Money for telescopes and vaccines is great, but the budget’s lack of basic science funding risks leaving Australia behind


John Shine, Garvan InstituteThe story of the past year has been the pandemic: from the first outbreaks in early 2020, the identification of the SARS-CoV-2 virus and methods to detect it, through to lockdown and quarantine measures, vaccine development, testing and finally distribution. The pandemic is not over, but the recovery has started.

At each stage, it has been scientists and researchers at the forefront of a rapid and successful national and global response to the pandemic. A nation’s capacity to respond to threats like a pandemic does not exist in a vacuum. It depends on scientists. You can’t research a solution without researchers.

In Australia, the higher education sector performs the vast bulk of research, including basic foundational research. This sector has been hit extremely hard by the pandemic, losing billions in revenue leading to the loss of research capacity — the very capacity we need to continue to respond to the pandemic and recover.

For this reason, the lack of recognition for science and scientists in the federal budget, and in particular for the foundational capacity in basic discovery science, is perplexing indeed. Such science capability underpins Australia’s resilience, not just against pandemics but also against natural disasters, economic shocks, technology disruption, the needs of an ageing population, and cyber warfare – many of the government’s stated priority areas.

There is some new funding in the budget, which is welcome. Initiatives such as support for the Square Kilometre Array radiotelescope, supporting women in STEM, climate adaptation, clean energy and government digital resources are essential additions to the Australian scientific landscape. The proposed patent box system promises to stimulate investment in Australian science in medical technologies and clean energy.




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Cuts, spending, debt: what you need to know about the budget at a glance


Much of this funding is for incremental, short-term, focused technology programs. But such mission-directed science, while worthy, does not substitute for discovery science. If the government wants these missions to be effective, it must invest in basic science too.

If universities are being asked to pivot away from over-reliance on international student income, and towards research commercialisation, there must be a basic science pool to help fuel this translation of research findings into commercial outcomes. At the risk of mixing metaphors, the pivot will be ineffective without a pipeline.

More importantly, the budget does nothing to stem the loss of university science jobs. Failure to act on university funding before the start of the 2022 academic year will mean more university job losses – and it is clear from the decisions already taken at ANU (in science and medicine), Melbourne, Macquarie and Murdoch that these cuts will come from science research.

Medical manufacturing capability

While the government has not revealed in the budget how much money it has committed to onshore mRNA vaccine manufacturing, it is welcome news that there is commitment to developing this capability that will serve the nation well for decades.

The Australian Academy of Science is pleased the government has heeded our advice to future-proof Australia by developing this capability. It will allow Australia to build resilience against future pandemics and potential biosecurity threats that require us to have the onshore capacity to mass-produce vaccines.

Australia will require significant capability development alongside a manufacturing facility. A pipeline of knowledge will need to be developed, from fundamental to applied research related to mRNA vaccines and therapeutics. Australia will need a nationwide consortium of multidisciplinary expertise, in everything from data science to materials engineering, to become a world leader in this new technology.

Building our research capability in this area will allow us to continue solving existing challenges with mRNA vaccines. That’s why the science sector must be included in the scoping and investment in this new capability.




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Did someone drop a zero? Australia’s digital economy budget spend should be 10 times bigger


When I was appointed president of the Australian Academy of Science in 2018, I spoke about how it can take decades to translate the outcomes of basic research into something of real value for the community. This remains the case. It has always been the case.

Often, our political leaders want instant answers to the big questions. Australia’s science and research community delivered when it came to COVID-19, but it must be supported and funded to continue making fundamental discoveries if it is to deliver again. The future prosperity of our nation depends on it.The Conversation

John Shine, President, Australian Academy of Science; Laboratory Head, Garvan Institute

This article is republished from The Conversation under a Creative Commons license. Read the original article.

‘I felt immense grief’: one year on from the bushfires, scientists need mental health support



Daniella Teixeira

Daniella Teixeira, Griffith University

One night in January 2020, I couldn’t sleep. I kept waking to check my phone for news from Kangaroo Island, off South Australia. Fires had already burned through several sites where I’d researched the island’s endangered glossy black cockatoos, and now it was tracking towards two critical habitat areas.

The areas were crucial to the birds’ feeding and nesting. I knew losing these places would be a disaster for the already small and isolated population. At home in Queensland, I felt helpless and anxious.

As ecology students, we learn a lot about the problems facing the most vulnerable life on Earth, but not how to cope with them. And as conservationists, we front up to ecological devastation each day, but sometimes without the professional support to help us deal with the emotional consequences.

This was exceptionally clear to me during the Black Summer fires. I was in no way equipped to deal with the possible extinction of my study species.

The author, Danielle Teixeira, with a glossy black cockatoo.
The author, Daniella Teixeira, with a glossy black cockatoo.
Mike Barth

What chance of survival?

The fires destroyed almost everything on the western half of Kangaroo Island. Most of Kangaroo Island’s glossy black cockatoo population lived in the burnt areas, and I was anxious to know their fate.

A colleague on the island emailed with some news. One critical habitat area I was concerned about, Parndarna Conservation Park, had been destroyed. The fires reached the other habitat area, Cygnet Park, but thankfully most of it was saved.

The eastern end of Kangaroo Island was untouched. This offered a sliver of hope; if the remaining habitat could be saved, the glossy black cockatoos had a chance of surviving.




Read more:
‘This situation brings me to despair’: two reef scientists share their climate grief


I started urgently raising money and dealing with media requests. Taking these pressures off the team on the island was one way I could be useful from afar.

As the fires raged, and for weeks afterwards, I poured immense energy into this mission, spurred by the belief that conservationists must be strong and resilient in the face of disaster. But I was stressed and worried. How could the island possibly recover from such a fire? What is my role as a scientist in such a crisis?

At one point, a friend and fellow conservationist checked in. He reminded me that taking time out is OK. I was thankful to hear this from another scientist; it made me feel better about periodically stepping away from my inbox and the ever-expanding fire scar maps.

Burnt landscape on Kangaroo Island
Conservationists are not always well equipped to deal with the tragedies they face.
Daniel Mariuz/AAP

Heading back to Kangaroo Island

I returned to Kangaroo Island in late February. Until then, I had not grasped the gravity of the island’s condition. In many places, no birdsong remained. The wind no longer rustled through the needles of the she-oak trees.

The most difficult time was returning to a nesting site of the glossy black cockatoo which I knew well. I found nest trees burnt to the ground. Their plastic artificial nest hollows, built to encourage breeding, were a melted mess.

A nest box that melted in the fires.
A nest box that melted in the fires.
Daniella Teixeira

Remarkably, amid the charred remains I found an active nest. The female watched me intently; she didn’t flee or make a sound. I watched her, amazed, and hoped there was enough food to support the four-month nesting period.

I felt immense grief standing at the nesting site. I grieved not only for the glossy black cockatoos and other damaged species, but also the loss that would come in the future under climate change.

At that time, we didn’t know how many cockatoos remained. But thankfully, in the following months it became clear most cockatoos escaped the inferno. In 2016, 373 birds were counted on the island, and those numbers increased before the bushfires, thanks to conservation efforts. In spring this year, field staff and volunteers counted at least 454 birds on the island.

It was a wonderful but surprising result, which might not have been the case if the fires took place during the breeding season when the cockatoos would be reluctant to abandon their nests. The concern now is whether the remaining habitat can maintain the population over time.

Coping with ecological grief

In the year since the fires, my acute grief at the plight of nature has lifted. But an underlying sadness, and concern for the future, remains. From my discussions with other conservationists, I know I’m not the only one to feel this way.

glossy black cockatoos on a branch
The fires destroyed critical habitat for glossy black cockatoos.
Dean Ingwersen

Black Summer was a wake-up call for me. As an early career scientist, I will inevitably face more crises, and dealing with them effectively means keeping my mental health in check. I believe conservationists should be offered more mental health education and support. I don’t have all the solutions, but offer a few ideas here.

Universities and workplaces offer limited counselling services, but they may not be enough when grief is an inherent part of your job. I believe there is scope for more ongoing support for conservationists, which should be integrated into regular workplace practices and training.

Regular discussions with supervisors and colleagues can also help. I find such open and honest discussions very beneficial. There is a shared sense of grief, as well as purpose.

Importantly, we should all work to break down the culture that says action is the only response to environmental disasters. Some conservation scientists feel they are risking their reputation or career progression by taking time out. But they must be given space to process emotions such as grief and anger, without guilt or shame.




Read more:
Hope and mourning in the Anthropocene: Understanding ecological grief


And scientists are easily overworked and overwhelmed in workplaces, such as universities, when productivity and output takes priority over the welfare of staff.

Since Black Summer, I have made a concerted effort to spend more time in nature. I listen to birdsong and the wind, and marvel at the complexity of life. I do this not to remember what I’m fighting to save, but simply because it brings me joy.

The author with a nestling cockatoo
The author, with a nestling glossy black cockatoo, says conservation scientists need more mental health support.
Mike Barth



Read more:
I’m searching firegrounds for surviving Kangaroo Island Micro-trapdoor spiders. 6 months on, I’m yet to find any


The Conversation


Daniella Teixeira, Researcher, Griffith University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

COVID has left Australia’s biomedical research sector gasping for air



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Gina Ravenscroft, University of Western Australia and Elizabeth E. Gardiner, Australian National University

While COVID-19 has highlighted the value of medical research, it has unfortunately also seriously disrupted it. Lack of funding is driving members of Australia’s once-vibrant virology research community out of the sector, and forcing early-career researchers to turn to fundraising or philanthropy amid intense competition for federal government grants.

This disruption disproportionately affects early- and mid-career researchers (EMCRs) and laboratory-based scientists, especially women (who typically also shoulder the bulk of caring and home-schooling responsibilities).

In Australia, national funding of medical research happens mainly via the National Health and Medical Research Council. Over the past ten years there has been near stagnant investment, leading to a decline in funding in real terms. In 2019, the average success rates across the main NHMRC Ideas and Investigator Grant schemes was just 11.9%.

NHMRC salary support 2003-17.
Australian Society for Medical Research

Stagnant investment, plummeting morale

Morale in the sector has plummeted and we have lost talented researchers to the United States, Europe and Asia, prompting leading universities to warn of a brain drain.

Eureka Prize-winning cancer biologist Darren Saunders and clinical geneticist Luke Hesson have both decided to leave academia altogether. The full-time medical research workforce declined by 20% between 2012 and 2017.

How did we get here?

In 2018, following extensive consultation, the NHMRC funding scheme was overhauled with major objectives to encourage innovation across the sector, reduce the burden on applicants and reviewers, and improve success rates of EMCRs.

In the first two years of this new scheme, the success rates for EMCR Investigator Grants (EL1-2) was just 11.7% (250 of 2,133 applications).




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Schemes specifically designed to develop emerging talent are also receiving dwindling support. In 2017 the NHMRC awarded 181 “early career and career development fellowships”; by 2020 that figure had fallen to 122.

The 2019 success rate for NHMRC Ideas Grants scheme (which sustains fundamental research, including on vaccines) in Australia was only 11.1%, despite almost three times as many applications being ranked as “fundable” by expert peer reviewers.

Onus on universities

With such low success rates, it has fallen to universities to prop up their research departments and laboratories.

If these trends continue, Australia stands to lose an entire generation of medical researchers. This prompted the Association of Australian Medical Research Institutes in August to call for the government to fund 300 new fellowships for EMCRs through the federal budget.

AAMRI president Jonathan Carapetis said the lack of grants and fellowships has forced EMCRs to rely on philanthropy or fundraising to support their research, adding:

…due to the economic downturn resulting from COVID-19 the holes in this imperfect system have turned into chasms. These are the researchers who have finished their PhDs, are testing hypotheses on what causes different diseases, developing new treatments and vaccines… Our EMCRs are tomorrow’s scientific leaders, and without action to support them we will lose them.

This call, however, was not heeded in the recent federal budget, which contained no new money for biomedical research.

Treasurer Josh Frydenberg delivers the federal budget in 2020.
Researchers called for more funding to be allocated in the 2020 federal budget.
AAP/Mick Tsikas

Funding the future?

The federal government’s Medical Research Future Fund (MRFF) was established in 2015 and began dispensing funds in 2017. As the MRFF website explains, the government uses some of the net interest from the A$20 billion fund to pay for medical research. This year it will disperse around A$650 million.

The MRFF represented a major and very welcome funding boost to Australia’s health and medical research sector.

But the combined NHMRC and MRFF budget still only represents 0.53% of the total health expenditure in the federal budget.

This is a fraction of the 3% of health expenditure that would bring Australia’s health and medical research spending into line with other OECD countries. An increase to 3% of health expenditure would generate A$58 billion in health and economic benefits, according to a Deloitte Access Economics report commissioned by the Australian Society for Medical Research.

The MRFF has recently come under scrutiny as it emerged during Senate estimates that up to 65% of funds were distributed without peer review.

What’s more, researchers who narrowly missed out on the incredibly competitive NHMRC Investigator funding cannot apply to the MRFF unless they are a clinical researcher, meaning fundamental biomedical researchers engaged in translational research, but without a medical degree, miss out.

Without investment, advances are not possible

In the post-COVID era, a robust health and medical research sector is essential to lead the discoveries and innovations that will fuel our long-term economic recovery.

The National Association of Research Fellows (a peak body representing biomedical researchers; the authors of this article are on the NARF Executive) is calling for:

  • at least a doubling of federal funds into the Australian health and medical research sector

  • transparent, 360-degree oversight of the targeted calls for expression of interest and allocation of funds from the MRFF with involvement of NHMRC peer review.

  • strictly equal support for clinical and fundamental biomedical research.

This investment would position Australia as an international leader in health and medical research. Without better support for the sector, advances in patient treatment and care are simply not possible.




Read more:
More than 10,000 job losses, billions in lost revenue: coronavirus will hit Australia’s research capacity harder than the GFC



This article originally stated Darren Saunders and Luke Hesson have left science altogether. They have in fact decided to continue their scientific research careers outside academia. This has been corrected.The Conversation

Gina Ravenscroft, Research Fellow, University of Western Australia and Elizabeth E. Gardiner, Professor, John Curtin School of Medical Research, Australian National University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

‘Science is political’: Scientific American has endorsed Joe Biden over Trump for president. Australia should take note


Rod Lamberts, Australian National University and Will J Grant, Australian National University

In an unprecedented step, prestigious science publication Scientific American has launched a scathing attack on President Donald Trump and endorsed his opponent, Democratic candidate Joe Biden, in the upcoming US election. It’s the first presidential endorsement in the magazine’s 175-year history.

To this, we say: about bloody time! As we’ve noted before:

Science is political. The science we do is inherently shaped by the funding landscape of government and the problems and issues of society. This means that to have any influence on how science is organised and funded in Australia (or the US or any other country), we as scientists and science communicators must act in ways that matter in the arena of politics.

It’s now more critical than ever, as the editors at Scientific American clearly lay out, that the people who are actually knowledgeable about the world’s crises speak out and represent that knowledge (or “collective wisdom”) in public, out loud and with their names attached.

Under Trump, science isn’t just ignored. It is lampooned and directly attacked, especially on issues such as climate change and the coronavirus pandemic. This actively threatens the lives (and livelihoods) of not just millions of Americans, but countless others around the world.

Throughout the coronavirus pandemic, Trump has shown blatant disregard for scientific recommendations and has actively peddled misinformation, such as when he suggested UV light could be used to treat patients.

Respect the messenger

In the past, it has been suggested scientists who comment beyond their specific, narrow sphere of reach by delving into politics are tainting their credibility – perhaps even behaving unethically.

But as we now stare down the barrel of an ongoing global pandemic (and relentless climate change continuing in the background), to remain quiet on the politics is not just unethical, but actively dangerous.




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The argument that science is somehow tainted by offering policy or political opinions is an idea whose time has long gone.

Who is better placed to add valuable weight to public debates about the key problems we’re facing, than those who represent the voice of evidence, reason and debate (such as Scientific American)?

As one of us has previously argued, in Australia we should encourage scientists and science communicators to:

Become more active in challenging the status quo, or to help support those who wish to by engendering a professional environment that encourages risk-taking and speaking out in public about critical social issues.

It’s the principle, not the votes

Scientific American is not entirely alone in pushing for the involvement of scientists in public policy and action. Other reputable publications have taken similar stances in the past.

In 2017, Nature argued “debates over climate change and genome editing present the need for researchers to venture beyond their comfort zones to engage with citizens”. Earlier in 2012, Nature explicitly endorsed Democratic presidential candidate Barack Obama over Republican challenger Mitt Romney.

In Australia, our news publications have a tradition of endorsing political parties at federal elections, but our science publishing landscape has typically remained agnostic.

Peak bodies such as the Australian Academy of Science, and Science and Technology Australia, have commented on the political decision-making process, but have rarely been so forthright as the Scientific American’s recent editorial.

Not only should scientists take a stand, they should also be encouraged and professionally acknowledged for it.

Scientists as citizens have the right to advocate for political positions and figures that support the best possible evidence. In fact, when it comes to matters as serious as COVID-19 and climate change, we believe they have an obligation to.

Scientific American’s intervention may not impact votes, but that’s not the point. The point is it’s crucial for people who believe in knowledge and expertise to stand up and call out misinformation for what it is. To do less is to accept the current state.

Editor in Chief of Scientific American Laura Helmuth speaking to an audience.
Laura Helmuth is the ninth and current Editor in Chief of the Scientific American magazine. She was appointed to the role in April this year.
@webmz_/Twitter

Australia’s work in progress

Nonetheless, many scientists in Australia rely on government funding. This can make it difficult to speak up when legitimate evidence clashes with the orientation of the government of the day. Confronted with the possible loss of funding, what can a scientist do?

There’s no perfect solution. Many may feel the risks of speaking are too great. For many, they will be.

In such cases, scientists could perhaps look for intermediaries to make their case on their behalf – whether these are trustworthy journalists, or publicly visible academics like us.




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Research reveals shocking detail on how Australia’s environmental scientists are being silenced


In the long term, defending those who have gone out of their way to act responsibly will help. The more this becomes normal, the more likely it will become the norm. But it’s also an unfortunate reality that change rarely occurs without discomfort.

When it comes to truly world-shaking crises like COVID-19 and climate change, scientists are political citizens like everyone else. And just like everyone else, they need to weigh the price of action against the price of inaction.

Speaking out can’t always be someone else’s job.The Conversation

Rod Lamberts, Deputy Director, Australian National Centre for Public Awareness of Science, Australian National University and Will J Grant, Senior Lecturer, Australian National Centre for the Public Awareness of Science, Australian National University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The Thousand Talents Plan is part of China’s long quest to become the global scientific leader


James Jin Kang, Edith Cowan University

The Thousand Talents Plan is a Chinese government program to attract scientists and engineers from overseas. Since the plan began in 2008, it has recruited thousands of researchers from countries including the United States, the United Kingdom, Germany, Singapore, Canada, Japan, France and Australia.

While many countries try to lure top international research talent, the US, Canada and others have raised concerns that the Thousand Talents Plan may facilitate espionage and theft of intellectual property.

Why are we hearing about it now?

China has long been suspected of engaging in hacking and intellectual property theft. In the early 2000s, Chinese hackers were involved in the downfall of the Canadian telecommunications corporation Nortel, which some have linked to the rise of Huawei.

These efforts have attracted greater scrutiny as Western powers grow concerned about China’s increasing global influence and foreign policy projects such as the Belt and Road Initiative.

Last year, a US Senate committee declared the plan a threat to American interests. Earlier this year, Harvard nanotechnology expert Charles Lieber was arrested for lying about his links to the program.

In Australia, foreign policy think tank the Australian Strategic Policy Institute recently published a detailed report on Australian involvement in the plan. After media coverage of the plan, the parliamentary joint committee on intelligence and security is set to launch an inquiry into foreign interference in universities.




Read more:
Why China is a leader in intellectual property (and what the US has to do with it)


What is the Thousand Talents Plan?

The Chinese Communist Party (CCP) developed the Thousand Talents Plan to lure top scientific talent, with the goal of making China the world’s leader in science and technology by 2050. The CCP uses the plan to obtain technologies and expertise, and arguably, Intellectual Properties from overseas by illegal or non-transparent means to build their power by leveraging those technologies with minimal costs.

According to a US Senate committee report, the Thousand Talents Plan is one of more than 200 CCP talent recruitment programs. These programs drew in almost 60,000 professionals between 2008 and 2016.

China’s technology development and intellectual property portfolio has skyrocketed since the launch of the plan in 2008. Last year China overtook the US for the first time in filing the most international patents.

What are the issues?

The plan offers scientists funding and support to commercialise their research, and in return the Chinese government gains access to their technologies.

In 2019, a US Senate committee declared the plan a threat to American interests. It claimed one participating researcher stole information about US military jet engines, and more broadly that China uses American research and expertise for its own economic and military gain.




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China’s quest for techno-military supremacy


Dozens of Australian and US employees of universities and government are believed to have participated in the plan without having declared their involvement. In May, ASIO issued all Australian universities a warning about Chinese government recruitment activities.

On top of intellectual property issues, there are serious human rights concerns. Technologies transferred to China under the program have been used in the oppression of Uyghurs in Xinjiang and in society-wide facial recognition and other forms of surveillance.

A global network

The Chinese government has established more than 600 recruitment stations globally. This includes 146 in the US, 57 each in Germany and Australia, and more than 40 each in the UK, Canada, Japan and France.

Recruitment agencies contracted by the CCP are paid A$30,000 annually plus incentives for each successful recruitment.

They deal with individual researchers rather than institutions as it is easier to monitor them. Participants do not have to leave their current jobs to be involved in the plan.




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China’s quantum satellite could make data breaches a thing of the past


This can raise conflicts of interest. In the US alone, 54 scientists have lost their jobs for failing to disclose this external funding, and more than 20 have been charged on espionage and fraud allegations.

In Australia, our education sector relies significantly on the export of education to Chinese students. Chinese nationals may be employed in various sectors including research institutions.

These nationals are targets for Thousand Talents Plan recruitment agents. Our government may not know what’s going on unless participants disclose information about their external employment or grants funded by the plan.

The case of Koala AI

Heng Tao Shen was recruited by the Thousand Talents Plan in 2014 while a professor at the University of Queensland. He became head of the School of Computer Science and Engineering at the University of Electronic Science and Technology of China and founded a company called Koala AI.

Members of Koala AI’s research team reportedly now include Thousand Talents Plan scholars at the University of NSW, University of Melbourne and the National University of Singapore. The plan allows participants to stay at their overseas base as long as they work in China for a few months of the year.

The company’s surveillance technology was used by authorities in Xinjiang, raising human rights issues. Shen, who relocated to China in 2017 but was as an honorary professor at the University of Queensland until September 2019, reportedly failed to disclose this information to his Australian university, going against university policy.

What should be done?

Most participants in the plan are not illegally engaged and have not breached the rules of their governments or institutions. With greater transparency and stricter adherence to the rules of foreign states and institutions, the plan could benefit both China and other nations.

Governments, universities and research institutions, and security agencies all have a role to play here.

The government can build partnership with other parties to monitor the CCP’s talent recruitment activities and increase transparency on funding in universities. Investigations of illegal behaviour related to the talent recruitment activity can be conducted by security agencies. Research institutes can tighten the integrity of grant recipients by disclosing any participation in the talent recruitment plans.




Read more:
China and AI: what the world can learn and what it should be wary of


More resources should be invested towards compliance and enforcement in foreign funding processes, so that researchers understand involvement in the Thousand Talents Plan may carry national security risks.

Following US government scrutiny in 2018, Chinese government websites deleted online references to the plan and some Chinese universities stopped promoting it. The plan’s website also removed the names of participating scientists.

This shows a joint effort can influence the CCP and their recruitment stations to be more cautious in approaching candidates, and reduce the impact of this plan on local and domestic affairs.

Correction: This article has been updated to reflect the fact that Heng Tao Shen ceased to be an honorary professor at University of Queensland in September 2019.The Conversation

James Jin Kang, Lecturer, Computing and Security, Edith Cowan University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Science publishing has opened up during the coronavirus pandemic. It won’t be easy to keep it that way



Shutterstock

Virginia Barbour, Queensland University of Technology

Scientific publishing is not known for moving rapidly. In normal times, publishing new research can take months, if not years. Researchers prepare a first version of a paper on new findings and submit it to a journal, where it is often rejected, before being resubmitted to another journal, peer-reviewed, revised and, eventually, hopefully published.

All scientists are familiar with the process, but few love it or the time it takes. And even after all this effort – for which neither the authors, the peer reviewers, nor most journal editors, are paid – most research papers end up locked away behind expensive journal paywalls. They can only be read by those with access to funds or to institutions that can afford subscriptions.

What we can learn from SARS

The business-as-usual publishing process is poorly equipped to handle a fast-moving emergency. In the 2003 SARS outbreaks in Hong Kong and Toronto, for example, only 22% of the epidemiological studies on SARS were even submitted to journals during the outbreak. Worse, only 8% were accepted by journals and 7% published before the crisis was over.

Fortunately, SARS was contained in a few months, but perhaps it could have been contained even quicker with better sharing of research.

Fast-forward to the COVID-19 pandemic, and the situation could not be more different. A highly infectious virus spreading across the globe has made rapid sharing of research vital. In many ways, the publishing rulebook has been thrown out the window.




Read more:
The hunt for a coronavirus cure is showing how science can change for the better


Preprints and journals

In this medical emergency, the first versions of papers (preprints) are being submitted onto preprint servers such as medRxiv and bioRxiv and made openly available within a day or two of submission. These preprints (now almost 7,000 papers on just these two sites) are being downloaded millions of times throughout the world.

However, exposing scientific content to the public before it has been peer-reviewed by experts increases the risk it will be misunderstood. Researchers need to engage with the public to improve understanding of how scientific knowledge evolves and to provide ways to question scientific information constructively.




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Researchers use ‘pre-prints’ to share coronavirus results quickly. But that can backfire


Traditional journals have also changed their practices. Many have made research relating to the pandemic immediately available, although some have specified the content will be locked back up once the pandemic is over. For example, a website of freely available COVID-19 research set up by major publisher Elsevier states:

These permissions are granted for free by Elsevier for as long as the Elsevier COVID-19 resource centre remains active.

Publication at journals has also sped up, though it cannot compare with the phenomenal speed of preprint servers. Interestingly, it seems posting a preprint speeds up the peer-review process when the paper is ultimately submitted to a journal.

Open data

What else has changed in the pandemic? What has become clear is the power of aggregation of research. A notable initiative is the COVID-19 Open Research Dataset (CORD-19), a huge, freely available public dataset of research (now more than 130,000 articles) whose development was led by the US White House Office of Science and Technology Policy.

Researchers can not only read this research but also reuse it, which is essential to make the most of the research. The reuse is made possible by two specific technologies: permanent unique identifiers to keep track of research papers, and machine-readable conditions (licences) on the research papers, which specify how that research can be used and reused.

These are Creative Commons licences like those that cover projects such as Wikipedia and The Conversation, and they are vital for maximising reuse. Often the reading and reuse is done now at least in a first scan by machines, and research that is not marked as being available for use and reuse may not even be seen, let alone used.

What has also become important is the need to provide access to data behind the research papers. In a fast-moving field of research not every paper receives detailed scrutiny (especially of underlying data) before publication – but making the data available ensures claims can be validated.

If the data can’t be validated, the research should be treated with extreme caution – as happened to a swiftly retracted paper about the effects of hydroxychloroquine published by The Lancet in May.




Read more:
Not just available, but also useful: we must keep pushing to improve open access to research


Overnight changes, decades in the making

While opening up research literature during the pandemic may seem to have happened virtually overnight, these changes have been decades in the making. There were systems and processes in place developed over many years that could be activated when the need arose.

The international licences were developed by the Creative Commons project, which began in 2001. Advocates have been challenging the dominance of commercial journal subscription models since the early 2000s, and open access journals and other publishing routes have been growing globally since then.

Even preprints are not new. Although more recently platforms for preprints have been growing across many disciplines, their origin is in physics back in 1991.

Lessons from the pandemic

So where does publishing go after the pandemic? As in many areas of our lives, there are some positives to take forward from what became a necessity in the pandemic.

The problem with publishing during the 2003 SARS emergency wasn’t the fault of the journals – the system was not in place then for mass, rapid open publishing. As an editor at The Lancet at the time, I vividly remember we simply could not publish or even meaningfully process every paper we received.

But now, almost 20 years later, the tools are in place and this pandemic has made a compelling case for open publishing. Though there are initiatives ongoing across the globe, there is still a lack of coordinated, long term, high-level commitment and investment, especially by governments, to support key open policies and infrastructure.

We are not out of this pandemic yet, and we know that there are even bigger challenges in the form of climate change around the corner. Making it the default that research is open so it can be built on is a crucial step to ensure we can address these problems collaboratively.The Conversation

Virginia Barbour, Director, Australasian Open Access Strategy Group, Queensland University of Technology

This article is republished from The Conversation under a Creative Commons license. Read the original article.

My new life as a coronavirus tester – a scientist’s story



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Tobias Wauer, University of Cambridge

It was March 2020, and my plans to start a new cancer research project in Boston were called off for the same reason everything else was grinding to a halt: coronavirus. Facing indeterminate months confined to my sofa, I signed up to a call for scientist volunteers circulated by the University of Cambridge.

The requirements weren’t very specific, and after almost losing hope that I would ever hear back, I received a phone call inviting me to assist in the ramp-up of the UK’s testing capacity.

Three days later, at the end of March, I arrived with a handful of other volunteers at an industrial estate near the town of Milton Keynes, outside London.

Building a megalab

On the outside, the testing centre resembled a warehouse more than a lab, but an impressive management team including many of the UK’s leading scientists had already been assembled. The team leader, who had arrived the week before, introduced us to the task at hand: create a facility that would be the backbone of the UK’s testing strategy.

At this point, it seemed like a far-fetched idea to me. The “lighthouse” lab to process the bulk of the coronavirus test samples hadn’t even been constructed and unboxed equipment was piling up. There was no indication this would soon become the largest coronavirus testing site in the country.

From the start, one of the biggest challenges was in gathering equipment. Seemingly difficult tasks turned out to be straightforward, whilst trivial ones became surprisingly intractable.

Complicated, expensive machines donated from institutes all around the UK were installed within a couple of days; manufacturers massively ramped up production of sophisticated test reagents and we were able to build up our stocks.

But something as seemingly trivial as a shortage of pipettes threatened to stall the whole operation, as thousands of tests waited to be processed. In an emergency like this it was handy to have a direct line to institute heads around the UK who were eager to help. One more call and an army truck with dozens of pipettes and other equipment arrived within three hours.

In the end, the collaboration between permanent staff, scientists, external institutes, private companies and the armed forces made it possible to set up a working lab within a matter of days.

A motley crew of scientists

The volunteering scientists in my cohort were a diverse crew: most of us had PhDs and had spent years in scientific research, but we initially shared a common concern that few of us had experience dealing specifically with coronaviruses. My own expertise investigating the molecular causes of Parkinson’s disease and cancer seemed a far cry from viral diagnostics.

As it turned out, there was little cause for concern – the coronavirus test is actually quite straightforward. At its heart lies the Polymerase Chain Reaction (PCR) method, arguably one of the most widely used techniques in molecular biology labwork and a procedure undergraduates students learn as part of basic training.

In a PCR test, the genetic material of the virus is mixed with enzymes that can build and replicate viral DNA. Short DNA sequences called “primers” are then added. In a positive test the primers “recognise” viral genes and initialise their replication. Hence, when we see more DNA being produced, we know that it must belong to the Sars-CoV-2 virus, and the PCR test returns a positive result.




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All of the newly arriving scientists had used the PCR technique in their own research many times before and it quickly became apparent that coordination and good management was a greater challenge than technical knowledge of coronavirus biology if this unprecedented undertaking was to succeed.

Every week, dozens of new volunteers were recruited from top universities and institutes all over the UK. Some of us stayed in pre-arranged hotels nearby, others commuted from our home towns. Each cohort received a week of intensive training and by the following week were themselves training the next intake of volunteers under the supervision of a shift leader.

Within two weeks, the site had changed beyond recognition. New labs had been fitted, robots had been installed, dozens of new hires were being trained every week and my initial worries started to dissipate. I began to think, “We can actually do this!”

Scaling up

With essential equipment installed, it was time to scale up. To an experienced scientist, performing a single PCR test is straightforward, but running tens of thousands of tests a day is a different story.

Time and again simple considerations turned out to be the most vital: “What’s the best way to extract the sample from its packaging?”, “Should the barcode be scanned before or after the sample is taken out?”, “At what moment should the pipette be mounted with a pipette tip?”

Feeding a robot with samples turned into a process with all the efficiency of a Formula 1 pit stop. One operator takes out the old samples, a second replenishes test reagents and a third loads another 94 samples – 10 seconds, done. Soon we had an integrated workflow of dozens of steps running in perfect orchestration.

While speed is important, precision is vital. A false negative result could see a nurse with COVID-19 going back into a care home to infect dozens of vulnerable patients; a false positive might see a healthy doctor sent home from ICU to self-isolate for a fortnight, or a key worker sending half their company into quarantine for no reason.

To prevent this, a sample must be tracked electronically and on paper at every stage. Every intervention by a scientist must be supervised by another to help prevent human error.

As our team grew, strict training routines needed to be established with clear rules. How do you write a “1”, an “I” and a “7”? Is this a “5” or an “S”? How do you distinguish an “O” from a “0”? Lecturing experienced professionals about how to write numbers and letters made me feel absurdly pedantic, but it quickly became clear that common rules have to be followed religiously to minimise all possible sources of error.

A month in, we had enough volunteers to work 24/7. I lost track of the time of day and the days of the week. The daily routine was governed by the mantra of Tedros Ghebreyesus, the head of the World Health Organization: “Test. Test. Test.”

Back in the first week, the manual sample handling process allowed a us to process a couple of hundred samples. With more volunteers coming in, this increased to a couple of thousand, and when we roped in robots to help, it quickly reached tens of thousands of processed tests per day.

Just like the spread of the virus we were competing against, our capacity was growing exponentially. What would normally have taken months or years to establish, now took days or weeks.

The eye of a political storm

The progress on testing has received a lot of bad press and many of us at the test centre felt we were being made personally responsible for hitting government targets. This added pressure caused frustration, especially when everyone gave their very best to make this undertaking a success.

Political finger-pointing over testing numbers caused frustration among volunteers.
Number 10, CC BY-NC-ND

We need to put things in perspective. From a starting point of zero, within weeks, the joint efforts of hundreds of volunteers allowed the lab to process more than 30,000 tests per day – or one test every three seconds.

This put us in a position where the processing of COVID-19 tests was no longer the limiting factor of the testing initiative and soon there has been hardly a day where our testing capacities were being used to the full. The debate now should be less about the available testing capacity and more on how to make best use of what is available.

The privilege of a lifetime

Most of the original crop of recruits have finished their time at the testing centre and have gone back to their labs to continue their previous research. What remains as one of the most positive takeaways from my perspective is that, despite the challenges and the country’s seeming divisions, it is still possible for us to rally around a common goal. Volunteers joined the testing initiative from all corners of the country, many of them from Europe and beyond living and working in the UK, eager to help out in the common effort to fend off the invisible enemy.

The work of these people has saved lives. It was my great privilege to have been part of this collaboration.The Conversation

Tobias Wauer, Sir Henry Wellcome Fellow at the Medical Research Council. Emmanuel College, University of Cambridge

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Coronavirus and university reforms put at risk Australia’s research gains of the last 15 years



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Andrew Norton, Australian National University

Education minister Dan Tehan will be meeting with university vice-chancellors to devise a new way of funding university research. They will have plenty to talk about.

Australia’s universities have been remarkably successful in building their research output. But there are cracks in the funding foundations of that success, which are being exposed by the revenue shock of COVID-19 and the minister’s reforms announced this month, which would pay for new student places with money currently spent on research.

I estimate the gap in funding that needs to be filled to maintain our current research output at around $4.7 billion.

The funding foundations crumble

The timing of Dan Tehan’s higher education reform package could not have been worse for the university research sector.

The vulnerability created by universities’ reliance on international students has been brutally revealed this year. Travel bans prevent international students arriving in Australia and the COVID-19 recession undermines their capacity to pay tuition fees.




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Profits from domestic and international students are the only way universities can finance research on the current scale, with more than A$12 billion spent in 2018.

Based on a Deloitte Access Economics analysis of teaching costs, universities make a surplus of about A$1.3 billion on domestic students. Universities use much of this surplus to fund research.

Tehan’s reform package seeks to align the total teaching funding rates for each Commonwealth supported student – the combined tuition subsidy and student contribution – with the teaching and scholarship costs identified in the Deloitte analysis.

On 2018 enrolment numbers, revenue losses for universities for Commonwealth supported students would total around $750 million with this realignment. With only teaching costs funded, universities will have little or no surplus from their teaching to spend on research.




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International student profits are larger than domestic – at around $4 billion. Much of this money is spent on research too, and much of this is at risk. The recession will also reduce how much industry partners and philanthropists can contribute to university research.

Australia’s Chief Scientist estimates 7,700 research jobs are at risk from COVID-19 factors alone. Unless the Commonwealth intervenes with a new research funding policy, its recent announcements will trigger further significant research job losses.

Combined teaching and research academic jobs will decline

Although less research employment will be available, the additional domestic students financed by redirecting research funding will generate teaching work.

More students is a good thing in itself, as the COVID-19 recession will generate more demand for higher education.

But this reallocation between research and teaching will exacerbate a major structural problem in the academic labour market. Although most academics want teaching and research, or research-only roles, over the last 30 years Commonwealth teaching and research funding has separated.

After the latest Tehan reforms, funding for the two activities will be based on entirely different criteria and put on very different growth trajectories.

An academic employment model that assumes the same people teach and research was kept alive by funding surpluses on domestic, and especially international, students. With both these surpluses being hit hard, the funding logic is that a trend towards more specialised academic staff will have to accelerate.

We can expect academic morale to fall and industrial action to rise as university workforces resist this change.




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The funding squeeze will also undermine the current system of Commonwealth research funding. This funding is allocated in two main ways. In part, it comes from competitive project grant funding, largely from the National Health and Medical Research Council and the Australian Research Council.

Academic prestige is attached to winning these grants, but the money allocated does not cover the project’s costs. Typically, universities pay the salaries of the lead researchers and general costs, such as laboratories and libraries.

Universities are partly compensated for those expenses through research block grants, which are awarded based on previous academic performance, including in winning competitive grants. But because block grants do not cover all competitive project grant costs, the system has relied on discretionary revenue, much of it from students, to work. It will need a major rethink if teaching becomes much less profitable.

The stakes are high

University spending on research (which was over $12 billion in 2018), has nearly tripled since 2000 in real terms.

Direct government spending on research increased this century, but not by nearly enough to finance this huge expansion in outlays. In 2018, the Commonwealth government’s main research funding programs contributed A$3.7 billion.

An additional $600 million came from other Commonwealth sources such as government department contracts for specific pieces of research.

In addition to this Commonwealth money, universities received another $1.9 billion in earmarked research funding from state, territory and other (national) governments, donations, and industry.

These research-specific sources still leave billions of dollars in research spending without a clear source of finance. Universities have investment earnings, profits on commercial operations and other revenue sources they can invest in research.

But these cannot possibly cover the estimated $4.7 billion gap between research revenue and spending.

With lower profits on teaching, this gap cannot be filled. Research spending will have to be reduced by billions of dollars.

We are at a turning point in Australian higher education. The research gains of the last fifteen years are at risk of being reversed. The minister’s meeting with vice-chancellors has very high stakes.The Conversation

Andrew Norton, Professor in the Practice of Higher Education Policy, Australian National University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Antarctic endeavours, primary health-care research and dark matter exploration – the coronavirus casualties you haven’t heard of



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Lauren Ball, Griffith University

The year 2020 came with big expectations for researchers, myself included. Last year I was successful in the first round of the National Health and Medical Research Council Investigator Grants scheme. Six years since completing my PhD, I managed to launch my Healthy Primary Care research team.

We investigate how principles of wellness such as healthy eating and exercise are incorporated into health care, particularly in general practice. I spent the summer planning how to support my team for the next five years, focusing on impact and research translation into real-world settings.

Big things were in the works. It was an exciting time. But as it turns out, wellness in health care isn’t a priority during the COVID-19 crisis.

As the pandemic lingers, big players (especially pharmaceutical companies) around the world have understandably dropped everything, joining forces to give the virus their undivided attention.

A sudden loss

Many of my team’s projects relied on doctors, nurses and other health professionals to collect or provide data. With the strain placed on health care by the pandemic, continuing was no longer viable. Grant applications, domestic and international travel, conferences and meetings have all been cancelled or postponed indefinitely.

As a supervisor, the hardest part was withdrawing research students and interns I’d lined up to start projects in clinics. This pandemic has challenged the relevance, impact and productivity of our work.




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This shock comes shortly after a summer of devastating bushfires which hindered research progress by forcing experts out of fire-affected regions, destroying expanses of equipment and reportedly setting some studies “back months or years”.

This photo was taken in Junee, New South Wales, in January. According to reports, the total tangible cost estimate of the summer bushfires was close to A$100 billion.
Shutterstock

Stoppages across the field

Social distancing, travel bans and quarantine restrictions mean scientific fieldwork across the world has almost completely stopped.

The Australian Antarctic Program, led by the federal Department of Agriculture, Water and the Environment has been reduced to essential staff only to keep the Antarctic continent COVID-19-free. Instead of sending 500 expeditioners in the next summer season, the Australian Antarctic Division will only send about 150.

Social distancing measures are also preventing climate scientists from being able to visit their laboratories. If the pandemic continues, this could hamper important weather and climate surveillance practices. In some cases, labs have been reduced to one essential worker whose sole job is to keep laboratory animals alive for when research resumes.

Delays have also impacted one of the world’s largest efforts to investigate the nature of dark matter. The XENON experiment based in Italy is worth more than US$30 million, according to the New York Times. It faced a multitude of roadblocks when the country was forced into lockdown earlier this year.

Young research stars missing opportunities

For young researchers, social distancing and event cancellations are especially damaging to professional development. Scientific conferences and meetings foster collaboration and can also lead to employment opportunities.

Although funding cancellations and grant scheme delays mostly impact established researchers, other schemes supporting early career and postdoctoral researchers have also been postponed, such as the Rebecca L Cooper Medical Research scheme and the Griffith University Postdoctoral Fellowship scheme.




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This crisis has left the next generation of researchers unsupported, and have negative flow-on effects for all research areas. In health and disease prevention, research efforts apart from vaccinations are still vital, as the onset of COVID-19 hasn’t stopped the rise of chronic disease.

There are positives

Australia boasts a robust and passionate research workforce, which means we can divert resources to a united cause such as the coronavirus crisis. As the race for a vaccine continues, the value of research has never been more apparent to the non-scientific community. This may help weaken anti-science messages.

The pandemic is also providing opportunity for future university leaders to understand university management, funding and governance decisions. Never before has information been so accessible on where funding comes from.

Online conferencing and collaboration related to research has also made participation more accessible and affordable. This increases inclusively by removing barriers for people who may not be able to attend in-person gatherings, such as people living with a physical disability, full-time carers and people experiencing financial hardship. Less domestic and international travel is also helping reduce carbon footprints.

Charging forward

The health system isn’t working normally, which means my team’s research isn’t working normally. Nonetheless, we’re pivoting well in this uncertain time. We’re helping plan the first online conference for Australian primary care to improve access to relevant research across the country.

New grant opportunities are aligning COVID-19 to our research focus, such as the Royal Australian College of General Practitioners’s and the Hospitals Contribution Fund’s special call for projects on COVID-19 in general practice.

Some may think non-COVID-19 research isn’t currently necessary, but it will be once we combat this disease. And when that happens, we’ll be ready to continue right where we left off.The Conversation

Lauren Ball, Associate Professor/ Principal Research Fellow, Griffith University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Citizen science: how you can contribute to coronavirus research without leaving the house




Ayesha Tulloch, University of Sydney; Aaron Greenville, University of Sydney; Alice Motion, University of Sydney; Cobi Calyx, UNSW; Glenda Wardle, University of Sydney; Rebecca Cross, University of Sydney; Rosanne Quinnell, University of Sydney; Samantha Rowbotham, University of Sydney, and Yun-Hee Jeon, University of Sydney

As Australians try to maintain social engagement during self-isolation, citizen science offers a unique opportunity.

Defined as “public participation and collaboration in scientific research”, citizen science allows everyday people to use technology to unite towards a common goal – from the comfort of their homes. And it is now offering a chance to contribute to research on the coronavirus pandemic.

With so many of us staying home, this could help build a sense of community where we may otherwise feel helpless, or struggle with isolation.




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Anyone is welcome to contribute. You don’t need expertise, just time and interest. Projects exist in many forms, catering to people of diverse ages, backgrounds and circumstances. Many projects offer resources and guides to help you get started, and opportunities to collaborate via online discussion forums.

Ditch the news cycle – engage, gain skills and make a difference

Scientists worldwide are racing to find effective treatments and vaccines to halt the coronavirus pandemic. As a citizen scientist, you can join the effort to help tackle COVID-19, and other infectious diseases.

Foldit is an online game that challenges players to fold proteins to better understand their structure and function. The Foldit team is now challenging citizen scientists to design antiviral proteins that can bind with the coronavirus.

The highest scoring designs will be manufactured and tested in real life. In this way, Foldit offers a creative outlet that could eventually contribute to a future vaccine for the virus.

Another similar project is Folding@home. This is a distributed computing project that, rather than using you to find proteins, uses your computer’s processing power to run calculations in the background. Your computer becomes one of thousands running calculations, all working together.

One way to combat infectious diseases is by monitoring their spread, to predict outbreaks.

Online surveillance project FluTracking helps track influenza. By completing a 10-second survey each week, participants aid researchers in monitoring the prevalence of flu-like symptoms across Australia and New Zealand. It could also help track the spread of the coronavirus.

Such initiatives are increasingly important in the global fight against emerging infectious diseases, including COVID-19.

Citizen science portal Flutracking’ was designed to allow researchers and citizens to track flu-like symptoms around Australia and New Zealand.

Another program, PatientsLikeMe, empowers patients who have tested positive to a disease to share their experiences and treatment regimes with others who have similar health concerns. This lets researchers test potential treatments more quickly.

The program recently set up a community for people who have contracted COVID-19 and recovered. These individuals are contributing to a data set that could prove useful in the fight against the virus.

Environmental projects need your support too

If you’d like to get your mind off COVID-19, there’s a plethora of other options for citizen scientists. You can contribute to conservation and nature recovery efforts – a task many took to after the recent bushfires.




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Some sites ask volunteers to digitise data from ongoing environmental monitoring programs. Contributors need no prior experience, and interpret photos taken with remote digital cameras using online guides. One example is Western Australia’s Western Shield Camera Watch, available through Zooniverse.

Other sites crowdsource volunteers to transcribe data from natural history collections (DigiVol), historical logbooks from explorers, and weather observation stations (Southern Weather Discovery).

The Cornell Lab of Ornithology’s citizen science app eBird uses bird sightings to fuel research and conservation efforts.
eBird

Citizen science programs such as eBird, BirdLife Australia’s Birdata, the Australian Museum’s FrogID, ClimateWatch, QuestaGame, NatureMapr, and the Urban Wildlife App, all have freely available mobile applications that let you contribute to “big” databases on urban and rural wildlife.

Nature watching is a great self-isolation activity because you can do it anywhere, including at home. Questagame runs a series of “bioquests” where people of all ages and experience levels can photograph animals and plants they encounter.

In April, we’ll also have the national Wild Pollinator Count. This project invites participants to watch any flowering plant for just ten minutes, and record insects that visit the flowers. The aim is to boost knowledge on wild pollinator activity.

The data collected through citizen science apps are used by researchers to explore animal migration, understand ranges of species, and determine how changes in climate, air quality and habitat affect animal behaviour.




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This year for the first time, several Australian cities are participating in iNaturalist’s City Nature Challenge. The organisers have adapted planned events with COVID-19 in mind, and suggest ways to document nature while maintaining social distancing. You can simply capture what you can see in your backyard, or when taking a walk, or put a moth light out at night to see what it attracts.

Connecting across generations

For those at home with children, there are a variety of projects aimed at younger audiences.

From surveying galaxies to the Bird Academy Play Lab’s Games Powered By Birds – starting young can encourage a lifetime of learning.

If you’re talented at writing or drawing, why not keep a nature diary, and share your observations through a blog.

By contributing to research through digital platforms, citizen scientists offer a repository of data experts might not otherwise have access to. The Australian Citizen Science Association (ACSA) website has details on current projects you can join, or how to start your own.

Apart from being a valuable way to pass time while self-isolating, citizen science reminds us of the importance of community and collaboration at a time it’s desperately needed.The Conversation

Ayesha Tulloch, DECRA Research Fellow, University of Sydney; Aaron Greenville, Lecturer in Spatial Agricultural and Environmental Sciences, University of Sydney; Alice Motion, Associate professor, University of Sydney; Cobi Calyx, Research Fellow in Science Communication, UNSW; Glenda Wardle, Professor of Ecology and Evolution, University of Sydney; Rebecca Cross, Lecturer in Human Geography, University of Sydney; Rosanne Quinnell, Associate Professor, University of Sydney; Samantha Rowbotham, Lecturer, Health Policy, University of Sydney, and Yun-Hee Jeon, Susan and Isaac Wakil Professor of Healthy Ageing, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.