About 100 men are diagnosed with breast cancer in Australia each year.
Breast cancer in men is the same disease that affects about 14,000 Australian women each year.
The incidence of male breast cancer has remained largely unchanged, according to the most recent national data, which monitored rates over the 25-year period from 1982. Dr Helen Zorbas, Cancer Australia CEO, says that while it may come as a surprise to most men to learn they can develop breast cancer, "it’s important for men who find a change in their breasts not to let embarrassment or uncertainty prevent them from seeing their doctor quickly".
"Cancer is not a death sentence," Dr Zorbas says.
"I can’t stress strongly enough that the trick with cancer is to find and treat it early."
By Eloise King I First Published November 6, 2011
body+soul, The Sunday Telegraph

These small changes will get you feeling perky and positive.
Our top five steps for having a happy, healthy and unforgettable summer.
Dietitian Tara Diversi says eating a balanced diet and including foods that are high in the amino acid tryptophan will enhance your serotonin (happy hormone) levels.
"Foods that are high in tryptophan include bananas, nuts, soy, sesame seeds, turkey and milk," Diversi says.
The simple act of baring more skin as the weather heats up can provoke anxiety. Some people will begin to obsess over the body bits they're not happy with.
Diversi says fat talk about yourself and others is known to increase the likelihood of binge eating. "The word 'fat' should be off limits," she says. "It's an 'F' word and it is not helpful."
According to a study published in the Journal Of Consumer Psychology, generating feelings of pride around the idea of resisting temptations will help you resist them in real life.
In the study, 40 per cent of people asked to feel proud about resisting chocolate cake actually resisted it when it was offered. In another group, who were asked to feel shame about eating the cake, only 10 per cent held out.
When Einstein had a difficult left-brain problem to figure out, he would drop everything to engage in a right-brain creative activity such as playing the violin. Life coach Pip McKay says we live in a left-brain-driven world, so getting creative is great for robust mental health. Try singing or writing a poem.
Many people focus on money and material possessions, but the things that truly bring us happiness are free, McKay says. "Our relationships and nature bring most people the most joy, so focusing energy into these areas can help us feel connected and truly grateful."
Exercise educator Leila Lutz says outdoor activity is great for boosting your mood. "Just 30 minutes of exercise in the sun each day will help you connect with yourself in a positive way," Lutz says.
By Eloise King | First published: May 22, 2011
body+soul, The Sunday Telegraph

There is one person who is always with you, who you're forced to listen to day and night and who you will never get away from. Yourself. So start practising maitri, the art of being your own best friend, says Jono Fisher, founder of WakeUp Sydney!, which aims to start a "kindness revolution".
"Maitri is a Sanskrit word that is often translated as 'unconditional friendship, acceptance or kindness with oneself'," Fisher says. "It's the idea that you treat whatever arises for you in your life – fear, guilt, shame – like a welcome friend. Then there is no disowning of your feelings and you become friendly with yourself."
How to practise maitri: "Become aware of your internal dialogue, which for many is on loop," Fisher says. "Meditation raises awareness and tames your mind. It awakens us to our true essence so we can open our hearts and engage lovingly with the world."
By Eloise King | First published: September 11, 2011
bodyandsoul.com.au

Increase your kindness quotient in 10 easy ways.
Kindness has been proven to boost our health, wellbeing and act as a measure of happiness. But kindness revolutionary Jono Fisher says there is more than just science behind the phenomenon. "It is one of the few principles that can be agreed on by all regardless of race, religion or differences to be positive for all concerned,” he says. “Kindness is not just about being nice and sweet – it is about living fully, loving openly and having the courage to make a difference."
Here are ten ways you can strengthen your kindness muscle, today.
Holistic Lifestyle coach Jo Rushton says kindness towards others is possible only when you master the art of kindness for yourself. "If you want to be a kinder person, the number one rule is that you must first give yourself permission to be kinder to yourself," Rushton says. Try running yourself a candlelit bath, booking a professional massage, or taking the time to prepare yourself a nutrient packed meal.
Jono Fisher from Wake Up Sydney! encourages people to do kind things, anonymously. Some suggestions: Pay for a stranger’s coffee next time you order yours. Put money in an expired meter to save someone a ticket. The recipient will get a nice surprise.
University of British Columbia researchers looked at whether happiness can in fact be bought. They found that if you use your money to help others, it can. Next time you’re feeling cashed up, shout a friend lunch, buy someone an unexpected gift or give some to a charity you believe in.
A lovely way to show support for a person or business you believe in is to do it publicly via social media channels such as Twitter and Facebook. When someone feels strongly enough to state their positive opinion in public about you or your business, express your thanks and gratitude.
Brighten up your workmates’ day with the following:
• Pick flowers to put into a cup on your colleagues desk
• Offer your colleague a tea when you get up to make your own
Remember the free hug guy? Juan Mann made a ‘Free Hugs’ cardboard sign and took it out into Pitt Street Mall, Sydney, in an effort to connect with people and make them happy. Not only did it work but it was the beginning of Free Hug movements all over the world. Hugs are good. Try giving one today. See www.freehugscampaign.org
Leave loving written notes in the jacket, pants or bag pocket of your beloved. “They may just find it as they are going through their lowest part of the day,” says Rushton.
By expanding your awareness into the world around you, Rushton says you’re more likely to notice when someone nearby is struggling that you can help, such as:
• An elderly person with their shopping
• An over-committed waiter carrying too many plates
Why wait for Mother’s or Father’s day to do something special for mum or dad? Pick up the phone, lock in a day to make them lunch, or choose a nice card to write on and pop it in the post.
Picking up a piece of rubbish is an act of kindness. The unheard voice of Mother Earth says thank you.
By Eloise King | First published: May 29, 2011
body+soul, The Sunday Telegraph

Chimpanzees are our closest evolutionary relatives, so the study of their genetics, habits and interactions is the most useful indicator we have of understanding our own biology and behaviours, says Dr Jane Goodall, the leading expert on the primates.
Dr Goodall, 77, who is visiting Australia next month, is a British primatologist, ethologist and anthropologist best known for her 45-year-plus study of wild chimpanzees in Gombe Stream National Park, Tanzania.
Her award-winning research suggests the similarities between humans and chimps are not just genetic but exist in our emotions, intellect and relationships, which are heavily shaped by our family life.
"They are more like us than any other living creature and understanding them helps us understand our evolution and answer the question: what makes us different?" says Dr Goodall, who was made a Dame Commander of the Order of the British Empire in 2004.
Here are Dr Goodall's findings on how a chimpanzee family operates, compared with the views of child psychologist Dr John Irvine, author ofHandbook For Happy Families (Finch).
"There are good mothers and bad mothers but it's very clear in chimp society that the early years of a chimp's life are critical to their later wellbeing," Dr Goodall says. "The offspring of mothers who are protective, but not too protective; tolerant, but able to discipline; affectionate and above all supportive have less problems."
She notes offspring don't even start to leave their mother's side until the age of eight or nine. "Even at nine years of age, if a chimp accidentally loses mum they get upset and cry, but they are old enough by then to make the choice to go off themselves."
Dr Irvine says: "Talk to anyone who has achieved anything and you'll hear there is no substitute for mum. Girls see mum as a role model and boys idolise her. Mum needs help if she is going to do a good job, though. Delinquent behaviour is more likely to emerge if she is doing it all on her own."
If mum is not around, it can be a primary carer who develops the main bond with a baby chimp to provide security and love. Dr Goodall says: "If baby chimps have a primary carer they feel secure with, they develop and learn faster and become more outgoing due to feeling sure within themselves."
Dr Irvine says: "If mum's not around, kids will almost always imprint on someone else, whether it be grandma, dad or anyone able to provide stable, secure, constant and consistent care. We are less competent at birth than any other species so we depend on our primary carer more than chimps."
Daddy chimp does not play a hands-on part in raising the kids. "His role is in protecting the entire area for all females and young ones," Dr Goodall says.
Young males make their first tentative moves away from mum at about seven or eight, usually for just a few hours at a time.
"They typically choose to follow one of the adult males and may hero-worship him," she says. "By leaving the mother and imitating the chosen male they learn about male activities, communication and appropriate levels of aggression."
Dr Irvine says: "Young dads are providing much more hands-on care but many feel like a failure because they don't know how to do it like their wives, who have a different kind of hormonal love."
Small chimps will usually have a trusting relationship with another two or three chimps that are always around and add to their secure start to life, Dr Goodall says.
Dr Irvine says: "For millions of years kids were brought up in a tribe of extended family. It's only been in the last hundred years that we have moved away from the extended tribe and formed nuclear families with less and less tribal support around and it's not good for the family."
The relationship between mother and child chimp is really fun, with lots of game playing. "Chimps learn really quickly when they are interested in what they are learning," Dr Goodall says.
Dr Irvine says: "Children learn so much through play; when the brain is force-fed it switches off."
Dr Jane Goodall will be speaking at the Happiness and its Causes Conference next month in Brisbane. www.happinessanditscauses.com.au
By Eloise King | First published: June 26, 2011
body+soul, The Sunday Telegraph

Women have an average of 13 negative things to say about themselves each day, according to a recent US survey. The quest for the "perfect" body has become normal for many women. The cost of this social issue is it continues to churn out generations of women who believe they are not good enough.
Recent research reveals just how ingrained negative body image is in women:
Dietitian and co-author of The Good Enough Diet (Wiley), Tara Diversi, says body image issues exist across all age groups. "Girls as young as five have strong ideas about weight, such as fat is bad and skinny is good," she says.
These values often develop into unhealthy eating behaviours in adolescence and beyond. An international survey found 68 per cent of 15-year-old girls are on a diet, while an Australian report found 30 per cent of women aged 18 to 23 have experimented with purging, laxatives or fasting to lose weight.
There are four main factors contributing to women's negative body image, according to Diversi.
Many parents are dieting and saying skinny is better, even when they have healthy bodies, and this sets up their children to have the same approach. Diversi says: "A healthy body does not equate to a healthy body image and children pick up on their parents' constant quest to be thinner."
Education about the difference between healthy and unhealthy foods can actually trigger eating disorders in kids. "Keeping a food diary might be great for 98 per cent of kids, but it's important we're checking on their understandings of the teachings," Diversi says. One of her young clients developed an eating disorder after "understanding" some foods can be bad. Her thinking then became, "I'm not bad, so I don't eat food".
Research shows the more women see pictures of perfect women in the media, the more they believe they should look like that. "This happens even though women know pictures have clearly been airbrushed," Diversi says. "The rational brain knows it's not real, but the emotional brain doesn't."
It may not be weight that is causing women to feel unhappy or unsatisfied, but it's the part that can be perceived as the easiest to control. "This is when people make the mistake of thinking the quick-fix diet will help them feel better about themselves," Diversi says. Research shows most people on quick-fix diets put all the weight back on, or more.
"If you've been saying bad things about yourself and your body, it can take quite some time and commitment to turn that habit around, but it's a practice worth committing to," Diversi says. Here are Diversi's recommendations on fostering a postive body image:
Focus on the health properties and nutritional value of foods instead of what they will do to your backside or thighs. "We should be looking at what's going to give us more energy, make us live longer and experience optimal health," Diversi says.
People can be overweight but healthy if they're exercising and eating well. They can also be thin but unhealthy through a poor diet and sitting down all day. So when sizing up your health, consider how happy you are. Why? "Being overweight reduces your life expectancy by three years, but being unhappy reduces it by nine years," Diversi says.
A powerful practice is to commit to measuring your health, weight and worth based on how happy you are, not how your body compares with others around you.
Some people magnify criticism and don't hear compliments. "A lot of women in our clinics say things out loud and in their heads that they would never say to their worst enemy," Diversi says. A powerful way to turn that habit around is to write a list of 10 nice things about yourself and say them out loud.

Scientists have known for a few years that people who meditate have different brain structures from the rest of us. What hasn't been proven is that it's actually the meditation that affects our grey matter. Now a landmark study has not only shown that there's a direct connection, but that meditation can change our brains for the better in just eight weeks – even if we've never done it before.
In a study published in Psychiatry Research: Neuroimaging earlier this year, US researchers measured the brains of 16 people who had never meditated before, and then did so again after the group had completed an eight-week meditation program. During that time, the group spent an average of 27 minutes a day practising mindfulness meditation, a particular style of meditation which focuses on non-judgmental awareness of sensations, feelings and states of mind.
After the program, tests done on the group found there was increased grey-matter density in the hippocampus, the area of the brain associated with learning and memory, and in other brain structures associated with self-awareness, compassion and introspection. There was also a reduction in size of the amygdala, the part of the brain which controls anxiety and stress.
In other words, the silent practice of meditation changes the structure of our brains, boosting the areas that help us focus, remember things and be self-aware, while reducing the areas that can make us feel anxious and stressed.
US-based meditation master Thom Knoles, who is visiting Australia this month, says this research proves what long-term meditators have known for thousands of years.
"Practising meditation helps us see things clearly, have a stronger sense of self and puts the stresses in our lives into proper perspective," he says.
"Research indicates the effects of meditation are not just that the brain is growing more grey matter, but that the brain is learning how to repair itself organically. It would not be out of the question to assume that the brain is actually regenerating brain cells."
While the US study proved the beneficial effects of mindfulness meditation, earlier research has shown that meditation in general improves people's grey matter.
For instance, a UCLA study, published in 2009, used high-resolution magnetic resonance imaging (MRI) to show that long-term meditators who used various meditation techniques all had larger volumes of the hippocampus and areas within the orbitofrontal cortex, the thalamus and the inferior temporal gyrus – regions known for regulating emotions – than those who did not meditate.
Knoles, who teaches Vedic meditation, which uses mantras to focus the mind, agrees that all types of meditation are beneficial for our brains.
"Closing one's eyes and settling into the simplest form of awareness is a powerful practice, irrespective of the name given to the meditation experience," he says.
Meditation quietens the mind and generates feelings of relaxation. The brain then sends signals of blissfulness to the entire body, which then reorganises itself into a restful and stress-free state.
Knoles says each one of us has the same brain capacity. The question is: what are we training our brain to do?
"Instead of having brain matter generated through states of stress, meditation provides the brain with blissful experiences that increase the capability in every area," he says. "What we see is people become more creative, increasing their learning ability and intelligence, and taking on a larger life perspective. Meditation is not just a psychological or mood-enhancing tool but a way to grow and access more brain power."
Try this five-minute mindfulness meditation practice.

Chef Kate McAloon lets us in on the food secrets of her celebrity clients.
Chef Kate McAloon is the healthy-choice chef for several A-list celebrities, including Miranda Kerr and husband Orlando Bloom, Gwyneth Paltrow and husband Chris Martin, Steven Spielberg and his wife Kate Capshaw, Meg Ryan, Sheryl Crow, Courteney Cox and David Arquette.
McAloon is the woman behind the food served at their Hollywood dinner parties and Sunday soirees, as well as the dishes on their dinner tables at family meal times.
"We are all here to live and food is one of the greatest joys in our lives if we let it be," McAloon says.
So what is it about her food that makes it so special? McAloon says: "It's always healthy and clean, but it's the flavour that distinguishes my food and I get it from using a ton of fresh herbs and spices."
Here's what the Seattle-born chef had to say about the eating habits of some of the world's most powerful celebrities.
body+soul's Eloise King gives a quick rundown of the main hormones and what they do for you.
Hormones. You can't see, touch, taste or hear them, but they are arguably the most powerful factors influencing your health, mood and general wellbeing. Here is a selection of the main ones.
What does it do?
Oestrogen is the main female hormone, together with progesterone. It is responsible for reproduction, breast tissue and regulating menstruation and menopause. Progesterone is primarily a fertility and pregnancy hormone. Oestrogen is also responsible for skin thickness and blood flow, collagen and water content. It lowers levels of "bad" cholesterol (LDL) and increases levels of "good" cholesterol (HDL). It is also an antioxidant and reduces the risk of heart disease.
Signs it's out of balance:
External signs of low levels of oestrogen include low energy levels, thin, sagging skin, wrinkles and hair loss. Internally, it leads to bone weakness. High levels of oestrogen are much rarer. Breast lumps and painful breasts are signs.
What to do?
Low oestrogen levels can be redressed by taking hormone replacement therapy (HRT) in consultation with a health professional. High levels of oestrogen need further investigation.
What do they do?
The thyroid hormones, of which the main ones are thyroxine and tri-iodothyronine, produced by the thyroid gland, regulate your metabolism and energy production.
Signs they are out of balance:
Dr Michael Elstein, from Sydney's Eternal Health Medical Centre, says low thyroid levels can be caused by genetics, bacteria, gastro-intestinal bugs or allergies to gluten. Signs are cold hands and feet, excess weight, hair loss and tiredness, especially in the latter part of the day. An overactive thyroid is less common. Signs may include anxiety, overheating, heart palpitations and hair loss.
What to do?
A blood test is the best way to test thyroid levels. Iodine supplements are often prescribed for an underactive thyroid as they help the body produce the thyroid hormones. Minerals such as zinc and selenium and a protein-rich diet are also helpful. An overactive thyroid requires further investigation to determine the best course of treatment.
What does it do?
DHEA (dehydroepiandrosterone) is produced in the adrenal glands as well as other parts of the body. Dr Elstein says evidence suggests it boosts immunity, helps alleviate depression and regulates the effects of excess cortisol (see below), which in turn improves energy and vitality, sleep, premenstrual symptoms and mental clarity. Studies show DHEA helps bone density and can prevent or delay the onset of cancer, obesity and diabetes. It increases lean muscle mass while decreasing body fat.
Signs it's out of balance:
Many diseases associated with ageing have been attributed to a decrease in DHEA. Symptoms of depression and weak immunity, such as recurring colds and flu, are also common.
What to do?
DHEA is produced in several parts of the body, so it's difficult to get a true measure from a blood or urine test. Exercise, diet, stress management and nutrient supplements can increase the circulation of DHEA. DHEA supplements are only available with a doctor's prescription.
What does it do?
Glucose is stored in the liver as glycogen. Cortisol breaks down the glycogen so it is released into the bloodstream for the cells to use. Cortisol is commonly associated with stress, but is also the hormone that gets you up in the morning. Dr Elstein says:
"Cortisol raises blood sugar, which the cells start using for energy. As the day wears on, cortisol production lessens."
Signs it's out of balance:
Fatigue in the morning and trouble falling asleep are signs levels are out of balance. People who are particularly anxious or stressed could also be affected. "We stay up too late and sit in front of the computer or TV, which signals our body to produce more cortisol," Dr Elstein says.
What to do?
Dr Ronald McCoy, spokesman for the Royal Australian College of General Practitioners, says a blood test from your GP is the most reliable measure of cortisol levels. If it shows you are low in cortisol, Dr Elstein suggests going to bed earlier and taking a herbal tonic with ginseng and withania to help produce more cortisol.
What does it do?
Melatonin is produced in the pineal gland in the brain and is the hormone that helps you sleep. As the sun goes down, your cortisol levels should decrease, triggering your body to produce more melatonin. It is also an antioxidant which helps fight free radicals and is believed to help prevent cancer.
Signs it's out of balance:
If you are struggling to sleep, not sleeping deeply or suffering from insomnia, you may have a melatonin imbalance. If you are producing too much cortisol, this will also affect the production of melatonin. "The later you stay awake and the longer you have the lights on at night, the less melatonin you make," Dr Elstein says.
What to do?
"Assessment of problems with melatonin is based on patient symptoms," Dr McCoy says. If you are low in melatonin, Dr Elstein suggests going to bed earlier or taking melatonin drops under the tongue or a melatonin tablet, which requires a doctor's prescription.
What does it do?
A product of DHEA and progesterone, testosterone governs the libido in both men and women. Testosterone also supports bones and muscle mass, as well as the cardiovascular system.
Signs it's out of balance:
Poor erectile function in men and loss of desire. For both men and women, depression, muscle mass loss, an increase in fatty tissue and a general loss of drive and enthusiasm can also be signs of low testosterone levels.
What to do?
Have your levels tested by a doctor. Stress, obesity or excessive alcohol consumption can all lower testosterone levels. Exercise, diet and stress management will all help.

And here's the proof.
It’s no secret being kind to others can lift your spirits as well as theirs. But research shows it is one of the most powerful tools we have for achieving optimum health, happiness and wellbeing. It can boost the immune system, improve physical and emotional wellbeing and stimulate the brain. And not just in the person carrying out the act. The recipient and onlookers also benefit.
Author Dr Wayne Dyer says in his book The Power of Intention (Hay House): "Research has shown a simple act of kindness directed toward another improves the functioning of the immune system and stimulates the production of serotonin in both the recipient of the kindness and the person extending the kindness. Even more amazing is that persons observing the act of kindness have similar beneficial results."
In a Harvard University study, 132 students were shown a film about Mother Teresa. Researchers then tested the students’ saliva and found an immediate increase in immunoglobulin A (IgA), an antibody that plays a critical role in the immune system. When the students were shown a film about Attila the Hun, their antibody levels droppe.
Giving activates pleasure-related centres in the brain. Research at the National Institutes of Health in the US found when people thought about giving money to a charity, the parts of the brain normally associated with "selfish" pleasures, such as eating and sex, lit up.
A similar study at Emory University in the US found helping others lit up the same part of the brain as receiving rewards or experiencing pleasure.
The Social Capital Community Benchmark Survey, overseen by Harvard University researchers, found those who volunteered time or money were 42 per cent more likely to describe themselves as happy.
Research conducted by the University of Cambridge in the UK found when we see someone helping another person, it not only gives us a good feeling, it causes us to go out and do something good for someone else.
Researchers showed 30 students a nature documentary and another 30 an uplifting segment from Oprah.
All viewers were then asked to voluntarily help with another task. Almost 70 per cent of those who had watched the Oprah segment volunteered to help compared with 40 per cent of those who had watched the documentary.
Susan Turner-Kapsanis:
"It actually made me feel fabulous. I’ve been out shopping with my triplets this morning and they’ve all had a turn at playing up. I just wanted to get my morning coffee, and when we got here eventually and I was told it was free, an immediate smile came on my face. The boys were like ‘wow!’. There’s a saying that a smile can light up a thousand hearts and it’s the small acts of kindness that can help. I think it’s a very virtuous circle."
Carol Sloggett:
"The weather and everything has been so miserable lately and to get something lovely this morning, like my coffee for free, made me feel delighted. I do believe good deeds make a difference and this one little thing really lifted my spirits."
Marnie O’Neill:
"I’ve had such a horrible morning. The kids were vomiting, I only had one ride left on my bus ticket and had managed to scrape together some coins to get my morning coffee. Getting it for free took the edge off my mood and made me feel really good. I feel a bit lighter and, strangely enough, it also makes me want to ring my mum who I haven’t been very attentive to lately."
Jarka Kunova:
"It made me feel really good. I’m not normally a morning person so it took a while to comprehend, but after I got over the shock of it, it was a very nice way to start the day."
Kaine Frost:
"It was good but I thought there was a catch. As with anything free you get these days, you are waiting for something to come up after it that you have to do or pay something for, so it’s not really free. When I realised that it was just free, it felt really good."
Emily Hodgetts:
"I thought it was a joke at first because it seems like something that wouldn’t normally happen. It made me feel really nice, though, and when someone is nice to you it makes you want to be nice to other people, so there is that carry-on effect as well."
By Eloise King I First published: October 16, 2011
body+soul, The Sunday Telegraph
Mosquito season is here, but we may be protected from dengue fever, thanks to a scientific breakthrough.
Mosquitoes are regarded as the world's most deadly animals because of the diseases they carry.
When Australian scientists announced in August that they had introduced a bacterium called Wolbachia into mosquitoes that made them resistant to the dengue virus, newspapers were splashed with headlines such as: "Aussies defeat dengue danger".
But with this year's wet season about to start in northern Queensland, the scientific breakthrough will finally be put to the test.
Since the beginning of the year, researchers have been releasing mosquitoes carrying Wolbachia bacterium into the wild to monitor its spread through two mosquito populations in Cairns. By protecting mosquitoes from dengue, the Monash University program hopes to stop transmission into humans.
Five weeks after the final release, results showed 100 per cent of the mosquitoes at Yorkeys Knob carried Wolbachia, with Gordonvale at 90 per cent. But shortly after, the transmission rate dropped by about 10 per cent.
"The drop was relatively small so we are still pretty chuffed by the results," says Professor Scott Ritchie, Eliminate Dengue program researcher. "But we need more sampling to see how well the bacterium holds in mosquito populations."
Professor Ritchie says reasons for the drop could be lack of rain over the dry season or just a simple sampling issue.
"Dengue-carrying mosquitoes breed in puddles around the home, in pot plant bases, vases, roof guttering and fallen fronds, and it's been a dry season," he says. "We have enough Wolbachia in there that when the wet season begins and it starts raining, transmission rates should rise to 100 per cent again."
Scientists will continue to monitor Cairns mosquito traps and the program is set to be repeated in other parts of Australia as well as Thailand, Vietnam, Indonesia or Brazil within the next 12 months.
Dengue is a virus transmitted to humans through the bites of female Aedes mosquitoes. Ironically, the most common way mosquitoes contract it is through feeding on humans who are infected with the virus.
Dengue affects between 50 and 100 million people in tropical and sub-tropical regions each year. It occurs naturally in more than 110 countries across South-East Asia, the Western Pacific regions, Africa, the Americas and the Eastern Mediterranean.
The World Health Organization (WHO) estimates two-fifths of the world's population, 2.5 billion people, are at risk of contracting dengue.
There is no continuous transmission of dengue in Australia. Outbreaks are initiated by travellers and residents arriving into Australia with the dengue virus, who are then being bitten by local mosquitoes. An average of 100 new cases are reported each year, almost all in North Queensland.
Queensland Health declared the worst dengue outbreak in over 50 years during the 2008-9 wet season, with more than 1000 cases reported.
The dengue virus circulates in the human bloodstream for two to seven days.
Dr Ronald McCoy, spokesman for the Royal Australian College of General Practitioners, says between 50 and 90 per cent of people with dengue will experience little more than influenza-like symptoms.
"The rest get classic dengue symptoms," he says. "These include sudden high fever lasting two to seven days, intense headaches behind the eyes, muscle and joint pain [in the ankles, knees and elbows], nausea, vomiting, diarrhoea, flushed face and neck, limb rashes and extreme fatigue." If treated, dengue fever is rarely fatal.
Dengue haemorrhagic fever (DHF) is a potentially deadly complication of dengue infection that causes the same dengue fever symptoms but is followed by a further, rapid deterioration as the fever subsides. Dr McCoy says, "A small proportion of people who get dengue go on to develop DHF, but there is no way of telling who it will be."
DHF symptoms include liver enlargement, gut bleeding and, in severe cases, circulatory failure. The circulatory system begins to fail as the fever drops, the patient goes into a critical state of shock and dies within 12 to 24 hours if left without medical treatment.
It's estimated 500,000 people with DHF require hospitalisation each year, the majority of whom are children. About 2.5 per cent of those affected die. There is no vaccine or specific treatment for dengue fever. Dr McCoy says paracetamol is recommended to manage the aches and pains.
"If someone has dengue fever, we keep an eye on blood counts and fluid levels from day three of the illness until a few days after the fever subsides," he says. "A very small percentage develop DHF and this monitoring tells us if they have it or not."
Dr McCoy says symptoms don't usually extend past the fever, but there is a risk of post-viral infection which can cause longer-term tiredness and low moods.

We ask the nutrition experts whether Australia should adopt a fat tax.
Denmark's fat tax adds about $3 to the price of every kilogram of saturated fat in all foods that contain more than 2.3 per cent saturated fat.
When Denmark introduced the world's first "fat tax" last month, the Australian Medical Association (AMA) ran an online poll asking: should Australia increase taxes on unhealthy foods?
Of the 1032 voters, 70 per cent said yes and 30 per cent no*, suggesting considerable support for a junk-food price hike. Despite Australians being among the fattest people on the planet – and a quarter of our children now obese – the government says a fat tax is not on the menu. Here, health experts weigh in.
Dr Steve Hambleton, president of the Australian Medical Association.
"People complain about us turning into a nanny state, but the AMA poll provides pretty strong evidence that most people are in favour of an unhealthy food tax. The health impacts of things like smoking, alcohol and junk food are not covered by the tax already imposed on these things. But they should be."
Michelle Bridges, trainer on The Biggest Loser
"A junk-food tax will have an effect, without a doubt, but the government should use the junk-tax money to subsidise healthy wholefood so it becomes the cheaper option. We need to look at the measures used to combat tobacco use because good progress has been made here. One option might be allowing fewer fast-food outlets to be built in any one vicinity."
Dr John Tickell, anti-obesity campaigner
"A junk-food tax is a good idea, but it's virtually impossible to implement because there are so many lobby groups. As a nation, we spend $13 billion on cigarettes each year and $13 billion on fruit and vegetables. If the government had any guts, which they don't, they'd double the price of cigarettes, which kill us, and give fruit and vegetables away for free. Type 2 diabetes used to be a condition that came on in your late 40s, but now kids as young as six are getting it because they are eating too much junk and sitting in front of computers all day. There is all of this evidence and Julia Gillard is about to spend $36 billion of our tax dollars on making computers go faster."
Aloysa Hourigan, Nutrition Australia's senior nutritionist
"A junk-food tax already exists in Australia in theory. Health food items don't attract the goods and services tax (GST), which was introduced in 1999, but junk food does. The problem is that when GST was rolled out, the price of healthy food increased too because of taxes on things like freight and petrol. There have been various policies introduced in school canteens to change the nature of food available, based on reducing the amount of saturated fat, sugar and salt. But when food manufacturers got this information, they simply started putting less potato crisps into tiny packets so they kept within the specified amount of fat in one serving."
Dr Ronald McCoy, from the Royal Australian College Of General Practitioners
"We need a punitive tax on junk food so healthier foods become economically appealing. But it must be part of a broader, multi-faceted approach to addressing lifestyle-related illnesses. The money raised must go back into health promotion. We spend so many resources on reducing the impact of alcohol, but research shows low fruit and vegetable consumption imposes the same health risks."
* At the time of printing
A healthy lifestyle has helped these high achievers.
body+soul zeros in on the lifestyles of some hugely successful people and reveal their best health tips and how they've helped mould them into success stories.
Anthony Robbins, 51 founder of Anthony Robbins Empire
His success: Robbins has been an adviser to world leaders, including Nelson Mandela and former US president Bill Clinton, and is an authority on peak performance and a best-selling author.
Health Secret: "My number one health tip is to look after the delicate acid-alkaline balance in the body, which can be measured with a urine or saliva test. The easiest way to do that is to 'go green' by introducing lots of fresh green vegetables like spinach, broccoli, asparagus, cabbage and bok choy into your diet. The vast majority of organs, and especially your blood, have to be slightly alkaline for good health. This keeps oxygen flowing into the blood cells."
Ita Buttrose, 69 journalist and businesswoman
Her success: Buttrose is a popular motivational speaker and rose to prominence when she teamed up with the late Kerry Packer to launch Cleo magazine in 1972. She edited the Australian Women's Weekly and became editor-in-chief at The Daily Telegraph and The Sunday Telegraph. She works with several charities.
Health Secret: "I really believe in breakfast. I start the day with a piece of fruit before I exercise and after that I'll have something like mushrooms or scrambled eggs and grilled tomato on toast. So many people skip breakfast, but it's really vital to keep your energy up and your metabolism going. I walk for at least an hour every morning and I go to the gym some days as well. If I am away from home, I have a routine I can do in my hotel room."
Naomi Simson, 47 founder of Redballoon.com.au
Her success: Last year, Red Balloon, an online experiential gift service, generated $33 million in revenue across Australia and New Zealand.
Health Secret: "You are absolutely useless to anyone unless you have your health. Soon after I started Red Balloon I gave up wheat. It doesn't work with my body and I was bloated and puffy all the time. I recently got the flu, but that was the first time I had been sick in 13 years and I believe not eating wheat has a lot to do with that long run of great health. I believe exercise should counter-balance your lifestyle so I do yoga and walk as an antidote to my busy work and family life."
Donald Trump, 65 business magnate and TV personality
His success: The host of reality TV show The Apprentice has a net worth of about $US2.7 billion ($A2.6 billion).
Health Secret: "I had an older brother named Fred who… became an alcoholic. Ultimately, he died," Trump said in a recent interview. "He was one of my great teachers. He got me not to smoke, not to drink."
Robert Kiyosaki, 64 Founder of rich dad, poor dad empire
His success: Robert Kiyosaki self-published Rich Dad, Poor Dad in 1997 because nobody else would touch it. It is now available in 109 countries and has been translated into 51 languages.
Health Secret: "I am into health, not medicine. I love alternative practitioners such as naturopaths, acupuncturists and chiropractors. I eat heavy amounts of dark greens like broccoli, rocket and bok choy and combine that with light protein such as fish or chicken. I take natural herbs and vitamins every day to supplement my diet."
Want to feel better about yourself but not sure where to start? Neurolinguistic programming expert Alistair Horscroft says it’s as easy as saying one three-letter word. "Everybody talks about unconditional love as this airy-fairy thing that came out of the east. It’s not. Unconditional love is just saying 'yes' to yourself for no reason at all." If all seven billion people on the planet said you were the best, there is still a part of you that could disagree with that. This, Horscroft says, is proof that self-worth is an inside job and no-one can do it for you. Try this: "For the next two weeks say yes to yourself when you’re on the toilet, when you’re brushing your teeth, when you’ve just dropped a plate or had an argument. As soon as you give yourself a reason it becomes conditional."