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The nurse Lucy Letby tried to kill a premature baby by giving him fluids contaminated with insulin, her murder trial has heard.

The boy’s blood sugar levels fell dangerously low and his heart rate rose sharply after Letby intentionally added insulin to his intravenous feed during a night shift, Manchester Crown Court was told.

Letby, 32, is accused of attempting to kill the boy, known as Child F, less than 24 hours after she allegedly murdered his twin brother, Child E, by injecting air into his bloodstream.

The children’s real names cannot be revealed for legal reasons.

The nurse, who is originally from Hereford, denies murdering seven babies and the attempted murders of 10 others between June 2015 and June 2016.

Peter Hindmarsh, professor of paediatric endocrinology at University College London, told the court on Friday that poisoning was the only reasonable explanation for Child F’s sudden deterioration at the Countess of Chester Hospital’s neonatal unit in the early hours of 5 August 2015.

After the infusion of nutrients, which began after midnight, the boy’s heart rate surged to 200 beats per minute and his blood sugar fell to an “extremely low” reading.

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Intravenous refers to a way of giving a substance through a needle or tube inserted into a vein.

Prof Hindmarsh said that a commonly used synthetic human insulin known as Actrapid – a colourless solution – was administered via the infusion.

He said the brain is reliant on a “constant supply” of glucose to function and the dangers of low blood sugar included seizures, coma and sometimes death.

The boy’s glucose levels stayed low throughout the day shift of 5 August, even after the intravenous line and the connected bag containing the nutrients were replaced.

‘Low blood sugar for 17 hours’

Child F’s blood glucose only rose to safe levels after a decision to stop the nutrients from a second bag at 6.55pm and give him extra sugar independently, the court was told.

Prof Hindmarsh said it was apparent that the boy’s low blood sugar was “persistent” for those 17 hours.

During that time, Child F received twice the amount of glucose normally given to correct hypoglycaemia in a baby, he said.

Child F made full recovery

The witness agreed with Letby’s lawyer, Ben Myers KC, that the blood sample reading of high insulin came from the second stock bag so could not show what level was in the first bag attached in the early hours of 5 August.

But Prof Hindmarsh said similar blood glucose readings around the same period from one person were likely to mean they had a similar amount of insulin earlier in their system.

Child F went on to make a full recovery and was later discharged, the court heard.

The trial will continue on Monday.

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Protesters throw powder on Tower Bridge during London Marathon

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Protesters throw powder on Tower Bridge during London Marathon

Two pro-Palestinian demonstrators have thrown red powder on Tower Bridge – just moments before leading runners in the London Marathon went past.

The protesters were arrested on suspicion of causing a public nuisance and remain in custody, said the Metropolitan Police.

A video shared by Youth Demand, which is calling for a trade embargo on Israel, shows two people jumping over a barrier that separates spectators from the race course.

The pair, wearing t-shirts that say “Youth Demand: Stop Arming Israel”, are then seen standing in the middle of the road on the bridge.

Pic: LNP
Image:
Pic: LNP

They throw red powder in the air as an official marathon car goes past displaying the race time.

A motorbike with a cameraman on board continues along the route, while a second motorbike stops and one of the riders gets off and pushes the pair out of the way, just before the men’s elite runners pass.

Several police officers then jump over the barrier and detain the pair, the footage shows.

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There appeared to be no impact on the marathon.

More than 56,000 participants were expected to take part in the 26.2-mile race through the capital.

Sabastian Sawe of Kenya won the men’s elite race in a time of two hours, two minutes and 27 seconds, while Ethiopia’s Tigst Assefa shattered the women’s-only world record in two hours, 15 minutes and 50 seconds.

Assefa beat the previous best of two hours, 16 minutes and 16 seconds set last year in London by Kenyan Peres Jepchirchir.

Read more:
Sky’s Beth Rigby running marathon in honour of ‘dearest friend’
Badenoch does not rule out local coalitions with Reform

Pic: LNP
Image:
Pic: LNP

The Metropolitan Police said in a statement: “At around 10.38am, two protesters from Youth Demand jumped over barriers at Tower Bridge and threw red paint on to the road.

“Marathon event staff intervened to remove the protesters from the path of the men’s elite race which was able to pass unobstructed.”

The force added that they were “quickly supported by police officers who arrested the protesters on suspicion of causing a public nuisance”.

The Met said the paint “appeared to be chalk-based” and was not expected to “present a hazard to runners yet to pass this point”.

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Kemi Badenoch does not rule out local coalitions with Reform after next week’s council elections

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Kemi Badenoch does not rule out local coalitions with Reform after next week's council elections

Kemi Badenoch has not ruled out forming coalitions at a local level with Reform after the council elections next week.

Speaking to Sunday Morning with Trevor Phillips, the Conservative leader did however categorically rule out a pact with Nigel Farage’s party on a national level.

“I am not going into any coalition with Nigel Farage… read my lips,” she said.

However, she did not deny that deals could be struck with Reform at a local level, arguing that some councils might be under no overall control and in that case, “you have to do what is right for your local area”.

“You look at the moment, we are in coalition with Liberal Democrats, with independents,” she said. “We’ve been in coalition with Labour before at local government level.

“They [councillors] have to look at who the people are that they’re going into coalition with and see how they can deliver for local people.”

She added: “What I don’t want to hear is talks of stitch-ups or people planning things before the results are out. They have to do what is right for their communities.”

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A total of 23 councils are up for grabs when voters go to the polls on Thursday 1 May – mostly in places that were once deemed Tory shires, until last year’s general election.

It includes 14 county councils, all but two of which have been Conservative-controlled, as well as eight unitary authorities, all but one of which are Tory.

Ms Badenoch has set expectations low for the Tories, suggesting they could lose all the councils they are contesting.

The last time this set of councils were up for election was in 2021, when the Conservative Party was led by Boris Johnson who was riding high from the COVID vaccine bounce.

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Counter-terrorism police investigating after two women injured in Leeds

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Counter-terrorism police investigating after two women injured in Leeds

Counter-terrorism police are investigating after an incident involving a crossbow and a firearm left two women injured in Leeds.

Police were called to Otley Road at 2.47pm on Saturday to reports of a “serious incident involving a man seen with weapons”, West Yorkshire Police said.

Officers arrived at the scene to find two women injured – and a 38-year-old man with a self-inflicted injury. All three were taken to hospital, with the man held under arrest, but their injuries are not believed to be life-threatening.

“Two weapons have been recovered from the scene, which were a crossbow and a firearm,” Counter Terrorism Policing North East said in a statement.

The incident happened on the ‘Otley Run’ pub crawl, with one venue saying it was closed for the evening due to “unforeseen circumstances”.

Officers guard one of the crime scenes in Leeds
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Officers guard one of the crime scenes

Officers inside the cordon in Leeds
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Officers inside the cordon in Leeds

Counter Terrorism Policing’s statement added: “Due to the circumstances surrounding the incident, Counter Terrorism Policing North East have taken responsibility for leading the investigation with the support of West Yorkshire Police.

“Extensive enquiries continue to establish the full circumstances and explore any potential motivation.”

Home Secretary Yvette Cooper described it as a “serious violent incident” and said she was being kept updated by police.

“Thank you to the police and emergency services for their swift response,” she said. “My thoughts are with the victims and all those affected by this attack.”

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