In an extraordinary and rare medical case, mother Britney Alba of Tuscaloosa, Alabama, delivered two pairs of identical twins over a mere 13 months. Such a feat is mind-boggling, much less likely to happen than winning a jackpot or being hit by lightning. Alba had her second set of identical twins at the University of Alabama at Birmingham (UAB) Women and Infants Center, which is a case that has captivated medical personnel as well as the general public.

Alba's second pair of twins were not only identical but also monoamniotic-monochorionic (MoMo) twins, one of the most unusual forms of twin pregnancies. MoMo twins have the same placenta, amniotic sac, and fluid, which makes them extremely vulnerable to life-threatening complications. This condition is extremely rare, found in fewer than 1% of all births in the United States.

The four-year-old mother was at first shocked upon being told she was pregnant with twins again, just six months after the birth of her first twins, Luka and Levi. As at first thrilled, she and her husband Frankie, later had to confront the harsh reality of the risks involved in carrying MoMo twins.

Medical Risks Involved in MoMo Pregnancies

According to Dr. Rachel Sinkey, a UAB Marnix E. Heersink School of Medicine Department of Obstetrics and Gynecology assistant professor, MoMo twins are among the highest-risk twin pregnancies. "They have everything in common except umbilical cords, which could easily get tangled up and cause fetal distress or a stillbirth," Dr. Sinkey said.

Because of these dangers, Alba's pregnancy was intensively monitored. Doctors in the Division of Maternal-Fetal Medicine at UAB suggested she be placed on a high-risk obstetrics unit during weeks 24 through 28 of gestation. She eventually went in at 25 weeks, where she underwent around-the-clock monitoring to reduce the risk of complications of umbilical cord entanglement and others.

A High-Stakes Delivery and Postnatal Care

Due to the increased risk of MoMo pregnancies, doctors take careful precautions to have the baby delivered as safely as possible. Following the national standard of care, Alba had a planned cesarean section at 32 weeks, since after this week, waiting longer could further enhance the risk of complications in the umbilical cord.

The second pair of twins, Lynlee and Lydia, were delivered on October 25, 2022. Immediately after they were born, the twins were sent to the neonatal intensive care unit (NICU) to receive specific attention. The twins stayed for some weeks in the newborn nursery before being discharged on December 7, marking the culmination of a trying yet successful experience for Alba and her family.

Comparing Alba's Two Twin Pregnancies

Alba's initial set of twins, Luka and Levi, were monochorionic-diamniotic (MCDA) twins, so they had the same placenta but separate amniotic sacs. While this form of twin pregnancy has risks, they are higher with MoMo twins and it happens at a frequency of three or four in every 1,000 live births.

MCDA twins, such as Luka and Levi, are at risk for twin-to-twin transfusion syndrome (TTTS), where one twin gets dramatically more blood and nourishment than the other. Thankfully, both Luka and Levi were delivered without issues. But the MoMo twin pregnancy of Lynlee and Lydia was even riskier because the babies lacked a separating membrane, so there was greater risk for life-threatening umbilical cord intersections.

Management of MoMo Twin Pregnancies

MoMo pregnancies need careful monitoring to maximize outcomes. The routine management is frequent ultrasound, inpatient care in the latter part of pregnancy, and scheduled early delivery by cesarean section. This reduces significantly the risk of stillbirth and other complications.

Dr. Sinkey stressed the significance of multidisciplinary care in treating such high-risk pregnancies. "The team care at UAB, including maternal-fetal experts, genetic counselors, nurses, and the NICU team, was instrumental in achieving a good outcome for Britney and her daughters," she stated.

Though MoMo twins experience tremendous challenges prior to birth, post-birth care is just as essential. Because of their premature delivery, Lynlee and Lydia needed intensive care in the NICU, where they were under constant surveillance for breathing, feeding, and general growth. The twins were discharged in December 2022, which was a welcome end to their amazing adventure.

The case of Alba illustrates the value of specialized medical care during high-risk pregnancies. Though weighed heavily against her, the experience of her family is one of tribute to medicine's progress, caring healthcare providers, and a mother's strength.

MoMo twin gestations are a field of significant interest in maternal-fetal medicine because they are extremely rare and so high-risk. Alba's experience of back-to-back twin pregnancies, where the second is MoMo twins, is among the most rare documented cases.

From disbelief at first about learning she was pregnant with twins once again to the monitoring and eventual successful birth, her story highlights the power of medical expertise and parental unyielding strength. Her account will be the subject of study for years to come as a rare but motivational instance of beating the odds in maternal health.

Ontario is currently facing an outbreak of canine parvovirus (CPV), which has led to spikes in online searches on more information on the dog disease.

Expert Tracy Fisher, a veterinarian from Regina and the president-elect of the Canadian Veterinary Medical Association, told CTVNews.ca that the frequency of cases varies every year. The expert has also commented that the prominence of CPV in Canada is common and persistent. The outbreak had made headlines earlier this summer in London too.

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What is Canine Parvovirus?

PetMD notes that CPV is the most serious virus that dogs and puppies can get. However, the silver lining here is that it is preventable with proper vaccination, though it is still widely prevalent, especially in puppies and poorly vaccinated adolescent dogs.

DVM Ellen Malmanger writes that CPV is an infectious DNA virus that commonly causes severe illness in young and unvaccinated dogs. It also affects the body's rapidly dividing cells. This means the intestinal tract and bone marrow are usually the most affected.

As per the Veterinary Centers of America (VCA)'s Canadian division, CPV first appeared in dogs in 1978. “The virus that causes this disease is similar to feline panleukopenia (feline distemper); the two diseases are almost identical,” the website for VCA Canada, a network of animal hospitals, says. “However, that has never been scientifically proven.”

VCA Canada notes that primary source of infection is through the ingestion of the feces of already-infected dogs. It can be easily transmitted through contact with the hair or feet of infected dogs or with objects contaminated by the infected feces.

According to VCA Canada, the virus initially targets the animal's tonsils or lymph nodes, where it infects lymphocytes—a type of white blood cell. These infected cells then spread the virus throughout the body, reaching areas such as the bone marrow and the intestinal lining.

Can You Touch A Dog With Parvo?

Humans cannot get parvo from dogs. Parvovirus is species-specific and so the strain that affects dogs, known as CPV cannot infect humans. However, humans can contact similar virus from contaminated surfaces, such as Norovirus, but there is no risk of acquiring parvo from dogs.

What Is Human Parvovirus?

The human parvovirus is different, and is caused by the B19 strain. It was first discovered in 1974 during evaluation and testing for hepatitis B, and was later named by the International Committee on Taxonomy of Viruses in 1985.

Parvovirus B19 is a common and often overlooked infection that spreads from person to person. While it’s not widely talked about, it’s more widespread than most people think — in fact, nearly half of all adults in the U.S. have had it at some point in their lives.

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What makes it tricky to spot is that most people don’t even realize they’ve been infected. The virus rarely causes symptoms, and when it does, they tend to be mild. It’s usually only people with weakened immune systems — where the body’s natural defense isn’t working as it should — who may experience more noticeable effects. That’s because parvovirus B19 can temporarily interfere with the body’s ability to make red blood cells.

Anyone can catch the virus, regardless of age or ethnicity. But those most at risk include individuals with immune system issues or conditions that affect red blood cell production. Children are also more likely to get infected, but in most cases, they don’t show any symptoms. If symptoms do appear, they’re generally mild and manageable.

London is currently dealing with a serious lung sickness called Legionnaires' disease. So far, one person has died, and more than 40 people have gotten sick in just the past week. The Middlesex-London Health Unit has announced this as an outbreak.

The Health Unit UK is working closely with provincial health groups to find out where this sickness started. This involves taking samples from different cooling systems, which can take some time. Officials know people are eager to find the source, and they are too, but they don't have an exact location yet. Teams are busy collecting water samples and swabs from cooling systems. They'll then compare these to samples from the sick people, hoping to find a common source.

Normally, only a few cases of Legionella, the bacteria that causes the disease, are reported each month. However, the number suddenly jumped to 43 new cases, which is why the outbreak was declared. Health officials think the recent warm weather probably played a role in this increase, as the number of cases was much higher than what they usually see at this time of year.

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What is Legionnaires' Disease?

The National Health Services UK explains that Legionnaires' disease is caused by tiny bugs called Legionella bacteria. These bugs are naturally found in water sources like hot tubs, cooling towers, hot water tanks, large pipes, and parts of air conditioning systems.

It's important to understand that this sickness does not spread from person to person. People get sick when they breathe in tiny drops of water or mist that contain these bacteria. Most people who are exposed to the bacteria don't get sick, but some might get a milder, flu-like illness called Pontiac fever.

Legionnaires Outbreak: Where Is This Bacteria Found?

Legionella bacteria are naturally found in water sources like hot tubs, cooling towers, hot water tanks, large plumbing systems, and parts of air-conditioning systems. People get sick if these bacteria become airborne as mist (from wind or fans) and are then inhaled.

Most people exposed to Legionella don't get sick, though some might get a milder, flu-like illness called Pontiac Fever, which usually goes away on its own. People who are older, have lung problems, or have weaker immune systems are at a higher risk of getting a serious infection. It's important to remember that Legionella does not spread from person to person.

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Legionnaires Outbreak: Important Health Guidelines to Follow

If you develop symptoms like fever, cough, or shortness of breath, you should seek medical attention right away.

The Health Unit asks all business owners and property managers to make sure their cooling equipment is regularly maintained and cleaned according to the manufacturer's instructions. This is the best way to prevent future outbreaks. The Middlesex-London Health Unit also listed some commonly asked questions regarding the disease,

Legionnaires Outbreak: Will Masks Help?

While face masks can reduce your risk of getting respiratory illnesses, including Legionella, the general public's risk for Legionnaires' disease is currently low. Because of this, the Health Unit is not recommending widespread community masks to use specifically to prevent this disease.

Legionella bacteria can spread over a large area through the air. The exact source of this current outbreak hasn't been found yet. At this time, it's not known if this outbreak is from the same location as last year's Legionella outbreak. However, this possibility is being considered as part of the ongoing investigation.

Weld County officials announced on July 7 that mosquito samples collected from two of the county’s three designated trap zones have tested positive for West Nile Virus (WNV). The affected areas include Greeley, Evans, Kersey, and LaSalle (Zone One), as well as Johnstown, Milliken, and Platteville (Zone Two).

Mosquitoes from the third trap zone—covering Firestone, Dacono, and Fort Lupton—tested negative for the virus.

Though no human cases have been reported in the county so far this year, health officials are warning residents to be prepared. With the arrival of hotter temperatures in July and August, Culex mosquitoes—the primary carriers of WNV—become more active and more numerous.

“A Permanent Summer Presence”

Jason Chessher, Executive Director of the Weld County Health Department, emphasized the seasonal nature of the virus. “The increasing hot weather often leads to favorable conditions for the Culex mosquito that carries West Nile Virus,” he said. “The public needs to be vigilant, because West Nile Virus has a permanent summer presence in Colorado.”

What Are The Risks?

Most people infected with WNV do not show symptoms, but those who do may begin to feel unwell three to 14 days after being bitten by an infected mosquito. Common symptoms include fever, headache, muscle aches, nausea, vomiting, weakness, and sometimes a rash.

While these symptoms may resemble the flu, WNV can lead to more serious complications in some cases, particularly among older adults and those with weakened immune systems. There is currently no vaccine or specific antiviral treatment for WNV, which makes prevention especially important. Weld County health authorities recommend seeking medical care promptly if any symptoms arise.

Steps to Stay Safe

Health experts advise residents to take proactive steps to reduce the risk of mosquito bites and virus transmission. These include:

• Eliminate standing water around your home, such as in birdbaths, flower pots, gutters, or pet bowls, as these are prime mosquito breeding grounds.

• Use insect repellent that contains DEET, picaridin, oil of lemon eucalyptus, IR3535, or para-menthane-diol.

• Avoid outdoor activity during dawn and dusk, when mosquitoes are most active.

• Wear protective clothing like long-sleeved shirts and pants if you are outside during these peak hours.

Cases In The Past and Present

Colorado saw a significant spike in WNV cases in 2023, recording 631 infections, 398 hospitalizations, and 51 deaths—the highest in the country that year. In contrast, 2024 has been comparatively mild, with just 76 reported cases statewide, 24 hospitalizations, and no fatalities to date.

Still, with Culex mosquito populations on the rise, officials say it’s crucial not to let your guard down. Weld County will continue monitoring mosquito activity closely and urges the community to follow safety guidelines to help prevent the spread of West Nile Virus this summer.