FDA Approves TNKase To Treat Ischemic Strokes In Adults

Updated Mar 7, 2025 | 08:52 AM IST

SummaryIt is delivered as a single five-second intravenous bolus, which is faster than the standard of care Activase or alteplase, which is administered as an intravenous bolus followed by a 60-minute infusion.
Ischemic Stroke

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The US Food and Drug Administration has approved TNKase or Tenecteplase, which is a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke in adults.

Ischemic strokes happen when a blood clot blocks a blood vessel in your brain. It can cause permanent brain damage and death. If enough brain cells die, you can also lose the abilities or body functions those cells control. They are also the most common types of stroke, with 80% of all strokes being ischemic strokes.

How is TNKase administered?

It is delivered as a single five-second intravenous bolus, which is faster than the standard of care Activase or alteplase, which is administered as an intravenous bolus followed by a 60-minute infusion. The manufacturer of TNKase, Genetech said a new 25-mg vial configuration will also be available in the coming months.

How Was TNKase approved?

The approval came at the backdrop of a study that compared TNKase to Activase in patients with acute ischemic stroke. These patients also presented with a disabling neurological deficit. Results show that TNKase was comparable to Activase in terms of efficacy and safety.

How Common Are These Strokes?

In the United States it self, it affects more than 795,000 people each year and is the leading cause of long-term disability. It is also the fifth leading cause of death. Since brain damage can happen if this progresses rapidly, one needs an immediate, fast-acting medical care.

TNKase thus provide a faster and simpler administration which can be critical for anyone. The chief medical officer and head of global product development at Genetech, Levi Garraway, MD., PhD., said, "Today's approval is a significant step forward and underscores our commitment to advancing stroke treatment options for patients."

What Are The Symptoms Of Ischemic Strokes?

Some of the most common symptoms include weakness or paralysis on one side of your face and body. You may also feel trouble speaking or have loss of speech, also known as aphasia. You may faced slurred or garbled speaking, also known as dysarthria. Other symptoms include loss of muscle control on one side of your face, or sudden worsening or loss of your senses, including vision, hearing, smell, taste, and touch.

Other symptoms include:

  • Loss of coordination or clumsiness
  • Blurry vision or double vision
  • Dizziness or vertigo
  • Nausea and vomiting
  • Neck stiffness
  • Mood swings or sudden personality changes
  • Confusion or agitation
  • Seizures
  • Memory loss (amnesia)
  • Headaches which are sudden and severe
  • Passing out or fainting
  • Coma

Are There Any Warning Signs?

While these are symptoms one has who is prone to this condition. However, often, many may confuse it with other illnesses. It is best to keep an eye out for warning signs. These could be looking out for yourself or your loved one. Note if there is a sudden loss of balance. Look out for sudden vision loss or changes in one or both eyes. Look for a droop on one or both sides of your face, especially when you smile. Raise both arms and see if one arm sags or drops in a way it usually does not. Note for your speech. Are you as fluent? Are you have trouble speaking? If you see any of such signs, start tracking it and talk to your healthcare provider.

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Heat Dome Looms Over Fourth Of July In The US: Biggest Risks & How To Celebrate Safely

Updated Jun 29, 2026 | 02:10 PM IST

SummaryDue to extreme heat in the week leading up to the Fourth of July, most of the American states are expected to experience a hotter climate, signaling a significant impact on the festivities.
Heat Dome Looms Over Fourth Of July In The US: Biggest Risks & How To Celebrate Safely

Credit: iStock

Barbecues, parades, and extravagant fireworks displays mark the Fourth of July weekend in the US each year. However, weather experts have issued a warning that a heat dome could result in increased temperatures across several parts of the country. Rise in mercury teamed with the nature of festivities is expected to pave the way for several health risks.

What Is A Heat Dome?

Heat domes, a severe weather pattern, refer to the phenomenon when a strong high-pressure traps hot air over a particular region, acting like a huge lid. It causes temperatures to soar for a specific period of time.

This can lead to extremely high daytime temperatures, hotter nights, droughts, higher risks of forest fires, and heat-related illnesses.

Heat Dome Looms Over Fourth Of July

According to meteorologists, several parts of the United States could experience extreme heat conditions during the Fourth of July holiday. On Sunday, the National Weather Service said that the record-shattering heat would grip the eastern part of the country.

The heat dome is expected to send the temperatures soaring into triple digits. Parts of Iowa, Missouri, and Kansas are among the most affected. States like Ohio, parts of North Carolina, and Washington, D.C will also see hotter days ahead.

Biggest Heat-Related Risks During Fourth of July

Prolonged exposure to high temperatures, especially during outdoor celebrations, can increase health risks like dehydration, heat exhaustion, and even heatstroke.

Fireworks and Heat

An extravagant display of fireworks is one of the important traditions of the holiday. However, extreme heat significantly increases the risk of accidental fires and other dangers of fireworks.

Heat Exhaustion And Heatstroke

Several traditional Fourth of July activities entail spending long hours outdoors, often during the daytime. This could pose risks of heat exhaustion and heat stroke. Symptoms typically include excessive sweating, dizziness, headache, nausea, muscle cramps, and weakness.

Dehydration

Hot weather combined with strenuous outdoor activities can cause the body to lose significant amounts of fluids through sweat. This could increase the risk of dehydration. Additionally, Fourth of July celebrations may include consuming alcoholic beverages, which can further contribute to dehydration.

Sunburn

Sunburn is also one of the significant health risks. Spending hours outdoors can also increase the risk of sunburn and skin damage. Unprotected exposure to ultraviolet (UV) radiation can lead to painful burns and increase long-term health risks like skin cancer.

How To Celebrate Safely

Health experts recommend a few simple precautions to enjoy the Fourth of July holiday safely:

Staying hydrated: Drink plenty of water throughout the day to avoid dehydration. Limit alcohol and caffeinated beverages, which can contribute to fluid loss.

Do not skip sunscreen: Ensure to apply a broad-spectrum sunscreen with an SPF of at least 30 and reapply every two hours, especially after swimming or sweating and on days with continued sun exposure.

Plan activities according to the weather: Schedule outdoor activities during the morning or evening when temperatures are lower.

Take breaks to cool down: Take frequent breaks indoors or in shaded areas. If possible, spend time in air-conditioned spaces.

Dress appropriately: Wear lightweight, loose-fitting, and light-colored clothing that could keep you comfortable and cool throughout the day

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Over 1 Million Children Referred for Mental Health Care in England, Anxiety Most Common Reason

Updated Jun 29, 2026 | 01:08 PM IST

SummaryAnxiety accounted for 16 per cent of all referrals, making it the most common reason children were referred. Referrals for suspected autism rose by nearly 50 per cent in a year, while referrals for other neurodevelopmental conditions increased 24 per cent.
Over 1 Million Children Referred for Mental Health Care in England, Anxiety Most Common Reason

Credit: iStock

More than one million children in England had active referrals to mental health services last year, with anxiety remaining the leading reason for seeking support, according to a new report.

The annual report by Children's Commissioner Rachel de Souza warns that England is facing a growing children's mental health crisis.

New data for 2024-25 shows that 1,048,965 children had an active referral to Children and Young People's Mental Health Services (CYPMHS) — nearly double the number recorded in 2018-19 and almost 10 per cent higher than the previous year.

"The report clearly demonstrates the sheer scale of distress young people are facing today," de Souza said.

What Did The Report Find?

Also read: Europe's Heatwave Turns Deadly As It Claims Over 1,300 In A Week, Says WHO

  • Record demand: More than 1.04 million children had active referrals to Children and Young People's Mental Health Services (CYPMHS) in 2024-25, nearly double the number recorded in 2018-19 and almost 10 per cent higher than the previous year.

  • Anxiety remains the top concern: Anxiety accounted for 16 per cent of all referrals, making it the most common reason children were referred. Referrals for suspected autism rose by nearly 50 per cent in a year (65,530 to 96,393), while referrals for other neurodevelopmental conditions increased 24 per cent.

  • Growing treatment backlog: Despite more children receiving treatment, 35 per cent of referred children were still waiting for care by March 2025, up from 33 per cent the previous year and 29 per cent in 2022-23.

  • Long waits for support: More than 60,000 children had been waiting for treatment for over two years, compared with 44,000 the previous year. Those still waiting had an average wait of 224 days.

  • Poor access for autism support: Fewer than one in five children with suspected autism or neurodevelopmental conditions received treatment. For suspected autism alone, only 13 per cent accessed care by March 2025, with an average wait of about one year.
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  • Ethnic disparities: Black and Asian children were less likely to be referred but more likely to reach services only in crisis. One in four Black children were referred in crisis, compared with 16 per cent of Asian and 7.4 per cent of White children.

  • Age differences: Adolescents aged 13-15 accounted for 35 per cent of children receiving treatment, while younger children were more likely to face longer waits or have referrals closed before treatment.

  • Socioeconomic inequality: Children from the poorest 10 per cent of areas made up 15 per cent of referrals, compared with 7.6 per cent from the least deprived areas.

  • Gender gap: Boys were slightly less likely than girls to be referred and to receive treatment after referral.

The Need to Improve Children's Mental Health

"These are not just numbers, but children whose lives have been put on hold for months and, in some cases, years waiting for support they urgently need," de Souza said.

She urged greater investment in children's mental health and called for stronger support across schools, healthcare and social care.

de Souza stressed the need for "greater focus on services across health, education and social care to ensure children are getting the help they need in schools and the community".

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Europe's Heatwave Turns Deadly As It Claims Over 1,300 In A Week, Says WHO

Updated Jun 29, 2026 | 11:37 AM IST

SummaryEurope's heatwave peaked between June 21 and 28, claiming more than 1300 lives, according to the World Health Organization. Tedros Adhanom Ghebreyesus, WHO Chief, issued a warning against climate change.
Europe's Heatwave Turns Deadly As It Claims Over 1,300 In A Week, Says WHO

Credit: iStock

A stifling heatwave that has several European nations in its chokehold has turned deadly, with more than 1,300 deaths reported within a week by the World Health Organization (WHO). The recent casualties have compelled authorities to adopt emergency measures as temperatures continue to soar to record-breaking levels.

Europe’s Heatwave Claims 1,300 Lives

According to the WHO, the deaths were recorded between June 21 and June 28, making it one of the deadliest early Europe has witnessed in recent years. Government and health authorities fear that the toll could surge further as temperatures continue to increase.

In a post on X, Tedros Adhanom Ghebreyesus, the Director-General of WHO attributed the uncontrolled heatwave to climate change, saying, “We were warned.”

He also said, “Heat stress is often called the ‘silent killer’ – and European homes, workplaces and schools were not built for these temperatures.”

The Director-General also said that the WHO is working with its member states to address the emerging health threats posed by extreme heat.

The WHO has repeatedly warned that climate change is increasing both the frequency and intensity of extreme heat events globally. Europe, which is warming at nearly twice the global average rate, has become particularly vulnerable to prolonged and severe heatwaves.

Countries like Germany and the Czech Republic recorded nearly 42 degrees Celsius on Sunday. Among the nations in crisis, France has emerged as the worst-hit, as approximately 1,000 excess deaths due to extreme heat were recorded.

Poland and Hungary have also experienced record-breaking heat, with meteorological agencies reporting unusually high temperatures for this time of year.

Elderly Individuals Are The Most Vulnerable

Public health experts have repeatedly warned that older adults are especially vulnerable during prolonged periods of intense heat.

Officials said many of those who died were elderly individuals, particularly those living by themselves or suffering from chronic health conditions like cardiovascular disease, respiratory illnesses, and diabetes.

Age-related changes in the body's ability to regulate temperature, combined with pre-existing medical conditions, significantly increase the risk of death due to heat exhaustion, heatstroke, dehydration, and other life-threatening complications.

Experts caution that heat-related deaths are often underreported because extreme heat can worsen existing medical conditions rather than being listed as the direct cause of death. Due to this, the real cost of human life due to the heatwave may go underreported.

With meteorologists predicting that hot conditions could persist in several parts of Europe, health authorities remain on high alert. According to the WHO, the recent climate crisis is no longer a seasonal inconvenience, but a growing public health emergency warranting urgent preparedness, appropriate measures, and long-term climate action.

Tips to Beat the Heat:

To reduce the health risks associated with extreme temperatures, the WHO suggested to:

Stay hydrated - Drink enough water throughout the day. Bring a refillable water bottle. Avoid excessive caffeine and alcohol.

Watch your urine color - Dark yellow may indicate you are not drinking enough water.

Wear light clothing – Opt for breathable, loose-fitting light-colored clothes and a hat to shield yourself from the sun.

Use sunscreen – Apply SPF 30+ sunscreen regularly to protect your skin

Seek shade – Take breaks in shaded areas or air-conditioned spaces when possible.

Know the signs of heat illness – Watch for dizziness, nausea, or confusion. Seek medical help if needed.

Cool down – Use wet towels, misting fans, or splash water on your face and arms to enhance thermal comfort.

Stay well – if you have a medical condition or take medicines regularly, check with your doctor.

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