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.

Unsafe food causes around 866 million illnesses and 1.5 million deaths annually, according to new estimates released by the World Health Organization (WHO) ahead of World Food Safety Day 2026.

The analysis warned that children aged less than five years face almost three times the risk of illness from unsafe food than older children and adults.

Children under 5 years of age experience 29 per cent of the health burden due to unsafe food, with 143,000 deaths in 2021, said the WHO. The global health body added that exposure to chemical hazards such as methylmercury and lead in food can harm the developing brain and cause lifelong neurological and developmental problems in children.

Foodborne diseases in children, particularly diarrhoeal diseases, can be deadly for this vulnerable age group.

“Food safety is not an abstract issue – it touches every meal, every family, every day. Unsafe food has always been a major public health concern, but until now we lacked the bigger picture of its staggering human and economic toll. These new estimates change that,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

“For the first time, countries have their own data to see where the burden is highest. With that knowledge, governments can prioritize the actions needed to protect people’s health,” he added.

Food Safety: What Are the Risk Factors?

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The WHO noted that exposure to biological hazards, including foodborne bacteria, viruses and parasitic infections, caused the majority of foodborne illnesses (approximately 860 million in 2021), while chemical exposures accounted for 73 per cent of deaths.

The new analysis significantly expands the evidence base by assessing 42 major foodborne hazards, including bacteria, viruses, parasites and chemicals, across 194 countries from 2000 to 2021.

The estimates now include new hazards such as metals, rotavirus and Trypanosoma cruzi, the parasite that causes Chagas disease.

Food can also be contaminated with chemicals such as inorganic arsenic, lead and methylmercury from natural sources and human activities.

The estimates revealed for the first time that dietary exposure to metals is increasing the burden of:

• Cardiovascular diseases
• Cancers
• Intellectual disability

Other risk factors include:

• Evolving diets
• Environmental pressures
• Globalization and inequalities in food systems.

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Yuki Minato, WHO technical officer for food safety and senior author of The Lancet Global Health paper, noted that the analysis shows foodborne diseases are “being made worse by climate change, which increases contamination risks, and by antimicrobial resistance, which makes infections harder to treat”.

Yuki called for “a One Health approach – integrating human, animal, plant and environmental health” to save lives.

How To Prevent Foodborne Diseases

The WHO estimates that many food-related illnesses and deaths are preventable through measures including:

• Improved water quality
• Better sanitation and hygiene
• Food safety practices such as pasteurization
• Access to healthcare for vulnerable populations
• Keep clean
• Separate raw and cooked food
• Cook thoroughly
• Keep food at safe temperatures
• Use safe water and raw materials.

Prostate cancer is a big issue now in the United Kingdom, as the nation is witnessing 64,000 men diagnosed and 12,000 dying each year from this deadly disease. The statistics show that one in eight men will get prostate cancer in their lifetime, but for black men, that risk doubles to one in four.

As a preventive measure to find better ways of testing for the disease, tens of thousands of black men are invited for prostate cancer checks as part of an ongoing trial where the age group is between 45 and 74.

This crucial move has been taken after the minister considered the UK National Screening Committee's recent recommendation that most men should not be offered regular testing for the disease.

The committee stressed that the blood test for detecting prostate cancer, called PSA, is more harmful than its benefits, except for a few men who have a dangerous genetic variant and a family history of cancer.

The government is proactive about this major health issue and stated that it will invest 18 million pounds to transform the trial.

The research aims to determine whether other tests and procedures, alongside PSA, can be used in the screening process. In this study, they will check whether genetic checks and faster MRI scans can be used with greater accuracy,

Health Secretary James Murray said, "This is a major step forward in how we tackle prostate cancer - focusing on those most at risk, improving the treatments available, and backing the research we need to close the evidence gaps and save lives."

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What is the prostate, and how is screening done?

The prostate is a small walnut-shaped gland in men that produces seminal fluid, which nourishes and transports sperm. Prostate cancer develops when abnormal cells begin growing in the gland.

Though not all prostate cancers are life-threatening. Some forms grow very slowly and may never affect a man’s lifespan. Such slow-growing cancers are found in around one in three men over the age of 50.

However, a smaller number of prostate cancers are aggressive, spread rapidly, and can become life-threatening, making timely detection important.

Also Read: Prostate Cancer Screening In UK To Focus On High-Risk Men; Guidelines Reject Universal Testing

Screening typically involves a blood test called prostate-specific antigen (PSA). Depending on the results, patients may then undergo an MRI scan of the prostate.

However, screening healthy men can sometimes lead to overdiagnosis and unnecessary treatment, which may result in side effects such as erectile dysfunction and loss of bladder control.

A major review by the National Screening Committee found that for every 1,000 men screened in their 50s, two prostate cancer deaths could be prevented over 15 years.

But the same screening could also result in 20 men being diagnosed with cancers that would never have required treatment. Of those 20 men, 12 could undergo unnecessary treatment that may damage the prostate, affect sexual function, or cause urinary incontinence.

The New World Screwworm fly is a devastating tropical species that majorly infects cattle but can also be harmful to humans in some cases, and this problematic species, after being contained in the southern states of the US, is suspected to return once again, according to the officials of the United States Department of Agriculture (USDA).

This debut may cause mayhem in the cattle industry. The USDA has posted on the social platform X that it was testing a sample from a potential infestation of the fly’s flesh-eating larvae at its national veterinary lab in Iowa. The exact location of this suspected case has not been stated.

U.S. Agriculture Secretary Brooke Rollins also said on social site X that she has met with Texas officials, including Gov. Greg Abbott, about 50 cattle ranchers. She added that the potential case was “being fully contained.”

This very important announcement came just after Rollins held an online news conference to shed light on the proximity of the threat, as it was detected in Mexico, only 25 miles from the state.

New World Screwworm Fly

New World Screwworm Fly is an invasive tropical species whose females lay eggs in open wounds or mucous membranes. These eggs then hatch and eat flesh. This trait makes them a unique flying species. This species is known to infest livestock, wild mammals, and household pets. Though it's rare, humans can also be infested by this threatening species.

The recent case of Maryland, where federal health officials confirmed that a person got infested by this fly after visiting El Salvador, but the patient recovered soon. The last large-scale infestation happened in 2016 when it spread among wild deer in Florida.

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How To Contain This Dangerous Species?

The infestation of this invasive species has been done before, and the process involves breeding sterile male flies and releasing them to mate. This process completely eradicates the population. In 2024, this very species was contained in Panama by this same process.

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What is the USDA Doing To Prevent Outbreaks?

The USDA is very active and cautious about this possible outbreak in the states; it has dedicated 21 million US dollars to convert a fruit-fly breeding facility in southern Mexico into one for breeding screwworm flies. It has also opened a new center for dispersing sterile flies bred elsewhere in southern Texas. Along with these, the government agency is building a screwworm fly factory in Texas with 750 million.

The Agriculture Secretary was also alarmed by this possible outbreak and ceased cross-border livestock import from Mexico last year. She has stressed that pets can travel across borders with families and can get infected. The wild animal can also travel through the border and get infected with it and return. Though the US authorities have assured, stating, “Our food supply is 100 per cent safe.”