Birthdays are exciting for everyone. There's celebration, a cake, and balloons. But what if it goes wrong? This is what happened with Giang Pham, from Vietnam, who was celebrating her 33rd birthday on February 14, when a hydrogen balloon in her hand touched the flame from the candle on the cake and exploded on her face.

This incident was also captured on camera. The footage clearly shows how the balloon blew up as soon as it touched the flame. Her friends were shocked and can be heard gasping in the background as they saw this.

In the days following the incident, she also shared photos on her Instagram showing her bandaged face, and revealed the first-degree burns on her hand and second-degree burns on her face. However, the good news was that her vision was unaffected, though for her face to recover, it would take months.

She is now also warning others about the risks of using highly inflammable hydrogen balloons. The other alternative could be a helium balloon, which you could fly higher and they remain on the ceiling.

Health Update

She revealed that her doctor estimated up to six months for her skin to recover. She would still have to go to the hospital for dressing and treatment. Another such case happened with a woman named Tine from Australia, when on her son's 7th birthday, the balloon exploded and "shook her house". Her son was burned in the forearm.

Such incidents happen because decorators want to save the cost by replacing helium with hydrogen, which is highly inflammable.

In Healing

Giang shared that she experienced second-degree burn on her face and first-degree burn on her hands. As per John Hopkins Medicine, first degree burns affect only the epidermis, or the outer layer of skin. The burn site becomes red, painful, dry, however, there are no blisters. A mild sunburn could be an example of such a burn. This is also called superficial burns.

Whereas, second degree burns involve the epidermis and part of the dermis layer of the skin. The burn site appears red, blistered and could also be swollen and painful. This is also known as partial thickness burn.

Then comes the third degree burns, also known as full thickness burn. This destroys the epidermis and dermis and could also damage the underlying bones, muscles, and tendons. However, when the bones and muscles are burned, it could be referred to as a fourth degree burn. The burn sit appears white or charred and there is no feeling in the area since the nerve endings are destroyed.

How burns are treated?

The right way to treat a burn depends on its depth and how much of the body it covers. While minor, superficial burns can be managed at home, deeper or larger burns may need medical attention. Keep these essential guidelines in mind:

Do:

• Remove the source of the burn immediately – For example, take off clothing soaked in hot liquid to prevent further damage.
• Run cool water over the burn – This helps soothe the skin, except in cases of certain chemical burns.
• Keep the burn clean and protected – Cover it with a clean, non-stick bandage when possible.
• Seek medical help – If the burn is deeper than a superficial layer, larger than your hand, or full-thickness, see a doctor.

Don’t:

• Use home remedies like bleach or butter – These can make the burn worse.
• Apply ointments or creams on deep burns – They can trap heat and worsen the injury.
• Put ice on the burn – It can cause more damage to the skin.
• Pop blisters – This increases the risk of infection.

Knowing these simple steps can make a big difference in burn care and healing.

Liver injuries reported to US poison centres increased by nearly 400% between 2000 and 2024, with acetaminophen, sold under brand names such as Tylenol, the most frequently implicated substance, according to a study.

The study analysed poison-centre calls involving liver injuries linked to “xenobiotics”—foreign substances not naturally found in the human body. These include medications, food additives, alcohol and environmental pollutants.

Acetaminophen Among Leading Causes

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Researchers identified 220,160 cases of xenobiotic-related liver injury over the 24 years. Population-adjusted exposure rates increased from 10.9 per million people to 52.9 per million.

More than 80% of the liver injury cases required inpatient care, with medications accounting for the majority of cases. Acetaminophen was the substance most frequently implicated.

“Liver injuries reported to poison centers have increased substantially over the past 25 years, with acetaminophen emerging as a growing contributor,” said Christopher P. Holstege of UVA Health.

Acetaminophen Exposure Trends

The study found that exposures involving acetaminophen-containing combination drugs decreased by 60%-85% after the US Food and Drug Administration capped the amount of acetaminophen allowed in combination prescription products.

However, potentially harmful exposures to acetaminophen alone increased steadily over the 24 years. The findings suggest that regulatory action reduced liver injuries linked to combination products, while acetaminophen alone remained a leading contributor to poison-centre-reported liver injuries.

Females had higher rates of acetaminophen-associated liver injury than males. Suspected suicide was the most common reason for exposure in both sexes.

Alcohol and Other Substances

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Alcohol was the second most common cause of liver injuries, although it was far less common than acetaminophen. Alcohol-related injuries were more frequent in men than women but increased in both sexes during the COVID-19 pandemic.

Researchers also identified increases in liver injuries linked to stimulants and street drugs, herbal and dietary supplements, and environmental toxins. However, these were much less common than injuries associated with acetaminophen and alcohol.

“Medications should always be taken as directed by clinicians and per pharmaceutical label instructions,” Holstege said. He also advised caution with emerging substances that are not regulated.

Why Tylenol Is Linked To Liver Injuries

"Acetaminophen is widely available without a prescription, and it’s contained in many combination medications — more than 600. It’s likely that many people taking acetaminophen do not realize they’re taking too much since, for example, you take acetaminophen tablets for the achy feeling that comes with a cold and also use a combination cough medicine that contains acetaminophen," Howard E. LeWine, Chief Medical Editor, Harvard Health said.

Tylenol and Autism Claims

The debate has also triggered legal action, as Texas sued Kenvue over alleged failures to warn pregnant consumers, and a US appeals court this month revived more than 500 private lawsuits making similar claims.

Retinal disorders are among the leading causes of irreversible vision loss. Doctors at AIIMS New Delhi said the growing burden of these conditions is being driven in part by diabetes, stressing the need for retinal screening to protect long-term eye health.

Speaking to HealthandMe, experts emphasized the importance of starting eye screening from the time of diabetes diagnosis.

Retinal diseases affect the retina, the light-sensitive tissue at the back of the eye. One of the most common is diabetic retinopathy.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, diabetic eye disease is a group of eye problems that can affect people with diabetes. These include diabetic retinopathy, diabetic macular oedema, cataracts and glaucoma.

What Happens In Diabetic Retinopathy?

In diabetic retinopathy, high blood sugar levels damage blood vessels in the retina, causing them to swell, leak fluid or bleed.

This can lead to blurred vision, dark spots or floaters, difficulty seeing at night and distorted vision. In advanced stages, abnormal blood vessels can develop, potentially causing severe vision loss or blindness due to complications such as macular oedema or retinal detachment.

Why Is Retinal Screening A Must?

“Every person who is newly diagnosed with diabetes, especially those with type 2 diabetes, should undergo mandatory eye screening at the time of diagnosis,” said Dr. Vinod Kumar, Professor of Ophthalmology at RP Centre, AIIMS.

“Type 2 diabetes is often detected at a relatively older age, which means a person may have had diabetes for a long time without knowing it. We do not know how long they have actually had the disease. That is why newly diagnosed type 2 diabetics should undergo mandatory eye screening,” he added

For young, insulin-dependent diabetics, the expert noted that diagnosis usually occurs when insulin dependence begins, meaning they are detected earlier.

“Therefore, they are not required to undergo eye or retinal examination at the time of diagnosis. It is recommended that after five years of their diagnosis, they should undergo eye screening to check whether they have diabetic retinopathy or not,” Dr Vinod said.

Are Eye Screening And Retinal Screening The Same?

No. A general eye or vision screening is a basic check of how well a person can see, while retinal screening uses specialized digital cameras to take detailed images of the retina at the back of the eye.

Are Retinal Diseases Rising In India?

As India is the diabetic capital of the world, retinal diseases are very common, the expert said. However, many people may not realize they have vision loss due to diabetic retinopathy because the disease progresses slowly.

“Even if you do not have symptoms, you should undergo eye or retinal screening so that diabetic retinopathy can be diagnosed and appropriate steps can be taken to correct the effects of vision loss,” Dr Vinod said.

Lack Of Retinal Specialists A Concern In India

Retinal disorders are among the leading causes of irreversible vision loss in India. The growing burden of these conditions, along with gaps in the availability of retina specialists and infrastructure, highlights the need to strengthen retinal care.

According to the Vitreo-Retina Society of India (VRSI), there are around 1,700 retinologists in the country, which is inadequate to address the burden of retinal diseases.

To address the shortage of trained retinal specialists, AIIMS, in collaboration with Roche, launched a customized Retina Training Program at the National Retina Skill Development Centre.

Developed with the Roche India Healthcare Institute (RIHI), the program aims to strengthen retinal care through hands-on training, research and innovation.

“The need for strengthening retinal care capabilities is underscored by gaps in specialized expertise,” said Dr. Radhika Tandon, Chief and Professor of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS New Delhi.

The program will provide ophthalmologists with structured, hands-on training and advanced infrastructure to improve early diagnosis and appropriate management of retinal diseases.

Australia has maintained its measles elimination status since 2014, but a new report has revealed a massive gap: an estimated 1.7 million Australians may not be adequately protected against the highly contagious virus.

The update comes as measles cases linked to overseas travel continue to rise, raising concerns that infections imported from other countries could trigger outbreaks in communities where vaccination coverage is not high enough.

The study, led by the National Centre for Immunisation Research and Surveillance (NCIRS), estimated that 6.7% of Australians were susceptible to measles in 2019, leaving overall population immunity at 93.3%.

Researchers say this is around the lower end of the 93-95% level generally considered necessary to prevent sustained measles transmission.

Australia Has Measles-Vulnerable People Despite Elimination Status

When a country has elimination status of measles, it does not mean that every person in the country is immune or that the virus can infiltrate.

Instead, elimination means there is no ongoing transmission of measles within the country. Imported cases can still occur when infected people arrive from countries where the virus continues to infect the local population.

Australia has previously maintained elimination despite imported infections because vaccination has kept the virus from spreading continuously through communities. But the new analysis suggests that this protection is not evenly distributed across the population.

“While we have maintained our measles elimination status since 2014, protection isn't shared evenly across the population, and the margin for error is relatively small,” lead author Zoë Croker said.

Also read: Donald Trump's Order To Change Childhood Vaccine Schedule: Which US States & Countries Have Opposed To It?

Which Australians Are Most Vulnerable?

The researchers found important immunity gaps among several age groups in the country. People born from the late 1970s onwards showed increased susceptibility, with every birth group from 1977 onwards estimated to have at least 5% of people susceptible to measles.

Some of the gaps may be due to changes in Australia's vaccination programs over the years. People born between 1977 and 1983, for example, were more likely to have received only one dose of a measles-containing vaccine.

There are also younger adults who may have missed the second dose when it was introduced, while babies are naturally vulnerable because they are too young to have completed their routine vaccination schedule.

The analysis also found that people aged 15 to 35 accounted for half of all measles cases reported in Australia between 2008 and 2022.

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Experts' Take

Measles is among the most contagious infectious diseases known. That means even a relatively small immunity gap can become crucial when the virus is introduced into a susceptible community.

Australia recorded just single-digit measles cases in 2022, but notifications increased to 181 cases in 2025, with 113 cases already recorded in 2026, according to recent surveillance data.

“Even relatively small immunity gaps in communities can create opportunities for the virus to spread when cases are imported from overseas,” Croker said.

Senior author Professor Frank Beard also warned that some communities and regions could have considerably larger immunity gaps than the national average.

“What’s happened overseas is a reminder that elimination status isn’t guaranteed, it has to be actively maintained,” Beard said.

How To Prevent A Potential Infection?

Experts are urging Australians born during or after 1966, particularly those planning international travel, to check whether they have documented evidence of receiving two doses of a measles-containing vaccine.

People who cannot confirm their vaccination history are being advised to speak to their GP or immunisation provider.