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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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Cambridge hospital accused of ‘covering up’ concerns about suspended surgeon a decade ago

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Cambridge hospital accused of 'covering up' concerns about suspended surgeon a decade ago

One of the country’s leading hospitals has been accused of covering up concerns about a surgeon made a decade before she was eventually suspended.

Kuldeep Stohr was suspended from Addenbrooke’s Hospital in January this year after a review found issues with some of her surgeries – with the Cambridge University Hospitals NHS Foundation Trust (CUH) later saying it was reviewing the care of 800 patients.

A joint investigation by Sky News and The Sunday Times found the trust may have downplayed previous concerns, with a report identifying issues with Ms Stohr back in 2016.

A senior source at the hospital said children were “severely permanently harmed”, and “some of the cases are horrendous”. They said the damage could have been avoided and told Sky News there was “the impression of a cover up”.

Kuldeep Stohr was suspended in January this year
Image:
Kuldeep Stohr was suspended in January this year

In one case, a child injured in a car accident was left with a broken arm for 11 days after Ms Stohr failed to spot it.

Concerns were first raised in 2015, with the CUH commissioning an external expert to examine several of Ms Stohr’s patients and their treatment.

A letter shared between staff at the time – and seen by Sky News – says the trust was satisfied the report did not raise any concerns.

But a copy of the report, obtained by Sky News and The Sunday Times, shows it did identify “technical issues” with the surgeries of multiple patients.

Now questions are being asked about why the hospital didn’t act sooner.

Ms Stohr allegedly told Oliver's family to leave his care "in the hands of God"
Image:
Ms Stohr allegedly told Oliver’s family to leave his care “in the hands of God”

One patient, whose son was treated by the surgeon in 2018, says she is “angry” she was not listened to at the time after she raised concerns about Ms Stohr’s conduct.

Ms Stohr said: “I always strive to provide the highest standards of care to all my patients. I am cooperating fully with the trust investigation and it would not be appropriate to comment further at this time.”

Dr Susan Broster, chief medical officer at Cambridge University Hospitals said the trust “apologise unreservedly to all the patients and families we have let down”.

She added that patients who were considered in the 2016 report also form part of the latest clinical review: “We have spoken to those patients and families and offered to meet them in person.”

It is not clear if those patients were contacted at the time of the first report.

‘Some of the cases are horrendous’

A source at the hospital said the damage was “all avoidable” while “the lives of children and families have been ruined”.

“Stohr destroyed people’s lives by performing very poor surgery. She destroyed some hip joints,” they said.

The confidential report was written in 2016
Image:
The confidential report was written in 2016

But they said staff felt they were “bullied and intimidated when they tried to raise concerns”, and were told the initial 2016 report showed no issues with Ms Stohr.

“I consider that these cases have been properly investigated and am reassured that there is no concern about Kuldeep’s practice,” said a letter sent to staff from the trust in 2016.

“I have the impression there has been a cover up,” the source told Sky News.

Dr Broster, from the CUH, said the trust had commissioned Verita, a specialist investigations company, to carry out an independent investigation to see if issues could have been addressed sooner – but added that it would be inappropriate to comment further while the review was ongoing.

She said the trust would publish the findings of the Verita report and said it was “committed to implementing the findings and recommendations in full”, with the initial findings expected by the autumn.

‘Technical errors’: What the 2016 report said

The doctor who authored the 2016 report wrote he had “some anxieties about the technical aspects” of one patient’s operation.

He highlighted “technical error[s]” on several other operations.

The report author wrote he had "some anxieties" about one surgery
Image:
The report author wrote he had “some anxieties” about one surgery

Some patients were “difficult cases” where “decision making was broadly correct”, and issues were not found with each one.

On one patient, the report said an issue that arose was a “known complication and does not indicate poor care. These were difficult hips”.

The report also cited a “divided apartment of paediatric orthopaedics” in which “discussion of difficult cases and mutual support does not exist”.

But the report did say Ms Stohr did not always order CT scans after operations took place.

It said all cases of DDH (Developmental Dysplasia of the Hip) surgery should have an MRI or CT scan after the operation had been completed.

The report found "issues" with some of the surgeries
Image:
The report found “issues” with some of the surgeries

Two reports, nine years apart

Ms Stohr was suspended this year with a 2025 report highlighting similar concerns, including around post-op imaging.

The 2025 findings said one procedure – a pelvic osteotomy, where the pelvic bone is cut and reshaped to improve the alignment of the hip joint – was one “Ms Stohr appears to find difficult”.

It also raised concerns that Ms Stohr “frequently operates on her own”, or with more junior members of staff.

“There have clearly been cases when technical issues arose during surgery where the presence of a consultant colleague may have been helpful,” the latest report said.

It also said the lack of imaging at the end of procedures “is inexplicable and not the standard of care”.

Catherine Slattery, senior associate at Irwin Mitchell who is representing some of the affected families, said both reports showed “similar themes”.

“Clearly things have got much worse in 2025. So, the question is, what could have been done in 2016 to have prevented this from happening?” she said.

Catherine Slattery is representing a number of families affected
Image:
Catherine Slattery is representing a number of families affected

Issues, such as Ms Stohr not ordering bone scans, were “very strange”, she added.

“But if we take the individual out, why has nobody else noticed that every other surgeon in the team has been ordering scans, but one person hasn’t?”

But she said the trust has “been playing catch up”: “[It] only seems to be taking steps when they are being prompted to do so by people like me, or journalists, or other people asking difficult questions – or even the local MP having to ask difficult questions.”

‘Leave it in the hands of God’

Seven-year-old Oliver Muhlhausen has constant foot pain – and it’s getting worse.

He was born with a severe deformity which Ms Stohr said didn’t need to be operated on.

Oliver has been left in constant agony after Ms Stohr refused to operate on him
Image:
Oliver has been left in constant agony after Ms Stohr refused to operate on him

Oliver was seen by the specialist surgeon in 2018, but his mother, Nicola, claims she was told: “There is no operation within my remits or that I can or am willing to perform, go away and leave it in the hands of God.”

The family eventually sought a second opinion, moving to be treated at a different hospital, but said Oliver has been left in “constant agony”.

“I’ve been told that if she had done something sooner or even attempted to do something sooner then he probably would have stood a bit better chance than what he’s currently going through.”

Nicola said she “upset and angry” at not being listened to, especially considering concerns were raised internally two years before her son became a patient of Ms Stohr.

“I cannot understand why something was not done sooner, because clearly there were issues,” she said, adding that hospital staff “need to be held accountable”.

Oliver and his mother, Nicole
Image:
Oliver and his mother, Nicola

She filed a formal complaint in 2019 but said this was “brushed under the carpet”.

In response to her complaint at the time, the trust said Ms Stohr “would like to apologise unreservedly for her failures of clear communication”.

‘Life could be different now’

Ellise Kingsley is now 24 and cannot walk for long periods of time – she is left in daily pain and distress.

She is not one of the 800 cases currently being examined by the CUH but was operated on by Ms Stohr in 2012 and 2016.

She said, had the 2016 report been acted on, life could be very different for her now.

“It is upsetting to think that I could have had a completely different lifestyle as such in the last ten years,” she said.

Ellise Kingsley was operated on by Ms Stohr twice
Image:
Ellise Kingsley was operated on by Ms Stohr twice

“I wouldn’t have had to even think about my foot now at 24.

“It stresses me out actually to think that there was a chance for change, but change didn’t happen.”

Pippa Heylings, MP for South Cambridgeshire, said it was an “anxious and distressing time for all involved”, and called on Addenbrooke’s Hospital to be “open and transparent” as well as independent.

She said: “The hospital cannot be seen to be marking its own homework. It is crucial for all to come forward with relevant information and evidence including whistleblowers with no fear of consequence or retaliation.”

The CUH said it has set up a dedicated Patient and Family Liaison Team, and encourages anyone concerned about their care to call the dedicated helpline on 0808 175 6331 or email CUH.helpline@nhs.net.

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Migration must be ‘properly controlled’ says home secretary – as sweeping reforms unveiled

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Migration must be 'properly controlled' says home secretary - as sweeping reforms unveiled

The government is set to roll out sweeping reforms to the immigration system.

The skilled visa threshold will be raised to require a graduate qualification and a higher salary threshold, under plans outlined in an immigration white paper that will be presented in parliament on Monday.

For jobs below this level, access to the immigration system will be “time-limited” and only granted if there are shortages “critical to the industrial strategy”.

Strategies to increase domestic skills and recruitment would also need to be drawn up, with a labour market evidence group set to be established to identify sectors “overly reliant on overseas labour”.

Under the plans to reduce net migration to the UK, employers will be told that they must train workers in the UK rather than turn to immigration to solve labour shortages.

Net migration – the difference between the number of people immigrating and emigrating to a country – soared when the UK left the EU in January 2020.

It reached 903,000 in the year to June 2023 before falling to 728,000 in mid-2024.

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Has Labour tackled migration?

Home Secretary Yvette Cooper has blamed overseas recruitment for the rise in net migration over the last four years after Labour inherited a “failed” immigration system from the previous government.

“Migration must be properly controlled and managed so the system is fair,” Ms Cooper said.

Read more on immigration:
Crackdown on visas for certain nationalities
‘Migrant hub’ plan will send alarm bells clanging

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Lack of UK training ‘big driver of net migration’ says Ms Cooper

Ms Cooper added: “Overseas recruitment soared at the same time as big increases in the number of people not working or in education here in the UK.

“The last government lost control of the immigration system and there was no proper plan to tackle skills shortages here at home.

“Under our Plan for Change, we are taking decisive action to restore control and order to the immigration system, raise domestic training and skills, and bring down net migration while promoting economic growth.”

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Meanwhile, the Conservatives will try to force a vote in parliament on capping the number of non-visitor visas that can be issued.

The party is trying to amend the Border Security, Asylum and Immigration Bill, which if accepted would give the government the power to cap visas in line with the country’s needs, and allow them to be revoked if the limit is exceeded.

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Is UK net migration falling or rising?

The Tories are also behind a separate amendment to the same bill which would look to disapply the Human Rights Act in asylum and deportation cases.

Responding to the government’s white paper, shadow home secretary Chris Philp said “fixing Britain’s migration crisis requires a new radical approach. Labour had the opportunity to do this and have failed”.

He added: “If Labour were serious about immigration, they’d back our binding immigration cap and back our plan to repeal the entire Human Rights Act from immigration matters. But they have got no grip, no guts and no plan.”

Home Secretary Yvette Cooper, shadow home secretary Chris Philp and Reform UK deputy leader Richard Tice will be among the guests on Sky News’ Trevor Phillips on Sunday show from 8.30am today.

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Ukraine presses Russia for 30-day ceasefire as Starmer among leaders in Kyiv for talks

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Ukraine presses Russia for 30-day ceasefire as Starmer among leaders in Kyiv for talks

Sir Keir Starmer has joined other European leaders in Kyiv to press Russia to agree an unconditional 30-day ceasefire.

The prime minister is attending the summit alongside French President Emmanuel Macron, recently-elected German Chancellor Friedrich Merz and Polish Prime Minister Donald Tusk.

It is the first time the leaders of the four countries have travelled to Ukraine at the same time – arriving in the capital by train – with their meeting hosted by President Volodymyr Zelenskyy.

Britain's Prime Minister Keir Starmer meets with French President Emanuel Macron and German Chancellor Friedrich Merz on board a train to the Ukrainian capital Kyiv where all three will hold meetings with Ukrainian President Volodymyr Zelensky, May 9, 2025. Stefan Rousseau/Pool via REUTERS
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Sir Keir Starmer, Emmanuel Macron and Friedrich Merz travelling in the saloon car of a special train to Kyiv. Pic: Reuters

Leaders arrive in Kyiv by train. Pic: PA
Image:
Leaders arrive in Kyiv by train. Pic: PA

It comes after Donald Trump called for “ideally” a 30-day ceasefire between Kyiv and Moscow, and warned that if any pause in the fighting is not respected “the US and its partners will impose further sanctions”.

Security and defence analyst Michael Clarke told Sky News presenter Samantha Washington the European leaders are “rowing in behind” the US president, who referred to his “European allies” for the first time in this context in a post on his Truth Social platform.

“So this meeting is all about heaping pressure on the Russians to go along with the American proposal,” he said.

“It’s the closest the Europeans and the US have been for about three months on this issue.”

Sir Keir Starmer, Volodymyr Zelenskyy and Emmanuel Macron among world leaders in Kyiv. Pic: AP
Image:
Sir Keir Starmer, Volodymyr Zelenskyy and Emmanuel Macron among world leaders in Kyiv. Pic: AP

Trump calls for ceasefire. Pic: Truth Social
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Trump calls for ceasefire. Pic: Truth Social

Ukraine’s foreign minister Andrii Sybiha said Ukraine and its allies are ready for a “full, unconditional ceasefire” for at least 30 days starting on Monday.

Ahead of the meeting on Saturday, Sir Keir, Mr Macron, Mr Tusk and Mr Merz released a joint statement.

European leaders show solidarity – but await Trump’s backing


Dominic Waghorn - Diplomatic editor

Dominic Waghorn

International affairs editor

@DominicWaghorn

The hope is Russia’s unilateral ceasefire, such as it’s worth, can be extended for a month to give peace a chance.

But ahead of the meeting, Ukrainian sources told Sky News they are still waiting for President Donald Trump to put his full weight behind the idea.

The US leader has said a 30-day ceasefire would be ideal, but has shown no willingness yet for putting pressure on Russian president Vladimir Putin to agree.

The Russians say a ceasefire can only come after a peace deal can be reached.

European allies are still putting their hopes in a negotiated end to the war despite Moscow’s intransigence and President Trump’s apparent one-sided approach favouring Russia.

Ukrainians would prefer to be given enough economic and military support to secure victory.

But in over three years, despite its massive economic superiority to Russia and its access to more advanced military technology, Europe has not found the political will to give Kyiv the means to win.

Until they do, Vladimir Putin may decide it is still worth pursuing this war despite its massive cost in men and materiel on both sides.

“We reiterate our backing for President Trump’s calls for a peace deal and call on Russia to stop obstructing efforts to secure an enduring peace,” they said.

“Alongside the US, we call on Russia to agree a full and unconditional 30-day ceasefire to create the space for talks on a just and lasting peace.”

Sir Keir Starmer and Volodymyr Zelenskyy during a meeting in March. Pic: AP
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Sir Keir and Volodymyr Zelenskyy during a meeting in March. Pic: AP

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Putin’s Victory Day parade explained

The leaders said they were “ready to support peace talks as soon as possible”.

But they warned that they would continue to “ratchet up pressure on Russia’s war machine” until Moscow agrees to a lasting ceasefire.

“We are clear the bloodshed must end, Russia must stop its illegal invasion, and Ukraine must be able to prosper as a safe, secure and sovereign nation within its internationally recognised borders for generations to come,” their statement added.

“We will continue to increase our support for Ukraine.”

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Read more:
Russia’s VE Day parade felt like celebration of war
Michael Clarke Q&A on Ukraine war
Ukraine and Russia accuse each other of breaching ceasefire

The European leaders are set to visit the Maidan, a central square in Ukraine’s capital where flags represent those who died in the war.

They are also expected to host a virtual meeting for other leaders in the “coalition of the willing” to update them on progress towards a peacekeeping force.

Military officers from around 30 countries have been involved in drawing up plans for a coalition, which would provide a peacekeeping force in the event of a ceasefire being agreed between Russia and Ukraine.

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This force “would help regenerate Ukraine’s armed forces after any peace deal and strengthen confidence in any future peace”, according to Number 10.

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