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Published on: May 22, 2021
3 minute read
By: Dr Rajan Choudhary

COVID Associated Black Fungus: Succumbing To Black Fungus !

COVID associated Black Fungus: What you need to know

As COVID spreads across India, there has been an increase in reports of associated infection with a black fungus occurring in some patients. It affects the nose, mouth, eyes, and lungs, and can be fatal. This is an infection we need to be educated on, and early recognition of it can be life-saving. Today we will talk about Mucormycosis, the black fungus responsible for these infections, and what you should do to prevent or recognize an infection.

If you want to learn how to recognize the infection, go down to the INFECTION section of the article.

FUNGUS

When our body gets infected by a bacteria or virus, the signs and symptoms are often recognized early because bacteria and viruses are aggressive, with toxins and mechanisms designed to cause harm to our body and cause easily recognizable symptoms. Fungi on the other hand are slow-growing, and usually, our bodies can fight usually fight these infections before they become a problem. We breathe in fungal spores all the time, especially when outside, in the garden, or in fields, and they cause no harm.

Mucormycosis, the responsible fungus, is found in soil, and decaying fruits and vegetables. It can enter our body by inhalation, by eating foods infected with it, or by direct contact with an open wound, thereby entering our blood. It can be found inside the nose of healthy people, causing no problems or disease. Before the COVID pandemic, infection by mucormycosis was up to 80 times more prevalent in India than in other developed countries, though still rare.

IMMUNOSUPPRESSION

Looking at case reports of patients infected with mucormycosis shows a common theme. Immunocompromised patients are at much higher risk of infection by the fungus and are more likely to have severe disease. This includes patients with diabetes, poorly controlled diabetes, patients taking steroids, organ transplant patients (who are usually on immunosuppressive medications to prevent rejection), those with blood cancer (leukemia/lymphoma, reducing your blood immunity).

Diabetes (especially poorly controlled diabetes) is a major problem in these cases, as diabetes is fairly common in India, can lay unrecognized, and if not controlled or treated appropriately the rising blood sugar levels can damage your arteries, nerves, and significantly lower your immunity. Any infection in diabetic patients can be more difficult to treat and spread more quickly, and this is made worse by COVID-19.

COVID causes widespread inflammation throughout the body, especially the lungs, and the resulting damage causes difficulty breathing and death by respiratory failure. Steroids are currently our best way to treat COVID, by suppressing the body’s immune system and preventing lung damage. Unfortunately, this also allows mucormycosis spores inhaled by COVID patients to infect the now vulnerable, damaged airway, lungs, and sinuses, and start spreading. The body’s response to the infection is dampened by the steroids, and in those with diabetes, it is hindered further.

INFECTION

The black fungus usually spreads in the nose and sinuses of the skull, as it prefers a warm, humid environment. From here it can spread into the eyes and in rare cases the brain.

Recognize the symptoms of the fungus, and be very suspicious in patients with diabetes or those who have had high doses of steroids.

- Facial swelling on one side

- Nose or sinus congestion

- Pain in the sinuses, around the nose, and eyes

- Black mold growing around the nose or mouth

- Fever, headache

When it infects the lungs it can cause symptoms such as cough, shortness of breath, or chest pain. Unfortunately, this can be difficult to separate from symptoms of COVID infection.

If you suspect you or someone you know has these symptoms, and they have the risk factors of immunosuppression or diabetes, you should visit a doctor early. Mucormycosis has a high mortality rate, and a delay in diagnosis by even a week can double it. Your doctor will take swab samples from your nose and look for signs of the fungus under a microscope. Blood tests and scans are also helpful in identifying the fungal infection.

TREATMENT AND PREVENTION

Treatment of mucormycosis requires IV antifungals such as Amphotericin B and may involve surgery to remove the infected areas and prevent further spread. This can include surgery in and around the nose, sinuses, and in rare cases even the eyes. This all depends on the extent of the fungal infection.

Prevention is key in these cases. Simple measures such as wearing a mask to reduce inhalation of spores can minimize infection, especially in the vulnerable, though it may not prevent it if they already had spores present in their nose and sinuses. Glucose tests to look for diabetes, and strict control of diabetes will improve your chances significantly. Keeping your blood sugar levels within the normal range is very important, so if you are diabetic now is the time to stick to your diabetic diet and medications.

Finally, we need to be careful when using immunosuppressive medications to treat COVID, and determining which patients should receive steroids (dexamethasone, prednisolone) and other drugs such as tocilizumab. If you are young and healthy, or you have a milder infection of COVID-19, it may be better for you to not take steroids early. Those with more serious COVID-19 infections may need steroids to survive, and in these cases frequent checks for mucormycosis infection is advisable.

The rise in this rare fungal disease in patients with COVID-19 presents a problem, as we do not have much literature to base our recommendations on, the disease is slow-growing and can be difficult to treat. But as always, understanding the disease process for black fungus and knowing its symptoms is important, as is informing your family and friends about this disease.

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Monthly Healthy Potluck at Health Hubs: Building Community Wellness in India

Community-driven health initiatives are becoming an essential part of India’s preventive healthcare movement. While medical technology, AI diagnostics and digital screenings strengthen clinical care, lifestyle habits still remain the foundation of long-term wellness. One powerful but simple community practice gaining popularity is the Monthly Healthy Potluck at Health Hubs.

These potlucks promote healthier eating, strengthen social support systems, and bring people together to learn about nutrition and wellness in an enjoyable and accessible format. SecondMedic’s preventive health framework aligns perfectly with this model by integrating health education, nutrition insights and early-risk awareness into community activities.

This blog explores how monthly healthy potlucks are transforming health hubs across India and supporting preventive lifestyle habits at scale.

Why Community Wellness Matters in India

India is witnessing a steep rise in lifestyle-related illnesses.
According to the ICMR-NCD Burden Study:
• Over 100 million Indians live with diabetes
• Heart disease accounts for nearly 28% of all deaths
• Hypertension is becoming prevalent across younger age groups

Simultaneously, NFHS-5 data highlights increasing obesity, poor dietary diversity and rising sedentary behaviour. These challenges signal not just medical issues, but lifestyle gaps.

Community-based wellness initiatives provide the social support and collective learning required to bridge those gaps.

What Is a Monthly Healthy Potluck at Health Hubs?

A Monthly Healthy Potluck is a wellness event where:
• Participants bring nutritious homemade dishes
• Recipes focus on balance, low oil and whole ingredients
• Everyone eats together and shares food philosophy
• Health experts provide short preventive care sessions
• Participants learn simple, realistic lifestyle habits

This model transforms health hubs into interactive wellness environments instead of passive medical facilities.

Why Healthy Potlucks Work

1. They Make Healthy Eating Enjoyable

Healthy meals often feel restrictive when practiced alone. In a group setting, they become exciting because:
• People discover new recipes
• Participants try dishes they wouldn’t normally cook
• Food presentation inspires creativity
• Everyone learns portion control naturally

2. They Promote Social Accountability

When people cook, share and learn together, they form supportive communities that motivate consistent lifestyle changes.

3. They Strengthen Nutritional Awareness

Nutrition education becomes simpler when demonstrated through real food instead of lectures.

4. They Align with Preventive Healthcare

NITI Aayog’s Preventive Health & Wellness Report highlights behavioural change as a key driver of long-term health improvement. Potlucks encourage achievable, small lifestyle shifts.

Components of a Healthy Potluck at SecondMedic Health Hubs

1. Balanced Dish Contributions

Participants are encouraged to bring nutrient-dense dishes such as:
• Millet-based meals
• Vegetable-rich Indian curries
• Lean protein options
• Low-oil tiffin-style foods
• Fermented dishes
• Fruit bowls and salads

This ensures variety, balance and education through real examples.

2. Nutrition Spotlights

Health experts share quick insights on:
• Portion control
• Glycemic index
• Healthy cooking oils
• Hidden sugars
• Smart plate design
• Hydration science

These micro-education sessions empower participants to make better decisions at home.

3. Preventive Health Mini-Screenings

SecondMedic integrates:
• BMI checks
• Blood pressure assessments
• Sugar evaluations
• Quick fatigue and stress scoring

These screenings help individuals understand their health status while encouraging early intervention.

4. Recipe Exchange Corners

Participants document and exchange easy-to-cook healthy recipes. This fosters a culture of shared learning and innovation.

5. Wellness Activities

Events may include:
• 5-minute yoga routines
• Breathing exercises
• Mindfulness techniques
• Movement challenges

These fun micro-activities teach participants how to incorporate wellness effortlessly into daily routines.

How Healthy Potlucks Support India’s Preventive Health Movement

Encouraging Long-Term Dietary Shifts

When individuals repeatedly attend monthly events, their meal choices gradually transform. Consistency builds habits.

Reducing Fear Around Healthy Cooking

Seeing others prepare simple, tasty, low-oil dishes removes the stigma that healthy food is bland or difficult.

Strengthening Social Connectivity

Community bonds reduce stress, loneliness and isolation-factors known to weaken immunity and increase chronic disease risk.

Improving Health Literacy

Real-time demonstrations outperform written instructions. It becomes easier to understand nutrient density, fibre-rich meals and balanced plates when they are visually presented.

Supporting Digital Health Ecosystems

SecondMedic integrates event data into digital dashboards:
• Meal analysis
• Health scores
• Lifestyle tracking
• Preventive alerts

This combination of offline community activity and online tracking strengthens long-term adherence.

Example of a Healthy Potluck Spread

• Moong dal khichdi with vegetables
• Ragi roti with garlic chutney
• Grilled paneer salad
• Millet upma
• Fruit and nut platter
• Sprout chaat with lemon
• Buttermilk infused with mint

These items are affordable, accessible and easy to prepare-ideal for the Indian lifestyle.

Conclusion

Monthly Healthy Potlucks at Health Hubs offer a simple yet powerful model for promoting preventive healthcare in India. These events blend nutrition, social bonding, lifestyle learning and community-led motivation. They encourage individuals to adopt healthier habits without pressure, restriction or complexity.

With SecondMedic’s integrated preventive care framework, these potlucks become more than social gatherings-they become catalysts for building healthier communities, improving dietary behaviour and supporting long-term wellness.

References

• ICMR NCD Burden Study - Lifestyle & Dietary Risk Factors in India
• National Family Health Survey (NFHS-5), Ministry of Health & Family Welfare
• NITI Aayog - Preventive Health & Community Wellness Framework
• Lancet Public Health India - Impact of Community Nutrition Programs
• WHO Guidelines on Community Health Promotion
• Statista India Wellness & Healthy Eating Behaviour Report
• EY-FICCI Integrated Preventive Care Model for India

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