If you are reading this, chances are that you might have undergone a Caesarean Section or caesarean delivery and are looking forward to getting rid of the belly fat ASAP. Well, there is news for you. It’s going to take time. It cannot happen overnight. Your body has just produced another human being inside you and carried it for 9 months. That’s a lot to shed when it comes to reducing belly after a Caesarean Section.

If we do a comparison between Normal Delivery and Caesarean, Caesarean Delivery can be quite an experience on the body. They cause a major impact on your muscles in the abdominal area and the floor of the pelvis. Also, the body loses major quantities of blood during a Caesarean Delivery. During this process, you will gain lots of fat and accumulate a large quantity of fat in the abdomen area.

Now, this doesn’t mean that getting back in shape isn’t possible. There are a few things that you need to keep in mind if you are looking to do so after a C-Section delivery.

1)      Be patient: As soon as your baby is born, your hormones begin to alter, contracting your uterus. It requires at least 6 to 8 weeks for your uterus to take its original size. So, take all the time to nurture your body and give time to heal and let it come back in its original form. After all, patience is the key post a normal delivery or a Caesarean Section.

2)      Consult your doctor first: If you are firm on your decision of losing your belly fat, firstly consult your doctor before initiating any remedy. As per evidence, it is recommended to wait for at least 8 weeks to start any exercise or diet alterations. As eager as you might be to lose the weight right away, this will only cause complications if you rush into it and without a doctor’s advice. So, avoid home remedies post a Caesarean Section.

3)      Prefer breastfeeding your baby: Breastfeeding will cause you to automatically get rid of excess weight after delivery, be it Normal or a Caesarean Delivery. The process involves burning calories i. e. around 250 to 500 calories/ day.  Also, breastfeeding contracts the body which also involved shrinking the uterus to some extent.

4)      Avoiding consuming processed foods: After caesarean deliveries, it is best to not consume processed foods like chips, fried foods, baked items etc. Because when you consume processed food, it not only affects your body but also your baby’s diet especially if you are beast-feeding. If you constantly keep consuming junk food post-Caesarean Delivery, you ingest chemicals in your body which is harmful to both – you and your child.

5)      Prefer eating whole foods: Wondering what to consume if not junk? Well, the answer is pretty simple – WHOLESOME FOOD! Pulses, grains, fruits, vegetables, nuts etc. are considered best after a normal or a Caesarean Section. This provides you with the nutrition that you and your baby require. You both benefit from it. You feel good, you feel active and full, your baby is growing healthy and you are on a way to a healthy life after a Caesarean Delivery or a normal delivery.

6)      Initiate walking to lose weight: A simpler form of exercise which is best for normal delivery or caesarean is walking. It doesn’t exert any pressure on your body after a Caesarean Delivery. It is easy and highly recommended because it keeps your heart pumping and keeps the blood circulation good. You can always step out with your friends and family to get some fresh air and take some time off from the routine. It also helps you reduce the belly fat and helps you get back to a good shape slowly if done steadily.

7)      Opt for mild Exercises: Before you start this, it is recommended to wait for 6-8 weeks post a Caesarean Delivery. You can start with basic yoga and exercises – sphinx pose or a bridge pose which will help strengthen your pelvic muscles. It is best to do it under expert guidance to get the form correct and avoid any injury.

Piles are very common but not something you’ll want to talk to your friends or loved ones about. Many people are ashamed of having enlarged piles. They don’t like to discuss symptoms and might be reluctant to go to the doctor. Some might be afraid of having a physical examination or finding out that they have a serious illness. But seeing a doctor about your symptoms is important if you want to have the right treatment.

Today, open access to biomedical information on the internet or social media has created new opportunities for doctors and patients, but much of the information is subject to manipulation because the ordinary conventions of context and the reliability of provenance are constantly in question. Alike other medical information, Piles too have much content online. But the question is “Is it reliable?” To uncloud this confusion, on #WorldPilesDay we invited the renowned Proctologist and Lap. Colorectal Surgeon, Dr. Pravin Gore, with 21 years of experience to share his knowledge about piles and their treatment. Dr. Pravin Gore is currently practicing in Mumbai and is associated with eminent hospitals like Apollo spectra, Bhatia, Wockhardt etc. He has vast experience in laparoscopic surgeries related to problems in the colon, rectum, anus and other parts of the lower abdomen.

During his LIVE session with us on our Facebook page, Dr. Pravin Gore shared information on the following topics;

What is Piles?

Piles, also known as haemorrhoids are swollen and inflamed veins in the rectum and anus (canal through which we pass stools) that cause discomfort and bleeding. The size of piles can vary from person to person, and they are found inside (Internal Piles) or outside (External Piles) the anus. Usually, internal piles are in the range of 2 cm – 4 cm above the opening of the anus, whereas external piles appear on the outside boundaries of the anus.

 Symptoms and Causes of Piles

In most cases, the symptoms of piles are not serious. One of the most common symptoms of piles is bleeding post passing stools. Sometime you will notice no symptoms or signs at all. Nonetheless, a piles patient may experience:

  • A hard and painful mass which is present around the anus.
  • Feeling of bowels being full, even after passing of stools.
  • Noticing bright red blood after passing stools, on the toilet paper or toilet pan.
  • Itching and inflammation of the anal area.
  • Pain while passing stools.

Usually, piles are caused by increased pressure in the lower rectum. Also, sometimes piles tend to develop for no apparent cause but there are specific circumstances that may certainly increase the chances of one developing piles such as:

  • Chronic constipation
  • Chronic diarrhoea
  • Lifting heavyweights
  • Pregnancy
  • Straining when passing a stool
  • Cancer in the colon

How to prevent piles?

Fortunately, there are numerous precautions to prevent piles from interfering with your daily life.

  • Fibre-rich diet
  • Drink plenty of water
  • Regular exercise
  • Avoid frequent use of laxatives
  • Don’t hold your bowel movements
  • Avoid straining

How much time does it take to cure piles?

Usually, small piles may clear up without any treatment within a few days (7-10 days) and you will be able to resume most activities right away. However, large or external piles may take longer to heal depending upon the treatment.

What are the treatment options available for Piles?

If detected at an early stage, piles can be treated with just medication and lifestyle changes such as consumption of high-fibre diet to prevent constipation, taking OTC (Over-the-counter) medicines such as creams (Hydrocortisone – a medication used to treat swelling, redness and itching), painkillers, etc. 

If there’s no improvement to your piles after home treatments and medications, you may require other minimally invasive procedure such as:

  • Coagulation (infrared or laser): This treatment is for internal piles. The technique uses infrared light or laser to harden and shrivel the internal piles.

Other surgical treatment options include:

  • Haemorrhoidectomy: Haemorrhoidectomy refers to the surgical removal of internal or external piles. This procedure is considered to be the most effective way to treat severe or recurring piles.

In this method, piles are diagnosed and removed using a sharp instrument or laser and the wounds are then closed by stitching.

  • Stapling: This method is an alternative to haemorrhoidectomy and is also used for prolapsed piles. The procedure includes stapling the last section, anal canal of the large intestine, which reduces blood supply to the piles and causes them to slowly shrink. It also lowers the likelihood of haemorrhoids prolapsing. According to Dr. Pravin Gore, Meril’s MIRUS Hemorrhoids Stapler offers better security and superior haemostasis which delivers optimum excision of prolapsed haemorrhoidal tissue. Stapling generally involves less pain than the other procedure and allows an earlier return to your regular activities.
  • Other treatment options include band litigation, Haemorrhoid artery litigation & Sclerotherapy.

What are the chances of Piles relapsing after the surgery?

There are no chances of piles relapsing after the surgery if the piles are removed from the anal canal, but when the piles are just sealed with other treatment options, then there are 10% chances of relapsing. However, the reoccurrence of piles can also be well managed by avoiding constipation and straining while having bowel movements.

What is the difference between piles, fissures, and fistula?

Piles are mainly the swollen blood vessels in the anal canal, which occurs due to chronic constipation while fissures are kind of the cracks found in the skin of the anal canal and fistulas are the small opening in the anal canal, it is kind of cavity filled with pus.

Opting for the right treatment option completely depends on the severity of the condition and should be considered after consulting with your doctor. Summing up, if anyone is suffering from piles or has bleeding or pain from their anal canal should visit their doctor immediately. Because delay in the treatment can make the condition worse.

Lately, we’re seeing and listening about COVID-19 vaccines day in and day out. But how many of us know how do COVID-19 vaccines work? Very few. Here’s all about COVID-19 vaccines, the number of doses required to fight the virus and how it is going to benefit you and the world. 

How does the COVID-19 vaccine work?

Germs are all around us – both in our environment and inside us. When disease-causing germs/micro-organisms enter our body, it leads to sickness and in some cases even death. This is the time when the body creates its defense with the immune system which leads to the formation of antibodies. These antibodies are the soldiers in your defense system that are produced in response to viruses’ antigens which are an important part of the immune system.

Once the antigen-specific antibodies are formed, they work with the rest of the immune system to kill the virus and stop the disease. When the body is exposed to the same virus more than once, the antibody reaction is much stronger and more effective than the first time so the memory cells can pump antibodies against the virus and can fight it.

Once you get a hang of it, it is easier to understand how the COVID-19 vaccine works. These vaccines contain the weakened parts of the antigen that triggers the immune system to act up and form antibodies. Now, newer vaccines contain the blueprint of antigen, rather than the antigen itself. Regardless of it, when it is injected into a person, it doesn’t make the person sick, but it triggers the immune system to produce antibodies and fight against these antigens when the person comes in contact with it. In this way, the body is prepared to defend and fight a particular disease-causing virus in the future. When someone is vaccinated, they are protected against the virus. However, there are a few exceptions to it. For example, people who are immunodeficient i. e. people who are suffering from HIV or Cancer cannot be vaccinated.

Vaccines not only protect you but also people who can’t get vaccinated by achieving herd immunity where a maximum number of people get vaccinated to eradicate the virus.

How many doses of the COVID-19 vaccine are needed?

Many COVID-19 vaccines are being developed and authorized in many countries. Each of these vaccines requires a different number of shots for it to be effective. The two authorized and recommended vaccines require two shots at an interval; while the one in the trial phase in the US requires one just shot of vaccine to prevent COVID-19.

However, in India, vaccine trials are under different stages of finalization. However, vaccination for COVID-19 in India is voluntary. It will only be provided to the priority group i. e. the healthcare workers and frontline workers. In India, two doses of vaccines are required, 28 days apart to complete the vaccination schedule.

For vaccines like Moderna and AstraZeneca two doses are given at an interval of 4 weeks. For Pfizer, those two doses are given 3 weeks apart.

Benefits of the COVID-19 vaccines

To prevent coronavirus diseases, vaccines are the best hope for 2019. With scientists coming up with vaccines with the highest measure of accuracy and countries approving the same, we are getting closer to making this world a better place! The experts continue to study the effects of COVID-19 vaccines to date and they have derived a few benefits of the same. COVID-19 vaccines are not 100% effective yet. Hence numerous dry runs are conducted before distributing it officially in any country. However, we are getting there and there are still many benefits recorded when it comes to controlling the spread of COVID-19 with effective vaccination.

These benefits are as follows:

  • COVID vaccines help you create an anti-body response without having to become sick with COVID-19
  • It keeps you from getting COVID-19.
  • Even if you get COVID-19, it prevents you from becoming seriously ill or developing serious complications.
  • Getting COVID-19 might also help people around you to be safe from the disease. Since it is a contagious disease, COVID-19 vaccination help people – especially the ones who are at a high risk of getting infected from severe illness.

The above mentioned is the information on COVID-19, its working, doses, and benefits. While the world is getting prepped up for the most effective vaccine, till then everyone needs to hang in there and be patient. Let’s not forget that basic sanitization, social distancing, wearing masks is still paramount and is equally effective in bringing a healthy change till everybody is vaccinated.

The COVID-19 vaccine brings the promise of a global rescue from the coronavirus but the myths and misinformation are bubbling on social media and other platforms that could be dangerous. Hence in this article, we will burst all the myths around the COVID-19 vaccine and help you with the facts.

Myth 1: Due to their rapid development, the COVID – 19 vaccines are not as safe as all safety protocols have not been followed/ COVID-19 vaccines are not being tested against a placebo in clinical trials.

Fact: The vaccines are proven safe and effective in well-conducted clinical trials. All COVID-19 vaccines have undergone the same stringent regulatory approval procedures as every other vaccine needs to, meeting all safety standards, despite been developed in the best time, without skipping any testing step. Contradicting the prevailing doubts, we should be thankful to the exceptional global alliance of experts in the field and the giant pharmaceutical corporations for their involvement, due to which, the vaccines have been developed for human use in such a short timeframe. Also, the clinical trials and regulatory review of safety, have consumed nearly the same time as any other vaccine.

Phase 3 trials are the final phase of clinical testing for any investigational drug/vaccine, in which the drug/vaccine is tested in thousands of patients. In this phase of clinical trials, Researchers compare how many patients become infected with the attacking micro-organism (here, the COVID-19 virus) versus the patients who receive a dummy, to conclude the efficacy and safety of the vaccine. As of current knowledge from the WHO, all the COVID-19 vaccine candidates have either completed or are currently under Phase 3 trial investigation.

Myth 2: The mRNA vaccine class developed for COVID-19 prevention will change human DNA

Fact: Several candidates for the COVID-19 vaccine depend on the messenger ribonucleic acid (mRNA), which transports genetic information required to synthesize proteins in a human body. These vaccines would initiate cells to make proteins that look like COVID-19 virus parts, activating the human body’s immune system to produce antibodies against these virus parts. So, in the future, if an actual virus tries to invade these vaccinated individuals, the virus would be neutralized through an immune response.

Despite mRNA vaccines being novel products, they are not capable to change human DNA and alter genetic makeup in individuals receiving them. This RNA resides in the human cells for a very brief duration of a couple of hours, where they just provide instructions for producing a new protein and nothing else.

Myth 3: The COVID-19 vaccine will use surveillance technology to track patient’s movements

Fact: There is no knowledge of any vaccine for COVID-19 or any other infection equipped with a microchip or other surveillance sorts. This myth spread when in December 2019, researchers belonging to the Massachusetts Institute of Technology (MIT), who had received capital from the Bill and Melinda Gates Foundation, published their research on a technology where an ink-like injection that they had developed, was able to keep a record of vaccines on the skin of the patient, which could be read through a smartphone application. However, the technology is incapable to track patients’ movements. Though Bill Gates had mentioned that “digital certification” could be helpful in a larger vaccination effort, there is no report that any company/institute has invented such a technology to track COVID vaccine recipients.

Myth 4: The COVID-19 vaccine can cause infertility in 97 percent of its recipients, both men, and women.

Fact: This myth looks to have initiated from an online media platform, where an individual claimed that his unnamed source, working at a multinational pharmaceutical corporation told him that 61/63 women tested with an investigational COVID-19 vaccine developed infertility whereas a separate, male-specific vaccine caused a decreased testicular size, drop of testosterone levels, and marked atrophy of the prostate in males.

As reported by a news corporation, these alleged effects of COVID-19 vaccines look to have been taken exactly as it is, from an unrelated 1989 study from the National Institute of Immunology in New Delhi, India where the researchers tested the application of an anti-fertility vaccine on baboons as a future treatment option for human cancer patients, whose tumors are affected by fertility hormones. None of the current COVID-19 vaccine candidates are gender-specific or are related to fertility in any way.

A second myth that added fuel to the fire was a supposed claim by the head of research at Pfizer which mentioned that the COVID-19 vaccine contains a protein called syncytin-1 that will result in female sterilization. This claim was based on a plea to the European Medicines Agency from a doctor named Michael Yeadon, seemingly the above-mentioned head of Pfizer research. Yeadon had left Pfizer early in 2011, as per investigative reports. The petition guessed that the vaccine may produce an immune reaction against a protein that is vital for placental formation during pregnancy. However, the vaccine is devoid of syncytin-1 and also, no evidence connects the COVID-19 vaccine to issues of infertility.

On the contrary, there is no evidence that COVID-19 viral spike protein (A target for the vaccine) will lead to an immune reaction against syncytin-1. Pfizer officials have also publically announced that the company’s COVID-19 vaccine had not been found to cause infertility.

Myth 5: Oxford University and AstraZeneca’s COVID-19 vaccine will turn people into monkeys.

Fact: This fabricated claim is based on the fact that Oxford and AstraZeneca’s vaccine depends on an altered chimpanzee adenovirus proposed to trigger an immune response against the COVID-19 virus, SARS-CoV-2. As per media reports, such false claims are being spread through social media platforms as a part of a disinformation campaign.

Myth 6: The U.K. regulators will use artificial intelligence to observe the safety of COVID-19 vaccines, as they know about these vaccines being extremely dangerous.

Fact: Though MHRA has given a contract to Genpact to make an artificial intelligence apparatus for monitoring adverse effects of COVID-19 vaccines, the officials have stated that this is not due to foresight of hazards posed by vaccines. Besides, an adverse event report does not demonstrate that the adverse event was caused solely due to the vaccine.

The regulators also stated that based on available published clinical trials, they do not expect any particular safety concern with COVID-19 vaccines, as of now. They believe that the COVID-19 vaccines’ general safety profile to be comparable to other vaccine types. A COVID-19 vaccine will only be introduced when its safety and effectiveness is proven through strong clinical trial data.

Myth 7: A document on the FDA website shows that two participants died as a result of “serious adverse events” from an experimental COVID-19 vaccine.

Fact: There were two deaths among the 21,000 people in the trial who received Pfizer and BioNtech’s COVID-19 vaccine, but the U.S. Food and Drug Administration did not attribute those deaths to the vaccine.

According to a December 2020 FDA document describing the circumstances of the deaths, “one experienced a cardiac arrest 62 days after vaccination #2 and died 3 days later, and the other died from arteriosclerosis 3 days after vaccination #1.” The document also said in the case of the second death, the participant had “baseline obesity and pre-existing atherosclerosis,” or a narrowing of the arteries.

There were also four deaths reported among the 21,000 trial participants who received a placebo. The deaths “represent events that occur in the general population of the age groups where they occurred, at a similar rate,” according to the FDA document.

To determine the safety of the vaccine, the trial recorded what are called “serious adverse events,” defined by the U.S. National Library of Medicine as any medical event that results in death, hospitalization, or interferes substantially with normal life functions. The FDA document said among the serious events reported in the Pfizer/BioNTech trial, it considered only two as possibly related to the vaccine: a shoulder injury and swollen lymph nodes, a common and typically benign condition.

Myth 8: The virus mutates so fast that a vaccine will never work.

Fact: Available evidence suggests that the COVID-19 virus is genetically stable and mutates slowly. For example, scientists say that the COVID-19 virus mutates twice as slowly as does the seasonal flu virus, which requires a new vaccine every year.

Experts say that COVID-19’s relatively slow rate of mutation suggests that at least for the short term, a vaccine would be effective. Trevor Bedford, an infectious-disease expert at the Fred Hutchinson Cancer Research Center in Seattle, told Business Insider in November 2020: “It will take the virus a few years to mutate enough to significantly hinder a vaccine.”

Myth 9: An individual who already have got the infection once, don’t need to receive the vaccine

Fact: As per evidence, even if you already have suffered from COVID-19 viral infection once, you can still gain from the vaccine. As of now, how long someone will stay protected from getting infected again after recovering from COVID-19 is not known. Natural immunity which an individual develops after getting an infection differs for each person. Some early reports have suggested that this natural immunity may not last for a prolonged duration.

Myth 10: The COVID-19 vaccine has severe side effects such as allergic reactions.

Fact: Though, some vaccine clinical trial participants did develop side effects, they were comparable to those observed with other vaccines, and included minor complaints such as muscle pain, chills, and headache. However, despite being extremely rare, people can develop severe allergies to constituents used in preparing a vaccine. That is why it is recommended that people who have a history of severe allergies to such constituents of the vaccine should not receive the vaccination.

Myth 11: I no longer need to wear a mask after I receive the COVID-19 vaccine.

Fact: Until an ample number of people develop immunity after receiving the vaccine, wearing face masks, frequent hand washing and social/physical distancing continue to remain essential for our lives. These measures are the paramount protective gears we can offer to each one of us, at this moment, and continue following current guidelines for COVID-19 prevention. As sufficient people receive the vaccines and a better idea of the duration of natural and vaccine immunity is gained, we need to follow our pandemic behavioral pattern.

Myth 12: You can get COVID-19 from the vaccine.

Fact: As the vaccine doesn’t contain the live virus, you cannot contract COVID-19 infection and its symptoms after receiving the vaccine.

Myth 13: I will test positive for COVID-19 as soon as I receive the vaccine.

Fact: Viral tests used to diagnose COVID-19 check samples from the patient’s respiratory tract to check the presence of the virus that causes COVID-19. As the vaccine does not contain the live virus, their administration won’t affect your test result. It is possible that you can get infected with the virus in the period before the vaccine becomes efficient to protect your body against the infection.

Myth 14: I don’t need the vaccine, because I am not at risk for developing severe complications of COVID-19.

Fact: You can still contract the infection and spread it to others, irrespective of your risk of complications, so it is vital for each individual to get vaccinated. It is recommended that the vaccine reaches the maximum possible number of adults, once it is widely available. It is not only for the protection of a single individual but for entire families and the community at large.

What are vaccines?

Vaccines are essentially the agents that activate the immune system without causing the disease. They can be manufactured from weakened or inactivated viruses, viral proteins, genetic material (mRNA) that encodes a viral protein. Taking a vaccine resembles getting survived from the disease, minus the drawbacks.

What are the concerns with the current vaccines for COVID-19?

  • There is very little knowledge regarding the long-term immune response to COVID-19.
  • A vaccine, when available, will only initiate the beginning of a prolonged and sluggish ramp down and the duration of this ramp down will rest on the vaccine’s efficacy.
  • Vaccines are always tested on healthy individuals. Their effectiveness in the real-world scenario is still unknown and vaccines may provide hope, but just relying on the vaccine is not advisable, as per the expert opinion.
  • Vaccine-induced immunity, though, tends to be weaker than immunity that arises after an infection. Vaccines are typically given as a shot straight into a muscle. Once your body recognizes the outside invader, it mounts an immune response by producing long-lasting antibodies that circulate in the blood.
  • However, respiratory viruses don’t usually attack the muscles. Instead, they invade respiratory cells and usually enter through the smooth linings of the nose and throat. Vaccinations do not encourage ample antibody production in these linings despite induction of antibodies in the blood, implicating that they are not completely reliable in preventing the virus from entering the body. However, they can indeed protect deeper tissues in the body from viral invasion. This trait of the vaccine agent prevents the worsening of the infection. Experts believe that a COVID-19 vaccine is not likely to attain “sterilizing immunity,” which, in simpler terms, means complete disease protection.
  • Hence, currently, it is perceived that the first vaccine might just restrict COVID-19’s infection severity, minus a total viral spread.
  • Also, contemporary regulatory guidelines have identified that the initial COVID-19 vaccine may be far from a 100 percent effectiveness mark; as the regulatory benchmark for a vaccine is that it should prevent or reduce severe disease in at least 50 percent of people who receive the vaccine, which is not ideal.
  • Several vaccines from different corporations have shown favorable data that their investigative vaccine products can induce antibodies that kill the coronavirus in lab tests as well as in clinical trials, but their real-world scenario is unknown, as of now.

Challenges in Vaccination

  • The success in delivering hundreds of millions of doses, and the willingness of people to get it at all. It is awful to contemplate the suffering still ahead. It is easier to think about the promise of a vaccine.
  • Biologically, a vaccine against the COVID-19 virus is unlikely to offer complete protection.
  • Logistically, manufacturers will have to make hundreds of millions of doses while relying, perhaps, on technology never before used in vaccines and competing for basic supplies such as glass vials. Then the federal government will have to allocate doses, perhaps through a patchwork of state and local health departments with no existing infrastructure for vaccinating adults at scale.
  • All of this means that we may have to endure more months under the threat of the coronavirus than we have already survived. Without the measures that have beat back.

What is the best way to prevent COVID-19 infection, even after vaccines are available?

  • Experts state that the outcome of COVID-19 is not going to change overnight, and the continuation of COVID-19 pandemic behavior remains important. Perceiving the vaccine as a magic bullet is troubled by danger. Social distancing accompanied by biological vaccination will have to continue in this long fight against this viral pandemic.
  • When vaccines are approved, ample doses that can fulfill the needs of the entire population will not be available, and an effective system will be required to store and distribute these vaccines.
  • Some of the foremost COVID-19 vaccines could also pose new transportation challenges, as they require storage at temperatures lower than –80°C.
  • Again, it is quite probable that a COVID-19 vaccine will require two doses; the first dose to activate the immune system, while the second dose to induce a stronger immune response. Administrators would have to balance supplying two doses to the entire population, ensuring each individual receives both the doses.
  • It seems it will create a situation where some individuals will be eager to get the vaccine, while some will be scared to get the vaccine.
  • Currently, there is no evidence of any major virus mutation. But sadly, in addition to reports of a mutated strain of COVID-19 virus from Britain entering India, our COVID-19 preventive behavior has also fatigued and people have become careless and are not following social barriers, as religiously as they need to do. Everyone has to pitch in and become a COVID-19 warrior once again, as they did during the early days of the pandemic.