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The number of global hepatitis deaths is increasing, posing a threat to the goal of eliminating the disease

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According to a recent report by the World Health Organization (WHO), the incidence of viral hepatitis-related mortality is rising globally. Approximately 3,500 individuals perish from the disease on a daily basis, positioning it as the second most prevalent infectious cause of death in 2022, with a mortality rate equivalent to that of tuberculosis.

The 2024 Global Hepatitis Report, unveiled during the recent World Hepatitis Summit, presents novel data from 187 countries, marking the highest number of countries ever encompassed in the report. According to the World Health Organization (WHO), the number of fatalities caused by viral hepatitis has risen from 1.1 million in 2019 to 1.3 million in 2022. On a daily basis, around 6,000 individuals get new infections.

What is viral hepatitis?

A viral infection leads to liver inflammation, which is known as viral hepatitis.
Hepatitis is a comprehensive term used to describe an illness that results in inflammation and harm to the liver. Viral hepatitis is classified into five primary groups, namely hepatitis A, B, C, D, and E. If physicians are uncertain about the etiology of an individual’s infection, they may label it as hepatitis X or non-A-E hepatitis.

The primary focus of the WHO report is on hepatitis B, which is responsible for 83 percent of newly acquired infections, and hepatitis C, which accounts for the remaining 17 percent. Usually, each of these viruses results in persistent infections that eventually cause cancer, cirrhosis, and liver failure.

The illness is also common in younger populations: people between the ages of 30 and 54 account for 50% of chronic hepatitis B and C infections, while children under the age of 18 account for 12% of cases.

What is causing the increase in mortality rates due to hepatitis?
Untreated hepatitis can lead to serious consequences, but our capacity to fight these diseases has significantly improved with early detection.

Hepatitis B is most commonly transmitted during childbirth, but there are safe and effective immunizations available to prevent it. Hepatitis C is transmitted through contact with contaminated blood, typically as a result of unsafe injection practices or, less commonly, unprotected sexual activity. Although a vaccine has not been developed yet, the World Health Organization (WHO) has estimated that over 95 percent of individuals can achieve complete recovery if they are able to obtain antiviral medicine.

However, it is where the trouble resides. The recent research emphasizes that a limited proportion of individuals affected by hepatitis B and C are being promptly recognized and provided with treatment, aligning with the objectives set by the World Health Organization.

For instance, in the WHO African area, where 63 percent of new hepatitis B infections originate, the vaccination rate for infants is barely 18 percent. On a global scale, the percentage of individuals with hepatitis C who have undergone curative therapy is only 20 percent, which falls significantly short of the targeted 80 percent.

The paper suggests that the reason for this is the differences in pricing, which prevent many lower-income countries from being able to afford antiviral treatments, including generic pharmaceuticals that are no longer protected by patents. Similarly, individuals residing in numerous nations may be compelled to bear the cost of testing and treatment services, which may be unaffordable for certain individuals.

What measures can be taken to mitigate the issue?
The report includes several recommendations that, if promptly executed, will help us regain momentum in attaining the World Health Organization’s objective of eradicating the hepatitis epidemic by 2030.

The WHO emphasizes the need to expand access to diagnostic tests, enhance preventative strategies, and accelerate research in order to discover a potential cure for hepatitis B. However, the organization warns that the current level of worldwide financing for these initiatives is inadequate.

“The report reveals a concerning situation: although there has been global advancement in preventing hepatitis infections, the number of deaths is increasing due to a lack of diagnosis and treatment for a significant number of individuals with hepatitis,” stated Dr. Tedros Adhanom Ghebreyesus, the Director-General of the World Health Organization (WHO).

“The World Health Organization (WHO) is dedicated to assisting countries in utilizing all available resources, at affordable prices, to prevent loss of life and reverse this pattern.”

As Editor here at GeekReply, I'm a big fan of all things Geeky. Most of my contributions to the site are technology related, but I'm also a big fan of video games. My genres of choice include RPGs, MMOs, Grand Strategy, and Simulation. If I'm not chasing after the latest gear on my MMO of choice, I'm here at GeekReply reporting on the latest in Geek culture.

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Medicine and Health

UnitedHealth reports that cybercriminals obtained health information for a significant section of the American population

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UnitedHealth Group, a major health insurance company, has verified that a ransomware attack targeted its health tech subsidiary, Change Healthcare, early this year. This cyber attack led to a significant breach of sensitive healthcare data belonging to American individuals.

UnitedHealth announced on Monday that a group of cybercriminals using ransomware gained access to files holding personal data and protected health information. The company stated that the affected data may encompass a significant section of the American population.

The health insurance corporation did not disclose the exact number of affected persons but stated that the process of examining the data is expected to span over several months. Only after this thorough analysis will the firm commence informing the affected individuals about the theft of their information in the hack.

Modify Healthcare manages insurance and billing for a large number of hospitals, pharmacies, and medical practices in the U.S. healthcare industry. It has extensive access to a vast amount of health data on almost 50% of the American population.

UnitedHealth stated that it has not yet observed any indication of doctors’ charts or complete medical histories being illicitly removed from its systems.

The acknowledgment that cybercriminals illicitly acquired personal health information of American citizens is made one week subsequent to the emergence of a new hacking collective, which commenced releasing fragments of the pilfered data with the intention of coercing the targeted organization into paying an additional ransom.

The group, known as RansomHub, released numerous files on its hidden internet leak platform, including the personal data of patients and internal documents associated with Change Healthcare. RansomHub threatened to auction the pilfered data unless Change Healthcare complied with their demand for a ransom.

UnitedHealth spokesperson Tyler Mason acknowledged that the corporation made payments to the cybercriminals, as stated in a communication. The corporation made a payment as a demonstration of its dedication to safeguarding patient data from being revealed. The company declined to disclose the sum it paid.

RansomHub is the second criminal organization to request a payment from Change Healthcare in exchange for releasing a hostage. According to reports, the prominent health technology company paid a sum of $22 million to a criminal organization known as ALPHV, based in Russia, in March. However, the criminal gang vanished after receiving the payment, leaving the affiliate responsible for the data theft without their share of the ransom.

RansomHub stated in their article, along with the released stolen data, that they possess the data and not ALPHV.

UnitedHealth, in its statement on Monday, recognized the publication of certain files but refrained from asserting ownership of the documents. UnitedHealth clarified that the information sent is not an official breach notification.

According to a story by The Wall Street Journal on Monday, the criminal hacking group associated with ALPHV gained unauthorized access to Change Healthcare’s network by utilizing stolen login information for a system that enables remote network access. The hackers infiltrated Change Healthcare’s network for a duration exceeding one week prior to implementing ransomware, thereby enabling them to pilfer substantial quantities of data from the company’s systems.

The cyberattack on Change Healthcare commenced on February 21, leading to persistent and extensive disruptions in the operations of pharmacies and hospitals throughout the United States. Physicians, pharmacists, and hospitals faced difficulties for several weeks in confirming patient benefits for drug delivery, managing inpatient care, and obtaining prior authorizations required for procedures.

A significant portion of the healthcare system in the United States came to a standstill, causing financial strain for healthcare providers due to increasing backlogs and persistent outages.

Last Monday, UnitedHealth disclosed that the ransomware attack had resulted in losses exceeding $870 million. The company’s sales for the first quarter of the year amounted to $99.8 billion, surpassing the expectations of Wall Street experts.

Andrew Witty, the CEO of UnitedHealth, is scheduled to testify before House members on May 1. Witty received over $21 million in total remuneration for the entire year of 2022.

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Scientist Investigating SARS-CoV-2 Virus Suggests Possible Indications of Simulation Existence

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A physicist specializing in the study of mutations in the SARS-CoV-2 virus has put forward intriguing evidence supporting a potential new law of physics known as the “second law of infodynamics.”. This discovery raises fascinating questions about the nature of our reality and the possibility of living in a simulated universe. In addition, he suggests that the study seems to suggest that the theory of evolution is incorrect, as it challenges the notion that mutations are completely random.

There is a great deal of complexity to delve into in this situation. It is important to note that making extraordinary claims necessitates providing extraordinary evidence. However, as Dr. Melvin Vopson elucidates in his research, we currently lack such evidence. Actually, we are far from reaching that point. Nevertheless, the concepts and findings presented are captivating and thought-provoking, even if additional research or examination may later disprove them.

In his most recent study, Vopson examined mutations in the SARS-CoV-2 virus from a unique perspective, focusing on information entropy rather than the traditional concept of entropy.

“The physical entropy of a given system is a measure of all its possible physical microstates compatible with the macrostate,” Vopson explained in the paper. “This is a property of the microstates in the system that do not carry any information.” Given the same system and the ability to generate N information states within it (such as by encoding digital bits), creating N information states results in the formation of N extra information microstates that overlap with the existing physical microstates. These extra microstates contain valuable information, and the increase in entropy they bring is known as information entropy.”

According to Vopson, there is a tendency for entropy to increase over time, but interestingly, information entropy tends to decrease. Consider the heat death of the universe, where the entire cosmos eventually reaches a state of thermal equilibrium. At this stage, the maximum value of entropy has been attained, although not in terms of information entropy. During heat death (or just before), the temperature range and potential states in any part of the universe become extremely limited. As a result, the number of possible events decreases and the amount of superimposed information decreases, leading to a decrease in information entropy.

Although it may offer an intriguing perspective on the universe, can it provide us with any novel insights, or is it merely a secondary and insignificant approach to describing entropy? According to Vopson, the concept has the potential to be a fundamental law that could impact a wide range of fields, including genetics and the evolution of the universe.

“Based on my research, it seems that the second law of infodynamics is an essential principle in cosmology.” According to Vopson’s article in The Conversation, this has broad applicability and significant scientific implications. “It is understood that the universe undergoes expansion while maintaining a constant total entropy, without any heat loss or gain.” However, it is important to note that entropy always increases according to the principles of thermodynamics. This indicates the presence of an additional form of entropy, namely information entropy, that serves to counterbalance the increase.

With the expertise of a seasoned scientist, Vopson observed the ever-changing SARS-CoV-2 virus throughout the course of the COVID-19 pandemic. Regular sequencing of the virus has been conducted to closely monitor its changes, primarily with the aim of developing new vaccines. Examining the RNA instead of DNA, he discovered a gradual decrease in information entropy.

One fascinating example of a rapidly mutating organism is a virus. According to Vopson, the pandemic has provided an exceptional opportunity for research, with the numerous variants of SARS-CoV-2 serving as an unprecedented test sample. The amount of data available is truly remarkable, as stated in a press release.

The COVID data provides strong evidence for the second law of infodynamics, and this research has the potential to unlock countless possibilities. Imagine examining a specific genome and determining the potential benefits of a mutation before it occurs. This technology has the potential to revolutionize various fields, such as genetic therapies, the pharmaceutical industry, evolutionary biology, and pandemic research.

According to Vopson’s perspective, this implies that mutations are not haphazard but rather subject to a governing principle that dictates that information entropy should either remain constant or decrease over time. If this discovery is verified, it would be truly remarkable, as it challenges our current understanding of evolution. Vopson draws attention to a previous experiment conducted in 1972, where a virus unexpectedly experienced a decrease in its genome over 74 generations under optimal conditions. He argues that this observation aligns with his second law of infodynamics.

“Mutations occur randomly and are then subject to natural selection, which determines their impact on an organism,” he explained. What if there’s an underlying process that fuels these mutations? Whenever we encounter something beyond our comprehension, we tend to label it as ‘random’, ‘chaotic’, or ‘paranormal’, when in reality, it is simply our own limitation in explaining it.

By adopting a deterministic perspective, we have the potential to harness the laws of physics to anticipate and forecast genetic mutations, or even their likelihood, prior to their occurrence.

Vopson suggests that the law could potentially provide an explanation for the prevalence of symmetry in the universe.

“A high level of symmetry is associated with a state of low information entropy, which aligns with the requirements of the second law of infodynamics,” stated Vopson in his paper. “Therefore, this fascinating observation seems to provide an explanation for the prevalence of symmetry in the universe; it can be attributed to the influence of the second law of information dynamics.”

The audacious assertions (with their need for additional evidence) don’t end there.

“According to Vopson in The Conversation, the second law of infodynamics is a cosmological necessity and seems to have a universal application. This suggests that the entire universe might be a simulated construct or a massive computer.”

“In order to efficiently run a simulation of our incredibly complex universe, it would be necessary to incorporate data optimization and compression techniques. This would help reduce the computational power and data storage requirements needed for the simulation.” This is precisely what we see happening everywhere, from digital data and biological systems to mathematical symmetries and the vast expanse of the universe.”

Confirmation of the “second law of infodynamics” wouldn’t necessarily imply that we are living in a simulation. It’s important to consider that the theory could still hold true even if that scenario isn’t the case. There are additional quantum mechanical effects that seem to indicate that we are not.

So, what are the next steps for testing this further? According to the principles of infodynamics, it is believed that information possesses mass, enabling it to interact with all other entities. There are indications that this might be true, as suggested by a study conducted in 2012 that found that irreversible erasure of information seems to release heat. According to Vopson’s findings, it suggests that this energy needs to be converted into mass before it can be erased, essentially treating information as a distinct form of matter that is on par with mass and energy.

Experimentally determining whether information possesses mass may not pose a significant challenge. Performing a basic experiment involves measuring the mass of a hard drive both before and after irreversible information erasure. Regrettably, our current capabilities are insufficient to handle the minute mass change anticipated.

However, if this theory holds true, it is highly probable that elementary particles would contain valuable self-information, as suggested by Vopson. For example, consider the fascinating process of informing an electron (perhaps the sole electron in the entire universe) about its unique characteristics, such as its charge and spin. An interesting experiment involves colliding particles and antiparticles at high velocities.

“The experiment entails eradicating the information stored within elementary particles by allowing them and their antiparticles (mirror images of the particles with opposite charge) to annihilate, resulting in a burst of energy known as ‘photons’ or light particles,” explained Vopson. “I have accurately determined the anticipated range of frequencies for the photons that will be produced using principles from information physics.”

Although the concept may not align with conventional thinking, the experiment comes at a relatively affordable price of $180,000 (which is insignificant for advocates of simulation theory like Elon Musk) and can be tested using existing technology. Indeed, it may provide valuable insights into the validity of the concept. Exploring this idea could prove to be intriguing, as we aim to either dismiss it or determine its significance in terms of mass.

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Vaccine Breakthrough Could Mean Future-Proof Shots Without Boosters

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A novel vaccine platform could eliminate boosters for some diseases since one dose could cover all future viral strains. It’s only been tried in mice, but researchers are optimistic.

“This could be the universal vaccine that we have been looking for,” said UC Riverside virologist Rong Hai.

The vaccination contains live, attenuated virus. Many vaccines, including MMR and chickenpox, use a similar mechanism. Unlike them, the new vaccines won’t require the immune system to respond to the infection. RNA interference (RNAi) will be activated instead.

Though it sounds like COVID-19’s mRNA vaccines, it operates differently.

As an immunological response to viral infection, hosts—people, mice, and others—produce short interfering RNAs. “These RNAi knock down the virus,” said lead author Shouwei Ding, renowned microbiology professor.

By generating proteins that prevent RNAi, viruses can avoid this response, but weakening them first solves the problem. It can replicate, but the host RNAi response wins. This weakened virus can be utilized as a vaccination to improve our RNAi immune system, Ding said.

Mutating won’t help either. “Viruses may mutate in vaccine-untargeted areas. We target their entire genome with thousands of tiny RNAs, Hai said. “They cannot escape this.”

The idea that RNAi can help people fight viral infections has been controversial, but over the last decade, several researchers have begun studying RNAi-based treatments.

The novel vaccine platform has another major benefit. Since it doesn’t require B and T cells, it could be utilized in very young babies or persons with immunological problems who can’t receive live vaccines.

The researchers designed a Nodamura mouse virus vaccination to test this. Mice genetically engineered to eliminate B and T immune cells received one shot. That one shot protected them from the Nodamura virus for at least three months, a considerable period considering mice typically live two to three years.

Since newborn mice can manufacture short RNAs, the vaccine worked in them, making it suitable for babies too young to receive immunizations.

A previous study suggests that flu infection triggers the RNAi system; therefore, that’s their next target. To reduce needle anxiety, they want to create a nasal spray vaccine.

We’ll apply this idea to create a flu vaccination for infants next. If we succeed, they won’t need their moms’ antibodies, added Ding.

It’s still early, but if it works, applying the method to other infections should be easy.

Ding said, “Dengue, SARS, and COVID are well-known human pathogens. They share viral functions. For easy knowledge transfer, this should apply to these viruses.”

The paper appears in PNAS.

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