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Tragic new details emerge about baby's death in Bali

Tragic new details have merged about the sudden death of a toddler, who <a href="https://oversixty.com.au/travel/travel-trouble/profound-grief-baby-dies-during-family-holiday-in-bali" target="_blank" rel="noopener">died</a> while on a family holiday to Bali. According to Indonesian police, the 14-month-old boy drowned in a villa swimming pool at Villa Besar in Kerobokan, north of Kuta in Bali. Police spokesperson Avitus Panjaitan told <a href="https://www.dailymail.co.uk/news/article-14017027/Tragic-new-details-emerge-cause-Australian-babys-death-Bali.html" target="_blank" rel="noopener">Daily Mail Australia</a> that the family did not report the death to police, and officers only found out details after interviewing resort staff. Staff reported that the family had returned to the villa from a water park in the evening shortly before the alarm was raised that a baby was drowning in the pool just minutes later. The staff recalled seeing a woman pull the baby from the water and desperately performing CPR to revive the child, but by the time paramedics arrived on the scene, the child was already deceased. In the wake of the tragedy, the child's father Brendan Sharp shared a gut wrenching update on Facebook, describing his son as a "one of a kind" child who filled every room with laughter and light. "He was always happy and cheerful, lighting up the room with whomever was there," he said. "His cheekiness and affection were like no other, and he was always dancing and having fun with a side of cheeky." "You were so special my boy - keep shining like the star you are and keep an eye on all of us down here," he said. A <a href="https://www.gofundme.com/f/help-grace-and-brendan-cope-with-the-loss-of-their-baby-boy" target="_blank" rel="noopener">GoFundMe</a> page has been set up by the family to help cover the funeral, and to allow parents Grace and Brendan time to grieve without financial pressure. Image credits: Facebook / GoFundMe

Travel Trouble

Pilot dies mid-flight prompting emergency landing

A Turkish Airlines pilot has tragically died in the middle of a flight from Seattle in the US to the Turkish city of Istanbul, prompting an emergency landing. Pilot İlçehin Pehlivan, 59, “lost consciousness” at some point after the flight took off, with the plane then landing in New York’s John F. Kennedy International Airport, almost five hours into the journey. The diversion came after initial medical intervention on board failed to revive the captain, with the second pilot and co-pilot making the landing in New York. Pehlivan was declared dead on arrival when the plane was met by authorities, and no cause of death has yet been released. Turkish Airlines spokesperson Yahya Üstün said the pilot, who worked for the airline since 2007, underwent a routine health check in March and “no health problem was detected that would prevent him from working”. He recalled the moment onboard, saying, "After the first medical evaluation to our captain on board was inconclusive, the cockpit crew ... decided to make an emergency landing, but our captain died before landing." “As Turkish Airlines, we deeply feel the loss of our captain and extend our sincerest condolences to his bereaved family, colleagues, and all his loved ones,” he added. Image credits: Shutterstock

Travel Trouble

Chilling vision of missing family emerges

A video filmed in New Zealand's west coast is the first "credible" sighting of a father and his kids who went missing three years ago. Tom Phillips along with his daughter Jayda, now 11, son Maverick, 9 and daughter Ember, 8, disappeared from the New Zealand town of Marokopa in December 2021. There have been hundreds of sightings of Phillips reported to police since then, with many of them unverified, and the children nowhere in sight. But now, new footage shot on the evening of October 3, showed all four of them marching through a grass field in Marokopa, in a single file with camouflage gear and heavy backpacks. The video, filmed by pig hunters, was handed to police and has since prompted a large-scale search of farmland in the area this week, which unfortunately failed to locate Phillips and his children. In the footage, the family seemed unaware they were being filmed from afar, with one of the witnesses describing them as "equipped for the bush". The children's mother, Catherine, has seen the video and instantly recognised her kids. “I’m so happy that they’re all there," she told the New Zealand Herald. "I’m so relieved to see all three of my babies. They’re all alive." The pig hunters who filmed the footage recalled their short encounter with the children. “The children asked: ‘Who else knows we’re here?’ And then they just kept on walking. They were all packed up, they had big packs on. I think the father sort of kept them moving,” Farmer John McOviney told the New Zealand Herald. In another interview with radio station Newstalk ZB, McOviney said that Phillips was carrying a large rifle. NZ Police Detective Inspector Andrew Saunders has also confirmed the sighting was being treated as "credible". "While nothing further of significance was located, investigators will now assess information gathered to determine any next steps," he said. "This is the first time all three of the children have been sighted, which is positive information, and we know it will be reassuring for the children's wider family." While police remain tight-lipped about what their next steps are, they said : "Our focus is very much on the safe return of Jayda, Maverick and Ember to their whānau [the Maori word for family] and we are doing all that we can to make that happen.” Phillips and his three children first went missing on September 11, 2021, and an arrest warrant was issued for Phillips shortly after their disappearance. He does not have legal custody over his children is alleged to have breached a custody order by taking them. The children are believed to have had no education or contact with others since their disappearance. Members of the public have been warned not to approach Phillips if they spotted him, as he may be armed. Images: TVNZ/ Waikato Police

Legal

Disturbing details emerge about former suspect in William Tyrrell's disappearance

An investigation into the disappearance of William Tyrrell has raised questions about why a man who was once considered a person of interest was not called by police to give evidence on the case. The man, who has not been named, allegedly had a shrine of the missing boy at the end of his bed, containing a collage of pictures and news reports, as well as handwritten poetry quoting Gary Jubelin, the former lead detective on the case. Mr Jubelin, who was taken off the investigation in 2019, has previously written to NSW’s director of inquests saying the man’s behaviour was “concerning” and he should be called as a witness. However, the man shared with <a href="https://www.news.com.au/national/crime/former-william-tyrrell-suspect-had-shrine-to-missing-boy/news-story/1fbf310d22250c00a8cc2de081d9e77b" target="_blank" rel="noopener">news.com.au</a>'s investigative podcast into Tyrrell's disappearance revealed that he was never called to give evidence. When questioned by the outlet's podcast - which clarified that they were not suggesting any wrongdoing by the man who has never been charged with any offences - he said he was “different from the mainstream” and denied any involvement in the case, despite not having an alibi for the day the then three-year-old disappeared. The man, whose property is a few hundred metres through the bush from Benaroon Dr where William went missing, said he was home alone at the time the toddler was reported missing. The man's property was searched two days after William was last seen, and was placed under police surveillance years later. During this time, police uncovered barrels of small animal bones at his property. When asked about them, the man first denied they were there, then claimed they were planted on his property by police. “What I don’t like is the way people who are slightly different are singled out here,” he said. “They get harassed, they get persecuted because they’re odd.” Asked about the police investigation, he said, “I don’t like the way people are presumed guilty until proven innocent." “It could have been someone who was driving past (who was responsible for William’s disappearance). That’s as likely as anything else isn’t it?" Mr Jubelin, who left the police in 2019 and was subsequently convicted of illicitly recording conversations with another person of interest, said he did not question the man in detail at the time as he expected him to be called at the inquest. “(The man) should at the very least be called as a witness,” Mr Jubelin wrote to coronial officials in 2020 after leaving the police force. “There were a number of things about (the man) that I consider concerning.” “What was not put to him and is most concerning is he had what could best be described as a shrine to William Tyrrell at the end of his bed. This included a picture of William and quotes from myself regarding the investigation." “I had an expectation this would be done at the inquest.” Image credits: NSW Police

Legal

Readers response: What’s your best advice for managing medications while travelling?

When taking a trip, many people often have to factor in how their changing schedule will affect their regular medication routines. We asked our readers for their best advice on managing medications while travelling, and the response was overwhelming. Here's what they said. Kristeen Bon - I put each days tablet into small ziplock bags and staple them at one corner. All that goes into one larger ziplock bag and into my toilet bag. I store all the outer packs flat into another ziplock bag and that stays in the zip pack with my first aid kit in the main suitcase. I travel long haul up to six times a year and this is the most manageable way I have found. Diane Green - Firstly, take sufficient supply of all meds to last the time I'm away. I separate morning medications and evening medications. Then it depends on how long I'm away. I have one that needs to be refrigerated. Depending on where I travel, this can entail arranging overnight in the establishment fridge while taking a freezer pack for daytime travel. Irene Varis - Always get a letter from my doctor, with all my prescriptions for when I get overseas. Saves you a lot of trouble! Helen Lunn - Just get the chemist to pack into Medipacks. I usually take an extra week. I alway put some of the packs in my partners baggage incase my bag goes missing and a pack and a doctor’s letter in my hand luggage. Jancye Winter - Always pack in your carry on with prescriptions. Jenny Gordon - Carry a letter from doc with all medications, leave in original packaging. Double check that it isn’t illegal to carry your medication as some countries have strict regulations for things like Codeine. Always carry in carry on as you don’t want them to get lost. Nina Thomas Rogers - Be organised with all your medicines before you leave. Image credits: Shutterstock

Travel Tips

More Australians are using their superannuation for medical procedures. But that might put their financial health at risk

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> A record number of Australians are accessing their superannuation early on compassionate grounds, mainly to fund their own medical procedures – or those of a family member. Some 150,000 Australians have used the scheme in the last five years. Nearly 40,000 people <a href="https://www.ato.gov.au/about-ato/research-and-statistics/in-detail/super-statistics/early-release/compassionate-release-of-super">had applications approved</a> in 2022-23, compared to just under 30,000 in 2018-19 – an increase of 47%. Some people think this flexible use of funds is a good way to ensure people can fund their own medical needs. But more transparency and better oversight is needed. <h2>What are compassionate grounds?</h2> Since July 2018, the Australian Tax Office has administered the early release of superannuation – meaning before <a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/withdrawing-and-using-your-super/super-withdrawal-options#Preservationage">retirement</a> – under certain circumstances, including compassionate grounds. <a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/withdrawing-and-using-your-super/early-access-to-super/access-on-compassionate-grounds/expenses-eligible-for-release-on-compassionate-grounds">Compassionate grounds</a> for you or your dependant (such as child or spouse) are: <ul> <li>medical treatment or transport</li> <li>modifying your home or vehicle to accommodate special needs for a severe disability</li> <li>palliative care for a terminal illness</li> <li>death, funeral or burial expenses</li> <li>preventing foreclosure or forced sale of your home.</li> </ul> The medical treatment must be for a life-threatening illness or injury, or to alleviate acute or chronic pain, or acute or chronic mental illness. The treatment cannot be “readily available” through the public system. Cosmetic procedures are excluded. You also have to prove you cannot afford to pay part or all of the expenses without accessing your super, for example, by spending your savings, selling assets or getting a loan. People who can access other funding for the expense, such as via the <a href="https://theconversation.com/lists-of-eligible-supports-could-be-a-backwards-step-for-the-ndis-and-people-with-disability-236578">National Disability Insurance Scheme</a>, are ineligible. <h2>Why are people using this scheme more?</h2> The ATO has not explained what is driving the surge. General cost-of-living pressures may play a role. People may have fewer savings to draw on for medical procedures. But the treatments most commonly being accessed using superannuation – fertility treatments, weight loss surgeries and dental care – point to other systemic issues. There have long been issues with IVF and <a href="https://theconversation.com/why-isnt-dental-included-in-medicare-its-time-to-change-this-heres-how-239086#:%7E:text=The%20real%20reason%20dental%20hasn,has%20a%20structural%20budget%20problem.">dental care</a> not being readily available or funded in the public health system. Weight loss surgeries (including <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">bariatric surgery</a>) can help combat potentially life-threatening conditions such as heart disease. Recent <a href="https://www.monash.edu/news/articles/fewer-australians-having-bariatric-surgery-monash-university-led-report">research</a> suggests there has been an overall drop in the number of Australians having bariatric surgeries since 2016. But of those, 95% are performed through the private system. While early access to super can provide individuals access to critical treatment, there are issues with how compassionate grounds are defined and regulated. <h2>Lack of clarity</h2> As my co-author and I <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2021/06/Issue-442-PDF-3-Bhatia-and-Porceddu.pdf">have shown</a>, the vague wording of the <a href="https://www.legislation.gov.au/F1996B00580/2022-09-28/text">Superannuation Industry regulations</a> leaves them worryingly open to interpretation. For example, the meaning of “mental disturbance” is not defined. You may not meet the criteria of having an acute or life-threatening illness, or acute or chronic pain. But if you can show a certain condition causes you acute mental disturbance, you may qualify to release your superannuation early. People accessing their superannuation for IVF use this criterion, for example, by arguing they need to access funds to continue treatment and alleviate the acute mental distress caused by ongoing infertility issues. Two registered medical practitioners are each required to submit a report demonstrating the treatment is needed, and one must be a specialist in the field in which the treatment is required. However, the regulations do not specify clearly that the specialist should have relevant qualifications. In the IVF example, this means the specialist opinion can be provided by a fertility doctor rather than a mental health expert – and that person may stand to profit if they later also provide treatment. <h2>A closed-loop system</h2> Conflict of interest is another major issue. There is nothing in the regulations to stop a medical practitioner – such as a dentist – being involved in all steps and then financially benefiting. They could encourage a patient to access superannuation for a treatment, write the specialist report and then also receive payment for the treatment. Some clinics <a href="https://www.theguardian.com/australia-news/2024/apr/06/online-ads-promote-simple-access-to-super-to-pay-for-healthcare-despite-strict-rules">promote</a> accessing superannuation as an option to pay for expensive treatments. This raises important questions about the independence of the process, as well as professional ethics. Medical practitioners making recommendations for early release of superannuation should be doing so on genuinely compassionate grounds. But the potential for exploitation remains an ethical concern, when a practitioner can financially benefit from recommending early access to nest egg funds. Transparency around potential <a href="https://theconversation.com/people-are-using-their-super-to-pay-for-ivf-with-their-fertility-clinics-blessing-thats-a-conflict-of-interest-161278">conflicts of interest</a> are impossible to ensure without proper oversight. <h2>What is needed?</h2> 1. Mandatory financial counselling The ATO <a href="https://www.theage.com.au/healthcare/worrying-trend-record-number-of-australians-raid-super-to-fund-medical-treatments-20240920-p5kc44.html">has warned</a> accessing super early is not “free money”, with a spokesperson urging people to get financial advice. But the law should go a step further and make this compulsory. That way people making decisions during an emotionally charged moment can understand any future implications. 2. Tightening of the criteria Greater clarity in the legislation – such as defining “mental disturbance” – would help prevent loopholes being exploited. 3. Better oversight Less health-care industry involvement would promote greater transparency and independence. An independent body of medical practitioners could assess applications rather than practitioners who could financially benefit if applications are approved. This would help alleviate perceived and actual conflicts of interest. Accessing superannuation early may be the only option for some people to start a family or access other life-changing medical care. But they should be able to make this decision in a fully informed way, safeguarded from exploitation and aware of the implications for their future.<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/239588/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, Associate Professor in Law, <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/more-australians-are-using-their-superannuation-for-medical-procedures-but-that-might-put-their-financial-health-at-risk-239588">original article</a>. </div>

Money & Banking

Drunk couple forces emergency landing after mid-air meltdown

A Ryanair flight to Ibiza had to be diverted after a drunk couple allegedly assaulted cabin crew and other passengers. The plane, carrying holiday-makers from Manchester to Ibiza had to make an emergency landing in Toulouse, where police hauled the intoxicated passengers off the plane. A British traveller on the flight, who asked to remain anonymous, recalled the man "swigging duty free vodka" on the first hour of the flight, before he started arguing with a male cabin crew member and punched him in the face. As they tried to restrain him, the intoxicated man assaulted another passenger and spat at a woman, hurling verbal abuse at her. “He was kicking off with everyone, he was out of control,” the witness said. Flight attendants reportedly warned him that the flight would have to be diverted if he didn't calm down, but he replied: “I don’t give a f***.” The altercation lasted for about 40 minutes until Flight FR2626 had to land in Toulouse, and 12 police officers took him away in custody. Video of the attack showed the man shouting and swearing at the police, before assaulting another traveller as he was being escorted off the flight. After he left the plane, his partner started harassing another traveller, hitting him and calling him a "paedo". In another video, police were filmed physically restraining the woman, before removing her from the plane. The flight spent just over an hour and a half on the tarmac at the Toulouse-Blagnac Airport before continuing its journey to Ibiza. Just last week Ryanair chief executive Michael O’Leary called for flyers to be limited to two drinks at airports to crack down on disorderly behaviour on flights. “We don’t want to begrudge people having a drink," he said. “But we don’t allow people to drink-drive, yet we keep putting them up in aircraft at 33,000ft. “In the old days, people who drank too much would eventually fall over or fall asleep. But now those passengers are also on tablets and powder. “It’s the mix. You get much more aggressive behaviour that becomes very difficult to manage.” The airline has started carrying out hand luggage checks to stop passengers on flights to Ibiza and the Greek islands from smuggling duty-free alcohol on-board. A Ryanair spokesperson has apologised for the incident saying: “This flight from Manchester to Ibiza diverted to Toulouse after a small group of passengers became disruptive in-flight." “The crew called ahead for police assistance, who met the aircraft upon landing at Toulouse and offloaded two passengers before this flight continued to Ibiza. “We sincerely apologise to passengers for any inconvenience caused as a result of these unruly passengers’ behaviour, which was beyond Ryanair’s control. This is now a matter for local police.” Image: news.com.au

Travel Trouble

New details and pics emerge after baby scalded by stranger in Brisbane park

New photos and details have emerged of the nine-month-old baby who was scalded by a stranger in a park in Brisbane. Police have alleged that a man, between 30 and 40 years old, tipped hot coffee over a baby in Hanlon Park on Wednesday before <a href="https://oversixty.com.au/finance/legal/manhunt-after-stranger-pours-scalding-hot-coffee-on-baby-in-public-park" target="_blank" rel="noopener">fleeing the scene</a>. On Thursday morning, police released new images of a man they wish to speak to in relation to the alleged assault. Police said the man was of an average build and with tanned skin and was wearing a black hat, glasses, a checkered button-up shirt and shorts at the time of the attack. The plea from police comes after an image of the baby in hospital was released, with the nine-month-old completely wrapped in bandages. After the incident, the baby was rushed to Queensland Children's Hospital and has since undergone surgery for burns to his face and chest, reportedly suffering serious burns to 60 per cent of his body including his face, neck, chest and arms. A friend of the baby's mother, Zara Mazza, shared an update with The Project on Wednesday night, recalling how she was sitting down with her own son and looked up to see a man standing above her friend’s nine-month-old baby. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C_Nruwavg67/?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/C_Nruwavg67/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a> </div> </blockquote> “This man was standing above him, behind him, and poured a Thermos of hot coffee over him. He just started screaming,” she told the program. Ms Mazza said she tried to chase the man but he was “very fast”, and she tripped while attempting to keep up. “Essentially all I could hear was his mum screaming that it’s hot. ‘It’s hot, it’s hot coffee’, so I ran back and as I ran back picked up my water bottle and dumped it over him,” she said. “I removed him from his mum and we laid him down on the picnic rug and we peeled his clothes away, which revealed the peeling of his skin, his skin had started to blister.” Bystanders reportedly came over with filled water bottles to pour over the baby, before a nurse in training offered up a shower at her nearby apartment so water could constantly be running on him. “Very grateful. The ambulance came really quickly, I think it was within five minutes. Police, too,” Ms Mazza said. “It was chaotic. It happened really quickly.” The baby’s mother is reportedly “really traumatised” after the incident, as Ms Mazza said, “She’s got a lot of anxiety right now. She’s not been able to sleep very well, if at all. So definitely struggling.” “Bub is in a stable condition … they say that he’ll need regular dressing changes under anaesthetic over the next weeks. They don’t know how long, but, yeah. It’s gonna take a while.” Image credits: 7News / Queensland Police

Caring

John Boland’s battle against prostate cancer and the urgent need for reform

John Boland, a 74-year-old retired Navy Reserve Lieutenant Commander, found himself at a crossroads – a place where hope and despair often meet in the lives of those battling life-threatening illnesses like prostate cancer. Diagnosed five years ago, John’s journey has been a relentless fight against a disease that, despite medical advancements, still claims the lives of 10 men in Australia every day. After undergoing surgery and 37 rounds of radiation therapy, John’s battle was far from over. His PSA (Prostate-Specific Antigen) levels, an indicator of prostate cancer activity, were not dropping sufficiently, signalling that the fight was only getting tougher. It was then that John was introduced to a groundbreaking treatment: Lutetium-177 PSMA therapy (LuPSMA), a targeted radionuclide therapy with pinpoint accuracy to attack cancer cells. This innovative treatment offered a glimmer of hope, a chance to strike at the heart of the disease that had disrupted his life. But there was a catch – the cost. Each round of LuPSMA treatment costs $10,000, and while some patients may require up to eight rounds, John’s doctors recommended two based on his response. Even so, the financial burden was immense, forcing John to dip into his superannuation, ultimately spending $60,000 on the treatment that was not covered by insurance. Despite the financial strain, the results were nothing short of miraculous. After just the first round, John’s PSA levels dropped by a staggering 95%. After the second, they fell to nearly zero. The treatment had not only attacked the cancer but had also restored his quality of life, allowing him to once again enjoy the simple pleasures – time with family, daily activities and even golf. It was a victory that brought renewed hope and confidence for the future, a victory that made the $60,000 investment worth every cent. “My case was remarkably successful after the second treatment, which are eight weeks apart, after the scan had no cancer, and my PSA was effective to zero. So it was a reliable result for me and a huge boost, but unfortunately, they're $10,000 a time, and you can require up to eight treatments,” says John. “Fortunately we were able to fund it from our superannuation pension account, the $20,000, but I imagine that a lot of people, they can’t find that $20,000.” But John’s story, while inspiring, also highlights a grim reality: many Australians are not as fortunate. The LuPSMA treatment that worked so well for John remains out of reach for many others due to its prohibitive cost. And this isn’t just an isolated issue; it’s a systemic problem affecting thousands of men across the country. A new report, the <a href="https://www.pcfa.org.au/media/nbennwom/aus-np-1123-80001-amgen-access-gap-report_april-2024-data-final-approved.pdf" target="_blank" rel="noopener">Australian Patient Access Gap Report</a>, has shed light on the alarming delay in the public availability of new medicines in Australia. The report reveals that Australians with life-threatening illnesses are waiting an average of 591 days – more than 18 months – for access to new, potentially life-saving medicines. For some, the wait can be as long as three years. These delays are not just statistics; they represent real people, real lives hanging in the balance. The Prostate Cancer Foundation of Australia (PCFA), the country’s leading organisation in the fight against prostate cancer, is calling for urgent reform. They argue that the current system, which often requires multiple rounds of review before new treatments are approved for public use, is failing Australians. PCFA CEO Anne Savage points out that while 10 men die from prostate cancer every day, the approval process for new treatments drags on, leaving patients like John Boland to fend for themselves – often at great financial and emotional cost. “In almost every instance, Australians are being denied access to new medicines that can extend and save their lives, simply because our approval systems have not kept up with the pace of change,” she says. “In relation to prostate cancer, applications typically undergo two or three rounds of review before achieving a positive recommendation, while 10 men die a day from the disease. It’s simply not good enough.” John’s story serves as a strong call to action. His successful treatment with LuPSMA is a testament to the power of modern medicine, but it also underscores the urgent need for change. No one should have to choose between their life savings and their life; it’s time for Australia to modernise its pharmaceutical benefits scheme, ensuring that all Australians, regardless of their financial situation, have access to the treatments they need. As we move forward, the PCFA is urging Australians to take part in initiatives like <a href="https://www.thelongrun.org.au/" target="_blank" rel="noopener">The Long Run</a> during Prostate Cancer Awareness Month in September, raising awareness and funds to support the fight against this devastating disease. For John Boland, and for the thousands of others who share his struggle, we must work towards a future where no one is left behind in the fight against cancer. Image: Courtesy of John Boland.

Caring

Chilling videos emerge from mum accused of murdering schoolgirl

Warning: This article contains distressing content that some readers may find upsetting. Chilling videos have emerged from the mother accused of killing her 10-year-old daughter, Sophie Wang. Yingying Xu, who was named in court on Wednesday, posted a series of videos to TikTok before she allegedly murdered her daughter. “I want to let everyone know that the situation you see is fake. Fake god, the antichrist is a fake god,” Xu, 46, said while speaking in Mandarin. “I have felt the devil Satan saying to me how he has been influencing me, disturbing my soul. “Eventually possessing me 100 per cent. Possessing my soul to do evil things.” The videos were posted earlier in the day on Tuesday, and the little girl's body was found by her father, Yun Wang, later that evening. Sophie is alleged to have suffered several<a href="https://www.oversixty.com.au/finance/legal/schoolgirl-identified-after-allegedly-being-murdered-by-mother" target="_blank" rel="noopener"> injuries</a>, and was allegedly killed by having her throat slashed in her Carrara home. Her father, who is an associate professor at Griffith University, could reportedly be heard screaming by neighbours after discovering her body. Paramedics attempted to revive the girl, but she was declared dead at the “incredibly confronting” scene. Xu was arrested in a nearby street hours later and charged with murder. “This is absolutely sickening, gut-wrenching, awful,” Queensland Premier Steven Miles said. “I just can’t imagine how that father felt and hearing the reports of him screaming - nobody would ever wish that on him.” Her mother was formally remanded in custody until she appears in court again on November 29. The family's home remains a crime scene, but flowers have been left outside the home, as the local community try to come to terms with the horrific news. Police are continuing to investigate the motive of the alleged murder, and are taking into account Xu's social media activity. “Police are continuing to investigate the motive of the alleged homicide, including social media activity of the accused,” police told 7News. Sophie has been remembered as a caring, kind and high-achieving Year 5 student, with the local community honouring her memory in an hour-long vigil on Friday at The Boulevard in Emerald Lakes. Sophie’s school, Emmanuel College, is also offering counselling to students, staff and parents. “Our prayers are with the family, friends, first responders and all affected by the loss of this beloved child in her home,” the school said in a statement. Images: Emmanuel College /TikTok

Legal

WHO declares new global health emergency

The World Health Organisation (WHO) has declared the spread of mpox a global public health emergency, after sounding the alarm following the dramatic rise of cases in Africa. Concerned about the increase in infections in the Democratic Republic of Congo, which has subsequently spread to at least 10 neighbouring countries, the WHO quickly convened a meeting of experts to study the outbreak. “Today, the emergency committee met and advised me that in its view, the situation constitutes a public health emergency of international concern. I have accepted that advice,” WHO chief Tedros Adhanom Ghebreyesus told a <a href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern" target="_self">press conference</a> on Wednesday. A PHEIC is the highest level of alarm under the International Health Regulations, which are legally binding in 196 countries. “The detection and rapid spread of a new clade of mpox in eastern DRC, its detection in neighbouring countries that had not previously reported mpox, and the potential for further spread within Africa and beyond is very worrying,” said Dr Tedros. “It’s clear that a coordinated international response is essential to stop these outbreaks and save lives. This is something that should concern us all.” Since January 2022, 38,465 cases and 1456 deaths have been reported in Africa due to mpox, with cases surging 160 per cent and deaths 19 per cent in recent months compared to 2023. Dr Tedros said the more than 14,000 cases and 524 deaths reported so far this year in DR Congo had already exceeded last year’s total. “The emergence last year and rapid spread of clade 1b in DRC, which appears to be spreading mainly through sexual networks, and its detection in countries neighbouring DRC is especially concerning,” he said, citing Burundi, Kenya, Rwanda and Uganda. Maria Van Kerkhove, the WHO’s epidemic and pandemic preparedness and prevention director, insisted, “We can stop transmission of mpox with a concerted effort.” However, she said experts needed a “much better understanding of the epidemiology” and the transmission patterns of the virus, which would help make sure the limited number of vaccines could be deployed to best effect. Two vaccines for mpox are recommended by WHO immunisation experts. Formerly called monkeypox, the virus was first discovered in humans in 1970 in what is now the DRC. Mpox is an infectious disease caused by a virus transmitted to humans by infected animals but can also be passed from human to human through close physical contact. The disease causes fever, muscular aches and large boil-like skin lesions. A PHEIC has only been declared seven times previously since 2009, over H1N1 swine flu, poliovirus, Ebola, Zika virus, Ebola again, Covid-19 and mpox. Image credits: Manuel Romano/NurPhoto/Shutterstock Editorial

Caring

Tragic new details emerge after three-time mayor found dead at just 45

Three-time Maribyrnong mayor Sarah Carter was found dead at her home on Tuesday, Now, her devastated mother Gaynor Morris has broken her silence and revealed that Carter was due to fly to Europe with her partner, Nikki Roy, but never made it to the airport. “She hadn’t made it to the airport to meet him for their holiday together,” Morris told the Herald Sun. “He (Roy) went and checked on her and he literally found her dead. “No-one knows anything different unfortunately.” She was treated by emergency services at her home in Maribyrnong, Victoria at 3:45pm on Tuesday but unfortunately could not be saved. Her cause of death is not yet known but Victoria police has confirmed that her death is not being treated as suspicious. Carter's mother said that Roy was “absolutely heartbroken”. “I think she sets a great example for everybody and there’s a lot of people that will miss her. I am very proud,” she added. Carter was a councillor on Maribyrnong Council, in Melbourne’s west, which covers suburbs including Footscray, Yarraville and Tottenham as well as Maribyrnong. She was first elected to office in 2008 and was the first woman who served as mayor of Maribyrnong three times. Many believed that her political career could go beyond council boundaries. “Children’s champion, community leader, Labor through and through. The best of us,” Former Labor leader and current minister Bill Shorten said in a tribute to Carter. “My thoughts are with her family and loved ones in this difficult time.” Labor MP Tim Watts added that her “energy was limitless”. “She had an impact on so many people’s lives. “She gave so much of herself and wanted to give so much more. She’s been taken from us far too soon. “It’s a terrible loss to our community and our country”. Images: Instagram

Caring

What happens in my brain when I get a migraine? And what medications can I use to treat it?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/mark-slee-1343982">Mark Slee</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> Migraine is many things, but one thing it’s not is “just a headache”. “Migraine” <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029040/">comes from</a> the Greek word “hemicrania”, referring to the common experience of migraine being predominantly one-sided. Some people experience an “aura” preceding the headache phase – usually a visual or sensory experience that evolves over five to 60 minutes. Auras can also involve other domains such as language, smell and limb function. Migraine is a disease with a <a href="https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(18)30322-3/fulltext">huge personal and societal impact</a>. Most people cannot function at their usual level during a migraine, and anticipation of the next attack can affect productivity, relationships and a person’s mental health. <h2>What’s happening in my brain?</h2> The biological basis of migraine is complex, and varies according to the phase of the migraine. Put simply: The earliest phase is called the prodrome. This is associated with activation of a part of the brain called the hypothalamus which is thought to contribute to many symptoms such as nausea, changes in appetite and blurred vision. <figure class="align-center "><img src="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=485&fit=crop&dpr=1 600w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=485&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=485&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=610&fit=crop&dpr=1 754w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=610&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=610&fit=crop&dpr=3 2262w" alt="" /><figcaption>The hypothalamus is shown here in red. <a class="source" href="https://www.shutterstock.com/image-vector/brain-cross-section-showing-basal-ganglia-329843930">Blamb/Shutterstock</a></figcaption></figure> Next is the aura phase, when a wave of neurochemical changes occur across the surface of the brain (the cortex) at a rate of 3–4 millimetres per minute. This explains how usually a person’s aura progresses over time. People often experience sensory disturbances such as flashes of light or tingling in their face or hands. In the headache phase, the trigeminal nerve system is activated. This gives sensation to one side of the face, head and upper neck, leading to release of proteins such as CGRP (calcitonin gene-related peptide). This causes inflammation and dilation of blood vessels, which is the basis for the severe throbbing pain associated with the headache. Finally, the postdromal phase occurs after the headache resolves and commonly involves changes in mood and energy. <h2>What can you do about the acute attack?</h2> A useful way to conceive of <a href="https://www.migraine.org.au/factsheets">migraine treatment</a> is to compare putting out campfires with bushfires. Medications are much more successful when applied at the earliest opportunity (the campfire). When the attack is fully evolved (into a bushfire), medications have a much more modest effect. <iframe id="Pj1sC" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/Pj1sC/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> Aspirin For people with mild migraine, non-specific anti-inflammatory medications such as high-dose aspirin, or standard dose non-steroidal medications (NSAIDS) can be very helpful. Their effectiveness is often enhanced with the use of an anti-nausea medication. Triptans For moderate to severe attacks, the mainstay of treatment is a class of medications called “<a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1678146819/Factsheet_15_2023.pdf?1678146819">triptans</a>”. These act by reducing blood vessel dilation and reducing the release of inflammatory chemicals. Triptans vary by their route of administration (tablets, wafers, injections, nasal sprays) and by their time to onset and duration of action. The choice of a triptan depends on many factors including whether nausea and vomiting is prominent (consider a dissolving wafer or an injection) or patient tolerability (consider choosing one with a slower onset and offset of action). As triptans constrict blood vessels, they should be used with caution (or not used) in patients with known heart disease or previous stroke. Gepants Some medications that block or modulate the release of CGRP, which are used for migraine prevention (which we’ll discuss in more detail below), also have evidence of benefit in treating the acute attack. This class of medication is known as the “gepants”. Gepants come in the form of injectable proteins (monoclonal antibodies, used for migraine prevention) or as oral medication (for example, rimegepant) for the acute attack when a person has not responded adequately to previous trials of several triptans or is intolerant of them. They do not cause blood vessel constriction and can be used in patients with heart disease or previous stroke. Ditans Another class of medication, the “ditans” (for example, lasmiditan) have been approved overseas for the acute treatment of migraine. Ditans work through changing a form of serotonin receptor involved in the brain chemical changes associated with the acute attack. However, neither the gepants nor the ditans are available through the Pharmaceutical Benefits Scheme (PBS) for the acute attack, so users must pay out-of-pocket, at a <a href="https://www.migraine.org.au/cgrp#:%7E:text=While%20the%20price%20of%20Nurtec,%2D%24300%20per%208%20wafers.">cost</a> of approximately A$300 for eight wafers. <h2>What about preventing migraines?</h2> The first step is to see if <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043428/Factsheet_5_2023.pdf?1677043428">lifestyle changes</a> can reduce migraine frequency. This can include improving sleep habits, routine meal schedules, regular exercise, limiting caffeine intake and avoiding triggers such as stress or alcohol. Despite these efforts, many people continue to have frequent migraines that can’t be managed by acute therapies alone. The choice of when to start preventive treatment varies for each person and how inclined they are to taking regular medication. Those who suffer disabling symptoms or experience more than a few migraines a month <a href="https://www.nejm.org/doi/full/10.1056/NEJMra1915327">benefit the most</a> from starting preventives. Almost all migraine <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">preventives</a> have existing roles in treating other medical conditions, and the physician would commonly recommend drugs that can also help manage any pre-existing conditions. First-line preventives include: <ul> <li>tablets that lower blood pressure (candesartan, metoprolol, propranolol)</li> <li>antidepressants (amitriptyline, venlafaxine)</li> <li>anticonvulsants (sodium valproate, topiramate).</li> </ul> Some people have none of these other conditions and can safely start medications for migraine prophylaxis alone. For all migraine preventives, a key principle is starting at a low dose and increasing gradually. This approach makes them more tolerable and it’s often several weeks or months until an effective dose (usually 2- to 3-times the starting dose) is reached. It is rare for noticeable benefits to be seen immediately, but with time these drugs <a href="https://pubmed.ncbi.nlm.nih.gov/26252585/">typically reduce</a> migraine frequency by 50% or more. <hr /> <iframe id="jxajY" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/jxajY/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> <hr /> <h2>‘Nothing works for me!’</h2> In people who didn’t see any effect of (or couldn’t tolerate) first-line preventives, new medications have been available on the PBS since 2020. These medications <a href="https://pubmed.ncbi.nlm.nih.gov/8388188/">block</a> the action of CGRP. The most common PBS-listed <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">anti-CGRP medications</a> are injectable proteins called monoclonal antibodies (for example, galcanezumab and fremanezumab), and are self-administered by monthly injections. These drugs have quickly become a game-changer for those with intractable migraines. The convenience of these injectables contrast with botulinum toxin injections (also <a href="https://www.migraine.org.au/botox">effective</a> and PBS-listed for chronic migraine) which must be administered by a trained specialist. Up to half of adolescents and one-third of young adults are <a href="https://deepblue.lib.umich.edu/bitstream/handle/2027.42/147205/jan13818.pdf">needle-phobic</a>. If this includes you, tablet-form CGRP antagonists for migraine prevention are hopefully not far away. Data over the past five years <a href="https://pubmed.ncbi.nlm.nih.gov/36718044/">suggest</a> anti-CGRP medications are safe, effective and at least as well tolerated as traditional preventives. Nonetheless, these are used only after a number of cheaper and more readily available <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043425/Factsheet_2_2023.pdf?1677043425">first-line treatments</a> (all which have decades of safety data) have failed, and this also a criterion for their use under the PBS.<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/227559/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/mark-slee-1343982">Mark Slee</a>, Associate Professor, Clinical Academic Neurologist, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, Lecturer, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders 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/what-happens-in-my-brain-when-i-get-a-migraine-and-what-medications-can-i-use-to-treat-it-227559">original article</a>. </div>

Body

Wild conspiracy theory emerges over leaked horse cruelty video

The equestrian world continues to reel after <a href="https://www.oversixty.com.au/finance/legal/leaked-footage-shows-olympic-star-s-horrific-animal-abuse" target="_blank" rel="noopener">a controversial video surfaced</a> showing British dressage star Charlotte Dujardin whipping a horse 24 times, described by critics as "like a circus elephant". However, the timing of the video's release, just days before the Olympics, has led to allegations of sabotage from within the British dressage community. In a statement to members, British Dressage Chief Jason Brautigam condemned Dujardin's actions as "completely unacceptable" but expressed skepticism about the motives behind the leak. "I do find claims that this was done to 'save dressage' somewhat disingenuous, given that it was timed to cause maximum damage to our sport," Brautigam wrote. He urged members to be kind to Dujardin, acknowledging the human element in the controversy. Madeline Hall, a former dressage correspondent for Horse & Hound magazine, echoed Brautigam's sentiments. Speaking to The Daily Mail, Hall remarked, "The timing of this video days before the Olympics smells of sabotage. To me, it is suspect." The video's release has led to significant fallout for Dujardin, including the loss of sponsorships and a tarnished reputation, jeopardising her chance to become Britain's most decorated female Olympian. The identity of the individual who leaked the video remains unknown, though the complainant's lawyer, Stephan Wensing from the Netherlands, has refused to comment on the matter. Wensing's involvement has fuelled speculation, given the historic rivalry between the British and Dutch equestrian teams. The Dutch team, which Dujardin defeated at the Tokyo Olympics in 2021, have quickly distanced themselves from the incident. A spokesperson for the Netherlands team stated, "We regret the expulsion of our fellow athlete but also condemn the training method used by Dujardin in the video. This has no place in our equestrian sports, where the welfare of the horse comes first." As the dressage community grapples with the scandal, Brautigam reminded people of the need for a compassionate response. "Charlotte Dujardin has done the right thing by <a href="https://www.oversixty.com.au/travel/travel-trouble/no-excuse-olympic-legend-quits-days-before-paris-games-commence" target="_blank" rel="noopener">accepting responsibility and expressing remorse</a>," he said. "While we do not condone her behaviour, we must remember that there is also a human element to this – and, regardless of what has happened, she still deserves our understanding." Dujardin, who was a favourite for a Damehood if she secured a medal in Paris, now faces an uncertain future in her sport. The dressage community continues to debate the ethical and competitive implications of the video, with calls for increased focus on the welfare of horses and the integrity of the sport. Images: Instagram / Good Morning Britain

Legal

Rare footage captures secluded tribe emerging from the Amazon

Remarkable new footage has captured one of the world's most secluded tribes, who have been known for firing arrows at outsiders who get too close, as they emerged from the Amazon rainforest in Peru. The tribe were spotted near several controversial logging sites that have been making clearings throughout the forest, decimating their home lands. According to the Indigenous rights advocacy group Survival International, members of the Mashco Piro tribe, believed to be the biggest group of indigenous people living with no outside contact, were spotted near the Las Piedras River a few kilometres from tree-cutting projects in Southeastern section of the country. “This is irrefutable evidence that many Mashco Piro live in this area, which the government has not only failed to protect, but actually sold off to logging companies,” local Indigenous organisation Fenamad’s President Alfredo Vargas Pio said. Near the remote villages of Monte Salvado and Puerto Nuevo, the tribe emerged in search of food, with President Pio voicing concerns that violent fights could break out between loggers and the Indigenous people. He also added that the outside loggers could potentially bring new diseases to the area, which could wipe out the tribe. According to Survival International, Indigenous advocates have urged authorities to pull the certifications from the logging companies to protect the tribes. Logging company Canales Tahuamanu has been granted permission to log on the jungle land since 2002 with its invasive activity now sprawled out over 193 square miles, <a href="https://www.washingtonpost.com/world/2024/07/17/mashco-piro-tribe-photos-peru/" target="_blank" rel="noopener">The Washington Post</a> reported. The publication also reported that the firm also has a history of clashing with local tribes, although in the past, the firm said its workers have never reported seeing any Mashco Piro people and has complied with laws in Peru, where it is illegal to contact the tribe. Despite the Mashco Piro tribe’s seclusion, they have had limited contact with outsiders, with most of their rare contact resulting in violence, as they have been known for fire arrows at tourists boats and park rangers as warnings not to approach the area. Image credits: Survival International <div class="media image side-by-side" style="caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; box-sizing: inherit; margin-bottom: 24px; align-items: center; display: flex; flex-direction: column; width: 705.202209px; max-width: 100%;"> </div>

International Travel

Planning a country escape these school holidays? 4 ways to avoid clogging up the emergency department

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/katherine-riley-1499452">Katherine Riley</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/rebekkah-middleton-314433">Rebekkah Middleton</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> Winter school holidays are either here or coming up, depending on where in Australia you live. Maybe you’re planning a <a href="https://www.tra.gov.au/en/domestic/domestic-tourism-results">rural escape</a>. Rural tourism is crucial for job growth and sustainability of small rural towns. However, for rural emergency departments, <a href="https://www.abc.net.au/listen/programs/am/holiday-medico-shortages-in-rural-and-remote-australia/103266540">school holidays</a> are often the busiest times. No-one plans a trip to the emergency department on holidays. But if you need health care, there are often other ways of accessing it than turning up at a rural hospital. Here’s why it’s so important to leave rural emergency departments for life-threatening illness or injuries, and some other options for seeking care. <h2>We’re short of doctors and nurses</h2> The Australian Institute of Health and Welfare <a href="https://www.aihw.gov.au/reports/rural-remote-australians/rural-and-remote-health">reports</a> a significant shortfall of nurses and specialist doctors in rural towns compared with staffing levels in big cities. This means many small rural emergency departments only have nurses on staff, with doctors on call or consulted remotely from a larger hospital. In a <a href="https://www.sciencedirect.com/science/article/pii/S1755599X2300143X">study</a> published earlier this year, my colleagues and I discovered this dynamic was especially challenging for rural emergency nurses when critically ill patients presented. One nurse told us: "We need more staff. I mean, I look at these emergency TV shows, and you see them in Kings Cross at the big hospitals there or overseas, they get a phone call […] there’s a resus coming in. Everyone’s standing around the bed with all their signs on, the airway/circulation/team leader […] and here, we have two people. It’s just so different. It’s just a false sense of reality. It’s ridiculous." So emergency departments should be used for <a href="https://www.health.nsw.gov.au/Hospitals/Going_To_hospital/Publications/keep-ed-emergencies.pdf">emergencies only</a>. These include: <ul> <li>sudden collapse</li> <li>chest pain or pressure lasting more than ten minutes</li> <li>breathing difficulty</li> <li>serious mental health condition</li> <li>uncontrollable bleeding.</li> </ul> When emergency departments are used responsibly, this can reduce the pressure on staff. It ensures the most seriously ill receive the care they need promptly. <h2>What are my alternatives?</h2> Here are four ways you and your family can be better prepared for your rural holiday and avoid an unnecessary visit to the emergency department. 1. Pack your scripts and medical history summary Bring essential scripts and medications with you. This reduces the need to visit the local emergency department and ensures you have what you need during your stay. Do you have a chronic condition or have had a recent illness or surgery? Make sure you speak to your GP before you go. They can provide a medical health summary that includes your recent treatments and medications. Alternatively, if you have access to <a href="https://www.digitalhealth.gov.au/initiatives-and-programs/my-health-record">My Health Record</a>, ask your GP to prepare a shared health summary and upload it to your record. If you need medical care, this summary will assist in a timely assessment. 2. Call Healthdirect, NURSE-ON-CALL or 13HEALTH depending on where you are <a href="https://www.healthdirect.gov.au/how-healthdirect-can-help-you">Healthdirect</a> is a 24-hour telephone health advice line (known as NURSE-ON-CALL in Victoria or 13HEALTH in Queensland). By calling the relevant number, you will be connected to a registered nurse who will ask a series of questions and provide evidence-based advice and guidance. The Healthdirect website also offers an interactive <a href="https://www.healthdirect.gov.au/symptom-checker">symptom checker</a> to advise whether you should see a GP, go to an emergency department, or manage your symptoms at home (or in this case, on holidays): <ul> <li> <a href="https://www.healthdirect.gov.au">Healthdirect</a> - 1800 022 222 </li> <li> <a href="https://www.healthdirect.gov.au/nurse-on-call">NURSE-ON-CALL</a> (Vic) - 1300 60 60 24 </li> <li> <a href="https://www.qld.gov.au/health/contacts/advice/13health">13HEALTH</a> (Qld) - 13 43 25 84. </li> </ul> 3. Need a GP? How about GP telehealth services? For minor health concerns or non-urgent issues, <a href="https://www.smh.com.au/national/nsw/how-emily-took-advantage-of-one-of-the-few-good-things-to-come-out-of-covid-20240507-p5fpg3.html">GP telehealth services</a> are a remote-access option that can be used when away from home. Before you go away, check with your GP to see if they offer a <a href="https://www.health.gov.au/topics/health-technologies-and-digital-health/about/telehealth">telehealth service</a>. 4. Go to an Urgent Care Clinic The Australian government has funded the opening of <a href="https://www.health.gov.au/find-a-medicare-ucc/about">Urgent Care Clinics</a> across the country. These clinics provide medical assessment and care for urgent illnesses or injuries. They have been created as a solution to divert people away from busy emergency departments. But these Urgent Care Clinics are not suitable for people experiencing emergency or life-threatening conditions. Urgent Care Clinics are ideal for illnesses and injuries that would require urgent treatment such as gastroenteritis, minor infections, lacerations and back pain. Check <a href="https://www.health.gov.au/find-a-medicare-ucc">here</a> to find your closest clinic. <hr /> Please keep the emergency department for life-threatening illnesses or injuries, and if needed, call 000 for an ambulance immediately.<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/232262/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/katherine-riley-1499452">Katherine Riley</a>, Lecturer, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/rebekkah-middleton-314433">Rebekkah Middleton</a>, Associate Professor, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</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/planning-a-country-escape-these-school-holidays-4-ways-to-avoid-clogging-up-the-emergency-department-232262">original article</a>. </div>

Domestic Travel

Taking too many medications can pose health risks. Here’s how to avoid them

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> When we see an older family member handling a bulky box of medications sorted by day of the week, we might stop and wonder, is it too much? How do all those pills interact? The fact is, as we get older we are more likely to develop different chronic illnesses that require us to take several different medications. This is known as polypharmacy. The concept applies to people taking five or more medications, but there are all sorts of <a href="https://doi.org/10.3390/pharmacy7030126">definitions with different thresholds</a> (for example, four, 10 or 15 medicines). I’m a pharmacist and pharmacoepidemiologist interested in polypharmacy and its impact on the population. The research I carry out with my team at the Faculty of Pharmacy at Université Laval focuses on the appropriate use of medication by older family members. We have published this <a href="https://doi.org/10.1093/ageing/afac244">study</a> on the perceptions of older adults, family carers and clinicians on the use of medication among persons over 65. <h2>Polypharmacy among older adults</h2> Polypharmacy is very common among older adults. In 2021, a quarter of persons over 65 in Canada were prescribed <a href="https://www.cihi.ca/en/drug-use-among-seniors-in-canada">more than ten different classes of medication</a>. In Québec, persons over 65 used an average of <a href="https://www.inspq.qc.ca/sites/default/files/publications/2679_portrait_polypharmacie_aines_quebecois.pdf">8.7 different drugs in 2016</a>, the latest year available for statistics. Is it a good idea to take so many drugs? According to <a href="https://journals.sagepub.com/doi/10.1177/07334648211069553">our study</a>, the vast majority of seniors and family caregivers would be willing to stop taking one or more medications if the doctor said it was possible, even though most are satisfied with their treatments, <a href="https://doi.org/10.1093/ageing/afac244">have confidence in their doctors</a> and feel that their doctors are taking care of them to the best of their ability. In the majority of cases, medicine prescribers are helping the person they are treating. Medications have a positive impact on health and are essential in many cases. But while the treatment of individual illnesses is often adequate, the whole package can sometimes become problematic. <h2>The risks of polypharmacy: 5 points to consider</h2> When we evaluate cases of polypharmacy, we find that the quality of treatment is often compromised when many medications are being taken. <ol> <li> Drug interactions: polypharmacy increases the risk of drugs interacting, which can lead to undesirable effects or reduce the effectiveness of treatments. </li> <li> A drug that has a positive effect on one illness may have a negative effect on another: what should you do if someone has both illnesses? </li> <li> The greater the number of drugs taken, the greater the risk of undesirable effects: for adults over 65, for example, there is an increased risk of confusion or falls, which have significant consequences. </li> <li> The more medications a person takes, the more likely they are to take a <a href="https://www.doi.org/10.1093/fampra/cmz060">potentially inappropriate medication</a>. For seniors, these drugs generally carry more risks than benefits. For example, benzodiazepines, medicine for anxiety or sleep, are the <a href="https://www.inspq.qc.ca/sites/default/files/publications/2575_utilisation_medicaments_potentiellement_inappropries_aines.pdf">most frequently used class</a> of medications. We want to reduce their use as much as possible <a href="https://www.canada.ca/en/health-canada/services/substance-use/controlled-illegal-drugs/benzodiazepines.html">to avoid negative impacts</a> such as confusion and increased risk of falls and car accidents, not to mention the risk of dependence and death. </li> <li> Finally, polypharmacy is associated with various adverse health effects, such as an <a href="https://www.doi.org/10.1007/s41999-021-00479-3">increase in frailty, hospital admissions and emergency room visits</a>. However, studies conducted to date have not always succeeded in isolating the effects specific to polypharmacy. As polypharmacy is more common among people with multiple illnesses, these illnesses may also contribute to the observed risks. </li> </ol> Polypharmacy is also a combination of medicines. There are almost as many as there are people. The risks of these different combinations can vary. For example, the risks associated with a combination of five potentially inappropriate drugs would certainly be different from those associated with blood pressure medication and vitamin supplements. Polypharmacy is therefore complex. <a href="https://doi.org/10.1186/s12911-021-01583-x">Our studies attempt to use artificial intelligence</a> to manage this complexity and identify combinations associated with negative impacts. There is still a lot to learn about polypharmacy and its impact on health. <h2>3 tips to avoid the risks associated with polypharmacy</h2> What can we do as a patient, or as a caregiver? <ol> <li> Ask questions: when you or someone close to you is prescribed a new treatment, be curious. What are the benefits of the medication? What are the possible side effects? Does this fit in with my treatment goals and values? How long should this treatment last? Are there any circumstances in which discontinuing it should be considered ? </li> <li> Keep your medicines up to date: make sure they are all still useful. Are there still any benefits to taking them? Are there any side effects? Are there any drug interactions? Would another treatment be better? Should the dose be reduced? </li> <li> Think about de-prescribing: this is an increasingly common clinical practice that involves stopping or reducing the dose of an inappropriate drug after consulting a health-care professional. It is a shared decision-making process that involves the patient, their family and health-care professionals. The <a href="https://www.deprescribingnetwork.ca">Canadian Medication Appropriateness and Deprescribing Network</a> is a world leader in this practice. It has compiled a number of tools for patients and clinicians. You can find them on their website and subscribe to the newsletter. </li> </ol> <h2>Benefits should outweigh the risks</h2> Medications are very useful for staying healthy. It’s not uncommon for us to have to take more medications as we age, but this shouldn’t be seen as a foregone conclusion. Every medication we take must have direct or future benefits that outweigh the risks associated with them. As with many other issues, when it comes to polypharmacy, the saying, “everything in moderation,” frequently applies.<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/230612/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, Professor in Pharmacy, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</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/taking-too-many-medications-can-pose-health-risks-heres-how-to-avoid-them-230612">original article</a>. </div>

Body

"Doesn't add up": New theory emerges in Perth brothers' deaths

A private security worker in Mexico has cast doubt on the police narrative on how two brothers from Perth were found dead. According to Mexico police, Callum and Jake Robinson were caught up in a robbery gone wrong while they were on a surfing holiday in Baja California with an American friend. “They approached, with the intention of stealing their vehicle and taking the tyres and other parts to put them on the older-model pick-up they were driving,” Baja California Attorney-General Maria Elena Andrade Ramírez said. “When they (the victims) came up and caught them, surely, they resisted." “And these people, the assailants, took out a gun and first they killed the one who was putting up resistance against the vehicle theft, and then others came along and joined the fight to defend their property and their companion who had been attacked, and they killed them too.” However, those with intimate knowledge of the turbulent area have offered another theory about how the Robinson brothers were killed, suggesting a much more sinister alternative. A source who does private security work in Mexico told the New York Post that the police narrative "doesn't add up", and it is far more likely that the trio were killed by cartel members who were in search of a rival gang. “Basically, the reasoning of them being carjack victims gone wrong makes very little sense,” the source said. The source described the situation as “deeply disturbing”, while also sharing how Baja California is in the midst of a drug war. “These surfers were well travelled and would most likely know better than to try to fend off a truck jacking. My guess is they were mistakenly identified as a rival criminal organisation and murdered." “That being exposed would create an ongoing investigation that no cartel wants to deal with and would create a devastating impact on tourism in the area, which is popular with surfers and visitors from the US," the source explained. Three people have been arrested in connection with the deaths of the three men, although no charges have yet been laid. Travel website SmartTraveller notes Mexico as a dangerous destination, warning tourists of Baja California in particular, as one of multiple areas most affected by drug-related and gang violence. “Mexico has a high risk of violent crime, including murder, armed robbery, sexual assault and kidnapping. Don’t travel at night outside major cities. Drug-related violence is widespread,” Smartraveller warns. “Kidnapping and extortion are serious risks. Don’t draw attention to your money or business affairs. Only use ATMs in public spaces and during the daytime. Stop at all roadblocks, or you risk getting killed.” According to the New York Post, Baja California is one of Mexico’s most violent states because of organised crime gangs, and their relationships with corrupt police officers. Heritage Foundation Latin America expert Andres Martinez-Fernandez said corruption could easily be at play with the Perth brothers and the true nature of their deaths. “The case is highly unusual, as presented by Mexican police, who say the supposed robbery was done by small-time criminals who ended up destroying the vehicle they were allegedly trying to steal,” he told the Post. “Given the deep and widespread corruption in the Mexican police, it hard to dismiss the possibility of a cover-up, potentially to shift blame away from a powerful drug cartel. This would certainly align with the Mexican government’s efforts to downplay the severity of cartel violence in Mexico,” he added. Just days after they went missing, the bodies of Callum and Jake Robinson, along with Jack Carter Rhoad, were found down a well with fatal gunshot wounds to the head. Image credits: Instagram / 7News <p style="box-sizing: inherit; margin: 0px 0px 24px; padding: 0px; border: 0px; font-stretch: inherit; line-height: inherit; font-family: 'Helvetica Neue', HelveticaNeue, Helvetica, Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; font-size: 18px; vertical-align: baseline;">

Travel Trouble

Tragic new details emerge over Aussie brothers missing in Mexico

Authorities have recovered three bodies in the Baja California region of Mexico, believed to be those of brothers Callum and Jake Robinson and their American friend who went missing while on a surfing trip. The Perth siblings and their American friend Jack Carter Rhoad went missing last week after they failed to show up at their planned accommodations. Mexican Authorities believe that the brothers were attacked in a robbery gone wrong, and fought back, prompting gunfire from the alleged thieves. The three bodies had gunshots to the head, execution-style, and were found 10 metres down a well outside Santo Tomás about 2km away from what is believed to be the men's campsite. While officials are waiting for DNA results, they believe that there is a "very high probability that it is them". "They were in a state of decomposition. That is why we have to run the genetic tests," Baja California Attorney General Maria Elena Andrade Ramírez told 9News. Police have also said that shell casings were found at the scene. <a href="https://www.oversixty.com.au/health/caring/arrests-made-over-aussie-surfers-missing-in-mexico" target="_blank" rel="noopener">Two men and one woman</a> have been arrested in connection with the attempted robbery, after they were found in possession of methamphetamines and one of the missing men's phones. Ramírez also said evidence found along with the abandoned tents was linked to the three people being questioned about the missing foreigners. Local TV network Milenio reported that the suspects appeared to have stolen the surfers’ truck and some of its parts were found in another truck belonging to one of the suspects. "A working team (of investigators) is at the site where they were last seen, where tents and other evidence was found that could be linked to these three people we have under investigation," Ramírez said on Thursday. "There is a lot of important information that we can't make public." A fourth body was also found deeper down the well, but Ramirez confirmed that it had no connection to the investigation. Image: Nine

Caring

Shannon Noll postpones show due to medical emergency

Shannon Noll has been forced to postpone two of his upcoming shows in Victoria due to a medical emergency. The former Australian Idol winner, 48, took to Instagram to announce that he had to undergo an "emergency procedure" although the exact details of the procedure was kept under wraps. "Hi guys, due to unforeseen circumstances I'm afraid I have to postpone this weekend's shows at Thornbury Theatre and West Gippsland Arts Centre," he began on the post shared on Friday. "I'm so sorry to do this but I had to undergo an emergency procedure yesterday that now prevents me from travelling for the next few days. "Huge apologies again everyone but I look forward to seeing you all at the rescheduled shows soon!" he concluded. Fans took to the comments to wish the star a speedy recovery. "Health comes first, wishing you a speedy recovery," one wrote. "Hope you are back to good health quickly Shannon. All the very best," another added. "Health is the absolute priority - we hope that you’re back fit and fighting very soon!" a third commented. "Get well soon Shannon! Take the time you need to recover," added a fourth. It has been 20 years since the singer rose to fame after becoming a runner-up on the first season of Australian Idol. "To still be a professional musician travelling the country and playing music 20 years later after a singing competition, I'm so thankful and blessed," he told 9Honey. "And it's all because of the support the Australian public has given me over the years, during the ups and downs as well." "It's all because of the public. I'm thankful to them and will be forever," he added. Image: Getty

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