Miscarriage: ‘I was in pain and they did not listen’

Black women face higher risks of miscarriage – and experts say this urgent problem needs more attention.

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Worrying numbers of older children having energy drinks regularly

Up to a third of UK children – mostly teens – consume at least one energy drink a week, research reveals.

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Gene regulation in mammals offers clues connecting pregnancy and cancer metastasis

Researchers from UConn Heath and Yale University have made new advances connecting the evolution of pregnancy and cancer metastasis.

Publishing in the Proceedings of the National Academy of Sciences, Yasir Suhail, a postdoctoral researcher working alongside Kshitiz, assistant professor in the Department of Biomedical Engineering, uncovered regulatory sequences in the genomes of mammals including cows, pigs, horses, and humans that explain how endometrium is invaded by the placenta, and how normal tissue is invaded by cancer.

Suhail and Kshitiz were joined in their efforts by Gunter Wagner, professor in evolutionary biology and ecology at Yale University.

In many mammals including humans, the placenta invades the wall of the uterus during pregnancy in the same way that cancer cells invade surrounding tissues.

“When you look at a picture of placentation, it looks eerily similar to cancer in any other part of the body,” says Kshitiz, “Even the molecular mechanisms are quite similar. This is quite a contrast from cows and horses, where the placenta does not invade into the mother. In these mammals, cancer cells also do not invade into their surroundings as they do in humans.”

Kshitiz, along with Gunter Wagner and Andre Levchenko at Yale first drew the comparison between cancer metastasizing in cows and humans in a seminal finding in Nature Ecology & Evolution. Looking at cells from the endometrium of various species, Kshitiz found that in order to resist invasion of the placenta, certain species have evolved over time to make their stromal cells — the connective tissue cells in an organ — highly resistant to any invasion.

The latest research is a deeper dive into the comparative genetics between mammals, which shows how changes in genetic regulation informs this resistance in cows and horses and makes humans vulnerable to cancer malignancy. With comparative data generated by Wagner and Jamie Maziarz at Yale, Suhail developed a model to identify how the binding of transcription factors — the proteins that regulate the expression of genes — explain changes in resistance to invasion across different species of mammals.

“Our new framework identifies key transcription factors and examines how their targets differ from cows, pigs, and horses to humans,” says Suhail. “What we learned from other species has direct applications in advancing our understanding of human cancer.”

Suhail used the genomic sequences and gene expression information to predict specific signaling proteins that drive the expression of genes that decrease the susceptibility of invasion in human cells. Using a custom fabricated bio chip, the researchers were able to confirm that these predicted proteins did in fact decrease the invasion of both cancer and placental cells. Evolutionary predictions across species are difficult to test experimentally, so confirmation of the theory experimentally is very satisfying to the researchers.

“We all think about human cancers are an outcome of cancer cells themselves. But what we’ve proposed is that mammals have very different mechanisms to resist cancer spread, and that these mechanisms have actually been derived to resist fetal invasion into the mother,” Kshitiz says. “To be vulnerable to malignancy may partly be an evolutionary compromise to allow an invasive pregnancy.”

While other researchers are targeting cancer and immune cells, Kshitiz’s lab focuses on how healthy cells limit cancer growth around them. This approach can help us rethink the way we approach cancer therapies.

“This study identifies specific genetic regulatory mechanisms which explain these differences, and point us towards many directions to rethink about anti-cancer therapy, from those that kill cancer to creating new therapies which “contain” cancer within its boundaries.”

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Materials provided by University of Connecticut. Original written by Courtney Chandler. Note: Content may be edited for style and length.

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In mice, mothers with metabolic syndrome can ‘turn on’ offspring’s liver disease

New research from North Carolina State University has found that an imprinted gene associated with development of non-alcoholic fatty liver disease (NAFLD) is switched on in mice who nurse from mothers with metabolic syndrome, even when those mice are not biologically related. The finding supports the hypothesis that imprinted genes play important roles in this metabolic disease, and could lead to the development of preventative treatments.

NAFLD is a condition where excess fat builds up in liver tissue for reasons unrelated to alcohol consumption. If untreated, the excess fat can lead to inflammation, scarring and increased risk of liver cancer. The incidence of NAFLD is increasing among children and adolescents, with 10% of children in the U.S. currently affected. This number is expected to increase within the next decade.

“We know that development of NAFLD is partly to do with diet and lack of exercise, but there is an environmental component that primes an infant’s liver to develop it as well; specifically, the metabolic state of the mother,” says Michael Cowley, associate professor of biology at NC State and corresponding author of the work.

Metabolic syndrome, or MetS, is a catchall term for a number of health issues including high blood sugar, obesity and elevated blood pressure. Previous studies had shown a link between MetS in mothers and increased NAFLD susceptibility in infants.

“We wanted to look specifically at mothers with MetS to see whether infants are affected pre- or post-natally, and tease out what is happening on the molecular level to trigger the disease,” Cowley says.

In a mouse model of MetS, Cowley and his colleagues compared offspring of mice with MetS to those from control mice, or mice without MetS. They studied four groups: offspring of control mice nursed by control mice, offspring of MetS mice nursed by MetS mice, and cross-fostered offspring from both groups. Cross-fostered means that the offspring of one group were nursed by mothers from the other group. They compared offspring at birth and at three weeks after birth, just before weaning.

They found that mice born to MetS mothers and nursed by control mice did not develop NAFLD, whereas most mice from both control and MetS groups nursed by MetS mothers did.

Using RNA sequencing, the researchers found that the imprinted gene network (IGN), including its regulator, an imprinted gene called Zac1, was upregulated, or more active, in mice nursed by the MetS mothers.

Imprinted genes are a small set of genes which are expressed from a single parental allele. Most genes consist of two copies (one inherited from each parent) which activate and influence inherited traits. Imprinted genes are expressed by a single active copy, and have been shown to be susceptible to changes in environmental factors.

“Zac1 is acting as the master switch here,” Cowley says. “It was activated in pups that nursed from MetS mothers, and this has downstream effects in the IGN that lead to an increased susceptibility to NAFLD.

“Researchers have proposed that imprinted genes play a role in this process — we’re showing here that they do,” Cowley continues. “The work also confirms the post-natal environment is more important to the development of the disease than pre-natal exposure. Our next steps will involve looking at what happens once potential environmental stressors such as the mother’s milk are removed. Can Zac1 be switched off again?”

The research appears in Hepatology and was supported by the National Institutes of Health (grant numbers K22ES027510, R01ES031596, P30ES025128 and P30DK034987) and by Oak Ridge Associated Universities through a Ralph E. Powe Junior Faculty Enhancement Award. Marine Baptissart, former postdoctoral researcher at NC State, is first author.

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Materials provided by North Carolina State University. Original written by Tracey Peake. Note: Content may be edited for style and length.

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New personalized test for an earlier and more accurate prediction of cancer relapse

Researchers have developed a new protocol for monitoring acute lymphoblastic leukemia (ALL), the most common cancer in children, to inform more effective treatment strategies and detect disease recurrence. The personalized mediator probe PCR (MP PCR) uses multiple genomic cancer cell markers in a single assay and is simpler than current techniques. It improves monitoring clonal tumor evolution to detect a relapse sooner and avoid false negative results. Their protocol is detailed in The Journal of Molecular Diagnostics, published by Elsevier.

The survival rate for children with ALL has increased impressively to over 80% over the last several decades. However, the prognosis for children whose cancer recurs remains unfavorable. Therefore, minimal residual disease (MRD) monitoring is an important prognostic factor for treatment response and patient stratification. MRD monitoring uses highly sensitive real-time PCR to measure the amount of cancer cells among normal cells.

“MRD markers can disappear during treatment, which can lead to false-negative results and poor decision-making in personalized treatments,” explains Principal investigator Cornelia Eckert, PhD, Department of Pediatric Oncology/Hematology, Charité — Universitätsmedizin Berlin, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ). Consequently, monitoring at least two independent markers per patient is recommended. Dr. Eckert continues, “The current gold standard EuroMRD consortium guidelines call for amplification using singleplex real-time PCR quantification, making testing additional markers more laborious and expensive. They also lead to a higher consumption of patient material.”

To overcome these limitations, Dr. Eckert and co-investigators established the personalized MP PCR, an iterative workflow and guidelines for designing multiplex real-time PCRs to monitor up to four MRD markers for ALL simultaneously in one assay. When tested on DNA in bone marrow samples from patients with ALL, the MP PCRs met the EuroMRD gold standard guidelines and level of sensitivity for clinical decision-making.

Co-investigator Michael Lehnert, PhD, Hahn-Schickard Freiburg, states, “Multiplexing can significantly improve personalized MRD monitoring of patients, because a higher number of MRD markers per patient can be analyzed at the same time. Even though these patient-specific sequences of cancer cells only differ in a few DNA nucleotides from healthy cells, our multiplex assay can still distinguish between these DNA sequences. Therefore, a broader range of patient-specific sequences can be included in the assay.”

The MRD-MP guidelines are simple and may allow assay standardization across different laboratories. To demonstrate the potential transfer of the duplex MP PCR into a routine diagnostic setting, the new assay was applied in a prospectively assessed patient case in comparison with the gold standard singleplex test. Both fulfilled the EuroMRD guidelines and led to a similar quantitative range and sensitivity.

In order to deal with challenges inherent to multiplex PCR, the researchers developed an efficient iterative workflow for PCR design and optimization. DNA primer titration is only involved and extended if the assay performance is not sufficient in the first step, so that the number of iterations is minimized.

“There is a vast variety of DNA marker sequences unique to each leukemia,” adds first author Elena Kipf, PhD, Hahn-Schickard Freiburg. “The MRD-multiplex workflow provides a systematic and reliable way of effective MRD-MP PCR design and optimization and helps the standardization of personal diagnostics.”

While their work demonstrates that multiplex MP PCR has the potential to set a new standard in personalized MRD monitoring, the researchers note it must be clinically validated in a representative cohort of ALL patients. “Cancer is a fatal disease from which not every patient can be cured,” Dr. Eckert stresses. “After successful clinical validation, patients could benefit from extended MRD monitoring, leading to more precise predictions of therapy response and better patient stratification and outcomes.”

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Materials provided by Elsevier. Note: Content may be edited for style and length.

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Why Bigger Goals Can Be Easier to Achieve

I originally shared this post on January 6 in Conscious Growth Club’s member forums, as a follow-up to our quarterly goal planning process. I thought it would be nice to share it here as well. Many CGCers found it helpful.

Let me share an unusual insight about why it’s often easier to achieve goals that seem bigger than anything you’ve done before.

This builds upon the Chapter 1 vs Chapter 2 idea shared on yesterday’s review call, but I don’t think you need to have heard that part to understand this.

[The idea I shared on the review call was based on a common piece of advice for new fiction writers – that you should delete whatever you wrote for Chapter 1 and begin your book with Chapter 2. This is because your original Chapter 1 will typically include too much backstory and exposition, and it’s frequently better to get into the juicy parts of your story sooner. I used this as an analogy for setting goals, suggesting that people ought to skip past the Chapter 1 version of their goals (which often involve overly mental or numbers-based framing – boring!) and get into the juicy parts of Chapter 2 and beyond by focusing on the meaning, ripples, and emotional journey.]

Acknowledging Your Old Story

When I was in my scarcity phase of life, I was very sensitive to prices. Since money was tight, I saw anything free as so much better than anything paid. If something cost $5, that would feel sooooo different than free. Even $1 vs free was a big deal. If I would buy a veggie sandwich at Subway, I would skip the avocado for $1 extra, even though I loved avocado. Would that $1 difference really matter? It felt like it mattered.

There’s still a part of my mind that thinks this way today because I conditioned it to think that way in the past. But it’s also linked up with relatively low-cost expenses because that was my training data set at the time.

As my income increased, I formed different associations to more expensive items. So part of my mind still wants to run extra assessment cycles over the difference between a $5 and $10 option, but when I think about a $500 vs $1000 expense, those land in my abundance training data set, so that seems easy because I don’t have major negative associations to those kinds of expenses. Consequently, it feels like $500 expenses are cheaper than $5 ones because I have less resistance to spending an extra $500 than I do to spending $5.

Same thing goes for taxes. Paying a $50K tax bill seems easy. Paying a $1K tax bill seems more painful. Those two tax bills are associated with different training sets and different chapters of my life.

Even today I will often think more about whether a $5 expense is worth it, but I can spend $500 like it’s just free money.

This also applies to the income side. It feels difficult to try to earn an extra $100. But earning an extra $20K or $50K is easy, and earning an extra $100K just seems fun and flowing. And I think that’s because with respect to those numbers, I’m not struggling with past associations getting in my way.

So that’s an interesting oddity about moving into a fresh Chapter 2 reality. It gives you a chance to break through your old associations and write a new story for your character.

Stretching Your Intentionality

Trying to fight or overcome my character’s pre-trained tendencies keeps me stuck in Chapter 1. But if I skip ahead to Chapter 2 in my imagination, there’s a blank page where I can write something new, if I’m willing to take the leap into unexplored territory.

This is one reason it’s so important and useful to stretch your intentionality further forward. Stretch beyond the story that’s already been written by your past, and extend your mind and goals into open spaces. You can often make much faster progress that way.

This requires the willingness to stretch your character and identity. Can you start seeing yourself as a different person? It helps if you’re able to stretch your character into some unexplored territory where you can begin writing some fresh story, so you can bypass some constraints of your past story.

It’s a bit like moving to a new city or going to a new school. If no one in the new territory knows you as your past self, you have more freedom to write a fresh story. I felt like I became a different person each time I had a significant move or school change. Same goes for getting into a new social circle.

It’s extra crucial to connect with a social group that gives you room to grow and that won’t keep associating you with your Chapter 1 self. It’s best to loosen up those connections that will resist your efforts to write some fresh story for your character. I think we do a good job of this in CGC by fostering a culture that encourages exploration and change, not tying anyone to stick with their past selves. You probably won’t find many members here who’d try to talk you out of writing a fresh chapter of your life story, but I know that some members struggle with other social connections that resist those kinds of changes.

Keep in mind (and in heart) that when you break free and begin writing your Chapter 2 story, you encourage others to do the same, even if they may initially resist what you’re doing. You’re not really serving anyone by clinging to Chapter 1.

The Power of Unwritten Story

One pattern I see frequently in people who have some great transformational breakthroughs is that they stop focusing their attention where the resistance is, and they head for fresh territory. They start writing their new story where the story hasn’t been written yet.

Chapter 1 is the story of the old reality. That’s where all the problems and difficulties are. It’s so tempting to focus your attention there by saying, “I need to clear all of this out, and then I can begin writing Chapter 2.” But that will almost always keep you stuck in Chapter 1, which will just keep generating more of the same kinds of problems to anchor you there. You’ll probably never make it to Chapter 2 with that approach. Usually life doesn’t reward this approach very well either. You probably won’t get much cooperation, so you’ll have to self-power your way through every little problem and project, which becomes exhausting after a while. I really don’t recommend this.

It seems like a cheat to start writing Chapter 2 before you’ve finished Chapter 1, but is it really? If you were writing a novel or a movie script, would your best inspiration and motivation come from writing about the old reality? Do you think George Lucas got inspired to write Star Wars by thinking about a farmer boy with some droids? Did he finish writing Chapter 1 before giving much thought to what would come next? Seriously… who finds the inspiration for great story from anything in Chapter 1? You may begin writing there, but the inspiration for the story comes from much further along.

When people focus on Chapter 1 goals – the telltale signs being that the goals are super objective (often numbers-based), lack motivational fire, and don’t involve any meaningful character or identity shifts – they usually don’t get very far with them. And they often wonder what’s the point. And they’re right. There’s little point in working on such goals. It’s like watching Luke Skywalker setting quarterly goals to optimize the farm.

You’re munching on your popcorn watching Luke on the screen, and your mind is wondering when the real story will begin because you know that you’re just seeing the pre-transformational backstory during the first several minutes.

And oddly it’s easier for Luke to become a Jedi than it would be for him to optimize the farm. When he leaves Tatooine, he’s free to write fresh story. While his new reality may seem more daunting, it’s also 100X more motivating, and that makes all the difference in the galaxy.

He still, however, takes his (newest) farm droids with him on his new journey, so he doesn’t entirely break free from his past. But that doesn’t matter because he’s writing such a completely different story that the droids can’t offer any meaningful resistance. They get swept up in his new story too and become helpful allies. C3PO’s whining serves as humor and to remind us how much Luke has grown, but C3PO is powerless to derail Luke’s new story.

I find that to be the case in real life as well. When writing fresh story, I still carry elements of the past with me, but they no longer serve as anchors to resistance. The new story gives those old story elements new meaning. For instance, fretting over a $5 expense serves as a reminder to appreciate abundance and not to take it for granted, and that actually sweetens the experience. It also makes it easy to relate to people who struggle with finances because that mode of thinking is still with me. I wrote some extra script after that part of my story, but scarcity thinking is still part of my story. The scarcity mindset plays a different role now, anchoring to gratitude and compassion instead of to resistance and frustration. Sometimes I think of it as cute, much as you could see R2D2 in that way.

Finding Your Best Motivational Fuel

Chapter 1 doesn’t provide the motivational fuel to get through Chapter 1. That fuel comes from hooking your body, mind, heart, and spirit into Chapter 2 and beyond. Once you anchor your intentions into your new reality and your new identity, your perspective on Chapter 1 will shift. How this plays out is different for everyone, but it generally involves finding shortcuts that speed you through Chapter 1 and/or realizing that some of the old problems don’t even need to be solved or dealt with anymore.

Did Luke ever go back to Tatooine and wrap up his affairs with the farm? Did he inherit the place from his uncle and aunt after they died? Did the Empire seize it for unpaid taxes? Did he turn it into a rebel burner commune? Does it matter?

It’s hard to find people who regret getting into their Chapter 2 story, even when the transition out of Chapter 1 is messy and inelegant (which it usually is). The #1 regret is that people wish they’d done it sooner, often many years sooner. People regret spending so much time figuring out, optimizing, and trying to advance their Chapter 1 story. In retrospect, they look back and wonder why it took them so long to progress to the juiciest and most engaging parts of their story arc. In many cases they waited until life kicked them out of Chapter 1, and they were forced by circumstances to finally get into Chapter 2, but then it wasn’t the Chapter 2 experience they’d have chosen if they’d done it more consciously and deliberately.

Look at your goals and ask yourself if you’re drawing motivation, inspiration, and story progression from Chapter 2 and beyond… or if you’re still trying to optimize the farm. You can tinker on the farm – that’s your choice – but life won’t likely open up the floodgates of support and synchronous aid till you make a more interesting story pitch.

Your own body is unlikely to cooperate much with a Chapter 1 story pitch either. It probably won’t fill your heart with the best motivation and your mind with the best idea flow until you give it a compelling reason to amp up the energy flow. That compelling reason won’t be found in Chapter 1.

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Covid: Plan to tackle England’s NHS backlog delayed

The health secretary denies the full plan has been held back because of an intervention by the Treasury.

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Tinnitus biobank needed to explain ringing ears condition

A charity says a biobank library of human tissue is needed so experts can try to cure tinnitus.

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Strobe light for 5G: Imaging system spotlights the tiny mechanical hearts at the core of every cellphone

Inside every cellphone lies a tiny mechanical heart, beating several billion times a second. These micromechanical resonators play an essential role in cellphone communication. Buffeted by the cacophony of radio frequencies in the airwaves, these resonators select just the right frequencies for transmitting and receiving signals between mobile devices.

With the growing importance of these resonators, scientists need a reliable and efficient way to make sure the devices are working properly. That’s best accomplished by carefully studying the acoustic waves that the resonators generate.

Now, researchers at the National Institute of Standards and Technology (NIST) and their colleagues have developed an instrument to image these acoustic waves over a wide range of frequencies and produce “movies” of them with unprecedented detail.

The researchers measured acoustic vibrations as rapid as 12 gigahertz (GHz, or billions of cycles per second) and may be able to extend those measurements to 25 GHz, providing the necessary frequency coverage for 5G communications as well as for potentially powerful future applications in quantum information.

The challenge of measuring these acoustic vibrations is likely to increase as 5G networks dominate wireless communications, generating even tinier acoustic waves.

The new NIST instrument captures these waves in action by relying on a device known as an optical interferometer. The illumination source for this interferometer, ordinarily a steady beam of laser light, is in this case a laser that pulses 50 million times a second, which is significantly slower than the vibrations being measured.

The laser interferometer compares two pulses of laser light that travel along different paths. One pulse travels through a microscope that focuses the laser light on a vibrating micromechanical resonator and is then reflected back. The other pulse acts as a reference, traveling along a path that is continually adjusted so that its length is within a micrometer (one millionth of a meter) of the distance traveled by the first pulse.

When the two pulses meet, the light waves from each pulse overlap, creating an interference pattern — a set of dark and light fringes where the waves cancel or reinforce one another. As subsequent laser pulses enter the interferometer, the interference pattern changes as the microresonator vibrates up and down. From the changing pattern of the fringes, researchers can measure the height (amplitude) and phase of the vibrations at the location of the laser spot on the micromechanical resonator.

NIST researcher Jason Gorman and his colleagues deliberately chose a reference laser that pulses between 20 and 250 times more slowly than the frequency at which the micromechanical resonator vibrates. That strategy enabled the laser pulses illuminating the resonator to, in effect, slow down the acoustic vibrations, similar to the way that a strobe light appears to slow down dancers in a nightclub.

The slowdown, which converts acoustic vibrations that oscillate at GHz frequencies to megahertz (MHz, millions of cycles per second), is important because the light detectors used by the NIST team operate much more precisely, with less noise, at these lower frequencies.

“Moving to lower frequencies removes interference from communication signals typically found at microwave frequencies and allows us to use photodetectors with lower electrical noise,” said Gorman.

Each pulse lasts only 120 femtoseconds (quadrillionths of a second), providing highly precise moment-to-moment information on the vibrations. The laser scans across the micromechanical resonator so that the amplitude and phase of the vibrations can be sampled across the entire surface of the vibrating device, producing high-resolution images over a wide range of microwave frequencies.

By combining these measurements, averaged over many samples, the researchers can create three-dimensional movies of a microresonator’s vibrational modes. Two types of microresonators were used in the study; one had dimensions of 12 micrometers (millionths of a meter) by 65 micrometers; the other measured 75 micrometers on a side — about the width of a human hair.

Not only can the images and movies reveal whether a micromechanical resonator is operating as expected, they can also indicate problem areas, such as places where acoustic energy is leaking out of the resonator. The leaks make resonators less efficient and lead to loss of information in quantum acoustic systems. By pinpointing problematic areas, the technique gives scientists the information they need to improve resonator design.

In the Feb. 4, 2022, edition of Nature Communications, the researchers reported that they could image acoustic vibrations that have an amplitude (height) as small as 55 femtometers (quadrillionths of a meter), about one-five-hundredth the diameter of a hydrogen atom.

Over the past decade, physicists have suggested that micromechanical resonators in this frequency range may also serve to store fragile quantum information and to transfer the data from one part of a quantum computer to another.

Establishing an imaging system that can routinely measure micromechanical resonators for these applications will require further research. But the current study is already a milestone in assessing the ability of micromechanical resonators to accurately perform at the high frequencies that will be required for effective communication and for quantum computing in the near future, Gorman said.

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Preventing pandemics costs far less than controlling them

We can pay now or pay far more later. That’s the takeaway of a new peer-reviewed study, published Feb. 4 in the journal Science Advances, that compares the costs of preventing a pandemic to those incurred trying to control one.

“It turns out prevention really is the best medicine,” said Stuart Pimm, Doris Duke Professor of Conservation Ecology at Duke University, who was co-lead author of the study. “We estimate we could greatly reduce the likelihood of another pandemic by investing as little as 1/20th of the losses incurred so far from COVID into conservation measures designed to help stop the spread of these viruses from wildlife to humans in the first place.”

A smart place to start, the study shows, would be investing in programs to end tropical deforestation and international wildlife trafficking, stop the wild meat trade in China, and improve disease surveillance and control in wild and domestic animals worldwide.

COVID, SARS, HIV, Ebola and many other viruses that have emerged in the last century originated in wild places and wild animals before spreading to humans, the study’s authors note. Tropical forest edges where humans have cleared more than 25% of the trees for farming or other purposes are hotbeds for these animal-to-human virus transmissions, as are markets where wild animals, dead or alive, are sold.

“The bottom line is, if we don’t stop destroying the environment and selling wild species as pets, meat or medicine, these diseases are just going to keep coming. And as this current pandemic shows, controlling them is inordinately costly and difficult,” Pimm said. “It’s been two years since COVID emerged and the cure still isn’t working. Not enough people are vaccinated in the U.S, where shots are available and we can afford them, and not enough vaccines are going to other countries that can’t afford them.”

The new study, by epidemiologists, economists, ecologists, and conservation biologists at 21 institutions, calculates that by investing an amount equal to just 5% of the estimated annual economic losses associated with human deaths from COVID into environmental protection and early-stage disease surveillance, the risks of future zoonotic pandemics could be reduced by as much as half. That could help save around 1.6 million lives a year and reduce mortality costs by around $10 trillion annually.

“We’re talking about an investment of tens of billions of dollars a year. Government have that kind of money,” Pimm said.

One key recommendation of the new study is to use some of this money to train more veterinarians and wildlife disease biologists.

Another key recommendation is to create a global database of virus genomics that could be used to pinpoint the source of newly emerging pathogens early enough to slow or stop their spread, and, ultimately, speed the development of vaccines and diagnostic tests.

Aaron Bernstein of Boston Children’s Hospital and the Center for Climate, Health and the Global Environment at Harvard T.H. Chan School of Public Health, and Andrew Dobson of Princeton University were co-lead authors of the study with Pimm.

The need to put preventive measures in place as soon as possible is increasingly urgent, said Dobson. “Epidemics are occurring more frequently, they are getting larger, and spreading to more continents.”

“Prevention is much cheaper than cures,” noted Bernstein. Compared to the costs and social and economic disruptions associated with trying to control pathogens after they have already spread to humans, “preventing epidemics before they break out is the ultimate economic bargain.”

Researchers at 17 additional universities, medical centers, environmental nonprofits or government agencies in the United States, China, Brazil, South Africa, and Kenya coauthored the study.

The coauthors include Binbin V. Li, assistant professor of environmental science at Duke Kunshan University in China, who holds a secondary appointment at Duke’s Nicholas School of the Environment.

Funding for the study came from Johnson & Johnson; the U.S. Department of Agriculture; the Norwegian Agency for Development Cooperation; Brazil’s National Institute for Scientific and Technological Development; the U.S. Agency for International Development, and the National Natural Science Foundation of China.

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