People have been urged to “drink responsibly” by NHS England’s medical director to avoid ending up in A&E as ambulance workers prepare to strike.
Professor Sir Stephen Powis issued the warning ahead of the planned action on Wednesday, when the health service is likely to be hit by major disruption as ambulance workers, including paramedics, control room workers and technicians, walk out in England and Wales.
Health secretary Steve Barclay has said the British public’s “common sense” should be trusted on what is safe during the industrial action.
Image: Ambulances wait outside St Thomas’ Hospital in London
But issuing the latest NHS guidance, Sir Stephen said: “There is no doubt that the NHS is facing extreme pressure and industrial action will add to the already record demand we are seeing on urgent and emergency care, and so it is really important that the public play their part by using services wisely.
“People can also help by taking sensible steps to keep themselves and others safe during this period and not ending up in A&E – whether that is drinking responsibly or checking up on a family member of neighbour who may be particularly vulnerable to make sure they are okay.”
Ministers and NHS leaders have said people can still call 999 for emergencies – but should take extra steps to keep themselves and others safe while there is so much pressure on health services.
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Asked if people should be more cautious during strikes this week, Mr Barclay said: “We should trust the common sense of the British public.
“They can see that there will be pressures, particularly on ambulances.”
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Nurses with the Royal College of Nursing (RCN) union are striking today and ambulance workers are walking out on Wednesday over a dispute on pay and working conditions.
On Tuesday morning, health minister Will Quince said the public should avoid “risky activity” during the ambulance strike as he urged people to alter their plans to minimise the danger of injuring themselves.
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‘Door is open’ to unions, says health minister
Unions have said ambulance workers will still attend Category 1 (most life-threatening such as cardiac arrest) and Category 2 (serious conditions, such as stroke or chest pain) calls during the strike.
However, ministers said there were still questions over whether ambulance workers at every NHS trust striking were going to do that.
Mr Barclay added: “They’ve said that they will provide life-threatening cover, that they will provide emergency cover.
“It’s essential that they do so to protect patients, because if there’s delays in ambulances, obviously that impacts very seriously on patient safety.
“But of course, the British public will make sensible decisions in terms of their behaviour based on what they can see in terms of the pressures on the health system.”
He added that if it was “extremely icy, you might not go for a run”.
The prime minister’s spokesman said he was “not going to get into a list” of what “risky activities” people should avoid during the ambulance strike.
By lunchtime on Tuesday, several ambulance and hospital trusts across the country had declared critical incidents due to “sustained” and “unprecedented” pressure on services, including high 999 call volumes and hospital handover delays.
Unions were meeting the health secretary this afternoon ahead of Wednesday’s ambulance worker strikes but union heads did not expect a pay offer to be made.
Rachel Harrison, GMB national secretary, said: “We’ve been given half an hour to meet with the secretary of state to discuss an emergency cover for tomorrow, which considering our strike starts at midnight, is a bit late in the day.
“But those agreements have already been reached at local level. So unless the secretary of state is willing to talk to us about pay today, those strikes are set to go ahead.”
Earlier, Mr Quince told Sky News the meeting would be about which cases ambulance workers would have to go to during the strike – and not pay.
Mexico has sent 29 drug cartel figures, including a most wanted drug lord, to the US as the Trump administration cranks up the pressure on the crime groups.
The early days of the new US president’s second term were marked by him triggering trade wars with his nearest allies, where he threatened to hike tariffs with Mexico, and Canada, insisting the country crack down on drug cartels, immigration and the production of fentanyl.
With the imposition of the 25% tariffs just days away, drug lord Rafael Caro Quintero, one of the FBI’s “10 most wanted fugitives”, was one of the individuals handed over in the unprecedented show of cooperation.
Image: The FBI wanted poster for Rafael Caro Quintero. Pic: AP/FBI
It comes as top Mexican officials are in Washington ahead of Tuesday’s deadline.
Those sent to the US on Thursday were rounded up from prisons across Mexico and flown to eight US cities, according to the Mexican government.
Prosecutors from both countries said the prisoners sent to the US faced charges including drug trafficking and homicide.
“We will prosecute these criminals to the fullest extent of the law in honour of the brave law enforcement agents who have dedicated their careers – and in some cases, given their lives – to protect innocent people from the scourge of violent cartels,” US attorney general Pamela Bondi said in a statement.
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‘Cartel kingpin’
Quintero was convicted of the torture and murder of US Drug Enforcement Agency (DEA) agent Enrique ‘Kiki’ Camarena in 1985.
The murder marked a low point in US-Mexico relations.
Quintero was described by the US attorney general as “a cartel kingpin who unleashed violence, destruction, and death across the United States and Mexico”.
After decades in jail, and atop the FBI’s most wanted list, he walked free in 2013 when a court overturned his 40-year sentence for killing Mr Camarena.
Image: Rafael Caro Quintero. Pic: Reuters/FBI
Quintero, the former leader of the Guadalajara cartel, returned to drug trafficking and triggered bloody turf battles in the northern Mexico state of Sonora until he was arrested a second time in 2022.
The US sought his extradition shortly after, but the request remained stuck at Mexico’s foreign ministry for reasons unknown.
President Claudia Sheinbaum’s predecessor and political mentor Andres Manuel Lopez Obrador severely curtailed Mexican cooperation with the DEA to protest undercover US operations in Mexico targeting senior political and military officials.
‘The Lord of The Skies’
Also sent to the US were cartel leaders, security chiefs from both factions of the Sinaloa cartel, cartel finance operatives and a man wanted in connection with the killing of a North Carolina sheriff’s deputy in 2022.
Vicente Carrillo Fuentes, a once leader of the Juarez drug cartel, based in the border city of Ciudad Juarez, across from El Paso, Texas, and brother of drug lord Amado Carrillo Fuentes, known as “The Lord of The Skies”, who died in a botched plastic surgery in 1997, was among those turned over to the US.
As were two leaders of the now defunct Los Zetas cartel, brothers Miguel and Omar Trevino Morales, who were known as Z-40 and Z-42.
The brothers have been accused of running the successor Northeast Cartel from prison.
Image: Soldiers escort a man who authorities identified as Omar Trevino Morales, also known as Z-42. Pic: AP/Eduardo Verdugo
Image: Miguel Angel Trevino Morales after his arrest. Pic: AP/Mexico’s Interior Ministry
Image: Vicente Carrillo Fuentes, the purported leader of the Juarez cartel, pictured after his arrest in 2014. Pic: AP
Trump-Mexico relations
The removal of the cartel figures coincided with a visit to Washington by Mexico’s foreign affairs secretary Juan Ramon de la Fuente and other top officials, who met with their US counterparts.
Mr Trump has made clear his desire to crack down on drug cartels and has pressured Mexico to work with him.
The acting head of the DEA, Derek Maltz, was said to have provided the White House with a list of nearly 30 targets in Mexico wanted in the US on criminal charges and Quintero was top of the list.
It was also said that Ms Sheinbaum’s government, in a rush to seek favour with the Trump administration, bypassed the usual formalities of the countries’ shared extradition treaty in this incident.
This means it could potentially allow US prosecutors to try Quintero for Mr Camarena’s murder – something not contemplated in the existing extradition request to face separate drug trafficking charges in a Brooklyn federal court.
A man’s brain was partly turned into glass after Mount Vesuvius erupted.
Researchers discovered dark fragments resembling obsidian in the skull of a man in the ancient settlement of Herculaneum.
Along with Pompeii, the ancient settlement was obliterated in 79AD when the volcano erupted, killing thousands and burying both under a thick layer of volcanic material and mud – preserving them in excellent condition for future archaeologists.
Image: The remains of a custodian killed in the eruption of Mount Vesuvius.
Pic: Reuters/Pier Paolo Petrone
The man was first discovered in the 1960s inside a building called the College of the Augustales, which was dedicated to the cult of Emperor Augustus.
He is thought to have been the college’s custodian and was killed in his bed, around midnight when he was assumed to be asleep, in the first effects of the eruption as the burning hot ash cloud hit.
The city was buried in the latter stages of the geological event.
But after his remains were re-examined more recently, the glass fragments were discovered.
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In a paper published on Thursday, researchers said this was the “only such occurrence” of this happening on Earth.
It was caused by a super-hot ash cloud that is thought to have suddenly descended on his city, likely instantly killing the inhabitants.
The glass was formed by vitrification, the process of transforming a substance into glass, when the brain’s organic material was exposed to the incredibly high temperatures – at least 510C (950F) – before rapidly cooling.
“The glass formed as a result of this process allowed for an integral preservation of the biological brain material and its microstructures,” said forensic anthropologist Pier Paolo Petrone of Universita di Napoli Federico II, one of the study’s lead researchers.
Image: The archaeological site of Herculaneum with Mount Vesuvius visible in the background.
Pic: Reuters/Pier Paolo Petrone
He added: “The only other type of organic glass we have evidence of is that produced in some rare cases of vitrification of wood, sporadic cases of which have been found at Herculaneum and Pompeii.
“However, in no other case in the world have vitrified organic human or animal remains ever been found.”
Mr Petrone continued: “I was in the room where the college’s custodian was lying in his bed to document his charred bones.
“Under the lamp, I suddenly saw small glassy remains glittering in the volcanic ash that filled the skull.
“Taking one of these fragments, it had a black appearance and shiny surfaces quite similar to obsidian, a natural glass of volcanic origin – black and shiny, whose formation is due to the very rapid cooling of the lava.
“But, unlike obsidian, the glassy remains were extremely brittle and easy to crumble.”