NHS

AS the UK waves goodbye to summer, experts are urging people to take extra precautions to stay healthy.

As winter illnesses start to circulate, one virus parents are being asked to be especially wary of is RSV – as new evidence shows it can be just as risky to healthy babies as those born premature of with underlying health conditions.

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RSV, which stands for respiratory syncytial virus, is a common cause of respiratory infections in young children and accounts for around 245,000 hospital admissions annually in Europe. 

In some cases, it can lead to more severe respiratory issues like bronchiolitis and pneumonia, which can lead to hospitalisation, the need for oxygen or mechanical ventilation, and even death.

Researchers have now analysed data from more than 2.3 million children born in Sweden between 2001 and 2022 to find out who is at greatest risk of suffering serious complications or dying from an RSV infection

Almost all children will get RSV at least once before they’re two years old.

Premature babies and children with chronic diseases are known to be at increased risk of developing severe illness when infected with the virus.

And children under three months of age are also particularly vulnerable – although it hasn’t been entirely clear how common severe disease is among previously healthy children. 

As part of their findings, scientists from Karolinska Institutet in Sweden found the largest group among the children who required intensive care or were hospitalised for a long period of time were under three months of age, previously healthy and born at full term.

“When shaping treatment strategies, it is important to take into account that even healthy infants can be severely affected by RSV,” said the study’s first author, Giulia Dallagiacoma, a physician and doctoral student at the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet.

“The good news is that there is now preventive treatment that can be given to newborns, and a vaccine that can be given to pregnant women.”

The NHS RSV vaccine programme was launched in England on September 1, 2024 offering protection to pregnant women from 28 weeks gestation to protect their baby and to older adults aged 75 to 79.

Several factors were linked to an increased risk of needing intensive care or dying by the researchers.

Children who were born in the winter, or had siblings aged 0–3 years or a twin, had approximately a threefold increased risk, while children who were small at birth had an almost fourfold raised risk.

Children with underlying medical conditions had more than a fourfold increased risk of severe illness or death.

“We know that several underlying diseases increase the risk of severe RSV infection, and it is these children who have so far been targeted for protection with the preventive treatment that has been available,” said the study’s last author, Samuel Rhedin, resident physician at Sachs’ Children and Youth Hospital and associate professor at the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet.

“However, the study highlights that a large proportion of children who require intensive care due to their RSV infection were previously healthy.

“Now that better preventive medicines are available, it is therefore positive that the definition of risk groups is being broadened to offer protection during the RSV season to previously healthy infants as well.”

In the UK, if you’re pregnant, you should be offered the RSV vaccine around the time of your 28-week antenatal appointment.

If you’re aged 75 to 79 (or turned 80 after 1 September 2024) contact your GP surgery to book your RSV vaccination.

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Spotting RSV symptoms is important to help prevent serious complications.

Most people who get an RSV infection will only get cold-like symptoms, according to the NHS, including the five following signs:

• a runny or blocked nose
• a cough
• sneezing
• tiredness
• a high temperature – signs include your back or chest feeling hotter than usual, sweatiness and shivering (chills)

Babies with RSV may also be irritable and feed less than usual.

But if RSV leads to a more serious infection (such as pneumonia or bronchiolitis) it may also cause a worsening cough, shortness of breath, faster breathing, difficulty feeding in babies, wheezing, and confusion in older adults.

It’s important to note cold-like symptoms are very common in babies and children and aren’t usually a sign of anything serious.

They should get better within a few days.

There’s no specific treatment for an RSV infection as it often gets better on its own in one or two weeks.

If you or your child have mild RSV symptoms, there are some things you can do to help ease symptoms at home, including taking paracetamol or ibuprofen if you have a high temperature and are uncomfortable (giving children’s paracetamol or children’s ibuprofen to your child) and drinking lots of fluids.

But children and adults who get a more serious infection may need to be treated in hospital.

IT was perhaps the most famous poster in election history. “Labour Isn’t Working,” proclaimed its simple slogan above a photo of a long, snaking queue outside an unemployment office. 

The image helped Margaret Thatcher’s Tories to win a decisive victory in 1979. 

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That poster could be revived today as the beleaguered Labour Prime Minister, Sir Keir Starmer, seems to be trapped in a kind of doom loop created by his party’s epic mismanagement of the economy. 

Growth is anaemic, the tax burden colossal. Just like in the late 70s, Britain is gripped by rising debt, inflation and unemployment, as well as increasing militancy in the public sector workforce, where recent generous pay settlements have fuelled a mood of greedy irresponsibility. 

Only yesterday the distinguished business leader Lord Stuart Rose, the former head of Marks & Spencer, warned that Starmer and his bumbling Chancellor Rachel Reeves had dragged Britain “to the edge of crisis.” 

In a bleak analysis, Lord Rose argued that because “there is no growth in the economy,” neither wealth nor jobs are being created. 

The parallel with the 1970s is at its most stark in the hostility to hard work. Fifty years ago Britain became known as “the sick man of Europe” because of its addiction to strikes, with an astonishing 29million working days lost in 1979 alone. 

Modern Britain has yet to plumb those depths, though the pig-headed unions are trying to go in that direction, as shown by the current miserable strike on the London Underground, which has paralysed the capital this week. 

What makes this strike so ridiculous is that the Tube drivers are extremely well-paid, typically earning around £72,000-a-year, and enjoy excellent job security, pensions, hours and holidays. Yet they act like they are oppressed members of the proletariat. 

The same is true of the resident doctors who went on strike last month in support of an outrageous 35 per cent pay claim. 

These grotesque demands are part of a wider culture of self-serving entitlement that is destroying Britain’s work ethic, reducing productivity and weakening the dynamism of business. 

That destructive spirit can be seen in the recent surge of sick leave in the national workforce, a phenomenon caused not by harsher conditions but by more indulgent management, and the fashion for treating normal emotions as mental health problems. 

Mental-health crisis 

Yesterday a study by the Chartered Institute of Personnel and Development revealed that employees are now taking an average of nearly two weeks off sick every year. 

Only two years ago absenteeism stood at an average of 7.8 days a year. Now that figure has risen to 9.4 days a year, with the mental-health crisis the key driving force. 

All too predictably, the record of the public sector is much worse than the private sector. That is not because work on the state payroll is tougher. Just the opposite is true. 

The heavily unionised culture of public employment, with its emphasis on workplace rights and victimhood, promotes weak management and a lack of accountability. 

The rise in absenteeism is mirrored by the growth in welfare dependency where ever increasing numbers of people think that the state owes them a living. Social security is no longer just a temporary safety net but has become a comfortable lifestyle choice. 

There are now 6.5million adults of working age who are claiming out-of-work benefits, while some forms of incapacity payments have become a sort of subsidy for early retirement. 

As Lord Rose puts it, “We have arrived in a situation in Britain today where there is effectively no obligation to work, absolutely none.” 

In a recent newspaper interview, one claimant called Clare Russell gave an insight into the mentality of some of the worst freeloaders. 

Labour likes to boast that it is the party of ‘working people’. Now it should live up to that description. 

Ten years ago she gave up work at the age of 46 and since then has lived off the disability benefits she receives for a bad back, as well as a substantial rental income from some property, plus a carer’s allowance to look after her mother who lives 30 miles away. 

In her sickening interview, she said that she has “a lovely life, thanks to the great British taxpayer.” 

Just to heighten the outrage she added, “when I am at the gym, I watch young people scuttle past the window on the treadmill of work and I must admit to feeling smug.” 

The disappearance of the work ethic is neither morally defensible nor financially affordable. 

The disability benefits bill is expected to reach £100billion by 2030 while the overall cost of welfare is forecast to go up from £210billion a decade ago to £380billion by 2030. 

The welfare leviathan is tracking us ever deeper into debt and towards national bankruptcy. 

In the depths of its current political crisis, France — which has an even more lavish benefits system than Britain — shows what can happen when the cost of welfare spirals out of control. 

We were the nation of the industrial revolution. We must revive that kind of drive and determination. This should be an absolute priority for the new Labour cabinet. 

Reform of welfare and the workplace is not an option, it is a necessity. 

Labour likes to boast that it is the party of “working people”. Now it should live up to that description. 

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A MAN has been rushed to hospital with serious injuries after he was crushed under a large tree.

The tree is believed to have been damaged in the recent stormy weather.

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The horror incident unfolded on Shirehampton Road, Bristol, just before 5pm.

Emergency services rushed to assist the man who was out walking his dog when the terrifying incident occurred.

Police and fire crews were scrambled to the scene where the man was found with “serious injuries.”

He was rushed to hospital to be treated by medics.

A spokesperson for Avon and Somerset Police said: “We were called by the ambulance service shortly before 5pm to reports a man had been injured after a tree fell in Shirehampton Road in the Stoke Bishop area of Bristol.

“Emergency services attended and the man was taken to hospital for treatment of injuries described as serious.”

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IT was 1984 and newly qualified doctor Daniel Drucker was excited to dive into the world of ­scientific research.

Fresh out of the University of Toronto Medical School, the 28-year-old was working at a lab in Boston in the US when his supervisor asked him to carry out a routine experiment — which proved to be anything but.

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For it led to Dr Drucker’s discovery of a previously unknown hormone, sparking a new era in medicine.

What he modestly calls a “happy accident” then kick-started a series of ­discoveries that made today’s game-changing weight loss jabs a reality.

The hormone was called glucagon-like peptide 1 — or GLP-1, as the world now knows it.

And the drugs that have resulted from its discovery have produced amazing effects — with users losing up to a fifth of their body weight.

So far around 50,000 of us have been prescribed jabs on the NHS for weight loss, but it is ­estimated around 1.5million people here are buying them privately — a figure that is expected to rise sharply.

Dr Drucker, now 69, tells The Sun: “I never felt like I was on the brink of something huge.

“It was just a fantastic stroke of luck to be in the right place at the right time and to be part of an ­innovation that could improve the health of hundreds of millions of people all over the world.”

The drugs are now being hailed as a possible cure for a range of other conditions too, including dementia and migraine.

But Dr Drucker warns: “We need to be cautious, respect what we don’t know, and not rush into thinking these medicines are right for everyone.

‘Full of hope’

“There could be side-effects we haven’t seen yet, especially in groups we haven’t properly studied.”

Some studies have also raised concerns about gallbladder problems and in rare cases, even ­suicidal thoughts.

GLP-1 was found to play a key role in regulating the appetite and blood sugar levels, by slowing digestion and signalling a feeling of fullness to the brain.

Fat jabs such as Mounjaro and Wegovy contain synthetic versions of GLP-1, tirzepatide and semaglutide, which mimic the natural hormone with astonishing, fat-busting results.

Originally these drugs — known as GLP-1 agonists — were licensed to treat Type 2 diabetes, due to their ability to stimulate the body’s production of insulin, which cuts high blood glucose levels.

But over the past 15 years, after studies ­confirmed the potential to tackle obesity, pharmaceutical firms have reapplied to have the drugs approved as weight loss treatments.

And now evidence is emerging almost daily to suggest these drugs could help treat and even prevent other chronic and degenerative diseases.

Hundreds of scientific trials are under way, and Dr Drucker is “full of hope”, adding that he would consider taking the drugs himself, to ward off ­Alzheimer’s disease.

He says: “I think the next five years is going to be massive. These drugs won’t fix everything, but if they help even half the ­conditions we are testing them for, we could finally find ­treatments for conditions once thought untreatable.”

Decades after his discovery, Dr Drucker is now a professor of ­medicine at the University of Toronto, and a senior investigator at the affiliated Lunenfeld-Tanenbaum Research Institute, where GLP-1 research now fills his life.

He says: “Every morning I turn on my phone and check what’s happened overnight — what new ­discovery has been made, what could this hormone cure or treat.”

Even so, in May UK health chiefs warned that the jabs must not be taken during pregnancy or in the two months before conception, after studies of animals found that semaglutide can cause ­pregnancy loss and birth defects.

But with human use, no such ­danger has been ­confirmed, Dr Drucker says, and dozens of women have ­conceived while taking them.

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Some scientists even believe GLP-1 drugs may boost ­fertility, and could become a go-to for infertility treatment.

Dr Drucker, listed in Time magazine’s 100 Most Influential People in 2024, says: “It wouldn’t surprise me if five years from now, once we have more clinical trial evidence, if we start recommending these medicines to help people get pregnant, and have safer pregnancies.”

It is exciting stuff, but Dr Drucker admits he also worries about people using the drugs for the wrong ­reasons — such as slim, young women in pursuit of unrealistic beauty ideals on social media.

He says: “If I’ve got a 17-year-old who wants to lose another five per cent of her body weight to look like some celebrity, that’s a real concern.

“We haven’t studied 10,000 teenage girls on these drugs over five years. We don’t know how they affect bones, fertility, mental health or development in the long term.”

Last year model Lottie Moss, sister of supermodel Kate, revealed she had ended up in hospital after a seizure linked to high doses of weight loss drug Ozempic.

I think the next five years will be massive. These drugs won’t fix everything, but if they help even half the conditions we are testing for, we could find treatments for conditions thought untreatable

Dr Daniel Drucker

A nurse told her the dose she had been injecting was meant for someone twice her size.

Dr Drucker warned that older adults, people with eating disorders and those with mental health ­conditions may respond differently to the drugs.

He says: “We’re still ­learning, and just because a medicine works well in one group doesn’t mean it is safe for everyone.”

One of the biggest risks is dehydration, which OnlyFans star Lottie blamed for her seizure.

Dr Drucker says: “Some people experience nausea and vomiting, which can lead to dehydration, and that in itself can be dangerous.”
He also warns that losing weight too quickly can reduce muscle mass and bone density, which is especially risky for older people.

He adds: “This is why it is important people only take these drugs when being monitored by medical professionals, so they can be properly assessed for side-effects and receive the safest, most effective care.”

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So far at least 85 people in the UK have died after taking weight loss jabs, according to reports sent to the Medicines and Healthcare Products Regulatory Agency watchdog.

While none of the deaths has been definitively linked to the drugs, health bodies noted a “suspicion” that they may have played a role.

Dr Drucker says: “Reports like these can raise flags, but without proper comparison groups they don’t tell the full story.

‘Drugs aren’t candy’

“In fact, large trials show GLP-1 drugs actually reduce death rates in people with Type 2 diabetes and those with obesity and heart disease.

“So far, the evidence looks solid and reassuring.”

With millions of patients treated over the years, GLP-1s have a well-established safety record for diabetes and obesity.

But Dr Drucker warns that for newer uses, such as ­Alzheimer’s, fatty liver disease or sleep apnoea, we need more data.

He says: “I don’t think there are any hidden, terrifying side-effects waiting to be uncovered.

“But that doesn’t mean people should take them lightly. We don’t yet have 20 years of experience ­treating some of these ­conditions.

“We need to approach each new indication with appropriate caution, to really understand the benefits ­versus the potential risks.

“These drugs aren’t candy, they won’t fix everything — and like all medicines they have side-effects.

“I don’t think we should abandon our focus on safety. We need to move carefully and thoughtfully as this field evolves.”

I’m not struggling with Type 2 diabetes or obesity, but I do have a family history of ­Alzheimer’s. I’m watching the trials closely and, depending on the results, I wouldn’t rule out taking them in the future

Dr Daniel Drucker

He continues: “I’m not struggling with Type 2 diabetes or obesity, but I do have a family history of ­Alzheimer’s. I’m watching the trials closely and, depending on the results, I wouldn’t rule out taking them in the future.

“I have friends from college who are already showing early signs of cognitive decline, and there’s hope that in some cases, ­semaglutide might help to slow it.”

Several studies over the years ­support that theory.

A recent study by a US university found that the jabs could prevent Alzheimer’s-related changes in people with Type 2 diabetes.

Separate research from Taiwan found that people on GLP-1 agonist drugs appeared to have a 37 per cent lower risk of dementia.

Dr Drucker now regularly receives messages from people around the world whose lives have been changed by the drugs his lab helped to create.

He says: “I get tons of stories. ­People send me emails and photos, not just showing their weight loss, but how their health has changed in other ways too.”

Some say the jabs have helped their chronic pain, cleared brain fog or improved long-standing health conditions such as ulcerative colitis or arthritis.

Dr Drucker adds: “It’s incredibly heartwarming and I never get tired of hearing these stories.”

But for him there is even deeper meaning attached to his discovery.

His 97-year-old mother Cila, ­originally from Poland, survived the Holocaust, spending months as a child hiding in the family’s attic before they were captured and held in a ghetto, where her mother and sister were later shot dead.

At the end of the war in 1945 she became a refugee in Palestine, then in 1953 she emigrated to Canada, first settling in Montreal then making Toronto her home in the 1990s.

Dr Drucker says his work has helped to ease Cila’s survivor’s guilt which had consumed her for decades.

He says: “She looks at my work and she’s so proud of how many people it could potentially help.”

WHETHER it’s fish and chips, a fry-up or afternoon tea and cake, British diets are pretty calorific.

And all that fat, sugar and salt is having a serious impact on our waistlines, with almost one in three of us considered obese.

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That might seem pretty high, but it’s actually considerably lower than the 43 per cent obesity rate in the United States.

Even Australia trumps the UK at 32 per cent, and these figures don’t even account for the people who are simply overweight. 

Around the world, each country has its own way of eating; some contain lots of processed foods, while others enjoy more vegetables or have a focus on fish and meat. 

Often, these diets have a huge influence on the population’s body mass index (BMI) – a way of measuring if you’re a healthy weight. 

A score between 18.5 and 24.9 is healthy, 25 to 29.9 is overweight, and 30-plus is obese. 

Many of us think of obesity as just being fat, but it’s actually increasingly being recognised as a chronic, complex disease. 

It can have a huge, negative impact on your health, increasing your risk of type 2 diabetes, heart disease, arthritis and even some types of cancer. 

Thankfully, you can tailor your diet to help keep the number on the scales down. 

But which one is best?

Follow in the footsteps of these countries, which all have a lower obesity rate than the UK…

If you can’t face giving up cheese… eat like the French 

Obesity rate: 11 per cent 

CHEESE is big business in France. In fact, the French consume an average of 60lbs (27kg) of the stuff per person every year, according to Statistica. 

Instead of turning to low fat cheeses and spreads to stay slim, eat like the French and go for full fat.

“Fat is what gives a sense of fullness in a meal,” says Lucia Stansbie, registered nutritional therapist.

“When we eat fat, hormones telling the brain to stop eating are released, making a full fat yogurt more satisfying that a zero per cent one, so you end up needing to eat less. 

“Many low fat foods have added sugars and emulsifiers to recreate the same texture of full fat foods, making them ultra processed foods (UPFS).”

Research published in the journal Current Nutrition Reports identified UPFs as being a key driver of obesity.

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In France, all-day grazing is a no-no – so much so, that snack products often contain a warning on the packet which says, “for your health, avoid snacking between meals”. 

“Snacks can be the downfall of all diets as they can be very calorie-dense,” says Lucia.

“And if they’re sugar-rich, they can lead to a sugar high followed by a crash so more snacks are needed to pick yourself up.

“Eating a proper meal that fills you up until your next one is the best strategy.”

Instead of having a plain, low-carb, low-calorie vegetable salad for lunch to manage your weight, enjoy a meal with a source of protein, some carbs and healthy fats to keep you full until dinner time.

“This is better than being really hungry a few hours after lunch and craving a high calorie snack,” says Jess Hillard, nutritionist at Warrior. 

Try some spicy chicken with sweet potato mash, avocado and a vinaigrette.

If you like wine… eat like the Italians

Obesity rate: 22 per cent 

ALTHOUGH alcohol can pack in some serious calories, you don’t have to go teetotal to lose weight. 

Instead, go for quality booze, in moderation, alongside food. 

“In Italy, people don’t drink on an empty stomach,” says Lucia.

“Doing so leads to sugar spikes and then sugar crashes, so we eat quick-release carbs such as crisps or sweets to get our energy back.”

One way to flatten this spike is eating a decent meal. 

The size of serving plates in Italy are also smaller than the standard UK plates so smaller portions are eaten

Lucia StansbieNutritional therapist

Lucia adds: “In Italy, there is a big focus on quality and taste. 

“People don’t drink a cheap bottle of wine to get drunk. Instead, they match a nice glass of wine with the meal they are having. 

“Culturally, getting drunk and excessive drinking are frowned upon. 

“This makes a massive difference in the amount of alcohol that is consumed.”

Italian mealtimes are also leisurely. Rather than wolfing down lunch at a desk while frantically working on a deadline, Italians eat mindfully. 

“Mindful eating leads to eating slower and feeling fuller sooner, while eating while distracted – such as while working or watching TV – will lead to less satisfaction and mindlessly eating bigger amounts of foods or looking for snacks,” says Lucia.

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Don’t forget to add olive oil – the main fat used in Italy – to your meals too.

A study published in the European Journal of Nutrition found that fat loss was approximately 80 per cent higher for participants who included 25ml of extra virgin olive oil in their diet compared to those who didn’t. 

Lucia adds: “The size of serving plates in Italy are also smaller than the standard UK serving plates, so smaller portions are eaten.”

Why not try swapping your dinner plates for side plates or pasta bowls? You’ll be forced to reduce your portion!

If you love carbs… eat like the Japanese 

Obesity rate: 5 per cent 

DESPITE popular belief, carbohydrates are certainly not the devil when it comes to weight loss. 

Not only could they actually help you slim down, they could even help you live longer.

Japan is home to Okinawa – a ‘blue zone’, where many people live to 100 and beyond. 

Their diet? An estimated 10:1 carbohydrate-to-protein ratio, according to a study in the journal Age and Ageing – yes, that’s 10 times as much carbs as protein!

While you definitely shouldn’t turn your back on protein, you shouldn’t fear carbs. 

But Lucia says the type of carbs you choose will make a huge difference.

“Wholegrains have a higher fibre content, which means that the sugar spike won’t be so high, while white carbs are devoid of all fibre,” she adds.

“The body can manage a maximum of 4g of sugar in the blood at a time; the excess will be stored either in the liver as glycogen or as abdominal fat.

“Eat slow release carbs – such as wholegrains – and pair them with fibre (such as vegetables), proteins (such as meat, fish and eggs) and fats (such as avocado, olive oil and nuts) to ensure a slow release of sugar in the blood system for sustained energy and weight management.”

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Tuck into seafood and cut back on red meat.

“Fish and seafood are excellent sources of protein,” says Lucia.

“Just 100g of fish has, on average, the same amount of protein as 100g of meat but fewer calories.

“Oysters are the richest source of zinc. People with diabetes, which is often linked to obesity, tend to have lower zinc levels.  

“Plus, fish and shellfish are sources of iodine, a mineral essential for thyroid function, and suboptimal function can lead to increased weight and fatigue.” 

If you love chocolate… eat like the Swiss

Obesity rate: 14 per cent 

LINDT, Toblerone, Nestlé – some of the best chocolate in the world comes from Switzerland. 

So how can such a chocolate-filled nation remain so slim?

Along with an active lifestyle, Jess says that listening to your body is key. 

“Ignoring cravings makes you want them even more and binge on them eventually,” she says.

“Have a balanced meal before the chocolate you’re craving. 

“If you still want some chocolate, break off a few squares and put the rest of the bar away.” 

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Depriving yourself will only make you want it more and make you more likely to scoff the whole bar! 

The Swiss also love their oily fish.

“Oily fish contains high levels of omega-3 fatty acids EPA and DHA,” Jess says.

“These are excellent for brain health and they’ve been found to reduce the risk of heart disease.

“Aim for two portions of fish per week. One of these should be oily, such as salmon, mackerel or sardines.”

Aim for two fists of vegetables, one palm full of carbohydrates and one palm of protein. Any fats should be thumb-size

Jess HillardNutritionist

Omega-3s have been found to potentially help with fat loss.

In a study published in the Journal of the International Society of Sports Nutrition, adults given 4g of fish oil per day lost 0.5kg of body fat and built more muscle than those who were not given fish oil.

Plus, research published in The American Journal of Clinical Nutrition found that incorporating fish into one meal a day as part of a weight loss regime was more effective than the regime on its own. 

“Fish’s high oil content keeps you fuller for longer as well as helping to decrease inflammation in the body,” says Jess.

Inflammation can lead to health problems, including chronic inflammation, which can even cause the body to hold onto fat, especially visceral fat which sits around your organs.

If you struggle to eat your five-a-day… eat like the Vietnamese 

Obesity rate: 2 per cent 

NOODLE soups, grilled meats, broths and plenty of fresh fruits and vegetables are the order of the day in Vietnam, which boasts an incredibly low obesity rate.

Most dishes are delicious, yet nutritious – so you don’t even notice how much veg you’ve eaten.

“Vegetables are filled with fibre which will keep you fuller for longer,” says Jess.

“They also contain few calories as well as high levels of vitamins and minerals, particularly non-starchy vegetables such as carrots, broccoli, peas and leafy greens.

“Having a nutrient rich diet won’t just ‘stop cravings’ for high fat and/sugary foods.

“You will feel fuller after meals, meaning you won’t feel the need for these foods as much.”

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She recommends filling half your plate with veg at every meal, and to make sure your veggies retain their nutrients, choose steaming over boiling or frying.

Research published in the journal Nutrition & Food Science found that when steamed, vegetables such as broccoli, spinach and lettuce lose nine to 15 per cent of their vitamin C content.

The Vietnamese way of eating is an easier way to get these veggies into meals – you can buy noodle soup kits in supermarkets to try at home.

Compared to many western countries, Vietnam’s portions are also fairly moderate. 

Practising portion control is simple and can be done using just your hands. 

“Aim for two fists of vegetables, one palm full of carbohydrates and one palm of protein,” says Jess.

“Any fats, such as oils, butter and cheese, should be thumb-size.”

A BABY whose mother was not vaccinated against whooping cough has died after contracting the infection.

The UK Health Security Agency said the tot, thought to be under the age of one, died between March and June.

It is the first whooping cough death in the UK this year and comes after a child died of measles in Liverpool last month.

The agency’s Dr Gayatri Amirthalingam said: “Sadly, we are again reminded how severe whooping cough can be for very young babies.

“Vaccination is the best defence.

“It is vital pregnant women and infants receive their vaccines at the right time, ideally between 20 and 32 weeks.

“This passes protection to their baby in the womb so that they are protected from birth.”

Overall vaccination rates for primary school pupils are at the lowest for 15 years — with almost one in five not fully protected from diseases.

Over the coming weeks, millions of children will be flooding into classrooms across the UK.

And there’s a real risk they will return home with more than a few new friends and knowledge.

Pharmacist Thorrun Govind tells Sun on Sunday Health: “There’s often lots of hugging and playing between friends they haven’t seen all summer — and all that close contact means germs can easily spread.

“They also tend to cough and sneeze without covering their mouths and don’t always wash their hands without supervision.

“With early wake-ups, hard work in lessons and sports clubs, children can also get tired, which weakens their immune systems, leaving them prone to picking up illnesses.”

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The illness spreads via close physical contact

Brits heading to Turkey are being urged to “take extra precautions” following reported cases of a highly contagious disease case. The World Health Organisation (WHO) has verified an mpox case in Turkey, amid an outbreak affecting various locations around the world.

Mpox, formerly called monkeypox, is a transmissible illness that spreads via close physical contact with blisters or scabs from someone who’s infected. Travel Health Pro said: “On 23 August 2025, the World Health Organization reported a case of clade Ib mpox in Turkey, detected on 7 August 2025.

“The case is reported to have had a travel history to the United Arab Emirates.” The Democratic Republic of the Congo in Africa has been the worst hit, recording 27,449 confirmed cases of both clade Ia and Ib combined, reports the Express.

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Nine cases were spotted in the UK earlier this year – with many discovered in individuals returning from Uganda. Mpox signs usually emerge between five and 21 days following infection.

Early symptoms can be brutal, featuring high fever, agonising headaches, muscle and back aches, enlarged glands, chills, overwhelming tiredness, and joint discomfort. A rash might appear anywhere on the body one to five days following these early warning signs.

The WHO warns that young children, expectant mothers, and individuals with compromised immune systems, especially those with poorly controlled HIV, face heightened risk of serious mpox complications, which can prove deadly. However, the majority of people bounce back within a month.

The NHS has offered guidance on how to protect oneself from this “rare” disease, and this includes washing your hands regularly with soap and water or frequently using an alcohol-based hand sanitiser and avoiding contact with potential carriers.

You should also look out for any possible symptoms of mpox for three weeks after returning from central or east Africa, talk to sexual partners about their sexual health and any symptoms they may have, and being aware of the symptoms of mpox if you’re sexually active, especially if you have new sexual partners.

If you have any mpox symptoms, you should taking a break from sex and intimate contact until you’re seen by a doctor and are told you cannot pass it on. If you notice any symptoms of mpox, you should ring 111, stay indoors and avoid close contact with others until you’ve been given further instructions.

In March, the UK Health Security Agency (UKHSA) announced that clade Ia and Ib mpox will no longer be categorised as a “high consequence infectious disease” (HCID), following a review of the available evidence by the Advisory Committee on Dangerous Pathogens.

CHICKENPOX has gained a reputation as a ‘harmless’ childhood illness that it’s best to get over with – but it could result in dangerous complications for some and may even prove fatal.

It was announced that children will be given chickenpox vaccines for free on the NHS for the first time from January 2026.

The jab is already used in the US, Canada, Australia and Germany.

One to three-year-olds in the UK will receive the chickenpox vaccine along with the measles, mumps and rubella (MMR) jab.

The combined vaccine will now be dubbed MMRV, as it will protect against the varicella zoster virus.

Responding to news of the chickenpox vaccine rollout in the UK, Dr Gayatri Amirthalingam, from the UK Health Security Agency, said: “For some babies, young children and even adults, chickenpox can be very serious.

“It is excellent news that we will be introducing a vaccine. It could be a lifesaver.”

The news was coupled with warnings from experts that nearly one in five school-starters are not fully protected against preventable diseases – with uptake for the four-in-one diphtheria, tetanus, polio and whooping cough booster and MMR jabs having dropped again.

Chickenpox is a highly contagious infection known for its telltale itchy, spotty rash that blisters and scabs over.

But before these spots appear, the virus can also cause a high temperature, aches and pains, and loss of appetite.

Though it’s mostly known to infect children, adults can also catch chickenpox if they didn’t pick it up in childhood.

These infections tend to be more severe and adults with a varicella infection are more likely to be admitted to hospital.

Most people will recover on their own within a week or two, but the infection can be serious, even life-threatening, for some – especially if they’re very young or old, pregnant or have a weakened immune system.

The illness can result in bacterial skin infections and in rare cases, pneumonia, brain swelling and stroke.

For some, these complications can be fatal.

An average of around 20 people die of chickenpox per year, according to the Vaccine Knowledge Project at the University of Oxford.

This ranges from 17 deaths in 2017, to four in 2020, according to Office for National Statistics data.

Eighty per cent of deaths from chickenpox infections in England and Wales occur in adults, the National Institute for Health and Care Excellence (NICE) states.

1. Bacterial infections

Chickenpox spots can appear anywhere on the body – including inside the mouth and around the genitals.

They tend to develop into fluid-filled blisters, before bursting and scabbing over, which can take a few days.

The spots tend to be maddeningly itchy, so it can be hard to resist the temptation of scratching them – though soothing creams and cool baths can help.

Sometimes the chickenpox spots can get infected with bacteria – probably from scratching, according to healthcare provider Bupa.

Signs of a bacterial infection include a high temperature and redness and pain around the chickenpox spots.

You should seek urgent medical help if you or your child develop these symptoms.

2. Dehydration

Young children do run the risk of becoming dehydrated due to chickenpox.

For babies and kids, fewer wet nappies and peeing less can be telltale signs of dehydration.

Other signs may include:

• Feeling thirsty
• Dark yellow, strong-smelling pee
• Feeling dizzy or lightheaded
• Feeling tired
• A dry mouth, lips and tongue
• Sunken eyes

Call NHS 111 if you suspect you or your little one are dehydrated from chickenpox.

3. Pneumonia

Some people – especially adults – can develop pneumonia, inflammation of the lungs, after being infected with chickenpox.

Pneumonia is the most common chickenpox complication in adults, according to NICE.

Smokers are particularly at risk.

Symptoms of pneumonia can include:

• A cough with yellow or green mucus
• Shortness of breath
• A high temperature
• Chest pain
• An aching body
• Feeling very tired
• Loss of appetite
• Making wheezing noises when you breathe
• Feeling confused

4. Brain swelling

Infection or swelling of the brain, known as encephalitis, is a rare complication of the chickenpox infection.

Professor Benedict Michael, Institute of Infection, University of Liverpool, said: “Varicella-zoster virus is the second leading cause of brain infection (or ‘encephalitis’) in the UK, which can be life-threatening.

“Early diagnosis and treatment are essential, but prevention through vaccination is the most effective way to protect children and families from this serious complication.”

Dr Ava Easton, Chief Executive of Encephalitis International, added: “By making [the chickenpox vaccine] available to every child, we’re not only reducing the spread of chickenpox but also helping to stop some families from ever facing the devastating impact of encephalitis.

“That’s a powerful step forward for children’s health and for awareness of a condition too few people know about.”

Encephalitis usually starts off with flu-like symptoms, such as a high temperature and headache.

More serious symptoms develop in the next few hours, days or weeks, including:

• Confusion or disorientation
• Seizures or fits
• Changes in personality and behaviour
• Difficulty speaking
• Weakness or loss of movement in some parts of the body
• Loss of consciousness

Dial 999 for an ambulance immediately if you or someone else has these serious symptoms.

5. Stroke

According to the Stroke Association, children who develop chickenpox may have a four times higher risk of stroke in the six months following infection.

“However, stroke in children is still rare and the finding translates into a very small actual increase in their stroke risk,” it noted.

Studies by the organisation also found that adults with shingles – also caused by the varicella zoster virus – may also have an increased risk of stroke up until six months afterwards.

“This is particularly within the first few weeks, and for individuals with shingles around the eye,” Stroke Association said.

“Oral antiviral drugs used to treat shingles may be able to reduce this risk.”

6. Sepsis

In rare cases, chickenpox can result in sepsis – when the body’s immune system overreacts to an infection, attacking its own tissues and organs.

Sepsis can be life threatening and requires immediate medical help.

It can also be hard to spot, as there are lots of possible symptoms.

In adults, remember the SEPSIS acronym:

• Slurred speech or confusion
• Extreme shivering or muscle pain
• Passing no urine (in a day)
• Severe breathlessness
• It feels like you’re going to die
• Skin mottled, discoloured, or cold

Other signs include:

• High or very low body temperature
• Rapid heart rate
• Low blood pressure
• Rapid breathing

In children, look out for: 

• Fast breathing
• Lethargy or difficulty waking up
• Mottled, pale, or bluish skin
• Very cold hands and feet
• Seizures
• A rash that doesn’t fade when pressed ,which is a sign of meningococcal sepsis
• Babies not feeding or vomiting 

Antonia Lambert intially noticed something was wrong with her daughter Delilah in March, before it was discovered in June that she had a rare and serious condition

When Antonia Lambert took her 17-month-old daughter Delilah-Rose Lambert to the opticians earlier this year, she had no idea what was about to transpire.

Antonia, 20, had noticed her daughter’s left eye shine white and wanted to find out why. After the opticians referred her to the Diana, Princess of Wales Hospital in Grimsby, they attended an appointment, after which they were sent home when nothing was found.

When Delilah started rubbing her left eye constantly and developed a fear of the dark just weeks later, Antonia, from South Killingholme in North Lincolnshire, was referred to Birmingham Children’s Hospital.

It was there that doctors made a tragic discovery. In June, three months after symptoms had first been noticed, Delilah was diagnosed with Retinoblastoma. According to the NHS, this is a rare type of eye cancer that can affect young children.

Following the diagnosis, which Delilah’s family believed caused her fear of the dark because she could see less, Antonia’s daughter had to have her entire left eye removed.

Although Delilah has now been given a temporary prosthetic, it will be a few more weeks before she receives a longer-lasting one. While the situation cannot be changed, hairdresser Antonia believes that, had they not been initially dismissed, her daughter might still have her left eye.

Speaking about the beginnings of their horrific ordeal, Antonia spoke about how she first came to notice something was wrong with her daughter.

She said: “We had a lamp on in our room and one of her pupils looked white. We didn’t think much of it but she started to get wobbly so we took her to get her eyes tested.

“[Before her diagnosis], she refused to settle in her room and would cry for hours until I put a light on or took her out of that room.”

Antonia also spoke about how hard it was to hear that her daughter had such a difficult diagnosis. She said: “There were so many emotions at the time and I didn’t know how to feel. I sat and cried for days.

“I think most of the frustration was with our local hospital because they decided her eye wasn’t important enough to examine at the start and it made me think that it could have been different. The tumour might have been smaller if she was seen earlier and they could have potentially saved her eye.”

Despite the heartbreak, Antonia is determined to raise awareness of retinoblastoma so that other parents know what symptoms to look for and can act quickly.

She urged: “You need to trust your gut and push as much as possible. We didn’t push enough at the start, but we kept going and going – and she ended up getting her eye removed.

“It’s not massively common. We were told 30 to 40 kids a year in the UK get diagnosed with this. You don’t think it’s going to be you – until it is.

“Opticians don’t usually test children’s eyes under four unless there are concerns, but if you spot anything unusual, you definitely need to get their sight checked.”

In a statement, a spokesperson for the NHS Humber Health Partnership said: “We are sorry to hear about the difficulties Miss Lambert and her daughter encountered at Diana, Princess of Wales Hospital earlier this year.

“We would be keen for her to contact our Patient Advice and Liaison Service team so we can discuss the issues with her in more detail and allow us to investigate fully.”

YOUNG people being overdiagnosed with mental health conditions has left the state at breaking point, a report warns.

Policy Exchange’s study is backed by Jeremy Hunt, who as Health Secretary in 2012 pushed to give mental health the same importance as physical health.

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He now admits a surge in diagnoses — as parents chased support for kids — had “unintended consequences” by overwhelming the special educational needs (SEND) system.

The report says costs are “unsustainable” and seeks a radical overhaul.

Mr Hunt said: “We seem to have lost sight of the reality that child development is a messy and uneven process.”

He added that in trying to support young people there are “excessive impulses to medicalise and diagnose the routine, which can undercut grit and resilience”.

Earlier in the year, The Sun revealed that nearly one million children and young people were referred for mental health help last year.

Over 958,200 children in England were referred to Children and Young People’s Mental Health Services.

That is equal to eight per cent of England’s population of 12 million children.

And an increase of 10,000 from the previous year, according to research by the Children’s Commissioner. 

Anxiety was the most common reason, followed by neurodevelopmental conditions and autism.

Children’s Commissioner Dame Rachel de Souza called for urgent action to tackle waiting times.

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THE world’s first smartphone test for type 2 diabetes has launched in the UK.

The app-based check is designed to make it easier for people to spot their risk and could help cut complications such as heart attacks, strokes, and kidney disease, which are often linked to diabetes.

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Patients place a drop of blood from a finger-prick onto a chip, which is then scanned by the PocDoc app to give results almost instantly.

NHS trusts in Cumbria and the North East are the first to roll it out, with a nationwide launch planned later this year.

The Government has hailed the app as a “potential game-changer” in the fight against diabetes as results come in within minutes, instead of the days or weeks it can currently take.

Around 5.2 million people in the UK have type 2 diabetes, with cases still rising – and a further 1.3 million thought to be undiagnosed.

“Enabling screening for type 2 diabetes risk including blood biomarkers via a smartphone app is something that has never been done before,” said PocDoc chief executive Steve Roest.

Professor Julia Newton, medical director at HI NENC, said the test could reach people who struggle with conventional health checks.

“Most people over the age of 40 are invited for an NHS health check every five years, but depending on where you live a large chunk don’t attend,” she said.

“One of the reasons we’ve found is accessing a health check in a conventional setting.

“So if those tests are made more easily available, which this test does, then we have the opportunity to reach far more people.”

She added: “If you consider the number of people with diabetes who go onto have heart attacks and strokes, if we can manage their risk before it becomes a problem that will reduce admissions to hospital, reduce mortality, and reduce complications from diabetes, such as kidney disease, heart disease, and stroke disease.”

The HbA1c finger-prick test is considered the gold standard blood test. This is because it shows average blood sugar levels over the past two to three months, giving a clearer picture than daily checks.

Steve said the app fits directly with Health Secretary Wes Streeting’s 10-year NHS plan, spotting illnesses earlier, tailoring care, and shifting more testing and diagnosis into homes and communities.

“There’s a huge gap in screening for preventable diseases,” he said.

“Right now, the system, not just in the UK but worldwide, cannot find, assess, and diagnose enough people to make a dent in tackling heart attacks, strokes, and type 2 diabetes.”

Health minister Stephen Kinnock told The i Paper that the app rollout was important because type 2 diabetes is on the rise across England.

“This is a potential game-changer and exactly the type of technology we want to see in the NHS as part of the 10 Year Health Plan – bringing our health service firmly into the 21st century and care directly into people’s homes.

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“We will make using the NHS as simple and convenient as online banking or shopping, while helping companies bring new technology into the health service more quickly.”

The seed of the device was planted 30 years ago when Steve was a teenager and witnessed his father having a catastrophic stroke in his early forties, due to undiagnosed cardiovascular disease (CVD).

“Using smartphones to deliver diagnostics is exactly what could have saved my dad from having so many [health] problems. He’s cost the NHS a fortune,” Steve said.

Around £9bn is spent on treating complications arising from diabetes, such as heart disease, kidney problems, and nerve damage.

Studies suggest that the annual cost of the disease could increase to £16.9 bn in the next 25 years.

The app’s launch comes 24 hours after the Government announced the biggest shake-up of diabetes care in a decade.

Around 750,000 patients with CVD or early-onset diabetes would benefit from fat jabs sooner, rather than keeping them for the later stages of treatment, new guidance states.

THERE are fears for a Thai princess after the royal palace shared a concerning health update following her three-year-long coma battle.

Princess Bajrakitiyabha Mahidol, the eldest daughter of King Vajiralongkorn, is said to have developed a severe infection.

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The 46-year-old, affectionately known as Princess Bha, collapsed in December, 2022, while training her dogs in Nakhon Ratchasima, northeast of Bangkok.

She has been in a coma ever since.

The Bureau of the Royal Household gave the first update on her condition in more than two years on Friday, saying she had suffered a “severe” blood infection.

The palace said in a following update that a team of doctors were closely monitoring her situation.

It read: “The medical team said that she remains in a state of low blood pressure, requiring continuous treatment.

“Doctors are administering medication to stabilise her blood pressure, along with medical equipment and antibiotics to support kidney function and breathing.”

Over the years, some reports have suggested her health condition is far more serious than the palace is letting on.

Princess Bajrakitiyabha was training her dogs at a working dog championship organised by the Thaiarmy when she collapsed.

Paramedics rushed her to a nearby hospital before a helicopter took her to Bangkok’s Chulalongkorn health facility.

Bajrakitiyabha is the daughter of the king’s first wife, Princess Soamsawali.

She has been part of her father’s inner circle since he came to the throne in 2016 and is a senior officer in the king’s personal guard.

The fitness enthusiast is widely viewed as the most suitable successor for her father, who turned 70 this year.

She has post-graduate law degrees from two US universities and has long called for prison reforms in Thailand.

She was also the Thai ambassador to Austria between 2012 and 2014.

The 73-year-old king, who has seven children from four marriages, has not announced his chosen heir.

Though succession rules in Thailand favour men.

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There are a lot of things to remember while preparing for a holiday – but the NHS has urged all travellers to book in with their GP ahead of their travels in order to stay safe

While booking a holiday can be exciting, travellers are warned to check with their GPs before jetting off in order to stay safe. Going on holiday requires a lot of planning, making sure your passport is in date, sorting arrangements for your stay and remembering your SPF but also it’s crucial to make sure you are vaccinated if heading to certain countries.

Brits are being warned to double-check their vaccinations at least six weeks before going away, as they have to be done ahead of time to allow your body to build an immunity against viruses and diseases abroad.

The NHS recommends booking in with their doctor to avoid falling unwell while on holiday and health experts from the UK Health Security Agency (UKHSA) advise people to check if they need to take any preventative measures.

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In the UK, the NHS routine immunisation (vaccination) schedule protects you against a number of diseases, but does not cover all of the infectious diseases found overseas.

The UKHSA urged: “Ideally travellers should consult their GP, practice nurse, pharmacist, or travel clinic at least four to six weeks before their trip for individual advice, travel vaccines and malaria prevention tablets, if relevant for their destination.”

Travellers can also use the TravelHealthPro website which offers country-specific advice giving vaccine recommendations as well as active health risks at each destination.

NHS vaccinations include MMR (measles, mumps, and rubella), polio, meningitis, hepatitis and tetanus which all adults and children should be up to date with – as these infections can be more prevalent in some countries.

In a recent report by UKHSA, it indicated a rise in travel-associated fever cases in England, Wales and Northern Ireland and a total of 702 instances of cases – including typhoid and paratyphoid infections – were reported in 2024, compared to 645 cases in 2023. These are preventable illnesses that are transmitted through contaminated food or water, and the majority of cases caught during travel to regions with poor sanitation.

Brits heading abroad can A free free typhoid vaccination is available at local GP surgeries for British travellers heading abroad, but there are no existing jabs paratyphoid.

The NHS say you may be more at risk of some diseases if you are doing any of the following:

• travelling in rural areas
• backpacking
• staying in hostels or camping
• on a long trip rather than a package holiday

It’s also important to note that some countries require proof of vaccination (for example, for polio or yellow fever vaccination), which must be documented on an International Certificate of Vaccination or Prophylaxis (ICVP) before you enter or when you leave a country.

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A BLIND 99-year-old with her heart set on reaching one hundred, has died after being scolded by a cup of tea, an inquest hears.

Margaret Eluned Roberts suffered severe burns after the piping hot black tea spilled onto her at a nursing home in Anglesey, Wales.

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Today, an inquest into the elderly woman’s death heard the burn contributed to Mrs Roberts catching a chest infection.

She died roughly five weeks after the incident.

However, a senior coroner has concluded that the death was accidental.

The pensioner’s daughter has slammed Glan Rhos nursing home in a recent statement.

Linda Pritchard explained that she received a phone call soon after the incident occurred.

She said she asked “why did they give a blind lady hot black tea?”

Kate Robertson, senior coroner for north west Wales, found that Mrs Roberts died from pneumonia and cellulitis secondary to a burn.

Ms Robertson also found that old age, asthma and ischaemic heart disease were contributing factors.

Sarah Thomas, a healthcare assistant at Glan Rhos nursing home in Brynsiencyn, who handed Mrs Roberts the cup of black tea, said she knew she was registered blind.

She gave the tea to Mrs Roberts in a plastic, two-handed beaker on September 22 last year, insisting that the pensioner was very independent and “wanted to drink the cup of tea herself.”

The healthcare assistant went on to explain that she watched Mrs Roberts sip the drink through a straw in the spout then moved away.

The inquest heard, that moments later, she spilt the tea on herself at around 7pm.

Ms Thomas claims she didn’t hear a scream.

Jo Reavey, a nurse, said in a statement that she heard “Eluned shouting in an urgent tone.”

She explained that she found her “distraught with her arms raised” and the beaker “upside down” with “black tea on her trousers.”

The wound started blistering as staff frantically put cold towels on it.

An ambulance was called at 7.51pm and arrived at Glan Rhos nursing home at about 10pm.

Mrs Roberts was taken to Ysbyty Gwynedd in Bangor. 

The wound was initially eight per cent of her body weight but after reddening reduced it was classified as four per cent. 

At the hospital, the pensioner’s blisters were lanced and her wound was dressed before being discharged.

She later returned to the nursing home, however soon after, developed chest problems.

On October 7, Mrs Roberts daughter asked for her mother to be readmitted to Ysbyty Gwynedd. 

Doctor Abdul Azu, a consultant physician, told the inquest her condition was not improving.

She died there on October 28, about five weeks after the scalding.

Doctor Azu is confident that the burn contributed to the chest infection and her declining health.

The coroner Mrs Robertson, said Mrs Roberts died on October 28 ‘as a result of the medical conditions which were precipitated by the burn injury sustained on her leg.’

She said the spillage had been ‘unintended and accidental’ and gave the cause of death of Mrs Roberts as an accident.

Mrs Robertson told Mrs Pritchard: ‘Mam wanted to reach 100-years-old. It would have been such a significant milestone for her and for you.’

Alysha, 27, thought she had a hangover – but i turned out to be a deadly infection from food or animals

A backpacker has told how her post-party hangover turned out to be a deadly infection which kills over 100,000 people every year. Alysha Pyrgotis, 27, was left vomiting and with ‘extreme diarrhoea’ after catching typhoid on the remote Indonesian party island of Gili Trawangan in June this year.

She said: “I was bed bound, in a lot of pain with my muscles and my bones. I was a bit delirious. I couldn’t concentrate at all, that’s when I started to panic. The guy I was travelling with at the time started to realise I was quite poorly, I wasn’t hungover.

“He spoke to the person at the hostel and we had a look online, there weren’t any hospitals or anything. I was on a very small island, there wasn’t really healthcare, it was just really unlucky that I was there at the time.”

A local doctor came out to visit Alysha and tested her blood to find she had typhoid – a bacterial infection which can kill one in five of those infected if they do not get treatment. The backpacker, from Bradford, believes she could have caught the infection from something she ate.

She said: “I thought I was going to die, to be honest. It was that bad, I was literally like ‘this is it’. I was so annoyed as I was so close to the end of my trip. I’d been ill before, but not that ill before. I was really worried about telling my family – I didn’t tell them, actually, because they were having a lot of stress at work at the time. I didn’t tell them until after I’d been poorly.

“I just thought it was not going to end well for me. I was panicking as I knew I had to leave the country soon, I was really, really scared.”

Alysha added: “It was just like my body didn’t want anything inside it, it was trying to get rid of everything. I didn’t eat anything for the whole time I was really ill – probably five or six days. Even water, I would sip water and it would come straight back up. It was a very, very extreme sickness.”

After six days on a drip in a small, cramped medical shack, Alysha received a negative typhoid test and had to get out of the country. She said: “I had to get out of Indonesia because my visa would run out. I’d spent almost my whole time in Indonesia being sick.

“I had to get out, I had a flight to Thailand. They took me off the drip and the next day I had to fly to Bangkok. I still was very sick, the flight was horrific. Even the next few days in Bangkok were very difficult, I couldn’t do anything. The lasting effects of it were still a couple of weeks of not feeling quite right.”

The former social media marketing executive was in the middle of a seven-and-a-half-month trip abroad when she came down with the fever. Following a breakup, Alysha made the spontaneous decision to fly out to south Thailand in December 2024.

She then visited Cambodia, Vietnam, Laos, and the Philippines before going to Indonesia. Now, she’s urging anyone who visits these countries to ensure they wash their hands – especially around animals – and watch what they eat.

Alysha said: “I’m not going to say ‘nobody pet the stray animals’, because that’s one of my favourite parts of travelling. I think washing your hands is really important afterwards, because that’s something I really didn’t do.

“I was in the middle of nowhere petting stray animals and then going about my day for hours and hours without access to any water to wash my hands in, I didn’t bring any sanitiser either. I think general handwashing, being careful with what you eat out there.

“A lot of street food you eat isn’t kept in clean conditions, it’s in a hot country on the street. Chicken is sat out for hours and the cleaning utensils are probably not cleaned to the standard you would in the west. I just wasn’t careful where I ordered my food from.

“I was just eating everything that looked good and smelled good at the time – and that’s probably not the wisest thing to do.”

According to the NHS, typhoid fever is spread through unclean food or water. Symptoms include high temperature, headache, coughing, chills, aches, pains, feeling tired, constipation, and a lack of hunger. Those travelling in areas where there’s a risk of catching it are advised by the health agency to get a vaccination against the illness.

Treatment for people who catch it is through antibiotics. Some people who recover from the disease can become carriers who can still spread it for months or even years after.

The NHS says regularly washing your hands with soap and warm water, or using sanitiser gel if they’re unavailable, as well as using bottled or boiled water and eating thoroughly cooked foods can help to prevent catching or spreading the infection. The health agency says to avoid having ice in drinks, or eating raw or lightly cooked meat or seafood and unwashed salad.

Dairy products made from unpasteurised milk and food that has been left uncovered can also pose a risk. Typhoid vaccines are recommended for anyone age over one year old when travelling to an area where there is a high risk of catching typhoid.

Travellers should try to see a GP six to eight weeks before travelling. The vaccine lasts for three years and comes as an injection or tablets.

AI is helping doctors write up medical notes to try to get patients out of hospital beds faster.

The tech means they spend less time filling in forms, cutting delays in discharging those fit to go home.

It creates a summary using information such as diagnoses and test results from medical records.

The document can then be reviewed by medical teams and used to send patients home or refer them to other services.

The technology is being piloted at Chelsea and Westminster NHS Trust.

Health Secretary Wes Streeting said: “This potentially transformational discharge tool is a prime example of how we’re shifting from analogue to digital.

“We’re using cutting-edge technology to build an NHS fit for the future and tackle the hospital backlogs that have left too many people waiting too long.

“Doctors will spend less time on paperwork and more time with patients, getting people home to their families faster and freeing up beds for those who need them most.”

As part of their AI revolution, the Government has also announced tech is being given to all 12,000 probation officers.

A programme called Justice Transcribe will help them take notes in meetings with offenders after they leave prison.

It was found to halve the time officers spent organising notes between meetings and in their personal time.

Technology Secretary Peter Kyle said: “This is exactly the kind of change we need, AI being used to give doctors, probation officers and other key workers more time to focus on delivering better outcomes and speeding up vital services.”

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A MUM has tragically died a week after coming back from a holiday abroad.

Amanda Cugini, from Cardiff died on July 22 after coming back from Tunisia.

The 47-year-old worked at a local child care nursery and was just about to be fully qualified as a day care nurse.

Her husband David Cugini was with her when she “got into difficulty” and tried to resuscitate her but was unable to.

The family does not currently know what caused Amanda’s death.

“It’s kind of a cliché but she was one in a million,” David said. “She reached out and touched more people that I’m ever going to know.”

“I was with Amanda for 18 years and I knew Amanda for 10 years before that as friends, so I’ve known her a long time and I’m still now getting to hear and meet new people for the first time, who she’d have touched in her life.

“She was an amazing mum, she was an amazing nan to my two grandsons. She was the life and soul of the party. She lit up the room when she walked in.

“It’s the same stuff as what other people say, but not in Mandy’s way. Mandy was different, she was special.”

David said their family had seen hardships, with Amanda losing her parents, as well as the Covid pandemic and the cost of living crisis, but that she always strove to help others.

“Life has been hard, but someone like Mandy, I always say she would have found a pound and made sure that you either had it all or you’d certainly have half, because she was just a giver,” he explained.

He said Amanda’s loss has left a significant impact on her family, particularly her children. “To be honest, it’s very, very hard,” David said.

“So confusing, upsetting and everything, all rolled into one.

“There are late nights where we sit in with the children and just comfort them because they’re missing mum so much.”

Their family has tried to return to normalcy, playing music and singing like they used to do, but he said their grief comes and goes.

“One minute we’re all laughing, thinking over ‘imagine what mum would have said’ and then next minute we’re all hysterical, emotionally devastated, and crying.”

David said he feels thankful to the community, his family and his friends for their support.

“I’ve been overwhelmed, to be honest, with the outpouring of love and support. The children are the closest to me, so we’ve got each other first, and then it’s a reflection on the friends, family and everybody.

“Even strangers are showing love and support because it’s such a devastating thing for such a beautiful lady at such a young age. It’s been very quick, sudden, very shocking.”

Amanda leaves behind David, her daughters aged 17 and 10, and a stepdaughter aged 34.

She was also a nan to two grandsons.

A GoFundMe was set up to help pay for her funeral.

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MICKY Higham sat down with his two sons and spelled it out after receiving the news he dreaded – this time will be different.

For years, the hooker rolled the blows in a career that saw him play for Leigh, Wigan, Warrington and St Helens.

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He toughed it out against the very best for England and Great Britain. This battle, though, is off the field.

Noticing a lump on his right buttock turned out to be something much more serious – a 10cm cancerous tumour, with tests finding the disease had spread and the devastating diagnosis of stage four widespread metastasized cancer.

And the pain caused this time around is far more significant after it returned, three years after fighting off a metastatic malignant melanoma.

“Originally, I just kept it really low key,” said Higham, who has started immunotherapy treatment. “I said, ‘Lads, I’ve just found another lump. I’ll have to get it sorted next time.’

“Harry, my eldest, is 21 in January and they’re not stupid. He got wind.

“So I sat them down last Sunday and said, ‘Listen, it’s going to be a bit worse this time fellas. I just need to give your mum some help around the house.’

“I’m not missing them playing rugby, Harry at Swinton and Alex for Leigh Miners Rangers. I’m not missing that as they’re a big reason why I keep fighting and going.

“I found a small lump on my right bum cheek. I had an issue with my toe too and thought, ‘It’s a bit sore. I might just have a bit of a knock.’

“So I left it a week or two, then I thought, ‘The pain’s a bit more.’ It went down my leg a bit, so I felt the lump again and thought, ‘It doesn’t feel like a knock. That feels really hard.’

“I told my doctor and he said, ‘Let’s get it checked in after the last time.’ It was a cancerous tumour on my right glute, then I had some more scans.

“A PET scan really showed up the melanoma. It’s come to the shoulders, it’s in my arms, my hips. It’s come to my legs.

“It’s in my chest, my groins and in my lymph nodes. It was a pretty widespread and stage four, so it was a real kick in the teeth.

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“I’m quite shocked how quick the pain’s come on. Each week, you’re like, ‘Wow, it’s coming on more there.’

“This one’s a tougher battle, but I’m ready to attack it. I’ve never had anything given to me in life and I’ve always had to work hard for things.

“I may be struggling a bit but I’m ready for it.”

Higham, 44, is keeping up the traits that saw him through his last cancer battle – his relaxation and his determination.

The pain means he has had to step back from the gym he owns and radio punditry duties for the time being – but if you think he is sat at home moping, think again.

He has already sorted the first event as he looks to raise funds – with a target of £50,000 just beaten after £25,000 then £40,000 was met.

A bucket collection was held outside and inside the ground at Friday’s match between two of his former clubs – the Leopards and Wolves – while Leigh owner Derek Beaumont has launched a special fundraising shirt.

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Higham will also walk from his hometown of Leigh to the Monton area of Salford on Sunday, August 24 and typically, the thought of doing it for others is at the forefront of his mind.

“I want to give something back to the Christie and Macmillan because for the last three years they’ve been fantastic,” Higham added.

“My pain was quite severe last week but they just said, ‘Come in, we’ll check you out. We’ll change your medication and provide some relief, literally within days.

“I can’t really put into words the work they do. I’m not one for shouting but sometimes you’ve got to get on board, don’t you?”

Higham’s condition and treatment under Manchester’s Christie Hospital means he can see the toll it is taking on wife Kate.

After the last cancer fight, it is something he did nit want to see again – but just like him, she is doing her bit as he looks to get on a European drug trial after being turned down for a UK one.

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He told SunSport: “I obviously had a big setback with that. To get on a clinical trial, I had to have my blood done.

“All the enzymes have got to be pretty level with everybody and mine are a lot higher than everybody else. I was told it could be down to being a sportsperson over the years.

“To give myself the best chance of getting it down, I did Thursday, Friday, Saturday, Sunday and didn’t move off the couch.

“Unfortunately, it was still too high but even though Kate’s doing it tougher than me, she and her friend have been having a good look around and there is something.

“Because I’ve got my immuno now, every three weeks for the next four months, it’s 12 weeks and they’ll re-scan me.

“The immuno might do the job but if not, we might look at the option if there’s something available there.”

*YOU can donate to the fundraising appeal for Micky Higham at https://www.justgiving.com/crowdfunding/emma-worrall-2.

A BELOVED grandmother choked to death after being fed the wrong food in a care home.

Joan Whitworth died at the Oaks Care Home in Northumberland after staff prepared her meal in a way which “did not comply with her diet plan”.

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An inquest heard the 88-year-old had lived with her daughter Gillian but moved into the facility when her dementia progressed.

When eating a meal on March 3, 2023, Joan began to display signs of choking.

But the inquest heard how a care assistant did not intervene and had to ask another staff member for help to deliver back slaps and abdominal thrusts.

And, CPR was not performed due to the “inaccurate understanding of a registered nurse”.

Following the hearing, Northumberland’s senior coroner Andrew Hetherington has written a “prevention of future deaths” report.

The care home and NHS trust have 56 days to respond.

The coroner concluded Joan died “in a care home as a result of choking”.

And in his written report, he outlined a total of six “matters of concern”.

Of these, one was regarding the NHS trust and five were directed to the care home’s operator Hillcare.

The first issue was found with the speech and language team.

Joan’s assessment had not been written down in a formal report, meaning observations of her eating had only been passed on verbally.

The coroner also concluded that a nurse and care assistant at the home “were not in date with their training in Basic Life Support and First Aid at Work”.

The coroner added: “I am concerned that a chef in evidence at the inquest was not aware that breaded fish was not a suitable food stuff in the diet identified for the deceased.

“I am concerned that other residents could be fed inappropriate food stuffs that are not in line with their identified diet plans.”

Bryan Smith, Joan’s son-in-law, told ChronicleLive: “Right from the start, we knew what had happened – that they hadn’t given her the right food.

“We knew she hadn’t been looked after.

“The reason we have pursued this is that we knew what had happened.”

Bryan added how the family had been “shocked and astounded by the quantity and severity of the mistakes” that were highlighted in the inquest.

He told how many families have shared similar “painful and shocking experiences”.

In a statement on behalf of the family read in court, they paid tribute: “Joan was a well loved character in Blyth. She was manager of Robson’s shoe shop and then moved to the Water Board.

“When we used to go shopping with Joan, it would take you an hour to get past the car park – as she knew everyone in Blyth with a tap or a pair of shoes!”

A Northumbria Healthcare NHS Foundation Trust spokesperson said: “All referrals to our speech and language therapy service are robustly triaged using a risk and evidence-based approach to inform the most appropriate care for that individual. This includes information on the referral form and discussion with the patient and / or those who care for them daily to gather the most up-to-date information.

“We cannot comment further on this case due to patient confidentiality, but would like to offer our sincere condolences to Mrs Whitworth’s family and loved ones.”

A spokesperson for The Oaks Care Home said: “We acknowledge the Coroner’s report relating to the death of Joan Whitworth at our home in March 2023. Our thoughts remain with her family and loved ones.

“Following the incident, we carried out a full review and made all necessary changes to our practices and procedures. These have been in place for some time and will be reflected in our formal response to the Coroner’s report. The safety, dignity, and wellbeing of those in our care remain our highest priorities.”