Toronto Public Health (TPH) has issued a health advisory following confirmation that patrons dining at Earls Kitchen + Bar on King Street West may have been exposed to Hepatitis A earlier this month. The possible exposure is linked to an employee at the 601 King Street W. location, who was diagnosed with the virus.

While Hepatitis A is uncommon in developed nations such as Canada, it is extremely infectious and can lead to inflammation of the liver, particularly among susceptible groups. Health authorities are now calling for individuals who ate at the restaurant during certain time periods to take precautions, keep watch for symptoms, and get vaccinated.

Toronto Public Health confirmed that the staff member infected with Hepatitis A was working during four specific shifts:

July 11: 4 p.m. to close

July 12: 4:30 p.m. to close

July 15: 4:30 p.m. to close

July 16: 7 p.m. to close

If you consumed food or beverages at this location during any of those dates and times, you may have been exposed to the virus. Officials stress that the risk is tied specifically to these timeframes and individuals.

Those who may have been affected are advised to wash their hands thoroughly and regularly, stay alert for symptoms, and get vaccinated within 14 days of possible exposure.

What Is Hepatitis A Infection?

Hepatitis A is a viral infection of the liver caused by the hepatitis A virus (HAV). It is spread through the fecal-oral route, usually when someone eats or drinks something that has been contaminated with the virus. Most often, this happens when an infected person frequently unknowingly prepares food without washing their hands.

Symptoms tend to occur anywhere from 15 to 50 days after becoming infected and can be either mild or severe. They are:

• Fever
• Fatigue
• Nausea or vomiting
• Loss of appetite
• Dark urine
• Stomach pain
• Jaundice (yellowing of the skin and eyes)

While most healthy individuals recover completely and gain lifelong immunity, the virus can cause serious complications for older adults and those with pre-existing liver conditions.

TPH Launches Free Vaccine At Clinics For the Exposed

To contain any potential outbreak and reduce the risk of illness, Toronto Public Health is offering free Hepatitis A vaccinations for anyone potentially exposed. Clinics are being held at Metro Hall (55 John St.) at the following times:

Friday: 4 p.m. – 7 p.m.

Saturday: 4 p.m. – 6:30 p.m.

The vaccine is most effective when administered within 14 days of exposure, which makes this intervention especially time-sensitive. Officials are urging anyone who visited Earls during the exposure windows to attend the clinic even if they are not currently experiencing symptoms.

People attending the clinic are advised to use the Wellington Street entrance for access.

Should You Avoid Eating at Restaurants?

Here’s the thing—there is no ongoing risk at the restaurant. Public health authorities have stated clearly that once the infected employee stopped working and sanitation measures were put in place, the immediate risk of infection evaporated. There’s no need to avoid the location now, provided proper precautions continue.

TPH is not advising the public to stop dining at the King Street Earls or any other locations. Instead, the focus is on post-exposure awareness and prevention.

How Hepatitis A Spreads Through Food?

Hepatitis A spreads primarily through the fecal-oral route, either by direct contact with an infected person or by consuming contaminated food or water. While foodborne outbreaks are relatively rare in countries like the U.S. and Canada, infected food handlers remain a frequent source of exposure. Improper hand hygiene during food preparation is a common culprit. Even when the source of infection isn't clearly identified, contaminated food is often suspected. Public health responses to such cases are resource-intensive, requiring swift contact tracing and vaccination efforts to prevent further spread.

This is why hand hygiene is key especially after using the bathroom, changing diapers, and before eating or preparing food. Public health agencies stress that ill individuals should not prepare food for others under any circumstance.

How To Prevent Hepatitis A Exposure?

In Canada, Hepatitis A is not included in the standard childhood immunization schedule. That’s because it isn’t widespread, largely due to the country's strong sanitation infrastructure. As a result, most Canadians lack natural immunity unless they’ve traveled abroad or specifically requested the vaccine but even if uncommon, isolated incidents like the one at Earls highlight how a single exposure can trigger large-scale health responses and the importance of proactive measures.

This incident underscores the broader implications for public health: a single lapse in hygiene can have ripple effects that stretch far beyond one restaurant or one infected employee. For food handlers:

• Wash hands thoroughly and frequently.
• Never handle food if feeling unwell.
• Follow proper food safety protocols.

For the general public:

• Be vigilant about handwashing, especially while traveling.
• Wash all fresh produce.
• Be cautious when consuming water or ice abroad.

And for those unsure about vaccination, especially frequent travellers, speak to your healthcare provider about the Hepatitis A vaccine. It might be a smart, preventive choice. Though most people infected with Hepatitis A recover fully, it’s not something to take lightly—especially given how stealthy and contagious it can be.

Every second counts in an emergency, and World First Aid Day serves as a timely reminder of the critical role first aid plays in saving lives. Observed annually on the second Saturday of September, this day aims to raise awareness about first aid, encourage training, and empower individuals to respond effectively during crises. In 2025, the day will be observed on September 13th, uniting communities worldwide in their commitment to safety and preparedness.

World First Aid Day 2025 Theme

This year’s theme is “First Aid and Climate Change,” highlighting the need for emergency preparedness in the face of increasingly frequent climate-related disasters. Rising global temperatures, floods, wildfires, and storms are creating new challenges for communities, making first aid knowledge more crucial than ever. The theme underscores that basic first aid is not just for personal emergencies but is essential in building community resilience in a changing world.

Importance of First Aid

First aid can make the difference between life and death in the crucial minutes before professional medical help arrives. Whether it’s cardiac arrest, choking, severe bleeding, or burns, timely action can significantly improve survival chances and recovery outcomes. Equipping individuals with basic first aid skills fosters a culture of preparedness, at home, in workplaces, and in public spaces.

In addition to preventing complications and reducing injury severity, first aid training empowers people to act confidently in emergencies. From performing CPR to controlling bleeding and handling choking incidents, these life-saving skills can transform bystanders into first responders.

Origin and Historical Relevance

The roots of first aid go back to the 19th century when Henry Dunant, founder of the Red Cross, witnessed the suffering of injured soldiers during the Battle of Solferino. This inspired a humanitarian movement to care for the wounded without discrimination. The term “first aid” was later coined by German surgeon Friedrich von Esmarch in the late 1800s.

World First Aid Day was first observed in 2000 by the International Federation of Red Cross and Red Crescent Societies (IFRC) to promote global first aid education. Today, millions of people participate in awareness events, training workshops, and community demonstrations, spreading the message that first aid is a universal skill everyone should learn.

How to Participate

Individuals can get involved by attending first aid training courses, sharing educational resources on social media, organizing community workshops, or volunteering with local Red Cross and Red Crescent societies. Even downloading a first aid mobile app can be a step toward being prepared.

A Step Toward Safer Communities

World First Aid Day 2025 is more than a date on the calendar, it’s a call to action. By learning first aid, we can build safer, more resilient communities ready to face emergencies, including those amplified by climate change. This September 13th, take the time to learn, teach, and spread awareness. You might just save a life.

While most of the world is experiencing fewer deaths from chronic disease, India is heading in the opposite direction. The Lancet's latest analysis reveals non-communicable disease such as diabetes, cancer, and heart disease are shortening more lives—particularly among women. The statistics don't simply provide data, they tell a tale of lifestyle changes, unequal healthcare access, and who bears the largest burden.

A recent paper in The Lancet has shed new light on a disconcerting Indian trend: deaths due to non-communicable diseases (NCDs) are increasing, even as the remainder of the globe experiences improvement. These results indicate a pressing public health threat, with women shouldering the highest burden.

During 2010-2019, the majority of the globe experienced a decline in deaths due to long-term conditions like heart disease, diabetes, and some cancers. Indeed, about 80 percent of nations witnessed a fall, enhancing survival for millions. But India defied this. The research monitored 185 nations and determined that deaths from NCDs went down globally, but India saw a dramatic rise.

For men, the probability of dying from an NCD between birth and age 80 rose from 56 percent in 2001 to nearly 58 percent in 2019. For women, the picture was starker. After a modest decline between 2001 and 2010, mortality rates surged in the following decade. By 2019, the likelihood of an Indian woman dying from an NCD before turning 80 was 48.7 percent, compared to 46.7 percent in 2001.

Why Women Are at Higher Risk?

Whereas men gained advantages in the case of some disease categories like chronic obstructive pulmonary disease (COPD), heart disease, and cirrhosis of the liver, women did not experience gains in most of these categories. Apart from marginal increases in COPD, cirrhosis, and remaining NCD categories, women's mortality risks deteriorated across the board. This indicates increasing gender inequality in access to healthcare, screening, and treatment.

What Are Non-Communicable Diseases?

NCDs, also referred to as chronic diseases, are chronic conditions that unfold gradually. They consist of cardiovascular diseases (heart disease and strokes), cancers, chronic lung diseases such as COPD and asthma, diabetes, and neuropsychiatric diseases. NCDs, as reported by the World Health Organization (WHO), are responsible for 71 percent of total deaths globally. Remarkably, almost three-quarters of premature NCD deaths—deaths that occur before the age of 70—occur in low- and middle-income nations such as India.

The Alarming Case of Lung Cancer in India

A specific trend in lung cancer was emphasized by the Lancet report. Worldwide, lung cancer death decreased among men in 92 percent of nations. But India, Armenia, Iran, Egypt, and Papua New Guinea followed the opposite trend. This highlights India's peculiar susceptibility to lifestyle influences like excess tobacco use, air pollution, and late diagnosis.

Globally, lower deaths due to cardiovascular diseases and certain cancers led to most of the reduction in NCD mortality. However, this achievement was countered by increasing deaths from dementia, liver and pancreatic cancers, and alcohol use disorders. According to the study, although clinical advances such as improved diabetes and hypertension medication, cancer screening, and better emergency treatment of heart attack saved many countries, not all populations were equally exposed.

Why India Is Trailing Behind from the World?

Various structural issues seem to account for India's deteriorating performance. The report cited that the health data quality from India is "very low," which made it more difficult to monitor, prevent, and treat NCDs properly. Meanwhile, disparities in access to medicines, screenings, and preventive care continue to be widespread.

This was also fueled by the 2008 global recession. Its long shadow cut short health budgets and global health aid. Growing poverty, employment insecurity, and inadequate access to healthy foods also intensified inequalities in health. The poor, as well as vulnerable populations—usually women, the old, and poorer communities—were disproportionately hit.

Risk Factors Fueling NCDs

NCDs are highly interrelated with environmental and lifestyle determinants. They are largely driven by tobacco smoking, alcohol consumption, unhealthy diet, and physical inactivity. In India, these are added to by urbanization, air pollution, and unequal access to health care. Social determinants of health, where individuals are born, live, and work, further determine their exposure to the risk factors.

Experts say that it will take systemic transformation to turn around India's NCD burden. Majid Ezzati, lead author of the study and professor at Imperial College London, urged huge investments in healthcare infrastructure, along with tobacco and alcohol control campaigns. These interventions, already proved effective elsewhere in the world, could save millions of lives if successfully adopted in India.

The Lancet report gives a straightforward message: while large parts of the world are set to limit premature deaths from non-communicable diseases, India is in danger of being left behind. Women are especially hit with overly high risks that reflect underlying social and health inequalities.

It will take a two-pronged response—better short-term access to NCD treatments and addressing upstream determinants such as tobacco smoking, unhealthy diets, and air pollution. It also calls for improved monitoring and improved healthcare systems to ensure all groups of people enjoy the benefits.

Three scientists whose groundbreaking work redefined the future of cystic fibrosis (CF) care have been awarded one of the world’s most prestigious honors in medicine: the Lasker-DeBakey Clinical Medical Research Award. Often referred to as the “American Nobel,” the award recognizes contributions that radically improve human health. This year, it went to Dr. Michael Welsh of the University of Iowa, Paul Negulescu of Vertex Pharmaceuticals, and Jesús (Tito) González, now of Integro Theranostics.

Together, their decades of research led to the creation of Trikafta, a therapy that has extended the lifespan of cystic fibrosis patients by decades and fundamentally reshaped what it means to live with the disease.

When cystic fibrosis was first described in the 1930s, it was considered a fatal childhood condition. Patients rarely survived past elementary school. Even as late as the 2010s, before Trikafta’s approval in 2019, half of patients with CF died before the age of 40.

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Today, the outlook is dramatically different. Children born with CF between 2020 and 2024 who have access to Trikafta now face a median survival age of 65 years — nearly indistinguishable from the general population.

As Dr. Eric Sorscher of Emory University explained in The New England Journal of Medicine, “Available projections suggest that health and longevity may increase further as modulators begin to be administered at younger ages.”

This shift marks one of the most profound turnarounds in modern medicine.

The Role of the CFTR Gene

Cystic fibrosis is caused by mutations in a single gene: CFTR (cystic fibrosis transmembrane conductance regulator). The gene is critical for regulating the movement of ions across cell membranes, which in turn ensures proper water balance in tissues.

In healthy cells, CFTR forms channels that allow ions to flow freely. But in CF, the mutated gene produces faulty channels. The result is thick, sticky mucus that clogs the lungs and digestive system, fuels recurrent infections, and damages organs over time.

Dr. Michael Welsh, a pulmonologist and molecular biologist, helped illuminate the exact ways the most common CF mutation, delta-F508, disrupts cell function. He discovered two problems: the defective protein often gets “trapped” inside cells before reaching the surface, and even when it does reach the surface, it underperforms.

In a pivotal experiment, Welsh showed that simply lowering the temperature of cells allowed the trapped protein to move correctly. “That meant it was not totally broken,” he later recalled — a crucial realization that opened the door to correcting the defect.

Meanwhile, as a postdoctoral researcher in Nobel laureate Roger Tsien’s lab, Jesús (Tito) González developed a real-time system to track ion movement across membranes. Initially designed to study neurons, this tool proved invaluable for testing whether new drugs could restore CFTR function.

Negulescu and the Push to Find a Therapy

At Vertex Pharmaceuticals, Paul Negulescu helped drive the systematic search for compounds that could repair CFTR defects. Guided by Welsh’s molecular insights and González’s imaging system, the team screened thousands of molecules. The result was Trikafta, a triple-drug therapy that addressed the underlying cause of CF for most patients.

'Trikafta' Of Game-Changer in CF Treatment

Approved by the FDA in 2019, Trikafta combines three drugs — elexacaftor, tezacaftor, and ivacaftor — that work synergistically to help defective CFTR proteins fold correctly, reach the cell surface, and function effectively. The impact has been extraordinary. Since its introduction:

• Hospitalizations for lung infections have plummeted.
• The need for lung transplants has declined.
• Patients report stronger lung function, weight gain, and dramatically improved quality of life.
• For many families, the treatment has meant that milestones once unimaginable — graduating college, starting families, living into retirement — are now within reach.

Recognition at the “American Nobels”

The Lasker Awards, founded in 1945, celebrate biomedical achievements that shape the future of health. They are considered one of the highest honors in science, often predicting future Nobel Prizes.

The recognition of Welsh, González, and Negulescu underscores the profound impact of their work. The $250,000 prize, while symbolic compared to the billions Trikafta has generated, highlights the ethical and humanitarian dimension of their achievement: turning a once uniformly fatal disease into a chronic, manageable condition.

What CF Treatment Means for Medicine?

The CF breakthrough is not just about one disease. It represents a paradigm shift in genetic medicine. By targeting the root molecular defect rather than simply managing symptoms, Trikafta has become a model for other genetic conditions, from sickle cell disease to rare metabolic disorders.

It also illustrates the power of partnerships between academic researchers, biotech innovators, and patient foundations. The Cystic Fibrosis Foundation’s early investments in research were critical to advancing the work that ultimately led to Trikafta’s approval.

While Trikafta has transformed care in wealthy countries, challenges remain. The therapy is expensive — with an annual price tag of over $300,000 in the U.S. — putting it out of reach for many patients globally.

Furthermore, a subset of CF patients with rare genetic mutations still do not benefit from the drug, leaving an urgent need for alternative therapies. And as with all long-term treatments, researchers must continue monitoring for side effects and resistance.

Roughly 100,000 people worldwide live with cystic fibrosis. For decades, their lives were defined by daily medical regimens, frequent hospitalizations, and shortened lifespans. Today, thanks to the pioneering work of Welsh, González, and Negulescu, those same patients are looking toward futures filled with possibility.