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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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School kids asking for advice on strangulation during sex – as abuse victim issues warning

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School kids asking for advice on strangulation during sex - as abuse victim issues warning

Schoolchildren are asking teachers how to strangle a partner during sex safely, a charity says, while official figures show an alarming rise in the crime related to domestic abuse cases.

Warning: This article contains references to strangulation, domestic abuse and distressing images.

It comes as a woman whose former partner almost strangled her to death in a rage has advised anyone in an abusive relationship to seek help and leave.

Bernie Ryan, chief executive of the Institute for Addressing Strangulation, has been running the charity since its inception in 2022 after non-fatal strangulation became a standalone offence.

“It’s the ultimate form of control,” she says.

She says perpetrators and victims are getting younger, while the reason is unclear, but strangulation has seeped into popular culture and social media.

“We hear lots of sex education providers, teachers saying that they’re hearing it in schools.

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“We know teachers have been asked, ‘how do I teach somebody to strangle safely?’

“Our message is there is no safe way to strangle – the anatomy is the anatomy. Reduction in oxygen to the brain or blood flow will result in the same medical consequences, regardless of context.”

Bernie Ryan, the Chief Executive of the Institute for Addressing Strangulation
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Bernie Ryan, CEO of the Institute for Addressing Strangulation

A recent review by Conservative peer Baroness Gabby Bertin recommended banning “degrading, violent and misogynistic content” online.

Violent pornography showing women being choked during sex she found was “rife on mainstream platforms”.

Ms Ryan says she “wants to make sure that young people don’t have access to activities that demonstrate that this is normal behaviour”.

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Strangulation is a violent act that is often committed in abusive relationships.

It is the second most common method used by men to kill women, the first is stabbing.

According to statistics shared by the Crown Prosecution Service, in 2024 there was an almost 50% rise in incidents of non-fatal strangulation and suffocation – compared to the year before.

Kerry pleads for other victims of abuse to leave before it's too late
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Kerry Allan pleads for other victims of abuse to leave before it’s too late

Domestic abuse victim Kerry Allan has a message for anyone who is in an abusive relationship.

Kerry met Michael Cosgrove in September 2022. While she said “at the beginning it was really good”, within months he became physically abusive.

In August last year her friends found his profile on a dating app.

“I confronted him and he denied it. I knew we were going to get into a big argument and I couldn’t face it, so I said I was going to my mum’s for a few days and take myself away from the situation.

“I came back a few days later and stupidly I agreed we could try again and everything escalated from that.”

Injuries to Kerry's chest. Pic: CPS
Image:
Injuries to Kerry’s chest. Pic: CPS

In the early hours of 25 August the pair had come in from a night out at a concert and got into an argument.

“He was having a go at me, accusing me of flirting with other people, and I was angry. I told him he had a nerve after what he’d done to me in the week and how he humiliated me.

“I told him that I wanted to leave, that we were done and that I wanted to go to my mum’s and that’s when it got bad.

“He pinned me to the bed and that’s when he first strangled me.”

Kerry's neck injury. Pic: CPS
Image:
Kerry’s neck injury. Pic: CPS

Kerry says this was the first time she’d ever been violently assaulted. Cosgrove was eerily silent as he eventually let go and Kerry gasped for air.

“I remember trying to get my breath back, I was crying and hyperventilating… I was sick on the bedroom floor and I was asking him to go.”

Cosgrove strangled her for a second time before letting go again.

“He was saying I wasn’t getting out of this bedroom alive. I was dead tonight, he hoped that I knew that. Just kept saying how I’d ruined his life.”

Injury to Kerry's eye. Pic: CPS
Image:
Injury to Kerry’s eye. Pic: CPS

“I remember feeling a sort of shock thinking at this point, I’m not going to get out of this bedroom, he’s actually going to kill me.”

Kerry began screaming and shouting for help as loud as she could.

Her neighbours heard the commotion and called the police. While they were en route, Kerry was once again being assaulted.

Bleeding in Kerry's eye
Image:
Bleeding in Kerry’s eye

“I ran over to the bedroom window and tried to jump out, he grabbed me as I went to open the window, and we struggled. And then I was back in the same position, he was on top of me on the bed, and his hands were round the throat again. But this time it didn’t stop.

“I remember trying to struggle and trying to kick out and hit him and I just kept thinking that I definitely was going to die, because at this point, it wasn’t stopping.”

The next memory Kerry has is opening her eyes to see police and paramedics in the bedroom.

Michael Cosgrove. Pic: CPS
Image:
Michael Cosgrove. Pic: CPS

Cosgrove had heard the sirens, jumped out of the bedroom window and went to hide in Kerry’s car.

Kerry remembers opening her eyes to paramedics caring for her: “I remember thinking, I’m alive. I couldn’t believe it. I couldn’t believe that I was alive and I wasn’t dead. My last memory is him being on top of me with his hands on my throat.”

Kerry met Michael Cosgrove in September 2022
Image:
Kerry met Michael Cosgrove in September 2022

She gives this advice to anyone who is in an abusive relationship: “Please speak to somebody, whether it’s friends, family, a work colleague, whether it’s somebody online, whether it’s a charity that you’re directed to, any sort of abuse is not okay.

“Whether it starts off emotional, they often start off that way, and they escalate, and they can escalate badly.

“Take what happened to me as a huge warning sign, because I wouldn’t want anyone else to be in the position I’ve been in the last eight months.”

Cosgrove was found guilty of attempting to murder Kerry and intentional strangulation.

He will be sentenced in July.

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King Charles echoes his grandfather’s historic VE Day speech as he marks 80th anniversary

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King Charles echoes his grandfather's historic VE Day speech as he marks 80th anniversary

The King echoed the words of his grandfather as he delivered a speech at the precise moment King George VI addressed the nation to mark VE Day 80 years ago.

At 9pm, Charles spoke at Horse Guards Parade in central London and called on the country to “rededicate ourselves” to “the cause of freedom” and “the prevention of conflict”.

His grandfather spoke to the nation from Buckingham Palace at 9pm on 8 May 1945, to thank the country for their contribution as war came to an end in Europe.

King Charles III and Queen Camilla wave Union flags during the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Picture date: Thursday May 8, 2025.  Jonathan Brady/PA Wire
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King Charles III and Queen Camilla wave Union flags during the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Picture date: Thursday May 8, 2025.

Recalling the VE Day speeches, Charles said: “We should remind ourselves of the words of our great wartime leader, Sir Winston Churchill, who said ‘meeting jaw to jaw is better than war’.

“In so doing, we should also rededicate ourselves not only to the cause of freedom but to renewing global commitments to restoring a just peace where there is war, to diplomacy, and to the prevention of conflict.

“For as my grandfather put it, ‘We shall have failed, and the blood of our dearest will have flowed in vain, if the victory which they died to win does not lead to a lasting peace, founded on justice and established in good will’.

Stressing the responsibility we still hold today, he added: “Just as those exceptional men and women fulfilled their duty to each other, to humankind, and to God, bound by an unshakeable commitment to nation and service, in turn it falls to us to protect and continue their precious legacy – so that one day hence generations yet unborn may say of us: ‘they too bequeathed a better world’.”

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King Charles III and Queen Camilla alongside the Waleses at the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Pic: PA
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King Charles III and Queen Camilla alongside the Waleses at the concert celebrating the 80th Anniversary of VE Day, held at the historic Horse Guards Parade in central London. Picture date: Thursday May 8, 2025. Pic: PA

The King’s words were designed to be a reminder of current conflicts.

In recent months, the monarch has been placed at the forefront of diplomatic matters, making his call for “unity” even more pertinent.

“The Allied victory being celebrated then, as now, was a result of unity between nations, races, religions and ideologies, fighting back against an existential threat to humanity,” the King said. “Their collective endeavour remains a powerful reminder of what can be achieved when countries stand together in the face of tyranny.”

After a week which has seen the Royal Family make it a priority to ensure VE Day commemorations have been special for the surviving veterans, the King thanked not just those who served in uniform but acknowledged the contribution of those left back home.

“We unite to celebrate and remember with an unwavering and heartfelt gratitude, the service and sacrifice of the wartime generation who made that hard-fought victory possible,” he said. “While our greatest debt is owed to all those who paid the ultimate price, we should never forget how the war changed the lives of virtually everyone.”

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King arrives at VE Day service

Like families up and down the country remembering VE Day, it was clear Charles’s mother, Queen Elizabeth II, was at the forefront of his mind.

Remembering his mother’s story of what happened when she was allowed to leave the palace, he said: “The celebration that evening was marked by my own late mother who, just 19 years old, described in her diary how she mingled anonymously in the crowds across central London and ‘walked for miles’ among them.

“The rejoicing continued into the next day, when she wrote ‘Out in the crowd again. Embankment, Piccadilly. Rained, so fewer people. Conga-ed into House. Sang till 2am. Bed at 3am!’.

Read more:
VE Day anniversary in pictures
What VE Day was really like

Charles continued: “I do hope your celebrations tonight are almost as joyful, although I rather doubt I shall have the energy to sing until 2am, let alone lead you all in a giant conga from here back to Buckingham Palace.”

Earlier in the week, at a tea party held at Buckingham Palace, the King said to one veteran: “Do you do the conga? I remember doing congas with my grandmother round and round the house.”

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Red Wall MPs should focus on two-child benefit cap rather than winter fuel, Harriet Harman says

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Red Wall MPs should focus on two-child benefit cap rather than winter fuel, Harriet Harman says

Red Wall MPs should push for the two-child benefit cap to be lifted rather than a reversal of the winter fuel payment policy, Baroness Harriet Harman has said.

Baroness Harman, the former Labour Party chair, told Sky’s Electoral Dysfunction podcast that this would hand the group a “progressive win” rather than simply “protesting and annoying Sir Keir Starmer” over winter fuel.

Earlier this week, a number of MPs in the Red Wall – Labour’s traditional heartlands in the north of England – reposted a statement on social media in which they said the leadership’s response to the local elections had “fallen on deaf ears”.

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They singled out the cut to the winter fuel allowance as an issue that was raised on the doorstep and urged the government to rethink the policy, arguing doing so “isn’t weak, it takes us to a position of strength”.

Labour’s decision to means test the policy has snatched the benefit away from millions of pensioners.

But Baroness Harman said a better target for the group could be an overhaul of George Osborne’s two-child benefit cap.

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The cap, announced in 2015 as part of Lord David Cameron’s austerity measures, means while parents can claim child tax credit or Universal Credit payments for their first and second child, they can’t make claims for any further children they have.

Labour faced pressure to remove the cap in the early months of government, with ministers suggesting in February that they were considering relaxing the limit.

Baroness Harman told Beth Rigby that this could be a sensible pressure point for Red Wall MPs to target.

She said: “It could be that they have a kind of progressive win, and it might not be a bad thing to do in the context of an overall strategy on child poverty.

“Let’s see whether instead of just protesting and annoying Sir Keir Starmer, they can build a bridge to a new progressive set of policies.”

Jo White, the Labour MP for Bassetlaw and a member of the Red Wall group, suggested that her party’s “connection” to a core group of voters “died” with the decision to means test the winter fuel payment for pensioners.

“We need to reset the government,” she told Electoral Dysfunction. “The biggest way to do that is by tackling issues such as winter fuel payments.

“I think we should raise the thresholds so that people perhaps who are paying a higher level of tax are the only people who are exempt from getting it.”

Pic: AP
Image:
Pic: AP

A group of MPs in the Red Wall, thought to number about 40, met on Tuesday night following the fallout of local election results in England, which saw Labour lose the Runcorn by-election and control of Doncaster Council to Reform UK.

Following the results, Sir Keir said “we must deliver that change even more quickly – we must go even further”.

Some Labour MPs believe it amounted to ignoring voters’ concerns.

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One of the MPs who was present at the meeting told Sky News there was “lots of anger at the government’s response to the results”.

“People acknowledged the winter fuel allowance was the main issue for us on the doorstep,” they said.

“There is a lack of vision from this government.”

Another added: “Everyone was furious.”

Downing Street has ruled out a U-turn on means testing the winter fuel payment, following newspaper reports earlier this week that one might be on the cards.

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