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A woman turns up at the entrance of the tented cholera quarantine ward in Kassala Teaching Hospital. She has a small baby in her arms.

“Does your baby have cholera?” an anxious health worker asks. The woman says no. “Then move away from here,” he yells.

These are extreme conditions that require a stern tone. Sudan‘s eastern states, areas of relative safety in a country torn apart by war, are facing a battle of their own. A fight to combat the spread of life-threatening illness like cholera – soaring in unsanitary conditions aggravated by heavy rains, mass displacement and crumbling infrastructure.

Kassala Teaching Hospital

Inside the ward, health workers move quickly to triage incoming patients. Most of them are too weak to walk or talk.

One man collapses as he tries to walk from one room to the next. He is put in a wheelchair and moved to a room a few steps from where he fell. As soon as his helpers release him, he drops down onto a hard bed. There is no strength to sit up without support.

“This is the first time the state experiences something like this. At least in recent years, there has not been a cholera outbreak like this,” Dr Ali Adam, Kassala Minister of Health, tell us in the quarantine ward.

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He has granted us rare access to the facility despite the dire conditions around us.

“There is extreme pressure on the state’s services. Kassala is home to three million people – a number that has nearly doubled.”

Despite the despairing state of the people being treated behind him, those who can make it to this ward are the fortunate ones. With rehydration therapy and monitoring, they are very likely to survive.

Kassala Teaching Hospital

The latest figures from Sudan’s Federal Ministry of Health show that cholera cases are surging. On the 26 September, 15,557 cases had been reported since late July. By yesterday that had jumped to 24,116 reported cases – a 55% increase in just two-and-a-half weeks.

Cholera-related deaths in the same reporting window are also on the rise. 681 people have died – a 34% increase from 507 deaths.

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‘They started killing people in the streets’

Experts and frontline responders told us these figures are still likely to be a gross underestimate.

Sudan’s cholera outbreak is a growing, grim reality – fuelled by armed violence and the ongoing displacement of people to densely populated safe zones.

The country is currently experiencing the world’s worst internal displacement crisis.

Sudan

“The main issue in cholera is overpopulation,” says Chiara Lodi, MSF Spain’s Sudan country director. “The movement from one state to another impacts the health system because it cannot absorb and impacts the infrastructure – the city or the village – because they do not have enough space for everyone and they are not built to have so many people.”

Movement of critical supplies and humanitarian support has also been hampered by state bureaucracy in the wartime terrain.

“If we need to intervene in 24 hours as we normally do, it is impossible because we need to follow certain procedures,” says Chiara.

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As the chaos of this conflict continues to unfold, the millions of vulnerable people impacted by the spread of deadly diseases are falling through the cracks.

“In this kind of setting everyone is focussed and worried about a certain kind of patient and then we forget that actually the population that is most impacted by what is happening is not the people that are getting blast injuries,” Chiara adds.

“It is children, mothers and elderly who have to escape and find themselves without anything in a place that is not built to cope with them and a health system that is heading to collapse.”

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Arrest warrants issued for Israeli PM Netanyahu and former defence secretary Gallant over alleged war crimes

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Arrest warrants issued for Israeli PM Netanyahu and former defence secretary Gallant over alleged war crimes

Arrest warrants have been issued for Israeli Prime Minister Benjamin Netanyahu and former defence secretary Yoav Gallant by the International Criminal Court (ICC).

The warrants are for alleged war crimes and crimes against humanity related to the war in Gaza that Israel launched following the 7 October attacks by Hamas.

The prime minister’s office said the warrants against him and Gallant were “anti-semitic” and said Israel “rejects with disgust the absurd and false actions”.

Another warrant was issued for the arrest of Hamas leader Mohammed Diab Ibrahim al Masri for alleged war crimes and crimes against humanity.

Al Masri, also known as Mohammed Deif, was the mastermind behind the 7 October attacks.

It is unclear if he is still alive, following an airstrike that Israel claimed killed him earlier this year.

Neither Israel nor the US are members of the ICC. Israel has rejected the court’s jurisdiction and denies committing war crimes in Gaza.

Former Israeli prime minister Naftali Bennett said the warrants for Netanyahu and Gallant were a “mark of shame” for the ICC.

The court originally said it was seeking arrest warrants for the three men in May for the alleged crimes and today announced that it had rejected challenges by Israel and issued warrants of arrest.

The new UK Labour government said in the summer it would not oppose the ICC’s right to issue the warrants.

Israel's Prime Minister Benjamin Netanyahu addresses the UN general assembly. Pic: Reuters
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Benjamin Netanyahu addresses the UN general assembly. Pic: Reuters

Warrants for Netanyahu and Gallant

In its update, the ICC said it found “reasonable grounds to believe” that Netanyahu and Gallant “bear criminal responsibility” for alleged crimes.

These, the court said, include “the war crime of starvation as a method of warfare; and the crimes against humanity of murder, persecution, and other inhumane acts”.

Netanyahu previously spoke of his “disgust” at the suggestion the ICC would seek an arrest warrant for him.

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File image made by video and released by the militant group Hamas on Aug. 26, 2005,  shows a man, identified as fugitive bombmaker Mohammed Deif. Pic: AP
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A video released by Hamas in 2005 shows a man identified as Mohammed Deif. Pic: AP

Warrant for Hamas leader

The ICC also said it has issued an arrest warrant for Hamas leader Al Masri, saying it has “reasonable grounds to believe” that he is responsible for crimes against humanity including murder, extermination, torture, rape, as well as war crimes including taking hostages.

Discussing the 7 October attacks, the court said: “In light of the coordinated killings of members of civilians at several separate locations, the Chamber also found that the conduct took place as part of a mass killing of members of the civilian population, and it therefore concluded that there are reasonable grounds to believe that the crime against humanity of extermination was committed.”

In its statement, the ICC said the prosecution was not in a position to determine whether Al Masri is dead or alive, so was issuing the arrest warrant.

The court previously said it was seeking an arrest warrant for Ismail Haniyeh, the leader of Hamas who was subsequently killed in July.

This will never leave Netanyahu

Three arrest warrants have been issued by the International Criminal Court (ICC) but the two most significant are those against Benjamin Netanyahu and Yoav Gallant.

The court in their statement said that they have reasonable grounds to believe that those two men, have been carrying out the war crime of starvation as a method of warfare and the crimes against humanity of murder, persecution and other inhumane acts.

Ever since the arrest warrants were first sought there have been a lot of legal challenges. But the court has rejected all that and has now issued these arrest warrants.

So what does it mean? Well, practically, it would mean that Benjamin Netanyahu and Yoav Gallant couldn’t travel to any state that is a signatory of the ICC – about 120 countries around the world, including the UK and many European countries.

Were Netanyahu to travel to any of those countries, he should be arrested by the police forces of those countries. And it’ll be very interesting to see what Sir Keir Starmer’s reaction is to this.

But the US, Israel’s closest ally, is not a signatory of the ICC. I think Netanyahu will have support on the other side of the Atlantic.

Also, these ICC arrest warrants don’t always get carried out. We saw President Vladimir Putin, who had an arrest warrant issued for him after the invasion of Ukraine, travel to Mongolia a couple of months ago and nothing was done about that.

But in terms of the reputations of Benjamin Netanyahu and Yoav Gallant, in terms of that legacy, they are now wanted suspects, wanted to be put on trial for war crimes. And it is a label that will never leave them.

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Four dead and more in hospital with methanol poisoning after drinking ‘free shots’ in Laos

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Four dead and more in hospital with methanol poisoning after drinking 'free shots' in Laos

Four people have died and a number of others are in hospital after allegedly being served drinks laced with methanol.

According to reports, six British travellers are among those being treated in Laos, after falling ill last week.

Two Danish women in their 20s and a 56-year-old US citizen are reported to have died in what authorities fear was a mass poisoning.

On Thursday, it was confirmed an Australian woman – named as Bianca Jones, 19, from Melbourne – had become the fourth person to die.

Holly Bowles Pic: Facebook
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Holly Bowles Pic: Facebook

Her friend Holly Bowles is being treated in hospital after calling for medical help at their accommodation, Nana’s Backpackers Hostel.

In a statement given to the Herald Sun, Ms Jones’s family said: “It is with the heaviest of hearts that we share the news that our beloved daughter and sister, Bianca Jones, has passed away.

“She was surrounded by love, and we are comforted by the knowledge that her incredible spirit touched so many lives during her time with us.

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“We want to express our deepest gratitude for the overwhelming support, love, and prayers we’ve received from across Australia.”

Simone White Pic: Squire Patton Boggs
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Simone White Pic: Squire Patton Boggs

One of the British travellers being treated in hospital has been named as Simone White, 28, from Orpington, Kent.

According to The Times newspaper, she became ill last week in Vang Vieng – a resort popular with backpackers.

Ms White’s friend, Bethany Clarke, a healthcare worker also from Orpington, posted on a Laos Backpacking Facebook group to warn other travellers.

“Urgent – please avoid all local spirits. Our group stayed in Vang Vieng and we drank free shots offered by one of the bars,” she wrote.

“Just avoid them as so not worth it. Six of us who drank from the same place are in hospital currently with methanol poisoning.”

New Zealand’s Foreign Ministry also confirmed one of its citizens was also unwell in Laos and could be a victim of methanol poisoning.

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Ukraine fires UK-supplied Storm Shadow missiles at targets inside Russia

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Ukraine fires UK-supplied Storm Shadow missiles at targets inside Russia

Ukraine has fired British-supplied Storm Shadow missiles into Russia, a source has told Sky News.

The UK and Ukraine have not yet confirmed the use of the long-range weapons in Russia but their deployment has been widely reported in British media.

Footage has been posted on Telegram reportedly showing wreckage from one of the missiles in Russia’s Kursk region, which borders Ukraine.

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What are Storm Shadow missiles?

Ukraine war: Follow latest updates

The UK had previously said that British tanks, anti-tank missiles and other military equipment could be used inside Russia as part of Ukraine’s defence – but had kept restrictions on the use of long-range missiles.

It comes just days after US President Joe Biden authorised the same policy shift.

Russia’s defence ministry said on Tuesday that Ukraine had fired six US-supplied Army Tactical Missile Systems (ATACMS) in the Bryansk region.

A Russian state news agency cited the ministry as saying the missiles caused no casualties.

The Storm Shadow cruise missile is on display at the Paris Air Show in, June 2023 Pic: AP
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The missile is also called SCALP by French forces. File pic: AP

Missiles will have a ‘marginal effect’

Sky News’ security and defence editor Deborah Haynes says Ukraine’s allies have been pursuing a strategy of ambiguity and “it remains to be seen whether we get official confirmation on this from the UK or from Ukraine”.

“There is also the uncomfortable reality that Ukraine’s stockpile of Storm Shadow missiles is severely limited, so their use will only have a marginal effect.”

Meanwhile, Sky’s military analyst Sean Bell says he would be amazed if this attack really marks the first time such a missile has been used by Ukraine to hit inside Russia.

“I would be quite surprised if they haven’t been used for selected targets further on [into Russia] because they are… very, very effective at striking Russian logistics hubs, headquarters, ammunition dumps,” he said.

British forces used Storm Shadows in the Iraq in 2003
Image:
British forces used Storm Shadows in the Iraq war in 2003. File pic: Reuters

The same missiles are also used by French forces, using the alternative name SCALP, and are made by the Anglo-French arms manufacturer, MBDA.

What are storm shadow cruise missiles?

The air-to-air missile has a strike capability of nearly 200 miles (300km) – meaning it would potentially allow Ukraine to hit further into Russian territory.

The missile weighs 1.3 tonnes and is just over 5m long.

It is launched from the air, and in theory can be used from Ukraine’s Soviet-made jets.

UK-owned Storm Shadow missiles are made in Stevenage by MBDA. Each cruise missile costs an estimated £2m.

The Storm Shadow was originally developed as a project between the UK and France in the mid 1990s.

It was used in Iraq in 2003, while France, Italy and the UK used it in Libya in 2011.

The missiles have also been used to bomb Islamic State targets in Syria and Iraq.

Embassies shut over air attack fears

Earlier, the US and some other Western embassies in Kyiv closed amid fears Russia was preparing a major air attack on the Ukrainian capital.

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Ukraine’s President Volodymyr Zelenskyy had been asking Kyiv’s allies to give his troops the capability to strike deeper behind Russian lines for over a year.

Mr Biden’s change of policy is linked to changing tactics by the Russians, which began deploying North Korean ground troops to supplement its own forces.

The White House is set to announce more military aid for Ukraine worth up to $275m (£217m), the US defence secretary has said.

Lloyd Austin said the support would “meet critical battlefield needs” and would include munitions for rocket systems, artillery and tank weapons, along with anti-personnel landmines.

Russian politician Maria Butina and Donald Trump Jr, the son of US President-elect Donald Trump, both warned that Mr Biden’s decision over Ukraine’s usage of long-range missiles could spark the start of a third world war.

Vladimir Putin lowered the threshold required for the use of nuclear weapons after the US move, adding to fears the conflict could escalate.

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