Source: Hong Kong Government special administrative region
CHP investigates case of severe paediatric COVID-19 infection The case involves a 5-year-old boy with underlying illness, who developed a fever, runny nose, cough, shortness of breath and wheezing since April 4. He attended the Accident and Emergency Department of Tseung Kwan O Hospital on the following day and was hospitalised. The patient was transferred to the Paediatric Intensive Care Unit of United Christian Hospital on the same day due to deterioration in his condition. His respiratory specimen tested positive for COVID-19 virus upon laboratory testing. The clinical diagnosis was COVID-19 infection complicated with croup. He remains hospitalised in critical condition.
Preliminary investigation revealed that the patient had not completed the initial doses of the COVID-19 vaccine. He had no travel history during the incubation period, and his school has not experienced any recent outbreak of COVID-19. One of his household contacts has recently developed cough and has sought medical attention.
“There has been a recent increase in the activity of COVID-19 in the local community. In the past three weeks, the load of SARS-CoV-2 virus from sewage surveillance, the percentage of specimens testing positive and the average consultation rate of COVID-19 cases in general out-patient clinics have continued to rise. As of March 29, the viral load per capita of SARS-CoV-2 virus was around 330 000 copy/litre, which was significantly higher than the previous week ending March 15, when it was 85 000 copy/litre,” said the Controller of the CHP, Dr Edwin Tsui.
“High-risk persons should receive COVID-19 booster doses at appropriate times to lower the risks of serious illness and death. Genetic analysis has shown that the predominant circulating strains in Hong Kong are still JN.1 and its descendant lineages, and the vaccines currently used in Hong Kong can effectively prevent the related variant. Scientific data shows that timely booster doses of the COVID-19 vaccine for high-risk persons help lower the risk of severe illness and death. Members of the public who have not received the initial dose of the COVID-19 vaccine (including infants and children) should get vaccinated as soon as possible. Those at high risk (particularly the elderly and persons with underlying comorbidities) should receive a booster dose as soon as possible for effective prevention against COVID-19,” Dr Tsui added.
Apart from vaccination, in order to prevent infection of COVID-19, influenza and other respiratory illnesses as well as transmission in the community, the public should maintain strict personal and environmental hygiene at all times and note the following: For more information on the COVID-19 Vaccination Programme and the latest recommendations on vaccine use, please refer to the CHP’s websiteIssued at HKT 19:25
Source: United States Senator for Illinois Tammy Duckworth
April 03, 2025
As the Trump Administration continues to ax critical research funding, Duckworth, Durbin and Foster introduce legislation that would bolster research funding at five federal research agencies
[WASHINGTON, D.C.] – U.S. Senator Tammy Duckworth (D-IL) joined U.S. Senate Democratic Whip Dick Durbin (D-IL) and U.S. Representative Bill Foster (D-IL-11) today in reintroducing the bicameral American Innovation Act, which would provide annual budget increases at a rate of five percent, indexed to inflation, for cutting edge research at five federal agencies: the Department of Energy Office of Science; the National Science Foundation; the National Institute of Standards and Technology Scientific and Technical Research Services; the Department of Defense Science and Technology Programs; and the National Aeronautics and Space Administration (NASA) Science Directorate. The American Innovation Act would position the U.S. as a leader in development and discovery for decades to come by creating steady, sustained funding for breakthrough research at America’s top research agencies.
“As the Trump Administration continues slashing federal funding programs, investing in our world-renowned scientific research facilities and institutions is critical in order for America to stay competitive on the global scale,” said Duckworth. “I’m proud to join Senator Durbin and Congressman Foster in reintroducing the American Innovation Act to support our scientists and researchers as we expand American innovation, strengthen national security, create jobs, and grow our economy.”
“In its crusade to damage essential government infrastructure, the Trump Administration has failed to recognize that sustained support for basic scientific research has enabled the United States to put a man on the moon, build the internet, and produce a COVID-19 vaccine in record time. If we want to maintain our status as a world leader in research and technology, we must empower and fund our federal research agencies and retain their top talent,” said Durbin. “I’m introducing the American Innovation Act to ensure our nation’s scientists and researchers have access to critical funding to push our world forward while also creating jobs, growing our economy, and improving our national security.”
“I’m proud to work with Senator Durbin on this legislation to expand federal investment in scientific research,” said Foster. “Since World War II, investments in science and technology have helped expand our economy, create millions of jobs, and advance our national security. As we confront new and existing challenges, it’s critical that our scientists have the resources they need to ensure our nation remains at the forefront of research and innovation.”
The introduction of the American Innovation Act comes as the Trump Administration continues to gut federal research agencies by slashing programs and firing scientists conducting critical research. These moves only harm the future of the U.S., as investments in scientific research have helped the nation lead the world in new technologies, create millions of jobs, grow the economy and advance national security. Further, without serious federal investment in research, the U.S. could fall behind its competitors, particularly China.
Basic science funding in the U.S. has lagged in recent decades. Since the 1970’s, the United States investment in basic science has decreased by tenfold to about 0.1 percent of GDP. Meanwhile, China’s research intensity (GDP expenditures on R&D) has increased by 500 percent since 1996– if this trend continues, China will soon surpass the U.S. in investment in science.
In addition to Duckworth and Durbin, the American Innovation Act is cosponsored in the Senate by U.S. Senators Alex Padilla (D-CA), Mazie Hirono (D-HI) and Brian Schatz (D-HI).
The legislation has earned the endorsement of the American Society of Mechanical Engineers; Association of American Universities; American Mathematical Society; Association of Public and Land-Grant Universities; Council of Undergraduate Research, Institute for Progress; Coalition for Academic Scientific Computation; American Physical Society; Federation of American Scientists; American Geophysical Union and the Institute of Electrical and Electronics Engineers.
Scientists, professors, engineers, teachers and doctors are routinely ranked among the most trustworthy people in society. This is because these professions rely heavily on research, and good research is viewed as the most reliable source of knowledge.
These are studies that check to see if previous results can be repeated and are reliable. The administration’s focus seems to be specifically on studies that revisit the debunked claim of a link between vaccines and autism.
This is a worrying waste of effort, given the extensive evidence showing that there is no link between vaccines and autism, and the harm that suggesting this link can cause. However, the broader idea of funding studies that attempt to repeat earlier research is a good one.
Take research on Alzheimer’s disease as an example. In June 2024, Nature retracted a highly cited paper reporting an important theory relating to the mechanism of the disease. Unfortunately, it took 18 years to spot the errors and retract the paper.
If influential studies like this were regularly repeated by others, it wouldn’t have taken so long to spot the errors in the original research.
Alzheimer’s is proving a particularly tricky problem to solve despite the large amounts of money spent researching the disease. Being unable to reproduce key results contributes to this problem because new research relies on the trustworthiness of earlier research.
Research is complicated and there may be legitimate reasons research findings cannot be reproduced. Mistakes or dishonesty are not necessarily the cause.
In psychology or the social sciences, failure to reproduce results – despite using identical methods – could be due to using different populations, for instance, across different countries or cultures. In physical or medical sciences problems reproducing results could be down to using different equipment, chemicals or measurement techniques.
A lot of research may also not be reproducible simply because the researchers do not fully understand all the complexities of what they are studying. If all the relevant variables (such as genetics and environmental factors) are not understood or even identified, it is unsurprising that very similar experiments can yield different results.
In these cases, sometimes as much can be learned from a negative result as from a positive one, as this helps inform the design of future work.
Here, it is helpful to distinguish between reproducing another researcher’s exact results and being given enough information by the original researchers to replicate their experiments.
Science advances by comparing notes and discussing differences, so researchers must always give enough information in their reports to allow someone else to repeat (replicate) the experiment. This ensures the results can be trusted even if they may not be reproduced exactly.
Transparency is therefore central to research integrity, both in terms of trusting the research and trusting the people doing the research.
Unfortunately, the incentive structure within research doesn’t always encourage such transparency. The “publish or perish” culture and aggressive practices by journals often lead to excessive competition rather than collaboration and open research practices.
One solution, as new priorities from the US have suggested, is to directly fund researchers to replicate each other’s studies.
This is a promising development because most other funding, alongside opportunities to publish in the top journals, is instead linked to novelty. Unfortunately, this encourages researchers to act quickly to produce something unique rather than take their time to conduct thorough and transparent experiments.
We need to move to a system that rewards reliable research rather than just novel research. And part of this comes through rewarding people who focus on replication studies.
Industry also plays a part. Companies conducting research and development can sometimes be guilty of throwing a lot of money at a project and then pulling the plug quickly if a product (such as a new medicine) seems not to work. The reason for such failures is often unclear, but the reliability of earlier research is a contributing factor.
To avoid this problem, companies should be encouraged to replicate some of the original findings (perhaps significant experiments conducted by academics) before proceeding with development. In the long run, this strategy may turn out to be quicker and more efficient than the rapid chopping and changing that occurs now.
The scale of the reproducibility, or replicability, problem in research comes as a surprise to the public who have been told to “trust the science”. But over recent years there has been increasing recognition that the culture of research is as important as the experiments themselves.
If we want to be able to “trust the science”, science must be transparent and robustly conducted.
This is exactly what has happened with research looking at the link between vaccines and autism. The topic was so important that in this case the replication studies were done and found that there is, in fact, no link between vaccines and autism.
Simon Kolstoe works for the University of Portsmouth, and is a trustee of the UK Research Integrity Office (UKRIO). He receives research and consultancy funding from charities, universities and government. He chairs research ethics committees for the UK Health Research Authority, Ministry of Defence and Health Security Agency.
The province’s third mobile wellness bus will open its doors April 9 in Saskatoon, offering residents a new way to access primary health care services.
Saskatoon is the most recent community to benefit from a mobile Community Wellness Bus. The launch is part of the Government of Saskatchewan’s $2.4 million investment for the purchase and retrofitting of three wellness buses, located in Saskatoon, Regina and Prince Albert.
“It is wonderful to see the progress being made with primary care in our province,” Health Minister Jeremy Cockrill said. “Wellness buses provide another avenue for residents to receive the care they need closer to home.”
Community Wellness Buses will provide basic primary care and mental health and addictions services. Services will vary based on population and the needs of the community; not all locations will have the same services, as supports will be customized based on patient needs.
“It’s encouraging to see the positive impact of community health initiatives in our province,” Mental Health and Addictions Minister Lori Carr said. “Mobile clinics are making health care more accessible to vulnerable individuals by bringing essential services directly to residents and contributing to better health care outcomes.”
The Saskatoon bus will be located primarily at 2023 Morse Road (near the old Farmer’s Market) from 1 p.m. to 7 p.m. Wednesday to Sunday. Clients are encouraged to call 306-380-1000 for up-to-date location and schedule information.
A wellness bus was announced in Prince Albert on March 21 and residents can call 306-940-9943 for location and hours of operation.
The Regina wellness bus has been operational since February 12 and is currently operating Monday to Friday 8:15 a.m. to 4:00 p.m. at the rear parking lot of the Lawson Aquatic Centre located at 1717 Elphinstone Street.
Services offered by wellness buses may include:
basic health assessments (physicals);
health education;
chronic disease monitoring;
·vaccinations;
take home naloxone (THN) kits and training;
sexually transmitted and blood borne infection (STBBI) point of care testing;
·opioid agonist therapy/withdrawal management;
reproductive health services/supplies;
mental health and addiction assessments and counselling/referrals;
wound care, stitches, routine health care;
referral to housing, social services;
referral to addictions and mental health treatment and services;
connection to culturally relevant Indigenous services (traditional medicine, connection to spiritual services and Elders); and
·other primary health care services.
“Through the Community Wellness Buses, we are fostering respect and compassion by meeting individuals where they are,” Saskatchewan Health Authority Physician Executive for Integrated Saskatoon Health Dr. Mark Fenton said. “By eliminating barriers to care, we ensure that everyone, regardless of their circumstances, has access to compassionate, culturally responsive, and stigma-free support.”
Health care staff on the bus will include a nurse practitioner, a licensed practical nurse, and assessor coordinators who offer referrals to community supports.
Source: United Kingdom – Executive Government & Departments
Two studies published in JAMA Neurology look at diabetes drugs and the risk of dementia and Alzheimer’s.
Comments on both studies:
Prof Atticus Hainsworth, Professor of Cerebrovascular Disease, St George’s, University of London, said:
“These two studies have looked at drug prescribing databases, to assess whether diabetic medications impact on risk of Alzheimer’s, vascular and other dementia types. The findings are intriguing, even though they are somewhat contradictory. But nothing can substitute for a prospective, hypothesis-testing experiment, which in this context means a prospective clinical trial.”
Prof Mark Evans, University Professor of Diabetic Medicine & Honorary Consultant Physician, Institute of Metabolic Science & Department of Medicine, University of Cambridge, said:
Background:
“It is increasingly apparent that there is an association between diabetes and increased risk of dementia. Although it is not clear how this association is mediated (and whether this is to do with elevated blood glucose from diabetes or a broader effect of diabetes for example on the circulation or inflammation pathways), the obvious pragmatic question arising is whether or not treating diabetes with glucose lowering therapies can reduce risk of dementia and importantly whether certain types of glucose lowering therapy are particularly effective.
“Newer glucose lowering treatments used in (type 2) diabetes seem to carry additional health benefits beyond just glucose lowering. For example, treatments that act via signalling at the GLP-1 receptor or by blocking SGLT glucose transporter channels have been shown to carry broader protective effects for the heart and kidneys.
“Some data already exist to suggest that these agents may also have brain-protective effects against the development of dementia. The evidence to date has largely fallen into two different types. Firstly, examining clinical trials of glucose lowering therapies where usually dementia is not the primary focus but in the clinical trials, investigators will document all health changes including a new diagnosis or change in dementia or cognition. Secondly, examining large real-world datasets for the association between diabetes, different types of therapy and a clinical record of dementia.
These two papers:
“These two papers cover each of these areas respectively. Seminer2et al have performed an analysis of clinical trials broadly similar to ones previously reported. They found that glucose-lowering therapies in general were not significantly associated with a reduction in dementia, although when comparing different types of therapy, GLP-1R targeted drugs but not those acting on SGLT channels were associated with a reduction in dementia. There are cautions arising from these data and the authors have acknowledge these appropriately. Overall, the absolute rates of dementia reported in the studies contributing to their analysis were relatively low which thus reduces the ability for this type of analysis to identify differences. There may be a number of reasons for this, for example the clinical trials were not designed to look in detail for possible changes in dementia.
“The other paper from Tang1 et al was a real-world analysis. Consistent with previous data, this did seem to show less dementia in those using either GLP-1R agonists or SGLT2 inhibitors. The authors were aware of the limitations of observational data. In other words, it may be that the type of person receiving these agents was different from the type of person prescribed other glucose lowering therapies. As an example, one obvious potential confounder from their paper was that the groups receiving GLP 1 agonist or SGLT inhibitor therapy were younger than the comparison groups.
General Reflection:
“Overall these papers whet the appetite for two large clinical trials (EVOKE and EVOKE+) that will complete towards the end of this year. These were specifically designed to look at whether semaglutide, a GLP 1 receptor agonist, can reduce progression of Alzheimer’s dementia and may give us a more definitive answer, at least for GLP 1 receptor agonist treatment.”
Prof David Strain, Associate Professor in Cardiometabolic Health, and a clinical geriatrician, University of Exeter, said:
“Living with diabetes is associated with twice the rate of decline towards both vascular and Alzheimer’s Type dementia. Although long-term high blood sugar is recognised to be warm contributor to this, there are many others including genetics, the body’s ability to produce insulin, episodes of low blood sugar (hypoglycaemia) and inflammation. For years, the best way of preventing this was to attempt to keep the sugar in the “goldilocks zone“ that is not too high but not too low.
“GLP-1 receptor antagonists (such as semaglutide and dulaglutide) and SGLT-2 inhibitors (such as dapagliflozin and empagliflozin) have been demonstrated to control the sugar, and also reduce the inflammation (a key driver of Alzheimer’s disease) and reduce vascular risk (a key driver of vascular dementia) more than would be expected by the sugar control alone. It is therefore no surprise that these data show a lower risk of dementia in people who receive them as part of her routine care.
“We must be cautious how we interpret these data though. Firstly, there were very small numbers of events in the randomised control trials and these were not fully validated so there is a possibility that there were many other cases of dementia missed, indeed that patients reported as having Alzheimer’s type dementia may have had other problems. In the database study, we can never be certain of other unmeasured factors that influenced the doctor to prescribe one medication over another. These may also have had an impact on whether a person would progress to dementia or not.
“It is also important to say this is talking about the risk of dementia in people with diabetes. We have recently seen benefit of the GLP-1 RAs for cardiovascular health in people who do not have diabetes, likewise the SGLT 2 inhibitors are regularly used in other conditions. Today’s studies will need to be replicated prospectively, in people with and without diabetes such as the work we are performing at the University of Exeter, to determine if we can help reduce the progression towards dementia in many more people in the country.”
Prof Naveed Sattar, Professor of Cardiometabolic Medicine/Honorary Consultant, University of Glasgow, said:
“These two papers on potential for GLP-1RA medicines to lower dementia risk are somewhat encouraging but they are FAR from definitive, given the design of one is observational and the numbers of people with dementia in the trial meta-analyses were incredibly small, leading to limited power. Hence, we need to await the results of ongoing randomised trials in this area before drawing sensible conclusions. There is optimism GLP-1RAs (and related medicines) may lower future dementia risk, however, given they favourably impact multiple diseases (cardiovascular, hypertension, kidney and diabetes) known to increase dementia risk, it might be that it is having a lower risk of stroke /heart disease and diabetes that actually then is linked to a lower risk of dementia. Hopefully, far more robust trial evidence – needed before any clinical implications are drawn – should be forthcoming in the near future.”
Dr Ivan Koychev, Clinical Reader in Neuropsychiatry and Consultant Neuropsychiatrist, Imperial College London and Central North West London NHS Foundation Trust, said:
“Both papers are of good quality. Tang et al is a large epidemiological study; the limitation comes from the fact that such designs limit the ability to draw conclusions about causality. Seminer et al look at clinical trial data where dementia and cognitive effects were not the primary targets of the studies. Therefore, it is possible that some of these effects were missed or over-reported due to the opportunistic nature of the data collection.
“The two studies add to a growing and remarkably consistent body of evidence that GLP1 receptor agonists associate with a reduction in dementia incidence. The Seminer et al paper is significant as it shows that GLP-1 RAs outperform SGLT-2 inhibitors in clinical trial settings. This suggests that the dementia protection effects are not due to glucose control mechanisms. Instead, inflammation and cerebrovascular effects are likely involved. Overall, these data support the urgent exploration of GLP1 RAs as a preventative treatment in people at risk for dementia.”
Prof Tara Spires-Jones, Director of the Centre for Discovery Brain Sciences at the University of Edinburgh, Group Leader in the UK Dementia Research Institute, and President of the British Neuroscience Association said:
“The study by Tang1 and colleagues examined data from over 90,000 people with diabetes to determine whether treatment with two different glucose lowering drugs were associated with risk of developing dementia. Both glucagon-like peptide-1 receptor agonist (GLP-1RAs) and
sodium-glucose cotransporter-2 inhibitor (SGLT2is) drugs were associated with reduced risk of developing dementia over 8 years from starting treatment compared to people taking other glucose lowering treatments. There was no difference in risk between people taking the GLP-1Ras and SGLT2is. This is a strong study that adds to the growing data suggesting that diabetes increases risk for developing dementia.
“The paper from Seminer2 and colleagues examined data from 26 clinical trials to determine whether glucose lowering treatments were associated with developing dementia. They observed that GLP-1Ras but not but not SGLT2is were associated with a reduction in dementia in these trials.
“Together, these data are encouraging for the potential of using GLP-1Ras to lower dementia risk in people with diabetes, but even within these 2 strong studies, there are slightly conflicting results over SGLT2is highlighting the need for further research. It is important to note that these drugs do have side effects and that they are not guaranteed to prevent dementia. The studies had important limitations including a relatively short follow up time. Future work will be important to understand how risk factors like diabetes and obesity increase risk of dementia to develop effective treatments and prevention strategies.”
Dr Emma Anderson, Principal Research Fellow and Associate Professor of Epidemiology in the Division of Psychiatry, UCL, said:
“Regarding the systematic review of glucose lowering therapies2, my comments are as follows:
“These results should be interpreted with caution for several reasons. Firstly, although an effect of GLP-1RAs was identified for all cause dementia, the heterogeneity in the studies included in this analysis was high (meaning that the studies included are not necessarily comparable, undermining the validity of the combined results). There was tentative evidence that this heterogeneity could have been explained, at least in part, by the proportion of women included in these studies.
“Secondly, there was no evidence of an effect of GLP-1RAs with either Alzheimer’s disease or vascular dementia; the two most common causes of dementia. Thus, overall, there is still a question around whether GLP-1RAs would actually reduce dementia risk.
“For the emulated target trial1, my comment is:
“This study should be interpreted with caution, as emulated target trials are as susceptible to confounding by indication bias as traditional observational epidemiology studies. This means that there is a possibility that the results they have observed are actually due to the underlying reason people are prescribed these glucose-lowering medications in the first place, rather than the medication itself. More robust study designs, which overcome this very important limitation, are needed before such conclusions can be made.”
Prof Masud Husain, Professor of Neurology & Cognitive Neuroscience, University of Oxford, said:
“For me, these new retrospective analyses suggest that GLP-1 receptor agonists, particularly semaglutide, might reduce the risk of developing dementia in people with type 2 diabetes. But we need data from prospective trials to provide stronger evidence.
“The wider question of whether such drugs might also be protective against dementia in people who don’t have diabetes is a really intriguing one, and the focus of several ongoing clinical trials.”
Prof Kevin McConway, Emeritus Professor of Applied Statistics, Open University, said:
“I’ll restrict myself to pointing out a few things about these two studies, which may well all be obvious. I’m writing as a statistician and did not spot any important statistical flaws – but I can’t comment on non-statistical aspects.
“Both studies are only in people who already had type 2 diabetes. I believe there’s been wider interest in whether GLP-1 receptor agonist drugs (GLP-1RAs), such as semaglutide (e.g. Ozempic or Wegovy) might reduce dementia risk, in people who are taking them for other reasons than having diabetes. These studies can’t directly tell us anything about that – though the wider context discussed in the linked editorial by Dr Diana Thiara does make some points about the wider context. That editorial is definitely worth reading to make sense of all this, in my view.
“At first sight it might look like a sort of contradiction that one1 of the studies (Tang et al.) found evidence of a decreased risk of certain dementias in people with type 2 diabetes taking either GLP-1RAs or drugs of another class (SGLT2is) used to lower glucose in people with type 2 diabetes, compared to people with type 2 diabetes taking other glucose-lowering drugs, while the other2 study (Seminer et al.) found no evidence that passed the usual statistical criteria that people with type 2 diabetes taking any of GLP-1RAs, SGLT2is, or another drug called pioglitazone did reduce all-cause dementia. It looks as if one is saying that, in people with type 2 diabetes, taking GLP-1RAs and SGLT2is is associated with reduced dementia risk, and the other is saying that it isn’t associated with reduced dementia risk. But there’s no contradiction, for the following reasons:
The Tang study1 has quite a complicated type of study design (target trial emulation), but that’s still a type of observational study and so cannot completely rule out the possibility that the differences it found in dementia risk are actually caused by something other than the drugs being taken. The Seminer study2 is a systematic review and meta-analysis of randomised trials so doesn’t carry the same bias issues about cause and effect.
The comparator (control) treatments were different in the two studies. In the Tang study1, patients taking either GLP-1RAs or SGLT2is were compared with patients taking a different glucose-reducing drug. In the Seminer study2, patients taking the drugs were compared, in each of the RCTs they considered, with patients taking a placebo (that is, something with no active ingredients that otherwise is just like that drug under trial), so not a drug at all.
The two studies were considering different outcome measures. The Tang study1 considered only Alzheimer’s dementia and related dementias. The Seminer study2 included, as its primary outcome, dementia (of any type) or cognitive impairment.
“Therefore the two studies differ in terms of the treatments involved (taking the comparator, control, treatment into account), the type of study design, and the risk of bias. So direct comparison of their findings doesn’t make as much sense as you might think at first. Again, the Thiara editorial makes this all clearer, I think.
“Despite the overall finding of the Seminer2 meta-analysis that the three drug classes that it considered weren’t associated with a reduction in overall risk of dementia or cognitive impairment, on average, compared to controls taking a placebo, they found that GLP-1RAs (considered on their own, leaving out the other drug classes) were associated with a reduction in dementia risk.
“Tang found overall no difference between the risk of Alzheimer disease and related dementias between type 2 diabetes patients taking GLP-1RAs or SGLT2is, but it did find a lower risk in patients taking semaglutide compared to patients taking SGLT2is.
“Though both studies involved large numbers of patients overall, the number of patients who actually had a dementia diagnosis was pretty low, particularly for newer drugs, and the follow-up time was short, given how long it can take for dementias to develop. This is quite a big limitation.”
Dr Richard Oakley, Director of Research and Innovation, Alzheimer’s Society, said:
“Last year, the Lancet Commission in Dementia Prevention, Intervention and Care – funded by Alzheimer’s Society – highlighted diabetes as one of 14 risk factors for dementia.
“Drugs that lower blood glucose are often used as part of diabetes treatment, and research has shown they might also be effective in reducing dementia risk.
“Whilst both of these studies found a link between GLP-1RAs and reduced dementia risk, only one found SGLT2is, another class of diabetes drug, were also associated with a reduced risk. More research is needed to properly understand how diabetes treatments may lower the risk of dementia, by tracking people for longer, especially as they get older.
“Alzheimer’s Society is interested to hear results from ongoing clinical trials of the GLP-1RA drug semaglutide for people with early Alzheimer’s disease, to learn whether these drugs can slow the course of the disease.”
Comments on just the Tang et al study:
Dr Leah Mursaleen, Head of Clinical Research at Alzheimer’s Research UK, said:
“This study1 used health records from nearly 400,000 people who had type 2 diabetes who were taking drugs called SGLT-2 inhibitors and GLP-1RAs to control their condition. These drugs are usually taken to lower blood sugar levels in diabetes. The researchers compared these drugs with other standard medications used to manage diabetes to evaluate the risk of developing dementia.
“People who were taking the SGLT-2 inhibitors or GLP-1RA medications appeared to have a decreased risk of developing dementia compared with those taking other diabetes medicines.
“The results from this study support the growing evidence that GLP-1RA and SGLT-2 inhibitors medicines may be linked with a lower risk of developing dementia. We don’t know yet why these medicines may be protective, and will need more research to understand how they are affecting the brain.
“Clinical trials are already looking at the use of these types of drugs, including the EVOKE study, which is testing semaglutide (Ozempic) as a potential treatment for people with early Alzheimer’s.
“While the findings of this study are interesting, it’s important to consider whether any other factors might be influencing the results such as the severity of type 2 diabetes, health, income, and education.”
1: ‘GLP-1RA and SGLT2i Medications for Type 2 Diabetes and Alzheimer Disease and Related Dementias’ byHuilin Tanget al.was published in JAMA Neurology at 16:00 UK time on Monday 7 April 2025.
DOI: 10.1001/jamaneurol.2025.0353
2: ‘Cardioprotective Glucose-Lowering Agents and Dementia Risk A Systematic Review and Meta-Analysis’ byAllie Semineret al.was published in JAMA Neurology at 16:00 UK time on Monday 7 April 2025.
DOI: 10.1001/jamaneurol.2025.0360
Declared interests
Prof Atticus Hainsworth: “I lead the Vascular Experimental Medicine team within DementiasPlatformUK:
Prof Mark Evans: “I have received personal fees from Medtronic, Ypsomed, Dexcom, Abbott, Novo Nordisk, Eli Lilly, Sanofi, Zucara, Pila Pharma and research support from NovoNordisk, this includes a current PhD student who is funded by Novo Nordisk to examine the mechanisms underpinning the relationship between diabetes/ metabolic disease and dementia but does not include examining the effects of therapies. Abbott, Eli Lilly, Sanofi. The University of Cambridge has received salary support for MLE from the National Health Service in the East of England through the Clinical Academic Reserve.”
Prof David Strain: “I have received speaker fees from AstraZeneca (dapagliflozin) and Novo Nordisk (semaglutide). I lead the UK Stakeholders consensus document for the management of diabetes in older adults which the current UK guidelines are based.”
Prof Naveed Sattar “Has consulted for several companies that make diabetes medicines but also contributed to several lifestyle trials.
“For Novo Nordisk: have consulted for company in advisory boards but not on any of their weight loss drug trial committees; am on steering committee for ZEUS trial but this is not a weight loss trial product but anti-inflammatory. Do not have any shares either for any product in health etc.
“N.S. declares consulting fees and/or speaker honoraria from Abbott Laboratories, Afimmune, Amgen, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Hanmi Pharmaceuticals, Janssen, Merck Sharp & Dohme, Novartis, Novo Nordisk, Pfizer, and Sanofi; and grant support paid to his university from AstraZeneca, Boehringer Ingelheim, Novartis, and Roche Diagnostics.”
Dr Ivan Koychev: “IK has received speaker fees as well as an investigator initiated grant to explore the effects of semaglutide in people at risk for dementia from Novo Nordisk.”
Prof Tara Spires-Jones: “I have no conflicts with this study but have received payments for consulting, scientific talks, or collaborative research over the past 10 years from AbbVie, Sanofi, Merck, Scottish Brain Sciences, Jay Therapeutics, Cognition Therapeutics, Ono, and Eisai. I am also Charity trustee for the British Neuroscience Association and the Guarantors of Brain and serve as scientific advisor to several charities and non-profit institutions.”
Dr Emma Anderson: “I have no conflicts of interest.”
Prof Masud Husain: “I don’t have any conflicts of interest.”
Prof Kevin McConway: “Previously a Trustee of the SMC and a member of its Advisory Committee.”
Dr Richard Oakley: “No conflicts of interest to declare from Richard or the Society.”
Dr Leah Mursaleen: “Leah has no conflicts of interest to declare.”
Source: Republic of France in English The Republic of France has issued the following statement:
On this World Health Day, France reiterates its support for a coordinated approach at the international level aimed at guaranteeing solid healthcare systems and universal access to care while resolutely combating inequality This is a prerequisite for collective health security.
During this difficult international period, France reaffirms its full support for the World Health Organization (WHO) and the central role it plays in the global health architecture. It embodies international cooperation, scientific rigor and scrupulous standard-setting.
France also reiterates its support for all international organizations that deal with global health. It is one of the main funders of such efforts and remains committed to the swift adoption of a pandemic agreement.
In order to ensure global health security, France works in particular to advance the fight against epidemics; the promotion of maternal and child health; the One Health approach, which underscores the close ties between human health, animal health and ecosystems; universal health coverage; and the strengthening of healthcare systems. In this regard, the WHO Academy in Lyon, which opened its doors in December 2024, aims to become a global center of excellence for the training of healthcare workers.
France reaffirms its commitment to global health and its conviction that health is a fundamental right for every human being. Since 2000, we have helped provide antiretroviral treatments to 25 million people with HIV/AIDS, treat more than 7 million tuberculosis patients, and distribute nearly 230 million mosquito nets. We have also participated in the vaccination of more than a billion children since 2000 and, through the Muskoka Fund, we funded care for more than 22 million women and children in 2023 to reduce maternal and child mortality.
Source: United Kingdom – Executive Government & Departments
Press release
Prime Minister turbocharges medical research
Better and faster access to NHS data for researchers with gold standard security and privacy measures.
Latest in a series of pro-growth measures to build a strong, resilient economy with more well-paid jobs.
Changes will help make Britain the best country in the world for medical research, driving growth that puts more money in people’s pockets as part of the Plan for Change.
Next step in delivering the Government’s Modern Industrial Strategy and unlocking the potential of the Oxford‑Cambridge Growth Corridor.
The Prime Minister has today announced action to accelerate the discovery of life-saving drugs, improve patient care and make Britain the best place in the world for medical research.
The Government and the Wellcome Trust will invest up to £600 million to create a new Health Data Research Service. This will transform the access to NHS data by providing a secure single access point to national-scale datasets, slashing red tape for researchers.
Clinical trials will also be fast-tracked to accelerate the development of the medicines and therapies of the future, with the current time it takes to get a clinical trial set up cut to 150 days by March 2026 – where latest data collected in 2022 was over 250 days. This will be achieved by cutting bureaucracy and standardising contracts so time isn’t wasted on negotiating separate details across different NHS organisations, and ensuring transparency by publishing trust level data for the first time.
Through this new drive, patients will have improved access to new treatments and technologies. We already saw the power of health data during the pandemic and this will allow the NHS to make huge strides in patient care.
The changes are a major boost for the life sciences sector as the Government goes further and faster in delivering the Plan for Change and reshaping our economy in response to the new era of global insecurity.
They follow key steps to support the British car industry and form part of our modern Industrial Strategy, which includes life sciences. Full plans will be published alongside the Spending Review later this year.
Prime Minister, Keir Starmer, said:
The new era of global insecurity requires a Government that steps up, not stands aside.
That is why we are going further and faster in reshaping our economy and delivering our Plan for Change.
Life sciences, like our brilliant car industry, is a great British success story.
The measures I am announcing today will turbo-charge medical research and deliver better patient care. I am determined to make Britain the best place in the world to invest in medical research.
That is not just good for patients and their families. It means growth that puts more money in working people’s pockets with more, better paid jobs.
Patient confidentiality will continue to be held to a gold standard with these changes – with rigorous security measures being in place, like anonymity and virtual locked rooms, to ensure no one’s health data is compromised.
The Health Data Research Service brings access to data for medical research into one secure and easy-to-use location, meaning a researcher doesn’t have to navigate different systems or make multiple applications for information for the same project.
This improvement – which will begin from the end of 2026 – will speed up the process and could set the UK on a path to cure cancer, dementia, and arthritis quicker, which will improve patient outcomes and help turbocharge the economy.
It follows the recent decision to scrap NHS England to do away with unnecessary bureaucracy and make government work better for people, patients, and the economy.
The new service will be housed at the Wellcome Genome Campus in Cambridgeshire, where Wellcome is building a range of new R&D lab and office spaces to expand the current campus’s capacity for innovative genomics and biodata companies.
Health and Social Care Secretary, Wes Streeting, said:
Our Plan for Change will unleash the unparalleled power of NHS data, catalysing our efforts to fix the broken health service.
We will unblock the barriers preventing our greatest scientists from safely accessing what they need to save patients’ lives – while keeping data secure.
This venture will drive vital investment into the UK and put us at the epicentre of breakthroughs in science.
If we can combine the care of the NHS with the ingenuity of our world-leading scientists, our health service could truly become the envy of the world.
Science Secretary, Peter Kyle, said:
Building an NHS fit for the future is central to this government’s Plan for Change. Ensuring our research community can access the data which will drive untold improvements for patients across the country is key to that ambition.
This is a service which has truly transformative potential – giving health experts access to the insights they need to drive forward more research and more clinical trials quicker than ever before.
Protecting the data and anonymity of patients is non-negotiable. That’s why we’re also putting robust protections in place to make sure the incredible benefits we will all receive from this service will never come at a personal cost.
Professor Sir Chris Whitty, Chief Medical Officer for England, said:
Improving health for future patients and future generations depends on medical research, and that depends on data.
Bringing health data together will allow scientists to understand diseases, to prevent them and to develop new treatments more quickly and more effectively to improve future health.
John-Arne Røttingen, Chief Executive of Wellcome, said:
There is so much more we could learn from health data in this country by joining it up better.
The new service will give researchers a way to easily harness the data held across different parts of the NHS. The simpler it is to analyse data or identify patients to join clinical trials, the more quickly we can improve our understanding of illness and develop new treatments.
Providing a single, secure service for approved researchers will take away the significant overhead associated of locating, accessing and comparing disparate datasets. It will create opportunities for patients to access new treatments through trials that would otherwise have been hard to arrange or conduct.
We’re pleased to be providing our support to help establish the new service quickly. This public-philanthropic partnership will put public trust in the use of health data at the heart of its approach.
Dr Vin Diwakar, National Director of Transformation at NHS England, said:
We’ve seen over the past few years the vital role that research plays in improving healthcare – from the rollout of the Covid vaccine to the development of new cancer treatments – and this new service will transform how that research is carried out.
The Health Data Research Service will remove the complexities of accessing data through multiple systems while making sure the very highest security and privacy measures remain in place, including using secure data environments to protect patient confidentiality and ensure NHS data doesn’t leave NHS IT systems.
We’ll continue to seek feedback from the public as we develop the service and will only allow access to NHS data where there is likely to be a direct benefit to NHS patients – so that health researchers can get the data they need faster, and patients can benefit from advances in treatments much sooner.
Executive director of policy at Cancer Research UK, Dr Ian Walker, said:
This is a welcome and much-needed investment from the government. The information held within NHS data could help to improve our understanding of diseases like cancer and contribute to the creation of effective new treatments.
Despite its huge potential, access to this data has long been a significant challenge for the research sector, and anything that unleashes the power of NHS data, whilst protecting the security and anonymity of patients, will help enormously.
The UK can lead the world in data science for the benefits of patients both at home and abroad. It will be essential to consult with patients every step of the way.
STAKEHOLDER REACTION
Professor Cathie Sudlow, Former Chief Scientist and Strategic Advisor, Health Data Research UK, and author of the Sudlow Review: Uniting the UK’s Health Data: A Huge Opportunity for Society, said:
Today’s announcement of a Health Data Research Service, a central recommendation of my recently published review of the UK’s health data landscape, is a major step forward for UK health research. It has the potential to be a game-changer, by accelerating secure, trustworthy, data-driven research to improve patient care and public health for the tens of millions of people in this country and beyond.
The service should enable faster, more reliable access for approved researchers to the data needed to tackle society’s most pressing health research needs – to develop and test new approaches for preventing, diagnosing and treating health conditions such as cancer, dementia, heart disease, depression, arthritis and infectious outbreaks. It should support better studies, quicker answers for the health and care system and, ultimately, faster, better outcomes for patients and their families.
Turning this investment from the UK Government and Wellcome into something that delivers will demand focus, cooperation across multiple organisations, attention to detail and – crucially – ongoing, meaningful involvement of patients, public and health and care professionals. However, with the UK’s rich health data assets and strong life sciences and data science research capabilities, I am confident that we can make this work for everyone’s benefit.
Nicola Perrin, Chief Executive of the Association of Medical Research Charities, said:
The announcement of a Health Data Research Service is excellent news – for patients, for the NHS and for UK life sciences. Sustained, ringfenced funding – from the Government and Wellcome as a charitable funder – is the best way to unlock the power of NHS data to transform research and to improve health outcomes.
This partnership is exactly what is needed to help to ensure a trustworthy approach, and to build confidence among public, patients and healthcare professionals which will be so crucial for success. We look forward to engaging closely with the new HRDS as the plans develop, building on and consolidating the multiple initiatives that currently exist for data access.
Dame Cally Palmer, Chief Executive of The Royal Marsden, said:
I’ve seen first-hand how harnessing NHS data can accelerate and improve cancer research – so today’s news is hugely welcome for cancer patients and researchers alike.
By offering our world leading researchers a centralised, convenient and highly secure central hub for medical research, innovative and potentially life changing developments could become more likely, helping to transform cancer patient lives.
Emma Walmsley, Chief Executive Officer, GSK, said:
We welcome the ambition and urgency of today’s announcements on health data and clinical trials. The UK has unique potential to bring health data securely together with an NHS system that recognises the value of innovation, to accelerate and deliver the next generation of medicines and vaccines for patients. This offers value to society and to the economy. What matters now is execution at pace and we stand ready to support.
Hilary Evans-Newton, Chief Executive of Alzheimer’s Research UK, said:
This is a game-changing initiative that could drive faster progress for people with dementia and bring us closer to a cure. Better access to high-quality NHS data will help researchers understand the diseases behind dementia in greater detail, spot those at risk sooner, and develop effective new treatments more quickly.
The UK is home to some of the most detailed, nationwide, life-long health datasets in the world, with huge potential to transform how we prevent, detect, diagnose, and treat major health conditions. But right now, researchers face barriers that stop them unlocking this data’s full, life-saving power. By cutting red tape around data access and clinical trials, the UK can accelerate the development of new diagnostics and treatments, and become a magnet for global investment. Dementia is the nation’s biggest killer, and with no treatments currently available on the NHS that slow or stop the condition, this momentum couldn’t come at a more urgent time.
To make the new Health Data Research Service work, people affected by dementia must be at the heart of how the system is designed. With the right safeguards in place, trusted access to NHS data can be a powerful force for good – helping the UK lead the world in life sciences and transform the outlook for everyone affected by dementia in the UK.
Dr Samantha Walker, Director of Research and Innovation at Asthma + Lung UK, said:
The new health data service has the potential to make a huge difference to the health of the nation. Improved access to such a wealth of data is fantastic news for health research, and will help researchers better understand lung disease, which will affect 12 million people in the UK during their lifetime.
Decades-long underinvestment has left lung research on life support. But this new investment into data will help scientists better understand early development and progression of lung disease, ultimately leading to better diagnosis, treatment and management.
Every five minutes, someone in the UK dies a from lung condition. Urgent action is needed to increase investment into lung research to give everyone fighting for breath a future. Because breakthroughs can happen and when they do, they save lives. Our vision is a world where everyone has healthy lungs.
Professor James Leiper, Director of Research at the British Heart Foundation, said:
This investment in the huge potential of data science is a welcome and farsighted move.
Health data has the power to give us unparalleled insights into cardiovascular disease, and will supercharge research which promises to save lives in the years to come.
Ensuring cardiovascular researchers have simplified access to the wealth of data the NHS holds, while also ensuring security and patient confidentiality, will place the UK at the cutting edge of data science for health. We look forward to hearing further detail on plans in the coming months.
Jacob Lant, Chief Executive at National Voices, said:
As patients, our health records can fuel a revolution in medical research that will both help the NHS and ensure communities across the country get faster access to groundbreaking new treatments.
The Government’s new partnership with the Wellcome Trust can unlock this potential by offering scientists easier access to data, but crucially also giving the public concrete guarantees around data security and anonymity. This is vital to building the public trust needed to move forward and realise the full benefits of modern medical research.
Dr. Sam Barrell, CEO of LifeArc, said:
Rapid, transparent, and secure access to high-quality linked health data is essential for translation of research into tangible patient benefit. This is especially crucial for those with rare diseases, where large-scale data and international collaboration are vital.
Today’s funding announcement is a welcome signal to the sector that the UK is committed to making life science life changing, powered by health data.
Kieran Winterburn, Alzheimer’s Society’s Head of National Influencing, said:
Dementia is the UK’s biggest killer. Research will beat dementia, but we need to make it a reality sooner – through more funding, more partnership working, better access to data and more people taking part in dementia research.
That’s why Alzheimer’s Society welcomes the Prime Minister’s announcement today that red tape will be slashed for researchers, with a new secure, single access point to NHS data. Dementia researchers can face gridlock with a lengthy and complex process to access NHS data, navigating through various systems to gather the information they need for vital population and clinical studies.
As well as improving access to existing data, we also need to see improvements in the recording, analysis and collation of health data generally. There’s a serious disconnect between the scale and urgency of dementia as a condition and the relative scarcity of existing data on it. Having more data on dementia published will be crucial to improving diagnosis, care, and service planning.
We’re so proud that Alzheimer’s Society-funded research 30 years ago led to the breakthroughs in disease-modifying treatments we’ve seen recently. Research we fund now, powered by better access to data, will be pivotal in unlocking more breakthroughs.
Dr Jeanette Dickson, Chair of the Academy of Medical Royal Colleges, said:
We know the UK can deliver high quality international practice-changing research and this tremendous initiative will enable our scientists to perform at their best by providing safe access to essential data – which in turn will improve care, speed up innovation and drive economic growth.
Anna Steere, Head of Understanding Patient Data, said:
This is a really welcome step toward improving how health data is used to speed up research and deliver public benefit. Research shows that people are generally supportive of their data being used in this way — but they want to see transparency, strong governance and security at the heart. We are pleased to see a commitment to working with patient groups in shaping how the service is designed and run. Getting this right from the outset is key to building lasting public confidence.
Professor Ford is also the Co-Founder and Director of the Secure Anonymised Information Linkage (SAIL) Databank in Wales, said:
I am really delighted to hear of this recent announcement, which will bring a very substantial and much needed investment into the UK’s data infrastructure. The SAIL Databank looks forward to playing its part in making the new exciting vision a reality.
The National Data Guardian, Dr Nicola Byrne, said:
Access to data is essential for researchers and innovators to transform great ideas into real health improvements. With the right safeguards in place, the public is eager to see data used to drive new treatments, improve services, and tackle health inequalities.
To maintain the public’s trust, it’s crucial that data security, clear public benefits, and full transparency around data access and use remain at the forefront. I look forward to working with others to ensure the new Health Data Research Service meets these expectations, unlocking the power of data to benefit patients and the public alike.
Professor Andrew Morris, Director of Health Data Research UK, said:
As a doctor and researcher, the announcement of a Health Data Research Service is a day many of us have been waiting for. It is a big investment in the future health of the nation.
We have a rich abundance of health data in this country thanks to the NHS. The team at HDR UK demonstrated for the first time last year that UK wide studies harnessing data on 68M people is possible for public benefit. But the system remains slow and fragmented which means that safe and secure research using the data is delayed or prevented for months and years. This is stalling advances that could benefit millions of patients and is wasting taxpayers’ money and medical charity donations invested in research.
A Health Data Research Service was the main recommendation of the Sudlow Review, which offered a set of solutions to tackle these problems and for which Health Data Research UK provided the secretariat. So I am delighted that within a few months of publication.
The Trump administration’s foreign policy has raised alarms. It seems to have shifted America away from it traditional Nato allies, favouring instead a closer relationship with Russia. There has also been talk of plans to control Greenland, the Panama Canal – possibly even Canada. This has caused sleepless nights for political leaders, especially in Europe.
However, in the developing world, the biggest concern is the US government’s suspension of development aid. For people in these regions, access to clean water, seeds for crops and vaccines is a matter of life or death.
The suspension is presently the subject of a battle in the US Supreme Court, but at the end of February, the administration said it planned to cut 90% of all overseas aid contracts. With a single stroke of President Trump’s Sharpie pen, this has struck out US$60 billion (£39 billion) of US aid assistance, globally. Internal projections by the US Agency for International Development (USAID), published by the New York Times at the beginning of March, forecast dire consequences, including a massive increase in diseases such as malaria and polio as well as a rise in cases of malnutrition of up to a million children.
USAID was founded in 1961 under John F. Kennedy’s administration. It operated with an annual budget of about US$58 billion – orders of magnitude larger than any other country’s development portfolio. It maintains a staff of diplomats, subject experts, and also employs local nationals around the world. It is a critical component of US soft power and works in close proximity to the country’s national security interests.
USAID’s absence will be felt around the world. Perhaps the most consequential effect lies with the freezing of American food aid. Experts have already predicted that without this lifeline, Sudan could face a famine to compound the effects of the civil war that has raged there. The consequences of this will be very public, producing heartbreaking headlines and images.
But there is another side to this that the Trump administration seems to be overlooking. USAID is one of the largest single customers of American farm products that constitute the country’s food aid packages – 1 million metric tonnes in 2024 alone.
One of the most misunderstood concepts of foreign aid is the fact that large portions of its budget are spent domestically. A report may say that billions of dollars of food aid were given by the US to Sudan – but much of that represents payments to American farmers who are growing the food that is then donated to starving people – not just in Sudan, either.
America’s farmers already exist on very tight margins, so an unexpected loss in revenue such as this, is likely to be a serious blow to them as well. It’s just one example of the effect this decision will have both at home and abroad.
Pulling away the safety net
Without USAID the world is less safe. There is a large body of research on how development assistance is a critical component of an effective national security strategy. In 2018, the then secretary of defense, Jim Mattis, who was appointed by Trump, said in an interview that his message to the world is: “Work with our diplomats because you do not want to fight the Department of Defense.”
To illustrate Mattis’s point, consider the academic work done on the emergence of climate-driven conflicts driven by water and food shortages. One crisis simulation I use in my classrooms puts students in the role of solving a kinetic (shooting) war over water rights in the Horn of Africa. This particular crisis, while used as a game to teach national security, could very easily become a reality. It’s the sort of thing USAID helps to prevent.
I have had the fortune to serve my country in several capacities. Before I started my doctorate in intelligence and national security, I spent four years working for the US government, both as a development worker and in the diplomatic and defence sectors. While diplomacy, defence and development work might look very different on the surface, I can attest that they are quite similar – and very closely linked.
They operate in very different spheres – but the goal is ultimately the same: to help partner nations enhance their own safety and prosperity. Without this help they may turn to adversaries such as Russia and China to provide assistance and security. These adversaries then have an opportunity to expand their influence around the world, which can include supporting dictatorships and predatory lending, such as seen in the Chinese belt and road initiative.
Peacekeeping through soft power
As a US peace corps volunteer, I called on USAID funding to help the community I was assigned to. In Akhaltsikhe, Georgia I taught English and coordinated youth development programmes.
The Akhaltsikhe region is one of the poorest in the country – and the school was in a sorry state of affairs. With a USAID grant, we were able to renovate part of the school and create an English language learning centre, which still thrives today, 12 years later. I can say first-hand that this project had a big impact on the image of the US among the Georgian people in my community.
It should go without saying that the US has a chequered past when it comes to some of its foreign policy interventions. But the country’s wealth and resources offer it the unique position to help grow and enhance western values in parts of the world that deserve the same freedom that developed countries in the west take for granted. In my opinion, that is money well spent.
Whatever value one might place on the US global footprint does not erase the truth of its existence. America is called upon to uphold democracy, to lift people out of poverty, and to respond to crises no matter where they are. Donald Trump, Elon Musk and his Doge staffers should have paid greater heed to USAID’s motto: “For the American people.”
Chase Johnson does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
In today’s volatile world, where wars can be fought over territory, commerce can be abruptly subjected to tariffs, and friendly nations can turn hostile after a single election, political leadership is more consequential than ever. So, one must ask, what makes a leader effective, and how should we choose who should lead?
Classics such as Aristotle’s “Politics,” Confucius’ “The Analects” and Machiavelli’s “The Prince” offer compelling visions of proper governance. But there is another ancient source of political wisdom – the classical Indian tradition – which is not as well known in the West.
I am a scholar of Indian religions, and in my 2025 book “Brahmins and Kings,” I examine various narrative works written in Sanskrit – the classical language of India – which deal with political theory. Among them, Viṣṇuśarman’s “Pañcatantra” stands out. It is a striking collection of animal fables from perhaps around 300 C.E. in which birds, lions and others speak and reason as humans do.
The “Pañcatantra” stories are parables that teach how to negotiate sometimes brave, sometimes cruel, sometimes clever and sometimes naïve friends and enemies alike. These stories weigh three ethical positions and settle on one as best for politics.
Doing what’s right
First, one might seek to guide leaders by the “ethic of deontology.” This theory suggests people are duty-bound to act morally, because being good is an end in and of itself.
Although Indian theorists knew this ethicwell, they were also aware that those with power often need inducement for doing the right thing, for – as the saying goes – power tends to corrupt, and absolute power corrupts absolutely. Doing “the right thing,” “for its own sake,” can be naïve in the political arena.
So goes the story in the third book (of five) in the “Pañcatantra,” titled “War and Peace.” A kingdom of owls was crushing the crows in battle, until a clever crow, a counselor named Ciraṃjīvin, or “Long-life,” cooked up a ruse.
He smeared the blood of his lost brethren on his body, plucked his own feathers and scarred himself with wounds. Approaching the king of the owls in this sorry state, he claimed the crows had violently thrown him out for suggesting they should sue for peace.
Now, he lamented, his only wish was revenge – alliance with his former enemies so as to punish his erstwhile companions. The counselors to the king of the owls advise him that it is simply right to harbor those in distress, so the owl king does so on principle.
Patiently licking his manufactured wounds in the owls’ kingdom, Ciraṃjīvin then spied all its defenses and weaknesses, divined the opportune time for the crows to invade, and led them to conquer the owls.
A friend in need is a friend, indeed
If the story of the owls and the crows teaches that naïvely choosing what’s right is unwise, then why not drop morality altogether? Why not ruthlessly pursue whatever produces results? This is the second view of political leadership: double-cross, cheat, bully, cajole, break the conventions and rules – do whatever works!
Indian political theorists thought of this, too, and their very definition of good political rule is that it produces results for the people. But they also rejected unbridled ruthlessness, because they knew that such Machiavellianism was too blunt an instrument for political affairs.
Consider the “Pañcatantra’s” second book, titled “On Securing Friends.” Here we meet another crow, this one named Laghupatanaka, or “Light Wing” – a nimble but lonely bird who witnesses friendship in action. He sees a hunter trap a dule of doves in his net. But their leader directs the bevy to pull all together.
As one they lift up the net and wing it a distance, the fowler chasing all the while on the ground. Soon, they land where they can meet up with their friend, a mouse named Hiraṇyaka, or “Eager for Gold,” who chews through the net as a dove never could, and they escape before the fowler arrives.
Laghupatanaka knows he, too, might be hunted. So he seeks out Hiraṇyaka, though they are said to be “natural enemies” because crows eat mice. But Laghupatanaka promises loyalty, and he never betrays Hiraṇyaka, even though he is the stronger one.
Gradually, they add to their company a wise turtle and a beautiful deer and prosper together on a paradise island until a trapper invades their home. Each plays a role in fooling their foe, who captures the turtle, while the deer, heeding the turtle’s good counsel, manages a sly escape.
To free the turtle, the deer plays dead while the crow mimics pecking at his eye. The trapper leaves the turtle behind, distracted by this bigger prize. Then Hiraṇyaka the mouse cuts the net holding the turtle, who crawls away as the decoy deer and the crow each take flight.
Deer, crow, turtle and mouse each possess an innate ability, and together they save all from harm.
The moral of this story is clear: Teamwork is effective, and successful leaders, no matter how powerful, thrive by relying on friends. As the well-known adages go: Two minds are better than one; many hands make for light work; a friend in need is a friend, indeed.
Nevertheless, it’s a competitive world, and some friends are greedy or false, as the story of the owls and the crows suggests. But if both pure morality and pure Machiavellianism are sometimes unwise, what third option could there be?
Consider the story of the first book of the “Pañcatantra,” the tale of the foolish lion king who is tricked into fighting a natural ally. The king of the forest was once frightened by the sound of a bull. His advisers, the jackals, rightly judge the bull to be harmless, and they convince the two to meet. In time, the lion and bull became close friends – so much so that the lion stopped hunting, and the animals in his retinue began starving.
The jackals then went to the king with a ruse: They told him that the bull was plotting to kill him; they manipulated the bull in similar fashion. In the fight that followed, the lion was injured, but the bull was killed. There was enough meat to feed everyone, and the jackals were promoted, because the lion king falsely believed they helped him avert a plot.
Now, one might wrongly conclude that the moral of this story is power through strength. But the “Pañcatantra” makes clear that there’s more to it: The bull was a true friend who had helpfully counseled the king. It was the jackal advisers who betrayed the lion with their manipulative story, which won them undue power and wealth at the cost of a friend.
Enter the third, and best, of the trio of political theories: virtue ethics. Leaders should cultivate wisdom. Chasten passions and impulses, the Indian texts counsel, in order to be able to distinguish opportunity from danger, friend from pretender, good advice from folly. Be discerning so as to see the world as it is and can be. Be good in order to do well in the world.
Wisdom in action
In Indian political theory, then, the answer is as simple as heeding the wisdom of parable stories: Do what is right, with the right measure, at the right time. Needless to say, this is more easily said than done. And one cannot force a leader to be chastened or wise.
Voters can, however, favor those who pursue self-restraint. For if leaders must be thoughtful to be wise – and thus open the road to results – then voters should seek those who listen and learn so as to be able to know just what to do and when.
This is the counsel that the classical Indian tradition offers contemporary voters. But to see who has just this virtuous discretion, voters will need a touch of that wisdom themselves.
John Nemec does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
When American soldiers liberated the Mauthausen Nazi concentration camp in Austria 80 years ago this May, Spanish prisoners welcomed them with a message of antifascist solidarity.
The Spaniards hung a banner made from stolen bed sheets over one of Mauthausen’s gates. In English, Spanish and Russian, it read: “The Spanish Antifascists Greet the Liberating Forces.”
Both American servicemen and Spanish survivors remember the camp’s liberation as a win in their shared fight against extremism, my research on the Spanish prisoners in Mauthausen finds. They all understood the authoritarian governments of Nazi Germany, Italy and Spain as fascist regimes that used extremist views rooted in intolerance and nationalism to persecute millions of people and imperil democracy across Europe.
World War II, the Holocaust and the horrors of Nazi violence have no modern equivalent. Nevertheless, extremism is now threatening democracy in the United States in recognizable ways.
As a scholar of the Mauthausen camp, I believe that understanding how American soldiers and Spanish prisoners experienced its liberation offers a valuable lesson on the real and present dangers of extremism.
‘We knew then why we had to stop Hitler’
In 1938, the Nazis established Mauthausen, a forced labor camp in Austria, with an international prisoner population. My research shows that the Nazis murdered 16,000 Jews and 66,000 non-Jewish prisoners at Mauthausen between 1938 and 1945, including 60% of the roughly 7,200 Spaniards imprisoned there.
The Spanish prisoners were committed antifascist resistors sent there in 1940 and 1941. Known as Republicans or Loyalists, they had fought against Francisco Franco in the Spanish Civil War and Adolf Hitler in World War II.
The young men with the 11th Armored Division of the U.S. Army who liberated Mauthausen would never forget the moment they discovered the camp. It was May 5, 1945, just days before the war ended in Europe. A platoon led by Staff Sgt. Albert J. Kosiek was repairing bridges in this tucked-away corner of Austria when a Swiss Red Cross delegate alerted them to a large Nazi concentration camp nearby.
Mauthausen’s international survivors were among the Nazis’ last prisoners to be freed.
George Sherman was a 19-year-old tank gunner from Brooklyn when his patrol found Mauthausen. He was Jewish and had read about the Nazi camps in Europe in the Army’s newspaper.
Still, seeing a concentration camp with his own eyes was alarming.
“The piles of bodies” struck him, he remembered in an oral history recorded for the University of South Florida in 2008. So did “these people walking around like God knows – skeletons and whatnot.”
Sgt. Harry Saunders, a 23-year-old radio operator from Chicago, also remembered the moment he saw the Mauthausen survivors. They were men and women of all nationalities.
One of the Spanish prisoners at Mauthausen, Francesc Boix, had stolen a camera from the SS in the chaotic moments before the camp’s liberation. Boix photographed Sgt. Saunders rumbling into the concentration camp on an armored car.
Saunders kept that photograph for the rest of his life. It captured a moment of clarity for him.
“When we liberated Mauthausen, we really knew then why we had to stop Hitler and why we really went to war,” he said in the interview.
Frank Hartzell, a technical sergeant with the 11th Armored Division, was 20 when he helped to liberate Mauthausen. He turned 100 this year. We met in mid-March 2025 and discussed his wartime experience.
“What I saw and experienced appalled me,” Hartzell told me.
The outrage has stayed with him for 80 years.
‘Starved and crippled but alive’
The American liberators toured the gas chambers and the crematory ovens in Mauthausen.
Maj. Franklin Lee Clark saw the dead stacked up in “piles like cord wood to the point that they had to bring in bulldozers and make mass graves,” and took photos to document it.
Soldiers from the 11th Armored Division directed locals to bury the men and women murdered by the Nazis. The local Austrians claimed they had not known about their town’s concentration camp. But a farmer who lived nearby had been upset about all the dead bodies visible from her property. She filed a complaint asking the Nazis either to stop “these inhuman deeds” or do them “where one does not see it.”
While Boix was taking photos of American soldiers during liberation, the soldiers were taking photos of the welcome banner the Spaniards had painted.
On the back of one snapshot, a Signal Corps soldier typed out his impressions of their message: “I really know what that word (antifascist) means. We liberated these prisoners in the Mauthausen concentration camp near Linz, Austria. They were Poles, Hungarians and Spanish Loyalists (remember the Loyalists?). They had men and women in this camp. Starved and crippled but alive.”
After Mauthausen was liberated, the freed Loyalists set to work documenting the Nazis’ crimes. Along with his countrymen Joan de Diego, Casimir Climent and others, Spanish survivor Joaquín López Raimundo compiled lists of Mauthausen victims and their Nazi captors. Using the Nazis’ own typewriters, they spent two weeks listing the names and personal details of Spanish victims of Mauthausen and of the SS who had killed them.
Boix, meanwhile, gave the Americans hundreds of photo negatives he had rescued from the camp’s photography lab.
Boix later testified about these images in the war crime trials at Nuremberg and Dachau. He described seeing the Nazis beat, torture and murder their victims in Mauthausen and then photograph the bodies. For 2½ years, Boix stole the photographic evidence of their crimes.
He “could not keep those negatives because it was so dangerous,” he testified at Dachau, so he “hid them in various places until the liberation.”
Testimony in the Nuremberg war crime trials. Francesc Boix’s testimony begins at 7:44. (U.S. Holocaust Memorial Museum, courtesy National Archives and Records Administration. Producer: US Signal Corps)
A lifelong vaccine against extremism
For the American liberators, their up-close view of the horrors of Mauthausen and their interactions with the Spanish antifascist survivors was a lifelong vaccine against extremism.
They witnessed how a fascist leader tore the world apart. They saw with their own eyes the death and destruction of political extremism.
When I interviewed Hartzell, he expressed concern that the United States is going down a dangerous path.
“The USA today is not the USA I fought and came close to dying for,” Hartzell told me.
“This is the lesson we have to learn: It could happen here.”
Sara J. Brenneis does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
Source: Africa Press Organisation – English (2) – Report:
CAPE TOWN, South Africa, April 7, 2025/APO Group/ —
African nations are leveraging strategic partnerships to attract investment and strengthen their mining sectors. As competition between Western and Eastern powers intensifies over critical minerals, Africa has emerged as a key player in global supply chains, balancing geopolitical interests while maximizing economic benefits. With global markets racing to secure resources for the energy transition and the Fourth Industrial Revolution, the upcoming African Mining Week will facilitate collaboration between African governments and international stakeholders.
U.S.–DRC Partnership to Unlock Mineral Wealth
In March 2025, the U.S. State Department reaffirmed (https://apo-opa.co/43JPLr8) its interest in engaging with the Democratic Republic of Congo (DRC) to unlock its estimated $1.2 trillion in untapped mineral resources. Cooperation between the two countries could yield a transformative impact on the sector, with U.S. financing and technical expertise unlocking the potential of the world’s largest cobalt producer and Africa’s largest copper producer. The U.S. has already played an active role in the financing and development of the Lobito Corridor, facilitating mineral transport and trade between the DRC, Angola, Zambia and international markets.
EU Expands Mining, Green Energy Investments
This month, the European Union (EU) pledged €4.7 billion (https://apo-opa.co/42q3265) to South Africa to support raw material value addition, the energy transition, local vaccine manufacturing and green hydrogen production. South Africa, home to the world’s largest deposits of platinum group metals (PGMs), will leverage this funding to enhance PGM production to meet growing demand for electrolysers used in green hydrogen applications. This follows South Africa’s $1 billion green hydrogen partnership with Denmark and the Netherlands established in 2023. Neighboring Namibia has also attracted European investment, with the EU committing €25 million to Namibia Hydrogen Fund Managers in September 2024 to propel the country’s green hydrogen sector. Meanwhile, Uganda is taking steps to develop its mining sector with the support of the EU and Germany’s Federal Ministry for Economic Cooperation and Development, having launched the Sustainable Development of the Mining Sector project earlier this month.
China Strengthens its Position in African Mining
China remains one of the largest investors in African mining, with both state-owned and private firms driving sector growth. In September 2024, China pledged $50 billion over three years for infrastructure and mineral development across the continent. Key projects in the DRC include CMOC’s $2.5 billion expansion of the Tenke Fungurume Mine and Sinohydro and China Railway’s $7 billion infrastructure-for-minerals deal in copper and cobalt mining. China has also invested heavily in Zimbabwe’s lithium sector and pledged $1 billion to upgrade the Tazara Railway, improving East Africa’s mineral exports.
Growing Global Interest in Africa’s Mining Sector
Beyond the U.S., EU and China, countries like Canada, Australia and the UAE are ramping up mining investments in Africa. Canadian firms are expanding their footprint in West Africa’s gold sector, Australian companies are backing lithium and rare earth projects in southern Africa and the UAE is securing stakes in critical mineral supply chains through strategic joint ventures. African Mining Week, taking place October 1-3 in Cape Town, will provide a platform for African nations to engage global investors, strengthen cooperation and accelerate resource development.
After 14 years of war, Syria has been left with large-scale destruction, massive displacement, economic hardship and a lack of basic services, including healthcare. In response, Médecins Sans Frontières (MSF) has started planning how best to meet people’s needs in areas where our teams were unable to work previously, including major cities and under-served rural regions where people’s humanitarian needs are significant and often overlooked.
This includes Daraya, southwest of Damascus, where we have set up an emergency room and support a healthcare centre.
“Almost everywhere our teams have visited, the scars of war are evident – entire neighbourhoods destroyed, with little effort put into reconstruction and minimal investment in restoring basic services,” says MSF’s project coordinator for Damascus, Mostafa Khatab. “Daraya, a suburb in the outskirts of the city, stood out in particular. Large-scale destruction, entire areas flattened – yet, people are coming back, determined to rebuild their lives.”
A view from the window of a destroyed building in eastern Daraya, Syria, March 2025.Al Baraa Haddad/MSF
After the government of Bashar Al-Assad collapsed in December 2024, thousands of people have returned to their homes, and now face massive challenges, including land contaminated with munitions, job shortages, economic struggles, and a lack of access to clean water and healthcare services.
“Daraya’s hospital, for example, was heavily damaged, and restoring it would require significant investment – something unlikely to happen in the near future,” says Khatab. “This means that the only real option for emergency and specialised medical care is in Damascus city centre, where services are already under significant strain.”
“The only functioning health centre in Daraya operates at a very limited capacity, offering just vaccinations, malnutrition treatment and basic medications for chronic diseases,” says Khatab.
In response, MSF started running activities in Daraya in March in partnership with the Directorate of Health. After renovating the health centre, the team is providing basic healthcare, including outpatient consultations, mental healthcare and sexual and reproductive healthcare, led by a doctor and a midwife.
MSF and the Directorate of Health have also opened a 24/7 emergency room to provide urgent care for people with trauma injuries and have established a referral system to hospitals in Damascus for patients needing more specialist care. All MSF’s services are free of charge.
An ambulance in front of the Daraya health centre preparing to respond to a call. Syria, March 2025.Al Baraa Haddad/MSF
Consultation numbers at the health centre have increased steadily with over 1,000 patients treated in the outpatient services since we started supporting in March. More and more patients are coming for sexual and reproductive.
At the emergency room, the medical team has provided 308 consultations and referred 24 patients for specialist care in just two weeks.
“The opening of Daraya emergency room clearly marks a decisive turning point in access to healthcare for the people of Daraya,” says MSF’s medical referent, Jethro Guerina. “I witnessed a father shedding tears of relief after his 10-year-old son received six stitches in the head following an accident at home, the medical team told him he didn’t have to pay money for treatment,” says Guerina. “He told me: ‘I have no memory of ever not having to pay for treatment.’”
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“India’s young entrepreneurs aren’t chasing success for the sake of it; they’re solving real problems rooted in their communities” – Jayant Chaudhary Skill India Pavilion Sparks Dialogue, Deals, and Dreams at Startup Mahakumbh 2025
Posted On: 05 APR 2025 6:52PM by PIB Delhi
Shri Jayant Chaudhary, Minister of State (I/C), MSDE, and Minister of State, Ministry of Education, attended Grand Finale of the Futurepreneurs Challenge at Startup Mahakumbh 2025, celebrating India’s thriving entrepreneurial ecosystem. The event showcased some of the country’s brightest student innovators who presented their pioneering solutions on a national platform.
The Futurepreneurs Challenge, a key highlight of the event, featured 10 standout student teams who presented their groundbreaking innovations in a rapid-fire format before Shri Jayant Chaudhary and an esteemed audience of investors, policymakers, and industry leaders. Shri Chaudhary personally congratulated and felicitated the top 10 startups, recognizing them as emerging changemakers in India’s startup journey.
The top prize went to Chitkara University, Chandigarh, for Stick Buddy, a smart assistive device designed for the visually impaired, featuring obstacle detection, time-date updates, and emergency alerts. Tula’s Institute, Dehradun, took second place with Pragati, an AI-powered nurse robot that conducts health check-ups through a simple handshake, offering real-time alerts, especially for underserved regions. Vignan Pharmacy College, Andhra Pradesh, secured third place with Magna Pads, an innovative menstrual care product that combines pain relief with diagnostic capabilities to detect conditions like anemia and PCOS.
Special Jury Awards were given to Government Polytechnic Deoria for Vayuputra, an AI-enabled agricultural drone aimed at addressing pesticide overuse and labor shortages, and Rajalakshmi College of Engineering, Tamil Nadu, for Jeevitham, an AI-based child healthcare platform that offers personalized nutrition, vaccination tracking, and digital health records. Other notable finalists presented solutions for organ transplant logistics, MSME credit access, sustainable farming, migrant education, and affordable healthcare—illustrating the diverse and impactful ways young innovators are using AI to solve real-world problems.
In a compelling fireside chat with Shri Jayant Chaudhary, which was hosted by TIE Global, the theme ‘From Skills to Startups: Unleashing India’s Youth Entrepreneurs’ resonated deeply. He emphasized the unique value of these entrepreneurs, stating, “What stood out to me today wasn’t just the ideas—it was the intent. Each young entrepreneur here isn’t chasing success for the sake of it; they’re solving real problems rooted in their communities. That’s the kind of mindset India needs—where skills and startups go hand in hand. Our job now is to nurture this instinct, strengthen the ecosystem, and make sure every student, every dreamer, feels confident that their idea has a place in India’s future. That’s how we build not just a startup nation, but a nation of responsible creators and leaders.
The Minister also interacted with the 15 Entrepreneurs, supported by the National Institute for Entrepreneurship and Small Business Development (NIESBUD), under the aegis of Ministry of Skill Development and Entrepreneurship, who exhibited at the Skill India Pavilion showcasing the power of skill-led entrepreneurship, amplifying voices from India’s heartlands and creating meaningful opportunities for youth. The pavilion became a high-impact zone for inclusive innovation, emphasizing that entrepreneurship rooted in skills is the key to building a sustainable, inclusive future for India’s youth.
Startup Mahakumbh 2025, a gathering of over 3,000 startups, 1,000 investors, and 50+ global delegations, solidified India’s position among the world’s top-three startup ecosystems. Within this vibrant ecosystem, the Skill India Pavilion emerged as a beacon of decentralized, skill-driven entrepreneurship, bridging grassroots innovation with national-scale opportunities.
As the event concluded, the Ministry of Skill Development and Entrepreneurship (MSDE) reaffirmed its commitment to fostering an inclusive and future-ready startup ecosystem where every aspiring entrepreneur—regardless of geography or background—has the platform to innovate, grow, and lead.
Government and Poultry Industry Collaborate to Prevent Bird Flu Outbreaks Implements Three-Pronged Strategy of Biosecurity Measures, Strengthened Surveillance and Mandatory Registration of Poultry Farms
Posted On: 05 APR 2025 2:44PM by PIB Delhi
The Department of Animal Husbandry & Dairying (DAHD) under the Ministry of Fisheries, Animal Husbandry and Dairying held a high level meeting on 4th April 2025 in New Delhi to discuss the recent outbreaks of Avian Influenza (Bird Flu) in the country. Chaired by Smt. Alka Upadhyaya, Secretary DAHD, the meeting brought together scientific experts, poultry industry representatives and policymakers to review the current situation of avian influenza and explore strategies to contain the disease and prevent its spread.
A three-pronged strategy to prevent and control Bird Flu has been decided by DAHD in consultation with the stakeholders. It encompasses Stricter
Biosecurity Measures wherein poultry farms must enhance hygiene practices, control farm access and follow stringent biosecurity protocols to minimize the risk of infection, Strengthened Surveillance and Mandatory Registration of Poultry Farms to enhance disease tracking and control (All poultry farms must register with state animal husbandry departments within a month. The government has urged poultry industry stakeholders to ensure 100% compliance with this directive).
Speaking at the meeting, Smt. Alka Upadhyaya emphasized, “Protecting our poultry sector is critical for food security and rural livelihoods. Strict biosecurity, scientific surveillance, and responsible industry practices are essential in our fight against Bird Flu.” Additionally, Secretary DAHD stated the need for developing a predictive modelling system for early warning and environmental surveillance which would enable proactive disease detection and response, minimizing the risk of outbreaks and protecting the poultry industry. DAHD has permitted the use of the H9N2 (Low Pathogenic Avian Influenza) vaccine, developed by ICAR-NIHSAD, Bhopal, which is now available commercially. A national study will evaluate the vaccine’s effectiveness of LPAI vaccination. The meeting also extensively discussed the possibility of allowing the use of a vaccine against Highly Pathogenic Avian Influenza (HPAI) in India. Representatives from the poultry industry urged the government to explore vaccination as a strategy to prevent further economic losses in the sector. Scientific experts highlighted that currently available HPAI vaccines do not provide sterile immunity but only reduce virus shedding. Given these complexities, it was agreed that further scientific evaluation is needed before making a policy decision. The meeting recommended conducting detailed science-based assessments to determine the feasibility of HPAI vaccination in India. Research efforts have also been initiated to develop an indigenous HPAI vaccine following global best practices.
The meeting saw participation from top animal health experts and leading poultry industry players including poultry vaccine manufacturers, poultry associations and government & research institutions like ICAR-NIHSAD, ICAR-IVRI, ICAR-CARI, ICAR-NIVEDI, and ICAR-Directorate of Poultry Research.
About Avian Influenza and Current Status in India
Avian Influenza is a highly infectious viral disease affecting birds, with occasional transmission to mammals. Since its first detection in India in 2006, outbreaks have been reported annually across multiple states. This year, the virus has shown cross-species transmission, impacting not just poultry but also wild birds and even big cats in some areas. Currently, six active outbreak zones remain in Jharkhand, Telangana, and Chhattisgarh in the country.
Present situation on HPAI (From 1st January-4th April 2025)
6 (3 States – Jharkhand (Bokaro and Pakur), Telangana (Ranga Reddy, Nalagonda and Yadadri Bhuvanagiri & Chhattisgarh (Baikunthpur, Korea)
Non Poultry Species Affected (From 1st January-4th April 2025)
Name of the State
Species affected
Maharashtra
Tiger, Leopard, Vulture, Crow, Hawk and Egret
Madhya Pradesh
Pet Cat
Rajasthan
Demoiselle crane, Painted Stork
Bihar
Crow
Goa
Jungle Cat
Comprehensive Approach to Controlling Avian Influenza
The Department of Animal Husbandry & Dairying (DAHD) has implemented a series of initiatives to control and prevent the spread of Highly Pathogenic Avian Influenza (HPAI) in India. The country follows a strict “detect and culling” policy, which involves culling infected birds, restricting movement, and disinfecting areas within a 1 km radius of outbreaks. States have been instructed to report daily on control measures, with increased surveillance and preparedness, especially during winter when migratory birds pose a higher risk. Surveillance for HPAI has also been expanded to non-poultry species, with negative results from tested cattle, goats, and pigs. In the global effort to combat potential pandemics, India has shared sequencing data of H5N1 isolates and related samples with international networks. Central teams, along with the National Joint Outbreak Response Team, are being deployed to manage outbreaks, and regular coordination meetings are being held with State Animal Husbandry Departments and other relevant authorities, including the Health and Wildlife Departments. India follows a test-and-cull policy to contain Avian Influenza outbreaks. Under the Livestock Health and Disease Control Scheme, the government compensates affected farmers for culled birds, destroyed eggs, and feed, with costs shared 50:50 between the Centre and States.
The COVID-19 pandemic was an unprecedented public health crisis which required facilitation of the development, authorisation and deployment of COVID-19 vaccines and treatments.
It was in this context that vaccine manufacturers requested a temporary derogation from serialisation requirements on the outer packaging of their vaccines to ensure continuous supply of the vaccine in the critical stage of the pandemic.
The derogation was granted, upon consultation with Member States under clearly specified conditions, including the obligation to report immediately any relevant incidents to ensure accountability and reconciliation of distributed products.
The derogation was granted on the basis on Article 63(3) of Directive 2001/83/EC[1] without prejudice to the manufacturer’s liability.
It should be also pointed out that the continuous monitoring of the quality, safety and efficacy of medicines was organised independently and not impacted by waiving the serialisation requirement.
Each batch was tested prior to its release by Official Medicines Control Laboratories of the Member States. Moreover, in the EU, a robust pharmacovigilance system is in place to collect and assess potential adverse drug reactions (ADRs).
EudraVigilance, the European database managed by the European Medicines Agency, compiles all ADR reports. Moreover, healthcare professionals were required to report ADRs for each patient following COVID-19 vaccination.
More than five years since COVID was declared a pandemic, we hear much less about this virus. But it’s still around.
In 2024 there were 4,953 deaths involving COVID. This is nearly 20% lower than in 2023, but still nearly five times that of influenza (1,002).
Vaccines, which do a very good job at reducing the chances of severe COVID, remain an important tool in our ongoing battle against the virus.
Case numbers don’t tell us as much about COVID anymore as fewer people are testing. But based on other ways we monitor the virus, such as cases in ICU and active outbreaks in residential aged care homes, there have essentially been two peaks a year over recent years – one over summer and one over winter.
This doesn’t mean we can predict exactly when another wave will happen, but it’s inevitable and may well be within the next few months. So it’s worth considering another COVID vaccine if you’re eligible.
Who can get one, and when?
There are several risk factors for more severe COVID, but some of the most important include being older or immunocompromised. For this reason, people aged 75 and older are recommended to receive a COVID booster every six months.
In the slightly younger 65 to 74 age bracket, or adults aged 18 to 64 who are immunocompromised, booster doses are recommended every 12 months, but people are eligible every six months.
Healthy adults under 65 are eligible for a booster dose every 12 months.
Healthy children aren’t recommended to receive boosters but those who are severely immunocompromised may be eligible.
What COVID shots are currently available?
We’ve seen multiple types of COVID vaccines since they first became available about four years ago. Over time, different vaccines have targeted different variants as the virus has evolved.
While some vaccine providers may still offer other options, such as the older booster that targeted the Omicron variant XBB.1.5, the recent JN.1 booster is the most up-to-date and best option.
This is a relatively recently updated version to improve protection against some of the newer strains of COVID that are circulating. The new booster only became available in Australia in late 2024.
This booster, as the name suggests, targets a subvariant called JN.1. Although JN.1 has not been the dominant subvariant in Australia for some time, this shot is still expected to provide good protection against circulating subvariants, including new subvariants such as LP.8.1, which is descended from JN.1.
While it’s great we have an updated booster available, unfortunately uptake remains poor. Only 17.3% of people 75 and over had received a COVID vaccine in the six months to March.
Data from more than 17,000 people who completed a survey after receiving the JN.1 booster shows that while 27% reported at least one adverse event following vaccination, the majority of these were mild, such as local pain or redness or fatigue.
Only 4% of people reported an impact on their routine activities following vaccination, such as missing school or work.
If you choose to get the flu vaccine and the COVID vaccine at the same time, they’ll usually be given in different arms. There shouldn’t be a significant increase in side effects. What’s more, getting both shots at the same time doesn’t reduce your immune response against either vaccine.
Now is the ideal time to get your flu vaccine. If you’re eligible for a COVID booster as well, getting both vaccines at the same time is safe and can be very convenient.
We’re conducting trials in Australia, as are scientists elsewhere, of combined vaccines. One day these could allow vaccination against COVID and flu in a single shot – but these are still a way off.
If you’re not sure about your eligibility or have any questions about either vaccine, discuss this with your GP, specialist of pharmacist. Australian state and federal government websites also provide reliable information.
Paul Griffin has been the principal investigator on many vaccine clinical trials and received speaker honoraria and been a member of medical advisory boards for vaccine manufacturers. He is also a scientific advisory board member and director of the immunisation coalition.
Source: United States Senator for New Hampshire Maggie Hassan
WASHINGTON – U.S. Senator Maggie Hassan (D-NH) released the following statement after voting against a Republican proposal that allows for massive cuts to Medicaid funding — taking health care coverage away from Granite Staters — in order to pay for tax giveaways for billionaires and for corporate special interests:
“In the middle of the night and over bipartisan opposition, Senate Republicans advanced their effort to take Medicaid health coverage away from millions of people in order to pay for tax cuts for corporate special interests and billionaires. I put forward a number of amendments to chart a different path forward, one where we would work together on a bipartisan basis to lower costs for Americans and protect Medicaid, Medicare, and the Social Security benefits that hardworking Americans have paid into and deserve, but Republicans once again doubled down. At a time when American families are struggling to keep up with high costs, I can imagine few ideas more ill-advised, outrageous, and devastating than to rip lifesaving health care away from millions of our fellow Americans, and therefore I voted against this budget resolution.”
Senator Hassan proposed over a dozen amendments to urge Congressional Republicans to reverse course and instead work on a bipartisan basis to help lower costs for Granite Staters, stand up for the rule of law, and protect individual freedoms. Senator Hassan’s proposed amendments included those to:
Stop unelected billionaires from advancing their own financial interests at the expense of American taxpayers
Prevent any efforts to cut Medicare or Medicaid benefits for seniors, children, and families
Prevent any efforts to cut Social Security benefits for seniors, increase wait times for Social Security benefits, or close Social Security offices
Overturn broad-based tariffs on allies like Canada that raise costs for American families
Promote childhood vaccinations against measles
Provide tax cuts for middle-class workers and small businesses
Lower the cost of housing, groceries, and prescription drugs
A global surge in cholera is threatening vulnerable people from Angola to Myanmar, fuelled by conflict, natural disasters and climate change, the World Health Organization (WHO) said on Friday.
The UN health agency registered almost 810,000 cases and 5,900 deaths from the preventable disease in 2024; that’s about 50 per cent higher than the previous year, according to Dr Philippe Barboza, who leads WHO’s cholera team.
He said the latest reported cases are almost certainly underestimates and that the disease continues to affect countries that were previously cholera-free.
Funding cuts
Recent cuts to international aid funding are also hindering the response, Dr Barboza said, giving the example of how in the previous two years, a donation of $6 million would have allowed WHO to fully control any outbreak occurring in either Malawi or Zambia.
“But this amount of money is not available. So, this is a very major concern…outbreaks are getting worse and worse, deadlier and deadlier, but the funds are getting smaller and smaller.”
WHO data indicates that for the first time in 10 years, Namibia reported infections this year, while Kenya, Malawi, Zambia and Zimbabwe are also experiencing a resurgence.
Angola has also reported nearly 10,000 cholera infections so far during 2025 and 380 people have died from the disease up to the end of March.
Its capital city Luanda has been badly affected. In the past 28 days, the country reported almost 3,500 cases – making up 56 per cent of all the cases across Africa.
Conflict, mass displacement, natural disasters and climate change have intensified outbreaks, particularly in rural and flood-affected areas, with poor infrastructure and limited access to healthcare.
But it’s not all doom and gloom. In September, production of cholera vaccines reached record levels, with the highest number of doses since 2013.
“We also need to increase funding to support the response effort,” Dr. Barboza said.
Situation remains critical in Eastern DR Congo, say peacekeepers
The UN peacekeeping mission in the Democratic Republic of the Congo, MONUSCO, continues to implement its mandates amidst a still critical security situation in the restive east, said UN Spokesperson Stéphane Dujarric on Friday.
While reciprocal attacks between the CODECO and Zaire militias are continuing to target civilians in Ituri, MONUSCO continues to “push for an effective process of local political dialogue and to negotiate the safe release of abducted civilians,” including children.
Regarding the situation in the regional capital Goma which was overrun by Rwanda-backed M23 rebels in January, Mr. Dujarric said that “non-essential international staff for the UN are returning to Goma,” although “the protection situation under the M23 occupation remains challenging”.
Mass displacements
On the humanitarian end, renewed hostilities in North Kivu between armed groups in Rutshuru have “triggered the displacement of some 7,500 people,” said Mr. Dujarric.
Local partners have also reported a raid on Mukongola General Referral Hospital by armed elements in the South Kivu province. “They vandalized the maternity ward, the pharmaceutical supplies and injured at least one individual,” he added.
While Mr. Dujarric said that “humanitarian partners [were] working tirelessly to scale up assistance despite the insecurity and the constraints,” UN colleagues on the ground have reported that “ongoing military operations continue to impede humanitarian access.”
“We reiterate our call for immediate, safe and sustained access to all areas,” the UN Spokesperson concluded.
Pandemic control exercise puts WHO emergency system to the test
The World Health Organization (WHO has successfully concluded a two-day exercise simulating the outbreak of a fictional virus spreading across the world – and what it will take to contain it.
Convened by more than 15 countries, 20 regional health agencies, health emergency networks and other partners, “Exercise Polaris” was designed to test a new global coordination mechanism for health emergencies, under the umbrella of the WHO’s Global Health Emergency Corps (GHEC).
“This exercise proves that when countries lead and partners connect, the world is better prepared,” said WHO chief Tedros Adhanom Ghebreyesus.
Coordination and collaboration
GHEC’s structure, which emphasises the importance of coordinating the deployment of surge teams and experts – and of enhancing collaboration between countries – “shows that global cooperation is not only possible, it is essential,” said Tedros. “No country can face the next pandemic alone.”
Throughout the simulation, while countries were leading their own response efforts, WHO provided technical guidance and emergency support.
“The Global Health Emergency Corps has evolved into a powerful platform, building on practice, trust and connection,” said Dr Mike Ryan, Executive Director of WHO’s Health Emergencies Programme. “Exercise Polaris showed what is possible when countries operate with urgency and unity supported by well-connected partners.”
Prime Minister Shri Narendra Modi announces Centre of Excellence for Traditional Medicine during the BIMSTEC Summit in Thailand I am pleased to announce that India will extend support for training and capacity building in cancer care across BIMSTEC countries: Prime Minister
Initiative to boost Research & Development and academic collaboration
Posted On: 04 APR 2025 8:28PM by PIB Delhi
Prime Minister Shri Narendra Modi announced the establishment of a Centre of Excellence to promote research and dissemination of Traditional Medicine during the Bay of Bengal Initiative for Multi Sectoral Technical and Economic Cooperation (BIMSTEC) Summit held in Bangkok.
While announcing the initiative, Shri Narendra Modi said, “Public health is a vital pillar of our collective social development. I am pleased to announce that India will extend support for training and capacity building in cancer care across BIMSTEC countries. In line with our holistic approach to health, a Centre of Excellence will also be established to promote research and dissemination of traditional medicine”.
It is worth noting that Thailand and India have robust Traditional Medicine Systems with close mutual ties. With this announcement by the Prime Minister, the research and development activity in the area is set to get a significant boost. The two countries have been working together to strengthen, promote, facilitate and develop academic & research collaboration in Traditional Medicine.
This may also be noted that last year the National Institute of Ayurveda, Jaipur, under the Ministry of Ayush of the Government of India and the Department of Thai Traditional and Alternative Medicine of the Ministry of Public Health of the Government of the Kingdom of Thailand, signed a Memorandum of Understanding (MoU) at the 10th India-Thailand Joint Commission Meeting held at Hyderabad House, New Delhi on the establishment of an Academic Collaboration in Ayurveda and Thai Traditional Medicine.
In academic collaboration, the Ayush Scholarship Scheme of the Ministry of Ayush, Government of India is offered through the Indian Council for Cultural Relations (ICCR). The scholarship is provided for Undergraduate and Post-Graduate studies in Ayurveda, Unani, Siddha & Homoeopathy, B.Sc. in Yoga, B.A. in Yoga Shastra, Ph.D in Yoga and Ph.D in Ayurveda. During the past five years, 175 students from BIMSTEC regions have availed the scholarships.
India and Thailand have a long history of cooperation in various sectors including Traditional Medicine. The announcement of establishing a Centre of Excellence to promote research and dissemination of Traditional Medicine will further strengthen these ties.
Source: United States House of Representatives – Congresswoman Debbie Dingell (12th District of Michigan)
Congresswoman Debbie Dingell (MI-06) led 40 of her House colleagues in sending a letter to Department of Health and Human Services Secretary Robert F. Kennedy Jr. demanding answers about the agency’s actions to pull back billions of dollars of funding sent to state and community health departments by the Center for Disease Control and Prevention (CDC) and Substance Abuse and Mental Health Services Administration (SAMHSA).
“The agency rescinding $11.4 billion of authorized funding without any congressional action or input is extremely concerning. This funding includes support for state and local health department employees who work around vaccines which are paramount for defending our population from any disease,” the lawmakers wrote. “Especially with the outbreak of measles and avian flu, our nation needs a robust public health system for effectively investigating and tracking disease outbreak and disseminating that data. With the cuts to the agency, we are worried that sufficient support will no longer be available leading to a breakdown in our public health infrastructure.”
“We are also concerned about the future of vaccines. Funds supporting vaccine implementation were expected to expire in 2027, and we are alarmed that they could now be cut two years short. These immunization programs are used to educate people in communities about vaccines and preventable diseases and support surveillance and lab capacity to track infectious diseases. Inadequate funding will severely limit outreach to vulnerable populations including rural communities and nursing homes for vaccines. In addition, this funding supports staff who work on multiple projects, and it is unclear which other programs may be affected until staff have left,” the lawmakers continued.” Beyond infectious diseases control and prevention, the CDC also provides critical support for the management of other chronic diseases. This includes people with asthma, allergies, diabetes, and heart disease. These patients are at greater risk for more serious infection or hospitalization from infectious diseases, and they rely on a strong public health infrastructure with employees to carry out critical public health interventions tailored to the needs of the local community. We fear clawing back this funding will impact the health of people living with chronic conditions across the nation.”
“Regarding SAMHSA, we are concerned about $1 billion of grants that will be discontinued. Such cuts and restructuring will deteriorate our mental health infrastructure,”the lawmakers concluded.“We know that over 84.5 million American adults have a substance use or mental health condition, and we cannot cut resources for these services. Last year alone, SAMHSA distributed over $6.9 billion in grants to fight the opioid epidemic, end suicide deaths, and transform the lives of countless Americans facing substance use disorder and mental illness.”
Specifically, the lawmakers requested answers to the following questions:
Does the Department certify that all the nearly $11.4B funds being rescinded from CDC are non-obligated, expired by statute funds? If so, please specify under which statue they are expired.
Does the Department certify that the $1B being rescinded from SAMHSA are nonobligated, expired by statue funds? If so, please specify under which statue they are expired.
Please provide a detailed list of the state, local, territorial, and tribal health departments that will be impacted, and how much funding they will lose and from which authorization or appropriation legislation the funding is being rescinded.
Has HHS determined how this funding cut will impact payroll or cause staff layoffs throughout local health departments? If so, how will HHS track this?
Please provide the agency’s plan to maintain FY2024 appropriated activities for the following diseases in light of the announced reduction in funds:
overnor Kathy Hochul today announced that eight SUNY campuses are developing departments, centers, and institutes of AI and Society to engage diverse disciplines and communities, broaden AI development to prepare students for the future and advance the use of AI for the public good. Through this program, the state has provided $5 million in funding to foster collaboration across disciplines to promote inclusive AI research, to address ethical concerns in the use of AI, and to advance responsible data use.
“The progression of AI research in New York State is going to inspire other states to follow our path,” Governor Hochul said. “Investing in AI within the SUNY system is an investment in our students to expand their knowledge about what the future will bring. We are not just preparing students for AI – we’re shaping how AI serves society, ensuring it strengthens communities and our economy.”
Investments announced today will launch the following projects:
University at Albany- Launching a new AI & Society College & Research Center
Binghamton University- Creating the Institute for AI and Society
University at Buffalo- Creating the Department of AI and Society
SUNY Downstate- Establishing the Global Center for AI, Society and Mental Health
SUNY ESF- Establishing the Center for Artificial Intelligence, Society, and the Environment (AISE) (seed funding)
SUNY Poly- Developing an Institute for AI and Society (seed funding)
Stony Brook University- Creating the Department of Technology, AI and Society
Upstate Medical- Forming the AI for Health Equity, Analytics, and Diagnostics (AHEAD) Center (seed funding)
SUNY Chancellor John B. KingJr. said, “Thanks to Governor Hochul’s leadership, SUNY researchers, faculty, and students are leading the way in using AI to advance the public good. SUNY’s commitment to academic excellence includes making it possible for students from a wide range of disciplines to come together, explore new ideas, and develop the skills that will lead to lifelong success.”
SUNY Board Trustee Courtney Burke said, “As SUNY and the State of New York continue to invest in AI research for public good, these grants will allow our campuses a vital opportunity to expand their existing AI programs and further stretch the advantages of AI on and off campus. The SUNY Board of Trustees looks forward to witnessing the impact of this investment on each campus selected.”
SUNY is delivering on Governor Hochul’s vision of artificial intelligence for the public good. Projects are up and running at the first “alpha” phase of the Empire AI computing center, housed at University at Buffalo (UB) and Empire AI brings together researchers from SUNY’s four University Centers – the University at Albany, Binghamton University, UB, and Stony Brook University – as well as the City University of New York, Cornell University, Columbia University, New York University, the Flatiron Institute, and Rensselaer Polytechnic Institute. Governor Hochul’s FY2026 Executive Budget provides additional resources to expand Empire AI’s computing capacity and provide additional computing resources for SUNY researchers. Early SUNY projects include:
Binghamton University is conducting research on large language models and antisemitism on social media in order to detect hateful content. Another project is on 3D foundation models for high-throughput characterization of metal-organic frameworks for climate change applications.
A team at UB is working on a comprehensive solution to characterize and treat every disease.
StonyBrook University researchers have a project on transforming how vaccines are developed by creating an innovative AI-driven platform for antigen design.
In addition, SUNY has also updated its General Education Framework to incorporate AI as part of the Information Literacy core competency.
Empire State Development President, CEO and Commissioner Hope Knight said, “New York State is the heart of innovation, and thanks to Governor Hochul’s leadership, ESD is investing in the industries – like artificial intelligence – that will power the Empire State’s long-term economy. SUNY’s funding for dedicated departments to advance AI & Society will help ensure the benefits of this revolutionary technology are used to foster positive interdisciplinary collaboration and problem-solving, promote the public good, and support inclusive economic opportunity for all New Yorkers.”
State Senator Toby Ann Stavisky said, “Artificial intelligence is the technology of the future and its impact on society will be transformative in ways that we can only imagine. By providing funding to launch the Departments on AI and Society at eight different SUNY campuses, we guarantee that New York will be at the forefront of the development of AI and its subsequent research will be conducted in an ethical and responsible manner. I applaud Governor Hochul and Chancellor King for the first in the nation plan to ensure AI serves the public good.”
State Senator Kristin Gonzalez said, “Thank you to SUNY and Governor Hochul for reaffirming New York State’s commitment to advancing AI initiatives that serve the public good, ensuring ethical innovation and inclusive progress. I’m really excited for the insights and work from the new Departments of AI and Society that will help shape a future where technology enriches and strengthens communities.”
Assemblymember Steve Otis said, “Through the leadership of Governor Kathy Hochul, SUNY Chancellor John King, and the State Legislature, New York State is leading the nation in ‘public purpose’ focused AI research and development. The Empire AI Consortium is an innovative model for prioritizing public benefit projects and research in AI development. SUNY has been a leader in AI for many years and is at the forefront of taking AI to the next level. We must continue to support funding for these initiatives.”
Assemblymember Alicia Hyndman said, “SUNY’s commitment to advancing artificial intelligence for the public good is a critical step in ensuring that emerging technologies are used responsibly and equitably. Under Governor Hochul’s leadership, these investments in AI research and education will not only drive innovation but also help address pressing societal challenges – from combating online hate to improving healthcare solutions. With the rapid rise of AI, it is essential that we learn how to better understand and harness its potential to advance our state. I applaud Chancellor King and SUNY for fostering interdisciplinary collaboration that will prepare our students for the future while ensuring AI serves all communities fairly and ethically.”
About The State University of New York The State University of New York is the largest comprehensive system of higher education in the United States, and more than 95 percent of all New Yorkers live within 30 miles of any one of SUNY’s 64 colleges and universities. Across the system, SUNY has four academic health centers, five hospitals, four medical schools, two dental schools, a law school, the country’s oldest school of maritime, the state’s only college of optometry, and manages one US Department of Energy National Laboratory. In total, SUNY serves about 1.4 million students amongst its entire portfolio of credit- and non-credit-bearing courses and programs, continuing education, and community outreach programs. SUNY oversees nearly a quarter of academic research in New York. Research expenditures system-wide are nearly $1.16 billion in fiscal year 2024, including significant contributions from students and faculty. There are more than three million SUNY alumni worldwide, and one in three New Yorkers with a college degree is a SUNY alum. Learn more about how SUNY creates opportunities.
At UConn Health, community isn’t just a word, it’s the foundation of everything we do. Whether it’s the connections between our patients and providers, the collaboration among our teams, or our commitment to serving those beyond our walls, community defines who we are. This month, we’re highlighting the ways in which our staff and departments comes together to support, uplift, and strengthen one another. From innovative partnerships to everyday moments of kindness, we celebrate the power of community in shaping a healthier future for all.
Janel Simpson:, UConn Health Chief Administrative Officer, Jini Korcz, Adriana Lopez de Victoria, Farmington Links Board Member
On Saturday, March 15, UConn Health and UConn faculty, staff, students and researchers, came together with community partners at the Black Family Wellness Expo, a vibrant annual event dedicated to promoting health and wellness in the Greater Hartford community hosted by the Artists Collective in Hartford. The expo, organized by the Farmington Valley and Greater Hartford Chapters of The Links Incorporated was co-sponsored by UConn Health’s Health Disparities Institute (HDI), the UConn School of Social Work, the Department of Public Health Sciences, and UConn’s Institute for Collaboration on Health, Intervention, and Policy (InCHIP),
Now in its second year of participation, HDI played a central role in the expo, not only through sponsorship but also in deepening institutional partnerships and collaboration with UConn Health and UConn that included the Office of Diversity and Inclusion (ODI), the Center on Aging, the Carole and Ray Neag Comprehensive Cancer Center, Public Health Sciences, Area Education Centers (AHEC), and InCHIP, among others.
“Instead of having UConn and UConn Health departments scattered throughout the expo, we intentionally grouped UConn Health and UConn tables, allowing the community to see the multiple ways in which we engage and serve Connecticut residents, beyond health care delivery and education,” said Dr. Linda Sprague Martinez, HDI director and professor in the department of medicine.
HDI also created an interactive engagement opportunity for attendees. This year at the expo, HDI engaged attendees by asking what makes for a great health care experience, and we heard overwhelmingly about the importance of the interpersonal aspects of care and engagement. Providers who take the time to really listen, are empathetic, and show compassion were common responses,” said Dr. Sprague Martinez. “Events like this are important opportunities for UConn Health to connect with community residents and our patients in a meaningful way.”
“Events like the Black Family Wellness Expo create a space not only for direct engagement with community members but also for fostering connections with organizations that share HDI’s commitment to health equity and exploring ways to deepen collaboration through collective efforts that drive lasting impact,” said Trisha Pitter from the Health Disparities Institute who initiated the partnership with the Farmington Valley Links, Inc. to promote this year’s event as well as the 2025’s expo.
JDH Diversity Council’s Role and Impact
Community Wishing Tree
As part of its mission to advance diversity, equity, and inclusion (DEI), the JDH Diversity Council played a key role in engaging attendees through interactive initiatives. Their presence included two tables: one focused on Human Resources, providing information about UConn Health career opportunities and workplace culture, and another featuring the “Community Wishing Tree,” an idea proposed by Elizabeth Haskell, sepsis nurse, were invited to share personal barriers to health care and their wishes for improvements in their community. The activity proved to be a meaningful way to amplify community voices and gather valuable insights that will be reviewed at an upcoming Diversity Council meeting.
“For me, joining the Diversity Council was about helping to create a more inclusive and equitable health care environment, not just for patients, but for our faculty and staff as well,” said Cassandra Keola, administrative program coordinator. “It’s inspiring to see our work extend beyond the walls of our hospital and into the communities we serve.”
“As a newer member of the Diversity Council, I was drawn to the opportunity to collaborate with a team dedicated to fostering growth in diversity, equity, and inclusion, both at an organizational level and as individuals. With 17 years of experience as a nurse, I have had the privilege of caring for patients from diverse backgrounds, which has reinforced the vital role that cultural awareness and inclusivity play in delivering equitable and effective health care. Being part of this council allows me to contribute to meaningful change and advocate for a more inclusive environment for both patients and staff,” said Eliza Rivera, population health manager.
Collaboration Across UConn and UConn Health Departments
Dr. Linda Barry, associate director of Health Disparities Institute, led the Alzheimer’s discussion and CT AHEC brought a team of Urban Health/AHEC Scholars and preceptors to provide health promotion education as well as screenings (oral health, blood pressure, blood glucose). The CT AHEC team worked closely with partners from Charter Oak Community Health Center for community member handoffs for vaccinations, mental health, muscular skeletal and A1C screenings. In total more than 35 community members were seen by this interprofessional team.
James “JJ” Odom, University Director of Buildings and Grounds at UConn Health, far left plays the drums during a musical performance
Leslie Bell, administrative director in nursing administration and diversity council member, shared her experience: “The room was filled with people providing essential services and education. I had the opportunity to attend a UConn Health panel discussion on Alzheimer’s, which was both informative and impactful. There was such a strong presence of organizations committed to health and wellness; it was truly inspiring.”
The event also facilitated networking opportunities among health care professionals. Bell was able to help connect a physician from Saint Francis Hospital with UConn Health’s ALS program to ensure continuity of care for a patient facing insurance challenges. This kind of real-time problem-solving exemplifies the council’s broader mission to bridge gaps in health care access and equity.
Looking Ahead
HDI’s ongoing partnership with the Farmington Valley Links will continue to shape future wellness initiatives, including the 2025 expo. HDI is co-sponsoring an upcoming Women’s Health event with the Farmington Valley Links, the Commission on Women, Children, Seniors, Equity and Opportunity, Aurora Foundation for Women and Girls, and InCHIP focused on intergenerational dialogues on menopause. Community events like the Black Family Wellness Expo create spaces for HDI to engage with residents, learn about priorities, and to build collaborations across UConn and with communities to promote health.
In addition to participating in the Black Family Wellness Expo, the Diversity Council continues to lead and support various initiatives, such as ODI’s monthly “coffee break” discussions, cultural awareness events, and employee appreciation activities. Their ongoing efforts reinforce UConn Health’s dedication to an inclusive workplace and community engagement.
Reflecting on the event’s success, Diversity Council members expressed enthusiasm for future collaborations and deeper community connections. “The sheer volume of interest in wellness and information was encouraging,” said one attendee. “Seeing so many people engaged and eager to learn reaffirms why events like this matter,” said Keola.
By fostering dialogue, sharing resources, and strengthening partnerships, the Diversity Council continues to make a meaningful impact—both within UConn Health and throughout the communities it serves.
The Black Family Wellness Expo was a powerful example of UConn and UConn Health’s institutional commitment to community engagement, health equity, and partnership. Through shared leadership, HDI and its collaborators are ensuring that UConn’s presence in the community is both impactful and enduring.
Source: United States Senator for Wisconsin Ron Johnson
WASHINGTON – On Wednesday, Permanent Subcommittee on Investigations (PSI) Chairman Ron Johnson (R-Wis.) sent letters to Moderna, Inc., Pfizer Inc., BioNTech US Inc., and Johnson & Johnson seeking records and communications about the development and safety of the COVID-19 vaccines.
In the letters, Chairman Johnson cited the many billions of taxpayer dollars these companies received to manufacture and deliver COVID-19 vaccines. These federally-funded vaccines have since been associated with reports of myocarditis, pericarditis, thrombosis with thrombocytopenia syndrome, and Guillain-Barré syndrome.
Chairman Johnson also referenced past attempts by the Department of Health and Human Services to conceal records related to the safety and efficacy of COVID-19 vaccines, warning vaccine manufacturers, “Any attempt to obstruct or delay responses to this request will result in compulsory process.”
The chairman’s requests included internal and external communications related to reports of adverse events, clinical trials, and testing of the vaccines against variants of SARS-CoV-2. These requests encompass communications between vaccine manufacturers, the federal government, and social media platforms.
Source: United States Senator for Massachusetts – Elizabeth Warren
April 04, 2025
Senate to vote on Republican tax plan paving way for $7 trillion in tax handouts for billionaires and billionaire corporations
“…Are we going to hand our country over to co-presidents Donald Trump and Elon Musk and a handful of other billionaires and make everyone else pay for it?…That is the fight in front of us, and that’s the fight I’m fighting every single day for families in Massachusetts and all across this country.”
Video of Speech (YouTube)
Washington, D.C. – Today, U.S. Senator Elizabeth Warren (D-Mass.) delivered a speech on the Senate Floor, slamming President Trump and Elon Musk’s chaotic cuts to programs and charting the path forward to fight back on behalf of Massachusetts. Senator Warren announced she is filing amendments to the Republican budget bill to protect federal funding for Massachusetts medical research institutions and health care providers; undo cuts to the National Institutes of Health; and protect education funding in Massachusetts, including for Head Start.
Transcript: Floor Speech on Fighting Back for Massachusetts Against Trump and Musk Chaos U.S. Senate Floor April 4, 2025
As Delivered
Senator Elizabeth Warren: Now, Republicans in Congress are putting forward a proposal to deliver these tax cuts for the wealthy and well-connected, and they’re asking us to vote on it tonight.
This bill — and Trump and Musk’s cruel agenda — isn’t good for Massachusetts and isn’t good for our country. I’m hearing from families at home in Massachusetts who are feeling the pain right now.
Start with medical research. Medical research powers the economy in Massachusetts and is the reason we’ve had incredible breakthroughs like vaccines and cancer drugs that save lives. So, how did Donald Trump and Elon Musk thank the doctors and researchers who are doing this work? By canceling tens of millions of dollars in federal funds that support medical research at Massachusetts hospitals, universities, and health care providers on everything from clinical trials to pandemic readiness. And they did it just weeks after Trump tried to cut the funding that keeps the lights on at our community health centers.
So, to anyone who believes in science and believes in investing in cures for horrible diseases, now is the time to fight back. That’s why I’m filing amendments to the Republican bill to keep up federal support for Massachusetts’ medical research institutions and health care providers — including our community health centers. And it’s why I’m filing another amendment to fight back against Trump and Musk’s National Institute of Health funding cuts — because we are a country that believes that we should invest in finding a cure for Alzheimer’s, for diabetes, for cancer, and other diseases.
And on education. Education levels the playing field. It gives every kid a fighting chance in this country. Doesn’t matter to Trump and Musk. This week, they slashed millions in funding for K-12 education in the Commonwealth. Shut down a regional office in Boston that helps administer Head Start. Canceled millions of dollars in funding that was helping to pay for kids’ school lunches. To them, that was the cherry on top of Trump’s executive order to, quote, “abolish” the entire Department of Education, throwing schools across the country into crisis.
So, to students, parents, and teachers, now is the time to fight back. We are fighting for an America where it’s not just the kids of billionaires who get a good education but every kid in every community all across our Commonwealth. It’s why I’ve got an amendment to the Republican bill to protect education funding in Massachusetts and protect services like Head Start that lift up our kids and make sure we’re not leaving families hanging out to dry.
And I’m fighting for our workers. Last week, Donald Trump signed an illegal executive order attacking federal unions and stripping workers of their rights. It’s the definition of union-busting — and it is an attack on the workers who make sure our food is safe to eat, who make sure it’s safe for us to fly in airplanes, who make sure that we take care of our veterans, who try to help us and protect us from viruses and disease, and so much more.
So, to workers in Massachusetts and across America, now is the time to fight back. We need to amend this Republican tax cut bill to affirm federal workers’ right to unionize and collectively bargain because the labor movement is bigger than Donald Trump and his unelected billionaire co-president. And we believe that every worker deserves the freedom to join a union and negotiate for a fair contract.
Donald Trump and Elon Musk are sawing through the programs that help working families breathe a little easier every day. And they’re doing it so that their billionaire buddies and giant corporations get trillions of dollars in tax giveaways, paid for on the backs of everybody else.
So here’s the big question: are we going to hand our country over to co-presidents Donald Trump and Elon Musk and a handful of other billionaires and make everyone else pay for it? Or are we going to be a country that says, “No, we want to make these investments so that everyone in this country gets an opportunity.” Everybody’s at least got a chance to build something for themselves. That is the fight in front of us, and that’s the fight I’m fighting every single day for families in Massachusetts and all across this country.
OLYMPIA — Attorney General Nick Brown co-led today a multistate lawsuit filed against the Trump Administration for its unlawful attempt to disrupt grant funding issued by the National Institutes of Health (NIH). It is the second lawsuit filed by state attorneys general against NIH for cancelled funding.
The lawsuit, filed in U.S. District Court for Massachusetts by attorneys general from 16 states, challenges the administration’s unreasonable and intentional delays in reviewing NIH grant applications, as well as its termination of hundreds of grants issued already. The lawsuit asserts that NIH recently terminated large swaths of grants for projects that are currently underway based on the federal government disfavoring them — like projects the Trump administration deems as related to diversity, equity and inclusion initiatives or fears about vaccines.
As a result of the administration’s delays and terminations, the states argue their public research institutions have experienced significant harm. For instance:
The University of Washington receives more federal research dollars than any other public university in the nation. In fiscal year 2024, the university received more than 1,220 NIH grants, totaling over $648 million.
The university has had millions of dollars in grants terminated, which supported innovative work in trauma research for victims of sexual assault, prevention of chlamydia infections, and the impact of air pollution on Alzheimer’s disease and related dementias, among other topics.
The NIH’s delays have impacted even more projects across the university, including cancer research and Alzheimer’s research.
The funding disruptions have forced the university to furlough and potentially lay off research staff and faculty and cut admissions to graduate programs.
“The Trump administration’s illegal withholding of funding stops life-saving advances in medical, agricultural, and public health research,” Brown said. “The harm is not only to the advances in science, but also to the jobs of researchers doing this vital work. We are asking the court to allow funds that have already been allocated to flow to Washington’s centers of research.”
The attorneys general ask a federal judge to compel the administration to promptly review and issue decisions on delayed grant applications. Currently, the states bringing the lawsuit are awaiting decisions on billions of dollars in requested research funding.
Joining Attorney General Brown in filing today’s lawsuit, which he co-led with the attorneys general of Massachusetts, California, and Maryland, were the attorneys general of Arizona, Colorado, Delaware, Hawai‘i, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island and Wisconsin.
The lawsuit can be found here.
In February, Brown joined a coalition of 22 attorneys general in filing a separate lawsuit against the Trump administration for its attempts to unilaterally cut “indirect cost” reimbursements for NIH grants at nearly every research institution in the country. On March 5, a federal judge issued a preliminary injunction that prevented the administration from cutting the funding as the case proceeds.
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In 2024, NIH awarded $5.15 billion in grants and contracts that directly supported 55,324 jobs and $13.81 billion in economic activity in California
OAKLAND — California Attorney General Rob Bonta today co-led 16 attorneys general in filing a lawsuit against the Trump Administration, the Department of Health and Human Services, and the National Institutes of Health (NIH) for failing to disperse grant funds and for unlawfully terminating existing grants for medical and public health research institutions across the country. Despite Congressional direction, the NIH has drastically reduced its funding to advance the United States’ understanding of human disease and potential treatments. As a result, California universities have begun curtailing biomedical research and delaying the hiring of new staff and students who depend on NIH funding.
“In their unlawful withholding and terminating of medical and public health research grants, the Trump Administration is upending not only the critical work being done today, but the promise of progress for future generations,” said Attorney General Rob Bonta. “Through research, we save lives, improve public wellbeing and create new economic opportunities that support a vibrant economy. Let me be clear: in California, NIH funding creates over 50,000 jobs and billions of dollars in economic activity. Over the decades, this funding has brought humanity the eradication of polio, discovery of the gene that causes breast and ovarian cancer, and the transformation of HIV from a fatal disease into one people can live with. Gutting NIH funding is a deep loss to innovation and progress built upon for decades — and it’s illegal. My office is proudly leading the charge to demand that the Trump Administration immediately restore funding to the important work being done in labs, schools, and hospitals across the nation.”
“The American research enterprise is the most successful, important, and impactful in the world,” said UC President Michael V. Drake, M.D. “We must continue to do all we can to develop treatments and cures for the serious medical conditions that threaten us all.”
“We applaud the attorney general for filing this lawsuit. NIH funding is vital to the CSU’s ability to offer immersive student learning and discovery through distinctive research programs that directly benefit the health of all Americans,” said Ganesh Raman, Assistant Vice Chancellor for Research at the California State University. “These grants not only support research, but they also provide stipend and other funding that impact hundreds of CSU students, staff and faculty who engage in meaningful, and career-defining work. Terminating these federal grants will cause irreparable harm, undermine scientific progress and our collective capacity to innovate and lead California’s economy.”
NIH is the federal agency responsible for biomedical and public health research. Over 80% of Congressional funding supports NIH research and training at external labs, schools, and hospitals. It is estimated that every $1 invested in NIH research generates $2.56 of economic activity.
Over the years, NIH-supported research has had a profound impact on the health and wellbeing of the American people. NIH scientists pioneered the rubella vaccine, eradicating a disease that, in the 1960s, killed thousands of babies and left thousands more with lifelong disabilities. NIH studies led to the discovery of the BRCA mutation, helping countless Americans reduce their risk of breast and ovarian cancer. NIH research fueled the development of treatments for HIV and AIDS, transforming what used to be a fatal disease into one with a nearly normal life expectancy.
The termination of NIH funding for research interventions to prevent or treat the spread of diseases like HIV/AIDS, Covid and other virus families of pandemic concern — including emerging diseases such as Dengue, Chikungunya, and Zika — increases the risk of and incidence of these diseases in California. The terminations have specifically targeted some of the most vulnerable Californians, including women experiencing domestic violence, children at risk of suicide, and underserved communities at a higher risk of chronic or infectious diseases.
Yet the Trump Administration has frozen the highly competitive process for approving new NIH grants. The Administration has also terminated existing NIH grants without any reasonable explanations after those grants were funded based on their scientific merit and potential innovative impact and appears to have terminated grants based on the projects’ perceived connection to “DEI,” “transgender issues,” “vaccine hesitancy,” or other topics disfavored by the Trump Administration. Similarly, training grants directed to increase diversity in the research work force have been pulled from review. NIH claims that these grants “no longer effectuate agency priorities.”
In today’s lawsuit, the attorneys general argue that the Trump Administration’s actions are arbitrary and capricious. The Trump Administration does not have the authority to unilaterally decline spending congressionally appropriated funds. As such, the attorneys general seek a temporary restraining order to immediately restore grant funding to the states and bar the Administration from unlawfully terminating grants.
In February, Attorney General Bonta filed a lawsuit against the Trump Administration’s unlawful attempt to cut “indirect cost” reimbursements at every research institution throughout the country. Indirect cost reimbursements refer to expenses that are necessary to support research but are not easily linked to a specific research project.
In bringing today’s lawsuit Attorney General Bonta and the attorneys general of Massachusetts, Maryland, and Washington lead the attorneys general of Arizona, Colorado, Delaware, Hawaii, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, and Wisconsin.
News Release-DOH Expands Efforts to Prevent a Measles Outbreak in Hawai’i
Posted on Apr 3, 2025 in Latest Department News, Newsroom
STATE OFHAWAIʻI
KA MOKU ʻĀINA OHAWAIʻI
DEPARTMENT OFHEALTH
KA ʻOIHANAOLAKINO
JOSH GREEN, M.D. GOVERNOR
KE KIA‘ĀINA
KENNETH S. FINK, M.D., MGA,MPH DIRECTOR
KA LUNAHO‘OKELE
DOH EXPANDS EFFORTS TO PREVENT A MEASLES OUTBREAK
IN HAWAIʻI
FOR IMMEDIATERELEASE
April 3, 2025 25-031
HONOLULU — The risk of a measles outbreak in Hawaiʻi continues to rise, as measles cases continue to spread across the mainland and globally, even as Hawaiʻi’s measles vaccination rate declines. In response, the Hawaiʻi Department of Health (DOH) is taking proactive measures to prevent an outbreak in Hawaiʻi.
DOH is expanding its outreach to provide more information about the increasing risk of exposure to and complications from measles, as well as the safety and effectiveness of measles vaccination. DOH is also taking action to encourage more vaccinations.
A population vaccination rate of at least 95% is needed to prevent a measles outbreak. In Hawaiʻi, the measles vaccination rate is 90%. In Texas, whereameaslesoutbreakis spreading rapidly, the vaccination rate is 93%.Having apopulation vaccination ratehigh enough to prevent an outbreak, which is based on the contagiousness of the infection, isoften called ‘herd immunity.’
However, vaccination rates can vary locally and by school. The risk of an outbreak is higher in schools with low immunization rates (seefull listof Hawaiʻischools).
In addition to recommending vaccination against measles, DOH is working to reduce barriers to vaccination for those who choose to get vaccinated. DOH sent aletterto parents and guardians of K-12 students of public, private and charter schools on April 2 encouraging them to get their child vaccinated against measles if the child is not fully vaccinated.
The letter also announced that DOH will issueemergency rules toremove a barrier to vaccinationagainst the highly contagious measles virus.
The emergency rules will allow children with a religious exemption to receive the MMR (measles, mumps, rubella) vaccinewhile retainingthe exemptionto other vaccines and continuing to attend school. The rules can be effective only for and would expire in 120 days.
“Measles is a very serious, sometimes fatal disease for children,” said Dr. Sarah Kemble, a pediatrician and state epidemiologist. “At the rate it’s spreading, it could easily reach Hawaiʻi on the next plane. The MMR vaccine is our best defense against the measles virus. The emergency rules will remove a potential barrier for families choosing to protect their children with the MMR vaccine.”
Parents are asked to reportany updates totheir child’s vaccination record to their school to ensure that the school’s vaccination data is accurate and up to date. Should a measles outbreak occur in Hawaiʻi, students without a record of an MMR vaccine may be prohibited from attending school.
DOH will reach out to schools to assess interest in hosting on-site vaccination clinics. Schools and offices interested in hosting vaccination clinics can also call the DOH Immunization Branch at 808-586-8300.
To access vaccines, parents and school staff should contact:
The child’s preferred healthcare provider
A local community clinic
Vaccine locator:
https://www.vaccines.gov/en/
The best way to prevent a measles outbreak is to have a high community vaccination rate. A high vaccination rate additionally helps protect newborns who are too young to get vaccinated, children who are unable to get vaccinated for medical reasons, unvaccinated pregnant women, and others who may have a weakened immune system.
Children should receive two doses of MMR: one at 12–15 months of age and a second dose at 4–6 years of age before school entry. Adults not at high risk of exposure and who don’t have evidence of prior immunity are recommended to have at least one documented dose of MMR in their lifetime. Additional vaccine recommendations, including for travelers,, can be found on the CDC website:
Imagine a world where bacteria, typically feared for causing disease, are turned into powerful weapons against cancer. That’s exactly what some scientists are working on. And they are beginning to unravel the mechanisms for doing so, using genetically engineered bacteria to target and destroy cancer cells.
Using bacteria to fight cancer dates back to the 1860s when William B. Coley, often called the father of immunotherapy, injected bacteria called streptococci into a young patient with inoperable bone cancer. Surprisingly, this unconventional approach led to the tumour shrinking, marking one of the first examples of immunotherapy.
Over the next few decades, as head of the Bone Tumour Service at Memorial Hospital in New York, Coley injected over 1,000 cancer patients with bacteria or bacterial products. These products became known as Coley’s toxins.
Despite this early promise, progress in bacteria-based cancer therapies has been slow. The development of radiation therapy and chemotherapy overshadowed Coley’s work, and his approach faced scepticism from the medical community.
However, modern immunology has vindicated many of Coley’s principles, showing that some cancers are indeed very sensitive to an enhanced immune system, an approach we can often capture to treatpatients.
How bacteria-based cancer therapies work
These therapies take advantage of the unique ability of certain bacteria to proliferate inside tumours. The low oxygen, acidic and dead tissue in the area around the cancer – the tumour “microenvironment” (an area I am especially interested in) – create an ideal niche for some bacteria to thrive. Once there, bacteria can, in theory, directly kill tumour cells or activate the body’s immune responses against the cancer. However, several difficulties have hindered the widespread adoption of this approach.
Safety concerns are paramount because introducing live bacteria into a patient’s body can cause harm. Researchers have had to carefully attenuate (weaken) bacterial strains to ensure they don’t damage healthy tissue. Additionally, controlling the bacteria’s behaviour within the tumour and preventing them from spreading to other parts of the body has been difficult.
Bacteria live inside us, known as the microbiome, and treatments, disease and, of course, new bacteria that are introduced can interfere with this natural environment. Another significant hurdle has been our incomplete understanding of how bacteria interact with the complex tumour microenvironment and the immune system.
Questions remain about how to optimise bacterial strains for maximum anti-tumour effects while minimising side-effects. We’re also not sure of the dose – and some approaches give one bacteria and others entire colonies and multiple bug species together.
Recent advances
Despite these challenges, recent advances in scientific fields, such as synthetic biology and genetic engineering, have breathed new life into the field. Scientists can now program bacteria with sophisticated functions, such as producing and delivering specific anti-cancer agents directly within tumours.
This targeted approach could overcome some limitations of traditional cancer treatments, including side-effects and the inability to reach deeper tumour tissues.
Emerging research suggests that bacteria-based therapies could be particularly promising for certain types of cancer. Solid tumours, especially those that have a poor blood supply and are resistant to conventional therapies, might benefit most from this approach.
Colon cancer, ovarian cancer and metastatic breast cancer are among the high-mortality cancers that researchers are targeting with these innovative therapies. One area we have the best evidence for is that “bug drugs” may help the body fight cancer by interacting with routinely usedimmunotherapydrugs.
Recent studies have shown encouraging results. For instance, researchers have engineered strains of E coli bacteria to deliver small tumour protein fragments to immune cells, effectively training them to recognise and attack cancer cells. In lab animals, this approach has led to tumour shrinkage and, sometimes, complete elimination.
By exploiting these mechanisms, bacterial therapies can selectively colonise tumours while largely sparing healthy tissues, potentially overcoming limitations of conventional cancer treatments.
Ultimately, we need human trials to give us the answer about whether this works, by controlling or eradicating cancer and, of course, if there are side-effects, its toxicity.
In one study I worked on, we showed that part of a bacterial cell wall, when injected into patients, could safely help control melanoma – the most deadly form of skin cancer.
While we’re still in the early stages, the potential of bacteria-based cancer therapies is becoming increasingly clear. As our understanding of tumour biology and bacterial engineering improves, we may be on the cusp of a new era in cancer treatment.
Bacterial-based cancer therapies take advantage of several unique mechanisms to specifically target tumour cells. As a result, these therapies could offer a powerful new tool in our arsenal against cancer, working in synergy with existing treatments like immunotherapy and chemotherapy. And, as we look to the future, bacteria-based cancer therapies represent a fascinating convergence of historical insight and groundbreaking science.
While challenges remain, the progress in this field offers hope for more effective, targeted treatments that could significantly improve outcomes for cancer patients.
Justin Stebbing, Professor of Biomedical Sciences, Anglia Ruskin University
Maloka’s story highlights how the Government of Pakistan, in partnership with the World Health Organization (WHO), has transformed the prevention of maternal neonatal tetanus (MNT) across the country. Around 80% of Pakistan’s population (190 million people) now live in areas where the spread of neonatal tetanus is under controlled limits – less than 1 case of tetanus per 1000 live births. Islamabad Capital Territory and Pakistan-administered Kashmir achieved elimination in March 2025, Sindh in December 2024 and Punjab in 2016.
Fatima administers a vaccine to a pregnant woman. Photo: WHO / Pakistan
Fatima, Maloka’s “angel”, is one of 17 000 Lady Health Workers deployed in the province of Sindh, and 30 000 across the country. For mothers like Maloka, Lady Health Workers are heroes, but they do not work alone. More than 140 000 Lady Health Visitors, Lady Health Supervisors, Lady Health Workers and midwives work across Pakistan, covering even the most remote areas, keeping mothers and newborns safe.
Maloka lost her first child, a baby girl, to neonatal tetanus. The pain of that loss fueled her determination to protect any future children. When Maloka became pregnant again, Fatima was there, a steady source of support and guidance. She ensured Maloka received the necessary tetanus vaccinations, advised her on safe delivery practices and provided antenatal care. Today, Maloka cradles her healthy 1-year-old son, a symbol of hope and resilience.
Maloka’s story underscores the crucial role of frontline health workers like Fatima who provide advice from mother to mother. Fatima acts as a bridge between communities and the health care system, building trust and empowering women to take control of their health.
Fatima prepares to administer tetanus-diphtheria vaccine to Maloka in a remote area of Sindh. Photo: WHO Pakistan
Despite progress, Pakistan remains among 10 countries worldwide that have yet to eliminate MNT. In 2024, a total of 322 cases and 6 deaths were reported across the country, though WHO experts estimate that only 30% of cases are notified to the authorities.
WHO will continue to partner with Pakistan and its frontline health workers as they work to eliminate MNT from the country and protect future generations from this preventable disease.
As the sun sets over the Thar desert, casting long shadows across the sand dunes, health workers like Fatima are bringing hope for a healthier future to the most remote settlements. “Initially, it was an uphill battle,” Fatima recalls. “Many were hesitant, bound by traditional beliefs and misconceptions about vaccines. Now, the smiles of healthy babies and the relief in mothers’ eyes are the greatest reward. It is a reminder that, even in the most challenging circumstances, we can make a difference, one vaccine at a time.”
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Source: United States House of Representatives – Congressman Bill Foster (11th District of Illinois)
Washington, DC – Today, U.S. Representative Bill Foster (D-IL-11) and U.S. Senate Democratic Whip Dick Durbin (D-IL) reintroduced the bicameral American Innovation Act, which would provide annual budget increases at a rate of five percent, indexed to inflation, for cutting-edge research at five federal agencies: the Department of Energy Office of Science; the National Science Foundation; the National Institute of Standards and Technology Scientific and Technical Research Services; the Department of Defense Science and Technology Programs; and the National Aeronautics and Space Administration (NASA) Science Directorate. The American Innovation Act would position the U.S. as a leader in development and discovery for decades to come by creating steady, sustained funding for breakthrough research at America’s top research agencies.
“I’m proud to work with Senator Durbin on this legislation to expand federal investment in scientific research,” said Foster. “Since World War II, investments in science and technology have helped expand our economy, create millions of jobs, and advance our national security. As we confront new and existing challenges, it’s critical that our scientists have the resources they need to ensure our nation remains at the forefront of research and innovation.”
“In its crusade to damage essential government infrastructure, the Trump Administration has failed to recognize that sustained support for basic scientific research has enabled the United States to put a man on the moon, build the internet, and produce a COVID-19 vaccine in record time. If we want to maintain our status as a world leader in research and technology, we must empower and fund our federal research agencies and retain their top talent,” said Durbin. “I’m introducing the American Innovation Act to ensure our nation’s scientists and researchers have access to critical funding to push our world forward while also creating jobs, growing our economy, and improving our national security.”
Basic science funding in the U.S. has lagged in recent decades. Since the 1970s, U.S. investment in basic science has decreased by tenfold to about 0.1 percent of GDP. Meanwhile, China’s research intensity (GDP expenditures on R&D) has increased by 500 percent since 1996. If this trend continues, China will soon surpass the U.S. in investment in science.
The American Innovation Act is cosponsored by U.S. Representatives Sean Casten (D-IL-06), Jill Tokuda (D-HI-02), and Eleanor Holmes Norton (D-DC), and U.S. Senators Tammy Duckworth (D-IL), Alex Padilla (D-CA), Mazie Hirono (D-HI), and Brian Schatz (D-HI).
The legislation has earned the endorsement of the American Mathematical Society; American Physical Society; American Society of Mechanical Engineers; American Society of Microbiology; Association of American Universities; Association of Public and Land-Grant Universities; Coalition for Academic Scientific Computation; Computing Research Association; Council on Undergraduate Research; Federation of American Scientists; Institute for Progress; the Institute of Electrical and Electronics Engineers; MIT Graduate Student Council; Society of Women Engineers; Taskforce for American Innovation; University of Illinois System; and the University of Chicago.