No More Brain Scans Needed, A Simple Blood Test Could Identify Alzheimer’s At Any Stage

Updated Apr 5, 2025 | 05:00 AM IST

No More Brain Scans Needed, A Simple Blood Test Could Identify Alzheimer’s At Any Stage

SummaryWith nearly 55 million people worldwide currently living with dementia—and Alzheimer’s accounting for 60–70% of those cases—the global burden is enormous. Diagnosis delays often prevent early intervention, compounding the emotional and financial toll on families and healthcare systems alike.

In a monumental scientific finding researchers have developed an experimental blood test that not only detects Alzheimer's disease but can follow track its progression with remarkable accuracy, providing a historic advancement in Alzheimer's diagnostics and research. Published in Nature Medicine, the research is promising hope for millions across the globe by suggesting a less expensive, quicker, and more straightforward substitute for old diagnostic devices.

Alzheimer's disease has long defied early and conclusive diagnosis. Now, brain scans and spinal taps are the gold standards, but these procedures are expensive, invasive, and frequently out of reach—particularly outside of large urban or research centers. The recently discovered blood test could fundamentally transform that situation.

Scientists at Washington University School of Medicine in St. Louis have homed in on a blood protein known as MTBR-tau243, which is highly linked with tau tangles in the brain—a signature of Alzheimer's disease pathology. These tangles usually form after amyloid plaques, a key point in disease development when cognitive symptoms start to emerge.

This blood test definitively detects Alzheimer's tau tangles, which is our best biomarker measure of Alzheimer's symptoms and dementia," says Dr. Randall Bateman, co-senior author of the study and professor of neurology at Washington University.

The researchers initially discovered robust relationships between MTBR-tau243 levels in spinal fluid and the occurrence of tau tangles. They then went on to do the same, but with a much less intrusive method using blood samples. In their analysis, they used 108 U.S. and 55 Swedish patients and validated them using an extra cohort of 739 individuals.

Recruits spanned several levels of cognitive impairment—from presymptomatic subjects with higher amyloid load to those having frank Alzheimer's dementia. Critically, subjects with other causes of cognitive impairment were also recruited to evaluate test specificity.

The findings were dramatic: the blood test showed 92% specificity in detecting tau tangles, with protein rising steadily as dementia worsened. MTBR-tau243 was as much as 200 times higher in those with Alzheimer's dementia than in those who had only mild impairment.

Most hopefully, MTBR-tau243 levels were normal in those with non-Alzheimer's cognitive problems and in those with amyloid deposits but without symptoms—emphasizing the test's specificity in singling out genuine Alzheimer's cases.

This diagnostic innovation is not just a device—it may be a doorway to tailored care. As more Alzheimer's therapies become available, such as medications that attack either amyloid or tau proteins, identifying a patient's individual disease stage becomes essential to customize treatments.

We're on the verge of the age of personalized medicine for Alzheimer's disease," says co-lead author Dr. Kanta Horie. "When we have a clinically available blood test for staging, along with treatments that are effective at various stages of the disease, physicians will be able to tailor their treatment regimens to the individual needs of each patient.

For instance, anti-amyloid treatments would perhaps be most effective in the early phases where tau tangles are not very extensive. However, more developed phases characterized by massive tau deposition could be treated with anti-tau drugs or newer combination drugs being explored.

What Happens to the Brain in Alzheimer's Disease?

Alzheimer's disease is a progressive neurodegenerative illness that gradually erodes memory, thinking ability, and eventually, the capacity to perform everyday tasks. Essentially, the disease interferes with the brain's basic biology.

The healthy brain has tens of billions of neurons that exchange information through electrical and chemical signals. These signals travel through complex networks that include dendrites (which receive messages), cell bodies (which contain genetic material), and axons (which send messages to other neurons).

Alzheimer's interferes with these fundamental processes. Amyloid plaques first appear between neurons and then tau tangles within them. The outcome is disrupted communication, cellular metabolic breakdown, and collapse in mechanisms to repair the brain. Gradually, critical parts of the brain like the hippocampus and cerebral cortex become badly damaged, disrupting memory, language, judgment, and behavior.

While some brain shrinkage is natural with age, the extensive loss of neurons in Alzheimer's is much more crippling. Eventually, the disease causes death, with patients losing their self-sufficiency many years before they succumb.

Will this Blood Test Simplify Alzheimer's Care?

With close to 55 million individuals across the globe already living with dementia—and Alzheimer's responsible for 60–70% of all cases—the worldwide burden is staggering. Delays in diagnosis routinely preclude early intervention, multiplying the emotional and financial cost for families and healthcare systems as well.

This blood test is scalable. It could be used in primary care clinics, rural healthcare facilities, and low-resource nations—places where sophisticated imaging technology and neurologists might be scarce.

By streamlining diagnosis and allowing for earlier detection, the test not only empowers doctors but also provides patients and families with a greater opportunity for planning, symptom management, and participation in clinical trials or therapies based on their disease stage.

Although the blood test remains in the experimental stage, the pace is developing strongly. With more validation and regulatory endorsement, MTBR-tau243 testing may become standard procedure in Alzheimer's screening protocols in the near future.

For the time being, it is a significant scientific achievement—a hope beacon in the extended, protracted battle against Alzheimer's. While we make slow but certain strides toward solving the brain's enigmas, instruments like this put us a step closer toward a time when Alzheimer's can be found early, controlled with ease, and, one hopes, prevented entirely.

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maternal mortality on rise in the US

Credits: Canva

Updated May 5, 2025 | 12:00 PM IST

Maternal Mortality On Rise In US, Reports CDC

SummaryUS has recorded one of the highest rates of maternal mortality among developed and high-income countries. While the increase in the rate is only slight, it does raise concerns about the healthcare and its access. Read on.

After two years of decline in maternal mortality, especially in the number of women dying during or shortly after childbirth in the US, the numbers are again on the rise. As per the newly released data from the Centers for Disease Control and Prevention (CDC), the 2024 figures have renewed concerns about maternal health in the country. US has already been at one of the highest maternal mortality rates among the high-income countries.

The CDC's provisional report stated that 688 women died last year due to pregnancy-related complications. This is a slight increase from the 669 deaths reported in 2023. The maternal mortality rate also rose and reached to 19 deaths per 100,000 live births. This is up from 18.6, the rate recorded a year earlier.

While the numbers do remain below the peak figures which was noted in the COVID-19 pandemic in 2021 and 2022, the reversal of a two-year downward trend has raised alarms.

What Are Maternal Deaths?

As per CDC, maternal deaths occur during pregnancy, childbirth, or within 42 days after delivery. The major point here is that the deaths must occur due to pregnancy-related conditions. These include excessive bleeding, infections, and blood vessel blockages, which continue to be among the leading causes.

The COVID-19 Effect

The numbers of maternal deaths in the US surged during the COVID-19 pandemic. This proved to be dangerous for pregnancy women, since many healthcare systems and hospitals have become overwhelmed. It also led to gaps in care. During the worst phases of pandemic, some physicians also reported burnout. This could have also been the reason why pregnancy related concerns which required immediate attention could have been downplayed.

As the pandemic receded in 2022 and 2023, the number of maternal deaths declined, in part because of improved COVID-19 prevention and treatment protocols. However, experts warn that the progress made during those years is now being undermined by new and persistent challenges.

The Reason Behind These Numbers:

As per the public health experts, there are several factors that have lead to an increase in the number of maternal mortality:

Limited Access to Care: The closure of rural hospitals across the U.S. continues to make it harder for women in remote areas to access prenatal and emergency care.

Legal and Regulatory Changes: The 2022 Supreme Court ruling that overturned Roe v. Wade has had a ripple effect on maternal healthcare. Some doctors, concerned about legal consequences, are reportedly hesitant to provide certain treatments during pregnancy-related emergencies. In states with strict abortion laws, this has translated into delays in care — potentially putting mothers at greater risk.

Worsening Inequities: The U.S. has long-standing racial disparities in maternal health outcomes. Research has consistently shown that Black women die from pregnancy-related complications at much higher rates than white women, due to a combination of systemic racism, limited access to quality care, and implicit bias in medical settings.

The major concern is also that among the many wealthy countries, US has continued to stand out in a way that is not good for it. It has one of the highest maternal mortality rates in the developed world.

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Thailand Confirms First Anthrax Death In 30 Years Raises Alarm Over Potential Spread

Updated May 4, 2025 | 09:33 PM IST

Thailand Confirms First Anthrax Death In 30 Years Raises Alarm Over Potential Spread

SummaryThailand has confirmed its first anthrax death since 1994, prompting a health alert as over 600 people are monitored for exposure after consuming or handling raw, potentially contaminated beef.

Thailand's health officials reported on Wednesday the first human anthrax death since 1994, a tragic first in the northeastern province of Mukdahan. A 53-year-old man who had slaughtered and eaten raw beef developed cutaneous lesions and systemic symptoms before dying from infection despite being treated. Another case was confirmed in a friend with the same exposure, and three more suspected cases are being investigated. This unusual death has triggered an emergency public health response from several government agencies.

Anthrax is caused by the spore‑forming bacterium Bacillus anthracis, which mainly infects grazing livestock and wildlife. Humans become infected by direct contact with infected animals, contaminated animal products, or by eating undercooked meat. There are three clinical forms:

Cutaneous anthrax, the most prevalent, develops from itchy papules, which become black eschars, and is usually lethal if untreated.

Gastrointestinal anthrax, caused by the ingestion of tainted meat, causes acute pain in the abdominal area, nausea, and hemorrhagic diarrhea.

Inhalational anthrax—isolated, yet fatal—is produced when the spores are breathed in and manifest as respiratory insufficiency and systemic shock.

Unlike most infectious diseases, anthrax is not transmitted person-to-person. Early antibiotic treatment is effective, but delay in diagnosis can permit the bacteria to spread and cause life-threatening illness.

All About the Mukdahan Outbreak

The epidemic hub was in Don Tan district, Mukdahan Province, literally on the other side of the Mekong River from Laos, where 129 cases of anthrax (one fatal) were reported during the last year. Thai authorities have tracked down 638 people possibly exposed via butchering or eating raw beef: 36 butchers and 602 consumers are now being closely monitored and administered prophylactic antibiotics

Dr. Weerawat Manosuthi, Thailand's Disease Control Department spokesman, reported, "All those who are suspected to have come into contact with contaminated meat are under observation," emphasizing the need for expedient containment measures to avoid further infections.

Following the death and second confirmed case, Thailand's Agriculture Ministry has declared a 5‑kilometer cordon of quarantine around the animal exposure site. In this cordon, 1,222 cattle will be vaccinated by the Livestock Department, although none have as yet shown signs of disease or unexplained death

In the meantime, all suspected human contacts are on a course of ciprofloxacin or doxycycline, under close observation for the first symptoms of the disease. Clinics have been set up to identify anthrax signs, including painless ulcers on the skin and swollen lymph nodes, and to provide quick diagnostic tests, such as PCR assays.

Anthrax is also endemic in Southeast Asia, and border states have recently struggled with outbreaks as well. Laos's outbreak in 2024 and Vietnam's 13 cases reported in May 2023 underscore the impermeable nature of zoonotic disease transmission across the region. Thai health officials are meeting with their colleagues in Laos, Cambodia, and Vietnam to exchange information and coordinate surveillance efforts along borders.

Dr. Narong Chankaeo, head of the Mukdahan provincial health department, cautioned that environmental conditions—like flooding which exposes spores to the surface—could cause future outbreaks. "Increased surveillance in border towns and among cattle handlers is a must," he said.

Why Anthrax Reemerges?

In Mukdahan, the eating of raw beef dishes is a cultural norm that adds to risk. Flooding during certain seasons can disrupt spores hidden beneath the soil, infecting pastures and water sources. Added to unregulated butchering practices—frequently without protective equipment—these create a perfect storm for the reemergence of anthrax.

Experts also point out that years without a fatal case could have bred complacency both among the public and veterinarians. Dr. Saneemongkol Sawettanan, an epidemiologist at Bangkok's Ministry of Public Health, added, "We need to retrain rural health workers and farmers of livestock about anthrax prevention—lapses in awareness can be fatal."

From Rapid Response to Long‑Term Prevention

Although Thailand's rapid quarantine and vaccination campaign are essential initial actions, long‑term prevention involves a One Health strategy—aligning human, animal, and environmental health initiatives. These are:

  • Routine cattle vaccination in areas of high risk
  • Public awareness on proper meat handling
  • Surveillance of anthrax spores in water and soil
  • Exchange of data across borders and joint simulation of outbreaks

Through an improvement in veterinary services and public health infrastructure, Thailand can decrease the chances of future deaths.

Thailand’s first anthrax death in three decades is a stark reminder that even well‑known pathogens can re‑ignite under conducive conditions. As global travel and trade resume post-pandemic, zoonotic threats remain ever‑present. The Mukdahan outbreak underscores the importance of:

  • Maintaining robust vaccination programs for livestock
  • Ensuring rapid diagnostic capacity at local clinics
  • Fostering regional collaboration on disease surveillance
  • Balancing cultural practices with food safety education

What is Anthrax?

Anthrax is an uncommon but sometimes life-threatening illness caused by the spore-forming bacterium Bacillus anthracis that is naturally distributed in soil. Although it only infects animals and wild animals, humans are at risk when they have direct or indirect exposure to infected animals or contaminated animal products.

Unlike most contagious diseases, anthrax is not directly spread from human to human. Yet, skin sores from anthrax do carry a slight risk if a person touches them or contaminated objects (fomites) directly. The majority of human infections happen when bacterial spores gain entry into the body through cuts in the skin, eating undercooked contaminated meat, or through inhaling airborne spores.

Symptoms to Know

There are four major forms of anthrax infection, each having different symptoms. Incubation usually lasts between one to six days, but inhalation anthrax can take weeks to appear.

Cutaneous Anthrax (Skin-Related)

This is the most frequent and least deadly form of anthrax. It happens when the bacteria get into the body through a cut or scratch on the skin. If medical treatment is sought soon enough, cutaneous anthrax seldom develops life-threatening complications.

Common signs and symptoms are:

  • A small, itching bump that looks like an insect bite and soon develops into a painless ulcer with a black center
  • Swelling around the infected sore
  • Swollen lymph nodes near the infection site
  • At times, flu-like signs and symptoms like fever or headache

When Should You Seek Medical Attention?

Since initial anthrax symptoms may be similar to those of run-of-the-mill viral infections—such as the flu—it's simple to miss the early warning signs. But if you suspect exposure, particularly in a work environment where contact with infected animals or animal by-products may occur, immediate medical assessment is paramount.

Consult a doctor immediately if you experience strange skin lesions, fever, or respiratory disease following exposure in areas where anthrax infection is known to exist. Early treatment with antibiotics can make a big difference.

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CDC Reports 216 Child Deaths From Flu This Season, The Worst Since Swine Flu Outbreak

Credits: Canva

Updated May 4, 2025 | 09:00 PM IST

CDC Reports 216 Child Deaths From Flu This Season, The Worst Since Swine Flu Outbreak

SummaryThe 2023-2024 U.S. flu season has claimed 216 children's lives—its deadliest toll since the 2009 H1N1 pandemic—with flu vaccination rates for children dropping to 49%.

The Centers for Disease Control and Prevention (CDC) has officially reported the largest number of pediatric deaths in more than 15 years, topping even last year's death count and paralleling the killing impact of the 2009-2010 swine flu pandemic. At least 216 U.S. children have lost their lives from influenza-related causes through the current 2023–2024 flu season as of early May, a count that experts cautioned will likely still grow as further data are accumulated.

Dr. Sean O'Leary, a pediatric infectious disease physician at the University of Colorado and a spokesperson for the American Academy of Pediatrics, noted that the reported death toll is probably an underestimation. "This number that we have now is almost certainly an undercount," he said in an interview with the Associated Press, adding that final counts from CDC flu data are usually revised and finalized during the fall.

One of the most disturbing factors contributing to the surge in child flu deaths is the dramatic decline in rates of flu vaccination among children. The vaccination rate has plummeted from 64% five years ago to only 49% this flu season, reports Dr. O'Leary. The seriousness of the decline cannot be overstated—particularly with the fact that flu vaccines, though they cannot always prevent illness, are shown to significantly reduce the risk of hospitalization and death.

The information indicates that a majority of the deaths were preventable. The number of children who received vaccinations among the 216 that passed away was not released by the CDC, nor did they provide expert insight within the report. Nevertheless, it is hard to ignore the trend between declining flu vaccine usage and higher mortality.

Adults were not exempt from this year's flu season either. The CDC estimates that this season's flu has sickened at least 47 million people, hospitalized 610,000, and killed 26,000 in all ages up to this point. In adults who were hospitalized with flu, 95% had one or more underlying conditions, including diabetes or heart disease. But the scenario is very different among children: only around 53% of the nearly 2,000 hospitalized children researchers examined had an underlying condition, including asthma or obesity. This means many of the sickened children were otherwise well.

These kinds of statistics confirm the capricious and sometimes indiscriminate nature of the flu virus—especially in years when several aggressive strains are in circulation at the same time.

Why This Year Was Particularly Challenging?

The season of 2023–2024 has been peculiar when it comes to virology. Rather than a single prevalent strain, two distinct Type A strains—H1N1 and H3N2—have been spreading extensively, making it even more complex in terms of diagnosis, treatment, and prevention. Fortunately, the flu vaccine has been working fairly well, based on previous CDC information that indicated that it was efficient in cutting down hospitalizations and deaths.

Nevertheless, a large number of Americans did not get vaccinated or got vaccinated too late. Misinformation, logistical challenges, and decreased access to pediatric vaccination services have all contributed.

The healthcare infrastructure also has a part in these results. As Dr. O'Leary noted, pediatrician clinics nationwide are running short on staff and are seeing fewer after-hours clinics, which makes it harder for families to get their children vaccinated. Although pharmacies have become the default choice for many adults who are seeking vaccines, they are not all equipped—or even permitted by law—to vaccinate children.

This access structural gap is an increasingly pressing concern, particularly as more Americans are turning to retail healthcare environments for routine vaccinations.

Why is Vaccine Hesitancy and Political Rhetoric a Dangerous Mix?

Superimposed over this entire crisis is a general collapse in childhood vaccination rates across the board—led in part by a steady stream of misinformation online and amplified by political leaders. Robert F. Kennedy Jr., now the U.S. Secretary of Health and Human Services, publicly sided with vaccine-critical language, which restarted debates that swept up speed during the COVID-19 pandemic. His divisive stance is thought to have impacted public trust and potentially led to a general collapse in vaccine confidence.

Experts fear that this politicization of public health measures may be eroding decades of effort in infectious disease prevention.

Flu Activity Now in Decline

There is some relief: the CDC says flu activity is now declining, with all 50 states reporting low or minimal levels. But for the families of the 216 children who died this season, it comes too late.

Public health officials continue to strongly recommend annual flu vaccinations for everybody six months and older, warning Americans not to get complacent. "My hope is that this season will be a little bit of a wake-up call," said Dr. O'Leary. "We actually do need to vaccinate our kids against influenza."

The increase in pediatric flu fatalities in the 2023-24 season is a failure of public health with several contributing layers—vaccine hesitancy, systemic gaps in healthcare, and politicization of science. And yet, it's also an moment of clarity. Influenza is a serious, occasionally fatal virus, and vaccines are among our most effective weapons in limiting its spread.

As flu season comes to a close, the call to action is clear: heightened awareness, greater vaccine availability, and a collective effort to restore trust in public health must be top priorities to avoid another tragic year.

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