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Boys and girls of primary school age are becoming so ill from vaping they are ending up in hospital, a Sky News investigation can reveal.

Figures from NHS England show there were 15 cases where children aged nine or under needed to be admitted in the year to April, up from 12 last year and two the year before that.

Professor Andy Bush, a paediatric chest physician at the Royal Brompton Hospital in west London, says he’s “absolutely horrified” by the statistics.

“Young children are being exposed to substances of addiction, substances that are toxic and some of the toxicity is not known,” he said.

“It’s a jungle… we just do not know what is in most of these things.

“If a teenager starts smoking cigarettes, probably the worst that’s going to happen to them is they’re going to be sick and throw up behind the bike shed.

“The acute use of e-cigarettes can put them in hospital, can put them in intensive care, things like lung bleeding, lung collapse and air leak, the lungs filling up with fat.”

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For many smokers, vaping has been the key to quitting what is the biggest preventable cause of death.

Rosey Christoffersen
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Rosey Christoffersen died after both her lungs collapsed

But Rachel Howe is convinced it’s what killed her 18-year-old daughter, Rosey Christoffersen in February 2015, six months after she began vaping heavily.

“She was supposed to call me at 5.30pm but she didn’t call,” she said.

“I rang her phone and one of the ambulance crew answered and said we’re with your daughter, we’re working on her. She’d come out of work and collapsed.”

Rosey had suffered a heart attack, but what had caused it was the sudden collapse of both her lungs – a bilateral pneumothorax.

Her brain was starved of oxygen and two days later it was made clear she would not survive.

Rachel Howe
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Rachel Howe is convinced vaping killed her daughter

Rachel, from the Wirral, was told Rosey’s lungs were “just a mass of holes and blisters called blebs”.

“To be honest, there was just a lot of stunned silence at the hospital,” she said.

Rosey had been to the doctors a number of times with chest pain in the months before her death but as a fit and active footballer it was put down to a pulled muscle.

“I was finding bottles and bottles of the empty liquid,” said Rachel.

“She constantly had it in her mouth. And I kept saying to her, you know, you wouldn’t smoke that much… why are you vaping that much?”

No post-mortem was carried out, no official link was made, but Rachel says doctors told her vaping was “probably” to blame.

Professor Andy Bush
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Professor Andy Bush

Professor Bush goes further than that, adding he has never seen double lung collapse in a fit, young person.

“I think that mother is right,” he said.

“I cannot think of any other explanation that would cover the facts.”

It’s illegal to sell vapes to under-18s and the boxes are clearly labelled.

But it’s easy to see why certain products would appeal to children.

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They’re brightly coloured, flavoured like fruit or sweets, and at around £5 each for a disposable vape, cheap.

Some look like make-up, others like pens.

Rosey Christoffersen
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Rosey had been to the doctors a number of times with chest pain but as an active footballer it was put down to a pulled muscle

The government recently announced it would be clamping down on rogue firms unlawfully targeting teens with advertising on platforms like TikTok.

“Illicit vape enforcement squads” are also being set up at a cost of £3m to uncover the traders selling to young people.

In total, 40 young people aged up to 19 were admitted to hospital in the past year from vaping.

Read more:
Pupils from two schools in Hampshire left needing hospital treatment after vaping
Number of children trying vaping rises 50% in a year
Mint flavour makes vape liquid more toxic and damaging to lungs

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What are the dangers of vaping?

But John Dunne, from the UK Vaping Industry Association, says “the statistics would not exist if children were not getting their hands on vapes”.

“Every year according to the NHS some 76,000 people die from smoking, whereas there has not been one officially confirmed report of a death from vaping even though the category has been available in the UK for around the last 15 years,” he said.

“The fundamental issue that needs urgently addressing is the woeful level of enforcement of vaping age regulations across the UK.

“Whilst we see recent measures announced by the government as a step in the right direction to tackle youth vaping… much more needs to be done to support Trading Standards in their efforts to tackle rogue traders and cut off the source of supply of vapes to minors.”

He wants on-the-spot fines of £10,000 to be introduced for those caught selling to young people.

Rachel Howe and Rosey Christoffersen
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Rachel Howe and Rosey Christoffersen

Rosey was due to start a new job as a trainee hairdresser a couple of days after collapsing.

Instead that day she was being kept alive so her organs could be donated, helping eight other people.

Rachel wants more research to be done into the impact vaping has on young people.

She’s made it her mission to tell her daughter’s story to any young people she sees vaping, or who come into the shop she works in asking for them.

The impact on young lungs is only just emerging, but she knows there’s too much at stake to ignore the risks.

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MSPs vote to abolish Scottish legal system’s controversial not proven verdict

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MSPs vote to abolish Scottish legal system's controversial not proven verdict

MSPs have voted to abolish Scotland’s controversial not proven verdict.

The Scottish government’s flagship Victims, Witnesses and Justice Reform (Scotland) Bill was passed on Wednesday following a lengthy debate of more than 160 amendments that began the day before.

The new legislation makes a series of changes to the justice system, including scrapping the not proven verdict; establishing a specialist sexual offences court; creating a victims and witnesses commissioner; reforming the jury process to require a two-thirds majority for conviction; and implementing Suzanne’s Law which will require the parole board to take into account if a killer continues to refuse to reveal where they hid their victim’s body.

Following Royal Assent, the legislation will be implemented in phases.

Justice Secretary Angela Constance and First Minister John Swinney. Pic: PA
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Justice Secretary Angela Constance and First Minister John Swinney. Pic: PA

Justice Secretary Angela Constance said: “This historic legislation will put victims and witnesses at the heart of a modern and fair justice system.

“By changing culture, process and practice across the system, it will help to ensure victims are heard, supported, protected and treated with compassion, while the rights of the accused will continue to be safeguarded.

“This legislation, which builds on progress in recent years, has been shaped by the voices of victims, survivors, their families and support organisations, and it is testimony to their tireless efforts to campaign for further improvement.

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“I am grateful to those who bravely shared their experiences to inform the development of this legislation and pave a better, more compassionate path for others.”

Not proven verdict

Currently, juries in Scotland have three verdicts open to them when considering the evidence after a trial, and can find an accused person either guilty or not guilty, or that the case against them is not proven.

Like not guilty, the centuries-old not proven verdict results in an accused person being acquitted.

Critics have argued it can stigmatise a defendant by appearing not to clear them, while failing to provide closure for the alleged victim.

Notable cases which resulted in a not proven verdict include Sir Hugh Campbell and Sir George Campbell, who were tried for high treason in 1684 for being present at the Battle of Bothwell Bridge.

The murder of Amanda Duffy, 19, in South Lanarkshire in 1992 sparked a national conversation around the existence of the not proven verdict and double jeopardy rules.

Suspect Francis Auld stood trial but the case was found not proven by a jury and an attempt to secure a retrial failed in 2016. Auld died the following year.

In 2018, a sexual assault case against former television presenter John Leslie was found not proven.

And in 2020, former first minister Alex Salmond was found not guilty on 12 sexual assault charges, while one charge of sexual assault with intent to rape was found not proven.

Victim Support Scotland (VSS) had earlier urged MSPs to put aside party politics and vote “for the intention of the bill”.

Kate Wallace, chief executive of VSS, believes the act is a “solid foundation” on which to build further improvements.

She added: “The passing of this act represents a momentous occasion for Scotland’s criminal justice system.

“It marks a significant step towards creating a system that considers and prioritises the needs of people impacted by crime.”

VSS worked with the families of Arlene Fraser and Suzanne Pilley to spearhead Suzanne’s Law.

Ms Fraser was murdered by estranged husband Nat Fraser in 1998, while Ms Pilley was killed by David Gilroy in 2010. To date, the women’s bodies have never been recovered.

Before the bill, parole board rules dictated that a killer’s refusal to disclose the information “may” be taken into account.

The new legislation means parole boards “must” take the refusal to cooperate into account.

(L-R) Suzanne's Law campaigners Isabelle Thompson and Carol Gillies, the mum and sister of Arlene Fraser, alongside Gail Fairgrieve and Sylvia Pilley, the sister and mum of Suzanne Pilley. Pic: PA
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(L-R) Suzanne’s Law campaigners Isabelle Thompson and Carol Gillies, the mum and sister of Arlene Fraser, alongside Gail Fairgrieve and Sylvia Pilley, the sister and mum of Suzanne Pilley. Pic: PA

Carol Gillies, sister of Ms Fraser, and Gail Fairgrieve, sister of Ms Pilley said: “We have done everything possible to make this change to parole in memory of Arlene and Suzanne, and for other people who have lost their lives in such a horrific way.

“For our families, the passing of this act and the change to parole are momentous.”

Read more from Sky News:
Why next year’s Scottish elections could get messy

The Scottish Conservatives and Scottish Labour voted against the bill.

Although in support of the abolition of the not proven verdict, the Scottish Tories said they had been left with no alternative but to oppose the bill after the SNP rejected a series of amendments.

The party had called for a Scotland-only grooming gangs inquiry; wanted victims to be told if a decision was taken not to prosecute an accused; and for all victims to be informed if a plea deal was struck between defence and prosecution lawyers.

They also wanted Suzanne’s Law to be strengthened, which would have compelled killers to reveal the location of their victim’s body or risk having their parole rejected – ensuring “no body, no release”.

MSP Liam Kerr, shadow justice secretary, said: “This half-baked bill sells the victims of crime desperately short.

“By ignoring many of the key demands of victims’ groups, the SNP have squandered the chance for a long overdue rebalancing of Scotland’s justice system.

“The Scottish Conservatives’ common sense amendments would have given this legislation real teeth but, by rejecting them, the nationalists have delivered a victims’ bill in name only.

“While we back the abolition of the not proven verdict, the SNP’s intransigence on a number of key issues meant we could not support this bill in its final form.”

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Southport victims’ parents say killer’s parents ‘knew and ignored risk he posed to public’

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Southport victims' parents say killer's parents 'knew and ignored risk he posed to public'

The families of the three girls murdered in the Southport attack have claimed the parents of killer Axel Rudakubana “knew and ignored the risk he posed to the public”.

They also pointed to “multiple errors, omissions and fatal misjudgements” by mental health services, social services and police.

The claims were made as the families outlined for the first time the issues they want the public inquiry, being held at Liverpool Town Hall, to examine over the next seven weeks.

Rudakubana’s brother Dion said he wanted the inquiry to examine whether his sibling’s exclusion from school and transfer to a pupil referral unit had increased his sense of isolation from friends and family.

The inquiry had previously heard about a series of efforts made by Rudakubana’s parents to get him help with his mental health in the years before the attack but also outlined that they intercepted two machetes delivered to the house and were struggling to deal with their son’s violence in the home.

Bebe King, six, Elsie Stancombe, seven, and Alice da Silva Aguiar, nine, were fatally stabbed at a Taylor Swift-themed class on 29 July last year by Rudakubana, then aged 17, who was jailed earlier this year for a minimum of 52 years.

Nicholas Bowen KC, for the three bereaved families, told the inquiry: “It is a visceral conviction that the safeguarding apparatus of the state has failed them and that it was not only public bodies.”

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Rudakubana’s family “knew and ignored the risk he posed to the public” as did a taxi driver who drove away after dropping the killer at the Hart Space dance studio, he said.

“But for multiple errors, omissions and fatal misjudgements,” Rudakubana – referred to throughout as AR – “would have been seen for who he really was, and, we say, stopped,” Mr Bowen said.

Elsie Dot Stancombe's parents Jenni (left) and David (right) with Bebe King's parents Lauren and Ben (centre) at Liverpool Town Hall. Pic: PA
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Elsie Dot Stancombe’s parents Jenni (left) and David (right) with Bebe King’s parents Lauren and Ben (centre) at Liverpool Town Hall. Pic: PA

The families blamed a combination of incompetent diagnosis, inappropriate educational provision, and a lack of action by public bodies.

They highlighted an incident when Rudakubana was reported missing by his parents and found on a bus in March 2022, refusing to pay the fare, with a knife in his possession.

‘Failure to join the dots’

The police, mental health services and social services “failed to join the dots with his previous offending” which involved an attempt to target a child he claimed was bullying him by taking a knife into assembly at his previous school.

If authorities had joined the dots, it would have been “inevitable” that Rudakubana would have been subjected to a “full and rigorous assessment”, that would have been out of parental control, and then referred to mental health services, he said.

“It is very unlikely that the assessment would not have led to a discovery of the horrific escalation of risk that we have heard about, aggression at home and the parents’ knowledge of the purchase of weapons,” Mr Bowen told the hearing.

Alice da Silva Aguiar's parents Sergio and Alex arrive at Liverpool Town Hall for the inquiry. Pic: PA
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Alice da Silva Aguiar’s parents Sergio and Alex arrive at Liverpool Town Hall for the inquiry. Pic: PA

Rudakubana’s father took delivery of a machete, marked up that it must be delivered to a person over 18, and he “must have known and would have warned, had he been behaving responsibly, the social workers about the hole into which his son was descending”, said Mr Bowen.

Warning signs

The victims’ families highlighted details about two attacks Rudakubana launched at Range High School, in nearby Formby, which were not previously known.

On 6 October 2019, he “viciously attacked” his alleged bully in class and was put into isolation.

Interviewed by police the next day, he said he was “pretty certain” he was willing to use a knife he had taken into the school on at least 10 separate occasions.

The school decided to exclude him permanently but he appealed against it. However, during his appeal, Rudakubana “showed no remorse or regret, trusted no one, and refused all support”.

He was sent to a pupil referral unit called Acorns which was the “one institution that emerges with credit from this tragic series of events”, Mr Bowen said.

They made three separate referrals to the Prevent deradicalisation programme, none of which were adopted by the project.

The Acorn school’s leadership were “acutely concerned” about Rudakubana’s behaviour and internet use and consistently resisted categorising him as “low risk”, Mr Bowen said.

Read more:
The missed chances to stop Rudakubana
Grandfather who tackled killer

The inquiry is taking place at Liverpool Town Hall. Pic: PA
Image:
The inquiry is taking place at Liverpool Town Hall. Pic: PA

Asked why he took a knife to school, Rudakubana “emotionlessly and without eye contact” told one teacher: “To use it.”

Her professional judgement was that “there was something so cold” about the way he described the incident.

This information should have been available to mental health services and social services, “underlining the urgency of assessment and tailored provision to protect the public and meet AR’s needs”, Mr Bowen said.

On 11 December 2019, two months after the classroom incident, Rudakubana returned to Range High School, from where he had been excluded, with a hockey stick and a knife in a rucksack.

He tried to enter the school assembly, searching for the bully, but when he was chased away by the headteacher, he instead attacked a schoolfriend in the corridor.

Afterwards, Rudakubana admitted he had intended to strike the bully with the hockey stick and if required “finish him off” with the knife and said he was indifferent to going to prison, repeating that he had the knife “to use it”.

However, when Rudakubana’s father attended the school, the headteacher reported that he “appeared calm and failed to appreciate the gravity of the incident”.

Merseyside Police recorded that day that Rudakubana had “deteriorating mental health” and that he would be subjected to a full mental health assessment.

It noted there was knowledge of previously carrying a knife at school and the use of the internet to research school massacres and beheading videos.

Questioned by a mental health practitioner while in custody, Rudakubana stated he “wouldn’t have felt sad” if he hurt the boy and would have killed the bully if he had been in assembly, adding: “Ideally, I wish I did it.”

He liked the boy he hit and was unbothered because the boy “didn’t get hurt that bad” even though the victim was hospitalised, and press reports referred to a broken wrist.

“His callous attack on the friend, a mere bystander to his quest for revenge, was something of real concern” to the mental health practitioner, Mr Bowen said.

However, when he was eventually taken up by forensic child and adolescent mental health services FCAMHS, it emerged that a formal diagnosis of autism spectrum disorder could take up to two years and no formal risk assessment was carried out.

Instead, Acorns school were left “holding the baby”, Mr Bowen added.

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In pictures: Donald Trump given royal welcome as UK state visit begins

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In pictures: Donald Trump given royal welcome as UK state visit begins

Donald Trump has kicked off his second state visit to the UK with a royal greeting, carriage procession and gun salute.

As the US president and the First Lady Melania Trump touched down in a rainy Windsor, they were greeted by Prince William and Kate, before meeting King Charles and Queen Camilla.

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The national anthems of the UK and US were then played as a carriage procession carried the Trumps and the King and Queen towards Windsor Castle.

Here, Mr Trump inspected the Guard of Honour before heading inside the castle. Tonight, a grand state banquet will be held in honour of the US president, where both the King and Mr Trump are expected to give speeches.

Trump spoke with reporters from the White House on Tuesday before setting off. Pic: AP
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Trump spoke with reporters from the White House on Tuesday before setting off. Pic: AP

The Marine One helicopter landed in Windsor from London. Pic: PA
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The Marine One helicopter landed in Windsor from London. Pic: PA

Donald and Melania Trump were welcomed to Windsor by William and Kate. Pic: PA
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Donald and Melania Trump were welcomed to Windsor by William and Kate. Pic: PA

King Charles received the US president alongside the Queen.
Pic: PA
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King Charles received the US president alongside the Queen.
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The pair appeared to share a laugh ahead of the carriage procession. Pic: PA
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The pair appeared to share a laugh ahead of the carriage procession. Pic: PA

The carriage procession arriving at Windsor Castle.
Pic: Andrew Matthews/PA
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The carriage procession arriving at Windsor Castle.
Pic: Andrew Matthews/PA

The Irish State Coach carrying King Charles and Donald Trump.
Pic: Chris Jackson/PA
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The Irish State Coach carrying King Charles and Donald Trump.
Pic: Chris Jackson/PA

The Prince and Princess of Wales during the carriage procession to Windsor Castle
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The Prince and Princess of Wales during the carriage procession to Windsor Castle

The horse-drawn procession makes its way towards Windsor Castle.
Pic: Reuters
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The horse-drawn procession makes its way towards Windsor Castle.
Pic: Reuters

Mr Trump pictured among the guard of honour.
Pic: Jonathan Brady/PA
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Mr Trump pictured among the guard of honour.
Pic: Jonathan Brady/PA

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Donald Trump salutes troops as Queen Camilla's eye catches the camera. Pic: Kirsty Wigglesworth/PA Wire
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Donald Trump salutes troops as Queen Camilla’s eye catches the camera. Pic: Kirsty Wigglesworth/PA Wire

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A supporter of Trump stood outside Windsor Castle ahead of the parade
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A supporter of Trump stood outside Windsor Castle ahead of the parade

Meanwhile, Stop Trump Coalition campaigners protested. Pic: PA
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Meanwhile, Stop Trump Coalition campaigners protested. Pic: PA

A campaigner drags a mannequin dressed like Trump along the ground. Pic: PA
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A campaigner drags a mannequin dressed like Trump along the ground. Pic: PA

Trump, along with the King and Queen, then viewed items on display during a visit to the Royal Collection exhibition at Windsor Castle.
Pic: PA
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Trump, along with the King and Queen, then viewed items on display during a visit to the Royal Collection exhibition at Windsor Castle.
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The Trumps visit St. George's Chapel during their state visit.
Pic: Reuters
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The Trumps visit St. George’s Chapel during their state visit.
Pic: Reuters

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