Cigarettes with ultralow nicotine levels are now being called the game-changer in the fight against smoking. If you are having trouble in quitting smoking, then, it is for you, that soon the Biden White House is expected to formally propose a plan that will order cigarette nicotine levels to be reduced, reports The Washington Post. For now though, it has been a failure, as these cigarettes, also known as VLN cigarettes that stands for very low nicotine are only available in 5,100 stores in 26 states. This is a very small fraction of the overall market for cigarettes. The company that makes it, 22nd Century, is struggling not because of the low supply, but also from the advocates who have long believed slashing nicotine levels altogether.

The Advent and ideation

Nicotine is a chemical that is produced naturally from tobacco that makes the cigarette and also keeps people hooked. While it is believed that it makes people alert, and get the "hit" to keep them going, it exposes the users to harmful substances, carcinogens, and increases the risk of heart disease, lung cancer, and other illness.

Ultralow-nicotine cigarettes, like the VLN brand, contain about 95% less nicotine than the regular cigarettes. The idea is quite simple: without the addictive grip of nicotine, smokers will find it easier to quit. Research too has shown some promise. For instance, the studies funded by the National Institute on Drug Abuse revealed that very low nicotine cigarettes reduced addiction potential significantly without having users to increase their smoking frequency. However, the problem is, why would anyone choose for a low-nicotine that does not make them feel the same way, when the high-nicotine cigarette is right next to it, making them feel the same way, with the same alertness, sold at the same price.

“It’s very hard to imagine someone actively choosing to continue to use a low-nicotine product for the same price when a high-nicotine product is right next to it,” said Eric Donny, a Wake Forest University School of Medicine nicotine researcher.

No wonder, the experiment with low nicotine product by Philip Morris' Next cigarettes in the 1980s and Vector Tobacco's Quest brand in the early 2000s, flopped.

FDA's Role in the Push

The Food and Drug Administration (FDA) has supported the development of such products, even allowing VLN cigarettes to be marketed as lower-risk options. However, these products remain a niche market, available in only a fraction of U.S. stores.

Recently, the Biden administration has considered a bold step—mandating a dramatic reduction in nicotine levels for all cigarettes sold in the United States. Supporters believe this move could save millions of lives, while critics, including tobacco companies, warn of potential unintended consequences.

What Could Be The Challenges?

Resistance from Big Tobacco Companies: They could argue that slashing nicotine levels could backfire. Their claim is, smokers will turn to black markets or smoke more to satisfy their cravings, which may lead to greater exposure to harmful substances.

Consumer Reluctance: History is proof to the instances of smokers being hesitant to embrace the low-nicotine products.

Political Hurdle: It may face political roadblocks, as under the Trump administration, plans to cut nicotine were shelved.

Could Low-Nicotine Cigarettes Be The Solution?

Advocates believe that ultralow-nicotine cigarettes could be a game-changer, comparing them to decaf coffee or non-alcoholic beer—products that reduce harm while offering a similar experience.

Some experts warn that a black market for traditional cigarettes could undermine these efforts. They also stress the need for safer alternatives, such as vaping products, to support smokers transitioning away from traditional cigarettes.

After the huge success of the first phase of its 100-day TB Mukt Bharat campaign in 2025, India has launched the next phase of a focused and intensified campaign to end tuberculosis — the most infectious disease in the world — in the country.

The campaign was launched by Union Minister for Health and Family Welfare Jagat Prakash Nadda at a national-level event held in Greater Noida to commemorate World TB Day 2026.

He reaffirmed India’s unwavering commitment to eliminating tuberculosis, ahead of the global Sustainable Development Goals target of 2030.

The second phase marks “a decisive, mission-mode push to accelerate progress towards TB elimination”, the Ministry of Health said.

The campaign is expected to “cover 1.58 lakh villages and urban wards, each guided by granular, locally tailored micro-plans, ensuring precision in implementation and measurable outcomes,” it added. The villages and wards were identified using AI-based assessment of 30+ indicators.

“World TB Day 2026 as both a moment of reflection and a renewed call to action in India’s journey towards a TB-Mukt Bharat,” said Nadda, while delivering the keynote address.

The 100-day campaign

The 100-day campaign was first launched on December 7, 2024, and it continued till March 24. It aims to accelerate TB detection, rapid decline in TB incidence, finding of missing cases, reducing mortality, and following a Jan Bhagidari or community approach.

In 2025, the campaign targeted a selected 347 high-priority districts across 33 States/UTs. It was later scaled nationwide and deployed advanced tools such as portable X-rays, AI-enabled diagnostics, and molecular testing.

Nadda noted that the 100-day campaign led to the detection of “nearly 10.9 lakh asymptomatic patients who exhibited no classical symptoms at the time of testing”.

The campaign led to the identification of the “invisible” pool of infection that would otherwise have remained undetected and contributed to continued transmission in the community, the Minister said.

Other key milestones achieved in the fight against TB since December 2024 include:

• screening of vulnerable population – more than 20 Crores
• new TB patients diagnosed - 32,65,215
• asymptomatic patients diagnosed - 10,90,742
• TB preventive treatment initiated - 16,45,493
• Ni-kshay Poshan Yojana paid - 8,36,754
• New Ni-kshay mitras registered - 5,40, 028
• Food Basket distributed - 31, 91, 091.

India Acing Forward In Fight Against TB

In 2024, India notified 26.18 lakh TB cases — the highest so far. TB notification has remained a key area of concern. A total of 67, 933 gram panchayats have achieved the TB-free status, the Ministry

“Over the past decade, India’s TB response has evolved into a transformational, people-centric movement, driven by innovation, equity, and strong political commitment,” Nadda said.

Also read: Tuberculosis in 2026: Why It Still Remains India’s Silent Epidemic

The Minister highlighted key achievements from 2015 to 2024. This includes:

• a 21 percent reduction in TB incidence — from 237 to 187 per lakh population
• a 25 percent decline in TB mortality — from 28 to 21 per lakh population
• treatment coverage increased — 92 percent from 53 percent in 2015
• sharp decline in undetected cases — from >10 lakhs annually to <1 lakh
• treatment success rate increased — 90 percent — higher than the global rate of 88 percent.

• Over 3,000 handheld AI-enabled X-ray units deployed
• NAAT laboratories scaled up to over 9,800
• TB services integrated across 1.8 lakh Ayushman Arogya Mandirs
• Nikshay Poshan Yojana transferred over Rs 4,590 crore to 1.39 crore TB patients since 2018
• Ni-kshay Mitra initiative participation increased to over 7.16 lakh citizen.

Sonia Gandhi, Congress Parliamentary Party chairperson was admitted to the Sir Ganga Ram Hospital on March 24, 2026 in late evening. As per reports, she was feeling unwell due to the change in weather and has been put under observation.

Team of doctors who is attending her said that there is nothing serious.

Earlier this year in January, Sonia Gandhi was admitted to Sir Ganga Ram Hospital after she suffered respiratory discomfort.

What Happened To Sonia Gandhi Early This Year?

While reports mentioned that her condition was "absolutely stable", she had a problem of chronic cough. This was due to capital city's pollution. Due to increase in population during the peak winter season in Delhi, she had been regular with hospital visits and check-ups. Hospital source, while speaking to the news agency PTI said that "it is a routine admission".

Read: Sonia Gandhi Admitted to Hospital After Delhi Pollution Aggravates Bronchial Asthma

Did Delhi Pollution Make Sonia Gandhi Sick?

According to reports, she had complained of some respiratory discomfort. Once her medical examination was done, it was found that "her bronchial asthma had been mildly exacerbated", confirmed Dr Ajay Swaroop, Chairman of the hospital. A hospital source told PTI that this is due to the combined effects of cold weather and pollution.

As a precautionary measure, she was admitted in hospital for further observation and treatment. The physicians who were treating her took a decision on her discharge based on her clinical progress.

Sonia Gandhi's Health History

On June 7, 2025, she was admitted to the Indira Gandhi Medical College and Hospital (IGMC) in Shimla for a routine medical-check up. She was also later discharged after her medical examination. As per Naresh Chauhan, Principal Advisor (Media) to the Himachal Pradesh Chief Minister, she was brought in due to minor health concerns. However, he said that after being put in observation by doctors to assess her condition, she was stable.

Dr Aman Chauhan, Deputy Medical Superintendent at IGMC said, "Her blood pressure was slightly on the higher side, but there is nothing serious. No additional tests were conducted; only routine investigations were carried out. She was not given any special medical advice because everything was perfectly fine."

In the same month on June 15, she was admitted to Sir Ganga Ram Hospital again under the Department of Surgical Gastroenterology for a stomach-related issue. Before that she was again in the Delhi hospital on June 9, for a medical check up.

Earlier in September 2022, she travelled to the United States for a deferred medical check-up which was postponed due to the COVID-19. Due to this she missed a significant portion of the Monsoon Session of Parliament in 2022. Her son and Congress leader Rahul Gandhi accompanied her during the trip.

After 13 years of wait, on March 24, at 4.10pm, Harish Rana took his last breath in AIIMS Delhi and became the very first case of passive euthanasia in India. Two days after the Supreme Court permitted euthanasia in his case, on March 14 he was shifted to AIIMS Delhi and his life support was withdrawn. He waited for ten days without any life support.

Harish Rana Donates Heart Valves and Cornea

News agency ANI also noted that his family donated his corneas and heart valves after his death. As per the Association for Advancing Tissue and Biologics, heart valves can be donated after death and used in life-saving and life-enhancing transplants. The National Institutes of Health notes that valves are typically removed within 24 hours of death.

NHS Organ Donation notes that since corneas do not contain blood vessels, it eliminates the risk of transmitting most types of diseases. The donated cornea could be used for patients experiencing corneal blindness or damage to restore sight. The cornea is usually removed in a 15-minute procedure after 6 to 8 hours of death.

Read: Harish Rana, India’s First Passive Euthanasia Case, Dies at AIIMS

Harish Rana - First Case of Passive Euthanasia In India

It was in 2013 when he suffered severe head injuries after he fell from the fourth floor from his PG accommodation while he was studying at Panjab University. He had been bedridden ever since, and survived on feeding tube. His father filed a petition seeking passive euthanasia under the guidelines Supreme Court had laid down in 2018 under Common Cause judgment. This is the second time the parents have approached the apex court.

In 2024, the court also suggested that Rana could receive home-based care with support from the Uttar Pradesh government. The home-based care includes periodic visits by doctors and physiotherapists. The court suggested that in case home care was not feasible, he could be moved to Noida's district hospital. However, his parents have noted that his condition continued to worsen. Family advocate Rashmi Nandakumar also informed the bench that "nothing seems to be working out".

"He is falling ill quite often and is repeatedly admitted to hospital," she said. The advocate further added that the family only sought passive euthanasia, which is withdrawal of treatment, and not any active intervention.

Justice Pardiwala also read medical reports and observed, "Just look at the condition of the boy. It's pathetic."

Recent court ruling on this case involved a bench comprising Justice JB Pardiwala and Justice KV Viswanathan that allowed the withdrawal of life support for Harish Rana.