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.

India's flagship health insurance scheme, Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), which covers more than 62 crore people, could soon offer higher financial protection if a key parliamentary recommendation is accepted.

A Parliamentary Standing Committee on Health and Family Welfare has recommended increasing the insurance cover under PM-JAY from the current Rs 5 lakh to Rs 10 lakh, according to a report by The Times of India.

The committee said the existing coverage is inadequate to meet the cost of several life-saving treatments, including liver transplants, complex cardiac surgeries, and immunotherapy.

Key recommendations

The panel has proposed:

• Increasing PM-JAY health insurance coverage from ₹5 lakh to ₹10 lakh.
• Introducing special high-cost treatment packages for expensive procedures.
• Adopting a differential pricing model for complex and advanced medical interventions.
Supporting higher coverage through:

• Pooled financing
• Negotiated pricing with hospitals and medical device manufacturers
• Co-funding mechanisms with states.

Recommendations To Improve Cashless Treatment

To improve the efficiency of the scheme, the committee also recommended:

• Strict enforcement of the six-hour turnaround time for pre-authorization of cashless treatment.
• Imposing penalties on hospitals or agencies responsible for unnecessary delays.
• Conducting regular audits of pre-authorization workflows.
• Expanding auto-approval for more low-risk procedures.
• Deploying AI-enabled case tracking to speed up approvals and improve transparency.

What is Ayushman Bharat PM-JAY?

Launched in September 2018, Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) is the world's largest government-funded health assurance program.

The scheme currently provides Rs 5 lakh per family per year for secondary and tertiary care hospitalization, covering around 12 crore families, representing the bottom 40 per cent of India's population.

It was later expanded to include around 6 crore senior citizens aged 70 years and above from 4.5 crore families, irrespective of their socio-economic status. The scheme also covers poor and vulnerable families, as well as gig and platform workers.

Recent milestones

Last month, West Bengal became the 36th state to implement the Centre's flagship health insurance scheme.

Union Health Minister J.P. Nadda recently said one of the government's biggest achievements has been reducing out-of-pocket healthcare expenditure, which has fallen from 64.6 per cent before 2018 to 43.4 per cent. He added that AB PM-JAY has enabled timely access to quality healthcare through a cashless, paperless, and fully digital platform.

According to the government, the scheme has achieved the following milestones:

• More than 44 crore Ayushman Cards have been created.
• Over 12 crore hospital admissions have been authorized under the scheme.
• Women account for nearly half of all beneficiaries.
• More than 104 crore health records have been linked to over 93 crore ABHA accounts.

Universal health coverage by 2033

In March, Finance Minister Nirmala Sitharaman told Parliament that the government aims to achieve universal health coverage by 2033.

Addressing the Rajya Sabha, she said health insurance has become a priority area for the government, with the sector covering 58 crore lives during 2024-25, according to news agency PTI.

"Health insurance is a priority for this government. In fact, we are hoping that by 2033 we will have insurance cover for all," Sitharaman said.

A diarrheal illness caused by the parasite Cyclospora cayetanensis is spreading across multiple US states, with federal health officials reporting a higher-than-expected number of cyclosporiasis cases this summer. While several outbreaks have been identified, investigators have yet to pinpoint a common source.

The US Centers for Disease Control and Prevention (CDC) is investigating clusters of infections in Illinois, New York, Pennsylvania, Texas, Michigan, Ohio, Alabama, Kentucky, Tennessee, Virginia and West Virginia. Some clusters have been linked to Mexican-style restaurants, a grocery chain and a catered event, but officials say there is no evidence yet that they are part of a single nationwide outbreak, CNN reported.

Meanwhile, the US Food and Drug Administration (FDA) is tracing fresh produce, including white and green onions, cucumbers and cilantro, as potential sources of contamination.

Michigan has reported the largest outbreak so far. As of July 6, the state had confirmed 678 cases of cyclosporiasis, according to the Michigan Department of Health and Human Services (MDHHS). The state typically records around 50 cases annually, making this year's outbreak more than 13 times higher than normal.

Ohio has also seen a sharp rise, reporting 177 cases as of July 2. Nearly 171 of those infections were recorded after June 20, with cases confirmed across 43 counties.

Nationally, excluding Michigan, the CDC reported 145 confirmed cases across 17 states between May 1 and June 16. At least 20 people have been hospitalized, though no deaths have been reported. Patients ranged in age from 5 to 86 years, with a median age of 42, and about 61% of cases were reported in women.

Why Is It So Difficult To Find The Source?

Experts say Cyclospora cayetanensis is much harder to trace than common foodborne bacteria such as E. coli and Salmonella.

Investigators often rely on DNA fingerprinting to connect bacterial infections to contaminated food through laboratory networks such as PulseNet. However, this approach is far less effective for Cyclospora because the parasite has a far more complex genetic makeup, making it difficult to link cases to a single food item or supplier.

Dr. Max Teplitski, former head of the Division of Food Safety at the US Department of Agriculture and now chief science officer at the International Fresh Produce Association, said the parasite remains one of the most difficult foodborne pathogens to investigate, contributing to delays in identifying the outbreak source, CNN reported.

How To Prevent Cyclospora Infection

The CDC recommends the following precautions to reduce the risk of infection:

• Wash your hands thoroughly with soap and water before and after handling fresh produce.
• Rinse fruits and vegetables under running water before eating, cutting or cooking them.
• Do not rewash produce labeled "prewashed."
• Scrub firm produce, such as melons and cucumbers, with a clean produce brush.
• Cut away bruised or damaged portions before eating.
• Refrigerate cut, peeled or cooked fruits and vegetables within two hours.

Cyclospora spreads through food or water contaminated with human feces and is not transmitted directly from person to person.

Dr. Darien Sutton, an emergency medicine physician and ABC News medical correspondent, stressed that proper handwashing is essential because alcohol-based hand sanitizers are not effective against the parasite.

"This type of parasite doesn't easily go away with alcohol-based hand sanitizer. So, good old handwashing is really key here," Sutton said.

The US Food and Drug Administration (FDA) has announced a recall of organic frozen blueberries sold at Publix stores across eight US states after they were linked to a potential outbreak of E. coli infections.

GreenWise Organic IQF Blueberries were first recalled by Frutas y Hortalizas del Sur S.A. of San Carlos, Chile, which supplied the product to grocery chain Publix. Publix then recalled the frozen blueberries from its stores on July 3, 2026, according to a company statement.

According to FDA, the outbreak has resulted in 12 confirmed cases of E. coli-related gastrointestinal illness, including four hospitalizations. The FDA also said it has received reports of illness after consumers ate the frozen blueberries.

While many strains of E. coli are harmless, the bacteria involved in this recall is Shiga toxin-producing E. coli (STEC).

"E. coli O145 is a Shiga toxin-producing E. coli (STEC) that can cause illness characterised by severe stomach cramps, diarrhoea (which may be bloody), and vomiting," the FDA said.

The agency added that although most healthy people recover within a week, some infections can lead to hemolytic uremic syndrome (HUS), a serious complication that can cause kidney damage, particularly in young children, older adults, and people with weakened immune systems.

Which States Are Affected?

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The recalled blueberries were distributed to Publix stores in:

• Alabama
• Florida
• Georgia
• Kentucky
• North Carolina
• South Carolina
• Tennessee
• Virginia

Which Blueberries Are Being Recalled?

The FDA advises consumers to check their freezers for the following product:

• Product: Frozen GreenWise Organic IQF Blueberries
• Package Size: 10 oz
• Lot Code: 60401
• Best By Date: February 9, 2028

Consumers who have the affected product should not eat it. Frutas y Hortalizas del Sur S.A. said it is working closely with regulatory authorities and customers. The company has instructed all customers who received the affected lot to immediately isolate the product, stop distributing it, and notify any downstream customers.

What Is E. coli?

Escherichia coli (E. coli) is a group of bacteria that normally lives in the intestines of humans and animals. Most strains are harmless and help with digestion. However, certain strains produce toxins that can cause serious illness when ingested through contaminated food or water.

What Happens During an E. coli Infection?

An E. coli infection most commonly affects the digestive system, causing:

• Watery diarrhoea
• Severe abdominal cramps
• Gastroenteritis
• Vomiting
• Mild fever
• Loss of appetite

Some infections, particularly those caused by Shiga toxin-producing E. coli, can lead to hemolytic uremic syndrome (HUS), a potentially life-threatening condition that damages the kidneys.

How to Protect Yourself From E. coli

You can reduce your risk of E. coli infection by:

• Washing your hands thoroughly with soap and water.
• Handling raw and cooked foods separately.
• Cooking food, especially meat, thoroughly.
• Washing fruits and vegetables before eating.
• Drinking safe, clean water and avoiding unpasteurised products.