There's been an alarming increase of respiratory and gastrointestinal viruses in the United States lately, causing anxiety about a so-called "quad-demic". According to surveillance reports, influenza, COVID-19, RSV and norovirus are at very high levels everywhere. While the surge aligns with patterns typical for this season, several epidemiologists view simultaneous infections of such proportions to pose risks not only to individual healthcare but public health.

The incidence of the quad-demic should vary with seasonal patterns, vaccination rates, and public health interventions. Each virus alone is relatively easy to manage; however, the effect of all together could lead to overburdening of health care facilities and increase risks for those at higher risk. Continuing surveillance, early testing, and proactive prevention measures will play an important role in the control of these infections going forward.

While the term "quad-demic" sounds daunting, it must be taken into perspective. For years, we have had all these viruses together, and we have the capabilities to mitigate some of the risk. Vaccination, proper hygiene and using common sense helps individuals get through the season unscathed. Is the quad-demic a permanent fixture or just another seasonal wave? Let's break this down.

What is the Quad-demic?

Typically, flu, COVID-19, and RSV have been the primary culprits behind seasonal respiratory infections. However, norovirus, a highly contagious stomach bug, has emerged as a fourth significant player, inducing fears of a more severe and widespread viral outbreak. According to the Centers for Disease Control and Prevention (CDC), the U.S. recorded nearly 500 norovirus outbreaks between August and December 2023, a substantial rise from the previous year’s numbers.

While the term "quad-demic" may sound ominous, the seriousness and consequences of such infections should be weighed in light of the U.S. healthcare system's experience with managing viral surges since the start of the COVID-19 pandemic.

1. Influenza (Flu)

Flu continues to be one of the most common and alarming seasonal illnesses. In the period spanning from 2023 to 2024, there were approximately 40 million cases of flu, and thousands of hospitalizations along with reported 47 deaths have been reported this season. Flu symptoms include fever, chills, cough, sore throat, muscle pain, and fatigue, with most recovering within a week or two but risky factors for severe illness effects occur in young children, elderly, and people with chronic conditions.

2. Covid-19

Despite its reduction from the first pandemic peak, COVID-19 is still rampant. The CDC estimates that alone between October and December 2023, there were between 2.7 and 5 million cases in the U.S. Hospitalization has increased by cities such as Los Angeles, Chicago, and New York. Symptoms are closely similar to the flu, fever, cough, and fatigue but uniquely presents in some cases as loss of taste and smell.

3. RSV

RSV is the most common cause of lower respiratory infections in infants, older adults, and immunocompromised individuals. While RSV peaked late in 2023 and early 2024, it continues to be a threat because it can lead to bronchiolitis and pneumonia. It is very similar to the common cold, presenting with symptoms such as congestion, runny nose, coughing, and fever, which can make it difficult to differentiate from flu or COVID-19 without testing.

4. Norovirus

Norovirus, also called the "stomach flu," is a highly contagious infection of the gastrointestinal tract, not a respiratory virus. It transmits quickly from contaminated food and water and contact with contaminated surfaces, causing such symptoms as diarrhea, vomiting, nausea, and stomach pain. Cases have shot up, the CDC said Monday, with reports of outbreaks surging compared with last year.

Is There a Challenge In Diagnosis Due to Overlapping Symptoms?

The greatest challenge during the quad-demic is how the four viruses are alike and thus make identification very hard with no testing applied. Most cases present symptoms common to all viruses: fever, tiredness, body pains, and respiratory, which includes coughing and congestions for influenza, COVID-19, and RSV; the other would be norovirus symptoms as nausea and vomiting can appear even in extreme influenza and COVID-19. This overlap increases the risk of misdiagnosis and delayed treatment, hence the need for early testing and proper medical guidance.

Also Read: Is US Preparing For A Quad- demic 2025?

Effective Prevention Strategies That Work

The best defense against these viruses is a combination of vaccines, hygiene, and lifestyle precautions. While lifestyle modifications are highlighted as part of the constant need to eat healthy, ensure daily movement and drinking adequate amount of fluids. There is a sure short two preventive strategies that are effective:

Vaccination

• Flu vaccine: Annual flu shots reduce the severity of infection, allergic flare ups and hospitalizations.
• COVID-19 vaccine: Though COVID-19 cases have declined, vaccination remains critical in preventing severe outcomes.
• RSV vaccine: Available for those aged 60 years and older, especially those with underlying conditions.
• Norovirus vaccine: No vaccine is yet available, but mRNA vaccine research is in progress.

Hygiene and Sanitation

• Washing hands frequently with soap and water for at least 20 seconds, especially after public exposure.
• Disinfect frequently touched surfaces regularly, use sanitiser when outside.
• Avoid close contact with infected people and wear masks.

Do You Need To Wear A Mask All The Time?

While debates on masked wear continue on, experts on mask-wear affirm that this does not only have a historical precedent but works towards reducing airborne viruses spreading within the environments. Hospitals, though, ensure masking in key sections of themselves. Publicized mask-wear remains a discretion, though massing indoors still goes a longer way in cases like peak flu seasons.

If you notice the symptoms of these viruses, then it's best to be confined at home and avoid having face-to-face interaction with others and seek immediate attention from your physician if your condition worsens. Quarantining for some days can decrease the spread of infection.

As we move into the first half of 2025 and beyond, staying informed and proactive is the best strategy for maintaining health and avoiding unnecessary panic. The key takeaway? Stay vigilant, but don’t be alarmed—these viruses are here, but so are the means to fight them.

Every year on December 3, the International Day of Persons with Disabilities (IDPD) is observed. It is a UN day that works towards promoting the rights and well-being of persons with disabilities at every level of society and development, and to raise awareness of the situation of personal with disabilities in all aspects of life.

At the headquarters of the World Health Organization (WHO), IDPD events are organized to educate the public, raise awareness, advocate for political will and resources, and celebrate WHO's achievement.

Who Are Persons With Disabilities?

As per the United Nations Convention on the Rights of Persons with Disabilities or the UNCRPD, persons with disabilities are individuals with long-term physical, mental, intellectual, or sensory impairments that restrict their ability to participate in society on equal terms.

India’s commitment to accessibility stems from Article 9 of the UNCRPD, which mandates equal access to physical spaces, transportation, and services.

Rights of Persons with Disabilities Act, 2016: India’s RPwD Act, 2016, aligns with this definition and adds the term “benchmark disability,” which refers to individuals with at least 40% of a specified disability.

This Act sets accessibility standards for public spaces and digital platforms.

The Act increased reservation for PwDs from 3% to 4% in jobs and 3% to 5% in higher education.

The RPwD Act expanded the list of disabilities from 7 to 21 categories, including conditions like:

• Autism spectrum disorders.
• Acid attack survivors.
• Multiple sclerosis and chronic neurological conditions.

As per the 2011 Census, India is home to 26.8 million persons with disabilities, which means at least 2.21% of its total population. The highest prevalence is observed between the age group of 10 to 19 years. Among them, 20% have mobility impairments, 19% have visual impairment, 19% have hearing impairment, and 8% suffer from multiple disabilities.

International Day of Persons with Disabilities: Theme

This year, the theme is 'Fostering disability-inclusive societies for advancing social progress, while in 2024, the theme was: 'Amplifying the leadership of persons with disabilities for an inclusive and sustainable future'.

International Day of Persons with Disabilities: Origin

This was first established by the United Nations in 1992, to raise awareness and creating inclusive society for all. The aim was to create an inclusive, accessible, and equitable society where no one is left behind.

International Day of Persons with Disabilities: Significance

The main role of this day in observance is to educate people. As more than 1 billion people in the world, which is around 20% of the world population live with some kind of disability. Thus, in such a scenario it is important for people to be sensitive towards their need. This day also helps address and solve the barriers faced by people living with disabilities, which include:

Limited access to education and employment

Inaccessible public spaces and transportation

Social stigma and discrimination

Insufficient healthcare and rehabilitation services

Lack of assistive technologies and accessible digital platforms

La Toya Jackson’s latest Instagram post has left fans more worried than ever. The 69 year old singer shared a series of photos earlier this week wearing a fitted red top, black pants and gold pointy heels. She added a chunky chain belt and a bracelet, posing in different angles for her followers. But what stood out most was how noticeably thin she looked, especially in the side profile shot.

Her caption was cheerful, wishing everyone a great week and sending love. The comment section quickly filled up, but instead of the usual compliments, many people expressed concern. Some fans urged others to be kind and pointed out that La Toya has always been naturally petite. Others felt something deeper might be going on. One comment read that it seemed like she may be dealing with “some health challenges”.

The post comes just weeks after La Toya shared a short, somewhat cryptic video from what looked like a doctor’s office. She did not explain why she was there but told her followers she hoped all her results would be good.

In another clip she hinted that doctor visits had become frequent, joking that she was “constantly getting check ups”. Despite the glimpses into her medical visits, she has not revealed what health issues she may be facing, leaving fans to worry and speculate.

While her situation remains private, her photos have opened up a larger conversation about what happens when someone becomes extremely thin. Many people assume being skinny is automatically healthy, but that is not always true. There is a point where being underweight can put real strain on the body.

What Really Happens When You Are Too Thin

Being underweight means your body does not have the amount of nutrition and energy stores it needs to function well. One common guideline used by experts is body mass index. For most adults, a BMI below 18.5 is considered underweight. In children and teenagers, being below the 5th percentile for BMI indicates underweight.

Sometimes extreme thinness is easy to spot, but people who have always been slim may not notice when their weight drops into an unhealthy range. Children who are underweight may simply seem smaller or leaner than others their age, which can make early signs easy to miss.

When the body does not get enough nutrients or calories, it begins to show that stress in different ways. Some of the early signs include constant tiredness, weakness, dizziness or feeling lightheaded.

The heart can also slow down, leading to a low pulse and low blood pressure. Hair may become thinner or start falling out and the immune system becomes weaker, which means a person might catch infections more easily and take longer to recover.

Emotional and hormonal changes are also common. Irritability, low mood or a sense of apathy can appear. In women, periods may become irregular or stop completely. Severe underweight can affect fertility and make it harder to get pregnant.

These symptoms do not happen overnight. They develop gradually as the body runs lower on essential nutrients. This is why sudden or unexplained weight loss should always be taken seriously.

Dave Coulier is battling tongue cancer, only months after sharing that he had overcome lymphoma. The “Full House” actor spoke about the diagnosis during an appearance on the “Today” show, describing the news as “a shock to the system.”

The 66-year-old clarified that this illness is “totally unrelated” to his earlier non-Hodgkin’s lymphoma. “This is a new cancer. I said, ‘Are you kidding me?’” he recalled. Doctors told him it may have developed from an HPV infection that could have been present for decades, which later “activated and turned into a carcinoma.”

Despite the shocking news, Coulier said the cancer is “very treatable” and comes with a “90 percent curability rate.” He added that his care team plans to begin radiation right away and that his prognosis is strong.

Dave Coulier Cancer: Dave Coulier Reveals Tongue Cancer Diagnosis

Dave Coulier is navigating another health setback soon after beating stage 3 non-Hodgkin lymphoma. Speaking on Today, the Full House star shared that he has been newly diagnosed with p16 squamous carcinoma, a form of head and neck cancer. He explained that the finding came after a routine visit and PET scan.

“Totally unrelated to the previous cancer that I had,” he said, as per PEOPLE. “So in October of this year, I went in for a PET scan, just a routine check-up, and something lit up on the scan. It turned out that I have p16 squamous carcinoma at the base of my tongue. So I asked the doctors, ‘Did this happen because of the lymphoma?’ And they said, ‘Totally unrelated.’”

What Does Tongue Cancer Look Like?

Tongue cancer can show up as a sore that refuses to heal, a red or white patch (known as erythroplakia or leukoplakia), a lump or area of thickened tissue, or a small growth on the tongue. These changes may come with bleeding that has no clear cause, numbness, pain while swallowing or talking, or a sensation of fullness in the throat. Anyone who notices these issues should speak to a doctor for proper evaluation, as explained by Mayo Clinic.

Tongue cancer develops when cells on the tongue begin growing out of control. Several forms of cancer can affect the tongue, but the most common is squamous cell carcinoma (SCC).

When the front part of the tongue is involved (the part you can see), it is called oral cancer or oral tongue cancer. When it forms on the back of the tongue, deeper in the throat, it is known as oropharyngeal cancer or base-of-tongue cancer. Mayo Clinic notes that this cancer is relatively rare, making up less than 1 per cent of new cases in the United States. Still, it is one of the more frequent head and neck cancers, occurring twice as often in men and most commonly in people aged 40 and above.

Early Symptoms Of Tongue Cancer

Early signs of tongue cancer may include long-lasting sores or ulcers, red or white patches, and a lump or thicker area on the tongue. Other symptoms can include persistent pain, trouble swallowing or speaking, and numbness or tingling inside the mouth.

Tongue Cancer Risk Factors

Researchers have identified several factors that raise the risk of tongue cancer. These are conditions or habits that can increase your likelihood of developing it. The strongest links are heavy smoking and high alcohol intake. The risk becomes much higher when both are present.