Placeholder Content Image

For type 2 diabetes, focusing on when you eat – not what – can help control blood sugar

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/evelyn-parr-441878">Evelyn Parr</a>, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> and <a href="https://theconversation.com/profiles/brooke-devlin-2237174">Brooke Devlin</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Type 2 diabetes affects <a href="https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-common-is-diabetes/type-2-diabetes">1.2 million Australians</a> and accounts for <a href="https://www.diabetesaustralia.com.au/about-diabetes/type-2-diabetes/">85-90%</a> of all diabetes cases. This chronic condition is characterised by high blood glucose (sugar) levels, which carry serious <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30058-2/abstract">health</a> risks. <a href="https://www.nature.com/articles/nrendo.2017.151">Complications</a> include heart disease, kidney failure and vision problems.</p> <p>Diet is an important way people living with type 2 diabetes manage blood glucose, alongside exercise and medication. But while we know individualised, professional dietary advice improves blood glucose, it can be <a href="https://linkinghub.elsevier.com/retrieve/pii/S0168822717317588">complex</a> and is not always <a href="https://www.publish.csiro.au/py/PY13021">accessible</a>.</p> <p><a href="https://www.sciencedirect.com/science/article/pii/S0168822724008039">Our new study</a> looked at the impact of time-restricted eating – focusing on when you eat, rather than what or how much – on blood glucose levels.</p> <p>We found it had similar results to individualised advice from an accredited practising dietitian. But there were added benefits, because it was simple, achievable, easy to stick to – and motivated people to make other positive changes.</p> <h2>What is time-restricted eating?</h2> <p>Time-restricted eating, also known as <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-nutr-082018-124320">the 16:8 diet</a>, became popular for weight loss around 2015. Studies have since shown it is also an <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811116">effective way</a> for people with type 2 diabetes to manage blood glucose.</p> <p>Time-restricted eating involves limiting when you eat each day, rather than focusing on what you eat. You restrict eating to a window during daylight hours, for example between 11am and 7pm, and then fast for the remaining hours. This can sometimes naturally lead to also eating less.</p> <p>Giving your body a break from constantly digesting food in this way helps align eating with natural <a href="https://doi.org/10.1111/jne.12886">circadian rhythms</a>. This <a href="https://doi.org/10.1111/jnc.15246">can help</a> regulate metabolism and improve overall health.</p> <p>For people with type 2 diabetes, there may be specific benefits. They often have their <a href="https://doi.org/10.2337/dc12-2127">highest blood glucose</a> reading in the morning. Delaying breakfast to mid-morning means there is time for physical activity to occur to help reduce glucose levels and prepare the body for the first meal.</p> <h2>How we got here</h2> <p>We ran an <a href="https://www.mdpi.com/2072-6643/12/11/3228">initial study</a> in 2018 to see whether following time-restricted eating was achievable for people with type 2 diabetes. We found participants could easily stick to this eating pattern over four weeks, for an average of five days a week.</p> <p>Importantly, they also had improvements in blood glucose, spending less time with high levels. <a href="https://www.mdpi.com/2072-6643/12/2/505">Our previous research</a> suggests the reduced time between meals may play a role in how the hormone insulin is able to reduce glucose concentrations.</p> <p><a href="https://doi.org/10.1001/jamanetworkopen.2023.39337">Other studies</a> have confirmed these findings, which have <a href="https://doi.org/10.1186/s12986-021-00613-9">also shown</a> notable improvements in HbA1c. This is a <a href="https://www.ncbi.nlm.nih.gov/books/NBK304271/">marker</a> in the blood that represents concentrations of blood glucose over an average of three months. It is the <a href="https://journals.sagepub.com/doi/10.4137/BMI.S38440">primary clinical tool</a> used for diabetes.</p> <p>However, these studies provided intensive support to participants through weekly or fortnightly meetings with researchers.</p> <p>While we know this level of support <a href="https://www.nature.com/articles/0802295">increases</a> how likely people are to stick to the plan and improves outcomes, it is not readily available to everyday Australians living with type 2 diabetes.</p> <h2>What we did</h2> <p>In our <a href="https://www.sciencedirect.com/science/article/pii/S0168822724008039">new study</a>, we compared time-restricted eating directly with advice from an <a href="https://dietitiansaustralia.org.au/working-dietetics/standards-and-scope/role-accredited-practising-dietitian">accredited practising dietitian</a>, to test whether results were similar across six months.</p> <p>We recruited 52 people with type 2 diabetes who were currently managing their diabetes with up to two oral medications. There were 22 women and 30 men, aged between 35 and 65.</p> <p>Participants were randomly divided into two groups: diet and time-restricted eating. In both groups, participants received four consultations across the first four months. During the next two months they managed diet alone, without consultation, and we continued to measure the impact on blood glucose.</p> <p>In the diet group, consultations focused on changing their diet to control blood glucose, including improving diet quality (for example, eating more vegetables and limiting alcohol).</p> <p>In the time-restricted eating group, advice focused on how to limit eating to a nine-hour window between 10am and 7pm.</p> <p>Over six months, we measured each participant’s blood glucose levels every two months using the HbA1c test. Each fortnight, we also asked participants about their experience of making dietary changes (to what or when they ate).</p> <h2>What we found</h2> <p>We found time-restricted eating was as effective as the diet intervention.</p> <p>Both groups had reduced blood glucose levels, with the greatest improvements occurring after the first two months. Although it wasn’t an objective of the study, some participants in each group also lost weight (5-10kg).</p> <p>When surveyed, participants in the time-restricted eating group said they had adjusted well and were able to follow the restricted eating window. Many told us they had family support and enjoyed earlier mealtimes together. Some also found they slept better.</p> <p>After two months, people in the time-restricted group were looking for more dietary advice to further improve their health.</p> <p>Those in the diet group were less likely to stick to their plan. Despite similar health outcomes, time-restricted eating seems to be a simpler initial approach than making complex dietary changes.</p> <h2>Is time-restricted eating achievable?</h2> <p>The main barriers to following time-restricted eating are social occasions, caring for others and work schedules. These factors may prevent people eating within the window.</p> <p>However, there are many benefits. The message is simple, focusing on when to eat as the main diet change. This may make time-restricted eating more translatable to people from a wider variety of socio-cultural backgrounds, as the types of foods they eat don’t need to change, just the timing.</p> <p>Many people don’t have access to more individualised support from a dietitian, and receive nutrition advice from their GP. This makes time-restricted eating an alternative – and equally effective – strategy for people with type 2 diabetes.</p> <p>People should still try to stick to <a href="https://www.eatforhealth.gov.au/guidelines/guidelines">dietary guidelines</a> and prioritise vegetables, fruit, wholegrains, lean meat and healthy fats.</p> <p>But our study showed time-restricted eating may also serve as stepping stone for people with type 2 diabetes to take control of their health, as people became more interested in making diet and other positive changes.</p> <p>Time-restricted eating might not be appropriate for everyone, especially people on medications which don’t recommend fasting. Before trying this dietary change, it’s best speak to the healthcare professional who helps you manage diabetes.<!-- 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/241472/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/evelyn-parr-441878">Evelyn Parr</a>, Research Fellow in Exercise Metabolism and Nutrition, Mary MacKillop Institute for Health Research, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> and <a href="https://theconversation.com/profiles/brooke-devlin-2237174">Brooke Devlin</a>, Lecturer in Nutrition and Dietetics, School of Human Movement and Nutrition Sciences, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/for-type-2-diabetes-focusing-on-when-you-eat-not-what-can-help-control-blood-sugar-241472">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Michael Schumacher attends first 'public' event since accident

<p>Michael Schumacher has reportedly attended his <a href="https://www.oversixty.com.au/lifestyle/relationships/michael-schumacher-s-daughter-ties-the-knot-at-luxury-spanish-villa" target="_blank" rel="noopener">daughter's wedding</a>, making this his first public appearance in 11 years. </p> <p>Gina Schumacher tied the knot with Iain Bethke at the family’s luxury villa in Mallorca over the weekend, and while Michael's attendance was previously unknown, several outlets have reported that he attended the special event. </p> <p>The Formula 1 icon's wife, Corinna, has kept his condition private since his tragic skiing accident in 2013, with only an extremely small inner circle of people allowed to see him, therefore this marks the first time that Michael has been 'seen' by extended friends and family. </p> <p><em>The Daily Mail</em> reported that privacy was extremely tight at the event, with wedding guests required to leave their phones at the front door upon arrival. </p> <p>The family also reportedly looked at hiring a large security team to keep photographers away. </p> <p>The success of the event has reportedly raised hopes that the family will consider future opportunities for the Ferrari icon to be seen in public, with more people reportedly being let into the 'inner circle'. </p> <p>Michael's son Mick, who has been dating 23-year-old Danish model Laila Hasanovic for two years, is reportedly engaged to her, and in January it was reported that she had been given approval to visit the F1 legend. </p> <p>Updates on the former racer's health have been few and far between.</p> <p>Late last year, Schumacher's former boss at Ferrari and close friend Jean Todt revealed: "He is simply not the Michael he used to be. He is different, and is wonderfully guided by his wife and children who protect him. His life is different now, and I have the privilege of sharing moments with him. That's all there is to say."</p> <p>Corinna also spoke publicly about the accident and her decision to keep Michael's condition private in a 2021 Netflix documentary.</p> <p>"'Private is private’, as he always said. It’s very important to me that he can continue to enjoy his private life as much as possible,” she said. </p> <p>“Michael always protected us and now we are protecting Michael. What he really didn’t like was the press, the people, all the hype around him. That’s not what he wanted. He wanted to do the sport," she continued. </p> <p>In the documentary she also said: “I miss Michael every day.</p> <p>“But it is not just me who misses him. It’s the children, the family, his father, everyone around him. I mean, everybody misses Michael, but Michael is here.</p> <p>“Different, but he’s here, and that gives us strength. We’re together. We live together at home.”</p> <p>Michael reportedly moved from his Swiss home to the exclusive Spanish villa where Gina's wedding was held in September 2020 according to the Spanish press. </p> <p>According to<em> The Sun</em>, Michael spent much of his recent life at the  $50 million villa, which is believed to have been adapted allowing a team of doctors and nurses to provide round-the-clock care. </p> <p><em>Image: Instagram</em></p>

Caring

Placeholder Content Image

What is ‘health at every size’ lifestyle counselling? How does it compare with weight-focused treatments?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/jordan-stanford-1631336">Jordan Stanford</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/maria-gomez-martin-1218567">María Gómez Martín</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Health at every size (or HAES) is a lifestyle counselling approach that promotes mindful eating and lifestyle behaviours to pursue health and wellness, without focusing on weight loss. Weight loss is seen as a <a href="https://www1.racgp.org.au/newsgp/clinical/understanding-the-%E2%80%98health-at-every-size%E2%80%99-paradigm">beneficial side effect</a>, rather than a goal.</p> <p>The <a href="https://www.sizeinclusivehealth.org.au/What-is-HAES">Association for Size Diversity and Health</a> first developed the approach in 2003 and revised it in 2013 and 2024. Its current <a href="https://asdah.org/haes/">core principles</a> promote:</p> <ul> <li>minimising weight discrimination</li> <li>encouraging body acceptance</li> <li>intuitive eating</li> <li>enjoyable physical activities.</li> </ul> <p>It also aims to address <a href="https://theobesitycollective.org.au/our-work/#weight-stigma-awareness">stigma and discrimination</a> that people in larger bodies may experience when seeking medical care.</p> <p>Internationally, a <a href="https://asdah.org/listing/">range of health professionals</a> have incorporated the HAES approach into their treatment and services. Some organisations, such as <a href="https://obesitycanada.ca/guidelines/nutrition/">Obesity Canada</a>, have included HAES in their <a href="https://pubmed.ncbi.nlm.nih.gov/32753461/">guidelines for obesity treatment</a>.</p> <h2>How does it compare with weight-focused treatments?</h2> <p>We conducted a <a href="https://pubmed.ncbi.nlm.nih.gov/38563692/">systematic review and meta-analysis</a> of all the research studies published until November 2022 that had used HAES-based programs.</p> <p>Across 19 scientific papers, we compared the outcomes of people living in larger bodies who used HAES-based programs <a href="https://pubmed.ncbi.nlm.nih.gov/38563692/">with</a>:</p> <ul> <li>conventional weight loss programs (six studies)</li> <li>people on waiting lists receiving no treatment at all (six studies)</li> <li>groups where people received weekly social support in groups (four studies).</li> </ul> <p>We evaluated the program’s impact on appetite, weight, physical health measurements including cholesterol and blood pressure, and also wellbeing and mental health.</p> <p>Our analysis found HAES interventions were beneficial in reducing susceptibility to hunger more than other approaches, meaning people had less subjective perceptions of hunger or eating in response to emotions.</p> <p>However, compared to control interventions, HAES did not show superior results for improving any other physical health outcome – weight loss, blood cholesterol levels, blood pressure – or wellbeing or mental health outcomes.</p> <p>Given the results to date, the choice about whether to use a HAES-based approach (or not) will depend on each person’s preference, needs and goals.</p> <h2>Don’t get your health advice from influencers</h2> <p>While HAES has been used in clinical practice for many years, some United States and Canadian anti-diet practitioner’s motives have been scrutinised because of their links <a href="https://www.washingtonpost.com/wellness/2024/04/03/diet-culture-nutrition-influencers-general-mills-processed-food/">with processed food companies</a>.</p> <p>The spotlight was put on the <a href="https://nutritionbycarrie.com/2024/04/washington-post-dietitians.html">very small number</a> of dietitian “influencers” (roughly 20 from a membership of more than 80,000 dietitians in the US and Canada) promoting “eat what you feel like” and discouraging people from making weight loss attempts, under the banner of HAES. They failed to mention they were being paid to promote products sold by food, beverage or supplement companies.</p> <p>US <a href="https://nutritionbycarrie.com/2024/04/washington-post-dietitians.html">author and dietitian Carrie Dennet</a> urges people to not look to influencers for health advice. Instead, seek non-judgemental health care from your GP.</p> <h2>What might treatment look like?</h2> <p>When improving your health is a treatment goal, a good place to start your journey is to have a health check-up with your doctor, as well as to assess your relationship with food.</p> <p>A healthy relationship with food means being able to eat appropriate amounts and variety of foods to meet your nutritional, health and wellbeing goals. This might include strategies such as:</p> <ul> <li>keeping a <a href="https://theconversation.com/what-does-having-a-good-relationship-with-food-mean-4-ways-to-know-if-youve-got-one-202622">food mood diary</a></li> <li>reflecting on factors that influence your eating</li> <li>practising <a href="https://theconversation.com/thinking-youre-on-a-diet-is-half-the-problem-heres-how-to-be-a-mindful-eater-99207">mindful eating</a></li> <li>learning about nutrient needs</li> <li>focusing on food enjoyment and the pleasure that comes from preparing, sharing and eating with others.</li> </ul> <p>If you need more help to develop this, ask your doctor to refer you to a health practitioner who can assist.</p> <h2>What if your goal is weight loss?</h2> <p>When it comes to medical nutrition therapy to treat weight-related health conditions, such as high blood pressure and type 2 diabetes, the approach will depend on individual needs and expectations.</p> <p>Broadly, there are three graded energy intake target levels:</p> <ol> <li> <p>a reduced-energy diet where the goal is to lower energy intake by 2,000 to 4,000 kilojoules (kJ) per day by identifying food substitutions, like swapping soft drinks and other sugar-sweetened drinks for zero or diet versions or water.</p> </li> <li> <p>a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">low-energy diet</a>, which uses an energy intake goal in the range of 4,200-5,000 kJ, up to 7,000 kJ per day depending on an individual’s energy expenditure.</p> </li> <li> <p>the most restricted regime is a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">very low-energy diet</a>, has an energy intake target less than 2,500 kJ/day, achieved using formulated meal replacement products.</p> </li> </ol> <p>The aim of a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">very low-energy diet</a> is to facilitate rapid weight loss when this is essential to improve health acutely such as poorly controlled type 2 diabetes. Such a diet should be used under supervision by your doctor and dietitian.</p> <p>When selecting an initial <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">strategy</a>, seek a balance between energy intake goals and your ability to stick to it. Your approach may change over time as your health needs change.</p> <p>If you need personalised nutrition advice, ask for a referral to an accredited practising dietitian. The <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">register of service providers though Dietitians Australia</a> allows you to view their expertise and location.</p> <p>Regardless of whether your practitioner uses a HAES approach or not, your health providers should always treat you with respect and address your personal health and wellbeing.<!-- 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/234376/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/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, Postdoctoral Researcher, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/jordan-stanford-1631336">Jordan Stanford</a>, Post Doctorate Fellow, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/maria-gomez-martin-1218567">María Gómez Martín</a>, Dietitian and early career researcher, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image </em><em>credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-health-at-every-size-lifestyle-counselling-how-does-it-compare-with-weight-focused-treatments-234376">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Ovarian cancer is hard to detect. Focusing on these 4 symptoms can help with diagnosis

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Ovarian cancers are often found when they are already advanced and hard to treat.</p> <p>Researchers <a href="https://ascopubs.org/doi/10.1200/JCO.2010.32.2164">have long believed</a> this was because women first experienced symptoms when ovarian cancer was already well-established. Symptoms can also be <a href="https://cancer.org.au/cancer-information/causes-and-prevention/early-detection-and-screening/early-detection-of-ovarian-cancer">hard to identify</a> as they’re vague and similar to other conditions.</p> <p>But <a href="https://ijgc.bmj.com/content/early/2024/07/24/ijgc-2024-005371">a new study</a> shows promising signs ovarian cancer can be detected in its early stages. The study targeted women with four specific symptoms – bloating, abdominal pain, needing to pee frequently, and feeling full quickly – and put them on a fast track to see a specialist.</p> <p>As a result, even the most aggressive forms of ovarian cancer could be detected in their early stages.</p> <p>So what did the study find? And what could it mean for detecting – and treating – ovarian cancer more quickly?</p> <h2>Why is ovarian cancer hard to detect early?</h2> <p>Ovarian cancer <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">cannot be detected</a> via cervical cancer screening (which used to be called a pap smear) and pelvic exams <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">aren’t useful</a> as a screening test.</p> <p>Current <a href="https://www.canceraustralia.gov.au/cancer-types/gynaecological-cancers/clinicians-hub/ovarian-cancer-guidelines">Australian guidelines</a> recommend women get tested for ovarian cancer if they have symptoms for <a href="https://www.canceraustralia.gov.au/sites/default/files/publications/assessment-symptoms-may-be-ovarian-cancer-guide-gps/pdf/ocg_assessment_of_symptoms_gp_card_0.pdf">more than a month</a>. But many of the <a href="https://cancer.org.au/cancer-information/types-of-cancer/ovarian-cancer">symptoms</a> – such as tiredness, constipation and changes in menstruation – are vague and overlap with other common illnesses.</p> <p>This makes early detection a challenge. But it is crucial – a woman’s <a href="https://seer.cancer.gov/statfacts/html/ovary.html">chances of surviving ovarian cancer</a> are associated with how advanced the cancer is when she is diagnosed.</p> <p>If the cancer is still confined to the original site with no spread, the five-year survival rate is 92%. But over half of women diagnosed with ovarian cancer first present when the cancer has <a href="https://seer.cancer.gov/statfacts/html/ovary.html">already metastatised</a>, meaning it has spread to other parts of the body.</p> <p>If the cancer has spread to nearby lymph nodes, the survival rate is reduced to 72%. If the cancer has already metastasised and spread to distant sites at the time of diagnosis, the rate is only 31%.</p> <p>There are mixed findings on whether detecting ovarian cancer earlier leads to better survival rates. For example, a trial in the UK that screened more than 200,000 women <a href="https://pubmed.ncbi.nlm.nih.gov/37183782/">failed to reduce deaths</a>.</p> <p>That study screened the general public, rather than relying on self-reported symptoms. The new study suggests asking women to look for specific symptoms can lead to earlier diagnosis, meaning treatment can start more quickly.</p> <h2>What did the new study look at?</h2> <p>Between June 2015 and July 2022, the researchers recruited 2,596 women aged between 16 and 90 from 24 hospitals across the UK.</p> <p>They were asked to monitor for these four symptoms:</p> <ul> <li>persistent abdominal distension (women often refer to this as bloating)</li> <li>feeling full shortly after starting to eat and/or loss of appetite</li> <li>pelvic or abdominal pain (which can feel like indigestion)</li> <li>needing to urinate urgently or more often.</li> </ul> <p>Women who reported at least one of four symptoms persistently or frequently were put on a <a href="https://pubmed.ncbi.nlm.nih.gov/22479719/">fast-track pathway</a>. That means they were sent to see a gynaecologist within two weeks. The fast track pathway has been used in the UK since 2011, but is not specifically part of Australia’s guidelines.</p> <p>Some 1,741 participants were put on this fast track. First, they did a blood test that measured the cancer antigen 125 (CA125). If a woman’s CA125 level was abnormal, she was sent to do a internal vaginal ultrasound.</p> <h2>What did they find?</h2> <p>The study indicates this process is better at detecting ovarian cancer than general screening of people who don’t have symptoms. Some 12% of women on the fast-track pathway were diagnosed with some kind of ovarian cancer.</p> <p>A total of 6.8% of fast-tracked patients were diagnosed with high-grade serous ovarian cancer. It is the most aggressive form of cancer and responsible for 90% of ovarian cancer deaths.</p> <p>Out of those women with the most aggressive form, one in four were diagnosed when the cancer was still in its early stages. That is important because it allowed treatment of the most lethal cancer before it had spread significantly through the body.</p> <p>There were some promising signs in treating those with this aggressive form. The majority (95%) had surgery and three quarters (77%) had chemotherapy. Complete cytoreduction – meaning all of the cancer appears to have been removed – was achieved in six women out of ten (61%).</p> <p>It’s a promising sign that there may be ways to “catch” and target ovarian cancer before it is well-established in the body.</p> <h2>What does this mean for detection?</h2> <p>The study’s findings suggest this method of early testing and referral for the symptoms leads to earlier detection of ovarian cancer. This may also improve outcomes, although the study did not track survival rates.</p> <p>It also points to the importance of public awareness about symptoms.</p> <p>Clinicians should be able to recognise all of the ways ovarian cancer can present, including vague symptoms like general fatigue.</p> <p>But empowering members of the general public to recognise a narrower set of four symptoms can help trigger testing, detection and treatment of ovarian cancer earlier than we thought.</p> <p>This could also save GPs advising every woman who has general tiredness or constipation to undergo an ovarian cancer test, making testing and treatment more targeted and efficient.</p> <p>Many women remain <a href="https://www.google.com/url?q=https://pubmed.ncbi.nlm.nih.gov/24612526/&amp;sa=D&amp;source=docs&amp;ust=1723610085733806&amp;usg=AOvVaw3J5o5DwRFiDzFaQcD7VTQn">unaware of the symptoms</a> of ovarian cancer. This study shows recognising them may help early detection and treatment.<!-- 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/236775/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/jenny-doust-12412">Jenny Doust</a>, Clinical Professorial Research Fellow, Australian Women and Girls' Health Research Centre, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/ovarian-cancer-is-hard-to-detect-focusing-on-these-4-symptoms-can-help-with-diagnosis-236775">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Swimmer drowns unnoticed during event

<p>An athlete has drowned in the middle of a livestreamed sporting competition in the US, with spectators and competitors alike not realising until it was too late.</p> <p>Lazar Đukić, an athlete from Belgrade, Serbia, was one of many competing at the CrossFit competition in Texas, when he reportedly vanished near the end of a live-streamed 800-metre swim in Fort Worth’s Marine Creek Lake, near Dallas, on Thursday. </p> <p>Spectators, staff and swimmers initially didn't notice the man had drowned, as the Fort Worth Fire Department told AP it was called to assist police because there “was a participant in the water that was down and hadn’t been seen in some point in time”.</p> <p>Two hours after he was last seen, a body was pulled from the lake. </p> <p>One distressed spectator said “people were still swimming over him where he went down”.</p> <p>The organisers of the CrossFit Games issued a statement on Thursday, saying they are "deeply saddened" by the turn of events. </p> <p>“CrossFit is deeply saddened by the death of a CrossFit Games competitor during the swimming portion of Individual Event 1 at the 2024 CrossFit Games,” the statement read.</p> <p>“We are fully co-operating with authorities and doing everything we can to support the family at this time.”</p> <p>Mr Đukić, 28, has been remembered as a “beloved friend and elite athlete”.</p> <p>A <a title="www.gofundme.com" href="https://www.gofundme.com/f/lazar-dukic-support-fund">GoFundMe fundraising page</a> has been set up by one of Mr Đukić sponsors drinks brand Fitaid, to “support his loved ones during this time”, and has already raised $215,000 of $228,000 goal. </p> <p>“Known for his kindness, humour, and supportive nature, Lazar brought a breath of fresh air wherever he went,” state the page.</p> <p>“Beyond his athletic achievements, Lazar was caring, humorous and relentlessly supported those around him. His warm, supportive nature and quick wit left a lasting impression on everyone he met.”</p> <p><em>Image credits: GoFundMe</em></p>

Caring

Placeholder Content Image

Former pilot accused of murder shares his version of events

<p>Former Jetstar pilot Greg Lynn has shared his version of events from the day Russell Hill and Carol Clay were allegedly murdered. </p> <p>Mr Lynn, who is on trial for the murders of the elderly campers, claimed Mr Hill, 74, knifed himself in a struggle after he accidentally shot his childhood sweetheart Ms Clay, 73, in the head.</p> <p>Police allege Mr Hill and Ms Clay were murdered while camping in the remote Wonnangatta Valley in Victoria's Alpine region more than four years ago, with Crown prosecutor Daniel Porceddu telling the jury at the opening of the trial exactly how and why Lynn allegedly killed the couple.</p> <p>"The precise circumstances of the killing are unknown, nor is the motivation," he said.  </p> <p>The jury heard it was most likely a dispute over the use Mr Hill's drone, as Mr Porceddu said, "There might have been an argument or confrontation between the men. It is not known how Mr Hill was killed."</p> <p>But in providing a brief defence, Lynn's barrister Dermot Dann KC, claimed Mr Hill and Ms Clay's death was the result of a tragic accident, telling the jury, "We say not a case of murder, this is a case of two accidental, tragic deaths."</p> <p>"Tragic accidental deaths in circumstances that were not of Mr Lynn's making and not of his choosing."</p> <p>Mr Dann told the jury that Mr Hill allegedly stole Lynn's shotgun after he became enraged about Lynn playing loud music on the night he was killed. </p> <p>The barrister then detailed how a fight over the gun ensued, which resulted in Mr Hill accidentally shooting Ms Clay in the head, as Mr Lynn tried to disarm him. </p> <p>Mr Dann said Lynn picked up the gun and fired its remaining ammunition into the air before being set upon by an enraged Mr Hill. </p> <p>"The next thing is Mr Hill's advancing towards him with a knife screaming at him 'she's dead'," Mr Dann said. </p> <p>"A struggle developed over the knife. Mr Lynn trying to defend himself - they're locked in this struggle - and as part of that struggle the two men fall to the ground  and the knife goes through the chest of Mr Hill."</p> <p>Upon his arrest, Mr Dann claimed Lynn co-operated with detectives, telling them where to find the bodies of the campers, and once again telling the jury that Mr Lynn is not guilty of murder or manslaughter.</p> <p class="mol-para-with-font" style="margin: 0px 0px 16px; padding: 0px; min-height: 0px;"><em>Image credits: Supplied / Facebook </em></p>

Legal

Placeholder Content Image

"A step too far": Grandparents barred from school event for bizarre reason

<p>A Melbourne school has come under fire for refusing to let a group of grandparents into the classroom for a special event because they did not have a Working With Children Check (WWCC). </p> <p>Furious grandparents have slammed St Joseph’s Primary School in Yarra Junction for taking it "a step too far" when they asked them to provide the WWCC after being invited to attend the “Inquiry Afternoon”. </p> <p>The event was held for year one and two students to speak about “technology and the world has changed over time”, according to <em>The Herald Sun.</em></p> <p>Grandparents were asked to provide a WWCC on the back of the invitation, which some of them missed. </p> <p>“The Working With Children Check isn’t set up for the one-off visit — it is a step too far,” founder of the National Grandparent Movement Ian Barnett told <em>Sunrise</em>. </p> <p>“I understand we’re living in a time when we want more checks and balances, but it is unrealistic to think that grandparents attending such a day would actually need to go and provide a Working With Children Check."</p> <p>The grandparents without a WWCC were forced to sit in the principal's office and do their show-and-tell via a video call. </p> <p>“I’m sure they had very good intentions — no one set out for this to happen,” <em>Herald Sun</em> education editor Susie O’Brien said. </p> <p>“But imagine turning up, arranging your entire week, your day to come to your grandchild’s event … and the child’s school refuses entry.”</p> <p>She added that although schools did have some discretion over such requirements, when a group of people are invited for a specific event, it is usually not required. </p> <p>Barnett also said that "for such visits you don’t need a Working With Children Check,” in most states. </p> <p>“I haven’t heard of this in NSW. I have to admit, I’m from NSW. So it is really going a bit extreme. Schools do have the right to decide who comes onsite. But it just seems it’s not required.</p> <p>“To actually drag the child out from the classroom to sit with nana or grandad, it’s a step too far and embarrassing, I think, for the school as well.”</p> <p>A spokesperson for the primary school acknowledged that although there was some confusion, the school had to comply with the child safe standards. </p> <p>“There was advance notice to all St Joseph’s families on this requirement, with 29 grandparents signing in on Friday with a working with children clearance," they told the Herald Sun. </p> <p>“We acknowledge the disappointing experience of the four grandparents who couldn’t attend the grandparents’ day and are attempting to call these families this morning.”</p> <p><em>Images: Sunrise/ The Herald Sun</em></p>

Legal

Placeholder Content Image

Does hosting the Olympics, the World Cup or other major sports events really pay off?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/ivan-savin-678930">Ivan Savin</a>, <a href="https://theconversation.com/institutions/escp-business-school-813">ESCP Business School</a></em></p> <p>After a long battle, <a href="https://www.france24.com/en/europe/20240213-paris-booksellers-stay-olympics-macron-bouquiniste-france">Paris’s beloved <em>bouquinistes</em> will be staying put</a> this summer. The decision, announced on 13 February by the French government, came after considerable public backlash to the police prefecture’s original plan to move part of the iconic Seine booksellers elsewhere for the inauguration of the Olympics Games on 26 July.</p> <p>Meanwhile, less than six months away from the event, Parisians continue to grumble over a <a href="https://www.ouest-france.fr/jeux-olympiques/cest-aberrant-ce-maire-vient-dapprendre-que-sa-ville-accueillera-les-jeux-de-paris-ab1fa968-cfd1-11ee-89c0-6cefac77e04a">lack of consultations</a> with locals, warnings of <a href="https://www.rfi.fr/en/france/20231130-paris-vehicle-traffic-to-be-heavily-restricted-during-2024-olympic-games">gridlocked traffic</a>, closed metro stations, extensive video surveillance and other grievances. So for host countries, what was the point of the Olympics, again?</p> <p>In academia, the debate about the potential positive and negative effects of large-scale sporting events is ongoing. Although these events are often associated with substantial economic losses, the long-term benefits are the main argument in favour of hosting them. These include the development of material and soft infrastructure such as hotels, restaurants or parks. Big games can also help put the host region on the map as an attractive place for sports and cultural events, and inspire a better entrepreneurial climate.</p> <h2>The pros and the cons of big sporting events?</h2> <p>The cost of these benefits, as the Parisians have realised, is steep. Host countries appear to suffer from increased tax burdens, low returns on public investments, high construction costs, and onerous running cost of facilities after the event. Communities can also be blighted by noise, pollution, and damage to the environment, while increased criminal activity and potential conflicts between locals and visitors can take a toll on their quality of life. As a result, in the recent past several major cities, including Rome and Hamburg, <a href="https://www.dw.com/en/6-cities-that-rejected-the-olympics/a-46289852">withdrew their bids to host the games</a>.</p> <p>A common feature of the economics of large-scale sporting events is that our expectations of them are more optimistic than what we make of them once they have taken place. Typically, expenditure tends to tip over the original budget, while the revenue-side indicators (such as the number of visitors) are rarely achieved.</p> <p>When analysing the effect of hosting large-scale sporting events on tourist visits, it is important to take into consideration both the positive and negative components of the overall effect. While positive effects may be associated with visitors, negative effects may arise when “regular” tourists refuse to visit the location due to the event. This might be because of overloaded infrastructure, sharp increases in accommodation costs, and inconveniences associated with overcrowding or raucous or/and violent visitors. On top of that, reports of poverty or crime in the global media can actually undermine the location’s attractiveness.</p> <h2>When big sporting events crowd out regular tourists</h2> <p>In an <a href="https://doi.org/10.1177/1527002523120639">article published in the <em>Journal of Sports Economics</em></a> with Igor Drapkin and Ilya Zverev, I assess the effects of hosting large-scale sporting events, such as Winter and Summer Olympics plus FIFA World Cups, on international tourist visits. We utilise a comprehensive dataset on flow of tourists covering the world’s largest destination and origin countries between 1995 and 2019. As a first step, we built an econometric model that effectively predicts the flow of tourists between any pair of countries in our data. Subsequently we compared the predicted tourist inflow in a hypothetical scenario where no large-scale sporting event would have taken place with the actual figures. If the actual figures exceed the predicted ones, we consider the event to have a net positive impact. Otherwise, we consider that it had a “crowding out” effect on “regular” tourists. While conducting this analysis, we distinguished between short-term (i.e., focusing just on the year of the event) and mid-term (year of the event plus three subsequent years).</p> <p>Our results show that the effects of large-scale sporting events vary a lot across host countries: The World Cup in Japan and South Korea 2002 and South Africa 2010 were associated with a distinct increase in tourist arrivals, whereas all other World Cups were either neutral or negative. Among the Summer Olympics, China in 2008 is the only case with a significant positive effect on tourist inflows. The effects of the other four events (Australia 2000, Greece 2004, Great Britain 2012, and Brazil 2016) were found to be negative in the short- and medium-term. As for the Winter Olympics, the only positive case is Russia in 2014. The remaining five events had a negative impact except the one-year neutral effect for Japan 1998.</p> <p>Following large-scale sporting events, host countries are therefore typically less visited by tourists. Out of the 18 hosting countries studied, 11 saw tourist numbers decline over four years, and three did not experience a significant change.</p> <h2>The case for cautious optimism</h2> <p>Our research indicates that the positive effect of hosting large-scale sporting events on tourist inflows is, at best, moderate. While many tourists are attracted by FIFA World Cups and Olympic games, the crowding-out effect of “regular” tourists is strong and often underestimated. This implies that tourists visiting for an event like the Olympics typically dissuade those who would have come for other reasons. Thus, efforts to attract new visitors should be accompanied by efforts to retain the already existing ones.</p> <p>Large-scale sporting events should be considered as part of a long-term policy for promoting a territory to tourists rather than a standalone solution. Revealingly, our results indicate that it is easier to get a net increase in tourist inflows in countries that are less frequent destinations for tourists – for example, those in Asia or Africa. By contrast, the United States and Europe, both of which are traditionally popular with tourists, have no single case of a net positive effect. Put differently, the large-scale sporting events in Asia and Africa helped promote their host countries as tourist destinations, making the case for the initial investment. In the US and Europe, however, those in the last few decades brought little return, at least in terms of tourist inflow.<!-- 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/222118/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/ivan-savin-678930">Ivan Savin</a>, Associate professor of quantitative analytics, research fellow at ICTA-UAB, <a href="https://theconversation.com/institutions/escp-business-school-813">ESCP Business School</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/does-hosting-the-olympics-the-world-cup-or-other-major-sports-events-really-pay-off-222118">original article</a>.</em></p> </div>

Travel Tips

Placeholder Content Image

Sydneysiders witnessed horrific scenes on Saturday. How do you process and recover from such an event?

<p><em><a href="https://theconversation.com/profiles/kim-felmingham-9075">Kim Felmingham</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Like many, I watched the reports of the violent attack at Bondi Junction yesterday with shock, horror and disbelief. My heart goes out to the people involved, the courageous first responders and to those who have lost loved ones in this tragic event.</p> <p>I also feel for those who witnessed the horror and will be working out how to get through the initial shock and, over time, put it behind them.</p> <p>Distress and strong emotional reactions are <a href="https://kclpure.kcl.ac.uk/portal/en/publications/the-psychological-and-psychiatric-effects-of-terrorism-lessons-fr">common</a> after these types of mass violent events.</p> <p>But different people will have <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">different emotional reactions</a> – and some may experience a range of shifting emotions.</p> <h2>The first few days and weeks</h2> <p>In the days and weeks after traumatic events like these, people <a href="https://www.ptsd.va.gov/understand/isitptsd/common_reactions.asp#:%7E:text=All%20kinds%20of%20trauma%20create,stop%20thinking%20about%20what%20happened.">often experience</a> a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0306457320308670">range of emotions</a>: from fear and anxiety, anger, sadness and grief, disbelief and numbness, guilt and worry about safety. They may be jittery, more irritable or on edge, or it may affect their sleep.</p> <p>For many, their sense of risk may be heightened, particularly as such random violence occurred during such an ordinary event – shopping on a Saturday afternoon. This <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">can lead to</a> a heightened awareness of danger and concern for safety.</p> <h2>What’s likely to happen over time?</h2> <p>For most people, as they begin to process and make sense of what happened, these feelings will gradually reduce in intensity and people will begin to recover. <a href="https://pubmed.ncbi.nlm.nih.gov/25311288/">Research shows</a> the majority of people recover from mass violent events within the initial few months.</p> <p>However, for people with more direct exposure to the trauma, these events and reactions may be more difficult to process. Some people <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">may go on</a> to develop mental health difficulties, most commonly anxiety, depression and post-traumatic stress disorder (PTSD).</p> <p>Understandably, those <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">more at risk</a> are people who were present during the trauma and experienced a direct threat, as well as those who witnessed the violence or aftermath, first responders (paramedics and police) and those who had loved ones injured or lost during the event.</p> <p>People who had more intense emotional responses during the trauma, or previous psychological difficulties or traumatic experiences, may also be <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">at greater risk</a>.</p> <h2>What helps – and hinders – your recovery?</h2> <p>To help process these traumatic events and promote recovery, social support is <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">particularly important</a>.</p> <p>Spending time with trusted family and friends can help people process the events and their emotional reactions. Talking about your feelings with supportive people can help you understand and accept them. But even if you don’t want to talk about your feelings, spending time with loved ones is helpful.</p> <p>It is also fine to need some time to be alone, but try not to isolate yourself or withdraw.</p> <p>If you can’t talk about your feelings, try not to bottle them up or deal with them by using alcohol or drugs. Find <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/">another way to express them</a> – whether through writing, art or music, or exercise.</p> <p>Give yourself permission and time to feel these emotions. Remind yourself you have just been through something extremely traumatic, take things day by day, and don’t expect too much of yourself. Try not to judge yourself for your actions or how you are coping.</p> <p>Keep some structure in your day, setting small goals, and increase your self-care: eat well, rest (even if you can’t sleep well), try yoga or relaxation. When you’re ready, try to get back to your normal routine.</p> <p>Seek out information from <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/">trusted sources</a>, but try to <a href="https://journals.sagepub.com/doi/10.1177/0886260517742915">avoid</a> being saturated by images or stories about the trauma, particularly graphic footage or speculation common on social media.</p> <h2>What if children have witnessed it, too?</h2> <p>If your children have been impacted, reassure them that they are safe and loved. When they are ready, talk to them gently about the trauma, acknowledge it and answer their questions.</p> <p>Encourage them to express their feelings and spend more time together doing family activities.</p> <p>Importantly, try to limit their exposure to graphic footage and images of the events in the media, and on social media.</p> <h2>When to seek mental health care</h2> <p>Reach out for professional mental health support if you experience ongoing difficulty with your emotional reactions, or if you’re having distressing memories of the trauma, difficulty sleeping or nightmares, or you want to avoid things that remind you of the traumatic event.</p> <p>Not everyone requires professional mental health support, but if you are experiencing these types of post-traumatic stress reactions a few weeks after the trauma, it’s important to speak to your GP to seek out professional support from psychologists or counselling services.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><!-- 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/227867/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/kim-felmingham-9075">Kim Felmingham</a>, Chair of Clinical Psychology, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/sydneysiders-witnessed-horrific-scenes-on-saturday-how-do-you-process-and-recover-from-such-an-event-227867">original article</a>.</em></p>

Caring

Placeholder Content Image

Major festival event cancelled after deadly find

<p>Mardi Gras Fair Day has been cancelled four days out from the event after asbestos was discovered in Victoria Park, Sydney CBD. </p> <p>The organisers of the event, were informed of the site's contamination on Monday, with EPA officers finding positive results for bonded asbestos after undertaking tests earlier this week. </p> <p>Mardi Gras chef executive Gil Beckwith said that they are heartbroken after the decision was made, but the community's wellbeing is more important. </p> <p>“Fair Day is one of our most loved events, and is attended by over 70,000 people each year,” Beckwith said. </p> <p>“It breaks our heart to see this Sunday not go ahead, but given the safety concerns, we must put our communities’ wellbeing first.</p> <p>“The rest of our festival continues unchanged, offering many chances over the 17 days for our communities to come together in celebration and solidarity.”</p> <p>Other highlights including the Mardi Gras Parade and Bondi Beach Party will still go ahead as planned. </p> <p>This comes after the EPA confirmed that there is a widespread asbestos contamination with 22 sites across Sydney being affected, prompting the closure of parks, building sites, schools and train stations. </p> <p>Asbestos is a fibrous substance that can be trapped in the lungs if it's breathed in, and can lead to an increased risk in developing lung, ovary and throat cancer, according to the cancer council. </p> <p>Lord Mayor of Sydney Clover Moore said that it was an “incredibly disappointing” decision.</p> <p>“The NSW government and the EPA must make sure this never happens again,” she said. </p> <p>Asbestos has been found in two other city parks including Belmore Park in Haymarket and Harmony Park in Surry Hills. </p> <p>The Sydenham to Bankstown Rail Corridor sites including Campsie, Hurlstone Park, Dulwich Hill, Belmore, Wiley Park, Punchbowl and Marrickville have also been affected, with licensed removalists working hard to clear the sites. </p> <p>Over the coming week 32 more parks will be closed off, as they conduct more tests for contamination. </p> <p>“We urge everyone to avoid the mulched garden beds and mulched areas under trees at these parks while the inspections are being carried out,” a City of Sydney spokesperson said.</p> <p><em>Images: Getty</em></p>

Travel Trouble

Placeholder Content Image

"Eventful walk home": Barnaby Joyce explains why he was found collapsed on footpath

<p>Barnaby Joyce, the Nationals frontbencher, has recently found himself at the centre of public attention after a video surfaced showing him lying on a footpath in Canberra, seemingly in an inebriated state.</p> <p>In a statement to Seven's <em>Sunrise</em> on Monday morning, Joyce attributed the incident to mixing alcohol with prescription medication.</p> <p>“It was a very eventful walk home, wasn’t it,” he said to host Nat Barr. "I’m on a prescription drug, and they say certain things may happen to you if you drink, and they were absolutely 100 per cent right. They did.”</p> <p>Barr then replied: “So you mixed alcohol with prescription medication, did you, and this is what happened?”</p> <p>“That’s exactly what I said, yep,” Joyce responded.</p> <p>In the video footage captured on Lonsdale Street in Braddon, initially obtained by <em>The Daily Mail</em>, <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Joyce can be seen lying on his back, mumbling into his phone, prompting concerns from passersby.</span></p> <p>Prime Minister Anthony Albanese urged Joyce to provide a credible explanation. “People will certainly make their own judgements on that," Albanese told the ABC. "People will see that footage, they will look for an explanation that has some credibility and they’ll look for leadership from the leader of the Liberal Party and the leader of the National Party about this.”</p> <p>Treasurer Jim Chalmers expressed concern for Joyce's wellbeing, calling for an explanation while refraining from personal attacks.</p> <p>The incident has prompted discussions within political circles, with Nationals leader David Littleproud stating that Joyce would receive the necessary support. However, Joyce's decision to skip a party meeting where the incident was to be discussed indicates ongoing uncertainty surrounding the situation.</p> <p><em>Images: Sunrise / Seven</em></p>

News

Placeholder Content Image

Manu Feildel forced to pull out of major event after health emergency

<p dir="ltr">Manu Feildel has explained a recent health scare, after he was forced to pull out of appearing at a major event. </p> <p dir="ltr">The celebrity chef and <em>My Kitchen Rules</em> judge was set to make a guest appearance at Sydney’s Tour de Cure Spring Lunch at Doltone House on Friday, but was hospitalised before he was expected to arrive. </p> <p dir="ltr">Feildel took to Instagram to explain his mysterious absence from the event, which was a charity luncheon to raise money for cancer research. </p> <p dir="ltr">“I wish I could be there celebrating with you, but unfortunately I have to go for surgery tomorrow,” he said in a video message.</p> <p dir="ltr">Whilst the cook did not say what his condition was, he later posted a video showing his leg in a heavy brace.</p> <p dir="ltr">Manu’s knee looked especially red and swollen, with dressing across the kneecap.</p> <p dir="ltr">“I’ve had some surgery done and I can’t cook for myself as I usually do,” he said in the clip. </p> <p dir="ltr">Fans flocked to the comments section to wish Manu well. </p> <p dir="ltr">“Look after your leg mon ami!” wrote fellow chef Luca Ciano. “Hope you’re ok.”</p> <p dir="ltr">“Manu, oh no. What happened?” wondered another follower, while one person quipped, “Too much sauce, and u slipped on it?”</p> <p dir="ltr">Another concerned fan asked: “What have you done to yourself now? Wishing you a speedy recovery,” while others posted a simple, “Get well soon.”</p> <p dir="ltr"><em>Image credits: Instagram</em></p>

Caring

Placeholder Content Image

Extreme weather events are exactly the time to talk about climate change – here’s why

<p><em><a href="https://theconversation.com/profiles/josh-ettinger-1302389">Josh Ettinger</a>, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a></em></p> <p>Record-breaking heatwaves are <a href="https://public.wmo.int/en/media/news/simultaneous-heatwaves-hit-northern-hemisphere-summer-of-extremes">sweeping across the northern hemisphere</a>, affecting large parts of southern Europe, the US and China. On July 24, Sicily recorded blistering temperatures <a href="https://www.bbc.com/news/world-europe-66302472">of more than 47.5℃</a> and wildfires are currently <a href="https://www.theguardian.com/world/2023/jul/25/how-bad-are-wildfires-in-greece-what-caused-them-visual-guide-heatwave">tearing through Greece</a>. The heatwaves come as <a href="https://www.reuters.com/graphics/CANADA-WILDFIRE/HISTORIC/znvnzebmavl/">record numbers of fires continue to burn</a> across Canada.</p> <p>A <a href="https://www.bbc.co.uk/news/science-environment-66289489">study by the World Weather Attribution group</a> found that these heatwaves would have been “virtually impossible” without climate change. In fact, the heatwave that is affecting parts of China was made 50 times more likely by global warming. This is exactly what climate scientists have been warning us about for decades – climate change makes many types of extreme weather event <a href="https://www.carbonbrief.org/explainer-what-the-new-ipcc-report-says-about-extreme-weather-and-climate-change/">more likely, more intense and longer lasting</a>.</p> <p>As a PhD researcher examining extreme weather events and climate change communication, I have spent the past four years exploring how extreme weather events may affect the way the public feels, thinks and acts on climate change.</p> <p>One area of interest to researchers is how extreme weather events might reduce the <a href="https://www.sciencedirect.com/science/article/pii/S0272494422000676">“psychological distance”</a> associated with climate change. While climate change can feel abstract and vague, extreme weather is something people can experience firsthand.</p> <p>But <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ab466a/meta">research offers contrasting results</a>. Some studies have found that extreme weather events lead to an <a href="https://www.journals.uchicago.edu/doi/full/10.1017/S0022381612000448?casa_token=dTns6Kvds1AAAAAA%3AkQcleVJ95vJUyh5Pg2vxvFEDbzfR1RsuOI131QCMO0wvdtIiLSVEq4EW6fZYwC7Yhraxj-NB9g">increased belief</a> that human-driven climate change is occurring and <a href="https://link.springer.com/article/10.1007/s10584-016-1837-4">greater support for climate action</a>. Others <a href="https://link.springer.com/article/10.1007/s10584-021-03176-z">find no effects</a> or suggest that these effects are <a href="https://www.sciencedirect.com/science/article/abs/pii/S0959378017309135?via%3Dihub">only temporary</a>.</p> <p>However, <a href="https://www.nature.com/articles/s41467-022-32412-y">we often underestimate</a> how much the public already cares about climate change. In Britain, <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1164127/desnz-pat-spring-2023-net-zero-and-climate-change.pdf">just 4% of the public</a> say they are not at all concerned about climate change, while only <a href="https://climatecommunication.yale.edu/about/projects/global-warmings-six-americas/">11% of Americans</a> dismiss the issue.</p> <p>Given that <a href="https://www.pewresearch.org/short-reads/2019/04/18/a-look-at-how-people-around-the-world-view-climate-change/">most people</a> are already concerned about climate change, an important question now is how to shift these existing concerns into action.</p> <p><a href="https://theconversation.com/how-to-talk-to-your-family-and-friends-about-the-new-ipcc-report-five-tips-from-climate-change-communication-research-202306">Talking about climate change</a> is a powerful way of mobilising climate action, and extreme weather events provide helpful climate conversation starters. We can use these moments as opportunities to <a href="https://journals.sagepub.com/doi/10.1177/20563051231177930">engage our families, friends and communities</a> in discussions about how climate change may relate to these events and <a href="https://drawdown.org/solutions">what we can do about it</a>.</p> <p>So, if you decide to engage people you know in discussions about extreme weather and climate change, here are a few thoughts and guidelines to keep in mind.</p> <h2>1. Listen and share perspectives</h2> <p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0887618520300773">Extreme weather events can be traumatic</a> and climate change can evoke a wide range of emotional responses. If the person you are talking to is comfortable discussing the topic, ask them about their experiences and observations.</p> <p>Encourage them to tell stories and affirm the validity of their emotional response – whether they are afraid, angry, hopeful or worried. There is no one right way to feel about climate change, so listen to what they have to say and then share your own perspective too.</p> <h2>2. Talk about planning and preparation</h2> <p>When discussing extreme weather events, some people may link their experiences to climate change, while others focus on various local factors that contribute to extreme weather risks.</p> <p>The risks associated with extreme weather arise from a <a href="https://www.ipcc.ch/report/ar6/wg2/chapter/summary-for-policymakers/">combination</a> of factors. These include the weather itself, which can be influenced by climate change, the level of exposure of people and places to extreme weather and the vulnerability of those to harm.</p> <p>Climate change, for instance, can affect the frequency, intensity and duration of wildfires. But emergency responses, evacuation procedures, firefighting and healthcare systems are crucially important to reduce risks. There are also significant equity and justice implications of extreme weather as different populations are <a href="https://link.springer.com/article/10.1007/s41885-020-00060-5">affected disproportionally</a>.</p> <p>It’s also important to bear in mind that while climate change affects many extreme weather events, it <a href="https://www.carbonbrief.org/climate-change-not-the-main-driver-of-madagascar-food-crisis-scientists-find/">does not necessarily affect every instance</a>. Weather systems are complex and there are <a href="https://theconversation.com/heres-why-climate-change-isnt-always-to-blame-for-extreme-rainfall-206958">meteorological processes</a> that scientists are still trying to understand.</p> <p>We also need to make sure the roles of local planning and preparation in minimising the impact of these events are not overlooked.</p> <h2>3. Challenge arguments about politicising the weather</h2> <p>In May 2023, Republican governor of Florida, Ron DeSantis, dismissed concerns about global warming by claiming that he rejects the <a href="https://www.independent.co.uk/news/world/americas/us-politics/desantis-climate-change-fox-news-b2346211.html">“politicisation of the weather”</a>. Ontario premier, Doug Ford, recently <a href="https://www.cbc.ca/news/canada/toronto/ontario-climate-change-forest-fires-politics-ford-stiles-1.6869071">made a similar argument</a> about Canada’s wildfires.</p> <p>In conversations, it’s possible that someone might accuse you too of “politicising” the weather. You can (respectfully) push back against this claim.</p> <p>This argument is a <a href="https://www.cambridge.org/core/journals/global-sustainability/article/discourses-of-climate-delay/7B11B722E3E3454BB6212378E32985A7">discourse of climate delay</a>. Rather than denying the existence of human-driven climate change, climate delay discourses try to shut down climate discussions and cast doubt on the need to act very quickly. These arguments disingenuously assert that acting on climate is too expensive, too late or that someone else should take care of it – and they are <a href="https://theconversation.com/climate-change-multi-country-media-analysis-shows-scepticism-of-the-basic-science-is-dying-out-198303">becoming increasingly common</a>.</p> <p>If we shouldn’t discuss climate change when extreme weather occurs, then when is the right time? If we want to protect lives, we need to talk about – and act upon – the risks associated with extreme weather events and the disasters they can cause.</p> <p>If talking about climate change politicises the weather, so be it. The politics of climate denial and delay affected this summer’s weather, and our current decisions will shape our planet for thousands of years.</p> <p>The science is clear. Act now or face increasingly dire consequences.<!-- 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/210412/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/josh-ettinger-1302389">Josh Ettinger</a>, Doctoral researcher, School of Geography and the Environment, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</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/extreme-weather-events-are-exactly-the-time-to-talk-about-climate-change-heres-why-210412">original article</a>.</em></p>

Travel Trouble

Placeholder Content Image

First Nations elder removed from Obama event

<p>A First Nations Elder bas been left “shocked and distressed” after being removed from performing the Welcome to Country ceremony at a Melbourne event hosted by former president Barack Obama.</p> <p>Obama touched down in Melbourne with former First Lady and wife Michelle ahead of the event at John Cain Arena on March 29.</p> <p>In what could have been a special ceremony for her, senior Wurundjeri elder Aunty Joy Murphy has been left deeply saddened after she said she was told she was being “too difficult” for making two requests for the event.</p> <p>Aunty Joy asked if the event organisers Growth Faculty were able to provide appropriate accommodations for a support person to accompany her, and made a request to provide a gift to Obama, which is something she said is cultural practice.</p> <p>The Wurundjeri Woi-wurrung Cultural Heritage Aboriginal Corporation said Aunty Joy was removed from the event following the requests.</p> <p>"I am 78 years of age. I have never been treated or spoken to in this way in the past," Aunty Joy said in a statement.</p> <p>"I do not want this to be a reflection on President Obama. I am a leader of the Wurundjeri Nation. I asked to be treated as an equal.</p> <p>"I have been shocked and distressed by the way I have been treated by event organisers.</p> <p>"They have always shown me respect and accepted my Welcome as a gift from our people.”</p> <p>Aunty Joy was also removed from performing traditional cultural protocols at a planned lunch with Obama the next day.</p> <p>"The Welcome to Country is a very important ceremony for our people. It is an honour to Welcome people like President Obama and I am upset that I am unable to do this today," she said.</p> <p>Growth Faculty have since issued an apology for the circumstances that led to the last-minute cancellation.</p> <p>In a statement, a spokesperson said changes to the ceremony due to “security requirements” meant a welcome to country was instead delivered by Wurundjeri-Willam woman Mandy Nicholson.</p> <p>“Growth Faculty had been working with Aunty Joy and the Wurundjeri community for many weeks ahead of last night’s event,” the statement read.</p> <p>“Due to security requirements, the organisation was unable to accommodate last minute changes to the agreed upon ceremony.</p> <p>“Growth Faculty has apologised to Aunty Joy that last night’s ceremony could not be changed.”<br />The spokesperson also said that Aunty Joy had accepted an invitation to perform the welcome to country at a business lunch taking place in Melbourne on Thursday instead.</p> <p><em>Image credit: Getty</em></p>

News

Placeholder Content Image

For some LGBTQ+ older people, events like World Pride can be isolating – we need to better understand how to support them

<p><a href="https://sydneyworldpride.com/">World Pride</a> has come to Sydney, with the annual <a href="https://sydneyworldpride.com/events/mardi-gras-parade/">Mardi Gras Parade</a> on Saturday having returned to its Oxford Street home for the first time in three years.</p> <p>The 17-day festival is expected to host 500,000 participants over more than 300 events. It is an opportunity to celebrate all things queer, and a good time to take stock of the changes LGBTQ+ older people have experienced, and the challenges they continue to face.</p> <p>LGBTQ+ people aged in their 70s, 80s and 90s have witnessed extraordinary social change regarding gender and sexual diversity. For example, in Australia, same-sex marriage is now legal, <a href="https://www.scientificamerican.com/article/where-transgender-is-no-longer-a-diagnosis/">Gender Identity Disorder</a> has been removed as a clinical diagnosis, and all states have an equal age of consent for homosexual and heterosexual sex.</p> <p>These have been hard-fought gains after many years of adversity and advocacy on the part of LGBTQ+ older people, among others.</p> <p>Each year, the <a href="https://www.78ers.org.au/">78ers</a> – who were involved in the Sydney marches and protests between June and August 1978 – take pride of place towards the front of the parade.</p> <h2>Loneliness and social isolation</h2> <p>Despite these achievements, the consequences of living most of one’s life in a homophobic and transphobic society have been considerable, particularly in terms of mental illness and social isolation.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Australian</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/34326557/">US</a> research indicates loneliness is more common among lesbian, gay and bisexual older people than the general population. This is particularly so for those who live alone and are not in a relationship. Similar findings are reported in relation to <a href="https://www.lgbtagingcenter.org/resources/pdfs/LGBT%20Aging%20and%20Health%20Report_final.pdf">transgender older people</a>, although more research is needed.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Loneliness</a> is also more common among lesbian and gay older people who are disconnected from LGBTQ+ communities and who hold negative attitudes towards their own same-sex attraction.</p> <p>For LGBTQ+ older people experiencing social isolation and loneliness, what might be their experience of watching World Pride from a distance? What might it be like navigating rainbow paraphernalia while shopping at <a href="https://www.coles.com.au/about/sustainability/better-together/our-team/pride">Coles</a> (a World Pride partner)? How might they perceive the glitz and glamour of the Mardi Gras Parade?</p> <p>World Pride may be challenging for those who don’t feel an attachment to LGBTQ+ communities or who feel negative about their own sexuality. And this may reinforce a sense of disconnection.</p> <p>But some may gain comfort from witnessing the sense of community on display. It may even strengthen their perceived connection to other LGBTQ+ people. And, for those who are not open about their sexuality or authentic gender, it may support their journey to “come out” later in life.</p> <h2>The impact of discrimination</h2> <p>For many LGBTQ+ older people, the experience of discrimination remains very real in their lives. <a href="https://pubmed.ncbi.nlm.nih.gov/33770516/">Past and recent discrimination</a> leads to delays seeking treatment and support, simply because people expect to be discriminated against when accessing services.</p> <p>In Australia, previous discrimination has been found to predict <a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">loneliness</a> and <a href="https://www.cambridge.org/core/journals/ageing-and-society/article/abs/recent-versus-lifetime-experiences-of-discrimination-and-the-mental-and-physical-health-of-older-lesbian-women-and-gay-men/90988215582414EA0AB7936B6384FC97">lower mental health</a> among older lesbian and gay people. In the US, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779303/">microaggressions</a> – small everyday interactions that reinforce the experience of being “other” – have predicted greater impairment, higher rates of depression and lower quality of life among LGBTQ+ people aged 80 and over.</p> <p>There remain major gaps in evidence on the issues faced by LGBTQ+ older people, particularly for bisexual, queer, transgender and nonbinary older people. This is mainly due to the failure to systematically collect inclusive data on gender and sexual diversity, through variables such as those recommended by the <a href="https://www.abs.gov.au/statistics/standards/standard-sex-gender-variations-sex-characteristics-and-sexual-orientation-variables/latest-release">Australian Bureau of Statistics</a>.</p> <h2>Strengths and resilience</h2> <p>This year, older people seemed to occupy a more prominent place in the Mardi Gras Parade. Perhaps this is because of the natural ageing of our community activists. Older people were also represented in the wider World Pride festival, such as in the theatre production <a href="https://sydneyworldpride.com/events/all-the-sex-ive-ever-had/">All the Sex I’ve Ever Had</a>, in which older Sydney residents reflect on the evolution of their sexuality over the course of their lives.</p> <p>A festival like World Pride showcases the strengths and resilience of LGBTQ+ people and communities. The organisation of such an event should not be underestimated. This reflects LGBTQ+ people’s high level of civic engagement and commitment to giving back to society, as demonstrated by their greater likelihood of being <a href="https://www.tandfonline.com/doi/abs/10.1080/0312407X.2021.1899256">volunteers</a> and <a href="https://www.caregiving.org/wp-content/uploads/2020/05/2015_CaregivingintheUS_Final-Report-June-4_WEB.pdf">caregivers</a>. And the contribution of volunteers and caregivers during the HIV/AIDS crisis of the 1980s and ‘90s is not forgotten.</p> <p>LGBTQ+ older people generally are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241752/">resilient and maintain good health</a>. Many report increased <a href="https://link.springer.com/article/10.1007/s13178-021-00653-z">confidence and self-esteem</a>, compared with when they were younger. And many have created their own families – their families of choice – to support each other in later life.</p> <p>But we don’t know enough about their needs and how to provide them with inclusive services as they get older. World Pride is an opportunity to reflect on the hard-won gains but not ignore the challenges ahead.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/for-some-lgbtq-older-people-events-like-world-pride-can-be-isolating-we-need-to-better-understand-how-to-support-them-200533" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

Placeholder Content Image

Being declared dead when you’re still alive – why these very rare events occur

<p>An 82-year-old woman who was recently pronounced dead at a New York nursing home was later <a href="https://edition.cnn.com/2023/02/07/us/new-york-woman-found-alive-funeral-home/index.html">discovered to be alive</a> by funeral home staff. This follows a similar incident in Iowa where a 66-year-old woman with early-onset dementia was declared dead by a nurse, only to be found <a href="https://www.nytimes.com/2023/02/05/us/iowa-presumed-dead-body-bag-alzheimers.html">gasping for air</a> when funeral home staff unzipped the body bag.</p> <p>Fortunately, these events are very rare. But fear of them is visceral, which might explain an <a href="https://www.usni.org/press/books/naval-ceremonies-customs-and-traditions-6th-edition">old naval custom</a>. When sewing the canvas shroud for a dead sailor, the sailmaker would take the last stitch through the nose of the deceased. Having a sailcloth needle through the nose was presumed to be a potent enough stimulus to wake any sailor who was actually still alive.</p> <p>Confirmation of death these days is thankfully a lot less brutal. </p> <p>An absence of heart and breath sounds over a period of time, the presence of fixed, dilated pupils, and a failure to respond to any stimulus should mean that the person is deceased. All doctors are taught how to do this and all are aware of their duties.</p> <p>Unfortunately, there have been instances where death has been confirmed by this process, yet the patient has shown signs of life afterwards. </p> <p>Over the years, I have seen this happen. One day in a hospital, a colleague pronounced an elderly woman dead, but a short while later, she started breathing again and her pulse was briefly restored. </p> <p>In another unforgettable incident, the medical emergency team was summoned with the words: “Cardiac arrest. Mortuary. This is not a joke!” A woman had taken an overdose of barbiturates prescribed for her epilepsy. She had been seen by a general practitioner who certified that she was dead. </p> <p>But on arrival at the mortuary, one of her legs was seen to be twitching. Excruciating embarrassment all round. And if I recall correctly, she recovered.</p> <p>Failure to perform the confirmation-of-death procedure properly explains some instances of people being incorrectly declared dead. A cursory examination while distracted could easily lead to a failure to hear heart sounds and spot shallow, infrequent breaths. It pays to be thorough. However, some drugs we give patients can make the task harder. </p> <h2>Drugs, toxins and cold water</h2> <p>Sedating drugs are thought in some way to protect the brain from damage and this is made use of in anaesthesia for major surgical procedures, particularly if it is necessary to stop the circulation for a time. </p> <p>Less usefully, and with the potential to cause alarm, an overdose of sedatives reduces responsiveness and depresses the breathing and circulation, leading to the impression of death while protecting the brain from hypoxia (oxygen starvation). Later on, as the drug is cleared from the body, the person may wake up. </p> <p><a href="https://www.independent.co.uk/news/world/americas/man-wakes-up-funeral-open-casket-mourners-family-members-watson-franklin-mandujano-doroteo-peru-tingo-maria-a8021851.html">Diazepam</a> (brand name Valium), <a href="https://abcnews.go.com/US/woman-mistakenly-pronounced-dead-breathing-body-bag-funeral/story?id=96871056">alprazolam</a> (brand name Xanax) have both caused people to mistakenly be declared dead.</p> <p>Certain toxins may have a similar effect. Voodoo practitioners called Bokors apparently <a href="https://sites.duke.edu/ginalisgh323/zombification-process/">administered powders to victims</a> to make them seem dead. These powders reportedly contained small doses of tetrodotoxin from puffer fish to paralyse the victim, who was then presumably abducted before burial and enslaved. Could neurological damage from the “zombification” process account for the popular image of the zombie?</p> <p>Immersion in cold water can also lead to the illusion of death because of its effect on slowing the heart rate. Survival after <a href="https://www.sciencedirect.com/science/article/pii/S073646791930424X?casa_token=fWpL51aDu6wAAAAA:Mr0x81LUUog0hT-HSRneimKcRlYW6DHK4nUBODKqOao_L82J8bLIMHszMNwR9qVd69GkuCh8zqsb">considerable periods of time</a> in the water is well documented.</p> <p>In emergency medicine, it has long been taught that a drowned patient is not proven dead until they have been warmed up. Good neurological recovery has been reported after periods of cold water immersion of <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/aor.13818?casa_token=ukJcJCgH-n4AAAAA%3Annr3Tgd4LuJ8Ky-l_1UGB_IxLHuU-odWkM1DKgJEhXw3IYXP8_DrpfNxr2eIL8KJJ3PSRX_JUltjpfsLTg">up to 70 minutes</a></p> <p>Fainting might also deceive the certifying doctor. Activation of the vagus nerve (the longest cranial nerve in the body) occurs during fainting, slowing the heart and reducing blood pressure. </p> <p>This might account for <a href="https://www.mirror.co.uk/news/world-news/dead-teen-wakes-screaming-inside-6315389">a very sad case</a> reported from Honduras. A pregnant teenager was thought to have died from shock after hearing gunfire in her neighbourhood. She was heard screaming within her tomb a day after her funeral. It is quite possible that she had woken up after a prolonged faint.</p> <p>Many cases seem to originate outside of Europe. Geographical variation in medical confirmation of death procedure may explain this. Perhaps errors arise when people are less likely to be able to afford the costs of a doctor. </p> <p>Whatever the cause, these cases appear in the media because they are sensational and attract lurid attention, but ultimately they are very rare.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/being-declared-dead-when-youre-still-alive-why-these-very-rare-events-occur-199524" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

Placeholder Content Image

When hosting mega-events like FIFA, cities market themselves at the expense of the most vulnerable

<p>Few events capture the attention of the globe like the Men’s FIFA World Cup — in 2018, the event boasted a viewership of <a href="https://www.fifa.com/tournaments/mens/worldcup/2018russia/media-releases/more-than-half-the-world-watched-record-breaking-2018-world-cup">3.5 billion people</a>. Yet, despite the enormous popularity of the World Cup, <a href="https://www.aljazeera.com/sports/2022/11/17/do-host-countries-make-money-from-the-world-cup">host cities and countries invariably lose money</a> on the event itself, with FIFA capturing most of the profits despite its non-profit status.</p> <p>The calculus of host cities is based on the hope that successfully hosting a World Cup (or Olympics) will significantly enhance a city’s urban brand and ultimately lead to long-term increases in tourism and foreign direct investment.</p> <p>In other words, the argument is that a successful stint as a host city will identify that city as “<a href="https://www.jstor.org/stable/40643231">world-class</a>” and change its economic fortunes. This justification, at least from an economic point of view, relies on <a href="https://doi.org/10.1080/02614360500504628">some pretty fuzzy math and long-term forecasting that rarely gets audited</a>.</p> <p>I attended the 2010 World Cup in South Africa to study how various communities attempted to have their voices heard and needs met through the planning process for that event. I continue to research how hosting large-scale events intersect with other trends in global and local urbanization.</p> <p><strong>Urban branding</strong></p> <p>This mission of improving one’s urban brand to attract tourist and foreign investment leads cities to focus their attention to the perceived needs. Or, more precisely, the perceived desires of potential tourists and investors, as opposed to the needs and desires of the people who already live, work and play in these cities.</p> <p>This shift in focus is part of larger trends of cities becoming <a href="https://doi.org/10.1080/04353684.1989.11879583">increasingly entrepreneurial in our globalized world</a>.</p> <p>And to this end, host cities pursue a fairly predictable path to demonstrate their world-classness. As Streetnet International, a South Africa-based international organization of street vendors, put it in their World Class Cities For All campaign:</p> <blockquote> <p>“It has become a boringly predictable reality that, when a country prepares to host a high-profile international event, <a href="https://streetnet.org.za/document/world-class-cities-for-all/">the country and its local government authorities prepare to create ‘World Class Cities’ of a particular type</a>, i.e. ‘World Class Cities’ which will attract foreign investment; have modern up-to-date infrastructure; have no visible signs of urban decay; have smooth traffic flows; have no visible poor people or social problems.”</p> </blockquote> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?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/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=3 2262w" alt="overhead view of a building site in the desert" /></a><figcaption><span class="caption">In Doha, several stadiums were built to host the FIFA World Cup.</span> <span class="attribution"><span class="source">(AP Photo/Vadim Ghirda)</span></span></figcaption></figure> <p><strong>Increased policing, decreased social investment</strong></p> <p>There are common themes to how cities approach their hosting duties and branding pursuits. However, the particular interventions that each city makes to create this type of world- class city are unique to their particular context.</p> <p>Unfailingly, cities significantly increase policing, both in the sheer numbers of police, military and surveillance measures as well as the powers afforded to the police and military. These powers are used to police undesirable activities and individuals — those activities and people deemed incommensurate with the desired world-class brand.</p> <p>Youth, the unhoused or precariously housed, street vendors and racialized individuals <a href="https://doi.org/10.1080/17430437.2010.520938">experience the brunt of these increases</a>.</p> <p>In South Africa in 2010, FIFA courts were established to exact “<a href="https://www.nytimes.com/2010/06/21/sports/soccer/21iht-wcsoccer.html">swift and severe justice</a>” for crimes committed against tourists and journalists during the 2010 World Cup. In Qatar, there has been <a href="https://www.thestar.com/politics/2022/11/24/lgbtq-and-other-rights-issues-at-world-cup-a-huge-blemish-on-fifa-hall-of-famer.html">targeted policing of LGBTQ+ people and allies</a>.</p> <p>Additionally, the quest for this type of world-class-city brand also leads to uneven investment and under-investment as cities are forced to make choices about how to invest their municipal budgets.</p> <p>Tourist areas <a href="https://www.jstor.org/stable/25765282">see significant infrastructure investments while those off the tourist map are often ignored</a>. This is intensified by <a href="https://doi.org/10.1177/0196859905275971">television coverage of these places and events</a>.</p> <p>In Durban, South Africa, this meant significant investment along the waterfront and the construction of a shiny new soccer stadium (across the street from an existing rugby stadium) while other parts of the city, off the beaten path of journalists and tourists, continued to lack even basic infrastructure.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;rect=0%2C0%2C1920%2C1080&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;rect=0%2C0%2C1920%2C1080&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/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="armed police on horseback watch over a crowd." /></a><figcaption><span class="caption">In this image from video, Qatari police stand by on horseback as other security officials try to control a crowd at a FIFA Fan Zone on Nov. 19, 2022. Authorities turned away thousands of fans from a concert celebrating the World Cup beginning the next day.</span> <span class="attribution"><span class="source">(AP Photo/Srdjan Nedeljkovic)</span></span></figcaption></figure> <p><strong>Exposes the cracks</strong></p> <p>The current approach to hosting a World Cup puts unique and focused pressures on urban systems and infrastructure. In the process, it exposes the already existing cracks in the system and exacerbates existing inequalities.</p> <p>The World Cup did not create the labour system and working conditions of temporary migrant workers in Doha. However, both the magnitude and speed of construction to meet hosting needs undoubtedly ramped up the exploitation of the system, leading to <a href="https://www.theguardian.com/global-development/2021/feb/23/revealed-migrant-worker-deaths-qatar-fifa-world-cup-2022">thousands of worker deaths</a>.</p> <p>We need to reframe how a world-class city is defined to one that is more liveable, sustainable and just. This will inspire future host cities to pursue this status in a manner that does not increase policing and exacerbate inequalities.<!-- 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/195069/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>Writen by David Roberts. Republished with permission from <a href="https://theconversation.com/when-hosting-mega-events-like-fifa-cities-market-themselves-at-the-expense-of-the-most-vulnerable-195069" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Image: Getty Images</em></p>

Real Estate

Placeholder Content Image

Imminent arrival of huge "double-size" mosquitoes

<p>Aussies can’t seem to catch a break this year; between inflation, record-breaking weather events and interest rate hikes we’ve had it rough.</p> <p>If you were planning on summer being a welcome relief, think again and start making preparations for the shocking mosquito season that lies ahead - which is believed to be the worst in 30 years.</p> <p>The insect population numbers have skyrocketed, thanks to extreme wet weather, so you might want to stock up on the likes of bug spray and Aerogard.</p> <p>These fat, hungry, “double-size” bloodsuckers are making their way into major cities after wreaking havoc in the NSW Central West.</p> <p>"We are told this is what is expected after all of this rain, is the floodwaters recede, we get ponds, these pools of water, the female mozzies go on a frenzy, lay their eggs," Today reporter Sarah Stewart said.</p> <p>Stewart said Sydneysiders can expect an influx of the hungry insects in coming weeks, as conditions ripen for even more of the pests.</p> <p>"We are hearing from farmers if you work outside, they get on your hair, up your nose, they bite them through their hats even," she said.</p> <p>"Unfortunately, we are told they are going to head to Sydney to the coast, over the coming weeks."</p> <p>Just weeks ago, Associate Professor Cameron Webb from NSW Health Pathology told 9news.com.au that numbers are expected to explode once the weather officially warms up.</p> <p><em>Image: Nine News</em></p>

Body

Placeholder Content Image

The wild weather of La Niña could wipe out vast stretches of Australia’s beaches and sand dunes

<p>Australians along the east cost are bracing for yet another round of heavy rainfall this weekend, after a band of stormy weather soaked <a href="https://theconversation.com/on-our-wettest-days-stormclouds-can-dump-30-trillion-litres-of-water-across-australia-191949">most of the continent</a> this week.</p> <p>The Bureau of Meteorology has <a href="https://www.youtube.com/watch?v=QUsNQ_-fNbM&amp;ab_channel=BureauofMeteorology">alerted</a> southern inland Queensland, eastern New South Wales, Victoria and northern Tasmania to ongoing flood risks, as the rain falls on already flooded or saturated catchments.</p> <p>This widespread wet weather heralds <a href="https://theconversation.com/la-nina-3-years-in-a-row-a-climate-scientist-on-what-flood-weary-australians-can-expect-this-summer-190542">Australia’s rare third</a> back-to-back La Niña, which goes hand-in-hand with heavy rain. There is, however, another pressing issue arising from La Niña events: coastal erosion.</p> <p>The wild weather associated with La Niña will drive more erosion along Australia’s east coast – enough to wipe out entire stretches of beaches and dunes, if all factors align. So, it’s important we heed lessons from past storms and plan ahead, as climate change <a href="https://theconversation.com/2022s-supercharged-summer-of-climate-extremes-how-global-warming-and-la-nina-fueled-disasters-on-top-of-disasters-190546">will only exacerbate</a> future coastal disasters.</p> <figure><iframe src="https://www.youtube.com/embed/QUsNQ_-fNbM?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Ongoing flood risk for eastern Australia | Bureau of Meteorology.</span></figcaption></figure> <h2>How La Niña batters coastlines</h2> <p>La Niña is associated with warmer waters in the western Pacific Ocean, which increase storminess off Australia’s east coast. Chances of a higher number of tropical cyclones increase, as do the chances of cyclones travelling further south and further inland, and of more frequent passages of east coast lows.</p> <p>Australians had a taste of this in 1967, when the Gold Coast was hit by the largest storm cluster on record, made up of four cyclones and three east coast lows within six months. 1967 wasn’t even an official La Niña year, with the index just below the La Niña threshold.</p> <p>Such frequency didn’t allow beaches to recover between storms, and the overall erosion was unprecedented. It <a href="https://impact.griffith.edu.au/seawall-engineering/">forced many</a> local residents to use anything on hand, even cars, to protect their properties and other infrastructure.</p> <p>Official La Niña events occurred soon after. This included a double-dip La Niña between 1970 and 1972, followed by a triple-dip La Niña between 1973 and 1976.</p> <p>These events fuelled two cyclones in 1972, two in 1974 and one in 1976, wreaking havoc along the entire east coast of Australia. Indeed, 1967 and 1974 are considered <a href="https://www.dailytelegraph.com.au/newslocal/northern-beaches/one-of-the-storms-that-hit-us-in-1974-was-among-the-three-worst-since-white-settlement/news-story/0cd5ca874d6b37206762d8485e4eb442">record years</a> for storm-induced coastal erosion.</p> <p>Studies show the extreme erosion of 1974 was caused by a combination of large waves coinciding with <a href="https://ro.uow.edu.au/cgi/viewcontent.cgi?article=1066&amp;context=scipapers">above-average high tides</a>. It took over ten years for the sand to come back to the beach and for <a href="https://www.jstor.org/stable/4300263">dunes to recover</a>. However, <a href="https://www.nature.com/articles/s43247-022-00437-2">recent studies</a> also show single extreme storms can bring back considerable amounts of sand from deeper waters.</p> <p>La Niña also modifies the direction of waves along the east coast, resulting in waves approaching from a more easterly direction (<a href="https://www.surfline.com/surf-news/forecaster-blog-la-nina-conditions-mean-surf/97904">anticlockwise</a>).</p> <p>This subtle change has huge implications when it comes to erosion of otherwise more sheltered <a href="https://au.news.yahoo.com/how-la-nina-may-damage-queensland-tourist-hot-spots-041805874.html">north-facing beaches</a>. We saw this during the recent, and relatively weaker, double La Niña of 2016-18.</p> <p>In 2016, an east coast low of only moderate intensity produced extreme erosion, similar to that of 1974. Scenes of destruction along NSW – including a collapsed backyard pool on <a href="https://www.wrl.unsw.edu.au/news/wrl-coastal-engineers-document-the-worst-erosion-at-collaroy-since-1974">Collaroy Beach</a> – are now <a href="https://www.abc.net.au/news/2016-06-06/nsw-weather-large-waves-hit-collaroy-coast/7479846#:%7E:text=NSW%20weather%3A%20Collaroy%20swimming%20pool%20collapses%20as%20giant%20waves%20hit%20beachfront%20houses,-Posted%20Sun%205&amp;text=Waves%20up%20to%208%20metres,as%20wild%20weather%20battered%20NSW.">iconic</a>.</p> <p><a href="https://www.nature.com/articles/s41598-017-05792-1">This is largely</a> because wave direction deviated from the average by 45 degrees anticlockwise, during winter solstice spring tides when water levels are higher.</p> <h2>All ducks aligned?</h2> <p>The current triple-dip La Niña started in 2020. Based on Australia’s limited record since 1900, we know the final events in such sequences tend to be the weakest.</p> <p>However, when it comes to coastal hazards, history tells us smaller but more frequent storms can cause as much or more erosion than one large event. This is mostly about the combination of storm direction, sequencing and high water levels.</p> <p>For example, Bribie Island in Queensland was hit by relatively large easterly waves from ex-Tropical Cyclone Seth earlier this year, coinciding with above-average high tides. This caused the island to <a href="https://www.abc.net.au/news/2022-01-27/bribie-island-changes-could-create-new-caloundra-bar/100777038#:%7E:text=Ex%2DTropical%20Cyclone%20Seth%20has,splitting%20the%20island%20in%20two.">split in two</a> and form a 300-metre wide passage of seawater.</p> <p>Further, the prolonged period of easterly waves since 2020 has already taken a toll on beaches and dunes in Australia.</p> <p>Traditionally, spring is the season when sand is transported onshore under fair-weather waves, building back wide beaches and tall dunes nearest to the sea. However, beaches haven’t had time to fully recover from the previous two years, which makes them more vulnerable to future erosion.</p> <p>Repeated <a href="https://www.usc.edu.au/about/structure/schools/school-of-science-technology-and-engineering/coast4d">elevation measurements</a> by our team and citizen scientists along beaches in the Sunshine Coast and Noosa show shorelines have eroded more than 10m landwards since the beginning of this year. As the photo below shows, 2-3m high erosion scarps (which look like small cliffs) have formed along dunes due to frequent heavy rainfalls and waves.</p> <p>On the other hand, we can also see that the wet weather has led to greater growth of vegetation on dunes, such as native spinifex and dune bean.</p> <p>Experiments in laboratory settings show dune vegetation can dissipate up to 40-50% of the water level reached as a result of waves, and <a href="https://www.sciencedirect.com/science/article/abs/pii/S0272771418307583">reduce erosion</a>. But whether this increase in dune vegetation mitigates further erosion remains to be seen.</p> <h2>A challenging future</h2> <p>The chances of witnessing coastal hazards similar to those in 1967 or 1974 in the coming season are real and, in the unfortunate case they materialise, we should be ready to act. Councils and communities need to prepare ahead and work together towards recovery if disaster strikes using, for example, sand nourishment and sandbags.</p> <p>Looking ahead, it remains essential to further our understanding about coastal dynamics – especially in a <a href="https://www.abc.net.au/news/2022-09-03/gold-coast-no-stranger-to-beach-erosion/101381812#:%7E:text=a%20huge%20challenge-,Millions%20spent%20to%20protect%20Gold%20Coast%20beaches%2C%20but,change%20poses%20a%20huge%20challenge&amp;text=In%201967%2C%20Gold%20Coast%20beaches,and%20ruined%20the%20tourist%20season.">changing climate</a> – so we can better manage densely populated coastal regions.</p> <p>After all, much of what we know about the dynamics of Australia’s east coast has been supported by coastal monitoring programs, which were implemented <a href="https://www.publications.qld.gov.au/dataset/coastal-observation-program-engineering">along Queensland</a> and NSW after the 1967 and 1974 storms.</p> <p>Scientists predict that La Niña conditions along the east coast of Australia – such as warmer waters, higher sea levels, stronger waves and more waves coming from the east – will become <a href="https://theconversation.com/climate-fuelled-wave-patterns-pose-an-erosion-risk-for-developing-countries-184064">the norm under climate change</a>.</p> <p>It’s crucial we start having a serious conversation about coastal adaptation strategies, including implementing a <a href="https://www.usc.edu.au/about/unisc-news/news-archive/2022/january/coastal-erosion-may-force-retreat-from-the-sea#:%7E:text=Giving%20up%20land%20to%20the,of%20the%20Sunshine%20Coast%20researcher.">managed retreat</a>. The longer we take, the higher the costs will be.<!-- 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/191941/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/javier-leon-262182">Javier Leon</a>, Senior lecturer, <em><a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a>. Read the <a href="https://theconversation.com/the-wild-weather-of-la-nina-could-wipe-out-vast-stretches-of-australias-beaches-and-sand-dunes-191941">original article</a>.</p>

Domestic Travel

Our Partners