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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.

Brighter than a Thousand Suns: 80 Years of Hiroshima and Nagasaki in Literature

From the blinding flash of August 1945 to the present, the atomic bomb has haunted literature with questions of morality, necessity and memory.

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In the predawn dark of August 6, 1945, a B-29 bomber named Enola Gay lifted off from the Pacific island of Tinian, carrying a single bomb and the burden of a new era. Hours earlier, weather reconnaissance planes had confirmed ideal conditions over Hiroshima: clear skies, little wind, and high humidity. The city, nestled between hills and opening onto the sea, would be visible for miles. As the sun rose over Japan, Hiroshima stirred to another humid summer morning. At precisely 8:15am, the bomb detonated. In less than a second, 80,000 lives were extinguished.


Three days later, on August 9, Nagasaki followed. By August 15, Japan (after much behind-the-scenes intrigue) surrendered. The war was over. But the work of documenting, interpreting and disputing the atomic bomb had only just begun.


The earliest and most haunting accounts came not from generals or diplomats but from the witnesses and survivors themselves. John Hersey’s ‘Hiroshima’ (1946), first published as a full issue of The New Yorker magazine, is widely credited with being the first major work to ‘humanise’ the bomb’s victims.


Hersey followed six survivors - two doctors, a seamstress, a priest, a clerk, and a factory worker - and gave Western readers their first close-up look at the suffering beneath the mushroom cloud. His prose was plain, clinical even, but it cut deep as the horrors described needed no embellishment.


Hersey’s impact was immediate as the New Yorker sold out within hours. Albert Einstein reportedly ordered 1,000 copies.


Another rival classic is Michihiko Hachiya’s ‘Hiroshima Diary,’ published in English a decade after the war in 1955. It offered a Japanese doctor’s personal account of the blast and its aftermath. While Hersey played the journalist, Hachiya wrote with the detached, methodical tone of a physician trying to catalogue the collapse of the human body.


While these works form the bedrock of the hibakusha (bomb survivor) literature, others arrived to ask harder questions - not just what happened, but why. Wilfred Burchett, an Australian war correspondent, was the first Western journalist to enter Hiroshima after the bombing, defying Allied orders by boarding a train from Tokyo. His 1945 dispatch, ‘The Atomic Plague,’ published in the London Daily Express, caused a furore. It described an eerie silence and “a city of death” with survivors dying not of burns, but of a mysterious disease: radiation poisoning. American officials quickly dismissed his report as propaganda, and according to some accounts, his photographic film was destroyed or disappeared under suspicious circumstances. Later works, including his ‘Shadow of Hiroshima’ (1983), burnished his image as a martyr for truth. But critics pointed to his uncritical sympathies for Stalinist and Maoist regimes, accusing him of selective outrage in denouncing American atrocities while excusing Communist ones. Like the Cold War itself, Burchett’s legacy remains sharply divided.


In the 1980s and 1990s, as fears of nuclear winter loomed, writers sought to universalise Hiroshima not merely as a Japanese tragedy, but a warning to all humanity. Robert Jay Lifton’s ‘Death in Life’ (1967) explored the psychological trauma of survivors, introducing the concept of “psychic numbing.” Toshiko Saeki’s testimonies, collected in anthologies, gave voice to women and children whose suffering had been marginalised. By the 2000s, fictional retellings such as Masuji Ibuse’s harrowing ‘Black Rain,’ though published in 1965, found renewed readership. It chronicled the slow poisoning of bodies and minds through fallout, blending diary entries and narrative to haunting effect.


Literary responses have continued into the 21st century, revisiting not just the bombings but the ways in which they were framed and forgotten. Lesley M.M. Blume’s ‘Fallout’ (2020) chronicles the behind-the-scenes battle to publish John Hersey’s ‘Hiroshima’ in The New Yorker, revealing how American military officials tried to suppress coverage of radiation sickness to maintain public support for the bomb. Blume’s account reads like a thriller, charting the collision between Cold War censorship and journalistic defiance. Naoko Wake’s ‘American Survivors’ (2021) excavates a little-known chapter in atomic history: the stories of Japanese Americans who had returned to Japan before the war and were living in Hiroshima or Nagasaki when the bombs fell. Treated as ‘outsiders’ by both countries, their narratives have long been erased from the hibakusha canon. Wake’s work reframes victimhood as a transnational, liminal experience. Meanwhile, Charles Pellegrino’s ‘To Hell and Back’ (2015) fuses forensic reconstruction with survivor testimony and historical detective work, offering a cinematic, immersive retelling of the Hiroshima and Nagasaki blasts and what it felt like to be beneath the fireball, and what it took to survive the aftermath.


Drawing on interviews, medical records and physical remnants, Pellegrino attempts to turn ground zero into an archaeological site of conscience.


A different canon of literature has emerged that argues that Hiroshima and Nagasaki were necessary evils. Richard B. Frank’s ‘Downfall: The End of the Imperial Japanese Empire’ (1999) meticulously marshals evidence from military archives to argue that Japan was not on the brink of surrender in August 1945, and that the bombings saved millions of lives - both Allied and Japanese - by obviating a ground invasion. His work draws heavily on decrypted Japanese communications (the Magic intercepts) that show the high command’s resolve to fight on.


The strongest evidence for this came from the Japanese themselves. First published in 1965, ‘Japan’s Longest Day’ was compiled by the Pacific War Research Society, a group of Japanese historians and former military officers formed to record an authoritative account of the country’s final 24 hours of war. Drawing on official documents, War Council records and interviews with those inside the Imperial Palace, the book reconstructs the tense period from the morning of August 14th, 1945, and how it ultimately required the unprecedented intervention of Emperor Hirohito, to tip the scales by accepting the Allied surrender terms.


The narrative reveals a leadership still divided even after the bombs flattened Hiroshima and Nagasaki, and portrays near-coup attempts by die-hard officers determined to prevent surrender. It was intended as a sober national reckoning, confronting both the bombings and Japan’s own war responsibility.


In contrast, Gar Alperovitz’s ‘The Decision to Use the Atomic Bomb’ (1995) contests this logic, arguing that Japan was already seeking peace and that America’s real motive was to overawe the Soviet Union. Critics of Alperovitz, however, have accused him of cherry-picking evidence and downplaying Japan’s wartime fanaticism.


This debate on whether the bombings were ‘crimes’ or necessity rages on. The literature on both sides is voluminous and increasingly hybrid. Tsuyoshi Hasegawa’s ‘Racing the Enemy’ (2005), for instance, accepts that Soviet entry into the war was decisive in Japan’s surrender, but does not absolve the U.S. Hasegawa suggests that Washington may have rushed to use the bomb before Moscow could claim a greater share of post-war influence.


Eighty years on, the literature of the bomb is as unsettled as the arguments it fuels. But all are bound by the recognition that Hiroshima and Nagasaki transcended any military episode, becoming a moment when science, war and morality fused in a blinding flash, and left a shadow over all that followed. The bomb fell once. The words have never stopped falling since.


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