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A chief medical adviser has warned adults to stay at home when feeling unwell or wear face coverings when going outside in order to minimise the spread of illness.

Professor Susan Hopkins, chief medical adviser at the UK Health Security Agency (UKHSA), added that adults should not “visit vulnerable people unless urgent” when feeling unwell.

The advice comes as part of the UKHSA’s “simple steps” to help protect children and vulnerable individuals as pupils return to schools and universities after the Christmas break.

Prof Hopkins added that it is “important to minimise the spread of infection in schools and other education and childcare settings”, and recommended that children with a fever or feeling unwell should also stay home from school or nursery in order to help stop illness spreading.

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NHS winter pressure explained

The advice comes as a senior NHS boss on Monday warned the health service is under “unbearable strain” as pressure is mounting on the government to take action.

Matthew Taylor, head of the NHS Confederation, told Sky News that most NHS leaders say “this is the toughest winter they’ve ever dealt with” – adding: “We cannot go on like this.”

Critical incidents have also been called in at least seven health trusts, Sky News understands.

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The UKHSA warned that both flu and COVID-19 are currently “circulating at high levels”, which is likely to continue to increase in coming weeks.

Tim Spector, professor of genetic epidemiology at King’s College London and founder of the COVID Zoe app, also highlighted an Omicron variant after a scientist said cases had more than doubled in America in a week.

High numbers of scarlet fever, which is caused by group A Streptococcus (Strep A), also continue to be reported in the UK. At least 30 children in the UK have died from invasive Strep A, and across all age groups in England, there have been 122 fatalities.

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Pressure on NHS now ‘worse than COVID peak’

Other ways in which illness can be prevented from spreading includes “catching coughs and sneezes in tissues then binning them”, getting children to practice good hygiene, and getting a flu vaccination.

“Remember that flu vaccination is still available for all eligible groups and is the best protection against the virus,” Prof Hopkins urged.

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“We have seen good uptake in older age groups, but vaccination among young children remains low.

“Flu can be very unpleasant and in some cases can lead to more serious illness. Getting your child vaccinated protects them and others they come into contact with, and it’s still not too late.”

Children eligible to have a flu vaccination include those aged two and three on 31 August 2022, all primary school-aged children and some secondary school-aged children.

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Mosquito bite warning after rise in chikungunya cases in travellers returning to UK

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Mosquito bite warning after rise in chikungunya cases in travellers returning to UK

Travellers are being warned about mosquito bites on holiday after a rise in chikungunya infections in people returning to the UK.

The UK Health Security Agency (UKHSA) also said the first cases of the emerging oropouche virus had been recorded.

Chikungunya typically causes sudden fever and joint pain, which can be debilitating, and lasts from a few days to weeks.

The name comes from a word in a Tanzanian language meaning “that which bends up”, owing to the joint pain associated with it.

Most people recover but in some cases the symptoms can last several months or even years.

It’s spread by mosquito bites in tropical and subtropical regions, and most of the 73 cases reported in the UK so far this year were in London and linked to travel to Sri Lanka, India, and Mauritius.

Only 27 cases were reported in the same January to June period last year.

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Chikungunya can’t spread directly from person to person – so if someone becomes ill in the UK, they can’t pass the infection on, and the mosquitos responsible aren’t present here.

Dr Philip Veal, consultant in public health at the UKHSA, said it can be a “nasty disease” and the increase in cases was “worrying”.

“It is essential to take precautions against mosquito bites when travelling,” he said.

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“Simple steps, such as using insect repellent, covering up your skin and sleeping under insecticide-treated bed nets can greatly reduce the risk.”

Chikungunya is mainly found in Asia and Africa, but cases have been reported in Europe and North America this year.

Two vaccines to guard against the infection are available in the UK from private travel clinics.

The first cases of the Oropouche virus have also been confirmed in Britain, according to the UKHSA.

It’s spread by midge and mosquito bites and the three cases are all linked to travel to Brazil.

Oropouche was first identified in Trinidad and Tobago in the 1950s and had been mainly confined to the Amazon area.

However, cases have been increasing since 2023 and have shown up in places such as the Dominican Republic, Cuba, and Peru.

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Symptoms include fever, headache, muscle and joint pain, nausea and vomiting.

Anyone who gets such symptoms after being in Central and South America or the Caribbean is advised to get urgent medical advice.

Most people recover on their own, but it can cause severe disease in the very elderly or those with a weak immune system.

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Man staying at hotel that has been focus of protests denies sexual assault charge

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Man staying at hotel that has been focus of protests denies sexual assault charge

A man staying at a hotel that has been the focus of a series of protests has denied a charge of sexual assault and faces a trial next month.

Mohammed Sharwarq, a 32-year-old Syrian national, was arrested after police were called to the Bell Hotel on the Epping High Road in Essex yesterday, police said.

Sharwarq, who is alleged to have kissed a man on the neck, indicated a plea of not guilty to a charge of sexual assault at Chelmsford Magistrates’ Court today.

He indicated guilty pleas to six further charges concerning four complainants – with two counts of common assault and four of assault by beating.

Sharwarq is alleged to have punched a man in the face, thrown an object at a man, slapped a third man in the face and attempted to punch a fourth.

Sky News understands the alleged offences took place inside the hotel between 25 July and 12 August.

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District judge Lynette Woodrow remanded Sharwarq, who was assisted in court by an Arabic interpreter, in custody until his trial on 30 September.

The arrest followed weeks of protests outside the hotel.

Neil Hudson, the Conservative MP for Epping Forest, said last month that the protests were a crisis that “risks boiling over”.

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UEFA Super Cup: Spurs let slip 2-0 lead to lose to PSG on penalties

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UEFA Super Cup: Spurs let slip 2-0 lead to lose to PSG on penalties

Tottenham let slip a two-goal lead before losing a penalty shootout to Paris St Germain (PSG) in the final of the UEFA Super Cup.

Spurs defenders Micky van de Ven and Cristian Romero scored from set pieces to put the north London side on their way to winning the trophy, in what was manager Thomas Frank’s first game in charge.

However, Champions League winners PSG, who were thrashed in the Club World Cup final by Chelsea last month, produced a stunning response after Kang-in Lee pulled one back with five minutes left.

Tottenham's Cristian Romero scores his side's second goal. Pic: AP
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Tottenham’s Cristian Romero scores his side’s second goal. Pic: AP

PSG striker Goncalo Ramos, who was brought on in the 77th minute, forced the game to penalties after scoring a header in the fourth minute of stoppage time.

The Super Cup final, played each year between the winners of the Champions League and Europa League, does not feature extra time – meaning the game went straight to spot kicks.

Tottenham players react during the penalty shootout. Pic: AP
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Tottenham players react during the penalty shootout. Pic: AP

Europa League winners Tottenham initially had the advantage when Vitinha missed PSG’s first kick – but it was followed by Van de Ven and Mathys Tel failing to score their penalties.

PSG, managed by Luis Enrqiue, went on to win 4-3.

PSG's players celebrate after winning the final. Pic: AP
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PSG’s players celebrate after winning the final. Pic: AP

The PSG players poured on to the pitch in celebration, knowing they had etched their names into history as the first French side to lift the trophy.

“It’s incredible to win like this. This team once again showed character, even if we’re not at our physical best,” PSG defender Marquinhos said.

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PSG's Marquinhos lifts the trophy. Pic: AP
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PSG’s Marquinhos lifts the trophy. Pic: AP

“We managed to get the goals we needed through the substitutions, and in the shootout we have players who take their penalties well and a goalkeeper who helped us.”

Tottenham, who finished 17th in the Premier League last season, were unable to win what would have been their second trophy in 17 years – with the first one coming when they beat Manchester United in Europe’s second-tier competition in May.

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