“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.

Planning an overseas holiday this summer? The UK government is urging British travellers to be aware of the dangers of methanol poisoning.

The warning comes after reports of British nationals becoming seriously ill or dying after unknowingly consuming alcohol tainted with methanol in popular tourist destinations.

The UK government has now added warnings about methanol poisoning to its travel advice for 29 destinations, including popular holiday hotspots such as Indonesia, Laos and Vietnam.

"We are working to raise awareness of the warning signs of methanol poisoning and urge anyone who suspects they may have been exposed to seek immediate medical attention, helping British nationals stay safe overseas," said Minister for Consular Hamish Falconer MP.

He urged travelers to check the latest travel advice before departure and act immediately if they suspect methanol poisoning.

UK Launches 'Know the Signs' Campaign

Also read: Cyclospora Parasite: CDC, FDA Trace Outbreak In 5 States To Taco Bell Lettuce Supplier

As part of its 'Know the Signs' campaign, the Foreign, Commonwealth & Development Office (FCDO) has released new videos featuring the families and friends of British nationals who died after unknowingly drinking methanol-contaminated alcohol overseas.

The campaign includes first-hand testimonies from survivors and bereaved families to raise awareness of the warning signs and encourage travelers to seek urgent medical help if methanol poisoning is suspected.

"No one expects a holiday to end in tragedy, yet methanol poisoning can have devastating—and sometimes fatal—consequences. The courage of survivors and bereaved families in sharing their experiences will help raise awareness and could save lives," Falconer added.

What Is Methanol?

Methanol is a highly toxic industrial alcohol that can sometimes be present in counterfeit, illegally produced or contaminated alcoholic drinks.

As little as 30 ml—about one shot—can be fatal for an adult, while even smaller amounts can cause permanent blindness, brain damage and other life-threatening complications.

One of the biggest dangers is that there is no reliable way to tell whether alcohol has been contaminated. Symptoms often do not appear until 12 to 24 hours after drinking, delaying life-saving treatment.

Know the Warning Signs

Read More: Botulism Cases Surge in UK: MHRA Issues Botox Safety Warning Over Rare Life-Threatening Side Effect

Early symptoms of methanol poisoning may resemble ordinary alcohol intoxication or a hangover, making it easy to miss.

Warning signs include:

• Nausea and vomiting
• Dizziness
• Confusion
• Severe headache
• Blurred or disturbed vision
• Difficulty breathing

Vision problems and breathlessness typically develop 12 to 48 hours after consuming contaminated alcohol.

Anyone experiencing these symptoms after drinking alcohol abroad should seek emergency medical attention immediately, as early treatment can be life-saving.

How to Reduce Your Risk

The UK government advises travellers to:

• Buy alcohol only from reputable bars, restaurants, hotels and licensed retailers.
• Choose sealed bottles or cans whenever possible.
• Avoid homemade, bootleg or street-sold alcohol.
• Do not accept free shots or cocktails from unknown sources.
• Be cautious of unusually cheap or heavily discounted alcoholic drinks claiming to be premium brands.
• Take extra care with spirit-based drinks served as shots, cocktails, buckets or "on the rocks."
• Check the latest travel advice before travelling.

The US Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) have traced an ongoing Cyclospora outbreak in at least five states to shredded iceberg lettuce supplied to select Taco Bell restaurants.

The agencies have advised consumers: "Do not eat shredded iceberg lettuce from Taco Bell locations in Indiana, Kentucky, Michigan, Ohio, and West Virginia."

The FDA identified Taylor Farms as the supplier of the shredded iceberg lettuce served at the affected Taco Bell locations, where it is linked to illnesses in more than 1,644 people.

Taylor Farms is one of the world's largest producers of fresh salads and ready-to-eat foods, with production facilities across the US, Canada, Mexico, and Western Europe.

The FDA is working with the company to determine whether the contaminated lettuce was distributed to other businesses. Taco Bell has voluntarily removed the affected ingredients from the impacted restaurants.

The Cyclospora outbreak has been reported in more than 30 states. The CDC said this investigation is separate from other Cyclospora outbreaks currently being monitored nationwide.

Also read: H5N1 Bird Flu Reaches New Zealand; 12 Human Infections Reported Worldwide

Michigan Worst Affected

Michigan has reported the highest number of cases, with state officials identifying leafy lettuce as the leading suspected source after interviewing more than 1,000 patients.

As of July 16, the state had reported more than 4,300 cases and at least 100 hospitalizations linked to the outbreak.

More Than 5,100 Cases Under Review

According to the CDC, 1,645 confirmed US cases have been reported since May 1, while more than 5,100 cases are under review to determine whether the infections were acquired domestically.

No deaths have been reported, although officials warned that confirmed case numbers could continue to increase through the end of August.

Taco Bell Responds

Earlier this week, Taco Bell said it has voluntarily and temporarily removed limited fresh ingredients from select restaurants as a precaution.

Notices posted at some Detroit-area Taco Bell restaurants last week informed customers that the chain was temporarily unable to serve lettuce, cilantro, onions, pico de gallo, and guacamole due to a nationwide recall, according to media reports.

The company said it will continue to monitor the situation and follow guidance from public health authorities.

"The health and safety of our guests is our top priority," Taco Bell said in a statement.

How to Reduce Your Risk

Health officials recommend:

• Avoid eating shredded iceberg lettuce from affected Taco Bell locations.
• Wash all fresh fruits and vegetables thoroughly under clean running water, even if they are labeled pre-washed.
• Follow safe food-handling practices.
• Stay updated on food recalls and outbreak alerts.
• Contact a healthcare provider if symptoms develop.

Experts also recommend choosing whole heads of lettuce instead of bagged greens. Remove the outer leaves, wash the inner leaves thoroughly under running water, and cook produce whenever possible, as heat is the most effective way to kill Cyclospora.

Symptoms of Cyclospora Infection

Cyclospora cayetanensis is a microscopic parasite that causes cyclosporiasis, a foodborne intestinal illness. People become infected after consuming contaminated food or water.

Symptoms usually begin about one week after exposure, although they can appear anywhere from two days to more than two weeks later. Common symptoms include:

• Prolonged watery diarrhea
• Loss of appetite
• Weight loss
• Stomach cramps
• Bloating
• Nausea
• Fatigue

The CDC also advises people with persistent diarrheal illness to specifically request testing for Cyclospora, as routine stool tests do not always screen for the parasite.

The highly pathogenic avian influenza (H5N1) virus has been detected in New Zealand for the first time, raising concerns for the country's native birds.

NZ health authorities confirmed the virus in a wild seabird while stressing that there is currently no evidence of wider transmission within the country.

The infected bird, a brown skua, was found on Petone Beach in Wellington on July 10 and tested positive for H5N1. The detection comes just weeks after the virus was confirmed in Australia, a development that had prompted New Zealand authorities to prepare for its possible arrival. the country now confirming 14 infections.now confirming 14 infections.

New Zealand Biosecurity Minister Andrew Hoggard said the case appears to be isolated.

"There is no evidence of any mass mortality in wildlife or transmission between wild birds in New Zealand," Hoggard said, while urging the public to remain vigilant and report sick or dead birds.

Health and wildlife officials have launched enhanced surveillance to determine whether additional infections emerge in wild bird populations.

Global Human Cases Remain Rare but Serious

Also read: Australia’s H5N1 Detection Marks End Of Last Virus-Free Continent

The latest H5N1 detection comes as the US Centers for Disease Control and Prevention (CDC), in June, reported identifying 12 human H5N1 infections outside the US between August 4, 2025, and June 10, 2026.

According to the CDC, the cases were reported in:

• Bangladesh
• Cambodia
• India

Importantly, the CDC said no person-to-person transmission was identified in any of these cases. Most infections occurred after direct or close contact with infected poultry or other sick animals.

The agency said the international cases do not change its assessment that the risk of H5N1 to the general public remains low, but they reinforce the need for continued monitoring.

Cambodia's Ministry of Health on July 9 confirmed the fifth H5N1 human infection of 2026, in a 9-month-old girl from Phnom Penh. It is the 39th case in the country in the last three years.

Why Surveillance Matters

The CDC noted that sporadic human infections are expected as H5N1 continues circulating widely among wild birds and poultry across multiple regions.

"While rare, these H5N1 bird flu cases in humans underscore the need for strong systems to monitor and prepare for influenza," the agency said, calling for robust surveillance and testing.

Read More: Cyclosporiasis Outbreak: US Probes Taco Bell Link; CDC Reviews Over 5,100 Cases

Bird Flu Viruses That Can Infect Humans

Scientists have identified five avian influenza virus subtypes capable of infecting humans:

• A(H5)
• A(H6)
• A(H7)
• A(H9)
• A(H10)

Although the overall risk to the public remains low, health experts called for continued surveillance in birds, animals, and humans, which will be essential as H5N1 continues to spread geographically.

How To Protect Yourself

Health authorities recommend the following precautions:

• Avoid direct contact with sick or dead wild birds and other animals whenever possible.
• Observe wildlife from a safe distance.
• Wear appropriate personal protective equipment (PPE) if handling sick or dead birds or animals is unavoidable.
• Avoid touching surfaces contaminated with bird droppings, saliva, mucus, litter, or bedding from infected or suspected animals.
• Do not consume raw milk or raw milk products, particularly from animals suspected or confirmed to be infected with avian influenza.
• Report sick or dead birds to local authorities if encountered.