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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.

Vang Vieng, Laos. File pic: iStock
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.

Otherwise known as wood alcohol, methanol is most often used to make solvents, pesticides, paint thinners, and alternative fuels.

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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.

Simone White
Image:
Simone White

Bianca Jones
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;
  • Do not leave drinks or food unattended.

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Gaza hospital rejects Israel’s claim troops ‘saw Hamas camera’ before deadly attack

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Gaza hospital rejects Israel's claim troops 'saw Hamas camera' before deadly attack

A hospital in Gaza that was hit in an Israeli strike, killing 20 people including five journalists, has rejected the Israeli military’s claim it struck the facility because it was targeting what it believed was a Hamas surveillance camera as well as people identified as militants.

The statement was part of the military’s initial inquiry into the attack on Nasser hospital in Khan Younis, which Prime Minister Benjamin Netanyahu has called a “tragic mishap”.

The Israel Defense Forces (IDF) said the back-to-back strikes on the largest hospital in southern Gaza were ordered because soldiers believed militants were using the camera to observe Israeli forces.

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Who were the journalists killed by Israel?

It also said it was because Israel has long believed Hamas and other militant groups are present at hospitals – though Israeli officials have rarely provided evidence to support such claims.

“This conclusion was further supported, among other reasons, by the documented military use of hospitals by the terrorist organisations throughout the war,” the IDF claimed.

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Nasser hospital in Gaza after it was damaged by an Israeli strike. Pic: AP
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Nasser hospital in Gaza after it was damaged by an Israeli strike. Pic: AP

It said six of those killed in the strike were “terrorists”.

The military chief of general staff acknowledged several “gaps” in the investigation so far, including the kind of ammunition used to take out the camera.

The military also said there is an ongoing investigation into the chain of command that approved the strike.

However, the army added: “The chief of the general staff emphasised that the IDF directs its activities solely toward military targets.”

Pics: Reuters
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Pics: Reuters

In a statement, the hospital said: “Nasser hospital categorically reject these claims and any claims made by Israeli authorities to justify attacks on hospital premises.”

Among those killed was 33-year-old Mariam Dagga, a journalist who worked for the Associated Press, Al Jazeera cameraman Mohammed Salama, Reuters contractor Hussam al Masri, Reuters photographer Moaz Abu Taha and Middle East Eye freelancer Ahmed Abu Aziz.

The IDF said journalists working for Reuters and the Associated Press “were not a target of the strike”.

Read more: Who are the journalists killed in the attack?

Pic: Reuters
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Pic: Reuters

Relatives and friends pray over the body of journalist Mariam Dagga. Pic: AP
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Relatives and friends pray over the body of journalist Mariam Dagga. Pic: AP

The strikes have been condemned by international leaders and human rights groups.

“The killing of journalists in Gaza should shock the world,” said United Nations Human Rights Office spokesperson Thameen Al-Kheetan.

“Not into stunned silence but into action, demanding accountability and justice.”

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The attack was described as a “double-tap” attack, which sees civilians or medical workers rushing to help those injured hit in a second strike. They have previously been seen in the wars in Ukraine and Syria.

Hospitals have been repeatedly attacked by Israeli forces throughout the 22-month war in Gaza.

The war began on 7 October 2023 when Hamas-led militants stormed into southern Israel, killing some 1,200 people and taking 251 hostage.

Israel’s military offensive against Hamas has killed at least 62,000 Palestinians, mostly civilians, according to the Hamas-run health ministry, which does not differentiate between civilians and militants in its count but says the majority are women and children.

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Israeli protesters demand Netanyahu does whatever it takes to bring hostages home – but is he listening?

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Israeli protesters demand Netanyahu does whatever it takes to bring hostages home - but is he listening?

Nadav is tired, frustrated and haunted, yet he smiles when we meet. For 690 days, he has been waiting for the world to change, and he’s still waiting, and hoping.

Back on 7 October 2023, his father Tal was seized by Hamas and taken to Gaza. Tal is now dead – it’s not clear when he died, but the simple, brutal fact of his death is not in doubt.

What is unknown – indeed, what cannot be known – is when Tal’s body will be returned to Israel.

“My dad is still being held captive, although he is not alive. My life is stuck,” Nadav tells me. “In order to continue living and start the healing process, we need them home and we need the war to be over.”

Pic: Ilia Yefimovich/picture-alliance/dpa/AP
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Pic: Ilia Yefimovich/picture-alliance/dpa/AP

Around him, banners, signs and the sounds of another day of national protest. Motorways were brought to a halt, huge numbers of people went on strike, all in the name of demanding that the Israeli government do more to prioritise the return of all the hostages.

In Nadav’s mind, that means searching for compromise and negotiating a ceasefire that ends the war and allows for the return of all the hostages – believed to number 20 who are still alive, and a further 30 who have died.

“We have seen that just using military strength is not enough,” he says. “We now have to do whatever it takes, even if it’s not perfect.”

“Even if that means negotiating with Hamas?” I ask. He nods. “This war has to come to an end.”

It is a theme we hear again and again. In the crowds that pour into Hostages Square, there is almost unanimity.

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Protests in Israel ‘lack sufficient backing’

“The prime minister is acting like a tyrant,” declares one man as he marches down the street. “He doesn’t listen to us – his subjects. He just listens to the people in his cabinet who think that war is always the answer.”

Around us, we regularly see people wearing T-shirts with the slogan “Stam Wars”, written in the familiar Star Wars style.

Protesters in Tel Aviv on Tuesday. Pic: Ilia Yefimovich/picture-alliance/dpa/AP
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Protesters in Tel Aviv on Tuesday. Pic: Ilia Yefimovich/picture-alliance/dpa/AP

It is a biting comment dressed up as a joke – stam is a derogatory slang word, basically meaning pointless. “Our soldiers are being sacrificed,” says Yoram, as he strolls down the road towards the square.

This, of course, is no random sample. Among the crowd are many who viscerally dislike Benjamin Netanyahu, and the truth is that his supporters would be unlikely to join this crowd.

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And yet they all want the same thing. The prime minister insists that the return of the hostages is his driving motivation, just as the people we spoke to told us that getting back the hostages was their ambition.

The difference is that Netanyahu seems unwilling to negotiate, and is convinced that the way to push Hamas into submission is to attack them relentlessly. Those on the protest, including relatives and loved ones of the hostages, are calling for talks to be placed ahead of tanks.

Is Netanyahu worried? Probably not. Just as the protesters were gathering in Hostages Square, Israel’s security cabinet was meeting to discuss the future of the war. Plans to encircle and occupy Gaza City were discussed. Proposals for a ceasefire were, apparently, not even mentioned.

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Ukraine is turning warfare into a sci-fi battle of machines – and the West has work to do

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Ukraine is turning warfare into a sci-fi battle of machines - and the West has work to do

Ukrainians say they are in danger of losing the drone arms race with Russia and need more help.

And that is worrying not just for Ukraine, because the drone is becoming the likely weapon of choice in other future conflicts.

Sky News has been given exclusive access to a Ukrainian drone factory to watch its start up ingenuity at work. Ukrainians have turned the drone into their most effective weapon against the invaders.

But they are now, we are told, losing the upper hand in the skies over Ukraine.

General Cherry Drones was started by volunteers at the beginning of the war, making a 100 a month, but is now producing 1,000 times that. The company’s Andriy Lavrenovych said it is never enough.

Andriy Lavrenovych
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Andriy Lavrenovych

“The Russians have a lot of troops, a lot of vehicles and our soldiers every day tell us we need more, we need more weapons, we need better, we need faster, we need higher.”

The comments echo the words of Ukraine’s leader, President Volodymyr Zelenskyy, who told reporters this week “the Russians have increased the number of drones, while due to a lack of funding, we have not yet been able to scale up.”

The factory’s location is a closely-guarded secret, moved often. Russia strikes weapons factories when it can.

In a nondescript office building we watched drones being assembled and stacked in their thousands. Put together like toys, they are hand assembled and customised.

The quadcopters vary in size, some carry explosives to attack the enemy. Others fly as high as six kilometres to ambush Russian surveillance drones.

A combat drone is prepared by a Ukrainian soldier in the frontline town of Chasiv Yar. Pic:24th King Danylo Separate Brigade/Reuters
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A combat drone is prepared by a Ukrainian soldier in the frontline town of Chasiv Yar. Pic:24th King Danylo Separate Brigade/Reuters

A $1,000 (£743) Ukrainian drone can bring down an enemy aircraft worth 300 times as much.

Downstairs each drone is tested before it’s sent to the front. Nineteen-year-old Dima – not his real name – used to play with drones at home before it was occupied in Kherson Oblast.

Now he works here using his skills to check the drones are fit for battle.

But Russia is catching up. Sinister propaganda released this week filmed at one of its vast new drone factories shows hundreds of Geranium delta wing attack drones lined up ready to be launched at Ukraine.

Russia has refined the technology provided by Iranians to produce faster, more lethal versions of their Shahed drones. They have wreaked havoc and carnage, coming in their hundreds every night and killing scores of civilians. Ukraine expects 1,000 a night in the months ahead.

Russia is using scale and quantity to turn the tables on Ukrainians. And it is mastering drones controlled by fibre optic thread, trailing in their wake, that cannot be jammed.

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Oleksandr "Drakar", head of new product development
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Oleksandr “Drakar”, head of new product development

Oleksandr “Drakar”, head of new product development, showed us his company’s prototype fibre optic model. It is more effective than the Russians, he told us, but added: “The Russians began using the technology earlier and have scaled up production.

“They’ve had considerable help from the Chinese – entire factories there are under contract to supply fibre exclusively to Russia, producing it in vast quantities.”

Russia’s Chinese allies, who claim to be neutral in this conflict, are also throttling the supply of microchips and other parts vital to drone production. The West is not doing enough, say Ukrainians, to counterbalance the threat.

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Is NATO ready for drone war?

It is a constant race to beat the other side, innovation met by more innovation. This conflict is revolutionising warfare into a sci-fi battle of machines.

Ukrainians say 80% of battlefield strikes are now carried out by drones.

Whoever has the upper hand with them in this conflict is likely to have the edge in future wars. If the West wants to be on the winning side, it will need to give Zelenskyy and his drone start-up companies more help to maintain their edge.

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