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

Credits: Canva

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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What Is Favipiravir? COVID-Era Antiviral Now Used In Hantavirus Response In UK

Updated May 19, 2026 | 11:00 PM IST

SummaryThe antiviral favipiravir, from the Japanese company Fujifilm, that gained fame during the COVID-19 pandemic, is being considered as an experimental option to treat the deadly hantavirus outbreak linked to the MV Hondius cruise liner.
What Is Favipiravir? COVID-Era Antiviral Now Used In Hantavirus Response

Credit: Reuters

Amid the scare of hantavirus led by a rare strain that causes human-to-human transmission, the UK government has received supplies of the antiviral drug Favipiravir from Japan to tackle the risk of the rat-borne disease in the country.

The antiviral favipiravir, from the Japanese company Fujifilm, that gained fame during the COVID-19 pandemic, is being considered as an experimental option to treat the deadly hantavirus outbreak linked to the MV Hondius cruise liner. To date, the medication has been tested as an emergency treatment for new or re-emerging flu.

The UK Health Security Agency said that “the supplies of favipiravir would bolster treatment stocks, even though the risk of wider transmission in the UK remained very low”.

The hantavirus outbreak that began on MV Hondius has so far caused three deaths and 11 cases.

There is no specific therapy for hantavirus, which is primarily spread by rodents but can be transmitted between people in rare cases and after prolonged, close contact. Treatment usually focuses on supportive care such as rest and fluids, while some patients may need breathing support.

Favipiravir’s Role In Viral Treatment

In Japan, favipiravir is sold under the brand name Avigan by a unit of Fujifilm as an emergency medication for novel or re-emerging flu.

The drug works by blocking a key enzyme that many viruses need to multiply.

Use of favipiravir in hantavirus would generally be considered experimental or compassionate rather than standard care, and most likely to treat severe infection early on, said Piet Maes, a virologist at the University of Brussels, Reuters News Agency reported.

Maes said evidence so far comes only from lab and animal studies, with no strong human trial data showing the drug works against hantavirus. There is no internationally established clinical protocol recommending its routine use for hantavirus.

What Is Favipiravir?

Favipiravir is a broad-spectrum antiviral medication, most notably produced and marketed in India by Glenmark Pharmaceuticals under the brand name FabiFlu.

First approved in Japan for severe influenza, it became widely recognized for emergency use in the treatment of mild-to-moderate COVID-19 to help rapidly reduce viral load.

How Effective Has Favipiravir Been?

Favipiravir has remained controversial due to several side effects reported during the COVID-19 pandemic.

In 2023, in a rare complication from treatment with the COVID-19 antiviral, the eyes of a six-month-old baby boy from Thailand turned an unusual shade of blue.

According to researchers from Chulabhorn Royal Academy in Bangkok, the boy, who suffered fever and cough lasting one day, was diagnosed with COVID infection.

In a prior investigation, a higher frequency of uric acid elevation in younger patients treated with favipiravir was observed, which could be linked to decreased urine output.

In addition, favipiravir has also been shown to cause fluorescence in human hair and nails. This adverse effect may be due to the drug, its metabolites, or additional tablet components such as titanium dioxide and yellow ferric oxide.

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79th World Health Assembly: India Created Over 880 Million Digital Health IDs, Says J P Nadda

Updated May 19, 2026 | 08:47 PM IST

SummarySpeaking at the plenary session, Union Health Minister JP Nadda reaffirmed India's commitment to universal health coverage, digital health innovation, and global health solidarity.
79th World Health Assembly: India Created Over 880 Million Digital Health IDs, Says J. P. Nadda

Credit: Health Ministry

India has created more than 880 million digital health identities under the country’s flagship mission, the Ayushman Bharat Digital Mission, said Union Health Minister JP Nadda today while addressing the 79th World Health Assembly (WHA) in Geneva.

Speaking at the plenary session, Nadda reaffirmed the country’s commitment to universal health coverage, digital health innovation, and global health solidarity.

“Ayushman Bharat Digital Mission is strengthening India’s national digital health ecosystem by creating over 880 million unique digital health identities, which facilitate longitudinal health records and a seamless continuum of care,” he said.

Expanding Universal Health Coverage

He noted that India is accelerating towards universal health coverage by expanding access to quality and affordable healthcare with a “whole-of-government” and “whole-of-society” approach.

The Union Health Minister informed the Assembly that India has established over 1,85,000 Ayushman Arogya Mandirs across the country to provide comprehensive primary healthcare services closer to communities.

The Minister also underlined the scale and impact of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana, the world’s largest public health assurance scheme, covering nearly 600 million beneficiaries, particularly the most vulnerable sections of society.

Also read: 15 Lakh Indian Chemists To Join May 20 Strike; Govt Says Jan Aushadhi, AMRIT Stores To Stay Open

Focus On Pandemic Preparedness And Technology

Further, Nadda emphasized India’s efforts towards pandemic preparedness and resilient public health systems. He stated that the government is continuously strengthening healthcare infrastructure and emergency response capacities to effectively address future public health challenges.

He also highlighted the transformative role of technology in healthcare and stressed the growing role of Artificial Intelligence in healthcare in the country.

The Minister informed delegates that India has recently launched the Strategy for Artificial Intelligence in Healthcare for India. He emphasized that “the future of AI depends on our collective ability to build ethical and human-centric systems.”

Nadda reaffirmed India’s role as the “Pharmacy of the World” by highlighting the country’s leadership in the production of affordable generic medicines and vaccines.

Recalling India’s contribution during the COVID-19 pandemic, he stated that under the Vaccine Maitri initiative, India supplied nearly 300 million vaccine doses to around 100 countries, reflecting the nation’s enduring commitment to global health cooperation and solidarity.

The 79th World Health Assembly

Read More: No Ebola Case in India, Public Risk Low: Govt Steps Up Surveillance at Airports and Seaports

The 79th WHA will be held from May 18 to May 23 in Geneva under the theme “Reshaping global health: a shared responsibility.”

In his opening remarks at the Assembly, the WHO chief Tedros Adhanom Ghebreyesus referred to recent outbreaks of hantavirus and Ebola, as well as challenges including economic crises and climate change, stressing the need to “build a new global health architecture fit for the future.”

Tedros said this year’s Assembly will consider a proposal for a member state-led, WHO-hosted joint process to reform the global health architecture, Xinhua News Agency reported.

The 79th WHA will review over 60 agenda items, including technical issues such as noncommunicable diseases, mental health, universal health coverage, primary health care, and prevention and response to public health emergencies, as well as administrative issues such as financing, implementation, auditing, and oversight of the WHO’s 2026–2027 programme budget.

As the WHO’s highest decision-making body, the annual WHA is usually held in May in Geneva. Its main functions include deciding WHO policies and reviewing and approving the budget program. This year’s Assembly is scheduled to conclude on .

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How Did The 3rd Bundibugyo Ebola Outbreak Begin? Experts Say Delayed Detection Fueled Spread

Updated May 19, 2026 | 07:30 PM IST

SummaryThe first known case was reportedly a healthcare worker in Bunia, DRC, who began experiencing fever, hemorrhaging, vomiting, and intense malaise on April 24. That person later died, according to the WHO. However, it took another three weeks before health officials officially confirmed that Ebola was spreading.
How Did The 3rd Bundibugyo Ebola Outbreak Begin? Experts Say Delayed Detection Fueled Spread

Credit: iStock

The third recorded outbreak of the rare Bundibugyo strain of Ebola in the Democratic Republic of Congo (DRC) has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO).

The 17th outbreak of Ebola virus in the Democratic Republic of the Congo has claimed over 130 lives, with more than 513 suspected cases, BBC quoted local officials as saying.

As per the US Centers for Disease Control and Prevention (CDC), there are also two confirmed cases and one death in Uganda.

With the disease spreading to newer regions and both the death toll and case count rising, experts have raised fresh global health concerns, noting that delayed detection may have allowed the virus to spread across multiple regions.

According to health authorities, early tests failed to identify the correct Ebola strain, leading to crucial weeks being lost before containment efforts began.

Bundibugyo Ebola Outbreak: A Look At How It All Began

The first known case was reportedly a healthcare worker in Bunia, DRC, who began experiencing fever, hemorrhaging, vomiting, and intense malaise on April 24. That person later died, according to the WHO.

However, it took another three weeks before health officials officially confirmed that Ebola was spreading.

Also read: Ebola Outbreak: University of Glasgow Researcher Explains Why Bundibugyo Virus Is Concerning

The WHO noted that a critical four-week detection gap between the onset of symptoms in the presumed index case, and the laboratory confirmation of the outbreak on May 14, suggests a low clinical index of suspicion among healthcare providers.

“This is compounded by the presence of co-circulating arboviruses and influenza-like illnesses, masking the initial index of suspicion for Ebola disease and exacerbating community transmission,” the WHO said.

Further, the infection and death of four healthcare workers within four days at Mongbwalu General Referral Hospital underscores critical breaches in infection prevention and control (IPC) protocols. A large number of community deaths have also been reported, potentially associated with unsafe burial practices, the WHO added.

The US CDC stated that the initial samples tested in DRC were negative for the Ebola virus, but by May 15, eight out of 13 samples tested positive, while five were inconclusive.

Using genetic fingerprinting, the illnesses were identified as the Bundibugyo virus, one of the four types of orthoebolaviruses that cause Ebola disease in people.

On May 17, the WHO declared the Ebola outbreak in Central Africa a “public health emergency of international concern.”

This marks the 17th Ebola outbreak in DRC since 1976. The previous outbreak ended in December 2025.

The current outbreak is the third involving the Bundibugyo virus. The strain was first identified during an outbreak in Uganda in 2007, which resulted in 131 cases and 42 deaths.

Another Bundibugyo outbreak was reported in 2012, killing 50 per cent of infected people in Uganda and 34 per cent in DR Congo.

Bundibugyo Ebola OutbreakWhy Delayed Detection Is Concerning

Speaking exclusively to HealthandMe, Professor Emma Thomson, Director of the Centre for Virus Research (Virology) in the School of Infection and Immunity at University of Glasgow, said the initial negative GeneXpert Ebola tests suggest the outbreak may have gone undetected for some time.

“The reports that initial GeneXpert Ebola testing was negative suggest that the outbreak may have gone undetected for some time, with early diagnostic blind spots delaying recognition,” she said.

Notably, Ebola cases have also been identified in Kinshasa and Kampala. According to Professor Emma, the spread to locations “hundreds of kilometers from Ituri province” indicates that the virus had already moved through human mobility networks before full containment measures were in place.

As a result, “the number of cases is going to go up pretty dramatically,” public health expert and Ebola survivor Craig Spencer told Associated Press.

Health experts stated that the outbreak went undetected for weeks because early tests looked for the wrong strain of the virus.

“Because early tests looked for the wrong strain of Ebola, we got false negatives and lost weeks of response time,” Matthew M Kavanagh of Georgetown University told AP. “We are playing catch-up against a very dangerous pathogen.”

Bundibugyo Ebola: No Approved Vaccine Or Treatment

More concerning is the fact that the outbreak is caused by the Bundibugyo strain, a rare form of Ebola for which there are no approved vaccines or specific treatments.

“We do not currently have a proven, licensed, Bundibugyo-virus-specific vaccine available for outbreak control,” Professor Emma told HealthandMe, stressing the need for urgent vaccine research.

She also highlighted the importance of strengthening therapeutics against the Ebola virus.

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