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Drunk couple forces emergency landing after mid-air meltdown

<p>A Ryanair flight to Ibiza had to be diverted after a drunk couple allegedly assaulted cabin crew and other passengers. </p> <p>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. </p> <p>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. </p> <p>As they tried to restrain him, the intoxicated man assaulted another passenger and spat at a woman, hurling verbal abuse at her. </p> <p>“He was kicking off with everyone, he was out of control,” the witness said.</p> <p>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***.” </p> <p>The altercation lasted for about 40 minutes until Flight FR2626 had to land in Toulouse, and 12 police officers took him away in custody. </p> <p>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. </p> <p>After he left the plane, his partner started harassing another traveller, hitting him and calling him a "paedo". </p> <p>In another video, police were filmed physically restraining the woman, before removing her from the plane. </p> <p>The flight spent just over an hour and a half on the tarmac at the Toulouse-Blagnac Airport before continuing its journey to Ibiza.</p> <p>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. </p> <p>“We don’t want to begrudge people having a drink," he said. </p> <p>“But we don’t allow people to drink-drive, yet we keep putting them up in aircraft at 33,000ft.</p> <p>“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.</p> <p>“It’s the mix. You get much more aggressive behaviour that becomes very difficult to manage.”</p> <p>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. </p> <p>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." </p> <p>“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.</p> <p>“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.”</p> <p><em>Image: news.com.au</em></p>

Travel Trouble

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

<p>New photos and details have emerged of the nine-month-old baby who was scalded by a stranger in a park in Brisbane.</p> <p>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>. </p> <p>On Thursday morning, police released new images of a man they wish to speak to in relation to the alleged assault.</p> <p>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. </p> <p>The plea from police comes after an image of the baby in hospital was released, with the nine-month-old completely wrapped in bandages. </p> <p>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.</p> <p>A friend of the baby's mother, Zara Mazza, shared an update with <em>The Project</em> 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. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-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></p> </div> </blockquote> <p>“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.</p> <p>Ms Mazza said she tried to chase the man but he was “very fast”, and she tripped while attempting to keep up.</p> <p>“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.</p> <p>“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.”</p> <p>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.</p> <p>“Very grateful. The ambulance came really quickly, I think it was within five minutes. Police, too,” Ms Mazza said.</p> <p>“It was chaotic. It happened really quickly.”</p> <p>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.”</p> <p>“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.”</p> <p><em>Image credits: 7News / Queensland Police</em></p>

Caring

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

<p>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. </p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>“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.”</p> <p>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.</p> <p>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.</p> <p>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. </p> <p>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. </p> <p>“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.”</p> <p>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.</p> <p>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. </p> <p>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.</p> <p><em>Image: Courtesy of John Boland.</em></p>

Caring

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Chilling videos emerge from mum accused of murdering schoolgirl

<p><em><strong>Warning: This article contains distressing content that some readers may find upsetting. </strong></em></p> <p>Chilling videos have emerged from the mother accused of killing her 10-year-old daughter, Sophie Wang. </p> <p>Yingying Xu, who was named in court on Wednesday, posted a series of videos to TikTok before she allegedly murdered her daughter. </p> <p>“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.</p> <p>“I have felt the devil Satan saying to me how he has been influencing me, disturbing my soul.</p> <p>“Eventually possessing me 100 per cent. Possessing my soul to do evil things.”</p> <p>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.</p> <p>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.</p> <p>Her father, who is an associate professor at Griffith University, could reportedly be heard screaming by neighbours after discovering her body. </p> <p>Paramedics attempted to revive the girl, but she was declared dead at the “incredibly confronting” scene.</p> <p>Xu was arrested in a nearby street hours later and charged with murder.</p> <p>“This is absolutely sickening, gut-wrenching, awful,” Queensland Premier Steven Miles said.</p> <p>“I just can’t imagine how that father felt and hearing the reports of him screaming - nobody would ever wish that on him.”</p> <p>Her mother was formally remanded in custody until she appears in court again on November 29. </p> <p>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. </p> <p>Police are continuing to investigate the motive of the alleged murder, and are taking into account Xu's social media activity. </p> <p>“Police are continuing to investigate the motive of the alleged homicide, including social media activity of the accused,” police told <em>7News</em>.</p> <p>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.</p> <p>Sophie’s school, Emmanuel College, is also offering counselling to students, staff and parents.</p> <p>“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.</p> <p><em>Images: Emmanuel College /TikTok</em></p>

Legal

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WHO declares new global health emergency

<p>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. </p> <p>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.</p> <p>“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. </p> <p>A PHEIC is the highest level of alarm under the International Health Regulations, which are legally binding in 196 countries.</p> <p>“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.</p> <p>“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.”</p> <p>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. </p> <p>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.</p> <p>“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.</p> <p>Maria Van Kerkhove, the WHO’s epidemic and pandemic preparedness and prevention director, insisted, “We can stop transmission of mpox with a concerted effort.”</p> <p>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.</p> <p>Two vaccines for mpox are recommended by WHO immunisation experts.</p> <p>Formerly called monkeypox, the virus was first discovered in humans in 1970 in what is now the DRC.</p> <p>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.</p> <p>The disease causes fever, muscular aches and large boil-like skin lesions.</p> <p>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.</p> <p><em>Image credits: Manuel Romano/NurPhoto/Shutterstock Editorial </em></p>

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

<p>Three-time Maribyrnong mayor Sarah Carter was found dead at her home on Tuesday, </p> <p>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. </p> <p>“She hadn’t made it to the airport to meet him for their holiday together,” Morris told the <em>Herald Sun</em>.</p> <p>“He (Roy) went and checked on her and he literally found her dead.</p> <p>“No-one knows anything different unfortunately.”</p> <p>She was treated by emergency services at her home in Maribyrnong, Victoria at 3:45pm on Tuesday but unfortunately could not be saved.</p> <p>Her cause of death is not yet known but Victoria police has confirmed that her death is not being treated as suspicious. </p> <p>Carter's mother said that Roy was  “absolutely heartbroken”.</p> <p>“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.</p> <p>Carter was a councillor on Maribyrnong Council, in Melbourne’s west, which covers suburbs including Footscray, Yarraville and Tottenham as well as Maribyrnong. </p> <p>She was first elected to office in 2008 and was the first woman who served as mayor of Maribyrnong three times. </p> <p>Many believed that her political career could go beyond council boundaries. </p> <p>“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. </p> <p>“My thoughts are with her family and loved ones in this difficult time.”</p> <p>Labor MP Tim Watts added that her  “energy was limitless”.</p> <p>“She had an impact on so many people’s lives.</p> <p>“She gave so much of herself and wanted to give so much more. She’s been taken from us far too soon.</p> <p>“It’s a terrible loss to our community and our country”.</p> <p><em>Images: Instagram</em></p>

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

<div class="theconversation-article-body"> <p><em><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></em></p> <p>Migraine is many things, but one thing it’s not is “just a headache”.</p> <p>“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.</p> <p>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.</p> <p>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.</p> <h2>What’s happening in my brain?</h2> <p>The biological basis of migraine is complex, and varies according to the phase of the migraine. Put simply:</p> <p>The earliest phase is called the <strong>prodrome</strong>. 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.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="caption">The hypothalamus is shown here in red.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/brain-cross-section-showing-basal-ganglia-329843930">Blamb/Shutterstock</a></span></figcaption></figure> <p>Next is the <strong>aura phase</strong>, 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.</p> <p>In the <strong>headache phase</strong>, 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.</p> <p>Finally, the <strong>postdromal phase</strong> occurs after the headache resolves and commonly involves changes in mood and energy.</p> <h2>What can you do about the acute attack?</h2> <p>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.</p> <p><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></p> <p><strong>Aspirin</strong></p> <p>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.</p> <p><strong>Triptans</strong></p> <p>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.</p> <p>Triptans vary by their route of administration (tablets, wafers, injections, nasal sprays) and by their time to onset and duration of action.</p> <p>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).</p> <p>As triptans constrict blood vessels, they should be used with caution (or not used) in patients with known heart disease or previous stroke.</p> <p><strong>Gepants</strong></p> <p>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”.</p> <p>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.</p> <p>They do not cause blood vessel constriction and can be used in patients with heart disease or previous stroke.</p> <p><strong>Ditans</strong></p> <p>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.</p> <p>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.</p> <h2>What about preventing migraines?</h2> <p>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.</p> <p>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.</p> <p>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:</p> <ul> <li>tablets that lower blood pressure (candesartan, metoprolol, propranolol)</li> <li>antidepressants (amitriptyline, venlafaxine)</li> <li>anticonvulsants (sodium valproate, topiramate).</li> </ul> <p>Some people have none of these other conditions and can safely start medications for migraine prophylaxis alone.</p> <p>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.</p> <p>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.</p> <hr /> <p><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></p> <hr /> <h2>‘Nothing works for me!’</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/227559/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/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></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-in-my-brain-when-i-get-a-migraine-and-what-medications-can-i-use-to-treat-it-227559">original article</a>.</em></p> </div>

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Wild conspiracy theory emerges over leaked horse cruelty video

<p>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".</p> <p>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.</p> <p>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.</p> <p>Madeline Hall, a former dressage correspondent for <em>Horse & Hound</em> magazine, echoed Brautigam's sentiments. Speaking to <em>The Daily Mail</em>, Hall remarked, "The timing of this video days before the Olympics smells of sabotage. To me, it is suspect."</p> <p>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.</p> <p>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.</p> <p>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."</p> <p>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."</p> <p>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.</p> <p><em>Images: Instagram / Good Morning Britain</em></p>

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Rare footage captures secluded tribe emerging from the Amazon

<p>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. </p> <p>The tribe were spotted near several controversial logging sites that have been making clearings throughout the forest, decimating their home lands.</p> <p>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.</p> <p>“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.</p> <p>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.</p> <p>He also added that the outside loggers could potentially bring new diseases to the area, which could wipe out the tribe.</p> <p>According to Survival International, Indigenous advocates have urged authorities to pull the certifications from the logging companies to protect the tribes. </p> <p>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, <em><a href="https://www.washingtonpost.com/world/2024/07/17/mashco-piro-tribe-photos-peru/" target="_blank" rel="noopener">The Washington Post</a></em> reported.</p> <p>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.</p> <p>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. </p> <p><em>Image credits: Survival International </em></p> <p> </p> <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>

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

<div class="theconversation-article-body"><em><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></em></p> <p>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>.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>We’re short of doctors and nurses</h2> <p>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.</p> <p>This means many small rural emergency departments only have nurses on staff, with doctors on call or consulted remotely from a larger hospital.</p> <p>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.</p> <p>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."</p> <p>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:</p> <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> <p>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.</p> <h2>What are my alternatives?</h2> <p>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.</p> <p><strong>1. Pack your scripts and medical history summary</strong></p> <p>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.</p> <p>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.</p> <p><strong>2. Call Healthdirect, NURSE-ON-CALL or 13HEALTH depending on where you are</strong></p> <p><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):</p> <ul> <li> <p><a href="https://www.healthdirect.gov.au">Healthdirect</a> - 1800 022 222</p> </li> <li> <p><a href="https://www.healthdirect.gov.au/nurse-on-call">NURSE-ON-CALL</a> (Vic) - 1300 60 60 24</p> </li> <li> <p><a href="https://www.qld.gov.au/health/contacts/advice/13health">13HEALTH</a> (Qld) - 13 43 25 84.</p> </li> </ul> <p><strong>3. Need a GP? How about GP telehealth services?</strong></p> <p>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>.</p> <p><strong>4. Go to an Urgent Care Clinic</strong></p> <p>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.</p> <p>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.</p> <hr /> <p><em>Please keep the emergency department for life-threatening illnesses or injuries, and if needed, call 000 for an ambulance immediately.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232262/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/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></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/planning-a-country-escape-these-school-holidays-4-ways-to-avoid-clogging-up-the-emergency-department-232262">original article</a>.</em></p> </div>

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

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a></em></p> <p>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?</p> <p>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).</p> <p>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.</p> <h2>Polypharmacy among older adults</h2> <p>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.</p> <p>Is it a good idea to take so many drugs?</p> <p>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.</p> <p>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.</p> <h2>The risks of polypharmacy: 5 points to consider</h2> <p>When we evaluate cases of polypharmacy, we find that the quality of treatment is often compromised when many medications are being taken.</p> <ol> <li> <p>Drug interactions: polypharmacy increases the risk of drugs interacting, which can lead to undesirable effects or reduce the effectiveness of treatments.</p> </li> <li> <p>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?</p> </li> <li> <p>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.</p> </li> <li> <p>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.</p> </li> <li> <p>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.</p> </li> </ol> <p>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.</p> <p>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.</p> <h2>3 tips to avoid the risks associated with polypharmacy</h2> <p>What can we do as a patient, or as a caregiver?</p> <ol> <li> <p>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 ?</p> </li> <li> <p>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?</p> </li> <li> <p>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.</p> </li> </ol> <h2>Benefits should outweigh the risks</h2> <p>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.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230612/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, Professor in Pharmacy, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-too-many-medications-can-pose-health-risks-heres-how-to-avoid-them-230612">original article</a>.</em></p> </div>

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

<p>A private security worker in Mexico has cast doubt on the police narrative on how two brothers from Perth were found dead. </p> <p>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. </p> <p>“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.</p> <p>“When they (the victims) came up and caught them, surely, they resisted."</p> <p>“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.”</p> <p>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. </p> <p>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. </p> <p>“Basically, the reasoning of them being carjack victims gone wrong makes very little sense,” the source said. </p> <p>The source described the situation as “deeply disturbing”, while also sharing how Baja California is in the midst of a drug war. </p> <p>“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."</p> <p>“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.</p> <p>Three people have been arrested in connection with the deaths of the three men, although no charges have yet been laid. </p> <p>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.</p> <p>“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.</p> <p>“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.”</p> <p>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. </p> <p>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.</p> <p>“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.</p> <p>“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.</p> <p>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.</p> <p><em>Image credits: Instagram / 7News </em></p> <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;"> </p>

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Tragic new details emerge over Aussie brothers missing in Mexico

<p>Authorities have recovered three bodies <span style="background-color: #ffffff; color: #202223; font-family: Montserrat, Helvetica, arial, sans-serif; font-size: 16px;">in the Baja California region of Mexico, </span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">believed to be those of brothers Callum and Jake Robinson and their American friend who went missing while on a surfing trip. </span></p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">The Perth siblings and their American friend </span>Jack Carter Rhoad went missing last week after they failed to show up at their planned accommodations. </p> <p>Mexican Authorities believe that the brothers were attacked in a robbery gone wrong, and fought back, prompting gunfire from the alleged thieves. </p> <p>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.</p> <p>While officials are waiting for DNA results, they believe that there is a "very high probability that it is them". </p> <p>"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 <em>9News</em>.</p> <p>Police have also said that shell casings were found at the scene. </p> <p><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.</p> <p>Ramírez also said evidence found along with the abandoned tents was linked to the three people being questioned about the missing foreigners.</p> <p> 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.</p> <p>"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.</p> <p>"There is a lot of important information that we can't make public."</p> <p>A fourth body was also found deeper down the well, but Ramirez confirmed that it had no connection to the investigation. </p> <p><em>Image: Nine</em></p>

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Shannon Noll postpones show due to medical emergency

<p>Shannon Noll has been forced to postpone two of his upcoming shows in Victoria due to a medical emergency.</p> <p>The former <em>Australian Idol </em>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.</p> <p>"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. </p> <p>"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.</p> <p>"Huge apologies again everyone but I look forward to seeing you all at the rescheduled shows soon!" he concluded. </p> <p>Fans took to the comments to wish the star a speedy recovery. </p> <p>"Health comes first, wishing you a speedy recovery," one wrote. </p> <p>"Hope you are back to good health quickly Shannon. All the very best," another added. </p> <p>"Health is the absolute priority - we hope that you’re back fit and fighting very soon!" a third commented. </p> <p>"Get well soon Shannon! Take the time you need to recover," added a fourth. </p> <p>It has been 20 years since the singer rose to fame after becoming a runner-up on the first season of <em>Australian Idol</em>. </p> <p>"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 <em>9Honey</em>. </p> <p>"And it's all because of the support the Australian public has given me over the years, during the ups and downs as well."</p> <p>"It's all because of the public. I'm thankful to them and will be forever," he added. </p> <p><em>Image: Getty</em></p>

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"This is crazy": Teenager goes fishing and emerges a millionaire

<p>A 19-year-old fisherman has reeled in a million-dollar barramundi as part of a years long fishing competition. </p> <p>Keegan Payne, a self proclaimed "mad keen" fisherman, caught the fish that had been tagged as part of a nine year long fishing competition in the Katherine River.</p> <p>When the teenager from the Norther Territory was told that he had taken home the prize, he said he planned to use his winnings to help his parents pay off their home loans. </p> <p>"This is crazy for us, we're a big family, there's eight of us. This is more money than we could ever ask for. This is just great," Payne said.</p> <p>"It means so much. This is a once-in-a-lifetime opportunity for me. I'm happy, really happy."</p> <p>"I can buy what I want, maybe help Dad and Mum out with the home loans," he said.</p> <p>Payne was on a fishing trip with family and a friend at the Katherine River when he caught the prized barramundi, and quickly made a call to the hotline for the competition. </p> <p>The organisers confirmed he had caught the million-dollar fish, and invited him and his family to collect the prize. </p> <p>The competition has been running since 2015, but until now, nobody had reeled in one of the million-dollar barramundi.</p> <p>Every season, more than a hundred fish tagged with special markings are released in waterways across the Northern Territory, and while most of the fish are worth $10,000, some are worth the major prize of $1 million.</p> <p>Keegan chose charity partner Cancer Council NT to receive $10,000 from Sportsbet, a sponsor of the competition. </p> <p>NT Major Events Company chief executive Suzana Bishop said organisers were "so happy and excited for Keegan".</p> <p>"We guaranteed a winner this season and we're delighted to see the prize go off," said Sportsbet chief executive Barni Evans.</p> <p><em>Image credits: Million Dollar Fish </em></p>

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Asking ChatGPT a health-related question? Better keep it simple

<p>It’s tempting to <a href="https://cosmosmagazine.com/news/chatgpt-and-dr-google/">turn to search engines</a> to seek out health information, but with the rise of large language models, like ChatGPT, people are becoming more and more likely to depend on AI for answers too.</p> <div class="copy"> <p>Concerningly, an Australian study has now found that the more evidence given to <a href="https://cosmosmagazine.com/technology/chatgpt-an-intimate-companion/">ChatGPT</a> when asked a health-related question, the less reliable it becomes.</p> <p>Large language models (LLM) and artificial intelligence use in health care is still developing, creating a  a critical gap when providing incorrect answers can have serious consequences for people’s health.</p> <p>To address this, scientists from Australia’s national science agency, CSIRO, and the University of Queensland (UQ) explored a hypothetical scenario: an average person asking ChatGPT if ‘X’ treatment has a positive effect on condition ‘Y’.</p> <p>They presented ChatGPT with 100 questions sourced from the <a href="https://trec-health-misinfo.github.io/" target="_blank" rel="noopener">TREC Health Misinformation track</a> – ranging from ‘Can zinc help treat the common cold?’ to ‘Will drinking vinegar dissolve a stuck fish bone?’</p> <p>Because queries to search engines are typically shorter, while prompts to a LLM can be far longer, they posed the questions in 2 different formats: the first as a simple question and the second as a question biased with supporting or contrary evidence.</p> <p>By comparing ChatGPT’s response to the known correct response based on existing medical knowledge, they found that ChatGPT was 80% accurate at giving accurate answers in a question-only format. However, when given an evidence-biased prompt, this accuracy reduced to 63%, which was reduced again to 28% when an “unsure” answer was allowed. </p> <p>“We’re not sure why this happens,” says CSIRO Principal Research Scientist and Associate Professor at UQ, Dr Bevan Koopman, who is co-author of the paper.</p> <p>“But given this occurs whether the evidence given is correct or not, perhaps the evidence adds too much noise, thus lowering accuracy.”</p> <p>Study co-author Guido Zuccon, Director of AI for the Queensland Digital Health Centre at UQ says that major search engines are now integrating LLMs and search technologies in a process called Retrieval Augmented Generation.</p> <p>“We demonstrate that the interaction between the LLM and the search component is still poorly understood, resulting in the generation of inaccurate health information,” says Zuccon.</p> <p>Given the widespread popularity of using LLMs online for answers on people’s health, Koopman adds, we need continued research to inform the public about risks and to help them optimise the accuracy of their answers.</p> <p>“While LLMs have the potential to greatly improve the way people access information, we need more research to understand where they are effective and where they are not.”</p> <p><em>Image credits: Getty Images</em></p> <div> <p align="center"><noscript data-spai="1"><em><img decoding="async" class="aligncenter size-full wp-image-198773" src="https://cdn.shortpixel.ai/spai/q_lossy+ret_img+to_auto/cosmosmagazine.com/wp-content/uploads/2023/12/MICROSCOPIC-TO-TELESCOPIC__Embed-graphic-720x360-1.jpg" data-spai-egr="1" width="600" alt="Buy cosmos print magazine" title="asking chatgpt a health-related question? better keep it simple 2"></em></noscript></p> </div> <p><em><!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=301406&amp;title=Asking+ChatGPT+a+health-related+question%3F+Better+keep+it+simple" width="1" height="1" loading="lazy" aria-label="Syndication Tracker" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /></em><em><a href="https://cosmosmagazine.com/technology/ai/asking-chatgpt-a-health-related-question-better-keep-it-simple/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/imma-perfetto/">Imma Perfetto</a>. </em></div>

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Embracing healing: The rise of medical cannabis in Australia

<p>In recent years, Australia has made significant strides in healthcare, particularly in the realm of alternative medicine. One such breakthrough gaining widespread recognition is the availability and utilisation of medical cannabis. <a href="https://www.oversixty.com.au/health/body/how-nurses-are-changing-the-conversation-around-medicinal-cannabis" target="_blank" rel="noopener">As attitudes shift and research unfolds</a>, the once-stigmatised plant is emerging as a source of genuine hope and relief for patients across the country.</p> <p>Medical cannabis, derived from the cannabis plant, contains compounds known as cannabinoids, notably THC (tetrahydrocannabinol) and CBD (cannabidiol), which possess therapeutic properties. While recreational use remains a contentious issue, the medicinal potential of cannabis cannot be overlooked.</p> <p>In Australia, its legal status has evolved; in October 2016 the Australian Government changed the law to allow organisations to grow cannabis for research and to make pharmaceutical products, allowing patients to access cannabis-based products under specific conditions.</p> <p>One of the most significant benefits of medical cannabis is its ability to alleviate symptoms and improve the quality of life for patients suffering from various medical conditions. From chronic pain and epilepsy to nausea induced by chemotherapy, medical cannabis offers relief where traditional treatments can fall short or have significant long-term side effects. For people with debilitating illnesses, this alternative therapy can open doors to a life with reduced discomfort and enhanced well-being.</p> <p>Moreover, the availability of medical cannabis fosters a more patient-centric approach to healthcare. By recognising the diverse needs of individuals and offering alternative treatment options, healthcare professionals empower patients to take control of their health journey. This shift towards personalised medicine acknowledges that what works for one person may not work for another, and cannabis-based treatments provide another tool in the arsenal of healthcare interventions.</p> <p>Australia's embrace of medical cannabis also extends to research and innovation. With an increasing number of clinical trials and studies exploring its efficacy and safety, the medical community is uncovering new insights into the potential applications of cannabis-based therapies. This commitment to scientific inquiry ensures that medical cannabis is integrated into healthcare practices responsibly and ethically.</p> <p>Furthermore, the legalisation of medical cannabis opens doors for economic growth and innovation. Australia's burgeoning cannabis industry has the potential to create jobs, stimulate investment and drive technological advancements in cultivation, processing and distribution. By capitalising on this emerging market, Australia can position itself as a global leader in medical cannabis research and production.</p> <p>Take the example of <a href="https://www.montu.com.au/" target="_blank" rel="noopener">Montu</a>, a Melbourne-based medical cannabis company that in November was <a href="https://www.montu.com.au/_files/ugd/0ee6ca_f78badef1cf64ccba22263ed6b5ea5d0.pdf" target="_blank" rel="noopener">named the fastest-growing tech company</a> in the entire country for the second consecutive year. The groundswell of public and investor support for such a company – whose stated mission is to deploy technology to create a better medical cannabis ecosystem for suppliers, practitioners, pharmacies and the patients they serve – is testament to the rapidly growing popularity of medical cannabis as a viable everyday resource for health and wellbeing. </p> <p>Companies like Montu that are streamlining and regulating access to medical cannabis via a growing network of medical practitioners are playing a vital role in getting help for those who need it most. Even though Montu was only formed in 2019, with its first products entering the market in 2020, the evolution of its company ecosystem has been dramatic to say the least. Now with a diverse range of companies under its umbrella, Montu is using innovative solutions to enhance the patient experience – from their "Leafio" dispensing system bridging the gap between suppliers and pharmacies, to their growing variety of products and brands, to their "Alternaleaf" telehealth service that connects patients with expert clinicians, and their high-end "Saged" professional online learning portal for healthcare professionals, this integrated approach is shaping a future where medical cannabis is accessible, efficient and tailored to meet the diverse needs of patients and healthcare providers alike.</p> <p>Perhaps most importantly of all, the availability of medical cannabis promotes harm reduction by offering a safer alternative to potentially addictive pharmaceutical drugs. For patients struggling with opioid dependence or other addictive substances, cannabis-based treatments provide a non-addictive option for managing symptoms, reducing the risk of substance abuse and overdose.</p> <p>The legalisation of medical cannabis in Australia marked a pivotal moment in the nation's healthcare landscape. With growing recognition of the therapeutic potential of cannabis-derived treatments, Australia has taken decisive steps to ensure that patients in need have access to this alternative therapy.</p> <p>Through rigorous regulation and oversight, the legal framework surrounding medical cannabis balances patient safety with the need for compassionate care, allowing individuals suffering from debilitating conditions to explore new avenues of treatment.</p> <p>This landmark decision not only reflected a shift in societal attitudes towards cannabis but also underscored Australia's commitment to evidence-based medicine and the well-being of its citizens.</p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">As attitudes towards cannabis evolve and its medicinal benefits become more widely recognised, Australia stands at the forefront of a healthcare revolution – one of </span>hope, healing and a future where patients can experience relief and improved quality of life.</p> <p><em>Image: Getty</em></p>

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Attempts to access Kate Middleton’s medical records are no surprise. Such breaches are all too common

<p><a href="https://theconversation.com/profiles/bruce-baer-arnold-1408">Bruce Baer Arnold</a>, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>The <a href="https://www.abc.net.au/news/2024-03-20/claim-hospital-staff-tried-to-access-kate-middleton-health-info/103608066">alleged</a> data breach involving Catherine, Princess of Wales tells us something about health privacy. If hospital staff can apparently access a future queen’s medical records without authorisation, it can happen to you.</p> <p>Indeed it may have already happened to you, given many breaches of health data go under the radar.</p> <p>Here’s why breaches of health data keep on happening.</p> <h2>What did we learn this week?</h2> <p>Details of the alleged data breaches, by <a href="https://www.mirror.co.uk/news/royals/breaking-kate-middleton-three-london-32401247">up to three staff</a> at The London Clinic, emerged in the UK media this week. These breaches are alleged to have occurred after the princess had abdominal surgery at the private hospital earlier this year.</p> <p>The UK Information Commissioner’s Office <a href="https://ico.org.uk/about-the-ico/media-centre/news-and-blogs/2024/03/ico-statement-in-response-to-reports-of-data-breach-at-the-london-clinic/">is investigating</a>. Its report should provide some clarity about what medical data was improperly accessed, in what form and by whom. But it is unlikely to identify whether this data was given to a third party, such as a media organisation.</p> <h2>Health data isn’t always as secure as we’d hope</h2> <p>Medical records are inherently sensitive, providing insights about individuals and often about biological relatives.</p> <p>In an ideal world, only the “right people” would have access to these records. These are people who “need to know” that information and are aware of the responsibility of accessing it.</p> <p>Best practice digital health systems typically try to restrict overall access to databases through hack-resistant firewalls. They also try to limit access to specific types of data through grades of access.</p> <p>This means a hospital accountant, nurse or cleaner does not get to see everything. Such systems also incorporate blocks or alarms where there is potential abuse, such as unauthorised copying.</p> <p>But in practice each health records ecosystem – in GP and specialist suites, pathology labs, research labs, hospitals – is less robust, often with fewer safeguards and weaker supervision.</p> <h2>This has happened before</h2> <p>Large health-care providers and insurers, including major hospitals or chains of hospitals, have a <a href="https://www.theguardian.com/australia-news/2023/dec/22/st-vincents-health-australia-hack-cyberattack-data-stolen-hospital-aged-care-what-to-do">worrying</a> <a href="https://www.afr.com/technology/medical-information-leaked-in-nsw-health-hack-20210608-p57z7k">history</a> of <a href="https://www.innovationaus.com/oaic-takes-pathology-company-to-court-over-data-breach/">digital breaches</a>.</p> <p>Those breaches include hackers accessing the records of millions of people. The <a href="https://www.theguardian.com/world/2022/nov/11/medical-data-hacked-from-10m-australians-begins-to-appear-on-dark-web">Medibank</a> data breach involved more than ten million people. The <a href="https://www.hipaajournal.com/healthcare-data-breach-statistics/">Anthem</a> data breach in the United States involved more than 78 million people.</p> <p>Hospitals and clinics have also had breaches specific to a particular individual. Many of those breaches involved unauthorised sighting (and often copying) of hardcopy or digital files, for example by nurses, clinicians and administrative staff.</p> <p>For instance, this has happened to public figures such as <a href="https://www.latimes.com/archives/la-xpm-2008-mar-15-me-britney15-story.html">singer</a> <a href="https://journals.lww.com/healthcaremanagerjournal/abstract/2009/01000/health_information_privacy__why_trust_matters.11.aspx">Britney Spears</a>, actor <a href="https://www.nytimes.com/2007/10/10/nyregion/10clooney.html">George Clooney</a> and former United Kingdom prime minister <a href="https://www.theguardian.com/uk-news/2024/mar/20/when-fame-and-medical-privacy-clash-kate-and-other-crises-of-confidentiality">Gordon Brown</a>.</p> <p>Indeed, the Princess of Wales has had her medical privacy breached before, in 2012, while in hospital pregnant with her first child. This was no high-tech hacking of health data.</p> <p>Hoax callers from an Australian radio station <a href="https://theconversation.com/did-2day-fm-break-the-law-and-does-it-matter-11250">tricked</a> hospital staff into divulging details over the phone of the then Duchess of Cambridge’s health care.</p> <h2>Tip of the iceberg</h2> <p>Some unauthorised access to medical information goes undetected or is indeed undetectable unless there is an employment dispute or media involvement. Some is identified by colleagues.</p> <p>Records about your health <em>might</em> have been improperly sighted by someone in the health system. But you are rarely in a position to evaluate the data management of a clinic, hospital, health department or pathology lab.</p> <p>So we have to trust people do the right thing.</p> <h2>How could we improve things?</h2> <p>Health professions have long emphasised the need to protect these records. For instance, medical ethics bodies <a href="https://www.bmj.com/content/350/bmj.h2255">condemn</a> medical students who <a href="https://www.abc.net.au/news/2014-04-14/picture-sharing-app-for-doctors-raises-privacy-concerns/5389226">share</a> intimate or otherwise inappropriate images of patients.</p> <p>Different countries have various approaches to protecting who has access to medical records and under what circumstances.</p> <p>In Australia, for instance, we have a mix of complex and inconsistent laws that vary across jurisdictions, some covering privacy in general, others specific to health data. There isn’t one comprehensive law and set of standards <a href="https://theconversation.com/governments-privacy-review-has-some-strong-recommendations-now-we-really-need-action-200079">vigorously administered</a> by one well-resourced watchdog.</p> <p>In Australia, it’s mandatory to report <a href="https://www.oaic.gov.au/privacy/notifiable-data-breaches">data breaches</a>, including breaches of health data. This reporting system is currently <a href="https://theconversation.com/governments-privacy-review-has-some-strong-recommendations-now-we-really-need-action-200079">being updated</a>. But this won’t necessarily prevent data breaches.</p> <p>Instead, we need to incentivise Australian organisations to improve how they handle sensitive health data.</p> <p>The best policy <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/1475-4932.12693">nudges</a> involve increasing penalties for breaches. This is so organisations act as responsible custodians rather than negligent owners of health data.</p> <p>We also need to step-up enforcement of data breaches and make it easier for victims to sue for breaches of privacy – princesses and tradies alike.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/226303/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/bruce-baer-arnold-1408">Bruce Baer Arnold</a>, Associate Professor, School of Law, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/attempts-to-access-kate-middletons-medical-records-are-no-surprise-such-breaches-are-all-too-common-226303">original article</a>.</em></p> <p><em>Images: Getty</em></p>

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Awful new details emerge after man's fatal fall from hot air balloon

<p><strong>Warning: Disturbing details</strong></p> <p>New details have emerged of the moments before a man tragically fell to his death from a <a href="https://www.oversixty.com.au/news/news/man-dies-after-falling-from-hot-air-balloon-over-melbourne" target="_blank" rel="noopener">hot air balloon</a>. </p> <p>The man was one of ten people onboard the hot air balloon ride, which took off at around 7am on Monday. </p> <p>A video obtained by 7News, shows the man, dressed in a brown jumper, taking in the view over the city alongside other guests. </p> <p>Witnesses have also reported that the man looked fine and was even chatting with the ride operator about politics as the balloon launched into the air. </p> <p>As the ride reached around 450metres, just ten minutes later, with no warning whatsoever he shockingly exited the basket in what was reported to be an act of self-harm and plunged to his death. </p> <p>The pilot immediately made a distressed may day call as horrified passengers and motorists witnessed him fall through the air. </p> <p>Passengers onboard another hot air balloon, which was launched at the same time, recalled hearing the distress calls over the radio approximately 15 minutes into their ride. </p> <p>Not long after emergency services arrived at the horrifying scene in Albert Street, Preston in the city's north-east, where his body was found in a front yard.</p> <p>One witness recalled the incident and told the <em>Today </em>show: "My brother heard like a loud bang, almost like something like a large item falling in your house. And it wasn’t until we heard all the sirens that we came out."</p> <p>Passengers onboard the hot air balloon have been offered counselling by the operator, with officers currently preparing a report for the coroner. </p> <p><em>Images: 7News/ Daily Mail</em></p>

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New details emerge in Sam Kerr incident

<p>Court documents have revealed that Sam Kerr was taken into custody was taken into custody and placed in a holding cell on the night she <a href="https://www.oversixty.com.au/finance/legal/sam-kerr-s-alleged-racial-comments-revealed-by-uk-paper" target="_blank" rel="noopener">allegedly verbally abused</a> a UK police officer. </p> <p>The Matildas captain has pleaded not guilty to the public disorder charge of using insulting, threatening or abusive words that caused alarm or distress towards a police officer in Twickenham, London, on January 30, 2023.</p> <p><em>The Sun </em>reported that Kerr allegedly vomited in a taxi, was involved in a dispute about the taxi fare, and allegedly called an attending police officer a “stupid white b*****d”, which her legal team have argued that she actually called him a "stupid white cop".</p> <p>Kerr was <a href="https://www.smh.com.au/world/europe/sam-kerr-s-lawyers-request-police-station-cctv-footage-interview-be-retained-20240314-p5fc9w.html" target="_blank" rel="noopener">reportedly</a> placed in a police custody suite inside a police station and was interviewed during that time.</p> <p>According to court transcripts, there were also numerous body cam clips filmed by police during the alleged incident, which will be used as evidence in court. </p> <p>Kerr's legal team have reportedly requested for video footage of the incident to be made available to them, and  last week they asked the Kingston Crown Court for any CCTV footage from outside a Twickenham station or from inside the custody suite to be provided to them.</p> <p>According to News Corp, her legal team is also yet to receive footage taken from two police body cam clips, and the transcript and audio from her interview while she was detained over the incident. </p> <p><em>The Daily Telegraph </em>reported that during her plea hearing, Kerr was also warned about delaying any decision to change her plea to guilty — should that change of plea occur.</p> <p>“Should there be any change in your position … the sooner you plead guilty to this matter, if that is your intention and your wish, the earlier you do that the better, do you understand?” Judge Judith Elaine Coello  said.</p> <p>“You will lose credit as time goes on and should you be convicted after trial; you will lose all credit you might otherwise have obtained. Are you clear on all of that?”</p> <p>Kerr is due to face trial in February 2025, and if found guilty could face up to six months in jail or an unlimited fine. </p> <p>Her lawyers are preparing to apply for the charges to be dismissed next month. </p> <p><em>Images: Getty</em></p> <p> </p>

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