How Quitting Smoking Can Quickly Lower Risk Of A-Fib
Smokers who make the decision to quit will experience immediate health benefits, including a rapid reduction in their risk of atrial fibrillation (A-Fib), according to new research published in JACC: Clinical Electrophysiology. The study, conducted by Dr. Gregory Marcus, a cardiologist at the University of California, San Francisco, offers compelling evidence for smokers to quit, showing that it’s never too late to avoid the damaging effects of smoking on heart health.
Dr. Marcus, the senior author of the study, emphasized that A-Fib can be prevented even in individuals who have smoked for years. "The findings provide a compelling new reason to show current smokers that it’s not too late to quit, and that having smoked in the past doesn’t mean you’re ‘destined’ to develop A-Fib," Marcus explained. "Even for the current and longtime smoker, A-Fib can still be avoided."
"There’s strong evidence that smoking increases the risk of A-Fib," Marcus said. "But the benefits of quitting smoking have been less certain." With this in mind, his team sought to determine whether quitting could significantly lower a person’s risk of developing A-Fib, or if the risk would remain the same.
The research team analyzed data from over 146,700 current and former smokers, tracking their smoking habits and health over a 12-year period using data from the UK Biobank database. The results were promising: former smokers had a 13% lower risk of developing A-Fib compared to current smokers, while those who quit during the study saw an 18% reduction in their risk.
"This is likely a testament to the potency of reducing atrial fibrillation risk pretty shortly after quitting," Marcus said in a statement from the American College of Cardiology.
The findings highlight the importance of quitting smoking, not only for general health but specifically for reducing the risk of serious heart conditions like A-Fib.
Quitting smoking is one of the most effective ways to lower the risk of A-Fib and improve overall heart health. While it can be challenging, the benefits of quitting are clear and immediate. Here are some tips to help you quit smoking successfully:
1. Choose a specific date to quit smoking and stick to it. Prepare yourself mentally and physically for this change.
2. Reach out to family, friends, or a support group to help keep you accountable. Sharing your goals with others can provide encouragement.
3. Options like nicotine patches, gum, or lozenges can help ease withdrawal symptoms and reduce cravings.
4. Identify situations that make you want to smoke, such as stress or social gatherings, and find healthy ways to cope with them.
5. Regular exercise can help distract you from cravings and improve your mood during the quitting process.
6. Drinking water can help flush nicotine out of your system faster, reducing cravings.
7. Activities like yoga, meditation, or deep breathing exercises can help manage stress, a common trigger for smoking.
Quitting smoking offers immediate and significant benefits, particularly in reducing the risk of atrial fibrillation. The latest research provides smokers with more motivation to quit, showing that it's never too late to take control of their heart health.
World DNA Day: The rise of early illness in India is not just a lifestyle issue. It is the result of a deeper interplay between genetics and environment. (Photo credit: AI generated)
India is witnessing a concerning change in health patterns. Conditions like diabetes, cardiovascular disease, and certain cancers are appearing in higher numbers and at younger ages than in previous generations. While lifestyle factors like diet, stress, and reduced physical activity play a role, there is a deeper, often overlooked driver: genetics.
Dr Ramesh Menon, Director of Personal Genomics and Genomic Medicine, MedGenome, said, "From the discovery of DNA's double helix in 1953 to the completion of the Human Genome Project in 2003, today genomics, the study of our DNA, is helping us uncover these disease risks. Instead of studying DNA in isolation, scientists are using it to understand human health and disease. Why does one person develop cancer while another does not? Why are some people affected by Alzheimer’s early in life? Why do some people respond well to a drug while others experience severe side effects? Genomics is providing answers that matter."
Doctors can now identify genetic mutations linked to conditions like breast cancer, cystic fibrosis, or rare inherited disorders. In some cases, treatments are tailored to a patient’s genetic profile, a concept known as precision medicine. It is also helping reveal how inherited traits can interact with environmental factors to accelerate disease onset, helping identify risks early, enable timely screening, and tailor treatments more precisely. This DNA Day, we turn the spotlight on how understanding our genetics could be key to managing this early disease burden.
Dr Menon said that studies suggest that Indians carry distinct genetic traits that may increase the chances of early onset of diseases. For instance, South Asians are more prone to insulin resistance and tend to develop Type 2 diabetes at a younger age compared to many Western populations. India is already home to over 100 million people living with diabetes, and that number is expected to rise sharply in the coming decades.
Another example is coronary artery disease, which tends to manifest nearly a decade earlier in Indians compared to many Western populations. Genetic variants affect cholesterol transport, inflammation, and arterial wall function, contributing to a higher risk, even among people who may seem to have healthy lifestyles. Similarly, certain cancers, such as breast and colorectal cancers, are increasingly being diagnosed earlier in Indian populations. Inherited genetic mutations linked to cell growth regulation and DNA repair, combined with environmental exposures, can increase the pace of tumour development.
What is more concerning is that a significant proportion of the population remains undiagnosed or is diagnosed at late stages, allowing diseases to progress silently.
Dr Menon explained that just a generation ago, daily life involved far more physical movement, such as walking to work, manual labour, home-cooked meals, and limited access to processed food. Today, most of our routines are reversed. Desk jobs, high screen time, food and grocery delivery at the doorstep, and screen-heavy lifestyles mean many people burn fewer calories while consuming more energy-dense, ultra-processed foods. This imbalance is a key driver behind the increased rate of conditions such as cardiometabolic disorders and cancers.
What is striking is not just the increase in cases but also the decrease in the average age of disease onset. This is especially relevant for what many experts describe as an “F1 generation exposure." Our parents may not have lived with the same levels of inactivity or dietary change. Our genes, however, remain the same. The mismatch between genetic predisposition and rapid lifestyle shifts is where the problem intensifies.
Closing the Gap
In many Indian households, conditions like diabetes or heart disease are spoken about casually. “It runs in the family” is often said and quickly brushed aside. But genetics is not just about inherited risk. It also influences how early that risk shows up. If previous generations developed these conditions in their 50s and 60s, the timeline is now becoming shorter. That shift is subtle, but it is already playing out across India.
Perhaps the most critical gap lies in how we approach prevention. Indians are known to develop certain diseases nearly 8 to 10 years earlier than many Western populations, yet screening timelines often remain unchanged. Most people still begin serious health check-ups in their 40s. By then, metabolic changes may have been progressing quietly for years. The idea that a 30-year-old could already be at risk is still not widely accepted, even though the evidence increasingly suggests otherwise.
The larger shift we need is not just in how we treat disease but in how we anticipate it. Advances in genetic testing and preventive diagnostics now make it possible to identify risk much earlier and act before conditions fully develop. However, awareness remains the missing link. Moreover, health conversations in families are still reactive, not proactive. Something as simple as knowing when a parent was diagnosed or what conditions are common in the family can offer valuable insight into one’s own risk.
Malaria is a major health crisis in India. (Photo credit: AI generated)
World Malaria Day is observed on April 25 every year to raise awareness of the infection, its causes, symptoms, and prevention strategies. At a time when the heatwave is at its most severe, many fall victim to the misconception that rising temperatures could mitigate infection risk. However, according to Dr Anil Ballani, Consulting Physician in Internal Medicine at Lilavati Hospital and Research Centre, this is just a myth.
Malaria is a disease transmitted by mosquitoes, mainly female Anopheles mosquitoes, which transmit parasites of the genus Plasmodium. The term ‘malaria’ is derived from the Italian words “ma laria”, which translates to ‘bad air’. Malaria remains one of the major health problems in India, even though the incidence rate has been brought down from 33 million to 3.2 million in the last three decades.
On World Malaria Day, Dr Ballani explained that, contrary to popular belief, malaria is not just a concern during the monsoon season. Unfortunately, it can occur in summer as well. It is well known that malaria incidence is highest during the rainy season due to stagnant water. However, surprisingly, there is also a surge in malaria cases during the summer season. The hot days of summer act as a precursor, as the warm temperature accelerates mosquito breeding. Also, people tend to store water in drums and buckets during the summer due to shortages, and these serve as perfect breeding grounds for mosquitoes.
High temperatures in summer accelerate the mosquito life cycle and maturation, resulting in increased multiplication of larvae. High humidity and high temperatures in summer create ideal conditions for the mosquito life cycle. Faster maturation of the parasite in the mosquito leads to the rapid spread of malaria. Consequently, the risk of malaria transmission also increases. There is often poor vector control prior to the monsoon, as fumigation usually starts after the monsoon sets in.
Schools are closed during the summer, and children venture out more to play. People spend more time in gardens and parks during the early hours of the day and in the evenings due to cooler temperatures, and all this increases their risk of exposure to mosquito bites. Many people travel to their hometowns and villages during holidays when schools are closed, where the incidence of malaria is higher. Due to warm weather, people avoid wearing full sleeves and long clothing, resulting in greater exposure of the arms and legs and increasing the risk of mosquito bites. All these are precursors to a high incidence of malaria in the summer months.
On World Malaria Day, Dr Ballani answered an important question - can malaria diagnosis be delayed? The expert said that sometimes doctors may delay the diagnosis of malaria because of low suspicion during the summer months. Hence, for proper diagnosis, doctors must maintain a high index of suspicion even during summer months and remain vigilant throughout the year. India aims to eliminate malaria by the year 2030, as guided by the National Framework for Malaria Elimination (NFME), and measures such as maintaining a high index of suspicion will go a long way in making this a reality.
Credit: AIIMS/WHO
From polio to measles, vaccines have remained one of the most powerful tools in public health, saving six lives every minute, according to the World Health Organization (WHO), as it marked World Immunization Week today.
World Immunization Week is observed every year from April 24 to April 30 to raise awareness about the importance of vaccines for saving lives.
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According to the WHO, vaccines have saved more than 150 million lives over the past 50 years.
"That’s 6 lives every minute, every day, for more than 5 decades," the WHO said.
These lives were saved "not by accident, but because ordinary people made the decision to protect themselves, their children, and their communities from diseases like measles, diphtheria, pertussis, polio, and rotavirus".
Currently, more than 30 life-threatening diseases and infections are prevented by vaccines.
However, 20 million children missed at least one vaccine dose in 2024, leaving far too many at risk of preventable disease.
"Today, newer vaccines against malaria, HPV, cholera, dengue, meningitis, RSV, Ebola, and mpox are saving even more lives, and helping people at every stage of life live longer and healthier thanks to scientific advancements," the WHO added.
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World Immunization Week was officially endorsed by the World Health Assembly in May 2012 to unify regional vaccination efforts into a single global campaign. Before 2012, it was observed on different days in different countries.

The theme this year is “For every generation, vaccines work”. It promotes how vaccines have safely protected people, families, and communities for generations.
It also calls on countries to sustain and expand vaccination coverage at every age, to safeguard the future.
As the world is at the midpoint of the Immunization Agenda 2030, the priority remains reaching zero-dose children and advancing equity in the hardest-to-reach communities, particularly in countries grappling with conflict, instability, or fragile health systems, the WHO said.
The Big Catch-Up, a campaign launched during World Immunization Week 2023, has been a multi-country effort to address vaccination declines driven largely by the COVID-19 pandemic.
The campaign has delivered over 100 million vaccine doses to an estimated 18.3 million children aged 1 to 5 across 36 countries.
Around 12.3 million were “zero-dose children” who had not previously received any vaccines, and 15 million who had never received a measles vaccine.
The initiative concluded in March 2026 and is on track to meet its target of vaccinating up to 21 million children.
However, agencies like Gavi, the Vaccine Alliance (Gavi), WHO, and UNICEF warn that many infants still miss out on lifesaving vaccines through routine immunization every year.
"By protecting children who missed out on vaccinations because of disruptions to health services caused by COVID-19, the Big Catch-Up has helped to undo one of the pandemic's major negative consequences," said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization.
In 2024, an estimated 14.3 million infants under the age of one globally failed to receive a single vaccine through routine immunization programmes.
The WHO noted that the global resurgence of measles is a consequence of chronic gaps in routine immunisation.
Measles outbreaks are rising across continents — from Europe to Africa to North America to Australia.
"This surge is driven by persistent gaps in measles vaccination through routine immunization programmes, compounded by declining vaccine confidence in some previously high-coverage communities," the WHO said.
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