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."

Sunday, September 21, 2025

AusHealthIT Poll Number 809 - September 21. 2025

Here are the results of the recent poll.

Do You Believe The Government Is Over-Regulating Adult Usage Of The Internet?

Yes                                                                       15 (65%)

No                                                                          8 (35%)

I Have No Idea                                                      0 (0%)

Total No. Of Votes 23

A very clear vote with most seeing a bit too much regulation!

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

Poor voter turnout – question must have been useless. 

0 of 23 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, September 19, 2025

I Really Feel Large Submarines Are, By And Large, Obsolete

 This article appeared last week:

 Australian military

Billion-dollar coffins? New technology could make oceans transparent and Aukus submarines vulnerable

Quantum sensing, satellite tracking and AI are part of an accelerating arms race in detection that should prompt a re-evaluation of Australia’s defence strategy

Ben Doherty

Sun 14 Sep 2025 06.00 AEST

Military history is littered with the corpses of apex predators.

The Gatling gun, the battleship, the tank. All once possessed unassailable power – then were undermined, in some cases wiped out, by the march of new technology.

Speed and stealth and firepower,” the head of the Australian Submarine Agency, Jonathan Mead, told the Guardian two years ago of Australia’s forthcoming fleet of nuclear submarines. “The apex predator of the oceans.”

But for how much longer?

In the first quarter of the 21st century, nuclear submarines have proven a formidable force: essentially undetectable deadly attack weapons. Some also carry a vital “second-strike” deterrent effect: any attack on a country armed with nuclear-powered submarines is made with the knowledge that retaliation is certain – from a warship hidden beneath the waves.

Australia has been searching for a permanent site for nuclear waste for nearly 30 years – about as long as the working life of its proposed nuclear-powered Aukus submarines.

The lethal legacy of Aukus nuclear submarines will remain for millennia – and there’s no plan to deal with it

 But a drumbeat of declarations – much of it speculative, but most of it from China, the very nation the Aukus pact was established to counter – report rapid developments in submarine-detection technologies: vast networks of acutely sensitive sonar arrays; quantum sensing; improved satellite tracking able to spot tiny perturbations in the ocean’s surface; technologies that detect minute disturbances in the Earth’s magnetic field; real-time AI processing of vast reams of data.

Could emerging technologies render the last opaque place on Earth – the oceans – transparent?

It may not be so binary. The oceans may become, in parts, less impenetrable: key contested sea lanes and littoral areas may be intensely surveilled, while remote, deep trenches remain arcane.

Forecasting a future conflict is fraught. But the consequences for Australia, having dedicated an extraordinary $368bn towards its Aukus nuclear submarine fleet, are immense: will the apex predator of today become the prey of tomorrow?

One brutal assessment put it in stark terms: Australia’s fleet of nuclear-powered submarines may end up being “billion-dollar coffins”.

Q&A

What is Aukus pillar one?

A submarine in the water

AI-generated content may be incorrect.

Underwater arms race

There is an arms race under way underwater, dedicated to perfecting the technologies that can find submarines, and finding new ways to keep them hidden.

Vast resources are being poured into improving detection technologies and developing new ones: drones, sonobuoys, satellites, magnetometers, quantum sensors. All seek to shrink the spaces where submarines can hide.

Everything is being monitored: the tiniest disturbance in waves across vast stretches of ocean, fractionally altered sea temperatures, faint magnetic disturbances, bioluminescent trails – each could give a tiny clue to a submarine’s path. Combined, they could reveal precisely where it is.

Allied to the extraordinary data-processing power of artificial intelligence, these present a formidable threat to submarines’ invisibility. AI programs are able to cut through the “noise” of masses of information, spotting unseen patterns or finding connections between disparate pieces of data, imperceptible to a human analyst.

Much of the technological advancement is being driven by China.

Submarines, made of metal, cause tiny distortions in the Earth’s magnetic field as they move through the water, changes increasingly detectable to sophisticated magnetometers.

Last year a research team from Shanghai Jiao Tong University reported the development of a new seabed sensor able to detect the faint electromagnetic waves generated by a rotating submarine propeller from nearly 20km away, about 10 times the previous detection range.

And in a peer-reviewed study published in December, researchers in Xi’an claimed to have developed an airborne magnetometer that can track the persistent trace of a submarine’s magnetic wake.

Quantum sensors, which can detect infinitesimally small perturbations in the environment at an atomic level, promise even greater sensitivity and accuracy.

In April scientists from the China Aerospace Science and Technology Corporation said they had developed a drone-mounted quantum sensor system that could track submarines with pinpoint accuracy. They claim the coherent population trapping atomic magnetometer is as sensitive as the MAD-XR system used by Nato countries but far cheaper, and so able to be deployed at a massive scale.

These are the technologies that are known about but, as Dr Anne-Marie Grisogono of Flinders University points out, if an adversary had a technology to accurately detect submarines, would it tell anyone?

The arms race is, of course, accelerating on both sides – designers are working on counter-detection measures to make submarines ever more covert: anechoic tiles to defeat or confuse sonar; cooling systems to weaken detection by thermal imaging or infrared detection by satellites; “degaussing” submarines to reduce magnetic signatures; and using pump-jet propulsors to produce less wake.

‘We should be asking bigger questions’

Grisogono was a co-author of the 2020 report Transparent Oceans, which argued that by the 2050s – as new Australian Aukus boats continued to be sent to sea – nuclear submarines “will be able to be detected in the world’s oceans because of the evolution of science and technology”.

She told Guardian Australia this year: “The likelihood that the oceans will become transparent at some time is basically 100%, it’s just in what time frame.

“And they could become transparent much sooner. We’ve seen tremendous advances in artificial intelligence ... an accelerant for all of these detection technologies that we are seeing developed.”

Grisogono argued that it may not be one technology that renders submarines detectable. She can envisage a future of “underwater meshes of networked sensors” using different technologies, all of which are expendable and none of which is critical to the network functioning.

“It’s an adaptive mesh of cheap components, and importantly, it’s a distributed system, so you can’t really take it out,” she said. “You can lose quite a lot of them and still have a functioning network … and it’s cheap.

“If your defensive system is really cheap and can take out really expensive assets from your opponent … the advantage is now to the defence, not to the attack.”

Grisogono said Australia should use the opportunity before too much is committed to Aukus to re-evaluate its capacity, not to fight a war in 20 years but in 30, 40 or 50.

“We should be asking bigger questions about our defence posture,” she said. “I think acquiring these nuclear-powered submarines really only makes sense if you’re wanting to contribute and join into much bigger conflicts in the region with the US.

“Perhaps when the decision was first taken, the logic of Aukus might be defensible in some way. But does that still stand up now?”

‘We are very confident’

On a rainswept dock in Sydney this week, the Australian government announced it had committed $1.7bn towards buying “dozens” – precisely how many is classified – of Ghost Shark autonomous underwater vehicles.

The men shelter under umbrellas in front of a small black submarine

Ministers Richard Marles and Pat Conroy pose for photos in front of a Ghost Shark in Sydney in Wednesday. Photograph: Kym Smith/ADF/AFP/Getty Images

Essentially an uncrewed submarine powered by AI, the Ghost Shark, the government says, will be able to “conduct intelligence, surveillance, reconnaissance and strike at extremely long distances from the Australian continent”. With each one about the size of a minibus, they can be deployed from warships or launched off the coast.

The Guardian asked the defence minister, Richard Marles, whether the investment was a “hedge” against a future where crewed submarines were detectable.

“We are very confident about Australia’s future submarines being fundamentally critical to Australia’s military capability,” Marles responded, saying the Ghost Sharks would “complement” crewed nuclear submarines.

“While there’s a whole lot of advancements in technologies about detecting submarines, there’s also a lot of advancements in technologies around making submarines harder to detect, and we are really confident about … giving Australia a highly capable, long‑range submarine capability in the future.”

Standing alongside the minister, Australia’s chief of navy, V Adm Mark Hammond, said he believed crewed submarines would grow more stealthy as efforts to detect them strengthened.

“I’ve heard about ‘transparent oceans’ since I qualified in submarines 31 years ago, and nothing’s really changed: every advancement in detection capability is usually met by an advancement in encounter detection capability and increased stealth.”

The land and the air were “completely transparent”, Hammond said, “and no one has stopped building ships and aircraft.”

“My personal belief is that the undersea battle space will continue to be increasingly congested, increasingly contested – but ultimately that is the most opaque environment on the planet, and I believe that our allies and partners will continue to enjoy the capability advantage in that space.”

Detectable equals destroyable

Any sufficiently advanced technology is indistinguishable from magic.

Prof Peter W Singer, a strategist at the New America thinktank, cites Arthur C Clarke’s famed third law.

He tells the Guardian that the rapid pace of change across technological domains, accelerated by developments in AI, makes predicting future developments – especially beyond the span of a human or technological generation – increasingly fraught.

Australia’s first Aukus submarines are scheduled to be in the water in the 2040s. They will still be under construction into the 2060s.

“Twenty years is a very long time when it comes to technology … what’s a generation for undersea warfare: is it every 30 years? Every 15 years? Every 10 years? We’re talking about a pretty substantial period of time,” Singer says.

An accelerating trend is “greater observation of the battlefield, and the worry that once stealthy systems might be detectable”.

“If they’re detectable, they’re destroyable,” he says.

Aukus submarines composite against the backdrop of an Australian flag

Surface tension: could the promised Aukus nuclear submarines simply never be handed over to Australia?

“Military leaders around the world are wrestling with this – whether they are in the ADF, Nato, the US Navy, Marine Corps – there’s a trend where essentially the apex predators are looking around and wondering if they are now the prey.”

The Marianas Trench – largely uncharted and reaching depths beyond human exploration – might remain unknowable, Singer says, but key sea lanes in the South China Sea could be intensely surveilled.

He cites the cold war example of the GIUK Gap – naval choke points in the North Atlantic – which was populated by a battery of hydrophones designed to detect the passage of Soviet submarines.

Singer predicts that undersea warfare of the future will not be a battle between crewed submarines but between hybrid fleets of new technologies, including unmanned underwater vehicles, potentially working in concert with crewed subs. UUVs will be far cheaper and expendable in comparison with traditional submarines.

The terrestrial equivalent is Ukraine’s revolutionary use of cheap but lethal armed drones to counter Russia’s invasion. Expendable drones worth a few hundred dollars a unit are taking out tanks that cost tens of millions, halting entire offensives.

“The uncrewed systems are not all going to be like a pet on a leash, they’re going to be increasingly operating on their own,” Singer says.

“So you may have some physically large systems that need to go long distances and carry massive payloads, but you may also have smaller systems, maybe with less range but, because they’re smaller, they’re cheaper, and you can essentially fill the battle space with them.”

The upshot is a balancing act, Singer says – accepting that decision-makers have neither a perfect view of the future nor an unlimited budget.

“I am not saying ‘don’t buy Virginia Class’ or ‘don’t buy Aukus’,” he says. “I think they do bring value. The question is how much of a bet do you want to make?”

Here is the link: 

https://www.theguardian.com/australia-news/2025/sep/14/aukus-australian-submarines-vulnerable-new-technology 

I really think the billion dollar subs will be totally obsolete long before we see the first of ours!

What do you think?

David.

 

Thursday, September 18, 2025

Chagas Sounds Like A Disease We Should All Avoid If Possible!

This appeared a few days ago...

 US news

‘Kissing bug’ disease should be treated as endemic in US, scientists say

People in at least eight states have been infected with Chagas, new report says, amid low awareness of disease

Eric Berger

Sat 13 Sep 2025 21.00 AEST

In February, Luna donated blood at her high school in Miami, with the goal of helping save others.

“She was very proud to come home and say, ‘I gave blood today,’” her mother, Valerie, said. (The Guardian is not using the mother or daughter’s full names to protect their privacy.)

It turned out, she was not able to save someone else’s life but potentially prevented herself from having serious health issues.

A couple months later, she received a letter from the blood donation company informing her that she could not give blood. She had tested positive for Chagas disease, which is caused by a parasite spread by triatomine bugs, otherwise known as kissing bugs.

Neither Luna nor Valerie had heard about the disease, which is most common in rural parts of Mexico and Central and South America, where their family had traveled.

“If you get a letter that tells you, you have blood cancer, you know what it is. But when you receive a letter and you hear, ‘Oh, your daughter has Chagas,’ … you’re like, oh, what is this?” said Valerie.

Dr Norman Beatty, who has studied the kissing bugs, said that like Valerie and Luna, most people in the US have not heard of Chagas, even though it is not just present south of the border but within the country.

Beatty, an associate professor of medicine at the University of Florida College of Medicine, is part of a group of scientists that authored a new report arguing that the United States should treat Chagas as an endemic disease, meaning that there is a constant or usual prevalence of a disease or infectious agent in a population within a geographic area.

They hope to increase public awareness of Chagas, which while rare, can cause serious health problems.

“My hope is that with more awareness of Chagas, we can build a better infrastructure around helping others understand whether or not they are at risk of this disease” and cause people to think about it similarly to other vector-borne illnesses, like from mosquitoes and ticks, said Beatty. “We need to add kissing bugs to this list.”

Bugs spread the parasite through their droppings, which can infect humans if they enter the body through a cut or via the eyes or mouth, according to the Centers for Disease Control and Prevention.

It can cause symptoms such as fever, fatigue and eyelid swelling in the weeks or months after infection.

Some people, like Luna, do not develop any symptoms – at least initially – but about 20 to 30% of people infected can develop chronic issues later in life such as an enlarged heart and heart failure, or an enlarged esophagus or colon, leading to trouble eating or going to the bathroom.

About 8 million people, including 280,000 in the United States, have the disease, according to the CDC.

It is not a recent arrival to the US. The 1,200-year-old remains of a man buried in south Texas revealed that he had Chagas and an abnormally-enlarged colon, according to a report in the Gastroenterology journal.

More recently, human development in new areas has brought us “closer to the kissing bugs’ natural environment”, Beatty said.

People in at least eight states have been infected with Chagas from local bugs, according to the new report, which was published in the CDC’s Emerging Infectious Diseases journal.

But the fact that it has not been declared endemic to the United States has led to “low awareness and underreporting”, the report states.

A 2010 survey conducted of some American Medical Association providers found that 19% of infectious disease doctors had never heard of Chagas and 27% said they were “not at all confident,” in their knowledge of the disease being up to date.

“If you ask physicians about Chagas, they would think that it is either something transmitted by ticks … or they would say that’s something that doesn’t exist in the US,” said Dr Bernardo Moreno Peniche, a physician and anthropologist who was one of the authors of the report with Beatty.

But Beatty sees people with Chagas every week at a clinic in Florida dedicated to travel medicine and tropical diseases. (Those patients were infected with Chagas in Latin America.)

Beatty said there is a misconception that tests for Chagas are not reliable or available in the United States.

“We have the infrastructure to start screening people who have had exposure to these bugs and who may be in a region where we had known transmission, so we should be thinking about this as kind of routine care,” Beatty said.

After Valerie received the letter about Luna’s infection, she contacted her pediatrician who quickly responded and told them to see an infectious disease doctor.

That physician told them it was likely a “false positive” and ordered additional tests before eventually starting treatment, Valerie said.

Frustrated by the medical care, Valerie sought out a new physician and found Beatty, who prescribed a different anti-parasitic therapy.

Even among people like Luna who are not experiencing any symptoms, such treatment is often recommended, Beatty said.

The goal is to “detect early and treat early to avoid the chronic, often permanent damage that can occur”, Beatty explained.

The treatment took two months, during which Luna experienced side effects like hives and severe swelling in her hands and feet, she said.

While she is finished with the treatment, there is no definitive test to determine whether such patients will develop chronic Chagas symptoms, but it’s less likely, Beatty said.

“I hope the CDC takes it seriously,” Valerie said, “and that we can move forward and have good awareness, so that people want to be tested and get tested and get the treatment they need.”

Here is the link:

https://www.theguardian.com/us-news/2025/sep/13/kissing-bug-chagas-disease 

Sounds like one to avoid!!!! 

Luckily in the US only at present!!

David. 

 

Wednesday, September 17, 2025

Living Alone Seems To Be A Trend On The Rise!

 This appeared a few days ago:

Why are more and more people living alone?

Bernard Salt

Updated 12:11AM September 13, 2025

The Weekend Australian Magazine

It’s a social issue gathering momentum, and could reshape the way we live, and care, within a generation. I’m talking about the number of us living alone.

The proportion of Australians living alone rises and falls throughout the life-cycle as housemates, life partners and children come and go. Aloneness especially surges in the late seventies and eighties as life partners die off.

The social issue of concern is the fact that the oldest Baby Boomer is now 79, which means that aloneness (as well as loneliness) is likely to shape the way we live. Generally it’s Dad who dies in his late seventies, and grieving families are left to manage Mum’s (often fierce) determination to remain in the family home. All of a sudden siblings scramble to reorganise their lives to drop in on Mum. The geography of who lives where can determine who carries the load of keeping connection, and of keeping the family abreast. Sometimes this works; but often, for whatever reason, it’s problematic. Not all families can happily work together.

According to the 2021 Census, peak aloneness is reached at age 90, when 34 per cent of Australians live alone. Over the 15 years to the Census, the number of 90-year-olds living alone increased six-fold. By mid-2035 this number will skyrocket as Boomers spill into their nineties. How will we deliver healthcare, social contact, technology support and meaningful connection to an elderly cohort that may not have family around?

Peak aloneness is reached at age 90, when 34 per cent of Australians live alone.

But it’s not just in the later stages of life that Australians live alone; aged 29, nine per cent of us do so. By this time in life we’ve had the housemates experience, and likely trialled a relationship (or two) that didn’t quite work out. The late twenties is a time when many can afford to – and prefer to – live alone.

But priorities change in the thirties as life partners and kids tend to arrive. The nadir of the living-alone curve scoots across what looks like the happy-partnering years of 38 to 41 inclusive. At no other time in the life-cycle are Australians less likely to live alone than in these four Lego-laden child-rearing years.

It’s not just in the later stages of life that Australians live alone; aged 29, nine per cent of us do so.

What a time in life, and career. Elsewhere in the Census there is evidence that Australians working full-time reach their earnings peak at the age of 43. Here are households shaped, if not defined, by the presence of life partners, by the arrival of babies, by the transformation of infants into toddlers and by the prospects of a surging career. Does life get any more hectic?

Well, yes, it does – because by the mid-forties single life resurges as relationships break down. Ten per cent of Australians live alone by age 50; by age 60 this rises to 16 per cent; by 70 it’s 20 per cent. Aloneness in these years is likely fed by separation or, increasingly, by the death of a partner.

It is tempting to suggest that adult Australians spend more time living alone than with friends and family. But even across the peak separation and end-of-life decades – from, say, 70 onwards – two-thirds live in a household with someone else. Most commonly that someone is their life partner.

And while we do need to be aware of the scourge of loneliness as we age, we shouldn’t confuse aloneness with loneliness. Some people are quite comfortable enjoying the solitude and the serenity of their own company.

 Here is the link:

https://www.theaustralian.com.au/weekend-australian-magazine/why-are-more-and-more-people-living-alone/news-story/0db7477674f90b68aa18ee3013965ca7 

A interesting analysis of how and who we live with as we age. The variation is huge!

David.