Handwritten notes reveal Churchill’s penicillin concern ahead of D-Day

3 hours agoShareSaveHugh Pym, Health EditorShareSaveGetty ImagesWinston Churchill’s push to obtain penicillin in time to treat casualties expected from D-Day has come to light in documents seen by BBC News.Official papers unearthed by the National Archives reveal the prime minister’s frustration and concern over slow progress securing supplies of what was then seen to be a brand new “wonder drug”.The BBC was shown the papers ahead of the anniversary of the Normandy landings on 6 June 1944.Even months after D-Day, the wartime prime minister called efforts “very disappointing” and bemoaned the fact the US was “so far ahead” despite the drug being a “British discovery”.Penicillin was discovered in London by Professor Alexander Fleming in 1928. Despite attempts to produce a usable medicine from the bacteria-killing mould, this had not been achieved by the start of World War Two. But an Oxford team of scientists, led by Howard Florey, carried out the first successful trials. With large-scale production difficult in the UK, they took their research to the United States, where drug companies expanded output.Before the development of penicillin, blood poisoning could follow even minor wounds with no cure available. So with the anticipation of the huge military effort ahead, supplies of the drug were seen as essential.Early in 1944, the prime minister was complaining to his ministers about Britain’s inability to produce it at scale. He scrawled in red ink on a Ministry of Supply report that said the Americans were producing greater quantities: “I am sorry we can’t produce more”.Later in the year, in response to explanations from officials, he said: “Your report on penicillin showing that we are only to get about one-tenth of the expected output this year, is very disappointing.” On another report, he instructs: “Let me have proposals for a more abundant supply from Great Britain”.

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Used in Covid Shots, mRNA May Help Rid the Body of H.I.V.

A new study shows how the technology deployed in Covid vaccines helped scientists coax the virus out of hiding.The technology that powered Covid vaccines may also lead scientists to a cure for H.I.V. Using mRNA, Australian researchers said they were able to trick the virus to come out of hiding, a crucial step in ridding the body of it entirely.The research, published last week in Nature Communications, is still preliminary, and so far, has been shown to be successful only in a lab. But it suggests that mRNA has potential far beyond its use in vaccines as a means to deliver therapies against stubborn adversaries.Short for messenger RNA, mRNA is a set of instructions for a gene. In the case of Covid vaccines, the instructions were for a piece of the coronavirus. In the new study, they are for molecules key to targeting H.I.V.Dr. Sharon Lewin, director of the Cumming Global Center for Pandemic Therapeutics in Melbourne, who led the study, called mRNA a “miraculous” tool “to deliver things that you want into places that were not possible before.” Vaccines deploying mRNA instruct the body to produce a fragment of the virus, which then sets off the body’s immune response. In the United States, the shots were initially hailed for turning back the pandemic, then viewed by some with suspicion and fear. Some officials, including Health Secretary Robert F. Kennedy Jr., have falsely said that they are highly dangerous and even deadly.Last week, the Department of Health and Human Services sought to limit the vaccine’s availability to pregnant women, children and healthy younger adults. The administration also canceled a nearly $600 million contract with the drugmaker Moderna to develop an mRNA shot for humans against bird flu.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Four States Ask F.D.A. to Lift Special Restrictions on Abortion Pill

The states consider it a move to force the F.D.A. to review and acknowledge extensive research showing the pill’s safety.In a strategy aimed at countering efforts to further restrict the abortion pill mifepristone, attorneys general of four states that support abortion rights on Thursday asked the Food and Drug Administration to do the opposite and lift the most stringent remaining restrictions on the pill.The petition filed by Massachusetts, New York, California and New Jersey might seem surprising given the opposition to abortion expressed by Trump administration officials. But the attorneys general consider it a move that would require the F.D.A. to acknowledge extensive scientific research that has consistently found mifepristone safe and effective, said an official with the Massachusetts attorney general’s office who worked on the filing and asked not to be named in order to share background information. It would also prevent the F.D.A. from changing mifepristone regulations while the petition is pending.The petition notes that at a May senate hearing, Robert F. Kennedy Jr., the health and human services secretary, responded to questions by Senator Josh Hawley, Republican of Missouri, who opposes abortion, by saying he had ordered the F.D.A. to do a “complete review” of mifepristone.“We want to make sure that when F.D.A. is making these decisions that they have all the data in front of them, all of the really powerful data that show that mifepristone is safe” the Massachusetts official said.The F.D.A. is required to respond within 180 days by granting or denying the request, or saying it needs more time. In its responses, the agency must document its position, which could be useful in lawsuits, including one that the four states could file if their petition is denied.Mifepristone, which blocks a hormone necessary for pregnancy development, was approved for abortion in America in 2000. The F.D.A. imposed an additional regulatory framework called Risk Evaluation and Mitigation Strategy, or REMS, on mifepristone. That framework has been used for only about 300 drugs, currently covering only about 60 medications.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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The Ethical Minefield of Testing Infants for Incurable Diseases

In every postpartum hospital unit across the country, 1-day-old babies undergo the same ritual: A nurse pricks the newborn’s heel and stamps tiny drops of blood onto a paper filter, which is then sent off for a standard screening panel.Today, that panel checks for unusual bio-markers that may indicate a rare but treatable disease like sickle cell anemia or cystic fibrosis. But what if that same dried blood spot could tell you about the baby’s risk of developing certain conditions later in life — some with no method of prevention or cure?What if that heel prick could tell you that the baby was almost certainly going to be diagnosed with autism by the time they turned 5? Or that the child would be more likely to develop breast cancer as an adult?Would you want to know? Would she?These questions are no longer hypothetical. Tens of thousands of parents have sought such insights by enrolling their newborns in research projects that examine the baby’s genome — the full blueprint for her growing body. As the cost of sequencing plummets, the practice of analyzing hundreds of genes in healthy babies is quietly on the rise, ushering in new questions about where to draw the boundaries of knowledge — and who should get to decide.Scientifically speaking, the possibilities are almost endless. Since virtually every disease has some basis in our genes, the full genome — with three billion base pairs, coding some 20,000 genes — contains a wealth of data to be mined for lifesaving intel and gut-wrenching secrets.But the experts are divided. Some say that revealing a risk of an incurable illness will only put parents in distress, bombarding them with despairing predictions for their young child’s life. Others believe any data about diseases that arise in adulthood, like breast or colon cancer, must be excluded, since they violate that future adult’s privacy and autonomy — in other words, the right not to know.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Kennedy Says ‘Charlatans’ Are No Reason to Block Unproven Stem Cell Treatments

The U.S. health secretary said people should have access to experimental therapies including unregulated stem cells. But some methods have resulted in blindness, tumors and other injuries.Health Secretary Robert F. Kennedy Jr. recently declared that he wanted to expand access to experimental therapies but conceded that they could be risky or fraudulent.In a podcast with Gary Brecka, who describes himself as a longevity expert, Mr. Kennedy vowed to end what he called the Food and Drug Administration’s war with alternative medicine. He said that would include stem cells, vitamins, peptides and chelation therapy, which involves removing heavy metals from the blood.“If you want to take an experimental drug — you can do that, you ought to be able to do that,” Mr. Kennedy said.“And of course you’re going to get a lot of charlatans, and you’re going to get people who have bad results,” he added. “And ultimately, you can’t prevent that either way. Leaving the whole thing in the hands of pharma is not working for us.”Mr. Kennedy cited his own experience at a clinic in Antigua, where he said he received a stem cell treatment that “enormously” eased his neurological condition, spasmodic dysphonia, which affects his voice and has few treatment options.If Mr. Kennedy does permit broader use of unauthorized or experimental therapies, he would be reversing longstanding efforts by the F.D.A. to monitor and sometimes police the emerging field. Experts, including some who support alternative medicine, worry that without safeguards, an expansion of such treatments could undermine legitimate development of new therapies.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Do You Have Obamacare? Tell Us About It.

As Republicans weigh steep cuts to the program, Times reporters want to hear from people who rely on the Affordable Care Act for coverage.President Trump’s domestic policy bill would make deep cuts to Obamacare that are expected to leave millions uninsured. The changes would make it harder to enroll in coverage and, for many, make plans more expensive.Republicans say these changes are needed to combat fraud and ensure government dollars go only to those who are eligible. Critics of the policies say they are unnecessary red tape that will cause people to lose coverage just because they couldn’t gather and verify the necessary documents in time.Times reporters want to hear from the people who use Obamacare for their health coverage to better understand what some of the Republicans’ proposed changes would look like. If you buy health insurance through Healthcare.gov or a state-run marketplace (these all have different names depending on where you live), share what your experience has been so far — and any concerns you have about possible changes — in the form below.We will not publish anything you submit before reaching out to you first.

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Should We Test Babies for Incurable Diseases?

In every postpartum hospital unit across the country, 1-day-old babies undergo the same ritual: A nurse pricks the newborn’s heel and stamps tiny drops of blood onto a paper filter, which is then sent off for a standard screening panel.Today, that panel checks for unusual bio-markers that may indicate a rare but treatable disease like sickle cell anemia or cystic fibrosis. But what if that same dried blood spot could tell you about the baby’s risk of developing certain conditions later in life — some with no method of prevention or cure?What if that heel prick could tell you that the baby was almost certainly going to be diagnosed with autism by the time they turned 5? Or that the child would be more likely to develop breast cancer as an adult?Would you want to know? Would she?These questions are no longer hypothetical. Tens of thousands of parents have sought such insights by enrolling their newborns in research projects that examine the baby’s genome — the full blueprint for her growing body. As the cost of sequencing plummets, the practice of analyzing hundreds of genes in healthy babies is quietly on the rise, ushering in new questions about where to draw the boundaries of knowledge — and who should get to decide.Scientifically speaking, the possibilities are almost endless. Since virtually every disease has some basis in our genes, the full genome — with three billion base pairs, coding some 20,000 genes — contains a wealth of data to be mined for lifesaving intel and gut-wrenching secrets.But the experts are divided. Some say that revealing a risk of an incurable illness will only put parents in distress, bombarding them with despairing predictions for their young child’s life. Others believe any data about diseases that arise in adulthood, like breast or colon cancer, must be excluded, since they violate that future adult’s privacy and autonomy — in other words, the right not to know.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Hopes ‘game-changing find’ could ease chronic pain

5 hours agoShareSaveKen Banks and Ben PhilipBBC Scotland, AberdeenShareSaveBBCMarlene Lowe has lived with chronic pain for more than a decade but believes a “ground-breaking discovery” by researchers may offer her and millions of fellow sufferers new hope.Marlene, 35, is among the estimated one-in-five people in Scotland living with chronic pain, with standard painkillers often seen as ineffective.Researchers at the University of Aberdeen now say they have found chronic pain is physiologically different from other types of pain – which could help find the best way to treat it.Marlene, who lives in Aberdeen, described the findings as “amazing”, as she said it validated an illness that many people did not understand, and offered hope for the future.The research team said they identified that chronic pain is processed differently in the nervous system from the pain that comes from an injury or over-exertion.They said the separate “physiological pathway” for this chronic type of pain meant it could now be a target for future therapies.Marlene, who works in marketing, lives with her partner Mark and their springer spaniels Spock and Cheese.She says her pain began in her early 20s, when she began feeling sick “all the time” and could not work out what was wrong.”So for the next two years I kept getting sick, my life was kind of taken away, and then I was finally diagnosed with chronic fatigue syndrome (CFS), which was a relief, but not great when you also get told there’s nothing we can do about it,” she said.”About five years ago, the pain was getting worse, I got a new GP, and said ‘I need help’, and was diagnosed with fibromyalgia. Fibromyalgia is a neurological condition that basically targets the nerve endings, so what feels like a light brush (to the hand) might be agonising.”Describing the day-to-day impact, Marlene said she even had to cut clothes tags off.”Even light brushes becomes like someone is stabbing me, over and over and over again, in the same place,” she said.Marlene said she takes antihistamines every single day, not because she hay fever but if she does not then her palms start itching, and the itchiness can then crawl up her arms and down her body.”It literally feels like you’ve got ants crawling constantly underneath your skin,” she told BBC Scotland News.”You can scratch it but a couple of minutes later it’s back. Then there’s the muscular pain. If you can imagine what it’s like when you’ve done really hard exercise, that from just standing cooking, or walking up the stairs.”I have tried painkillers – and they’ve never worked.”You start to feel invisible, because you don’t look like you’re sick. You start distrusting your own body, and thinking it must just all be in my head, which is so damaging mentally, as you’re trying to stay on top of life, work, relationships, and have this pain constantly eating away.”She said it had forced her to re-think her plans for her life.Dr Guy Bewick, senior lecturer in Neurosciences at the University of Aberdeen, said not all pain could be treated in the same way, and medicine could be ineffective for chronic pain.”The stinging pain from sharp objects and surgery can usually be treated effectively with common painkillers, but chronic pain often cannot,” he said.”New treatments require an identifiably different drug target. This study has found that target. ”He said the team discovered that a molecule called glutamate is released in muscles to activate an unusual receptor.They found that the release of too much glutamate activated pain nerves nearby, making them permanently active, and not switching off as they normally would. Blocking the glutamate receptor would stop the chronic pain being triggered.Dr Bewick said: “This discovery means scientists can now start to develop new treatments specifically targeting this new pain pathway which does not respond to standard painkillers.”This has the potential to help the many people whose pain is currently inadequately treated.”What is chronic pain?Persistent pain that lasts more than three months, despite medication or other forms of treatmentSecondary chronic pain is a pain which tends to be caused by another condition, for example, arthritis, endometriosis, cancer painPrimary chronic pain is a condition in its own right – there is no known condition other than the pain itself – this can include conditions such as fibromyalgia or complex regional pain syndromeChronic pain is often confused with acute pain – a short-term pain such as a broken bone or a torn muscleMarlene hopes the research might one day mean “just trying to get through 24 hours” is no longer on daily repeat.”I wanted to save the world, work with animals, orphanages, be moving all the time,” she said. “But realising I couldn’t even manage a desk job without getting sick really hit me mentally. I have had to completely re-evaluate how I live, how I fit in the world.”It’s not mind over matter, otherwise we’d be able to fix it. It’s so hard to explain it to people. I am choosing to live, I’m choosing not to let the pain win. For bad days, it’s using a walking stick if I need to. Mostly it’s keeping a sunny disposition.”Could there be a pain-free future?She said the research offered light at the end of the tunnel, as well as an understanding of the condition.”I know that there’s nothing that can be done right now to help the pain, and at the moment it’s showing how they can stop the pain from happening in the first place,” Marlene explained.”The biggest thing is that it’s validating. It’s saying the pain is there, it does exist, you’re not crazy. It’s OK if you don’t understand the pain that someone is going through, but dismissing it is not OK.”She added: “I am delighted to see that there is more work being done to try to understand and treat chronic pain conditions.”It gives me hope for a pain-free future.”

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Greater awareness not more cases behind ADHD surge, study suggests

ADHD is not becoming more common despite the surge in people being diagnosed, research suggests.The review, led by King’s College London, looked at 40 studies in 17 countries and found no clear evidence rates of attention deficit hyperactivity disorder (ADHD) had risen since 2020, despite rising diagnoses and longer waits for assessment.Some blame greater social media use and the Covid pandemic for rising numbers developing the condition – but the researchers say greater awareness and acceptance were likely to be encouraging more people to seek help.There were no signs the true rate of ADHD, known as prevalence, was on the up, they added.Lead researcher Dr Alex Martin said it was likely to be a case of under-diagnosis of the condition in the first place.”ADHD prevalence in adults and children has remained largely stable since 2020,” she added.In the UK, around 3 to 4% of adults and around 5% of children and young people are thought to have ADHD. Experts believe there are similar rates in other countries but only a fraction of these have been diagnosed.ADHD is a neurodevelopmental condition characterised by difficulties with concentration, energy levels, impulsiveness, or by a person’s ability to manage their time.The study, published in the Journal of Affective Disorders, comes as a national taskforce in England is looking at what this rising demand for support means across the NHS, education and justice sectors.Figures published last week by NHS England estimated there were nearly 2.5 million people in England with ADHD, with more than 550,000 currently waiting for an assessment. Every month 20,000 more people are referred for support, a 13% rise on this time last year.NHS England has admitted patients are waiting “too long for assessment and diagnosis”.Patient watchdog Healthwatch England has also campaigned on the issue, calling for better support.A report it published last week highlighted how ADHD can lead to people struggling in work and education and emphasised the importance of them getting a diagnosis to help understand and manage their condition.One woman, Alex, told the watchdog a diagnosis had helped her find ways to manage better and opened up access to medication which meant she was better able to care for her daughter.”I just couldn’t cope with normal things or keep a routine. It made living exhausting.”But the 32-year-old was only able to get a diagnosis after paying for private support.”I’m lucky I could afford going private, but I know many people can’t,” she added.Henry Shelford, of ADHD UK, said the condition had been ignored for too long.”Increasing awareness and diagnosis is the key to unlocking the talents of over 2 million people in the UK. “Doing so isn’t just good for the individual, it’s economically positive for the entire country.”Prof Edmund Sonuga-Barke, a fellow at the Academy of Medical Sciences and an ADHD expert at King’s College London who was not involved in the research, said it was clear there had been a “chronic under-diagnosis” of ADHD in the UK.He said while ADHD medications were safe, there needed to be more progress in developing a greater range of non-drug treatments and therapies to help people self-manage their conditions.It comes amid criticism too many people are being placed on drugs to treat ADHD.

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First bacteria we ever meet can keep us out of hospital

2 hours agoShareSaveJames GallagherShareSaveGetty ImagesThe first bacteria our bodies meet – in the hours after we’re born – could protect us from dangerous infections, UK scientists say.They have shown, for the first time, that good bacteria seem to halve the risk of young children being admitted to hospital with lung infections.The researchers said it was a “phenomenal” finding and could lead to therapies that boost good bacteria in babies.Our early encounters with microbes are thought to be crucial in how our immune system develops.We come out of the womb sterile, but this doesn’t last for long. All the nooks and crannies of the human body become home to a world of microbial life, known as the microbiome.Researchers at University College London and the Sanger Institute investigated the earliest stages in our body’s colonisation by bacteria, fungi and more.They collected stool samples from 1,082 newborns in the first week of life. The team then performed a massive genetic analysis on all the DNA in the samples to work out exactly which species were present and how common they were in each child.They then tracked what happened to those babies, using hospital data, for the next two years.Getty ImagesOne particular early inhabitant of the human body, Bifidobacterium longum, seemed to have a protective effect.Only 4% of babies with this species would spend a night in hospital with a lung infection over the next two years. Babies with different starter-bacteria were two-to-three times more likely to need to stay in hospital.It is the first data to show the formation of the microbiome affects the risk of infection.”I think it’s really phenomenal. It’s amazing to be able to show this. I’m excited,” Prof Nigel Field, from UCL, told the BBC.How are these bacteria doing it?The most likely culprit for children ending up in hospital is respiratory syncytial virus (RSV), but what joins the dots between this and B. longum?That is the “million dollar question” for Prof Field.We know B. longum starts off digesting breast milk which both contains food for the baby and encourages good bacteria. The exact details have not yet been worked out, but either the bacteria themselves or the compounds they make by digesting food are interacting with the immune system “and are influencing the way in which the immune system matures and is able to recognise friend from foe,” according to Prof Field.The protective bacteria were found only in babies that came into the world via a vaginal delivery rather than a caesarean. Even then they were not discovered after every vaginal delivery.The researchers say their findings do not justify the practice of vaginal seeding, where some new parents smear babies with a swab taken from the vagina.The good bacteria seem to be coming from the end of the mother’s digestive system, an idea known in the field as the “first lick”.”I feel pretty confident in saying that vaginal seeding is not a good thing,” said Prof Field.However, the long-term ambition is to come up with microbial therapies – like a probiotic yogurt – that could be given to babies to set their microbiomes on a healthy path.Prof Louise Kenny, from the University of Liverpool and a consultant obstetrician and gynaecologist, said: “A caesarean section is often a life-saving procedure, and can be the right choice for a woman and her baby.”She said that while the benefit was seen only in babies born vaginally, it was not in every child born that way so “further research is needed to create a full, nuanced picture”.

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