Health officials have raised concerns that some migrants have been moved from a processing centre in Kent to other parts of the country while suffering from suspected diphtheria.
There have been dozens of suspected cases of diphtheria among those who have left the Manston processing centre in recent weeks, according to The Sunday Times.
Post-mortem examinations are continuing, however, meaning the official cause of death cannot yet be confirmed.
Some officials have now voiced concerns that the Home Office is being reckless in allowing the migrants to be sent around the country without being properly screened.
Professor Jim McManus, head of the Association of Directors of Public Health, told Sky News: “We learned with Afghan refugees that the Home Office and directors of public health can work together very constructively to address the health issues of refugees.
“Sadly, that hasn’t been the case this time and as a result we’ve seen preventable diseases spread across the country, harming refugees and costing us much more than preventing them would have done. To say this is regrettable is an understatement.”
Transport Secretary Mark Harper told Sophy Ridge on Sunday he believes diphtheria cases now present in the UK were contracted before they arrived in the country and stressed that there is a “low risk in the wider community”.
It is understood that there has been an increase in the number of asylum seekers with diphtheria across Europe, with the situation worsening since October.
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And many come from countries where diphtheria vaccination is not routine, as it is in the UK.
Officials fear screening arrangements at Manston have broken down, and that regional health chiefs are not informed before migrants are moved into their areas, with no record of whether they have been screened, infected, exposed, or are being treated.
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Home Sec admits migration failure
As of 10 November, the UK Health Security Agency (UKHSA) had identified 39 diphtheria cases in asylum seekers in England in 2022. But it is understood cases had risen to about 50 in an update on Friday.
Officials could not rule out the number of cases suspected by medics as being higher.
Diphtheria is a highly contagious infection that affects the nose and throat, and sometimes the skin.
It can be a serious illness and sometimes fatal, especially in children, if it is not treated quickly but vaccination can prevent it, according to the NHS.
The UKHSA said: “The risk of diphtheria to the wider public remains very low, due to high uptake of the diphtheria vaccine in this country, and because the infection is typically passed on through close prolonged contact with a case.
“In order to limit the risk of diphtheria being passed on within asylum seeker settings, UKHSA continues to recommend that individuals arriving at reception centres, and who have moved on recently, are offered a diphtheria vaccine and preventative treatment.”
Diphtheria cases are usually expected to isolate, along with any contacts.
A Home Office spokesperson said: “We work closely with a range of partners within the community including local authorities and health leads to make sure information is shared in a timely way and that everyone leaving Manston is given access to appropriate treatment.
“As the UK Health Security Agency have made clear, the risk of diphtheria to the public is very low, due to high uptake of the diphtheria vaccine in this country and because the infection is typically passed on through close prolonged contact with a case.
“We take both the welfare of those in our care and our wider public health responsibilities extremely seriously. As such, we continue to work closely with the NHS and UKHSA to support the individuals affected and limit the transmission of infection.”
The drive into the village of Jiljiliya is not what you expect on the West Bank. Imposing mansions line the route, with grand gates and lavish decorations.
That’s because this is where Palestinian Americans return to build their dream homes after years of hard work in the land of opportunity.
Like Omar Assad who came back after 45 years in Milwaukee. But for him, retirement was neither long nor happy. It was cut brutally short one freezing night in January 2022.
He was returning from a game of cards when he was stopped at a makeshift checkpoint set up by the notorious Israeli army unit, Netzah Yehuda.
The IDF says he did not cooperate so the 78-year-old was detained with force.
Mraweh Mahmoud was with him.
“They took us down from the car and pushed me by the head,” he told Sky News. “The soldier was standing there and put an M16 in my head and said now I’ll shoot you.”
Mr Assad was tied up, gagged and blindfolded, Mr Mahmoud said, and forced to lie next to him. When the soldiers eventually left Mr Mahmoud realised Mr Assad was dead.
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“I took his jacket off his head, I checked there’s no pulse, I shouted Omar, Omar,” he said.
Palestinian doctors say Mr Assad died in freezing temperatures of a stress-induced heart attack. An Israeli military report condemned the soldiers’ “moral failure and poor decision-making”.
No link between death and soldiers’ errors, military prosecutors say
Netzah Yehuda’s battalion commander was reprimanded and two officers were dismissed but Israeli military prosecutors decided against pursuing criminal charges because they said there was no link between the errors made by soldiers and Mr Assad’s death.
But now the unit the soldiers came from is expected to be singled out by the US government and cut off from American funding, in the first-ever such move against any part of the Israeli military.
Reports claim the US State Department will apply the so-called Leahy Law against the unit, which prohibits US assistance to foreign military units guilty of gross human rights violations when their government fails to take sufficient action.
Why has Netzah Yehuda become infamous?
The Netzah Yehuda battalion was set up to help ultra-orthodox Jews serve in the army. It mixes religion and soldiering. But in its ranks are also elements of extremist settler groups.
It has become infamous, implicated in one case of alleged abuse of Palestinians after another, many of which its soldiers have filmed on their own phones. Its soldiers have been prosecuted for human rights violations and accused of unlawful killings, electrocution, torture and sexual assault.
Israel’s government has fought a rearguard action against the looming US action.
Its prime minister called the prospect absurd and its defence minister Yoav Galant showed solidarity with the battalion’s soldiers this week saying “no one in the world can teach us about morals and values”.
But one organisation of ex-soldiers opposed to Israel’s occupation of Palestinian territories says the Israeli government knows this could be just the beginning of action against its military.
‘They’re terrified of the possible results’
Ori Givati from the NGO Breaking the Silence told Sky News: “They understand that this might open the Pandora’s box of what the occupation really is, and how it looks like to occupy millions with the military.
“And if that Pandora’s box will be opened and it is starting to open in recent months, I think they’re terrified of the possible results because they want to continue to occupy.”
Back in Jilijilya, Mr Assad’s family welcomes reports America will act against the soldiers they blame for his death but say that’s not enough – they want them brought to justice too.
Nazmia, Mr Assad’s widow, said: “God willing it will be good if they do this, but also punish them like what they did with him, arrest them and fire them from their positions.”
The parents of an Israeli hostage have told him “we love you, stay strong, survive” after he appeared with part of his arm missing in a video released by Hamas.
Hersh Goldberg-Polin was kidnapped at the Nova musical festival when Hamas attacked Israel on 7 October.
The video shows him with his lower left arm missing; witnesses said it was blown off when he helped throw grenades out of a shelter where people were hiding.
He reportedly used his shirt as a tourniquet to stem the bleeding, but was captured.
Clearly under duress in the undated video, the 23-year-old criticises Prime Minister Benjamin Netanyahu and his government, saying they should be “ashamed” for not securing the hostages’ release.
He also claims Israeli bombings have killed “about 70 detainees like me” and that the rest are living in an “underground hell without water, food, or sun”.
Mr Goldberg-Polin, who wears a red shirt and sits against a plain white wall, finishes with an appeal to his parents, telling them “stay strong” and “I love you so much, and miss you so much”.
His parents responded to Wednesday’s video by filming their own emotional response.
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Jon Polin says hearing his son for the first time in more than 200 days is “overwhelming”.
“We are relieved to see him alive but we are also concerned about his health and wellbeing as well as that of all the other hostages, and all of those suffering in this region,” he says.
Mr Polin calls for the countries involved in negotiations to “be brave, lean in, seize this moment and get a deal done to reunite all of us with our loved ones and end the suffering in this region”.
His mother, Rachel Goldberg-Polin, stares resolutely into the camera and tells him: “Hersh, if you can hear his, we heard your voice today for the first time in 201 days… I am telling you – we are telling you – we love you, stay strong, survive.”
The 23-year-old was born in California but moved to Jerusalem with his family when he was younger.
He was among about 250 Israelis and foreigners kidnapped in the initial Hamas attack, which also killed around 1,200 people.
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Baby saved from womb of dying mother
Israel’s aim to wipe out Hamas has so far killed more than 34,000 people in Gaza, according to the Hamas-run health authority.
Hundreds of thousands are also said to be on the brink of starvation and have been forced to flee the violence.
Fears are growing that a ground assault on the southern city of Rafah – where more than a million people are sheltering – is imminent after Mr Netanyahu said Israel was “moving ahead” with its plans.
“Because it’s built to withstand both biological and chemical attacks,” Dr Yehezkel Caine told Sky News as we entered the complex, “we have an airlock which is built of two separate sets of blast doors”.
Beyond they have installed a whole new level of wards below the existing underground hospital, ripping out a logistics floor and installing more beds and equipment.
The bunkers would be activated should other hospitals closer to the front need evacuating.
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They are planning for worst-case scenarios here like an all-out war with Hezbollah.
“The hospitals in the north will be overwhelmed with casualties and they themselves will come under fire, in which case they would have to evacuate their patients to the centre of the country, the same as we did in the first weeks of the war in the south,” said Dr Caine.
He and his staff know the 7 October attack last year by Hamas and Iran‘s missile and drone barrage earlier this month have changed everything for the people of Israel.
“For the civilian population since the war of independence we’ve never been in a situation where the threat to the civilian population has been as great,” he said.
Above ground, the Herzog Medical Centre continues with its peacetime specialisms.
It has Israel’s largest ventilator unit, treating adults and children, but also excels in psycho-trauma treatment and geriatric rehabilitation.
Many of those suffering PTSD from the trauma in this conflict are treated here.