Credit: Canva
Tongue scraping has become a global trend in dental hygiene. Popularised by social media influencers, this particular dental practice has seen a 54.6% surge in Google searches over the last five years, all thanks to its marketing. However, experts are now sharing serious warnings about the growing popularity of tongue scraping. They have argued that it can create small, invisible cuts in tongue tissue, allowing bacteria direct access to the bloodstream. For someone with a heart valve issue, this could potentially lead to endocarditis, which has a mortality rate between 15 and 30%.
Patients with heart valve issues should be particularly cautious about any oral care tools that could introduce bacteria into the bloodstream. As per experts, these tools could also pose risks to people with abnormal cardiac valves, pacemakers, or other intravascular devices.
Despite the risks, many people turn to tongue scrapers in hopes of eliminating bad breath. "Statistics collected over the past decade show between 10–30% of Americans report bad breath and may be tempted to try tongue scrapers marketed as a solution," Loveland said.
However, he warned that aggressive scraping to remove food debris could do more harm than good. In some cases, patients have reportedly developed severe infections shortly after beginning regular tongue scraping. One such report came from Prince Charles Hospital in Australia.
UCLA Health experts have also cautioned against the trend, stating that “brushing or scraping the tongue adversely affects the numbers and diversity of the oral microbiome,” which could potentially lead to health problems like hypertension.
Loveland also raised concerns about tongue scrapers giving users a false sense of security. "These [issues] need professional assessment and treatment, not just masking symptoms with a tongue scraper,” he said. "If bad breath persists, consider consulting a dental professional rather than self-treating with tongue scrapers.”
Not all experts agree, though. Some, like Cleveland Clinic dental hygienist Tenika Patterson, see value in the practice. “Tongue scraping can do a better job at removing that plaque and bacteria off the tongue’s surface,” Patterson said. “Brushing is OK to do, but think about it this way — if your carpet is dirty and you scrub it, the dirt’s going to get embedded down in there. But if you scrape it, it’s going to come right off the surface.”
Studies also suggest that tongue scraping may be more effective than brushing alone when it comes to reducing bacteria and eliminating bad breath.
Still, Loveland recommends a gentler, more traditional approach. “For those concerned about tongue health, gently brushing your tongue with your toothbrush after you’ve finished cleaning your teeth provides adequate cleaning without the risks associated with scrapers,” he advised.
'It is much safer than a rigid scraper as softer bristles are less likely to cause trauma to the delicate tissues, while still removing food particles and dead cells that may contribute to bad breath." He concluded by stressing the basics: brush your teeth twice daily, floss regularly, and schedule routine dental check-ups for optimal oral health.
Credits: Canva
Schizophrenia, a mental illness involving some 1% of the world's population has long resisted treatments that effectively tackle its cognitive impairments. But a new hero is in the offing, and it's one that few would have predicted: the llama. Scientists at France's Centre National de la Recherche Scientifique have designed short fragments of llama antibody 'nanobodies' that penetrate the blood-brain barrier and restore brain function in mice with schizophrenia-like impairments.
This study, published in Nature on July 23, shows that a single injection into mice can correct memory and behavioral impairments for nearly a week, offering a possible path to therapies that go beyond symptom management.
Existing antipsychotic drugs target hallucinations, delusions, and disorganized thinking—but do little for cognitive symptoms: memory lapses, attention deficits, planning difficulties, and more. These impairments, which often begin in late adolescence or early adulthood, profoundly impact daily life and social integration.
Nanobodies, on the other hand, target the mGlu2 glutamate receptor directly, a neural pathway that is linked to cognitive control. The nanobody derived from llama—herein described as DN13–DN1—is highly specific and will not cause off-target activity, yet it can activate this essential receptor to restore brain signaling equilibrium in NMDA receptor hypofunction models.
One of the hardest problems in brain drug development is the blood–brain barrier—a physiological gatekeeper that blocks most therapies from reaching the brain. Traditional antibodies, although powerful, are too large to pass through.
Nanobodies, which are about one-tenth the size of conventional antibodies, proved to be small enough to permeate this barrier. In this study, they successfully reached brain regions responsible for cognition and maintained therapeutic levels for up to seven days after just one dose.
The researchers tested DN13–DN1 in two mouse models with schizophrenia-like cognitive deficits:
Behavioral improvements: Mice treated with a single injection showed restored memory and decision-making in object recognition and spatial tests.
Sensory gating corrected: Sensorimotor gating—a process that filters out unnecessary stimuli—returned to normal, a function often impaired in schizophrenia.
Long-lasting effect: Benefits persisted for at least a week, far longer than typical drug effects in similar models.
Safety profile: No noticeable impact on basic motor function or brain receptor expression, suggesting a targeted and low-risk mechanism.
“For humans obviously we don't know yet—but in mice, it’s sufficient to treat most deficits of schizophrenia,” said molecular biologist Jean-Philippe Pin, one of the study’s senior authors at the Institute of Functional Genomics in Montpellier, France.
If human trials follow the success seen in mice, nanobody-based therapies could extend beyond schizophrenia to other brain disorders that hinge on glutamate signaling—such as Alzheimer’s or Parkinson’s diseases. The researchers themselves emphasize that this is only a proof of concept. Next steps include:
If all goes well, this research could mark a critical shift in mental health care—delivering medication that directly targets cognitive impairment, not just psychotic symptoms.
What makes this approach so revolutionary is its combination of precision, biodegradability, and ease of administration. Nanobodies are produced more efficiently than traditional antibodies, exert fewer off-target effects, and can be administered via standard injections instead of invasive delivery systems.
Moreover, their ability to cross the blood-brain barrier opens up possibilities for treatments of other neurological disorders—transforming a once-impenetrable challenge into a rapidly evolving frontier.
It’s hard to overstate how unexpected this discovery is: an animal known for its wool, not its neurology, yielding molecules with the potential to heal minds. But that’s exactly where science is advancing today.
As mental health specialists and patients await rigorous human testing, the implications are clear: nanobodies could finally deliver a therapy that addresses schizophrenia’s most stubborn challenges—cognition and quality of life. If the promise of llama-based treatments holds in human trials, we may be on the cusp of a new paradigm in psychiatric medicine—bridging immunology and neuroscience, one nanobody injection at a time.
Credits: Canva
The European Medicines Agency (EMA) has taken a bold step forward in the fight against HIV. On Friday, it recommended the authorization of lenacapavir — an injectable drug shown to be almost 100% effective in preventing HIV transmission. Marketed as Yeytuo in Europe by California-based Gilead Sciences, this drug stands out for its convenience and duration: just two injections per year could prevent infection.
This recommendation is more than just another drug approval. It represents a powerful new tool in a decades-long battle against HIV, one that could fundamentally change how we think about prevention — if access can keep up with innovation.
Once the European Commission rubber-stamps the EMA’s guidance, Yeytuo will be authorized across all 27 EU member states, plus Iceland, Norway, and Liechtenstein. The decision marks a milestone in public health strategy, particularly for populations that face social and logistical barriers to current HIV prevention options.
Unlike existing daily pills or bimonthly injections like cabotegravir, lenacapavir requires just two injections a year. That’s a huge leap in terms of convenience and adherence — and a potential game-changer for people who can’t or won’t take a daily pill due to stigma, forgetfulness, or limited access to healthcare.
The data behind it is strong. In a landmark trial involving nearly 5,000 young women and girls in South Africa and Uganda, not a single participant who received the injection contracted HIV. In contrast, about 2% of those who took daily pills still became infected. The study’s results, published in the New England Journal of Medicine and presented at an AIDS conference in Munich, were so convincing that researchers ended it early to offer lenacapavir to all participants.
“This level of protection is stunning,” said Dr. Salim Abdool Karim, a renowned AIDS researcher based in Durban, South Africa, who was not involved in the study.
The drug is already approved in the U.S., Canada, and Europe as a treatment for HIV. Now, its preventive potential is gaining traction, fast.
More than 40 million people live with HIV globally, and around 630,000 people died from AIDS-related illnesses in 2023 alone, according to UNAIDS. The burden is heaviest in sub-Saharan Africa, Southeast Asia, and the Caribbean — regions that urgently need new prevention tools.
Recognizing this, the World Health Organization (WHO) recently recommended that countries adopt lenacapavir as an additional HIV prevention option, not a replacement. It would complement existing methods like condoms, PrEP pills, and cabotegravir injections.
Winnie Byanyima, Executive Director of UNAIDS, has called lenacapavir “a drug that could change the trajectory of the HIV epidemic,” stressing that equitable access will be key to its success and therein lies the problem.
While Gilead has pledged to allow generic production in 120 low-income countries, it has excluded nearly all of Latin America, where HIV rates remain relatively low but are steadily rising. Critics argue that leaving these regions behind could create new blind spots in the global prevention map — and miss a crucial chance to curb the virus early.
Gilead has defended its access strategy, noting that it's focused on countries with the highest burden. But public health experts warn that rising infections in lower-prevalence regions should not be ignored.
“Ending HIV isn’t just about treating the hardest-hit places. It’s about staying ahead of new outbreaks,” said one international HIV policy advisor who requested anonymity.
Even in countries where the drug may be approved, cost, supply, and health system capacity could hinder rollout — especially in rural or underserved areas. Stigma also remains a significant barrier, deterring many at-risk individuals from seeking preventive care.
Now that the EMA has endorsed lenacapavir for prevention, the European Commission is expected to follow suit, likely within weeks. Approval there would greenlight its use in countries representing nearly half a billion people.
Meanwhile, the U.S. Food and Drug Administration (FDA) approved lenacapavir for prevention earlier this year, and the WHO’s recommendation is expected to guide policies globally but the question remains: will this groundbreaking injectable be made available to the people who need it most — when they need it most?
UNAIDS and other public health advocates are urging a broader global licensing strategy to ensure equitable access. Some have called on leaders — including former President Donald Trump during his term — to broker deals that would fast-track generic production and distribution worldwide.
Lenacapavir’s development is undeniably a breakthrough — scientifically, medically, and logistically. Its six-month dosing schedule reduces clinic visits, lowers the burden of adherence, and offers privacy for people facing stigma. For many, it could be the most realistic prevention option yet but if it remains limited to wealthy countries or a select list of high-burden nations, it won’t fulfill its potential to shift the course of the epidemic. It could become another case study in medical innovation outpacing policy.
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Foshan city in Guangdong Province is experiencing the country’s largest outbreak of chikungunya, a mosquito-borne viral disease that causes debilitating joint pain, fever, and fatigue. As of July 24, 2025, 3,645 cases have been confirmed—most of them mild, but alarming due to the rapid spread and potential for further outbreaks in surrounding regions.
This surge represents the most significant chikungunya transmission on the Chinese mainland since the virus was first detected there nearly two decades ago.
The epidemic began with an imported case of chikungunya in early July in Shunde District of Foshan, which is roughly 119 kilometers north of Hong Kong. Within weeks, cases ballooned to more than 3,300 in Shunde alone. Chinese officials have not officially attributed the cause, but experts cite favorable climatic conditions—hot and humid that facilitate mosquito breeding—and increased global travel as main drivers.
Chikungunya is transmitted by the Aedes mosquito, most specifically Aedes aegypti and Aedes albopictus. Both insects are famous for their daytime aggression of biting and love for tropical and subtropical regions.
The World Health Organization (WHO) defines chikungunya as a disease that is marked by severe joint pain, high fever, and signs and symptoms of headache, muscle pain, rash, vomiting, and fatigue. Though the majority of Foshan cases have been reported as mild, the disabling joint pain of the disease may persist for weeks or even months and can affect daily activities and productivity.
While not usually lethal, chikungunya has the potential to create large-scale public health disturbances, particularly in highly congested urban areas with inadequate mosquito control. To date, no serious or deadly cases have been reported in this outbreak, as indicated by China's Centre for Health Protection (CHP), but public health specialists caution against taking the situation lightly.
Specialized tropical medicine doctors attribute the peak to favorable climatic conditions that promote quick growth of Aedes populations. These are aggressive, day-biting mosquitoes that thrive in warm, wet conditions, noting how climate change plays a major role in expanding habitats for mosquitoes.
Combine this international travel—imported and first case—and lack of immunity in the general population in China, and the stage was set for an outbreak. Chikungunya is not indigenous to China, so there is no herd immunity in the general population, and it was easier for the virus to establish itself and spread rapidly.
This outbreak is not unique. The European Centre for Disease Prevention and Control (ECDC) has reported 220,000 cases of chikungunya and 80 deaths in 2025 thus far worldwide. The WHO has made a global call to action citing the spread of chikungunya into new regions such as France and Italy, which have each reported locally-acquired infections in 2025.
Over five billion individuals in 119 countries reside in regions exposed to chikungunya infection and thus is considered a global health issue. The tropical diseases of chikungunya, dengue, and Zika are no longer limited to the equatorial belt-they are now reported from temperate regions as well.
To date, Hong Kong—a highly populated international center—has not seen any chikungunya cases after 2020. The territory is not home to Aedes aegypti, the main vector mosquito, but Aedes albopictus, a secondary vector known to spread the disease, is found there. The CHP cautions that imported cases still have the potential to result in local transmission if infected persons are bitten by mosquitoes within their communicable period.
Macao, just south of Guangdong, has registered its first two cases of chikungunya this year, both of them imported from Foshan and nearby Nanhai. Local authorities have stepped up mosquito control as a precaution against possible spread.
With not much else in its bag of tricks, Guangdong Province has increased mosquito control operations, encouraging residents to clear standing water, unblock choked drains, and observe simple household sanitation. This is essential in interrupting the mosquito life cycle because still water provides a breeding ground for Aedes mosquitoes.
The CHP also recommends applying insect repellents, especially containing DEET or other WHO-recommended active compounds, and wearing long-sleeved clothing, especially in the early morning and late afternoon when mosquitoes are most prevalent.
The United States has only two licensed chikungunya vaccines, recommended mainly for visitors going to outbreak areas. However, China also doesn't have these vaccines available, which makes its citizens susceptible to successive waves unless mass vaccination is implemented or localized vaccines are created.
This leaves health authorities with few options: mosquito control, public awareness, and early diagnosis remain the main line of defense for the time being.
This epidemic is a clear message. Diseases such as chikungunya no longer remain isolated in small enclaves of tropical countries. With the climate still rising and international travel recovering after the pandemic, infectious disease is set to travel quicker and more far-reaching than ever before.
Dr. Tsui, a Guangdong public health official, explained in a press statement that chikungunya has the potential to quickly blow into large-scale outbreaks, particularly in highly populated regions with low mosquito densities and little immunity. The burden on healthcare systems, particularly in fast-growing urban areas of Asia, is a legitimate and increasing concern.
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