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Heritage Aussie number plate to fetch over a million

<p>A South Australian number plate is expected to sell at auction for over a million dollars. </p> <p>The sought-after No. 8 Plate was first issued in 1906 to Arthur Ernest Ayers, the son of South Australian businessman and politician Sir Henry Ayers, the original owner of the Ayers House in Adelaide.</p> <p>The number plate became available for the first time in February this year, with the online auction going live late last month. </p> <p>Almost 1,700 bids have already been made, with the leading bid as of Monday morning at around $1.32 million with the auction closing at 7pm (local time).</p> <p>“It’s very rare and very special,” Historic Plates auctioneer, Stewart Kay, said. </p> <p>The last time the SA Government issued a single digit number plate was in 1985, when plate No. 7 was sold. </p> <p>“These plates are all about the paperwork, so having a set of number plates hanging in grandad’s shed might not necessary confer ownership.”</p> <p>He added that the plate would likely be sold to a prominent Adelaide businessman for around  $1.3 to $1.5 million.</p> <p>This is a record price for a South Australian number plate, with the previous highest being for a SA No. 1 Plate commemorating the Adelaide Grand Prix, which fetched $593,000 in 2020.</p> <p>Kay added that the older the number plate and lower the number, the higher the return expected at auction.</p> <p>“Number plates are a very historic connection back to 120 years ago when they were first issued,” Kay said.</p> <p>“They’re sort of triple threat, they look fantastic on a car, they have a great return in terms of investment and they have a certain level of prestige to them.”</p> <p>Anyone can purchase the rights to a number plate, however the plates can only be affixed to a vehicle that is registered to the state it belongs in. </p> <p>In New South Wales, a No. 1 plate surpassed its $10 million estimate and was sold for $12.4 million in January. </p> <p>Earlier this year, Victoria’s "luckiest" number plate with the number 888-888 sold for an eye-watering $230,000 to an anonymous buyer after it was privately owned for the past 30 years. </p> <p><em>Image: 7News</em></p>

Money & Banking

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Landmark aged care reforms set to benefit millions of Aussies

<p>The federal government has reached a deal with the coalition for the long-awaited aged care reforms including $4.3 billion for in-home services. </p> <p>This means that senior citizens will be given more support and choice to live their golden years in dignity, as they intend to help them live at home for longer and improve conditions and protections for those in aged care facilities. </p> <p>"$4.3 billion will be invested in Support at Home, to come into effect on the first of July next year," Prime Minister Anthony Albanese announced at Parliament House on Thursday. </p> <p>The Support at Home package is expected to help 1.4 million Australians live independently at home with support, before going into aged care by 2035. </p> <p>It will provide support for nursing, occupational therapy and day-to-day tasks like cleaning, showering, dressing and shopping, with wait times for packages cut from 12 to three months. </p> <p>The government will also pay all of the cost of clinical care services, with a lifetime contribution cap of $130,000  for non-clinical care costs.</p> <p>Those using the Support at Home program could also get $25,000 in aid to spend their final three months at home, instead of the hospital. </p> <p>The $5.6 billion reform package is also set to affect the availability of funding for residential aged care, including a "no worse off" assurance that people currently in aged care won't be asked to pay more for their care.</p> <p>New aged care quality standards will also be implemented to improve the sector and drive higher-quality care. </p> <p>The government also promised more resources to investigate and penalise bad behaviour by providers. </p> <p>Albanese said the reforms will be the "greatest improvement" to the aged care sector in 30 years. </p> <p>“This is about caring for the generation that cared for us,” he said. </p> <p>“We will deliver historic aged care reforms to ensure the viability and quality of our aged care system and support the growing number of older Australians choosing to retain their independence and remain in their homes as they age.”</p> <p>Aged Care Minister Anika Wells said the changes would lead to more services for older Australians.</p> <p>“Our reforms will create better and safer care, help reduce the fear of a system that has been neglected for far too long,” she said.</p> <p>The reform has been welcomed as the number of Australians over the age of 65 is expected to double and those older than 85 are predicted to triple in the next four decades. </p> <p><em>Images: Shutterstock</em></p>

Caring

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"World's biggest" amber nugget worth over $1 million used as doorstop for decades

<p>An elderly woman in Romania has unknowingly used one of the largest known amber nuggets in the world - worth over €1 million ($1.6 million) - as her doorstop for decades. </p> <p>The woman found the stone in the bed of a stream in Colti, a village in the southeast Romania, and used it as her doorstop for years without realising its value. </p> <p>Members of her family also reported that thieves had once broken into her home, but only stole a few pieces of gold jewelry, missing the seemingly insignificant rock. </p> <p>“In their frantic search for valuables, they overlooked the real treasure that was there before their eyes,” they said.</p> <p>It wasn't until after the woman died in 1991 that a relative who inherited her home suspected the doorstop might be more than meets the eye - and he was right. </p> <p>When he sold the amber to the Romanian state, experts at the Museum of History in Krakow, Poland appraised the rock and found that the amber is likely between around 38 and 70 million years old.</p> <p>“Its discovery represents a great significance both at a scientific level and at a museum level,” Daniel Costache, director of the Provincial Museum of Buzau, told  local news outlet <em>El Pais</em>.</p> <p>The expert also claimed that the amber is one of the largest pieces in the world and the largest of its kind weighing a hefty 3.5-kilograms.</p> <p>It has now been classified as a national treasure of Romania, and can be found in the Provincial Museum of Buzau, where it has been since 2022. </p> <p>Romania is one of the countries with significant deposits of amber, with Buzau County being one of the areas where you can find these beautiful stones in abundance. </p> <p>The protected area also contains the old Stramba amber mine, which was very productive during the first half of the 21st century, before it was shut down by the communist regime as it was considered unprofitable. </p> <p><em>Image: Buzău County Museum</em></p> <p> </p>

Home & Garden

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Millions warned over huge change to speed cameras

<p>For years, drivers in New South Wales have relied on the point-to-point speed camera rule, which only captures the speed of heavy vehicles, but that rule is set to change as part of a new trial as the state attempts to lower their death toll. </p> <p>The point-to-point, also known as average speed cameras are set to be turned on for all vehicles in two regional locations during the trial. </p> <p>The first location will be 15-kilometre stretch on the Pacific highway between Kew and Lake Innes in Port Macquarie, and the second location will be on the Hume Highway between Coolac and Gundagai, with 16km between the two cameras. </p> <p>“NSW is the only jurisdiction in the world to use average speed cameras but restrict their use to heavy vehicles only,” Roads Minister John Graham said.</p> <p>“In the context of a rising road toll, now is the time to trial these cameras for light vehicles and understand if we can keep more people safe on the road more of the time.”</p> <p>He added that all other states in Australia, as well as the UK and Norway have found the average speed cameras to be effective. </p> <p>“All other mainland Australian states and countries like the UK, Norway, Italy and the Netherlands have found average speed cameras to be effective and we aim to be as rigorous as possible to be sure they will also reduce road trauma in NSW.”</p> <p>“Rather than test your speed at a particular point in time, like a mobile speed camera, these test the speed you’re driving over 15 or 16 kilometres,” he said.</p> <p>“That means it’s a truer reflection of how quickly people are driving.”</p> <p>He added that the trial is focused on regional NSW as it has suffered a disproportionate amount of road fatalities, with six road deaths and 33 serious injuries between 2018 and 2022. </p> <p>“Although only a third of people live in regional New South Wales, that’s where two thirds of the deaths from road crashes happen," he said. </p> <p>Speeding contributed to 44 per cent of NSW road fatalities last year,  three-quarters of which were in the regional parts of the state.</p> <p>The trial will run for six months, and for those caught speeding, they will be given a 60-day warning letter period, before financial and licence penalties kick in.</p> <p><em>Images: news.com.au</em></p>

Legal

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Cash boost for millions of Aussies as indexation kicks in

<p>Millions of Australians are set to get a cash boost within weeks as the Services Australia payments are indexed on top of additional increases to Rent Assistance payments, with the changes coming into effect on September 20</p> <p>The indexation will be applied to a range of pensions and payments including the Age Pension, Disability Support Pension and Carer Payments, Commonwealth Rent Assistance, JobSeeker, and Parenting Payments.</p> <p>The indexation increases of up to $41.50 a fortnight will vary based on the payments.</p> <p>Centrelink JobSeeker recipients will receive an extra $71.20 per fortnight. </p> <p>“Single JobSeeker Payment recipients with an assessed partial capacity to work of 0 to 14 hours per week will move to the higher rate of JobSeeker, receiving $849.50 a fortnight,” the Department of Social Services said.</p> <p>The maximum rates of Commonwealth Rent Assistance will be increased by 10 per cent.</p> <p>For families with one or two children, he Rent Assistance fortnightly payment will increase by $27.02.</p> <p>Single age pensioners will see an increase of $28.10 to their fortnightly payments, and recipients in a couple will receive a combined $42.40 increase to their payments.</p> <p>The same increase will apply to the Disability Support Pension and Carer Payment.</p> <p>Single recipients receiving the fortnightly Parenting Payment will  receive a $19.80 increase, while single recipients without children will get a $15.30 boost. </p> <p><em>Image: Shutterstock</em></p>

Money & Banking

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Millions warned as dangerous disease spreads in Melbourne

<p>Health authorities have issued an urgent warning to Victorians after multiple people have been admitted to hospital with severe symptoms. </p> <p>Victoria's Department of Health has revealed it is investigating an outbreak of Legionnaires disease after a "significant increase" in cases across Melbourne since Friday.</p> <p>Over just three days, 22 cases of the disease have been confirmed with another six cases suspected.</p> <p>Most of the cases are in adults aged over 40, with many of them requiring hospitalisation and intensive care for severe pneumonia.</p> <p>Health authorities are now searching for the source of the outbreak, as the health department said in a statement, "Legionnaires' disease can cause a chest infection with symptoms of fever, chills, cough, headache and muscle aches and pains. Other atypical symptoms may include nausea, vomiting, diarrhoea and confusion."</p> <p>"All cases have visited or reside in metropolitan Melbourne. Those most at risk are adults aged over 40 years, especially people with other medical conditions or immune compromise, or who smoke."</p> <p>The source of the outbreak is not yet known but investigations are underway to determine where it has come from.</p> <p>Legionnaires' disease is spread by breathing in fine droplets of water that contain legionella bacteria, and is not commonly spread from person-to-person or by drinking contaminated water.</p> <p>The <a href="https://www.health.vic.gov.au/health-alerts/outbreak-of-legionnaires-disease-in-metropolitan-melbourne" target="_blank" rel="noopener">Department of Health</a> is urging anyone who lives in, works in or has visited metropolitan Melbourne and surrounding areas to seek urgent medical care if they develop symptoms.</p> <p><em>Image credits: Shutterstock </em></p>

Caring

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Elon Musk tops donations as millions raised for Trump shooting victims

<p>In the wake of the assassination attempt on former President Donald Trump, a groundswell of support has emerged from celebrities, business leaders, Republican Party notables and countless regular Americans for those affected by the event that left Trump injured, one man dead, and two others in critical condition.</p> <p>A <a href="https://www.gofundme.com/f/president-trump-seeks-support-for-butler-pa-victims" target="_blank" rel="noopener">GoFundMe campaign</a>, initiated by Trump's top finance person, Meredith O'Rourke of Tallahassee, initially set a goal of $1 million. However, by Monday morning, donations had already far surpassed this target. As of Monday evening, the online fundraiser had amassed over $4.6 million from more than 60,000 donations.</p> <p>Prominent figures have made substantial contributions, with tech mogul Elon Musk donating $100,000 in two instalments late on Monday, while the Ultimate Fighting Championship and its president, Dana White, each contributed $50,000.</p> <p>Meredith O'Rourke, the organiser of the fundraiser, said that the collected funds would support the victims and their families, aiding in recovery and providing assistance to those in mourning. "This is about coming together as a community to help those who have suffered from this senseless act of violence," O'Rourke stated.</p> <p>Among the victims is volunteer fire chief <a href="https://www.oversixty.com.au/health/caring/hero-victim-identified-at-trump-rally-shooting" target="_blank" rel="noopener">Corey Comperatore</a>, aged 50, who was praised by Pennsylvania Governor Josh Shapiro as a hero who shielded his wife and daughter during the shooting. Two other individuals remain in critical condition as they recover from their injuries.</p> <p>Here are some of the notable donors who have contributed to the "Butler PA Victims GoFundMe" campaign:</p> <p><strong>Elon Musk:</strong> $100,000. The Tesla CEO, X (formerly Twitter) owner, and SpaceX founder, now a Texas resident, has a significant presence in Florida due to regular launches from Cape Canaveral.</p> <p><strong>Kenneth C. Griffin:</strong> $100,000. The founder and CEO of multinational hedge fund Citadel LLC, Griffin, is a Daytona Beach native who maintains a home in Miami.</p> <p><strong>Governor Rick & Ann Scott:</strong> $50,000. Rick Scott, the former governor of Florida, has been serving as a U.S. senator from Florida since 2019.</p> <p><strong>Kid Rock:</strong> $50,000. Versatile musician and entertainer Kid Rock is renowned for blending rock, hip-hop, and country genres, delivering energetic performances and chart-topping hits over a career spanning more than two decades.</p> <p><em>Image: GoFundMe</em></p>

Money & Banking

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Major banks hand over millions in refunds over unfair fees

<p>Four major Australian banks are set to cough up close to $30 million in refunds to low-income customers after the Federal corporate watchdog revealed a pattern in high fees. </p> <p>A new report from the Australian Securities and Investments Commission revealed ANZ, Commonwealth Bank, Westpac, as well as mid-tier Bendigo and Adelaide Bank kept at least two million low-income customers in high-fee accounts.</p> <p>Many of these low-income earners rely on Centrelink payments, and were unfairly slapped with unreasonably high fees. </p> <p>The report followed an ASIC review which focused on improving financial outcomes for First Nations customers by addressing avoidable bank fees.</p> <p>“We focused in this project on the banks who were most likely to have First Nations consumers on low incomes trapped in high-fee accounts,” ASIC commissioner Alan Kirkland said.</p> <p>ASIC said the four banks have committed to moving more than 200,000 customers into low-fee accounts, saving them about $10.7 million a year, with the financial institutions also committed to refunding over $28m in fees to these customers over the next 12 to 18 months.</p> <p>This includes $24.6 million to Aboriginal and Torres Strait Islander students and apprentices receiving ABSTUDY payments, and customers in areas with significant First Nations populations.</p> <p>“At any time ASIC, and the community, expects that the banks will treat their customers fairly,” Mr Kirkland said.</p> <p>“But that’s particularly important for people on low incomes and for people who are struggling to make ends meet, the last thing they need is to have the very little income that they have being eaten away in unnecessary bank fees.”</p> <p>Mr Kirkland added that the implications of ASIC’s latest review applied to all banks across the country.</p> <p>“We’re expecting all of them to read the report and make improvements to their practices to stop other people being trapped in high-fee accounts that they can’t afford,” Mr Kirkland said.</p> <p><em>Image credits: Shutterstock </em></p>

Money & Banking

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Bruce Lehrmann ordered to pay millions to Network Ten

<p>Bruce Lehrmann has been ordered to pay a whopping $2 million to Network Ten to cover the network's legal fees from his failed defamation lawsuit. </p> <p>Lehrmann's suit against the network, and in turn <em>The Project</em> and Lisa Wilkinson, came to a end when Justice Michael Lee found he had, on the balance of probabilities, raped Brittany Higgins at Parliament House in March 2019.</p> <p>The former Liberal staffer's case was dismissed after Justice Lee concluded he was not defamed by Lisa Wilkinson's tell-all interview with Brittany Higgins on <em>The Project</em> in 2021.</p> <p>Following the conclusion of the case, Lehrmann was ordered to pay Network Ten's astonishing legal fees, returning to court on Thursday to discuss the manner in which they will be paid.</p> <p>Ten’s barrister Zoe Graus on Thursday told the court that the broadcaster had sought a $2m lump-sum payment from Mr Lehrmann which Justice Lee ordered that Lehrmann pay, though he noted Mr Lehrmann was a man of “modest means”.</p> <p>As a result, Mr Lehrmann could be forced into bankruptcy if he fails to meet the hefty costs order.</p> <p>The court was told that Network 10 had offered to pay Ms Wilkinson $607,850 for the journalist’s legal costs, given the fact that she had independent representation during the trial. </p> <p>However, an independent referee will determine the final amount to be paid to Wilkinson. </p> <p><em>Image credits: MICK TSIKAS/EPA-EFE/Shutterstock Editorial </em></p>

Legal

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Aussies urged to claim their share of millions of unclaimed cash

<p>Aussies are being urged to claim their share of $577 million which is sitting unclaimed with Revenue NSW, with about $234 million of that designated as belonging to residents who have yet to claim it.</p> <p>During the last financial year, NSW Government returned more than $21.8 million in unclaimed funds to Aussies, setting a record in the process. </p> <p>The unclaimed funds are comprised of payments, refunds, unpresented cheques, dividends and other money that organisations cannot transfer to its rightful owners, sometimes due to something as simple as changed addresses or bank accounts.</p> <p>While $234 million is being held by the government for NSW residents who are known, the further $343 million is designated to those who live outside New South Wales or are currently unknown. </p> <p>For Sydney residents alone, approximately $85.4 million is currently waiting to be claimed by rightful owners. </p> <p>The average amount of unclaimed money owed on the register is $391, and more than $154 million has been claimed back from the government in the past decade.</p> <p>“Despite doing our best to give unclaimed money back to the people it’s owed to, we’re still seeing more money referred to us than people are claiming,” Chief Commissioner of State Revenue Scott Johnston said.</p> <p>“We want to make sure everyone knows about the unclaimed money register, so they can jump online, find out if any money is owed to them and undertake the process to get it back."</p> <p>“That way we can ensure more money is being returned to those it belongs to, rather than sitting with us for extended periods of time after enterprises and organisations pass it on.”</p> <p>You can find more information about the unclaimed funds, and search the register for your share on <a href="https://www.revenue.nsw.gov.au/unclaimed-money" target="_blank" rel="noopener" data-link-type="article-inline">Revenue NSW’s website</a>.</p> <p><em>Image credits: Shutterstock </em></p>

Money & Banking

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COVID vaccines saved millions of lives – linking them to excess deaths is a mistake

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/paul-hunter-991309">Paul Hunter</a>, <em><a href="https://theconversation.com/institutions/university-of-east-anglia-1268">University of East Anglia</a></em></p> <p>A recent <a href="https://bmjpublichealth.bmj.com/content/2/1/e000282">study</a> has sparked another <a href="https://nypost.com/2024/06/06/us-news/covid-vaccines-may-have-helped-fuel-rise-in-excess-deaths-since-pandemic-study/">round of</a> <a href="https://www.telegraph.co.uk/news/2024/06/04/covid-vaccines-may-have-helped-fuel-rise-in-excess-deaths/">headlines</a> <a href="https://www.gbnews.com/health/covid-vaccine-side-effects-deaths">claiming</a> that COVID vaccines caused excess deaths. This was accompanied by a predictable outpouring of <a href="https://x.com/DrAseemMalhotra/status/1797922073798717524">I-told-you-sos</a> on social media.</p> <p>Excess deaths are a measure of how many more deaths are being recorded in a country over what would have been expected based on historical trends. In the UK, and in many other countries, death rates have been higher during the years 2020 to 2023 than would have been expected based on historic trends from before the pandemic. But that has been known for some time. A couple of years ago I wrote an article for <a href="https://theconversation.com/summer-2022-saw-thousands-of-excess-deaths-in-england-and-wales-heres-why-that-might-be-189351">The Conversation</a> pointing this out and suggesting some reasons. But has anything changed?</p> <p>The authors of the new study, published in BMJ Public Health, used publicly available data from <a href="https://ourworldindata.org/COVID-vaccinations">Our World in Data</a> to determine which countries had “statistically significant” excess deaths – in other words, excess deaths that couldn’t be explained by mere random variation.</p> <p>They studied the years 2020 to 2022 and found that many, but not all, countries did indeed report excess deaths. The authors did not try to explain why these excess deaths occurred, but the suggestion that COVID vaccines could have played a role is clear from their text – and indeed widely interpreted as such by certain newspapers.</p> <p>There is no doubt that a few deaths were associated with <a href="https://journals.sagepub.com/doi/full/10.1177/25166026211053485">the COVID vaccines</a>, but could the vaccination programme explain the large number of excess deaths – 3 million in 47 countries – that have been reported?</p> <p>Based on <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/excessdeathsinenglandandwales/march2020todecember2021">death certificates</a>, during 2020 and 2021 there were more deaths from COVID than estimated excess deaths in the UK. So during the year 2021 when most vaccine doses were administered, there were actually fewer non-COVID deaths than would have been expected. It was only in 2022 that excess deaths <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/deathregistrationsummarystatisticsenglandandwales/2022">exceeded COVID deaths</a>.</p> <p>If the vaccination campaign was contributing to the excess deaths that we have seen in recent years, then we should expect to see more deaths in people who have been vaccinated than in those who have not. The most reliable analysis in this regard was done by the UK’s <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/excessdeathsinenglandandwales/march2020todecember2021">Office for National Statistics (ONS)</a>. In this analysis, the ONS matched death registrations with the vaccine histories of each death recorded. They then calculated “age-standardised death rates” to account for age differences between those vaccinated and those not.</p> <p>What the ONS found was that in all months from April 2021 to May 2023, the death rate <a href="https://www.ons.gov.uk/redir/eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJpbmRleCI6MSwicGFnZVNpemUiOjEwLCJwYWdlIjoxLCJ1cmkiOiIvcGVvcGxlcG9wdWxhdGlvbmFuZGNvbW11bml0eS9iaXJ0aHNkZWF0aHNhbmRtYXJyaWFnZXMvZGVhdGhzL2RhdGFzZXRzL2V4Y2Vzc2RlYXRoc2luZW5nbGFuZGFuZHdhbGVzIiwibGlzdFR5cGUiOiJyZWxhdGVkZGF0YSJ9.Cot-XDe8Rr07paGllBNnVVz1nTqnXfVafn2woA3tk0c">from all causes was higher</a> in the unvaccinated than in people who had been vaccinated at least once.</p> <p>That deaths from all causes were lower in the vaccinated than the unvaccinated should come as no surprise given that COVID was a major cause of death in 2021 and 2022. And there is ample evidence of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492612/">protective effect of vaccines</a> against severe COVID and death. But what is even more convincing is that, even when known COVID deaths were excluded in the ONS report, the death rate in the unvaccinated was still higher, albeit not by very much in more recent months.</p> <p>Some COVID deaths would certainly not have been recognised as such. But, on the other hand, people with chronic conditions, such as diabetes, were a high priority for vaccination. And these people would have been at increased risk of death even before the pandemic.</p> <h2>Possible causes</h2> <p>If the vaccine is not the cause of the excess deaths, what was?</p> <p>The major cause of the excess deaths reported in the first two years of the BMJ Public Health study was deaths from COVID. But by 2022, excess deaths exceeded COVID deaths in many countries.</p> <p>Possible <a href="https://theconversation.com/summer-2022-saw-thousands-of-excess-deaths-in-england-and-wales-heres-why-that-might-be-189351">explanations</a> for these excess deaths include longer-term effects of earlier COVID infections, the return of infections such as influenza that had been suppressed during the COVID control measures, adverse effects of lockdowns on physical and mental health, and delays in the diagnosis of life-threatening infections as health services struggled to cope with the pandemic and its aftermath.</p> <p>We do need to look very carefully at how the pandemic was managed. There is still considerable debate about the effectiveness of different behavioural control measures, such as self-isolation and lockdowns. Even when such interventions were effective at reducing transmission of COVID, what were the harms and were the gains worth the harms? Nevertheless, we can be confident that the excess deaths seen in recent years were not a consequence of the vaccination campaign.<!-- 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/231776/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/paul-hunter-991309">Paul Hunter</a>, Professor of Medicine, <a href="https://theconversation.com/institutions/university-of-east-anglia-1268">University of East Anglia</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/covid-vaccines-saved-millions-of-lives-linking-them-to-excess-deaths-is-a-mistake-231776">original article</a>.</em></p> </div>

Body

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Millions of older people don’t get enough nutrients – how to spot it and what to do about it

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/miriam-clegg-997096">Miriam Clegg</a>, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a> and <a href="https://theconversation.com/profiles/rachel-smith-1505111">Rachel Smith</a>, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</a></em></p> <p>By 2050, approximately a quarter of the UK population is <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/articles/overviewoftheukpopulation/january2021">expected to be over the age of 65</a>. With this in mind, the World Health Organization (WHO) has put “<a href="https://cdn.who.int/media/docs/default-source/decade-of-healthy-ageing/decade-proposal-final-apr2020-en.pdf?sfvrsn=b4b75ebc_28">healthy ageing</a>” on its agenda. This means finding ways to maintain health, wellbeing and functional ability in order to have a good quality of life and enjoy the later years.</p> <p>Everyone ages at a different rate – but there are some things that can influence how well we age, such as by making changes to the types of activity we do and the foods we eat.</p> <p>Older adults are <a href="https://www.ageuk.org.uk/globalassets/age-uk/documents/reports-and-publications/research-report-2019--one-step-at-a-time.pdf">generally less physically active</a> than they were when they were younger and because of this, their energy intake requirement may decrease. However, there is a difference between energy requirements and nutrient requirements, and nutrient requirements actually remain the same, if not increase, as we get older.</p> <p>This means we need to get more nutrients into less energy which can be tricky as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589891/#:%7E:text=The%20physiological%20changes%20that%20occur,can%20contribute%20to%20declining%20appetite.">older adults often have lower appetites</a>. This is why <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971894/">scientists suggest</a> that it may be necessary to enrich the food of older people to maintain the nutrient intake.</p> <h2>How to spot when someone isn’t eating enough?</h2> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399049/">Several studies have shown</a> that undernutrition affects one in ten older people living independently at home. However, it affects five in ten older people living in nursing homes, and seven in ten older people in hospital.</p> <p>Being overweight, even obese, <a href="https://link.springer.com/article/10.1007/s40520-023-02650-1">does not protect</a> against undernutrition. And when older adults lose weight, they lose muscle, meaning that they are more likely to lose their <a href="https://www.frontiersin.org/articles/10.3389/fnut.2022.892675/full?&amp;utm_source=Email_to_authors_&amp;utm_medium=Email&amp;utm_content=T1_11.5e1_author&amp;utm_campaign=Email_publication&amp;field=&amp;journalName=Frontiers_in_Nutrition&amp;id=892675">abilities to do daily tasks</a>.</p> <p>Weight loss in older adults is a key sign of malnutrition that needs to be addressed – but it can be easily missed, especially when many older adults associate the idea of thinness <a href="https://www.sciencedirect.com/science/article/pii/S0195666319307603?casa_token=iU5UIdNwGDgAAAAA:I81EKDJ2T0oBsOsZunpPBk6uI-TcgiCr-5gPJE1tz4-Tq3w8pK4Yi_mv22AhVHHpRpiv1Bvz0RI">with good health</a>. But clothing that’s too loose or a watchstrap that floats on the wrist are all warning signs of undernourishment.</p> <p>Similarly, if someone you care for has started to say things like, “Oh, I don’t want much food today, I’m not hungry”, “I’m not hungry, it’s natural, I’m getting older”, or “I’d rather just have a biscuit to be honest,” then these could be warning signs. An effective way to keep on top of this is regular weighing at least once per month which enables a quick response to potential indicators of malnutrition.</p> <h2>Getting more nutrients into less food</h2> <p>If people are eating small amounts of food, it is important to think about how to add more nutrients into it. A very effective technique, “fortification” is commonly done with pre-made products such as breakfast cereals, plant-based milk and bread in the UK.</p> <p>Fortification (adding foods, ingredients or nutrients into to existing foods or meals) is easy to do at home as well and can provide a flexible approach for older adults as it allows them to continue eating the foods that they most enjoy.</p> <figure><iframe src="https://www.youtube.com/embed/kNu8auu3fuU?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>For older adults in particular, protein is a very important nutrient, because of muscle loss (<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066461/#:%7E:text=Sarcopenia%20has%20been%20defined%20as,decade%20of%20life%20%5B1%5D.">sarcopenia)</a> which is a natural part of ageing. This could be slowed down or even reversed by <a href="https://www.medicalnewstoday.com/articles/could-a-higher-protein-intake-lead-to-healthier-eating">eating enough protein</a> at regular intervals throughout the day. A few ways to increase protein include:</p> <p>• Adding dairy ingredients such as milk, high-protein yoghurt, Quark (soft cheese), milk powders, eggs and cheese into meals – even into simple foods like mashed potato.</p> <p>• Nuts are a great source of protein, try adding ground almonds to savoury or sweet meals (beware of nut allergies).</p> <p>• Soy protein can be a convenient and cost-effective option, either for vegetarians or to further fortify minced-meat meals.</p> <p>• Look in the sports section of supermarkets to find <a href="https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/whey-powder#:%7E:text=Whey%20powders%20are%20characterized%20as,of%20products%20obtained%20from%20milk.">whey protein</a> powders. These are marketed to gym enthusiasts, but actually whey is one of the <a href="https://www.mdpi.com/2072-6643/15/15/3424">best proteins to stimulate muscle growth</a>. This versatile ingredient can be mixed into porridge before cooking or used it as a substitute for other powdered ingredients in baking.</p> <h2>Importance of physical activity and strength exercises</h2> <p>Physical activity and nutrition go hand-in-hand – both are equally important. As we age, being physically active becomes <a href="https://link.springer.com/article/10.1007/s12603-021-1665-8?fbclid=IwAR3dJkeHjgcSrR9Xq5kBfN-HLrbpli8WcAnz7AeY5Nu9XcGCHEB07Sd2z1w">even more essential</a> as it helps to prevent disease, maintains independence, decreases risk of falls, improves cognitive function, mental health and sleep.</p> <p>Exercise can also <a href="https://academic.oup.com/ageing/article/48/4/476/5423796?login=false">combat isolation and loneliness</a> which has also been <a href="https://www.bda.uk.com/resource/loneliness-and-malnutrition.html">linked to decreased appetite</a> in older adults. Often strength training gets ignored when we think of being active but to keep independence and prevent falls, older adults should do varied physical activity that emphasises balance and strength training at moderate or greater intensity on three or more days a week.</p> <p>Ultimately, it’s essential to contact a doctor or dietician with any worries or concerns about malnutrition or unintentional weight loss. There are, however, <a href="https://www.futurelearn.com/courses/ageing-well-nutrition-and-exercise-for-older-adults">some excellent resources</a> to learn more about ageing healthily and maintaining a good quality of life in later years.<!-- 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/221380/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/miriam-clegg-997096">Miriam Clegg</a>, Senior Lecturer in Human Nutrition, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a> and <a href="https://theconversation.com/profiles/rachel-smith-1505111">Rachel Smith</a>, Sensory and Consumer Scientist, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</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/millions-of-older-people-dont-get-enough-nutrients-how-to-spot-it-and-what-to-do-about-it-221380">original article</a>.</em></p> </div>

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Airport worker steals half a million dollars of personal items

<p>A trusted worker at Sydney Airport has been jailed for two years after stealing more than $450,000 worth of personal items from airport cargo. </p> <p>The 38-year-old man from Western Sydney, who was a freight handler at the airport, was identified as a potential suspect when the thefts of personal electronic items were first reported in February 2022.</p> <p>Several months later, he was found with $189,000 cash in the boot of his car, according to Australian Federal Police. </p> <p>The AFP then found that a further $261,000 had been transferred into the man’s personal bank accounts, after a number of stolen devices had been “sold, gifted, or kept for personal use”.</p> <p>“This money, which totalled $450,000, was criminal proceeds generated from the sale of the stolen electronic devices,” AFP said.</p> <p>The man was charged with receiving stolen property and knowingly dealing with proceeds of crime, while his partner, a 45-year-old woman, was charged with two counts of dealing with money or other property reasonable to be suspected of being proceeds of crime under $100,000.</p> <p>The pair pleaded guilty to the charges in December 2023, and on Wednesday the man was sentenced to three years and four months in jail, with a non-parole period of two years.</p> <p>The woman was to an intensive corrections order of 70 hours community service.</p> <p>AFP Sydney Airport Police Commander Morgen Blunden said the pair was “motivated by profit and greed”.</p> <p>“People with trusted access in an airport precinct are critical to the successful operation of Australia’s tourism and trade sectors,” Blunden said.</p> <p>“But the AFP will not hesitate to investigate and prosecute those who abuse this trust. AFP has zero tolerance for those to abuse their access to air-side operations for their illegal pursuits.”</p> <p><em>Image credits: Shutterstock</em></p>

Travel Trouble

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Millions of Aussies set for pay rise

<p>Millions of Aussies are in line for a boost on July 1, with the Fair Work Commission set to hand down their decision on minimum pay rates on Monday morning. </p> <p>The workplace umpire's annual wage review, which affects minimum and award wage earners, is expected to hand down an increase of between 3.5 per cent and 4 per cent on the pay rate of $23.23 an hour.</p> <p>These wage increases factor in economic conditions and broader goals such as closing the gender pay gap. </p> <p>A substantial boost was handed out last year - 5.75 per cent for awards and 8.6 per cent for the national minimum - with the commission basing their decision on factors like low unemployment, falling wages and high inflation.</p> <p>The Albanese government has submitted that it would prefer the “real wages of Australia’s low-paid workers do not go backwards." </p> <p>“We want to see strong and sustainable wages growth because we see this as part of the solution to the cost-of-living challenge, not part of the problem,” Treasurer Jim Chalmers said ahead of the decision.</p> <p>No number was specified but they are advocating to an increase which keeps up with inflation, which was at 4.1 per cent annually in the March quarter. </p> <p>In their submission, the government also said that tax relief due to kick in mid-year should not be viewed as a replacement to a wage boost. </p> <p>Meanwhile, peak employee representative the ACTU, has advocated for an increase of 5 per cent, arguing that workers affected by the cost-of-living pressures deserve a hike to their pay. </p> <p>Australian Industry Group has proposed a wage increase of 2.8 per cent, warning that an excessive pay boost could increase the risk of job losses, as the economy is slowing and labour market is weakening. </p> <p>Economists have also warned that an increase of over 4 per cent could further complicate the Reserve Bank’s efforts in fighting inflation, which  have already slugged borrowers with 13 rate hikes in the last two years. </p> <p>But AMP chief economist Shane Oliver said that an increase of at or just below 4 per cent, could help the RBA return inflation back to its target band of two to three per cent. </p> <p>“A rise around 4 per cent would give workers a real wage rise, it’s not so high as to add to the risk of a wage price spiral, … and in line with the rough assessment that 4 per cent wages growth is consistent with 2 per cent to 3 per cent inflation.”</p> <p><em>Image: Shutterstock</em></p> <p> </p>

Money & Banking

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"I felt duped": 95-year-old loses $1.6 million in bank scam

<p>A 95-year-old has been left feeling "sick" after she was scammed out of $1.6 million by heartless scammers claiming to be a bank. </p> <p>In November last year, Harriet Spring received a call from a man who called himself George Thompson, and said he worked for ING Bank. </p> <p>The man gained Harriet's trust over several months, at the difficult time that the great-grandmother was handling the sale of her mother's house.</p> <p>"Over time, I completely thought he was from ING, I had no reason to believe he wasn't," she told <a href="https://9now.nine.com.au/today/95-year-old-great-grandmother-loses-more-than-1-million-life-savings-to-scammers/f41540e7-f5c9-4c3b-89a7-ac94dd81bf6a" target="_blank" rel="noopener"><em>Today</em></a>.</p> <p>"George" then convinced Harriet the money from the sale of the house could build interest in an ING account, but it was actually being held by Westpac Bank.</p> <p>"It sounds implausible now, but the scammer had me convinced and I told my mother's bank, Teachers Mutual Bank, that this was an ING fixed term deposit, but it was being put in the Westpac bank," she said.</p> <p>"I put down the BSB number and the account number and what I thought was my name attached to the account, (my mother's bank) pointed out that it seems strange and ING account would be held with Westpac, but they still went ahead and authorised the transfer."</p> <p>When Harriet realised the scammers had taken hold of her life savings totalling $1.6 million, she felt "sick". </p> <p>"Obviously my world just fell out from under me - I just felt sick," she said.</p> <p>"I felt utterly responsible, I felt duped, foolish, ashamed - a lot of shame associated with it and I think that's why a lot of people don't come forward and talk about this kind of thing."</p> <p>Harriet has shared her story as a warning for others to be wary of potential scammers, while also calling on banks to have better protocols in place to stop suspicious transactions from going through. </p> <p>"Someone with basic training from the bank would have known that ING don't bank with any other banks and they should have flagged it," she said.</p> <p>"I believe the reality is that the banks 100 per cent put the blame on the victims and they minimise their own liability."</p> <p>"There should be some sort of system for compensating victims, the banks don't commit the theft, but they certainly drive the getaway car and they need to be held responsible for being complicit with this."</p> <p><em>Image credits: Today </em></p>

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Why millions of Aussies are falling behind on superannuation savings

<p>Millions of Aussies are falling behind on their superannuation savings, with nearly one in two Australians on track for a grim retirement. </p> <p>According to research from superannuation and investments company Vanguard, this huge number of Australians have no idea how much they are playing in fees to their super funds, which can greatly impact how much you have in savings when your retirement day comes. </p> <p>“We are coming up against a stubborn statistic in our retirement research again this year — almost one in two Australians still don’t know what they pay in super fees,” Vanguard Investments Australia managing director Daniel Shrimski said.</p> <p>Also adding to the confusion of how much is needed for comfortable gold year is different companies sharing conflicting numbers on what figures to strive for in your superannuation.</p> <p>Superannuation consultancy company Australian Retirement Trust’s latest research shows the average superannuation balance for someone age 35 to 44 is $92,700, however this should be closer to $156,000 to be on track for a “comfortable retirement”.</p> <p>The average worker aged 55 to 64 has $285,900 in super but a 60-year-old needs close to $453,000 in retirement savings, ART said.</p> <p>“In the past 12 months, only one in five of us has checked our super balance,” Australian Retirement Trust executive general manager Anne Fuchs said, adding 70 per cent of Australians feel they don’t have enough money to retire on.</p> <p>“We talk to members all the time who have reached the end of their working life full of regret, wishing they had done something earlier. Australia has a monster problem whereby not enough of us are engaging with our super."</p> <p>“The earlier you start paying attention and understanding how your money is invested ... then you’ll really be able to finish work and put your feet up.”</p> <p>Financial consultancy Link Wealth director and financial adviser Joshua Lee told <a href="https://7news.com.au/news/new-research-shows-aussie-superannuation-savings-falling-short-of-retirement-needs--c-14507773" target="_blank" rel="noopener"><em>7News</em></a> that one of the most important tips for Australians is to take notice and understand their superannuation payments and what they pay in fees.</p> <p>“Take notice of what your account is doing,” he said.</p> <p>“Look at your statement when it comes in every year so you can understand what fees are being deducted from your account because that will have an impact on how much money you have come retirement.”</p> <p><em>Image credits: Shutterstock </em></p>

Retirement Life

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Peter Stefanovic slammed for "harsh" question to young million-dollar winner

<p>Peter Stefanovic has been slammed online for bringing up a past crime committed by the 19-year-old, who had his life change overnight when he won $1 million. </p> <p>Keegan Payne was fishing in the Northern Territory when he <a href="https://oversixty.com.au/travel/domestic-travel/this-is-crazy-teenager-goes-fishing-and-emerges-a-millionaire" target="_blank" rel="noopener">caught</a> a barramundi worth $1 million, that was part of a years-long fishing competition in the Top End. </p> <p>While dong the media rounds to celebrate his life-changing win, Keegan spoke with Stefanovic on <em>Sky News</em>, who chose to focus on a petty crime Keegan committed when he was just 16-years-old, cutting the joy of his win short. </p> <p>"There is a claim online that you stole a Polaris Ranger and Polaris quad that you and your friends stole and damaged from a business a few years back, first of all, is that true?" Stefanovic asked from his <a id="mol-c0669630-0788-11ef-a01a-6393dcd80371" href="https://www.dailymail.co.uk/news/sydney/index.html" target="_self">Sydney</a> studio during the live interview.</p> <p>Payne, who was speaking from the Darwin, simply answered, "Yes".</p> <p>"So, what happened?" Mr Stefanovic pressed.</p> <p>Payne explained he and his friends "were young", and "weren't thinking at the time" but having come up with the idea they "went for it".</p> <p>Stefanovic asked Payne if he regretted the act and he said he did "big time".</p> <p>Social media users were quick to condemn Stefanovic's line of questioning to the teenager, saying he chose to cut him down on live TV, rather than celebrate his success. </p> <p>One person wrote online, "Reporter hears good news. Does everything they can to dig up dirt and be negative. He made a mistake and took the fall out for it and was forgiven way before this win!"</p> <p>Another simply said, "S***ty reporting as usual", while others asked why people couldn't "just be happy for this kid?"</p> <p>"No one's perfect, but to shame him on tv? Talk about rip the carpet from beneath him! Stop kicking people back down when they move forward!" another added</p> <p>"Shows the mentality of dipsh*ts who like ruin other peoples happiness!"</p> <p>Another simply called Stefanovic a "grub", and said he was being "unfair" on the teenager.</p> <p><em>Image credits: Sky News / Million Dollar Fish  </em></p>

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Anthony Albanese's new $925 million pledge

<p>Anthony Albanese has pledged $925 million to help victims of domestic violence flee dangerous situations, in the wake of the recent increase of violence against women. </p> <p>The Prime Minister established the Leaving Violence Program on Wednesday, which will invest $925m over a five year period to help women escape violence at home. </p> <p>Albanese convened an urgent national cabinet meeting after declaring violence against women a “national emergency” following the killings of 27 women across Australia this year.</p> <p>Following the crisis talks, the Prime Minister announced the permanent establishment of the government’s Leaving Violence Payment to assist people experiencing violence with the financial costs of leaving a violent situation. </p> <p>“Those eligible will be able to access up to $5000 in financial support along with referral services, risk assessments, and safety planning. This commitment builds on measures put in place by our government to help address financial barriers to escaping violence,” Mr Albanese said.</p> <p>Australia will also introduce legislation that will ban the creation and distribution of deep fake pornography and the sharing of sexually explicit material using technology such as artificial intelligence.</p> <p>Communications Minister Michelle Rowland said governments around the world were grappling with how to keep online spaces safe.</p> <p>"I think the other important point to note is that as a society, we do need to do more and this is a role not only for government, not only for regulators and civil society, but also for the platforms themselves," she said.</p> <p>"And part of this is putting the emphasis on the platforms to enforce their existing terms of service and where they are not doing that, to examine what are the measures governments can take."</p> <p>The government will also bring forward legislation in early August to outlaw the release of private information online with an intent to cause harm, known as doxxing.</p> <p>Albanese added that violence against women was a "national crisis", saying, "It's an issue for all of us to work together in the national interest to deal with what is a scourge of violence against women that is having a real impact out there, with one every four days a woman losing their life at the hand of a domestic or former domestic partner," he said.</p> <p>Longer-term priorities include strengthening accountability and consequences for perpetrators, including early intervention with high-risk perpetrators and serial offenders, and better support for victim and survivors.</p> <p><em>Image credits: Getty Images</em> </p>

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New studies suggest millions with mild cognitive impairment go undiagnosed, often until it’s too late

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a></em></p> <p>Mild cognitive impairment – an early stage of dementia – is widely underdiagnosed in people 65 and older. That is the key takeaway of two recent studies from our team.</p> <p>In the first study, we used Medicare data for about 40 million beneficiaries age 65 and older from 2015 to 2019 to estimate the prevalence of mild cognitive impairment in that population and to identify what proportion of them had actually been diagnosed.</p> <p>Our <a href="https://doi.org/10.1186/s13195-023-01272-z">finding was sobering</a>: A mere 8% of the number of cases with mild cognitive impairment that we expected based on a statistical model had actually been diagnosed. Scaled up to the general population 65 and older, this means that approximately 7.4 million cases across the country remain undiagnosed.</p> <p>In the second study, we analyzed data for 226,756 primary care clinicians and found that <a href="https://doi.org/10.14283/jpad.2023.131">over 99% of them underdiagnosed mild cognitive impairment</a> in this population.</p> <h2>Why it matters</h2> <p>Mild cognitive impairment is an early symptom of Alzheimer’s disease in <a href="https://doi.org/10.1001/jama.2019.2000">about half of cases</a> and progresses to dementia <a href="https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment">at a rate of 10% to 15% per year</a>. It includes symptoms such as losing the ability to remember recent events and appointments, make sound decisions and master complex tasks. Failure to detect it might deprive patients of an opportunity to get treated and to slow down disease progression.</p> <p>Mild cognitive impairment can sometimes be caused by easily addressable factors, such as medication side effects, thyroid dysfunction or <a href="https://theconversation.com/vitamin-b12-deficiency-is-a-common-health-problem-that-can-have-serious-consequences-but-doctors-often-overlook-it-192714">vitamin B12 deficiency</a>. Since mild cognitive impairment has <a href="https://doi.org/10.1016/j.amjopharm.2008.06.004">the same risk factors as cardiovascular disease</a>, such as high blood pressure and cholesterol, medication management of these risks combined with diet and exercise <a href="https://doi.org/10.1016/S0140-6736(15)60461-5">can reduce the risk of progression</a>.</p> <p>In 2023, the Food and Drug Administration <a href="https://www.fda.gov/news-events/press-announcements/fda-converts-novel-alzheimers-disease-treatment-traditional-approval">approved the drug lecanemab</a> as the <a href="https://theconversation.com/what-the-fdas-accelerated-approval-of-a-new-alzheimers-drug-could-mean-for-those-with-the-disease-5-questions-answered-about-lecanemab-197460">first disease-modifying treatment</a> <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/what-happens-brain-alzheimers-disease">for Alzheimer’s disease</a>, the most common cause of mild cognitive impairment. In contrast to previous drugs, which can temporarily improve symptoms of the disease, such as memory loss and agitation, this new treatment addresses the underlying cause of the disease.</p> <p>Lecanemab, a monoclonal antibody, <a href="https://www.news-medical.net/health/What-are-Amyloid-Plaques.aspx">reduces amyloid plaques</a> in the brain, which are toxic protein clumps that are believed to contribute to the progression of the disease. In a large clinical trial, lecanemab was able to <a href="https://doi.org/10.1056/NEJMoa2212948">reduce the progression</a> of early-stage Alzheimer’s disease. A similar drug, donanemab, also <a href="https://doi.org/10.1001/jama.2023.13239">succeeded in a clinical trial</a> and is expected to be <a href="https://www.medicalnewstoday.com/articles/fda-delays-approval-of-alzheimers-drug-donanemab-what-experts-think">approved sometime in 2024</a>.</p> <p>However, these drugs must be used in the early stages of Alzheimer’s disease, ideally when a patient has only mild cognitive impairment, as there is <a href="https://www.alz.org/alzheimers-dementia/treatments/lecanemab-leqembi">no evidence that they are effective in advanced stages</a>.</p> <figure><iframe src="https://www.youtube.com/embed/w3IbAscNjsQ?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">An earlier diagnosis leads to early treatment and better outcomes.</span></figcaption></figure> <h2>What still isn’t known</h2> <p>Many factors contribute to the <a href="https://doi.org/10.1002/alz.13051">lack of timely detection</a>. But researchers don’t have a good understanding of the relative importance of those individual factors or how to reduce the high rate of underdiagnosis.</p> <p>While distinct, symptoms are subtle and their slow progression means that they can be overlooked or misinterpreted as normal aging. A neurologist in China told our research team that diagnosis rates spike in China after the New Year’s holiday, when children who haven’t seen their parents for a year notice changes that are harder to pick up when interacting with someone daily.</p> <p>Doctors also commonly discount memory concerns as normal aging and doubt that much can be done about it. While cognitive tests to distinguish mild cognitive impairment from pathologic decline do exist, they take about 15 minutes, which can be hard to come by during the limited time of a doctor’s visit and may require a follow-up appointment.</p> <h2>What’s next</h2> <p>People, particularly those in their 60s and beyond, as well as their families and friends need to be vigilant about cognitive decline, bring it up during doctor’s appointments and insist on a formal assessment.</p> <p>The <a href="https://www.medicare.gov/coverage/yearly-wellness-visits">Medicare yearly “wellness” visit</a> is an opportunity to explore such concerns, but only about half of beneficiaries <a href="https://doi.org/10.1377/hlthaff.2019.01795">take advantage of it</a>.</p> <p>Just as physicians ask patients about unexplained weight loss and take those concerns seriously, we believe questions that explore a patient’s cognitive state need to become the norm.</p> <p><em>The <a href="https://theconversation.com/us/topics/research-brief-83231">Research Brief</a> is a short take on interesting academic work.</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/216892/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/soeren-mattke-1484707">Soeren Mattke</a>, Director of the USC Dornsife Brain Health Observatory, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, Research Scientist, Center for Economic and Social Research, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/new-studies-suggest-millions-with-mild-cognitive-impairment-go-undiagnosed-often-until-its-too-late-216892">original article</a>.</em></p> </div>

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