Pope Francis injured his right arm after suffering a fall earlier this week. According to the Vatican, while the 88-year-old pontiff did not break his arm, a sling was put on as a precaution. This incident comes just weeks after another fall on December 7, where he hit his chin on a nightstand, resulting in another, visible bruise. The pope's health has been a topic of ongoing speculation due to his age and medical history, which includes long bouts of bronchitis and mobility challenges. Often seen using a wheelchair or a cane, Francis also uses a walker within the Vatican's Santa Marta hotel, where he resides. Notably, his frailty has brought renewed attention to the risks of falls among elderly individuals and the steps one must follow to mitigate such falls.

Preventive Measures For Bone Health

A study published in Frontiers in Aging Neurosciences people get older, the bone density in the lower back and thigh bone decreases significantly. This raises the risk of osteoporosis (OP). Therefore it becomes pivotal to pay early attention to nutrition, exercise ability, vitamin D levels, and uric acid levels in older individuals to prevent Ostreopsis and mitigate fall risks. The risk of falls and bone injuries among elderly individuals underscores the importance of preventive measures for maintaining bone health and minimizing fall risks.

Elderly, particularly menopausal women, require a daily calcium intake of 1,200 mg, divided into two or more doses. This can be achieved through dietary sources such as dairy and non-dairy products or through supplements like calcium carbonate and calcium citrate. However, total daily calcium intake should not exceed 2,500 mg to avoid potential health risks.

Vitamin D is essential for calcium absorption and bone mineralization. While sunlight exposure helps synthesize vitamin D, older individuals often require supplements due to reduced skin synthesis and the limited availability of foods. Fortified milk and supplements containing 200–600 IU of vitamin D daily are recommended, with higher doses required for those with deficiencies. Severe cases may necessitate high-dose treatments, such as 50,000 IU weekly for up to three months, along with regular monitoring of calcium and vitamin D levels.

Regular exercise is vital for preserving bone mass and reducing fall risk. Weight-bearing activities, strength training, and balance exercises like brisk walking or skipping can enhance bone density and improve coordination. Experts recommend at least 30 minutes of moderate physical activity most days of the week, supplemented by strength training twice weekly. For individuals unable to engage in standard exercise routines, alternatives like vibrating platforms may help maintain bone health.

Falls remain a leading cause of fractures among individuals over 60. Addressing contributing factors such as balance issues, vision problems, and environmental hazards can significantly reduce risks. Preventive measures include regular vision checks, minimizing medications causing dizziness, improving home safety (e.g., installing railings and removing loose rugs), and wearing rubber-soled footwear. Hip protectors may also help mitigate the impact of falls.

Amid the ongoing Covid-19 scare in the UK, in another news, two species of disease-carrying mosquito have been also found there. These two species are now being found as a result of climate change, scientists too have warned against the same.

Aedes aegypti, also known as the Egyptian mosquito, and Aedes albopictus, also known as the (Asian) tiger or forest mosquito, both known for carrying diseases like yellow fever, dengue, chikungunya, Zika and dirofilariasis have been detected in surveillance traps set by the UK Health Security Agency (UKHSA). This was revealed in the UKHSA peer-reviewd study on invasive mosquito surveillance.

The Egyptian mosquito eggs were detected in a freight storage facility near London's Heathrow Airport, in September 2023- and tiger mosquitoes were detcted in August 2024. This will be the first time that the tiger mosquitoes have been detected since 2019, at a motorway srvice station in Kent.

The study published in research journal PLOS Global Public Health, reported the findings were lead by UKHSA and the Centre for Climate and Health Security.

What Has Changed Now?

Historically, both these species were limited to subtropical and tropical regions, however, among the populations established in southerns and central Europe, the mosquitoes have shown its ability to survive in temperate climates.

Rising temperature is said to be one of the major reasons for incursion of invasive species. This has put new populations at risk of disease transmission.

The authors of the study said, "While there is currently no evidence that Ae. albopictus or Ae. aegypti are widely established in the UK, without timely action, the UK faces the risk of invasive mosquito populations becoming established... proactive measures enhance resilience against emerging vector borne disease risks."

Call To Action

In addition to monitoring at ports and transport hubs across England, Wales and Northern Ireland, the UKHSA has also set up traps in the Kent marshes—considered an ideal spot for mosquitoes to settle due to its warm, wet conditions.

The UKHSA has also run Mosquito Recoding Scheme (MRS). This is a citizen-science project that receives and identifies mosquitoes submitted by members of public, including in response to nuisance biting incidents. Between 2005 and 2021, 286 reports of mosquitoes were submitted to the MRS, all of which were native UK species.

The aim of the scheme is to detect unusual or invasive species of mosquito, so prevention tactics could be put to use.

Collin Johnson, the lead author of the study and a senior medical entomologist at the UKHSA, said for the 2023 and 2024 discoveries: "Each detection triggered enhanced local surveillance and control measures, and the fact that no further specimens were found suggests these were isolated incursions."

"The collaborative efforts between UKHSA, local authorities and landowners were key to rapidly mobilising and preventing the establishment of invasive mosquitoes," he said.

More than 90 passengers and crew aboard a Royal Caribbean cruise ship have fallen ill from Norovirus, as per the reports. This ship's final stop was Miami.

The outbreak on the Royal Caribbean was first reported to the US Centers for Disease Control and Prevention (CDC). The ship had departed San Diego on September 19. A total of 94 passenger and 4 crew members were "reported being ill during the voyage," noted the CDC. The main symptoms as per CDC was diarrhea and vomiting.

Other symptoms include muscle ach, abdominal pain, fever, or three or more loose sttols within 24-hour period. From a total of 1,874 passengers and 833 crew, as per the reports, only 4% of people on board were infected, confirmed CDC.

The crew on the ship has increased their cleaning and disinfecting procedures. Stool specimens from gasteointestinal illness have been collected for testing and have been isolated from those who are sick.

In a statement to USA TODAY, the Royal Caribbean said, "The health and safety of our guests, crew, and the communities we visit are our top priority. To maintain an environment that supports the highest levels of health and safety onboard our ships, we implement rigorous cleaning procedures, many of which far exceed public health guidelines."

The Independent reports that the cruise ship also consulted with the Vessel Sanitation Program (VSP), which is remotely monitoring the situation, including review of the outbreak, response, and sanitation procedures.

What Is Norovirus?

As per the CDC, it is a very contagious virus that causes vomiting and diarrhea. It is commonly called the 'stomach flu" or "stomach bug".

However, norovirus illness is not related to the flu. The flu is caused by the influenza virus. Norovirus causes acute gastroenteritis, an inflammation of the stomach or intestines.

Most people with norovirus illness get better within 1 to 3 days; but they can still spread the virus for a few days after.

What Are The Symptoms Of Norovirus?

• Diarrhea
• Vomiting
• Nausea
• Stomach pain
• Fever
• Headache
• Body aches
• Dehydration: If you have Norovirus, you can feel extremely ill and dehydrated and the symptoms can show through decreased urination, dry mouth and throat, feeling dizzy when standing up, crying with few or no tears, unusual sleepiness or fussiness.

Who Is At Risk?

• Anyone can get infected and sick with norovirus.
• People of all ages are affected during norovirus outbreaks.
• Genetic factors can partly determine your likelihood of infection.
• Raw oysters and other filter-feeding shellfish may contain viruses and bacteria that cause illness or even death.
• Eating raw shellfish puts anyone at risk of contracting norovirus.
• Children under 5, older adults, and people with weakened immune systems are more likely to develop severe infections.

The US government shuts down at midnight confirmed Associated Press. The Vice President JD Vance said, "I think we're headed to a shutdown because the Democrats won't do the right thing," after a meeting where Congressional Democrats refused to give Republicans the votes they needed to pass a short-term funding agreement. The Democrats have demanded overhauls to Medicaid cuts and extensions to health care tax credits, something Republicans wish to stay out of.

House Minority Leader Hakeem Jeffries said that Republicans are "divorced from reality". He said, "They just wanted to kick the health care problem down the road."

What Does US Government Shutdown Mean For Health Services?

During a shutdown, only 59% of employees would be working at the Department of Health and Human Services. The rest are to be furloughed, meaning to be discharged from their job.

This means, out of the 47,257 employees who would be kept during the shutdown, only 35,000 would be continued to paid, while 12,000 would work without pay. Around 32,460 Health and Human Services (HHS) employees will be discharged from their work.

For the Centers for Disease Control and Prevention (CDC), only 36% of employees would work, with 15% without pay, also reported by ABC News. At the Food and Drug Administration (FDA), 86% employees would continue to work, with 19% without pay.

What it means for safety guidelines? The FDA's Animal Drugs and Foods Program "would end pre-market safety reviews of novel animal food ingredients for livestock, thus be unable to ensure that the meat, milk, and eggs of livestock are safe for people to eat; activities would be limited to those that address imminent threats to the safety of human life".

The National Institutes of Health would also come down to 24% of employees.

Will Medicare and Medicaid Continue During The US Government Shutdown?

Federal spending's biggest portion which is considered 'mandatory' will remain untouched, including payments by Social Security, Medicare and Medicaid.

While government officials say that payments won't be affected, related services could, however, slow down, including receiving replacement cards and benefit verification services.

This could also threaten around 7 million low-income women and their children who relied on programs like the Women, Infants. and Children (WIC), a US federal program that provides nutritious foods, nutrition education, and referrals to healthcare and social services for low-income pregnant and postpartum women, infants, and children up to the age of 5, who are at nutritional risk.

Ali Hard, who is the policy director for the National WIC Association told ABC News that if a shutdown continues for more than a week, WIC may begin to run out of funds.

Why Is The US Government Shutting Down?

The main crux of it could be the disagreement in the health policies. For the extended funding, which would only be possible through cuts in Medicaid, the Senate voted 55-45 on the measure, which has left Republicans five votes short of 60 vote threshold.

President Donald Trump on this said, "They (Democrats) want to give health care to illegal immigrants, which will destroy health care for everybody else in our country."

Previously it happened during the 2018-2019 shutdown, which lasted for 35 days.