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Kids love going around places, playing, and exploring new things. While all of this is fun, it can expose them to diseases. When they come from school, they are exposed to various germs through air and transmission or direct contact. They also touch surfaces a lot, then their face, then their mouths. This makes it easy for illness to spread. While it is impossible to prevent illness completely, there could be several measures that can reduce the risk and support recovery.
Vaccination is a critical step in preventing severe illnesses. The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) recommend following an established vaccine schedule. Vaccines protect against life-threatening infections, including those that disproportionately affect infants and young children.
While no vaccine can prevent one from common cold, good hygiene practices can significantly reduce germ transmission. Parents must therefore encourage their children to wash their hands after touching toys, hard surfaces, and other people. What is more important is proper hand hygiene, as handwashing with soap and water is the most effective way to eliminate germs.
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There are several research that suggests that early exposure to germs may help develop a child’s immune system, a concept known as the "hygiene hypothesis." However, many immunologists argue against this theory, noting that children naturally encounter enough germs to build immunity without unnecessary exposure to unsanitary conditions. A balanced approach ensures children develop a strong immune response without increased risk of illness.
Regular cleaning of toys, school supplies, and frequently touched objects is essential. Understanding the difference between cleaning, sanitizing, and disinfecting can help:
It is important to read product labels carefully, use child-safe cleaning products, and rinse toys thoroughly after disinfection, especially those that go into a child’s mouth.
To minimize germ exposure, parents should clean objects with soap and water first and then use a sanitizer for everyday items. Disinfectants, which are stronger, should be used on objects that a sick person has touched. The Environmental Protection Agency (EPA) provides a list of approved sanitizers and disinfectants that effectively kill germs.
Teaching children proper hygiene without creating fear is essential. Make handwashing engaging by incorporating songs or counting games. Explaining the benefits of hygiene in a positive way helps children understand that washing hands protects them and others. Parents can reinforce these habits by leading by example.
A strong immune system helps children fight infections more effectively. Proper nutrition plays a crucial role in immune support. A balanced diet should include:
Multivitamins are generally unnecessary for well-nourished children, but if supplements are used, they should be free of added sugars and taken under supervision to prevent choking hazards.
Proper respiratory hygiene reduces the spread of illness. Parents should model behaviors such as covering their mouths with an elbow when coughing or sneezing. Using tissues and disposing of them immediately is also a good practice. Reinforcing these habits through positive encouragement makes children more likely to adopt them.
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After an abortion, patients may endure mild pain in the initial days and vaginal bleeding resembling menstruation for 3-7 days. Abortion can bring mixed emotions. Deciding to try for a pregnancy after an abortion can bring a mix of emotions. Some women may feel ready to conceive again soon, while others may need more time physically or emotionally. No single timeline works for everyone. To understand when the body is ready and support emotional well-being, a few factors can help women make informed decisions before trying again.
In most cases, fertility can return quite quickly after an abortion. Ovulation may resume within a few weeks, which means pregnancy is possible even before the next menstrual period. For women who had an uncomplicated abortion, there may not always be a medical need to wait for several months before trying to conceive. However, the right time can depend on the individual's health, how far along the pregnancy was, the type of abortion, and whether there were any complications. But it is always advised to abstain from sexual activities for at least a month to prevent unintended pregnancies and avoid damage to the cervix.
If you had a surgical abortion or a dilation and curettage (D&C) procedure, your doctor may advise abortion recovery; suggest waiting for 3 months for your uterus to heal and then plan pregnancy. If your miscarriage occurred in the second or third trimester, it may be recommended to wait for 3 to 6 months (depending on your physical and mental capacity) so that your body can rest well and recover from any deficiencies before the next pregnancy. Abortion can disrupt hormonal balance and alter the menstrual cycle, affecting reproductive health and leading to infection and inflammation.
Although fertility may return quickly, the body still needs time to recover. Remember, the signs of pregnancy are the same whether you had or had not an abortion. Therefore, always look for certain signs, such as bleeding and cramping can occur after an abortion, and the menstrual cycle may take some time to return to its usual pattern.
But if they experience very heavy bleeding, persistent severe abdominal pain, fever, foul-smelling discharge, or other symptoms that could indicate an infection or complication, they should immediately consult a gynaecologist.
Physical recovery is only one part of the process; what mostly gets affected is mental health. Abortion or miscarriage comes from different emotions, including relief, sadness, guilt, anxiety, or a combination of these feelings.
There is no "right" way to feel. For some women, becoming pregnant again can bring happiness and reassurance, while for some it may trigger memories or fears related to the previous pregnancy. Emotional readiness weighs more than physical readiness. Therefore, during this phase, it becomes quite important for partners and family members to talk openly and take care of each other.
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Abortion leads to blood loss, and bleeding lasts up to a week. So, protein can be an ideal source for blood regeneration. Supplement with basic vitamins such as vitamin C, B1, B2, and vitamin E. For vitamins, consume fresh fruits and green vegetables such as spinach, tomatoes, bean sprouts, pumpkin, apples, and grapes contain extremely rich vitamin content, in addition to iron and phosphorus to help aid in blood replenishment.
Folic acid is a B vitamin that helps regenerate red blood cells. Intake of calcium can help prevent insomnia, lethargy, and aching limbs. Along with these, mild meditation and exercise can help you stay fit physically and mentally.
A previous abortion also does not necessarily increase the risk of problems in a future pregnancy. After an abortion, possible complications may include heavy bleeding, infection, incomplete abortion or retained tissue, cervical or uterine injury or perforation, uterine adhesions, and temporary menstrual irregularities. In rare cases, complications may affect future fertility; in such cases, immediate medical attention is needed if there is severe or worsening lower abdominal pain, fever or chills, very heavy or prolonged bleeding, foul-smelling vaginal discharge, dizziness, fainting, or significant weakness.
It is normal for conception to take some time. Not becoming pregnant in the first few months does not automatically mean there is a fertility problem. The key is to look beyond the question from "How soon can I get pregnant?" to "Am I physically and emotionally ready?” Every pregnancy creates its own stories.
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Musculoskeletal problems such as back pain, once more commonly associated with adulthood and old age, are increasingly being reported among schoolchildren, experts at the Indian Association of Physiotherapists (IAP) have warned.
Ahead of the World Physiotherapy Asia Western Pacific (WPAWP) Regional Conference 2026, IAP experts flagged a reported 40% rise in musculoskeletal problems among schoolchildren, citing sedentary lifestyles and poor movement habits as key concerns.
The experts called for greater focus on prevention, movement education and physical fitness from an early age.
“Back pain does not start in old age. We are seeing a concerning 40% rise in musculoskeletal problems among schoolchildren, and this should make us rethink how we approach preventive healthcare in schools,” Prof. Dr. Sanjiv K. Jha, President of the Indian Association of Physiotherapists (IAP), said.
He flagged concerns that long hours of studying and prolonged screen use are making children increasingly physically inactive. Reduced movement, along with inadequate strength, flexibility and fitness, may contribute to musculoskeletal problems and could have long-term consequences if not addressed.
“We need to shift from treating musculoskeletal problems after they appear to preventing them through early education, fitness and appropriate physiotherapy interventions,” Dr. Jha said.
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Indian research indicates that musculoskeletal symptoms are a significant concern among school-going children.
A study of 934 children aged 8–15 years from four schools in Bhopal found that 55.9% reported pain during the previous 12 months, while 41.6% reported pain during the preceding 10 days and 21.3% had visited a doctor for the problem. The study also found that the average schoolbag weighed 16.5% of the students’ body weight.
Another study among schoolchildren aged 10–16 years in urban and rural areas of Khurda district, Odisha, found an 18.8% prevalence of musculoskeletal pain during the preceding year. The research examined factors including backpack weight, age, gender and body measurements.
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Experts caution against attributing childhood back pain solely to heavy schoolbags. Scientific evidence suggests that musculoskeletal pain can have multiple contributing factors, including physical activity, movement habits, previous injuries, psychosocial factors, prolonged sitting and individual characteristics.
This points to the need for a broader approach to childhood musculoskeletal health rather than focusing exclusively on schoolbag weight.
“We should not totally link childhood back pain to a heavy-school-bag problem. Children need regular movement, physical fitness, strength, flexibility, good movement habits and awareness about how they use their bodies,” Dr. Ruchi Varshney, part of the IAP, said.
She added that physiotherapy can help schools introduce preventive programs focused on movement education, early identification of problems and healthy physical activity rather than waiting until pain becomes persistent.
Physiotherapists believe schools can become important platforms for movement education, exercise, postural awareness, physical fitness, injury prevention, ergonomics, early screening and health promotion.
The larger message is that back pain should not be viewed as an inevitable problem of growing older.
Musculoskeletal health begins in childhood, and prevention should begin before pain becomes persistent.
Regular movement, physical fitness, strength and flexibility can help children develop healthy movement habits and support their musculoskeletal health as they grow.
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Congenital heart disease (CHD) is not just a paediatric cardiac problem. It is a major public-health challenge. CHD is among the most common birth defects, affecting approximately 8–12 babies per 1,000 live births. In India, with a birth prevalence of around 9 per 1,000, this translates to approximately 2.4 lakh babies being born with CHD every year.
Indian consensus guidance has also estimated that CHDs may account for approximately 10% of infant mortality in the country. These numbers make one thing clear: we cannot treat congenital heart disease only after a child becomes sick. We need to find it earlier. And that is where newborn screening becomes a public-health priority.
One of the biggest challenges is that a baby with a serious heart defect may look completely healthy at birth. Some critical congenital heart defects may have no obvious signs during the initial newborn examination. A baby may feed normally, have a normal colour and appear ready to go home—only to deteriorate days later when the circulation changes after birth.
By then, what could have been a planned referral can become an emergency. This is why “the baby looks fine” cannot be considered a heart check.
A careful newborn examination remains essential, but it cannot identify every critical heart defect. This is where pulse oximetry can add another layer of protection. Pulse oximetry is a simple, non-invasive test that measures oxygen saturation. When performed alongside clinical examination, it can help identify babies with critical congenital heart disease who may otherwise be missed.
Importantly, pulse oximetry does not diagnose every form of CHD and a normal reading does not rule out all heart defects. It is a screening tool—not a substitute for clinical assessment or echocardiography. Indian studies have demonstrated the potential value of combining clinical examination with pulse oximetry. In one study of asymptomatic newborns, pulse oximetry alone detected 80% of critical CHD cases, clinical examination detected 60%, while combining the two identified all cases in that study.
The question should no longer be: “Can we screen some babies?” The question should be: “How do we ensure that no baby is missed simply because screening was not available?”
India has already demonstrated that population-level screening can work. Kerala's state-wide newborn programme incorporated pulse oximetry screening into government delivery centres. By 2019, more than 157,000 newborns had been screened, with the programme identifying 134 cases of CHD, including 74 critical cases.
This is the kind of approach that needs to move from individual hospital initiatives towards standardised newborn-care pathways across the country. At Cloudnine Hospitals, we have screened more than 3 lakh babies so far. Through this screening, we identified 92 cases of Critical Cyanotic Congenital Heart Disease (CCCHD). These findings highlight the value and cost-effectiveness of routine pulse oximetry screening in newborns.
Screening without referral is not enough
However, screening is only the first step.
A public-health programme must connect the entire chain:
Screen → Confirm → Refer → Treat → Follow up
A baby who screens positive needs timely access to echocardiography, paediatric cardiology, neonatal stabilisation and, when required, cardiac intervention. This is one of India's biggest challenges. Paediatric cardiac services, specialists, diagnostic facilities and transport systems are unevenly distributed, particularly between urban and rural areas.
Indian literature has highlighted the gap between the enormous number of babies who may require cardiac care and the country's capacity to provide timely specialised treatment. Therefore, universal screening without a strong referral and treatment network cannot solve the problem.
The good news is that the story of CHD is no longer one of inevitable poor outcomes. With timely diagnosis and access to appropriate treatment, more than 90% of people born with CHD can survive into adulthood with good long-term outcomes. Treatment may include monitoring, medicines, catheter-based procedures, surgery or staged interventions, depending on the defect.
The challenge, therefore, is increasingly about closing the gap between what modern medicine can achieve and what a child actually receives. A child cannot benefit from a life-saving cardiac intervention if the heart defect is never detected, if the diagnosis is delayed, or if the family cannot reach the right centre in time.
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Parents should know that congenital heart disease is not always visible at birth. During pregnancy, recommended antenatal scans can help identify several structural heart abnormalities. After birth, a thorough newborn examination and, where available and appropriate, pulse oximetry screening can provide additional opportunities to detect critical heart disease.
Parents should also seek prompt medical attention if their baby develops:
These signs do not necessarily mean that a baby has CHD, but they should never be ignored.
For too long, congenital heart disease has been viewed primarily as a specialist problem. It is time to view it as a newborn-health priority. If approximately 2.4 lakh Indian babies are born with CHD every year, then early identification cannot remain dependent on whether a particular hospital has a screening protocol or whether a family happens to reach a cardiac centre in time.
We need standardised newborn screening, trained healthcare professionals, reliable referral pathways, accessible paediatric cardiac services and long-term follow-up.
This is what public-health action looks like.
“Use Heart for Action” should mean more than awareness on World Heart Day. For newborns, it should translate into action at the point where it can make the greatest difference—before a silent heart defect becomes a life-threatening emergency. Each can be an opportunity to detect a problem earlier.
We cannot prevent every congenital heart defect. But we can work towards preventing a missed diagnosis from becoming a missed opportunity to save a child's life. Because every newborn deserves a heart check—and when it comes to a baby's heart, we cannot afford to miss a beat.
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