Singer Jesy Nelson recently shared an emotional update regarding the complications she is experiencing in her pregnancy with twin babies. Former Little Mix singer Jesy, who is having twins with partner Zion Foster, announced that she has been diagnosed with pre-twin-to-twin transfusion syndrome (pre-TTTS). The condition, which is present in pregnancies involving twins with a shared placenta, has serious risks involved and needs intense medical supervision. As Nelson embarks on this difficult journey, her story enlightens us about a rare but dangerous condition many expectant parents may not know much about.

Twin-to-twin transfusion syndrome is a rare but dangerous condition that arises in monochorionic twin pregnancies, in which identical twins share a single placenta. The placenta supplies the developing babies with oxygen, nutrients, and blood flow, but in TTTS, there is an imbalance of blood vessels that interconnect the twins, and thus the vital resources are not evenly distributed. One twin, or the donor twin, shares excess blood with the other, referred to as the recipient twin. This leads to one baby becoming malnourished and possibly anemic, and the other in danger of heart problems due to too much blood.

Nelson described her diagnosis in a heartfelt Instagram video, explaining that she is currently in the pre-stage of TTTS and undergoing frequent monitoring. "I am being scanned twice a week, and each time, things have gotten a little worse," she shared, expressing her fears and hopes for the health of her babies.

Potential Risks of TTTS

If left untreated, TTTS can have devastating consequences. Medical research indicates that:

• 90% of the cases of untreated TTTS lead to loss of one or both twins.
• Despite treatment, only a 70% survival rate for both twins is assured.
• Severe forms can result in preterm labor, cardiac failure in the recipient twin, and organ failure in the donor twin.
• Complications in long-term survivors include neurological damage and developmental delay in surviving infants.

TTTS usually advances in stages, beginning with minimal changes in fluid levels and worsening as one twin continues to get an unequal share of blood. In extreme cases, fetal laser surgery, referred to as the Solomon technique, can be employed to divide the blood vessels and balance the twins.

Why Identical Twin Pregnancies Are More Complicated

Identical twins may develop differently, and their own unique form of placental sharing can have a dramatic effect on pregnancy risk. Jesy Nelson's twins are considered monochorionic diamniotic (mono/di), which means they share a placenta but have two amniotic sacs. This is the type of pregnancy in about 70% of identical twin pregnancies and carries an increased risk of complications like TTTS, umbilical cord entanglement, and growth restriction.

Conversely, dichorionic diamniotic (di/di) twins both have a separate placenta and amniotic sac, which greatly diminishes the threat of TTTS. Twin pregnancy type is normally identified by early ultrasound, with physicians being able to track future complications from inception.

Other Twin Pregnancy Health Risks

Twin pregnancies, even without the presence of TTTS, entail a variety of health risks to the mother as well as infants:

1. Premature Birth

Over 60% of twin pregnancies end in premature delivery, with birth usually taking place before 37 weeks. Premature infants can have immature organs and need neonatal intensive care (NICU) assistance to assist with breathing, feeding, and infection fighting.

2. Gestational Hypertension and Preeclampsia

Pregnant women with multiples are at increased risk of having high blood pressure during pregnancy. This, if left untreated, can result in preeclampsia, a serious complication of pregnancy that can result in damage to organs, preterm labor, and in some cases, maternal or fetal death.

3. Anemia

Pregnant women carrying multiples are twice as likely to experience anemia, a condition where the body does not produce enough healthy red blood cells. This can lead to fatigue, dizziness, and complications during delivery.

4. Birth Defects

According to John Hopkins Medicine, multiple birth babies are twice as likely to have congenital abnormalities compared to single births. These can include heart defects, neural tube defects, and gastrointestinal issues.

5. Amniotic Fluid Imbalances

When twins have to share a placenta, they are more likely to have polyhydramnios (excess amniotic fluid) or oligohydramnios (not enough amniotic fluid). Both result in distress to the babies during fetal development and can result in premature labor.

6. Postpartum Hemorrhage

Twins are at increased risk of excessive postpartum hemorrhage because their uterus is larger and there are greater blood supply needs.

Jesy Nelson's openness about her challenging experience is raising awareness for TTTS, a condition that few individuals—let alone expectant mothers and fathers—might be aware of. Through her tearful video, Nelson stressed the significance of knowing about twin pregnancies aside from the thrill of having multiples. "We had no idea that this type of thing occurs when you're having twins. We just desperately want to make people aware of this because there are so many people who aren't aware."

Her case reminds us of the intricacies involved in twin pregnancy and the significance of early identification and medical management. For mothers carrying twins, frequent ultrasounds and vigilance can become a life-and-death issue for early detection and better outcomes of both babies.

Through constant medical attention and care, she and her partner Zion Foster remain positive and get ready for their babies to be born. In other parents whose situations are no different, the story of Nelson highlights awareness, medical progress, and emotional encouragement in handling complicated pregnancies.

The expecting parents of twin siblings are advised to discuss TTTS screening and possible interventions with their physicians to give their babies the best chance.

The US is seeing a summer surge in COVID-19 infections, with 35 states reporting rising cases, according to the latest update from the Centers for Disease Control and Prevention (CDC).

The September 9 update said cases are declining in eight states and unchanged in seven. COVID-related emergency department visits remain low, while the probability of the epidemic growing is 73%, as per CDC. The cases are expected to grow in the coming weeks.

COVID Activity Rising In US

COVID activity is elevated nationally, but hospitalizations remain low, with the highest rates among infants and adults aged 65 and older.

California, Nevada and Texas have the highest wastewater levels of COVID among US states, according to CDC data.

A south Texas school district reportedly closed for two days in August due to the spread of COVID, citing the need to “protect the health and safety” of students and staff.

Why Is COVID Rising This Summer?

Experts say the summer wave is not unexpected. SARS-CoV-2 spreads year-round but has developed a seasonal pattern in the US.

“We’ve had two waves (every year). One in the middle to late summer, and the other during the winter,” Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center, toldTODAY.com.

“We’re expecting transmission to peak about a week into September,” said Michael Hoerger, assistant professor at Tulane University School of Medicine was also quoted as saying.

With temperatures dropping and children returning to school, opportunities for transmission could increase.

“We need to be very cautious,” Schaffner added.

Which COVID Variants Are Spreading?

WastewaterSCAN data is detecting XFG, LF.7, NB.1.8.1 and BA.3.2. XFG.1.1 and its sublineages accounted for nearly half of US cases in July, according to CDC data. BA.3.2, or Cicada, accounts for less than 10% of cases and has not taken off in the US.

Although there is no new variant, that does not mean COVID-19 cannot cause severe disease, experts noted.

COVID Symptoms 2026

Symptoms remain similar to those caused by other Omicron strains and usually appear two to 14 days after exposure.

Common symptoms include:

• Cough
• Sore throat
• Congestion
• Fatigue
• Fever
• Chills
• Shortness of breath
• Headache
• Nausea and vomiting
• Diarrhea

Many people are reporting an intense sore throat, according to Thomas Russo, professor and chief of infectious diseases at the University at Buffalo in New York.

“Some people feel like it’s the worst sore throat ever, like razor blades in the throat. But it can be more mild in others," he was quoted as saying to Prevention.com

Nausea and diarrhoea can also occur alongside respiratory symptoms.

While for majority COVID will be a flu-like illness, for some it can cause more severe illness like pneumonia and shortness of breath.

Are Vaccines Available?

Adults over 65, infants, people with weakened immune systems or underlying conditions, and those who have never received a COVID vaccine face a higher risk of severe illness or hospitalization, says Schaffner.

In May, the US FDA voted to recommend an updated 2026-2027 COVID vaccine targeting XFG. On August 28, the FDA approved monovalent 2026-2027 COVID vaccines from Moderna, Pfizer-BioNTech and Novavax-Sanofi.

The updated vaccines are expected to roll out at pharmacies, clinics and hospitals in September.

Obstructive sleep apnea (OSA) affects nearly 1 billion adults worldwide and is linked to cardiovascular disease, stroke and increased mortality.

Eli Lilly’s GLP-1 drugs Mounjaro and Zepbound, which contain tirzepatide, have shown promise in treating sleep apnea in a new review.

While continuous positive airway pressure (CPAP), which uses air pressure to keep the airway open during sleep, remains the standard treatment, some people struggle to use it long term. Adherence rates of 30% to 60% limit its effectiveness at the population level. The review showed that GLP-1 medications may be a potential complementary therapy alongside CPAP.

GLP-1 Drugs And Sleep Apnea

Researchers from the University of Pittsburgh Medical Center, Pennsylvania, reviewed existing evidence on GLP-1 receptor agonists (GLP-1 RAs) for OSA.

Six meta-analyses found consistent reductions in the apnea-hypopnea index (AHI), ranging from 5.7 to 21.9 fewer events per hour.

The Phase 3 SURMOUNT-OSA trials found that tirzepatide reduced AHI by 20 to 24 events per hour compared with placebo. Between 42% and 50% of patients achieved disease remission.

Weight loss is the main established mechanism. GLP-1 RAs may reduce tongue fat and parapharyngel fat, which contribute to airway collapse.

Researchers also identified potential weight-independent effects involving chemosensitivity, leptin pathways and NLRP3 inflammasome suppression, although these mechanisms remain under investigation.

GLP-1 Drugs Vs CPAP

GLP-1 RAs did not match CPAP efficacy, with approximately 22 versus 31 fewer AHI events per hour. Cardiovascular benefits remain unproven, and weight regain commonly occurs after treatment stops.

The researchers said GLP-1 drugs are best positioned as complementary therapy alongside CPAP and other treatments.

The drugs may be appropriate for people with a BMI above 30 who are unable to tolerate CPAP or have obesity-related comorbidities. They are less likely to benefit people without obesity or those with primarily anatomical airway obstruction.

“This review suggests that GLP-1 RAs offer otolaryngologists a disease-modifying adjunct for obesity-related OSA that is best positioned as complementary therapy alongside CPAP, preoperative optimization before upper airway surgery, or potentially to expand hypoglossal nerve stimulator candidacy,” said the researchers in the paper published in JAMA Otolaryngology–Head & Neck Surgery.

What Is Sleep Apnea?

OSA occurs when the airway becomes blocked during sleep, causing breathing to repeatedly stop and restart. These interruptions can occur five to 100 times an hour and can lower oxygen levels and disrupt sleep.

In OSA, the airways become partially or completely blocked when the muscles in the head relax during sleep. This can cause soft tissue to obstruct the windpipe, making it difficult for air to pass through.

While asleep, the chest muscles may work harder than usual to reopen the airway. This can cause jerks, deep gasps and repeated disruptions to sleep.

Symptoms Of Sleep Apnea

Common symptoms include:

• Loud snoring
• Gasping during sleep
• Breathing pauses during sleep
• Morning headaches
• Restless sleep
• Difficulty staying asleep
• Mood changes
• Dizziness
• Dry mouth on waking
• Excessive daytime sleepiness
• Fatigue
• Difficulty concentrating

People may not notice these symptoms themselves, but a partner or family member may observe them.

Can Sleep Apnea Be Prevented?

Measures that may help prevent or manage sleep apnea include:

• Practicing good sleep habits
• Maintaining a healthy weight
• Quitting smoking
• Using CPAP when prescribed
• Avoiding alcohol.

The 9/11 attacks on the World Trade Center killed nearly 3,000 people, and scores of young children, infants and toddlers, as well as some still in the womb, were exposed to toxic air in and around Manhattan and the Ground Zero site.

Within seconds of the collapse of the World Trade Center, the area was filled with a cloud of dust. In the days, weeks and months that followed, the area was exposed to settling dust containing pulverized concrete, glass fibers, asbestos and other pollutants.

Children Exposed To 9/11 Toxins

While various health program have emerged to address the ongoing health effects of the September 11 attacks, there have been few focused on children exposed to them.

Scientists say exposure to toxins may have long-term health consequences, including trauma, chronic illnesses, cancers, cardiovascular diseases and reproductive health problems. Some of these effects may only now be emerging as those children reach their 30s and early 40s.

Major questions remain about whether exposure to toxins and trauma on 9/11 and afterward increased their long-term health risks, according to scientists.

The federal World Trade Center Health Program and the Centers for Disease Control and Prevention (CDC) are behind the Youth Research Cohort, which was first announced by the US Congress in 2022.

The project is expected to kick off on July 1, 2027, according to a government website announcing federal grants. The same site says research will begin once the number of people participating “grows large enough.”

Also read: 9/11 Toxic Air Exposed Thousands: What New Records Reveal 25 Years Later

Who Will Be Eligible For The Study?

The CDC has specified that study participants will have been 21 years old or younger, or in utero, and living below 14th Street in Manhattan or anywhere in Brooklyn on and after 9/11.

A cohort of similarly aged but unexposed individuals will be recruited for comparison.

It is not clear how many participants the CDC hopes to recruit, but $50 million in programme funding is estimated.

What We Know About Long-Term Health Effects

In adult survivors and first responders, dozens of types of cancers and other health issues related to their exposure have been identified.

Since 9/11, more than 96,000 people have been diagnosed with physical and mental health conditions as a result of exposure to the dust, smoke, debris and traumatic events of 9/11, according to the WTC Health Program. The program says it has recorded more than 9,000 deaths since 9/11, but it is not clear what role 9/11 played in those deaths.

Cancer Cases Continue To Rise

Read More: PM2.5 Linked To 8.82 Million Global Cancer Cases, Accounts for Largest Share Among Pollutants: Study

Cancer cases linked to the September 11, 2001, World Trade Center terror attacks have surged 75%, according to new research, highlighting the ongoing health crisis even 25 years later.

The research was conducted by Northwell Health’s Long Island Jewish (LIJ) Medical Center, which provides free medical monitoring to people affected by the aftermath of the attacks at New York’s World Trade Center.

About two-thirds of all enrollees are certified for at least one WTC-related health condition, while 30% of those enrolled through Northwell have battled cancer. That number is expected to rise dramatically over the next decade.

A trove of newly released files by New York City Mayor Zohran Mamdani also indicated that toxic air persisted for months after the 9/11 attacks on the World Trade Center and that officials played down the health risks.