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Would you be happy as a long-term single? The answer may depend on your attachment style

<a href="https://theconversation.com/profiles/christopher-pepping-1524533">Christopher Pepping</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/geoff-macdonald-1527971">Geoff Macdonald</a>, <a href="https://theconversation.com/institutions/university-of-toronto-1281">University of Toronto</a>; <a href="https://theconversation.com/profiles/tim-cronin-415060">Tim Cronin</a>, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a>, and <a href="https://theconversation.com/profiles/yuthika-girme-1494822">Yuthika Girme</a>, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a> Are all single people insecure? When we think about people who have been single for a long time, we may assume it’s because single people have insecurities that make it difficult for them to find a partner or maintain a relationship. But is this true? Or can long-term single people also be secure and thriving? Our <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jopy.12929">latest research</a> published in the Journal of Personality suggests they can. However, perhaps unsurprisingly, not everybody tends to thrive in singlehood. Our study shows a crucial factor may be a person’s attachment style. <h2>Singlehood is on the rise</h2> Singlehood is on the rise around the world. In Canada, single status among young adults aged 25 to 29 has increased from <a href="https://www150.statcan.gc.ca/n1/daily-quotidien/220713/dq220713b-eng.htm">32% in 1981 to 61% in 2021</a>. The number of people <a href="https://www150.statcan.gc.ca/n1/daily-quotidien/220713/dq220713a-eng.htm">living solo</a> has increased from 1.7 million people in 1981 to 4.4 million in 2021. People are single for many reasons: <a href="https://www.ucpress.edu/ebook/9780520971004/happy-singlehood">some choose</a> to remain single, some are focusing on <a href="https://link.springer.com/article/10.1007/s12147-020-09249-0">personal goals and aspirations</a>, some report <a href="https://www.pewresearch.org/social-trends/2020/08/20/nearly-half-of-u-s-adults-say-dating-has-gotten-harder-for-most-people-in-the-last-10-years/">dating has become harder</a>, and some become single again due to a relationship breakdown. People may also remain single due to their attachment style. Attachment theory is a popular and well-researched model of how we form relationships with other people. An <a href="https://www.amazon.com.au/s?k=attachment+theory">Amazon search for attachment theory</a> returns thousands of titles. The hashtag #attachmenttheory has been viewed <a href="https://www.cnbc.com/2022/08/20/why-attachment-theory-is-trending-according-to-dr-amir-levine.html">over 140 million times</a> on TikTok alone. <h2>What does attachment theory say about relationships?</h2> Attachment theory suggests our relationships with others are shaped by our degree of “anxiety” and “avoidance”. Attachment anxiety is a type of insecurity that leads people to feel anxious about relationships and worry about abandonment. Attachment avoidance leads people to feel uncomfortable with intimacy and closeness. People who are lower in attachment anxiety and avoidance are considered “securely attached”, and are comfortable depending on others, and giving and receiving intimacy. Single people are often stereotyped as being <a href="https://journals.sagepub.com/doi/full/10.1177/01461672231203123">too clingy or non-committal</a>. Research comparing single and coupled people also suggests single people have <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1467-6494.2012.00793.x?casa_token=6iiCm5PjHgkAAAAA:0kBeofx3M-72YrkVppmNxdWBIAImFwm3lAakCnuiNXL20SVP1zaW7UeDIahW_43imAjSRXgtyN0hLVI">higher levels of attachment insecurities</a> compared to people in relationships. At the same time, evidence suggests many single people are choosing to remain single and <a href="https://journals.sagepub.com/doi/full/10.1177/17456916221136119">living happy lives</a>. <h2>Single people represent a diverse group of secure and insecure people</h2> In our latest research, our team of social and clinical psychologists examined single people’s attachment styles and how they related to their happiness and wellbeing. We carried out two studies, one of 482 younger single people and the other of 400 older long-term singles. We found overall 78% were categorised as insecure, with the other 22% being secure. Looking at our results more closely, we found four distinct subgroups of singles: <ul> <li> secure singles are relatively comfortable with intimacy and closeness in relationships (22%) </li> <li> anxious singles question whether they are loved by others and worry about being rejected (37%) </li> <li> avoidant singles are uncomfortable getting close to others and prioritise their independence (23% of younger singles and 11% of older long-term singles) </li> <li> fearful singles have heightened anxiety about abandonment, but are simultaneously uncomfortable with intimacy and closeness (16% of younger singles and 28% of older long-term singles). </li> </ul> <h2>Insecure singles find singlehood challenging, but secure singles are thriving</h2> Our findings also revealed these distinct subgroups of singles have distinct experiences and outcomes. Secure singles are happy being single, have a greater number of non-romantic relationships, and better relationships with family and friends. They meet their sexual needs outside romantic relationships and feel happier with their life overall. Interestingly, this group maintains moderate interest in being in a romantic relationship in the future. Anxious singles tend to be the most worried about being single, have lower self-esteem, feel less supported by close others and have some of the lowest levels of life satisfaction across all sub-groups. Avoidant singles show the least interest in being in a romantic relationship and in many ways appear satisfied with singlehood. However, they also have fewer friends and close relationships, and are generally less satisfied with these relationships than secure singles. Avoidant singles also report less meaning in life and tend to be less happy compared to secure singles. Fearful singles reported more difficulties navigating close relationships than secure singles. For instance, they were less able to regulate their emotions, and were less satisfied with the quality of their close relationships relative to secure singles. They also reported some of the lowest levels of life satisfaction across all sub-groups. <h2>It’s not all doom and gloom</h2> These findings should be considered alongside several relevant points. First, although most singles in our samples were insecure (78%), a sizeable number were secure and thriving (22%). Further, simply being in a romantic relationship is not a panacea. Being in an unhappy relationship is linked to <a href="https://doi.org/10.1371/journal.pmed.1000316">poorer life outcomes</a> than being single. It is also important to remember that attachment orientations are not necessarily fixed. They are open to <a href="https://www.sciencedirect.com/science/article/pii/S2352250X18300113">change</a> in response to life events. Similarly, <a href="https://journals.sagepub.com/doi/full/10.1177/0963721413510933">sensitive and responsive behaviours</a> from close others and <a href="https://doi.org/10.1177/02654075231162390">feeling loved and cared about</a> by close others can soothe underlying attachment concerns and foster attachment security over time. Our studies are some of the first to examine the diversity in attachment styles among single adults. Our findings highlight that many single people are secure and thriving, but also that more work can be done to help insecure single people feel more secure in order to foster happiness.<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/227595/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/christopher-pepping-1524533">Christopher Pepping</a>, Associate Professor in Clinical Psychology, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/geoff-macdonald-1527971">Geoff Macdonald</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-toronto-1281">University of Toronto</a>; <a href="https://theconversation.com/profiles/tim-cronin-415060">Tim Cronin</a>, Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a>, and <a href="https://theconversation.com/profiles/yuthika-girme-1494822">Yuthika Girme</a>, Associate Professor, Department of Psychology, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/would-you-be-happy-as-a-long-term-single-the-answer-may-depend-on-your-attachment-style-227595">original article</a>.

Relationships

William Shatner shocks hosts simply by revealing his age

In a world where time ticks mercilessly onward, one man has defied the very essence of ageing: the legendary William Shatner, the man who boldly went where no nonagenarian has gone before. As Shatner prepares to celebrate his 93rd trip around the sun, fans worldwide are scratching their heads in disbelief. The reason? Well, it seems that Captain Kirk himself has stumbled upon the fountain of youth and decided to keep it all to himself. The commotion started when Shatner made a <a href="https://www.tiktok.com/@todayshow/video/7347749279865490734?_r=1&_t=8koli3bKC49" target="_blank" rel="noopener">guest appearance</a> on the US Today Show, looking fresher than a daisy in springtime. Fans took to social media to express their shock, with one incredulous viewer commenting, "Damn, he's still sharp and has his hair. I would never have guessed 93." And another chimed in with, "I would've guessed 67 or 68." Forget "live long and prosper"; it seems the new motto is "live long and confound the heck out of everyone". Even the hosts of the Today Show were left flabbergasted by Shatner's youthful glow. They couldn't resist asking the man himself for his secret to longevity. And what pearls of wisdom did he impart? "Don't tell anybody [your age]." Ah, sage advice indeed. It seems the real secret to ageing gracefully is to maintain an air of mystery. But let's rewind to 2021 when Shatner was grilled by a journalist about whether he'd had any "serious work" done. His response? A witty comeback, of course. "No, have you?" Touché, Shatner, touché. And when pressed further, he simply attributed his youthful appearance to good genes, lots of horseback riding and a healthy dose of bewilderment about the world. Despite his apparent disdain for the number 90 ("It's disgusting," he once declared in an interview), Shatner finds himself hurtling towards the ripe old age of 93 with all the grace and poise of a starship navigating through a meteor shower. And if his recent TV appearance is anything to go by, he's showing no signs of slowing down. So let's all take a leaf out of Shatner's playbook, shall we? If anyone asks for the secret to your eternal youth, just give them that trademark Shatner smirk and say: "It's classified." Images: NBC | Wikimedia | Tik Tok

Body

Longing for the ‘golden age’ of air travel? Be careful what you wish for

<a href="https://theconversation.com/profiles/janet-bednarek-144872">Janet Bednarek</a>, <a href="https://theconversation.com/institutions/university-of-dayton-1726">University of Dayton</a> Long lines at security checkpoints, tiny plastic cups of soda, small bags of pretzels, planes filled to capacity, fees attached to every amenity – all reflect the realities of 21st century commercial air travel. It’s no wonder that many travelers have become nostalgic for the so-called “golden age” of air travel in the United States. During the 1950s, airlines promoted commercial air travel as glamorous: stewardesses served full meals on real china, airline seats were large (and frequently empty) with ample leg-room, and passengers always dressed well. After jets were introduced in the late 1950s, passengers could travel to even the most distant locations at speeds unimaginable a mere decade before. An airline trip from New York to London that could take up to 15 hours in the early 1950s could be made in less than seven hours by the early 1960s. But airline nostalgia can be tricky, and “golden ages” are seldom as idyllic as they seem. Until the introduction of jets in 1958, most of the nation’s commercial planes were propeller-driven aircraft, like the DC-4. Most of these planes were unpressurized, and with a maximum cruising altitude of 10,000 to 12,000 feet, they were unable to fly over bad weather. Delays were frequent, turbulence common, and air sickness bags often needed. Some planes were spacious and pressurized: the <a href="http://everythingnice.org/wp-content/uploads/2009/07/PanAm-cutawayS.jpg">Boeing Stratocruiser</a>, for example, could seat 50 first class passengers or 81 coach passengers compared to the DC-3’s 21 passengers. It could cruise at 32,000 feet, which allowed Stratocruiser to fly above most bad weather it encountered. But only 56 of these planes were ever in service. While the later DC-6 and DC-7 were pressurized, they still flew much lower than the soon-to-appear jets – 20,000 feet compared to 30,000 feet – and often encountered turbulence. The piston engines were bulky, complex and difficult to maintain, which contributed to frequent delays. For much of this period, the old saying “Time to spare, go by air” still rang true. Through the 1930s and into the 1940s, almost everyone flew first class. Airlines did encourage more people to fly in the 1950s and 1960s by introducing coach or tourist fares, but the savings were relative: less expensive than first class, but still pricey. In 1955, for example, so-called “bargain fares” from New York to Paris were the equivalent of just over $2,600 in 2014 dollars. Although the advent of jets did result in lower fares, the cost was still out of reach of most Americans. The most likely frequent flier was a white, male businessman traveling on his company’s expense account, and in the 1960s, airlines – with young attractive stewardesses in short skirts – clearly catered to their most frequent flyers. The demographics of travelers did begin to shift during this period. More women, more young people, and retirees began to fly; still, airline travel remained financially out-of-reach for most. If it was a golden age, it only was for the very few. <figure><iframe src="https://www.youtube.com/embed/bKqQgNZylLw?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>Jet planes were introduced in the late 1950s, resulting in shorter flight times. But their ticket prices out of reach for the average traveler.</figcaption></figure> People also forget that well into the 1960s, air travel was far more dangerous than it is today. In the 1950s and 1960s US airlines experienced at least a half dozen crashes per year – most leading to fatalities of all on board. People today may bemoan the crowded airplanes and lack of on-board amenities, but the number of fatalities per million miles flown has dropped dramatically since since the late 1970s, especially compared to the 1960s. Through at least the 1970s, airports even prominently featured kiosks selling flight insurance. And we can’t forget hijackings. By the mid-1960s so many airplanes had been hijacked that <a href="http://www.latinamericanstudies.org/hijackers/flying-high.htm">“Take me to Cuba”</a> became a punch line for stand-up comics. In 1971 <a href="http://nymag.com/news/features/39593/index2.html">D.B. Cooper</a> – a hijacker who parachuted from a Boeing 727 after extorting $200,000 – might have been able to achieve folk hero status. But one reason US airline passengers today (generally) tolerate security checkpoints is that they want some kind of assurance that their aircraft will remain safe. And if the previous examples don’t dull the sheen of air travel’s “golden age,” remember: in-flight smoking was both permitted and encouraged.<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/34177/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/janet-bednarek-144872">Janet Bednarek</a>, Professor of History, <a href="https://theconversation.com/institutions/university-of-dayton-1726">University of Dayton</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/longing-for-the-golden-age-of-air-travel-be-careful-what-you-wish-for-34177">original article</a>.

Travel Trouble

How long does menopause last? 5 tips for navigating uncertain times

<a href="https://theconversation.com/profiles/yvonne-middlewick-1395795">Yvonne Middlewick</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> Around half of the world’s population are women or people who menstruate – yet the way their body works can be a mystery, even to them. Most women will experience periods roughly every month, many will go through childbirth and those who live into midlife will experience menopause. While menopause is a significant time of change, it isn’t talked about much, other than as a punchline. This may contribute to keeping it a <a href="https://www.theguardian.com/membership/2019/sep/21/breaking-the-menopause-taboo-there-are-vital-stories-we-should-continue-to-pursue">taboo topic</a>. So, what happens during menopause? How do you know when it is happening to you? And – the thing most women want to know – how long will it last? <h2>What is menopause?</h2> Menopause is <a href="https://www.nia.nih.gov/health/what-menopause">defined</a> as the permanent cessation of menstruation, which is medically determined to be one year after the final menstrual period. After this time women are considered to be postmenopausal. The <a href="https://pubmed.ncbi.nlm.nih.gov/26598775/">average age</a> of “natural menopause” (that is not caused by a medical condition, treatment or surgery) is considered to be around 51 years. However, natural menopause does not occur suddenly. <a href="https://www.researchgate.net/profile/Riitta-Luoto/publication/46425690_Prevalence_of_menopause_symptoms_and_their_association_with_lifestyle_among_Finnish_middle-aged_women/links/5c5704ac458515a4c7553c7b/Prevalence-of-menopause-symptoms-and-their-association-with-lifestyle-among-Finnish-middle-aged-women.pdf">Changes can begin</a> a number of years before periods stop and most often occur in a woman’s 40s but they can be earlier. Changes <a href="https://pubmed.ncbi.nlm.nih.gov/25686030/">can continue</a> for 10 years or more after periods have stopped. Using hormones such as the oral contraceptive pill or hormone intrauterine devices may make it more <a href="https://pubmed.ncbi.nlm.nih.gov/31934948/">difficult to determine</a> when changes start. Menopause that occurs <a href="https://www.womenshealth.gov/menopause/early-or-premature-menopause#:%7E:text=Menopause%20that%20happens%20before%20age,to%20come%20earlier%20than%20usual.">before 45</a> is called “early menopause”, while menopause before 40 is called “premature menopause”. <h2>What about perimenopause?</h2> Various <a href="https://www.menopause.org.au/hp/information-sheets/glossary-of-terms">terms</a> are used to describe this period of change, including “menopause” or “the menopause”, “menopausal transition”, “perimenopause” or “<a href="https://pubmed.ncbi.nlm.nih.gov/12188398/">climacteric</a>”. These terms tend to refer to the period before and after the final menstrual period, when changes are considered to be related to menopause. The difficulty with the definition of menopause is it can only be decided retrospectively. Yet women can experience changes many years before their periods stop (a lead up usually called “perimenopause”). Also, any <a href="https://www.sciencedirect.com/sdfe/pdf/download/eid/1-s2.0-S0889854518300627/first-page-pdf">changes noticed</a> may not be associated with menopause (because people might not be aware of what to expect) or changes may be associated with a combination of factors such as stress, being busy or other health issues. <h2>So, what is going on?</h2> Through a feminist lens, menopause can be seen as a <a href="https://www.researchgate.net/publication/354652248_The_volcano_within_a_study_of_women's_lived_experience_of_the_journey_through_natural_menopause">complex and diverse experience</a>, influenced by biological, psychological, social and cultural aspects of women’s lives. However, it is usually viewed from the biomedical perspective. This sees it as a biological event, marked by the <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">decline</a> in ovarian hormone levels leading to a reduction in reproductive function. The female reproductive system operates because of a finely tuned balance of hormones managed by the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466056/#:%7E:text=The%20hypothalamic%2Dpituitary%2Dovarian%20(HPO)%20axis%20must%20be,priming%20the%20endometrium%20for%20implantation.">hypothalamic-pituitary-ovarian axis</a>. International <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3340903/">experts</a> have developed a staging system for female reproductive ageing, with seven stages from “early reproductive” years to “late postmenopause”. However, female reproductive hormones do not just affect the reproductive system but <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">other aspects</a> of the body’s function. These include the <a href="https://pubmed.ncbi.nlm.nih.gov/26007613/">neurological system</a>, which is linked to hot flushes and night sweats and disrupted sleep. Hormones may also affect the <a href="https://www.nature.com/articles/nrdp20154">heart and body’s blood circulation</a>, bone health and potentially the <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">immune system</a>. Menopausal hormone changes may <a href="https://www.thewomens.org.au/health-information/menopause-information/menopause-symptoms/">cause</a> hot flushes, night/cold sweats, mood swings, sleep disruption and tiredness, vaginal dryness. Medical confirmation of menopausal changes in women over 45 years is based on two biological indicators: vasomotor symptoms (those hot flushes and night sweats again) and an <a href="https://www.womenshealth.gov/menopause/early-or-premature-menopause#:%7E:text=Menopause%20that%20happens%20before%20age,to%20come%20earlier%20than%20usual.">irregular menstrual cycle</a>. In early perimenopause the changes to the menstrual cycle may be subtle. Women may not recognise early indicators, unless they keep a record and know what to watch for. <h2>How long does it last?</h2> The body demonstrates an amazing ability to change over a lifetime. In a similar way to adolescence where long-lasting changes occur, the outcome of menopause is also change. Research suggests it is difficult to give an exact time frame for how long menopausal changes occur – the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085137/">average</a> is between four and eight years. The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085137/">Penn Ovarian Ageing Study</a> found 79% of the 259 participants experienced hot flushes starting before the age of 50, most commonly between 45 and 49 years of age. A later report on the same study found one third of women studied experienced <a href="https://womensmidlifehealthjournal.biomedcentral.com/articles/10.1186/s40695-016-0014-2">moderate to severe hot flushes</a> more than ten years after their periods had stopped. A <a href="https://journals.lww.com/menopausejournal/Abstract/2017/03000/Cultural_issues_in_menopause__an_exploratory.11.aspx">2017 study</a> found a small number of women continued to experience hot flushes and other symptoms into their 70s. So overall, the research cannot offer a specific window for perimenopause, and menopause does not appear to mark the end of changes for everyone. <h2>5 tips for uncertain times</h2> Shifts and changes can be recognised early by developing knowledge, paying attention to changes to our bodies and talking about menopause and perimenopause more openly. Here are five tips for moving from uncertainty to certainty: 1. talk to people and find out as much information as you can. The experiences of mothers and sisters may help, for some women there are familial similarities 2. notice any changes to your body and make a note of them, this will help you recognise changes earlier. There are <a href="https://www.redonline.co.uk/wellbeing/a36980118/menopause-apps/">menopause tracking apps</a> available 3. keep a note of your menstrual cycle: start date, duration, flow and note any changes. Again, an app might help 4. if you are worried, seek advice from a GP or nurse that specialises in women’s health. They may suggest ways to help with symptoms or refer to a specialist 5. remember changes are the indicator to pay attention to, not time or your age. Menopause is a natural process and although we have focused here on the time frame and “symptoms”, it can also be a time of freedom (particularly from periods!), reflection and a time to focus on yourself.<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/195211/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <figure><iframe src="https://www.youtube.com/embed/lhosPUwWhfI?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>Women speak about their experiences of menopause.</figcaption></figure> <a href="https://theconversation.com/profiles/yvonne-middlewick-1395795">Yvonne Middlewick</a>, Nurse & Lecturer, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-does-menopause-last-5-tips-for-navigating-uncertain-times-195211">original article</a>.

Body

How long does back pain last? And how can learning about pain increase the chance of recovery?

<a href="https://theconversation.com/profiles/sarah-wallwork-1361569">Sarah Wallwork</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Back pain is common. One in thirteen people have it right now and worldwide a staggering 619 million people will <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186678/">have it this year</a>. Chronic pain, of which back pain is the most common, is the world’s <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186678/">most disabling</a> health problem. Its economic impact <a href="https://www.ncbi.nlm.nih.gov/books/NBK92510/">dwarfs other health conditions</a>. If you get back pain, how long will it take to go away? We scoured the scientific literature to <a href="https://www.cmaj.ca/content/cmaj/196/2/E29.full.pdf">find out</a>. We found data on almost 20,000 people, from 95 different studies and split them into three groups: <ul> <li>acute – those with back pain that started less than six weeks ago</li> <li>subacute – where it started between six and 12 weeks ago</li> <li>chronic – where it started between three months and one year ago.</li> </ul> We found 70%–95% of people with acute back pain were likely to recover within six months. This dropped to 40%–70% for subacute back pain and to 12%–16% for chronic back pain. Clinical guidelines point to graded return to activity and pain education under the guidance of a health professional as the best ways to promote recovery. Yet these effective interventions are underfunded and hard to access. <h2>More pain doesn’t mean a more serious injury</h2> Most acute back pain episodes are <a href="https://www.racgp.org.au/getattachment/75af0cfd-6182-4328-ad23-04ad8618920f/attachment.aspx">not caused</a> by serious injury or disease. There are rare exceptions, which is why it’s wise to see your doctor or physio, who can check for signs and symptoms that warrant further investigation. But unless you have been in a significant accident or sustained a large blow, you are unlikely to have caused much damage to your spine. Even very minor back injuries can be brutally painful. This is, in part, because of how we are made. If you think of your spinal cord as a very precious asset (which it is), worthy of great protection (which it is), a bit like the crown jewels, then what would be the best way to keep it safe? Lots of protection and a highly sensitive alarm system. The spinal cord is protected by strong bones, thick ligaments, powerful muscles and a highly effective alarm system (your nervous system). This alarm system can trigger pain that is so unpleasant that you cannot possibly think of, let alone do, anything other than seek care or avoid movement. The messy truth is that when pain persists, the pain system becomes more sensitive, so a widening array of things contribute to pain. This pain system hypersensitivity is a result of neuroplasticity – your nervous system is becoming better at making pain. <h2>Reduce your chance of lasting pain</h2> Whether or not your pain resolves is not determined by the extent of injury to your back. We don’t know all the factors involved, but we do know there are things that you can do to reduce chronic back pain: <ul> <li> understand how pain really works. This will involve intentionally learning about modern pain science and care. It will be difficult but rewarding. It will help you work out what you can do to change your pain </li> <li> reduce your pain system sensitivity. With guidance, patience and persistence, you can learn how to gradually retrain your pain system back towards normal. </li> </ul> <h2>How to reduce your pain sensitivity and learn about pain</h2> Learning about “how pain works” provides the most sustainable <a href="https://www.bmj.com/content/376/bmj-2021-067718">improvements in chronic back pain</a>. Programs that combine pain education with graded brain and body exercises (gradual increases in movement) can reduce pain system sensitivity and help you return to the life you want. These programs have been in development for years, but high-quality clinical trials <a href="https://jamanetwork.com/journals/jama/fullarticle/2794765">are now emerging</a> and it’s good news: they show most people with chronic back pain improve and many completely recover. But most clinicians aren’t equipped to deliver these effective programs – <a href="https://www.jpain.org/article/S1526-5900(23)00618-1/fulltext">good pain education</a> is not taught in most medical and health training degrees. Many patients still receive ineffective and often risky and expensive treatments, or keep seeking temporary pain relief, hoping for a cure. When health professionals don’t have adequate pain education training, they can deliver bad pain education, which leaves patients feeling like they’ve just <a href="https://www.jpain.org/article/S1526-5900(23)00618-1/fulltext">been told it’s all in their head</a>. Community-driven not-for-profit organisations such as <a href="https://www.painrevolution.org/">Pain Revolution</a> are training health professionals to be good pain educators and raising awareness among the general public about the modern science of pain and the best treatments. Pain Revolution has partnered with dozens of health services and community agencies to train more than <a href="https://www.painrevolution.org/find-a-lpe">80 local pain educators</a> and supported them to bring greater understanding and improved care to their colleagues and community. But a broader system-wide approach, with government, industry and philanthropic support, is needed to expand these programs and fund good pain education. To solve the massive problem of chronic back pain, effective interventions need to be part of standard care, not as a last resort after years of increasing pain, suffering and disability.<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/222513/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sarah-wallwork-1361569">Sarah Wallwork</a>, Post-doctoral Researcher, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-does-back-pain-last-and-how-can-learning-about-pain-increase-the-chance-of-recovery-222513">original article</a>.

Body

Funding for refugees has long been politicized − punitive action against UNRWA and Palestinians fits that pattern

<a href="https://theconversation.com/profiles/nicholas-r-micinski-207353">Nicholas R. Micinski</a>, <a href="https://theconversation.com/institutions/university-of-maine-2120">University of Maine</a> and <a href="https://theconversation.com/profiles/kelsey-norman-862895">Kelsey Norman</a>, <a href="https://theconversation.com/institutions/rice-university-931">Rice University</a> At least a dozen countries, including the U.S., have <a href="https://news.un.org/en/story/2024/01/1145987">suspended funding to the UNRWA</a>, the United Nations agency responsible for delivering aid to Palestinian refugees. This follows allegations made by Israel that <a href="https://www.wsj.com/world/middle-east/at-least-12-u-n-agency-employees-involved-in-oct-7-attacks-intelligence-reports-say-a7de8f36">12 UNRWA employees participated</a> in the Oct. 7, 2023, Hamas attack. The UNRWA responded by <a href="https://www.reuters.com/world/middle-east/un-palestinian-refugee-agency-investigates-staff-suspected-role-israel-attacks-2024-01-26/">dismissing all accused employees</a> and opening an investigation. While the seriousness of the accusations is clear to all, and the U.S. has been keen to <a href="https://www.nytimes.com/2024/01/30/us/politics/aid-gaza-israel.html">downplay the significance</a> of its pause in funding, the action is not in keeping with precedent. Western donors did not, for example, defund other U.N. agencies or peacekeeping operations amid accusations of <a href="https://www.hrw.org/news/2020/01/11/un-peacekeeping-has-sexual-abuse-problem">sexual assault</a>, <a href="https://www.justice.gov/usao-sdny/pr/former-un-general-assembly-president-and-five-others-charged-13-million-bribery-scheme">corruption</a> or <a href="https://www.hrw.org/legacy/summaries/s.bosnia9510.html">complicity in war crimes</a>. In real terms, the funding cuts to the UNRWA will affect <a href="https://www.unrwa.org/where-we-work/gaza-strip">1.7 million Palestinian refugees in Gaza</a> along with an additional 400,000 Palestinians without refugee status, many of whom benefit from the UNRWA’s infrastructure. Some critics have gone further and said depriving the agency of funds <a href="https://jacobin.com/2024/01/unrwa-defunding-gaza-israel">amounts to collective punishment</a> against Palestinians. Refugee aid, and humanitarian aid more generally, is theoretically meant to be neutral and impartial. But as experts in <a href="https://www.cambridge.org/core/books/reluctant-reception/558E2A93FF99B8F295347A8FA2053698">migration</a> <a href="https://www.routledge.com/UN-Global-Compacts-Governing-Migrants-and-Refugees/Micinski/p/book/9780367218836">and</a> <a href="https://press.umich.edu/Books/D/Delegating-Responsibility">international relations</a>, we know funding is often used as a foreign policy tool, whereby allies are rewarded and enemies punished. In this context, we believe the cuts in funding for the UNRWA fit a wider pattern of the politicization of aid to refugees, particularly Palestinian refugees. <h2>What is the UNRWA?</h2> The UNRWA, short for the U.N. Relief and Works Agency for Palestine Refugees in the Near East, was established two years after about <a href="https://theconversation.com/the-nakba-at-75-palestinians-struggle-to-get-recognition-for-their-catastrophe-204782">750,000 Palestinians were expelled or fled from their homes</a> during the months leading up to the creation of the state of Israel in 1948 and the subsequent Arab-Israeli war. Prior to the UNRWA’s creation, international and local organizations, many of them religious, provided services to displaced Palestinians. But after <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">surveying the extreme poverty</a> and dire situation pervasive across refugee camps, the U.N. General Assembly, including all Arab states and Israel, voted to create the UNRWA in 1949. Since that time, <a href="https://www.unrwa.org/what-we-do">the UNRWA has been the primary aid organization</a> providing food, medical care, schooling and, in some cases, housing for the 6 million Palestinians living across its five fields: Jordan, Lebanon, Syria, as well as the areas that make up the occupied Palestinian territories: the West Bank and Gaza Strip. The mass displacement of Palestinians – known as the <a href="https://theconversation.com/the-nakba-at-75-palestinians-struggle-to-get-recognition-for-their-catastrophe-204782">Nakba, or “catastrophe</a>” – occurred prior to the <a href="https://www.unhcr.org/about-unhcr/who-we-are/1951-refugee-convention">1951 Refugee Convention</a>, which defined refugees as anyone with a well-founded fear of persecution owing to “events occurring in Europe before 1 January 1951.” Despite a <a href="https://www.unhcr.org/sites/default/files/legacy-pdf/4ec262df9.pdf">1967 protocol extending the definition</a> worldwide, Palestinians are still excluded from the primary international system protecting refugees. While the UNRWA is responsible for providing services to Palestinian refugees, the United Nations also created the U.N. Conciliation Commission for Palestine in 1948 to seek a <a href="https://www.refworld.org/docid/4fe2e5672.html">long-term political solution</a> and “to facilitate the repatriation, resettlement and economic and social rehabilitation of the refugees and the payment of compensation.” As a result, the UNRWA does not have a mandate to push for the traditional durable solutions available in other refugee situations. As it happened, the conciliation commission was active only for a few years and has since been sidelined in favor of the U.S.-brokered peace processes. <h2>Is the UNRWA political?</h2> The UNRWA has been <a href="https://www.migrationpolicy.org/article/palestinian-refugees-dispossession">subject</a> to political headwinds since its inception and especially during periods of heightened tension between Palestinians and Israelis. While it is a U.N. organization and thus ostensibly apolitical, it has <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">frequently been criticized</a> by Palestinians, Israelis as well as donor countries, including the United States, for acting politically. The UNRWA performs statelike functions across its five fields – including education, health and infrastructure – but it is restricted in its mandate from performing political or security activities. Initial Palestinian objections to the UNRWA stemmed from the organization’s early focus on economic integration of refugees into host states. Although the UNRWA officially adhered to the U.N. General Assembly’s <a href="https://www.unrwa.org/content/resolution-194">Resolution 194</a> that called for the return of Palestine refugees to their homes, U.N., U.K. and U.S. <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">officials searched</a> for means by which to resettle and integrate Palestinians into host states, viewing this as the favorable political solution to the Palestinian refugee situation and the broader Israeli-Palestinian conflict. In this sense, Palestinians perceived the UNRWA to be both highly political and actively working against their interests. In later decades, the UNRWA <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">switched its primary focus</a> from jobs to education at the urging of Palestinian refugees. But the UNRWA’s education materials were <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">viewed</a> by Israel as further feeding Palestinian militancy, and the Israeli government insisted on checking and approving all materials in Gaza and the West Bank, which it has occupied since 1967. While Israel has <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">long been suspicious</a> of the UNRWA’s role in refugee camps and in providing education, the organization’s operation, which is internationally funded, <a href="https://www.crisisgroup.org/middle-east-north-africa/east-mediterranean-mena/israelpalestine/242-unrwas-reckoning-preserving-un-agency-serving-palestinian-refugees">also saves</a> Israel millions of dollars each year in services it would be obliged to deliver as the occupying power. Since the 1960s, the U.S. – UNRWA’s primary donor – and other Western countries have <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">repeatedly expressed their desire</a> to use aid to prevent radicalization among refugees. In response to the increased presence of armed opposition groups, the <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">U.S. attached a provision</a> to its UNRWA aid in 1970, requiring that the “UNRWA take all possible measures to assure that no part of the United States contribution shall be used to furnish assistance to any refugee who is receiving military training as a member of the so-called Palestine Liberation Army (PLA) or any other guerrilla-type organization.” The UNRWA adheres to this requirement, even publishing an annual list of its employees so that host governments can vet them, but it also <a href="https://www.crisisgroup.org/middle-east-north-africa/east-mediterranean-mena/israelpalestine/242-unrwas-reckoning-preserving-un-agency-serving-palestinian-refugees">employs 30,000 individuals</a>, the vast majority of whom are Palestinian. Questions over the links of the UNRWA to any militancy has led to the rise of Israeli and international <a href="https://cufi.org/issue/unrwa-teachers-continue-to-support-antisemitism-terrorism-on-social-media-un-watch/">watch groups</a> that document the social media activity of the organization’s large Palestinian staff. <h2>Repeated cuts in funding</h2> The United States has used its money and power within the U.N. to block criticism of Israel, vetoing at least <a href="https://www.un.org/depts/dhl/resguide/scact_veto_table_en.htm">45 U.N. resolutions</a> critical of Israel. And the latest freeze is not the first time the U.S. has cut funding to the UNRWA or other U.N. agencies in response to issues pertaining to the status of Palestinians. In 2011, the <a href="https://www.reuters.com/article/idUSTRE79U5ED/#:%7E:text=WASHINGTON%20(Reuters)%20%2D%20The%20United,grant%20the%20Palestinians%20full%20membership.">U.S. cut all funding to UNESCO</a>, the U.N. agency that provides educational and cultural programs around the world, after the agency voted to admit the state of Palestine as a full member. The Obama administration defended the move, claiming it was required by a 1990s law to defund any U.N. body that admitted Palestine as a full member. But the impact of the action was nonetheless severe. Within just four years, UNESCO was <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/1758-5899.12459">forced to cut its staff in half</a> and roll back its operations. President Donald Trump later <a href="https://www.pbs.org/newshour/politics/u-s-and-israel-officially-withdraw-from-unesco">withdrew the U.S. completely from UNESCO</a>. In 2018, the Trump administration paused its <a href="https://www.nytimes.com/2018/08/31/us/politics/trump-unrwa-palestinians.html">US$60 million contribution to the UNRWA</a>. Trump claimed the pause would create political pressure for Palestinians to negotiate. President Joe Biden restarted U.S. contributions to the UNRWA in 2021. <h2>Politicization of refugee aid</h2> Palestinian are not the only group to suffer from the politicization of refugee funding. After World War II, states established different international organizations to help refugees but strategically excluded some groups from the refugee definition. For example, the U.S. funded the <a href="https://www.nationalww2museum.org/war/articles/last-million-eastern-european-displaced-persons-postwar-germany">U.N. Relief and Rehabilitation Administration to help resettle displaced persons after World War II</a> but resisted Soviet pressure to forcibly repatriate Soviet citizens. The U.S. also created a separate organization, <a href="https://academic.oup.com/ijrl/article-abstract/1/4/501/1598187">the precursor to the International Organization for Migration</a>, to circumvent Soviet influence. In many ways, the UNRWA’s existence and the exclusion of Palestinian refugees from the wider refugee regime parallels this dynamic. Funding for refugees has also been politicized through the earmarking of voluntary contributions to U.N. agencies. Some agencies receive funding from U.N. dues; but the UNRWA, alongside the U.N. High Commissioner for Refugees and the International Organization for Migration, receive the majority of their funding from voluntary contributions from member states. These contributions can be earmarked for specific activities or locations, leading to donors such as the <a href="https://www.peio.me/wp-content/uploads/2019/01/PEIO12_paper_107.pdf">U.S. or European Union dictating which refugees get aid and which do not</a>. Earmarked contributions amounted to nearly <a href="https://unsceb.org/fs-revenue-agency">96% of the UNHCR’s budget, 96% of the IOM’s budget and 74% of UNRWA funding in 2022</a>. As a result, any cuts to UNRWA funding will affect its ability to service Palestinian refugees in Gaza – especially at a time when so many are <a href="https://www.cnn.com/2024/01/30/middleeast/famine-looms-in-gaza-israel-war-intl/index.html">facing hunger, disease and displacement</a> as a result of war.<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/222263/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nicholas-r-micinski-207353">Nicholas R. Micinski</a>, Assistant Professor of Political Science and International Affairs, <a href="https://theconversation.com/institutions/university-of-maine-2120">University of Maine</a> and <a href="https://theconversation.com/profiles/kelsey-norman-862895">Kelsey Norman</a>, Fellow for the Middle East, Rice University's Baker Institute for Public Policy, <a href="https://theconversation.com/institutions/rice-university-931">Rice University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/funding-for-refugees-has-long-been-politicized-punitive-action-against-unrwa-and-palestinians-fits-that-pattern-222263">original article</a>.

Money & Banking

The cheapest places to travel in 2024

With the cost of living continuing to rise, many people are looking for cost-friendly ways to travel the world in 2024. Some destinations are more economic than others, with these somewhat overlooked holiday hotspots showcasing the best of travelling without breaking the bank. If you’re looking for a new adventure this year, these corners of the globe are the cheapest places to travel in 2024. The Philippines The underrated gem located only a few hours northeast of Australia is one of the cheapest destinations in Asia, it's a wonder why more tourists don’t visit. Not only is it home to over 7,500 picturesque islands, six UNESCO World Heritage Sites and an endless chain of pristine beaches, it's also very affordable with resort accommodation under $100 a night is not hard to find. On top of accommodation, day tours and activities (snorkelling, for example) will set you back around $30 to $40. Flights are also reasonable in cost, with return flights from Sydney to Manila coming in around $600 per person. Turkey Travellers can get to Istanbul from Melbourne and back for approximately $1,300 per person, to visit some of the world’s most historical sites. Turkey is a paradise for those travelling on a budget, with mouthwatering meals can be found regularly for as little as $5, and even less for street food. To make it even better, striking accommodation in the historic Galata region can be as low as $50 a night. Hungary Hungary is regularly dubbed one of Europe’s cheapest tourist destinations, with accommodation, dining and entertainment costs significantly lower than the neighbouring countries. Expect to part with $60 to $100 a night for a pretty-as-a-picture hotel in the city centre, around $10 to $15 for meals in restaurants, and anywhere between $7 to $30 for activities. There are also tourist passes available that make these costs even cheaper. Albania Located on the western part of the Balkan peninsula, this destination is often overlooked by tourists, making it an ideal budget-friendly destination. The stunning country is home to UNESCO World Heritage sites and turquoise beaches, all while keeping your budget in mind. Beachside accommodation can be found for as little as $70 a night, with prices comparable to Turkey for restaurant meals. Image credits: Getty Images

International Travel

How long does immunity last after a COVID infection?

<a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/dr-wesley-freppel-1408971">Dr Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> Nearly four years into the pandemic, Australia, like many other countries, is still seeing large numbers of <a href="https://nindss.health.gov.au/pbi-dashboard/">COVID cases</a>. Some 860,221 infections were recorded around the country in 2023, while 30,283 cases have already been reported in 2024. This is likely to be a significant underestimate, with fewer people testing and reporting than earlier in the pandemic. But the signs suggest parts of Australia are experiencing yet <a href="https://www.abc.net.au/news/2024-01-23/covid-19-case-numbers-from-australia-states-and-territories/103374656">another COVID surge</a>. While some lucky people claim to have never had COVID, many are facing our second, third or even fourth infection, often despite having been vaccinated. You might be wondering, how long does immunity last after a previous infection or vaccination? Let’s take a look at what the evidence shows. <h2>B cells and T cells</h2> To answer this question, we need to understand a bit about how <a href="https://theconversation.com/what-happens-in-our-body-when-we-encounter-and-fight-off-a-virus-like-the-flu-sars-cov-2-or-rsv-207023">immunity</a> to SARS-CoV-2 (the virus that causes COVID) works. After being infected or vaccinated, the immune system develops specific antibodies that can neutralise SARS-CoV-2. B cells remember the virus for a period of time. In addition, the immune system produces memory T cells that can kill the virus, and remain in the blood for some months after the clearance of the infection or a vaccination. A <a href="https://www.science.org/doi/full/10.1126/science.abf4063?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org">2021 study</a> found 98% of people had antibodies against SARS-CoV-2’s spike protein (a protein on the surface of the virus that allows it to attach to our cells) one month after symptom onset. Six to eight months afterwards, 90% of participants still had these neutralising antibodies in their blood. This means the immune system should have recognised and neutralised the same SARS-CoV-2 variant if challenged within six to eight months (if an infection occurred, it should have resulted in mild to no symptoms). <h2>But what about when the virus mutates?</h2> As we know, SARS-CoV-2 has mutated over time, leading to the emergence of new variants such as alpha, beta, delta and omicron. Each of these variants carries mutations that are new to the immune system, even if the person has been previously infected with an earlier variant. A new variant likely won’t be <a href="https://www.science.org/doi/10.1126/science.adj0070">perfectly recognised</a> – or even <a href="https://www.cell.com/cell/pdf/S0092-8674(21)01578-6.pdf">recognised at all</a> – by the already activated memory T or B cells from a previous SARS-CoV-2 infection. This could explain why people can be so readily reinfected with COVID. A recent <a href="https://www.thelancet.com/article/S0140-6736(22)02465-5/fulltext#seccestitle10">review of studies</a> published up to the end of September 2022 looked at the protection conferred by previous SARS-CoV-2 infections. The authors found a previous infection provided protective immunity against reinfection with the ancestral, alpha, beta and delta variants of 85.2% at four weeks. Protection against reinfection with these variants remained high (78.6%) at 40 weeks, or just over nine months, after the previous infection. This protection decreased to 55.5% at 80 weeks (18 months), but the authors noted there was a lack of data at this time point. Notably, an earlier infection provided only 36.1% protection against a reinfection with omicron BA.1 at 40 weeks. Omicron has been described as an <a href="https://www.nature.com/articles/s41564-022-01143-7">immune escape variant</a>. A prior infection showed a high level of protection against severe disease (above 88%) up to 40 weeks regardless of the variant a person was reinfected with. <h2>What about immunity after vaccination?</h2> So far almost 70 million COVID vaccines <a href="https://www.health.gov.au/topics/covid-19/reporting">have been administered</a> to more than <a href="https://www.health.gov.au/resources/publications/covid-19-vaccine-rollout-update-12-january-2023?language=en">22 million people</a> in Australia. Scientists estimated COVID vaccines prevented around <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00320-6/fulltext">14.4 million deaths</a> in 185 countries in the first year after they became available. But we know COVID vaccine effectiveness wanes over time. A <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804451?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=050323">2023 review</a> found the original vaccines were 79.6% and 49.7% effective at protecting against symptomatic delta infection at one and nine months after vaccination respectively. They were 60.4% and 13.3% effective against symptomatic omicron at the same time points. This is where booster doses come into the picture. They’re important to keep the immune system ready to fight off the virus, particularly for those who are more vulnerable to the effects of a COVID infection. Plus, regular booster doses can provide immunity against different variants. COVID vaccines are constantly being <a href="https://mvec.mcri.edu.au/references/covid-19/">reviewed and updated</a> to ensure optimal protection against <a href="https://www.who.int/activities/tracking-SARS-CoV-2-variants">current circulating strains</a>, with the latest shot available designed to target <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/new-covid-19-vaccines-available-to-target-current-variants">the omicron variant XBB 1.5</a>. This is similar to how we approach seasonal flu vaccines. A <a href="https://www.nature.com/articles/s41598-023-50335-6">recent study</a> showed a COVID vaccination provides longer protection against reinfection than natural protection alone. The median time from infection to reinfection in non-vaccinated people was only six months, compared with 14 months in people who had received one, two or three doses of vaccine after their first infection. This is called <a href="https://www.science.org/doi/10.1126/science.abj2258">hybrid immunity</a>, and other research has similarly found it provides better protection than natural infection alone. It also seems timing is important, as receiving a vaccine too soon after an infection (less than six months) appears to be <a href="https://www.nature.com/articles/s41598-023-50335-6">less effective</a> than getting vaccinated later. <h2>What now?</h2> Everyone’s immune system is slightly unique, and SARS-CoV-2 continues to mutate, so knowing exactly how long COVID immunity lasts is complicated. Evidence suggests immunity following infection should generally last six months in healthy adults, and can be prolonged with vaccination. But there are exceptions, and all of this assumes the virus has not mutated so much that it “escapes” our immune response. While many people feel the COVID pandemic is over, it’s important we don’t forget the lessons we have learned. Practices such as wearing a mask and staying home when unwell can reduce the spread of many viruses, not only <a href="https://www.bmj.com/content/375/bmj-2021-068302">COVID</a>. Vaccination is not mandatory, but for older adults eligible for a booster under the <a href="https://www.health.gov.au/news/atagi-update-on-the-covid-19-vaccination-program">current guidelines</a>, it’s a very good idea.<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/221398/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/dr-wesley-freppel-1408971">Dr Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-does-immunity-last-after-a-covid-infection-221398">original article</a>.

Body

The surprising reason you shouldn’t bring camouflage clothing on a cruise

Dress codes If you’ve been on a cruise before, then you’re probably aware that dress codes are still a thing. In fact, clothing recommendations are quite common, as some of the best cruise lines have formal nights, dress-to-impress evenings and planned costume or themed cruise events. So rules about what you can and cannot wear aren’t abnormal. As such, packing for a cruise is no easy feat: You’ll need formalwear for nights, pool wear for the day, outfits for excursions and layers for inclement weather. I’m an avid cruise-goer, and there are a number of items I never board a cruise ship without, but there’s also one thing I absolutely never pack for a cruise headed for the Philippines or the Caribbean: camouflage clothing. Why is camouflage clothing inadvisable? It actually has nothing to do with the formality of your wardrobe. Camouflage clothing happens to be illegal to wear in many countries that are popular cruise destinations. According to cruise liner Royal Caribbean, the Philippines, Antigua, Barbados, Grenada, Jamaica, St. Lucia and Trinidad and Tobago are among those that prohibit camouflage. And while camouflage print clothing and accessories, as well as military-style clothing, aren’t technically banned onboard cruises, most cruise companies will simply ask you not to pack them to curb any potential issues at ports. Why is camouflage clothing banned in these countries? In most countries that prohibit camouflage, it’s because the disguising clothing is reserved for military personnel only. And it’s important to be respectful of this camouflage-free rule, which I learned while travelling to Nevis about seven years ago. My friend was stopped by hotel staff who advised her to change out of her camouflaged pants if she planned to leave the property. Not understanding the seemingly odd request without any context or explanation, we asked what would happen if she didn’t comply. Their response? She could get fined or arrested. As you can imagine, those cute camo pants were then stuffed into her suitcase for the remainder of our stay. “It is a concern because of the affiliation with criminal gangs as well as armed forces,” says Lauren Doyle, a travel advisor and president of boutique travel agency The Travel Mechanic. She says that to avoid any confusion and help curb any potential issues in the future, cruise lines simply advise against bringing it onboard. Doyle, who has booked many cruises for customers, says this information is usually found on a cruise line’s website (which is why it’s important to brush up on cruise tips prior to setting sail), and that many cruise lines will include it in their daily newsletter or app if you’re going to any country that prohibits it. What to do if you accidentally pack camouflage clothing If you’ve packed a camo hat, bathing suit, cargo pants or the camouflage backpack you carry, just leave it on the ship, even if you’re unsure of restrictions on what to wear in certain ports of call. Generally, you can wear camo clothing while you’re onboard, just not during excursions or on land. So if you’ve packed it, go ahead and rock your camo print at the breakfast buffet or on the pool deck (as you ponder those big white balls on the cruise deck). And while you could probably technically wear your camo while chilling on your stateroom balcony, if it’s viewable to the country you’re visiting, it may still be considered disrespectful, so we don’t recommend it. What else is prohibited on a cruise ship? There are plenty of things you can’t do on a cruise, but what about things you shouldn’t bring to begin with? There are a few more surprising items Doyle recommends leaving at home. “Small appliances – like hot plates, steamers or irons – are also prohibited, along with electric blankets,” Doyle says. “Also, medical marijuana is not allowed on cruise ships. Drones are not allowed either.” Each cruise line lists prohibited items on their website, along with some exceptions, so be sure to consult their information before you start packing. Image credits: Shutterstock This article originally appeared on <a href="https://www.readersdigest.co.nz/travel/cruising/the-surprising-reason-you-shouldnt-bring-camouflage-clothing-on-a-cruise" target="_blank" rel="noopener">Reader's Digest</a>.

Cruising

14 best places to travel in 2024

If you’ve been to an airport recently, what we’re about to tell you will come as no surprise: Travel is back in a BIG way. Travellers are hitting the skies – and the rails, roads and seas – in record numbers, looking for the best places to travel. So what does that mean for 2024? “We’re looking at a wave of excitement over travelling with family and friends,” according to Heather Heverling, managing director of Audley Travel. “One thing we’re seeing a lot of is ‘skip-gen’ travel,” when grandparents take their grandkids on holidays but leave the parents at home. (We say: Those are some lucky kids!) And while domestic travel will certainly be popular, people are also looking to expand their horizons. Interest in Japan is booming, says Heverling. And there’s a desire to leave the crowds behind and find hidden gems in spots like France, where many people will be headed to watch the Olympics this summer. We know – there are so many amazing places to go and cool things to see, and it’s hard to narrow things down! To help you pick the perfect spot, we’ve rounded up some of the best places to visit in 2024, whether you’re looking for quick trips, beach getaways, cheap places to travel, city experiences or far-flung adventures. Read on to get a whole year’s worth of inspiration! South Island, New Zealand Wondering which hot spot to visit first? Our pick for 2024 is South Island, New Zealand. Christchurch is considered the base camp for South Island explorations. During the day, kayak in the emerald waters of Abel Tasman National Park, bike or hike to gorgeous hot springs, or sample New Zealand’s best pours at spots like Tussock Hill Vineyards (where you can also spend the night in new luxury suites nestled in the vineyard). When the sun goes down, it will be time for spectacular stargazing at Aoraki Mackenzie International Dark Sky Reserve, which recently became the first Dark Sky Reserve in New Zealand. Where to stay: Find a hotel that puts you right in the heart of Christchurch and within walking distance of restaurants, shops and the Botanical Gardens. Paris, France Everyone is talking about visiting France this year, and for good reason. Paris will be hosting the Summer Olympics, with events held throughout the City of Lights and the surrounding area – including boating and swimming events on the Seine River and dressage events at Versailles. (According to France’s tourism office, 95 per cent of the Olympic and Paralympic events will be held in existing locations for a more sustainable world event.) The city is in full-throttle preparation mode, with new hotels opening, art exhibits launching and plenty of projects underway to make Paris shine even brighter than usual. And that’s not all France has going on. June 6, 2024, is the 80th anniversary of D-Day, when Allied forces stormed the beaches of Normandy. To get the most context out of a visit, it helps to go with a guide who can take you through the area and bring the past to life through storytelling and interactive exhibits. Where to stay: If possible, base yourself in the ever-popular Left Bank neighbourhood in the 6tharrondissement of the city, where you’ll be able to enjoy views right across the river of the stunning Notre Dame Cathedral, which is set to reopen in late 2024 after its devastating 2019 fire. Like we said, it’s a big year! Cambodia Why you should go: More ways to explore and two new airports to reach the country Cambodia is a bucket-list destination for many travellers. “With the addition of luxury lodges and resorts, travellers can now enjoy a true luxury immersion in Cambodia – blending ancient ruins and culture, cuisine and handicrafts, rainforest and jungle, and ending with a sublime beach stay,” says Brady Binstadt, CEO of GeoEx, an adventure-travel company. In the little-visited Cardamom Forest Protected Area, options for hiking, mountain biking, boating and bird-watching abound, says Binstadt, who also recommends boating through lush forest to Tatai village, where visitors can walk by the river, kayak through mangroves and listen to the symphonic sounds of wildlife from a floating lodge. You’ll also want to visit Angkor Wat, famed for its glorious temples. Happily, reaching Angkor Wat just became a lot easier with the brand-new, $1 billion Siem Reap-Angkor International Airport, which is just a short drive from the UNESCO Heritage Site temple complex. Later in 2024, the capital of Cambodia, Phnom Penh, will also unveil a new $1.5 billion airport, providing even more ways to reach the country. Where to stay: Shinta Mani Wild in the Cardamom Mountains is a luxury jungle retreat about three hours from Phnom Penh; it boasts its own zip line over the waterfalls and river where the remote lodge is located. Another unique option is Six Senses Krabey Island off the southern coast, where 40 glass-front villas are tucked into the dense foliage of this romantic resort. Indulge in a treatment at the luxe spa after exploring the nearby Kbal Chhay waterfalls and the waterways of Ream National Park. Los Angeles, California Yes, we know, you hear “LA” and think beach and sand. But for 2024, replace that with cool art and culture, since Los Angeles will be hosting two awesome openings. When it opens in February, Destination Crenshaw will be the largest Black art program in the US, with a two-kilometre stretch of Crenshaw Boulevard in South LA, containing 100 commissioned works by Black artists displayed within beautifully landscaped community spaces. And September will see the launch of Getty’s colossal PST ART: Art & Science Collide. The latest edition of the initiative (previously known as Pacific Standard Time) will include more than 50 exhibitions across the Los Angeles area, including iconic spots like the Griffith Observatory, the LA County Museum of Art (LACMA) and the Getty Center. The exhibits aren’t just paintings and sculptures. They are intersections of art, science and the natural world – including “Color in Motion: Chromatic Explorations of Cinema” at the Academy Museum of Motion Pictures; “From Fire We Are Born,” which explores Native American culture at the Fowler Museum at UCLA; and “Seeing the Unseeable: Data, Design, Art” at the ArtCenter College of Design. Where to stay: No matter which room or suite you book at the InterContinental Los Angeles, you’ll be greeted with what feels like a never-ending view. You’ll see everything from the Pacific Ocean to the Hollywood sign and downtown skyscrapers. And not only is it the tallest building west of Chicago, but the location puts you right in the middle of all the arts action. Okavango Delta, Botswana Why you should go: Sustainable new safari camps deep in the Delta. Always dreamed of going on safari? Botswana should be at the top of your 2024 travel list. A decade after being designated the 1000th site on UNESCO’s World Heritage List, Botswana’s watery Okavango Delta remains a captivating marvel of nature that differentiates it from other safari destinations. The intricate network of waterways, lush greenery and diverse ecosystems presents amazing opportunities to observe animals like elephants, impala, kudu, zebra and more from a mokoro, or dugout boat, as you float silently through the area. For an intimate stay in the wilderness areas, try the new tented camps. If that’s not your thing, there are also fancy, all-inclusive hotels that wrap game drives into their included offerings. Where to stay: First, there’s the Natural Selection’s Tawana Camp, which is set to open in May 2024 in the Moremi Game Reserve. It will combine modern luxury (think: multi-bedroom, free-standing suites with private pools) with intimate safari experiences. Bonus: This corner of Botswana is known for its high population of lions and leopards. Atzaro Okavango from African Bush Camps opens in March 2024, offering sustainable luxury in the heart of the Delta. This eco-friendly property is made from recycled materials and powered entirely by solar energy. Guests stay in air-conditioned suites with their own plunge pools and will be treated to year-round sightings of elephants, buffalo, lions, leopards, giraffes, hippos and other African wildlife. Turks and Caicos Why you should go: Because kiteboarding will be the thing to do in 2024 – and Turks and Caicos is also heaven on earth. We’re calling it: When kiteboarding makes its official Olympic debut in 2024, the sport will surge in popularity. But don’t go to Paris to do it. Instead, head to Turks and Caicos, a fabulous warm-weather winter getaway that offers some of the best kiteboarding conditions in the world. “The island’s consistent trade winds, shallow warm waters and large areas of flat, uncrowded riding make it an ideal destination for this thrilling water sport,” says Vasco Borges, the owner of Beach Enclave Turks and Caicos and a passionate kiteboarder. Swimming and snorkelling are popular activities on the island as well, and avid divers love the mammoth undersea coral wall off Grand Turk. Plus, Turks and Caicos is home to some of the most gorgeous beaches in the world. In other words, it’s always one of the best places to travel! Where to stay: New for 2024, Beach Enclave will offer new beach houses with privacy, tranquility and an oceanfront private pool on the North Shore. The Grace Bay location of the multi-location resort is introducing contemporary villas with a blend of indoor and outdoor living, called the Reserve at Grace Bay. And finally, at the resort’s Long Bay location, which is known as a kiteboarder’s haven, you’ll find new beach houses along the pristine white-sand beachfront, ideal for families and water-sports enthusiasts. Belize Have you heard of the Great Barrier Reef? We thought so. How about Belize’s Barrier Reef? Not so much, right? We’re here to tell you that in 2024, it’s time to put this natural wonder on your must-visit list. The world’s second-largest barrier reef (behind Australia’s), it is actually the biggest reef in both the northern and western hemispheres. The snorkelling here is magnificent, and so is the diving – plus, it’s not as crowded as the better-known Australian alternative. If you’re looking for the perfect home base while visiting, consider Belize’s largest island, Ambergris Caye. The Belize Barrier Reef is just a 400-metres offshore, and you’ll definitely want to check out the protected Hol Chan Marine Reserve, which is just a 10-minute boat ride from the main town of San Pedro. When you’re not snorkelling or swimming, spend your days popping into Belizean art galleries and souvenir shops or just lounging on the white sand. Where to stay: Try the Alaia Belize, an Autograph Collection hotel in the island’s historic town of San Pedro. This beachfront hotel is just 600 metres from the Belize Barrier Reef Reserve and has stunning views of the Caribbean Sea. Plus, it has an on-site dive shop and three pools, including Belize’s first-ever suspended rooftop pool and a lounge with 360-degree views. Paros, Greece Have you heard of destination dupes? According to Expedia, these are “places that are a little unexpected, sometimes more affordable and every bit as delightful as the tried-and-true destinations travellers love.” One of our favourites on Expedia’s list is this stunning Greek island that usually sails under the most travellers’ Mediterranean radars in uncrowded bliss while the hordes of tourists head to Mykonos and Santorini. Visiting the island, which is about a two-hour ferry ride south of well-known party island Mykonos and right next to Naxos, is one of the best things to do in Greece, since it means enjoying idyllic beaches framed by the azure waters of the Aegean Sea. While you’re here, explore the winding streets and charming villages of Naoussa and Lefkes, and sip whipped coffee frappes or ouzo at the picturesque port of Parikia (the island’s capital), home to whitewashed houses adorned with vibrant bougainvillea. Where to stay: You can’t go wrong at the newly opened Minois hotel, where the whitewashed walls hold luxurious touches, such as decadent dining at Olvo and pampering spa treatments. But the best part may be simply floating in the infinity pool with views of the sea spread out in front of you. Kyoto, Japan Why you should go: An array of new luxury hotels and the opening of the first Nintendo Museum. “One thing we can say for sure is that interest in visiting Japan is not slowing down,” says Audley Travel’s Heverling. Japan finally welcomed visitors back in 2023, and the numbers are soaring. And for 2024, we’re seeing cool new openings and numerous developments that will make your trip even easier. Kyoto, especially, will be the city to watch in the new year, when the world’s first Nintendo Museum opens in spring 2024 in the former Nintendo Uji Kokura factory site in Kyoto. This will be a big draw for pop-culture lovers and gamers. Even if you don’t know a controller from a cruller, though, Kyoto will enthral you with ancient temples and beautiful architecture that make it look like a real-life fairy-tale town. Plus, there are four amazing new hotels opening in Kyoto in 2024, where you can happily rest, relax and enjoy. Where to stay: Luxury brand Banyan Tree Higashiyama Kyoto will feature a private onsen bath; elegant Six Senses Kyoto will have a spa and zen-like rooms situated around seasonal gardens; and the 313-room Hilton Kyoto will be the brand’s first flagship hotel in Kyoto. Finally, the new Regent Kyoto (an IHG property) is opening a resort-like property in a hundred-year-old garden complex that’s also home to a Michelin-starred restaurant. Northern Territories, Canada Why you should go: An almost-guaranteed opportunity to see the northern lights during the “solar max”. There are two truths about seeing the northern lights: They’re beautiful, and they’re elusive. Unlike the solar eclipse, there’s no date or time that you’re guaranteed to see the night-time spectacular. You do need, however, to go north… in winter… and then wait. That’s why we’re so excited about the news from the Northern Territories of Canada, where a “solar max” cycle is going to make it possible to see the aurora borealis with new ease. According to the Canada Tourism Board, in the Northwest Territories, “travellers have a 98 per cent chance of witnessing the spectacle” during a three-night stay November through March, when longer hours of darkness each day and clear nights make it easier to spot the lights. The jewelled green, purple and gold lights can be seen due to the perfect combination of clear nights, flat landscape, low humidity and the location beneath the earth’s auroral oval. Even better, 2024 is the peak of the 11-year solar cycle, which means the light show will be even more dramatic than usual. Where to stay: The main gateway to the area is Yellowknife, the location of Aurora Village, an entirely Indigenous-owned experience that leads guided night-time tours and where you can go dog sledding and snowshoeing. You can also spend the evening in a cosy teepee, complete with a wood stove, which makes it easy to pop out and see the aurora borealis when it lights up the sky. Mexico City Why you should go: Tour tourism for live-music lovers – and Madonna fans! Expedia predicts that “tour tourism,” following a favourite artist on their headlining tour, will thrive in 2024. “In 2023, the cultural impact of the Eras and Renaissance tours was undeniable, driving ticket sales but also travel and tourism,” according to Expedia Brands travel expert Melanie Fish. Perhaps driven by ticket prices, 30 per cent of travellers told Expedia they would travel outside of their home city for a concert because tickets were cheaper elsewhere, with Mexico City coming out near the top of that list. We’re totally in on the trend, especially since Madonna will play four dates the Palacio de los Desportes in 2024, making Mexico City a live-music hot spot for the coming year. And as an extra bonus, Mexico City is an affordable warm-weather destination, not to mention a hub for art, culture and cuisine. Translation: There’s plenty to do and see when you’re not rocking out. Check out the Colonia Roma neighbourhood, called CDMX – often referred to as “the Williamsburg of Mexico City” for its hipster vibe and cool architecture, art galleries and restaurants. Where to stay: The new boutique hotel Colima 71 features hundreds of authentic Mexican art pieces, a craft coffee bar with an on-site barista and plenty of communal spaces perfect for mingling with fellow travellers. Located in the heart of artsy CDMX, it’s also a super convenient and central location. Washington, D.C. Why you should go: To watch democracy at work during an election year… and visit some cool museums, too. Following a record year of tourism to the US capital, 2024 will likely see visits continue to rise, thanks to the upcoming presidential election in November. But even if you’re not a pollster, there are plenty of other attractions in the nation’s capital that make it one of the best places to travel year-round. First, travellers will be happy to hear that it’s easier to get into the heart of the city now that the Metro added service to Dulles International Airport with direct service on the Silver Line of the underground train system – and it’s never more than $6! While you’re in town, check out the newly renovated and reopened National Museum of Women in the Arts, which spotlights women artists from the 17th century to the present. And in 2024, the Smithsonian’s contemporary art museum, the Hirshhorn, will be celebrating its 50th anniversary with a collection of new exhibits. Also, remember: Nearly all D.C. museums are free, so the sightseeing part of your trip will be super affordable. Where to stay: Book a room at The Dupont Circle, a hotel that successfully walks the line between feeling luxurious and homey. It’s steps away from dozens of art galleries and museums, and it boasts an impressive art collection of its own. Don’t miss brunch and dinner at the delicious new American on-site Pembroke restaurant. The Pekoe Trail, Sri Lanka Why you should go: To check out amazing new hiking trails and old cultures. The newly opened Pekoe Trail in Sri Lanka is a fantastic way to explore the country’s varied landscapes. Ten years in the making, the Pekoe Trail is the first collection of destination-based walking trails that aims to support remote communities, promote cultural heritage and showcase Sri Lankan scenery. Most of the trails opened in the fall of 2023, with a few more opening at the beginning of 2024. The 300-kilometre route starts in the central city of Kandy, famous for the Temple of the Tooth, and meanders through to stunning mountain views of Ella. Audley Travel, says Heverling, can arrange treks to the most scenic parts of the Sri Lanka trail. Hikers will walk on the region’s famed tea trails, as well as through forests, jungle and remote towns and villages. Where to stay: The experts at Audley recommend Mountain Heavens for its fantastic infinity pool that will make you feel like you’re literally floating over the valley. Big, comfy beds and modern amenities, not to mention a delicious included breakfast, all add up to a very luxurious end to a hike. Ras Al Khaimah, United Arab Emirates Why you should go: Seaside vibes in Dubai’s under-the-radar neighbour to the north. Dubai is always popular, and always full of flashy new attractions and frenetic energy. But if you want an Emirates vacation that’s a little more relaxing, head 40 minutes north of the city to this under-the-radar gem. Well, under the radar until 2024, that is, when the luxury Anantara Mina Al Arab Ras Al Khaimah Resort opens and more people realise that it’s one of the best places to travel. It’s set amid the area’s stunning mountains and mangroves in the seaside neighbourhood of Mina Al Arab, which is quickly becoming a trendy destination, with new openings and plenty of sunshine. Ras Al Khaimah is a great spot for outdoorsy types, who can snorkel or swim in the crystal-clear turquoise waters, then head off for a quad biking adventure in the desert or soar over the desert on the world’s longest zipline. And speaking of world records: If you get a chance to spend New Year’s Eve here, don’t miss it. The Emirate holds multiple Guinness World Records for its spectacular fireworks performances held during its New Year’s celebrations. Where to stay: The Anantara Resort here is more than just a getaway from the bustling city. It also boasts Bali-style overwater bungalows for an over-the-top romantic getaway. Image credits: Getty Images This article originally appeared on <a href="https://www.readersdigest.co.nz/flightstravel-hints-tips/14-best-places-to-travel-in-2024?pages=1" target="_blank" rel="noopener">Reader's Digest</a>.

International Travel

I have COVID. How likely am I to get long COVID?

<a href="https://theconversation.com/profiles/andrew-baillie-646956">Andrew Baillie</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/amelia-gulliver-17440">Amelia Gulliver</a>, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a>; <a href="https://theconversation.com/profiles/lena-sanci-523666">Lena Sanci</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/lucette-cysique-1495512">Lucette Cysique</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a>, and <a href="https://theconversation.com/profiles/philip-britton-1127089">Philip Britton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> EG.5 or the Eris COVID variant is dominant in parts of <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20231202.pdf">Australia</a>. Eris, along with other circulating strains, are descendants of Omicron. While these strains appear less severe than the original Alpha and Delta variants, the risk of long COVID remains. So what does the latest data say about the chance of long COVID? What symptoms should you look out for? And what can be done to support people with long COVID? <h2>When COVID becomes ‘long COVID’</h2> For most people, long COVID means not getting better after a COVID infection. The World Health Organization <a href="https://www.who.int/publications-detail-redirect/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1">defines long COVID</a> as continuing or new symptoms at least three months from the start of a COVID infection that last at least two months and cannot be explained by an alternative diagnosis. The most <a href="https://link.springer.com/article/10.1007/s10654-022-00962-6">common symptoms</a> include fatigue, brain fog, breathlessness, headaches and abdominal pain. But people with long COVID can experience <a href="https://www.sciencedirect.com/science/article/pii/S1684118222001864?via%3Dihub">a wide range</a> of problems including cardiovascular issues, mental health problems such as depression and anxiety, insomnia, muscle and joint pain, and gastrointestinal problems. <h2>How common is long COVID?</h2> Australian data on long COVID <a href="https://www.mja.com.au/journal/2023/218/10/long-covid-australia-achieving-equitable-access-supportive-health-care">remains limited</a> compared to <a href="https://www150.statcan.gc.ca/n1/pub/75-006-x/2023001/article/00015-eng.htm">international data</a>, and estimates of its prevalence have varied. A report from Australia’s parliamentary inquiry into long COVID, <a href="https://parlinfo.aph.gov.au/parlInfo/download/committees/reportrep/RB000006/toc_pdf/SickandtiredCastingalongshadow.pdf">published in April</a>, suggested 2%-20% of people may develop long COVID following an infection. A recent Australian study conducted when vaccines were widely available indicates earlier Omicron variants <a href="https://doi.org/10.3390/ijerph20186756">saw 10% of people</a> who caught COVID develop long COVID. Another recent study, yet to be peer-reviewed, found <a href="https://www.medrxiv.org/content/10.1101/2023.08.06.23293706v1">18.2%</a> of those infected went on to have long COVID. The wide-ranging estimates are likely to be because of different COVID variants, differences in vaccination, and different long COVID definitions and assessment methods. The risk is lower in children. One Australian study indicated persistent symptoms in <a href="https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(21)00124-3/fulltext">8% of children</a> who had COVID in 2020, while <a href="https://www.medrxiv.org/content/10.1101/2023.03.14.23287239v1">preliminary research</a> points to a slightly lower risk among children infected in 2021. But more research is needed, especially as the virus continues to evolve. This can be complicated because typical long COVID symptoms are common to many other health problems. As in other countries, more research is now underway <a href="https://www.apprise.org.au/broad-research-area/insights-into-long-covid/">in Australia</a> to determine the accurate prevalence of the condition using a definition and methods that carefully exclude other causes. Although research on long COVID risk factors with new variants is ongoing, we expect being female, having more severe initial disease and having other health conditions will <a href="https://doi.org/10.1001/jamainternmed.2023.0750">increase a person’s chance</a> of getting long COVID. <h2>What’s different this time?</h2> Research shows COVID vaccines offer <a href="https://www.mdpi.com/1660-4601/19/19/12422">protection</a> against long COVID. As well as vaccinations, immunity from previous COVID infections and antiviral treatments are contributing to less severe COVID and potentially <a href="https://theconversation.com/could-antivirals-reduce-your-risk-of-long-covid-where-the-research-is-up-to-on-prevention-and-treatment-216529">less long COVID</a> than we saw earlier in the pandemic. But while the Omicron waves may lead to <a href="https://www.smh.com.au/national/newer-virus-strains-less-likely-to-cause-long-covid-20231123-p5emag.html">fewer cases of long COVID</a> than the earlier Alpha and Delta variants, because so many Australians are contracting COVID, this will still result in a large number of people with long COVID. And each <a href="https://www150.statcan.gc.ca/n1/pub/75-006-x/2023001/article/00015-eng.htm">repeat infection</a> presents a new risk of prolonged symptoms. <h2>Long COVID can affect all aspects of life</h2> Long COVID can <a href="https://doi.org/10.1093/ije/dyad033">impact</a> a person’s life in many ways. Fatigue following exertion, brain fog and other symptoms can reduce capacity to perform tasks such as concentrating at a computer, manual labour, and even normal household tasks. Many people with long COVID submitted evidence to the recent <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/House/Health_Aged_Care_and_Sport/LongandrepeatedCOVID/Report/Chapter_4_-_Lived_experiences_of_long_COVID">parliamentary inquiry</a> that they were unsupported, stigmatised, isolated, and not taken seriously by health professionals. Evidence suggests many symptoms <a href="https://www.thelancet.com/journals/lanepe/article/PIIS2666-77622200250-2/fulltext">will improve</a> in most people over <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00138-4/fulltext">12 to 18 months</a>, although recovery time can differ between symptoms. Some, including gastrointestinal and respiratory symptoms, tend to <a href="https://www.nature.com/articles/s41579-022-00846-2">resolve sooner than others</a>, such as cognitive symptoms. <h2>I think I have long COVID, what can I expect from my doctor?</h2> Long COVID is the kind of challenge Australia’s <a href="https://dx.doi.org/10.5694/mja2.51950">health system finds most difficult</a>. GPs are stretched and the small number of specialist <a href="https://www.abc.net.au/news/2023-12-12/long-covid-clinics-are-closing-as-us-clinic-expands/103186272">long COVID clinics</a> are struggling to maintain funding. Australia has trailed behind the US, the UK and Europe in rolling out care for long COVID, and in collecting data on the condition. As a result, support for long COVID in Australia is <a href="https://doi.org/10.3389/phrs.2023.1606084">hard to access</a>, expensive and patchy. However, there is consensus on what constitutes good care. Clinicians seeing patients with possible long COVID should: <ul> <li> validate the person’s experience of symptoms and the impact their symptoms are having on their functioning, particularly when the cause is not clear </li> <li> diagnose and treat any other health conditions that are part of the picture </li> <li> support people to minimise the impairment their symptoms cause by pacing of physical and cognitive activities. Importantly, this doesn’t involve pushing through fatigue. </li> </ul> These steps are not a cure but they may improve a person’s ability to function in their day-to-day life, at work and to fulfil their caring responsibilities. <h2>We still need to focus on reducing COVID transmission</h2> The best way to prevent long COVID is to avoid contracting – and spreading – COVID. This means: <ul> <li> getting vaccinated or boosted, if you’re eligible </li> <li> staying home if you feel unwell </li> <li> wearing a mask to protect yourself and vulnerable community members </li> <li> testing for COVID if you have symptoms and if you test positive, taking antivirals (if eligible) and isolating until your symptoms resolve. </li> </ul> Long COVID is not going away, but we all have a role to play in preventing and responding to it. Ruby Biezen from the APPRISE Network and the University of Melbourne and Andrew Lloyd from the Kirby Institute at UNSW contributed to this article.<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/218808/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/andrew-baillie-646956">Andrew Baillie</a>, Professor of Allied Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/amelia-gulliver-17440">Amelia Gulliver</a>, Senior Research Fellow, ANU College of Health and Medicine, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a>; <a href="https://theconversation.com/profiles/lena-sanci-523666">Lena Sanci</a>, Professor, Department of General Practice and Primary Care, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/lucette-cysique-1495512">Lucette Cysique</a>, Senior Research Fellow, Viral Immunology Systems Program, The Kirby Institute, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a>, and <a href="https://theconversation.com/profiles/philip-britton-1127089">Philip Britton</a>, Associate Professor, Child and Adolescent Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/i-have-covid-how-likely-am-i-to-get-long-covid-218808">original article</a>.

Body

4 strategies to keep you from overspending this holiday season

<a href="https://theconversation.com/profiles/johanna-peetz-1494248">Johanna Peetz</a>, <a href="https://theconversation.com/institutions/carleton-university-900">Carleton University</a> The urge to spend money is present all year round, but during the gift-giving season, the temptation to splurge on loved ones can be particularly strong. For many, the desire to be generous during the holidays clashes with the need to conserve funds for essential expenses. This year, money is tighter than ever, with <a href="https://www150.statcan.gc.ca/n1/daily-quotidien/231121/dq231121a-eng.htm?indid=3665-1&indgeo=0">high prices for groceries, housing and entertainment</a> leaving shoppers with reduced funds as the holiday season descends upon us. A growing number of individuals are feeling the financial squeeze, with 40 per cent of Canadians <a href="https://www.bnnbloomberg.ca/financial-stress-is-impacting-the-mental-health-of-canadians-survey-1.1933491">citing money as their main source of stress</a>. <a href="https://newsroom.bmo.com/2023-11-08-78-Per-Cent-of-Canadians-Plan-to-Cut-Back-on-Holiday-Spending,-but-a-Third-Will-Still-Give-Back-to-Charitable-Causes-BMO-Survey">Seventy-eight per cent of Canadians</a> plan on buying fewer gifts this holiday season and 37 per cent are worried they won’t be able to afford all the items on their holiday shopping lists. Given that <a href="https://doi.org/10.3389/fpsyg.2022.790434">pricier gifts are not necessarily more appreciated by the person receiving the gift</a>, what are some ways shoppers can resist the temptation of appealing, yet expensive, gift options that might strain their finances? As a social psychologist who studies personal spending, I think it is worthwhile to remind ourselves of self-control strategies that can help us manage financial decisions during the holiday season. <h2>Strategies for resisting temptation</h2> <a href="https://doi.org/10.1177/1745691615623">Self-control is not just suppressing temptation</a>; it also involves setting yourself up for success by creating situations that make resisting temptations easier. 1. Avoid temptations Perhaps the most obvious strategy is to avoid shopping temptations. This may include steering clear of places — both physical and online — that are out of your budget range. While this is easier said than done during gift shopping, it’s an effective way to manage temptations: People who report having an easier time with self-control <a href="https://doi.org/10.1016/j.paid.2014.09.031">tend to avoid rather than resist temptations</a>. 2. Make a budget If you haven’t sat down to make a holiday budget yet, it’s never too late to make one. Considering one-quarter of Canadians are <a href="https://globalnews.ca/news/10087745/canadian-holiday-spending-debt/">still paying off last year’s holiday debts</a>, being as fiscally responsible as possible is a wise choice this year. Setting spending limits ahead of time makes your financial goals clear and explicit. When setting budgets for gifts <a href="https://doi.org/10.1093/jcr/ucad011">people tend to spend the entirety of the estimated amount (unlike budgets for personal purchases where they try to come in under the budget)</a>. It’s good to be realistic, rather than optimistic, when setting budgets. 3. Implementation intentions Anticipate any potential shopping temptations you are likely to encounter so you can develop strategies to resist them. One effective approach is <a href="https://kops.uni-konstanz.de/server/api/core/bitstreams/14cc2a36-5f01-4dc1-b9ca-f2d0ca0c8930/content">forming intentions</a> about how you will act once you encounter a temptation. For example, you might consider what you will do when you see a gadget your friend would enjoy when you have already bought them something and have reached the limit of your budget. Instead of purchasing it and exceeding your budget, you could write down the gadget for next year’s gift. 4. Write a list Finally, thinking ahead to the gifts you plan to buy and writing a shopping list rather than relying on being inspired in the store might help with sticking to a budget. <a href="http://dx.doi.org/10.1007/s11747-019-00670-w">Consumers spend thousands each year on impulse purchases</a>. Writing shopping lists, <a href="https://doi.org/10.1002/cb.1812">even for online shopping</a>, can reduce overall spending and shopping regret. <h2>The best strategy is the one that works</h2> The holidays should be about joy, not financial stress. Maintaining self-control allows you to celebrate without compromising your financial well-being. There are of course many strategies beyond the four strategies listed here that can help create situations where resisting temptations is easier. The most effective strategies for maintaining financial self-control <a href="https://doi.org/10.1016/j.jesp.2021.104189">are the ones you are already using</a>, and the ones you find most effective. If you want to avoid giving in to shopping temptations, take a moment to think about the financial strategies you are already using and think about how you might use them in your holiday shopping. If you haven’t yet found a strategy that works for you, now is a great opportunity for you to try some out and see which ones are effective. Using strategies to manage the cost of holiday spending can prevent gift-giving from becoming a financial stressor in an already stressful time. Finally, while adhering to a budget is important, it shouldn’t be the sole or primary focus during holiday shopping. Keep in mind that the true spirit of the season is spending quality time with loved ones. The joy of the holidays doesn’t come from extravagant gifts, but from shared moments and meaningful connections.<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/219380/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/johanna-peetz-1494248">Johanna Peetz</a>, Professor in Psychology, <a href="https://theconversation.com/institutions/carleton-university-900">Carleton University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/4-strategies-to-keep-you-from-overspending-this-holiday-season-219380">original article</a>.

Money & Banking

Missing boy found alive after six long years

A 17-year-old British boy named Alex Batty, who went missing in Spain in 2017 at the age of 11, has been found after six long years. On a Wednesday morning, a concerned motorist discovered Alex walking along a road in the foothills of the Pyrenees. This Good Samaritan, Fabien Accidini, picked up the young lad, offering water and kindness. Little did Fabien know, he was playing a crucial role in reuniting a family torn apart. Alex, who had been living in the remote Pyrenean valleys, was shy at first but eventually opened up to Fabien about his incredible journey. He revealed that he had been in France for two years, leading a nomadic life in an itinerant commune. His dream was to find a big city with an embassy to seek assistance. The touching part of the story was how Alex, carrying a backpack and skateboard, asked Fabien if he could borrow his phone. He then used the phone to send a message via Facebook to his grandmother back in England, Susan Caruana, telling her that he was fine and longing to see her. Susan Caruana, Alex's legal guardian, received the unexpected message, bringing tears of joy to her eyes. "I am so happy," she told The Sun newspaper. "I have spoken to him, and he is well. It is such a shock." The news of Alex's discovery spread like wildfire. As authorities worked diligently to unravel the mystery, it became apparent that Alex's mother, Melanie Batty, and grandfather, David Batty, who did not have parental guardianship, were still missing – and are still wanted by police in connection with his disappearance. The reunion also brought together international cooperation, with British police and consular staff rushing to France to bring Alex back home. Greater Manchester Police confirmed their collaboration with French authorities to ensure the safety and well-being of Batty. "This is a complex and long-running investigation," they said in a statement, "and we need to make further enquiries as well as putting appropriate safeguarding measures in place." The Foreign, Commonwealth and Development Office (FCDO) issued a statement, affirming their support for the British national in France and their ongoing communication with local authorities. Images: Greater Manchester Police

Family & Pets

A guide to overcoming loneliness during the holidays

<div> Navigating the holiday season during adulthood isn’t always smooth sailing. Often, the arrival of the festive period can bring with it a sense of loneliness. Whether it’s being away from family or missing out on celebrations, the holiday blues can be hard to shake and for many, the significance of togetherness during the holidays can accentuate feelings of isolation or detachment. </div> <div> Offering her insight on how to overcome these emotions, Jacqui Manning, resident psychologist at Connected Women, an organisation that facilitates friendships for women over 50 shares her top tips to help you enjoy a more connected and fulfilling holiday season. </div> <div> Acknowledge Your Feelings “It’s ok to admit that you feel lonely. In fact, it’s the first step to overcoming and accepting these feelings,” explains Jacqui. “Christmas is traditionally a time that is associated with togetherness and so recognising your emotions is the foundation for developing effective coping strategies. Reach out to the friends you do have, family or support groups and let them know you might need extra support during this time. You should also invest in your mental wellbeing, either by incorporating mindfulness techniques to help break any negative thoughts or creating a mindset of gratitude by reflecting on the positive aspects of your life. Both these techniques can shift your focus towards positivity.” </div> <div> Invest in Yourself If you’re feeling down, Jacqui suggests prioritising self-care. “Investing in yourself is an act of self-love and resilience. It shifts the focus from external pressures to internal fulfilment, fostering a deep sense of empowerment. This approach is particularly valuable during the holidays, as it allows you to create a positive and nurturing environment for yourself.” Find New Connections Prevention plays an essential role in mitigating the risks of social isolation before they take hold. When it comes to combating loneliness, it’s all about identifying the connections you might be missing and actively seeking ways to build them. Jacqui explains, “In the modern-day era that we are in, recognising the potential of technology is vital. If you don’t have anyone nearby, dive into the online world to explore nearby community meetups or virtual events; I assure you, you’ll discover something that aligns with your interests, and you'll find others who are in a similar situation to you,” Jacqui concludes. </div> <div> “Whether you want to relax in a bubble bath, use the holiday season as an opportunity to discover a new hobby or simply spend more time outdoors to connect with nature, remember that these intentional acts of self-investment are gifts to your own well-being. Taking time for yourself is not only a deserved treat but a crucial element of maintaining balance and happiness.” <div title="Page 2"> As the festivities draw near, it’s essential to tune in to your own needs, invest in self-care and actively seek connection, whether with new or pre-existing relations. These steps will not only contribute to your well-being but also serve to enrich and elevate your experience throughout the festive season. About Connected Women Phoebe Adams is the co-founder of Connected Women, an organisation providing a community for women over 50 to connect and build meaningful friendships. With a rapidly growing community in Perth, Sydney, Wollongong, Melbourne and Geelong, Connected Women provides a safe and welcoming space for women to come together and share experiences. To learn more about the organisation and how you can get involved, visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net</a>. Image credits: Getty Images </div> </div>

Family & Pets

Going home for the holidays? How to navigate conflict and deal with difficult people

<a href="https://theconversation.com/profiles/jessica-robles-617248">Jessica Robles</a>, <a href="https://theconversation.com/institutions/loughborough-university-1336">Loughborough University</a> The holiday season is upon us and for many that means all the tension that comes with it. This time of year can be a minefield of uncomfortable moments, disagreement and outright conflict. It’s no wonder <a href="https://fortune.com/well/2022/12/03/home-for-holidays-family-gatherings-mental-health/">many young people</a> are apprehensive about returning home for the holidays after living far away. There are many reasons interpersonal difficulties can arise over the holidays. Perhaps your aunt doesn’t like what you did with her pie recipe, or your friend’s new partner has unsettling political beliefs. Maybe you haven’t lived at home in a while, but your family still talks to you like you’re the same person you were in school. Maybe you’re bringing your partner to meet your family for the first time, and aren’t sure whether everyone will get along. People have socialised less with friends and family <a href="https://triple-c.at/index.php/tripleC/article/view/1167">since the pandemic</a>, and may be feeling out of practice. This can be compounded by all the things people can disagree about. Some topics are higher risk for blowups, and best <a href="https://onlinelibrary.wiley.com/doi/book/10.1002/9781444354119#page=122">avoided</a> in such settings (religion and politics, for starters). Whether it’s <a href="https://link.springer.com/article/10.1007/s11109-018-9476-2">true or not</a>, there’s a popular perception that tricky subjects are more numerous and divisive than ever. Dare one bring up anything adjacent to Brexit, vaccinations or the cost of living? Even bringing your mobile phone to the dining table could get you in trouble. So what happens if your uncle has too much mulled wine and something slips out that annoys or even horrifies you? Family arguments are a common theme in holiday films, but their scripted resolutions are rarely realistic and not based on <a href="https://repository.lboro.ac.uk/articles/book/Talk_the_science_of_conversation/9476291">empirical research</a>. By considering how these things work in the context of real interactions, we can move from what sounds good in theory to what we can put into practice. <h2>Think before you speak</h2> In real-world situations, <a href="http://pstorage-loughborough-53465.s3.amazonaws.com/21189843/Thesis2019Joyce.pdf">interactions can escalate</a> before you’re even fully aware that they’re happening. You might be able to anticipate why and how an interaction might become a problem. Does alcohol generally lead to arguments in your family? Are your parents usually hypercritical of your new partners? Consider how to avoid problems before they start. <figure>In the moment, you can often spot “clues” that something is about to go awry. Trouble doesn’t usually emerge solely because of one person, but through <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9780429058011-13/conflict-interaction-phillip-glenn">the back-and-forth between people</a>. Assuming too much about who might be “the difficult one” and why won’t be helpful on its own.</figure> You have to learn to recognise the conversational moves people are making (including your own) and see how <a href="https://www.sciencedirect.com/science/article/pii/B9780126235500500082">other people respond to them</a>. Some facial expressions can express doubt or distrust, and contemptuous expressions (such as <a href="https://www.tandfonline.com/doi/full/10.1080/08351813.2021.1936858">eye-rolling</a>) can signal that a conversation might take a turn toward insult rather than discussion. A response that starts with the word <a href="https://www.sciencedirect.com/science/article/pii/S0378216615002465?casa_token=gyu3pjfpGrEAAAAA:VwEe8rVBXvsbF9V_aeYylN42IpKYeZ1BGqp85VoP_rkBQZtEI5AbuqBloiPxgTKfsJjj5VTSvcY">“well”</a> can be warning of incoming disagreement. As you notice what ways of speaking get what kinds of responses, you can be more thoughtful about what you choose to say. Even <a href="https://link.springer.com/chapter/10.1007/978-3-319-99094-1_2">changing a single word</a> can shift the direction of a conversation. A common sign that a conversation is starting to escalate unhelpfully is that people begin <a href="https://www.tandfonline.com/doi/full/10.1080/08351813.2020.1826765?casa_token=AIU2DQgEJQUAAAAA%3AGoBBF8SPSXcDmiKBAwaIihjFngE1ck8QiVj0HFZO7VGxi8TtkOf7PB0j5NMV9ufgMN4BwF-dMFA1Gw">commenting on the conversation itself and accusing</a> one another of unreasonable behaviour. Once you learn to be more conscious of that, it can help you reflect on how to respond in ways that might deescalate… if that’s what you want to do. <h2>Why we fight</h2> There is a dilemma here: sometimes backing down from a conflict challenges our values of authenticity and commitment to our beliefs. If someone says something insulting, whether mild or <a href="https://www.sciencedirect.com/science/article/pii/S0378216622002120">egregious</a>, it feels disingenuous and morally irresponsible to smooth things over. Some conflict is worth engaging, especially with someone you care about who is willing to listen and think about things. The complication is, that’s not always the case. Often when people argue about something they care about, they end up <a href="https://ttu-ir.tdl.org/handle/2346/16661">misaligned</a> or “talking at cross purposes”, where they’re not really even discussing the same thing anymore. Every conversation has a trajectory, but it’s entirely possible for a conversation to have <a href="https://www.jstor.org/stable/2786745#metadata_info_tab_contents">parallel or divergent trajectories</a>. In such cases, it’s unlikely that any amount of <a href="https://www.tandfonline.com/doi/pdf/10.1080/08351813.2019.1631044">good-faith discussion</a> is actually going to be <a href="https://www.sciencedirect.com/science/article/pii/S0378216618304302?casa_token=y7CoCCptr6AAAAAA:LCHuB6-BRaH4HPIothLVX_ENhSPlfshapdyvxzk9LjlQa24WJyRM4sXF2_bFp6oiWAfWnsVIoK8">productive</a>. At the end of the day, it’s also worth considering what makes a person or conversation “difficult”. Assigning that word to someone <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1468-2885.2001.tb00234.x?casa_token=g5XfR-FKNLEAAAAA:GFvy6M4CY9IHrE51_NTEJDNgf6bdPqJZPX2Q2KZStBesgv8UIJDj7YTBnVMOSpRCDRWbX-DsmkQFaWQ">is not a neutral or objective</a> statement. Maybe you, in fact, are the “difficult person”. Maybe, for some kinds of conflict, you should want to be difficult. And maybe, sometimes, it’s alright to go outside and let off steam with a snowball fight.<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/196751/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/jessica-robles-617248">Jessica Robles</a>, Lecturer in Social Psychology, <a href="https://theconversation.com/institutions/loughborough-university-1336">Loughborough University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/going-home-for-the-holidays-how-to-navigate-conflict-and-deal-with-difficult-people-196751">original article</a>.

Family & Pets

It’s beginning to look a lot like burnout. How to take care of yourself before the holidays start

<a href="https://theconversation.com/profiles/sophie-scott-1462197">Sophie Scott</a>, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/gordon-parker-94386">Gordon Parker</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> It’s getting towards the time of the year when you might feel more overwhelmed than usual. There are work projects to finish and perhaps exams in the family. Not to mention the pressures of organising holidays or gifts. Burnout is a real possibility. Burnout is defined by the <a href="https://www.who.int/standards/classifications/frequently-asked-questions/burn-out-an-occupational-phenomenon#:%7E:text=Burn%2Dout%20is%20defined%20in,has%20not%20been%20successfully%20managed.">World Health Organization</a> (WHO) as having three main symptoms – exhaustion, loss of empathy and reduced performance at work. Australian <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">research</a> argues for a broader model, particularly as the WHO’s third symptom may simply be a consequence of the first two. So what is burnout really? And how can you avoid it before the holidays hit? <h2>More than being really tired</h2> The Australian research model endorsed exhaustion as the primary burnout symptom but emphasised burnout should not be simply equated with exhaustion. The second symptom is loss of empathy (or “compassion fatigue”), which can also be experienced as uncharacteristic cynicism or a general loss of feeling. Nothing much provides pleasure and joie de vivre is only a memory. The third symptom (cognitive impairment) means sufferers find it <a href="https://www.abc.net.au/news/2023-02-13/gordon-parker-says-the-burnout-definition-needs-to-broaden/101920366">difficult to focus</a> and retain information when reading. They tend to scan material – with some women reporting it as akin to “baby brain”. Research <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">suggests</a> a fourth symptom: insularity. When someone is burnt out, they tend to keep to themselves, not only socialising less but also obtaining little pleasure from interactions. A potential fifth key feature is an unsettled mood. And despite feeling exhausted, most individuals report insomnia when they’re burnt out. In severe cases, immune functioning can be compromised (so that the person may report an increase in infections), blood pressure may drop and it may be difficult or impossible to get out of bed. Predictably, such features (especially exhaustion and cognitive impairment) do lead to compromised work performance. Defining burnout is important, as rates have <a href="https://dspace.library.uu.nl/bitstream/handle/1874/420608/Burnout_Fatigue_Exhaustion.pdf?sequence=1&isAllowed=y">increased</a> in the last few decades. <h2>‘Tis the season</h2> For many, the demands of the holidays cause exhaustion and risk burnout. People might feel compelled to shop, cook, entertain and socialise more than at other times of year. While burnout was initially defined in those in formal employment, we now recognise the same pattern can be experienced by those meeting the needs of children and/or elderly parents – with such needs typically increasing over Christmas. Burnout is generally viewed according to a simple stress-response model. Excessive demands lead to burnout, without the individual bringing anything of themselves to its onset and development. But the Australian <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">research</a> has identified a richer model and emphasised how much personality contributes. Formal carers, be they health workers, teachers, veterinarians and clergy or parents – are <a href="https://www.taylorfrancis.com/books/mono/10.4324/9781003333722/burnout-gordon-parker-gabriela-tavella-kerrie-eyers">more likely</a> to experience burnout. But some other professional groups – such as lawyers – are also at high risk. In essence, “good” people - who are dutiful, diligent, reliable, conscientious and perfectionistic (either by nature or work nurture) – are at the <a href="https://journals.lww.com/jonmd/Abstract/2020/06000/A_Qualitative_Reexamination_of_the_Key_Features_of.4.aspx">greatest risk</a> of burnout. <h2>6 tips for avoiding seasonal burnout</h2> You may not be able to change your personality, but you can change the way you allow it to “shape” activities. Prioritising, avoiding procrastination, decluttering and focusing on the “big picture” are all good things to keep in mind. Managing your time helps you regain a sense of control, enhances your efficiency, and reduces the likelihood of feeling overwhelmed by responsibilities. 1. Prioritise tasks Rank tasks based on urgency and importance. The Eisenhower Matrix, <a href="https://www.amazon.com.au/7-Habits-Highly-Effective-People/dp/0743269519">popularised</a> by author Stephen R Covey, puts jobs into one of four categories: <ul> <li> urgent and important </li> <li> important but not urgent </li> <li> urgent but not important </li> <li> neither urgent nor important. </li> </ul> This helps you see what needs to be top priority and helps overcome the illusion that everything is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159458/">urgent</a>. 2. Set realistic goals Break down large goals into smaller, manageable tasks to be achieved each day, week, or month – to prevent feeling overwhelmed. This could mean writing a gift list in a day or shopping for a festive meal over a week. Use tools such as calendars, planners or digital apps to schedule tasks, deadlines and appointments. 3. Manage distractions Minimise <a href="https://psycnet.apa.org/record/2023-66900-001">distractions</a> that hinder productivity and time management. <a href="https://www.journals.uchicago.edu/doi/full/10.1086/691462">Research</a> finds people complete cognitive tasks better with their phones in another room rather than in their pockets. People with phones on their desks performed the worst. Setting specific work hours and website blockers can limit distractions. 4. Chunk your time Group similar tasks together and allocate specific time blocks to focus on them. For example, respond to all outstanding emails in one stint, rather than writing one, then task-switching to making a phone call. This approach <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075496/">increases efficiency</a> and reduces the time spent transitioning between different activities. 5. Take breaks A <a href="https://psycnet.apa.org/record/2022-90592-001">2022 systematic review</a> of workplace breaks found taking breaks throughout the day improves focus, wellbeing and helps get more work done. 6. Delegate Whether at home or work, you don’t have to do it all! Identify tasks that can be effectively delegated to others or automated. To finish the year feeling good, try putting one or more of these techniques into practice and prepare for a restful break.<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/216175/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sophie-scott-1462197">Sophie Scott</a>, Associate Professor (Adjunct), Science Communication, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/gordon-parker-94386">Gordon Parker</a>, Scientia Professor, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-beginning-to-look-a-lot-like-burnout-how-to-take-care-of-yourself-before-the-holidays-start-216175">original article</a>.

Caring

"Absolutely insane": Dad's plane act goes viral

A man has gone viral on TikTok after his daughter posted a video of him sleeping on the airplane floor during a long-haul flight. "More room for everybody," she captioned the video of her dad lying down wedged between two rows where their feet would normally go. In the video she also added an overlay text which said: "you have ur airport dad I have my Asian dad." The video has since racked up over 12.4 million views, and while most were impressed by the "hack" others were appalled. "This is so smart – never thought of that," one person wrote. "Smart but I'd lay a blanket down underneath. Thank you airport dad I will steal this idea," added another. "I been alive 25 years, ain't never seen this move before," commented a third. "They do [allow it] on long flights. As long as nobody complains then they don't bother you," added a fourth. <div class="embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; color: #323338; font-family: Figtree, Roboto, 'Noto Sans Hebrew', 'Noto Kufi Arabic', 'Noto Sans JP', sans-serif; background-color: #ffffff; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border-width: 0px; border-style: initial; vertical-align: baseline; width: 580px; max-width: 100%; outline: none !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7290309715286904095&display_name=tiktok&url=https%3A%2F%2Fwww.tiktok.com%2F%40bynataliebright%2Fvideo%2F7290309715286904095&image=https%3A%2F%2Fp16-sign.tiktokcdn-us.com%2Fobj%2Ftos-useast8-p-0068-tx2%2FoclABAhjhvzjImA6AdbRfwsiNEqBAyICYXEzX8%3Fx-expires%3D1700780400%26x-signature%3D8dYowfoSYD7T5QgGgwn53z%252B4BI8%253D&key=5b465a7e134d4f09b4e6901220de11f0&type=text%2Fhtml&schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> A few others were shocked and pointed out that airplane floors aren't exactly clean. "As a past flight attendant, you don't want to know what I have seen on those carpets," wrote one person. "When I was taking my flight attendant course one thing they said to us over and over was to never walk barefoot on the aircraft... nevertheless lay down," added another. "Man made his own trundle bed," joked a third. While another eagle-eyed commenter was shocked that he would voluntarily wear jeans for 15-hours, "jeans for 15 hours is absolutely insane," they wrote. Images: TikTok

Travel Tips

Using social media for your holiday ‘inspo’ can be risky and even dangerous – here’s why

<a href="https://theconversation.com/profiles/samuel-cornell-1418374">Samuel Cornell</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/amy-peden-1136424">Amy Peden</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> How do you choose your next travel destination? Social media platforms like Instagram and TikTok are handy tools for holiday research, full of #inspo for new and beautiful places to go. However, behind those mesmerising selfies, highlights and reels, there’s often a stark reality that isn’t shared. Our <a href="https://www.jmir.org/2023/1/e47202">ongoing research</a> shows that dangers abound from social media related misadventures. These include the hidden dangers of getting to the location, as well as the ecological strains on sites that get overcrowded with tourists. Australia, with its breathtaking natural wonders, is no stranger to the downsides of social media tourism. Many people have been injured, needed rescue or even perished when visiting trendy places. <h2>The illusion of safety</h2> Influencers are in the business of presenting the best version of their experiences – not necessarily the safest. Our interviews with influencers who make content of beautiful places in nature, reveal that they see themselves as entertainers more than guides. When it comes to the risks associated with the places they promote, they don’t view safety communication as their responsibility. The <a href="https://www.nationalparks.nsw.gov.au/things-to-do/lookouts/figure-eight-pools">Figure Eight Pools</a> in New South Wales’ Royal National Park are one potent reminder of how online portrayals and reality don’t always match up. The photos showcase tranquil pools with glistening waters. But many visitors, enticed by these images, have faced the peril of sudden large waves washing over the rock shelf and <a href="https://www.abc.net.au/news/2019-02-28/call-to-close-access-to-social-media-favourite-figure-8-pools/10853854">even causing injuries</a>. Babinda Boulders, near Cairns in Queensland, is another such location. Wrapped in lush rainforests, this waterhole might seem inviting, but its <a href="https://au.news.yahoo.com/calls-for-change-aussie-tourist-spot-qld-21-deaths-babinda-boulders-060358597.html">tragic history of drownings</a> speaks volumes – 21 drownings since 1965, and three since 2020. <iframe id="tc-infographic-962" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/962/4183438c91d92e8e594f9a0700092002547b3c60/site/index.html" width="100%" height="400px" frameborder="0"></iframe> Despite this, the pull of picturesque posts lures visitors into prohibited and <a href="https://www.news.com.au/travel/travel-updates/warnings/grim-truth-about-deadly-queensland-waterhole/news-story/5f02dfcc25edb2978022d41eebed03ca">dangerous areas</a>. Josephine Falls in Queensland has also <a href="https://au.news.yahoo.com/aussies-fume-over-dangerous-mistake-at-deadly-waterfall-theres-always-one-064337596.html">experienced numerous incidents</a>, all requiring resource-intensive rescues. Unfortunately, for many visitors, the warnings provided by Queensland Parks and Wildlife Service are to no avail – the lure of social media content is simply too strong. <h2>A burden on local infrastructure</h2> Aesthetically pleasing, curated tourism content sets unrealistic expectations. Visitors who want to see the “insta-famous” scenery often find themselves underprepared for the actual experiences, sometimes leading to unsafe choices. Drone shots can be particularly misleading. While they capture expansive vistas from above, they mask the ground-level challenges and dangers. <a href="https://www.grampiansguide.com.au/explore-location/37/the-balconies/">The Balconies</a> in the Grampians National Park in Victoria is another infamous spot for taking risky photos for Instagram. To get the photo they came for, tourists must traverse a barrier. The viral content has led ever-increasing numbers of people to these rocks for a shot – risking their lives for the same photo hundreds of others have posted. <iframe id="tc-infographic-963" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/963/b612524d8c78779f930243d11b92356d3902097e/site/index.html" width="100%" height="400px" frameborder="0"></iframe> Additionally, geotagging (attaching metadata, such as latitude and longitude coordinates, to a photo) has its merits, offering travellers directions to exact locations. However, it’s a double-edged sword. When a location becomes popular on social media, the influx of visitors can strain local infrastructure. As <a href="https://www.visitnsw.com/destinations/south-coast/jervis-bay-and-shoalhaven/hyams-beach">Hyams Beach</a> in NSW went viral on various platforms, the once-peaceful coastal village grappled with traffic congestion and overwhelmed local resources. Lincoln’s Rock in the Blue Mountains in NSW, once a little-known spot, was transformed by geotagged posts into a magnet for tourists and influencers. Some would engage in risky behaviours at the cliff edge. It’s one of many lookouts that once had few footprints, and is now a popular vista with little infrastructure. Some regional areas simply don’t have the infrastructure or capacity to handle a large influx of tourists. As social media algorithms <a href="https://www.mdpi.com/2071-1050/11/12/3356">push trending posts even further</a>, once-secluded gems face threats of overtourism. <h2>Be a responsible tourist</h2> While it’s easy to fall prey to the siren call of viral destinations, it’s essential to approach with caution and do proper research before you set out. It’s important to stay aware of your surroundings, especially in natural areas, and not get tunnel vision, or “<a href="https://theconversation.com/metourism-the-hidden-costs-of-selfie-tourism-87865">tourist gaze</a>”. Fortunately, in Australia, national parks provide detailed information about popular locations. They can be relied upon to give accurate information and a true representation of the area, including safety information and guides for great hikes and the best lookouts. All states in Australia have parks agencies that provide this information online (and they’re on social media, too). <iframe id="tc-infographic-964" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/964/b56b02bd5c1accfd6f19f18a6e549b4f667c66bf/site/index.html" width="100%" height="400px" frameborder="0"></iframe> <h2>Things to keep in mind</h2> <ol> <li> Social media is a highlight reel. Before diving into that enticing pool or hiking that mountain, do thorough research. Don’t let it be your last swim </li> <li> engage with locals, understand the history, the culture, and importantly, respect the environment </li> <li> it’s also essential to challenge the content we consume and share. By geotagging responsibly and authentically portraying experiences, we can safeguard Australia’s treasures </li> <li> social media is a powerful tool but needs to be wielded wisely. Australia’s natural wonders are worth more than just a fleeting snapshot; they deserve our utmost respect and care. </li> </ol> So, as you scroll through your feed, dreaming of your next escape, remember that every location has a story beyond its pixels. Dive deep, explore responsibly, and treasure the real over the reel. <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/216434/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/samuel-cornell-1418374">Samuel Cornell</a>, PhD Candidate, School of Population Health, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/amy-peden-1136424">Amy Peden</a>, NHMRC Research Fellow, School of Population Health & co-founder UNSW Beach Safety Research Group, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/using-social-media-for-your-holiday-inspo-can-be-risky-and-even-dangerous-heres-why-216434">original article</a>.

Travel Tips

How 22 minutes of exercise a day could reduce the health risks from sitting too long

<a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> People in developed countries spend an average of <a href="https://doi.org/10.1136/bjsports-2022-106568">nine to ten hours</a> a day sitting. Whether it’s spending time in front of a computer, stuck in traffic, or unwinding in front of the TV, our lives have become increasingly sedentary. This is concerning because prolonged time spent sitting is <a href="https://bjsm.bmj.com/content/54/24/1451?s=09&int_source=trendmd&int_medium=cpc&int_campaign=usage-042019">linked to a number of health issues</a> including obesity, heart disease, and certain types of cancers. These health issues can contribute to earlier death. But a <a href="https://doi.org/10.1136/bjsports-2022-106568">new study</a> suggests that for people over 50, getting just 22 minutes of exercise a day can lower the increased risk of premature death from a highly sedentary lifestyle. <h2>What the researchers did</h2> The team combined data from two studies from Norway, one from Sweden and one from the United States. The studies included about 12,000 people aged 50 or older who wore wearable devices to track how active and sedentary they were during their daily routines. Participants were followed up for at least two years (the median was 5.2 years) during the study period, which spanned 2003-2020. Analyses took several lifestyle and health factors into account, such as education, alcohol intake, smoking status, and previous history of heart disease, cancer and diabetes. All this data was linked to national death registries. <h2>A 22 minute threshold</h2> A total of 805 participants died during follow up. The researchers found people who were sedentary for more than 12 hours a day had the highest risk of death (a 38% higher risk than people who were sedentary for eight hours). However, this was only observed in those who did less than 22 minutes of moderate to vigorous physical activity daily. So for people who did more than 22 minutes of exercise, there was no longer a significantly heightened risk – that is, the risk became generally similar to those who were sedentary for eight hours. Higher daily duration of physical activity was consistently associated with lower risk of death, regardless of total sedentary time. For example, the team reported an additional ten minutes of moderate to vigorous physical activity each day could lower mortality risk by up to 15% for people who were sedentary less than 10.5 hours a day. For those considered highly sedentary (10.5 hours a day or more), an additional ten minutes lowered mortality risk by up to 35%. <h2>The study had some limitations</h2> The team couldn’t assess how changes in physical activity or sedentary time over several months or years may affect risk of death. And the study included only participants aged 50 and above, making results less applicable to younger age groups. Further, cultural and lifestyle differences between countries may have influenced how data between studies was measured and analysed. Ultimately, because this study was observational, we can’t draw conclusions on cause and effect with certainty. But the results of this research align with a growing body of evidence exploring the relationship between physical activity, sedentary time, and death. <h2>It’s positive news</h2> Research has previously suggested <a href="https://bjsm.bmj.com/content/54/24/1499">physical activity may offset</a> health risks associated with <a href="https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.02.031">high sedentary time</a>. The good news is, even short bouts of exercise can have these positive effects. In this study, the 22 minutes wasn’t necessarily done all at once. It was a total of the physical activity someone did in a day, and would have included incidental exercise (activity that’s part of a daily routine, such as climbing the stairs). Several studies using wearable devices have found short bursts of high-intensity everyday activities such as stair climbing or energetic outdoor home maintenance activities such as mowing the lawn or cleaning the windows can lower <a href="https://www.nature.com/articles/s41591-022-02100-x">mortality</a>, <a href="https://academic.oup.com/eurheartj/article/43/46/4801/6771381">heart disease</a> and <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">cancer</a> risk. A recent study using wearable devices found moderate to vigorous bouts of activity <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00183-4/fulltext">lasting three to five minutes</a> provide similar benefits to bouts longer than ten minutes when it comes to stroke and heart attack risk. Several other studies have found <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2596007">being active just on the weekend</a> provides similar health benefits as <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2794038">being active throughout the week</a>. Research has also shown the benefits of <a href="https://jamanetwork.com/journals/jamaneurology/fullarticle/2795819">physical activity</a> and <a href="https://jamanetwork.com/journals/jama/article-abstract/2809418">reducing sedentary time</a> extend to cognitive health. Routines such as desk jobs can foster a sedentary lifestyle that may be difficult to shift. But mixing short bursts of activity into our day can make a significant difference towards improving our health and longevity. Whether it’s a brisk walk during lunch, taking the stairs, or even a short at-home workout, this study is yet another to suggest that every minute counts.<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/216259/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, Postdoctoral Research Fellow, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, Professor of Physical Activity, Lifestyle, and Population Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-22-minutes-of-exercise-a-day-could-reduce-the-health-risks-from-sitting-too-long-216259">original article</a>.

Body

You’ve heard of long COVID, but did you know there might also be a long cold?

<a href="https://theconversation.com/profiles/giulia-vivaldi-1476903">Giulia Vivaldi</a>, <a href="https://theconversation.com/institutions/queen-mary-university-of-london-1745">Queen Mary University of London</a> At least <a href="https://www.nature.com/articles/s41579-022-00846-2">10% of people</a> infected with SARS-CoV-2, the virus that causes COVID, have symptoms that last more than four weeks after the infection. With more than <a href="https://covid19.who.int/">770 million infections</a> to date, this translates to tens of millions of people living with the long-term consequences of COVID, known as “long COVID”. <a href="https://www.nature.com/articles/s41579-022-00846-2">More than 200 symptoms</a> of long COVID have been studied, with some of the most common being fatigue, breathlessness and cognitive difficulties, such as memory problems or “brain fog”. The condition can be debilitating – many people have to <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00387-5/fulltext">reduce their working hours</a> or are <a href="https://ifs.org.uk/publications/long-covid-and-labour-market">unable to work entirely</a>. But COVID may not be alone in causing long-lasting symptoms. In a <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00428-5/fulltext">new paper</a>, my colleagues and I report the findings of a study comparing long-term symptoms reported by people who experienced different types of acute respiratory infection. We asked more than 10,000 people to report on 16 symptoms commonly found in long COVID, such as fatigue, breathlessness, aches and pains, and dizziness. We then compared how common these symptoms were among three groups: people who had reported COVID, those who had reported another acute respiratory infection (but had tested negative for COVID), and those who had not reported either infection. We focused on long-term symptoms by only including people who had been infected more than four weeks earlier. We also took into account people’s general health before they were infected, and whether they had any existing respiratory conditions. Our study showed that all the symptoms considered were more common in people with previous COVID than in people with no infections, regardless of whether they reported long COVID. But this finding wasn’t unique to COVID. Almost all the symptoms we looked at were also more common in people with non-COVID respiratory infections than in those with no infection. In other words, our findings hinted towards the existence of a “long cold”: long-lasting health effects from other respiratory infections, such as colds, flu, or pneumonia, that are currently going unrecognised. Some of the most common symptoms of the long cold include coughing, stomach pain, and diarrhoea. These symptoms were reported an average of 11 weeks after the infection. While a severe initial infection seems to increase the risk of long-term symptoms, our research does not yet tell us why some people suffer extended symptoms while others do not. <h2>Important differences</h2> Importantly, we have no evidence that symptoms of the long cold have the same severity or duration as long COVID. In fact, we saw some important differences in the symptoms reported in the two groups, with those recovering from COVID more likely to experience light-headedness or dizziness and problems with taste and smell. These findings shine a light not only on the impact of long COVID on people’s lives, but also other respiratory infections. A lack of awareness, or even the lack of a common term, such as “long cold” or “long flu”, prevents both reporting and diagnosis of these conditions. And people who do report their long cold may still struggle to get a diagnosis, owing to the wide range of symptoms and <a href="https://www.nature.com/articles/s41591-022-01810-6">lack of diagnostic tests</a>. Long-lasting symptoms after respiratory infections are not a new phenomenon. Studies in survivors of two previous coronavirus outbreaks – the severe acute respiratory syndrome (Sars) pandemic and the Middle East respiratory syndrome (Mers) outbreak – have found long-term impacts on <a href="https://www.rcpjournals.org/content/clinmedicine/21/1/e68">lung function, quality of life and mental health</a>. And some people hospitalised with influenza A have experienced <a href="https://www.nature.com/articles/s41598-017-17497-6">respiratory and psychological problems</a> at least two years after being discharged from hospital. But most of the research so far has focused on people with severe disease, often severe enough to be hospitalised. Little is known about the long-term effects respiratory infections might have among people whose acute disease episode is less severe. Long COVID has bucked this trend, being studied in people with all levels of severity of the initial infection. This is in large part due to <a href="https://www.sciencedirect.com/science/article/pii/S0277953620306456">strong patient advocacy</a>, showing that it can affect even those with mild initial symptoms. In demanding recognition of their condition, people with long COVID have cast a much-needed spotlight on post-infection syndromes more generally. Now is the time to improve our understanding, diagnosis and treatment of these conditions. Let’s not wait for another pandemic.<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/214995/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/giulia-vivaldi-1476903">Giulia Vivaldi</a>, , <a href="https://theconversation.com/institutions/queen-mary-university-of-london-1745">Queen Mary University of London</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/youve-heard-of-long-covid-but-did-you-know-there-might-also-be-a-long-cold-214995">original article</a>.

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Health

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Would you be happy as a long-term single? The answer may depend on your attachment style

William Shatner shocks hosts simply by revealing his age

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