In a simple breezeblock and cement building, cholera patients are attached to drips as they lie sprawled on hard, wooden beds.
In one section, two young boys stare into the distance through listless eyes. They are very poorly, the staff tell us, but now they are here, they will survive.
Image: Two boys at the Fontaine Hospital
Medical staff check on their patients in the relatively cool interior of the wards, while outside the sun beats down on the grounds of the rough and ready interconnected buildings of the Fontaine Hospital in Port-au-Prince.
The hospital is built amid the slums in an area of Haiti’s capital known as Cite Soleil – or Sun City.
Image: ‘All the infants are malnourished’ at the Fontaine Hospital, writes Sky’s Stuart Ramsay
This suburb is widely regarded to be the birthplace of the gangs of Port-au-Prince, and this section of the city has been violent and dangerous for decades.
Civil society doesn’t function here. Indeed, the Fontaine Hospital is the only medical facility still operating in the gang-controlled areas of Cite Soleil.
Without it, the people who live here would have no access to doctors or medical care.
I’m standing in the cholera ward with Jose Ulysse, the hospital’s founder. He opened the hospital 32 years ago. It’s a charity, run purely on donations.
Mr Ulysse explained that the increasing gang violence across the whole of Port-au-Prince, and the chaos it is causing, means people are herded into displacement camps, which in turn means that cholera outbreaks are getting worse.
Image: Jose Ulysse, Fontaine Hospital founder
“Cholera is always present, but there’s a time when it’s more,” he told me.
“Lately because of all the displacement camps there is a great deal of promiscuity and rape, and we have an increase in cases.”
As we spoke, I asked him about the two young boys, and a small group of women on drips in the ward.
“Now they are here, they will be okay, but if they weren’t here and this hospital wasn’t here, they would be dead by now,” he replied when I asked him about their condition.
Image: Jose Ulysse and Sky’s Stuart Ramsay
We left the cholera ward, cleaning our hands and shoes with disinfectant, before moving on to the next part of the hospital under pressure – the malnutrition ward.
“Malnutrition and cholera go hand-in-hand,” Mr Ulysse explained as we walked.
In the clinic, we meet parents and their little ones – all the infants are malnourished.
The mothers – and important to note – one father, are given food to feed their babies.
Image: Distended tummies are ‘giveaway signs’ of malnutrition
Those who are in the worst condition are also fed by a drip. One of the giveaway signs of malnutrition is a distended tummy, and most of these babies have that.
Poverty and insecurity combine to cause this, Mr Ulysse tells me. And like cholera, malnutrition is getting worse.
He explained that when the violence increases, parents can’t go to work because it is too dangerous, so they end up not being able to make a living, which means that they can’t feed their children properly.
The medics and hospital workers risk their lives every day, crossing gang lines and territories to get to the hospital and care for their patients.
Image: Mothers and their children at the Fontaine Hospital in gang-controlled Cite Soleil
Image: NICU unit at Fontaine Hospital
The reason why this hospital is so popular is because staff show up, even when the fighting is at its worst.
Despite their meagre resources, the Fontaine Hospital’s intensive care unit for premature babies is busy – it is widely regarded as one of the best facilities of its kind in the country.
A team of nurses, masked and in scrubs, tenderly care for these tiny children, some of whom are only hours old.
They are some of the most incredibly vulnerable.
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I asked Mr Ulysse what would happen if his hospital wasn’t there.
“Just imagine, there isn’t a place where they can go, everyone comes here, normally the poorest people in the country”, he told me.
But he stressed that the only way the hospital can keep going is through donations, and the cuts to the US government’s USAID programme has had a direct impact on the hospital’s donors.
Image: The hospital is run by donations, which have been affected by cuts from the US government’s USAID programme
Attacks on hospitals and staff working in the toughest areas across Port-au-Prince have become common.
We filmed outside one of the two Médecins Sans Frontières facilities in the centre of the capital, where work has been suspended because their staff were threatened or attacked.
Medical personnel from the health ministry in Port-au-Prince tell us over 70 per cent of all medical facilities in Port-au-Prince have been shut. Only one major public hospital, the Le Paix Hospital, is open.
The Le Paix Hospital’s executive director, Dr Paul Junior Fontilus, says he is perplexed by the gang’s targeting of medical facilities.
“It makes no sense, it’s crazy, we don’t know what it is they want,” he said as we walked through the hospital.
The hospital is orderly and functioning well, considering the pressure it is under. They are dealing with more and more cases of cholera, an increase in gunshot wounds and sexual violence.
“We are overrun with demand, and this surpasses our capacity to respond,” he explained to me.
“But we are obliged to meet the challenge and offer services to the population.”
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7:17
Haiti: An eyewitness account
Gang violence is crushing the life out of Port-au-Prince, affecting all of society. And, as is often the case, the most vulnerable in society suffer the most.
Stuart Ramsay reports from Haiti with camera operator Toby Nash, senior foreign producer Dominique Van Heerden, and producers Brunelie Joseph and David Montgomery.
A fierce warning from Britain’s defence secretary to Vladimir Putin to turn his spy ship away from UK waters or face the consequences was a very public attempt to deter the threat.
But unless John Healey backs his rhetoric up with a far more urgent push to rearm – and to rebuild wider national resilience – he risks his words ringing as hollow as his military.
The defence secretary on Wednesday repeated government plans to increase defence spending and work with NATO allies to bolster European security.
Image: Russian Ship Yantar transiting through the English Channel.
File pic: MOD
Instead of focusing purely on the threat, he also stressed how plans to buy weapons and build arms factories will create jobs and economic growth.
In a sign of the government’s priorities, job creation is typically the top line of any Ministry of Defence press release about its latest investment in missiles, drones and warships rather than why the equipment is vital to defend the nation.
I doubt expanding employment opportunities was the motivating factor in the 1930s when the UK converted car factories into Spitfire production lines to prepare for war with Nazi Germany.
Yet communicating to the public what war readiness really means must surely be just as important today.
Image: Russia’s President Vladimir Putin. Pic: Reuters
Mr Healey also chose this moment of national peril to attempt to score political points by criticising the previous Conservative government for hollowing out the armed forces – when the military was left in a similarly underfunded state during the last Labour government.
A report by a group of MPs, released on the same day as Mr Healey rattled his sabre at Russia, underlined the scale of the challenge the UK faces.
Image: HMS Somerset flanking Russian ship Yantar near UK waters. on January 22, 2025.
File pic: Royal Navy/PA
It accused the government of lacking a national plan to defend itself from attack.
The Defence Select Committee also warned that Mr Healey, Sir Keir Starmer and the rest of the cabinet are moving at a “glacial” pace to fix the problem and are failing to launch a “national conversation on defence and security” – something the prime minister had promised last year.
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The report backed up the findings of a wargame podcast by Sky News and Tortoise that simulated what might happen if Russia launched waves of missile strikes against the UK.
The series showed how successive defence cuts since the end of the Cold War means the army, navy and air force are woefully equipped to defend the home front.
But credible national defences also require the wider country to be prepared for war.
A set of plans setting out what must happen in the transition from peace to war was quietly shelved at the start of this century, so there no longer exists a rehearsed and resourced system to ensure local authorities, businesses and the wider population know what to do.
Image: John Healey.
Pic: PA
Mr Healey revealed that the Russian spy ship had directed a laser light presumably to dazzle pilots of a Royal Air Force reconnaissance aircraft that was tracking it.
“That Russian action is deeply dangerous,” he said.
“So, my message to Russia and to Putin, is this: We see you. We know what you are doing. And if Yantar travels south this week, we are ready.”
He did not spell out what this might mean but it could include attempts to block the Russian vessel’s passage, or even fire warning shots to force it to retreat.
Image: The Russian ship Yantar is docked in Buenos Aires in 2017
Pic: David Fernandez/EPA-EFE/Shutterstock
However, any direct engagement could trigger a retaliation from Moscow.
For now, the Russian ship – fitted with spying equipment to monitor critical national infrastructure such as communications cables on the seabed – has moved away from the UK coast. It was at its closest between 5 and 11 November.
The military is still tracking its movements closely in case the ship returns.
If you’re not at the table then you’re on the menu, as the saying goes.
That’s why Ukraine and Europe are so concerned about reports of a new peace plan being drawn up without them.
Their fears appear to be well-founded. The plan’s proposals reportedly include two major concessions for Kyiv – that it must give up territory in the Donbas which Russia has not yet seized, and that it must dramatically reduce its armed forces.
Sound familiar? That’s because it is. These are two of Vladimir Putin’s long-held, key demands for peace.
The ‘new’ peace plan represents the latest about-turn from the Trump administration on how it approaches the conflict.
After the failure of the Alaska summit, and last month’s fractious phone call between Russian foreign minister Sergei Lavrov and US secretary of state Marco Rubio (which led to the cancellation of a second summit in Budapest and US sanctions on Russian oil), it seemed like Ukraine had finally convinced Donald Trump to change tack.
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Image: Donald Trump meeting Vladimir Putin in Alaska in August. Pic: AP
Instead of showing Moscow patience, he began applying pressure in the hope of forcing Russia to make concessions and to meet Ukraine somewhere in the middle.
But now it’s all change once again.
The key player seems to have been Kirill Dmitriev – the Kremlin’s investment envoy and a close ally of Vladimir Putin – who has operated as Steve Witkoff’s opposite number in peace negotiations.
Image: (l-r) Kirill Dmitriev and special envoy Steve Witkoff in St Petersburg in April 2025. Pic: Kremlin Pool Photo/AP
Whenever the US special envoy has been in Moscow this year, Dmitriev has always been close by. He is Putin’s Witkoff whisperer.
After the Lavrov-Rubio bust-up, Dmitriev was sent to Miami to supposedly patch things up through Witkoff. He did more than, it seems.
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10:07
Cheat Sheet: Russian spy ship and secret Ukraine peace deal
What’s reportedly emerged from their discussions is a 28-point peace plan that has been signed off by Donald Trump.
Will Ukraine go for it? I very much doubt it.
If the reports are correct, the US-Russia proposals merely represent the Kremlin’s long-held demands, and Ukraine’s long-held red lines. For Kyiv, it’s a non-starter.
But President Zelenskyy will have to tread carefully. Failure to show engagement could rile Donald Trump and trigger an ultimatum – accept this plan or you’re on your own.
Nearly 1,000 people from three villages on the Indonesian island of Java have been forced to flee to shelters after the eruption of its highest volcano.
More than 170 people, including climbers, porters, guides, tourism officials and tourists, were rescued after Mount Semeru erupted on Wednesday.
No casualties have been reported during the evacuation of those most at risk in the district of Lumajang, according to Indonesia‘s disaster mitigation agency.
The eruption sent searing clouds of hot ash and a mixture of rock, lava and gas up to eight miles (13km) down the volcano’s slopes, officials said.
Image: Pic: AP
They had set out to climb the 3,676m (12,060ft) peak on Wednesday and were stranded at the Ranu Kumbolo camping area before being taken to safety, Priatin Hadi Wijaya, head of the Centre for Volcanology and Geological Disaster Mitigation, told reporters.
Hetty Triastuty, from the centre, warned climbers may have been exposed to volcanic ash.
A thick column of hot clouds rose 1.2 miles (2km) into the air during the eruptions, from midday to dusk on Wednesday, as scientists raised the volcano’s alert to the highest level, Indonesia’s geology agency chief Muhammad Wafid said.
Image: People were forced to leave their homes. Pic: AP
The eruptions that unfolded throughout the day blanketed several villages with thick volcanic ash and blocked out sunlight. Local media reported that two motorcyclists crashed due to hot ash on a bridge, resulting in severe burns to their bodies.
A series of pyroclastic density currents (PDCs), defined by the British Geological Survey as “hot, ground-hugging flows of ash and debris” capable of moving at hundreds of metres per second, travelled down the mountain’s southern slope through the Besuk Kobokan River valley slopes, Mr Wafid said.
“Mount Semeru’s seismicity activity indicated that the eruption continued at a high level, with increasing numbers of signals indicating avalanches,” he added.
Mr Wafid warned people to keep away from an area along the Besuk Kobokan River, which is the path of the lava flow, adding that the five-mile (8km) danger zone may be expanded.
Seismic activity suggests the eruption will continue, officials said.
Mount Semeru, also known as Mahameru, has erupted numerous times in the past 200 years. But as with many of Indonesia’s 129 active volcanoes, tens of thousands of people continue to live nearby.
A total of 51 people died after Semeru’s last major eruption in December 2021, while several hundred others were burned in villages that were buried in layers of mud and more than 10,000 people were forced to flee their homes.
The Indonesian archipelago sits along the Pacific “Ring of Fire,” a horseshoe-shaped series of fault lines, and is prone to earthquakes and volcanic activity.