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Dr Victoria Rose is a consultant plastic surgeon who worked in Gaza hospitals for two separate periods last year. This is her first-hand story of the war in Gaza.

The word “dire” does not adequately describe the situation in Gaza’s hospitals.

On a daily basis when I was working there, I had a list of at least 10 patients, and 60% of them were under the age of 15.

These were tiny children with life-threatening burns and limbs blown off, often losing significant family members in the attacks and left to cope with their life-changing injuries alone.

Dr Victoria Rose in Gaza
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Dr Victoria Rose in Gaza

I first joined the charity IDEALS, which helps medical professionals during crises, in Gaza in 2019. I returned last year, working with orthopaedic surgeons.

I felt compelled to go back after becoming aware that a plastic surgeon from Gaza who trained with me in London had been inundated with complex trauma cases since the war broke out in October 2023.

Our aim was to deliver essential surgical equipment and assist our colleagues with the increasing trauma workload they faced. But as the war progressed, it became apparent that we had a third objective: to bear witness.

I worked at the European Gaza Hospital in March 2024 and then returned in August of that year for a month, working at Nasser Hospital.

The transformation of the landscape during these two visits was staggering. The streets were unrecognisable, just pile after pile of dust and rubble. Such a scale of destruction could only be justified if every single building in Gaza was part of Hamas’s infrastructure.

In February 2024, we were denied entry by COGAT – part of the Israel Defence Forces (IDF) controlling activities in the occupied territories – which, regrettably, has become a standard outcome for 50% of foreign doctors attempting to gain access. However, we managed to regain access in May.

Medics treat patients in Gaza
Image:
Medics treating patients in Gaza

This mission was intended to last four weeks at the European Gaza Hospital. However, due to its bombing on the day we arrived and its subsequent decommissioning by the IDF, we were redirected to Nasser for three and a half weeks.

The population had now been relentlessly displaced, bombed in their tents, deprived of water and sanitation, and ultimately starved. I remember thinking it couldn’t get any worse – and then they cut the internet.

We ploughed on without essential equipment such as painkillers and antibiotics, patching the patients up, knowing that they were likely to be bombed again.

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When we left the hospital we went into the red zone – an area of active fighting that needed to be evacuated.

This meant that nothing could enter without the journey being “deconflicted” by the IDF. Minimal journeys have thus far been deconflicted. Patients struggle to gain entry, and staff cannot leave, as equipment continues to be depleted.

Much of Gaza has been reduced to rubble in the Israeli strikes
Image:
Much of Gaza has been reduced to rubble by Israeli strikes

Nasser is the only hospital in the south equipped with a CT scanner, a blood bank, ICU capabilities and an oxygen generator.

I work with two orthopaedic surgeons who run the IDEALS charity. They have been travelling to Gaza since 2009.

A severely malnourished child in Gaza
Image:
A severely malnourished child in Gaza

IDEALS started the lower limb reconstruction programme in 2013, visiting Gaza every other month and bringing four orthopaedic surgeons back to the UK for short periods of training.

In 2021, I arranged for a plastic surgeon from Gaza to come to London to train with me. He was an incredible trainee and returned to Gaza in February 2023 to take up the post of chief of plastic surgery at Shifa Hospital.

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Gaza crisis ‘acute’ and continuing

Shortly after the war broke out, I felt compelled to help him.

All eyes are now on Israel’s next move.

Gaza: Doctors On The Frontline will air on Sky News at 9pm on 19 June

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Three men and two women in their 20s have died in car crash in Co Louth, Irish police say

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Three men and two women in their 20s have died in car crash in Co Louth, Irish police say

Three men and two women died in a road crash involving two cars in Co Louth on Saturday night, Irish police said.

The collision happened on the L3168 in Gibstown, Dundalk, shortly after 9pm.

Police said the five victims were all aged in their 20s and had been in the same vehicle, a Volkswagen Golf.

They were pronounced dead at the scene.

Another man, also in his 20s, was “removed” from the car and taken to Our Lady of Lourdes Hospital in Drogheda, where he was treated for “serious non-life-threatening injuries”, said Superintendent Charlie Armstrong.

The Golf was in a collision with a Toyota Land Cruiser.

A man and a woman in the second vehicle were also taken to the same hospital.

Their injuries are described as “non-life-threatening”.

‘A shocking, devastating event’

Superintendent Armstrong said an investigation into the road crash was under way, as he praised the emergency services.

He said: “The scene was very difficult, in adverse weather conditions, and the professionalism shown by all first responders and the care and respect shown to the five deceased was exemplary.

“This tragedy, with the loss of five young adults, will have a deep impact on families and local communities in Carrickmacross, Dromconrath and in Scotland.

“This is a shocking, devastating event for these families, their communities and the community here in Dundalk.”

He said family liaison officers have been appointed to each of the families and police will keep them updated.

Read more from Sky News:
Temperatures could fall to -7C in cold snap

Thousands march in Gen Z protests in Mexico

Superintendent Armstrong urged anyone with information about the collision to contact the investigation team.

He said: “I am appealing to any person who was on the L3168 between 8.30pm and 9.15pm, last night Saturday November 15 2025, to contact the Garda investigation team.

“I am appealing to any person who might have any camera footage or images from the L3168, Gibstown area, between 8.30pm and 9.15pm last night, to give that footage or images to the investigation team at Dundalk Garda Station.”

The L3168 was closed between the N52 and the R171 as forensic experts investigated, and traffic diversions were in place.

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Brazil ‘surprised’ UK not investing in new rainforest fund it helped design

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Brazil 'surprised' UK not investing in new rainforest fund it helped design

Brazil was “a bit surprised” Britain hasn’t contributed to a new investment fund to protect tropical forests, despite having helped to design it, a senior official has told Sky News. 

The Amazon nation has used its role as host of the COP30 climate talks to tout its new scheme, which it drew up with the help of countries including the UK and Indonesia.

With Britain’s budget day looming, Prime Minister Sir Keir Starmer decided against chipping in when he visited the Amazonian city of Belem this month.

The news came out the day before Brazil was about to launch it.

“The Brazilians were livid” about the timing, one source told Sky News.

Lush rainforest and waterways in the Brazilian Amazon
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Lush rainforest and waterways in the Brazilian Amazon

A waterfall in Kayapo territory in Brazil
Image:
A waterfall in Kayapo territory in Brazil

Garo Batmanian, director-general of the Brazilian Forestry Service and coordinator of the new scheme, said: “We were expecting [Britain to pay in] because the UK was the very first one to support us.”

The so-called Tropical Forests Forever Facility (TFFF) was drawn up with the help of “very bright people from the UK”, according to Mr Batmanian.

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“So we are a bit surprised, but we expect that once internal situations get better, hopefully they will come through,” he added.

The UK’s climate envoy, Rachel Kyte, told Sky News: “The PM agreed the decision was about not doing it now, as opposed to not ever.

“We will look at the TFFF after the budget and are carefully tracking how others are investing.”

Forest growing back from a fire (bottom left) and deforestation alongside healthy sections of Amazon rainforest
Image:
Forest growing back from a fire (bottom left) and deforestation alongside healthy sections of Amazon rainforest

The fund has been hailed as a breakthrough – if Brazil can get if off the ground.

Paul Polman, former Unilever boss and now co-vice chair of Planetary Guardians, said it could be the “first forest-finance plan big enough to change the game”.

Why do tropical forests need help?

At their best, tropical forests like the Amazon and the Congo Basin provide food, rainfall and clean air for millions of people around the world.

They soak up carbon dioxide – the main driver of climate change – providing a cooling effect on a heating planet.

But they are being nibbled away at by extractive industries like oil, logging, soy and gold.

Parts of the Amazon rainforest already emit more carbon dioxide than they store.

Other pockets are expected to collapse in the next few decades, meaning they’d no longer be rainforests at all.

Read more from COP30:
Climate protest in Brazilian city aims to hold governments’ feet to the fire
Are climate summits saving the world – or just hot air?

COP30 – why is it so controversial?

Greenpeace says deforested land could be better used, which would save the need for more land to be cleared
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Greenpeace says deforested land could be better used, which would save the need for more land to be cleared

Cristiane Mazzetti, senior forest campaigner at Greenpeace Brazil, said: “Science is saying we need to immediately stop deforestation and start restoring what was once lost.

“And in Brazil, we already have enough open land that could be better used for agricultural expansion… There is no need [to open up] new areas.”

Can Brazil’s new investment fund save the world’s rainforests?

For decades, forests have been worth more dead than alive.

Successive attempts to save them have fallen flat because they’ve not been able to flip the economics in favour of conservation, or ensure a long-term stream of cash.

Brazil hopes the TFFF, if it launches, would make forests worth more standing than cut down, and pay out to countries and communities making that happen.

Mining is a lucrative industry in the Amazon. Pic: Reuters
Image:
Mining is a lucrative industry in the Amazon. Pic: Reuters

“We don’t pay only for carbon, we are paying for a hectare of standing forest. The more forests you have, the more you are paid,” said Mr Batmanian.

The other “innovation” is to stop relying on aid donations, he said.

“There is a lot of demand for overseas development assistance. It’s normal to have that. We have a lot of crisis, pandemics, epidemics out there.”

Instead, the TFFF is an investment fund that would compete with other commercial propositions.

Mr Polman said: “This isn’t charity, it’s smart economic infrastructure to protect the Amazon and keep our planet safe.”

How does the TFFF raise money?

The idea is to raise a first tranche of cash from governments that can de-risk the fund for private investors.

Every $1 invested by governments could attract a further $4 of private cash.

The TFFF would then be able to take a higher amount of risk to raise above-market returns, Brazil hopes.

That means it could generate enough cash to pay competitive returns to investors and payments to the eligible countries and communities keeping their tropical trees upright.

At least 20% of the payments has been earmarked for indigenous communities, widely regarded as the best stewards of the land. Many, but not all, have welcomed the idea.

Will the TFFF work?

The proposal needs at least $10-25bn of government money to get off the ground.

So far it has raised $5.5bn from the likes of Norway, France, and Indonesia. And the World Bank has agreed to host it, signalling strong credibility.

But it’s a hard task to generate enough money to compete with lucrative industries like gold and oil, many of which governments already invest in.

Dr Andreza Aruska de Souza Santos, director, Brazil Institute, King's College London
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Dr Andreza Aruska de Souza Santos, director, Brazil Institute, King’s College London

Dr Andreza Aruska de Souza Santos, director of King’s College London’s Brazil Institute, said TFFF has the potential to make it “very financially viable to have a forest as a forest”.

“But the problem is that TFFF would need to compete with these very profitable industries… because you need to capture as much money from governments, from investors.

“And so far it’s not quite balancing the competitiveness of other sectors that are potentially harmful for forests.”

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COP30: Climate protest in Brazil’s city of Belem aims to hold governments’ feet to the fire

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COP30: Climate protest in Brazil's city of Belem aims to hold governments' feet to the fire

Hot, humid, loud and proud: the climate protest in the city of Belem was the embodiment of the Amazonian rainforest that surrounds it.

Hawkers brought carts selling bananas, mangoes and coconuts – while demonstrators bore umbrellas, hats and fans to shelter from the scorching tropical sun.

After a week of dreary negotiations at the COP30 climate talks, the streets were alive with the drumming of maracatu music and dancing to local carimbo rhythms on Saturday.

It was a carnival atmosphere designed to elevate sober issues.

The climate protest in the city of Belem
Image:
The climate protest in the city of Belem

Among those out on the streets were Kayapo people, an indigenous community living across the states of Para and Mato Grosso – the latter at the frontier of soy expansion in the Brazilian Amazon.

They are fighting local infrastructure projects like the new Ferrograo railway that will transport soy through their homeland.

The soy industry raises much-needed cash for Brazil’s economy – its second biggest export – but the kayapo say they do not get a slice of the benefit.

More on Cop30

The climate protest
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The climate protest

Read more:
Cop out: Is net zero dead?

COP30: Are climate summits saving the world – or just hot air?

Uti, a Kayapo community leader, said: “We do not accept the construction of the Ferrograo and some other projects.

“We Kayapo do not accept any of this being built on indigenous land.”

Many Brazilian indigenous and community groups here want legal recognition of the rights to their land – and on Friday, the Brazilian government agreed to designate two more territories to the Mundurucu people.

It’s a Brazilian lens on global issues – indigenous peoples are widely regarded as the best stewards of the land, but rarely rewarded for their efforts.

In fact, it is often a terrible opposite: grandmother Julia Chunil Catricura had been fighting to stay on Mapuche land in southern Chile, but disappeared earlier this year when she went out for a walk.

Lefimilla Catalina, also Mapuche, said she’s travelled two days to be here in Belem to raise the case of Julia, and to forge alliances with other groups.

The protest in the city of Belem
Image:
The protest in the city of Belem

“At least [COP30] makes it visible” to the world that people are “facing conflicts” on their land, she said.

She added: “COP offers a tiny space [for indigenous people], and we want to be more involved.

“We want to have more influence, and that’s why we believe we have to take ownership of these spaces, we can’t stay out of it.”

They are joined by climate protesters from around the world in an effort to hold governments’ feet to the fire.

Louise Hutchins, convener of Make Polluters Pay Coalition International, said: “We’re here to say to governments they need to make the oil and gas companies pay up for the climate destruction – they’ve made billions in profits every day for the last 50 years.”

After three years of COPs with no protests – the UAE, Egypt, and Azerbaijan do not look kindly on people taking to the streets – this year demonstrators have defined the look, the tone and the soundtrack of the COP30 climate talks – and Saturday was no different.

Whether that will translate into anything more ambitious to come out of COP30 remains to be seen, with another week of negotiations still to go.

For now, the protests in Belem reflect the chaos, the mess and the beauty of Brazil, the COP process, and the rest of the world beyond.

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