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.

In yet another video sparking concerns about US President Donald Trump’s health, he appeared to doze off during an Oval Office event on maternal healthcare.

This is not the first time Trump’s sleeping habits have sparked public discussion. His unusual late-night social media activity has frequently drawn attention online.

But the latest video shows the 79-year-old President, the oldest person elected US president, apparently falling asleep as the attendees stood behind the POTUS' chair spoke.

Also Read: Donald Trump Says Hantavirus Is 'Under Control'; Questions Grow Over CDC Research Cuts

The video immediately went viral on social media and sparked concerns around Trump's health, despite White House's assurances that he is “excellent” and fit to perform Presidential duties.

Some users on X called Trump "Sleepy Don", others said he is not physically fit to be the President.

“Today is Monday. That means Trump falls asleep at yet another high-profile event with cameras rolling," California Rep. Ted Lieu wrote. "Imagine what happens when there are no cameras. Trump is not mentally or physically fit to be President of the United States."

"Trump fell asleep with his face drooping in the Oval Office during a meeting today. This is a real video that should concern every American. He’s not fit to serve," wrote another user.

However, the White House responded angrily, stating that he was “blinking” and not asleep.

“He was blinking, you absolute moron,” the Rapid Response 47 account said.

White House Splits Shifts To Keep Up With Trump

Earlier, Susie Wiles, chief of staff to Trump, revealed how senior White House aides manage the President’s unusual sleep schedule and late-night work habits behind the scenes.

Trump’s habit of posting on Truth Social late at night and remaining active during overnight hours has long fueled curiosity about how much sleep he actually gets.

Speaking during the Independent Women’s Gala, Wiles discussed the challenges of operating in what she described as a White House that runs on “Trump time,” according to The Mirror US.

“I am not one of those people that doesn’t need sleep, I actually do very much,” Wiles, 68, said while explaining how staff members adapt to the president’s around-the-clock routine.

According to Wiles, the administration has developed an informal system to ensure staff can manage the demanding workload while still getting rest.

“I go to sleep early, and Dan Scavino, who I’m sure many of you know, is a night owl; we divide it,” she explained. “I get the early calls, and Dan gets the late calls.”

Previously, Trump himself has joked about his sleeping habits. After appearing to briefly close his eyes during a televised cabinet meeting earlier this year, he brushed off the speculation by saying the session had simply become “a little bit on the boring side.”

“I didn’t sleep, by the way,” Trump added. “I don’t sleep much.”

Experts Claim Trump's Mental Health Is Deteriorating

Also read: Fact Check: Can Ivermectin Help Treat Hantavirus?

A group of medical experts has sounded the alarm over what they’ve described as Trump’s deteriorating mental health, The Daily Beast Reported.

The three dozen medical professionals include neurologists, psychiatrists, and other physicians with extensive experience diagnosing cognitive disorders and evaluating patients.

The experts have not specifically examined Trump face-to-face. But, based on his statements and behaviors over the past year, they stated that he’s “mentally unfit” and must be removed from office “with the greatest urgency” amid the escalating tension around the world, the report said.

“It is our professional opinion that they (Trump's statements) reflect a rapidly worsening, reality-untethered, increasingly dangerous decline,” the experts said in a statement.

They also listed some of Trump’s observable serious medical issues, such as “Marked deterioration in cognitive functioning, evidenced by disorganized and tangential speech, rambling digressions, factual confusions, unexplained sudden changes of course in strategic matters, both national and international, episodes of apparent somnolence during critical public proceedings.”

While concern continues over the deadly hantavirus outbreak on the MV Hondius cruise ship, reports of more than 100 people falling ill on a Caribbean cruise with vomiting and diarrhea have also sparked alarm.

A cruise ship sailing from Florida with over 3,000 passengers reported a major outbreak around May 7. More than 100 passengers and crew were affected. Health officials confirmed the cause as norovirus.

According to Cruise operator Princess Cruises, enhanced cleaning protocols were introduced immediately after the outbreak was detected. Sick passengers and crew were isolated, and hygiene measures across dining and public areas were intensified.

What Is Norovirus?

Norovirus is a highly contagious virus that causes gastroenteritis, leading to inflammation of the stomach and intestines.

Speaking to HealthandMe, epidemiologist Dr. Amitav Banerjee, professor at DY Patil Vidyapeeth, Pune, described norovirus as “notorious because it spreads very fast.”

“It can spread through fomites like handles and knobs, and even a very low infectious dose—around 18 viral particles—can cause infection. So it spreads very fast,” he said.

He added that while many common disinfectants are ineffective against it, norovirus can be inactivated using bleach and chlorine-based cleaning agents.

Is The Norovirus Outbreak Of Concern?

Although outbreaks can look alarming, Dr. Banerjee emphasized that norovirus infections are generally self-limiting.

“In the ship, it can be managed with oral rehydration, and in severe cases, IV fluids can help prevent complications and mortality,” he said.

A recent report from the US also showed that norovirus can spread very rapidly from person to person on a cruise ship.

Dr. Banerjee also clarified that, unlike diseases with pandemic potential, norovirus outbreaks—while explosive in nature—do not typically pose a long-term global threat.

“So, this particular outbreak is not a cause for worry. It does not have pandemic potential, though it can spread very fast,” he added.

Read More: Hantavirus Alert on MV Hondius: One US Passenger Tests Positive, Two Others Show Symptoms

Who Is Most at Risk? What Are The Key Symptoms

Dr. Banerjee noted that 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.

Norovirus illnesses usually last between two and three days. Symptoms usually begin suddenly within 12 to 48 hours of exposure and may include:

• Nausea
• Vomiting
• Watery diarrhea
• Stomach cramps
• Low-grade fever
• Headache and body aches
• Fatigue

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.

Two of 17 American passengers evacuated from the hantavirus-hit MV Hondius have tested positive, the US Department of Health and Human Services (HHS) announced today.

A French national onboard the same cruise has also shown symptoms.

The Dutch-flagged vessel MV Hondius, carrying 94 people, including Filipinos, Britons, Americans, Indians, and Spaniards, arrived in Spain's Canary Islands on May 10. All have been evacuated and repatriated.

How Did Countries Evacuate?

US

The HHS in a post on social media platform X noted that all 17 American citizens have been repatriated from the MV Hondius cruise ship and are currently en route to the US.

The two passengers who tested positive for hantavirus are travelling in the plane's biocontainment units out of an abundance of caution.

“All 17 are currently en route via @StateDept airlift to the United States, with two of the passengers travelling in the plane's biocontainment units out of an abundance of caution. One passenger currently has mild symptoms, and another passenger tested mildly PCR positive for the Andes virus,” the HHS statement said.

The HHS added that the airlifted passengers will be transported “to the ASPR Regional Emerging Special Pathogen Treatment Center (RESPTC) at the University of Nebraska Medical Center/Nebraska Medicine in Omaha, Nebraska”.

The passenger with mild symptoms will be moved to a second RESPTC. Notably, everyone will undergo clinical assessment and receive appropriate care and support based on their condition.

Also read: Hantavirus: How Andes Strain Spreads Between Humans; Why It’s Not Another Pandemic

Spain

Prime Minister of France Sébastien Lecornu, informed that five Spaniards present on the MV Hondius have been repatriated to national territory.

Of these, one “exhibited symptoms on the repatriation flight”.

“As a result, all five passengers were immediately placed in strict isolation until further notice. They are receiving medical care and will undergo testing and a full health assessment,” he added.

Read More: Why The Norovirus Outbreak On A Caribbean Cruise Ship Is Not A Cause for Panic

Australia

Australia said it will charter a flight to evacuate its citizens. And the passengers returning are expected to be quarantined on arrival.

Environment Minister Murray ⁠Watt said the flight carries four Australians, one resident of Tenerife, and one resident of New Zealand.

"This is being done via an Australian government-supported flight, and we expect those people to return to Australia soon," Watt told reporters in Canberra.

"Quarantine arrangements are being finalized as we speak with the states and territories."

India

Two Indian nationals are healthy and unsymptomatic, the Embassy of India in Madrid said on May 10.

They have been medically evacuated to the Netherlands, where they will be quarantined as per relevant health safety protocol, the embassy said.

Planes to Canada, the Netherlands, Turkey, the UK, Ireland, and have also departed from Spain.

WHO Guidelines On Hantavirus

Dr. Maria Van Kerkhove, the WHO’s head of epidemic and pandemic preparedness, said that after being brought to shore, passengers will be kept cordoned off from the public and taken to repatriation flights.

In their home countries, many will be taken onward to isolation facilities. Van Kerkhove said that the WHO is recommending “active monitoring and follow-up” for all passengers and crew for 42 days from their “last point of exposure” to a confirmed case.

"Our recommendation is daily health checks, at home or in a specialized facility. It's up to countries to develop their policies, but our recommendations are very clear," Van Kerkhove said, highlighting that the incubation period for the virus was up to six weeks.