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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
Image:
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.

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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
Image:
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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What recognising a Palestinian state actually means

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What recognising a Palestinian state actually means

The UK is planning to recognise Palestine as a state in a major shift in policy.

The announcement – expected today – comes ahead of the United Nations (UN) General Assembly in New York next week.

While Sir Keir Starmer signalled the move in July, it was not made official before Donald Trump’s state visit to the UK, reportedly due to fears it could have dominated the meeting with the US president.

Here is what you need to know about the significance of recognising a Palestinian state.

What is the current status of Palestinian statehood?

The Palestinian Authority (PA), led by President Mahmoud Abbas, is internationally recognised as representing the Palestinian people.

The governing body exercises limited self-rule in parts of the Israeli-occupied West Bank under agreements with Israel. It issues Palestinian passports and runs the Palestinian health and education systems.

However, some trade, investment, educational and cultural exchanges are restricted by Israel and there are currently no Palestinian airports.

The landlocked West Bank can only be reached through Israel or through the Israeli-controlled border with Jordan. Israel also controls all access to the Gaza Strip.

Much of what would form a potential Palestinian state has been under Israeli military occupation for more than half a century.

A map showing Israel and the occupied Palestinian territories
Image:
A map showing Israel and the occupied Palestinian territories

Under the Montevideo Convention of 1933, there are several criteria before Palestine can be recognised as a sovereign state under international law.

The process requires the state to have:
• A permanent population;
• A defined territory;
• An effective government and international relations;
• Formal diplomatic processes including embassies, ambassadors and treaties.

The UK did not sign the 1933 convention, but in July some of Britain’s top lawyers wrote a letter to the government’s top legal adviser warning that recognising a Palestinian state could breach the convention, which they said has become part of “customary law”.

But others, including Philippe Sands KC, a professor of law at University College London, argued against this. He told The Guardian that the UN’s top court, the International Court of Justice (ICJ), has recognised that Palestinians have a right to “self-determination” – meaning a country determines its own statehood and forms its own government.

Is the move just symbolic?

The likes of China, India, Russia and many Arab states have recognised Palestinian independence for decades, but largely see it as a symbolic gesture, which has little influence on what happens on the ground.

However, in the UK’s case, recognising a Palestinian state could put the two on “equal footing” according to the Palestinian ambassador to the United Kingdom, Husam Zomlot.

This could result in strategic partnerships or lead to steps such as banning products that come from Israeli settlements in occupied Palestinian territories, Vincent Fean, a former British consul general to Jerusalem, told Reuters.

French President Emmanuel Macron, who was the first leader of a G7 country to endorse recognition, said the recognition would also come with a commitment that the PA would enact reforms, which, he says, would put it in a better position to govern a post-war Gaza.

Naima Abu Ful holds her malnourished 2-year-old child, Yazan in Gaza. Pic: AP
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Naima Abu Ful holds her malnourished 2-year-old child, Yazan in Gaza. Pic: AP

Why is the UK acting now?

Sir Keir Starmer said in July that the time to recognise Palestine is now, as it would have the highest impact given the hope of a two-state solution – a “secure” Israel alongside a “viable” Palestinian state – was at risk.

He said it was part of an “eight-part plan” agreed with France and Germany, but denied it represented a U-turn after pressure from Labour MPs, saying instead it was always part of the plan to recognise Palestine.

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From July: Starmer reveals plan to recognise Palestine as state

Pressure has also been mounting on Sir Keir after Israel began a major ground offensive to take Gaza City on 16 September.

Despite widespread condemnation, Israeli tanks and troops have continued to push deeper into the city in a bid to destroy Hamas and force the release of the remaining Israeli hostages.

Foreign Secretary Yvette Cooper called the operation “utterly reckless and appalling”.

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Tanks roll into Gaza as ‘appalling’ Israeli offensive begins

The UK’s official declaration comes days before the annual gathering of world leaders at the UN General Assembly, where Gaza will be a major topic of discussion.

Israeli Prime Minister Benjamin Netanyahu is expected to talk at the assembly, but Mr Abbas has not been granted a US visa. It is likely he will instead appear via video.

What countries do (and do not) recognise Palestine?

As of September 2025, 147 out of 193 United Nations member states recognise Palestine. This includes more than a dozen in Europe, including Spain, Ireland and Norway.

Click, zoom in or search for a country to see their stance on recognising a Palestinian state:

Recognition from countries vs the United Nations

Without a full seat at the UN, the PA only has limited ability to conduct bilateral relations. This means a delegation officially representing the State of Palestine has permanent observer status but no voting rights.

Mahmoud Abbas, president of the Palestinian Authority, at last year's UN General Assembly. Pic AP
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Mahmoud Abbas, president of the Palestinian Authority, at last year’s UN General Assembly. Pic AP

No matter how many individual countries recognise Palestinian independence, full UN membership requires the approval of the Security Council.

Approval requires at least nine votes in favour and no vetoes by the permanent ‘big five’ member states: UK, US, France, Russia and China.

If the Council approves the request, it goes to the General Assembly for approval, where a two-thirds majority is needed.

Palestinians gather to receive food from a charity kitchen. Pic: Reuters
Image:
Palestinians gather to receive food from a charity kitchen. Pic: Reuters

A state can’t join the UN without the backing of both the Security Council and the General Assembly.

In 2011, the Security Council looked at an application for Palestine to become a permanent member for several weeks but it was unable to reach a unanimous position, so a formal vote never took place.

Most recently, on 18 September, the US vetoed a Security Council resolution that had demanded an immediate and permanent ceasefire in Gaza and the release of all hostages, saying the effort did not go far enough in condemning Hamas.

How have Palestinians and the Israelis responded?

When the UK, France and Canada announced in July they were planning to recognise Palestine as a state, the PA’s leader Mr Abbas expressed “thanks and appreciation” to all three countries.

Mr Netanyahu condemned the move, saying recognising a Palestinian state would be a “launch pad to annihilate Israel – not to live in peace beside it”.

He says Israel will never give up ultimate security control of Gaza or the West Bank, and the decision to recognise Palestine as a state “constitutes a reward for Hamas and harms efforts to achieve a ceasefire in Gaza and a framework for the release of hostages”.

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Is Israel committing genocide?

What about America?

The US, Israel’s closest ally, also remains opposed to official recognition of a Palestinian state.

During a press conference with Sir Keir in the UK on 18 September, Mr Trump told reporters he has a “disagreement” with his British counterpart over it.

In reaction to European allies recognising Palestinian independence, the US has imposed sanctions on Palestinian officials.

Starmer and Trump at a joint press conference. Pic: AP
Image:
Starmer and Trump at a joint press conference. Pic: AP

Within the US Senate, however, a group of Democratic senators have introduced a resolution to try and urge recognition of a Palestinian state – showing some divide in America’s two main political parties.

However, the resolution is unlikely to pass the chamber, where Republicans have a 53-47 majority.

How does this all link to a two-state solution?

Simply put, a two-state solution is widely regarded as the most viable framework for enabling Palestinian independence.

It would see an independent Palestinian state established alongside the existing state of Israel – giving both peoples their own territory.

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The two-state solution explained

Earlier in September, the UN General Assembly voted overwhelmingly – 142 votes in favour – to endorse a declaration outlining the “tangible, time bound, and irreversible steps” towards a two-state solution.

The declaration condemns the October 7 attacks by Hamas and the retaliatory action by Israel against civilians and infrastructure in Gaza. Israel and the US were among 10 member states that voted against the resolution.

The Palestinians seek an independent state in the occupied West Bank, annexed East Jerusalem and Gaza, territories that have been occupied by Israel since the 1967 Six-Day War.

Mr Netanyahu and most of Israel’s political class have long been opposed to Palestinian statehood, and argue that it would reward militants after October 7.

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One of the biggest obstacles to a two-state solution would be deciding what the borders of a potential Palestinian state would be.

Many believe they should be the same ones that existed before 1967, but since then, increasing numbers of Israeli settlements have been established inside the West Bank, with around 600,000 Israelis now living there and in occupied East Jerusalem.

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‘Better late than never’: Palestinian minister says UK recognition of state would be ‘courageous step’

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'Better late than never': Palestinian minister says UK recognition of state would be 'courageous step'

Britain will be taking “a courageous step at a very difficult time” by officially recognising a Palestinian state, according to the authority’s foreign minister, who told Sky News she believes the announcement – expected in the coming days – will inspire more nations to follow suit.

The Palestinian Authority’s foreign minister, Varsen Aghabekian, told me Britain’s move was “better late than never”, and said “Britain, with its weight, can influence other countries to come forward and recognise, because that is the right thing to do”.

But she also said she is “very angry” with the White House over its “unwavering support” for Israel, and said that Israel’s refusal to pass on tax revenue was pushing Palestinian civil society to the brink of “collapse”.

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Could recognition of Palestine change the West Bank?

Aghabekian was speaking as Britain, along with France, Canada and Australia, prepares to recognise the State of Palestine officially at the United Nations.

She told me: “Britain has been supporting the existence and the flourishing of Israel for some time, but I think today Britain is looking at the matter objectively, in terms of the right of people, in terms of complying with international law, and in terms of the future of this area for both the Israelis and Palestinians.”

More on Israel

She rejected the idea that recognising Palestine was a reward for Hamas terrorism, saying that “non-recognition” would also be a “reward to the extremists” and said that “if we wait until Israel decides it wants to go into negotiations with the Palestinians, then it won’t happen”.

Aghabekian told me she expected Gaza to be returned to the Palestinians, but I put it to her that Israeli Prime Minister Benjamin Netanyahu was being empowered by the diplomatic support he receives from America, and in particular, US President Donald Trump.

So is she angry with the White House? “Very angry, because I expect the White House and the United States of America to align with international law, with human rights, with having no double standards.

“This unwavering support for Israel, this blind support, is not only harming the Palestinians but also Israeli society.”

Read more:
What does recognising a Palestinian state mean?
Gaza could be ‘real estate bonanza’, Israeli minister says

Varsen Aghabekian speaks to Sky's Adam Parsons
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Varsen Aghabekian speaks to Sky’s Adam Parsons

The state of Palestine is already recognised by three-quarters of the United Nations’ members. It comprises two separate territories – the West Bank, including East Jerusalem, and the Gaza Strip. Together, they are officially known as the Occupied Palestinian Territories.

The West Bank has been subject to Israeli military occupation since 1967, while Gaza has been attacked by Israel since the Hamas attacks of 7 October 2023, when nearly 1,200 Israelis were killed and around 250 people were taken hostage.

Since then, more than 65,000 people have been killed in Gaza as Israel has sought to destroy Hamas and recover its hostages. There are 48 hostages still in Gaza, with 20 believed to be alive.

She confirmed to me that Mahmoud Abbas, leader of the Palestinian Authority, which governs the West Bank, “has given guarantees in letters to various leaders around the globe that said Hamas will not be part of the governance of the Gaza Strip” and insisted there was “probably a worldwide consensus” on the topic.

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How has UK responded to Israel-Gaza conflict?

But she also insisted it was “not reasonable” to talk of completely erasing Hamas: “Hamas is an ideology, not a building that you bring down. Hamas is in people’s minds; in their heads.

“Those who support Hamas need to see a future, need to see something that is moving on the political level, need to see that there might be a state in which their children and their grandchildren might prosper.

“What people see today, whether they are Hamas supporters or not, they see darkness and they see destruction all over. They see violation of rights. They are helpless and hopeless. People need to see things are moving forward, and once that happens, there will be a shift in the mood, and they will look for a better future.”

But just as the Palestinians prepare to welcome recognition, Aghabekian said the West Bank was facing financial collapse as Israel continues to withhold hundreds of millions of dollars of tax revenue that, under a 30-year-old agreement, it collects on the Palestinian Authority’s behalf.

Israel has retained a proportion of the money since the start of the war in Gaza, but, encouraged by finance minister Bezalel Smotrich, it has recently withheld a much higher amount.

“People have not been paid, civil servants are only receiving small parts of their salaries. We can’t buy medical supplies, equipment, you name it,” said Aghabekian.

“How can a government run a country under such conditions? So yes, we are very worried.”

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Dublin Airport terminal evacuated as ‘safety precaution’

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Dublin Airport terminal evacuated as 'safety precaution'

Passengers have been evacuated from Dublin Airport’s Terminal 2 as a “precautionary measure”. 

Flights could be “temporarily impacted”, the airport said in a statement.

It did not give any details about the reason for the evacuation but said “the safety and security of our passengers and staff is our absolute priority”.

At this stage there is no suggestion the evacuation is linked to the cyber attack that has caused disruption at several European airports.

“We advise passengers to check with their airline for the latest updates,” the airport added, saying further information would be provided as soon as it is available.

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