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The latest COVID booster will soon be available. Should I get one? Am I eligible?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/nathan-bartlett-1198187">Nathan Bartlett</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Australia’s <a href="https://www.tga.gov.au/products/covid-19/covid-19-vaccines/covid-19-vaccines-regulatory-status">Therapeutic Goods Administration</a> (TGA) has recently approved a new COVID booster. The shot was developed by Pfizer and targets <a href="https://www.sbs.com.au/news/article/what-to-know-about-the-new-covid-19-vaccine-approved-in-australia/z7ev2u8qn">the JN.1 sub-variant</a> of Omicron.</p> <p>This is now <a href="https://theconversation.com/new-covid-vaccines-may-be-coming-to-australia-heres-what-to-know-about-the-jn-1-shots-237652">the fifth iteration</a> of the COVID vaccines, which have been updated regularly to keep up with the rapidly evolving virus, SARS-CoV-2.</p> <p>But nearly five years into the pandemic, you may be wondering, why do we need yet another type of COVID booster? And do we still need to be getting boosters at all? Here’s what to consider.</p> <h2>Targeting the spike protein</h2> <p>Pfizer’s JN.1 booster (and Moderna’s, though the TGA has <a href="https://www.tga.gov.au/products/covid-19/covid-19-vaccines/covid-19-vaccines-regulatory-status">not approved</a> this one at this stage) is based on mRNA technology. This technology instructs our cells to produce a specific protein – in this case SARS-CoV-2’s spike, a protein on the surface of the virus that allows it to attach to our cells.</p> <p>This helps the immune system produce antibodies that recognise the spike protein and interfere with the virus getting into our cells.</p> <p>In response to our strengthened immune responses from vaccinations and previous infections (called immune pressure), SARS-CoV-2 has continued to evolve over the course of the pandemic, modifying the shape of its spike protein so our antibodies become less effective.</p> <p>Most recently we’ve faced a soup of Omicron sub-variants, including JN.1. Since JN.1 was first detected <a href="https://www.gavi.org/vaccineswork/seven-things-you-need-know-about-jn1-covid-19-variant">in August 2023</a>, this Omicron sub-variant has spawned a variety of further sub-variants, such as KP.2 (known as FLiRT), KP.3 (<a href="https://theconversation.com/from-flirt-to-fluqe-what-to-know-about-the-latest-covid-variants-on-the-rise-234073">known as FLuQE</a>) and <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">XEC</a>.</p> <p>The spike protein is made up of <a href="https://www.nature.com/articles/s41401-020-0485-4">1,273 amino acids</a>, a bit like molecular building blocks. Mutations to <a href="https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2023.1228128/full">the spike protein</a> change individual amino acids.</p> <p>Certain amino acids are important for allowing neutralising antibodies to bind to the spike protein. This means changes can give the virus an edge over earlier variants, helping it evade our immune response.</p> <p>Scientists keep updating the COVID vaccines in an effort to keep up with these changes. The better matched the vaccine “spike” is to the spike protein on the surface of the virus trying to infect you, the better protection you’re likely to get.</p> <h2>So who should get vaccinated, and when?</h2> <p>Updating vaccines to deal with mutating viruses is not a new concept. It has been happening for the flu vaccine since <a href="https://www.who.int/news-room/spotlight/history-of-vaccination/history-of-influenza-vaccination">around 1950</a>.</p> <p>We’ve become accustomed to getting the annual flu vaccine in the lead-up to the winter cold and flu season. But, unlike influenza, COVID has not settled into this annual seasonal cycle. The frequency of COVID waves of infection has been fluctuating, with new waves emerging periodically.</p> <p>COVID is also <a href="https://academic.oup.com/jtm/article/29/8/taac108/6731971">more transmissible</a> than the flu, which presents another challenge. While numbers vary, a conservative estimate of the reproduction number (R0 – how many people will one person will go on to infect) for JN.1 is 5. Compare this to seasonal flu with an R0 of <a href="https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-14-480">about 1.3</a>. In other words, COVID could be four times more transmissible than flu.</p> <p>Add to this immunity from a COVID vaccination (or a previous infection) <a href="https://www.nature.com/articles/d41586-023-00124-y">begins to wane</a> in the months afterwards.</p> <p>So an annual COVID booster is not considered enough for some more vulnerable people.</p> <p><iframe id="gOYwk" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/gOYwk/2/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>For adults <a href="https://www.health.gov.au/our-work/covid-19-vaccines/getting-your-vaccination">aged 65 to 74</a>, a booster is recommended every 12 months, but they’re eligible every six months. For adults over 75, a shot is recommended every six months.</p> <p>Adults aged 18 to 64 are eligible every 12 months, unless they have a severe immune deficiency. Many conditions can cause immunodeficiency, including genetic disorders, infections, cancer, autoimmune diseases, diabetes and lung disease, as well as having received an organ transplant. For this group, it’s recommended they receive a shot every 12 months, but they’re eligible every six.</p> <h2>Making sense of the advice</h2> <p>A vaccine that targets JN.1 should provide good protection against the Omicron sub-variants likely to be circulating in the coming months.</p> <p>A few things need to happen before the JN.1 shots become available, such as the Australian Technical Advisory Group on Immunisation providing guidance to the government. But we can reasonably expect they might be rolled out <a href="https://www.sbs.com.au/news/article/what-to-know-about-the-new-covid-19-vaccine-approved-in-australia/z7ev2u8qn">within the next month or so</a>.</p> <p>If they hit doctors’ offices and pharmacies before Christmas and you’re due for a booster, the holiday period might be added impetus to go and get one, especially if you’re planning to attend lots of family and social gatherings over summer.</p> <p>In the meantime, the <a href="https://theconversation.com/what-are-the-new-covid-booster-vaccines-can-i-get-one-do-they-work-are-they-safe-217804">XBB.1.5 vaccines</a> remain available. Although they’re targeted at an earlier Omicron sub-variant, they should still offer some protection.</p> <p>While young, healthy people might like to wait for the updated boosters, for those who are vulnerable and due for a vaccination, whether or not to hold out may be something to weigh up with your doctor.</p> <p>The advice on COVID boosters in Australia, with stronger wording (“recommended” versus “eligible”) used for more vulnerable groups, reflects what we know about COVID. People <a href="https://academic.oup.com/ageing/article/49/6/901/5862042">who are older</a> and medically vulnerable are more likely to become very unwell with the virus.</p> <p>For young, healthy people who may be wondering, “do I need a COVID booster at all?”, having one annually is sensible. Although you’re less likely to get very sick from COVID, it’s possible. And, importantly, vaccines also reduce the risk of <a href="https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(24)00082-1/fulltext">developing long COVID</a>.</p> <p>While COVID vaccines do a very good job of protecting against severe disease, they don’t necessarily stop you becoming infected. Evidence on whether they reduce transmission <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116597">has been mixed</a>, and <a href="https://pubmed.ncbi.nlm.nih.gov/38820077/">changed over time</a>.</p> <p>We’ve come to appreciate that vaccination is not going to free us of COVID. But it’s still our best defence against severe illness.<!-- 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/239594/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/nathan-bartlett-1198187"><em>Nathan Bartlett</em></a><em>, Professor, School of Biomedical Sciences and Pharmacy, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</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/the-latest-covid-booster-will-soon-be-available-should-i-get-one-am-i-eligible-239594">original article</a>.</em></p> </div>

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"One more shot": Nick Kyrgios makes major career announcement

<p>After two years of dealing with an injury, Nick Kyrgios has made a major announcement about his career future. </p> <p>The 29-year-old Aussie tennis champion has confirmed he will be returning to the court for Australian Open in 2025, after not playing any professional tennis for 492 days. </p> <p>His last match dates all the way back to June 13th in 2023, which he lost against China’s Yibing Wu before he took a step back from the court to deal with serious knee and wrist injuries. </p> <p>While many fans have speculated whether he would ever return to the sport, Kyrgios made the announcement himself while speaking at South by South West (SXSW) in Sydney on Thursday. </p> <p>“The injury I had was brutal,” he said as a keynote speaker on stage.</p> <p>“The surgeon said I probably wouldn’t be able to play again. But I said whatever, just try and get me another 2-3 years of my career."</p> <p>“Everything has gone semi-well and I will be playing the Australia Open this summer.”</p> <p>While on his hiatus from playing, Kyrios has dabbled in the world of commentating, but he admitted it has been tough to sit on the sidelines for so long. </p> <p>“It’s been a brutal last couple of years ... but just being out there to play in front of a home crowd ... I just want to be out there, lighting up the crowd and playing in front of my own country,” Kyrios added.</p> <p>“Whether it is good or bad, it will certainly be a lot of fun, for sure. I am looking forward to it.</p> <p>“My only motivation to come back and play is to try and win a grand slam, and I’ll give it one more shot.”</p> <p><em>Image credits: Getty Images </em></p>

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Police appeal for information after baby seal shot

<p>Authorities have offered up a reward of $20,000 USD ($29,000 AUD) in exchange for information after a baby seal was shot dead on a beach in Southern California. </p> <p>The fatally wounded male sea lion was discovered on August 7th between two lifeguard stations at Bolsa Chica State Beach in Orange County, according to the National Oceanic and Atmospheric Administration (NOAA).</p> <p>The animal was estimated to be just two years old and died the day after it was found, with an examination revealing the seal had a gunshot wound to the back, according to a statement from NOAA.</p> <p>The agency said its law enforcement division was offering the reward "for information leading to a civil penalty or criminal conviction" in connection with the shooting, as the federal Marine Mammal Protection Act prohibits harassing, hunting, capturing or killing sea lions and other marine mammals.</p> <p>Violators can face criminal penalties, fines, and the forfeiture of any vessel involved in the incident.</p> <p>NOAA spokesperson Michael Milstein told <em><a href="https://www.usatoday.com/story/news/nation/2024/10/10/sea-lion-shot-california-beach-noaa-reward-offered/75605210007/" target="_blank" rel="noopener">USA TODAY</a></em> that the agency hopes "the reward offer will help encourage someone who may have seen something or heard something unusual to let us know to help us identify a suspect in this case."</p> <p>"We do get sea lions regularly that have been shot but this animal was still alive when found, so the wound was fresh and it was on a public beach, which hopefully increases the odds that someone knows something about what happened," Milstein added.</p> <p><em>Image credits: NOAA</em></p>

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

<div class="theconversation-article-body"><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>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&amp;download=true">small number of people</a>.</p> <p>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.</p> <p>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.</p> <p>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?</p> <h2>Some bird flu background</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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>.</p> <p>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.</p> <p>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.</p> <p><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.</p> <p>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.</p> <p>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.</p> <h2>Seasonal flu vaccines are not effective against bird flu</h2> <p>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.</p> <p>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%.</p> <p>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.</p> <h2>Preventing a hybrid bird-human strain</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>The value of a flu shot for travellers</h2> <p>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.</p> <p>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.</p> <p>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.<!-- 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/237859/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/flu-shots-play-an-important-role-in-protecting-against-bird-flu-but-not-for-the-reason-you-might-think-237859">original article</a>.</em></p> </div>

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Are you up to date with your COVID, flu and other shots? It might depend on who your GP is

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/peter-breadon-1348098">Peter Breadon</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/anika-stobart-1014358">Anika Stobart</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p>Too many older Australians are <a href="https://grattan.edu.au/wp-content/uploads/2023/11/A-fair-shot-How-to-close-the-vaccination-gap-Grattan-Institute-Report.pdf">missing out</a> on recommended vaccinations for COVID, flu, shingles and pneumococcal that can protect them from serious illness, hospitalisation and even death.</p> <p>A new <a href="https://grattan.edu.au/">Grattan Institute report</a> shows vaccination rates vary widely from GP to GP, highlighting an important place to look for opportunities to boost vaccination.</p> <p>Many people get vaccinated at pharmacies, and those vaccinations are counted in our analysis. But we looked at GPs because they have a unique role overseeing someone’s health care, and an important role promoting vaccination.</p> <p>We found that for some GPs, nine in ten of their older patients were vaccinated for flu. For others, the rate was only four in ten. The differences for shingles and COVID were even bigger. For pneumococcal disease, there was a 13-fold difference in GPs’ patient vaccination rates.</p> <p>While some variation is inevitable, these differences are large, and they result in too many people missing out on recommended vaccines.</p> <h2>Some GPs treat more complex patients</h2> <p>A lot of these differences reflect the fact that GPs see different types of patients.</p> <p>Our research shows older people who aren’t proficient in English are up to 15% less likely to be vaccinated, even after other factors are taken into account. And the problem seems to be getting worse.</p> <p>COVID vaccination rates for people 75 years and older fell to just 36% in May 2024. But rates were even lower – a mere 11% – for people who don’t speak English proficiently, and 15% for those who speak a language other than English at home.</p> <p>Given these results, it’s no surprise that GPs with fewer patients who are vaccinated also have more patients who struggle with English. For GPs with the lowest vaccination rates, one-quarter of their patients aren’t proficient in English. For GPs with the highest vaccination rates, it is only 1%.</p> <p>GPs with fewer vaccinated patients also saw more people who live in rural areas, are poorer, didn’t go to university, and don’t have regular access to a GP, all of which reduce the likelihood of getting vaccinated.</p> <p>Many of these barriers to vaccination are difficult for GPs to overcome. They point to structural problems in our health system, and indeed our society, that go well beyond vaccination.</p> <p>But GPs are also a key part of the puzzle. A <a href="https://www.ijidonline.com/article/S1201-9712(14)01379-4/fulltext">strong</a> <a href="https://www.tandfonline.com/doi/full/10.1080/21645515.2020.1780848">recommendation</a> from a GP can make a big difference to whether a patient gets vaccinated. <a href="https://www.aihw.gov.au/reports/primary-health-care/general-practice-allied-health-primary-care">Nearly all</a> older Australians visit a GP every year. And some GPs have room for improvement.</p> <h2>But GPs seeing similar patients can have very different vaccination rates</h2> <p>We compared GPs whose patients had a similar likelihood of being vaccinated, based on a range of factors including their health, wealth and cultural background.</p> <p>Among the GPs whose patients were least likely to get a flu vaccination, some saw less than 40% of their patients vaccinated, while for others in that group, the rate was over 70%.</p> <p>Among GPs with patients who face few barriers to vaccination, the share of their patients who were vaccinated also varied widely.</p> <p>Even within neighbourhoods, GP patient vaccination rates vary a lot. For example, in Bankstown in Sydney, there was a seven-fold difference in COVID vaccination rates and an 18-fold difference for pneumococcal vaccination.</p> <p>Not everything about clinics and patients can be measured in data, and there will be good reasons for some of these differences.</p> <p>But the results do suggest that some GPs are beating the odds to overcome patient barriers to getting vaccinated, while other GPs could be doing more. That should trigger focused efforts to raise vaccination rates where they are low.</p> <h2>So what should governments do?</h2> <p>A comprehensive national reform agenda is <a href="https://grattan.edu.au/wp-content/uploads/2023/11/A-fair-shot-How-to-close-the-vaccination-gap-Grattan-Institute-Report.pdf">needed to increase adult vaccination</a>. That includes clearer guidance, national advertising campaigns, SMS reminders, and tailored local programs that reach out to communities with very low levels of vaccination.</p> <p>But based on the big differences in GPs’ patient vaccination rates, Australia also needs a three-pronged plan to help GPs lift older Australians’ vaccination rates.</p> <p>First, the way general practice is funded needs to be overhauled, providing more money for the GPs whose patients face higher barriers to vaccination. Today, clinics with patients who are poorer, sicker and who struggle with English tend to get less funding. They should get more, so they can spend more time with patients to explain and promote vaccination.</p> <p>Second, GPs need to be given data, so that they can easily see how their vaccination rates compare to GPs with similar patients.</p> <p>And third, Primary Health Networks – which are responsible for improving primary care in their area – should give clinics with low vaccination rates the help they need. That might include running vaccination sessions, sharing information about best practices that work in similar clinics with higher vaccination rates, or offering translation support.</p> <p>And because pharmacies also play an important role in promoting and providing vaccines, governments should give them data too, showing how their rates compare to other pharmacies in their area, and support to boost vaccination uptake.</p> <p>These measures would go a long way to better protect some of the most vulnerable in our society. Governments have better data than ever before on who is missing out on vaccinations – and other types of health care.</p> <p>They shouldn’t miss the opportunity to target support so that no matter where you live, what your background is, or which GP or pharmacy you go to, you will have the best chance of being protected against disease.<!-- 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/234175/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/peter-breadon-1348098"><em>Peter Breadon</em></a><em>, Program Director, Health and Aged Care, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/anika-stobart-1014358">Anika Stobart</a>, Senior Associate, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</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/are-you-up-to-date-with-your-covid-flu-and-other-shots-it-might-depend-on-who-your-gp-is-234175">original article</a>.</em></p> </div>

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"I just got shot": Trump gives first interview after assassination attempt

<p>In his first interview since a <a href="https://www.oversixty.com.au/finance/legal/attempted-assassination-of-trump-the-long-history-of-violence-against-u-s-presidents" target="_blank" rel="noopener">failed assassination attempt</a> at a campaign rally in Pennsylvania, Donald Trump provided new insights into his harrowing experience and "miraculous" survival. The incident occurred on Saturday afternoon when 20-year-old Thomas Matthew Crooks fired upon the former president during his speech.</p> <p>Speaking aboard his private jet to a <a href="https://nypost.com/2024/07/14/us-news/grateful-defiant-trump-recounts-surreal-assassination-attempt-at-rally-im-supposed-to-be-dead/" target="_blank" rel="noopener"><em>New York Post</em> journalist</a>, Trump described the weekend’s events as a “very surreal experience".</p> <p>“The doctor at the hospital said he never saw anything like this, he called it a miracle,” Trump, wearing a white bandage over his right ear, told the <em>Post</em>. “I’m not supposed to be here, I’m supposed to be dead.”</p> <p>Trump recounted that his survival was due to a slight turn of his head to the right to read a chart on illegal immigrants. At that precise moment, what could have been a fatal shot tore off a small piece of his ear, splattering blood on his forehead and cheek.</p> <p>As Secret Service agents quickly led him off stage, Trump expressed his desire to continue speaking to his supporters. However, agents insisted it wasn’t safe and rushed him to a hospital. He marvelled at how the agents reacted, comparing them to "linebackers" as they shielded him.</p> <p>Unbuttoning his long-sleeve white shirt, Trump revealed a large bruise on his right forearm, evidence of the forceful protection provided by the agents.</p> <p>Trump had previously posted on his social media account, Truth Social, to thank the Secret Service and law enforcement. “The agents hit me so hard that my shoes fell off, and my shoes are tight,” he said.</p> <p>Microphones at the podium captured the urgent commands from security telling Trump to “get down, get down” before he was helped back up. In the commotion, Trump was heard saying, “let me get my shoes,” before being escorted to a waiting car.</p> <p>In a powerful photograph that has since circulated widely, Trump, after being shot, stood and raised his fist, shouting “fight” three times to the crowd as Secret Service agents tried to move him offstage.</p> <p>“A lot of people say it’s the most iconic photo they’ve ever seen,” Trump said of the image. “They’re right and I didn’t die. Usually, you have to die to have an iconic picture. I just wanted to keep speaking, but I just got shot.”</p> <p>The rally saw two people killed, including the shooter, and two others injured. Reflecting on his survival, Trump told reporters that “by luck or by God” he was still here.</p> <p><em>Images: Xinhua News Agency/Shutterstock Editorial</em> </p>

Legal

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Olympian and former world champ shot dead at 42

<p>South African police have found the body of former Olympian and high jump world champion Jacques Freitag after he was reported missing. </p> <p>Local authorities say that they found the body of the 42-year-old in a field near a cemetery in the city of Pretoria with fatal gunshot wounds, and are treating his death as murder. </p> <p>South African news Netwerk24 reported that a source claims Freitag was allegedly executed, as one of the gunshot wounds was allegedly located in the back of his head.</p> <p>Freitag's sister, Chrissie Lewis, had appealed for help on social media to find her brother, who went missing in the early hours of June 17th after leaving his mother's house.</p> <p>Lewis said he had struggled with drug addiction after his athletics career ended.</p> <p>He was then not seen again until his body was discovered. </p> <p>Freitag won the 2003 world title in Paris and competed at the 2004 Olympics, representing South Africa in high jump.</p> <p>He was among a select group of athletes to win world titles at youth, junior and senior level, as World Athletics called Freitag “a prodigious athlete”. </p> <p>He won the high jump at the 1999 Youth World Championships in Poland, the Junior World Champs in Chile in 2000 and the Senior's in France in 2003.</p> <p>In 2003, he cleared 2.35m at the Stade de France in Paris to win the gold medal at the IAAF World Championships.</p> <p>He retired from sport in 2013 and was said to have in recent times been sleeping on the streets or friends' couches, having been unable to hold down a full-time job.</p> <p><em>Image credits: Hahn Lionel/ABACA/Shutterstock Editorial </em></p>

Caring

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Woman shot dead in Mackay in front of children

<p>A 34-year-old woman has been fatally shot through the window of a car in Mackay on Wednesday afternoon, in front of her teen children who had to flee for help. </p> <p>The man also allegedly shot a 66-year-old man who came to her aid before fleeing the scene. </p> <p>The woman died from her injuries, while the 66-year-old was taken to hospital in a serious but stable condition after he was shot in the sternum area, according to police. </p> <p>Her death caused an emergency declaration that shut down parts of South Mackay as police searched for the alleged shooter. </p> <p>“The children were young teenagers... it’s an absolutely shocking thing to have experienced,” District Superintendent Graeme Paine said.</p> <p>“They were very fearful... It’s an absolutely tragic situation.”</p> <p>The suspect was arrested at 7:45pm outside a Bruce Highway business, about 2km away and is assisting authorities with their investigation. </p> <p>Police said that there was no indication that the man and woman knew each other, but it is understood that they “reside in fairly close proximity”.</p> <p>“I don’t have any details at this stage in relation to any sort of motive or reasons behind what’s occurred,” the District Superintendent said. </p> <p>The emergency declaration has since been revoked, with police saying that they have contained the situation. </p> <p>No charges have yet been laid. </p> <p><em>Image: 7News</em></p>

Caring

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Drinking olive oil: a health and beauty elixir or celebrity fad in a shot glass?

<p><em><a href="https://theconversation.com/profiles/hazel-flight-536221">Hazel Flight</a>, <a href="https://theconversation.com/institutions/edge-hill-university-1356">Edge Hill University</a></em></p> <p>In the ever-changing world of wellness trends and celebrity endorsed health fads there is a new trend on the scene: daily olive oil shots.</p> <p>Celebrities such as <a href="https://poosh.com/why-kourtney-kardashian-drinks-tablespoon-evoo/">Kourtney Kardashian</a>, Beyonce, Gwyneth Paltrow and <a href="https://www.womanandhome.com/life/news-entertainment/jennifer-lopez-credits-her-grandmas-crazy-beauty-secret-for-glowing-skin-and-chances-are-you-already-have-it-at-home/">Jennifer Lopez</a> all extol the virtues of swigging extra virgin as well as slathering it on their skin, crediting olive oil for their glowing complexions.</p> <p>Lopez even based her JLo Beauty brand around the kitchen staple, claiming that her age-defying looks were not the result of botox or surgery but the family beauty secret: <a href="https://graziamagazine.com/us/articles/jennifer-lopez-skincare-routine/">moisturising with olive oil</a>.</p> <p>And she’s in good company. Hollywood star <a href="https://jnews.uk/goldie-hawn-swears-by-olive-oil-for-perfect-skin-at-76-best-life/">Goldie Hawn reportedly drinks olive oil</a> before bed and uses it topically as a moisturiser, while <a href="https://www.redonline.co.uk/beauty/a31184313/julia-roberts-olive-oil-hair-skin/">beauty icon Sophia Loren</a> really goes to town by bathing in the stuff.</p> <p>While these celebrities swear by the skin beautifying properties of olive oil, some skin types should <a href="https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1182&amp;context=jdvi#:%7E:text=Background%3A%20Dry%20skin%20or%20xerosis,water%20in%20the%20stratum%20corneum.">give it a swerve</a>. Those <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/dth.14436">prone to acne</a> or eczema, for example, might find the <a href="https://www.jacionline.org/article/S0091-6749(21)00813-7/fulltext">olive oil exacerbates their problems</a>. Some <a href="https://pubmed.ncbi.nlm.nih.gov/22995032/">dermatologists warn against</a> using it as skin care altogether – bad news for JLo.</p> <figure><iframe src="https://www.youtube.com/embed/3F7uc9jV9V4?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Thanks largely to celebrity promotion, drinking olive oil has now become a <a href="https://www.independent.co.uk/tv/lifestyle/tiktok-dua-lipa-ice-cream-olive-oil-b2479725.html">worldwide TikTok sensation</a>. Viral videos show influencers tossing back shots of cult olive oil brands, and proclaiming a wide range of health benefits from improving digestion to clearing up acne.</p> <p>Celebrity and influencers are sold on liquid gold but what about the rest of us? Can drinking olive oil really work on miracles for our health?</p> <h2>The benefits of olive oil</h2> <p>There’s no doubt that olive oil is full of good stuff. It’s high in polyphenols and antioxidants, which have protective qualities for the body’s tissues. It’s also a rich source of essential fatty acids, including oleic acid, which is known for <a href="https://foodrevolution.org/blog/olives-and-olive-oil-benefits/#:%7E:text=Compared%20with%20olives%2C%20olive%20oil,in%20polyphenols%20and%20antioxidants%2C%20however">lowering cholesterol</a> so reducing the chances of heart disease.</p> <p>Research has found that the inclusion of olive oil in the diet shows encouraging effects in a variety of <a href="https://doi.org/10.3390%2Fnu11092039">inflammatory and medical diseases</a> and can <a href="https://doi.org/10.3389%2Ffnut.2022.980429">support weight management</a> if used correctly.</p> <p>Replacing butter, margarine, mayonnaise and dairy fat with olive oil has been linked to a <a href="https://doi.org/10.1016%2Fj.jacc.2021.10.041">lower risk of mortality</a>. There’s also evidence to suggest that the protective compounds in olive oil may help <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0261649">guard against cancer</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10376491/">dementia</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/29141573/">support the liver</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916323/">and kidneys</a>.</p> <p>But none of this is new information to health professionals. The health benefits of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466243/">extra virgin olive oil</a> are <a href="https://doi.org/10.3390%2Fnu11092039">well researched</a> and nutritionists have promoted olive oil as a swap for saturated cooking fat for years.</p> <p>After all, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7536728/">Mediterranean diet</a> has been touted as one of the healthiest diets in the world for decades. The diet itself can vary from region to region, but <a href="https://doi.org/10.3390%2Fnu15092127">virgin olive oil</a> is a <a href="https://doi.org/10.3390%2Fnu11092039">consistent element</a>. It’s used as the <a href="https://www.themediterraneandish.com/cooking-with-olive-oil/">main source of cooking fat</a> and included in everything from salad dressings to bread.</p> <figure><iframe src="https://www.youtube.com/embed/krFcE5IPT7g?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Can fat be healthy? Yes and no</h2> <p>Fats are crucial for a balanced diet, aiding in the absorption of fat-soluble vitamins A,D,E,K and enhancing the nutritional value of meals.</p> <p>However, fat of any kind is also dense in calories and excessive consumption <a href="https://doi.org/10.1159/000336848">can lead to weight gain</a>. According to the <a href="https://www.who.int/news/item/17-07-2023-who-updates-guidelines-on-fats-and-carbohydrates">World Health Organization</a>, to prevent unhealthy weight gain, adults should limit their intake of fat to 30% of total energy intake with no more than 10% coming from saturated fats.</p> <p>Two tablespoons of olive oil – the standard amount in the shots taken by celebrities and social media influencers – contain 28g of fat (238 calories) and 3.8g of saturated fat equating to <a href="https://fdc.nal.usda.gov/fdc-app.html#/food-details/171413/nutrients">19% of the recommended daily intake</a>.</p> <p>That daily shot of extra virgin, then, might not be the best idea. Adding small amounts of olive oil to meals throughout the day is a more balanced – and appetising – approach to incorporating healthy fats into your diet.</p> <p>But what about Kourtney Kardashian’s <a href="https://poosh.com/why-kourtney-kardashian-drinks-tablespoon-evoo/#:%7E:text=First%20things%20first%2C%20it's%20recommended,a.m.%20(every%20other%20day).">claim that</a>: “It’s recommended to consume extra virgin olive oil in the morning on an empty stomach so the oil can coat your system and neutralize your stomach walls for optimal benefits?”</p> <p><a href="https://www.oliveoiltimes.com/briefs/consuming-olive-oil-on-an-empty-stomach-health-benefits/91503">Some brands</a> have also echoed the idea that consuming olive oil on an empty stomach offers unique health benefits. But no. There’s no scientific evidence to suggest this is true.</p> <p>For a healthy but more satisfying snack, Kourtney might try including a handful of olives into her daily diet. Olives offer the same rich array of nutrients, including vitamins E, A and K, alongside essential minerals such as iron, calcium, magnesium, potassium and amino acids.</p> <p>Unlike olive oil, olives have the added benefit of a high fibre content. The combination of fat and fibre enhances feelings of satiety, making olives a nutritious addition to the diet.<!-- 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/224018/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/hazel-flight-536221">Hazel Flight</a>, Programme Lead Nutrition and Health, <a href="https://theconversation.com/institutions/edge-hill-university-1356">Edge Hill 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/drinking-olive-oil-a-health-and-beauty-elixir-or-celebrity-fad-in-a-shot-glass-224018">original article</a>.</em></p>

Beauty & Style

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COVID is surging in Australia – and only 1 in 5 older adults are up to date with their boosters

<p><em><a href="https://theconversation.com/profiles/adrian-esterman-1022994">Adrian Esterman</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Do you have family members or friends sick with a respiratory infection? If so, there’s a good chance it’s COVID, caused by the JN.1 variant currently circulating in Australia.</p> <p>In particular, New South Wales is reportedly experiencing its <a href="https://www.abc.net.au/news/2024-01-09/nsw-sydney-covid-variant-virus-pandemic-hospitalisations/103298610">highest levels</a> of COVID infections in a year, while Victoria is said to be facing a “<a href="https://www.9news.com.au/national/victoria-in-midst-of-double-wave-of-covid19--as-jn1-triggers-infections-surge/4dada2cb-7d56-436a-9490-cad1d908a29a">double wave</a>” after a surge late last year.</p> <p>But nearly four years into the pandemic, data collection is less comprehensive than it was, and of course, fewer people are testing. So what do we know about the extent of this wave? And importantly, are we adequately protected?</p> <h2>Difficulties with data</h2> <p>Tracking COVID numbers was easier in the first half of last year, when each state and territory provided a weekly update, giving us data on case notifications, hospitalisations, ICU numbers and deaths.</p> <p>In the second half of the year some states and territories switched to less frequent reporting while others stopped their regular updates. As a result, different jurisdictions now report at different intervals and provide varying statistics.</p> <p>For example, <a href="https://www.health.vic.gov.au/infectious-diseases/victorian-covid-19-surveillance-report">Victoria</a> still provides weekly reports, while NSW publishes <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20240106.pdf">fortnightly updates</a>.</p> <p>While each offer different metrics, we can gather – particularly from data on hospitalisations – that both states are experiencing a wave. We’re also seeing high levels of COVID <a href="https://www.health.vic.gov.au/infectious-diseases/victorian-covid-19-surveillance-report">in wastewater</a>.</p> <p>Meanwhile, <a href="https://health.nt.gov.au/covid-19/data">Northern Territory Health</a> simply tell you to go to the Australian government’s Department of Health website for COVID data. This houses the only national COVID <a href="https://www.health.gov.au/topics/covid-19/reporting?language=und">data collection</a>. Unfortunately, it’s not up to date, difficult to use, and, depending on the statistic, often provides no state and territory breakdowns.</p> <p>Actual case notifications are provided on a separate <a href="https://nindss.health.gov.au/pbi-dashboard/">website</a>, although given the lack of testing, these are likely to be highly inaccurate.</p> <p>The <a href="https://www.health.gov.au/topics/covid-19/reporting?language=und">Department of Health website</a> does provide some other data that gives us clues as to what’s happening. For example, as of one month ago, there were 317 active outbreaks of COVID in aged care homes. This figure has been generally rising since September.</p> <p>Monthly prescriptions for antivirals on the Pharmaceutical Benefits Scheme were increasing rapidly in November, but we are not given more recent data on this.</p> <p>It’s also difficult to obtain information about currently circulating strains. Data expert Mike Honey provides a regularly updated <a href="https://github.com/Mike-Honey/covid-19-genomes?tab=readme-ov-file#readme">snapshot</a> for Australia based on data from GISAID (the Global Initiative on Sharing All Influenza Data) that shows JN.1 rising in prevalence and accounting for about 40% of samples two weeks ago. The proportion is presumably higher now.</p> <h2>What’s happening elsewhere?</h2> <p>Many other countries are currently going through a COVID wave, probably driven to a large extent by JN.1. These include <a href="https://www.rnz.co.nz/news/national/506301/covid-19-complacency-waning-immunity-contribute-to-fifth-wave-epidemiologist">New Zealand</a>, <a href="https://www.independent.co.uk/news/world/europe/facemasks-mandatory-spain-hospitals-b2475563.html">Spain, Greece</a> and the United States.</p> <p>According to cardiologist and scientist Eric Topol, the US is currently experiencing its <a href="https://www.latimes.com/opinion/story/2024-01-04/covid-2024-flu-virus-vaccine">second biggest wave</a> since the start of the pandemic, linked to JN.1.</p> <h2>Are vaccines still effective?</h2> <p>It’s expected the current COVID vaccines, which target the omicron variant XBB.1.5, are still <a href="https://www.gavi.org/vaccineswork/seven-things-you-need-know-about-jn1-covid-19-variant">effective</a> at reducing hospitalisations and deaths from JN.1 (also an omicron offshoot).</p> <p>The Australian Technical Advisory Group on Immunisation (ATAGI) updated their <a href="https://www.health.gov.au/news/atagi-update-on-the-covid-19-vaccination-program">advice</a> on booster shots in September last year. They recommended adults aged over 75 should receive an additional COVID vaccine dose in 2023 if six months had passed since their last dose.</p> <p>They also suggest all adults aged 65 to 74 (plus adults of any age who are severely immunocompromised) should consider getting an updated booster. They say younger people or older adults who are not severely immunocompromised and have already had a dose in 2023 don’t need further doses.</p> <p>This advice is very confusing. For example, although ATAGI does not recommend additional booster shots for younger age groups, does this mean they’re not allowed to have one?</p> <p>In any case, as of <a href="https://www.health.gov.au/resources/publications/covid-19-vaccine-rollout-update-8-december-2023?language=en">December 6</a>, only 19% of people aged 65 and over had received a booster shot in the last six months. For those aged 75 and over, this figure is 23%. Where is the messaging to these at-risk groups explaining why updating their boosters is so important?</p> <h2>Should we be concerned by this wave?</h2> <p>That depends on who we mean by “we”. For those who are vulnerable, absolutely. Mainly because so few have received an updated booster shot and very few people, including the elderly, are wearing masks.</p> <p>For the majority of people, a COVID infection is unlikely to be serious. The biggest concern for younger people is the risk of long COVID, which research suggests <a href="https://www.nature.com/articles/s41591-022-02051-3">increases</a> with each reinfection.</p> <h2>What should we expect in 2024?</h2> <p>It’s highly likely we will see repeated waves of infections over the next 12 months and beyond, mainly caused by waning immunity from previous infection, vaccination or both, and new subvariants.</p> <p>Unless a new subvariant causes more severe disease (and at this stage, there’s no evidence JN.1 does), we should be able to manage quite well, without our hospitals becoming overwhelmed. However, we should be doing more to protect our vulnerable population. Having only one in five older people up to date with a booster and more than 300 outbreaks in aged care homes is not acceptable.</p> <p>For those who are vulnerable, the usual advice applies. Make sure you’re up to date with your booster shots, wear a P2/N95 mask when out and about, and if you do get infected, take antivirals as soon as possible.<!-- 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/220839/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-esterman-1022994"><em>Adrian Esterman</em></a><em>, Professor of Biostatistics and Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/covid-is-surging-in-australia-and-only-1-in-5-older-adults-are-up-to-date-with-their-boosters-220839">original article</a>.</em></p>

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Rob Dale "destroyed" after police shot dead pet dog

<p>Rob Dale, who has previously starred in reality TV show <em>Aussie Gold Hunters</em>, was left heartbroken after his pet dog Monty was shot dead during an arrest in Perth's north-east. </p> <p>Police were making an arrest in Dale's house on Stratton Blvd at around 9:30am on Tuesday when the incident occurred. </p> <p>“While at the residence, a dog owned by another person approached and attacked the arrested suspect and a female police officer,” authorities said at the time. </p> <p> A male officer fired at Monty "to prevent further injury". </p> <p>Two men were arrested for aggravated home burglary and commit, stealing and trespassing, after a series of incidences that led police officers to Dale's home. </p> <p>Dale was not home at the time of the incident, and there is no suggestion that he was involved in any alleged crimes. </p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">The TV personality said that his nine-year-old French mastiff x Great Dane, was a  much loved “member of the family," and he was only trying to protect the occupants of the house. </span></p> <p>“He was loyal and protective and he gave me a lot of comfort knowing that if anything was to happen ... my family would be safe with him,” Dale said. </p> <p>“This has destroyed my children and myself.”</p> <p>Dale described his pet as  a “really soft-natured animal”, and was a "protector of the family”. </p> <p>“He was just fulfilling his duty in that house and that’s to protect the occupants, and it’s cost him his life,” Dale added. </p> <p>Both the suspect and police officer were taken to hospital after the incident and discharged on Tuesday afternoon. </p> <p>Images: <em>7NEWS</em></p> <p> </p>

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What are the new COVID booster vaccines? Can I get one? Do they work? Are they safe?

<p><em><a href="https://theconversation.com/profiles/paul-griffin-1129798">Paul Griffin</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>As the COVID virus continues to <a href="https://pubmed.ncbi.nlm.nih.gov/36680207/">evolve</a>, so does our vaccine response. From <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/new-covid-19-vaccines-available-to-target-current-variants?language=en">December 11</a>, Australians will have access to <a href="https://www.health.gov.au/news/atagi-recommendations-on-use-of-the-moderna-and-pfizer-monovalent-omicron-xbb15-covid-19-vaccines?language=en">new vaccines</a> that offer better protection.</p> <p>These “monovalent” booster vaccines are expected to be a <a href="https://theconversation.com/cdc-greenlights-two-updated-covid-19-vaccines-but-how-will-they-fare-against-the-latest-variants-5-questions-answered-213341">better match</a> for currently circulating strains of SARS-CoV-2, the virus that causes COVID.</p> <p>Pfizer’s monovalent vaccine will be <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/new-covid-19-vaccines-available-to-target-current-variants?language=en">available</a> to eligible people aged five years and older. The Moderna monovalent vaccine can be used for those aged 12 years and older.</p> <p>Who is eligible for these new boosters? How do they differ from earlier ones? Do they work? Are they safe?</p> <h2>Who’s eligible for the new boosters?</h2> <p>The federal government has accepted the Australian Technical Advisory Group (ATAGI) recommendation to use the new vaccines, after Australia’s regulator <a href="https://www.tga.gov.au/products/covid-19/covid-19-vaccines/covid-19-vaccines-regulatory-status">approved their use last month</a>. However, vaccine eligibility has remained the same since September.</p> <p>ATAGI <a href="https://www.health.gov.au/news/atagi-recommendations-on-use-of-the-moderna-and-pfizer-monovalent-omicron-xbb15-covid-19-vaccines?language=en">recommends</a> Australians aged over 75 get vaccinated if it has been six months or more since their last dose.</p> <p>People aged 65 to 74 are recommended to have a 2023 booster if they haven’t already had one.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/560533/original/file-20231120-21-4igdnx.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">For people without risk factors.</span> <span class="attribution"><a class="source" href="https://www.health.gov.au/sites/default/files/2023-10/atagi-recommended-covid-19-vaccine-doses.pdf">Health.gov.au</a></span></figcaption></figure> <p>Adults aged 18 to 64 <em>with</em> underlying risk factors that increase their risk of severe COVID are also recommended to have a 2023 booster if they haven’t had one yet. And if they’ve already had a 2023 booster, they can consider an additional dose.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=311&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=311&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=311&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=391&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=391&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/560532/original/file-20231120-26-70jfyr.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=391&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Advice for people with risk factors.</span> <span class="attribution"><a class="source" href="https://www.health.gov.au/sites/default/files/2023-10/atagi-recommended-covid-19-vaccine-doses.pdf">Health.gov.au</a></span></figcaption></figure> <p>For adults aged 18 to 64 <em>without</em> underlying risk factors who have already received a 2023 booster, an additional dose isn’t recommended. But if you’re aged 18 to 64 and haven’t had a booster in 2023, you can consider an additional dose.</p> <p>Additional doses aren’t recommended for children <em>without</em> underlying conditions that increase their risk of severe COVID. A primary course is not recommended for children aged six months to five years <em>without</em> additional risk factors.</p> <h2>Monovalent, bivalent? What’s the difference?</h2> <p><strong>From monovalent</strong></p> <p>The initial COVID vaccines were “monovalent”. They had one target – the original viral strain.</p> <p>But as the virus mutated, we assigned new letters of the Greek alphabet to each variant. This brings us to Omicron. With this significant change, we saw “immune evasion”. The virus had changed so much the original vaccines didn’t provide sufficient immunity.</p> <p><strong>To bivalent</strong></p> <p>So vaccines were updated to target an early Omicron subvariant, BA.1, plus the original ancestral strain. With two targets, these were the first of the “bivalent” vaccines, which were approved in Australia <a href="https://theconversation.com/omicron-specific-vaccines-may-give-slightly-better-covid-protection-but-getting-boosted-promptly-is-the-best-bet-190736">in 2022</a>.</p> <p>Omicron continued to evolve, leading to more “immune escape”, contributing to repeated waves of transmission.</p> <p>The vaccines were updated again in <a href="https://theconversation.com/havent-had-covid-or-a-vaccine-dose-in-the-past-six-months-consider-getting-a-booster-199096">early 2023</a>. These newer bivalent vaccines target two strains – the ancestral strain plus the subvariants BA.4 and BA.5.</p> <p><strong>Back to monovalent</strong></p> <p>Further changes in the virus have meant our boosters needed to be updated again. This takes us to the recent announcement.</p> <p>This time the booster targets another subvariant of Omicron known as XBB.1.5 (sometimes known as <a href="https://theconversation.com/the-kraken-subvariant-xbb-1-5-sounds-scary-but-behind-the-headlines-are-clues-to-where-covids-heading-198158">Kraken</a>).</p> <p>This vaccine is monovalent once more, meaning it has only one target. The target against the original viral strain has been removed.</p> <p>According to advice given to the World Health Organization <a href="https://www.who.int/news/item/18-05-2023-statement-on-the-antigen-composition-of-covid-19-vaccines">in May</a>, this is largely because immunity to this original strain is no longer required (it’s no longer infecting humans). Raising immunity to the original strain may also hamper the immune response to the newer component, but we’re not sure if this is occurring or how important this is.</p> <p>The United States <a href="https://theconversation.com/cdc-greenlights-two-updated-covid-19-vaccines-but-how-will-they-fare-against-the-latest-variants-5-questions-answered-213341">approved</a> XBB.1.5-specific vaccines from Pfizer and Moderna in <a href="https://www.fda.gov/news-events/press-announcements/fda-takes-action-updated-mrna-covid-19-vaccines-better-protect-against-currently-circulating">mid-September</a>. These updated vaccines have also been <a href="https://www.tga.gov.au/sites/default/files/2023-10/auspar-spikevax-xbb.1.5-231012.pdf">approved in</a> places including Europe, Canada, Japan and Singapore.</p> <p>In Australia, the Therapeutic Goods Administration (TGA) approved them <a href="https://www.tga.gov.au/products/covid-19/covid-19-vaccines/covid-19-vaccines-regulatory-status">in October</a>.</p> <h2>Do these newer vaccines work?</h2> <p>Evidence for the efficacy of these new monovalent vaccines comes from the results of research <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent=&amp;id=CP-2023-PI-02409-1&amp;d=20231117172310101">Pfizer</a> and <a href="https://www.tga.gov.au/resources/auspar/auspar-spikevax-xbb15">Moderna</a> submitted to the TGA.</p> <p>Evidence also comes from a <a href="https://www.medrxiv.org/content/10.1101/2023.08.22.23293434v2">preprint</a> (preliminary research available online that has yet to be independently reviewed) and an update Pfizer <a href="https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2023-09-12/10-COVID-Modjarrad-508.pdf">presented</a> to the US Centers for Disease Control.</p> <p>Taken together, the available evidence shows the updated vaccines produce good levels of antibodies in <a href="https://www.tga.gov.au/resources/auspar/auspar-spikevax-xbb15">laboratory studies</a>, <a href="https://www.medrxiv.org/content/10.1101/2023.08.22.23293434v2">in humans</a> and <a href="https://www.tga.gov.au/resources/auspar/auspar-spikevax-xbb15">mice</a> when compared to previous vaccines and when looking at multiple emerging variants, including EG.5 (sometimes known as <a href="https://theconversation.com/the-who-has-declared-eris-a-variant-of-interest-how-is-it-different-from-other-omicron-variants-211276">Eris</a>). This variant is the one causing high numbers of cases around the world currently, including in Australia. It is very similar to the XBB version contained in the updated booster.</p> <p>The updated vaccines should also cover <a href="https://theconversation.com/how-evasive-and-transmissible-is-the-newest-omicron-offshoot-ba-2-86-that-causes-covid-19-4-questions-answered-212453">BA.2.86 or Pirola</a>, according to <a href="https://www.tga.gov.au/sites/default/files/2023-10/auspar-spikevax-xbb.1.5-231012.pdf">early results</a> from clinical trials and the US <a href="https://www.cdc.gov/respiratory-viruses/whats-new/covid-19-variant.html">Centers for Disease Control</a>. This variant is responsible for a rapidly increasing proportion of cases, with case numbers growing <a href="https://twitter.com/BigBadDenis/status/1725310295596560662?s=19">in Australia</a>.</p> <p>It’s clear the virus is going to continue to evolve. So performance of these vaccines against new variants will continue to be closely monitored.</p> <h2>Are they safe?</h2> <p>The <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent=&amp;id=CP-2023-PI-02409-1&amp;d=20231117172310101">safety</a> of the updated vaccines has also been shown to be similar to previous versions. Studies <a href="https://www.medrxiv.org/content/10.1101/2023.08.22.23293434v2">comparing them</a> found no significant difference in terms of the adverse events reported.</p> <p>Given the availability of the updated vaccines, some countries have removed their approval for earlier versions. This is because newer versions are a closer match to currently circulating strains, rather than any safety issue with the older vaccines.</p> <h2>What happens next?</h2> <p>The availability of updated vaccines is a welcome development, however this is not the end of the story. We need to make sure eligible people get vaccinated.</p> <p>We also need to acknowledge that vaccination should form part of a comprehensive strategy to limit the impact of COVID from now on. That includes measures such as mask wearing, social distancing, focusing on ventilation and air quality, and to a lesser degree hand hygiene. Rapidly accessing antivirals if eligible is also still important, as is keeping away from others if you are infected.<!-- 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/217804/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/paul-griffin-1129798"><em>Paul Griffin</em></a><em>, Professor, Infectious Diseases and Microbiology, <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/what-are-the-new-covid-booster-vaccines-can-i-get-one-do-they-work-are-they-safe-217804">original article</a>.</em></p>

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A COVID inquiry has been announced. But is COVID still a thing? Do I need a booster?

<p><em><a href="https://theconversation.com/profiles/michael-toole-18259">Michael Toole</a>, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</a>; <a href="https://theconversation.com/profiles/heidi-drummer-1472642">Heidi Drummer</a>, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</a>, and <a href="https://theconversation.com/profiles/suman-majumdar-117988">Suman Majumdar</a>, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</a></em></p> <p>Thursday’s <a href="https://www.abc.net.au/news/2023-09-21/inquiry-to-be-announced-into-aus-government-covid-19-response/102882616">announcement</a> <a href="https://www.pm.gov.au/media/improving-future-preparedness-inquiry-response-covid-19-pandemic">of an independent inquiry</a> into Australia’s COVID response will examine how we’ve handled the pandemic and how we could better prepare for the next one.</p> <p>But the pandemic is not just a once-in-a-lifetime event that’s over and needs to be analysed. It’s still with us.</p> <p>The Omicron variant <a href="https://theconversation.com/how-evasive-and-transmissible-is-the-newest-omicron-offshoot-ba-2-86-that-causes-covid-19-4-questions-answered-212453">continues to mutate</a> and <a href="https://www.abc.net.au/news/2023-09-21/new-covid-strain-variant-pirola-ba-2-86-in-australia-symptoms/102873304">new sub-variants</a> emerge. For instance, the highly-mutated BA.2.86 (known as Pirola) has just been <a href="https://www.abc.net.au/news/2023-09-21/new-covid-strain-variant-pirola-ba-2-86-in-australia-symptoms/102873304">detected</a> in Australia.</p> <p>The SARS-CoV-2 virus, which causes COVID, then becomes more adept at evading immunity from infections and vaccines.</p> <p>COVID is not yet predictably seasonal and we expect waves every three to six months. The United States has seen a <a href="https://covid.cdc.gov/covid-data-tracker/#trends_weeklyhospitaladmissions_select_00">threefold increase</a> in hospitalisations since mid-July due to waning immunity and the <a href="https://theconversation.com/the-who-has-declared-eris-a-variant-of-interest-how-is-it-different-from-other-omicron-variants-211276">EG.5 sub-variant</a> (known as Eris).</p> <p>The United Kingdom has also seen a <a href="https://twitter.com/DrEricDing/status/1702790082749448202?t=FLc5f9FoMS6ksioFS8ATpA&amp;s=09">significant increase</a> in adult and child hospitalisations due to COVID in the past month.</p> <p>In Australia, more than <a href="https://www.worldometers.info/coronavirus/country/australia/">5,000 people</a> have died due to COVID so far this year. Excess deaths from any cause are <a href="https://www.abs.gov.au/statistics/health/causes-death/provisional-mortality-statistics/latest-release">13% higher</a> than expected. We expect many of these are related to COVID.</p> <p>The median age of COVID deaths is <a href="https://www.abs.gov.au/articles/covid-19-mortality-australia-deaths-registered-until-31-july-2023">around 85 years old</a> in Australia. But there were 267 reported deaths in people under 50 until the end of July 2023; some may have had weaker immune systems.</p> <p>The impacts of <a href="https://www.aph.gov.au/longandrepeatedcovid">long COVID and re-infections</a> are significant, which <a href="https://www.abc.net.au/news/2022-07-20/younger-active-female-data-reveals-long-covid-profile/101251352">one study shows</a> mainly affects people of working age and most commonly women.</p> <h2>I’ve had a booster. Does that still protect me?</h2> <p>We know immunity from COVID vaccines wanes over time. In a paper published in May, a <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804451?utm_source=For_The_Media&amp;utm_medium=referral&amp;utm_campaign=ftm_links&amp;utm_term=050323">systematic review</a> of 40 studies showed by how much. Protection by the first two doses of the vaccine (known as the primary series) against symptomatic infection from Omicron waned from almost 53% one month after the second dose to just over 14% after six months.</p> <p>The same review found a booster (third or fourth dose) increased protective immunity to the same levels as the primary series. However, that immunity waned to just 30% nine months later.</p> <p>A number of studies have shown protection against severe disease and death from the Omicron variant also wanes over time. For example, <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(23)00365-1/fulltext#seccestitle10">a UK study</a> found a primary series plus a bivalent booster (targets two strains) provided 53% protection against hospitalisation four weeks after the booster among people aged 50 or over. Protection dropped to 36% at ten weeks.</p> <p>An <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4445191">Australian study</a>, yet to be independently verified by other researchers, suggests protection against death from COVID also wanes. Of 3.8 million adults over 65 years, protection of a third dose booster against death from COVID waned from an estimated 93% within three months to 56% after six months.</p> <p>So we believe a reasonable interpetation of the above data is to recommend a booster every six months in people aged 75 and older, and younger people with impaired immune systems.</p> <p>But in Australia, just over <a href="https://www.health.gov.au/sites/default/files/2023-09/covid-19-vaccine-rollout-update-15-september-2023.pdf">50%</a> of people aged 75 or older have received a booster in the past six months; only about 38% of people aged 65-74 and about 9% in those aged 18-64 years.</p> <h2>I’ve had COVID recently. Surely that’s enough</h2> <p>There is a widespread perception that if you’ve been infected with COVID and have had the primary series of the vaccine then you’re immune and, therefore, don’t need to get a booster. This is commonly described as having “hybrid immunity”.</p> <p>However, a very <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02465-5/fulltext">large study</a> across 19 countries found infection conferred different levels of immunity, depending on the variant. While infection with COVID effectively protected against reinfection by the original, Alpha, Beta and Delta variants, this was much less effective against the Omicron BA.1 variant. Since BA.1, there have been many new sub-variants that are even more adept at evading immunity.</p> <h2>Who can get a booster?</h2> <p>Earlier this month, the Australian Technical Advisory Group on Immunisation (ATAGI) <a href="https://www.health.gov.au/news/atagi-update-on-the-covid-19-vaccination-program">recommended</a> all adults aged 75 or older “should receive” an additional dose of the bivalent vaccine if six months have passed since their last dose. Additionally, people aged 65-74 and immunocompromised younger adults should “consider” an additional dose.</p> <p>ATAGI argues that the baseline risk of severe illness in people under 65 is low if they have already been vaccinated, and particularly if they have also been infected. So, a further 2023 dose for this group would offer little additional benefit, even if it has been more than six months since their last dose.</p> <p>The US has taken a different approach. Last week, the Centers for Disease Control and Prevention <a href="https://www.cdc.gov/media/releases/2023/p0912-COVID-19-Vaccine.html">recommended</a> all people over six months who have not received a COVID vaccine in the previous two months should get a dose of the newly approved monovalent (single strain) vaccines. These have been developed by Pfizer and Moderna to specifically <a href="https://www.fda.gov/news-events/press-announcements/fda-takes-action-updated-mrna-covid-19-vaccines-better-protect-against-currently-circulating">target the XBB.1.5</a> sub-variant of Omicron. <a href="https://www.canada.ca/en/health-canada/news/2023/09/health-canada-authorizes-moderna-covid-19-vaccine-targeting-the-omicron-xbb15-subvariant.html">Health Canada</a> has adopted similar recommendations.</p> <p>These new monovalent vaccines are expected <a href="https://www.science.org/content/article/should-i-get-covid-19-booster">to be effective</a> in preventing infection by recently emerging Omicron sub-variants, such as EG.5 and FL.1.51 derived from the XBB.1.5 sub-variant, and the newer highly mutated <a href="https://www.gov.uk/government/publications/investigation-of-sars-cov-2-variants-of-concern-variant-risk-assessments/risk-assessment-for-sars-cov-2-variant-v-23aug-01-or-ba286">BA.2.86</a>, which arose from an earlier sub-variant and is a significant evolutionary leap.</p> <p>While Canada and the US move into the northern hemisphere winter, Australians should not believe they are at lower risk during the summer. After all, <a href="https://www.worldometers.info/coronavirus/country/australia/">two large COVID waves</a> in Australia were in the summers of 2021/22 and 2022/23.</p> <p>Monovalent XBB.1.5 vaccines are not yet available in Australia, but are being evaluated by the <a href="https://www.tga.gov.au/products/covid-19/covid-19-vaccines/covid-19-vaccines-regulatory-status">Therapeutic Goods Administration</a>. So, in the future, Australia’s advice about who’s eligible for a booster, and which type of booster, may change.</p> <h2>So, how do I decide if I need a booster now?</h2> <p>There is evidence in Australia of <a href="https://www.abc.net.au/news/2023-09-21/new-covid-strain-variant-pirola-ba-2-86-in-australia-symptoms/102873304">growth of</a> the newer subvariants, including the detection of BA.2.86. So all Australians aged 75 and over who have not had a booster in the past six months should immediately have the currently available bivalent vaccine.</p> <p>Younger age groups may wait until further ATAGI advice about the new monovalent vaccines.</p> <h2>COVID is not over</h2> <p>While there is no need for alarm, Australians need to be aware of the ongoing significant impacts of COVID. The SARS-CoV-2 virus is still a formidable foe as it continues to mutate.</p> <p>COVID vaccines will be <a href="https://www.pm.gov.au/media/improving-future-preparedness-inquiry-response-covid-19-pandemic">among the topics</a> the newly announced inquiry will investigate.</p> <p>But we cannot rely on vaccines alone. Avoiding (re)infection is also vital. Breathe <a href="https://www.coronavirus.vic.gov.au/ventilation">clean indoor air</a>, wear <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/types-of-masks.html">high quality masks</a> and get tested so you can access <a href="https://www.health.gov.au/health-alerts/covid-19/treatments/eligibility">antivirals</a> if eligible.<!-- 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/213469/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/michael-toole-18259"><em>Michael Toole</em></a><em>, Associate Principal Research Fellow, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</a>; <a href="https://theconversation.com/profiles/heidi-drummer-1472642">Heidi Drummer</a>, Professor and Co-Program Director, Disease Elimination, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</a>, and <a href="https://theconversation.com/profiles/suman-majumdar-117988">Suman Majumdar</a>, Associate Professor and Chief Health Officer - COVID and Health Emergencies, <a href="https://theconversation.com/institutions/burnet-institute-992">Burnet Institute</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/a-covid-inquiry-has-been-announced-but-is-covid-still-a-thing-do-i-need-a-booster-213469">original article</a>.</em></p>

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Sonia Kruger’s cheeky shot during Logies victory speech

<p>The 2023 Logie Awards ceremony was filled with memorable moments, both triumphant and awkward. Sam Pang took on the role of the host, becoming the first in 11 years to do so. He kicked off the proceedings with a pointed and humorous monologue, highlighting the win for diversity as the first-ever host representing both Channel 7 and Channel 10.</p> <p>“I would like to acknowledge a win for diversity tonight. I am the first host in the history of the Logies to be half and half - half Channel 7 and half Channel 10,” Pang began.</p> <p>“Let’s be honest, it’s just be great to have an Asian on Channel 7 who isn’t trying to smuggle live birds through border security,” he continued, telling viewers to strap in for the “two-day” ceremony.</p> <p>One of the night's obvious highlights was the announcement of the Gold Logie winner, Sonia Kruger. Overwhelmed with joy, Sonia expressed her gratitude and thanked everyone involved in her shows, including <em>Big Brother</em>, <em>Dancing With the Stars</em>, and <em>The Voice</em>.</p> <p>She also playfully teased last year's Gold Logie winner, Hamish Blake, for sharing the same agent and their agent's hopes for concentrating on her in the future.</p> <p>Kruger quoted a conversation with the agent who had allegedly told her “I think people are a little over Hamish [Blake].”</p> <p>She added that the man had told her “Frankly I am hoping that he will leave the agency, so I can concentrate all of my efforts on you, Sonia”.</p> <p>Karl Stefanovic, on the other hand, faced a challenging moment during his appearance. Trying to add some impromptu humour to introduce a tribute to Barry Humphries, his joke about David Koch's favourite show, <em>Bump</em>, fell flat with the audience. </p> <p>“I did want to just check something... I am pretty sure before I heard Kochie say he loves Bump’s.... season 3. Did anyone mishear that? Because I am pretty sure I did. Anyway, those are the headlines tomorrow morning...” Karl said.</p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">The cameras caught Kochie looking bewildered to say the least.</span></p> <p>Sam Pang then by saying “I don’t want to say Karl’s joke about Kochie sank, but OceanGate are offering expeditions to visit it.”</p> <p>Following the In Memoriam segment, Sam Pang dedicated another In Memoriam to TV shows that had low ratings in the past year. This included Seven's <em>Blow-Up</em>, lacking the entertainment, artistry, and family fun it aimed for, and Ten's <em>The Real Love Boat</em>, which seemingly did not receive favourable reviews.</p> <p>Throughout the night, Sam Pang entertained the audience with a series of witty remarks. He thanked those who declined the hosting gig, <span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">including Hamish Blake: “I appreciate it, mate, some of us have a mortgage,” said Pang. “By the way, a mortgage is when the bank loans... Ah,don’t worry about it.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">He joked that Kenny star Shane Jacobson said yes to hosting, “before even knowing what the question was.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">“Karl Stefanovic said yes, as long the show was held in a park in Noosa.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">"Eventually, it came down to two candidates, but “Rolf Harris said no, so here we are.” Then he took aim at the stars of <em>MAFS</em>, seated in the audience - he welcomed them to their “last-ever Logies." </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">“<em>The Voice</em> is nominated tonight," continued Pang, "despite Peter Dutton’s strong opposition to the nomination...” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">“<em>The Block</em> shows Australians what it is like to own their own home, making it the greatest fantasy series since <em>Game of Thrones</em>.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">He said <em>I’m a Celebrity...Get Me Out of Here</em>! is “a wonderful show where we find out which Australian celebrities haven’t been adding to their super. Hi Kerri-Anne!” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">He noted that Hamish Blake is up for his second Gold Logie this year, while comedy partner Andy Lee... “is mates with Hamish.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">He paid tribute to recently retired <em>Sunrise</em> host David Koch, who “changed breakfast television forever. Warmth, humour, personality... you needed none of those.” </span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">And then Today host Karl Stefanovic, sat with co-host Sarah Abo. Or as Pang put it: “Sitting next to your co-host - who do you have this year, Karl?” He said Karl’s table would only be more fun if “Michael Clarke was on it.”</span></p> <p>While Pang's monologue ended on a controversial note with a joke about being an Asian on <em>I'm A Celebrity...Get Me Out of Here!</em>, the overall ceremony was filled with moments that kept the audience entertained.</p> <p>He also advised audience members “not to mix beer and wine, and make sure that you don’t mix your acceptance speech with an active court case.”</p> <p><em>Images: Channel Seven</em></p>

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“Done with the vaccine”: Karl Stefanovic blasts fifth booster

<p>Karl Stefanovic has once again sparked controversy after declaring he is “done with the vaccine.”</p> <p>Karl shocked viewers after expressing concerns that the jab could cause “heart issues” as the Australian Technical Advisory Group (ATAGI) updated its vaccine recommendations. </p> <p>According to the ATAGI, as of February 20, anyone aged 18 and over who has not had the COVID vaccine or has not contracted the virus in the past six months will be eligible to get another shot - opening up a fourth dose for Aussies aged 19-29 and a fifth dose for those 65 and over. </p> <p>“As you know, I am not a glowing ambassador for more than two shots,” Stefanovic said.</p> <p>The Today show host then questioned whether another dose would be able to fight new strains of the virus, stating he is aware of people “over the age of 60 who are still incredibly nervous about getting it."</p> <p>“The other thing that I am concerned about, if I have another dose, is that I may get complications,” he said. </p> <p>The host’s guest, medical expert Dr Nick Coatsway insisted Australians aged 60 and over “needn’t be” scared of the jab but added that the conceded boosters are only a temporary solution.</p> <p>“Let’s understand the science, if you get a fifth dose your protection is enhanced for around about 8-12 weeks and then it returns after the fourth dose or the third dose,” Dr Coatsworth said.</p> <p>The ATAGI has again emphasised the importance of Aussies who are already eligible, including people over 65, to get their booster in 2023 as they remain at high risk of severe disease and death from COVID. </p> <p>Currently, there is no additional booster available to those 18 and below, with the exception of children aged 5-17 who are at high risk of developing a severe illness.</p> <p><em>Image credit: Getty</em></p>

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King's-eye-view: Story behind incredibly rare shot from palace balcony

<p>Getty photographer Chris Jackson has shared insight into what it was like to capture the coronation, and watch the moment King Charles III and Queen Consort Camilla walked out onto Buckingham Palace balcony from a unique perspective.</p> <p>Taking to Instagram, Jackson shared a rare image that gave the public a small sense of what Charles and Camilla would see from the balcony.</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-captioned="" data-instgrm-permalink="https://www.instagram.com/p/Cr6FZQwtiE6/?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/Cr6FZQwtiE6/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Chris Jackson (@chrisjacksongetty)</a></p> </div> </blockquote> <p>"An honour to shoot 'behind the scenes' and a never seen before angle from today's historic Coronation, what a day!!!!!! Save a 🥂 for me!", he captioned the post.</p> <p>That wasn’t the only ‘behind-the-scenes' look at the King and Queen’s time on the Palace balcony. Jackson also shared a photo of the pair watching the Royal Navy, Army Air Corps and Royal Air Force doing a flypast.</p> <p>The image shows the aircraft leaving a trail of red, white and blue exhaust as they flew over the proceedings.</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-captioned="" data-instgrm-permalink="https://www.instagram.com/p/Cr6M3BDNoYw/?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/Cr6M3BDNoYw/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Chris Jackson (@chrisjacksongetty)</a></p> </div> </blockquote> <p>"What a view! What a day!" Jackson captioned the post.</p> <p>King Charles and Queen Camilla were captured waving to the crowd from the Palace balcony following his coronation at Westminster Abbey.</p> <p>The pair travelled to the infamous site in a royal carriage for the long-lived tradition.</p> <p>Charles and Camilla were joined on the balcony by their royal pages and members of the British royal family.</p> <p>Prince William and Princess Katie appeared on the balcony with their three children, Prince George, Princess Charlotte and Prince Louis.</p> <p>There were two noticeable absences from the balcony, although neither were expected to be there as only working royals are given the honour of making an appearance on the balcony.</p> <p>Although Prince Harry did attend the coronation, he left shortly afterwards to travel back to the US for his son Archie’s fourth birthday celebrations.</p> <p>Prince Andrew was also present at the coronation but not on the balcony as Charles looks to “slim down” the monarchy.</p> <p>The day marked the first time the royal family appeared on the Buckingham Palace balcony since the death of Queen Elizabeth II.</p> <p>The late Queen waved to the crowd from the balcony, accompanied by Charles, Camilla, William, Kate and their children during Platinum Jubilee celebrations in June 2022.</p> <p>She passed away three months later on September 8, 2022, with Prince Charles immediately anointed as King.</p> <p><em>Image credit: Getty/Instagram</em></p>

Beauty & Style

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"One more shot": Turia Pitt undergoes life-changing surgery

<p dir="ltr">After 12 years of hoping, Turia Pitt has finally undergone a “life-changing” nose surgery to help her breathe better.</p> <p dir="ltr">Pitt, 35, a survivor of the devastating grassfire that broke out in Kimberley during a 2011 ultramarathon, has revealed that she still has trouble breathing because of the shape of her nose.</p> <p dir="ltr">“It’s frustrating because I spend most of my days teaching women how to run, and talking about running, and both of those things - talking and running - require breath,” she shared in a video posted on Instagram.</p> <p dir="ltr">Pitt shared that she’s been wanting to get surgery to fix the issue for 12 years, but has struggled with finding the right surgeon until late last year.</p> <p dir="ltr">“I’m a persistent person, but this cycle of building hope, and having it smashed down over and over again, has been hard,” she added.</p> <p dir="ltr">“It’s been demoralising. But late last year, I heard back from one more surgeon, a bloke in Baltimore in the USA, so I decided to give it one more shot.”</p> <p dir="ltr">In another video she revealed that she also wanted the surgery to look like her best self when she marries her long-term partner and fiancé, Michael Hoskin.</p> <p dir="ltr">“I want surgery for my nose so that I can breathe better, but I also want it to look better too,” she captioned the video.</p> <p dir="ltr">“I want to have a nice big smile, a nice even nose, long glossy wavy hair, my big eyes, my shoulders will be tanned, and I’ll wear a flower crown and black pearls,” she said.</p> <p dir="ltr">She added that even though she wanted to “look really good” for her fiancé, her partner “doesn’t give a s***” how she looks because he loves her regardless.</p> <p dir="ltr">“He loves me now like he loved me before my accident. So it’s not for Michael; this surgery is for me.”</p> <p dir="ltr">Post-surgery, Pitt shared a follow up video of herself in the US with her heavily bandaged nose. She’s been updating her followers on the progress consistently, and on day five showed what her nose looked like with the bandages off.</p> <p dir="ltr">“I can breathe through my nostrils, and I also think that’s helped my voice quality,” she said.</p> <p dir="ltr">In her latest podcast, <em>Yes Darling, You Look Beautiful</em>, she shared further details about how she felt about the surgery and her fiancé’s reaction.</p> <p dir="ltr">“I really like it, I’m happy, I start crying, and when I get back to my hotel room I look at myself in the mirror and I feel more symmetrical,” she said, sharing that her nose is much straighter after initially not being able to see the difference.</p> <p dir="ltr">Pitt also revealed her fiancé’s sweet reaction and how he was “blown away”.</p> <p dir="ltr">“Yes darling, you look very beautiful, it was a wonderful operation”.</p> <p dir="ltr">She said that even though she doesn’t look any different “for the average person on the street”, her fiancé understands that she can be self-conscious about how she looks and supports her decision.</p> <p><em>Images: Instagram</em></p>

Caring

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Royal photographer admits to faking iconic shot

<p>Jason Bell, the photographer responsible for the official family portraits from Prince George’s 2013 christening, has revealed the truth about the shots - and admitted to faking one significant detail. </p> <p>In the documentary <em>Portrait of the Queen</em>, Bell admitted to feeling pressure over getting the shot just right. It was, after all, the first time that four generations of direct heirs had been captured together in over a century - since Queen Victoria’s reign specifically. </p> <p>The iconic picture sees the Queen and her four heirs - Prince Charles (now King Charles), Prince William, and Prince George - gathered around the chair upon which the Queen sits in the Morning Room at Clarence House, with sunlight streaming in around them. </p> <p>The catch? The light wasn’t real. </p> <p>“A christening picture is a happy picture,” Bell explained, “and when I think about happy, I think about - sort of - summer, and sun, and light, and bright. </p> <p>“So I think in a way, that was my first creative decision going into it. I want[ed] it to feel like a beautiful, warm, summer-y afternoon.</p> <p>“Obviously, the problem with that was I was actually doing the shoot in October in London and, you know, I’m a longtime Londoner, and I know that you can’t rely on London weather.</p> <p>“So, what I did was I put big heavy lights around all of the windows and the window behind them outside in the street. And, you know, to get enough light coming through the windows to really feel like a sort of summer afternoon, you know, you need quite a lot of light.”</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/03/Portrait_of_the_Queen_Sharmill.jpg" alt="" width="1280" height="720" /></p> <p>As well as the big creative decisions necessary on the day, Bell had to plan well ahead, and explained how “it’s always important to research around the project and you know, see what people have done before – who goes where. Where does the Queen go? Where does Prince George go?</p> <p>“You’re thinking about the sort of lineage, if you like, and the structure of the picture wants to reflect [that].”</p> <p>Bell also admitted that he drew inspiration from a portrait of Queen Victoria and her heirs in 1894 - in that picture, Queen Victoria was holding her youngest direct heir, who would go on to become King Edward VIII. </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-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CisbmEIu2vP/?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/p/CisbmEIu2vP/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jason Bell (@jasonbellphoto)</a></p> </div> </blockquote> <p>And with the opportunity may have been daunting, and the stakes for his career high, Bell noted that one detail in particular stood out to him, confessing that he was “quite drawn” to it. </p> <p>“The personal element of it, you know, is the same as it is in any other family,” he said, “and that’s kind of interesting watching, you know, them be[ing] a family together if you like.”</p> <p><em>Images: @jasonbellphoto / Instagram, </em><em>Portrait of the Queen / Sharmill</em></p>

Art

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Time to focus: The accidental photographer’s guide to taking great travel shots

<p><em>Interested in photography? Travelling overseas? Freelance travel writer, photographer and content queen Carolyne Jasinski shares some of the best tips to get great shots wherever you are.</em></p> <p>What makes the perfect photograph? Is it a complicated combination of aperture settings to determine depth of field or shutter priority to choose between blurred movement or keeping everything in focus?</p> <p>No. It’s much simpler than that.</p> <p>The perfect photo is the one you like best. But there is a knack to getting those pics.</p> <p>I am a travel journalist, so words are my main focus. But most stories need good photos to get published, so I have had to learn how to take photos for publication.</p> <p>I am the accidental photographer.</p> <p>I have taken courses, sat in on workshops and even been on a photography-based expedition to the Arctic.</p> <p>I have travelled with landscape photographers, wildlife snappers, photojournalists who cover war zones, news “togs” and those who shoot food and fashion. Each has taught me something different.</p> <p>So how do we get those great shots? Here are some simple tips to help budding photographers – and you might be surprised at how many of these you are already doing.</p> <p dir="ltr"><strong>1. Don't knock the automatic setting</strong></p> <p dir="ltr">Digital cameras have made life easy. If you’re happy with what your camera produces on automatic, stick to it. That’s what you’ve paid for.</p> <p dir="ltr">But, if you want to learn the “how and why” of photography, play with all those extra dials. </p> <p dir="ltr">Take a course or better still, go on a photography weekend and learn from the professionals. It’s really interesting knowing how to be in control.</p> <p dir="ltr"><strong>2. Horizontal and vertical</strong></p> <p dir="ltr">Take horizontal and vertical shots of the same subject — you’ll be surprised at how different the photos turn out.</p> <p dir="ltr">It’s especially important if you are going to try and sell them to a magazine or online site. More than once I’ve heard designers despair because they have the perfect image to go alongside a story, but it’s oriented the wrong way. Give them both and double your chances of getting published.</p> <p dir="ltr">If you want to make it to the cover of a magazine, take a vertical (portrait) photo.</p> <p dir="ltr">Horizontal (wide) shots are best for inside pages, especially a spread. </p> <p dir="ltr"><strong>3. Rule of thirds</strong></p> <p dir="ltr">Divide your frame into thirds — both horizontally and vertically.</p> <p dir="ltr">Place the focus of your pic on one of those third lines rather than in the middle of your frame.</p> <p dir="ltr"><strong>4. Change your angle... Move</strong></p> <p dir="ltr">A photo that looks ordinary from front-on can be much more interesting from a different angle. The trick is to move. Get in closer — unless it’s a wild animal. If there are big teeth or horns involved, just zoom in with your camera.</p> <p dir="ltr">Try getting down on the ground or taking the shot from a high point</p> <p dir="ltr"><strong>5. People</strong></p> <p dir="ltr">For me, travel is all about people.  Photos always look better with people in them as they add perspective and “life”. </p> <p dir="ltr">Take snapshots to help remember the people you meet.</p> <p dir="ltr">But be kind. Lift chins and cover cleavages. Be aware of what shooting from down low does to your friends — no-one will thank you for highlighting their double chin or looking up their nostrils. </p> <p dir="ltr"><strong>6. Zoom in</strong></p> <p dir="ltr">Get up close and personal with your zoom lens. It can be a powerful tool for capturing the nitty gritty.</p> <p dir="ltr"><strong>7. Shapes & patterns</strong></p> <p dir="ltr">Look for interesting shapes. Natural patterns make naturally great shots.</p> <p dir="ltr"><strong>8. Diagonals and leading lines</strong></p> <p dir="ltr">Diagonals create visual flow and add the illusion of movement and dimension to photos.</p> <p dir="ltr">No matter where they start in a frame, they can pull you in and act as a leading line to where you want the focal point to be.</p> <p dir="ltr">Not all leading lines have to be diagonals … a curving river, for example can lead you to a spectacular backdrop.</p> <p dir="ltr"><strong>9. Work with the light</strong></p> <p dir="ltr">The general rule when it comes to working with light is: Don’t shoot into the light. Unless it works. Sunsets are a great example.</p> <p dir="ltr">But when shooting sunsets, always turn around and look at what the light is doing behind you. Sometimes it’s even prettier than what’s in front.</p> <p dir="ltr">Bright sunny days will often give the most ordinary pics. Early morning, shadows and evening light offer the best contrasts.</p> <p dir="ltr"><strong>10. Contrast</strong></p> <p dir="ltr">If you see contrast, capture it — look for light and dark, colour and mono. It might be a bright green shoot coming out of a blackened tree trunk, or a pop of colour in a sea of grey. They always make for interesting shots.</p> <p dir="ltr"><strong>11. Framing</strong></p> <p dir="ltr">Use natural elements to frame your shot. Same goes for man-made structures — they often make perfect boundaries for your pics.</p> <p dir="ltr">Natural props make your job easy.</p> <p><strong>12. Location markers</strong></p> <p dir="ltr">Signs or souvenirs (with names) can help you remember where you are.</p> <p dir="ltr">Pics of information boards are great memory joggers and the best notes when trying to write your journal or travel story later.</p> <p><strong>13. Aim for something different</strong></p> <p dir="ltr">Shoot the obvious but aim for more and shoot that, too.</p> <p dir="ltr"><strong>14. Ask permission when shooting people</strong></p> <p dir="ltr">Cultural cringe — if you are in a foreign country, always ask for permission to take a photo. It’s common courtesy. And before including children, always ask their parents and explain what you are doing. If you want to publish those photos, you’ll need written permission.</p> <p dir="ltr"><strong>15. Surprise element</strong></p> <p dir="ltr">Try to capture people (you know) when they are unaware that you are there. Candid shots are often the best.</p> <p dir="ltr"><strong>16. Capture the moment</strong></p> <p dir="ltr">It’s all about being in the right place at the right time. If you see a great photo opportunity, don’t think, “I’ll come back and get that later.” Later might be too late.</p> <p dir="ltr"><strong>17. Reflections</strong></p> <p dir="ltr">Use reflections to reflect on the moment.</p> <p dir="ltr"><strong>18. Mood</strong></p> <p dir="ltr">Let photos reflect how you feel.</p> <p dir="ltr"><strong>19. Aperture and shutter priority</strong></p> <p dir="ltr">It had to get technical somewhere.</p> <p dir="ltr">As you increase the size of your aperture (increasing the hole you shoot through) you let more light into your image sensor.  That means you need a shorter shutter speed. </p> <p dir="ltr">If you increase the length of time your shutter is open, you decrease the aperture needed to get a well exposed shot.</p> <p dir="ltr">Aperture and Shutter Priority modes are semi-automatic on most cameras. If you set one, your camera will set the other. Or it will have a dial or meter to show where the perfect setting is.</p> <p dir="ltr"><strong>20. Depth of field</strong></p> <p dir="ltr">Aperture Priority — ‘A’ or ‘AV’ on your camera program dial.</p> <p dir="ltr">When would you use it? To get “depth of field”.</p> <p dir="ltr">If you want a shallow depth of field — an object in front in focus but the background blurred — choose a large aperture (f/1.4) and let the camera choose an appropriate shutter speed.</p> <p dir="ltr">If you want an image with everything in focus, choose a smaller aperture (f/22) and let the camera choose an appropriate shutter speed (generally a longer one).</p> <p dir="ltr">Or you can use Portrait mode on your iPhone.</p> <p dir="ltr"><strong>21. Movement</strong></p> <p dir="ltr">Shutter Priority — ‘TV’ or ‘S’ on your camera dial.</p> <p dir="ltr">When would you use it? To capture movement.</p> <p dir="ltr">If you want to photograph a moving object but want to freeze it so there is no motion blur, choose a fast shutter speed (1/2000) and let the camera decide how much light there is available and set an appropriate aperture. </p> <p dir="ltr">If you want to photograph the object but include some motion blur, choose a slower shutter speed (1/125) and let the camera choose a smaller aperture as a result.</p> <p dir="ltr">The slower the shutter speed, the more need for a tripod.</p> <p><strong>22. High resolution photos</strong></p> <p dir="ltr">What does high resolution mean? It means a photo with a lot of information — showing a lot of detail. For publication in magazines, you need a photo with at least 300 dpi (dots per inch) that means your photos need to be at least 2MB in size (but the more, the better).</p> <p><em>All images: Carolyne Jasinski</em></p> <p style="color: #0e101a; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; margin-top: 0pt; margin-bottom: 0pt;"> </p>

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Breathtaking shots from the 2022 Travel Photographer of the Year

<p>The winners of the 2022 Travel Photographer of the Year have been announced, showcasing stunning photography with a focus on conservation and sustainability. </p> <p>The competition, regarded as one of the world’s most prestigious photography competitions, received nearly 20,000 entries from both amateur and professional photographers in 154 different countries. </p> <p>The top prize went to Slovenian photographer Matjaz Krivic who submitted a stunning shot of one of the world’s last two remaining northern white rhinos. Najin, the 33-year-old rhino, was pictured with her keeper, Zachary Mutai. </p> <p>The picture was shot in Kenya’s Ol Pejeta Conservancy and demonstrates the impact of the Cumbre Vieja volcano’s eruption on La Palma’s landscape. </p> <p>As the judges commented, Krivic told their story “beautifully and sensitively. The images are tender and intimate.”</p> <p>“I am honoured to have my work recognised and acknowledged by the judges of the Travel Photographer of the Year competition …” Krivic said of his win. “Travel and photography has been my passion and a big part of my life since I can remember and this award inspires me to continue with my journey.”</p> <p>A 14-year-old Australian, who now lives in Portugal, took home the Young Travel Photographer of the Year award. Kaia Tham’s work is shot solely on an iPhone, and the judges praised this choice by commenting, “seeing the world in a different way and exploring it with a phone rather than a camera has given this young photographer’s portfolio a fresh feel and a different perspective observing the streets of Lisbon.”</p> <p>Two other Australians received acknowledgement for their work, securing themselves special mentions from the judges - Jason Edwards with one, and Scott Portelli with three.</p> <p>2022’s People’s Choice award went to Romain Miot from France. This award is the only category in which the judges have no say on the winner - the 130 finalists are instead voted on by the general public. </p> <p>Miot’s work features a salt caravan in Mauritania’s Sahara Desert. Of the photograph, Miot said, “when I returned from the trip, I realised that this image of a camel owner ordering the dromedaries looked like a conductor with an orchestra.”</p> <p>The photos from the 2022 awards will be exhibited in May at the Royal Photographic Society as part of World Photography in Focus, ahead of the 21st Travel Photographer of the Year awards for 2023.</p> <p><em>All image credits: 2022 Travel Photographer of the Year </em></p>

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