The hidden menace on the rise in Australia's favourite winter holiday destinations
Several variants are circulating at once, driving the current outbreaks. Climate change has also expanded mosquito habitats, accelerated breeding cycles and shortened the time the virus needs to replicate within its insect hosts, Dr Gregor Devine at the World Mosquito Program said.
Warmer temperatures may have also weakened a key weapon dispatched against dengue-carrying mosquitoes across Asia and the Pacific, including Australia.
When mosquitoes are infected with a type of bacteria called Wolbachia, their ability to transmit viruses is vastly reduced.
Scientists have bred Wolbachia-infected mosquitoes into local populations around Cairns and Townsville, for example, and almost eradicated local cases of dengue. (A case reported in Cairns in May, however, marked the first locally acquired dengue infection since 2018).
The World Mosquito Program rolled out the technique in two regions of Bali last year and expects it could prevent half a million dengue cases over 15 years. Similar programs are planned or underway in other badly hit countries including Kiribati and Timor-Leste.
The bacteria, however, are sensitive to heat and start to die off within mosquito larva when temperatures surpass 30 degrees, mosquito expert Dr Perran Stott-Ross from the University of Melbourne said.
That could contribute to more dengue cases as hot days and heat waves become more frequent.
'There's a pretty clear link between temperature and Wolbachia loss,' Stott-Ross said. 'We know when Cairns had its hottest day on record several years ago that the Wolbachia took a bit of a hit.'
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There is another proposed dengue-busting proposal on the table, but Stott-Ross is cautious about the idea while the Wolbachia approach remains effective.
UK company Oxitec and the CSIRO have applied to release genetically modified male mosquitoes in Queensland to slash populations of invasive, disease-carrying Aedes aegypti mosquitoes. Oxitec's mosquitos pass on a DNA tweak which kills female larvae.
But Stott-Ross is concerned that could undermine the Wolbachia method if there's a crash in mosquito numbers and then mosquitoes without the bacteria re-populate.
'I think it's a really useful technology. I just don't think there's a need for it in Australia at the moment,' he said.
'We've already got something which seems to be working quite well which is the Wolbachia, and it's already been released pretty much everywhere in Queensland where dengue would be a concern.'
Oxitec said in a statement that having other tools to control mosquitoes 'can only be a good thing for local authorities' given the Wolbachia approach hadn't fully eliminated dengue.
Stott-Ross is researching more heat-tolerant strains of Wolbachia and how mosquitoes could spread under climate change.
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It was during COVID-19 lockdowns that she began noticing her kindergarten son struggling with reading and literacy. When he returned to normal lessons at school he was getting top marks for effort, but his learning difficulties were discouraging him by year 3. "We had a lot of pushback about attending school and not wanting to be there, but when he was there he was wonderful and his teachers loved him," said Lizzy, a mum from rural NSW who asked not to use her surname. "Then he'd come home and he'd just completely implode. "They couldn't see the frustration and pressure because he was masking it during the day." Lizzy's son falls into what rural psychologist Tanya Forster describes as "the missing middle". These are the often compliant and quiet children whose learning difficulties may go unnoticed in under-resourced public schools, particularly in rural and regional areas. Their delays also often don't fall into the narrow diagnostic eligibility for further learning support in the education system. "The pressure on (teachers) in the classroom is really considerable and the way that the school system is designed, it's still quite a traditional model," says Ms Forster, who leads the Macquarie Health Collective in Dubbo. "Unfortunately, at the moment, it's not necessarily meeting the inclusive needs of modern-day students." The situation is likely borne out in the recent NAPLAN results, which show one-in-10 Australian students need more help to meet basic education standards. NAPLAN also confirmed an enduring regional divide with just 20 per cent of students in very remote areas exceeding expectations, compared to 70 per cent of their city peers. "The results tell us a lot about what we probably already know: that there are lots of kids at school that are struggling," Ms Forster told AAP. 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Like many rural parents, Lizzy went to the private health system to receive a formal diagnosis for her son. That has opened up valuable learning and support programs, sparking a change in her son that's like "night and day". "I am grateful for the team we were able to eventually access, but I'm more worried about the people that don't have that or it's not accessible," she said. "You have to fight really hard to get it and to be seen and heard." Lizzy is a proud mother of two rambunctious boys who love playing with their friends, kicking the footy and swimming. It was during COVID-19 lockdowns that she began noticing her kindergarten son struggling with reading and literacy. When he returned to normal lessons at school he was getting top marks for effort, but his learning difficulties were discouraging him by year 3. "We had a lot of pushback about attending school and not wanting to be there, but when he was there he was wonderful and his teachers loved him," said Lizzy, a mum from rural NSW who asked not to use her surname. "Then he'd come home and he'd just completely implode. "They couldn't see the frustration and pressure because he was masking it during the day." Lizzy's son falls into what rural psychologist Tanya Forster describes as "the missing middle". These are the often compliant and quiet children whose learning difficulties may go unnoticed in under-resourced public schools, particularly in rural and regional areas. Their delays also often don't fall into the narrow diagnostic eligibility for further learning support in the education system. "The pressure on (teachers) in the classroom is really considerable and the way that the school system is designed, it's still quite a traditional model," says Ms Forster, who leads the Macquarie Health Collective in Dubbo. 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While health and education reforms slowly work away in the background, former high school teacher Shannon Chapman says families can look at NAPLAN results as an opportunity to explore children's strengths. "NAPLAN results do not capture valuable skills and knowledge, such as a student's resilience, confidence, their creativity, their leadership," said Ms Chapman, a teaching and learning facilitator at the Dubbo clinic. "You probably do have this incredibly well-rounded child that may have below the standard NAPLAN results, but that does not capture a lot of skills and knowledge." Like many rural parents, Lizzy went to the private health system to receive a formal diagnosis for her son. That has opened up valuable learning and support programs, sparking a change in her son that's like "night and day". "I am grateful for the team we were able to eventually access, but I'm more worried about the people that don't have that or it's not accessible," she said. "You have to fight really hard to get it and to be seen and heard." Lizzy is a proud mother of two rambunctious boys who love playing with their friends, kicking the footy and swimming. It was during COVID-19 lockdowns that she began noticing her kindergarten son struggling with reading and literacy. When he returned to normal lessons at school he was getting top marks for effort, but his learning difficulties were discouraging him by year 3. "We had a lot of pushback about attending school and not wanting to be there, but when he was there he was wonderful and his teachers loved him," said Lizzy, a mum from rural NSW who asked not to use her surname. "Then he'd come home and he'd just completely implode. "They couldn't see the frustration and pressure because he was masking it during the day." Lizzy's son falls into what rural psychologist Tanya Forster describes as "the missing middle". These are the often compliant and quiet children whose learning difficulties may go unnoticed in under-resourced public schools, particularly in rural and regional areas. Their delays also often don't fall into the narrow diagnostic eligibility for further learning support in the education system. "The pressure on (teachers) in the classroom is really considerable and the way that the school system is designed, it's still quite a traditional model," says Ms Forster, who leads the Macquarie Health Collective in Dubbo. "Unfortunately, at the moment, it's not necessarily meeting the inclusive needs of modern-day students." The situation is likely borne out in the recent NAPLAN results, which show one-in-10 Australian students need more help to meet basic education standards. NAPLAN also confirmed an enduring regional divide with just 20 per cent of students in very remote areas exceeding expectations, compared to 70 per cent of their city peers. "The results tell us a lot about what we probably already know: that there are lots of kids at school that are struggling," Ms Forster told AAP. "Unfortunately, many of those kids can't access the support that they really need." Federal Education Minister Jason Clare says while there are some encouraging signs of improvement in numeracy and literacy, the results show there is more work to do. All states and territories have signed agreements with the government to fix public school funding, Mr Clare says. "This funding is tied to real and practical reforms," he said in a statement issued on Wednesday. "Phonics checks and numeracy checks to identify students who need additional support, and evidence-based teaching and catch-up tutoring to help them keep up and catch up." But regional families come up against other deeply entrenched problems, such as poor access to specialist services. There were 53 specialists per 100,000 people in remote areas in 2022, compared to 160 in the cities, with years-long public waitlists for developmental assessments with pediatricians in the regions. Disasters such as floods, fires and COVID-19 may have pushed regional kids out of school, with the non-attendance rate at 14.6 per cent compared to the pre-pandemic level of 10.6 per cent, according to a Jobs and Skills Australia report. The report recommended a suite of changes to re-engage and motivate young people, including linking them with local mentors and employers outside schools. While health and education reforms slowly work away in the background, former high school teacher Shannon Chapman says families can look at NAPLAN results as an opportunity to explore children's strengths. 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Lizzy is a proud mother of two rambunctious boys who love playing with their friends, kicking the footy and swimming. It was during COVID-19 lockdowns that she began noticing her kindergarten son struggling with reading and literacy. When he returned to normal lessons at school he was getting top marks for effort, but his learning difficulties were discouraging him by year 3. "We had a lot of pushback about attending school and not wanting to be there, but when he was there he was wonderful and his teachers loved him," said Lizzy, a mum from rural NSW who asked not to use her surname. "Then he'd come home and he'd just completely implode. "They couldn't see the frustration and pressure because he was masking it during the day." Lizzy's son falls into what rural psychologist Tanya Forster describes as "the missing middle". These are the often compliant and quiet children whose learning difficulties may go unnoticed in under-resourced public schools, particularly in rural and regional areas. Their delays also often don't fall into the narrow diagnostic eligibility for further learning support in the education system. "The pressure on (teachers) in the classroom is really considerable and the way that the school system is designed, it's still quite a traditional model," says Ms Forster, who leads the Macquarie Health Collective in Dubbo. "Unfortunately, at the moment, it's not necessarily meeting the inclusive needs of modern-day students." The situation is likely borne out in the recent NAPLAN results, which show one-in-10 Australian students need more help to meet basic education standards. NAPLAN also confirmed an enduring regional divide with just 20 per cent of students in very remote areas exceeding expectations, compared to 70 per cent of their city peers. "The results tell us a lot about what we probably already know: that there are lots of kids at school that are struggling," Ms Forster told AAP. "Unfortunately, many of those kids can't access the support that they really need." Federal Education Minister Jason Clare says while there are some encouraging signs of improvement in numeracy and literacy, the results show there is more work to do. All states and territories have signed agreements with the government to fix public school funding, Mr Clare says. "This funding is tied to real and practical reforms," he said in a statement issued on Wednesday. "Phonics checks and numeracy checks to identify students who need additional support, and evidence-based teaching and catch-up tutoring to help them keep up and catch up." But regional families come up against other deeply entrenched problems, such as poor access to specialist services. There were 53 specialists per 100,000 people in remote areas in 2022, compared to 160 in the cities, with years-long public waitlists for developmental assessments with pediatricians in the regions. Disasters such as floods, fires and COVID-19 may have pushed regional kids out of school, with the non-attendance rate at 14.6 per cent compared to the pre-pandemic level of 10.6 per cent, according to a Jobs and Skills Australia report. The report recommended a suite of changes to re-engage and motivate young people, including linking them with local mentors and employers outside schools. While health and education reforms slowly work away in the background, former high school teacher Shannon Chapman says families can look at NAPLAN results as an opportunity to explore children's strengths. "NAPLAN results do not capture valuable skills and knowledge, such as a student's resilience, confidence, their creativity, their leadership," said Ms Chapman, a teaching and learning facilitator at the Dubbo clinic. "You probably do have this incredibly well-rounded child that may have below the standard NAPLAN results, but that does not capture a lot of skills and knowledge." Like many rural parents, Lizzy went to the private health system to receive a formal diagnosis for her son. That has opened up valuable learning and support programs, sparking a change in her son that's like "night and day". "I am grateful for the team we were able to eventually access, but I'm more worried about the people that don't have that or it's not accessible," she said. "You have to fight really hard to get it and to be seen and heard."