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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.

Responsible Reaction to Plastic Menace

Updated: Oct 21, 2024

Plastic Menace

India is now the largest producer of plastic waste, posing a serious threat to the environment and public health. How can we responsibly address this issue? While the ability to process waste defines the problem’s scope, individual responsibility is also crucial.

Two weeks ago, a paper published in the famous scientific journal Nature, which explained the enormity of the plastic waste menace, was quoted in this column. The paper pointed out that almost one fifth of the world’s plastic waste is produced in India. However, when labelling India as the largest producer of plastic waste, one also needs to factor in the fact that India houses around one-sixth of the total global population. The same paper also states that China was the biggest producer of plastic waste a few years ago, but by making investments in developing effective waste management systems, they have managed to tackle the issue successfully. The paper also suggests that developing countries should follow the example set by developed countries and invest more in waste management systems that would tackle the plastic menace.

However, the paper highlights that while inadequate waste management systems are the main issue in developing countries, the problem continues in developed nations even with robust systems in place. The paper attributes the growing plastic menace in these nations to irresponsible behaviour among the population. Is it not a more serious problem if people are irresponsibly throwing plastic anywhere in nature despite having some of the largest systems to tackle the issue in place? Shouldn’t we also demand that developed nations, which have established waste management systems, take action against the plastic menace in their own countries rather than focussing solely on developing nations where people’s behaviour regarding plastic seems to be more responsible?

The system of plastic waste management involves stages such as collecting, segregating, and sending recyclable materials back to the industry, with the final step being the incineration of non-recyclable items. One needs both the technology and trained human resources to develop a system to tackle the plastic menace. The paper published in Nature pinpoints India’s problem as its inability to collect plastic waste.

However, while thinking of sustainable development, one also needs to take into account the efficacy of the system developed for tackling the plastic menace. That would involve factors like availability, capacity, and the condition of the incinerators. Plastic waste going into nature due to the non-availability of incinerators and the air pollution that would be caused by improper operations or improper condition of incinerators would both finally add to the pollution, though one of those would be visible and the other would not be visible.

This demands a more evolved approach while looking at the plastic menace. Just counting the total plastic waste produced by a country does not completely reflect the problem. To be able to assess the issue of plastic menace completely, one will need to study the various types of plastic products being used in a particular country, their supply chains, as well as the whole lifecycle of such products till they go to landfills as waste. Such a study may show that some of the plastic products have actually proved to be eco-friendly.

Over the past few decades, plastic has replaced metal in several automobile components, bringing down the weight and boosting the fuel efficiency of the vehicles, which in turn has led to decreased emissions of greenhouse gases. One must also factor in the energy efficiency of the waste plastic management system, which involves the consumption of large amounts of energy. Additionally, correctly identifying the real problem areas is necessary. Some of our policies make the use of wrappers mandatory, and plastic wrappers amount to more plastic waste than plastic carry bags, which have been banned. A relook at and rationalisation of such policies too would help undo the plastic menace.

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