New Recommendations Made On RSV, Meningitis, And Chikungunya Vaccines

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Updated Apr 17, 2025 | 09:00 AM IST

New Recommendations Made On RSV, Meningitis, And Chikungunya Vaccines

SummaryExperts recommend expanded RSV shots for at-risk adults, a new meningitis combo vaccine for teens, and chikungunya protection for travellers amid rising global health concerns.

Ever since the Trump Administration has taken over, it is no news that new developments have been made in the health sector. As of now, a federal vaccine advisory panel in the US has made several new recommendations that will expand vaccine coverage for respiratory syncytial virus (RSV), meningitis, and chikungunya. These suggestions claim to better protect vulnerable groups, including older adults, teens, and travellers.

While these recommendations are still awaiting the approval from the Centers for Disease Control and Prevention (CDC), they have signalled a proactive approach towards preventing serious infectious diseases.

What all did the Advisory Committee on Immunization Practices (ACIP) propose?

Expanded RSV Vaccination for Adults

Of many, one of the key recommendations was to extend RSV vaccination to adults aged 50 to 50, especially for those who have certain health conditions. RSV is a common virus that usually causes mild cold-like symptoms.

However, the concern with older adults and people with chronic illnesses like heart disease, diabetes, and chronic obstructive pulmonary disease (COPD), having RSV can further elevate the illness, lead to hospitalization, and even death.

Previously, RSV vaccines were mainly recommended for people aged 60 and above. The proposed expansion thus looks at the growing concern that adults in their 50s with comorbidities are also at a higher risk of complications with RSV infection. The change would make it possible for more people to receive the preventive care that is important for them during the peak RSV season, like fall and winter.

A New Combination Shot for Meningitis

The panel also endorsed a new vaccine developed by GSK that protects against five strains of meningococcal bacteria - a significant development in the fight against meningitis.

It is an inflammation of the protective membranes surrounding the brain and spinal cord. It is often caused by infection. Bacterial meningitis, especially meningococcal meningitis, can progress quickly and has serious consequences, including brain damage, hearing loss, and death if not treated swiftly.

Teenagers and young adults, especially those in group living situations like college dorms, are particularly vulnerable. The newly recommended combination shot also includes coverage for a strain that has earlier caused many college campus outbreaks. The outbreaks had been caused about a decade ago. This shot would also add to existing vaccine options, offering broader protection in a single dose.

Chikungunya: Who Will Be Getting The Shot?

The committee also recommended adding a second chikungunya vaccine, especially for travellers who are aged 12 or older. It is a viral disease that is spread by mosquitoes in tropical and subtropical regions. While the disease itself is rarely fatal, it can cause severe joint pain, fever, and fatigue. The pain can last for weeks or even months.

The addition of another vaccine gives travellers more choices to prevent infections as international travel increases. The panel also added a precaution for an older chikungunya vaccine that uses a live but weakened virus: people aged 65 and older should weigh the benefits and potential risks, especially after reports of adverse reactions in older adults with preexisting conditions. An investigation into those cases is ongoing.

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Novo Nordisk Launches Weight Loss Drug Wegovy In Thailand

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Updated Apr 29, 2025 | 12:12 AM IST

Novo Nordisk Launches Weight Loss Drug Wegovy In Thailand

SummaryWegovy's launch in Thaliand comes nearly a month after Eli Lilly launched its obesity management drug Mounjaro in India at one-fifth of the US price.

Danish multinational pharmaceutical company Novo Nordisk has launched Wegovy in Thailand, marking the entry of its hugely popular weight loss drug in Southeast Asian market. First launched in 2021, Wegovy helped make Novo Nordisk Europe's most valuable listed company until recently, worth $615 billion at its peak. Wegovy is a semaglutide shot, which means that it is a GLP-1 receptor agonist.

"We actually received the Thai FDA approval already in 2023," said Enrico Canal Bruland, vice president and general manager of Novo's Thai subsidiary. He noted that Novo was making Wegovy available in Thailand ahead of rival Eli Lilly's Zepbound. Wegovy is currently available for prescription in private hospitals around the country and will be available soon in public hospitals. Notably, Bruland declined to provide details on Wegovy's pricing in Thailand, which has a population of around 66 million, or Novo Nordisk's plans for expansion into other Southeast Asian markets.

Notably, the most popular GLP-1 agonist Ozempic was also created by Novo Nordisk. Earlier this month, the pharma giant expanded its research in the field diabetes and weight loss drug and announced that its diabetes pill, Rybelsus, demonstrated cardiovascular benefits in a late-stage trial. The findings pave the way for the medication to become a new treatment option for people living with both diabetes and heart disease.

How Do Semaglutides Work?

Semglutide is the synthetic version of GLP-1—a natural hormone produced in the intestines that regulates blood sugar, appetite, and digestion. Now, every time you eat, your body produces various hormones, including GLP-1. These are called Post nutrition hormones, and help you absorb the energy you just consumed.

GLP-1 travels to your pancreas, prompting it to produce insulin. It also travels to the hypothalamus in your brain, which gives you the feeling of being full or satiated. Ozempic imitates this hormone, thereby, silencing the food chatter in the brain. Interestingly, for some people this food chatter is really quiet ( people with low appetite) and for others it is an outbrurst, (people who generally binge eat.) So with Ozempic, silencing this self-talk in the brain, people tend to lose their appetite and eventually weight.

However, it is important to note that losing weight includes not just fat but muscle as well. Losing too much muscle can lead to reduced strength and a shorter life span. Notably, records show that most people who start taking them stop it at 12 weeks; therefore, it is important for some but not for others.

Notably, last month, US pharma major Eli Lilly launched the obesity management drug Mounjaro in India at one-fifth of the US price. The company rolled out the drug in a single-dose vial following the marketing authorisation from the Central Drugs Standard Control Organization (CDSCO). It has been priced at Rs 3,500 for a 2.5 mg vial and Rs 4,375 for a 5 mg vial. "It is a first-of-its-kind treatment for obesity, overweight, and type 2 diabetes that activates both GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) hormone receptors," the company said.

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Why are head injuries so common with anesthesiologists?

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Updated Apr 28, 2025 | 08:00 AM IST

Boom Strikes: Why Are Cases Of Head Injuries Among Anesthesiologists Growing?

SummaryAnesthesiologists face a rising risk of head injuries in crowded operating rooms. New ASA guidelines aim to make their workspaces safer and prevent serious accidents.

One moment, Dr Cornelius Sullivan was focused on a patient during surgery, and the next moment, he woke up in ambulance, headed to the emergency room.

According to the American Society of Anesthesiologists (ASA), Dr Sullivan had struck his head on a monitor that had been moved behind him in a surgery center. This serious accident had resulted in a two-night hospital stay and kept him away from work for weeks. However, this is not the first time he had suffered a work-related injury. This is, in fact, the third time this has happened, noted ASA.

"Boom Strikes"

These injuries are often called "boom strikes". These occur when anesthesiologists accidentally bump into operating room (OR) equipment that is mounted on fixed or moveable arms. These could be monitors, lights, or screens.

While any OR staff member could be hurt this way, anesthesiologists are particularly more vulnerable to such injuries. Their work requires them to operate in tight, also, often crowded spaces. It also requires them to move quickly during emergencies, which further increases the risk of collision with equipment.

Why The Problem Is Growing?

As per ASA, the risk of boom strikes have been on the rise. This is also because of an increase in sophisticated equipment being added to operating rooms and surgeries are also now performed in much smaller spaces.

As per a survey conducted by the organization, it was found that more than half of anesthesiologists reported experiencing at least one work-related injury, including head injuries. These numbers have highlighted the growing concern over physical safety in an already demanding and high-pressure environment.

Can New Guidelines Improve Safety?

In response to these alarming findings, the ASA has issued a new Statement on Anesthesiologist Head Injuries in Anesthetizing Locations.

The statement formally recognizes boom strikes as a serious occupational hazard and even a potential medical emergency — especially dangerous during outpatient procedures or in cases where no backup anesthesiologist is immediately available to take over patient care.

Dr. Mary Ann Vann, chair of ASA's Ad Hoc Committee on the Physical Demands of Anesthesiologists, also experienced a work-related head injury. Drawing from personal experience, Dr. Vann helped develop the new safety recommendations, aimed at preventing such incidents.

What Have Been The Key Recommendations?

The ASA outlined several measures to reduce the risk of head injuries among anesthesiologists, including:

Holding Regular Safety Meetings: OR teams should meet frequently to discuss safety concerns and review past incidents.

Creating Safety Teams: Special teams should be tasked with reviewing and tracking reports of boom strikes to identify patterns and solutions.

Involving Anesthesia Staff in Room Planning: Clinical anesthesia personnel should have a voice when designing or rearranging procedure rooms to ensure equipment placement considers movement and space needs.

Tracking Head Injuries: Systematic documentation of head injuries can help health systems better understand causes and outcomes, leading to more informed prevention strategies.

The ASA emphasized that head injuries in the OR are not just minor accidents but events that can have serious consequences for patient safety and anesthesiologists’ health.

By implementing the new guidelines and raising awareness, the ASA hopes to make operating rooms safer environments for all medical professionals — and ensure that anesthesiologists can continue their vital work without unnecessary risk.

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Healer Or A Threat? RFK Jr. Praises Measles-Infected Doctor Treating Kids While Cases Surge

Updated Apr 28, 2025 | 05:00 AM IST

Healer Or A Threat? RFK Jr. Praises Measles-Infected Doctor Treating Kids While Cases Surge

SummaryRobert F. Kennedy Jr. sparked controversy by downplaying vaccine importance, criticizing the MMR vaccine’s efficacy, and praising measles-infected doctors treating children during a surge in cases, fueling concerns about rising vaccine hesitancy and public health risks amid a national outbreak.

As the United States battles its worst measles outbreak in decades, a disturbing controversy is brewing. Public health is being complicated not just by the virus's spread but also by the promotion of suspicious medical practices at the top levels of leadership. Robert F. Kennedy Jr., long-time critic of mandatory vaccinations and current Health Secretary, has openly endorsed a Texas physician who saw patients with children while actually infected with measles an action warned by health officials to potentially have devastating effects on public health.

The Centers for Disease Control and Prevention (CDC) reported measles infections skyrocketed to 884 cases of confirmed infection in 29 states during 2025, with areas of concentration being Texas, New York, California, and other regions. Texas alone represents 646 cases, making it the center of the outbreak. Scarily, at least six states, Indiana and Ohio included, have shown outbreaks, a definition used when there are three or more linked cases. The increase has already killed at least three people, two of whom are young children.

The measles resurgence is a grim reminder of just how easily highly infectious measles can re-establish itself among populations, particularly if vaccination is below par. Deemed eradicated in the United States as far back as 2000, measles teeters on the cusp of endemically reintroducing itself today—a failure at public health for which increasing numbers of professionals presume vaccine hesitation lies at its center.

In recent interviews, Kennedy has doubled down on his views that natural immunity is superior to vaccine-induced protection. On Fox News, he wistfully remembered a day when "everybody got measles" and acquired lifelong immunity. It is true that measles infection normally provides lasting immunity, but the disease also poses serious risks, such as encephalitis, blindness, and death—risks that have been greatly diminished by vaccines.

Kennedy has posited that the Measles, Mumps, and Rubella (MMR) vaccine is capable of producing adverse reactions and should always be a question of individual choice and not one of public health mandate. Nonetheless, public health officials emphasize that the risks entailed by the vaccine are phenomenally low relative to the threat posed by the disease itself.

Controversy mounted when a video appeared depicting Dr. Ben Edwards, a Texas doctor, seeing patients while obviously infected with measles. Filmed in a pop-up clinic established by anti-vaccine activists, the video depicts Edwards affirming he came down with symptoms--including a rash and low-grade fever--a day before the footage was taken.

Even though he knew he was contagious, Edwards kept seeing patients without proper protective equipment, such as an N95 mask. Experts say this action probably infected countless people particularly children and their families with a potentially deadly virus.

Rather than condemning Edwards' actions, Kennedy greeted him days later and publicly endorsed him on social media as an "extraordinary healer." Together with another doctor, Edwards was praised for advocating alternative care such as vitamins and cod liver oil—none of which are shown to prevent or cure measles.

Risk of Misinformation

Top health experts have been quick to denounce both Edwards' behavior and Kennedy's support. Measles is one of the most infectious diseases known to science, with the virus able to remain in the air for up to two hours after an infected individual has vacated the room. People are infectious for a number of days before and after the rash has erupted.

Dr. Saad Omer, Director of the Yale Institute for Global Health, has declared the move "an egregious violation of basic public health principles," warning that endorsement by officials could encourage others to disregard safety measures and fuel outbreaks even further.

Worryingly, Dr. Edwards himself disclosed in the video that he'd been given numerous doses of MMR vaccine and yet had got measles, insisting that vaccine-acquired immunity "wears off." Health officials explain that whereas immunity would inevitably wane fractionally over years, two shots of MMR vaccine are approximately 97% effective in avertting measles.

Why Measles May Become Endemic?

The stakes are high. Recent research from Stanford University shows that even slight declines in vaccination rates could make measles endemic in the United States within two decades. A 10-percentage-point drop could lead to millions of cases over 25 years, reversing decades of public health progress.

The COVID-19 pandemic interrupted childhood immunizations worldwide, but vaccine hesitancy had already been increasing prior to 2020, driven by misinformation campaigns and politicized rhetoric. In a time when skepticism of health authorities is on the rise, the implications of such distrust could be disastrous.

Public health experts are calling for action now to slow the current epidemic and avoid future ones. Getting more people vaccinated—even by 5%—would dramatically decrease the number of future cases of measles, keep vulnerable groups such as infants and immunocompromised patients safe, and save lives.

Measles Prevention

Parents should feel free to discuss vaccine safety and effectiveness openly with pediatricians. Policymakers need to re-emphasize school-entry vaccine mandates and continue working to push back against lethal disinformation.

The MMR shot is still the gold standard of protection. The CDC recommends that children should get two doses and that travelers should make sure to get vaccinated a minimum of two weeks prior to traveling internationally. As this current outbreak proves, complacency is not an option.

As measles cases increase and public trust in vaccines erodes, America is at a crossroads. Leaders can be the voice of reason and protect communities—or fan confusion that gives preventable illnesses an opportunity to flourish. RFK Jr.'s recent actions and endorsements speak to the urgent need for evidence-based, clear leadership on public health. The most vulnerable depend on it.

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