How the concept of ‘medical freedom’ is reshaping the military’s decades-long stance on the flu vaccine mandate − and endangering troops’ readiness

Source: The Conversation – USA (3) – By Katrine L. Wallace, Assistant Professor of Epidemiology and Biostatistics, University of Illinois Chicago

Vaccine mandates in the U.S. military are nearly as old as the country itself. jacoblund/iStock via Getty Images Plus

For the first time in almost 80 years, U.S. service members will no longer be mandated to receive the annual influenza vaccine.

Defense Secretary Pete Hegseth announced the change on April 22, 2026. Citing medical autonomy and religious freedom, he described the requirement as “overly broad and not rational,” telling troops that “your body, your faith and your convictions are not negotiable.”

The flu shot requirement that Hegseth ended had been in place since 1945, with one brief pause in 1949. It was part of a tradition of military vaccine mandates nearly as old as the United States itself.

As an epidemiologist who studies vaccine-preventable diseases, I find the end of the flu mandate striking less for its immediate impact than for what it signals. For most of American history, military commanders took for granted that infectious disease could cost them a war, which is why vaccination was considered a matter of military readiness rather than personal choice.

A tradition that started with George Washington

The first American military vaccine mandate predates the Constitution. In the winter of 1777, Gen. George Washington ordered the mass inoculation of the Continental Army against smallpox.

His decision wasn’t ideological – it was strategic. The year before, a smallpox outbreak had torn through American troops outside Quebec, contributing to the collapse of the northern campaign. John Adams famously wrote to his wife, Abigail, that smallpox was killing 10 soldiers for every one felled in battle.

Inoculation in 1777 was itself risky. The procedure, called variolation, involved deliberately infecting a soldier with a small amount of smallpox virus to build immunity. Washington gambled that losing some to inoculation was better than losing a war to the virus. Historians have credited the decision with saving the Continental Army.

The COVID-19 pandemic reframed the politics surrounding vaccine mandates.

That pattern held for centuries: When an infectious disease threatened to take more soldiers off the line than enemy fire did, the military required protection.

U.S. troops received smallpox vaccinations from the War of 1812 through World War II. During World War I, the Army added typhoid vaccination. During World War II, it expanded vaccine requirements to also include tetanus, cholera, diphtheria, plague, yellow fever and, in 1945, influenza.

1945: New war, new vaccine

The flu vaccine mandate grew out of military experiences during the influenza pandemic of 1918. That spring, a novel influenza strain spread through crowded Army training camps and traveled to Europe with American troops. About 45,000 American soldiers died of influenza during World War I – nearly as many as the roughly 53,000 killed in combat.

The 1918 pandemic made clear that a respiratory virus could cripple an army. In 1941, as the country prepared to enter another world war, the U.S. Army organized an influenza commission that partnered with the University of Michigan to develop the first influenza vaccine. Clinical trials in military recruits showed that the vaccine reduced the incidence of influenza illness by 85%, and in 1945 the military mandated the vaccine. Roughly 7 million service members were vaccinated that year.

The mandate was briefly paused in 1949 after scientists realized the vaccine needed regular updates due to the virus changing. Once formulations could be adjusted seasonally, the mandate returned in the early 1950s and has stayed in place continuously – until Hegseth’s change of policy.

Emergency hospital at Camp Funston, Kansas in 1918, during the influenza epidemic
The influenza pandemic of 1918 killed nearly as many American troops as were killed in battle during World War I.
Otis Historical Archives, National Museum of Health and Medicine

COVID-19 changed vaccine politics

For decades, vaccine mandates were an unremarkable fact of military life, but COVID-19 changed that.

In August 2021, all service members were ordered to be vaccinated against COVID-19. More than 98% of active duty troops complied, but the mandate became a flash point. More than 8,000 service members were involuntarily discharged for refusing the shot.

In 2023, Congress passed a law requiring the Pentagon to rescind the military COVID-19 vaccine mandate. This reversal reframed the politics of military vaccine requirements. In January 2025, President Donald Trump ordered the reinstatement, with back pay, of troops discharged over COVID-19 vaccine refusal.

In announcing the end of the flu mandate, Hegseth relied heavily on “medical freedom” language that emerged from the COVID-19 vaccine debate, rather than on any new evidence about influenza or the effectiveness of the flu vaccine.

The medical freedom movement opposes government involvement in what its supporters see as personal health decisions – including public health recommendations such as vaccine mandates, masking and social distancing.

Does the vaccination rationale still hold?

Critics of the military flu vaccine mandate argued that flu is a milder threat than it was in 1918, that service members are healthier than the general population and that personal choice should outweigh public health logic for a seasonal virus.

The epidemiology tells a different story.

Although flu seasons can vary in disease severity, the virus mutates so unpredictably that pandemic flu seasons – like those in 1918, 1957, 1968 and 2009 – are a recurring possibility. Flu still hospitalizes and kills tens of thousands of Americans annually. The Centers for Disease Control and Prevention estimates the influenza vaccine prevented roughly 180,000 hospitalizations and 12,000 deaths during the 2024-2025 season.

The military operates in precisely the conditions that favor the spread of respiratory viruses: recruit training centers, barracks, ships and submarines where people live in close quarters.

The logic that drove Washington in 1777 and the Army surgeon general in 1945 to require vaccination hasn’t really changed. A sick soldier can’t deploy, can’t train and can spread illness through an entire unit.

What has changed is the political weight assigned to individual refusal – and that, more than the biology of the flu or the effectiveness of the vaccine, is what the end of this mandate reflects.

The Conversation

Katrine L. Wallace does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. How the concept of ‘medical freedom’ is reshaping the military’s decades-long stance on the flu vaccine mandate − and endangering troops’ readiness – https://theconversation.com/how-the-concept-of-medical-freedom-is-reshaping-the-militarys-decades-long-stance-on-the-flu-vaccine-mandate-and-endangering-troops-readiness-281387

In England and its colonies, accused witches weren’t burnt – but wives who defied their husbands were

Source: The Conversation – UK – By Stephanie Brown, Lecturer in Criminology, University of Hull

I recently appeared on the BBC radio show Woman’s Hour to discuss my research on homicides committed by women. Just before my segment, singer-songwriter Katherine Priddy spoke about her song Matches, inspired by the feminist phrase “women, not witches”. It reframes witch trials as the persecution of women rather than the pursuit of the supernatural. One lyric lingered with me: “They weren’t burning witches; it was women on those fires.”

In England, Wales and their former North American colonies, that claim needs nuance. There, women were not burnt for witchcraft; they were hanged. Witchcraft was a felony under English common law, and felons were executed at the gallows. Elsewhere, the story was different. On the continent and in Scotland, witchcraft was heresy, and heretics were burnt at the stake.

In England and its colonies, no one was burnt at the stake during witch hunts: not at Pendle, not at Salem and not under the campaigns of the “witchfinder general”, Matthew Hopkins. The image of the burning witch is powerful, but in this context, it is largely a myth. If we want to understand why women were burnt in England and Wales, we need to look elsewhere – towards a different crime, and a different kind of fear.

Matches by Katherine Priddy.

In 1359 at York Castle, a woman named Alice of Tunstall was brought before the court. She was not accused of witchcraft. There were no whispers of spells or dealings with the devil. Alice stood charged with killing her husband. She was found guilty of petty treason and sentenced to be burned at the stake.

Petty treason applied to those wives and servants who “owed faith and obedience” to a social superior. A wife who killed her husband committed a rebellion against the social order itself; a husband who killed his wife had not. Husbands, and even male servants who killed their master, were hanged; women were burnt.

The logic of the law was explicit. Fire destroyed the body, denied burial and made the crime a public spectacle. It was punishment as both correction and warning. Petty treason made female disobedience visible, violent and unforgettable.

Centuries later, the law’s gendered logic persisted. In 1789, Catherine Murphy and her husband were convicted of the same crime: making counterfeit coins – a type of high treason. He was hanged like other male offenders; she was burnt at the stake.

At Newgate Prison, Catherine was led past the hanging body of her husband. She was strangled until she was dead. Only then were bundles of sticks piled and lit around her body, following the post-1652 custom of ensuring the condemned was no longer alive. Even in this modified execution, Murphy’s punishment was far harsher than that of the men she had worked with, reflecting centuries of legal gender inequality.

The execution of Murphy helped prompt reform. In 1790, the MP Sir Benjamin Hammet raised the issue in the House of Commons, citing her death as evidence that burning women – even after they were dead – was a grotesque and unnecessary punishment. The Treason Act of 1790 abolished burning as a method of execution, substituting hanging, which was the punishment for men. Even then, it was not until 1828 that a wife’s murder of her husband was formally reduced to a felony.

From Alice of Tunstall to Catherine Murphy, these fires were not about magic – they were about control. They remind us that historically, under English law, female defiance of husbands or social hierarchy has been treated far more harshly than men’s crimes. The image of the burning witch obscures this reality. In truth, it was gender, not superstition, that lit the flames.

The Conversation

Stephanie Brown does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. In England and its colonies, accused witches weren’t burnt – but wives who defied their husbands were – https://theconversation.com/in-england-and-its-colonies-accused-witches-werent-burnt-but-wives-who-defied-their-husbands-were-278612

Table tennis robot defeats some of world’s best players – why this has major implications for robotics

Source: The Conversation – UK – By Kartikeya Walia, Lecturer, Department of Engineering, Nottingham Trent University

A table tennis robot has outperformed elite players in recent evaluations. The robot, called Ace, marks a significant step toward artificial intelligence (AI) systems that can operate in fast, uncertain, real-world environments.

In the tests, the autonomous robot won three out of five matches against elite players – competitive athletes with over ten years’ experience and an average of 20 hours weekly training. The robot, developed by Sony AI, lost both matches against players in professional Japanese leagues, but did win a game against one of them. The system is described in detail in a recent paper published in Nature.

AI has spent decades mastering games. It has repeatedly outperformed the best humans in everything from complex video games like StarCraft II to chess – where modern programs now far exceed human ratings.

Landmark systems such as Deep Blue and AlphaGo have confirmed that, given clear rules and enough data, AI can achieve superhuman performance. But these victories all shared one key feature: they happened in controlled, digital environments.

At first glance, table tennis might seem like an unusual benchmark for artificial intelligence. In reality, it is one of the most demanding imaginable. The ball can travel faster than 20 metres per second, giving players less than half a second to react.

On top of that, spin introduces enormous complexity. A ball rotating at extreme speeds can curve mid-air and rebound unpredictably off the table. For humans, interpreting spin is largely intuitive. For robots, it has been a longstanding obstacle.

This robot can beat you at table tennis (Nature)

Earlier table tennis robotic systems such as Forpheus, developed by Japanese company Omron, addressed this by simplifying the game – using controlled ball launchers, limiting movement, or ignoring spin altogether. More recent iterations have aimed for interaction, but still operate under constrained conditions.

Ace does none of this. It plays with standard equipment, on a regulation table,
against human opponents who are free to use the full range of shots.

How Ace works

Ace’s performance relies on three key innovations: how it sees the world, how it
decides what to do, and how it carries out those actions. First, let’s deal with how Ace sees the world. Traditional cameras struggle with fast motion, often producing a blur or missing critical details.

Ace instead uses three “event-based” vision sensors, which detect changes in light rather than capturing full images at fixed intervals. These are complemented by nine high-speed cameras that track the environment, including the opponent and their racket.

Together, these systems enable high-speed gaze control (the technology that enables a robot to direct its sensors to focus on specific things) and allow the robot to follow the ball with exceptional real-time precision.

By tracking markings on the ball, where professional players can generate spin approaching 9,000 revolutions per minute (rpm), the system can estimate spin in real time, something that has long challenged robotic systems.

How Ace’s gaze control system works (Sony AI and Nature).

The second important innovation is how Ace decides what to do. Knowing where the ball is going is only half the problem; the robot must also respond instantly. Ace uses deep reinforcement learning, trained in simulation over millions of virtual rallies, including self-play.

It continuously generates movement commands for its multi-jointed robotic arm, recalculating trajectories every few tens of milliseconds while avoiding collisions with the table or itself.

The third innovation is how Ace how it carries out its actions. To match the speed of human elite players, the robot is built around a high-performance arm combining two prismatic (sliding) and six revolute (rotational) joints. This enables rapid sideways motion and precise striking. There is both a table tennis racket and a mechanism for ball handling, allowing one-armed serves.

Crucially, the system is engineered for high-speed interaction: lightweight structures and optimised actuation (the mechanisms in a robot that convert energy into mechanical force) allow Ace to return balls at speeds approaching 20 metres per second. This enables sustained, competitive rallies with skilled human players.

Ace makes a split section change when the ball hits the net (Sony AI and Nature).

What makes this particularly notable is the transition from simulation to reality. Many AI systems perform well in virtual environments but fail when exposed to real-world noise and uncertainty. Ace demonstrates that this “sim-to-real” gap can be
meaningfully reduced.

One moment during a rally with an elite player illustrates the way that Ace has leapt over this gap. When a predicted ball trajectory suddenly changed after clipping the net, Ace reacted almost instantly, returning the shot and winning the point. What makes Ace particularly significant is therefore not just its performance, but its ability to operate reliably under real-world uncertainty.

Why this matters beyond sport

A robot returning high-speed topspin shots may be entertaining, but the implications go far beyond table tennis. In manufacturing, for example, robots are typically confined to highly structured tasks.

The real challenge is adaptability, handling irregular objects, responding to variation. This is particularly relevant for next-generation robots operating in unstructured environments.

To function effectively in homes, hospitals or construction sites, robots must be able to predict, adapt and respond to constantly changing conditions. The same predictive and control capabilities that allow Ace to respond to unpredictable shots could enable more flexible, responsive automation.

Industrial robot
Most industrial robots are kept behind safety barriers because they cannot respond to unexpected human behaviour.
Zhu Difeng

There are also implications for human–robot interaction. Most industrial robots are
kept behind safety barriers because they cannot react quickly or reliably enough to
unexpected human behaviour. Ace operates at the edge of human reaction time,
suggesting a future where robots can safely collaborate with people in shared
spaces.

More broadly, this work represents a shift in what AI is expected to do. The next
frontier is not just intelligence in abstract problem-solving, but intelligence embedded in the physical world. The gap between simulations and reality needs filling, and this is a big step forward.




Read more:
Amazon’s new robot has a sense of touch, but it’s not here to replace humans


What humans still do better

Professional players were still able to exploit Ace’s limitations – particularly in reach, speed, and the ability to handle extreme or highly deceptive shots. This highlights that intelligence is not just about prediction and control, but also about physical embodiment. Humans combine perception, movement and strategy in ways that remain difficult to replicate.

Interestingly, systems like Ace may end up enhancing human performance rather
than replacing it. As one former Olympic player observed after facing the robot,
seeing it return seemingly impossible shots suggests humans might be capable of more than previously thought.

The Conversation

Kartikeya Walia receives funding from Innovate UK, UKRI. He does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Table tennis robot defeats some of world’s best players – why this has major implications for robotics – https://theconversation.com/table-tennis-robot-defeats-some-of-worlds-best-players-why-this-has-major-implications-for-robotics-281511

There’s a reason we don’t have birds the size of elephants: the mysterious story of how dinosaurs evolved – expert Q&A

Source: The Conversation – UK – By Stephen Brusatte, Chancellor’s Fellow in Vertebrate Palaeontology, University of Edinburgh

Exactly how did birds evolve from dinosaurs? It’s a mystery that has been with us for more than 150 years, and palaeontologists are still hunting for pieces of the puzzle today.

Among them is the University of Edinburgh’s Professor Steve Brusatte, whose latest book, The Story of Birds, tells the whole fascinating story. We caught up with him recently to find out more.

Of all the great dinosaur subjects, why this story?

I’ve always been fascinated by birds. They are all around us and there’s such a stunning diversity and variety. As a palaeontologist I specialised early in the theropod (two-legged) dinosaurs. This is the group that includes T.rex and Velociraptor – and gave rise to birds.

The more I studied theropods, the more I became more curious about the modern-day animals that descended from them. Back in the early 2010s my PhD was about the origin of birds. Its core involved building a big new family tree of theropod dinosaurs to understand where birds slot in, how they evolved from dinosaurs, and how their body features came together.

I wrote about the dinosaur bird connection in my first book, The Rise and Fall of the Dinosaurs (2018), but that was just one chapter. It made me think it would be really fun to do an entire book on the subject. That was how my new book, The Story of Birds, came together.

Is there still any debate about birds evolving from dinosaurs?

I think people have generally heard that birds descended from dinosaurs. In the newer Jurassic World films you even see feathers on some of them. And yet it hasn’t really broken through to the public consciousness that today’s birds really are dinosaurs. They are part of the dinosaur family tree. They just happen to be a peculiar group of dinosaurs that got small and evolved wings, took to the skies and have survived until today.

Thomas Henry Huxley.
Thomas Henry Huxley.
Wikimedia

It was Charles Darwin’s great disciple, Thomas Henry Huxley, in the 1860s who first noted similarities between the skeletons of some dinosaurs starting to be found in Europe and those of modern birds. This was back before anybody knew what DNA was, for instance.

Huxley’s idea did enter the public consciousness, at least in Victorian Britain. Darwin added it to the later editions of On the Origin of Species. But then it went out of favour. This was the great era of exploration, especially in the US and Canada. The frontier was being pushed westwards, and all these new dinosaurs were being found – Stegosaurus, Brontosaurus and later Brachiosaurus and T.rex.




Read more:
The story of birds: a new history from their dinosaur origins – extract of Steve Brusatte’s new book


None look anything like birds. I think dinosaurs obtained this stereotype as giant reptilian monsters, and this still largely dominates the public consciousness today.

Yet there were also a lot of smaller dinosaurs. Many had feathers and wings, and many were very bird-like. It’s really only in the past few decades that the idea that birds evolved from dinosaurs has become scientific consensus. The discovery of feathers on dinosaurs in the 1990s really sealed the deal on that.

What mysteries remain?

There are of course still things we don’t know, like how dinosaurs started to fly. How did they start to move their wings in a way that generated enough lift and thrust to get them airborne? Did they run on the ground and use their wings to defy gravity? Did they do it from the trees down, using these wings as a way to manipulate gravity? That’s one of the biggest mysteries.

Another area of uncertainty is which dinosaurs were the closest relatives of birds. The more fossils we find, especially feathered dinosaurs in China and other places, the more it’s clear there was a whole bunch of small dinosaurs with feathers. A lot had wings, some had wings only on arms, some on arms and legs. Some had wings of feathers. Some had wings of skin like a bat.

There was a huge diversity of them right around that point in the family tree where proper modern-style birds evolved with big arm wings that they flap to keep airborne. Each new fossil gives us more information but also another layer of complexity. It makes it just a little trickier to untangle the knot of exactly which dinosaurs were the closest rivals of birds. You still see new discoveries being made every year.

You say in the book that wings evolved not to fly?

The fossils tell us clearly that feathers evolved long before any of these animals were flying. Many dinosaurs had simple feathers; they looked like little strands of hair. In fact most dinosaurs probably had them – they just don’t normally preserve because they decay away so quickly. It’s in spectacular fossil sites where lots of dinosaurs were buried quickly, usually by volcanic eruptions, where you see a lot of these feathers (Liaoning province in north-eastern China is a good example).

But these feathers were not used for flying. There’s clear evidence from the fossil record that feathers evolved in a simpler form for other reasons. Our best hypothesis is they evolved for insulation, to help them stay warm – just like hair in mammals.


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Later on, these feathers evolved on some dinosaurs into quills that made up wings. But the fossil record shows that the first wings that show up in dinosaurs between the sizes of sheep and horses. Those wings were only about the size of laptop screens, and by the laws of physics, those could not keep an animal of that size in the air.

That hints that wings probably also evolved for another reason and were only later co-opted for flying. We can tell a lot of these feathers had flamboyant colours and patterns, so one leading idea is that wings first evolved for display, to attract mates; to intimidate rivals. This is still true today, of course.

You can imagine if those wings got bigger over time, more flamboyant, more ornate, at some point the laws of physics would take over and they would generate some of those aerodynamic forces. It’s not like we have fossils of the exact dinosaurs that were the first to flap their wings, but that is at least what the fossil record is telling us.

Did dinosaurs have to get smaller for flying birds to evolve?

This is a big part of the story. Some dinosaurs, such as T.rexes, got bigger over time, but the dinosaurs that evolved into birds had been getting smaller for tens of millions of years. We don’t know why exactly, but there’s all kinds ecological niches where it pays to be small: it’s easier to hide, you can grow more quickly, and so on.

So it seems you had this group, that their bodies were getting smaller, and their wings were getting bigger. At some point you had a wing that was big enough to keep a body that was small enough in the air. At that point, natural selection could take over and start refining these dinosaurs into ever better flyers.

Is it an accident of evolution that flying creatures the size of elephants don’t exist?

Animals that need to flap wings to fly can’t be that big. The biggest flapping flyers today are wandering albatrosses, and their maximum wingspan is about 3.5 metres. We have fossils of birds that were bigger: the Pelagornithids were giant soaring birds that went extinct right before the ice age. They had wingspans that were something like 7 metres long. But beyond that, I think it would be very hard to flap wings to fly.

Albatross in flight
Largest wingspan today: the wandering albatross.
Imogen Warren

It makes total sense to me that it was probably a crow-sized to lapdog-sized raptor dinosaur that first started to flap as opposed to some dinosaur the size of an albatross. It’s just that the stereotype of dinosaurs being huge makes it harder to envision some small dinosaurs flapping and flying.

How did birds survive the asteroid?

That was a big mystery for a long time. There were proper birds at least 150 million years ago, which means they lived alongside their dinosaur cousins for some 80 million years. Then the asteroid comes down around 66 million years ago and all the dinosaurs die except the birds – why is that?

The reality is that lots of birds went extinct at the same time as the other dinosaurs. Many birds were still quite primitive and would have looked a lot like their dinosaur cousins. The only ones to survive were very modern-style birds. They had beaks instead of teeth, big wings and large chest muscles, and could grow really quickly like birds today.

A lot of recent research has clarified why they survived. What it comes down to is: the asteroid was a shot out of the darkness of outer space, a six-mile wide rock that smashed into the Earth one day. It changed everything instantaneously. There were earthquakes and tsunamis and wildfires. There was dust blocking out the sun, giving rise to a nuclear-style winter that lasted several years. Natural selection can’t work on that timeframe, so when the asteroid hit, all the animals had to confront the situation with the features they already had.

Most of the dinosaurs were big, and nothing bigger than a husky dog survived on land. With all these fires and acid rain and storms, simply being outside and exposed to the elements would have been bad. If you were smaller you could hide away more easily.

Also, modern-style birds had a bunch of features that turned out to be beneficial.
They grew to adult within year, so it didn’t take too long for them to nurture the next generation. They could fly away from danger. But crucially they also had beaks, which could have allowed them to eat seeds.

When the Earth went cold for many years, ecosystems collapsed. Plants did not have sunlight to photosynthesise. So plant-eaters died, which meant meat-eaters died. Seeds were probably the last foods that survived. If you could eat them, it could probably have got you through those lean years.

We have gut content of birds from the Cretaceous period (145 to 66 million years ago) and we can tell a lot of them did eat seeds. So the modern-style birds had a good hand of cards just as the world became this fickle casino and survival was a matter of the odds.

Which bird species appeared after the asteroid?

Bird fossils from the Cretaceous (meaning before the asteroid) are limited because it’s hard to fossilise birds. They’re small and their bones are really delicate. But we do know there’s birds like Vegavis and Asteriornis that lived in that period and were respectively members of the modern groups of ducks and chickens.

It doesn’t mean other modern species like owls or falcons weren’t there, but certainly they were not a major component of the ecosystems at the time. Then the asteroid hit and we start to see in the Paleocene (66 to 55 million years ago) fossils of things like penguins, mouse birds and multiple other modern groups.

Hawk sitting in a tree
Hawks are thought to be one of the species that evolved soon after the asteroid.
Ram Jagan

Yet the really strong evidence about what happened is from the DNA of modern birds. Researchers are using whole genomes now. They can compare the similarities and back-calculate to predict when two groups would have diverged. When you do this, it predicts there was a big bang of bird evolution right around that time – including species like owls, parakeets, falcons and hawks.

It makes sense that if you have a mass extinction that kills 75% of species, there would have been abundant opportunity for whatever survived. But we’re still waiting for fossils to confirm this directly. It’s a real target for people doing fieldwork to confirm this story by finding the fossils of birds up to 5 to 6 million years after the asteroid.

You write that great birds have come and gone – talk us through some of those

There are more than 10,000 species of birds today, basically double the number of mammal species, so in that sense we’re still in a dinosaur world. But there are even more incredible extinct birds, some of which went extinct quite recently because of us, as we’ve spread around the world and changed the environment very quickly.

A lot of these fantastic birds got their start in the ecological vacuum after the asteroid. There were birds that became basically born-again T.rex and Triceratops – filling the top predator/top plant-eater role in a lot of ecosystems.

In South America were the “terror birds” (Phorusrhacidae). They stood taller than a person, had a head the size of a horse head and a massive hooked gnarly beak. They were the top predators there for tens of millions of years. South America was an island for lot of that time; only later did jaguars and big dogs arrive.

Artist's impression of the terror bird.
South America’s terror bird, once the apex predator on the continent.
Harper Collins, CC BY-SA

In many places, birds were the biggest plant-eaters. Australia had birds called demon ducks (Dromornithidae) that lived for tens of millions of years. Think of the modern duck and super-size it by 100. Some were heavier than cows.

Elsewhere there was New Zealand’s moa and Madagascar’s elephant bird. Elephant birds were maybe the heaviest birds of all time. They laid eggs the size of watermelons. Many of these birds couldn’t fly. They gave up that ability as a trade-off to allow them to become really big.

The Pelagornithids also really fascinate me – the birds that were double the wingspan of an albatross. They lived for tens of millions of years, sailing the world’s thermals like giant kites. They would have been utterly spectacular animals.

Artist's Impression of a Pelagornithid.
Pelagornithids had twice the wingspan of the modern wandering albatross.
Harper Collins, CC BY-SA

We only know about most of these birds because of fossils – except for some like the moas and elephant birds and demon ducks, which did meet humans but didn’t last long, unfortunately.

Is it surprising birds never became as intelligent as humans?

When I was growing up in the late 1980s and through the 1990s, it was an insult to say “you’re a bird brain”. It’s such an unfair biological slur, because birds are very smart.

It’s just that they have small brains – I don’t know how many hummingbirds could fit into the head of an elephant. But when it comes to the size of the brain relative to the size of the body, which is largely what matters for cognition, problem-solving and so on, birds are right up there with mammals.

Song birds learn intricate songs. Similar to a human language, they learn them from tutors, they babble when they’re young and make mistakes, then master their avian language later on.

Parrots can mimic human speech. And whereas plenty of animals use tools in a rudimentary way, some crows can make their own tools. It’s really only crows and humans and maybe some close primate relatives that do that. Crows take sticks and branches and twist and turn them. They make hooks out of them and use them to probe for food.

Since the asteroid, there were probably long stretches where it was actually birds that were the cognitive superstars. It was maybe only a few million years ago when some primates eclipsed birds in having the biggest brain relative to body size.

When did birds start singing?

Sound doesn’t fossilise, of course. But we can look at the family tree of modern birds. We can look at the songbird group and use DNA to predict when they would have originated. We can then look at the fossil record of the skeletons of birds, and see if they more or less match up with what the DNA suggests.

This tells us that song birds go back in Australia as long as 50 million years ago. Songbird evolution then probably went into overdrive about 27 million years ago. This was probably triggered by tectonic events such as little microplates, and islands moving around and forming new corridors and environments in South East Asia.

It’s only in the past 20 million years or so where you’ve had songbirds moving around the world. Nowadays, more than half of birds are song birds.

Anything else that is a priority?

The very first birds in the fossil record – proper flapping flight birds like Archaeopteryx – are from about 150 million years ago. Archaeopteryx had big feathered wings that could flap, but also teeth in its jaws, as well as big claws and a long tail. It’s the quintessential evolutionary link in transitional species, and has been known since the 1860s, when Huxley and Darwin wrote about them. Archaeopteryx was integral to their idea that birds evolved from dinosaurs.

Archaeopteryx fossil imprint.
Archaeopteryx fossil imprint.
Andreas Wolochow

We still haven’t discovered anything much older. We have some new fossils from China that are about the same age. Yet these birds must have had ancestors that were a bit more primitive, that could only fly in more of a rudimentary way. That’s one thing we’re waiting for, maybe from the Late Jurassic (162 to 143 million years ago) or even Middle Jurassic (174 to 162 million years). Those fossils would give us proper insight into how flapping flight really originated.

The Story of Birds US edition publishes on April 28, while the UK edition publishes on June 11 and is available for pre-order.

This article features references to books that have been included for editorial reasons, and may contain links to bookshop.org. If you click on one of the links and go on to buy something from bookshop.org The Conversation UK may earn a commission.

To read an extract from the book, click here.


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The Conversation

Stephen Brusatte publishes books with HarperCollins and Picador. He receives funding from the Swedish Research Council, European Research Council, National Geographic, and Leverhulme Trust.

ref. There’s a reason we don’t have birds the size of elephants: the mysterious story of how dinosaurs evolved – expert Q&A – https://theconversation.com/theres-a-reason-we-dont-have-birds-the-size-of-elephants-the-mysterious-story-of-how-dinosaurs-evolved-expert-qanda-280960

Peatlands are vital for tackling climate change, yet scientists still haven’t found them all

Source: The Conversation – UK – By Alice Milner, Associate Professor, Department of Geography, Royal Holloway, University of London

A peat bog in Tierra del Fuego National Park, Argentina. Ororu/Shutterstock

Push a metal corer into a peatland and you pull up something remarkable: a dark, dense, sponge-like material made of partly decomposed plants. This peat is rich in carbon. In some places, that peat has been building up for thousands of years. Peatlands are the ecosystems where this happens.

Peat is often associated with the bogs of Scotland or Ireland, but peatlands occur on every continent, from the Arctic to the tropics. They can sit beneath open moorland, under swamp forest or in remote floodplains. What links them is water: in wet, oxygen-poor ground, dead plant material does not fully rot away, so carbon accumulates over centuries and millennia.

That makes peatlands globally important. Although they cover only about 3–4% of Earth’s land surface, they store nearly a third of the world’s soil carbon. When they remain intact, they can keep locking away carbon over very long timescales. But when they are drained or converted for agriculture, forestry or development, that stored carbon is exposed to air and released back into the atmosphere as greenhouse gases, including carbon dioxide. Thus, peatlands can become major sources of greenhouse gas emissions when degraded. Globally, peatland degradation is estimated to account for around 5–10% of annual human-caused carbon dioxide emissions.

For ecosystems so important to the global carbon cycle, we still know surprisingly little about some basic things.




Read more:
How we discovered the world’s largest tropical peatland, deep in the jungles of Congo


One of the biggest questions is simply: where are all the world’s peatlands? That may sound like a question scientists should already have answered. But many peatlands are hard to detect from the surface, difficult to access, or lie beneath dense forest. Large areas of the tropics remain poorly mapped.

What may be the world’s largest tropical peatland complex, in the Congo Basin, was only formally confirmed to science in 2017. That discovery was astonishing not just because of its size, but because it showed that globally important carbon stores can still remain effectively hidden in plain sight.

This uncertainty matters. If countries do not know where their peatlands are, they cannot fully account for them in climate plans, biodiversity strategies or national greenhouse gas inventories. And if we are still refining estimates of peatland extent, we are also still refining estimates of how much carbon they store.

That gap was one reason behind a new study I co-authored. Rather than trying to answer a single peatland question, we asked a broader one: what does the peatland community think science most urgently needs to resolve?

Working with a global network of more than 100 co-authors, my team ran an open survey in 21 languages and received responses from over 450 people across 54 countries. Participants included researchers, policymakers and practitioners. An independent panel then prioritised the responses, producing 50 questions for peatland science over the next decade. What emerged was not just a set of narrow technical questions. It showed a discipline that is changing fast.

green plants, dark peat-dense water
The peat swamp forest in Sebangau national park in Indonesia.
RidhamSupriyanto/Shutterstock

Some priorities were surprisingly fundamental. Participants highlighted the need to map peatlands better, especially in poorly surveyed tropical regions (the Congo peatland is an excellent illustration of this point), and to improve estimates of global carbon storage and greenhouse gas emissions. Others focused on how peatlands will respond to climate change: whether drought, fire and warming could push some peatlands past tipping points where they release more carbon than they store.

Restoration was another major concern. There is already broad agreement that conserving intact peatlands and rewetting drained ones are essential for climate and biodiversity goals: at least 30 million hectares of degraded peatland need to be rewetted by 2030 as a first step towards meeting climate change targets. But restoration is not one simple recipe. A damaged upland bog in Britain is different to a drained tropical peat swamp forest in Indonesia or a permafrost peatland in the Arctic. What works in one place may not translate neatly to another.

Peat, power and people

Just as striking was how often people raised questions about communities, livelihoods, power and fairness. Peatlands are not empty landscapes waiting to be fixed.

In many places they are lived in, worked and culturally significant. Participants asked how local and Indigenous knowledge can shape restoration, how wet agriculture “paludiculture” (farming crops on rewetted peatlands or wetlands) and other peatland livelihoods might work in practice, and whether the benefits of carbon finance and conservation will actually reach local communities.




Read more:
Your next puffer jacket could be made from bulrushes, as carbon-storing peat farming takes off


So peatland science is no longer just about describing these ecosystems. It is increasingly about decisions: which peatlands are protected, which are restored, how land is used, who bears the costs and who benefits.

Our study has limits. Most respondents were researchers, and some peatland-rich regions and perspectives were less well represented than others. So this is not a final blueprint for what peatland science should look like everywhere. But it does offer a community-informed snapshot of where the biggest gaps now lie.

For a long time, peatlands were treated as marginal, soggy places at the edge of more useful land. Peatlands are now becoming central to climate regulation, water security, biodiversity and the livelihoods of many people who live on and around them.

Pulling peat from the ground means touching material that has been building up for millennia. It is a reminder that these landscapes work on timescales much longer than our own. But the decisions that will shape their future are being made now, and they will help decide not only whether peatlands remain a climate buffer or become another source of instability, but also who gets to benefit from their protection and restoration in the future.

The Conversation

Alice Milner did not receive funding for this work, and does not work for, consult or own shares in any company or organisation that would benefit from this article. Many co-authors on the paper on which this article is based are employed by organisations, including government agencies, intergovernmental organisations, non-governmental organisations, and environmental consultancies, whose mandates include peatland research, management, conservation or policy advice. These institutional affiliations are as stated in that paper.

This article was written in collaboration with Michelle McKeown (University College Cork, Ireland), Monika Ruwaimana (Universitas Atma Jaya Yogyakarta, Indonesia), Angela Gallego-Sala (University of Exeter, UK) and Julie Loisel (University of Nevada, Reno, USA). We are grateful to Johanna Menges (University of Bremen, Germany) and Thomas Roland (University of Exeter, UK) for their invaluable contributions, and all co-authors from around the world who contributed to PeatQuest as translators, regional contacts, and expert prioritisation panel members, as well as the many people who submitted questions anonymously to the survey and helped distribute it.

ref. Peatlands are vital for tackling climate change, yet scientists still haven’t found them all – https://theconversation.com/peatlands-are-vital-for-tackling-climate-change-yet-scientists-still-havent-found-them-all-279578

These £500 plug-in solar panels are about to go on sale: here’s what an expert says you need to know

Source: The Conversation – UK – By Dylan Ryan, Lecturer in Mechanical & Energy Engineering, Edinburgh Napier University

Millions of panels are installed across Germany. Ingrid Balabanova/Shutterstock

Plug-in solar panels are expected to officially go on sale in the UK in the next few months for around £500. But there are quite a few obstacles for the government and householders to overcome before this becomes the easy-to-use option that is popular in other European countries.

Plug-in solar typically consists of one or more panels, which can be mounted on the sides of a balcony (or in the garden), and then connects to the house via an inverter. The inverter converts the type of electricity that the panels generate to the voltage and frequency used by the grid.

In theory this power can be fed into a home via a standard plug. This has not been possible in the UK for safety and regulatory reasons, but these regulations are now being amended to allow this, provided the panels meet new safety standards.

In Germany, millions of panels like these were in use in 2025. The German-owned supermarket Lidl and British-owned Iceland are already working with the UK government to put them on sale in the UK. These panels could produce around 200–500kWh per year, about 10% of a typical household’s energy, depending on how the system was positioned.

What the government needs to do

The government’s plans will allow plug-in installations of up to 800W, subject to several guidelines. But it’s still not clear if there’s going to be any changes to planning laws which might be needed. Tenants would also need to check with their landlord in a shared development (as balcony solar could affect the building insurance, which is often shared across the block). There may also be restrictions under planning law for people living in a conservation area.

To get optimum power, you would want to tilt the solar panels. But this may also be contrary to existing planning rules. Without this angle, performance could be cut by 30-45%. Do planning rules need to change on this?

The government is promising new safety standards and “anti-islanding” measures for these kits. “Anti-islanding” refers to the danger that the plug prongs are live for a short time after being unplugged or if the grid was to go down and the panels continued to feed power into the house with no way to use the power. Some form of safety mechanism is needed to stop the flow of electricity in these cases.




Read more:
Plug-in solar panels are the latest green energy trend – here’s what you need to know


The professional body, the Institute of Engineering and Technology, and trade association the Electrical Contractors Association have already raised some concerns about use of this type of solar panels. It’s clear that some UK homes have older electrical systems that won’t cope with plug-in solar. Previous UK building standards haven’t factored in power being fed into houses via a plug in this way.

While some of these plug-in devices available online are good quality, others are cheaply made, which is another concern. There needs to be an industry standard and enforcement.

Plug-in solar panels are popular with renters in Germany.

What householders need to think about

For most people living in houses (rather than flats) it’s going to be fairly straightforward, but some (including those in conservation areas) may need planning permission. Most people should also check with their insurers.

Balcony solar is not ideal for everyone. If your balcony is shaded part of the day or north facing you may gain little benefit. It’s worth checking this.

You will still have to notify your local district network operator, who maintain and fix your network. This is different from your energy company. You will also need to fill in a G98 notification. This online form tells your electricity supplier that you have a solar system that will be feeding power into the grid. These forms are usually filled out by electricians. It’s not clear yet if householders or tenants will be able to handle these applications themselves.

You’ll need a weatherised external plug for a unit on your balcony and to connect to your house. If you are calling out an electrician to install that, it might be safer to just have the system wired into the mains directly. But you can’t just run a cable in through an open window as that wouldn’t be safe. Also having an open window would let heat escape, and homes typically use more energy on heating than on electricity, potentially wiping out any benefits from the solar kit.

Another consideration is what to do with the power itself. The price paid by the grid for householders supplying excess energy is often a lot less than the price of buying electricity from the grid, so householders really want to use as much of that power themselves as possible. One solution to this is to buy a battery. While these can cost several hundred pounds, it means you can charge the battery during the day and then use the power at night. So, a battery improves flexibility, but it also increases costs and shortens the payback period.

The government hopes that plug-in solar could encourage more people to start using solar, which might then encourage investment in larger installations such as on rooftops, which can produce far more power. However, it’s worth remembering that in Germany it worked in reverse, first came rooftop solar (supported by government subsidies) and then balcony systems filled in the gaps.

By quickly addressing some of these practical issues, the government can encourage a wider shift to solar power.

The Conversation

Dylan Ryan does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. These £500 plug-in solar panels are about to go on sale: here’s what an expert says you need to know – https://theconversation.com/these-500-plug-in-solar-panels-are-about-to-go-on-sale-heres-what-an-expert-says-you-need-to-know-280946

Council elections take place for some Palestinians – but continuing mass displacement makes Gaza poll farcical

Source: The Conversation – UK – By Anne Irfan, Lecturer in Interdisciplinary Race, Gender and Postcolonial Studies, UCL

There was an election, of sorts, in Gaza at the weekend. It was a very limited vote – only people registered to vote in the central Gaza city of Deir al-Balah were able to cast a ballot. This made up a total electorate of 70,000 people, and of them, only 23% actually voted.

Hamas did not field any candidates and the municipal election has been described as a largely symbolic exercise by the Palestinian Authority (PA). The PA, which is dominated by Fatah under Palestinian president, Mahmoud Abbas, wants to link the West Bank and Gaza politically ahead of a possible presidential campaign at some stage in the future.

The low turnout in the Gaza poll was not unexpected given the continuing instability in the Strip. A joint report on Gaza published earlier this month by the UN, EU and World Bank, estimated that the Israeli military has displaced more than 1.9 million Palestinians in the last two-and-a-half years.

Less reported – but no less important – is the fact that this displacement continues, despite the ceasefire agreement announced in October 2025. The situation remains volatile, with the Israeli military having killed more than 738 Palestinians in Gaza since then.

All the signs are that this displacement will last. The Israeli army remains on the ground in more than half of the Gaza Strip, which is now divided by the so-called “yellow line” established shortly after the ceasefire. Although the line was originally announced as a temporary measure ahead of the military’s full withdrawal, there is every sign of it becoming a fixed border. Israel’s military chief of staff, Lieutenant-General Eyal Zamir appeared to confirm this when he visited Gaza in December 2025 and described the yellow line as “a new border line”.

Now virtually the entire Palestinian population of Gaza – the vast majority of whom have been forced to move at least once during the conflict, now widely recognised as a genocide – are confined to its eastern side. Any Palestinian who crosses the line risks being shot by the Israeli army.

More than 200 Palestinians have already lost their lives in this way. Most infamously, the Israeli army killed 11 members of the Abu Shaaban family, including seven children, as they were driving back to their home in the early weeks of the ceasefire.

By forcibly preventing Palestinians from returning to their homes, Israel is making the Palestinian people’s displacement permanent. And as the majority of Gaza’s Palestinians were already refugees before the Israeli assault began in October 2023, many see this policy as continuation of what they call the Nakba_ – or “catastrophe”. This began in 1948, when Zionist militias and the Israeli army displaced and expelled at least 750,000 Palestinians, leading more than 200,000 to seek refuge in Gaza.

Complicating matters further still, the Israeli military has repeatedly moved the yellow line further inward, seizing more territory in a de facto land grab. According to recent estimates, the side of the line occupied by the Israeli military now comprises more than 58% of the territory of the Gaza Strip.

This area appears to have been earmarked for US-Israeli investment, development and possible settlement, while remaining out of bounds to Palestinians.

Transfer out of Gaza

At the same time as this ongoing internal displacement, controversial schemes to transfer Palestinians out of Gaza altogether are continuing. Since 2023, both the Israeli government and the White House have discussed numerous proposals for the Palestinians’ mass relocation from Gaza. Indonesia, Libya, Sudan, Congo and Somalia have all been touted as possible destinations. The Trump administration also proposed offering Palestinians US$5,000 (£3,680) to leave Gaza “voluntarily”.

Palestinians have overwhelmingly rejected these plans. Yet despite the 20-point ceasefire agreement stating that “no one will be forced to leave Gaza” and promising that “we will encourage people to stay”, various transfer schemes have continued covertly. Over the past year, hundreds of Palestinians have been spirited out of Gaza on flights organised by a settler organisation linked to the Israeli military.

This operation came to light when 153 Palestinians were forced to spend 12 hours on an airport runway in South Africa after landing there without the required travel documents. Media investigations subsequently found that their journey had been facilitated by an organisation called Al Majd Europe, which calls itself a humanitarian agency working to evacuate Muslims from conflict zones. Palestinians pay US$2,000 upfront to Al Majd Europe which then arranges for their departure from Gaza.

As it turns out, Al Majd Europe is led by Israeli-Estonian national Tomer Jamar Lind. A report published by Israeli daily newspaper, Haaretz, has found that Al-Majd coordinates with the Israeli army’s Voluntary Emigration Bureau, which is run by Israel’s far-right finance minister, Belazel Smotrich.

Behind the scenes, the evacuation scheme is orchestrated by the organisation Ad Kan, whose leader Gilad Ach openly backed Trump’s plans for mass transfer from Gaza.

After bussing the Palestinians from Gaza to southern Israel, the organisations arrange for them to fly from Ramon airport to a range of destinations, including Indonesia, Malaysia and South Africa.

Some of the Palestinians who have been relocated in this way report not knowing where they are going. There are striking parallels with the 1970s, when the Israeli authorities tried to illicitly deport thousands of Palestinians from Gaza to Paraguay.

In effect, then, Israel is pushing Gaza’s 2 million Palestinians into a confined part of the Strip while simultaneously working to relocate them out of Palestine altogether. And with international attention largely now turned away from Gaza, there is alarmingly little to stop these plans getting considerably further – before it is too late.

The Conversation

Anne Irfan has received research funding from the British Academy

ref. Council elections take place for some Palestinians – but continuing mass displacement makes Gaza poll farcical – https://theconversation.com/council-elections-take-place-for-some-palestinians-but-continuing-mass-displacement-makes-gaza-poll-farcical-281282

The story of birds: a new history from their dinosaur origins – extract of Steve Brusatte’s new book

Source: The Conversation – UK – By Stephen Brusatte, Chancellor’s Fellow in Vertebrate Palaeontology, University of Edinburgh

The following is an edited extract from The Story of Birds: A New History From Their Dinosaur Origins To the Present

I will never forget my first dinosaur wing. I was a college student, on my first international expedition, preparing to venture into the mountains of Tibet in search of Jurassic dinosaurs.

Our team assembled in Beijing, and as we rushed through the galleries and storehouses of the Institute of Vertebrate Paleontology and Paleoanthropology, I stole a fleeting glance, from across the room. A skeleton of the little carnivore Microraptor, its long arms unfurled, adorned with feathers forming a broad sheet. The wings sparkled in the low light; I was mesmerised. And then we were hustled along.

Story of Birds cover

Harper Collins, CC BY-SA

Nearly a decade later, I got to spend quality time with a dinosaur wing. My friend Junchang Lü, one of China’s leading dinosaur hunters, had gotten word that a farmer in Liaoning had stumbled upon something remarkable while harvesting his crops. It was a fossil coelurosaur (a variety of two-legged dinosaurs that includes modern birds), said to be swathed in many types of feathers. A few grainy photos confirmed those details, but little more.

A museum in the city of Jinzhou had procured the specimen and invited Junchang to study it. Because I had analysed many coelurosaurs for my PhD thesis, Junchang asked for my help. We met one cold November morning at Beijing’s central railway station and boarded an eastbound train. We didn’t know what would be waiting for us when we disembarked.

Two black SUVs, as it turned out. Junchang and I were whisked inside, and we sped through the streets of Jinzhou like we were in a presidential motorcade. When we arrived at the museum, we were led through a dim hallway and into a side room, where a big slab of gray rock balanced on a table. Everyone paused. A strange tension filled the air. After a few whispered words of Mandarin, Junchang turned to me and motioned us forward.

In front of us was a dinosaur skeleton the size of a large dog. It was obviously a dinosaur, as it had the reinforced pelvis, with extra connections between the backbone and hips, that all dinosaurs inherited from their Triassic ancestors.

Beyond that, I could tell it was a dromaeosaurid – a member of the same “raptor” group as Ostrom’s Deinonychus, Jurassic Park’s Velociraptor, and the Microraptor I’d seen years earlier in Beijing – because it had the signature sickle claws on its toes. And there were indeed feathers all over its body, which a couple of decades earlier would have seemed outlandish, but by now was no surprise to us.

What was astonishing, though, were its arms. Quite simply, the arms were wings. And the individual feathers composing the wings were preserved in sublime condition. We could clearly see a line of ten fan-shaped feathers attaching to the hand, each one longer than the humerus bone of the upper arm. Making a continuous series with them, another 20 feathers followed behind, affixed to the ulna, the bow-shaped long bone of the forearm that forms the wrist where it meets the hand, and the elbow joint at its back end.

Partially covering all of these feathers, close to where they attached to the arm bones, was a blanket of about 30 additional quills. These overlain feathers were smaller than the ones attaching to the hand and forearm, so they formed a dense covering close to the arm bones, but did not extend all the way across the wing.

This was the wing of a bird. Its overall construction was exactly that of a sparrow or an eagle. If I had just seen this wing and not the raptor dinosaur it was connected to, I would probably think that it belonged to some large bird.

The feathers attached to the hand are the primaries. They are the longest and narrowest of the wing feathers, can rotate individually relative to each other, and form much of the front and side of the wing when it is unfolded. The feathers attached to the ulna are the secondaries. They are more crowded together than the primaries, and therefore make a more coherent sheet, which forms much of the back edge of the wing.

The secondaries often join to the bone via ligaments, which attach to a series of bumps along the ulna called quill knobs. And finally, the feathers that covered the primaries and secondaries are the coverts. They help protect the primaries and secondaries, and give the wing extra integrity.

We named this winged raptor Zhenyuanlong: Mr. Zhenyuan’s dragon, in honour of the museum director who secured it from the farmer. Because its wing so closely matches that of a modern bird, and because today’s birds use their wings to fly, you would probably assume that Zhenyuanlong was soaring over the Cretaceous volcanoes of China.

But it didn’t. It couldn’t. It was not capable of doing that special thing that birds can do: actively flap its wings to generate enough of those two key aerial forces: lift to get airborne and thrust to move forward through the air. This is what is called powered flight, as opposed to passive aerial manoeuvres
such as gliding.

Zhenyuanlong’s body was too big, and its wings too small in proportion: if it tried to flap it wouldn’t have been able to stay airborne. That’s not a guess; it’s the laws of physics. There is a well-known relationship between body size and wing size in birds today that are capable of powered flight. They can have approximately 2.5 grams of body weight for every square centimetre of wing area and, at least theoretically, be able to support their body in the air. Any more weight, and flapping doesn’t work.

Zhenyuanlong was nowhere close to this cutoff; it would have needed to lose about half its weight in order for its wings to work as flappers. Other aspects of its skeleton corroborate this: its arms are quite short, and it lacks the large breastbone (sternum) that anchors the bulging flight muscles of today’s birds. Maybe Zhenyuanlong could have glided a short distance, but that would have been the extent of its aerial adventures.

Sexual selection

What we see in Zhenyuanlong is part of a wider trend. Many coelurosaurs had wings of quill feathers, but their wings were too small to power their bodies through the air. If you look at trends in feather evolution across the family tree of dinosaurs, the first species with wings were oviraptorosaurs like Caudipteryx and Big Mama, animals the size of sheep with wings no bigger than a dinner plate.

There is provocative evidence from fossil quill impressions on the ulna bones of even more primitive coelurosaurs that wings might have even first evolved in horse-
size dinosaurs. Those wings would likely have been about the size of laptop screens. There’s no way any of these dinosaurs could fly with such wings – at least in an active, flapping way.

This leads to a startling realisation: dinosaur wings did not evolve for flight. Like feathers themselves, wings evolved for another reason, and were later repurposed as airfoils. It’s a conundrum. Why else would such a large and complicated structure as a wing develop in the first place?

Looking at the too-tiny-to-flap wings of Zhenyuanlong got me thinking about a famous quote from Charles Darwin. “The sight of a … peacock’s tail, whenever I gaze at it, makes me sick!” he wrote to his botanist friend Asa Gray in April 1860, less than six months after he published On the Origin of Species.

Although Darwin was notoriously prone to stomach pains and other ailments, this particular ache was metaphorical. In the flamboyant train of the peacock – built
from huge feathers longer than the bird’s body – Darwin saw an outrageous structure whose origins he could not comprehend. It wasn’t used for flying, even though it was made of big feathers. It wasn’t helpful in finding food or escaping predators.

Try as he might, he could not envision it evolving through natural selection, the mechanism for change over time that he had just articulated in his new book, in which variations that confer advantages are favoured through survival of the fittest.

Perhaps, Darwin surmised, beautiful feathers and other gaudy structures develop not because they help their bearers survive the perils of droughts and predators, but because they promote reproduction. He called this theory “sexual selection”, to distinguish it from natural selection.

In 1871, in The Descent of Man, and Selection in Relation to Sex, Darwin explained how sexually selected traits like fanciful crests, feathers and colour patterns improve an individual’s ability to acquire mates, by making them either more attractive to potential partners or better able to compete with rivals in the mating game through displays of dominance and intimidation.

Might sexual selection explain why some coelurosaurs turned their simple fuzzy feathers into wings made of quills. It’s hard to prove definitively, but I think several lines of evidence support the case.

First is the fact that many modern birds like peacocks use their feathers – and even embellish them into comically large billboard-like structures – to attract mates and intimidate rivals. Second is the fact that sexual selection was operating in some of the first true birds flying overhead of their ground-bound coelurosaur cousins.

A primitive bird from China, called Confuciusornis, is known from hundreds of fossils, half of which have ridiculously long ribbon feathers streaming off their tails, and half of which don’t. These feathers are too skinny to provide any lift or thrust during flight, they’re seen in only half the population, and, crucially, they’re not present in those individuals that have medullary bone, the unique tissue that female birds use to mine calcium to shell their eggs.

Clearly these tawdry ribbon feathers are the stuff of males, and their only plausible use could be in display. Sexual selection, therefore, was happening in birds from the very beginning of powered flight, so it’s likely it was
shaping their coelurosaur ancestors too. The most convincing evidence, however, comes from the coelurosaur fossils themselves.

Dinosaurs in colour

Many of the dinosaur books I read as a child in the late 1980s and 1990s would include a defeatist statement: we’ll never know what colours dinosaurs were. Those books were wrong.

In the late 2000s a tall, bearded Danish PhD student named Jakob Vinther was looking at fossils under high-powered scanning electron microscopes and noticed a peculiar detail. Many of them – including dinosaur feathers – preserved
a variety of small, bubble-like structures. They looked exactly like the melanosomes of modern-day animals. These are the little vessels that hold pigment, the chemicals that confer colour. We know that sausage-shaped melanosomes impart a black hue, meatball-shaped ones a rusty red, and so on.

By measuring the size and shape of the fossil melanosomes, and comparing them to melanosomes in today’s animals, Jakob could predict the colours of dinosaur feathers. It was an astounding revelation.

Before long, Jakob and his colleagues showed that coelurosaurs boasted a brilliant array of plumage. Some feathers were black, others white, gray, or ginger. One little winged coelurosaur called Anchiornis was decked out in a fancy coat, as if going to a Jurassic cocktail party. Its face was speckled black and red, a ginger mohawk erupted from its head and neck, and its wing feathers were white across most of their lengths but black at their tips, which when the various primaries and secondaries and coverts were layered together, produced a wing of alternating white and black stripes, like the hide of a zebra.

Later Jakob got me in on the action, and trained one of my undergraduates, Angus Croudace, in deciphering the colours of another coelurosaur, a raptor called
Wulong, which had a drab grey body but black wings that sparkled in the sun with the iridescent sheen of a crow.

Such excessive flaunting of colour and texture could have served only one purpose: display. These coelurosaur ancestors and cousins of birds were under the spell of sexual selection, and some of the feathers forming the first dinosaur wings –
which were useless as flapping airfoils – were being used as ornaments.

Wings, therefore, might have first evolved in dinosaurs as advertising billboards sticking off of the arms. That was probably what many of these winged coelurosaurs, like Zhenyuanlong, were using their wings for.

Lift off

Then the billboards took on a new function, and became airfoils. It would have been pure happenstance. Remember that these coelurosaurs were getting smaller over time, and that there is also a tendency for display structures to become ever more fanciful in order to stay ahead in the mating race.

So while coelurosaurs like Zhenyuanlong were too big to fly with their small wings, you can imagine that if their bodies got a bit smaller, and their wings a bit bigger in order to look more attractive to mates or scary to rivals, a tipping point would be reached.

By the laws of physics, the billboards would now be broad enough, relative to the smaller size of the body, that if the coelurosaur moved them around, they could produce a little lift, a little thrust, and that dinosaur could start flickering about in the air.


The Insights section is committed to high-quality longform journalism. Our editors work with academics from many different backgrounds who are tackling a wide range of societal and scientific challenges.


These first attempts at flight would have been awkward, and the billboard wings might have initially been used more as brakes or stabilisers, to help in leaping and turning. But now, a threshold had been crossed, and Darwin’s classic natural selection could start fine-tuning these flapping dinosaurs into ever-better aerialists.

It’s a story that makes intuitive sense. A nice, orderly progression from winged coelurosaurs to flying birds. But like many things in nature, the reality was probably much more complicated – and much more interesting.

The more feathered dinosaurs we find, the more we realise that not all coelurosaurs had the same types of wings. Some, like Zhenyuanlong, look similar to today’s birds, with wings on the arms made from layers of primaries, secondaries and coverts. But then there’s Microraptor – the little dromaeosaurid that hypnotised me as a college student in Beijing – which not only had wings on its arms but also on its legs, and its tail too.

In fact, such hind limb wings are present in many other feathered coelurosaurs, which is odd, because although various birds today have feathers on their legs, none has anything approaching a broad, sheetlike wing. And weirdest of all is tiny
Yi qi, a fluffy coelurosaur that would fit in the palm of your hand, which had feathers on its body but a wing made of something else entirely: skin, which stretched between its fingers and a strange rod-like bone in its wrist. It was a dinosaur that looked like a bat.

Some of these weirdly winged dinosaurs could surely glide, and a few probably were capable of powered flight. Microraptor is the prime example. My colleagues and I have done the calculations, and the wings of Microraptor were more than big enough to support its crow-size body in the air. On top of that, its feathers show many harbingers of flapping flight in modern birds.

Microraptor’s wing feathers are asymmetrical, with a much narrower leading vane in front of the shaft and a wider trailing vane. This is a telltale aerodynamic signal: It allows the overlapping feathers to form the cambered shape that a wing needs in order to function as an airfoil that can generate lift, the same way an airplane wing is curved at the top.

One stunning Microraptor fossil shows its wing feathers in mid-molt, and like flying birds today, it lost old feathers and grew new ones in a sequential pattern rather than all at once, probably so it could maintain enough of an airfoil to fly and not have to stay grounded for days at a time while it replenished its plumage. And finally, perhaps most convincing of all, scientists have built physical models of Microraptor, put them into wind tunnels, and observed how the wings are able to generate lift to keep the model airborne.

These various dinosaur wing shapes are indicative of distinct ways of gliding and flying, which, to me, implies multiple independent origins of flight among dinosaurs. We can understand it with an analogy to human aeronautics. A hot air balloon and a Boeing 737 can both get airborne, but they do so in much different ways, and look nothing alike.

No single engineer turned a hot air balloon into a Boeing 737; instead, they developed separately as different people, at different times, tinkered with ways to get into the air. But, those engineers had a common understanding of flight mechanics and properties like lift and thrust, so they built their flying machines out of the same general knowledge base.

Evolution seems to have done something similar with dinosaurs. There was a zone on the family tree of small coelurosaurs whose ancestors had already developed feathers for insulation, and elaborated them into wings for display.

Here and there, sexual selection and natural selection could make little tweaks to this common blueprint – a small decrease in body weight here, a slightly bigger advertising billboard wing there – and different coelurosaurs would be able to get
airborne. Each followed its own idiosyncratic route into the skies, some probably soaring upward from the ground and others parachuting downward from the trees, but they all emerged out of this frenzy of experimentation.

If you were back in the Jurassic or Cretaceous, trying to avoid the footfalls of a
Brontosaurus or the crushing bite of a T.rex, the skies would have been aflutter with a prehistoric aviary of gliding and flapping dinosaurs. It’s hard to know exactly how many coelurosaurs independently invented flight – it might have been just a few groups, it might have been dozens.

Some were probably short-lived; others might have persisted for millions of years, particularly those raptors with arm and leg wings. All bar one, however, met the same ultimate fate: extinction. That one survivor was the group that led to modern birds, which actively flap their arm wings made of primaries, secondaries and coverts.

It would be like if the entire history of human aeronautics – every hang glider, weather balloon, prop plane, crop duster, helicopter, rocket, jumbo jet – was wiped away, except for, say, space shuttles.

Copyright © 2026 by Stephen (Steve) Brusatte. Published by Mariner Books, an imprint of HarperCollins Publishers. No derivatives permitted. Reprinted with permission. The US edition publishes on April 28, while the UK edition publishes on June 11 and is available for pre-order.

To read an interview with Professor Steve Brusatte about the book, click here.

The Conversation

Stephen Brusatte publishes books with HarperCollins and Picador. He receives funding from the Swedish Research Council, European Research Council, National Geographic, and Leverhulme Trust.

ref. The story of birds: a new history from their dinosaur origins – extract of Steve Brusatte’s new book – https://theconversation.com/the-story-of-birds-a-new-history-from-their-dinosaur-origins-extract-of-steve-brusattes-new-book-281562

Pourquoi est-il déconseillé de boire de l’alcool quand on prend des médicaments ?

Source: The Conversation – France in French (3) – By Mickael Naassila, Professeur de physiologie, Directeur du Groupe de Recherche sur l’Alcool & les Pharmacodépendances GRAP – INSERM UMR 1247, Université de Picardie Jules Verne (UPJV)

Anticoagulants, antihypertenseurs, diurétiques, anxiolytiques, antidépresseurs, antidiabétiques, anticancéreux… tous ces médicaments apparemment sans grand rapport les uns avec les autres ont pourtant un point commun : ils sont sensibles aux interactions avec l’alcool. Consommer une boisson alcoolisée alors que l’on est sous traitement entraîne potentiellement des effets variés, dont certains peuvent être graves.


Vous sortez de la pharmacie avec dans votre sac un traitement contre la douleur, l’anxiété, l’hypertension ou le diabète. Votre pharmacien vous a très certainement expliqué la dose de médicament à prendre, et sur quelle durée. Il s’est peut-être attardé sur les effets secondaires potentiels. Il est possible qu’il vous ait aussi demandé si vous fumiez. Mais souvent, une question reste absente de ce type d’échange : vous arrive-t-il de consommer de l’alcool ?

L’association entre consommation d’alcool et médicaments est pourtant l’une des situations les plus fréquentes du quotidien. Elle concerne des millions de personnes, souvent sans qu’elles en aient conscience. Or, l’alcool peut modifier l’efficacité d’un traitement, en augmenter la toxicité ou amplifier certains effets indésirables, parfois avec des médicaments très courants.

Derrière cette réalité se cachent des mécanismes biologiques complexes, mais dont les conséquences sont très concrètes : chute, malaise, saignement, hypoglycémie, surdosage, inefficacité du traitement, ou aggravation silencieuse d’une maladie chronique.

Et contrairement à une idée reçue, il ne s’agit pas seulement d’un problème lié aux somnifères ou aux « gros buveurs ».

Une problématique fréquente

L’association entre alcool et médicaments potentiellement susceptibles d’interagir avec cette substance est loin d’être marginale. Aux États-Unis, l’analyse de l’enquête nationale NHANES (1999–2010) a estimé que 42,8 % des adultes utilisaient au moins un médicament susceptible d’une telle interaction, une proportion qui dépasse 75 % après 65 ans. En Suisse, environ une personne de 55 ans ou plus sur cinq déclarait consommer souvent ou presque toujours de l’alcool en même temps que ses médicaments.

Chez les sujets les plus âgés qui prennent plusieurs sortes de médicaments, le risque devient encore plus marqué : certaines études rapportent que la grande majorité des patients sont exposés à au moins une interaction potentielle. Autrement dit, il ne s’agit pas d’une situation rare ou exceptionnelle, mais d’une réalité fréquente du quotidien, particulièrement chez les personnes âgées.

Alcool et médicaments : une relation qui n’est pas neutre

Lorsque l’on prend un médicament, celui-ci ne fait pas qu’« agir » dans notre organisme. Il est absorbé, distribué dans notre corps, transformé par le foie, puis éliminé. Toutes ces étapes constituent la pharmacocinétique du médicament. Et l’alcool peut interférer avec chacune d’elles.

Le foie joue ici un rôle central. En effet, c’est lui qui métabolise non seulement l’alcool, mais aussi une grande partie des médicaments. Or, lorsque deux substances empruntent les mêmes voies biologiques, elles peuvent se gêner mutuellement.

Mécanismes par lesquels l’alcool modifie l’efficacité des médicaments.
Naouras Bouajila

Deux situations doivent être distinguées, la consommation ponctuelle et la consommation régulière, car leurs effets sur les traitements ne sont pas les mêmes.

Consommation ponctuelle : quand le médicament s’accumule

Lors d’une prise aiguë d’alcool, un apéritif, un dîner arrosé, une soirée, l’organisme mobilise en priorité ses systèmes de dégradation de l’éthanol, notamment au niveau hépatique. Pour cela, le foie utilise diverses enzymes. Or, certains médicaments sont métabolisés par ces mêmes enzymes. Résultat : ceux-ci sont éliminés plus lentement. Leur concentration dans le sang augmente, ce qui augmente le risque d’effets indésirables ou de toxicité.

Ce phénomène peut être particulièrement problématique avec les médicaments dits « à marge thérapeutique étroite », c’est-à-dire ceux pour lesquels un faible écart de dose ou de concentration peut suffire à provoquer un effet excessif ou dangereux.

Autrement dit, un verre peut parfois faire « trop agir » un médicament.

Consommation régulière : quand le traitement devient moins efficace, ou plus toxique

À l’inverse, une consommation chronique d’alcool modifie durablement le fonctionnement du foie. Celui-ci augmente la production de certaines enzymes de biotransformation (notamment le cytochrome P450 2E1 ou CYP2E1). Ce phénomène est appelé « induction enzymatique ». Conséquence : certains médicaments sont dégradés plus rapidement qu’attendu. Ils restent moins longtemps à des concentrations efficaces, ce qui peut réduire leur effet thérapeutique.

Par ailleurs, cette adaptation a un revers. Elle favorise aussi la formation de métabolites réactifs, parfois toxiques. L’exemple le plus connu est celui du paracétamol. Après avoir été absorbé, une partie de ce médicament est transformée en un composé toxique pour le foie, la N-acétyl-p-benzoquinone imine (NAPQI). Normalement, ce métabolite est neutralisé par un composé appelé glutathion.

Schéma expliquant les raisons de la toxicité accrue du paracétamol en cas de consommation d’alcool
En cas de consommation d’alcool, la toxicité du paracétamol peut être accrue.
DR, Fourni par l’auteur

Cependant, chez les consommateurs chroniques d’alcool, la production de NAPQI peut augmenter, car le foie fabrique de plus grandes quantités de l’enzyme CYP2E1, qui transforme le paracétamol en métabolite toxique. Dans le même temps, les réserves de glutathion diminuent : elles sont davantage consommées pour neutraliser ce toxique, et souvent moins bien reconstituées en raison de l’alcool, de la dénutrition ou d’une maladie du foie. Cela majore le risque de lésions hépatiques, parfois même lorsque les médicaments sont pris à des doses usuelles.

Distribution, déshydratation, élimination : des effets moins visibles mais importants

L’alcool ne perturbe pas seulement le métabolisme.

La déshydratation qu’il favorise peut réduire le volume de distribution de certains médicaments hydrosolubles (solubles dans l’eau, ndlr) et augmenter leur concentration dans le plasma sanguin.

Les modifications de la composition corporelle observées chez certains consommateurs chroniques d’alcool, notamment une augmentation relative de la masse grasse, peuvent aussi favoriser l’accumulation de molécules lipophiles (qui présentent une « attirance » pour les tissus gras) et prolonger leur durée d’action.

Enfin, lorsqu’une consommation prolongée a altéré le foie ou les reins, les capacités d’élimination diminuent. Les médicaments s’accumulent alors plus facilement, exposant à un risque accru de surdosage ou d’effets indésirables prolongés.

Souvent invisibles pour le patient, ces mécanismes modifient profondément l’équilibre entre bénéfice et risque du traitement.

Soulignons que, lors du développement d’un médicament, certaines interactions pharmacocinétiques peuvent être étudiées, notamment si un risque est suspecté. Toutefois, les essais cliniques incluent souvent peu de buveurs importants. En outre, ils excluent les patients fragiles et évaluent mal les consommations réelles d’alcool (ponctuelles, chroniques ou variables).

Après la mise sur le marché, la pharmacovigilance peut détecter des signaux d’alerte, mais l’alcool est fréquemment sous-déclaré ou non recherché. Résultat : de nombreuses interactions avec l’alcool restent probablement sous-estimées et passent donc sous les radars.

Quand les effets s’additionnent : les interactions pharmacodynamiques

L’alcool peut aussi interagir directement avec les effets des médicaments sur l’organisme. On parle alors d’« interactions pharmacodynamiques ».

Dans ce cas, l’alcool ne change pas forcément la concentration ou la distribution du médicament, mais la manière dont le corps y répond.

L’alcool agit principalement comme un dépresseur du système nerveux central (cerveau et moelle épinière). Il en renforce le principal système inhibiteur (la transmission GABAergique), tout en freinant le fonctionnement de structures moléculaires impliquées dans l’excitation neuronale (les récepteurs glutamatergiques NMDA).

Ce double effet entraîne sédation, ralentissement psychomoteur, troubles de la vigilance, altération des réflexes et baisse des performances cognitives. En d’autres termes, l’alcool ralentit l’activité générale du cerveau ainsi que le fonctionnement du corps et diminue le niveau d’éveil.

Lorsque des médicaments agissant sur ces mêmes voies sont associés à l’alcool, leurs effets ne s’additionnent pas simplement : ils se potentialisent. C’est le cas notamment :

  • des benzodiazépines (par exemple, l’alprazolam – nom commercial Xanax – ou le bromazépam – nom commercial Lexomil) ;

  • des hypnotiques (par exemple, le zolpidem – nom commercial Stilnox – ou la zopiclone – nom commercial Imovane) ;

  • des opioïdes (par exemple, la morphine, que l’on trouve notamment dans le médicament commercialisé sous le nom de Tramadol) ;

  • de certains antihistaminiques sédatifs (par exemple, l’hydrozine – nom commercial Atarax ou la dexchlophéniramine – nom commercial Polaramine) ;

  • de plusieurs psychotropes (par exemple, Tercian pour la cyamémazine, Largactil pour la chlorpromazine).

Sur le plan clinique, cela peut se traduire par une somnolence majeure, une confusion, des troubles de la coordination, des chutes, des accidents domestiques ou de la route.

Dans les cas les plus graves, en particulier avec les opioïdes ou certains anxiolytiques, la dépression du système nerveux central peut atteindre les centres respiratoires et devenir potentiellement fatale, les patients n’étant plus capables de respirer.

Une réaction parfois brutale : l’effet « antabuse »

Certaines interactions sont plus spectaculaires encore. En temps normal, l’alcool est transformé en acétaldéhyde, puis rapidement converti en acétate grâce à une enzyme appelée aldéhyde déshydrogénase (ALDH).

Mais certains médicaments bloquent cette seconde étape. L’acétaldéhyde s’accumule alors dans l’organisme, provoquant une réaction dite de type « antabuse ».

Les symptômes peuvent apparaître rapidement : rougeur du visage, céphalées, nausées, vomissements, tachycardie, hypotension, malaise intense.

Ce mécanisme est utilisé volontairement avec le disulfirame dans la prise en charge de la dépendance à l’alcool. Le principe n’est pas de « guérir » directement l’addiction, mais de créer une forte dissuasion : si la personne boit, elle risque un malaise rapide et désagréable.

Si le disulfirame est bien un médicament (en médecine, un traitement peut agir soit en corrigeant un mécanisme biologique, soit en modifiant un comportement ou en prévenant une rechute), son utilisation soulève toutefois des questions éthiques : elle n’est acceptable que si le patient est clairement informé, volontaire et accompagné médicalement. Aujourd’hui, il est moins utilisé qu’autrefois, mais peut rester utile dans certaines situations bien encadrées.

Des réactions similaires peuvent aussi survenir avec d’autres médicaments, notamment certains antibiotiques, comme le métronidazole, ou certains antifongiques.

Il faut avoir à l’esprit que, parfois, de faibles quantités d’alcool suffisent, y compris celles contenues dans des sirops, des bains de bouche ou dans certaines préparations alimentaires…

Des interactions fréquentes avec des traitements très courants

Le sujet des interactions avec l’alcool dépasse largement les médicaments « à risque évident ». Certains médicaments utilisés couramment sont aussi concernés par cette problématique.

– Anticoagulants et antithrombotiques : la consommation chronique d’alcool peut augmenter le risque hémorragique. Elle favorise les lésions digestives (gastrites, ulcères, varices œsophagiennes), perturbe l’agrégation plaquettaire et peut altérer la coagulation via l’atteinte hépatique ;

– Antihypertenseurs : une consommation aiguë peut entraîner une vasodilatation (dilatation des vaisseaux sanguins), une chute tensionnelle, des vertiges ou une syncope. À l’inverse, une consommation chronique favorise l’hypertension et peut compliquer le contrôle du traitement ;

– Diurétiques et bêtabloquants : l’association peut majorer l’hypotension. Dans certains cas, l’alcool peut aussi aggraver bradycardie ou malaise ;

– Psychotropes, anxiolytiques, hypnotiques, antidépresseurs, antipsychotiques : l’alcool augmente souvent la sédation, la confusion, les troubles de la mémoire et le risque de chute ;

– Antidiabétiques : l’alcool inhibe la production de glucose (néoglucogenèse) au niveau du foie, ce qui peut favoriser des hypoglycémies parfois sévères, notamment chez les patients traités par insuline ou certains médicaments hypoglycémiants ;

– Traitements anticancéreux : l’alcool peut majorer la toxicité hépatique, aggraver fatigue, troubles digestifs ou atteintes cutanées et, parfois, interférer avec le métabolisme de certaines molécules.

Illustration des classes de médicaments dont la pharmacodynamique est affectée par l'alcool.
Les classes de médicaments dont la pharmacodynamique est affectée par l’alcool.
Naouras Bouajila, Fourni par l’auteur

Un risque qui explose chez les personnes âgées

Les personnes âgées constituent probablement la population la plus exposée aux interactions entre alcool et médicaments.

En effet, avec l’âge, la polymédication devient fréquente. Une part importante des plus de 75 ans prend plusieurs médicaments de façon concomitante, parfois jusqu’à cinq, voire davantage. Or, plus le nombre de traitements augmente, plus le risque d’interactions s’accroît.

S’ajoutent à cette situation des modifications physiologiques en lien avec la vieillesse, telle qu’une diminution de la masse hydrique (la quantité d’eau contenue dans le corps), qui favorise l’augmentation de la concentration sanguine d’alcool. L’augmentation relative de la masse grasse prolonge quant à elle l’action de certains médicaments lipophiles, tandis que la baisse des fonctions rénale et hépatique ralentit l’élimination des médicaments ainsi que, parfois, de leurs métabolites actifs ou toxiques, favorisant leur accumulation et augmentant le risque d’effets indésirables. Enfin, avec l’âge, le cerveau devient plus sensible aux substances sédatives.

Les interactions entre médicaments et alcool se traduisent souvent chez les personnes âgées par des chutes, des fractures, une confusion aiguë, des accidents médicamenteux qui entraînent hospitalisations et perte d’autonomie.

Soulignons que, dans ce contexte, même une consommation d’alcool jugée « modérée » peut produire des effets disproportionnés.

Pourquoi parle-t-on si peu de ce problème ?

Plusieurs raisons peuvent expliquer le fait que la question des interactions entre médicaments et alcool soit si peu abordée : parce que l’alcool est culturellement banalisé ; parce qu’évoquer sa consommation peut paraître intrusif ; parce que le temps manque souvent au comptoir ou en consultation ; parce que ces interactions semblent moins inquiétantes que celles qui peuvent se produire avec d’autres médicaments, etc.

Mais ignorer la question ne la fait pas disparaître. L’alcool est une substance biologiquement active, capable d’interagir avec de nombreux traitements. À ce titre, il devrait faire partie du dialogue thérapeutique, de la même façon que les allergies, le tabac ou les autres médicaments pris en parallèle en font partie. Aujourd’hui, demander à un patient s’il fume est devenu un réflexe de prévention. Demander s’il boit de l’alcool devrait l’être tout autant.

Alors, la prochaine fois que votre médecin rédigera votre ordonnance, ou que vous irez retirer vos médicaments à la pharmacie, demandez simplement : « Y a-t-il une interaction possible avec la consommation d’alcool, même occasionnelle ? »

Cette question, si elle était plus souvent posée de part et d’autre du comptoir, pourrait éviter bien des accidents silencieux…


Pour aller plus loin

– La Société française d’alcoologie et d’addictologie (SF2A) réalise actuellement un guide à destination des professionnels de santé sur les interactions alcool et médicaments ;

– Sur le site de la SF2A, la page AlcoolConsoScience met à la disposition des professionnels de santé des informations scientifiquement validées sur l’impact de la consommation d’alcool sur la santé.

The Conversation

Mickael Naassila est membre sénior de l’Institut Universitaire de France IUF. Il est Président de la Société Française d’Alcoologie et d’Addictologie (SF2A) et de la Société Européenne de Recherche Biomédicale sur l’Alcoolisme (ESBRA); Vice-président de la Fédération Française d’Addictologie (FFA) et vice-président sénior de la Société Internationale de recherche Biomédicale sur l”Alcool et les Addictions (ISBRA). Il est membre de l’institut de Psychiatrie, co-responsable du GDR de Psychiatrie-Addictions et responsable du Réseau National de Recherche en Alcoologie REUNIRA et du projet AlcoolConsoScience. Il a reçu des financements de l’ANR, de l’IReSP/INCa Fonds de lutte contre les addictions.

Camille André et Naouras Bouajila ne travaillent pas, ne conseillent pas, ne possèdent pas de parts, ne reçoivent pas de fonds d’une organisation qui pourrait tirer profit de cet article, et n’ont déclaré aucune autre affiliation que leur poste universitaire.

ref. Pourquoi est-il déconseillé de boire de l’alcool quand on prend des médicaments ? – https://theconversation.com/pourquoi-est-il-deconseille-de-boire-de-lalcool-quand-on-prend-des-medicaments-281078

What sitting all day does to the body

Source: The Conversation – UK – By Samina Akhtar, PhD candidate in Population and Public Health and a Fogarty Fellow, Aga Khan University

Shutterstock

For decades, one of the most prominent public health messages has been that smoking kills. But another everyday habit, far less dramatic and far more socially acceptable, may also be damaging our health: prolonged sitting.

Many people now spend up to ten hours a day seated at desks, in meetings or in front of screens. It may feel harmless, even unavoidable, but growing evidence suggests that too much sitting is linked to serious health risks, including cardiovascular disease, type 2 diabetes and early death.

People are often told to protect their health by exercising more and eating better. That advice matters, but it misses something important. Even those who meet recommended exercise targets may still face increased health risks if they spend most of the day sitting down.

This is because sedentary behaviour and physical inactivity are not the same thing. Physical inactivity means not doing enough moderate or vigorous exercise. Public health guidelines recommend at least 150 minutes of moderate activity a week, such as brisk walking or cycling, or 75 minutes of vigorous activity, such as running. Sedentary behaviour, by contrast, refers to long periods of sitting or reclining with very low energy expenditure, whether at a desk, in front of the television or during a long commute.

A person can therefore be physically active and still highly sedentary. Someone might go for a run before work, then remain seated for most of the next eight hours. The exercise helps, but it does not erase the effects of prolonged sitting on the body.

When the body stays still for long periods, a series of changes begins to take place. Skeletal muscle activity drops, making it harder for the body to absorb glucose from the blood. Over time, this contributes to insulin resistance, a major pathway to type 2 diabetes. Fat metabolism also slows down.

Blood flow becomes less efficient, reducing the delivery of oxygen and nutrients to tissues. This can impair vascular function and, over time, contribute to raised blood pressure.

Together, these metabolic and circulatory changes increase the risk of cardiometabolic problems, including high blood sugar, unhealthy cholesterol levels and the accumulation of abdominal fat.

Prolonged sitting also affects the musculoskeletal system. Poor posture and limited movement place strain on the neck, shoulders and lower back, helping to explain the aches and pains so common among office workers.

The effects are not only physical. Long periods of inactivity can reduce alertness, concentration and energy levels. Employees who sit for extended periods often report feeling more sluggish and less productive.

Globally, physical inactivity is estimated to contribute to around four to five million deaths each year. Much of the public health response has focused on encouraging people to exercise more, but reducing sedentary time is increasingly recognised as an important goal in its own right.

Since most adults spend a large share of their waking hours at work, the workplace is one of the most important settings for tackling the problem. Offices, universities and hospitals are not just places of productivity. They are also environments in which daily habits are shaped and reinforced.

Reducing sitting time does not require a gym membership or a dramatic office overhaul. Small, regular interruptions to sitting can make a meaningful difference.

Research suggests that standing up or moving for just two to five minutes every 30 to 60 minutes can improve glucose metabolism and reduce cardiometabolic risk.

Some organisations are already trying to build this into the working day. Walking meetings, prompts to stand or stretch and short movement breaks between tasks can all help people spend less time sitting.

Workplace design matters too. Height-adjustable desks allow employees to alternate between sitting and standing, while accessible staircases and walking routes can encourage more movement throughout the day.

A study of offices in the UK found that these kinds of measures can reduce daily sitting time by around one to one and a half hours. Employees also reported improvements in energy, focus and musculoskeletal comfort.

The message is straightforward: regular exercise is essential, but it does not fully offset the risks of sitting for too long. If smoking forced us to rethink the environments in which we worked and socialised, prolonged sitting should force us to rethink the structure of the working day itself. A short walk at lunch, standing during a phone call or simply getting up between meetings may sound like trivial adjustments. They are not. For modern workers, protecting health is not only about moving more before or after work. It is also about sitting less while work is happening.

The Conversation

Samina Akhtar has received funding from the Health Research Institute, National Institutes of Health, Islamabad, Pakistan. She is also a sub-recipient of a grant from the Fogarty International Center of the National Institutes of Health (USA) supporting her PhD research.

ref. What sitting all day does to the body – https://theconversation.com/what-sitting-all-day-does-to-the-body-277444