Japan could become one of the first countries in the world to end the HIV epidemic, says the president of Gilead Sciences Japan, Kennet Brysting. The idea for now could seem a little too ambitious, but it is not entirely unrealistic, given that the availability of medicines that can prevent transmission of HIV. Drugs are not the cure, but control over the spread of virus to the point where the disease is no longer a major public health threat.

What Is The Role Of Preventative HIV Medicines?

Gilead's have two key drugs, Truvada and lenacapavir. These two are playing a crucial role in prevention. Truvada is taken as a daily pill, while lenacapavir requires two injections per year. It can make the virus undetectable in infected individuals and prevent transmission to those who are not infected yet. In trials, lenacapavir showed 100% efficacy in preventing HIV infections. This is why it is describe as "almost a vaccine".

In 2024, Japan also approved Truvada for HIV prevention, but the country has yet to approve lenacapavir for the same. Until now, people in Japan had been importing generic versions of Truvada or purchasing it from clinics that source it from overseas.

HIV In Japan

Up until now, Japan reported around 25,000 HIV infections, whereas 669 new cases were reported in 2023. For seven consecutive years, the number of new infections remained under 1,000. The downward trend thus shows that the virus has been controlled, however, getting to zero new infections remains the ultimate goal.

Brysting too acknowledged that simply having effective drug is not enough. What is important is to have a proper implementation, access and healthcare support to make sure that these treatments are widely available and effective.

What Are The Challenges In Implementation?

The biggest challenges is testing rates. There is a need to increase testing rates. At this very moment, around 86% people infective with Japan have been tested, but the goal is to increase it up to 95%, with an ideal goal of 100%. Without widespread testing, many infected people may not even know that they are infected and it could transmit the virus.

Another measure issue is the cost of preventative medication. While Japan's health insurance covers treatments for diseases, it does not cover preventative drugs. Those who purchase Truvada for prevention, pay around $470 per month. Some clinics in Tokyo offer generic alternatives too, which is cheaper, but they are not ideal.

Better Healthcare Support

Brysting expressed concern that individuals importing medications might not be consulting doctors regularly, which is essential for monitoring HIV status and overall health. Truvada users need to be tested for HIV initially and every three months, along with screenings for other infections and kidney function checks. Without proper medical supervision, there is a risk of misuse and inadequate protection.

Gilead is in discussions with Japanese authorities to improve access and insurance coverage for Truvada, and progress is being made. Japan has shown efficiency in approving critical medicines, as seen during the COVID-19 pandemic when Gilead’s remdesivir was approved in just three days.

What Is The Way Ahead?

Gilead at this moment is not only focused on HIV and hepatitis C, but also expanding into oncology with innovative treatments like CAR-T cell therapy, which strengthens a patient's immune system to fight cancer.

However, Japan’s strict approval processes can slow down drug availability. Phase 3 clinical trials often need to be conducted within the country, and Japan tends to approve medicines much later than other regions. For instance, Truvada was approved for prevention in Japan 12 years after the U.S. and nearly 20 years after its approval for treatment. inancial factors also play a role. The Japanese government adjusts drug prices annually, often reducing them, which can make long-term investment challenging for pharmaceutical companies.

A new Indian Council of Medical Research (ICMR) study based on 20 tertiary-care hospitals has found that patients with drug-resistant bacterial infections face higher mortality, longer hospital stays and substantially higher costs of treatment than those infected with drug-sensitive strains. The study analysed nearly 1.6 lakh hospitalised patients between April 2022 and April 2025.

The findings, published in The Lancet Regional Health – Southeast Asia, focused on four major Gram-negative bacteria: E. coli, Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa. Of 26,213 patients with confirmed infections caused by these bacteria, 61.1% had carbapenem-resistant infections.

ICMR Says India Is Facing A 'Superbug' Crisis

The new study found that mortality was consistently higher among patients with carbapenem-resistant infections. For Klebsiella pneumoniae, mortality was 31.2% among patients with resistant infections versus 23.5% among those with susceptible infections.

For E. coli, the figures were 24.4% versus 17.3%. For Acinetobacter baumannii, mortality was 37.9% versus 32.8%, while for Pseudomonas aeruginosa, it was 28.9% versus 20.2%.

The risk was particularly severe with infections that were resistant to carbapenem, where mortality reached 46.4% to 50.8%.

Also read: H1N1 In Delhi: 166 Fresh Cases In 24 Hours, Tally Rises To 2,612

Drug Resistance Also Comes With A Bigger Treatment Cost

The study also found that antibiotic treatment costs were 1.1 to 2 times higher for drug-resistant infections. Treatment of resistant E. coli, for example, averaged $420 per patient, compared with $211 for susceptible infections.

The corresponding costs were $587 versus $505 for K. pneumoniae, $655 versus $436 for A. baumannii, and $702 versus $510 for P. aeruginosa.

Patients also spent longer in hospital. Those with resistant E. coli infections stayed an average of 23.1 days, compared with 17.8 days for susceptible infections.

Also read: Exclusive With Leading Pulmonologist: When Should You Worry About H1N1 Symptoms?

“AMR Is No Longer A Distant Threat”: ICMR

Dr Kamini Walia, senior scientist at ICMR and an author of the study, said, “Antimicrobial resistance is no longer a distant threat—it is already costing Indian lives.”

She added. “Our study shows that carbapenem-resistant infections carry substantially higher mortality and treatment costs.”

But Walia stressed that simply developing or prescribing stronger antibiotics is not enough. The answer, she said, is “better infection prevention, timely diagnostics and responsible antibiotic use.”

That is important because every time antibiotics are used, susceptible bacteria can be eliminated while resistant ones survive and multiply. Misuse or incomplete or inappropriate treatment can accelerate that process.

Also read: India Records 3,395 Active COVID-19 Cases, 26 Deaths, Kerala And Maharashtra Among Worst-Hit States

Avoid Delay In Treatment

According to The Times of India, Dr Rahul Pandit, a critical care specialist at H N Reliance Hospital said that Mumbai hospitals are also seeing more patients with carbapenem-resistant infections.

“It takes longer to treat a patient with a drug-resistant infection. Developing a culture, identifying the organism and determining its resistance pattern can take a few days, although molecular diagnostics can help us do this faster,” he said.

When the usual antibiotic no longer works, doctors may need to use combinations of drugs or newer, more expensive medicines.

ICMR Has Been Monitoring AMR For Nearly 13 Years

ICMR has been tracking antimicrobial resistance through its Antimicrobial Resistance Surveillance and Research Network (AMRSN) since 2013. The agency says AMR can lead to prolonged illness, higher healthcare costs and increased mortality, while inappropriate antibiotic use remains one of the major challenges.

ICMR's current priorities include strengthening surveillance, improving infection prevention, expanding rapid diagnostics and developing alternative treatments such as bacteriophages and monoclonal antibodies.

The growing measles outbreak in Pennsylvania has taken a political turn after the US Centers for Disease Control and Prevention (CDC) declined to include two deaths reported by the state in its latest national database.

Pennsylvania health officials had reported the deaths on August 25, describing them as “measles-associated.” But the CDC said it was reviewing additional information about the circumstances around the deaths before including them in the national tally.

The disagreement has since become a public clash between Pennsylvania Gov. Josh Shapiro and new CDC director Dr. Erica Schwartz and US Health Secretary Robert F. Kennedy Jr. This has raised questions as it shunned the standard practice of CDC accepting state government's data to determine the report deaths from infectious diseases.

Why Did The CDC Leave Out The Two Deaths From National Tally?

The CDC's website currently says, “This week's measles outbreaks update will not include the two measles-associated deaths reported by the Pennsylvania Department of Health on August 25 while CDC reviews additional information regarding the circumstances and causes of death. At this time, available information does not establish whether measles caused or contributed to the deaths or whether the individuals died from other causes while infected with measles. CDC will update the national count as additional information becomes available."

The Department of Health and Human Services said, "The deaths have not been confirmed based on the information currently available to CDC.”

Pennsylvania, however, maintains that it followed the standard process. State Health Department spokesperson Neil Ruhland said, “Every reported measles case is thoroughly reviewed to ensure it meets the CDC's definition for a measles case. To date, DOH has provided all required epidemiological data to the CDC.”

The state has described the deaths as “measles-associated,” a term used when there is laboratory or epidemiological evidence of measles, even if the virus is not determined to be the immediate cause of death.

Also read: Measles In US: 3 More States Report Significant Uptick In Cases; How To Spot Initial Symptoms?

One Death Involved A Newborn

One of the cases involved a newborn who died shortly after birth. The baby had tested positive for measles after the mother had been infected. However, Lancaster County Coroner Stephen Diamantoni said the immediate cause of death was a ruptured spleen, which further complicated the debate.

The coroner has said he does not believe measles was the cause of death, although measles was listed on the baby's death certificate as a contributing condition. Details about the second death have not been publicly disclosed.

Also read: Measles: Infant Among Two Unvaccinated Deaths Reported In US

Motive Behind CDC’s Unusual Decision

Historically, the CDC has relied on state and local health departments to report measles cases, hospitalisations and associated deaths. According to The Washington Post, former CDC chief medical officer Dr. Debra Houry called the move a departure from that practice:

She said, “CDC has historically relied on the expertise of state and local health departments.”

The dispute comes as Pennsylvania is dealing with its largest measles outbreak in three decades. As of Monday, the state had reported 497 measles cases and 87 hospitalisations, with 100 new cases recorded in just one week.

Nationally, the CDC's latest update listed 2,887 confirmed measles cases across 47 states, plus 16 cases among international visitors.

Why Is Measles Dangerous?

Measles is one of the most contagious infectious diseases. An infected person can spread the virus to around nine out of 10 unvaccinated people who are exposed. Most people recover, but measles can cause serious complications including pneumonia, brain inflammation and death.

The virus is particularly dangerous for infants, pregnant women and people with weakened immune systems. That is why public health experts are worried that the argument over two deaths could distract from the larger issue.

Paul Offit, a physician at Children's Hospital of Philadelphia, told The Inquirer, “It’s August. This is only going to get worse. What can we do to prevent more children suffering and being hospitalized?”

The Ebola outbreak in the Democratic Republic of Congo has crossed another grim milestone, with more than 6,000 confirmed cases and nearly 3,000 deaths. As of August 31, 2026, DRC had reported 6,041 confirmed cases and 2,911 deaths, according to government figures.

That puts the outbreak's case-fatality ratio at approximately 48.2%, meaning nearly one in every two confirmed patients has died. More than 1,360 people have recovered.

With Ituri remaining the epicentre, the outbreak, caused by the Bundibugyo species of Ebola virus, has spread across six provinces and nearly 60 health zones.

Mortality Rate Is Close To 50%

In its latest Disease Outbreak News update, the World Health Organization (WHO) reported a 48.1% crude case-fatality ratio as of August 26 and said the figure “underscores the severity of the disease”.

The number also highlights other issues like timely diagnosis, access to and quality of clinical care and containing transmission. Delayed diagnosis can be particularly dangerous as people may continue interacting with family members and healthcare workers while infectious.

WHO reported that 81 new confirmed cases were recorded in a single 24-hour period as of August 26. Ituri alone had recorded 4,802 confirmed cases by that point.

A nearly 50% case-fatality ratio does not mean that every person infected with Bundibugyo virus has a 50% chance of dying.

It is calculated from recorded cases and deaths and that can change as patients recover, die or are newly diagnosed. It is also be affected by how early cases are detected, access to treatment and whether infections are being missed.

Also read: Ebola Bundibugyo Virus: American Health Worker Had 10x Higher Viral Load In Throat Than Blood

Second-Largest Ebola Outbreak On Record

The US Centers for Disease Control and Prevention (CDC) says, "The DRC outbreak is spreading substantially faster than previous Ebola outbreaks” and is now the second-largest Ebola outbreak on record. The outbreak surpassed 1,000 confirmed cases within about 40 days of response activation, compared with approximately 235 days during the 2018 DRC outbreak.

The CDC says the response is being affected by limited healthcare infrastructure, ongoing conflict, violence against healthcare workers, shortages of protective equipment, population movement, mistrust and misinformation.

WHO Director-General Tedros Adhanom Ghebreyesus has repeatedly stressed that communities need to be at the heart of the response.

In a joint WHO-Africa CDC commentary published on August 25, Tedros, WHO Africa Regional Director Mohamed Yakub Janabi and Africa CDC Director-General Jean Kaseya wrote, “Ebola spreads through communities, and communities hold the knowledge required to stop it.”

Also read: Ebola Outbreak In DR Congo Records Its Highest Weekly Death Tolls Yet, With More Than 300 Deaths

Vaccine-Related Developments

Unlike Zaire strain, this outbreak is being caused by Bundibugyo virus, for which there is currently no vaccine or treatment. But researchers are in the process of testing vaccine and treatment on candidates.

Health authorities have also taken the unusual step of testing Ervebo, the vaccine licensed for Zaire Ebola, against the Bundibugyo strain.

WHO and Africa CDC announced in August that DRC would receive 70,000 Ervebo doses. Of these, 20,000 doses are intended for a Phase 3 clinical trial, while 50,000 are intended for frontline and healthcare workers under current recommendations.

WHO said, “It is not known whether Ervebo may be protective against the Bundibugyo virus in humans.”