Healthy Life

Certain holiday destinations have seen a rise in cases of a nasty infection

British travellers have been issued a food warning amid an outbreak of a bug that causes “explosive” diarrhoea. Mexico and the US are among some of the holiday destinations that have seen a rise in cyclosporiasis.

Cyclosporiasis is an infection caused by a microscopic parasite called Cyclospora. This is typically spread by eating food or drinking water contaminated with human faeces containing the parasite.

Symptoms can include “watery diarrhoea” and “explosive bowel movements”, and can last several weeks. In an update provided on its website, Travel Health Pro explained that “most” UK cases have been linked to visits to Mexico.

It said: “Cyclospora is a parasite found in some tropical and subtropical countries. In the UK, infections are most commonly linked to summer travel abroad.

“Cyclospora has been found in Central and South America, South and Southeast Asia, and most UK travel-related cases and outbreaks have been associated with visits to Mexico.”

The US Centres for Disease Control and Prevention (CDC) also recently published data showing there had been 843 confirmed cases of cyclosporiasis in the US between May 1 and July 9 this year. No deaths have been reported, and 86 people were admitted to hospital, the CDC said.

As part of its advice, Travel Health Pro provided guidance on eating while abroad. It said: “People usually become infected by eating or drinking food or water contaminated with human faeces. Foods most commonly linked to Cyclospora include fresh produce such as soft or unpeeled fruit, lettuce, green salads and herbs like coriander or basil.”

It continued: “You can reduce your risk of Cyclospora infection by following good food and water hygiene, even if you are staying in a luxury hotel or high-end all-inclusive resort.” To do so it said you should:

• Wash your hands regularly with soap and clean water; use alcohol hand gel only when handwashing is not possible
• Where there is no clean water supply, drink only bottled or boiled tap water (this includes brushing your teeth)
• Avoid ice in drinks
• Avoid fresh produce that may not have been washed with bottled or boiled water, including berries, salads, vegetables and herbs like basil or coriander
• Choose fruit that you can peel yourself, such as bananas and oranges
• Eat food that has been freshly cooked and is served hot
• Remember that smoothies, juices and other drinks may contain raw fruit, herbs or vegetables

Symptoms

Travel Health Pro said: “Not everyone infected with Cyclospora will become ill. If you do get symptoms, they will usually start about a week after consuming contaminated food or drinks.”

Symptoms of Cyclosporiasis include:

• Watery diarrhoea
• Fever
• Stomach cramps
• Loss of appetite and weight loss
• Tiredness and muscle pain
• Bloating and excess wind
• Feeling sick

It said: “Cyclospora infections are usually mild and resolve themselves. However, symptoms can sometimes last for several weeks and return even after a person seems to have recovered. People with a weakened immune system, including those living with HIV, may be at greater risk of severe illness.”

The CDC added: “Cyclospora infects the small intestine (bowel) and usually causes watery diarrhoea with frequent and sometimes explosive bowel movements.”

When to seek help

Travel Health Pro says you should do the following if you become ill abroad:

• Drink plenty of “safe” fluids, such as bottled water, or tap water that has been thoroughly boiled and cooled
• Use oral rehydration solutions so that you do not become dehydrated
• Get early medical advice if you have a weakened immune system or are at higher risk of complications
• Seek medical help if your symptoms are severe or do not improve

If you are back in the UK, you should ask for an urgent GP appointment or get help from NHS 111 if you have diarrhoea and you’ve recently travelled abroad and:

• The diarrhoea is severe and has lasted for more than three days
• You have bloody diarrhoea or bleeding from your bottom
• You have a high temperature (fever)
• You are dehydrated
• You have a weakened immune system or other condition

The NHS said: “If you’re still abroad, get medical advice where you are as soon as possible.”

This is a “natural” part of being a woman, he said

A doctor has revealed why women start to put on belly fat as they age, stating it’s a “normal” part of life. According to the expert, women can expect to see their weight fluctuate when they get older.

In a clip from his podcast No Appointment Necessary, shared to his Instagram page, Dr Amir Khan issued some reassurance about weight before and after the menopause. He explained how fat is distributed on the body differently as a result of this hormonal change.

Menopause is a natural life stage that typically affects women between the ages of 45 and 55. It happens when hormone levels in the body drop to a point where periods cease completely.

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As a consequence of these hormonal shifts, the body can experience a broad range of symptoms that can impact both physical and mental health. These include hot flushes, mood swings, and brain fog.

However, it can also affect how your body stores fat. On the podcast, his co-host Cheery Healey said: “Lots of women find that when they go through perimenopause and menopause, they gain weight.”

Dr Amir responded: “So, before the menopause, fat distribution in women is usually around the hips, thighs, and buttock area. And that fat distribution is completely normal and healthy and women should have fat there, you don’t want to lose it.”

He explained why. “It’s really good for your fertility,” he said.

“It’s really good for your overall health. It is expected and needed.”

But after menopause, you might notice that you are more prone to weight gain around the tummy. Dr Amir continued: “After the menopause, as the hormones shift, things change.

“And that fat usually deposits around the tummy area and the hips as well and so people can refer to it as a ‘meno belly’. It’s not really a great term but it is just the shift of weight, really.”

He added: “Normal, natural, not the end of the world, part of being a woman, an adult woman.” His advice is supported by the NHS website, which says: “Weight gain during perimenopause and menopause is common.

“It often happens around the stomach and upper body.”

Other symptoms of menopause

The other symptoms of menopause, as listed by the NHS, include:

• Changes to your periods
• Hot flushes and night sweats
• Sleep problems
• Mood changes, poor memory and brain fog
• Vaginal problems such as dryness, a burning feeling, irritation or itching in and around the vagina
• UTIs (urinary tract infections)
• A faster, slower or more noticeable heartbeat (palpitations)
• Weakening bones (loss of bone density), which can lead to osteoporosis
• Feeling the need to pee more or not being able to control when you pee (urinary incontinence)
• Headaches and migraines that are worse than usual
• Muscle aches and joint pains
• Hair thinning or hair loss
• Skin changes, including dry and itchy skin
• Reduced sex drive (loss of libido)
• Sensitive teeth, painful gums or other mouth problems

The health body says you should contact your GP if:

• You think you have symptoms of menopause or perimenopause and want to know what your options are
• You have symptoms like a fast heartbeat (palpitations)
• You still have periods but your bleeding pattern has changed and you’re bleeding more, not less, than before
• You have not had a period for 12 months or more, and you have any vaginal bleeding

The most commonly prescribed treatment for menopause symptoms is hormone replacement therapy (HRT).

People visiting these islands could be at risk of high UV levels

People have been urged to take certain precautions as the ultraviolet radiation risk at a popular holiday destination area has been raised to “extreme”. Health officials in the Canary Islands have elevated the UV risk across several of the islands.

According to the Canary Islands Health Department, UV radiation levels are presently classified as “very high” across all islands. And Fuerteventura, Lanzarote and Gran Canaria have reached the highest “extreme” warning category.

Prolonged exposure to ultraviolet radiation can lead to serious health complications, including DNA damage, severe sunburn, allergic skin reactions, eye conditions and a heightened risk of skin cancer, including melanoma. Health experts also caution that UV exposure can suppress the immune system and even trigger the reactivation of viruses such as cold sores.

The alert particularly impacts those who spend lengthy periods outdoors, whether for work or leisure, as well as individuals with fair skin, light eyes or a family history of skin cancer. Children and older adults are also regarded as especially at risk.

As reported by Canarian Weekly on May 21, health authorities are strongly advising people to avoid direct sunlight between 11am and 5pm wherever possible, seek out shaded areas and wear protective clothing, wide-brimmed hats and approved sunglasses with UVA and UVB protection. The application of SPF 50 sunscreen is highly recommended, even on overcast days.

Authorities also issued a reminder to parents that babies under one year old should never be exposed directly to sunlight, as their skin is particularly sensitive and incompatible with most sun creams. The Canary Islands consistently record some of the highest UV radiation levels across Spain throughout the year, owing to their geographical position and climate.

How to apply sunscreen

The NHS warns that most people do not apply enough sunscreen. As a guide, adults should aim to apply around six to eight teaspoons of sunscreen if you’re covering your entire body.

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If sunscreen is applied “too thinly”, the amount of protection it gives is reduced. If you plan to be out in the sun long enough to risk burning, sunscreen needs to be applied twice:

• 30 minutes before going out
• Just before going out

Sunscreen should be applied to all exposed skin, including the face, neck and ears, and head if you have thinning or no hair, but a wide-brimmed hat is better. Sunscreen needs to be reapplied liberally and frequently, and according to the manufacturer’s instructions.

This includes applying it straight after you have been in water, even if it’s “water resistant”, and after towel drying, sweating or when it may have rubbed off. It’s also recommended to reapply sunscreen every two hours, as the sun can dry it off your skin.

Further to this, the NHS recommends you should do the following to stay safe in the sun:

• Spend time in the shade between 11am and 3pm
• Never burn
• Cover up with suitable clothing and sunglasses
• Take extra care with children
• Keep babies under six months out of direct sunlight
• Use at least factor 30 sunscreen – make sure to use enough and re-apply frequently