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.

A total of 52,10,302 girls across India have received the Human Papillomavirus (HPV) vaccine under the nationwide campaign launched by Prime Minister Narendra Modi in February, the government informed Parliament during the ongoing Monsoon Session.

The nationwide vaccination campaign for 14-year-old girls was launched from Rajasthan's Ajmer as part of India's efforts to eliminate cervical cancer.

“The nationwide HPV vaccination campaign was launched on February 28, for approximately 1.2 crore eligible beneficiary girls aged 14 years across all 36 States and Union Territories. As of July 15, a total of 52,10,302 girls have received the HPV vaccine across the country,” Union Minister of State for Health and Family Welfare Anupriya Patel said in a written reply in the Rajya Sabha.

Free HPV Vaccination

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The Minister said the HPV vaccine is being provided free of cost at designated government health facilities, including:

• Ayushman Arogya Mandirs–Primary Health Centers (PHCs)

• Community Health Centers (CHCs)

• Sub-District Hospitals (SDHs) and District Hospitals (DHs)

• Government Medical Colleges (GMCs)

She also said the government's cervical cancer prevention strategy includes HPV vaccination, screening, early diagnosis at Ayushman Arogya Mandirs (AAMs), and treatment through Day Care Cancer Centers (DCCCs).

Immunization Coverage Remains Above 90%

The Minister also updated Parliament on India's immunization program.

“As per the National Health Policy 2017 goals, the National Full Immunization Coverage has been maintained more than 90% for the last four years,” Patel said. National full immunization coverage was:

• 94.7% in 2022–23

• 93.7% in 2023–24

• 98.3% in 2024–25

• 97.9% in 2025–26

Strengthening Pandemic Preparedness

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Patel also said that the government has taken several steps to improve preparedness for future pandemics and public health emergencies, including:

• Launch of the Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) to strengthen public health infrastructure, disease surveillance, diagnostics, research, and emergency response.

• Strengthening the Integrated Disease Surveillance Program (IDSP) with trained multidisciplinary Rapid Response Teams (RRTs).

• Expansion of the Indian Council of Medical Research's Virus Research and Diagnostic Laboratory (VRDL) network to more than 160 laboratories for pathogen diagnosis.

Meanwhile, the Nationwide Viral Research and Diagnostic Laboratories (VRDL) network under ICMR has been expanded to 163 laboratories, comprising 11 Regional VRDLs, 27 State VRDLs and 125 Medical College VRDLs, to strengthen diagnostic capacity across the country.

Cervical Cancer Cases Decline

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Meanwhile, recent data from the ICMR's National Cancer Registry Program (NCRP) show that India has recorded a significant decline in its cervical cancer burden.

According to the latest estimates, new cervical cancer cases have fallen by 37% over the past decade, declining from about 1.27 lakh cases annually to around 79,000, marking a major public health milestone in the fight against one of the country's most common cancers among women.

Unlike many other cancers, cervical cancer is considered highly preventable through HPV vaccination, regular screening, and timely treatment of precancerous lesions.

The WHO global targets for 2030 include vaccinating 90 percent of girls by age 15, screening 70 percent of women by ages 35 and 45, and ensuring 90 percent of women with pre-cancer and invasive cancer receive appropriate treatment.

Researchers at the Indian Institute of Technology (IIT) Kanpur have uncovered how an experimental vaccine booster molecule activates the body's immune system, a breakthrough that could help researchers develop safer and more effective vaccines in the future.

The study, published this month in the Proceedings of the National Academy of Sciences (PNAS), provides the first detailed structural view of how a synthetic molecule called EP67 binds to and activates an important immune receptor known as C5aR1. The findings offer researchers a molecular blueprint for improving vaccine adjuvants, the ingredients added to vaccines to strengthen and prolong immune protection.

Unlike vaccines, which train the immune system to recognize a specific pathogen, adjuvants help amplify the body's immune response, making vaccines more effective.

Inspired By The Body's Natural Immune System

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The researchers developed EP67 by taking inspiration from C5a, a naturally occurring immune protein released during bacterial and viral infections. While C5a helps activate immune cells to fight infections, prolonged activation can trigger harmful inflammation and damage healthy tissues.

To overcome this challenge, the IIT Kanpur team engineered EP67, a much smaller version consisting of just 10 amino acids.

The molecule retains the beneficial immune-stimulating properties of C5a while limiting the inflammatory effects. According to the researchers, EP67 selectively activates dendritic cells and macrophages, two immune cells that play a central role in generating long-lasting immunity, while largely avoiding activation of neutrophils, immune cells that are often responsible for excessive inflammatory responses.

This selective activation makes EP67 a promising candidate as a vaccine adjuvant capable of producing stronger immune protection without triggering inflammation.

Earlier Studies

Previous animal studies have shown the potential of EP67 in boosting vaccine responses.

When incorporated into experimental vaccines against multiple viruses, including SARS-CoV-2, the virus responsible for COVID-19, mice developed stronger immune responses than those receiving vaccines alone. Researchers also observed faster recovery in infected animals.

Beyond vaccines, EP67 has also shown promise against bacterial infections, including methicillin-resistant Staphylococcus aureus (MRSA), a major antibiotic-resistant pathogen.

However, the molecule has not yet entered clinical use in humans, and additional preclinical research will be required before human trials can begin.

Although scientists had previously observed EP67's immune-boosting effects, precisely how the molecule worked remained vague for a long time.

The IIT Kanpur researchers found that EP67 binds to C5aR1, a receptor located on the surface of immune cells. C5aR1 belongs to the large family of G protein-coupled receptors (GPCRs), which are involved in transmitting signals into cells and are among the most common targets for modern medicines.

Using cryo-electron microscopy (cryo-EM), the team captured near-atomic-resolution images showing EP67 adopting a hook-like shape that fits into the centre of the receptor, switching it on and initiating immune activation.

The structural insights have already enabled researchers to redesign EP67 by modifying its amino acid sequence to improve its stability and receptor binding. The next steps would be refining the formulation and introducing it in pre-clinical tests.

People living with Type 2 diabetes may be significantly more vulnerable to severe, potentially life-threatening complications from dengue, according to a new review by diabetes specialists.

The paper, presented in July 2026 and slated for publication in the International Journal of Diabetes & Technology (IJDT), also recommends combining dengue vaccination into routine diabetes care in dengue-endemic regions to better protect patients who are at high risk.

The review comes as many countries, including India, continue to witness surges in dengue cases during the monsoon months.

Can Type 2 Diabetes Make Dengue More Severe?

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According to the researchers, chronic high blood sugar weakens the immune system and damages blood vessels, making it harder for the body to fight dengue infection.

It increases the risk of vascular leakage, severe bleeding, organ damage, and other complications associated with severe dengue.

The review notes that diabetes contributes to chronic inflammation, endothelial dysfunction, and impaired immune responses, all of which may worsen the course of dengue infection.

The researchers argue that dengue prevention should become part of routine diabetes management in countries where dengue is endemic. Lead author Dr. Jothydev Kesavadev, diabetologist, said, "People with Type 2 diabetes represent a particularly vulnerable group during dengue outbreaks.

Preventive strategies, including vaccination where appropriate, should become an integral part of diabetes care to reduce severe illness and deaths."

The review was co-authored by several diabetes specialists from across India, including Dr. Niti Pall, President-Elect of the International Diabetes Federation Europe.

It was presented during the 14th Jothydev's Professional Education Forum Annual Global Diabetes Convention in Kovalam, Kerala, and its publication was formally released by Kerala Health Minister K. Muraleedharan.

Earlier Research

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While the current paper is a review rather than a new clinical trial, it is supported by a growing body of evidence. A 2024 review published in Health Science Reports found that diabetes is significantly associated with severe dengue, death, elevated liver enzymes, and thrombocytopenia.

Similarly, a 2025 review in the International Health journal concluded that accumulating evidence increasingly supports diabetes as an important comorbidity contributing to poor dengue outcomes.

Should People With Diabetes Receive The Recently Approved Dengue Vaccine?

Also read: India’s First Approved Dengue Vaccine: Takeda’s QDENGA Protects Against All Four Virus Serotypes

The findings come as India recently approved its first dengue vaccine, QDENGA (TAK-003). The vaccination should follow national guidelines and individual medical advice. Experts emphasize that vaccination complements, rather than replaces, mosquito bite prevention measures.

QDENGA (TAK-003) is a live-attenuated tetravalent dengue vaccine designed to protect against all four dengue virus serotypes.

It is administered as two 0.5 mL subcutaneous doses, given three months apart.

The vaccine is built on a DENV-2 backbone, incorporating structural proteins from DENV-1, DENV-3 and DENV-4 to provide broad immune protection.

The World Health Organization (WHO) recommends QDENGA for use in dengue-endemic settings without the need for pre-vaccination screening. The vaccine is also included in the WHO List of Prequalified Vaccines, allowing procurement through agencies such as UNICEF and PAHO.

Precautions

Experts recommend that people with diabetes:

• Maintain good blood sugar control.
• Avoid mosquito bites by using repellents, long-sleeved clothing, and eliminating stagnant water around homes.
• Seek medical attention immediately if dengue symptoms such as high fever, severe headache, vomiting, abdominal pain, bleeding, or rash develop.
• Discuss dengue vaccination with their healthcare provider if they live in an endemic region and are eligible under national recommendations.