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15 Supplements to Boost Your Immune System Right Now
Basak Gurbuz Derman / Moment / Getty Images
Your immune system consists of a complex collection of cells, processes, and chemicals that constantly defends your body against invading pathogens, including viruses, toxins, and bacteria.
Keeping your immune system healthy year round is key to preventing infection and disease. Making healthy lifestyle choices by consuming nutritious foods and getting enough sleep and exercise are the most important ways to bolster your immune system.
In addition, research has shown that supplementing with certain vitamins, minerals, herbs, and other substances can improve immune response and potentially protect against illness.
However, it's important to note that no supplement will cure or prevent disease.
With the 2019 coronavirus COVID-19 pandemic, it's especially important to understand that no supplement, diet, or other lifestyle modification other than social distancing and proper hygiene practices can protect you from COVID-19.
Currently, no research supports the use of any supplement to protect against COVID-19 specifically.
Instead, this article provides information on well-researched supplements that may bolster immune system defenses in general.
Note that there are many types of coronaviruses, some of which, like the common cold, cause only minor symptoms — unlike COVID-19, which often results in serious, sometimes fatal symptoms.
Here are 15 supplements that are known for their immune-boosting potential.
1. Vitamin D
Vitamin D is a fat soluble nutrient essential to the health and functioning of your immune system.
Vitamin D enhances the pathogen fighting effects of monocytes and macrophages — white blood cells that are important parts of your immune defense — and decreases inflammation, which helps promote immune response.
Many people are deficient in this important vitamin, which may negatively affect immune function. In fact, low vitamin D levels are associated with an increased risk of upper respiratory tract infections, including influenza and allergic asthma.
Some studies show that supplementing with vitamin D may improve immune response. In fact, recent research suggests that taking this vitamin may protect against respiratory tract infections.
In a 2019 review of randomized control studies in 11,321 people, supplementing with vitamin D significantly decreased the risk of respiratory infections in people deficient in this vitamin and lowered infection risk in those with adequate vitamin D levels.
This suggests an overall protective effect.
Other studies note that vitamin D supplements may improve response to antiviral treatments in people with certain infections, including hepatitis C and HIV.
Depending on blood levels, anywhere between 1,000 and 4,000 IU of supplemental vitamin D per day is sufficient for most people, though those with more serious deficiencies often require much higher doses.
Vitamin D is essential for immune function. Healthy levels of this vitamin may help lower your risk of respiratory infections.
Zinc is a mineral that's commonly added to supplements and other healthcare products like lozenges that are meant to boost your immune system. This is because zinc is essential for immune system function.
Zinc is needed for immune cell development and communication and plays an important role in inflammatory response.
A deficiency in this nutrient significantly affects your immune system's ability to function properly, resulting in an increased risk of infection and disease, including pneumonia.
Zinc deficiency affects around 2 billion people worldwide and is very common in older adults. In fact, up to 30% of older adults are considered deficient in this nutrient.
Numerous studies reveal that zinc supplements may protect against respiratory tract infections like the common cold.
What's more, supplementing with zinc may be beneficial for those who are already sick.
In a 2019 study in 64 hospitalized children with acute lower respiratory tract infections (ALRIs), taking 30 mg of zinc per day decreased the total duration of infection and the duration of the hospital stay by an average of 2 days, compared with a placebo group.
Supplemental zinc may also help reduce the duration of the common cold.
Taking zinc long term is typically safe for healthy adults, as long as the daily dose is under the set upper limit of 40 mg of elemental zinc.
Excessive doses may interfere with copper absorption, which could increase your infection risk.
Supplementing with zinc may help protect against respiratory tract infections and reduce the duration of these infections.
3. Vitamin C
Vitamin C is perhaps the most popular supplement taken to protect against infection due to its important role in immune health.
This vitamin supports the function of various immune cells and enhances their ability to protect against infection. It's also necessary for cellular death, which helps keep your immune system healthy by clearing out old cells and replacing them with new ones.
Vitamin C also functions as a powerful antioxidant, protecting against damage induced by oxidative stress, which occurs with the accumulation of reactive molecules known as free radicals.
Oxidative stress can negatively affect immune health and is linked to numerous diseases.
Supplementing with vitamin C has been shown to reduce the duration and severity of upper respiratory tract infections, including the common cold.
A large review of 29 studies in 11,306 people demonstrated that regularly supplementing with vitamin C at an average dose of 1–2 grams per day reduced the duration of colds by 8% in adults and 14% in children.
Interestingly, the review also demonstrated that regularly taking vitamin C supplements reduced common cold occurrence in individuals under high physical stress, including marathon runners and soldiers, by up to 50%.
Additionally, high dose intravenous vitamin C treatment has been shown to significantly improve symptoms in people with severe infections, including sepsis and acute respiratory distress syndrome (ARDS) resulting from viral infections.
These results confirm that vitamin C supplements may significantly affect immune health, especially in those who don't get enough of the vitamin through their diet.
The upper limit for vitamin C is 2,000 mg. Supplemental daily doses typically range between 250 and 1,000 mg.
Vitamin C is vital for immune health. Supplementing with this nutrient may reduce the duration and severity of upper respiratory tract infections, including the common cold.
Black elderberry (Sambucus nigra), which has long been used to treat infections, is being researched for its effects on immune health.
In test-tube studies, elderberry extract demonstrates potent antibacterial and antiviral potential against bacterial pathogens responsible for upper respiratory tract infections and strains of influenza virus,
What's more, it has been shown to enhance immune system response and may help shorten the duration and severity of colds, as well as reduce symptoms related to viral infections.
A review of 4 randomized control studies in 180 people found that elderberry supplements significantly reduced upper respiratory symptoms caused by viral infections.
An older, 5-day study from 2004 demonstrated that people with the flu who supplemented with 1 tablespoon (15 mL) of elderberry syrup 4 times a day experienced symptom relief 4 days earlier than those who didn't take the syrup — and were also less reliant on medication.
However, this study is outdated and was sponsored by the elderberry syrup manufacturer, which may have skewed results.
Elderberry supplements are most often sold in liquid or capsule form.
Taking elderberry supplements may reduce upper respiratory symptoms caused by viral infections and help alleviate flu symptoms. However, more research is needed.
5. Medicinal Mushrooms
Medicinal mushrooms have been used since ancient times to prevent and treat infection and disease. Many types of medicinal mushrooms have been studied for their immune-boosting potential.
Over 270 recognized species of medicinal mushrooms are known to have immune-enhancing properties.
Cordyceps, lion's mane, maitake, shitake, reishi, and turkey tail are all types that have been shown to benefit immune health.
Some research demonstrates that supplementing with specific types of medicinal mushrooms may enhance immune health in several ways and reduce symptoms of certain conditions, including asthma and lung infections.
For example, a study in mice with tuberculosis, a serious bacterial disease, found that treatment with cordyceps significantly reduced bacterial load in the lungs, enhanced immune response, and reduced inflammation, compared with a placebo group.
In a randomized, 8-week study in 79 adults, supplementing with 1.68 grams of cordyceps mycelium culture extract led to a significant 38% increase in the activity of natural killer (NK) cells, a type of white blood cell that protects against infection.
Turkey tail is another medicinal mushroom that has powerful effects on immune health. Research in humans indicates that turkey tail may enhance immune response, especially in people with certain types of cancer.
Many other medicinal mushrooms have been studied for their beneficial effects on immune health as well. Medicinal mushroom products can be found in the form of tinctures, teas, and supplements.
Many types of medicinal mushrooms, including cordyceps and turkey tail, may offer immune-enhancing and antibacterial effects.
6–15. Other Supplements With Immune-Boosting Potential
Aside from the items listed above, there are many supplements that may help improve immune response:
- Astragalus. Astragalus is an herb commonly used in Traditional Chinese Medicine (TCM). Animal research suggests that its extract may significantly improve immune-related responses.
- Selenium. Selenium is a mineral that's essential for immune health. Animal research demonstrates that selenium supplements may enhance antiviral defense against influenza strains, including H1N.
- Garlic. Garlic has powerful anti-inflammatory and antiviral properties. It has been shown to enhance immune health by stimulating protective white blood cells like NK cells and macrophages. However, human research is limited.
- Andrographis. This herb contains andrographolide, a terpenoid compound found to have antiviral effects against respiratory disease-causing viruses, including enterovirus D68 and influenza A.
- Licorice. Licorice contains many substances, including glycyrrhizin, that may help protect against viral infections. According to test-tube research, glycyrrhizin exhibits antiviral activity against severe acute respiratory syndrome-related coronavirus (SARS-CoV).
- Pelargonium sidoides. Some human research supports the use of this plant's extract for alleviating symptoms of acute viral respiratory infections, including the common cold and bronchitis. Still, results are mixed and more research is needed.
- B complex vitamins. B vitamins, including B12 and B6, are important for healthy immune response. Yet, many adults are deficient in them, which may negatively affect immune health.
- Curcumin. Curcumin is the main active compound in turmeric. It has powerful anti-inflammatory properties, and animal studies indicate that it may help improve immune function.
- Echinacea. Echinacea is a genus of plants in the daisy family. Certain species have been shown to improve immune health and may have antiviral effects against several respiratory viruses, including respiratory syncytial virus and rhinoviruses.
- Propolis. Propolis is a resin-like material produced by honeybees for use as a sealant in hives. Though it has impressive immune-enhancing effects and may have antiviral properties as well, more human research is needed.
According to results from scientific research, the supplements listed above may offer immune-boosting properties.
However, keep in mind that many of these supplements' potential effects on immune health have not been thoroughly tested in humans, highlighting the need for future studies.
Astragalus, garlic, curcumin, and echinacea are just some of the supplements that may offer immune-boosting properties. Still, they have not been thoroughly tested in humans, and more research is needed.
The Bottom Line
Many supplements on the market may help improve immune health. Zinc, elderberry, and vitamins C and D are just some of the substances that have been researched for their immune-enhancing potential.
However, although these supplements may offer a small benefit for immune health, they should not and cannot be used as a replacement for a healthy lifestyle.
Maintaining a balanced diet, getting enough sleep, engaging in regular physical activity, and not smoking are some of the most important ways to help keep your immune system healthy and reduce your chances of infection and disease.
Moreover, remember that there is no scientific evidence to suggest that any of them can protect against COVID-19 — even though some of them may have antiviral properties.
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EcoWatch Daily Newsletter
By Mark Kaufman
Some fires won't die.
They survive underground during the winter and then reemerge the following spring, as documented in places like Alaska. They're called "overwintering," "holdover," or "zombie" fires, and they may have now awoken in the Arctic Circle — a fast-warming region that experienced unprecedented fires in 2019. The European Union's Copernicus Atmosphere Monitoring Service is now watching these fires, via satellite.
<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.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.pjiv81dzvE2uWSwZVXH_hhoYKLl6go7m4QXYRodC8aQ/img.jpg" id="d48aa" class="rm-shortcode" data-rm-shortcode-id="79880bae7db4253c569739c541d26709" />Zombie fires could be awakening in the Arctic
<iframe width="100%" height="150" scrolling="no" class="rm-shortcode twitter-embed-1258045476731002882" id="twitter-embed-1258045476731002882" lazy-loadable="true" src="/res/community/twitter_embed/?iframe_id=twitter-embed-1258045476731002882&created_ts=1588776389.0&screen_name=DrTELS&text=Are+these+%27zombie%27+fires%3F+As+the+snow+melted+in+Arctic+Siberia+last+week%2C+a+number+of+fires+have+been+detected+by+s%E2%80%A6+https%3A%2F%2Ft.co%2FMBZbBYqA2o&id=1258045476731002882&name=Dr+Thomas+Smith+%F0%9F%94%A5%F0%9F%8C%8F" frameborder="0" data-rm-shortcode-id="4e094a6eb3039925709e345158051f4b"></iframe>
So What Happens Now?<p>In the future, fire researchers expect an uptick in zombie fires. That's because the <a is="" href="https://mashable.com/article/climate-change-business-as-usual-catastrophic/" target="_blank">planet is relentlessly warming</a>, particularly in the Arctic, which means more ready-to-burn vegetation. It's already happening. "Arctic fires<strong> </strong>are becoming more common overall," explained Miami University's McCarty.</p><p is="">And some of these fires will inevitably smolder all winter, under the snow. "With a warmer Arctic, we're more likely to see overwintering fires," noted Smith.</p><p is="">It's challenging to stop zombie fires. They can happen in extremely remote places, without any roads or means of dousing them before they erupt. "We have no way of fighting them," said McCarty. "They're often fairly far-removed. How are we going to put them out?"</p><p is="">It's a question of profound importance in the decades ahead. Preventing human-caused Arctic wildfires will be critical, emphasized McCarty. That's because Arctic fires aren't just burning trees, they're often burning through <a is="" href="https://blogs.agu.org/geospace/2019/12/06/peatlands-release-more-methane-when-disturbed-by-roads/" target="_blank">peatlands</a>, which release bounties of the heat-trapping greenhouse gas methane into the air. When it comes to trapping heat, methane is <a href="https://www.epa.gov/ghgemissions/overview-greenhouse-gases" target="_blank">25 times more potent</a> than carbon dioxide over the course of a century.</p><p is="">It's a vicious cycle. The warming Arctic produces more fires. More fires burn more forests and peatlands. This releases more methane and carbon dioxide into the air. This contributes to ever more planetary heating.</p><p is="">"Not stopping these zombie fires means further degrading these Arctic ecosystems," said McCarty. "Further warming leads to more zombie fires. It's not great."</p><a target="_blank"></a><blockquote><a href="https://mashable.com/article/zombie-fires-arctic/#" target="_blank"></a></blockquote>
The total number of confirmed coronavirus cases passed six million Sunday, even as many countries begin to emerge from strict lockdowns.
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By Daniel Yetman
Bleach and vinegar are common household cleaners used to disinfect surfaces, cut through grime, and get rid of stains. Even though many people have both these cleaners in their homes, mixing them together is potentially dangerous and should be avoided.
Can You Mix Bleach and Vinegar?<p>Bleach can refer to any chemical that's used to get rid of stains or disinfect surfaces. The most typical form used as a cleaner is sodium hypochlorite. By itself, bleach can damage your skin but is <a href="https://www.ncbi.nlm.nih.gov/books/NBK441921/" target="_blank">non-toxic</a> when inhaled. However, it can become potentially lethal to inhale when mixed with other household cleaners.</p><p>Sodium hypochlorite is made up of a sodium, oxygen, and chlorine atoms. When this molecule is mixed with the acetic acid in vinegar or other types of acid, it releases chlorine gas. <a href="https://emergency.cdc.gov/agent/chlorine/basics/facts.asp" target="_blank">Chlorine gas</a> is extremely dangerous to human health. It's so powerful that Germany used it during World War I as a chemical weapon.</p><p>Vinegar isn't the only cleaner you need to be careful mixing with bleach. Bleach also reacts with <a href="https://www.doh.wa.gov/YouandYourFamily/HealthyHome/Contaminants/BleachMixingDangers" target="_blank">ammonia</a> to create chlorine gas. Bleach can also react to some oven cleaners, insecticides, and hydrogen peroxide.</p><p>Many household cleaners contain a chemical called <a href="https://www.acs.org/content/acs/en/pressroom/presspacs/2019/acs-presspac-october-2-2019/cleaning-with-bleach-could-create-indoor-air-pollutants.html" target="_blank">limonene</a> that gives them a citrus smell. When bleach fumes mix with limonene, they create small particles that may be damaging to both people's and animals' health. However, more research is needed to examine these particles' potential health risks.</p>
Is it Safe to Mix Them in Small Amounts?<p>According to the <a href="https://www.doh.wa.gov/YouandYourFamily/HealthyHome/Contaminants/BleachMixingDangers" target="_blank">Washington State Department of Health</a>, even low levels of chlorine gas, less than 5 parts per million (ppm), is likely to irritate your eyes, throat, and nose. It's never a good idea to mix these two cleaners together.</p><p>Unlike some other dangerous chemicals like carbon monoxide, chlorine gives off a distinctly <a href="https://www.ncbi.nlm.nih.gov/books/NBK537213/" target="_blank">pungent and irritating odor</a>. If you notice a strong smell after mixing cleaners, it's a good idea to immediately leave the area.</p><p>The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136961/" target="_blank">severity of symptoms</a> you develop after breathing in chlorine gas depends on how concentrated it is, measured in parts per million (ppm), and how long you inhale it.</p><ul><li><strong>0.1 to 0.3 ppm.</strong> At this level, humans can smell the pungent odor of chlorine gas in the air.</li><li><strong>5 to 15 ppm. </strong>A concentration over 5 ppm causes irritation to the mucus membranes in your mouth and nose.</li><li><strong>Over 30 ppm.</strong> At a concentration higher than 30 ppm, chlorine gas can cause chest pain, shortness of breath, and coughing.</li><li><strong>Above 40 ppm.</strong> Concentrations higher than 40 ppm can cause potentially dangerous fluid build-up in your lungs.</li><li><strong>Above 430 ppm</strong>. Breathing in more than <a href="https://www.ncbi.nlm.nih.gov/books/NBK537213/" target="_blank">430 ppm</a> of chlorine gas can be lethal within 30 minutes.</li><li><strong>Above 1,000 ppm</strong>. Inhaling chlorine gas above this level can be deadly immediately.</li></ul>
Can You Combine Bleach and Vinegar in a Washing Machine?<p>Mixing bleach and vinegar in your washing machine is also a bad idea. Chlorine gas may be released from your washing machine when you take your clothes out. It may also leave traces of chlorine gas on your clothes.</p><p>If you use bleach in your laundry, it's a good idea to wait several loads before using vinegar.</p>
Symptoms of Exposure to a Bleach and Vinegar Reaction<p>The severity of the symptoms you'll develop after chlorine exposure depends on the amount of chlorine gas you inhale. Symptoms usually start fairly quickly. <a href="https://www.ncbi.nlm.nih.gov/books/NBK537213/" target="_blank">Most people</a> exposed to low amounts of chlorine gas recover without complications.</p><p>If your exposure to chlorine gas is relatively brief, you may notice irritation of your nose, mouth, and throat. Lung irritation may develop if you breathe in chlorine deeply.</p><p>According to the <a href="https://emergency.cdc.gov/agent/chlorine/basics/facts.asp" target="_blank">Centers for Disease Control and Prevention</a>, if you accidentally breathe in chlorine, you can experience the following:</p><ul><li><a href="https://www.healthline.com/health/eye-health/sudden-blurred-vision" target="_blank">blurry vision</a></li><li>a burning sensation in your nose, throat, or eyes</li><li><a href="https://www.healthline.com/health/cough" target="_blank">coughing</a></li><li><a href="https://www.healthline.com/health/chest-pain" target="_blank">tightness in your chest</a></li><li><a href="https://www.healthline.com/health/breathing-difficulties" target="_blank">trouble breathing</a></li><li><a href="https://www.healthline.com/health/pulmonary-edema" target="_blank">fluid in your lungs</a></li><li><a href="https://www.healthline.com/health/nausea" target="_blank">nausea</a></li><li><a href="https://www.healthline.com/health/vomiting" target="_blank">vomiting</a></li><li><a href="https://www.healthline.com/health/epiphora" target="_blank">watery eyes</a></li><li><a href="https://www.healthline.com/health/wheezing" target="_blank">wheezing</a></li></ul>
What to Do if You Get Bleach and Vinegar on Your Skin or Inhaled Chlorine Gas Vapors<p>There's <a href="https://emergency.cdc.gov/agent/chlorine/basics/facts.asp" target="_blank">no cure</a> for breathing in chlorine gas. The only treatment option is removing the chlorine from your body as quickly as possible and seeking immediate medical attention to treat your symptoms.</p><p>If you breathe in chlorine gas, you can follow these steps to help get the chlorine out of your system:</p><ul><li>Immediately go somewhere where you can breathe in fresh air.</li><li>Change and wash any clothes that may have been contaminated.</li></ul><blockquote><strong>MEDICAL EMERGENCY<br><br></strong>If your symptoms are severe, call 911 or the National Capital Poison Center (NCPC) at 800-222-1222 and follow their instructions.<br></blockquote><p>Spilling <a href="https://www.healthline.com/health/bleach-on-skin#first-aid" target="_blank">bleach</a> can cause irritation to your skin. You can take the following steps to reduce your chances of developing complications:</p><ul><li>Remove jewelry or clothes that came in contact with bleach and clean them after you wash your skin.</li><li>Rinse your skin with a sponge or an absorbent cloth over a sink.</li><li>Avoid touching other parts of your body such as your face while cleaning.</li><li>Seek immediate medical attention if you spill bleach in your eyes or if you burn your skin.</li></ul><p>Vinegar may also irritate your skin. Even though it's unlikely to cause any serious health complications, it's a good idea to wash vinegar off your skin to avoid any redness or soreness.</p>
Takeaway<p>Mixing bleach and vinegar creates potentially lethal chlorine gas. If you notice a pungent smell after mixing household cleaners, you should immediately leave the area and try to breathe in fresh air.</p><p>If you or somebody you know notice any symptoms of chlorine gas poisoning, it's a good idea to immediately call 911 or the NCPC at 800-222-1222<em>.</em></p>
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Around 500 climate activists on Saturday gathered outside the new Datteln 4 coal power plant in Germany's Ruhr region, to protest against its opening.
Climate Activists Speak Out<p>Speaking at the protest, German Fridays for Futures climate activist Luisa Neubauer said: "It's a post-factual power plant. The facts speak for themselves." She said it was a "provocation," to mark the planned coal phaseout with a new coal power plant.</p><p>"We're going to stop this power plant, we're going to bring it to a standstill, we will win this conflict," Neubauer added.</p><p>Former miners also attended the protest. "We condemn the fact that coal mining in Germany was halted and jobs were lost, only for coal now to be imported from other countries to power Datteln 4," said Sebastian Suszka, a former workers' council member.</p><p>Greta Thunberg, founder of climate activist movement Fridays for Futures tweeted that Saturday was "a shameful day for Europe.</p>
Germany's Coal Phaseout<p>Earlier this year, Germany announced a roadmap to see coal phased out, at the latest by 2038. It laid out plans for eight coal-fired power plants to be taken off the grid in 2020.</p><p>It was an important step for the largest contributor of carbon emissions in the EU — accounting for more than 22 percent of the bloc's CO2 emissions. Over a third of the electricity generated in Germany comes from burning coal.</p><p>Germany's coal commission has recommended that solutions be found for coal plants that are already built but not-yet-in-use to keep them from operating.<br></p><p>The state of North-Rhine Westphalia insisted that the additional carbon dioxide emissions from the new plant would be compensated by the closure of four other power plants.</p>
By Julia Ries
Around the world, there have been several cases of people recovering from COVID-19 only to later test positive again and appear to have another infection.
The Viral Material in Re-Positive Cases Isn’t Infectious<p>The Korean study examined 285 patients who tested positive again for the new coronavirus after they recovered from COVID-19, which had been confirmed via a negative test result.</p><p>The researchers swabbed the patients and examined the viral material to determine whether it was still actively infectious.</p><p>The team was unable to isolate live viral material, indicating that the positive diagnostic tests were picking up dead virus particles.</p><p>"[This] may speak for the fact that the virus may be dead or not be fit enough to grow — therefore the virus may not be fit enough to infect a new host," said <a href="http://www.providence.org/doctors/profile/1099717-andres-romero" target="_blank">Dr. Andres Romero</a>, an infectious disease specialist at Providence Saint John's Health Center in Santa Monica, California.</p><p>The researchers also tested 790 people who'd been in close contact with the "re-positive" patients. Of the 27 who tested positive, no cases appeared to be caused from exposure to someone who appeared to have a reinfection.</p><p>The report also found that the vast majority of recovered patients (96 percent) had neutralizing antibodies, indicating that they conferred immunity.</p><p>"Whether this is indicative of a completely protective response remains to be proven. If this study holds true, then people who have recovered can get back to work," Zapata said.</p><p>In response to the new findings, South Korea eliminated a policy requiring discharged patients to isolate for 2 weeks.</p>
Conducting and Interpreting PCR Tests<p>The tests widely used to diagnose COVID-19 are called polymerase chain reaction (PCR) tests.</p><p>The tests swab a person's nose or throat and try to pick up the virus's genetic material, or RNA.</p><p>According to <a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html" target="_blank">guidance</a> from the U.S. Centers for Disease Control and Prevention (CDC), a positive result on a PCR test doesn't "necessarily mean infectious virus is present or that the patient is contagious."</p><p>Infectious disease experts have suspected that the test kits aren't picking up actively infectious viral material in recovered patients who test positive again, but rather dead remnants of the virus.</p><p>We see this occur with other viruses, too.</p><p>"We know other viruses like parainfluenza, human metapneumovirus, or RSV [respiratory syncytial virus] may linger for months in certain patients, and that does not represent infectious state," Romero said. "Coronavirus may be the same."</p>
We Still Need to Practice Caution<p>While the findings are promising, infectious disease experts say we still need to practice caution.</p><p>More research is needed to validate these findings and determine whether they apply to distinct parts of the population, such as those who are immunocompromised.</p><p>It's common for immunocompromised patients — such as those with cancer — to continue testing positive for a virus for longer, since it takes their immune system more time to clear the virus out of their body.</p><p>"I don't think we can be 100 percent certain of whether each recovered person is no longer contagious. Again, this may differ with distinct population groups," Zapata said.</p><p>Physicians are seeing some hospitalized patients testing positive for a month after they were first swabbed for COVID-19. It's unclear whether these patients still shed infectious virus, according to Zapata.</p><p>Everyone's body mounts a distinct immune response based on their age and overall health. Different individuals will clear the virus out at different speeds, according to Zapata.</p><p>Until we have more data and a preventive vaccine, it's crucial to continue adhering to the <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html" target="_blank">safety precautions</a> laid out by the CDC.</p><p>"The reality is that moving forward, the best approach will be keeping social/physical distancing, wearing a mask, and frequent hand hygiene in order to control the spread of the virus," Romero said.</p>
The Bottom Line<p>Doctors and researchers have been unsure whether people who recover from COVID-19 who test positive again continue to be contagious, or if they could get a second infection.</p><p>New <a href="https://www.cdc.go.kr/board/board.es?mid=a30402000000&bid=0030" target="_blank">research</a> published by the Korea Centers for Disease Control and Prevention has found that recovered COVID-19 patients who test positive again aren't infectious.</p><p>The study also found that most patients who recover have neutralizing antibodies that protect them from getting sick again.</p><p>Though the study is promising, health experts say we need more data to validate the findings and determine whether they apply to all patient populations.</p>
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By Samantha Hepburn
In the expansion of its iron ore mine in Western Pilbara, Rio Tinto blasted the Juukan Gorge 1 and 2 — Aboriginal rock shelters dating back 46,000 years. These sites had deep historical and cultural significance.
The destruction of a significant Aboriginal site is not an isolated incident. Puutu Kunti Kurrama And Pinikura Aboriginal Corporation
Not an Isolated Incident<p>The history of large developments destroying Indigenous heritage sites is, tragically, long.</p><p>A $2.1 billion light rail line in Sydney, completed last year, <a href="https://www.smh.com.au/national/nsw/this-is-a-tragic-loss-sydney-light-rail-construction-destroyed-heritage-site-20190322-p516qk.html" target="_blank">destroyed a site</a> of considerable significance.</p><p>More than 2,400 stone artifacts were unearthed in a small excavated area. It indicated Aboriginal people had used the area between 1788 and 1830 to manufacture tools and implements from flint brought over to Australia on British ships.</p><p>Similarly, <a href="https://www.theguardian.com/environment/2018/aug/27/the-rocks-remember-the-fight-to-protect-burrup-peninsulas-rock-art" target="_blank">ancient rock art</a> on the Burrup Peninsula in north-western Australia is under increasing threat from a gas project. The site contains more than one million rock carvings (petroglyphs) across 36,857 hectares.</p><p>This area is under the custodianship of Ngarluma people and four other traditional owners groups: the Mardudhunera, the Yaburara, the Yindjibarndi and the Wong-Goo-Tt-Oo.</p><p>But a <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Environment_and_Communications/BurrupPeninusla/Report" target="_blank">Senate inquiry</a> revealed emissions from adjacent industrial activity may significantly damage it.</p><p><span></span>The West Australian government is <a href="https://www.theguardian.com/artanddesign/2020/jan/29/australia-lodges-world-heritage-submission-for-50000-year-old-burrup-peninsula-rock-art" target="_blank">seeking world heritage listing</a> to try to increase protection, as the regulatory frameworks at the national and state level aren't strong enough. Let's explore why.</p>
What Do the Laws Say?<p>The recently renamed federal Department of Agriculture, Water and the Environment is responsible for listing new national heritage places, and regulating development actions in these areas.</p><p>At the federal level, the Environment Protection and Biodiversity Conservation Act 1999 (<a href="http://www.austlii.edu.au/cgi-bin/viewdb/au/legis/cth/consol_act/epabca1999588/" target="_blank">EPBC Act</a>) provides a legal framework for their management and protection. It is an offence to impact an area that has national heritage listing.</p><p>But many ancient Aboriginal sites have no national heritage listing. For the recently destroyed Juurkan gorge, the true archaeological significance was uncovered <em>after</em> consent had been issued and there were no provisions to reverse or amend the decision once this new information was discovered.</p><p>Where a site has no national heritage listing, and federal legislation has no application, state laws apply.</p><p>For the rock shelters in the Western Pilbara, Rio Tinto was abiding by Western Australia's <a href="http://www.austlii.edu.au/cgi-bin/viewdb/au/legis/wa/consol_act/aha1972164/" target="_blank">Aboriginal Heritage Act 1972</a> — which is now nearly 50 years old.</p>
No Consultation With Traditional Owners<p>The biggest concern with this act is there's no statutory requirement ensuring traditional owners be consulted.</p><p>This means traditional owners are left out of vital decisions regarding the management and protection of their cultural heritage. And it confers authority upon a committee that, in the words of a <a href="https://www.dplh.wa.gov.au/getmedia/11dd5b41-fcf9-4216-a1ac-06ece672c087/AH-Review-Position-Comparison-for-Aboriginal-People" target="_blank">discussion paper</a>, "lacks cultural authority."</p>
Weak in Other Jurisdictions<p>The WA Aboriginal Heritage Act 1972 is <a href="https://www.dplh.wa.gov.au/aha-review" target="_blank">under review</a>. The proposed reforms seek to abolish the committee, ensuring future decisions on Aboriginal cultural heritage give appropriate regard to the views of the traditional Aboriginal owners.</p><p><span></span>NSW is the only state with no stand-alone Aboriginal heritage legislation. However, a <a href="https://www.parliament.nsw.gov.au/researchpapers/Documents/aborigines-land-and-national-parks-in-nsw/02-97.pdf" target="_blank">similar regulatory framework</a> to WA applies in NSW under the National Parks and Wildlife Act 1974.</p><p>There, if a developer is likely to impact cultural heritage, they must apply for an Aboriginal Heritage Impact Permit. The law requires "regard" to be given to the interests of Aboriginal owners of the land, but this vague provision does not mandate consultation.</p><p>What's more, the burden of proving the significance of an Aboriginal object depends upon external statements of significance. But Aboriginal people, not others, should be responsible for determining the cultural significance of an object or area.</p><p>As in WA, the NSW regulatory framework is weak, opening up the risk for economic interests to be prioritized over damage to cultural heritage.</p>
Outdated Laws<p>The federal minister has discretion to assess whether state or territory laws are already effective.</p><p>If they decide state and territory laws are ineffective and a cultural place or object is under threat, then the federal <a href="http://www.austlii.edu.au/cgi-bin/viewdb/au/legis/cth/consol_act/aatsihpa1984549/" target="_blank">Aboriginal and Torres Strait Islander Heritage Protection Act 1984</a> can be used.</p><p>But this act is also weak. It was first implemented as an interim measure, intended to operate for two years. It has now been in operation for 36 years.</p><p>In fact, <a href="http://ymac.org.au/wp-content/uploads/2013/04/Extracts-from-Evatt-Review-of-the-Aboriginal-and-Torres-Strait-Islander-Heritage-Protection-Act-1984.pdf" target="_blank">a 1995 report</a> assessed the shortcomings of the Aboriginal and Torres Strait Islander Heritage Protection Act.</p><p>It recommended minimum standards be put in place. This included ensuring any assessment of Aboriginal cultural significance be made by a properly qualified body, with relevant experience.</p><p>It said the role of Aboriginal people should be appropriately recognized and statutorily endorsed. Whether an area or site had particular significance according to Aboriginal tradition should be regarded as a subjective issue, determined by an assessment of the degree of intensity of belief and feeling of Aboriginal people.</p><p><span></span>Twenty-five years later, this is yet to happen.</p>
By Tara Lohan
The first official tallies are in: Coronavirus-related shutdowns helped slash daily global emissions of carbon dioxide by 14 percent in April. But the drop won't last, and experts estimate that annual emissions of the greenhouse gas are likely to fall only about 7 percent this year.