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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.

Parents were warned in May to check the MMR (measles, mumps and rubella) vaccination status of their children before the summer holidays.

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.

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The winners and losers in Rachel Reeves’s spending review

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The winners and losers in Rachel Reeves's spending review

“It’s a big deal for this government,” says Simon Case.

“It’s the clearest indication yet of what they plan to do between now and the general election, a translation of their manifesto.

“This is where you should expect the chancellor to say, on behalf of the government: ‘This is what we’re about’.”

As the former cabinet secretary, Mr Case was the man in charge of the civil service during the last spending review, in 2021.

On Wednesday, Rachel Reeves will unveil the Labour government’s priorities for the next three years. But it’s unclear whether it will provide all that much of an answer about what it’s really about.

Unlike the Autumn budget, when the chancellor announced her plans on where to tax and borrow to fund overall levels of spending, the spending review will set out exactly how that money is divided up between the different government departments.

Since the start of the process in December those departments have been bidding for their share of the cash – setting out their proposed budgets in a negotiation which looks set to continue right up to the wire.

This review is being conducted in an usual level of detail, with every single line of spending assessed, according to the chancellor, on whether it represents value for money and meets the government’s priorities. Budget proposals have been scrutinised by so called “challenge panels” of independent experts.

It’s clear that health and defence will be winners in this process given pre-existing commitments to prioritise the NHS – with a boost of up to £30bn expected – and to increase defence spending.

On Sunday morning, the government press release trumpeted an impressive-sounding “£86bn boost” to research and development (R&D), with the Science and Technology Secretary Peter Kyle sent out on the morning media round to celebrate as record levels of investment.

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What will be in spending review?

We’re told this increased spending on the life sciences, advanced manufacturing and defence will lead to jobs and growth across the country, with every £1 in investment set to lead to a £7 economic return.

But the headline figure is misleading. It’s not £86bn in new funding. That £86bn has been calculated by adding together all R&D investment across government for the next three years, which will reach an annual figure of £22.5bn by 2029-30. The figure for this year was already set to be £20.4bn; so while it’s a definite uplift, much of that money was already allocated.

Read More:
Reeves turning around UK finances ‘like Steve Jobs did for Apple’

Government struggles to slash foreign aid spent on asylum hotels

Peter Kyle also highlighted plans for “the most we’ve ever spent per pupil in our school system”.

I understand the schools budget is to be boosted by £4.5bn. Again, this is clearly an uplift – but over a three-year period, that equates to just £1.5bn a year (compared with an existing budget of £63.7bn). It also has to cover the cost of extending free school meals, and the promised uplift in teachers’ pay.

In any process of prioritisation there are losers as well as winners.

We already know about planned cuts to the Department of Work and Pensions – but other unprotected departments like the Home Office and the Department of Communities and Local Government are braced for a real spending squeeze.

We’ve heard dire warnings about austerity 2.0, and the impact that would have on the government’s crime and policing priorities, its promises around housing and immigration, and on the budgets for cash-strapped local councils.

The chancellor wants to make it clear to the markets she’s sticking to her fiscal rules on balancing the books for day-to-day spending.

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But the decision to loosen the rules around borrowing to fund capital investment have given her greater room to manoeuvre in funding long-term infrastructure projects.

That’s why we’ve seen her travelling around the country this week to promote the £15.6bn she’s spending on regional transport projects.

The Treasury team clearly wants to focus on promoting the generosity of these kind of investments, and we’ll hear more in the coming days.

But there’s a real risk the story of this spending review will be about the departments which have lost out – and the promises which could slip as a result.

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Water cremation and human composting could be offered instead of traditional funerals

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Water cremation and human composting could be offered instead of traditional funerals

Water cremation and human composting could soon be offered as an alternative to traditional funerals.

A Law Commission consultation is proposing legal approval of new methods beyond burial, cremation, and the rarely used burial at sea.

The paper published earlier this week highlights two methods used in other countries – alkaline hydrolysis and human composting.

Alkaline hydrolysis – also known as water cremation or resomation – involves placing a person’s body into woollen shroud or other organic pouch, using water, alkaline chemicals, heat and pressure to break down the tissue.

Bones leftover from water cremations can be powered to be scattered like ashes. Pic: Kindly Earth
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Bones left from water cremations can be ground to be scattered like ashes. Pic: Kindly Earth

The resulting liquid is checked and treated if necessary to enter the wastewater system, while remaining pieces of bone and teeth are dried and can be ground to a powder and scattered like ashes.

Water cremation, which mimics the process of natural decomposition when someone is buried, takes between four and 14 hours.

The method, which has been suggested as a greener alternative to traditional cremation, was used for the bodies of five dead people in 2019, as part of a study facilitated by Middlesex and Sheffield universities.

Anti-apartheid campaigner Archbishop Desmond Tutu, who died in 2021, chose resomation for his own funeral in South Africa.

Read more: What is water cremation?

Co-op Funeralcare said it hoped to offer the service in the UK in 2023 but backed out because of the current regulations.

The firm welcomed the Law Commission review, which will run until spring next year, ending in a final report and draft Bill.

New funerary methods are not currently regulated, other than by more general legislation such as environmental and planning laws.

Provisional proposals suggest a legal framework to enable new methods to be regulated in the future.

A Co-op Funeralcare spokesperson said: “At Co-op Funeralcare, we are committed to serving the needs of our member-owners and clients and offering the most sustainable and affordable services.

“In 2023, we announced our ambition to pilot resomation in the UK, and we subsequently worked closely with government to explore the regulatory requirements to introduce this service across the nation.

“However, we did not proceed with this as, at the time, we were unable to find a path through the current regulatory framework.

“We welcome the Law Commission’s review and encourage exploration into alternative methods that provide consumers with greater choice and deliver environmental benefits.”

The consultation paper also highlights human composting, where a body is placed into a sealed chamber, or vessel, with carbon-rich organic matter, such as straw and wood chips, to enable quicker decomposition.

The process takes around two to three months and resulting soil can be returned to bereaved loved ones.

Other methods involving the freezing of human remains have also been suggested, although none have them are yet viable, according to the paper.

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Two men charged with murder after teenager hit by car in Sheffield

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Two men charged with murder after teenager hit by car in Sheffield

Two men have been charged with murder after the death of a teenager in Sheffield.

Abdullah Yaser Abdullah al Yazidi, 16, died after being hit by a car.

He had only recently come to the UK from Yemen, looking “for a better future”, his loved ones previously said.

Zulkernain Ahmed, 20, and Amaan Ahmed, 26, both of Locke Drive, Sheffield, have been charged with murder and three counts of attempted murder.

They are due to appear before Sheffield Magistrates’ Court on Monday.

Flowers at the scene of the crash in Darnall.
Pic: PA
Image:
Flowers at the scene of the crash in Darnall.
Pic: PA

‘Innocently walking down the street’

South Yorkshire Police said Abdullah was “innocently walking” down a street in the Darnall area of the city, just after 4.50pm on 4 June, when a car collided with him.

The force said they understood a grey Audi had driven towards three electric bikes, hitting one.

As the car continued following the collision with the electric bike, it then hit Abdullah, police said.

According to the force, the driver failed to stop at the scene.

Abdullah was taken to hospital where he later died.

The rider of the electric bike, 18, suffered serious but non-life-threatening injuries and remains in hospital.

Two people, a man, 46, and a woman, 45, who were previously arrested on suspicion of assisting an offender, remain on bail.

Police at the scene of the collision in the Darnall area of Sheffield.
Pic: PA
Image:
Police at the scene of the collision in the Darnall area of Sheffield.
Pic: PA

A ‘kind boy’

Abdullah’s relative, Saleh Alsirkal, runs a corner shop that the teenager popped into just before he was hit by the car on Wednesday.

“His dad brought him over to change his life, to get a better future for his son, but this has happened and destroyed everything,” said Mr Alsirkal.

Read more from Sky News:
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Water cremation could be offered instead of traditional funerals
Body found in search for missing woman

He said Abdullah was a “kind boy” who just wanted to look after his family, including his three sisters and was really enjoying learning English.

“Every time he had a new word to learn, he was so excited about it,” he said.

“It meant a lot to him and he learned quick. Sometimes he would stay in the shop just so he could talk to people. He tried to be friends with everyone.”

“He wanted to be the main guy for the family. He was 16 years old, but he was a clever man,” said Mr Alsirkal.

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