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

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.

Good Hygiene

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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The Hygiene Hypothesis: Does Exposure to Germs Strengthen Immunity?

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.

Cleaning and Sanitizing Children’s Belongings

Regular cleaning of toys, school supplies, and frequently touched objects is essential. Understanding the difference between cleaning, sanitizing, and disinfecting can help:

• Cleaning removes visible dirt and debris.
• Sanitizing reduces germs to safer levels.
• Disinfecting kills germs completely, offering the highest level of protection.

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.

Choosing Effective Sanitizing Products

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.

Encouraging Good Hygiene Without Causing Anxiety

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.

Boosting Immunity Through Nutrition

A strong immune system helps children fight infections more effectively. Proper nutrition plays a crucial role in immune support. A balanced diet should include:

• Proteins
• Vegetables
• Fruits
• Healthy fats
• Carbohydrates
• Adequate hydration

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.

Teaching Respiratory Etiquette

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.

A new botulism outbreak in the United States linked to the now-recalled Nara Organics Whole Milk Organic powdered infant formula has led to hospitalization of at least three infants in three states, according to a notice from the Centers for Disease Control and Prevention (CDC).

The affected infants, aged between 2 and 5 months, are from California, Pennsylvania, and Washington state. All three have been hospitalized and are receiving treatment for infection caused by the bacterium Clostridium botulinum.

The CDC noted that on June 13, Nara Organics recalled all Nara Organics Whole Milk Organic Infant Formula products, including all lot numbers and both can sizes. The products were sold online and at major retailers nationwide.

“Testing of opened cans of Nara Organics brand formula and unopened Nara Organics product samples is underway, and results are expected in the coming weeks,” the CDC said.

This is the second recent outbreak of infant botulism linked to powdered formula. Earlier this year, investigators from the California Department of Public Health, working with federal officials and other state health departments, identified 51 suspected or confirmed cases of infant botulism across 19 states between March 2022 and December 2025. Those infants had consumed ByHeart infant formula.

What Parents And Caregivers Should Do

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The CDC has urged parents and caregivers to immediately stop using any Nara Organics Whole Milk Organic Infant Formula.

If you have unopened cans of the recalled formula, throw them away or return them. Parents should also wash any items and surfaces that may have come into contact with the formula with hot, soapy water or in the dishwasher.

Seek immediate medical attention if your infant consumed the recalled formula and develops any of the following symptoms:

• Poor feeding
• Loss of head control
• Difficulty swallowing
• Decreased facial expression

Symptoms of infant botulism can take several weeks to appear. Parents whose infants consumed the recalled formula should monitor them for symptoms for up to one month after their last exposure.

What Is Botulism?

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Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. The toxin attacks the nervous system and can lead to life-threatening complications if not treated promptly.

Botulism is considered a medical emergency because it can cause paralysis and breathing difficulties.

Types of Botulism

There are several forms of botulism, including:

• Foodborne botulism
• Wound botulism
• Iatrogenic botulism
• Inhalation botulism
• Infant botulism

Infant botulism is the most common form in babies between 2 and 8 months old. It occurs when Clostridium botulinum spores grow in a baby's intestines and produce toxin. Honey and contaminated soil are known sources of exposure.

Symptoms of Infant Botulism

Symptoms typically begin 18 to 36 hours after exposure and may include:

• Constipation is often the first sign
• Weak or floppy movements
• Weak cry
• Drooling
• Drooping eyelids
• Difficulty feeding or sucking
• Progressive paralysis

Infant botulism often begins with constipation but is usually first recognized through feeding difficulties, a weak or altered cry, and poor head control.

If left untreated, the illness can progress to severe paralysis, breathing difficulties, and prolonged hospitalization.

Egg freezing, once perceived as a concept limited to celebrities or affluent urban populations, is gradually becoming an important part of reproductive planning among Indian women, according to fertility experts.

Dr. Tarang Yadav, Senior Consultant - IVF, Obstetrics and Gynecology, ShardaCare–Healthcity, told HealthandMe that India is witnessing a gradual shift in conversations surrounding reproductive health, with more women seeking fertility consultations proactively rather than after experiencing difficulty conceiving. As per the expert, this trend is particularly visible in metropolitan and tier-2 cities.

The reason? Increasing awareness regarding fertility, delayed parenthood, evolving lifestyles, and advancements in reproductive medicine have contributed to growing interest in fertility preservation across different age groups and professional backgrounds.

"Today, more women are prioritizing education, career growth, financial stability, and personal readiness before planning pregnancy," Dr. Tarang said.

According to the World Health Organization, around 17.5 per cent of the adult population globally, nearly 1 in 6 people, experience infertility at some point in their lives, highlighting the growing need for accessible fertility care and awareness.

Also read: High Prolactin Levels Behind 40% Surge In Female Infertility Cases, Warn Doctors

What Is Egg Freezing?

Dr. Tarang explained that egg freezing, medically known as oocyte cryopreservation, allows women to preserve healthier eggs at a younger reproductive age, potentially improving future reproductive opportunities. While it does not guarantee pregnancy later in life, it offers an additional reproductive option for women who may wish to delay childbearing for personal, social, or medical reasons.

According to current international fertility preservation guidelines, planned oocyte cryopreservation can be considered in appropriately counselled women, particularly when undertaken at a younger age and after proper fertility assessment.

Who May Benefit From Egg Freezing?

Dr. Tarang noted that egg freezing is increasingly being considered not only for social reasons but also for several medical indications.

Women who can benefit from fertility preservation include those:

• planning a delayed pregnancy due to career or personal circumstances, who have not yet found a suitable life partner,
• cancer patients undergoing chemotherapy or radiotherapy, women with severe endometriosis, patients undergoing ovarian surgeries,
• with diminished ovarian reserve
• with a family history of premature ovarian insufficiency

"In such situations, fertility preservation can provide psychological reassurance and reproductive flexibility before ovarian function declines further," Dr. Tarang said.

Read More: India Makes Significant Progress In Maternal Care, Nutrition And Child Immunization: NFHS-6

Why Timing Matters

Although egg freezing can be considered at different ages depending on individual ovarian reserve and reproductive goals, outcomes are generally better when eggs are frozen before the age of 35. Younger eggs tend to have better quality and chromosomal competence, which may improve future IVF outcomes.

The expert stressed the importance of early fertility counselling and ovarian reserve assessment. Tests such as Anti-Müllerian Hormone (AMH), ultrasound-based antral follicle count (AFC), and overall reproductive evaluation help determine whether a woman is an appropriate candidate for egg freezing.

Common Concerns About Egg Freezing

Addressing common concerns around the procedure, Dr. Shanujeet Kaur, Associate Director and Senior Gynecologist, Department of Fertility and Gynecology at Cloudnine Group of Hospitals, Chandigarh, told HealthandMe that some women may experience temporary mood swings due to hormonal medications used during ovarian stimulation.

Light to moderate exercise, including walking and stretching, is generally safe during treatment, though high-intensity workouts may be discouraged as the ovaries enlarge.

Current research suggests egg freezing is generally safe, with no strong evidence linking fertility medications used during the procedure to long-term health problems such as breast cancer, ovarian cancer, or infertility in most women.

Recovery after egg retrieval is typically quick, with most women able to resume normal activities within one to three days, though mild cramping, bloating, spotting, or fatigue may occur temporarily.

The expert also advised maintaining a balanced diet, staying hydrated, and following personalised medical guidance regarding birth control and lifestyle measures during treatment.

While conditions such as PCOS, thyroid disorders, and advancing age are well-known causes of infertility, doctors are increasingly flagging high prolactin levels as an overlooked contributor. The hormonal imbalance may increase a woman's risk of infertility by up to 40 per cent, experts warned.

Prolactin is a hormone produced by the pituitary gland in the brain and is primarily responsible for breast milk production after childbirth. When prolactin levels become abnormally high in women who are not pregnant or breastfeeding, it can interfere with reproductive health and make conception difficult.

Elevated prolactin levels can disrupt ovulation, cause irregular menstrual cycles, and contribute to infertility, making early diagnosis and treatment crucial.

“There is a 40 per cent surge in infertility cases linked to high prolactin levels. Nearly, in a month, 4 out of 10 women aged 25-35 presenting with irregular periods and infertility are found to have elevated prolactin levels,” Dr. Sumit Paranjpe, Gynecologist, Apollo Spectra Hospital, Mumbai, told HealthandMe.

"Excess prolactin can suppress the hormones responsible for ovulation, resulting in irregular menstrual cycles or even the absence of periods. Without regular ovulation, the chances of conception decrease significantly," he added.

Symptoms Women Should Not Ignore

According to Dr. Paranjpe, apart from infertility, women with high prolactin levels may experience:

• Irregular periods
• Milky nipple discharge despite not being pregnant or breastfeeding
• Reduced libido
• Headaches
• Emotional distress

The expert said that factors such as pituitary gland disorders, certain medications, thyroid problems, chronic stress, and hormonal imbalances can contribute to elevated prolactin levels.

Early Diagnosis Can Improve Fertility Outcomes

Dr. Paranjpe said high prolactin levels can usually be diagnosed through simple blood tests and managed effectively with appropriate treatment.

“Women should not ignore symptoms such as irregular periods, unexplained nipple discharge, or difficulty conceiving. Timely evaluation can help identify the underlying cause and restore normal ovulation. In many cases, medications can successfully lower prolactin levels, regulate menstrual cycles, and improve fertility outcomes.”

He added that maintaining a healthy lifestyle, managing stress, and undergoing regular health check-ups can help support hormonal balance.

Other Causes Of Infertility

Dr. Sneha Sathe, Clinical Director and Fertility Specialist, Nova IVF Fertility, Chembur, Mumbai, said many women continue to struggle with infertility without realizing that a hormonal imbalance may be the underlying reason.

“At times, women belonging to the age group of 25-35 seeking fertility consultations report symptoms such as irregular periods or ovulation-related issues. The most common cause of ovulatory dysfunction is PCOS (now known as PMOS). Other causes include thyroid problems, high prolactin, chronic illness, and hypothalamic issues,” she told HealthandMe.

Treatment may involve medications to induce ovulation, along with advice regarding diet and exercise in women with PCOS. In cases where an underlying condition, such as elevated prolactin or a thyroid problem, is identified, targeted treatment can help normalize hormone levels and regulate menstrual cycles.

“Early diagnosis and treatment can improve fertility outcomes and prevent unnecessary delays in family planning. Raised prolactin level is not a common isolated cause for infertility, but treating it in women identified to have high levels can help,” Dr. Sathe said.