As per the World Health Organization, all but 1% of the world's population is exposed to unhealthy air and also exceeds the WHO limits for pollutants. However, there are some parts of the world where aur quality has improved through policies that limits pollution, while in other parts, it has not reached the desired results.

For US, more than 25% of the population is exposed to "unhealthy" air as per the Environmental Protection Agency (EPA), this is according to the report by the climate non-profit First Street Foundation. By 2050, the number of people exposed to "unhealthy" air will increase by more than half. The worst days of air pollution, reports BBC, "hazardous" or maroon under the EPA's system will rise by 27%.

Why are we talking about this today? It is because of the recent wildfire in California, which started on January 7. This is also one of the factors that is spiking the PM2.5 levels. It has increased by up to five micrograms per cubic metre in the western US in the past decade.

What is PM2.5?

It is a type of air pollution which is made of particulate matter and measures 2.5 micrometres across or less. It is roughly 30 times smaller than the width of a human hair. These particles are made with a mixture of solid and liquid substances, which varies in their chemical composition, including carbon, metals, and organic compounds.

These specks of airborne soot, dust and other substances can also trigger inflammation, which could also damage your brain.

As per a 2021 study titled The Changing risk and burden of wildfire in the United States, a quarter of US's PM2.5 pollution was caused by wildfire smoke. In 2023, US also witnessed a significant dip in air quality and visibility as smoke from wildfires north of the Canadian border entered across the continent. In May 2024, Canada also saw a start to its wildfire season, and one town was evacuated in British Colombia.

Wildfire smoke and its effects

Wildfires do not only affect those who live near forests, peatlands, and grasslands, but also to the cities and environment in general. It can send plumes up to 14 miles or 23km into the stratosphere, and from there, it can spread all over the globe. For instance, in 2023, the Siberian wildfires released smoke that travelled across the Pacific Oceans to reach Alaska and Seattle.

Other than PM2.5, wildfire smoke is also harmful to immune cells in lungs, and the toxicity could be four times greater than particulates from other types of pollution.

Another 2019 study titled Effects of Atmosphere Processing on the Oxidative Potential of Biomass Burning Organic Aerosols found the toxicity of smoke doubled in the hours after it was first emitted and reached four times greater toxicity at its peak.

Health Impact

There have been research that shows how pollution affects your brain. It can lead to impaired judgment, poorer performance in school and even higher levels of crime, as per the 2018 study by the London School of Economics.

Other health concerns include weight gain. There have been researches that links airborne pollution such as PM2.5 to obesity. The studies have found that children who live in most polluted areas are twice as more likely to have obesity. Some studies also find the link of air pollution harming our sense of smell. As per an Italian study from 2022, titled Association between environmental air pollution and olfactory functioning among Italian adolescents and young adults in Northern Italy, noses of teenagers and young adults became less sensitive to odors after being exposed to nitrogen dioxide, which is a component in traffic fumes.

Millions of people across the UK who take certain everyday medicines are being warned by the NHS to steer clear of a specific fruit. Health officials say combining this fruit or its juice with some medications can trigger serious reactions and unexpected side effects. The advice applies to patients prescribed some of the most commonly used drugs in the country, including certain statins, amlodipine, and medicines for anxiety. Statins, in particular, are widely prescribed to help reduce levels of “bad” LDL cholesterol in the blood.

Why Statins Are Commonly Prescribed?

Statins work by limiting how much cholesterol the liver makes. This helps slow down the build-up of fatty deposits inside the arteries, which in turn lowers the risk of heart attacks and strokes. Doctors prescribe statins both to manage high cholesterol and to prevent future heart-related problems. For most people, they are taken daily as tablets and are often part of long-term treatment.

What Does Amlodipine Do?

Amlodipine, commonly sold under the brand name Istin, belongs to a group of medicines known as calcium channel blockers. It is mainly used to treat high blood pressure. For people with hypertension, amlodipine can reduce strain on the heart and lower the risk of serious complications such as heart disease, heart attacks, and strokes.

NHS Warning On Statins Or Amlodipine

Patients taking certain forms of amlodipine, particularly calcium channel blockers, are advised not to consume grapefruit. The NHS website clearly states: “Do not take amlodipine with grapefruit juice.”

The reason lies in how grapefruit affects the body. It interferes with enzymes and transport proteins in the gut, such as CYP3A4 and P-gp, which normally help break down medicines and control how much enters the bloodstream. When these processes are blocked, higher-than-intended amounts of the drug can build up in the body, increasing the risk of side effects.

What Patients Should Keep In Mind

Not every medicine reacts the same way to grapefruit juice, which is why doctors advise checking before making changes. Always speak to your GP or pharmacist, read the information leaflet that comes with your medicine, and look out for any warnings related to grapefruit.

It is also important to understand that simply spacing the fruit and the medicine apart is not enough. In most cases, grapefruit should be avoided entirely for as long as you are on the medication, unless your doctor says otherwise. Patients are also encouraged to be cautious with other citrus fruits, such as Seville oranges, pomelos, and limes, as they can have similar effects on how medicines work.

What To Do If You’ve Already Consumed It?

If you have eaten grapefruit or had its juice while taking statins, amlodipine, or anti-anxiety medication, there is no need to panic. In many cases, a single exposure does not lead to serious harm, but it is important to stay alert. Pay attention to how your body feels over the next day or two, especially if you notice symptoms such as dizziness, muscle pain, unusual tiredness, nausea, flushing, or a sudden drop in blood pressure.

Do not stop taking your medication on your own. Skipping doses or stopping treatment abruptly can be risky, particularly for heart and blood pressure medicines. Instead, make a note of what you consumed and when, and contact your GP or pharmacist for advice. They can tell you whether any action is needed based on the specific drug, dose, and your overall health.

During the festive months, overindulgence in celebrations can trigger holiday heart syndrome (HHS), a potentially serious yet largely preventable set of heart-related symptoms that tend to rise during this time of year. Most people recover within a day, but HHS can occasionally lead to stroke, heart attack, or other serious complications, according to the Cleveland Clinic. As the holiday season approaches, let’s explore what holiday heart syndrome is, its symptoms, and how to prevent it.

What Is Holiday Heart Syndrome?

First identified by a US physician in 1978, holiday heart syndrome describes irregular heartbeats that occur after binge drinking during the festive season. Research from the University of South Australia shows that alcohol consumption increases by 70 per cent in December compared to other months, while iSelect data predicts Australians may consume around 58 million standard drinks per day during the month. With numbers like these, some caution is warranted.

Atrial fibrillation (AFib) is the specific irregular heartbeat seen in HHS. It occurs when the heart’s upper chambers contract or quiver in a chaotic pattern, which can cause blood to pool in the atrium and form clots. If these clots enter the bloodstream, they can travel to the brain and trigger a stroke.

What Are the Symptoms of Holiday Heart?

Symptoms can include fatigue, dizziness, shortness of breath, anxiety, weakness, confusion, sweating, faintness, unusual tiredness during exercise, rapid or irregular heartbeat, and sensations like fluttering, thumping, pressure, or chest pain.

Dr Mariann R. Piano, Nancy and Hilliard Travis Professor of Nursing at Vanderbilt University School of Nursing, warns, “The scary thing is that people may not notice any symptoms, which makes it a particularly dangerous arrhythmia.”

How Can Drinking Lead to AFib?

Researchers are still investigating exactly how alcohol triggers AFib and how much intake increases the risk. A 2020 study found that people who usually drank at least 10 alcoholic beverages a week lowered their risk of holiday heart syndrome by reducing alcohol consumption. Another study confirmed that eliminating alcohol significantly decreases the chances of developing AFib.

How To Try to Avoid Holiday Heart Syndrome

The Australian Alcohol Guidelines recommend that healthy adults limit alcohol to no more than 10 standard drinks per week to reduce risk.

Experts like Kistler suggest that people with existing heart arrhythmias either abstain or stick to “up to three standard drinks a week.” Drinking mindfully, reducing overall consumption, and staying well hydrated can also help protect your heart.

Tips To Keep Your Heart Healthy During Holidays

• Eat smaller, balanced meals and avoid heavy late-night feasts.
• Limit alcohol intake and stay hydrated.
• Continue regular medications without interruption.
• Stay warm and avoid sudden exposure to cold temperatures.
• Maintain light physical activity and avoid strenuous exertion in the early morning.
• Manage stress by taking breaks, sleeping adequately, and avoiding overexertion during travel or celebrations.
• Seek medical help immediately if you experience chest discomfort, unusual fatigue, breathlessness, or palpitations.

Walking into a clinic or diagnostic centre is never easy. You carry your worries, discomfort, or questions, hoping the people there will guide you with care. Most medical professionals honour that trust. But when someone crosses a line—when a touch feels sexual, unnecessary, or wrong, the sense of safety disappears instantly. It’s not just awkwardness; it’s a violation in a place where you should feel protected.

A recent case in Bengaluru shows just how real this is. A radiologist at a private diagnostic centre was booked for allegedly sexually harassing a woman during a routine scan. When she spoke up, he reportedly threatened her and used abusive language to intimidate her. She had come for an abdominal scan with her husband, expecting a routine procedure, not harassment.

What stays with you after such an experience is not just the shock, it’s the feeling that your trust has been broken. That moment cannot be taken back. What you can do, however, is make sure the system is held accountable, so no one else has to face the same harm.

This raises an important question. Are there legal protections in India that support patients in such situations? To understand this better, we spoke with Anisha Mathur, Founding Partner at Shepherd Law Associates.

What Does India’s New Criminal Law Say?

India’s updated criminal code, the Bharatiya Nyaya Sanhita (BNS), which replaces the Indian Penal Code, is clear that sexual misconduct is a crime no matter where it occurs. Clinics, nursing homes, physiotherapy rooms, diagnostic centers, and even home-based procedure spaces fall under its scope. If a staff member touches a patient in a way that is not medically necessary, ignores privacy during an intimate examination, makes the patient feel uncomfortable, or reveals sexual intent, the act may be treated as a criminal offence.

According to Anisha Mathur, “Unwanted or unnecessary touch can amount to sexual harassment. Any contact that has sexual intent and is not medically justified may be treated as assault with sexual intent. The context, the nature of the procedure and the patient’s consent are all considered while determining this. A medical setting is not a loophole. A uniform is not immunity. Misconduct is misconduct.”

Actions To Take When A Sexual Misconduct Takes Place In A Medical Setting

Once you recognise that the behaviour is inappropriate, you have every right to act. Anisha Mathur suggests the following steps:

Step 1: Pause the interaction

Say you want the procedure to stop. You may ask for a female attendant or any other staff member to be present.

Step 2: Move to a safer area

Walk to the waiting room or any open space within the facility.

Step 3: Note down details

Record the time, the room, what happened and who was involved. Even small details may matter later.

In a larger hospital or diagnostic chain, go to the administration or patient desk and request that your complaint be put in writing. Many such establishments have an Internal Committee (IC) under the Prevention of Sexual Harassment (PoSH) Act, 2013.

If you are in a smaller clinic, nursing home or any space without a complaint system, call 100 or 112. When the officials arrive, ask them to record your statement. If you can reach a lawyer, it helps, because early legal guidance prevents confusion and intimidation.

Anisha adds, “Authorities may ask whether you want a Medico-Legal Certificate (MLC) examination to document physical signs, which is normal. You can request a trusted friend or family member to be with you. You do not need to know the law in that moment. You only need to protect yourself, the law will support you. If something feels wrong, it is wrong. You are allowed to stop the procedure immediately.”

Legal Actions You Can Take After the Incident

Once the initial shock settles, several routes are available:

• Filing a criminal complaint (FIR)

• Requesting disciplinary action from the medical council

• Filing a civil or consumer case if the establishment failed in its duty

Anisha Mathur stresses that both the individual staff member and the institution can be held responsible. This is often how meaningful change begins.

Can a Patient File a Complaint Anonymously?

In many hospitals and clinics, internal systems allow anonymous complaints. For police cases, your identity is needed for investigation, but Indian law protects your privacy strictly. Your name cannot be disclosed publicly. Any attempt to threaten or silence you becomes a separate offence.

Are Hospitals Expected To Have Safety Measures For Patients?

Every medical facility is expected to follow basic standards that protect patients. According to Anisha, these include:

• Clear consent before intimate examinations

• A female attendant upon request

• Privacy safeguards during procedures

• Staff training on professional boundaries

• A channel for patients to raise concerns

If these were ignored or missing, it strengthens the patient’s case. These protections are not optional. They are part of the provider’s legal duty.

Consequences For Staff Who Violate Boundaries

Sexual misconduct by medical staff is treated as seriously as misconduct in any other setting, sometimes more so because patients are vulnerable and rely on the professional’s judgment. Anisha explains, “Under BNS, the staff member can face criminal prosecution leading to arrest, fines, suspension or dismissal, and loss of professional license. Courts have repeatedly said that misusing power in a caregiving role makes the offence more serious, not less.”

Being in a medical space should never turn into an experience marked by fear. Any form of sexual misconduct during care is a violation of your dignity at a moment when you are already exposed and trusting. What happened cannot be undone.

Anisha Mathur stresses this and says, “Your voice can bring accountability. Your action can protect someone else. Your dignity remains yours, and the law stands with you.”