Danielle Fishel, the actress who played Topanga Lawrence in the popular 90s sitcom “Boy Meets World,” recently shared that she has been diagnosed with ductal carcinoma in situ (DCIS) or Stage 0 of breast cancer.

Fishel, 43, revealed the news on her podcast, “Pod Meets World,” which she co-hosts with her former co-stars Rider Strong and Will Friedle. During the episode, she explained that her cancer is classified as "stage zero," which means it was detected early and is typically easier to treat. She plans to undergo surgery to remove the cancerous cells, followed by additional treatment if necessary.

What is Stage 0 Cancer?

DCIS, or ductal carcinoma in situ, is a non-invasive form of breast cancer. In this condition, the cancer cells are located within the milk ducts of the breast but haven’t spread to nearby tissues. DCIS is considered a pre-invasive or stage zero cancer because it hasn’t yet become invasive, meaning it hasn’t spread beyond the ducts into other parts of the breast or body. The good news is that DCIS is highly treatable, and nearly all women diagnosed with it can be cured.

However, if left untreated, DCIS can progress to invasive breast cancer, which can spread to surrounding tissues and potentially other areas of the body. This is why early detection, like in Fishel’s case, is critical. By catching cancer at this early stage, treatment is more effective, and the prognosis is generally favorable.

Importance of Regular Screening

Fishel credited her regular breast cancer screenings for the early detection of her condition. She emphasized the importance of not delaying annual mammograms, sharing that her own early diagnosis was the result of promptly scheduling her screening after receiving a reminder.

Health experts agree that regular breast cancer screening is vital for early detection and better outcomes. Women of average risk are typically advised to start annual mammograms at age 40. However, those with a higher risk, such as a strong family history of breast or ovarian cancer, certain genetic mutations, or a history of certain benign breast conditions, may need to begin screening earlier.

Dr. Richard Reitherman, a radiologist and medical director of breast imaging at MemorialCare Breast Center, told Healthline that breast cancer risk increases with age, especially after 35. Women with a family history of breast cancer should talk to their doctors about starting screening earlier, possibly at an age 10 years younger than when their youngest affected family member was diagnosed.

The UK Health Security Agency (UKHSA) has urged travellers to the Kingdom of Saudi Arabia (KSA) for Umrah and the upcoming pilgrimages to ensure they are vaccinated against meningococcal disease with the MenACWY vaccine. This notice has been issued in the backdrop of the ongoing outbreaks of serogroup W (MenW) disease, which is associated with travel to KSA.

As of now, UKHSA has confirmed 5 cases of MenW disease between February and March 2025 in people who had recently returned from KSA or had close contacts with those who returned to England and Wales.

What Is Serogroup W (MenW) Disease?

As per the 2014 study published in Cambridge University Press, these strains have been emerging throughout the current century with most of the isolates belonging to the sequence type (ST11)/electrophoretic type (ET37) clonal complex (ST11/E37 CC). This has been particular since the international outbreak following Hajj 2000.

Meningococci are capsulated bacteria. The international emergency was first reported following the annual Hajj season in Saudi Arabia in March 2000. This is a serious bacterial infection that can lead to severe illness and even death. It is characterized by the onset and can manifest in various ways, including meningitis, septicemia and pneumonia. MenW IMD has increased in the recent years.

What Are The Symptoms?

It can start with a high fever, headache, stiff neck, vomiting, and a petechial or purpuric rash.

In some cases there could be atypical presentations too, especially when the patient has pneumonia, septic arthritis, and upper respiratory or ophthalmological symptoms.

A "2013 strain" is also associated with gastrointestinal symptoms like diarrhea ad vomiting.

What Happens In This Disease?

Invasive meningococcal disease is rare, however, it is a serious condition. What happens here is that the lining of the brain and spinal cord gets inflamed and thus it can kill people or leave them with life-changing disabilities.

What Are Pilgrims Asked To Do?

Travellers performing Hajj or Umrah, as well as seasonal workers, must show proof of a valid MenACWY vaccination certificate, issued between 10 days and 3 to 5 years before arriving—depending on the type of vaccine they received. The World Health Organization (WHO) and the National Travel Health Network and Centre (NaTHNaC) also recommend that all travellers to Saudi Arabia consider getting the quadrivalent MenACWY vaccine, especially in light of the ongoing MenW outbreak.

What Does The Expert Say?

Dr Shamez Ladhani, who is a Consultant Epidemiologist at UKHSA said, "The MenACWY vaccination is essential for pilgrims travelling to KSA for Umrah and Hajj, particularly given recent cases among UK returnees and their families. Meningococcal disease can be fatal and may leave survivors with serious lifelong conditions including hearing loss, brain damage and limb amputations. Pilgrims should ensure vaccination at least ten days before travel and remain vigilant for symptoms like sudden fever, severe headache, stiff neck, or rash. If you or anyone at home becomes unwell with any symptoms of meningitis within two weeks of returning from Saudi Arabia, contact your GP or NHS 111, mentioning your recent travel history, or dial 999 in case of emergency."

The UKHSA has also advised the following guideline for UK travellers:

• avoid consuming raw or undercooked animal products
• avoid contact with camels and animal waste
• practise good hygiene, particularly washing hands after visiting farms, barns or markets

In a landmark development for patients who live with a rare and painful skin condition, the US Food and Drug Administration or the FDA has approved Zevaskyn (prademagene zamikeracel) for the treatment of recessive dystrophic epidermolysis bullosa or RDEB. This is an inherited disorder that causes the skin to be extremely fragile. I also leads to chronic wounds, bleeding, and tearing even from minor friction or trauma.

As per the 2015 study published in the Journal of Clinical and Aesthetic Dermatology, there are four major subtypes of the skin disorder, which comes from the heterogeneous group of inherited mechanobullous disorder hat is caused by mutation in genes that encode structural proteins in the skin. The overall condition is referred to as epidermolysis bullosa, and one of its type is RDEB, which further comes with two main subtypes of dystrophic EB.

Zevaskyn is now the first and only autologous cell-based gene therapy approved for both adult and pediatric patients living with this life-altering condition.

Why Is This A Breakthrough In Gene Therapy?

Zevaskyn represents a new era in wound care and gene therapy. Unlike traditional treatments that only manage symptoms, this one-time surgical application targets the underlying genetic mutation responsible for RDEB. The therapy uses the patient's own skin cells, which are genetically modified to produce a functional version of the missing COL7A1 gene, critical for anchoring skin layers together.

"Zevaskyn is not just a bandage—it’s a breakthrough that may help change the course of this disease for many," said Madhav Vasanthavada, Ph.D., Chief Commercial Officer at Abeona Therapeutics, the biopharmaceutical company behind the treatment.

How Was It Approved?

The FDA based its approval from the results of two clinical trials: a phase 1/2a study and the pivotal phase 3 VITAL study.

Phase 1/2a Trial: In this study, seven patients with 38 chronic wounds received a single Zevaskyn application. Researchers observed a significant and long lasting improvement at treated sites during the median follow-up of seven years.

Phase 3 VITAL Study: This was a larger study that included 43 patients with large unhealed or non healing wounds. After six months, 81% of those wounds treated by Zevaskyn, showed at least 50% healing, as compared to only 16% in the control group, who had received the standard care.

These outcomes were not only statistically significant but also clinically meaningful, especially for patients who have previously struggled with limited treatment options.

Zevaskyn also showed a favorable safety profile across both studies. No treatment-related serious adverse events were reported. The most common minor side effects were procedural pain and itching, affecting approximately 5% of participants.

"This therapy offers hope for patients and families who have lived too long without effective solutions," said Vasanthavada. “We’re confident in Zevaskyn’s ability to deliver long-term results and are committed to making it widely accessible.”

Access For Patients

To ensure access, Abeona Therapeutics plans to collaborate with both commercial insurers and government payers. The company aims to develop outcome-based agreements that reflect the long-term benefits of a single application of Zevaskyn, reducing the need for repeat procedures or ongoing wound care costs.

With FDA approval, Zevaskyn is set to be a game-changer in the treatment of recessive dystrophic epidermolysis bullosa—offering patients more than just relief, but a meaningful step toward healing.

Florida is on the brink of becoming the second taste to ban fluoride in public drinking water. It will join Utah, which had become the first state to enact the ban just last month. While this was opposed by dentists and national health organizations, who had also warned against this move to lead to more medical problems, dental problems and also affecting low-income communities disproportionately, Spencer Cox, Republican Gov. Signed the legislation regardless.

The Controversial Bill

The bill has received final approval from Florida lawmakers on Tuesday and is now being headed to Republican Governor Ron DeSantis' desk for approval. DeSantis' administration has been an outspoken critic of adding fluoride to community water systems. They have argued that high fluoride levels could potentially affect children's intellectual development. The same concern was quoted by Cox to ban fluoridated water. This is based on the paper published in the medical journal JAMA Pediatrics that concluded that there may be a link between high levels of fluoride and lower Intelligence Quotient (IQ). Their research indicated a possible neurodevelopmental harm to pregnant people or young children if they are exposed to drinking water containing at least 1.5 milligrams of fluoride per litre- a level more than twice what's recommended (0.7 mg/L) for the US water supply. It is important to note that in many American states and Western countries, pregnant women and children receive fluoride from many sources, making their exposure to this mineral way too high from the recommended levels.

However, the study does not the safe levels of fluoridated water which is safe for use. In fact, these levels are also regulated by the US Food and Drug Administration (FDA).

What Do The Republicans Want?

The bill, sponsored by Republican state Representative Kaylee Tuck, does not explicitly mention fluoride but mandates the removal of fluoride and other additives from the state's water systems.

According to Tuck, the legislation focuses on removing additives related to health, rather than water quality itself. "Anything that relates to water quality, removing contaminants, things like that, we're not touching that," she stated. "It's anything that has to do with health, so fluoride, vitamins, whatever else it is."

The Resistance

There has been local resistance to from the local authorities in Florida. The Miami-Date County Mayor Daniella Levine Cava expressed her dismay with this move and stated that this will undermine the overwhelming support of medical professionals for the practice of fluoridating water. She said that ending fluoridation could lead to harmful consequences, especially for the vulnerable families, who would lost access to a cost-effective method of preventing tooth decay.

Fluoridation has been a standard practice in many parts of the U.S. for decades, and it has been credited with significantly reducing the incidence of cavities. According to the Centers for Disease Control and Prevention (CDC), fluoride helps to strengthen tooth enamel and make it more resistant to cavities.

Health Benefits Of Flouride

Fluoride is a naturally occurring mineral that plays an essential role in maintaining strong, healthy teeth. It helps replace minerals lost from tooth enamel due to normal wear and tear. Additionally, fluoride can help reverse early signs of tooth decay by remineralizing the enamel. It also reduces the production of acids by bacteria in the mouth, which further helps prevent plaque buildup.

Beyond dental health, fluoride is also beneficial for bones. It stimulates new bone formation and has been shown to protect against conditions like osteoporosis. As such, fluoride is not only important for dental care but also for overall skeletal health.