Pakistan continues to be dealing with a polio outbreak as four fresh cases have emerged, pushing the national tally to 37 this year, according to health officials on October 19, 2024. Health officials said that the regional reference laboratory for polio eradication at the National Institute of Health in Islamabad confirmed wild poliovirus type-1 (WPV1) in two children-one from each Balochistan and Khyber-Pakhtunkhwa.

In recent cases, a girl has been affected from Pishin, and two boys from Chaman and Noshki of Balochistan, and a girl from Lakki Marwat in KP. These are the first detections of the virus within Noshki and Lakki Marwat this year; isolated cases of poliovirus were previously reported within Chaman and Pishin. The province of Balochistan was the worst hit with 20 cases, Sindh had 10, Khyber Pakhtunkhwa had five, and Punjab and Islamabad had one case each.

A gigantic fight against polio has been on going in Pakistan- especially in Balochistan and southern KP-over the last two years. Immunisation campaigns have often been suspended or delayed because of local protests, insecurity, and community boycotts. Consequently, quite a number of children did not get the necessary vaccinations, making existing patches of vulnerability for the virus to flow within those pockets.

Noshki, located near Afghanistan's border, and Lakki Marwat have also recently reported some positive environmental samples that confirm the virus is present here, said a local reference laboratory official. Samples of latest cases are currently under genetic sequencing for checking spread of virus and origin.

As the threat of polio continues to grow, Pakistan has vowed to mount a nationwide campaign against it beginning from October 28. With the zeal to tackle the menace in the most effective manner, over 45 million children under the age of five will be vaccinated across the country.

Today, Afghanistan and Pakistan remain one of the few countries where polio has not yet been eradicated. The WHO said the virus remains a potential serious public health threat in areas with low vaccination coverage and weak surveillance.

India On Alert Against Polio

The country declared itself polio-free since 2014 and has kept the disease on bay almost a decade with very robust vaccination programs; however, two cases of vaccine-derived poliovirus cases reported in recent days from Meghalaya create some amount of doubts over a possible resurgence. Experts observe that in India, despite these detections taking place, strong coverage of vaccination at 90-95% and mandatory surveillance measures keep the risk of this widespread outbreak at bay.

The experts point out, however, that such stable situation in India requires continued surveillance. "Countries like Pakistan and parts of Africa remain at a high risk because vaccination rates in those areas are much lower," Dr. Siddharth, public health expert, said. Vaccination is an indispensable act in order to avoid the spread of this incapacitating disease that manifests most importantly as a nervous system affliction leading to the paralysis of a long period.

With concerted efforts from health authorities, there is hope someday that the scourge of polio will be completely eradicated from the face of the earth and future generations will never suffer from its effects.

Illinois Governor JB Pritzker has once again claimed that US President Donald Trump is "suffering from dementia," an allegation the White House has strongly denied.

Speaking to CNN, Pritzker said Trump is "a different man" than he was a decade ago.

Pritzker Questions Trump's Mental Fitness

"Look, the man is continually suffering from dementia," Pritzker said. "I don't think he really understands what he's saying."

He added that Trump often makes statements without fully thinking them through.

"This is a man who has threatened to jail the mayor of Chicago, the governor of Illinois. He regularly threatens to go after people and, indeed, has used the Department of Justice to go after people," Pritzker said.

According to Pritzker, Trump has "concepts in his head" that he tends to blurt out without careful consideration.

He also urged people to compare Trump's public appearances from 2015 and 2016 with his recent speeches and press conferences.

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"I really think that there's something genuinely wrong with him," Pritzker said.

However, Pritzker acknowledged that he is not medically qualified to diagnose the president.

'I'm Not a Doctor,' Pritzker, while criticizing what he described as Trump's increasingly disjointed speech patterns.

He said the way Trump "puts words and sentences together... they are almost divergent in the same sentences."

Read More: ‘Sea Or See?’ Donald Trump's Remark Sparks Fresh Cognitive Health Speculation

Trump's Health Under Scrutiny

Trump, who became the oldest US president in history after turning 80 this year, has faced growing public scrutiny over his health.

Recent public appearances have prompted speculation after observers noted swollen ankles, bruising on his hands, verbal slips and occasional episodes in which he appeared drowsy during meetings and international summits.

Some physicians have also publicly expressed concerns about the president's physical and cognitive health, although none have diagnosed him with dementia.

Also read: Did Donald Trump Take Eli Lilly's Weight Loss Drug? What Did White House Say

New Book Makes Fresh Claims

A recently released book, Regime Change: Inside the Imperial Presidency of Donald Trump, claims the president's medical condition is among the administration's most closely guarded subjects.

Written by The New York Times White House correspondent Maggie Haberman and investigative reporter Jonathan Swan, the book is based on more than 1,000 interviews conducted over three years.

According to the authors, Trump now prefers shorter public appearances, seated events and staying close to the White House, unlike his extensive travel schedule during the 2024 presidential campaign.

The book also describes Trump as more of a "homebody" during his second term and claims staff members observed that he was sleeping less while spending early morning hours watching television, speaking on the phone and posting on Truth Social.

White House Rejects Allegations

The White House dismissed the claims made in the book.

"President Trump's sharpness, unmatched energy, and historic accessibility stand in stark contrast to what we saw during the last administration when Democrats and the legacy media intentionally covered up Joe Biden's serious mental and physical decline from the American people," White House spokesperson Davis Ingle told the Daily Mail.

"President Trump is the sharpest and most accessible President in American history who is working nonstop to solve problems and deliver on his promises."

Trump Says He Is in 'Excellent Health'

Meanwhile, Trump has also repeatedly rejected allegations of cognitive decline or other serious health issues.

His most recent annual physical examination concluded that he is "in excellent health."

A 42-year-old woman in the UK recently shared the story of her decade-long battle with a parasitic brain infection called neurocysticercosis. Lowri Denman took a 3-month trip to India in 2007. Three years later, she passed a meter-long tapeworm that left her horrified. Years later, her health worsened in the worst way imaginable.

UK Woman Left With 38 Parasites After India Trip

Despite avoiding meat on her trip, Denman picked up the infection after she ate pork that contained microscopic tapeworm eggs.

After the doctor gave her a clean bill of health, she began experiencing headaches and seizures. A doctor's consultation and several diagnostic tests revealed that she had 38 parasites in her brain. After confirming her neurocysticercosis diagnosis, her treatment ensued to which she responded well. She spent a few years in good health.

But after some time, she developed swellings on her brain around the parasites that caused various new symptoms in her body. She ended up quitting her job and moved with her parents for medical care.

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Treatment, medication, and psychological stress affected her physical appearance and mental well-being. She experienced paranoia, psychosis, severe anxiety, and panic attacks. She also spent six weeks in a neuropsychiatric hospital.

After years of recovery, Lowri regained normalcy and returned to work in 2022. Her case turned out to be rare, went on to be discussed by many experts in the UK and the US.

Lowri did not have any surgery to remove the parasites from her brain. The parasites have now calcified in her brain. She will remain on epilepsy medication for the rest of her life.

Lowri is now determined to spread awareness about the disease using her experience.

Also read: Uganda On Alert Over Suspected Marburg Virus Outbreak

All About Neurocysticercosis

Neurocysticercosis is a parasitic brain infection that also affects the spinal cord. It is caused by the larval stage of the pork tapeworm, Taenia Solium. It is the leading cause of acquired epilepsy in several underdeveloped and developing nations.

Neurocysticercosis occurs when a person swallows tapeworm eggs, usually through food or water contaminated with feces from someone carrying the adult tapeworm. The eggs then hatch in the body, travel through the bloodstream, and form cysts in the brain.

The symptoms of neurocysticercosis depend on the basis of the size and number of the cysts. They include:

• Seizures

• Headaches

• Nausea and vomiting

• Weakness or numbness

• Vision problems

• Difficulty with balance and coordination

• Difficulty in thinking and focusing

Its prevention includes maintaining good hand hygiene, ensuring proper sanitation and sewage disposal, consuming thoroughly cooked pork, and identifying and treating people who carry the adult tapeworm. Preventing pigs from accessing human feces is also a preventative measure.

Although neurocysticercosis is uncommon in many developed nations; it still occurs, especially in people who have lived or traveled to regions where the parasite is endemic.

At least 17 US states have reported cases of watery diarrhea, nausea and fatigue caused by the parasite Cyclospora cayetanensis.

According to the US Centers for Disease Control and Prevention (CDC), 145 people aged between five and 86 contracted the parasite between May 1 and June 16.

Twenty of those infected have been hospitalized. The infections have been reported across 17 states, with the highest number of cases recorded in New York.

"Local, state and federal (CDC, FDA) public health authorities are investigating several clusters of cases in more than one state. Investigations to identify potential sources are ongoing," the CDC said in its update on the outbreak.

Which States Are Reporting Cases?

New York has reported the highest number of cases, with between 31 and 80 infections, according to The Independent. Illinois and Texas have each reported between 11 and 30 cases. Other affected states include:

• Alaska
• Colorado
• Connecticut
• Florida
• Georgia
• Louisiana
• Massachusetts
• New Jersey
• North Carolina
• Ohio
• Pennsylvania
• Tennessee
• Virginia
• Wisconsin

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Cases Typically Rise During Summer

Cyclospora infections usually increase during the summer months, and the CDC considers May 1 through August 31 to be the peak cyclosporiasis season. No deaths have been reported in the current outbreak.

As of June 16, the CDC had also recorded 45 travel-related cases of cyclosporiasis among people who became ill after consuming contaminated food or water outside the United States.

Three of those patients were hospitalized, but no deaths have been reported.

Health officials believe the current outbreak is linked to contaminated food consumed within the United States. Most of the affected patients had not travelled outside the country before becoming ill.

The officials are still working to identify the specific food item responsible for the outbreak.

What is Cyclospora cayetanensis?

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Cyclospora cayetanensis is a parasite that leads to the illness Cyclosporiasis -- a form of food poisoning.

One can get a Cyclospora infection from contaminated food or water. It causes watery diarrhea and other intestinal symptoms.

A Cyclospora infection can be mild or very serious, and may last weeks or months. It is typically treated with antibiotics.

People with weakened immune systems, such as those with HIV/AIDS or cancer, are more at risk of severe disease.

Symptoms Of Cyclospora Infection

Symptoms of cyclosporiasis usually start within a week of exposure (eating or drinking contaminated food or water) and include:

• Watery or explosive diarrhea
• Loss of appetite
• Bloating and gas
• Fatigue (extreme tiredness)
• Low-grade fever
• Nausea
• Stomach cramps
• Vomiting

How Can You Prevent A Cyclospora Infection

While it is not yet fully understood how Cyclospora gets into food and water, individuals can prevent cyclosporiasis by not consuming food or water that may be contaminated with feces.

The US CDC advises people to take measures to prevent the foodborne illness such as:

• Wash your hands with soap and water before and after handling or preparing raw fruits and vegetables
• Wash all fruits and vegetables thoroughly under running water before eating, cutting, or cooking
• Fruits and vegetables that are labeled "prewashed" do not need to be washed again at home
• Scrub firm fruits and vegetables, such as melons and cucumbers, with a clean produce brush
• Cut away any damaged or bruised areas on fruits and vegetables before preparing and eating
• Refrigerate cut, peeled, or cooked fruits and vegetables as soon as possible (within two hours).