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All you need to know about: Hantavirus

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All you need to know about: Hantavirus


Hantavirus has no specific cure, but early medical care can improve survival rates. Image for representation.
| Photo Credit: Reuters

According to the U.S. Centers for Disease Control and Prevention (CDC), hantaviruses are a family of viruses that can cause severe, potentially fatal illnesses. These viruses lead to life-threatening diseases, including hantavirus pulmonary syndrome (HPS), a severe respiratory illness, and hemorrhagic fever with renal syndrome (HFRS), a condition characterised by internal bleeding and kidney failure.

The recent passing of Betsy Hackman, wife of renowned American actor Gene Hackman, has drawn attention to this deadly virus. Although cases are rare, the severity of the illness makes understanding its spread, symptoms, and treatment options crucial.

How does hantavirus occur?

Hantaviruses are a family of viruses carried by certain rodents, such as deer mice, white-footed mice, rice rats, and cotton rats. According to the CDC, humans typically contract hantavirus through contact with infected rodent urine, droppings, and saliva. The most common way the virus spreads is through aerosolisation, when fresh rodent waste is disturbed, the virus particles become airborne and can be inhaled. This often happens during activities like sweeping infested areas, cleaning long-closed spaces such as sheds, or handling contaminated materials.

Additionally, hantavirus can enter the body if a person touches their eyes, nose, or mouth after handling contaminated materials or if the virus enters an open wound. Though extremely rare, the virus can also spread through rodent bites.  They do not typically transmit from person to person, although rare cases of human-to-human transmission have been reported with certain strains, such as the Andes virus.

What are the signs and symptoms ?

According to the World Health Organisation’s manual, hantaviruses are a family of viruses with several strains exhibiting varying degrees of severity. The infection typically progresses in two stages. The first phase, known as the “prodromal phase,” appears one to eight weeks after exposure. It begins with flu-like symptoms such as fever, chills, muscle aches (often in the thighs, hips, and back), fatigue, headaches, and abdominal pain. Nausea, vomiting, and diarrhea may also occur.

The second phase, which signals the onset of HPS, brings more severe symptoms. These include a sudden shortness of breath, coughing, and chest tightness as the lungs fill with fluid. This stage can escalate quickly, causing acute respiratory distress and, in some cases, heart failure. Without prompt medical intervention, the condition can be fatal.

Who is at risk?

Those at higher risk of contracting hantavirus include people who live or work in areas where rodent populations are more prominent. This includes farmers, construction workers, and those involved in cleaning old or unused spaces. Campers and hikers who come into contact with rodent nests or droppings are also vulnerable. Even homeowners dealing with rodent infestations need to be cautious, as everyday cleaning tasks can unknowingly stir up contaminated particles. The CDC also emphasis that children under five, pregnant women, and individuals with weakened immune systems should avoid handling pet rodents, as they have a higher risk of serious illness.  

What are the treatment options?

Currently, even though there is no specific antiviral treatment or cure for hantavirus, medical care focuses on managing symptoms and supporting the patient through the most dangerous phases of the illness. In cases of HPS, patients are often given oxygen therapy to ease breathing difficulties. Severe cases may require intensive care, including mechanical ventilation to assist lung function.

Since no direct medication exists, early detection is vital. Those who experience flu-like symptoms after potential rodent exposure should seek medical attention immediately, as quick intervention, such as oxygen support, can prevent the progression of severe respiratory distress.

Prevention remains the most effective way to combat hantavirus. Keeping homes and workplaces rodent-free by sealing entry points, safely disposing of food and garbage, and wearing protective gear when cleaning areas with rodent activity can significantly reduce the risk.



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Experts warn against overuse of last line antibiotics

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Experts warn against overuse of last line antibiotics


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| Photo Credit: Getty Images/iStockphoto

Infectious diseases experts have flagged the overuse of a potent antibiotic leading to it losing its efficacy, and drug resistance. The Drugs Controller General of India has been urged to lay down strict pathways for these newer antibiotics, so that they are not misused by practitioners.

Abdul Ghafur, infectious diseases specialist, and founder of the AMR Declaration Trust, has written to Rajeev Singh Raghuvanshi, DCGI, about ceftazidime-avibactam. “One of the most potent antibiotics currently available in our armamentarium is rapidly losing its efficacy due to extensive, irrational, and uncontrolled use.”

The drug which was initially registered with the U.S. FDA in 2015 and after three years it was approved in India, is a last-line antibiotic. It is to be used as targeted therapy for certain carbapenem-resistant gram-negative infections and not prescribed as a general antibiotic.

Dr. Ghafur however claims it is already being misused in the community. “To overcome this resistance, aztreonam is often added to ceftazidime-avibactam, unfortunately, resistance has now emerged even to this combination, due to irrational use.”

The problem, he explains, is that while the DCGI has licenced the drug, it has only provided indications for use. There are no clear-cut pathways laid out, and nothing to deter mis-prescriptions.

This trend could erode the huge gains secured in India primarily with the ban on use of colistin as a growth promotion drug amongst poultry, in recent times. This ‘bold and meaningful action’ from the government resulted in a significant drop in prevalence of colistin-resistant bacteria in hospitals in India, he adds.

Rational use

There are two new very powerful antibiotics that are about to enter the Indian market, Cefierocol and Cefepime-zidebactam. Dr. Ghafur urges the DCGI to kick in with antibiotics stewardship: “We need these drugs in India. However, their use must be restricted strictly to infections where no other effective alternatives exist. Education alone is not enough; we need a clear regulatory pathway to ensure the rational use of these molecules from the moment they are licensed.”

“If we do not act now, we risk losing the few therapeutic options left. Antimicrobial resistance (AMR)is already a serious crisis in our country. Without urgent and strong action, it may escalate to an unmanageable level. We cannot change the past — but we still have time to act for the immediate future,” he says.



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When it comes to edible oil, finding the right balance is key

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When it comes to edible oil, finding the right balance is key


The debate on how much edible oil, and what kind of oil, is good or bad for health seems never-ending. But the trick here is finding the right balance as moderation is key, say experts.

Importance of fats in a balanced diet

Meenakshi Bajaj, dietician, Tamil Nadu Government Multi Super Speciality Hospital, said it is essential to understand that all three macronutrients (carbohydrates, fats, and proteins) play a crucial role in an individual’s health. “Fat is an indispensable component of a balanced diet, necessary for the absorption of fat-soluble vitamins, synthesis of hormones, as well as several vital physiological and metabolic functions in the body. Dietary fat comprises both visible and invisible sources. Visible sources include fats and oils, ghee, vanaspati and butter used for cooking. Invisible sources encompass whole eggs, milk and milk products, nuts and oilseeds, meat, poultry, and fish,” she said.

Edible fats and oils have benefits and drawbacks, she said, adding: “There are three types of fatty acids present in our diet: saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), and polyunsaturated fatty acids (PUFA). A healthy diet should incorporate varied sources of fats and oils, maintaining an ideal ratio of healthy fats (mono and polyunsaturated fats) to unhealthy fats (saturated fat).”

Choosing and using oils wisely

Daphnee Lovesley, chief clinical dietitian, Apollo Hospitals, Chennai, points out, “Oils are essential in our diet as they provide essential fatty acids that the body cannot produce. Like everything else, moderation is key. Oils are calorie-dense, providing about 9 calories per milliliter, and in Indian cooking, there is often a tendency to use them generously, particularly in fried foods. Reducing oil intake by four to five teaspoons per person per day can make a big difference. Nuts like almonds, walnuts, or peanuts can be enjoyed in moderation—a handful a day is sufficient.”

The National Institute of Nutrition (NIN) suggests incorporating a diverse variety of oil seeds, nuts, and whole grains, Ms. Bajaj pointed out. “Studies indicate that consuming nuts like almonds and cashews can improve lipid profiles and reduce blood pressure in individuals with type 2 diabetes. However, moderation is key,” she said.

Blending oils to achieve a balance of fatty acids and antioxidants is beneficial, she said, noting: “NIN advises combining oils such as groundnut, sesame, rice bran, and mustard oils, which have been shown to reduce the risk of type 2 diabetes and metabolic syndrome.”

Health risks associated with reheated oils and trans fat

Ms. Lovesley further adds. “Oils rich in monounsaturated fats—such as sesame oil, groundnut oil, and rice bran oil—are good options and are readily available locally. Using a blend of oils is often considered a safer and more balanced approach.”

However, reusing oil is harmful, she adds. “Repeated heating at high temperatures causes chemical changes that lead to the formation of polycyclic aromatic hydrocarbons, which are carcinogenic. Reheated oils have been linked to an increased risk of cancer, cardiovascular diseases, and elevated cholesterol and blood pressure levels. When consuming food outside, it is difficult to know how many times the oil has been reheated—this could contribute to inflammation and, subsequently, obesity.”

Ms. Bajaj emphaised that trans fats from reheated oil, bakery items (such as cakes, pizza, puffs, pastries, biscuits, cookies, doughnuts), and partially hydrogenated edible fats in packaged and processed snacks increase triglycerides and LDL cholesterol (bad cholesterol), lower HDL cholesterol (good cholesterol), and heighten the risk of cancers and cardiovascular diseases. Check food labels on ready-to-eat foods for partially hydrogenated fats (unhealthy fats), she added .

The impact of cooking methods on the nutritional quality of oils should be considered. “Oils exposed to high temperatures for extended periods can lose antioxidants and generate toxic compounds and trans fats. Repeated heating of cooking oils produces harmful compounds and should be avoided. On a household level, vegetable oil once used for frying should be filtered and reused for sautéing purposes within the next 24 hours. Remove food particles from oil during frying before they turn black. Oils repeatedly heated should not be mixed with fresh oil but can be used for seasoning,” she said.

Healthy eating as preventive care

With obesity being a major public health concern, it’s important to recognise the key contributing factors: poor dietary habits, a sedentary lifestyle, and inadequate sleep. Stress can also play a role in some individuals. “However, we should focus on what we can control—eating balanced meals, staying physically active, and maintaining good sleep hygiene—to prevent obesity. Childhood obesity is growing too, making it crucial to encourage healthy habits early in life,” Ms. Lovesley said.

Ms. Bajaj reiterates that intake of oils and fats should be moderated. “It’s not about restriction; it’s about smart and healthy choices for improved metabolic health. By making informed choices regarding the types and quantities of fats in our diets, we can promote better health and well-being for ourselves and our families,” she said.



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Tamil Nadu bans mayonnaise made from raw eggs for one year

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Tamil Nadu bans mayonnaise made from raw eggs for one year


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| Photo Credit: Getty Images/iStockphoto

Tamil Nadu has banned the manufacture, storage and sale of mayonnaise prepared from raw eggs for a period of one year with effect from April 8. The ban, issued in the interest of public health, is on the basis that mayonnaise made of raw eggs is a “high risk food”, carrying a risk of food poisoning.

According to a notification issued in the Government Gazette by Principal Secretary and Commissioner of Food Safety R. Lalvena, any activities related to any stage of manufacture, processing, packaging, storage, transportation, distribution, food services, catering services and sale of mayonnaise prepared from raw egg is prohibited in the State under section 30 (2) (a) of Food Safety and Standards Act, 2006 and order of the Commissioner of Food Safety of Tamil Nadu.

Mayonnaise is a semi-solid emulsion generally composed of egg yolk, vegetable oil, vinegar and other seasonings served along with food items such as shawarma. Mayonnaise made of raw eggs is a high-risk food as it carries a risk of food poisoning especially from Salmonella bacteria, Salmonella typhimurium, Salmonella enteritidis, Escherichia coli and Listeria Monocytogenes, the notification said.

It has come to notice that a number of food business operators use raw egg for preparation of mayonnaise, improper storage facilitates contamination by microorganisms that creates a public health risk particularly by Salmonella typhimurium, Salmonella enteritidis, Escherichia coli and Listeria Monocytogenes, it said.

In any specific circumstances, on the basis of assessment of available information and if the possibility of harmful effects on health is identified but scientific uncertainty persists, provisional risk management measures to ensure that health is protected can be adopted as per the Act, pending further scientific information for a more comprehensive risk assessment.

The notification said that no food business operator should manufacture, store, sell or distribute any food which for the time being is prohibited by the Food Authority or the Central Government or State government in the interest of public health.



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