Credits: Canva
A surprising, but encouraging turn takes place in the United States as drug overdose deaths show a dramatic decline. This is based on the new provisional data released by the Centers for Disease Control and Prevention (CDC), that showed that these cases have plummeted by nearly 30% in 2024 as compared to in 2023.
The National Center for Health Statistics also estimated a 27% drop from 110,037 deaths in 2023 to 80,391 in 2024. This has marked the lowest total since 2019.
This significant drop, while still based on the provisional data that could differ from the final count does offer a hopeful sign in the long battle against an epidemic that has claimed as many as more than 1 million lives since 1999. This also remains to be the leading cause of deaths for Americans aged 18 to 44.
Health experts and CDC officials have attributed this decline to years of targeted federal investment and enhanced data systems. In fact, President Donald Trump also declared the opioid crisis a public health emergency in 2017. Furthermore, the Congress also funded expanded CDC programs that now help states to collect real-time overdose data.
In fact, recently, the US Health Secretary Robert F Kennedy Jr also opened up about his own battle with drug addiction and his journey to recovery.
“These investments have empowered us to rapidly collect, analyze, and share actionable data,” the CDC said in a statement. “Since late 2023, overdose deaths have steadily declined each month — a strong sign that public health interventions are making a difference.”
Much of the overall decrease is driven by fewer deaths from fentanyl and other opioids.
As per the United States Drug Enforcement Administration (DEA), fentanyl is a potent synthetic opioid drug approved by the Food and Drug Administration for use as an analgesic (pain relief) and anesthetic, based on prescription. It is approximately 100 times more potent than morphine and 50 times more potent than heroin as an analgesic. It is also known as China Girl, China Town, Murder 8, Poison and Tango & Cash as its street name.
It is consumed by snorting, sniffing, smoking, orally by a pill or tablet, or spiked onto blotter paper and patches.
The DEA notes that overdose can cause stupor, changes in pupil size, clammy skin, cyanosis, coma, and respiratory failure leading to death.
Fentanyl-related deaths fell by nearly 37%, from 76,282 in 2023 to 48,422 in 2024. Deaths involving any type of opioid also dropped significantly — down from 83,140 to 54,743.
Other drugs showed similar trends. Cocaine overdose deaths decreased from an estimated 30,833 to 22,174. Psychostimulant-related deaths, including those from methamphetamine, declined by 20%, from 37,096 to 29,456.
Nearly all states showed progress. States such as Louisiana, Michigan, New Hampshire, Ohio, Virginia, West Virginia, Wisconsin, and the District of Columbia posted the most dramatic single-year declines each over 35%.
Only two states bucked the trend. Nevada saw a 3.5% rise in overdose deaths, while South Dakota reported a 2.3% increase.
Experts point to a variety of factors. Dr. Stephen Taylor, president of the American Society of Addiction Medicine, credits greater access to addiction treatment services and wider availability of naloxone, a drug that reverses overdoses.
“I think the most important issue has been the expanded access to care,” Taylor said. However, he warns that proposed cuts — such as Trump’s suggested $1 billion reduction in funding to the Substance Abuse and Mental Health Services Administration — could threaten the progress made.
Dr. Daniel Ciccarone, a researcher at the University of California, San Francisco, believes fewer new people becoming addicted may also play a key role. “Epidemics come to an end because the number of new people entering the drug scene drops below the number exiting — whether through recovery, treatment, or sadly, death,” he said to US News.
Credits: iStock
Mental health has become one of the most urgent public health issues of the 21st century. Recent statistics from the World Health Organization (WHO) indicate that more than one billion individuals globally live with mental illnesses. Anxiety, depression, and other psychiatric disorders not only cause immense human distress but also carry a massive economic burden, both on individuals and societies as a whole. Where progress has been made in a number of countries to enhance mental health policies and programs, global services remain dramatically underfunded and fragmented, denying access to care for millions.
Mental illnesses are ubiquitous, cutting across all age, gender, and economic strata groups. Anxiety and depression are among the most prevalent disorders, and their effects extend far beyond emotional pain. They are the second global cause of long-term disability, costing money in healthcare, decreasing productivity in the workforce, and lowering quality of life. The fiscal hit is astronomical: depression and anxiety alone have been estimated to cost the international economy $1 trillion each year.
The WHO's recent publications, World Mental Health Today and Mental Health Atlas 2024—set both positive trends and important gaps in mental health services. They are powerful resources to inform national plans and influence the international conversation leading up to the 2025 United Nations High-Level Meeting on noncommunicable diseases, with a focus on mental health and well-being.
Younger populations face particularly intense mental health issues. Gen Z, in particular, is under unprecedented stress from social media, school pressures, and the aftereffects of the COVID-19 pandemic. A 2023 Harvard survey identified that 44% of young adults between ages 18–25 felt like they don't count to others. Further, CDC data indicate that 40% of U.S. high school students indicated they felt sad or hopeless most or all days, and 20% attempted seriously to take their own life. These figures highlight the imperative for accessible and effective mental health care among young people.
Social disruption during the pandemic, from remote learning issues to extended isolation, intensified loneliness and anxiety. Even after lockdowns lifted, many young people still face uncertainty about their futures, academic stress, and the mental health impacts of disrupted childhood or adolescence.
Suicide continues to be a tragic consequence of mental illness. In 2021 alone, it is estimated that 727,000 individuals across the globe died by suicide, which is a major cause of death among youth. WHO experts point out that although age-specific rates for suicide have fallen worldwide by 35% from 2000 to 2021, efforts are too slow to achieve the United Nations Sustainable Development Goal to cut suicide rates by a third by 2030. The trend indicates only 12% reduction will be realized.
Alarming as it is, almost three-quarters of all suicides are in low- and middle-income countries, where there are limited mental health resources and stigma discourages individuals from going for help. Even in wealthier countries, timely and effective care is not always accessible.
Investment in mental health services globally is not increasing commensurate with growing demand. Median government expenditure on mental health averages only 2% of overall health expenditures—unchanged since 2017. Inequities between nations are glaring: high-income countries can spend as much as $65 per capita on mental health, and low-income nations can spend as little as $0.04. Median numbers of mental health professionals globally stand at only 13 per 100,000 people, and have made low- and middle-income nations critically short.
Access to treatment is most problematic in rural and underserved populations. In the United States, 65% of rural counties have no practicing psychiatrist, and nearly a third have no mental health professionals. Suburban residents, while otherwise better supplied, also experience affordability hurdles, insurance gaps, and cultural stigma, reducing meaningful access to care.
There has been some progress. In the past two years, most countries have revised their mental health policies, improved emergency preparedness, and incorporated rights-based practices. More than 80% of nations now offer mental health services in emergencies, compared to 39% in 2020. Mental health integrated into primary care is making headway, and telehealth services are increasingly available.
Yet, these developments are insufficient to meet the global burden. Fewer than 10% of countries have fully transitioned to community-based care models, and inpatient care continues to rely heavily on psychiatric hospitals. Many patients experience long-term hospitalization, often involuntarily, highlighting the urgent need for systemic reform.
Mental health is a function of the complex interplay of social, environmental, and biological elements. Social media use, cyberbullying, and the pressure to maintain a "perfect" life on social media can contribute to exacerbating depression and anxiety. Economic insecurity, discrimination, trauma, and the residual effect of global crises such as the pandemic further add to the burden. Resolution of these foundational issues demands intersectoral collaboration—healthcare, education, social services, and policy.
Although reform on a wide scale is called for, people can also take actions to augment their mental health:
Stay Connected: Regular contact with others reduces loneliness.
Prioritize Physical Health: Exercise, healthy nutrition, and sleep contribute heavily to mood and cognitive performance.
Limit Digital Overload: Cut back on social media time, especially doomscrolling or comparing yourself to idealized models.
Practice Mindfulness: Meditation, journaling, or breathing exercises can reduce stress and enhance emotional resilience.
Get Professional Assistance: Therapy, counseling, or support groups provide direction and management techniques.
Foster Open Discussions: Open discussion of feelings within families, schools, or the workplace decreases stigma and promotes early intervention.
Crisis Hotlines: Familiarize yourself with local or national hotlines. For example, Kosovo provides Lifeline at 0800 12345 between the hours of 10:00 AM to 2:00 AM every day for crisis intervention.
The WHO underlines that mental health services should be addressed as a human right. Radical change to mental health services requires fair financing, legal changes to ensure human rights, and continued investment in the development of the workforce. Community-based, person-focused care models are essential to increase access and enhance outcomes. Multilevel collaboration between governments, NGOs, and international health agencies is required to address the breadth and depth of the crisis.
The current statistics present a grim picture: mental illness disorders are growing more quickly than world population growth, suicide is a leading cause of death among young people, and treatment access is starkly uneven. Unless drastic action is taken, the economic, social, and human toll will keep piling up.
Mental illness is not only a matter of health; it is a societal and economic problem that needs to be addressed immediately. Over one billion individuals are impacted globally, and younger generations disproportionately so. Progress has been made in policy, integration, and emergency response, yet never before has systemic reform and investment been as urgent a need. There is a role for every government, community, and individual in opening up access, decreasing stigma, and placing mental health as a top global public health priority.
Credits: Brace Dementia Research/ University Of Bath
Alzheimer’s disease has long been one of medicine’s most difficult puzzles. By the time symptoms such as memory loss, confusion, and language difficulties become obvious enough for a clinical diagnosis, the brain has often been undergoing silent changes for decades. Researchers have been urgently searching for ways to close this gap between disease onset and diagnosis. Now, a portable brainwave test called Fastball EEG is raising hopes that Alzheimer’s can be detected years earlier potentially transforming both treatment and quality of life.
Fastball EEG is a deceptively simple tool. The test takes just three minutes and involves wearing small sensors on the scalp while watching a stream of images flash across a screen. Unlike traditional memory exams that rely on a patient recalling lists or following instructions, this test is entirely passive. It works by measuring the brain’s automatic electrical responses when it sees something familiar.
Dr George Stothart, a cognitive neuroscientist at the University of Bath who led the study, explained the significance: “We’re missing the first 10 to 20 years of Alzheimer’s with current diagnostic tools. Fastball offers a way to change that—detecting memory decline far earlier and more objectively, using a quick and passive test.”
This early detection matters. Alzheimer’s develops silently, with proteins such as amyloid and tau building up in the brain long before memory loss is apparent. The earlier these changes are picked up, the more effective new treatments can be.
The University of Bath trial evaluated Fastball in 107 participants: 53 people with mild cognitive impairment (MCI)—a condition often considered a precursor to dementia—and 54 healthy older adults.
MCI doesn’t always progress to Alzheimer’s, but when memory loss is its primary symptom, the risk rises sharply. Researchers found that people with amnestic MCI, the form most closely linked to Alzheimer’s, showed significantly weaker brainwave responses during the test compared to healthy volunteers or those with non-amnestic MCI.
In other words, the Fastball test was able to pick up the subtle brain changes that predict future decline, even when symptoms were not yet disabling. When participants were retested a year later, the results proved reliable, particularly among healthy adults, suggesting the test could track changes over time.
One of the most striking findings is that Fastball can be done at home. Traditionally, brain scans or memory assessments require in-person visits to specialist clinics. For many patients, these appointments are intimidating, costly, or simply inaccessible. By contrast, Fastball is portable, low-cost, and anxiety-free.
“All of the tests were performed in people’s homes, which is important for making them accessible and reducing people’s anxiety,” Dr Stothart said.
The potential here is enormous: routine memory screening in GP surgeries, community clinics, or even at home could become a reality. That shift could reduce the number of people living with undiagnosed dementia—a figure that remains stubbornly high worldwide. In the UK alone, the Alzheimer’s Society estimates nearly one in three people with dementia never receives a formal diagnosis.
Until recently, early diagnosis was often criticized as offering little benefit. After all, without effective treatments, what could patients do with the information? That calculation has changed with the arrival of new Alzheimer’s drugs such as donanemab and lecanemab.
These antibody therapies target amyloid, the sticky protein that clumps in the brains of people with Alzheimer’s. Clinical trials have shown they can slow cognitive decline—but only when given in the disease’s earliest stages. The challenge, then, is finding patients early enough to qualify.
As Dr Julia Dudley of Alzheimer’s Research UK explained, “New Alzheimer’s treatments are proving to be more effective when given at earlier stages in the disease, therefore earlier diagnosis is key for people to benefit from this.”
Fastball could be the missing link that connects patients to treatment while it can still make a difference.
While the promise is clear, experts caution against viewing Fastball as a standalone diagnostic tool just yet. Professor Sir John Hardy of the UK Dementia Research Institute noted that the test cannot distinguish Alzheimer’s from other types of cognitive decline. Biomarker tests—such as spinal fluid analysis or advanced imaging—will still be needed to confirm a diagnosis.
Prof Vladimir Litvak of UCL’s Queen Square Institute of Neurology described the study as “an early step towards developing a clinically useful test,” highlighting the need for larger, longer-term trials to confirm predictive power.
There’s also the question of diversity. Much of the early research has been conducted in relatively small, homogenous groups. For the tool to be globally useful, it must be validated across varied populations, including people with different ethnic backgrounds, education levels, and coexisting health conditions.
Dr Dudley emphasized that memory impairment is not always caused by dementia—it can also be linked to thyroid disease, depression, or even side effects from medication. Future studies, she said, must explore how these factors influence Fastball’s results and how the test might complement, rather than replace, existing diagnostic tools.
The stakes could not be higher. Dementia currently affects an estimated 55 million people worldwide, a number projected to triple by 2050 as populations age. Alzheimer’s disease is the most common cause, accounting for up to 70 percent of cases.
In the UK, nearly one million people are living with dementia, with that figure expected to rise to 1.4 million by 2040. In the US, the Alzheimer’s Association estimates more than 6.7 million Americans aged 65 and older are currently living with the disease. The global cost of dementia already exceeds $1.3 trillion annually, straining families, health systems, and economies.
Against this backdrop, a quick, inexpensive screening tool that can be deployed widely could be game-changing—not just for individuals and families, but for public health systems grappling with rising demand.
Chris Williams, chief executive of the dementia research charity BRACE, which supported the project, sees Fastball as a milestone. “Fastball is an incredible tool that could offer anyone who, for whatever reason, cannot access a dementia diagnosis in a clinical setting,” he said.
For now, Fastball remains experimental, but the momentum is clear. With further validation, it could become part of standard memory screening within the decade. For patients, it could mean earlier access to life-changing drugs. For families, it could mean more time to plan and adapt. And for medicine, it represents a shift toward proactive, rather than reactive, dementia care.
Alzheimer’s may still be incurable, but with tools like Fastball, the way we detect and manage it may be about to change dramatically.
Credits: Imperial College Of London
For over two hundred years, the stethoscope has been an symbol of medical care, a humble but indispensable device permitting physicians to hear the internal beat of the human body. Since the invention in 1816, the model has not changed a great deal. Now, scientists at Imperial College London and Imperial College Healthcare NHS Trust have unveiled a high-tech upgrade: an artificial intelligence (AI)-driven stethoscope that can diagnose heart failure, heart valve disease, and irregular heart rhythms in only 15 seconds.
The AI stethoscope is a breakthrough in cardiac treatment. In contrast to conventional stethoscopes that are dependent on the skilled ear of a physician, this one picks up subtle changes in heartbeat and blood flow that cannot be detected by humans. Simultaneously, it performs a quick electrocardiogram (ECG) to capture the electrical activity of the heart. This simultaneous process enables detection of three significant cardiovascular diseases almost instantly, which could revolutionize the way heart disease is diagnosed in primary care.
These conditions must be identified early. Atrial fibrillation, valve dysfunction, and heart failure can go quietly, only being detected when the patients are seriously ill. Dr. Patrik Bächtiger, from Imperial College London's National Heart and Lung Institute, explains the implications: "The stethoscope design has not changed in 200 years—until now. A 15-second diagnosis can now provide actionable insight that was previously the result of multiple tests."
The technology was piloted in the Tricorder trial, a randomized controlled study of about 12,725 patients across 200 general practice surgeries throughout the UK. Patients had symptoms like breathlessness, tiredness, or swelling of the legs, all typical signs of heart failure. Researchers made comparisons between outcomes for patients seen with the AI stethoscope and those seen through usual care without the device.
The outcomes were impressive. Patients evaluated using the AI stethoscope were more than twice as likely to be diagnosed with heart failure in the next year. Atrial fibrillation, an irregular heartbeat that greatly ups stroke risk, was detected more than three times as often, and diagnosis of heart valve disease almost doubled. These findings suggest that AI-aided auscultation can significantly boost the early identification of potentially fatal cardiovascular diseases.
The gadget, made by California-based firm Eko Health, is about the size of a playing card. Once positioned against a patient's chest, its microphone picks up the sound of blood flow as a quick ECG captures electrical activity. It sends the information securely to cloud-based servers, where the AI algorithms trained on tens of thousands of recordings from patients process the signals. Results are reported to a clinician's phone within minutes, indicating if the patient is at risk of one of the three cardiovascular conditions.
"Having the capability to integrate sound analysis with ECG in real-time is unparalleled," states Dr. Mihir Kelshiker from Imperial College. "This method enables GPs to spot issues prior to patients coming into emergency care, which could save lives and help curb healthcare expenditures."
More than speed and accuracy, the AI stethoscope provides a scalable platform for community-based care. NIHR's scientific director of innovation, Prof. Mike Lewis, comments: "By getting diagnosis innovation into GP clinics, we give local clinicians the power to detect serious conditions earlier, tackling some of society's biggest health issues."
That said, there are some limitations to the technology. The researchers warn that the device needs to be applied in symptomatic patients instead of being used for screening healthy persons in routine. False positives have a risk of occurring in which the patient will be mistakenly identified as being at risk, the implication being that the clinical context is crucial in interpretation.
For many years, cardiovascular disease has been a top cause of death globally, frequently complicated by delayed diagnosis. The AI stethoscope is a breakthrough, allowing earlier intervention by clinicians, more personalized treatments, and better long-term outcomes. Dr. Sonya Babu-Narayan, clinical director at the British Heart Foundation, highlights the potential benefit: "Earlier diagnosis means people can receive life-saving treatments earlier, enhancing quality of life and survival."
The equipment also vows to simplify care pathways. By quickly flagging up high-risk individuals in primary care, it can cut back on the necessity for repeated follow-up tests and specialist referrals, freeing up hospital capacity and enhancing patient satisfaction.
After the trial, the intention is to roll out the AI stethoscope to GP practices across Wales, South London, and Sussex. Broader uptake is expected to prove its efficacy with a wide range of patient populations and healthcare environments. Further development will add more sophisticated cardiac diagnostics to the device and continue to improve AI algorithms to make it more accurate.
As the technology advances, the stethoscope AI highlights a larger trend in medicine: the coming together of artificial intelligence and old clinical devices. It shows how ancient devices that date back centuries can be rediscovered for the 21st century, closing the distance between early detection and timely intervention.
From its modest beginnings in 1816 to the AI-assisted stethoscope today, the stethoscope remains at the heart of medicine, now poised to revolutionize cardiovascular diagnostics. By allowing for rapid, precise identification of heart failure, atrial fibrillation, and valve disease, the AI stethoscope might save thousands of lives, alleviate the load on healthcare systems, and redefine the way heart disease is treated worldwide. For clinicians and patients alike, it is a step forward in the quest for quicker, smarter, and more accurate cardiac care.
© 2024 Bennett, Coleman & Company Limited