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 Ebola outbreak in the Democratic Republic of the Congo (DRC), driven by the Bundibugyo virus, continues to grow rapidly.

According to the latest government data, the number of confirmed cases in the DRC has risen to 1,118, including 291 deaths.

As of June 24, Uganda had reported 20 confirmed cases, including two deaths. The most recent case was reported on June 21, and no new cases have been recorded since.

Among the confirmed cases in Uganda, 15 had travel links to the DRC and five were linked to local transmission.

Outside Africa, France has reported a confirmed Ebola case in a doctor who returned from a humanitarian mission in Ituri province, the hardest-hit region in the DRC, with 997 confirmed cases and nearly 280 deaths.

What Makes Bundibugyo Virus Unique?

Also read: Ebola Bundibugyo Strain: All You Should Know About The Rare Virus

Bundibugyo is one of the rarest Ebola virus strains. There have been only two previous outbreaks: one in Uganda in 2007 and another in the DRC in 2012, with case fatality rates of 32% and 55%, respectively.

A key difference is that there is currently no approved vaccine for the Bundibugyo strain. Vaccines are available for the Sudan and Zaire Ebola strains, but treatment for the Bundibugyo virus remains limited to supportive care.

The Unusual Symptoms Seen in Bundibugyo Patients

In a Correspondence published in The New England Journal of Medicine (NEJM), researchers from the Institut National de Santé Publique in Kinshasa analyzed the clinical characteristics of Bundibugyo virus disease (BVD).

Researchers recorded symptoms in 405 patients with confirmed BVD and 516 people who tested negative.

Among confirmed BVD patients, the most common symptoms were:

• Fever (74.3%)
• Diarrhea (67.4%)
• Vomiting (66.7%)
• Headache (42.2%)
• Loss of appetite (39.5%)
• Abdominal pain (37.3%)
• Difficulty breathing (34.1%)
• Difficulty swallowing (32.8%)
• Muscle pain (23.5%)
• Joint pain (22.7%)

Notably, bleeding-related symptoms, often associated with Ebola, were relatively uncommon and were reported in only 10.4% of patients at presentation.

Bundibugyo: Symptoms That Differed Between Men and Women

Read More: Global Hantavirus Response To End On July 2: WHO

The symptom profile was largely similar across age groups and between men and women. However, fever was slightly less common among men, while headaches became less frequent with increasing age. Men were also somewhat more likely to report cough and chest pain, the researchers said.

Bundibugyo: Symptoms That Distinguished Confirmed Cases

Compared with people who tested negative, patients with confirmed BVD were much more likely to experience gastrointestinal and systemic symptoms.

• Vomiting: 66.7% vs. 50.8%
• Diarrhea: 67.4% vs. 49.6%
• Loss of appetite: 39.5% vs. 17.2%
• Abdominal pain: 37.3% vs. 16.3%
• Difficulty breathing: 34.1% vs. 10.9%
• Difficulty swallowing: 32.8% vs. 10.7%
• Fever: 74.3% vs. 64.9%

How Was The Study Conducted

The researchers reviewed 2,351 recorded cases in the individual-level database for BVD between May 3 and June 8, 2026.

Of these, 505 patients (21.5%) had laboratory-confirmed BVD based on PCR testing, while 635 patients (27.0%) who were suspected of having the disease tested negative.

Researchers noted that patients with confirmed BVD were demographically similar to those who tested negative. In both groups, most patients were adults aged 20 to 39 years, and women slightly outnumbered men.

Higher Viral Load Linked to Death

Among 253 patients with laboratory-confirmed infection tested using the RADIONE PCR assay in Bunia, Ituri Province, researchers found that patients who died generally had lower cycle-threshold (Ct) values, indicating a higher viral load, than those who survived.

Among 129 patients with available symptom-onset and sample-collection dates, the mean delay between symptom onset and testing was 7.4 days, with a median delay of 4.8 days.

Earlier diagnosis and treatment could improve survival rates and help reduce virus transmission within communities, the researchers said.

Europe is facing a record heatwave, and the extreme heat has reportedly claimed 212 lives in Spain between June 21 and June 24, according to estimates from a public institute.

The estimate is based on the MoMo monitoring system, which collects daily statistics on deaths in Spain and calculates variations in mortality by comparing them with predictable levels based on historical data.

Record June Temperatures In Spain

Mainland Spain this week recorded its highest daily average temperatures in June since at least 1950, with Monday's figure of 28.08°C followed by 28.17°C on June 23, AFP reported.

Those two days also marked the highest average minimum temperatures for June since 1950, with 20.14°C recorded on Monday and 19.81°C on June 23. These so-called "tropical nights" make sleep challenging and can threaten public health.

Spain had also recorded its highest heat-related mortality for the month of May since records began in 2015, as per data from the Health Ministry. As per the MoMo system, May 2026 recorded 101 deaths attributable to high temperatures, the highest figure for this month since the series began in 2015.

Heatwave Triggers Alerts Across Europe

Also read: WHO Sounds Alarm on Europe's Extreme Heat: Here's How Hot It Could Get Across Countries

The extreme heat is not limited to Spain. The June 2026 heatwave has triggered red alerts across France, Spain, Italy, and the United Kingdom, and killed dozens of people.

In France, the heatwave forced the early closure of major Paris tourist attractions, including the Eiffel Tower and the Louvre Museum. At least 40 people have drowned seeking relief from the heat since June 18, as per the French Prime Minister

Poultry farmers across France say that hundreds of thousands of their livestock have died during the extreme heat.

The UK has provisionally recorded its warmest June night on record, surpassing a record set in 1976. Temperatures could climb to 37-38°C, potentially breaking the June heat record for a second consecutive day.

In Italy, heatwave leaves 4 dead as 17 cities face red alert. Authorities warn even healthy people are at risk as temperatures remain dangerously high.

WHO Warns of Growing Health Risks

“Europe’s heatwave is closing schools and putting people’s health at risk. The data are clear: temperatures across Europe are rising at roughly twice the global average rate, increasing the likelihood and severity of extreme heat in the future,” Tedros Adhanom Ghebreyesus, WHO Director-General, shared in a post on social media platform X.

“We cannot afford further delay. Leaders must prioritize investment in climate-resilient health systems, while also accelerating #ClimateAction and mitigating the drivers of the climate crisis,” he added.

What Is Driving the Extreme Heat?

Read To Know: UK Met Office Warns of 'Pollen Bomb': What Hay Fever Patients Need to Know

According to meteorologists, the soaring temperatures are being driven by a weather pattern known as an "omega block".

This blocks cooler Atlantic air from entering the region while drawing hot air northward from North Africa and the Sahara. The persistent high-pressure system acts like a lid, trapping heat near the ground and allowing temperatures to climb steadily over several days.

How Does Heat Impact Health?

Health experts warn that prolonged exposure to extreme heat can have serious and sometimes fatal consequences, particularly for older adults and people with underlying medical conditions.

According to the WHO, extreme heat can overwhelm the body's ability to regulate temperature, increasing the risk of heat exhaustion and heatstroke. As the body works harder to cool itself, it places added strain on the heart and kidneys, potentially worsening chronic conditions such as cardiovascular, respiratory, mental health and diabetes-related illnesses, and increasing the risk of acute kidney injury.

The health impact of heat depends on factors such as its intensity, duration and timing, as well as how well people and local systems are adapted to high temperatures.

Tips to Beat the Heat:

To reduce the health risks associated with extreme temperatures, the WHO suggested to:

• Stay hydrated - Drink enough water throughout the day. Bring a refillable water bottle. Avoid excessive caffeine and alcohol.
• Watch your urine color - Dark yellow may indicate you are not drinking enough water.
• Wear light clothing – Opt for breathable, loose-fitting light-colored clothes and a hat to shield yourself from the sun.
• Use sunscreen – Apply SPF 30+ sunscreen regularly to protect your skin.
• Seek shade – Take breaks in shaded areas or air-conditioned spaces when possible.
• Know the signs of heat illness – Watch for dizziness, nausea, or confusion. Seek medical help if needed.
• Cool down – Use wet towels, misting fans, or splash water on your face and arms to enhance thermal comfort.
• Stay well – if you have a medical condition or take medicines regularly, check with your doctor.

India has taken a significant step to strengthen the safety and authenticity of medicines by expanding its QR code-based drug traceability system.

The Ministry of Health and Family Welfare has amended the Drugs Rules, 1945, bringing additional categories of medicines—including vaccines, anti-cancer drugs and antimicrobials—under the Schedule H2 track-and-trace framework.

The move is aimed at enhancing supply chain transparency, curbing counterfeit medicines and enabling patients to verify key details about their medicines through a simple QR code scan.

In 2025, the government made it mandatory for the top 300 pharmaceutical companies to print or affix QR (Quick Response) codes on the packaging of the medicines they sell.

The new amendment significantly expands its coverage to include:

• Vaccines
• Antimicrobials
• Anti-cancer medicines
• Narcotic and psychotropic drugs

Also read: India Ends OTC Sale of Cough Syrups, Doctor's Prescription Now Mandatory

What Does The Amendment Say?

The amendment applies to all vaccines, antimicrobials, narcotic and psychotropic drugs covered under the Narcotic Drugs and Psychotropic Substances (NDPS) Act, 1985.

All anti-cancer drugs have also been included under Schedule H2 of the Drugs Rules, 1945.

What Patients Can Check With The QR Code

According to the Health Ministry, manufacturers of these drug formulations will now be required to print or affix a Bar Code or Quick Response (QR) Code on the primary packaging label of the product or, where there is inadequate space, on the secondary packaging label.

The QR code shall store information that can be accessed through software applications to facilitate authentication and verification of the product throughout the supply chain.

The QR code will contain key product information, including:

• Unique product identification code
• Generic and brand names
• Name and address of the manufacturer
• Batch number
• Manufacturing and expiry dates
• Manufacturing license number
• Details of excipients, wherever applicable.

Read More: Sleeping Too Little or Too Much? Neurologist Explains Health Risks

Why Does This Matter?

The enhanced traceability mechanism is aimed at facilitating authentication of medicines at various stages of the supply chain and enabling improved tracking and verification of drug products, the Ministry noted.

The measure is expected to strengthen regulatory oversight and support efforts to curb the distribution of spurious medicines in the market.

It will also contribute to the national fight against antimicrobial resistance (AMR) by enabling better identification and monitoring of counterfeit and substandard antimicrobial products.

Recognizing the need to provide adequate time to industry and other stakeholders for implementation, the Ministry has also prescribed phased timelines for compliance.

From When Will It Be Applicable?

As per the Ministry, the provisions relating to vaccines, narcotic and psychotropic drugs, and anti-cancer medicines shall come into force from July 1, 2027.

The provisions relating to antimicrobials shall become effective from July 1, 2028.

Increasing Counterfeit Medicines In India

The government's QR code move comes amid mounting concern over counterfeit and substandard medicines in the Indian market.

In May, the Central Drugs Laboratories identified 46 drug samples as Not of Standard Quality (NSQ), while State Drugs Testing Laboratories identified 113 drug samples as Not of Standard Quality (NSQ), according to the Health Ministry.

Further, one drug sample from Assam was identified as a spurious drug. It was manufactured by unauthorized manufacturers using a brand name owned by another company. The matter is under investigation and action will be taken as per the Act and Rules.