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 Democratic Republic of the Congo is set to receive 70,000 doses of Ervebo, an Ebola vaccine that was developed for a different strain of the virus that caused an outbreak more than a decade ago. As the country battles its deadliest Ebola outbreak caused by Bundibugyo virus, latest updates suggest that the death toll has topped 2000.

The vaccine was allocated by the International Coordinating Group on Vaccine Provision. Of the 70,000 doses, 20,000 will be used in a Phase 3 clinical trial to determine whether Ervebo can actually protect people against Bundibugyo. The remaining 50,000 doses will be given to frontline and healthcare workers.

Ervebo is licensed for Ebola virus caused by the Zaire strain. There is currently no licensed vaccine specifically approved for Bundibugyo virus disease.

Ervebo Was Designed To Combat Zaire Strain Of Ebola

It has since played an important role in controlling Ebola outbreaks caused by that virus. Additionally, WHO lists Ervebo as the only currently licensed vaccine for Ebola virus disease.

The problem in the current outbreak is that Bundibugyo is a different species of orthoebolavirus. That means it simply cannot be assumed that Ervebo can protect against the Bundibugyo virus.

Also read: Congo's Ebola Outbreak Is Spreading Fast But WHO Says It Can Still Be Contained In 3 Months

Early Studies Suggest Some Cross-Protection May Be Possible

If there is no certainty that Ervebo protects against Bundibugyo, then what is the scientific reason for its testing? To answer that question, WHO says early laboratory and animal studies suggest that the vaccine may provide some protection against Bundibugyo.

Some studies have also detected immune responses that cross-react with Bundibugyo virus after vaccination against Ebola virus.

WHO's guidance concluded that the available evidence was insufficient to determine or reliably estimate Ervebo's effectiveness against Bundibugyo.

Also read: DR Congo Ebola Outbreak Becomes Deadliest In Country's History As Death Toll Hits 2,325

Upcoming Trial Could Help

WHO's Technical Advisory Group updated its recommendation in July and said Ervebo should be prioritised for inclusion in a Phase 3 research study because there is no Bundibugyo-specific vaccine currently ready for evaluation.

The trial could provide the first meaningful human evidence about whether vaccination with Ervebo prevents Bundibugyo infection or reduces severe disease.

WHO has also stressed that Ervebo should not be used as a routine Bundibugyo vaccination programme outside the research settings, because its effectiveness against the current strain remains unproven.

Why A Zaire Vaccine Is Being Used During A Bundibugyo Outbreak?

The decision comes down partly to urgency and the lack of alternatives. According to the CDC, the Bundibugyo outbreak in eastern DRC has spread rapidly, with 5,375 confirmed cases and 2,557 deaths.

The virus is also circulating in areas where conflict, displacement, and population movement have made contact tracing and outbreak control particularly difficult. Waiting for a completely new vaccine to be developed, tested and approved could take much longer.

Ervebo, meanwhile, is already widely used against Ebola virus. Testing whether it provides cross-protection could therefore offer a potentially faster way to contain the outbreak.

WHO Director-General Dr Tedros Adhanom Ghebreyesus welcomed the vaccine allocation, calling it, “An important example of global solidarity in action.”

He said WHO and its partners remain committed to strengthening surveillance, rapid detection, quality care, community engagement and vaccination efforts to bring the outbreak under control.

Also read: Ebola Outbreak Is Claiming 1 Life Every 30 Minutes In DR Congo: UN Humanitarian Official

A Bundibugyo-Specific Vaccine Is Still Needed

Researchers are also working on vaccines specifically designed to target Bundibugyo. WHO says several candidates are under development, including approaches from IAVI and Oxford University, while other research groups are exploring vaccines designed to provide broader protection against multiple Ebola species.

Two vaccines specifically designed against Bundibugyo virus have entered Phase 1 safety trials in humans. CEPI-backed studies are also examining whether existing Ebola vaccines can generate immune responses against Bundibugyo, using blood samples from people who have previously received Zaire-targeting vaccines.

Louisiana health officials have confirmed a rare infection caused by Naegleria fowleri, commonly called the “brain-eating amoeba,” in a resident who most likely contracted the infection after swimming in Lake Claiborne in Louisiana.

The Louisiana Department of Health confirmed the case this week, issuing a warning to people entering warm freshwater. It is the fourth documented Naegleria fowleri infection in Louisiana since 1937.

The case comes as health officials continue to warn about the seasonal risk of the amoeba, which thrives in warm freshwater, particularly during the summer months. According to CDC data, most US cases occur in July and August.

The Amoeba Enters Through The Nose

From the nasal pathway, the organism can travel along the olfactory nerves into the brain and cause primary amebic meningoencephalitis (PAM), an infection that progresses rapidly and causes inflammation and destruction of brain tissue.

Swallowing contaminated water also does not cause Naegleria infection, and the infection cannot spread from one person to another.

Also read: Fournier Gangrene: Woman Develops Rare Flesh-eating Infection After Bikini Shave, Herbal Application

Louisiana Health Officials Warn People

Naegleria fowleri is naturally found in warm freshwater lakes, ponds and rivers, as well as some hot springs and other warm-water environments.

According to CIDRAP, the amoeba can survive at temperatures as high as about 115°F (46°C). Cases are particularly linked with freshwater exposure during periods of high temperatures.

The risk remains extremely low despite its potentially devastating outcome. The CDC recorded 180 PAM cases in the US from 1937 through 2025, with cases ranging from zero to eight per year.

The LDH said recreational water users should not assume that warm freshwater is completely risk-free. “Though the risk of infection is low, recreational water users should always assume there is a risk when they enter warm fresh water.”

The department added that people can reduce their risk by preventing water from entering your enters the nose. That can include using nose clips or keeping the nose above water when swimming in warm freshwater.

Also read: Can You Contract Deadly Flesh-Eating Bacteria At The Beach? Louisiana Health Officials Warn Beachgoers

Symptoms Can Mimic Meningitis

Primary amebic meningoencephalitis can initially mimic other infections. Early symptoms can include headache, fever, nausea and vomiting. As the infection progresses, patients can develop a stiff neck, confusion, problems with balance, seizures, hallucinations and loss of consciousness.

The illness progresses extremely quickly, with CDC data indicating that symptoms generally begin within 1 to 12 days after exposure. Death can occur within days after symptoms appear. As the disease is extremely rare and its early symptoms resemble other forms of meningitis, diagnosis can be challenging.

The Louisiana case follows another recent case in the state involving an 8-year-old Ruston girl, who was hospitalized after developing a Naegleria fowleri infection that health officials said may have been acquired while swimming in a North Louisiana lake.

Simple Precautions Can Reduce Exposure

The cases highlight the importance of taking precautions around warm freshwater during the summer, even though the overall probability of infection remains extremely small.

The CDC recommends avoiding activities in warm freshwater when possible, particularly during periods of high water temperatures. People who do enter such water can reduce exposure by using nose clips or keeping their head above water, and by avoiding stirring up sediment in shallow, warm areas.

Another important precaution concerns nasal rinsing. Naegleria can also be transmitted when contaminated tap water is used in devices such as neti pots. For nasal rinsing, the CDC recommends using distilled or sterile water, or water that has been boiled and cooled.

Amid an ongoing Salmonella outbreak that has infected hundreds of people, vulnerable groups in the UK are being advised to avoid undercooked or runny eggs.

The Food Standards Agency (FSA) issued the precautionary advice after the UK Health Security Agency (UKHSA) declared a national outbreak. The outbreak has infected 207 people across the UK, with one death and 34 hospitalisations.

Officials suspect imported eggs or food products containing imported eggs may be behind the outbreak.

However, the FSA said well-cooked eggs served in restaurants, cafes and takeaways are safe to eat.

Who Is at Risk?

The FSA advised vulnerable groups, including:

• Children under five
• Adults over 65
• Pregnant women
• People with certain health conditions or weakened immune systems

Ian Young, chief scientific adviser at the FSA, said vulnerable people eating out should ensure that eggs and egg products are thoroughly cooked.

Which Foods Should Be Avoided?

The FSA advised vulnerable people to avoid runny eggs and freshly made foods that may contain uncooked eggs, including:

• Mayonnaise
• Soufflés
• Hollandaise sauce

Are Supermarket Eggs Safe?

Young reiterated that people can continue to buy British eggs from supermarkets. Chickens bred in the UK are vaccinated against common strains of Salmonella.

“There is no link to those eggs to this current outbreak,” he said.

He described the outbreak as “unusually large and rapidly increasing” and urged people to take precautions.

The UKHSA has launched an investigation to identify the source of the outbreak. Initial findings suggest it may be linked to eggs imported from outside the UK, although the source has not yet been definitively established.

Dr Kathleen O'Reilly, associate professor at the London School of Hygiene & Tropical Medicine, said the investigation involves identifying additional cases and examining possible common sources of infection.

Where Have Cases Been Reported?

Cases have been reported across the UK:

• England: 199 cases
• Scotland: 6 cases
• Wales: 1 case
• Northern Ireland: 1 case

In England, London has reported the highest number of cases, with 47, followed by Yorkshire and the Humber with 38.

What Is Salmonella?

Salmonella is a bacterial infection that commonly causes diarrhoea and gastrointestinal illness.

Common symptoms include:

• Diarrhoea
• Stomach cramps
• Vomiting
• Fever

How Does Salmonella Spread?

The UKHSA stated that Salmonella Enteritidis is the most common Salmonella serovar in England and a leading cause of salmonellosis.

Like other non-typhoidal Salmonella infections, it can spread through contaminated food, including:

• Eggs
• Poultry
• Meat
• Unpasteurised dairy products
• Fresh produce

The bacteria can also spread through contact with contaminated environments or from person to person.

How to Reduce the Risk of Salmonella

Dr O'Reilly advised people to fully cook eggs before eating them and maintain good food hygiene.

Key precautions include:

• Cook eggs thoroughly, including omelettes, rather than leaving them runny.
• Wash your hands with soap after handling food and during food preparation.
• Clean chopping boards and utensils after preparing food.
• Check food hygiene ratings when choosing catering outlets.

People who develop diarrhoea or stomach cramps should rest and drink plenty of fluids. Young children, older adults and other vulnerable people who become ill should seek medical advice.