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Flight attendant's act after touchdown divides social media users

<p>A United Airlines flight attendant has copped some flak online for playing the violin after touching down in California. </p> <p>The unnamed crew member welcomed travellers to the Bay Area by playing a cheery tune as people got up to disembark from the flight, and while his performance was met with a round of applause from passengers, others weren't quite as pleased. </p> <p>“It was a definite pleasant surprise and welcome change compared to all the news we hear from airlines these days,” the Redditor captioned the clip of the performance shared online. </p> <p>While some viewers agreed it was “lovely” and “awesome,” others found the behaviour “unsettling,” calling the flight attendant “self-indulgent”.</p> <p>“What a sly move,” one wrote. “He has everyone sitting, captivated by his music, while he slowly walks down the aisle with anyone in his way and exiting the plane first.”</p> <p>“Just because I’m trapped and sitting doesn’t mean I have any desire to be serenaded,” another commented. </p> <p>“This would be annoying as hell,” wrote a third. “Can’t imagine breaking out into song on any instrument on a flight."</p> <p>“Honestly I’d struggle not to tell him to sit down and shut the f**k up,” commented another. </p> <p>However, others jumped to the flight attendant's defence, saying: “Of course super mean people as usual telling him to sit down and shut up." </p> <p>“My guess is he actually likes the passengers and is very friendly and kind,” another added, praising the crew member for trying to "entertain passengers." </p> <p>“Not like he’s making much with working at one of the lowest paying mainlines. Yet he has a good attitude despite it.”</p> <p><em>Images: Reddit</em></p> <p> </p>

Travel Trouble

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Couple forced to sit next to dead passenger on international flight

<p>A couple has recalled the distressing moment they were forced to sit next to a dead passenger on an international flight. </p> <p>Mitchell Ring and Jennifer Colin were en route from Melbourne to Venice with Qatar Airlines, via the city of Doha, when a female passenger died mid-flight. </p> <p>The crew decided to put the dead passenger's body in Ring and Colin's row for the remaining four hours of the flight, which the couple said left them traumatised.</p> <p>The incident unfolded when a woman walked out of the bathroom and collapsed next to their row.</p> <p>"Unfortunately the lady couldn't be saved, which was pretty heartbreaking to watch," Ring told <a href="https://9now.nine.com.au/a-current-affair/couple-forced-to-sit-next-to-corpse-for-hours-on-flight/24d51b24-9a7f-4e6c-be04-ec2dbf6df1c4" target="_blank" rel="noopener"><em>A Current Affair</em></a>.</p> <p>"They tried to wheel her up towards business class, but she was quite a large lady and they couldn't get her through the aisle."</p> <p>"They looked a bit frustrated, then they just looked at me and saw seats were available beside me, my wife was on the other side, we were in a row of four."</p> <p>"They said, 'Can you move over please?' and I just said, 'Yes no problem'. Then they placed the lady in the chair I was in."</p> <p>The couple claims cabin crew did not offer them a different seat to move to, with a passenger in the row behind them instead offering a spare seat to nervous-flyer Colin.</p> <p>"There were a few spare seats I could see around us," Ring said.</p> <p>Ring spent the remaining hours of the flight in the same row as the corpse, saying he was told to stay seated after the plane landed as medical crews took off blankets covering the body.</p> <p>"I can't believe they told us to stay … it wasn't nice," he said.</p> <p>The couple said they have not been offered any support from Qatar Airways, with Ring saying, "They have a duty of care towards their customers as well as their staff, we should be contacted to make sure, do you need some support, do you need some counselling."</p> <p>"I don't really know how I feel and would like to speak to somebody to make sure I'm alright."</p> <p>Colin said the pair was now trying to make the best of their Italian holiday of a lifetime after the disturbing flight. </p> <p>"I'm trying to make the best of a pretty hard situation, but, you know, we're on holidays so we're really trying to have a good time," she said.</p> <p>Since <em>A Current Affair</em> spoke to the couple, Qatar Airways says it is looking into the situation.</p> <p><em>Image credits: A Current Affair </em></p>

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Centenarian shares the secrets to a long life

<p>A centenarian has share the few simple things she credits for her long life, just days after celebrating her 100th birthday. </p> <p>Sydney woman Betty Woodhams spent her milestone birthday doing one of her favourite things: buying for new plants from Bunnings. </p> <p>Woodhams was treated to a warm reception from staff as she perused the aisles snapping up new flowers for her small balcony garden. </p> <p>The mother-of-two told <a href="https://www.dailymail.co.uk/femail/article-14414941/I-just-turned-100-life-lessons-want-young-person-know-late-beauty-secret-Ive-sworn-years.html" target="_blank" rel="noopener"><em>Daily Mail Australia</em></a> that she credits her age and enduring happiness down to great friends, a balanced diet, no regrets and "always wearing a hat".</p> <p>"Try to stay happy, even when things may seem like they are getting the better of you," Betty told the publication.</p> <p>"There really is something good in everything. Relaxing with a glass of wine at dinner or enjoying the odd champagne or two with friends always helps too."</p> <p>Betty grew up in Parramatta before moving to Bondi when she married her late husband Ron in 1951.</p> <p>The couple then built their dream house in Tambourine Bay, Lane Cove, while Betty immersed herself in her career as a secretary in the TV and publishing industry.</p> <p>Betty always surrounds herself with good friends, stays socially active and never sweats the small stuff, as she said, "don't get stuck on the negative things".</p> <p>"It doesn't matter what your age is, there's always something you can do to stay active whether it's walking, gardening, swimming or even a day at the races," she says. </p> <p>"Age is just a number. We do all age but you choose to get old!"</p> <p>Betty also hopes to change the perception of "getting older" and insists there's nothing "boring" about it, as she said, "People assume that life gets boring and quiet. It will if you let it!"</p> <p>"Yes you do slow down but that doesn't mean you stop. You can still get out and enjoy yourself... just at a slower pace!"</p> <p><em>Image credits: Daily Mail Australia </em></p>

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Husband reveals final text from wife on board doomed flight

<p>The husband of a woman on board American Airlines flight 5342 has revealed the final text he received from his wife just minutes before her flight collided with a US Army helicopter at around 9pm on Wednesday night. </p> <p>Hamaad Raza told <em> WUSA9 </em> that his wife had been texting him while she was on board the flight from Wichita, Kansas to Washington DC before the plane collided with the military helicopter and plunged into the river. </p> <p>She had texted him:  “Landing in 20 minutes” but when his replies failed to send, he realised that something was wrong. </p> <p>“That’s when I realized something might be up”, Raza shared.</p> <p>Raza's wife, who was only 26-years-old, was travelling to Wichita for work had “always had a fear of flying and that she never really was comfortable”. </p> <p>Aviation officials have yet to provide and explanation for the crash, as commercial airlines are supposed to receive a warning  of potential collisions through a Traffic Alert and Collision Avoidance System (TCAS).</p> <p>Emergency services have been deployed throughout the night in freezing and icy conditions in attempt to find bodies among the wreckage, with dozens already recovered from the water. </p> <p>“I'm just praying that somebody's pulling her out of the river right now, as we speak," Raza told WUSA9 in the early hours of Wednesday.</p> <p>“That's all I can pray for, I'm just praying to God.”</p> <p>Raza is waiting for answers from officials but has been left in the dark on any information about his wife. </p> <p><em>Image: WUSA9 </em></p>

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Expert reveals how to cope with flight anxiety

<p dir="ltr">While thousands of Aussies travel by plane everyday, not everyone is so relaxed about air travel. </p> <p dir="ltr">According to recent Google data, searches for advice on flight anxiety are on the rise by more than 5000 per cent. </p> <p dir="ltr">Thankfully, there is help out there for those who struggle with anxious thoughts around flying. </p> <p dir="ltr">Researcher and neuroscientist Dr Brian Ramos from Simply Nootropics explained why some people are impacted more than others.</p> <p dir="ltr">"People's past experiences, personality traits, and levels of general anxiety all play a role in how intensely they experience flying anxiety, making some individuals more prone to it than others," he told <em><a href="https://travel.nine.com.au/latest/how-to-get-over-flight-anxiety-before-holiday-expert-tips/72ff01bd-8245-4ba9-a440-8a5fa6fa74db">9Travel</a></em>. </p> <p dir="ltr">He went on to offer four ways to combat flight anxiety on your next trip. </p> <p dir="ltr"><strong>Reframe your anxiety as excitement </strong></p> <p dir="ltr">Dr Ramos believes that by redefining the physical signs of anxiety as excitement for your holiday, you can fool your brain into thinking differently. </p> <p dir="ltr">"Reframing anxiety as excitement can trick your brain into receiving your nervous system's response more positively," Brian said.</p> <p dir="ltr">"Both anxiety and excitement trigger similar physical responses, like a racing heart and butterflies, but the key difference lies in how we interpret them.”</p> <p dir="ltr">"Instead of viewing these sensations as signs of danger, you can remind yourself they signal anticipation and energy."</p> <p dir="ltr"><strong>Think about the facts </strong></p> <p dir="ltr">Looking at your situation practically can help calm your anxious mind when on a plane, according to Dr Ramos. </p> <p dir="ltr">"Look around you - is anyone else freaking out? Aeroplanes are one of the safest modes of transportation," Brian said.</p> <p dir="ltr">"Statistically, the odds of an accident are extremely low, with air travel being far safer than driving in a car - something we all do regularly and don't bat an eyelid at."</p> <p dir="ltr"><strong>Keep yourself busy </strong></p> <p dir="ltr">By tapping into mindful activities can help push anxious thoughts to the back of your mind. </p> <p dir="ltr">As Brian says, "Distracting your mind with a good podcast or book is a great way to manage flight anxiety by redirecting your focus away from fear-inducing thoughts."</p> <p dir="ltr">"Engaging with a story or interesting conversation can keep your brain occupied.”</p> <p dir="ltr"><strong>Re-centre your brain if you feel yourself spiralling </strong></p> <p dir="ltr">"To calm an anxiety attack during a flight, first, focus on your breathing," Brian said.</p> <p dir="ltr">"Practice deep, slow breaths; inhaling through your nose for four counts, holding for four, and exhaling through your mouth for four.”</p> <p dir="ltr">"Second, ground yourself using the 5-4-3-2-1 technique: identify five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste.”</p> <p dir="ltr">"Finally, use positive self-talk."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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The most turbulent flights in the world revealed

<p dir="ltr">While many travellers have experienced a bumpy ride while on a plane, there are some routes that are rougher than others. </p> <p dir="ltr">Thanks to <a href="https://turbli.com/historical-data/most-turbulent-flight-routes-of-2024/">Turbli research</a>, the most turbulent flight routes in the world for 2025 have been announced for worried flyers to avoid when booking their holidays. </p> <p dir="ltr">All destinations are situated in just two continents and four countries, and all involve flying over high altitudes.</p> <p dir="ltr">Turbulence is measured in Eddy Dissipation Rate (EDR), which describes turbulence levels without regard to aircraft characteristics, meaning the same levels of turbulence may be experienced differently depending on the size and build of the aircraft.</p> <p dir="ltr">Dramatic changes in land altitude, particularly mountain ranges, create eddies, or swirls of disrupted airflow all create turbulence. </p> <p dir="ltr">With 0-20 on the EDR scale is considered light turbulence, these flight paths measure double digits in their levels of severity. </p> <p dir="ltr">Most of these destinations are located in South America, so if you’re particularly adverse to a bumpy flight, maybe take these stats into account before booking your next holiday. </p> <p dir="ltr">Check out the list of the 10 most turbulent flights in the world below. </p> <p dir="ltr">10. San Carlos de Bariloche (Argentina) to Santiago (Chile). 18.475 average EDR.</p> <p dir="ltr">9. Chengdu (China) to Xining (China). 18.482 average EDR.</p> <p dir="ltr">8. Kathmandu (Nepal) to Paro (Bhutan). 18.563 average EDR.</p> <p dir="ltr">7. Santa Cruz (Bolivia) to Santiago (Chile). 18.598 average EDR.</p> <p dir="ltr">6. Chengdu (China) to Lhasa (China). 18.644 average EDR.</p> <p dir="ltr">5. Kathmandu to Lhasa. 18.817 average EDR. </p> <p dir="ltr">4. Mendoza (Argentina) to San Carlos de Bariloche. 19.252 average EDR. </p> <p dir="ltr">3. Mendoza to Salta (Argentina). 19.825 average EDR.</p> <p dir="ltr">2. Córdoba to Santiago. 20.214 average EDR</p> <p dir="ltr">1. Mendoza to Santiago. 24.684 average EDR.</p> <p><em>Image credits: Shutterstock </em></p>

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Flight attendant reveals best tips for end-of-year travelling

<p dir="ltr">A flight attendant has shared her holy grail tips for surviving the ups and downs of holiday travelling, and how to ensure your travel days are a breeze. </p> <p dir="ltr">Florida-based flight attendant Hunter Smith-Lihas, who works as a flight attendant on a major US airline, and veteran Australian flight-attendant-turned-aviation-researcher Liz Simmons, shared their tips, tricks and secrets with <a href="https://edition.cnn.com/travel/flight-attendants-secrets-surviving-holiday-travel/index.html" target="_blank" rel="noopener"><em>CNN Travel</em></a> ahead of the busy holiday season, delving into their five top tips if you’re jet-setting around Christmas time. </p> <p dir="ltr"><strong>Give yourself an extra day</strong></p> <p dir="ltr">Flying at the last minute is risky business, especially if you’re travelling for a special pre-booked event. </p> <p dir="ltr">Smith-Lihas advises travellers to "give yourself at least one buffer day in between your travel and the event," just in case you encounter delays or issues at the airport.</p> <p dir="ltr">Whether you're travelling in the northern or southern hemisphere, there's a potential for storms and weather delays, which can cause cancellations.</p> <p dir="ltr">If you've got a buffer day, a cancelled flight doesn't automatically equal cancelled Christmas, as Smith-Lihas said, "You at least still have that entire day to get rebooked on another flight." </p> <p dir="ltr"><strong>Ensure you have a buffer at your lay-over stop</strong></p> <p dir="ltr">With this same idea in mind, Smith-Lihas recommends travellers give themselves at least 90 minutes between connecting flights.</p> <p dir="ltr">While the idea of sitting around in the airport waiting isn't appealing, missing your connecting flight is a much worse outcome.</p> <p dir="ltr">"I see a lot of people who book their layover flight connection times with less than 45 minutes," says Smith-Lihas. "That is not enough time."</p> <p dir="ltr">If your first flight is delayed, you can easily end up missing the second, says Smith-Lihas "especially if you're connecting in a foreign country and you have to go through customs and immigration."</p> <p dir="ltr">Leaving more time in between your connecting flights will also ensure your luggage makes it off your first plane and onto the second, making sure your Christmas outfits and presents arrive at your final destination.</p> <p dir="ltr"><strong>Opt for the first fight of the day </strong></p> <p dir="ltr">While it might be tempting to book an evening flight to give yourself the whole day for last-minute travel preparation, Simmons and Smith-Lihas both recommend getting the first flight of the day, if possible.</p> <p dir="ltr">"If you're trying to dodge any delays, flying at the beginning of the day is beneficial, because any delays or cancellations will roll on throughout the day," explains Simmons.</p> <p dir="ltr">"And if the flight is cancelled, you at least still have that entire day to get rebooked on another flight," adds Smith-Lihas.</p> <p dir="ltr"><strong>Don’t overdo the alcohol </strong></p> <p dir="ltr">In the spirit of the holidays, it may be tempting to partake in a few glasses of wine on your flight while on your way to holiday celebrations. </p> <p dir="ltr">However, Simmons advises to limit your boozy beverages, as you don’t want to arrive at your destination hungover. </p> <p dir="ltr">"Always keep in mind how you'll feel at the other end," says Simmons. "The real party will start at your destination, so resting and making sure that you're in your best possible state when you arrive for that party is so important."</p> <p dir="ltr">Instead, Simmons champions staying hydrated with water and herbal teas.</p> <p dir="ltr">Meanwhile Smith-Lihas said passengers should never be afraid to ask flight attendants for more water, saying,  "The cabin air can be very dry. It's easy to become dehydrated on a plane."</p> <p dir="ltr"><strong>Remember to be kind </strong></p> <p dir="ltr">Above all else, Simmons says keeping "the message of the holiday season" in front of your mind is key for surviving stressful holiday travel.</p> <p dir="ltr">"Small gestures of goodwill are always so appreciated and certainly do not go unnoticed, but sometimes the best gift is patience and understanding and a smile and kindness."</p> <p dir="ltr">"A lot is happening in the world at the moment, and there's a lot of unease around, there's a lot of uncertainty for some people, and not everybody has a family to go to during the holidays," she says.</p> <p dir="ltr">"So just keep in mind how powerful kindness is. Being kind and smiling, the impact that could have on a stranger's day, on their mood… It's so special, and it's something that we really don't harness. Maybe we don't realise how much power we have."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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Research reveals how long it takes Aussies to save for a holiday

<p dir="ltr">Saving up for a holiday can seem like an overwhelming task, but some destinations are easier to save for than others. </p> <p dir="ltr">According to new research by <a href="http://money.com.au/">money.com.au</a>, nearly a third of travellers - or 31 percent - need on average a year to save for a trip, while 29 percent of Aussies save for up to six months before jetting off.</p> <p dir="ltr">For 18 percent of travellers, it takes more than a year to save for a trip, while just 13 percent of Aussies manage to save for a holiday in less than three months.</p> <p dir="ltr">On the flip side, 7 percent of eager travellers decide to skip saving altogether and cover their holiday expenses fully on a credit card, while just 2 percent opt for a personal loan to fund their trips. </p> <p dir="ltr">Money.com.au's Finance Expert, Sean Callery said of the survey, "Our research also shows that travel is the one expense Australians aren't willing to forgo, no matter their financial goals or income level."</p> <p dir="ltr">"Going into debt for a holiday brings additional costs and risks. It's important to have a plan for clearing the debt as quickly as possible."</p> <p dir="ltr">With these saving trends in mind, the experts have crunched the numbers to estimate how long it would take the average Aussie to save for a trip to the most popular overseas holiday destinations.</p> <p dir="ltr">The saving time for each location was calculated based on a 10 per cent savings rate of the average weekly earnings of $1,923.40 (from ABS data).</p> <p dir="ltr">Two of the quickest destinations to save for are China and Thailand, while other destinations the experts say you can save for in around half a year include New Zealand, Vietnam and Singapore. </p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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Airlines cancel flights after volcanic eruptions. An aviation expert explains why that’s a good thing

<p><em><a href="https://theconversation.com/profiles/patrick-murray-2027113">Patrick Murray</a>, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a></em></p> <p>At least three airlines <a href="https://www.abc.net.au/news/2024-11-13/flights-to-and-from-bali-cancelled-due-to-volcanic-ash/104593698">cancelled flights between Australia and Bali</a> this week after a volcano eruption in eastern Indonesia spewed a vast plume of volcanic ash into the air.</p> <p>But while would-be holiday makers are naturally <a href="https://7news.com.au/sunrise/volcanic-eruption-in-indonesia-forces-airlines-to-cancel-flights-to-bali-stranding-frustrated-passengers-c-16732486">upset</a> at having their plans disrupted, it’s worth remembering it’s not safe to fly planes through volcanic ash.</p> <p>So, how do airlines decide it’s not safe to fly when a volcano erupts? And why is volcanic ash so dangerous for aircraft, anyway?</p> <h2>What does volcanic ash do to a plane?</h2> <p>Volcanic ash particles are very, very abrasive. They can cause permanent damage to windscreens in the aircraft and can even make windscreens look opaque – like someone has gone over them with sandpaper.</p> <p>Imagine getting spectacles and scraping them over and over with sandpaper – that’s what you’d see if you were sitting in the cockpit.</p> <p>Volcanic ash can also clog or damage external sensors, leading to erroneous readings, and can infiltrate an aircraft’s ventilation system. This can affect cabin air quality and lead to potential respiratory issues.</p> <p>But the main issue, in fact, is the impact volcanic ash has on engines.</p> <p>A jet engine works by drawing in air, compressing it, mixing it with fuel and igniting it. This creates high-pressure exhaust gases that are expelled backward, which pushes the engine (and the aircraft) forward.</p> <p>The correct balance of fuel and airflow is crucial. When you disrupt airflow, it can cause the engine to stall.</p> <p>Ash particles that get inside the engines will melt and build up, causing disruption of the airflow. This could cause the engine to “flame out” or stall.</p> <p>Volcanic ash has a lot of silica in it, so when it melts it turns into something similar to glass. It won’t melt unless exposed to very high temperatures – but inside a jet engine, you do get very high temperatures.</p> <p>There was a famous incident in 1982 where a <a href="https://theaviationgeekclub.com/the-story-of-british-airways-flight-9-the-boeing-747-that-lost-all-four-engines-due-to-volcanic-ash-yet-it-landed-safely/">British Airways Boeing 747 plane</a> was flying in the vicinity of Indonesia and lost all four engines after it encountered volcanic ash spewing from Java’s Mount Galunggung.</p> <p>Fortunately, the pilot was able to <a href="https://simpleflying.com/gallunggung-glider-the-story-of-british-airways-flight-9/">restart the engines and land safely</a>, although the pilots were unable to see through the front windscreens.</p> <h2>How do airlines decide it’s not safe to fly when a volcano erupts?</h2> <p>The decision is made by each airline’s operational staff. Each airline’s operational team would be looking at the situation in real time today and making the decision based on their risk assessment.</p> <p>Every airline has a process of risk management, which is required by Australia’s Civil Aviation Safety Authority.</p> <p>Different airlines may tackle risk management in slightly different ways; you might have some cancelling flights earlier than others. But, in broad terms, the more sophisticated airlines would come to similar conclusions and they are likely all communicating with each other.</p> <p>Mostly, they make the call based on the extent of the plume – how big the cloud of ash is and where it’s going, bearing in mind that winds vary with altitude. As you get stronger winds with altitude, the ash can drift quite far from the source.</p> <p>There is also a United Nations agency called the <a href="https://www.icao.int/Pages/default.aspx">International Civil Aviation Organization</a>, which issues guidance on volcanic ash hazards. Various meteorological agencies around the world work together and liaise with aviation authorities to spread the word quickly if there is an eruption.</p> <p>For airlines to resume flights, the ash needs to clear and there needs to be a low probability of further eruptions.</p> <h2>Passenger safety is the priority</h2> <p>The underpinning reason behind these flight cancellations is safety. If you lose engines and you can’t see out the window, the risk to passenger safety is obvious.</p> <p>Naturally, people are upset about their holiday plans being held up. But it’s actually in passengers’ best interests to not fly through volcanic ash.<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/243576/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/patrick-murray-2027113">Patrick Murray</a>, Emeritus Professor of Aviation, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/airlines-cancel-flights-after-volcanic-eruptions-an-aviation-expert-explains-why-thats-a-good-thing-243576">original article</a>.</em></p>

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Can you die from long COVID? The answer is not so simple

<p><em><a href="https://theconversation.com/profiles/rose-shiqi-luo-1477061">Rose (Shiqi) Luo</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/catherine-itsiopoulos-14246">Catherine Itsiopoulos</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/kate-anderson-1412897">Kate Anderson</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/magdalena-plebanski-1063786">Magdalena Plebanski</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/zhen-zheng-1321031">Zhen Zheng</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>Nearly five years into the pandemic, COVID is feeling less central to our daily lives.</p> <p>But the virus, SARS-CoV-2, is still around, and for many people the effects of an infection can be long-lasting. When symptoms persist for more than three months after the initial COVID infection, this is generally referred to as <a href="https://www.who.int/europe/news-room/fact-sheets/item/post-covid-19-condition">long COVID</a>.</p> <p>In September, Grammy-winning Brazilian musician <a href="https://www.abc.net.au/news/2024-09-07/brazilian-musician-sergio-mendez-dies-at-83/104323360">Sérgio Mendes</a> died aged 83 after reportedly having long COVID.</p> <p><a href="https://www.abs.gov.au/articles/covid-19-mortality-australia-deaths-registered-until-31-july-2023">Australian data</a> show 196 deaths were due to the long-term effects of COVID from the beginning of the pandemic up to the end of July 2023.</p> <p>In the United States, the Centers for Disease Control and Prevention reported 3,544 <a href="https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20221214.htm">long-COVID-related deaths</a> from the start of the pandemic up to the end of June 2022.</p> <p>The symptoms of <a href="https://www.healthdirect.gov.au/long-covid">long COVID</a> – such as fatigue, shortness of breath and “brain fog” – can be debilitating. But can you die from long COVID? The answer is not so simple.</p> <h2>How could long COVID lead to death?</h2> <p>There’s still a lot we don’t understand about what causes long COVID. A popular theory is that “zombie” <a href="https://www.pnas.org/doi/full/10.1073/pnas.2300644120">virus fragments</a> may linger in the body and cause inflammation even after the virus has gone, resulting in long-term health problems. Recent research suggests a reservoir of <a href="https://www.sciencedirect.com/science/article/abs/pii/S1198743X24004324?via%3Dihub">SARS-CoV-2 proteins</a> in the blood might explain why some people experience ongoing symptoms.</p> <p>We know a serious COVID infection can damage <a href="https://covid19.nih.gov/news-and-stories/long-term-effects-sars-cov-2-organs-and-energy#:%7E:text=What%20you%20need%20to%20know,main%20source%20of%20this%20damage">multiple organs</a>. For example, severe COVID can lead to <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/covid-long-haulers-long-term-effects-of-covid19">permanent lung dysfunction</a>, persistent heart inflammation, neurological damage and long-term kidney disease.</p> <p>These issues can in some cases lead to death, either immediately or months or years down the track. But is death beyond the acute phase of infection from one of these causes the direct result of COVID, long COVID, or something else? Whether long COVID can <em>directly</em> cause death continues to be a topic of debate.</p> <p>Of the <a href="https://www.cdc.gov/nchs/data/vsrr/vsrr025.pdf">3,544 deaths</a> related to long COVID in the US up to June 2022, the most commonly recorded underlying cause was COVID itself (67.5%). This could mean they died as a result of one of the long-term effects of a COVID infection, such as those mentioned above.</p> <p>COVID infection was followed by heart disease (8.6%), cancer (2.9%), Alzheimer’s disease (2.7%), lung disease (2.5%), diabetes (2%) and stroke (1.8%). Adults aged 75–84 had the highest rate of death related to long COVID (28.8%).</p> <p>These findings suggest many of these people died “with” long COVID, rather than from the condition. In other words, long COVID may not be a direct driver of death, but rather a contributor, likely exacerbating existing conditions.</p> <h2>‘Cause of death’ is difficult to define</h2> <p>Long COVID is a relatively recent phenomenon, so mortality data for people with this condition are limited.</p> <p>However, we can draw some insights from the experiences of people with post-viral conditions that have been studied for longer, such as myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS).</p> <p>Like long COVID, <a href="https://bmjopen.bmj.com/content/12/5/e058128">ME/CFS</a> is a complex condition which can have significant and varied effects on a person’s physical fitness, nutritional status, social engagement, mental health and quality of life.</p> <p>Some research indicates people with ME/CFS are at <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218818/">increased risk</a> of dying from causes including heart conditions, infections and suicide, that may be triggered or compounded by the debilitating nature of the syndrome.</p> <p>So what is the emerging data on long COVID telling us about the potential increased risk of death?</p> <p>Research from 2023 has suggested adults in the US with long COVID were at <a href="https://jamanetwork.com/journals/jama-health-forum/fullarticle/2802095">greater risk</a> of developing heart disease, stroke, lung disease and asthma.</p> <p>Research has also found <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9721155/">long COVID</a> is associated with a higher risk of <a href="https://www.tandfonline.com/doi/full/10.1080/21642850.2022.2164498#abstract">suicidal ideation</a> (thinking about or planning suicide). This may reflect common symptoms and consequences of long COVID such as sleep problems, fatigue, chronic pain and emotional distress.</p> <p>But long COVID is more likely to occur in people who have <a href="https://www.aihw.gov.au/reports/covid-19/long-covid-in-australia-a-review-of-the-literature/summary">existing health conditions</a>. This makes it challenging to accurately determine how much long COVID contributes to a person’s death.</p> <p>Research has long revealed <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302107/">reliability issues</a> in cause-of-death reporting, particularly for people with chronic illness.</p> <h2>So what can we conclude?</h2> <p>Ultimately, long COVID is a <a href="https://www.health.gov.au/topics/chronic-conditions/about-chronic-conditions">chronic condition</a> that can significantly affect quality of life, mental wellbeing and overall health.</p> <p>While long COVID is not usually immediately or directly life-threatening, it’s possible it could exacerbate existing conditions, and play a role in a person’s death in this way.</p> <p>Importantly, many people with long COVID around the world lack access to appropriate support. We need to develop <a href="https://www.mja.com.au/journal/2024/221/9/persistent-symptoms-after-covid-19-australian-stratified-random-health-survey">models of care</a> for the optimal management of people with long COVID with a focus on multidisciplinary care.</p> <p><em>Dr Natalie Jovanovski, Vice Chancellor’s Senior Research Fellow in the School of Health and Biomedical Sciences at RMIT University, contributed to this article.</em><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/239184/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/rose-shiqi-luo-1477061"><em>Rose (Shiqi) Luo</em></a><em>, Postdoctoral Research Fellow, School of Health and Biomedical Sciences, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/catherine-itsiopoulos-14246">Catherine Itsiopoulos</a>, Professor and Dean, School of Health and Biomedical Sciences, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/kate-anderson-1412897">Kate Anderson</a>, Vice Chancellor's Senior Research Fellow, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/magdalena-plebanski-1063786">Magdalena Plebanski</a>, Professor of Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/zhen-zheng-1321031">Zhen Zheng</a>, Associate Professor, STEM | Health and Biomedical Sciences, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-you-die-from-long-covid-the-answer-is-not-so-simple-239184">original article</a>.</em></p>

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Readers response: What’s your top travel tip for staying comfortable on long journeys?

<p>When it comes to a long travel day, getting comfortable can often be a mammoth task. </p> <p>We asked our readers to share their favourite tips and tricks to stay comfy on a long haul flight, car ride or train journey, and the response was overwhelming. Here's what they said.</p> <p><strong>Amy Cardino</strong> - Long-haul journeys (to me longer than 8hrs), you need to save up or upgrade your ticket if you have mileage benefits, into business class. </p> <p><strong>Ester Cibasek</strong> - My own blowup pillow and blanket (long enough to cover my head), noise reducing ear phones and keep my eyes closed so I dose in and out of sleep all the way.</p> <p><strong>Valerie Keily</strong> - A neck pillow is essential and an eye shade. Keep hydrated and remember to move around if possible.</p> <p><strong>Di Richardson</strong> - Memory neck pillow. Recovery sleeves on my calves. One departure drink then limit alcohol or coffee. Window seat and sleep when possible. Bliss.</p> <p><strong>Anita Thornton</strong> - Go business class. </p> <p><strong>Chrissie Martini</strong> - Break the journey by staying overnight in a hotel. Takes longer to get there but you practically eliminate jet lag and the worry of DVTs. On the way to Europe, two overnight stops helps me.</p> <p><strong>Lyn Goodman</strong> - Keep warm and wear loose fitting clothes.</p> <p><strong>June Debono</strong> - Stretch jeans and socks (as well as other clothes of course). Plus, eye shade and ear plugs.</p> <p><strong>Ingrid Plueckhahn</strong> - Take a good book, break up the journey with a fave movie, and just get in the zone and relax. It’s just a day!</p> <p><em>Image credits: Shutterstock </em></p>

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What to claim for lost, delayed or damaged bags on overseas flights

<p><em><a href="https://theconversation.com/profiles/rebecca-johnston-123333">Rebecca Johnston</a>, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/david-hodgkinson-6574">David Hodgkinson</a>, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a></em></p> <p>If you get on a plane and your baggage ends up being delayed, damaged or lost, who’s responsible: you or the airline? And what rules apply when you’re flying between different countries – even if you don’t have travel insurance?</p> <p>Airlines (otherwise known as carriers) generally include baggage requirements in their terms and conditions of carriage, which are set out or referred to on your ticket. These are the rules that apply to the journey that you have booked.</p> <p>But for international flights, a carrier’s liability for damage, loss or delay of baggage is governed by a number of overarching international treaties, which many passengers aren’t aware of.</p> <h2>International agreements</h2> <p>The <a href="http://www.jus.uio.no/lm/air.carriage.warsaw.convention.1929/doc.html">Warsaw Convention</a> of 1929 was the first of these treaties, and the latest is the passenger-friendly 1999 <a href="http://www.jus.uio.no/lm/air.carriage.unification.convention.montreal.1999/">Montreal Convention</a>.</p> <p>In order for one of these treaties to apply to a particular journey, the same treaty must be in place at the point of departure and the passenger’s final destination.</p> <p>For many trips, the agreement that will apply will be the Montreal Convention, which has to date <a href="http://www.icao.int/secretariat/legal/List%20of%20Parties/Mtl99_EN.pdf">108 state parties</a>, covering everywhere from Albania and Australia to Zambia. In time, the Montreal Convention is expected to apply to almost all air travel.</p> <p>The Warsaw Convention (as amended by the <a href="http://www.jus.uio.no/lm/air.carriage.warsaw.convention.hague.protocol.1955/doc.html">Hague Protocol</a> and <a href="http://www.jus.uio.no/lm/air.carriage.warsaw.convention.montreal.protocol.4.1975/doc.html">Montreal Protocol No. 4</a>) will generally apply where the Montreal Convention does not. It is less favourable to passengers.</p> <p>All these treaties have similar provisions to deal with baggage claims – but very different limits to what you might get if you need to make a claim.</p> <h2>What the airline is responsible for</h2> <p>A carrier is liable if your checked baggage is lost, delayed or damaged regardless of fault.</p> <p>This is so unless the damage resulted from the inherent defect or quality of the baggage or, in terms of delay, if it proves that it took all reasonable measures to avoid the damage occasioned by that delay.</p> <p>As for unchecked baggage (that is, carry-on baggage), the carrier is only liable if the damage is due to the fault of the carrier or its agents.</p> <p>Unless otherwise specified, reference to “baggage” includes both checked and unchecked baggage.</p> <h2>Calculating baggage compensation</h2> <p>Under the Warsaw Convention (as amended by the <a href="http://www.jus.uio.no/lm/air.carriage.warsaw.convention.hague.protocol.1955/doc.html">Hague Protocol</a> and <a href="http://www.jus.uio.no/lm/air.carriage.warsaw.convention.montreal.protocol.4.1975/doc.html">Montreal Protocol No. 4</a>) and the Montreal Convention, liability limits are expressed in <a href="http://www.imf.org/external/np/exr/facts/sdr.HTM">special drawing rights</a> (SDRs).</p> <p>An SDR is a type of foreign exchange reserve asset created by the International Monetary Fund. Its value is based on an artificial basket of currencies consisting of the US dollar, the euro, the pound and the Japanese yen. The liability limits are reviewed every five years.</p> <p>As of October 16, 2014, the <a href="http://www.imf.org/external/np/fin/data/param_rms_mth.aspx">value of an SDR</a> is about US$1.49, £0.93 or A$1.70. Current SDR values for other currencies are also listed <a href="http://www.imf.org/external/np/fin/data/param_rms_mth.aspx">here</a>.</p> <h2>So what is your baggage worth?</h2> <p>In terms of baggage liability limits, the Warsaw Convention is of relatively little assistance to passengers.</p> <p>If your international travel is subject to Warsaw (for example, if you flew out of the United States on a one way ticket to Guatemala), liability for delayed, damaged or lost baggage is limited to 17 SDRs (about US$25.33, £15.81 or A$28.90) per kilogram per passenger for checked baggage and 332 SDRs (about US$494.68, £308.76 or A$564.40) per passenger for unchecked baggage.</p> <p>In contrast, a carrier is liable to pay far greater damages if the Montreal Convention applies.</p> <p>For any travel covered by Montreal, the carrier’s liability for baggage is limited to 1131 SDRs per passenger (US$1685.19, £1051.83 or A$1922.70), unless otherwise declared.</p> <p>The carrier is not liable for damages caused by delay if the carrier took all reasonable measures, or if it was impossible for it to take such measures.</p> <h2>Time limits on baggage claims</h2> <p>Time limits are imposed on making a claim for delayed, damaged or lost baggage. Any potential claims should be made to a carrier in writing within these specified limits.</p> <p>Article 26 of Warsaw provides that any complaint as to delay of baggage must be made at the latest within 21 days from the date the baggage was placed at the passenger’s disposal.</p> <figure class="align-right zoomable"></figure> <p>Similarly, under Article 31 of Montreal, a complaint must be made within 21 days of a passenger receiving their baggage.</p> <p>With respect to damaged baggage, under Warsaw, any claim must be made “forthwith” after the discovery of the damage and at most seven days from the date of receipt of the baggage. Montreal also gives passengers seven days from receipt of checked bags to report a damage claim.</p> <p>Neither convention imposes a time limit for reporting lost baggage claims. But it is advisable that you make your complaint as soon as possible.</p> <p>Warsaw does not state when baggage is considered “lost”, leaving it up to carriers to make that ruling. Under Montreal, baggage is only considered lost after 21 days or if the carrier admits that they have lost it.</p> <p>If a passenger fails to make a complaint within the specified times, the carrier will not be liable unless there has been fraud on the carrier’s part.</p> <h2>Insurance alternatives</h2> <p>If you are concerned that the contents of your baggage exceed the liability limits outlined above, you can make a special declaration of the value of your baggage prior to check-in and pay any additional fee (if required).</p> <p>In this case, the carrier will be liable to pay a higher amount, unless it is proved that the declared amount is greater than the actual value of your baggage.</p> <p>Alternatively, prior to travelling, check with your insurance company as to whether your travel insurance covers any excess from delayed, damaged or lost baggage.</p> <p>You might also want to <a href="http://www.icao.int/secretariat/legal/List%20of%20Parties/Mtl99_EN.pdf">check this list</a> to see whether the places you’re departing from and finally arriving at are parties to the Montreal Convention. If not, you might just find yourself out of pocket.<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/32111/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/rebecca-johnston-123333">Rebecca Johnston</a>, Adjunct Lecturer, Law School, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/david-hodgkinson-6574">David Hodgkinson</a>, Associate Professor, Law School, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-to-claim-for-lost-delayed-or-damaged-bags-on-overseas-flights-32111">original article</a>.</em></p>

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The travel hack giving travellers two holidays in one

<p dir="ltr">When it comes to a long-haul flight, a stopover can be exactly what you need to stretch your legs and recharge before the next leg of your journey. </p> <p dir="ltr">But some eager travellers are getting even more out of their stopovers, by booking a few nights in their stopover destination and effectively getting two holidays in one. </p> <p dir="ltr">The “two-for-one holiday” trend is especially popular for those travelling from Australia and New Zealand, as it takes many, many hours to travel from Oceania to Europe, the US, or basically anywhere else in the world. </p> <p dir="ltr">Rather than looking at layovers as a hassle that just prolongs your journey, data shows that travellers are opting to use them as a way to explore new destinations and extend their holidays.</p> <p dir="ltr">According to data from travel search engine <a href="https://www.skyscanner.com.au/">Skyscanner</a>, there has been a notable uptick in bookings for long-haul flights to destinations such as Istanbul, London, Shanghai, and India.</p> <p dir="ltr">When travelling to Europe or the US, many travellers stopover in Asian cities such as Hong Kong, Bangkok in Thailand, Ho Chi Minh City in Vietnam, or Singapore. </p> <p dir="ltr">Alternatively, many stopovers occur in the UAE and Middle East area, with some flights stopping in Abu Dhabi, Dubai, or even Qatar. </p> <p dir="ltr">It’s easy to book your stopover holiday when booking your flights. Just select your original flight to your final destination, but change your second flight to leave the stopover destination a few days later.</p> <p dir="ltr">Skyscanner's travel expert Cyndi Hui told <em><a href="https://travel.nine.com.au/latest/holiday-hacks-two-in-one-stopover-destination/9e77c117-3a14-49a0-903f-b9847bc92fe0">9Travel</a></em> of the travel hack: "With Australia being so far from many global hubs, taking the time to enjoy a stopover instead of rushing through airports allows Australians to truly make the most of their travel experiences".</p> <p dir="ltr">"It's a savvy way to make the most of their travel time, turning what used to be just a stopover into a memorable part of the adventure."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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Parents under fire for taking their sick toddler on a long-haul flight

<p>A couple has come under fire after documenting their experience online of boarding a long-haul flight with their toddler, despite the child being sick. </p> <p>Alina and her husband were excited to go on their long-awaited holiday to Thailand with their one-year-old son in tow, taking off on their first big family trip. </p> <p>However, shortly before they were set to take off, their child developed a raging fever, and they decided to go on the trip anyway. </p> <p>Taking the experience to social media, Alina said her son’s temperature soared to around 40 degrees, with their little boy’s condition escalating so rapidly that the parents were considering calling off their entire trip. </p> <p>“My husband and I even wanted to cancel the flight,” she confessed in the video, which has received around 1.4 million views.</p> <p>However, after realising they would be out of pocket by several thousands of dollars if they cancelled the trip at such short notice, they decided to take the risk and board the plane. </p> <p>“Our tickets would have been wasted, and the trip that cost us $3,000 would have been wasted,” the mum wrote. "One plus of this flight was that the flight was at night, and the child could sleep and recover.”</p> <p>In the clip, the parents were seen walking their son around the plane, cradling the sick toddler as he cried uncontrollably.</p> <p>Luckily, the parents “managed to bring down the temperature”, but they weren’t convinced their son would keep quiet for the rest of the trip. </p> <p>“We were so worried about how the baby would feel on an eight-hour flight,” she continued, walking the baby up and down the corridors of the airport, trying to calm him down. </p> <p>As they tried to settle the child, they realised that their hopes that he would sleep the whole way were misguided. </p> <p>“The flight turned out to be difficult,” Alina confessed. “The baby kept waking and crying.” </p> <p>In the middle of the night, their son’s fever returned, which forced the parents to “bring the temperature down again” and left them “very worried” about their son’s health. </p> <p>Their baby’s fever took a toll on the parents as well, who complained of feeling “squeezed like a lemon” while trying to keep his temperature down, as Alina recalled, “We took turns looking after the baby so each of us could sleep.”</p> <p>In a later video, the parents defended their choice to take their son on the flight despite his intense fever and blamed it on his teething, not sickness. </p> <p>“Our baby wasn’t sick, he was teething, and that’s why he had a fever,” she said. “If our child had been sick, we would have cancelled everything … I consider myself a wonderful mother.”</p> <p>Despite the mother's clarification of her son's fever, the parents were slammed for even considering taking a sick child on such a long flight. </p> <p>“It’s OK, don’t worry about making anyone else on that flight sick,” a sarcastic comment read. “This is so tremendously selfish, you are appalling for doing this to him and others.” </p> <p>“I was in the same situation,” another parent said. “I lost all bookings, but who cares, my daughter comes first always and forever, no matter the amount of money!”</p> <p>“Trips come and go; your baby’s health is priceless!” read another comment. “Forty degrees is a hospital admission! Not a flight to Thailand!”</p> <p>However, not everyone was as judgmental, with many parents extending their sympathies to the first-time parents, as one person wrote, “You know what’s best for your baby. Everyone will say things. But only you will know when you are in that situation.”</p> <p>“Everyone is a first-time parent,” another defended. “This was a lesson learned. A baby’s health is of utmost importance. No holiday is more important than that. I hope he is OK now.”</p> <p><em>Image credits: TikTok</em></p>

Travel Trouble

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

<p><em><a href="https://theconversation.com/profiles/sarah-wallwork-1361569">Sarah Wallwork</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Back pain is common. One in thirteen people have it right now and worldwide a staggering 619 million people will <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186678/">have it this year</a>.</p> <p>Chronic pain, of which back pain is the most common, is the world’s <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186678/">most disabling</a> health problem. Its economic impact <a href="https://www.ncbi.nlm.nih.gov/books/NBK92510/">dwarfs other health conditions</a>.</p> <p>If you get back pain, how long will it take to go away? We scoured the scientific literature to <a href="https://www.cmaj.ca/content/cmaj/196/2/E29.full.pdf">find out</a>. We found data on almost 20,000 people, from 95 different studies and split them into three groups:</p> <ul> <li>acute – those with back pain that started less than six weeks ago</li> <li>subacute – where it started between six and 12 weeks ago</li> <li>chronic – where it started between three months and one year ago.</li> </ul> <p>We found 70%–95% of people with acute back pain were likely to recover within six months. This dropped to 40%–70% for subacute back pain and to 12%–16% for chronic back pain.</p> <p>Clinical guidelines point to graded return to activity and pain education under the guidance of a health professional as the best ways to promote recovery. Yet these effective interventions are underfunded and hard to access.</p> <h2>More pain doesn’t mean a more serious injury</h2> <p>Most acute back pain episodes are <a href="https://www.racgp.org.au/getattachment/75af0cfd-6182-4328-ad23-04ad8618920f/attachment.aspx">not caused</a> by serious injury or disease.</p> <p>There are rare exceptions, which is why it’s wise to see your doctor or physio, who can check for signs and symptoms that warrant further investigation. But unless you have been in a significant accident or sustained a large blow, you are unlikely to have caused much damage to your spine.</p> <p>Even very minor back injuries can be brutally painful. This is, in part, because of how we are made. If you think of your spinal cord as a very precious asset (which it is), worthy of great protection (which it is), a bit like the crown jewels, then what would be the best way to keep it safe? Lots of protection and a highly sensitive alarm system.</p> <p>The spinal cord is protected by strong bones, thick ligaments, powerful muscles and a highly effective alarm system (your nervous system). This alarm system can trigger pain that is so unpleasant that you cannot possibly think of, let alone do, anything other than seek care or avoid movement.</p> <p>The messy truth is that when pain persists, the pain system becomes more sensitive, so a widening array of things contribute to pain. This pain system hypersensitivity is a result of neuroplasticity – your nervous system is becoming better at making pain.</p> <h2>Reduce your chance of lasting pain</h2> <p>Whether or not your pain resolves is not determined by the extent of injury to your back. We don’t know all the factors involved, but we do know there are things that you can do to reduce chronic back pain:</p> <ul> <li> <p>understand how pain really works. This will involve intentionally learning about modern pain science and care. It will be difficult but rewarding. It will help you work out what you can do to change your pain</p> </li> <li> <p>reduce your pain system sensitivity. With guidance, patience and persistence, you can learn how to gradually retrain your pain system back towards normal.</p> </li> </ul> <h2>How to reduce your pain sensitivity and learn about pain</h2> <p>Learning about “how pain works” provides the most sustainable <a href="https://www.bmj.com/content/376/bmj-2021-067718">improvements in chronic back pain</a>. Programs that combine pain education with graded brain and body exercises (gradual increases in movement) can reduce pain system sensitivity and help you return to the life you want.</p> <p>These programs have been in development for years, but high-quality clinical trials <a href="https://jamanetwork.com/journals/jama/fullarticle/2794765">are now emerging</a> and it’s good news: they show most people with chronic back pain improve and many completely recover.</p> <p>But most clinicians aren’t equipped to deliver these effective programs – <a href="https://www.jpain.org/article/S1526-5900(23)00618-1/fulltext">good pain education</a> is not taught in most medical and health training degrees. Many patients still receive ineffective and often risky and expensive treatments, or keep seeking temporary pain relief, hoping for a cure.</p> <p>When health professionals don’t have adequate pain education training, they can deliver bad pain education, which leaves patients feeling like they’ve just <a href="https://www.jpain.org/article/S1526-5900(23)00618-1/fulltext">been told it’s all in their head</a>.</p> <p>Community-driven not-for-profit organisations such as <a href="https://www.painrevolution.org/">Pain Revolution</a> are training health professionals to be good pain educators and raising awareness among the general public about the modern science of pain and the best treatments. Pain Revolution has partnered with dozens of health services and community agencies to train more than <a href="https://www.painrevolution.org/find-a-lpe">80 local pain educators</a> and supported them to bring greater understanding and improved care to their colleagues and community.</p> <p>But a broader system-wide approach, with government, industry and philanthropic support, is needed to expand these programs and fund good pain education. To solve the massive problem of chronic back pain, effective interventions need to be part of standard care, not as a last resort after years of increasing pain, suffering and disability.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/222513/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/sarah-wallwork-1361569">Sarah Wallwork</a>, Post-doctoral Researcher, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-does-back-pain-last-and-how-can-learning-about-pain-increase-the-chance-of-recovery-222513">original article</a>.</em></p>

Body

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Flight attendant shares travel tips for loved-up couples

<p dir="ltr">A flight attendant has shared what loved-up couples should not do when taking a trip together. </p> <p dir="ltr">Seasoned cabin crew member Suzanne Bucknam has warned couples to be wary of appropriate behaviour, and advised against these travel “icks”. </p> <p dir="ltr">Suzie told <em><a href="https://www.skyparksecure.com/">SkyParkSecure</a></em>, that one thing couples should be aware of when travelling are public displays of affection (PDA), which could land you in trouble. </p> <p dir="ltr">"A kiss on the lips or handholding doesn't warrant ick status but making out and putting a blanket over each other's laps gets very uncomfortable for everyone in the vicinity," Suzanne explains.</p> <p dir="ltr">"I've seen several couples attempt to join the mile-high club either in the bathroom or, worse, at their seats with said blanket over them. In fact, I've caught a couple with their pants down in the back of our plane once. We did an emergency landing and had them escorted off the plane, then got back in the air without them.”</p> <p dir="ltr">"It should be known that you can be arrested for public indecency, and flight attendants won't be afraid to call the authorities if they see you trying to get too cosy with your partner."</p> <p dir="ltr">Another must do for travelling couples is to book your plane seats together, rather than ask other passengers to change seats. </p> <p dir="ltr">"A simple boarding process can become a nightmare if couples don't book seats together but demand another passenger to move," she says.</p> <p dir="ltr">"Not only does it slow the process down significantly, but it often causes an altercation between passengers when someone won't move. Someone picked and paid for that seat, so they are well within their right to turn down a request to switch."</p> <p dir="ltr">Suzie said that while she understands couples, especially honeymooners, are excited about their travels, that doesn’t give them the right to make demands, and being difficult will get you nowhere. </p> <p dir="ltr">"What I wish all honeymooners knew before travelling somewhere is that, just because they're celebrating, it doesn't mean others have to celebrate or contribute to that celebration. If you do get a free upgrade or a free drink, fantastic! But please don't demand one from an unsuspecting flight attendant," she explains.</p> <p dir="ltr">"And as an employee who has been in that situation, it's just plain awkward if there are no upgrades available, and it's against the airline's policy to give freebies."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

Travel Tips

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Passenger sparks debate over travellers sleeping in aisle seats

<p>A heated debate has erupted online after a passenger suggested those sitting in an aisle seat should remain alert and awake for the entire flight, with the only exception being if it's a long-flight of seven hours or more. </p> <p>“A person sitting in an aisle seat on a plane should not be allowed to sleep," they wrote on Reddit. </p> <p>The reason behind it, according to the passenger, is to ensure that middle and window seat passengers can access the toilet, get served by flight attendants, and evacuate quickly in an emergency. </p> <p>“There are some exceptions and those would probably be on any flight longer than seven hours.</p> <p>“But anything shorter than that, you should not be sleeping. What if the middle or window passenger needs the bathroom, or if the flight attendant needs to hand them something – You’ll be in the way.”</p> <p>They added that a snoozing aisle seat passenger could potentially slow down evacuation during an emergency and put everyone at risk. </p> <p>“Now you would be risking people’s lives because you fell asleep,” they wrote.</p> <p>Social media users flocked to the Reddit thread to share their thoughts. </p> <p> “Nah, just poke me and wake me up if you need me to get up or do something," one wrote. </p> <p>“I’m well aware that I’m in the way, believe me. I’m certainly not there because I wanted to be in the aisle seat.”</p> <p>“If you sleep in an aisle seat, you deal with people getting up. That’s the unwritten rule," another added. </p> <p>A few others supported the idea, but shared their own take on plane etiquette. </p> <p> “My take on this: if you sleep in the aisle seat, you must be okay with being woken up multiple times to let the folks in your row get up.</p> <p>“Other flight rules: middle seat gets the armrest, and window seat must raise the window shade during taxi, takeoff, and landing so the rest of us in the row can watch.”</p> <p><em>Image: Shutterstock</em></p>

Travel Tips

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Woman “bullied” on plane over budget seating trick

<p dir="ltr">A young woman has recalled a flight from hell when she was “bullied” by a couple who were trying to utilise a seating hack that went viral on TikTok. </p> <p dir="ltr">The solo traveller took to Reddit to recount the story and ask social media users if she was in the wrong for her action. </p> <p dir="ltr">The woman began by saying she usually pays more to select her plane seat ahead of time, but a medical emergency on another plane had her waiting on standby and left with no option other than to sit in a middle seat.</p> <p dir="ltr">When she was finally able to board, she was greeted by a couple who had purchased both the window and aisle seats in a bid to have more space, utilising a travel “trick” that has been popular on TikTok.</p> <p dir="ltr">The method, which has been dubbed the 'poor man's business class', usually leaves travellers with an empty middle seat and more space, and few travellers opt to pick a middle seat. </p> <p dir="ltr">“When I got to my row the man and woman were chatting and sharing a snack... it was obvious they were together. I mentioned to the man that I'm in the middle, and he got up to let me in,” the unsuspecting traveller wrote on Reddit.  </p> <p dir="ltr">“I asked them if they would prefer to sit together, I said I was totally okay with that. The woman reacted rudely to this and said ‘you're not supposed to be sitting here anyway’.”</p> <p dir="ltr">After noticing how the plane was full, she offered to show the pair her new ticket with the correct seat number on it.</p> <p dir="ltr">“She flicked her hand at my ticket and made a disgusted sound. I offered again if they wanted to sit together to which she didn't reply, her partner said it's okay and... made some small talk,” she continued. </p> <p dir="ltr">The man’s girlfriend then interrupted their conversation to ask,”'Did you use one of those third party websites to book your flight? It's so frustrating when people cheap out to inconvenience others.”</p> <p dir="ltr">The American woman explained that she had booked her flight directly and she had been placed on standby like everyone else and didn't choose the middle seat - she was assigned it.</p> <p dir="ltr">She then tried to keep the peace by refusing to engage with the furious woman.  </p> <p dir="ltr">“I was so done with her attitude, I put my headphones on and attempted to do my own thing,” she explained.</p> <p dir="ltr">But the “entitled” girlfriend wasn't letting it go, as the woman explained, “This woman kept reaching over me and tapping her partner and trying to talk to him in a way that was super intrusive.”</p> <p dir="ltr">“I could tell even her partner was trying to engage her less so that she would hopefully stop, but she didn't.”</p> <p dir="ltr">“I think they tried to pull that tactic where they don't sit together on purpose...hoping no one will sit between them. But on full flights it doesn't work. And even so - it's not the other person's fault.”</p> <p dir="ltr">The traveller's post was met with hundreds of comments slamming the girlfriend’s behaviour, as one person wrote, “It's like a toddler having a tantrum.”</p> <p dir="ltr">“She was disappointed and a total a**hole. Gross entitled people,” another added. </p> <p dir="ltr">Another person applauded the traveller’s level-headed behaviour, writing, “Wow! You are my hero for keeping it classy - I’m afraid I would not have been as kind as you.”</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

Travel Trouble