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What you need to know about Alzheimer’s and here’s how you can help
There is more emphasis being placed on one’s health and fitness now more than ever before, and this has probably been triggered because of the Covid-19 pandemic and its effects over the last three years. With people across all age groups facing various illnesses, taking one's health for granted is no longer an option. Alzheimer's disease, particularly affecting the elderly, is among the concerns that demand attention. Every year, World Alzheimer’s Day is observed on September 21 to raise awareness and challenge the stigma about the neurological disease, which Dr Annu Aggarwal, consultant neurology, Specialist Cognitive and Behavioural Neurology, Kokilaben Dhirubhai Ambani Hospital Mumbai, says accounts for around 60 per cent of all cases of dementia. Simply, she explains, “Alzheimer's disease is a progressive neurodegenerative disorder that affects memory, thinking, and behaviour.” While the cause for the disease is still not entirely known, and there is currently no cure for it, there is a need to raise awareness about the disease that affects 1 in 8 people aged 65 and older. Mid-day.com spoke to Aggarwal and Dr Pradyumna Oak, director, Neurology and Stroke Unit, Nanavati Max Super Speciality Hospital, who shed light on the symptoms, effects and challenges. The Mumbai specialists also share the common misconceptions, how people around those with Alzheimer’s disease can help them in daily life, and the need for awareness locally to help the patients better. What is Alzheimer's disease and how do people get it? Aggarwal: Alzheimer’s disease is part of a group of neurological disorders known as dementia that result in decline in cognitive abilities, such as memory, thinking, planning, language skills, and change in personality and behaviour. In normal ageing, the loss of intellectual or cognitive faculties is minimal and people can live independent and productive lives. However, in dementia, this is affected, and the result is an interference with a person’s ability to work and interact socially. Alzheimer's disease accounts for around 60 per cent of cases of dementia. Alzheimer's disease is a progressive neurodegenerative disorder that affects memory, thinking, and behaviour. It is irreversible and over time, affects the ability to carry out even simple tasks. People affected by Alzheimer have progressive and frequent memory loss. It is associated with deposition of abnormal proteins in the brain such as amyloid plaques and tau tangles, which disrupt neuron function, along with brain cell death and brain shrinkage. Research has shown a loss of connections between nerve cells in the brain that result in messages not transmitted. While the exact cause is not entirely understood and is the subject of ongoing research, it is believed to result from a combination of genetic, environmental, and lifestyle factors.Oak: Alzheimer's disease is a progressive neurological disorder that affects the memory, thinking, and behaviour, primarily detected in the elderly population. While the exact cause of Alzheimer’s disease is yet unknown, it's believed to be caused by a combination of genetic, environmental, and lifestyle factors. We have observed a number of cases where genetic factors, along with an age-related degeneration of the brain, results in the condition. Which age group is prone to getting Alzheimer's disease? Does it affect any particular gender more than the other? Aggarwal: Alzheimer’s usually develops in men and women over the age of 65 years, making this age group more prone to the condition. However, there's a form of the disease called early-onset Alzheimer's that can affect people in their 40s or 50s. Women are somewhat more likely to develop Alzheimer's than men. In India, there are 4 million people currently living with dementia, of which Alzheimer's disease accounts for over 60 per cent of the cases. This means that one in eight people aged 65 and older and nearly half of people aged 85 and older will develop dementia. Oak: Most commonly, senior citizens, above the age of 65 are the high-risk population for developing Alzheimer's. In rare cases though, we have observed that individuals between the ages of 40 and 50 can also develop early-onset Alzheimer's. As per some research conducted in India, women seem to be slightly more affected than men, but the exact cause of this, needs additional research. What are the signs and symptoms of Alzheimer's disease? Aggarwal: Symptoms of Alzheimer’s include loss of memory, difficulty in finding the right words or understanding what people are saying, disorientation about time and place, difficulty in performing routine tasks, difficulty recognising faces and surroundings, misplacing objects, problems understanding visual or spatial cues, issues with speech or writing, problems with language, personality and mood changes. Oak: Alzheimer’s proves difficult to diagnose at initial stages due to its subtle symptoms, such as forgetfulness, difficulty in performing familiar tasks, and trouble with language, which are often cited as results of old age. However, as the disease progresses, symptoms lead to confusion, disorientation, and behavioural changes. Families of some patients have also reported noticeable changes in personality and social withdrawal as well, mostly caused by inability to address the social group as effectively as in the past.What are the effects of Alzheimer's on the person? Aggarwal: As the disease progresses, individuals may misplace items more frequently, show decreased judgement, might not recognise their loved ones, may struggle with effective communication, withdraw from social or work activities, and undergo changes in mood or personality. There may be mood swings, bouts of depression, and increased agitation. These may appear in different degrees and it is advisable to consult a physician on noticing any of them. Diagnosis is based on clinical evaluation, laboratory tests and specialised brain imaging.Oak: Alzheimer’s proves difficult to diagnose at initial stages due to its subtle symptoms, such as forgetfulness, difficulty in performing familiar tasks, and trouble with language, which are often cited as results of old age. However, as the disease progresses, symptoms lead to confusion, disorientation, and behavioural changes. Families of some patients have also reported noticeable changes in personality and social withdrawal as well, mostly caused by inability to address the social group as effectively as in the past. What are the challenges that a person with Alzheimer's disease can face in daily life? Aggarwal: In their daily life, an individual with Alzheimer's might grapple with remembering names or appointments, misplacing items frequently, difficulty in managing finances with trouble counting change or paying for a purchase, making decisions, and navigating familiar places. If going out alone, they can forget the way back and get lost. There's also the risk of social withdrawal and isolation due to fear or confusion, which can make them vulnerable to scams or accidents.Oak: An Alzheimer's patient faces difficulties in every task of the routine life. They fail to remember recent conversations or events, manage finances, or be an effective part of any social group or situation. As the disease advances, they may struggle with physical tasks such as dressing, eating, and maintaining personal hygiene, which further increases their dependency on the family members or caregivers. Can Alzheimer's be treated? Aggarwal: There is no cure for Alzheimer's, but certain drugs can alleviate and slow down symptoms and help improve cognitive abilities. It can delay functional decline to an extent. Treatment is also aimed at managing the behavioural problems such as depression, agitation, and aggression. Non-drug strategies like cognitive stimulation and regular physical activity have shown promise in symptom management.Oak: There are a number of treatments available to manage Alzheimer's disease. Though reversing the loss of brain function is impossible, with early intervention, we can manage the condition, slow down the progression and improve the quality of life. These include better memory issues and slower cognitive decline as compared to absence of treatment. When should a person or the family consider getting expert advice for Alzheimer's? Aggarwal: At the first signs of cognitive difficulties or memory lapses, it's imperative to seek a medical evaluation. With early detection, patients can get the maximum benefit from available treatments to maintain their independence for a longer period. Early diagnosis allows patients to participate in decisions about living options, medical treatment, financial and legal matters. Oak: It’s advisable to seek a specialised neurology opinion at the first sign of memory loss or cognitive decline. Early intervention can potentially help in managing the progression of the disease more effectively. What are the common misconceptions about Alzheimer's? Aggarwal: The misconceptions surrounding Alzheimer's include the belief that it is a normal part of ageing, while others think it only affects the elderly. Another common myth is that memory loss is the sole symptom, overlooking the range of cognitive and behavioural changes that accompany the disease.Oak: Most common misconception in India, which thwarts the early intervention in patients with Alzheimer's, is that the condition is just a part of normal ageing, which is not the case. Additionally, many believe that it solely affects memory, whereas it can have a broader impact on cognitive and physical abilities. Are there foods that can be eaten to delay the onset of Alzheimer's? Aggarwal: There is no specific food that can guarantee prevention. However, diets rich in fruits, vegetables, whole grains, nuts, fish, and olive oil have been associated with a potentially reduced risk of developing Alzheimer's. The Mediterranean diet and the MIND diet as well as eating healthy have been associated with cognitive benefits in studies. The link between diet and Alzheimer’s is still being evaluated. The possible reasons certain diets may be of benefit includes the diet affecting biological mechanisms, such as oxidative stress and inflammation, that trigger Alzheimer’s, the diet working by impacting other risk factors of Alzheimer’s such as diabetes, obesity and heart disease, and a relationship between gut microbes and aging-related processes that lead to Alzheimer’s. However, studies are still in progress as researchers continue to seek answers.Oak: Alzheimer’s is the most common cause of dementia and a balanced diet rich in antioxidants, vitamins, and minerals, coupled with regular physical activity, can help in delaying the onset of dementia. Incorporating a diet rich in fruits, vegetables, whole grains, and lean proteins can be beneficial. However, in no scenario, the diet or non-clinical therapies should be considered as a sole therapeutic option to manage the symptoms of Alzheimer’s. How can people who have Alzheimer's deal with the disease? Aggarwal: Staying socially active, engaging in cognitive stimulating activities such as solving puzzles, maintaining a routine, using memory aids like calendars and reminders can help patients and their families deal with the changes that come with Alzheimer’s. One can also join support groups or seek counselling. Oak: A number of factors such as structured daily routine, engaging in cognitive therapies, and staying socially connected can help in managing the disease. Most important being an adequate family and friend support network, which can improve the quality of life for Alzheimer’s patients. It is also crucial to maintain a healthy lifestyle with regular medical check-ups. How can family or friends of those with Alzheimer's help them deal with it? Aggarwal: Family and friends can play a crucial role by showing patience and understanding along with unstinted support. Assisting with daily tasks, encouraging social interaction, and creating a predictable, safe environment is something that is invaluable. Caregivers must learn more about the disease to offer better support. Oak: The emotional support network of family and friends plays a vital role in management of Alzheimer’s, alongside clinical therapy. Acting to their emotional needs, assisting with daily tasks, and encouraging physical and cognitive activities is known to provide the much-needed moral boost to the patients. Being patient and empathetic is vital in helping them cope with the disease. How can society and the local government body help people with Alzheimer's at the civic level? Aggarwal: At a societal level, there is a need to create awareness about dementia and Alzheimer’s among people. There must be support for community programmes and training for caregivers. There must be a focus on ensuring accessible and affordable medical care and long-term management of Alzheimer’s patients. Policies should ensure that the legal rights of a patient must be protected, and the patient is taken care off as the disease progresses and the patient’s condition worsens.Oak: There is very little awareness about Alzheimer’s, its causes, effects and how to seamlessly make these patients a part of a sensitive community. We can start with creating awareness about the condition at community level, include educational institutes, and establish support groups to provide resources. The government can establish specialised healthcare facilities and initiate community screening programmes for early detection and management of Alzheimer's.
21 September,2023 10:34 AM IST | Mumbai | Nascimento Pinto
Memory cafes offer a path to cognitive improvement for Alzheimer’s patients
In the quiet suburbs of Khar, the Kothare family is grappling with a harrowing illness. Every morning, Damini (74) believes that a man dressed in white is trying to enter her home with a packet of milk in hand. A resilient woman, Damini has been diagnosed with a neurological condition – Alzheimer’s. Her journey is marked by daily challenges, but one aspect of her life remains consistent: She feels anxious whenever the milkman drops by in the mornings. Her daughter, Daksha, opens up about this traumatic ailment that affects millions of families worldwide. “Aai, began to show subtle signs of forgetfulness some five years back. It started with misplacing keys, forgetting dates and sometimes losing her way in familiar places. When this became too rampant, we sought medical advice, which led to a diagnosis of Alzheimer's disease.” Daksha recalls the profound impact on their lives as they navigated the challenges of watching a beloved family member slowly slip away. As Damini's memory continues to fade, their story serves as a poignant reminder of the urgent need for research and support for those affected by Alzheimer's – a condition that touches countless lives and demands greater awareness and understanding. New-age medical treatments for Alzheimer’s disease: Memory café Memory cafes, also known as cognitive stimulation programs, are supportive and social group activities designed to enhance the cognitive function of individuals with Alzheimer's and related dementias. These clubs provide a safe and engaging environment where participants partake in memory-enhancing exercises, cognitive games, and reminiscence activities. By promoting mental stimulation, social interaction and emotional support, memory clubs aim to slow cognitive decline, improve quality of life, and foster a sense of belonging for individuals living with Alzheimer's disease, while also providing respite and support for their caregivers, shares Dr Aman Priya Khanna, a Minimal Access Surgeon at HexaHealth, Pune. Virtual Reality (VR) Therapy Medical experts are exploring the use of virtual reality as a therapeutic tool for Alzheimer's patients. VR technology allows individuals to immerse themselves in interactive and engaging environments, which aims to stimulate cognitive functions and memory recall. Alzheimer's patients are given VR devices to relive past experiences, visit familiar places, or engage in mentally stimulating activities, potentially improving memory and overall cognitive well-being. This innovative approach not only enhances quality of life but also provides a non-pharmacological method for managing the disease's symptoms. Art and Music Therapy Creative therapies, such as painted art and exposure to rhythms have gained prominence as non-pharmacological interventions for Alzheimer's patients. These therapies harness the power of creative expression to enhance emotional well-being, reduce anxiety and stimulate memory. Patients can engage in painting, sculpting, or playing musical instruments, allowing them to express themselves and connect with memories and emotions that they felt once. Such therapies promote a sense of accomplishment and joy contributing to a better quality of life for those living with Alzheimer's. Gut Microbiome Interventions Emerging research suggests a connection between gut health and brain function. Medical experts are investigating interventions that aim to improve the gut microbiome of Alzheimer's patients. These interventions may include dietary changes, probiotics, or fecal microbiota transplantation. By promoting a healthier gut environment, researchers hope to positively impact brain health and potentially slow the progression of Alzheimer's disease, offering a unique and holistic approach to treatment. Tau-Targeted Therapies The growth of abnormal tau protein is another key component of Alzheimer's pathology. Innovative therapies are being developed to target tau and prevent its aggregation which poses the risk of nerve cell damage. These treatments aim to slow or halt the progression of the disease by addressing tau-related neurodegeneration. Several approaches, including small molecules and immunotherapies, are under investigation to target tau in different ways. Other scientific innovations to tackle forgetfulness in older adults In May 2019, the Alzheimer’s Association’s Research Roundtable delved into alternative therapeutic approaches, including active immunotherapy for neurological disorders. This approach involves stimulating the patient's immune system to produce antibodies against the very elements that trigger Alzheimer's disease. With this treatment, doctors aim to reduce the buildup of ‘beta-amyloid plaques’ in the brain to potentially slow down the progression of the disease. Recent progress in measuring Alzheimer’s indicators like amyloid, tau, and neurodegeneration in blood enables tracking drug effects during clinical trials. This offers a less invasive and cost-effective alternative to cerebrospinal fluid or neuroimaging markers. Role of technology to monitor and support Alzheimer’s patients Technology is vital in supporting Alzheimer’s patients and their caregivers. 1 Cognitive training apps help preserve cognitive abilities, while medication reminder apps ensure timely doses. 2 Mobile apps provide information and resources, and wearable devices like smartwatches and fitness trackers monitor vital signs and activity levels, offering valuable insights into overall well-being. 3 GPS tracking devices enhance patient safety by preventing wandering and telehealth enables convenient remote consultations, reducing caregiver burden. 4 Fall detection systems promptly alert caregivers to potential accidents, thus improving safety.Assistive technology, designed to assist individuals in their daily lives, encompasses various tools, from electronic pill reminders to smart home systems controlling heating and lighting. Smartwatches have gained popularity as wearable devices that collect essential health and activity data, benefiting Alzheimer’s and dementia care. Caregivers can track activity levels, monitor heart rates, and evaluate sleep patterns, all crucial aspects of patient health. Some devices also aid in safer mobility. Boundary alarm systems issue alerts if a person strays beyond a predefined boundary, and tracking devices utilise satellite or mobile technology to locate individuals at risk of becoming lost or missing. These technological advancements empower caregivers, enhance patient safety, and improve overall quality of life. The role of precision medicine In Western societies, Alzheimer’s disease is the predominant form of dementia and ranks sixth in causes of death. Precision medicine, an individualised approach considering a person’s genetics, environment, and lifestyle has gained prominence in AD care. Precision medicine tailors care for enhanced outcomes, utilising advanced diagnostics for early detection and intervention. Genetic profiling identifies risk factors and sheds light on treatment decisions to be made by the expert. From then on, treatment plans are personalised based on genetics and clinical profiles optimising effectiveness. Regular monitoring allows adjustments for sustained efficacy, while accurate prognosis supports long-term care planning for patients and caregivers. Personalised strategies address modifiable risk factors, promoting prevention. Tailored support helps patients and families navigate Alzheimer’s complexity. Precision medicine individualises care, potentially slowing disease progression and improving patients’ and families’ quality of life. Current challenges in treating Alzheimer’s disease Alzheimer’s disease (AD), often seen in older individuals, can stir strong emotions like surprise, uncertainty, anger, anxiety, hopelessness, and sadness. However, the medical fraternity faces several challenges in treating AD. These challenges can differ depending on the region. In India, socioeconomic disparities, cultural stigma, and inadequate recognition of dementia by medical professionals can impede timely diagnosis. The primary hurdle in addressing Alzheimer’s is its typical late-stage diagnosis, often after it has significantly progressed. Many link Alzheimer’s with the ageing process, leading to limited awareness and understanding of the condition. We’re still searching for precise and dependable early detection methods for the disease. Despite progress in Alzheimer’s research over recent decades, even drugs that showed initial promise have failed to demonstrate effectiveness in large-scale clinical trials for slowing or reversing the disease’s advancement. Non-pharmacological interventions for Alzheimer’s disease Non-pharmacological or behavioural interventions are designed to enhance cognitive function, enable daily living activities, and address accompanying behavioural symptoms in Alzheimer’s patients, such as depression, wandering, sleep disturbances, agitation, or aggression. Cognitive training programs, especially when initiated early in the disease’s progression, have shown the potential to slow cognitive decline and improve overall quality of life. These programs engage the mind through mental exercises, bolstering cognitive reserves and maintaining cognitive function. Lifestyle adjustments, encompassing proper nutrition with diets like the Mediterranean or DASH diet, rich in antioxidants and healthy fats, offer neuroprotective advantages. Additionally, weight management plays a role in reducing the risk of cognitive decline related to obesity. Social support is equally vital, fostering cognitive stimulation through social engagement and emotional support. Stress-reduction techniques and mindfulness practices enhance mental well-being, diminishing the risk of cognitive decline associated with chronic stress. Incorporating these non-pharmacological interventions into Alzheimer’s care plans can complement traditional treatments, ultimately elevating the quality of life for individuals grappling with the disease. The nomenclature of Alzheimer’s disease Alzheimer's disease is named after Dr Alois Alzheimer, a German psychiatrist and neurologist who first described the condition in 1906. Dr Alzheimer made this groundbreaking discovery while studying the case of a middle-aged woman named Auguste Deter, who exhibited unusual and severe cognitive and memory impairments. Dr Alzheimer conducted a post-mortem examination of Deter's brain and observed distinct neurological abnormalities, including the presence of abnormal protein deposits (known as amyloid plaques) and tangled nerve fibres (referred to as neurofibrillary tangles). His detailed findings and clinical observations contributed significantly to the understanding of this condition.
21 September,2023 09:58 AM IST | Mumbai | Ainie Rizvi
Unlocking the secret to a pain-free life: Insights from a fitness expert
Many of us are no strangers to body pain and discomfort. Whether pain is the outcome of a sedentary lifestyle, an injury, or the natural wear and tear of aging, it can significantly impact our quality of life. While medication and other conventional treatments have their place, one often overlooked yet highly effective approach to pain management is movement. Moving your body has the transformative power to lead a healthier, more pain-free life. Why is Movement Important in Pain Management? Strengthening Muscles and Joints One of the primary benefits of regular physical activity is its ability to strengthen muscles and joints. When you engage in exercises that target specific muscle groups, you enhance their support for your joints. This added support can alleviate pain in areas like the knees, hips, and lower back, making it an excellent strategy for managing chronic pain conditions. Enhancing Flexibility Many pain issues stem from stiffness in the joints and surrounding tissues. Movement and stretching exercises can improve the flexibility of the body. Yoga, Pilates, and tai chi are particularly effective for enhancing flexibility while promoting relaxation and stress reduction. Reducing Inflammation Inflammation is a common driver of pain in conditions like arthritis. Regular physical activity has been shown to reduce chronic inflammation in the body. Aerobic exercises, such as brisk walking, swimming, and cycling, can help combat inflammation by promoting healthy circulation and immune system function. Promoting Weight Management Maintaining a healthy weight is crucial for managing pain, especially in weight-bearing joints like the knees and hips. Exercise, combined with a balanced diet, supports weight management efforts, reducing the strain on these joints and mitigating pain. Releasing Endorphins Exercise triggers the release of endorphins, the body's natural painkillers. These neurochemicals can help combat pain and enhance mood, creating a positive feedback loop that encourages continued physical activity. Tips to Create an Effective Pain Management Exercise Routine When incorporating movement into your pain management strategy, it is essential to do so safely and effectively. Here are some tips to help you get started: Consult a Fitness Expert Before beginning any new exercise routine, especially if you have chronic pain or underlying medical conditions, consult with a fitness expert. They can offer guidance on suitable exercises and any precautions you should take. Be Slow and Steady If you are new to exercise or have been inactive for a while, start slowly and gradually increase the intensity and duration of your workouts. This approach will help prevent injury and minimize pain during your initial sessions. In addition, consistency is key; therefore, aim for regular exercise sessions, even if they are short. Pick the Right Activities Select exercises that are appropriate for your condition and preferences. Low-impact activities like swimming or stationary cycling can be gentler on the joints, making them ideal for those with joint pain. Listen to Your Body Pay close attention to how your body responds to exercise. If a particular movement or exercise exacerbates your pain, stop immediately and consult with a fitness expert for modifications. The power of movement in pain management cannot be overstated. Exercise has helped countless people struggling with different types of body pain. While it may not be a magic cure, regular physical activity, when approached mindfully and with proper guidance, can be a valuable tool in your pain management toolbox. Remember, pain should never be a barrier to a fulfilling life; instead, it can be a motivator to explore the incredible potential of your body through movement. So, lace up those sneakers, roll out the yoga mat, or dive into the pool – your journey to a pain-free and active life begins with that first step. (Nupur Patil, Fitness and Nutritionist) This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
21 September,2023 09:22 AM IST | New Delhi | IANS
Study: Mediterranean diets may help prevent Alzheimer's disease
People who eat diets rich in green leafy vegetables as well as other vegetables, fruits, whole grains, olive oil, beans, nuts and fish may have fewer amyloid plaques and tau tangles in their brain -- signs of Alzheimer's disease -- than people who do not consume such diets, according to a study. These food items are found majorly in the brain-focused MIND -- short for Mediterranean-DASH Diet Intervention for Neurodegenerative Delay -- and plant-based Mediterranean diets. Although similar, the Mediterranean diet recommends vegetables, fruit, and three or more servings of fish per week while the MIND diet prioritises green leafy vegetables like spinach, kale and collard greens along with other vegetables. The MIND diet also prioritises berries over other fruit and recommends one or more servings of fish per week. Both the MIND and Mediterranean diet also recommends small amounts of wine. The study found people who ate the highest amounts of green leafy vegetables, or seven or more servings per week, had plaque amounts in their brains corresponding to being almost 19 years younger than people who ate the fewest, with one or fewer servings per week. "Our finding that eating more green leafy vegetables is in itself associated with fewer signs of Alzheimer's disease in the brain is intriguing enough for people to consider adding more of these vegetables to their diet," said study author Puja Agarwal, from RUSH University in Chicago. While this study, published in the journal Neurology, shows an association of regularly consuming these diets with fewer Alzheimer's disease plaques and tangles, it does not establish a cause and effect relationship. However, "these results are exciting -- improvement in people's diets in just one area -- such as eating more than six servings of green leafy vegetables per week, or not eating fried foods -- was associated with fewer amyloid plaques in the brain similar to being about four years younger," Agarwal said. "While our research doesn't prove that a healthy diet resulted in fewer brain deposits of amyloid plaques, also known as an indicator of Alzheimer's disease, we know there is a relationship, and following the MIND and Mediterranean diets may be one way that people can improve their brain health and protect cognition as they age," she added. The study involved 581 people with an average age of 84 at the time of diet assessment who agreed to donate their brains at death to advance research on dementia. The participants died an average of seven years after the start of the study. Right before death, 39 per cent of participants had been diagnosed with dementia. When examined after death, 66 per cent met the criteria for Alzheimer's disease. A limitation of the study was that participants were mostly white, non-Hispanic, and older so the results cannot be generalised to other populations. "Future studies are needed to establish our findings further," Agarwal said. Also Read: How to help your children prepare for exams, and cope with anxiety and stress This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
21 September,2023 08:50 AM IST | New York | IANS
Poor dental health can cause brain shrinkage, Alzheimer's disease: Study
Poor dental health can lead to decline in brain volume, and increase the risk of Alzheimer's disease, warned a study. The study, published in the journal Neurology, found that gum disease and tooth loss were linked to brain shrinkage in the hippocampus, which plays a role in memory and Alzheimer's disease. The study, however, does not prove that gum disease or tooth loss causes Alzheimer's disease; it only shows an association. "Tooth loss and gum disease, which is inflammation of the tissue around the teeth that can cause shrinkage of the gums and loosening of the teeth, are very common, so evaluating a potential link with dementia is incredibly important," said Satoshi Yamaguchi, from Tohoku University in Sendai, Japan. "Our study found that these conditions may play a role in the health of the brain area that controls thinking and memory, giving people another reason to take better care of their teeth." The study involved 172 people with an average age of 67 who did not have memory problems at the beginning of the study. Participants had dental exams and took memory tests at the beginning of the study. They also had brain scans to measure volume of the hippocampus at the beginning of the study and again four years later. Researchers found that the number of teeth and amount of gum disease was linked to changes in the left hippocampus of the brain. For people with mild gum disease having fewer teeth was associated with a faster rate of brain shrinkage in the left hippocampus. However, for people with severe gum disease having more teeth was associated with a faster rate of brain shrinkage in the same area of the brain. After adjusting for age, researchers found that for people with mild gum disease, the increase in the rate of brain shrinkage due to one less tooth was equivalent to nearly one year of brain ageing. Conversely, for people with severe gum disease the increase in brain shrinkage due to one more tooth was equivalent to 1.3 years of brain ageing. Another recent study showed that skipping night-time dental hygiene sessions can increase the risk of heart disease. "These results highlight the importance of preserving the health of the teeth and not just retaining the teeth," Yamaguchi said. "Controlling the progression of gum disease through regular dental visits is crucial, and teeth with severe gum disease may need to be extracted and replaced with appropriate prosthetic devices."Also Read: Poor audio causes our brains to work 35 per cent harder to interpret information This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
21 September,2023 08:49 AM IST | Tokyo | IANS
Scientists track brain cell death, offers hope for Alzheimer’s cure
A team of scientists in the UK has claimed to have found the reason behind brain cell death which leads to Alzheimer’s, offering hope for a future new line of drugs which could cure the disease. Alzheimer’s is the most common cause of dementia (decline of brain function, memory and thinking skills). It has a variety of complex causes, including the build-up of proteins called amyloid and tau in the brain (substances which create small structures called plaques and tangles), hindering brain function. There is also a loss of neurons - or brain cells - resulting in a breakdown of neural networks resulting in memory loss. Previously, scientists have never understood how those two processes are connected and therefore how to prevent neuron loss. Scientists working at University College London and KU Leuven in Belgium found that buildup of abnormal protein is connected to ‘necroptosis’, a similar type of cellular suicide usually used by our body to get rid of unwanted cells. The buildup of amyloid plaques between neurons and the formation of tangles of tau form, a molecule called MEG3 is produced by the brain cells resulting in cellular suicide. While conducting the research, scientist transplanted the human brain cells into genetically modified mice, which produced lots of amyloid and by blocking the production of MEG3, scientists were able to prevent cellular suicide. "This discovery is important because it points to new mechanisms of cell death in Alzheimer's disease that we didn't previously understand and could pave the way for new treatments to slow, or even stop disease progression in the future," said Dr Susan Kohlhaas from Alzheimer's Research UK. “The breakthrough shows “how and why neurons die in Alzheimer’s disease” after years of debate in the scientific community. “provides really strong evidence” of a “specific suicide pathway”, and believes it could lead to a “whole new line of drugs development,” added professor Bart De Strooper, a member of the research team. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
21 September,2023 08:49 AM IST | London | IANS
Will Alzheimer's become a disease affecting younger people?
For a long time Alzheimer's Disease is known to affect older people but now Chinese researchers recently claimed a 19-year-old boy -- the youngest-ever patient -- was diagnosed with the disease. Faulty genes can likely make the disease more common in youngsters, doctors argued on Monday. Alzheimer's -- the most common cause of dementia -- causes the brain to shrink and brain cells to eventually die. The disease is known to severely impact memory, thinking, and behaviour. While the signs of Alzheimer's typically start appearing in the mid-60s, early onset has been recorded starting from the 30s. To date, the youngest person known to have been diagnosed with Alzheimer's disease was a 21-year-old who carried a gene mutation. But the study, published in the peer-reviewed Journal of Alzheimer's Disease, reported a 19-year-old boy in China with "probable" Alzheimer's disease. While the exact cause behind his disease remains unknown, researchers from Capital Medical University's Xuanwu Hospital in Beijing said he started showing memory loss -- a typical characteristic of Alzheimer's -- and hippocampal atrophy -- a shrinkage that is an early marker of the disease -- since the age of 17. "Alzheimer's disease can become more common with the younger population due to genes," Dr Atul Prasad, principal director & HOD Neurology, BLK Max Super Speciality Hospital, told IANS. "It entirely depends on the quality of genes. It can lead to manifestation of the disease in early ages as well," he added. Although the root cause of Alzheimer's remains unknown, faulty genes are one of most common reasons. However, the adolescent patient's case differed because no known genetic mutations were identified. He showed typical characteristic features of memory loss - he had trouble studying, frequently lost belongings, could not remember eating and had to withdraw from high school, the South China Morning Post reported. Speaking to IANS, Dr. Manish Mahajan, senior consultant - Neurology from Artemis Hospital, Gurugram, said that memory impairment in young patients should not be ignored by neurologists. However, he disagrees that Alzheimer's will be more prevalent in young people. "It will be a wrong message if we say that Alzheimer's is now seen in younger individuals. It still remains a disease of elderly," Mahajan said, noting that there must be some genetic predisposition in the case of the Chinese boy. While one cannot change their genes, good sleep, physical and mental exercise, which includes playing chess or bridge games can be key in avoiding the disease, Prasad said. He also advised to "eat nuts for daily nutrition, especially walnuts as it carries a good amount of antioxidants which slow down the brain ageing".Also Read: How to help your children prepare for exams, and cope with anxiety and stress This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
21 September,2023 08:48 AM IST | New Delhi | IANS
Women at a higher risk of vertigo due to a lack of awareness: Health expert
In a startling revelation, medical experts have raised concerns about the increasing prevalence of vertigo, a debilitating balance disorder, primarily affecting women due to a lack of awareness surrounding this condition. An alarming number of individuals, especially women, are suffering silently, unaware of the available treatments and support. To shed light on this critical issue, Dr Sushrut Deshmukh, ENT specialist, Apollo Spectra Pune, emphasises the importance of awareness and early intervention. Vertigo, characterised by dizziness, spinning sensations and loss of balance, can have a profound impact on one's daily life. It often leads to falls, accidents and a diminished quality of life. Women, in particular, are at a higher risk of developing vertigo due to hormonal fluctuations and other factors. Deshmukh says, "Vertigo is not a fancy term; it's a condition where you feel like you or your surroundings are spinning when you're actually not moving at all. Think of that disorienting sensation when you step off a merry-go-round. Vertigo is like that, but it can happen at any time. It can make you dizzy and even cause falls. Imagine trying to lead a normal life when the ground beneath you feels like it's dancing.” The lack of awareness regarding vertigo symptoms and available treatments is a concerning trend. Many individuals mistake their symptoms for temporary discomfort, delaying necessary medical attention. Moreover, there’s a surprising gender gap which Deshmukh has noticed as something unsettling in his practice—more women seem to be dealing with vertigo than men. Why? It's partly because of hormonal changes, which can mess with the inner ear, our body's balance centre. Pregnancy, menopause and even birth control can play a role. Deshmukh adds, “When I see so many women struggling with vertigo, it worries me. People think it's just a passing inconvenience. They don't realise that it can be managed and treated. Many don't even realise they have it. Awareness is our best defence. If you're feeling dizzy often, don't ignore it. It might be vertigo that can be treated." Deshmukh urges everyone, especially women, to pay attention to their bodies and the signs it gives. If you're experiencing dizziness, spinning sensations, or unsteadiness, don't brush it off. By spreading awareness about vertigo, we can help individuals suffering in silence regain control of their lives and find the support they need.
20 September,2023 06:55 PM IST | Mumbai | mid-day online correspondent
Unravel mental and emotional well-being with this workshop in Mumbai
The International Conference on Energy Medicine and Alternative Healing Modalities (ICEMAHM) returns for its third consecutive year, offering a transformative experience for those seeking holistic well-being. Scheduled for October 1st & 2nd, 2023, this iconic conference brings together experts, healers, therapists, and individuals from diverse backgrounds to explore the profound impact of alternative healing on mental and emotional health. ICEMAHM 2023 will delve deep into the realm of alternative healing, covering topics such as spiritual hygiene, astrology, accessing intimacy with the body, core somatic integration, the alchemy of the soul, neurotherapy, dance movement therapy, rhythm circle, Akashic record reading, and principles of prosperity. This event promises a wealth of knowledge and practical insights that attendees can apply to improve their mental health and overall well-being. Key Takeaways:Attending ICEMAHM offers valuable benefits:1. Gain education and knowledge in alternative healing.2. Network with experts and like-minded individuals.3. Explore diverse perspectives on mental well-being.4. Develop practical skills for self-improvement.5. Access valuable resources for mental health.6. Find inspiration and motivation to transform your life.7. Contribute to reducing the stigma around mental health.8. Embark on a journey of self-awareness and personal growth.9. Join a supportive and empowering community. Conferences like ICEMAHM often showcase the latest advancements in mental health research and treatment modalities, making it particularly valuable for professionals looking to stay updated with best practices. Who Should Attend:ICEMAHM welcomes attendees from all walks of life, including homemakers, healers, students, therapists, teachers, counselors, doctors, psychologists, and individuals working in both corporate and non-corporate sectors. Anyone open to change and transformation is encouraged to attend this life-changing event. Event Schedule Topic – Manifesting MagicAbundance Creator, Dr Ashish will share his insights and experience about the ease and joy with which one can create magic and miracles in our lives • Expert Speaker - Yuvraj Kapadia(Director, EKAA Integrated clinical hypnotherapy foundation) Topic – Spiritual Hygiene - Clarity in energy approach to healingMost people and especially healers and therapists, experience energy drain or attract negative energies into their energy field impacting not only our daily activities but also the way we respond to situations and people around us. Master trainer, healer, therapist with more than 15,000 students globally, Mr Yuvraj Kapadia is a subject expert in the field of metaphysics and energy healing. He will be speaking on how one can address this issue and maintain our energy hygiene. • Expert Speaker - Sundeep Kocher (Internationally renowned celebrity Astrologer, Vastu Consultant, Motivational Speaker, Life Coach, Actor, Anchor, Author) Topic – Astrology – Discover your destinySundeep Kochar has been awarded as “The Most Trusted Astrologer of India” and will be speaking on how astrology can help you lead to the right path of success. • Expert Speaker - Kavita Kapoor Khalsa (Access Consciousness Facilitator, Adept in Reiki, Pranic healing, Tarot reading, Integrated Clinical Hypnotherapy, Redikall Healing, Quantum two point theory and many more) Topic – Accessing Intimacy with the body– Flipping into possibilities with your bodyInternational Access Consciousness Facilitator, Kavita Kapoor Khalsa , is talking about -5 elements of Intimacy with self and provide tools for you to have ease with communicating with your body and establishing greater intimacy with it. Are you ready to receive greater connection and awareness with your body? • Expert Speaker – Dr. Rajiv Naidu (Integrative Wellness Therapist, Homoeopath, Counsellor and Health Psychologist, Life Empowerment Coach, Family Constellation Therapist and founder of Core somatic integration therapy) Topic – Core Somatic Integration– New Age Integrative Body-centered TherapyA unique Integrated Body-centered therapy integrating Cognitive Neuroscience, Body experiences and healing through mindful awareness, body sensing, regulated breathing. • Expert Speaker - Jothinanda (Pranashakty, India) Topic – Alchemy of the Soul – Charting the Future Through Spiritual Innovation & Transformative ChangeWhat does it take to reconstruct organs using energy? What does it take to send medicine to thousands energetically? This session will not only give knowledge about this but also take you through experience. • Expert Speaker – Dr. Deedar Singh Nagi (Naturopathy and Neutrogenic consultant, Neurotherapy practitoner) Topic – Neurotherapy– Tapping in to the power of our body's natural ability to healOur body is capable of miracles and with the help of ancient knowledge and modern techniques, those miracles can happen every day. Neurotherapy blood, lymph and nervous signal for to the affected glands by applying a special type of pressure to various body parts. • Expert Speaker – Mamta Kalambe (Photographer & Dance Movement Therapy Practitioner.) Topic – Dance Movement therapy– Experiential session. Dance your way to health and healingAs a modality of the creative arts therapies, Dance movement therapy looks at the correlation between movement and emotion. It is the psychotherapeutic use of movement and dance to support intellectual, emotional, and motor functions of the body. • Expert Speaker – Nikhil Bijai (Photographer & Dance Movement Therapy Practitioner.) Topic – Rhythm circle & music– Experiential session. Take your place in the rhythm circle. Let the rhythm heal youThis modality of healing helps heal the body through rhythm and music. The modality uses the impact of rhythm and music on the thought, feeling, emotion and physical body to bring about holistic healing. • Expert Speaker – Deepa Thakore (Founder – The Miracle Ttwa & ICEMAHM) Topic – Demystifying the 5th element– Unravelling the mysteries of Akashic records.Embark on a journey of self-discovery and spiritual enlightenment through Akashic Record Reading. Explore this ancient practice to access the wisdom of your soul's past, present, and future. • Expert Speaker – Dr Sophia Dsouza (Founder – The Miracle Ttwa & ICEMAHM) Topic – Principles of Prosperity– Reset your mind-set…..Poverty to ProsperityUnderstand the Principles which set aside the select few from the common masses. Unlocking the path to prosperity begins with a shift in mind-set. Discover how resetting your perspective can re-shape your future. Event DetailsDate: October 1st & 2nd, 2023Venue: ITC Maratha, MumbaiRegistration: https://forms.gle/3Cuu3TqJ444g52dTATickets: https://fb.me/e/1ftrHcG4e
20 September,2023 02:38 PM IST | Mumbai | mid-day online correspondent
Researchers find characteristics specific to people with OCD
Intrusive thoughts of people with obsessive-compulsive disorder, or OCD are more frequent, last longer and create a need to act on the compulsion in order to neutralise their thoughts, finds a study. It may be normal to have intrusive thoughts such as a random or inappropriate idea popping into people’s heads, or to feel compelled to double-check and triple-check that the front door is locked. Typically they go away and people go about our lives. But for some, the intrusive thoughts can become uncontrollable, persistent and invasive, and so they may try to alleviate them through compulsive rituals: repeatedly washing their hands, for instance, if they fear being contaminated from touching surfaces like doors and countertops. This indicates that the person has obsessive-compulsive disorder, or OCD. But how exactly do the obsessive thoughts of people with OCD differ from the more garden-variety intrusive thoughts all people experience from time to time? To understand, a team from the University of Montreal in Canada, conducted a systematic review. Their findings, published in the journal Clinical Psychology and Psychotherapy, underscore the significant distress caused by the intrusive thoughts associated with OCD. "These thoughts provoke higher levels of guilt than in other anxiety-related disorders," said Jean-Sebastien Audet, a doctoral student at the varsity. "They are also experienced as more unpleasant, unacceptable and uncontrollable, and are associated with a higher degree of fear that the thought will become a reality," he added. This distress is caused by the clash between the content of the intrusive thoughts and the person's self-perception. The dissonance is particularly intense when the person has disturbing, forbidden thoughts such as "maybe I'm a paedophile" when in fact they have no such urges. "People with OCD think their actions could put them in danger -- for example, their carelessness could cause them to be robbed or get sick," explained Audet. "By contrast, depressed people don't believe they are a danger to themselves but are consumed by feelings of worthlessness, and people with anxiety perceive themselves as victims of external danger." Audet believes that delineating the characteristics unique to OCD can help sufferers and their loved ones understand the disorder and realise that the thoughts they have have no basis in reality. Determining those characteristics also facilitates early diagnosis and treatment. In most cases, OCD responds well to medication and a type of therapy known as "exposure and response prevention." This approach involves exposing people to situations that cause or trigger their obsessive thoughts and then helping them learn new ways of dealing with their anxiety instead of engaging in their usual rituals. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
20 September,2023 12:55 PM IST | Toronto | IANS
Explained: What is the rare, brain-damaging virus that is spreading in Kerala?
Kerala, the southernmost Indian state, has become the epicentre of an alarming development. A rare virus with the ability to cause brain damage has been identified in the blood samples of the affected patients. With high fatality rates ranging from 40 to 75 percent, the outbreak is raising concerns among experts who view it as a potential epidemic risk. The virus is naturally harboured within fruit bats found in South and Southeast Asia. Experts have discovered that its transmission to humans is occurring through contact with the animal’s bodily fluids. Upon acquiring the virus, patients experience inflammation of the brain, confusion, dizziness seizures – leading to coma. The World Health Organisation (WHO) lists Nipah as one of its priority pathogens capable of turning into a plague. Unfortunately, there is neither a vaccine nor a cure available for this infection. Its first outbreak was recorded in Malaysia and Singapore in 1988, informs Dr Mala Kaneria – a consultant with Jaslok Hospital and Research Centre, Mumbai. The virus gets its name from the village where it was first discovered – Nipah in Malaysia. Tracing the spread of Nipah Virus It is believed that the genesis of this virus can be traced to the fruit bats of the Pteropodidae family. The bat's saliva and urine contain viruses, which can easily contaminate food or water sources when they feed or roost near them. Apart from bats, the virus also spreads through other animals like pigs, horses and dogs; and is also being considered a bioterrorism threat by WHO. The Nipah virus spreads to human bodies primarily through direct contact with infected animals or consumption of food products exposed to saliva or urine from infected bats. Human-to-human transmission is also possible through respiratory secretions which is why infected people have to be kept isolated, adds Dr P Venkata Krishnan, Sr. Consultant, Internal Medicine, Artemis Hospital Gurugram. Close contact with other Nipah-infected patients in hospitals without protective equipment is also a leading cause. According to research conducted by the National Institute of Virology, the Nipah virus is spreading among bat populations in nine Indian states and one union territory. States like Kerala, Tamil Nadu, Karnataka, Goa, Maharashtra, Bihar, West Bengal, Assam, Meghalaya, and Pondicherry all had antibodies to the Nipah virus, shares Dr Shridhar Deshmukh – an intensivist with Ruby Hall Clinic, Mumbai. Kerala Health Minister Veena George said that The Indian Council of Medical Research and WHO had conducted studies on the issue to verify the presence of the virus in those nine Indian states. She further adds, "The virus we found in Kerala is identified as Indian Genotype or I Genotype which is similar to the strain found in Bangladesh. We have two strains of Nipah Virus one is Malaysian and the other from Bangladesh." Since May 2018, when Kerala encountered its inaugural Nipah outbreak within Kozhikode district, there have been three more Nipah outbreaks, including the most recent in late August 2023. It is noteworthy that, for reasons still undiscovered, three out of the four Nipah outbreaks in Kerala in 2018, 2021, and 2023 have exclusively affected Kozhikode district, whereas the 2019 outbreak was confined to Ernakulam district. Why does the Nipah virus keep returning to India? Deshmukh attributes the recurring presence of the Nipah virus in India to several factors. First, the virus is naturally hosted by fruit bats, which are widespread in India, leading to ongoing opportunities for transmission to other animals and humans through contaminated fruit or direct contact. Second, India's diverse population and extensive livestock farming can facilitate human-animal interactions, increasing the risk of viral spillover. Additionally, challenges in surveillance, healthcare infrastructure, and public awareness can hinder early detection and containment efforts. Climate change and deforestation might also be driving bats into closer contact with humans. Signs of infection An emerging zoonotic disease, it turns conspicuous through ailments like high-grade fever, headache and altered cognitive abilities. Patients often undergo a range of neurological symptoms including seizures, hallucinations and altered consciousness. “The first symptoms can often mimic those of the common cold or flu, making it difficult to diagnose early on,” observes Dr Samir Garde, from the Department of Pulmonology at Global Hospitals in Parel. However, as the infection progresses, patients tend to experience severe symptoms such as dizziness, vomiting, fatigue, cough, breathlessness and myalgia (pain in muscles). Additionally, Nipah virus has a high mortality rate, with no specific antiviral treatment available, making early detection, isolation, and supportive care difficult for patient survival, informs Deshmukh. There’s a market failure to protect people from this outbreak. It’s not like treating baldness or breast cancer, where wealthy people will pay for the product. There’s no big customer here, no incentive to find solutions until it escalates. Initial symptoms could involve one or more of the following: 1. Fever2. Headaches3. Cough4. Unwell throat5. Trouble breathing6. Vomiting Severe signs and symptoms that reflect the presence of infection include: 1. Bewilderment, sleepiness or disorientation2. Seizures3. Coma Encephalitis-related brain swelling How does it damage the brain? One of the most devastating effects of the Nipah virus on the human body is its ability to cause encephalitis which is inflammation in the brain tissue resulting in coma or even death. When it reaches the human brain, the virus mainly targets the central nervous system, including certain vital regions of the brain. Other regions that get affected include the cerebral cortex, thalamus, and brainstem. The virus invades a crucial structure - the brainstem, which is responsible for controlling essential functions like breathing, heart rate, and consciousness. This activity disrupts normal brain function, leading to neurological symptoms such as confusion, drowsiness and seizures. This neurological damage is a hallmark of Nipah virus infection and contributes to the high morbidity and mortality associated with the disease. The virus can also affect other organs and systems in the body, but its most devastating impact is on the brain. Neurological complications may develop after more than 10 weeks from the initial exposure to the virus. Beyond the neurological system, the virus attacks the respiratory system as well. Once inhaled, the virus directly invades lung cells and rapidly replicates, causing severe respiratory distress. This leads to coughing, difficulty breathing, and often pneumonia. The Nipah virus targets multiple organs as it wreaks havoc on the human body. It can also affect the cardiovascular, gastrointestinal, and immune systems, potentially causing multi-organ dysfunction. It is presumed that a person may remain infectious from the day of onset of symptoms up to 21 days. Who is at risk? 1. People in close contact with infected animals, especially those involved in the pig farming industry, are at higher risk 2. Healthcare workers caring for Nipah Virus-infected patients are also at risk due to potential nosocomial transmission 3. Communities living in regions with known Nipah Virus outbreaks face a higher risk The Kerala bat population may have developed an endemic form of the Nipah virus, opines Deshmukh. The practice of drinking fresh toddy or sweet tree sap, which may become polluted by diseased bats, is another cultural factor cited as a contributing factor to Nipah outbreaks. Preventive measures and treatment There is no specific antiviral medication that exists for treating the Nipah virus, shares Garde. Patients with suspected or confirmed Nipah virus infection are usually provided with supportive care to manage their symptoms and complications. This may involve measures such as ensuring proper hydration, monitoring vital signs, providing respiratory support if needed, and managing any other issues that arise due to the infection. Deshmukh shares how the healthcare industry can enhance preparedness against the Nipah virus: Surveillance: Establishing robust surveillance systems for early detectionTraining: Training healthcare workers in infection control and case managementVaccine Development: Investing in research for vaccines and antiviral treatmentsPublic Awareness: Educating the public on preventive measures and the importance of reporting symptoms promptlyIsolation Facilities: Ensuring isolation facilities are available to contain outbreaks swiftly Here are some guidelines to stay protected from the virus: 1. Practice hand washing regularly with soap and water2. Avoid contact with sick bats or pigs3. Avoid areas where bats are known to roost4. Avoid eating or drinking products that could be contaminated by bats such as raw date palm sap, raw fruit, or fruit that is found on the ground5. Avoid contact with the blood or body fluids of any person known to be infected with NiV
20 September,2023 12:21 PM IST | Mumbai | Ainie Rizvi