jbaily travel reviews

Jbaily Travel

Jbaily Travel is a travel and tour agency located on Corniche El Mazraa St.

Guides 28 Mar 2024

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Travel Agency - The Travel Shop GSA Orient plus

The TravelShop GSA Orientplus is travel agency located in Beirut. Best travel packages from Lebanon to Bulgaria, Italy, Romania, Europe ...

Jbaily Travel

Jbaily Travel and Tourism is a leading travel agent and tour operator in Lebanon since 1990.

Travel Agency located in Beirut , Lebanon , we provide hotel reservation , Ticketing ,Travel Insurance, Travel Packages, Cruises,Tours in Lebanon, Honeymoon Packages, Recruitment of foreign domes…

MORCO TRAVEL & TOURISM

Morco Travel and Tourism is travel agency based in Lebanon - Kaslik - Acropolis center, as a general sales agent in Lebanon for the most important cruise lines in the Mediterranean, louis cruise…

Travel Book

Travelbook offers professional expertise earned in over 25 years of experience in the aviation, travel and tourism industry.

Brasilia Travel

Brasilia Travel, part of Brasilia Group, is a pioneer destination and travel management companywith over 60 years of experience

A City Travel

City Car has been operating since 1969; it is considered to be one of the top brands for customer loyalty, providing business and leisure clientele

Travel Sense ME

Love to Travel? That is our passion too! Business or Leisure, we provide solutions for all your travel goals. www.travelsense.me

BARAKAT TRAVEL

Barakat Travel is one of the Leading Travel Agencies in Lebanon offering its customers the ultimate and complete travel solution.

Bonzai Travel Design

HONEYMOON TRIPS - EXOTIC HOLIDAYS - LUXURY SERVICES - An experienced team is ready to design your trip and help you make the right choices.

Wild Discovery Travel & Tourism

Wild Discovery, affiliated to Johnny R. Saade holdings, is a leading global travel and destination management services company in Lebanon, Syria & Dubai.

Masar AlTawfik Travel Agency مسار التوفيق للسياحة و السفر

Check out this GoDaddy hosted webpage! http://masar-altawfik.com.

Tania Travel Lebanon

The leading Lebanese & world wide tour provider, we bring you the best offers to your favorite holiday destinations! +9611616555 +9611739682 +9614719601

Telco Travel & Tourism

#telcotravel With more than 20 years of experience,we have developed substantial expertise in the travel industry.

Kurban Travel

Kurban Travel is a destination specialist committed to delivering dreams. Meet us at www.gokurban.com and www.kurbantravel.com

Looking for online booking ticket, Kurban travel, honeymoon packages or flights from Beirut to Istanbul? Visit us at Gokurban.com.

Yas Travel & Tourism

Traveling is so easy, you just have to contact Yas Travel & Tourism

Alia Holidays

Alia Holidays designs your dream vacations and travel plans and have the world at your reach by offering a wide variety of tour packages

AVIT Holidays

www.avitholidays.com Beirut Cornish El Mazraa - Jammal Trust Bank Bldg - 1st Floor Tel 961 1 311 200 Mobile 961 70 90 92 90

CTS Travel & Tourism Hamra Branch

CTS is about memorable travel experiences, different approach & most importantly; the trustworthy & credible Travel Partner!- www.cts.com.lb

Tala Tours for Travel and Holidays

Tala Tours provides numerous services including Air travel, Tours, Excursions, Visa assistance, Hotel accommodation, Umrah and Hajj. Tala Holidays help to prepare a worry-free business trip. They…

Elite Travel & Tourism Co. SAL

Elite Travel is the Key to your Next Destination

New Plaza Tours

TRAVEL&TOURISM

Murr Travel

Nakhal & Cie

Nakhal is a leading travel agent and tour operator in Lebanon since 1959.

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‘The Greatest Hits’: Save your time

A time-travel romance falls victim to generic characters and clunky dialogue.

You know how a pop song from a moment in your past can bring that moment back to life in colors, smells, memories and emotions? “The Greatest Hits” takes that idea and literalizes it right into the ground.

The film is one of those romantic fantasies that enlists time travel as the primary obstacle keeping two people from getting together. Make that one of the obstacles; the others in “The Greatest Hits” are the heroine’s growing collection of vinyl records and her habit of wearing noise-canceling headphones wherever she goes. The course of true love never did run smooth.

Harriet (Lucy Boynton) is mourning the loss of her boyfriend Max (David Corenswet) in a car crash that also delivered a bonk to her noggin that allows her to whoosh back in time — but only when she hears a song that triggers a moment the couple had together. Thus the headphones; otherwise, the tunes streaming from supermarket speakers and other people’s car radios would have her constantly yo-yoing back and forth between then and now. The records she’s obsessively collecting are an effort to find the one song that might give her a chance to alter events and keep Max alive.

Does any of this make sense? Of course not. Time-travel romantic fantasy movies never make sense, and when they’re done right, that’s the source of their idiot charm. 2006’s “The Lake House,” which involves Keanu Reeves, Sandra Bullock and a magic mailbox, is a personal gold standard in this regard.

Complicating matters is that Harriet has met a cute guy at a grief counseling support group — that sentence alone announces we’re in Los Angeles — and is hesitant to open up and tell him about the whole trying-to-change-the-flow-of-history thing. David, who has lost both parents to either separate illnesses or just plain carelessness, is played by Justin H. Min, a likable actor who was the sensitive android of the little-seen “After Yang” (2022), a movie that you would be strongly advised to watch instead of this one.

What would it take to make “The Greatest Hits” work? For one thing, a music-rights budget that allowed for songs an average filmgoer might recognize, rather than tracks from the back 40 of Spotify or a disco remix of Roxy Music’s “To Turn You On.” For another, a script that avoids dialogue clunkers like “There’s a reason that in some languages, the word for love and the word for suffering is the same.” (I Googled it — didn’t find any.) Shopworn supporting stereotypes like the heroine’s sassy gay Black friend (Austin Crute) don’t help.

The prime offender, though, is writer-director Ned Benson’s inability to create three-dimensional characters, or even believable two-dimensional ones. Harriet is apparently a record producer, but we only know that from one dated reference to Alan Parsons and a brief scene of her telling singer Nelly Furtado to “add a little more compression on the drums”; otherwise, she’s an attractive blank space that Boynton strains too hard to fill in. The dead boyfriend, Max, is even more generic — a genial himbo with all the flavor of a catalogue model.

Benson made a stir with his debut, a three-film project called “The Disappearance of Eleanor Rigby” (2014) that looked at a relationship from his, her and their points of view. His belated follow-up, by contrast, has barely enough personality for one. But he gets points for including the dreadful Kars4Kids jingle as one of the audio jogs that sends Harriet tumbling back in time — for a brief moment, the rest of “The Greatest Hits” seems much less irritating in comparison.

PG-13. Streaming on Hulu. Drug use, strong language and suggestive material. 94 minutes.

Ty Burr is the author of the movie recommendation newsletter Ty Burr’s Watch List at tyburrswatchlist.com .

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Wonderful and Caring Travel Agency

All of our hotels reservations, guided tours, and other such reserved events were taken care of ahead of time so we did not have to worry while we were in Japan. Every thing that was planned for us was amazing and fun and on days when there were suggested visits, it was nice to have the freedom to do other things if needed or desired. Additionally, the agent checked in with us every day to ensure things were going smoothly during our stay.

Date of experience : December 04, 2023

A reliable partner for your first trip to Japan

For our first trip to Japan, we got to know Japan travel through Evaneos. The service was good from the beginning and our 15 days in Japan were well planned. It was a lot of fun and we can recommend the agency.

Date of experience : October 30, 2023

Last minute 5 star assistance

I was in Japan and needed some significant last minute assistance at the end of a cruise. I had booked 2 nights in Nikko but had not figured out my transportation options. Initially, I thought train would be easiest; but reading the schedules was difficult. I consulted Masa Danovitz with Japan Travel, and he advised against the tight train schedules because we had so much luggage and missing a train connection would create a significant delay. In just a 4 day period he managed to secure a private driver from Tokyo to Nikko, a full day tour guide in Nikko and a private driver from Nikko back to Tokyo during Nikko’s peak leaf season. This was nothing short of amazing. Phenomenal experience. Thank you, Masa!

Date of experience : November 01, 2023

My entire review is based on Masa…

My entire review is based on Masa Danovitz’s dedicated and outstanding service. Masa immediately took charge when my husband faced a medical challenge. He made new hotel and transportation arrangements and was our translator throughout our hospital visit. Masa was there for us - literally he stayed with us - from Sunday afternoon until we boarded the plane home Wednesday. We will forever be grateful!

Date of experience : October 27, 2023

Travel made Easy

My husband and I loved the itinerary created by Nancy. She was outstanding in planning all that we asked and did not hesitate to make changes when we asked. Our guides in Tokyo and Kyoto were so personable and made the experience even better. Japan Travel truly made our first trip to Japan magical.

Date of experience : September 29, 2023

Wonderful family trip in Japan

Thank you so much for arranging such a wonderful trip for our family. Though the weather was humid hot we totally enjoyed the sights and places visited. The hotels were located in choice areas. We were seated without waiting at the reserved restaurants, which made it much easier for our large group especially in the heat. Most of the coaches were big enough for each of us to take up two seats. June , an excellent tour guide, was attentive to details, caring, gave us very good information and even translated some of the Japanese menus for us before we ordered. We definitely will recommend Japan Travel to our friends.

Date of experience : August 01, 2023

A one in a million experience

Our experience was definitely one in a million. We’ve seen a lot of new places and made amazing memories with the help of Japan Travel. The hotels we’ve stayed at were in the best areas of the respective area, which made it easier for us to get around. Our travel agent was beyond helpful and would always reply quickly if we needed assistance. Overall, we absolutely enjoyed every day spent in Japan.

Date of experience : September 15, 2023

You can put your trust in them

Everyone was really human and professional, it was a pleasure to plan my trip with Japan Travel.

Date of experience : October 21, 2023

3 great weeks

The agency organized 3 weeks of tours with very competent guides in different places. Very well organized and very varied. It was a great pleasure to discover this beautiful country.

Once in a lifetime!

My husband and I had a once-in-a-lifetime trip to Japan, thanks to the planning done by Myaen at JapanTravel. We continue to be in awe of her organizational savvy, flexibility, and speed of response. She understood our specific desires for our trip and recommended hotels, restaurants, and activities that made our dreams come true. She also went above and beyond to make the navigation of the cities and trasportation super easy. At the end of our trip, we had a planning hiccup (that was completely our fault!) and she helped us solve the issue within the hour - pretty impressive considering it was 8:30pm on a Friday night! We are so appreciate of Myaen and highly recommend her to anyone planning a trip to Japan!

Date of experience : October 22, 2023

Susann was a wonderful travel agent

Susann was a wonderful travel agent. She went above and beyond the call of duty, making sure that all the details were covered. I traveled by myself and felt very safe because I knew she had my back. I would definitely use her again and recommend Susan and Japantravel to anyone considering traveling to Japan

Date of experience : September 01, 2023

Reply from Japan Travel

Dear Anne, thank you so much for your kind words. I had a lot of fun planning your dream trip to Japan together with you! All the best, Susann

Our custom itinerary was wonderful

Our custom itinerary was wonderful. We appreciated all of the logistics being taken care of, especially the car transfers and restaurant reservations. Our kaiseki meal in Tokyo was one of the best of our lives. They accommodated our specific requests for lodging, dining, and activities. We wish there was more pricing transparency.

Date of experience : September 23, 2023

Biking in Osaka

Feedback for Terrie 1. Hotel arrangements are good 2. Meal recommendations are great 3. Transport arrangements are ok. One point to note is that not all JR ticket office issues the rail pass with our ticket. 4. Navigation for the bike trail is generally ok n easy to follow especially when there is marked line on the road side. 5. Bike quality is ok at Shimanimi kaido . But the ones at Fuji Lakes are quite heavy. 6. When something went wrong with the bikes, it was good that timely action was taken to replace the bikes before we start the journey. A few questions : 1. If we prefer better quality bikes, can we get them from other locations n send them to our starting point instead of renting from the local operators. Understand that this would mean higher transportation costs, please indicate the approximate amount for reference only. 2. For Fuji lakes route, if we would like to do the 110 km but in 2 days, what can we do ? Can we not do round trip to avoid biking all the steep slopes between the lakes again. Or maybe a pick up for the return portion. 3. Heard from Yat that you can also help to arrange hiking trips. Please provide more information about this. 4. Please also make suggestions for both biking n hiking trails in Japan for our future reference.

Date of experience : September 22, 2023

Thanks Tessie for this great feedback. Addressing some of your suggestions/questions: 1. There are two options for better rental bicycles for both the Shimanamikaido and Fujigoko cycling areas, and that is either to go with drop handle road bikes, which are much lighter and faster, or to have us build some flat bar rentals on high-grade frames. Road bikes run about 50% more per day while special builds will be 2-3x more and come with a minimum number of days use. 2. Yes, steep slopes between some of the lakes around Fuji is always a challenge. Again, you really have two options: get road bikes with better/more gear ratios for slower uphill peddling - this is what I do personally, OR... electric bikes. I know that some people feel going electric is faking it, but they really are a lot of fun and are great for steeper hills. At the same time, you still can get genuine workout in between by adjusting your power assist settings. 3. Let us know which areas of Japan and degrees of difficulty you'd like to focus on for hiking and we can recommend both routes and guides. Please realize, though, that Japanese mountain hiking huts are fairly rough/primitive, so there will be a notable lack of home comforts on those legs. Personally, I like the wild parts of Shikoku's central mountain range. Not as great elevation as on Honshu, but still offering wonderful views and lots of nature. 4. In my mind the top cycling routes in Japan, in order, would be: a) Shimanami kaido (1-2 days) b) Noto peninsular (3-5 days) c) Kyoto-Biwako-Kyotango-Himeji (3-5 days) d) Chitose-Lake Toya-Niseko-Otaru loop (3-5 days) e) Kyushu western coast traverse (3-5 days)

They made it easy and enjoyable for us!

I used Japan Travel to plan a short multi-generational trip to Osaka, Kyoto and Tokyo. With 80-something parents and a teen son and tween nephew, I needed ideas and logistical planning to ensure a good experience for all ages. Masa and the team were very helpful in suggesting unique experiences that I would not have known about and arranging private vehicle transport to ensure our comfort throughout the hot summer trip. The guides were generally Japanese speaking Westerners who had resided in Japan for awhile, so they were easy to relate to and communicate with.

Date of experience : July 28, 2023

Great agency with fluent English speaking staff

Very helpful, professional, English speaking travel agent. They took time to explain in detail all sections of the trip (from transfers to what was included and what was not, from to hotel inclusions to tour/dinner options). They are very thoughtful and respond immediately. Beware of payment if you are not Japanese! Payment was a bit complicated. As a foreign resident, I cannot make bank transfers, so I had to pay in cash. Deadline came on a day when it was pouring rain...

Date of experience : October 22, 2020

Dear Gio da NYC, Thank you very much for your warm review, and for putting your trust in us! We deeply regret the inconvenient payment conditions this time, and will look into further improve our options for foreign residents with special residency status. Nevertheless, we are pleased to hear you enjoyed your stay with us, and will be looking forward to assisting you again! Warm Regards, Colas

We could not have had a better Japan experience with them!

For us the experience of going to Japan was wonderful, even more with the help of the agency, especially with the help of Kristy. All the enormous tips - suggestions - support. We could not have had a better Japan experience with them!!! One more time thank you!! Love from Germany Diana and David

Date of experience : August 22, 2020

Hi David & Diana, It has always been a wonderful experience working with you. Appreciate the feedback. Stay safe always, Kristy

Hokkaido: land of marvel

We travelled mainly in Hokkaido for about 2 weeks. We hired 2 cars as we were 11 people. Accomodation was provided by the agency and we have no complain at all. The people of my group were satisfied with the organization so I can warmly reccomand this agency. Giordano Dall'Armellina

Date of experience : August 29, 2020

Dear Giordano, thank you very much for the kind words! I'm really happy to see everyone liked the trip and the various services included. It was a pleasure being in contact with you and I hope to be able to do it again one day, maybe for a different part of Japan! Stay safe and have a great day :-) Davide

Perfect travel organisation

I have nothing to complain. They organised great holidays for us for a good price. Even when we made a mistake with our flight, the agency was very flexible and adapted the journey. We also had the chance to visit some rather unknown places with less tourists.

Date of experience : August 20, 2020

Dear Claudia, thank you so much for your positive feedback. We are happy that you had such a good time in Japan and wish you all the best. Fabienne

Brilliant Team, Amazing Experience

We are West London Community (UK) of Nurses, 37 of us went to Japan for 10 days. Japan Travel (tour agency) assisted us with our tour arrangements, Shinkansen, day trips etc. Colas Hauspie was excellent from the start of contact until the end of our journey. He made the travel preparations very easy and doable. He responded to emails very quickly and gave me plenty of tips to make our tour worth the time, money and effort. He also briefed me as the tour leader through video conferencing facility which was reassuring and very useful/organised. The tour guides and ground staff assisting my group were excellent and helpful. They were phenomenal and our group truly enjoyed the whole experience - stress/hassle-free. Our tour guide in Kyoto Sebastien was very organised, knowledgeable and helpful Our tour guide and ground staff in Hakone - Davide, Julie and Yoshiko (sorry might have forgotten her name) were very friendly, helpful and they went above and beyond during our trip to Hakone to ensure we were looked after well. We truly had fun that day travelling via the Ropeway and the Pirate Ship as well as having a great view of Mt Fuji. Yoshiko and Colas were extremely kind and caring as they assisted us very early in the morning during our transfer from the hotel to the train station for the Shinkansen journey to Kyoto. They also briefed us about the Shinkansen and how to organise ourselves during boarding/getting off. Overall it was an A***** experience! It was superb and a highly recommended team/agency. Keep it up!!!

Date of experience : April 04, 2023

Dear Ralph, This is Colas from Japan Travel writing: thank you so much for the great review and for inviting such a wonderful community and group to Japan! This has been a real pleasure arranging this tour for you and everyone that had accompanied your group on-site had a blast doing so! We sincerely hope and look forward to have the opportunity welcoming your community again! Warm regards, Colas & Japan Travel team

The Best in a Personalized Travel Experience

Thank you for all of your expertise in organizing our two-month trip through Japan. It worked beautifully and smoothly. Experiencing a trip is, for the traveler, the tip of the iceberg. I know well the massive office and back-of-the-house effort, knowledge, and commitment required to make a trip operate as smoothly and successfully as ours did. You made it happen. Your diligence and professionalism shined through in every aspect of our experience. And, the guides were outstanding—all of them helpful, knowledgeable, and good company. We realized from the minute we arrived that we needed Japanese-speaking guides, because outside of Tokyo we found little English and few Westerners. We will be forever grateful for Yasu, Max and especially Masa for taking care of us, especially with hopping on and off the Shinkansen and the rest of the transportation. They helped us organize our days according to sites that we wanted to visit. And they found excellent and unusual places for us to dine (and not expensive.) We spoke to you often about our three years of planning for the trip of a lifetime. That is exactly what you created and executed for us. So, it's a situation in which words are inadequate, leading us to resort to saying it three times for emphasis and passion: Thank you, thank you, thank you.

Date of experience : September 04, 2022

Dear Suzanne and Henry, Luca writing! On behalf of the whole Japan Travel team we would like to thank you for your kind words. It has been a pleasure taking care of you during your stay in Japan that stretched over 60 days and I am grateful I could be able to assist you in completing successfully your lifetime trip to Japan. The dedication and passion you put into this long awaited trip was remarkable and made our work much easier, we also kindly appreciate your continuous words of encouragement that lifted and supported us throughout the whole time. A sincere and heartfelt Thank You once again for having chosen us as your travel company and for being the best guests a travel company could ask for. It was great to meet you in person at your arrival in Haneda and to see you briefly again in Tokyo few days before your departure.

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This Iconic Hawaiian Resort on O'ahu Has a New Spa, Luxury Oceanfront Bungalows, and Many Family-Friendly Experiences

The 50-year-old Turtle Bay Resort on O'ahu's North Shore completed an extensive renovation that added some impressive new amenities.

Food and Drink

Activities and amenities, family-friendly offerings, sustainability, how to get the most out of your stay.

Courtesy of Turtle Bay Resort

When the sprawling Turtle Bay Resort first opened its doors on the tranquil North Shore of O'ahu in 1972, it boasted 808 oceanfront acres and was larger than the entire Waikiki area in Honolulu. Del Webb, the former owner of the New York Yankees, had developed it, hoping it would become the first casino in Hawai'i, but his dream would never materialize.

Yet, with its iconic Y-shaped design gracing the rugged coastline of Kuilima Point, the resort etched its name in history. Nestled near the Seven Mile Miracle, a renowned stretch of coastline housing some of the world's most famous surf breaks, including the Banzai Pipeline, the resort's narrative intertwined with the rich tapestry of surf culture. It became a haven for the sport's luminaries, hosting events and annual award ceremonies for the World Surfing League.

The property also remains the only full-service resort in this area of O'ahu , attracting families and travelers seeking a relaxing alternative to Honolulu's overdeveloped shoreline.

After a multi-year renovation completed in 2023, the first of this scale since its founding, the resort is ready for its next chapter as a meeting spot for surfers, North Shore visitors, and as a steward of the land it sits on.

Aside from updating its accommodations and public areas, one of the resort's most notable additions is a 469-acre farm that supplies fresh ingredients to its restaurants and the local community.

Turtle Bay Resort

• As the only full-service resort on O'ahu's North Shore, Turtle Bay boasts 1,300 acres of amenities that include seven beaches, a farm, golf courses, hiking trails, and stables.
• The new standalone bungalows are a game-changer for guests seeking privacy and luxe amenities in this part of O'ahu.
• Guests can participate in various activities, including many with a cultural focus, which enhance their understanding of Hawaiian history and culture.
• The 11,000-square-foot spa offers everything from beauty services to body treatments, facials, and customized retreat-like programs.

"Being on an island, especially on the North Shore, we're limited with our resources to offer high-quality, fresh ingredients to our guests. Having the farm on the property allows our chefs to work closely with the farmers and the farm's management team, Pono Pacific, to inspect and hand-pick seasonal ingredients for their dishes," Jon Gersonde, the resort's vice president and managing director, told Travel & Leisure. 

Los Angeles-based designer Dianna Wong and the architects of Honolulu firm WCIT Architecture have completely transformed the property itself. One of the most noticeable changes is the lobby, which is now completely open and greets guests with breathtaking views to the east and west, making it the perfect spot to catch the sunrise and the sunset. 

The space also features a large-scale mosaic floor art piece by Hawai'i-based artist Nick Kuchar, printmaking work by Abigail Romanchak, and a mural by North Shore native Jack Soren. 

The terraced pool deck now includes a chic infinity-edge adults-only pool, a hot tub, and a sun deck overlooking the remodeled family pool area and pool bar, Sunset, that serves a family-friendly menu.

The resort's spa, a sanctuary of relaxation, has been reimagined with 11,000 square feet of amenities. It offers a variety of wellness treatments inspired by the resort's serene setting, providing couples and solo travelers with the perfect opportunity to unwind and recharge at their own pace.

Here's what to expect from your stay at the newly reimagined Turtle Bay Resort on the North Shore of O'ahu.

Wong led the renovation of the 408 guestrooms and suites, for which she drew inspiration from the area's surfing heritage and the ocean as an everpresent element.

"The property's transformation embraces the natural splendor of Hawai'i by incorporating materials such as local monkeypod, organic fabrics, indigenous plants, and hand-woven artisan carpets," Gersonde explained. The color palette, too, invokes the resort's scenic setting and includes a calming spectrum of blues, greens, and creams, as well as pops of reds and deep oranges reminiscent of the sweet papayas growing on the resort's farm. Dramatic murals behind the beds depict crashing waves and remind guests of the natural power and beauty that makes the North Shore so famous. The interiors include a sitting area, private balconies, and floor-to-ceiling windows with ocean views from every room.

However, if privacy and tranquility are a priority (honeymooners, take notice!), upgrade to one of the resort's brand-new 43 bungalows (nightly rates from $1,999), located steps away from the ocean water, south of the resort's building. The newest addition to Turtle Bay's roster of accommodations offers guests a range of unique amenities that ensure an elevated experience. Guests check in in a separate area and are whisked away to their bungalow by their personal "host." The structures boast high ceilings, sophisticated design, spacious bathrooms with soaking bathtubs and walk-in showers, and a lounge area with a pull-out sofa. 

But my son and I spent most of our time enjoying the sights and sounds of the ocean on our private (and fully furnished) lanai.

Bungalow guests also have access to a range of exclusive amenities such as an adults-only pool and cruiser bikes, as well as many complimentary services like tours, priority beach club seating, tennis and pickleball courts, and mountain bike rentals. 

The property's new and renovated food and beverage venues highlight Hawai'i's natural bounty by offering guests various cuisines and dining settings.

"By eating at resort outlets, our patrons are helping to sustain the Ahupuaʻa land resource management we practice here as 80 to 90 percent of the items on our resort menus are sourced from our resort farm or community farmers [so they are ] not shipped, flown, or imported to the islands," said Ted Suter, the director of learning and development, referring to the ancient Hawaiian subdivision of land that starts at the top of a mountain and ends at the ocean.

The resort's most noteworthy addition is its Ocean Club Lounge, a bright and airy space with indoor and outdoor seating, where guests enjoy chef-prepared breakfast, lunch, and dinner appetizers in a buffet-style presentation and various drinks. Access to the Ocean Club Lounge can be arranged as an add-on to any room booking.

The resort's signature eatery, Alai'a, takes patrons on a culinary tour of the islands with a menu that celebrates seasonal produce and fresh seafood, such as Kona Kampachi Sashimi and Furikake Crusted Ahi. But meat lovers won't leave disappointed, either — various prime cuts and free-range chicken sourced from local vendors are also available.

Sundowners are best enjoyed in Off the Lip, a 25-seat lobby bar fronted by an infinity edge feature that amplifies those fiery sunsets.

The resort holds its popular Paniolo Lūʻau dinners every Wednesday near the stables, celebrating Hawaii's ranching tradition. The event starts with cowboy games, weaving lessons, and cocktails by the ocean and continues with a delicious dinner that includes a roasted pig slow-cooked in an imu (don't worry, there are also plenty of vegetarian and seafood options). The evening culminates with a Paniolo and hula show and a fire knife performance.

The list of experiences at Turtle Bay Resort is so long that you'll probably need to stay weeks, if not months, to participate in every single one of them, so narrowing it down to a few to keep you and your family occupied while you're there might be the most challenging task.

I booked a kayak sea turtle tour for my son and me, which took place in the stunning Kawela Bay, a short golf cart away from the resort. Not only did we thoroughly enjoy the company of at least a dozen turtles for the duration of the tour, but the tour guides went above and beyond by planning a treasure hunt for my son along the coastline after we got out of the water.

Of course, the North Shore is synonymous with world-class surfing. After the renovation was completed, Turtle Bay Resort was the first property to launch the Jamie O'Brien Surf Experience, a surf school in collaboration with one of the most popular surfers in the sport.

"Jamie is a North Shore native and a surf champion who has an infectious positive energy and who actually learned to swim in our pools when he was a kid. It was the perfect fit and place for him to start his school," Gersonade said. The school also offers adaptive surf lessons.

But even if you prefer land activities, you won't be bored. Golfing, hiking, horseback riding, bird watching, immersive farm tours, and mountain biking are just some of the ever-expanding list of activities. 

Guests also should take the chance to try their hand at some traditional Hawaiian activities, of which there are so many throughout the week, like wood carving, lei making, hula, ukulele, and canoe paddling.

"One day every month, we facilitate a Talk Story session in which a local cultural practitioner, artist, or athlete shares their knowledge with guests and community members," Suter added. He also noted that guests can volunteer on the second Saturday of each month to help reforest Kahuku Point, a stretch of beautiful coastline that's part of the resort grounds.

The natural theme continues in the property's reimagined Nalu Spa ( nalu means waves in Hawaiian) and fitness center. The treatment menu, which encompasses facials, skin therapies, and massages, incorporates local ingredients and techniques but also doesn't forgo modern result-driven advancements through partnerships with brands like 111Skin, founded by the plastic and reconstructive surgeon Dr. Yannis Alexandrides, and incorporating non-invasive hydrafacial technology.

The outdoor treatment rooms, especially the seaside Nalu Hale, are ideal for a relaxing massage while listening to the soothing sound of the nearby crashing waves. Even the gym features floor-to-ceiling windows with front-row views of swaying palms and the coastline, making working out while on vacation more enjoyable.

Turtle Bay Resort perfectly balances the fine line between being a relaxing sanctuary and delivering fun, family-friendly amenities . While the resort's pools are excellent, the true advantage of staying in this part of O'ahu is enjoying the quaint beaches, seven within walking distance from the property. 

We spent most of our time at Kuilima Cove, right next to the resort and perfect for snorkeling and swimming. The property's beach club is also here, adding comforts and conveniences to any beach day, including day beds, cabanas, sunloungers, umbrellas, beach gear, and all-day access to drinks and light bites.

The resort doesn't have a kids' club, but there are several activities that kids can enjoy on their own with members of the hotel's activities staff, such as hands-on horsemanship experience at the resort's stables or a surfing class.

Most of the property's cultural programming is also kid-friendly. My son and I took a lei-making class together in the lobby, followed by hula dancing and ukulele lessons.

The resort's sustainability efforts go beyond reducing plastic waste (there are reusable water bottles in each room) or its carbon footprint. The resort fosters a deeper connection with its guests by allowing guests to be active participants in preserving the land and the ocean. It also facilitates the implementation of mālama ʻāina, or caring for the land, an ancient concept at the heart of Hawaiian culture that extends the residents' responsibility to protect the islands to visitors.

"The recurring cultural message we strive to share with everyone here at the resort is that Hawaiian culture is alive and well — it is not a relic of the past, and that many of the land use practices and life perspectives we have embraced for centuries can make the world a better place today," Suter explained. "Being Hawaiian is not necessarily an ethnicity. It is a mindset that is about embracing and nurturing the land and community."

The addition of Kuilima Farm, and opening it to tours three times a week, the placement of informational signs across the property's grounds to educate guests on the historical significance of specific places, the preservation of endemic wildlife, and the beautiful cultural center that presents in a visually compelling way aspects of Hawaiian history and traditions allow guests to leave the island with a better understanding and appreciation of Hawai'i.

Turtle Bay Resort is located on the North Shore of O’ahu, about an hour's drive from the island’s Daniel K. Inouye International Airport (although, depending on traffic around Honolulu, it might take longer during certain times of the day). Many resort guests rent a car from the airport to explore the island, while some prefer to book an airport transfer (the hotel can arrange that for you) and stay on the property for the duration of their vacation.

Remember that rideshare services like Uber or Lyft are limited in this part of the island. However, a convenient bus stop is located in the resort’s parking lot. You can download the app ( TheBus ) and access schedules and bus stop information on the go.

Nightly rates at Turtle Bay Resort start from $700 and $1,999 for the resort's new ocean bungalows. For the bungalows, the rate includes unlimited access to the Ocean Club Lounge, with a breakfast and lunch buffet, evening bites, and drinks. If you book three nights at the bungalows, the resort will give you a fourth for free, plus a $200 resort credit. You can read more about this and other current offers here.

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• Published: 12 January 2022

Air pollution exposure disparities across US population and income groups

• Abdulrahman Jbaily   ORCID: orcid.org/0000-0001-9378-1819 1 ,
• Xiaodan Zhou   ORCID: orcid.org/0000-0002-9250-768X 2 ,
• Jie Liu 2 ,
• Ting-Hwan Lee 2 ,
• Leila Kamareddine 3 ,
• Stéphane Verguet 1 &
• Francesca Dominici   ORCID: orcid.org/0000-0002-9382-0141 3 , 4  

Nature volume  601 ,  pages 228–233 ( 2022 ) Cite this article

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Air pollution contributes to the global burden of disease, with ambient exposure to fine particulate matter of diameters smaller than 2.5 μm (PM 2.5 ) being identified as the fifth-ranking risk factor for mortality globally 1 . Racial/ethnic minorities and lower-income groups in the USA are at a higher risk of death from exposure to PM 2.5 than are other population/income groups 2 , 3 , 4 , 5 . Moreover, disparities in exposure to air pollution among population and income groups are known to exist 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 . Here we develop a data platform that links demographic data (from the US Census Bureau and American Community Survey) and PM 2.5 data 18 across the USA. We analyse the data at the tabulation area level of US zip codes ( N is approximately 32,000) between 2000 and 2016. We show that areas with higher-than-average white and Native American populations have been consistently exposed to average PM 2.5 levels that are lower than areas with higher-than-average Black, Asian and Hispanic or Latino populations. Moreover, areas with low-income populations have been consistently exposed to higher average PM 2.5 levels than areas with high-income groups for the years 2004–2016. Furthermore, disparities in exposure relative to safety standards set by the US Environmental Protection Agency 19 and the World Health Organization 20 have been increasing over time. Our findings suggest that more-targeted PM 2.5 reductions are necessary to provide all people with a similar degree of protection from environmental hazards. Our study is observational and cannot provide insight into the drivers of the identified disparities.

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Data availability

Data are available in the following GitHub repositories: https://github.com/NSAPH/National-Causal-Analysis/tree/master/Confounders/census and https://github.com/xiaodan-zhou/pm25_and_disparity .

Code availability

Code is available in the following GitHub repository: https://github.com/xiaodan-zhou/pm25_and_disparity.

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Acknowledgements

We thank R. Martin and J. D. Schwartz for providing the air-pollution data; B. Sabbath for cleaning and preparing the data sets; and L. Bennett for comments and discussions. We also thank J. Kodros for his comments on an earlier draft. This work was supported financially by grants from the Health Effects Institute (4953- RFA14-3/16-4), the National Institutes of Health (DP2MD012722, P50MD010428), the National Institutes of Health and Yale University (R01MD012769), the National Institutes of Health and National Institute of Environmental Health Sciences (R01 ES028033, R01ES026217, R01AG066793-01, R01ES029950, R01ES028033-S1), the National Institutes of Health and Columbia University (1R01ES030616), the Environmental Protection Agency (83587201-0), The Climate Change Solutions Fund, and a Harvard Star Friedman Award.

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Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA

Abdulrahman Jbaily & Stéphane Verguet

Environmental Systems Research Institute, Redlands, CA, USA

Xiaodan Zhou, Jie Liu & Ting-Hwan Lee

Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, USA

Leila Kamareddine & Francesca Dominici

Harvard Data Science Initiative, Cambridge, MA, USA

Francesca Dominici

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Contributions

A.J., S.V. and F.D. contributed to the study design. A.J. led the research, with support from X.Z. and supervision from F.D. Maps and videos were prepared by X.Z., J.L. and T.-H.L. A.J. drafted the manuscript, with support from L.K., S.V. and F.D. All authors read and approved the final manuscript for submission.

Corresponding authors

Correspondence to Abdulrahman Jbaily or Francesca Dominici .

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The authors declare no competing interests.

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Nature thanks Corbett Grainger, Jonathan Levy, Arden Pope III and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. Peer reviewer reports are available.

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Extended data figures and tables

Extended data fig. 1 summary pm 2.5 metrics across racial/ethnic and income groups..

a , The population-weighted average of PM 2.5 decreased by 40.4% from the year 2000 to 2016. b , Population-weighted average PM 2.5 concentration across the different racial/ethnic communities for 2000 to 2016, showing that Black and Native American populations live in the most- and least-polluted areas, respectively.  c , Population-weighted average PM 2.5 concentration across racial/ethnic communities as a function of ZCTA racial/ethnic population (%) for 2016. For example, when the racial/ethnic population percentage is equal to 0.2, the red curve includes every ZCTA where the Black population is 20% or more, and the blue curve includes every ZCTA where the white population is 20% or more. As a ZCTA’s Black and Hispanic or Latino populations increase, the PM 2.5 concentration levels increase. The opposite effect is seen for the white and Native American communities. d , The population-weighted average PM 2.5 concentration across the income groups reveals that the low-income group has been exposed to only slightly higher PM 2.5 levels than the high-income groups since 2004. e , Population-weighted average PM 2.5 concentrations across the different racial/ethnic communities that are in the low-income group, for 2000–2016. f , Population-weighted average PM 2.5 concentrations across the different racial/ethnic communities that are in the high-income group, for 2000–2016. Panels e , f show similar differences in average PM 2.5 concentrations across the racial/ethnic groups as seen in b .

Extended Data Fig. 2 Average PM 2.5 concentrations across the US.

a , Distribution of PM 2.5 in 2000. b , Distribution of PM 2.5 in 2016. Supplementary Video  1 shows the change in the distribution of PM 2.5 concentration levels in the US from 2000 to 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Extended Data Fig. 3 Average PM 2.5 concentrations across ZCTAs in which different racial/ethnic groups are overrepresented.

a , Distribution of PM 2.5 across five different maps for 2000, each showing the ZCTAs in which one race/ethnicity group is overrepresented. b , Distribution of PM 2.5 across five different maps for 2016, each showing the ZCTAs in which one race/ethnicity group is overrepresented. Supplementary Videos  2 , 3 show the change in the distribution of PM 2.5 concentrations across the five maps from 2000 to 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Extended Data Fig. 4 Distribution of racial/ethnic populations above a PM 2.5 threshold of 8 μg m −3 for 2000 and 2016.

a , US ZCTAs for each race/ethnicity are ranked on the basis of the ratio of the race/ethnicity population to the total ZCTA population. Dark blue indicates fractions close to 1 (ZCTAs in which the corresponding race/ethnicity most lives), and light yellow indicates fractions close to 0 (ZCTAs in which the corresponding race/ethnicity least lives). b , US ZCTAs with PM 2.5 concentrations higher than 8 μg m −3 in 2000. c , US ZCTAs with PM 2.5 concentrations higher than 8 μg m −3 in 2016. Supplementary Videos  5 – 8 show the distribution of the different racial/ethnic groups across multiple ranges of PM 2.5 concentrations for 2000 and 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Extended Data Fig. 5 Supplementary measures of relative disparities in exposure to PM 2.5 among racial/ethnic groups for 2000–2016.

a , The Atkinson index is computed to measure relative disparities among the racial/ethnic groups (Black, white, Asian, Native American and Hispanic or Latino). b , The Gini index is computed to measure relative disparities among the racial/ethnic groups (Black, white, Asian, Native American and Hispanic or Latino). The trends in both indices are similar to that measured by CoV (Fig. 4 ): racial/ethnic disparities in exposure to air pollution relative to pollution levels at or below the EPA standard are increasing. The Atkinson and Gini indices were computed using the inequality package ‘ineq’ in R software. The input is the proportion of the racial/ethnic (or income) groups living above the set PM 2.5 threshold. We set the Atkinson aversion parameter, ε , to 0.75 (ref. 7 ); the sensitivity of the index to different values of ε is shown in Extended Data Fig. 6 .

Extended Data Fig. 6 Sensitivity of the Atkinson index to the inequality aversion parameter ε .

a , Sensitivity of the Atkinson index relative to a PM 2.5 threshold of 8 μg m −3 . b , Sensitivity of the Atkinson index relative to a PM 2.5 threshold of 10 μg m −3 . c , Sensitivity of the Atkinson index relative to a PM 2.5 threshold of 12 μg m −3 . A consistent trend is shown across the parameter values.

Extended Data Fig. 7 Replication of the main findings across urban and rural areas.

A ZCTA’s population density is used as a metric to control for urbanicity in our study. We classify urban and rural areas on the basis of the percentage of the urban population in each ZCTA; such percentages are available from the US Census Bureau for 2010. ZCTAs with an urban population of more than 50% are classified as urban, whereas those with an urban population of less than 50% are classified as rural. For nationwide, urban and rural US, we reproduce our main results: namely, the average PM 2.5 concentrations for the total population ( a – c ), for racial/ethnic groups ( d – f ) and for income groups ( g – i ), as well as disparities among racial/ethnic groups ( j – l ). Similarities in the results across the national, urban and rural US are apparent and findings are consistent regardless of the urbanicity of ZCTAs. Note that in the case of the rural US, we only compute disparities ( l ) for the years in which the proportion of the population exposed to PM 2.5 concentrations above the thresholds of interest is non-zero. For example, the proportion of the population in the rural US that is exposed to PM 2.5 concentrations above T  = 12 μg m −3 reaches near-zero levels in 2009, and hence disparities after this year are not computed.

Extended Data Fig. 8 Sensitivity of our main findings to estimates of PM 2.5 .

We replicated our analysis using an independent pollution data set 43 , 44 , and we show here the sensitivity of our findings to the new PM 2.5 estimates. a , Replication of Extended Data Fig. 1b using the alternative data set. b , Replication of Extended Data Fig. 1d using the alternative data set. c , Replication of Fig. 4 using the alternative data set. Our main findings are robust and consistent across the two data sets. (Minor differences resulting from the different pollution estimates can be spotted, as expected.).

Supplementary information

Peer review file, supplementary video 1.

Average PM 2.5 concentration levels across the US by ZCTA and by year from 2000 to 2016. The colour ramps from green to red represent PM 2.5 levels of 0–7, 7–8, 8–9, 9–10, 10–11, 11–12, 12–30 µg m – 3 . As the animation moves forward, we sequentially see the PM 2.5 levels from 2000, 2001, 2002, up to 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 2

Average PM 2.5  concentration levels for the ZCTAs where the racial/ethnic communities are overrepresented for the years 2000 to 2016. The colour ramps from green to red represent PM 2.5 levels of 0–7, 7–8, 8–9, 9–10, 10–11, 11–12, 12–30 µg m – 3 . At the top-left, we highlight ZCTAs where the Black population fraction is higher than 7%. At the top-right we highlight ZCTAs where the white population fraction is higher than 84%. At the bottom-left we highlight ZCTAs where the Hispanic/Latino population fraction is higher than 9%. At the bottom-right we highlight ZCTAs where the Asian population fraction is higher than 2%. As the animation moves forward, we sequentially see the PM 2.5 levels from 2000, 2001, 2002, up to 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 3

An extension of Supplementary Video 2 to the Native American population. We show ZCTAs where the Native American population fraction is higher than 1%. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 4

Average PM 2.5  concentration levels across low- and high- income ZCTAs for the years 2000 to 2016. The colour ramps from green to red represent PM 2.5 levels of 0–7, 7–8, 8–9, 9–10, 10–11, 11–12, 12–30 µg m – 3 . On the left, we highlight low-income ZCTAs where the median household income is at the bottom 30%. On the right, we highlight high-income ZCTAs where the median household income is at the top 30%. As the animation moves forward, we sequentially see the PM 2.5 levels from 2000, 2001, 2002, up to 2016. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 5

Distribution of the racial/ethnic communities across levels of PM 2.5  concentrations in 2000. The continuous colour ramps from light yellow to dark blue and represents the quantile of the percentage of racial/ethnic communities across ZCTAs from low to high. As the animation moves forward, we sequentially see which racial/ethnic communities are exposed to PM 2.5 levels above 0, 7, 8, 9, 10, 11, 12 µg m – 3 . Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 6

An extension of Supplementary Video 5 to the Native American population. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 7

Distribution of the racial/ethnic communities across levels of PM 2.5  concentrations in 2016. The continuous colour ramps from light yellow to dark blue and represents the quantile of the percentage of racial/ethnic communities across ZCTAs from low to high. As the animation moves forward, we sequentially see which racial/ethnic communities are exposed to PM 2.5 levels above 0, 7, 8, 9, 10, 11, 12 µg m – 3 . Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

Supplementary Video 8

An extension of Supplementary Video 7 to the Native American population. Note that Hawaii and Alaska are not shown. Imagery provided courtesy of Esri, HERE, Garmin, FAO, NOAA, USGS, ©OpenStreetMap contributors, and the GIS User Community.

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Jbaily, A., Zhou, X., Liu, J. et al. Air pollution exposure disparities across US population and income groups. Nature 601 , 228–233 (2022). https://doi.org/10.1038/s41586-021-04190-y

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DOI : https://doi.org/10.1038/s41586-021-04190-y

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Race Across the World review: Return of BBC smash proves travel is best without a smartphone

The hit bbc travel-adventure show returns for its fourth series, and is best understood as being like tourism but in a more intense, concentrated and indeed exhausting form, article bookmarked.

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I have to admit that I find travel so exhausting that I’m at a loss as to why anyone would willingly watch an episode of Race Across the World , let alone have the stamina to keep up with the whole nine hours of viewing that lies before us.

Having tagged along vicariously for the first leg of their journey, north to south across most of Japan, Race is best understood as being like tourism but in a more intense, condensed, concentrated and indeed exhausting form. The five pairs of contestants, ranging from annoying siblings barely in their twenties to a reassuringly mellow couple in their sixties, are tasked with travelling from snowy Sapporo in northern Japan down to the paradise island of Lombok in Indonesia, via various waypoints in Korea, Cambodia and Malaysia – some 15,000 kilometres in total.

Just like any backpacking holiday, the idea is that you move as fast as possible for the least cost (the budget is fixed at £1,390, the price of two air tickets from Japan to Indonesia), and in order to make the best of the adventure try and squeeze in some sightseeing, local culture and pick up a bit of casual work along the way to pay the bills. So it is a race, in the sense that you want to get to the checkpoints and to Lombok first, and win the £20,000 prize money, but to do it within budget and with some actual pleasure along the way. It’s all about balancing these priorities, and that essential nuance gives the show its charm. The only forms of transport that are banned are planes and the ultra-fast Japanese bullet trains, which would spoil the vibe. They should probably call it “The Sort-of Race Across the World”, if accuracy is the thing.

This, therefore, isn’t a full-on scramble, like some version of Challenge Anneka or a leisurely, carefree Portillo-esque travelogue , but one where the contestants have to find a more optimal vacation balance. It was interesting that the winners on this first Japanese leg are Eugenie and Isabel, a mother and daughter who took a pretty long detour to see the isolated, tranquil and lovely offshore island of Sado, on the “wrong” coast from the point of view of sheer speed. It’s so off the beaten track, even for the Japanese, that it was once used as a place of exile for out of favour politicians and the like.

Yet they still arrived, after five days on the road and having missed a connection, two minutes before twins Alfie and Owen, who just about managed to squeeze in a glimpse of Mount Fuji along their supposedly efficient but actually overly panicky and rushed route. It seems that Isabel’s impressive attempt to get a random Japanese boy to teach her the language on a long bus ride paid off; public signage makes little concession to the foreigner, and the universally friendly citizenry speak surprisingly little English. Our contestants don’t remark on it, but Japanese society is an evidently self-sufficient affair, something visitors always find a novelty.

Stephen and Ivy, the retired couple, aren’t that bothered about coming first, and took their opportunity to tarry at a wasabi farm, pulling up roots, burning their mouths off and cadging a useful lift. Maybe it was something about the famous sauce, but Ivy unloaded how “unintentionally offensive” her husband of many years is, just as he’s asking his hosts how old they all are: “Some have learned to tolerate him, but I love him”. Touching.

What’s also striking about Race Across the World , and something sadly impractical in the “real” world away from reality TV, is how much richer the travel experience of all those involved is because they are deprived, under the rules of the show, of their smartphones. They end up exploring their relationships with their journey partners as much as the picturesque countryside and bustling cities.

The young siblings from Yorkshire, Betty and James, for example, seem to be getting to know each other for the first time on Japanese trains and in random cafes, despite having grown up together. Something similar is also true of the two sets of mum and daughter: Eugenie and Isabel, and Sharon and Brydie. Thrown together and almost forced to talk to one another rather than scrolling through social media, their personal odyssey acquires an emotional and, around the Buddhist shrines, a spiritual dimension. As noted by young James, an unimaginative traveller by his own admission, you don’t get that with a week “having it off in Ayia Napa”. A different kind of pursuit, that.

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Review of gender services has major implications for mental health services

Cass report calls for move away from mainly medical treatment as part of dramatic shift in approach to gender dysphoria

• Thousands of children unsure of gender identity ‘let down by NHS’
• Key findings of the NHS gender identity review

A long-awaited review by consultant paediatrician Hilary Cass into the NHS’s gender services for children calls for a dramatic shift in the type of treatment offered to children and young people with gender dysphoria.

The report proposes that instead of being offered mainly medical treatment, young people referred to NHS gender services should “receive a holistic assessment of their needs to inform an individualised care plan”, meaning that questions of gender identity should be treated alongside other possible mental health concerns.

It found that a medical pathway, such as puberty blockers, would not necessarily be the best option for children with gender dysphoria, and should not be provided “without also addressing wider mental health and/or psychosocially challenging problems”. The review suggests this “should include screening for neurodevelopmental conditions, including autism spectrum disorder, and a mental health assessment”.

The idea of a holistic assessment has so far been welcomed by medical experts, such as Dr Lade Smith, the president of the Royal College of Psychiatrists, who said: “Children who are gender questioning also commonly experience mental illness. It is extremely important that every child who is gender questioning has timely access to services that are holistic and respond to their individual needs.”

But the proposals will have major implications for wider children’s mental health services, which are already overstretched.

The waiting lists for gender-affirming care on the NHS are incredibly long. As of August 2022, there were 26,234 adults waiting for a first appointment with an adult gender dysphoria clinic, of whom 23,561 had been waiting more than 18 weeks. The number of children on the waiting list was approximately 7,600, of whom about 6,100 had been waiting more than 18 weeks.

In October, a coroner concluded that long waiting lists and barriers that prevent transgender people accessing gender-affirming care in the UK contributed to a decline in the mental health of Alice Litman, a young trans woman who killed herself in 2022.

The Cass report acknowledges that long waiting lists are a barrier to the NHS’s ability to provide effective gender-affirming care. It states: “It is only when they have been on very long waiting lists, and sidelined from usual care in local services, that they are forced to do their own research and may come to a single medical answer to their problems.”

However, general mental health services for young people are no better.

More than a quarter of a million (270,300) children and young people in England are still waiting for mental health support after being referred to children and young people’s mental health services in 2022-23, according to the children’s commissioner.

Between July and September of last year, children and young people who had an appointment for suspected autism had waited on average nine months (295 days) after their initial referral. This is despite the National Institute for Health and Care Excellence recommending that people with suspected autism should be diagnosed within three months of a referral.

Cass’s report said long waiting lists for gender services were in part due to an “unprecedented” increase in demand in recent years, which created “an unsustainable service model”. “Prior to 2009, Gids (the gender identity development service) did not attract significant attention. At that time, the service saw fewer than 50 children a year, with even fewer receiving medical treatment,” the report states.

Since the closure of the Gids clinic at the Tavistock and Portman NHS foundation trust in London in 2023, NHS England pledged to open eight regional clinics delivering a “different model of care”. The report has welcomed this, saying the regional centres “should allow care and risk to be actively managed … reducing waiting times for specialist care”. But since only one of these regional centres has opened, waiting lists will remain high for the foreseeable future.

• Transgender
• Mental health
• Health policy

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‘Children are being used as a football’: Hilary Cass on her review of gender identity services

Thousands of children unsure of gender identity ‘let down by NHS’, report finds

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