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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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Employee Wall of Fame: Celebrating Uniqueness to Build a Positive Workplace Culture

In today’s evolving workplaces, employee engagement is no longer driven solely by compensation or job titles. People seek recognition, inclusion and a sense of belonging. One of the most effective yet simple ways to achieve this is through an Employee Wall of Fame. By celebrating individuality and contribution, organisations can create a culture where employees feel seen, valued and motivated.

Recognition is not a luxury. It is a fundamental driver of organisational wellbeing and performance.

Why Recognition Matters in the Workplace

Recognition fulfills a basic human need: appreciation.

When employees feel recognised:

morale improves
motivation increases
loyalty strengthens
burnout reduces

According to global workplace studies, lack of recognition is one of the top reasons for employee disengagement.

What Is an Employee Wall of Fame?

An Employee Wall of Fame is a physical or digital space dedicated to highlighting employees for their achievements, values, creativity or unique strengths.

It may showcase:

professional accomplishments
teamwork contributions
innovation and problem-solving
leadership qualities
personal milestones

The focus is not competition, but appreciation.

Celebrating Uniqueness, Not Just Performance

Traditional recognition often focuses only on targets or numbers.

A Wall of Fame expands recognition to include:

collaboration
consistency
empathy
creativity
positive attitude

This approach ensures diverse strengths are valued.

Psychological Impact of Workplace Recognition

Recognition positively affects mental health.

Benefits include:

improved self-esteem
reduced stress
increased sense of purpose
stronger emotional connection to work

WHO recognises psychosocial wellbeing as a key component of healthy workplaces.

Inclusion and Belonging Through Recognition

Celebrating uniqueness supports inclusion.

It helps:

recognise diverse backgrounds
reduce bias
promote equal visibility

When employees see people like themselves being appreciated, trust and belonging grow.

Employee Wall of Fame as a Culture-Building Tool

Culture is shaped by what organisations choose to celebrate.

A visible Wall of Fame:

reinforces company values
sets behavioural standards
inspires others

It becomes a living reflection of organisational culture.

Types of Recognition on a Wall of Fame

Achievement-Based Recognition

For milestones, project success or innovation.

Value-Based Recognition

For demonstrating company values such as integrity or teamwork.

Peer Recognition

Employees nominate colleagues, increasing engagement.

Personal Growth Recognition

Celebrating learning, upskilling or personal achievements.

How an Employee Wall of Fame Improves Engagement

Engaged employees:

perform better
collaborate more
stay longer

EY-FICCI workplace studies show recognition-driven programs significantly improve engagement scores.

Impact on Productivity and Performance

Recognition creates positive reinforcement.

Employees who feel valued:

take ownership of work
show initiative
maintain consistency

Appreciation fuels sustained performance.

Supporting Mental Wellbeing at Work

Recognition reduces workplace stress by:

validating effort
reducing feelings of invisibility
encouraging positive feedback loops

Mental wellbeing improves when employees feel respected and acknowledged.

How to Design an Effective Employee Wall of Fame

Key principles include:

inclusivity
transparency
fairness
consistency

Clear criteria prevent bias and ensure credibility.

Physical vs Digital Wall of Fame

Physical Wall

Creates visual impact in office spaces.

Digital Wall

Ideal for remote or hybrid teams.

Both formats can coexist for maximum reach.

Frequency of Updates Matters

Stale recognition loses impact.

Best practices include:

monthly highlights
quarterly rotations
special occasion features

Fresh content sustains enthusiasm.

Role of Leadership in Recognition

Leadership participation strengthens impact.

When leaders:

nominate employees
share appreciation publicly

recognition becomes part of organisational identity.

Employee Participation and Ownership

Encouraging peer nominations:

increases engagement
reduces hierarchy
builds mutual respect

Recognition becomes a shared responsibility.

Measuring the Impact of Recognition Initiatives

Impact can be assessed through:

engagement surveys
retention metrics
feedback forms
participation rates

Data-driven insights help refine programs.

Long-Term Benefits of Celebrating Uniqueness

Over time, organisations experience:

stronger culture
higher retention
improved employer branding
healthier workplace relationships

Recognition is a long-term investment, not a one-time activity.

Common Mistakes to Avoid

Avoid:

recognising only top performers
favouritism
lack of transparency
irregular updates

Consistency and fairness are essential.

Employee Wall of Fame as Part of Holistic Wellness

Recognition complements:

mental health initiatives
team-building programs
wellness activities

A supportive culture enhances overall wellbeing.

Conclusion

An Employee Wall of Fame is more than a display—it is a statement of values. By celebrating uniqueness and recognising diverse contributions, organisations create workplaces where people feel valued, motivated and connected. In an era where employee wellbeing and engagement define success, recognition-driven initiatives like a Wall of Fame play a vital role in building resilient, inclusive and high-performing teams. Celebrating people is not just good culture—it is good leadership.

References

World Health Organization (WHO) – Workplace Mental Health and Wellbeing
EY-FICCI – Employee Engagement and Workplace Culture Reports
NITI Aayog – Future of Work and Organisational Wellbeing Studies
Lancet – Psychosocial Work Environment Research
Statista – Global Employee Engagement and Recognition Trends

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