As Gaza starts to rebuild, what lessons can be learned from Nagasaki in 1945?

Source: The Conversation – Global Perspectives – By Gwyn McClelland, Senior Lecturer, Japanese Studies, University of New England

At first, there might not seem to be any immediate similarities between a devastated Nagasaki after the US atomic bombing in 1945 and Gaza today, aside from massive destruction.

But in considering Gaza’s recovery from war – should the current ceasefire hold – much may be gleaned from Nagasaki’s experience and how it managed the painful process of starting over and rebuilding from virtually nothing.

Damage and destruction

The estimates of those killed from the atomic bombings in 1945 range widely from 70,000–140,000 at Hiroshima and 40,000–70,000 at Nagasaki.

In Gaza, the Palestinian health authorities say more than 67,000 Palestinians have died, with many more perhaps buried in the rubble.

In 1945, the US Army dropped an atomic bomb close to the centre of Hiroshima. But in Nagasaki’s case three days later, the plutonium bomb fell a few kilometres to the north of the city in a suburb called Urakami.

The bombing destroyed an area that was socio-economically less well-off, which had an impact on Nagasaki’s recovery, compared with Hiroshima.

Many of those who lived there were minorities, including colonised Korean people, Catholics and outcasts known as buraku.

And just as in Gaza, much of the city infrastructure was decimated. An atomic archive estimates that in Nagasaki, around 61% of city structures were damaged in the bombing, compared with 67% in Hiroshima.

In Gaza, the United Nations Satellite Centre estimates 83% of structures have been damaged from Israeli bombing.

Recovering bodies in a war zone

The aftermath of the bombing shows just how great the needs of the people were in Nagasaki. I conducted an oral history survey with bombing survivors between 2008 and 2016. Twelve of them – mostly children from Catholic families close to Ground Zero at the time of the bombing – detailed their experiences before and after.

After the bombing, many said the unburied dead was a confronting aspect, both physically and spiritually “dangerous”. One survivor, Mine Tōru, told me:

The dead bodies were piled in carts used for rubbish collection and dumped out in an outer area.

Barrels were placed at intersections for the collection of ashes and bones. Meanwhile, the occupying US Army cleared Urakami with bulldozers.

In Swedish journalist Monica Brau’s book, a man named Uchida Tsukasa remembered those bulldozers driving over the bones of the dead in the same way as sand or soil. When someone tried to take a photo, a soldier pointed his gun and threatened to confiscate the pictures. Brau argued that US censorship grossly impaired the recovery in Hiroshima and Nagasaki.

The clean-up and retrieval of human remains took time. Some six months after the bombing, bones were still being pulled out of the river by a Buddhist Ladies’ Association.

This process is beginning in Gaza today, too. According to news reports, scores of bodies have already been pulled from the rubble since the ceasefire took hold. Estimates suggest there could be as many as 14,000 bodies in the rubble, many of which will never be recovered.

The political challenges of rebuilding

In rehabilitating Gaza, those overseeing the process will also need to ensure the civil liberties of the poor – children and women, in particular – are not infringed upon.

In Nagasaki, some bomb survivors were forced to live in caves that had previously been bomb shelters, including three of those I interviewed.

Fukahori Jōji, who was 16 at the time of the bombing, lost his whole family, including three siblings and his mother. He told me that after the bombing, urban revitalisation and road-widening took over part of his family’s land.

Nagasaki officials were alleged to have used the reconstruction to “clean up” an outcast community.

A writer, Dōmon Minoru, explained how land was acquired compulsorily and cheaply by the council, forcing many residents out: “the Urakami burakumin (outcasts) were neutralised”.

Their landlords sold the land where they had lived and the Nagasaki Council even did away with the name, Urakami town.

As will likely be the case in Gaza, the people of Nagasaki also had to rebuild under an occupation.

US historian Chad Diehl’s powerful book about the rebuilding highlighted the “disconnect” between the American occupiers and Nagasaki residents.

The rebuilding took decades. Diehl explained there are two words for recovery often used in Nagasaki, saiken (reconstruction), which usually refers to the physical rebuilding, and fukkō (revival), which refers to wellbeing – psychological, social and physical.

The wellbeing recovery will surely take even longer than the rebuilding of the physical infrastructure in Gaza.

Hope among the rubble

Another important aspect in recovery from war: the people need to have agency over the process. They shouldn’t just be thought of as survivors of a tragedy – they are integral to the revival of their communities.

Reiko Miyake, a teacher who was 20 at the time of the Nagasaki bombing, told me she returned to teaching at her elementary school a few months later. Only 100 of the 1,500 students at the school survived, and just 19 showed up on the first day.

As holders of memory, these people took on new roles of service for their communities. They were storytellers and rebuilders seeking hope in the face of unbearable loss and ongoing lament.

May such stories of the past encourage the difficult task of recovery in what is a bereft Gaza today.

The Conversation

Gwyn McClelland is the former recipient of a National Library of Australia Fellowship and a Japan Foundation Fellowship. He is the president of the Japanese Studies Association of Australia.

ref. As Gaza starts to rebuild, what lessons can be learned from Nagasaki in 1945? – https://theconversation.com/as-gaza-starts-to-rebuild-what-lessons-can-be-learned-from-nagasaki-in-1945-267437

Hamas is battling powerful clans for control in Gaza – who are these groups and what threat do they pose?

Source: The Conversation – Global Perspectives – By Martin Kear, Sessional Lecturer, Department of Government and International Relations, University of Sydney

Despite the euphoria surrounding the ceasefire between Hamas and Israel, Gaza is still wracked with violence.

More than two dozen Palestinians have been killed in recent days in clashes between Hamas and members of various clans. Hamas has also reportedly executed blindfolded men in a public square.

With the Israeli military withdrawing to pre-determined ceasefire lines, Hamas members are beginning to re-assert their control. However, powerful clans are also jockeying for position – some allied to Hamas’ ideological rival, the West Bank-based Fatah movement, and some backed by Israel.

So, who are these clans? What role do they play in Gaza? And how much of a threat are they to Hamas?

Who are the clans?

Familial clans have existed in Palestinian society for centuries. In recent decades, they have come to play a key role in Palestinian politics.

The clans are primarily collections of family groups in various parts of Gaza. One of the largest and most well-armed is the Dughmush clan in Gaza City, headed by Mumtaz Dughmush. This clan was immediately targeted by Hamas after the ceasefire.

The al-Majayda clan also holds sway in part of Khan Younis. Hamas forces raided their neighbourhood earlier this month, killing several family members. This week, however, the clan publicly supported Hamas’ effort to regain control over Gaza.

Importantly, these clans and their relationships with Hamas and Fatah are dynamic and constantly evolving. Members of both Hamas and Fatah also belong to clans. This often leads to clashes over territory and control, with clan loyalties often outweighing movement allegiances.

As Israeli historian Dror Ze’evi notes, any attempt by Hamas or Fatah to disarm the clans would be seen as an affront and met with serious opposition.

A long history of entrenched power

After the 1948 war that saw the creation of Israel and the Palestinian al-naqbah (or Nakba), around 750,000 Palestinians fled Israel to the Gaza Strip, West Bank and neighbouring Arab states.

This was when clans began to assume traditional roles of mediators and patrons. Their organised structures made them best-placed to provide welfare and assistance to a shattered Palestinian society.

As law and order, security and financial independence improved in the territories in the subsequent decades, Palestinians came to rely less on their support. This brought a decline in their power and influence.

This changed, though, during the First Intifada (1987–93) and Second Intifada (2000–05) when Palestinian society was again plunged into crisis. This was especially true in the Gaza Strip, which was known as the engine room of organised Palestinian resistance.

The Second Intifada, in particular, changed the role of the clans significantly, after Israel destroyed much of the organised Palestinian security forces and infrastructure in the territories.

With neither Hamas nor Fatah able to ensure the safety of Palestinians, this created a security vacuum. And some of the clans exploited this by transforming into paramilitary organisations. Again, this was especially true in the Gaza Strip, where Israel’s efforts to crush Palestinian resistance were felt most intensely.

When the Second Intifada ended, the Gazan clans retained a significant amount of political influence and military power. After Hamas won the 2006 elections, some Fatah-aligned clans tried to prevent it from taking power.

So entrenched were these clans that when Hamas finally assumed control of Gaza in 2007, it took the movement a year to effectively bring the more powerful clans under its authority. Even then, it was more of a truce than a victory for Hamas.

Israel backing Hamas rivals

This status quo remained until Hamas’ October 7 2023 terrorist attacks on Israel. Israel’s revenge for these attacks devastated the Gaza Strip, once again robbing Gazans of any semblance of safety and security.

Now, with Israel’s partial troop withdrawal, another security vacuum has been created. And many clans appear keen to fill it, some with the help of Israel.

In June, Israeli Prime Minister Benjamin Netanyahu admitted his government was arming some Gazan clans, gangs and militias, such as the Popular Forces, led by Yasser Abu Shabab.

Netanyahu’s rationale was that any opposition to Hamas helped Israel and saved soldiers’ lives. It also pitted Palestinian against Palestinian, placing additional pressure on Hamas.

After the ceasefire came into effect, Hamas began targeting what it called
“collaborators and traitors” – an apparent reference to those clans and gangs cooperating with Israel.

The Popular Forces, meanwhile, have refused to lay down their arms. A dozen other new militias have also reportedly emerged across the strip in recent days, including one led by Hossam al-Astal, who said:

Hamas was always betting that there won’t be any alternative to replace them in Gaza, but now I’m telling you, today, there is an alternative force to Hamas. It could be me or Abu Shabab or anyone else, but alternatives today exist.

While this violence between Hamas and rival groups does not directly affect the ceasefire that ended the war, it is evidence that Israel is still attempting to meddle in Gaza’s security and exert its control.

But the peace plan negotiated by US President Donald Trump looks shakier by the day, given its call for Hamas to disarm. Trump said this week if Hamas refused to disarm themselves, “we will disarm them […] perhaps violently”.

The peace plan also calls for Hamas to withdraw from Palestinian politics, to be replaced eventually by the Palestinian Authority, which currently administers parts of the West Bank. However, Netanyahu has repeatedly rejected the Palestinian Authority assuming control of Gaza.

This ambiguity over the future governance of Gaza opens the possibility that the more powerful clans could become alternate centres of political power, as they had during the Second Intifada. This time they may do so under the auspices of Israel’s military occupation.

This would further fracture Gaza and weaken any effort by the Palestinian Authority to reunite the territories under a single governance structure. It would also make a future Palestinian state tenuous.

Also, Hamas will not go quietly. And this is a very real danger to peace and security in Gaza, especially if Hamas sees any resistance to its authority from the clans as little more than a proxy war with Israel.

The Conversation

Martin Kear 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. Hamas is battling powerful clans for control in Gaza – who are these groups and what threat do they pose? – https://theconversation.com/hamas-is-battling-powerful-clans-for-control-in-gaza-who-are-these-groups-and-what-threat-do-they-pose-267446

The price of gold is skyrocketing. Why is this, and will it continue?

Source: The Conversation – Global Perspectives – By Luke Hartigan, Lecturer in Economics, University of Sydney

The price of gold surged above US$4,100 (A$6,300) an ounce on Wednesday for the first time, taking this year’s extraordinary rally to more than 50%.

The speed of the upswing has been much faster than analysts had predicted and brings the total gains to nearly 100% since the current run started in early 2024.

The soaring price of gold has captured investors’ hearts and wallets and resulted in long lines of people forming outside gold dealers in Sydney to get their hands on the precious metal.

What explains the soaring price of gold?

A number of reasons have been suggested to explain the current record run for gold. These include greater economic uncertainties from ballooning government debt levels and the current US government shutdown.

There are also growing worries about the independence of the US Federal Reserve. If political interference pushes down US interest rates, that could see a resurgence in inflation. Gold is traditionally seen as a hedge against inflation.

But these factors are unlikely to be the main reasons behind the meteoric rise in gold prices.

For starters, the price of gold has been on a sustained upward trajectory for the past few years. That’s well before any of those factors emerged as an issue.

The more likely explanation for the current gold price rally is growing demand from gold exchange-traded funds (ETFs).

These funds track the movements of gold, or other assets such as stocks or bonds, and are traded on the stock exchange. This makes assets such as commodities much more accessible to investors.

Before the first gold ETF was launched in 2003, it was considered too difficult for regular investors to get gold exposure.

Now gold ETFs are widely available, gold can be traded like any other financial asset. This appears to be changing investors’ view of gold’s traditional role as a safe-haven asset in times of political or financial turmoil, when other assets such as stocks are more risky.

In addition to retail investor demand, some emerging market economies – notably China and Russia – are switching their official reserve assets out of currencies such as the US dollar and into gold.

According to the International Monetary Fund, central bank holdings of physical gold in emerging markets have risen 161% since 2006 to be around 10,300 tonnes.

To put this into perspective, emerging market gold holdings grew by only 50% over the 50 years to 2005.

Research suggests the reason for the switch into gold by emerging market economies is the increasing use of financial sanctions by the US and other governments that represent the major reserve currencies (the US dollar, euro, Japanese yen, and British pound).

Indeed, Russia became a net buyer of gold in 2006 and accelerated its gold purchases following its annexation of Crimea in 2014. It now has one of the largest stockpiles in the world.

Meanwhile, China has been selling down its holdings of US government bonds and switching to buying gold in a process referred to as “de-dollarisation”. It wants to reduce its dependency on the US currency.

Emerging market central banks also lifted their gold holdings after Russia’s exclusion from the international payments system known as SWIFT and a proposal by US and European governments to seize Russian central bank reserves to help fund support for Ukraine.

Further de-dollarisation efforts by emerging market economies are expected to continue. Many of these economies now view the major Western currencies as carrying unwanted risk of financial sanctions. This is not the case with gold. This could mean financial sanctions become a less effective policy tool in the future.

Could gold have further to run?

Ongoing demand from Russia and China, and investor demand for gold ETFs, means the gold price could rally further. Both factors represent sustained increases in demand, in addition to existing demand for jewellery and electronics.

Further price rises will likely fuel increased ETF inflows via the “fear of missing out” effect.

The World Gold Council last week reported record monthly inflows in September. For the September quarter as a whole, ETF inflows topped US$26 billion and for the nine months to September, fund inflows totalled US$64 billion.

In contrast, emerging market central bank demand for gold is less affected by price and more driven by geopolitical factors, which supports increasing demand for gold.

Based on these two drivers, analysts at Goldman Sachs have already revised up their price target for gold to US$4,900 an ounce by the end of the 2026.

Why gold’s rise is a win for Australia

What does the current gold rally mean for Australia?

As the world’s third-largest producer of gold, with at least 19% of known deposits, Australia will benefit from further increases in gold prices.

In fact, the Department of Industry, Science and Resources now expects the value of gold exports to overtake liquefied natural gas exports next year.

This will see gold become our second-most important export behind that other “precious” metal: iron ore.

The Conversation

Luke Hartigan receives funding from the Australian Research Council (DP230100959).

ref. The price of gold is skyrocketing. Why is this, and will it continue? – https://theconversation.com/the-price-of-gold-is-skyrocketing-why-is-this-and-will-it-continue-267004

Human ancestors were exposed to lead millions of years ago, and it shaped our evolution

Source: The Conversation – Global Perspectives – By Renaud Joannes-Boyau, Professor in Geochronology and Geochemistry, Southern Cross University

A 2 million-year-old tooth of an early human ancestor. Fiorenza and Joannes-Boyau

When we think of lead poisoning, most of us imagine modern human-made pollution, paint, old pipes, or exhaust fumes.

But our new study, published today in Science Advances, reveals something far more surprising: our ancestors were exposed to lead for millions of years, and it may have helped shape the evolution of the human brain.

This discovery reveals the toxic substance we battle today has been intertwined with the human evolution story from its very beginning.

It reshapes our understanding of both past and present, tracing a continuous thread between ancient environments, genetic adaptation, and the unfolding evolution of human intelligence.

A poison older than humanity itself

Lead is a powerful neurotoxin that disrupts the growth and function of both brain and body. There is no safe level of lead exposure, and even the smallest traces can impair memory, learning and behaviour, especially in children. That’s why eliminating lead from petrol, paint and plumbing is one of the most important public health initiatives.

Yet while analysing ancient teeth at Southern Cross University, we uncovered something wholly unexpected: clear traces of lead sealed within the fossils of early humans and other ancestral species.

These specimens, recovered from Africa, Asia and Europe, were up to two million years old.

Using lasers finer than a strand of hair, we scanned each tooth layer by layer – much like reading the growth rings of a tree. Each band recorded a brief chapter of the individual’s life. When lead entered the body, it left a vivid chemical signature.

These signatures revealed that exposure was not rare or accidental; it occurred repeatedly over time.

Where did this lead come from?

Our findings show that early humans were never shielded from lead by the natural world. On the contrary, it was part of their world too.

The lead we found wasn’t from mining or smelting – those activities are from relatively recent human history.

Instead, it likely came from natural sources such as volcanic dust, mineral-rich soils, and groundwater flowing through lead-bearing rocks in caves. During times of drought or food shortage, early humans might have dug for water or eaten plants and roots that absorbed lead from the soil.

Every fossil tooth we study is a record of survival. A small diary of the early life of the individual, written in minerals instead of words. These ancient traces tell us that even as our ancestors struggled to find food, shelter and community, they were also navigating a world filled with unseen dangers.

From fossil teeth to living brain cells

To understand how this ancient exposure might have affected brain development, we teamed up with geneticists and neuroscientists, and used stem cells to grow tiny versions of human brain tissue, called brain organoids. These small collections of cells have many of the features of developing human brain tissue.

Brain organoids akin to Neanderthal genes.
Alysson Muotri

We gave some of these organoids a modern human version of a gene called NOVA1, and others an archaic, extinct version of the gene similar to what Neanderthals and Denisovans carried. NOVA1 is a gene that orchestrates early neurodevelopment. It also initiates the response of brain cells to lead contaminants.

Then, we exposed both sets of organoids to very small, realistic amounts of lead – what ancient humans might have encountered naturally.

The difference was striking. The organoids with the ancient gene showed clear signs of stress. Neural connections didn’t form as efficiently, and key pathways linked to communication and social behaviour were disrupted. The modern-gene organoids, however, were far more resilient.

It seems that somewhere along the evolutionary path, our species may have developed a better built-in protection against the damaging effects of lead.

A story of struggle

The environment – complete with lead exposure – pushed modern human populations to adapt. Individuals with genetic variations that help them resist a threat are more likely to survive and pass those traits to future generations.

In this way, lead exposure may have been one of the many unseen forces that sculpted the human story. By favouring genes that strengthened our brains against environmental stress, it could have subtly shaped the way our neural networks developed, influencing everything from cognition to the early roots of speech and social connection.

This didn’t change the fact lead continues to be a toxic chemical. It remains one of the most damaging substances to our brains.

But evolution often works through struggle – even negative experiences can leave lasting, sometimes beneficial marks on our species.

New context for a modern problem

Understanding our long relationship with lead gives new context to a very modern problem. Despite decades of bans and regulations, lead poisoning remains a global health issue. Most recent estimates from UNICEF show one in three children worldwide still have blood lead levels high enough to cause harm.

Our discovery shows human biology evolved in a world full of chemical challenges. What changed is not the presence of toxic substances, but the intensity of our exposure.

When we look at the past through the lens of science, we don’t just uncover old bones, we uncover ourselves.

In the industrial age, we’ve massively amplified what used to be short and infrequent natural exposure. By studying how our ancestors’ bodies and genes responded to environmental stress, we can learn how to build a healthier, more resilient future.

The Conversation

Renaud Joannes-Boyau receives funding from the Australian Research Council.

Manish Arora receives funding from US National Institutes of Health. He is the founder of Linus Biotechnology, a start-up company that develops biomarkers for various health disorders.

Alysson R. Muotri 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. Human ancestors were exposed to lead millions of years ago, and it shaped our evolution – https://theconversation.com/human-ancestors-were-exposed-to-lead-millions-of-years-ago-and-it-shaped-our-evolution-267318

The world wide web was meant to unite us, but is tearing us apart instead. Is there another way?

Source: The Conversation – Global Perspectives – By George Buchanan, Deputy Dean, School of Computing Technologies, RMIT University

The hope of the world wide web, according to its creator Tim Berners-Lee, was that it would make communication easier, bring knowledge to all, and strengthen democracy and connection. Instead, it seems to be driving us apart into increasingly small and angry splinter groups. Why?

We have commonly blamed online echo chambers, digital spaces filled with people who largely share the same beliefs – or filter bubbles, the idea that algorithms tend to show us content we are likely to agree with.

However, these concepts have both been challenged by a number of studies. A 2022 study led by one of us (Dana), which tracked the social media behaviours of ten respondents, found people often engage with content they disagree with – even going so far as to seek it out.

When an individual engages with a disagreeable post on social media – whether it’s “rage bait” or something else that offends you – it drives income for the platform. But on a societal scale, it drives antisocial outcomes.

One of the worst of these outcomes is “affective polarisation”, where we like people who think similarly to us, and dislike or resent people who hold different views. Research and global surveys both show this form of polarisation is growing across the world.

Changing the economics of social media platforms would likely reduce online polarisation. But this won’t be possible without intervention from governments, and each of us.

How our views get reinforced online

Social media use has been associated with growing affective polarisation.

Online, we can be influenced by the opinions of people we agree or disagree with – even on topics we had previously been neutral towards. For instance, if there’s an influencer you admire, and they express a view on a new law you hadn’t thought much about, you’re more likely to adopt their viewpoint on it.

When this happens on a large scale, it gradually separates us into ideological tribes that disagree on multiple issues: a phenomenon known as “partisan sorting”.

Research shows our encounters on social media can lead to us developing new views on a topic. It also shows how any searches we do to get more insight can solidify these emerging views, as the results are likely to contain the same language as the original post that gave us the view in the first place.

For example, if you see a post that inaccurately claims taking paracetamol during pregnancy will give your baby autism, and you search for other posts using the key words “paracetamol pregnancy autism”, you will probably get more of the same.

Being in a heightened emotional state has been linked to higher susceptibility to believing false or “fake” content.

Why are we fed polarising content?

This is where the economics of the internet come in. Divisive and emotionally laden posts are more likely to get engagement (such as likes, shares and comments), especially from people who strongly agree or disagree, and from provocateurs. Platforms will then show these posts to more people, and the cycle of engagement continues.

Social media companies leverage our tendency towards divisive content to drive engagement, as this leads to more advertising money for them. According to a 2021 report from the Washington Post, Facebook’s ranking algorithm once treated emoji reactions (including anger) as five times more valuable than “likes”.

Simulation-based studies have also revealed how anger and division drive online engagement. One simulation (in a yet to be peer-reviewed paper) used bots to show that any platform measuring its success and income by engagement (currently all of them) would be most successful if it boosted divisive posts.

Where are we headed?

That said, the current state of social media need not also be its future.

People are now spending less time on social media than they used to. According to a recent report from the Financial Times, time spent on social media peaked in 2022 and has since been declining. By the end of 2024, users aged 16 and older spent 10% less time on social platforms than they did in 2022.

Droves of users are also leaving bigger “mainstream” platforms for ones that reflect their own political leanings, such as the left-wing BlueSky, or the right-wing Truth Social. While this may not help with polarisation, it signals many people are no longer satisfied with the social media status quo.

Internet-fuelled polarisation has also resulted in real costs to government, both in mental health and police spending. Consider recent events in Australia, where online hate and misinformation have played a role in neo-Nazi marches, and the cancellation of events run by the LGBTQIA+ community, due to threats.

For those of us who remain on social media platforms, we can individually work to change the status quo. Research shows greater tolerance for different views among online users can slow down polarisation. We can also give social media companies less signals to work from, by not re-sharing or promoting content that’s likely to make others irate.

Fundamentally, though, this is a structural problem. Fixing it will mean reframing the economics of online activity to increase the potential for balanced and respectful conversations, and decrease the reward for producing and/or engaging with rage bait. And this will almost certainly require government intervention.

When other products have caused harm, governments have regulated them and taxed the companies responsible. Social media platforms can also be regulated and taxed. It may be hard, but not impossible. And it’s worth doing if we want a world where we’re not all one opinion away from becoming an outcast.

The Conversation

Dana McKay has received funding from the Australian Research Council, the Australian Digital Health Agency, and Google (this last ruing her PhD).

George Buchanan 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 world wide web was meant to unite us, but is tearing us apart instead. Is there another way? – https://theconversation.com/the-world-wide-web-was-meant-to-unite-us-but-is-tearing-us-apart-instead-is-there-another-way-266253

Peter Thiel thinks Greta Thunberg could be the Antichrist. Here’s how three religions actually describe him

Source: The Conversation – Global Perspectives – By Philip C. Almond, Emeritus Professor in the History of Religious Thought, The University of Queensland

In a series of four lectures, Silicon Valley tech billionaire Peter Thiel has been opining on the Antichrist.

Thiel’s amateur riffing identifies the Antichrist with anyone or any institution that he dislikes – from environmental activist Greta Thunberg to governmental attempts to regulate artificial intelligence.

Thiel’s overall definition of the Antichrist “is that of an evil king or tyrant or anti-messiah who appears in the end times”.

Thiel is aligning himself with a long tradition of identifying the Antichrist as a despotic world emperor who would arise at the end of the world.

By the ninth century, influenced by the Christian idea of the Antichrist, Islam and Judaism each had their own Antichrist figures who would come at the end of history – in Islam, al-Dajjal (the Deceiver), in Judaism, Armilus.

The Christian Antichrist

Drawing together 800 years of earlier Antichrist speculations, the Benedictine monk Adso of Montier-en-der wrote the first life of the Antichrist 1,100 years ago. According to Adso, the Antichrist would be a tyrannical evil king who would corrupt all those around him.

The Antichrist was the opposite of everything Christ-like. According to Christianity, Christ was fully human yet absolutely “sin free”. The Antichrist, too, was fully human, but completely “sin full” – not so much a supernatural being who became flesh as a human being who became completely demonised.

Born in Babylon (present day Iraq), the Antichrist was destined to come at the end of the world and rule over the earth from Jerusalem until he and his supporters were defeated by the forces of Christ at the battle of Armageddon.

Al-Dajjal, the Muslim Antichrist

Although the Dajjal does not appear in the Qur’an, he plays an important role in later Muslim understanding of the end of the world in the Hadith literature – the later collections of the sayings and deeds of Muhammad.

Dajjal was large and stout, of a red complexion, blind in one eye that appeared like a swollen grape, and had big curly hair. His most distinctive feature was the word Kafir (disbeliever) written on his forehead.

There is no declaration in the Hadith literature that the Dajjal would be Jewish, but it was said he would be followed by 70,000 Jews of Isfahan in Iran wearing Persian shawls.

According to the longest of the accounts of the Dajjal in the Hadith, called Sahih Muslim (c.850), he would appear somewhere between Syria and Iraq and spread trouble in all directions. He would stay on the earth for one year and ten weeks.

An old manuscript with Arabic writing.
The Hadith literature is the later collections of the sayings and deeds of Muhammad. This copy was published in Saudi Arabia in the16th century.
Wikimedia Commons

For those who accepted him, there would be bountiful food. For those who rejected him, there would be drought and poverty. He would walk through the wasteland and say “bring forth your treasures” and they would appear before him like a swarm of bees. He would then call a young man, strike him with a sword and cut him in pieces.

Then, God would send Jesus Christ. He would descend with his hands resting on the shoulders of two angels at the white minaret on the Eastern side of Damascus. Every non-believer would perish at his breath. He would search for the Dajjal, capture him at the gate of the city of Ludd (Lydda) in Israel and kill him.

Armilus, the Jewish Antichrist

Like al-Dajjal, you would recognise Armilus instantly. According to the medieval Prayer of Rabbi Shimon ben Yohai, he was born in Rome, the child of Satan and a stone in the shape of a beautiful girl.

He was more monstrous in appearance than either the Muslim or the Christian Antichrists. He was a giant, 5.5 metres tall. In several sources, he was reported as having two skulls.

Two men stand on a hill.
Zerubbabel, depicted in this etching from c.1850, received biblical visions of the apocalypse.
Rijksmuseum

One mid-eighth century tradition reported his hair was dyed, another that it was red, and another that his face was hairy and his forehead leprous. Several reports had him as bald. His eyes were variously malformed – small, deep, red and crooked, one eye small and the other big.

According to the earliest Jewish account of Armilus in Sefer Zerubbabel (or the Apocalypse of Zerubbabel), from between the seventh and ninth centuries, his hands hung down to his green feet. Another text had his right arm only as long as a hand and his left one metre long.

Like the Christian and Muslim Antichrists, he too would come in the end times. Sefer Zerubbabel tells us all those who see him will be terrified. But the Messiah will come “and will blow into his face and kill him”. The Messiah will then gather the Jews in Israel and usher in the Messianic age.

The Antichrist now?

The idea of the Antichrist in Judaism, Christianity and Islam has played a significant role in the histories of these three religions, each asserting its belief in the final victory of good over evil.

The image of the Antichrist remains a powerful one. It speaks to the continuing belief among both believers and non-believers that the course of human history is still to be understood in terms of a world-wide struggle between those on the side of God and the rest on the side of evil.

This division of the world into the good and the evil, patriots and terrorists, angels and demons, whether within or between countries, is one that can never bring any peace to the earth. Best if Thiel – and the rest of us – consign it to history.

The Conversation

Philip C. Almond 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. Peter Thiel thinks Greta Thunberg could be the Antichrist. Here’s how three religions actually describe him – https://theconversation.com/peter-thiel-thinks-greta-thunberg-could-be-the-antichrist-heres-how-three-religions-actually-describe-him-267439

When government websites become campaign tools: Blaming the shutdown on Democrats has legal and political risks

Source: The Conversation – USA – By Stephanie A. (Sam) Martin, Frank and Bethine Church Endowed Chair of Public Affairs, Boise State University

Screenshot of the Department of Health and Human Services homepage on Oct. 14, 2025. HHS website

For decades, federal shutdowns have mostly been budget fights. The 2025 one has become bigger than that: It’s turned into a messaging war.

Official government communications, including website banners, out-of-office email replies and autogenerated responses that denounce “Senate Democrats,” “the Radical Left” or “Democrats’ $1.5 trillion wishlist” for closing the government, mark a sharp break from past practice.

These messages are more than rhetorical escalation. Many may violate the Hatch Act, the 1939 statute that limits partisan political activity by federal employees and agencies. They also represent new tests for how far a White House can push the bounds of campaign-style messaging while also claiming to govern.

In any democracy, power lies not only in who writes the laws or signs the budgets but in who shapes the story. Communication is not an afterthought or byproduct of governance. It is one of its essential instruments. Political narrative helps citizens understand who’s responsible, who’s acting in good faith and who’s to blame.

The 2025 shutdown has turned that truth into strategy. Federal communication systems – agency websites, automated emails and public information portals – are being used to persuade rather than inform. It’s a move that is both politically risky and legally perilous.

Serve the public, not a party

The Hatch Act was passed during the Great Depression, after years of concern that federal agencies were being used improperly as political machines. Its goal was simple: to ensure that public servants worked for the American people, not for the party in power.

At its core, the Hatch Act prohibits executive branch federal employees – except for the president and vice president – from engaging in partisan political activity as part of their official duties or under their official authority. Government workers may not use their positions or public resources to influence elections, coerce individual behavior or engage in political advocacy.

The law requires federal agencies to avoid the partisan fray and focus on serving the public rather than political agendas.

The Office of Special Counsel, which enforces the law, has been clear on this point. “The purpose of the Act,” says an Office of Special Counsel guide written for federal employees, “is to maintain a federal workforce that is free from partisan political influence or coersion.” Government communication can inform, but it cannot campaign.

An email auto-reply from the Department of Education blaming the shutdown on Democrats.
An auto-reply to an email sent to the press staff at the U.S. Department of Education on Oct. 14, 2025.
CC BY

Yet the shutdown has already produced multiple potential violations:

• The Department of Education, according to a lawsuit, altered employees’ email auto-responses – without consent – to say things like “the Democrats have shut the government down.” Such changes do more than convey impartial information. They compel employees to align themselves with institutionally imposed scripts.

• Likewise, agencies including Health and Human Services and the Small Business Administration reportedly distributed or directed staff to adopt partisan out-of-office auto-replies assigning blame to Democrats.

• The Department of Housing and Urban Development posted a banner on its official website stating that the “Radical Left are going to shut down the government.”

Taken individually, each incident might provoke a Hatch Act complaint. Collectively, they amount to a systematic campaign to transform nonpartisan federal agencies into partisan political messengers.

'The radical left in Congress shut down the government' reads a banner across the US Department of Housing and Urban Development homepage, Oct. 14, 2025.
The message on the U.S. Department of Housing and Urban Development homepage, Oct. 14, 2025.
U.S. Department of Housing and Urban Development

Why this is unprecedented

What sets the 2025 messaging apart isn’t just its volume – it’s the scale, the coordination and the brazenness of its political targeting.

In past shutdowns, partisan spin lived mostly in press conferences and campaign talking points. Agencies themselves, even under pressure, stayed neutral.

This time, the administration is using the machinery of government to deliver partisan blame.

The timing and similarity of messages across departments seems coordinated. Housing and Urban Development posted a banner blaming Democrats the day before the shutdown began. Within hours, other agencies followed using nearly identical language.

More troubling are the reported changes to federal employees’ auto-replies without their consent.

These missives forced career civil servants, many of them furloughed, to become unwilling messengers for partisan ends. Federal agencies and their workers are supposed to serve everyone, not only those who support the party in power.

And because the watchdogs who could enforce the legal boundary are also sidelined – the Office of Special Counsel is furloughed – complaints have nowhere to go, at least for now. They simply land in unattended email inboxes.

Legal challenges and limits

Whether shutdown communications truly violate the Hatch Act – or related laws – is not yet clear. The administration could argue that it’s not campaigning but merely explaining why services are suspended. As a scholar of political communication and American democracy, I believe that defense weakens when official messages explicitly assign partisan blame or name a political party.

And not every political statement is a Hatch Act violation. The law allows employees to express views off duty or in private contexts, so long as they use their own phones and computers.

Even if the Office of Special Counsel later finds violations, harm will likely persist. Once messages are posted or auto-replies sent, their effects can’t always be undone. And because ethics officials are furloughed, too, accountability will be delayed, if it comes at all.

Some employees are likely to claim their speech rights were violated by being forced to send partisan messages. This is an argument already at the heart of the lawsuit filed by the American Federation of Government Employees against the Education Department.

A sign on a door warns people that during a partial government shutdown, the IRS office will be closed.
Doors at the Internal Revenue Service in a Seattle federal building are locked and a sign advises that the office will be closed during the 2018-2019 partial government shutdown.
AP Photo/Elaine Thompson

Why this matters

Federal agencies exist to administer laws impartially and to do so on behalf of the people.

When the government uses its own infrastructure for partisan messaging, the very neutrality on which democratic governance depends erodes. It dilutes public trust in the idea of a neutral state.

The damage also extends into the future. If the current administration succeeds in turning its administrative machinery into a political weapon, without consequence, a precedent will be created. Future presidents may be tempted to follow suit, making acceptable the use of taxpayer-funded systems as campaign tools.

And because enforcement bodies such as the Office of Special Counsel also are sidelined during a shutdown, accountability has to wait. That creates an asymmetry of power: One side gets to amplify its message through government channels in real time, while its opponents must wait for the system to restart just to file a complaint. By the time they can, the moment will have passed and the political narrative is likely to have already hardened.

Crises demand explanation, even blame. Citizens expect their leaders to tell them what went wrong. But they also expect honesty and fairness in how that story is told. The administration’s messaging strategy during this shutdown tests whether government communication remains a public service or becomes another instrument of political power.

The Conversation

Stephanie A. (Sam) Martin 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. When government websites become campaign tools: Blaming the shutdown on Democrats has legal and political risks – https://theconversation.com/when-government-websites-become-campaign-tools-blaming-the-shutdown-on-democrats-has-legal-and-political-risks-267086

How anti-vaccine sentiment helped raise funds and saved the lives of some B.C. ostriches

Source: The Conversation – Canada – By Jeremy Snyder, Professor, Health Sciences, Simon Fraser University

More than 300 ostriches have been threatened with destruction in eastern British Columbia after avian flu was detected in the flock. The birds’ owners have argued this is a case of “unjust governmental overreach.”

The owners’ plight received support from members of Donald Trump’s administration in the United States and raised more than C$290,000 for their legal and operating costs through a series of crowdfunding campaigns.

This level of financial support for a small ostrich farm shouldn’t be completely surprising. It demonstrates how crowdfunding rewards and encourages political polarization.

Government overreach

The Canadian Food Inspection Agency’s decision to cull birds at Universal Ostrich Farms in Edgewood, B.C., has echoes of debates over government policy during the COVID-19 pandemic.

This includes decrying what is seen as government overreach into personal freedoms and medical decision-making, with comparisons drawn to 2022’s crowdfunded anti-vaccine Freedom Convoy.

The farm’s interest in researching natural immunity has attracted vaccine skeptics more generally and support from Health Secretary Robert F. Kennedy Jr. and others in the U.S.. This is reflected in some donors’ comments, where supporters have posted messages including “down with communism,” “the tyrannical leftist Canadian Government is to blame,” and “globalists don’t want natural cures. They only want to profit from their poison jabs!”

CP24 reports on the attention paid by U.S. Health Secretary Robert F. Kennedy Jr. and Dr. Oz to a potential ostrich cull.

Political appeals

Crowdfunding campaigns of all stripes benefit from public attention and the ability to appeal to potential donors. But while appealing to the general public is a well-tested way to win the popularity contest that is built into crowdfunding, so too is connecting to a subset of partisan supporters who see donating to campaigns as way of expressing their political values.

This has been evident in many viral crowdfunding campaigns, including the hugely successful Freedom Convoy campaign in Canada that raised more than $10 million.

In the U.S., some Jan. 6 defendants used crowdfunding to great success, raising more than US$5 million to pay for their legal bills through these campaigns.

These viral politicized campaigns are associated with a range of forms of populist political mobilization, as well as extremism.

Most recently, this included a campaign to pay for the legal bills of Luigi Mangione, accused of killing an American insurance executive in 2024.

Politicising issues

Our research has demonstrated the benefits of linking campaigns with politicized issues. Crowdfunding campaigns for legal needs tend to perform much better when they are linked to political events. These include fundraisers for people seeking help defending themselves in court for violations of COVID-19 pandemic policies, legal campaigns linked to “election integrity” and politicized violence.

Take the case of Daniel Penny, for example, who was charged with manslaughter after killing a Black man on a New York subway train. After Penny’s case was publicized by Republican politicians and linked to wider issues of public disorder and racialized crime, Penny raised more than US$3.3 million to fund his legal defence.

By comparison, ordinary people accused of violent crimes who are not able to link their needs to political outrage are much less likely to be able to afford a world-class legal defence. Savvy campaigners know this and, in some cases, may actively promote the more politicized dimensions of their needs, values and personal stories.

This incentive structure means that rather than seeking compromise or reflecting on behaviours that led to legal trouble or public condemnation, crowdfunding campaigners can benefit financially from doubling down on the politically polarizing elements of their campaigns.

Profit incentives

Crowdfunding platforms can benefit from encouraging this politicization as well. GiveSendGo, a crowdfunding platform used for many politicized campaigns, has a practice of not restricting campaigns for the legal defence of violent behaviour. The platform has also hosted white nationalist causes.

Crowdfunding platforms are generally financed by voluntary tips from donors, and so the large amounts raised by some politicized campaigns contribute to these platforms’ own financial success.

Political outrage and political donations can be legitimate and even praiseworthy ways of engaging in political expression. The problem with politicized crowdfunding is that it financially rewards polarization and attention-grabbing rhetoric.

Happily, people who are genuinely interested in animal welfare and political reform can find many groups working to address these issues in ways that promote social and political progress rather than polarization.

The Conversation

Jeremy Snyder receives funding from the Social Sciences and Humanities Research Council.

Claire Wilson 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 anti-vaccine sentiment helped raise funds and saved the lives of some B.C. ostriches – https://theconversation.com/how-anti-vaccine-sentiment-helped-raise-funds-and-saved-the-lives-of-some-b-c-ostriches-267471

Grokipedia: Elon Musk is right that Wikipedia is biased, but his AI alternative will be the same at best

Source: The Conversation – UK – By Taha Yasseri, Workday Professor of Technology and Society, Trinity College Dublin

Shutterstock/Miss.Cabul

Elon Musk’s artificial intelligence company, xAI, is about to launch the early beta version of Grokipedia, a new project to rival Wikipedia.

Grokipedia has been described by Musk as a response to what he views as the “political and ideological bias” of Wikipedia. He has promised that it will provide more accurate and context-rich information by using xAI’s chatbot, Grok, to generate and verify content.

Is he right? The question of whether Wikipedia is biased has been debated since its creation in 2001.

Wikipedia’s content is written and maintained by volunteers who can only cite material that already exists in other published sources, since the platform prohibits original research. This rule, which is designed to ensure that facts can be verified, means that Wikipedia’s coverage inevitably reflects the biases of the media, academia and other institutions it draws from.

This is not limited to political bias. For example, research has repeatedly shown a significant gender imbalance among editors, with around 80%–90% identifying as male in the English-language version.

Because most of the secondary sources used by editors are also historically authored by men, Wikipedia tends to reflect a narrower view of the world, a repository of men’s knowledge rather than a balanced record of human knowledge.

The volunteer problem

Bias on collaborative platforms often emerges from who participates rather than top-down policies. Voluntary participation introduces what social scientists call self-selection bias: people who choose to contribute tend to share similar motivations, values and often political leanings.

Just as Wikipedia depends on such voluntary participation, so does, for example, Community Notes, the fact-checking feature on Musk’s X (formerly Twitter). An analyses of Community Notes, which I conducted with colleagues, shows that its most frequently cited external source – after X itself – is actually Wikipedia.

Other sources commonly used by note authors mainly cluster toward centrist or left-leaning outlets. They even use the same list of approved sources as Wikipedia – the crux of Musk’s criticism against the open online encyclopedia. Yet no-one calls out Musk for this bias.

Elon Musk's X profile
The problem with Community Notes …
Tada Images

Wikipedia at least remains one of the few large-scale platforms that openly acknowledges and documents its limitations. Neutrality is enshrined as one of its five foundational principles. Bias exists, but so does an infrastructure designed to make that bias visible and correctable.

Articles often include multiple perspectives, document controversies, even dedicate sections to conspiracy theories such as those surrounding the September 11 attacks. Disagreements are visible through edit histories and talk pages, and contested claims are marked with warnings. The platform is imperfect but self-correcting, and it is built on pluralism and open debate.

Is AI unbiased?

If Wikipedia reflects the biases of its human editors and their sources, AI has the same problem with the biases of its data.

Large language models (LLMs) such as those used by xAI’s Grok are trained on enormous datasets collected from the internet, including social media, books, news articles and Wikipedia itself. Studies have shown that LLMs reproduce existing gender, political and racial biases found in their training data.

Musk has claimed that Grok is designed to counter such distortions, but Grok itself has been accused of bias. One study in which each of four leading LLMs were asked 2,500 questions about politics showed that Grok is more politically neutral than its rivals, but still actually has a left of centre bias (the others lean further left).

Study showing the bias in LLMs

MIchael D’Angelo/Promptfoo, CC BY-SA

If the model behind Grokipedia relies on the same data and algorithms, it is difficult to see how an AI-driven encyclopedia could avoid reproducing the very biases that Musk attributes to Wikipedia.

Worse, LLMs could exacerbate the problem. They operate probabilistically, predicting the most likely next word or phrase based on statistical patterns rather than deliberation among humans. The result is what researchers call an illusion of consensus: an authoritative-sounding answer that hides the uncertainty or diversity of opinions behind it.

As a result, LLMs tend to homogenise political diversity and favour majority viewpoints over minority ones. Such systems risk turning collective knowledge into a smooth but shallow narrative. When bias is hidden beneath polished prose, readers may no longer even recognise that alternative perspectives exist.

Baby/bathwater

Having said all that, AI can still strengthen a project like Wikipedia. AI tools already help the platform to detect vandalism, suggest citations and identify inconsistencies in articles. Recent research highlights how automation can improve accuracy if used transparently and under human supervision.

AI could also help transfer knowledge across different language editions and bring the community of editors closer. Properly implemented, it could make Wikipedia more inclusive, efficient and responsive without compromising its human-centered ethos.

Wikipedia on a laptop
How much bias can you live with?
Michaelangeloop

Just as Wikipedia can learn from AI, the X platform could learn from Wikipedia’s model of consensus building. Community Notes allows users to submit and rate notes on posts, but its design limits direct discussion among contributors.

Another research project I was involved in showed that deliberation-based systems inspired by Wikipedia’s talk pages improve accuracy and trust among participants, even when the deliberation happens between humans and AI. Encouraging dialogue rather than the current simple up or down-voting could make Community Notes more transparent, pluralistic and resilient against political polarisation.

Profit and motivation

A deeper difference between Wikipedia and Grokipedia lies in their purpose and perhaps business model. Wikipedia is run by the non-profit Wikimedia Foundation, and the majority of its volunteers are motivated mainly by public interest. In contrast, xAI, X and Grokipedia are commercial ventures.

Although profit motives are not inherently unethical, they can distort incentives. When X began selling its blue check verification, credibility became a commodity rather than a marker of trust. If knowledge is monetised in similar ways, the bias may increase, shaped by what generates engagement and revenue.

True progress lies not in abandoning human collaboration but in improving it. Those who perceive bias in Wikipedia, including Musk himself, could make a greater contribution by encouraging editors from diverse political, cultural and demographic backgrounds to participate – or by joining the effort personally to improve existing articles. In an age increasingly shaped by misinformation, transparency, diversity and open debate are still our best tools for approaching truth.

The Conversation

Taha Yasseri receives funding from Research Ireland and Workday.

ref. Grokipedia: Elon Musk is right that Wikipedia is biased, but his AI alternative will be the same at best – https://theconversation.com/grokipedia-elon-musk-is-right-that-wikipedia-is-biased-but-his-ai-alternative-will-be-the-same-at-best-267557

Acne: a GP’s guide to understanding and managing it

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

LightField Studios/Shutterstock

Acne is one of the most common skin conditions seen in general practice. Acne vulgaris – the most prevalent form – affects more than 80% of teenagers and young adults (in some countries, it may be as many as 95%), and tends to peak around age 18.

But acne isn’t a single condition. It appears in many forms, affects people at different ages, and can be triggered by a range of factors. Acne-like rosacea, for example, is more common in fair-skinned, middle-aged adults.

Acne may also arise from hormonal changes, exposure to certain chemicals, medications, or even from your job or hobbies. What all these types of acne share is inflammation of the skin, which produces spots and lesions of different kinds, from mild to severe.

One of the earliest and most familiar spots associated with acne vulgaris are comedones – better known as blackheads and whiteheads. Our skin is lined with tiny glands that secrete oil to keep it soft and protected. When these glands become blocked with oil and debris, they form comedones. Closed comedones appear white, while open ones darken when the clogged material reacts with air.

At this stage, acne is usually mild and non-inflammatory. Over time, however, blocked pores can become irritated and infected. When this happens, comedones can develop into papules (small, raised bumps) or pustules, which are spots filled with pus. These often become red, sore and inflamed, which helps explain why acne is so frustrating and sometimes painful.

It’s usually at this stage that the urge to squeeze the spots becomes irresistible, but squeezing rarely helps. In fact, it can make things worse, driving bacteria deeper into the skin, leading to scarring and sometimes causing large, painful cysts or abscesses. Inflammation may also trigger patchy changes in skin colour.

The underlying cause of acne in most cases is a bacterium called cutibacterium acnes, which colonises blocked oil glands. During puberty, a surge of testosterone can stimulate increased oil production, making glands more prone to clogging. Hormonal conditions such as polycystic ovary syndrome can have the same effect, as can steroid-based medications.




Read more:
PCOS affects 1 in 8 women worldwide, yet it’s often misunderstood. A name change might help


Other variations of acne exist. Acne excoriée is caused by repeated picking or scratching, which damages the skin and leaves scars. Acne cosmetica occurs when oil-based makeup blocks pores.

Then there’s acne mechanica, which develops when skin is irritated by friction, pressure or sweat. This type can affect athletes wearing tight sportswear, backpacks or helmet straps for long periods. Another curious example is “fiddler’s neck”, where violinists develop spots where the instrument rests recurrently on the chin.

A persistent myth is that acne results from poor hygiene. It’s an understandable assumption given that bacteria play a role, but it’s wrong. Acne doesn’t develop because the skin is dirty, and excessive washing or scrubbing can actually make it worse by irritating already sensitive areas.

Treatment

Treating acne can be challenging. There’s no single cure, but there are many ways to reduce how often it appears and how severe it becomes.

Some simple lifestyle changes can help. For instance, it’s best to avoid heavy, oil-based or fragranced products, as perfumes and strong additives can irritate sensitive skin and worsen inflammation. Products labelled “non-comedogenic” are formulated not to block pores, helping to prevent new breakouts.

Diet remains a controversial topic, but some evidence suggests that reducing sugar and processed foods while eating more fruit, vegetables and whole grains may be beneficial for reducing acne.

If these measures don’t help, topical medications are usually the next step. These include retinoids, which are derived from vitamin A and help calm inflammation, reduce oil production and prevent pores from becoming blocked.

Topical antibiotics can reduce the bacteria and inflammation that drive acne, and are often combined with benzoyl peroxide, which unclogs pores and acts as an antiseptic. However, benzoyl peroxide is also a bleaching agent, so it’s best to avoid contact with your favourite pillowcases or nightwear.

If topical treatments don’t work, oral antibiotics may be prescribed. Patience is important here: acne therapies often take six-to-eight weeks to show improvement.

For severe cases, dermatologists can prescribe oral retinoids (Roaccutane). These powerful medications can have serious side-effects and require close monitoring. As retinoids and some antibiotics are harmful to a developing baby, they are unsuitable during pregnancy.

Acne is far more than a cosmetic issue. It can cause lasting physical marks and have a profound psychological impact. Many people with acne experience low confidence, anxiety or depression. For some, mental health support is just as important as medication.

If your acne is getting worse or affecting your wellbeing, it’s important to see a doctor. Acne is common, but that doesn’t make it trivial. With the right treatment plan, and a little persistence, it can usually be brought under control.

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. Acne: a GP’s guide to understanding and managing it – https://theconversation.com/acne-a-gps-guide-to-understanding-and-managing-it-266652