mumbai if its mumbai it must be easy to spot a construction site hail a cab or buy a delicious donut but the related health costof the superfine constructionrelated dust the high decibel honking and sugarmay not be easy to spot the stress and strain of living in mumbai say doctors means it is home to the largest chunk of drugresistant tuberculosis patients in the world as well as to the highest number of diabetics in the country dr hemant thacker who consults at jaslok hospital pedder road said living in mumbai is a challenge but it is also rewarding because mumbaikars are innovating every day they innovate to fight the challenges of modern lifestyle luxuries that give birth to lifestyle diseasesranging from metabolic syndrome due to excess of salt sugar and butter to pollutioninduced problems of the lungs and mosquitoes the city recorded its worst outbreak of dengue in 2014 affecting thousands and killing 12 mumbai records the countrys highest number of accidents at roughly 25000 a year and is third on the suicide chartsread also 10 times more people hit by malaria than dengue in mumbai dr ajit menon senior cardiologist at wockhardt hospital mumbai central said living in mumbai could be injurious to the heart research has proved that negative emotions such as stress rage hostility and grief can damage the health of the heart these elevate the bodys blood pressure heart rate and blood levels of the stress hormone cortisol all of which spike your risk of a heart attack he said lowintensity stress over long periods of time can reduce the ability of coronary arteries to dilate and also damages the inner lining of arteries said the doctor on the occasion of world health day on april 7 tuesday the world health organisation has called for better safety rules for food and water endocrinologist dr shashank joshi from lilavati hospital bandra said my wish list for a healthy mumbai would be to be able to drink water from the tap like in american cities the food quality across the city should be so uniform that people who consume it wouldnt fall prey to infectious diseases such as gastroenteritis jaundice or typhoid another condition that liver specialists like dr samir shah fear could become an epidemic is nonalcoholic fatty liver disease dietary sugar can damage your liver very much the same way that alcohol can at its most severe nonalcoholic fatty liver disease nafld can progress to dysfunction of the liver or liver failure it is estimated around 32 of indian populace is affected by fatty liver ailment nafld is mainly caused by obesity type 2 diabetes and metabolic syndrome