The Union Health Ministry implemented a ban on 156 "irrational" FDC medicines, effective immediately. These medicines, including widely used antibiotics, painkillers, and multivitamins, were commonly used to treat fever, cough, and infections. The ban was imposed due to the associated health risks and lack of therapeutic justification for the ingredients in these FDCs.

What are FDC medicines?

FDCs or fixed-dosed combinations, also known as "cocktail drugs," are medications that combine multiple drugs in a single pill. They are designed to treat multiple symptoms or conditions simultaneously. While they offer convenience, they can pose significant risks. These risks include the possibility of overdose, adverse interactions between the drugs, and the development of antibiotic resistance. Additionally, many FDC medicines lack sufficient scientific evidence to support their safety and efficacy.

Expert opinions on FDC medicines

Experts have raised concerns about the use of FDC medicines. They believe that many of these combinations lack sufficient scientific evidence to support their safety and effectiveness. Additionally, the combination of multiple drugs in a single pill can increase the risk of adverse side effects and interactions with other medications.

Experts have also found that FDC medicines may not be as effective as individual drugs in treating certain conditions. It is important to note that safer and more effective alternatives are available for most of the medical conditions that FDC medicines were used to treat. One particular concern is the inclusion of antibiotics in some FDCs. Overuse of antibiotics can contribute to the development of antibiotic resistance, a major public health threat.

The risks of FDC medicines

The use of FDC medicines can lead to adverse effects, including serious ones. Additionally, safer alternatives, tested in clinical trials, are available to treat the same medical conditions. Experts recommend prescribing drugs individually based on a patient's clinical symptoms rather than combining them in FDCs.

The ban on irrational FDC medicines by the Union Health Ministry can be seen as a positive step towards promoting rational drug use and protecting public health. The goal is to eliminate unnecessary and potentially harmful drug combinations. This is a step forward in reducing the risks associated with medication and ensure safer and more effective treatment options for patients.

Stroke is among the leading causes of disability worldwide, and many survivors are left struggling with speech difficulties. After a stroke, some people lose the ability to speak fluently despite being able to understand language and, remarkably, sing familiar songs they have known for years.

This connection between music and speech recovery forms the basis of Melodic Intonation Therapy (MIT), an evidence-based approach that uses melody, rhythm, and repetition to help patients regain communication abilities.

How Music Reconnects The Brain After Stroke

Music therapy works by activating brain networks that remain functional even when areas responsible for speech or movement are damaged.

Speaking to HealthandMe, Dr. Sudhir Kumar, Neurologist at Apollo Hospitals, Hyderabad, explained that rhythm helps retrain the brain’s motor circuits. In stroke patients with movement difficulties, rhythmic auditory stimulation — where movements are synchronised with a steady beat — can help improve walking patterns.

“Music therapy taps into brain networks that survive a stroke even when speech or movement pathways are damaged. Rhythm helps retrain the brain's motor circuits. Patients with gait difficulties often walk more fluidly when moving to a steady beat, a technique we call rhythmic auditory stimulation,” Dr. Sudhir said.

Dr. K. K. Jindal, Director – Neurology, CK Birla Hospital, Delhi, said that after a stroke, the brain can reorganize itself and form new neural connections through a process called neuroplasticity.

“Music, and in particular rhythm and melody, can cause several areas of the brain to be activated at once,” Dr. Jindal told HealthandMe.

He added that techniques like Melodic Intonation Therapy can support communication in patients with speech difficulties, while rhythmic auditory stimulation has helped improve gait, physical coordination, and balance during stroke recovery.

Dr Kumar said for patients with aphasia — a condition that affects speech and language after stroke — singing can engage the right hemisphere of the brain, allowing some patients to produce words through melody even when they are unable to speak normally.

Experts said that beyond neurological benefits, music may also help reduce anxiety and depression, which are common after stroke and can slow recovery.

“Music therapy is not a replacement for conventional rehabilitation, but a scientifically grounded complement to it,” Dr. Sudhir said.

Dr. Jindal also stated that while music therapy cannot substitute treatments such as physiotherapy or speech therapy, it can serve as an effective supportive measure during recovery.

IIT Delhi, AIIMS Develop First Hindi Version of Music Therapy

Building on this approach, researchers from IIT Delhi, in collaboration with AIIMS New Delhi and the Institute of Human Behaviour and Allied Sciences (IHBAS), have developed the first Hindi version of Melodic Intonation Therapy.

While MIT has traditionally been used in English, researchers adapted the therapy for Hindi by modifying words, melodies, and rhythmic patterns to match the language’s natural stress patterns and cadence.

The team developed exercises based on how Hindi speakers communicate in everyday life, making the therapy more culturally and linguistically relevant for Indian patients.

Pilot Study Shows Improvement

The pilot study, published in the international journal Aphasiology, was conducted between December 2023 and March 2024.

The study included six Hindi-speaking stroke survivors who underwent 40 therapy sessions each. Each session lasted 45 to 60 minutes and was conducted by trained speech therapists.

All participants completed the program and showed clinically meaningful improvements. Researchers reported improvements in sentence formation, speech fluency, and quality-of-life measures.

“Patients were able to string together longer sentences, spoke more freely, and reported gains in their quality of life. There were no adverse effects,” said Prof. Rahul Garg, one of the researchers leading the study.

Researchers cautioned that the findings are preliminary due to the small number of participants involved and said that further research is needed to confirm the results.

Industrial chicken farms may be fueling the spread of diarrhea-causing Campylobacter bacteria, according to a new study.

Researchers from the University of Oxford found that industrial poultry farming has driven more than a 100-fold increase in the spread of Campylobacter.

Published in the Proceedings of the National Academy of Sciences (PNAS), the study found that the expansion of commercial poultry production has enabled bacterial strains once largely confined to wild birds to mix extensively within farmed chicken populations.

"Industrial farming has created one of the largest animal habitats on the planet. Our findings provide new evidence that human-driven environmental change can increase the spread of infectious diseases," said Professor Sam Sheppard, senior author of the study from the University of Oxford.

"As chicken populations have grown, bacteria that were once largely confined to wild birds have gained far more opportunities to enter poultry flocks, spread and become established. Understanding these evolutionary consequences is essential if we are to reduce future risks from zoonotic disease and antimicrobial resistance," he added.

Poultry Farming Has Accelerated Bacterial Spread

Researchers analyzed nearly 2,800 Campylobacter genomes collected from chickens and wild birds across 30 countries, including the UK and the US, between 1979 and 2024.

The analysis showed that the rapid global expansion of chicken farming has created ideal conditions for the bacteria to spread, exchange genetic material, and acquire traits that improve survival in commercial poultry environments.

Since the 1960s, the global chicken population has increased sevenfold to around 31 billion birds, with chickens now accounting for about 70% of all bird biomass on Earth. While this growth has helped make animal protein more affordable, it has also created favorable conditions for bacterial adaptation and transmission, the researchers argued.

How Are the Bacteria Thriving?

The genomic analysis identified several genetic changes linked to adaptation in poultry, including genes associated with:

• Antimicrobial resistance
• Oxidative stress tolerance
• Metal acquisition
• Motility

According to the researchers, these traits may help Campylobacter survive and spread more efficiently in modern poultry production systems. The study also suggests that densely populated commercial chicken flocks may act as ecological "pathogen sponges," absorbing and amplifying bacterial strains from multiple sources.

Growing Concern Over Antimicrobial Resistance

The researchers warned that rising antimicrobial resistance (AMR)—when bacteria become resistant to drugs used to treat infections—is making Campylobacter infections increasingly difficult to treat.

They also cited an earlier University of Oxford study, which found that 80% of human Campylobacter infections in Oxfordshire were linked to poultry meat, with many of those infections resistant to antibiotics.

What Is Campylobacter?

Campylobacter is the world's leading bacterial cause of diarrhea. According to the World Health Organization (WHO), it is one of the four leading global causes of diarrheal disease. Nearly one in 10 people worldwide falls ill from foodborne diseases each year, resulting in the loss of an estimated 33 million healthy life years.

Although infections are usually mild, they can become severe or even fatal in very young children, older adults, and people with weakened immune systems.

Common Symptoms

• Diarrhea, which may be bloody
• Abdominal pain
• Fever
• Headache
• Nausea
• Vomiting

Symptoms typically last three to six days. Deaths are rare and generally occur in people with severe underlying health conditions or those at the extremes of age.

Campylobacter bacteria are destroyed by thorough cooking. The WHO recommends proper cooking, safe food handling, and good kitchen hygiene to reduce the risk of infection.

The US Centers for Disease Control and Prevention (CDC) has reported its ninth gastrointestinal (GI) illness outbreak linked to a cruise ship in 2026 after 13 people fell ill aboard the National Geographic Sea Bird.

The CDC is investigating the incident, and the cause of the outbreak has not yet been identified. The affected vessel is operated by Lindblad Expeditions.

The latest incident is also the ship's fourth gastrointestinal illness outbreak in less than two months, following one outbreak each in May and June and a second outbreak in July.

“Eight of the 57 guests sailing aboard National Geographic Sea Bird reported being ill during its July 15 voyage, along with five crew members,” the CDC said in a statement. Their predominant symptoms include diarrhea, vomiting, and abdominal cramps.

In response, Lindblad Expeditions said it has intensified cleaning and disinfection measures and isolated affected passengers and crew members to help limit the spread of illness.

The company has also canceled three scheduled passenger voyages departing on July 20, July 25, and July 30 to carry out enhanced sanitation procedures.

The cruise operator said the pause will allow it "to conduct enhanced sanitation protocols aligned with the highest industry standards and provide additional time to help prevent the risk of further cases."

"We are working directly with affected guests to provide refunds, support and alternative travel arrangements," Lindblad told USA TODAY in an emailed statement.

What Are Gastrointestinal Illnesses?

Gastrointestinal illnesses, also known as gastroenteritis, are the inflammation of the stomach and intestines that causes vomiting, diarrhea, cramps in the abdomen, and occasionally fever or muscle pain.

Commonly called the "stomach flu," it is not caused by the flu virus and has nothing to do with respiratory infections. Rather, it is usually caused by infection or chemical irritants to the gastrointestinal (GI) tract. There are two main types:

1. Infectious gastroenteritis – due to viruses, bacteria, parasites, or fungi.
2. Chemical gastroenteritis – due to ingestion of poisonous substances such as some drugs, alcohol, or polluted food/water.

How Does Gastroenteritis Spread?

The most prevalent reason for gastroenteritis is the intake of contaminated food or water. It is also spread by contact with infected people or surfaces they have contacted. Some typical situations include:

• Consumption of undercooked meat or seafood
• Inadequate washing of hands after using the toilet
• Drinking unbottled or unfiltered water during travel

Though most individuals recover quickly, individuals with compromised immune systems—such as young children, the elderly, or those with chronic diseases—are at a higher risk for developing complications like dehydration and extended illness.

Symptoms Of Gastroenteritis

Acute gastroenteritis usually presents with a combination of the following:

• Sudden onset of watery diarrhea (non-bloody)
• Nausea and vomiting
• Abdominal cramps or bloating
• Low-grade fever
• General fatigue or muscle aches

These symptoms typically occur within 1–3 days of contact with the infection and can last anywhere from 24 hours up to two weeks, depending upon the cause and the immune response of the patient.

Extreme age groups, especially very young infants and the elderly, are at higher risk due to dehydration from diarrheal illness. However, deaths remain rare when proper care is provided.

What You Can Do To Stop Its Spread

Because of how fast viruses spread, experts highly recommend preventive actions such as:

• Wash your hands frequently with soap and warm water, especially after using the toilet or before preparing food.
• Avoid visiting hospitals or care homes if experiencing symptoms.
• Stay home for at least 48 hours after symptoms subside to prevent spreading the virus.