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.

India has successfully linked the health records of more than 100 crore people with Ayushman Bharat Health Accounts (ABHA) under the Ayushman Bharat Digital Mission (ABDM), the Ministry of Health and Family Welfare said today.

Implemented by the National Health Authority, the milestone marks a major step towards building an integrated, citizen-centric, and interoperable digital healthcare ecosystem in the country.

“The linking of over 100 crore health records with ABHA is an important milestone in the journey of Ayushman Bharat Digital Mission. ABHA-linked health records empower citizens with secure and consent-based access to their health information and support continuity of care across the healthcare ecosystem,” said Dr. Sunil Kumar Barnwal, CEO, NHA.

The Growing Adoption Of ABDM

According to the Ministry, more than 450 public and private health technology solutions have integrated with the ABDM ecosystem, enabling digitisation and seamless exchange of health records across healthcare facilities.

The ministry said ABDM doubled the number of linked health records from 50 crore in February 2025 to over 100 crore in just 15 months.

Nearly 10 crore health records are now being linked every two to three months. From fewer than 1,000 linked records during its initial phase to over 100 crore today, ABDM has evolved into one of the world’s largest digital health ecosystems.

Uttar Pradesh emerged as the leading contributor with over 15.03 crore ABHA-linked health records, followed by Andhra Pradesh with over 11.95 crore linked records.

Bihar, Rajasthan, and Gujarat also recorded major progress by linking over 7.37 crore, 6.32 crore, and 4.77 crore health records, respectively.

Also read: Preeclampsia Is Preventable & Treatable. Yet It’s India’s 3rd Leading Cause Of Maternal Deaths, Says AIIMS doctor

Programs Contributing To The Milestone

Among the major government programs and digital platforms contributing to the milestone are:

• Non-Communicable Disease Program
• CoWIN
• Pradhan Mantri Jan Arogya Yojana
• Uttar Pradesh government’s eKavach platform
• Andhra Pradesh health programs
• Reproductive and Child Health (RCH) program
• eHospital by National Informatics Centre
• eSushrut by Centre for Development of Advanced Computing
• Gujarat government’s TeCHO platform
• Rajasthan government’s iHMS platform

Private health technology partners and ABDM-enabled digital solutions have also contributed significantly towards the creation and linkage of ABHA-linked health records.

What Is ABHA?

ABHA is a unique digital health identity that allows citizens to securely link and access their health records across hospitals, clinics, laboratories, and healthcare providers.

Through ABDM’s consent-based health information exchange mechanism, citizens can digitally share their medical records with registered healthcare providers while maintaining the privacy and security of personal health information.

“ABDM is designed to place citizens at the center of the digital health ecosystem. With consent-based sharing of health records, individuals can access their medical information whenever required and share relevant records with healthcare providers digitally. This will help make healthcare delivery more accessible, efficient, and patient-centric,” Barnwal said.

Key Digital Building Blocks Of ABDM

The Ayushman Bharat Digital Mission is creating the digital public infrastructure required for an interoperable healthcare ecosystem through key digital building blocks such as:

• Ayushman Bharat Health Account (ABHA)
• Healthcare Professionals Registry (HPR)
• Health Facility Registry (HFR)
• Health Information Exchange and Consent Manager (HIE-CM)
• Unified Health Interface (UHI)
• National Health Claims Exchange (NHCX)

With over 100 crore health records now linked with ABHA, ABDM has marked another milestone towards creating longitudinal digital health records for citizens and enabling a more connected, paperless, efficient, and patient-centric healthcare ecosystem in the country.

Amid the rising cases of Ebola virus infection in nations like the Democratic Republic of the Congo, Uganda, and South Sudan, the whole world has gone to an alert mode. The state government of Kerala has declared that it will keep the visitors from the countries flagged by the World Health Organization (WHO) under mandatory health surveillance for up to 21 days after arrival.

The government of India has already issued an advisory on this important issue. In accordance with the direction, the state government of Kerala has also taken some strict steps to protect the general public from this infectious virus. On Thursday, at the meeting of the State Rapid Response Team, Health Minister K. Muraleedharan said the measure was being adopted as an additional precaution.

The Union Health Ministry has also propagated a stricter stance on preventing the virus outbreak in the country. The ministry emphasizes its stance by issuing orders to strictly follow the special health guidelines.

As per the new norms, the travelers from Ebola-affected nations are asked to report to the health authorities at the airport if they feel symptoms commonly associated with Ebola, like fever, headache, fatigue, vomiting, diarrhoea, muscle pain, sore throat, or bleeding. Those who had any contact with confirmed or suspected Ebola patients have also been informed by the health authorities.

The state government has made screening of passengers stricter in the international airports and seaports.

In addition to that, the authorities have also searched isolation wards and intensive care facilities throughout the state to find those who require treatment or observation.

The health minister of the state ordered ample training of healthcare personnel in infection prevention and control. There is also emphasis on the use of PPE kits, proper treatment protocols, and critical care management.

What is Ebola?

Ebola is a severe and, in most cases, deadly disease caused by viruses predominantly found in Africa. The spread of the disease happens through contact with infected body fluids.

Some symptoms can indicate a possible infection. This includes fever, weakness, headache, muscle pain, vomiting, diarrhea, sore throat, and unexplained bleeding. This eventually leads to severe complications like bleeding, organ failure, and death. The hosts of the virus are animals like bats, primates, and antelopes.

WHO Says Vaccine Could Take Months

Meanwhile, Tedros Adhanom Ghebreyesus, WHO Chief said he was “deeply concerned about the scale and speed of the epidemic”. He noted that the numbers are expected to rise given the time taken to detect the virus.

The WHO says it could take up to nine months before a vaccine against this particular species of Ebola is ready.

Two possible "candidate vaccines" against the Bundibugyo species are being developed, but neither has gone through clinical trials yet, WHO advisor Dr. Vasee Moorthy said, according to the BBC.

Speaking to journalists in Geneva, Tedros said 51 cases have been confirmed in the Democratic Republic of Congo — where the first case was reported — and two in neighboring Uganda.

In the recent past, there has been an increase in the prevalence of hypertension among the young urban population of Delhi, especially after the pandemic. Medical practitioners and public health specialists note that people in their late twenties and thirties are now experiencing higher levels of high blood pressure, which used to affect mostly middle-aged and older people. This has become a silent cardiovascular disease problem among young professionals due to the fast-paced lifestyle and post-pandemic stress.

In an interaction with Health and Me, Dr Tushar Tayal, Associate Director, Internal Medicine, CK Birla Hospital, Gurugram, spoke about the rising incidence of high BP cases in 30-something Delhi locals.

Lifestyle Changes Due to the Pandemic Situation

The coronavirus pandemic brought about significant changes in people’s lifestyles. Working from home became the norm for most companies, leading to less physical exercise, more screen time, and the blurring of lines between work and private life. Young adults living in Delhi experienced disrupted sleeping schedules, spent less time outside, and consumed processed foods delivered to them regularly. These unhealthy practices have persisted even after offices reopened.

Stress and Uncertainty Persist

Moreover, life after the pandemic has also brought emotional and financial stress for many city-based working individuals. Fears surrounding job stability, the increasing cost of living, loneliness, and burnout have had an adverse effect on individuals’ mental well-being. Stress leads to the activation of the body’s “fight or flight” response, causing increased heart rates and the tightening of blood vessels. Eventually, constant physiological stress results in long-term high blood pressure. Young adults might not be aware of how stress impacts their bodies physically until something goes wrong.

Urban Life in Delhi Puts People at Risk

Furthermore, other aspects of urban life in Delhi also increase the risk of developing cardiovascular diseases. Factors such as long commutes, traffic pollution, poor air quality, lack of proper sleep, and the consumption of convenience foods have contributed to poor heart health among people. The reliance of most professionals on caffeine, processed food, and unhealthy eating habits has made people more prone to high blood pressure problems.

How Hypertension in the 30s is Hazardous

The early onset of high blood pressure predisposes an individual to various cardiovascular diseases in the future, including stroke, kidney disease, heart disease, and other metabolic problems. In most cases, high blood pressure remains unnoticed for quite a long time due to the absence of any obvious signs and symptoms. Therefore, some patients perceive headaches, fatigue, anxiety, or sleeplessness as mere side effects of stress. Nevertheless, hypertension in one’s thirties poses a threat of vascular damage in the coming decade.

Hypertension in Young Urban Adults

It seems curious that urban youth demonstrate sufficient physical activity on their Instagram accounts while being incapable of sustaining cardiovascular balance. The issue stems from the fact that regular exercise performed in the gym or during weekends cannot totally compensate for the impact of constant psychological stress, an unhealthy dietary regime, and stressful work. Specialists indicate that blood pressure is regulated not just by one’s body mass index but also by neurological factors and lifestyle stability.

Awareness Regarding Prevention from Hypertension

According to experts, individuals aged over 25 years need to monitor their blood pressure levels regularly, especially when engaged in stressful jobs. Other preventive measures, such as walking daily, reducing sodium consumption, practicing yoga and meditation, getting adequate sleep, and managing stress, will greatly contribute towards mitigating risks. Initiatives by corporate organisations, as well as government campaigns, might be instrumental in raising awareness regarding the prevention of hypertension among the youth in Delhi.

The post-pandemic period has clearly shown that stress, lack of physical activity, and the challenges of living in cities have a great bearing on cardiovascular disorders.