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Alarm in China that efforts to control Chikungunya virus are infringing on rights

Alarm in China that efforts to control Chikungunya virus are infringing on rights

The Guardian3 days ago
There is growing alarm in China that official efforts to control the spread of Chikungunya virus, a non-fatal mosquito-borne disease that has been spreading in the south of the country, are infringing on people's personal rights.
A single mother living in Zhanjiang, a port city in Guangdong province, posted a video on social media this week showing a group of people, including a uniformed police officer, entering her children's bedroom in the middle of the night and taking blood samples from the boy and the girl, without their mother's presence or consent. The mother had been working a night shift so was not at home.
According to Chinese media, a local pharmacy had reported the family to the health authorities after the son had presented with a fever.
A hashtag related to the incident has been viewed nearly 90m times on Weibo, with many users expressing alarm about the behaviour of the authorities.
Health authorities in Guangdong are on high alert because of an outbreak of Chikungunya that started about a month ago in Foshan, a city 260km from Zhanjiang. There have been about 8,000 reported cases so far, and at least one imported case in Hong Kong, a city that borders Guangdong.
Chikungunya is a mosquito-borne disease that can only be spread by being bitten by an insect with the virus. Symptoms include fever, muscle and joint pain, nausea and a rash. In rare cases, symptoms can last for months or even years. But it is rarely fatal. Babies, elderly people and people with underlying health conditions are most at risk.
There are regular Chikungunya outbreaks in Asia, Africa and the Americas, but this is the first time that there has been a major occurrence in China.
China's Covid-19 prevention measures were among the strictest in the world, and there is a well-oiled machine to control the spread of disease that can be activated at short notice.
On 2 August, Wang Weizhong, Guangdong's governor, said that China would 'strive to win the battle against the Chikungunya fever epidemic' and ordered a range of measures.
These include eradicating mosquito breeding grounds such as pools of stagnant water, mobilising the public to empty out pots and pans that might be collecting water, encouraging the use of mosquito coils and nets and using mosquito repellent.
But the authorities have also been resurrecting surveillance and reporting measures which hark back to the zero-Covid era, in which people's daily lives were strictly monitored and controlled.
On 4 August, the Foshan local authorities announced that all pharmacies would have to report the sale of certain drugs used for treating fevers.
This appears to be how the children in Zhanjiang were identified. Chinese media quoted a local official who said that attempts had been made to contact the mother. After the outcry, the local health authorities said they were investigating the case.
Additional research by Lillian Yang
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I've lost 3st since coming OFF Mounjaro – yes the food noise came back, but here's how I avoided piling on the pounds
I've lost 3st since coming OFF Mounjaro – yes the food noise came back, but here's how I avoided piling on the pounds

The Sun

time4 minutes ago

  • The Sun

I've lost 3st since coming OFF Mounjaro – yes the food noise came back, but here's how I avoided piling on the pounds

A WOMAN has revealed how she managed to shed a further 3st after coming off Mounjaro. The TikToker only known as @ midnight_sky_x has been ''on a wellness journey'' since last summer, at some point also using fat jabs to help her lose weight. 3 3 Before kickstarting the weight loss process, the TikToker ''avoided mirrors and always hid in photos'', so she never really saw ''how big'' she'd become. ''Even though my health was considered 'good,' I knew I was fortunate,'' the woman bravely opened up in a video. ''It was only a matter of time before the strain on my body caught up with me. ''I tried not to let my size hold me back. I still did things. I still travelled. I still lived. ''But I was always self-conscious.'' The daily worries that most people don't think twice about were constantly on her mind - including whether the seat will be big enough and whether the seatbelt will fasten. Determined to get her weight back on track, she then decided to jump on Mounjaro, which is known as the King Kong of jabs. Mounjaro is said to suppress the ­ appetite, making people feel fuller for longer. Weight loss injections are licensed for patients with type 2 diabetes and to assist those who are clinically obese - with a Body Mass Index of 30 or over. One jab is administered each week but the duration is dependent on a person's weight. Thanks to Mounjaro, the woman managed to shed a staggering 6st, she revealed in a clip online, before going cold turkey. It's now been eight months since she gave up the popular jab - and despite sceptics insisting she'll ''gain it all back'', the TikToker has lost a further 3st. Sharing her incredible success story on social media, @midnight_sky_x revealed how she continued to drop the excess weight even when hunger and food noise came back. Food cue reactivity, or food noise, refers to the "constant and persistent thoughts" about food, "to the point of feeling as if [subjects'] lives revolved around food," according to research published in the academic journal Nutrients. According to the researchers, it can lead to unhealthy eating patterns, including emotional eating. 'It could also contribute to overeating and therefore living with overweight and obesity and developing weight-related complications,' Dr Priya Jaisinghani, an obesity specialist from NYU Langone, US told Health. What to do if you lose too much weight too quickly whilst on Mounjaro IF you're losing too much weight too quickly while on Mounjaro, it's important to take action to avoid potential health risks like muscle loss, malnutrition, dehydration, and fatigue. Here's what you can do: Evaluate Your Caloric Intake Mounjaro reduces appetite, which can make it easy to eat too little. If you're losing weight too fast (more than two to three lbs per week after the initial adjustment period), try: Tracking your food intake to ensure you're eating enough calories (apps like MyFitnessPal can help). Increasing protein intake to preserve muscle mass (aim for 0.6–1g per pound of body weight). Adding healthy fats and complex carbs (e.g., avocados, nuts, whole grains) for balanced energy. Adjust Your Dosage (With Doctor's Approval) If your weight loss is too rapid or causing side effects, your doctor may: Pause dose increases or lower your dosage. Adjust your treatment plan to stabilise your weight loss. Strength Training & Exercise To prevent muscle loss: Incorporate resistance training at least two to three times per week. Stay active with low-impact exercises like walking or yoga. Hydrate & Manage Electrolytes Drink enough water (Mounjaro can reduce thirst). Electrolytes matter - Consider adding magnesium, sodium, and potassium if you feel weak or fatigued. Monitor for Malnutrition & Deficiencies Rapid weight loss can cause vitamin/mineral deficiencies (especially B12, iron, and electrolytes). If you experience: Fatigue, hair loss, or dizziness, ask your doctor about supplements. Consider Further Medical Guidance If your weight loss is excessive or causing health concerns, speak with your healthcare provider. They might adjust your dosage, diet, or exercise plan to help stabilise your weight loss. ''I prioritise protein, fibre, healthy fats to build volume with every meal,'' she said in the video. ''I don't cut carbs, they have their place on everything plate!'' While the food noise did return, the TikToker explained that it was now different ''compared to before''. ''Yes, I have food noise but it's so much easier to control. ''I don't crave most of the foods I did before. I've still not had a packet of crisps or a chocolate bar in over a year.'' Since coming off Mounjaro in December last year, she's shed an astronomical 3st. How, you may wonder? According to the beauty, it's thanks to sticking to her '' healthy habits '' that have ''been the key to keeping the momentum going''. While fat jabs ''can give you a boost to start making changes'', ''it's up to you to put in the work to maintain those results'', she went on. As well as getting her steps in to keep active, the TikToker also eats nutrient-dense meals, such as delicious-looking yoghurt bowls with berries, chicken tray bakes, as well as protein wraps with meat. Mounjaro users react The clip, posted less than 24 hours ago, has already taken the internet by storm, amassing close to 200k views and over 100 comments. One person said: ''This is the kind of information the mj community needs. Congratulations on your journey and thanks for sharing.'' Another chimed in, praising the woman: ''Most people think its a quick easy fix but fail to forget, they have to stop at some point and if them eating habits are not kept in check, that weight will go right back on! Well done.'' ''This is very helpful advice. I've been worrying about this,'' someone else shared. Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. Be aware of the dangers Although many were impressed with the epic weight loss, those debating whether to start using Mounjaro should know that it can have fatal consequences. And experts and NHS medics have shared a stern warning about the dangers of taking such medications without a prescription. Sun GP Dr Zoe Williams acknowledged that Mounjaro, which could soon be rolled out on the NHS, can save the lives of people with 'life-threatening levels of obesity.' But despite this, the NHS advised people to 'never take an anti-obesity medicine if it has not been prescribed to you.' The NHS warned: "These types of medicines may not be safe for you and can cause serious side effects.'

The 6 hot weather mistakes putting you at risk of skin cancer – as surgeon reveals he's treating more children
The 6 hot weather mistakes putting you at risk of skin cancer – as surgeon reveals he's treating more children

The Sun

time4 minutes ago

  • The Sun

The 6 hot weather mistakes putting you at risk of skin cancer – as surgeon reveals he's treating more children

WE'RE all well versed in the importance of wearing sunscreen when it comes to protecting our skin. Now, a surgeon has warned sun safety reaches far beyond just applying SPF - after he revealed the hospital trust he works at carries out well over a thousand skin cancer removals a year. 4 The warning comes just in time for this week's amber heat health alert from the UK Health Security Agency (UKHSA). With temperatures forecast to rise above 30°C across central and southern parts of the country over the next few days, health officials are urging people to stay safe in the hot weather by following its guidance. As well as following steps to avoid heat exhaustion and heatstroke, it's important to carry out preventive measures for skin cancer. Over the last decade, melanoma skin cancer incidence rates have increased by 32 per cent in the UK, according to the National Institute for Health and Care Excellence (NICE). And according to Cancer Research UK, the number of new cases on average each year is projected to rise by 9 per cent, from around 20,800 cases in 2023-2025 to around 26,500 cases in 2038-2040. One person that's experienced this rise first hand is consultant plastic and reconstructive surgeon, Animesh Patel. With exposure to ultraviolet (UV) rays a major risk factor for melanoma, he's now stressing the importance of sun safety. As Cambridge University Hospital Trust's plastic surgery lead for head and neck cancer reconstruction, he regularly operates on patients who admit to being dedicated sun worshippers now or in the past - as well as those who use artificial UV tanning methods, such as sunbeds. He tells Sun Health: "Every year, the plastic surgery department carries out well over a thousand operations to remove sun-related skin cancers, and we do not see this number dropping. "So many of my patients who I treat for skin cancer say they have spent a lot of time in the sun, often in their childhood. Can you spot which moles are deadly? The skin cancer signs you need to know "I have removed skin cancers from patients of all ages, children to pensioners, so please take care whatever your age." While it's mostly fair-skinned people who tend to burn easily who are at greater risk of skin cancer, people of all ethnicities need to take care. Mr Patel said he removed skin cancers from patients with all skin types, including those with darker skin. Adults and children do need some exposure to sunlight, particularly when it comes to vitamin D production - with vitamin D supplements advisable for under-fives. But Mr Patel says parents need to be vigilant over children's skin - especially babies ' skin - which is much more sensitive than adults'. Damage caused by repeated exposure to sunlight can lead to skin cancer in later life. But you shouldn't rely on sunscreen alone, warned Mr Patel. He says: "Wear suitable clothing, a sun hat with a broad brim to protect the face and ears and spend time in the shade where the sun is at its hottest in the middle of the day. "Don't forget the sunglasses, especially if swimming, and remember to drink plenty of water to stay well hydrated." The biggest sun mistakes... 4 OUR team of experts shared some more of the biggest sun mistakes people make - particularly when it comes to SPF. 1. Only wearing SPF on sunny or hot days ONE of the most common mistakes people make is only wearing SPF on sunny or hot days, Dr Ross Perry, medical director of Cosmedics skin clinics, tells Sun Health. He explains: "UV rays can penetrate clouds and still cause damage even when it's overcast or cool, which is why SPF should be worn year-round." 2. Not wearing enough SPF ANOTHER big mistake is not wearing enough sunscreen. Dr Perry says: "Most people use far less than the recommended amount. "For full body coverage, you need around a shot glass-sized amount, and it should be reapplied every two hours, especially after swimming, playing sport, or towel drying. "People also tend to miss key areas like the scalp, ears, eyelids, neck, and tops of the feet, which are just as vulnerable to sun damage." 3. Applying SPF too late APPLYING SPF too late, such as once already outdoors, is another issue, said Dr Perry. He recommends: "It should be applied at least 15–20 minutes before sun exposure to allow it to absorb properly." 4. Not wearing SPF because of cancer fears IN some cases, people choose not to wear SPF as they believe it causes cancer - a myth that's spread by misinformation on social media. But this isn't true, said Dr Tim Woodman, medical director for Cancer Services, Bupa UK Insurance. He tells Sun Health: "SPF protects you from cancer, and there's no good evidence that shows wearing SPF causes cancer. "If you're concerned about ingredients in regular chemical sun creams, try a mineral-based sun cream. "These cost a bit more and take longer to rub into your skin, but generally contain fewer ingredients than chemical SPFs." 5. Relying on SPF that's in makeup SOME products, like foundation and tinted moisturisers include SPF to help protect you from sun damage. However, relying on these along isn't enough to keep your skin protected from sun damage. Dr Woodman warned: "The amount of SPF in these products is too little to provide adequate protection." What you must remember when it comes to SPF... 4 WHEN buying SPF, Dr Woodman said it's important to look out for a number of things - firstly, SPF that's too low for your skin type. He explains: "Wearing an SPF with a factor less than 30 rarely provides enough protection if you're out in the sun. "It's all about knowing your natural burning time, and using the factor number to calculate how long you need to protect yourself for. For example, if your skin usually burns after spending 10 minutes in direct sunlight, SPF 15 would multiply your natural burn time by 15. "This would mean that your skin may be protected for up to 150 minutes. However, your protection level relies on sun cream being applied correctly, and assuming that you don't rub or sweat any of it off during that time in the sun. "It's better to wear an SPF with a higher factor, such as 50 or 100, especially if you're at greater risk of burning (for example, you have fairer coloured eyes, skin, hair or freckles), as this will help protect your skin for longer." You should also be sure to make sure not to wear a poor quality SPF. Dr Woodman adds: "Along with choosing an SPF with a factor of at least 30, make sure you're reading the label to check the product's rating and spectrum coverage. "Choose an SPF with broad spectrum coverage – this means it'll protect you from both UVA and UVB light; both of these types of light can damage your skin. "Ideally, choose an SPF that has a UVA rating of at least four stars (ideally 5). "Check your label to make sure that the SPF hasn't expired, especially if you've had it for a while. "And always store your SPF in a secure, cool and dark place." Kimberley Medd, clinic lead at Face The Future, notes that if your moisturiser does have SPF, people often don't apply enough to get full protection. She advises: "Moisturisers with SPF are more often than not broad-spectrum, so they don't cover both UVA and UVB effectively. "If your sunscreen is SPF 30 and you add a moisturiser with SPF on top (let's say SPF 15), it doesn't necessarily give you SPF 45. The protection doesn't stack this way. "It can lower the overall protection because of how the ingredients interact. "Moisturisers with SPF often provide a lower level of protection than regular sunscreens. "Many moisturisers only offer SPF 15-30, which might not be enough for prolonged sun exposure." Consultant dermatologist, Dr Derrick Phillips, has some go-to SPF recommendations. They include: Anthelios UV MUNE 400 Invisible Fluid SPF50, Eucerin Sun Oil Control Dry Touch Facial Sunscreen and Heliocare 360 Water Gel SPF50. And always check your moles... 4 AS we spend more time outdoors this summer, and have more exposure to the sun, it's important to regularly monitor skin for any changes, particularly moles. "It's important to get to know your skin and to look out for changes," says Dr Woodman. "If you notice new skin lesions appear, or if a mole has changed in shape, size or colour, or starts to itch, bleed or look uneven, it's important to get it checked by a registered dermatologist as these can be early signs of skin cancer. "The quicker you get it checked, the better. If you're concerned about a skin issue, there are services available that can help you get fast access to expert care. "For example, Bupa offers a remote skin assessment service which allows dermatologists to review images of skin concerns without needing a GP referral in most cases." Clare O'Connor, suncare scientific advisor at Boots, adds: "A Mole Scanning Service, which is operated by ScreenCancer, is available in selected Boots stores and provides an accessible way of checking anything you may be concerned about.' What is melanoma, what are the symptoms and how can you prevent it? Melanoma is the most serious type of skin cancer that has a tendency to spread around the body. It is diagnosed 16,000 times per year, and tragically takes the lives of 2,340 people per year. The number of people being diagnosed with melanoma is increasing, and it is the 5th most common cancer in the UK. But it is also one of the most preventable cancers, with 86 per cent of cases in the UK avoidable. The best way to protect yourself from melanoma is to be sun safe - wear SPF every day, wear a hat and sunglasses and keep out of the sun in the hottest hours. It is also advised to avoid sunbeds. People who are fair-skinned, have blue or green eyes, blonde or red hair and a large number of freckles or moles are more likely to get skin cancer. Surgery is the main treatment for melanoma, particularly if it is found early. This will involve removing the affected tissue in the skin. Radiotherapy, medicines and chemotherapy are also sometimes used to try and stop the cancer from growing. Treatment depends on the severity of the disease. What are the symptoms? The key thing to look out for are changes to an existing mole, or a new mole on your skin. Most experts recommend using the simple 'ABCDE' rule to look for symptoms of melanoma skin cancer, which can appear anywhere on the body. There are five letters/words to remember: A symmetrical – melanomas usually have two very different halves and are an irregular shape B order – melanomas usually have a notched or ragged border C olours – melanomas will usually be a mix of two or more colours D iameter – most melanomas are usually larger than 6mm in diameter E nlargement or elevation – a mole that changes size over time is more likely to be a melanoma A mole that changes size, shape or colour may be a melanoma. But other signs to look out for include moles that are: Swollen and sore Bleeding Itchy Crusty How deadly is it? Melanoma is a deadly form of skin cancer. The outlook of a person's disease depends on the stage of the cancer when it was diagnosed. Survival is better for women than it is for men. 'We don't know exactly why this is. It may be because women are more likely to see a doctor about their melanoma at an earlier stage,' says Cancer Research UK. The charity says that generally, statistics show that in England, more than 85 out of every 100 people (more than 85 per cent) will survive their melanoma for 10 years or more after they are diagnosed. Around 100 per cent in England diagnosed with melanoma at stage 1 - when the cancer cells are only in the top layer of skin - will survive for five years or more after drops to 80 per cent for stage 2. Some 70 per cent live for a further five years when they are diagnosed in stage 3, which is when the cancer has started to spread to nearby lymph nodes. At stage 4, when the melanoma has spread elsewhere in the body, almost 30 per cent survive their cancer for 5 years or more. Cancer Research says the stage 4 data does not account for age differences. Age can affect outlook and younger people have a better prognosis than older people. Age can affect outlook and younger people have a better prognosis than older people. What is melanoma? Melanocytes are cells in the skin that give us the colour of our skin because they produce a pigment, known as melanin. When you sit in the sun, melanocytes produce more pigment (a sun tan), which spreads to other skin cells to protect them from the sun's rays. But melanocytes are also where cancer starts. Too much UV causes sunburn, and this is a sign of damage to the skin's DNA. The UV triggers changes in the melanocytes, which makes the genetic material become faulty and cause abnormal cell growth. People who burn easily are more at risk of skin cancer because their cells do not produce as much pigment to protect their skin. Those with albinism are at the most risk because their skin produces no pigment at all.

I've lost 21st on Mounjaro after spending £600 on takeaways a month – but I was left with a frustrating side effect
I've lost 21st on Mounjaro after spending £600 on takeaways a month – but I was left with a frustrating side effect

The Sun

timean hour ago

  • The Sun

I've lost 21st on Mounjaro after spending £600 on takeaways a month – but I was left with a frustrating side effect

JOANNA Higgenbottom spent almost £600 ($800) each month on takeaways, before Mounjaro helped her shed 21 stone. The 60-year-old had struggled with her weight, with her first memory being her aunt calling her "fat Jodie". 5 5 At her heaviest, the medicare affiliate, from Columbia, North Carolina, US, was 490lbs (35 stone) and was a size US 32 (UK 36) after years of daily takeout. And after trying "every diet in the book" she went to her doctor, who recommended weight loss jab GLP-1. Joanna said she noticed a change in two weeks, and now weighs 164 lbs and fits into a size 12 (UK 16). However, she was initally left with lots of excess skin, that she would fold into her clothes to keep out of the way. Joanna credits the injections alongside walking 21 miles a week - including 10k steps a day - and lifting weights twice a week. She said: "I would spend lots of money on fast food. "Then DoorDash became an option, and I didn't even have to leave the house. DoorDash is a US-based food delivery platform, similar to Deliveroo or Uber Eats in the UK, that lets you order meals through its app or website. "I was able to stay at home and save the embarrassment of being looked at by people due to my size," she explained. "I would order from DoorDash daily and spend around $600 to $800 (£470–£625) a month." Joanna said one of her earliest memories growing up was her aunt calling her "fat Jodie." She said before her mother, Mary Jenkins, passed away at age 88, she had promised to lose weight. Joanna said: "I became a caretaker for my mother; she struggled with weight later in life, and it bothered her that I was going through the same thing. "It got to the point where I could not walk through the grocery store without having to stop and catch my breath. "I made the promise to my mom before she passed that I would get my weight under control." 5 In June 2022, Joanna decided to go on a keto diet - a very low- carbohydrate, high-fat diet - and lost 250 lbs (17 stone and 11lbs). But sadly Joanna started to gain weight again and went up to 386.8 lbs (27 stone and 6lbs). A year later, on June 6, 2023, Joanna, a type 2 diabetic, was put on GLP-1 by her doctor. Joanna said: "It was a last-ditch effort. I had tried everything. "Nothing would work for me. I tried Weight Watchers, I tried Overeaters Anonymous, and nothing would work for me. "I had always come back dependent on food." Now weighing 164 lbs (11 stone 7lbs), Joanna has lost 21st or 294 lbs. She has deleted the DoorDash apps and eats high-protein vegetarian meals - including tofu, cottage cheese, and eggs. 'I feel cute' Joanna has slimmed down to a size 12 and says she now feels comfortable going clothes shopping. She said: "I am so much more confident now. My daughter said this is the first time in her life that she has seen me so confident. "For the first time in my life, I feel cute and confident - I have never felt this way. "Before, I would hate going clothes shopping and buying clothes that would cover me up the most. "Now I wake up ready to go. I am happy and ready to go." Joanna said she is happy with her weight now, and that she doesn't want to become "obsessed" with losing weight. As well as taking four GLP-1 injections a month - costing $500 (£371.48) - Joanna will work out most days. Joanna said: "At first, I started going on 10-minute walks around the house. "Now, on the weekend, I will walk around six miles, and I will try to walk two to three miles a day. "I try to lift weights three times a week, too. "I am happy with where I am, I don't want to get bigger, and I don't want to get to the point where I am obsessed with losing weight." 'I had to tuck my skin into my underwear' In July 2025, Joanna underwent skin removal surgery to remove 8 1/2lbs of excess skin. She said this has allowed her to become much more confident in herself. "My skin hang was so severe it hung so low, I had to tuck my skin into my underwear to even be able to go walking. "It was so frustrating to lose all that weight and have a constant reminder of how big I used to be. "Now I have the confidence to try new things, I went to an aerial workout class, and I would never have done that before now." Are you eligible for weight loss jabs on the NHS? By Sam Blanchard, Health Correspondent THEY are arguably the biggest medical breakthrough of recent times. And now, so-called ' fat jabs ' are available to many more Brits on the NHS. In what marks the dawn of a new era, GPs have begun prescribing the weight loss jab Mounjaro in the first anti- obesity rollout of its kind. More than three million people are thought to be eligible for tirzepatide - the active drug in Mounjaro - the strongest jab on the market. Health chiefs hope it will turn the tide on England's obesity crisis which has seen rates double since the 1990s. Injections including Ozempic and Wegovy have previously only been available for type 2 diabetes or through specialist slimming clinics. Family doctors will now be encouraged to prescribe them in a bid to get more people on the meds. Experts hope widespread use will slash work sick days and boost the economy, while reducing rates of cancer, heart disease and dementia. But demand for the drugs is already huge and NHS clinics cannot dish them out fast enough. Who is eligible in the new rollout? The new rollout allows GPs to prescribe tirzepatide for weight loss, starting with those patients whose weight places them at greatest health risk. Top of the list will be those with a body mass index (BMI) of 40 or higher (or 37.5 if from a minority ethnic background) and four weight-related health conditions. A BMI of 40 is roughly equal to weighing 16st (102kg) for an average height 5'3' woman, or 19st 6lbs (123kg) for an average 5'9' man. Weight-related conditions include high cholesterol, high blood pressure, prediabetes, type 2 diabetes, obstructive sleep apnoea and heart disease. Patients will likely be expected to have tried diet and exercise first before being offered a jab. Many are likely to miss out, as some 13.5million adults in England are obese but only 3.4million are estimated to be eligible in the rollout. Professor Kamila Hawthorne, chair of the Royal College of GPs, said: 'Currently only patients who meet certain criteria - those who could benefit most - are eligible to be prescribed weight loss drugs on the NHS, and GPs will also need to follow local guidelines when prescribing. 'If your practice advises you that they won't be able to provide weight loss medication, these will likely be the reasons why. 'We appreciate the idea of weight loss medication is an attractive prospect to many patients - and they do have a lot of potential benefits for patients and may be a valuable tool as we try to tackle obesity at a national level – but it's important these medications aren't seen as a silver bullet. 'Weight loss drugs do not come without risk, they can cause side effects which range in seriousness, and they won't be suitable for everyone. 'It's important we don't lose sight of the role lifestyle factors play in achieving a healthy weight. 'The roll out of weight loss medications as a treatment for obesity must not come at the expense of other weight loss services.' If you are eligible but your GP denies you a prescription, you may be able to ask for a referral to specialist weight management services. Known as tier 2 and tier 3 weight management services, they may prescribe the jabs after other weight loss attempts. Many people are expected to find it easier to go private, with the injections widely available from high street pharmacies like Boots, Superdrug, and even Asda. There are also numerous online pharmacies offering the drugs. Buying the drugs online might seem like the faster fix – but buyer beware. Slimming success stories are everywhere but so, too, are tales of horror. Many patients have been duped by dodgy sellers, suffered severe side effects or even died after taking jabs they bought online. Bargain prices, easy tick-box applications, or prescriptions with no follow-up, should all be red flags to online shoppers.

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