Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Tuesday, April 22, 2025

I Had Stupidly Thought Humanity Had Moved Beyond The Use Of Chemical Weapons!

Seems I was wrong and that Mr. Putin has set a new low even for him!

This appeared last week:

Kremlin ramps up illegal gas attacks to secure its gains

Maxim Tucker

19 April, 2025

Russian forces have increased their use of banned gas weapons in Ukraine as they push to seize full control of four occupied regions before a possible ceasefire deal, according to Kyiv’s military.

Although using chemical agents to cause toxic harm in war is prohibited by international treaties, President Vladimir Putin’s troops used tear gas, chloropicrin, a choking agent, and other “unidentified chemicals” a total of 767 times last month, 844 times in February and 740 times in January.

That compares with 166 times in November, when President Donald Trump was elected on pledges to end the war, the Radiation, Chemical and Biological Protection Department of Ukraine’s armed forces (RCBZ) said.

The Times also spoke to soldiers and doctors who claimed to have witnessed the deaths of Ukrainian servicemen as a result of attacks by chemical weapons, as well as pathologists who recorded the deaths of soldiers who were allegedly gassed.

The witnesses suggested the Russians were increasingly resorting to chemical weapons to flush out Ukrainians from defensive strongholds or to immobilise and leave them vulnerable to conventional attacks.

The US State Department and war monitors have previously accused Moscow of using CN and CS gases – also known as tear gas – to deadly effect in Ukraine. It also said that Russia had used chloropicrin, which is severely irritating to the lungs and eyes, to dislodge Ukrainian troops from fortified positions.

Although classified as “riot-control agents”, tear gases are banned from the battlefield under the Chemical Weapons Convention and the 1925 Geneva Protocol as they can cause great harm to soldiers deployed in trenches or enclosed locations. Chloropicrin, a pesticide, is classified as a “toxic chemical” and severe exposure can be fatal.

The Kremlin, which along with Ukraine is a signatory of the 1997 Chemical Weapons Convention, has rejected claims that it uses toxic gases as “baseless”.

But Colonel Artem Vlasyuk of Ukraine’s RCBZ claimed that Russian forces had used the agents at least 7730 times since the beginning of the full-scale invasion in February 2022, including 2351 recorded occasions since the start of this year.

“Forty per cent of these were recorded as the direct use of K-51 and RG-Vo grenades, which contain CS and CN gas,” said Vlasyuk.

“The rest of the cases we identify as the use of dangerous chemicals by the enemy, classified as unknown substances because our units did not have access to the place of use due to intense enemy fire or the loss of positions where these dangerous chemical substances were used.”

The Times received reports of dozens of Ukrainian soldiers affected by gas attacks in at least six frontline zones, as well as those who did not suffer lasting damage, or who were able to put on their gas masks in time.

The RCBZ said that Ukrainian investigators were looking into specific incidents, including deaths, and could not comment before charges were brought. “We can’t exclude the use of deadly substances by Russia in combination with tear gas,” Vlasyuk added.

Kyiv’s Ministry of Foreign Affairs said: “The Russian military regularly uses riot-control agents and ammunition equipped with dangerous chemicals against Ukrainian forces, including those of unknown origin. Unfortunately, a number of fatalities among the Ukrainian military were recorded.”

Russia’s Iranian-made “kamikaze” attack drones have also been armed with payloads of CS gas for attacks from the air, officials from Ukraine’s National Security and Defence Council announced on Wednesday.

The Kremlin has in turn, and without providing evidence, alleged Ukraine’s forces have used “a wide range of toxic chemicals against Russian servicemen and public officials”, including fertilisers, pesticides and other banned toxins. Kyiv has denied this.

On the war’s southern front, Russian troops are pushing to take the town of Orikhiv, which would bring them within artillery range of Zaporizhzhia city, capital of the region of the same name. which Putin claims to have annexed.

Soldiers of Ukraine’s 65th Mechanised Brigade who are defending the town said they were coming under “daily” chemical attacks and displayed used tear gas grenades and improvised canisters they said had been dropped by Russian drones.

Senior Lieutenant Sergey Skibchyk also claimed that “very often the Russians disguise poisonous substances as tear gas, or come up with their own dispersal devices, such as adding ordinary plastic bottles with various elements that, when combined or when exploded, emit aerosols that are lethal”.

“We are not talking tears and coughing, we are talking about chemical burns of the larynx, lungs, oral cavity, nasopharynx and even the skin,” Skibchyk said.

A man was killed and a woman injured in a Russian drone attack on a wholesale bakery making Easter treats on April 18, which is Good Friday, a key Easter date for Christians, according to Ukrainian officials. Footage from the local branch of national…

The Organisation for the Prohibition of Chemical Weapons (OPCW) has issued two reports confirming the presence of CS gas on Ukrainian battlefields, but declined to comment on the use of other types of gases.

Its work is based on samples taken from the Ukrainian side, but it has not attributed blame or commented on the scale of the chemicals’ use.

The UK Ministry of Defence said: “Putin’s use of chemical agents as part of his illegal invasion of Ukraine is a clear violation of international law … in December 2024, the UK contributed a further £3 million for the procurement of respirators for Ukraine.”

Lennie Phillips, a senior research fellow at the Royal United Services Institute, said any international mission to establish what chemical weapons were being used in Ukraine, and how, would be impossible without a ceasefire.

“If you’re talking about chemicals being used against people … in the middle of a conflict, full stop, their eyes are on the enemy [and] dealing with the aftermath,” he explained. “I think the last thing on their mind, understandably, would be, ‘Oh, let’s get a sample so we can send it off and we can see what the Russians have been using.’ … The Russians know that.”

The Times

Here is the link:

https://www.theaustralian.com.au/world/the-times/kremlin-ramps-up-illegal-gas-attacks-to-secure-its-gains/news-story/d862b48b841edda47a84d1a06503e405

I can hear my favourite Ukrainian loudly pointing out that you simply can’t trust Russians (and the Ukranians should know!) and saying how stupid I am to even imagine Russians could be trusted!

Turns out she was spot on! They are really international lowlife behaving like this!

David.

Sunday, April 20, 2025

I Really Think It Is Time For The Pope To Retire. He Has Had His Turn And Time For A Younger More Energetic Person!

This appeared last week and rather fits with Easter Sunday.

Pope says doing ‘best he can’ on jail visit before Easter

AFP

1:32AM April 18, 2025

A still-convalescing Pope Francis said Thursday he was doing “as best I can” as he visited inmates at Rome’s central jail before Easter.

The 88-year-old Argentine pontiff spent about a half hour at Regina Coeli, a dilapidated jail in the centre of the capital that is one of Italy’s most overcrowded.

Francis individually greeted about 70 detainees as well as prison management and staff, the Vatican said in a statement.

The smiling pope was later seen in the passenger seat of his white Fiat 500 vehicle as he departed.

“Every time I enter these places I ask, ‘Why them and not me?’” he told a crowd of journalists in a weak, raspy voice.

Asked by a reporter how he was experiencing this year’s “complicated” Easter week following his weeks of hospitalisation and recovery, he answered: “I live it as best I can.”

The Jesuit is under doctors’ orders to rest for two months following his release from hospital on March 23 after five weeks of treatment for pneumonia in both lungs.

But the head of the world’s 1.4 billion Catholics has instead made a spate of surprise recent appearances -- from a private meeting with King Charles and Queen Camilla, to an impromptu visit inside St. Peter’s Basilica, where he met pilgrims and admired restoration work.

At Regina Coeli, Francis did not engage in the traditional rite of washing the feet, which commemorates the gesture of Christ for the apostles.

“Every year I like to do in prison what Jesus did on Holy Thursday, the washing of the feet,” the pope told the inmates, according to the Vatican.

“This year I can’t do it, but I can and wish to be close to you. I pray for you and for your families.”

Pope Francis met on April 16th at the Vatican with members of the medical team who saved his life during a five-week hospital stay for a serious case of double pneumonia, thanking them for their care.

Since becoming pope in 2013, Francis has carried out the washing of the feet rite outside the Vatican, including for repentant mafia members behind bars, for women or teenagers behind bars, or for the sick or disabled.

In Christian tradition, Maundy Thursday commemorates the last meal of Christ, known as the Last Supper, with his 12 apostles.

It is a highlight of Holy Week, which commemorates the last days of Christ before his resurrection at Easter.

Due to his fragile health, the pope has reduced his normally packed schedule for Holy Week.

He does not plan to preside over Saturday’s evening’s Easter vigil nor Easter Sunday mass at the Vatican, both of which have been delegated to cardinals.

Here is the link:

https://www.theaustralian.com.au/world/pope-says-doing-best-he-can-on-jail-visit-before-easter/news-story/abe7cb7c65fa7bf410a71e7666a892c1

I think it is time for our old Pope to rest / retire and a new more energetic man (you can be pretty sure it won’t be a women) to take over! When you are 88 it seems reasonable that his time has come

With the complex world we live in we need a Pope who is intellectually and morally at the “top of his game”!

Maybe we can develop a Pope Retiring Age limitation!

What do you think?

David.

AusHealthIT Poll Number 790 – Results – 20 April 2025.

Here are the results of the recent poll.

Do You Think Mr Trump Is Leading The World Into A New Global Economic Recession?

Yes                                                                27 (96%)

No                                                                    1 (6%)

I Have No Idea                                                0 (0%)

Total No. Of Votes: 28

It seems pretty much every-one is concerned about the Trumpian financial policies!

Any insights on the poll are welcome, as a comment, as usual!

Not too bad voter turnout. 

0 of 28 who answered the poll admitted to not being sure about the answer to the question!

Again, many, many thanks to all those who voted! 

David.

Friday, April 18, 2025

I Reckon You Have To Think Very Carefully About Letting Children Play Contact Sports.

I know this will be anathema to all red-blooded Aussie males.

Patient zero: the Wallaby who couldn’t live with the noise leaves a ‘quiet legacy’

Dan Vickerman’s mind had become a war zone and he didn’t know why. A once measured, ‘gentle giant’, there were now times when he’d lose it over the smallest of things. His mother reveals why she believes rugby may have cost him his life.

Jessica Halloran

11 April, 2025

In the middle of the night, when “demons” were raging in Dan Vickerman’s head, he’d call his grandmother, Erna, and her sage words would calm his mind.

Severe insomnia plagued the former Wallaby, but the conversations with his grandmother, who lived in Cape Town, would help fight off the dark thoughts.

In the final years of his life, Dan’s mind had become a war zone and he didn’t know why. A once measured, “gentle giant”, there were now times when he’d lose it over the smallest of things. His mother, Val, ­remembers his moods swinging between incredible anxiety to utter depression.

A few months before he took his life, on the morning of February 18, 2017, Dan bluntly told a friend: “My head is f..ked.” He left behind a wife, Sarah, and two beautiful boys. On that summer morning, Val received a phone call telling her that her only child had died. He was 37.

In the dark, numb days that followed, nothing made sense and in the midst of grief, Val, a ­pragmatic, stoic woman, went searching for answers. When someone dies by suicide there are so many unanswered questions for those left behind, starting with: “Why didn’t I ...?”

“There is also an incredible amount of guilt. So you go looking for answers,” she says.

While researching suicide in sport and personality changes, Val came across chronic traumatic encephalopathy. She had never heard of it. CTE is a brain disease linked to repetitive head knocks. The more Val learnt by reading research papers from Boston University’s CTE Centre and Brain Bank, the more it became clear that her son, who had a three-decade rugby career that included 63 Wallabies Tests, had been suffering from the ­condition. As Val says, “his brain was sick”.

Wallabies great Dan Vickerman achieved so much on the rugby field, but off it, he faced a silent battle with CTE. After his death, his family set out to understand the disease and fight for change. Through their efforts and the creation of the Dan Vickerman…

At Val and husband Les’s home in Bowral, NSW, she sits in a plush armchair in their formal living room, pulls out a sheet of paper and starts reeling off CTE symptoms that related to her son.

“He had mood and behav­ioural changes in his later years; he had exaggerated responses to day-to-day stresses; anger and agitation due to inconsequential happenings; mood fluctuations; depression; anxiety; generalised body aches and pain; and severe insomnia,” she says.

Val believes Dan knew things “weren’t right”. “He went to a psychologist, he went to [another] psychiatrist, and not one of them said it could be CTE,” she says. “It was not ­really out there back then.” It was a time when there was little understanding of the disease, which has since been found, post-mortem, in the brain tissue of several leading Australian footballers, including St Kilda’s Danny Frawley and rugby league player and coach Paul Green. Both took their own lives.

But what sets apart Dan Vickerman – a domineering lock whose international career ran from 2002 to 2011 and who had three seasons with the Brumbies and five with the Waratahs – is that he was patient zero for the Australian Sports Brain Bank.

Michael Buckland, the chief neuropathologist of the Australian Sports Brain Bank, says Dan’s death led to its formation. It is a joint initiative by the neuro­pathology department at Royal Prince Alfred Hospital in Sydney and the Brain and Mind Centre at the ­University of Sydney.

“I was very aware of Dan’s death, he used to play for Sydney Uni, so his passing was very local to us as well,” Dr Buckland says. “The fact his brain was unable to be examined was really the driving force, the motivation for setting up the Australian Sports Brain Bank. We wanted a pathway for families to have their loved ones examined, if they so wanted.

“After we launched the brain bank in March 2018, Val and Les Vickerman were in contact ­immediately.”

Not long after the Australian Sports Brain Bank opened, Val and Les travelled up to Sydney and met with Dr Buckland, with that interaction confirming their thoughts on Dan’s condition.

Soon after Dan’s death, the ­Rotary Club of Bowral/Mittagong suggested establishing the Dan Vickerman Scholarship for PhD students in conjunction with Australian Rotary Health.

The criteria for the scholarship was specific to CTE research and it was to be ­undertaken at the University of Sydney. Covid intervened and it was only this year that the scholarship has been awarded. Young scientist Joanna New is the first scholarship recipient. “Being awarded the Dan Vickerman Scholarship is a great honour to me, it holds to his legacy, his story and it allows him to be an ­example within not only the research community but the sports community,” Ms New says.

“My work is really about trying to address some of the unanswered questions in the CTE space. Practically what we hope to ­develop with this research is to help find a test that can be used in a medical or sporting setting.”

Val has said Dan may have “had a chance” if he had known what was happening inside his head, and life may have played out differently.

“Hopefully with the research we will one day be able to diagnose CTE in life,” Val says.

“If people are able to get a ­definitive diagnosis, even if there is no cure for it now, they will at least feel ‘I am not going mad’.

“There is a reason for it. I think it will make it easier for the ­family. They will have an understanding of what is happening. I think for the children of ­people that take their own lives, who may ask, ‘Why did my dad leave me? Why did my mum leave me? Did they not love me enough?’ I think if there’s an ­answer for the children, it may make things easier.”

Career on the rise

As a child, Dan loved the “crash and bash” of rugby union. He adored the contact and, being tall, he soon found himself playing in the second row.

He played for the prestigious Bishops Diocesan ­College in Cape Town, which has produced many great Springbok players, and he proudly wore the jumper.

“For some unknown reason, the Bishops rugby jumpers were white. The school was located at the lee of Table Mountain, where it rained all winter,” Val says, laughing. “Dan and the jumper would always come home absolutely covered in mud. He loved sports. He aspired to be in the school’s firsts rugby team, which he did.”

While mild mannered off it, on the field Dan was brutally competitive and he had big dreams. In a private moment, a teenage Dan told his father: “I want to be the best lock in the world.” With a link to Australia via Les’s father Leslie, he travelled to Brisbane in 1999.

“After school he played for the Queensland University, then after that he went back to South Africa and played for the South Africa U21 Baby Bok team,” Val says.

While initially he had hoped to ­become a Springbok, his journey back to Australia in 2000 would make him a Wallaby.

While attending Varsity College and the University of South Africa, Dan was lured to the Harbour City in that Olympic year to attend the University of Sydney. He was then contracted by the Brumbies Super Rugby franchise. His selection for Australia “A” sealed his future allegiance and he soon made his Test debut against France in Sydney.

Dan would end up playing in three World Cup campaigns ­before his retirement from the game in 2012.

“He was very uncompromising in battle,” his Tahs and Wallaby teammate – and now Rugby ­Australia chief executive – Phil Waugh said.

After playing at the World Cup in 2007, he withdrew from the Australian rugby scene and ­headed to England for three years. At Cambridge University he earned a masters in land economics and, in another sparkling ­moment in his rugby career, Dan captained Cambridge to a 31-27 victory over fierce rivals Oxford in 2009.

It was, by any measure, a ­glorious career. “He loved the game,” Val says.

Vickerman captained Cambridge to a 31-27 victory over fierce rivals Oxford in 2009.

Suicide links

To Val’s knowledge, Dan was never knocked out or diagnosed with concussion while playing rugby union.

Research by Boston Univer­sity’s CTE Centre and Brain Bank shows CTE is caused by repetitive brain trauma. That trauma ­includes both concussions that cause symptoms and non-concussive hits to the head that do not cause symptoms.

Boston University says the number or type of hits to the head needed to trigger degenerative changes in the brain is unknown.

But what is known is that ­suicidality has been clinically found to be associated with CTE, Dr Buckland says.

“There’s a very strong and ­disturbing association between CTE and suicidal behaviour, ­including suicidal ideation and completed suicides,” he says.

“We are finding that in our ­cohort – and the Boston Univer­sity group have also reported that in their cohort – the majority of people with CTE, they either self-report or their family ­members report suicidal ideation or suicide attempts. Suicide is certainly over-represented in the CTE cases compared to those cases without CTE.

“About just under half our cases, our donors with CTE, ended with us because they suicided.”

Just two years after Dan’s death, Australian rules footballer Danny Frawley was found to have had CTE after he deliberately crashed his car into a tree in ­country Victoria.

In 2020, Richmond player Shane Tuck endured a “war zone in his head” before he took his life at 38. He had CTE.

In August 2022, former ­Cronulla player and Cowboys coach Paul Green, 49, who’d celebrated his son’s 10th birthday the previous day and was tossing up several job offers, took his own life. He was found to have had stage-three CTE. In November 2022, AFLW player Heather Anderson committed suicide. She was 28. Anderson, played rugby league and then Australian rules, from the age of five. She too was found to have had CTE.

Dan was part of the Wallabies team who were runners-up in the 2003 World Cup final against ­England. The mind battles of those English rugby champions have been well documented.

Last year England World Cup player Steve Thompson said he often couldn’t remember the names of his children and had no memories of the 2003 victory. “I can’t even remember being in Australia,” he has said. Thompson, 46, has also said his shock early-onset dementia diagnosis left him feeling suicidal.

So many questions

Val is an advocate for suicide ­prevention awareness and continues to run a suicide support group in Bowral in an effort to help those, like her, who have lost a loved one.

A common conversation can be around the “sliding doors” ­moments. For her, it involves her mother, Erna, who passed away two months before Dan took his life. Val wonders if her mother had been there for another desperate phone call, maybe she could have helped him with his tormented thoughts that night.

“There are many should have, could have, what ifs, you ask yourself when someone suicides,” Val says. “And I wonder if my mother had been alive…”

Dan’s hulking frame still looms beautifully large in his parents’ home. He’s there, grinning gently in his Wallabies jersey, walking off the field, forehead bleeding. A local painter, Dave Thomas, has captured this warm, joyous ­moment, which the Vickermans proudly have hanging on their wall.

“We hope to donate the painting to Sydney University Rugby Club,” Val says. It’s another institution where Dan left a strong legacy, playing 49 games, including three grand finals.

But it’s the memories off the field that shine through the most on this visit to Bowral. Les and Val show a 2016 photobook, capturing an extended family holiday adventure to Cape Town.

Everyone is smiling as they stand in the front of the house where Dan was raised. There are pictures on the beach where he swam and played as a child.

They are all carefree, windswept, happy – it was just months before Dan died. The photos show no hint of what he was battling.

‘Real’ ambition

After Dan passed away there were newspaper and TV reports about athletes suffering post-retirement – insinuating that the former Wallaby was troubled by no longer playing the game – but Val makes it clear, her son’s mental anguish wasn’t related to his sporting ­career coming to an end.

“No, that’s not true,” she says. “Dan actually had prepared for a career after rugby.”

He had worked for KPMG, then in property and just weeks ­before he died he had announced that he had set up a property ­investment fund. His career trajectory was on the up.

But for those close to him, it was clear Dan also had other priorities.

Les recalls turning to his son, after Dan had not long retired from rugby, and asking what his “real” ambition in life was now. “To be the best father in the world,” Dan said.

Val wants the world to remember her son as a “gentle giant”.

“He was an unassuming person that didn’t want the limelight, didn’t court the media … and now he is leaving a quiet legacy,” she says.

If you or someone you know may be at risk of suicide, call Lifeline (13 11 14) or the Suicide Call Back Service (1300 659 467), or see a doctor

https://www.theaustralian.com.au/sport/patient-zero-the-wallaby-who-couldnt-live-with-the-noise-leaves-a-quiet-legacy/news-story/251e9c796e3ce2398e3a6b7bc5c70602

To me the loss of even one young man to this disease is anathema – but I know many will disagree. At the very least we need protocols to track and support those who are at risk and to intervene early if things are “going of the rails:”

We also need to know research and warning signs are properly followed up to ensure those at risk are saved.

Dying for the sake of any game is just plain silly IMVHO. Grumps > /dev/null.

David.

Thursday, April 17, 2025

I Am Not Sure Many Realise Australia Has Spawned Three Major Global Healthcare Giants!

 This appeared last week:

Sonic and ResMed rejoin the Buy List

These two leading healthcare stocks now trade at attractive prices.

By Graham Witcomb · 11 Apr 2025 · 3 min read

The best time to put ResMed in your portfolio was during last year's weight-loss drug scare, when the company rejoined the Buy List on 25 Jun 24 (Buy - $27.74). Back then, the share price had collapsed and the price-to-earnings ratio (PER) had fallen below 20. By January this year, the share price had breached $40.

Now Trump is giving us another shot with the company trading on a forward PER of 21, well below historical levels. This is despite medical consensus that sleep apnoea sufferers are best treated with a combination of weight-loss drugs (called GLP-1s) and CPAP machines from the likes of ResMed.

Key Points

  • High-quality companies
  • Moderate/large US exposure
  • Both stocks undervalued

The US is ResMed's largest market by far and the company makes and sells its products across the globe. Tariffs, currencies and regulation are a perpetual threat. So are potential new treatments—surgical or medicinal—that we can't imagine today.

We suggest members deal with these possibilities through portfolio position size rather than waiting for an even cheaper price, particularly as regulatory changes can potentially have huge impacts.

ResMed, last reviewed on 3 Feb 25 (Hold - $38.60), rejoins the Buy List with a maximum portfolio weighting of 5%.

Super Sonic

As for Sonic Healthcare, its share price is back where it was seven years ago, despite almost touching $50 after huge one-off profits from covid testing. That's all gone now, making earnings more predictable. As costs fall, there's the possibility of higher margins while the forecast PER of 20 is the lowest in about a decade.

Sonic's Australian business is mature and isn't growing as fast as ResMed's, but management seems to have done a decent job investing its covid windfall profits in places like Germany, where it needs scale to increase profits and margins.

Overseas markets offer a long growth runway but Australian margins have the biggest impact on profitability. And like ResMed, regulatory and Medicare reimbursement risks are ever-present.

This is best accounted for in a conservative maximum portfolio limit of 5%. Paying a lower price won't protect you from binary outcomes, especially as a fifth of company sales are in the US—as discussed on 21 Feb 25 (Hold - $27.67)—and Trump's eraticism adds to the risk.

Nonetheless, Sonic's revenue is more diversified than ever and the current share price compensates for these risks. Messing with people's pathology tests isn't something governments take lightly. BUY—but again, watch the portfolio limits.

Note: The Intelligent Investor Australian Equity Income Fund (ASX:INIF), Intelligent Investor Ethical Share Fund (ASX:INES), and Intelligent Investor Australian Equity Growth Fund (ASX:IIGF) own shares in ResMed and Sonic Healthcare.

Here is the link:

https://www.intelligentinvestor.com.au/recommendations/sonic-and-resmed-rejoin-the-buy-list/154429 

I have to say that these 2 companies - along with CSL - have proven to be great Australian success stories who have successfully gone global and who have been very worthwhile investments for local investors over the years. I can't think of another industry in which Australia has been quite so commercially successful other than mining. We really do punch above our weight in this industry with 3 globally significant enterprises founded here!

David.

 

Wednesday, April 16, 2025

These Are Rather Counter-Intuitive Findings On The Safety Of Mothers And Babies At Present!

This report appeared a few days ago:

Problems that put mums, bubs at risk demand urgent action

Bombshell research has highlighted serious problems in our health system – problems that put Australian mothers and their babies at risk and need urgent attention.

Steve Robson

Updated 6:44AM April 12, 2025

An independent study of birth outcomes across the country – led by some of Australia’s foremost health researchers – has yielded deeply concerning results.

The study found that severe adverse outcomes of birth, both for mothers and their babies, are considerably more likely in our public hospitals as compared to private maternity hospitals. It also found that costs of birth were higher in public hospitals than in private maternity settings.

The study’s findings rang alarm bells for doctors, consumer representatives, and even a former federal health minister when presented at a recent meeting in Sydney.

Having a baby is such a fundamental experience for most people – moving beyond the realm of healthcare into a place of deeply personal life experience – that responding to the study’s findings must be finely calibrated. No family can be left behind.

It is important that we draw the right conclusions from the research. We must put the wellbeing of women and their babies at the centre of any response to the study’s findings. It is well past time to heal a key part of our health system that is currently riven by unhelpful cultural and ideological division.

There are few greater responsibilities for our healthcare system than the safe arrival of the next generation of Australians. As birthrates continue to fall across the country, many women now will have only one child. Society has a responsibility to put all resources required into ensuring that birth is as good as it can be.

Mothers-to-be have a right to expect not only that birth is as safe as possible, but also that they are given an informed choice about who delivers their baby and where the birth happens.

Steve Robson, who reviewed national birth outcomes 15 years ago and found a similar result.

Such informed choices are hardly an aspirational target. The federal health department’s own 2019 review of maternity care in Australia clearly affirmed the principle that women’s choices and preferences should be “sought and respected throughout maternity care”.

The bombshell research paper highlights serious problems in our health system – problems that put Australian mothers and their babies at risk and need urgent attention. Every day counts, just as every newborn baby counts.

Yet the research findings were no surprise to me. Fifteen years ago I reviewed national birth outcomes data and reached almost the same conclusions. When the results were published, though, the response from administrators was one of fury. I was told that I would never have access to any data again, so embarrassing had the results been to state and territory governments.

The consequence of this political censorship is that, 15 years later, mothers and babies still find themselves kept in the dark. Important information that should be available to any pregnant woman is obscured by arcane processes that make it almost impossible for researchers to shine a light on the true state of maternity care in Australia.

Mothers-to-be have a right to expect not only that birth is as safe as possible, but also that they are given an informed choice about who delivers their baby and where the birth happens.

The new research has arrived just at a time when private maternity care – provided by midwives and doctors working together in private hospitals – is on the ropes.

Maternity hospitals around the country are shuttering their services, and some capital cities provide few options for private care. So bad is the situation that my own research suggests that private maternity services will be extinct by the end of the decade.

Pregnancy and birth care is very special. Prospective Australian parents have a right to timely and accurate information to guide their birth choices. They have every right to feel badly let down at the moment.

Many women and their partners make their birth choices based not on rigorous scientific information but on social media, or recommendations from friends. Choice is critical to satisfaction with birth, but the information informing that choice must provide a true picture of the outcomes.

To make things even worse, many women are left with little or no choice. This is particularly the case for women who live outside our major cities. Local maternity services have been razed across large tracts of regional and rural Australia, leaving families unsupported at a time they should have our government swing in behind them.

Everybody involved in birth in this country – midwives, doctors, physiotherapists and many more – goes to work wanting the very best for the women they care for. We cannot let them down. As a society we must throw everything we have at supporting maternity services that are as safe and accessible as possible.

Dr Robson says everybody involved in birth – midwives, doctors, physiotherapists and more – ‘wants the very best for the women they care for’.

As Australian families shrink, and we ponder how our country can cope with an ageing population, resourcing of pregnancy services should be a national priority.

The key lesson we should take from this new maternity research report is that transparency is fundamental to good outcomes. Making data about birth outcomes difficult – or indeed almost impossible – to access is a recipe for disaster.

There is absolutely no medical or ethical reason that detailed information about the results of maternity care systems should be kept from women. Indeed, the stakes are so high for society that transparency should be a high priority.

A shining example of how this transparency can revolutionise safety and effectiveness of healthcare is the National Joint Replacement Registry. Information is fed into the registry database and it is publicly available almost in real time. Older Australians facing major procedures – and the surgeons and others providing their care – have access to a gold-standard resource guiding their care.

Australians at the other end of the life cycle – newborns and their mothers and parents – should have access to similar information about the results of maternity care in this country. Instead of dedicated researchers delving into secretive maternity data repositories, parents should have a trove of outcomes information to guide their choices.

When the final research results are published, there is no excuse for failing to heed the lessons of the work. The next generation of Australians – and their parents – must finally have truly informed choices.

Steve Robson is professor of obstetrics and gynaecology at the Australian National University and former president of the Australian Medical Association. He is a board member of the National Health and Medical Research Council and a co-author of research into outcomes of public and private maternity care.

Here is the link:

https://www.theaustralian.com.au/health/medical/problems-that-put-mums-bubs-at-risk-demand-urgent-action/news-story/50425ac1c674af8d70e5bbcf6fb94f8c

It is hard to disagree with any of this, especially the importance of transparency as to the outcomes being achieved to we can be sure that all the care being delivered is the safest and most cost-efficient possible. As children become relatively rarer (and more precious, if that is possible) we are even more obligated than ever to provide the best care possible!

That public care standards are apparently slipping needs to concern us all and the powers that be need to move to correct any issues identified ASAP! If ever there was a case for an expert investigation this is it!

David.

Tuesday, April 15, 2025

This Is A Very Interesting Theory Which Needs To Be Urgently Assessed As To Its Veracity!

This appeared last week:

New line of defence against dementia could lie in this routine vaccine

It makes sense to include routine adult vaccinations to our list of preventative measures, not only for prevention of common infections, but also for dementia prevention.

Magdalena Simonis

13 April, 2025

It makes sense to include routine adult vaccinations to our list of preventative measures, not only for prevention of common infections, but also for dementia prevention.

We are living at a time when the ageing population is increasing in size, and with age, comes a growing risk of all forms of dementia. Consequently, we are seeing the incidence of dementia double globally every 20 years. The condition puts a terrible burden on the sufferers, their families and caregivers, and most eventually require costly government support over many years.

In our efforts to understand what causes dementia and how to prevent it, observational studies have explored modifiable factors which include blood pressure, diabetes, lipid profile, heart disease, hearing, along with lifestyle, diet, exercise, social engagement, mental health, smoking, alcohol intake, and even geographic location, to name a few. These factors were found to impact the onset across different types of dementia, but what was also found was that having a combination of routine adult vaccinations seemed to be associated with a 35 per cent decrease in risk in all forms of dementia. This was an unexpected finding. In other words, we now know that we can influence the development of vascular dementia and even the expression of Alzheimer’s disease a fair bit through how we choose to live our life and how we treat our bodies over the course of time. Having your regular flu vaccine can also reduce your risk, and having the shingles vaccine reduces this risk even further.

Key points

  • A 35 per cent decrease in all types of dementia is seen in people having a combination of routine adult vaccinations (influenza and shingles in particular)
  • The shingles vaccination may prevent or delay dementia in up to twenty per cent of older people
  • By 2030, the global population aged 65 and older is projected to surpass the youth population
  • 1 in 12 people aged 65 and over are living with dementia in Australia

Shingles vaccine and dementia prevention

The shingles vaccination may prevent or delay dementia in up to 20 per cent of older people according to a study recently published in Nature journal. The Standford University researchers followed nearly 300,000 people in Wales over seven years and compared the outcomes of those who received the single-dose shingles vaccine with those who did not and found that the risk of developing dementia was significantly lower in the vaccinated group.

Although the shingles vaccine associated with this finding is the now discontinued single-dose Zostavax vaccine, it is assumed that the positive effect on dementia prevention is more likely due to the prevention of shingles, rather than the vaccine type itself.

Shingles is a painful rash-like reactivation to the chickenpox virus, also known as herpes zoster. It lies dormant in the nervous system following initial exposure, which usually occurs in childhood, and is part of the herpes virus family which includes the common cold sore virus (HVS1) and genital herpes (HSV2), glandular fever or Epstein Barr Virus (EBV), and Cytomegalovirus (CMV).

We have known for decades that there is a link between herpes viruses and dementia from as far back as 1975, and given current statistics are that one in three Australians will develop shingles at some stage, widespread vaccination of the older population could have a significant impact on the burden of dementia overall.

Just as this study showed, most prior studies that demonstrated the protective effect of the shingles vaccine were conducted on the live attenuated vaccine called Zostavax, which has since been discontinued due to its shorter length of efficacy and the risk of serious side-effects in immunocompromised people, such as people who take immunosuppressants for auto-immune disease, or those who are having treatment for cancer such as chemotherapy and radiation therapy. They also happen to be the people who need protection the most, and for longer periods.

Fortunately, we can now recommend the new recombinant shingles vaccine (no live particles), called Shingrix which is delivered in two doses, two to six months apart which is also freely available to anyone 65 in Australia. This newer recombinant version provides longer protection for up to 10 years.

For unknown reasons, the shingles vaccine appears to show a higher level of protection against dementia in women, but it protects men as well. This could just be because women generally mount a stronger immune system to vaccines due to biological sex differences. Either way, it makes sense to have a vaccine that can protect you from an awful disease which causes post-herpetic neuralgia (nerve pain) in up to 20 per cent of people, and which can linger in the form of electric shock-like pain for weeks, months and sometimes years, long after the rash resolves.

Influenza vaccinations and dementia prevention

Research has found that ‘people with more full vaccination types and more annual influenza vaccinations are less likely to develop dementia’. Picture: Getty Images

A large metanalysis of 9124 papers that were published in 2022 isolated 17 high-quality studies that compared the risk of dementia in those vaccinated against influenza virus versus unvaccinated populations, and found that the reduction in risk was as high as 49 per cent in those who had at least four annual influenza vaccinations.

The researchers then reviewed the other studies, looking at other vaccinations, and the findings were that there was a decreased incidence of dementia in people who receive routine adult vaccinations, with up to 35 per cent overall reduction, regardless of the type of dementia. This was equal across women and men.

The protective effect is cumulative and greater with those who have their annual influenza vaccinations, in other words, “people with more full vaccination types and more annual influenza vaccinations were less likely to develop dementia”.

The metanalysis included close to 1.8 million people from across the US, China, Israel, UK and Canada, and although there appears to be a stronger cumulative protective element with annual influenza vaccinations, they looked for any similar association with other vaccinations from the other remaining studies and found this is also evident in those with herpes zoster (shingles), tetanus and diphtheria and pertussis (Tdap), pneumonia, hepatitis A, hepatitis B, and polio vaccines, in declining order of impact. The exact mechanism of this is not well understood as there are numerous other risk factors for dementia. However, these findings are very exciting.

How do vaccines protect you from dementia?

The mechanism by which vaccines protect people from developing dementia is unclear, and there is no simple answer. With respect to Alzheimer’s disease, it is thought that the observed delay in expression of Alzheimer’s in vaccinated people is due to a combination of infection prevention, diminishing the severity of inflammation of the brain, and it is suggested that vaccines may even help the immune system remove amyloid plaques from the brain.

What about Covid-19 infection and RSV?

Covid-19 is an ongoing concern in the community, and we know that there is an association between Covid-19 infection and cognitive decline but this does not seem to be statistically higher than with other viral infections. Importantly, having the Covid-19 vaccine was not associated with an increased risk of developing Alzheimer’s disease. Respiratory syncytial virus has recently received a lot of attention with the introduction of a new vaccine, which has fortunately been approved for infants, children and pregnant women. The vaccine is also recommended for people over 75 years, and at 60 years for First Nations people and those who have other diseases or are immunocompromised. In older people, inflammation of the brain from RSV can cause acute confusion, and its connection with dementia is being investigated.

A new RSV vaccine has been approved for infants, children and pregnant women.

Vaccines are arguably the greatest medical invention of all time and despite what vaccine sceptics say, there are long-term benefits of being vaccinated, even in later life, so make it part of your annual overall health screens. From what the science is telling us, it is part of dementia prevention.

The current vaccinations recommended include:

  • Influenza vaccine
  • Covid-19 vaccine
  • Pneumococcal vaccine
  • Shingles vaccine
  • Pertussis, tetanus, diphtheria vaccine (Tdap)
  • RSV vaccine.

Magdalena Simonis is a GP, RACGP Red Book reviewer and clinical associate professor in the department of general practice, University of Melbourne.


This column is published for information purposes only. It is not intended to be used as medical advice and should not be relied on as a substitute for independent professional advice about your personal health or a medical condition from your doctor or other qualified health professional.


References:

Here is the link:

https://www.theaustralian.com.au/health/medical/new-line-of-defence-against-dementia-could-lie-in-this-routine-vaccine/news-story/f4e197d2d861a8759f387e698628f82d

This would have to be a very good reason to get every vaccination going!

Will be interesting to see if it is confirmed over time!

David.

Sunday, April 13, 2025

There Is A Rising Risk We Are About To Enter A Global Economic Recession.

This appeared a few days ago:

World takes urgent steps to prepare for trade war downturn

Jason Douglas

13 April, 2025

Countries around the world are taking major steps to prop up their economies and prepare for a possible severe downturn as the US and China keep raising the stakes in an escalating global trade war.

Central banks are cutting interest rates, with India, New Zealand and the Philippines leading the way this week, and more expected to follow in the coming days. South Korea’s government has announced a multibillion-dollar package of emergency-support measures for the country’s auto sector, including subsidies for carmakers.

Several countries, including Australia, Spain and Canada are urging consumers to buy more locally, swapping imported foods and home furnishings for homegrown alternatives to support domestic companies facing tough times.

Canada is even planning to take funds raised through new duties it has imposed on the US to help pay auto workers affected by US tariffs.

The steps come as the US and China keep matching one another in a tit-for-tat battle to see who can inflict the most pain. In the latest move, China said it would raise its tariff on US goods to 125 per cent to match an earlier escalation by the White House, adding that it wouldn’t raise levies further and that any more American increases would be seen around the world as a “joke.”

President Trump rolled back a major portion of his tariff plan just hours after it went into effect, following a week of turbulence in the stock and bond markets. WSJ’s Gavin Bade explains how it unfolded and what happens next.

China is also stepping up support for its factories as US tariffs threaten to squeeze growth and hammer its exports. E-commerce company JD.com said it would purchase some $US27 billion ($about $43.2bn) of goods from Chinese firms in the coming year to help them shift purchases to Chinese consumers.

The People’s Bank of China has let China’s currency, the yuan, weaken against the dollar, aiding exports, while the government in Beijing is widely expected to borrow and spend more to counteract the drag from slowing trade. China “is not afraid of any unjust suppression,” its leader, Xi Jinping, said Friday.

The moves show how worries of a severe global economic downturn are intensifying. Financial market turmoil has added to the strain: The Bank of England postponed a planned sale of UK government bonds from its asset-purchase portfolio Thursday, blaming market volatility in bond markets ignited by a sell-off in US Treasurys.

The global economy is now widely expected to slow as tariffs begin to bite, and could even tip into recession if the brawl between the US and China intensifies or Trump revisits his plan for “reciprocal” tariffs on US trading partners. Economists at Capital Economics said in a report Friday that global growth could sink to 2.2 per cent in 2025, well short of the 2.5 per cent threshold that commonly signifies a global recession.

“Much hangs on the extent to which countries are able to do deals with the US to negotiate tariffs lower,” they said.

President Trump on Wednesday announced a 90-day pause on sweeping tariffs on imports unveiled on his self-proclaimed “Liberation Day” tariff bonanza on April 2. But a 10 per cent baseline tariff on virtually all imports arriving in the US has gone into effect as planned, and Trump has also raised tariff rates on cars, steel and aluminium.

Chinese imports, meanwhile, now face tariffs of around 145 per cent, according to the White House, after rounds of retaliation between Washington and Beijing pushed levies higher. In addition to raising its own tariffs, China is also targeting US companies and curbing access to rare-earth minerals.

More than 70 countries are engaged in high-speed efforts to negotiate ad hoc deals with Washington before the July deadline on higher reciprocal tariffs, The Wall Street Journal reported. Countries such as Vietnam have floated the ideas of buying more liquefied natural gas and agricultural products from the US, or lowering tariffs and dismantling regulatory barriers to imports in the hopes of avoiding higher duties that could crush their economies.

But with the outcome of negotiations still unclear, and some tariffs already in effect, governments are also looking for ways to stabilise their economies. Measures include targeted support for industries affected by tariffs as well as policy moves aimed at shoring up growth if trade and financial market disruptions worsen.

South Korea’s $US2 billion package, approved Tuesday, includes cheap loans, tax breaks and subsidies for carmakers, a key export sector. The government said it would also temporarily lower taxes on new-car purchases in South Korea and increase subsidies for electric-vehicle manufacturers to support auto sales at home.

In Spain, Prime Minister Pedro Sánchez in early April rolled out a government aid package to industry worth about $US16 billion to reduce the impact of Trump’s tariffs, including loans for companies, help for carmakers and funding for a buy-local campaign. Portugal’s development bank expanded trade credit and insurance aid to help exporters find new markets.

“Global trade is being transformed so we must go further and faster in reshaping our economy,” said UK Prime Minister Keir Starmer on April 6, announcing plans to give automakers some breathing room on environmental goals to help them manage tariffs. More help is on the way for other sectors, he said.

Canada has levied a 25 per cent counter tariff on roughly 67,000 US-made cars in retaliation for the 25 per cent levy the US imposed on foreign vehicles. Ottawa estimates it will collect roughly $US5.7 billion from the tariff, which it will use to pay auto workers and auto parts companies affected by the US tariff.

Canadian Prime Minister Mark Carney, currently campaigning in a federal election slated for April 28, has made it easier for laid-off workers to apply for employment insurance, deferred tax payments to corporations and asked Canada’s business development bank to lend more capital to companies in tariffed industries.

Carney warned this week that the risk of recession in the US has escalated, which will force the government to step in to help Canadians mitigate the economic fallout. His election rival, Conservative leader Pierre Poilievre, has also pledged financial support for workers in tariff-exposed sectors, and said he would also use the funds to cut taxes.

The European Central Bank meets Thursday and is expected to cut its key rate by a quarter-percentage point to help insulate the eurozone economy from tariffs. The Bank of England isn’t meeting until May, but is also expected to cut rates by a quarter point then. Partly reflecting a big rally in the Swiss franc as a result of trade and financial market gyrations, Switzerland’s central bank is now widely expected to cut rates to zero at its next meeting in June.

Reserve Bank of India Gov. Sanjay Malhotra, in a statement accompanying the central bank’s rate-cut decision Wednesday, said that as well as weaker exports, the uncertainty generated by trade frictions risks sapping investment and consumer spending, hurting overall economic growth.

The Reserve Bank of New Zealand was equally blunt: “Increases in global trade barriers weaken the outlook for global economic activity,” its rate-setting panel said, as it too, cut interest rates.

Indian officials are concerned that goods shut out from US markets could end up in India, undermining local producers. Piyush Goyal, India’s trade minister, in a speech on Monday urged Indian businesses to practice “economic nationalism” and favour domestic suppliers over tempting cheaper imports, highlighting another way governments are hoping their economies can weather the trade storm.

Dow Jones Newswires

Here is the link:

https://www.theaustralian.com.au/business/the-wall-street-journal/world-takes-urgent-steps-to-prepare-for-trade-war-downturn/news-story/626ef0c2729110ea5da1e46e0f6d07be

There is little doubt that the risk of an economic slowdown triggered by a worsening tariff war between the US and China is rising, and there is little doubt we will all be victims if that comes to reality. We must all hope this does not happen and do what we can to increase the diversity of our international trade and to ameliorate the level of risk.

Sadly I suspect we may all be the casualty of the global economic dance/war between the US and China and worryingly there is little we (essentially small Australia) can do about it!

We must all just “keep calm and carry-on”, and watch how things play out!

David.