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: AI
The popularity of GLP-1 weight-loss medications in the United States has reached its highest level yet. A new survey shows that nearly one in 10 American adults now takes the drugs to lose weight. At the same time, the country's obesity rate shows a steady decline. Experts say the survey does not prove that one trend is directly causing the other.
GLP-1 drugs, including medications such as semaglutide and tirzepatide, were originally developed to treat type 2 diabetes but have become increasingly popular for managing obesity after studies showed they could help people lose significant amounts of weight.
According to Gallup's latest National Health and Well-Being Index, 11% of U.S. adults currently use a GLP-1 medication for weight loss. In 2024, this number was just 3%.
The survey also said that 15% of adults have tried a GLP-1 medication at some point, compared to the 6% from two years ago.
The survey also found that 91% of Americans have heard of GLP-1 weight-loss drugs, up from 80% in 2024. The growing visibility of the medication reflects widespread media coverage, celebrity endorsements, and broader acceptance by patients and healthcare providers.
Also read: Serena Williams Lost 34 Pounds With The Help Of A GLP-1 Drug But It’s Not Ozempic
The Gallup report also found that the adult obesity rate in the US has fallen to 36.4% in 2026, down from a record 39.9% in 2022. The decline follows a similar trend seen last year, when obesity rates also dropped after years of steady increases.
Researchers noted that the decrease in obesity has occurred alongside the rapid rise in GLP-1 use. However, they said that the findings show an association rather than proof that the medications are responsible for the decline in obesity. Other factors, including lifestyle changes, healthcare access, fitness consciousness, and others may also be contributing.
Despite the decline in obesity, the percentage of Americans who have diabetes has remained relatively stable at around 13.5% since 2023, according to Gallup.
Researchers said this is not unexpected because diabetes is a lifelong condition. Even if people lose weight or improve their blood sugar control, they typically continue to be diabetic once diagnosed.
This is another move that will add to the popularity of GLP-1 drugs in the US. From July 1, people in the US will be able to access GLP-1 drugs for weight loss through a new pilot program, offered by the federal health insurance program Medicare. Slated to be operational for 18 months, the program will last till the end of 2027.
Until now, Medicare covered GLP-1 medications like Ozempic only for certain conditions like diabetes, but not for weight loss. The initiative aims to make these high-cost weight-loss medications more accessible to eligible candidates.
Eligible beneficiaries will be able to access the following GLP-1 weight-loss medications:
The medications will be covered only when prescribed for weight management and when beneficiaries meet the program's medical eligibility criteria.
Credit: AI
After nearly two months, Uganda has announced that it has successfully contained its latest Ebola outbreak. Authorities say that prompt and aggressive surveillance, rapid treatment, contact tracing, and active cross-border coordination helped stop the spread. The government has now sought the removal of international travel restrictions that were put in place imposed during the outbreak.
The Ugandan Ministry of Health recently said all confirmed Ebola patients have either recovered or completed treatment, while every identified contact has been traced and monitored.
Diana Atwine, Permanent Secretary at the Ministry of Health, said on Sunday in a post on X that the outbreak had been contained. The Xinhua news agency reported that they treated of all imported confirmed cases and cared for those infected. They have also traced and quarantined the contacts.
Atwine also said a large team of medical personnel, two mobile laboratories and logistical support from Uganda were on their way to Congo to support the country's Ebola response.
The Ministry has also implemented preventive measures to curb the spread of the disease from eastern Congo, the epicentre of the ongoing outbreak, Atwine said. It included strengthening screening and preventive measures along the border with the DRC where a much larger Ebola outbreak continues to remain a global concern.
According to the latest figures, the country recorded 20 confirmed Ebola cases, including two deaths. 16 people have recovered from the disease.
The last confirmed infection was reported on June 21. The Health Ministry said that no new cases have been detected and reported since then. Most infections in Uganda were linked to travel from the DRC, while a only a few resulted from local transmission.
Officials argue that the outbreak has been effectively controlled through rapid isolation of patients, extensive contact tracing, quarantine of exposed individuals and supportive medical care.
She added that Uganda had begun urging countries that imposed Ebola-related travel restrictions to lift the measures.
Also read: Uganda On Alert Over Suspected Marburg Virus Outbreak
In Congo, the situation is still grim. The capital of Ituri province remains at the heart of the Ebola outbreak. According to latest data, the country has recorded at least 1,561 confirmed cases, including 506 deaths and 254 people recovered. More than 10,000 contacts are being monitored.
Dr. Anne Ancia, WHO’s representative to the DRC said, “True scale has not yet been fully established. We would like to say it is stabilising, but frankly, we cannot say it yet.”
Amid the challenges, a few encouraging developments include the progress made on testing after daily capacity was increased from 30 tests in Kinshasa to more than 2,000 as 10 decentralised laboratories were established in the affected provinces on priority.
Another piece of good news is the start of a clinical trial on July 2, which can help identify and narrow down treatment options for Ebola, as currently there is no approved, proven path of treatment and cure for the Bundibugyo strain.
The trial will examine two promising therapies - a monoclonal antibody, MBP134, and the antiviral remdesivir.
The Bundibugyo virus was first identified in Uganda in 2007 and has caused only a few outbreaks since then. As infections have been relatively uncommon compared to the Zaire strain, researchers have had limited opportunities to develop vaccines, treatments and diagnostic tests.
Due to this, healthcare workers have been compelled to rely primarily on rapid isolation of patients, intensive supportive care, contact tracing, and strict infection prevention measures to slow transmission.
Currently, Eastern DRC is the hotspot for the Bundibugyo Ebola outbreak, where conflict, population displacement, skepticism, and insecurity have made it difficult for health workers to reach affected locations.
Credit: iStock
A team of US scientists has developed a new HIV vaccine that trains the immune system to overcome the virus's defenses, producing the strongest HIV-fighting antibody response ever reported in non-human primates.
The vaccine, developed by researchers from La Jolla Institute for Immunology (LJI), Scripps Research, and IAVI, is the first to generate a high number of broadly neutralizing antibodies against HIV in primates. Human trials have now begun.
“This feels like a huge success,” said LJI Professor and Chief Scientific Officer Shane Crotty.
“We constructed a successful vaccine from the ground up, which required a deep understanding of the immune system.” The findings are published in the journal Nature.
The vaccine is designed to guide the body's B cells—the immune cells responsible for making antibodies. Normally, B cells begin in a naïve state and gradually mature after encountering a virus. As they mature, they continuously refine the antibodies they produce, improving their ability to recognize and neutralize the virus.
Instead of waiting for this process to happen naturally, the new vaccine directs B cells through each stage of development.
Also read: US Hospital Performs World's First HIV-to-HIV Lung Transplant, Offering Fresh Hope for HIV Patients
The approach includes:
“This series of vaccinations will guide, or ‘walk’, a B cell from its naive state to its broadly neutralizing state,” said LJI Instructor Patrick Madden.
The scientists called this strategy germline targeting because it targets B cells before they begin their normal maturation process.
To evaluate the vaccine, researchers tested it in rhesus macaques. The results showed:
“We succeeded in taking ultra-rare antibody responses and turning them into common responses by the end of the vaccination process,” Crotty said.
The researchers did not test whether the antibodies could completely prevent HIV infection. However, finding these antibodies circulating in the bloodstream suggests they could potentially recognize and block the virus.
Read More: HIV No Longer Barrier To Organ Transplants, Say Delhi Doctors After Successful Kidney Surgery
The researchers are now working to improve the vaccine further, including refining the booster schedule to increase the number of individuals who develop broadly neutralizing antibodies.
“It was incredible to get those results, but of course we'd like to see a response in 100 percent of the animals,” Madden said.
According to the researchers, the antibodies produced in the vaccinated animals closely matched the broadly neutralizing antibodies seen in the rare people who naturally develop them.
“We believe this vaccine approach is even more likely to succeed in humans, because of the immunogenetics,” Crotty said.
According to the World Health Organization, globally, 40.8 million [37.0–45.6 million] people were living with HIV at the end of 2024. Out of these, 1.3 million individuals newly acquired the virus, and 630,000 people died from AIDS-related illnesses.
To date, there is no vaccine available that will prevent HIV infection. Developing an HIV vaccine has remained one of the biggest challenges in medicine because the virus is exceptionally good at evading the immune system.
“The worldwide diversity of HIV mutations is extraordinary. Even the diversity within one individual person living with HIV is dramatic,” Madden said.
© 2024 Bennett, Coleman & Company Limited