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  • TN Steps Up Nipah Watch, Tracks Fever Clusters

    Meanwhile, Tamil Nadu has intensified its surveillance measures against the Nipah virus following concerns over possible cross-border transmission from neighbouring Kerala, where sporadic cases have been reported in recent years. Health authorities across the state have been directed to closely monitor fever clusters and strengthen disease surveillance systems to ensure early detection and rapid response.

    According to health officials, special attention is being given to districts bordering Kerala, including Coimbatore, The Nilgiris, Tiruppur, Tenkasi, and Kanyakumari. Surveillance teams have been instructed to identify unusual fever outbreaks, severe respiratory illnesses, and cases of encephalitis-like symptoms, which are commonly associated with Nipah virus infection. Medical officers have also been asked to report any suspicious cases without delay.

    The state health department has enhanced screening and monitoring activities in government hospitals and primary health centres. Health workers are conducting field visits and collecting information on fever cases to identify potential clusters. Laboratories have been placed on alert to facilitate timely testing and diagnosis if suspected cases emerge.

    Officials have emphasized the importance of public awareness and community participation in preventing the spread of the virus. Residents have been advised to maintain personal hygiene, avoid consuming partially eaten fruits, and refrain from contact with sick animals, particularly bats, which are known carriers of the Nipah virus. People experiencing symptoms such as fever, headache, breathing difficulties, or altered mental status have been urged to seek medical attention immediately.

    The Health Department has also reviewed preparedness measures in hospitals, including isolation facilities, availability of protective equipment, and infection-control protocols. Training programmes are being conducted for healthcare workers to ensure readiness in handling suspected Nipah cases safely and effectively.

    Experts note that while no Nipah case has been reported in Tamil Nadu so far, heightened vigilance remains essential because of the state’s proximity to affected regions. The government has assured the public that there is no cause for panic and that all necessary preventive measures are in place.

    With fever clusters now under close observation, Tamil Nadu’s proactive surveillance strategy aims to detect any potential threat at the earliest stage and prevent community transmission of the highly fatal viral disease.

  • ICMR Team Reaches Kozhikode as Kerala Intensifies Nipah Containment Measures

    An expert team from the Indian Council of Medical Research (ICMR) arrived in Kozhikode on Saturday following the confirmation of a Nipah virus infection in the district, as health authorities stepped up surveillance and containment efforts to prevent any further spread of the disease.

    Officials said the ICMR delegation met Kerala Revenue Minister AP Anil Kumar, who is overseeing the district’s response to the outbreak, and reviewed the situation with local health authorities. The team also held discussions with doctors, epidemiologists, and district administration officials to assess the containment measures already in place and identify additional steps required to curb transmission.

    The ICMR experts are expected to remain in Kozhikode to support the state’s response and provide technical guidance on disease surveillance, contact tracing, testing, and infection-control protocols.

    In a positive development, health officials confirmed that laboratory tests conducted on three close relatives of the infected patient returned negative results. However, authorities cautioned that surveillance would continue as a precautionary measure, given the highly infectious nature of the virus and its history of causing localized outbreaks in Kerala.

    Meanwhile, experts from the National Centre for Disease Control (NCDC) are also expected to visit the district to assist with epidemiological investigations and risk assessment.

    Earlier in the day, Revenue Minister Anil Kumar chaired a high-level review meeting at the office of District Collector MS Madhavikutty. The meeting focused on strengthening containment measures, ensuring adequate treatment facilities for the patient, and monitoring individuals who may have come into contact with the infected person.

    Officials reviewed arrangements for isolation wards, testing facilities, protective equipment for healthcare workers, and public awareness campaigns. Authorities were instructed to ensure that all contacts are traced promptly and monitored closely for symptoms.

    Nipah virus is a zoonotic disease primarily transmitted from fruit bats to humans and can also spread through direct contact with infected individuals or contaminated materials. Symptoms range from fever and headache to severe respiratory illness and encephalitis. The virus has a high fatality rate, making rapid detection and containment critical.

    Kerala has experienced multiple Nipah outbreaks since 2018, particularly in Kozhikode and nearby districts, leading to the development of a robust surveillance and response framework. Health officials have urged the public to remain vigilant, follow hygiene guidelines, and seek immediate medical attention if symptoms such as fever, breathing difficulties, or neurological complications occur.

    Authorities emphasized that while the situation is being closely monitored, there is currently no cause for panic, as extensive containment measures have been activated to prevent community transmission.

  • Ministry of Ayush Ropes in RJs and Influencers to Promote Yoga for Healthy Ageing Campaign

    As preparations gather momentum for the International Day of Yoga (IDY) 2026, the Ministry of Ayush on June 8 reached out to a key force shaping public opinion —radio personalities and digital influencers. An interactive RJ  and Influencer Meet held in Ayush Bhawan in New Delhi brought together prominent radio jockeys, content creators, social media influencers, and media professionals to strengthen public participation in this year’s campaign themed ‘Yoga for Healthy Ageing.’

    Addressing the gathering, Alarmelmangai D, Joint Secretary, Ministry of Ayush, highlighted how the IDY has evolved into a global public health movement since its launch in 2015. She noted that yoga is now celebrated in more than 180 countries, reflecting its growing acceptance as a holistic wellness practice.

    Emphasizing the significance of this year’s theme, she said, “Yoga for Healthy Ageing” responds to the increasing global need for solutions that support active, healthy, and dignified ageing. According to her, regular yoga practice can help maintain physical mobility, mental well-being, emotional balance, and overall quality of life across all stages of ageing.

    The Joint Secretary also outlined several initiatives undertaken by the Ministry to make yoga more accessible and evidence-based. These include the development of ten yoga protocols for non-communicable diseases and specific population groups, the Yoga for Air Travel Protocol, and specialized yoga modules tailored to different age groups and health needs.

    She reiterated the Ministry’s commitment to promoting yoga throughout the year through its flagship Yoga 365 initiative, which focuses on community participation, institutional partnerships, and sustained public engagement beyond the annual observance on June 21.

    Recognizing the growing influence of digital media, Alarmelmangai urged radio presenters and social media creators to actively support the IDY 2026 campaign. She encouraged them to share personal yoga experiences, create content around preventive healthcare and healthy ageing, spotlight inspiring stories, and help amplify the campaign’s key messages among wider audiences.

    The session witnessed lively discussions, with participants offering suggestions on improving outreach strategies, increasing audience engagement, and making yoga-related content more relatable to younger generations and diverse communities. Many creators expressed their willingness to contribute innovative content and support the nationwide awareness campaign in the lead-up to IDY.

    The event concluded with a shared commitment between the Ministry and media stakeholders to transform IDY 2026 into a vibrant people’s movement, encouraging citizens across age groups to adopt yoga as a way of life and embrace healthier, happier, and more active living.

  • India’s Growing Health Challenge: Obesity and High Blood Sugar Levels Rise Sharply Among Adults

    India is witnessing a worrying surge in obesity and elevated blood sugar levels among adults, according to findings from the latest National Family Health Survey (NFHS-6), indicating a growing burden of lifestyle-related diseases across the country.

    The survey, conducted during 2023-24, reveals that nearly one in three women and more than one in four men aged 15-49 years are now overweight or obese. Health experts warn that the trend could fuel a sharp increase in diabetes, heart disease, stroke, and other non-communicable diseases in the coming years.

    According to the survey, the proportion of overweight or obese women aged 15-49 years rose from 24 percent in NFHS-5 (2019-21) to 30.7 percent in NFHS-6. Among men in the same age group, the figure increased from 22.9 percent to 27.3 percent. The findings point to a rapid shift in India’s public health landscape, where concerns about undernutrition increasingly coexist with rising rates of obesity and metabolic disorders.

    The survey also recorded a significant increase in elevated blood sugar levels. Among women aged 15 years and above, the share of those reporting high or very high blood sugar levels—or taking medication to control blood sugar—rose from 13.5 percent to 17.8 percent. Among men, the corresponding figure climbed from 15.6 percent to 20.9 percent.

    Regional disparities were evident across the country. Among women aged 15-49 years, the highest prevalence of overweight or obesity was reported in Puducherry, followed by Chandigarh, Delhi, Punjab, Tamil Nadu, and the Andaman and Nicobar Islands. Among men, the Andaman and Nicobar Islands recorded the highest prevalence, with Punjab, Kerala, Tamil Nadu, Delhi, and Goa also reporting obesity rates exceeding one-third of the adult male population.

    Public health specialists say the findings reflect the consequences of changing lifestyles, increasing urbanization, reduced physical activity, and greater consumption of calorie-dense processed foods. While India has made substantial progress in reducing child malnutrition and improving maternal health indicators, the country is now confronting a new challenge: managing diseases linked to excess weight and poor metabolic health.

    The growing prevalence of obesity is closely linked to the rise in diabetes. Research has consistently shown that excess body fat, particularly abdominal fat, increases the risk of insulin resistance and type 2 diabetes. Recent studies indicate that a significant proportion of Indian adults are already at high risk of developing diabetes, with obesity emerging as one of the strongest predictors.

    Health experts are particularly concerned about what some describe as India’s “hidden obesity” problem. Many Indians may appear lean but carry excess visceral fat and have low muscle mass, increasing their risk of metabolic disorders despite having a normal body mass index (BMI). This phenomenon has prompted calls for more comprehensive health assessments beyond traditional BMI measurements.

    In response to the findings, the Union Health Ministry has emphasized the need for preventive healthcare, behavioural change initiatives, and balanced nutrition strategies. Officials have highlighted the dual challenge facing India: continuing efforts to combat undernutrition while addressing the rapid rise in overweight, obesity, and lifestyle-related diseases.

    The NFHS-6 survey covered more than 7.1 lakh women and over one lakh men across India, making it one of the country’s most comprehensive health assessments. The data serve as a reminder that India’s health priorities are evolving, with chronic non-communicable diseases increasingly shaping the nation’s healthcare agenda.

    As obesity and diabetes rates continue to climb, experts argue that early intervention, healthier diets, regular physical activity, and routine screening will be critical to preventing a larger public health crisis in the years ahead.

  • Promoting Sustainable Way of Life through Yoga

    As part of the pre-campaign activities leading up to World Environment Day 2026 on June 5, the National Institute of Sowa Rigpa (NISR), Sabu Thang, organised a Common Yoga Protocol (CYP) Session on June 3 under the Mission LiFE (Lifestyle for Environment) initiative.

    The programme, themed ‘Linking Yoga Practice to Mindful and Low-consumption Living’, witnessed enthusiastic participation from the faculty, staff, and students of the Institute. The session aimed to promote sustainable lifestyles, environmental consciousness, and holistic well-being through the yoga practice.

    Participants performed various asanas and pranayama exercises under the guidance of trained yoga instructor Gopal Sharma. The session highlighted the significance of yoga in enhancing physical health, mental well-being, and mindful living while reinforcing the principles of Mission LiFE.

    The event underscored the close relationship between individual well-being and environmental sustainability. Through active participation, the attendees reaffirmed their commitment to adopting healthy, eco-friendly, and responsible lifestyle practices.

    The Common Yoga Protocol Session forms part of a series of activities being organised by the Institute in the run-up to World Environment Day 2026, aimed at encouraging greater public awareness about sustainable living and environmental responsibility.

  • Women Bear the Brunt of Living Longer Than Men: Lancet Study

    Women around the world are living longer than men, but they spend a greater portion of their lives coping with chronic pain, mental health disorders and debilitating illnesses, according to a major new study published in The Lancet.

    The research found that women experience a disproportionately higher burden of non-fatal health conditions, including depression, anxiety, musculoskeletal disorders and chronic pain, despite having a longer life expectancy. Men, meanwhile, face higher rates of fatal diseases and premature death.

    Researchers said the findings reveal a significant gap between longevity and quality of life, highlighting how women often endure years of poor health that are not reflected in traditional life expectancy statistics.

    Conditions such as lower back pain, migraines, arthritis and age-related disabilities affect women more frequently and for longer periods, according to the study. These illnesses may not be life-threatening, but they can significantly impact daily activities, employment and overall well-being.

    According to experts, biological, social and economic factors contribute to the disparity. Women are more likely to shoulder caregiving responsibilities, experience barriers to healthcare access and have their symptoms overlooked or underdiagnosed, particularly when it comes to pain-related conditions.

    The authors highlighted that many healthcare systems remain focused on reducing mortality rates, often giving less attention to chronic conditions that diminish quality of life. As a result, millions of women spend years living with illnesses that receive insufficient recognition and treatment.

    The study calls for health systems to move beyond measuring survival alone and to address the conditions that most affect women’s daily lives. Experts noted that gender-specific health policies, improved mental healthcare, better pain management and increased investment in research on women’s health are essential to reducing the disparity.

    Researchers further emphasised the importance of collecting sex-disaggregated health data to better understand how diseases affect men and women differently. Such information could help policymakers design more targeted interventions and improve healthcare outcomes.

    The authors noted that understanding these differences is crucial for designing more equitable healthcare systems and ensuring that longer lives are also healthier lives. They conclude that extending life expectancy should not be the only goal of modern medicine; improving the quality of those additional years is equally important.

  • IDY Handbook 2026 released

    The Ministry of Ayush has released the IDY Handbook 2026, a multilingual guide aimed at supporting preparations for the International Day of Yoga (IDY) celebrations across India and abroad, recently. Available in English, Hindi and 21 regional languages, the handbook brings together essential information on IDY, the Common Yoga Protocol (CYP), Ministry initiatives and public participation opportunities.

    Designed as a one-stop reference for organisers, educational institutions, government agencies, yoga practitioners and community groups, the handbook seeks to make authentic yoga-related information more accessible and encourage wider participation in IDY 2026.

    The publication traces the journey of the International Day of Yoga since its adoption by the United Nations in 2014 and outlines major programmes planned for 2026. These include flagship initiatives such as Yoga Sangam, Harit Yoga, Yoga Samavesh, Yoga Park and Yoga Unplugged, along with countdown events leading up to June 21.

    The handbook also serves as a digital toolkit, providing QR codes and links to Common Yoga Protocol videos in multiple languages. This enables citizens across the country to access standardised yoga guidance with ease.

    Besides, it highlights public engagement initiatives, including competitions hosted on MyGov, encouraging citizens to actively participate in the International Day of Yoga celebrations.

    The handbook can be accessed at: IDY Handbook 2026

  • Kolkata to Host International Day of Yoga 2026 Main Event; Theme: ‘Yoga for Healthy Ageing’

    International Day of Yoga (IDY) 2026 main celebration will be held in Kolkata, West Bengal on 21 June, Union Minister of State (Independent Charge) for Ayush and Minister of State for Health & Family Welfare Prataprao Jadhav announced on May 27. The theme this year is ‘Yoga for Healthy Ageing’, highlighting the role of Yoga in promoting physical health, mental well-being and healthy ageing.

    The announcement was made during Yoga Mahotsav 2026 organised at the UNESCO World Heritage Site, Western Group of Temples, Khajuraho, marking the commencement of the 25-day countdown to IDY 2026. Thousands participated in the vent, organised by the Morarji Desai National Institute of Yoga (MDNIY), Ministry of Ayushin the mass demonstration of the Common Yoga Protocol.

    On the occasion, he relaunched the Yoga Sangam Portal to facilitate online registrations and strengthen public participation for IDY 2026, and launched the Yoga Park Portal to support the development of dedicated yoga spaces across states and institutions. He also unveiled a newly designed Yoga T-shirt promoting the message of yoga, health and wellness, and informed that over two lakh individuals have participated in the 100-day free Yoga training programme under the Yoga 365 Campaign, receiving Yog Mitra certification.

    Prataprao Jadhav said that Kolkata is steeped in India’s traditional heritage and spiritual consciousness. The theme ‘Yoga for Healthy Ageing’ reflects the growing importance of Yoga in promoting holistic well-being in advancing age. The Minister emphasised that Yoga represents India’s ancient wisdom and plays a vital role in preventive healthcare and balanced living.

    Noting that Khajuraho, with its rich cultural and spiritual heritage, represents the harmony between India’s ancient traditions and wellness practices he stated that the city had the potential to emerge as a global centre for Yoga and wellness. He emphasised Yoga should become a part of daily life and said the Ministry of Ayush was working to take Yoga to every village, household, school, office and community through sustained outreach and public participation. Highlighting the importance of preventive healthcare, Jadhav noted that Yoga and initiatives such as Ayush Aahar promote balanced nutrition, disciplined living and overall well-being.

    Monalisa Dash, Joint Secretary, Ministry of Ayush, said yoga offers a simple, sustainable path to holistic health in today’s stressful lifes. She urged citizens to become ‘Yoga Mitras’ and appealed for participation in the Guinness World Record attempt on 14 June 2026 to unite the world through yoga.

    Vishnu Datt Sharma, Member of Parliament, Khajuraho Lok Sabha Constituency, stated that Yoga has emerged as a global movement for health and wellness and is now practised in nearly 190 countries worldwide.

    Developed by the Ministry of Ayush, the Common Yoga Protocol is a standardised sequence of Yoga practices aimed at promoting physical, mental and emotional well-being for people of all age groups.

    The event marked another important milestone in the nationwide build-up to International Day of Yoga 2026 and reaffirmed the Government’s commitment towards promoting holistic health and wellness through Yoga.

  • Soothe Sunburn Overnight; Fight Hair Frizz During Humid Days

    With the scorching summers on rise and the humidity slowly increasing, it is imperative to say that your hair and skin suffer the most. Sunburn and frizzy hair are difficult to manage owing to the summer heat and it for sure poses a greater risk when ignored for a long time. However, you do not have to bear the brunt of summer heat if you know how to soothe your sunburn overnight and remedy your frizzy hair to make your summertime enjoyable.

    According to dermatology experts, prolonged exposure to UV rays may damage the skin barrier and increase inflammation, redness, dehydration, and skin sensitivity. Likewise, high humidity levels may alter the hair cuticle structure leading to excess frizz and dryness, especially in curly and textured hair types. Many natural remedies have been traditionally used for soothing irritated skin and supporting scalp and hair health. However, results may vary depending on skin type and severity of damage.

    What is sunburn?

    It is first essential to determine whether your skin is suffering from sunburn or not. Here are some symptoms to watch out for to identify it:

    • Redness in skin

    • Swelling with painful skin condition

    • Blistering of the skin

    • Peeling off of the skin

    If you see any of these signs on your skin after spending a day out in the sun, then rest assured your skin is suffering from sunburn and requires immediate treatment to prevent further damage and to reduce the after-effects of sun damage. Mild sunburn symptoms may often improve with hydration, cooling remedies, and moisturisation, however severe blistering, fever, dizziness, or persistent pain should be medically evaluated by a dermatologist or healthcare professional. A few home remedies may help soothe your skin and support recovery overnight.

    Tips to soothe sunburn overnight

    These home remedies with over the shelf ingredients benefit the skin by directly supplementing it with nutrients, soothing it and replenishing its moisture levels often lost owing to sun damage on the skin. Certain ingredients like aloe vera, oats, and chamomile have traditionally been used for calming irritated skin and supporting skin barrier recovery. Choose one or more remedy as per your condition and apply the same to find relief from your sunburn condition:

    • As soon as you reach indoors take a cool bath, but avoid using ice directly as it may damage your skin.

    • Mix a cup of oats to your bath water as it will naturally moisturise your skin and may help reduce skin irritation. Studies suggest colloidal oatmeal may support skin hydration and barrier repair.

    • Baking soda is yet another quick fix remedy, wherein you add 2 ounces of it to bath water and soak in 10 minutes. Then rinse off.

    • Aloe vera is yet another natural remedy traditionally used to soothe sunburn as it may help calm irritated skin and support hydration overnight.

    • Topically using chamomile may help soothe inflammation, brew chamomile tea, strain it, let it cool and then using a washcloth apply it on affected area.

    • Hydrate your skin using a night cream or moisturiser with natural ingredients like aloe vera, cucumber, saffron.

    • Remember to wear breathable fabrics or natural fabrics like cotton and linen.

    Quick Summary: Remedies for Sunburn Relief

    Hair frizz owing to humidity

    Do you know that your hair strands are protected with cuticle, the outer layer, but during high humidity the moisture from the air is absorbed in the shaft that results in puffiness of hair often called frizz. For someone having curly, dry or wavy hair humidity wreaks havoc as these hair types are prone to frizz. Hair experts suggest that maintaining cuticle hydration and reducing moisture imbalance may help control frizz naturally. You can easily manage hair frizz through simple remedies and some kitchen ingredients that will help restore natural beauty of your hair and scalp, also, tame your hair removing frizz hair condition.

    • Begin by pre-treatment that comprises of coconut oil massage to your damp hair, leave it on for 30 minutes prior to head wash. Coconut oil has traditionally been used to support hair softness and reduce protein loss in hair strands.

    *When you wash your hair, add one part ACV or apple cider vinegar with three parts of water, use this as final rinse to your hair to level out pH balance and seal your hair cuticles.

    *Your frizz control can be managed using a natural aloe vera serum that would act as a thin protective layer to your hair. 

    *Blend together 4 tbsp of fresh aloe vera gel with 1 tbsp coconut oil, 1 tbsp Vitamin E oil, and 1 tbsp argan oil. Transfer it into air tight small bottle that can be stored in refrigerator and used for 10 days as your hair serum.

    *Your curly hair can be easily tamed using two tablespoons of flaxseeds boiled in a cup full water, remember to brew it until you see gel like formation, then strain it and let it cool. This is your natural gel to tame your frizzy hair.

    *Prepare a hair mask using green tea and honey, it supplements the hair with antioxidants that may help support damaged cuticles and moisturises the hair. Brew green tea, strain it, let it cool and then add a teaspoon of raw honey to it, mix it well and apply it to your hair.

    Quick Summary: Remedies for Hair Frizz Control

    Frequently Asked Questions

    Can sunburn heal overnight naturally?

    Mild sunburn may show improvement overnight with cooling remedies, hydration, moisturisers, and proper skin care. Severe sunburn may require medical attention.

    Is aloe vera good for sunburn?

    Aloe vera has traditionally been used for soothing irritated skin and may help support hydration and cooling effects on mild sunburn.

    Why does humidity make hair frizzy?

    Humidity increases moisture absorption in the hair shaft, causing the cuticle layer to swell and create frizz, especially in curly or dry hair types.

    Is coconut oil effective for frizzy hair?

    Coconut oil has traditionally been used to moisturise hair and may help reduce dryness and improve hair smoothness.

    Scientific and Expert-Backed Insights

    Research published in dermatological studies suggests that colloidal oatmeal may help support the skin barrier and reduce irritation associated with dry and inflamed skin. Aloe vera has also been studied for its soothing and moisturising properties on mildly damaged skin. Hair care research further indicates that coconut oil may help reduce protein loss from hair strands and improve manageability in humid weather conditions.

    Medical Disclaimer

    This article is intended for informational and educational purposes only and does not substitute professional medical advice, diagnosis, or treatment. Home remedies may support mild skin and hair concerns, however individuals with severe sunburn, allergic reactions, scalp infections, persistent irritation, or underlying medical conditions should consult a qualified dermatologist or healthcare professional before trying any treatment.

  • Study links chronic fatigue, declining motivation to Vitamin B12, folate deficiency

    According to a recent study by researchers at Osaka Metropolitan University, low levels of Vitamin B12 and folate may contribute to persistent tiredness, low motivation, and reduced quality of life. The researchers focused on homocysteine — a biomarker that rises when these vitamin deficiencies occur — and found significant associations between elevated homocysteine levels and fatigue-related symptoms.

    The study analysed data from more than 600 healthy adults and observed that people with higher homocysteine levels generally had lower Vitamin B12 and folate concentrations. Men with elevated levels reported greater physical fatigue, while women showed reduced motivation scores. Researchers cautioned that the findings were exploratory and indicate a potentially important connection between nutrition and mental as well as physical energy.

    Experts say the issue is especially relevant in India, where Vitamin B12 deficiency is increasingly being described as a “silent health crisis.” Symptoms often develop slowly and are mistaken for stress, burnout, or lack of sleep. Persistent fatigue, brain fog, tingling sensations, mood changes, poor concentration, and weakness are among the warning signs frequently associated with deficiency.

    Health experts also warn that vegetarians, older adults, pregnant women, and people with digestive disorders or long-term acidity medication use are at higher risk because Vitamin B12 is primarily found in animal-based foods and absorption can decline with age or illness.

    Researchers pointed out that fatigue should not always be dismissed as a lifestyle problem. They argue that nutritional deficiencies may be an overlooked factor affecting workplace productivity, emotional well-being, and overall health. Early diagnosis, routine blood tests, balanced diets, and medically supervised supplementation could help prevent long-term complications linked to Vitamin B12 and folate deficiency.

    The findings come amid broader concerns about nutritional gaps in India. Recent health reports have highlighted rising deficiencies in Vitamin B12, Vitamin D, iron, and folate owing to poor dietary diversity, indoor lifestyles, and increasing dependence on processed foods. Public health experts say awareness and early screening are critical as many individuals continue to suffer silently without recognising the underlying cause of their exhaustion and low motivation.