How falling vaccination rates are fuelling the antibiotic resistance crisis

Source: The Conversation – Canada – By Ruchika Gupta, Assistant Professor and Medical Microbiologist, Department of Pathobiology and Lab Medicine, London Health Sciences Centre and Schulich School of Medicine and Dentistry, Western University

Antibiotic resistance is one of the biggest health threats we face today. It’s often blamed on the overuse of antibiotics, and for a good reason. But there’s another major factor quietly driving this crisis that doesn’t get as much attention: low vaccination rates.

In early 2025, Ontario had a measles outbreak with 2,200 cases as of mid-July, mostly in people who hadn’t been fully vaccinated. An outbreak in Alberta that began in March has expanded to more than 1,300 cases as of mid-July.

Measles had been eliminated in Canada since 1998, but it’s now reappearing, largely due to missed or delayed vaccinations. On the surface, these might seem like a limited viral outbreak. But the ripple effects go much further, causing more illness, more complications and, ultimately, more antibiotic use.

Why measles can lead to antibiotic use

Measles itself is a viral infection, so antibiotics don’t treat it directly. But the virus weakens the immune system, leaving people vulnerable to bacterial infections like pneumonia or ear infections, conditions that do require antibiotics.

Unsurprisingly, this pattern isn’t new. A 2019 study published in Pediatrics showed that many children hospitalized with measles in the United States developed secondary infections that required antibiotic treatment, especially pneumonia and ear infections.

While data from the Ontario outbreak is still being analyzed, experts expect a similar surge in antibiotic prescriptions to treat these preventable complications.

The antibiotic resistance chain reaction

Infographic showing how mutations contribute to antibiotic resistance
Every time we use antibiotics, we give bacteria a chance to adapt.
(NIAID), CC BY

Here’s where it gets dangerous. Every time we use antibiotics, we give bacteria a chance to adapt. The most vulnerable bacteria die, but tougher ones survive and spread. This leads to antibiotic resistance where treatments that used to work no longer do.

Even appropriate use of antibiotics, like treating a bacterial infection after measles, adds to the problem. And the more often we need to prescribe antibiotics, the faster this resistance builds.

A 2022 global study published in The Lancet estimated that antimicrobial resistance directly caused 1.27 million deaths in 2019 and contributed to many millions more. As resistance spreads, doctors are forced to use more toxic, expensive or last-resort drugs, and sometimes, no effective treatment exists at all.

Infographic showing how antibiotic treatments become ineffective against resistance bacteria.
Antibiotic resistance means that treatments that used to work no longer do.
(NIAID), CC BY

How vaccines help fight resistance

Vaccines are one of the most powerful tools we have not just to prevent disease, but to reduce antibiotic use and slow resistance. By stopping infections before they happen, vaccines reduce the need for antibiotics in the first place.

Some vaccines protect directly against bacteria. Pneumococcal vaccines (PCV13, PCV15, PCV20) guard against a major cause of pneumonia, brain infections and ear infections. Haemophilus influenzae type b (Hib) and diphtheria vaccines prevent other respiratory bacterial diseases.

Other vaccines protect against viruses, which can weaken the body and open the door to bacterial infections called as secondary bacterial infections.

The MMR (measles-mumps-rubella) vaccine not only prevents measles but also reduces the chance of bacterial pneumonias that often occur after measles due to immunosuppression.

The seasonal flu and COVID-19 vaccines help prevent viral infections that can trigger secondary bacterial complications.

The rotavirus vaccine that protects against diarrheal disease in children has also been shown to reduce antibiotic use by more than 20 per cent, according to a 2024 study in Vaccine.

In fact, a 2020 study in Nature found that improving childhood vaccination coverage in low- and middle-income countries could reduce antibiotic-treated illnesses in kids under five by more than 20 per cent. That’s a massive step forward in the fight against antibiotic resistance.

A wake-up call

The measles outbreaks in Ontario and Alberta aren’t just local issues; they are a global warning. Each missed vaccine doesn’t just put one person at risk; it potentially means more infections, more complications and more antibiotics. That, in turn, means more antibiotic resistance for everyone.

Vaccines are not just about individual protection. They are a public health strategy that keeps antibiotics effective for when we really need them, especially for vulnerable people like cancer patients, transplant recipients and the elderly, who rely on antibiotics to survive routine infections.

Vaccines, in fact, do more than prevent disease. They protect our ability to treat infections by reducing the need for antibiotics and slowing the rise of resistant bacteria. With preventable diseases like measles making a comeback, now is the time to recognize the broader impact of vaccine hesitancy.

Choosing to vaccinate is more than a personal decision. It’s a way to protect our communities and preserve the life-saving power of antibiotics for generations to come.

The Conversation

Ruchika Gupta 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. How falling vaccination rates are fuelling the antibiotic resistance crisis – https://theconversation.com/how-falling-vaccination-rates-are-fuelling-the-antibiotic-resistance-crisis-259682

Dog thefts: what really happened during the COVID pandemic

Source: The Conversation – UK – By Daniel Allen, Animal Geographer, Keele University

smrm1977/Shutterstock

Dog theft can be a devastating crime. During the COVID pandemic, newspapers suggested there was an epidemic of “dognapping” in the UK. If you have a dog, the reports may have alarmed you at a time when there were already many reasons to feel afraid.

There are mixed views on whether or not lockdown triggered an increase in dog ownership. Animal welfare charity Battersea attributed a 53% increase in dog adoption to lockdown, and online pet adoption service Pets4Homes said in their 2022 report that demand for puppies rose 104% at the peak of lockdown in May 2020.

But animal charity PDSA said its survey data pointed to a gradual increase in dog ownership since 2011 rather than a dramatic surge during lockdown. However, we do know lockdown saw inflated prices for dogs, with some fashionable breeds going for £9,000.

In terms of criminal activity, social distancing restrictions seemed to lead to a decline in some forms of crime, including shoplifting and burglary. But many media outlets reported the number of dog thefts had increased up to 250% during the pandemic.


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We wanted to explore if the data supported claims of a dognapping epidemic and whether patterns in dog theft could suggest ways to help reduce it. Our recent study found new insights into dog theft patterns and showed the situation was more complicated than it seemed at first glance.

Under the Theft Act 1968, dog theft is not a specific offence. It comes under other theft offences, such as burglary or theft from a person.

This means police records on dog theft were not included in crime statistics. The only way to access such information is through Freedom of Information (FOI) requests to individual police forces. There are 45 territorial and three special police forces in the UK, and each has its own reporting and recording practices.

Although police FOI data for dog theft must be approached with caution, it is useful. Previous studies exploring police FOI data found an upward trend in recorded dog thefts in England and Wales: rising nearly 20% from 2015 (1,545) to 2018 (1,849) for 41 police forces combined; and up 3.5% year on year from 2019 (1,452) to 2020 (1,504) for 33 police forces.

DogLost, a UK online community for reuniting lost and stolen dogs with their owners, reported a 170% increase in stolen dogs (with Crime Reference Numbers) registered on their website in 2020 (465), compared to 2019 (172). This figure was widely quoted as a national increase “since lockdown started” by the media.

The 250% increase figure first quoted in December 2020 was actually a comparison of two seven-month periods (January-July 2019 and 2020) for only one police force.

Patterns and trends

Our study found the data for the period covering the COVID pandemic is also incomplete. Data was provided by 32 forces (71%) for 2020, by 27 forces (60%) for 2021, and 23 forces (51%) for 2022.

Patterns and trends do, however, emerge. Between 2020 and 2022, the available data shows a 3.7% rise in dog thefts in the UK, from 1,573 to 1,631. When making adjustments for the number of police forces providing data (which decreased over the period), the estimated national figures suggest there may have been more significant rise of up to 44.2%.

While we cannot assume that the forces who supplied data are representative of all 45 regional forces, if this were the case, it would equate to 2,212 recorded dog thefts in 2020, 2,645 in 2021, and 3,191 in 2022.

There was a lot of variation between different areas. For example, Cambridgeshire, Gwent and Northumbria police forces experienced increases of 36%, 49% and 80% respectively in the number of recorded dog thefts between 2020 and 2021.

Monthly analysis of data from regional police forces and DogLost, show that the number of reports of stolen dogs started to go up when the UK entered its first national lockdown and again during part of the third lockdown. But the average number of police-recorded dog thefts was actually slightly higher outside of lockdown periods than during them between 2020 and 2022.

However, in contrast with police trends, DogLost data shows a 65.2% drop in dogs reported stolen on DogLost’s website in 2022 compared to 2020. Lower DogLost numbers may reflect limited visibility or presence of their networks, the use of alternative lost and stolen dog services, or reluctance to share personal details online due to scams targeting dog theft victims.

Close up of dog looking out of a window
Dogs are often stolen from inside their own homes.
GoodFocused/Shutterstock

Our study found that, overall, there probably was an increase in dog theft from
2020 to 2022, following already identified increases in the preceding years. This rise was probably driven by a combination of opportunity (more dogs, higher value) and situational factors (accessibility, dogs unattended in gardens while owners were inside).

Our evidence does not support the notion of a widespread epidemic as portrayed by the media. However, increased media interest probably amplified awareness of the issue, and influenced the creation of the Pet Theft Taskforce, a UK government initiative set up in May 2021 to investigate and tackle dog thefts.

New research appears to confirm the idea that dog abduction has significant welfare effects on both dogs and their owners. We also know that few dog thefts are successfully resolved, with under a quarter of stolen dogs likely to be returned and around 1%-5% of reported dog thefts result in someone being charged.

However, there is potential good news. Our ongoing research suggests the number of police-recorded dog thefts decreased slightly in 2023, and again in 2024. This is supported by research from pet insurer Direct Line, which has estimated a 21% decrease in the number of stolen dogs from 2,290 in 2023 to 1,808 in 2024 in the UK.

The Conversation

Daniel Allen is founder of Pet Theft Reform and patron of the Stolen and Missing Pets Alliance (Sampa).

Melanie Flynn is a member of the Research Advisory Committee of the Vegan Society (UK).

John Walliss 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. Dog thefts: what really happened during the COVID pandemic – https://theconversation.com/dog-thefts-what-really-happened-during-the-covid-pandemic-252061

People with MS and other fluctuating health conditions are often forced to quit their jobs when they want to work

Source: The Conversation – UK – By Alice Martin, Head of Research, Work Foundation, Lancaster University

Andrey_Popov/Shutterstock

Plans to cut health-related benefits in the UK continue to give the government political grief – as well as being a huge worry for claimants. Underpinning the controversy are government plans to move more people into work with a long-term ambition of 80% employment.

But cutting welfare costs is a blunt and unhelpful way to face the challenge of increasing employment among people with long-term health conditions.

For people with fluctuating and often invisible conditions such as multiple sclerosis (MS), welfare and work are not opposed. They are usually part of the same life journey – one that is rarely linear and requires systems and supports that are flexible, not punitive.

This was the focus of a recent study led by my research colleague Aman Navani and the MS Society. It is a major UK survey of people with MS with more than 1,100 respondents, and highlights systemic failures in workplace support and welfare systems.


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Because of its fluctuating nature, MS can act as an important case study to understand how work should accommodate people’s evolving health needs. It also offers lessons that are relevant to a wide array of other conditions.

Cases of MS are rising globally. Around 150,000 people in the UK live with the condition, which affects the central nervous system and causes pain, mobility problems, cognitive issues and fatigue.

Women are more likely to have MS, which is usually diagnosed in people in their 30s or 40s. These, of course, are peak working years.

The vast majority of people with MS (96%) who participated in our study reported that their condition has affected their ability to work. This is because MS can make commuting and navigating workplace environments challenging, and physical and mental health impacts often overlap.

Managing symptoms such as cognitive changes, pain and restricted mobility can contribute to anxiety and depression. All of these things put additional strain on the working lives of those affected.

For a quarter of respondents (24%), MS had such a severe effect that they felt unable to work at all. Worryingly, one in two people said they have compromised their health by staying in a job.

For many, leaving work is the only solution they can see. More than one-quarter (26%) cited unmanageable workloads, 19% could not afford to stay in work due to low pay, 20% lacked flexible hours, and for 22% the flexibility they were offered did not meet their needs.

Just 8% said their employer helped them adapt their job to suit their health, and only 2% had progression opportunities tailored to their condition. But nearly half (45%) of those who left work said they could have stayed if their employer had understood their condition better.

Almost half (46%) of respondents who were in work had used the personal independence payment (Pip) as a lifeline. This is an allowance that helps people with the extra living costs associated with having a disability. Under the government’s plans, conditions will be tightened for new claimants.

Designing better jobs

Living with a fluctuating condition requires constant adaptation, from coping with exhaustion to managing the extra time and cost of daily activities. As such, the way jobs are designed matters.

A government report has said that one-quarter of those who are out of work and claiming health and disability benefits might be able to work if they could do so from home.

The rise of remote and hybrid work has indeed been a lifeline for some disabled workers. A recent major study of people who are classified as disabled highlights just how vital this change has been for them: 85% said remote or hybrid work was essential or very important when job hunting, and 79% wouldn’t apply for roles without it.

Among those working fully remotely, 64% said their physical health improved. Homeworking was valued by those with fluctuating conditions such as MS, and for disabled women and carers in particular, full-time homeworking was their preference.

But these gains are precarious. Growth in hybrid roles has stalled and some employers are grabbing headlines with “return-to-office” mandates even at the risk of losing key members of their workforce.

woman using a wheelchair commuting on public transport
Return-to-office mandates can force some workers to navigate a challenging commute.
AlvaroRT/Shutterstock

Nearly one in four working-age people in the UK are disabled. Work and welfare must be designed from the perspective of this growing and diverse cohort – ensuring financial security for people with health conditions, both in work and out of work.

Expanding and protecting access to secure and flexible jobs is key, including remote and hybrid roles, baking these models into more sectors of the economy. The government could lead by example with public sector workers, and protect jobs from knee-jerk employer mandates.

In January this year, only 3.8% of vacancies on the Department for Work and Pensions jobs portal included an option for hybrid or remote work.

Finally, it’s vital to improve job design and in-work support, with effective occupational health systems, consultation with workforces, normalising shorter working weeks and time off.

This would enable people with fluctuating conditions to attend appointments, recuperate and even take career breaks without harming their careers. For this, the UK needs a benefits system that supports movement in and out of work, avoiding financial cliff edges.

Too many people with MS and similar conditions who can and want to work are forced to leave jobs early due to inadequate support. They face a trade-off between progressing their working life and managing their health. The challenge for government and employers now is to remove this tension.

The Conversation

Alice Martin works for the Work Foundation think tank at Lancaster University, which received funding from MS Society to conduct the research.

ref. People with MS and other fluctuating health conditions are often forced to quit their jobs when they want to work – https://theconversation.com/people-with-ms-and-other-fluctuating-health-conditions-are-often-forced-to-quit-their-jobs-when-they-want-to-work-259083

Sylvia Plath’s ‘fig tree analogy’ from The Bell Jar is being misappropriated

Source: The Conversation – UK – By Elisha Wise, English, University of Sheffield

In chapter seven of Sylvia Plath’s The Bell Jar (1963), protagonist Esther Greenwood imagines her life branching out before her like a green fig-tree. Each individual fig on the branches represents a different “wonderful future” – a family, a successful career, romance, travel, fame, etc.

High-achieving Esther has innumerable figs she can choose from, yet she envisages herself “starving to death” in the crook of the tree because she can’t make up her mind on which of the figs she should choose.

Her indecision stems from the knowledge that choosing one wonderful future means losing out on the other, equally appealing opportunities. She wants to experience all of them, but knows she cannot, and, in the end, spends so long deciding that every single fig rots and falls to the ground, dead.

By wanting to do everything, Esther misses her chance to do anything at all. This is a metaphor about wasted potential, fears of choosing the wrong pathway, and feeling rushed into making decisions before you truly know what you want. There is little wonder that it appeals to teenagers.

The “fig tree analogy”, as it is known online, is beloved by gen Z and has become a TikTok staple over the last three years. It was first discussed on the platform as part of the 2023 “Roman Empire” meme, with female users citing it as an example of something they constantly think about.

It then reached a new peak in early 2024 thanks to the “my fig tree” trend, in which users (again, predominantly young women) wrote future hopes and dreams onto a stock image of a fig branch in videos featuring accompanying audio of the passage being read aloud.


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This trend was, in essence, a way for people to share their dream jobs – with career pathways as varied as “surgeon” and “influencer” sometimes appearing on a single branch. But it also allowed young users to express their anxieties about planning for the future.

In one video, “I can’t help but wonder if I’m going to be truly happy in [my chosen career] forever” is written beside a beautifully illustrated fig tree. I remember feeling this way myself when I read The Bell Jar for the first time in the middle of university applications and big life choices.

When you are young, it can feel like you have only one choice and can never remake it, which is why Plath’s words spoke to me then and seem to be speaking to hundreds now.

But why exactly is this metaphor resonating so strongly with gen Z?

The girls who are participating in the “my fig tree” trend are not subject to the same binary choice of marriage or career that Esther faced. It is now possible to have loads of lovers and then a husband and family, and neither disqualifies you from also being a “brilliant professor” or “amazing editor” or anything else you wish to be.

In The Bell Jar, Plath treats these things as distinct because they would truly have felt that way in Esther’s time of enforced purity and nuclear families. She was, after all, writing pre-second-wave feminism.

So why, in our fourth-wave feminist world, do women still feel their options are so narrow? It could be because women workers are disproportionately at risk of being displaced by AI, or because other TikTok sensations like the “trad wife” are promoting to young women the very purity culture that Plath rallied against.

Perhaps, for this generation, it really seems urgent to grasp hold of one fig before all are lost.

However, as the “fig tree analogy” goes more and more viral, it is at risk of being removed from its original context. The signs of this are already visible on TikTok, as the passage has in the last month been used to soundtrack #romanticisinglife content and promote fig-themed homeware at a garden centre.

It was also referenced in a recent episode of reality dating show Love Island, where it was incorrectly named the “fig theory” and not attributed to Plath.

All of this suggests that the passage has now reached an audience of people who have not read The Bell Jar and see the analogy more as some generic life wisdom than a literary device. Indeed, TikTok videos by self-styled philosophers encouraging watchers to pick any or every fig off the tree instead of being paralysed by indecision like Esther are gaining traction.

While these may prove helpful to Zoomers unsure about their future pathway, I feel that the conversation around this metaphor is increasingly overlooking the fact that Esther is unable to choose a fig because she is depressed.

The real meaning of the fig tree analogy

The Bell Jar may be a novel about coming of age as a woman, but it’s also, at its core, the story of a woman having a breakdown. In the pages preceding the “fig tree analogy”, Esther calls herself “dreadfully inadequate” and claims that “I was only purely happy until I was nine years old”.

So, in the context of the novel, the metaphor can be read as a product of depressive thinking. It is not meant to be a universal truth.

Instead, it represents the subjective thoughts of a narrator who feels herself a failure, despite her plentiful opportunities, because she is mentally ill. Turning Plath’s prose into a theory or philosophy or meme minimises its darker aspects, particularly as the popular TikTok audio that accompanies “fig tree analogy” videos often cuts off before the figs fall, due to the app’s preference for short content.

Some users may well have participated in the “my fig tree” trend without even realising that the quotation ends with Esther losing everything.

Perhaps it should be concerning so many young people relate to a narrator who becomes so overwhelmed by her conflicting ambitions that she attempts to kill herself. I certainly wonder how Plath would feel about her words now being treated as emblematic of a collective female experience. If nothing else, I am sure she would be disappointed at how little has changed in 60 years.


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.

The Conversation

Elisha Wise will receive funding from the White Rose College of Arts and Humanities (ARCH) from October 2025.

ref. Sylvia Plath’s ‘fig tree analogy’ from The Bell Jar is being misappropriated – https://theconversation.com/sylvia-plaths-fig-tree-analogy-from-the-bell-jar-is-being-misappropriated-261597

The A to K of vitamins: what you need and where to get it

Source: The Conversation – UK – By Dan Baumgardt, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, University of Bristol

SpeedKingz/Shutterstock

The late, great comedian Barry Humphries (of Dame Edna fame) once spoke whimsically about the health benefits of kale. Just one fistful, he joked, contained enough essential vitamins, minerals and trace elements to keep you in a sedentary position in the bathroom for two whole days. Apparently, it wasn’t tasty enough to justify a second helping.

In a world where “superfoods” are relentlessly marketed for their supposed ability to deliver all the nutrients we need, it’s worth asking: which vitamins really are essential? And aside from kale (which I actually rather like), what foods help us meet our daily needs?

Vitamin A

Let’s start at the top. Vitamin A – also known as retinol – is found in foods like eggs, oily fish and dairy products. It plays a crucial role in keeping your skin and immune system healthy.

But it’s probably most famous for supporting vision. Vitamin A binds with light-sensitive pigments in the rod and cone cells of your retina, helping you to see, particularly in low light.

A deficiency in vitamin A, though uncommon in wealthy countries, can lead to serious vision problems and even blindness. Another source of vitamin A is beta-carotene, found in colourful fruits and vegetables like carrots, peppers, spinach and pumpkin. Your body converts beta-carotene into vitamin A, which is why we associate carrots with seeing in the dark.

Vitamin B

The B vitamins are a family of eight different nutrients, each with its own number and role.

B1 (thiamin) helps the nervous system and aids digestion. People with chronic alcoholism are especially at risk of deficiency, which can lead to Wernicke-Korsakoff syndrome, a serious neurological disorder that affects memory and movement.

B2 (riboflavin) and B3 (niacin) support similar functions, while B9 (folate) and B12 (cobalamin) are essential for red blood cell production. A lack of either can lead to anaemia.

Folate is especially important in early pregnancy, helping to prevent neural tube defects like spina bifida. That’s why it’s recommended for people who are pregnant or trying to conceive.

You’ll find B vitamins in everything from beans and legumes to meat, fish and dairy; a wide-ranging family of nutrients in a wide-ranging variety of foods.

Vitamin C

The go-to vitamin when we’re under the weather, whether from a virus or a hangover, vitamin C (ascorbic acid) is known as the “healing” vitamin for good reason. It promotes wound healing, supports tissue repair and helps maintain blood vessels and bones.

A deficiency in vitamin C causes scurvy – a condition once common among sailors – with symptoms like fatigue, bruising, depression and gum disease.

Fortunately, vitamin C is found in many different fruits and vegetables, especially citrus fruits. That’s why 19th-century British sailors were given limes to prevent scurvy, earning them the nickname “limeys”.

Vitamin D

Vitamin D is essential for bones, teeth and muscles. It can be absorbed through diet, especially from oily fish, eggs and meat, but your body also makes it in the skin, thanks to sunlight.

In the summer, most people get enough vitamin D from being outside. But in the winter months, diet and, if needed, supplementation become more important.

Deficiency is more common, especially in areas with limited sun exposure. It can lead to soft, weakened bones and symptoms like bone pain, fractures and deformities – including the classic bow-legged appearance. In children, this condition is known as rickets; in adults, it’s called osteomalacia.

Vitamin E

Often overlooked, vitamin E helps protect cells, supports vision and bolsters the immune system. You’ll find it in nuts, seeds and plant oils and it’s usually easy to get enough through a varied diet.

Vitamin F (Sort of)

Not actually a vitamin, “vitamin F” is just a nickname for two omega fatty acids: alpha-linolenic acid (ALA) and linoleic acid (LA). These essential fats support brain function, reduce inflammation, and help maintain healthy skin and cell membranes. Since they’re technically not vitamins, we’ll let them quietly bow out.

Vitamin K

No, you didn’t miss vitamins G through J: they were renamed over the years. But vitamin K is real, and crucial for blood clotting.

Deficiencies are more common in children, and can lead to bruising and bleeding that’s hard to stop. Supplements are effective and given after birth.

Most adults get enough through foods like leafy greens and grains.

And the winner is…

All these vitamins are important – and all are found in a wide range of everyday foods. But which single food provides the widest variety?

Kale, oily fish and eggs come in strong at second, third and fourth. But number one is: liver.

Yes, liver. The stuff of childhood dread and overcooked school dinners. But it’s also rich in vitamins A, B, D and K. So rich in Vitamin A, in fact, that it’s advised to eat it only once a week to avoid vitamin A toxicity, and not at all if you’re pregnant. Sometimes, you just can’t win.

The Conversation

Dan Baumgardt 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. The A to K of vitamins: what you need and where to get it – https://theconversation.com/the-a-to-k-of-vitamins-what-you-need-and-where-to-get-it-261209

What are education and health care plans and why are parents worried about them being scrapped?

Source: The Conversation – UK – By Jonathan Glazzard, Rosalind Hollis Professor of Education for Social Justice, University of Hull

Drazen Zigic/Shutterstock

For children in England with special educational needs and disabilities, an education and health care plan (EHCP) is a central pillar of support. The government is due to set out its educational strategy for children with special educational needs and disabilities in the autumn, though, and has not ruled out scrapping ECHPs. Their removal would signal radical change in how the system works in England.

ECHPs are individualised plans that set out the needs of a particular child and the support they should receive – from education, health services and social care – in order have the best opportunity to thrive. But demand for ECHPs is soaring and providing support is proving financially catastrophic for local authorities.

One of the criticisms of EHCPs is that they prioritise providing children with individual models of support, rather than developing inclusive cultures within schools and within the broader education system. Education secretary Bridget Phillipson has outlined a vision of building a system where more children with special educational needs and disabilities can attend mainstream schools.

But removing ECHPs leads to the possibility of children who need more specialist support missing out.


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To secure an ECHP, local authorities carry out a statutory assessment to determine whether a child’s needs warrant additional support. An assessment does not always lead to an EHCP, but if one is issued, it must outline how the child’s needs will be met and the additional resources needed to do so.

These resources might include funding to provide a child with a teaching assistant, funding for equipment and transport to school, or funding to go to a specialist school. This system of support helps school leaders ensure that children and young people have the right support, at the right time.

According to a report published earlier this year, the demand for EHCPs has risen by 140% since 2015. Recent data shows that there are 482,640 children and young people in England with an EHCP.

Many more children have special educational needs, but do not have an ECHP. These pupils are classed as receiving special educational needs support. The percentage of pupils with an EHCP has increased to 5.3%, from 4.8% in 2024. The percentage of pupils with special educational needs support has increased to 14.2%, from 13.6% in 2024.

Despite government investment of £10.7 billion to local authorities in 2024-25, a House of Commons committee report outlines that long waiting times for assessments, as well as to access support such as speech and language therapy, has led to parents losing confidence in the system.

Boy in one to one class
Support may include equipment or additional sessions.
ABO PHOTOGRAPHY/Shutterstock

Funding is allocated to each local authority from central government to fund provision in their areas. It is for local authorities, in consultation with their schools, to determine the individual allocation to schools. However, local authorities are struggling to meet the increased demand for EHCPs. Even when funding is allocated through EHCPs, it is not always sufficient to address the needs of those with complex needs.

And funding is not sufficient to meet demand. Local authorities have accumulated huge deficits due to spending exceeding funding, placing some at risk of going bankrupt.

Future plans

Bridget Phillipson has refused to be drawn on whether EHCPs will be axed. “What I can say very clearly,” she has said, “is that we will strengthen and put in place better support for children.”

Building more inclusive schools is obviously one way of achieving this vision. If scrapping EHCPs means less funding for children for special educational needs and disabilities, though, this cannot be the answer. Children need more support, not less, to enable them to thrive.

The solution is for the government to work out what models of inclusion work well in mainstream schools and to decide how these can be resourced and evaluated. Clarity is also needed on inclusion in mainstream schools can be measured in order to assess whether it is working.

Making more support in mainstream schools work also requires an adequate supply of knowledgeable, well-trained teachers. The government is prioritising this through revision to initial teacher education courses, with an emphasis on all teachers being teachers of special educational needs.

If the government doesn’t get this right, the result may be poorer educational and long-term outcomes for pupils with special educational needs and disabilities. It may also lead to issues with teacher recruitment and retention in mainstream schools, particularly if teachers feel that they do not have the level of support in place that they need to meet the needs of their pupils.

The Conversation

Jonathan Glazzard 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. What are education and health care plans and why are parents worried about them being scrapped? – https://theconversation.com/what-are-education-and-health-care-plans-and-why-are-parents-worried-about-them-being-scrapped-260622

There is no known cure for ALS, but medical tourism exploits desperation for profit

Source: The Conversation – Canada – By Judy Illes, Professor, Neurology, University of British Columbia

Amyotrophic lateral sclerosis (ALS) is a devastating neurological disorder of unknown cause, in which motor nerve cells of the brain and spinal cord that transmit signals to muscles progressively degenerate. This weakens limbs and affects speech, swallowing and ultimately the ability to breathe, resulting in death, typically within just a few years.

Each year in Canada, approximately two people per 100,000 are diagnosed with ALS, amounting to about 1,000 cases based on the current population. In British Columbia, where we are located, the rate is estimated at just over three per 100,000 or roughly 190 new cases per year.

This equates to approximately 4,000 Canadiansand 400 British Columbians — living with ALS at any given time.

Rigorous ALS research is underway locally, nationally and internationally to slow — and ideally reverse — the relentless progression of this disease. Significant advances in understanding the genetic and environmental drivers of ALS are providing genuine hope that motor neuron diseases will one day be defeated.

As experts in neurology and ethics, we are committed to delivering the best available health care and information throughout B.C. and across Canada. Trust in science and informed hope are essential to achieving the best possible outcomes and the longest possible trajectories in enjoying life when facing the overwhelming odds of ALS.

A disturbing case

In June, CBC’s The National reported on the case of Geoff Sando, a person living with ALS who pursued an unproven intervention for his condition. Sando travelled to Moose Jaw, Sask., to seek treatment at a clinic that claims to provide a cure for ALS.

CBC’s The National reports on a Saskatchewan clinic claiming to offer ALS treatments.

The ALS Society of Saskatchewan and the provincial New Democrat Party allege the clinic attended by Sando and several other patients is a form of medical tourism — travelling elsewhere to seek treatment — that can prey on the most vulnerable in society: those whose quality of life is deteriorating, and whose futures are tragically cut short.

Medical tourism for a wide variety of other health-related conditions is not new. For example, treatments for cancer, strokes and orthopedic conditions have been available abroad for decades.

In the United States and Mexico, unfounded stem cell interventions for ALS have been advertised for years. But until recently, it had been unusual to find such offerings in Canada. Their emergence speaks to the need for Health Canada to revisit its guidance on both regulated health and unregulated wellness products, including all forms of treatments, medications and device-based approaches.




Read more:
Giving patients the ‘right to try’ experimental drugs is a political maneuver, not a lifesaver


We understand the urgency and desire to pursue any thread of hope in the face of desperation, but claims of dramatic improvement or cures from ALS by unregulated clinics that seem too good to be true are likely just that.

Before investing in alternative treatments, we recommend that patients conduct their due diligence by consulting with their health-care team and their provincial ALS society for guidance. Ineffective interventions can jeopardize not only recipients, but also caregivers, especially when financial resources are drained.

Trusted sources

Developing approved therapies for ALS has been painfully slow, as evidenced by the failure of more than 95 per cent of ALS clinical trials in the past 28 years. Only three drugs — riluzole, edaravone and tofersen — have been approved by Health Canada and the U.S. Food and Drug Administration.

Although riluzole and edaravone are only modestly effective, they remain the only widely approved pharmacological options for all forms of ALS. Tofersen is the first gene therapy recently approved to treat hereditary ALS caused by SOD1 gene abnormalities. Other treatments are being evaluated worldwide.

This marks only the beginning of such treatment approaches to not only hereditary ALS but also non-hereditary ALS, which makes up about 90 per cent of all cases.




Read more:
A promising new study could lead to a reduction in symptoms of amyotrophic lateral sclerosis (ALS)


For those affected by ALS and their families, ample resources are provided by various organizations, including ALS Canada and related provincial organizations, including the ALS Society of BC.

Future hope

Canadians generally trust science and scientists more than citizens of other countries and, on the whole, value science and believe in our government’s support for the work that scientists do.

But in this time of geopolitical upheaval, vast incursions of disinformation and reversals of prior evidence-based human and health rights abroad means keeping up this level of trust — trust that leads to hope — will only become more challenging.

The disproportionate suffering and impact on people who are marginalized by serious health conditions will only grow if dubious treatment offerings become normalized in Canada.

The Conversation

Erik P Pioro consults for MT Pharma, which manufactures edaravone (Radicava) and for Biogen, which manufactures tofersen (Qalsody). He has received funding support for ALS research from the ALS Association and the National Institutes of Health.

Judy Illes 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. There is no known cure for ALS, but medical tourism exploits desperation for profit – https://theconversation.com/there-is-no-known-cure-for-als-but-medical-tourism-exploits-desperation-for-profit-261057

Imaginary athletes: Creating make-believe teammates, competitors and coaches during play

Source: The Conversation – USA – By Tracy Gleason, Professor of Psychology, Wellesley College

What would an imaginary companion add to a child’s solo practice? Elkhophoto/iStock via Getty Images Plus

The coach, the specialized equipment, the carefully tailored exercise regimen – they’re all key to athletic performance. But imagination might be an unexpected asset when it comes to playing sports.

The idea that athletic achievement depends on the mind isn’t new. Sport psychologists have known for years that working with an athlete on their mental game – visualizing the skill, kinesthetically feeling the swing – has a positive impact on actual performance. But these mental simulations draw only upon mental imagery – seeing and feeling the physical goals in the mind’s eye. Imagination offers a much wider range of possibilities.

What if your game could be helped by an imaginary friend?

In a recent retrospective study of college students, we discovered that imagination comes in handy in athletics in ways that are surprisingly social. The creation of what we termed imaginary athletes – a person or being that a child imagined in the context of athletics – enabled and motivated athletic play, especially for children between the ages of about 6 and 12. Imaginary athletes also provided companionship during athletic play.

boy on empty playground holds basketball looks like he's about to shoot
An imaginary teammate or competitor might help improve a child’s game.
NoSystem images/E+ via Getty Images

Remembering childhood imaginary athletes

The most basic form of an imaginary athlete might be a wall, fence or even tree that makes a good opponent in a pinch. For a child or adolescent practicing a sport alone, a surface that provides a ball return or a steady target for a throw gives opportunities for practice usually requiring other players.

Is it any wonder, then, if the branches of the tree start to resemble a wide receiver’s arms, or an invisible goalie emerges in front of the fence? Solitary play might be a lot more fun if a make-believe teammate could provide an assist, or an invisible coach could appear and shout instructions during practice.

The college students in our study reported that such support, even if imaginary, made them play a little longer or try a little harder as kids.

About 41% of our sample of 225 college students reported creating at least one imaginary athlete at some point in middle childhood or early adolescence. Most, but not all, of these beings fell into three categories based on their characteristics.

The first we called placeholders, such as ghost runners. They are typically generic, amorphous, imaginary teammates created by groups of children when not enough real players are available.

The second type functioned as what we named athletic tools. They helped kids focus on their performance and improve their skills, usually by providing a worthy competitor, sometimes based on an admired professional athlete. The skills of athletic tools were often just above those of the child, drawing out the desire to be better, stronger, faster.

Social relationships, our name for the third kind of imaginary athlete, primarily served emotional functions, relieving loneliness and providing the child or adolescent with a sense of belonging, safety or companionship as they engaged in their sport.

Students who remembered imaginary athletes differed from their peers in two ways. First, more men than women reported creating these imaginary beings, possibly owing to the greater investment in and importance of athletics among boys versus girls. Second, people with imaginary athletes scored higher than those without on a current-day measure of predilection for imagination, but they were not more likely to report having created a make-believe friend or animal as a child.

Imagination is a valuable power

Creating an imaginary other might seem like a quirky, perhaps even childish, addition to sports practice. But actually, this behavior is entirely logical. After all, imagination is the core of human thought. Without it, we couldn’t conceptualize anything outside of the present moment that wasn’t already stored in memory. No thinking about the future, no consideration of multiple outcomes to a decision, no counterfactuals, daydreams, fantasies or plans.

Why wouldn’t people apply such a fundamental tool of day-to-day thought in athletic contexts? Participation in sports is common, especially among school-age kids, and many college students in our study described drawing upon their imaginations frequently when playing sports, especially when doing so in their free time.

girl about to kick a soccer ball
Imagination is a core part of being human – it’s not a surprise it comes out on the sports field.
Erik Isakson/Tetra images via Getty Images

The creation of imaginary athletes is also unsurprising because it’s one of myriad ways that imagination enhances people’s social worlds throughout their lives. Above all else, social relationships are what matter most to people, and using imagination in thinking about them is common. For instance, people imagine conversations with others, particularly those close to them, sometimes practicing the delivery of bad news or envisioning the response to a proposal of marriage.

In early childhood, kids create imaginary companions who help them learn about friendship and other’s perspectives. And in adolescence, when people focus on developing their autonomy and their own identities, they create parasocial relationships that let them identify with favorite celebrities, characters and media figures. Even in older age, some widows and widowers imagine continued relationships with their deceased spouses. These “continuing bonds” are efforts to cope with loss through imaginary narratives that are fed by and extrapolate upon years of interactions.

At each point in their developmental trajectory, people might recruit imagination to help them understand, manage, regulate and enjoy the social aspects of life. Imaginary athletes are merely one manifestation of this habit.

Because so many children and adolescents spend a lot of time engaged in sports, athletics can be a major environment for working on the developmental tasks of growing up. As children learn about functioning as part of a group, forming, maintaining and losing friendships, and mastering a range of skills and abilities, imaginary athletes provide teammates, coaches and competitors tailored to the needs of the moment.

Of course, an imaginary athlete is but one tool that children and adolescents might use to address developmental tasks such as mastering skills or negotiating peer relationships. Children who aren’t fantasy-prone might create complex training regimens to practice their skills, and they might manage their friendships by talking through problems with others.

But some report that turning inward generated real athletic and social benefits. “I got confidence out of my [imaginary athletes],” reported one participant. “If I could imagine beating someone, and [winning], then I felt like I could do anything.”

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. Imaginary athletes: Creating make-believe teammates, competitors and coaches during play – https://theconversation.com/imaginary-athletes-creating-make-believe-teammates-competitors-and-coaches-during-play-254879

Methane leaks from gas pipelines are a hidden source of widespread air pollution

Source: The Conversation – USA (2) – By Younes Ben Zaied, Full Professor in Finance, EDC Paris Business School

Gas pipelines can be dangerous to human health even if people don’t damage them by digging. Jim West/UCG/Universal Images Group via Getty Images

The Trump administration is decreasing the attention federal regulators pay to pipeline leaks. But leaks from natural gas pipelines don’t just waste energy and warm the planet – they can also make the air more dangerous to breathe. That air pollution threat grows not just in the communities where the leaks happen but also as far as neighboring states, as our analysis of gas leaks and air pollution levels across the U.S. has found.

For instance, in September 2018 the Merrimack Valley pipeline explosion in Massachusetts, which released roughly 2,800 metric tons of methane, damaged or destroyed about 40 homes and killed one person. We found that event caused fine-particle air pollution concentrations in downwind areas of New Hampshire and Vermont to spike within four weeks, pushing those areas’ 2018 annual average up by 0.3 micrograms per cubic meter. That’s an increase of about 3% of the U.S. EPA’s annual health standard for PM2.5. Elevated air pollution then showed up in New York and Connecticut through the rest of 2018 and into 2019.

In our study, we examined pipeline leak data from the U.S. Pipeline and Hazardous Materials Safety Administration from 2009 to 2019 and data about the state’s level of small particulate matter in the air from Columbia University’s Center for International Earth Science Information Network. We also incorporated, for each state, data on environmental regulations, per-capita energy consumption, urbanization rate and economic productivity per capita.

In simple terms, we found that in years when a state – or its neighboring states – experienced more methane leak incidents, that state’s annual average fine-particle air pollution was measurably higher than in years with fewer leaks.

A pile of wood and rubble sits next to a basketball hoop.
A 2018 natural gas leak and explosion in Massachusetts destroyed and damaged homes, killed one person and increased air pollution over a wide area.
John Tlumacki/The Boston Globe via Getty Images

Methane’s role in fine‑particle formation

Natural gas is primarily made of methane, a powerful greenhouse gas. But methane also helps set off chemical reactions in the air that lead to the formation of tiny particles known as PM2.5 because they are smaller than 2.5 micrometers (one ten-thousandth of an inch). They can travel deep into the lungs and cause health problems, such as increasing a person’s risk of heart disease and asthma.

The role of methane in exacerbating air pollution is well researched. In short, when methane is released into the atmosphere, it reacts with other chemicals that are already there, such as nitrogen oxides and volatile organic compounds. Often, sunlight triggers these reactions, which then form a type of fine particulate matter called “secondary organic aerosols,” which make up between 20% and 50% of total ambient PM2.5 mass.

So, when natural gas leaks, energy is wasted, the planet warms and air quality drops. These leaks can be massive, like the 2015 Aliso Canyon disaster in California, which sent around 100,000 metric tons of methane into the atmosphere.

But smaller leaks are also common, and they add up, too: Because the federal database systematically undercounts minor releases, we estimate that undocumented small leaks in the U.S. may total on the order of 15,000 metric tons of methane per year – enough to raise background PM2.5 by roughly 0.1 micrograms per cubic meter in downwind areas. Even this modest increase can contribute to health risks: There is no safe threshold for PM2.5 exposure, with each rise of 1 microgram per cubic meter linked to heightened mortality from cardiovascular and respiratory diseases.

On a flat piece of ground with some pipes emerging from it, a cloud of vapor escapes from a pipe.
Even relatively small methane leaks, like this one in 2022 in Pennsylvania, affect both the climate and air pollution levels that damage people’s health.
Pennsylvania Department of Environmental Protection via AP

Preventing leaks to protect climate and health

The most direct way to reduce this problem is to reduce the number and quantity of methane leaks from pipelines. This could include constructing them in ways or with materials or processes that are less likely to leak. Regulations could create incentives to do so or require companies to invest in technology to detect methane leaks quickly, as well as encourage rapid responses when a leak is identified, even if it appears relatively small at first.

Reducing pipeline leaks would not just conserve the energy that is contained in the methane and reduce the global warming that results from increasing amounts of methane in the atmosphere. Doing so would also improve air quality in communities that are home to pipelines and in surrounding areas and states.

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. Methane leaks from gas pipelines are a hidden source of widespread air pollution – https://theconversation.com/methane-leaks-from-gas-pipelines-are-a-hidden-source-of-widespread-air-pollution-257786

One of the biggest microplastic pollution sources isn’t straws or grocery bags – it’s your tires

Source: The Conversation – USA (2) – By Boluwatife S. Olubusoye, Ph.D. Candidate in Chemistry, University of Mississippi

Most tires are made of synthetic rubber that sheds particles of microplastics over time. Rapeepong Puttakumwong/Moment via Getty Images

Every few years, the tires on your car wear thin and need to be replaced. But where does that lost tire material go?

The answer, unfortunately, is often waterways, where the tiny microplastic particles from the tires’ synthetic rubber carry several chemicals that can transfer into fish, crabs and perhaps even the people who eat them.

We are analytical and environmental chemists who are studying ways to remove those microplastics – and the toxic chemicals they carry – before they reach waterways and the aquatic organisms that live there.

Microplastics, macro-problem

Millions of metric tons of plastic waste enter the world’s oceans every year. In recent times, tire wear particles have been found to account for about 45% of all microplastics in both terrestrial and aquatic systems.

Tires shed tiny microplastics as they move over roadways. Rain washes those tire wear particles into ditches, where they flow into streams, lakes, rivers and oceans.

Along the way, fish, crabs, oysters and other aquatic life often find these tire wear particles in their food. With each bite, the fish also consume extremely toxic chemicals that can affect both the fish themselves and whatever creatures eat them.

Some fish species, like rainbow trout, brook trout and coho salmon, are dying from toxic chemicals linked to tire wear particles.

Researchers in 2020 found that more than half of the coho salmon returning to streams in Washington state died before spawning, largely because of 6PPD-Q, a chemical stemming from 6PPD, which is added to tires to help keep them from degrading.

A small jar with liquid containing tiny black flecks.
Most tire particles are tiny.
Saskia Madlener/Stacey Harper/Oregon State University, CC BY-SA

But the effects of tire wear particles aren’t just on aquatic organisms. Humans and animals alike may be exposed to airborne tire wear particles, especially people and animals who live near major roadways.

In a study in China, the same chemical, 6PPD-Q, was also found in the urine of children and adults. While the effects of this chemical on the human body are still being studied, recent research shows that exposure to this chemical could harm multiple human organs, including the liver, lungs and kidneys.

In Oxford, Mississippi, we identified more than 30,000 tire wear particles in 24 liters of stormwater runoff from roads and parking lots after two rainstorms. In heavy traffic areas, we believe the concentrations could be much higher.

The Interstate Technology and Regulatory Council, a states-led coalition, in 2023 recommended identifying and deploying alternatives to 6PPD in tires to reduce 6PPD-Q in the environment. But tire manufacturers say there’s no suitable replacement yet.

What can communities do to reduce harm?

At the University of Mississippi, we are experimenting with sustainable ways of removing tire wear particles from waterways with accessible and low-cost natural materials from agricultural wastes.

The idea is simple: Capture the tire wear particles before they reach the streams, rivers and oceans.

In a recent study, we tested pine wood chips and biochar – a form or charcoal made from heating rice husks in a limited oxygen chamber, a process known as pyrolysis – and found they could remove approximately 90% of tire wear particles from water runoff at our test sites in Oxford.

Biochar is an established material for removing contaminants from water due to its large surface area and pores, abundant chemical binding groups, high stability, strong adsorption capacity and low cost. Wood chips, because of their rich composition of natural organic compounds, have also been shown to remove contaminants. Other scientists have also used sand to filter out microplastics, but its removal rate was low compared with biochar.

A man places flexible tubes filled with biochar under a storm drain.
Boluwatife S. Olubusoye, one of the authors of this article, positions a filter sock filled with biochar under a storm drain.
James Cizdziel/University of Mississippi

We designed a biofiltration system using biochar and wood chips in a filter sock and placed it at the mouth of a drainage outlet. Then we collected stormwater runoff samples and measured the tire wear particles before and after the biofilters were in place during two storms over the span of two months. The concentration of tire wear particles was found to be significantly lower after the biofilter was in place.

The unique elongated and jagged features of tire wear particles make it easy for them to get trapped or entangled in the pores of these materials during a storm event. Even the smallest tire wear particles were trapped in the intricate network of these materials.

Using biomass filters in the future

We believe this approach holds strong potential for scalability to mitigate tire wear particle pollution and other contaminants during rainstorms.

Since biochar and wood chips can be generated from agricultural waste, they are relatively inexpensive and readily available to local communities.

Long-term monitoring studies will be needed, especially in heavy traffic environments, to fully determine the effectiveness and scalability of the approach. The source of the filtering material is also important. There have been some concerns about whether raw farm waste that has not undergone pyrolysis could release organic pollutants.

Like most filters, the biofilters would need to be replaced over time – with used filters disposed of properly – since the contaminants build up and the filters degrade.

Plastic waste is harming the environment, the food people eat and potentially human health. We believe biofilters made from plant waste could be an effective and relatively inexpensive, environmentally friendly solution.

The Conversation

Boluwatife S. Olubusoye received partial funding from the Center for Biodiversity and Conservation Research (CBCR) at the University of Mississippi

James V Cizdziel received funding from the National Science Foundation (MRI Grant #2116597) for the instrument used to analyze samples for microplastics.

ref. One of the biggest microplastic pollution sources isn’t straws or grocery bags – it’s your tires – https://theconversation.com/one-of-the-biggest-microplastic-pollution-sources-isnt-straws-or-grocery-bags-its-your-tires-259440