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Warning: This article contains references to suicide and material readers might find disturbing

Every year, on his birthday, Joel Le Scouarnec composed an entry in his diary. First, he would record his age. Then he would write: “I am a paedophile, and I am proud of it.”

To the rest of the world, he seemed like a respected medical professional, a surgeon who cared for thousands of patients and provided support to their relatives. But Le Scouarnec, now 74, hid a dark secret – his compulsion to abuse children.

France surgeon trial - surgeon
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Former surgeon Joel Le Scouarnec

He’s now on trial, accused of a litany of sex crimes involving 299 alleged victims, almost all of whom were his patients, and most of whom were children. In total, he’s accused of 300 separate offences – 111 rapes and 189 sexual assaults – which took place across 25 years in more than a dozen hospitals.

The average age of his alleged victims was just 11 years old, split almost equally between boys and girls. He was eventually stopped in 2017, following investigations that involved multiple police forces and even the FBI.

It is a long and horrific list, agonisingly detailed by the prosecution, but it boils down to one fact – Le Scouarnec is alleged to be the most prolific child abuser ever apprehended in France and, perhaps, in all of Europe.

France surgeon trial - hospital
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Quimperle Hospital

After decades of allegedly abusing patients without any repercussions, Le Scouarnec seemed to believe he was invincible. His crimes finally came to light when his six-year-old neighbour told her mother he had sexually abused her while she was playing in the garden of her home, in the town of Jonzac in southwest France.

The investigations that followed led to his conviction and imprisonment for raping and sexually assaulting four young girls in 2020. But evidence recovered by the police during that investigation revealed abuse on a far wider scale.

When the police entered Le Scouarnec’s house, they found a scene that was both sinister and shocking. There were 300,000 indecent photos and videos of children (some hard copies and some on computers), 70 child-sized dolls – some of which were chained up – wigs and, crucially, hundreds of notebooks and diaries detailing his acts of abuse.

‘This man destroyed my life’

This macabre discovery went on to change the lives of hundreds of people who had been unaware they were victims of Le Scouarnec’s crimes. Among them was Marie*. Now in her late thirties, she was just 10 years old when she was hospitalised suffering from acute appendicitis. Joel Le Scouarnec was her surgeon. In his diaries, he wrote about abusing her while she was under anaesthesia.

For many years, Marie, like many of the alleged victims, didn’t know she’d been assaulted, until a visit from the police shed light on a feeling that something had happened to her body which she couldn’t explain.

“This man destroyed my life and the lives of so many children… When I heard I was among the alleged victims, I told myself that’s the missing jigsaw piece,” said Marie. “I was shocked but then I began to make a connection between this and the problems I had experienced, especially regarding my issue with intimacy and relationships with men.”

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The FBI raised the alarm

In 2004, as part of a global investigation into paedophile networks, the FBI found evidence Le Scouarnec had shared and downloaded pornographic images of children via a website based in the United States.

The FBI alerted French authorities and the former surgeon was arrested and then charged with possession of indecent images of minors. In 2005, the case was heard in court and he was given a four-month suspended sentence. What happened is a shocking example of how this doctor’s activities were ignored, leaving him to continue his alleged abuse.

In 2006, a psychiatrist working at the same hospital as Le Scouarnec wrote to the management, expressing concern that the surgeon was practising on children despite having a conviction for sharing images on paedophile websites.

The letter was referred to the ombudsman. A similar letter of concern was sent by a trade union representing healthcare workers. But no further action was taken.

In 2008, he transferred to practise at another hospital in Jonzac. The hospital’s director had the surgeon’s file, which contained the documents regarding his previous convictions and letters of concern from colleagues, but chose to employ him.

That same year, an anaesthetist at the same hospital was convicted of possessing and sharing indecent images of children. He, too, was also allowed to continue to practise at the hospital and treat young patients.

Lawyer Francesca Satta represents some of the victims
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Lawyer Francesca Satta represents some of the victims

‘He could have been stopped’

“Nobody will attack a high-ranking surgeon,” said Francesca Satta, a lawyer representing some of Le Scouarnec’s alleged victims, adding that the surgeon was “overlooked” because of his position.

She added: “The evidence was there. There were searches at his home and they found indecent images of children. The diaries existed but were not discovered… he could have been stopped.”

If, in 2006, he’d been prevented from treating children, there would be at least 20 fewer alleged victims in this case.

Among them was a little boy named Mathis Vinet.

France surgeon trial - victim
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Mathis Vinet’s grandparents have spoken out

His grandparents, Roland and Mauricette, welcomed us into their home with warm handshakes and cups of coffee. Their living room was filled with books and family photos. But they were on edge; burdened by grief and anger, mixed with a desperate desire for justice.

Their grandson, Mathis, was just 10 years old when he was taken to hospital with stomach pains and came under the care of Joel Le Scouarnec.

“He admitted our grandson and examined him,” Roland recalled, adding that the surgeon said Mathis needed to stay in hospital overnight. “He said if anything urgent happened we would be alerted.”

Le Scouarnec told the family to leave Mathis in his care. That night, he allegedly abused the boy as he lay in bed. His grandparents still have the discharge paper, signed by the former surgeon.

Roland and Mauricette say their grandson was abused
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Roland and Mauricette say their grandson was abused

That day changed Mathis completely, according to his family.

The young boy who enjoyed helping his grandfather in the garden was replaced by a troubled youth whose life unravelled as he fell into addiction.

Like most of the other alleged victims, he remained unaware that he’d been attacked by Le Scouarnec until told by the police, more than a decade later.

“There was a knock at the door,” Mauricette remembers. “Mathis was alone. He’d started using drugs, so he thought he might be in trouble. When they left, having told him… his world came crashing in around him. He had flashbacks and called us the next day to say he was in a bad place.”

“He took drugs to make himself feel better… but it didn’t work.”

On the table, there is a picture of Mathis as a boy, beaming. In later pictures, he looks more sombre, as if he has turned in on himself.

In 2021, he took his own life, aged just 24 years old.

‘To call him a monster is an understatement’

Le Scouarnec doesn’t deny his abuse of many of the young children about whom he wrote in his diaries. He told investigators he did everything he wrote about, but didn’t realise how many children there were.

“We can call him a monster but it’s an understatement,” said Satta, who has worked across cases involving violent murderers and notorious criminals. “He has just one thing on his mind, 24/7, and that is sexually abusing young children.”

France surgeon trial - letter
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A letter with Joel Le Scouarnec’s signature

But there is another troubling unknown in this case. During the trial, 299 alleged victims will air their accusations against Le Scouarnec in court, but there could be more.

At least two years of diaries disappeared, which means more former patients of Le Scouarnec could still be unaware of what happened to them as children.

The case against the former surgeon involves so many victims, that a normal courtroom is not big enough. An annexe will be opened to accommodate the hundreds of victims, lawyers, family members, journalists and members of the public who will follow the proceedings over the next four months.

The victims will gather in a lecture theatre to watch the trial on a big screen. It is the sort of room that you might find anywhere, but as you look around, at the hundreds of seats, you are reminded that each one of these has been allocated to an alleged victim.

There are so many questions that haven’t been answered. How could so many chances to stop him have been missed? Does French society have an inbuilt fear of exposing sexual crimes? Did Le Scouarnec really act alone, or did he have a network with others?

But, above all, will these victims feel a sense of closure if the allegations against Le Scouarnec are upheld?

For Marie, it’s about protecting others. “This man is a predator of children. His place is in prison and he needs to stay there.”

Most of the alleged victims were children when they last saw Joel Le Scouarnec. Now they return as adults, to confront him in court.

Some of the pain they suffered due to abuse in a hospital may yet be healed by the punishment of a court.

*name has been changed

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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Thousands of Ukrainian civilians lost in hellish archipelago of Russian jails

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Thousands of Ukrainian civilians lost in hellish archipelago of Russian jails

In all the horrors of this war, the plight of thousands of civilians abducted by Russia is one of the worst, but is in danger of being overlooked.

Warning: This report contains details of torture and sexual abuse

Their fate is not mentioned for instance in Donald Trump’s peace plan currently being wrestled over, let alone any demands they are released by Russia.

But their plight is truly horrific. Ukraine has identified almost 16,000 names of people lost in a gulag of 180 prisons in Russian-held Ukraine and in Russia itself, as far away as Siberia.

It is a war crime to take civilians hostage during a conflict but that has not deterred Vladimir Putin’s regime.

Worse, there is abundant evidence they are being tortured, sexually abused and killed in custody.

Oleksandra Matviichuk, a Nobel Prize-winning Ukrainian human rights lawyer, said: “I interviewed hundreds of people who survived Russian captivity, men and women, mostly civilians, and they told me how they were beaten, raped, smashed into wooden boxes.

“Their fingers were cut, their nails were torn away, their nails were drilled. There were electrical shocks through their genitalia. One woman told me how her eye was dug out with a spoon.”

Dmytro Khilyuk has been detained by Russia since March 2022
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Dmytro Khilyuk has been detained by Russia since March 2022

When the Russians took territory north of Kyiv at the start of their illegal invasion, they came for the men, among them Dmytro Khilyuk.

Apart from a short letter sent from captivity a few months later, his elderly parents have not seen him since.

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Mr Khilyuk's mother and father, Halyna and Vasyl, show photo of their son
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Mr Khilyuk’s mother and father, Halyna and Vasyl, show photo of their son

‘I just can’t take it anymore’

“We’re old and we’re sick,” his mother Halyna, bedridden after a stroke, told us.

“We’ve been without our only child for four years now, not knowing anything, where he is, how he is.”

She wept as she told us of the agony of living with the uncertainty about their son.

“I just can’t take it anymore. Why is my child suffering like this? It’s been four years. All we get are endless talks, talks, and more talks. And nothing changes. I could die any day… and never see my child again.”

Mr Khilyuk's mother, Halyna
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Mr Khilyuk’s mother, Halyna

Khilyuk has lost half his weight and most of his teeth

A year ago a fellow prisoner who had shared a cell with Mr Khilyuk was released. He said Mr Khilyuk had lost half his weight and most of his teeth.

Fellow journalist and friend of Mr Khilyuk, Stas Kozluk, told us he was worried about his state of mind.

“We just can’t imagine what can happen with the mind of a human being that’s captured and spends three years in that condition. To be honest, I don’t know how to help him. And that’s the most terrifying thing,” he said.

Russia releases no information

Ukrainian authorities can only piece together information about the abducted civilians. Mr Kozluk told us those who’ve been detained learn the phone numbers and names of relatives of others they are held with.

Those who are released pass on what information they can.

Russia releases no information about those civilians it is holding illegally, against the rules of war.

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‘The world doesn’t understand’

Thousands of innocent civilians are lost in a hellish archipelago of Russian jails notorious for their evil regime of abuse.

And the world, says Oleksandra Matviichuk, is in danger of forgetting about them.

“I think the world doesn’t understand, first, the cruelty and unhuman conditions in which Ukrainians are held in Russian captivity,” she says.

“Second, they don’t understand that Russia detained not just military, but civilians. And according to the Geneva Convention, they have to be released immediately without any exchanges, without any conditions.”

Diplomatic efforts to end this war grind on fitfully. But there has been very little pressure on Russia to end its illegal abduction of thousands of innocents.

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US ‘doesn’t have high expectations’ for Ukraine-Russia negotiations, Marco Rubio admits

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US 'doesn't have high expectations' for Ukraine-Russia negotiations, Marco Rubio admits

The United States “doesn’t have high expectations” for negotiations in Turkey between Russia and Ukraine to end the war, America’s top diplomat has admitted.

US secretary of state Marco Rubio said he did not think there would be a “breakthrough” in discussions until Donald Trump and Vladimir Putin meet to discuss it directly.

Russia and Ukraine are preparing to hold their first direct peace talks in three years, but the negotiations will take place in the aftermath of Mr Putin declining Volodymyr Zelenskyy‘s offer of an in-person meeting.

It came after Mr Putin proposed direct negotiations with Ukraine over the war “without any preconditions” after the “coalition of the willing” countries threatened Russia with fresh sanctions if it failed to take part in a 30-day ceasefire beginning on Monday. In response Mr Zelenskyy had called on Mr Putin to meet him in Istanbul.

Russian President Vladimir Putin chairs a meeting with senior officials. PIc: Reuters
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Russian President Vladimir Putin chairs a meeting with senior officials. PIc: Reuters

Ukraine war latest: Trump teases ‘destination unknown’

The Ukrainian president said he was sending a team headed by his defence minister, from the Turkish capital Ankara to Istanbul, to meet the Ukrainian delegation, though he said Moscow’s team did not include “anyone who actually makes decisions”.

Mr Zelenskyy accused Moscow of not taking efforts to end the conflict seriously by sending a low-level negotiating team he described as “a theatre prop”.

Russian presidential aide Vladimir Medinsky, who is heading Moscow’s delegation, said: “The task of these direct negotiations with Ukraine is to establish long-term peace sooner or later by eliminating the root causes of this conflict.”

He later said he expected Ukraine’s representatives to turn up for the beginning of discussions on Friday morning.

Marco Rubio. Pic: Reuters
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Marco Rubio. Pic: Reuters

Mr Rubio said he will meet Ukraine’s delegation on Friday, adding: “It’s my assessment that I don’t think we’re going to have a breakthrough here until the president [Mr Trump] and President Putin interact directly on this topic.”

The team sent by Russia “does not indicate a breakthrough”, he said, before going on to say: “I hope tomorrow the news says they’ve agreed a ceasefire. But it’s not my assessment.”

He was echoing remarks made by Mr Trump earlier in the day, when he said: “Nothing’s going to happen until Putin and I get together.”

Asked if any plans were under way for a meeting between the US and Russian leaders, Mr Rubio said Mr Trump was going to make a decision once his trip to the Middle East finishes.

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Tens of thousands of soldiers have been killed on both sides in the war since Russia invaded Ukraine in February 2022, along with more than 12,000 Ukrainian civilians, according to the UN.

Russian forces are preparing for a fresh military offensive, Ukrainian government and Western military analysts have warned.

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Sir Keir Starmer accused Mr Putin of “standing in the way of peace”, with the prime minister saying: “There was only one country that started this conflict – that was Russia. That was Putin. There’s only one country now standing in the way of peace – that is Russia, that is Putin.”

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Iran ‘ready to make nuclear concessions’ – as Trump asks for Qatar’s help getting a deal

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Iran 'ready to make nuclear concessions' - as Trump asks for Qatar's help getting a deal

A top Iranian official has said the country is prepared to make a number of concessions related to its nuclear programme, in exchange for the lifting of economic sanctions.

It comes as Donald Trump, during his tour of the Middle East, urged Qatar to wield its influence over Iran to persuade it to give up its nuclear programme.

Ali Shamkhani, a top political, military and nuclear adviser to Iranian Supreme Leader Ayatollah Ali Khamenei, spoke to Sky News’ US partner NBC News.

Ali Shamkhani pictured in 2023.
Pic: Reuters
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Ali Shamkhani pictured in 2023.
Pic: Reuters

He said Tehran was willing to commit to never making nuclear weapons again, getting rid of its stockpiles of highly enriched uranium, which can be weaponised, agree to only enrich uranium to the lower levels needed for civilian use and allow international inspectors to supervise the process.

This was in exchange for the prospect of the immediate lifting of all economic sanctions on the country.

Asked if Iran would sign an agreement today if those conditions were met, Mr Shamkhani told NBC: “Yes.”

His comments are the clearest public indication of what Iran hopes to get out of a deal and their willingness to do one.

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“It’s still possible. If the Americans act as they say, for sure we can have better relations,” Mr Shamkhani added.

However, he expressed frustration at continued threats from the US president, describing them as “all barbed wire” and no olive branch.

Similarly, he warned that Israeli Prime Minister Benjamin Netanyahu might try to derail the deal.

Trump goes to the Middle East

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Trump’s second day in the Middle East

Elsewhere, on the second of three stops on his tour of the Middle East, Mr Trump appealed to Qatar for help in the process.

He urged the country to use its influence over Iran to persuade its leadership to reach a deal with the US and dial back its rapidly advancing nuclear programme.

Mr Trump made the comments during a state dinner.

He said: “I hope you can help me with the Iran situation.

“It’s a perilous situation, and we want to do the right thing.”

Donald Trump listens as Qatar's Emir Tamim bin Hamad Al Thani (not pictured) speaks at a state dinner.
Pic: Reuters
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Donald Trump listens as Qatar’s Emir Tamim bin Hamad Al Thani (not pictured) speaks at a state dinner.
Pic: Reuters

Over the years, Qatar has played the role of intermediary between the US and Iran and its proxies – including talks with Hamas as its 19-month war with Israel grinds on.

This comes after Mr Trump told a Gulf Cooperation Council meeting in Riyadh, Saudi Arabia, this week that he wants “to make a deal”.

However, he said that as part of any agreement, Iran must end its support of proxy groups throughout the Middle East.

A nuclear Iran

Mr Trump has always said Iran could not be allowed to develop a nuclear weapon.

While Iran has always denied doing so, the UN nuclear watchdog, the International Atomic Energy Agency, has warned that Tehran has enough enriched uranium close to weapons-grade quality for nearly six bombs.

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Trump 100 breaks down the president and Iran

The US and Iran reached a nuclear deal in 2015, under Barack Obama, in which Iran agreed to drastically reduce its stockpile of uranium and limit enriching up to 3.67%.

But Mr Trump scrapped that deal in his first term.

Today, Iran enriches up to 60%, a short, technical step from weapons-grade levels.

Washington and Tehran have engaged in four rounds of talks since early April.

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