UK doctor alerts Indians to poor diet link with COVID-19 deaths
London: Poor diet is a major cause behind the COVID-19 deaths and the Indians must urgently cut down on ultra-processed food to build resilience against the deadly virus, a leading Indian-origin cardiologist in the UK has cautioned.
Dr Aseem Malhotra, who is among the UK's National Health Service (NHS) frontline medics and also a professor of evidence based medicine, said that obesity and excess weight were the "elephant in the room" that need to be addressed as a major factor behind the deaths from the coronavirus.
"India is particularly vulnerable, having a very high prevalence of lifestyle related diseases," says the 42-year-old medic, who is on a mission to spread awareness around lifestyle changes as a major weapon in the fight against coronavirus.
"Specifically, conditions such as Type 2 diabetes, high blood pressure, heart disease are three of the major risk factors for death from COVID-19. This is rooted in excess body fat, a cluster of conditions known as a metabolic syndrome," he noted.
Western countries such as the US and the UK have seen some of the highest death rates from COVID-19 in the world, which are likely to correlate with unhealthy lifestyles.
"The elephant in the room is that the baseline general health in many Western populations was already in a horrendous state to begin with. In the UK and US, more than 60 per cent of adults are overweight or obese," he pointed out.
In the US, less than one in eight people are metabolically healthy, which means having normal blood pressure, having a weight circumference if you are a man less than a 102cm and less than 88cm for a woman and healthy levels of blood sugar and good cholesterol.
"There's no such thing as a healthy weight, only a healthy person. If people try to maintain all these metabolic health parameters through a healthy lifestyle, this could potentially be achieved within a few weeks of just a change of diet," says Malhotra, who is from New Delhi.
A recent report in the 'Nature' science journal revealed that patients with Type 2 diabetes and metabolic syndrome might have up to 10 times greater risk of death when they contract COVID-19 and called for mandatory glucose and metabolic control of Type 2 diabetes patients to improve outcomes.
Malhotra warns that the medications that are used for Type 2 diabetes and many of the other conditions have "very, very marginal effects" in terms of improving lifespan or reducing risk of death, which most people are not made aware of, and they also come with side effects.
"This is not to say that medications should be discontinued but the lifestyle changes are considerably more impactful on health and will reduce the need for medication. The positive news is that you can reverse this, but it is not being made aware to patients or practised by the majority of physicians as lifestyle prescriptions in India," he said.
Based on his own clinical experience and also reflected across medical literature, the expert recommends giving up ultra-processed foods, which covers any packaged food that comes with five or more ingredients, because usually these are high in sugar, starch, unhealthy oils, additives and preservatives.
In the UK, these foods now represent more than 50 per cent of the diet, which he says is "really quite staggering and shocking".
Similar figures are there for the US and probably to some degree reflect why there is specifically more increased death rates from COVID-19 in these countries.
"So, what I would advise the Indian population is to completely cut out these types of food from their diet, make sure that you are cooking from scratch, do not snack," the doctor said.
"Beyond that, the other issue in Indian diet is that we have a very high intake of refined carbohydrate foods, these are also foods that are particularly harmful in excess because they raise glucose and insulin and therefore rooted in many of these chronic conditions such as Type 2 diabetes, high blood pressure and heart disease this involves too much consumption of flour and white rice.
"These must be swapped with a variety of wholefoods such as vegetables and fruits and for those who are non-vegetarians, it is completely fine to eat red meat as well as full fat dairy products, eggs, fish etc," he said.
In reference to recent data on the higher risk faced by black, Asian and minority ethnic (BAME) communities in the UK from coronavirus, the NHS doctor believes that disparity is also cultural or lifestyle related.
"South Asians have been found vulnerable because the prevalence of metabolic syndrome is three-four-fold higher in the population. Indians, therefore, I think have to be extra careful with their diet and what they are consuming and they should also not have the illusion of protection just because they are given a normal body mass index (BMI). Extra body fat, particularly around the waist, is much more detrimental to health than using outdated indices such as BMI to define health risk," he said.
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Rs 30,000 cr loss a month: Oil companies bleed as fuel prices on hold amid global energy spike
New Delhi (PTI): About Rs 700-1,000 crore loss per day. Rs 30,000 crore every month. India's state oil companies are quietly absorbing a massive financial hit to keep petrol, diesel and LPG prices unchanged even as global energy markets face a turmoil that is bigger than all previous crises combined.
While countries from Japan to United Kingdom have raised petrol and diesel prices by up to 30 per cent since the start of the West Asia conflict, fuel prices in India continue at two-year-old levels.
The war disrupted India's import of 40 per cent of crude oil (raw material for making petrol and diesel), 90 per cent cooking gas LPG and 65 per cent natural gas (used to generate electricity, make fertilizer, turned into CNG and piped to household kitchens for cooking), but state-owned oil companies have maintained uninterrupted fuel supplies with no rationing or shortage at any point in the last 10 weeks.
But this has come at a cost - Rs 30,000 crore under-recovery or loss every month for the three oil marketing companies - Indian Oil Corporation (IOC), Bharat Petroleum Corporation Ltd (BPCL) and Hindustan Petroleum Corporation Ltd (HPCL), two sources with direct knowledge of the matter said.
The under-recoveries - the gap between input costs and realised retail prices - rose sharply in March/April before tapering a bit. Daily under-recoveries during April were estimated at about Rs 18 per litre on petrol and Rs 25 per litre on diesel, translating into average losses of Rs 700-1,000 crore a day for OMCs, they said.
At a news briefing on developments in West Asia, Sujata Sharma, Joint Secretary in the Ministry of Petroleum and Natural Gas, said prices in the international markets, on which India relies to meet 88 per cent of its oil needs, have been volatile and supplies impacted.
Crude oil prices which were around USD 70 per barrel two months ago, are now at USD 120, she said. "It has been government's endeavour to keep prices stable so far and that there is no price increase for consumers," she said. "This has hit finances of OMCs... monthly under-recoveries are of the order of Rs 30,000 crore."
She, however, refused to say if retail petrol and diesel prices will continue to hold.
"As I said, the endeavour so far has been to see that there is no price increase," she said.
The three oil marketing companies (OMCs) have worked overtime to keep the supply lines running even when demand spiked due to panic buying.
The government intervention included excise duty reductions and absorption of part of the fuel cost burden. The special additional excise duty on petrol was cut to Rs 3 per litre from Rs 13, while excise duty on diesel was reduced to zero from Rs 10 per litre.
The under-recoveries would have swelled to nearly Rs 62,500 crore had the government not cut excise duty on petrol and diesel by Rs 10 per litre each.
The government, Sharma said, has taken a hit of Rs 14,000 crore a month in cutting the excise duty.
The Centre's effective absorption at peak crude prices was estimated at around Rs 24 per litre for petrol and Rs 30 per litre for diesel.
The February 28 strikes by the United States and Israel on Iran triggered a sharp escalation in West Asia tensions. Energy prices surged as the conflict widened and shipping risks intensified in the Strait of Hormuz - the shipping lane through which India and other countries imported crude oil, LPG and natural gas from Gulf countries. Tanker movement was disrupted.
The companies also faced additional costs from emergency crude sourcing, higher freight charges due to vessel diversions, elevated marine insurance premiums and refinery optimisation expenses. Despite these pressures, fuel and LPG supplies remained uninterrupted across the country.
The surge in crude prices and the decision to shield consumers from higher retail prices placed significant strain on OMC balance sheets and refining margins, sources said.
They added that the measures reflected a policy decision to prioritise consumer stability and economic continuity during a global energy shock.
Sources warned that a prolonged period of elevated crude prices could lead to higher working capital borrowings and force some recalibration of capital expenditure plans. However, investments linked to refining expansion, energy security infrastructure, ethanol blending, biofuels and transition fuels would continue with government backing, they said.
India's approach contrasted with measures adopted by several other economies, where fuel prices rose sharply after the conflict-driven energy shock.
Petrol prices increased by about 34 per cent in Spain, 30 per cent in Japan, Italy and Israel, 27 per cent in Germany and 22 per cent in the United Kingdom, according to estimates. Several countries also introduced rationing, conservation advisories, emergency relief packages or fuel caps.
In India, petrol prices remained Rs 94.77 per litre and diesel at Rs 87.67, with no rationing, mobility restrictions or supply disruptions, they added.
Sharma said the revenues that OMCs earn are used to buy crude oil, build infrastructure to process it into fuel and create channels that will take the fuel to consumers.
Their capex spending is all dependent on the revenues they earn, she added.
