What’s the difference between an eating disorder and disordered eating?

Source: The Conversation – Canada – By Gemma Sharp, Researcher in Body Image, Eating and Weight Disorders, Monash University

PIKSEL/Getty

Following a particular diet or exercising a great deal are common and even encouraged in our health and image-conscious culture. With increased awareness of food allergies and other dietary requirements, it’s also not uncommon for someone to restrict or eliminate certain foods.

But these behaviours may also be the sign of an unhealthy relationship with food. You can have a problematic pattern of eating without being diagnosed with an eating disorder.

So, where’s the line? What is disordered eating, and what is an eating disorder?

What is disordered eating?

Disordered eating describes negative attitudes and behaviours towards food and eating that can lead to a disturbed eating pattern.

It can involve:

  • dieting

  • skipping meals

  • avoiding certain food groups

  • binge eating

  • misusing laxatives and weight-loss medications

  • inducing vomiting (sometimes known as purging)

  • exercising compulsively.

Disordered eating is the term used when these behaviours are not frequent and/or severe enough to meet an eating disorder diagnosis.

Not everyone who engages in these behaviours will develop an eating disorder. But disordered eating – particularly dieting – usually precedes an eating disorder.

What is an eating disorder?

Eating disorders are complex psychiatric illnesses that can negatively affect a person’s body, mind and social life. They’re characterised by persistent disturbances in how someone thinks, feels and behaves around eating and their bodies.

To make a diagnosis, a qualified health professional will use a combination of standardised questionnaires, as well as more general questioning. These will determine how frequent and severe the behaviours are, and how they affect day-to-day functioning.

Examples of clinical diagnoses include anorexia nervosa, bulimia nervosa, binge eating disorder and avoidant/restrictive food intake disorder.

How common are eating disorders and disordered eating?

The answer can vary quite radically depending on the study and how it defines disordered behaviours and attitudes.

An estimated 8.4% of women and 2.2% of men will develop an eating disorder at some point in their lives. This is most common during adolescence.

Disordered eating is also particularly common in young people with 30% of girls and 17% of boys aged 6–18 years reporting engaging in these behaviours.

Although the research is still emerging, it appears disordered eating and eating disorders are even more common in gender diverse people.

Can we prevent eating disorders?

There is some evidence eating disorder prevention programs that target risk factors – such as dieting and concerns about shape and weight – can be effective to some extent in the short term.

The issue is most of these studies last only a few months. So we can’t determine whether the people involved went on to develop an eating disorder in the longer term.

In addition, most studies have involved girls or women in late high school and university. By this age, eating disorders have usually already emerged. So, this research cannot tell us as much about eating disorder prevention and it also neglects the wide range of people at risk of eating disorders.

Is orthorexia an eating disorder?

In defining the line between eating disorders and disordered eating, orthorexia nervosa is a contentious issue.

The name literally means “proper appetite” and involves a pathological obsession with proper nutrition, characterised by a restrictive diet and rigidly avoiding foods believed to be “unhealthy” or “impure”.

These disordered eating behaviours need to be taken seriously as they can lead to malnourishment, loss of relationships, and overall poor quality of life.

However, orthorexia nervosa is not an official eating disorder in any diagnostic manual.

Additionally, with the popularity of special diets (such as keto or paleo), time-restricted eating, and dietary requirements (for example, gluten-free) it can sometimes be hard to decipher when concerns about diet have become disordered, or may even be an eating disorder.

For example, around 6% of people have a food allergy. Emerging evidence suggests they are also more likely to have restrictive types of eating disorders, such as anorexia nervosa and avoidant/restrictive food intake disorder.

However, following a special diet such as veganism, or having a food allergy, does not automatically lead to disordered eating or an eating disorder.

It is important to recognise people’s different motivations for eating or avoiding certain foods. For example, a vegan may restrict certain food groups due to animal rights concerns, rather than disordered eating symptoms.

What to look out for

If you’re concerned about your own relationship with food or that of a loved one, here are some signs to look out for:

  • preoccupation with food and food preparation

  • cutting out food groups or skipping meals entirely

  • obsession with body weight or shape

  • large fluctuations in weight

  • compulsive exercise

  • mood changes and social withdrawal.

It’s always best to seek help early. But it is never too late to seek help.


In Australia, if you are experiencing difficulties in your relationships with food and your body, you can contact the Butterfly Foundation’s national helpline on 1800 33 4673 (or via their online chat).

For parents concerned their child might be developing concerning relationships with food, weight and body image, Feed Your Instinct highlights common warning signs, provides useful information about help seeking and can generate a personalised report to take to a health professional.

The Conversation

Gemma Sharp receives funding from an NHMRC Investigator Grant. She is a Professor and the Founding Director and Member of the Consortium for Research in Eating Disorders, a registered charity.

ref. What’s the difference between an eating disorder and disordered eating? – https://theconversation.com/whats-the-difference-between-an-eating-disorder-and-disordered-eating-256787

‘Do not eat’: what’s in those little desiccant sachets and how do they work?

Source: The Conversation – Canada – By Kamil Zuber, Senior Industry Research Fellow, Future Industries Institute, University of South Australia

towfiqu ahamed/Getty Images

When you buy a new electronic appliance, shoes, medicines or even some food items, you often find a small paper sachet with the warning: “silica gel, do not eat”.

What exactly is it, is it toxic, and can you use it for anything?

The importance of desiccants

That little sachet is a desiccant – a type of material that removes excess moisture from the air.

It’s important during the transport and storage of a wide range of products because we can’t always control the environment. Humid conditions can cause damage through corrosion, decay, the growth of mould and microorganisms.

This is why manufacturers include sachets with desiccants to make sure you receive the goods in pristine condition.

The most common desiccant is silica gel. The small, hard and translucent beads are made of silicon dioxide (like most sands or quartz) – a hydrophilic or water-loving material. Importantly, the beads are porous on the nano-scale, with pore sizes only 15 times larger than the radius of their atoms.

Silica gel looks somewhat like a sponge when viewed with scanning electron microscopy.
Trabelsi et al. (2009), CC BY-NC-ND

These pores have a capillary effect, meaning they condense and draw moisture into the bead similar to how trees transport water through the channelled structures in wood.

In addition, sponge-like porosity makes their surface area very large. A single gram of silica gel can have an area of up to 700 square metres – almost four tennis courts – making them exceptionally efficient at capturing and storing water.

Is silica gel toxic?

The “do not eat” warning is easily the most prominent text on silica gel sachets.

According to health professionals, most silica beads found in these sachets are non-toxic and don’t present the same risk as silica dust, for example. They mainly pose a choking hazard, which is good enough reason to keep them away from children and pets.

However, if silica gel is accidentally ingested, it’s still recommended to contact health professionals to determine the best course of action.

Some variants of silica gel contain a moisture-sensitive dye. One particular variant, based on cobalt chloride, is blue when the desiccant is dry and turns pink when saturated with moisture. While the dye is toxic, in desiccant pellets it is present only in a small amount – approximately 1% of the total weight.

Two plastic containers, one with blue translucent beads, one with pink.
Indicating silica gel with cobalt chloride – ‘fresh’ on the left, ‘used’ on the right.
Reza Rio/Shutterstock

Desiccants come in other forms, too

Apart from silica gel, a number of other materials are used as moisture absorbers and desiccants. These are zeolites, activated alumina and activated carbon – materials engineered to be highly porous.

Another desiccant type you’ll often see in moisture absorbers for larger areas like pantries or wardrobes is calcium chloride. It typically comes in a box filled with powder or crystals found in most hardware stores, and is a type of salt.

Kitchen salt – sodium chloride – attracts water and easily becomes lumpy. Calcium chloride works in the same way, but has an even stronger hygroscopic effect and “traps” the water through a hydration reaction. Once the salt is saturated, you’ll see liquid separating in the container.

A shelf in a wardrobe with a purple box with white powder inside in the corner.
Closet and pantry dehumidifiers like this one typically contain calcium chloride which binds water.
Healthy Happy/Shutterstock

I found something that doesn’t seem to be silica gel – what is it?

Some food items such as tortilla wraps, noodles, beef jerky, and some medicines and vitamins contain slightly different sachets, labelled “oxygen absorbers”.

These small packets don’t contain desiccants. Instead, they have chemical compounds that “scavenge” or bond oxygen.

Their purpose is similar to desiccants – they extend the shelf life of food products and sensitive chemicals such as medicines. But they do so by directly preventing oxidation. When some foods are exposed to oxygen, their chemical composition changes and can lead to decay (apples turning brown when cut is an example of oxidation).

There is a whole range of compounds used as oxygen absorbers. These chemicals have a stronger affinity to oxygen than the protected substance. They range from simple compounds such as iron which “rusts” by using up oxygen, to more complex such as plastic films that work when exposed to light.

A pile of various sachets and sheets found inside products.
Some of the sachets in your products are oxygen absorbers, not desiccants – but they may look similar.
Sergio Yoneda/Shutterstock

Can I reuse a desiccant?

Although desiccants and dehumidifiers are considered disposable, you can relatively easily reuse them.

To “recharge” or dehydrate silica gel, you can place it in an oven at approximately 115–125°C for 2–3 hours, although you shouldn’t do this if it’s in a plastic sachet that could melt in the heat.

Interestingly, due to how they bind water, some desiccants require temperatures well above the boiling point of water to dehydrate (for example, calcium chloride hydrates completely dehydrate at 200°C).

After dehydration, silica gel sachets may be useful for drying small electronic items (like your phone after you accidentally dropped it into water), keeping your camera dry, or preventing your family photos and old films from sticking to each other.

This is a good alternative to the questionable method of using uncooked rice, as silica gel doesn’t decompose and won’t leave starch residues on your things.

The Conversation

Kamil Zuber 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. ‘Do not eat’: what’s in those little desiccant sachets and how do they work? – https://theconversation.com/do-not-eat-whats-in-those-little-desiccant-sachets-and-how-do-they-work-258398

US labels QRIS a trade barrier – what’s next for Indonesia’s digital payment system?

Source: The Conversation – France (in French) – By Farhan Mutaqin, PhD Researcher, University of Edinburgh

The United States has recently called out Indonesia’s national digital payment system QRIS (Quick Response Code Indonesian Standard) for being unfair. The Office of the US Trade Representative (USTR) assessed QRIS as a trade barrier in its the National Trade Estimate Report 2025. The report – which includes broader trade concerns – underpins the Trump administration’s plan to impose 32% tariff duty for Indonesian products as of July 2025.

QRIS synchronises Indonesia’s electronic money payments, digital wallets, and mobile banking into one national standard system. By scanning a QR code, payment takes only a matter of seconds, allowing a swift cashless transaction compared to using cards.

USTR report criticises how QRIS implementation limits access for international stakeholders — particularly US companies — and creates an imbalance in Indonesia’s digital payments market.

The report also cites Indonesia’s National Payment Gateway (GPN) as less transparent and limits foreign ownership. The card, which is for domestic use only, eases administrative financial burdens, encourages cashless payment and facilitate social disbursement of social assistance.

Putting the trade assessment aside, QRIS helps small businesses and low-income groups in Indonesia to access modern payment facilities, closing the gap that Visa and Mastercard cannot provide. Throughout 2024, more than 30 million small businesses and merchants across Indonesia have made transactions via QRIS.

Here are what readers need to know about QRIS and what may come for Indonesia after its labelling as a trade barrier.

How significant is QRIS?

QRIS transaction value and popularity have skyrocketed since the central bank, Bank Indonesia, introduced it to the market in August 2019, months away before COVID-19 entered Indonesia. Throughout 2024 QRIS has recorded 2.2 billion transactions with a total value of Rp 242 trillion (around US$14.9 billion). This figure increased by 188% compared to the previous year.

In the first quarter of 2025, Bank Indonesia’s latest report noted that QRIS transactions surged to 2.6 billion with a transaction value reaching Rp 262 trillion (US$16 billion).

So, why does QRIS have such a huge reputation?

Massive digital adoption and user convenience factors triggered its growth, contributing to financial inclusion and supporting the growth and productivity of the Indonesian economy.

According to 2024 survey, the main reasons Indonesians use QRIS are its simplicity (49%) and transaction speed (42%). Promotion factors (33%) and the habit of not carrying cash (28%) also add to its appeal.

Wide outlet coverage (23%) and perceived security (22%) are also factors causing QRIS to be increasingly in demand. This practicality and growing digital habits in Indonesia are the main drivers of QRIS adoption.

From the merchant’s perspective, QRIS has advantages over card payments. The card system requires expensive EDC machines that cost Rp 3–5 million (US$180-310) per device.

Meanwhile, the merchant can receive payments via QRIS with just a single printed QR code, without needing extra equipment. QRIS transaction fees are also much lower at around 0.3% of transactions (even 0% for micro merchants), compared to 2–3% on cards.

QRIS is also compatible with all Indonesian and most of ASEAN countries e-wallets.

According to the Indonesian Payment System Association QRIS has become “the king of digital payment” channels for local transactions. Meanwhile, Visa–Mastercard’s position remains dominant for cross-border payments.

Risk of QRIS blocking

The USTR claims developed without input from international stakeholders may serve as an empty accusation.

Bank Indonesia designed QRIS to meet domestic needs while aligning with international standards like EMVCo standards carried by Europay, Mastercard, and Visa (EMV). The three global payment giants are also members of Indonesian Payment System Association and were involved in QRIS drafting process, accompanying the government and the central bank. Given how strictly regulated digital payment systems are, it’s hard to believe the US lacks information about QRIS.

However, the label of “trade barriers” has already been attached by the US and could ruin Indonesia’s negotiation process with other countries.

First, this issue could potentially hamper QRIS adoption in other countries. While Singapore, Malaysia, and Thailand have already facilitated QRIS into their national payment systems, further expansion into India and South Korea could be hampered by concerns about creating friction with Washington.

Second, the classification of QRIS as a trade barrier could also hinder the expansion of Indonesian small businesses into overseas markets. In fact, this standard was designed so that micro and small business actors can speed up the transaction process, including cross-border transactions with foreign buyers.

Advantage or disadvantage?

Both. It brings opportunities and challenges. The impact of USTR claim for Indonesia will depend largely on its negotiating strategy in the coming terms.

For now, the 32%-tariff sanction – affecting products from shoes, textiles, to nickel components – has been suspended until early July 2025. The two countries are continuing negotiations, including technical discussions on QRIS access since the US complaint aired.

But Indonesia can turn the US protest into an opportunity. The threat of tariffs forced the two countries into a two-month negotiation window.

Indonesia could trade off small adjustments to QRIS rules for larger rewards —such as lower tariffs on nickel products or new investment commitments from the US, especially in the fields of technology or the latest financial systems.

At least, Bank Indonesia has stated that “If America is ready, we are ready,” – a nod for possibility to prepare clearer guidelines for both countries. Arranging such documents will benefit all parties, including foreign and local business.

At last, Indonesia needs to share the success story of QRIS more widely. Currently, QRIS has served 56 million users, supports payments at more than 33 million outlets, and is seamlessly connected to several countries such as Malaysia, Singapore, and Thailand. This shows that the payment system is open, beneficial, and contributes to financial integration across countries and regions.

QRIS’s rapid growth, along with how the US feels threatened by it, shows huge potential for Indonesia’s digital finance. This can actually contribute to its bargaining position in the international arena in this digital era.


This article was originally published in Indonesian, translated into English with the help of machine translator and further edited by human editors.

The Conversation

Para penulis tidak bekerja, menjadi konsultan, memiliki saham atau menerima dana dari perusahaan atau organisasi mana pun yang akan mengambil untung dari artikel ini, dan telah mengungkapkan bahwa ia tidak memiliki afiliasi di luar afiliasi akademis yang telah disebut di atas.

ref. US labels QRIS a trade barrier – what’s next for Indonesia’s digital payment system? – https://theconversation.com/us-labels-qris-a-trade-barrier-whats-next-for-indonesias-digital-payment-system-257616

Journal indexation: The misconception of guaranteed quality

Source: The Conversation – France (in French) – By Ilham Akhsanu Ridlo, Assistant professor, Universitas Airlangga

Higher education institutions and research institutes are no strangers to commercial scientific journal indexers such as Scopus and Web of Science (WoS). These platforms serve as primary benchmarks for academic success and research performance evaluation. Within the scientific community, indexers function as a credibility currency for research’s perceived prestige and reliability.

This requirement has led to the misconception that indexation equates to research quality — while it does not necessarily guarantee high-quality research.

The indexation process merely demonstrates compliance with administrative requirements set by indexers. These include a peer review system, transparent editorial policies, and properly structured metadata or supporting data.

In other words, journal indexation alone cannot serve as the sole metric for research performance. Instead, evaluation systems should prioritise impact-driven indicators.

Journal indexation vs research quality

There are many factors that contribute to research quality, including the compatibility between the research question and the chosen methodology, the integrity and transparency of the research process, and the accessibility of data or supplementary research materials (such as datasets, methods of analysis, and research logs). Peer review processes typically evaluate these aspects.

Take Nature journal, for example. This prestigious publication retracted an article titled A Specific Amyloid-ß Protein Assembly in the Brain Impairs Memory in 2024 after it was proven that the lead researcher had manipulated images. Unfortunately, before the retraction, the article had already been cited 2,375 times and accessed by more than 74,000 readers.

According to the indexer Web of Science, Nature has an impact factor of 50.5 and is classified in journal quartile Q1 (18.51) in the ScimagoJR indexer (Scopus) under the multidisciplinary category.

Despite being widely regarded as a reputable reference, bibliometric indicators — statistical analyses of published books and articles — have inherent limitations.

For instance, the impact factor only measures the average number of citations per article in a journal over the past two years. However, citation distribution is often uneven — while some articles receive many citations, others may receive none. As a result, the impact factor does not necessarily reflect the overall quality of all published articles in a given journal.

The misconception impacts

This misconception about journal quality has negatively affected the academic climate, particularly in developing countries like Indonesia. Many policies prioritise the quantity of publications and citation rates over research quality.

As a result, policymakers in higher education and research direct academics to focus on topics with global appeal to increase their chances of publication in indexed journals recognised by international indexing institutions.

Regrettably, this trend often leads to the neglect of local social and humanities issues, such as environmental sustainability and community-based problems, which are considered less appealing to an international audience.

The pressure to publish in indexed journals also increases the risk of unethical academic practices. Misconduct such as plagiarism, data fabrication, and ‘salami slicing’ — the practice of splitting a single study into multiple smaller papers to inflate publication counts — has become more prevalent. In fact, paper mills—cartels of publishing companies that sell fabricated scientific articles — are a documented issue.

These practices not only damage researchers’ credibility but also undermine the integrity of the academic community as a whole. As publicly funded institutions, universities and research institutes must prioritise disseminating inclusive and impactful knowledge to society.

What are the alternatives?

Research quality appraisal requires a more inclusive and holistic paradigm to counter the negative effects of indexation-based performance evaluation. Several global science initiatives advocate for such changes, including the Declaration on Research Assessment (DORA), launched in 2012, the Leiden Manifesto in 2021, and the Coalition for Advancing Research Assessment (COARA) in 2023.

Reforming academic policies at both institutional and national levels is crucial to fostering a thriving research ecosystem. Relevant ministries must promote evaluation systems that prioritise research impact, while bibliometric indicators should serve as complementary rather than primary assessment tools.

Governments and academic institutions can also offer incentives for research that addresses strategic national issues rather than focusing solely on indexation standards.

Additionally, academic institutions should enhance capacity-building programmes for journal editors and researchers, including training in academic writing and editorial management. This approach can help local journals meet international standards while retaining their unique identity.

Transparency is equally vital. One concrete step is facilitating researchers’ storage of raw data and related materials in the National Scientific Repository (RIN), ensuring public accessibility.

Scientific articles undergoing peer review can also be shared as pre-prints, allowing the public to read and provide feedback. For publicly funded research, adhering to transparency principles demonstrates the researcher’s accountability to the society that finances their work.

While journal indexation improves the accessibility of scientific articles, it should not be the sole performance metric — let alone a measure of research quality. Relying on bibliometric indicators as a ‘shortcut’ for performance appraisal could ultimately reduce the research’s relevance and societal impact in Indonesia.


Kezia Kevina Harmoko contributes in this translation process

The Conversation

Ilham Akhsanu Ridlo tidak bekerja, menjadi konsultan, memiliki saham, atau menerima dana dari perusahaan atau organisasi mana pun yang akan mengambil untung dari artikel ini, dan telah mengungkapkan bahwa ia tidak memiliki afiliasi selain yang telah disebut di atas.

ref. Journal indexation: The misconception of guaranteed quality – https://theconversation.com/journal-indexation-the-misconception-of-guaranteed-quality-250829

The story behind the ‘Moko’ drums, sacred musical instruments from the Alor-Pantar archipelago

Source: The Conversation – France (in French) – By Francesco Perono Cacciafoco, Associate Professor in Linguistics, Xi’an Jiaotong-Liverpool University

The day was still alive when a group of Abui people danced in a circle around the ‘maasang’ – the central altar of their village – alternating coordinated movements with rhythmic pauses. The drums were played, marking each step with their sounds, believed to connect the world of the gods with the world of humans.

They were performing the ‘lego-lego’ dance, an integral part of ancestral rituals. The dance was directed by the cadenced rhythm produced by the ‘Moko’ drums, distinctive musical instruments that are also prestigious heirlooms and sacred tools, mostly found in the Alor-Pantar archipelago, in East Nusa Tenggara.

Recently, with Shiyue Wu, my Research Assistant at Xi’an Jiaotong-Liverpool University (Suzhou, Jiangsu, China), I developed and published research about the names of the ‘Moko’ drums and bronze gongs from Alor in three representative Papuan languages spoken in the island: Abui (Central Alor), Sawila (Eastern Alor), and Kula (Eastern Alor).

This research aims to increase our knowledge on the ‘Moko’ drums and their significance and sanctity for the cultural identity and heritage of the peoples living in the Alor-Pantar archipelago.




Baca juga:
Finding ‘Kape’: How Language Documentation helps us preserve an endangered language


Unclear historical references

Among the many ancestral traditions and ritual objects attested in Southeastern Indonesia, the ‘Moko’ drums represent a unique blend of symbolic and religious values and practical functions in the social life of the local Papuan communities. Technically, they are bronze kettle-drums, specifically membranophones, instruments that produce their sounds by being hit on their vibrating skins, or membranes.

Despite their widespread use and cultural significance among indigenous communities in Alor, Pantar and beyond — like in Timor and among the Austronesian and Papuan groups of Flores —, the history and origins of these musical instruments are still relatively obscure and seem to fade into the mists of time.

The ‘bronze gongs’ from the Alor-Pantar archipelago vary in size and are typically round, flat metal discs played with a mallet. They are equivalent to the ‘Moko’ drums, at the level of musical and social functions.

The indigenous peoples believe that the drums and gongs have no local origins from the islands, but their possible place of production is unknown. We recently confirmed this through fieldwork conversations with our Abui local consultant.

‘Moko’ drums’ unique attributes

Each ‘Moko’ drum (and bronze gong) is characterised by physical (size, shape, and the produced sounds) and aesthetic (iconography and decorations) features, which make it unique. The uniqueness of the drums and gongs is strengthened by the fact that each type of these membranophones has an ‘individual’ name, which indicates a specific category, with its dedicated musical and iconographic attributes.

For example, there are ‘fiyaai futal’ (in Abui), the “candlenut-flower” drum, and ‘bileeqwea / bileeq-wea‘ (in Abui), the “lizard-blood” drum.

All the ethnic groups in Alor, Pantar and surrounding areas use their own local variants for the names of the different drums. This nomenclature reflects specific ritual and trading features of each musical instrument.

Despite this, the native speakers cannot explain the name ‘Moko’ in itself, with its etymological and semantic origins. They agree upon the likely foreign origin of the instruments, but no one can pinpoint a possible location for their production (some say Java, Makassar, India, Vietnam, or even China, but without any conclusive evidence) or the trade routes across which they were likely imported to the islands.

Some local myths and origin stories tell about the unexpected discovery, by local people, of ‘Moko’ drums buried in the ground, adding a veil of mystery to their enigmatic roots. Being treasured items, the drums were actually buried under the ground by locals, to avoid the risk to fall into the hands of colonisers or to be taken away by outsiders.

The term ‘Moko’ is universally attested and used in everyday conversations by the Alor-Pantar speakers, independently of their languages and villages. However, nobody, among the locals, can explain the roots of the name or propose an interpretation for its possible meaning. The ‘Moko’ drums are, therefore, an unsolved puzzle in the context of the material culture and linguistic landscape of the Alor-Pantar archipelago.

It is possible that the name ‘Moko’ was coined ‘internally’, in Alor and Pantar, perhaps in the ‘Alor Malay’ language, which is commonly spoken in the archipelago since the 14th century. The denomination would have, then, spread towards external areas.

However, this hypothesis cannot be proven with incontrovertible evidence, and the direction of the naming process could have also been the opposite, from outside into Alor and Pantar.

Our paper presents systematic lists of the names of drums and gongs, with the original denominations in the three different above-mentioned languages, the related translations, name-by-name, synthetic notes on the possible origins of their nomenclature, a catalogue of the instruments by categories (based on fieldwork and direct observation), and a set of pictures reproducing a small selection of drums according to their cultural significance.

Beyond musical functions

The ‘Moko‘ drums are relatively ancient ritual objects commonly used, in the past, in generally pre-Christian worship ceremonies performed by the indigenous communities. The traditions survived until today, through local folklore and public celebrations.

The drums, as well as the related bronze gongs, still play an important role as a valuable local ‘currency’. Highly regarded as prestigious family possessions, they are used for trade and social practices embedded into traditional customs, like bride-price negotiations.

The path towards a full understanding of the historical dynamics of the production and spread of the ‘Moko’ drums and gongs — as well as their provenance and the etymologies of their names — might still be long. However, this does not diminish their cultural and material significance among the Alor-Pantar peoples.

Despite their obscure origins, ‘Moko’ drums and bronze gongs are meticulously catalogued, described and rated by the local communities in the islands. Periodically, a multi-ethnic council gathers to assess, update and validate the different values and levels of social prestige and rarity of every single instrument.

This safeguarding effort, combined with the collection and systematisation of ‘first hand’ data, which we are currently developing, may considerably help in shedding light on the nature and origins of these enigmatic instruments.

The Conversation

Francesco Perono Cacciafoco received funding from Xi’an Jiaotong-Liverpool University (XJTLU): Research Development Fund (RDF) Grant, “Place Names and Cultural Identity: Toponyms and Their Diachronic Evolution among the Kula People from Alor Island”, Grant Number: RDF-23-01-014, School of Humanities and Social Sciences (HSS), Xi’an Jiaotong-Liverpool University (XJTLU), Suzhou (Jiangsu), China, 2024-2025.

ref. The story behind the ‘Moko’ drums, sacred musical instruments from the Alor-Pantar archipelago – https://theconversation.com/the-story-behind-the-moko-drums-sacred-musical-instruments-from-the-alor-pantar-archipelago-253225

No land, no future: The dilemma facing rural youth in Indonesia

Source: The Conversation – France (in French) – By Dr Christina Griffin, Research fellow, Crawford School of Public Policy, Australian National University

Every morning, Indah (18 years old) wakes early to catch the company bus from her coastal village in Maros Regency, South Sulawesi. She travels for over one hour to a shrimp manufacturing warehouse in the urban outskirts of Makassar City—the capital of the province.

Despite living in a rural village, she does not have any land to establish herself in farming. She works at a factory, just like many other young women in her village, as there are few options left.

The rural landscape has changed rapidly, driven by expanding urbanisation, mining activities, commodity crops, and infrastructure development—displacing once-fertile agricultural land. As a result, fewer rural young people have access to adequate amounts of farmland to make a viable living from agriculture alone, and lingering informality in the workplace makes stable off-farm employment difficult to find.

Indah’s story is representative of many youth in rural Indonesia, who are seeking new pathways to achieve their livelihood hopes and aspirations.

To understand the changing nature of young people’s livelihoods, aspirations, and hopes, we conducted in-depth fieldwork in four villages spanning different geographies in the Maros Regency. In each village, we heard how young people—including Indah—face similar challenges as they imagine, realise and recalibrate their future aspirations.

Rising rates of tertiary education, but jobs not guaranteed

Over the past few decades, Maros has undergone rapid agrarian and economic changes. The creation of the Bantimurung-Bulusaraung National Park has limited local communities access to candlenut forests.

Additionally, the conversion of rice fields into shrimp ponds during the 1990s shrimp boom led to soil degradation and dependency on unstable commodities.

These changes, along with the expansion of mines, railways, factories, and housing on productive farmland, have pushed rural youth away from land-based livelihoods. Today, they are increasingly drawn to retail and manufacturing jobs in cities or consider migrating to other islands.

This situation means that education is seen as a gateway to “modern” jobs outside agriculture. Finishing senior high school is considered essential to secure a dream job—whether as a civil servant, salaried retail worker, or in mechanical-oriented jobs.

However, educational achievements do not always guarantee the anticipated pathways to a better future. Local job market conditions do not always deliver for educated youth. As a result, many young people seek creative pathways to employment, entrepreneurship, or to “escape” to cities or even abroad.

Our research documented the trajectories that rural youth pursue.

  • Gendered factory work

Factory work in Makassar’s industrial zone, such as KIMA, is an increasingly important livelihood for rural young women lacking access to land or the finances needed to study.

These women are collected from the village by a company bus at 6 am. They work in a shrimp processing factory from 8 am until 5 pm, sometimes continuing with overtime shifts until 10 pm. While the availability of this work is reasonably steady, workers lack formal contracts.

A 19-year-old female working in shrimp processing said,

“Actually, I want to work at a convenience store, but only those who have the money to continue through to high school can. If you have lower levels of schooling, you have to go to KIMA.”

  • Cyclical migration

Many rural youth choose migration to pursue a better future. Sometimes, they keep one foot in either world, as they cyclically move between rural village life, fishing, plantation work, or urban opportunities.

Young women have found work as domestic helpers in Saudi Arabia and Malaysia, while others commute to factories in Makassar’s industrial zone. Meanwhile, young men secure jobs in oil palm plantations, labouring for land conversions, transportation, or construction work across Sulawesi, Papua, Kalimantan, or Malaysia.

Some migrate closer to home, to towns like Maros and Makassar City, to access schools, universities, labouring jobs, manufacturing work, or opportunities as drivers and mechanics.

One 42-year-old male landowner remarked,

“The unemployment rate here is high, if young people don’t migrate, they will stay unemployed in the village.”

  • Becoming an entrepreneur

Youth also respond to the uncertainty of agriculture and labour force opportunities through the pursuit of entrepreneurial activities.

Becoming an entrepreneur is seen as a pathway to business ownership, financial stability, and a better rural future. These pursuits may involve the opening of small automobile workshops, fashion boutiques, trading petty goods on social media platforms, or tourism ventures, all within the village.

“Even if it’s a small business, if that person is the boss, that’s a successful person,” said a 30-year-old male entrepreneur.

Hopeful future-making

Rural youth in Indonesia do not reject education or hard work, but their social and economic conditions often limit their options. These include access to land and agricultural capital, as well as the ability to secure finances for tertiary education.

Despite these challenges, they continue to shape their lives through hope, recalibrating their aspirations to the realities they face.

Rural youth are not passive and actively pursue their hopes for a better future, whether through migration, local entrepreneurship, education, or for some, farm ownership.

Listening to the hopes of South Sulawesi’s rural youth teaches us an important lesson: development must go beyond infrastructure. We need to understand how youth envision their futures and support their choices—including those who choose to stay in their villages—through fair and inclusive policies.

Indonesia could actively support young people to prosper in rural areas through ongoing investment in rural revitalisation policies, improving access to land, capital, education, job opportunities, and social services in rural areas. Our research shows that youth are still interested in farming. Yet, they require access to an adequate amount of securely tenured farmland and capital to realise this opportunity.

If we are serious about making rural areas viable places to live, greater efforts are needed to sustain rural opportunities for young people. The voices and hopes of rural youth deserve to be heard, not pitied.

The Conversation

Dr Christina Griffin is affiliated with the Australian National University dan University of Melbourne. This research was funded by the Partnership for Australia Indonesia Research (PAIR). We thank the Forest and Society research group at Hasanuddin University for leading the fieldwork

Muhammad Alif K. Sahide, Nurhady Sirimorok, dan Wolfram Dressler tidak bekerja, menjadi konsultan, memiliki saham, atau menerima dana dari perusahaan atau organisasi mana pun yang akan mengambil untung dari artikel ini, dan telah mengungkapkan bahwa ia tidak memiliki afiliasi selain yang telah disebut di atas.

ref. No land, no future: The dilemma facing rural youth in Indonesia – https://theconversation.com/no-land-no-future-the-dilemma-facing-rural-youth-in-indonesia-254598

Gandang Ahung of the Dayak people: More than a gong ensemble, a way of life at risk

Source: The Conversation – France (in French) – By Muhammad Rayhan Sudrajat, Ethnomusicologist & Lecturer, Universitas Katolik Parahyangan

It was first started one morning in 2015. I travelled 109 kilometres from Palangka Raya to a village in the Katingan River basin, Central Kalimantan. When I entered the village, I could feel the sound of the Gandang Ahung, the sacred gong ensemble used in the Tiwah death ceremony, vibrating in my chest. Its frequency filled the entire space, uniting humans, spirits, and nature in a single breath. Some people closed their eyes; even the forest outside seemed to hum along.

Amidst the chanting, the ritual began: participants danced around the field where the Tiwah ceremony was held. Their distinctive hand and foot movements followed the rhythm. Baram, a traditional liquor from Katingan, was then shared among the dancers.

The sound of Gandang Ahung lingered in the air, summoning spirits from the river’s rise and fall to partake in the sacred offering of blood. It opened the path to the upper realm —Lewu Rami je dia Kasene Beti Lewu Tatau Habaras Bulau Rundung Janah dia Bakalesu Uhat — the radiant village beyond time, where souls find rest in Hindu-Kaharingan cosmology.

Gandang Ahung is not only a form of cultural heritage, but an inseparable part of how the Katingan Awa Dayak community understands life, death, and their relationship with nature.

However, this sacred ritual is now threatened due to the rampant deforestation in Kalimantan. Cultural shifts brought by modernisation are also slowly eroding not only the physical environment, but also the soundscape, cosmology, and rituals like Tiwah. If these sounds disappear, so too might the worldview passed down through generations..

Tiwah ceremony: The echo of living tradition

In the Katingan Awa Dayak tradition, Tiwah is regarded as the second-level death ceremony, conducted long after the initial or first-level funeral. The first stage involves the immediate handling of the body, burial, and essential rites to initiate the soul’s journey—considered a temporary phase, as the soul remains in transition.

The second-level Tiwah, serves as the final ritual to guide the soul to the afterlife, reunite it with ancestors, and restore harmony between humans, spirits, and nature. It includes the exhumation and ceremonial cleansing of the bones, reburial in a family bone house (pambak), and is marked by extensive communal offerings, music, and dance.

There are no “spectators” in the ceremony: all villagers are participants. Children help, the pisur (religious leaders) lead, and the entire community listens not just with their ears but with their full presence. For months, families, neighbors, and religious leaders work together to prepare this procession.

In Tiwah, sound is not merely entertainment. It becomes a language to speak to spirits, to remember the departed, and to reconnect the fragile web of life.

Gandang Ahung, with its echoes and vibrations, plays a central role in the ceremony: It opens the way for the liau (spirits) to reach Lewu Tatau.

Gandang Ahung can be carried anywhere, depending on the needs of the ritual. Interestingly, the instrument never sounds the same from one location to another, corresponding to the space where it is played. This shows how its sound is inseparable from surrounding land, rivers, and trees.

Unlike how music comes through notation, tempo, and technique in the West, sound flows from relationships in the Katingan Awa community. The player, the community, and the spirits shape the sound. The player does not simply follow the beat – he adjusts his strokes to the dancer’s body movements.

The tone is not dictated by a written score but arises from feeling — what is “right” in the moment. Here, in the ritual space, sound becomes a mode of communication, not merely a performance.

Some pisur I spoke with explained that the rhythm of Gandang Ahung is not measured in beats, but guided by breath and intuition. The beats are slow for the Tiwah ceremony to accompany the Manganjan dance, a dance specifically for the Tiwah ceremony.

Fading with forest loss

Deforestation, river pollution, and the displacement of Indigenous communities threaten not only the physical environment and its biodiversity — they also erase the acoustic landscapes embedded in local rituals and cosmology.

When forests are lost, sounds like Gandang Ahung and their profound meanings also slowly fade. The Gandang Ahung is not merely played — it is brought to life in rituals deeply rooted in nature: from the wood used to craft the drums, to the ceremonial space in the village heart, to the spirits believed to inhabit trees, rivers, and lakes.

As forests are cleared for palm oil plantations, the space for these sacred sounds disappears — along with the communities’ ways of understanding life, death, and their bond with nature.

Nurturing sound, nurturing life

Hindu-Kaharingan itself, though recognised by the government, is often dismissed as mere ‘folklore’ or an ‘outdated tradition.’ Practices like Tiwah rarely appear in mainstream media – let alone gain recognition in national academic discourse.

If Indonesia is truly committed to education and cultural preservation, we must start viewing traditions like Gandang Ahung not simply as artefacts, but as living philosophies and practices.

Like classical music theory, these traditions are built on their own systems, ethics, and methodologies. They need to be taught, respected, and lived — not just documented and then forgotten.

Concrete steps include protecting customary forests as soundscapes, integrating local music traditions into school curricula, and involving communities in the documentation of rituals.

The Schools of Living Traditions (SLT) program in the Philippines, run by the National Commission for Culture and the Arts (NCCA), offer a powerful example. The program has successfully preserved traditional arts and music through non-formal education that involves local cultural experts as teachers. It is recognized by UNESCO as a best practice in safeguarding intangible cultural heritage.

Such measures are vital to ensure that sounds like Gandang Ahung transcend nostalgia and continue to thrive — not just in ceremonies, but in the everyday lives of the Katingan Awa community and Indonesians more broadly.

The Conversation

Muhammad Rayhan Sudrajat tidak bekerja, menjadi konsultan, memiliki saham, atau menerima dana dari perusahaan atau organisasi mana pun yang akan mengambil untung dari artikel ini, dan telah mengungkapkan bahwa ia tidak memiliki afiliasi selain yang telah disebut di atas.

ref. Gandang Ahung of the Dayak people: More than a gong ensemble, a way of life at risk – https://theconversation.com/gandang-ahung-of-the-dayak-people-more-than-a-gong-ensemble-a-way-of-life-at-risk-256809

Back to the Future at 40: the trilogy has never been remade – let’s hope that doesn’t change

Source: The Conversation – Canada – By Daniel O’Brien, Lecturer, Department of Literature Film and Theatre Studies, University of Essex

It has now been four decades since Marty McFly first hit 88 miles per hour in a time-travelling DeLorean. Robert Zemeckis’s sci-fi adventure blockbuster didn’t just navigate the space-time continuum onscreen (thanks to the flux capacitor). It also found a lasting place in the hearts of its audience.

Personally, I don’t think I’ve ever heard anyone speak badly about the Back to the Future trilogy (aside from certain cast members, which I’ll touch on later). It has thankfully avoided the common traps of remakes and the sprawling expanded universe trend, which has diluted so many other beloved franchises (yes, Star Wars, Indiana Jones and The Lord of the Rings, I’m talking to you).

Naturally, the success of Back to the Future has inspired a range of adaptations, including a computer game, an immersive Secret Cinema event, as well as a more recent West End stage musical. But each version stays true to the spirit of the original, reinforcing what feels like an unspoken rule in Hollywood: Back to the Future is off-limits to a cinematic or televised remake.


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Zemeckis and Bob Gale, who co-wrote the screenplay for all three films, have repeatedly shut down the idea of a fourth instalment, declaring that the trilogy is complete. In fact, aside from a few delightful Back to the Future references in other shows made by the original stars themselves, the only remake you’re likely to come across is BBTF Project 85. It’s a multi-fan-made, shot-for-shot collaboration and true labour of love, created not for profit but out of pure admiration for the original.

The success of the Back to the Future trilogy can be attributed to several factors, not least the undeniable charisma and chemistry between Michael J. Fox and Christopher Lloyd. The wholesome, inter-generational friendship of their characters is never explicitly explained, but also doesn’t need to be. It simply works. The dynamic between Doc and Marty captures a timeless, heartfelt bond between two generations who respect and learn from each other, much like the relationship between Daniel LaRusso and Mr. Miyagi in The Karate Kid (another trilogy that has since found itself in the rebooted camp).

The original trailer for Back to the Future.

Michael J. Fox was the original choice for Marty McFly but due to scheduling conflicts with his role on sitcom Family Ties, production began with Eric Stoltz in the role. Over half the film was shot before Zemeckis made the difficult decision to recast.

As Stoltz later said in an interview, the change came because he “wasn’t giving the performance [Zemeckis] wanted for his film”. Stoltz, a talented performer, brought a darker, moodier and more intense interpretation to Marty, a version that was replaced by Fox’s lighter, more comedic approach, channelled through his effortless charm.

Stoltz wasn’t the only cast member to leave Back to the Future with a sense of disappointment. Crispin Glover, who played George McFly, also famously fell out with Zemeckis and Gale over creative differences. One of which was Glover’s objection to the film’s ending that presented Marty’s family being financially wealthier in comparison to the start. Glover felt this idea sent a negative message of money equating to happiness. This artistic clash (and ironically, dispute over salary) ultimately led to him being recast in Back to the Future Parts II and III, with actor Jeffrey Weissman stepping in.

In the sequels, Weissman wears a facial prosthetic designed from Glover’s likeness from the first film (where George is made to look older). This enraged Glover further, who responded by filing a lawsuit, arguing that the use of his image without consent was illegal.

He has since been openly critical of Weissman’s “bad performance” and has expressed ongoing frustration that many viewers still mistakenly assume the “bad acting” to be his own. As he notes, this explicitly contrasts with the more obvious recasting of Jennifer Parker (Marty’s girlfriend) performed by Claudia Wells in the first film and later replaced by Elisabeth Shue in the sequels.

The recasting reflects the first film’s unexpected success. Back to the Future was never intended to have a sequel, but the overwhelming popularity of the original prompted the rapid development of two back-to-back follow-ups released in 1989 and 1990.

Once again, the film’s success can be credited to the electric chemistry between its leads and the unforgettable music, from Huey Lewis’s Power of Love to Chuck Berry’s “new sound” in Johnny B. Goode, and Alan Silvestri’s hauntingly triumphant score. Silvestri’s music seems to capture the spirit of wide-eyed adventure, nostalgia and wisdom all at once, like a journey through time, composed entirely for the ears, affording the trilogy a sense of timelessness.

Back to printed media

Another charm of the Back to the Future trilogy (which stood out to me in a more recent viewing) lies in its use of printed media, which inspired me to create my video essay, Back to Printed Media.

Back to Printed Media.

As indicated in the video, Back to the Future begins with the sound and image of clocks before panning to a framed newspaper article, a fitting introduction to how all three instalments use print to convey plot, emotion and shifts across timelines.

Beyond newspapers, the trilogy gives prominence to photographs, handwritten letters, phone books, a sports almanac, transparent receipts of the future, and even printed faxes (in the future of 2015). This tactile world of ink and paper evokes a deep nostalgia, underscoring the emotional weight of physical communication, something that has steadily faded with the rise of digital screens and indeed the loss of physical touch.

Doc even comments in the third instalment (when reading a letter from his future self) that he never knew he could write anything so touching.

In an era where glowing rectangles dominate both our lives and our storytelling, Back to the Future offers a refreshing contrast. It reminds us of the human connection and the need to be with others, packaged in a blockbuster narrative about one of the most universal cinematic themes: finding your way back home.

As a trilogy, Back to the Future has stood the test of time for four decades, and I’m confident it will continue to resonate with both new and nostalgic audiences well into the future.

The Conversation

Daniel O’Brien 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. Back to the Future at 40: the trilogy has never been remade – let’s hope that doesn’t change – https://theconversation.com/back-to-the-future-at-40-the-trilogy-has-never-been-remade-lets-hope-that-doesnt-change-259725

Why experts expect Russian interference in upcoming election on Ukraine’s borders

Source: The Conversation – Canada – By Stefan Wolff, Professor of International Security, University of Birmingham

When Moldovans go to the polls in parliamentary elections on September 28, it will be the third time in less than a year – after a referendum on future EU membership and presidential elections last autumn.

In both of the recent elections pro-European forces scraped to victory, thanks to a strong turnout among Moldovan diaspora voters, primarily in western Europe and north America. And in both elections, Russian interference was a significant factor. This is unlikely to change in the upcoming parliamentary vote. Moldova is too important a battleground in Russia’s campaign to rebuild a Soviet-style sphere of influence in eastern Europe.

Wedged between EU and Nato member Romania to the west and Ukraine to the east, Moldova has its own aspirations for EU accession. But with a breakaway region in Transnistria, which is host to a Russian military base and “peacekeeping force” and whose population is leaning heavily towards Russia, this will not be a straightforward path to membership.

What’s more, a Euro-sceptic and Moscow-friendly government after the next elections might allow the Kremlin to increase its military presence in the region and thereby pose a threat not only to Ukraine but also to Romania. While not quite equivalent to Russia’s unsinkable aircraft carrier of Kaliningrad, a more Russia-friendly Moldovan government would be a major strategic asset for Moscow.

Unsurprisingly, Moldova’s president, Maia Sandu, and her Ukrainian counterpart, Volodymyr Zelensky have little doubt that further destabilisation is at the top of Russia’s agenda. Fears about a Russian escalation in the months before the elections are neither new nor unfounded.

There were worries that Moldova and Transnistria might be next on the Kremlin’s agenda as far back as the aftermath of Russia’s illegal annexation of Crimea in 2014. These worries resurfaced when Moscow, rather prematurely, announced the beginning of stage two of its war against Ukraine in late April, 2022.

Russia’s hopes of capturing all of southern Ukraine may not have materialised yet, but they are not off the Kremlin’s agenda. And a track record of false-flag operations in Transnistria and a coup attempt in Moldova do not bode well in the run-up to the elections.

Knife-edge elections are nothing new in Moldova. The country is not only physically divided along the river Nistru, but even in the territory controlled by the government, opinions over its future geopolitical orientation remain split.

With no pre-1991 history of independent statehood, parts of Moldova were part of Ukraine, Romania and the Soviet Union. Russian is widely spoken and, while declining in number, Moldovan labour migrants to Russia remain important contributors of remittances, which accounted for over 12 percent of the country’s GDP in 2023.

A large number of Moldovans are, therefore, not keen on severing all ties with Russia. This does not mean they are supporters of Russia’s aggression against Ukraine or opponents of closer relations with the European Union. But as the referendum and presidential elections in October 2024, if pushed to make a choice between Russia and Europe and manipulated by Russian fear-mongering and vote buying, pro-European majorities remain slim.

This is despite the significant support that the EU has provided to Moldova, including €1.9 billion (£1.6 billion) in financial support to facilitate reforms as part of the country’s efforts to join the EU. And there’s also nearly €200 million in military assistance over the past four years, including a €20 million package for improved air defences announced in April.

Russian interference in the 2024 election was well documented.

The EU has also provided several emergency aid packages to assist the country’s population during repeated energy crises triggered by Russia. Since then, the Moldovans and Brussels have agreed on comprehensive energy strategy that will make the country immune to Russian blackmail.

This pattern of competitive influence seeking by Russia and the EU is long-standing and has not produced any decisive, lasting breakthroughs for either side.

When the current president of Moldova, Maia Sandu, won in 2020, she defeated her opponent, Igor Dodon, by a decisive 58% to 42% margin, equivalent to some 250,000 votes that separated the candidates in the second round. Sandu’s Party of Action and Solidarity (PAS) obtained almost 53% of votes in the 2021 parliamentary elections and gained 63 seats in the 101-seat parliament. Not since the 2005 elections, won by the communist party under then-president Vladimir Voronin, had there been a a majority single-party government in Moldova. According to current opinion polls, PAS remains the strongest party with levels of support between 27% and 37%.

In a crowded field of political parties and their leaders in which disappointment and doubt are the prevailing negative emotions among the electorate, Sandu and PAS remain the least unpopular choices. They have weathered the fall-out from the war in Ukraine well so far – managing the influx of refugees, keeping relations with Transnistria stable, and steering Moldova through a near-constant cost-of-living and energy crisis. Anti-government protests in 2022-23 eventually fizzled out.

Russia’s election interference in 2024 was ultimately not successful in cheating pro-European voters out of their victories in the presidential elections and the referendum on future EU membership. But this is unlikely to stop the Kremlin from trying again in the run-up to parliamentary elections in September.

Moscow will try to disrupt and delay Moldova’s already bumpy road to EU membership. A weakened pro-European government after parliamentary elections would be a very useful tool for Russia. Moldova and its European allies are in for an unusually hot summer.

The Conversation

Stefan Wolff is a past recipient of grant funding from the Natural Environment Research Council of the UK, the United States Institute of Peace, the Economic and Social Research Council of the UK, the British Academy, the NATO Science for Peace Programme, the EU Framework Programmes 6 and 7 and Horizon 2020, as well as the EU’s Jean Monnet Programme. He is a Trustee and Honorary Treasurer of the Political Studies Association of the UK and a Senior Research Fellow at the Foreign Policy Centre in London.

ref. Why experts expect Russian interference in upcoming election on Ukraine’s borders – https://theconversation.com/why-experts-expect-russian-interference-in-upcoming-election-on-ukraines-borders-258445

RFK Junior is stoking fears about vaccine safety. Here’s why he’s wrong – and the impact it could have

Source: The Conversation – Canada – By Julie Leask, Professor, School of Public Health, University of Sydney

The United States used to be a leader in vaccine research, development and policymaking. Now US Secretary of Health Robert F. Kennedy Jr is undermining the country’s vaccine program at the highest level and supercharging vaccine skepticism.

Two weeks ago, RFK Jr sacked the entire Advisory Committee on Immunization Practices responsible for reviewing the latest scientific evidence on vaccines. RFK Jr alleged conflicts of interest and hand-picked a replacement panel.

On Wednesday, RFK Jr announced the US would stop funding the global vaccine alliance, Gavi, because he claimed that “when the science was inconvenient today, Gavi ignored the science”. RFK Jr questioned the safety of COVID vaccines for pregnant women, as well as the diphtheria, tetanus and pertussis vaccine.

On Thursday, when the new Advisory Committee on Immunization Practices met, the person who first drew RFK Jr into vaccine scepticism, Lyn Redwood, shared disproved claims about a chemical called thimerosal in flu vaccines being harmful.

The undermining of regulation, advisory processes and funding changes will have global impacts, as debunked claims are given new levels of apparent legitimacy. Some of these impacts will be slow and insidious.

So what should we make of these latest claims and funding cuts?

Thiomersal is a distraction

Thiomersal (thimerosal in the the US) is a safe and effective preservative that prevents bacterial and fungal contamination of the vaccine contained in a multi-dose vial. It’s a salt that contains a tiny amount of mercury in a safe form.

Thiomersal is no longer used as a preservative in any vaccines routinely given in Australia. But it’s still used in the Q fever vaccine.

Other countries use multi-dose vials with thiomersal when single-dose vials are too expensive.

In the US, just 4% of adult influenza vaccines contain thiomersal. So focusing on removing vaccines containing thimerosal is a distraction for the committee.

COVID vaccines in pregnancy prevent severe illness

On Wednesday, RFK criticised Gavi’s encouragement of pregnant women to receive COVID-19 vaccines.

A COVID-19 infection before and during pregnancy can increase the risk of miscarriage two- to four-fold, even if it’s only a mild infection.

Conversely, there is good evidence vaccination during pregnancy is safe and can reduce the chance of hospitalisation of pregnant people and of infants by passing antibodies through the placenta.

In Australia, pregnant people who have never received a primary COVID-19 vaccine are recommended to have one. However, they are not generally recommended to have booster unless they have underlying risk conditions or prefer to have one. This is due to population immunity.

COVID-19 vaccine advice should adapt to changes in disease risk and vaccine benefit. It doesn’t mean previous decisions were wrong, nor that vaccine boosters are unsafe.

RFK’s criticism of COVID-19 vaccines in pregnancy may influence choices individuals make in other countries, even when unvaccinated pregnant women are encouraged to consider vaccination.

The diphtheria, tetanus and pertussis vaccine is safe

RFK Jr also questioned the safety of the combined diphtheria, tetanus and pertussis (DTP) vaccine as he announced the withdrawal of US funding support for Gavi.

In the early 2000s, three community-based observational studies reported a possible association between increased chance of death in infants and use of the DTP vaccine.

A few subsequent studies also reported associations, with higher risk in girls, prompting a World Health Organization (WHO) review of safety.

Real world studies are complicated and the data can be difficult to interpret correctly. Often, the very factors that influence whether someone gets vaccinated can also be associated with other health risks.

When the WHO committee reviewed all the studies on DTP safety in 2014, it did not indicate serious adverse events. It concluded there was substantial evidence against these claims.

What will de-funding Gavi mean for vaccination rates?

Gavi, the vaccine alliance, supports vaccine purchasing in low-income countries.

The US has historically accounted for 13% of all donor funds.

However, RFK Jr said Gavi needed to re-earn the public trust and “consider the best science available” before the US would contribute funding again.

Gavi predicted in March that the impact of US funding cuts could result in one million deaths through missed vaccines.

Could something like this happen in Australia?

Australia is fortunate to be buffered from these impacts.

Our vaccine advisory body, the Australian Technical Advisory Group on Immunisation, has people with deep expertise in vaccination. We have robust decision processes that weigh evidence critically and make careful recommendations to government.

Our governments remain committed to vaccination. The federal government released the National Immunisation Strategy in mid-June with a comprehensive plan to continue to strengthen our program.

The federal government also announced A$386 million to support the work of Gavi from 2026 to 2030.

All of this keeps our vaccine policies strong, preventing disease and increasing life expectancy here and overseas.

But to mitigate the possible influence of the US in Australia, our governments, health professionals and the public need to be ready to rapidly tackle the misinformation, distortions and half-truths RFK Jr cleverly packages – with quality information.

The Conversation

Julie Leask receives research funding from NHMRC, WHO, US CDC, NSW Ministry of Health. She received funding from Sanofi for travel to an overseas meeting in 2024. She has consulting fees from RTI International and the Task Force for Global Health.

Catherine Bennett has received honoraria for contributing to independent advisory panels for Moderna and AstraZeneca, and has received NHMRC, VicHealth and MRFF funding for unrelated projects. She was the health lead on the Independent Inquiry into the Australian Government COVID-19 Response .

ref. RFK Junior is stoking fears about vaccine safety. Here’s why he’s wrong – and the impact it could have – https://theconversation.com/rfk-junior-is-stoking-fears-about-vaccine-safety-heres-why-hes-wrong-and-the-impact-it-could-have-259986