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;
The IDF has admitted to mistakenly identifying a convoy of aid workers as a threat – following the emergence of a video which proved their ambulances were clearly marked when Israeli troops opened fire on them.
The bodies of 15 aid workers – including eight medics working for the Palestine Red Crescent Society (PRCS) – were found in a “mass grave” after the incident, according to the head of the UN Office for Coordination of Humanitarian Affairs Jonathan Whittall.
The Israeli military originally claimed an investigation found the vehicles did not have any headlights or emergency signals and were therefore targeted as they looked “suspicious”.
But video footage obtained by the PRCS, and verified by Sky News, showed the ambulances and a fire vehicle clearly marked with flashing red lights.
In a briefing from the IDF, they said the ambulances arrived in the Tel Sultan neighbourhood in Rafah shortly after a Hamas police vehicle drove through.
Image: Palestinians mourning the medics after their bodies were recovered. Pic: Reuters
An IDF surveillance aircraft was watching the movement of the ambulances and notified troops on the ground. The IDF said it will not be releasing that footage.
When the ambulances arrived, the soldiers opened fire, thinking the medics were a threat, according to the IDF.
The soldiers were surprised by the convoy stopping on the road and several people getting out quickly and running, the IDF claimed, adding the soldiers were unaware the suspects were in fact unarmed medics.
An Israeli military official would not say how far away troops were when they fired on the vehicles.
The IDF acknowledged that its statement claiming that the ambulances had their lights off was incorrect, and was based on the testimony from the soldiers in the incident.
The newly emerged video footage showed that the ambulances were clearly identifiable and had their lights on, the IDF said.
The IDF added that there will be a re-investigation to look into this discrepancy.
Image: The clip is filmed through a vehicle windscreen – with three red light vehicles visible in front
Addressing the fact the aid workers’ bodies were buried in a mass grave, the IDF said in its briefing this is an approved and regular practice to prevent wild dogs and other animals from eating the corpses.
The IDF could not explain why the ambulances were also buried.
The IDF said six of the 15 people killed were linked to Hamas, but revealed no detail to support the claim.
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1:22
Bodies of aid workers found in Gaza
The newly emerged footage of the incident was discovered on a phone belonging to one of the workers who was killed, PRCS president Dr Younis Al Khatib said.
“His phone was found with his body and he recorded the whole event,” he said. “His last words before being shot, ‘Forgive me, mom. I just wanted to help people. I wanted to save lives’.”
Sky News used an aftermath video and satellite imagery to verify the location and timing of the newly emerged footage of the incident.
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2:43
Aid worker attacks increasing
It was filmed on 23 March north of Rafah and shows a convoy of marked ambulances and a fire-fighting vehicle travelling south along a road towards the city centre. All the vehicles visible in the convoy have their flashing lights on.
The footage was filmed early in the morning, with a satellite image seen by Sky News taken at 9.48am local time on the same day showing a group of vehicles bunched together off the road.
Ukrainian President Volodymyr Zelenskyy has hit out at the US over its “weak” response to lethal Russian attacks on his hometown on Friday.
President Zelenskyy posted a lengthy and emotional statement on X about Russia’s strikes on Kryvyi Rih, which killed 19 people.
Meanwhile Ukrainian drones hit an explosives factory in Russia’s Samara region in an overnight strike, a member of Ukraine’s SBU security service told Reuters.
In his post, President Zelenskyy accused the United States of being “afraid” to name-check Russia in its comment on the attack.
“Unfortunately, the reaction of the American Embassy is unpleasantly surprising: such a strong country, such a strong people – and such a weak reaction,” he wrote on X.
“They are even afraid to say the word “Russian” when talking about the missile that killed children.”
America’s ambassador to Ukraine Bridget Brink had written on X: “Horrified that tonight a ballistic missile struck near a playground and restaurant in Kryvyi Rih.
“More than 50 people injured and 16 killed, including 6 children. This is why the war must end.”
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5:49
Strike on Zelenskyy’s home city
President Zelenskyy went on in his post to say: “Yes, the war must end. But in order to end it, we must not be afraid to call a spade a spade.
“We must not be afraid to put pressure on the only one who continues this war and ignores all the world’s proposals to end it. We must put pressure on Russia, which chooses to kill children instead of a ceasefire.”
Grandmother ‘burned to death in her home’
Oleksandr Vilkul, head of the city’s defense council, said the missile attack, followed by a drone attack, had killed 19 people, including nine children.
“The Iskander-M missile strike with cluster munitions at the children’s playground in the residential area, to make the shrapnel fly further apart, killed 18 people.
“One grandmother was burnt to death in her house after Shahed’s direct hit.”
Russia’s defence ministry said it had struck a military gathering in a restaurant – an assertion rebutted by the Ukrainian military as misinformation.
“The missile hit right on the street – around ordinary houses, a playground, shops, a restaurant,” President Zelenskyy wrote.
Mr Zelenskyy also detailed the child victims of the attack including “Konstantin, who will be 16 forever” and “Arina, who will also be 7 forever”.
The UK’s chief of the defence staff Sir Tony Radakin said he had met the Ukrainian leader on Friday, along with French armed forces leader General Thierry Burkhard.
“Britain and France are coming together & Europe is stepping up in a way that is real & substantial, with 200 planners from 30 nations working to strengthen Ukraine’s long term security,” Sir Tony wrote.
Global financial markets gave a clear vote of no-confidence in President Trump’s economic policy.
The damage it will do is obvious: costs for companies will rise, hitting their earnings.
The consequences will ripple throughout the global economy, with economists now raising their expectations for a recession, not only in the US, but across the world.