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.

Long COVID is a group of debilitating conditions that can persist for months or even years after infection with the SARS-CoV-2 virus, which causes COVID-19.

While scientists are still working to fully define the condition, one of the most common and disabling symptoms is brain fog—a cognitive impairment that can significantly affect people's personal and professional lives.

People with brain fog often report difficulty concentrating, multitasking, reading, remembering information, and speaking in full sentences. Fatigue frequently worsens these symptoms. Despite its widespread impact, there are currently no established diagnostic tests or approved treatments for long COVID-related cognitive impairment.

First Treatment For Brain Fog

A new clinical trial led by researchers at UCL now offers promising evidence that cognitive rehabilitation may provide lasting relief for these symptoms.

Published in JAMA Network Open, the study found that a 10-week cognitive rehabilitation program helped people with long COVID-related brain fog achieve meaningful improvements in returning to work, hobbies, and everyday activities.

The treatment consisted of weekly one-hour, one-to-one video sessions with a therapist who helped participants develop practical strategies to meet their personal rehabilitation goals. Most participants continued to benefit from the program for at least six months after treatment.

Also read: Natural Origin or Lab Leak? Gabbard Reignites COVID Origins Debate, Claims Fauci Funded Wuhan Lab Research

"As many as one in three people with COVID go on to develop long COVID, and cognitive difficulties are among the most common symptoms that can persist for months, disrupting day-to-day functioning and quality of life. People might find it hard to focus or hold on to their thoughts as they struggle with memory, attention and planning, often compounded by fatigue," said lead author Dr Martina Vanova, who completed the research at UCL before moving to Kingston University.

"In our study, we used well-established strategies of goal-oriented cognitive rehabilitation to help people develop ways to tackle the challenges that are most meaningful to them," Vanova added.

How Was The Study Conducted?

Read More: 1 in 6 Americans May Be Suffering From Long COVID, Study Finds

The study, funded by the National Institute for Health and Care Research (NIHR), included 78 participants in England who had experienced cognitive symptoms of long COVID for at least three months.

Half of the participants received the cognitive rehabilitation program, while the other half continued with standard NHS care, which varied by region.

Before treatment began, each participant completed an online goal-setting interview to identify three personal goals they wanted to achieve. Most goals focused on returning to work and improving job performance, while others involved everyday activities such as staying focused long enough to watch a full film or read a book.

Therapists then worked with participants to develop personalized strategies to help them achieve those goals.

What Did the Study Find?

Read: COVID-19 Vaccination Reduced Risk of Heart Attacks and Strokes in Elderly by 40%: Study

Three months after completing treatment, 84% of participants who received cognitive rehabilitation reported a significant improvement in goal attainment on a 10-point scale, compared with 53% of those receiving standard care.

The benefits were sustained over time. After six months, 53% of participants in the rehabilitation group reported a substantial improvement—defined as an increase of four or more points on the 10-point goal scale—compared with just 15% of those in the control group.

Researchers also observed measurable improvements in executive function, including better cognitive flexibility and faster processing speed.

Researchers also noted that early findings from a separate analysis suggest the program is cost-effective.

"We have found a treatment that provides clinically meaningful and sustained benefit for people with cognitive long COVID symptoms," said Joint senior author Dr Aida Suarez-Gonzalez of the UCL Queen Square Institute of Neurology.

"As this program is based on established cognitive rehabilitation techniques that have been used for other conditions, we hope that it can be easily rolled out as a treatment option for people currently living with long COVID."

For nearly eight decades, the U.S. Centers for Disease Control and Prevention (CDC) has been regarded as one of the world's leading public health institutions.

Established in 1946 to combat malaria, the public health agency has since evolved into a global authority and standard on infectious diseases, vaccinations, chronic illnesses, epidemics, emergency preparedness, health surveillance and much more.

However, the institute has undergone significant changes President Donald Trump returned to the White House in January 2025.

80 Years Of CDC

Since its inception in 1946, the CDC has led the response to numerous public health threats, including polio, HIV/AIDS, Ebola, Zika, H1N1 influenza, and the COVID-19 pandemic.

CDC scientists have spent decades shaping its long-standing vaccination programs and policies, disease tracking systems, and emergency responses during epidemics that have influenced public health policies and practices globally.

CDC Under Donald Trump’s Regime

As the institution completes eight decades, we take a look at how it has changed over time under Donald Trump’s administration. From changes in vaccination policies, reduction in workforce to a shuffle in leadership, CDC has undergone a tectonic shift.

While planning and preparedness for infectious disease has been a huge part of CDC's legacy, the current administration has increasingly focused on chronic diseases, nutrition, and environmental exposures.

Appointment of Robert F. Kennedy Jr. as HHS Secretary

One of the earliest and most controversial consequential decisions of the administration was the appointment of Robert F. Kennedy Jr. as Secretary of the U.S. Department of Health and Human Services (HHS).

Kennedy, who is a renowned anti-vaxxer, introduced different goals for federal public health, particularly on chronic disease prevention, environmental health, and greater scrutiny of long-standing vaccine policies.

Also read: Illinois Governor Claims Trump Continues To Suffer From Dementia

Soon after the administration took office, HHS was significantly restructured, with plans to consolidate many public health functions under a newly created Administration for a Healthy America.

Largest Staff Reduction In The History Of CDC

In February 2025, more than 1,300 employees of Centers for Disease Control and Prevention lost their jobs. Workforce restructuring was carried out in multiple departments in the following months.

Departments like outbreak surveillance, violence prevention, antibiotic resistance surveillance, Freedom of Information Act requests, and laboratory leadership programs were either downsized or eliminated.

Public health experts widely critcised the move, warning that the reductions could hamper the country’s ability to detect and respond quickly to future outbreaks.

Changes In Vaccine Policy

One of the healthcare sections that saw perhaps the biggest change under Trump’s administration was vaccination.

In June 2025, HHS dismissed all 17 members of the CDC's Advisory Committee on Immunization Practices (ACIP), the independent panel tasked for recommending how vaccines are used in the country.

Also read: New Book Examines Donald Trump's Health, Age Concerns; White House Responds

The committee was later recreated with new members. The move that drew criticism from several medical and scientific organisations. The administration revised several vaccine recommendations, particularly those relating to COVID-19, vaccination for healthy children and pregnant women.

The U.S. additionally withdrew its financial support for Gavi, the Vaccine Alliance. It also stopped hundreds of millions of dollars in federal funding for mRNA vaccine research, including projects involving COVID-19, influenza and RSV vaccines.

Changes In Gender-Related Healthcare Policies

Major changes were made in reproductive and gender-related healthcare policies. One of the most talked about was the Mexico City Policy, also known as the ‘global gag rule’. The move restricted U.S. funding for non-government organisations that provide abortion services.

Insurance coverage and funding for gender-affirming healthcare was withdrawn. Several LGBTQ+ references were removed from many federally supported health programs, which sparked widespread outrage.

Changes In Leadership

Susan Monarez was appointed as CDC Director in 2025. But her stint was short-lived after she was dismissed later that year. Reports stated that disagreements over vaccine recommendations led to the leadership dispute. Several senior CDC officials also resigned after Monarez’s exit.

Trump supporters support these changes as they believe they are a part of a long-overdue overhaul of an institution they believe had grown too bureaucratic and too reliant on established scientific principles.

However, many public health experts argue that the changes have affected scientific independence, disrupted long-standing public health programs, and altered the CDC's traditional role as a reliable evidence-driven body.

Weight-loss medications such as oral semaglutide have become increasingly popular for treating obesity. However, a new study suggests that a 45-minute, minimally invasive procedure called Endoscopic Sleeve Gastroplasty (ESG) may deliver greater short-term weight loss than oral semaglutide tablets.

Published in the Endoscopy journal, the study compared two established non-surgical obesity treatments—ESG and oral semaglutide 14 mg.

ESG Led to Greater Weight Loss at 6 Months

Researchers from AIG Hospitals, Hyderabad, found that patients who underwent ESG lost significantly more weight than those taking oral semaglutide after six months.

Patients treated with ESG achieved an average 12.72% total body weight loss, compared with 8.67% among those taking semaglutide. The difference remained significant even after adjusting for age, sex, BMI and diabetes.

"The most important message from this study is that obesity treatment has to be individualized. ESG appears to offer a stronger early push in weight loss, especially for patients who need a meaningful reduction in a short period," said Dr. Nitin Jagtap, Consultant Gastroenterologist at AIG Hospitals.

He added that ESG is not a shortcut but a structured intervention that helps patients reset eating habits and build sustainable lifestyle changes.

How Was the Study Conducted?

The retrospective study included 150 adults with obesity treated between January 2024 and April 2025. Of these, 50 underwent ESG, while 100 received oral semaglutide 14 mg once daily.

All participants also followed a calorie-deficient diet and moderate exercise plan, highlighting that both treatments work best alongside lifestyle modifications.

What Did the Study Find?

ESG also outperformed semaglutide in the number of patients achieving clinically meaningful weight loss.

• 70% of ESG patients lost at least 10% of their body weight, compared with 43% in the semaglutide group.
• 36% of ESG patients achieved 15% or more weight loss, versus just 7% of those taking semaglutide.

No major adverse events were reported in either group.

Notably, by 12 months, the gap between the two treatments had narrowed. Average weight loss was 11.92% in the ESG group and 10.91% in the semaglutide group, with no statistically significant difference.

The findings are particularly relevant for India, where obesity often occurs alongside diabetes, fatty liver disease and cardiovascular risk at lower BMI levels than in Western populations, the researchers said.

Researchers Urge Caution

The researchers noted that the findings should be interpreted carefully because this was a retrospective, single-centre study, not a randomized clinical trial.

They also stressed that the comparison was limited to oral semaglutide 14 mg and should not be extended to higher-dose injectable GLP-1 drugs or newer dual-incretin therapies, which may produce different results.

"Obesity care is entering a new phase where endoscopy, pharmacology, nutrition and lifestyle medicine must come together," said Dr. D. Nageshwar Reddy, Chairman of AIG Hospitals.

He emphasized that ESG and medications like semaglutide should be viewed as complementary options rather than competing therapies, with the shared goal of achieving and maintaining meaningful weight loss.

ESG vs Oral Semaglutide: How Do They Work?

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive procedure performed through the mouth without external incisions. Using an endoscope and suturing device, doctors reduce the stomach's size by placing internal stitches, helping patients feel full sooner without surgically removing part of the stomach.

Oral semaglutide belongs to the GLP-1 receptor agonist class of drugs. It reduces appetite, increases feelings of fullness and helps lower calorie intake. Unlike ESG, it requires daily medication, long-term adherence and continued affordability.