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By Deliana Infante Reviewed by Lily Ramsey, LLM

The sweet debate
Exploring artificial options
Nature's sweetness
Sweetener safety and health
Beyond taste and health
Sweet decisions
References 
Further reading

Artificial and natural sweeteners are popular sugar substitutes. While artificial sweeteners promise zero calories, their health effects are controversial.

Natural sweeteners, such as honey and stevia, offer a healthier alternative but still require moderation. Ultimately, making informed dietary choices about sugar substitutes is critical to overall health and wellness.

Image Credit: Pheelings media/Shutterstock.com The sweet debate

Artificial sweeteners are chemically synthesized sugar substitutes designed to provide the sweetness of sugar without the calories and potential blood sugar spikes.1 Common examples include aspartame, sucralose, and saccharin, which are often found in "diet" or "zero-calorie" beverages and low-sugar processed foods.1

Natural alternatives, on the other hand, are sweeteners derived from natural sources, such as plants or fruits. They include stevia, honey, agave nectar, and more.1,2 Although these sweeteners contain calories, they often have a lower glycemic index than regular sugar, meaning they're less likely to spike blood sugar levels.1,2

The prevalence of these molecules in the modern diet is hard to ignore. Fueled by a global push toward healthier eating and weight management, their use has skyrocketed; the U.S. Food and Drug Administration (FDA) alone has approved six artificial sweeteners and designated several natural alternatives as "generally recognized as safe" (GRAS).3

In addition to providing a lower-calorie alternative to sugar, these sweeteners allow people with diabetes to enjoy sweet-tasting foods without disturbing their blood sugar levels.3 However, the health implications are still a topic of much debate, underscoring the need to make informed dietary choices. Exploring artificial options

Six artificial sugar substitutes have been approved by the FDA:

Saccharin (Sweet and Low, Sweet Twin, Sweet'N Low, and Necta Sweet), aspartame (Nutrasweet, Equal, and Sugar Twin), acesulfame potassium (Sunett and Sweet One), sucralose (Splenda), neotame (Newtame), and advantame (Advantame).3

They typically have a more complex chemical structure than regular sugar, as they are synthetically-made compounds that contain nitrogen, chlorine, and sulfur elements. The most common are aspartame and sucralose.1

Aspartame is known for its intense sweetness and low-calorie profile. It is made up of aspartic acid and phenylalanine.4 When metabolized, it breaks down into these amino acids and a small amount of methanol. Although it is up to 200 times sweeter than sugar, it provides zero calories.4

Sucralose is another high-intensity artificial sweetener that is about 600 times sweeter than sugar.1,4 It is chemically produced by sucrose chlorination. Sucralose remains stable under heat and over a wide range of pH conditions. That's why it's ideal for use in cooking or processed foods.1,4 These sweeteners underwent a rigorous approval process before they came to market.5

The FDA5 and the European Food Safety Authority (EFSA)6 take strict measures to ensure the safety of artificial sweeteners entering the market.5,6 The approval process begins when a manufacturer submits a detailed application for food ingredient approval, including scientific research and evidence to support the product's safety. 5,6

The agencies then review the evidence and compare the cumulative dietary exposure estimate with toxicological information on the sweeteners. 5,6 If the substance meets the standards, it is approved.  However, its safety continues to be monitored. 5,6

It's also important to remember that each sweetener has an Acceptable Daily Intake (ADI), an estimate of the amount of a substance a person can consume daily over a lifetime without health risks.4-6 Often, these limits far exceed the amounts people consume. 4-6 Difference Between Artificial Sweeteners And Real Sugar Play Nature's sweetness

In addition to their enhanced sweetness, natural sweeteners have a unique and rich nutritional profile.  Stevia, for example, is a zero-calorie sweetener derived from the leaves of Stevia rebaudiana, but its high-intensity sweetness doesn't affect blood sugar levels.4 Another example is Siraitia grosvenorii Swingle fruit extract, commonly known as monk fruit/luo han guo.4

Then there's thaumatin, a natural sweetener derived from the fruit of the West African katemfe fruit.4 It's estimated to be 2000 times sweeter than sugar but has a different flavor profile that includes lingering sweetness and delayed onset.4

In the case of honey and maple syrup, these two natural sweeteners are composed primarily of fructose and glucose and have a moderate effect on blood sugar levels, but have interesting antioxidant and antibacterial properties.7,8 Sweetener safety and health

Scientific evidence shows that the health effects of artificial sweeteners vary. Aspartame, for example, is metabolized to methanol, which at high levels can lead to toxic health effects and has been linked to the development of cancer.4,9 On the other hand, sucralose (Splenda) has been associated with gut permeability and changes in the microbiota, negative modulation of T-cell responses, inflammation, oxidative stress, and genotoxicity.9-11

The WHO's risk assessment of aspartame concluded that there was limited evidence to change the ADI previously established.12 In the case of sucralose and the rest of the sweeteners (natural and synthetic), the WHO recommended against their consumption for weight loss unless the individual suffers from pre-existing diabetes.13 Beyond taste and health

It is important to note that dietary choices about sweeteners can have an impact beyond health. The production of artificial sweeteners often involves complex, energy-intensive industrial processes that contribute to a larger carbon footprint.

They have also recently raised public concern for their potential negative impact on aquatic life, as they are resistant to wastewater treatment and remain as a new source of pollution in water bodies.14

On the other hand, natural sweeteners, such as honey, may have their own environmental and ethical implications, particularly concerning the welfare of bees. However, this calls for attention to the growing trend of sustainable and ethically sourced sweeteners.15 Locally produced honey, organic stevia, and maple syrup, for example, have less environmental impact and often support community economies and fair trade practices.15 Sweet decisions

When choosing between artificial sweeteners and natural alternatives, health goals and dietary needs must be considered. Artificial sweeteners are low in calories and may aid in weight management for individuals with certain health conditions or diseases such as diabetes, while natural sweeteners such as honey or maple syrup have different nutritional profiles and biological activities.

For diabetes management, artificial sweeteners may be preferred due to their minimal impact on blood glucose, while natural sweeteners should be used with caution. Moderation is key, as excessive consumption of either type can interfere with weight management and glycemic control. References Chattopadhyay S, et al.(2011). Artificial Sweeteners – a review. Journal of Food Science and Technology, 51(4), 611–621. https://doi.org/10.1007/s13197-011-0571-1 Commissioner, O. of the. (n.d.). How sweet it is: All about sweeteners. U.S. Food and Drug Administration. [Online]  https://www.fda.gov/consumers/consumer-updates/how-sweet-it-all-about-sweeteners Center for Food Safety and Applied Nutrition. (n.d.-b). High-intensity sweeteners. U.S. Food and Drug Administration. [Online]  https://www.fda.gov/food/food-additives-petitions/high-intensity-sweeteners Center for Food Safety and Applied Nutrition. (n.d.-a). Aspartame and other sweeteners in food. U.S. Food and Drug Administration.  [Online] https://www.fda.gov/food/food-additives-petitions/aspartame-and-other-sweeteners-food Center for Food Safety and Applied Nutrition. (n.d.-c). Understanding how FDA regulates food additives and Gras ingredients. U.S. Food and Drug Administration. [Online]  https://www.fda.gov/food/food-additives-and-gras-ingredients-information-consumers/understanding-how-fda-regulates-food-additives-and-gras-ingredients Food Additives. European Food Safety Authority. (n.d.). [Online]  https://www.efsa.europa.eu/en/topics/topic/food-additives Samarghandian S, et al. (2017). Honey and Health: A Review of Recent Clinical Research. Pharmacognosy Res. 9(2):121-127. doi: 10.4103/0974-8490.204647. PMID: 28539734; PMCID: PMC5424551. Mohammed F, et al.(2023). Nutritional, pharmacological, and sensory properties of Maple Syrup: A comprehensive review. Heliyon, 9(9). https://doi.org/10.1016/j.heliyon.2023.e19216 Artificial Sweeteners and cancer. National Cancer Institute. (n.d.). [Online]  https://www.cancer.gov/about-cancer/causes-prevention/risk/diet/artificial-sweeteners-fact-sheet#:~:text=Six%20artificial%20sweeteners%20are%20approved,sucralose%2C%20neotame%2C%20and%20advantame. Schiffman S.S, et al. (2023). Toxicological and pharmacokinetic properties of sucralose-6-acetate and its parent sucralose: in vitro screening assays. Journal of Toxicology and Environmental Health, Part B, 26(6), 307–341. https://doi.org/10.1080/10937404.2023.2213903 Zani F, et al. (2023). The dietary sweetener sucralose is a negative modulator of T cell-mediated responses. Nature, 615(7953), 705–711. https://doi.org/10.1038/s41586-023-05801-6 World Health Organization. (n.d.-a). Aspartame hazard and risk assessment results released. World Health Organization. [Online] https://www.who.int/news/item/14-07-2023-aspartame-hazard-and-risk-assessment-results-released World Health Organization. (n.d.-b). Who advises not to use non-sugar sweeteners for weight control in newly released guideline. World Health Organization. [Online]  https://www.who.int/news/item/15-05-2023-who-advises-not-to-use-non-sugar-sweeteners-for-weight-control-in-newly-released-guideline Naik A.Q, et al. (2021). Environmental impact of the presence, distribution, and use of artificial sweeteners as emerging sources of pollution. Journal of Environmental and Public Health, 2021, 1–11. https://doi.org/10.1155/2021/6624569 Choudhury, N. R. (2023, August 17). Are naturally derived sweeteners more sustainable?. Food Beverage Insider. [Online]  https://www.foodbeverageinsider.com/sweeteners/naturally-derived-sweeteners-sustainability-and-eco-friendliness Further reading What are the Effects of Artificial Sweeteners on Gut Health? Sucralose: Safety and Evidence Are Sweeteners Healthy?

Last Updated: Feb 16, 2024

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‘Now is our time’: Despite tariffs, China’s Silicon Valley is ready to make its mark on the world

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'Now is our  time': Despite tariffs, China's Silicon Valley is ready to make its mark on the world

The city of Hangzhou is one of the most historic and beautiful in China.

But this ancient place now has the most modern of reputations, as China’s ‘Silicon Valley’.

A vibrant hub for entrepreneurs and high-tech start-ups, Hangzhou is home to headline-grabbing success stories like Alibaba and breakthrough AI firm, DeepSeek.

In the context of escalating competition with America, the world is increasingly paying attention.

Those who are part of the tech scene here brim with enthusiasm.

The city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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Hangzhou, in Zhejiang province, has been labelled ‘China’s Silicon Valley’

Over coffee, in an ultra-modern city complex, they describe how exciting this moment feels, not just for their businesses, but for China too.

“We have the talents, we have the environment, and we have the full supply chain, even though we have a challenging environment,” says Grace Zheng, who has worked at the AI glasses creator Looktech since its inception.

More on China

“It’s our time.”

The others laugh and nod. “I agree with it,” says Jia Dou, whose company Wuli Coffee, creates high-tech, automated commercial coffee machines. “And I think it’s our time to show and battle with other foreign countries.”

Grace Zheng works for Looktech, a company which manufactures AI glasses 
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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Grace Zheng is enthusiastic about the future for China

And is that a battle China could now win, I ask? “Of course,” comes the answer.

They tell stories of how estate agents in Hangzhou dedicated hours of their time for free to find the perfect laboratory space, and how the local government showered them in grants and incentives; so hungry is this city for tech success.

A conversation with tech entrepreneurs in the Chinese city of Hangzhou 
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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These entrepreneurs in Hangzhou say the city supports a vibrant hub of tech start-ups

“Hangzhou says we’ll provide the sunshine and the water, you go ahead and grow,” explains Zhang Jie.

She is the convenor of this group. An entrepreneur herself and the founder of a thriving ‘incubator’ for start-ups, she has invested in and mentored all the others around the table.

She is passionate, energetic and has a second-to-none understanding of what makes Hangzhou and China’s tech scene so successful.

“In China, we have more than 10 million university and college students graduating. Then we’re talking about at least five to six million engineers with college education background,” she says.

“So with such a large group of young and intelligent people with a good environment, a favourable environment for entrepreneurship, I’m sure there will be even greater companies coming in the future.”

 Zhang Jie runs an incubator to help start-ups in Hangzhou 
 Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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Zhang Jie helps start-ups in Hangzhou, where she says entrepreneurship is able to thrive

Indeed, a combination of light-touch local regulation, (unusual in China more broadly), coupled with one of the most business-oriented and free-thinking universities in the country, Zhejiang University, is viewed by many as the secret sauce in Hangzhou.

Zhang says she has had more young people approach her with business ideas in the last quarter than at any other time before, and she is full of optimism about the current wave.

“They are already companies [in China that will] probably be greater than Apple, right?” She laughs.

And she may well be right.

But there is one name in particular, born and bred in Hangzhou, that has captured the world’s attention in recent months.

When DeepSeek unveiled its latest open-source AI model earlier this year, it stunned the world, claiming to be as good as western competitors for a fraction of the price.

The headquarters of Hangzhou-based AI firm DeepSeek
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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The Hangzhou HQ of DeepSeek, which has stunned the world with its recent AI advances

Many are now talking about the ‘DeepSeek moment’, a moment that turbocharged confidence within China and made the rest of the world sit up and take notice.

Indeed, successes like this are being lauded by China’s leaders. In February, tech bosses, including DeepSeek’s founder Liang Wenfeng, were invited to a symposium with Xi Jinping and his top team.

Photo ops and handshakes with the president, an abrupt change from the crackdown they faced just a few years ago. In fact, tech is now being positioned as a key pillar in China’s future economy, repeatedly highlighted in official communications.

But what is seen as inspiring innovation in China is viewed by the United States as a threat.

Donald Trump is moving to ramp up restrictions, including more export controls on chips being sold to China.

Read more from Sky News:
What is DeepSeek?
China raises tariffs on US

Businesses in Hangzhou are of course aware of the trade war unfolding around them, many who export to America will take a significant hit, but most think they can cope.

Dr Song Ning is one of them. He proudly shows us his factory, which is integrated with the lab work and R&D side of his business.

His company, Diagens, uses AI to massively speed up medical diagnostics, cutting the time taken to run a chromosomal screening from 30 days to 4. He is also working on a chatbot called WiseDiag which has more advanced medical understanding and can be used by patients.

Inside the factory of Diagens, a Hangzhou-based firm using AI to speed up medical diagnostics
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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This lab at the firm Diagens is using AI to speed up medical diagnostics

While they are actively seeking business in over 35 foreign countries, for now, the pursuit of American customers is on pause.

“Competition is a good thing… it makes us all stronger,” he says.

Dr Song Ning, a Hangzhou-based entrepreneur, whose businesses Diagens and WiseDiag use AI to improve medical diagnostics 
Stills from Helen-Ann Smith VT about city of Hangzhou, in Zhejiang province, dubbed “China’s Silicon Valley”
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Dr Song Ning believes Donald Trump’s policies will not be able to impede innovation

“I do not think by limiting the scientific and technological progress of China or other countries, Trump will be able to achieve his goal, I think it is a false premise.

“Information is so developed now, each country has very smart people, it will only force us to have more tech innovation.”

While individuals remain defiant, the trade war will still leave a big hole in China’s economy. Tech firms, however advanced, can’t yet fill that gap.

But the innovation here is rapid, and there is no doubt, it will leave its mark on the world.

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Tens of thousands of the faithful to pay their respects to the Pope as he lies in state

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Tens of thousands of the faithful to pay their respects to the Pope as he lies in state

Mourners will be able to view the body of Pope Francis lying in state in St Peter’s Basilica from Wednesday, ahead of his funeral this weekend.

Tens of thousands of people are expected to travel to the Vatican over the next three days to pay their respects to the pontiff, who died on Easter Monday at the age of 88.

After his funeral on Saturday morning (9am UK time) there will be a nine-day period of mourning, known as the “novendiali”, after which the secretive meeting – called the conclave – will begin to elect a new pope.

Pope Francis: Follow the latest

The conclave to choose his successor must start between 5 and 10 May.

The first images of his body were released on Tuesday, showing him in red vestments and his bishop’s mitre in a wooden casket.

SENSITIVE MATERIAL. THIS IMAGE MAY OFFEND OR DISTURB Cardinal Pietro Parolin, the Vatican's secretary of state, stands near the body of Pope Francis, placed in an open casket during the rite of the declaration of death in Santa Marta residence at the Vatican, April 21, 2025. Vatican Media/­Handout via REUTERS ATTENTION EDITORS - THIS IMAGE WAS PROVIDED BY A THIRD PARTY. TPX IMAGES OF THE DAY
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The Vatican’s secretary of state, Cardinal Pietro Parolin, standing over the body of Pope Francis. Pic: Reuters

The Vatican secretary of state was shown praying over him in the chapel of the Domus Santa Marta hotel where he lived and died.

More on Pope Francis

Previous popes were entombed in three coffins: the first made of wood, another of lead and a third, again made of wood. But in 2024, Francis changed the rules and said that only one coffin, a wooden one lined in zinc, should be used.

In a break from tradition, he will be buried in the basilica of Santa Maria Maggiore (St Mary Major), according to his wishes.

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3D map shows pope’s funeral route

Following the pope’s death, from a stroke and heart failure, world leaders have praised his moral leadership and compassion.

On Tuesday, Sir Keir Starmer described him as “a quite remarkable man, and the work and commitment that he put into fairness over so many years, and globally, I think will be a real lasting legacy”.

Francis leaves behind a more inclusive but also divided Catholic Church

by Barbara Serra, Sky News presenter in Rome

An institution like the Catholic Church, which is more than 2,000 years old and has changed leadership 266 times, is well-versed in managing transition.

But while the steps that follow a pope’s death may be strictly dictated by tradition, the mood is often very different, depending on the pope that is being replaced.

The word Catholic means universal, and it’s a good reminder of the challenge facing any pope – leading a congregation 1.4 billion strong from all over the world, with differing ideas about if and how change should happen, is far from easy.

The global demographics of Catholicism are changing rapidly. Pope Francis was keenly aware of this.

We often talk about him as progressive, but a more accurate term to describe his papacy would be “inclusive”.

Read more from Barbara here

Sir Keir will join a growing list of dignitaries who will attend the funeral on Saturday, including Prince William, French President Emmanuel Macron, Ireland’s prime minister Micheal Martin, Spain’s King Felipe and Queen Letizia, and Donald Trump.

Read more from Sky News:
St Peter’s Square full of smiles
How accurate is Conclave?
What next after the Pope?

Huge numbers have attended the funerals of Pope Francis’s predecessors.

In 2023, around 50,000 people attended the funeral of Benedict XVI, according to the Washington Post. In 2005, around 300,000 went to the funeral of John Paul II.

Once the conclave begins, cardinals vote in secret sessions in the Sistine Chapel.

After voting sessions, the ballots are burned in a special stove. Black smoke indicates that no pope has been elected, while white smoke indicates that the cardinals have chosen the next head of the Catholic Church.

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Birmingham bin strike: Talks to end the dispute resume

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Birmingham bin strike: Talks to end the dispute resume

Talks to try to end the Birmingham bin strike that has seen piles of black rubbish bags fill the pavements of the city will resume today.

Mounds of waste remain uncollected, while residents have started to take matters into their own hands.

Birmingham City Council declared a major incident on 31 March, saying the “regrettable” move was taken in response to public health concerns, as picket lines were blocking depots and preventing waste vehicles from collecting rubbish.

The all-out strike started on 11 March, but waste collections have been disrupted since January.

Here is everything you need to know.

Rubbish bags in Poplar Road in Birmingham.  
Pic: PA
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From 20 April. Pic: PA

How long have workers been striking?

More than 350 workers of the Unite union began a series of walkouts in January and decided to escalate into indefinite strike action on 11 March, citing fear over further attacks on their jobs, pay and conditions.

The union has said that the removal of the role of waste recycling and collection officer (WRCO) role will leave about 150 workers £8,000 worse off – as the number of workers working on bin lorries will be reduced from four to three.

Workers on the picket line outside Birmingham waste depot
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From 1 April: Workers on the picket line outside Birmingham waste depot

The council said it scrapped the WRCO role to put the city’s waste operations in line with national practice and to improve its waste collection service.

It said all workers have been offered alternative employment at the same pay, driver training or voluntary redundancy and that offer remains open.

Three military planners are understood to have been assigned to the city to provide logistical support to Birmingham’s council for a short period of time.

What are the impacts?

Normally, the city’s waste teams would make more than half a million collections in a week with 200 vehicles deployed over eight-hour daily shifts.

This has been reduced to just over 26,000 since the start of April, according to the latest council figures.

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From 14 April: Bin strikes clean-up could cost over £200m

The cost of the ongoing clean-up could cause even more damage to the council, which effectively declared bankruptcy in 2023. One waste management agency told Sky News that totally clearing the backlog could cost more than £200m.

The strike has become one of the longest the UK has seen in recent years.

Back in 1978-79, the winter of discontent led to rubbish piling up on the streets of London, as the waste collection industry joined other trade unions in demanding larger pay rises in response to government caps.

More recently, more than 200 bin workers in the Wirral went on a week-long strike in 2022, eventually securing a 15% pay rise. In the same year, a similar dispute over pay saw rubbish pile up in Edinburgh during the city’s busy festival season.

Overflowing bins on a street in Birmingham on Easter Sunday
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Overflowing bins on a street in Birmingham on 20 April

Rubbish bags are taken away on Poplar Road in Birmingham.
Pic: PA
Image:
Pic: PA

Why is it taking so long to settle the dispute?

Unite, the union representing striking workers, and the city council have failed to reach an agreement since the strike began in March, with Unite holding firm on the strike action despite pressure from the government.

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Bin workers reject council offer

Members rejected the council’s latest offer on 14 April by 97% on 60% turnout, saying it was “totally inadequate” and did not address potential pay cuts for 200 drivers.

The union’s general secretary Sharon Graham said the rejection was “no surprise” as “workers simply cannot afford to take pay cuts of this magnitude to pay the price for bad decision after bad decision”.

Meanwhile, the government and council said it was a “significantly improved” offer.

SN pics from 10/04/25 Tyseley Lane, Tyseley, Birmingham showing some rubbish piling up because of bin strikes
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Tyseley Lane on 10 April

Responding to an urgent question in the House of Commons on 22 April, communities minister Jim McMahon said “significant progress” had been made in dealing with the remaining tonnes of rubbish.

He said through “a concerted effort” and with the assistance of other councils, private operators and workers, 26,000 tonnes of excess waste had been removed, and the levels were “approaching normal”.

Council leader John Cotton told Sky News’ Midlands correspondent Lisa Dowd on 16 April that it “pains” him to see pictures of mounds of rubbish and rats feeding off the mess being broadcast around the world.

He said the only way for the normal waste collection schedule to resume was for the strike to end – but added the cash-strapped council has “red lines” that it will not cross during negotiations.

Deputy prime minister Angela Rayner visited the city on 10 April and urged the union to end the “misery and disruption” by accepting a pay deal.

Deputy Prime Minister Angela Rayner says she is "urging Unite" to accept the council's "improved offer" and suspend strike action in Birmingham.
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Angela Rayner ‘urged’ the union to accept the council’s deal

How have residents been affected?

Mounting rubbish has led to residents complaining of a risk to public health, with rotting food attracting foxes, cockroaches and rats.

Rashid Campbell, a local resident who is part of a volunteer litter-picking team from the Birmingham Central Mosque, told Sky’s Shamaan Freeman-Powell that 12 members of his team collected 24 bags of rubbish from two Birmingham streets on Easter Sunday.

“If we don’t [litter-pick], we’re just going to be drowning in rubbish,” he said.

Latifat Abdul Majed Isah said even in some places where bins have been taken away, the street remained “dirty, unpalatable and unpleasant to see”.

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Volunteers take action amid bin strikes

Joseph McHale, a rat-catcher from Vergo Pest Management, told Sky News at the beginning of April that discarded bin bags provide vermin with “somewhere to hide, somewhere to feed, somewhere to stay warm”.

He said his business had seen a 60% increase in people from Birmingham calling them for help.

By declaring a major incident, the council was able to free up an additional 35 vehicles and crews to clear rubbish and fly-tipping from the streets.

The limited number of waste trucks are deployed each morning from three depots across the city and cover multiple different routes.

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Examining Birmingham’s ‘rat super highway’

Residents are also able to dispose of household general waste and bulky items at the council’s mobile household waste centres, without prebooking.

To recycle household items, locals are required to book a slot at one of the council’s household recycling centres.

Could it spread to other areas?

The union’s general secretary has warned the strikes could “absolutely” spread to other areas.

“If other councils decide to make low-paid workers pay for bad decisions that they did not make, workers paying the price yet again, then absolutely, of course, we all have to take action in those other areas,” Sharon Graham told LBC.

The union’s national lead officer Onay Kasab agreed, telling BBC Four: “Well, if other local authorities look to cut the pay of essential public service workers, then there is the potential for strike action spreading.

“That’s why different political choices need to be made.”

Ms Graham also criticised the government, saying it had taken them “a huge amount of time to get involved in the dispute”.

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