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.

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.

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.

How did gangs take over Haiti? Watch Q&A with Stuart Ramsay

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.

“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.

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.

Read more of Stuart Ramsey’s reporting in Haiti:
Children going to school in Haiti dodge gunfire
Listen: Reporting from Haiti’s urban war zone
Soldiers face ‘raining bullets’ from Haiti’s gangs

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.

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.

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.”

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.

Sex offenders could face chemical castration and thousands of offenders will be released after serving a third of their jail term, under plans proposed in a sentencing policy review set to be accepted by ministers.

The independent review, led by the former justice secretary David Gauke, was commissioned by the government amid an overcrowding crisis in prisons in England and Wales.

It has made a series of recommendations with the aim of reducing the prison population by 9,800 people by 2028.

The key proposal, which it is understood the government will implement, is a “progression model” – which would see offenders who behave well in jail only serve a third of their term in custody, before being released.

The measure will apply to people serving standard determinate sentences, which is the most common type of jail term, being served by the majority of offenders.

It will be based on sentence length, rather than offence type. That means sex offenders and domestic abusers serving sentences of under four years, could all be eligible for early release.

The policy will mean inmates serve only a third of their sentence in prison, a third on licence in the community, with the remaining portion under no probation supervision at all.

If the offender committed further offences in the “at risk” – or final – stages of their sentence, once out of prison, they would be sent back to jail to serve the remainder of the original sentence, plus time inside jail for the new offence.

Chemical castration trial could be extended

The government will also further the use of medication to suppress the sexual drive of sex offenders, which is currently being piloted in southwest England.

The review recommended that chemical castration “may assist in management of suitable sex offenders both in prison and in the community”.

Ministers are to announce plans for a nationwide rollout, and will first expand the use of the medication to 20 prisons across England.

The justice secretary is also considering whether to make castration mandatory. It’s currently voluntary.

Violent offenders who are serving sentences of four years or more could be released on licence after spending half of their sentence behind bars. This could be extended if they do not comply with prison rules. These prisoners would then be supervised in the community until 80% of their sentence.

Domestic abuse commissioner criticises plans

In response to the review, the police have warned: “Out of prison should not mean out of control.”

“If we are going to have fewer people in prison, we need to ensure that we collectively have the resources and powers to manage the risk offenders pose outside of prison,” said Chief Constable Sacha Hatchett at the National Police Chiefs Council.

The domestic abuse commissioner for England and Wales, Nicole Jacobs, said adopting the measures would amount to “watering down” the criminal justice system.

“By adopting these measures the government will be sending a clear message to domestic abusers that they can now offend with little consequence,” she said.

In a set of proposals considered to be the biggest overhaul of sentencing power laws since the 1990s, judges could be given more flexibility to punish lower level offenders with bans on football or driving.

The review has also recommended that short sentences should only be used in “exceptional circumstances”, suggesting they are “associated with higher proven reoffending” and “fall short in providing meaningful rehabilitation to offenders”.

The Howard League for Penal Reform has welcomed the proposals as a “good start”.

“This is a vital review that makes the case for change by focusing on the evidence on what will reduce reoffending and prevent more people becoming victims of crime,” said chief executive Andrea Coomber.

David Gauke’s review has called on the government to “invest” in a probation service that is “under significant strain”, as its proposals recommend a larger number of offenders should be punished and supervised in the community.

“Tagging can be a useful way to monitor offenders and identify escalating risks,” it said.

The government is set to invest a further £700m in the probation service and introduce a mass expansion of tagging technology, where tens of thousands of criminals will be monitored at any one time, creating a “prison outside of a prison”, with the help of US tech companies.

‘Overriding concerns’

The Victims Commissioner, Baroness Newlove, has expressed an “overriding concern” about the ability of an “already stretched probation service” to “withstand the additional pressure” of managing a larger number of people outside of prison.

The policy review also makes recommendations around offenders that are recalled to prison after breaching their licence conditions.

Currently, around 15% of those behind bars are there because they have been recalled. Mostly, it’s for breaching of licence conditions, rather than further offences.

The review recommends a “tighter threshold” for recall so that it is “only used to address consistent non-compliance”, with licence conditions – which can include missing a probation appointment.

Read more:
Minister refuses to rule out ‘supermax’ prisons
Victim watchdog questions offenders’ early release

Last week the government announced plans that will see offenders serving one to four-year sentences held for a fixed 28-day period if they are returned to jail.

The review suggests increasing that limit to 56 days, in order to “allow sufficient time for planning around appropriate conditions for safe re-release into community supervision”.

The government is expected to accept the review’s key measures, and implement them with a sentencing bill before parliament.

The plans will likely require legislation and only be before the courts by the spring of 2026.

Game 1 of the Western Conference finals between the Dallas Stars and Edmonton Oilers was actually like two games in one.

The first 40 minutes belonged to the Oilers, who looked absolutely unstoppable. They built a 3-1 lead against an overwhelmed Stars team, whose only goal was on a Tyler Seguin breakaway.

Unfortunately for Edmonton, a playoffs-long trend continued for their penalty kill. It was torched for seven goals in the opening three games against the Los Angeles Kings. It gave up three goals in the first two games against Vegas. In Game 1 of the conference final, it was like a defibrillator for the Stars, who barely had a pulse after going down 3-1 after two periods. Miro Heiskanen, Mikael Granlund and Matt Duchene all scored power-play goals in the first 5:58 of the third period to rally Dallas to the lead. The Stars never looked back, taking Game 1 by a 6-3 score.

How did both teams perform? What are the big questions facing each team ahead of Game 2 on Friday night?

The Oilers had it all in hand — just to let a win slip through their fingers.

Edmonton had been idle for a week after finishing off Vegas in five games in its second-round series. And at first, the Oilers looked well rested in a fairly clean road game considering the lengthy layoff. Edmonton had a snafu in the first period letting Tyler Seguin free on a breakaway that he converted into a tying goal but other than that, Edmonton put on a defensive clinic to keep the Stars at bay through 40 minutes. The Oilers power play did — as Connor McDavid predicted — arrive at last, with Ryan Nugent-Hopkins scoring Edmonton’s first road goal with the man advantage in the postseason to give the Oilers a 2-1 lead, which they extended to 3-1 going into the third. That’s when the wheels fell off.

Edmonton gave up three power-play goals in less than six minutes to sit in a one-goal deficit they never came back from. The Oilers could have recovered on special teams themselves but didn’t convert with their own third-period tries and finished 1-for-3 with the extra attacker. Edmonton’s bench was rightly deflated even before Seguin scored a dagger late in the final period to ice the Stars’ victory. It was a tale of two teams for the Oilers — and the worst of the two prevailed. — Shilton

play

Stars score 3rd straight goal to take lead over Oilers

Matt Duchene notches the Stars’ third power-play of the third period to give them a lead.

The Stars’ power play gets an A-plus. It was Honor Society-worthy. It was the valedictorian of Game 1. Dallas was absolutely cooked against McDavid and Leon Draisaitl until their three power-play goals to open the third period. The Stars became the second team since 1934 — when goals by type were first tabulated by the NHL — with three goals on the man advantage in the opening six minutes of a playoff period. They became the first team with three power-play goals in the third period of a playoff game since the San Jose Sharks scored four in Game 7 against the Golden Knights in 2019 — back when Peter DeBoer was the Sharks’ head coach, incidentally.

The rest of the Stars’ game gets a C-plus. The first two periods were not what you want to see against Edmonton, with defensive lapses and high-danger chances handed to the Oilers. Edmonton looked like a team that had won eight of its past nine playoff games. The Stars made Stuart Skinner much too comfortable. The third period belongs in the Louvre, not only for the power-play goals but for a key penalty kill against the Oilers, Sam Steel’s dagger and another strong final stanza by Jake Oettinger, who was 6-for-6 on shots.

It’s a great win, especially when one considers how well teams that win Game 1 fare in their series — teams to win Game 1 of a best-of-7 Stanley Cup playoff series have won the series 68% of time. But not every game is going to have the undisciplined play the Oilers had to start the third or the power-play success. Dallas needs to be better, but the good news is that they got the ‘W’ in a game where they weren’t quite at their best. — Wyshynski

Three Stars of Game 1

Two goals and an assist, including the opening goal for Dallas, his first breakaway goal since November, the team’s fourth this postseason, most of any team so far.

One goal and an assist. His 13th career multi-point game in the playoffs, tied with Sergei Zubov for the most by a defensemen in Stars/North Stars history.

3. Power play goals

The Oilers went 1-3 and the Stars 3-4. Dallas had three power play goals in a row in the third period, their most in the 3rd period of a playoff game in Stars/North Stars history. — Arda Öcal

Players to watch in Game 2

The Oilers netminder has endured a rocky postseason run already, going from the team’s starter, to its backup and then reclaiming the No. 1 role. Skinner appeared dialed in early against the Stars and then was — like the rest of his team — shaky down the stretch. Dallas’ fourth goal was particularly poorly tracked by Skinner, who couldn’t track the puck and was slow to react as Matt Duchene tallied the eventual game-winner. Skinner continued to look rattled from there and displayed less of the confidence he’d shown earlier in Game 1.

Calvin Pickard — who took over starting duties from Skinner in the first round — didn’t travel with the Oilers while continuing to rehab an injury he suffered in Game 2 against Vegas. It’ll be on Skinner to rebound to get Edmonton back on track in Game 2. — Shilton

A lot of quiet sticks got loud in Game 1 when Dallas needed it: Tyler Seguin, Matt Duchene and Sam Steel all tallied goals in the Stars’ stunning win. But one player remains curiously quiet, considering his reputation as a playoff standout: Johnston, their outstanding 22-year-old center. His Game 3 goal in a 5-2 rout of Winnipeg was his only point of that series, and he didn’t register a point in Dallas’ rally against Edmonton. The problem for Dallas is that he hasn’t added much at the other end, struggling defensively. He got walked by Leon Draisaitl for the first Edmonton goal. Depth is already vital in this series. The Stars could use Johnston to deepen it further. — Wyshynski

Big questions for Game 2

Can the Oilers clean up their act?

Edmonton was in control of Game 1 until penalty troubles eroded the positive efforts. Will that total lack of discipline become a factor again in Game 2? The Stars were a commanding 3-for-4 with the extra attacker on Wednesday and that’s no surprise given their regular season and playoff success on the power play. Dallas went into this series with the third-best power play of the postseason — and tops amongst remaining squads — at 30.8% while Edmonton had the third-worst penalty kill (66.7%). That’s a tough battle for the Oilers to win when they’re giving up multiple man advantage tries. Dallas proved (repeatedly) they’ll make Edmonton pay for every mistake and Edmonton made too many in Game 1. — Shilton

Is it time to worry about the Finnish Mafia?

The Dallas Stars wouldn’t be in the Western Conference Finals without Mikko Rantanen. And he wouldn’t have entered this round leading the playoffs in scoring without the chemistry he developed with fellow Finns Mikael Granlund and Roope Hintz. But this line hasn’t produced an even-strength goal since Game 5 against the Winnipeg Jets. Granted, they were cooking on the power play in the third period, with Granlund scoring and Hintz and Rantanen assisting on Duchene’s goal. You take that every day. But Dallas was at its most dominant when this line was leading the charge. The Stars are facing a pair of generational talents. They have a superstar of their own in Rantanen. He needs to bring that level of excellence at 5-on-5. — Wyshynski