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One of the many beliefs that people hold, especially the older generation, is that the new way of living, which is highly protected and sanitized, has made kids weaker. While there are certain evolutionary changes we have developed over the past few centuries, it is arguable whether we are . However, their theory may not be far from the truth, but how do we know that? To this day, there are certain communities who enjoy a quiet living, void of modern possessions like the Amish community.
Surveys have noted that Amish children tend to have lesser allergies or asthma cases, but how?
Scientists have long known that kids who grow up on traditional farms are less likely to have asthma and allergies. This is called the "farm effect," and it seems to be caused by being around farm animals, especially cows, and the microbes (tiny living things) that are found there.
In a 2018 study, researchers from The University of Manchester and Northern Care Alliance NHS Foundation Trust studied two unique farming communities in the U.S.: the Amish and the Hutterites. Both groups have similar genes and lifestyles, but they farm in very different ways, and this seems to be the reason for their different health outcomes.
Another 2020 study done by the American College of Allergy Asthma & Immunology compared the living of Amish and Old Order Mennonite, who also have a similar style of living, with a few comparable changes.
The Amish and Hutterites both came from the same group in Europe and have similar lifestyles. They eat similar foods, have large families, and avoid many modern habits like having indoor pets or using the internet. However, their farming practices are completely different.
The Amish use old-fashioned, family-run farms with horses for work. Their barns are close to their homes, so children are around the animals and barn dust from a young age.
The Hutterites live on large, modern, industrial farms. Their barns are big and located far from their homes, so children have little contact with the animals or barn environment.
This difference in lifestyle led to a major difference in health. The study found that Amish children have a very low rate of asthma (just 5.2%), while Hutterite children have a much higher rate (21.3%). This shows that the environment, not their genes, is the most important factor in preventing asthma.

The 2020 study researchers created a survey to compare the health of these two groups. They asked families about different types of allergies they had, as well as their lifestyle and farming practices.
They found that families in both groups lived on farms and drank raw, unprocessed milk. However, the Amish families had more children on average and lived on smaller farms with fewer animals compared to the Mennonite families. The survey results showed a significant difference in health between the two groups:
The Amish families reported having a much lower rate of allergies overall. Only about 26% of Amish households had a family member with an allergy.
The Mennonite families had a much higher rate of allergies, with nearly 47% of households reporting an allergy.
One key difference is that while both the Amish and Mennonites have large families, Mennonite communities sometimes use modern technology like tractors and electricity. In contrast, the Amish stick to traditional, old-fashioned farming.
This difference in farming methods could change the types of microbes (tiny living things) found in the farm environment. Since other research has shown that these specific microbes are important for preventing allergies, the different farming practices might explain why the Amish have a much lower allergy rate.

The scientists found a key difference in the homes of the two groups: Amish homes had much more endotoxin, a type of dust from bacteria. When this dust was tested on mice, the dust from Amish homes protected the mice from developing asthma. However, dust from Hutterite homes actually made the mice's asthma worse.
This suggests that the kind of dust and microbes you are exposed to matters. The dust in Amish homes is full of "good" microbes that help a child’s immune system grow and develop correctly, preventing it from overreacting and causing asthma.
The study also looked at the children's blood and immune systems. They found that the Amish children’s immune systems were very different from the Hutterite children's. The Amish kids had a stronger innate immune system, which is the body's first defense against germs. Their immune cells were "calm" and seemed to be trained to not overreact to things that can trigger asthma.
This research strongly suggests that the farm effect works by "training" the immune system. Early exposure to a wide variety of microbes helps the body learn how to respond correctly, which in turn protects against asthma.
While these studies give us a lot of great information, there are still many questions to answer. Scientists still need to figure out exactly which microbes or substances in the farm environment are the most protective. They also need to study children at a younger age to see how their immune systems change over time.
But for now, the findings from this research confirm that growing up on a traditional farm and being exposed to its rich environment is a powerful way to protect against asthma and allergies.
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One particularly vulnerable group across the UK is being strongly advised to receive up to three vaccines this season. This winter has seen a sharp rise in seasonal viruses, with the NHS warning that hospitals and ambulance services are under significant pressure due to higher demand.
This surge is largely driven by the H3N2 flu strain, known as subclade K, which is currently circulating at ‘medium’ levels but with increased activity. The UK Health Security Agency reports that flu-related hospital admissions have climbed to 7.79% per 100,000, up from 4.78% per 100,000 the previous week.
While common winter viruses such as flu, RSV, and whooping cough can cause uncomfortable symptoms for most people, certain groups face a higher risk of serious complications. These include children, older adults, people with weakened immune systems, and pregnant women.
Flu shots are highly effective at protecting both mothers and their babies, as the body responds differently to infections during pregnancy. NHS guidance notes that pregnant women are more susceptible to complications from viral infections, particularly in the later stages of pregnancy.
Infants are also at a higher risk of severe illness if exposed to viruses, which can sometimes result in mothers and babies requiring intensive care. Additionally, infections like flu can increase the risk of premature birth or low birth weight, which may raise the chance of stillbirth or neonatal death.
Posting on X, the UK Health Security Agency said that pregnant women are entitled to vaccinations against flu, RSV, and whooping cough, and advised them to consult their midwife, GP, or local pharmacist for guidance on getting vaccinated.
Vaccination during pregnancy passes protective antibodies to the baby, giving them similar levels of defence against serious illness in the first weeks of life. This applies to vaccines for flu, whooping cough, and RSV, helping shield both mother and newborn.
Pregnant women are generally advised to avoid vaccines that contain a live version of a virus, as these could theoretically infect the unborn child. However, evidence shows live vaccines do not typically cause birth defects.
The main exception is when the risk of infection is higher than the potential risk from the vaccine itself. Examples of live vaccines include:
The American College of Obstetricians and Gynecologists advises that anyone who is pregnant during flu season should receive the flu shot, regardless of which trimester they are in.
A flu vaccine during pregnancy can help in several ways:
Lower the risk of flu-related illness during pregnancy
Pregnancy changes how the immune system, heart, and lungs function, which can make flu infections more severe. A flu shot reduces the chance of catching the flu and lowers the risk of needing hospital care if you do get sick.
Reduce risks to the developing baby
Getting the flu, especially early in pregnancy, may increase the risk of certain health problems in the unborn baby. Flu infection has also been linked to a higher chance of birth-related complications.
Protect the baby after delivery
Newborns are more likely to become seriously ill from the flu, but they cannot be vaccinated until they are six months old. Antibodies produced after a flu shot during pregnancy cross the placenta and are also found in breast milk, helping protect the baby in the first months of life.
When getting vaccinated, pregnant women should choose the flu shot, not the nasal spray. The injection uses an inactive virus and is safe at any stage of pregnancy. The nasal spray contains a live virus and is not recommended for pregnant women.
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The NHS has released an alert for people taking a widely prescribed medication used by millions across the UK. Diabetes rates are at an all-time high, with the latest data showing more than 5.8 million people currently living with the condition.
Diabetes UK estimates that around 4.6 million people have already been diagnosed. At the same time, close to 1.3 million people are believed to have Type 2 diabetes without knowing it. The number of cases continues to climb, with figures from 2023–24 showing an increase of 185,034 compared to the previous year.
Metformin is most commonly prescribed for people with Type 2 diabetes. It helps lower and stabilise blood sugar levels and is often the first medicine recommended, alongside changes to diet and physical activity. According to Healthline, it is not used to treat Type 1 diabetes.
Diabetes is a condition where blood sugar levels become too high. There are three main types. Type 1 diabetes cannot be prevented and is usually diagnosed in childhood. Type 2 diabetes can sometimes be prevented or managed through lifestyle changes such as healthier eating, regular exercise, and weight loss. Gestational diabetes develops during pregnancy. People with Type 1 diabetes need insulin for life, while many with Type 2 or gestational diabetes may manage their condition through lifestyle changes and, in some cases, medication.
The NHS says that people taking metformin should be aware of certain symptoms. Information published on the NHS website lists six common side effects of the medicine. These include:
The NHS also notes that metformin can increase the risk of vitamin B12 deficiency. Some people may experience low blood sugar, but this usually happens only when metformin is taken alongside other diabetes medicines such as insulin or gliclazide.
However, the NHS warns that there are other, more serious side effects. In two situations, patients are advised to contact their GP “straight away,” while one requires calling 999 “now.”
According to the NHS, serious side effects are uncommon and affect fewer than 1 in 10,000 people. However, medical help should be sought immediately by calling a doctor or dialling 111 if:
you feel generally unwell with extreme tiredness, fast or shallow breathing, feeling cold, and a slow heartbeat
the whites of your eyes turn yellow, or your skin becomes yellow, which may be harder to notice on brown or black skin, as this can indicate liver problems
In rare cases, metformin can cause a severe allergic reaction known as anaphylaxis. The NHS advises calling 999 immediately if:
The NHS adds that you or the affected person may also develop a rash that is swollen, raised, itchy, blistered, or peeling. These signs point to a serious allergic reaction and may require urgent hospital treatment.
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The public is being advised to limit close contact with others if they experience flu or Covid symptoms, as the NHS braces for a challenging winter ahead. A mutated, or “drifted”, version of the H3N2 flu strain is fuelling a faster and earlier rise in infections and hospital admissions in 2025. Dr Conall Watson, Consultant Epidemiologist at the UK Health Security Agency, has urged those who are eligible to get vaccinated at the earliest.
He said there are also everyday precautions that can help protect others, especially during the festive season. “If you have symptoms of flu or Covid-19, such as a high temperature, cough, or feeling tired or achy, you should try to reduce contact with other people, particularly those who are more vulnerable. Regular handwashing and good ventilation indoors both make a difference. If you need to go out while unwell, wearing a face covering is worth considering,” he added.
This guidance becomes even more important in the run-up to Christmas, when families tend to gather and older relatives, who face a higher risk of serious illness, are often present.
While many flu symptoms are widely recognised, some are less commonly associated with the illness. The NHS lists ten typical flu symptoms, which often appear suddenly.
Among these, three signs that people may overlook are trouble sleeping, a reduced appetite, and feeling unusually tired or drained. During the busy weeks leading up to Christmas, these symptoms can easily be dismissed as stress or exhaustion rather than flu.
The remaining seven symptoms listed by the NHS include a sudden high temperature, body aches, a dry cough, sore throat, headache, diarrhoea or stomach pain, and feeling sick or being sick.
At the same time, the NHS is dealing with added pressure from a surge in winter viruses alongside a five-day strike by resident doctors, previously known as junior doctors. Health leaders and the Government have called on doctors to withdraw the strike, which ministers have described as reckless and irresponsible given the strain on services.
Home Secretary Shabana Mahmood, as per The Independent, said that strikes within the NHS “undoubtedly” put lives at risk. Speaking to Sky News’ Sunday Morning With Trevor Phillips, she said, “We want to ensure the NHS is supported through a difficult winter and this flu outbreak we are currently seeing. It is important that everyone understands what is at stake.”
She also pointed to a difference between the position taken by resident doctors’ leadership and the views of individual doctors, noting that the situation remains sensitive as the NHS navigates one of its most demanding winter periods.
The NHS provides the flu vaccine free of charge to groups considered most at risk of serious illness. This includes people aged 65 and above, those with certain long-term health conditions, and pregnant women, as per the official NHS website.
The offer also extends to care home residents, carers who look after older or disabled individuals or receive a carer’s allowance, and people living with someone who has a weakened immune system. Frontline health and social care workers are also eligible and can usually receive the vaccine through their employer.
Children are included too. A nasal spray version of the flu vaccine is offered to children aged two and three, as well as school-going children from reception through to year 11.
This is because children tend to catch and spread flu more easily. Vaccinating them not only protects their own health but also helps reduce the risk for vulnerable people around them who could become seriously ill.
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