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Published on: Oct 28, 2020
2 minute read
By: Dr Rajan ( Medical Second Opinion Cell)

Hepatitis C Nobel Prize

Earlier this month the Nobel Prize in Physiology and Medicine was jointly awarded to Harvey J Alter, Michael Houghton and Charles M Rice for the discovery of the Hepatitis C virus. This helped push our understanding of blood-borne hepatitis, a major global health problem that is one of the leading causes of cirrhosis and liver cancer alongside Hepatitis B. It led the way in introducing new tests for chronic hepatitis as well as new treatments that have saved the lives of millions.

HEPATITIS

Hepatitis is the inflammation of your liver, the largest solid organ in your body. Though there are numerous other causes of hepatitis, including alcohol abuse, drugs and toxins (including paracetamol overdose), and autoimmune disorders (such as Wilson’s disease), viral infections are the most common worldwide causes for hepatitis. Hepatitis A was the first to be discovered, transmitted by polluted food and water, and results in a short-term transient hepatitis. Hepatitis B on the other hand is transmitted through blood and is more of an issue as it can lead to chronic cirrhosis and possible liver cancer. It can remain indolent in a person, causing disease long after the initial infection.

Blood borne hepatitis was first discovered in the 1960s, when it was found that some patients would become ill after receiving blood transfusions. Despite this discovery and new tests for Hepatitis B reducing the number of transfusion related hepatitis, a large number of cases remained.

NOT A, NOT B

Harvey Alter, working at the US National Institute of Health, was studying the occurrence of hepatitis in blood transfusion patients. His team showed that blood from these infected patients could transmit the disease to chimpanzees, resulting in hepatitis. This agent had the properties of a virus, one that was “non-A, non B” hepatitis.

Further investigation into the virus would require the input of Michael Houghton, working for Chiron pharmaceutical. His team created a collection of DNA fragments found in the blood of infected chimpanzees. Though the majority of these fragments were from the chimpanzee, enough were from the virus. They were able to utilise this information to identify antibodies against the suspected virus, and ultimately identify it as the flavivirus Hepatitis C.

The final piece of the puzzle was shown by Charles M Rice, a researcher at Washington University, St Louis – could the virus alone cause hepatitis. He studied the RNA of Hepatitis C to identify regions that may be used for replication, and areas that might hinder replication. This was key as the virus can lay dormant for years, replicating at a slow rate before causing damage to the liver. For researchers, this was an issue as it was not feasible to wait years and see if the suspected virus caused hepatitis. By genetically engineering the viral genome, he developed a variant of Hepatitis C that would only multiple rapidly and have no mechanism to inactivate itself for dormancy. This strain caused rapid changes to the livers of infected chimpanzees; the same changes seen in hepatitis patients.

. ;.,hrvxzThe impact was significant. Prior to this, receiving a blood transfusion was like Russian Roulette. You were receiving life saving therapy, but it coZuld also be a hidden death sentence. Now that hepatitis had been discovered, it became possible to screen patients prior to donation, to screen blood transfusion bags, and to start developing treatments for the virus.

The fight is not over yet. There are still over 70 million people who still live with the virus, and it still kills around 400,000 a year. Its only very recently that we have found treatments that can reduce the viral load in patients to levels that they are considered cured. This treatment remains expensive, and we are very far away from eradication itself.

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Walking Meetings via Voice Chat: A Smarter Way to Boost Health and Productivity in Remote Teams

Remote work has transformed how teams collaborate, but it has also increased sedentary behaviour. Long hours of sitting in front of screens contribute to fatigue, musculoskeletal pain and reduced mental focus. In this context, walking meetings conducted via voice chat have emerged as a simple yet effective corporate wellness practice that aligns productivity with health.

Walking meetings do not require additional time, special equipment or complex planning. They simply reimagine how meetings are conducted.

The Sedentary Challenge in Remote Work

According to WHO and ICMR data:

prolonged sitting increases the risk of heart disease, diabetes and musculoskeletal problems
remote employees often sit longer than office-based workers
screen fatigue negatively affects mental health and productivity

Traditional video meetings unintentionally reinforce inactivity.

What Are Walking Meetings?

Walking meetings are conversations held while participants walk instead of sitting.

In remote settings, these meetings:

are conducted via voice calls
eliminate the need for video screens
allow participants to move freely

They are ideal for one-on-one discussions, team check-ins and brainstorming sessions.

Why Voice Chat Works Best for Walking Meetings

Voice-only meetings:

reduce screen dependency
allow safer movement
encourage active listening

Without visual distractions, participants often engage more deeply in conversation.

Health Benefits of Walking Meetings

Reduced Sedentary Time

Even short walks help:

improve blood circulation
reduce stiffness
activate muscles

WHO recommends breaking prolonged sitting every 30–60 minutes.

Cardiovascular Support

Regular walking:

improves heart health
lowers blood pressure
supports metabolic health

Incorporating movement into meetings contributes to daily activity goals.

Musculoskeletal Relief

Walking reduces:

neck and back strain
shoulder tension
joint stiffness

This is particularly valuable for desk-bound employees.

Mental Health and Cognitive Benefits

Improved Focus and Creativity

Movement increases blood flow to the brain.

Studies cited by Lancet show that walking enhances:

problem-solving
creativity
memory recall

Many people report clearer thinking during walking discussions.

Stress Reduction

Walking helps:

lower cortisol levels
improve mood
reduce mental fatigue

This supports emotional wellbeing in high-pressure work environments.

Productivity Benefits for Organisations

Walking meetings:

reduce meeting fatigue
improve engagement
shorten meeting duration due to focused discussion

Employees often return to tasks feeling refreshed rather than drained.

Cultural Shift Toward Wellness-Oriented Work

Encouraging walking meetings signals:

trust in employees
commitment to wellbeing
flexibility in work culture

This improves morale and retention.

How to Implement Walking Meetings in Remote Teams

Simple steps include:

designating certain meetings as “audio-only”
encouraging participants to walk indoors or outdoors
keeping meetings concise
sharing agendas in advance

Clear guidelines ensure safety and effectiveness.

Safety and Practical Considerations

Best practices include:

avoiding walking in unsafe or crowded areas
using earphones for clarity
walking at a comfortable pace
pausing movement when taking notes

Inclusivity is important—walking should be optional, not mandatory.

Who Benefits Most from Walking Meetings?

Walking meetings are especially helpful for:

remote workers
hybrid teams
roles with frequent discussions
employees experiencing screen fatigue

They are less suitable for data-heavy presentations.

Walking Meetings as Part of Corporate Wellness Programs

Walking meetings complement:

ergonomics initiatives
mental health programs
physical activity challenges

They integrate wellness into daily workflows rather than adding extra tasks.

Long-Term Impact on Workplace Health

Over time, organisations adopting movement-friendly practices observe:

reduced burnout
improved energy levels
healthier work routines

Preventive health strategies are most effective when embedded into daily habits.

Role of Preventive Healthcare Awareness

NITI Aayog and WHO emphasise lifestyle modification as a core preventive health strategy.

Walking meetings align perfectly with this approach by:

reducing inactivity
promoting movement
supporting mental wellbeing

Small changes deliver cumulative benefits.

Conclusion

Walking meetings conducted via voice chat are a practical, low-cost and highly effective way to improve employee health and productivity in remote teams. By replacing sedentary meetings with movement-based conversations, organisations can reduce screen fatigue, enhance focus and support long-term wellbeing. In a remote-first world, walking meetings represent a smarter way to work—where productivity and health move forward together.

References

World Health Organization (WHO) – Physical Activity and Sedentary Behaviour Guidelines
Indian Council of Medical Research (ICMR) – Lifestyle and Non-Communicable Disease Reports
Lancet – Physical Activity, Cognition and Workplace Health Studies

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