Stomach cancer is a type of cancer that develops in the lining of the stomach. Also, known as Gastric cancer, it affects the elderly more than the adult. According to the American Cancer Society, about 6 of every 10 people diagnosed with stomach cancer each year are 65 or older. Also, the lifetime risk of developing stomach cancer is higher in men (about 1 in 101) than in women (about 1 in 155).

A health expert, speaking to a leading media house, emphasized five common symptoms of stomach cancer that should not be ignored:

1. Unexplained weight loss: Losing weight without trying or experiencing an unexplained drop in appetite, which may signal cancer progression.

2. Pain in the upper part of the abdomen: Persistent or occasional pain in the stomach area, often after eating, can become more severe as the condition progresses.

3. Frequent vomiting after meals: Nausea, sometimes accompanied by vomiting, may occur especially after meals and is linked to cancer blocking or irritating the stomach.

4. Vomiting blood, which may appear coffee-colored: This can indicate bleeding in the stomach, often caused by ulcers or tumors, and requires immediate medical attention.

5. Black, tarry stools: This occurs when blood from the stomach is digested and passed through the intestines, signaling potential internal bleeding

There are also other concerning signs that should not be overlooked such as jaundice, unexplained weight loss, early onset of diabetes, dark stools, and loss of appetite. Health experts strongly advise seeking immediate medical attention if you notice any of these symptoms. If you or a loved one experience these signs, it's crucial to visit a physician for a thorough evaluation to rule out serious underlying health conditions.

How Does Stomach Cancer Spread?

Oncologist Dr Pankaj Kumar Pande, Director–Surgical Oncology, Max Super Specialty Hospital, Shalimar Bagh, Delhi explained that this form of cancer spreads through three main pathways: Direct spread, lymphatic spread, and bloodstream.

1. Direct Spread: In its early stages, stomach cancer can invade nearby tissues and grow into the deeper layers of the stomach or spread to surrounding organs such as the oesophagus, liver, pancreas, or intestines.

2. Lymphatic Spread: Cancer cells can travel through the lymphatic system. The most common areas affected are the regional lymph nodes near the stomach, particularly those around the liver and diaphragm.

3. Bloodstream: "Cancer cells can enter the bloodstream and travel to distant parts of the body," which is a common route for stomach cancer to metastasize to distant organs.

He further explained that cancerous cells spread from the original tumour to other parts of the body through a process called Metastasis. The most common sites for the spread are the liver, lymph nodes, peritoneum, lungs, bones, and ovaries.

Former White House COVID-19 Response Coordinator Dr. Ashish Jha has said he now believes the COVID-19 pandemic was "more likely" caused by an accidental lab leak than by natural transmission.

His comments come after last week's congressional hearing involving former NIAID Director Dr. Anthony Fauci, during which the infectious disease expert invoked his Fifth Amendment rights against self-incrimination more than 100 times as Republicans questioned his handling of the pandemic. Fauci led the scientific and medical response to the COVID-19 pandemic in the United States.

"My view on COVID origins isn't new — I've held it since my time at the White House," Jha, who also served as an adviser to former President Joe Biden, wrote on social media platform X.

"Here's the truth: no one in America knows for sure. Anyone telling you they do is selling you something. Based on strong circumstantial evidence I've seen, I think a lab leak is much more likely," he wrote while sharing a clip of his CNN interview.

Jha stressed that he was not claiming certainty, adding that he believes the pandemic was "not engineered. Not deliberate. Accidental."

"No one in the United States knows for sure. The only people who know for sure are officials in China, and we still need transparency and accountability on that. My best assessment is that it probably was a lab leak."

Debate Over COVID-19 Origins Continues

The origin of COVID-19 has remained one of the most debated questions since the pandemic began in 2020. Scientists and public health experts have debated whether the virus emerged through natural transmission—possibly linked to a wildlife market in Wuhan—or from an accidental laboratory leak.

Recently released personal journals of Dr. Fauci have renewed discussion over the origins of SARS-CoV-2 and the US pandemic response.

The 1,141-page collection, released by Senator Rand Paul ahead of Fauci's scheduled Senate testimony, covers the period from December 2019 to December 2022.

The journals show Fauci continued receiving updates about the virus's origin while publicly emphasizing the available scientific evidence supporting natural emergence.

Following a conference call with leading virologists, Fauci noted that several experts discussed whether parts of the virus's genome could have evolved naturally. He listed the participants and summarized the debate over the possibility of a laboratory origin.

However, experts say the journals are Fauci's personal contemporaneous notes and do not conclusively establish the origin of COVID-19.

Also read: COVID-19 In India: Omicron RF.5 Primarily Affects Throat, Unlikely To Trigger Pneumonia In Healthy People, Say Experts

Key Points From Fauci's Journals

• Fauci recorded discussions in late January 2020 in which several scientists questioned whether SARS-CoV-2 could have originated from a laboratory because of certain genetic features.
• The journals show these possibilities were discussed internally before many scientists later concluded that natural spillover was the more likely explanation.
• The entries do not provide proof that the virus leaked from a laboratory.

"The first infection was in early December and was not connected to the market... Now we know the market was not the source; it was the amplifier. Having said that, somewhere the virus jumped from animals to humans," Fauci wrote.

Read More: US Measles Cases Reach 2,371; RFK Jr Takes U-Turn, Urges Families to Vaccinate Kids

Tulsi Gabbard's Declassified Documents

In June, Tulsi Gabbard, on her final day as US Director of National Intelligence, released previously undisclosed communications and documents alleging that Fauci funded research at China's Wuhan Institute of Virology that contributed to the pandemic.

About 35 people have tested positive for Chandipura virus, while 22 have lost their lives due to the insect-borne virus, said Gujarat Health Minister Praful Pansheriya.

Speaking to the media, Pansheriya added that seven others are currently undergoing treatment in ICUs with ventilator and oxygen support under the supervision of super-specialist doctors.

The state health department has intensified surveillance and testing efforts across affected areas and is working to identify and isolate suspected cases.

What Is Chandipura Virus?

Chandipura virus (CHPV) is an insect-borne virus belonging to the Rhabdoviridae family and the Vesiculovirus genus. It was first identified in 1965 in Chandipura village in Maharashtra.

The virus is transmitted primarily through phlebotomine sandflies, although mosquitoes and ticks may also play a role in transmission.

Also read: 6-in-1 Vaccine Could Make India's Childhood Immunization Program More Efficient, Cut Costs: Health Ministry Study

Most cases have been reported from central and western India, particularly during the monsoon and post-monsoon months when sandfly populations increase.

While some infections remain mild, the virus can rapidly invade the brain, causing acute encephalitis (brain inflammation), seizures, coma, and even death, especially in children.

"In some children, Chandipura virus can cause severe brain inflammation and become life-threatening within a short period," said Dr. Kanchankumar Bhagyawant, Consultant Paediatrician and Neonatologist at Ruby Hall Clinic, Pune.

Symptoms Of Chandipura Virus Infection

Symptoms usually begin suddenly and may initially resemble other viral illnesses. The expert urged to watch out for:

• Sudden high fever
• Severe headache
• Vomiting
• Excessive sleepiness or reduced activity
• Irritability or behavioural changes
• Convulsions or seizures
• Loss of consciousness in severe cases.

"Parents should never ignore a fever lasting more than three days if it is accompanied by repeated vomiting, seizures, confusion, or excessive sleepiness. Seeking immediate medical care can be lifesaving," Dr. Bhagyawant said.

Why Are Children More At Risk?

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According to Dr. Bhagyawant, children below 15 years, especially those living in rural and semi-rural areas, are the most vulnerable to Chandipura virus infection. Although adults can be infected, severe disease is far less common.

Children are at greater risk because of several factors:

• Immature immune system: Young children have fewer antibodies and are less able to fight new viral infections.
• Higher exposure: Outdoor play increases contact with sandflies, particularly during the monsoon.
• Limited prior immunity: Most children have not been previously exposed to the virus.
• Rapid disease progression: The virus can multiply quickly, overwhelming a child's immune system.
• Developing brain: Children's brains are more vulnerable to encephalitis and neurological damage.
• Delayed diagnosis: Early symptoms resemble common viral infections, delaying treatment.
• Limited healthcare access: Rural areas may have fewer diagnostic and treatment facilities.
• Poor vector control: Inadequate measures to control sandflies increase the risk of transmission.

How Can Chandipura Virus Infection Be Prevented?

There is currently no specific antiviral treatment or vaccine for Chandipura virus. Prevention focuses on avoiding insect bites and reducing exposure to sandflies.

Dr. Bhagyawant recommended:

• Use mosquito or sandfly nets, especially for children at night.
• Apply age-appropriate insect repellents.
• Dress children in full-sleeved clothing and long pants.
• Keep homes and surroundings clean.
• Eliminate stagnant water and improve sanitation around homes and animal shelters.
• Install window screens where possible.
• Seek immediate medical attention if a child develops a high fever along with vomiting, seizures or altered consciousness.

Indian food regulatory body FSSAI has barred the sale of select products produced by one of the biggest FMCG companies in India.

The Food Safety and Standards Authority of India prohibited Dabur India from selling its popular household products like honey, cow ghee, and edible oils with '100 percent' claims.

FSSAI's Crackdown On Dabur India Products

On Monday, FSSAI shared a social media post, announcing that it has banned the sale of a few products produced by Dabur India over misleading claims.

In a Tweet, it said that the FMCG giant has been asked to stop selling products like honey, apple cider vinegar, virgin coconut oil, sesame oil, cow ghee, coconut water, coconut milk, and other products due to various non-compliances.

The following violations were listed by the food regulatory body:

Misleading '100%' Claims

FSSAI said that some Dabur products were being sold on the company's website with misleading '100% percent' claims like '100% Natural', '100% Pure', '100% Purity Guaranteed', '100% Organic, and '100% Tender Coconut Water'.

FSSAI said that Dabur Homemade Coconut Milk was being sold with the claim '100% Purity', which is in violation with its rules.

According to FSS (Advertising & Claims) Regulations, 2018, the use of claims with '100%' is prohibited as it's an ambiguous term which cannot be verified. It further said that such claims can mislead the consumers.

Also read: FSSAI Bans Some Liquor Produced by India's Largest Alcohol Company Over Artificial Flavouring

Misuse Of Jaivik Bharat Logo

Furthermore, its products like Dabur Himalayan Organic Apple Cider Vinegar and Dabur Organic Honey were found showcasing Jaivik Bharat Logo without an organic endorsement by FSSAI.

The Jaivik Bharat logo is specifically issued to authentic organic food products in order to distinguish them from non-organic items. It is meant to show compliance with Indian organic standards.

The regulatory body said that by doing so, the company violated FSS (Organic Foods) Regulations, 2017.

Also read: No Junk Food Near Schools! Maharashtra FDA Bans Sale Of Foods & Drinks High In Fat, Salt & Sugar

Failure To Respond To Earlier Notice

This is not the first time FSSAI has brought these violations to the company's attention. In its notice, it said that Dabur paid no heed to an earlier notice which directed them to discontinue products with '100% claims'.

It said that the company failed to take "satisfactory corrective action".

Besides prohibiting the sale of these products, FSSAI has asked Dabur to submit an Action Taken Report (ATR) within 15 days.

Also read: 60% Urban Indians Not Confident About Ghee Purity Despite FSSAI Crackdown

Part Of A Broader Strategy

FSSAI's action is part of its broader strategy to stop the sale of products with misleading claims and brand names.

Recently, show-cause notices were sent to brands like Lotte India, Kubera Foods, and Ferns N Petals Pvt Ltd over allegedly misleading claims such as "100% Natural," "100% Vegetarian," and chocolate labelling issues.

It also flagged Heritage Fresh Paneer for using the term "Fresh Paneer" to market its products.

In June, brands like Nestlé, KFC, Open Secret, Emami Healthy & Tasty, Storia Juice, Two Brothers Organic Farms, Healthy Master, Neuherbs, The Health Factory, Troovy, Healthy Choice, Organic Wisdom, Shine Organic, World of Organic, and Lota Water were sent notices for misleading brand names and health claims like "organic," "healthy," "zero maida," and similar marketing claims that may violate labelling regulations.