We are always told to never mix work and friendships in social settings. While it is normal to make friendships at work, you should always keep a professional distance to make sure things do not go sour and start affecting your work. This also means that you do not divulge private information or have private conversations with your colleagues as you may never know how this could be brought up and affect you. This is an unsaid rule in corporate culture that if you are sick or you are coming down with a serious issue, you should never bring it up and keep it to yourself. While this may seem unusual to new workers, it is a very common knowledge for people who have been in the industry for a long time. A new study showed that this is much more common than many people believe!

A new poll shows that a lot of U.S. workers with long-term health problems keep it a secret from their bosses. This affects their health and their jobs. It's a big problem that employers could help fix, which would be good for everyone. This isn't just about people having a sniffle. We're talking about serious conditions like heart disease, diabetes, and asthma that require ongoing management and can significantly impact a person's life, both inside and outside of work. The fact that so many people feel they need to hide these conditions shows a larger issue of stigma and lack of support in the workplace.

How Does Health Become A Hidden Burden?

Most U.S. workers which were over half of the people, have some kind of long-term health problem. But a lot of them, about 6 out of 10, don't tell their boss. They might be afraid their boss will treat them differently or think they can't do their job. Keeping secrets like this can make it hard to get the help you need at work. It can also make your health problems worse because you're stressed about hiding them. It's a tough situation, and it shows that many workplaces aren't as supportive as they could be.

The poll also found that more than a third of people with health problems have had to miss doctor's appointments because of work. This means they're putting their jobs ahead of their health, which isn't good. It's hard to balance work and health, especially when you have a long-term illness. People need understanding bosses who will let them take time off for important medical stuff. Missing appointments can make health problems worse, and it can also make people feel more stressed and anxious.

Does It Impact Their Career And Well-Being?

Almost half of the workers with health problems said they couldn't even take breaks during the day to take care of themselves. They also said they felt like they'd been passed over for promotions because of their health. And some people even got bad reviews at work because of their health problems. This can make people feel really bad about themselves and their jobs. It can also make their health problems worse because they're so stressed. It's not fair, and it's something that needs to change.

It's not just people with health problems who have a hard time. Lots of people are also taking care of someone at home who is sick. Almost half of these caregivers have to help their sick family member during work hours. And many of them have trouble taking time off to care for their loved ones. Some people even have to work fewer hours, which means less money. This shows how much pressure people are under, trying to juggle work and family and health.

Kerala has recently seen a sharp increase in hepatitis A cases, drawing national attention after media reports revealed more than 31,000 infections and 82 deaths recorded by the end of December 2025, according to NDTV. The World Health Organization (WHO) states that Hepatitis A leads to mild or severe illness in around 1.4 million people each year, while nearly 113 million individuals get infected without showing symptoms. Globally, the disease claimed an estimated 7,134 lives in 2016. With numbers climbing in Kerala, here is a closer look at what hepatitis A is, how it spreads, and the precautions people should take.

Kerala Sees A Rise In Hepatitis A Cases

Kerala has reported its highest number of hepatitis A cases so far, raising renewed worries around drinking water quality, sanitation standards, and disease monitoring. As per The Hindu, the state logged 31,536 confirmed and suspected cases along with 82 deaths as of December 30, 2025. Health specialists say the outbreak did not happen overnight. It reflects long-standing pressure on early detection systems, sanitation facilities, and public water supply networks. Since Hepatitis A tends to be more severe in older age groups, the growing number of infections among adolescents and adults has become a major concern.

What Is Hepatitis A?

Hepatitis A is a viral infection of the liver caused by the hepatitis A virus (HAV). It spreads mainly through contaminated food or water, or close personal contact with an infected person. The infection can cause liver inflammation, jaundice, extreme tiredness, and stomach pain. In most cases, it is a short-term illness that clears on its own without specific treatment, though severe cases can occur. Unlike hepatitis B or C, hepatitis A does not lead to long-term liver damage. The WHO notes that vaccination remains the most reliable way to stay protected.

Symptoms Of Hepatitis A

Symptoms of hepatitis A usually show up a few weeks after exposure to the virus, though some people never develop noticeable signs. According to the Cleveland Clinic, those who do may experience:

• Persistent fatigue and weakness
• Sudden nausea, vomiting, or diarrhea
• Pain or discomfort in the upper right side of the abdomen, near the liver
• Pale or clay-colored stools
• Reduced appetite
• Mild fever
• Dark-colored urine
• Joint aches
• Yellowing of the skin and eyes, known as jaundice
• Severe itching

These symptoms are often mild and disappear within weeks. In some cases, however, the illness can be intense and last for several months.

Why Is Kerala Witnessing A Surge In Hepatitis A Cases?

Kerala has faced several hepatitis A outbreaks in recent years, but the current rise is notable for its scale and severity. Reports cited by The Hindu link the spread to contaminated groundwater, poor sanitation, and unhygienic surroundings, particularly in crowded localities. Investigations suggest that inadequate environmental hygiene and unsafe water sources have played a key role in allowing the virus to spread more widely.

Can Hepatitis A Be Prevented?

Yes, prevention is possible. The Cleveland Clinic states that vaccination against hepatitis A is the simplest and most effective safeguard. Doctors recommend the vaccine for children older than 12 months and for adults who:

• Are at risk of exposure at home or at work
• Plan to travel to regions where the virus is more common
• Have existing liver conditions

Basic hygiene also goes a long way in preventing infection. Regular handwashing and careful food handling can reduce the risk significantly. Outbreaks often worsen when simple safety habits are ignored. Small daily choices can protect your liver. Drinking boiled or bottled water, avoiding food from unhygienic sources, and peeling fruits at home can help lower the risk.

If someone in the household is infected, cleanliness becomes even more important. Surfaces should be disinfected, food prepared carefully, and personal items not shared. Safe sexual practices also matter, as the virus can spread through oral-anal contact. On a broader level, preventing future outbreaks requires more than short-term fixes. Improving water quality, repairing sewage systems, and strengthening public health surveillance are essential to stop the cycle from repeating.

If flu symptoms such as fever, chills, coughing, a sore throat or a pounding headache start to creep in, many people assume the best option is to stay in bed and let it pass.

But even if you have managed the flu on your own in the past, this time it may be worth calling your doctor. That’s because antiviral flu medicines, including Tamiflu, can sometimes make a real difference.

Certain prescription drugs can shorten how long the flu lasts and lower the risk of serious complications, but timing is critical. Here’s how to work out whether flu antivirals could help you or someone close to you.

What Are Flu Antivirals?

Flu antivirals are prescription medicines designed to help the body fight off the influenza virus. “They work by stopping the flu virus from multiplying and spreading through the body. Influenza is the virus that causes the flu,” explained Deon Pilkington, PharmD, a clinical pharmacy coordinator as per Banner Health.

These medications do not cure the flu, but they may:

• Reduce how long symptoms last
• Lessen the intensity of illness
• Lower the risk of complications such as pneumonia or hospital admission
• Common flu antivirals taken by mouth include:
• Tamiflu (oseltamivir)
• Relenza (zanamivir)
• Xofluza (baloxavir)
• Another option, Rapivab (peramivir), is given through an intravenous (IV) infusion.

All flu antivirals require a prescription and are most effective when started within the first one to two days after symptoms appear. That’s why reaching out to a healthcare provider early can matter.

Antibiotics should not be used to treat the flu. “Because influenza is caused by a virus, antibiotics won’t help,” said Mallory Yan, PharmD, a pharmacist with Banner Health.

Who Is Most Likely To Benefit From Flu Antivirals?

Not everyone who gets the flu needs prescription treatment. “These medications are generally reserved for people who have confirmed flu and are at higher risk for complications,” Dr. Pilkington said.

You should contact a doctor promptly if you or someone you care for falls into one of these categories:

• Adults aged 65 and older
• Children under 5, especially those younger than 2
• Pregnant women or those who have recently given birth
• People with chronic illnesses such as asthma, diabetes or heart disease
• Individuals with weakened immune systems
• Residents of nursing homes, group homes or long-term care facilities
• Anyone whose symptoms are severe or worsening

Even healthy individuals may be prescribed antivirals if they live with someone at high risk. Limiting the spread of flu in households where complications could be serious is important.

When Should You Call Your Doctor?

If you are at higher risk, it’s best to contact your doctor as soon as flu symptoms begin. Starting treatment within 48 hours offers the greatest benefit.

Warning signs may include:

• Shortness of breath
• Chest pain or pressure
• Fever that does not improve with over-the-counter medication
• Chills
• Body aches
• Extreme tiredness or weakness
• Dizziness
• Confusion
• Vomiting
• Cough
• Sore throat
• Headache
• Signs of dehydration, such as reduced urination or a dry mouth

If you test positive for flu or feel seriously unwell, do not delay. Beginning antiviral treatment within the first two days gives you the best chance of recovering faster and avoiding complications.

Early Action Makes A Difference

If you’re wondering, “Do I need Tamiflu?” remember that flu antivirals are most helpful when taken early, ideally within the first day or two after symptoms begin. Acting quickly can change how the illness unfolds.

Symptoms such as constant exhaustion, mental fog, and occasional tingling in the hands or feet are often dismissed as stress or simply getting older. However, these signs can point to underlying nutrient deficiencies, including vitamin B12, iron, and folate (vitamin B9). These nutrients play a crucial role in brain health, nerve function, and carrying oxygen around the body.

Lack Of This Vitamin Deficiency Can Lead To Exhaustion

When ignored, these symptoms can quietly worsen. They are often your body’s way of signalling problems with nerve health, oxygen supply, and overall energy levels, which can make even simple daily activities feel harder than they should. According to the Daily Mail, around 15 per cent of people aged 15 to 29, and about 20 per cent of those over 60, have vitamin levels that are not low enough to be classed as a deficiency but are still insufficient to cause noticeable symptoms.

What Is Vitamin B12?

Vitamin B12 allows the brain to transmit signals properly and helps protect the nerves. When levels drop, people may notice memory lapses, poor concentration, or balance problems. In older adults, this can raise the risk of falls. Some individuals sit in a borderline range, where levels are not low enough to be diagnosed as deficient but are still enough to cause symptoms.

Certain people face a higher risk. Vegans are vulnerable because B12 is found mainly in animal products such as milk, meat, eggs, and fish. As people age, their ability to absorb B12 often declines due to lower stomach acid. Long-term use of acid-suppressing drugs, including proton pump inhibitors, can further reduce absorption, meaning supplements or injections may be needed.

Iron Is Important

Iron is essential for making haemoglobin, the substance in red blood cells that carries oxygen through the body. When iron levels are low, oxygen transport is reduced, and tissues with high energy needs, such as the brain and nerves, are affected first. This can lead to dizziness, weakness, and cold hands and feet.

Iron works closely with folate and vitamin B12 to support red blood cell production. A shortage of any one of these nutrients can limit how well oxygen is delivered, making tasks like climbing stairs or keeping warm feel far more draining. In the UK, iron deficiency affects around 3 per cent of men and 8 per cent of women.

Folate

Folate is important for cell development and the production of red blood cells. Levels have been falling in recent years, with teenagers showing particularly high rates of deficiency. Women of reproductive age are especially at risk, as low folate levels early in pregnancy can raise the chance of neural tube defects.

To address this, the UK government plans to add folic acid to white flour by the end of 2026, covering common foods such as bread and baked goods. Folate can also be found naturally in leafy green vegetables, beans, and citrus fruits.

Blood tests are the most reliable way to confirm whether a deficiency is present. Iron levels can be difficult to correct through diet alone because the body tightly controls absorption, so supplements are often needed, particularly for people with heavy periods or digestive problems. Folate deficiency is usually easier to correct with dietary changes or supplements.

Boosting vitamin B12 depends on the cause. Vegans often need supplements, while older adults or people taking acid-reducing medication long term may need higher doses or injections.

Leaving deficiencies untreated can allow symptoms to linger and, in some cases, lead to lasting nerve damage. The positive news is that once a deficiency is identified and treated, many people begin to feel better within weeks. Energy, focus, and overall well-being often return quickly, bringing noticeable improvements to everyday life.