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.

A popular over-the-counter eye drop has been recalled across the US over concerns that the product may not be sterile, raising the risk of contamination and potential eye infections.

Prestige Brands Holdings has voluntarily recalled 39,060 bottles of Clear Eyes Maximum Itchy Eye Relief, according to the FDA. The recall includes a specific lot of the product.

The recall is particularly important because eye drops are applied directly to the eyes, which means contaminated products can bypass some of the body's natural protective barriers.

Which Clear Eyes Eye Drops Are Recalled?

Consumers who have been using this brand's eye drop must check for the following details:

• Product: Clear Eyes Maximum Itchy Eye Relief
• Bottle size: 15 mL (0.5 fl oz)
• Lot: 2552A
• Expiration date: September 30, 2027
• NDC: 67172-999-01
• UPC: 6 78112 65920 3
• Quantity recalled: 39,060 bottles

The company initiated the voluntary recall on July 29, 2026, and the FDA classified it as a Class II recall on August 14.

A Class II recall means exposure to the affected product could cause medically reversible health consequences, although the likelihood of serious harm is considered remote.

Also read: UK Salmonella Outbreak May Be Linked to Imported Eggs: 1 Dead, 200+ Ill—How to Stay Safe

Why Is Contamination In Eye Drops A Serious Concern?

Eye drops are different from other medicines as they are intended to be strictly sterile at all times. The FDA notes that ophthalmic medicines pose a heightened risk because they could bypass some of the body's natural defences.

Contaminated eye drops can introduce microorganisms directly onto the eye and potentially cause infection.

Depending on the type and severity of contamination, an eye infection can cause symptoms ranging from redness and irritation to pain, discharge, vision changes and, in severe cases, serious damage to the eye. This is why sterility is a major safety requirement for ophthalmic products.

This particular recall is based on a potential contamination and lack of assurance of sterility. It does not mean that every bottle is contaminated or that everyone who used the product will develop an infection.

The FDA has not indicated that every user of the recalled product will experience adverse effects. However, consumers who have a recalled bottle should stop using it rather than taking the risk.

Also read: After FDA Crackdowns, Karnataka Launches QR Code To Report Food & Drug Safety Violations Instantly

What Should You Do If You Have The Recalled Eye Drops?

If you have the recalled bottle of eye drops, check the lot number and expiration date on the packaging. If your bottle matches the recalled product, stop using it.

Consumers should also follow the recall instructions for returning or disposing of the product and can contact a healthcare professional.

The FDA also advises people to stop using eye drops and seek medical advice if they develop eye pain, discharge, changes in vision or significant discomfort.

One Of Many Eye-Drop Recalls

The latest recall comes amid a broader series of eye-drop safety concerns in the US. In recent months, other eye-drop products have also been recalled over sterility concerns and potential contamination. For example, nearly 12 million cartons of certain Rohto Cooling Eye Drops were recalled in July because sterility could not be assured.

The FDA says it continues to monitor ophthalmic products through sampling and testing, because contaminated eye drops have previously been linked to infections and serious eye complications.

A US woman undergoing routine knee surgery at a Nashville hospital was left paralyzed following a medical mistake in which potassium was reportedly given instead of the intended anesthetic.

Speaking to the media, her daughter-in-law said that while the 72-year-old’s knee replacement went well, potassium administered during spinal anesthesia instead of bupivacaine has left her paralyzed.

“The joint replacement went wonderfully. Her knee is great. The rest of her is not,” daughter-in-law Kristina Dorton was quoted as saying by WSMV.com.

What Went Wrong During the Knee Surgery?

On August 14, her mother-in-law went in for a routine knee replacement at Ascension Saint Thomas Hospital Midtown. Everything appeared normal for the healthy 72-year-old until the surgical team realized that she had been given the wrong medicine during spinal anesthesia.

“It was supposed to be the anesthetic. It was supposed to be Bupivacaine, and it was potassium, and we don’t know what quantity,” Dorton said.

According to Dorton, when her mother-in-law woke up from surgery, she was sent to the intensive care unit. While the knee replacement was successful, her family is worried that she may never be able to feel her knee or any part of her lower body again.

“Currently, she has zero feeling, movement, or response to pain from her breastbone down. We don’t know what recovery looks like or if there is recovery,” Dorton said.

Four Patients Reportedly Impacted

According to media reports, the woman was not the only patient affected. An investigation found that as many as four patients were impacted by similar “events” involving the administration of the wrong medication at Ascension Saint Thomas Hospital Midtown.

“Our hearts are with the four patients and their families impacted by this event. On behalf of our leadership and care teams, I am deeply sorry for the harm caused to our patients,” Dr. Shubhada Jagasia, president and CEO of Ascension Saint Thomas Hospital’s Midtown, said in a statement.

However, hospital officials did not confirm whether the other patients also received potassium instead of the intended anesthetic, stating that they would not provide specific clinical details to protect patients’ privacy.

While Jagasia said the hospital is ensuring that affected patients have access to the resources and ongoing care they need, Dorton said treatment aimed at reversing her mother-in-law’s paralysis has not worked.

“This is life-changing. You don’t come out of this without some type of life-altering, catastrophic deficit,” Dorton said.

“We just are hoping that publicizing this gets some sort of genius somewhere that knows what to do… Time is of the essence here for recovery,” Dorton added.

When Can Potassium Turn Dangerous?

Potassium is an essential mineral that helps the body function. While it plays important roles in blood pressure regulation, bone health and kidney function, having too much potassium in the blood can lead to serious and potentially life-threatening problems.

Too much potassium in the blood is known as hyperkalemia. Severe hyperkalemia can affect the heart’s electrical activity and cause dangerous abnormal heart rhythms or cardiac arrest.

Potassium is also not used as an anesthetic agent. During medical care, potassium levels must be carefully managed because changes in this electrolyte can significantly affect heart and muscle function.

A personalized mRNA cancer vaccine developed by pharma giants Moderna and Merck has shown promise for patients with melanoma, a potentially deadly form of skin cancer, in a late-stage trial.

The vaccine, called intismeran autogene, or mRNA-4157/V940, is custom-made for each patient using the unique genetic blueprint of their tumor.

The Phase 3 results build on earlier Phase 2b findings and showed that the combination of intismeran and Keytruda reduced the risk of cancer recurrence or death by 49% and reduced the risk of distant cancer spread or death by 59% up to five years.

“These Phase 3 findings represent a pivotal moment for the field of cancer research. For many years, the idea of creating an mRNA treatment designed specifically for an individual patient's cancer was aspirational. We are now helping turn that vision into a reality,” said Stéphane Bancel, CEO of Moderna.

Trial Shows Longer Cancer-Free Survival

The Phase 3 INTerpath-001 trial met its primary endpoint of recurrence-free survival (RFS) and a key secondary endpoint of distant metastasis-free survival (DMFS).

Intismeran autogene in combination with Keytruda demonstrated statistically significant and clinically meaningful improvements in RFS and DMFS compared with Keytruda alone.

The findings were seen in patients with stage IIB, IIC, III, or IV cutaneous melanoma who had undergone complete surgical removal of their cancer and had not previously received systemic therapy.

The companies, however, aim to continue evaluation of other key secondary endpoints, including overall survival.

What Is Intismeran Autogene?

Intismeran autogene is an experimental "neoantigen therapy" that uses specific mutations in a patient’s tumor to train the immune system to recognize and fight cancer cells.

The treatment is designed using a patient’s tumor sample to identify the unique mutational signature, or “fingerprint,” of their cancer and generate an anti-tumor immune response.

Each therapy contains synthetic mRNA coding for up to 34 neoantigens and is tailored to the unique biology of an individual patient’s tumor.

After administration, the RNA-encoded neoantigen sequences are translated in the body and presented to the immune system, helping generate specific T-cell responses against cancer cells.

How Was the Phase 3 Trial Conducted?

• 1,137 patients with high-risk, resected stage IIB-IV melanoma took part in the trial.
• Participants were randomly assigned 2:1 to receive either:
• Intismeran autogene + Keytruda
• Keytruda alone
• Intismeran was given every three weeks for up to nine doses.
• Keytruda was given every six weeks for up to nine cycles, for about one year.
• The trial assessed the safety and effectiveness of the combination compared with Keytruda alone.

Were There Any Safety Concerns?

The safety profiles of intismeran autogene and Keytruda in the trial were consistent with those observed in previously reported studies of the combination. No new safety signals were observed.

“Intismeran in combination with pembrolizumab has the potential to establish a new treatment paradigm in the adjuvant melanoma setting, helping patients remain cancer-free for longer,” said Professor Georgina Long, the study’s principal investigator and medical director of Melanoma Institute Australia.

Long said the results “represent a landmark moment for adjuvant melanoma treatment.”