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By:

Quaid Najmi

4 January 2025 at 3:26:24 pm

Cold wave triggers spike in cardiac arrests

Mumbai : As winter temperatures go for a spin across the country, hospitals are witnessing a significant surge of around 25-30 pc in cardiac emergencies, a top cardiologist said.   According to Interventional Cardiologist Dr. Hemant Khemani of Apex Group of Hospitals, cold air directly affects how the heart functions.   “Low temperatures make blood vessels tighten. When the arteries narrow, blood pressure shoots up and the heart has to work harder to push the blood through the stiffened...

Cold wave triggers spike in cardiac arrests

Mumbai : As winter temperatures go for a spin across the country, hospitals are witnessing a significant surge of around 25-30 pc in cardiac emergencies, a top cardiologist said.   According to Interventional Cardiologist Dr. Hemant Khemani of Apex Group of Hospitals, cold air directly affects how the heart functions.   “Low temperatures make blood vessels tighten. When the arteries narrow, blood pressure shoots up and the heart has to work harder to push the blood through the stiffened vessels,” said Dr. Khemani.   Elaborating on the direct effects of cold air on heart functioning, he said that low temperatures make blood vessels tighten, when arteries narrow, blood pressure shoots up and the heart must work harder to push blood through stiffened vessels.   Winter also thickens the blood, increasing the likelihood of clot formation and these combined effects create a dangerous ‘demand-supply mismatch’ for oxygen, especially in people with existing heart conditions.   This trend has caused concern among cardiologists as it adds to India’s already heavy cardiovascular diseases burden – with nearly one in four deaths linked to heart and blood vessel problems.   Dr. Khemani said that sudden temperature transitions - from warm rooms to chilly outdoors - can put additional strain on the heart and risks. “This abrupt shift loads the cardiovascular system quickly, raising the risk of a sudden (cardiac) event among vulnerable individuals.”   Lifestyle Patterns Added to these are the changes in lifestyle patterns during winter month that further amplify the danger. Most people reduce physical activities, eat richer foods, and often gain weight all of which combine to raise cholesterol levels, disrupt blood-sugar balance and push up blood pressure.   Complicating matters for the heart are the social gatherings during the cold season that tends to bring higher intake of smoking and alcohol, said Dr. Khemani.   Recommending basic preventive measures, Dr. Khemani said the chest, neck and hands must be kept warm to prevent heat loss, maintain a steady body temperature and reduce the chances of sudden blood pressure spikes, a low-salt diet, home-cooked meals, shot indoor walks post-eating, adequate hydration and at least seven hours of sleep.   He warns against ignoring warning signals such as chest discomfort, breathlessness, unexplained fatigue, or sudden sweating, pointing out that “early medical care can significantly limit heart damage and improve survival.”   The rise in winter heart risks is not unique to India and even global health agencies like World Health Federation and World Health Organisation report similar patterns.   The WHF estimates that more than 20 million people die of heart-related causes each year - equal to one life lost every 1.5 seconds, and the WHO has listed heart disease as the world’s leading cause of death for five consecutive years.   Seniors affected more by winter chills  Cold weather can hit the heart at any age, but the risk is noticeably higher for men aged above  45 and in women after 55, with the highest danger curve in people over 60, and elders with co-morbidities and history of heart diseases.   “People with existing cardiac problems face greater trouble in winter as the heart has to work harder. Even those without known heart disease can sometimes experience winter heart attacks, as chilly conditions may expose hidden blockages or trigger problems due to sudden exertion, heavy meals, smoking or dehydration,” Dr. Khemani told  ‘ The Perfect Voice’ .   However, contrary to perceptions, cold-weather heart issues have no connection to the COVID-19 vaccine, nor is there any scientific evidence linking the two, he assured.

Biggest Crisis: Searching for a Saviour Amidst Economic Ruin

Updated: Nov 18, 2024

Sri Lanka

Sri Lanka’s economic downfall is a complex tale, entwined with corruption, mismanagement, and geopolitical miscalculations. At the heart of the nation’s dire situation is a leadership that once promised prosperity but, over time, became mired in scandal and economic chaos. To avoid an impending breakdown, Sri Lanka now finds itself in desperate need of a saviour - someone who can steer the country away from the precipice and rebuild its crumbling economy.


For much of the early 2000s, Mahinda Rajapaksa, who served as president from 2005 to 2015 and then as prime minister until 2022, was hailed as a transformative figure. Under his leadership, Sri Lanka experienced robust economic growth, particularly through large-scale infrastructure projects funded by foreign loans. Rajapaksa’s tenure was marked by an ambitious push to modernise the country, including the construction of highways, airports, and the development of ports, most notably the Hambantota Port in the south.


However, the seeds of the present crisis were sown during this period. Rajapaksa’s government became increasingly associated with corruption and nepotism. His family members were given key positions of power, while the president himself secured dubious deals with foreign governments. A prominent example is the Hambantota Port project, which, while generating immediate economic activity, also burdened Sri Lanka with unsustainable debt, particularly to China.


The economic stability enjoyed in Rajapaksa’s first term gave way to deep fiscal mismanagement during his second. In 2022, Sri Lanka made history by defaulting on its debt for the first time since independence - a sign that the country was teetering on the brink of collapse. A combination of factors exacerbated the crisis: the COVID-19 pandemic decimated the tourism industry, foreign exchange reserves plummeted, and remittances fell. The government’s failure to address these challenges, coupled with skyrocketing inflation and acute shortages of food and fuel, ignited mass protests. The culmination of this unrest saw Rajapaksa’s resignation and the fleeing of his brother, President Gotabaya Rajapaksa, aboard a military jet.


The economic collapse, precipitated by years of mismanagement, was further exacerbated by decisions made in its aftermath. In May 2022, Ranil Wickremesinghe was appointed as the country’s president, but his ascent was met with scepticism. To buy essential imports like fuel and food, Wickremesinghe suspended debt repayments and declared bankruptcy, plunging Sri Lanka further into financial turmoil. The IMF, which stepped in with a $3 billion bailout, demanded a series of tough reforms, but these measures have placed the burden squarely on Sri Lanka’s poor, whose numbers have soared. The country’s poverty rate doubled between 2021 and 2022, with over 17 percent of the population facing food insecurity.


Wickremesinghe’s government has also faced allegations of human rights abuses, particularly in the Tamil-majority north and east. The use of the Prevention of Terrorism Act (PTA) has been reintroduced, undermining freedoms of expression and assembly. While the IMF’s reforms aim to address corruption and improve the country’s social protection system, they have failed to address the root causes of the crisis: the unrelenting accumulation of debt, the misallocation of resources, and the absence of strong, transparent governance.


The international community has raised concerns about Sri Lanka’s human rights record and the growing authoritarian tendencies of the government. The UN and the European Union have called for accountability and reconciliation, but their influence has done little to quell the domestic unrest or alter the course of the government’s economic policy.


At the core of Sri Lanka’s financial troubles lies the controversial Hambantota Port project, a symbol of Sri Lanka’s growing dependency on China. Initiated under Mahinda Rajapaksa’s presidency, the port was funded with loans from Chinese banks and built by Chinese companies, including the China Harbor Engineering Company. The port was intended to become a major economic hub, but the loans taken to finance its construction (approximately $1.3 billion) became an insurmountable burden for the small island nation.


What was once seen as an ambitious infrastructure project now looms as a debt trap. The loan terms were so onerous that Sri Lanka could not repay them, and in 2017, the government was forced to lease the port to a Chinese company for 99 years. This concession sparked fears of Chinese geopolitical ambitions in the region, especially given the strategic location of Hambantota, just 40 km from India’s southern coastline.


The project has had a broader economic impact, contributing to the depletion of foreign reserves and the shortage of essential goods. The port, which was meant to be a beacon of development, has instead become a symbol of miscalculation and geopolitical folly. Sri Lanka’s increasing reliance on China, both economically and politically, has been a major factor in its current plight. The country is no longer in a position to rely on Chinese aid and has found itself trapped in a vicious cycle of debt with little room for manoeuvre.


The question that now looms large for Sri Lanka is can it extricate itself from this crisis? The answer lies in a dramatic shift in the country’s foreign policy. To avoid further economic decay and the collapse of its sovereignty, Sri Lanka must move away from the pro-China stance that has led it into a debt trap and turn to its regional partner, India, for help.


India has long been a stabilising influence in the region, with shared cultural, economic, and security interests. The Indian government has expressed its willingness to support Sri Lanka in its time of need, but this support hinges on a recalibration of Sri Lanka’s policies, particularly its relationship with China. India has already provided financial assistance and emergency supplies, but the real opportunity for Sri Lanka’s recovery lies in a long-term economic cooperation with its neighbour.


India’s trade and investment potential are vast, and a more integrated economic relationship could offer Sri Lanka the opportunity to rebuild its economy, strengthen its infrastructure, and improve its energy security. Moreover, India’s strategic interests in the Indian Ocean make it an essential partner for Sri Lanka as it navigates the complexities of its foreign relations.


A shift away from Chinese influence would also signal to international creditors that Sri Lanka is serious about regaining control over its fiscal health and economic future. It would also reassure global partners about Sri Lanka’s commitment to democratic reforms and human rights, areas that have been severely compromised in recent years.


Sri Lanka’s search for a saviour is not just about finding a leader who can manage the economy—it’s about a leader who can forge a new path, one that steers Sri Lanka out of its geopolitical entanglements and economic troubles. This new leadership must be bold enough to tackle corruption, demand accountability from all sectors of society, and embrace regional cooperation, particularly with India, to ensure long-term stability.


Sri Lanka stands at a crossroads. The decisions made in the coming years will determine whether the country can recover from its current crisis or continue its descent into anarchy. It is a moment of truth that demands not just a saviour, but a transformation—one that places the welfare of the Sri Lankan people at the heart of governance and paves the way for a more sustainable future.

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