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Tracking ticks in Georgia to help monitor emerging diseases

The most common tick found on humans in Georgia is the lone star tick — an aggressive seeker of blood that can spread dangerous pathogens through its…

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The most common tick found on humans in Georgia is the lone star tick — an aggressive seeker of blood that can spread dangerous pathogens through its bites.

Credit: Emory University

The most common tick found on humans in Georgia is the lone star tick — an aggressive seeker of blood that can spread dangerous pathogens through its bites.

Emory University researchers combined field data with spatial-analysis techniques to map the distribution of the lone star tick across the state. The journal Parasites & Vectors published the research, which identifies specific environmental conditions associated with this tick species, Amblyomma americanum, in Georgia.

The areas with the highest probability for the presence of lone star ticks include parts of the Southeastern Plains and Piedmont ecoregions of the state, including metro Atlanta.

“We found that these regions contain sweet spots for the lone star tick,” says Stephanie Bellman, first author of the study and an MD/PhD student in Emory’s School of Medicine and Rollins School of Public Health. “They tend to be more prevalent in forested areas of mid-elevation — not too high or too low — and in soils that retain moisture but are not swampy.”

The study maps the distribution at the scale of one square kilometer. That resolution is far finer than the currently available information, which is limited to the county level and does not encompass the state.

“As the weather warms and people start getting into the outdoors more, we hope our data can be used to target areas for tick-bite prevention messaging,” says Gonzalo Vazquez-Prokopec, professor in Emory’s Department of Environmental Sciences and senior author of the study.

Vazquez-Prokopec is a leading expert in vector-borne diseases — infections transmitted among humans and animals by the bite of a living organism, such as a tick or a mosquito.

Diseases the lone star tick is known to transmit include ehrlichiosis, southern tick-associated rash illness (STARI) and Heartland virus disease — which was first identified in the United States in 2009. The bite of the lone star tick is also associated with a potentially life-threatening allergy to red meat and dairy products known as alpha-gal syndrome.

Mapping the lone star tick is another step in a comprehensive Emory project to track and monitor the array of tick species in Georgia and the diseases that they can spread — including those caused by emerging pathogens.

Tickborne diseases are on the rise, far surpassing the incidence of diseases spread by mosquitos in the United States. While Lyme disease is the most common, the Centers for Disease Control and Prevention (CDC) currently recognizes 18 tickborne diseases in the country.

“We need to educate people that the environment that they grew up in is likely very different in terms of the number and types of ticks and the pathogens that they are carrying,” Vazquez-Prokopec says.

Climate change is fueling warmer and shorter winters, increasing opportunities for some species of ticks to breed more frequently and expand their ranges. Land-use changes are also strongly associated with tickborne diseases, as more human habitats encroach on wooded areas and the loss of natural habitat forces wildlife to live in denser populations.

“Georgia is a tick haven in general,” Bellman says, “since we have a long warm season and such a diversity of habitats.”

The researchers decided to focus first on mapping the distribution of the lone star tick because it is the dominant tick species in Georgia and can spread an array of pathogens. In 2019, the Emory researchers found that Heartland virus is circulating in lone star ticks in Georgia, an emerging pathogen that is not well understood.

Named for a bright, yellowish-white spot on its back, the lone star tick is widely distributed in wooded areas across the Southeast, Eastern and Midwest United States. It is tiny —in the nymph stage it is about the size of a sesame seed and as an adult it is barely a quarter-of-an-inch in diameter as an adult.

Despite its tiny size, the lone star tick is aggressive in its quest for blood meals. “They can sense carbon dioxide from your exhaled breath and the vibrations from your movement in a forest,” Bellman says. “They climb up onto vegetation and reach out their legs to grab onto you as you pass by.”

For the current study, Bellman led crews of Emory students, known as “the tick team,” in field surveys. They used “flagging” as a tick-collection technique. A white flannel cloth attached to a pole is swished in a figure-eight motion through the underbrush. Tweezers are used to transfer any ticks found on the flannel into a vial.

Tick team members surveyed 198 locations at 43 state parks and wildlife management areas across the state, from March to July 2022. Analyses combined the site-sampling data with environmental variables — including type of vegetation, land use, climate, elevation and other factors — characteristic for six different ecoregions of Georgia.

Lone star ticks were found in all of the ecoregions except for the mountainous Blue Ridge ecoregion in the northeast corner of the state. The majority of the ticks were found in forested areas of the Piedmont, Southeastern Plains and Southern Coastal Plains ecoregions.

The researchers encourage people to follow the recommendations of the CDC for preventing tick bites. And while the map for the lone star tick provides guidance on the likelihood of encountering the most prevalent human-biting tick in the state, there are other tick species that the researchers have yet to map.

The black-legged tick (Ixodes scapularis), which can transmit the bacterium that causes Lyme disease, for instance, is also established in Georgia. Lyme disease, however, is relatively uncommon in in the state for reasons that are not yet well-understood.

The researchers are also investigating the Asian longhorned tick (Haemaphysalis longicornis) in Georgia. Long established in China, Japan, Russia and parts of the Pacific, the Asian longhorned tick was first detected in the United States in 2017, in New Jersey, and has since spread to 19 states. It was found on farm animals in Pickens County, Georgia in 2021.

The Asian longhorned tick reproduces asexually and a single female can generate as many as 100,000 eggs, rapidly producing massive amounts of offspring that feed on livestock. So many ticks can be covering a single sheep or cow that the loss of blood physically weakens or, in extreme cases, kills the animal.

While it is often associated with livestock, the Emory research team recently found Asian longhorned ticks in the Buck Shoals Wildlife Management Area in White County, Georgia.

The Asian longhorned tick carries bacterial and viral pathogens that can infect humans, including severe fever with thrombocytopenia syndrome virus (SFTSV), also known as Dabie bandavirus. Human cases of SFTS, a hemorrhagic fever, emerged in China in 2009 and have since been identified in other parts of Asia, although not in the United States.

Also of concern is the fact that the Heartland virus shares genomic similarities with SFTS, which suggests the Asian longhorn tick could potentially transmit this emerging pathogen.

The Emory team has been finding the Heartland virus in lone star ticks collected from central Georgia starting in 2019. They have continued to find Heartland virus in at least some of the ticks collected from that area nearly annually through 2023. (They did not perform collections in 2020 due to the COVID-19 pandemic.)

More than 60 cases of Heartland virus disease have been reported in the United States, according to the latest CDC statistics. Many of the identified cases were severe enough to require hospitalization, and a few individuals with co-morbidities have died.

The actual number of people who may have been infected with Heartland virus is believed to be higher, however, since the virus is not well known and tests are rarely ordered for it. Complicating the issue is the fact that symptoms of Heartland virus are akin to those of many tickborne illnesses: fever, fatigue, headache, nausea, diarrhea and muscle or joint pain.

“Human cases of Heartland virus are rare now, but we don’t know whether that could change,” Bellman says. “We need to gather more baseline data and learn how it spreads in the environment so that we have the evidence we need to potentially prevent, or limit, its spread.”

Anne Piantadosi, assistant professor in Emory School of Medicine’s Department of Pathology and Laboratory Medicine, is co-author of the study.

Co-authors also include five Emory students who conducted fieldwork: Ellie Fausett (who has since graduated with a joint environmental sciences/MPH degree); Leah Aeschleman and Audrey Long (who have since received master’s of public health degrees from Rollins School of Public Health); Josie Pilchik, (who graduated with a bachelor’s in biology) and Isabella Roeske (an Emory senior majoring in environmental sciences).

Work on the current paper was funded by grants from the U.S. Department of Agriculture, National Institutes of Health, Emory University and the Emory MP3 Initiative and Infectious Disease Across Scales Training Program.


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What millennials and gen Z professionals need to know about developing a meaningful career

Today’s young professionals entered the labour market in uncertain times.

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GaudiLab/Shutterstock

Quarter Life is a series about issues facing people in their 20s and 30s.


What is a “meaningful career”? It can be doing purpose-driven work that aligns with your values. It may mean finding a working arrangement that balances the different parts of your life. Or it could be a career that gives you the opportunity to be your authentic self, while contributing to the world or improving others’ lives. The answer is different for everyone, and can change over time.

Defining a meaningful career can be difficult enough – but then you need to get there. This is a deeply personal journey that involves identifying your values, passions and interests, and finding environments where you can thrive.

A new survey in the US has found that a sense of purpose at work or in school is the most important driver for gen Zers’ happiness. I recently interviewed 28 millennial and generation Z graduates in the UK about what a meaningful career means to them. All of the participants entered the labour market either during the 2008 financial crisis or the COVID pandemic, making them feel uncertain about their immediate future.


This article is run in partnership with HowTheLightGetsIn, the world’s largest ideas and music festival, which returns to Hay-on-Wye from May 24-27. On Sunday, May 26, The Conversation’s Avery Anapol will host a live event delving into whether “meaningful work” exists in today’s age. Check out the festival’s full line-up of speakers and don’t miss an exclusive 20% off tickets with code CONVO24.


One millennial graduate observed how people in their cohort “took whatever job they could get, then looked around for something else as the market recovered”. A gen Z graduate noted: “The graduate market was so poor due to COVID-19 that it was just a case of taking any job that was offered.”

In other words, the economic environment they found themselves in meant they didn’t always have the flexibility to prioritise meaning in their job search.

Millennials and gen Zers both spoke of valuing a collaborative and inclusive work environment. They wanted employers to prioritise their wellbeing by managing workloads and giving them autonomy to do their work. Access to training and development, a competitive salary package and career progression opportunities all featured prominently in the interviews. Both groups also spoke of the need to feel that their work contributed value to the organisation or broader society.

A young woman sitting outdoors at the base of a tree on a sunny day, writing in a journal
Think about your values and purpose. Pablo Calvog/Shutterstock

I also uncovered differences between millennials and gen Zers about what they want from a meaningful career. However, these had more to do with life stages than generational labels.

Gen Zers felt that because of the pandemic, “there was so much uncertainty” – so they wanted “somewhere that had a bit more job security and stability”. They also felt a well-known employer with a good reputation “was safer in terms of job security during the pandemic”.

Millennials, now having children and “settling down”, placed greater emphasis on wanting a shorter commute and reducing the amount of physical travel for work. They were more likely to call for “family-friendly policies”, although women from both age groups discussed this more than men.

People prioritise different things in work depending on their life stages, and as things like caregiving responsibilities enter the picture. Your definition of a “meaningful” career might change over your lifespan.

Finding a meaningful career

Once you’ve determined what a meaningful career would look like for you, there are steps you can take to plan for and develop it. Remember, it is an ongoing process to align your career with your values, passions and interests, and it is perfectly normal for these to evolve over time.

1. Consider your environment

Think about how the physical space of work can help you thrive. For example, I’m a disabled and housebound millennial, so hybrid or in-person simply does not work for me. To do meaningful work, it has to happen at home. In contrast, if you live on your own or in a house-share with no space to work, you may find meaning from in-person interactions and seek out a role where you can be around other people.

2. Keep learning

Education does not have to begin or end with formal schooling. Commit to lifelong learning by embracing personal development throughout your career. Consider upskilling or reskilling opportunities, and alternative career paths.

I used to work in technology as a project manager. While I learned a lot, the work did not fulfil a sense of purpose and meaning for me. I retrained and pivoted into recruitment – helping graduates find internships and job opportunities gave me meaning, as I could see the outcome it had on people’s lives.

3. Build your network

You may not find or build a meaningful career all on your own. Developing an expansive network of contacts can give you insight into other industries, organisations or roles, and may help you access new opportunities in the future. You may want to meet with a career counsellor or find a mentor. Qualified career counsellors can be a wealth of information and support – as can friends, family and colleagues.

4. Be authentic and flexible

Because meaningful work is so personal, you have to have a strong sense of your own values – and stay true to them. Research shows there are many mental and physical benefits to having a purpose. If you know your values and purpose, you can align your work with your authentic self.

If you are trying to figure out what your values are or are stuck in a role that doesn’t align with them, do not panic. It’s never too late to make a change. As my own and my participants’ experiences show, not every job you take will be perfectly matched with your values. That’s OK. You can still learn skills and use this time to refine what a meaningful career means to you.

And if the reality of a situation does not meet your expectations, do not be afraid to try something new, or look for meaning outside of work.


A fan of cutting-edge debate and putting ideas at the centre of public life? Then you won’t want to miss HowTheLightGetsIn, the world’s largest ideas and music festival this spring. Returning to Hay-on-Wye from May 24-27, the event will convene world-leading thinkers and Nobel prize-winners including David Petraeus, Roger Penrose, Daniel Dennett, Amy Chua, Peter Singer and Sophie Scott-Brown. A remedy to online echo-chambers, the festival unites speakers across disciplines to chart tangible solutions to the crises of our era.

And don’t miss The Conversation’s live event at the festival on Sunday, May 26 with Avery Anapol delving into whether “meaningful work” exists in today’s age. We’re delighted to offer 20% off tickets with the code CONVO24. Get discounted tickets here.

William E. Donald 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.

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A small robot car can reduce children’s stress before surgery

Undergoing medical treatment, having surgery or simply being admitted to hospital are situations that make children fearful and anxious, especially during…

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Undergoing medical treatment, having surgery or simply being admitted to hospital are situations that make children fearful and anxious, especially during early childhood. And in addition to having a short-term impact, their subsequent psychological, social and educational development may also be affected.

Credit: Àgata Lapedriza, Universitat Oberta de Catalunya (UOC)

Undergoing medical treatment, having surgery or simply being admitted to hospital are situations that make children fearful and anxious, especially during early childhood. And in addition to having a short-term impact, their subsequent psychological, social and educational development may also be affected.

To overcome this problem, an international team of researchers working with Sant Joan de Déu Barcelona Children’s Hospital have developed and tested a small robot vehicle which aims to reduce stress among children aged between 3 and 10 years old before they undergo minor surgical procedures.

According to the results of this first pilot test, this type of robot could be a successful strategy for reducing anxiety and fear before surgery, and could be an effective alternative to the medication strategies commonly used to relax children.

This first prototype also provides information about the potential and challenges involved in integrating affective technologies in paediatric hospital environments.

“Children are admitted to hospital, which is already an unwelcoming environment for them, and they have to go with people they don’t know, like medical staff, and undergo unpleasant procedures, such as an injection. This all creates situations of stress which can end up causing chronic pain in the long term,” explained Jordi Albo, the scientific director of Lighthouse DIG and co-principal investigator of the project. 

“We try to minimize the stress that children experience during this process by using a robot car that changes colour, makes music and creates smells, and talks to them and interacts with them,” added this expert in social robots.

“We try to minimize the stress that children experience during this process by using a robot car that changes colour, makes music and creates smells, and talks to them and interacts with them”

Children’s stress before surgery

According to a study conducted by Sant Joan de Déu Barcelona Children’s Hospital, six out of every ten young patients who have to undergo surgery suffer from stress before they receive anaesthesia. The hospital has explored various alternatives in order to improve the children’s emotional state, ranging from doing activities and playing games with the children before surgery to therapies involving dogs and clowns, and even letting parents into the operating theatre.

However, the most widely used strategy is usually pharmacological, which can paradoxically make the children’s experience even more stressful due to the bitter taste of the drugs used and their side effects.

Previous studies had already shown that using small motorized electric vehicles is effective in reducing children’s unease. The researchers used those results as the basis for developing their prototype, as well as the research on assisted driving for adults that was being carried out at the Massachusetts Institute of Technology (MIT) Media Lab.

“We installed AI and sensors in our robotic car, as well as a surface for interaction. This enables the car to capture the child’s facial expressions, heart rate and breathing patterns, which are indicators of their emotions, and adapt to how the child is feeling by changing the music, or colours, or producing smells to help them relax,” said Àgata Lapedriza, researcher at the Universitat Oberta de Catalunya (UOC), member of its Faculty of Computer Science, Multimedia and Telecommunications, and leader of the Artificial Intelligence for Human Wellbeing (AIWELL) research group at the UOC’s eHealth Center.

The project is an example of affective computing “which focuses on developing AI systems that perceive emotions, understand emotions and can respond to emotions in an emotionally intelligent way”, emphasized Lapedriza, who led the project with Albo.

The participants involved in designing the vehicle included doctors, nurses and experts in affective computing, social robotics, data science, sensor design, machine learning and computer vision. The prototype was manufactured by the Hyundai car company in South Korea, and sent to Sant Joan de Déu Barcelona Children’s Hospital, where it was tested with 86 children between 3 and 9 years old (mean age of 5.23 years) who had to undergo a procedure between December 2020 and May 2023.

 

Positive effects on both the children and their parents

“Driving the car into the operating theatre had positive effects on both the children and their parents,” said Carmen Jerez, a paediatric nurse at Sant Joan de Déu Barcelona Children’s Hospital. “It gave the children the feeling of control, of being in the driving seat, and having an active role in the process without realizing it, in a way that was fun. The parents were able to walk with them, talking about their driving, and they could see that their child was experiencing less anxiety and fear.”

Despite the pitfalls the project had to address, such as a large proportion of the study taking place during the Covid pandemic and the masks worn by children preventing the sensors from capturing facial expressions, the scientists behind the project, whose results were presented at the Human-Robot Interaction conference in Colorado in mid-March, believe that the smart car has proven that it could be an effective and scalable strategy for reducing children’s stress before surgery.

“The pilot project has enabled us to evaluate the adoption response of this type of technology in a real hospital environment, and to fine-tune the design of the robot, see which sensors are useful and which ones aren’t, and which actions are viable and which ones aren’t,” concluded Lapedriza, who is also a principal research scientist at Northeastern University in Boston (USA).

The next step is to manufacture a new prototype, applying all the conclusions drawn from the pilot test in order to conduct a clinical trial. However, the project is currently on hold due to a lack of funding.

 

This project contributes to United Nations Sustainable Development Goals (SDGs) 3, Good Health and Well-being

 

Reference article:

Agata Lapedriza et al. Deploying a Robotic Ride-on Car in the Hospital to Reduce the Stress of Pediatric Patients before Surgery. HRI ’24 Companion, March 11–14, 2024, Boulder, CO, USA

https://dl.acm.org/doi/abs/10.1145/3610978.3641081.

UOC R&I

The UOC’s research and innovation (R&I) is helping overcome pressing challenges faced by global societies in the 21st century by studying interactions between technology and human & social sciences with a specific focus on the network society, e-learning and e-health.

Over 500 researchers and more than 50 research groups work in the UOC’s seven faculties, its eLearning Research programme and its two research centres: the Internet Interdisciplinary Institute (IN3) and the eHealth Center (eHC).

The university also develops online learning innovations at its eLearning Innovation Center (eLinC), as well as UOC community entrepreneurship and knowledge transfer via the Hubbik platform.

Open knowledge and the goals of the United Nations 2030 Agenda for Sustainable Development serve as strategic pillars for the UOC’s teaching, research and innovation. More information: research.uoc.edu.


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How the national living wage helps the UK’s poorest households: new research

Since being introduced in 2016, the UK national living wage has risen to become one of the highest in the world.

The national living wage has just been raised by 10%. Daniele Zanni/Flickr, CC BY-NC-SA

The UK’s national living wage has just been raised by 10% to £11.44 per hour. It is now payable for all workers aged 21 and over, where previously it was for those aged 23 and over. Introduced by the Conservative government in 2016 as the flagship policy for boosting the wages of low-paid workers, the national living wage is now one of the highest minimum wages in the world.

It reached 63% of the median wage in the UK in 2023, having been 52% as recently as 2015, and compares favourably to rivals such as France and Germany.

What have been the consequences? Researchers at the Institute for Fiscal Studies (IFS) and University College London and I have sought to comprehensively evaluate the effects on wages, employment and household income. In a new paper published in the Journal of Labor Economics, we looked at the period between 2016 and the last pre-pandemic increase in 2019 (during this time the national living wage was legally binding only for those aged 25 and over, with lower rates applying to younger workers).

Many previous studies have focused on the effects on jobs, but we have analysed this using a new empirical methodology, while for household incomes we used an IFS model of tax and benefits called Taxben, which is the most accurate of its kind in the UK.

Few previous studies have investigated how the distributions of wages and household incomes are affected by minimum wage policies, and most have focused on the US. Minimum wage levels in the US are comparably low, at least at federal level, so we were interested to see how the UK results might differ.

Minimum wage by country (US$)

Graph showing minimum wages around the world
The US has a low federal rate but individual states can be a lot higher; Swiss rate is that of Geneva; Countries without national minimum wages include Norway, Iceland, Denmark, Sweden and Italy. Various sources

How jobs have been affected

As you might expect, each increase in the national living wage during 2016-19 benefited those whose pay had to be increased. On average, 5.4% of low-paid workers received the raises each time.

We find almost equivalent increases in the number of jobs paid at the new minimum wage level and up to approximately £2 per hour above it. So not only has the policy raised wages for low-paid workers, there have been spillover effects on those slightly above the minimum.

Our research suggests that this was achieved with minimal negative effects on employment. Each wage increase reduced employment for those aged 25 and over by an estimated 0.1% of the level of employment before the policy was introduced. This finding aligns with previous studies both in the UK and elsewhere.

Household income

Our analysis reveals that increases in the national living wage considerably benefit poorer households. Every £1 increase in the minimum wage results in an average 0.6% increase in income for households in the bottom half of household incomes, with positive effects fading out rapidly in the upper half.

This effect is similar across the lower half, meaning that the poorest households don’t seem to benefit proportionally more than somewhat richer ones. This is partly because earnings represent a lower share of total income for many poor households, since they often do not have anyone in work and so cannot gain from the minimum wage increase.

The poorest households’ wage increases are also often offset by benefit reductions. For a £1 increase in the minimum wage, the average increase in earnings among existing minimum wage workers is £30.68 per week. However, after accounting for taxes and reductions in means-tested benefits such as universal credit, net household income increases by £21.60 per week.

Effect by household income bracket

Graph showing how national living wage benefited different household income brackets
Author provided

It’s worth noting that our results differ from what was documented by this 2019 study of the US, which showed that the minimum wage only benefited earners with the very lowest household incomes. This difference is partly because minimum wage workers in the US are predominantly located at the lower end of household incomes, whereas in the UK they tend to be concentrated in the middle (meaning they might be more likely to be living with a higher earning partner, for instance).

Also, minimum wage workers in the UK in the lowest income households tend to gain less from wage increases than in the US because of the simultaneous reduction in benefits, and because they work fewer hours. They also tend to derive a significant proportion of their income from self-employment, which falls outside the scope of the minimum wage.

What it means

Although our analysis only looks at minimum wages in the late 2010s, it hopefully gives a strong indication of how more recent increases will have affected workers’ finances and employment overall. However, it will be trickier to separate out effects during the pandemic period because it created such a huge economic upheaval.

Our findings indicate that the minimum wage can be a successful policy tool in delivering what it was intended for: boosting the wages of low wage earners.

The fact that this has occurred without reducing overall employment levels, both in the UK and elsewhere, removes one of the main potential objections to the policy.

The effectiveness of minimum wages as policy levers to support the working poor requires careful consideration of how such policies interact with tax and benefit systems. If the UK government wanted to tweak the current system so that the national living wage was more beneficial to the lowest earners, one option would be to reform the tax system so that they paid less tax on each additional £1 of income than they do at present.

Giulia Giupponi receives funding from the the Low Pay Commission (grant number CR20017), the Open Research Area programme (grant number ES/X008339/1), the Economic and Social Research Council through the Centre for the Microeconomic Analysis of Public Policy at IFS (ES/T014334/1) and through the UKRI Strategic Priorities Fund under grant reference ES/ W010453/1.

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