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Is your teenager skipping breakfast? Why is that happening and what can you do? As per the data from the Centers for Disease Control and Prevention (CDC), which surveyed adolescent health and well-being found that 1 in 4 students in high school ate breakfast, which means 3 in 4 high school students are not eating their breakfast. This data is as per the 2023 survey.
The report describes a 10-year long trend and also recent changes among the two years. The study delved deeper into adolescents' dietary, physical activity and sleep behaviors. The study is also based on a national youth risk behavior survey of a representative sample of students from grade nine to 12.
The study found that while high school students drank slightly less soda and sports drinks and consumed more water, other healthy eating habits declined. In 2023, only 27% of students ate breakfast every day in the past week. The numbers were even lower for female students, with just 22% eating breakfast daily, compared to 32% of male students. Boys were also more likely to eat fruits and vegetables daily and drink water at least three times a day. Poor mental health and lack of physical activity have also been linked to skipping breakfast.
The other findings included a survey across 10-year period, where a decrease in the percentage of students eating fruits from 65% to 55%, eating vegetables, from 61% to 58%, and having breakfast daily from 38% to 27% was noted.
However, there was a positive trend among this, which was in children drinking plain water at least three times a day, which increased from 49% to 54% from when the survey began in 2015.. There were fewer students who also said that they drank soda in 2023 than in 2013. On an average, in 2013, around 22% students avoided soda, whereas in 2023, 31% students avoided it.
The report also emphasized that a healthy diet, along with daily physical activity and sufficient sleep further contributes to a healthy lifestyle. “The 10-year trends from 2013 to 2023 also show a decline in healthy dietary, physical activity, and sleep behaviors,” the survey reported.
While there is no one straightforward answer to it, psychologists and those who study children, believe that for many high school going kids, it is the easiest time to skip a meal. This is because they are caught between rushing to school, or not just that hungry in the morning. So for them, to sit down to have a breakfast may seem hassle and something they would have to take time out from their busy schedule. They at this age also prioritize their extra-curricular activities.
There has also been a shift in their circadian rhythm, and most teens cannot fall asleep before 11 pm, or even at midnight. Which means they wake up tired and struggle to do things right in the morning, which is why they choose to skip breakfast or give extra minutes to any other activities.
There is of course another, more popular reason, to lose weight. While experts and studies, like the one published in the Journal of Nutrition that found skipping breakfast leads to higher levels of hunger hormones, the students still feel the need to do this. However, it could lead to a slow metabolism, prompt the body to conserve energy and burn fewer calories, weight gain and deprive yo off the essential nutrients like calcium, iron, and vitamin D.
Without a morning breakfast, your blood sugar might drop too, which can increase irritability and stress, along with including the risk of depression in teenage.
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In 2001, Uzbekistan was far from a model of public health. The country was grappling with high hepatitis B infection rates and a fragmented healthcare system, few would have predicted that it would one day be celebrated for near elimination of the disease in children.
Yet today, reports Gavi, The Vaccine Alliance, the country stands among just nine in the World Health Organization (WHO) European region to meet hepatitis B control targets. A recent nationwide survey revealed that only 0.2% of Uzbek children carry the hepatitis B surface antigen (HBsAg)—well below WHO’s 0.5% threshold.
Hepatitis B is a viral infection that affects the liver. While some infections are brief and symptom-free, others can become chronic, quietly progressing over years to cause liver failure or cancer. The risk of chronic infection is especially high in infants whose immune systems are still developing.
Fortunately, the hepatitis B vaccine is highly effective, offering 98–100% protection after a full three-dose series. WHO recommends that all infants receive the first dose within 24 hours of birth, followed by two or more doses at spaced intervals.
Gavi supports lower-income and transitioning middle-income countries to strengthen immunisation systems and increase vaccine access. Countries that receive support are commonly referred to as “Gavi countries.”
Uzbekistan introduced universal hepatitis B vaccination in October 2001, supported by US$4.5 million in funding from Gavi, the Vaccine Alliance.
From 2001 to 2008, Uzbekistan provided the hepatitis B birth dose followed by two additional doses.
In 2009, the country upgraded to the pentavalent vaccine—offering protection against hepatitis B, diphtheria, tetanus, pertussis, and Haemophilus influenzae type B—while still delivering a standalone birth dose. Gavi extended further funding of US$32 million for the next decade.
Also Read: Healers, But Human Too: The Quiet Burdens Our Doctors Carry
Vaccination coverage has remained impressively high—above 95% since 2002. However, until recently, the real-world impact of the programme on hepatitis B infection rates had not been comprehensively measured.
Proof of Progress In Uzbekistan’s Healthcare
In 2022, a team led by Dr Nino Khetsuriani from the U.S. Centers for Disease Control and Prevention (CDC), along with local researchers, conducted a nationwide survey.
They tested blood samples from 3,753 children in grades one to three and reviewed their immunisation records. Their findings, published in Vaccine, showed that just 0.2% of the children tested positive for HBsAg—proof of the vaccine’s long-term effectiveness.
With consistently high coverage, experts expect the burden of hepatitis B in Uzbekistan to decline further as vaccinated children grow into adulthood, replacing older, unvaccinated cohorts.
Uzbekistan graduated from Gavi’s financial support in 2022. Today, its national immunization programme is fully self-funded and regarded as one of the most efficient in the region.
“Uzbekistan stands as a model of excellence in immunization,” said Jan-Christopher Castilhos França, Gavi’s Senior Country Manager for Middle-Income Countries.
Credits: Alex Brandon
On June 30, the U.S. Supreme Court declined to hear a lawsuit filed by Children’s Health Defense (CHD), an anti-vaccine group founded by Robert F. Kennedy Jr., now the Secretary of Health and Human Services under the Trump administration.
The group alleged that its First and Fifth Amendment rights were violated when Meta Platforms—parent company of Facebook and Instagram—restricted its content related to vaccine misinformation during the COVID-19 pandemic.
Without providing comment, the Supreme Court left in place a series of lower court rulings that dismissed CHD’s claims. These rulings found that Meta acted independently and could not be treated as a government actor bound by constitutional free speech protections.
The legal dispute centered around Facebook’s removal of CHD’s page in 2022, amid efforts to combat vaccine misinformation during the pandemic. CHD claimed Meta’s actions were a result of coordination with the federal government as part of the CDC’s “Vaccinate with Confidence” campaign—an initiative encouraging platforms to promote accurate health information.
The group’s lawsuit was filed under the First and Fifth Amendments and other laws, arguing that Meta effectively carried out government censorship by restricting CHD’s content. However, courts repeatedly found no substantial evidence of collusion between Meta and the federal government.
The San Francisco-based 9th U.S. Circuit Court of Appeals, among others, ruled that Meta, as a private company, is not a "state actor" and is therefore free to determine what content appears on its platforms. The court also observed that Meta and the federal government were not always aligned in their objectives or actions.
While the CDC encouraged accurate vaccine messaging, the 9th Circuit noted there was no direct government control or coercion over Meta’s decisions. This distinction was critical in rejecting CHD’s claim that Meta was acting as an agent of the state.
Despite the unanimous rulings, one appeals judge issued a dissent, suggesting that Meta may still warrant First Amendment scrutiny due to the sweeping influence it holds over public discourse. The judge argued that when a platform controls speech at such a vast scale, its role begins to resemble that of a government actor—especially when supported by government policy, even if not outright directed by it.
The rejection follows a similar 2024 Supreme Court ruling, in which justices said Louisiana, Missouri, and other Republican-led states lacked legal standing to sue the Biden administration over alleged censorship of conservative content on social media. These decisions reflect a cautious judicial stance on intervening in disputes over online content moderation, especially in the absence of clear evidence of government overreach.
While Meta has prevailed legally, the case leaves unresolved broader questions about the relationship between government agencies and tech companies—and how far platforms can or should go in moderating content related to public health or politics.
As misinformation continues to be a major concern and social media remains central to public discourse, the debate over where free speech ends and platform responsibility begins is far from over.
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Not too long ago, a second-year woman DNB resident doctor at Dr Baba Saheb Ambedkar Hospital, Rohini’s gynaecology department, was allegedly brutally attacked. This happened in broad daylight. The doctor was responsible for delivering a baby via caesarean section, and had informed that the baby had an Asphyxia score of three at birth, which meant the baby had a poor chance of survival. Despite seven days of ventilator support, the baby could not be saved. The consequence? The relatives allegedly attacked the doctor.
“Violence against doctors is not rare—it’s routine,” says Dr Dilip Bhanushali, National President, IMA. Rightly so, doctors have been facing violence at the hands of their patients and their families. “We’ve seen mobs arrive with kerosene, petrol, even swords, burning down hospitals. There was a law during COVID promising seven years imprisonment and non-bailable warrants for attacks on doctors, but it hasn’t been enforced. Most states still have weak three-year, bailable punishments,” points out Dr Bhanushali.
This is why this year’s theme for National Doctors’ Day is hard-hitting, but fits in perfectly with the ongoing scenarios.
Behind The Mask: Who Heals The Healer?
Amid all the pressure and often walking on eggshells, how do doctors cope? This is something we have not thought about. This is why this year’s theme, Who Heals The Healer, is important. It compels us to think about the other side, the doctor’s side.
To answer how doctors cope, Dr Bhanushali says, “Doctors have been doing this for ages, they have been coping up, facing these hurdles. Still, they are doing their services. They sacrifice their lives.”
ALSO READ: Healers, But Human Too: The Quiet Burdens Our Doctors Carry
“Doctors continue to run medical camps, offer charity treatment—up to 30% of our practice is free. We don’t want anything bad to happen to our patients. Our profession is to heal.”
This year’s theme thus works as a reflection on the mental and emotional toll that doctors and other healthcare professionals face. The theme also asks the society to recognize doctors not just as medical professionals, but as humans, who, too, need support.
Why is the day observed? The intent is to honor and acknowledge doctors’ and medical staff’s contributions to society. Furthermore, the theme asks for empathy from people.
The origin of Doctor’s Day came in 1991, when it was observed for the first time. The Government of India declared July 1 as National Doctors’ Day in honor of Dr Bidhan Chandra Roy, who has shown compassion and laid the foundation of same for many doctors to come. Dr Roy was born on July 1 1882, and died on the same day in 1962. He was also the personal physician of Mahatma Gandhi, and dedicated his life to people, which earned him the Bharat Ratna.
ALSO READ: Why Is It Important To Observe A Day For Doctors?
Not just the violence, points out Dr Bhanushali, but there are many other problems that doctors face. Mixopathy, he points out, is a “maniacal idea”. He says, “Training doctors for just one and a half years to perform 50 surgeries? That’s dangerous. Becoming a surgeon takes a decade of rigorous study. You can’t make a khichdi out of medical systems like Ayurveda, Allopathy, and Homoeopathy. Let each system stand on its own merit, not blur the lines for convenience."
He also pointed out that the government has only spent 1.9% of the country’s GDP on health, whereas “it should be at least 5%.”
“We produce over a lakh doctors annually. WHO recommends one doctor per 1,000 people. We’re at 1 per 850—but there’s no infrastructure, especially in rural areas. We are ready to serve there if the basics exist,” he notes. He further added that while schemes like Ayushman Bharat are promising, “the payments are delayed by months”. What he pointed out was that doctors are fighting a battle at almost every front, which is why it is important that people show compassion towards them.
The fight is not just for doctors and their rights alone; their fight is also for people. Dr Bhanushali pointed out that doctors have asked for HPV vaccination to be part of immunization programs and to be given for free to women aged 9 to 14. “Evidence clearly shows it helps prevent cervical cancer—the leading cancer among Indian women,” he points out.
The fight, too, is against the quacks, who have outnumbered qualified doctors. “Quackery is rampant. They prescribe high-end antibiotics and steroids irresponsibly. Telangana has made progress by identifying hundreds of them, but most get bail the same day. Without strict laws, this menace won’t stop,” he says.
In return for it all, what doctors ask for is support, which makes this year’s theme more important.
‘Don’t these issues frustrate the doctors?’ one might ask. While the answer to it is yes, they do. Dr Bhanushali, however, reminds doctors that “at the end of the day, we are here for the people.”
“Doctors keep going, even after everything. During COVID, so many doctors died. Still, we didn’t stop. And we won’t. My message to fellow doctors is: don’t lose your empathy and sympathy. Keep serving.”
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