Is it a cold, ‘super flu’ or Covid? How to tell the difference

BBC Morning Live’s Dr Oscar Duke shares his advice on how to identify whether you have cold, flu or Covid and how to look after yourself.

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Low dose melanoma treatment delivers dramatically better results

A recent study reports that using reduced amounts of approved immunotherapy for malignant melanoma may lead to better control of tumors while also limiting side effects. The findings come from researchers at Karolinska Institutet and were published in the Journal of the National Cancer Institute.

“The results are highly interesting in oncology, as we show that a lower dose of an immunotherapy drug, in addition to causing significantly fewer side effects, actually gives better results against tumors and longer survival,” says last author Hildur Helgadottir, a researcher at the Department of Oncology-Pathology at Karolinska Institutet, who led the study.

Why Sweden Uses a Modified Treatment Approach

Standard treatment for malignant melanoma typically relies on the approved doses of nivolumab and ipilimumab. However, because the full-dose combination often leads to considerable side effects, Swedish clinicians have increasingly adopted a regimen that uses a reduced amount of ipilimumab. This component is both the most expensive part of the treatment and the one most strongly linked to side effects.

“In Sweden, we have greater freedom to choose doses for patients, while in many other countries, due to reimbursement policies, they are restricted by the doses approved by the drug authorities,” says Hildur Helgadottir.

Improved Responses and Survival With Reduced Ipilimumab

Nearly 400 people with advanced, inoperable malignant melanoma took part in the study, which focused on this severe form of skin cancer. According to the results, patients receiving the lower-ipilimumab regimen showed stronger responses. A total of 49 percent of these patients responded to treatment, compared to 37 percent in the group that received the traditional dose.

Progression-free survival, defined as the time a patient lives without the disease getting worse, reached a median of nine months for the lower-dose group. The traditional-dose group experienced a median of three months. Overall survival also differed significantly, with medians of 42 months and 14 months, respectively.

Reduced Side Effects May Allow Longer Treatment

Serious side effects appeared in 31 percent of people treated with the lower dose, compared to 51 percent among those given the standard regimen.

“The new immunotherapies are very valuable and effective, but at the same time they can cause serious side effects that are sometimes life-threatening or chronic. Our results suggest that this lower dosage may enable more patients to continue the treatment for a longer time, which is likely to contribute to the improved results and longer survival,” says Hildur Helgadottir.

Study Limitations and Research Collaboration

Although some differences existed between the treatment groups, the advantage of the lower-dose approach remained even after accounting for several factors, including age and tumor stage. Because this was a retrospective observational study, the research cannot conclusively prove that the lower dose directly caused the improved outcomes.

The work was carried out together with the Sahlgrenska Comprehensive Cancer Center at Sahlgrenska University Hospital and received funding from the Cancer Foundation, Region Stockholm, and the Radiumhemmet Research Fund.

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‘Life being stressful is not an illness’ – GPs on mental health over-diagnosis

Hundreds of GPs in England tell the BBC they are also worried about a lack of help for patients.

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Labour MP Fumes Over Party’s Lack Of Communication And Authority Among Backbenchers

A Labour backbencher has attacked the lack of clear communication within his party in a surprise intervention exposing the level of discontent among the backbenchers.

Karl Turner called out deputy PM and justice secretary David Lammy on Wednesday after he announced his decision to axe some jury trials, claiming the government had got it “incredibly badly wrong”.

Speaking to Times Radio on Sunday, the MP for Kingston upon Hull East explained he would not have spoken out against such a senior minister in the past – but he was left with little alternative this week.

His remarks come amid growing frustration over the flip-flopping of the government as they U-turn over major policies – like the two-child benefit cap – which their backbenches don’t like.

Responding to concerns about Keir Starmer’s control over his own party, Turner said: “I’ve got no axe to grind. But we’re in a situation whereby it appears as if the government is governing by consent of the PLP [Parliamentary Labour Party].

“The Tories did that for a bit – it didn’t get them very far.”

He said the chief whip Jonathan Reynolds “ought to be on the pitch scoring goals” because he is an “incredibly respected” politician.

“He ought not to be in the chief whip’s office where he can’t come out on the telly or Times Radio and do the stuff we need to do as a government,” the MP said.

“The former chief whip – I wouldn’t have been out publicly a week ago if the former chief whip Alan Campbell was in charge of the chief whip’s office, because he would have rang me and would have said, ‘I need to talk to you, Turner.’”

He suggested they would have come up with a more constructive plan together, and Campbell – who was removed as chief whip in the September reshuffle – would have facilitated meetings with the prime minister if necessary to resolve the issue.

In exchange, Turner said he would have kept quiet about his frustrations.

He said it would be a case of only speaking about your discontent in the party if there was “no alternative”.

But in this case, he claimed there was little clear communication. He told Times Radio: “All I’ve had is an attempt by me to speak to the chief whip, which I got an appointment to see him I think two days later.

“And then a text from a whip telling me to please calm down, or words to that effect. Don’t tell me to calm it down, I’ve been in there 15 years. It’s rare for me, in fact it’s incredibly unlikely and unusual.”

He said he would never usually “gob off” unless he needed to, adding: “Campbell would have sorted this. I’m afraid to say this but Johnny Reynolds isn’t capable of sorting this – and I like the man a lot, by the way.”

Starmer is facing intense scrutiny right now over the lack of control and discipline he has over his own MPs.

He suspended one MP, Markus Campbell-Savours, only this week after he voted against an initial vote on the government’s plans to tax inherited farmland.

Questions around just how long he has left in office continue to rise too, as pundits speculate which of his senior allies in the cabinet could be looking to replace Starmer in No.10.

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\"It appears as if the government is governing by consent of the PLP.”

The government is in a “dangerous” position as it lacks authority over its own party, and the chief whip is not managing the situation effectively, says Labour MP Karl Turner. @adamboultonTABB | #TimesRadio pic.twitter.com/eBFVET7b7r

— Times Radio (@TimesRadio) December 7, 2025

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“It appears as if the government is governing by consent of the PLP.”

The government is in a “dangerous” position as it lacks authority over its own party, and the chief whip is not managing the situation effectively, says Labour MP Karl Turner. @adamboultonTABB | #TimesRadio pic.twitter.com/eBFVET7b7r

— Times Radio (@TimesRadio) December 7, 2025

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