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.

Amid worsening air pollution in Delhi, the Supreme Court of India on Monday allowed certified green crackers in Delhi-NCR on November 7 and 8, ahead of Diwali. The complete ban on firecrackers will return on November 9, the court said.

The decision comes as Delhi's air quality deteriorates. The city's Air Quality Index (AQI) entered the 'very poor' category for the first time this season on Monday, reaching 312 at 9 am, according to the Central Pollution Control Board (CPCB). This was the morning reading, with the daily average due at 4 pm.

An AQI of 301–400 is classified as 'very poor', while readings above 400 fall in the 'severe' category. Delhi recorded an AQI of 261 on Sunday, its highest this season and the worst in 198 days. The last reading above 250 was 263 on April 17.

The court imposed the following restrictions:

• Timings: Green crackers can be burst only between 6–7 am and 8–10 pm on November 7 and 8.
• No-cracker zones: Their use is prohibited within 300 metres of hospitals, nursing homes, health centres, old-age homes and educational institutions. These areas must be clearly marked.
• Manufacturers and traders must also furnish monetary security, which will be forfeited if they violate the court's order.

What Are Green Crackers?

Developed by the Council of Scientific and Industrial Research (CSIR) and the National Environmental Engineering Research Institute (NEERI) in 2018, green crackers are designed to produce fewer emissions than conventional firecrackers.

They are claimed to generate approximately 30% less particulate pollution and produce less noise by using modified chemical formulations and dust-suppressing additives.

Are Green Crackers Really Safer For Your Health?

Read More: Landmark Study Links Air Pollution To Higher Hospital Admissions For Cancers & Mental Health Disorders: Lancet

Traditional crackers can release toxic metals such as lead, copper and cadmium, which are associated with nervous system damage, respiratory irritation and kidney damage.

Unlike conventional firecrackers, green crackers are designed to reduce certain polluting chemicals. While green crackers may be less polluting than conventional fireworks, they are not pollution-free. Their chemical combustion still releases particulate matter and gases that can affect respiratory health.

Both types of crackers cause pollution, and green crackers still contain oxidisers commonly used in conventional fireworks. They are claimed to produce 30% less air pollution and lower noise levels, with reported sound intensity dropping to 110 decibels from 160 decibels.

Do Green Crackers Contain Harmful Chemicals?

A 2020 survey by Sumaira Abdulali of the Awaaz Foundation, which works to prevent environmental and noise pollution, raised concerns about chemicals in commercially available firecrackers in Mumbai.

According to Frontline, all 28 crackers tested contained hazardous chemicals prohibited under the Hazardous Chemicals Rules. The Foundation also tested green crackers, including sparklers, chakris and anars, some carrying NEERI's green cracker certification mark.

The tests reportedly detected barium nitrate, potassium nitrate and sulphur. Barium nitrate was among the chemicals prohibited by the Supreme Court in October 2018.

Indian television actor Anuj Thakur died at the age of 33 after reportedly suffering a seizure in his sleep. Thakur, who appeared in television shows like Dhoom Machao Dhoom and Bandhan Saath Janmon Ka, died at his Mumbai home on October 27. His friend and casting director Rupesh Sonar confirmed the news on November 2, saying the actor's family had told him that Thakur suffered a seizure during the night.

Speaking to The Indian Express, Sonar recalled, “I was shocked to hear that he had gone to sleep at night and never woke up.”

He also revealed that Thakur had experienced another seizure earlier in 2026 and was getting treated for it. According to Sonar, the actor's mother found him unresponsive when she went to wake him in the morning.

Although the exact medical cause of Thakur's death has not been confirmed yet, the incident raises questions about when seizures occurring during sleep can become life-threatening.

When Can Nocturnal Seizures Turn Fatal?

We spoke to Dr Praveen Gupta, Chairman - Marengo Asia International Institute of Neurology and Spine (MAIINS), Marengo Asia Hospitals, Gurugram, about the dangers of seizures during sleep. He said that nocturnal seizures are more dangerous because they may go unnoticed and help may be delayed.

Dr Gupta explained, "A seizure during sleep can sometimes be fatal even in someone who has never been diagnosed with epilepsy. The majority of seizures stop spontaneously, yet some seizures may interfere with normal breathing, have an effect on the rhythm of the heart and decrease oxygen supply to the brain. A dangerous aspect occurs when a seizure occurs while sleeping because the person may be alone or unable to call for help. It is important to treat a first seizure seriously because it can be related to dangers that require immediate evaluation by a doctor."

By Dr. Arindam Das, Senior Consultant - Neurology, Narayana RN Tagore Hospital, Mukundapur, Kolkata, told us that seizures can also be the first sign of a neurological issue. He added even if not all seizures will cause problems, any unexplained seizures should be checked out by a neurologist to determine the cause and find the right treatment.

Signs Of Nocturnal Seizures

The doctors said that signs of nocturnal seizures are subtle. Dr Gupta said, "Look for unexplained tongue biting, wet bedding from incontinence, or bruises or injuries found in the morning."

He also said that it is normal to wake up very tired and confused, with a headache and muscle soreness. He added that a person may notice sudden stiffening, jerking, , or odd movements. Some people may also experience unexplained sleepiness during the day.

Dr Manish Chhabria, Senior Consultant – Neurologist, Sir H. N. Reliance Foundation Hospital, said, "Signs a bed partner may notice are sudden body movements or jerks, movements, strange gurgles, complex or violent behaviors, vocalizations, sudden awakening with confusion or panic."

Dr Das advised, "If you are having repeated episodes then you should not ignore them. A neurological assessment can be done to help determine if there is abnormal brain activity. This can be done with investigations such as an EEG.

What Conditions May Cause Nocturnal Seizures?

Also read: Woman With Epilepsy Dies After Following ChatGPT’s Advice To Stop Medication: Why AI Cannot Replace A Doctor

Dr Chhabria said, "A seizure in sleep can be fatal even if one doesn’t have a prior history of it or never has been diagnosed of it."

Nocturnal seizures can occur due to many conditions, including epilepsy, brain infections, strokes and brain injuries, electrolyte imbalance, alcohol or drugs withdrawal.

Epilepsy

Epilepsy is the most common condition that can lead to repeated nocturnal seizures. Changes in brain electrical activity during different sleep stages can make seizures more likely in susceptible individuals. Certain forms are commonly associated with sleep. They include:

• Sleep-related hypermotor epilepsy, previously called nocturnal frontal lobe epilepsy
• Juvenile myoclonic epilepsy
• Epilepsy with generalised tonic-clonic seizures alone
• Other epilepsy syndromes

Brain infections

Infections affecting the brain like meningitis and encephalitis, can cause seizures by triggering inflammation and disrupting normal electrical activity in the brain.

Stroke and brain injuries

A stroke, bleeding in the brain or traumatic brain injury can damage brain tissue and trigger seizures. These may occur during sleep or even while awake.

Electrolyte disturbances

Certain abnormalities in the body's chemistry can trigger seizures. These disturbances can affect the electrical signalling between nerve cells. They include:

• Severe hypoglycaemia (low blood sugar)
• Low blood sodium
• Low calcium levels

Alcohol or drug withdrawal

Heavy alcohol use followed by sudden withdrawal can trigger seizures. Certain recreational drugs, including cocaine and amphetamines, can also provoke seizures.

Certain medications

Some medicines, including particular antidepressants and pain medications, can lower the seizure threshold, especially at high doses or in susceptible individuals.

Also read: What Causes Epilepsy? 5 Common Reasons Why It Happens

What Can Be Done To Prevent Nocturnal Seizures?

Anti-seizure medicines should be taken according to the schedule prescribed by the doctor. People who continue to experience seizures should consult their neurologist to review their treatment. Doctors may adjust doses, change medicines or consider other treatment options depending on the cause and frequency of seizures.

Dr Gupta said, "Taking your anti-seizure medication as prescribed is the best way to prevent seizures. Other good habits like getting enough sleep as well as not drinking alcohol and controlling stress also help. Safety options can get help quickly like a bed alarm, seizure monitor and sharing a room. Regular follow-ups help doctors to tweak the treatments."

The Epilepsy Foundation also recommends maintaining regular sleep patterns, avoiding excessive alcohol consumption and identifying seizure triggers.

Dr Chhabria recommended safe sleeping strategies "like side-lying positions, specialized anti-suffocation or lattice pillows, and creating clear emergency response plan does help prevent a catastophe."

For people who experience frequent seizures during sleep, nocturnal supervision may be considered. This can include having someone nearby who can provide assistance during the seizure.

Dr Das advised, "Family members should also be educated on how to give first aid during a seizure. Early intervention and good treatment can greatly improve your seizure control and reduce your risk."

What Should Someone Do During A Seizure?

Knowing seizure first aid can help prevent injuries and other complications. If someone experiences a seizure:

• Move nearby objects away to prevent injuries.
• Cushion their head with something soft.
• Loosen tight clothing around the neck.
• Turn them gently onto their side when possible, particularly after the convulsions stop.
• Do not restrain their movements or put anything inside their mouth.
• Monitor and time the seizure and stay with the person until they recover.

Emergency medical assistance is necessary if a seizure lasts five minutes or longer, another seizure begins before the person recovers, breathing becomes difficult or the person is injured.

Annual average heat-related deaths have increased by nearly 36% in the years following the Paris Agreement compared with the previous decade, according to the latest Lancet Countdown report.

The 2026 Lancet Countdown on Health and Climate Change report, released ahead of COP31, highlights how climate change is increasingly threatening health and survival worldwide, even as climate action begins to deliver measurable benefits.

The report also comes amid a strengthening El Niño event this year, which is expected to influence global temperatures and rainfall patterns in the coming months.

Climate Change's Growing Global Health Burden

The report identifies three key findings:

• Growing health burden: Climate-related health impacts have accelerated over the past decade as greenhouse gas emissions continued to break records.
• Uneven climate gains: Climate commitments since the Paris Agreement have delivered measurable health benefits, but progress remains too slow and uneven.
• Urgent action needed: Climate change must be recognised as a global health emergency, with equitable, evidence-based action prioritising health and survival.

“Climate change is already harming health in every region of the world, and the evidence shows that many of these impacts are accelerating,” said Dr Diarmid Campbell-Lendrum, Head of the Climate Change, Air Quality and Energy and Health Unit at WHO.

Also read: 'Humanity Can Still Act': Lancet Warns Of 17 Global Health Threats By 2100

Heat-Related Deaths and Drought Rising

In 2023 alone, heat was linked to a record 710,000 deaths globally, with more than 70% of this burden attributable to human-caused climate change.

Extreme drought affected nearly 52% of the world's land for at least one month in 2025. The report also highlights increasing exposure to hydrological extremes and economic losses linked to heat exposure.

Climate Change Increasing Health Risks in India

According to the report, Half of the heatwave days Indians experienced between 2016 and 2025 were attributable to climate change.

Indians also faced more than 2,600 hours annually when temperatures posed a moderate or higher risk of heat stress during outdoor activities such as brisk walking. This was over 200 hours more than the average recorded in the 1990s.

Rising temperatures also contributed to an estimated 64 hours of sleep lost annually between 2021 and 2025, approximately three hours more each year than during 1986–2005.

Climate change is also increasing the climatic suitability for dengue and malaria transmission in India.

Read More: Climate Change And Gut Health: How Heat, Drought And Unsafe Water Raise Risks, Global Experts Warn

Clean Energy Investments Offer Hope

The report notes progress in climate-resilient health systems, including greater adoption of national health adaptation plans and climate-informed early warning systems.

Global investment in clean energy reached a record US$2.1 trillion in 2025. Countries that have reduced fossil fuel-related air pollution are also estimated to be preventing thousands of premature deaths each year.

Lancet Countdown Calls for Climate Emergency Recognition

The 2026 report brings together 146 researchers from more than 100 institutions across over 30 countries. The authors call for climate change to be formally recognised as a global health emergency, with health considerations integrated into climate mitigation, adaptation and financing decisions.

Priorities include reducing greenhouse gas emissions, increasing adaptation funding and strengthening health systems.

"Climate action is a health intervention. Cleaner energy, stronger health systems and early warning systems are saving lives today,” Campbell-Lendrum said.

El Niño Could Further Intensify Health Risks

The World Meteorological Organization (WMO) has forecast above-average temperatures across large parts of the world in 2026, with the strengthening El Niño expected to alter rainfall patterns and increase the risk of drought in some regions and floods in others.

For October-November-December, the seasonal average Niño 3.4 sea surface temperature anomaly is forecast to reach approximately +3.7°C, peaking around December. This is the highest since observations began and is stronger than the previous record of + 2.6 °C in November 2015-January 2016.

These conditions could further intensify heat exposure, disrupt water and food supplies and increase the risk of climate-sensitive diseases, including dengue and malaria, the WMO said, adding that forecasts indicate a near-100 per cent likelihood that it will persist through February 2027.