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In 2022, Duke researchers, backed by the National Institutes of Health, began investigating whether stimulating the vagus nerve could affect SUMOylation and set off a natural anti-inflammatory response that calms immune responses and reduces inflammation.

"I think it's clear that novel anti-obesity medications have a chance to impact global public health, and research suggests changes in intake of food can affect indicators of environmental impacts," Roe said.

It’s not clear how that policy could affect the ongoing dispute over whether deputies must reveal their tattoos.

However, it denies any bias, pointing to the fact that some cases were self-referred by the country affected, or referred to it by the UN.

It is a problem that often affects poorer countries - outbreaks are common in Indonesia, India, Cambodia, Vietnam and the Philippines.