Health
State Department Permits Distribution of H.I.V. Medications to Resume — for Now
The Trump administration on Tuesday issued a waiver for lifesaving medicines and medical services, offering a reprieve for a worldwide H.I.V. treatment program that was halted last week.
The waiver, announced by Secretary of State Marco Rubio, seemed to allow for the distribution of H.I.V. medications, but whether the waiver extended to preventive drugs or other services offered by the program, the President’s Emergency Plan for AIDS Relief, was not immediately clear.
Still, PEPFAR’s future remains in jeopardy, with potential consequences for more than 20 million people — including 500,000 children — who could lose access to lifesaving medications. Without treatment, millions of people with H.I.V. in low-income countries would be at risk of full-blown AIDS and of premature death.
“We can very rapidly return to where the pandemic is exploding, like it was back in the 1980s,” said Dr. Steve Deeks, an H.I.V. expert at the University of California, San Francisco.
“This really cannot happen,” he said.
On Monday, the Trump administration ordered health organizations in other countries to immediately stop distributing H.I.V. medications purchased with U.S. aid. The directive stemmed from a freeze — which may become permanent — in the activities of PEPFAR, a $7.5 billion program overseen by the State Department.
Since it started in 2003, PEPFAR is estimated to have saved more than 25 million lives; more than 5.5 million children have been born free of H.I.V. who otherwise would have been infected.
In South Africa alone, PEPFAR’s shutdown would add more than a half million new H.I.V. infections and more than 600,000 related deaths over the next decade, according to one estimate.
The organization employs 270,000 doctors, nurses, pharmacists and other health workers. They had been told not to report to work or to serve patients.
PEPFAR’s end would “create instability and potentially collapse several countries’s AIDS programs that will be difficult to repair, if and when PEPFAR funding becomes available again,” said Dr. Salim Abdool Karim, an infectious disease epidemiologist at the University of KwaZulu-Natal in Durban, South Africa.
Dr. Abdool Karim said countries should stop relying on PEPFAR and support their own citizens, a goal that the program’s staff and partners had been working toward. But ideally that shift would happen gradually, over years during which PEPFAR would train local health workers and prepare them for the transition, he said.
“This is not a bad opportunity for countries to take greater responsibility,” he said. “But I think they can’t do it if it’s done in this kind of haphazard and unplanned way.”
Here’s what he and others expect from PEPFAR’s unexpected pause.
Sudden stops to H.I.V. treatment can quickly turn dangerous.
Every day, more than 220,000 people pick up H.I.V. medications at clinics funded by PEPFAR; the number included more than 7,400 children under 15, according to data published on Tuesday by AMFAR, The Foundation for AIDS Research.
The drugs work by suppressing H.I.V. in the body. When patients go off the drugs, the virus grabs the opportunity to rebound — and quickly. Within a week, H.I.V. levels will skyrocket from undetectable levels to more than 100,000 copies per milliliter of blood.
“That may be a time where you are very much at risk of passing the virus on to others,” Dr. Sallie Permar, a pediatrician and H.I.V. expert at Weill Cornell Medicine, said.
Then, the virus will start attacking a certain type of immune cell, crippling the body’s ability to fend off other infections, including tuberculosis, which frequently accompanies H.I.V. infection.
Spiking H.I.V. levels at first may cause flulike symptoms, including sore throat, swollen glands and fatigue. The immune system will likely marshal enough force to suppress the virus temporarily, but H.I.V. is adept at hiding until it finds the right opportunity to re-emerge.
When that occasion arises, “they can develop AIDS and progress,” Dr. Deeks said.
Children may be among the hardest hit.
PEPFAR is best known for financing H.I.V. treatment programs, but its funds also go to drugs for prevention, outreach and testing, and to support for orphans and women experiencing gender-based violence.
The loss of resources for each of these efforts will derail the fight against AIDS, said Dr. Glenda Gray, a pediatric H.I.V. expert at Wits University in South Africa.
“If H.I.V. testing falls by the wayside, it’s unlikely that we will be able to even diagnose people who need to go into treatment,” she said.
If a pregnant or breastfeeding woman has H.IV. but is not tested and not treated, she may pass the virus to her child. The higher her viral load, the more likely this is to occur.
Children with H.I.V. are less likely to be diagnosed than adults, and may not be treated till the virus makes them visibly very sick. This progression can be much more rapid in children than in adults, Dr. Gray said, “and obviously, children who are untreated are likely to die.”
Inconsistent treatment drives drug resistance.
As people lose access to medications, they may try to spread out their supplies by alternating days or to share their pills with others. If the virus replicates in people with only partial protection, it can learn to evade those defenses and become resistant to the medications.
People living with the virus may then pass the resistant virus on to others.
“That becomes a big problem, because now, suddenly, our cheap first-line drugs might not work when we have to restart them on treatment,” Dr. Abdool Karim said.
A virus that is resistant to treatments will also be better at evading vaccine candidates being tested.
“Not only are we looking at more drug resistance, but we’re looking at losing whatever ability we had to make an effective vaccine,” Dr. Permar said.
PEPFAR’s end may affect Americans, too.
More than one million Americans are living with the virus, and more than 30,000 become infected each year. If H.I.V. becomes resistant to available medications, it isn’t likely to remain in low-income countries. Americans, too, will be at risk.
They may also face indirect harms from ending PEPFAR. Creating huge populations of immunocompromised people may mean that other pathogens have an opportunity to spread. For example, dangerous Covid variants, including Omicron, are thought to have evolved in immunocompromised people with H.I.V.
At the same time, people worldwide have benefited from trials conducted under PEPFAR’s auspices, showing the importance of treating H.I.V. early, demonstrating that pregnant women can safely breastfeed as long as they are treated and that H.I.V. infections can be prevented with long-acting drugs.
“America has gotten an amazing amount of love around the world because of what it’s done,” Dr. Deeks said.
“From a humanitarian perspective, I can’t imagine anyone really wants to go along this pathway,” he added. “This doesn’t make any sense on any level.”
Health
Hantavirus Vaccines and Treatments Are in the Pipeline
The deadly hantavirus outbreak aboard the cruise ship MV Hondius has put the spotlight on a rare pathogen that typically attracts relatively little attention, even from scientists.
There are no targeted treatments for hantaviruses, which are typically carried by rodents, and no widely available vaccines. So when passengers began falling ill in the middle of the Atlantic Ocean, doctors and public health experts were limited in what they could offer.
“It’s kind of a wake-up call,” said Dr. Vaithi Arumugaswami, an infectious disease researcher at the University of California, Los Angeles. “Our tool kit is almost empty.”
That’s not for lack of trying. A handful of scientific teams around the world have been working — for decades, in some cases — to develop hantavirus treatments and vaccines. But it has not been easy to find funding or nurture commercial interest in medical interventions for a type of pathogen that does not infect humans often and does not spread easily between people.
“It’s not an airborne, highly contagious viral threat, so it hasn’t been as high a priority for groups trying to prevent pandemics,” said Jay Hooper, a virologist at the United States Army Medical Research Institute of Infectious Diseases.
But there are promising vaccines and treatments in development. And some of them, experts said, could be moved through the pipeline rapidly if hantavirus interventions became a priority.
“I do think there are things that are sitting there on the bench that could be quickly developed,” said Dr. Ronald Nahass, the president of the Infectious Diseases Society of America. “But nothing is ready.”
Vaccine development
There are two main types of hantaviruses: Old World viruses, which circulate primarily in Asia and Europe, and New World viruses, which are found in the Americas. The cruise ship outbreak has been linked to a New World virus known as the Andes virus, which is endemic to South America and is the only hantavirus known to spread between people.
There are vaccines that target some of the Old World viruses in Asia, but their efficacy is modest, experts said. And there are no licensed vaccines for the New World viruses, which include the Sin Nombre virus endemic to rodents in the western United States.
But there are some in development. Dr. Hooper and his colleagues have developed a DNA vaccine for the Andes virus, which proved promising in a small phase 1 trial. Under certain dosing regimens, the researchers found, more than 80 percent of participants produced neutralizing antibodies. “It’s pretty amazing,” said Dr. Hooper, who is an inventor on multiple hantavirus vaccine patents owned by the U.S. government. “Getting these kinds of neutralizing antibodies in humans is impressive.”
There were drawbacks, including that the vaccine seemed to require at least three doses. But the vaccine is ready for further development “if there’s a need,” Dr. Hooper said. “We’ve done the science. It’s just other forces that are required to move vaccines forward — markets, government demand.”
Other teams have potential vaccines in earlier stages of development. For instance, Bryce Warner, a hantavirus researcher at the University of Saskatchewan, and his colleagues are exploring a variety of approaches, including a nasal vaccine that they hope might spark a more robust immune response in the airway.
But the research, which is being conducted in hamsters, is still in early stages, and hantavirus vaccine candidates can be challenging to move forward. Scientists lack good large-animal models for hantaviruses, Dr. Warner said, and human cases are rare enough to make trials tricky. “It’s very difficult to conduct a clinical trial when you only have a limited number of cases annually,” he said. “You don’t have the numbers of people to really show a robust effect.”
Drug hunting
Currently, the primary treatment for hantavirus infection is supportive care, which may include supplemental oxygen or heart-lung bypass machines. Doctors also sometimes prescribe an existing antiviral drug, called ribavirin, but there is not strong evidence that it is effective for New World viruses, scientists said.
The hunt for new drugs is underway, though. At U.C.L.A., Dr. Arumugaswami and his colleagues found that favipiravir, an antiviral approved to treat influenza in Japan, inhibited the Andes virus in human cells. They also identified several compounds that had broad antiviral activity, blocking hantaviruses as well as other types of viruses, in human organoids, miniature clusters of tissue that mimic the function of organs.
Other teams have been working to develop therapeutic antibody treatments, often working from blood samples collected from hantavirus survivors. “We were able to isolate the natural antibodies that people are making and basically winnow them down and find one that was really good,” said Kartik Chandran, a virologist at the Albert Einstein College of Medicine in New York. “We actually found several.”
When Dr. Chandran and his colleagues tested these antibodies in hamsters, one produced especially encouraging results: It seemed to work against both Old and New World hantaviruses and was effective even when given relatively late in the course of infection, Dr. Chandran said.
(Dr. Chandran is listed as an inventor on patents for hantavirus antibodies.)
Several other teams have also produced antibodies that were broadly effective in small animals, but that is where a number of potential products have stalled, experts said.
“We have a lead drug, and now what we need is someone to pay the money, which would be something like $40 million, to go the next step,” said Dr. James Crowe, director of the Vanderbilt Center for Antibody Therapeutics. “We have neither government nor foundation nor company support to do that. So we’re just waiting to find a partner.”
(Vanderbilt University has applied for patents related to these antibodies; Dr. Crowe is listed as the inventor.)
Experts said that they hoped the current outbreak might help bring attention to a family of often-overlooked viruses.
“Certainly judging by just my inbox and text messages, there’s a renewed interest in these agents, and renewed interest in maybe at least revisiting where they are in the priority list,” Dr. Chandran said.
Whether that interest can be sustained after the virus fades from the headlines remains to be seen, experts acknowledged.
“Raising awareness never hurts,” Dr. Warner said. “We’ll see whether or not it leads to anything tangible, at least in terms of funding and resources for advancing some of these things that are lacking for hantavirus.”
Health
Fitness expert visits gyms nationwide, shouts out 4 clubs for ‘getting it right’
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Gym membership in the U.S. hit a record high in 2025, according to the Health & Fitness Association, giving consumers more workout options — and more choices to sort through when picking the right fitness space.
Amid today’s wellness renaissance, many gyms and fitness clubs can cost hundreds of dollars per month, depending on the level of access and amenities offered.
In an interview with Fox News Digital, Kenny Santucci — New York City fitness trainer, gym owner and host of the “Strong New York” podcast — revealed the attributes of a great gym.
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“A lot of people traditionally look at gyms [as if] they have to have all the bells and whistles,” he said. “Spa, bathrooms, all these things. For me, a gym is a gym. I go there for the equipment, I go for the culture, I go for the look and feel of the place.”
He added, “You can have an incredible gym [that’s] a garage gym, and you can have an incredible gym [that] somebody could have built for $10 million.”
Amid today’s wellness renaissance, many gyms and fitness clubs can cost hundreds of dollars per month, depending on the level of access and amenities offered. A New York City fitness trainer (not pictured) has a different view of what makes the best gyms.
Santucci, who visits new gyms across the country and posts his experiences on social media, said he looks for a balance between aesthetics and equipment quality, as well as “great people.”
“I think you could go and get in a sweat or a workout anywhere — but if the people are great, that’s what creates that great culture,” he said.
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“If you ask the average person who goes to most big-box gyms, the things they tell you they love about the gym are, ‘Oh, I love the showers. They have really nice towels.’ It’s nothing that actually pertains to the gym, and I believe that people should go to the gym to progress and get better,” he added.
With these goals in mind, Santucci revealed some of his top-rated gyms in the U.S.
Life Time Fitness
Life Time is a chain of luxury health clubs in the U.S., offering amenities like indoor courts, swimming pools, saunas and group fitness classes.
Santucci applauded the gym’s founder and CEO, Bahram Akradi, for being a “very hands-on owner and operator,” overseeing hundreds of gyms across the country.
The facade of an upscale Lifetime gym is shown in Walnut Creek, California, on April 8, 2025. (Smith Collection/Gado/Getty Images)
“[Bahran’s] mentality and belief system around the fitness space, I absolutely love,” he said.
“I give a lot of credit to the guys who are owners and operators,” Santucci added. “They’re in the space, they’re making sure things are going really well. I think if you’re going to be in the gym business, you should be one of those people.”
Anatomy Gyms (Florida)
Santucci also shouted out Marc Megna, co-founder and co-CEO of Florida-based Anatomy Fitness for building a must-visit space.
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“It’s an incredible culture there, and I think that’s what they really push at that gym,” he said.
“The way the gym’s set up, the cleanliness of it, the aesthetics – you walk in that place, and you want to train … and those are things you can’t just buy … You have to live it, love it and be involved in the day-to-day operations.”
Powerhouse (New York/New Jersey)
In a newer recommendation, Santucci said he’s enjoyed stopping into Powerhouse Gym in New York City.
The New York- and New Jersey-based gym focuses on weight training and bodybuilding, including a powerlifting room and boxing rig at its locations.
“I just started going there, once or twice a week,” he said. “I really love the people and the culture.”
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The Training Lab (NYC)
For more of a group fitness and Hyrox training experience, Santucci recommends The Training Lab in New York City. (Hyrox is a global fitness racing brand and training system with affiliated gyms and training clubs.)
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“The guys over at Training Lab are incredible,” he told Fox News Digital. “Another owner-operator who’s involved in the business, who partakes in everything. I think they’re another great gym.”
“If you’re looking for group training, Training Lab’s a great space.”
Participants compete in the burpee broad jumps event during the Hyrox fitness race at the Bangkok International Trade and Exhibition Centre in Bangkok on March 21, 2026. (Amaury Paul/AFP)
The price of wellness
While some premier gym memberships can cost upward of $300 a month, Santucci said it isn’t necessary to spend a lot to get results, although it may result in more of an “experience.”
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“We need to restructure the way we think about health and wellness,” he said. “People aren’t going out as much anymore. They’re not spending as much on alcohol.
“It’s all what you prioritize. I prioritize fitness,” he went on. “I belong to multiple gyms. I have a membership to TMPL Gym here in [New York City]. I have a membership to Renzo Gracie’s. That’s what I like to do with my money.”
While some premier gym memberships can cost upward of $300 a month, Santucci emphasized that it isn’t necessary to spend a lot to get results. (iStock)
Santucci said what he’s paying for goes beyond the equipment — pointing to the staff, community and overall atmosphere as part of the value.
“If you want that elevated experience, you’re going to pay for that just like you would at a hotel or a restaurant or anything else,” he said.
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The expert suggested that wellness has recently become a “third form of hygiene.”
“It’s like you take a shower, you brush your teeth and you go to the gym,” he said. “I think those are three non-negotiables for almost everybody on a daily basis when it comes to your hygiene.”
Health
There Are Ants in This Canadian Hospital. Again.
Ants can be a nuisance. Just ask officials at a hospital in Canada who are dealing with an “appearance of ants within the operating room” that has forced them to indefinitely suspend some surgeries there.
The ants appeared recently at Carman Memorial Hospital in Carman Manitoba, according to a statement from Southern Health-Santé Sud, the provincial authority that oversees the hospital.
It was not clear when the hospital would resume operations, but Southern Health said on Friday that a “limited number of elective surgeries” had been postponed and that the hospital was working with patients to reschedule them. Portage Online, a local news website, reported that 16 operations had been postponed, citing information from Southern Health.
It’s not the first time ants have disrupted operations at the hospital. The insects appeared there in August 2024, but “the issue resolved within a few weeks,” Southern Health said. They returned last summer. But with their reappearance this week, the hospital said it was taking more drastic measures. The hospital serves the area around Carman, a town with a population of around 3,000 residents about 47 miles southwest of Winnipeg.
“Any factor that could impact the safety or integrity of the operating room environment requires the suspension of surgical activity until the issue can be resolved,” Southern Health said. “The safety of patients, staff and physicians is paramount.”
The hospital is working with exterminators “to identify the source of the ants and implement additional measures and support a long-term resolution.” Southern Health told Portage Online that exterminators had “surveyed and cleaned drains, opened walls and sealed cracks.”
“Several methods have been used to bait the ants in an effort to find where they are originating from,” the authority said.
In a separate statement to the CBC, Southern Health said that it believed that an ant colony had made its home near the hospital and that they appeared to be “simply seeking food sources inside buildings as ants are known to do.”
The hospital also told the CBC that the ant problem at the hospital did not amount to an “infestation.”
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