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Here’s why having chocolate can make you feel great or a bit sick – plus 4 tips for better eating

<a href="https://theconversation.com/profiles/saman-khalesi-366871">Saman Khalesi</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> Australians are <a href="https://www.retail.org.au/media/sweet-spending-boon-predicted-for-easter-retail">predicted</a> to spend around A$1.7 billion on chocolates, hot cross buns and other special foods this Easter season. Chocolate has a long history of production and consumption. It is made from cacao beans that go through processes including fermentation, drying, roasting and grounding. What is left is a rich and fatty liquor that is pressed to remove the fat (cocoa butter) and the cacao (or “cocoa”) powder which will then be mixed with different ingredients to produce dark, milk, white and other types of chocolates. There are several health benefits and potential problems that come in these sweet chocolatey packages. <h2>The good news</h2> Cacao beans contain <a href="https://foodstruct.com/food/cocoa-bean">minerals</a> like iron, potassium, magnesium, zinc and phosphorus and some vitamins. They are also rich in beneficial chemicals called <a href="https://pubmed.ncbi.nlm.nih.gov/23150750/">polyphenols</a>. These are great antioxidants, with the potential to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465250/">improve heart health</a>, increase <a href="https://pubmed.ncbi.nlm.nih.gov/25164923/">nitric oxide</a> (which dilates blood vessels) and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488419/">reduce blood pressure</a>, provide food for gut microbiota and <a href="https://www.mdpi.com/2072-6643/12/7/1908">promote gut health</a>, boost the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465250/">immune system</a> and reduce inflammation. However, the concentration of polyphenols in the chocolate we eat depends largely on the cocoa solid amounts used in the final product. In general terms, the darker the chocolate, the more cocoa solids, minerals and polyphenols it has. For example, dark chocolates may have around <a href="https://www.tandfonline.com/doi/full/10.1080/10942912.2011.614984">seven times more polyphenols</a> compared to white chocolates and <a href="https://www.tandfonline.com/doi/full/10.1080/10942912.2011.614984">three times more polyphenols</a> compared to milk chocolates. <h2>But also some bad news</h2> Unfortunately, the <a href="https://theconversation.com/treat-or-treatment-chocolate-is-good-but-cocoa-is-better-for-your-heart-3084">health benefits of cocoa solids</a> are easily offset by the high sugar and fat content of modern-day chocolates. For example, milk and white chocolate eggs are on average 50% sugar, 40% fat (mostly saturated fats) – which means a lot of added kilojoules (calories). Also, there may be some side effects that come with ingesting chocolate. Cocoa beans include a compound called theobromine. While it has the anti-inflammatory properties responsible for some of the health benefits of chocolate, it is also a mild brain stimulant that acts in a similar way to caffeine. The mood boost it offers may also be partly responsible for how much we <a href="https://www.frontiersin.org/articles/10.3389/fphar.2015.00030/full?crsi=662496658&cicada_org_src=healthwebmagazine.com&cicada_org_mdm=direct">like chocolate</a>. Dark chocolate has higher theobromine compared to milk and white chocolate. But accordingly, overindulging in chocolate (and therefore theobromine) may lead to feeling restless, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3672386/">headaches</a> and nausea. <h2>What else is in your chocolate?</h2> Milk and dairy-based chocolates may also cause stomach upset, abdominal pain and bloating in people with <a href="https://dietitiansaustralia.org.au/health-advice/lactose-intolerance">lactose intolerance</a>. This happens when we don’t produce enough lactase enzymes to digest milk sugar (lactose). People with lactose intolerance can usually tolerate up to 6 grams of lactose without showing symptoms. Milk chocolate can have around <a href="https://www.ncbi.nlm.nih.gov/books/NBK310258/">3 grams of lactose</a> per 40 grams (the size of a standard chocolate bar). So two chocolate bars (or the equivalent in milk chocolate eggs or bunnies) may be enough to cause symptoms. It’s worth noting that lactase enzyme activity dramatically declines as we age, with the highest activity in newborns and children. So lactose sensitivity or intolerance may not be such an issue for your kids and your symptoms may increase over time. Genetics also plays a major role in how sensitive people are to lactose. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815241/">Allergic reactions</a> to chocolate are usually due to the added ingredients or cross-contamination with potential allergens such as nuts, milk, soy, and some sweeteners used in the production of chocolate. Symptoms can be mild (acne, rashes and stomach pain) or more severe (swelling of the throat and tongue and shortness of breath). If you or your family members have known allergic reactions, make sure you read the label before indulging – especially in a whole block or basket of the stuff. And if you or your family members do experience symptoms of an allergic reaction after eating chocolate, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/allergic-reactions-emergency-first-aid">seek medical attention</a> immediately. <h2>4 take home tips</h2> So, if you are like me and have a weakness for chocolate there are a few things you can do to make the experience a good one.<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/202848/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <ol> <li>keep an eye out for the darker chocolate varieties with higher cocoa solids. You may notice a percentage on labelling, which refers to how much of its weight is from cocoa beans. In general, the higher this percentage, the lower the sugar. White chocolate has almost no cocoa solid, and mostly cocoa butter, sugar and other ingredients. Dark chocolate has 50–100% cocoa beans, and less sugar. Aim for at least 70% cocoa</li> <li>read the fine print for additives and possible cross-contamination, especially if allergies might be an issue</li> <li>the ingredients list and nutrition information panel should tell you all about the chocolate you choosing. Go for varieties with lower sugar and less saturated fat. Nuts, seeds and dried fruits are better ingredients to have in your chocolate than sugar, creme, syrup, and caramel</li> <li>finally, treat yourself – but keep the amount you have within sensible limits!</li> </ol> <a href="https://theconversation.com/profiles/saman-khalesi-366871">Saman Khalesi</a>, Postdoctoral Fellow of the National Heart Foundation & Senior Lecturer and Discipline Lead in Nutrition, School of Health, Medical and Applied Sciences, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</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/heres-why-having-chocolate-can-make-you-feel-great-or-a-bit-sick-plus-4-tips-for-better-eating-202848">original article</a>.

Food & Wine

Altitude sickness is typically mild but can sometimes turn very serious − a high-altitude medicine physician explains how to safely prepare

<a href="https://theconversation.com/profiles/brian-strickland-1506270">Brian Strickland</a>, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</a> Equipped with the latest gear and a thirst for adventure, mountaineers embrace the perils that come with conquering the world’s highest peaks. Yet, even those who tread more cautiously at high altitude are not immune from the health hazards waiting in the thin air above. Altitude sickness, which most commonly refers to <a href="https://medlineplus.gov/ency/article/000133.htm">acute mountain sickness</a>, <a href="https://doi.org/10.1016/j.pcad.2010.02.003">presents a significant challenge</a> to those traveling to and adventuring in high-altitude destinations. Its symptoms can range from <a href="https://doi.org/10.1089/ham.2017.0164">mildly annoying to incapacitating</a> and, in some cases, may progress to more <a href="https://doi.org/10.1183/16000617.0096-2016">life-threatening illnesses</a>. While <a href="https://doi.org/10.18111/9789284424023">interest in high-altitude tourism is rapidly growing</a>, general awareness and understanding about the hazards of visiting these locations <a href="https://doi.org/10.1089/ham.2022.0083">remains low</a>. The more travelers know, the better they can prepare for and enjoy their journey. As an <a href="https://som.cuanschutz.edu/Profiles/Faculty/Profile/36740">emergency physician specializing in high-altitude illnesses</a>, I work to improve health care in remote and mountainous locations around the world. I’m invested in finding ways to allow people from all backgrounds to experience the magic of the mountains in an enjoyable and meaningful way. <h2>The science behind altitude sickness</h2> Altitude sickness is rare in locations lower than 8,200 feet (2,500 meters); however, <a href="https://www.ncbi.nlm.nih.gov/books/NBK430716/">it becomes very common</a> when ascending above this elevation. In fact, it affects about <a href="https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">25% of visitors to the mountains of Colorado</a>, where I conduct most of my research. The risk rapidly increases with higher ascents. Above 9,800 feet (3,000 meters), up to <a href="https://www.ncbi.nlm.nih.gov/books/NBK430716/">75% of travelers</a> may develop symptoms. Symptoms of altitude sickness are usually mild and consist of <a href="https://doi.org/10.1089/ham.2017.0164">headache, dizziness, nausea, fatigue and insomnia</a>. They usually <a href="https://doi.org/10.1016/j.rceng.2019.12.009">resolve after one to two days</a>, as long as travelers stop their ascent, and the symptoms quickly resolve with descent. When travelers do not properly acclimatize, they can be susceptible to life-threatening altitude illnesses, such as <a href="https://doi.org/10.1016/j.resp.2007.05.002">high-altitude pulmonary edema</a> or <a href="https://doi.org/10.1089/1527029041352054">high-altitude cerebral edema</a>. These conditions are characterized by fluid accumulation within the tissues of the lungs and brain, respectively, and are the <a href="https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">most severe forms of altitude sickness</a>. Altitude sickness symptoms are thought to be caused by <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">increased pressure surrounding the brain</a>, which results from the failure of the body to acclimatize to higher elevations. As people enter into an environment with lower air pressure and, therefore, <a href="https://doi.org/10.1001/jamanetworkopen.2023.18036">lower oxygen content</a>, their <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">breathing rate increases</a> in order to compensate. This causes an increase in the amount of <a href="https://doi.org/10.1016/s1357-2725(03)00050-5">oxygen in the blood as well as decreased CO₂ levels</a>, which then increases blood pH. As a result, the <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">kidneys compensate</a> by removing a chemical called bicarbonate from the blood into the urine. This process makes people urinate more and helps correct the acid and alkaline content of the blood to a more normal level. <figure><iframe src="https://www.youtube.com/embed/iv1vQPIdX_k?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>Tips for preventing or reducing the risk of altitude sickness.</figcaption></figure> <h2>The importance of gradual ascent</h2> High-altitude medicine experts and other physicians <a href="https://doi.org/10.1016/s0140-6736(76)91677-9">have known for decades</a> that <a href="https://doi.org/10.1089/ham.2010.1006">taking time to slowly ascend is the best way</a> to prevent the development of altitude sickness. This strategy gives the body time to complete its natural physiologic responses to the changes in air pressure and oxygen content. In fact, spending just <a href="https://doi.org/10.1089/ham.2010.1006">one night at a moderate elevation</a>, such as Denver, Colorado, which is at 5,280 feet (1,600 meters), has been shown to <a href="https://doi.org/10.7326/0003-4819-118-8-199304150-00003">significantly reduce the likelihood of developing symptoms</a>. People who skip this step and travel directly to high elevations are <a href="https://doi.org/10.1093/jtm/taad011">up to four times more likely</a> to develop altitude sickness symptoms. When going to elevations greater than 11,000 feet, multiple days of acclimatization are necessary. Experts generally recommend ascending <a href="https://doi.org/10.1089/ham.2010.1006">no more than 1,500 feet per day</a> once the threshold of 8,200 feet of elevation has been crossed. Workers at high altitude, such as <a href="https://doi.org/10.1089/ham.2020.0004">porters in the Nepali Himalaya</a>, are at <a href="https://doi.org/10.1016/j.wem.2018.06.002">particular risk of altitude-related illness</a>. These workers often do not adhere to acclimatization recommendations in order to maximize earnings during tourist seasons; as a result, they are more likely to experience <a href="https://www.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">severe forms of altitude sickness</a>. <h2>Effective medications</h2> For more than 40 years, <a href="https://doi.org/10.1056/nejm196810172791601">a medicine called acetazolamide</a> has been used to <a href="https://medlineplus.gov/druginfo/meds/a682756.html">prevent the development of altitude sickness</a> and to treat its symptoms. Acetazolamide is <a href="https://www.ncbi.nlm.nih.gov/books/NBK557838/">commonly used as a diuretic</a> and for the <a href="https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/glaucoma">treatment of glaucoma</a>, a condition that causes increased pressure within the eye. If started <a href="https://doi.org/10.1378/chest.09-2445">two days prior</a> to going up to a high elevation, acetazolamide can <a href="https://doi.org/10.1378/chest.09-2445">prevent symptoms of acute illness</a> by speeding up the acclimatization process. Nonetheless, it does not negate the recommendations to ascend slowly, and it is <a href="https://doi.org/10.1016/j.wem.2019.04.006">routinely recommended only</a> when people cannot slowly ascend or for people who have a history of severe altitude sickness symptoms even with slow ascent. Other medications, including ibuprofen, have <a href="https://doi.org/10.1016/j.wem.2012.08.001">shown some effectiveness</a> in treating acute mountain sickness, although <a href="https://doi.org/10.1016/j.amjmed.2018.10.021">not as well as acetazolamide</a>. A <a href="https://pubmed.ncbi.nlm.nih.gov/2028586/">steroid medication called dexamethasone</a> is effective in both treating and preventing symptoms, but it does not improve acclimatization. It is <a href="https://doi.org/10.1016/j.wem.2019.04.006">recommended only when acetazolamide is not effective</a> or cannot be taken. Additionally, it is important to <a href="https://wwwnc.cdc.gov/travel/page/travel-to-high-altitudes">avoid alcohol during the first few days at higher altitudes</a>, as it impairs the body’s ability to acclimatize. <h2>Unproven therapies and remedies are common</h2> As high-altitude tourism becomes increasingly popular, multiple commercial products and remedies have emerged. Most of them are not effective or provide no evidence to suggest they work as advertised. Other options have mixed evidence, making them difficult to recommend. Medications such as <a href="https://doi.org/10.1089/ham.2007.1037">aspirin</a>, <a href="https://doi.org/10.1183/13993003.01355-2017">inhaled steroids</a> and <a href="https://doi.org/10.1089/ham.2011.0007">sildenafil</a> have been proposed as possible preventive agents for altitude sickness, but on the whole they have not been found to be effective. <a href="https://doi.org/10.1093/qjmed/hcp026">Supplements and antioxidants have no proven benefit</a> in preventing or treating altitude sickness symptoms. Both normal and high-altitude exercise are popular ways to prepare for high elevations, especially among athletes. However, beyond <a href="https://doi.org/10.1097/jes.0b013e31825eaa33">certain pre-acclimatization strategies</a>, such as brief sojourns to high altitude, <a href="https://doi.org/10.1016/j.tmaid.2013.12.002">physical fitness and training is of little benefit</a>. <a href="https://missouripoisoncenter.org/canned-oxygen-is-it-good-for-you">Canned oxygen</a> has also exploded in popularity with travelers. While <a href="https://doi.org/10.1016/0140-6736(90)93240-p">continuously administered medical oxygen</a> in a health care setting can alleviate altitude sickness symptoms, portable oxygen cans <a href="https://doi.org/10.1016/j.wem.2019.04.006">contain very little oxygen gas</a>, casting doubt on their effectiveness. Some high-altitude adventure travelers sleep in <a href="https://doi.org/10.2165/00007256-200131040-00002">specialized tents</a> that simulate increased elevation by lowering the quantity of available oxygen in ambient air. The lower oxygen levels within the tent are thought to accelerate the acclimatization process, but the tents aren’t able to decrease barometric pressure. This is an important part of the high-altitude environment that induces acclimatization. Without modifying ambient air pressure, these <a href="https://doi.org/10.1016/j.wem.2014.04.004">tents may take multiple weeks</a> to be effective. Natural medicines, such as <a href="https://doi.org/10.1580/08-weme-br-247.1">gingko</a> and <a href="https://doi.org/10.1186/s40794-019-0095-7">coca leaves</a>, are touted as natural altitude sickness treatments, but few studies have been done on them. The modest benefits and significant side effects of these options makes their use <a href="https://doi.org/10.1016/j.wem.2019.04.006">difficult to recommend</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/8469948/">Staying hydrated</a> is very important at high altitudes due to fluid losses from increased urination, dry air and increased physical exertion. <a href="https://doi.org/10.1186%2Fs12889-018-6252-5">Dehydration symptoms</a> can also mimic those of altitude sickness. But there is <a href="https://doi.org/10.1580/1080-6032(2006)17%5B215:AMSIOF%5D2.0.CO;2">little evidence that consuming excessive amounts of water</a> can prevent or treat altitude sickness. The mountains have something for visitors of all interests and expertise and can offer truly life-changing experiences. While there are health risks associated with travel at higher elevations, these can be lessened by making basic preparations and taking time to slowly ascend.<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/222057/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/brian-strickland-1506270">Brian Strickland</a>, Senior Instructor in Emergency Medicine, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</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/altitude-sickness-is-typically-mild-but-can-sometimes-turn-very-serious-a-high-altitude-medicine-physician-explains-how-to-safely-prepare-222057">original article</a>.

Travel Trouble

Passengers stranded after three-year cruise abruptly cancelled

When Life At Sea <a href="https://oversixty.com.au/travel/cruising/world-first-three-year-cruise-revealed" target="_blank" rel="noopener">announced</a> their world-first three-year voyage in early 2023, many were quick to jump at the opportunity to spend the next years of their life onboard. People from around the globe <a href="https://oversixty.com.au/travel/cruising/meet-the-woman-preparing-to-spend-three-years-at-sea#xd_co_f=YTM5MzVmOGQtNTY4My00NWE1LThjNDctMTUxMjJlNjVhMWNj~" target="_blank" rel="noopener">sold their homes</a> and belongings to fork out the hefty $180,000 price tag to spend 36 months travelling the world, with their once-in-a-lifetime voyage set to kick off in November. But now, as their departure date loomed, Life At Sea have left passengers stranded after abruptly cancelling the trip in its entirety. Life at Sea Cruises was scheduled to depart from Istanbul, Turkey on November 1st but departure was relocated and delayed twice to November 30th, before passengers were informed on November 17th the cruise was off, according to CNN. The news outlet reported that the ship that was destined to be the vessel of the three-year journey was bought by another company just one day before the voyage was cancelled. The owner of Life at Sea Cruises’ parent company Miray Cruises, then confirmed they couldn’t afford the ship because investors had pulled out “due to unrest in the Middle East” – but suggested they were working on getting another ship and a new departure date. The idea that the vessel would be replaced filled some travellers with hope they would still be embarking on their three-year adventure, before CEO of Miray Cruises was forced to clarify: “In case we weren’t clear, the Life at Sea cruise trip is cancelled.” Passengers were devastated by the news, with those who thought they had locked in the next three years of their lives telling CNN they felt “incredibly sad”, “angry” and “betrayed”. “I had the next three years of my life planned to live an extraordinary life, and now [I have] nothing,” said one cruiser. “I don’t think they will ever understand how much damage they’ve caused us,” said another. The more than $180,000 three-year trip had been celebrated by big cruising fans and called a “nightmare” and “claustrophobic” by critics across social media. The company’s website is still advertising the cruise as normal, with a countdown stating on Monday it was three hours “until we go for an adventure of a lifetime”. Image credits: Life At Sea

Travel Trouble

Why do I crave sugar and carbs when I’m sick?

<a href="https://theconversation.com/profiles/hayley-oneill-1458016">Hayley O'Neill</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> Your nose is running, your head hurts and you feel like you’re coming down with a cold. You’re settling in on the couch for a sick day. Then you reach for the snacks. When you’re sick, your appetite often decreases. So why, at other times, do you crave sugary treats and carbohydrate-loaded comfort foods? A food <a href="https://pubmed.ncbi.nlm.nih.gov/28375878/">craving</a> goes beyond a mere desire to eat, it encompasses a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399671/#CR1">complex mix</a> of emotional, behavioural, cognitive and physiological processes. Whether it’s the need for a quick energy source or a temporary relief from discomfort, our bodies and minds work in tandem to drive our food preferences. Here we’ll explore the science behind why our bodies crave sugar and carbs – especially when we’re sick. <h2>Fuelling the immune system</h2> When sickness strikes, our immune system springs into action, requiring additional energy to combat invaders. This heightened activity often leads to an increase in our <a href="https://pubmed.ncbi.nlm.nih.gov/36505552/">metabolic rate</a>, energy demands and nutritional requirements. Sugary treats and carbs are quick sources of energy, satisfying this increased demand. But while a high sugar diet during times of illness may help meet increased metabolic demands, it could also exacerbate the immune and inflammatory response, potentially impeding recovery. In the longer term, high-sugar diets promote chronic <a href="https://pubmed.ncbi.nlm.nih.gov/33339337/">inflammation</a>, <a href="https://www.science.org/doi/10.1126/scitranslmed.aay6218?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed">alter gut microbiota</a> composition, and are associated with chronic disease. For a <a href="https://www.mdpi.com/2072-6643/12/4/1181">well-functioning immune system</a>, aim for a <a href="https://www.who.int/news-room/fact-sheets/detail/healthy-diet">balanced intake</a> of <a href="https://pubmed.ncbi.nlm.nih.gov/31267783/">fruits, vegetables</a>, fibre, protein, and low-glycaemic carbohydrates. <h2>The stress response</h2> Being sick is stressful for the body. Acute mild or intense stress, like we’d see if we’re sick, boosts the “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921333/">flight or fight</a>” hormones adrenaline and cortisol. This mobilises stored energy to meet increased demands, but it can also curb appetite. <a href="https://pubmed.ncbi.nlm.nih.gov/31125634/">Prolonged stress</a> can disrupt energy balance, and cause nutritional deficiencies and alterations in gut and brain functions. This can reduce a person’s threshold for craving sugar and salt, increasing their preferences towards energy-dense foods. The stress hormone cortisol can also increase your <a href="https://pubmed.ncbi.nlm.nih.gov/24123563/">preference</a> for high-calorie, comfort foods, which can <a href="https://pubmed.ncbi.nlm.nih.gov/36615866/">temporarily alleviate stress</a>. <h2>The brain’s reward system</h2> Comfort foods trigger your brain’s reward system, releasing feel-good neurotransmitters like <a href="https://pubmed.ncbi.nlm.nih.gov/30595479/">dopamine</a> and serotonin. But “<a href="https://pubmed.ncbi.nlm.nih.gov/30951762/">sugar rushes</a>” are often short-lived and can lead to decreased alertness and heightened fatigue within an hour of consumption. The link between carbohydrates (which the body converts to sugar) and serotonin can be traced back to 1971 when <a href="https://www.science.org/doi/10.1126/science.174.4013.1023?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed">researchers</a> found elevated tryptophan levels (serotonin’s precursor) in rats’ plasma and brains after a carbohydrate-rich diet. Subsequent studies in humans established connections between carbohydrates and mood, especially in relation to <a href="https://pubmed.ncbi.nlm.nih.gov/2903717/">obesity, depression and seasonal affective disorder</a>. Therapies enhancing serotonin have since been shown to <a href="https://pubmed.ncbi.nlm.nih.gov/2903717/">reduce carbohydrate intake</a>. Remarkably, around <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911970/pdf/molecules-27-01680.pdf">90% of serotonin</a> production occurs in the gut. The vast microbial population in our gut exerts a potent influence on <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8106557/">immunity, metabolism</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293578/pdf/40168_2021_Article_1093.pdf">appetite</a>. Recent mouse studies have even identified specific microbes linked to <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(22)01750-X">sugar binges after antibiotic treatment</a>. <h2>Some people eat less when they’re sick</h2> Not everyone craves sugar and carbs when they are sick. Some people eat less for a few reasons: <ul> <li> they have less of an appetite. While <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610818/pdf/JDR2017-4527980.pdf">ghrelin</a> (the “hunger” hormone) levels might initially rise, prolonged illness can suppress appetite due to nausea, fatigue and discomfort. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921333/">Critically ill</a> patients have reduced food intake and are at risk of malnutrition </li> <li> <a href="https://pubmed.ncbi.nlm.nih.gov/30777142/">metabolic adaptation</a>. The body might slow specific metabolic processes to conserve energy, reducing overall calorie requirements </li> <li> altered taste perception. <a href="https://pubmed.ncbi.nlm.nih.gov/32195512/#:%7E:text=The%20ability%20of%20an%20individual%20to%20perceive%20tastes,intake%2C%20playing%20an%20important%20role%20in%20promoting%20satiation%2Fsatiety.">Taste</a> is an important component that affects both appetite and energy intake. Alterations in taste and smell is a common symptom when we are sick and was common with <a href="https://doi.org/10.1101/2020.04.05.20048421">COVID</a> </li> <li> consuming fluids like water, tea or broths might be more appealing and manageable than solid foods. These fluids provide hydration but contribute minimally to calorie intake.<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/210565/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ul> <a href="https://theconversation.com/profiles/hayley-oneill-1458016">Hayley O'Neill</a>, Assistant Professor, Faculty of Health Sciences and Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond 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/why-do-i-crave-sugar-and-carbs-when-im-sick-210565">original article</a>.

Body

Why we’re more prone to car-sickness when we set off on holiday

<a href="https://theconversation.com/profiles/william-emond-1431510">William Emond</a>, <a href="https://theconversation.com/institutions/universite-de-technologie-de-belfort-montbeliard-2637">Université de Technologie de Belfort-Montbéliard</a> Travel sickness isn’t just hearsay. Nearly <a href="https://www.autonomicneuroscience.com/article/S1566-0702(06)00212-8/fulltext">a third of people</a> experience motion sickness – and to this day we don’t exactly know what causes it. The prevailing theory suggests it is triggered by a <a href="https://onlinelibrary.wiley.com/doi/10.1111/cns.12468">poor perception of movement</a>. Departure to and return from summer holidays seem moments especially prone to this sickness’ stealthy advances. We (or at least those of us inclined to travel sickness) are more often ill during these particular journeys than during our normal comings and goings. Let’s note too that lots of travellers feel a sense of fatigue, drowsiness, apathy or lack of energy without having done any particularly exhausting activity. These are in fact symptoms of <a href="https://www.sciencedirect.com/science/article/abs/pii/S0094576598001532">mild motion sickness</a>, which show that many more people are affected by the condition than you’d think. Why this apparent heightened susceptibility during holiday trips? There are many reasons. Compared to normal travel, these journeys feature certain conditions, all with the potential to increase the incidence and severity of symptoms. Here are some pieces of explanation, and advice to minimise the risk. <h2>Long journeys – repetition of movements that make you queasy</h2> In a car, the further one travels, the more likely one is to feel ill, as shown by a number of <a href="https://journals.sagepub.com/doi/10.1243/0954407042580093">mathematical models which predict motion sickness</a>. It’s the adding up of unpleasant movements which takes us over the threshold where we feel symptoms. For certain people, this <a href="https://www.sciencedirect.com/science/article/abs/pii/S1566070206002128">can happen after just a few minutes</a>); for others it develops more slowly. Only on long journeys, after several hours on the road, in the air or on a boat, will this latter group be pushed over their limit and start feeling unwell. Activities undertaken to pass the time during a long journey could add to feelings of queasiness. Often people do something to occupy and entertain themselves: read a book, watch a film, play a video game or scroll through social media. Except, these visually stimulating activities absorb our attention to the point that we’re not tuned in to the visual cues that allows our brain to assess the movement of the vehicle. This creates a confusion in the perception of movement. As a result, it becomes <a href="https://www.sciencedirect.com/science/article/abs/pii/S0141938214000043?via%3Dihub">much easier to feel sick</a>. <h2>Journey conditions: risks adding up</h2> In summer, the temperature inside a vehicle is difficult to control, with the sun often imposing a stifling heat; conditions which <a href="https://www.ingentaconnect.com/content/asma/asem/2013/00000084/00000005/art00004">tend to accentuate the symptoms of motion sickness</a>. When it’s hot, <a href="https://theconversation.com/lesquels-de-nos-organes-sont-les-plus-menaces-par-la-canicule-119563">our body has to make an effort to regulate its temperature</a>, through sweat or breathing for example. These various signals amount to ‘primary symptoms’ as they can contribute to the appearance of other more substantive symptoms: dilation of the blood vessels, sickness, nausea or vomiting, as applicable. To counter these effects, one is tempted to switch the air conditioning on, which could itself, perversely, <a href="https://www.francetvinfo.fr/sante/environnement-et-sante/la-climatisation-rend-elle-malade_2885673.html">worsen the situation for passengers highly susceptible to motion sickness</a>. Ventilation and cabin air systems also push people toward their nausea thresholds. Unpleasant smells are another factor that can <a href="https://www.ingentaconnect.com/content/asma/asem/2013/00000084/00000005/art00004">accentuate car sickness symptoms</a>: traffic fumes, cigarette smoke, fetid air or even <a href="https://link.springer.com/article/10.1007/s00221-015-4209-9">the smell of leather</a> were identified as <a href="https://www.sciencedirect.com/science/article/pii/S1369847819306539">second most common cause of car sickness</a>! These are bigger risk factors at the start of holiday season, when <a href="https://www.francetvinfo.fr/economie/transports/trafic/vacances-les-vagues-de-departs-massifs-sont-associees-a-de-fortes-emissions-de-polluants_2839361.html">air pollution peaks regularly</a> and the sun’s rays heat up materials. It’s also known that there is a region of the brain – the area postrema or chemoreceptor trigger zone – which can trigger over-production of saliva and nausea specifically when certain smells are detected – a protective reflex against toxins and other poisonous substances. <h2>Traffic: a physical and mental imposition</h2> In a car, it isn’t speed that makes one ill but <a href="https://www.tandfonline.com/doi/abs/10.1080/001401399184730">changes in speed</a>, especially abrupt ones. Acceleration and breaking movements aggravate the human body, even more than turning corners. In practice, variations in speed are often forced on the driver by road design (speed limits, crossings, traffic lights), but also by the state of the traffic. A car stuck in jams will be forced to speed up and slow down at random intervals, <a href="https://www.researchgate.net/publication/366836220_Effect_of_Horizontal_Acceleration_and_Seat_Orientation_on_Motion_Sickness_in_Passenger_Cars">which grates, even at low speeds</a>. Traffic jams also have a psychological element. Delays to a journey (which might already have been very long), anxiousness about arriving at the arranged time, which is looking less and less likely, tiredness, stress and irritation can all cause the passengers’ mood to crash. It’s been observed that these factors <a href="https://journals.sagepub.com/doi/10.1177/0018720819876139">significantly impact the degree of motion sickness symptoms</a>. It would be better to take these setbacks calmly and stay in a relaxed frame of mind but that’s of course easier said than done. <h2>Some tips to limit the damage</h2> If you’re driving with passengers with a tendency to be car sick, or you’re susceptible yourself, some adjustments to your travel habits might help you. For the driver: <ul> <li> Take regular breaks. This allows passengers to take a breather, and to reduce to a significant extent or even get over their symptoms. Sometimes symptoms can take a while to disappear but <a href="https://content.iospress.com/articles/journal-of-vestibular-research/ves7-6-01">generally 15-30 minutes is enough</a>. </li> <li> Try to cut down the amount of hard acceleration and braking you do. Keep as far as possible to the same speed and adopt a smooth driving style, including when you overtake or brake. </li> <li> Avoid taking corners too sharply on winding roads. Passengers should be <a href="https://www.tandfonline.com/doi/abs/10.1080/00140139.2015.1109713">jolted in their seats as little as possible</a>. </li> </ul> For passengers <ul> <li> <a href="https://www.tandfonline.com/doi/abs/10.1080/001401399184730">Sit as far forward in the vehicle as possible</a>. Any movement while travelling is better absorbed by the body from this position. <a href="https://www.tandfonline.com/doi/abs/10.1080/00140139108964831">It’s in the driver’s seat that people are least affected by car sickness</a>, since one has control over the vehicle’s movement. </li> <li> Avoid looking at screens and other visual content (books, etc.), particularly when the vehicle isn’t moving at a constant speed. Instead, <a href="https://bpspsychub.onlinelibrary.wiley.com/doi/abs/10.1348/000712699161594">try and look forward out of the window</a>, towards the horizon. </li> <li> <a href="https://www.tandfonline.com/doi/abs/10.1080/00140139.2015.1109713">Shut your eyes</a> or <a href="https://psycnet.apa.org/record/1976-12574-000">try to sleep</a>. Slowing down activity soothes the body. </li> <li> <a href="https://link.springer.com/chapter/10.1007/978-3-030-27928-8_26">Tilt your seat back</a>. This allows you to be less destabilised by the vehicle’s movements </li> <li> Go for car games with the other passengers if you get bored: play “I Spy”, <a href="https://theses.gla.ac.uk/80069/1/13905209.pdf">sing songs</a>, count cars of a particular colour or make, and other old favourites of proven effectiveness to help pass the time and, above all, <a href="http://iospress.com/articles/journal-of-vestibular-research/ves00541">take your attention away from the queasiness</a>. The emergence and disappearance of symptoms is mainly a psychological phenomenon. </li> </ul> Finally, given the role of the mind in car sickness symptoms, note that passengers experiencing queasiness can feel better with a placebo (something with no proven medicinal value but presented to them as a magic cure). Simple tips <a href="https://academic.oup.com/jtm/article/5/2/89/1801039">have been shown to be particularly effective</a>. For example, <a href="https://link.springer.com/article/10.1007/s00221-021-06303-5">offering a sweet, a piece of chewing gum</a>, <a href="https://link.springer.com/article/10.1007/s00221-017-5009-1">a sip of water or a breath of fresh air</a> while talking up their effectiveness will give your fellow travellers a little boost. We wish you happy travels, hoping your journey conditions are as good as they can be. <hr /> Translation from French to English by <a href="https://twitter.com/JoshNeicho">Joshua Neicho</a><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/210338/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/william-emond-1431510">William Emond</a>, Doctorant en mal des transports (PhD Student on carsickness mitigation), <a href="https://theconversation.com/institutions/universite-de-technologie-de-belfort-montbeliard-2637">Université de Technologie de Belfort-Montbéliard</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/why-were-more-prone-to-car-sickness-when-we-set-off-on-holiday-210338">original article</a>.

Travel Tips

Sickness or health: Healthy life split along gender, education lines

Australians are living and working longer than ever, but the number of healthy years they’re enjoying with this added longevity isn’t shared equally between the sexes, or by those who finished school before Year 12. <div class="copy"> A paper recently <a href="https://doi.org/10.1016/S2468-2667(23)00129-9" target="_blank" rel="noreferrer noopener" data-type="URL" data-id="https://doi.org/10.1016/S2468-2667(23)00129-9">published</a> in The Lancet Public Health from the Ageing Futures Institute at the University of New South Wales shows an increase in longevity in Australia. Other data in the publication reveal detail about “healthy years”. Men, and those with higher levels of education, worked about 2 years longer in good health. For women and those with lower education, the years of healthy life expectancy have gone backwards. The report, led by statistician Dr Kim Kiely who is now based at The University of Wollongong, compared representative cohorts of people aged 50-100 who participated in the Household Income and Labour Dynamics in Australia survey (HILDA). Those cohorts were measured over decade long periods – the first from 2001-2010 and the second from 2011-2020. Men added an extra 11 months of healthy life between the cohorts, while women lost a month. Similarly those of any gender who had completed year 12 added about 10 months to their healthy life expectancy, while the same amount of time was lost by those who hadn’t. “Everyone’s increasing their working life expectancy, so the years they’re expected to be working,” Kiely says. “What is different is how long they’re expected to be living in good health: women and people with low education didn’t have an improvement in healthy life expectancy. “Everyone’s also living longer than ever before, but for women, those extra years seem to be years of poor health. People with lower education – they end up going backwards, they’re losing years of healthy life.” Australia’s working life trends are similar to those in Europe and the UK, though this research suggests the Australian labour force works longer in poor health than their antipodean counterparts. Kiely says the findings are important considerations for policymakers pondering questions of retirement and pension ages: the demands of some labour may not be evenly spread when it comes to considering health implications. “We have a pension age that has been rising steadily over the past couple of decades – it’s not rising anymore – but there is a strong expectation for people to be working longer,” Kiely says. “And if that is the case, then we need opportunities for work for mature age, older adults, and those work opportunities have to be suitable for their capacity to work. “We do need to address things like age and gender discrimination in the workforce. And we need to think about how we support people who are unable to work before they reach the pension age.” Kiely is extending his research into how the nature of work in Australia influences these high-level findings. He hopes this can explain why gender and education influence healthy working years. Further drilling down into other subgroups is important, say Dr Marty Lynch and Dr Ross Wilkie from Keele University, UK. They investigated healthy working life expectancy as part of Britain’s Independent State Pension Age Review last year. They too found Briton were working longer, but not at a rate that keeps pace with the national pension age. In a Lancet editorial accompanying the Australian research, they point out that the HILDA data evaluation only shows changes in average ages on gender and education lines. “The extent of HWLE [Healthy Working Life Expectancy] inequalities between subpopulations with multiple specific characteristics are likely to be even wider and will also indicate targets and interventions to increase the number of years that people can be healthy and in work,” they say. The impact of socioeconomic status on life expectancy and disease burden was recently highlighted in a large-scale review of Australia’s 30-year health data. <a href="https://cosmosmagazine.com/people/society/australias-life-expectancy-is-up-but-healthy-years-are-a-different-story/">It found</a> while Australians have added 6 years to their life expectancy since 1990, those with lower socioeconomic backgrounds had a higher risk of death-causing disease. Image credits: Getty Images <a href="https://cosmosmagazine.com/people/society/sickness-or-health-healthy-life-split-along-gender-education-lines/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="null">Cosmos</a>. </div>

Retirement Life

Why can’t we just tow stranded whales and dolphins back out to sea?

<a href="https://theconversation.com/profiles/vanessa-pirotta-873986">Vanessa Pirotta</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> On Tuesday night, a pod of almost 100 long-finned pilot whales stranded itself on a beach on Western Australia’s south coast. Over the course of Wednesday, more than 100 parks and wildlife staff and 250 registered volunteers worked tirelessly to try to keep alive the 45 animals surviving the night. They used small boats and surf skis to try to get the pilot whales into deeper water. Volunteers helped keep the animals’ blowholes above water to prevent them drowning, and poured water on them to cool them down. Our rescue efforts were, sadly, unsuccessful. The animals (actually large ocean-going dolphins) able to be towed or helped out to deeper water turned around and stranded themselves again, <a href="https://www.facebook.com/watch/?v=228337910167574&ref=sharing">further down the beach</a>. Sadly, they had to be euthanised. Unfortunately, towing whales and dolphins is not simple. It can work and work well, as we saw in Tasmania last year, when dozens of pilot whales were rescued. But rescuers have to have good conditions and a fair dash of luck for it to succeed. <h2>Rescuing beached whales is hard</h2> When we try to rescue stranded whales and dolphins, the goal is to get them off the sandbars or beach, and back into deep water. Why is it so difficult? Consider the problem. First, you have to know that a pod has beached itself. Then, you have to be able to get there in time, with people skilled in wildlife rescue. These animals are generally too big and heavy to rely on muscle power alone. To get them out far enough, you need boats and sometimes tractors. That means the sea conditions and the slope of the beach have to be suitable. Often, one of the first things rescuers might do is look for those individuals who might be good candidates to be refloated. Generally, these are individuals still alive, and not completely exhausted. If rescuers have boats and good conditions, they may use slings. The boats need to be able to tow the animals well out to sea. Trained people must always be there to oversee the operation. That’s because these large, stressed animals could seriously injure humans just by moving their bodies on the beach. There are extra challenges. Dolphins and whales are slippery and extremely heavy. Long-finned pilot whales can weigh up to 2.3 tonnes. They may have never seen humans before and won’t necessarily know humans are there to help. They’re out of their element, under the sun and extremely stressed. Out of the water, their sheer weight begins to crush their organs. They can also become sunburnt. Because they are so efficient at keeping a comfortable temperature in the sea, they can overheat and die on land. Often, as we saw yesterday, they can’t always keep themselves upright in the shallow water. And to add to the problem, pilot whales are highly social. They want to be with each other. If you tow a single animal back out to sea, it may try to get back to its family and friends or remain disorientated and strand once again. Because of these reasons – and probably others – it wasn’t possible to save the pilot whales yesterday. Those that didn’t die naturally were euthanised to minimise their suffering. <h2>Successful rescues do happen</h2> Despite the remarkable effort from authorities and local communities, we couldn’t save this pod. Every single person working around the clock to help these animals did an amazing job, from experts to volunteers in the cold water to those making cups of tea. But sometimes, we get luckier. Last year, 230 pilot whales beached themselves at Macquarie Harbour, on Tasmania’s west coast. By the time rescuers could get there, <a href="https://www.theguardian.com/australia-news/2022/sep/27/44-pilot-whales-rescued-and-returned-to-sea-after-mass-stranding-at-tasmanian-beach">most were dead</a>. But dozens were still alive. This time, conditions were different and towing worked. Rescuers were able to bring boats close to shore. Surviving pilot whales were helped into a sling, and then the boat took them far out to sea. Taking them to the same location prevented them from beaching again. <h2>Every stranding lets us learn more</h2> Unfortunately, we don’t really know why whales and dolphins strand at all. Has something gone wrong with how toothed whales and dolphins navigate? Are they following a sick leader? Are human-made undersea sounds making it too loud? Are they avoiding predators such as killer whales? We don’t know. We do know there are stranding hotspots. Macquarie Harbour is one. In 2020, it was the site of one of the worst-ever strandings, with up to 470 pilot whales stranded. Authorities were able to save 94, drawing on trained <a href="https://www.theguardian.com/environment/2020/sep/25/death-at-hells-gates-rescuers-witness-tragic-end-for-hundreds-of-pilot-whales-on-australian-coast">rescue experts</a>. We will need more research to find out why they do this. What we do know suggests navigational problems play a role. That’s because we can divide whales and dolphins into two types: toothed and toothless. Whales and dolphins with teeth – such as pilot whales – appear to beach a lot more. These animals use echolocation (biological sonar) to find prey with high-pitched clicks bouncing off objects. But toothless baleen whales like humpbacks (there are no dolphins with baleen) don’t use this technique. They use low-frequency sounds, but to communicate, not hunt. So – it is possible to save beached whales and dolphins. But it’s not as easy as towing them straight back to sea, alas. The Conversation thanks 10-year-old reader Grace Thornton from Canberra for suggesting the question that gave rise 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/210544/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/vanessa-pirotta-873986">Vanessa Pirotta</a>, Postdoctoral Researcher and Wildlife Scientist, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie 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/why-cant-we-just-tow-stranded-whales-and-dolphins-back-out-to-sea-210544">original article</a>.

Travel Trouble

6 habits of people who don’t get sick

Winter is a dangerous time. Although cold temperatures themselves don’t cause us to get sick, our winter habits invite the spread of germs and risk of contagion is high. If you find yourself sick every winter, here are some useful habits of those healthy people to take up. 1. They get enough sleep It’s easy to experience disrupted sleep during winter. When air is too cold, it will negatively affect melatonin production and cause the body's sleep cycle to be disrupted. However, research shows that people who sleep only five to six hours a night have a 30 per cent chance of catching a cold when exposed to the virus; those who get more than seven hours reduce their risk to 17 per cent. 2. They pay extra attention to hygiene With more germs in the air, now is the time to stay conscious about where they may be festering. Key areas include bathroom door handles, taps, fridges, elevator buttons and public transport. Keep antibacterial wipes on you so whenever you touch a high risk surface, you can cleanse you hand before eating, or touching your face and eyes. 3. They exercise regularly Winter is notorious for zapping our work-out motivation. However, exercise strengthens the immune system and makes you less likely to catch upper respiratory infections. 4. The get their flu shot Flu shots, approved for all adults, are effective 50 to 60 per cent of the time in preventing the flu and may also reduce the severity of symptoms. 5. They don’t smoke Cigarette smoke appears to damage the mucus membranes, which act as the frontline barrier to infectious agents, making smokers twice as likely to catch a cold and several times more likely to develop the flu. 6. They enjoy a drink Harvard University School of Public Health researchers found that red wine was particularly protective against colds, probably due to the anti-inflammatory action of the phenol, resveratrol. Just keep in mind that drinking more than two glasses a day raises the risk for infections. Image credit: Shutterstock

Body

Why does my back get so sore when I’m sick? The connection between immunity and pain

<a href="https://theconversation.com/profiles/joshua-pate-1399299">Joshua Pate</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Have you ever wondered why your back aches when you’re down with the flu or a cold? Or COVID? This discomfort, common during many illnesses, is not just a random symptom. It’s a result of complex interactions between your immune system and your brain called the “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314453/">neuroimmune synapse</a>”. A fascinating and yet-to-be-understood consequence of this conversation between the immune and brain systems during sickness is that it is particularly noticeable in the <a href="https://academic.oup.com/brain/article/145/3/1098/6370954">lower back</a>. This is thought to be one of the body’s most sensitive regions to neuroimmune threats. <h2>Immunology basics</h2> Our immune system is a double-edged sword. Yes, it fights off infections for us – but it also makes us acutely aware of the job it is doing. When our body detects an infection, our immune system releases molecules including signalling proteins called <a href="https://www.researchgate.net/publication/227831648_The_functions_of_cytokines_and_their_uses_in_toxicology">cytokines</a>. These proteins coordinate our immune system to fight off the infection and talk to our brain and spinal cord to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740752/#:%7E:text=Production%20of%20proinflammatory%20cytokines%20induces,to%20depression%20in%20vulnerable%20individuals.">change our behaviour</a> and physiology. This can result in symptoms like fatigue, loss of appetite, fever and increased sensitivity to pain. Classically, we think of this as a beneficial behavioural change to help us conserve energy to fight off the infection. It’s why we often feel the need to rest and withdraw from our usual activities when we’re sick – and also why we are grumpier than usual. <h2>Invisibly small changes</h2> Part of this self-protective response is a change in how we perceive threats, including sensory stimuli. When we are sick, touch can become painful and muscles can ache. Many changes in behaviour and sensory systems are <a href="https://doi.org/10.1159/000521476">believed</a> to have origins at the nanoscale. When molecular changes occur in part of the brain linked to cognition or mood, we think and feel differently. If these neuroimmune synapse changes happen in the sensory processing regions of the brain and spinal cord, we feel more pain. Such sensory changes, known as <a href="https://www.iasp-pain.org/resources/fact-sheets/allodynia-and-hyperalgesia-in-neuropathic-pain/#:%7E:text=Allodynia%20is%20pain%20due%20to,stimulus%20that%20normally%20provokes%20pain.">allodynia and hyperalgesia</a>, can lead to heightened pain sensitivity, even in areas not directly affected by the infection – <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889159114001731?via%3Dihub">such as the lower back</a>. <h2>Immune memories</h2> This immune response happens with a range of bacterial infections and viruses like COVID or the flu. In fact, the sick feeling we sometimes get after a vaccination is the good work our immune system is doing to contribute to <a href="https://theconversation.com/you-cant-get-influenza-from-a-flu-shot-heres-how-it-works-118916">a protective immune memory</a>. Some of that immune-cellular conversation also alerts our brains that we are sick, or makes us think we are. After some viral infections, the sick feeling persists longer than the virus. We are seeing a long-term response to COVID in some people, termed <a href="https://theconversation.com/when-does-covid-become-long-covid-and-whats-happening-in-the-body-when-symptoms-persist-heres-what-weve-learnt-so-far-188976">long COVID</a>. Women, who generally have a <a href="https://www.nature.com/articles/nri.2016.90">stronger immune response</a> than men, may be more likely to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937378/">experience pain symptoms</a>. Their heightened immune response (while beneficial in resisting infections) also predisposes women to a higher risk of inflammatory conditions like <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980266/">autoimmune diseases</a>. <h2>When to worry and what to do</h2> If the pain is severe, persistent, or accompanied by other concerning symptoms, seek medical attention. Mild to moderate pain is a common symptom during illness and we often notice this in the lower back. The good news is it usually subsides as the infection clears and the sickness resolves. While treating the underlying infection is crucial, there are also ways to dial down sickness-induced neuroimmune pain. Maintaining a diverse microbiome (the collection of microorganisms living in and on your body) by <a href="https://pubmed.ncbi.nlm.nih.gov/31704402/">eating well and getting outside</a> can help. Getting quality sleep, staying hydrated and minimising inflammation <a href="https://karger.com/bbe/article/97/3-4/197/821576/Sickness-and-the-Social-Brain-How-the-Immune">helps too</a>. Amazingly, there is <a href="https://pubmed.ncbi.nlm.nih.gov/34404209/">research</a> suggesting your grandmother’s traditional chicken broth recipe decreases the immune signals at the neuroimmune synapse. Scientists are also <a href="https://pubmed.ncbi.nlm.nih.gov/24799686/">showing</a> mindfulness meditation, cold water therapy and controlled breathing can drive profound cellular and molecular changes to help activate bodily systems like the autonomic nervous system and alter the immune response. These practices might not only help manage pain but also add an anti-inflammatory component to the immune response, reducing the severity and duration of sickness. Heat treatment (with a pack or hot water bottle) might <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8401625/">provide some relief</a> due to increased circulation. Over-the-counter pain relief maybe also be helpful but seek advice if you are taking other medications. <h2>All in the mind?</h2> Is this all mind over matter? A little of yes and a lot of no. The little of yes comes from <a href="https://pubmed.ncbi.nlm.nih.gov/26194270/">research</a> supporting the idea that if you expect your breathing, meditation and cold bath therapy to work, it may well make a difference at the cellular and molecular level. But by understanding the mechanisms of back pain during illness and by using some simple strategies, there is hope to manage this pain effectively. Always remember to seek medical help if your symptoms are severe or persist longer than expected. Your health and comfort are paramount.<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/207222/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/joshua-pate-1399299">Joshua Pate</a>, Senior Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, Professor, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/why-does-my-back-get-so-sore-when-im-sick-the-connection-between-immunity-and-pain-207222">original article</a>.

Caring

Movies that received zero stars

There are good movies, so-so movies and bad movies. Is there anything worse, though, than a bad movie? Yes, there is. And I have seen my share. For decades, Newsday has used a four-star rating system for its film reviews. When I became the paper's movie critic in 2008, I had to figure out how to approach this system. Obviously, it's rare to see a four-star movie – even if it's not Citizen Kane, it has to be something truly outstanding. Three stars signals a wholehearted recommendation, though not exactly a masterpiece. Many movies fall into the two-and-a-half-star range: They're just meh. Tougher to call is the one-star or half-star movie – how do you decide between a D grade and a D-minus? Then there's the nuclear option: zero stars. What makes a movie so awful that it deserves zero stars? Like the four-star movie, this is a rare breed. This is a movie whose redeeming qualities are either infinitesimal or non-existent. It's a movie that fails so spectacularly it doesn't get credit for decent lighting or being in focus. A zero-star movie doesn't even get credit for existing. Every zero-star movie is unique in its own way, but over the years I've noticed that the worst of the worst tend to fall into a few different categories. Here are four examples. Vanity projects It's easy to poke fun at A-list stars and their outsize egos, but they often bring it upon themselves. Remember when John Travolta thought that Battlefield Earth would turn us all into Scientologists? Or when Mariah Carey played a version of herself in Glitter? Remember almost every movie Madonna ever made? For sheer self-centredness, though, nothing beats last year's By the Sea, written and directed by Angelina Jolie-Pitt and starring herself and her husband, Brad. (They produced it as well.) They play an American writer and his wife who stay in a beachside French hotel during the 1970s. He's depressed, she's depressed, they never have sex. With little dialogue and even less action, the movie mostly features the two stars standing around in chic outfits, smoking cigarettes and gazing with despair upon million-dollar views of the coast. Kinder critics praised the cinematography and scenery, but I couldn't find a reason to give this extended Chanel No. 5 commercial even a half-star. I figured the two actors got enough gratification just admiring themselves on screen for two hours. Insults to intelligence Filmmakers often assume their audiences will swallow just about anything. In the sci-fi failure Transcendence, Johnny Depp uploaded his consciousness into the cloud – a literal one, in the sky. (I gave that movie a half-star for sheer nuttiness.) In the zero-star fantasy Jupiter Ascending, the Wachowskis told the story of a housemaid (Mila Kunis) who sells her eggs to buy a telescope but discovers she's a princess. These movies took years to make, yet we spotted their idiocy within minutes. Then there's Aloha, Cameron Crowe's zero-star comedy-drama from 2015. Among its many terrible ideas were casting Emma Stone as a native Hawaiian (as if nobody would notice?), hoping we'd swoon when Bradley Cooper says cheesy things like "Would you stop getting more beautiful?" and creating a baffling climax in which an orbiting space object is destroyed by rock music. Filmmakers tend to be smart people, but moviegoers are no dopes, either. Aloha made just US$26.3 million on its US$37 million budget, one of the year's major flops. Lapses in taste Taste is subjective, of course, but some movies cross a line just to cross it. Adam Sandler's zero-star comedy That's My Boy (2012), whose plot hinged on statutory rape and incest, marked a new low – until Peter Farrelly reset the bar with Movie 43. An anthology comedy spearheaded by Farrelly with several directors and writers, Movie 43 (2013) rounds up more than a dozen A-list stars in an orgy of nastiness and vulgarity. Among the more hideous highlights are Chris Pratt and his real-life wife, Anna Faris, as lovers with a scatological fetish; Richard Gere as the CEO of a product that hacks off its customers' penises; and Chloe Grace Moretz as a teenager getting her period. "Once you see it, you can't unsee it," the trailers promised. As for the cast, they probably wish they could un-be in it. Sheer ineptitude Finally, some movies are so badly made that they barely qualify as movies. Left Behind, for instance, a faith-based rapture-fantasy starring Nicolas Cage, was so sloppy and disorganised that it literally couldn't keep track of night and day. At least that film was made by relative amateurs. The Last Airbender (2010), a fantasy-adventure based on the Nickelodeon series, was directed by M Night Shyamalan, the maestro who gave us The Sixth Sense. Here, Shyamalan completely loses his ability to coherently tell the story of Aang (Noah Ringer), a boy with mystical powers trying to unite four tribes. The dialogue is so crammed with fictional exposition that the actors sound like they're reading a Pokemon manual, while the choppy editing seemed almost random. Not even the special effects deserved a half-star: The postproduction 3-D made the whole movie look as flat as a View-Master slide. With its US$150 million budget, The Last Airbender was an inexcusable, zero-star disaster. As a last note, a truly terrible movie is just as exceptional as a truly great one, and in some ways just as fascinating. It's my job, though, to sit through them so you don't have to. You're welcome. THE WORST OF THE WORST 10. All About Steve (2009) There's a reason you've never heard of this romantic comedy starring A-listers Sandra Bullock and Bradley Cooper: It's because she plays an irritating crossword fanatic and he plays an uninteresting person. In terms of on-screen chemistry, they're the equivalent of bleach and ammonia. 9. Moms' Night Out (2014) This botched comedy (starring Trace Adkins and Patricia Heaton) stands out for many things, but one is a technical reason: The filmmakers somehow managed to capture the weirdest, ugliest facial expression on nearly every actor in nearly every scene. It's like a 90-minute flip-book of ruined family photos. 8. Jem and The Holograms (2015) Aubrey Peeples plays an aspiring singer who is shocked – shocked! – to discover that global stardom requires personal and artistic sacrifice. File this movie's profound message under Things a 9-Year-Old Could Have Told You. 7. Remember Me (2010) In this saccharine yet creepy romance, Robert Pattinson plays a young, moody guy – no stretch there – who sleeps with a woman to get revenge on her father. Aww, how cute! The plot also hinges on the World Trade Centre attacks. Double cute! 6. Jupiter Ascending (2015) This sci-fi fantasy from the Wachowskis (The Matrix) defies description, but here's an attempt: A humble house-cleaner (Mila Kunis) discovers she's a galactic princess thanks to a part-wolf warrior (Channing Tatum). It's a statistical marvel whose 127 minutes include not a single good idea. 5. Rock The Kasbah (2015) A washed-up rock manager (Bill Murray) decides to make a pop star out of an Afghan singer (Leem Lubany). Magically, she reverses centuries of religious and cultural stigmas by performing the songs of Cat Stevens, now known as Yusuf Islam. Possibly the most misguided comedy ever made. 4. Aloha (2015) Cameron Crowe's cloying romance stars Bradley Cooper as an ex-military man trying to bed a happily married woman (gross!) while flirting with a native Hawaiian (played by Emma Stone?) and trying to stop an outer-space missile (say what?). The movie is so wide of the mark that you can't even tell where it was aiming. 3. Movie 43 (2013) Richard Gere, Halle Berry, Kate Winslet, Hugh Jackman and many other talented people run through the most repulsive, unimaginative and unfunny skits ever filmed. The whole thing almost literally stinks. Movie 43 currently holds a difficult-to-attain 4 per cent rating on RottenTomatoes.com. 2. The Last Airbender (2010) M Night Shyamalan's fantasy-adventure is so disjointed and disorganised that you might think the reels got mixed up – possibly with a whole other movie. You could watch it 10 times and still not understand a thing, though by then you'd have gone permanently insane. 1. By The Sea (2015) Think back to the most pretentious European art-film you've ever had to endure. Now imagine Angelina Jolie making that movie, and you've got By the Sea, starring herself and Brad Pitt as depressed Americans who visit France and smoke a lot. Remember how Jean-Paul Sartre said hell is other people? That's because he hadn't seen this movie. Written by Rafer Guzman. First appeared on <a href="http://Stuff.co.nz" target="_blank" rel="noopener">Stuff.co.nz</a>. Images: Columbia Pictures

Movies

Around the world three-year cruise in crisis

When Life at Sea Cruises announced their record-breaking <a href="https://oversixty.co.nz/travel/cruising/world-first-three-year-cruise-revealed">three-year voyage</a> around the world, eager travellers raced to book their cabins onboard. Marketed as the "world's first – and only three year cruise", demand for rooms was “unprecedented”, with some travel enthusiasts moving out of their homes and selling their possessions in preparation for the trip of a lifetime. Despite the demand for a spot on board the MV Gemini, the future of the voyage is now in jeopardy, with Life at Sea Cruises, a subsidiary of Miray Cruises, being inundated with demands for refunds just months after the bookings opened. The entire team at Life at Sea Cruises, which was set up specifically for the record-breaking project, has parted ways with Miray Cruises after an apparent breakdown in communication over the suitability of the ship. Mike Petterson, the now former managing director for <a href="https://www.lifeatseacruises.com/">Life at Sea Cruises</a> confirmed to <a href="https://edition.cnn.com/travel/article/three-year-cruise-crisis/index.html">CNN Travel</a> on Wednesday that he and the rest of the founding team have "stepped away" from the project. Despite the team breakdown, Kendra Holmes, director of business development and commercial operations at Miray International, insisted that the voyage will still go ahead. "This cruise is not cancelled," Holmes said. "We are moving ahead. It is departing November 1st as planned. So I just want to make sure to clear that up right now. We are not cancelling this." However, it's still unclear whether the voyage will go ahead on board MV Gemini, or a different ship. "Currently the name of the ship is Gemini," Holmes added, before explaining that she was not able to discuss a new ship at present. "I wish that we didn't have these kinds of situations," said Fuat G., hotel director at Miray Cruises. "We are moving forward. Whatever we have to do to finish that project. And [we will] go to a second, third, fourth and fifth ship. Whatever it is." A press release announcing the project back in March stated that the MV Gemini would be "overhauled" for the voyage. However, according to Irina Strembitsky, former director of sales and marketing of Life at Sea Cruises, the ship, which has capacity for up to 1,074 passengers, was deemed "unseaworthy" by an engineer, who also expressed doubt that it would be able to complete a three-year journey. Understandably, the news of the uncertainty that the trip will go ahead has caused major concern for passengers, with some demanding a refund. One traveller who voiced her concerns is retired teacher <a href="https://oversixty.co.nz/travel/cruising/meet-the-woman-preparing-to-spend-three-years-at-sea">Sharon Lane</a>, who booked a ticket for the entire three-year journey and planned to sell most of her belongings before setting off. Lane says that regardless of how things turn out, she will not be going on the journey, which was due to visit 135 countries and seven continents. "Life at Sea says the trip is cancelled. Miray says it's still a go, but without the entire Life at Sea management team," she told CNN. "I don't really care who is right or wrong. I'm allergic to chaos. Going was a huge calculated risk to begin with. Now, it's far too risky for my liking." "It's very sad," she said. "I was all in. It will take me some time to undo what I have already set in place, but at least I'm not one of those who has already sold a house and all of my belongings. My heart aches for them." Image credits: Life at Sea Cruises

Cruising

Breaking the mould: why rental properties are more likely to be mouldy and what’s needed to stop people getting sick

<a href="https://theconversation.com/profiles/rebecca-bentley-173502">Rebecca Bentley</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicola-willand-441807">Nicola Willand</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/tim-law-1438482">Tim Law</a> Rental properties are more <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835129/">likely be mouldy</a> than other homes. This is a concern as excessive mould growth is known to <a href="https://www.who.int/publications/i/item/9789289041683">harm human health</a>. Once buildings are infested with mould, the difficult and costly issue of remediation arises. Landlords and tenants are caught in the middle of a tussle over who is responsible for fixing the problem. As one Melbourne renter and research participant told our colleague Maria Gatto, during a study validating mould reporting: <blockquote> The landlord came around [and] walked [into] every room where there’s black mould on the ceiling – like it’s freaking [something out of the TV series] Stranger Things – and she’s like, ‘Oh, a little bit of mould in winter, it’s very normal, it’s fine […] this happens every winter, it’s not a big deal’. </blockquote> Heading into winter, after <a href="https://theconversation.com/la-nina-3-years-in-a-row-a-climate-scientist-on-what-flood-weary-australians-can-expect-this-summer-190542">three consecutive La Niñas</a>, <a href="https://theconversation.com/sudden-mould-outbreak-after-all-this-rain-youre-not-alone-but-you-are-at-risk-177820">conditions are ripe</a> for a mega-mould season. Combining our expertise in health, law, building and construction, we examine the problem of mould in homes and offer guidance for both renters and landlords. <h2>Ideal conditions for growth</h2> Mould is a <a href="https://www.cdc.gov/niosh/topics/indoorenv/whatismold.html">fungal growth</a> that reproduces via tiny airborne particles called spores. When these spores settle on moist, plant-based construction materials such as wood, wallpaper or plasterboard, they can form a new colony. Growth is more likely when homes are cold, humid, lack air flow, or suffer from water damage. Outbreaks have been reported in flooded parts of southeastern Australia. <figure><iframe src="https://www.youtube.com/embed/sD2Ij_QlzwA?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>Black mould an invisible threat growing behind walls of flood-affected homes (ABC News)</figcaption></figure> So why is the problem of household mould worse in rentals? <a href="https://www.ahuri.edu.au/research/final-reports/338">Weak regulation of tenancy legislation</a> is just one of many factors. Rental properties tend to be poorly maintained, with <a href="https://www.ahuri.edu.au/research/final-reports/338">structural problems</a> such as leaks. Given this, they can be expensive to heat. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=422&fit=crop&dpr=1 600w, https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=422&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=422&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=531&fit=crop&dpr=1 754w, https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=531&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/526246/original/file-20230515-19465-odirz2.png?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=531&fit=crop&dpr=3 2262w" alt="A chart showing the percentage of homes with structural defects in each category" /></a><figcaption>Rental homes have more structural defects than owner-occupied homes. <a class="source" href="https://www.ahuri.edu.au/research/final-reports/338">Nicola Willand, using data from Moore et. al., (2020), Warm, cool and energy-affordable housing policy solutions for low-income renters, AHURI Final Report, vol. no. 338. Appendix 2</a>, Author provided</figcaption></figure> <h2>How mould makes people sick</h2> The <a href="https://www.who.int/publications/i/item/9789289041683">World Health Organization</a> recognises mould can be harmful. A 2022 Asthma Australia <a href="https://asthma.org.au/what-we-do/advocacy/housing/">report</a> revealed people living in mouldy homes were more likely to have asthma and allergies. A systematic review of peer-reviewed research found <a href="https://erj.ersjournals.com/content/38/4/812">children living in mouldy homes</a> were more likely to experience asthma, wheeze and allergic irritation of the eyes, nose, throat and mouth (allergic rhinitis). Living with mould is a source of stress. People worry about the consequences for their health and there is a growing body of evidence describing the <a href="https://jech.bmj.com/content/50/1/56">negative mental health effects</a> of mouldy, damp homes. <h2>Problems with managing mould in the rental sector</h2> There is a gap between building and residential tenancies legislation. A building deemed to meet the minimum standards of the construction code with respect to mould may not meet the minimum standards for rental. That’s because there’s ambiguity in the <a href="https://ncc.abcb.gov.au/">National Construction Code</a> around “minimum standards of health”. For example the Victorian <a href="https://www.legislation.vic.gov.au/in-force/acts/building-act-1993/136">Building Act 1993</a> contains some provisions for the relevant surveyor to serve a notice on the basis of a health circumstance affecting a user. However, there is no guidance on how to assess the health of the indoor environment, or to deliver a building direction that will address the root cause for mould. This varies by state and territory. Mould remediation can be costly. A <a href="https://www.vba.vic.gov.au/about/research/examining-indoor-mould-and-moisture-damage-in-victorian-residential-buildings">study</a> by Victoria University found half the defects causing mould were water-related. These were more expensive to fix than other problems, by an average of A$7,000. Each winter, <a href="https://tenantsvic.org.au/advice/common-problems/mould-and-damp/">Tenants Victoria</a> deals with a spike in renters seeking legal help to resolve their mould problems. This led to the service launching an annual winter Mould Clinic in 2021. Despite increased legal protections, renters are still struggling to get mould fixed. For these reasons, many renters find the legal process doesn’t offer a solution to their problem, and instead move to a new property, with all its attendant costs and stresses. Others can’t afford to leave, or live in social housing with limited transfer options. <h2>Charting mould in homes across Australia</h2> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=338&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=338&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=338&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=424&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=424&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525848/original/file-20230512-21-xb83ft.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=424&fit=crop&dpr=3 2262w" alt="A bar chart comparing the prevalence of mould in homes across Australian states and territories" /></a><figcaption>Mould is more prevalent in rentals compared to owner-occupied dwellings. Mould is most commonly reported in New South Wales. The difference between owners and renters is greatest in the ACT. Australian Housing Conditions Dataset 2022 doi:10.26193/SLCU9J, Author provided</figcaption></figure> <h2>Where does the responsibility lie?</h2> Tenancy legislation varies by state and territory. Renters should familiarise themselves with the regulations in their jurisdiction. In Victoria, <a href="https://www.legislation.vic.gov.au/in-force/acts/residential-tenancies-act-1997/101">residential tenancies legislation</a> has set the criteria that “each room in the rented premises must be free from mould and damp caused by or related to the building structure”. Landlords now must disclose if they have treated mould in the past three years. Similarly, <a href="https://www.rta.qld.gov.au/rental-law-changes">new legislation in Queensland</a> (coming into effect in September) states rental properties should be free from vermin, damp and mould where this is caused by issues with the structural soundness of the property. In New South Wales, the landlord needs to <a href="https://www.fairtrading.nsw.gov.au/housing-and-property/renting/during-a-tenancy/health,-safety-and-security">disclose signs of mould</a> and dampness in the condition report (but not necessarily have fixed it). Mould is not mentioned in the <a href="https://www.legislation.act.gov.au/a/1997-84/">ACT residential tenancies legislation</a>. For the most part, the responsibility for mould in rental properties lies with landlords if the cause is structural –- for example, if a broken or faulty window frame has let rainwater inside. Requests for urgent repairs can be accompanied by an assessment report by an occupational hygienist, environmental health professional or expert from the local council. People with an existing health condition such as asthma can include a doctor’s report. <h2>What next?</h2> To achieve change across all relevant domains of regulation, construction, natural disaster response and government policy, we need a sustainable, broad healthy <a href="https://www.healthyhousing-cre.org">housing agenda in Australia</a>. We also need to consider options for immediate action. As one Victorian renter noted: <blockquote> When we buy a car for the purpose of driving on the roads, we’re required to get a roadworthy certificate to make sure it’s safe, because of the risk to other people […] Ideally it would be great if there was [some] kind of ‘rentworthy’ certificate […] to demonstrate that the property has been inspected, to identify any structural issues that might affect the tenant’s health and wellbeing. And that that be available to tenants […] before they enter into a lease or before (the property is) even able to be advertised. </blockquote> Quotes in this article were collected by Maria Gatto as part of her Masters of Public Health, conducted at the Melbourne School of Population and Global Health in 2022.<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/205472/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/rebecca-bentley-173502">Rebecca Bentley</a>, Professor of Social Epidemiology and Director of the Centre of Research Excellence in Healthy Housing at the Melbourne School of Population and Global Health, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicola-willand-441807">Nicola Willand</a>, Senior Lecturer, School of Property, Construction and Project Management, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/tim-law-1438482">Tim Law</a>, Guest lecturer and Practice Lead — Building Sciences, at Restoration Industry Consultants 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/breaking-the-mould-why-rental-properties-are-more-likely-to-be-mouldy-and-whats-needed-to-stop-people-getting-sick-205472">original article</a>.

Real Estate

Scented products may be making us sick

From body wash, air fresheners and hand soap to our household cleaners, scented products may be making us sick, according to new research. The University of Melbourne study found that one in three Australians reported adverse health effects – including breathing problems, migraine headaches, skin irritation and asthma attacks – from fragranced products. "There's a belief that fragrance products in some way improve air quality but the opposite is actually true: fragrance products impair rather than improve indoor air quality and they pose a range of health and economic risks," says lead author Professor Anne Steinemann, a world expert on environmental pollutants, air quality, and health effects. "Some people have immediate, severe and disabling health effects. But the effects can be very subtle and insidious and people may not realise they're being affected until it's too late." Steinemann says the findings confirm her previous research on the subjects, including an <a href="http://www.smh.com.au/lifestyle/health-and-wellbeing/wellbeing/a-problem-of-hidden-hazards-common-fragrances-a-public-health-problem-20161026-gsax8k.html">American study she published in 2016</a> and a yet-to-be published British study. "There's something about these fragrance chemicals. It doesn't matter whether the product is called 'green', 'organic', 'natural' or with 'essential oils', basically if it has a fragrance it can cause health problems," she said. "When I've analysed these fragranced products called 'green', 'organic', 'all-natural', there's little difference in the hazardous chemicals they emit compared to regular versions." There is currently no law in Australia that requires the disclosure of all the chemicals in a fragrance or a consumer product. "We have very little information on the toxicity of these mixtures – there's a focus on individual chemicals. Also very little information on the toxicity of a natural versus synthetic version of a chemical,” says Steinemann. Images: Getty

Body

"Makes us feel sick": Angry vegan slams meat-eating neighbours

A letter from a vegan neighbour has gone viral, as they asked a close-by resident to close their windows while they cook meat. The hand-written note was published on a community Facebook page for the Perth northern coastal suburb of Burns Beach, and was labelled as an "Important message" for the recipient to "Please take seriously". The note began, "Hello, neighbour." "Could you please shut your side window when cooking, please?" "My family are vegan (we eat only plant-based food), and the smell of the meat you cook makes us feel sick and upset." "We would appreciate your understanding." The letter went viral not long after it was posted, and drew in a range of divided comments. Some people believed the request was a ridiculous ask, with many people wondering where they draw the line when it comes to catering for others. "I'd understand if they were smoking cigarettes and the smoke and smell was spreading and affecting the family's health," one person wrote. "But not liking the smell of meat, this isn't really a good reason to ask someone to close their windows." "What does she do when she takes the kids to the park, and people are cooking BBQs? Ask them to stop cooking. Audacity." Others thought the request was reasonable, and praised the writer's politeness. "I feel like this was a genuinely polite letter, and it’s true the smell of meat is overpowering," one person wrote. "It would be nice to see some respect for your neighbours, and not publicly trying to shame them for holding strong ethical morals." Another put it simply, "Be vegan. Eat meat. Each to their own!" One commenter suggested the recipient resort to good old neighbourly pettiness, encouraging them to "Write back and say you're offended and sad by what they said about your cooking and could they please move to a different room as you would appreciate their understanding." Image credits: Facebook

Food & Wine

Meet the woman preparing to spend three years at sea

When Sharon Lane heard about a once in a lifetime trip offered by a cruising company for a three-year voyage around the world, she began dreaming of her life on board. The 75-year-old cruising fanatic, a retired teacher from California, is no stranger to all-or-nothing travel experiences. She has frequented Europe with her students, taught foreign languages, and in the 1990s, she up and left to spend two years in South Africa. While looking for her next adventure, Sharon discovered an incredible voyage with Life at Sea Cruises. The company is selling places on board the <a href="https://oversixty.co.nz/travel/cruising/world-first-three-year-cruise-revealed">MV Gemini</a>, which sets sail from Istanbul on November 1st 2023 on an epic three-year global journey that will take in most of the planet's prime cruising destinations. The MV Gemini will stop at 375 ports over its three-year voyage, with 208 of these including overnight stays. The ship will stop everywhere from India to China to the Maldives to Australia, with some multi-night stopovers. A recent convert to the world of cruising as she has gotten older, Lane said one of her favourite sensations is the calming feeling of being adrift at sea. "I actually prefer the ocean days, when we're just sailing through or powering through the oceans, it just thrills me," Lane tells <a href="https://edition.cnn.com/travel/article/cruise-ship-three-years-mv-gemini-passenger-perspective/index.html">CNN Travel</a>. After hearing about the voyage from a friend, Sharon immediately started her planning and budgeting. "By midnight that night, I had done enough research that I booked a room," she says. The cheapest rooms on the MV Gemini cost around $US30,000 ($45,000) per year, including a discount for solo travellers. Since booking her ticket, Lane is busy working out the details before her embankment date in November. She is selling most of her possessions, giving up her rental lease and preparing for a long stint at sea. "The logistics are crazy," says Lane. "It's a leap of faith, but I know there will be a place here when I get back. Or maybe I'll end up living in another country. I don't know, the sky's the limit." While she is getting rid of most of her belongings, she is determined to bring along a few family photos for the journey, particularly a favourite picture of her now-adult grandsons back when they were kids and she took them on a whale-watching trip. "I have that laminated and I'll take magnets and I'll stick it to my door for two reasons," says Lane. "One, I get to see their faces every time I go in, which is always fun, and the other reason is it makes it really easy to know which door is yours, because you've got your grandsons smiling back." Lane hopes her epic journey might inspire others to take a risk and push themselves out of their comfort zone, as she still regrets the years she spent in midlife putting off travelling and doesn’t want others to hold the same regrets. "I think I was always waiting for the perfect time to go when everything is right in life, when money is right, when appointments are right, when other people want to go," she says. "Don't stay home," she encourages. "Home may be where the heart is, home may be where you hang your hat – hang your hat, and then get on the boat, get on the plane, get in the car, go somewhere." Image credits: CNN Travel

Cruising

Natural wonders you must see before they disappear

While we don’t mean to alarm anyone, you’ve likely heard the grim timelines: if global warming continues, the Great Barrier Reef will be bleached by 2030; glaciers in the Swiss Alps, on Mt. Kilimanjaro, and in Glacier National Park will disappear in under 40 years; and Arctic ice melt will send polar bears into extinction. It’s a sad state of affairs. So while we sit and hope for a miracle, make sure you travel and see any of the precious places on your bucket list before it’s too late. While you might be thinking that tourism will add stress to these already distressed areas, in actual fact it can also provide income, which in turn can help preserve these wonders. Here we look at our top seven areas – some that are lesser know than others – and all of which can be visited responsibly. Belize barrier reef One of the most diverse reef ecosystems in the world is home to whale sharks, rays, and manatees, as well as sturgeon, conch and spiny lobsters. The Danger: Sadly, like the Great Barrier Reef in Australia, the Belize Barrier Reef leads a fragile existence. A section of the nearly 700-mile-long Mesoamerican Reef that reaches from Mexico to Honduras, the Belize reef suffered a severe bleaching in 1998, with a loss of 50 percent of its coral in many areas, including much of its distinctive staghorn coral. Since the bleaching, its decline has continued, due to global warming of the world’s seas, agricultural pollution, development, and increasing tourism, which has given rise to more coastal development and an invasion of cruise ships. The Congo Basin Tropical rainforests like the Congo Basin produce 40 per cent of the world’s oxygen and serve as a vital source of food, medicine and minerals. The Danger: At more than 1.3 million square miles, the Congo Basin has the world’s second-largest rainforest. According to the UN, up to two-thirds of the forest and its unique plants and wildlife could be lost by 2040 unless more effective measures are taken to protect it. Extending across six nations, 10 million acres of forest is degraded each year due to mining, illegal logging, farming, ranching and guerilla warfare. Roads cut by loggers and miners have also enabled poachers and bushmeat hunters to prey on endangered animals like mountain gorillas, forest elephants, bonobos and okapis. As the forest shrinks, less carbon dioxide is absorbed, and rain decreases, adding to climate change. The Dead Sea It’s the lowermost spot on earth (1,312 feet below sea level to be exact), has 10 times more saline than seawater (meaning that you would float like a cork does in water), and is believed to contain therapeutic minerals. The Danger: In the last 40 years, the Dead Sea has shrunk by a third and sunk 80 feet, stranding formerly seaside resorts and restaurants nearly a mile from shore. The Jordan River is the lake’s sole source, and as surrounding countries increasingly tap its waters, little reaches the Dead Sea, which could disappear within 50 years. Further pressure is put on the sea by the cosmetic companies and potash producers who drain it for minerals. The Everglades This 2.5 million–acre wetland in Florida encompasses cypress swamps, mangroves, sawgrass and pine savannahs. It's the only place in the world where crocodiles and alligators share territory. The Danger: A host of dangers are putting this delicate wetland at risk: pollution from farms, invasive species, and encroaching development. As a result, The Everglades is now half the size it was in 1900. Worse still, this is the sole habitat of the Florida panther, and there are less than 100 of the creatures left in the wild. Madagascar More than 80 percent of Madagascar’s flora and fauna are found nowhere else on Earth, thanks to millions of years of isolation in the Indian Ocean off of Africa. The Danger: If nothing is done to save the world’s fourth-largest island, its forests will be gone in 35 years (once 120,000 square miles, they're now down to 20,000), and their unique inhabitants along with them. Forest ecosystems are being destroyed by logging, burning for subsistence farms, and poaching. The Maldives The nation is rich in coral reefs and endangered fish — such as the giant Napoleon wrasse, leopard shark and some 250 manta rays (most with wingspans of 10 feet). The Danger: If global warming continues to melt the ice caps and raise sea levels, scientists don’t hold much hope for the Maldives. Its 1,190 small islands and atolls (200 of which are inhabited) scattered across the Indian Ocean rise a mere eight-feet above sea level. In 2008, the President of the Maldives announced the government would start buying land in other countries, including India, for future homes for citizens displaced by rising waters. In 2009, he held a cabinet meeting underwater to stress the islands' vulnerability. The Poles The natural phenomena here are unique and inspiring: towering icebergs, Aurora Borealis, and majestic animals (penguins, polar bears, whales). The Danger: The Woods Hole Oceanographic Institute, the world’s largest non-profit ocean research group, has predicted that 80 per cent of the emperor penguin population of Antarctica will be lost, and the rest in danger of extinction, if global warming continues. As sea ice disappears at the poles, so do entire ecosystems: the phytoplankton that grows under ice sheets feeds zooplankton and small crustaceans like krill, which are on the food chain for fish, seals, whales, polar bears and penguins. Studies predict that with continued warming, within 20 to 40 years, no ice will form in Antarctica. Images: Getty

International Travel

Update on deadly Sea World helicopter crash

A pilot “did not recall” his fellow pilot making a standard taxing call to say he was taking off before their helicopters collided and crashed, killing four people and injuring nine others on the Gold Coast. Air crash investigators said the pilot, Michael James, told them he saw five passengers boarding the second helicopter at a helipad near Sea World as he was coming in to land his aircraft with six passengers at another helipad close by. The Australian Transport Safety Bureau said the pilot thought the second helicopter would pass behind his aircraft and that he doesn’t remember the other pilot radioing him to announce his departure. “They did not recall the pilot of XKQ making a standard “taxiing” call announcing their intention to depart.” the ATSB's preliminary report into the crash said. There was a third helicopter pilot nearby at the time, and he recalled hearing Mr James’ inbound call but did not recall hearing a taxi call from the other pilot taking off. A fourth helicopter pilot said he could not recall hearing calls from either of the two pilots involved in the crash before their aircrafts collided. ATSB commissioner Angus Mitchel said that evidence “did not necessarily mean that a taxiing call was not made” by the pilot taking off, and investigators would probe the radio calls leading up to the crash. The report said that Mr James also told the ATSB he never saw the second helicopter take off from the helipad. “While video footage taken by passengers in both helicopters on mobile phones contained images of the other helicopter, this does not mean that the other helicopter was visible to either pilot,” Mr Mitchell said. “The investigation will look closely at the issues both pilots faced in seeing the other helicopter.” The findings are part of a preliminary report into the collision led by Mr Mitchell. “We're looking at everything that may have contributed, whether that be equipment, whether that be procedures, whether that be individual actions … they will all be part.” he said. The report also stated the operator “was aware that there was a problem with Mr James’ aircraft transponder”. “The transponder was not transmitting secondary surveillance radar responses that were detected by radar surveillance equipment for the accident flight or previous flights,” the report said, in reference to Mr James’ chopper. “Efforts to diagnose and address the transponder problem were ongoing.” According to the report, both aircrafts had been fitted with a traffic collision avoidance system, however, it was not fully integrated into either of the helicopters. The report found the system only provided the pilots with auditory alerts, not visual information. Four people died, and nine people were injured, including three in critical condition as a result of the two aircrafts colliding mid-air and crashing into the sandbar. Pilot Ashley Jenkinson, 40, and his passengers, including British couple Ron and Diane, 65 and 57, and Sydney mother Vanessa Tadros, 36, all died. Ms Tadros' son Nicholas, 10, has been undergoing medical procedures since the incident and last week had his leg amputated from the knee down. Victorian mother Winnie de Silva, 33, and her nine-year-old son are recovering from injuries sustained from the crash. The pilot of the second helicopter, Mr James, managed to land his chopper safely, but he and two of his passengers were injured by shards of glass flying out when the aircraft’s windshield smashed. The injured passengers were New Zealand women Elmarie Steenberg and Marle Swart, who had been on holiday with their husbands, Riaan Steenberg and Edward Swart. The full ATSB report into the accident by the Air Transport Safety Bureau will not be expected until at least September 2024. Image credit: Facebook

News

The wellbeing ‘pandemic’ – how the global drive for wellness might be making us sick

Are we in the midst of a wellbeing pandemic? The question may seem curious, even contradictory. But look around, the concept is everywhere and spreading: in the media, in government institutions and transnational organisations, in schools, in workplaces and in the marketplace. To be clear, it’s not just wellbeing’s infectiousness in public discourse that makes it pandemic-like. It’s also the genuine malaise that can be caused by the term’s misuse and exploitation. Do you sense, for example, that your wellbeing is increasingly being scrutinised by peers, managers and insurance companies? Are you noticing an increasing number of advertisements offering products and services that promise enhanced wellbeing through consumption? If so, you’re not alone. But we also need to ask whether this obsession with wellbeing is having the opposite to the desired effect. To understand why, it’s important to look at the origins, politics and complexities of wellbeing, including its strategic deployment in the process of what we call “<a href="https://otagouni-my.sharepoint.com/personal/jacst99p_registry_otago_ac_nz/Documents/Documents/SJ-Wellness/SJ-Conversation-Wellbeing/Jackson-Sam-Dawson-Porter-Frontiers-Sociology-Wellbeing-2022.pdf">wellbeing washing</a>”. <h2>The halo effect</h2> While concerns about wellbeing can be traced to antiquity, the term has emerged as a central feature of contemporary social life. One explanation is that it is often conflated with concepts as diverse as happiness, quality of life, life satisfaction, human flourishing, mindfulness and “wellness”. Wellbeing is flexible, in the sense that it can be easily inserted into a diverse range of contexts. But it’s also surrounded by a kind of halo, automatically bestowed with a positive meaning, similar to concepts such as motherhood, democracy, freedom and liberty. To contest the value and importance of such things is to risk being labelled a troublemaker, a non-believer, unpatriotic or worse. These days, there are two main concepts of wellbeing. The first – subjective wellbeing – emphasises a <a href="https://www.frontiersin.org/articles/10.3389/fsoc.2022.950557/full#B21">holistic measure</a> of an individual’s mental, physical and spiritual health. This perspective is perhaps best reflected in the World Health Organization’s <a href="https://www.corc.uk.net/outcome-experience-measures/the-world-health-organisation-five-well-being-index-who-5/">WHO-5 Index</a>, designed in 1998 to measure people’s subjective wellbeing according to five states: cheerfulness, calmness, vigour, restfulness and fulfilment. Translated into more than 30 languages, the overall influence of the WHO-5 Index should not be underestimated; both governments and corporations have embraced it and implemented policy based on it. But the validity of the index, and others like it, has been questioned. They’re prone to oversimplification and a tendency to marginalise alternative perspectives, including Indigenous approaches to physical and mental health. <h2>Individual responsibility</h2> The second perspective – objective wellbeing – was a response to rising social inequality. It focuses on offering an <a href="https://www.frontiersin.org/articles/10.3389/fsoc.2022.950557/full#B60">alternative to GDP</a> as a measure of overall national prosperity. One example of this is New Zealand’s <a href="https://www.treasury.govt.nz/information-and-services/nz-economy/higher-living-standards/our-living-standards-framework">Living Standards Framework</a>, which is guided by four operating principles: distribution, resilience, productivity and sustainability. These new and purportedly more progressive measures of national economic and social outcomes signal societal change, optimism and hope. The trouble with such initiatives, however, is that they remain rooted within a particular neoliberal paradigm in which individual behaviour is the linchpin for change, rather than the wider political and economic structures around us. Arguably, this translates into more monitoring and “disciplining” of personal actions and activities. Intentionally or not, many organisations interpret and use wellbeing principles and policies to reinforce existing structures and hierarchies. Consider how the wellbeing agenda is playing out in your organisation or workplace, for example. Chances are you have seen the growth of new departments, work units or committees, policies and programs, wellness workshops – all supposedly linked to health and wellbeing. You may even have noticed the creation of new roles: wellbeing coaches, teams or “champions”. If not, then “lurk with intent” and be on the lookout for the emergence of yoga and meditation offerings, nature walks and a range of other “funtivities” to support your wellbeing. <h2>Wellbeing washing</h2> The danger is that such initiatives now constitute another semi-obligatory work task, to the extent that non-participation could lead to stigmatisation. This only adds to stress and, indeed, unwellness. Deployed poorly or cynically, such schemes represent aspects of “wellbeing washing”. It’s a strategic attempt to use language, imagery, policies and practices as part of an organisation’s “culture” to connote something positive and virtuous. In reality, it could also be designed to enhance productivity and reduce costs, minimise and manage reputational risk, and promote <a href="https://otagouni-my.sharepoint.com/personal/jacst99p_registry_otago_ac_nz/Documents/Documents/SJ-Wellness/SJ-Conversation-Wellbeing/Jackson-Sam-Dawson-Porter-Frontiers-Sociology-Wellbeing-2022.pdf">conformity, control and surveillance</a>. Ultimately, we argue that wellbeing now constitutes a “field of power”; not a neutral territory, but a place where parties advance their own interests, often at the expense of others. As such, it’s essential that scholars, policymakers and citizens explore, as one author <a href="https://www.google.com.au/books/edition/Measuring_Wellbeing/lWBXjk1nocIC?hl=en&gbpv=1&dq=%E2%80%9Cwhat+and+whose+values+are+represented,+which+accounts+dominate,+what+is+their+impact+and+on+whom%E2%80%9D&pg=PA4&printsec=frontcover">put it</a>, “what and whose values are represented, which accounts dominate, what is their impact and on whom”. Because if wellbeing is becoming a pandemic, we may well need the “vaccine” of critical reflection. Image credits: Getty Images This article originally appeared on <a href="https://theconversation.com/the-wellbeing-pandemic-how-the-global-drive-for-wellness-might-be-making-us-sick-198662" target="_blank" rel="noopener">The Conversation</a>.

Caring

World first three-year cruise revealed

Have you ever dreamed about living out at sea? On a luxury cruise ship while travelling every corner of the world? Well, with this revolutionary first in the cruising industry, now you can! Life at Sea Cruises have revealed the new MV Gemini: a world first three-year cruise, setting sail and visiting 135 countries across the globe. Starting off in Istanbul on November 1, the three-year journey across 209,214 kilometres will visit 375 ports around the world. Passengers can also be picked up in Barcelona, Spain, or Miami, Florida. This once-in-a-lifetime opportunity will allow visitors to see 13 World Wonders, including Rome's famous Colosseum, India's Taj Mahal and Brazil's Christ the Redeemer in Rio de Janeiro. Most around-the-world cruises spend just a couple hours or maybe even a few nights per port, while the MV Gemini will dock for up to seven nights at a single destination, allowing travellers to get the most out of each city. Eager travellers will be able to board from just $125 (AUD) a night, with a variety of basic and luxury rooms available. Prices for the entry-level cabins, the 'Inside/Outside Staterooms,' start at $3,726 per month for cabins ranging from 130 to 142 square feet. Moving up a level, you've got the 'Premium Inside/Outside Staterooms' ranging from 142 to 160 square feet, with prices for this room starting at $4,323 per month, working out to be $141 per day. Lastly there are the 'Junior Suites/Balcony Suites', the most luxurious on the ship, as these cabins, ranging from 210 to 260 square feet, start at $9,989 per month, which works out at $119,294 per year per person. The biggest catch of the journey: travellers are not able to book shorter stays onboard the vessel. It’s either three years at sea, or nothing. Luckily, while reselling of rooms is not allowed, guests, including children, are allowed to visit at any time. Reservations for <a href="https://www.lifeatseacruises.com/">Life at Sea's MV Gemini</a> three-year cruise opened on March 1st. Image credits: Life at Sea

Cruising

"Where's mum?" Sea World helicopter crash survivor's heart-breaking question

The husband of a mother who tragically died in the Sea World helicopter crash has shared the heart-breaking question his son Nicholas asked him when he awoke from his coma. Vanessa Tadros and her 10-year-old son were on the aircraft when it collided with another on January 2nd, as the crash claimed the life of Vanessa and three others. Nicholas miraculously survived the accident, and has spent the last seven weeks in intensive care recovering from life-altering injuries. After being in an induced coma, Nicholas awoke and asked his father Simon a question he had been dreading. “He said, ‘Where’s mum?’” Simon told Ally Langdon during an emotional interview on <a href="https://9now.nine.com.au/a-current-affair/ally-langdon-speaks-about-her-emotional-interview-with-father-simon-tadros-about-sea-world-chopper-crash/af847866-bb2f-42be-8a15-d20d06a0c685">A Current Affair</a>. “I said she was in the crash with you.” “He said, ‘Yeah, I know, but where’s mum?’ I said, ‘Baby boy, mum had to go to Jesus.’” “And he just turned his head and closed his eyes,” bringing Ally Langdon to tears. <blockquote class="twitter-tweet"> <a href="https://twitter.com/hashtag/HelpingNicky?src=hash&ref_src=twsrc%5Etfw">#HelpingNicky</a>: A heartbroken father recalls the final moments before his wife was killed and son was critically injured in the Gold Coast helicopter crash. See the full story, TONIGHT on A Current Affair.<a href="https://twitter.com/hashtag/9ACA?src=hash&ref_src=twsrc%5Etfw">#9ACA</a> | Watch LIVE 7pm <a href="https://t.co/cH1TElSUnM">pic.twitter.com/cH1TElSUnM</a> — A Current Affair (@ACurrentAffair9) <a href="https://twitter.com/ACurrentAffair9/status/1627570052957605889?ref_src=twsrc%5Etfw">February 20, 2023</a></blockquote> Nicholas suffered extensive injuries in the crash breaking multiple bones, his kidneys are still not functioning unaided and his lungs collapsed from inhaling jet fuel. Doctors expect he will need to remain in hospital for at least another five months after deciding he will need to have his right foot amputated. “He said I’m not going to give up, Dad. I’m not going to leave you alone,” Simon recalled. “He’s a strong-willed boy. He’s a good kid.” Simon also recalled the final conversation he had with his wife before she boarded the helicopter with Nicholas. “I remember saying to my wife, I was thinking it’s amazing how quick they turn over these helicopters,” he said. “My wife just turned around to me and said, “Babe, I’m sure they know what they’re doing””. Simon shared that he hasn’t been able to properly grieve the loss of his wife as he spends every minute at Nicholas’ bedside. “It’s been hard, it’s a daily struggle … I don’t leave his bedside until 12, 1 in the morning,” he said. “Even leaving to go lay my wife to rest … it was just hard to keep my mind focused on the one thing, I didn’t want to leave him… but we gotta do what we gotta do.” Image credits: Nine News / Instagram

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