
EU regulator green lights an injectable HIV drug that could help stop transmission
In a statement on Friday, the EU drug regulator said its evaluations of lenacapavir, sold as Yeytuo in Europe by Gilead Sciences, showed the drug is 'highly effective' and 'considered to be of major public health interest.' Once the regulator's guidance is accepted by the European Commission, the authorization is valid in all 27 EU member countries as well as Iceland, Norway and Liechtenstein.
Last year,
studies suggested
that lenacapavir, already used to treat people with HIV, was nearly 100% effective in stopping transmission in both women and men.
Winnie Byanyima, executive director of the U.N. AIDS agency, has said the drug 'could change the trajectory of the HIV epidemic' if it is made available to everyone who needs it.
In June, the U.S. Food and Drug Administration
authorized
lenacapavir to prevent HIV. Earlier this month, the World Health Organization recommended countries offer the drug as an additional option to people at risk of the virus.
Condoms help guard against HIV infection if used properly. Other medication aimed at preventing HIV include daily pills that people can take and another injectable drug called cabotegravir, which is given every two months. Lenacapavir's six-month protection makes it the longest-lasting type, an option that could attract people wary of more visits to health clinics or stigma from taking daily pills.
Critics have raised concerns, however, that lenacapavir may not be made widely enough available to stop global outbreaks of HIV. Drugmaker
Gilead
has said it will allow cheap, generic versions to be sold in 120 poor countries with high HIV rates — mostly in Africa, Southeast Asia and the Caribbean.
But it has excluded nearly all of
Latin America
, where rates are far lower but increasing, sparking concern the world is missing a critical opportunity to stop the disease.
Last year, there were about 630,000 AIDS deaths worldwide and more than 40 million people are estimated to have HIV, according to UNAIDS.
UNAIDS chief Byanyima has previously suggested that President Donald Trump make a deal with Gilead to produce and license its 'magical' prevention drug
lenacapavir
across the
world
to the millions of people who need it.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

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Health Line
44 minutes ago
- Health Line
What Is Rupioid Psoriasis?
Rupioid psoriasis is a type of psoriasis that causes thick plaques that may resemble barnacles or oyster shells. It's rare, but it may cause severe symptoms for some people. Psoriasis is an autoimmune disease that causes rashes that are often itchy and scaly. The most common type, plaque psoriasis, is characterized by raised and red patches of skin. Rupioid psoriasis is a type of plaque psoriasis. Some people with rupioid psoriasis develop severely itchy or painful plaques that can cover large areas of the body, such as the back or limbs. Due to the thickness of the plaques, it can be challenging to treat with creams, but many people have relief with medications taken in other ways, such as injections. Learn more about rupioid psoriasis, such as potential causes, symptoms, and treatment options. Rupioid psoriasis causes and risk factors Rupioid psoriasis is a rare type of plaque psoriasis. It's frequently associated with immunosuppressive conditions like HIV. Doctors don't know the exact cause of plaque psoriasis, but it's thought to develop when your immune system starts attacking healthy skin cells. This autoimmune reaction can cause inflammation and the formation of plaques. Rupioid psoriasis seems to occur more frequently in males than females and is particularly rare among children. Psoriasis is thought to develop due to a combination of factors, including genetics and environmental factors. People with direct family history of psoriasis seem to be more likely to develop it, too. Plaque psoriasis often develops after a previous skin injury, such as: cuts scrapes insect bites sunburns Symptoms often appear after exposure to a certain trigger. Along with skin injuries, common triggers include: stress infections frequent or excessive alcohol consumption weather changes like changes in humidity smoking alcohol sunlight some medications »MORE: These are the most common psoriasis triggers. Psoriasis and medications Psoriasis flare-ups have been linked to many types of medications, such as: beta-blockers antimalarial drugs bupropion calcium channel blockers captopril fluoxetine lithium penicillin terbinafine interferons interleukins fluoxetine glyburide granulocyte colony-stimulating factor Rupioid psoriasis symptoms Rupioud psoriasis and other forms of plaque psoriasis cause raised plaques of skin that usually have a silvery and crusted layer over them. Unlike other forms of plaque psoriasis, the characteristic sign of rupioid psoriasis is thick and crusty plaques that resemble oyster shells or barnacles. Plaques may also: cause pinpoint bleeding when the area is scraped (Auspitz sign) be a darker color than plaques caused by other types of psoriasis have well-defined borders Plaques can occur anywhere, but often occur on your: torso scalp knees elbows arms legs Rupioid psoriasis pictures Here are some examples of rupioid psoriasis. Note the barnacle or oyster shell-like appearance of the plaques. Potential complications of rupioid psoriasis People with rupioid psoriasis seem to be particularly prone to developing a complication called psoriatic arthritis. Psoriatic arthritis can cause symptoms like: joint pain and tenderness swollen joints joint stiffness reduced range of motion warmth in your joints People with psoriasis may also be at an increased risk of developing some other conditions, such as: cardiovascular disease eye inflammation (uveitis) some other autoimmune conditions »MORE: These are the potential complications of psoriasis. When to get medical help It's important to seek medical help if you develop potential symptoms of psoriasis, such as unexplained rashes or itchiness. It's also important to visit your doctor if you've previously been diagnosed but you develop new or worsening symptoms. Your doctor can recommend how to reduce your symptoms and tell you if you may benefit from treatments like prescription medications to reduce your symptoms. »FIND CARE: Find a dermatologist in your area today. Rupioid psoriasis diagnosis The initial step to getting a psoriasis diagnosis usually involves visiting your primary healthcare professional. They will ask you questions about your symptoms, review your medical history, and examine your skin during your initial appointment. They may highly suspect psoriasis based on the appearance of your plaques. To confirm the diagnosis, they may take a small sample of your skin called a biopsy so that it can be examined under a microscope. They may refer you to a doctor who specializes in conditions of the skin and hair, called a dermatologist. Rupioid psoriasis treatment The best treatment for you depends on the severity of your symptoms. Your doctor may suggest trying medicated anti-inflammatory creams. However, rupioid psoriasis can be particularly hard to treat with topical options because the thick plaques may make it difficult for them to penetrate your skin. Your doctor may prescribe oral medications or medications administered through injection in combination with topical medications to reduce immune system activity. These medications may include: methotrexate cyclosporine ustekinumab steroids Can you prevent rupioid psoriasis? It's not always possible to prevent psoriasis, but you may be able to reduce your number of flare-ups by avoiding your triggers. Many people find it helpful to carry a journal or keep a list on their phone tracking when their flare-ups occurred and which factors might have contributed. Living with rupioid psoriasis Psoriasis doesn't have a cure, but receiving proper treatment can help you keep your symptoms under control. Psoriasis often comes in flare-ups. Identifying your triggers and figuring out when your symptoms get worse is important for anybody living with psoriasis. You may have to try several treatment options before you find one that's effective for you. But many people are eventually able to keep their symptoms under control. Takeaway Rupioid psoriasis is a rare but often severe form of psoriasis that causes plaques that may resemble oyster shells or barnacles. These plaques can become very itchy or painful. It's important to speak with a doctor if you think you may have psoriasis or if you think your psoriasis is getting worse. They may recommend trying treatment options like prescription creams or medications administered through injections.


Boston Globe
2 hours ago
- Boston Globe
Researchers forecast what Trump's bill will mean for patients: Debt and delayed care
About 2.5 million people may no longer have a personal doctor. About 1.6 million patients will take on medical debt. The lack of care may cause nearly 22,000 deaths annually. 'There's really no questioning the basic reality that you can't take health care away from 10 million people without causing many preventable deaths,' said Dr. Adam Gaffney, lead researcher on a team that explored the new law's impact. Here's a deeper look at the research and challenges that could develop. Advertisement How the law may affect coverage It will become harder for many people to enroll in Medicaid or individual insurance plans and then stay covered. Medicaid is a state and federally funded program that covers care for people with low incomes. States will have to verify every six months whether someone remains eligible for Medicaid. That could cause coverage lapses for people with incomes that fluctuate or for those who move and miss renewal paperwork. Many also are expected to lose coverage as states require Medicaid recipients to work, volunteer or go to school unless exempted. Related : Enrollment in Medicaid has swelled in recent years. Republicans are cutting back in part to help fund tax breaks and pay for other priorities like border security. They also say they are trying to root out waste and fraud by rightsizing Medicaid for the population it was initially designed to serve — mainly pregnant women, the disabled and children. Advertisement People covered through the Affordable Care Act's individual insurance marketplaces also will see shorter enrollment windows and no more automatic renewals. About the research Gaffney, of Harvard Medical School, and other researchers looked to past studies to measure how many people would experience detrimental effects, like going without prescriptions, from the upcoming changes. Gaffney updated the published analysis, which was originally based on the House version of the bill, at the AP's request. One study in particular was critical for their work: In 2008, Oregon offered a rare opportunity to compare groups of people enrolled in Medicaid with those who were not. The price for a bottle of 60 tablets of Amanda Schlesier's prescription chemotherapy pill, Calquence, printed on a pharmacy statement. Paul Sancya/Associated Press After a four-year period of frozen enrollment due to budget limitations, the state determined it could enroll 10,000 more people in Medicaid. It used a lottery system to make the selection amid high demand. That gave researchers a chance to follow people who got coverage and those who did not, similar to how scientists testing a new drug might compare patients taking it to those given a placebo. 'This is a gold standard research design because it replicates a randomized-controlled trial,' said Christine Eibner, a senior economist at RAND Corp. who was not involved in the study. Related : Applying results from that study and other research to the recent CBO estimate allowed Gaffney and other researchers to estimate specific effects of losing coverage. 'By taking coverage away, we are putting patients in a terrible position,' said Gaffney, a former president of Physicians for a National Health Program. Care could grow complicated Amanda Schlesier went four days without her cancer treatment Calquence this spring and wound up in a local emergency room, delirious with pain. Advertisement The leukemia patient worries about what might happen if she stops treatment again for a longer stretch because she's lost Medicaid. 'God forbid I forget to fill out a page of documentation, and suddenly I lose access to my medication or my doctors or any of the treatment that I've been going through,' the 33-year-old Farmington Hills, Michigan, resident said. People can still receive care when they don't have coverage, but important steps often are delayed, said Dr. Gwen Nichols, chief medical officer of The Leukemia & Lymphoma Society. Patients may be able to visit a doctor, but they would have to line up coverage or help before they can receive expensive chemotherapy. Diagnosis also may be delayed. Meanwhile, the patient's cancer continues to grow. 'It's a ticking time bomb,' Nichols said. Preventive care may lapse The first thing patients often ditch when they lose coverage are screenings designed to catch health problems before they become serious, said Dr. Jen Brull, president of the American Academy of Family Physicians. That could mean patients skip tests for high cholesterol, which can contribute to heart disease, or colonoscopies that detect cancer. Researchers forecast that a half million fewer women will have gotten a mammogram within the past year by 2034. When patients struggle financially and lose coverage, they focus on things like keeping a place to live and food on their table, said Brull, a Fort Collins, Colorado, physician. 'Seeing a doctor because you don't want to get sick feels like a much lower priority,' Brull said. Dennis Heaphy, an advocate with the Massachusetts Disability Policy Consortium, said he would likely be in a nursing home without MassHealth support, during a panel at the Cambridge Health Alliance Revere Care Center on May 27. To his left, Governor Maura Healey and Senator Elizabeth Warren. To his right, Senator Ed Markey. Brett Phelps for The Boston Globe Financial pressure can build Patients start taking financial hits at all ends of care when they lose coverage. They may have to pay up front or start a payment plan before they receive care, said Erin Bradshaw, an executive vice president with the nonprofit Patient Advocate Foundation, which helps people with medical bills. Advertisement Anyone with an outstanding balance will have to pay it before the next appointment. Related : Financial assistance may be available, but patients don't always know about it. Getting help also may take time and require the submission of tax returns, pay stubs or some validation that the patient no longer has coverage. Bradshaw said letters stating that a patient has lost Medicaid sometimes arrive a couple months after the fact. That can contribute to treatment delays or missed medication doses. Some patients also try to avoid financial stress by skipping care. Schlesier said she delayed seeing a doctor when she first felt symptoms of her cancer returning because she had no coverage at the time. Staying on medications If prescriptions are too expensive, patients may simply not get them or split the doses to stretch the medicine. For Thomas Harper, it's a question of priorities. 'Sometimes you have to make a choice, how well do you want to eat this week versus taking your medicine,' he said. The West Monroe, Louisiana, truck driver has around $300 a month in prescriptions as he deals with diabetes and recovers from non-Hodgkin lymphoma, a type of blood cancer. Harper, 57, recently returned to work. That meant he lost Medicaid, which covered more of his prescription costs. He's balancing buying his meds with shopping for healthy food that keeps his blood sugar in check and builds his immune system. 'I'll survive, but I know there's people out there that cannot survive without Medicaid,' he said. AP video journalist Laura Bargfeld contributed to this report. Advertisement


Hamilton Spectator
4 hours ago
- Hamilton Spectator
PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza
GAZA CITY, Gaza Strip (AP) — In some tents and shelters in northern Gaza, emaciated children are held in their parents' arms. Their tiny arms and legs dangle limp. Their shoulder blades and ribs stick out from skeletal bodies slowly consuming themselves for lack of food. Starvation always stalks the most vulnerable first. Kids with preexisting conditions, like cerebral palsy, waste away quickly because the high-calorie foods they need have run out, along with nutritional supplements. But after months of Israeli blockade and turmoil in the distribution of supplies , children in Gaza with no previous conditions are also starting to die from malnutrition, aid workers and doctors say. Over the past month, 25 children have died of malnutrition-related causes, according to the Gaza Health Ministry, though it's not known how many had other conditions. The ministry, part of the Hamas-run government, is staffed by medical professionals and its figures on war deaths are seen by the U.N. and other experts as the most reliable estimate of casualties. Salem Awad was born in January with no medical problems, the youngest of six children, his mother Hiyam Awad said. But she was too weak from lack of food to breastfeed him. For the first two months of Salem's life, there was a ceasefire in Gaza, and more aid entered, but even then it was hard to find milk for him, his mother said. In March, Israel cut off all food from entering the territory for more than 2 1/2 months. Since then, Salem has been wasting away. Now he weighs 4 kilograms (9 pounds), his mother said. 'He just keeps losing weight. At the hospital, they say if he doesn't get milk, he could die,' she said, speaking in the family's tent in Gaza City. Israel has been allowing a trickle of aid into Gaza since late May. After an international outcry over increasing starvation, it introduced new measures last weekend it says are intended to increase the amount of food getting to the population, including airdrops and pauses in military operations in some areas. But so far, they have not had a significant effect, aid groups say. Food experts warned this week the 'worst-case scenario of famine is playing out in Gaza.' The U.N. says the impact of hunger building for months is quickly worsening, especially in Gaza City and other parts of northern Gaza, where it estimates nearly one in five children is now acutely malnourished. Across Gaza, more than 5,000 children were diagnosed with malnutrition this month, though that is likely an undercount, the U.N. says. Malnutrition was virtually nonexistent before the war. Doctors struggle to treat the children because many supplies have run out, the U.N. says. Israel denies a famine is taking place or that children are starving . It says it has supplied enough food throughout the war and accuses Hamas of causing shortages by stealing aid and trying to control food distribution. Humanitarian groups deny that significant diversion of food takes place. Throughout nearly 22 months of war, the number of aid trucks has been far short of the roughly 500 a day the U.N. says is needed. The impact is seen most strongly in children with special needs — and those who have been grievously wounded in Israeli bombardment. Mosab al-Dibs, 14, suffered a heavy head wound on May 7 when an airstrike hit next to his family's tent. For about two months, he has been at Shifa Hospital, largely paralyzed, only partly conscious and severely malnourished because the facility no longer has the supplies to feed him, said Dr. Jamal Salha. Mosab's mother, Shahinaz al-Dibs, said the boy was healthy before the war, but that since he was wounded, his weight has fallen from 40 kilograms to less than 10 (88 to 22 pounds) At his bedside, she moves his spindly arms to exercise them. The networks of tiny blue veins are visible through the nearly transparent skin over his protruding ribs. The boy's eyes dart around, but he doesn't respond. His mother puts some bread soaked in water — the only food she can afford — into a large syringe and squirts it into his mouth in a vain attempt to feed him. Most of it dribbles out from his lips. What he needs is a nutrient formula suitable for tube feeding that the hospital doesn't have, Salha said. At a school-turned-shelter for displaced people in Gaza City, Samah Matar cradles her son Yousef as his little brother Amir lies on a cushion beside her — both of them emaciated. The two boys have cerebral palsy and also need a special diet. 'Before the war, their health situation was good,' said Matar. They could get the foods they needed, but now 'all those things have disappeared, and their health has declined continually.' Yousef, 6 years old, has dropped from 14 kilograms (30 pounds) before the war to 9 kilograms (19 pounds) now. His 4-year-old brother, Amir, has shrunk from 9 kilograms to under 6 (19 to 13 pounds), she said. ___ This is a documentary photo story curated by AP photo editors. Error! Sorry, there was an error processing your request. There was a problem with the recaptcha. Please try again. You may unsubscribe at any time. By signing up, you agree to our terms of use and privacy policy . This site is protected by reCAPTCHA and the Google privacy policy and terms of service apply. Want more of the latest from us? Sign up for more at our newsletter page .