A British backpacker and four other people have died in southeast Asia after reports of suspected methanol poisoning.
Four people had already died following the poisonings – an Australian named Bianca Jones, 19, from Melbourne, as well as two Danish women in their 20s and a 56-year-old US citizen.
British tourist Simone White, 28, from Orpington, Kent, had fallen ill after reportedly drinking “free shots” from a local bar in the resort of Vang Vieng. She was one of six British tourists being treated for methanol poisoning in Laos.
“We are supporting the family of a British woman who has died in Laos, and we are in contact with the local authorities,” the foreign office said.
New Zealand has confirmed one of its citizens has also fallen ill.
Authorities are now warning travellers about the risks of methanol poisoning, how it happens, and how to avoid it.
Image: Vang Vieng, Laos. File pic: iStock
What is methanol?
Methanol, or CH3OH, is very similar to ethanol – the pure form of alcohol in alcoholic drinks.
While like ethanol, it is an odourless, tasteless, and highly flammable liquid, it has a different chemical structure that makes it toxic for humans.
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Otherwise known as wood alcohol, methanol is most often used to make solvents, pesticides, paint thinners, and alternative fuels.
What makes it so dangerous is the way our bodies metabolise it.
Once consumed, our enzymes metabolise methanol into formaldehyde, the substance used to make industrial glue and embalming substances, before breaking it down into formic acid.
“The formic acid upsets the acid balance in blood and the major consequence is initially the effect on someone’s breathing. There are effects on many other organs, the kidney being one,” says Professor Alastair Hay, emeritus professor of environmental toxicology at the University of Leeds.
“Formaldehyde attacks nerves, particularly the optic nerve and blindness is a potential risk,” he adds.
How does it end up in alcoholic drinks?
In southeast Asia and other popular tourist destinations, methanol can be found in alcoholic drinks for two main reasons.
Firstly, it is cheaper than ethanol, so it is sometimes added instead to save costs, before the counterfeit alcohol is bottled and sold in shops and bars.
Alternatively, it can occur by accident when alcohol is homemade – something common across southeast Asia.
When alcohol is distilled and fermented without the appropriate monitoring, it can sometimes produce methanol in toxic quantities.
Because it is impossible to tell the difference between methanol and ethanol content without specialist equipment – homemade drinks are often offered to tourists without anyone knowing how dangerous they are.
Image: Simone White
Image: Bianca Jones
What are the symptoms of methanol poisoning?
Methanol is highly toxic, so as little as 25ml can prove fatal.
Methanol poisoning can be treated by using ethanol to counter the effects on the body – but only within the first 10 to 30 hours after consumption.
This makes early diagnosis and warnings to others critical.
The most common symptoms are:
Vomiting and nausea;
Changes in vision, including blurring, loss of sight, and difficulty looking at bright lights;
Abdominal and muscle pain;
Dizziness and confusion;
Drowsiness and fatigue.
Methanol poisoning symptoms are similar to those from alcohol poisoning – but are often more severe. If drinks were left unattended or your symptoms appear disproportionate to the amount you drank, it could be methanol poisoning, authorities warn.
How it is treated?
Professor Hay says treatment involves removing methanol from the blood via dialysis – while “keeping someone mildly drunk” by giving them ethanol at the same time.
“The principle behind administering ethanol is quite simple; it delays methanol metabolism,” he says.
“Both alcohols are broken down by the same liver enzyme alcohol dehydrogenase. But the enzyme prefers ethanol.
“So ethanol acts as a competitive inhibitor largely preventing methanol breakdown, but markedly slowing it down, allowing the body to vent methanol from the lungs and some through the kidneys, and a little through sweat.”
This avoids the process of methanol ultimately metabolising as formic acid, he adds.
How can you avoid it while travelling?
UK travel advice for Laos and other parts of the region advises the most commonly affected drinks are:
Local spirits, such as rice and palm liquor, often labelled ‘special’ or ‘happy’ drinks;
Spirit-based mixed drinks such as cocktails;
Counterfeit brand-name bottled alcohol sold in bars and shops.
In order to minimse risks, travellers should:
Buy alcohol only from licensed bars, hotels, or shops;
Check labels for signs bottles may be counterfeit, including poor print quality or spelling errors;
Avoid homemade alcohol;
Check bottles are properly sealed before drinking from them;
Avoid free drinks you have not seen poured yourself;
In the long Gaza war, this is a significant moment.
For the people of Gaza, for the hostages and their families – this could be the moment it ends. But we have been here before, so many times.
The key question – will Hamas accept what Israel has agreed to: a 60-day ceasefire?
At the weekend, a source at the heart of the negotiations told me: “Both Hamas and Israel are refusing to budge from their position – Hamas wants the ceasefire to last until a permanent agreement is reached. Israel is opposed to this. At this point only President Trump can break this deadlock.”
The source added: “Unless Trump pushes, we are in a stalemate.”
The problem is that the announcement made now by Donald Trump – which is his social-media-summarised version of whatever Israel has actually agreed to – may just amount to Israel’s already-established position.
We don’t know the details and conditions attached to Israel’s proposals.
Would Israeli troops withdraw from Gaza? Totally? Or partially? How many Palestinian prisoners would they agree to release from Israel’s jails? And why only 60 days? Why not a total ceasefire? What are they asking of Hamas in return? We just don’t know the answers to any of these questions, except one.
We do know why Israel wants a 60-day ceasefire, not a permanent one. It’s all about domestic politics.
If Israeli Prime Minister Benjamin Netanyahu was to agree now to a permanent ceasefire, the extreme right-wingers in his coalition would collapse his government.
Itamar Ben-Gvir and Bezalel Smotrich have both been clear about their desire for the war to continue. They hold the balance of power in Mr Netanyahu’s coalition.
If Mr Netanyahu instead agrees to just 60 days – which domestically he can sell as just a pause – then that may placate the extreme right-wingers for a few weeks until the Israeli parliament, the Knesset, is adjourned for the summer.
It is also no coincidence that the US president has called for Mr Netanyahu’s corruption trial to be scrapped.
Without the prospect of jail, Mr Netanyahu might be more willing to quit the war safe in the knowledge that focus will not shift immediately to his own political and legal vulnerability.
The Women’s Euros begin in Switzerland today – with extreme heat warnings in place.
Security measures have had to be relaxed by UEFA for the opening matches so fans can bring in water bottles.
Temperatures could be about 30C (86F) when the Swiss hosts open their campaign against Norway in Basel this evening.
Players have already seen the impact of heatwaves this summer at the men’s Club World Cup in the US.
Image: The Spain squad pauses for refreshments during a training session. Pic: AP
It is raising new concerns in the global players’ union about whether the stars of the sport are being protected in hot and humid conditions.
FIFPRO has asked FIFA to allow cooling breaks every 15 minutes rather than just in the 30th minute of each half.
There’s also a request for half-time to be extended from 15 to 20 minutes to help lower the core temperature of players.
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FIFPRO’s medical director, Dr Vincent Gouttebarge, said: “There are some very challenging weather conditions that we anticipated a couple of weeks ago already, that was already communicated to FIFA.
“And I think the past few weeks were confirmation of all worries that the heat conditions will play a negative role for the performance and the health of the players.”
Football has seemed focused on players and fans baking in the Middle East – but scorching summers in Europe and the US are becoming increasingly problematic for sport.
Image: England are the tournament’s defending champions. Pic: AP
While climate change is a factor, the issue is not new and at the 1994 World Cup, players were steaming as temperatures rose in the US.
There is now more awareness of the need for mitigation measures among players and their international union.
FIFPRO feels football officials weren’t responsive when it asked for kick-off times to be moved from the fierce afternoon heat in the US for the first 32-team Club World Cup.
FIFA has to balance the needs of fans and broadcasters with welfare, with no desire to load all the matches in the same evening time slots.
Electric storms have also seen six games stopped, including a two-hour pause during a Chelsea game at the weekend.
This is the dress rehearsal for the World Cup next summer, which is mostly in the US.
Image: Players are also feeling the heat at the Club World Cup. Pic: AP
The use of more indoor, air conditioned stadiums should help.
There is no prospect of moving the World Cup to winter, as Qatar had to do in 2022.
And looking further ahead to this time in 2030, there will be World Cup matches in Spain, Portugal and Morocco. The temperatures this week have been hitting 40C (104F) in some host cities.
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FIFA said in a statement to Sky News: “Heat conditions are a serious topic that affect football globally.
“At the FCWC some significant and progressive measures are being taken to protect the players from the heat. For instance, cooling breaks were implemented in 31 out of 54 matches so far.
“Discussions on how to deal with heat conditions need to take place collectively and FIFA stands ready to facilitate this dialogue, including through the Task Force on Player Welfare, and to receive constructive input from all stakeholders on how to further enhance heat management.
“In all of this, the protection of players must be at the centre.”
Around 14 million people could die across the world over the next five years because of cuts to the US Agency for International Development (USAID), researchers have warned.
Children under five are expected to make up around a third (4.5 million) of the mortalities, according to a study published in The Lancet medical journal.
Estimates showed that “unless the abrupt funding cuts announced and implemented in the first half of 2025 are reversed, a staggering number of avoidable deaths could occur by 2030”.
“Beyond causing millions of avoidable deaths – particularly among the most vulnerable – these cuts risk reversing decades of progress in health and socioeconomic development in LMICs [low and middle-income countries],” the report said.
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USAID programmes have prevented the deaths of more than 91 million people, around a third of them among children, the study suggests.
The agency’s work has been linked to a 65% fall in deaths from HIV/AIDS, or 25.5 million people.
Eight million deaths from malaria, more than half the total, around 11 million from diarrheal diseases and nearly five million from tuberculosis (TB), have also been prevented.
USAID has been vital in improving global health, “especially in LMICs, particularly African nations,” according to the report.
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Established in 1961, the agency was tasked with providing humanitarian assistance and helping economic growth in developing countries, especially those deemed strategic to Washington.
But the Trump administration has made little secret of its antipathy towards the agency, which became an early victim of cuts carried out by the Department of Government Efficiency (DOGE) – formerly led by Elon Musk – in what the US government said was part of a broader plan to remove wasteful spending.
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What is USAID?
In March, US Secretary of State Marco Rubio said more than 80% of USAID schemes had been closed following a six-week review, leaving around 1,000 active.
The US is the world’s largest humanitarian aid donor, providing around $61bn (£44bn) in foreign assistance last year, according to government data, or at least 38% of the total, and USAID is the world’s leading donor for humanitarian and development aid, the report said.
Between 2017 and 2020, the agency responded to more than 240 natural disasters and crises worldwide – and in 2016 it sent food assistance to more than 53 million people across 47 countries.
The study assessed all-age and all-cause mortality rates in 133 countries and territories, including all those classified as low and middle-income, supported by USAID from 2001 to 2021.