Image Credits: Canva
Heart attacks and strokes are among the leading causes of death globally, with millions suffering from cardiovascular diseases (CVD) every year. There are more than seven million people in the UK alone, with about 100,000 patients experiencing heart attacks annually. However, a group of researchers at University College London (UCL) estimate that one 'polypill' taken daily day could eliminate a majority of these cases dramatically lowering death tolls.
The proposed polypill, a combination of a statin and three blood pressure-lowering drugs, has been under study for over two decades. Experts argue that introducing this pill universally for individuals aged 50 and above could be more effective than the current NHS Health Check, which assesses risk factors every five years for those aged between 40 and 74.
Studies have repeatedly proven the effectiveness of the polypill in preventing CVD. A groundbreaking 2019 study in The Lancet found that five years' use of the polypill cut the risk of heart attack and stroke by a third. In addition, previous modelling analyses have estimated that if given universally to people over 55, the polypill might be able to prevent 80% of heart attacks and strokes.
Today, the NHS Health Check follows a risk-based model in which patients are tested for CVD risk factors and treated with drugs accordingly. Yet, as per UCL's study, this system has serious flaws:
Low Uptake: Just 40% of those eligible for the NHS Health Check choose to have it, leaving a considerable number of at-risk patients undiagnosed and untreated.
Ineffective Prediction of Risk: The majority of heart attacks and strokes happen to people at average risk levels, thus making it challenging to identify the need for intervention effectively.
Limited Effectiveness: Even at maximum take-up, the NHS Health Check programme is predicted to have fewer health impacts compared to a polypill initiative applied to the whole population.
One of the big benefits of the polypill is that it is so easy. In contrast to the existing screening-based model, the polypill scheme would not involve complicated medical tests or lengthy risk assessments. Instead, people reaching 50 would just have to fill out a few questions to determine possible side effects before they were prescribed.
Professor Aroon Hingorani of the UCL Institute of Cardiovascular Science, one of the strongest proponents of this scheme, says:
"Finally, the time is now to do much better on prevention. A population approach would prevent a lot more heart attacks and strokes than is done today with a strategy of trying to target a smaller group only."
Aside from the possible health implications, the polypill is also an economic solution. The drugs used are off-patent, thus cheap to produce and distribute. With the vast economic cost of managing CVD-related illnesses, a preventive model could result in substantial cost-saving for the NHS in the future.
The polypill has been proven to be effective by numerous international trials. In 2019, a randomised trial in rural Iran discovered that participants who took the polypill for five years had a 34% reduced risk of having a heart attack or stroke compared to non-participants.
Likewise, modelling research has indicated that even if only 8% of people aged over 50 took up the polypill regimen, it would still be more beneficial to their health than the NHS Health Check programme.
One of the main objections to the polypill strategy is the suggestion that it might result in the unnecessary medicalisation of a significant proportion of the population. But, it is argued, it should be considered as a preventative measure, not as mass medication.
Professor Sir Nicholas Wald of UCL's Institute of Health Informatics explains:
"Instead of being a 'medicalisation' of a significant proportion of the population, a polypill programme is a prevention measure to prevent an individual from becoming a patient."
He compares it with public health measures like water fluoridation or compulsory seatbelts—interventions that have been shown to have a significant impact in reducing public health danger at low individual cost.
With the evidence in favour of the polypill's effectiveness and viability overwhelming, experts are calling on the NHS to act now. It is their belief that substituting the NHS Health Check with a polypill-based prevention program could be the UK government's flagship policy under its pledge to put disease prevention ahead of cure.
As Professor Hingorani points out, "The status quo is not a justifiable option." With CVD still a major cause of death globally, taking a population-wide polypill approach could be a turning point for preventative medicine, potentially saving thousands of lives annually. The question now is whether the NHS will take up this call and establish a policy with the potential to transform the prevention of cardiovascular disease on a national level.
Credit: iStock
The US Food and Drug Administration (FDA) has approved Rasonque (daraxonrasib), a once-daily pill, for adults with metastatic pancreatic adenocarcinoma, offering a new treatment option for patients with advanced pancreatic cancer.
Rasonque is a once-daily tablet that targets multiple forms of a protein called RAS, a key driver of tumor growth in most patients with pancreatic adenocarcinoma, which arises from cells lining the ducts of the pancreas.
The approval is for adults with metastatic pancreatic adenocarcinoma who have received at least one prior systemic therapy or are not candidates for multiagent systemic therapy.
“Today’s approval provides a critical new option for patients facing an extraordinarily difficult and historically hard-to-treat cancer. It is our fundamental duty to deliver more cures and meaningful treatments to patients as quickly as possible,” said Acting FDA Commissioner Kyle Diamantas, JD.
Also read: Former US Senator Ben Sasse Opens Up About Battle With Terminal Stage 4 Pancreatic Cancer
Pancreatic cancer has long been one of the toughest challenges in oncology. The five-year survival rate is around 13%, while recurrence rates approach 80% after treatment.
Approximately 90% to 95% of the 67,000 new pancreatic cancer cases diagnosed in the US each year are pancreatic adenocarcinoma, according to the National Cancer Institute.
Although pancreatic cancer represents roughly 3.2% of all cancer diagnoses, pancreatic adenocarcinoma accounts for a disproportionately high share of cancer deaths because of its typically late detection, aggressive disease course and historically limited treatment options.
However, daraxonrasib, developed by US-based late-stage clinical oncology company Revolution Medicines, has shown promise in improving survival among patients with metastatic pancreatic cancer.
Daraxonrasib is a once-daily oral pill that demonstrated statistically significant and clinically meaningful improvements in progression-free survival (PFS) and overall survival (OS) compared with standard intravenous chemotherapy.
The drug is described as a multi-selective inhibitor of RAS(ON) proteins and is the first approved drug in this new class of RAS inhibitors designed to target a broad spectrum of cancer-causing RAS mutations.
Daraxonrasib works by blocking KRAS signaling proteins that drive tumour growth. Pancreatic cancer is considered one of the most RAS-driven cancers, with more than 90% of patients carrying tumo\rs driven by RAS protein mutations.
Read More: New Pancreatic Cancer Drug Daxaronrasib May Benefit Patients With Lung And Ovarian Tumors Too
The FDA approval is specifically for adults with metastatic pancreatic adenocarcinoma in two situations:
In the Phase 3 clinical trial, including 500 adults, daraxonrasib led to a median overall survival of 13.2 months, compared
with 6.7 months with chemotherapy.
Daraxonrasib also significantly improved progression-free survival compared with chemotherapy. Similar RAS-targeting drugs are now being developed by other companies for pancreatic, lung and colon cancers.
According to the company, daraxonrasib was generally well tolerated, with a manageable safety profile and no new safety signals. Prior studies with daraxonrasib have shown that rash is the most common side effect. Mouth sores, diarrhoea, nausea and vomiting have also been reported.
Pancreatic cancer typically begins in the ducts of the organ and can rapidly spread to other parts of the body. Early-stage pancreatic tumours may not show up on imaging tests, making the disease difficult to diagnose until it has spread to other organs.
Prevention and early detection remain vital. Pancreatic cancer can often resemble common ailments, potentially delaying diagnosis.
Symptoms That Should Not Be Ignored
Malaria Alert in Germany: Frankfurt Airport Worker Dies After Suspected ‘Mosquito Arrives on Plane’; 5 Infected
In an unusual case, an employee at Germany’s Frankfurt Airport has died from malaria, while five others have contracted the potentially serious infection after mosquitoes suspected of arriving on an aircraft were found at the airport.
The airport operator, Fraport, confirmed the employee’s death and said the five other infected people are receiving medical treatment.
Authorities have installed mosquito traps at the airport. Captured mosquitoes will be analysed in laboratories to determine their species and, where possible, establish their origin.
Fraport said its focus is now on information and prevention. Employees have been advised to seek medical attention if they develop malaria-like symptoms and to inform doctors that they work at the airport.
“Sadly, we must confirm that one employee has died as a result of the infection,” a Fraport spokesperson told the BBC.
The company said it had provided information to employees and urged them to consult a doctor if they develop symptoms.
According to Germany's Robert Koch Institute (RKI), four airport employees developed malaria between 4 and 6 July. The institute said mosquitoes were brought to the airport by aircraft from a malaria-endemic region in July.
Malaria transmission within Germany is extremely rare. The RKI says malaria cases in the country almost exclusively occur among people who have travelled to malaria-endemic areas.
The absence of a travel history can make diagnosis more difficult. A delayed diagnosis can increase the risk of severe disease.
The RKI also noted that the last airport-associated malaria case in Germany occurred at Frankfurt Airport in 2023.
Malaria is a potentially life-threatening disease caused by Plasmodium parasites, which are transmitted to humans through the bites of infected female Anopheles mosquitoes.
Common symptoms include fever, chills and headache. More severe malaria can cause confusion, seizures, difficulty breathing and other life-threatening complications.
Symptoms generally begin around 10–15 days after the bite of an infected mosquito, although the timing can vary.
People at increased risk of severe malaria include young children, pregnant women, travellers without immunity and people with HIV/AIDS.
Malaria is not normally transmitted directly from person to person. However, transmission can occur through infected blood, including in rare circumstances through blood transfusion or contaminated needles.
According to the World Health Organization's World Malaria Report 2025, an estimated 282 million malaria cases and 610,000 deaths occurred worldwide in 2024 across 80 malaria-endemic countries.
The WHO African Region accounted for approximately 94% of global malaria cases and 95% of malaria deaths in 2024.
WHO estimates that malaria-prevention tools, including recommended vaccines and other interventions, helped avert approximately 170 million cases and 1 million deaths in 2024.
The report noted that WHO approved the world’s first malaria vaccines in 2021, and 24 countries have now added them to their regular immunisation schedules.
Despite the setbacks, there have been encouraging developments. So far, 47 countries and one territory have received malaria-free certification from WHO. Cabo Verde and Egypt were declared malaria-free in 2024, followed by Georgia, Suriname, and Timor-Leste in 2025.
Credit: AI
COVID-19 is rising across the US again. Doctors have been reporting an increase in patients testing positive through the summer. But some physicians are noticing a change in how the illness is presenting.
Reports have emerged stating that COVID is resurfacing with new symptoms including nausea, vomiting and diarrhoea.
The CDC's latest respiratory illness data, updated August 21, shows that national and regional COVID-19 activity is increasing, although overall acute respiratory illness causing people to seek healthcare remains very low. COVID-19-related visits to the emergency room are also increasing.
Recent reports from doctors in Georgia describe patients arriving with gastrointestinal symptoms alongside, or sometimes instead of, the more familiar respiratory symptoms.
Although these symptoms may seem unusual compared with the classic COVID presentation, nausea, vomiting and diarrhoea are not new symptoms of COVID-19.
The CDC has included nausea, vomiting and diarrhoea among the possible symptoms of COVID-19 for years. What appears to be attracting attention now is that some doctors are seeing more patients presenting with these gastrointestinal symptoms during the current summer rise.
Dr James Black, medical director of emergency services at Phoebe Putney Memorial Hospital in Albany, Georgia, said doctors are still seeing fever, cough and upper-respiratory symptoms, but added, “A lot of people are coming in with gastrointestinal symptoms - nausea, vomiting, diarrhea, sometimes to the point of mild dehydration.”
Also read: Exclusive With Leading Pulmonologist: When Should You Worry About H1N1 Symptoms?
The digestive system contains ACE2 receptors, which the virus can use to enter cells. Infection and the body's inflammatory response can therefore contribute to symptoms like nausea, vomiting and diarrhoea.
Gastrointestinal symptoms can occur with respiratory symptoms or sometimes before them, which can make COVID harder to distinguish from stomach infections or food poisoning. That is why doctors say testing remains essential, especially when COVID is active in a certain area.
Also read: ‘Scromiting’: Cannabis-Linked Vomiting Cases Rising Again In US, Says CDC Report
Doctors say people should not focus only on gastrointestinal symptoms. Common COVID symptoms include:
Also read: US CDC Says COVID ‘Growing’ In Nearly Every State: What You Should Know
If nausea, vomiting or diarrhoea occur alongside fever, cough, sore throat, congestion, fatigue or body aches, COVID should be considered, particularly when infections are increasing in the community. Testing can be especially important for people at higher risk of severe disease because antiviral treatment works best when started early.
Dr Gurinder Singh Sidhu, US antiviral medical lead and senior director at Pfizer, said, "People at higher risk should seek medical advice promptly rather than waiting for symptoms to become severe."
Severe vomiting or diarrhoea can also cause dehydration, so people should seek medical care if they cannot keep fluids down, are becoming unusually weak or dizzy, are urinating much less than usual, or develop breathing difficulties.
© 2024 Bennett, Coleman & Company Limited