this guide to ensure it reflects the latest WHO standards and Dubai Health Authority (DHA) guidelines for child growth monitoring.

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What Is a Child Growth Chart?

A child growth chart is a standardized medical tool that plots a child's physical measurements against reference data collected from large populations of healthy children. The chart uses curved lines called percentile lines to show the range of normal growth for a given age and sex. When your pediatrician measures your child's height, weight, and head circumference at each visit, they plot these values on the growth chart to create a visual record of your child's growth trajectory over time.

The most widely used growth charts are the World Health Organization (WHO) Child Growth Standards and the United States Centers for Disease Control and Prevention (CDC) Growth Charts. Both use percentile curves, but they were developed from different populations and serve slightly different purposes. In Dubai, pediatricians typically use WHO charts for children from birth to 2 years and CDC charts from age 2 onward, following the same recommendation the American Academy of Pediatrics (AAP) issued in 2010.

Growth charts measure several key parameters. Weight-for-age tracks whether a child is gaining weight at the expected rate. Length-for-age (under 2) and height-for-age (over 2) monitor linear growth. Head circumference-for-age (up to age 2 or 3) reflects brain growth. Weight-for-length and BMI-for-age (from age 2) assess body proportionality. Together, these measurements give a comprehensive picture of a child's physical development.

How to Read Growth Chart Percentiles

Percentiles are the core concept behind growth charts, and they are frequently misunderstood by parents. A percentile indicates where your child's measurement falls relative to other children of the same age and sex. For example, if your daughter is at the 75th percentile for height, it means she is taller than 75% of girls her age and shorter than 25%. Importantly, a percentile is not a grade or score. A child at the 25th percentile is not less healthy than a child at the 90th percentile. Both can be perfectly normal.

Growth charts typically display the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th percentile lines. The 50th percentile represents the median, meaning half of healthy children will be above this line and half below. The area between the 3rd and 97th percentiles encompasses 94% of the healthy population. Measurements that fall below the 3rd percentile or above the 97th percentile sit at the extreme ends and may warrant further evaluation, although they can still be normal for some children.

The Trend Matters More Than Any Single Number

The most important insight about growth charts is that the trend over time carries far more clinical significance than any single measurement. A child who consistently tracks along the 15th percentile is growing normally. A child who drops from the 75th percentile to the 25th percentile over six months deserves investigation, even though the 25th percentile is technically within normal range. Pediatricians look for children who cross two or more major percentile lines, either upward or downward, as this pattern can signal nutritional problems, hormonal issues, or underlying medical conditions.

At DCDC, every growth measurement is digitally recorded and plotted, making it easy for Dr. Yusra Alshaikh and the pediatric team to spot trends across visits. If your child has been seen at multiple clinics, bringing previous records or the child's health booklet helps establish a complete growth history. For families who schedule regular well-baby checkups, this continuous tracking happens automatically.

WHO vs CDC Growth Charts: Which One Does Your Pediatrician Use?

Parents sometimes notice that their child's percentile changes when plotted on different charts. This is not an error. The WHO and CDC charts were built from different populations and represent different things, and understanding the distinction removes unnecessary worry.

WHO Growth Standards (Birth to 2 Years)

The WHO Child Growth Standards, published in 2006, are based on data from approximately 8,500 children in six countries (Brazil, Ghana, India, Norway, Oman, and the United States) who were raised in optimal conditions: breastfed, non-smoking households, adequate nutrition, and access to healthcare. Because the study selected for ideal conditions, the WHO charts describe how children should grow, making them a growth standard rather than a growth reference. The AAP and DHA recommend using WHO charts for all children from birth to 24 months.

CDC Growth Charts (2 to 20 Years)

The CDC Growth Charts, developed in 2000, are based on national survey data from the United States collected between 1963 and 1994. Unlike the WHO charts, they describe how children did grow in a specific population rather than how they should grow, making them a growth reference. The CDC charts cover a broader age range (2 to 20 years) and include BMI-for-age percentiles, which are essential for monitoring overweight and obesity in school-age children. These are the charts most commonly used in Dubai for children over age 2.

One practical point: when your child transitions from WHO to CDC charts around age 2, their percentile may shift slightly. This is a known statistical artifact and does not mean their growth has actually changed. Your pediatrician accounts for this transition and will interpret the numbers in context.

Average Height and Weight by Age: Growth Milestone Table

The following table shows approximate 50th percentile (median) values for height and weight at key ages, based on WHO and CDC reference data. These numbers represent the midpoint of the normal range. Your child does not need to match these values exactly to be healthy. What matters is consistent tracking along their own percentile curve.

Growth Milestones by Age Group

Growth is not a uniform process. Children grow at different rates during different periods, and understanding what to expect at each stage helps parents distinguish normal variation from genuine concerns.

Birth to 2 Years: The Fastest Growth Phase

The first two years of life represent the most rapid period of growth a person will ever experience. Most full-term newborns weigh between 2.5 and 4.0 kg at birth and measure between 46 and 53 cm in length. By 5 months, most babies have doubled their birth weight, and by 12 months, most have tripled it. Length increases by approximately 25 cm in the first year alone. Head circumference, which reflects brain growth, increases by about 12 cm in the first year, with the fastest growth occurring in the first three months.

During this phase, growth faltering can develop quickly because infants have limited nutritional reserves. Frequent weight checks, especially in the first few weeks, help identify feeding difficulties early. At DCDC, the pediatric team follows the DHA-recommended schedule of visits at 1, 2, 4, 6, 9, and 12 months during the first year. Each visit includes precise measurements plotted on WHO growth charts. For breastfed babies, it is important to know that WHO charts are the appropriate standard, since breastfed infants often appear to grow more slowly than formula-fed infants in the second half of the first year. This is normal, not a sign of insufficient milk supply. Parents seeking comprehensive guidance on first-year visits can refer to our well-baby checkup guide.

Ages 2 to 5 Years: Steady Growth, New Measurements

Growth velocity slows significantly after age 2. Children typically gain about 2 kg and grow about 6 to 8 cm per year during this period. This is also when standing height replaces recumbent length measurement, and BMI-for-age tracking begins. The toddler appetite decline that many parents notice around age 2 is a normal physiological response to slower growth rate, not a cause for concern unless the child is dropping percentiles. This period is also when nutritional habits established in infancy become long-term patterns, making it an important window for dietary guidance.

Ages 5 to 12 Years: The Steady Mid-Childhood Phase

During mid-childhood, growth continues at a relatively steady pace of approximately 5 to 7 cm and 2 to 3 kg per year. This is a period of consolidation rather than dramatic change. Growth velocity is relatively predictable, and any significant departure from the established pattern is easier to detect. Annual checkups are typically sufficient for healthy children during this phase. BMI tracking becomes particularly important as childhood obesity rates have increased globally. In the UAE, studies indicate rising rates of overweight and obesity in school-age children, making regular child health checkups with growth assessment especially relevant.

Ages 12 to 18 Years: The Pubertal Growth Spurt

Puberty triggers the second-fastest growth period in human life, driven by sex hormones and growth hormone. Girls typically enter the growth spurt earlier (around ages 10 to 11) and reach peak height velocity about two years before boys (who peak around ages 12 to 14). During the peak growth spurt, boys may grow 8 to 12 cm per year and girls 6 to 10 cm per year. Growth continues at a decreasing rate until the growth plates close, typically by age 14 to 16 in girls and 16 to 18 in boys.

Delayed puberty or early puberty (precocious puberty) can both affect final adult height. If your child shows signs of puberty before age 8 (girls) or age 9 (boys), or has no signs by age 13 (girls) or age 14 (boys), a pediatric evaluation is advisable. At DCDC, the on-site X-ray facility allows bone age assessment, which helps determine skeletal maturity and predict remaining growth potential.

When to Worry About Your Child's Growth

Not every variation in a child's growth chart signals a problem. However, certain patterns and red flags should prompt a visit to your pediatrician. Recognizing these signs early gives your child the best chance of effective treatment if an underlying issue exists.

Red Flags That Warrant a Growth Evaluation

• Crossing two or more percentile lines: A child who drops from the 75th to the 25th percentile (or rises from the 25th to the 90th) over a period of 6 to 12 months needs evaluation, even if the current percentile is technically normal.
• Height or weight below the 3rd percentile: While some healthy children naturally track below this line (especially if both parents are shorter), measurements below the 3rd percentile should be evaluated to rule out medical causes.
• Significant height-weight discrepancy: A child at the 10th percentile for weight but the 75th for height, or vice versa, may have a nutritional or hormonal issue that needs investigation.
• No weight gain or weight loss between visits: Any weight loss in a child (outside of normal newborn weight loss in the first week) deserves prompt medical attention.
• Growth velocity below expected rate: Growing less than 5 cm per year between ages 4 and puberty is below normal and may indicate growth hormone deficiency, thyroid disorders, or chronic illness.
• Disproportionate growth: If a child's limbs seem short relative to their trunk, or if there are visible skeletal asymmetries, a referral to a specialist may be needed.
• Delayed or absent puberty signs: No breast development by age 13 in girls or no testicular enlargement by age 14 in boys warrants investigation.

If you notice any of these patterns, the first step is a comprehensive pediatric consultation. At DCDC, Dr. Yusra Alshaikh can assess your child's growth history, perform a physical exam, and order targeted blood tests and imaging studies during the same visit.

Factors Affecting Child Growth in Dubai and the UAE

While genetics determine the general range of a child's growth potential, environmental and nutritional factors play a significant role in whether a child reaches that potential. Several factors specific to living in Dubai and the UAE can influence child growth.

Vitamin D Deficiency

Despite year-round sunshine, vitamin D deficiency is paradoxically widespread in the UAE. Research published in BMC Endocrine Disorders found that vitamin D deficiency is notably prevalent in Emirati children and adolescents, and a Dubai Health Authority study reported that over 85% of the UAE population is vitamin D deficient. The high temperatures that keep children indoors during summer months, combined with clothing that covers most of the skin, significantly reduce natural vitamin D synthesis. Since vitamin D is essential for calcium absorption and bone mineralization, deficiency can directly impair linear growth, delay motor milestones, and in severe cases lead to rickets. Routine vitamin D level testing is part of growth evaluation at DCDC, and supplementation guidance is provided as needed. For a deeper understanding, our vitamin D deficiency guide covers symptoms, testing, and treatment options.

Iron Deficiency and Nutritional Gaps

Iron deficiency is the most common nutritional deficiency in children worldwide, and it is particularly prevalent in the UAE pediatric population. Iron is critical not only for preventing anemia but also for brain development, immune function, and growth. Children who are picky eaters, those on restrictive diets, and those transitioning from breastmilk to solids are at heightened risk. A simple complete blood count (CBC) and serum ferritin test can identify iron deficiency before symptoms become obvious. DCDC's on-site laboratory allows these tests to be completed during the same visit as the growth assessment, with results often available the same day.

Expat Children Adjusting to a New Environment

Dubai's multinational population means many children have relocated from different countries, often with different dietary norms, climate conditions, and healthcare histories. It is not uncommon for expat children to show temporary growth pattern changes during the adjustment period. Changes in diet, water, climate, sleep schedules, and the stress of adapting to a new school can all temporarily affect appetite and weight gain. For these families, establishing a baseline with a Dubai-based pediatrician and continuing regular growth monitoring provides reassurance and catches any genuine problems early.

Climate and Physical Activity

During the summer months in Dubai, temperatures regularly exceed 40 degrees Celsius, which limits outdoor physical activity. Reduced exercise can affect appetite regulation, muscle development, and overall growth patterns. Children who spend extended time indoors may also develop poorer eating habits and higher screen time, both of which can contribute to excessive weight gain. Encouraging indoor physical activities, swimming, and structured exercise programs helps maintain healthy growth trajectories year-round.

How Growth Monitoring Works at DCDC

Understanding what happens during a growth monitoring visit helps parents prepare and know what to expect. At DCDC in Dubai Healthcare City, pediatric growth assessment is a structured, thorough process that goes well beyond simply measuring height and weight.

Step-by-Step: What to Expect at Your Child's Growth Assessment

• Registration and history review (5 minutes): The reception team verifies your insurance details for direct billing and collects your child's health booklet or previous growth records. If this is your first visit, bring any growth charts or medical records from previous providers.
• Anthropometric measurements (5-10 minutes): A trained nurse measures your child's weight (undressed or in light clothing), length (for children under 2, measured lying down) or height (standing, for children 2 and older), and head circumference (for children under 3). For children over age 2, BMI is calculated from height and weight.
• Growth chart plotting and review (5 minutes): Measurements are plotted on the appropriate WHO or CDC growth chart. The doctor reviews the percentile position, the trajectory compared to previous visits, and any deviation from the expected pattern.
• Physical examination (10-15 minutes): Dr. Yusra Alshaikh performs a targeted physical exam assessing nutritional status, pubertal staging (for older children), skeletal proportions, thyroid gland, skin, hair, and nails. Physical signs like pale conjunctivae, brittle nails, or dry skin can point to nutritional deficiencies.
• Dietary and lifestyle assessment (5-10 minutes): The doctor discusses your child's typical daily diet, appetite patterns, physical activity level, sleep quality, and any recent illnesses that may have affected growth. For infants, breastfeeding or formula intake is reviewed.
• Diagnostic tests if indicated (10-15 minutes): If growth patterns raise concerns, the on-site DCDC lab can perform blood tests including CBC, serum ferritin, vitamin D (25-OH), thyroid function (TSH, free T4), liver and kidney function panels, and insulin-like growth factor (IGF-1). Bone age X-ray and abdominal ultrasound are also available on-site if needed.
• Action plan and follow-up scheduling (5 minutes): The doctor provides a clear summary of findings, any prescribed supplements or dietary changes, and schedules the next growth monitoring visit. Parents receive an updated growth chart they can keep for their records.

A routine growth monitoring visit typically takes 30 to 45 minutes. If blood tests or imaging are ordered, results are often available the same day for common panels. The average wait time at DCDC is approximately 15 minutes, and the clinic's child-friendly environment is designed to keep younger patients comfortable throughout the visit.

Common Medical Causes of Abnormal Growth

When a child's growth deviates significantly from the expected pattern, your pediatrician will investigate potential underlying causes. In the majority of cases, the explanation is nutritional or constitutional (genetic), but certain medical conditions must be ruled out.

Conditions That Can Cause Poor Growth

• Nutritional deficiencies: Insufficient caloric intake, iron deficiency, vitamin D deficiency, and zinc deficiency are the most common nutritional causes of growth faltering. These are readily treatable once identified through blood tests.
• Growth hormone deficiency: A rare condition where the pituitary gland does not produce enough growth hormone. Diagnosis involves blood tests (IGF-1) and stimulation testing. Treatment with growth hormone replacement therapy can restore normal growth velocity.
• Thyroid disorders: Hypothyroidism slows metabolism and growth. A simple blood test measuring TSH and free T4 can identify this condition, which is treatable with thyroid hormone replacement.
• Celiac disease: Gluten intolerance can cause malabsorption, leading to poor weight gain and growth even when a child appears to eat normally. Testing involves specific antibody blood tests.
• Chronic conditions: Asthma, inflammatory bowel disease, kidney disease, and congenital heart conditions can all affect growth. Childhood asthma, for example, may affect growth through both the disease itself and the medications used to treat it.
• Constitutional growth delay: Some children are genetically programmed to grow more slowly in childhood and enter puberty later than their peers. They typically reach normal adult height. Bone age assessment helps distinguish this pattern from pathological causes.
• Familial short stature: If both parents are shorter than average, their child's growth will likely track along lower percentiles. This is a normal genetic variant, not a medical condition.

At DCDC, the ability to perform blood tests, X-rays for bone age, and ultrasound imaging on-site means that the initial diagnostic workup for growth concerns can often be completed in a single visit. This coordinated approach reduces the number of separate appointments families need and allows for faster diagnosis and treatment.

Pediatric Growth Assessment Costs in Dubai

Knowing the costs involved helps families plan for their child's growth monitoring. The following table outlines typical costs for growth-related pediatric services at DCDC. Many of these services are covered by insurance, and DCDC offers direct billing with over 20 insurance partners including Daman, AXA, Bupa, MetLife, and Cigna.

For families without insurance or with limited coverage, DCDC offers transparent pricing with no hidden fees. The pediatrician cost guide provides additional detail on what to expect when budgeting for pediatric care in Dubai.

Doctor's Perspective: Why Growth Monitoring Matters at Every Age

Dr. Yusra Alshaikh, Pediatrician at DCDC, shares her clinical perspective on growth monitoring: "In my practice, I see parents who only bring their child for a growth check when something seems obviously wrong, such as the child being much shorter than classmates or not gaining weight. But the real value of growth monitoring lies in consistency. When I have a child's growth data from six or eight regular visits, I can spot a subtle downward trend months before it becomes visually apparent. Some of the most important diagnoses I have made started with a slight change in the growth curve that the parents would never have noticed at home. Iron deficiency, thyroid dysfunction, and even celiac disease can present initially as nothing more than a gentle flattening of the weight curve. By the time symptoms like fatigue or appetite loss become obvious, the child may have lost months of optimal growth. This is especially important in Dubai, where I routinely find vitamin D and iron levels below optimal in children who appear perfectly healthy. A simple blood test during a routine growth check can identify these deficiencies before they affect development."

How to Track Your Child's Growth at Home

While professional growth monitoring is essential, parents can also track growth at home between clinic visits. Home measurements are not a substitute for clinical assessment, but they help you feel connected to your child's development and can alert you to changes that warrant an earlier-than-scheduled visit.

• Invest in a reliable scale: A digital infant scale for babies under 2 and a standing scale for older children. Weigh your child at the same time of day, in the same clothing (or undressed for infants), to ensure consistency.
• Measure height accurately: For children over 2, measure standing height against a wall using a flat headpiece and a measuring tape. Remove shoes and have the child stand with heels, buttocks, and shoulder blades touching the wall. Measure in the morning when children are tallest.
• Record measurements consistently: Note the date, age in months, weight, and height. You can use a notebook, a smartphone app, or a printed WHO growth chart that you plot manually.
• Measure at regular intervals: Monthly for infants under 12 months, every 2 to 3 months for toddlers, and every 6 months for older children. More frequent measurement than this is unnecessary and can cause anxiety over normal fluctuations.
• Bring your records to every clinic visit: Home measurements help your pediatrician fill in gaps between visits and give a more complete growth picture.

UAE-Specific Growth Guidelines and DHA Recommendations

The Dubai Health Authority (DHA) issues growth monitoring guidelines that align with WHO and AAP standards while accounting for regional factors. Key DHA recommendations for growth monitoring in Dubai include regular wellness visits at 1, 2, 4, 6, 9, and 12 months during the first year, followed by visits every six months from ages 1 to 3, and annual checkups from age 3 onward. DCDC follows this schedule for all pediatric patients.

The DHA also emphasizes screening for vitamin D deficiency in all children, given the high prevalence in the UAE population. Annual blood screening for iron status is recommended, particularly for children at risk ages (6 to 24 months and during the pubertal growth spurt). BMI screening from age 2 is encouraged to address the rising rate of childhood obesity in the region. Children entering school in Dubai must complete a medical examination that includes growth assessment, and DCDC provides these school health checks with same-day completion when capacity allows.

The UAE has also developed its own population-specific growth reference charts. A 2024 study published in the Annals of Human Biology (the UAEMCGS 2 study) created updated growth reference charts for height and weight specifically based on the current UAE child population. While WHO charts remain the primary clinical tool, these UAE-specific references provide valuable context for Emirati children whose growth patterns may differ slightly from the global WHO reference population.

Nutrition Tips to Support Healthy Growth in Dubai

Adequate nutrition is the single most controllable factor in childhood growth. While genetics set the ceiling, nutrition determines whether a child reaches that ceiling. Here are evidence-based nutritional strategies particularly relevant for families living in Dubai.

• Prioritize calcium and vitamin D: Include dairy products, fortified plant milks, leafy greens, and small fish with bones. Discuss vitamin D supplementation with your pediatrician, as dietary sources alone are rarely sufficient in the UAE.
• Ensure adequate iron intake: Red meat, lentils, beans, fortified cereals, and spinach are good sources. Pair iron-rich foods with vitamin C (citrus, bell peppers) to enhance absorption. Avoid giving milk or tea with meals as they reduce iron absorption.
• Provide protein at every meal: Protein is essential for tissue growth. Include lean meats, fish, eggs, dairy, legumes, or tofu at each meal. For children with food allergies, work with your pediatrician to find safe protein alternatives.
• Limit sugary drinks and processed foods: Empty calories from soft drinks, juices, and processed snacks can suppress appetite for nutrient-dense foods and contribute to excessive weight gain without supporting healthy growth.
• Maintain adequate hydration: In Dubai's hot climate, children need more water than in temperate environments. Dehydration can reduce appetite and impair nutrient absorption.
• Respect appetite fluctuations: Toddlers and young children naturally reduce their caloric intake as growth velocity slows after age 2. Forcing children to eat beyond their appetite can create negative mealtime associations.

Growth Charts for Premature Babies

If your baby was born prematurely (before 37 weeks of gestation), standard growth charts require adjustment. Premature infants are plotted using their corrected age, not their chronological age, until they are approximately 2 to 3 years old. Corrected age is calculated by subtracting the number of weeks of prematurity from the child's actual age. For example, a baby born at 32 weeks who is now 4 months old would be plotted at a corrected age of 2 months (40 minus 32 equals 8 weeks of prematurity; 4 months minus 2 months equals 2 months corrected age).

Specialized growth charts for preterm infants, such as the Fenton growth chart, are used during the neonatal period and the first weeks after discharge. Most premature babies achieve catch-up growth and are within the normal range for their corrected age by age 2 to 3. However, catch-up growth that happens too rapidly (crossing percentile lines upward too quickly) has also been associated with increased metabolic risk later in life. Regular monitoring by a pediatrician experienced with premature infant growth patterns is essential. At DCDC, the newborn screening and early assessment protocol includes adjusted growth tracking for premature infants.

Frequently Asked Questions About Child Growth Charts

Frequently Asked Questions

Final Thoughts

A child's growth chart is one of the most powerful tools in pediatric medicine. It condenses complex biological information into an accessible visual format that allows both doctors and parents to monitor a child's development over time. Understanding how to read the chart, knowing what the percentile lines mean, and recognizing when a pattern warrants investigation empowers you to be an active participant in your child's healthcare rather than a passive observer.

For families in Dubai, the combination of a multinational population, high rates of vitamin D deficiency, and climate-related lifestyle factors makes regular growth monitoring especially valuable. The DHA wellness visit schedule provides a structured framework, and clinics like DCDC in Dubai Healthcare City offer comprehensive growth assessment with on-site diagnostics that streamline the process. Whether your child is a newborn whose weight is being tracked weekly, a toddler whose appetite has shifted, or a teenager navigating the pubertal growth spurt, consistent growth monitoring ensures that any concerns are identified early when they are most treatable.

If you have questions about your child's growth or would like to establish a growth monitoring baseline, book a pediatric consultation at DCDC. Dr. Yusra Alshaikh and the pediatric team provide thorough, evidence-based care with the convenience of on-site blood tests, imaging, and direct insurance billing. Your child's growth story is unique, and understanding it is one of the best investments you can make in their long-term health.

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Dr. Yusra Alshaikh

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Pediatrics

MBBS, Arab Board of Pediatrics, Emirati Board of Pediatrics

Dr. Yusra Alshaikh is a Pediatrician at Doctors Clinic Diagnostic Center (DCDC) in Dubai Healthcare City.

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© 2026 Doctors Clinic Diagnostic Center (DCDC), Dubai Healthcare City. Originally published at https://doctorsclinicdubai.ae/blog/child-growth-chart-dubai. All rights reserved. Unauthorized reproduction is prohibited.