Daily sunscreen use may cut melanoma rate

Sunscreen studyMelanoma cases could fall by about a third if ns slap on sunscreen every day, a study has found.
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New modelling by researchers estimates that 28,071 fewer melanomas would be diagnosed if people regularly used sunscreen to protect their skin from UVB and UVA rays that can cause the potentially deadly cancers.

The researchers from the Brisbane-based QIMR Berghofer Medical Research Institute estimated that melanoma cases could fall by up to 34 per cent by 2031 if people applied sunscreen daily, with older ns potentially the most likely to benefit.

“The burden of melanoma is highest in the older population, so the most effective sunscreen intervention in the short term to reduce melanoma was within that population,” the head of QIMR Berghofer’s Cancer Control Group, Professor David Whiteman, said on Wednesday as the study was published in the British Journal of Dermatology.

“However, that only holds true if we assume the benefits of sunscreen use have an immediate and equal effect across all the age groups we looked at.”

has one of the world’s highest rates of melanoma, with an estimated 14,000 people diagnosed with the most serious form of skin cancer during 2017.

Prof Whiteman said with melanoma rates on the rise worldwide, it made sense to study the potential benefits of something as simple as regular sunscreen use.

His team of researchers modelled a range of hypothetical scenarios to work out the potential impact sunscreen could have on reducing melanoma cases.

They included a “best case” example of every n using sunscreen daily, as well as mandatory sunscreen use for people aged 45 to 65 and all school children.

However, Prof Whiteman said that while sunscreen can protect against melanoma, its use is hard to monitor.

“Even if participants in a study were to say they applied sunscreen every day, we know that there are differences in the amount of sunscreen a person uses,” he said.

Many ns have also become confused about the safety of sunscreen, with statistics released by the Cancer Council last October showing that the number of adults who recognise it’s safe to use sunscreen every day had dropped to 55 per cent from 61 per cent in 2014.

Many were worried about possible health effects from some sunscreen ingredients, while some expressed concern about how regular sunscreen use could reduce their vitamin D levels.

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Healthy Lealiifano targets Super triumph

RUGBY BRUMBIES HURRICANESA refreshed Christian Lealiifano says he’s as close to 100 per cent health as he can be, as doctors continue to monitor the leukaemia which threatened his life.
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The 30-year-old Brumbies star returned to rugby last year after entering remission earlier in 2017.

He backed up his emotional comeback in the ACT-based side’s quarter-final loss with a successful five-month stint with Irish club Ulster.

Lealiifano said his leukaemia is now in the “monitoring phase” as he prepares to embark on the Super Rugby season.

He is desperate to help the Brumbies snap a 14-year title drought.

“It’s a two-year process and I’m a year-and-a-bit into it now,” Lealiifano said.

“We’ll continue monitoring that and so far, so good. To be able to play footy is something I’m happy with.”

Lealiifano hasn’t returned to the weight he was before he was struck by the illness, which forced him to undergo a bone marrow transplant and chemotherapy.

“I don’t think I want to get to that weight again. I’m feeling a bit fitter and a bit more agile playing at the weight I am now,” he said.

Cancer changed his body, as well as his perspectives on life and sport.

But it didn’t sap motivation from the inspirational playmaker, who boasts 19 Wallabies caps.

“I’m looking at it now that I don’t have many years left in me,” Lealiifano said.

“I’ve been around for 10 years and haven’t tasted success here.

“For me, it’s about enjoying each moment but really striving towards achieving a bit of success.”

Lealiifano impressed in 16 appearances for Ulster, boosting Brumbies coach Dan McKellar’s confidence he has returned to his best.

But aside from the on-field benefits, Lealiifano believes the loan spell was mentally valuable to extract himself from the “bubble” of n rugby.

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Pharmacist urges users to give codeine alternatives ‘red hot go’

PEOPLE who say nothing but codeine effectively relieves their pain had not given the alternatives a “red hot go,” Sandra Fitzgerald, clinical editor of Hunter New England Health Pathways, says.
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Ms Fitzgerald, who also works as a community pharmacist, said she was looking forward to codeine becoming a prescription-only medicine on Thursday.

Related reading: Codeine ineffective and unpredictable She said she would be “relieved” to not have confronting conversations with people who were not used to taking “no” for an answer.

“They really do bully you sometimes,” she said.

She did not believe community pharmacy was an appropriate place to be counselling patients about codeine, particularly for chronic pain, because it was so multifactorial.

“There are so many layers to it, and the assessment process is quite a long one,” she said.“While a lot of us may have the skills and training to do that, we certainly don’t have the time or the space or privacy that’s needed to have those conversations.”

Ms Fitzgerald was part of a “Nationally Coordinated Codeine Implementation Working Group,” formed to educate the community of the changes to the availability of low-dose codeine-containing medicines.

She said there was no good evidence for using codeine for chronic pain, and no good reason to use it for acute pain either.

“Alternatives like paracetamol and ibuprofen are just as good, if not better,” she said.

“If a patient feels that it is not enough for an acute pain episode, then they really need to have an investigation done by a health professional to find out what the cause of their pain is, because maybe it isn’t something you can fix with an analgesic that needs a closer examination.”

Ms Fitzgerald said it was not a hopeless situation, but a hopeful one.

“Rather than being dependent on medication and living half a life, live a full life by going down this other road which is more effective and more sustainable,” she said.

“I really encourage people to seek help from their GP or a specialist pain service, because the other things do work if you give them a red hot go.”

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‘Poisoned juice’ killed husband, jury told

MELBOURNE COURT STOCKA pair of lovers murdered a Melbourne husband by sedating him with sleeping pills and giving him either cyanide-laced orange juice or a fatal avocado shake, a jury has heard.
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Sofia Sam, 33, and Arun Kamalasanan, 35, are on trial for murdering the woman’s husband Sam Abraham at his Epping home in October 2015.

Paramedics were called to the home and they initially believed Mr Abraham had died from a heart attack in his bed.

But an autopsy revealed Mr Abraham died of cyanide poisoning and also had a sedative in his system.

Prosecutor Kerri Judd QC says Mr Abraham may have been drugged with sleeping pills before Kamalasanan fed him cyanide-laced juice as he slept.

“He administered the cyanide himself by sneaking into the house and pouring orange juice with cyanide in it into the mouth of the deceased,” she told the jury.

An alternative prosecution case is that Ms Sam put the cyanide in either an avocado shake or an orange juice she prepared for him.

“The female accused said she made an avocado shake for her husband. She also said she made an orange juice for her husband,” Ms Judd said.

Sam and Kamalasanan knew each other from their college days in India and they were allegedly having an affair at the time of the murder.

The jury was told they reconnected after they both moved to Melbourne and were meeting in secret.

“It is the prosecution case that both accused murdered Sam Abraham,” Ms Judd said.

“Their relationship provided the motive.”

Ms Judd earlier illustrated the pair’s relationship by reading passionate diary entries they sent to each other.

“Can you hold me tight? I want to drift away in your love,” she read from one of Sam’s entries, as the diary was displayed on a screen in court on Monday.

The jury also heard that Mr Abraham’s car was transferred into Kamalasanan’s name following his death.

Both Sam and Kamalasanan have pleaded not guilty. The trial continues on Wednesday.

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Codeine restrictions: Drug ‘ineffective and unpredictable’, Dr Chris Hayes says

CODEINE is doing more harm than good, and research is showing it to be an “increasingly underwhelming” drug, a Hunter pain specialist says.
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Dr Chris Hayes, the director of the Hunter Integrated Pain Service based at John Hunter Hospital, said codeine was proving to be more problematic than helpful, as it was an ineffective drug that was unpredictable in its effects.

“It is a matter of weighing the balance between any potential benefits and the potential harms, and if you look at the benefits side of the equation – codeine is not a very effective drug,” he said.

“The way the body breaks it down is variable from one individual to another, so you don’t get a consistent effect.

“It is not that powerful, and for much of short-term acute pain, paracetamol and anti-inflammatories either alone or in combination work pretty much as well, or better, than codeine combination therapies.”

As of February 1, patients can no longer buy codeine-containing products over the counter, following the Therapeutic Goods Administration’s (TGA) decision to make it a prescription-only medication.

These include Panadeine, Nurofen Plus, Mersyndol and pharmacy generic painkillers, as well as codeine-containing cough, cold and flu products like Demazin and Codral.

Dr Hayes said the 2015 Roxburgh study showed the opioid death rate had increased more than two-fold from 2000 to 2013.

“At that stage there were about 200 deaths a year,” he said.

“The 2016 National Drug Strategy Household Survey report showed about 5 per cent of the population misuse pharmaceutical drugs, with three quarters of painkiller misuse related to over-the-counter codeine.

“We have a fair sense that there is a lot of harm associated with it, so to my mind, it’s a good decision and I agree with the TGA.”

Dr Hayes said if codeine was a new drug, and the TGA was considering whether it met current registration requirements on the pharmaceutical benefits scheme, it “wouldn’t make the cut.”

About 10 per cent of people did notmetabolise it into morphine, its active form, at all, rendering it redundant.

Other individuals broke down the codeine quickly, getting a higher dose of morphine into the blood stream.

They were at “particular risk” of death.

Dr Hayes supported calls for a national, functional real time monitoring system to alert GPs and pharmacists when someone has already been prescribed codeine, and other opioids, although he said a GPs office was often better suited to having those sensitive,private conversations.

“I don’t think it’s an easy conversation to talk about the details of someone’s background medical history, or if they are struggling with adependence, with a pharmacist at the counter with other people in hearing distance,” he said.

“If you look at all the opioid pack sales in , a third of it is medically-prescribed codeine, a third is over-the-counter codeine, and a third is all the rest, such as Fentanyl etc.

“There is a lot of codeine use going on out there, and it is not a very effective drug. So my gut feeling is that there is a lot of problematic use.

“We are all part of a society, and part of a healthcare system, and I think we’re asking people to recognise the harm from codeine – even if it is not their personal harm.

“We are asking them to take a more society-wide view and recognise there are several hundred people a year dying from codeine-related deaths, and there are a lot of problems with dependence. So we are asking those people who may be using it legitimately and feel they are getting some benefit, to go through a slightly more complex pathway for the sake of limiting harm to our society.”

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The Press Book House Cafe: caffeine and wisdom

Classics and discoveries: Murrie Harris at The Press cafe on Hunter Street, Newcastle. Picture: Marina NeilThe Press Book House & Café, 462 Hunter St, Newcastle, Mon/Wed/Fri: 7-4; Thu: 7-6; Sat: 8-3; Sun: 9-2.
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Selling books under the same roof as your coffee and enjoying a lasting and dedicated following has always proved to be an elusive achievement here in Newcastle.

Twenty odd years ago there was an elegant establishment opposite the old Newcastle Herald offices on Bolton Street in the East End. Tastefully arranged around bookshelves were a select number of tables at which well-dressed coffee drinkers would sip to the cerebral sounds of classical music. The ceilings were high but so were the prices. It sometimes felt more like a minimalist art gallery for the well-heeled than a place for a student to sink into a cosy corner with a second-hand novel.

At The Press Book House Café on Hunter Street, Murrie Harris and Ivy Ireland have arranged their shelves a little differently. With an espresso machine at the front of their bookstore and long, communal tables nestled between the novels at the back, they have created a cerebral atmosphere that is less about exclusivity and more about community and inclusion. You are unlikely to see anyone sipping to classical music in here. As the artistic and the unkempt share their ham and pickle sarnies ($10) in an atmosphere that only a needle crackling along old vinyl can create, the ambience at this bookshop is more of a blue-jean 1970 than a blue-blooded 1790.

But none of this means that The Press perceives itself to have reached an untouchable level of cool. This is in no way a café where a roster of surly adolescent girls will make you feel unwelcome because you have not been named after an Indian spice powder. The same couple of blokes making sandwiches and coffees have been here for years.

If anything has changed, it has been the adoption of a philosophy that says your stay should be as long as you want it to be. For every bohemian university student lounging at The Press there is a sharply dressed lawyer who only has time for a $2, cup-through-the-window espresso.

For those with less pressing priorities, Murrie will refill your cup all day long with a rotating single origin filter coffee for $4 – perfect for those who find something on the shelves that they just can’t put down.

If your tastes lean more towards your easy drinking, milk-based coffees – a James Patterson rather than a James Joyce – then these baristas can certainly be relied upon to keep you focused on flipping the pages.

For reasons that have nothing to do with their reputation down South or the quality of their blends, their Melbourne-based roaster Gridlock’d still enjoys a relative anonymity here in Newcastle.

Alternating between the High Beam and the Ghetto Blaster blend, The Press boys have ensured that their following have stayed dedicated to the standard of coffee as much as they have the quality of the literature.

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Tomic may have had epiphany: psychologist

TENNIS AUSTRALIAN OPEN QUALIFYINGA leading sports psychologist says Bernard Tomic may have had a breakthrough during his maligned reality TV show appearance and has a chance to follow Nick Kyrgios’ road to redemption.
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But Jeff Bond said Tomic must seek professional help if he is to turn his life around.

Tomic’s controversial stint on Ten Network’s “I’m A Celebrity Get Me Out Of Here” ended when the former world No.17 tennis star cut short his stay after three nights, citing depression.

Tomic vowed to resume tennis training as soon as he returned to from the African jungle, saying he regretted his TV stint.

NRL star Benji Marshall promptly reached out to Tomic after his TV exit, posting a video of support and leaving the door open for advice after feeling sorry for the fallen star.

But national team captain Lleyton Hewitt on Tuesday said he doubted whether Tomic would play Davis Cup again after the former prodigy told the network couldn’t win without him.

Bond, who worked with Pat Cash ahead of his 1987 Wimbledon triumph, hoped the TV stint had provided an epiphany for Tomic, helping him rediscover his love for tennis.

Bond said the stage was set for Tomic to follow a similar path to former bad boy Kyrgios who was embraced by the public during his n Open fourth round campaign just 12 months after being booed on court.

“I think something has happened,” Bond told AAP.

“Whether it was something that occurred on the show or the criticism he has received from people like Lleyton – it can be the most innocuous thing that will cause someone to turn the corner in their lives.

“Same thing with Kyrgios. Suddenly he seemed to find a better direction, then received positive reinforcement (from public) and continued to do it.

“Maybe Bernard will do the same thing.

“You don’t like seeing anyone in a situation like this – he has painted himself in a corner and it would be nice to see him get out of it.”

But Bond warned Tomic would find himself back in the same dark place if he did not speak to a professional, especially after citing depression on the TV show.

“I am generally concerned when anyone says they are depressed,” he said.

“I hope he seeks out a professional to run his thinking by and get some objective feedback, someone he trusts so he can take advantage of this new approach.

“Otherwise the habits that have been built up over the past decade will be strong enough for him to find himself in the same place and nothing changes.”

Marshall has already offered help.

“I feel sorry for him,” Marshall told sports social website 20FOUR.

“We need to get around our athletes and help out where we can because times do get tough under the spotlight – I know, I’ve been there.

“I don’t know Bernard but I am always there if he needs to talk.”

n readers seeking support and information about depression can contact Lifeline on 13 11 14.

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Pregnant woman jailed over fatal SA crash

GREATLEYAn Adelaide woman who caused the death of a work colleague in a road crash will be sent to jail despite being about to give birth.
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Rebecca Lee Greatley was high on cannabis when she drove through a stop sign and into the path of an oncoming semi-trailer in South ‘s mid-north in May 2016.

The crash killed 26-year-old British backpacker Jamie Dumbleton and injured two other charity workers – Lauren Canciani and Dylan O’Donnell-Middleton.

Greatley initially denied charges of causing death and serious injury by dangerous driving but pleaded guilty on the second day of her trial.

On Tuesday, she sobbed uncontrollably in the District Court as Judge Stephen McEwen described her failure to see the truck as “grossly defective” and jailed her for almost two years with a non-parole period of 18 months.

“For whatever reason, she drove straight out onto the highway and into the path of the prime mover,” he said.

Judge McEwen refused to suspend the sentence, despite the 25-year-old being due to give birth in March and facing the prospect of having her newborn taken from her soon after.

In a statement read on their behalf outside the court, Mr Dumbleton’s family said the jailing of Greatley was “the light at the end of our very dark tunnel”.

“Although we now have a sense of justice we still feel, that given the harm done and the loss of Jamie’s life, it is not a complete justice,” they said.

They criticised Greatley, who they said had manipulated the justice system from the moment she was arrested.

“Shown a coldness and selfishness beyond compare. She has played the game and been successful,” they said.

“She has shown very little remorse or apparent sorrow for her actions until today.”

Ms Canciani said she was happy with the sentence and tried not to think too much about the crash or Greatley.

“I don’t have much emotion for her. I’ve tried not to be angry because I don’t think that’s fair to myself either,” she said.

“I hope she’s remorseful. I hope it wasn’t an act and that she really feels bad for what she has done.”

Ms Canciani said while she hadn’t known Mr Dumbleton long, he was wonderful, caring and thoughtful.

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Bernard Tomic quits I’m A Celebrity China

Bernard Tomic has been slammed as “a quitter” by Network Ten host Julia Morris, after she confirmed live on television he has departedI’m A Celebrity … Get Me Out of Here!
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Tomic, however, described his short time in the jungle as “a wake up call” which had prompted him to want a return to tennis.

When news of the shock departure was revealed to other contestants, Tomic said “it’s my fault”.

“I don’t want to spend half my time depressed here and thinking about how I played the last year and where I should be,” he said.

“I’m just depressed. I’m thinking I’ve never had time to think about my thoughts. I’ve always had people around. Aways have my mobile phone and my life is fast paced and everything has slowed down the last three or four days,” Tomic said.

Tomic farewells I’m A Celebrity contestants. Photo: Ten

Tomic was questioned repeatedly on air by an executive producer if he was “really, really sure” about his decision and he confirmed he was.

Even before the footage fromI’m A Celebrity … Get Me Out of Here!had aired, Morris and her co-host Chris Brown revealed the official news of Tomic’s departure onThe Project.

“He has gone,” Morris toldThe Projecthost Carrie Bickmore when asked whether Tomic was going to stay on the program.

Viewers of the jungle-based show, which is filmed in South Africa, got the same message as soon as Tuesday night’s episode began.

“Bernard Tomic is out,” saidI’m A Celebrityco-host Chris Brown.

“He’s the first celebrity in the history of the show to pack up and say ‘I’m A Celebrity, Get Me Out of Here’,” Brown added.

“We can confirm after a very difficult couple of days Bernard Tomic has made the even more difficult decision to quit the jungle,” Morris said.

“We can confirm, right here and right now and give you guys the exclusive!” Bernard Tomic is out of the #ImACelebrityAU jungle! Cheers for the scoop, @Ladyjmo and @drchrisbrown! Thoughts? #TheProjectTVpic.twitter苏州夜总会招聘/lIbG0OUWBx

— The Project (@theprojecttv) January 30, 2018The moment Bernard Tomic left the jungle for good. #TomicWalks#ImACelebrityAUpic.twitter苏州夜总会招聘/SgBoZbSmTR

— #ImACelebrityAU (@ImACelebrityAU) January 30, 2018

He also admitted to having initial doubts about joining the reality series.

“I’ve never done the things I’ve done here in the camp and meeting you people was something that’s going to be special and stay with me for the rest of my life,” Tomic told the other contestants.

“But I doubted myself a couple of times before I got here and I wasn’t sure if I should come, if it was the right move.”

Although Tomic departed the set of the reality series before the third night of the series went to air, Ten’s producers were continuing to promote a studio interview with him at the end of Tuesday’s night’s program to discuss his reasons for leaving.

Tomic is expected to return to from South Africa after completing his final contractual obligations to the show.

In a frank studio interview with Morris and Brown, Tomic defended his decision to leave.

“It wasn’t about getting bitten by snakes or jumping off the plane or the first time camping or the first-time cliff trials, it was about me being depressed and thinking ‘is it the right thing to do?’ when I knew it wasn’t,” Tomic said.

He said emphatically “it wasn’t a publicity stunt”.

“I had to get out of there. I had to leave and go back into training and do what I do best.”

Morris said she and Brown had differing opinions about Tomic’s decision. Brown showed concern for Tomic’s emotional state, while Morris said she was disappointed in him.

“The way I see it and correct me if I’m wrong, for me this goes beyond you as a tennis player, a celebrity. When I’ve been watching you in the camp, you’re not a happy guy,” Brown said to Tomic.

“I don’t care about anything else, about your tennis or your tennis career, I want you in a year’s time to be happy. Is that a priority of yours, as a person, just to be happy?” Brown said.

Tomic said he was grateful for Brown’s question and said he had struggled since arriving on set.

“As soon as I got there my mind was a bit twisted,” Tomic said. “And the more hours I spent in there, the more depressed I came.”

Brown openly questioned whether Tomic’s attitude towards tennis could have seriously changed within just three days of a jungle experience.

Tomic stood by the fact he didn’t love tennis but said “I like tennis a lot. I like it so much but I don’t love it”.

He seemed to indicate he still wanted to return to it.

“I missed the whole last year and was disappointed with myself. The last month and half training, doing the right thing, playing … has given me the energy of where I need to be in my career”.

Tomic told the hosts he was thinking about his commitment to tennis ahead of flying to South Africa for the filming of the series.

“I was thinking about those thoughts just before I flew here,” Tomic said. “As I got here I only realised after a day or two it was the wrong move. It was my fault and I have to take it on the chest like a man and get back into training now”.

After the shock departure of Tomic, producers of the show are relying on the arrival of a new contestant on Wednesday night to keep viewers engaged.

It is widely rumoured to be Anthony Mundine’s boxing rival Danny Green.

Meanwhile Mundine was busy showing his softer side on Tuesday night’s episode by actually doing the dishes – a job he previously described as “a woman’s role”.

Despite all his bluster, he meekly followed contestant Jackie Gillies when she told him it was his turn to do the dishes.

“Guess what, you’re going to come wash with me,” Gillies told him.

“Yeah mate, yeah champ,” was Mundine’s reply.

“I’m going to educate you … the man’s role, its called equality,” she said.

Mundine said: “I’m more than capable. I wanted to learn a woman’s role. That’s all I want to do, I want to learn how hard she works.”

He also admitted he had never lived alone.

“I’m used to being catered to I suppose. I’m not used to fending for myself and washing dishes,” Mundine said.

Gillies assured him he would only need to do it again “tomorrow night”.

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NSW man granted bail after ‘hacking’ GoGet

ELECTRIC CAR CHARGING STATIONA prominent hacker, entrepreneur and IT security consultant has been granted bail after appearing in a NSW court accused of breaching car-sharing company GoGet’s systems to steal vehicles.
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Nik Cubrilovic, 37, was arrested by the riot squad at Penrose, in the state’s Southern Highlands, on Tuesday following a six-month police investigation.

GoGet went public about the breach and apologised to customers in an email on Wednesday morning, about seven months after it first noticed suspicious activity in late June 2017.

Cubrilovic is accused of accessing the company’s fleet booking system and downloading customer identification information including names, addresses, email addresses, phone numbers, dates of birth and drivers’ licence details.

He allegedly stole and returned more than 30 cars between May and June.

Cubrilovic became prominent in 2011 after he exposed a Facebook privacy flaw which meant the social media giant was tracking web-browsing activity even after users logged out.

He was charged with two counts of unauthorised access, modification, or impairment with intent to commit a serious indictable offence, and 33 counts of taking and driving a conveyance without the owner’s consent.

He appeared in Wollongong Local Court on Wednesday and was granted bail on conditions including that he has no internet access, reports daily to police and surrenders his passport.

Detective Superintendent Arthur Katsogiannis said customer details were not on-sold or disseminated.

Cyber-dependent crimes were not usually resolved, he said.

“What’s happened here is you’ve got a company that was proactive, on the front foot, came forward and reported the matter,” Det Supt Katsogiannis said.

However, some customers vented their frustration online at not being told sooner.

Police say they monitored the company’s database during the investigation and would have notified any individual if they believed they were at risk.

Going public with the breach would have potentially compromised the investigation, Det Supt Katsogiannis said, and police gave “strong advice” to GoGet to keep it under wraps.

The company’s chief executive Tristan Sender said GoGet took privacy “very seriously”.

“We are sorry that this has happened,” he said in an email to customers.

Police are searching through seized computers and storage devices and trying to establish the number of customers affected by the breach.

Cubrilovic is scheduled to appear in Downing Centre Local Court on April 24.

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