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"Insurmountable grief": Block stars share their devastating loss

The Block stars Dan and Dani Reilly have shared the devastating news that their daughter has passed away. In an emotional post on Instagram, the couple confirmed the heartbreaking loss, revealing their daughter Billie Vera Reilly was just 10 days old. "It is with insurmountable grief that we share the news that our daughter Billie, has passed on from this life and into the next at just 10 days young," the couple shared. Alongside a photo of the couple at hospital by Billie's side, they shared that Billie was everything that they had ever wanted. "In Billie's short time in this world, she taught us an intensity of both love and pain we never knew possible. She taught us what really matters," the post said. <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/p/DDxf6lmz5q4/?utm_source=ig_embed&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/p/DDxf6lmz5q4/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Dani Reilly (@dani_wales)</a> </div> </blockquote> "Billie was so wanted, so loved and she made us parents… and what an honour it is to be her mummy and daddy. She will always be our daughter." "It's clear to us that Billie was far too good for this world but if we know anything for sure, it's that Billie's legacy will make an impact greater than all of us." The couple shared a link to make a donation to The Royal Women's Hospital, asking for people to make a contribution in Billie's honour. "We want to make special mention of "Billie's Besties" at @theroyalwomens - the nurses, doctors & staff in NICU are some of the most incredible people to walk this earth and we'll be forever grateful for the care and love they gave our girl, and us" the post concluded. Dan and Dani first appeared as contestants on The Block in 2012 before returning for an All Star season, where they walked away with a $220,000 profit. Dan later became a foreman on the show. Image credits: Instagram

Caring

Cold Chisel member's sister dies in tragic accident

Brenda Walker, an award-winning Australian author and the sister of Cold Chisel member Don Walker, has been killed in a horrific accident at Kings Park in Perth. The 67-year-old was crossing Kings Park Road on Tuesday when she was hit by an allegedly speeding driver in a Toyota Yaris hatchback just before 7am on Tuesday. She sustained critical injuries in the incident and was rushed to Royal Perth Hospital but could not be saved. “She was such a kind, intelligent, caring and generous person who had a positive effect on many lives,” her family told 7News. “She will be dearly missed by many.” Walker was born in Grafton, NSW and studied at the University of New England in Armidale before gaining a PhD in English at the Australian National University. She moved to Perth in 1984 and was a Winthrop professor of English and cultural studies at the University of Western Australia. A spokesperson from the university has paid tribute to her saying they were deeply saddened to learn of her death. “Our thoughts and condolences are with Professor Walker’s family and friends at this time." A former student also paid tribute on social media, saying: “She was a teacher who changed my life with her great encouragement and her astute methods.” “She got into a lot of corners of my life because you only meet a proper guru every so often. It tends to affect you," he continued. “Brenda’s passing is a massive loss to Australian literature, because there are dozens like me with much the same story, and many many more who have met her through her brilliant writing. Her memory will be a monument.” She has written several award-winning novels including Reading By Moonlight, The Wing of the Night and Poe’s Cat. A 30-year-old man was allegedly driving the Yaris that struck her and was arrested at the scene. He was charged with dangerous driving causing death and appeared at the Perth Magistrates Court on Wednesday. Image: news.com.au/ 7News

Caring

Home and Away star's urgent scam warning

Home and Away star Ethan Browne, best-known for his role as Tane Parata on the show, has issued an urgent warning to fans following an influx of social media accounts impersonating him. The actor took to Instagram to warn fans about people impersonating him online. "Please protect yourselves and don't message anyone who claims to be me," Ethan said. "THEY ARE ALL SCAMS!" He went on to explain that he would never message anyone privately, and his Instagram and personal Facebook page are his only social media accounts. "I would never privately message anyone other than my family and friends," he wrote. "This Instagram and my private Facebook account (for family and friends) are my only social media accounts. Unfortunately I can't control every false account out there. Please be wise and don't respond to them." Fake Facebook profiles pretending to be actors often pop up on certain fan pages and interact with fans. One fan recalled her experience in one Home and Away Facebook group, saying that a a fake Ethan profile had reached out to her and started sending private messages, resulting in her blocking him. Another fan said: "I got one from him (supposedly) and I said he was one of my favourite actors on the show next thing, I know he wanted a photo of me and the pennies dropped I was being scammed." "I was scammed [by someone] who I thought was Tane from Home and Away, but it wasn't even him... he was saying he wanted to meet up and go out with me," another fan wrote. Image: Seven/ Instagram

Technology

"Absolute disappointment": Home and Away fans slam season finale

Fans of Home and Away have been left outraged after the finale of the 2024 season, with many claiming it was "boring and predictable". Viewers of the long-running Aussie soap were disappointed by the feature-length episode that promised "bloodshed" and "deadly consequences" and while it ended with two lives hanging in the balance. The show is set to return on January 13th and pick up where it left off, leading to the resolution that will see fans waiting almost two months for answers. After Thursday night's finale, hundreds of fans flocked to social media to share their annoyance over all the drama being crammed into the last 10 minutes of the episode, despite its 90-minute runtime. "Found the last episode so boring and predictable," one fan said. "How many more coppers are going to end up in jail?" "I have to say, that was ridiculously s**t for a season finale," another complained. "The best bit was the last 15 seconds." "That was the worst ending," someone else said, with another agreeing. "What an absolute disappointment for this year's final episode. Love Home and Away, but this was by far the worst final episode of the season ever." "I was so disappointed with the ending," another fan said. "I expected it to be more drama/suspense but it was quite boring in my opinion. Now an almost 2 month wait for the show to return." While many were disappointed, others were excited to see how the dramatic storyline is set to be resolved in the new year. "I'm so excited for the new season," one fan said. "What am l going to do without this lol it’s pretty sad when you so look forward to it at 7pm," another lamented. "I can't believe I've got to wait till next year, it's already killing me," someone else agreed. Image credits: Home and Away

Former Home and Away star's joyful baby news

Former Home and Away stars Rebecca Breeds and Luke Mitchell are expecting their first child together. The Australian actress and her co-star turned husband confirmed the happy news on Instagram. The 37-year-old actress made her little baby bump debut at the Adelaide Film Festival and shared a picture of herself on the red carpet looking stunning in a form-fitting pink dress. “VERY excited to share baby Mitchell and @kangarooislandmovie coming sooooooooon! Thanks @adlfilmfest for having us and everyone who came to support us🙏🤍,” she wrote on Instagram on Tuesday. The mum-to-be rested one of her hands on top of the baby bump as she proudly smiled for the cameras. The actress was at the festival for the premiere of her new film Kangaroo Island on the event's closing night. Her husband commented on the post with a series of heart-eyed emojis. Breeds' co-stars and fellow actors were quick to congratulate the couple in the comments. “Congratulations Bec and Luke! Very exciting news,” Home and Away star Lynne McGranger said. “Ahhhhh amazing you guys! This is the best news!” former Home and Away actress Jessica McNamee added. “Congrats!!!!!” A Perfect Pairing actor Adam Demos said. The couple first met on the set of Home and Away in 2009 and quickly became a fan-favourite off-screen relationship. Breeds played Ruby Buckton on the soap between 2008 and 2012, while Mitchell played Romeo Smith between 2009 and 2013. The couple tied the knot in January 2013 and went to live and work in the US for years before returning to Australia. Images: Instagram/ Seven

Relationships

"This is revolting": Senator calls for investigation over Kyle and Jackie O comments

A senator has called for an investigation over the constant "vulgar" comments made by Kyle and Jackie O on their morning radio show, claiming the show is "misogynistic" and "racist". Greens Senator Sarah Hanson-Young has questioned the Australian Communications and Media Authority (ACMA) during a senate hearing, asking why an investigation hasn't been launched into their on-air conduct. She said jokes about “being gay” and “divisive and violent language about women and sex” had been aired on the popular program, which is broadcast on the KIIS FM network on weekdays between 6am and 10am. Handing around printed copies of just some of their remarks, Senator Hanson-Young asked the ACMA whether these comments were appropriate for air during the early morning slot. During the hearing, Senator Hanson-Young asked ACMA Chair Nerida O’Loughlin whether she would be able to read them out, to which Ms O'Loughlin replied she would “prefer not to”, noting she “wouldn’t think they were appropriate for parliamentary language”. “These comments, this content, just a snapshot since September. Jokes about people being gay, jokes about one of the producers’ Asian housemates, jokes about dating men who are not quote ‘white’,” Senator Hanson-Young said. “Jokes about the sexual and racial profiles of other journalists from other stations, divisive and violent language about women and sex, and goes into vulgar detail about sex acts. Comments on air that refer to fellow hosts as being annoying ‘b****’, jokes about overweight women and mental health." Senator Hanson-Young said the content was “not just vulgar” but “disgusting”. “It’s belittling, belittling of women, it’s misogynistic, it’s racist, it’s sexist – it’s off,” she said. Senator Hanson-Young went not on to reference 59 complaints about the show made between July and October, but Ms O'Loughlin but noted under the co-regulatory framework that complaints needed to be “dealt with by the broadcaster first and come to us for investigation after that”. Senator Hanson-Young pointed out the ACMA doesn’t have to wait for “specific complaints” to undertake motion investigations, asking why the ACMA hasn’t launched an investigation, claiming the comments breach decency standards. “Why haven’t you? This is revolting, sexist, racist, misogynistic, divisive stuff on free to air radio from 6am in the morning … to 10am in the morning, and you haven’t investigated it?” Ms Hanson-Young said. Ms O’Loughlin said, “We have not turned our mind to undertaking such a review, but I’m happy to take your concerns on notice and discuss that with the authority. We will take those (comments) seriously, and we’ll have an internal conversation.” Image credits: Facebook

Legal

New $1m reward for cold case murder of three children

A new $1 million reward is being offered for information about each of the murders of three First Nations children around 34 years ago. Four-year-old Evelyn Greenup, Clinton Speedy-Duroux, 16, and Colleen Walker-Craig, 16, disappeared from Bowraville, a town in northern NSW over a five-month period from September 1990. Evelyn and Clinton's remains were found in nearby bushland, but Colleen's have never been found. The murders were initially investigated separately before being linked by the homicide squad. Now, after various appeals over the decades, NSW Police have issued a re-appeal for information into the murders, with a particular focus on locating the remains of Colleen. “A $1 million reward for information that leads to the arrest and conviction of the person or persons responsible for each of the children’s murder remains in place, as well as for information leading to the location and recovery of Colleen’s remains,” NSW Police said on Monday. Detectives are also going to be spending the week in Bowraville to speak to locals who may have information about the children's deaths. A man, who can't be named for legal reasons, was acquitted of Clinton's murder in 1994, and Evelyn's murder in 2006. The case was the subject of two police investigations, multiple trials, a coronial inquest, and a parliamentary inquiry. In 2018, the government tried to convince the NSW court of criminal appeal that there was fresh and compelling evidence – related to the disappearance of Colleen – in attempt to overturn the two acquittals and instead have a new single trial on three murder charges. However, the court refused to grant special leave to the NSW government to appeal against the decision. In 2019, hundreds protested in front of the gates of the Court of Appeal when a retrial was denied. Images: 7pm TV News NSW/ ABC News

Legal

Uproar over council's bin "shaming" move

As councils around the country make big changes to the way we dispose of waste, one council's move has left an entire street in Melbourne "offended". On Wednesday morning, Essendon mum Kali took out her bins and thought nothing more of her weekly habit. It was when she came back after a coffee run that she spotted a tag that had "oh no" written in big red letters. "We found items that don't belong in your mixed recycling bin," the note read, identifying reusable shopping bags as the culprit. When she looked around all but one household on her street had the same yellow note. "I came back and saw all these tags on the bins, I thought 'That's a bit weird'," she told Yahoo News Australia. "It was the talk of the street," she said, after finding out that fellow residents were in "uproar" over the tags. Kali, a mum-of-two, has lived in her home for over nine years and said this was the first time she saw the tag on her bin. "It's just a bizarre thing to do," she said. "I thought it was funny that I got bin shamed. I'm sure we're all guilty of [recycling incorrectly], it's an easy mistake. "Our whole street was embarrassed about it," she added, saying "other neighbours were more offended". Kali is adamant that she didn't do anything wrong, as she ensures the bags in her bin were made out of paper, but said that "you don’t know who is putting things in your bin." A council spokesperson told Yahoo that the move was made to "inform" residents. "Council’s intention is to provide information to people at their homes through our kerbside bin education program to create more awareness, so everyone in the community can recycle right," the spokesperson said. "We understand that recycling can be confusing and that there may be a misunderstanding in what can and can’t go into a recycling bin." Images: Yahoo News

Home & Garden

"One of the best": Home and Away stars pay tribute to colleague

Former and current stars of Home and Away have paid tribute to their colleague, who has passed away after a battle with cancer. Bruce Murray, who worked as a key grip behind the scenes of the show, has died just one year after going public with his diagnosis of oesophageal cancer. The news of his passing has rocked the show, with cast mates taking to social media to share their stories of their time with Bruce. "Love you Brucey, you beautiful thing," Emily Weir, who plays Mackenzie Booth said on Instagram. What a man, never a dull moment on the set or on the dance floor," Sarah Roberts, who played Willow Harris on the show before leaving in 2021, wrote. "One of the reasons I loved going to work... couldn't stop giggling at his jokes and his dance moves. I'll miss you Brucey!" "One of the best gone too soon," Home and Away's head of makeup and hair, Laura Vazquez posted on Instagram. "Will miss you, mate. Can't believe I won't be seeing you again. RIP Brucey, you absolute legend." Murray's diagnosis with stage four oesophageal cancer was made public in October 2023, when his loved ones launched a GoFundMe page to help raise money for his family as he underwent treatment. "Recently our beloved, good friend, Bruce Murray was diagnosed with Stage 4 Oesophageal Cancer which has unfortunately gone into his blood stream and formed multiple cancers on his bones – ribs, spine, collar bone, sacrum, and hips," the GoFundMe page's message read. Many Home and Away alumni contributed to the GoFundMe, including Ada Nicodemou, Matt Little, Georgie Parker, Jessica Tovey, Stephanie Panozzo, Pia Miller, Ethan Browne, Axle Whitehead, and Philippa Northeast as well as numerous other anonymous donations and donations from producers and other Home and Away staffers, with the page raising $51k for Bruce's treatment. Bruce is survived by his wife of 19 years, Shelley Murray – who is a costume designer and head of the Home and Away wardrobe department – and their two children. Image credits: Instagram

Caring

I have a stuffy nose, how can I tell if it’s hay fever, COVID or something else?

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/deryn-thompson-1449312">Deryn Thompson</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Hay fever (also called allergic rhinitis) affects <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/national-health-survey-state-and-territory-findings/latest-release">24%</a> of Australians. <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/allergic-rhinitis-or-hay-fever">Symptoms</a> include sneezing, a runny nose (which may feel blocked or stuffy) and itchy eyes. People can also experience an itchy nose, throat or ears. But COVID is still <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">spreading</a>, and <a href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">other viruses</a> can cause cold-like symptoms. So how do you know which one you’ve got? <h2>Remind me, how does hay fever cause symptoms?</h2> <a href="https://www.allergy.org.au/hp/papers/allergic-rhinitis-clinical-update">Hay fever</a> happens when a person has become “sensitised” to an allergen trigger. This means a person’s body is always primed to react to this trigger. Triggers can include allergens in the air (such as pollen from trees, grasses and flowers), mould spores, animals or house dust mites which mostly live in people’s mattresses and bedding, and feed on shed skin. When the body is exposed to the trigger, it produces IgE (immunoglobulin E) antibodies. These cause the release of many of the body’s own chemicals, including histamine, which result in hay fever symptoms. People who have asthma may find their asthma symptoms (cough, wheeze, tight chest or trouble breathing) worsen when exposed to airborne allergens. Spring and sometimes into summer can be the worst time for people with grass, tree or flower allergies. However, animal and house dust mite symptoms usually happen year-round. <h2>What else might be causing my symptoms?</h2> Hay fever does not cause a fever, sore throat, muscle aches and pains, weakness, loss of taste or smell, nor does it cause you to cough up mucus. These symptoms are likely to be caused by a virus, such as COVID, influenza, respiratory syncytial virus (RSV) or a “cold” (often caused by rhinoviruses). These conditions can occur all year round, with some overlap of symptoms: <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&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/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=582&fit=crop&dpr=1 600w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=582&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=582&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=731&fit=crop&dpr=1 754w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=731&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=731&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><a class="source" href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">Natasha Yates/The Conversation</a></figcaption></figure> COVID still <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">surrounds</a> us. <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/health+statistics/surveillance+of+notifiable+conditions/respiratory+infections+dashboard">RSV and influenza</a> rates appear higher than before the COVID pandemic, but it may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10888990/#:%7E:text=Increases%20in%20RSV%20patient%20volume,with%20an%20RSV%20diagnosis%20occurred">due to more testing</a>. So if you have a fever, sore throat, muscle aches/pains, weakness, fatigue, or are coughing up mucus, stay home and avoid mixing with others to limit transmission. People with COVID symptoms can take a rapid antigen test (<a href="https://www.health.gov.au/sites/default/files/2024-04/coronavirus-covid-19-rapid-antigen-tests.pdf">RAT</a>), ideally when <a href="https://www.cochrane.org/CD013705/INFECTN_how-accurate-are-rapid-antigen-tests-diagnosing-covid-19">symptoms start</a>, then isolate until symptoms disappear. <a href="https://www.mja.com.au/journal/2023/219/11/covid-19-rapid-antigen-tests-approved-self-testing-australia-published">One negative RAT alone</a> can’t rule out COVID if symptoms are still present, so test again 24–48 hours after your initial test if symptoms persist. You can now test yourself for COVID, RSV and influenza in a <a href="https://www.tga.gov.au/sites/default/files/2024-02/covid-19-rapid-antigen-self-tests-are-approved-australia-ifu-406813.PDF">combined RAT</a>. But again, a negative test doesn’t rule out the virus. If your symptoms continue, <a href="https://www.tga.gov.au/sites/default/files/2024-02/covid-19-rapid-antigen-self-tests-are-approved-australia-ifu-406813.PDF">test again</a> 24–48 hours after the previous test. <h2>If it’s hay fever, how do I treat it?</h2> Treatment involves blocking the body’s histamine release, by taking antihistamine medication which helps reduce the symptoms. Doctors, nurse practitioners and pharmacists can develop a <a href="https://www.allergy.org.au/images/pc/ASCIA_Allergic_Rhinitis_Treatment_Plan_2024.pdf">hay fever care plan</a>. This may include using a nasal spray containing a topical corticosteroid to help reduce the swelling inside the nose, which causes stuffiness or blockage. Nasal sprays need to delivered <a href="https://allergyfacts.org.au/are-you-using-your-nasal-spray-correctly/">using correct technique</a> and used over several weeks to work properly. Often these sprays can also help lessen the itchy eyes of hay fever. Drying bed linen and pyjamas inside during spring can <a href="https://www.allergy.org.au/patients/allergy-treatments/allergen-minimisation">lessen symptoms</a>, as can putting a <a href="https://www.nps.org.au/consumers/managing-hay-fever">smear of Vaseline</a> in the nostrils when going outside. Pollen sticks to the Vaseline, and gently blowing your nose later removes it. People with asthma should also have an <a href="https://asthma.org.au/manage-asthma/asthma-action-plan/">asthma plan</a>, created by their doctor or nurse practitioner, explaining how to adjust their asthma reliever and preventer medications in hay fever seasons or on allergen exposure. People with asthma also need to be <a href="https://www.nationalasthma.org.au/living-with-asthma/resources/patients-carers/factsheets/thunderstorm-asthma">alert for thunderstorms</a>, where pollens can burst into tinier particles, be inhaled deeper in the lungs and cause a severe asthma attack, and even death. <h2>What if it’s COVID, RSV or the flu?</h2> Australians aged 70 and over and others with underlying health conditions who test positive for COVID are <a href="https://www.healthdirect.gov.au/covid-19/medications#at-home">eligible for antivirals</a> to reduce their chance of severe illness. Most other people with COVID, RSV and influenza will recover at home with rest, fluids and paracetamol to relieve symptoms. However some groups are at greater risk of serious illness and may require additional treatment or hospitalisation. For <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/respiratory-syncytial-virus.aspx">RSV</a>, this includes premature infants, babies 12 months and younger, children under two who have other medical conditions, adults over 75, people with heart and lung conditions, or health conditions that lessens the immune system response. For influenza, people at <a href="https://www.health.nsw.gov.au/Infectious/Influenza/Pages/at-risk.aspx">higher risk</a> of severe illness are pregnant women, Aboriginal people, people under five or over 65 years, or people with long-term medical conditions, such as kidney, heart, lung or liver disease, diabetes and decreased immunity. If you’re concerned about severe symptoms of COVID, RSV or influenza, consult your doctor or call 000 in an emergency. If your symptoms are mild but persist, and you’re not sure what’s causing them, book an appointment with your doctor or nurse practitioner. Although hay fever season is here, we need to avoid spreading other serious infectious. For more information, you can call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria); use the <a href="https://www.healthdirect.gov.au/symptom-checker">online Symptom Checker</a>; or visit <a href="http://healthdirect.gov.au/">healthdirect.gov.au</a> or the <a href="https://www.allergy.org.au/patients/allergy-treatments/allergen-minimisation">Australian Society of Clinical Immunology and Allergy</a>.<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/240453/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/deryn-thompson-1449312">Deryn Thompson</a>, Eczema and Allergy Nurse; Lecturer, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Image credits: Shutterstock 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-have-a-stuffy-nose-how-can-i-tell-if-its-hay-fever-covid-or-something-else-240453">original article</a>. </div>

Body

Breaking the silence on prostate cancer: man’s family legacy highlights importance of early detection

James Murray, 55, an architect from Melbourne, always knew he was living with a genetic "time bomb." A fifth-generation prostate cancer sufferer, his family’s battle with the disease spans over 170 years. From his great-great-grandfather, who chronicled his symptoms in 1847, to his uncles and father who also faced the disease, prostate cancer has been a grim constant in his family. “My family has what's been called a ‘spectacular history’ with prostate cancer,” James reflects. “But that’s not the kind of thing you want to hear. My great-great-grandfather had it, though they couldn’t test for it back then. My grandfather died from it, my father got it, and both of his brothers had it as well. It’s been a constant in our family for generations.” James' great-great-grandfather, Robert William Felton Lathrop Murray, a soldier and the founder of the Hobart Town Gazette, documented his battle with the disease long before modern medicine could provide a diagnosis. Since then, generation after generation of Murrays has grappled with the same fate. For James, however, early detection was key. Diagnosed in February 2022, he underwent surgery just a few months later in May, removing what doctors described as an aggressive form of the disease. But his story, unlike his ancestors, had a different ending. “In a way, we’ve been cursed by prostate cancer," explains James. "But it’s also been a blessing because it made us all hyper-aware of the importance of early detection. My dad was incredibly diligent, and that saved his life. He made sure I was on top of my PSA testing from my mid-40s, and that’s how we caught it early for me.” Prostate-Specific Antigen (PSA) testing and early detection are now recognised as crucial, particularly for men with a family history of prostate cancer. Yet, dangerous myths surrounding prostate cancer testing continue to cost lives, warns Associate Professor Weranja Ranasinghe, Deputy Leader of the Urological Society of Australia and New Zealand’s (USANZ) GU-Oncology Special Advisory Group. “Many men believe that they need to have urinary symptoms to be concerned about prostate cancer,” explains Ranasinghe. “The reality is that most prostate cancers develop without any symptoms at all. Urinary symptoms are not reliable – most of these symptoms are caused by non-cancerous enlargement of the prostate but advanced cancer can also give you urinary symptoms. So it is important to get checked.” An even greater barrier, however, is the outdated belief that prostate cancer screening requires an invasive rectal exam. Ranasinghe stresses that this is no longer the case: “A simple PSA blood test, combined with advanced imaging like MRI, is now the standard approach. Many men are avoiding tests due to this outdated fear, but in the GP setting, a rectal exam is currently not required for detecting prostate cancer." With over 26,000 Australian men expected to be diagnosed with prostate cancer this year, the Urological Society of Australia and New Zealand (USANZ) is raising awareness during Prostate Cancer Awareness Month about the importance of early testing and debunking these misconceptions. Ranasinghe also points out that men with a strong family history should be particularly vigilant. “Men with female relatives who have had breast or ovarian cancer are also at an increased risk of prostate cancer due to the same genetic mutations. So we recommend that men with a strong family history get a PSA test at the age of 40, which is earlier than the recommended age.” For James Murray, the decision to undergo surgery quickly after his diagnosis proved life-saving. “When my PSA levels started rising in February 2022, I wasn’t shocked," he recalls. "I had always known this day would come. It wasn’t something I feared, but more something I was prepared for. I told myself, ‘Okay, it’s here, let’s deal with it,’ and I just focused on getting through the surgery as quickly as possible.” James feels fortunate compared to his uncles, whose diagnoses came much later in life, leading to more severe outcomes. His surgery went well, and he's had a quick recovery, returning to work and feeling grateful that they caught it early. That's why James is advocating for early PSA testing, particularly for men with a family history of prostate cancer. He plans to ensure his 19-year-old son is aware of the need for testing in the future. "We often see men wait until a friend or relative is diagnosed before thinking about getting a prostate cancer PSA test done," says Ranasinghe. "This reactive approach is dangerous. Men need to be proactive and take ownership of their prostate health and talk to their GPs about this, just like they would with cholesterol or other routine health checks." As prostate cancer awareness grows, James hopes his story will encourage others to get tested. It’s something no one wants to face, but the sooner you catch it, the better chance you have. For more information on prostate cancer screening and to find a urologist, visit the Urological Society of Australia and New Zealand (USANZ) at <a href="https://www.usanz.org.au/" target="_blank" rel="noopener">www.usanz.org.au</a>. Images: Supplied

Caring

The Block couple calls off wedding

The Block couple Paige Beechey and Jesse Maguire have called off their wedding following their abrupt exit from the show earlier this month. The Perth-based couple have reportedly sent their wedding guests a note informing them that their wedding has been postponed, with no new date confirmed. “Dear friends and family, life, in its unpredictable course, has presented us with unforeseen circumstances that has led us to postpone our upcoming wedding on 12 December,” the message read, according to <a href="https://au.lifestyle.yahoo.com/the-blocks-paige-and-jesse-call-off-their-wedding-with-heartbreaking-note-042835911.html" target="_blank" rel="noopener">Yahoo Lifestyle</a>. “While we were eagerly looking forward to celebrating our love and commitment with you all, we believe it is essential to acknowledge when a moment is not right. This year, it is not. “We extend our sincerest apologies for any inconvenience and disappointment this news may bring. A new date for our celebration is unknown at this time, but we will keep you abreast of any rescheduling.” Despite their decision it is understood that the couple are still together, even telling the outlet that their reality TV appearance had brought them "closer" together. The couple were branded this season's "villains" due to their <a href="https://www.oversixty.com.au/entertainment/tv/violent-threats-the-block-star-opens-up-after-sudden-exit" target="_blank" rel="noopener">multiple on-screen arguments</a>, with the show’s executive producer Justin Sturzaker forced to step in after their tensions escalated one night, and the couple were recorded yelling at each other. After reaching out to the counselling services on the show, the couple eventually decided to quit the show. “We feel as though you need to get to a place that’s out of here, to take care of yourself,” he told the couple, adding that their departure was “for the best", The Block host Scott Cam said during their final farewell. Cam also added that it was the couple's decision to leave and "we didn't force them out". "They made the decision they wanted to go home. We followed it up with professional care in their home state for as long as they needed it.” Images: Instagram

Relationships

"Disrespectful and frustrating": Publicists call out Kyle and Jackie O

A group of publicists have called out Kyle and Jackie O's "disrespectful" behaviour on their radio show, while explaining why celebrities keep appearing on their program. The claims against the radio duo were first brought to light in an episode of the <a href="https://omny.fm/shows/game-changers-radio/playlists/podcast" target="_blank" rel="noopener">Game Changers Radio: Melbourne Radio Wars</a> podcast, with the hosts reading out an email they had received from an anonymous publicist who regularly books their "talent" to appear on the popular KIIS FM radio show. “We are feeding the beast as we are giving Kyle and Jackie O access to artists and stars when they do terrible interviews and are always late,” the publicist complained in the email. “I had one TV publicist have to wait 45 minutes with their A-grade talent. They do it to everyone. It’s disrespectful and frustrating.” The publicist went on to explain why they have no choice but to book celebrities on the show, given the huge audience that listens to the show. “From a music point of view, the big dogs say we have to support them for the bigger picture and airplay, but artists don’t want to talk to them,” they wrote in the email. After the claims were first aired, <a href="https://www.news.com.au/entertainment/tv/radio/publicists-expose-kyle-and-jackie-os-disrespectful-behaviour/news-story/e67f5c062dc85ff1a8e6c06e7c395fee" target="_blank" rel="noopener">news.com.au</a> reached out to other publicists to share their own stories of dealing with the radio hosts. One publicist shared, “They’re a nightmare, always have been." “Normally you get talent for a day or two to do some promo, so you’ve got to micromanage that day within an inch of its life so you can do as many interviews as possible." “But every single time you go to them, they always leave you waiting,” the publicist said. “You will wait an hour (in the green room) and it just stuffs up your morning." “I think it’s a power play for Kyle who thinks, ‘I’m the king of radio and you will all sit back and wait for me until I say you can come in.’” Another publicist called out the recent dip in quality of the show, criticising the "smutty" nature of the radio program, saying, “They’ve lost it.” “I don’t know if they’ve decided to double down on the smut because somebody has said something about it, but they talk to guests for 30 seconds and then they’ve got nothing and so they start asking them if they’ve done an*l. It’s like, really? You haven’t got anything more than this?" “They went through a phase where they were one of the better interviews,” the same publicist said. “When Kyle is on song, nobody is a better broadcaster and he gives a really generous plug. But it just feels like they’ve lost their way a little bit lately." “I think everybody walks away from them now going, ‘that was just weird,’” they said. Despite all the problems encountered with the show, all the publicists said they were still willing to book their talent on the radio show. “Nowadays I’m very selective about which talent I put up for chats,” one said. “I only pick talent who I think can handle it, who are open to being asked about everything, including their sex lives. I find the interviews often run better if you don’t set parameters, because if you tell Kyle that certain topics are off limits, you can be guaranteed he will ask about them on air.” Another added, “I always factor in delays when booking guests on Kyle and Jackie. Those delays often impact interviews we have lined up with other radio stations, but it’s usually worth it because their audience is so much bigger than all those other stations combined.” News.com.au also reached out to KIIS FM to comment on the controversies, with a rep saying, “There is no issue, and the show continues to enjoy huge stars”. Image credits: Instagram / KIIS FM

Music

TikTok couple slammed for leaving toddlers unattended in cruise cabin

TikTok Influencers Matt and Abby Howard have been slammed online for their controversial parenting choice while on a family vacation. In a now deleted video, the couple explained that they had brought their sons Griffin, 2, and August, 1 on a family cruise, and they went to dinner without the boys, but monitored the room through FaceTime. "So we ended up taking them for 5 nights and it became apparent that they weren't enjoying it and therefore we weren't either," they said in the caption. "So THEN we switched our dinner time to AFTER their bedtime and FaceTimed the monitors while we ate." Abby noted that baby monitors "don't work on board unless you're only like 10 feet away", adding that their dinnertime solution worked out "much better for everyone" Social media users were quick to respond to their decision, with many highlighting the safety concerns. "They literally could not have gotten to them fast enough if anything had happened and I cannot stop thinking about that. It’s sickening," one wrote on Reddit. "It's literally common sense that you do not leave a baby alone unsupervised," another added. "The fact that they would so willingly leave their children in an unfamiliar environment completely alone is shocking," another added. "Are they seriously that f****** dumb? Do they not watch the news, have they not seen what happened to Madeline McCann?" a fourth wrote. Following the controversy, the couple released a video claiming that a family member was always with the children while they were at dinner, although they didn't clarify who. "We take our roles as parents extremely seriously and we love our children more than anything in the entire world, and we're very protective of our kids," Matt said in the video. "We had someone with our children at all times on this boat," he continued adding that the speculation surrounding them is "completely untrue". "I do want to clarify that we have not, would not, will not ever leave our children unattended. We would would never, ever want to put them in harms way in anyway," Abby added. She explained that her family would "tag team" to help the couple out with watching their children. Viewers were quick to speculate whether they were telling the truth, while others were glad they clarified. "Thanks for the clarification because it did come off like the boys were alone- context is everything," one wrote. "I hope this is the truth," another added. "For them to post about it like it's some genius parenting hack is just wild," a third wrote. Image: Instagram

Family & Pets

"Violent threats": The Block star opens up after sudden exit

Paige and Jesse, contestants on the 2024 season of The Block, have finally addressed the intense backlash they've received following their portrayal on the popular reality show. The couple, who became social media’s latest "villains" due to multiple on-screen arguments, have opened up about the toll it has taken on their mental health. Fans of the show have accused the duo of having a "toxic relationship", and some online commentators have left harsh, often cruel comments directed at them. The 27-year-old Paige expressed her dismay at the negativity, calling it "really sad" to see so many of her fellow contestants also receiving hate. “It's just a TV show as well," she told <a href="https://au.lifestyle.yahoo.com/lifestyle/what-you-dont-see-on-tv-the-block-star-on-horrific-consequence-of-being-a-reality-villian-053436673.html" target="_blank" rel="noopener">Yahoo Lifestyle</a>. "I don't think it's appropriate whatsoever.” The attacks have gotten so bad that Paige revealed that Jesse has taken control of her Instagram to filter hateful messages, and she has deleted her Facebook presence completely, to avoid the barrage of negativity. In her interview with Yahoo Lifestyle, Paige revealed how serious the situation has become, explaining that the constant harassment has led her to turn off comments on her social media to safeguard her “sanity”. “I've had a lot of death threats, violent threats, and nasty comments that are unimaginable. I turned the comments off for my own wellbeing,” she said, explaining that the online abuse began almost immediately after the first episode aired. While Channel Nine has provided counselling and mental health resources for them, Paige says that her biggest support has come from her family and from Jesse. Her family, who have moved in with them temporarily, have been a source of strength, with Paige explaining that her brother also experienced severe online bullying when they were younger. “I think just being around grounded people, it's a lot harder to fall into those traps,” she shared. Jesse also opened up about the difficulties of watching themselves on TV, admitting that the negative portrayal has made them question their self-identity. However, they’ve found comfort in reconnecting with their co-stars, who remind them of the fun, positive moments that weren’t aired. “You start to question yourself when you’re watching yourself on TV,” Jesse said, adding that they often reflect on the good times during filming, despite what viewers see. Despite the negative attention, Paige and Jesse have also experienced an outpouring of support. Following Paige’s <a href="https://www.tiktok.com/@paigebeechey" target="_blank" rel="noopener">candid three-part TikTok series</a>, where she revealed details about their experience on the show and their decision to leave on bad terms, the couple received a flood of encouraging messages. “The response that I got was pretty huge,” Paige said. “I received so many wonderful messages from women, men, current contestants, past contestants.” Jesse echoed her sentiments, sharing that for every few negative comments, there were significantly more positive ones. “It’s like, okay, there actually are people who understand and care and realise that it's more than just a show,” he said. As part of her post-exit TikTok series, Paige levelled a parting shot at the long-running renovation show itself, saying “The Block is over to me. All I want to do now is implore the network that when this show continues, there needs to be serious reform on how you prepare contestants.” Images: Channel Nine

Flu shots play an important role in protecting against bird flu. But not for the reason you might think

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> A current strain of highly pathogenic avian influenza, commonly known as bird flu, has become a global problem. The virus has affected <a href="https://www.cdc.gov/bird-flu/situation-summary/data-map-commercial.html">many millions</a> of birds, some other <a href="https://www.cdc.gov/bird-flu/situation-summary/mammals.html">animal species</a>, and a <a href="https://cdn.who.int/media/docs/default-source/influenza/avian-and-other-zoonotic-influenza/joint-fao-oie-who-preliminary-risk-assessment-associated-with-avian-influenza-a(h5n1)-virus.pdf?sfvrsn=faa6e47e_28&download=true">small number of people</a>. Last week, the Australian government <a href="https://www.sbs.com.au/news/article/australians-issued-new-health-risks-travel-warning-for-europe-asia-and-the-americas/gmh1hk9py">issued a warning</a> to residents travelling to Europe, North America, South America and Asia about the risk of bird flu. The alert, published on the <a href="https://www.smartraveller.gov.au/news-and-updates/highly-pathogenic-avian-influenza-outbreak">Smartraveller website</a>, included advice to ensure your flu vaccine is up to date. If you are about to go travelling, this generally means if you’ve had a flu jab this year, although if it has been 3–6 months since your vaccine you should discuss this with your doctor. But the seasonal flu vaccine we get each year doesn’t actually prevent bird flu in humans. So why is it being recommended in this context? <h2>Some bird flu background</h2> Smartraveller notes <a href="https://www.smartraveller.gov.au/news-and-updates/highly-pathogenic-avian-influenza-outbreak">several strains</a> of bird flu are currently circulating. The most concerning strain, called the <a href="https://www.nature.com/articles/s41467-023-38415-7">2.3.4.4b clade</a>, emerged a few years ago from a type of influenza A (H5, or A/H5) that has been circulating for several decades. Clade 2.3.4.4b primarily affects birds, including wild birds and poultry. It has had <a href="https://theconversation.com/uk-poultry-can-roam-free-outside-again-but-bird-flu-risk-hasnt-gone-away-203361">devastating effects</a> on bird populations, as well as farmers and others involved in the poultry industry. In recent years, clade 2.3.4.4b has adapted to <a href="https://www.nature.com/articles/s44298-024-00039-z">infect some mammals</a>. Unfortunately it seems to cause severe disease in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11083745/">certain animals</a>. Some marine mammals have been hit particularly hard, with mass mortality events <a href="https://www.theguardian.com/environment/2023/dec/08/mass-deaths-elephant-seals-penguins-bird-flu-antarctic-ecological-disaster-aoe">reported</a> in elephant seals and sea lions. In the United States, bird flu has also spread <a href="https://www.cdc.gov/bird-flu/situation-summary/mammals.html">among dairy cows</a>. Compared to the huge number of animal cases, there have been a relatively small number of <a href="https://www.who.int/publications/m/item/joint-fao-who-woah-preliminary-assessment-of-recent-influenza-a(h5n1)-viruses">humans infected with bird flu</a>. Since 2003, <a href="https://www.who.int/publications/m/item/cumulative-number-of-confirmed-human-cases-for-avian-influenza-a(h5n1)-reported-to-who--2003-2023--3-october-2023">878 cases</a> of A/H5N1 influenza have been reported in humans, with a small proportion of these reported since 2020 when <a href="https://www.outbreak.gov.au/emerging-risks/high-pathogenicity-avian-influenza">clade 2.3.4.4b first emerged</a>. The reported cases have been people who have had close contact with infected animals. It does not appear to spread from person to person. As such, the <a href="https://www.ecdc.europa.eu/en/infectious-disease-topics/z-disease-list/avian-influenza/threats-and-outbreaks/risk-assessment-h5">risk to travellers is low</a>. There are some situations where the risk may be greater, such as for people visiting live markets, or those who are travelling specifically to work with wildlife or animals in food production. <a href="https://www.who.int/publications/m/item/joint-fao-who-woah-preliminary-assessment-of-recent-influenza-a(h5n1)-viruses">Infections in humans</a> with H5 influenza can vary significantly in severity, from mild conjunctivitis up to fatal pneumonia. H5 influenza strains appear to be <a href="https://asm.org/articles/2024/june/what-you-should-know-about-avian-influenza-a-h5n1">sensitive to antivirals</a> (oseltamivir, also known as Tamiflu) and they are generally <a href="https://www.cdc.gov/bird-flu/hcp/novel-av-treatment-guidance/">recommended</a> as treatment for human infection, but it’s <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01307-2/fulltext">not clear</a> whether they reduce the risk of death in those with severe disease. To date, one case of A/H5 influenza (not 2.3.4.4b) has been <a href="https://www.abc.net.au/news/2024-05-22/bird-flu-avian-influenza-human-detection/103879886">reported in Australia</a>, in a child who had recently returned from overseas. While <a href="https://www.fao.org/animal-health/situation-updates/global-aiv-with-zoonotic-potential/en">clade 2.3.4.4b has been detected</a> in all continents <a href="https://www.outbreak.gov.au/emerging-risks/high-pathogenicity-avian-influenza">except Australia</a>, other avian influenza strains (A/H7) <a href="https://www.outbreak.gov.au/current-outbreaks/avian-influenza">have been reported here</a> earlier this year. <h2>Seasonal flu vaccines are not effective against bird flu</h2> Seasonal influenza refers to the flu strains that circulate each year. Since the COVID pandemic, three different strains have circulated in various proportions – influenza A H1N1 (descended from the <a href="https://www.nature.com/articles/nature08182">2009 swine flu strain</a>), influenza A H3N2 (which has <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149781/">circulated since 1968</a>) and an influenza B strain. Interestingly, a second influenza B strain (the Yamagata lineage) <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2314801">appears to have vanished</a> during the COVID pandemic. Seasonal influenza vaccines contain up-to-date variants of these types (A/H1N1, A/H3N2 and B) that are recommended by the World Health Organization each year. They are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912669/">moderately effective</a>, reducing the risk of hospitalisation by about 40–60%. Influenza vaccines are quite specific in the protection that they provide. For seasonal vaccines, even the very small changes that occur in the virus from year to year are enough to allow them to “escape” vaccine-induced immunity. Therefore seasonal flu vaccines <a href="https://www.cdc.gov.au/topics/avian-influenza-bird-flu">do not provide any protection</a> against A/H5 influenza. <h2>Preventing a hybrid bird-human strain</h2> The rationale for recommending travellers have a flu shot in the context of the current bird flu outbreak is that seasonal flu vaccines may help reduce the risk of simultaneous infection with both A/H5 and a seasonal influenza strain. When this occurs, there is potential for a “recombination” of the genetic code from both viral strains. This could have the transmissibility of a seasonal human virus with the severity of an avian influenza virus. The 2009 swine flu strain <a href="https://www.nejm.org/doi/full/10.1056/NEJMra0904322">arose from the recombination</a> of several strains over years to become more transmissible in humans. Obviously a more effective vaccine would include a H5 strain, to generate immune responses specific to the H5 flu strain. Vaccine manufacturers have <a href="https://www.ema.europa.eu/en/medicines/human/EPAR/celldemic">developed H5 vaccines</a> over the years, but to date <a href="https://thl.fi/en/-/avian-influenza-vaccinations-begin-vaccine-to-be-offered-to-persons-at-increased-risk-of-infection">only Finland</a> has deployed a H5 vaccine in a small group of people who work closely with potentially infected animals. Currently the <a href="https://www.ecdc.europa.eu/en/infectious-disease-topics/z-disease-list/avian-influenza/threats-and-outbreaks/risk-assessment-h5">level of risk</a> posed by H5 to humans is not thought to be sufficient to require a specific vaccine program, as the potential benefits are small compared to the costs and the potential risks associated with any new vaccine program. <h2>The value of a flu shot for travellers</h2> Seasonal flu vaccines protect against influenza infection, and may also reduce the risk of simultaneous infection with human and bird flu strains. Bird flu aside, for most travellers who haven’t received a flu shot this year, reducing the risk of illness disrupting travel plans should be enough of a reason to get one. For those who have already received a flu shot this season, similar to COVID jabs, protection after vaccination appears to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499703/">wane over time</a>. So if you’re travelling to the northern hemisphere during the winter months, and it’s been more than 3–6 months since you received a flu vaccine, your doctor may recommend you have another. Bird flu is only a small risk to most travellers, but people may want to take sensible precautions, such as avoiding close contact with birds at markets.<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/237859/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <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> Image credits: Shutterstock 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/flu-shots-play-an-important-role-in-protecting-against-bird-flu-but-not-for-the-reason-you-might-think-237859">original article</a>. </div>

Body

Aussie travellers warned over bird flu outbreak

Australian travellers have been warned to be cautious after concerns about the sudden outbreak of bird flu. Strains of Avian Influenza, known as the bird flu, are circulating across the globe, with <a href="https://www.smartraveller.gov.au" target="_blank" rel="noopener">Smart Traveller</a> warning of outbreaks in Europe, North and South America and Asia. “Human infection is rare. But be aware of increased health risks when travelling to impacted countries,” the alert states. The virus typically affects birds but can be transferred to other animals before being passed on to humans. “Eggs and poultry meat are safe to eat if handled and cooked using safe food handling practices,” the alert states. Travellers have been urged to look out for signs of infection, including eye redness or irritation (conjunctivitis), fever, cough, sore throat, runny or blocked nose, muscle or body aches, fatigue, shortness of breath or difficult breathing, and pneumonia. Travellers have also been urged to minimise contact with animals in areas affected by the bird flu, avoid contact with dead or sick animals (including wild birds), and avoid poultry farms and live bird “wet” markets. While there is no specialised vaccine for bird flu, travellers have been urged to check that their other influenza vaccines are up to date before travelling. Smart Traveller states, “If you feel unwell while travelling back to Australia, tell a crew member or airport staff. Make sure to tell them about any contact with sick people or animals.” Image credits: Shutterstock

International Travel

I’ve recovered from a cold but I still have a hoarse voice. What should I do?

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/yeptain-leung-1563747">Yeptain Leung</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> Cold, flu, COVID and <a href="https://theconversation.com/rsv-is-everywhere-right-now-what-parents-need-to-know-about-respiratory-syncytial-virus-208855">RSV</a> have been <a href="https://www.abc.net.au/news/2024-06-21/flu-whooping-cough-rsv-cases-up-as-covid-cases-unkown/104002964">circulating across Australia this winter</a>. Many of us have caught and recovered from <a href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">one of these</a> common upper respiratory tract infections. But for some people their impact is ongoing. Even if your throat isn’t <a href="https://theconversation.com/sore-throats-suck-do-throat-lozenges-help-at-all-184454">sore</a> anymore, your voice may still be hoarse or croaky. So what happens to the voice when we get a virus? And what happens after? Here’s what you should know if your voice is still hoarse for days – or even weeks – after your other symptoms have resolved. <h2>Why does my voice get croaky during a cold?</h2> A healthy voice is normally clear and strong. It’s powered by the lungs, which push air past the vocal cords to make them vibrate. These vibrations are amplified in the throat and mouth, creating the voice we hear. The vocal cords are two elastic muscles situated in your throat, around the level of your laryngeal prominence, or Adam’s apple. (Although everyone has one, it tends to be more pronounced in males.) The vocal cords are small and delicate – around the size of your fingernail. Any small change in their structure will affect how the voice sounds. When the vocal cords become inflamed – known as laryngitis – your voice will sound different. Laryngitis is a common part of upper respiratory tract infections, but can also be caused through misuse. <figure class="align-center "><img src="https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&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/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=366&fit=crop&dpr=1 600w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=366&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=366&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=460&fit=crop&dpr=1 754w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=460&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=460&fit=crop&dpr=3 2262w" alt="Two drawn circles comparing normal vocal cords with inflamed, red vocal cords." /><figcaption>Viruses such as the common cold can inflame the vocal cords. <a class="source" href="https://www.shutterstock.com/image-vector/dry-sore-loss-cough-virus-viral-1821458117">Pepermpron/Shutterstock</a></figcaption></figure> Catching a virus triggers the body’s defence mechanisms. White blood cells are recruited to kill the virus and heal the tissues in the vocal cords. They become inflamed, but also stiffer. It’s harder for them to vibrate, so the voice comes out hoarse and croaky. In some instances, you may find it hard to speak in a loud voice or have a reduced pitch range, meaning you can’t go as high or loud as normal. You may even “lose” your voice altogether. Coughing can also make things worse. It is the body’s way of trying to clear the airways of irritation, including your own mucus dripping onto your throat (<a href="https://www.health.harvard.edu/staying-healthy/treatments-for-post-nasal-drip">post-nasal drip</a>). But coughing slams the vocal cords together with force. Chronic coughing can lead to persistent inflammation and even thicken the vocal cords. This thickening is the body trying to protect itself, similar to developing a callus when a pair of new shoes rubs. Thickening on your vocal cords can lead to physical changes in the vocal cords – such as developing a growth or “nodule” – and further deterioration of your voice quality. <figure class="align-center "><img src="https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&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/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=376&fit=crop&dpr=1 600w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=376&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=376&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=473&fit=crop&dpr=1 754w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=473&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=473&fit=crop&dpr=3 2262w" alt="Diagram compares healthy vocal cords with cords that have nodules, two small bumps." /><figcaption>Coughing and exertion can cause inflamed vocal cords to thicken and develop nodules. <a class="source" href="https://www.shutterstock.com/image-vector/dry-sore-loss-cough-virus-viral-1821458126">Pepermpron/Shutterstock</a></figcaption></figure> <h2>How can you care for your voice during infection?</h2> People who use their voices a lot professionally – such as teachers, call centre workers and singers – are often desperate to resume their vocal activities. They are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478078/">more at risk</a> of forcing their voice before it’s ready. The good news is most viral infections resolve themselves. Your voice is usually restored within five to ten days of recovering from a cold. Occasionally, your pharmacist or doctor may prescribe cough suppressants to limit additional damage to the vocal cords (among other reasons) or mucolytics, which break down mucus. But the most effective treatments for viral upper respiratory tract infections are hydration and rest. Drink plenty of water, avoid alcohol and exposure to cigarette smoke. <a href="https://www.healthdirect.gov.au/laryngitis#:%7E:text=You%20can%20help%20your%20voice%20recover%20by%3A%201,avoid%20nasal%20decongestants%20%28these%20make%20your%20throat%20drier%29">Inhaling steam</a> by making yourself a cup of hot water will also help clear blocked noses and hydrate your vocal cords. Rest your voice by talking as little as possible. If you do need to talk, don’t whisper – this <a href="https://www.sciencedirect.com/science/article/abs/pii/S0892199704001730">strains the muscles</a>. Instead, consider using “<a href="https://www.instagram.com/reel/C0d-oNIMM1y/">confidential voice</a>”. This is a soft voice – not a whisper – that gently vibrates your vocal cords but puts less strain on your voice than normal speech. Think of the voice you use when communicating with someone close by. During the first five to ten days of your infection, it is important not to push through. Exerting the voice by talking a lot or loudly will only exacerbate the situation. Once you’ve recovered from your cold, you can speak as you would normally. <h2>What should you do if your voice is still hoarse after recovery?</h2> If your voice hasn’t returned to normal after <a href="https://www.healthdirect.gov.au/laryngitis">two to three weeks</a>, you should seek medical attention from your doctor, who may refer you to an ear nose and throat specialist. If you’ve developed a nodule, the specialist would likely refer you to a speech pathologist who will show you how to take care of your voice. Many nodules can be <a href="https://britishvoiceassociation.org.uk/voicecare_vocal-nodules.htm">treated</a> with voice therapy and don’t require surgery. You may have also developed a habit of straining your vocal cords, if you forced yourself to speak or sing while they were inflamed. This can be a reason why some people continue to have a hoarse voice even when they’ve recovered from the cold. In those cases, a speech pathologist may play a valuable role. They may teach you to exercises that make voicing more efficient. For example, <a href="https://www.youtube.com/watch?v=fwNPp-RS4IY">lip trills</a> (blowing raspberries) are a fun and easy way you can learn to relax the voice. This can help break the habit of straining your voice you may have developed during infection.<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/236398/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/yeptain-leung-1563747">Yeptain Leung</a>, Postdoctoral Research and Lecturer of Speech Pathology, School of Health Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> 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/ive-recovered-from-a-cold-but-i-still-have-a-hoarse-voice-what-should-i-do-236398">original article</a>. </div>

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Woolies trial bold new "scan as you go" trolleys

Woolworths shoppers will be able to scan their groceries when they go into their trolleys in an Australian-first trial of the tech carts. The Scan and Go carts are being trialled at a Woolworths in Windsor in western Sydney, with customers now able to scan items as they add them to their cart, eliminating time at busy checkouts. The technology, which has long been used in supermarkets overseas, utilises the already existing EverydayRewards cards, which allows access to a touchscreen that clips onto the trolley. As you peruse the aisles, shoppers then scan their items on the touchscreen as they go into the trolley, with the screen adding up the total of your groceries. Customers still have to pay at the checkout, but the supermarket says as the smart carts roll out, customers could eventually swipe their cards and pay directly at their trolley, cutting out the need for any time in line for tills. "The technology is co-created with one of our international partners [and is] home-grown in Australia, [we've] really been able to make sure it meets the Australian consumers needs," Woolies Managing Director Faye Ihan said. The high-tech system is meant to save shoppers time and money while doing their weekly grocery shop. "I actually have only been in here for half an hour I'd normally be here for over an hour," one customer who tried the smart cart told <a href="https://www.9news.com.au/national/woolies-trials-new-scan-as-you-go-trolleys/4e7e5c2d-04e9-4997-8a0e-0bb4bba8948d" target="_blank" rel="noopener">9News</a>. The company says the rollout won't impact employment, as Woolworths employees will conduct random checks of people shopping to make sure people don't exploit the system to steal. If the trial is successful, Woolworths says it will one day expand the smart carts to all Australian stories. Image credits: 9News

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No, your aches and pains don’t get worse in the cold. So why do we think they do?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/manuela-ferreira-161420">Manuela Ferreira</a>, <a href="https://theconversation.com/institutions/george-institute-for-global-health-874">George Institute for Global Health</a> and <a href="https://theconversation.com/profiles/leticia-deveza-1550633">Leticia Deveza</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> It’s cold and wet outside. As you get out of bed, you can feel it in your bones. Your right knee is flaring up again. That’ll make it harder for you to walk the dog or go to the gym. You think it must be because of the weather. It’s a common idea, but a myth. When we looked at the evidence, <a href="https://www.sciencedirect.com/science/article/pii/S0049017224000337">we found</a> no direct link between most common aches and pains and the weather. In the first study of its kind, we found no direct link between the temperature or humidity with most joint or muscle aches and pains. So why are so many of us convinced the weather’s to blame? Here’s what we think is really going on. <h2>Weather can be linked to your health</h2> The weather is often associated with the risk of new and ongoing health conditions. For example, cold temperatures <a href="https://pubmed.ncbi.nlm.nih.gov/27021573/">may worsen</a> asthma symptoms. Hot temperatures <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00117-6/fulltext">increase the risk</a> of heart problems, such as arrhythmia (irregular heartbeat), cardiac arrest and coronary heart disease. Many people are also convinced the weather is linked to their aches and pains. For example, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1479-8077.2004.00099.x?casa_token=jvpSbA4szqoAAAAA%3ATyHyGaqXmfevWyuJe6LW_3Pap3IPHC8HSMTl3RN63mFzNO0X7ozQjBb6Bi3yVFuPjqkrf-WlB-J5A1q1">two in every three</a> people with knee, hip or hand osteoarthritis <a href="https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-66">say</a> cold temperatures trigger their symptoms. Musculoskeletal conditions affect more than <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions-comorbidity-australia/summary">seven million Australians</a>. So we set out to find out whether weather is really the culprit behind winter flare-ups. <h2>What we did</h2> Very few studies have been specifically and appropriately designed to look for any direct link between weather changes and joint or muscle pain. And ours is the first to evaluate data from these particular studies. We looked at data from more than 15,000 people from around the world. Together, these people reported more than 28,000 episodes of pain, mostly back pain, knee or hip osteoarthritis. People with rheumatoid arthritis and gout were also included. We then compared the frequency of those pain reports between different types of weather: hot or cold, humid or dry, rainy, windy, as well as some combinations (for example, hot and humid versus cold and dry). <h2>What we found</h2> We found changes in air temperature, humidity, air pressure and rainfall do not increase the risk of knee, hip or lower back pain symptoms and are not associated with people seeking care for a new episode of arthritis. The results of this study suggest we do not experience joint or muscle pain flare-ups as a result of changes in the weather, and a cold day will not increase our risk of having knee or back pain. In order words, there is no direct link between the weather and back, knee or hip pain, nor will it give you arthritis. It is important to note, though, that very cold air temperatures (under 10°C) were rarely studied so we cannot make conclusions about worsening symptoms in more extreme changes in the weather. The only exception to our findings was for gout, an inflammatory type of arthritis that can come and go. Here, pain increased in warmer, dry conditions. Gout has a very different underlying biological mechanism to back pain or knee and hip osteoarthritis, which may explain our results. The combination of warm and dry weather may lead to increased dehydration and consequently increased concentration of uric acid in the blood, and deposition of uric acid crystals in the joint in people with gout, resulting in a flare-up. <h2>Why do people blame the weather?</h2> The weather can influence other factors and behaviours that consequently shape how we perceive and manage pain. For example, some people may change their physical activity routine during winter, choosing the couch over the gym. And we know <a href="https://pubmed.ncbi.nlm.nih.gov/28700451/">prolonged sitting</a>, for instance, is directly linked to worse back pain. Others may change their sleep routine or sleep less well when it is either too cold or too warm. Once again, a bad night’s sleep can trigger your <a href="https://link.springer.com/article/10.1007/s00586-021-06730-6">back</a> and <a href="https://www.sciencedirect.com/science/article/pii/S1063458421007020">knee</a> pain. Likewise, changes in mood, often experienced in cold weather, trigger increases in both <a href="https://link.springer.com/article/10.1007/s00586-021-06730-6">back</a> and <a href="https://www.sciencedirect.com/science/article/pii/S1063458421007020">knee</a> pain. So these changes in behaviour over winter may contribute to more aches and pains, and not the weather itself. Believing our pain will feel worse in winter (even if this is not the case) may also make us feel worse in winter. This is known as the <a href="https://link.springer.com/article/10.1186/s12891-018-1943-8">nocebo effect</a>. <h2>What to do about winter aches and pains?</h2> It’s best to focus on risk factors for pain you can control and modify, rather than ones you can’t (such as the weather). You can: <ul> <li> become more physically active. This winter, and throughout the year, aim to walk more, or talk to your health-care provider about gentle exercises you can safely do at home, with a physiotherapist, personal trainer or at the pool </li> <li> lose weight if obese or overweight, as this is linked to <a href="https://jamanetwork.com/journals/jama/article-abstract/2799405">lower levels</a> of joint pain and better physical function </li> <li> keep your body warm in winter if you feel some muscle tension in uncomfortably cold conditions. Also ensure your bedroom is nice and warm as we tend to sleep <a href="https://www.sciencedirect.com/science/article/pii/S0033350623003359">less well</a> in cold rooms </li> <li> maintain a healthy diet and <a href="https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00098-X/fulltext">avoid smoking</a> or drinking high levels of alcohol. These are among <a href="https://ard.bmj.com/content/annrheumdis/82/1/48.full.pdf">key lifestyle recommendations</a> to better manage many types of arthritis and musculoskeletal conditions. For people with back pain, for example, a healthy lifestyle is linked with <a href="https://pubmed.ncbi.nlm.nih.gov/36208321/">higher levels</a> of physical function.<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/235117/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ul> <a href="https://theconversation.com/profiles/manuela-ferreira-161420">Manuela Ferreira</a>, Professor of Musculoskeletal Health, Head of Musculoskeletal Program, <a href="https://theconversation.com/institutions/george-institute-for-global-health-874">George Institute for Global Health</a> and <a href="https://theconversation.com/profiles/leticia-deveza-1550633">Leticia Deveza</a>, Rheumatologist and Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock 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/no-your-aches-and-pains-dont-get-worse-in-the-cold-so-why-do-we-think-they-do-235117">original article</a>. </div>

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I’ve recovered from a cold but I still have a hoarse voice. What should I do?

Woolies trial bold new "scan as you go" trolleys

No, your aches and pains don’t get worse in the cold. So why do we think they do?

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