Model Bella Hadid recently shared an update on TikTok, that her Lyme disease symptoms had flared up following a tooth infection. The Dutch-Palestinian 26-year-old was diagnosed with Lyme disease in 2012, and in her latest health update, shared she was struggling with its symptoms once again. “There was a low-grade infection underneath the tooth, next to the tooth I thought was suffering (she’s good) which is the one I got a root canal on a year ago. It continued to spread down, causing a low-grade infection in my jaw,” Hadid shared on TikTok. She continued by saying: “Please listen to your bodies my friends! This made my Lyme flare up, which means the Lyme is attacking the places that are suffering i.e. tooth, jaw, gut, brain, spine, bones etc oh, and the entire nervous system.” So, what is Lyme disease? “Lyme disease is an infection caused by a group of bacteria transmitted through an infected tick, giving you a specific set of symptoms,” says Dr Sanjay Mehta, GP at the London General Practice. According to analysis published in the open access journal BMJ Global Health, more than 14% of the world’s population probably has, or has had, tick-borne Lyme disease. But Mehta says you can’t catch it from any tick, only infected ones. The disease can also be seasonal – “It doesn’t die down to zero, but it drops significantly during summer and winter, and peaks during early autumn and spring,” he says. What are the symptoms? Lyme disease can manifest in a variety of different ways – from being asymptomatic, to nerve damage, in more severe cases. “There are two main groups of patients,” says Mehta. “First, there’s the group who catch it early, and they don’t really get any symptoms – they just see they’ve been infected by a tick. “Then there’s the second group of people who don’t get treatment, and although only a very small percentage of them actually end up with symptoms, they are the ones we worry about. “Those patients tend to get three stages of symptoms. First, they might get flu-like symptoms kicking in a week or so after the bite, and a characteristic rash. Second, some might then get symptoms related to their nerves, their heart and their brain, several weeks or months later. “An even smaller number of people might then get the third stage, and these are the symptoms people typically associate with Lyme disease – long-term joint problems and neurological symptoms.” How do you contract Lyme disease? As Lyme disease is passed on exclusively via infected ticks, you can downgrade the disease from unlikely to highly unlikely by avoiding tick-heavy areas or taking precautions within them. “There are areas of the UK known to harbour infected ticks, like the Lake District, the New Forest, the North York Moors, and the Scottish Highlands,” says Mehta. “If you see ticks on your skin, you don’t necessarily get transmission for up to four hours, so if you can remove them, that’s ideal.” If you are going to any of these areas, there are also a few simple things you can do to limit the risk. “Try to keep to paths in grassy, wooded areas, and keep away from long grass and vegetation,” advises Mehta. “It sounds obvious, but shower on your return – often ticks fall off – and check yourself for them too. Wear insect repellent, long T-shirts, and long trousers if possible.” What should you do if you get bitten? The simple answer is, if you’ve gone to a high-risk area and you know you’ve been bitten by something, see a doctor. “It is worth going on to treatment, which is a course of specific antibiotics,” says Mehta. “We do run tests, and the tests are fairly reliable, but the main things are a) have you gone to a risky area? b) have you seen you’ve been bitten? And c) have you developed symptoms?” “The take-home message is to seek medical help if there is a bite, but be aware, it’s only a small percentage of people who end up with problems.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Study reveals how muscle cells deteriorate with age, hampering injury recovery Tips and tricks to preserve your harvest Is it heat exhaustion or are you just tired?

Lewis Hamilton said he was “disappointed” after his shock disqualification from the United States Grand Prix – while Mercedes boss Toto Wolff admitted “we got it wrong.” Hamilton finished the race in second, behind race winner Max Verstappen, but was later disqualified alongside Ferrari’s Charles Leclerc for breaching the rules governing the floor of their cars. Hamilton therefore loses the 18 points earned from his second-place finish, while Leclerc loses eight points. It is thought Mercedes won’t be appealing the decision. In a Mercedes press release, Wolff explained how Mercedes fell foul of the rules. “Turning to the race result and the disqualification, set-up choices on a sprint weekend are always a challenge with just one hour of free practice - and even more so at a bumpy circuit like COTA and running a new package,” he said. “In the end, all of that doesn’t matter; others got it right where we got it wrong and there’s no wiggle room in the rules. “We need to take it on the chin, do the learning, and come back stronger next weekend.” Hamilton said: “It is of course disappointing to be disqualified post-race but that doesn’t take away from the progress we’ve made this weekend.” Mercedes chief Andrew Shovlin admitted the team need to “go away and learn from this.” “We are of course naturally very disappointed to lose our podium finish,” he said. “Unfortunately, it is one of the pitfalls of the sprint format where we have a solitary hour of running before parc fermé. “Without running at a race fuel load in FP1, combined with a circuit as bumpy as this and the parts of the track where the drivers have to put the car during the Grand Prix, have contributed to the higher than expected wear levels. “We will go away and learn from this but also take the positives from our experience as a whole.” Read More Logan Sargeant earns first F1 point in bizarre circumstances Lewis Hamilton and Charles Leclerc disqualified from United States GP Lando Norris reflects on 2023 win prospects after another near-miss in Austin Lewis Hamilton rues Mercedes error which cost him victory at US Grand Prix Max Verstappen booed by American fans on podium after victory Max Verstappen defies Lewis Hamilton to edge United States Grand Prix victory

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Some restaurants in California are charging an additional fee to customers who throw up in the public space after drinking too many mimosas during bottomless brunch. A restaurant based in San Francisco, Kitchen Story, first made customers aware of the cleaning fee with a sign in the bathroom, as reported by SFGate. In its message, the popular brunch spot – which offers bottomless mimosa for 60 minutes – encouraged customers to drink responsibly, before describing the rules they should follow if they don’t want to be charged extra. “Dear all mimosa lovers,” the sign reads. “Please drink responsibly and know your limits. A $50 cleaning fee will automatically be included in your tap when you throw up in our public areas. Thank you so much for understanding.” Speaking to SFGate, Kitchen Story owner Steven Choi specified that the sign has been up ​​for nearly two years, after staff members had to spend a lot of time cleaning customers’ vomit. “This was still during the pandemic and it became a very sensitive issue for customers and staff having to clean up,” he said. “But this is not unique. It’s there to make the customers stop and think about other people.” Chaiporn Kitsadaviseksak, the co-owner of Kitchen Story, said that the sign has successfully prevented customers from getting sick in public spaces of the restaurant. Although he couldn’t recall the last time that someone was charged with a clean-up fee, there were multiple instances of customers throwing up before the sign went up. “People were scared with Covid. And this was happening a lot. My workers don’t want to do that,” he said. “It got better. Now [customers] know they have to pay. They understand.” Another restaurant in San Francisco, Home Plate, had a similar sign as Kitchen Story, warning customers about the cleaning fee if they vomit. The sign on the wall of the eatery read: “Please Drink Responsibly. $50 Cleaning Fee for any incident incurred as a result of intoxication.” Speaking to SFGate, owner Teerut Boon said that customers vomiting after drinking was an issue in 2021, which is why he instituted “pretty much the same policy” as Kitchen Story. While customers complained about the sign, prompting it to be taken down in July, the fee still applies. In fact, the same warning from the sign is on the bottom of Home Plate’s menu, right under the price of bottomless mimosas per person. The menu also specified that customers can only do bottomless mimosas for 75 minutes. Although it’s not the same rule as Home Plate and Kitchen, a gastropub in San Francisco, The Sycamore, has its own way of making sure that customers drink responsibly. Speaking to SFGate, restaurant co-owner Liz Ryan said that although the eatery doesn’t charge a fee to customers who throw up in the restaurant, there is one staff member who keeps an eye on how much people drink. “We have a staff member who is a mimosa fairy. They bring a pitcher around that they use to refill glasses,” she said. “There’s a [mimosa] station and it says this is for staff use only so please do not help yourself,” She also noted that during the two-hour brunch, the “mimosa fairy” goes to the dining area every 15 minutes or so to pour more of the drink for customers. Throughout the time, workers also examine how customers are behaving. “Our staff is trained to make sure our customers don’t overdo it. Nobody wants to see people throwing up. That sort of spoils the party vibe that we’re trying to create,” she said, referring to a Responsible Beverage Service training from the California Department of Alcoholic Beverage Control. As noted by the California Department of Alcoholic Beverage Control, the service “teaches servers to responsibly serve alcoholic beverages for on-premises consumption and mitigate alcohol-related harm in California communities”. During the interview, Ryan also claimed there have been “ways to cut people off” from drinking without them realising it. “This is the kind of thing they teach you. We practice eye contact and engagement, we come by with a pitcher of water,” she said, before acknowledging that there have been people who step outside to throw up and then come back into the restaurant after drinking too much. “People can get carried away.” Read More How to spend a day in Capitol Hill, Seattle’s trend-setting neighbourhood Film, food and festivals: experience these Maltese must-dos Amsterdam travel guide: Best things to do and where to stay for a 2023 city break Brits pay more for wine when trying to impress guests, survey finds Spice up your life: Three recipes from Nadiya Hussain’s new book that bring the heat Obsessed with Boursin? It’s the perfect way to elevate your leftovers

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Max Verstappen will start Sunday’s Singapore Grand Prix from a shock 11th place after Lance Stroll crashed out at 110mph and Ferrari’s Carlos Sainz took pole position. On a wild night at the Marina Bay Circuit, both Red Bull drivers were eliminated in Q2 leaving the world champions facing an enormous task to retain their unbeaten record this season. George Russell qualified second, missing out on pole by just 0.072 seconds with Charles Leclerc third for Ferrari, one place ahead of McLaren’s Lando Norris. Lewis Hamilton finished fifth, half-a-second back. Verstappen was eliminated in Q2 after he bemoaned the handling of the Red Bull machine which has carried him to a record 10 consecutive wins, but has struggled under the bulbs that light up this unique 3.07-mile high-downforce track. Follow live updates from the Singapore Grand Prix with The Independent Read More ‘I had a really good run’: Max Verstappen rules out win at Singapore Grand Prix Max Verstappen endures horrid qualifying as Carlos Sainz claims pole in Singapore Zhou Guanyu interview: ‘There is a lot of pressure in F1 – only winners stay in this sport’