Sunday, 11 October 2026
11 October 2026
- In brief
- 1US regulator approves the immune drug Tecentriq for one kind of stage 3 colon cancer, after a trial found it halved the risk of the cancer returning
- 2A monthly shot for schizophrenia approved
- 3A new pill for herpes the old drugs miss
- 4Trust in science measured in 140 countries
- 5WHO finds no plague case in Russia
- 6Ebola reaches another part of Congo
- 7New finger-prick tests for river blindness
- 8Five brain patterns inside depression
- 9Loneliness and years of good health
- 10Pressing shin bones helped injured brains
- 11A drain found at the back of the eye
- 12A seed-sized nerve stimulator
- 13A common plastic and fatty livers
- 14Olive oil before sugar, in mice
11 Oct · Biotech · In brief
Biotech · Sunday, 11 October 2026
Biotech, in brief
14 stories · 18 sources
Swipe up for the day in brief ↑Scroll down for the day in brief ↓
What is moving · 1 of 4
Approvals for small groups
Tecentriq's approval covers only colon cancers that cannot fix their DNA mistakes.
What is moving · 2 of 4
Diseases crossing borders
A Kenyan man caught Ebola in Congo and travelled by road and air through Uganda before he died in Nairobi.
What is moving · 3 of 4
One label, very different people
People with the same depression diagnosis fell into five different brain patterns in a Finnish study.
What is moving · 4 of 4
Results only in animals so far
A drain at the back of the eye was found in mice.
Part of the day's signal
One pressure seen across the day runs through Biotech too.
14 stories
- 1US regulator approves the immune drug Tecentriq for one kind of stage 3 colon cancer, after a trial found it halved the risk of the cancer returning
- 2A monthly shot for schizophrenia approved
- 3A new pill for herpes the old drugs miss
- 4Trust in science measured in 140 countries
- 5WHO finds no plague case in Russia
12 sources
Biotech, in brief
- 1FDA approves atezolizumab in combination with chemotherapy for Stage III mismatch repair deficient colon cancer
- 4Teva wins FDA approval for monthly schizophrenia injection Weltruza
- 6FDA Approves Drug to Treat Lesions Caused by Herpes Simplex Virus
- 7Americans trust science more than peers around the world, survey shows
- 8WHO says no plague case registered after Russian lab worker's death
- 9Ebola spreads in eastern DRC as Kenya confirms imported case
- 10Kenyan health ministry urges churches to raise awareness about Ebola
- 12Scientists discover 5 hidden brain patterns behind depression
- 13Loneliness may steal nearly 6 years of good health
- 14Compressing bones releases molecules that ease traumatic brain injuries
- 15The eye has a hidden cleanup system scientists never knew existed
- 17A plastic once thought harmless may be fueling fatty liver disease
US regulator approves the immune drug Tecentriq for one kind of stage 3 colon cancer, after a trial found it halved the risk of the cancer returning
Swipe up for the story ↑Scroll down for the story ↓
The FDA, the US agency that decides which medicines can be sold, approved Tecentriq for one kind of colon cancer on Thursday 8 October.
the trial's main measure, read as a hazard ratio of 0.50
Who is involved
Genentech
a US drug company that makes Tecentriq; it is the company named on the approval
Who is involved
The FDA
the US government agency that decides which medicines can be sold; it approved Tecentriq on 8 October
Why it matters
The next thing to watch is whether ATOMIC shows patients on Tecentriq living longer, a figure the FDA notice does not give.
What's really going on
Three US drug approvals announced on Thursday and Friday each cover a narrow group of patients: Tecentriq for colon cancers that cannot fix their DNA mistakes, Hovilpri for herpes that resists older drugs, and Weltruza as a monthly shot for schizophrenia.
Why it works on people
A patient's own words, like a tumour that 'melted away', can make a result from 32 people sound like a cure for everyone.
Who gains
Genentech
Tecentriq can now be sold for use after surgery in stage 3 colon cancers that cannot fix their DNA mistakes, a group the trial compared against chemotherapy alone.
Who pays
Patients given Tecentriq
They take it for a year in all, and the label warns it can turn the immune system against healthy organs.
Nobody knows yet
Whether Tecentriq helps patients live longer, and not only stay free of cancer for longer.
Neither group in the ATOMIC trial has yet reached the point where half its patients relapsed, and the FDA notice gives no survival figure.
Nobody knows yet
How firm the trial's count of relapses is.
The trial was open-label, so patients and doctors knew who got Tecentriq, and the trial's own doctors judged whether the cancer had come back.
Nobody knows yet
What patients or health systems will be charged for Tecentriq in this use, and for Weltruza.
The FDA notice gives no figure, and Teva's statement, as reported, names none either.
Good news
Adding the immune drug Tecentriq to chemotherapy after surgery halved the risk of one kind of stage 3 colon cancer coming back, and the US approved it on Thursday.
The short version
That's the story in short.
The whole story has 13 more parts.
or swipe up for the next storyor scroll on for the next story ↓
The whole story, in 13 parts ↓
Part 1 of 13 · Who else is involved
Patients with stage 3 'mismatch repair deficient' colon cancer
people whose tumour cannot fix its DNA copying mistakes and whose cancer reached nearby lymph nodes; the approval covers only them
Part 2 of 13
Tecentriq is an immune drug made by Genentech, a US drug company.
Part 2 of 13
It is added to standard chemotherapy after surgery has removed the tumour.
Part 3 of 13
The approval covers stage 3 cancer only, where the cancer had reached nearby lymph nodes, and only after all of it was cut out.
Part 4 of 13
It covers only tumours that are 'mismatch repair deficient': their cells have lost the system that fixes copying mistakes in DNA.
Part 5 of 13
About 10% to 15% of stage 2 or 3 bowel cancers are this kind, UK researchers say.
Part 6 of 13
Immune drugs work unusually well in these tumours, a separate UK trial found.
Part 6 of 13
Their many unfixed DNA mistakes make odd proteins that immune cells can spot.
Part 7 of 13
The ATOMIC trial split 712 patients at random: half got chemotherapy alone, half got chemotherapy plus Tecentriq.
Part 8 of 13
Adding Tecentriq halved the risk of the cancer coming back or the patient dying.
Part 9 of 13
Neither group has yet reached the point where half its patients relapsed, so the trial cannot yet say how many years the drug adds.
Part 10 of 13
Patients get Tecentriq with chemotherapy for six months, then alone for six more months.
Part 11 of 13
It can be given into a vein, or as Tecentriq Hybreza, a shot under the skin, for patients aged 12 or older who weigh at least 40kg.
Part 12 of 13
The label warns that it can turn the immune system against healthy organs, and that it can harm an unborn baby.
Part 13 of 13
It is the third cancer drug the FDA approved in a week, after Jaypirca on 2 October and Tukysa on 7 October.
5 sources
US regulator approves the immune drug Tecentriq for one kind of stage 3 colon cancer, after a trial found it halved the risk of the cancer returning
- 1FDA approves atezolizumab in combination with chemotherapy for Stage III mismatch repair deficient colon cancer
- 2Oncology (Cancer)/Hematologic Malignancies Approval Notifications
- 3Bowel cancer "melted away" after immunotherapy, then stayed away
- 4Teva wins FDA approval for monthly schizophrenia injection Weltruza
- 6FDA Approves Drug to Treat Lesions Caused by Herpes Simplex Virus
The full story
US regulator approves the immune drug Tecentriq for one kind of stage 3 colon cancer, after a trial found it halved the risk of the cancer returning
The FDA, the US agency that decides which medicines can be sold, approved Tecentriq for one kind of colon cancer on Thursday 8 October.
Tecentriq is an immune drug made by Genentech, a US drug company. It is added to standard chemotherapy after surgery has removed the tumour.
The approval covers stage 3 cancer only, where the cancer had reached nearby lymph nodes, and only after all of it was cut out.
It covers only tumours that are 'mismatch repair deficient': their cells have lost the system that fixes copying mistakes in DNA.
About 10% to 15% of stage 2 or 3 bowel cancers are this kind, UK researchers say.
Immune drugs work unusually well in these tumours, a separate UK trial found.
The ATOMIC trial split 712 patients at random: half got chemotherapy alone, half got chemotherapy plus Tecentriq.
Adding Tecentriq halved the risk of the cancer coming back or the patient dying.
Neither group has yet reached the point where half its patients relapsed, so the trial cannot yet say how many years the drug adds.
Patients get Tecentriq with chemotherapy for six months, then alone for six more months.
It can be given into a vein, or as Tecentriq Hybreza, a shot under the skin, for patients aged 12 or older who weigh at least 40kg.
The label warns that it can turn the immune system against healthy organs, and that it can harm an unborn baby.
It is the third cancer drug the FDA approved in a week, after Jaypirca on 2 October and Tukysa on 7 October.
Why it matters. The next thing to watch is whether ATOMIC shows patients on Tecentriq living longer, a figure the FDA notice does not give.
A monthly shot for schizophrenia approved
Swipe up for the story ↑Scroll down for the story ↓
Teva, an Israeli drugmaker, said on Friday that the FDA had approved Weltruza, a once-a-month injection for adults with schizophrenia.
Schizophrenia is a lasting illness that can bring hallucinations and confused thinking. Weltruza is a slow-release form of olanzapine, an older antipsychotic medicine.
It uses a release method from Medincell, a French biotech company, and is their second approved product after Uzedy in 2023.
Teva plans to start selling it in the US within weeks.
Why it matters
Analysts expect long-acting shots to help people who struggle to keep taking their medicine for an illness that lasts for years.
Why it matters
Medincell's shares rose 16.9% in Paris, and it may earn up to $112 million more from Teva, plus a share of sales.
Who gains
Medincell
Its shares rose 16.9% in Paris on the Weltruza approval, and it may earn up to $112 million more from Teva, plus a share of sales.
Who gains
Teva
It gets a second long-acting schizophrenia shot in the US after Uzedy, and its shares closed 2% higher in Tel Aviv.
2 sources
A monthly shot for schizophrenia approved
The full story
A monthly shot for schizophrenia approved
Teva, an Israeli drugmaker, said on Friday that the FDA had approved Weltruza, a once-a-month injection for adults with schizophrenia.
Why it matters. Analysts expect long-acting shots to help people who struggle to keep taking their medicine for an illness that lasts for years.
A new pill for herpes the old drugs miss
Swipe up for the story ↑Scroll down for the story ↓
The FDA approved Hovilpri, a pill also called pritelivir, for adults with weak immune systems.
It is for herpes sores that did not heal on acyclovir, valacyclovir or famciclovir, the usual drugs.
Herpes simplex is a common virus that causes painful blisters on the lips, nose, eyes or genitals, and it stays in the body for life.
In a trial of 101 such adults, all sores healed within 28 days in 63% of those on Hovilpri, against 34% on other drugs.
Why it matters
People whose immune systems are weakened, for example by blood cancers, transplants or HIV, get herpes more often and more severely.
Why it matters
Until now their doctors could only switch between drugs the virus resisted, or that patients could not bear.
Who gains
People with weak immune systems and hard-to-treat herpes
In the Hovilpri trial, 63% had all sores healed within 28 days, against 34% on other drugs.
Good news
A new pill, Hovilpri, healed all herpes sores within four weeks in 63% of people with weak immune systems whose sores had not healed on the usual drugs. On other drugs, 34% healed.
1 source
A new pill for herpes the old drugs miss
The full story
A new pill for herpes the old drugs miss
The FDA approved Hovilpri, a pill also called pritelivir, for adults with weak immune systems.
Why it matters. People whose immune systems are weakened, for example by blood cancers, transplants or HIV, get herpes more often and more severely.
Trust in science measured in 140 countries
Swipe up for the story ↑Scroll down for the story ↓
Wellcome, a British charity that funds research, published its Global Monitor survey of more than 140,000 adults in 140 countries.
It found that 52% of Americans trust science 'a lot', against 26% across the world.
Worldwide, the share who say science helps most people in their country fell from 42% in 2018 to 37% in 2025.
The survey was run as part of the Gallup World Poll.
Why it matters
STAT, a US health news site, found that the US gap between religious and non-religious people on whether science helps was 24 points, against 5 in other rich countries.
Why it matters
The gap is growing because graduates and non-religious Americans are warming to science faster, not because others are turning against it.
How it works
How one average can hide two different groups
How it works
One number for a whole group mixes people who differ, so it can fit nobody well until the group is split by what really divides it.
How it works · step 1 of 5
Researchers measure many people and report one number
How it works · step 2 of 5
The group holds smaller groups that differ a lot
How it works · step 3 of 5
The one number lands between them and fits none of them
How it works · step 4 of 5
Split the group by a real difference, such as a gene change
How it works · step 5 of 5
Each smaller group shows its own, much clearer result
The twist
When a group mixes people who differ, its average can sit between them and fit none of them.
The twist
Splitting the group by what really divides it shows who a result belongs to.
The picture
Gap between religious and non-religious people who say science helps most people. The US average looks high, and this split shows how divided it is.
Seen the same day
The US average for trusting science was high, but splitting Americans by religion showed a 24-point gap, against 5 in other rich countries.
Seen the same day
One diagnosis, split by brain scans, became five groups with different symptoms, which may explain why earlier studies of the whole group disagreed.
Seen the same day
Split by sex, the years free of mental illness lost to loneliness and isolation were about 5.8 for men and 3.7 for women.
The catch
Split a group enough ways and some split will look different by luck alone, so a result found in a smaller group needs its own test before anyone relies on it.
The whole
Every count in today's paper, from a trial of 712 patients to a survey of 140,000 adults, folds each person into one number.
The whole
Nobody inside that number can see which smaller group they belong to, and often the people who made it cannot see that either.
Who pays
Americans without a university degree
Only 47% of them say science benefits most people, against 71% of graduates. STAT's analysis says science's benefits are not reaching many Americans in ways they can see and feel.
Good news
In the US, the share of adults who say science helps most people rose from 48% in 2018 to 57% in 2025.
1 source
Trust in science measured in 140 countries
The full story
Trust in science measured in 140 countries
Wellcome, a British charity that funds research, published its Global Monitor survey of more than 140,000 adults in 140 countries.
Why it matters. STAT, a US health news site, found that the US gap between religious and non-religious people on whether science helps was 24 points, against 5 in other rich countries.
WHO finds no plague case in Russia
Swipe up for the story ↑Scroll down for the story ↓
The World Health Organization (WHO) said on Saturday that it still does not know what killed a 28-year-old worker at a plague research institute in Irkutsk, Siberia.
She died of pneumonia on 2 October, and about 200 people were quarantined.
Russia told the WHO that tests on her and her contacts were negative for the dangerous germs they checked for.
The WHO said no plague case has been registered, and it has found no sign that anything is spreading.
Why it matters
The WHO called the missing diagnosis the key uncertainty that remains.
Why it matters
Health officials watch closely for deadly pneumonia with no known cause, because the Covid pandemic began with a cluster of exactly that.
Who pays
The people quarantined in Irkutsk
About 200 people were held after the death, and Russia later said its tests on her contacts were negative.
Nobody knows yet
What killed the 28-year-old worker at the Irkutsk plague institute.
Russia says tests on her were negative for the germs it checked for, and the WHO calls the missing diagnosis the key uncertainty.
Good news
Everyone tested who had been close to a Russian laboratory worker who died of an unexplained pneumonia was negative, and none of them had fallen ill.
Part of a signal
1 source
WHO finds no plague case in Russia
The full story
WHO finds no plague case in Russia
The World Health Organization (WHO) said on Saturday that it still does not know what killed a 28-year-old worker at a plague research institute in Irkutsk, Siberia.
Why it matters. The WHO called the missing diagnosis the key uncertainty that remains.
Ebola reaches another part of Congo
Swipe up for the story ↑Scroll down for the story ↓
Ebola has reached Alimbongo, a health area in Congo's North Kivu province, which had four confirmed cases and two deaths by 6 October, the WHO said.
Cases have now been found in 64 health areas across seven provinces.
By 6 October Congo had 8,728 confirmed cases and 4,205 confirmed deaths, and 2,269 people had recovered.
Why it matters
Doctors Without Borders, a medical charity, says a third of confirmed patients are treated in ordinary clinics, partly because the special centres lack beds.
Why it matters
That risks passing the virus to other patients and to staff, while teams are following 80.4% of known contacts against a target of 85%.
What's really going on
Most of the rest of the day is research in mice and pigs, and two disease scares, Ebola in Congo and a death at a Russian plague laboratory, where key facts are still missing.
Who pays
Patients and health workers in Congo's ordinary clinics
Ebola patients are sent there when special centres have no beds, which risks spreading the virus to them.
Nobody knows yet
How far Ebola has really spread in Congo.
Teams were following 80.4% of known contacts against a target of 85%, so some chains of infection are not being watched. A third of confirmed patients are in ordinary clinics, not Ebola centres.
Good news
In Congo's Ebola outbreak, 2,269 people had recovered by 6 October.
4 sources
Ebola reaches another part of Congo
The full story
Ebola reaches another part of Congo
Ebola has reached Alimbongo, a health area in Congo's North Kivu province, which had four confirmed cases and two deaths by 6 October, the WHO said.
Why it matters. Doctors Without Borders, a medical charity, says a third of confirmed patients are treated in ordinary clinics, partly because the special centres lack beds.
New finger-prick tests for river blindness
Swipe up for the story ↑Scroll down for the story ↓
Researchers in Ghana tested two new quick blood tests for river blindness on 1,700 people in seven communities, in a study published on Sunday.
River blindness is caused by a worm, Onchocerca volvulus, and can take away sight.
Both new tests agreed with the existing quick test more than 92% of the time.
Against a lab test on skin samples, they caught about 69% to 77% of the 26 infections found.
Why it matters
The tests met the WHO's standard for mapping where the worm still lives, but not for deciding when a country can stop handing out the drugs.
Why it matters
The work was funded through USAID, the US government's aid agency.
Who gains
Health teams in Ghana working to end river blindness
It now has two field tests good enough to map where the worm still lives.
1 source
New finger-prick tests for river blindness
The full story
New finger-prick tests for river blindness
Researchers in Ghana tested two new quick blood tests for river blindness on 1,700 people in seven communities, in a study published on Sunday.
Why it matters. The tests met the WHO's standard for mapping where the worm still lives, but not for deciding when a country can stop handing out the drugs.
Five brain patterns inside depression
Swipe up for the story ↑Scroll down for the story ↓
Researchers at the University of Helsinki in Finland recorded brain activity in 263 people with depression and 75 people without it.
They used MEG, a scanner that picks up the faint magnetic fields made when brain cells fire.
In some, brain regions were more tightly linked than normal, and in others less.
Why it matters
Studying a mix of these groups may explain why earlier brain studies of depression disagreed with each other.
Why it matters
The researchers say the scans cannot yet be used to choose a patient's treatment.
How it works
One diagnosis, split by brain scans, became five groups with different symptoms, which may explain why earlier studies of the whole group disagreed.
The idea, in story 4: How one average can hide two different groups →Nobody knows yet
Whether the five brain patterns of depression call for five different treatments.
The Helsinki researchers say their scans cannot yet be used to choose a treatment.
1 source
Five brain patterns inside depression
The full story
Five brain patterns inside depression
Researchers at the University of Helsinki in Finland recorded brain activity in 263 people with depression and 75 people without it.
Why it matters. Studying a mix of these groups may explain why earlier brain studies of depression disagreed with each other.
Loneliness and years of good health
Swipe up for the story ↑Scroll down for the story ↓
Researchers at Tulane University in the US followed 277,489 adults aged 40 to 69 who began without any of seven major illnesses, including diabetes, heart disease, cancer and depression.
At age 50, men who were both lonely and isolated could expect about 5.8 fewer years free of mental illness.
For physical illness the losses were 2.4 years for women and 1.7 for men.
Why it matters
A healthier lifestyle reduced the loss linked to having few contacts, but not the loss linked to feeling lonely.
How it works
Split by sex, the years free of mental illness lost to loneliness and isolation were about 5.8 for men and 3.7 for women.
The idea, in story 4: How one average can hide two different groups →Nobody knows yet
Whether loneliness causes the lost years of good health, or only goes with them.
The Tulane study followed people over time but did not test a cause. The authors plan trials to find out.
The full story
Loneliness and years of good health
Researchers at Tulane University in the US followed 277,489 adults aged 40 to 69 who began without any of seven major illnesses, including diabetes, heart disease, cancer and depression.
Why it matters. A healthier lifestyle reduced the loss linked to having few contacts, but not the loss linked to feeling lonely.
Pressing shin bones helped injured brains
Swipe up for the story ↑Scroll down for the story ↓
Researchers at Southern Medical University in Guangzhou, China, pressed on the shin bones of mice with brain injuries for 2.5 minutes a day for five days.
The treated mice moved and remembered better than untreated mice one week and eight weeks later.
Bone cells that sense pressure released three substances into the blood, including BDNF, which helps nerve cells survive.
Why it matters
No approved drug restores lost brain function after a brain injury.
Why it matters
All the animals were male, and an outside scientist says the work must be repeated in females, because oestrogen changes how bone responds to pressure.
Nobody knows yet
Whether pressing on bones helps brain injuries in females.
Every mouse and pig in the study was male, and oestrogen changes how bone responds to pressure.
1 source
Pressing shin bones helped injured brains
The full story
Pressing shin bones helped injured brains
Researchers at Southern Medical University in Guangzhou, China, pressed on the shin bones of mice with brain injuries for 2.5 minutes a day for five days.
Why it matters. No approved drug restores lost brain function after a brain injury.
A drain found at the back of the eye
Swipe up for the story ↑Scroll down for the story ↓
Researchers at the University of British Columbia and the University of Toronto in Canada found a drainage route at the back of the eye in mice.
They named it the POLO pathway.
For more than 100 years scientists had thought the eye had no drains like this.
Why it matters
Glaucoma and age-related macular degeneration, two big causes of blindness, involve fluid and waste building up in the eye.
Why it matters
Nobody yet knows whether people have the same route, or whether it can be made to work harder.
Nobody knows yet
Whether the drain at the back of the eye exists in people.
It was found in mice, and the researchers say human studies are needed.
1 source
A drain found at the back of the eye
The full story
A drain found at the back of the eye
Researchers at the University of British Columbia and the University of Toronto in Canada found a drainage route at the back of the eye in mice.
Why it matters. Glaucoma and age-related macular degeneration, two big causes of blindness, involve fluid and waste building up in the eye.
A seed-sized nerve stimulator
Swipe up for the story ↑Scroll down for the story ↓
Engineers at NYU Abu Dhabi and Cleveland Clinic Abu Dhabi built a nerve stimulator the size of a small seed that is put in place through a needle.
It has no battery and no wires.
In early tests, reported in the journal Science Advances, it switched on nerves inside a living body.
Why it matters
Treating long-term pain by stimulating a nerve today often means surgery to place a device.
1 source
A seed-sized nerve stimulator
The full story
A seed-sized nerve stimulator
Engineers at NYU Abu Dhabi and Cleveland Clinic Abu Dhabi built a nerve stimulator the size of a small seed that is put in place through a needle.
Why it matters. Treating long-term pain by stimulating a nerve today often means surgery to place a device.
A common plastic and fatty livers
Swipe up for the story ↑Scroll down for the story ↓
Researchers at Texas A&M University in the US studied tiny bits of polyethylene, the most widely made plastic, in the laboratory.
It is used in food wrap, containers and the linings of drink cups.
The signs were worse with a fatty, sugary diet.
Why it matters
About a quarter of people worldwide have fatty liver disease.
Nobody knows yet
Whether polyethylene harms livers at the amounts people take in.
The study did not show that its doses match everyday human exposure, and the researchers say more work is needed.
1 source
A common plastic and fatty livers
The full story
A common plastic and fatty livers
Researchers at Texas A&M University in the US studied tiny bits of polyethylene, the most widely made plastic, in the laboratory.
Why it matters. About a quarter of people worldwide have fatty liver disease.
Olive oil before sugar, in mice
Swipe up for the story ↑Scroll down for the story ↓
Researchers led by Daisuke Yabe of Kyoto University in Japan gave mice olive oil 15 minutes before or after a dose of sugar.
When the oil came first, blood sugar rose less and the stomach emptied more slowly.
The oil-first mice also released more of several gut and pancreas hormones, including GLP-1, the hormone that weight-loss drugs like Ozempic copy.
The effect held in mice with type 2 diabetes.
Why it matters
Blocking either glucagon or GLP-1 alone did not stop the effect, but blocking both weakened it, so several signals work together.
Why it matters
Earlier studies in people found that eating fat or vegetables before carbohydrates helps, and these mouse results suggest why.
1 source
Olive oil before sugar, in mice
The full story
Olive oil before sugar, in mice
Researchers led by Daisuke Yabe of Kyoto University in Japan gave mice olive oil 15 minutes before or after a dose of sugar.
Why it matters. Blocking either glucagon or GLP-1 alone did not stop the effect, but blocking both weakened it, so several signals work together.
That's the whole Biotech day.
14 stories, 18 sources.