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.

Ahead of the festive season, the Uttar Pradesh food safety and drug administration have tightened inspections of sweets, dairy products and other food items. According to latest reports, around 490 kg of sweets and 275 kg of paneer destroyed in Bareilly after officials found them unfit for consumption or being stored in unhygienic conditions.

The move comes as demand for sweets, khoya, milk and paneer increases around festivals including Raksha Bandhan, Barawafat (Eid-e-Milad-un-Nabi) and Janmashtami.

490 Kg Of Sweets Destroyed In Bareilly

Four food safety teams conducted raids across Bareilly on August 24. During an inspection at Tirpal Ankur Sweets in Nadausi village, officials found sweets including kalakand, barfi, sohan papdi and rasgullas being prepared, handled, and stored in unhygienic conditions.

Assistant Commissioner (Food) Rahul Singh said samples were collected and sent to a laboratory for testing. Officials destroyed 140 kg of kalakand and 350 kg of barfi, together weighing around 490 kg and estimated to be worth Rs 1.70 lakh.

Samples were also collected from several other sweet shops, including peda, barfi, khoya and laddus. Further action will be taken depending on the laboratory results.

Also read: FSSAI Flags Food Firms For Misleading ‘100%’, ‘Energy Drink’, Immunity Claims

275 Kg Spoiled Paneer Seized And Destroyed

In a separate operation, food safety officials and police intercepted a food transport vehicle which was travelling from Badaun to Bareilly around midnight on August 23.

The team recovered approximately 275 kg of paneer, which officials said was in a highly deteriorated condition. They said it had been emitting a foul odour and had been stored unhygienically.

After collecting a sample, authorities seized and destroyed the entire batch, estimated to be worth around Rs 65,760.

The action comes amid similar food safety drives during festive season at other places in Uttar Pradesh.

In Noida, authorities recently seized and destroyed around 300 kg of paneer, citing it was unfit for consumption. Multiple samples of paneer, curd and sweets were sent for laboratory testing.

Also read: FSSAI Orders Halt Of Ghee Sales Amid Adulteration Crackdown: How To Spot Fake Ghee & Its Effects On Your Health

Why Are Unsafe Sweets And Paneer A Health Risk?

Poor hygiene and improper storage of food can allow harmful microorganisms to grow in food, especially in milk-based products like paneer, khoya and other sweets.

Eating contaminated food can cause food poisoning, with symptoms like nausea, vomiting, diarrhoea, abdominal cramps and fever.

In some cases, particularly among young children, older adults and people with weakened immunity, severe infection can lead to dehydration and other serious complications.

Spoiled dairy products can also undergo deterioration on a microbe level, which can produce foul odour and harmful changes in texture and taste. But, appearance, taste or smell alone cannot reliably determine whether food is safe, which is why laboratory testing is important.

Also read: After Diageo, FSSAI Inspects Pernod Ricard Plant, Tests Whisky Samples

How Can Consumers Stay Safe During Festive Season?

As festive demand rises, consumers can reduce their risk by buying sweets and dairy products from licensed, reputable establishments and avoiding products that appear improperly stored or handled.

Fresh dairy-based sweets should be kept under appropriate temperature conditions, while packaged products should be checked for expiry dates, manufacturing details and storage instructions.

This comes amid a broader FSSAI action in which the food safety authority has been tightening rules against food establishments and brands that are in violation due to various misconducts. Recently, it ordered to stop the sale of all variants of ghee manufactured by Daman-based SDP Industries, after laboratory tests found signs of adulteration and violation of food safety standards.

The move came after an inspection conducted on May 19. FSSAI said multiple samples were found adulterated, with laboratory analysis detecting β-sitosterol, a plant sterol that should not be present in genuine ghee. The samples also contained abnormalities in fatty-acid composition.

The food regulator has prohibited the manufacture, storage and sale of the company’s ghee products from its authorised premises until further orders. The products include brands like SHRADDHA, SHREE SARAS and GOKUL.

Irish health authorities are warning people against using retatrutide, an experimental weight-loss drug that has led to multiple cases of hospitalisation after people obtained it outside legitimate clinical trials through unlawful sources.

The warning comes as demand for the drug has grown online, particularly through fitness networks. Despite retatrutide not yet being approved, the masses have been reported to obtain and administer it without medical supervision.

Ireland's Health Service Executive (HSE) has reported patients presenting with serious side effects after taking the drug, including severe vomiting and kidney problems.

Prof Donal O'Shea, HSE Clinical Lead for Obesity, said doctors are seeing patients who have taken retatrutide obtained through unofficial channels.

He said, "Personal trainers who have been giving these jabs give no advice about side effects and how to manage those side effects, leading to real problems".

He also warned that some people are choosing not to disclose this information to the healthcare professionals, which has been making it harder to identify the cause of their symptoms and administer appropriate treatment.

He added, “They are too embarrassed to say they are taking it, leaving us blindfolded when we are trying to come to a conclusion.”

Retatrutide Is An Unapproved Experimental Drug

Also read: Eli Lilly’s Foundayo Launched In UK: Is the GLP-1 Pill Better Than Wegovy, Mounjaro?

Retatrutide is currently being developed by Eli Lilly as a once-weekly injection. Unlike existing GLP-1 medicines like semaglutide and tirzepatide, it simultaneously targets three hormone pathways --- GLP-1, GIP and glucagon. The combination is developed to target appetite, blood sugar regulation and energy metabolism simultaneuously.

Lilly's latest Phase 3 results have shown substantial weight loss. In one trial involving people with obesity or overweight and type 2 diabetes, participants receiving the highest studied dose lost an average of 20.8% of their body weight after 80 weeks.

Another Phase 3 trial reported average weight loss of up to 22.6% after 80 weeks in people with severe obesity and cardiovascular disease.

But promising results do not mean the medicine is ready for unrestricted use, especially before clearance. Its unapproved status indicates that researchers are still examining the drug for potential side-effects and other complications.

Lilly says retatrutide remains an investigational medicine and is legally available only to participants in its clinical trials. The company plans to submit it to the FDA in the first quarter of 2027.

Why Are People Being Hospitalised?

Also read: Ideal Time to Undergo Fertility Treatment for Women Taking GLP-1 Weight-Loss Medications

The Irish warning is particularly concerning as people obtaining retatrutide outside clinical trials may not have an idea about what they are actually injecting, how concentrated the drug is or whether it has been manufactured and stored safely.

Prof O'Shea highlighted cases involving nausea, vomiting and kidney problems. He said, "We had somebody in at the weekend who was getting. Retatrutide twice a week in the gym they go to from their personal trainer and they were in hospital with vomiting and kidney disease. That’s going to happen widescale if people are taking this drug."

Severe vomiting can itself become dangerous because prolonged fluid loss can cause dehydration and acute kidney injury, particularly when someone is unable to keep fluids down.

Growing Concern Of Black Markets

Retatrutide's impressive weight-loss results have fuelled demand for it even though it has not been approved by the FDA. Recent reports spark concerns of a growing black market for the drug, with products being promoted through social media, online sellers, fitness communities and some unregulated clinics. Eli Lilly has taken legal action against companies accused of selling unauthorised retatrutide products.

This is particularly concerning because buyers may mistake a product marketed as “research use only” for a medicine that is safe for human injection. The HSE is urging people not to use retatrutide obtained outside a legitimate clinical trial.

Anyone experiencing severe vomiting, abdominal symptoms, weakness, reduced urination or other concerning symptoms after taking an unapproved weight-loss injection should seek medical attention and tell doctors exactly what they have taken.

The Food Safety and Standards Authority of India (FSSAI) has flagged misleading claims by food business operators (FBOs) on products including coconut oil, energy drinks and baby food.

The claims include “100%” on coconut oil and “Energy Drink” on a caffeinated beverage, as well as claims around immunity, growth, digestion and nutrition in baby food. The regulator also flagged health and nutrient-comparison claims.

Companies Take Corrective Action

In a social media post, the Food Safety and Standards Authority of India (FSSAI) said that “major food business operators (FBOs) have taken prompt corrective action” following notices issued by the regulator.

The corrective measures include withdrawing misleading label claims and revising product packaging.

Companies Flagged

Also read: FSSAI Orders Halt Of Ghee Sales Amid Adulteration Crackdown: How To Spot Fake Ghee & Its Effects On Your Health

Mondelez India

Mondelez India Foods Pvt Ltd was flagged over misleading health and nutrient-comparative claims. It subsequently withdrew the claims and advertisements from e-commerce platforms.

Sapiens Labs

Sapiens Labs was flagged over a misleading claim and, after submitting its response, withdrew the claim and advertisements.

Vichi Agro

Vichi Agro Products Pvt Ltd, along with the concerned packer, was flagged over a misleading trade name and deleted the product from its platform.

Amway India

Amway India Enterprises Pvt Ltd, Delhi, was flagged over the use of “100%” in the name “100% Pure Coconut Oil”. The company said it had voluntarily removed the term from packaging and promotional material and discontinued old stock from sales channels.

Revised packaging without the claim has been finalized and is being rolled out progressively from September to October 2026.

Amway India was also flagged separately over the use of the term “Energy Drink” on a caffeinated beverage.

The company accepted the observation and removed the term from its product range, website and promotional material. Updated packaging is to be introduced from the production cycle beginning August 2026.

Juza Foods

Kerala-based Juza Foods was flagged over multiple claims for its baby food products. These included claims relating to nutrition, immunity, growth, digestion and nutrient content, besides comparisons with other milk powders.

The company acknowledged the violations and agreed to remove the misleading claims.

It also said its selling website had been shut and rectification completed, while steps were being taken for license-related changes and an e-commerce license.

FSSAI Issues More Than 150 Notices

Read More: After Diageo, FSSAI Inspects Pernod Ricard Plant, Tests Whisky Samples

The action is part of a wider drive in which FSSAI has issued more than 150 notices to food companies over misleading advertisements, false claims and labelling violations.

Nestlé India, PepsiCo, Coca-Cola India, Abbott India, Red Bull India, Danone India, Monster Energy India, Ferrero India and Kenvue are among the companies named by the regulator.

FSSAI has also widened enforcement to e-commerce platforms and food-service establishments, issuing 12 notices to e-commerce companies and more than 30 to food-service establishments, including major restaurant chains.

The regulator’s latest action underlines its focus on ensuring that food claims are substantiated and do not mislead consumers. The challenge, however, will be to ensure sustained compliance after companies withdraw or modify the claims.