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.

A weight-loss doctor has issued an urgent alert as people desperate to shed pounds turn to illegal “Godzilla” fat jabs circulating on social media—some of which have been traced back to counterfeit factories and unregulated online sellers. With the party season approaching, pressure grows to look slimmer for family photos, office events and festive gatherings.

Experts warn that this rush is pushing people toward fake versions of retatrutide, a powerful triple-hormone drug still in clinical trials and not approved anywhere in the world. Recent reports from the UK revealed that more than £250,000 worth of counterfeit weight-loss pens labelled as tirzepatide and retatrutide were seized from a covert Northampton factory.

Retatrutide Warning: Experts Flag Rise of Fake Weight-Loss Jabs

Authorities caution that social media has become a “wild west” for buyers chasing dramatic pre-Christmas results. Professor Franklin Joseph, founder of Dr Frank’s Weight Loss Clinic, explains that seasonal pressure combined with unrealistic expectations is driving some toward dangerous, unregulated products. “This is the time of year when people panic."

Professor Joseph said. “They want to show up on Christmas Day or New Year’s Eve looking slimmer, and viral posts convince them there’s a quick fix. But these so-called ‘Godzilla jabs’ being sold online are fake, untested and potentially dangerous.”

What Is A Godzilla Jab?

The term "Godzilla jabs" is a nickname for retatrutide, a potent experimental weight-loss drug still undergoing clinical trials. It is not approved for human use, and regulators have warned against purchasing counterfeit black-market versions.

Retatrutide: Why Are Experts Giving Warning?

Retatrutide, also referred to as the “Godzilla” or “Triple-G” jab due to early trials showing significant weight loss is still strictly experimental. Despite this, counterfeit versions are circulating through online stores, social media channels, Telegram groups and private accounts, often with no medical supervision, no quality control and no legal oversight.

Professor Joseph notes that the festive season makes the risk even greater. “December is a perfect storm,” he said. “People have one event after another, clothes feel tighter, and family members they haven’t seen all year are coming together. Then an influencer tells them they can lose a stone in a month. It’s an illusion—and scammers know exactly how to exploit it.”

Dangers of Fake Retatrutide

Fake jabs may contain:

• Incorrect doses
• No active ingredient at all
• Contaminated mixtures
• Completely different drugs, including insulin, which can trigger dangerous hypoglycaemia

Authorities have repeatedly stressed that buying unlicensed medicines online is not only illegal but can also carry severe health risks. “Most people think the worst that could happen is the jab won’t work,” Professor Joseph said. “But the real danger is what’s actually inside that pen.”

Scientists anticipate that the results from ongoing clinical trials will be available next year, after which they plan to seek formal medical approval. Meanwhile, organised crime groups are increasingly turning to selling illicit medicines online, sometimes as an alternative to traditional street drugs like cocaine. Purchasing these medications without a proper prescription or guidance from a qualified doctor greatly raises the risk of side effects and serious health complications.

Weight-loss injections are carefully tailored to each patient’s body size and medical condition. Taking an excessive or unmonitored dose can be extremely dangerous.

President Trump recently underwent “advanced imaging” of his abdomen and cardiovascular system as a preventive step, according to the White House. This update came on Monday, a day after the president admitted to reporters that he wasn’t sure which areas the MRI had covered during his October physical at Walter Reed National Military Medical Center. On Sunday, he mentioned that the scan had nothing to do with his brain and that the results were “perfect,” though he still did not know what had been examined. The White House has now shared a detailed memo offering a clearer picture of the president’s health status.

Trump's MRI Results Released By White House

US President Donald Trump is said to be in “excellent overall health” after completing a “comprehensive executive physical,” according to his White House physician. Captain Sean Barbabella issued a memo on Monday noting that the advanced imaging performed on the 79-year-old president’s heart and abdomen showed “perfectly normal” findings.

As per BBC, he explained that the MRI was carried out during Trump’s October physical because men in his age range benefit from a closer review of their cardiovascular and abdominal health. The update arrives as Democrats, including Minnesota Governor Tim Walz, have continued to ask for the scan results, pointing to concerns about the president’s age as he enters another term.

At Monday’s briefing, White House Press Secretary Karoline Leavitt read the physician’s memo in full. She said the administration wanted to be open about the findings. “The president said last night that the results would be released, and they are now available,” she added.

Trump MRI Results: No Abnormalities In Trump's Heart

According to the memo shared by the White House, Barbabella reported no signs of arterial narrowing that would restrict blood flow, nor any irregularities in the president’s heart or major blood vessels. He wrote that Trump’s cardiovascular system “shows excellent health.” The doctor, a US Navy emergency physician with service experience in Iraq and Afghanistan, also said the abdominal imaging revealed that “everything evaluated is functioning within normal limits with no acute or chronic concerns.” He described the MRI as a routine part of an “executive physical” for someone Trump’s age. Earlier, the White House had avoided commenting on why an MRI was included in the October exam or specifying which part of the body had been scanned.

For context, Trump completed his annual physical in April. When he spoke in October, he mentioned that he received an MRI at Walter Reed during a visit that the White House said fell under his “routine yearly checkup.” At the time, Trump stated the results were “perfect.” In the memo, Barbabella said the MRI was done as a preventive measure “to identify issues early, confirm overall health, and ensure he maintains long-term vitality and function.”

Trump MRI Results: What Health Diagnosis Has Donald Trump Been Diagnosed With?

Donald Trump has also been diagnosed with chronic venous insufficiency (CVI), a condition in which veins in the legs struggle to push blood back toward the heart. The White House confirmed the diagnosis after he sought medical advice for mild ankle swelling. CVI is fairly common, especially among older adults, and can lead to symptoms such as swelling, discomfort, and aching in the legs.

What Is Chronic Venous Insufficiency?

According to the Mayo Clinic, chronic venous insufficiency occurs when the valves inside the leg veins, which normally stop blood from flowing backward, become weakened or damaged. This allows blood to collect in the legs and increases pressure within the veins. Typical symptoms include swelling, heaviness or aching in the legs, and changes in skin colour. The condition is more likely in people who are older, have a family history of CVI, remain seated or standing for long periods, or have a higher body weight.

Delhi's pollution continues to worsen, and every day, there is new data on its AQI levels, suggesting the conditions Delhiites are living in, unable to breathe, go out, and much more. In fact, 60.3% of Delhi-NCR residents have sought pollution-related medical assistance last year, showed a survey by SmyttenPulseAI. The number is severe and points towards a healthcare crisis in the making.

The survey also showed that 80% of residents reported experiencing persistent health issues, which included chronic cough, debilitating fatigue, and respiratory irritation due to polluted air.

How Was The Study Conducted?

It was a study that surveyed 4,000 residents across Delhi, Gurugram, Noida, Ghaziabad, and Faridabad and found that 76.4% of respondents have drastically reduced outdoor time. This means they have turned their homes into the only place of solace, often like virtual prisons for families to hide from the toxic air outside.

The survey also found that 79.8% of the residents are either reconsidering their stay or have already left, with 33.6% planning their departure, while 31% are actively considering relocating, and 15.2% have already relocated.

Why the relocation? s Dr Rahul Chawla, a neurologist trained at AIIMS, who, on his Instagram, posted a video where he suggested that if people can afford, and their profession allows, they must leave Delhi for a few weeks. “Because this city has become a gas chamber,” he warned.

The survey is a reflection of the same thought, with 37% residents who have already taken concrete steps of visiting properties in nearby cities. They have enquired for schools, or have made family decisions about leaving. The preferred destination for most are: hilly areas, small towns with fewer factories, and anywhere outside Delhi-NCR that does not mean to continuous keep an eye on AQI monitor app while breathing, as reported by NDTV.

The report said pollution has added a heavy economic burden on middle-class families, with 85.3 per cent noticing higher household expenses because of it. Among them, 41.6 per cent said the financial strain has been significant.

If You Cannot Leave Delhi, Here's What You Can Do

Stay Indoors

Dr Chawla suggested that one should stay indoors as much as possible. "You can open the windows and doors only between 1 and 3pm in the day, when you feel that the sun is bright, so that the house gets proper ventilation," he said.

Why 1pm to 3pm is the only time he suggests to have exposure with air? As per a 2023 study by an air filter brand, Delhi's air pollution peaked at 9AM and gradually improved as the day progressed. On an average, Delhi sees roughly as half as much PM2.5 by 5PM. Similarly, in Kolkata, the pollution peaks at 8am and is lowered by 4PM. This is why the safest time to have any sort of air exposure is in the afternoon. Pollution levels also tend to be slightly lower in the afternoon because it is when the sun is at its peak. This heats the ground and causes warm air to rise and mix with atmosphere. This helps disperse pollutants.

He also advised against cleaning inside the house using a dry cloth, and suggested wet cloth to be in use, so that dust does not rise. "Please do not light up things inside the house like burning dhoop (incense for worship), agarbatti (incense sticks), or anything else that causes excessive smoke,” he said.

Use N95 Mask

“If there are elderly people at home, do not let them go for morning walks or evening walks, and if there are children, do not let them play in the park. Exercise at home. You can go up and down the stairs. You can do yoga. If you have a treadmill or a stationary bike at home, you can exercise with it. You can do weightlifting,” he said. However, he suggested that if going out is absolutely necessary, then one must wear N-95 mask properly before stepping out.

Air Purifier

“If you can afford an air purifier, buy one. But keep in mind that the air purifier you are buying should be appropriate for the size of your room,” the neurologist advised.

Work From Home

The neurologist also suggested that if your company permits it, seek work from home option to reduce your exposure from toxic air.