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Published on: Apr 04, 2020
3 minute read
By: Dr Rajan Choudhary

Declaring A Pandemic — What Does This Mean ?

Its finally happened. Three months after the first case was reported in Wuhan, China, and after a 13 fold increase in cases in just two weeks, the World Health Organisation has designated COVID-19 a pandemic. This disease has resulted in over 121,500 confirmed cases across 114 nations, and 4,300 deaths, over 3,000 of them in China alone.

The WHO has shown alarm at some countries that have shown “alarming levels of inaction” and hope the new designation of pandemic will shock these nations into action. “This is not just a public health crisis, it is a crisis that will touch every sector,” said Dr. Tedros Adhanom Ghebreyesus, WHO director-general, at a media briefing. “So every sector and every individual must be involved in the fights.”

Despite this new update, it is not too late for nations to act, and countries can still impact the course of the outbreak by detecting, testing, treating and isolating patient, with further education to the public and contact tracing of cases.

WHAT IS A PANDEMIC

An epidemic is an increase in the spread of a disease within a community, and can be relatively common. Sometimes a single disease may spread rapidly in a small, unprepared community creating an epidemic. This is happening more often with the prevalence of the anti-vaxx movement, as immunity falters against preventable diseases like measles.

A pandemic on the other hand is the global outbreak of a serious new illness that is “sustainably transmitted throughout the world”. It is not a descriptor that is used lightly, as declaring a pandemic could “cause unreasonable fear, or unjustified acceptance that the fight is over,” if used incorrectly. There has been much discussion whether the declaration of N1N1 “swine flu” as a pandemic caused unnecessary panic, overwhelmed emergency services or caused excessive expenditure on antiviral medication.

Though they were concerned by the spread of the disease and came close by labelling it a “pandemic potential”, the WHO were reluctant to declare it one. Unfortunately, after 2 months of assessing the outbreak, members of the WHO were concerned “both by the alarming levels of spread and severity, and by the alarming levels of inaction.” There is no threshold, number of deaths, number of countries affected.

WHAT DOES THIS MEAN FOR THE COUNTRIES?

According to the World Bank, the annual global cost of a severe pandemic is around $570 billion, or 0.7% of the entire world’s income. This estimation is realised as more people stay at home and more authoritative measures are enforced by governments. At this time, Italy has not put in place nationwide quarantine with further closure of almost all shops and services bar food shops and chemists.

The UK is expected to move from the “containment” phase of the outbreak, aimed at halting the spread of the disease”, to “delay”. This instead accepts the disease cannot be contained, and instead looks to slow its progression. Measures such as “social distancing”, isolation of those showing minor viral symptoms and cancellation of social events. To prepare for the UK epidemic a £30bn package has been prepared to boost the economy during the COVID outbreak.

India has suspended all tourist visas and e-visas until April 15ht as a pandemic is declared. All incoming travellers including Indian nationals will be quarantined for a minimum of 14 days if they have visited China, Italy, Iran, Korea, France, Spain and Germany after 15ht February. Advice has also been given to avoid all non-essential travel abroad.

South Korea has ramped up testing, performing around 4,000 tests per million people between 3rd January and 11th March. In comparison to 1,000 per million in Italy, 400 per million in the UK and only 28 in the UK. This has been due to differences in government responses, the severity of outbreaks in each country and the nature of the healthcare system in each country.

The steady decrease in new coronavirus cases in South Korea has been attributed to this mass testing, improved public communications and the use of new technology to aid diagnosis and management. Interestingly it has been achieved without the drastic quarantine procedures in place in China and Italy.

WHAT SHOULD I DO

Washing your hands has been emphasised by almost all public health agencies and governments. And you should continue to follow this advice. Soap and water is one of the most effective ways to destroy the virus on your hands, and helps prevent its spread.

It is also important to avoid panic, and to not hoard soap, food and toilet roll. Do not trust forwards on WhatsApp or treatment advice suggested, as these can be ineffective or even dangerous. Recently 27 people died from alcohol poisoning after a myth was spread stating strong alcohol could cure coronavirus.

Similarly be wary of false cures being sold online or by un reputable stores. Currently there is no cure for COVID, and supportive treatment is required for those who fall extremely ill.

If you have symptoms of COVID-19, you should self-isolate and notify your local health authorities. Symptoms include fever, cough, sneezing, general lethargy and joint pain, symptoms similar to the flu.

If you have confirmed COVID and have been asked to quarantine yourself, PLEASE STAY INDOORS. There have been instances of infected people continuing to partake in everyday activities, resulting in the spread of the infection, sometimes to vulnerable children and the elderly.

Dr Rajan Choudhary, Product Head, Second Medic Inc, UK

www.secondmedic.com

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Do Late-Night Meals Cause Weight Gain? Let’s Uncover the Truth

Many of us have a habit of snacking late at night or even having a full meal right before bed. Whether it’s a busy schedule, late-night cravings, or watching movies with snacks, eating late has become quite common. But the big question is—do late-night meals cause weight gain?

Let’s explore what science says, how your body responds to late meals, and tips to manage your eating habits for better health and weight control.

Why We Eat Late at Night

In today’s fast-paced life, late-night eating often happens because of:

Long working hours or night shifts
Skipping meals during the day
Emotional eating or stress
Social gatherings or weekend habits

While occasional late-night eating may not harm you, making it a routine could have consequences—especially if the food choices aren’t healthy.

How Your Body Works While You Sleep

Your body doesn’t shut down at night—it continues working. However, the metabolism slows down because your body prepares for rest, not digestion. Late-night meals, especially heavy or sugary ones, are digested more slowly.

During sleep, your energy demand is low, so the extra calories consumed at night are more likely to be stored as fat rather than burned for energy.

Late-Night Eating and Weight Gain: What's the Link?

Several studies show that when you eat is just as important as what you eat. Here’s why eating late may contribute to weight gain:

Calorie Surplus

Late-night meals usually come after you've already eaten enough during the day. So, you’re adding more calories than your body needs—leading to weight gain.

Poor Food Choices

People tend to eat unhealthy foods at night—like chips, ice cream, sugary drinks, or fast food. These high-calorie items with little nutrition easily lead to fat storage.

Hormonal Imbalance

Late eating can affect hormones like insulin, leptin, and ghrelin, which regulate hunger and fat storage. Disrupted hormonal patterns can make you feel hungrier the next day and crave more junk food.

Disrupted Sleep

Heavy meals before bed can cause bloating, acidity, or indigestion—leading to poor sleep. Poor sleep affects metabolism, increases hunger hormones, and makes weight gain more likely.

Common Myths About Late-Night Eating

Let’s bust a few myths:

Myth: Eating after 8 PM always causes weight gain.
Fact: It depends on how much and what you eat. A light snack at 9 PM is very different from a greasy burger at midnight.

Myth: Your body stores everything as fat at night.
Fact: If your total daily calories are under control and your food choices are healthy, you won’t automatically gain weight.

When Late-Night Meals Might Be Okay

Late-night eating isn’t always harmful—especially if:

You’ve had a long gap between meals
You're genuinely hungry (not just bored)
You choose a light and balanced snack like:
- A handful of almonds
- Greek yogurt
- A banana or boiled egg
- Warm turmeric milk

These foods are low in calories and promote better sleep.

Best Time to Eat Dinner

Nutrition experts recommend having your last major meal 2 to 3 hours before bedtime. For example, if you sleep at 10:30 PM, aim to finish dinner by 7:30–8:00 PM.

This gives your body enough time to digest food before you lie down, preventing bloating, heartburn, and excess fat storage.

Tips to Avoid Late-Night Overeating

Here’s how to manage your night-time hunger:

1. Eat Balanced Meals During the Day

Don’t skip breakfast or lunch. When you eat regularly, you’re less likely to feel hungry late at night.

2. Hydrate Properly

Thirst is often mistaken for hunger. Drink water before reaching for a snack.

3. Plan Your Dinner Time

Set a regular time for dinner. Make it a light, protein-rich meal with veggies.

4. Don’t Eat Out of Boredom

Keep yourself busy. Sometimes a walk, a warm shower, or reading helps more than food.

5. Sleep on Time

Late sleepers are more likely to snack. A fixed sleep schedule helps control hunger hormones.

Healthy Late-Night Snack Ideas

If you truly need something to eat before bed, try:

Low-fat yogurt
Whole-grain crackers with peanut butter
A small fruit like apple or kiwi
Herbal teas like chamomile or tulsi

Avoid spicy, fried, or sugary foods—they’ll disrupt sleep and digestion.

What You Can Do for Weight Control

If you're struggling with weight or digestion, consider a weight management test panel. Thyrocare (via SecondMedic) offers:

Thyroid test – to rule out hormonal causes
Vitamin & lipid profile – for metabolic insight
Fasting glucose & HbA1c – for sugar levels

These tests help identify if late-night eating is affecting your metabolism or sugar levels.

Conclusion

So, do late-night meals cause weight gain? The answer depends on what, how much, and how often you eat late at night. Eating a heavy or high-calorie meal before bed regularly can absolutely lead to weight gain over time.

The key is to eat mindfully, stick to healthy choices, and maintain a consistent eating and sleeping schedule. Occasional late-night snacks won’t hurt—but turning them into a habit will.

To protect your health and manage weight, be aware of what you eat, and when you eat—because yes, do late-night meals cause weight gain? Absolutely, if you're not careful.

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