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A new, more infectious strain of mpox has been detected in the UK for the first time.

The single case of the mpox virus variant Clade 1b was detected in a patient who is being treated at the Royal Free Hospital in London, according to the UK Health Security Agency (UKHSA).

The UKHSA has said the risk to the population “remains extremely low” as it traces less than 10 direct contacts since the case was discovered.

Is the new strain worse?

The new variant that has emerged is known as Clade 1b, and is believed to cause milder symptoms than other strands of mpox, but it concerns health officials because it spreads more easily through close contact, particularly among children.

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Clade 1b appears to be less severe than some other strains, with countries where it is circulating reporting around a tenfold reduction in case fatality rate, according to the UKHSA.

It was first detected in a mining town in the DRC earlier this year, before it spread to neighbouring countries.

What do we know about the UK case?

The case was confirmed to the UKHSA on Tuesday, which says the person involved had been on holiday in Africa and travelled back to the UK on an overnight flight on 21 October.

More than 24 hours later, they developed flu-like symptoms and on 24 October, started to develop a rash which got worse in the following days.

When they attended A&E in London on 27 October, they were swabbed, tested and then isolated while waiting for their results.

Fewer than 10 direct contacts are being traced after the discovery, and Professor Susan Hopkins, chief medical adviser at UKHSA, said the “risk to the UK population remains low”.

Has there been an outbreak in the UK before?

There have been cases of mpox in the UK before, with most seen in 2022 when there was a global outbreak of a less infectious strain which spread to more than 100 countries, prompting the WHO to declare a public health emergency of international concern on 23 July 2022.

A total of 2,137 cases had been confirmed in the UK at that stage, but by 31 December 2022 that number had soared to 3,732 cases – 3,553 were in England, 34 in Northern Ireland, 97 in Scotland and 48 in Wales.

Before the spring of 2022, UK cases were usually associated with travel to or from countries where mpox is endemic, particularly in western or central Africa.

But in May that year, there was a large outbreak in the UK, mostly in men who are gay, bisexual, or have sex with other men.

A vaccination programme was launched in the UK in the summer of 2022 and closed the following July.

There have been no reported deaths due to mpox in the UK.

Where else has the Clade 1b strain been found?

The total number of suspected cases in Africa since the beginning of the year now stands at 42,438, with 8,113 confirmed as mpox, according to the Africa Centres for Disease Control and Prevention.

At least 1,000 deaths have been reported across Africa, prompting the World Health Organization (WHO) to declare the increasing spread of the disease a global health emergency.

The first case of the variant outside of Africa was confirmed in Sweden in August, while one was also reported in Thailand and another in India earlier this month.

Germany also reported its first Clade 1b case on 22 October.

What are the symptoms?

Common symptoms of mpox are a skin rash or pus-filled lesions which can last two to four weeks.

The rashes can be located anywhere on the body and some people may only have one, while others can have hundreds or more.

These are other symptoms listed by the CDC:

  • Fever
  • Chills
  • Swollen lymph nodes
  • Exhaustion
  • Muscle aches and backache
  • Headache
  • Respiratory symptoms (e.g., sore throat, nasal congestion, or cough)

The WHO says people may start to feel unwell before they get a rash or skin lesions, while for others the skin symptoms can be the first or only sign.

People with more severe mpox can suffer with the following symptoms, according to the WHO:

  • More widespread lesions – especially in the mouth, eyes, and genitals
  • Severe bacterial infections
  • Lung infections
  • Mpox affecting the brain (encephalitis)
  • Heart (myocarditis)
  • Lungs (pneumonia)
  • Eye problems

Newborn babies, children, people who are pregnant and people with underlying immune deficiencies may be at higher risk of more serious mpox disease and death, the WHO adds.

How is it treated?

Currently, there is no treatment approved specifically for mpox infections, according to the CDC.

It says that for most patients with mpox who have intact immune systems and don’t have a skin disease, supportive care and pain control will help them recover without medical treatment.

People with severe mpox may require hospital treatment, supportive care and antiviral medicines to reduce the severity of lesions and shorten the time to recovery, the WHO says.

Many years of research on treatments for smallpox have led to the development of products that may also be useful for treating mpox, it adds.

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It says an antiviral developed to treat smallpox called tecovirimat was approved by the European Medicines Agency for the treatment of mpox under exceptional circumstances in 2022. It also said its use for mpox has been limited so far.

However, a two-dose vaccine has been developed to protect against the virus, which is widely available in Western countries but not in Africa.

Scientists from the Africa Centres for Disease Control and Prevention (Africa CDC) say they need more than 10 million vaccine doses but only 200,000 are available.

What is mpox?

It is a viral disease that has occurred mostly in central and western Africa.

Mpox has been endemic in parts of Africa for decades after it was first detected in humans in Democratic Republic of the Congo (DRC) in 1970, having originally been identified in laboratory monkeys, according to the US Centers for Disease Control and Prevention (CDC).

It used to be known as monkeypox, but was renamed in 2022 by the WHO after receiving complaints that the original name was “racist and stigmatising”.

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UK weather: New ice warnings issued and runway closure causes travel delays – as temperatures set to reach -16C

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UK weather: New ice warnings issued and runway closure causes travel delays - as temperatures set to reach -16C

The Met Office has put yellow weather warnings over snow and ice in place from this afternoon covering much of the UK.

It had a number of yellow warnings in place on Thursday across the country, but most were initially set to expire by 11am, with only a snow and ice alert in Scotland remaining until midnight.

But it has now updated its map to show yellow ice warnings for much of the Midlands, North West England, Eastern England, Wales and Northern Ireland from 4pm on Thursday until 10am on Friday, while the snow and ice warning for Scotland has been extended to 10am on Friday.

Weather warnings for Thursday
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Met office weather warnings for Thursday Pic: Met Office

Weather warnings for Friday. Pic: Met office
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Weather warnings for Friday. Pic: Met office

A separate yellow warning for ice is in force from 3am on Friday until 11am, covering South West England and parts of South Wales.

It comes as large swathes of the country deal with disruption caused by the freezing weather, with temperatures expected to fall as low as -16C on Thursday night both in the northeast of England and Scotland, the Met Office has said.

Manchester Airport has warned passengers of delays after temporarily closing its runways due to “significant levels of snow”.

In a statement on Thursday morning, the airport said: “Our runways are temporarily closed due to significant levels of snow, as our teams work hard to clear them as quickly as possible.”

The airport announced its runways had reopened at 10am, but warned “as a result of the earlier closure, some departures and arrivals may still experience delays”.

“The safety of our passengers remains our top priority. Thank you for your understanding and patience,” it added.

Commuters wait for a tram on a snow-covered platform in Manchester.
Pic: Reuters
Image:
Commuters wait for a tram on a snow-covered platform in Manchester. Pic: Reuters

Snow covers a vehicle in Buxton.
Pic: Reuters
Image:
Snow covers a vehicle in Buxton. Pic: Reuters

The A30 in Cornwall was closed westbound between the A3047 junctions Avers and Tolvaddon on Thursday morning following a multiple vehicle collision, according to National Highways, after an amber warning for snow and ice was in place yesterday.

It said at 8.45am that emergency services were at the scene while traffic built on the roads.

Devon and Cornwall Police and Devon County Council Highways had earlier warned of roads closing and motorists being stationary for “long periods of time” in a joint statement.

Snow ploughs became stuck in queues of traffic caused by “minor incidents”, the statement added.

All of the warnings in place across the country are yellow, meaning there is a danger of injury from slips and falls and some disruption to travel expected.

A yellow warning for snow and ice is in place for the following regions from 4pm on Thursday to 10am on Friday:

  • East Midlands
  • North West England
  • Northern Ireland
  • Wales
  • West Midlands

Get the forecast for your area

Icicles hang from the Killhope Lead Mine in Durham.
Pic: PA
Image:
Icicles hang from the Killhope Lead Mine in Durham. Pic: PA

Other yellow warnings which covered much of the country on Thursday morning have now expired.

They included a warning for snow and ice affecting Cornwall, much of Wales and parts of northwest England until 11am, an ice warning for parts of southern England and south-east Wales until 10.30am and a fog warning for Northern Ireland until 9am.

Menston, West Yorkshire
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Menston, West Yorkshire

Snow covers the Killhope Lead Mine in Durham.
Pic: PA
Image:
Snow covers the Killhope Lead Mine in Durham. Pic: PA

Travel disruption to road and rail services are likely on Thursday in the warning areas, as well as the potential for accidents in icy places, the forecaster said.

As icy conditions persist, motorists are being urged to stick to major roads that are most likely to have been gritted.

Car insurer RAC said it has seen the highest levels of demand for rescues in a three-day period since December 2022.

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Stuart Hogg: Former Scotland rugby captain given community payback and non-harassment orders for domestic abuse

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Stuart Hogg: Former Scotland rugby captain given community payback and non-harassment orders for domestic abuse

Former Scotland rugby captain Stuart Hogg has been handed a community payback order and a non-harassment order for abusing his estranged wife over the course of five years.

Hogg, 32, last year pleaded guilty to a single charge of domestic abuse of his ex-partner, Gillian Hogg, between 2019 and 2024.

The sportsman admitted shouting and swearing, tracking her movements and sending her messages which were alarming and distressing in nature.

At Selkirk Sheriff Court on Thursday, he was given a community payback order with one year of supervision and a five-year non-harassment order.

Sheriff Peter Paterson warned Hogg the sentence was an “alternative to custody”.

Former Scotland rugby captain Stuart Hogg arrives at Selkirk Sheriff Court.
Pic: PA
Image:
Hogg arriving at Selkirk Sheriff Court on Thursday. Pic: PA

Former Scotland rugby captain Stuart Hogg leaves Selkirk Sheriff Court.
Pic: PA
Image:
Hogg leaving court. Pic: PA


A court heard how he berated Mrs Hogg for “not being fun” after going on drinking binges with his colleagues, and once sent more than 200 text messages to her in the space of a few hours which caused her to suffer a panic attack.

Hogg had been due to stand trial at Selkirk Sheriff Court last November, but pleaded guilty to the abuse which was said to have taken place at various locations including Hawick in the Scottish Borders and Bearsden in East Dunbartonshire.

Former Scotland rugby captain Stuart Hogg arrives at Jedburgh Sheriff Court to be sentenced after he admitted abusing his estranged wife over the course of five years. Picture date: Thursday December 5, 2024. PA Photo. See PA story COURTS Hogg. Photo credit should read: Owen Humphreys/PA Wire
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Hogg arriving at Jedburgh Sheriff Court in December. Pic: PA

At Jedburgh Sheriff Court in December, he was initially handed the five-year non-harassment order and fined £600 for breaching bail conditions by repeatedly contacting Mrs Hogg last June.

The former Glasgow Warriors and Exeter Chiefs, who plays for French club Montpellier, now lives abroad and is said to be in the process of getting a divorce.

Stuart and Gillian Hogg in 2017. Pic: Stuart Wallace/Shutterstock
Image:
Stuart and Gillian Hogg in 2017. Pic: Stuart Wallace/Shutterstock

Prosecutor Drew Long said the couple moved to Exeter in 2019 with their three young children, who were all under three, but Hogg’s behaviour “deteriorated” as he went out partying.

Mr Long said Hogg would “shout and swear and accuse Mrs Hogg of not being fun” for not joining in drinking, and that her family “noticed a change in her”.

In 2022, Mrs Hogg went on a night out and was bombarded with text messages from the rugby player which “caught the attention of the people she was with”, the prosecutor said.

The following year, the couple moved to Hawick in the Borders, but Hogg used an app to track his wife and “questioned her whereabouts” while she was dropping the children off.

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In 2023, she decided to leave the sportsman and sought advice from a domestic abuse service.

Mr Long said in September of that year, Hogg “sent in excess of 200 texts in a few hours despite being asked to leave her alone”, which led to Mrs Hogg having a panic attack.

On 21 February 2024, police were called due to Hogg “shouting and swearing”.

He was taken into custody and thereafter placed on a bail order stipulating not to contact Mrs Hogg or to enter the family home.

The Crown Office and Procurator Fiscal Service (COPFS) said “no one should have to live in fear of a partner or former partner”.

Lynne Barrie, procurator fiscal for Lothian and Borders, added: “Stuart Hogg has now been convicted and held accountable for subjecting his estranged wife to years of domestic abuse.”

Hogg made his Scotland debut in 2012 and went on to make 100 appearances for his country.

He also made two appearances for the British and Irish Lions and was made an MBE for services to the sport in last year’s New Year Honours list.

Following his guilty plea, Mrs Hogg thanked all those who had shown support.

She praised her family and friends, and also singled out those who had given her “a hi, a smile, a hug or even just a look to show they care”.

Mrs Hogg said she had thought “long and hard” about posting on Facebook, but added: “Now, it’s time to start my next chapter.

“To move on and to keep showing my kids every day that strength comes from unconditional love and support around you, and even when it hurts, love wins.”

Following the court case, Scottish Women’s Aid said coercive control – including stalking and micromanaging how women mother, where they go, what they wear and what they’re allowed to say – can be “more traumatic than a physical assault”.

Dr Marsha Scott, chief executive of the charity, added: “The sentence in this case, like so many handed down in Scotland, hardly meets the test of being proportionate when compared to the harm this man has caused.”

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Liz Truss sends cease and desist letter to Sir Keir Starmer over claims she ‘crashed the economy’

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Liz Truss sends cease and desist letter to Sir Keir Starmer over claims she 'crashed the economy'

Liz Truss’ lawyers have sent a cease and desist letter to Sir Keir Starmer over his claims she “crashed the economy”.

The letter says Sir Keir’s continued claim the former Conservative prime minister crashed the economy with the September 2022 mini budget is defamatory and will “likely continue to cause serious harm to her reputation”.

It focuses on the Labour leader’s claims made in June last year during the general election campaign, and says accusations she crashed the economy were made with the purpose of damaging public opinion of Ms Truss as she stood as a parliamentary candidate.

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Ms Truss, who stepped down as prime minister in under two months in charge, lost the South West Norfolk seat she had held since 2010 to Labour’s Terry Jermy in last year’s election.

Sir Keir’s spokesman said the prime minister has no plans to “moderate his language” based on the letter.

He also questioned whether Ms Truss will be writing to the “millions of people up and down the country” who shared Sir Keir’s view.

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The letter also says it is “false” to claim the mini budget crashed the economy and provides details of a definition of “crash of the economy” by Dr Andrew Lilico, an expert from right-wing thinktank the Institute of Economic Affairs and managing director of economic consultancy Europe Economics.

Market movement following the mini budget did not constitute a “crash”, the letter says, and accuses Sir Keir of displaying an “ignorance of basic economics” by doing so.

LETTER
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The letter calls for Sir Keir Starmer to stop saying Liz Truss crashed the economy

Following the mini budget, which included £45bn of unfunded tax cuts, the UK government’s long-term borrowing costs rose sharply by 0.3 percentage points over a day.

The pound then fell to record lows against the dollar, and there was another sharp rise in the cost of long-term government borrowing by 0.5 percentage points after then chancellor Kwasi Kwarteng hinted there would be further tax cuts.

This led to rising mortgage rates, with hundreds of products withdrawn, and an impact on UK pension funds.

Ms Truss’ lawyers blamed the interest rate changes on the Bank of England, “in particular by its poor handling of the liability-driven investment bonds (LDI) crisis, and its regulatory failures”.

It points out the Bank of England is independent of government and says: “Thus the relevant rate changes were not ’caused’ by our client.

“These facts were clear as early as May 2024, if not before.”

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The letter argues there was “no rise in unemployment…no sustained loss of wealth”, and no “enduring economic impacts”.

It says Ms Truss and the mini budget did not play “a significant causal role in the financial market volatility of September/October 2022” and said almost everything, in fiscal terms, had been announced before the mini budget.

The letter requests Sir Keir “immediately cease and desist” from repeating she crashed the economy on an “amicable basis”.

“This request is made in the context of the basic levels of civility which is due between senior politicians, and we trust that you will respond accordingly,” the letter says.

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