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A secondary school teacher was forced to stop working after developing an incurable ear condition he believes was caused by surfing in sewage-polluted water.

Reuben Santer told Sky News he has had “an awful nine months” after contracting Meniere’s disease, which has caused him to have severe dizzy spells and hearing loss.

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His case has been highlighted by Surfers Against Sewage (SAS) who say reports to them of being sick after entering the water have nearly tripled in the last year.

Their concerns come as the chair of the water regulator Ofwat is to face a grilling from MPs tomorrow on how water companies plan to invest in crumbling infrastructure that has led to sewage regularly being spilled in UK waterways.

SAS says that as well as being an environmental problem, the sewage scandal is increasingly a public health one too.

‘Traumatic experience’

Reuben’s problems started last November when the 33-year-old developed an infection in his middle ear after a surf at Saunton Beach in Devon.

“I had this really loud, intense ringing in one side the day after a surf,” he told Sky News.

“I thought I was having a haemorrhage; I had no idea what was going on. I went to the doctor and they said it was a middle ear infection likely caused by dirty water but it’s impossible to prove.”

Reuben Santer (L) has suffered from ear infections linked to sewage pollution
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Reuben Santer (L) has suffered from ear infections linked to sewage pollution

Reuben’s symptoms went away with antibiotics but he fell ill a month later after going back in the water for the first time. He only realised afterwards that a sewage pollution warning had been in place and a day later he was “throwing up, having intense rotational vertigo, I completely lost my balance”. It emerged he had labyrinthitis in his inner ear.

“You can normally recover from that but somehow it triggered Meniere’s disease which is the same symptoms but chronically. It doesn’t have a known cure.

“I’ve had a really awful nine months, the worst thing is I lost my job.

“Being a teacher is stressful, I could not handle being in a classroom and having unpredictable attacks of vertigo…when everything around you is spinning. It was pretty traumatic.

“I haven’t been going out on my own, I haven’t been driving when I was previously an independent person so that’s been pretty tough. I also have hearing loss in my left ear and roaring tinnitus and sound sensitivity.”

Reports of sickness up by nearly a third

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What caused Britain’s sewage crisis?

While the definite cause of Reuben’s condition is not provable, Surfers Against Sewage (SAS) is concerned about a rise in people getting sick from dirty water.

In its annual Water Quality Report released this week, the campaign group said between October 2022 and September 2023 1,924 people reported getting ill after entering the water – up from 720 the year previously.

Of those who visited a doctor, three out of four people said the doctor attributed their illness to exposure to sewage-polluted waters.

The illnesses caused an estimated five years worth of sick days and the majority of cases happened at bathing sites considered to be “excellent” quality, the SAS report said.

Surfer ‘horrified’ to contract parasite

Naomi Jenkin, 37, was ill for three weeks after she contracted the parasite cryptosporidium following a surf in Newquay in the spring.

“It’s something that you get from water that’s contaminated with sewage,” she said. “I was horrified.”

She said her symptoms included being “doubled up in pain and feeling nauseous”.

“I had to just stop work and basically take myself to bed. I had a really bad stomach upset, and it basically went on for three weeks in total, so it really affected my life quite a lot.

“It’s also knocked my confidence to go back into the water.”

Naomi Jenkin
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Naomi Jenkin was ill for three weeks after contracting a parasite


In some cases, sicknesses caused by suspected sewage pollution have been so severe people had to be hospitalised.

Robbie Bowman fell ill a few hours after going for a swim with a scrape on his leg in Cardiff and was found by his son “lying on the floor, waving my arms about, not making any sense”.

In hospital he was diagnosed with the bacterial infection cellulitis and kept on intravenous antibiotics for a week as doctors feared he had sepsis.

He told Sky News that he spent most of August “with my leg up trying to encourage the healing of my skin and the blisters on the back of my calf” and his skin is still red. A possible cause was given as Golden Staph, which can be caused by swimming in dirty water.

“It has quite massively impacted me,” he said. “I don’t trust the water anymore. That for me is the biggest shame.”

General Election ‘tipping point for change’

Giles Bristow, the CEO of Surfers Against Sewage, said the rise in sickness reports could be due to more people being aware of the sewage scandal and linking their health issues to that.

But he said more people are using water for recreational activities at the same time as rampant sewage dumping so “it’s bound to be that more people are getting ill”.

While firms are allowed to discharge sewage overflow when there is too much rainfall, this is only meant to happen in exceptional circumstances – yet several investigations over the past few years have found it is regularly happening illegally.

The SAS’s report found that untreated sewage was discharged across waterways in England, Scotland, Northern Ireland and Wales more than 399,864 times – over 1,000 times a day.

Mr Bristow said the report “reveals the complacency and disregard of governments, water companies and regulators towards the health of rivers and coastlines in the UK – and by extension people’s health”.

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Huge sewage spill captured in cornwall

With a general election looming, he called on all parties to adopt the SAS’s End Sewage Pollution Manifesto – a five point plan that includes cracking down on the profits made by water companies and ensuing regulators have resources to enforce pollution laws.

“This is an absolutely key issue for the public and we’ve got a mandate for change like never before,” he said.

“You wouldn’t put up with a Victorian health system where you turn up to your doctors and they give you a leech. So why should we put up with turning up to use our rivers and sees and finding it’s a Victorian system that discharges pollution into our waterways?”

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Government admits sewage dumping ‘unacceptable’

A Defra spokesperson admitted the levels of sewage dumping in UK waterways is “unacceptable” but insisted action was being taken to address it.

They pointed to the Plan for Water which will see firms face unlimited fines for sewage dumping.

“This plan includes targets so strict they are leading to the largest infrastructure programme in water company history – £60bn over 25 years – which in turn will result in hundreds of thousands fewer sewage discharges,” the spokesperson said.

Industry body Water UK has said it is prepared to almost double that spending to pay for upgrades and cut sewage discharges.

However, there is anger at the suggestion to increase consumer bills to fund itgiven the large bonuses and dividends made by water company bosses in recent years.

The issue looks set to become a key battleground when voters next go to the polls, especially in rural and coastal areas traditionally represented by Conservative MPs – but which the Lib Dems are looking to take.

Tim Farron, the Lib Dems’ environmental spokesperson, called the SAS report an “insult” to people “who want to swim in their local river or sea without getting sick”, and called on the Conservatives to “ban bonuses for water company bosses until this filthy practice is brought to an end”.

Labour’s shadow environment secretary Steve Reed said the water industry “is broken after 13 years of Tory government” and Labour “will give Ofwat the powers to ban the payment of bonuses to water bosses until they have cleared up their filth”.

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Prosecutors consider more charges against Lucy Letby

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Prosecutors consider more charges against Lucy Letby

Prosecutors are considering whether to bring further criminal charges against Lucy Letby over the deaths of babies at two hospitals where she worked

The Crown Prosecution Service said it had received “a full file of evidence from Cheshire Constabulary asking us to consider further allegations in relation to deaths and non-fatal collapses of babies at the Countess of Chester Hospital and Liverpool Women’s Hospital”.

“We will now carefully consider the evidence to determine whether any further criminal charges should be brought,” it added.

“As always, we will make that decision independently, based on the evidence and in line with our legal test.”

Letby, 35, was found guilty of murdering seven children and attempting to murder seven more between June 2015 and June 2016 while working in the neonatal unit of the Countess of Chester Hospital and is currently serving 15 whole-life orders.

lucy letby
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Letby worked at the Countess of Chester Hospital and Liverpool Women’s Hospital

She is understood to have carried out two work placements at Liverpool Women’s Hospital, where she trained as a student, between October and December 2012, and January and February 2015.

Police said in December that Letby was interviewed in prison as part of an investigation into more baby deaths and non-fatal collapses.

A Cheshire Constabulary spokesperson said: “We can confirm that Cheshire Constabulary has submitted a full file of evidence to the CPS for charging advice regarding the ongoing investigation into deaths and non-fatal collapses of babies at the neo-natal units of both the Countess of Chester Hospital and the Liverpool Women’s Hospital as part of Operation Hummingbird.”

Detectives previously said the investigation was looking into the full period of time that Letby worked as a nurse, covering the period from 2012 to 2016 and including a review of 4,000 admissions of babies.

Letby’s lawyer Mark McDonald said: “The evidence of the innocence of Lucy Letby is overwhelming,” adding: “We will cross every bridge when we get to it but if Lucy is charged I know we have a whole army of internationally renowned medical experts who will totally undermine the prosecution’s unfounded allegations.”

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Three managers at the hospital where Lucy Letby worked have been arrested on suspicion of gross negligence manslaughter.

On Tuesday, it was confirmed that three managers at the Countess of Chester hospital had been arrested on suspicion of gross negligence manslaughter in a separate investigation.

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Man charged with murder of 93-year-old woman in Cornwall

Police said the suspects, who occupied senior positions at the hospital between 2015 and 2016, have all been bailed pending further inquiries.

There is also an investigation into corporate manslaughter at the hospital, which began in October 2023.

A public inquiry has also been examining the hospital’s response to concerns raised about Letby before her arrest.

In May, it was announced the inquiry’s final report into how the former nurse was able to commit her crimes will now be published early next year.

Earlier this year, Letby’s lawyers called for the suspension of the inquiry, claiming there was “overwhelming and compelling evidence” that her convictions were unsafe.

In February, an international panel of neonatologists and paediatric specialists told reporters that poor medical care and natural causes were the reasons for the collapses and deaths.

Their evidence has been passed to the Criminal Cases Review Commission (CCRC), which investigates potential miscarriages of justice, and Letby’s legal team hopes her case will be referred back to the Court of Appeal.

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More criminal charges being considered over baby deaths at Lucy Letby hospitals

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More criminal charges being considered over baby deaths at Lucy Letby hospitals

The Crown Prosecution Service has said it is considering whether to bring further criminal charges over the deaths of babies at hospitals where Lucy Letby worked.

The CPS said it had received “a full file of evidence from Cheshire Constabulary asking us to consider further allegations in relation to deaths and non-fatal collapses of babies at the Countess of Chester Hospital and Liverpool Women’s Hospital”.

“We will now carefully consider the evidence to determine whether any further criminal charges should be brought,” it added.

“As always, we will make that decision independently, based on the evidence and in line with our legal test.”

Letby, 35, was found guilty of murdering seven children and attempting to murder seven more between June 2015 and June 2016 while working in the neonatal unit of the Countess of Chester Hospital and is currently serving 15 whole-life orders.

She is understood to have carried out two work placements at Liverpool Women’s Hospital, where she trained as a student, between October and December 2012, and January and February 2015.

On Tuesday, it was confirmed that three managers at the Countess of Chester hospital had been arrested on suspicion of gross negligence manslaughter.

Police said the suspects, who occupied senior positions at the hospital between 2015 and 2016, have all been bailed pending further inquiries.

There is also an investigation into corporate manslaughter at the hospital, which began in October 2023.

A public inquiry has also been examining the hospital’s response to concerns raised about Letby before her arrest.

In May, it was announced the inquiry’s final report into how the former nurse was able to commit her crimes will now be published early next year.

Earlier this year, Letby’s lawyers called for the suspension of the inquiry, claiming there was “overwhelming and compelling evidence” that her convictions were unsafe.

In February, an international panel of neonatologists and paediatric specialists told reporters that poor medical care and natural causes were the reasons for the collapses and deaths.

Their evidence has been passed to the Criminal Cases Review Commission (CCRC), which investigates potential miscarriages of justice, and Letby’s legal team hopes her case will be referred back to the Court of Appeal.

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‘Catastrophic failure’ led to Heathrow power outage – with chances missed to prevent it

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'Catastrophic failure' led to Heathrow power outage - with chances missed to prevent it

A power outage that shut Heathrow Airport earlier this year, causing travel chaos for more than 270,000 passengers, was caused by a “catastrophic failure” of equipment in a nearby substation, according to a new report.

Experts say the fire at the North Hyde Substation, which supplies electricity to Heathrow, started following the failure of a high-voltage electrical insulator known as a bushing, before spreading.

The failure was “most likely” caused by moisture entering the equipment, according to the report.

Two chances were also missed that could have prevented the failure, experts found, the first in 2018 when a higher-than-expected level of moisture was found in oil samples.

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Moment Heathrow substation ignites

Such a reading meant “an imminent fault and that the bushing should be replaced”, according to guidance by the National Grid Electricity Transmission.

However, the report by National Energy System Operator (NESO) said the appropriate responses to such a serious issue were “not actioned”, including in 2022 when basic maintenance was postponed.

“The issue therefore went unaddressed,” the report added.

The design and configuration of the airport’s internal power network meant the loss of just one of its three supply points would “result in the loss of power to operationally critical systems, leading to a suspension of operations for a significant period”, the report added.

Heathrow – which is Europe’s biggest airport – closed for around 16 hours on 21 March following the fire, before reopening at about 6pm.

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Heathrow bosses were ‘warned about substation’

Around 1,300 flights were cancelled and more than 270,000 air passenger journeys were disrupted.

Tens of millions of pounds were lost, thousands of passengers were stranded, and questions were raised about the resilience of the UK’s infrastructure.

More than 71,000 domestic and commercial customers lost power as a result of the fire and the resulting power outage, the report said.

NEOS chief executive, Fintan Slye, said there “wasn’t the control within their [National Grid’s] asset management systems that identified that this [elevated moisture levels] got missed.

“They identified a fault, [but] for some reason the transformer didn’t immediately get pulled out of service and get repaired.

“There was no control within the system that looked back and said ‘oh, hang on a second, you forgot to do this thing over here’.”

Sky’s science and technology editor, Tom Clarke, pointed to the age of the substation’s equipment, saying “some of these things are getting really very old now, coming to the end of their natural lives, and this is an illustration of what can happen if they are not really well maintained”.

The report also highlights a lack of joined-up thinking, he said, as “grid operators don’t know who’s critical national infrastructure on the network, and they don’t have priority”.

Responding to the report’s findings, a Heathrow spokesperson said: “A combination of outdated regulation, inadequate safety mechanisms, and National Grid’s failure to maintain its infrastructure led to this catastrophic power outage.

“We expect National Grid to be carefully considering what steps they can take to ensure this isn’t repeated.

“Our own Review, led by former Cabinet Minister Ruth Kelly, identified key areas for improvement and work is already underway to implement all 28 recommendations.”

In May, Ms Kelly’s investigation revealed that the airport’s chief executive couldn’t be contacted as the crisis unfolded because his phone was on silent.

Energy Secretary Ed Miliband, who commissioned the NESO report, called it “deeply concerning”, because “known risks were not addressed by the National Grid Electricity Transmission”.

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Mr Miliband said energy regulator Ofgem, which opened an investigation on Wednesday after the report was published, is investigating “possible licence breaches relating to the development and maintenance of its electricity system at North Hyde.

“There are wider lessons to be learned from this incident. My department, working across government, will urgently consider the findings and recommendations set out by NESO and publish a response to the report in due course.”

The Metropolitan Police previously confirmed on 25 March that officers had “found no evidence to suggest that the incident was suspicious in nature”.

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