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Tuesday, October 06, 2026

America's 'Dead Sea' Was Once a Vast Freshwater Lake 10 Times Its Size

David Nield
Sun, October 4, 2026


Key takeaways

A new study published in Paleoceanography and Paleoclimatology reveals that the Great Salt Lake in Utah has experienced significant changes in size and salinity over the past 240,000 years.


We can often understand more about the future by looking into the past – and in the case of a new study published in Paleoceanography and Paleoclimatology, almost 240,000 years into the history of the Great Salt Lake in Utah.

In some areas, the lake is up to 10 times saltier than seawater (it has been called 'America's Dead Sea') and it's the largest saltwater lake in the Western Hemisphere.

The Great Salt Lake currently covers an area of around 4,144 square kilometers (1,600 square miles), but as the new study shows, it has been much larger – and much less salty – in the past.

Researchers from the US analyzed a 120-meter (394-foot) sediment core taken from the lake bed, dating its layers by the radioactive decay of the minerals it carried.

They also measured tiny chemical signals left by microbes to estimate salinity: as the concentration of salt in the water changes, so do the abundance and type of organisms living in it.



Maps showing the comparative size of Lake Bonneville, the drilling location (the yellow star), and other sites in the wider region. (So et al., Paleoceanogr. Paleoclimatol., 2026)

Two periods were identified when the water was much fresher, matching times when it covered a much wider area.

Past research has identified these bigger bodies of water as Lake Bonneville (from about 30,000 to 16,000 years ago) and Little Valley (from about 140,000 to 135,000 years ago).

The researchers say the size difference as the lake swelled and shrank is comparable to the difference between a puddle and a pond.

"If you scaled this up to the size of the present Great Salt Lake, that's probably what it looked like," says Earth scientist Rachel So, from the University of Southern California (USC).

"For most of the past 240,000 years, the lake stayed about the same size but briefly grew 10 times larger on two separate occasions."

Flat, step-like ledges cut into the mountains around the Great Salt Lake show where Lake Bonneville and Little Valley used to be, and suggest they were both around 300 meters deep.


Researcher Rachel So, working with part of the sediment core. (Rachel So)

This study adds a corresponding measure of saltiness. It seems the earlier Little Valley may have stayed somewhat brackish (still slightly salty), according to the sediment record, while Lake Bonneville was a genuine freshwater lake.

The researchers also call attention to the speed at which salinity rose again as the lake shrank. We're still talking about thousands of years, but it's abrupt in geological terms.

"The fact that the core spans two and a half glacial cycles allows us to see two fresh-to-salty transitions," says Earth scientist Sarah Feakins, from USC.

"It allows us to compare the two fresh lake events for their duration and freshness, to see how fragile and fleeting these moments are."

The researchers suggest extra incoming river water may help explain why Lake Bonneville lasted longer and stayed fresher than Little Valley.

They also draw parallels between the warming conditions that shrank these lakes at the end of different ice ages, and the climate change we're currently experiencing.

"Today we're warming the climate at an unprecedented rate," says Feakins.

"That warming makes the atmosphere thirstier, increasing the rate of evaporative drying from the soil and lakes across the region."


Waterfowl in the South Farmington Bay region of the lake. (Rachel So)

Historical lake records across Nevada, California, and Arizona follow a similar wet-to-dry pattern, evidence that the changing conditions of the time were affecting a wide region – and further verifying the Great Salt Lake findings.

Water leaves this huge lake mainly through evaporation, making it particularly vulnerable to changes in temperature and precipitation.

We also know that the last 240,000 years have seen another significant shift that needs to be considered: the demands that humankind is putting on the planet.

"People shouldn't use the defense that 'climate change happened naturally in the past and so the lake shrank' to justify shrinking lakes today as normal or a natural phenomenon," says So.

The research has been published in Paleoceanography and Paleoclimatology.

Friday, September 18, 2026

 Australia

Hidden caves beneath the Nullarbor revealed by subtle surface




Curtin University

Nullarbor Plain cave interiorNullarbor Plain cave interior

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Nullarbor Plain cave interior

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Credit: Matej Lipar





Mysterious trenches stretching for kilometres across southern Australia’s Nullarbor Plain have been revealed as the surface footprints of deep, hidden ancient cave systems.

 

New research involving Curtin University has found that shallow, sediment-filled trenches formed when underground caves gradually collapsed, eventually reaching the surface. This challenges the idea that they were carved out by flowing water, as their appearance might suggest.

 

The findings provide a new way to identify hidden cave systems in dry landscapes on Earth and could help scientists interpret similar features on Mars and other planetary surfaces.

 

Lead author Dr Matej Lipar, who at the time of the research was an Adjunct Research Fellow in Curtin’s School of Earth and Planetary Sciences, and is now at the Anton Melik Geographical Institute at the Research Centre of the Slovenian Academy of Sciences and Arts (ZRC SAZU), said the trenches were difficult to recognise as evidence of underground caves because their surface features were so subtle.

 

“From the surface, these features can look remarkably like shallow valleys or drainage channels, but our evidence shows they have a very different origin,” Dr Lipar said.

 

“By combining mapping, geophysical surveys, cave records and sediment analysis, we found these trenches are linked to deep cave systems beneath the Nullarbor Plain.

 

“Over time, the cave roofs progressively collapsed causing sagging of overlying material, eventually creating shallow depressions at the surface.”

 

Dr Lipar said the trenches can range from several kilometres to more than 20 kilometres long and are generally 100 to 500 metres wide, but at less than nine metres deep are hard to see on the huge expanse of the Nullarbor Plain.

 

“Because the landscape is so vast, it appears to be a flat, endless plain. But when we created exaggerated digital models of the terrain, the trenches became much easier to see and identify.” Dr Lipar said.

 

“Unlike typical valleys, the trenches don’t have connected streams or other signs that water once flowed through them. Instead, geophysical surveys found deep underground cavities, while several trenches lined up with known caves and areas where the ground has collapsed.”

 

The researchers also identified a progression from obvious cave-connected collapse features in the west to wider, more subtle trenches further east, showing how cave collapse can progressively reach the surface depending on the thickness of rock.

 

Curtin co-author Associate Professor Milo Barham, from the Curtin Frontier Institute for Geoscience Solutions (CFIGS) and School of Earth and Planetary Sciences, said the findings could change how scientists interpret similar subtle landscape features elsewhere.

 

“Cave systems are not always obvious from the surface, but the dry and stable landscape of the Nullarbor is excellent for removing a lot of “noise” to allow us to recognise subtle landscape characteristics,” Associate Professor Barham said.

 

“This gives us a useful set of indicators for identifying hidden cave systems elsewhere – including on other planets such as Mars.

 

“Caves are important as they can preserve evidence of past environments on Earth and impact our engineering and access to clean drinking water, while potential caves on other planets could provide protected subsurface environments relevant to the search for evidence of extraterrestrial life or act as bases for future astronauts.”

 

The study was supported by the Slovenian Research and Innovation Agency and also involved researchers from The University of Western Australia, La Trobe University, the University of Ljubljana, and The University of Queensland.

 

The full study, ‘Subdued surface expression of deep cave collapse’, was published in Communications Earth and Environment (DOI 10.1038/s43247-026-04016-7).

Thursday, September 17, 2026

 

Robotic help in high-risk twin pregnancies


ETH Zurich

Foetoscope

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The thin foetoscope is guided through the abdominal wall to the placenta. Small magnets in its tip react to an externally generated magnetic field, enabling the instrument to be bent with precision. The robotic platform is designed to occlude shared blood vessels in the placenta of twins with twin-to-twin transfusion syndrome.

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Credit: (Graphic created with BioRender.com: ETH Zurich)





In Switzerland, around 2,400 children are born as twins every year. When the foetuses share a placenta, they are connected to one another via blood vessels. If the blood circulation becomes unbalanced, this can be life-threatening for both, as too much blood flows from one foetus to the other. The condition known as ‘twin-to-twin transfusion syndrome’ (TTTS) affects around twenty to thirty women a year in Switzerland. To date, the only effective treatment is a highly complex operation that is performed by only a handful of specialists worldwide.

Researchers at ETH Zurich and doctors at the University of Zurich have set themselves the goal of making this operation easier and lifting its success rate. Currently, surgeons use a foetoscope for this purpose – a delicate endoscope designed for procedures on pregnant women. It contains a small camera and a channel through which a thin fibre guides laser light to the blood vessels in the placenta. In this way, surgeons are able to seal the vessels in the placenta that connect the two foetuses.

The fetoscopes in use today, however, are rigid. Depending on the position of the placenta, it can therefore be extremely difficult to reach all the affected blood vessels and seal them with the laser.

Magnetic control for greater manoeuvrability

In response to this situation the researchers and doctors have developed a flexible foetoscope with a diameter of just 3.2 millimetres, featuring a tip containing magnets. Three large electromagnets outside the patient’s body generate a controllable magnetic field, enabling them to bend the tip of the foetoscope, whereby the magnetic field is entirely innocuous.

The principle is similar to that of a compass needle: just as a compass needle aligns itself with the Earth’s magnetic field, the magnets in the tip of the fetoscope follow the externally generated magnetic field. If the magnetic navigation system changes direction, the tip of the instrument shifts as well. “We have achieved a bend of up to 173 degrees. This means we can easily reach even the hard-to-access vessels,” says Michelle Mattille, a postdoctoral researcher and lead author of a paper recently published in the journal Science Robotics, which presents the new robotic platform.

Navigating with a panoramic view 

The panoramic view is a second key component of the robotic platform. During minimally invasive procedures, surgeons can only see a small section of the surrounding area through the endoscope. Which means that they must therefore memorise the vessels they have already seen and the courses they run, which calls for a great deal of experience and concentration. 

The new system combines the individual endoscopic images in real time to form a panoramic image, enabling the surgeon to now select a target on this two-dimensional map. The fetoscope then navigates there automatically. Doctors, however, can take control at any time and steer the fetoscope manually using a PlayStation game controller. Software then translates the desired movement in the camera image into the corresponding change in the magnetic field.

Mattille was surprised by the extent to which the robotic procedure differed from conventional laser surgery. “Even the very steady hand of an experienced surgeon causes the foetoscope to wobble slightly. Our robotic platform, on the other hand, stabilises the tip and holds it much more steadily at the desired location to coagulate the vessels precisely,” as the researcher relates.

In experiments, the participants hit simulated targets far more accurately using the robotic system. “With the robotic system, the deviation was typically 140 micrometres, meaning it is more than four times more precise than conventional comparable instruments,” Mattille states.

Critical testing outside the laboratory 

An experiment on a pregnant ewe represented a key step towards the clinical application of the robotic platform. This marked the first time the researchers had left the controlled laboratory environment behind and tested the device under real-world conditions. They now had to contend with the animal’s breathing and heart rate, cloudy amniotic fluid, as well as suspended particles and a moving foetus.

“We spent a year preparing for the approximately three-hour animal experiment. We were the first group to successfully replicate the key steps of the procedure,” as Mattille states. 

Mattille developed the platform as part of her doctoral work, collaborating with researchers from ETH Zurich and the surgeons Nicole Ochsenbein of the University Hospital and Ueli Moehrlen of the University Children’s Hospital Zurich. Quentin Boehler, who worked on the project and now heads up the Medical Robotics Lab at ETH Zurich as Professor of Robotics, also played a key role. 

Following the successful tests, the team now intends to further develop the platform for use on humans. In this context, the researchers must, above all, conduct further safety assessments and refine the algorithms to create a robust system for clinical use. At the same time, they are developing additional assistance functions designed to provide targeted support for surgeons during the ongoing procedures. 

Also conceivable for other procedures 

In future, the technology could also be used over and beyond the field of foetal surgery. One possible application would be to assist with navigation during gastroscopies and cystoscopies, while mapping the areas being examined. This would also allow changes over time to be tracked precisely. “The requirements are somewhat different there, however,” says Mattille. “Instead of a relatively flat surface, as with the placenta, here, a three-dimensional cavity needs to be mapped.” 

The successful in vivo animal trial represents an important milestone on the path to robot-assisted procedures in foetal surgery: for the first time, researchers have succeeded in demonstrating the key steps of an TTTS procedure in a realistic environment. For Mattille, the motivation is clear: “Although TTTS affects only a small share of twin pregnancies, the procedure is a matter of life and death for these children.”

(Video: https://youtu.be/nHxl526S-S8?si=zynXwyn-J59qVOdu )
The system generates a panoramic view of the placenta from the endoscopic images, thereby facilitating navigation. (Video: Michelle Mattille / ETH Zurich) 

(Video: https://youtu.be/Z9y-dCsYmG4)
The video shows how the foetoscope moves over the placenta using magnetic control. Depending on the direction of the magnetic field, its tip bends in one direction or the other. (Video: Michelle Mattille / ETH Zurich) 

Reference 

Mattille M, Mesot A, Weisskopf M, Ochsenbein-Kölble N, Moehrlen U, Nelson BJ, Boehler Q: Advancing minimally invasive precision surgery in large open cavities with robotic flexible endoscopy. Science Robotics, 16 September 2026, DOI:10.1126/scirobotics.aed1470

 


Article Collection: AI and data-driven biomaterials



KeAi Communications Co., Ltd.






Bioactive Materials (Impact Factor: 23.6) is an international, peer-reviewed research publication covering all aspects of bioactive materials.

The journal welcomes the submission of research papers, reviews and rapid communications that are concerned with the science and engineering of next-generation biomaterials that come into contact with cells, tissues or organs across all living species. 

This collection features articles on “AI and data-driven biomaterials” published in Bioactive Materials. All articles are free to read and download.

AI-enabled organoids: Construction, analysis, and application

Bai, Long; Wu, Yan; Li, Guangfeng; Zhang, Wencai; Zhang, Hao; Su, Jiacan

AI-driven 3D bioprinting for regenerative medicine: From bench to bedside

Zhang, Zhenrui; Zhou, Xianhao; Fang, Yongcong; Xiong, Zhuo; Zhang, Ting

Harnessing the power of artificial intelligence for human living organoid research

Wang, Hui; Li, Xiangyang; You, Xiaoyan; Zhao, Guoping

Synchrotron microtomography reveals insights into the degradation kinetics of bio-degradable coronary magnesium scaffolds

Menze, Roman; Hesse, Bernhard; Kusmierczuk, Maciej; Chen, Duote; Weitkamp, Timm; Bettink, Stephanie; Scheller, Bruno

Emerging brain organoids: 3D models to decipher, identify and revolutionize brain

Zhao, Yuli; Wang, Ting; Liu, Jiajun; Wang, Ze; Lu, Yuan

Harnessing advanced computational approaches to design novel antimicrobial peptides against intracellular bacterial infections

Fang, Yanpeng; Fan, Duoyang; Feng, Bin; Zhu, Yingli; Xie, Ruyan; Tan, Xiaorong; Liu, Qianhui; Dong, Jie; Zeng, Wenbin

Throw out an oligopeptide to catch a protein: Deep learning and natural language processing-screened tripeptide PSP promotes Osteolectin-mediated vascularized bone regeneration

Chen, Yu; Chen, Long; Wu, Jinyang; Xu, Xiaofeng; Yang, Chengshuai; Zhang, Yong; Chen, Xinrong; Lin, Kaili; Zhang, Shilei

Quantum machine learning-based electrokinetic mining for the identification of nanoparticles and exosomes with minimal training data

Thakur, Abhimanyu; Bezerra, Pedro Correia Santos; Abhishek; Zeng, Shihao; Zhang, Kui; Treptow, Werner; Luna, Alexander; Dougherty, Urszula; Kwesi, Akushika; Huang, Isabella R.; Bestvina, Christine; Garassino, Marina Chiara; Duan, Fuyu; Gokhale, Yash; Duan, Bin; Chen, Yin; Lian, Qizhou; Bissonnette, Marc; Huang, Jianpan; Chen, Huanhuan Joyce

Lung cancer intravasation-on-a-chip: Visualization and machine learning-assisted automatic quantification

Wong, Christy Wing Tung; Lee, Joyce Zhi Xuen; Jaeschke, Anna; Ng, Sammi Sze Ying; Lit, Kwok Keung; Wan, Ho-Ying; Kniebs, Caroline; Ker, Dai Fei Elmer; Tuan, Rocky S.; Blocki, Anna

###

Contact the author:

Jessica Wang, jessica.wang@keaipublishing.com

The publisher KeAi was established by Elsevier and China Science Publishing & Media Ltd to unfold quality research globally. In 2013, our focus shifted to open access publishing. We now proudly publish more than 200 world-class, open access, English language journals, spanning all scientific disciplines. Many of these are titles we publish in partnership with prestigious societies and academic institutions, such as the National Natural Science Foundation of China (NSFC).

Journal

Manuscripts-turned AI agents can now ‘talk’ to each other, make new discoveries



Papers, reimagined as AI collaborators


Stanford Medicine





Since 1665, scholarly journals have stood as written record of scientific advancement — static words on a page, a reference written by people for other people to read. That’s about to change.

A team of Stanford Medicine researchers led by postdoctoral scholar Jiacheng Miao, PhD, and associate professor of biomedical data science James Zou, PhD, designed an artificial intelligence program called Paper2Agent that turns any scientific manuscript — including the text, figures and data — into an interactive AI agent that can chat about the paper and interact with other paper agents.

“For essentially all of human history, the way that we represent knowledge is in the form of these very passive artifacts,” Zou said. “In old times people carved knowledge into stones, and now we type knowledge into words on pages — but in some sense pages aren’t that much better.”

Zou is programming a major update to the centuries-old practice of manuscript publishing. “This is an opportunity to fundamentally reimagine what knowledge looks like. Instead of having only passive artifacts, why don’t we convert each static record into an active embodiment of knowledge?” Zou said. Think of it, he said, like a virtual author who knows how that knowledge is generated — one that’s capable of explaining it and extending it by connecting with other papers and initiating new collaborations.

A paper describing the AI work will publish on Sept. 16 in Nature. Zou is the senior author, and Miao is the lead author.

Manuscripts manifested

The paper agents can answer questions about the work, apply methods from the paper to new data and even engage in conversations with other paper agents. The transformation from paper to AI agent starts with a team of bustling AI “worker agents” that pore over a single published paper and any associated code and data. But they’re not just reading the paper. What’s the best way to learn? Do it yourself.

The agents try to reproduce the original research from scratch. In a virtual environment, the agents simulate the research documented in the paper, and through that process, they capture the know-how a reader would otherwise have to dig out manually, from reagents needed to the experimental setup and execution.

The agents store that knowledge using something called an MCP, or model context protocol.

“An MCP lets AI essentially represent a paper PDF in a form that’s easy for agents to access, almost like a filing system,” Zou said. Each section of the paper is stored in a different folder, while the introduction, methods, results and conclusion are all organized into a separate file that lives in a parent file of a given paper.

AI does the heavy lifting, but Zou and the other human authors still have a role. The manuscript won’t capture things like failed experiments or judgment calls behind experimental setups. So humans have to supply that context to the paper agent in conversational exchanges in which the agent can question the authors about the paper and research.

AI-to-AI collaboration

A “live action” embodiment of knowledge can be a boon for readers of scientific manuscripts who seek to deeply understand the research, but these paper whisperers can do something even more impressive. They can talk to each other. That kind of agent-to-agent collaboration could become a vast research network — one with potential to make real discoveries.

Zou and his team demonstrated the power of agent-to-agent collaboration by converting two unrelated papers into agents. One described a tool for predicting how genetic mutations affect the genome; the other described a genome-wide association study of the risk of developing attention-deficit/hyperactivity disorder. With both papers spun up into agents, the two began to find common ground. The genome prediction agent applied its knowledge to the ADHD dataset and flagged a molecular variant near a gene called MPHOSPH9 that’s associated with increased ADHD risk — a connection that, according to Zou, had not been reported before.

“In the past, if there are two research groups that publish two different papers, those two research groups have to somehow find each other,” Zou said. With paper agents, that overlap can surface without human legwork. Zou’s team chose these two initial papers and paired them for this demonstration, but the eventual goal, he said, is something closer to manuscript speed dating at scale: Millions of paper agents surfacing common ground among themselves and working together to produce new insights.

Checking knowledge as it’s built

Zou is careful to note that attribution still matters. Agents that extend a paper’s reach are meant to help disseminate the original researchers’ work, not obscure whose work it is. “It’s still important to attribute the final discoveries and reference them back to original papers and original human authors,” he said.

Zou also noted that the parameters under which agents collaborate — and make new discoveries — should be closely guided and monitored to ensure the agents’ collaborations prioritize safety and ethical research.

The team is still expanding what a paper agent can do, including working out how, at scale, thousands or millions of these agents might productively find each other. Right now, the team has created more than 100 paper agents, but eventually, Zou hopes most manuscripts will have an associated paper agent. “Millions of papers are published every year,” he said. “There’s enormous potential here.”

This work was supported by funding from the Chan-Zuckerberg Biohub.

# # #

 

About Stanford Medicine

Stanford Medicine is an integrated academic health system comprising the Stanford School of Medicine and adult and pediatric health care delivery systems. Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. For more information, please visit med.stanford.edu.

 

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DOI

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DOI

Article Title

As AI enters health care, are we ready?


In new perspective piece, researchers call for health-literate AI




CUNY Graduate School of Public Health and Health Policy






New York, NY | September 16, 2026 – Artificial intelligence is rapidly becoming part of how people seek, interpret, and act on health information. Yet the technology is advancing faster than the evidence needed to determine whether these systems actually help people understand what matters, make informed health decisions, and know what to do next.

A new perspective led by University of Alabama Professor Rebecca K. Ivic, PhD, with CUNY SPH Distinguished Lecturer Scott C. Ratzan, MD and Emory University School of Medicine Professor Emerita Ruth M. Parker, MD, introduces the concept of health-literate artificial intelligence and proposes four principles for designing and governing AI-mediated health communication: comprehension, agency, accountability, and proportionality.

“We are deploying AI into health contexts faster than we are building the evidence needed to know whether it actually helps people understand, decide, and act,” says Dr. Ivic.

As AI systems are used to answer questions about symptoms, summarize health guidance, interpret risk and support decisions, a technically plausible response may be provided, while still failing to communicate how urgent a situation is, how certain the information is, what alternatives exist, when professional care is needed, and how to garner human judgment and dialogue for appropriate decision-making.

The authors define health-literate AI as AI designed to align information, guidance, and responsibility with users’ abilities, contexts, and needs. The framework shifts attention beyond whether AI produces information that is technically accurate or explainable to whether people can understand what that information means, make informed decisions, and determine what to do next.

The four components are:

  • Comprehension: Can people interpret AI output in relation to their language, prior knowledge, and circumstances?
  • Agency: Does the information support meaningful and informed action, including clear choices and next steps?
  • Accountability: Are evidence, uncertainty, limitations, and responsibility visible?
  • Proportionality: Does the amount and urgency of guidance match the stakes of the situation?

Together, these components provide a basis for considering whether AI-mediated communication is fit for purpose in health-relevant settings.

“Given all the discussion and warnings about the potential harms of AI, we need expert thinking, research, and analysis that protects people from potential harms while realizing the promise of this new technology for health,” says Dr. Ratzan, co-chair of the Nature Medicine Commission on Quality Health Information for All and editor-in-chief of the Journal of Health Communication.

“Is AI in healthcare the holy grail or the tower of Babel?” asks Dr. Parker. “In medicine, there are immediate questions: Can all people understand and safely use what these systems tell them in order to improve health outcomes? Is its use cost-effective and also aligned with our human values?”

The framework builds on decades of health literacy research that has increasingly examined not only individuals’ skills but also how governments, organizations, and systems make health information easier or harder to understand and use. For over 30 years, Drs. Parker and Ratzan have contributed substantially to this body of work, including research on health literacy as a systems and policy concern. Dr. Ivic proposes a novel model for today’s digital information environment, examining how platforms, institutions, and emerging technologies shape the production, interpretation, and use of health information.

Rather than placing the burden entirely on individuals to interpret increasingly complex automated information, health-literate AI asks how the design and governance of AI systems themselves can support understanding and informed action. The authors also challenge designers to envision how AI could help operationalize affordability of healthcare, a long-standing, well-acknowledged goal that we have not achieved.  

“This model gives researchers, developers, and regulators a shared way to address a more consequential question,” says Dr. Ivic, commissioner of the Nature Medicine Commission on Quality Health Information for All and executive editor of the Journal of Health Communication. “The question is not simply whether AI can generate an answer, but whether people can understand it, use it, and act on it appropriately. Health-literate AI should do more of the work of making quality health information understandable, actionable, and accountable, with design and governance working together to advance responsible AI in health.”

The authors argue that this is particularly important in high-stakes or ambiguous situations. AI systems should distinguish among informing, advising, and deciding and make those roles clear to users. When automated output is insufficient, systems should also identify when human judgment, clinical evaluation, or ethical deliberation is needed.

“The goal is not to make people better at navigating increasingly complex AI,” Ivic says. “It is to give the field a way to begin measuring whether that is actually happening.”

The perspective argues that health literacy should not simply require people to adapt to increasingly complex technologies. As AI becomes an increasingly important intermediary between people and health information, the systems themselves should be designed around the people who must understand and use them.

The authors call for adoption of the principles of health-literate AI to inform design, evaluation, research, and governance across health-relevant AI ecosystems. They also point to an important evidence gap: More research is needed to determine whether AI actually improves comprehension, informed decision-making, and health-related action.

“AI in healthcare no doubt offers opportunities for innovation, but more research, guardrails, and regulation are needed to ensure its benefits clearly outweigh its risks,” says Dr. Parker. “Its design and use needs to enhance users’ abilities to understand and make decisions that improve health, are affordable, and consistently aligned with our human values.”

Ivic, R.K., Ratzan, S.C. & Parker, R.M. Building health-literate artificial intelligence. Nat Hum Behav (2026).

Media contact:

Ariana Costakes

Communications Editorial Manager

ariana.costakes@sph.cuny.edu

About CUNY SPH

The CUNY Graduate School of Public Health and Health Policy (CUNY SPH) is committed to promoting and sustaining healthier populations in New York City and around the world through excellence in education, research, and service in public health and by advocating for sound policy and practice to advance social justice and improve health outcomes for all.