"In the US, HMPV circulates in distinct annual seasons. HMPV circulation begins in winter and lasts until or through spring," reads the Centers for Disease Control (CDC) statement. As per the surveillance data from CDC's National Respiratory and Enteric Virus Surveillance System (NREVSS) shows HMPV to be most active during later winters and spring in temperate climates.
The earliest case appeared in Rochester on January 1 2001, and the first case in Nashville appeared 7 weeks later, on February 19, 2001. As per the National Center for Biotechnology Information's 2004 study, most cases occur from January to April.
The data suggested that among children less than 5 years of age hospitalized with respiratory illness, HMPV is associated with a rate of community-acquired ARI similar to that of combined parainfluenza viruses, but substantially less than the ones associated with RSV. The study also found that HMPV-infected children were significantly older, the median age being 11.5 months, than RSV, whose median age was 7 months.
As per CDC, HMPV, the human metapneumovirus can cause upper and lower respiratory disease and can be spread from person to person or through surfaces. It is part of the pneumoviridae family along with respiratory syncytial virus (RSV).
As per the 2022 study titled Zoonotic Origins of Human Metapneumovirus: A Journey from Birds to Humans, the metapneumovirus are member of the family Pneumoviridae and have been identified earlier in birds, also known as the avian metapneumoviruses (AMPV). This is why HMPV and AMPV are closely related.
As per Dr Akanksha Dwivedi , HMPV is not a killer disease, it had been present around us since a long time. Thus, instead of fearing it, it is important that we look out for the symptoms and be aware of the preventive measures.
The following steps to maintain safety according to Dr Dwivedi:
Hand hygiene: Regularly wash your hands with soap and water for at least 20 seconds.
Avoid touching your face: Refrain from touching your eyes, nose, and mouth with unwashed hands to prevent the transfer of viruses.
Maintain distance: Keep a safe distance from individuals exhibiting symptoms of respiratory illness.
Disinfect surfaces: Regularly clean and disinfect frequently touched objects and surfaces.
Respiratory etiquette: Cover your mouth and nose with a tissue or your elbow when coughing or sneezing.
"While recent surges in cases have been reported in countries like China and India, the virus typically causes mild illness in the general population. Health authorities are monitoring the situation closely, but there is no indication at this time that HMPV poses a pandemic threat comparable to COVID-19," points out Dr Dwivedi.
As per reports, HMPV infection is growing at an exponential rate and as a result, there has been a burden on health facilities and crematories.
The Chinese health authorities have implemented a pilot system to combat this upsurge. This involves tracking cases of pneumonia with unknown origins. These efforts are launched by China's disease control agency to increase preparedness for respiratory outbreaks during the winter months.
Note: Dr. Akansha Dwivedi is a Senior Consultant at Homoeo Amigo.
Credits: Health and me
In 2023, medication abortion emerged as the most common form of abortion in the United States, reflecting both the convenience and accessibility it offers. With evolving policies, telemedicine provision, and the continued demand for privacy and safety, understanding when and how medical abortion is recommended has become more critical than ever. Abortion in the United States has long been a controversial topic, but the increasing patchwork of state laws has made medical abortion all the more difficult to monitor.
Unlike surgical abortions that take place in clinics, medical abortions tend to occur in private locations with pills prescribed or even ordered over the internet something that makes it difficult to collect data. Throw in the recent round of restrictions and court battles, and researchers, policymakers, and clinicians are left with a distressing void: we just don't know how many medical abortions are being performed, where they are being performed, or what this looks like for women's health.
Although surgical abortion continues as a necessary procedure for specific circumstances, the growth of medication abortion has revolutionized reproductive health care by providing a safe and non-invasive alternative for termination during early pregnancy. This change also highlights the need for proper information, safe access, and quality follow-up care to provide positive health outcomes.
Latest figures from the Guttmacher Institute bring to fore that in the majority of U.S. states with less stringent abortion laws, medication abortion had represented 63% of total procedures offered during 2023. In Wyoming, as an example, 95% abortions were medication-related, with 84% taking the same route in Montana.
Even telemedicine is coming into play: an estimated 10% of medication abortions were provided solely online in states where telemedicine bans did not exist, with some states up to 60%. These trends highlight the importance of preserving and continuing access to abortion pills as an essential part of reproductive health care.
Medical abortion is a non-surgical and non-invasive procedure to end an early pregnancy, usually between 4 and 9 weeks. It uses a two-drug combination: mifepristone, to block progesterone required for continuing the pregnancy, and then misoprostol, which causes uterine contractions to pass the pregnancy. Dr. Rupali Mishra, sonologist and physician at Dr Rupali's Abortion Centre, describes, "Medical abortion is advised if the pregnancy is ensured to be intrauterine and the patient is medically fit".
This involves factors such as lack of severe anemia, bleeding disorders, chronic asthma, or allergies to drugs. She reiterates that availability of follow-up care, such as ultrasound scans to exclude retained products of conception (RPOC), is fundamental to the safe outcome.
Medical abortion is most effective in the early weeks of pregnancy. For pregnancies nine weeks or less, the procedure may frequently be carried out outside of hospital facilities by trained health-care practitioners like gynecologists, nurse-midwives, or certified midwives. However, beyond nine weeks, medical abortion is carried out in hospitals with medical care because risks become greater and complications may arise. "Medical abortion is a convenient and non-invasive procedure, hence suitable for patients who value such factors," remarks Dr. Mishra.
The eligibility criteria too are medically oriented. The patient should not have ectopic pregnancy, severe chronic illnesses of heart, kidney, or liver function, or known contraindications to the medication. Written informed consent is legally mandatory in registered MTP centers to confirm understanding and safety of the patient.
After administration, patients can suffer from abdominal cramps, pain, and bleeding for 15–20 days. In most instances, there are no complications, but excessive bleeding, severe pain, or incomplete abortion can lead to a suction evacuation procedure. A follow-up ultrasound after about three weeks confirms the uterus is clear, marking the success of the procedure. Dr. Mishra states, "Even with high success rates, routine follow-up is critical to manage potential complications such as infection, prolonged bleeding, or retained tissue."
Safety Precautions and Possible Side Effects
Medical abortion is normally safe, but improper use or self-administration under unsupervised conditions can prove fatal. Heavy bleeding, incomplete abortion, infection, or, in exceptional cases, shock caused by undiagnosed ectopic pregnancy are serious side effects. Dr. Mishra cautions, "Selling abortion pills over the counter without a prescription is illegal and very risky. Medical supervision is a non-negotiable factor to avoid severe complications."
Knowing the distinction between surgical and medical abortion enables proper patient decision-making. Surgical abortion is instant and appropriate for later gestation or incomplete medical abortion, whereas medication abortion is non-surgical and appropriate for early pregnancy. Both need follow-up for completion assurance and checking for complications.
Telemedicine has revolutionized access to medication abortion, especially in states with less-restrictive laws. Virtual consultations with trained providers enable patients to get prescriptions and instructions without face-to-face visits, providing greater privacy and ease. However, according to Isabel DoCampo of the Guttmacher Institute, legal safeguards and access need to keep evolving in order to provide safe provision across states.
Medical abortion is safe, effective and becoming increasingly prevalent for the ending of early pregnancy if under qualified medical care.
Eligibility, procedure, and follow-up must be explained to patients so that safety and health can be assured. As reproductive health policy continues to change, maintaining access to safe abortion care—including medication and telemedicine—remains paramount. Open dialogue with objective medical professionals, coupled with adequate support and counseling, continues to be imperative for enabling individuals to make responsible decisions regarding their reproductive well-being.
Disclaimer: This article is provided for informational purposes and is not medical or legal advice. Readers are urged to seek advice from qualified healthcare providers for medical advice and to consult state or federal authoritative resources for updates on the laws of abortion in the United States.
(Credit-Canva)
In life we are always chasing the next adventure or new things, looking for ways we can make our lives easier. However, in this constant state of change, our bodies also struggle.
Sometimes, the secret to a better life isn't a complex new plan or a dramatic change. It's found in the simple, "boring" habits you do every day. Experts believe that by focusing on a few consistent, easy-to-do routines, you can make a huge difference in your long-term health and well-being. These are the small actions that, over time, build a foundation for a healthier, more successful life.
A heart surgeon named Dr. Jeremy London believes that success comes from doing simple, consistent things every day. He calls these "boring habits" because they aren't exciting, but they add up over time to make a big difference in your health and life.
In a YouTube video, Dr London said that although these habits may be slow and seem boring, they are the reason why he was able to accomplish so much.
Dr. London says that waking up early is a game-changer. Even though he wasn't a morning person, he started getting up at 4 a.m. This quiet time is perfect for focusing on your most difficult task of the day. Finishing something hard early on gives you a feeling of freedom and success for the rest of the day.
Moving is like medicine for your body. You don't need to be a serious athlete; even a daily walk is helpful. Regular movement keeps your body healthy, improves your mood, and helps prevent disease.
Exposure to sunlight helps your body's internal clock, which improves your sleep. It also helps your body make vitamin D, strengthens your bones, and can even help with your mood. Try to get outside and into the sun every day, even for a short time.
As we get older, we naturally lose muscle. Lifting weights or doing bodyweight exercises is the best way to fight this. Being strong as you age helps you stay active and healthy. It also helps your body control blood sugar and reduces inflammation.
Cooking at home most of the time gives you control over what you eat. You can choose high-quality ingredients and avoid extra sugar, bad oils, and preservatives that are often in restaurant food. Eating whole, healthy foods is key to keeping your body at its best.
Dr. London says that quitting alcohol was one of his best decisions. He realized that drinking was hurting his body, even as he tried to be healthy in other ways. Being sober provides clarity and allows you to experience life's good and bad moments without a filter.
According to Dr. London, this is the most important habit of all. Spending time with family and friends is essential for your happiness and well-being. He says that people on their deathbeds don't wish they had worked more; they wish they had spent more time with the people they love. Making an effort to maintain these relationships is what truly makes life meaningful.
Credits: Health and me
Step into any café, co-working space, or even a college dorm, and you’ll notice something striking. Gen Z doesn’t just live online—they work, study, socialize, and unwind with screens as their constant companions. A laptop perched on the knees, a smartphone clutched in one hand, or a controller gripped for marathon gaming sessions has become the new normal. This lifestyle is flexible, creative, and undeniably digital—but it comes at a physical cost many don’t realize until pain sets in.
Unlike earlier generations that largely associated posture-related health problems with decades of office desk jobs, Gen Z is experiencing orthopedic injuries in their teens and twenties. Shoulder pain from gaming, hip stiffness from laptop use, and joint strain from copying viral fitness challenges are no longer rare occurrences. What looks like harmless daily habits are silently reshaping bones and muscles, creating conditions once seen only in athletes or middle-aged professionals. And the trend is global. From the U.S. to India, orthopedic clinics are seeing an alarming rise in these “new-age injuries” that reflect the culture of always-on devices.
Digital life has blurred the lines between leisure, work, and study—and with it, the body has become the biggest casualty. Constant gaming, lounging with laptops, poor nutrition, and unstructured workouts all create strain patterns that weren’t common two decades ago. To understand this shift better, we spoke with Dr. Amyn Rajani, a Mumbai-based orthopedic surgeon specializing in arthroscopy, joint replacement, and sports injuries, who has witnessed firsthand how lifestyle is reshaping the bones and joints of Gen Z.
When asked what exactly a “gaming shoulder” is, Dr. Rajani explained how the profile of patients has dramatically shifted. “Twenty years ago, when we saw shoulder injuries in young patients, they were usually from sports, falls, or accidents. Today, I am treating youngsters with labral injuries and SLAP tears, conditions which were earlier seen mostly in athletes,” he said.
Hours of holding arms forward with small, repetitive movements during gaming. Unlike a quick workout or a short sports match, gaming sessions can last for hours without breaks. This constant strain puts unnatural stress on the shoulder joint. Over time, cartilage and the labrum—the cushioning structures of the joint—wear down, leading to chronic pain, reduced mobility, and, in severe cases, lasting joint damage.
“What people don’t realize is that while gaming looks like a harmless hobby, it is, in fact, creating professional-level injuries in casual gamers,” Dr. Rajani emphasized.
Another condition increasingly showing up in younger patients is what Dr. Rajani calls “Laptop Hip.” The term didn’t exist in orthopedic vocabulary two decades ago, yet it’s now a frequent diagnosis.
Gen Z’s tendency to use laptops on laps while sitting cross-legged on beds, sofas, or the floor leads to unnatural postures. “This twists the hips and back, tightening some muscles like the hip flexors and weakening others, like the stabilizing muscles in the core,” Dr. Rajani explained.
Over time, this results in hip pain, stiffness in the lower back, and even early postural deformities. Unlike earlier office workers who sat at desks in more standardized postures, Gen Z grew up studying, streaming, and working sprawled across soft furniture. These micro-postural imbalances accumulate, leaving long-term effects on hip joints and spinal alignment.
Orthopedic issues don’t stem from posture alone. Lifestyle choices are equally to blame. “Joint health is not just about posture, it is also affected by lifestyle,” said Dr. Rajani.
Gen Z spends long hours indoors, reducing exposure to natural sunlight and, by extension, vitamin D—a nutrient crucial for bone strength. Diets low in calcium and high in processed foods further weaken the skeletal foundation. Add prolonged sitting and reduced outdoor activity, and the result is a generation entering adulthood with fragile bones.
“A teenager leading an inactive lifestyle today may have the bone strength of someone ten years older. This not only makes them vulnerable to fractures and injuries but also slows recovery when these occur,” he warned.
In addition to sedentary habits, there’s also the other extreme—social media-driven fitness culture. Platforms like Instagram are full of influencers demonstrating high-intensity workouts, advanced yoga poses, and complex weight-lifting routines.
“Social media glamorizes high-intensity workouts,” Dr. Rajani said. “What we don’t see is the years of conditioning behind those moves. Many youngsters try to copy these advanced routines without preparation or supervision, leading to ligament tears, disc herniations, and shoulder dislocations.”
The pressure to keep up with trends means many approach fitness recklessly, treating workouts as viral challenges rather than long-term training. Injuries from these unprepared attempts can take months to heal, often discouraging young people from pursuing structured exercise later.
Traditionally, orthopedic surgeons dealt with joint-related injuries in athletes or older adults. But that pattern is changing rapidly.
Dr. Rajani recalled, “The youngest joint injury I ever treated was a 13-year-old boy who had torn his knee cartilage while playing football. With proper treatment, he recovered fully. Young joints have a strong capacity to heal if treatment starts early. However, prevention is always better than repair.”
The concern, he explained, is that while young bodies heal faster, repeated injuries at a young age set the stage for chronic orthopedic conditions later in life. Without awareness and preventive action, Gen Z could face mobility issues much earlier than previous generations.
The good news is that many of these conditions are preventable. Awareness is the first step. Experts recommend:
Simple lifestyle shifts can help Gen Z avoid what is increasingly being described as “the orthopedic epidemic of the digital age.”
The story of “gaming shoulder” and “laptop hip” is bigger than just two quirky medical terms—it’s about a generational shift in how daily habits shape long-term health. Gen Z, raised in a screen-saturated environment, faces challenges that weren’t on the radar for previous generations. The combination of digital leisure, remote study, and lifestyle shortcuts is pushing their bodies into patterns that orthopedic surgeons are only now beginning to name and understand.
The question isn’t whether gaming, laptops, or Instagram workouts are inherently bad—it’s how they are used, and whether balance and awareness can be brought back into daily life. As Dr. Rajani summed up, prevention is always better than repair. Gen Z may be the first generation to face these new-age injuries, but with smarter habits, they don’t have to carry them into adulthood.
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