Mind & Body · Saturday, 24 October 2026
Children in the UK met as much harmful content online, mostly through their feeds, nine months after new child-safety duties began, Ofcom finds
Ofcom's own review finds no significant fall in the share of children aged 8 to 17 meeting harmful content since July 2025, with personalised feeds at the root; in the US, a court weighs Medicaid's work rules and a promised food definition stalls.
9 months
of new child-safety duties, with no significant fall in children meeting harm
The duties came into force in July 2025.
47%
of girls aged 13 to 17 saw suicide, self-harm or eating-disorder posts in one week
A survey of 1,825 children in April for the Molly Rose Foundation, a charity set up after Molly Russell's death.
34% vs 37%
of all teenagers seeing such posts, after the duties and just before them
The same survey found the fall was small.
GBP 18m or 10%
of a firm's worldwide revenue, the largest fine Ofcom can set
Whichever is greater, under the Online Safety Act.
The lead story — what happened
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Ofcom, the UK's regulator for online safety, reviewed the first nine months after social media firms took on new legal duties to protect children in July 2025.
[1] -
It found no significant change in the share of children aged 8 to 17 meeting harmful content, and no sign the harm got less severe.
[1] -
Ofcom called the finding concerning, and the father of Molly Russell, who took her own life at 14 in 2017, called it staggering.
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The harm included pornography, serious violence, weapons and suicide material, and some of it left children feeling unsafe at school.
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Personalised 'for you' feeds, which choose each next post for the user, were repeatedly found to be at the root of it.
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Girls most often met pornography through their feeds and said it left them confused or upset.
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Girls were also the most likely to be shown suicide and eating-disorder posts, again mostly through feeds.
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Boys watching self-improvement videos could quickly be led on to posts promoting hatred of women and racism.
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Misspelled hashtags and coded words let some of that content slip past the filters meant to block it.
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A week earlier, a coroner found that suicide material on TikTok may have played a significant part in the death of Adriana Retyte, 14, in May.
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Ofcom said it saw falls on Minecraft, Call of Duty, YouTube, Pinterest and Facebook, and that its data stops before it pressed five big platforms this spring.
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The UK government has promised to curb 'addictive' features such as endless scrolling, and a ban on social media for under-16s is due early next year.
[7] [5]
Who is involved
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Ofcom
the UK regulator for broadcasting and online safety; it wrote the review and called the result concerning
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Melanie Dawes
Ofcom's chief executive; she told MPs this week that she sees no safety culture at the big social media firms
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NSPCC
a UK child protection charity that runs Childline; it says platforms are still built to keep children hooked
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Ian Russell
father of Molly Russell, who died at 14 in 2017 after viewing suicide material; he blames the regulator's timidity
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Meta, TikTok and X
the firms behind Instagram, TikTok and X; they are challenging Ofcom's powers in court
How it unfolded
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Jul 2025 Child-safety duties under the Online Safety Act come into force
[1] -
Nov 2025 A BBC test finds fake teenage profiles still shown bullying, suicide and weapons posts
[4] -
Jan 2026 The House of Lords votes 261 to 150 to ban under-16s from social media
[6] -
May 2026 Ofcom says TikTok's and YouTube's feeds are still not safe enough for children
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Jul 2026 Ofcom opens a formal investigation into how TikTok checks users' ages
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Oct 2026 Ofcom's review finds no significant change in children meeting harm
[1]
Where this points
The next test is the under-16 ban due early next year, and whether Ofcom's next count, which covers its pressure on five big platforms this spring, shows the share falling.
Signals on this beat
The bar and the word are our reading of how hard each one is pushing, and the arrow is where it is heading.
Ofcom found feeds that choose each next post at the root of the harm children met.
In KFF's October poll, 28% of US adults said they had put off care they needed because they could not afford it.
A promised US definition of ultraprocessed food has stalled after pushback from food firms and from President Trump's own officials.
The rest of the day
16 more stories on this beat.
Each with its own sources. None of these is a link to the story above.
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02
A court weighs Medicaid's new work rules
Lawyers for about two dozen US states argued in a federal court in Boston on 22 October that Medicaid's new work rules were set up unlawfully.
[10] Medicaid is the US public health cover for people on low incomes.[12] From 1 January 2027, a 2025 law makes many adults on Medicaid in 44 states, counting Washington DC, meet work rules to keep it.[12] The states say health secretary Robert F. Kennedy Jr. went too far in deciding who is excused, such as people judged medically frail.[10] [13] The judge said he would rule in the coming weeks.[10] Why it matters — State officials have about 70 days to build the system, and STAT reports the mood at their national meeting was very anxious.
[10] KFF notes the rule excuses someone as frail only if their illness also stops them meeting the work rules.[13] -
03
28% of US adults put off care they could not afford
KFF, a US health research group, updated its record of how health bills land on families with its October 2026 poll.
[15] About 26% of adults say they are very worried about affording health care, close to the 27% very worried about fuel.[15] In the past year, 28% put off care they needed because of the cost, and 43% did not take a medicine as prescribed for the same reason.[15] Among uninsured adults under 65, 62% put off care.[15] Health care26%Fuel and transport27%Food21%Rent or mortgage19%Share of US adults 'very worried' about affording each cost, KFF poll, October 2026. Why it matters — Skipping care because of the cost lands hardest on the uninsured, the young and people on low incomes.
[15] About one adult in seven says their health got worse after a delay.[15] -
04
Medicare stops paying for some pain treatments
From late October, five private firms that run Medicare claims in 37 US states will stop covering many nerve treatments for chronic pain under Medicare, the US government's health cover for older people.
[14] A nerve block numbs the nerve that carries a pain signal, and it can help find where pain comes from.[14] The contractors say the evidence is thin: small studies with short follow-up.[14] The final policy is a little less strict than the 2025 draft.[14] Why it matters — Barreveld, head of pain medicine at a Massachusetts hospital, writes in STAT that patients with severe pelvic pain lose treatments used for decades.
[14] The doctor argues people with chronic pain need choices other than opioids, the strong painkillers behind the US overdose crisis.[14] -
05
The US food definition stalls
In August, US health secretary Robert F. Kennedy Jr. promised the US government's first official definition of ultraprocessed food.
[9] These are factory-made foods with added sugar, salt, colours and textures that a home kitchen could not make.[9] Bloomberg Law and the Wall Street Journal report the plan stalled after pushback from food companies and from President Trump's own officials.[9] More than 80 nutrition experts signed a petition, and a Tufts University team planned to take it to the US government's budget office on Friday.[10] Why it matters — Ultraprocessed food makes up about 55% of the average American's daily calories, according to the CDC, and more for children.
[9] A definition would let the US government limit these foods in school meals or label them; an Annenberg survey found 80% support for labels.[9] [10] -
06
Where a child lives decides cancer survival
A summit in Samarkand, Uzbekistan, attended by more than 100 countries, adopted a declaration on Thursday asking governments to spend more on children's health, schooling and protection.
[26] About 400,000 children and teenagers get cancer each year, the World Health Organization says.[26] Rich countries cure more than 80% of them, against under 30% in many poorer ones.[26] A doctor from St Jude, a US children's cancer hospital, said late or missed diagnosis is one of the biggest obstacles.[26] Why it matters — The declaration asks countries to set their own targets and report regularly on how well services for children work.
[26] UNICEF, the UN children's agency, says two-thirds of the child-related goals it tracks for 2030 are off track.[26] -
07
$500 cheques reach 5% of marketplace buyers
KFF has looked at the one-off $500 'refund cheques' President Trump announced in September.
[16] About 1 million people in 30 US states will get one: those who bought a 2026 plan on HealthCare.gov, the US health insurance marketplace, without government help.[16] That is about 5% of marketplace buyers, and the other 95% get nothing.[16] KFF says it is not clear what law allows the cheques.[16] Why it matters — For most people who get one, the $500 is smaller than the rise in their premium this year, after extra help with premiums ended for 2026.
[16] It is also smaller than the average rise expected in 2027.[16] -
08
Heineken warns pubs about weight-loss drugs
Heineken, the world's second-largest brewer, warned British pubs and bars that weight-loss drugs could mean fewer pints sold, the Guardian reports.
[11] Its presentation, first revealed by Reuters, said drugs such as Ozempic and Wegovy can lower the desire to drink alcohol.[11] It advised pubs to push half pints, alcohol-free drinks and food with drinks.[11] Carlsberg, another big brewer, told Reuters the data do not show such an effect.[11] Why it matters — UK pubs, bars and restaurants sold almost GBP 14bn of beer in the year to February, and less than GBP 300m of it was low- or no-alcohol.
[11] About 10 million people in the US used such drugs last year, JP Morgan estimates.[11] -
09
A safeguarding GP says she was forced out
Dr Sarah Redvers was the doctor other GPs in Sussex turned to with child-safety worries.
[17] She told the BBC she was bullied out of that NHS job after passing on concerns about how young people distressed about their gender were assessed at one Brighton practice.[17] She has brought a constructive dismissal claim, and her employment tribunal ran for three weeks.[17] In June an NHS safety review found 78 children at that practice, WellBN, had potentially been harmed.[17] Why it matters — That review said some children, as young as 13, were given puberty blockers or cross-sex hormones without proper checks.
[17] NHS Surrey and Sussex has apologised to Redvers and said some processes should have been handled differently.[17] -
10
A 'heat ray' weapon could be tested at the border
The US Defense Department has allowed the US Department of Homeland Security to test the Active Denial System at the US-Mexico border, CNN reported.
[25] The weapon sends millimetre waves that reach about 0.4mm into the skin, roughly four sheets of paper.[25] There they heat the water in skin cells, which feels like standing in front of a hot oven.[25] A US bioengineer says the burst is too short to do damage, though it causes intense pain.[25] Why it matters — The weapon has barely been used since it was built in the early 2000s, and Los Angeles dropped a plan to test it in a prison in 2010 after pushback.
[25] Its effects in rain or fog are weaker, because moisture soaks up the heat.[25] -
11
When fitness turned into a compulsion
Wayne Davies, 40, from Powys in Wales, told the BBC that running became an addiction that left him anxious and short of sleep.
[18] He went from casual jogs to marathons and a 75-mile race, and kept worrying about times and fitness data.[18] A 12-week online course from NHS Wales helped him check the data less.[18] A UK addiction therapist says more than 57,000 people visited her clinic's exercise-addiction page in six months.[18] Why it matters — She says many are people who gave up alcohol or drugs and moved the habit onto exercise.
[18] A trainer warns that calorie-counting apps can become just as obsessive.[18] -
12
Body heat may help explain women's autoimmune risk
Women are up to four times as likely as men to get autoimmune illnesses, where the immune system attacks the body's own tissue.
[24] Researchers at the Pasteur Institute in Paris measured the body temperature of more than 900 healthy adults.[24] In women's blood, each 1C rise went with a 36% drop in one inflammatory signal from T-cells, immune cells that attack targets.[24] The team presented the work at the Royal Society in London on 12 October.[24] Why it matters — A woman's core temperature rises about 0.6C after ovulation and falls before her period.
[24] The team suggests these swings may wear out the immune system's settings, and a Johns Hopkins expert says studies must now separate the effect of heat from that of hormones.[24] -
13
A B12 test reads differently by ethnicity
Doctors in London looked at 61,193 tests for 'active' B12, a vitamin the nerves and blood need.
[23] Results differed by ethnicity in adults, with Black patients highest, Asian patients in between and White patients lowest.[23] Among unclear results, a second marker of low B12 was raised in 32.7% of White and 34.1% of Asian patients, but 14.8% of Black patients.[23] The study was published on 24 October.[23] White32.7%Black14.8%Asian34.1%Share of patients with an unclear B12 result whose second marker was raised, London hospital tests, 2022 to 2023. Why it matters — The authors say the normal ranges for these tests should be set by age and ethnicity.
[23] Depending on the cut-off used, 7.8% or 2.4% of the whole group was short of B12.[23] -
14
An ancient virus and the chimp brain
About 5 to 7 million years ago, a virus left copies of its DNA in an ancestor of chimpanzees, and chimps still carry it at 158 places in their genes.
[20] Humans do not have it.[20] A team at Lund University in Sweden cut it out of chimp stem cells and found a gene called LINC00662 switched on.[20] In humans that gene is active and boosts genes for growing nerve cells, the team reports in Science Advances.[20] Why it matters — It suggests one way human and chimp brains came to differ, even though most of their genes are nearly the same.
[20] An outside expert says the work is convincing but that it is too soon to say how much it explains.[20] -
15
Monkeys that lived through an outbreak avoid dirt
In 2020 a deadly virus called SRV spread through a Texas sanctuary for more than 100 macaque monkeys.
[19] From 2022 to 2024, researchers offered the monkeys a grape on clean wood or on dung sealed in clear resin, in nearly 200 trials.[19] Of monkeys that had not lived through the outbreak, 79% took the dirty grape.[19] Of the outbreak's survivors, 47% did, the team reports in Royal Society Open Science.[19] Did not live through it79%Lived through it47%Share of macaques that took a grape sitting on fake dung, by whether they lived through the 2020 outbreak. Why it matters — The researchers think disgust, which protects the body from germs, became more easily set off after the outbreak.
[19] An outside biologist says the tests came years later, so other causes cannot be ruled out.[19] -
16
Dance classes eased fear of a racing heart
Researchers at the University of Miami followed 271 students for seven weeks, some in dance courses and some in other courses.
[21] They measured anxiety sensitivity, the fear of the body's own anxiety signs such as a pounding heart.[21] Students in dance courses lost more of that fear of physical signs than the others, even allowing for other exercise.[21] The study, published on 24 October, did not assign students to groups by chance.[21] Why it matters — Fear of one's own racing heart is a known risk for anxiety, and dancing raises the heart rate in a safe setting.
[21] Because students chose their courses, the result shows a link, not proof that dance caused the change.[21] -
17
Most Australian parents would try to delay short sight
A survey of 800 Australian parents asked about myopia, or short-sightedness, which usually starts in childhood.
[22] Asked if they would join a programme to prevent or delay it in their child, 76.8% said yes, 19.5% maybe and 3.8% no.[22] Parents who knew more about myopia were more willing.[22] Having a short-sighted child did not make parents more willing.[22] Why it matters — The parents said cost, proof that a treatment works and a recommendation from an eye professional mattered most.
[22] The authors say teaching parents about myopia may matter more than personal experience of it.[22]
Why the brain can keep wanting what it no longer enjoys
Wanting a thing and enjoying it are run by separate parts of the brain, so the pull can keep growing after the pleasure has faded.
The twist
You can want something badly while hardly enjoying it, because the brain's wanting and its enjoying are run by different circuits.
The picture
How it works
- The brain runs two separate systems: one makes us want a thing, the other makes us enjoy it
- Wanting is driven by dopamine, and it grows each time a sight or sound comes just before the reward
- Enjoying does not grow the same way, and it can fade
- So a cue such as a feed, a pint or a watch's numbers can set off strong wanting with little pleasure
- A person keeps going back to something that no longer makes them feel good
The same force, elsewhere today
Where this chain is also running, in today's other stories.
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Ofcom's review of children's feeds
Feeds are built to keep children watching, and Ofcom found girls kept being served posts that left them confused or upset.
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When fitness turned into a compulsion
Wayne Davies kept chasing longer races and better data while the running left him anxious and short of sleep.
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Heineken warns pubs about weight-loss drugs
Drugs like Ozempic seem to turn down the desire to drink itself, so people order fewer pints.
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The US food definition stalls
Scientists describe ultraprocessed snacks as built to keep people eating, which is a target for wanting, not for enjoying.
Where you've seen this
Smoking
many smokers say they no longer enjoy cigarettes, yet the urge when they see a packet stays strong
Slot machines
the lights and sounds of a near-win keep people playing long after the fun has gone
Phone alerts
a buzz makes people reach for the phone even when what they find is dull
The catch
Much of the proof that wanting and enjoying are separate comes from experiments on rats, and in people the two are hard to measure apart.
And the whole of it
The firms that build feeds, snacks and drinks can see what people reach for, and that is the number they track. Each person sees only their own reach, and the children in Ofcom's count are inside the same loop as the adults who design it.
What is really going on
Nine months after UK law told social media firms to protect children, Ofcom's own count shows children meeting harmful posts as often as before, with the feeds that choose what they see next at the root of it. In the US, two health rules from Robert F. Kennedy Jr.'s department are stuck: the food definition inside the Trump administration, and the details of Medicaid's work rules in a Boston court.
Why it works on us — A ban that starts next year is easy to report as the answer, which can make nine months of unchanged numbers look like a problem already solved.
Who gains
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TikTok, Instagram and the other big platforms
— Nine months of duties brought no significant fall in what children met, and the firms are challenging Ofcom's powers in court.
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Big food companies
— With no federal definition of ultraprocessed food, there is no basis yet for US labels or school-meal limits on their products.
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Makers of low- and no-alcohol drinks
— Heineken is telling UK pubs to push half pints and alcohol-free drinks to weight-loss drug users.
[11] -
About 1 million unsubsidised US marketplace buyers
— They each get a one-off $500 cheque, paid from fees insurers were charged.
[16]
Who pays
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Girls aged 8 to 17 in the UK
— They were the most likely to be fed suicide and eating-disorder posts, mostly through their feeds.
[1] -
Medicare patients with severe pelvic pain in 37 states
— From late October, contractors stop covering many of the nerve treatments that eased their pain.
[14] -
Adults on Medicaid who are ill but not counted as frail
— From January 2027 they must meet work rules, and an illness excuses them only if it stops them meeting those rules.
[12] [13] -
Uninsured US adults under 65
— 62% of them put off care they needed in the past year because they could not afford it.
[15] -
The other 95% of US marketplace buyers
— They get no cheque, and average premiums are expected to rise again in 2027.
[16]
What nobody knows yet
Open questions from across today’s stories — ours included.
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01
How many children Ofcom found meeting harmful posts online.
The Guardian's report of the review gives no percentage, only that the share did not change significantly.
[1] The one recent figure is a separate charity survey: 34% of teenagers, against 37% before the duties.[2] -
02
Whether Ofcom's pressure on the big platforms this spring changed anything.
Ofcom says its data stops before it pressed Facebook, YouTube, Snap, Roblox and TikTok.
[1] -
03
Whether the under-16 ban will lower what children see.
It does not cover gaming or messaging apps, and 16- and 17-year-olds will still use social media, Internet Matters, a child safety group, points out.
[1] [5] -
04
How the Boston judge will rule on Medicaid's exemptions.
He said only that he would rule in the coming weeks, with about 70 days left before the rules start.
[10] -
05
When, or whether, the US definition of ultraprocessed food appears.
A planned August announcement was cancelled, and the plan is reported stalled after pushback from food firms and from President Trump's own officials.
[9] [10] -
06
Whether weight-loss drugs really cut drinking.
Heineken says they lower the desire to drink, while Carlsberg says the data do not show it.
[11] -
07
Whether nerve blocks help people with chronic pain enough to pay for.
Medicare's contractors call the studies small and short, while a pain doctor says averages miss the patients who gain most.
[14] -
08
Whether body heat explains women's higher autoimmune risk.
The finding is from one study of single temperature readings, and the effect of hormones has not been separated out.
[24]
Ofcom recorded falls in the harmful content children met on Minecraft, Call of Duty, YouTube, Pinterest and Facebook.
Also true today
- Wayne Davies, who had run himself into anxiety and sleepless nights, finished a 12-week NHS Wales course and now runs by how he feels on the day.
- Students who took dance classes at the University of Miami lost more of their fear of a racing heart over seven weeks than students in other classes.
More from Mind & Body
Across the beats