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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.

The Forgotten Legacy of Thailand’s ‘Death Railway’

Updated: Oct 22, 2024

In 1957, David Lean’s Academy Award-winning film ‘The Bridge on the River Kwai’ captured global audiences. However, it left a bitter taste for the very men whose harrowing experiences inspired it—those who laboured on the Burma Railway, colloquially dubbed the ‘Death Railway.’

During World War II, as Imperial Japan expanded its empire across Southeast Asia—encompassing Malaya, Singapore, and the Philippines—a critical challenge emerged: Allied submarines were sinking Japanese supply ships faster than they could be replaced. This left the Japanese Army in Burma dangerously exposed. To address this vulnerability, the Japanese sought an overland route to supply their forces, and thus the ‘Death Railway’ was born.

Between December 1942 and October 1943, around 60,000 Allied POWs, alongside nearly 200,000 Tamil, Malay, and Burmese labourers, toiled under appalling conditions to construct the Bangkok-Rangoon railway. British engineers had previously deemed the project impossible due to the treacherous terrain of the disease-ridden tropical jungle. Yet, the Japanese possessed a seemingly inexhaustible supply of manpower, primarily drawn from the fall of Singapore and the Dutch East Indies.

The Japanese transported these 60,000 British, Australian, Dutch, and American servicemen to the Thai town of Kanchanaburi, where the railway’s construction would begin. Simultaneously, POWs were dispatched to build the railway from the Burmese side, aiming to connect the two ends at the Three Pagodas Pass. In just 15 months, the 415-kilometer railway, complete with its bridges, was completed. What defies belief is that this colossal undertaking was executed by men who were often sick, malnourished, and brutalized. Under the Japanese ethos, any man who could stand was expected to work—malaria or dysentery were inconsequential to them.

The conditions faced by POWs and civilian labourers during the construction of the railway were horrific. Their diets consisted mostly of rice with little meat, while diseases like malaria, cholera, and dysentery spread rapidly. Medical care was almost non-existent. No Red Cross supplies arrived. Figures like Lt. Col. E.E. Dunlop, known as ‘Weary Dunlop,’ advocated tirelessly for better treatment despite overwhelming odds. Tragically, the plight of civilian workers was even worse, with around 100,000 perishing, and among the POWs, approximately 12,500 died in agonizing conditions, as the Japanese had not signed the Geneva Convention and regarded surrender as dishonourable.

Accounts from former POWs, such as John Coast’s ‘Railroad of Death,’ reveal the grim reality they faced, while war artist Leo Rawlings’s ‘And the Dawn Came Out Like Thunder’ poignantly captures their suffering through sketches.

The survivors’ resentment stemmed from the film’s portrayal of their experiences. Lt. Col. Philip Toosey, on whom Alec Guinness’s Oscar-winning portrayal of Col. Nicholson in ‘River Kwai’ was based, was a distinguished officer captured during the fall of Singapore. Contrary to the film, Toosey actively tried to sabotage the railway project by infesting the wooden bridge with termites and consistently advocated for better treatment of his men, often enduring torture at the hands of his captors.

Toosey developed a complicated relationship with a Japanese Sergeant Major, Saito, who later testified in his defense during war crimes trials. When Lean’s film was released in the 1950s, it sparked outrage among the POW community, who felt it misrepresented their suffering and bravery. Toosey’s gentle nature did not allow him to publicly contest the portrayal, but his men insisted he address it, leading him to publish a letter clarifying the truth.

Julia Summers, Toosey’s granddaughter, examines these grievances in her poignant work ‘The Colonel of Tamarkan,’ detailing her grandfather’s struggles with memories of his captivity.

The Bangkok-Rangoon Railway stands as a testament to the human capacity for endurance and sacrifice, revealing a complex tapestry of cruelty, kindness, and resilience. It is a story that evokes profound emotions, and visiting the Commonwealth War Graves Cemetery in Kanchanaburi—where many of these men lie buried—serves as a haunting reminder of their harrowing journey.

(The writer is a practising advocate at the Punjab and Haryana High Court, Chandigarh and a military history enthusiast.)

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