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There are new flu vaccines on offer for 2024. Should I get one? What do I need to know?

<p><em><a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Influenza is a common respiratory infection. Although most cases are relatively mild, flu can cause more severe illness in young children and older people.</p> <p>Influenza virtually <a href="https://pubmed.ncbi.nlm.nih.gov/33243355/">disappeared</a> from Australia during the first years of the COVID-19 pandemic when public health restrictions reduced contact between people. Since 2022, it has returned to a seasonal pattern, although the flu season has started and peaked a few months earlier than before 2020.</p> <p>It’s difficult to predict the intensity of the flu season at this point in the year, but we can sometimes get clues from the northern hemisphere. There, the season <a href="https://www.who.int/tools/flunet">started</a> <a href="https://gis.cdc.gov/grasp/fluview/flu_by_age_virus.html">earlier</a> than usual for the third year running (peaking in early January rather than late February/March), with a similar number of reported cases and hospitalisations to the previous year.</p> <p>Influenza vaccines are recommended annually, but there are now an increasing number of different vaccine types. Here’s what to know about this year’s shots, available from <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">this month</a>.</p> <h2>What goes into a flu vaccine?</h2> <p>Like other vaccines, influenza vaccines work by “training” the immune system on a harmless component of the influenza virus (known as an antigen), so it can respond appropriately when the body encounters the real virus.</p> <p>Influenza strains are constantly changing due to genetic mutation, with the pace of genetic change <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421855">much higher</a> than for SARS-CoV-2 (the virus that causes COVID). The strains that go into the vaccine are <a href="https://www.who.int/teams/global-influenza-programme/vaccines/who-recommendations">reviewed</a> twice each year by the World Health Organization (WHO), which selects vaccine strains to match the next season’s predicted circulating strains.</p> <p>All current influenza vaccines in <a href="https://www.tga.gov.au/resources/publication/meeting-statements/aivc-recommendations-composition-influenza-vaccines-australia-2024">Australia</a> contain four different strains (known as quadrivalent vaccines). One of the strains appeared to <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2314801">disappear</a> during the COVID pandemic, and the WHO has recently <a href="https://cdn.who.int/media/docs/default-source/influenza/who-influenza-recommendations/vcm-southern-hemisphere-recommendation-2024/202309_qanda_recommendation.pdf?sfvrsn=7a6906d1_5">recommended</a> dropping this strain from the vaccine. It’s expected trivalent (three strain) vaccines will become available in the near future.</p> <h2>What’s different about new flu vaccines?</h2> <p>There are eight brands of flu vaccines <a href="https://www.health.gov.au/resources/publications/atagi-statement-on-the-administration-of-seasonal-influenza-vaccines-in-2024?language=en">available</a> in Australia in 2024. These include egg-based vaccines (Vaxigrip Tetra, Fluarix Tetra, Afluria Quad, FluQuadri and Influvac Tetra), cell-based vaccines (Flucelvax Quad), adjuvanted vaccines (Fluad Quad) and high-dose vaccines (Fluzone High-Dose Quad).</p> <p>Until recently, the process of manufacturing flu vaccines has remained similar. Since the development of the influenza vaccine in the <a href="https://www.who.int/news-room/spotlight/history-of-vaccination/history-of-influenza-vaccination">1940s</a>, influenza viruses were grown in chicken eggs, then extracted, inactivated, purified and processed to make up the egg-based vaccines that are still used widely.</p> <p>However, there have been several enhancements to influenza vaccines in recent years.</p> <p>Older people’s immune systems tend not to respond as strongly to vaccines. In some flu vaccines, adjuvants (components that stimulate the immune system) are included with the influenza antigens. For example, an adjuvant is used in the Fluad Quad vaccine, recommended for over 65s. Studies <a href="https://ncirs.org.au/sites/default/files/2021-02/Adjuvanted%20influenza%20vaccine%20vs%20standard%20dose%20influenza%20vaccine%20SoF%20EP%20E2D%20tables_26%20Feb%202021_Final.pdf">suggest</a> adjuvanted influenza vaccines are slightly better than standard egg-based vaccines without adjuvant in older people.</p> <p>An alternative approach to improving the immune response is to use higher doses of the vaccine strains. An example is Fluzone High-Dose Quad – another option for older adults – which contains the equivalent of four doses of a standard influenza vaccine. Studies <a href="https://ncirs.org.au/sites/default/files/2022-05/HD%20vs%20sIV%20SoF%20EP%20E2D_March%202022_Final.pdf">suggest</a> the high dose vaccine is better than the standard dose vaccine (without an adjuvant) in preventing hospitalisation and complications in older people.</p> <p>Other manufacturers have updated the manufacturing process. Cell-based vaccines, such as Flucelvax Quad, use cells instead of eggs in the manufacturing process. Other vaccines that are <a href="https://www.cdc.gov/flu/prevent/advances.htm">not yet available</a> also use different technologies. In the past, <a href="https://pubmed.ncbi.nlm.nih.gov/31151913/">manufacturing issues</a> with egg-based vaccines have reduced their effectiveness. Using an alternative method of production provides some degree of insurance against this in the future.</p> <h2>What should I do this year?</h2> <p>Given indications this year’s flu season may be earlier than usual, it’s probably safest to get your vaccine early. This is particularly <a href="https://www.health.gov.au/resources/publications/atagi-statement-on-the-administration-of-seasonal-influenza-vaccines-in-2024?language=en">important</a> for those at highest risk of severe illness, including older adults (65 years and over), those with chronic medical conditions, young children (six months to five years) and Aboriginal and Torres Strait Islander people. Influenza vaccines are also recommended in pregnancy to protect both the mother and the baby for the first months of life.</p> <p>Influenza vaccines are widely available, including at GP clinics and pharmacies, while many workplaces have occupational programs. For high-risk groups, <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">four of the vaccines</a> are subsidised by the Australian government through the <a href="https://www.health.gov.au/our-work/national-immunisation-program">National Immunisation Program</a>.</p> <p>In older people, a number of vaccines are now recommended: <a href="https://www.health.gov.au/sites/default/files/2024-03/atagi-statement-on-the-administration-of-covid-19-vaccines-in-2024.pdf">COVID</a> and influenza, as well as one-off courses of <a href="https://www.health.gov.au/sites/default/files/documents/2020/06/national-immunisation-program-pneumococcal-vaccination-schedule-from-1-july-2020-clinical-advice-for-vaccination-providers.pdf">pneumococcal</a> and <a href="https://www.health.gov.au/topics/immunisation/vaccines/shingles-herpes-zoster-immunisation-service">shingles</a> vaccines. In general, most vaccines can be given in the same visit, but talk to your doctor about which ones you need.</p> <h2>Are there side effects?</h2> <p>All influenza vaccines can <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">cause</a> a sore arm and sometimes more generalised symptoms such as fever and tiredness. These are expected and reflect the immune system reacting appropriately to the vaccine, and are mostly mild and short-term. These side effects are slightly more common in <a href="https://ncirs.org.au/sites/default/files/2021-02/Adjuvanted%20influenza%20vaccine%20vs%20standard%20dose%20influenza%20vaccine%20SoF%20EP%20E2D%20tables_26%20Feb%202021_Final.pdf">adjuvanted</a> and <a href="https://ncirs.org.au/sites/default/files/2022-05/HD%20vs%20sIV%20SoF%20EP%20E2D_March%202022_Final.pdf">high dose</a> vaccines.</p> <p>As with all medications and vaccines, allergic reactions such as anaphylaxis can occur after the flu vaccine. All vaccine providers are trained to recognise and respond to anaphylaxis. People with egg allergies should discuss this with their doctor, but in general, <a href="https://www.allergy.org.au/patients/food-allergy/egg-allergy-flu-vaccine">studies suggest</a> they can safely receive any (including egg-based) influenza vaccines.</p> <p>Serious side effects from the influenza vaccine, such as Guillain-Barré syndrome, a neurological complication, are very rare (one case per million people vaccinated). They are <a href="https://pubmed.ncbi.nlm.nih.gov/23810252/">thought</a> to be less common after influenza vaccination than after infection with influenza.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/226623/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, Professor of Infectious Diseases, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/there-are-new-flu-vaccines-on-offer-for-2024-should-i-get-one-what-do-i-need-to-know-226623">original article</a>.</em></p>

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Dreading footy season? You’re not alone – 20% of Australians are self-described sport haters

<p><em><a href="https://theconversation.com/profiles/hunter-fujak-290599">Hunter Fujak</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/heath-mcdonald-92440">Heath McDonald</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>With the winter AFL and NRL seasons about to start, Australia’s sporting calendar is once again transitioning from its quietest to busiest period.</p> <p>For many, the return of the AFL and NRL competitions is highly anticipated. But there is one group whose experience is very different: the approximately 20% of Australians who hate sport.</p> <p>We are currently conducting research to better understand why people feel this way about sport and what their experiences are like living in a nation where sport is so <a href="https://journals.sagepub.com/doi/abs/10.1177/1329878x15616515">culturally central</a>. We have completed surveys with thousands of Australians and are now beginning to interview those who have described themselves as “sport haters”.</p> <h2>Australia, a ‘sports mad’ nation</h2> <p>Australia has long been described as a “<a href="https://www.tandfonline.com/doi/abs/10.1080/14660970902955588">sports mad nation</a>”, a reasonable assertion given the Melbourne Cup attracted crowds of <a href="https://catalogue.nla.gov.au/catalog/2178266">more than 100,000 people</a> as far back as the 1880s.</p> <p>Australia’s sport passion is perhaps most evident today from the number of professional teams we support for a nation of 26 million people, one of the highest per capita <a href="https://www.researchgate.net/profile/Heath-Mcdonald/publication/326140082_Are_Sport_Consumers_Unique_Consumer_Behavior_Within_Crowded_Sport_Markets/links/5e9465fd92851c2f529c4322/Are-Sport-Consumers-Unique-Consumer-Behavior-Within-Crowded-Sport-Markets.pdf">concentrations</a> in the world.</p> <p>In addition to our four distinct football codes – Australian rules football, rugby league, rugby union and soccer – we have professional netball, basketball, cricket and tennis. In all, there are more than <a href="https://www.clearinghouseforsport.gov.au/kb/structure-of-australian-sport">130 professional sport teams in Australia</a> today (across both genders).</p> <p>Australia also hosts – and Australians attend – major sport events at a rate wildly disproportionate to the size of our population and economy. <a href="https://www.blackbookmotorsport.com/news/f1-australian-grand-prix-record-crowd-melbourne-albert-park/">Formula One</a>, the <a href="https://ausopen.com/articles/news/record-breaking-australian-open-ao-2024-numbers">Australian Open</a>, the <a href="https://nbl.com.au/news/nbl-sets-new-season-attendance-record">National Basketball League</a>, the <a href="https://www.smh.com.au/sport/nrl/nrl-attendance-records-tumble-as-fans-flock-back-to-footy-20230902-p5e1ib.html">National Rugby League</a> and <a href="https://mumbrella.com.au/64-of-aussie-population-watched-matildas-new-deakin-research-claims-797902">Matildas</a> have all recently broken attendance or television viewership records.</p> <h2>Why people hate sport</h2> <p>The ubiquity of sport in our culture, however, conceals the fact that a significant portion of people strongly and actively dislike sport. Recent <a href="https://www.tandfonline.com/doi/pdf/10.1080/14413523.2023.2233342">research</a> by one of the co-authors here (Heath McDonald) has begun to shine light on this cohort, dubbed “sport haters”.</p> <p>Sport haters account for approximately 20% of the Australian population, according to two surveys we have conducted of nearly 3,500 and more than 27,000 adults. Demographically, this group is significantly more likely to be female, younger and more affluent than other Australians.</p> <p>Their strong negative sentiments are reflected in the most common word associations <a href="https://www.tandfonline.com/doi/pdf/10.1080/14413523.2023.2233342">study participants</a> used to describe sport. In the case of AFL, these were: “boring”, “overpaid”, “stupid/dumb”, “rough”, “scandal” and “alcohol”.</p> <p>While the reasons for disliking sport vary from person to person, research shows there are some common themes. The first is in childhood, where negative experiences participating in sport or attending games or matches can lead to a life-long dislike of all sport. As one professed sport hater said in an <a href="https://www.reddit.com/r/AskMen/comments/1zxfyt/guys_who_do_not_like_sports_can_you_explain_why/">online forum devoted to men who don’t like sport</a>: "My brother would force me to play soccer against my will all the time as children. I think that is where my resentment for physical sport comes from because the choice was taken away from me by my twat of a brother."</p> <p>Sport hatred can also derive from social exclusion or marginalisation. Sport has historically been a male-centric domain that <a href="https://www.sciencedirect.com/science/article/pii/0277539587900525">celebrates</a> masculinity and can lead to <a href="https://www.abc.net.au/news/2024-02-20/taylor-swift-effect-sports-fandom-nfl/103486274">toxic behaviour</a>, which can exclude many women and some men.</p> <p>Sport has also had to overcome racism, perhaps most symbolically visible by AFL player Nicky Winmar’s <a href="https://www.abc.net.au/news/2023-04-17/nicky-winmar-indigenous-afl-racism-anniversary/102222960">iconic protest</a> in 1993. In addition, individuals with a disability still face <a href="https://www.sportaus.gov.au/integrity_in_sport/inclusive-sport/understanding-our-diverse-audiences/people-with-disability#:%7E:text=People%20with%20disability%20receive%20the,than%20adults%20who%20don't.">barriers</a> that result in lower rates of sport participation.</p> <p>Here, the current <a href="https://www.abc.net.au/news/2024-02-20/taylor-swift-effect-sports-fandom-nfl/103486274">Taylor Swift effect</a> is noteworthy. The singer’s attendance at National Football League games, including the Superbowl, resulted in huge spikes in television viewership. Through her association, Swift helped make the sport more <a href="https://www.sciencedirect.com/science/article/pii/S096969892300317X#bib122">psychologically accessible</a> for many women and girls.</p> <p>The <a href="https://books.google.com.au/books?hl=en&amp;lr=&amp;id=AvjrDwAAQBAJ&amp;oi=fnd&amp;pg=PT125&amp;dq=Contesting+national+Culture&amp;ots=1_lQuBpKK7&amp;sig=dMb-5s0PgpUumUTSFeEKZiNq0dg#v=onepage&amp;q=Contesting%20national%20Culture&amp;f=false">cultural dominance</a> of sport also fuels its detractors, with many critical of sport’s media saturation and its broader social and even political prioritisation. (The <a href="https://www.abc.net.au/news/2024-02-16/macquarie-point-stadium-dominates-election-campaign-day-one/103473124">debate in Tasmania</a> over the controversial AFL stadium proposal is a good case in point.)</p> <p>From a media perspective, Australia’s particularly strict <a href="https://theconversation.com/regardless-of-the-rules-sport-is-fleeing-free-tv-for-pay-and-it-might-be-an-avalanche-154640">anti-siphoning</a> laws have ensured that sport remains front and centre on free-to-air television programming.</p> <p>Sport’s cultural dominance also fosters resentment for overshadowing people’s non-sporting passions and pursuits, as well as creating societal out-groups. Journalist Jo Chandler’s <a href="https://libraryedition.smedia.com.au/lib_a/Default.aspx#panel=document">2010</a> description of moving to Melbourne is no doubt shared by many: "In the workplace, to be unaligned is deeply isolating. Team tribalism infects meetings, especially when overseen by male chiefs. In shameful desperation, I’ve played along."</p> <p>In life, it’s fairly easy to avoid most products you might dislike. But given sport’s ubiquity, simply tuning out is sometimes not an option.</p> <h2>The Anti-Football League, a club for haters</h2> <p>In 1967, two Melbourne journalists, Keith Dunstan and Douglas Wilkie, launched an anti-sport club in response to this growing cultural dominance. In his founding address to the <a href="https://www.academia.edu/7584522/Football_is_a_Fever_Disease_Like_Recurrent_Malaria_and_Evidently_Incurable_Passion_Place_and_the_Emergence_of_an_Australian_Anti_Football_League">Anti-Football League</a>, Wilkie made clear who the club was for: "All of us who are tired of having football personalities, predictions and post mortems cluttering our newspapers, TV screens and attempts at alternative human converse – from beginning-of-morning prayers to the last trickle of bed time bathwater – should join at once."</p> <p>Membership quickly reached the thousands. Soon, a Sydney branch was launched, bringing national membership to a high of around 7,000. According to sport historian Matthew Klugman, members found joy in being “haters”.</p> <p>"…they wanted to find a shared meaning in their suffering, not to extinguish it, but to better enjoy it."</p> <p>This led to some curious rituals, with members ceremonially cremating footballs or burying them. An Anti-Football Day was also launched, taking place on the eve of the Victorian Football League Grand Final.</p> <p>The club would go on to experience periods of both prosperity and hiatus over the years, but has been dormant since <a href="https://www.theage.com.au/national/victoria/vale-keith-dunstan-gentle-footy-hater-cyclist-and-master-of-words-20130911-2tklh.html">Dunstan’s death</a> in 2013.</p> <p>With eight more years to go in Australia’s so-called “<a href="https://this.deakin.edu.au/career/golden-decade-of-sport-ahead-for-australia">golden decade of sport</a>”, which began with <a href="https://www.fiba.basketball/womensbasketballworldcup/2022">2022 Women’s Basketball World Cup in Sydney</a> and culminates with the 2032 Brisbane Olympics, it may be time sport haters to start a new support group.</p> <p>If you consider yourself a sport hater, and are interested in contributing your experience to our ongoing research, please provide your contact information <a href="https://researchsurveys.deakin.edu.au/jfe/form/SV_a4CqHyqipjYj5SC">here</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223733/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/hunter-fujak-290599"><em>Hunter Fujak</em></a><em>, Senior Lecturer in Sport Management, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/heath-mcdonald-92440">Heath McDonald</a>, Dean of Economics, Finance and Marketing and Professor of Marketing, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dreading-footy-season-youre-not-alone-20-of-australians-are-self-described-sport-haters-223733">original article</a>.</em></p>

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Major Cruise line scraps entire season

<p>Virgin Voyages has cancelled all of its sailings in Australia and New Zealand for the next year after they were left with "no choice" in the wake of escalating tensions in the Red Sea.</p> <p>The Resilient Lady ship will not return Down Under for its promised second sailing season next summer due to safety concerns following a series of strikes on container ships in the Red Sea. </p> <p>The cruise line revealed on Tuesday that a lengthier alternative return route around Africa was not viable for the company. </p> <p>"On the heels of these recent changes and based on the regional and government advice we have received, we remain very concerned about potential escalations in the Red Sea over the next 12 months," <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">a spokesperson from Virgin Voyages said. </span></p> <p>“This significant and ongoing conflict puts unacceptable risks for safe passage through the region for our Sailors, crew and vessel."</p> <p>“To say that we are disappointed to have come to this tough conclusion is an understatement.</p> <p>“These adjustments are happening now to minimise potential future disruption to our passengers’ holiday plans, knowing there is a high likelihood that changes would need to happen in the future.”</p> <p>The cancellations will impact customers with trips planned in late 2024 and early 2025 on repositioning voyages between Europe and Australia. </p> <p>Virgin Voyages have indicated that a return to Australian waters will remain a possibility, as they continue to look for available options.</p> <p>They also said that if the 2024/25 can go ahead, customers who had previously booked their holiday will be prioritised if they would like to re-book. </p> <p>Currently, impacted customers have the option to re-book a different trip or request a full refund. </p> <p>A few other cruise companies who operate seasonal sailings or world cruises through the Red Sea and Suez Canal have also had to cancel, reposition, or re-route their sailings. </p> <p>MSC have cancelled three repositioning sailings in April, while Cunard, Princess and Seabourn have re-routed their world cruises to avoid the Suez Canal.</p> <p><em>Image: Virgin Voyages</em></p> <p> </p>

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Seasoned travellers share the most underwhelming tourist attractions

<p dir="ltr">When it comes to travelling the world, there are always places and attractions that have been overhyped by those who travelled there before. </p> <p dir="ltr">While some places are known as hotspots for a reason, others can fail to deliver. </p> <p dir="ltr">Sharing some of their experiences, a group of travel writers have shared stories of the times they were left feeling deflated while travelling the world. </p> <p dir="ltr"><strong>Mona Lisa, Paris, France</strong></p> <p dir="ltr">While most travellers who visit the world-famous Louvre museum in Paris are destined to join the hoards of people to catch a glimpse of the Mona Lisa, others have dubbed her underwhelming. </p> <p dir="ltr">According to one travel writer at <em>Stuff Travel</em>, the small dimensions of da Vinci’s masterwork make it difficult to see. </p> <p dir="ltr">They wrote, “You either need to BYO ladder or be over six feet tall to even catch a glimpse over the hordes of tourists waving their cellphones.”</p> <p dir="ltr">“A security barrier also means that it's impossible to appreciate the finer details of the hyper-realistic work - which essentially defeats the point altogether.”</p> <p dir="ltr">They concluded by writing that despite being ‘the best known, the most visited, the most written about, the most sung about, the most parodied work of art in the world’, the Mona Lisa is also one of the world's biggest letdowns.”</p> <p dir="ltr"><strong>Playa del Carmen, Mexico</strong></p> <p dir="ltr">Located in Mexico’s Yucatan peninsula, this vibrant tourist hotspot is a treat for the senses, or, as others have called it, an overstimulating nightmare. </p> <p dir="ltr">A combination of the blazing heat, suffocating humidity, loud clubs, and seemingly endless floods of tourists, this vibrant destination is not for the faint of heart. </p> <p dir="ltr">One seasoned traveller admitted that while some might find the holiday spot idyllic, for those searching for somewhere a bit less overstimulating, “head a little bit further south to Tulum”. </p> <p dir="ltr"><strong>That Wānaka Tree, New Zealand</strong></p> <p dir="ltr">One of New Zealand's most popular tourist hotspots, especially on social media, is the picturesque Wānaka tree, located on the South Island. </p> <p dir="ltr">A travel writer made the trip to NZ with her sister to view the stunning landscape, but both women were left severely underwhelmed when they arrived. </p> <p dir="ltr">“From the carpark, over the bridge and down the trail to the lakeside to find That Wānaka Tree had not a single leaf. "Is that it?" my sister blurts out. I must agree, was that it?” the seasoned traveller wrote. </p> <p dir="ltr">“A true case of Instagram versus reality.” </p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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4 strategies to keep you from overspending this holiday season

<p><em><a href="https://theconversation.com/profiles/johanna-peetz-1494248">Johanna Peetz</a>, <a href="https://theconversation.com/institutions/carleton-university-900">Carleton University</a></em></p> <p>The urge to spend money is present all year round, but during the gift-giving season, the temptation to splurge on loved ones can be particularly strong. For many, the desire to be generous during the holidays clashes with the need to conserve funds for essential expenses.</p> <p>This year, money is tighter than ever, with <a href="https://www150.statcan.gc.ca/n1/daily-quotidien/231121/dq231121a-eng.htm?indid=3665-1&amp;indgeo=0">high prices for groceries, housing and entertainment</a> leaving shoppers with reduced funds as the holiday season descends upon us.</p> <p>A growing number of individuals are feeling the financial squeeze, with 40 per cent of Canadians <a href="https://www.bnnbloomberg.ca/financial-stress-is-impacting-the-mental-health-of-canadians-survey-1.1933491">citing money as their main source of stress</a>. <a href="https://newsroom.bmo.com/2023-11-08-78-Per-Cent-of-Canadians-Plan-to-Cut-Back-on-Holiday-Spending,-but-a-Third-Will-Still-Give-Back-to-Charitable-Causes-BMO-Survey">Seventy-eight per cent of Canadians</a> plan on buying fewer gifts this holiday season and 37 per cent are worried they won’t be able to afford all the items on their holiday shopping lists.</p> <p>Given that <a href="https://doi.org/10.3389/fpsyg.2022.790434">pricier gifts are not necessarily more appreciated by the person receiving the gift</a>, what are some ways shoppers can resist the temptation of appealing, yet expensive, gift options that might strain their finances?</p> <p>As a social psychologist who studies personal spending, I think it is worthwhile to remind ourselves of self-control strategies that can help us manage financial decisions during the holiday season.</p> <h2>Strategies for resisting temptation</h2> <p><a href="https://doi.org/10.1177/1745691615623">Self-control is not just suppressing temptation</a>; it also involves setting yourself up for success by creating situations that make resisting temptations easier.</p> <p><strong>1. Avoid temptations</strong></p> <p>Perhaps the most obvious strategy is to avoid shopping temptations. This may include steering clear of places — both physical and online — that are out of your budget range. While this is easier said than done during gift shopping, it’s an effective way to manage temptations: People who report having an easier time with self-control <a href="https://doi.org/10.1016/j.paid.2014.09.031">tend to avoid rather than resist temptations</a>.</p> <p><strong>2. Make a budget</strong></p> <p>If you haven’t sat down to make a holiday budget yet, it’s never too late to make one. Considering one-quarter of Canadians are <a href="https://globalnews.ca/news/10087745/canadian-holiday-spending-debt/">still paying off last year’s holiday debts</a>, being as fiscally responsible as possible is a wise choice this year.</p> <p>Setting spending limits ahead of time makes your financial goals clear and explicit. When setting budgets for gifts <a href="https://doi.org/10.1093/jcr/ucad011">people tend to spend the entirety of the estimated amount (unlike budgets for personal purchases where they try to come in under the budget)</a>. It’s good to be realistic, rather than optimistic, when setting budgets.</p> <p><strong>3. Implementation intentions</strong></p> <p>Anticipate any potential shopping temptations you are likely to encounter so you can develop strategies to resist them. One effective approach is <a href="https://kops.uni-konstanz.de/server/api/core/bitstreams/14cc2a36-5f01-4dc1-b9ca-f2d0ca0c8930/content">forming intentions</a> about how you will act once you encounter a temptation.</p> <p>For example, you might consider what you will do when you see a gadget your friend would enjoy when you have already bought them something and have reached the limit of your budget. Instead of purchasing it and exceeding your budget, you could write down the gadget for next year’s gift.</p> <p><strong>4. Write a list</strong></p> <p>Finally, thinking ahead to the gifts you plan to buy and writing a shopping list rather than relying on being inspired in the store might help with sticking to a budget. <a href="http://dx.doi.org/10.1007/s11747-019-00670-w">Consumers spend thousands each year on impulse purchases</a>. Writing shopping lists, <a href="https://doi.org/10.1002/cb.1812">even for online shopping</a>, can reduce overall spending and shopping regret.</p> <h2>The best strategy is the one that works</h2> <p>The holidays should be about joy, not financial stress. Maintaining self-control allows you to celebrate without compromising your financial well-being.</p> <p>There are of course many strategies beyond the four strategies listed here that can help create situations where resisting temptations is easier. The most effective strategies for maintaining financial self-control <a href="https://doi.org/10.1016/j.jesp.2021.104189">are the ones you are already using</a>, and the ones <em>you</em> find most effective. If you want to avoid giving in to shopping temptations, take a moment to think about the financial strategies you are already using and think about how you might use them in your holiday shopping.</p> <p>If you haven’t yet found a strategy that works for you, now is a great opportunity for you to try some out and see which ones are effective. Using strategies to manage the cost of holiday spending can prevent gift-giving from becoming a financial stressor in an already stressful time.</p> <p>Finally, while adhering to a budget is important, it shouldn’t be the sole or primary focus during holiday shopping. Keep in mind that the true spirit of the season is spending quality time with loved ones. The joy of the holidays doesn’t come from extravagant gifts, but from shared moments and meaningful connections.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219380/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/johanna-peetz-1494248"><em>Johanna Peetz</em></a><em>, Professor in Psychology, <a href="https://theconversation.com/institutions/carleton-university-900">Carleton University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/4-strategies-to-keep-you-from-overspending-this-holiday-season-219380">original article</a>.</em></p>

Money & Banking

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Qantas' big move ahead of record-breaking holiday season

<p>As the festive season approaches, Qantas is gearing up for its busiest Christmas holiday period in years. The airline has taken proactive measures to handle the anticipated surge in passenger numbers, with an additional boost to its international cabin crew.</p> <p>More than 8.5 million passengers are expected to fly on Qantas and Jetstar services in December and January, marking a significant increase from the previous year – and the most passengers since the 2019-20 festive season.</p> <p>To meet the demands of the busy holiday season, Qantas has expanded its international cabin crew team with the addition of 16 new faces. These recruits, having completed an eight-week intensive training program, are set to embark on their first flights just in time for the peak travel period. The new recruits will be contributing to flights destined for key international locations such as Japan (Narita), Hong Kong, and Singapore.</p> <p>Phil Capps, Qantas executive manager for product and service, emphasised the airline's commitment to investing in staff training across all departments, including ground staff and cabin crew. The significant recruitment efforts in 2023, with 991 new international cabin crew and 394 new domestic cabin crew, reflect Qantas's dedication to providing exceptional service during the holiday season and beyond.</p> <p>To ensure operational readiness, Qantas has brought forward maintenance on its aircraft, and up to 13 planes will be on standby as operational spares. The airline has also made a substantial boost to reserve staff to address unexpected sick leave situations. Over the past 12 months, almost 3,300 additional operational employees, including cabin crew, pilots, engineers, and airport customer service staff, have been recruited to enhance overall efficiency.</p> <p>As part of the preparations for the busy travel period, Qantas and Jetstar are urging travellers to check-in online for domestic flights, arrive ahead of schedule, and adhere to baggage limits. The airlines emphasised that bringing excess carry-on baggage could lead to delays and urged passengers to be respectful and patient during the holiday rush. Additionally, Qantas warned about potential delays and cancellations due to bad weather and air traffic control issues.</p> <p><em>Image: Qantas</em></p>

Money & Banking

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"Eviction season": Real estate slammed for callous Christmas email

<p>A real estate agency has been forced to apologise after tenants were sent a callous email about paying their rent on time over the Christmas period. </p> <p>The email, which is believed to be sent by Professionals Taylor Lakes in Melbourne, referred to the festive period as "eviction season", and encouraged renters to make timely payments to ensure "your living arrangements are not jeopardised over this festive period".</p> <p>"Christmas is a fantastic time of year and also a very busy time," the email begins.</p> <p>"Christmas time is also known in property circles as 'eviction season' as so many people choose to use their rental payments for Christmas spending instead of ensuring that their family accommodation remains top priority over this period.</p> <p>"We see so many tenants fall behind in their rent and then get into the position where they are not able to catch up, as this is their biggest financial obligation."</p> <p>The agency said it didn't want to be tasked with the "unfortunate job" of having to remove and evict them from their homes over Christmas. </p> <p>"We find this action very unpleasant for everyone concerned and we all enjoy our Christmas much less because of it," it said.</p> <p>"We urge you to pay careful attention and ensure that throughout December and January, you pay your rent on time, every time!"</p> <p>The email was met with a wave of backlash online, with many calling the message "thoughtless" and "not professional". </p> <p>"This is just appalling," Anti-Poverty Network SA wrote on Facebook.</p> <p>Professionals chief executive Katherine Gonzalez-Cork said the email was brought to her attention on Wednesday morning, and offered an apology to the recipients.</p> <p>"The email was distributed to tenants directly from the Taylors Lakes office and the content was not endorsed by me or the Board of Professionals and does not represent our company's expectations of communication with our property renters," she said.</p> <p><em>Image credits: Getty Images</em></p>

Money & Banking

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4 tips to help your loved one with dementia enjoy the festive season

<p><em><a href="https://theconversation.com/profiles/nikki-anne-wilson-342631">Nikki-Anne Wilson</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p>The festive season is fast approaching, and if you’re organising celebrations with family or friends, you might be grappling with a seemingly endless to-do list. But as you make these plans, it’s important to consider how you can best include any friends or loved ones living with dementia.</p> <p>While no two people experience dementia in the exact same way, <a href="https://www.dementia.org.au/about-dementia/what-is-dementia">dementia</a> often affects the way people process and respond to their environment. Too much stimulation – like a lot of noise and activity at a Christmas party – can be overwhelming and may cause confusion or agitation.</p> <p>Finding ways to create a <a href="https://www.healthdirect.gov.au/creating-a-calming-home-for-people-with-dementia#:%7E:text=The%20physical%20environment%20is%20important,in%20and%20enjoy%20everyday%20activities.">safe environment</a> at home for your loved one with dementia will help maximise the chances everyone has a good time.</p> <h2>1. Plan ahead, but be flexible</h2> <p>Planning celebrations can be overwhelming for everyone involved, and having excessive expectations can raise stress levels. Try to keep <a href="https://www.dementia.org.au/information/about-you/i-am-a-carer-family-member-or-friend">expectations realistic</a> and in line with the current needs of your friend or loved one living with dementia.</p> <p>For example, people with dementia may experience <a href="https://www.dementia.org.au/information/about-you/i-am-a-carer-family-member-or-friend/personal-care/eating">changes in their appetite</a> or food preferences, or difficulties chewing and swallowing. These changes might make some of the things on your festive menu unappetising or difficult to eat. Be guided by the needs and preferences of the person with dementia and keep options limited to one or two special foods if larger banquets are likely to be overwhelming.</p> <p>Things can change quickly for people living with dementia and their abilities will likely <a href="https://www.dementia.org.au/about-dementia/what-is-dementia/progression-of-dementia#:%7E:text=A%20person%20with%20dementia's%20abilities,over%20a%20number%20of%20years.">vary from day to day</a>. Try to be flexible and have a backup plan in place. For special events, plan to record speeches or ceremonies to share when things are quieter.</p> <p>If you’re planning a large event, consider having a smaller gathering with your loved one with dementia and just a few special people.</p> <h2>2. Stick to the familiar</h2> <p>The sudden appearance of lots of decorations <a href="https://www.dementia.org.au/sites/default/files/helpsheets/Helpsheet-TipsToAssistSocialEngagement03-TipsForHolidayCheer_english.pdf">may be overwhelming</a> for a person with dementia and trigger a negative sensory reaction or distress. Ensure decorations are safe and familiar and put them up slowly over a period of a few days.</p> <p>Try to also stick to familiar traditions and routines. <a href="https://www.alz.org/help-support/caregiving/daily-care/daily-care-plan">Daily routines</a> are an important way of supporting people with dementia and sudden changes <a href="https://memory.ucsf.edu/caregiving-support/behavior-personality-changes#I-Investigate-Possible-Causes">may result in agitation and distress</a>. Stick to routine eating, bathing, and rest times where possible throughout the holiday period.</p> <p>For many people with dementia, long-term memories are less affected than <a href="https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/symptoms/memory-loss">more recent memories</a>. Familiar family traditions can therefore be a good way to <a href="https://www.dementia.org.au/national/support-and-services/carers/therapies-and-communication-approaches">reminisce</a>. Family keepsakes or <a href="https://www.dementia.org.au/sites/default/files/20110303-NSW-LifeHistoryBook.pdf">memory books</a> can also help connect with stories from past celebrations.</p> <h2>3. Have a quiet space</h2> <p>Try to have <a href="https://www.scie.org.uk/dementia/supporting-people-with-dementia/dementia-friendly-environments/noise.asp">a quiet place</a> where the person living with dementia can go if things become overwhelming. Designating a support person who can stay with them throughout the day and take them to a separate room or area away from the action can help to keep things calm.</p> <p>Having some familiar objects or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432607/#:%7E:text=Passive%20music%20listening%20is%20reported,et%20al.%2C%202013">quiet music</a> in the space can be a good way to block out the noise of activities and reduce agitation.</p> <h2>4. Make sure everyone has a part</h2> <p>Everyone wants to feel a part of the activities on a special day, including people living with dementia. Ensuring everyone has a role to play may mean modifying tasks to suit the abilities of the person with dementia.</p> <p>For example, if you’re hosting an event at home, try to get your friend or relative with dementia involved in the kitchen by tossing the salad or helping to set the table.</p> <p>People with dementia are still the same person, even if their abilities have changed or they can no longer communicate their needs and feelings like they used to. It’s important to treat everyone with dignity and try to include your friends and loved ones with dementia in celebrations whenever possible.</p> <h2>Sometimes, you can’t be together</h2> <p>Despite the best laid plans, sometimes it won’t be possible to share in festive celebrations with your loved one living with dementia. More advanced dementia, <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Pages/racf-latest-advice.aspx">aged care visitor restrictions</a> or even just distance can keep many of us apart from our loved ones.</p> <p>Be prepared for this separation to bring up your own feelings of <a href="https://www.alz.org/help-support/caregiving/caregiver-health/grief-loss-as-alzheimers-progresses">grief or sadness</a>. Look after your mental health as well as the person with dementia.</p> <p>Caring responsibilities still largely <a href="https://www.pmc.gov.au/sites/default/files/resource/download/national-strategy-gender-equality-discussion-paper_0.pdf">fall to women</a> and it’s important to share the load. Where possible, the holidays can be a good time to think about giving primary carers a break to help them recharge for the year ahead.</p> <p>If you’re caring for someone with dementia and need support, <a href="https://www.dementia.org.au/support">Dementia Australia</a> or <a href="https://www.carergateway.gov.au/about?utm_source=google&amp;utm_medium=paid-search&amp;utm_campaign=10841470526&amp;utm_adgroup=146956908840&amp;utm_term=&amp;gclid=CjwKCAjw9-6oBhBaEiwAHv1QvI1uJVJRppcDJtdgYNTDeObUk1tyrNUtLGBqpp3ytjb_khYkGExICBoC_5EQAvD_BwE">Carer Gateway</a> offer useful resources.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/214944/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/nikki-anne-wilson-342631"><em>Nikki-Anne Wilson</em></a><em>, Postdoctoral Research Fellow, Neuroscience Research Australia (NeuRA), <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p><em>Image </em><em>credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/4-tips-to-help-your-loved-one-with-dementia-enjoy-the-festive-season-214944">original article</a>.</em></p>

Caring

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Secret Santa pays off everyone's Christmas shopping at local Kmart

<p>The festive season is all about spreading joy and love and one generous Aussie has gone above and beyond to make people's day so much better. </p> <p>A Secret Santa at a Victoria Gardens Kmart in inner-city Melbourne, covered the cost of items on lay-by for all of the customers at the local store, making some of them cry tears of joy. </p> <p>"We are overwhelmed by our customer's generosity at this time of year, and want to thank them for their act of kindness towards other members of our community," a Kmart spokeswoman said. </p> <p>"We are proud to call them one of our customers." </p> <p>The customer, who chose to remain anonymous, said that they simply wanted to contribute to something positive this holiday season. </p> <p>The shopper reportedly told retail staff that they "just wanted to do something nice for the community." </p> <p>The exact amount of the donation remains undisclosed, but they revealed that most of the items were Christmas gifts. </p> <p><em>Image: Tim Boyle/Getty Images</em></p>

Money & Banking

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Princess Di misquote in final Crown season sparks outrage

<p>Fans of <em>The Crown</em> have shared their fury over a quote from Princess Diana, after details of a pivotal scene from the royal drama have emerged. </p> <p>The sixth season of the show, which will be <a href="https://oversixty.com.au/entertainment/tv/major-twist-in-store-for-final-season-of-the-crown" target="_blank" rel="noopener">released</a> on Netflix on November 16th, features a key part of Princess Diana's life, in which she dedicated much of her time lobbying for an international treaty banning landmines and her support of victims.</p> <p>Just three weeks before her death in a car crash in 1997, she visited Bosnia and Herzegovina to meet with affected communities.</p> <p>In the upcoming episode of the show, Diana – played by Australian actress Elizabeth Debicki – tells her boyfriend Dodi Al Fayed, played by Khalid Abdalla, about the horrors of the explosives and how they are responsible for thousands of deaths.</p> <p>“A man called Ken Rutherford drew my attention to it. He started the Landmine Survivors Network. After his jeep hit a landmine in Somalia he lost both of his legs,” Diana explains to her boyfriend on-screen.</p> <p>Diana then makes a bold statement, likening stepping on a landmine to her ill-fated marriage to Prince Charles. </p> <p>“He said to me every survivor has a date of the day they stepped on the landmine. He said, ‘Mine was December 16, 1963’. I said, ‘Mine was 29 July, 1981 — my wedding day’.”</p> <p>In the scene, Dodi laughs in response.</p> <p>The inclusion of the presumably fictional quote has been criticised by royal biographer and <em>Majesty</em> magazine editor Ingrid Seward, who had a personal relationship with Diana.</p> <p>“Diana would never have said anything like that. I think it is an unfortunate comparison,” she told <a href="https://www.thesun.co.uk/tv/24707487/the-crown-risks-angering-royal-family-diana-wedding-charles/" target="_blank" rel="noopener"><em>The Sun</em>.</a></p> <p>“I think the mere fact that <em>The Crown</em> is depicting Diana’s life and her death is exploiting her memory so they can put into her mouth anything that they want to — however distasteful people might find it.”</p> <p>Seward went on to emphasise the significance of landmine awareness to the late princess.</p> <p>“It was very important – it was her big thing and it was a great success too. It is something that she will always be remembered for,” she told the publication.</p> <p><em>Image credits: Netflix </em></p>

TV

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3 ways to prepare for bushfire season if you have asthma or another lung condition

<p><em><a href="https://theconversation.com/profiles/kazi-mizanur-rahman-1057615">Kazi Mizanur Rahman</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a>; <a href="https://theconversation.com/profiles/joe-duncan-1472949">Joe Duncan</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/jo-longman-1221029">Jo Longman</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Australia’s bushfire season is officially <a href="https://www.nsw.gov.au/media-releases/fire-season-commences">under way</a> during an <a href="https://www.climatecouncil.org.au/resources/what-the-return-of-el-nino-means/">El Niño</a>. And after three wet years, and the <a href="https://www.afac.com.au/auxiliary/publications/newsletter/article/seasonal-bushfire-outlook-spring-2023#:%7E:text=For%20spring%202023%2C%20increased%20risk,bushfire%20this%20season%20are%20widespread">plant growth</a> that comes with it, there’s fuel to burn.</p> <p>With the prospect of <a href="https://theconversation.com/its-official-australia-is-set-for-a-hot-dry-el-nino-heres-what-that-means-for-our-flammable-continent-209126">catastrophic bushfire</a> comes smoke. This not only affects people in bushfire regions, but those <a href="https://theconversation.com/bushfire-smoke-is-everywhere-in-our-cities-heres-exactly-what-you-are-inhaling-129772">in cities and towns</a> far away, as smoke travels.</p> <p>People with a <a href="https://www.atsjournals.org/doi/10.1164/rccm.202012-4471LE">lung condition</a> are among those especially affected.</p> <h2>What’s so dangerous about bushfire smoke?</h2> <p>Bushfire smoke <a href="https://www.health.nsw.gov.au/environment/air/Pages/common-air-pollutants.aspx">pollutes the air</a> we breathe by increasing the concentration of particulate matter (or PM).</p> <p>Once inhaled, <a href="https://www.health.nsw.gov.au/environment/air/Pages/particulate-matter.aspx">small particles</a> (especially with a diameter of 2.5 micrometres or less, known as PM2.5) can get deep into the lungs and into the bloodstream.</p> <p>Concentration of gases in the air – such as <a href="https://www.health.nsw.gov.au/environment/air/Pages/ozone.aspx">ozone</a>, <a href="https://www.health.nsw.gov.au/environment/air/Pages/nitrogen-dioxide.aspx">nitrogen dioxide</a> and <a href="https://www.health.nsw.gov.au/environment/air/Pages/sulphur-dioxide.aspx">sulfur dioxide</a> – also increase, to pollute the air.</p> <p>All these cause the airway to <a href="https://www.alfredhealth.org.au/news/the-effects-of-bushfire-smoke-explained/">narrow and spasm</a>, making it hard to breathe.</p> <p>This can be even worse for people with existing asthma or other respiratory conditions whose airways are already inflamed.</p> <p>Emergency department visits and hospital admissions for asthma-related symptoms <a href="https://www.sciencedirect.com/science/article/pii/S0013935119305742?dgcid=author">rise</a> <a href="https://pubmed.ncbi.nlm.nih.gov/33601224/">after exposure</a> to bushfire smoke.</p> <p>Smoke from the bushfires in summer 2019/20 <a href="https://www.mja.com.au/system/files/issues/213_06/mja250545.pdf">resulted in</a> an estimated 400 deaths or more from any cause, more than 1,300 emergency department visits for asthma symptoms, and more than 2,000 hospital admissions for respiratory issues.</p> <p>Even if symptoms are not serious enough to warrant emergency medical attention, exposure to bushfire smoke <a href="https://www.qld.gov.au/health/staying-healthy/environmental/after-a-disaster/bushfires/bushfire-smoke-and-your-health#:%7E:text=Signs%20of%20smoke%20irritation%20include,throat%2C%20runny%20nose%20and%20coughing">can lead to</a> cough, nasal congestion, wheezing and asthma flares.</p> <p>If you have <a href="https://theconversation.com/what-causes-asthma-what-we-know-dont-know-and-suspect-96409">asthma</a>, <a href="https://theconversation.com/explainer-what-is-chronic-obstructive-pulmonary-disease-25539">chronic obstructive pulmonary disease</a>, <a href="https://www.nhlbi.nih.gov/health/bronchiectasis#:%7E:text=Bronchiectasis%20is%20a%20condition%20that,These%20tubes%20are%20called%20airways.">bronchiectasis</a> or another lung condition, or you care for someone who has, here’s what you can do to prepare for the season ahead.</p> <h2>1. Avoid smoke</h2> <p>Monitor your local air quality by downloading one or both of these apps:</p> <ul> <li> <p><a href="https://asthma.org.au/what-we-do/current-projects/airsmart/">AirSmart</a> from Asthma Australia has live air-quality information to help you plan and act</p> </li> <li> <p><a href="https://airrater.org/">AirRater</a>, developed by Australian scientists, can be another useful app to monitor your environment, track your symptoms and help manage your health.</p> </li> </ul> <p>During times of poor air quality and smoke stay indoors and avoid smoke exposure. Close windows and doors, and if you have one, use an air conditioner to recirculate the air.</p> <p>Avoid unnecessary <a href="https://28bysamwood.com/blog/fitness/should-you-exercise-if-its-smoky-outside/">physical activity</a> which makes us breathe more to deliver more oxygen to the body, but also means we inhale more polluted air. Consider temporarily moving to a safer residence.</p> <p>Well-fitting N95/P2 masks can reduce your exposure to fine smoke particles if you must travel. However they can make it more difficult to breathe if you are unwell. In that case, you may find a mask with a valve <a href="https://theconversation.com/how-to-protect-yourself-against-bushfire-smoke-this-summer-154720">more comfortable</a>.</p> <h2>2. Have an action plan</h2> <p>Taking your regular preventer medication ensures your lung health is optimised before the danger period.</p> <p>Ensure you have a <a href="https://www.nationalasthma.org.au/health-professionals/asthma-action-plans">written action plan</a>. This provides you with clear instructions on how to take early actions to prevent symptoms deteriorating or to reduce the severity of flare-ups. Review this plan with your GP, share it with a family member, pin it to the fridge.</p> <p>Make sure you have emergency medication available, know when to call for help, and what medication to take while you wait. You may consider storing an emergency “reliever puffer” in your home or with a neighbour.</p> <h2>3. Have the right equipment</h2> <p>High-efficiency particulate air (HEPA) filters <a href="https://www.phrp.com.au/issues/online-early/residential-indoor-air-quality-and-hepa-cleaner-use/">can reduce</a> smoke exposure inside the home during a fire event by 30-74%. These filters remove particulate matter from the air.</p> <p>A spacer, which is a small chamber to contain inhaled medication, can help you take emergency medication if you are breathing quickly. You may want to have one to hand.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/214065/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/kazi-mizanur-rahman-1057615">Kazi Mizanur Rahman</a>, Associate Professor of Healthcare Innovations, Faculty of Health Sciences and Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a>; <a href="https://theconversation.com/profiles/joe-duncan-1472949">Joe Duncan</a>, Clinical Associate Lecturer, Northern Clinical School and Lecturer, Internal Medicine. Rural Clinical School (Northern Rivers), <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/jo-longman-1221029">Jo Longman</a>, Senior Research Fellow, The University Centre for Rural Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/3-ways-to-prepare-for-bushfire-season-if-you-have-asthma-or-another-lung-condition-214065">original article</a>.</em></p>

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Major twist in store for final season of The Crown

<p>The release date for the sixth and final season of <em>The Crown</em> has finally been announced, with royal fans everywhere marking their calendars for the last instalment of the royal drama. </p> <p>The hit Netflix series will be returning to screens on November 16th, but the final season of the show is set to come in two phases. </p> <p>On November 16th, four episodes of the show will be available to stream, and will follow Princess Diana, played by Australian actress Elizabeth Debicki, in the last year of her life. </p> <p>Her final days will be explored, including her death in Paris in 1997.</p> <p>Then, the final part of the series will be available to stream from December 14th, and will pick up from the mid-2000s, as her children Prince William and Prince Harry deal with the aftermath of their mother's passing.</p> <p>"Prince William tries to integrate back into life at Eton in the wake of his mother's death as the monarchy has to ride the wave of public opinion," a synopsis for part two says.</p> <p>"As she reaches her Golden Jubilee, the Queen reflects on the future of the monarchy with the marriage of Charles and Camilla and the beginnings of a new royal fairy tale in William and Kate."</p> <p>Royal fans were delighted to wake up to a new teaser trailer for the sixth and final season of <em>The Crown</em> that was posted on social media overnight, with the post already racking up over 90,000 likes.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/CyLmKalP7dF/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CyLmKalP7dF/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Netflix UK &amp; Ireland (@netflixuk)</a></p> </div> </blockquote> <p>The 46-second teaser was released showing Imelda Staunton as Queen Elizabeth II walking through Buckingham Palace before appearing on the famous balcony.</p> <p>All three actresses to play the late Queen appear in the trailer, including Claire Foy and Olivia Colman.</p> <p>"The crown is a symbol of permeance. It's something you are, not what you do," the voice of Foy says.</p> <p>"Some portion of our natural selves is always lost. We have all made sacrifices. It is not a choice. It is a duty," Colman can be heard saying.</p> <p>Finally, it ends on Staunton who says, "But what about the life, I put aside? The woman I put aside?"</p> <p><em>Image credits: Netflix - Instagram</em></p>

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Why waterfall season is the best time to explore the Kimberley

<p>Australia's Kimberley coast, often described as one of the world's last true wilderness regions, beckons adventure-seekers and nature enthusiasts from around the globe. With its rugged coastline and untamed landscapes, this remote corner of Australia offers a unique small ship cruising experience like no other. Coral Expeditions specialise in taking guests on an unforgettable journey through this ancient and captivating region, exploring its highlights with expert guidance in landscape, nature, wildlife, culture, and history.</p> <h3><strong>Unparalleled access to the Kimberley Coast</strong></h3> <p>Coral Expeditions’ small expedition ships are your ticket to getting up close and personal with the Kimberley's wonders. The beauty of this region lies not only in its pristine wilderness but also in its inaccessibility by larger vessels. </p> <p><img style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" src="https://oversixtydev.blob.core.windows.net/media/2023/09/Kimberley-Shower-at-King-Cascade-Prince-Regent-River-O60.jpg" alt="" width="1280" height="720" /></p> <h3><em style="font-size: medium; font-weight: 400;">Xplorer Tender getting guests up close for a waterfall shower at King Cascade</em></h3> <p>Every season in the Kimberley has its own unique charm, but there's something truly spectacular about the waterfall season. After a big wet season, the waterfalls come to life in spectacular fashion, cascading down ancient cliffs and creating a mesmerising natural spectacle. </p> <h3>The Kimberley Coast: A natural wonderland</h3> <p>Beyond waterfall season, the Kimberley coast boasts over 2,500 islands, each with its own story to tell. The contrast between the rugged shoreline and the crystal-clear waters is a sight to behold, and it's an experience that is vastly different from exploring the Kimberley's inland areas. </p> <p>Coral Expeditions takes you on a journey where you'll witness the Kimberley's coastline in all its glory, revealing hidden coves, ancient rock art, and an abundance of wildlife along the way.</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/09/Xplorer-Tenders-exploring-Porosis-Creek-O60.jpg" alt="" width="1280" height="720" /></p> <p><em style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Xplorer Tenders exploring Hunter River</em></p> <p>It’s amazing to realise that over three decades ago, when Coral Expeditions made the first exploratory expedition cruises into this stunning region, their crew had to rely purely on hand-drawn “mudmaps”, the knowledge of local fishermen and the insights of early explorers to navigate the vast and unpredictable coastline. </p> <p>Today, armed with decades of experience instilled in their team of in-house experts, detailed maps, tidal charts and extensive landing notes, Coral Expeditions possess a level of knowledge that cannot be matched in the region.</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/09/Guests-disembarking-the-Xplorer-at-Lumbarni-Island-5-O60.jpg" alt="" width="1280" height="720" /></p> <p><em>Guest disembarking the Xplorer tender during daily shore excursions</em></p> <p>Now, Coral Expeditions invites you to join them on a classic <a href="https://www.coralexpeditions.com/au/destinations/the-kimberley/the-kimberley-cruise/?utm_source=OverSixty&utm_medium=Native+Article&utm_campaign=KIM" target="_blank" rel="noopener">10-night Kimberley expedition</a>. Witness the power of nature at the magnificent King George River and its towering twin falls, explore ancient rock art with expert guides, and witness diverse marine life and cascading waters at Montgomery Reef. Later in the season, you may also see the majestic Humpback Whales on their migration north to breeding grounds. </p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/09/Thrill-Zodiac-rides-through-Horizontal-Falls-30-O60.jpg" alt="" width="1280" height="720" /></p> <p><em>Guests enjoying a thrilling zodiac ride through Horizontal Falls</em></p> <p>Experience the thrill of riding the Horizontal Falls in inflatable Zodiac tender vessels; cruise the Prince Regent River to the “hanging garden” King Cascade waterfall; view the Kimberley landscape by air on a scenic helicopter flight to Mitchell Falls (additional cost); enjoy sunset canapés and drinks on the beach as dusk settles over the Kimberley, and so much more.</p> <h3>Unique Xplorer Tenders</h3> <p>All Coral Expeditions ships are equipped with a fleet of excursion tender vessels to simplify travelling ashore and enjoying water-based activities. The Xplorer Tenders with comfortable padded seating are very easy to board directly from the deck, while the unique hydraulic system gently lowers the craft into the water. On-board, a microphone and speakers allow the guides to share their expert commentary, an overhead canopy protects guests from the sun – and there is even a toilet for remote exploring convenience!</p> <h3>30 years of expertise and passion</h3> <p>What sets Coral Expeditions apart is their unrivalled experience in the Kimberley region. With more than 30 years of exploring this wilderness, their crew possesses unsurpassed knowledge and a deep passion for this land. They are not just guides but also storytellers, sharing the secrets of the Kimberley and creating a connection between you and this ancient landscape that is truly unforgettable.</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/09/Mitchell-Falls-04.05.23-O60.jpg" alt="" width="1280" height="720" /></p> <p><em>Guests admiring the view across to Mitchell Falls</em></p> <p>When you embark on a Kimberley cruise with Coral Expeditions, you're not just taking a holiday; you're embarking on an adventure of a lifetime. Coral Expeditions is committed to providing unparalleled experiences and dedication to preserving the pristine beauty of the Kimberley,  making Coral Expeditions your ideal partner for exploring this remarkable corner of Australia.</p> <p>Don't miss your chance to be part of the next Kimberley expedition with Coral Expeditions. Visit their website <a href="https://www.coralexpeditions.com/au/destinations/the-kimberley/the-kimberley-cruise/?utm_source=OverSixty&utm_medium=Native+Article&utm_campaign=KIM" target="_blank" rel="noopener">here</a> to learn more about upcoming cruises and begin your journey into the heart of Australia's last true wilderness.</p> <p><em>All Images: Coral Expeditions.</em></p> <p><em>This is a sponsored article produced in partnership with Coral Expeditions.</em></p>

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I think I have the flu. Should I ask my GP for antivirals?

<p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>If you test positive for COVID and you’re eligible for antivirals, you’ll likely ask your GP for a script to protect you from severe disease.</p> <p><a href="https://healthdispatch.com.au/news/immunisation-coalition-urging-people-with-flu-like-symptoms-to-g">Antivirals</a> are also available to fight influenza viruses, via a doctor’s prescription. But they have a mixed history, with their benefits at times <a href="https://theconversation.com/controversies-in-medicine-the-rise-and-fall-of-the-challenge-to-tamiflu-38287">overstated</a>.</p> <p>It can be difficult to get an appointment to see your GP. So when should you make the effort to see a GP for a prescription for influenza antivirals? And how effective are they?</p> <h2>What exactly is influenza?</h2> <p>The flu is primarily a viral infection of the respiratory system that can spread through sneezing, coughing, or touching contaminated objects then touching your nose or mouth.</p> <p>Common symptoms include headache, sore throat, fever, runny or blocked nose and body aches that last a week or more.</p> <p>Influenza is actually a group of viruses, divided into several <a href="https://www.cdc.gov/flu/about/viruses/types.htm#:%7E:text=There%20are%20four%20types%20of,global%20epidemics%20of%20flu%20disease,%20https://www.cdc.gov/flu/professionals/acip/background-epidemiology.htm">sub-groups</a>. Flu A and B are the <a href="https://www.health.gov.au/resources/collections/aisr?language=en,%20https://www.health.gov.au/resources/collections/australian-influenza-surveillance-reports-2023?language=en">most common groups</a> that circulate in humans.</p> <h2>What are flu antivirals?</h2> <p>Influenza antivirals, target specific parts of the viral life cycle, which prevents the virus replicating and spreading.</p> <p>Most flu antivirals <a href="https://www.nejm.org/doi/full/10.1056/NEJMra050740">target</a> neuraminidase, an important enzyme the virus uses to release itself from cells.</p> <p>On the other hand, COVID antivirals work by inhibiting other parts of the viral life cycle involved in the <a href="https://www.tga.gov.au/news/media-releases/tga-provisionally-approves-two-oral-covid-19-treatments-molnupiravir-lagevrio-and-nirmatrelvir-ritonavir-paxlovid">virus replicating itself</a>.</p> <p>Three influenza antivirals are <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">used in Australia</a>. Relenza (zanamivir) is an inhaled powder and Tamiflu (oseltamivir) is a capsule; both are five-day treatments. Rapivab (peramivir) is a single injection.</p> <p>These antivirals may also come with <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm">side effects</a>, such as a headache, vomiting, cough, or <a href="https://www.immunisationcoalition.org.au/resources/antiviral-treatments-for-influenza/">fever</a>.</p> <p>Tamiflu and Relenza generally cost A$40-50 in Australia, plus the cost of the consultation fee with your doctor, if applicable.</p> <h2>How effective are antivirals for the flu?</h2> <p>Antivirals have the greatest effect if started 24-72 hours after symptoms. This is to prevent the virus from reaching <a href="https://www.mdpi.com/1660-4601/19/5/3018">high levels in the body</a>.</p> <p>Among healthy adults, if Relenza or Tamiflu are started within 48 hours from your first symptoms, they can <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008965.pub4/full">reduce the duration</a> of symptoms such as cough, blocked nose, sore throat, fatigue, headache, muscle pain and fever by just under a day.</p> <p>For people who have developed severe flu symptoms or who have existing health conditions such as heart disease or chronic obstructive pulmonary disease (COPD), antivirals that start later (but still before day five of symptoms) can still reduce the <a href="https://academic.oup.com/cid/article/52/4/457/378776?login=true">severity of infection</a> and reduce the <a href="https://thorax.bmj.com/content/thoraxjnl/65/6/510.full.pdf?frbrVersion=3">chance of</a> <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/215903">hospitalisation</a> and <a href="https://academic.oup.com/jac/article/72/11/2990/4091484?login=false">death</a>.</p> <p>In a study from the 2009 swine flu (H1N1) pandemic in the United States, treatment with antivirals (Tamiflu and Relenza) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358088/">reduced</a> the chance of needing to be hospitalised. Around 60% of hospitalisations prevented were among 18-64 years olds, around 20% in children 0-17 years, and 20% in adults aged over 65.</p> <p>The research is less clear about whether antivirals prevent the development of flu complications such as secondary bacterial pneumonia. They might, but so far the data aren’t clear.</p> <h2>Are flu antivirals becoming less effective?</h2> <p>Antiviral resistance to Tamiflu has been <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">reported</a> around the world, mostly in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223162/">immunocompromised people</a>, as they <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">have</a> a weakened immune system that allows higher viral loads and prolonged viral shedding.</p> <p>The impact of the antiviral resistance is unclear but there is evidence indicating resistant strains can uphold their ability to replicate effectively and spread. So far it’s not clear if these stains cause more severe disease.</p> <p>However, government agencies and surveillance programs are constantly monitoring the spread of antiviral resistance. Currently there is <a href="https://www.cdc.gov/flu/treatment/antiviralresistance.htm">minimal concern</a> for strains that are resistant to Tamiflu or Relenza.</p> <h2>Antivirals can also prevent the flu if you’ve been exposed</h2> <p>Tamiflu and Relenza can also be used to <a href="https://onlinelibrary.wiley.com/doi/10.1111/irv.12046">prevent flu infections</a>, if we’re exposed to the virus or come into contact with infected people.</p> <p>Some studies suggest Tamiflu and Relenza can <a href="https://www.bmj.com/content/326/7401/1235.long">reduce the chance of developing symptomatic influenza</a> by 70-90%.</p> <p>Many health agencies around the world <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165743/">recommend</a> “prophylactic” treatment for high-risk patients in hospitals or age care setting when people have been in contact with others infected with influenza.</p> <h2>So who should talk to their GP about a prescription?</h2> <p><a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/racf-antiviral-treatments-and-prophylaxis.aspx#:%7E:text=The%20Australian%20Therapeutic%20Guidelines*%20recommends,of%20severe%20disease%20from%20influenza.&amp;text=people%20with%20chronic%20conditions%20including,heart%20disease">Australian guidelines recommend</a> doctors offer antivirals to people with influenza who have severe disease or complications.</p> <p>Doctors can also consider treatment for people at higher risk of developing severe disease from influenza. This includes:</p> <ul> <li>adults aged 65 years or older</li> <li>pregnant women</li> <li>people with certain chronic conditions (heart disease, Down syndrome, obesity, chronic respiratory conditions, severe neurological conditions)</li> <li>people with compromised immunity</li> <li>Aboriginal and Torres Strait Islander people</li> <li>children aged five years or younger</li> <li>residents of long-term residential facilities</li> <li>homeless people.</li> </ul> <p>Doctors can prescribe antivirals for the prevention of influenza <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">in</a> vulnerable people who have been exposed to the virus.</p> <p>Antiviral treatment also can be <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm#:%7E:text=Antiviral%20treatment%20also%20can%20be,48%20hours%20of%20illness%20onset">considered</a> for otherwise healthy symptomatic patients who have confirmed or suspected influenza, if they can start treatment within 48 hours of developing symptoms.</p> <p>In some instances a doctors can make a clinical diagnosis of influenza based on the symptoms and known close flu positive contacts of the patient. However, it is preferred to have flu diagnosed by one of the approved diagnostic tests, such as a <a href="https://24-7medcare.com.au/influenza/australian-gp-influenza-2023-guide/">rapid antigen test</a> (RAT) or the more accurate <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/influenza_factsheet.aspx">PCR test</a>, similar to what is perfomed for COVID. There are also now combo tests that can <a href="https://www.tga.gov.au/news/media-releases/first-combination-covid-19-and-influenza-self-tests-approved-australia">distinguish between SARS-CoV-2 and influenza virus</a>.</p> <p>Remember, the flu can cause <a href="https://www.abc.net.au/news/2023-07-23/flu-season-hitting-children-hard-antivirals-may-help/102633722">severe illness or death</a>, particularly among people from the high-risk groups. So if you think you might have the flu, wear a mask and stay away to avoid spreading the virus to others. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210457/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, , <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image </em><em>credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/i-think-i-have-the-flu-should-i-ask-my-gp-for-antivirals-210457">original article</a>.</em></p>

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Taking an antidepressant? Mixing it with other medicines – including some cold and flu treatments – can be dangerous

<p><em><a href="https://theconversation.com/profiles/treasure-mcguire-135225">Treasure McGuire</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>In the depths of winter we are more at risk of succumbing to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7522168/">viral respiratory infections</a> – from annoying sore throat, common cold and sinusitis, to the current resurgence of respiratory syncytial virus (RSV), influenza and COVID.</p> <p>Symptoms of upper respiratory tract infection range in severity. They can include fever, chills, muscle or body aches, cough, sore throat, runny or stuffy nose, earache, headache, and fatigue. Most antibiotics target bacteria so are <a href="https://pubmed.ncbi.nlm.nih.gov/32495003/">not effective</a> for viral infections. Many people seek relief with over-the-counter medicines.</p> <p>While evidence varies, guidelines suggest medicines taken by mouth (such as cough syrups or cold and flu tablets) have a <a href="https://pubmed.ncbi.nlm.nih.gov/25420096/">limited but potentially positive</a> short-term role for managing upper respiratory infection symptoms in adults and children older than 12. These include:</p> <ul> <li>paracetamol or ibuprofen for pain or fever</li> <li>decongestants such as phenylephrine or pseudoephedrine</li> <li>expectorants and mucolytics to thin and clear mucus from upper airways</li> <li>dry cough suppressants such as dextromethorphan</li> <li>sedating or non-sedating antihistamines for runny noses or watery eyes.</li> </ul> <p>But what if you have been prescribed an antidepressant? What do you need to know before going to the pharmacy for respiratory relief?</p> <h2>Avoiding harm</h2> <p>An audit of more than 5,000 cough-and-cold consumer enquiries to an Australian national medicine call centre found questions frequently related to drug-drug interactions (29%). An 18-month analysis showed 20% of calls <a href="https://pubmed.ncbi.nlm.nih.gov/26590496/">concerned</a> potentially significant interactions, particularly with antidepressants.</p> <p>Australia remains in the “<a href="https://www.aihw.gov.au/mental-health/topic-areas/mental-health-%20prescriptions#Prescriptionsbytype">top ten</a>” antidepressant users in the <a href="https://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_PHMC">OECD</a>. More than <a href="https://www.aihw.gov.au/mental-health/topic-areas/mental-health-prescriptions">32 million</a> antidepressant prescriptions are dispensed on the Pharmaceutical Benefits Scheme each year.</p> <p>Antidepressants are commonly prescribed to manage symptoms of anxiety or depression but are also used in chronic pain and incontinence. They are classified primarily by how they affect chemical messengers in the nervous system.</p> <p>These classes are:</p> <ul> <li><strong>selective serotonin reuptake inhibitors (SSRI)</strong> such as fluoxetine, escitalopram, paroxetine and sertraline</li> <li><strong>serotonin and noradrenaline reuptake inhibitors (SNRI)</strong> such as desvenlafaxine, duloxetine and venlafaxine</li> <li><strong>tricyclic antidepressants (TCA)</strong> such as amitriptyline, doxepin and imipramine</li> <li><strong>monoamine oxidase inhibitors (MAOI)</strong> such as tranylcypromine</li> <li><strong>atypical medicines</strong> such as agomelatine, mianserin, mirtazapine, moclobemide, reboxetine and vortioxetine</li> <li><strong>complementary medicines</strong> including St John’s wort, S-adenosyl methionine (SAMe) and L-tryptophan</li> </ul> <p>Medicines within the same class of antidepressants have similar actions and side-effect profiles. But the molecular differences of individual antidepressants mean they may have different interactions with medicines taken at the same time.</p> <h2>Types of drug interactions</h2> <p>Drug interactions can be:</p> <ul> <li><strong>pharmacokinetic</strong> – what the body does to a drug as it moves into, through and out of the body. When drugs are taken together, one may affect the absorption, distribution, metabolism or elimination of the other</li> <li><strong>pharmacodynamic</strong> – what a drug does to the body. When drugs are taken together, one may affect the action of the other. Two drugs that independently cause sedation, for example, may result in excessive drowsiness if taken together.</li> </ul> <p>There are many <a href="https://wchh.onlinelibrary.wiley.com/doi/pdf/10.1002/pnp.429">potential interactions</a> between medications and antidepressants. These include interactions between over-the-counter medicines for upper respiratory symptoms and antidepressants, especially those taken orally.</p> <p>Concentrations of nasal sprays or inhaled medicines are generally lower in the blood stream. That means they are less likely to interact with other medicines.</p> <h2>What to watch for</h2> <p>It’s important to get advice from a pharmacist before taking any medications on top of your antidepressant.</p> <p>Two symptoms antidepressant users should monitor for shortly after commencing a cough or cold medicine are central nervous system effects (irritability, insomnia or drowsiness) and effects on blood pressure.</p> <p>For example, taking a selective SSRI antidepressant and an oral decongestant (such as pseudoephedrine or phenylephrine) can cause irritability, insomnia and affect blood pressure.</p> <p>Serotonin is a potent chemical compound produced naturally for brain and nerve function that can also constrict blood vessels. Medicines that affect serotonin are common and include most antidepressant classes, but also decongestants, dextromethorphan, St John’s wort, L-tryptophan, antimigraine agents, diet pills and amphetamines.</p> <p><a href="https://reference.medscape.com/drug-interactionchecker">Combining drugs</a> such as antidepressants and decongestants that both elevate serotonin levels can cause irritability, headache, insomnia, diarrhoea and blood pressure effects – usually increased blood pressure. But some people experience orthostatic hypotension (low blood pressure on standing up) and dizziness.</p> <p>For example, taking both a serotonin and SNRI antidepressant and dextromethorphan (a cough suppressant) can add up to high serotonin levels. This can also occur with a combination of the complementary medicine St John’s Wort and an oral decongestant.</p> <p>Where serotonin levels are too high, <a href="https://pubmed.ncbi.nlm.nih.gov/15666281/">severe symptoms</a> such as confusion, muscle rigidity, fever, seizures and even death have been reported. Such symptoms are rare but if you notice any of these you should stop taking the cold and flu medication straight away and seek medical attention.</p> <h2>Ways to avoid antidepressant drug interactions</h2> <p>There are a few things we can do to prevent potentially dangerous interactions between antidepressants and cold and flu treatments.</p> <p><strong>1. Better information</strong></p> <p>Firstly, there should be more targeted, consumer-friendly, <a href="https://www.webmd.com/interaction-checker/default.htm">online drug interaction information</a> available for antidepressant users.</p> <p><strong>2. Prevent the spread of viral infections as much as possible</strong></p> <p>Use the non-drug strategies that have worked well for COVID: regular hand washing, good personal hygiene, social distancing, and facemasks. Ensure adults and children are up to date with immunisations.</p> <p><strong>3. Avoid potential drug interactions with strategies to safely manage symptoms</strong></p> <p>Consult your pharmacist for strategies most appropriate for you and only use cold and flu medications while symptoms persist:</p> <ul> <li>treat muscle aches, pain, or a raised temperature with analgesics such as paracetamol or ibuprofen</li> <li>relieve congestion with a nasal spray decongestant</li> <li>clear mucus from upper airways with expectorants or mucolytics</li> <li>dry up a runny nose or watery eyes with a non-sedating antihistamine.</li> </ul> <p>Avoid over-the-counter cough suppressants for an irritating dry cough. Use a simple alternative such as honey, steam inhalation with a few drops of eucalyptus oil or a non-medicated lozenge instead.</p> <p><strong>4. Ask whether your symptoms could be more than the common cold</strong></p> <p>Could it be influenza or COVID? Seek medical attention if you are concerned or your symptoms are not improving. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208662/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/treasure-mcguire-135225">Treasure McGuire</a>, Assistant Director of Pharmacy, Mater Health SEQ in conjoint appointment as Associate Professor of Pharmacology, Bond University and as Associate Professor (Clinical), <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-an-antidepressant-mixing-it-with-other-medicines-including-some-cold-and-flu-treatments-can-be-dangerous-208662">original article</a>.</em></p>

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What happens in our body when we encounter and fight off a virus like the flu, SARS-CoV-2 or RSV?

<p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><a href="https://www.labcorp.com/coronavirus-disease-covid-19/covid-news-education/covid-19-vs-flu-vs-rsv-how-tell-difference">Respiratory viruses</a> like influenza virus (flu), SARS-CoV-2 (which causes COVID) and respiratory syncytial virus (RSV) can make us sick by infecting our respiratory system, including the nose, upper airways and lungs.</p> <p>They spread from person to person through respiratory droplets when someone coughs, sneezes, or talks and can cause death in serious cases.</p> <p>But what happens in our body when we first encounter these viruses? Our immune system uses a number of strategies to fight off viral infections. Let’s look at how it does this.</p> <h2>First line of defence</h2> <p>When we encounter respiratory viruses, the <a href="https://www.sciencedirect.com/science/article/pii/S193131281600038X?via%3Dihub/">first line of defence</a> is the physical and chemical barriers in our nose, upper airways, and lungs. Barriers like the mucus lining and hair-like structures on the surface of cells, work together to trap and remove viruses before they can reach deeper into our respiratory system.</p> <p>Our defence also includes our behaviours such as coughing or sneezing. When we blow our nose, the mucus, viruses, and any other pathogens that are caught within it are expelled.</p> <p>But sometimes, viruses manage to evade these initial barriers and sneak into our respiratory system. This activates the cells of our innate immune system.</p> <h2>Patrolling for potential invaders</h2> <p>While our acquired immune system develops over time, our innate immune system is present at birth. It generates “non-specific” immunity by identifying what’s foreign. The cells of innate immunity act like a patrol system, searching for any invaders. These innate cells patrol almost every part of our body, from our skin to our nose, lungs and even internal organs.</p> <p>Our respiratory system has different type of innate cells such – as macrophages, neutrophils and natural killer cells – which patrol in our body looking for intruders. If they recognise anything foreign, in this case a virus, they will initiate an attack response.</p> <p>Each cell type plays a slightly different role. Macrophages, for example, will not only engulf and digest viruses (phagocytosis) but also release a cocktail of different molecules (cytokines) that will warn and recruit other cells to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/cmi.12580">fight against the danger</a>.</p> <p>In the meantime, natural killer cells, aptly named, attack infected cells, and stop viruses from multiplying and <a href="https://www.nature.com/articles/s41577-021-00558-3">invading our body further</a>.</p> <p>Natural killer cells also promote inflammation, a <a href="https://www.hindawi.com/journals/jir/2018/1467538/">crucial part of the immune response</a>. It helps to recruit more immune cells to the site of infection, enhances blood flow, and increases the permeability of blood vessels, allowing immune cells to reach the infected tissues. At this stage, our immune system is fighting a war against viruses and the result can cause inflammation, fevers, coughs and congestion.</p> <h2>Launching a specific attack</h2> <p>As the innate immune response begins, another branch of the immune system called the adaptive immune system is <a href="https://www.ncbi.nlm.nih.gov/books/NBK21070/">activated</a>.</p> <p>The adaptive immune system is more specific than the innate immune system, and it decides on the correct tools and strategy to fight off the viral invaders. This system plays a vital role in eliminating the virus and providing long-term protection against future infections.</p> <p>Specialised cells called T cells and B cells are key players in acquired immunity.</p> <p>T cells (specifically, helper T cells and cytotoxic T cells) recognise viral proteins on the surface of infected cells:</p> <ul> <li> <p>helper T cells release molecules that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764486/">further activate immune cells</a></p> </li> <li> <p>cytotoxic T cells directly kill infected cells with a very great precision, <a href="https://www.frontiersin.org/articles/10.3389/fimmu.2018.00678/full">avoiding any healthy cells around</a>.</p> </li> </ul> <p>B cells produce antibodies, which are proteins that can bind to viruses, neutralise them, and mark them for <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247032/">destruction by other immune cells</a>.</p> <p>B cells are a critical part of memory in our immune system. They will remember what happened and won’t forget for years. When the same virus attacks again, B cells will be ready to fight it off and will neutralise it faster and better.</p> <p>Thanks to the adaptive immune system, vaccines for respiratory viruses such as the COVID mRNA vaccine keep us protected from <a href="https://www.health.gov.au/our-work/covid-19-vaccines/our-vaccines/how-they-work">being sick or severely ill</a>. However, if the same virus became mutated, our immune system will act as if it was a new virus and will have to fight in a war again.</p> <h2>Neutralising the threat</h2> <p>As the immune response progresses, the combined efforts of the innate and adaptive immune systems helps control the virus. Infected cells are cleared, and the virus is neutralised and eliminated from the body.</p> <p>As the infection subsides, symptoms gradually improve, and we begin to feel better and to recover.</p> <p>But recovery varies depending on the specific virus and us as individuals. Some respiratory viruses, like rhinoviruses which cause the common cold, may cause relatively mild symptoms and a quick recovery. Others, like the flu, SARS-CoV-2 or severe cases of RSV, may lead to more severe symptoms and a longer recovery time.</p> <p>Some viruses are very strong and too fast sometimes so that our immune system does not have the time to develop a proper immune response to fight them off. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/207023/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-in-our-body-when-we-encounter-and-fight-off-a-virus-like-the-flu-sars-cov-2-or-rsv-207023">original article</a>.</em></p>

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6 habits of people who don’t get sick

<p>Winter is a dangerous time. Although cold temperatures themselves don’t cause us to get sick, our winter habits invite the spread of germs and risk of contagion is high.</p> <p>If you find yourself sick every winter, here are some useful habits of those healthy people to take up.</p> <p><strong>1. They get enough sleep</strong></p> <p>It’s easy to experience disrupted sleep during winter. When air is too cold, it will negatively affect melatonin production and cause the body's sleep cycle to be disrupted. However, research shows that people who sleep only five to six hours a night have a 30 per cent chance of catching a cold when exposed to the virus; those who get more than seven hours reduce their risk to 17 per cent.</p> <p><strong>2. They pay extra attention to hygiene</strong></p> <p>With more germs in the air, now is the time to stay conscious about where they may be festering. Key areas include bathroom door handles, taps, fridges, elevator buttons and public transport. Keep antibacterial wipes on you so whenever you touch a high risk surface, you can cleanse you hand before eating, or touching your face and eyes.</p> <p><strong>3. They exercise regularly</strong></p> <p>Winter is notorious for zapping our work-out motivation. However, exercise strengthens the immune system and makes you less likely to catch upper respiratory infections.</p> <p><strong>4. The get their flu shot</strong></p> <p>Flu shots, approved for all adults, are effective 50 to 60 per cent of the time in preventing the flu and may also reduce the severity of symptoms.</p> <p><strong>5. They don’t smoke</strong></p> <p>Cigarette smoke appears to damage the mucus membranes, which act as the frontline barrier to infectious agents, making smokers twice as likely to catch a cold and several times more likely to develop the flu.</p> <p><strong>6. They enjoy a drink</strong></p> <p>Harvard University School of Public Health researchers found that red wine was particularly protective against colds, probably due to the anti-inflammatory action of the phenol, resveratrol. Just keep in mind that drinking more than two glasses a day raises the risk for infections.</p> <p><em>Image credit: Shutterstock</em></p>

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"Just one snowfall away": Aussie ski resorts dismiss doom and gloom warnings

<p>Australian ski resorts have dismissed warnings about the possibility of a below-average snowfall this season as they prepare for opening weekend.</p> <p>Meteorologists have warned that if a number of climate factors combine this winter, the 2023 snow season could be one of the worst in decades.</p> <p>Although images have shown poor snow coverage at NSW and Victoria’s biggest ski resorts, staff have rejected concerns the season won’t pick up.</p> <p>Michael Fearnside, operations director at Perisher Ski Resort, the largest in the southern hemisphere, told <em>news.com.au </em>it is “certainly not doom and gloom” for the industry.</p> <p>According to Fearnside, only time will tell.</p> <p>“This is my 38th winter working in the snow industry and some of our best seasons have begun with low snowfall at the start,” Fearnside said.</p> <p>“Our business is weather dependent but we’re always just one snowfall away, it’s no different to a farmer waiting for the weather to break.”</p> <p>Similar to other resorts, Fearnside added Perisher had made significant investments in snow-making and as a result, they haven’t had to rely on snowfall, with snow guns ready to be deployed “as soon as the conditions are right”.</p> <p>“Our snow-making covers 53.4 hectares across the resort and sets us apart for having the most reliable ski and board experience all season long,”</p> <p>“It’s certainly not doom and gloom, we’ve seen this before and we’re just waiting for the weather pattern to settle down.”</p> <p>Snowy Mountains ski resort Thredbo will need to rely on its own snow-making, despite it and Perisher being the first to see snow in April.</p> <p>Meanwhile, in Victoria’s Alps, the Mount Buller Alpine Resort has been steadily producing a mass amount of snow since the beginning of May and has a network of 341 snow-making guns ready to “kick into action” when necessary.</p> <p>Resort spokeswoman Rhylla Morgan said it is “all hands on deck” to finalise preparations.</p> <p>“In recent seasons there have been bumper early snowfalls and we’ve been spoiled with plenty of natural snow from the beginning,” she said.</p> <p>“And as much as we love to see snowfall at any time, we are taking comfort in the fact that early snow doesn’t translate to a better snow season.”</p> <p>Morgan noted two of the best snow seasons on record at Mt Buller, 1956 and 1958, “had no snow for the season start in June”.</p> <p>“But we’ll leave the forecasting to the professionals and, like all snow enthusiasts, we’ll be watching the forecast closely and hoping for the best.”</p> <p>Victorian resorts, Mt Buller, Mt Hotham and Falls Creek are hoping to repeat the record-breaking 2022 snow season, the first full return after the Covid lockdowns.</p> <p>Mt Hotham’s general manager of operations Len Dobell said the mountaintop resort had its “best season on record” in 2022.</p> <p>Falls Creek Alpine Resort head of marketing Andrew Eckersley said the resort had “more than 500,000 visitation days” in 2022, and was already expecting similar numbers of bookings in 2023.</p> <p>“Last year there was massive pent-up demand from people not being able to ski as much as they want over the last few years in,” Eckersley said.</p> <p>“The fact there’s not a huge amount of difference shows there’s still the appetite to visit the snow.”</p> <p>Although those numbers could be attributed to earlier snowfalls leading to an earlier season opening, Eckersley said he was hopeful the cold front ahead would bring some snow.</p> <p>Sky News Australia meteorologist Alison Osbourne confirmed that despite there being a cold front shifting across the alpine regions, it is not guaranteed to bring snow.</p> <p>“The best weather systems for good snowfall have the most precipitation after a cool change, so it's cold enough for heavy snow,” she said.</p> <p>“This is the opposite, heavy rain is coming before the cold weather does. The freezing level is far too high.</p> <p>“This rain is very likely to wash away the existing cover and while it remains warm, windy, and wet, conditions for snow-making are unfavourable.”</p> <p>Cooler westerly winds are expected to push over the Alps on June 16, lowering the freezing level in time for the June 10 snow season opening, but not enough for significant snowfall.</p> <p>“The silver lining is that snow-making conditions improve for the rest of the weekend.”</p> <p><em>Image credit: Getty</em></p>

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Parents' grim warning after losing 3-year-old to flu

<p>Doctors have issued a crucial warning for parents after a healthy and happy Perth toddler became the youngest person in Western Australia to die from the flu in 2023.</p> <p>Muhammed Saadiq Segaff is being remembered as a cheerful but cheeky boy after dying from a strain of the flu virus, influenza A.</p> <p>The three-year-old’s health rapidly declined at Fiona Stanley Hospital, located about 16km from the state's capital, where the toddler went from having difficulty breathing to cardiac arrest.</p> <p>As a result, he underwent open heart surgery before being transported to Perth’s Children's Hospital where doctors and nurses had to use a machine to keep Muhammed’s blood pumping during the transfer.</p> <p>Yet despite their best efforts, they couldn’t save his life, with his parents making the painful decision to turn off his life support on May 26 after his family flew in from Singapore to say their goodbyes.</p> <p>Although influenza is a common virus, it can be fatal in high risk groups as it attacks the lungs, nose and throat.</p> <p>Typical symptoms include chills, fever, fatigue, headaches and muscle aches, with most fit and healthy people able to recover without seeing a doctor.</p> <p>However, young children, senior adults, unhealthy adults and pregnant women have an increased chance of contracting more severe cases due to being immunocompromised.</p> <p>Doctors advise getting a flu shot annually, but statistics are showing that the uptake of flu vaccines in WA in 2023 is slower than usual.</p> <p>“We have a significant and effective prevention strategy for flu, it’s a flu vaccine,” Perth Children’s Hospital infectious diseases specialist Chris Blyth told <em>7News</em>.</p> <p>Despite the chilling warning, less than 14 per cent of children under five have gotten the vaccination in WA, with a slimmer figure for those aged between five and 15 years old.</p> <p>Dr Blyth said about 10 per cent of children who are admitted to hospital with the flu require intensive care.</p> <p>Parents are advised to monitor children for unusual symptoms associated with the flu, such as breathlessness and fast breathing, which Dr Blyth warned could impact the heart.</p> <p>“Confusion or drowsiness is another important sign. Both of those things would make me want to seek medical advice,” he said.</p> <p>“In the middle of winter, our hospitals are full of people with respiratory illnesses but if parents think their child is much sicker than they normally are they should be seeking advice.”</p> <p>Muhammed’s parents hope that by sharing their son’s heartbreaking story, more parents will consider vaccinating their children against the flu annually.</p> <p>“No parents want this to happen to their own children,” Muhammed’s mother Shikin Hasnawi told <em>7News</em>.</p> <p>“We just miss him so much,” his father Segaff Sinin said.</p> <p>The WA government has extended its free flu vaccine rollout to children and seniors until the end of June in an attempt to encourage further uptake of the shot.</p> <p><em>Image credit: 7 News Perth</em></p>

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Social media snaps map the sweep of Japan’s cherry blossom season in unprecedented detail

<p><a href="https://theconversation.com/profiles/adrian-dyer-387798">Adrian Dyer</a>, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>; <a href="https://theconversation.com/profiles/alan-dorin-12573">Alan Dorin</a>, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>; <a href="https://theconversation.com/profiles/carolyn-vlasveld-1442834">Carolyn Vlasveld</a>, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>, and <a href="https://theconversation.com/profiles/moataz-elqadi-1442833">Moataz ElQadi</a>, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Social media contains enormous amounts of data about people, our everyday lives, and our interactions with our surroundings. As a byproduct, it also contains a vast trove of information about the natural world.</p> <p>In a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0367253023001019#sec0024a">new study published in Flora</a>, we show how social media can be used for “incidental citizen science”. From photos posted to a social site, we mapped countrywide patterns in nature over a decade in relatively fine detail.</p> <p>Our case study was the annual spread of cherry blossom flowering across Japan, where millions of people view the blooming each year in a cultural event called “hanami”. The flowering spreads across Japan in a wave (“<a href="https://en.wikipedia.org/wiki/Cherry_blossom_front">sakura zensen</a>” or 桜前線) following the warmth of the arriving spring season.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=399&fit=crop&dpr=1 600w, https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=399&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=399&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=501&fit=crop&dpr=1 754w, https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=501&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/529000/original/file-20230530-15-mix84k.jpeg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=501&fit=crop&dpr=3 2262w" alt="ALT TEXT" /><figcaption><span class="caption">Celebrating the cherry blossom is a centuries-old tradition in Japan.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <p>The <a href="https://en.wikipedia.org/wiki/Hanami">hanami festival</a> has been documented for centuries, and research shows climate change is making <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ac6bb4">early blossoming more likely</a>. The advent of mobile phones – and social network sites that allow people to <a href="https://www.sciencedirect.com/science/article/abs/pii/S1574954116302321">upload photos tagged with time and location data</a> – presents a new opportunity to study how Japan’s flowering events are affected by seasonal climate.</p> <h2>Why are flowers useful to understand how nature is being altered by climate change?</h2> <p>Many flowering plants, including the cherry blossoms of Japan (<em>Prunus</em> subgenus <em>Cerasus</em>), require insect pollination. To reproduce, plant flowers bloom at optimal times to receive visits from insects like bees.</p> <p>Temperature is <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200549">an important mechanism</a> for plants to trigger this flowering. <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1461-0248.2008.01269.x">Previous research</a> has highlighted how climate change may create mismatches in space or time between the blooming of plants and the emergence of pollinating insects.</p> <p><iframe id="rtiQ0" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/rtiQ0/2/" width="100%" height="400px" frameborder="0"></iframe></p> <p>It has been difficult for researchers to map the extent of this problem in detail, as its study requires simultaneous data collection over large areas. The use of citizen science images deliberately, or incidentally, uploaded to social network sites enables <a href="https://en.wikipedia.org/wiki/Big_data">big data</a> solutions.</p> <h2>How did we conduct our study?</h2> <p>We collected images from Japan uploaded to <a href="https://www.flickr.com/">Flickr</a> between 2008 and 2018 that were tagged by users as “cherry blossoms”. We used computer vision techniques to analyse these images, and to provide sets of keywords describing their image content.</p> <p>Next, we automatically filtered out images appearing to contain content that the computer vision algorithms determined didn’t match our targeted cherry blossoms. For instance, many contained images of autumn leaves, another popular ecological event to view in Japan.</p> <p>The locations and timestamps of the remaining cherry blossom images were then used to generate marks on a map of Japan showing the seasonal wave of sakura blossoms, and to estimate peak bloom times each year in different cities.</p> <h2>Checking the data</h2> <p>An important component of any scientific investigation is validation – how well does a proposed solution or data set represent the real-world phenomenon under study?</p> <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=45&auto=format&w=237&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=591&fit=crop&dpr=1 600w, https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=591&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=591&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=743&fit=crop&dpr=1 754w, https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=743&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/528702/original/file-20230528-21-4fxpkv.png?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=743&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Blossom dates calculated from social media images compare well with official data.</span> <span class="attribution"><span class="source">ElQadi et al.</span>, <span class="license">Author provided</span></span></figcaption></figure> <p>Our study using social network site images was validated against the detailed information published by the <a href="https://www.japan.travel/en/see-and-do/cherry-blossom-forecast-2023/">Japan National Tourism Organization</a>.</p> <p>We also manually examined a subset of images to confirm the presence of cherry flowers.</p> <p>Plum flowers (<em>Prunus mume</em>) look very similar to cherry blossoms, especially to tourists, and they are frequently mistaken and mislabelled as cherry blossoms. We used visible “notches” at the end of cherry petals, and other characteristics, to distinguish cherries from plums.</p> <p>Taken together, the data let us map the flowering event as it unfolds across Japan.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=619&fit=crop&dpr=1 600w, https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=619&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=619&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=777&fit=crop&dpr=1 754w, https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=777&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/528769/original/file-20230529-17-wmgf5g.gif?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=777&fit=crop&dpr=3 2262w" alt="An animated map showing cherry blossom flowering across Japan" /></a><figcaption><span class="caption">Images uploaded to social media over a ten year period 2008-2018, let us map the cherry blossom front as it sweeps across Japan.</span> <span class="attribution"><span class="source">ElQadi et al.</span>, <span class="license">Author provided</span></span></figcaption></figure> <h2>Out-of-season blooms</h2> <p>Our social network site analysis was sufficiently detailed to accurately pinpoint the annual peak spring bloom in the major cities of <a href="https://en.wikipedia.org/wiki/Tokyo">Tokyo</a> and <a href="https://en.wikipedia.org/wiki/Kyoto">Kyoto</a>, to within a few days of official records.</p> <p>Our data also revealed the presence of a consistent, and persistent, out-of-season cherry bloom in autumn. Upon further searching, we discovered that this “unexpected” seasonal bloom had also been noted in <a href="https://www.bbc.com/news/world-asia-45898333">mainstream media</a> in recent years. We thus confirmed that this is a real event, not an artefact of our study.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=450&fit=crop&dpr=1 600w, https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=450&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=450&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=566&fit=crop&dpr=1 754w, https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=566&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/528832/original/file-20230529-25-wonef0.png?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=566&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Cherry blossom photographs from Flickr taken within Japan from 2008 to 2018 show an April peak as well as an unexpected smaller peak in November.</span> <span class="attribution"><span class="source">ElQadi et al.</span>, <span class="license">Author provided</span></span></figcaption></figure> <p>So, even without knowing it, many of us are already helping to understand how climate change influences our environment, simply by posting online photographs we capture. Dedicated sites like <a href="https://wildpollinatorcount.com/">Wild Pollinator Count</a> are excellent resources to contribute to the growing knowledge base.</p> <p>The complex issues of climate change are still being mapped. Citizen science allows our daily observations to improve our understanding, and so better manage our relationship with the natural world.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/206574/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/adrian-dyer-387798">Adrian Dyer</a>, Associate Professor, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>; <a href="https://theconversation.com/profiles/alan-dorin-12573">Alan Dorin</a>, Associate Professor, Faculty of Information Technology, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>; <a href="https://theconversation.com/profiles/carolyn-vlasveld-1442834">Carolyn Vlasveld</a>, PhD candidate, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em>, and <a href="https://theconversation.com/profiles/moataz-elqadi-1442833">Moataz ElQadi</a>, Adjunct Researcher, Faculty of Information Technology, <em><a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/social-media-snaps-map-the-sweep-of-japans-cherry-blossom-season-in-unprecedented-detail-206574">original article</a>.</em></p> <p><em>Images: Getty</em></p>

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