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.

Annual average heat-related deaths have increased by nearly 36% in the years following the Paris Agreement compared with the previous decade, according to the latest Lancet Countdown report.

The 2026 Lancet Countdown on Health and Climate Change report, released ahead of COP31, highlights how climate change is increasingly threatening health and survival worldwide, even as climate action begins to deliver measurable benefits.

The report also comes amid a strengthening El Niño event this year, which is expected to influence global temperatures and rainfall patterns in the coming months.

Climate Change's Growing Global Health Burden

The report identifies three key findings:

• Growing health burden: Climate-related health impacts have accelerated over the past decade as greenhouse gas emissions continued to break records.
• Uneven climate gains: Climate commitments since the Paris Agreement have delivered measurable health benefits, but progress remains too slow and uneven.
• Urgent action needed: Climate change must be recognised as a global health emergency, with equitable, evidence-based action prioritising health and survival.

“Climate change is already harming health in every region of the world, and the evidence shows that many of these impacts are accelerating,” said Dr Diarmid Campbell-Lendrum, Head of the Climate Change, Air Quality and Energy and Health Unit at WHO.

Also read: 'Humanity Can Still Act': Lancet Warns Of 17 Global Health Threats By 2100

Heat-Related Deaths and Drought Rising

In 2023 alone, heat was linked to a record 710,000 deaths globally, with more than 70% of this burden attributable to human-caused climate change.

Extreme drought affected nearly 52% of the world's land for at least one month in 2025. The report also highlights increasing exposure to hydrological extremes and economic losses linked to heat exposure.

Climate Change Increasing Health Risks in India

According to the report, Half of the heatwave days Indians experienced between 2016 and 2025 were attributable to climate change.

Indians also faced more than 2,600 hours annually when temperatures posed a moderate or higher risk of heat stress during outdoor activities such as brisk walking. This was over 200 hours more than the average recorded in the 1990s.

Rising temperatures also contributed to an estimated 64 hours of sleep lost annually between 2021 and 2025, approximately three hours more each year than during 1986–2005.

Climate change is also increasing the climatic suitability for dengue and malaria transmission in India.

Read More: Climate Change And Gut Health: How Heat, Drought And Unsafe Water Raise Risks, Global Experts Warn

Clean Energy Investments Offer Hope

The report notes progress in climate-resilient health systems, including greater adoption of national health adaptation plans and climate-informed early warning systems.

Global investment in clean energy reached a record US$2.1 trillion in 2025. Countries that have reduced fossil fuel-related air pollution are also estimated to be preventing thousands of premature deaths each year.

Lancet Countdown Calls for Climate Emergency Recognition

The 2026 report brings together 146 researchers from more than 100 institutions across over 30 countries. The authors call for climate change to be formally recognised as a global health emergency, with health considerations integrated into climate mitigation, adaptation and financing decisions.

Priorities include reducing greenhouse gas emissions, increasing adaptation funding and strengthening health systems.

"Climate action is a health intervention. Cleaner energy, stronger health systems and early warning systems are saving lives today,” Campbell-Lendrum said.

El Niño Could Further Intensify Health Risks

The World Meteorological Organization (WMO) has forecast above-average temperatures across large parts of the world in 2026, with the strengthening El Niño expected to alter rainfall patterns and increase the risk of drought in some regions and floods in others.

For October-November-December, the seasonal average Niño 3.4 sea surface temperature anomaly is forecast to reach approximately +3.7°C, peaking around December. This is the highest since observations began and is stronger than the previous record of + 2.6 °C in November 2015-January 2016.

These conditions could further intensify heat exposure, disrupt water and food supplies and increase the risk of climate-sensitive diseases, including dengue and malaria, the WMO said, adding that forecasts indicate a near-100 per cent likelihood that it will persist through February 2027.

Irish middle-distance runner and two-time Olympian Ciara Mageean has died at the age of 34 after battling stage 4 bowel cancer. Her death, announced by her family on November 1, comes 16 months after she publicly revealed her diagnosis.

Mageean represented Ireland at the 2016 Rio and 2020 Tokyo Olympic Games. She won the women's 1,500m gold at the 2024 European Athletics Championships in Rome, becoming only the second Irish athlete to win an individual European title.

Her family announced her death in a statement on social media, saying, "At 6:30am this morning, Ciara lost her battle with cancer surrounded by her loved ones."

The athlete had revealed her cancer diagnosis in July 2025. In a subsequent interview with Irish broadcaster RTÉ, she spoke about the symptoms she initially noticed but how she attributed them to digestive problems.

"I would get up in the morning and I would need the toilet four times. I thought, 'That's not normal,'" she said.

She also described experiencing abdominal cramps and initially wondered whether something she had eaten had upset her stomach.

"I kept finding logical reasons for it, which many people would. I thought, 'Oh great, on top of everything else, I have an irritable bowel.'"

Mageean said her partner, Thomas Moran, encouraged her to seek medical advice. Further investigations revealed that she had stage 4 bowel cancer, which had spread to her liver and lungs.

Also read: India Cancer Drug Price Cuts: New Analysis Reveals 159 Out Of 643 Brands See No Reduction

Bowel Cancer Symptoms In Young Adults

Bowel cancer, also called colorectal cancer, develops in the colon or rectum. Although the risk increases with age, younger adults can also develop the disease. According to the NHS, symptoms can include:

• Changes in bowel habits: Chronic diarrhoea, constipation, softer stools or needing to use the toilet more frequently than usual.
• Blood in stools: Blood may appear bright red or make stools look dark or black.
• Abdominal pain: Persistent stomach cramps, discomfort or bloating.
• Feeling that the bowel has not emptied completely: A continuing urge to pass stools even after using the toilet.
• Unexplained weight loss: Losing weight without changes in diet or physical activity.
• Constant fatigue: Feeling unusually tired or breathless, sometimes due to anaemia caused by blood loss.

Also read: Colorectal Cancer Rates Rising in US Across Nearly All Age Groups After 20 Years of Decline

Why Bowel Cancer Can Be Overlooked In Younger People

One challenge in diagnosing bowel cancer in younger adults is that its symptoms can overlap with common digestive conditions like irritable bowel syndrome (IBS), haemorrhoids and inflammatory bowel disease.

Changes in bowel habits, abdominal cramps and bloating may therefore be attributed to dietary changes, stress or gastrointestinal infections.

However, unexplained symptoms should be assessed clinically. Rectal bleeding, ongoing changes in bowel habits, unexplained weight loss and fatigue should not automatically be attributed to benign digestive problems.

A family history of colorectal cancer, particularly in a close relative diagnosed at a young age, can also increase a person's risk.

Doctors may recommend blood tests to check for anaemia, stool tests such as the faecal immunochemical test (FIT), or further investigations including a colonoscopy, depending on the symptoms and clinical assessment.

An experimental pancreatic cancer vaccine triggered an immune response against genetic mutations related to cancer in nearly 99% of patients according to a Phase 2 clinical trial. This has offered a new treatment strategy in tackling one of the deadliest cancers.

The vaccine, called camupepimut, is designed to train the immune system to attack cancer cells carrying mutations in the KRAS gene. The findings, published in Nature Medicine, come from a randomised trial led by researchers at Mayo Clinic.

KRAS mutations are found in approximately 90% of pancreatic ductal adenocarcinomas, the most common type of pancreatic cancer. These mutations help cancer cells grow and survive, making the gene an important target for researchers developing new treatments.

The trial included 144 patients with KRAS-mutated pancreatic cancer who had undergone surgery and chemotherapy. None had visible signs of cancer on imaging when they entered the study. Researchers randomly assigned 96 patients to receive the vaccine, while 48 were placed in an observation group.

Of the 90 vaccinated patients whose immune responses could be evaluated, 89, or 98.9%, developed increased T-cell responses against mutated KRAS. In more than 80% of these patients, the immune response was over nine times stronger than before vaccination.

How Does The Pancreatic Cancer Vaccine Work?

Also read: Top Neurologist Says Stroke Could Be First Sign of Undiagnosed Cancer: Red Flags to Know | Interview

Camupepimut is an investigational therapeutic cancer vaccine designed to target seven common mutations in the KRAS gene.

Unlike preventive vaccines that protect people against infections that can cause cancer, therapeutic cancer vaccines aim to help the immune system recognise and attack cancer cells.

The vaccine is designed to direct an immune response towards the body's lymph nodes, where immune cells are activated. It stimulates T cells, a type of white blood cell that can identify and destroy abnormal cells carrying specific mutations.

The researchers found that the vaccine activated both CD4 and CD8 T cells. These immune cells play different roles in recognising abnormal cells and coordinating attacks against them. Also, among patients who could be evaluated at least 46 weeks after starting vaccination, 95.5% continued to show a detectable KRAS-specific T-cell response.

"Historically, pancreatic cancer has been very difficult to treat with immunotherapy," said Ben George, a Mayo Clinic medical oncologist and lead author of the study.

"What is encouraging is that we were able to generate a strong immune response against KRAS mutations in nearly every patient we evaluated. In an exploratory analysis, patients with greater immune responses to the vaccine appeared protected with longer disease-free survival times."

Did The Vaccine Prevent Pancreatic Cancer From Returning?

Despite the strong immune response, the trial did not establish that camupepimut prevents pancreatic cancer recurrence.

There was no significant difference in survival without disease between the vaccinated and observation groups, which was the trial's primary outcome.

Median disease-free survival was 23.8 months among patients who received the vaccine, compared to 21.2 months in the observation group.

Researchers did, however, find a link between stronger immune responses induced by vaccines and longer periods without disease recurrence.

The researchers also identified possible differences in response based on patients' previous treatment. Those who had received radiation therapy developed weaker immune responses related to KRAS because radiation was associated with lower levels of lymphocytes, which are important immune cells.

These findings may help researchers identify which patients are more likely to benefit from the vaccine, but they are not yet sufficient to guide treatment decisions.

"We've shown that we can teach the immune system to recognize these KRAS mutations," Dr George said. "The next step is finding out whether doing that can change the course of the disease for patients."

Currently, researchers are planning a Phase 3 clinical trial to investigate whether camupepimut can improve outcomes for patients with pancreatic cancer.