Polio Outbreak in Pakistan
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.
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.
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The infant formula available on the US market is safe, according to results from the largest and most rigorous study by the Food and Drug Administration (FDA), released today.
Breast milk is widely known as the gold standard and optimal source of nutrition for infants whenever possible. However, as per the CDC, roughly 75 per cent of US infants are dependent on formula for the first six months, and for nearly 40 per cent, it is the exclusive source of nutrition.
The FDA noted that across 300 samples tested, an overwhelming majority had undetectable or very low levels of contaminants, affirming that the US infant formula supply is safe. But the federal agency plans to follow up with additional testing.
“We tested more infant formula than ever before, and the results are clear: most products meet a high safety standard—but even small exposures matter for newborns,” said Health and Human Services Secretary Robert F. Kennedy, Jr., in a statement.
“We will hold manufacturers accountable and give parents honest, transparent data they can trust. Protecting our children’s health is nonnegotiable," he added.
The study included more than 300 infant formula samples representative of products sold at retail across the US and included powders, ready-to-feed liquids, and concentrated liquids.
The samples were rigorously tested and analyzed in FDA laboratories. The results show that the overall levels of contaminants in the infant formula samples tested were low.
However, the FDA noted that it is following up with additional testing as part of the agency’s ongoing robust monitoring and oversight efforts and will take additional action where appropriate.
This includes conducting further testing, including for additional contaminants, continuing to engage with manufacturers on measures to reduce the levels of contaminants to as low as possible, and working to establish action levels for contaminants in infant formula.
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“You can judge a society by how it treats its most vulnerable members. That’s why we’re doing everything in our power to make sure our babies and infants have safe, high-quality formula options that are backed by a resilient supply chain,” said FDA Commissioner Marty Makary.
“The results of this study are encouraging. We will continue to advance formula innovation and safety for the millions of families who depend on it.”
Formula is made to imitate human breast milk and usually comes from cow milk or soy. According to the present FDA guidelines, every infant formula product is required to have 30 nutrients essential for infants in specific proportions.
Yet, the technology of infants' digestion and nutrition requirements has progressed immensely, leading experts to wonder if the standards are yet sufficient.
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In 2025, the FDA in 2025 began conducting a comprehensive review of infant formula ingredients in the face of increasing parental distrust and industry trends, which indicate that existing rules might not be completely in accordance with recent worldwide research on infant feeding.
Some of the main issues that were considered during the testing include the possibility of iron content, added sugars, and seed oils.
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Australia has become the 30th country in the world to eliminate trachoma as a public health problem, announced the World Health Organization (WHO).
Trachoma is the world’s leading infectious cause of blindness, which is preventable but cannot be reversed.
According to the WHO, Australia is among a growing number of countries that have successfully eliminated trachoma, contributing to global progress towards the targets set out in the WHO road map for neglected tropical diseases (NTDs) 2021–2030.
“WHO congratulates Australia on this important achievement,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.
“This success reflects sustained commitment, strong partnerships, and a focus on reaching populations most affected by health inequities. It brings us closer to a world free from the suffering caused by trachoma," he added.
Australia has achieved the milestone after decades of targeted public health action, particularly in remote Aboriginal and Torres Strait Islander communities, where trachoma persisted despite its earlier disappearance from the rest of the country.
The country established the National Trachoma Management Program in 2006 to boost efforts to fight the disease.
The program implemented the WHO-recommended SAFE strategy:
Other measures undertaken include
“Elimination of trachoma is a win for the eye health of communities across Australia, particularly those whose lives have been impacted by a disease that is entirely preventable,” said Mark Butler, Minister for Health and Ageing, Australia.
In addition to trachoma, Australia has several endemic NTDs, including Buruli ulcer, leprosy, and scabies.
Validation of elimination of trachoma as a public health problem marks the first time that WHO has confirmed the elimination of an NTD in Australia, which becomes the 63rd country globally and 16th in the Western Pacific Region to have eliminated at least one NTD.
Trachoma is caused by the bacterium Chlamydia trachomatis.
It spreads through close contact with infected individuals, contaminated surfaces, and flies that carry eye and nose discharge.
Environmental risks like poor hygiene, overcrowded households, and inadequate access to water and sanitation facilities can also lead to trachoma.
Repeated infections can lead to scarring of the eyelids, turning eyelashes inward, and ultimately causing blindness if untreated.
As per the WHO, trachoma is responsible for the blindness or visual impairment of about 1.9 million people.
Blindness from trachoma is difficult to reverse.
In areas where trachoma is endemic, active (inflammatory) trachoma is common among preschool-aged children, with the proportion of such children affected sometimes being as high as 90 per cent infection becomes less frequent and shorter in duration with increasing age.
Infection is usually acquired when living in close proximity to others with active disease, and the family is the main setting for transmission.
An individual’s immune system can clear a single episode of infection, but in endemic communities, re-acquisition of the organism occurs frequently.
Trachoma is one of 21 diseases and disease groups that are regarded by the WHO as NTDs.
Together, NTDs affect more than 1 billion people worldwide, primarily in underserved populations with limited access to essential services such as clean water, sanitation, and health care.
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The US Centers for Disease Control and Prevention (CDC) has confirmed that the Salmonella outbreak that infected 34 people in 13 states in the country is linked to backyard poultry.
The CDC, in its latest report, noted that backyard poultry, like chickens and ducks, can carry Salmonella germs even if they look healthy and clean. To date, no deaths have been associated with this outbreak, which started on February 26 and lasted up to March 31. However, 13 people have been hospitalized, the federal agency said.
Notably, the CDC analysis revealed that the Salmonella strain may be resistant to the antibiotic fosfomycin. Samples from eight of those patients showed there could be resistance to other antibiotics commonly used in Salmonella infections.
Michigan has the most cases, with six, followed by Wisconsin and Ohio, each of which has five cases.
Indiana, Kentucky, and Maine each have three cases. Florida, Illinois, Mississippi, New Hampshire, and Tennessee have each confirmed a single case.
Forty-one percent of case-patients in this outbreak are under the age of 5 years, and of the 29 people interviewed by investigators, 23 (79%) reported contact with backyard poultry in the days prior to illness.
“Children younger than 5 years old shouldn't handle the birds (including chicks and ducklings) or anything in the area where the birds live and roam. They are more likely to get sick from Salmonella,” the CDC said.
“Of 14 people who reported owning backyard poultry, 13 (93%) bought or obtained poultry since January 1, 2026,” the CDC said. “People reported getting their poultry from various places, including agricultural retail stores.”
The CDC said it will continue to investigate the hatcheries associated with cases.
The CDC also advised businesses to
As per the US Food and Drug Administration (FDA), Salmonella is a group of bacteria that can cause gastrointestinal illness and fever called salmonellosis. It can be spread by food handlers who do not wash their hands and/or the surfaces and tools they use between food preparation steps. It can also happen when people consume uncooked and raw food. Salmonella can also spread from animals to people.
The FDA notes that people who have direct contact with certain animals, including poultry and reptiles, can spread the bacteria from the animal to food if hand washing hygiene is not practiced.
Pets, too, could spread the bacteria within the home environment if they eat food contaminated with Salmonella.
Most people infected with Salmonella develop diarrhea, fever, and stomach cramps 6 hours to 6 days after being exposed to the bacteria.
The illness usually lasts 4 to 7 days, and most people recover without treatment.
In some people, the illness may be so severe that the patient is hospitalized.
Children younger than 5, adults 65 and older, and people with weakened immune systems are more likely to have severe illness.
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