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Warning: This article contains references to suicide

On Friday this week, MPs will debate if England and Wales should legalise assisted dying.

The proposed legislation restricts it to adults with six months or less to live.

Canada introduced assisted dying in 2016 for adults with a terminal illness. In 2021, it was extended to people with no terminal illness and the disabled.

On 17 March 2027, anyone with a serious mental health problem will also be eligible.

Campaigners in Canada argue that the programme, known as MAID [medical assistance in dying], has gone too far.

Orlando Da Silva has struggled with crippling depression since he was a nine-year-old boy.

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The high-flying Ontario lawyer is 56 years old now and has tried to take his own life a number of times.

Orlando Da Silva
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Orlando Da Silva

He says if MAID had been offered to him when he was at his lowest, he would have taken the option to end his life.

But he argues that people like him need help with their condition – not help to die.

“You just think you’re a worthless little boy and eventually a worthless teenager, and then one day, a worthless man,” Orlando says, describing the impact of his mental health on his childhood and later into his adult life.

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Assisted dying: Lessons from Canada

Working as a top barrister in the province of Ontario helped Orlando. It was a distraction from the suicidal thoughts that would overwhelm him when he left his office on the 47th floor of a downtown Toronto skyscraper.

“If you could measure it on a scale of zero to 10 [where] 10 is the happiest you’ve ever been, and zero is suicidal, my cruising altitude is about five or six, so I rarely get better than that.”

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Orlando has received almost all of the conventional therapies available for his condition.

“Now I have a condition called treatment-resistant depression, which means I’ve been on more than 40 different kinds of antidepressants. I’ve had 13 electroconvulsive shock treatments. I’ve been on ketamine treatments. And nothing works.

“So the critical problem for me with this condition is that it escalates into a major depressive episode every 18 to 24 months.”

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What happens if assisted dying bill passes?

Safeguards in place for Orlando

He says he has now learned how to manage his depression by reminding himself that the cycle will eventually end no matter how impossible the situation might feel at the time.

“I just push myself through one day at a time. Sometimes it’s one hour at a time, one minute at a time, one breath until the next one. Because I know it doesn’t last forever, but when I’m in that moment, I think it will, and there’s nothing anyone can say to convince me.”

Read more:
Why is assisted dying so controversial?
Wes Streeting to vote against assisted dying

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MPs split ahead of assisted dying vote

He also has safeguards in place designed to protect him from himself.

“I’ve developed tools and a support network and even a 10-point scale that I share with my family and friends, so they can see how I’m doing, and they know I’m at a three or below, it’s time for an intervention.”

Orlando nearly died in 2008 after a failed suicide attempt. It led to six months in hospital.

He is now using his experience to try and help others like him who might choose an assisted death when they are allowed to in just over two years.

“It scares me to death. If it was available earlier, I would have chosen it in 1994. I would have tried it and I would have asked for it in 2002, in 2004, in 2008 and when I attempted my suicide in 2012, in 2014. And I’m alive because it’s not available now and because I failed in 2008.”

Fears over Canada’s programme

The move to include mental illness in Canada’s assisted dying programme was delayed twice because of fears around the impact it will have on the country’s health system.

By offering people with mental health issues an assisted death, Orlando warns, it further reinforces their sense of worthlessness.

“You want the pain to end, right? And the last thing you need is someone in a white coat who says: ‘Well, I see it’s kind of rough for you. How about we help you and your life? Do you like that?

“Now, does that say you’re worthwhile if you hear that? Does that say you have value? Does that contradict that voice in your head? Or does it reaffirm and confirm it?”

“We need to help. We need to give hope. Don’t need an easy death, like I want us to be a better society than that. If they say we’re judged by how we treat our most vulnerable. How do we treat people with mental illness who want to die?”

Orlando’s struggle is not over. But for him life is worth living no matter how hard it gets.

“Thank God I didn’t succeed, thank God I failed because if I had succeeded, I would never have met my wife.

“I never would have had my three beautiful daughters. I never would have had the rewarding personal and professional career I’ve had since and I would never have learned all that’s beautiful in this world from them.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

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Israel is accused of allowing famine to fester in Gaza and global condemnation is deafening

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Israel is accused of allowing famine to fester in Gaza and global condemnation is deafening

Tom Fletcher, speaking on behalf of the United Nations, did not mince his words.

Gaza was suffering from famine, the evidence was irrefutable and Israel had not just obstructed aid but had also used hunger as a weapon of war.

His anger seeped through every sentence, just as desperation is laced through the report from the Integrated Food Security Phase Classification (IPC).

Gaza latest: UK calls out Israel for ‘manmade catastrophe’

Conditions are expected to worsen, it says, even though the Gaza Strip has been classified as a level 5 famine. There is no level 6.

A child attempts to access food from a charity kitchen in Khan Younis. Pic: Reuters
Image:
A child attempts to access food from a charity kitchen in Khan Younis. Pic: Reuters

But it took only moments for the Israeli government to respond in terms that were just as strident. The report dismissed as wholly inaccurate, based on biased, inaccurate data and influenced not by fact, but by the whims of Hamas.

COGAT, the Israeli agency that oversees humanitarian efforts in Gaza, claimed the IPC had ignored its data and presented a “one-sided report”, before claiming that “hundreds of truckloads of aid are still awaiting collection by the UN and international organisations”.

What is so striking is that there is no grey area between these two versions.

In one, Israel has obstructed the delivery of aid and allowed hunger to turn into famine; in the other, it is Hamas that has caused the crisis by stealing aid and exploiting hunger as a political tool to try to win global sympathy.

People in Beit Lahia take sacks of flour from an aid convoy en route to Gaza City. Pic: AP
Image:
People in Beit Lahia take sacks of flour from an aid convoy en route to Gaza City. Pic: AP

Journalists are not allowed to enter Gaza, so we are reliant on the work of colleagues who live there.

But the images are striking – emaciated people holding begging bowls, people scrambling towards aid drops or clambering over trucks carrying bags of flour. And all around them, shattered buildings.

Aid is continuing to be dropped by air, but humanitarian groups say it is not enough. Pic: Reuters
Image:
Aid is continuing to be dropped by air, but humanitarian groups say it is not enough. Pic: Reuters

We heard from a man in his 70s, who used to weigh 70kg, but who has lost almost half his body weight.

“Now, because of malnutrition, my weight has dropped to just 40,” Hassan Abu Seble said. “I suffered both a stroke and a heart attack. They had to put in a stent to help me recover, and I thank God that my organs are still functioning.”

The Israeli government, and many across the country, will maintain that Hamas bears the responsibility for everything that has happened to Gazans – that it was the attack on 7 October, 2023, that was the sole precipitant for the suffering, death and hunger that has followed.

But from around much of the rest of the world, the condemnation is deafening, accusing Israel of allowing famine to fester.

The body of a child is carried from the scene of an Israeli military strike in Gaza City. Pic: AP
Image:
The body of a child is carried from the scene of an Israeli military strike in Gaza City. Pic: AP

David Lammy, Britain’s foreign secretary, said the Israeli government had caused a “man-made famine” by blocking the distribution of aid, and described that as a “moral outrage”.

The question, as so often before, is what that rhetoric leads to. And, so long as the United States doesn’t join the chorus of disapproval, does widespread global disapproval mean anything?

There is also a question now of Gaza’s future.

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Read more from Sky News:
Israel to continue with Gaza City offensive
Famine is our ‘worst fears being realised’
Analysis: Netanyahu has a decision to make

In the Jewish quarter of Jerusalem’s Old City, we found a large sign that says “Make Gaza Jewish Again”. It is a slogan, and a sentiment, that is supported by plenty.

“Yes, of course I agree,” says one man as he walks past, carrying a large pack of drinks. It turns out that he used to live in a Jewish settlement in Gaza until it was shut by the Israeli government two decades ago, but he has never stopped believing that Gaza is rightly Israel’s property.

“The people there now – they should leave. They could go to Jordan, Lebanon, Egypt. It is our land. And yes, I would like to go back there.”

He did not believe there was a famine. “They have lots of food,” he told me.

Another man, Avraham, was more conciliatory, but insisted there had never been a country like Israel “that is fighting a war against a country but is also sending in so much humanitarian aid for the people”.

Gaza City is now the focal point of so much. Famine is spreading from this heart just as troops prepare to encircle the city. A ceasefire could come, but so could a huge military assault. And all the while, the hunger will get worse.

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Plans for huge new Chinese embassy delayed by government

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Plans for huge new Chinese embassy delayed by government

Approval of a huge new Chinese embassy in London has been delayed by the government over redacted areas on the embassy’s plans.

Beijing hasn’t fully explained why there are blacked-out areas in its planning application after housing minister Angela Rayner demanded an explanation earlier this month.

The government has now delayed its decision over whether construction can go ahead from 9 September to 21 October, saying it needed more time to consider the application.

The Chinese embassy in London expressed “serious concern” over the delay and said host countries have an “international obligation” to support the construction of diplomatic buildings.

“The Chinese side urges the UK side to fulfil its obligation and approve the planning application without delay,” said the embassy in a statement.

Site of planned Chinese embassy
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Site of planned Chinese embassy

Royal Mint Court, the site of the proposed embassy. File pic: PA
Image:
Royal Mint Court, the site of the proposed embassy. File pic: PA

DP9, the planning consultancy working for the Chinese government, said its client felt it would be inappropriate to provide full internal layout plans.

It added that additional drawings provided an acceptable level of detail, after the government asked why several areas were blacked out.

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Protests have been held outside the proposed site. File pic: Feb 2025, PA
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Protests have been held outside the proposed site. File pic: Feb 2025, PA

“The Applicant considers the level of detail shown on the unredacted plans is sufficient to identify the main uses,” said DP9 in a letter to the government.

“In these circumstances, we consider it is neither necessary nor appropriate to provide additional more detailed internal layout plans or details.”

The embassy, which would be the largest in Europe, is planned for the 216-year-old site of the old Royal Mint Court next to the Tower of London.

However, opposition from local residents, lawmakers and pro-democracy campaigners means planning approval has been delayed for the past three years.

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Earlier this month, the embassy described claims that the building could have “secret facilities” used to harm Britain’s
national security as “despicable slandering”.

However, the executive director of the Inter-Parliamentary Alliance on China, which has ties to a network of politicians critical of the country, called the explanations “far from satisfactory”.

Luke de Pulford, who is a long-standing critic of the embassy plans, said the “assurances amount to ‘trust me bro'”.

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Famine declared in Gaza City – and projected to expand to two other areas in the next month

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Famine declared in Gaza City - and projected to expand to two other areas in the next month

A famine has been declared in Gaza City and the surrounding neighbourhoods.

The Integrated Food Security Phase Classification (IPC) – a globally recognised system for classifying the severity of food insecurity and malnutrition – has confirmed just four famines since it was established in 2004.

These were in Somalia in 2011, and in Sudan in 2017, 2020, and 2024.

The confirmation of famine in Gaza City is the IPC’s first outside of Africa.

“After 22 months of relentless conflict, over half a million people in the Gaza Strip are facing catastrophic conditions characterised by starvation, destitution and death,” the report said, adding that more than a million other people face a severe level of food insecurity.

Israel Gaza map
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Israel Gaza map

Over the next month conditions are also expected to worsen, with the famine projected to expand to Deir al-Balah and Khan Younis, the report said.

Nearly a third of the population (641,000 people) are expected to face catastrophic conditions while acute malnutrition is projected to continue getting worse rapidly.

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What is famine?

The IPC defines famine as a situation in which at least one in five households has an extreme lack of food and face starvation and destitution, resulting in extremely critical levels of acute malnutrition and death.

Famine is when an area has:

• More than 20% of households facing extreme food shortages

• More than 30% of children suffering from acute malnutrition

• A daily mortality rate that exceeds two per 10,000 people, or four per 10,000 children under five

Over the next year, the report said at least 132,000 children will suffer from acute malnutrition – double the organisation’s estimates from May 2024.

Israel says no famine in Gaza

Volker Turk, the UN Human Rights chief, said the famine is the direct result of actions taken by the Israeli government.

“It is a war crime to use starvation as method of warfare, and the resulting deaths may also amount to the war crime of wilful killing,” he said.

COGAT, the Israeli military agency that coordinates aid, has rejected the findings.

Israel accused of allowing famine to fester in Gaza

Tom Fletcher, speaking on behalf of the United Nations, did not mince his words.

Gaza was suffering from famine, the evidence was irrefutable and Israel had not just obstructed aid but had also used hunger as a weapon of war.

His anger seeped through every sentence, just as desperation is laced through the report from the Integrated Food Security Phase Classification (IPC).

Conditions are expected to worsen, it says, even though the Gaza Strip has been classified as a level 5 famine. There is no level 6.

But it took only moments for the Israeli government to respond in terms that were just as strident.

Read Adam Parsons’ analysis here.

Israel’s foreign ministry said there is no famine in Gaza: “Over 100,000 trucks of aid have entered Gaza since the start of the war, and in recent weeks a massive influx of aid has flooded the Strip with staple foods and caused a sharp decline in food prices, which have plummeted in the markets.”

Another UN chief made a desperate plea to Israel’s prime minister to declare a ceasefire in the wake of the famine announcement.

Tom Fletcher, UN under-secretary general for humanitarian affairs, said famine could have been prevented in the strip if there hadn’t been a “systematic obstruction” of aid deliveries.

“My ask, my plea, my demand to Prime Minister Netanyahu and anyone who can reach him. Enough. Ceasefire. Open the crossings, north and south, all of them,” he said.

The IPC had previously warned famine was imminent in parts of Gaza, but had stopped short of a formal declaration.

Palestinians struggle to get aid at a community kitchen in Gaza City. Pic: AP
Image:
Palestinians struggle to get aid at a community kitchen in Gaza City. Pic: AP

The latest report on Gaza from the UN Office for the Coordination of Humanitarian Affairs (OCHA) says there were almost 13,000 new admissions of children for acute malnutrition recorded in July.

The latest numbers from the Gaza health ministry are 251 dead as a result of famine and malnutrition, including 108 children.

But Israel has previously accused Hamas of inflating these figures, saying that most of the children who died had pre-existing health conditions.

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