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It’s so hard to see a doctor right now. What are my options?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/anthony-scott-10738">Anthony Scott</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Deciding whether to wait and see if your health condition improves or go to a GP can be a difficult task. You might be unsure about where to go, whom to see, how much it will cost and whether you’ll need to take time off work. These choices can create significant barriers to accessing health care in Australia. There is often limited information available about the pros and cons of the different options. Often, we stick to what we know, unaware of better alternatives. But making the wrong decision about how to access care can impact both your health and finances. So what are your options? And what policy reforms are needed to improve affordable access to care for all Australians? <h2>How quickly can I be seen?</h2> Access depends on how long it takes you to speak to a GP, or be seen in an emergency department, or by a community pharmacist, or a nurse practitioner whom you can see directly. Access depends on where you live and the time of day. The rise of telehealth means GPs now get paid to talk to you on the phone, which is great for many minor ailments, medical certificates, repeat scripts or getting test results. Call centres such as <a href="https://www.healthdirect.gov.au/">Healthdirect</a> have been available for some time and now <a href="https://www.vved.org.au/patients/">virtual emergency departments</a> can also see you online. There are even GPs who only provide their services <a href="https://www.instantscripts.com.au/gp-online/">online</a> if you can pay. A phone call can save you valuable time. Before COVID, you needed to take half a day off work to see a GP, now it takes five to ten minutes and the GP even calls you. Things get more tricky outside of normal working hours and at weekends – appointments are harder to come by, it is unlikely you will be able to see a GP whom you know, and out-of-pocket costs might be higher. If you can’t wait, your local emergency department is likely to be more accessible, or you might be lucky enough to live near a bulk-billed Medicare <a href="https://www.health.gov.au/find-a-medicare-ucc">urgent care clinic</a>, where you don’t need an appointment. Tomorrow’s federal budget <a href="https://www.smh.com.au/politics/federal/more-free-urgent-care-clinics-part-of-8-5-billion-health-commitment-20240511-p5jcse.html">will include</a> funding for another 29 urgent care clinics, on top of the 58 already operating. But things are much worse if you live if a rural or remote area, where choice is limited and you need to wait much longer for GP appointments or travel long distances. Telehealth helps but can be expensive if it is not with your usual doctor. <h2>Who will I see?</h2> Access depends on who you will see. At the moment, this will usually be your GP (or, depending on the severity of your health concern, your community pharmacist or local emergency department staff). But to see your preferred GP you might need to wait as they are usually very busy. But a <a href="https://www.health.gov.au/resources/collections/issues-papers?language=en">review</a> of “scope of practice” in primary care aims to free up GPs’ time and use their skills more effectively. So in future, you could receive more of your health care from qualified nurses, nurse practitioners, pharmacists and other health professionals. But which tasks can be delegated to other health professionals is a significant bone of contention for GPs. For GP practices facing significant cost pressures, safely delegating tasks to other less costly health professionals also makes good business sense. <h2>How much will it cost?</h2> Access depends on out-of-pocket costs. Bulk billing of GP services reached a peak of <a href="https://www.health.gov.au/resources/publications/medicare-quarterly-statistics-state-and-territory-december-quarter-2023-24?language=en">89.6%</a> in the September quarter of 2022 but plummeted to 76.5% by the September quarter of 2023. Last November, bulk billing incentives for children under 16 and those on concession cards were tripled, and between November and December 2023 bulk billing had <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/bulk-billing-slide-stopped-thanks-to-albanese-government?language=en">increased</a> from 76.5% to 77.7%. They key issue for patients is that it remains uncertain whether a GP will bulk bill you. You often don’t know this until you get into the consultation, at which point you can’t back out. Unless the whole practice bulk bills and so it is guaranteed, it’s entirely up to the GP whether you are bulk billed. It’s difficult to think of any other service where you don’t know how much you will pay until after you have used it. <h2>How can policymakers improve access to care?</h2> Government policies to strengthen primary care have focused on giving patients improved access through telehealth, urgent care clinics and <a href="https://www.health.gov.au/resources/publications/strengthening-medicare-taskforce-report?language=en">Strengthening Medicare</a> initiatives, which are currently being developed. But uncertainty surrounding out-of-pocket costs can deter people from seeking medical attention, or delay care or go instead to the emergency department or urgent care clinic where there is no out-of-pocket cost. <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/latest-release">Cost is a factor</a> that leads to 20% of those with a mental health problem and 30% of those with chronic disease to delay or avoid visiting a health professional. Those most in need are more likely to miss out on necessary visits and prescriptions, sometimes with disastrous consequences. A recent <a href="https://academic.oup.com/qje/advance-article-abstract/doi/10.1093/qje/qjae015/7664375?login=false">study</a> shows people can die if they stop heart medications due to increased out-of-pocket costs. The next task for policymakers should be developing policies to guarantee there are no out-of-pocket costs for those on low incomes. This could be a worthwhile investment in our health and should be included in tomorrow’s budget.<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/229191/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/anthony-scott-10738">Anthony Scott</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-so-hard-to-see-a-doctor-right-now-what-are-my-options-229191">original article</a>. </div>

Caring

Two men charged over felling of iconic Sycamore Gap tree

Two men have been charged with cutting down the iconic Sycamore Gap tree in northern England. Daniel Graham, 38, and Adam Carruthers, 31, were charged with causing criminal damage to the tree and damaging Hadrian’s Wall, which was built by Emperor Hadrian in AD 122 to guard the north-west frontier of the Roman Empire. The Crown Prosecution Service (CPS) added that they will appear in the Newcastle Magistrates Court on May 15. “There has been an ongoing investigation since the Sycamore Gap tree was cut down," said Detective Chief Inspector Rebecca Fenney, the Senior Investigation Officer on the case. “As a result of those inquiries, two men have now been charged. “We recognise the strength of feeling in the local community and further afield the felling has caused, however we would remind people to avoid speculation, including online, which could impact the ongoing case.” According to The Sun, the two men were arrested back in October and released on bail. The iconic tree became internationally famous when it was used for a scene in Kevin Costner's 1991 blockbuster film Robin Hood: Prince of Thieves. The felling caused widespread <a href="https://www.oversixty.com.au/finance/legal/you-can-t-forgive-that-teen-arrested-after-felling-of-iconic-200-year-old-tree" target="_blank" rel="noopener">outrage</a> at the time, as police tried to find the culprit behind the "deliberate" act of vandalism. Efforts are currently underway to see if the tree can be regrown from the sycamore's stump, with The National Trust hoping that a third of the seeds and cuttings it collected from the tree could be planted later on. Image: Getty

Travel Trouble

"It's up to men": Anthony Albanese joins violence against women rally

Anthony Albanese has joined a rally in Canberra to protest the recent spate of acts of violence against women, admitting his government hasn't "done enough" to ensure Aussie women are protected. Addressing the 5,000-strong crowd at Parliament House, Mr Albanese delivered a fiery speech, demanding nationwide change to all levels of Australian society and asking protesters to hold him “accountable” for his government’s actions. Mr Albanese said Australia needed to change its “culture”, “attitudes” and “legal system” to end the scourge of violence against women that has already allegedly claimed the lives of 26 women this year. “We’re here today to demand that governments of all levels, must do better, including my own, and every state and territory government,” he said. “We’re here as well to say that society, and Australia, must do better. We need to change the culture, we need to change attitudes, we need to change the legal system." Mr Albanese spoke about some of the actions his government had taken to address the problem, including the introduction of domestic violence payments. A protester interrupted, saying “it’s not enough”. The prime minister replied, “I agree it’s not enough. I said that. We need to do more.” Mr Albanese finished his speech by calling the problem a “national crisis” and said one or two months of funding would not be enough to solve it. “It’s up to men to change men’s behaviour as well,” he said. “Yes, people do need to be made accountable and I’ll be accountable for what my government does.” Thousands took to the grounds of Parliament House on Sunday to listen to Albanese's address, where one of the event organisers Sarah Williams from the company WWYW (What Were You Wearing?), claims the Prime Minister lied to the crowd at the start of his stirring speech. In his speech in the afternoon, Mr Albanese suggested he had asked the rally organisers for permission to speak but had been knocked back. “We did ask to speak, myself and (Finance minister) Katy (Gallagher) and we were told that’s not possible,” he said to the 5000 strong crowd. “And that’s fine, we respect the organisers’ right to do that.” However, Ms Williams took to social media after the event to say the Prime Minister had "lied to the country". “The Prime Minister of Australia lied to his country today,” she began. “Representatives from (Finance Minister Katy) Gallagher and Albanese’s offices both said this morning that they were sure Katy would be happy to speak. Not the Prime Minister.” “He never asked to speak. For him to not only demand he speak because he was being heckled, but lie was disgraceful." “He demonstrated today what entitlement looks like. A man with power trying to diminish a vulnerable young woman.” In an awkward and tense exchange, Ms Williams then demanded the politicians show their commitment to the organisation’s demands, and declare that the recent spate of murders of women by men was a national emergency. However, the Labor ministers appeared non-responsive and confused, initially refusing to front the rally, a move which brought boos and heckling from the audience. “Why are you even here?” one protester yelled from the crowd. “Shame on you,” shouted another. Image credits: Getty Images / Instagram

Caring

"Finally felt like the right time": John Farnham's huge announcement

John Farnham has announced his triumphant return one year on from his cancer surgery, sharing the news of a highly anticipated project. The 74-year-old Aussie music icon is set to tell his story in his own words with the release of his own candid memoir titled The Voice Inside. The autobiography, which will be released on October 30th, is co-written by Poppy Stockwell, who is the award-winning writer and director of the critically acclaimed biopic Finding the Voice. The book documents Farnham's early life and stardom growing up in Melbourne in the 1960s, to his comeback 1986 album Whispering Jack. It will recall the highs and lows of fame, including when his stellar career stalled, record companies turned their backs and he faced financial ruin. The Voice Inside will also detail his shocking diagnosis of mouth cancer in 2022 which turned his life upside down. The book was announced on Farnham's Facebook page, with a statement sharing how he felt it was "the right time" to tell his story. <iframe style="border: none; overflow: hidden;" src="https://www.facebook.com/plugins/post.php?href=https%3A%2F%2Fwww.facebook.com%2Fjohnfarnham%2Fposts%2Fpfbid02tZwog7QbEW6AxDUxNMp3Kn5msAghjd9yUQe56optBdyX8ZL1DQFm4qvpUYsSjo2Rl&show_text=true&width=500" width="500" height="728" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe> "Having been asked many times, it finally felt like the right time to sit down and tell my story," he said. "It is a very strange feeling looking back on my life, on the good and the bad, and now that I have started, it is all rushing back. I hope the book engages and entertains, because that’s what so much of my life has been about." The book will "chart John Farnham’s very personal and public journey, told in his own words and with his inimitable humour, insight, and humility." The post was quickly flooded with comments from fans eager to get their hands on the memoir, while many shared their well wishes as he continues his lengthy recovery from cancer. Image credits: Getty Images

Caring

“Was I right?": Pauline Hanson repeats her call for halt on immigration

Pauline Hanson, the controversial leader of One Nation, has once again thrust immigration into the spotlight with her renewed calls to halt migration to Australia. Hanson, known for her divisive rhetoric, has resurrected her infamous claims from nearly three decades ago, asserting that Australia is being "swamped" by Asian immigrants. Hanson's resurgence on this issue coincides with the release of new figures revealing that Australia's migration intake has surged to a record high of 548,800 arrivals in the year leading up to September. These numbers pose a challenge to the government's efforts to manage immigration levels, prompting Hanson to call for a plebiscite to gauge public opinion on the matter. In her address to the Senate, Hanson harked back to her inaugural speech as the Oxley MP in 1996, where she first warned of being "swamped by Asians". “I was called a racist, of course, by the major parties and big media who are in lockstep of a big Australia,” Hanson said on Thursday morning. “But today, seven out of the top 10 source countries for immigration to Australia are in Asia - including four out of the top five - and the numbers are out of control. “Was I right? You’d never admit it. But yes, I am.” <blockquote class="twitter-tweet"> On behalf of the majority of Australians, I demand a halt on immigration. For many, many years, the Australian people have been telling us to lower immigration. To keep the numbers low. To put the interests of Australians living here before the interests of foreigners who… <a href="https://t.co/VGwdRZGdXT">pic.twitter.com/VGwdRZGdXT</a> — Pauline Hanson 🇦🇺 (@PaulineHansonOz) <a href="https://twitter.com/PaulineHansonOz/status/1770578663437955367?ref_src=twsrc%5Etfw">March 20, 2024</a></blockquote> However, Hanson's push to curtail immigration was ultimately defeated, with opposition from other senators and parties. Nevertheless, the debate rages on, fuelled by concerns over housing shortages, strained infrastructure and environmental pressures. Opposition figures, including immigration spokesman Dan Tehan, criticise the government's handling of immigration, arguing that Labor's vision of a "Big Australia" is exacerbating existing challenges. They call for urgent action to address the housing crisis and alleviate the strain on public services. In response, the government has outlined plans to crack down on fraudulent visa applications and tighten regulations on higher education providers. Additionally, measures are being implemented to address loopholes in the visa system, such as the phenomenon of "ghost colleges". The government's migration strategy, unveiled in December, aims to achieve a significant reduction in net overseas migration by 2025. If successful, this would mark the largest decline in migration outside of extraordinary circumstances in Australia's history. As the debate unfolds, the nation grapples with fundamental questions about identity, diversity and sustainability. While politicians spar over policy solutions, the Australian public remains divided on the issue, reflecting broader societal tensions and anxieties about the future. Image: Twitter (X)

Legal

Does the royal family have a right to privacy? What the law says

<a href="https://theconversation.com/profiles/gemma-horton-1515949">Gemma Horton</a>, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a> From court cases to conspiracy theories, the royal family’s right to privacy is, somewhat ironically, nearly always in the spotlight. The latest focus is Kate Middleton, Princess of Wales, whose whereabouts have been the subject of <a href="https://www.townandcountrymag.com/society/tradition/a60008117/kate-middleton-health-speculation-conspiracy-theories-online/">online speculation</a> after it was announced she was undergoing abdominal surgery and would be away from public duties until after Easter. This comes just weeks after King Charles <a href="https://www.bbc.co.uk/news/uk-68208157">revealed that he is undergoing treatment for cancer</a>, and a legal settlement between Prince Harry and Mirror Group Newspapers over <a href="https://www.bbc.co.uk/news/uk-68249009">illegal phone hacking</a>. Interest in the personal lives of the royals and other celebrities <a href="https://www.tandfonline.com/doi/full/10.1080/1461670X.2016.1150193">is a constant</a>, driving newspaper sales and online clicks for decades. You only needs to consider the media frenzy that followed Princess Diana to <a href="https://www.tandfonline.com/doi/full/10.1080/17512786.2013.833678">see this</a>, and its potentially devastating consequences. From a legal perspective, the British courts have ruled that everyone – the royal family included – is entitled to a right to privacy. The Human Rights Act incorporates into British law the rights set out by the European Convention on Human Rights. This includes article 8, which focuses on the right to privacy. In the years after the Human Rights Act came into force, courts ruled on a string of cases from celebrities claiming that the press invaded their privacy. Courts had to balance article 8 of the convention against article 10, the right to freedom of expression. Rulings repeatedly stated that, despite being in and sometimes seeking the limelight, celebrities should still be afforded a right to privacy. Some disagree with this position, such as prominent journalist <a href="https://www.independent.co.uk/news/uk/home-news/prince-harry-hacking-piers-morgan-b2336442.html">Piers Morgan, who has criticised</a> the Duke and Duchess of Sussex asking for privacy when they have also released a Netflix documentary, a broadcast interview with Oprah Winfrey and published a memoir. But the courts have made the position clear, as in the case concerning Catherine Zeta-Jones and Michael Douglas after Hello! Magazine published unauthorised photographs from their wedding. The <a href="https://eprints.whiterose.ac.uk/190559/3/Final%20Edited%20Version%20-%20Celebrity%20Privacy%20and%20Celebrity%20Journalism-%20Has%20anything%20changed%20since%20the%20Leveson%20Inquiry_.pdf">court stated</a> that: “To hold that those who have sought any publicity lose all protection would be to repeal article 8’s application to very many of those who are likely to need it.” There is no universal definition of privacy, but scholars have identified key concepts encompassing what privacy can entail. In my own research, I have argued that the <a href="https://eprints.whiterose.ac.uk/190559/3/Final%20Edited%20Version%20-%20Celebrity%20Privacy%20and%20Celebrity%20Journalism-%20Has%20anything%20changed%20since%20the%20Leveson%20Inquiry_.pdf">notion of choice</a> is one of these. Privacy allows us to control the spread of information about ourselves and disclose information to whom we want. <h2>Privacy and the public interest</h2> There are exceptions to these protections if the person involved had no reasonable expectation of privacy, or if it was in the public interest for this information to be revealed. There is no solid, legal definition of the “public interest”, so this is decided on a case-by-case basis. <a href="https://www.tandfonline.com/doi/full/10.1080/17577632.2021.1889866">In the past</a>, the public interest defence has been applied because a public figure or official has acted hypocritically and the courts have stated there is a right for a publisher to set the record straight. When it comes to medical records and information concerning health, case law and journalistic <a href="https://www.ipso.co.uk/editors-code-of-practice/">editorial codes of conduct</a> are clear that this information is afforded the utmost protection. Model Naomi Campbell was pictured leaving a Narcotics Anonymous meeting and these images were published by the Daily Mirror. The court found that there had been a public interest in revealing the fact she was attending these meetings, as she had previously denied substance abuse. The House of Lords accepted that there was a public interest in the press “setting the record straight”. Nonetheless, the publication of additional, confidential details, and the photographs of her leaving the meeting were a <a href="https://www.theguardian.com/media/2004/may/06/mirror.pressandpublishing1">step too far</a>. The House of Lords highlighted the importance of being able to keep medical records and information private. <h2>Royal health</h2> When it comes to the royals, the history of <a href="https://www.townandcountrymag.com/society/tradition/a23798094/lindo-wing-st-marys-hospital-facts-photos/">publicity</a> around royal births, often posing with the newborn royal baby outside of the hospital, has set a precedent for what the public can expect about the royals’ medical information. When they choose to go against this tradition, it can frustrate both royal-watchers and publishers. King Charles made the choice to openly speak about his enlarged prostate to “assist public understanding”. And, as Prostate Cancer UK noted, this has worked – they noted a <a href="https://www.independent.co.uk/news/uk/home-news/king-charles-cancer-statement-treatment-b2494190.html">500% increase in people visiting their website</a>. However, he has chosen to not to divulge information about his cancer diagnosis beyond the fact that he is receiving treatment. This is his right. While revealing further information might stop speculation and rumours about his health, it is not the king’s duty to divulge private, medical information. However, if his health begins to impact his ability to act as monarch, the situation could change. It might be that the press finds more information about his health without his knowledge, but unless they have a genuine public interest in publishing this information, privacy should prevail. You would no doubt want your private medical information kept secret, not shared around your workplace and speculated on unless it was absolutely necessary. It is thanks to these laws and court precedent that you don’t have to worry about this. The royal family, regardless of their position, should expect the same standard. <a href="https://theconversation.com/profiles/gemma-horton-1515949">Gemma Horton</a>, Impact Fellow for Centre for Freedom of the Media, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a> Image credits: Getty Images 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-the-royal-family-have-a-right-to-privacy-what-the-law-says-224881">original article</a>.

Legal

Police officer arrested amid search for missing men

A police officer has turned himself in over the <a href="https://oversixty.com.au/finance/legal/police-officer-sought-in-connection-to-disappearance-of-two-men" target="_blank" rel="noopener">suspicious disappearance</a> of two men. Former Network Ten presenter 26-year-old Jesse Baird and his boyfriend 29-year-old Luke Davies were last seen on Monday, with police launching an extensive investigation into their disappearance. On Thursday, officers called for Constable Beau Lamarre to come forward as part of the investigation, believing he could hold valuable information. Now, on Friday morning, the celebrity blogger turned police officer presented at Bondi Police Station where he was arrested. The man was then taken to Waverley Police Station where he is assisting with inquiries, police said. During a press conference on Friday afternoon, a lead investigator confirmed the young officer has been charged with two counts of murder, while adding the families of the young men have been told the investigation is being treated as a homicide. Lamarre is an ex-partner of Baird and was a former celebrity blogger before joining NSW Police in 2020. Online the 28-year-old would often go by the pseudonym Beau London, creating accounts on social media and a celebrity blog page titled That's The Tea, where he posted selfies alongside celebrities such as Miley Cyrus, Lady Gaga, Harry Styles and Taylor Swift. <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">An investigation began into Baird and Davies' disappearance after number of their personal items, including a watch, clothes, credit cards and keys were found by a worker in Club Cronulla, with blood stains present on the items. <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Police have also searched two homes during their investigation - one in Balmain and one in Paddington - with officers "immediately" establishing a crime scene at the Paddington home after finding blood spatters. <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">According to officers, a “significant” amount of blood consistent with a fatality and signs of a struggle were discovered inside Mr Baird’s Paddington home on Thursday afternoon. <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Image credits: 9News / Instagram

Legal

Police officer sought in connection to disappearance of two men

A NSW police officer is sought in connection to the suspicious disappearance of two men, who haven't been heard from since Monday. Former Studio 10 host Jesse Baird and his boyfriend Luke Davies were last seen four days ago, with police launching an investigation into their disappearance. A number of their personal items, including a watch, clothes, credit cards and keys were found by a worker in Club Cronulla, with blood stains present on the items. Police have also searched two homes during their investigation - one in Balmain and one in Paddington - with officers "immediately" establishing a crime scene at the Paddington home after finding blood spatters. According to officers, a “significant” amount of blood consistent with a fatality and signs of a struggle were discovered inside Mr Baird’s Paddington home on Thursday afternoon. More personal items belonging to the couple were recovered from a skip bin 20 kilometres from the home in question. Police have called for Constable Beau Lamarre to come forward as part of their investigation, who is the ex-boyfriend of one of the men. Friends of Baird have revealed he previously expressed concerns he was being stalked by another man. Police confirmed on Thursday they wanted to speak to Constable Lamarre in relation to the case and were desperately trying to reach him. "Following inquiries, detectives are looking at a line of inquiry that a third person may be able to assist with the investigation," NSW Police said, in a statement. "Police are currently trying to locate him." Police have not said that the officer was involved in the disappearance, only that they would like to speak to him, as no arrest warrant has been issued. Image credits: Instagram

Legal

‘Self-love’ might seem selfish. But done right, it’s the opposite of narcissism

<a href="https://theconversation.com/profiles/ian-robertson-1372650">Ian Robertson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> “To love what you are, the thing that is yourself, is just as if you were embracing a glowing red-hot iron” <a href="https://archive.org/details/jungsseminaronni0000jung">said psychonalyst Carl Jung</a>. Some may argue this social media generation does not seem to struggle with loving themselves. But is the look-at-me-ism so easily found on TikTok and Instagram the kind of self-love we need in order to flourish? The language of <a href="https://theconversation.com/teaching-positive-psychology-skills-at-school-may-be-one-way-to-help-student-mental-health-and-happiness-217173">positive psychology</a> can be – and often is – appropriated for all kinds of self-importance, as well as cynical marketing strategies. Loving yourself, though, psychological experts stress, is not the same as behaving selfishly. There’s a firm line between healthy and appropriate forms of loving yourself, and malignant or <a href="https://theconversation.com/how-many-types-of-narcissist-are-there-a-psychology-expert-sets-the-record-straight-207610">narcissistic</a> forms. But how do we distinguish between them? In 2023, researchers Eva Henschke and Peter Sedlmeier conducted <a href="https://www.researchgate.net/publication/355152846_What_is_self-love_Redefinition_of_a_controversial_construct">a series of interviews</a> with psychotherapists and other experts on what self-love is. They’ve concluded it has three main features: self-care, self-acceptance and self-contact (devoting attention to yourself). But as an increasingly individualistic society, are we already devoting too much attention to ourselves? <h2>Philosophy and self-love</h2> Philosophers and psychology experts alike have considered the ethics of self-love. Psychology researcher Li Ming Xue and her colleagues, <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2021.585719/full">exploring the notion of self-love in Chinese culture</a>, claim “Western philosophers believe that self-love is a virtue”. But this is a very broad generalisation. In the Christian tradition and in much European philosophy, <a href="https://www.tandfonline.com/doi/full/10.1080/10848770.2020.1839209">says philosopher Razvan Ioan</a>, self-love is condemned as a profoundly damaging trait. On the other hand, <a href="https://www.jstor.org/stable/2107991">many of the great Christian philosophers</a>, attempting to make sense of the instruction to love one’s neighbour as oneself, admitted certain forms of self-love were virtuous. In order to love your neighbour as yourself, you must, it would seem, love yourself. In the Western philosophical context, claim Xue and her colleagues, self-love is concerned with individual rights – “society as a whole only serves to promote an individual’s happiness”. This individualistic, self-concerned notion of self-love, they suggest, might come from the Ancient Greek philosophers. In particular, Aristotle. But <a href="https://www.psychologytoday.com/intl/blog/philosophy-stirred-not-shaken/201502/love-yourself-love-your-character">Aristotle thought only the most virtuous</a>, who benefited the society around them, should love themselves. By making this connection, he avoided equating self-love with self-centredness. We should love ourselves not out of vanity, he argued, but in virtue of our capacity for good. Does Aristotle, then, provide principled grounds for distinguishing between proper and improper forms of self-love? <h2>Bar too high?</h2> Aristotle might set the bar too high. If only the most virtuous should try to love themselves, this collides head-on with the idea loving yourself can help us improve and become more virtuous – as <a href="https://link.springer.com/chapter/10.1057/9781137383310_6">philosophers Kate Abramson and Adam Leite have argued</a>. Many psychologists claim self-love is important for adopting the kind and compassionate self-perception crucial for overcoming conditions that weaponise self-criticism, like <a href="https://theconversation.com/clinical-perfectionism-when-striving-for-excellence-gets-you-down-43704">clinical perfectionism</a> and <a href="https://theconversation.com/how-many-people-have-eating-disorders-we-dont-really-know-and-thats-a-worry-121938">eating disorders</a>. More broadly, some argue compassion for oneself is necessary to support honest insights into your own behaviour. They believe we need warm and compassionate self-reflection to avoid the defensiveness that comes with the fear of judgement – even if we’re standing as our own judge. For this reason, a compassionate form of self-love is often necessary to follow Socrates’ advice to “know thyself”, says <a href="https://link.springer.com/article/10.1007/s10677-015-9578-4">philosopher Jan Bransen</a>. Positive self-love, by these lights, can help us grow as people. <h2>Self-love ‘misguided and silly’</h2> But not everyone agrees you need self-love to grow. The late philosopher <a href="https://www.theguardian.com/news/2005/nov/29/guardianobituaries.obituaries">Oswald Hanfling</a> was deeply sceptical of this idea. In fact, he argued the notion of loving oneself was misguided and silly. His ideas are mostly rejected by philosophers of love, but pointing out where they go wrong can be useful. When you love someone, he said, you’re prepared to sacrifice your own interests for those of your beloved. But he thought the idea of sacrificing your own interests made no sense – which shows, he concluded, we can’t love ourselves. <a href="https://www.jstor.org/stable/3751159">He wrote</a>: "I may sacrifice an immediate satisfaction for the sake of my welfare in the future, as in the case of giving up smoking. In this case, however, my motive is not love but self-interest. What I reveal in giving up smoking is not the extent of my love for myself, but an understanding that the long-term benefits of giving it up are likely to exceed the present satisfaction of going on with it." We often have conflicting interests (think of someone who is agonising over two different career paths) – and it’s not at all strange to sacrifice certain interests for the sake of others. This is not just a question of sacrificing short-term desires in favour of a long-term good, but a matter of sacrificing something of value for your ultimate benefit (or, so you hope). <h2>Self-compassion</h2> Hanfling fails to consider the role of compassionate self-love. While we might understand it’s in our interests to do something (for instance, repair bridges with someone we’ve fallen out with), it might take a compassionate and open disposition towards ourselves to recognise what’s in our best interests. We might need this self-compassion, too, in order to admit our failures – so we can overcome our defensiveness and see clearly how we’re failing to fulfil <a href="https://link.springer.com/article/10.1007/s10677-015-9578-4">these interests</a>. Self-acceptance in this context does not mean giving ourselves licence to run roughshod over the interests of those around us, nor to justify our flaws as “valid” rather than work on them. Self-love, as promoted by contemporary psychologists, means standing in a compassionate relationship to ourselves. And there’s nothing contradictory about this idea. Just as we strive to develop a supportive, kind relationship to the people we care about – and just as this doesn’t involve uncritical approval of everything they do – compassionate self-love doesn’t mean abandoning valid self-criticism. In fact, self-compassion has the opposite effect. It promotes comfort with the kind of critical self-assessment that helps us grow – which leads to resilience. It breeds the opposite of narcissistic self-absorption.<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/205938/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ian-robertson-1372650">Ian Robertson</a>, PhD Candidate (Teaching roles at Macquarie & Wollongong), <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> Image credits: Getty Images 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/self-love-might-seem-selfish-but-done-right-its-the-opposite-of-narcissism-205938">original article</a>.

Mind

X-Men star dies aged 42

Adan Canto has died aged 42. The Hollywood star died on Monday following a private battle with appendiceal cancer, reported <a href="https://variety.com/2024/tv/obituaries-people-news/adan-canto-dead-cleaning-lady-x-men-1235866602/" target="_blank" rel="noopener">Variety</a>. Canto was best known for his role as Arman Morales in Fox's series The Cleaning Lady, and Sunspot in X-Men: Days of Future Past. He also starred in a few other TV series including The Following and Designated Survivor. The actor was enjoying his success as Arman Morales, when he was diagnosed with cancer, and was forced to step back from the role as his health declined. Canto's agents have confirmed his passing. “Adan had a depth of spirit that few truly knew. Those who glimpsed it were changed forever,” they said. "He will be greatly missed by so many.” Warner Bros. Television and Fox Entertainment have also paid tribute to the actor in a joint statement. “We are heartbroken to learn of the passing of Adan Canto. A wonderful actor and dear friend, we were honoured to have him as part of the Warner Bros. Television and Fox Entertainment families since his US debut in The Following more than a decade ago,” the statement read. “Most recently, he lit up the screen in The Cleaning Lady with a powerful performance that showcased his artistry, range, depth and vulnerability. This is an unfathomable loss, and we grieve alongside his wife Stephanie, their children and loved ones. We will miss Adan dearly.” Canto is survived by his wife, sculptor Stephanie Lindquist and their two young children Roman Alder, 3, and Eve Josephine, 1. Images: Getty

Caring

New global appeal launched for one of Australia's most wanted men

Police have ramped up their efforts to locate one of Australia's most wanted men, who they believe fled the country over two decades ago. In 1999, James Dalamangas allegedly fled to Greece after his believed involvement in the death of a Sydney father. George Giannopoulos attended a Belmore nightclub in Sydney’s south west on April 25th 1999 when he was stabbed twice and died while trying to intervene in a fight between two patrons. A warrant was issued for Mr Dalamangas' arrest the next day over his alleged involvement in the brutal murder, although he was never found. Dalamangas, who worked as a bouncer, is also wanted for questioning over the 1997 shooting murder of another Kings Cross bouncer Tim Voukelates. He was also involved in a brawl at Star City Casino where his brother Peter was killed in 1998. Police believe he fled the country after Mr Giannopoulos' death, with authorities believing he is still living in Greece. After attempts to extradite Mr Dalamangas from Greece were not successful in 2003, Greek authorities agreed to commence the prosecution of Mr Dalamangas over his alleged role in the murder, but the process was suspended in 2007 when he couldn't be found. As the 25-year-long Greek statute of limitations nears, police are re-appealing for anyone with information to come forward, particularly if they can assist in locating Mr Dalamangas in Greece. “A warrant was issued for Mr Dalamangas’ arrest; however, despite extensive inquiries, he has never been located,” police said in a statement. Detectives have released an age progression photo of Dalamangas, who would now be aged 53. Dalamangas is Mediterranean in appearance, between 180 and 185cm tall with a medium build, dark hair and brown eyes. Image credits: AFP

Legal

"The time's right": Neil Mitchell signs off

After 34 years on the air, 3AW radio veteran Neil Mitchell is signing off. Neil Mitchell has been a staple of Australian radio for decades, growing a reputation for being fair, decent, honest and sometimes "a bit grumpy". A Current Affair's Ally Langdon joined the 3AW veteran to reflect on a stellar career that earned him a legion of loyal listeners. "I've always wanted to be a journalist from about age 14," he told Langdon. "But not for a moment did I think that I would end up doing something such as I have, editing a newspaper and doing this." His passion as a radio presenter lies in the "real people" who call in each morning, saying, "You can go from a person laughing and telling you jokes and carrying on to great stories." "And then a couple of calls later there's somebody in tears that you need to help. It is real people." "I regularly shed tears on air ... And if we can make a difference, I shed tears again because we've had success." Over his decades on air, Mitchell clashed with many Aussie politicians, sharing how he took it upon himself to be a spokesperson for everyday Australians. "They've established a system where they don't have to be accountable," he said. "And [if] anybody attempts to make them accountable ... they resented it. Accountability is disappearing I'm afraid." While he is stepping back from his flagship show, he has assured listeners he isn't signing off forever. "I'll still be here. I'll be doing podcasts and all sorts of things. I'm really looking forward to it. It's going to be an interesting change." "I'm going to miss it, stepping away. But the time's right." Image credits: Nine

Music

Think potholes on our roads are getting worse? You’re right – and here’s why

<a href="https://theconversation.com/profiles/marion-terrill-169480">Marion Terrill</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/natasha-bradshaw-1358801">Natasha Bradshaw</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> If you’re a driver, particularly in the country, you could be forgiven for thinking potholes have become a design feature of Australia’s local roads. You would certainly know they are in a state of disrepair. And you have every reason to be fed up, because bad roads are dangerous, they increase your travel time, and they force you to spend more on fuel and on car maintenance. They are getting worse because we’re not spending enough to maintain them. Three-quarters of our roads are managed by local councils. Every year, those councils spend A$1 billion less on maintenance than is needed to keep those roads in their current condition – let alone improve them. The underspend is largest in regional and remote areas. New <a href="https://grattan.edu.au/report/potholes-and-pitfalls-how-to-fix-local-roads/">Grattan Institute research</a> finds the typical regional area has a funding shortfall of more 40%. In remote areas, it’s more than 75%. <h2>Federal funding is falling behind</h2> One reason for this underspend is that untied federal government grants to local councils haven’t kept pace with soaring costs. Councils raise most of their own revenue – 80% on average. But in large parts of the country, there are a lot of roads and not enough ratepayers to pay for them. Rural and remote councils have limited ability to raise more revenue from ratepayers. Their ratepayers already pay higher rates than those in cities, despite having lower average incomes. Rate caps in place in New South Wales and Victoria also make it difficult for councils to raise more revenue. <hr /> <hr /> Councils receive top-up grants from the federal and state governments. The primary grants from the federal government, available for councils to spend as they see fit – including on roads – are called <a href="https://www.infrastructure.gov.au/territories-regions-cities/local-government/financial-assistance-grant-local-government">Financial Assistance Grants</a>. These are worth about $3 billion a year. But their value has not kept pace with rising costs. If they had kept pace, on our estimates they would be 20% higher, at $3.6 billion per year. <hr /> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=303&fit=crop&dpr=1 600w, https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=303&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=303&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=381&fit=crop&dpr=1 754w, https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=381&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/561231/original/file-20231123-27-oa4fn0.png?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=381&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><a class="source" href="https://grattan.edu.au/report/potholes-and-pitfalls-how-to-fix-local-roads/">Grattan Institute, 2023</a></figcaption></figure> <hr /> <h2>Road use is growing, but maintenance isn’t</h2> Another reason for the underspend is that even as funding dries up, we’re using roads more. A growing population means both more cars on our roads and more trucks needed to keep our shelves stocked. But despite the extra damage to our roads, spending on maintenance has stalled. <hr /> <hr /> <h2>Councils are spending more on other things</h2> Another reason roads are underfunded is that councils are coming under increasing pressure to fund other services. The legislation governing councils doesn’t clearly define what councils are responsible for, and there is no shortage of services communities want. Spending on transport has fallen from almost half of local government spending in the 1960s to 21% today. Environmental protection was only identified as its own area of spending for councils in 2018, but it now makes up 15% of all council spending. <hr /> <hr /> <h2>Delaying will cost us more</h2> If we don’t act now and start spending more to fix our roads, the pothole plague is going to spread. Australia is getting hotter, with more rain and floods. The Local Government Association expects the cost of repairing flood and rain-damaged roads in the eastern states and South Australia to top <a href="https://alga.com.au/building-better-roads-will-prevent-another-3-8-billion-blowout/">$3.8 billion</a>. Tight budgets make it tempting to delay maintenance. But delaying will only end up costing more in the long run, leaving taxpayers paying more to fix more badly damaged roads. <h2>Finally, a circuit-breaker</h2> Some might argue that now is not the time for more spending on roads, given pressures on the budget. But plenty is being spent on big roads and new roads. Infrastructure Minister Catherine King’s recent announcement of a <a href="https://minister.infrastructure.gov.au/c-king/media-release/significant-boost-road-safety">funding boost</a> of for local roads is a very welcome circuit-breaker. She announced the Roads to Recovery program will increase gradually from $500 million to $1 billion per year, the Black Spot program from $110 million to $150 million per year, and funding for an amalgamated Bridges Renewal and Heavy Vehicle Safety and Productivity program will climb form $150 million to $200 per year. This decision is important. Not only will councils receive more funding for maintenance, but it will be predictable funding, enabling better stewardship of long-lived assets. The money can’t start flowing soon enough.<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/217784/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/marion-terrill-169480">Marion Terrill</a>, Transport and Cities Program Director, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/natasha-bradshaw-1358801">Natasha Bradshaw</a>, Associate, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/think-potholes-on-our-roads-are-getting-worse-youre-right-and-heres-why-217784">original article</a>.

Travel Trouble

Two men arrested after fleeing horror crash that killed teens

In a heart-wrenching incident that has sent shockwaves through the community, two teenagers <a href="https://www.oversixty.com.au/finance/legal/manhunt-as-two-men-who-fled-scene-of-fatal-car-crash-identified" target="_blank" rel="noopener">lost their lives</a> in a horrific car crash in Sydney's southwest. The tragic incident unfolded on Maxwells Ave, Ashcroft, claiming the lives of a 13-year-old boy and a 14-year-old boy. The two victims were reportedly best friends, with one of them having recently celebrated his 13th birthday just the day before the fateful crash. The terrible accident occurred when the car they were in collided with a tree and a power pole outside a residential property. The two boys were seated in the back of the vehicle, and the impact of the crash was devastating. One of the boys was ejected from the car on impact, while the other remained trapped by his seatbelt. Authorities suspect that speed was a contributing factor to the accident, highlighting the importance of safe driving practices, especially when minors are involved. As news of the incident spread, tributes began pouring in for the two young victims online. Friends, family members, and community members expressed their grief and sorrow, describing the accident as "heartbreaking". The loss of two bright young lives has left a lasting impact on the tight-knit community. CCTV footage captured the entire incident, shedding light on the events that unfolded after the crash. The footage revealed the shocking actions of the two men who had been in the vehicle, namely the driver, Nicholas Thew, and his surviving passenger, Anthony Morris. It is believed that these men were either family members or friends of the two boys. In the footage, a dirt bike rider who had been following the car approached the crash scene and discovered one of the boys' lifeless bodies. The rider then checked on the two men in the front of the vehicle before one of the men emerged from the wreck. Afterward, the dirt bike rider departed the scene. The man who emerged from the wreck assisted in unbuckling one of the boys from his seatbelt and helped the other male out of the vehicle. Shockingly, the pair then fled the scene. Following an extensive investigation and manhunt, the police arrested two men, aged 23 and 27, on Tuesday around 12:30pm. Both individuals were taken to Liverpool Hospital under police guard for assessment and treatment of injuries they allegedly sustained during the crash. While the legal process is in motion, the community is left to grapple with the immense loss of two young lives, taken too soon. The 27-year-old man has been charged with nine offences – two counts of aggravated dangerous driving occasioning death with a speed of 45 km over; two counts of dangerous driving occasioning death – drive manner dangerous; two counts of failing to stop and assist after vehicle impact causing death; never licensed person drive vehicle on road; cause bodily harm by misconduct; and negligent driving (occasioning death). No charges have yet been laid for the 23-year-old man. The grief-stricken families and friends of the victims, as well as the community at large, are rallying together to provide support and comfort during this devastating time. The investigation into the crash continues, and authorities are urging anyone with information to come forward and contact Crime Stoppers. As the community mourns the loss of these two young lives, they are also seeking closure and justice for the tragic events that unfolded on that fateful morning in Ashcroft. Images: Nine News

Legal

Manhunt as two men who fled scene of fatal car crash identified

The young victims of a deadly crash crash have been identified, as police continue their search for two men who fled the scene. Braydan Collier, 13, and Kaine Bell, 14, were killed after a silver Ford sedan slammed into a telegraph pole and a jacaranda tree in Ashcroft, western Sydney, at high speed on Monday, splitting the vehicle in two and throwing one of the young boys from the car. Braydan had just celebrated his 13th birthday on Sunday, the day before he and his best mate would be killed in the horrifying crash. The two men, one of whom was driving the car, abandoned the scene, prompting a major manhunt from police. The men are claimed by police to be Nicholas Thew and Anthony Morris, according to report from <a href="https://www.dailytelegraph.com.au/news/nsw/braydan-collier-and-kaine-bell-killed-in-horror-ashcroft-crash/news-story/15b23363d37e02c5e2b6fa1839c23869" target="_blank" rel="noopener">The Daily Telegraph</a>. Graphic CCTV footage of the accident captured the moment two adult men, who, the publication reports “played surrogate big brother roles” in their lives, pulled themselves from the wreckage of the car, stepped over the boys’ bodies and fled the scene. One of the men could be heard yelling to his fellow front seat passenger “I wanna go home” as they ran, leaving the teenagers behind, who died at the scene. Nicholas Thew’s younger brother Dridyn told The Telegraph his family was horrified by the accident. He said he and his mother had taken the young victims “under their wing”. “Mum’s more worried about the two little boys, she tried to take them under her wing, she took Kaine and Braydan under her wing even though she struggles herself,” he said. “They’re little ones I took under my wing to keep out of trouble, but I haven’t seen them for two days and look where they are now." “My younger brother went around there and identified them. I’m heartbroken.” NSW Police are investigating the crash and the events leading up to it as they hunt for the two men who ran from the wreck, with Assistant Commissioner Brett McFadden saying the accident was “clearly avoidable”. “We are looking for that driver to present themself so we can speak to him. We do not know what role, if any, he has played in the crash, but it is certainly an active line of investigation,” he said. He urged the pair who fled the vehicle to come forward, warning: “we will find them”. “They just need to present themselves to a police station, so we can engage with them and they can assist us with the inquiries and work out how this tragic situation unfolded,” Mr McFadden said. Image credits: Nine News

Legal

6 reasons why global temperatures are spiking right now

<a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> The world is very warm right now. We’re not only seeing record temperatures, but the records are being broken by record-wide margins. Take the preliminary September global-average temperature anomaly of 1.7°C above pre-industrial levels, for example. It’s an incredible 0.5°C above the previous record. So why is the world so incredibly hot right now? And what does it mean for keeping our Paris Agreement targets? Here are six contributing factors – with climate change the main reason temperatures are so high. <h2>1. El Niño</h2> One reason for the exceptional heat is we are in a <a href="http://www.bom.gov.au/climate/enso/#tabs=Pacific-Ocean">significant El Niño</a> that is still strengthening. During El Niño we see warming of the surface ocean over much of the tropical Pacific. This warming, and the effects of El Niño in other parts of the world, raises global average temperatures by <a href="https://www.realclimate.org/index.php/archives/2023/01/2022-updates-to-the-temperature-records/">about 0.1 to 0.2°C</a>. Taking into account the fact we’ve just come out of a triple La Niña, which cools global average temperatures slightly, and the fact this is the first major El Niño in eight years, it’s not too surprising we’re seeing unusually high temperatures at the moment. Still, El Niño alone isn’t enough to explain the crazily high temperatures the world is experiencing. <h2>2. Falling pollution</h2> Air pollution from human activities cools the planet and has offset some of the warming caused by humanity’s greenhouse gas emissions. There have been efforts to reduce this pollution – since 2020 there has been an <a href="https://sdg.iisd.org/news/imo-advances-measures-to-reduce-emissions-from-international-shipping/">international agreement</a> to reduce sulphur dioxide emissions from the global shipping industry. It has been speculated this cleaner air has contributed to the recent heat, particularly over the record-warm <a href="https://climate.copernicus.eu/record-breaking-north-atlantic-ocean-temperatures-contribute-extreme-marine-heatwaves">north Atlantic</a> and Pacific regions with high shipping traffic. It’s likely this is contributing to the extreme high global temperatures – but only on the order of hundredths of a degree. <a href="https://www.carbonbrief.org/analysis-how-low-sulphur-shipping-rules-are-affecting-global-warming/">Recent analysis</a> suggests the effect of the 2020 shipping agreement is about an extra 0.05°C warming by 2050. <h2>3. Increasing solar activity</h2> While falling pollution levels mean more of the Sun’s energy reaches Earth’s surface, the amount of the energy the Sun emits is itself variable. There are different solar cycles, but an 11-year cycle is the most relevant one to today’s climate. The Sun is becoming <a href="https://edition.cnn.com/2023/07/14/world/solar-maximum-activity-2024-scn/index.html">more active</a> from a minimum in late 2019. This is also contributing a small amount to the spike in global temperatures. Overall, increasing solar activity is contributing only hundredths of a degree at most to the recent global heat. <h2>4. Water vapour from Hunga Tonga eruption</h2> On January 15 2022 the underwater <a href="https://www.jpl.nasa.gov/images/pia26006-hunga-tonga-hunga-haapai-eruption">Hunga Tonga–Hunga Haʻapai volcano erupted</a> in the South Pacific Ocean, sending large amounts of water vapour high up into the upper atmosphere. Water vapour is a greenhouse gas, so increasing its concentration in the atmosphere in this way does intensify the greenhouse effect. Even though the eruption happened almost two years ago, it’s still having a small warming effect on the planet. However, as with the reduced pollution and increasing solar activity, we’re talking about hundredths of a degree. <figure><iframe src="https://www.youtube.com/embed/6oANPi-SWN0?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>5. Bad luck</h2> We see variability in global temperatures from one year to the next even without factors like El Niño or major changes in pollution. Part of the reason this September was so extreme was likely due to weather systems being in the right place to heat the land surface. When we have persistent high-pressure systems over land regions, as seen recently over places like <a href="https://www.theguardian.com/environment/2023/oct/01/autumn-heat-continues-in-europe-after-record-breaking-september">western Europe</a> and <a href="https://www.abc.net.au/news/2023-09-19/australia-weather-september-heat-records-tumble/102870294">Australia</a>, we see local temperatures rise and the conditions for unseasonable heat. As water requires more energy to warm and the ocean moves around, we don’t see the same quick response in temperatures over the seas when we have high-pressure systems. The positioning of weather systems warming up many land areas coupled with persistent ocean heat is likely a contributor to the global-average heat too. <h2>6. Climate change</h2> By far the biggest contributor to the overall +1.7°C global temperature anomaly is human-caused climate change. Overall, humanity’s effect on the climate has been a global warming of <a href="https://www.globalwarmingindex.org/">about 1.2°C</a>. The record-high rate of greenhouse gas emissions means we should expect global warming to accelerate too. While humanity’s greenhouse gas emissions explain the trend seen in September temperatures over many decades, they don’t really explain the big difference from last September (when the greenhouse effect was almost as strong as it is today) and September 2023. Much of the difference between this year and last comes back to the switch from La Niña to El Niño, and the right weather systems in the right place at the right time. <h2>The upshot: we need to accelerate climate action</h2> September 2023 shows that with a combination of climate change and other factors aligning we can see alarmingly high temperatures. These anomalies may appear to be above the 1.5°C global warming level referred to in the Paris Agreement, but that’s about keeping <a href="https://climateanalytics.org/briefings/understanding-the-paris-agreements-long-term-temperature-goal/">long-term global warming</a> to low levels and not individual months of heat. But we are seeing the effects of climate change unfolding more and more clearly. The most vulnerable are suffering the biggest impacts as wealthier nations continue to emit the largest proportion of greenhouse gases. Humanity must accelerate the path to net zero to prevent more record-shattering global temperatures and damaging extreme events.<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/215140/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, Senior Lecturer in Climate Science, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> Image credits: Getty Images 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/6-reasons-why-global-temperatures-are-spiking-right-now-215140">original article</a>.

Travel Trouble

Kids dressing up as older people is harmless fun, right? No, it’s ageist, whatever Bluey says

<a href="https://theconversation.com/profiles/lisa-mitchell-1143692">Lisa Mitchell</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> A child once approached me, hunched over, carrying a vacuum cleaner like a walking stick. In a wobbly voice, he asked: "Do you want to play grannies?" The idea came from the children’s TV show Bluey, which <a href="https://www.facebook.com/ABCKidsCommunity/videos/bluey-grannies/468144817266668/">has</a> <a href="https://www.facebook.com/ABCKidsCommunity/videos/new-bluey-episodes-the-grannies-are-back-abc-kids/371436135028190/">episodes</a>, <a href="https://www.bluey.tv/products/grannies-book/">a book</a>, <a href="https://www.discountmags.com/magazine/bluey-september-1-2023-digital">magazine</a> editions and an <a href="https://www.facebook.com/OfficialBlueyTV/videos/grannies-filter-bluey/5728362390510269/">image filter</a> about dressing up as “grannies”. Children are also dressing up as 100-year-olds to mark their first “100 days of school”, an idea <a href="https://www.theage.com.au/national/victoria/old-people-s-home-for-five-year-olds-prep-students-don-senior-citizen-attire-20230801-p5dszb.html">gaining popularity</a> <a href="https://www.smh.com.au/education/cardigans-wigs-and-canes-why-kindy-students-are-dressing-up-as-100-year-olds-20230720-p5dpu8.html">in Australia</a>. Is this all just harmless fun? <h2>How stereotypes take hold</h2> When I look at the older people in my life, or the patients I see as a geriatrician, I cannot imagine how to suck out the individual to formulate a “look”. But Google “older person dress-ups” and you will find <a href="https://www.pinterest.com.au/pin/dress-up-like-youre-100-years-old-100thdayofschool--15199717464361356/">Pinterests</a> and <a href="https://www.wikihow.com/Dress-Up-Like-an-Old-Person#:%7E:text=Dress%20in%20comfortable%2C%20loose%2Dfitting,older%20people%20may%20wear%20include%3A&text=Oversized%20sweatshirts">Wikihow pages</a> doing just that. Waistcoats, walking sticks, glasses and hunched backs are the key. If you’re a “granny”, don’t forget a <a href="https://www.facebook.com/OfficialBlueyTV/videos/games-you-can-play-at-home-grannies-bluey/645964056227345/">shawl and tinned beans</a>. You can buy “old lady” <a href="https://www.spotlightstores.com/party/costumes-and-accessories/costume-accessories/wigs-hair-accessories/wigs/spartys-kids-old-lady-wig-with-curlers/80578132?gclsrc=aw.ds&gclsrc=aw.ds&gclid=Cj0KCQjw0vWnBhC6ARIsAJpJM6emZHoNxO72pUa80Wc8ihYYiq3AohZ_w72jmuWBBDlficdCMy_rsK8aAj47EALw_wcB">wigs</a> or an “old man” <a href="https://www.bigw.com.au/product/facial-hair-set-old-man-3-pieces/p/305026">moustache and bushy eyebrows</a>. This depiction of how older people look and behave is a stereotype. And if dressing up as an older person is an example, such stereotypes are all around us. <h2>What’s the harm?</h2> There is <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/hypa.12170">some debate</a> about whether stereotyping is intrinsically wrong, and if it is, why. But there is plenty of research about the harms of age stereotypes or ageism. That’s harm to current older people and harm to future older people. The World Health Organization <a href="https://www.who.int/health-topics/ageism#tab=tab_1">defines ageism</a> as: "the stereotypes (how we think), prejudice (how we feel) and discrimination (how we act) towards others or ourselves based on age." Ageism <a href="https://www.who.int/health-topics/ageism#tab=tab_1">contributes to</a> social isolation, reduced health and life expectancy and costs economies <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">billions of dollars</a> globally. When it comes to health, the impact of negative stereotypes and beliefs about ageing may be even <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">more harmful</a> than the discrimination itself. In laboratory studies, older people perform <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360754/">worse</a> than expected on tasks such as memory or thinking after being shown negative stereotypes about ageing. This may be due to a “<a href="https://www.simplypsychology.org/stereotype-threat.html">stereotype threat</a>”. This is when a person’s performance is impaired because they are worried about confirming a negative stereotype about the group they belong to. In other words, they perform less well because they’re worried about acting “old”. Another theory is “stereotype embodiment”. This is where people absorb negative stereotypes throughout their life and come to believe decline is an inevitable consequence of ageing. This leads to biological, psychological and physiological changes that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927354/">create</a> a self-fulfilling prophecy. I have seen this in my clinic with people who do well, until they realise they’re an older person – a birthday, a fall, a revelation when they look in the mirror. Then, they stop going out, stop exercising, stop seeing their friends. Evidence for “stereotype embodiment” comes from studies that show people with more negative views about ageing are more likely to have higher levels of stress hormones (such as cortisol and C-reactive protein) and are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182003/">less likely</a> to engage in health behaviours, such as exercising and eating healthy foods. Younger adults with negative views about ageing are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666386/">more likely</a> to have a heart attack up to about 40 years later. People with the most negative attitudes towards ageing have a lower life expectancy by as much as <a href="https://pubmed.ncbi.nlm.nih.gov/12150226/">7.5 years</a>. Children are particularly susceptible to absorbing stereotypes, a process <a href="https://psycnet.apa.org/record/2007-09385-010">that starts</a> in early childhood. <h2>Ageism is all around us</h2> <a href="https://www.who.int/health-topics/ageism#tab=tab_1">One in two people</a> have ageist views, so tackling ageism is complicated given it is socially acceptable and normalised. Think of all the birthday cards and jokes about ageing or phrases like “geezer” and “old duck”. Assuming a person (including yourself) is “too old” for something. Older people say it is harder to <a href="https://www.abc.net.au/news/2023-07-06/senior-job-seekers-struggle-to-get-a-foot-in-the-door/102563144">find work</a> and they face discrimination in <a href="https://www.hcnsw.org.au/wp-content/uploads/2021/03/Ageism-in-Health-Care_final.pdf">health care</a>. <h2>How can we reduce ageism?</h2> We can reduce ageism through laws, policies and education. But we can also reduce it via <a href="https://www.who.int/health-topics/ageism#tab=tab_1">intergenerational contact</a>, where older people and younger people come together. This helps break down the segregation that allows stereotypes to fester. Think of the TV series <a href="https://iview.abc.net.au/show/old-people-s-home-for-4-year-olds">Old People’s Home for 4 Year Olds</a> or the follow-up <a href="https://iview.abc.net.au/show/old-people-s-home-for-teenagers">Old People’s Home for Teenagers</a>. More simply, children can hang out with their older relatives, neighbours and friends. We can also challenge a negative view of ageing. What if we allowed kids to imagine their lives as grandparents and 100-year-olds as freely as they view their current selves? What would be the harm in that?<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/212607/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lisa-mitchell-1143692">Lisa Mitchell</a>, Geriatrician working in clinical practice. PhD Candidate at The University of Melbourne studying ethics and ageism in health care. Affiliate lecturer, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/kids-dressing-up-as-older-people-is-harmless-fun-right-no-its-ageist-whatever-bluey-says-212607">original article</a>.

Retirement Life

X-Men actor welcomes third child

X-Men actor Liev Schreiber has welcomed his third child, first with girlfriend Taylor Neison - a beautiful baby girl! The actor, known for keeping his life private, took to Instagram to share the happy news, with an adorable photo of his little girl's hand, and her foot. He also revealed her name to his almost 550 thousand followers. "So happy that Hazel Bee is finally here," he captioned the photo. "She arrived early in the morning of August 27th and has been a dream every day since. "Mum and baby are both super happy and healthy. Thanks to all for the love and support." <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CxJ0iVSsEzS/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CxJ0iVSsEzS/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Liev Schreiber (@lievschreiber)</a> </div> </blockquote> Schreiber's famous friends took to the comments to congratulate the new parents. "We love baby Hazel!! 🙌" British actress, and Schreiber's ex Naomi Watts commented. Comedian Jim Gaffigan wrote: "Congratulations!" The Real Housewives of New York star Kelly Bensimon and The Vampire Diaries actress Kat Graham also took to the comments to congratulate the couple. The announcement comes just days after Schreiber and Neison were <a href="https://pagesix.com/2023/09/13/liev-schreiber-welcomes-third-baby-his-first-with-taylor-neisen/" target="_blank" rel="noopener">spotted </a>pushing a stroller and carrying the newborn in a baby sling while out and about in New York. The couple never formally announced their pregnancy but the news came in April when Nielson was spotted walking around with a baby bump. They reportedly tied the knot in a secret wedding over the 4th of July holiday weekend this year, with only four people in attendance. Hazel is the couple's first child together, but Schreiber is already father to 16-year-old Sasha and 14-year-old Kai, who he shares with Naomi Watts. Watts confirmed that they are on "great terms" as co-parents to their teen kids. Images: Instagram/Getty

Family & Pets

Royal family's 175-year-old right to hunt comes to an end

The royal family can no longer hunt at the five-century old Abergeldie Estate that is next door to Balmoral Castle. Abergeldie's new owner, Alastair Storey, has terminated the royal family's sporting rights lease, established by Prince Albert in 1852, which means they can no longer go hunting, deer stalking or fishing at the estate, ending the 175-year-old tradition. Storey reportedly has plans to "transform" buildings on the estate into private accommodation and hunting lodges, according to the Daily Telegraph. Planning documents filed with Aberdeenshire council confirmed this: "For the last 175 years the Royal family have leased the sporting rights at Abergeldie but this has now ceased, and will be actively run by the new Laird. "To facilitate the transformation and to effectively run the estate, new facilities will be required." The documents also stated that the buildings around the farmhouse "facilitate accommodation for the running of the estate and will include a social space for paying visitors to support the sporting activities on the estate". This is a huge change from the original agreements Prince Albert drew up with the Gordon family, who previously owned the estate. This also comes after the late Queen agreed to pay more for the shooting and hunting rights on the sporting estate 25 years ago, after she was asked to increase the nominal rent that was being paid by the royal family for access. The 11,532-acre estate is nestled between the late Queen Elizabeth's former estate and the King's residence, Birkhall. It was sold in 2021 after the death of the 21st Baron of Abergeldie, John Gordon, to Storey who bought the estate for £23 million. Although Storey purchased 34 properties dotted around the vast estate, he has not bought out Abergeldie Castle, which still belongs to the Gordon family. Storey, 70, is a Scottish businessman and chief executive of WSH, and was labelled the "most influential man in the UK hospitality industry" in 2012. He was made an Order of the British Empire (OBE) by Queen Elizabeth in 2017. Images: Getty

Family & Pets

How biological differences between men and women alter immune responses – and affect women’s health

<a href="https://theconversation.com/profiles/helen-mcgettrick-1451122">Helen McGettrick</a>, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a> and <a href="https://theconversation.com/profiles/asif-iqbal-1451123">Asif Iqbal</a>, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a> Most people will have heard the term “man flu”, which refers to men’s perceived tendency to exaggerate the severity of a cold or a similar minor ailment. What most people may not know is that, generally speaking, women mount stronger <a href="https://pubmed.ncbi.nlm.nih.gov/36121220/">immune responses</a> to infections than men. Men are <a href="https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1005374">more susceptible</a> to infections from, for example, HIV, hepatitis B, and Plasmodium falciparum (the parasite responsible for malaria). They can also have more severe symptoms, with evidence showing they’re more likely to be <a href="https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1005374">admitted to hospital</a> when infected with hepatitis B, tuberculosis, and Campylobacter jejuni (a bacteria that causes gastroenteritis), among others. While this may be positive for women in some respects, it also means women are at <a href="https://www.nature.com/articles/nri2815">greater risk</a> of developing chronic diseases driven by the immune system, known as immune-mediated inflammatory diseases. Here we will explore how biological factors influence immune differences between the sexes and how this affects women’s health. While we acknowledge that both sex and gender may affect immune responses, this article will focus on biological sex rather than gender. <h2>Battle of the sexes</h2> There are differences <a href="https://www.nature.com/articles/nri.2016.90">between the sexes</a> at every stage of the immune response, from the number of immune cells, to their degree of activation (how ready they are to respond to a challenge), and beyond. However, the story is more complicated than that. Our immune system evolves throughout our lives, learning from past experiences, but also responding to the physiological challenges of getting older. As a result, <a href="https://www.nature.com/articles/nri.2016.90">sex differences</a> in the immune system can be seen from birth through puberty into adulthood and <a href="https://academic.oup.com/jleukbio/advance-article/doi/10.1093/jleuko/qiad053/7190870">old age</a>. Why do these differences occur? The first part of answering this question involves the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. The <a href="https://pubmed.ncbi.nlm.nih.gov/20651746/">X chromosome</a> contains the largest number of immune-related genes. The X chromosome also has <a href="https://link.springer.com/article/10.1007/s00018-020-03526-7">around 118 genes</a> from a gene family that are able to stop the expression of other genes, or change how proteins are made, including those required for immunity. These gene-protein regulators are known as microRNA, and there are only <a href="https://pubmed.ncbi.nlm.nih.gov/24808907/">two microRNA genes</a> on the Y chromosome. The X chromosome has <a href="https://www.genome.gov/about-genomics/fact-sheets/X-Chromosome-facts">more genes overall</a> (around 900) than the Y chromosome (around 55), so female cells have evolved to switch off one of their X chromosomes. This is not like turning off a light switch, but more like using a dimmer. Around <a href="https://bmcgenomics.biomedcentral.com/articles/10.1186/s12864-019-5507-6">15-25% of genes</a> on the silenced X chromosome are expressed at any given moment in any given cell. This means female cells can often express more immune-related genes and gene-protein regulators than males. This generally means a faster clearance of pathogens in females than males. Second, men and women have <a href="https://www.frontiersin.org/articles/10.3389/fimmu.2020.604000/full">varying levels</a> of different sex hormones. Progesterone and testosterone are broadly considered to limit immune responses. While both hormones are produced by males and females, progesterone is found at higher concentrations in non-menopausal women than men, and testosterone is much higher in men than women. The role of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533072/">oestrogen</a>, one of the main female sex hormones, is more complicated. Although generally oestrogen <a href="https://www.sciencedirect.com/science/article/abs/pii/S000887491500026X?via%3Dihub">enhances immune responses</a>, its levels vary during the menstrual cycle, are high in pregnancy and low after menopause. Due in part to these genetic and hormonal factors, pregnancy and the years following are associated with heightened immune responses to external challenges such as infection. This has been regarded as an <a href="https://www.nature.com/articles/nri.2016.90">evolutionary feature</a>, protecting women and their unborn children during pregnancy and enhancing the mother’s survival throughout the child-rearing years, ultimately ensuring the survival of the population. We also see this pattern in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628977/">other species</a> including insects, lizards, birds and mammals. <h2>What does this all mean?</h2> With women’s heightened immune responses to infections comes an increased risk of certain diseases and prolonged immune responses after infections. An <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328995/">estimated 75-80%</a> of all immune-mediated inflammatory diseases <a href="https://pubmed.ncbi.nlm.nih.gov/32542149/">occur in females</a>. Diseases more common in women include multiple sclerosis, <a href="https://www.nature.com/articles/nri2815">rheumatoid arthritis</a>, lupus, Sjogren’s syndrome, and <a href="https://www.nature.com/articles/nri.2016.90">thyroid disorders</a> such as Graves disease. In these diseases, the immune system is continuously fighting against what it sees as a foreign agent. However, often this perceived threat is not a foreign agent, but cells or tissues from the host. This leads to tissue damage, pain and immobility. Women are also prone to chronic inflammation following infection. For example, after infections with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818468/">Epstein Barr virus</a> or <a href="https://www.liebertpub.com/doi/10.1089/jwh.2008.1193">Lyme disease</a>, they may go on to develop <a href="https://www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/">chronic fatigue syndrome</a>, another condition that affects more women than men. This is one possible explanation for the heightened risk among <a href="https://www.frontiersin.org/articles/10.3389/fresc.2023.1122673/full">pre-menopausal women</a> of developing long COVID following infection with SARS-CoV-2, the virus that causes COVID. Research has also revealed the presence of auto-antibodies (antibodies that attack the host) in patients with long COVID, suggesting it might be an <a href="https://www.sciencedirect.com/science/article/pii/S1568997221000550">autoimmune disease</a>. As women are more susceptible to autoimmune conditions, this could potentially explain the sex bias seen. However, the exact causes of long COVID, and the reason women may be at greater risk, are yet to be defined. This paints a bleak picture, but it’s not all bad news. Women typically mount <a href="https://pubmed.ncbi.nlm.nih.gov/24966191/">better vaccine responses</a> to several common infections (for example, influenza, measles, mumps, rubella, hepatitis A and B), producing higher antibody levels than men. One study showed that women vaccinated with half a dose of flu vaccine produced the same amount of antibodies compared to men vaccinated with <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/773453">a full dose</a>. However, these responses <a href="https://www.nature.com/articles/nri.2016.90">decline as women age</a>, and particularly <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954964/">after menopause</a>. All of this shows it’s vital to consider sex when designing studies examining the immune system and treating patients with immune-related diseases.<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/208802/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/helen-mcgettrick-1451122">Helen McGettrick</a>, Reader in Inflammation and Vascular Biology, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a> and <a href="https://theconversation.com/profiles/asif-iqbal-1451123">Asif Iqbal</a>, Associate Professor in Inflammation Biology, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a> Image credits: Getty Images 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/how-biological-differences-between-men-and-women-alter-immune-responses-and-affect-womens-health-208802">original article</a>.

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