“I'm not great at the advice. Can I interest you in a sarcastic comment?”

This is what ‘Friends’ actor Matthew Perry’s character Chandler Bing was known for. He was known for being funny. However, he had his own struggles in his personal life and those struggles were acute depression. He was treating it with ketamine infusion therapy which is legal in the US and the UK.

What is Ketamine infusion therapy?

Ketamine is an anaesthetic used to treat depression, anxiety and pain under supervised and controlled medical settings. However, it does have its side effects, which can lead to distortion of sight, sound and time. It can also produce calming and relaxing effects.

Ketamine increases a person’s heart rate and blood pressure. If overdosed, it can leave users confused and agitated and can cause them to hurt themselves without even realising it. It can also lead to liver damage and bladder problems.

However, when used in moderation and under the supervision of medical doctors, it can treat depression where traditional antidepressants have failed.

Prof Rupert McShane, a University of Oxford psychiatrist who runs an NHS ketamine treatment clinic told BBC that ketamine “probably turns off the area of the brain that is involved in disappointment.”

Can Ketamine Infusion Therapy Kill Someone?

In simple terms, it cannot, be if the dosage is given in a controlled setting and as prescribed. Ketamine infusion therapy uses drugs in small doses than those used for anaesthesia. It acts faster than traditional anti-depressants, but the effects also wear off way quickly. Which is why it is important to monitor patients’ mental state for relapsing back into depression and discouraging them from overdosing on it.

There are ways of giving people ketamine. One of the ways is through “infusing”, which means to use an IV drip. However, injections, nasal sprays and capsules are also methods used to give people ketamine.

Since the dosage of ketamine used in the infusion treatment is small, it being the reason of actor Perry’s death was ruled out. The medical examiner also noted that Perry’s last ketamine infusion therapy session happened more than a week before his death, which means by the time he had died, it must have worn off.

So, What Happened To Perry?

Though Perry’s last session was more than a week before, his post-mortem showed that his blood contained a high concentration of ketamine. He had died of the “acute effects” of ketamine.

If it was not his session, then how did he get ketamine?

Prosecutors alleged that his assistant gave him at least 27 shots of ketamine in four days before his death, reported BBC.

Perry has been open about his personal struggles and this is what the doctors and dealers used against him. Martin Estrada, the US attorney for California’s Central District told the BBC that people took advantage of his condition. They charged him 165 times more than what vials of ketamine cost.

Names that have come up include Dr Salvador Plasencia, drug dealers “Ketamine Queen” aka Jasveen Sangha and Eric Fleming, and Perry’s live-in assistant Kenneth Iwamasa.

Who Are These Names And What Did They Do?

Ketamine Queen or Sangha supplied drugs that led to Perry’s death. Her home was a “drug-selling emporium,” said Estrada. More than 80 vials of ketamine, and thousands of pills including methamphetamine, cocaine and Xanax were allegedly found in her house known as the “Sangha Stash House.”

Sangha is known to deal with high-end celebs and was a “major source of supply for ketamine to others as well as Perry,” said Estrada.

Dr Plasencia called Perry a “moron” while charging him $2,000 for vials that cost only $12. He sold Perry 20 vials of ketamine between September and October 2023, costing $55,000.

He was the one who taught Iwamasa, who had no medical knowledge to inject the drug. This is after he knew that “Perry’s ketamine addiction was spiralling out of control,” as per what the investigators told the BBC.

Another dealer Fleming was told by Sangha to “delete all our messages.” While Fleming pleaded guilty to conspiring to distribute drugs unlawfully, he also allegedly messaged Sangha: “Please call...Got more info and want to bounce ideas off you. I’m 90% sure everyone is protected. I never dealt with [Perry] only his assistant. So the assistant was the enabler.”

The court documents also revealed that he asked Sangha on whether the ketamine stays in your system or “is it immediately flushed out.”

Dr Pepper, Bots, Cans

The people who allegedly exploited Perry used coded language for ketamine and called it “Dr Pepper”, “bots”, or “cans.”

Selling overpriced drugs, taking advantage of Perry’s mental condition and falsifying medical records to make the drugs given to him look legitimate by Dr Plasencia is what took Perry’s life.

Iwamasa is said to have administered more than 20 shots of ketamine and three on the day Perry died. Whereas ketamine is only administered by a physician. Authorities also found that weeks before Perry’s death, Dr Plasencia allegedly bought 10 vials of ketamine and intended to sell to Perry.

He also injected Perry with a large dose, two days later. This caused him to “freeze up” and spiked his blood pressure.

When I Die, I Want Helping Others To Be The First Thing That’s Mentioned

Perry had always been open about his drug addictions, struggles with alcohol and his depression. He said that his openness would help others who are also struggling and wanted to be remembered by his quote which also is on the homepage of the Mattew Perry Foundation that helps others struggling with the disease of addiction: “When I die, I want helping others to be the first thing that’s mentioned.”

Five arrests have been made in the case so far.

Prime Minister Narendra Modi today launched the nationwide Human Papillomavirus (HPV) vaccination campaign for girls aged 14 years from Rajasthan's Ajmer.

The initiative marks a decisive step towards eliminating cervical cancer through timely HPV vaccination. Cervical cancer remains the second most common cancer among women in India. Nearly 80,000 new cases and over 42,000 deaths are reported annually in the country.

"Today, I have had the opportunity to launch the HPV vaccine campaign from Ajmer. This campaign is an important step towards empowering women and daughters of this country,” PM Modi said.

“For us, this was a sensitive issue tied to the insult of our sisters and daughters, one that made them ill. That is why we resolved it at a crucial turning point in their mission,” he added.

The World Health Organization has also lauded India's mission to launch the HPV vaccine and prevent the risk of cervical cancer.

“We are leaving no stone unturned to ensure that the daughters of the country are healthy and prosperous. The objective of this initiative is the prevention of cervical cancer," the Prime Minister, earlier wrote in a post on social media platform X.

The HPV Vaccination Campaign

The nationwide program, based on expert recommendations of the National Technical Advisory Group on Immunization (NTAGI), will target girls aged 14 years.

At 14, the HPV vaccine offers maximum preventive benefit, well before potential exposure to the virus.

"By prioritizing prevention at the right age, the program is expected to provide lifelong protection and significantly reduce the future burden of cervical cancer in the country," the government said.

“The HPV vaccine works best at 9-14 years, before exposure, and when the immune response is strongest. Studies show effectiveness is highest in younger age groups and decreases with age,” Dr. Parmod Kumar, Associate Professor in Medical Oncology, AIIMS Jodhpur, shared on X.

Vaccination under the national program will be voluntary and free of cost.

The HPV vaccination will be conducted exclusively at designated government health facilities, including Ayushman Arogya Mandirs (Primary Health Centers), Community Health Centers, Sub-District and District Hospitals, and Government Medical Colleges.

Cervical Cancer Burden In South East Asia

Despite being preventable, cervical cancer continues to claim the life of a woman every two minutes globally, and the WHO South-East Asia Region bears nearly one-quarter of the global burden.

Dr. Catharina Boehme, Officer-in-Charge, WHO South-East Asia, stated that the introduction of HPV vaccination at a national scale in India "will have a far-reaching impact". It will accelerate progress not only for the country, but for the region and the world, she said.

“This landmark step, led at the highest level of government, reflects India’s strong commitment to protecting adolescent girls from cervical cancer," said Dr. Boehme.

With today’s milestone, nine of the 10 countries in the Region now include HPV vaccination in their national immunization programs.

The WHO global targets for 2030 include vaccinating 90 percent of girls by age 15, screening 70 percent of women by ages 35 and 45, and ensuring 90 percent of women with pre-cancer and invasive cancer receive appropriate treatment.

72 tigers have died due to an illness in Thailand's Chiang Mai. This happened is the span of less than two weeks this month. Facilities of Tiger Kingdom Chiang Mai, have been concerned, as this is a park where visitors can touch and interact with the big cats.

As per a BBC report, the local livestock department said that samples from tigers showed canine distemper virus. However, authorities have not yet confirmed how the outbreak happened. The samples were collected from tigers' bodies, the chicken they eat and their surroundings.

In a news conference, officials told that the virus was no longer spreading and that no more tigers were dying. The officials also stated that no humans had been infected.

The remains of the tigers have been buried and a recommendation was made for the gravely ill tigers to be euthanized, said the authorities. Somchuan Ratanamungklanon, director of the national livestock department, previously told local media, "By the time we realized they were sick, it was already too late." He noted that it was harder to detect the sickness in tigers compared to animals like common household cats or dogs.

Read: This Zoonotic Disease Of Himalayas Is Re-emerging But Recognition Remains Poor

Previously, the provincial livestock office had told that preliminary tests showed the tigers were infected with feline parvovirus. While some local officials also suspected that the outbreak was stemmed from contaminated raw chicken meat that was fed to tigers as per the Bangkok Post.

As per the Thai PBS report, none of the veterinarians or other staff working in the Chiang Mai tiger enclosures had fallen ill from canine distemper virus. However, the disease control department said that they have been placed under observation for 21 days.

Canine Distemper: The Virus That Killed 72 Tigers In Thailand

As per the American Veterinary Medical Association, canine distemper is a contagious and serious disease caused by the canine distemper virus. The virus attacks the respiratory, gastrointestinal, and nervous system of canines, including dogs, cats, and other wild canines, which includes foxes, wolves, tigers, big cats, raccoons, and skunks, etc.

The signs of canine distemper includes:

• Discharge from the eyes and nose
• Fever
• Coughing
• Lethargy
• Reduced appetite
• Vomiting
• Diarrhea

There are certain neurological signs too that can be noted:

• Walking in circles, unable to follow a straight path
• Head tilt
• Lack of coordination
• Muscle twitches
• Convulsions with jaw-chewing movements (“chewing gum fits”) and drooling
• Seizures
• Partial or complete paralysis

Is Canine Distemper Contagious to Humans?

As per PetMD, there is no evidence that humans can get canine distemper. Blue Cross UK also states that canine distemper virus is not infectious to humans and poses no known health threat to people. While it could be related to human measles virus, it does not cross over to cause illness in humans.

Read: Is There A Difference Between Zoonotic, Non-Zoonotic And Reverse Zoonotic Diseases

How Did The Tigers In Thailand Get Canine Distemper?

Many animal right groups are blaming the poor living conditions of captives as the reason for the virus. They say that tigers used for entertainment in Thailand lived in unclean enclosures. As per the Wildlife Friends Foundation Thailand, the tigers' deaths exposed the "extreme vulnerability of captive wildlife facilities to infectious disease". "Tragedies like this would be far less likely to happen" if tourists "stayed away" from these attractions, Peta Asia said in a statement.

Tiger Kingdom Chiang Mai has been temporarily closed for two weeks to carry out the disinfection work.

In a world first, doctors have corrected the DNA of a teen from British Columbia, Canada, using new gene-editing technology under clinical trial, and cured him of his rare disease, raising hopes for scores of patients with such inherited diseases around the globe.

A new paper published recently in the New England Journal of Medicine described Ty Sperle, 19, as the first person to be cured of chronic granulomatous disease (CGD) -- a genetic condition where the body’s white blood cells do not work properly, increasing his risk of infectious disease -- by a treatment known as “prime editing”.

Ty was diagnosed with the condition at the age of five and has since been on pills, antibiotics, and antifungals. Yet, skin and soft-tissue infections, as well as an invasive bacterial infection in the lung, were quite frequent in his life.

“We have an immune system that I like to think of as a suit of armor that protects us, and because of Ty’s issue, he really had a big hole in that suit of armor,” Dr. Stuart Turvey, a pediatric immunologist at B.C. Children’s Hospital was quoted as saying in Global News.

"And so different bacterial or fungal infections could sneak in really at any time and cause serious or even life-threatening infections. So, it’s a tough disease to live with. People with this disease don’t live long, healthy lives," he added.

The Landmark Gene-Editing Technology

Ty became the first person to take part in the clinical trial, set up by US-based Prime Medicine, where doctors utilized the technology to correct an error in the DNA of patients affected by CGD.

In the trial, Ty's blood stem cells were drawn and enriched before being treated with the gene editing product.

"The product contains the necessary components to target and correct the mutation in the gene responsible for the condition, NCF1," the B.C. Children’s Hospital shared in a statement.

Ty was discharged after spending 24 days in hospital care. Follow-ups revealed that his immune system’s antimicrobial activity remained even durable six months later.

“When we got the call from Dr. Turvey, I was very excited as there were no cure options for me at that time,” Ty said.

“It was nerve-wracking for me as I was the first patient to volunteer for this procedure, and it seemed I was the only one, so it was scary," he said.

"I am thrilled with the result because I am cured of CGD and can live my life fully.”

What Is CGD?

CGD is an inherited disease that severely impacts the immune system and affects approximately one in 200,000 children.

Turvey, who treated Ty for more than a decade, said that the rare genetic disease leaves patients susceptible to infections that can turn serious, even fatal.

People with the condition have a dramatically reduced ability to fight illnesses and are extremely vulnerable to inflammatory conditions and bacterial and fungal infections.

While other treatments, such as hematopoietic stem cell transplantation, or a bone marrow transplant, can help patients with CGD, they work only in the case of an optimal healthy donor.