Unlicensed Botox-like injections spark outbreak of disease many doctors have never treated
A woman who thought she was being injected with Botox was left unable to swallow and doctors thought she had suffered a stroke – after she contracted a life-threatening illness from a potentially illegal product.
Nicola Fairley is one of dozens of people who have developed botulism linked to unlicensed anti-wrinkle injections.
She had the procedure done with her regular beautician after winning a Facebook competition for three areas of “Botox”.
Nicola Fairley
“Within two or three hours my forehead and the sides of my eyes had started to freeze,” Nicola says.
“At first I thought ‘amazing’, that’s what I wanted – then it just carried on.”
Nicola was eventually sent to A&E in Durham, where she met several other patients who all had similar symptoms.
Doctors were stumped. “They thought I’d had a stroke,” she says.
“We all had problems with our eyes, some of us with our breathing. I couldn’t swallow – they put me on nil by mouth because they were worried I would choke in the waiting room.”
Doctors were worried Nicola could choke after she was injected with a suspected illegal product
It turns out all of the patients had recently had anti-wrinkle injections containing botulinum toxin.
Health officials believe they were imported, illegal products.
Botulism – the disease they caused – is so rare many doctors never see it in their entire careers.
It can cause symptoms including slurred speech and breathing problems, and can be deadly.
The disease is so unusual, and so many cases were coming in, that doctors exhausted their stocks of anti-toxin and had to ask hospitals as far away as London to get more.
The UK Health Security Agency has so far confirmed 38 cases of botulism linked to cosmetic toxin injections, but Sky News has been told of several more.
The outbreak began in the North East but cases have now been seen in the East of England and East Midlands as well.
There are only a handful of legal botulinum toxin products in the UK – of which Botox is one.
But cosmetic treatments are largely unregulated, with anyone allowed to inject products like fillers and toxins without any medical training.
Cheap, illegal products imported from overseas are easily available.
Dr Steven Land
‘It’s the Wild West’
Dr Steven Land runs Novellus Aesthetics clinic in Newcastle upon Tyne. He worked for decades as an emergency medicine doctor before moving into aesthetics.
He says he has been warning health officials of an outbreak for years.
“It’s the Wild West,” Dr Land told Sky News.
“Because anyone can do this, there is a lack of knowledge around what is legal, what’s not legal, what is okay to be injected.
“These illegal toxins could have 50 units, 5,000 units or rat poison – there could be anything in there.”
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Dr Land showed us messages that he says he gets on a weekly basis, from sellers trying to push him cheap, unlicensed products.
They advertise “limited time offers” and cheap bundles on toxins imported from overseas. He calls them “drug dealers”.
“They are preying on the lack of knowledge among non-medical practitioners,” he says.
Consultations on how to regulate the aesthetics industry have been ongoing for years – but so far, no changes have been introduced.
The UK government now says it does plan to regulate certain procedures, but it’s not said how it will do this, or when.
“What will it take?” Nicola says. “One of the women we were with did almost die – she had to be resuscitated.”
Nicola’s beautician has stopped responding to her messages, so she says she still has no idea what the product was “or how much of it is in me”.
She doesn’t know how long her symptoms will last, but just hopes she will eventually recover.
UK
Lionesses parade: The route and key timings as thousands of England fans to descend on central London
The Lionesses will celebrate with thousands of England fans in central London today as the players take part in an open-top bus procession.
The bus will carry the team through central London, allowing supporters to celebrate the team’s defence of their Women’s Euros title alongside the likes of Leah Williamson and Chloe Kelly and catch a glimpse of the silverware.
Here is all you need to know.
Where will the parade go and when?
The team’s open-top bus will travel along The Mall from 12.10pm.
It will end with a staged ceremony at the Queen Victoria Memorial in front of Buckingham Palace, which is expected to start at roughly 12.30pm and end at 1pm, the Football Association (FA) announced.
The Royal Marines Portsmouth band and the Central Band of the Royal Air Force will perform on the stage and highlights from the tournament will be shown on big screens.
England manager Sarina Wiegman will then lead her triumphant team out on stage to lift the trophy.
The event will be hosted by former Lioness and football pundit Alex Scott.
Fans will be able to attend the event for free, but the FA have warned that the capital is going to be “very busy”.
“People should plan their visits carefully, both coming into central London and travelling home,” the association said.
England players celebrate with the trophy after winning the UEFA Women’s Euro 2025. Pic: Reuters
How to watch
You can watch coverage of the entire event live on Sky News from 10am and follow all the action with our live blog.
Fans can also follow coverage of the event on the BBC, ITV and across England’s social media channels.
Celebrations with the deputy PM
The Lionesses landed back in the UK from Basel, Switzerland, on Monday, where celebrations continued with a reception at Downing Street.
Deputy Prime Minister Angela Rayner and sports minister Stephanie Peacock hosted the team ahead of today’s bus parade.
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‘It’s very, very special’
Sir Keir Starmer said: “The Lionesses have once again captured the hearts of the nation.
“Their victory is not only a remarkable sporting achievement, but an inspiration for young people across the country.”
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Chloe Kelly saves England again
An extra bank holiday?
As the team have become the first senior England side to win a major tournament on foreign soil, some have called for an extra bank holiday to mark the occasion.
Liberal Democrats leader Ed Davey was one of those who asked the prime minister if it was “time for that bank holiday”.
He was referring to comments made by Sir Keir in 2023. When, as leader of the opposition, he wrote on X that there “should be a celebratory bank holiday if the Lionesses bring it home”.
But with estimates suggesting an extra bank holiday would cost the economy £2.4bn, it’s understood such a move isn’t being planned by Downing Street.
‘There is no stopping them now’
The impact of the Lionesses second consecutive Euros title is already being felt across the UK.
At Bearsted Football Club in Maidstone, Kent, a mural of Alessia Russo, who levelled Sunday’s final with a goal in the 56th minute, has been unveiled.
Alessia Russo scoring the levelling goal. Pic: Reuters
The club is where Russo first started playing, and chairman Jamie Houston told Sky News the Lionesses have helped transform the women’s game.
“Five years ago we never had a girl’s football team,” he told Sky correspondent Mollie Malone. “Now we have five separate teams for girls, and boys are accepting of more girls in the game.
“There is no stopping them now.”
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What’s next for the Lionesses?
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Lynda Hale, who played in the England squad in the first ever international women’s match against Scotland in 1972, reiterated that women’s football has changed drastically since she played.
“When I first started playing there was hardly anyone that would watch,” she told Sky News Breakfast.
“To put on the England shirt and think what we started has grown to this magnitude, and it is still going to grow, is absolutely fantastic. I think the sky’s the limit in women’s football.”
Asked what advice she would have for the current England squad after their win, Ms Hale said: “The girls need to make as many memories as they can and take everything in their stride.”
The suspect in the fatal shooting of a mother and her two children in Northern Ireland has died.
Ian Rutledge, a 43-year-old agricultural worker, had himself suffered a gunshot wound during the attack in the village of Maguiresbridge in County Fermanagh on Wednesday morning.
He was taken to hospital where he remained in a serious condition until the Police Service of Northern Ireland (PSNI) announced he had died on Monday evening.
It is understood he was the only suspect in the murder investigation.
Vanessa Whyte, 45, a vet originally from County Clare, her son James, 14, and daughter Sara, 13, were all shot dead at a property on Drummeer Road during the attack.
The PSNI said last week that all four people who were shot were members of the same household.
Police have been investigating whether the attack was a triple murder and attempted suicide.
A prayer service took place for Ms Whyte and the two children in Barefield, County Clare on Sunday, following a community vigil in Maguiresbridge last Friday.
A funeral service is expected to take place in County Clare later this week.
Following Mr Rutledge’s death, the PSNI said detectives have “reiterated their appeal for anyone with information, no matter how insignificant it may seem, to come forward”.
It comes after the PSNI issued an appeal on Saturday for information involving the movements of a vehicle.
They have asked anyone who saw a silver Mercedes saloon car being driven in the Clones Road area of Newtownbutler, or between Maguiresbridge and Newtownbutler, on the evening of Tuesday 22 July to call detectives on 101.
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A police cordon was in place close to the scene last week. Pic: PA
Tributes paid to ‘lovely-natured’ children
A local Gaelic football club said last week that Ms White and her children were all “active and beloved” members of their club.
Sara and James Rutledge also used to be part of a local cricket club, which said in a statement that it was “extremely saddened by the tragic events”.
“Both of them turned out to be talented young cricketers and two absolutely lovely-natured children,” the statement read.
Flowers, teddy bears and an Arsenal football top with written notes were laid close to scene of the incident in Drummeer Road in the days after the shooting.
Donald Trump has reignited his row with London mayor Sir Sadiq Khan after calling him a “nasty person” who has done “a terrible job”.
During an hour-long news conference with Sir Keir Starmer in Scotland, the US president hit out at the Labour mayor, who has responded with his own snipey remarks.
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Asked if he would visit London during his state visit in September, Mr Trump said: “I will, I’m not a fan of your mayor, I think he’s done a terrible job.
“A nasty person, I think.”
The prime minister then interrupted and said: “He’s a friend of mine.”
But the president added: “I think he’s done a terrible job but I will certainly visit London, I hope so.”
Sir Sadiq’s spokesperson then released a statement saying: “Sadiq is delighted that President Trump wants to come to the greatest city in the world.
“He’d see how our diversity makes us stronger not weaker; richer, not poorer.
“Perhaps these are the reasons why a record number of Americans have applied for British citizenship under his presidency.”
Sir Sadiq Khan was knighted in June. Pic: PA
They noted that Sir Sadiq has won three mayoral elections, including when Mr Trump lost the US election in 2020.
This is not the first time Mr Trump and Sir Sadiq have locked horns.
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The PM told Mr Trump that Sir Sadiq is a friend of his – seen here laying wreaths for the anniversary of the 7/7 bombings. Pic: PA
During his first presidential term, Mr Trump called the London mayor a “stone cold loser who should focus on crime in London”.
Sir Sadiq then described Mr Trump as a “poster boy for racists”.
And in November 2024, after Mr Trump won his second term, Sir Sadiq said many Londoners would be “fearful” about what it would “mean for democracy”.
However, as Sir Keir tried to show diplomacy with Mr Trump after becoming PM, Sir Sadiq said he “wanted to work closely with the American president” ahead of his inauguration in January.
The London mayor said as somebody “who believes in democracy, and voting and elections, we should recognise the fact that Donald Trump is the elected president of the United States”.
But he added: “Let’s keep our fingers crossed that this president is different from the last time he was president.”
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