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.
Credit: iStock
The NHS is seeing a significant rise in emergency department visits among children aged 6-9 for mental health issues in England, according to an alarming new report.
According to an analysis by the Royal College of Paediatrics and Child Health (RCPCH), the rise has been fastest among the youngest children.
Attendances among 6–9-year-olds increased by 62% between 2019 and 2025, rising from 3,870 to 6,269. The report said this was the fastest rate of increase among all age groups.
“This is [a] faster rate of increase than any other age group. This finding is particularly worrying given the vulnerable nature of young children’s neurodevelopment and the potential of suffering for those children longer term without early intervention,” the report stated.
NHS England data also shows a 36% rise in mental health-related emergency attendances since 2019.
Children and young people are turning up at emergency departments in significant distress, including cases involving self-harm, eating disorders and emotional crises.
The figures, obtained by the RCPCH through a Freedom of Information request submitted to NHS England in April 2026, show that 75,491 children and young people aged 6–17 attended emergency departments with a recorded mental health concern in 2025.
This represents a 36% increase from 2019, when there were 55,525 such attendances.
The data also shows a growing number of children becoming, in effect, stuck in emergency departments while waiting for appropriate mental health support and a safe place to be discharged to.
The number of children and young people staying more than 12 hours in A&E rose by 217%, from 1,964 in 2019 to 6,235 in 2025.
Within this group, the number staying for more than 72 hours rose by 514%, from 55 in 2019 to 338 in 2025.
Dr Ronny Cheung, RCPCH Officer for Health Services, said the figures should serve as a wake-up call for the government.
“This must be a wake-up call for government. The growing number of children reaching crisis point with their mental health is deeply alarming, particularly among younger children. Without urgent action to provide support earlier, we risk storing up serious problems for the future, including more young people falling out of education, employment and training, where poor mental health is already a major driver.”
The government said it was looking to improve services and would be setting out plans soon. It is planning to publish a new mental health strategy later in the summer.
A Department of Health and Social Care spokesperson said improvements were already being made, including investment in mental health teams for schools and more than 150 new mental health hubs in community locations such as banks and libraries.
“No child should have to reach crisis point before getting the support they need,” he said, according to the BBC.
More than one million children in England had active referrals to mental health services in 2025, with anxiety remaining the leading reason for seeking support, according to a report published in June.
The annual report by Children’s Commissioner Rachel de Souza warned that England is facing a growing children’s mental health crisis.
New data for 2024–25 shows that 1,048,965 children had an active referral to Children and Young People’s Mental Health Services (CYPMHS) — nearly double the number recorded in 2018–19 and almost 10% higher than the previous year.
Credit: AI
Ischemic strokes are usually treated by removing the blood clot. But it may not be enough. New research has emerged, claiming that the brain’s own response to the stroke may keep causing damage even after the original blockage has been cleared.
A study published in the Proceedings of the National Academy of Sciences have found a process in which the body’s defence mechanism can backfire, producing tiny blood clots that damage brain tissue.
The findings may explain why two people with seemingly similar strokes can have completely different recoveries.
An ischemic stroke happens when a blood clot blocks a blood vessel supplying the brain. The severed oxygen supply can rapidly injure brain cells.
Doctors can restore the cerebral blood flow by using medicines to bust the blood clot or, in more severe cases, surgically removing the clot through a procedure called thrombectomy. But restoring blood flow does not necessarily mean the damage immediately stops.
The new research suggests that the immune system, which normally helps the body respond to injury, can become part of the problem.
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When a stroke occurs, the body's defence system springs into action to prevent the injury and begin the repair process as soon as possible. But, researchers found that this defensive response can also promote the formation of micro-clots.
Micro-clots are far smaller than the original clot that caused the stroke. Because of their size, they can obstruct tiny blood vessels that are even more difficult to detect or treat using conventional techniques to remove clots.
The result can be reduced blood flow and additional injury to brain tissue, even after the main artery has been reopened.
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The research offers one possible explanation for the wide differences seen in stroke recovery. Removing the major clot may restore circulation through the main blood vessel, but if microscopic vessels remain blocked, some areas of the brain may continue receiving inadequate blood supply and thus get damaged further
That could contribute to ongoing tissue damage and poorer neurological recovery, researchers suggest.
It also highlights why simply measuring whether the original artery that has been reopened may not tell the whole story of what is happening inside the brain.
The findings are still at the early research stage, so it does not mean that patients currently need a different treatment for stroke after thrombectomy.
But, understanding how these secondary micro-clots form could eventually open another avenue for treatment that could prevent further damage to the brain.
Instead of focusing only on removing the large clot that triggered the stroke, future treatment strategies could target the biological processes that cause these microscopic blockages to form.
Credit: American College of Cardiology Foundation and the American Heart Association
A new study found that nearly 8 out of 10, or 80%, of young adults in the US, with an average age of 23, had cardiovascular-kidney-metabolic (CKM) syndrome.
Published in Circulation: Population Health and Outcomes, the study found that these young adults had CKM syndrome at Stage 1, 2 or 3, meaning they had excess adiposity, metabolic risk factors and/or evidence of subclinical cardiovascular disease.
The study included 1,283 young adults from large US cities. About 21% had no identifiable CKM risk factors (Stage 0), while none were in Stage 4.
More advanced CKM stages were associated with early arterial injury, including thicker carotid artery walls, an early marker of atherosclerosis, even among people in their early 20s.
Researchers said the findings highlight the need to begin prevention earlier in life. They also suggested promoting the American Heart Association’s Life’s Essential 8 early in life to improve cardiovascular health.
Life’s Essential 8 focuses on
“The findings are important because they show that cardiovascular risk can begin building much earlier than we traditionally expect. We often associate heart disease with middle age or older adults, but risk factors such as excess weight, high blood pressure, abnormal cholesterol and elevated blood sugar can develop silently in young adults,” Dr. Gobu P, Senior Consultant Cardiology, Gleneagles Chennai, told HealthandMe.
Dr. Chetan Kumar H. B, Senior Consultant, Cardiology, Fortis Hospital, Bannerghatta Road, Bengaluru, added that heart, kidney and metabolic health issues can start much earlier than traditionally thought. While heart disease becomes more common with age, the risk factors that lead to it can begin developing in early adulthood.
The findings do not mean that these young adults already have heart disease. Rather, the association between advanced CKM risk and early arterial changes highlights the importance of identifying and addressing risk factors early.
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Young adults do not necessarily need extensive cardiac investigations simply because of their age. However, those who are overweight, have high blood pressure, abnormal cholesterol, diabetes or a family history of premature heart disease should consider regular health checks.
“Monitoring blood pressure, blood sugar, cholesterol and maintaining a healthy weight can help identify risks early. Early intervention through lifestyle changes, and medication when required, can significantly reduce the chances of cardiovascular disease later in life,” Dr. Gobu said.
Dr. Chetan noted that unhealthy eating habits, lack of physical activity, obesity, high blood pressure, abnormal cholesterol and rising blood sugar levels are increasingly seen at younger ages. These problems can develop silently and gradually affect the heart, kidneys and blood vessels.
“Young adults should not wait until they are symptomatic to start paying attention to their health. Simple tests like blood pressure, blood sugar, cholesterol and weight can go a long way in identifying risks early, especially in those with a family history of diabetes, hypertension, kidney or heart disease," he told HealthandMe.
The experts stressed that the findings should be viewed as a call for prevention rather than alarm. Identifying and addressing risk factors early could help protect long-term heart, kidney and metabolic health.
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