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.

GLP-1 medications, widely prescribed for diabetes and weight loss, may also be associated with a lower risk of serious complications after surgery, a new study suggests.

The study, involving more than 2 million adults undergoing surgery, found that people taking GLP-1 medications had lower rates of major cardiovascular complications and postoperative infections than those not taking the drugs. Researchers from the University of Texas Health Houston presented the findings at the Anesthesiology 2026 annual meeting.

"GLP-1 medications have become part of everyday care for many people with diabetes or obesity, but physicians still need more evidence about how these drugs affect patients around the time of surgery," said lead author Josephine Tolan, an anesthesiologist at the Center for Outcomes Research, Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School at UTHealth Houston.

Tolan added that although the results are encouraging, more research is needed to determine if the medications themselves are driving these benefits and how best to manage them before and after surgery.

What Are The Key Findings

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Researchers analyzed data from the Epic Cosmos database, a de-identified electronic health record database covering more than 1,700 hospitals and 40,000 clinics.

The study included US adults aged 18 and older who underwent elective surgeries lasting more than 60 minutes and stayed in the hospital for at least 24 hours after surgery between January 2016 and December 2024. Of the 2,028,601 patients included, 145,610, or about 7%, were taking GLP-1 medications.

After matching GLP-1 users with similar patients who were not taking the drugs, researchers found that GLP-1 use was associated with:

• 11% lower odds of major cardiovascular complications, including heart attack, heart injury, stroke or death.
• 8% lower odds of postoperative infections, including surgical site infections, urinary tract infections, pneumonia and sepsis.

How Might GLP-1 Drugs Affect Surgical Outcomes?

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Previous research has shown that GLP-1 medications can lower the risk of cardiovascular problems in some patients. However, their effects during and after surgery remain less clear.

Surgery places stress on the body, can trigger inflammation and may cause changes in blood pressure, blood sugar and circulation, potentially increasing the risk of cardiovascular complications and infections, the researchers explained.

Further, they suggest that GLP-1 medications may be associated with fewer cardiovascular complications because they support weight loss, improve blood pressure and blood sugar control, reduce inflammation and may protect heart muscle during periods of stress.

These medications may also help reduce infection risk by improving blood sugar control. High blood sugar can weaken the body's immune response, making it harder to fight infections.

GLP-1 Drugs And Cardiovascular Health

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Research has found that people taking GLP-1 medications to treat diabetes, overweight or obesity have fewer major cardiovascular events, like heart attack or stroke, compared to people not taking GLP-1 medications.

In fact, the American College of Cardiology now recommends GLP-1 drugs as a way to reduce cardiovascular disease risk through weight loss.

When weight decreases, so does blood pressure, inflammation, LDL (bad) cholesterol and triglycerides, and protective factors like good (HDL) cholesterol increase. In other words, overweight or obese individuals who are prescribed a GLP-1 for weight loss may experience positive changes to their heart health, especially if they are at risk of heart disease.

Smokeless tobacco accounted for 57.3% of mouth cancers among men in India, while tobacco in any form estimated to be at least 73.4% of mouth cancers among women, according to a new study published in the Indian Journal of Medical Research.

The study, Head and Neck Cancer Burden Attributable to Tobacco Use in India: National and Region-wise Estimates, sheds light on the differences in tobacco-related cancer risks by sex, cancer site and region. The findings also bring attention to the role of smokeless tobacco products and their contribution to head and neck cancer burden in India.

The researchers estimated that eliminating tobacco exposure could prevent a bulk proportion of these cancers.

Smokeless Tobacco Linked To Mouth And Lip Cancers

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Researchers studied records of 11,285 patients diagnosed with head and neck cancers and 7,154 people with non-cancerous conditions who visited the Regional Cancer Centre in Thiruvananthapuram, Kerala, India between 2019 and 2024.

Among men, smokeless tobacco accounted for 61.8% of lip cancers, 30.7% of tongue cancers and 57.3% of mouth cancers.

On the other hand, almost 40.2% of cancers of the base of the tongue, tonsils and oropharynx, 45.7% of hypopharyngeal cancers and 38.4% of laryngeal cancers were attributed to smoking.

The authors highlighted how smoking and smokeless tobacco expose oral tissues to carcinogens. The authors wrote, “This may be because smokeless tobacco directly contacts the oral cavity, causing prolonged exposure of the tongue to carcinogens, whereas smoking produces more diffuse and less concentrated exposure.”

The study also found that 55.3% of men with mouth cancer used smokeless tobacco, compared to 17.5% of men in the comparison group. Among men diagnosed with hypopharyngeal cancer, 85% smoked.

High Burden Of Tobacco-Related Mouth Cancer Among Women

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Among women, smokeless tobacco accounted for around 68.8% of lip cancers and 68% of mouth cancers. Smoking accounted for 41% of oropharyngeal cancers and 34% of hypopharyngeal cancers.

The researchers estimated that the odds of mouth cancer among women who used smokeless tobacco were 17.6 times those among non-users. Among men, the corresponding odds ratio was 5.5.

Tobacco Cancer Risks Across States

The study also shows differences in tobacco-related cancer risks between states. Among men, the estimated proportion of mouth cancers due to smokeless tobacco was 71% in Jharkhand and 70.3% in Odisha.

In southern India, the estimates were 50.2% in Karnataka, 35.1% in Tamil Nadu, 33.9% in Telangana, 25.6% in Andhra Pradesh and 25.1% in Kerala.

Among women, the estimated proportion of mouth cancers due to smokeless tobacco exceeded 80% in Chhattisgarh, Odisha and several Northeastern states. In Tripura, it was around 90.4%.

The authors said that these differences could be due to regional variations in tobacco consumption and the products used.

However, the study used cancer risk estimates derived from hospital-based data in Kerala and applied them nationally because state-specific risk estimates were unavailable.

The authors addressed this limitation, stating, “In this study, due to limited State-specific data, cancer risk from tobacco exposures was assumed uniform nationwide.”

The researchers stressed the need for prevention by improving access to tobacco cessation services, especially in regions with high estimated burdens of tobacco-related cancers.

“The findings emphasise the need to strengthen tobacco cessation services, especially for high-risk men in regions with elevated population attributable fractions,” the authors wrote.

Health authorities in Australia's New South Wales have warned against unapproved peptide products after emergency department presentations linked to their use surged.

NSW Health recorded 1,180 peptide-related hospital presentations between July 2025 and September 2026, with about a quarter involving young people aged 16 to 24.

Retatrutide Accounts For 71% ER Visits

Retatrutide accounted for 71% of peptide-related emergency hospital admissions. Products described generically as “peptides” or by other names accounted for another 38%, while 8% involved combinations of products, News.com.au reported.

Peptides have gained popularity through social media, where influencers promote them for weight loss, muscle growth, injury recovery and anti-aging. However, unapproved products may have uncertain composition, quality and safety.

Peptide-Related Emergency Visits Rise 4,240%

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Monthly hospital emergency visits rose from five in July 2025 to 217 in September 2026, an increase of 4,240%. New South Wales Health Minister Ryan Park warned that unapproved substances posed health risks and placed additional pressure on public hospitals.

“Even when a product looks professional or comes in convincing packaging, that does not guarantee it is safe for use,” Park said.

Young people aged 16 to 24 accounted for about a quarter of presentations. Those aged 25 to 34 made up 32%, while 26% were aged 35 to 44. Men accounted for 51% of cases.

Health Risks Of Using Unapproved Peptides

Patients presenting to emergency departments after adverse reactions reported symptoms including

• abdominal pain,
• nausea,
• vomiting,
• chest pain,
• anaphylaxis
• allergic reactions.

Australia's Therapeutic Goods Administration (TGA) approves some peptide-based products, but many promoted online are not approved and may be unlawful to import, supply or advertise. These include BPC-157, GHK-Cu, TB-500, retatrutide and CJC-1295.

NSW Health Chief Health Officer Dr. Kerry Chant cautioned that products sold under the same label could vary in composition and strength.

“A professional looking website, a label, purity claim, reviews, or influencer endorsement is not proof of what is inside the product,” Chant said.

She urged people to consult their general practitioner about potential risks and safer, evidence-based alternatives.

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What Is Retatrutide, And What Are The Risks?

Retatrutide is an investigational obesity drug developed by Eli Lilly. It targets three hormone receptors involved in appetite, blood sugar and energy balance: GIP, GLP-1 and glucagon.

In a Phase 2 trial published in the New England Journal of Medicine, participants receiving the highest dose lost an average of 24.2% of their body weight over 48 weeks. A Phase 3 trial published in The Lancet reported nearly 21% average weight loss among participants with type 2 diabetes and obesity.

Despite these results, retatrutide remains investigational and is not yet FDA-approved.

There have been several unbranded, generic copies of the Retatrutide chemical sequence manufactured by unregulated chemical labs and sold online. It may not have verified composition, quality or strength.

The drug has been dubbed the “Godzilla” of weight-loss jabs. A recent report by the Daily Mail showed 129 symptoms associated with its use, including skin-burning sensations, panic attacks, a racing heartbeat and depression.

Professor Naveed Sattar, professor of cardiometabolic medicine at the University of Glasgow, warned against purchasing unlicensed weight-loss products online. “I would urge people to avoid buying unlicensed weight-loss products online,” he said, according to Daily Mail. “There is no certainty about what these products contain, and without proper regulatory oversight there is a risk of adverse effects.”