Doctors have been told to keep a close watch for symptoms of measles infections in children amid a “devastating resurgence of virtually eliminated life-threatening diseases” in the UK.
For the first time in decades, the Royal College Of Paediatrics And Child Health (RCPCH) has issued national guidance on the treatment of measles – and has called on the government to immediately publish its “overdue” national vaccination strategy.
NHS data for this year shows no vaccines met the World Health Organisation’s 95% coverage target in England – with the vaccination rate falling to the lowest level since 2010/11.
The RCPCH said many paediatricians would not have previously seen symptoms associated with measles in their careers and urged healthcare workers to check the immunisation status of all children attending hospital.
A sharp increase in the number of measles cases has been seen across the UK this year as vaccination rates for those aged under five fall to their lowest level in a decade.
On its new guidance, the RCPCH said: “The UK is now seeing a devastating resurgence of virtually eliminated life-threatening diseases, such as measles.
“Evidence also shows that lower socioeconomic status was associated with lower coverage.”
Last year, the government consulted healthcare workers and the public on how to improve vaccination services by addressing accessibility, misinformation, and distrust of vaccines – with the RCPCH calling for the strategy’s “swift publication”.
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July: Measles warning issued by the UKHSA
‘Many paediatricians fear outbreaks this winter’
Dr Camilla Kingdon, who is president of the RCPCH, said: “Having to consider measles in our national guidance for the first time in decades is a disappointing but necessary move.
“Vaccination coverage for children under the age of five is now the lowest it has ever been in the past 10 years.
“We are already starting to see the effects of this with measles outbreaks occurring in London, Wales and Leicester.
“Many paediatricians I know live in fear of potential measles outbreaks this winter.
“The winter period is always an extremely tough time for all health care professionals, with high surges in RSV and influenza, as well as circulating COVID-19 and Group A Strep.
“To add another highly contagious and dangerous disease into the mix would be disastrous and could bring our already fragile system to its knees.
“We now find ourselves once again asking the government, where is the long-awaited vaccination strategy?
“The UK government must acknowledge these low uptake figures and focus its attention on ensuring equal access to vaccinations across all regions and socioeconomic groups.”
The RCPCH guidance also recommends healthcare professionals promote the MMR vaccination to all unimmunised children.
Government figures for 1 January to 30 September showed 149 cases of measles in England, as confirmed by laboratory testing.
Most of the cases were in London, which in July was warned could face an outbreak of 160,000 cases because of low vaccination levels, according to the UK Health Security Agency.
Measles symptoms to look out for
The NHS website says the measles infection can spread “very easily” and can lead to serious health problems for some people.
The infection normally starts with cold-type symptoms, followed by a rash a few days later.
People may also get spots in their mouth, the NHS says.
The first symptoms to look out for include a high temperature, a runny or blocked nose, sneezing and coughing.
Red, sore, watery eyes are also an early sign.
It is unlikely to be measles if you have had it before – or have been given the MMR vaccine.
The infection can also be serious in pregnancy and for people with a weakened immune system.
If measles is suspected, people should contact their GP by phone before going into the surgery.
People can also dial 111 for help or use the NHS 111 website.
Schoolchildren are asking teachers how to strangle a partner during sex safely, a charity says, while official figures show an alarming rise in the crime related to domestic abuse cases.
Warning: This article contains references to strangulation, domestic abuse and distressing images.
It comes as a woman whose former partner almost strangled her to death in a rage has advised anyone in an abusive relationship to seek help and leave.
Bernie Ryan, chief executive of the Institute for Addressing Strangulation, has been running the charity since its inception in 2022 after non-fatal strangulation became a standalone offence.
“It’s the ultimate form of control,” she says.
She says perpetrators and victims are getting younger, while the reason is unclear, but strangulation has seeped into popular culture and social media.
“We hear lots of sex education providers, teachers saying that they’re hearing it in schools.
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“We know teachers have been asked, ‘how do I teach somebody to strangle safely?’
“Our message is there is no safe way to strangle – the anatomy is the anatomy. Reduction in oxygen to the brain or blood flow will result in the same medical consequences, regardless of context.”
Image: Bernie Ryan, CEO of the Institute for Addressing Strangulation
A recent review by Conservative peer Baroness Gabby Bertin recommended banning “degrading, violent and misogynistic content” online.
Violent pornography showing women being choked during sex she found was “rife on mainstream platforms”.
Ms Ryan says she “wants to make sure that young people don’t have access to activities that demonstrate that this is normal behaviour”.
Strangulation is a violent act that is often committed in abusive relationships.
It is the second most common method used by men to kill women, the first is stabbing.
According to statistics shared by the Crown Prosecution Service, in 2024 there was an almost 50% rise in incidents of non-fatal strangulation and suffocation – compared to the year before.
Image: Kerry Allan pleads for other victims of abuse to leave before it’s too late
Domestic abuse victim Kerry Allan has a message for anyone who is in an abusive relationship.
Kerry met Michael Cosgrove in September 2022. While she said “at the beginning it was really good”, within months he became physically abusive.
In August last year her friends found his profile on a dating app.
“I confronted him and he denied it. I knew we were going to get into a big argument and I couldn’t face it, so I said I was going to my mum’s for a few days and take myself away from the situation.
“I came back a few days later and stupidly I agreed we could try again and everything escalated from that.”
Image: Injuries to Kerry’s chest. Pic: CPS
In the early hours of 25 August the pair had come in from a night out at a concert and got into an argument.
“He was having a go at me, accusing me of flirting with other people, and I was angry. I told him he had a nerve after what he’d done to me in the week and how he humiliated me.
“I told him that I wanted to leave, that we were done and that I wanted to go to my mum’s and that’s when it got bad.
“He pinned me to the bed and that’s when he first strangled me.”
Image: Kerry’s neck injury. Pic: CPS
Kerry says this was the first time she’d ever been violently assaulted. Cosgrove was eerily silent as he eventually let go and Kerry gasped for air.
“I remember trying to get my breath back, I was crying and hyperventilating… I was sick on the bedroom floor and I was asking him to go.”
Cosgrove strangled her for a second time before letting go again.
“He was saying I wasn’t getting out of this bedroom alive. I was dead tonight, he hoped that I knew that. Just kept saying how I’d ruined his life.”
Image: Injury to Kerry’s eye. Pic: CPS
“I remember feeling a sort of shock thinking at this point, I’m not going to get out of this bedroom, he’s actually going to kill me.”
Kerry began screaming and shouting for help as loud as she could.
Her neighbours heard the commotion and called the police. While they were en route, Kerry was once again being assaulted.
Image: Bleeding in Kerry’s eye
“I ran over to the bedroom window and tried to jump out, he grabbed me as I went to open the window, and we struggled. And then I was back in the same position, he was on top of me on the bed, and his hands were round the throat again. But this time it didn’t stop.
“I remember trying to struggle and trying to kick out and hit him and I just kept thinking that I definitely was going to die, because at this point, it wasn’t stopping.”
The next memory Kerry has is opening her eyes to see police and paramedics in the bedroom.
Image: Michael Cosgrove. Pic: CPS
Cosgrove had heard the sirens, jumped out of the bedroom window and went to hide in Kerry’s car.
Kerry remembers opening her eyes to paramedics caring for her: “I remember thinking, I’m alive. I couldn’t believe it. I couldn’t believe that I was alive and I wasn’t dead. My last memory is him being on top of me with his hands on my throat.”
Image: Kerry met Michael Cosgrove in September 2022
She gives this advice to anyone who is in an abusive relationship: “Please speak to somebody, whether it’s friends, family, a work colleague, whether it’s somebody online, whether it’s a charity that you’re directed to, any sort of abuse is not okay.
“Whether it starts off emotional, they often start off that way, and they escalate, and they can escalate badly.
“Take what happened to me as a huge warning sign, because I wouldn’t want anyone else to be in the position I’ve been in the last eight months.”
Cosgrove was found guilty of attempting to murder Kerry and intentional strangulation.
The King echoed the words of his grandfather as he delivered a speech at the precise moment King George VI addressed the nation to mark VE Day 80 years ago.
At 9pm, Charles spoke at Horse Guards Parade in central London and called on the country to “rededicate ourselves” to “the cause of freedom” and “the prevention of conflict”.
His grandfather spoke to the nation from Buckingham Palace at 9pm on 8 May 1945, to thank the country for their contribution as war came to an end in Europe.
Image: King Charles III and Queen Camilla wave Union flags during the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Picture date: Thursday May 8, 2025.
Recalling the VE Day speeches, Charles said: “We should remind ourselves of the words of our great wartime leader, Sir Winston Churchill, who said ‘meeting jaw to jaw is better than war’.
“In so doing, we should also rededicate ourselves not only to the cause of freedom but to renewing global commitments to restoring a just peace where there is war, to diplomacy, and to the prevention of conflict.
“For as my grandfather put it, ‘We shall have failed, and the blood of our dearest will have flowed in vain, if the victory which they died to win does not lead to a lasting peace, founded on justice and established in good will’.
Stressing the responsibility we still hold today, he added: “Just as those exceptional men and women fulfilled their duty to each other, to humankind, and to God, bound by an unshakeable commitment to nation and service, in turn it falls to us to protect and continue their precious legacy – so that one day hence generations yet unborn may say of us: ‘they too bequeathed a better world’.”
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Image: King Charles III and Queen Camilla alongside the Waleses at the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Picture date: Thursday May 8, 2025. Pic: PA
The King’s words were designed to be a reminder of current conflicts.
In recent months, the monarch has been placed at the forefront of diplomatic matters, making his call for “unity” even more pertinent.
“The Allied victory being celebrated then, as now, was a result of unity between nations, races, religions and ideologies, fighting back against an existential threat to humanity,” the King said. “Their collective endeavour remains a powerful reminder of what can be achieved when countries stand together in the face of tyranny.”
After a week which has seen the Royal Family make it a priority to ensure VE Day commemorations have been special for the surviving veterans, the King thanked not just those who served in uniform but acknowledged the contribution of those left back home.
“We unite to celebrate and remember with an unwavering and heartfelt gratitude, the service and sacrifice of the wartime generation who made that hard-fought victory possible,” he said. “While our greatest debt is owed to all those who paid the ultimate price, we should never forget how the war changed the lives of virtually everyone.”
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King arrives at VE Day service
Like families up and down the country remembering VE Day, it was clear Charles’s mother, Queen Elizabeth II, was at the forefront of his mind.
Remembering his mother’s story of what happened when she was allowed to leave the palace, he said: “The celebration that evening was marked by my own late mother who, just 19 years old, described in her diary how she mingled anonymously in the crowds across central London and ‘walked for miles’ among them.
“The rejoicing continued into the next day, when she wrote ‘Out in the crowd again. Embankment, Piccadilly. Rained, so fewer people. Conga-ed into House. Sang till 2am. Bed at 3am!’.
Charles continued: “I do hope your celebrations tonight are almost as joyful, although I rather doubt I shall have the energy to sing until 2am, let alone lead you all in a giant conga from here back to Buckingham Palace.”
Earlier in the week, at a tea party held at Buckingham Palace, the King said to one veteran: “Do you do the conga? I remember doing congas with my grandmother round and round the house.”
Red Wall MPs should push for the two-child benefit cap to be lifted rather than a reversal of the winter fuel payment policy, Baroness Harriet Harman has said.
Baroness Harman, the former Labour Party chair, told Sky’s Electoral Dysfunction podcast that this would hand the group a “progressive win” rather than simply “protesting and annoying Sir Keir Starmer” over winter fuel.
Earlier this week, a number of MPs in the Red Wall – Labour’s traditional heartlands in the north of England – reposted a statement on social media in which they said the leadership’s response to the local elections had “fallen on deaf ears”.
They singled out the cut to the winter fuel allowance as an issue that was raised on the doorstep and urged the government to rethink the policy, arguing doing so “isn’t weak, it takes us to a position of strength”.
But Baroness Harman said a better target for the group could be an overhaul of George Osborne’s two-child benefit cap.
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The cap, announced in 2015 as part of Lord David Cameron’s austerity measures, means while parents can claim child tax credit or Universal Credit payments for their first and second child, they can’t make claims for any further children they have.
Labour faced pressure to remove the cap in the early months of government, with ministers suggesting in February that they were considering relaxing the limit.
Baroness Harman told Beth Rigby that this could be a sensible pressure point for Red Wall MPs to target.
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She said: “It could be that they have a kind of progressive win, and it might not be a bad thing to do in the context of an overall strategy on child poverty.
“Let’s see whether instead of just protesting and annoying Sir Keir Starmer, they can build a bridge to a new progressive set of policies.”
Jo White, the Labour MP for Bassetlaw and a member of the Red Wall group, suggested that her party’s “connection” to a core group of voters “died” with the decision to means test the winter fuel payment for pensioners.
“We need to reset the government,” she told Electoral Dysfunction. “The biggest way to do that is by tackling issues such as winter fuel payments.
“I think we should raise the thresholds so that people perhaps who are paying a higher level of tax are the only people who are exempt from getting it.”
Image: Pic: AP
A group of MPs in the Red Wall, thought to number about 40, met on Tuesday night following the fallout of local election results in England, which saw Labour lose the Runcorn by-electionandcontrol of Doncaster Council to Reform UK.
Following the results, Sir Keir said “we must deliver that change even more quickly – we must go even further”.
Some Labour MPs believe it amounted to ignoring voters’ concerns.
One of the MPs who was present at the meeting told Sky News there was “lots of anger at the government’s response to the results”.
“People acknowledged the winter fuel allowance was the main issue for us on the doorstep,” they said.
“There is a lack of vision from this government.”
Another added: “Everyone was furious.”
Downing Street has ruled out a U-turn on means testing the winter fuel payment, following newspaper reports earlier this week that one might be on the cards.