Wondering when you are most at risk of having a heart attack?

Dr Srihari Naidu, a triple board-certified in internal medicine, cardiology and interventional cardiology and cardiology professor at New York Medical College says that the winter season is when we're most susceptible to attacks.

He told HealthandMe: "Major cardiovascular studies have shown a link between cold exposure, including the drop in temperature during the winter months, and risk of heart attack. While it’s hard to pin point the exact reason, it is clear that cold exposure does make the heart work harder."

Heart attacks are one of the leading causes of death in the country. Four Indians experience a heart attack every minute, with one in four dying of the cause.

Experts have also noticed a rising trend of nearly 50 percent of heart attack patients being under the age of 40, with half of all heart attacks in Indian men occurring under 50.

Why Are Your More Likely To Have Attack In Winters?

According to Dr Naidu, falling temperatures can cause arteries to narrow, reduce oxygen flow and force the heart to work harder. This can lead to the thickening of blood and with time, cause a heart attack.

"For one thing, cold causes all the arteries in the body to constrict, so that more blood flow is in the central parts of the body like the gut and less on the surface where heat can be lost through the air. While this prevents hypothermia, it makes the heart work harder and need more oxygen itself. In addition, cold causes blood to be thicker, a phenomenon that could increase the risk of blood clots.

"This combination of the heart working harder, needing more oxygen and the blood being more prone to clotting results in a higher rate of heart attacks. In addition to this, people who already have blockages will experience more chest pain (angina) in the cold due to the heart working harder, and if this is tied to extra exertion, that risk could skyrocket."

Additionally, Dr Tamil Selvan Muthusamy, Consultant Cardiologist at Cardiac Vascular Sentral Kuala Lumpur (CVSKL) told HealthandMe: "Extreme pollution, winter illnesses like the flu can cause inflammation that can trigger heart problems and holidays activities can put extra strain on the heart when it's already working overtime from the cold."

Apart from this, Dr Y. Vijayachandra Reddy, Senior Consultant Cardiologist, Apollo Hospitals, Greams Road Chennai, also noted that hypertension, chest infections and excessive holiday drinking as well as smoking can worsen the risk of heart attack during this season.

He shared with the publication: "Chest infections and throat infections are quite common in the winter season. Intercurrent flu or other chest infections can cause an inflammatory milieu, which can lead to more ruptures of the cholesterol or atherosclerotic plaques in the blood vessels of the heart, leading to sudden precipitation of heart attacks.

"The holiday syndrome, wherein in the winter season, many holidays, weekends and people can take recourse to excessive recreational use of alcohol or smoking, which can lead to trouble."

Who Is Most At Risk?

Dr Naidu warns people who have a history of heart disease and other chronic conditions may be most at risk of having a heart attack and should attempt to maintain their body temperature to keep their heart safe and functioning.

"Taken together, people should understand that their baseline risk of a heart attack goes up significantly in the cold weather, especially if they have risk factors for heart disease such as smoking, high cholesterol, diabetes or hypertension, and should take precautions or simply avoid exercise or exertion in the cold weather.

"If any exertion is needed, dressing warmly to make sure the heart doesn’t have to work so hard to maintain body temperature should reduce risk. Most importantly, though, listen to your body, especially in the cold weather, as just being in the cold is a significant stress especially as we get older," he explained to the publication.

To prevent infection-caused heart attacks, Dr Reddy advises: "One of the protective mechanisms is for the vulnerable population to take annual flu vaccine and a lifetime pneumococcal vaccine."

Coronary Artery Disease: The Silent Killer

Coronary artery disease (CAD) is one of the most common illnesses that can cause a heart attack in people. It develops over years and has no clear signs and symptoms apart from a heart attack.

The illness begins due to a buildup of fats, cholesterol and other substances known as plaque in and on the artery walls.

Over time, this can cause narrowing or blockage of the coronary arteries and block the supply of oxygen-rich blood to heart which can lead chest pain (angina), shortness of breath and ultimately, heart attacks.

Typically, those above the age of 45, having a biological family member with heart disease, lack of sleep, smoking, consuming saturated fats along with other autoimmune diseases such as lupus and rheumatoid arthritis can increase the risk of developing CAD.

Nearly one in 10 Indian adults suffer from CAD and about two million people die from the disease annually. Apart from this, about 18 to 20 million American adults aged 20 and older are also affected about the disease.

Union Health Minister JP Nadda has announced the launch of cervical cancer screenings using Visual Inspection with Acetic Acid (VIA) are now available at Ayushman Arogya Mandirs and other health facilities for women between 30 and 65 years of age.

"Screening for cervical cancer is now available at 1,81,000 Ayushman Arogya Mandirs, also known as Health and Wellness Centers, across the country as a part of population based screening for early detection and treatment," said Nadda, while addressing a press briefing at the World Health Organization virtually.

Using VIA, a low-cost, point-of-care method, trained health workers will screen women for cervical cancer. Those who test positive will then be referred to higher centers for diagnostic confirmation and further evaluation.

Nadda also shared that the cervical cancer screening in the country has been expanded as part of comprehensive primary healthcare under the National Program for Prevention and Control of Non-Communicable Diseases (NP-NCD).

"Over 86 million women have already been screened for cervical cancer under the program, reflecting India’s sustained commitment to early detection and prevention," Nadda informed.

Despite being highly preventable as well as treatable, cervical cancer is a public health concern in India.

The country loses one women every eight minutes to cervical cancer.

As per the World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus, about 42,000 new cases of cervical cancer is reported annually in India. This underscores the need for preventive measures such as vaccination and early screening.

The WHO Global Strategy to eliminate cervical cancer includes the 90-70-90 targets by 2030 -- vaccinating 90 per cent of girls against HPV, screening 70 percent of women, and ensuring treatment for 90 percent of those diagnosed with cervical disease.

In line with the global strategy to fight cervical cancer, Prime Minister Narendra Modi recently also launched a free HPV vaccination drive that will target health and well being of adolescent girls in the country.

What Is Cervical Cancer?

Cervical cancer develops in a women's cervix (uterus opening) due to abnormal cell growth, primarily caused by persistent HPV infection, a common infection that's passed through sexual contact.

When exposed to HPV, the body's immune system typically prevents the virus from causing damage however, in a small percentage of people, the virus can survive for years and pave the way for some cervical cells to become cancerous.

Treatment involves surgery, radiation, and chemotherapy, with early detection significantly improving outcomes, though it remains a major cancer in low-income countries Cervical cancer can also be prevented through vaccination and regular screening (Pap/HPV tests).

Symptoms Of Cervical Cancer

Cervical cancer has no symptoms in the early days and therefore, is hard to detect until it has spread. However, the early-stage symptoms include:

• Vaginal bleeding after sex
• Vaginal bleeding post-menopause
• Vaginal bleeding between periods or unusually heavy/long periods
• Watery vaginal discharge with a strong odour or containing blood
• Pelvic pain or pain during intercourse
• Advanced Cervical Cancer Symptoms (when cancer has spread beyond the cervix)
• Painful or difficult bowel movements or rectal bleeding
• Painful or difficult urination or blood in the urine
• Persistent dull backache
• Swelling of the legs
• Pain in the pelvis or lower abdomen

How Can Cervical Cancer Be Prevented?

Cervical cancer is largely preventable and, when detected early, it is highly treatable. The WHO recommends HPV vaccination for girls aged 9 to 14, before they become sexually active, along with regular cervical screening from age 30, or 25 for women living with HIV.

Despite this, unequal access to vaccination, screening and treatment continues to drive higher rates of illness and deaths in regions such as sub-Saharan Africa, Central America and Southeast Asia.

Union Health Minister JP Nadda has announced the launch of cervical cancer screenings using Visual Inspection with Acetic Acid (VIA) are now available at Ayushman Arogya Mandirs and other health facilities for women between 30 and 65 years of age.

"Screening for cervical cancer is now available at 1,81,000 Ayushman Arogya Mandirs, also known as Health and Wellness Centers, across the country as a part of population based screening for early detection and treatment," said Nadda, while addressing a press briefing at the World Health Organization virtually.

Using VIA, a low-cost, point-of-care method, trained health workers will screen women for cervical cancer. Those who test positive will then be referred to higher centers for diagnostic confirmation and further evaluation.

Nadda also shared that the cervical cancer screening in the country has been expanded as part of comprehensive primary healthcare under the National Program for Prevention and Control of Non-Communicable Diseases (NP-NCD).

"Over 86 million women have already been screened for cervical cancer under the program, reflecting India’s sustained commitment to early detection and prevention," Nadda informed.

Despite being highly preventable as well as treatable, cervical cancer is a public health concern in India.

The country loses one women every eight minutes to cervical cancer.

As per the World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus, about 42,000 new cases of cervical cancer is reported annually in India. This underscores the need for preventive measures such as vaccination and early screening.

The WHO Global Strategy to eliminate cervical cancer includes the 90-70-90 targets by 2030 -- vaccinating 90 per cent of girls against HPV, screening 70 percent of women, and ensuring treatment for 90 percent of those diagnosed with cervical disease.

In line with the global strategy to fight cervical cancer, Prime Minister Narendra Modi recently also launched a free HPV vaccination drive that will target health and well being of adolescent girls in the country.

What Is Cervical Cancer?

Cervical cancer develops in a women's cervix (uterus opening) due to abnormal cell growth, primarily caused by persistent HPV infection, a common infection that's passed through sexual contact.

When exposed to HPV, the body's immune system typically prevents the virus from causing damage however, in a small percentage of people, the virus can survive for years and pave the way for some cervical cells to become cancerous.

Treatment involves surgery, radiation, and chemotherapy, with early detection significantly improving outcomes, though it remains a major cancer in low-income countries Cervical cancer can also be prevented through vaccination and regular screening (Pap/HPV tests).

Symptoms Of Cervical Cancer

Cervical cancer has no symptoms in the early days and therefore, is hard to detect until it has spread. However, the early-stage symptoms include:

• Vaginal bleeding after sex
• Vaginal bleeding post-menopause
• Vaginal bleeding between periods or unusually heavy/long periods
• Watery vaginal discharge with a strong odour or containing blood
• Pelvic pain or pain during intercourse
• Advanced Cervical Cancer Symptoms (when cancer has spread beyond the cervix)
• Painful or difficult bowel movements or rectal bleeding
• Painful or difficult urination or blood in the urine
• Persistent dull backache
• Swelling of the legs
• Pain in the pelvis or lower abdomen

How Can Cervical Cancer Be Prevented?

Cervical cancer is largely preventable and, when detected early, it is highly treatable. The WHO recommends HPV vaccination for girls aged 9 to 14, before they become sexually active, along with regular cervical screening from age 30, or 25 for women living with HIV.

Despite this, unequal access to vaccination, screening and treatment continues to drive higher rates of illness and deaths in regions such as sub-Saharan Africa, Central America and Southeast Asia.

Japan has confirmed an outbreak of HPAI (Highly Pathogenic Avian Influenza) at a poultry farm, media reports said.

The avian flu, confirmed in Hokkaido in the northern prefecture, marks the fourth case and the country's 21st outbreak this season, Xinhua news agency reported.

The Ministry of Agriculture, Forestry and Fisheries, in a statement, said that the affected farm is located in the town of Abira, and keeps about 190,000 chickens.

The farm notified local health officials earlier this week, who rapidly followed up with a rapid avian influenza test.

The positive result was confirmed by genetic testing the following day.

“All chickens at the farm will be culled, incinerated, and buried to prevent further spread of the virus,” the authorities said.

Previously, the HPAI outbreak at a poultry farm in Iwate prefecture was reported in February.

Jiji Press reported that the outbreak in the town of Kanegasaki led to the culling of about 560,000 egg-laying hens at the affected farm.

The bird flu season in Japan typically runs from autumn until the following spring.

What Is HPAI? Global HPAI situation

HPAI is a classification for bird-flu viruses that cause severe disease and high mortality in poultry, and also spreads rapidly.

The influenza A H5N1 virus is one of the most common viruses that cause HPAI.

Others include

• Influenza A H5N8 virus
• Influenza A H5N6 virus
• Influenza A H7N9 virus

Outbreaks of HPAI, especially H5N1, continue in wild birds and poultry worldwide, with active disease zones being reported.

• India

While authorities are culling birds, no human cases have been reported.

• South Korea

• United States

Recent detections include the first confirmed HPAI infections in marine mammals (northern elephant seals) in California -- the first such reported cases in 2026.

• Other regions

Suspected HPAI cases have triggered poultry culls and control measures in the UK and Northern Ireland.

Europe reported multiple outbreaks on commercial poultry farms.

Human Cases

According to the World Health Organization, there have been about 994 confirmed human infections reported worldwide since 2003.

This virus does not appear to transmit easily from person to person, and sustained human-to-human transmission has not been reported.