'We Have The Means To Prevent 80% Heart Attacks And Strokes', Expert Urges NHS To Give 'Polypill'

Updated Mar 6, 2025 | 05:00 AM IST

SummaryA polypill combining statins and blood pressure drugs could prevent 80% of heart attacks and strokes. Research shows it cuts cardiovascular risk by a third, benefiting millions globally with minimal side effects.
'We Have The Means To Prevent 80% Heart Attacks And Strokes', Expert Urges NHS To Give 'Polypill'

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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.

Simplicity and Affordability of the Polypill Strategy

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.

Is This a Case of Over-Medicalisation?

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.

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COVID Cicada Variant Unlikely To Pose Major Threat, Claims Study

Updated Apr 4, 2026 | 03:30 PM IST

SummaryWhat makes the BA.3.2 variant special is the “70 to 75 substitutions and deletions in the gene sequence of its spike protein”, according to the US CDC’s latest Morbidity and Mortality Weekly Report.
COVID Cicada Variant Unlikely To Pose Major Threat, Claims Study

Credit: Canva

The emerging COVID-19 BA.3.2 variant, dubbed Cicada and detected in 23 countries, may not pose a significant global threat, claimed a study.

The 2025 study, published in the mBio journal, showed that the immune response of the BA 3.2 COVID variant from vaccines or prior infection is less effective than against the original strain. The antibody effectiveness is three times lower against the BA.3.2 variant. However, it does not mean that there is no protection at all.

“BA.3.2 showed intermediate neutralization, representing a 3-fold reduction compared to the ancestral strain,” said the researchers from the Icahn School of Medicine at Mount Sinai, US.

“BA.3.2 occupied an intermediate but distinctly separate position,” they said, adding that the variant “shows substantial immune escape potential that threatens protection”.

In the study, the researchers used antigenic mapping to assess neutralizing antibody responses in 56 adults with varied exposure histories following KP.2 vaccination against emerging variants, including LP.8.1, LF.7.1, NB.1.8.1, XFG, and BA.3.2.

While KP.2 vaccination enhanced neutralization against homologous variants, substantial reductions in neutralizing activity were observed against emerging Omicron variants across all exposure groups.

Exposure history showed some influence on neutralization breadth, with self-reported vaccination-only participants exhibiting better cross-neutralization compared to individuals with hybrid immunity.

The findings highlight the ongoing challenge of maintaining vaccine effectiveness against evolving SARS-CoV-2 variants and argue for continuous updating of vaccines, the researchers said.

“Despite its extraordinary number of mutations, BA.3.2 is not able to overcome immunity from vaccination, finds study. Other variants were more capable of evading immunity. This indicates it is not a major real-world threat,” said Dr Rajeev Jayadevan, Ex-President of IMA Cochin and Convener of the Research Cell, Kerala, in a post on social media platform X. He was not part of the study.

What Is The BA.3.2 Variant?

Also read: COVID Variant BA.3.2 Spreads To 23 Countries: Is The Variant Under Monitoring A Cause Of Worry?

BA.3.2 is a descendant of the Omicron BA.3 lineage. It is genetically distinct from the previously circulating JN.1 lineages (including LP.8.1 and XFG).

BA.3.2 comprises two major branches, BA.3.2.1 and BA.3.2.2. BA.3.2.2 also has substitutions like: K356T, A575S, R681H, and R1162P, the CDC report said.

What makes the BA.3.2 variant special is the “70 to 75 substitutions and deletions in the gene sequence of its spike protein”, according to the US CDC’s latest Morbidity and Mortality Weekly Report.

“BA.3.2 represents a new lineage of SARS-CoV-2, genetically distinct from the JN.1 lineages (including LP.8.1 and XFG) that have circulated in the US since January 2024,” said the CDC researchers.

“BA.3.2 mutations in the spike protein have the potential to reduce protection from a previous infection or vaccination,” they added.

Cicada Variant: Increased Risks To Children

However, the new Cicada variant with around 75 genetic changes in its spike protein is likely to disproportionately affect children, as per an expert, who noted its presence in the UK.

“Some people have done analysis on this, suggesting it may be more prevalent among young children. Children get infections all the time, but this might be something to do with the fact that they have never been exposed to Covid vaccines," Prof Ravindra Gupta, of Cambridge University, who advised the UK government during the pandemic, was quoted as saying to The Mirror.

“So this is something we’re looking at in the lab to try and work out why. The problem with this is that it is an infection that spreads fast. Eventually, it ends up in someone vulnerable," he added.

Symptoms seem to be similar to those of other recent variants and include

sore throat,

cough,

congestion,

fatigue,

headache

fever.

According to the CDC, the Cicada variant is also likely to raise gastrointestinal issues such as nausea or diarrhea.

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India Passes Jan Vishwas Bill: Here’s How It Decriminalizes Health Sector, Boosts Compliance

Updated Apr 4, 2026 | 12:00 PM IST

Summary​The reforms involving 23 Ministries rationalized over 1,000 offences across 79 Central Acts. These are aimed at helping advance Ease of Doing Business and Ease of Living across sectors.
India Passes Jan Vishwas Bill: Here’s How It Decriminalizes Health Sector, Boosts Compliance

Credit: iStock

The Jan Vishwas (Amendment of Provisions) Bill, 2026, passed by both Houses of Parliament, marks a significant step towards decriminalizing the health sector by amending certain provisions and boosting compliance.

The Union Health Ministry said that the Bill reflects the Government’s commitment to fostering a trust-based governance framework and ensuring proportionate regulation by reducing the compliance burden on individuals and businesses.

The reforms involving 23 Ministries rationalized over 1,000 offences across 79 Central Acts. These are aimed at helping advance Ease of Doing Business and Ease of Living across sectors.

It makes a key shift from criminal penalties to civil penalties as well as introduces adjudication mechanisms. The amendments ensure consistency, predictability, and proportionality in enforcement, the Ministry said.

Prime Minister Narendra Modi called the passing of the Jan Vishwas Bill by the Parliament "a matter of immense delight".

"This Bill strengthens a trust-based framework that empowers our citizens. It marks the end of rules and regulations that are outdated. At the same time, it ensures speedy disposal of cases, reduces litigation burden with decriminalization," PM Modi added.

Know ALL About the Jan Vishwas Bill

  • Within the health sector, several provisions have been amended in key legislation, such as the

Drugs and Cosmetics Act, 1940 -- to substitute imprisonment with financial penalties and to introduce a structured adjudication mechanism.

Pharmacy Act, 1948 -- to modernize penalty provisions and enhance accountability through increased financial penalties for non-compliance.

Food Safety and Standards Act, 2006 -- to strengthen enforcement while ensuring that penalties are proportionate to the nature of the offence.

Clinical Establishments (Registration and Regulation) Act, 2010 - to emphasize monetary penalties for non-compliance, particularly in cases where deficiencies do not pose immediate risks to patient safety.

National Commission for Allied and Healthcare Professions Act, 2021 -- to ensure compliance with professional standards and regulatory requirements, with penalties designed to deter violations while maintaining proportionality.

  • The new Bill replaces criminal penalties, particularly imprisonment for minor procedural violations, with graded monetary penalties.
It focuses on a more facilitative regulatory framework while retaining strict action for serious violations affecting public health and safety.

The Bill introduces a civil penalty framework to reduce the burden on courts, minimize layers of litigation, and enable faster resolution of minor compliance issues.

India Passes Jan Vishwas Bill: Here’s How It Decriminalizes Health Sector, Boosts Compliance

In the case of cosmetics, minor violations (other than spurious or adulterated) will not require court intervention and can instead be addressed through a civil penalty framework.

Further, violations such as non-maintenance of documents or non-submission of information, which were earlier punishable through court-imposed fines or imprisonment, can now be adjudicated through this civil penalty mechanism.

For the first time, the Act provides for the appointment of adjudicating authorities by the Central Government and State Governments, along with a defined process involving issuance of show cause notices, provision for personal hearing, and an appellate mechanism.

Union Health Minister JP Nadda noted that the Jan Vishwas Bill, "aims to remove outdated laws, reduce unnecessary legal burdens, and create a system that responds faster to people’s needs".

"These reforms will streamline operations for Indian medical devices manufacturers, enhance global competitiveness, and align with international best practices, ultimately benefiting patients and healthcare delivery across the country," Rajiv Nath, Forum Coordinator of The Association of Indian Medical Devices Industry (AiMeD).

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Eye Drops: US FDA Recalls Over 3 Million Products Over Safety Concerns

Updated Apr 4, 2026 | 07:10 AM IST

SummaryThe FDA, in its Enforcement Reports, stated that the eye drop products were recalled due to “lack of assurance of sterility.” The FDA notice classified the action as a “Class II recall" over risks that the products can cause “temporary or medically reversible” health problems.
Eye Drops: US FDA Recalls Over 3 Million Products Over Safety Concerns

Credit: Canva

The US Food and Drug Administration has recalled over three million eye drops in the country over safety concerns.

The 3,111,072 products were manufactured by California-based K C Pharmaceuticals and were sold under names such as “Dry Eye Relief Eye Drops,” “Sterile Eye Drops,” and “Artificial Tears Sterile Lubricant Eye Drops,” according to the FDA notice.

K C Pharmaceuticals made the voluntary recall of the eye drops in early March.

The eight types of eye drop products were sold at major retailers, including CVS, Walgreens, and Rite Aid. They have expiration dates ranging from April to October.

Eye Drops: Why Are These Recalled? What Did The US FDA Say

The FDA, in its Enforcement Reports, stated that the products recalled “lack of assurance of sterility.”

While so far, there are no reports of injuries associated with the eye drops, the FDA notice classified the action as a “Class II recall.”

Class II recalls apply to products that can cause “temporary or medically reversible” health problems.

As per the FDA, "the probability of a serious health issue is remote," over these products, and that is why the recall is categorized as a Class II, USA TODAY reported

"Patients and consumers can continue using the medicine unless otherwise directed by the recalling company or FDA," the regulator said in a statement to the publication.

Also read: Can 'Eye Strain' Lead To Brain Cancer? Experts Explain

Which Eye Drops Have Been Recalled?

NBC News reported that the recalled products include:

  1. Sterile Eye Drops AC (tetrahydrozoline HCl 0.05%, zinc sulfate 0.25%), 0.5 fl oz (15 mL) bottles
  2. EYE DROPS Advanced Relief, (dextran 70 0.1%, polyethylene glycol 400 1%, and tetrahydrozoline HCl 0.05%), 0.5 fl oz (15 mL) bottles
  3. Dry Eye Relief Eye Drops (glycerin 0.2%, hypromellose 0.2%, and polyethylene glycol 400 1%) 0.5 fl oz (15 mL) bottles
  4. Ultra Lubricating Eye Drops (polyethylene 400 0.4%, propylene glycol 0.3%), Sterile, 0.5 fl oz (15mL) bottles
  5. Sterile Eye Drops Original Formula (tetrahydrozoline HCl 0.05%), 0.5 fl oz (15mL) bottles.
  6. Sterile Eye Drops Redness Lubricant (glycerin 0.25% and naphazoline HCl 0.012%), 0.5 fl oz (15 mL) bottles
  7. Sterile Eye Drops Soothing Tears (polyethylene glycol 400 0.4% and propylene glycol 0.3%), 0.5 OZ 0.5 fl oz (15 mL) bottles.
  8. Artificial Tears Sterile Lubricant Eye Drops (polyvinyl alcohol 0.5%, povidone 0.6%), 0.5 fl oz (15 mL) bottles.

Here’s What You Can Do Instead?

Also read: Struggling With Dry Eyes? Study Reveals Surprising Treatment- Tips To Prevent This Disease

The key to ensuring that your eyes are protected from environmental factors like the sun, dust, and dirt, especially for those who work outdoors or spend long hours on screen, is investing in good sunglasses with ultraviolet protection.

"For those who are using computers a lot, you need to blink your eyes constantly, take breaks in between, and drink a lot of water. Dehydration is also a contributing factor to dry eye," Dr Anita Sethi, who is Principal Director and HOD Ophthalmology, Max Multi Specialty Centre at Panchsheel Park.

She also recommends using zero-number protective glasses and computer glasses that can decrease strain and dry eye.

While advising people to stay away from natural remedies like turmeric or ginger put inside the eye, Dr Sethi urged people to consume more “foods rich in vitamin E, antioxidants” to maintain eye health.

“Colored vegetables and fruits, and even maintaining thyroid and vitamin D levels, because these also contribute to dry eye,” the ophthalmologist said.

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