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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 om Monday 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?”

Read More:
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Water firms apologise for sewage discharges

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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Widow has ‘no regrets’ over assisted suicide of husband despite ‘ongoing’ police investigation

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Widow has 'no regrets' over assisted suicide of husband despite 'ongoing' police investigation

A woman who is under police investigation after assisting the suicide of her husband at Dignitas in Switzerland has told Sky News she has no regrets.

Louise Shackleton has spoken publicly for the first time since her husband’s death in December, as parliament prepares to vote again on legislation to introduce assisted dying in England and Wales.

Mrs Shackleton surrendered herself to police after returning from Switzerland having seen her husband Anthony die. He had been suffering with motor neurone disease for six years.

“I have committed a crime, which I have admitted to, of assisting him by simply pushing him on to a plane and being with him, which I don’t regret for one moment. He was my husband and I loved him,” she said.

“We talked at length over two years about this. What he said to me on many occasions is ‘look at my options, look at what my options are. I can either go there and I can die peacefully, with grace, without pain, without suffering or I could be laid in a bed not being able to move, not even being able to look at anything unless you move my head’.

“He didn’t have options. What he wanted was nothing more than a good death.”

The law in the UK prohibits people from assisting in the suicide of others, but prosecutions have been rare.

For Greg Milam story. Copy and pictures submitted via email. A woman who is under police investigation after assisting the suicide of her husband at Dignitas in Switzerland has told Sky News she has no regrets. Louise Shackleton has spoken publicly for the first time since her husband’s death in December. Mrs Shackleton surrendered herself to police after returning from Switzerland having seen her husband Anthony die. He had been suffering with Motor Neurone Disease for six years.
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Louise Shackleton has spoken publicly for the first time since her husband Anthony’s death

In a statement, a North Yorkshire Police spokesman told Sky News: “The investigation is ongoing. There is nothing further to add at this stage.”

The next vote on the assisted dying bill for England and Wales has been delayed by three weeks to give MPs time to consider amendments.

The legislation would permit a person who is terminally ill with less than six months to live to legally end their life after approval by two doctors and an expert panel.

‘He was at total peace with his decision’

Mrs Shackleton says she saw her husband “physically and mentally” relax once on the flight to Switzerland.

She said: “We had the most wonderful four days.

“He was laughing. He was at total peace with his decision.

“It was in those four days that I realised that he wanted the peaceful death more than he wanted to suffer and stay with me, which was hard, but that’s how resolute he was in having this peace.

“I was his wife, we’d been together 25 years, we’d known each other since we were 18. I couldn’t do anything else but help him.”

For Greg Milam story. Copy and pictures submitted via email. A woman who is under police investigation after assisting the suicide of her husband at Dignitas in Switzerland has told Sky News she has no regrets. Louise Shackleton has spoken publicly for the first time since her husband’s death in December. Mrs Shackleton surrendered herself to police after returning from Switzerland having seen her husband Anthony die. He had been suffering with Motor Neurone Disease for six years.

‘We need to safeguard people’

She said the hardest part of the journey came after her husband’s death.

“There was this panic and this fear that I was leaving him,” she said. “That was a horrific experience.

“If the law had changed in this country, I would have been with family, family would have been with us, family would’ve been with him. But as it was, that couldn’t happen.”

Opponents to the assisted dying bill have raised concerns about the safety of vulnerable people and the risk of coercion and a change in attitudes toward the elderly, seriously ill and disabled.

They say improvements to palliative care should be a priority.

“I think that we need to safeguard people,” said Mrs Shackleton. “I think that sometimes we need to suffer other people’s choices, and when I mean suffer I mean we have to acknowledge that whilst we’re not comfortable with those, that we need to respect other people, other people wishes.”

For Greg Milam story. Copy and pictures submitted via email. A woman who is under police investigation after assisting the suicide of her husband at Dignitas in Switzerland has told Sky News she has no regrets. Louise Shackleton has spoken publicly for the first time since her husband’s death in December. Mrs Shackleton surrendered herself to police after returning from Switzerland having seen her husband Anthony die. He had been suffering with Motor Neurone Disease for six years.

Read more:
Assisted dying: What is in the legislation?
Debate over assisted dying delayed

Anthony, who died aged 59, was a furniture restorer who had earned worldwide recognition for making rocking horses.

“I think the measure of the man is that nobody has ever said a bad word about him in the whole of his life because he was just so caring and giving,” his widow said.

‘This is about a dying person’s choice’

She said she had chosen to speak publicly because of a promise she had made him.

“I felt that my husband’s journey shouldn’t be in vain. We discussed this on our last day and my husband made me promise to tell his story.

“He told me to fight and the simple thing that I’m fighting for is people to have the choice.

“This is about a dying person’s choice to either follow their journey through with disease or to die peacefully when they want to, on their terms, and have a good death. It’s that simple.”

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Feminists ‘feel braver about speaking out’ after gender ruling – but critics say it ‘stokes culture war’

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Feminists 'feel braver about speaking out' after gender ruling - but critics say it 'stokes culture war'

A former Labour MP who quit the party over Sir Keir Starmer’s leadership has welcomed the landmark Supreme Court ruling on the definition of a woman as a “victory for feminists”.

Rosie Duffield, now the independent MP for Canterbury, said the judgment helped resolve the “lack of clarity” that has existed in the politics around the issue “for years”.

She was speaking to Ali Fortescue on the Politics Hub on the same day the UK’s highest court delivered its verdict on one of the most contentious debates in politics.

Politics latest: MPs respond to Supreme Court ruling on gender

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How do you define a woman in law?

The judges were asked to rule on how “sex” is defined in the 2010 Equality Act – whether that means biological sex or “certificated” sex, as legally defined by the 2004 Gender Recognition Act.

Their unanimous decision was that the definition of a “woman” and “sex” in the Equality Act 2010 refers to “a biological woman and biological sex”.

Asked what she made about comments by fellow independent MP John McDonnell – who said the court “failed to hear the voice of a single trans person” and that the decision “lacked humanity and fairness” as a result, she said: “This ruling doesn’t affect trans people in the slightest.

“It’s about women’s rights – women’s rights to single sex spaces, women’s rights, not to be discriminated against.

“It literally doesn’t change a single thing for trans rights and that lack of understanding from a senior politician about the law is a bit worrying, actually.”

However, Maggie Chapman, a Scottish Green MSP, disagreed with Ms Duffield and said she was “concerned” about the impact the ruling would have on trans people “and for the services and facilities they have been using and have had access to for decades now”.

Susan Smith and Marion Calder give a statement, as the Supreme Court rules on an appeal by For Women Scotland about whether a person with a full gender recognition certificate which recognises that their gender is female is a woman under British equality laws, outside the Supreme Court in London, Britain, April 16, 2025. REUTERS/Maja Smiejkowska
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Susan Smith and Marion Calder, directors of For Women Scotland celebrate after the ruling. Pic: Reuters

“One of the grave concerns that we have with this ruling is that it will embolden people to challenge trans people who have every right to access services,” she said.

“We know that over the last few years… their [trans people’s] lives have become increasingly difficult, they have been blocked from accessing services they need.”

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‘Today’s ruling only stokes the culture war further’

Delivering the ruling at the London court on Wednesday, Lord Hodge said: “But we counsel against reading this judgment as a triumph of one or more groups in our society at the expense of another. It is not.

Campaigners for For Women Scotland (FWS) celebrate outside the Supreme Court in London after terms "woman" and "sex" in the Equality Act refer to a biological woman and biological sex, the Supreme Court has ruled. Picture date: Wednesday April 16, 2025.
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Campaigners celebrate outside the Supreme Court. Pic: PA

“The Equality Act 2010 gives transgender people protection, not only against discrimination through the protected characteristic of gender reassignment, but also against direct discrimination, indirect discrimination and harassment in substance in their acquired gender.

“This is the application of the principle of discrimination by association. Those statutory protections are available to transgender people, whether or not they possess a gender recognition certificate.”

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Asked whether she believed the judgment could “draw a line” under the culture war, Ms Chapman told Fortescue: “Today’s judgment only stokes that culture war further.”

And she said that while Lord Hodge was correct to say there were protections in law for trans people in the 2020 Equality Act, the judgment “doesn’t prevent things happening”.

“It may offer protections once bad things have happened, once harassment, once discrimination, once bigotry, once assaults have happened,” she said.

She also warned some groups “aren’t going to be satisfied with today’s ruling”.

“We know that there are individuals and there are groups who actually want to roll back even further – they want to get rid of the Gender Recognition Act from 2004,” she said.

“I think today’s ruling just emboldens those views.”

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Arsenal reach Champions League semi-final with dramatic win over Real Madrid

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Arsenal reach Champions League semi-final with dramatic win over Real Madrid

Arsenal have reached the semi-finals of the Champions League after a dramatic victory over holders Real Madrid in Spain.

The north London side, who became the first English team to win twice at the Bernabeu following their triumph there 19 years ago, will face Paris Saint-Germain in the last four after the French side beat Aston Villa on Tuesday.

It is the third time the Gunners have made it through to the semis of the top club football tournament in Europe, and the first since 2009.

Arsenal went into the second leg of their quarter-final clash on Wednesday with a 3-0 lead.

Backed by a raucous home crowd, Madrid tried to get off to a strong start and Kylian Mbappe scored after two minutes. However, the goal was disallowed for a clear offside.

Arsenal had the chance to go ahead in the 13th minute but winger Bukayo Saka missed a penalty.

The Spanish hosts were awarded a penalty of their own about 10 minutes later when Mbappe stumbled under pressure from Declan Rice in the box – but the decision was overturned by VAR.

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Saka atoned for his tepid penalty as he chipped the ball past Madrid’s keeper Thibaut Courtois when put through on goal by auxiliary striker Mikel Merino in the 65th minute.

But Arsenal were pegged back just two minutes later as Vinicius Junior caught William Saliba dawdling on the ball and fired Real Madrid level.

Arsenal’s resolute defending kept the home side at bay until Gabriel Martinelli made a late break through the home side’s defence to put his side 2-1 ahead three minutes into injury time, as the Gunners made it 5-1 on aggregate.

(L-R) Arsenal's Declan Rice and Mikel Merino celebrate after the defeat against Real Madrid. Pic: AP
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(L-R) Arsenal’s Declan Rice and Mikel Merino celebrate after the defeat against Real Madrid. Pic: AP

‘We knew we were going to win’, says Rice

Arsenal midfielder Declan Rice has insisted his team are intent on winning the Champions League after their victory in Madrid.

Speaking to TNT Sport, Rice, who was named player of the match, said: “It’s such a special night, a historic one for the club. We have the objective of playing the best and winning the competition.

“We had so much belief and confidence from that first leg and came here to win the game. We knew we were going to suffer but we knew we were going to win. We had it in our minds, then we did it [in] real life. What a night.

“I knew when I signed, this club was on an upward trajectory. It’s been tough in the Premier League but in this competition we’ve done amazingly well.

“It’s PSG next, who are an amazing team.”

‘We have to be very proud of ourselves’, says Arteta

Arsenal boss Mikel Arteta told TNT Sport: “One of the best nights in my football career.

“We played against a team with the biggest history.

“To be able to win the tie in the manner we have done, I think we have to be very proud of ourselves.”

He added: “The history we have in this competition is so short. The third time in our history of what we have just done and we have to build on that. All this experience is going to help us, for sure.”

Real Madrid were seeking their third Champions League title in four seasons.

Mbappe twisted ankle

Their forward Mbappe twisted his right ankle during the game and was jeered by part of the crowd when his substitution was announced after a lacklustre performance.

The French star, who is still looking for his first Champions League title, was replaced by Brahim Diaz in the 75th minute following his injury. He was able to walk off the pitch by himself, but was limping slightly.

The other semi-final will be between Barcelona and Inter Milan.

The first legs are set to be played on 29 and 30 April, with the second legs on 6 and 7 May.

The final will be on 31 May.

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