Recently Cyclone Tauktae and Cyclone Yaas wreaked havoc in several states of India with the credit for the cyclogenesis can be given to exceptionally warmer Indian seas this year, making atmospheric and ocean conditions favourable for frequent formation of cyclones and their rapid intensification.
Introduction
Cyclones are rapid inward air circulation around a low-pressure area. The air circulates in an anticlockwise direction in the Northern hemisphere and clockwise in the Southern hemisphere.
Cyclones are usually accompanied by violent storms and bad weather.
The word Cyclone is derived from the Greek word Cyclos meaning the coils of a snake. It was coined by Henry Peddington because the tropical storms in the Bay of Bengal and the Arabian Sea appear like coiled serpents of the sea.
What are tropical Cyclones?
A Tropical cyclone is an intense circular storm that originates over warm tropical oceans and is characterized by low atmospheric pressure, high winds, and heavy rain.
Cyclones are formed over slightly warm ocean waters. The temperature of the top layer of the sea, up to a depth of about 60 meters, need to be at least 28°C to support the formation of a cyclone.
This explains why the April-May and October-December periods are conducive for cyclones.
Then, the low level of air above the waters needs to have an ‘anticlockwise’ rotation (in the northern hemisphere; clockwise in the southern hemisphere).
During these periods, there is an ITCZ in the Bay of Bengal whose southern boundary experiences winds from west to east, while the northern boundary has winds flowing east to west.
Once formed, cyclones in this area usually move northwest. As it travels over the sea, the cyclone gathers more moist air from the warm sea which adds to its heft.
Formation of a Cyclone
(The above figure shows how cyclones form. The green arrows show where warm air is rising. The red arrows indicate where cool air is sinking)
Requirements for a Cyclone to form
There are six main requirements for tropical cyclogenesis:
Sufficiently warm sea surface temperatures.
Atmospheric instability.
High humidity in the lower to middle levels of the troposphere.
Enough Coriolis force to develop a low-pressure center.
A preexisting low-level focus or disturbance.
Low vertical wind shear.
Origin
The formation and initial development of a cyclonic storm depends upon the transfer of water vapour and heat from the warm ocean to the overlying air, primarily by evaporation from the sea surface.
It encourages formation of massive vertical cumulus clouds due to convection with condensation of rising air above the ocean surface.
Under favorable conditions, multiple thunderstorms originate over the oceans. These thunderstorms merge and create an intense low pressure system (wind is warm and lighter).
Early Stage
In the thunderstorm, air is uplifted as it is warm and light. At certain height, due to lapse rate and adiabatic lapse rate, the temperature of air falls and moisture in the air undergoes condensation.
Condensation releases latent heat of condensation making the air more warmer. It becomes much lighter and is further uplifted.
The space is filled by fresh moisture laden air. Condensation occurs in this air and the cycle is repeated as long as the moisture is supplied.
Due to excess moisture over oceans, the thunderstorm intensifies and sucks in air at much faster rate. The air from surroundings rushes in and undergoes deflection due to Coriolis force creating a cyclonic vortex (spiraling air column. Similar to tornado).
Due to centripetal acceleration (centripetal force pulling towards the center is countered by an opposing force called centrifugal force), the air in the vortex is forced to form a region of calmness called an eye at the center of the cyclone. The inner surface of the vortex forms the eye wall, the most violent region of the cyclone.
All the wind that is carried upwards loses its moisture and becomes cold and dense. It descends to the surface through the cylindrical eye region and at the edges of the cyclone.
Continuous supply of moisture from the sea is the major driving force behind every cyclone. On reaching the land the moisture supply is cut off and the storm dissipates.
If ocean can supply more moisture, the storm will reach a mature stage.
Mature Stage
At this stage, the spiraling winds create multiple convective cells with successive calm and violent regions.
The regions with cumulonimbus cloud (rising limbs of convective cell) formation are called rain bands below which intense rainfall occurs.
The ascending air will lose moisture at some point and descends (subsides) back to surface through the calm regions (descending limbs of convection cell – subsiding air) that exist between two rain bands.
Cloud formation is dense at the center. The cloud size decreases from center to periphery.
Rain bands are mostly made up of cumulonimbus clouds. The ones at the periphery are made up of nimbostratus and cumulus clouds.
The dense overcast at the upper levels of troposphere is due to cirrus clouds which are mostly made up of hexagonal ice crystals.
The dry air flowing along the central dense overcast descends at the periphery and the eye region.
Destruction Caused by Cyclones
Cyclones are disastrous in many ways. They do more harm than any good to the coastal areas.
1) Strong Winds
Cyclones are known to cause severe damage to infrastructure through high-speed winds.
Very strong winds which accompany a cyclonic storm damages installations, dwellings, communications systems, trees etc., resulting in loss of life and property.
2) Torrential rains and inland flooding
Torrential rainfall (more than 30 cm/hour) associated with cyclones is another major cause of damages. Unabated rain gives rise to unprecedented floods.
Heavy rainfall from a cyclone is usually spread over a wide area and cause large scale soil erosion and weakening of embankments.
3) Storm Surge
A Storm surge can be defined as an abnormal rise of sea level near the coast caused by a severe tropical cyclone.
As a result of which seawater inundates low lying areas of coastal regions drowning human beings and life stock.
It causes eroding beaches and embankments, destroys vegetation and leads to the reduction of soil fertility.
Recent Cyclones
Cyclone Tauktae
Extremely Severe Cyclonic Storm Tauktae was a powerful tropical cyclone in the Arabian Sea that became the strongest tropical cyclone to make landfall in the Indian state of Gujarat since the 1998 Gujarat cyclone and one of the strongest tropical cyclones to ever affect the west coast of India.
Tauktae brought heavy rainfall and flash floods to areas along the coast of Kerala and on Lakshadweep. There were reports of heavy rain in the states of Goa, Karnataka and Maharashtra as well.
Tauktae resulted in at least 169 deaths in India, and left another 81 people missing.
66 people died, at least 20 people are still missing after Barge P305 sank near Heera oil field, off the coast of Mumbai, although the Indian Navy said it had rescued 186 survivors of the 270 people aboard by May 19.
Losses from Tauktae are estimated at ₹15,000 crore or US$2.1 billion.
Cyclone Yaas
Very Severe Cyclonic Storm Yaas was a relatively strong and highly damaging tropical cyclone that made landfall in Odisha and brought significant impacts to West Bengal during late May 2021.
Yaas formed from a tropical disturbance that the Indian Meteorological Department first monitored on May 23.
Evacuations were also ordered, starting on May 24 on low-lying areas in East Midnapore and West Midnapore and Jhargram.
As of May 28, 20 people have been reported dead due to Yaas.
The total damages in West Bengal, the most heavily impacted state from Yaas, were estimated to be around ₹20 thousand crore (US$2.76 billion).
Management of Cyclones in India
In 2005, the country introduced new laws to set up what’s called the National Disaster Management Authority, a central agency charged with one thing: responding to and minimizing the impact of disasters.
A year later, in 2006, India established a National Disaster Response Force (NDRF), a specialized corps of highly trained men and women focused on disasters such as cyclones and earthquakes. It’s now comprised of almost 25,000 personnel.
Apart from institutional measures, there are many structural and non-structural measures that have been taken for effective disaster management of cyclones:
The structural measures include construction of cyclone shelters, construction of cyclone-resistant buildings, road links, culverts, bridges, canals, drains, saline embankments, surface water tanks, communication and power transmission networks etc.
Non-structural measures like early warning dissemination systems, management of coastal zones, awareness generation and disaster risk management and capacity building of all the stakeholders involved.
These measures are being adopted and tackled on State to State basis under National Cyclone Risk Mitigation Project (NCRMP) being implemented through World Bank Assistance.
Issues in Cyclone Mitigation
Post than pre focus: Disaster management in India is largely confined to post-disaster relief works. It is more about management than loss prevention.
Population: One-third of the population in India lives in the coastal area. Most of them are marginalized people who are ill-prepared and unable to cope up with a disaster.
Poor response: The warning of a cyclone is not properly communicated between the concerned agencies. In many cases, the warning is not taken seriously by the agencies which cause delayed effort for the prevention of a disaster. This was evident in the recent Ockhi cyclone disaster.
Lack of awareness: among people about the impact and magnitude of the disaster. Also what to act during and post disasters.
Coordination Issues: There is also a lack of coordination between the local communities for search and rescue missions. Also poor coordination state and center coordination and its agencies.
Measures need to be taken for effective mitigation
Pre Disaster
Provide cyclone forecasting, tracking and warning systems
Construction of cyclone shelters, cyclone-resistant buildings, road links, bridges, canals, drains etc.
Establishing Early Warning Dissemination System (EWDS) and Capacity building for coastal communities.
During disaster
Cautionary advice should be put out on social platforms urging people to stay safe
The perception of people decides the intensity of the disaster. If people take necessary proactive steps to deal with disaster then even the severe disaster can be dealt with minimum damage.
Delivery of food and health care via mobile hospitals, with priorities to women child & elders.
Protection of the community and their evacuation and quicker response.
Post-disaster
It is vital that the learning from each event is shared nationally, and the capacity of officials and communities to manage disasters built continuously.
Among the securities available to individuals in many countries is insurance against property losses. Viable policies should be made available in India too.
Providing alternative means of communication, energy and transport just after the disaster.
Way Forward
Infrastructure of the regions that are vulnerable to cyclonic activities must be made/ designed so that evacuation process gets easy and damage gets minimized.
Forecast techniques must be improved so as to get more time for preparing before a cyclonic storm.
School and social awareness campaigns must be organized in the vulnerable areas for better individual preparedness.
NDRF and other emergency forces must be made more equipped with emergency kits and modern machinery for them to play a better role in keeping them and others safe.
Now the imperative for India is not only to have infrastructure that is resilient, functional and that can bounce back after a disaster, but also to have infrastructure withstand and be operational during a crisis.
For this India need to employ more technology, strict following of command structure, and most importantly the participation and cooperation of local communities in the affected area.
There must be test facilities made for the emergency forces to prepare themselves better for the actual situations.
As India is still reeling under the second wave of COVID-19 pandemic, Black, White and Yellow Fungus infections have brought along unending woes, pressuring the already stressed healthcare system. These fungal infections have been attributed to COVID-19 and led to prolonged morbidity and mortality in COVID-19 patients
Black Fungus
What is black fungus (Mucormycosis)?
Mucormycosis, previously known as zygomycosis and sometimes called black fungus, is a serious fungal infection, generally in people with less ability to fight infection.
Mucormycosis is a rare but serious infection that is caused by a group of moulds called mucormycetes.
It mainly affects people who have health problems or take medicines that lower the body’s ability to fight germs and sickness.
It reduces the ability to fight environmental pathogens.
It can also happen on the skin after a burn, cut or other type of skin wound through which the fungus enters the skin. It can also affect the brain
People having co-morbities, variconazole therapy, uncontrolled diabetes mellitus, immunosuppression by steroids or prolonged ICU stay can get predisposed to the fungal infection.
Types of Mucormycosis
Sinuses and brain (rhinocerebral): Most common in people with poorly controlled diabetes and in people who have had a kidney transplant.
Lungs (pulmonary): The most common type of mucormycosis in people with cancer and in people who have had an organ transplant or a stem cell transplant.
Stomach and intestine (gastrointestinal): More common among young premature and low birth weight infants, who have had antibiotics, surgery, or medications that lower the body’s ability to fight infection.
Skin (cutaneous): After a burn, or other skin injury, in people with leukaemia, poorly controlled diabetes, Graft-versus-host disease, HIV and intravenous drug use.
Widespread (disseminated): When the infection spreads to other organs via the blood.
Symptoms of Mucormycosis
The symptoms of Black Fungus infection are:
For Brain Mucormycosis
1- One-sided facial swelling 2- Headache 3- Nasal or sinus congestion 4- Black lesions on nasal bridge or upper inside of the mouth 5- Fever
1- Abdominal pain 2- Nausea and vomiting 3- Gastrointestinal bleeding
Who are at risk of getting infected with Black Fungus?
1- Diabetes 2- Cancer 3- Organ transplant 4- Stem cell transplant 5- Neutropenia 6- Long-term corticosteroid use 7- Hemochromatosis (excess of iron) 8- Skin injury due to surgery, burns, or wounds 9- Pre-maturity 10- Low birth weight
Where are these fungi found?
Mucormycosis is caused by a group of molds called mucormycetes. It is naturally found in air, water and even food.
It enters the body through fungal spores from the air or can also occur on skin after a cut, burn, or skin injury.
Mucormycosis affecting COVID-19 patients
Patients who have high levels of diabetes are at a higher risk of contracting covid-19. When this occurs, they are treated with steroids which compromises their immunity.
According to doctors, steroids can prove to be a trigger for mucormycosis. While steroids help in reducing inflammation in lungs they can decrease immunity and increase blood sugar levels in both diabetics and non-diabetic covid-19 patients alike.
Medicines used in treating Covid-19 tend to bring down the count of lymphocytes.
Lymphocytes are one of the three types of white blood cells whose job is to defend our body against disease-causing pathogens such as bacteria, viruses, and parasites.
The reduced count of lymphocytes leads to a medical condition called lymphopenia, making way for opportunistic fungal infection in Covid-19 patients.
Treatment
While it is treated with antifungals, mucormycosis may eventually require surgery.
To maintain adequate systemic hydration, the treatment includes infusion of normal saline (IV) before infusion of amphotericin B and antifungal therapy, for at least 4-6 weeks.
Life after surgery for mucormycosis
Mucormycosis can lead to loss of the upper jaw and sometimes even the eye.
Be it the eye or upper jaw, these can be replaced with appropriate artificial substitutes or prostheses.
Yellow Fungus
Yellow Fungus, dangerous than white or black fungus, is another fungal infection that has been attributed to COVID-19. Health experts say it is a fatal infection.
Yellow Fungus is commonly found in reptiles.
Yellow fungus initially develops by the presence of moulds (a type of fungi) in the environment. It may be present with unnecessary fatigue, rashes, burning sensation on skin etc.
It may not start from the lungs but it invades internal organs of the body and affects the entire functioning.
Potential causes of yellow fungus
Prolonged use of steroid.
Contaminated environment.
Uncontrolled diabetes.
Unhygienic or dirty surroundings.
Unhygienic habits.
Lesser immunity.
Co-morbidities.
Symptoms of Yellow Fungus
Weight loss
Reduced appetite
Lethargy
Pus leakage
Sunken eyes
Organ failure
Treatment
Like mucormycosis, the treatment for yellow fungus is Amphoteracin-B injection
Prevention
Keep your room, home and surroundings as clean as possible
Remove stale food and fecal matter immediately to check bacterial and fungal growth.
Keep the humidity of the room and home under check as excessive humidity promotes bacteria growth. Just like for Covid patients maintaining clean air flow inside the room and homes is necessary.
Coronavirus positive patients must immediately start treatment so complications like yellow fungus do not develop.
White Fungus
White Fungus or Candidiasis is a fungal infection caused by a yeast (a type of fungus) called Candida.
Candida normally lives on the skin and inside the body, in places such as the mouth, throat, gut, and vagina, without causing any problems.
Candida can cause infections if it grows out of control or if it enters deep into the body (for example, the bloodstream or internal organs like the kidney, heart, or brain).
The most common species that causes infection is Candida albicans.
Patients of white fungus show Covid-like symptoms but test negative; the infection can be diagnosed through CT-Scan or X-ray.
Cause
This infection can be caused due to low immunity, or if people come in contact with things that contain these moulds like water, etc.
Children and women are more at risk of contracting the fungal infection.
Like the black fungus, white fungus is also more likely to afflict people with compromised immune systems, pre-existing medical conditions, AIDS, a recent kidney transplant or diabetes.
Symptoms
People experience symptoms similar to Covid if it reaches the lungs such as chest infection, despite testing negative for the virus.
White fungus affects the lungs as well as other parts of the body including the nails, skin, stomach, kidney, brain, private parts and mouth.
Diagnosis/Treatment
CT scans or X-Rays can reveal the condition.
Patients with the white fungus are currently being treated with known anti-fungal medication.
Prevention
Special caution is required of moulds in water that can lead to infection.
Proper sanitation is very important.
Way Forward
Use of Steroids must be curbed down in the treatment of Covid to prevent low immunity in patients.
The fungus must be dealt as a pandemic and not just a regular post Covid complication.
All necessary medicines needed for the treatment of above mentioned Fungus must be made available in the hospital.
Government should run awareness campaigns about these funguses as a preventive measure.