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CDC Issues Alert Over Virulent Mpox Strain; Low Risk of US Cases
The CDC still encourages US physicians to watch out for the more pathogenic mpox strain from Africa as the world seeks solutions to the worsening situation.
United States: The U. S doctors need to have alert on a more severe strain of mpox that is prevalent in some regions in Africa according to the federal health officials on Wednesday.
The alert was released by the U. S. Science centres for Disease Control and Prevention shortly after the WHO Director-General Dr. Tedros Adhanom Ghebreyesu promised to assemble a panel of advisors to determine whether the mpox outbreak in Africa should be qualified as an international public health emergency, as reported by HealthDay.
Risk of Importation to the US
Despite the outbreak, the CDC said in its alert that no cases of what it termed as clade 1 strain of mpox have been found in areas outside central and eastern Africa. However, when noting the possibility of further spread the agency called on doctors in this country to consider this particular more lethal form of mpox in patients who had already traveled to the Democratic Republic of Congo (DRC) or any of the neighboring countries namely: Angola, Burundi, Central Africa.
Still, “due to the limited number of travelers and lack of direct commercial flights from DRC or its neighboring countries to the United States, the risk of clade I mpox importation to the United States is considered very low,” the CDC added.
The current strain of mpox is different from the one that circled the globe in 2022 and predominantly impacted gay men. NBC News said that those cases have since reduced greatly in the United States.
Surge in Mpox Cases in Africa
However, mpox infection rates have risen by 160% in Africa this year primarily due to the absence of vaccines and available treatment for the disease.
Speaking in a press briefing last week, officials at the Africa Centers for Disease Control and Prevention said mpox has this year been identified in 10 countries across Africa, the latest being Congo. It has reported over 96% of all the reported cases and deaths globally. Worse still, 69% of the cases reported in Congo were from children below the age of 15 years, while children constituted 85% of mpox death.
Urgent Call for Vaccines
“There is a real risk of explosion, given the huge population movements in and out,” Dr. Louis Massing, the group’s medical director for Congo, said in a statement. “We can only plead … for vaccines to arrive in the country and as quickly as possible so that we can protect the populations in the areas most affected.”
For the year up to August, about 14,250 mpox cases have been estimated in Africa which is nearly equal to the figure that was reported in the whole of 2023. Compared to the first seven months of 2023, cases are 1. 6 times higher and deaths are 19% higher, reaching 456.
Two new countries, Burundi and Rwanda, confirmed mpox last week, while Kenya and the Central African Republic have declared mpox outbreaks, the Associated Press writes.
In may of this year, researchers announced that a new and more lethal strand of mpox appeared in a Congolese mining city. Sex is among the modes through which Mpox is transmitted as it is communicated through touch with affected individuals.
New Developments and Future Actions
On the other hand, a study of patients admitted from October to January in eastern Congo found that the recent genetic changes observed in the virus were caused by the virus’s spike in that country, as the AP reported.
Last month, the Coalition for Epidemic Preparedness Innovations revealed that it would launch a trial in Congo and other African countries next month, as it sought to establish the effectiveness of mpox shots among exposed individuals, with an aim of preventing severe illnesses and death, as reported by HealthDay.
According to the CDC, mpox symptoms can include: rash on the palms and soles, chest, face, mouth or around the genital area; fever; chills; enlarged glands; tiredness; muscle ache and back pain; headache; and feel unwell, with a sore throat, runny or stuffy nose and cough.
News
Expanding Braftovi: Pfizer’s Strategy for Lung and Colorectal Cancers
Pfizer wants to increase the usage of Braftovi and its market share in colorectal and lung malignancies, therefore it is trying to raise awareness and screen for a rare mutation in lung cancer.
United States – Pfizer (PFE. N) is attempting to raise doctors’ awareness of, and requests for, a hard-to-detect lung cancer gene so as to fuel demand for its Braftovi, which the drugmaker believes may evolve into the first line of treatment.
Positive 3-Year Study Results Shared at Medical Conference
On Saturday, the company shared 3-year follow-up results from the Phase-Two study of patients with BRAF V600E-mutant metastatic non-small cell lung cancer on patients who initially were treated with Braftovi and another of Pfizer’s drug Mektovi. According to the study, they estimated more than two and a half years of progression-free survival, which measures how long the patients lived after the treatment before their cancer worsened, as reported by Reuters.
Chris Boshoff, Pfizer’s Chief Oncology Officer, said it was evidence-based to use the drug to treat that group and said it aims to get a market share of 60% for lung cancer patients with the mutation.
A Targeted Therapy Opportunity
He stated that the rate of such mutation is low and only ranges from about 2% to 3% of lung cancer.
The standard of care for such patients is, therefore, immunotherapy combined with chemotherapy, as enunciated by Boshoff. Mektovi, in combination with Braftovi, has been authorized for patients suffering from Non-small cell lung cancer with the aforementioned mutation since last year.
“All patients with lung cancer should be tested for BRAF mutations, and that could be done with a simple blood test,” he said. “It’s a relatively easy test to identify these patients who clearly would benefit significantly from having a targeted therapy.”
He stated that about 50% of lung cancer patients in the U. S. are tested for the mutation at the moment. The global figure is lower still, according to the indications of the organization.
Educational Efforts and Global Expansion
“This is a space where Pfizer is particularly well equipped, not just in the US, but globally, to encourage testing and to help educate physicians, pathologists, patients, and patient advocate groups,” Boshoff said. He said the test is covered by insurance in the U.S.
It actually moved close to $400m in Braftovi and Mektovi last year, nevertheless, there is no great growth anticipated for those drugs based on the forecasts from the analysts, as per LSEG data.
Future Prospects in Colorectal Cancer
Another area that Boshoff said Braftovi could tap into is colorectal cancer, of which only 10 % are BRAF-mutated. Specifically, he added that the company is expecting the result of the late-stage study of the drug candidate in the setting of colorectal cancer before the year ends, as reported by Reuters.
News
How Doctor-Patient Talks Encourage Exercise in Diabetes
A patient’s education paired with more interaction with the healthcare providers can help type 1 diabetics elevate their exercise capabilities and promote a healthier lifestyle.
United States – A large-scale study that was conducted for the first time and disclosed at the European Association for the Study of Diabetes conference in Madrid showcases that people with type 1 diabetes lack motivation to exercise. The primary reason cited for this reluctance is that exercising results in dangerous drops in blood sugar level, as reported by HealthDay.
Effective communication between doctor and a patient is one of the key areas that should be bolstered.
In an interview with the lead researcher, Catriona Farrell from the University of Dundee, the three recommendations made include; Education and proper communication between the healthcare providers and patients can go along way to reduce this problem. Diabetes may be controlled if doctors give their recommendations on how to manage the disease with exercising, then the patients will have morale to exercise.
Recognizing the Multiple Benefits of Exercise
Farrell emphasizes the numerous health benefits that exercise offers for individuals with type 1 diabetes. Regular physical activity is vital for maintaining stable blood glucose levels, managing body fat composition, and promoting overall cardiovascular health. Despite these significant benefits, many people with type 1 diabetes struggle to meet the recommended levels of physical activity.
Study Uncovers Key Barriers to Exercise
The study on which this article is based involved surveying 463 men and women with type 1 diabetes and observed 13 possible exercise barriers. These were perceived concerns such as; fluctuating blood sugar, constant fatigue, increased susceptibility to physical injuries, poor fitness levels, and social disinclusion by friends and family members. Among these, the concern for developing hypoglycemia or having a low blood sugar level was seen as a significant barrier towards exercising, as reported by HealthDay.
Education and support has been shown to promote exercise.
The study also shows that on learning how to manage insulin doses and carbohydrates intake in the pre and post exercise period, one does not feel the normal acute боane of hypoglycemia. Moreover, those patients who talk about exercise with their doctors and other healthcare providers are more comfortable and willing to exercise. This level of understanding and support goes along way in assisting a person with type 1 diabetes to overcome these barriers and get the many other benefits associated with physical exercise.
News
Quit Smoking, Lower A-Fib Risk: New Research Offers Hope
The study further showed that smokers who quit smoking see their chances of developing atrial fibrillation reduce soon after they abandon smoking.
United States – A new study reveals that smokers who are willing to stop smoking will benefit health-wise as the risk of atrial fibrillation will reduce almost immediately.
Study Insights
“The findings provide a compelling new reason to show current smokers that it’s not too late to quit and that having smoked in the past doesn’t mean you’re ‘destined’ to develop A-Fib,” said study senior author Dr. Gregory Marcus, as reported by HealthDay.
“For the chronic and the present-day smoker, A-Fib can be prevented,” commented Marcus, a UCSF cardiologist. His team published its findings Sept. 11 in JACC: In this schema, the treatment of clinical electrophysiology is as follows:
In A-Fib, the heart’s upper chambers, begin to contract abnormally. These enable the stagnation of blood and formation of clots in the atria and thus pose high risks to the life of a human being, specifically through a stroke.
“There’s strong evidence that smoking increases the risk of A-Fib, but the benefits of quitting smoking have been less certain,” Marcus said. “We wanted to determine whether quitting smoking could lower a person’s risk of developing A-Fib or if the risk would stay the same.”
To see this, they examined data from the UK Biobank looking at current or former smokers with information on their smoking history and health status recorded over 12 years of follow-up in Britain.
Study Findings
Marcus’ team identified that the odds for Arrhythmia-Fibillation (A-Fib) were 13% lower in ex-smokers before joining the study as opposed to current smokers, and if the smokers quit during the study, their chances of A-Fib were 18% when compared to the current smokers, as reported by HealthDay.
“This is likely a testament to the potency of reducing atrial fibrillation risk pretty shortly after quitting,” Marcus said in a news release from the American College of Cardiology.
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