US Witnessing Worst Flu Season In 15 Years: What Makes This Outbreak So Terrible?

Updated Feb 18, 2025 | 04:15 PM IST

SummaryThe U.S. flu season is the worst in 15 years, with 24M cases, 310K hospitalizations, and 13K deaths, including 57 children. Flu positivity reached 31.6%, surpassing past season peaks.
US Witnessing Worst Flu Season In 15 Years: What Makes This Outbreak So Terrible

Image Credit: Health and me

The whole of United States is struggling with its worst flu season in more than a decade, with record rates of infection, more hospitalizations, and an alarming number of deaths. So far, the Centers for Disease Control and Prevention (CDC) reports that the current flu season has already tallied at least 24 million cases, 310,000 hospitalizations, and 13,000 deaths, including 57 children. As flu activity refuses to slow, the current season promises to be one of the most severe in recent history. But what's behind this severe flu season, anyway?

Researchers are also developing a more powerful flu vaccine that offers longer and broader protection. Researchers at the National Institutes of Health (NIH) are testing new vaccine designs that elicit a stronger immune response to several flu strains. These developments could ultimately result in a universal flu vaccine that would obviate the necessity for yearly shots.

Flu Cases and Hospitalizations Are at an Unprecedented High

For the week of February 1, 2025, respiratory conditions, such as the flu, comprised 7.8% of all medical visits—a percentage not experienced since the 2009-2010 flu season. This increase in flu doctor visits and hospitalizations is a strong indicator that the virus is spreading rapidly throughout the nation. In comparison, the 2017-2018 flu season, which was then deemed one of the worst, peaked at 7.5%.

The proportion of flu-positive tests reported by clinical laboratories has also increased sharply, with 31.6% of tests testing positive for influenza, compared to 28.5% the week before and almost doubling from early January levels. The steady increase in flu cases suggests that this season is not yet finished, and experts caution that high flu activity may continue for several more weeks.

Most Vulnerable Groups Are at Greater Risk

Whereas flu symptoms usually take one to two weeks to resolve, the virus may cause dangerous complications such as pneumonia, inflammation of the heart, failure of organs, and sepsis. The virus is especially dangerous for certain populations, such as elderly people, pregnant women, young children, and people with ongoing medical conditions such as asthma and kidney disease.

As of now, 57 kids have lost their lives from influenza complications this season, and 10 children's deaths were documented within a week alone. The increased child mortality rate indicates how dangerous this flu epidemic is and calls for questions about possible underreporting in some areas.

Widespread Flu Activity Across the Country

Flu activity continues to be widespread, and 32 states are reporting "very high" rates of respiratory disease. Most severely affected among these are Massachusetts, Michigan, Nebraska, New Hampshire, New Jersey, New Mexico, Ohio, South Carolina, Tennessee, and Texas. This widespread geography serves to reflect the flu's aggressive nature as well as call for increased public health responses.

Facts About the Flu Season Which Render It Severe

A number of factors explain this severe flu season:

Spreading Flu Viruses

This year's leading flu viruses are influenza A H1N1 and A H3N2, both of which have a tendency to produce more serious illness. Influenza A viruses change more often, making it more difficult for immunity to catch up.

Decreased Vaccine Use

CDC statistics reveal a drop in the use of flu vaccines in comparison to other years. Up to November 30, just 37% of US children had been vaccinated against the flu, compared to 43% at the same point last year.

Vaccine Effectiveness

Although vaccines are reformulated annually, effectiveness can differ. Preliminary information indicates that the vaccine this year is only 39% effective in preventing children under the age of five from being hospitalized compared to 61% last year.

Immunity Gaps After COVID

Although social distancing and masking throughout the COVID-19 pandemic reduced flu cases in earlier years, they might have also undermined population immunity, making individuals more susceptible to serious flu infections this year.

Flu Deaths Now Exceed COVID-19 Deaths

For the first time since the COVID-19 pandemic began, flu deaths outnumbered COVID-19 deaths in the US. For the week ended January 25, 1.7% of total deaths across the country were due to the flu, versus 1.5% for COVID-19. That is a dramatic change and speaks to the need for ongoing flu prevention measures.

Can a 'Supercharged' Flu Virus Arise?

Experts caution of one possible risk of co-infection with seasonal flu and avian flu (bird flu). If a person gets both viruses at the same time, there is a theoretical possibility that genetic reassortment may take place, and a more contagious and virulent strain of flu would emerge. Although the vaccine for seasonal flu does not provide immunity for bird flu, decreased cases of flu in total might decrease the likelihood of such co-infection from happening.

What Can Be Done to Stay Protected?

Even though this flu season has been so bad, public health officials point out that it is not too late to get vaccinated. Flu season usually peaks in February but can last into May, so there is still time to get protected. The CDC advises that everyone six months and older get an annual flu vaccine.

Other preventive steps include:

Frequent Washing of Hands: Frequent hand washing with soap and water can act as prevention of the spread of flu viruses.

Use of Masks in Public: In flu-active areas, using a mask can decrease chances of getting infected.

Home Rest When Ill: Staying home when ill with symptoms of flu can prevent transmission to others.

Antiviral Drugs: Antiviral medications such as oseltamivir (Tamiflu) taken early in the course of the illness can decrease the severity and duration of the symptoms of flu.

The 2024-2025 flu season is one of the most significant in recent history, with high rates of infection, serious complications, and high mortality. Although the exact course of the season is unclear, it is certain that the flu is a strong public health threat. Implementing preventive strategies, such as vaccination, can also have an effect in slowing down the spread and preventing severe illness. With ongoing flu season, staying informed and being proactive will be essential to safeguarding the people and population from this constant virus.

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This Age-Old Killer Is Spreading Fast, Why Super Typhoid Isn’t Just A ‘Poor Country’ Problem Anymore

Updated Jul 16, 2025 | 07:32 PM IST

SummaryDrug-resistant typhoid is rapidly spreading worldwide, with mutations now threatening the last effective oral antibiotic, raising urgent calls for global vaccine rollout and new antibiotic development.
This Age-Old Killer Is Spreading Fast, Why Super Typhoid Isn’t Just A ‘Poor Country’ Problem Anymore

Representational

Typhoid fever is not the kind of illness most people in developed nations worry about. It's often written off as a disease of the past—something that plagued ancient societies before clean water systems and antibiotics. But here’s the thing: typhoid never went away. And now, it's evolving into something much more dangerous—something even modern medicine might not be able to stop.

A large genomic study published in The Lancet Microbe in 2022 has sounded the alarm. The bacterium responsible for typhoid, Salmonella enterica serovar Typhi (or S. Typhi), is rapidly acquiring resistance to nearly all antibiotics used to treat it. More disturbingly, strains resistant to multiple drug classes are spreading beyond their traditional strongholds in South Asia and appearing across continents—including in the United States, United Kingdom, and Canada.

This is no longer a regional concern. It’s a global one.

What is Super Typhoid?

The study involved sequencing over 3,400 S. Typhi strains collected between 2014 and 2019 from patients in India, Pakistan, Nepal, and Bangladesh. The results were stark. Not only were extensively drug-resistant (XDR) strains of typhoid rising rapidly, but they were also outcompeting and replacing less resistant versions.

XDR typhoid strains are already immune to several older antibiotics—ampicillin, chloramphenicol, and trimethoprim/sulfamethoxazole. But here’s where it gets worse: many are now developing resistance to newer and more potent drugs like fluoroquinolones and third-generation cephalosporins, which until recently were mainstays of typhoid treatment.

Even the last reliable oral antibiotic—azithromycin—is showing signs of failure. The study found emerging mutations that could potentially render azithromycin ineffective. These haven’t yet converged with XDR strains, but scientists warn that it’s only a matter of time. If that happens, oral treatment options could become entirely obsolete.

For now, South Asia remains the epicenter of the crisis, accounting for about 70% of the global typhoid burden. But this doesn’t mean the threat is contained.

Researchers tracked nearly 200 instances of international transmission since the 1990s, most involving travel or migration. Typhoid "superbugs" have been detected in Southeast Asia, East and Southern Africa, and in wealthy nations where the disease was thought to be virtually eradicated.

“The speed at which highly-resistant strains of S. Typhi have emerged and spread is a real cause for concern,” said Dr. Jason Andrews, an infectious disease specialist at Stanford University who co-authored the study.

Why Is Treatment Is Failing?

If antibiotics are failing, what’s next? For starters, prevention. Experts say the most immediate and scalable solution lies in typhoid conjugate vaccines (TCVs). These vaccines offer strong, long-lasting protection and are safe for children as young as six months old. But access is patchy.

Pakistan became the first country to introduce TCV into its national immunization program in 2019—an urgent response to the first major outbreak of XDR typhoid that hit its population. Since then, the move has become a case study in how vaccination can cut off the disease at its roots.

India, Bangladesh, and Nepal have followed suit with pilot programs and localized rollouts, but global coverage remains far too low. Meanwhile, high-income countries have not prioritized TCV access at all, largely because typhoid isn’t seen as a domestic threat.

Antibiotic Resistance Crisis at Large

This typhoid crisis isn’t an isolated story. It’s part of a larger, systemic problem: antibiotic resistance is now one of the top global causes of death. A 2019 study published in The Lancet estimated that antimicrobial resistance was directly responsible for 1.27 million deaths worldwide, surpassing HIV/AIDS and malaria.

Typhoid is just the latest face of that threat. If azithromycin fails, intravenous treatments will be the only remaining option. This is not sustainable for low-resource settings, where typhoid is most rampant.

And as the S. Typhi genome continues to adapt, the search for novel antibiotics becomes more urgent but the global antibiotic pipeline is worryingly dry. Very few new drugs are being developed, and those that are rarely target neglected tropical diseases like typhoid.

How Globalization Makes It Everyone’s Problem?

COVID-19 reminded us how quickly a localized health threat can go global. Typhoid is no different. The bacteria travel with people—through tourism, immigration, and international trade.

The difference is: we already have tools to stop this. TCVs work. Better sanitation and access to clean water help. Public health messaging and travel guidelines can make a difference. But we’re not moving fast enough.

A recent Indian study estimated that vaccinating children in urban areas could reduce typhoid cases and deaths by up to 36 percent. That’s a significant dent—especially when combined with infrastructure upgrades and careful antibiotic stewardship.

What Happens If We Do Nothing?

If left unchecked, drug-resistant typhoid could become nearly impossible to treat in outpatient settings. That means more hospitalizations, more strain on health systems, more deaths—particularly among children in developing nations.

With around 11 million cases of typhoid annually, even a small increase in resistance could tip the balance into a major health crisis.

And if XDR strains gain resistance to azithromycin, we will be left with zero effective oral drugs, none. The path forward is clear—and urgent. Here’s what needs to happen:

  • Expand global access to typhoid conjugate vaccines, especially in endemic regions.
  • Invest in next-generation antibiotics that target typhoid and other neglected infections.
  • Implement stricter regulations on antibiotic use in agriculture and medicine.
  • Strengthen global surveillance systems to detect resistant strains early and contain outbreaks.
  • Raise awareness that typhoid is not just a problem for the developing world.

Antibiotic resistance isn’t science fiction. It’s a biological reality. And typhoid is just one example of how quickly things can unravel when we underestimate an ancient enemy.

We can still turn the tide but only if we act with urgency and coordination. The warning signs are flashing red. Typhoid isn’t gone. It’s evolving. And this time, it may be deadlier than ever.

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1 In 4 Indian Couples Are Overweight, Finds ICMR; How Obesity Is Now Becoming A Relationship Problem?

Updated Jul 16, 2025 | 05:35 PM IST

SummaryAn ICMR study finds one in four Indian married couples is overweight or obese, linking shared habits, affluence, and urban lifestyle to rising health risks among young couples.
1 In 4 Indian Couples Are Overweight, Finds ICMR; How Obesity Is Now Becoming A Relationship Problem?

Credits: Canva

Obesity is no longer just a health issue, it is increasingly becoming a social phenomenon and a lifestyle disease. A recent study published in Current Developments in Nutrition, led by the Indian Council of Medical Research (ICMR) has found that 27.4% of Indian married couples share similar overweight or obese status.

Analyzing data from over 52,000 married couples across India using the National Family Health Survey (NFHS-5, 2019–21), the study points to a troubling pattern- in wealthier, urban households, especially among young couples, there is a significantly higher risk of both partners becoming overweight or obese. At its core, this research uncovers how daily habits, routines, and food choices within marriages are driving a quiet but dangerous health trend across the country.

Are Shared Habits A Risk Factor for Married Couples?

Unlike genetically linked conditions, obesity in married couples cannot be attributed to shared biology. So how does this mirroring occur? It is in environmental exposure, mutual behaviors, socio-economic context, and emotional co-regulation.

According to lead researcher Dr. Prashant Kumar Singh of ICMR’s National Institute of Cancer Prevention and Research, spousal similarities in health outcomes ranging from obesity and hypertension to smoking and sedentary behavior stem from shared lifestyles. These include eating patterns, physical activity (or lack thereof), screen time, media consumption, and stress management. Over time, habits converge especially in nuclear families with fewer social checks and less structured meal routines.

The study found that urban couples had a 38.4% concordance rate, significantly higher than rural couples (22.1%). Among the wealthiest households, this figure jumped to 47.6%, compared to only 10.2% in the poorest.

Where Obesity in Couples Is Rising Fastest In India?

Geographic disparities highlight how development and affluence correlate with rising obesity. States and territories with the highest spousal obesity concordance include:

  • Kerala (51.3%)
  • Jammu & Kashmir (48.5%)
  • Manipur (47.9%)
  • Delhi (47.1%)
  • Goa (45.0%)
  • Tamil Nadu (42.7%)
  • Punjab (42.5%)

By contrast, states in eastern and northeastern India—where economic development is slower—showed much lower concordance rates, typically ranging from 19% to 22%.

“These figures underscore India’s uneven nutrition transition,” explains Dr. Shalini Singh, senior co-author of the study. “In wealthier regions, processed food consumption and reduced physical activity are becoming the norm. Marriage and cohabitation intensify these shared exposures, turning households into hotbeds of metabolic dysfunction.”

Is This A Disturbing Trend Among Under-30 Couples?

Perhaps the most concerning revelation is the early onset of weight gain in young couples. The study shows particularly high obesity concordance in couples under the age of 30, especially in Kerala (42.8%), Goa (37%), Jammu & Kashmir (31.6%), and Tamil Nadu (29.6%).

“This trend is alarming because early obesity increases the lifetime risk of chronic conditions like type 2 diabetes, cardiovascular disease, PCOS, and metabolic syndrome,” says Dr. Singh. “We’re seeing the impact of lifestyle-driven diseases unfold during what should be the most productive and healthiest years of life.”

The study also examined behavioral patterns that reinforce spousal weight concordance. For instance, 32.8% of couples reported regular television watching, while 39.6% reported newspaper reading, both indicative of sedentary behavior. Dependence on processed and ultra-processed food, especially in nuclear households, was another major contributor.

Interestingly, couples with similar education levels (about 45.2%) showed higher obesity concordance (31.4%), likely due to aligned food preferences, media consumption, and leisure routines.

The type of family structure also mattered. Nuclear families had a 28.9% concordance rate, higher than the 25.9% seen in joint families, where shared responsibilities and traditional food habits often foster more physical activity and balanced meals.

This Indian data fits into a much broader global trend. According to the World Obesity Atlas 2022, over 2.5 billion adults (43% of the global population) were overweight, and 890 million (16%) were obese. The burden of obesity now surpasses many infectious diseases and contributes to over 160 million years of healthy life lost annually due to comorbidities like heart disease, stroke, sleep apnea, and several cancers.

In India alone, obesity rates among adults are expected to climb significantly by 2040—27.4% of women and 30.5% of men, up from roughly 24% in 2021. If the patterns observed in married couples hold, these numbers could surge even faster than projected.

The study calls for a paradigm shift in how health interventions are designed. Rather than focusing on individuals, researchers urge a couple-based or household-level approach that takes into account the social dynamics of behavior change.

“Obesity is socially transmissible,” Dr. Singh emphasizes. “So the solution must also be social. Targeted public health messaging, fitness programs designed for couples, dietary counseling for families, and insurance incentives for preventive care at the household level are the need of the hour.”

Additionally, there’s a need to engage urban, affluent, and media-exposed demographics—who are often the earliest adopters of fast food, sedentary habits, and digital lifestyles—with interventions that feel relevant, aspirational, and sustainable.

As global health systems grapple with the rising burden of noncommunicable diseases, the Indian study offers a crucial insight: marriage can amplify risk—but also holds the key to prevention. By targeting couples early and acknowledging the influence of shared environments, public health systems can make strides in reversing obesity trends.

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Veteran Actor Dheeraj Kumar Dies At 79 Due To Acute Pneumonia

Updated Jul 16, 2025 | 03:18 PM IST

SummaryVeteran actor-producer Dheeraj Kumar, 79, passed away in Mumbai due to acute pneumonia and organ failure. Known for his work in films and TV, he began his career in 1965.
Veteran Actor Dheeraj Kumar Dies At 79 Due To Acute Pneumonia

Credits: Canva and Wikimedia Commons

Veteran actor and producer Dheeraj Kumar, best known for his contributions to Hindi and Punjabi cinema, passed away at a private hospital in Mumbai on Tuesday, July 15. He was 79.

Admitted with Pneumonia, Succumbed to Organ Failure

According to sources close to the family, Kumar had been admitted to the Intensive Care Unit after being diagnosed with acute pneumonia. His health took a critical turn on Monday as he suffered multiple organ failure and was subsequently placed on ventilator support. He breathed his last around 11 AM on Tuesday, with his son by his side in his final moments.

A Career That Began With a Talent Contest

Dheeraj Kumar’s journey into the world of entertainment began in the mid-1960s, when he participated in a talent contest that also featured Rajesh Khanna and Subhash Ghai. In a 2012 interview with The Hindu, Kumar recalled:

“In a talent contest in Mumbai in the 1960s, three were selected to be actors among some 10,000 aspirants — Rajesh Khanna, myself and Subhash Ghai... He became a superstar.”

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Kumar went on to act in several films, including Rakhwala, Tyaag and Sargam, and shared screen space with many leading actors of the time. Over the years, he transitioned into television production and was known for creating popular shows such as Om Namah Shivay and Shree Ganesh. His last known collaboration with Rajesh Khanna was a TV series in 2019.

Understanding Pneumonia and Its Risks

As per the American Lung Association, pneumonia is an infection that causes inflammation in the air sacs (alveoli) of one or both lungs. These air sacs may fill with fluid or pus, leading to symptoms that range from mild to life-threatening. Acute pneumonia, in particular, can cause sudden and severe respiratory symptoms.

Some of the common symptoms include:

  • Persistent cough with yellow, green, or bloody mucus
  • High fever, sweating and chills
  • Shortness of breath and chest pain while coughing or breathing
  • Fatigue, nausea or vomiting
  • Confusion, especially in older adults

Kumar’s condition is a reminder that pneumonia can escalate quickly, especially in older individuals or those with weakened immune systems.

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Can Pneumonia Be Fatal?

Yes, pneumonia can be deadly—especially when left untreated or when it occurs in high-risk individuals. According to global estimates, as noted by the American Lungs Association, over 1.8 million people die from pneumonia each year, with children under five in low-income countries being the most vulnerable. In older adults, complications such as respiratory failure, sepsis, or organ failure often lead to death.

Bacterial pneumonia is more likely to require hospitalization, but viral and fungal forms can also be life-threatening. Vaccines such as the pneumococcal vaccine and flu shots can significantly reduce the risk of infection, particularly in older adults.

Maintaining overall health, timely vaccinations, and early medical intervention are critical in preventing complications.

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