top of page

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.

False Threats, Real Costs: How Bomb Hoaxes are Shaking Indian Aviation

ree

Aviation is the backbone of modern transportation, and India’s civil aviation sector has seen rapid expansion, fueled by rising demand and a growing roster of airlines.


This growth, however, hinges on the sector’s reputation for safety—an assurance that rests on stringent protocols covering every part of the aviation ecosystem: airspace management, aircraft security, airport operations, and critical support infrastructure. Safety has, understandably, become the primary pillar of public trust in air travel, with government oversight central to its enforcement.


But that trust is under strain. A recent spike in bomb hoaxes has disrupted India’s aviation industry, creating uncertainty and staggering financial strain. In just over a week, more than 170 flights operated by Indian carriers—both domestic and international—received bomb threats. These incidents covered routes to countries as distant as the United States, Canada, and Singapore. Some threats were even issued mid-flight, prompting emergency rerouting to the nearest airport, often far from the intended destination. In one case, an Air India flight to the US was diverted to Canada, while another bound for Frankfurt was rerouted to Turkey. Occasionally, even diversion options are limited; Afghan authorities recently denied one such rerouting request, heightening the security complications.


Needless to say, bomb threats create humongous psychological impact on both the service providers and the commuters. Such threats are generally received through email or mass media platforms, as they are cheaper and an anonymous means for communicating the threats.


Interestingly, an appreciable number of hoax bomb threats were received mid-flight. A mid-flight threat leads to an immediate diversion, to the nearest airport, which many a times may be far from the intended destination. For example, a few days ago an Air India flight bound for the US had to be diverted to Canada, after receiving a threat, while a Vistara flight to Frankfurt was diverted to Turkey. Sometimes a country may refuse permission for diversion of an aircraft facing a bomb threat, which can further complicate the security scenario. Afghanistan is one such country which had refused diversionary facility to an Indian civil aircraft, facing the bomb threat.


The perpetrators of these mid-flight threats seem to be aware of the fact that sudden rerouting of flight (post receiving a mid-flight threat) comes with a hefty operational cost, involving scrambling of fighter jets to escort threatened flights, extensive checks on baggage, cargo, and additional catering once the aircraft lands at an unscheduled airport. The time delays may run into hours, necessitating airline crew replacement (due to exceeding their duty hours), additional maintenance as well as providing facilities for commuters ‘comforts.


Some government and airlines officials have estimate that a single bomb threat can cost an airline more than Rs. 3 crores. The cumulative financial loss to the involved airlines, due to these hoax bomb threats, has been estimated to be between Rs. 80-100 crore. Further, the associated fuel wastage has added to both total fuel costs and the environmental damage. Overall, these hoax threats have not only caused mass disruptions but have also eroded commuters’ trust in aviation security.


Indian Authorities/ airlines officials have suspected that motives for such hoax threats could range from malicious intents, attention-seeking, mental health issues, and pranks. Some aviation security officials have described a pattern about how the threats were being issued. They observed that a single threat was initially given using social media platform or through a phone call, resulting in sudden appearance of similar threats, within a short span of time, revealing well planned and coordinated actions. Officials also said that though the exact motives, for the hoax, have not been determined yet, they were intended to disturb the aviation sector, create panic, and keep all relevant agencies on their toes.


Whatever may be the reasons, pinpointing the individuals responsible for the threats has not been easy. Investigations have revealed that threats were received via emails (mostly from outside the country), social media like X, WhatsApp and phone calls. Determining the IP addresses (for emails) has been difficult, due to use of modern camouflage technologies. The social media perpetrators could not be tracked, as the service providers of X and WhatsApp refused to divulge the sources, adding to the suspicion of planned conspiracy.


Despite authorities’ efforts to treat every threat as credible, they face a disturbing reality: vigilance is not enough. A Kanishka-like air tragedy (the 1985 bombing of Air India Flight 182) remains a sobering possibility if complacency takes root. More robust legislation, mandatory information-sharing protocols, and enhanced digital surveillance capabilities are essential tools in preventing these recurrent threats from escalating into real attacks.


For now, India’s aviation sector finds itself caught between vigilance and vulnerability. As the legendary strategist Sun Tzu advised, “Let your plans be dark and impenetrable as night, and when you move, fall like a thunderbolt.” In an era of ever-evolving security threats, India’s aviation industry must make that proverb its creed.


(The author is a retired Indian Naval Aviation Officer and a geo-political analyst. Views Personal.)

Comments


bottom of page